93-279 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date •i ,23 1993
This is to certify that work requested to be done as shown by Permit No9 279
has been completed.
This structure may be used as a dick Addis ton
Location Hanneford Road
Owner Harold and Kelly Smith
19-1-11 By Order of Town Board
TOWN OF QUEENSBURY
Director of Bui ding & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY No. 93-279 0
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HAROLD & KELLY SMITH
OWNER of property located at Hanneford Road Street, Road or Ave. I '
in the Town of Queensbury,To Construct or place a Addition to deck
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
HCO1 Box 185A
Lake George NY 128451-1
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2. CONTRACTOR or BUILDER'S Name
O
same
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) O
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(}{)Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
8 ' x20 ' Addition to deck as per plot plan, specifications
No. and application.
8. Proposed Use
Deck
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16 .00 Pc'
$ PERMIT FEE PAID—THIS PERMIT EXPIRES June 22 1994 go
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) ¢'
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Dated at the Town of Queensbury this d Day June 19 9 3
SIGNED BY for the Town of Queensbury
Building and Zo • Inspector
TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEPARTMENT Permit # p-;?2,gc)
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost to{
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWE OF„ THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the flowing App rk ch will be
done in accordance with the description, plans and specificati g� subm'tt�'ti, anttl special
conditions as may be indicated on the permit. TWO SETS OF ST TURN_ �J,SHALL BE SUBMITTED
WITH THIS APPLICATION. c 11 o ebVe ``�, 4
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Owner of Property: IA G( il a c/>' ,'
P.O. Address C Of 3 O)c 1�;5/� . . .,tZo2 65-6 -353 7
Property Location /44 chit)f'Pc,2 bj -- ' ' 'Zf Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS RODS TO BUILDING CODES:
Name: Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch (Deck_) Dock Boathouse (Circle one)
Size of Structure to be built (square footage): } `
Foundation Material : Width Thickness Z.�n‘c each
Depth of Footing, below grade:
Size of Posts or Studs: x x Long
Size of Floor Joists: 2 x x Span
Decking or Flooring Material : k 6
How will Po r/c/h^� or Deck be fastened to building?/t 2 x� ,5'
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing): Span
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: /00 ft. x 1(S- /85 ft.
Existing building(s) : Size 3�,5 ft. x 3 3 ft.
Size ^c ft. x ft.
Use of Existing building(s): r Ca Y,:".
Proposed structure, distance from property line:
Front yard =. ft. Rear and /,,CMS ft.
Side yards ft. and :0' ft.
If on corner, setback from side street: ft.
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
together with the plans and specifications submitted, are a true and complete statement
of all proposed work to be done on the described premises and that all provisions of the
Building Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
shall be complied with, whether specified' or not, and that such work is authorized by the
owner.
DATE: fr3 SIGNATURE
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wne Ow s Agency, Architect, Contractor
REVIEWS BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
Al
TOWN OF QUEENSBURY
61.1141` 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAMECL1LG°-e:St' f_ 6j/4 •
Addle]fu�:
LOCATION
DATE 2'/,,,r,3 # 5.1 PERMITS 9 _,7 71'
TYPE OF STRUCTURE //dd /.z7 t ,
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION _WOODSTOVE/FIREPLACE
•
REMARKS
t /
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION,
B VENT/LOCATION t
PLUMBING VENT k
ROOFING
SIDING
DECK/PORCH/STEPS/ ILINGS
RELIEF VALVES
FURNACE/HOT WAT OPERATING \
BASEMENT INSUL ION/DUCTWORK \
INTERIOR TRIM RIVACY DOORS
FINISH FLOOR •
BATH/KITC N WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL /
OK TO ISSUE C/O OR C/C ✓
COMMENTS:
ARRIVE 3:Vo
DEPART
I P
TOWN OF QUEENSBURY •1/
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION� RECEIVED
NAME ICG`11 5 \'r"�
LOCATION 160,04e4 a ,
DATE % 7/93 PERMIT I 93- ;767
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE,
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING I
BACKFILL APPROVAL I
ROUGH PLUMBING 1t`
PLUMBING VENT/VENTS IN?PLACE `
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS k
BRACING/BRIDGING "c
JOIST HANGERS `
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INT RIOT R-
FOUNDATION WALLS EX, ERIOR R-
FLOORS {�-
WALLS R-
CEILING Rt
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE to 1)
DEPART '•9A
NSP CTOR
Program
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