1992-182 CERTIFICA.TE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date july 13 19 _92_
This is to ,certify that work requested to be done as shown by Permit No . 92- 182 _
has been completed .
k This structure may be used as a deck
Location Marigold Drive
Owner Paul B . Dusek & Kathleen R . Dusek
By Order of Town Board
TOWN OF QUEENSBURY
f Director of Builds g & Code Enforcement
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BUILDING PERMIT �-
TOWN OF QUEENSBURY Na. 92- 182 N
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Paul 8 . A Kathleen R. Dusek �
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OWNER of property located at 42 Mari Spl d Drive Street, Road or Ave.
in the Town of Oueensbury, To Construct or place a Deck
at the above location in accordance to application together with plot plans and other information hereto filed and v
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. CA
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1. OWNER'S Address is V
MW
Sane
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2_ CONTRACTOR or BUI LDER'S Name iR
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Paul Dusek S John Tougas
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3- CONTRACTOR or BUILDER'S Address
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4_ ARCHITECT'S Name
J.
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S. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X)
IX ) Wood Frame I ) Masonry l l Steel ( I
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7. PLANS and Specifications
No. 181 sq ft Deck as per plot plan specifications and application
8. Proposed Use
Deck
$ 16 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 24s 19 93
{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 j
Dated at the Town of Queensshh-u�ry._this 2�4
th Day of April 1g 92
SIGNED BY �^ .]r_ t�+,Ve rL" �,•+ c.� for the Town of Queensbury
Building and Zoning I nspaoD*,-
E Y r /" Fee Paid do
TOWN OF QU EMSBEIR f
BUILDING A CODES DEPAR714ENT Permit #
APPLICATION FOR : PORCHES- DECKS-
et DOCKS & BOATHOUSES Est . Cost 1100 —
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTittMTI(X. QUff"SBU"SWER ALL OF THE FOLLOWING :
r-CIV ED
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description , plans and g 'Qc=ns submitted , and such special
conditions as may be indicated on the permit . TWO 0 CTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION .
BLDG_ S CODE DEPT.
Owner of Property : r3u 4
P . O . Address Ile, I z F Phone # -7 ) -e
Property Location d6 Tax Map # / f ~ J - 53• Y/
Subdivision Name ( If applicable ) L7 � � -
v—
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODS :
Q Address )0 1 �pL- � y 'Name : /) G� 4 !� �" 3 �'•'d-' , Y' ..1 A �n ,•7 1 c.:+�..a5� �S - — .'s n K �{`7� 1/u .34:..� ,�-R as P hCkTl e� Ir �•"�
BUILDING SPECIFICATIONS :
4x� J. Kx � ;7� T1 -� 6G 4t,"/ Rh : 1;. � 5
Type of work to be done : Porch Deck l Dock Boathouse ( Circle one )
Size of Structure to be built ( square footage ) : rz n lc., D� A. 3 " 6 ">e
Foundation Material : Width FG7 15 `" x r' Thickness jolIle
Depth of Footing , below grade : �f�
Size of 'Posts or Studs : '' x x - Long
Size of Floor Joists : x (. x Span
Decking or Flooring Material :
How will Porch or Deck be fastened to building ?
w + slot C ..:CL t;� -TZl ' A
If Roof Will Be Installed , Answer Following Questions : ,ru .+rr
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 )
Material of Roof :
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 . Show location of water supply and
location and configuration of septic disposal area .
Size of Property : /0C' ft . x ft .
Existing building ( s ) : Size -;s' ft . x C ft . W°org-'2
Size .AL� ft x ftr
Use of Existing building ( s ) : �s
Proposed structure , distance from propert linef
Front yard ft , xv/d,wK Rear yard ft /�vo.
Side yards �2 ft . and ft .,Vr, '4 -
If on corner , setback from s e street : 'r7l#4- 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 ail 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
shaI i be comp ied wi th , whether spec f ied- or ntst, and that- is authorized by the
owner .
DATE : z z 5> SIGNATU
caner , wner s Agerrfcy , Architect * ontractor
REVIEWED BY CODE ENFORCEMENT OFFICER , DATE SIGNA7 RE
TONK OF QUEENSBURY '
531 BAY ROAD
QUEEHSBURY , NEW YORK 12804
TELEPHONE ( 518) 745-4447
BUILDING INSPECTOR ' S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME r�
LOCATION Ad�
DATE 71'fPERMIT# `�1', / �"
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL ( COMMERICIAL STRUCTURE )
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL'" SEPTIC
INSULATION WOODSTOVE/FIREPLACEr
REMARKS I1
APPROVAL
CHIMNEY HEIGHT/LOCATION N/A YES NO
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/ NGS
RELIEF VALVES
INTERIORFURNACE/HOT Wr �EAPERAT
TRIMAPRR ACY DOING
FINISH
ORS_'
d
BATH/KITCHEN ATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
f
STAIR CLEA CE/RAILINGS
SMOKE DETECTORS k
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPER ING
GARAGE FIRE PROOFING
DOOR CLOSERS W
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR /
COMMENTS :
tire '
ic
cr
rjS.E ,c1� / dot ARRIVE
DEPART DEPART %-"X? 4
INSYECTOR
~ M fll-T0U % 0454 *IN OF QUEENSBURY ,�^�
531 BAY ROAD ' Ty7�.ti
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 745- 4447 � y
TORS REPORT 1 .
FINAL I SP�rT
REQUEST F IRS
SPECTION RE IVEO 9 a
NAME IL
LOCATION
DATE PERMIT# =1
TYPE 0 5 UCTURE �`XLr^
RECHECK
-FIRE MARSHAL APPRAL { COMM CIAL STRUCTURE }
_FOOTING FOUNDATI N BA FILL _FRAMING
ROUGH PLUMBING INAL E CTRICAL SEPTIC
`INSULATION _WOUDSTOVE/F REPLACE
REMARKS
I
APPROVAL
N/A YES NO
CHIMNEY WEIGHT/LOCAT`I
B VENT/LOCATION_� r
PLUMBING VENT
ROOFING
SIDING 1p
DECK/P H/STEPS/ I' INGS
RELIEF VALVES
FURNACE/HOT WA OPTING
BASEMENT INSULA ION/ _ UCTWORK
INTERIOR TRIM/ IVACY 'DOORS
FINISH FLOORS
BATH/KITCH WATERT [GHT
OTHER FLO S SWEEPAI3LE
OTHER FLO RS CARPETED
STAIR CLEA ANCE/RAILI40S
HANDICAPP D ACCESS
SMOKE DE CTORS
BATH400 FANS/WN LEH U E NS
ALL PL BING FIXTURES OPERATING.
GARAG FIRE PROOFING
DOOR OSERS
OTHE FIRE SEPA A ION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR /
COMMENTS *
ARRIVE
DEPART- J
INSPECTOR
TOWN OF QUEENSBURY
531 BAY ROAD
+QUEENSBURY , NEW YORK 12804
TELEPHONE ( 5I8 ) 745- 4447
BUILDING INSPECTOR ' S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME D c ,►
LOCATION AZ2 Aoi- op
DATE PERMIT#
TYPE OF STRUCTURE ? fC_
RECHECK
FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE )
'FOOTING FOUNDATION BACKFILL FRAMING
—ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WO515STOVE /FIREPLACE
REMARKS
APPROVAL T
CHIMNEY HEIGHT/LOCH TJ ON�
B VENT/ LOCATION
PLUMBING VENT
ROOFING —
SIDING - --
DECK/PORCH/ STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERA I G
BASEMENT INSULATION/DU WORK_
INTERIOR TRIM/ PRIVACY POORS
FINISH FLOORS :
BATH/ KITCHEN WATER GMT
OTHER FLOORS SWEEP BLE =
OTHER FLOORS CARP ED �-
STAIR CLEARANCE/RAI . INGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOL HOUSE FANS
ALL PLUMBING FIX"fU ES OPERATING
GARAGE FIRE PROOFING
YES
DOOR CLOSERS T N
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLANL
ANCE REQUIREMENTS
FINAL ELEAL
OK TO ISSO OR C/C
cQMMENTS v�5 ff't {l+..i'(n r F3,
ARRIVE :
DEPART_ 7 P r:'50 `
INSF
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BL.DG, ,& CODE DEFT
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# �v OF QUEEMSBU4
RECEIVED
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1:4 B'DG, CODE DEPT,
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