2001-675 4-4
TOWN OF QUEENSBURY
742 Road ueensbu NY 12804-5902 518 761-8201
Bay ,Q rY� � )
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010675 Date Issued: Monday, September 24, 2001
This is to certify that work requested to be done as shown by Permit Number P20010675
has been completed.
Tax Map Number: 523400-309-009-0001-028-000-0000
Location: 57 ILLINOIS Ave
Owner: LAWRENCE & BONNIE FLEWELLING JR
Applicant: LAWRENCE &BONNIE FLEWELLING JR
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
Director of Building& Code Enforcement
TOWN OF QUEENSBURY
Foxo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010675 Application Number: A20010675
Tax Map No: 523400-309-009-0001-028-000-0000
Permission is hereby granted to: LAWRENCE &BONNIE FLEWELLING JR
For property located at: 57 ILLINOIS Ave
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: LAWRENCE &BONNIE FLEWELL Deck 1,000.00
PO BOX 2527 GLENS FALLS,NY 12801 Total Value 1,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-675
DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday, September 24,2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at th own f Q9n, ur ; i d September 24,2001
Arl
SIGNED BY '1V for the Town of Queensbury.
Director of Building&Code Enforcement
�` _ ,. TOWN OF QUEENSBURY Fee Paid 40 "
fib' BUILDING & CODES DEPARTMENT
APPLICATION FOR: PORCHES-DECKS- Permit # I7: `Z ;i
o
DOCKS & BOATHOUSES Est. Cost i/oC�c) .
A PERMIT MUSTBE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description , plans and specifications submitted, and such special
conditions as may he indicated on the permit. 'WO SETS OF STRUCTURAL PLANS SHALL BE J SUIIMIT11
WITH THIS APPLICATION. — — - - --- --
Owner of Property: Lc zre n c & ni E 1.R 1 ri J K ,
P.O. Address 51 mil'\iflo1, Rix , Phone # 7.Cn-3 S .y
Property Location .1 -(
-1 �,11.1�d j� . 1-e . Tax Map #
Subdivision Name (If applicable) •
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: -q
Name: 1,3t-Qna -Biz_ ,1I Jo, Address 51. (ILLI1`YL0i,S L�, Phone#t"�$- S�
BUILDING PECIFICATIONS:
' Type of work to be done: Porch DecU�k Dock Boathouse (Circle one)
Size of Structure to be built (square footage) :
Foundation Material : Width Thickness
Depth of Footing, below grade: ( ��
Size of Posts or Studs: x t4 r`
`` x Long
Size of Floor Joists: V'"0v��
-2 x 4b x Span
• Decking or Flooring Material : _ j 1 {u` 0r` '-' '- ��� �
How will Porch or Deck be fastened to building? dam— p ,Y cEP 1 1 2001
If Roof Will Be Installed, Answer Followin TOWNOFQUEENSBURV
g Questions : BUILDING AND CODE
Size of Posts or Studs : x •ic 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 distinctTy all [iu1Tcfii s, 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 bullding(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 clone 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: 9 jai (_31 ;SIGNATURE `.1•r . ' ISY4St,i6d9S
Ow er Owner's Agencycfli t t, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 9 j SIGNATURE c1) ' ,----
•
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
•
742 BAY ROAD
QUEENSBURY NY 12804 •
• (518) 761-8256
11
ARRIVE: l�Y''W� DEPART: .10:'" IN� SP: _ -
FINAL INSPECTION REPORT - RESIDEN I
DATE INSPECTION REQUEST RECEIVED:
NAME L-C11r\_C aTh
LOCATION strl ILL►11Nc\.Z-7)
DATE Cf 5J O I PERMIT # 1l r-A -0.
• TYPE OF STRUCTURE PC) V F=C
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT\
PLUMBING VENT •
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES I
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS/
i
• FINISH FLOORS: / I
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
4OR
RAGE FIRE PROOFING //
CLOSERS (� 11 F I _ �V//
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ. .!
FINAL SURVEY PLOT PLAN
'�OK TO ISSUE C/O OR C/C
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 Depart!: z •-I
Inspector's Initial ,," _
NAME: F Lam_ts3 EL LA OG PERMIT# !1 •
LOCATION: c 7 1 L.LI 3 C_,13 A'J1 DATE : V a —0
TYPE OF STRUCTURE: t,� DE_Ck.
RECHECK
r----,N. N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form \ ' Do131% F-Lrru-ELC_t 6\C �
Reinforcement in Place \ AWL-1 CPTip )e._ _\F\ ED
The contractor is responsible for\
providing protects n from freezing �' l
-P01•A%O/D� ��� ��� �p
for 48 hours following the placem'ent
of the concrete. C 0 CAC ;tt3
Materials for this purpo a on site
Foundation/Wallpour \
Reinforcement in Place
Foundatfon/Dampproofing
Backfill A �` ‘
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In \
Insulation \
Foundation Walls Interior R-
Foundation Walls Exterior 1-
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
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TOE/ N, QUEENSBURY
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BUIL, - - =K
& COD -ADEPT.
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1 REVIEV'!E !i
a t` DATE %,•
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- TOWN 0• u .`:NSBURY BUILDING DEPAR i ME,v
Ba:• 0 .our limited examination,
co; pi -with our comments shall
s
s no .:.;g strued as indicating the
pl- s 1 specifications are in full o
Cr cot pi: e with the code:
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