1990-697 CE
RTIFICATE OF COMPLIANCE •
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date � ? 6(,l/fi 16 9/
This is to certify that work requested to be done as shown by Permit No.
90-697
has been completed.
This structure may be occupied as a Porch
Location 1.1 R Meadnwhrnnk Rd -
Owner GEORGE & SHIRLEY SIPOS
By Order Town. Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY r
No. 90-697
WARREN COUNTY, NEW YORK
cn
PERMISSION is hereby granted to GFORGF & SHIRI FY SIPOS
OWNER of property located at 118 Meadowhronk Rd Street, Road or Ave. N
in the Town of Queensbury,To Construct or place a Alteration to dwelling
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
same
2. CONTRACTOR or BUILDER'S Name ')
CD
O
same -z
CD
Qe
3. CONTRACTOR or BUILDER'S Address
to
CCD
4. ARCHITECT'S Name
5. ARCHITECT'S Address
I .
I--,
00
6. TYPE of Construction—(Please indicate by X)
rD
( )Wood Frame ( ) Masonry ( )Steel ( ) a
0
7. PLANS and Specifications
0
No. 66 sq ft Alteration to dwelling as per plot plan, specifications and
application; repairs to porch foundation. a
8. Proposed Use
Porch
4.00 91
PERMIT FEE PAID —THIS PERMIT EXPIRES October 11 19 n
(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.) rn
0)
llth Dayof October 19 90
Dated at the Town of Queensbury this
(/1
SIGNED BY �_ ' „-6.0 _) for the Town of Queensbury 0
Building and Zoning I spector a
CD
CD
t.C2
FEE PAID 14
„• -----<-_ APPLICATION FOR
, - ESTIMATED VALUE /g-,' -,-&vj ' PORCHES - DECKS .OF CONSTRUCTION$ boo-
DOCKS & BOATHOUSES
A PERMIT .MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. fANSWERr>;;A�IjLr QU2EN BURY
OF THE FOLLOWING: ,;.ilCIFIVPD •
The undersigned hereby applies for a Building Permit to do the following work which eviiii-
.. �990
be done in accordance with the description, plans and specifications submitted, and MY i
special conditions as may be indicated on the permit.
3•LDG. & CODE DEPT,
The Owner of this property is,: 6 I� e 1- Set r/?S S; o S
P.O.Address: //cc
ry��1 eal /v Gol,f 12 �r 7 liPeNS 41,-7 f'k,/ ••,, ' • 1 1-�y
Property Location: 5 —, /
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING
CODES: G`-ec' I-5 -e r fvs
Address: //4s 9'11 e A do c„. 4-o-zi-K R i / Q'ALA `it-V /i4riv Tel. 3---S >/ s
BUILD G SPECIFICATIONS:
Type of work to be done PorcFc Deck Dock Boathouse Circle one)
Size of structure to be but square footage) 6 6 .
Foundation Material Width /6, " Thickness ' i/ .1, / ,i/////),,,,,w,i(6
Depth of footing below grade • (60 ;o
Size of posts or studs x x Long cK/e-
DeckingSize of floor joist x x Span or flooring material
How will porch or deck be fastened to building?
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW:
Size of posts or studs x x Long
Roof Rafters x Spacing Span S
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: Iv
Size of property ft. x ft. 25, 6,�'``-vim/ Ay
Existing building(s) Size ft. x ft. i
GcrVIA-
Existing building(s) use U t/j ,JAllir
Proposed building, distance from property line. (✓t/110-.0 cl
Front yard ft. Rear yard ft. U
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.
•
. 2/j),i,fr6
SIGNATURE
Ow er, Owner's Agent, Architect, Contractor
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME SPL)..5
LOCATION 1 i 10)Ct>� 7r)O(Z
DATE /O �j ic71 PERMIT # Q D--b 1 7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PL BING
XFRAMING ) Z\1��-L, / . /'
ELECTRICA ROUGH-IN /
INSULATION: /
FOUNDATION /,,
FLOORS 1,
WALLS / •
CEILING ' I
FINAL INSPECTION: \
CHIMNEY HEIGHT
ROOFING ✓ '
SIDING / \
t
EXTERNAL PORCHES/STEPS ''3
STAIRS-CLEARANCE & RAI S
/
PLUMBING FIXTURES/REL EF VALVE\
INTERIOR TRIM/PRIVAC3 DOORS \,,
FINISHED FLOORS 91 ;
GARAGE FIREPROOFINGr
DOOR CLOSER(S) /
SMOKE DETECTORS +/
FINAL'ELECTRICAL I SPECTION
FINAL APPROVAL OF ONSTRUCTION
A SIGNED CERTIFI/CATE OF OCCUPANCY MUST BE '',
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES(ARE OCCUPIED!
REMARKS
)or= E0��; - SPLLc(,v(� 12I'nrt11--5
0 LC_L CA LL LP]L-L-,JJ Gat PL-1-6-
IN PECTOR
TOWN OF QUEENSBURY
531 BAY ROAD
4'M? QUEENSBURY, NEW YORK 12804
: 77 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIIVED
NAME kwile I- �l.Yl,rr4l/ i /4112
LOCATION II f 'Apints1./) /iZ l
DATE `?/g Jq/ PERI4IT# 9D-697
TYPE OF STRUCTURE {I,(J- n ( II-eq
RECHECK �CCv( 4t,o- td,
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A' YES NO
CHIMNEY HEIGHT/LOCATION r
B VENT/LOCATION
PLUMBING VENT I
ROOFING
SIDING i
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES ,1
FURNACE/HOT WATER OPERAT/ING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY/DOORS
FINISH FLOORS: f
BATH/KITCHEN WATERTIGHT .
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/FAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS'
BATHROOM FANS WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING '
GARAGE FIRE/PROOFING
DOOR CLOSER
OTHER FIRE/SEPARATION
FIRE/DEMISE WALLS
DUMPS TER /
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
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