1991-232 {
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CERTIFICATE OF COMPLIANCE
,TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK -
•
Date 1).�/" eed 7119 Ze/
This is to certify that work requested to be done as shown by Permit No. `g1. 37
has been completed.
This structure may be occupied as a Dsck
location Lot #10 !orthwi nds
Owner John Pagano
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
4 BUILDING PERMIT c.'
TOWN OF QUEENSBURY
No. 91-232
WARREN COUNTY, NEW YORK c
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PERMISSION is hereby granted to John Pagano �+
OWNER of property located at Lot #10 Northwinds Street, Road or Ave.
0
in the Town of Queensbury,To Construct or place a Deck -s
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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.
a
1. OWNER'S Address is
C7
Northwinds Mobile Home Park
Luzerne Rd
Queensbury, FLY 12804
2. CONTRACTOR or BUILDER'S Name
x
3. CONTRACTOR or BUILDER'S Address
C)
0
W
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( X Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
No. 192 sq ft Deck as per plot plan specifications and application
8. Proposed Use
Deck
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 26, 19 92
(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 26th Day of April 19 91
SIGNED BY `\cUU-t— / Cj for the Town of Queensbury
Building and Zoning Inspector
a
TOWN OF QUEENSBURY Fee Paid /�l
BUILDING & CODES DEPARTMENT Permit # �I/-o�Jg
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost
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
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
N. 0)-\, (1 R-ON-C-Vv\-e-)
Owner of Property: NJ€ tkw I ELS
P.O. Address /6 /(/DQ //4/ aPvr*�-.(aG zy i ' Phone #
Property Location ,L.Q f l 0 Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch - Dock Boathouse (Circle
one)
Size of Structure to be built (square ootage) : /9.2 Ty&OO
Foundation Material : Width Ject i'I, / hsThi ckness
Depth of Footing, below grade: k dfj5i-scAt,c
Size of Posts or Studs: 4/ x 474 x $ Long
Size of Floor Joists: vZ. x 25 x /02. Span
Decking or Flooring Material :
How will Porch or Deck be fastened to building? kApi/
If Roof Will Be Installed, Answer Following Questions:
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: 6.5 ft. x /0-0 ft.
Existing building(s) : Size a,$ ft. x 60 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 pe - ainin. o the proposed work
shall be complied with, whether specified or not and that such work is authorized by the
owner.
DATE: y/43//// SIGNATUREer, Owner's Ag e A hitect, Contractor `I
APPROVED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
TOWN OF QUEENSBURY 1/24 4
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
- TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 947AAJ
elq r i/J4t
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LOCATION , /0 GC..(„& ce..y
DATE 9,�I* PERMIT #
TYPE OF STRUCTURE 4A0,/L
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
. THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE,$ON SITE I
FOUNDATION/WALL POUR ;fi
REINFORCEMENT IN PLACE !r /
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB �•/
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS /
JACK POSTS/MAIN BEAM II
FIRES TOPPING
WALLS
CEILING / 4,
FIREWALLS /
HEATING ROUGH-IN /
INSULATION: / {�
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS V R-
WALLS ? R-
CEILING � R-
DUCT WORK OR P PING IN UJHEATED
SPACES
REMARKS:
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TOWN OF QUEENSBUIY BUILDING DEPARTMENT `� V "' y `�'�"� '' '
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Based wr cur limited namio, K B L i , G a
compliance with Mir \ j/k , PT®
pleas sod specificationsREVIEWED pact be construed is berating the r Jr
=Pima with thr cult DATE i, ' ' 5 ' /.'-''''''''4'
FILE COPY
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