1991-362 a,
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 4./A/i 2-() 19
This is to certify that work requested to be done as shown by Permit No. 91-3fi?
has been completed.
This structure may be occupied as a Porch
75 lontray Rd
Location
Owner Philip 72 Jean Birmingham
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
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BUILDING PERMIT
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TOWN OF QUEENSBURY ,
No. 91-362 0,
WARREN COUNTY, NEW YORK ,s,
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PERMISSION is hereby granted to Philip & Jean Birmingham 02
OWNER of property located at 75 Montray Road Street, Road or Ave. g,
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in the Town of Queensbury,To Construct or place a Porch a
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at the above location in accordance to application together with plot plans and other information hereto filed and 9
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is "''
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Same
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2. CONTRACTOR or BUILDER'S Name Z
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Joseph Hale r+
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3. CONTRACTOR or BUILDER'S Address 70
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7 Washburn St
S. Glens Falls -
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4. ARCHITECT'S Name m
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) '
( )(Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
No. 140 sq ft Porch as per plot plan specifications and application
8. Proposed Use
Porch
$ 16_00 PERMIT.FEE PAID —THIS PERMIT EXPIRES May 30, 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. 30th , Dpof May 19 91
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SIGNED BY \Lt✓2-0,-, ' i for the Town of Queensbury
Building and Zjolning Inspector
TOWN OF QUEENSBURY
TOWN OF QUEENSBURY r,Fr;�1vEri Fee Paid �
BUILDING & CODES DEPARTMENT
APPLICATION FOR: PORCHES-DECKS- Permit #
DOCKS & BOATHOI t'1t 2 91991 Est. Cost,6. efra
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTOPFOAOPE#AWKNSWER 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: Pi-11 LJT P T FAN RIR\vlT/J&l4A�t
P.O. Address 75.. Montray Rd. Phone # 4_518) 792-5390
Property Location Queensbury NY. 12804 Tax Map #
Subdivision Name (If applicable) Twickwood
PERSON RESPONSIBLE FOR SUPERVISION. OF WORK AS REGARDS TO BUILDING CODES:
Name: Joseph L. Hale Address7 Washburn St. S. Glens Phone# 798'1780
Falls
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathhuse (Circle one)
Size of Structure to be built (square footage) : 140 ft.
Foundation Material : Width 8" Di a. Thickness 36"
Depth of Footing, below grade: 48"
Size of Posts or Studs: 4" x 4" x 8t Long
Size of Floor Joists: 2" x 8" x 10' Span PT.
Decking or Flooring Material : 111x4" PT.
How will Porch or Deck be fastened to building? Lagged
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: 4" x 4" x 10' Long
Roof Rafters: 2" x 4" Spacingl6" OC. Span 10''
Roof Trusses (pre-engineered spacing) : N/A Span
Type of Roof: Sloped _ Flat Shed Other (Circle one)
Material of Roof: #15 Roof Felt & Fiberglass Shingles.
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: 9 ft. x AR) ft.
Existing building(s) : Size , ft. x 7$ ft.
Size ft. x ft.
Use of Existing building(s) : Family Dwelling.
Proposed structure, distance from property line:
Front yard ft. Rear yard 4/O ft.
Side yards /6, ft. and JC, 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 y the
owner.
DATE:
S. ;9 FJ SIGNATURE ./
Own-r, 0 er s Age , Arc ' e t, Contractor
APPROVED BY CODE ENFORCEMENT OFFICER DATE / SIGNATUR
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 �� ,i�ZZ�Y
LOCATION d)01 �4/40ei gifel
DATE, 971p/9/ PERMIT # 9! c3b2-'
TYPE OF STRUCTURE %Pa: '
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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 THEi CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE /
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE i'
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL /
ROUGH PLUMBING `
PLUMBING VENT/VENTS IN:, PLACE i
PLUMBING UNDER SLAB s, /
FRAMING: /
JACK STUDS/HEADERS
BRACING/BRIDGING /
JOIST HANGERS ,r
JACK POSTS/MAIN BEAM/
FIRESTOPPING
WALLS s
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION: /
FOUNDATION W CLS INTERIOR R-
FOUNDATION W LLS EXTERIOR R- \
FLOORS R- \
WALLS / R- '\
CEILING / R-
DUCT WOR OR PIPING IN UNHEATED y
SPACES \
REMARKS:
ARRIVE
DEPART
INS ECTO
TOWN OF QUEEIISBURY A
' 531 BAY ROAD
• .=j, .' QUEENSBURY, NEW YORK 128 4
TELEPHONE -(518) 792-5832
BUILDING INSPECTOR'S REPORT
C-EIBAZNSPECTIOR
REQUEST FOR INSPECTION RECEIVED
NAMEñL/I/,2 4iai'
/,
LOCATION 5- Gj/at ,�"
DATE ���/43/7 • PER MIT, 9/ ;R;4-
TYPE OF STRUCTURE CV
RECHECK
FJRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
OOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUTMBING FINAL ELECTRICAL_SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS
/ APPROVAL
/ N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION \ f
PLUMBING VENT \\
- ROOFING -
SIDING
DECK/PORCH/STEPS/RAILINGS,'
RELIEF VALVES ;t
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: F` 1
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED 1
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 _5/:4 -
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832 '
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIONS RECEIVED/
NAME {Acp _J Q P!Pity 4.{fr,n7t.1Y1 7IUFF41t}
LOCATION U
DATE 0 J'CJ( PERMIT I f/— (O2_
TYPE OF STRUCTURE AYC.(►A ,
RECHECK APPROVED
N/A YES NO
YFOOTINGS/PIERS
i'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/WALLiPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPR:OOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB.
FRAMING: ?,
JACK STUDS/HEADERS \, ,
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING w,
FIREWALLS
HEATING ROUGH-.IN
INSULATION:
FOUNDATION'WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS • R-
WA LL S R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
. SPACES
REMARKS:
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ARRIVE ! 0
DEPART /1/ '� .�'�. �t� -�'�.
v !" -INSPE�CTORt
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PLOT PLAN
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TOWN OF QUEENSBURY
Ic RECEIVED
MAY 2 9 1991
BLDG. & CODE DEPT.
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