1991-503 ,..--
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CERTIFICATE OF COMPLIANCE
TOWN OF. QUEENSBURY
WARREN COUNTY, NEW YORK
Date 7,fweintii-a 719 I/
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This is to certify that work requested to be done as shown by Permit No. 91-503
has been completed.
Deck
This structure may be occupied as a
4 Lupine Lane
Location
Owner George M. VanGarderen
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-503 I."
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to George W. VanGArderen "t
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OWNER of property located at 4 Lupine Lane 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. w
1. OWNER'S Address is P
Same O.
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2. CONTRACTOR or BUILDER'S Name ,n
Same fD
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3. CONTRACTOR or BUILDER'S Address "'
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4. ARCHITECT'S Name ro.
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5. ARCHITECT'S Address CD
6. TYPE of Construction— (Please indicate by X) fD
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(A)Wood Frame ( ) Masonry ( ) Steel ( ) 1
7. PLANS and Specifications
No. 192 sq ft Deck as per plot plan specifications and application
8. Proposed Use
Deck
\` $ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 15, 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 15th Day of July 19 91
SIGNED BY � (..� '—� i� )
9for the Town of Queensbury
Building and ZoningIn' ctor�
401110k OD
TOWN OF QUEENSBURY Fee Paid !6,
E BUILDING & CODES DEPARTMENT Permit # -
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost 00,
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: 647757-
G't,'� ���4A-9�C��42�//,P.O. Address t( �1C' L/�/i!G— Phone # I1
Property Location 9 L 9f441 il✓e Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: 62, k 014/ogila_d16,7.?&V Address Cr Zo Phone# 5/ -E Z
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : /2Z
Foundation Material : Width Thickness TOWN OF
Depth of Footing, below grade: rtl:ragT "f Ir �,,,°,,
Size of Posts or Studs: x t' x Long 1,4
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Size of Floor Joists: 2 .x x - 'Y s Span JUL 121991
Decking or Flooring Material : -�c�)�G ,/ Q O ILDING & CODE DEPT.
How will Porch or Deck be fastened tdr 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. rJ
Size of Property: /ob ft. x of ft.
Existing building(s): Size Z ,L ft. x Srft.
Size ( ft. x ft.
Use of Existing building(s) : ,Q ,,d „/c
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: SIGNATURE /6 �f ��/ / ,7
piny/Owner's Agency /Archi t ct/ O tractor
APPROVED BY CODE ENFORCEMENT OFFICER, DATE L SIGNATURE // /1/6 -
I U 6
SO,C1\
, y TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
. BUILDING INSPECTOR°S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTIO6N RECEIVED /p 'j •
NAME Val) r-d e.,10 l nC Ca
LOCATION ii )-A)0 e_ oLarr\-Q----1
DATE 9/93/qI _PERj"4ITP It_ '—
TYPE OF STRUCTURE VDOic
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL ST�UCTURE)
_FOOTING FOUNDATION BACKFILL ✓FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
_INSULATION WOODSTOVE/FIREPLACE
.r
REMARKS
`%
)1 APPROVAL
i N/Ai YES NO
CHIMNEY HEIGHT/LOCATION I
B VENT/LOCATION
PLUMBING VENT 1
ROOFING "-"
SIDING /
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES x --
FURNACE/HOT WATER OPERATTING `,
BASEMENT INSULATION/DUCTWORK'.
INTERIOR TRIM/PRIVACYd&00RS L
FINISH FLOORS: I
BATH/KITCHEN WATERT7IGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPE1ED \
STAIR CLEARANCE/RAILINGS a
HANDICAPPED ACCESS 1
SMOKE DETECTORS N,
BATHROOM FANS/WHOL HOUSE FANS
ALL PLUMBING FIXTU ES OPERATING
GARAGE FIRE PROOFI G '
DOOR CLOSERS
OTHER FIRE SEPARAT ON .
FIRE/DEMISE WALLS
DUMPSTER 1
SITE PLAN/VARIANCE` REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE a g5 .
DEPART_ .15'
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1/4.-Kt? BUILDING
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 fir?
LOCATION 4 Z/ IA'zE
DATE 9/ 1 f PERMIT
TYPE OF STRUCTURE eek ,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FQRM�,
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESNSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONFSRETE.
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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DEPART "Al/
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THIS PLAN TO BE ON
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PROJECT SITE AT
ALL TIMES FOR
THE DURATION OF I"°'R #
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TOWN OF QUEENSBURY KONG DEPARIMENT
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Based on our Nmited exanintleir, z (,) Y fil(r/ 1--l00.5
complismm with our comments ski .16( \Z1 k
not be construed as lutliceengthe c'
plans and specificstions are in full
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lance.with the code.
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BUILD I ING COD' Air4;1 1.1‘s. JUL 121991
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REVIEWED BY BUILDING & CODE DEPT.
DATE ) it /el
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0 a TOWN OF QUEFNW }i=;Zoning Ad listrator 0 ggrAn-rt
Date\..-% 7✓ JUL 121991
BUILDING & CODE DEPT.
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