1991-314 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
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Date l /t i/A 19 q
This is to certify that work requested to be done as shown by Permit No. 91-314
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has been completed.
This structure may be occupied as a DECK
Location21 Lake View Drive
Owner Patty & Steve EtIttariverdi
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. dc Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-314
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Patty & Steve Myhrberg O1
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OWNER of property located at 21 Lake View Drive Street, Road or Ave.
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. D
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1. OWNER'S Address is
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Same
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120
2. CONTRACTOR or BUILDER'S Name
Same
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
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( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No 327 sq ft deck as per plot plan specifications and application
8. Proposed Use
Deck
$ 24.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 17, 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 17th Day of May 19 91
SIGNED BY \ , for the Town of Queensbury
Building and oning Inar
,_ TOWN OF QUEENSBURY Fee Pai d
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BUILDING & CODES DEPARTMENT Permit # (4I 3I
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost a
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: (70-j-} E.3Q- 3 r E 3 b e •—5
P.O. Address 2 9 L Q l( j Jt D� Phone # ')ys8 02
Property Location s ,�, UJ Tax Map #
Subdivision Name (If applicable) „ S '� d e �siq ie
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: cu £ 0-) 13
L,1_ b-e L-- 9 Address Phone#!)&1 82a 2
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Dec Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : 327 a OVVN OF QUEEfVSBIJRY
Foundation Material : Width 8 Thickness :2_ RECEIVED
Depth of Footing, below grade: D.p c k a Zao 4*r
Size of Posts or Studs: 9 x It x 3 Long MAY 161991
Size of Floor Joists: ,2 x 6 x ro t i 4 Span BLDG. & CODE DEPT.
Decking or Flooring Material : s7y
How will Porch or Deck be fastened to building?
_iv A L 1 A )-,evr) e— 1/4.1.. '1 1IN ►q. { _ r
If Roof Will Be Installed, Answer Following Questions:
Size of Pb s or Studs: x x Long
Roof Rafters: x Spactng Span
Roof Trusses(pr g-rne s acing) : 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: J2 �' ft. x JS�Q ft.
Existing building(s) : Size 10 ft. x Vo ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard re. ft. Rear yard 4/cj ft.
Side yards ft. and ft.
If on corner, setback from side street: 3 y 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.
DATE: --" lG r 4/ SIGNATURE
Owner, Owner s A , A hi ct Contractor
APPROVED BY CODE ENFORCEMENT OFFICER, DATE ���/" SIGNATUR
` TORN OF QUEEI4SBURY
531
QUEENSBURY,BAY NEWRYAD YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIONO � `�� /���
REQUEST FOR INSPECTION RECEIVED (/ 1NAME i41 Y ,Il17�V l S °f
LOCATION 2/ Ake tl,T%Lu _
DATE ri/3/ if 41 I PERMIT# C'1 ,�j p/
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FLREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS y`
/
% APPROVAL
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/' N/A YES INO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION _ _ ,/
PLUMBING VENT F`
ROOFING J. \
SIDING
DECK/PORCH/STERS'/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING`;
BASEMENT INSULATION/DUCTWORK,.
INTERIOR TRIM/PRIVACY DOORS \ _
FINISH FLOORS: \
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS_
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
')ARRIVE / /
DEPART I.�_7
TOWN OF QUEENSBURY 11 l
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 5 fj j-/9 l
Ml#1 ►'Y
LOCATION P dce, it I etti DY 1
DATE JL L3J / PERMIT # 9/ 3/
TYPE OF STRUCTURE ('.4/
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
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE.
PLUMBING UNDER SLAB ',
FRAMING: ';
JACK STUDS/HEADERS .
BRACING/BRIDGING 'a
JOIST HANGERS
JACK POSTS/MAIN BEAM \
HEATING ROUGH-IN \
INSULATION:
FOUNDATION WALLS INTERIOR /-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R\
WALLS / R
CEILING / R-
DUCT WORK OR PIPING IN/UNHEATED
SPACES
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REMARKS n I�
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Lo cfrr--i 0,1 S Tc-r-- 2 PLUS
SeiN,vs LJtL _ S6 jiSP6c-/—MJ
ARRIVE i/;
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DEPART f?;oo
INSPECTOR
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