1999-389 CERTIFICATE •(0 :F COMPLIANCE
.TOWN Of QUEENSBURY
WARREN COUNTY; NEW YORK
Date July 12 - 19 99
- 99389'
This is to certify that work requested to be done as shown by Permit No. -
has been completed.
DECK .
. This structure may be used as a
Location 10 LUPINE LANE
ALLEN, CYNTHIR
Owner
TAX MAC NO. 119. -2-13 .2 . By Order of Town Board • -
. TOWN OF QUEENSBURY • -
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE _.$ -100. _ _ No. 99389
TAX MAP NO. 119 . -2-13 . 2 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ALLEN, CYNTHIA
OWNER of property located at 10 LUPINE LANE Street, Road or Ave.
in the Town of Queensbury,To Construct or place a DECK
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
• 10 LUPINE LANE
QUEENSBURY, NY..: 12.804'
2. CONTRACTOR or BUILDERS Name
ALLEN, CYNTHIA.
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
DECK.
( )Wood Frame ( I Masonry ( )Steel 1 1
7. PLANS and Specifications
192 NSQ FT DECK AS. PER PLOT PLAN . SPECIFICATIONS
8. Proposed Use
DECK
16 July 7 19 2001
$ PERMIT FEE PAID—THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
July 19 1999
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
1 (0 c29—
` , TOWN OF QUEENSBURY Fee Paid
1041; ' BUILDING & CODES DEI'AR1MENT
. APPLICATION FOR: PORCHES-DECKS- Permit // —99 9
• DOCKS & BOATHOUSES Est. Cost/ 0 6
A PERMIT MUST 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, plaits and specifications submitted, and such special
conditions as may be indicated on the permit. WO SITS Oi- S'I'RUCTURAI. PLANS SIIAI.1_ 141: SU131'I1TII:I)
WI'1'll THIS APPLICATION.
Owner of Property: ed m A/le?
P.O. Address Phone I/ 79S5c.37
Property 'Location 10 k op;d e 1 .411.P — an,,ertcht)rr nc v Tax MalY
Subdivision Name (If applicable) ...___.__..__._...
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Address . Phone//
BUILDING SPECIFICATIONS:
Type of work to bb done: Porch ' Beck Dock Boathouse (Circle one)
Size of Struct(lre to be built (square footage):,. l qZ �J Q. F'T
Foundation Material : Width Thickness
Depth of Footing, below grade;
Size of Posts or Studs: x x Long
Size of Floor Joists: 2- x x a( Span
Decking or Flooring Material : exit PLr IV E-
ED
How will Porch or Deck be fastened to building? lid JUJU 2 4 1999
TOWN OF QUEENSBURY
If Roof Will Be Installed, Answer Following Questions: BUILDINGA �COOE
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)
Malarial of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and aLiac:lrecl
hereto, ssliowinq clearly anildisEiirc 1 n11—hrrlilings, 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: 1Lo ft. x C 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 5—O - ft.
Side yards -7.51- ft. and 1- 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 4 5- 9 SIGNATURE
n r, ner s Agenc , rc _ t , Contract .
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 7 ] SIGNATURE
�. ^, TOWN OF QUEENSBURY
_+ � BUILDING & CODE ENFORCEMENT
L1 4�3 742 BAY ROAD
'' = r QUEENSBURY NY 12804
(! (518) 761-8256e.,_
`
ARRIVE: DEPART: INSP: s_?
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME /IL fd_
LOCATION Q Z.v"0/4/, �� a -- (�—
DATE 7 J2/ PERMIT # -E87
TYPE OF STRUCTURE t_�=d<
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
/
CHIMNEY ''HEIGHT/B VEN / EIGHT
PLUMBING VENT
ROOFING s
EXTERIOR FINI
DECK/PORCH/STEPS/' 'ILINGS
RELIEF VALVES
FURNACE/HOT WATE' OPERATING
INTERIOR TRIM PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE i
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES 1
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O O'
_ ,•. . , .
) 0 L.0 \*3 ) 1\4: LN. . .
TOWN OF QUEENSBIJ ; 2a1)ING DEPARTMENT
Based on our limited examination,
compliance with our comments shall
not be construed as indicating the
- plans and specifications are in full . 9 -307
;*.
I EC EN E D
5'6 IYOS
.:
1 JUN 2 4 1999
TOWN OF QUEENSBURY
BUILDING AND CODE
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. REVIEW-D BY _.
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