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CERTIFICATE 00 F COMPLIANCE
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date AIA"st 10 19 f2
This is to certify that work requested to be done as shown by Permit No. 89-572
has been completed.
This structure may be occupied as a Porch
Lcxation 315A Nest Mountain Road L-�V LA tact
Owner Tracy Tabor
By Order Town Board
TOWN OF QUEENSBURY
ew
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 89-57 a
WARREN COUNTY, NEW YORK f i
PERMISSION is hereby granted to TRACY TABOR w
OWNER of property located at BOX 315A WEST MOUNTAIN ROAD Street. Road or Ave.
in the Town of Queensbury, To Construct or place a PORCH
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 pro
SAM o
70
V.J
2. CONTRACTOR or BUI LDER''S Name
SELF
3. CONTRACTOR or fail! LDER'S Address
SAM
4_ ARCHITECT'S Name po
TC
W
S. ARCHITECT'S Address
vi
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t-r
6. TYPE of Construction — (Please indicate by X) �-I•
( l wood Frame I l Masonry i I Steel
7. PLANS and Specifications p
fy
No. 50 sq . ft . Parch as per plat plan , specifications , and applications . CL
S. Proposed Use
Porch
0
$ 15 . OD PERMIT FEE PAID — THIS PERMIT EXPIRES February i 19 90 �
{If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the J•
town of Ctueensbury before the expiration date.)
Dated at the Town of Queensbury this 2.0th
Day of JUl 19 89
SIGNED BY I for the Town of Queensbury
Building and Zoning I rifipector
C-AVN UP QULhNSJ3L11tY
APPLICATION FOR
4
L
y`+ PORCHES - DECKS
DOCKS & BOATHOUSES
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. 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 . � '
The Owner of this property is:
P.O .
Address:
Property Location: k
Street number or building lot number &
Subdivision name (if applicable) t .
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORD AS REGARDS TO BUILDIN
CODES:
(,]?
Address: Tel.
�.
43
SUIL G SPECIFICATIONS* -1 "
Type of work to be done. arc Deck Dock Boathouse (circle one) L
ui
Size of structure to be built square footage) ca A- AWro )`- - 0
Foundation Material Width 0% IS vL 116� .. Thickness CQ
Depth of footing below grade c� " € koC`aoro- ..
Size of posts or studs x.—%. __x Lon g
Size of floor joist _x x Span
TOW OF QUEENSBURV
Decking or flooring material �— r
How will porch or deck be fastened to building? `
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW : Zoning Adrtfints#re
Size of posts or studs x x Long Date
Roof Rafters x Spacing Span
Roof Trusses Pre-Engineered spacing)
Span
Type of Roof - Sloped - Flat - Shed - Other
Material of Roof
Type of siding (if any
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. Give street and number
or lot number and indicate whether interior or corner lot. Show location of water supply
and location and configuration of septic disposal area.
COMPLETE INFORMATION REQUIRED BELOW :
Size of property loolol—ft. x ft.
Existing building(s) Size &%I ft. x 3�'Tw_ft.
Existing building(s) usei w•✓ 7c JTe s ^�.
Proposed building, 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. �{
SIG NATU RE `^—
wner, Owners ge rc ect, Con ra or
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
Q Yr TELEPHONE (58 )NEW Y792-5832ORK D
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED ' =�_ ---- -
NAME
roCATXON J "!
ray f C7 - g PERMIT
DATE 7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHT POUR FORMS /
FOUNDATIO DAMP-pROOFING
BACKFILL AP VAL
ROUGH PLUMBX
FRAMING
ELECTRICAL ROUG -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
XNAL INSPECTIONr
CHIMNEY HEIGHT_
ROOFING
SIDING
E3CT77 Pt�2CHESISTEPS��
STAIRS-c RANCE & RAILS^ J
PLUMBING�IXTURESIRELIEF VALVE --
INTERIO&� TRIMIPRIVACY DOORS
FINISH 1.
FLOORS
GARAG FIREPROOFING
DOOR LOSERS)
SMOK DETECTORS
FINAL LECTRICAL INSPECTION
FINAL PPROvAL OF CONSTRUCTION
4
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED !
REMARKS : /f
f J.
XNS OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED I
NAME
LOCATION f
DATE Sr' PERMIT #1
APPROVED
YES NO
Z.�ooTINGjPIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING 0%.
FRAMING
ELECTRICAL. ROUGIkXN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S,T E
STAIRS-CLEARANCEF RA LS
PLUMBING FIXTUR S/REL EF VALVE
INTERIOR TRIM/ RIVACY ORS
FINISHED F S
GARAGE FIREP OOFING -
DOOR CLOSER (S)
SMOKE DETECTORS _
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIEDt
REMARKS :
INSPECTOR
1
14
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