2001-543 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010543 Application Number: A20010543
Tax Map No: 523400-290-062-0001-003-000-0000
Permission is hereby granted to: GARY ELLSWORTH
For property located at: 13 OVERLOOK Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: FAMILY GOLF CENTERS INC Deck 3,000.00
4TH FLOOR, 538 BROADHOLLOW Total Value 3,000.00
MELVILLE,NY 11747
Contractor or Builder's Name/ Address Electrical Inspection Agency
ADIRONDACK FENCE
38 BIRCH RD
LAKE GEORGE,NY
Plans &Specifications
2001-543
390 sq ft DECK AS PER PLOT PLAN SPECIFCATIONS
$40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,July 27,2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Friday,July 27,2001
SIGNED BY for the Town of Queensbury.
f
Director of I uilding e forcement
oz-s.
_ TOWN OF QUEENSBURY Fee Paid
` ' � � BUILDING & CODES DEPARTMENT
_ � APPLICATION FOR: PORCHES-DECKS- Permit # �t� - ,
DOCKS & BOATHOUSES Est. Cost 3()(r (:)(.
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 work which will be
done in accordance with the description , plans and specifications submitted, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITII
WITH THIS APPLICATION. — — - --- —
Owner of Property: 6iffi/ //5L5e#i7`h
P.O. Address -Si (3 Qi)e-ir--4o/- jig`- Phone #
Property Location �' .u.�is 7 Tax Map # -' o v-�:,
Subdivision Name (If applicable) ( Q�Q,.-k AY rDr iev&
PERSONalgSPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: / // $ewea✓S69 Address 39 / /f2,4,41 LA ArPhone# 7-611-0
BUILDING SPE ICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (squa otage) : _,D t
Foundation Material : Width 8' . Thickness 1 ' /7ee
7.2
Depth of Footing, below grade: , 1 i
Size of Posts or Studs: '/ x
x �4.� ��Long RECEIVE.
Size of Floor Joists: x 8 x ,r'/- Span �Z� � >�L ® z001
Decking or Flooring Material : /�'c� TOWN a�
QUEENSBUI4Y
How will Porch or Deck be fastened to building? 1,677e/z.- r, ANDDCODE
tL7?l1- i;/.
If Roof Will Be Installed, Answer Following Questions:
Size of Posts uds: x 'x __--Long
Roof Rafters: x -,_ _Spacflg Span
Trusses (pre-engineered,----';---
Roof c n� )`:— Span
Type of Roof: Sloped Flat Shed Other - `(-C-trcle one)
Material of Roof �_
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and disi:-(nci;Ty aT1—iirii'Mnds, 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: /66 +j- ft. x 3OO +V 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.
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, andthat such work is au
owner. tUrizcd by the
DATE: � Z0 Ba( SI
GNATURE ,/;':Y.�. 2
Owner, Owner s Agenc , rg' itect, Co tractor
REVIEWEDiBY CODE ENFORCEMENT OFFICER, DATE 7/Z� ') SIGNATURE ` 1 : lil�: -
1
11
GENERAL INSPECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart am/pm
Inspector's Initials ��
NAME: 0,\S 00(5Y 4N _ c PERMIT# —5 4
LOCATION: 0\)`PN _ \� DATE: c4`
TYPE OF STRUCTURE: "'\
RECHECK
N/A YES O COMMENTS
F tings/Piers Apr C
Monolithic Pou 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
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin a
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P .
Rough Plumbing,
Heating Rough-In
Insulation
Foundation Walls Interio R-
Foundation Walls Exteri n R-
Floors R
Walls R
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour •
Firestopping
)a te
GENERAL INSPECTION REPORT `
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road Z�
Queensbury,NY 12804 Arrive am/pm Depa
Aft,panInspector's Initi
NAME:G Xc .( PERMIT# .3
LOCATION: Q. Y ► DATE:
TYPE OF STRUCTURE:
RECHECK
N/A YES N7/ COMMENTS f�
F.: mg, . . I i�(1 //��' 11�� �!U`�a
Monoliths '• r Form �OgifX- � �C 12
Reinforcement in Place
The contractor is responsible for sGQ
providing protection from freezi
for 48 hours following the pla : it
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place RC—e-K6-0�
Foundation/Dampproofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vent�lace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
Jr MA*i rte- //12,
TavVri4 ._.....''''',,,, '-',' ''• 'f--'' '--irt 1 Y
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DATE
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AbIRONDAK FENCE
38 Birch Rd 13S1 CZ'QUEENSBURY BUILDING DEPARTMENT 1-- tO Q 1—51/3
take George NY 12845 tr=ad on our limited examination, l'..,ECLVEIP
(518) 798 6964 compliance with our comments shall ,.,;
not be construed as indicating the
pans and specifications are in full JUL 2 0 2001
coral t,'th the code,
TOWN OF QUEENSBURY
A 9 4 o.c, Ad,"
„, U B LDING AND CODE
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