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1991-281 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK bate December 19, iso 91 This is to certify that work requested to be done as shown by Permit No. 91-281 has been completed. Alteration -To Welling This structure may be occupied as a Location Lydon Rd, Rai ing Ridge Owner Gerald & Evelyine Mattice By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT N TOWN OF QUEENSBURY , x No. 9i_281 a WARREN COUNTY, NEW YORK v in PERMISSION is hereby granted to Gerald & Evelynne Mattice cn OWNER of property located at Rolling Ridge Street, Road or Ave. ro 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 c-f approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n' CD 1. OWNER'S Address is Same `"I' 0 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 144 sq ft Alteration to dwelling as per plot plan specifications and application 8. Proposed Use Screen in Existing Porch and Extend Roof line $ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 9, 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 9th Day of May 19 91 SIGNED BY 1c,'�i v` for the Town of Queensbury Building and Zoning Inspectors&% 1n41,1 OF 0.1RES," ? 'r>,_°.' I ° tij, t,,; n r`' '„`' 1 `"� , Fee Paid , U 1‘101111194 TOWN OF QUEENSBURY �, � � � � '", b � :_ ' '' BUILDING & CODES DEPARTMENT:r;,: . _ _ ,,' ' Permit # /— c L APPLICATION FOR: DOCKS & BOAfHOISES Est. Cost F-�& ING e 1 CODE V,_.�. 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: ( / �. P /F / C7e L y�/�/' ,L - , ), 971? P.O. Address /el�/ /�/t ,-3.s� ly,v 2 y � (Pu f'�iV5(2v4X Phone # 7(s- e0� z i Property Location 7 (it/6_. �_ Z7'cr , ,C,C Tax Map # Subdivision Name (If applicable) PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: Name: 25,/9/ry57- Address Phone# BUILDING SPECIFICATIONS: - Type of work to be done:= Porc. Deck Dock Boat ouse (Circle one) Size of Structure to be built (square footage) : /V G`x/s?`l/ec Foundation Material : Width Thicknel Depth of Footing, below grade: 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? , r- S ,Z 6-"CiV i;t z'2(/S,�i n%G �.,er ii� eX E r' . �d��/� If Roof Will Be Installed, Answer Following Questions: Size of Posts or Studs: x 1./ r x r Long Roof Rafters: 2`' x 5" Spacing /(o Span /6 Roof Trusses (pre-engineered spacing) : Span Type of Roof: Slope Flat Shed Other (Circle one) Material of Roof: ytA- //i-:t P/.y `V/ Am/c/ZgA .5-4/(Vok--- 40WING 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: ft. x 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. 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 pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. jj DATE: 7/ 712)7f ; , SIGNATURE� O�iivv er, Owner' s Agenc , Archi t ct, Contractor APPROVED BY CODE ENFORCEMENT OFFICER, DATE �/Q`/`�:i SIGNATURE J �' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME . £L/Qi'z�liYlP� �" //�� LOCATION 4p7(414 7 4i, /iatrii f DATE j /AA l qj PERMIT # qi-2 e 1 TYPE OF STRUCTURE (ALL(, fU du)(&64AvirN y 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 0 ITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE / FOUNDATION/DAMPROOFING BACKFILL APPROVAL . ROUGH PLUMBING ,7 PLUMBING VENT/V„ENTS IN LACE PLUMBING UNDR'SLAB )(FRAMING: L5 7/q1 j ll Lce JACK TUDS/HEADERS BRAG NG/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEPyM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: y- L L v1cA E111-0-t 4 C ' rbt,t ( t.f�� Sri r c'c l/, - ARRIVE ,1#///j?" DEPART /7/ INS PECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT 51/0/01 REQUEST FOR INSPECTION RECEIVED NAMEIti`e- LOCATION J-4-orJOh 92c) ) Y.cdlot (,J DATE 70/q/ PERMIT # 91 — c: TYPE OF STRUCTURE A 4-eivc�.-h"ey. -� ( /R t RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE' FOR PROVIDING PROTECTION FROII FREEZING FOR 48 HOURS FOLLOWING 1� THE PLACEMENT OF THE CONCRETE. / MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE f FOUNDATION/DAMPROOFING ,!' / BACKFILL APPROVAL I / ROUGH PLUMBING / PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB - X FRAMING: k / t/ JACK STUDS/HEADERS BRACING/BRIDGING nT JOIST HANGERS JACK POSTS/MAIN BEAM .' 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