94-488 .CLRTIFICAT1 OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 20 , 1994 •
This is to certify that work requested to be done as shown by Permit No '9-yn
has been completed.
This structure may be used as a c e-c' k •
Location 0�� c�:rkte ^,
Owner aMr42r. c CtR.6S
S 8 By Order of Town Board
TOWN OF QUEENSBURY
(77) . 4; ------ .
P Director of Building & Code Enforcement
- I
BUILDING PERMIT
_ TOWN OF QUEENSBURY No.g4_ S
WARREN COUNTY, NEW YORK
oc
PERMISSION is hereby granted to v q C.QYI1- j• Palk' 5
,%
L' e9
OWNER of property located at �l Cht✓i s u c k1e �L� n� Street,Road or Ave. �o
in the Town of Queensbury,To Construct or place a C..'�
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.
P
1. OWNER'S Address is 25
RR I I&oY I3)b ce,
i.a— e, 6e° h I29(l5
2. CONTRACTOR-or BUI LDE 'S Name - -
3. CONTRACTOR or BUILDER'S Address 3
4. ARCHITECT'S Name -
- sa
- P
5. ARCHITECT'S Address - —�
C
r-
6. TYPE of Construction—(Please indicate by X) - -
( )Wood Frame ( ) Masonry ( )Steel ( -) .
7. PLANS and Specifications z
No. 2 7Q a
8. Proposed Use
- Cie
$/f 06 PERMIT FEE PAID—THIS PERMIT EXPIRES 9 24, 19 9_5
(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.) A Dated at the Town of Queensbury this Lc o,
Da jStpien, -� - 19_(_L -
SIGNED BY 'rir-"` for the Town of Queensbury
Building and Zo F'ng Inspector - (�
TOWN OF QUEENSBURY Fee Paid 4/6'
BUILDING & CODES DEPARTMENT
Permit #
APPLICATION FOR: PORCHES-DECKS-
' DOCKS & BOATHOUSES Est. Cost la-v7)
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following workW 1 be
_done in accordance with the description,. plans and specifications submitted,,—d'`'' .c�`i � ?ecial
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLAWSHALL4pE SUBMiIJED
WITH THIS APPLICATION. co' - \
.err: 6,e- •
,O }-�- (1.,c,ji au6 1.994
c� Town o'
Owner of Property: VNi' b'T tj, Iq ��(s j �.,
_ ueensbury
P.O. Address l� /�/ R 0 X 43 i 1fl<<r""�%�3� ) ,r�l./ Phone ,b,,, DeRt�
Property Location cciO fi = (/)Goiiy Li9/<f G Ee a c-f j 62.?xs Tax
Subdivision Name (If applicable) SHo(i (_. t_fi//
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: V1 ji d, r Address L/QKr i c`a,4ZG/.. /97 Phone#,ZSL-%2r1
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : L'/O
Foundation Material : Width / ' Thickness
Depth of Footing, below grade: •1
Size of Posts or Studs: ‘" x x ' Long •
Size of Floor Joists: jj' x 8 " x a " Span
Decking or Flooring Material : ,11(
/,. /t y. /9.2
How will Porch or Deck be fastened to building? f�g •U A",q .u s
T/)IS%itel ivG-FR) (6RA/60
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: ft. x ft.
•
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: ft.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 ''` .
INSPECTOR'S REPORT: ARRZ2-locDEPAR7,'3AO5-j INT
REQUEST FOR INSPECTION RECEIVED: AdiOr
NAME \j tiNMO1 P1"1k6�
LOCATION
DATE VZ-CACV-1, PERMIT # L J
TYPE OF STRUCTURE: CNN
RECHECK�`_ % A C� APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSI:LE FOR
PROVIDING PROTE TION FROM 'R ZING
FOR 48 HOURS FOLLOWING THE P' .CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE 'N SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING .
BACKFILL APPROVAL -
PLUMBING VENT VENTS IN
ANE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS[3EADERS
JOASING BR ...NA
JOIST HANGL
JACK POSTS MAIN BEAM
AIR INFILTRATION :ARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION ALLS INTERIOR R-
FOUNDATION 'ALLS EXTERIOR R II
-
FLOORS R-
WALLS R-
CEILING R-
111
DUCT WORK OR PIPING IN
UNHEATED SPACES R_
TOHN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY9 NEW YORK 1280c1
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIOE PECEIuED
NAME�� \6.‘
LOCATION NAWV___ ,.6 L_QtJ>
DATE-4\ '24 4 PERI.II 0 -4ci.)§6
TYPE OF STRUCTURE C�
RECHECK s •► f\k_c_ VA 'O}c1 APPROVED
N/A YES ' NO
FOOTINGS/P RS
MONOLITHIC OUR FORM
REINFORCEMEN ' IN PLACE
THE CONTRALTO,: IS RESPONSIBLE
FOR PROVIDING PROTECTION HUM
1
FREEZING FOR 0 HOURS FOLLM ING
THE PLACEMENT O." THE CONCE'-':Ti E e
MATERIALS FOR ThIS PURPOSE ON SITE
FOUNDATION/WALL !-OUR
REINFORCEMENT IN ['LACE
FOUNDATION/DAMPROO! ING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IC [ LACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS __ 1 ./
�
JACK POSTS/MAIN BEAN
HEATING ROUGH-IN
INSULATION:
FOUNDATION HALLS INTER OR R: -
FOUNDATION HALLS EXTERIOR R-
FLOORS R-
WALLS [?-
CEILING R-
DUCT WORK OR PIPIN3 IN UNHEATED
SPACES
REMARKS:
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ARRIVE tD;
DEPART \D'.a).
INSPECTOR
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