1991-370 CERTIFICATE: OF . COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
r Date ail., 30 l9 G
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21 .! .
91-370
This is to certify that work requested to be done as shown by Permit No.
has been completed.
deck
This structure may be occupied as a
—Location Old B�"e5�: N®e�et�ti Rd
Deanna Col egro'ce
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
.
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-370
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Deanna Colegrove Co
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OWNER of property located at Old West Mtn Rd Street, Road or Ave. w
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.
1. OWNER'S Address is
RR5 Box 295
Queensbury NY 12804
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2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
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( XWood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications
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No. 384 sq ft Deck (replace original ) as per plot plan, specification
and application
8. Proposed Use
Deck
$ 32.00 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 Day May 19 91
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SIGNED BY for the Town of Queensbury
Building and Zoni g'Inspector
TOWN OF QUEENJSBUP Fee Paid TOWN OF QUEENSBURY Y' Er
w BUILDING & CODES DEPARTMENT Permit # q/-37
APPLICATION FOR: PORCHES-DEC y
DOCKS & BOA US 9 1991 Est. Cost/4M
11Q0 cal A PERMIT MUST BE OBTAINED BEFORE BEGINNING CON�STRUC uri;--r 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,( y a, ' l l _ e J ()kip,
P.O. Address qps Nn( 2Q5 ()k)ezrE,mbo-oi New �orV Phone # 74
+ 1 Tax Map # B5 I - 3.
Property Location G`d �les� MhUYIT(l,i(1 ��
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: -
Address Q'15 (3oK 2gci C &b�P ti . Phone# 7Q3.4o't4
Name: �e.arr,a. ��Pr��rc�J•2� � � y
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : 3 V1
Foundation Material : Width Thickness
Depth of Footing, below grade:
Size of Posts or Studs: x A x Long
Size of Floor Joists: Z x g x Span
Decking or Flooring Material : 5I' x Lo
How will Porch or Deck be fastened to building?
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: 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.
DATE: L4S1A1 Z(301 )qq ) SIGNATURE /JIa„r,,,,n , } (214 JLba-)
' Owner, Owner s Agenc ,Archit��ecc�t, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE / ,qj SIGNATUR�/14(fR
TOW! Of QUEENSBURY
531 BAY ROAD
%,ittArez QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEE}IVEDD
NAPE / jyc
LOCATION odd 7U /1
DATE 1/2/4/W PERMIT#
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VA RIANCE REQUIREMENTS YES _ NO
REMARKS \
\ I
- APPROVAL/
N/A YES NO
CHIMNEY HEIGHT/LOCATION 1
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/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:
ZOr
ARRIVE,/
DEPART 7 -;
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 / t 1,14 gzoihav-
,
LOCATION Gl/ /117 ' �
DATE ��I PERMIT S q/-5,/
TYPE OF STRUCTURE
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
JOIST HANGERS
JACK POSTS/MAIN BEAM
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:
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71
ARRIVE
DEPART ' '
SPEC TO
�A� �91gg1
�X I origit
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TOWN OF QUEENSBUR\
MAY 29 1991
BLDG. 6. 000E DEPT.
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TIAN OF (-AL) -061-6 ofi
Zoning Admi i re Of
Date -
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