1990-528 ; -
- '
CERTIFICATE OF COMPLIANCE
.,
TOWN OF QUEENSBURY
WARREN 'COUNTY, NEW YORK
October 25, 1990
Date 19 __
3D t
This is to certify that work requested to be done as shown by. Permit No. 90-528
has been completed.
This structure may be occupied as a
• Location 5.111‘43 Ba& i8A West Mountain Rd
DENNIS J. CRENSHAW
Owner
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. 6c Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY a
No. 90-528
WARREN COUNTY, NEW YORK
DENNIS J. CRENSHAW
PERMISSION is herebygranted to 0
OWNER of property located at Box 238A West Mountain Rd Street, Road or Ave.
I
in the Town of Queensbury,To Construct or place a Deck T
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at the above location in accordance to application together with plot plans and other information hereto filed,and °O
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
RD#2 Box 238A West Mtn Rd
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2. CONTRACTOR or BUILDER'S Name ttZ
self
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
17:1
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6. TYPE of Construction—(Please indicate by X)
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(X)Wood Frame ( ) Masonry ( )Steel ( ) vCDi
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7. PLANS and Specifications 0
No. 216 sq ft Deck as per plot plan, specifications and application.
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8. Proposed Use CZ
Deck
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$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 13 19 91
(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 Queensbury this 13th Day of August 19 90
/SIGNED BY \ .;( a,� for the Town of Queensbury
Building and Zoni' Inspector
FEE PAID 4
;,,-�_, APPLICATION FOR
;s'`��= ESTIMATED VALU
- vl > PORCHES - DECKS OF CONSTRUC ON$
DOCKS &BOAT• • SES
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRU IO !SWER 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. E OWN' O'!= ,
The Owner of this property is: t/AriC ,T. (°,eENsxiA4/
1 tGEIVED�S'aUFil`'
72
P.O. AUG
Address: '.a-- Sex 2-3 ',4 <'E�s ek my. /3-'O51 1 i99()
Property Location: G/isT mo r.,A✓ ,A✓Ro 4
Street number or building lot number 3LDG. & CODE DEp.T-
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING
CODES: .S4"e As 4•3oY (oc✓iva)
Address: Tel. 793-eP3-i'L
14,0 743 —3--,p4z ,EX7-2-tp4_
BUILDING SP ATIONS:
Type of work to be done: Porch Dock Boathouse (circle one)
Size of. structure to be built (square ootage) , Z/e,
Foundation Material Width Thickness
Depth of footing below grade • C¢'T
Size of posts or studs `-, x 4f x yt Long
Size of floor joist )- x r x Span
Decking or flooring materia
How will porch or deck be fastened to building?
Bail- #411—
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW:
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
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 /2-5 ft. x /614'S ft.
Existing building(s) Size S'ff ft. x 2 S ft.
Existing building(s) use
Proposed building, distance from property line.
Front yard to ft. Rear yard So ft.
Side yards 37 ft. and ,..go ft.
If on corner setback from side street NA- 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.
•
SIGNATURE' -+-. ��
Owner, Owners Agent, Architect, Contractor
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832 '
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME C_4e
LOCATION a/ !-S( /er,( 0
DATE Qc.46- a,t( PERMIT # 9%),J;CY
APPROVED
•
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
•
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
RAMING ��
ELECTRICAL ROUGH-\ N
INSULATION:
• FOUNDATION
FLOORS " \ I •
WALLS \ " .
EILING \ 1 •
11
INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING ` • / •
SIDING " \ 'I
EXTERNAL PORCHES/STEPS \ f" " "
STAIRS-CLEARANCE & RAILS\
PLUMBING FIXTURES/RELIEFAALVE
INTERIOR TRIM/PRIVACY TORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) \,
SMOKE DETECTORS %° . `'r,
FINAL ELECTRICAL INSPECTION "it
" . �j. . . v
FINAL APPROVAL OF CONSTRUCTION '\
OK TO ISSUE C/O OR C/C k
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE1OCCUPIED!•
1
REMARKS: •
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•
ARRIVE 9 '4 0
DEPART I ,(S
INSPECTOR
�Q� Ta m /fMNRTMENt TOWN OF QUEEHSBUpy
BLUDON R
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