2000-436 BUILDING PERMIT
_(.j Town of Queensbury, 742 Bay Road, Queensbury, NY 12804
County of Warren (518) 761-8256
Building Permit No.
Permission is hereby granted to tAeAtotu) nL$Eaj A •.! LA L l e
Owner of property located at
in the Town of Queensbury, to oonsuuct or place a,
at the above location in accordance to 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.
s Address,
Conu r or Buil 's Name:
Contractor or Builder's Address.
Electrical Inspection Agency-
Type of Construction_
Plans and Specific tions_
07-t n�H AS PtC- PLA)t VLW S?CP�-�CATzDWS
ILtopnsed Use:
$ - - PERMIT FEE PAID — THIS PERMIT EXPIRES J4Y-*� 2:6 2DQZ
(If a longer period is required, an application for an extension must be trade to the Code Enforcement
Officer of the Town of Qu�ry before the expiration date.)
Dated at the To of Queensbury this a Day of J U
SIGNED BY for the Town of Queensbury
Code �t A 4
l
{
TOWN OF QUEENSBURY
BUILDING 8r CODES DEPARTMENT Fee Paid
APPLICATION FOR : PORCHES- DECKS- Permit # Q.t M1 360
DOCKS & BOATHOUSES
Est . Cast 7ip
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . PLEASE ANSWER ALL OF THE FOLLOWING :
The undersigned hereby applies for a Building perm4
done in accordance with the description , plans ande following work which will be
conditions as may be indicated on the permit . TWO S E�TS� rra
TU�WITH THIS APPLICATION . omitted , and such special
L PLANS SHALL BE SUBMITTED
` 2 1 Z�Qa
Owner of Property : _$
P . O . r
Address
Property Location Phone # 7 ` 3 - $ 5 D
Subdivision Name ( If applicable ) 4Q Tax Map # � _ �-~ �
r �'
PERSON RESPONSIBLE FOR SU
Name : PERVISIO F WORK AS REGARDS TO BUILDING CODES :
Address
Phone#
BUILDING SPECIFICATIONS : ---"
Type of work to be done :
Parch Deck Dock Boathouse `""
Size of Structure to be built ( Circle one )
Foundation Material : Width ( square footage ) :
• �' Thickness
Depth of Footing , below grade : _._L /I %e ��X l +Go '-------
Size of Posts or Studs : _� _
__ter y�� SGrrr = ISf
Size of Floor Joists : x x Long,.
j � t � m
Decking or Flooring Material . x -� T4;
Span to Now willPorch or Deck be fasteneA*vjd to buildin
w.a r1 f J ��,rz.�',�sc .lrur
If Roof Wi Be Installed , Answer Following
Size a Pasts r Studs : _• Questions :
If
Roof Ra ers : x�xz x Long
Spacing San
( pre-en
Roof Trusses p
gineered spacing ) : 111
Type of Roof : CSlo a Flat Shed Other-- Span
Material of Roof : t ( Circle one ) IIIIII--
.�' e�-�/ff'• �S, it
ZONING INFORMATION : '' /'N� `,5C-46Raep
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED ,
hereto , showing clearly and distinctT a 1
indicate all set back dimensions frorrr propertydrawn reasonably to scale and attached
Y buildings , whether existing or proposed and
location and configuration of septic disposal area , Show location of water supply pp Y and
Size of Property : ft . x
Existing buildin ---� 5—` ft .
9Csy : Size 3 ft . x
Size - ft , x ao fte
rt�
Use of Existing building ( s ) :
Proposed structure , distance from property line :
Front yard ft
Side yards u1 ft . and Rear? yard - 9( ft .
If on corner , setback from side streett4 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 Taws pertaining
shall be complied with , whether specified or not , and that such work is authorized by the
owner,
g to the proposed work
)ATE :
SIGNATURE \
caner , Owner ,ggenc'EVIEWEA BY COPE ENFORCEMENT OFFICER { 75Y ' chi C raptor
DATE C� SIGNATURE
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,SUN 2 1 2000 1 Hy IMF
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OF AN APPOCATI- TO THE:
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IIeQIlSI7111 1 CHOOSE SCALE ON LEFT 0 SCALE: Lf SCAL.Ee:_
Wane ncG ntY, New YGr�c OR CREATE YOUR OWN.
1 square = 10 feet
1 inch or 4 squares = 40 feet q --feet
-- inch'or sauar = foo+