97-210 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
•
WARREN COUNTY, NEW YORK
Date October 9 19 97
1-i
rk°1 + V . 97210
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
79 SARAH—JEN DR.
Location
NADIG PHILLIP & BONNIE
Owner
TAX KAP NO . 74. -2-43 By Order of Town Board
TOWN OF/QUEENSBURY
- - �. r
/
y f
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No.
VALUE $ 5000 97210
TAX MAP NO. 74 . -2-43 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to NADIG PHILLIP & BONNIE
OWNER of property located at Street,Road or Ave.
79 SARAH-JEN OR.
in the Town of Queensbury,To Construct or place aD��rr
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
79 SARAH-JEN DR.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
MATTHEWS, JOHN
3. CONTRACTOR or BUILDERS Address
3219 ROUTE 9L
LAKE GEORGE , NY 12845
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry ( )Steel (DIE CK
7. PLANS and Specifications
No.
188 SO FT DECK AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
DECK
$ 16 PERMIT FEE PAID -THIS PERMIT EXPIRES May 12 19 99
(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.)
Dated at the Town of Queens this Day of May 19 97
SIGNED BY for the Town of Queensbury
Building and oning nspector
•
TOWN OF QUEENSIIURY Feltipl:i i617
BUILDING & CODES DEPAR1MENT 1997
APPLICATION FOR: PORCHES-DECKS- Permit II RV 0)-(�
TOWN OF QUEchr .ItURY
DOCKS & BOATHOUSES B511.OIf�t �►�I
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 , plans and specifications submitted, and such special
condi Lions as may be indicated on the permit. iWO SETS OF STRUCiURAL PLANS SHALL BE SIIBMIIIE
WITH IIIIS APPLICATION.
Owner of Property: Pita I $ (6W,vtt /d'A-`DO
P.O. Address .1Q-Ss6 cr5iLl Phone II
Property Location 1 tr3 SAAM-,J Tax Map If
Subdivision Name ( If applicable)
PERSON RESPONSIBLE_ FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
•
Name: F2,6.,4q Y4TN /lA-C__ Address fc-r s.L 441, Phoned )yr,2E
BUILDING SPECIFICATIONS:
Type of work to be done: Porch 4111110 Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : /ff5) S'y
Foundation Material : Width tiZu _ Thickness OP RdIJ4r
Depth of Footing, below grade: gr`�
Size of Posts or Studs: x ( . x 8 Long --
Size of Floor Joists: x //) x 1_y- Span
Decking or Flooring Material : (r/c( �,
How will Porch or Deck be 'fastened to building?
If Roof Will Be Install ,. , Answer Following Qu ,Lions:
Size of sts or Studs : _ x x Long .
Roof Rafter • x Spacing ,an
Roof Trusses (i e-engineered spa ing) : Span
Type of Roof: loped Flat ied Other (Circle age)
Material of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly anddis Tnctly 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: dr"))41 SIGNATURE , 44.
61 C
wn r flwrrer s Agency, r h' • c • tra'ctor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE J zQ 97 SIGNATURE e
t
TOWN OF QUEENSBURY
.. •',• BUILDING & CODE ENFORCEMENT
V� k 742 BAY ROAD
�'' QUEENSBURY NY 12804
=.n' (1 (518) 761-8256
ARRIVE: 2 ZE DEPART: 2=7A—/ INS . —
FINAL INSPECTION REPORT — RE IDE L
DATE INSPECTION REQUEST RECEIVED:
NAME 3 13 RD X G
LOCATION A 9 .6 RKB*t3 \J('�C^�7�VE
DATE 9\zt� „
l ERMIT' # '"1 1
TYPE OF STRUCTURE FDA
FOOTINGS k FOUNDATION _ B ACKFILL _ FRAMING
ROUGH PLUMBING _ SEPTIC a INSULATION •
FINAL ELECTRICAL _ ,WOODSTOVE OR FIREPLACE
;1 1 N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT`
t
ROOFING
AEXTERIOR FINISH4 DECK/PORCH/STEPS/RAILIIGS
RELIEF VALVES
FURNACE/HOT WATER1YOPIRATING
INTERIOR TRIM/PRIVAiY DOORS
FINISH FLOORS: it
BATH/KITCHEN WA'!}ERTIGHT ,
I.
OTHER FLOORS Si/FABLE
OTHER FLOORS CARPETED\
STAIR CLEARANCE/RAILINGS,
SMOKE DETECTOR'
PATHROOM FANSJI
PLUMBING FIXTURES
FOUNDATION ICSULATION \
GARAGE FIREI/PROOFING \
DOOR CLOSERIS
FINAL ELECRICAL
SITE PLAN/TVARIANCE REO. \
FINAL SU VEY PLOT PLAN \
OK TO I SUE C/O OR C/C \
/ \
QV-!::j
(518) 761-8256
TOWN OF QUEENSBURY r�
BUILDING & CODE ENFORCEMENT ••t ' r
742 BAY RD., QUEENSBURY NY 12804
`, `p °
INSPECTOR'S REPORT: ARRDEPART t jyr,
REQUEST FOR INSPECTION�ECEIVED: S /JJ
NAME l v 6 , 1iD/�l 2
LOCATION IC2
L , r V
DATE 5()...0, 7 PERMIT R /C�
" 02/o
TYPE OF STRUCTURE: (- 41.-
RECHECK APPROVED
N/A YES NO
OTINGS4
MONOLITHIC POUR FORM •
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP SIBLE FOR
PROVIDING PROTE TION M FREEZING
FOR 48 HOURS FOLLOWI G HE PLACE-
MENT OF THE CONCHS . _
i
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATIONIWALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING -
JOIST HANGERS .
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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 •
-
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shall
CUSTOM VIEW not be construed as indicating the
CUSTOMER -- PHILLIP plans and specifications are in full
DATE 05/01/97 REF PHILLIP compliance with the code.
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