2000-441 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury, NY 12844
County of Warren (S 18) 761-8256
W _ Building Permit No. 44 3
Permission is hereby granted to _.._ A J QLVd j- ~ ed4 _..
a
Owner of Property located att9fto k6 1 y,,
in the Town of Queensbury, to construct or place a bF�el
at the above location in accordance to application together with Prot plans and other information hereto filed and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance,
F=1=k4 k- � 4
W
to or Build�er�'ys Name: y
1
Contractor or Builder's Address:
Electrical Inspection Agency_
Type of Construction.:
Plans Snecific
ca� ons:
�.Proposed Use:
1 7C7� L
PF.,PM'IT FEE PAID — THIS PERMIT EXPIRES
(I€a longer period is required, an application for an extension must be made to the Code Enforcement.
Officer of the Town of before the expui n date.)
Dated at the To of this Day of (�-' �
SIGNED BY for the Town of Queensbury
Code Enforcement Otficer —
et TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEPARTMENT APPLICATION FOR : PORCHES- DECKS- Permit # UCH
DOCKS & BOATHOUSES Est . Cost � '�• --
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , PLEASE ANSWER ALL OF TH 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 : _ tic►A Ave > J?A4C-W
P . O . Address i¢ y F � ] ,Q _ C „g !e A.,, Y Phone # t 2 �3 77 3L,
Property Location ' SAU& , f
Subdivision Name ( If applicable )
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES :
Name : ,q%, C— _ Address Phone#
BUILDING SPECIFICATIONS :
Type of work to be done : Porch Deck Dock Boathouse ( Circle one )
Size of Structure to be built ( square footage ) : lif!..k/g ' f: ::,
Foundation Material : Width /0 Thickness
Depth of Footing , below gradev "
Size of Posts or Studs : / x x Long
Size of Floor Joists : R �
x x e, Span �..
VED
Decking or Flooring Material : axe _ JUN 21 2000
How will Porch or Deck be fastened to building ? ,aG;- _ , -
r; - CRY
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 : ft . x 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 , and that such work is authorized by the
owner ,
DATE : (0 � SIGNATURE �t. y ,
-T' n r, Owne s getri ntractor
REVIEWED BY CODE ENFORCEMENT OFFICER , DATEl SIGNATURE � ` �- --
f-� -�
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761 -8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location
Date 7 Permit
SOIL TYPE • San oam- Clay-
Results of :Percolation Test-
( if applicable ) Rate-Minute/ Inch
TYPE OF SYSTEM:
ABSORPTION FIELD : Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS : Number-
Size - ft • x ft .
Stone size
PIPING: �Sije Type
Bldg . to Tank �� �
Tank to Dist . Box
Dist . Box to Field/P
Openings Sealed ? Ye No ai al
LOCATION/SEPARATION /, feet
Foundation to Tank feet
Foundation to Absorption feet
Separation Of Pits
Conforms as per 'Plot Plan es No
LOCATION OF SYSTEM ON PRQPER
( circleftr
Front - Left 'Side . Right Side
Middle From Middle Rear
COMMENTS :
V%11 i n1 ,. C=- t.-- t > '51 i= r2 13� t7
Sepo01
SYSTEM USE APPROVED,: YES N
Arrived :
Departed :
Building Inspector
GENERAL IN,SPECTIf3N L-
�EPQR
( 518 ) 761 - 8256
Town of Queensbury
Dept. of Community Development 'Date inspection request received:
Building & Code Enforcement
742 Bay Rand
Queensbury, NY 12804 Arrive am/pni Depay d
Inspector's Initials `
NAME: PERMIT # r' L� Lk
LOCATION: i DATE : - :z � C_�i
TYPE OF STRUC'1 (JI2E:
RECHECK
N/A NO COMMENTS
F ti
Monal c or Form _...
Reinforcement in Place _
The contractor is respousible for
providing Protection from frerzirlg
for 48 hours fallowing the plaoerent
of the concrete.
Materials for this purpa on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Damprproofing__-
Backfitl Approval
Plumbing Under Stab
Plumbing Vent/Vents in Place
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
Frami
Jack Studsllleaders
BracingBri
Joist Hangers
.Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation i, 2, 3, hour.
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
GE�'4'ERAL I PECTION REPORT
( 518 ) 761 -- 825 +6
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code. Enforcement
742 Bay Road
Qvecnsbury, NAY 12804 Arrive am/pm Depart
Inspector's Initials E
NAME: .- ' 4
LOCATION-
TYPE OF STRIJZTURE:
RECHECK
N/A 'YES NO COMMENTS
Footing tPiers�
Monolithic Pour Form ` f 7� ��t Kam ! r
Reinforcement in Place
The contractor is responsible for
providing protection from hl=- g
for 48 hours fallowing the p ment
of the concrete.
Materials for this purpose on si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dam
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in
Rough Plumbing
Heating Rough94n
Insulation
Foundation Walls Inten r R- _
Foundation Walls Exte or R-
Floors R- _
Walls R-
Ceiling R-
Duct work or pilling; n
unheated spaces / R-
Proper Vent, Attic Ve t
Framing
Jack S
Bracing/Bridging
Joist Hangers
Jack min Beam.
Air Infiltration Barrier.
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 37 4 hour
Firesitopping
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BEAM LAYOUT CURTIS LUMBER
OUSTfDMER - - RICHARD KEYS ,' 460 BIG BAY RD
DATE o6 / I7 / 00 REF UeckOO164 � �{� (z 5 l D r _ QUEENSBURY , NEW }' l..) RK
( 5181792 -860I
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LABEL LENGTH COUNT SPACING
A 4' ll" 2 3' 6 1/2
S 4' 6" 2 3' 1 If 2"
C 17' 9" 4 5' 10"
D 9' 5 1/2" 2 9' 2"
Post spacing is measured center-to-center.
Depth of concrete footers --- dB inches.
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