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CERTIFICATE OF COMPLIANCE .
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.„ . TOWN OF QUEENSBURY ••
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. . WARREN COUNTY, NEW YORK .•
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. • Date de..1-0 gd 19. 9/
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91-268 .. .. .
• This is to certify that work requested to be done as shown by Permit No. ,
has been completed. . . .
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This structure may be occupied as a Deck
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location 4 Barber Avenue
Owner H. Roger & Ann D. Edwards .
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By Order Town Board
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. . . TOWN OF QUEENSBURY
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., . Director of Bldg. & Code Enforcement.
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BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-268
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to H. Roger & Ann D. Edwards
tri
OWNER of property located at 4 Barber Avenue Street, Road or Ave. •r�
in the Town of Queensbury,To Construct or place a Deck
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. 0.1
0.
1. OWNER'S Address is N
Same
to
ro
-s
2. CONTRACTOR or BUILDER'S Name
Same
a
3. CONTRACTOR or BUILDER'S Address
fD
4. ARCHITECT'S Name
fD
f'f
7.
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No. 288 sq ft Deck as per plot plan specifications and application
8. Proposed Use
Deck
$ 24.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May S, 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 8th Day of , May 19 91
SIGNED BY ? for the Town of Queensbury
Building and Zoning In ctor
S 1OQ ` V 60
V u
.`i'� TOWN 0 - ENS URY � '���� � �' 4r`�,;Fee Paid API, �
� � BUILDING & CODES DEPARTMENT f_ . 1iAY 0 '9 �r-? permi t # / —.2(0eS?
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOAATHQUSESp r:0m FI pT.Est. Cost,#)f�)O O
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.
Owner of Property: /fRp Arc Aivi ,D. 25V0,49/-( '
P.O. Address j9 rher-- j/ f c�/C��tS/US )1//, 12?tY -4b0/ Phone #(,�/0 M/579,
Property Location Sa Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: ____ r �Y�Grrart✓ Address a/747kt- Avip Phone#7W, 0/
-BUILDING SPECIFICATIONS:
'Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) )N,14/( r9-E F
Foundation Material : Width //4.�',gj7 , Thickness 3� !� (/- 0/20" /",
Depth of Footing, below grade: ,c-'
Size of Posts or Studs: x x Long
Size of Floor Joists: x x Span
.3 Decking or Flooring Material : 7f 2 Svie —Tie AV/
How will Porch or Deck be fastened to building? MD/—
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: /,17, y} ft. x ca. ft.
Existing building(s) : Size (, ft. x &,( ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Re•r .rd ,a A6' ft.
Side-,yards ali' ft. and ft.
If on corner, setback from si :eI¢ treet: 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.
c� p��
DATE: f SIGNATURE 'o'. X ` 'dd�
errs A e ArchContractor
Owner, 0 e g ncy, itect,
APPROVED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
/a1 - 7 - V
// - z- 6.
-TOWN OF QUEENSBURY
531 BAY ROAD
4p QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
44' BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED NAME %a- e a- ,v-el
LOCATION of "- de,
DATE 4 / PERI4IT#
TYPE OF STRUCTURE
RECHECKiv
FIRE MARSHAL APPROVAL ()COMMERCIAL STRUCTURE)
--FOOTING FOUNDATION I BACKFILL FRAMING
_ROUGH PLUMBING _FINAL ELECTRICAL SEPTIC
INSULATION WOOOSTO\E/FIREPLACE _
REMARKS •t
APPROVAL
/A YES NO
CHIMNEY HEIGHT/LOCATIO
B VENT/LOCATION
PLUMBING VENT /
ROOFING
SIDING
DECK/PORCH/STEPS/RAILNG
RELIEF VALVES
FURNACE/HOT WATER OPE' ING
BASEMENT INSULATION/D' TWORK
INTERIOR TRIM/PRIVAC DOORS
FINISH FLOORS:
BATH/KITCHEN WAIT
OTHER FLOORS SWPA LE
OTHER FLOORS'C; PET .D
STAIR CLEARANCE RAILIGS
HANDICAPPED ACCESS
SMOKE DETECTO'S I
BATHROOM FAN`"%WHOLEHOUS E FANS
ALL PLUMBIN . FIXTURES R!PERATING
GARAGE FIR'` PROOFING
DOOR CLOS 'S
OTHER FI' - SEPARATION I;
FIRE/DEM'SE WALLS
DUMPSTE'
SITE P AN/VARIANCE REQU REMENTS
FINAL LECTRICAL C;
OK TO ISSUE C/O OR C/C \,
COMMENTS:
4i- coveedd I Ia
cCo J-e-
ARRIVE
DEPART
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