94-161 CERTIFICATE E OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 " 96
This is to certify that work requested to be done as shown by Permit No. ,94161
has been completed.
This structure may be used as a aCREi MEG PORCH
Location I PINECROPT DRIV
Owner joig1amS . gARY R.-
By Order of Town Board
TAX HAP NO. 54 , -I-35 TOWN OF QUEENSBURY
Director of Buildin & Code Enforcement
t ' TOWN OF QUEEMSBURY Fee Paidl(o —
BUILDING & CODES DEPARTMENT
APPLICATION FOR: PORCHES-DECKS- Permit #
rr DOCKS & BOATHOUSES Est. Cost p�
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Pe it to d�, tfie>� ollowing work which will be
done in accordance with the description, plans �'d specip�ilcationsubmitted, and such special
conditions as may be indicated on the permit. W0 SET, 110E TRUCT L PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION. e� �� �
Owner of Property: 67 ..e �DAJ c', pt G✓okac A*wz747—1523
P.O. Address iyE Phone # 890Z
Property Location . Tax Map # 6-'7- 3,
Subdivision Name (If applicable) LOT .�.S Tortl�� tJ.�ST.
?PE ,ON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Address �,g�I� Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porc Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage):
Foundation Material : Width Thickness _
Depth of Footing, below grade: -4 �_O"
Size of Posts or Studs: 4" x —4" x 81011 Long
Size of Floor Joists: ,2 x /O JV x /D / Span
Decking or Flooring Material : -4l¢.4 V 4 JQVOJO, >
How will Porch or Deck be fastened to building?
7-
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: Z x a x 8 Long
Roof Rafters: ,Z, x �_ Spacing Span
Roof Trusses (pre-engineered spacing) : Span
Type of Roof: Sloped Flat She Other (Circle one)
Material of Roof: Z W-64eJ000 �i�,B,QEGc�rSs �.✓GcE
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 eater supply and
location and configuration of septic disposal area.
+ 4.
Size of Property: �®d ft. x 2/O l ft.
Existing building(s.) : Size Z& ft. x ¢O ft.
Size _4 ft. x Z4 ft.
Use of Existing building(s) : A61,O&✓e4
Proposed structure, distance. from property line:
Front yard �Z-- ft. Rear yard —!/2 -ft.
Side yards ft. and 7 D ft.
If on corner, setback from side street: SS . 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 nrnnnCPH wnrL, fn ho Annn nn +hn .4.,.-. -44....1 ....,...._____ __j - _ . .
ti
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
V
..:2,1 V�:.: DEPART: , IAL
FINAL INSPECTION REPORT - RESIDE
DATE INSPECTION REQUEST RECEIVED: f
NAME T /
LOCATION ,1 � Ff
DATE �jC-)f PERMIT A
TYPE OF ST CTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT B VENT 11EIGHT 1.
PLUMBING VENT
ROOFING
EXTERIOR FINISH
i
I
DECK/PORCH/STEPS/RA ILINGS
RELIEF VALVES
FURNACE HOT WATER OP RATING
INTERIOR TRIM PRIVAC DOORS
FINISH FLOORS:
BATH KITCHEN WATERT GHT
OTHER FLOORS SWEEPA E
OTHER FLOORS CARPETS
STAIR CLEARANCE/RAILINI
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSUL ION
GARAGE FIRE PRO FING
DOOR CLOSERS
INAL ELECTRI AL
SITE PLAN VA IANCE RE .
FINAL SURVEY PLOT PLAN
OK TO ISSUE/C/O OR C C
TOWN Of U(1Ef:IISBUR.Y
BUILDING b CODE f Ni•'ORCEMENT.
(a 742 HAY w Ar)
QUEENSIIIJRY NY 12604
(53R)'145 444.7
ARRIVE: .l1�_ DEPART: i� INSP.
FINAL INSPECTION REPORT — RESIDE I L
DATE INNSS:PECTION REQUEST RECEIVED:
NAME UA Rq
LOCATION ` n �) �(7�T D R 4 U U -'
DATE _ JJ PERMIT N 9�r
TYPE OF STR CTI. RE !SCe�F_A}�T�0
FOOTINGS FO DATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSU ATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N A YES NO
CHII•INEY HEIGHT B VEN HEIGHT
PLUMBING VENT
ROOFING
EX1'1iRIOR FINISH
llECK/PORCH STEPS RRAILINGS
RFAj-E VALVES
FURNACE MOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BAT1I KITCHEN WATERTIGHT
9111ER FLOORS 'SWEEPABLE
OTIIF.R FLOORS CARPETED
S'I'll I R_CLEhRANCE.LRAI f,INGS
SMOKE DETECTORS
BA'I'fiROOM FANS
PLUMBING FIXTURES
FOUNDA'PION INSULATION
GARAGE FIRE PROOFING .
DOOR__CLOS_ERS _
FINAL ELECTRICAL
SITE PLAN1VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/0 OR C/C
CA"IfLL - M� �0.T `�r5 rs Q R env
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME N1��
LOCATION
DATE 9_Y PERNIT # _t
TYPE OF STRUCTURE
RECHECK ��_ APPROVED
N/A IYES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE P
THE CONTRACTOR IS RESPONS BLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS F0 LOWING
THE PLACEMENT OF THE CO CRETE.
MATERIALS FOR THIS PURP SE ON SITE
FOUNDATION/WALL POU�
REINFORCEMENT IN PLAC
FOUNDATION/DAMPROOFI,
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENT IN PLACE
PLUMBING UNDER SL
4ERAMING:
JACK STUDS/HEA 'ERS
BRACING/BRIDG G
JOIST HANGER_
JACK POSTS/M TN BEAM
HEATING ROUGH-114
INSULATION: \
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: �� � Lk-)
��
ARRIVE 0
DEPART j s
NSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE' (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME C,kE'
LOCATION pu4 V s� V7
DATE Sj:Z h Lj __PERMIT #. 9 W -176T 16
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
BACKFILL APPROVAL
ROUGH PLUMBING t
PLUMBING VENT/VENTS .t Tid PLACE
PLUMBING UNDER SLAB/
FRAMING:
JACK STUDS/HEADERS $
BRACING/BRIDGING
JOIST HANGEfS a
JACK POSTS/MAIN BEAM%,
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
REMARKS:
- FI.oOFZ S\bT
'i—t�i
v a oko t wl�'Lv
ARRIVE -,3 :{!�
DEPART
I JSPECTOR
r
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK- 12804
TELEPHONE (518) 145-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
MANE 7o1Jab
LOCATION
TYPE OF STRUCTURE ,cza�---h) YmcAA —
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 PLACUIENT OF THE CONCRETE.';
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATIONAALL POUR
REINFORCEMENT IN PLACE i
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING 4 ?
PLUMBING VENT/VENTS IN PEACE,
PLUMBING UNDER SLAB \,
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK. POSTS/MATN BEAM
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 EMARoc�5� G�
D2e?
ARRIVE
DEPART
N PECTOR
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