2000-444 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury, NY 12804
- ' County of Warren (518) 761-9256
Building Permit No. ap b,7qQq
Permission is hereby granted to
Owner of property located at Su Ji C`ti 1 vj
in the Town of Queensbury, to construct 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 Cedes and the Queensbury Zoning Ordinance.
Owner's 3AddMss:,
retractor or Builder's Name-
'or
or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
Plans kd� ratio p� too
Proposed use:
}
$ L PERMIT FEE PAID — THIS PERMIT EMPIRES
(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 his Day of
SIGNET] By Q f /� for the Town of Queensbury
Co&Mnlhicerneiit Officer
TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEPARTMENT Permit #
APPLICATION FOR : PORCHES- DECKS-
(aw DOCKS & BOATHOUSES Est . Cost ¢ ` Q)
A PERMIT MOST 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 SUBMITTED
WITH THIS APPLICATION .
Owner of Property : j a yce
P . O . Address Phone # 7Y'3- g15g1
Property Location Z` cf) /U- Tax Map # � 9. . 2 _ 3 Z
Subdivision Name ( If applicable )
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES :
Name : -,Ifs . .cs �*- Address CrS.vr►_ z' X./, Phone # 7413-4091
BUILDING SPECIFICATIONS :
Type of work to be done : Porch Deck Dock Boathouse ( Cir>c�le one )
Size of Structure to be built ( square footage
Foundation Material : Width Thickness
Depth of Footing , below grade :
»�
Size of Posts or Studs : � x'7��� x 8� y Long F~
Size of Floor Joists : x x Span JUN 2 2 2000
Decking or Flooring Material : *acG x5/ f l0� T..,
How will Porch or Deck be fastened to building ?
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 : '`w . ec>7 ft . x a '/3 ft .
Existing building ( s ) : Size 640 ft , x o` s/ ft .
Size ft . x ft .
Use of Existing building ( s ) : 2�! oo� C,
Proposed structure , distance from property line :
Front yard G} ft . Rear yard ft .
Side yards 3^� ft . and 4e% ft .
If on corner , setback from side street : ft .
DECLARATION
To the hest 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 , and that such work is authorized by the
owner .
DATE : SIGNATURE
wn Owner s Agenc Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER , DATE 1� Gj SIGNATUREC
THE NEW YORK BOARD OF FIRE UNDERWRITERS
4037661 BUREAU OF ELECTRICTI V PAGE 1
III WASHINGTON AVE.r SUITE 704, ALBANY, NY 12210
Dare NOVEMBER 12 , 1997 Application Na. an file 4059 6696 /96 A 129511
THIS CERTIFIES THAT PERMIT NO . 96-298
Only the electrical e9u4"nent as desartbad below and introdtaced by the applicant named an the above applications number in the premises of
JAMES H . FLOWER , 30 SUNNYSIDE NO . , POLE#23 , QUEENSBURY . NY
in thefonowinR location; ❑ Basement ® iat Ft. ❑ 2nd Fl• 'Sertion Block Lot
rats erameined on NOVEMBER 06 , 1997 ,Ind found to be in comtpliance with the National Bleclricalr ,Code.
FIXTURE FIXTURES ;RA"405SCOOKIM6OO4DOCKSOVENS DISf# WASHERS EXHAUST FANS
OUTLETS A '�t�f SWITGIE'$ NCANDE5CENT . f41�1�1iE5CENT OTHEMAT. K.W. MST. K.21 37 35 19 2 2 FDRYER$ FURNACE AiWTCIRS FUTURE IIM'LIANCE ttFE CrLETAAAT. K.W. On n. f, ws N. r. MAT. NO- AtT. Mvi. F,, p- SYSTEMS MAT. wAYTs
NO, OF WET
2 F
SERVKz DfSCONHECT tax OF S E R V I C E
MAI. AMP, TYFE ' 1 .+f'-ZW 1 1 1 3W ] X SW 1,!' IW 'RC GF CC C4FID. NO. OF NI.4f6 OF-;: LEG NO. Of NEVTkAiS OF A.
W, G.
1 200 iCB 1 X 1 4f0 1 2f0
MOM AP"lt^TL#S:
GENERATOR 40KW- 1
G . F . C . 12 -6
SHORE DETECTOR : -4
ARTHUR A. COLCHESTER
N- 14
RR6 BOX 179UPPER. SHERMAN AVE , oe IERAL hIANAGRRQUEENSSURY , NY` . 12801 239
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
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