1991-556 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Dated 19 %�Z
This is to certify that work requested to be done as shown by Permit No. 91-556
has been completed.
Screened In ,Parch
This structure may be occupied as a
Location 4 Michaels Drive
Owner Scott & Sheri She iy
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-556
WARREN COUNTY, NEW YORK -�
PERMISSION is hereby granted to Scott & Sheri Shevy
OWNER of property located at 4 Michaels Drive Street, Road or Ave. i
in the Town of Queensbury,To Construct or place a Screened In Porch
•
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
Same
2. CONTRACTOR or BUILDER'S Name
Robert J. Bentaare
3. CONTRACTOR or BUILDER'S Address
14 Thistlewood Drive
Queensbury, NY 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry ( I Steel ( )
7. PLANS and Specifications
No. 178 sq ft Screened In Porch as per plot plan specifications and
application
8. Proposed Use
Porch
$ 16_00 PERMIT.FEE PAID —THIS PERMIT EXPIRES August 5, 19 q7
(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 Day of ,, 19 91
7
SIGNED BY / ji'(J . U for the Town of Queensbury
Building and Zoning Inslector
T_ QUEENSBURYh OWN OF QUEENSI3° rl t TOWN OF RECEIVED Pie'
Paid (")
F � BUILDING & CODES DEPARTMENT Permit #
�` � APPLICATION FOR: PORCHES-DECKS- ®UG 2 qi - 5(0
DOCKS & BOATHOUSES' i991 Est. Cost/ 2 ) 6
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIIO®O. t. A` -E'EA M 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: c5c4-717 <5µ l 04E0(
P.O. Address q, {'l;c1+gt= _c ►2il74- , 01Jt_a seA)12y Phone # 17d —017
Property Location VE,s7"5 #o� 9 F /Y1IGH,1ELs12r 118. • Tax Map # Z/ - 7 -3 7
Subdivision Name (If applicable) -
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: -Rts3Ez-1-1-:B6Ab 1 Address (4 lTI T = JO0A v a Phone# 77i'i.3s/
BUILDING SPECIFICATIONS:
Type of work to be done: Porch ) Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : 10 crj1-.
Foundation Material : Width gib +ems- Thickness e /Vax,S7'"roan/149_5
Depth of Footing, below grade: 4'- 0 "
Size of Posts or Studs: 4 x 4 x F Long
Size of Floor Joists: 7 x (0 x 1e Span EtoritII(
Decking or Flooring Material : 1 x 4_ pa. o i i AT -b S\t-P
How will Porch or Deck be fastened to building? g yct.s1-IN bEcK.
/l-kk A,-3nI 47%7/C61k0 --re) 6 y�L� S 1f KOOF W/LL'0 AM/tio TO /1ousE
If Roof Will Be Installed, Answer Following Questions: �€49-111"'l 6
Size of Posts or Studs: (I- x x 3'' Long
Roof Rafters: Z. x (D Spacing / (o w Span /0
Roof Trusses (pre-engineered spacing): _________ Span
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof: 1Z L,P e hM rg4,SoR•P,C IC8. o✓ ., 4 GDK
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: /'/3' ft. x /F5. ft.
Existing building(s) : Size 2.4 ft. x 1f- ft.
Size 8 ft. x /6 ft.
Use of Existing building(s):—TES, p .a fsToPf466-
Proposed structure, distance from property line:
Front yard r7 ft. Rear yard _ 90 ft.
Side yards ,3D ft. and -7 3 ft.
If on corner, setback from side street: ,{/A- 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 n and that su h work is authorized by the
owner.
DATE: $/ / SIGNATURE J / '& -l-'6d .
'Owner, -Owne s Agency,,• .rch a ontractor
9 Y� e
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE /5fC(I SIGNATURE b,,/J
',,-" ' MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
�* National Headquarters .
--_,;-
..,�, 1337 West Chester Pike,West Chester, PA 19380
r'
•
APPLICANT COMPLETES THIS SECTION Date: `r/ /�r)
a/t
4-7
City, Town or Township t._l c)r_e-r�Iv c ,())2- County id 0t;-:.t:I L:: State /1 7
Location/Address - IN I f..1-1 XI c_tti..': ,i ) i i v.•- . j1`.t--- -.S/-)).E; 1,7- Ai ft(1 . ' ; it:.Et4_�1 :A1 )'
- (If Located in Rural Area-Please-Attach Directions) Pole # Ui4/eiwae/",-i1,,.„/A./r.19
Owner > ..4. '�' .-J,f-r',�,' 1 /j r V ii ' Permit # • ./ 'lr'..
Occupied As , `� i i�rv'>--, C c? Building: New❑ Old `
r u
•
Occupant ;:. - _ •
-_; ,--. K ,� •/�>: •( Work Area in Building (Floor #,etc.):
-App. for: Wiring 0 Service n or: Ready for Inspection:
Fee Remitted-$ Cash n Check n M.O. n Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets . Elect. Heat
Switches d
Lighting F • Amp. Service Surface Unit Dishwasher Range
- Water Heater Air Conditioner Dryer Pump
Receptacles
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
_ Amp. Receptacles Fractional H.P. Vent Fans . - . .
Other Equipment: -
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size--_ • - •,
-Applicant's &c --`'.6' v- ' i
__ c y: i : —
Signature
License # Permit #
T/A t 1; %; .
• utlllty: /V!i )� >1 <� i Urti;�s.vl.
Applicant's Address: I'-p 1i'-1'->/•(-" z`i�e=>t);� -' < =' i "' (NAME) (OFFICE LOCATION)
(City) i _+JS '0:�y (State) 1 (Zip) /1. °t11.� Service Request #
Phone # 7'7 Lc - l:i 45/ Electrician:, v 7"q d'h!-:. .
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above or:
Red Notice Label n
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner • Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
\ .
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE / CORRECT FEE PAID
N FEE
❑ RW Progress: Inc.❑ LKD❑ Contractor
❑ CFT Violation: Mork Comp.❑ Inc. 1 1 CASH n
n L/A Owner Fee
CHK #
❑ L/A • Due MO #
n IPA - Municipal
-. . INV #
Date: Other Side I I Utility ' ._ , -. Applicant ❑
Owner
•
Cut in Card n Temp # Date
' INSPECTORS SIGNATURE
n Final # ' - • Date
APPLICATION FORM NO.250 EL 11/89
ELECTRICAL INSPECTIONS
/ DUPLICATE MUNICIPAL RECORD
Permit No. 9 ��6�-� r
Owner S. • -£ /4- V $`
Occupant ((jj 1
Location -•T IQ/T1��� S .b11
(MetNo. (aa,�. r Street
Town or City '��f/L TV- State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by R. &/ 7J6ti Q/
Date 3 �� Z� orta,,,dr ctor
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER �—
vUX nTc— 1 re / WIRING &CONTROLS FOR •BURNER
3 RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W.DRYER
K.W.RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
MOTORS H.P. 1/20 1/12 I/10 % '/6 '/ 'h Y4 1 11/4 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
OWN 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 oJeAtf .-11_el.4 A-h 0.(17ie
LOCATION 4 IR,/,t!l,v h�!-c
DATE /4 12 id ) PERMIT # Q/-t55-L,
TYPE OF STRUCTURE AtpAtelt 6.2(i
rt.e.p_dt
RECHECK, r APPROVED
t o N/A YES NO
,(FOOTINGS/PIERS t, KJfg /I I/L
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
IcBACKFILL APPROVAL . lv rY��I�j VL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE i
PLUMBING UNDER SLAB /
?( FRAMING: AM -- 1 R qi 9.3 0!e_ �/
JACK STUDS/H E S
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:
v� C qD
ARRIVE
DEPART
NSPECTO
TOW? OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT pyz/61REQUEST FOUR NSPECTIO�al1 RECEIVED
NAME ` , 2 V 1 N-,, -
LOCATIONy fl 'c)&
DATE , ,_-_,)-/61 1 PERMIIT # 1 !`515-6
TYPE OF STRUCTURE c?6,<C,01
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 y /"
REINFORCEMENT IN PLACE f. .,
FOUNDATION/DAMPROOFING i r.
BACKFILL APPROVAL ,/
ROUGH PLUMBING I 1
PLUMBING VENT/VENTS IN PLACE / /
PLUMBING UNDER SLAB G'
*FRAMING: it 1i
JACK STUDS/HEADERS Il /
BRACING/BRIDGING I
JOIST HANGERS ;, I
JACK POSTS/MAIN BEAM ;} I
FIRESTOPPING ''y'
WALLS A
CEILING 11
FIREWALLS .I
HEATING ROUGH-IN I
INSULATION: / 1
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS XTERIQR R-
FLOORS ', R-
WALLS d R-
CEILING / i, R-
DUCT WORK ORTPING IN UNHEATED
SPACES ''.
/ ,
REMARKS: J
1 %
4��
4 )- ""ems 1- 661,1 , '����ee e, &e
ARRIVE//
DEPART 1 ,.fir/
GL"`�J
`� INSPECT
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
TELEPHONE (518)NEW 0R92-583K 4 2
BUILDING INSPECTOR'S REPORT
REQUEST FORINSPECTION RECEIVED
NAME ,G1{i-L/ (" kdAiki
LOCATION ` eliap14 A 0
DATE 8'f q/q/ PERMIT # 9/-J1`54
TYPE OF STRUCTURE ekei/'7/.6 , ofri,(
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
X BACKFILL APPROVAL
ROUGH PLUMBING ,
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDERIJSLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAINBEAM
FIRESTOPPING
WALLS
CEILING
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:
/117
ARRIVE )0;( /
DEPART /0; A---
V INSPECTOR
3
PrW N /Of'w\
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDIN6 INSPECTOR'S REPOR /
REQUEST FOR INSPECTION RECEIVED r p I
NAME ` )f r W4�S)1DA
LOCATION )4 \�1\ C JN
DATE PERMIT I QC I ---5, 56
TYPE 0 ST UCTURE ( J\Q�srt�e �C.Qr•�� JC �-�
RECHECK APPROVED
N/A E_S 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 $ITE
FOUNDATION/WALL POUR
REINFORCEMENT IN P OCE .r
FOUNDATION/DAMPROOFI,NG
BACKFILL APPROVAL t
ROUGH PLUMBING 4
PLUMBING VENT/VENTS IN ,PLACE
PLUMBING UNDER SLAB F -- -
-FRAMI-NG:
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-
WALLSr! R-
CEILLNG R'-
DUCT/WORK OR PIPING IN UNHEATED
SPACES
R KS: f '\
`i `•iZ fi 'rliuCD <<J C6- (I\ (3
Flo U
ARRIVE
DEPART //..-,C.)
INSPECT R
OGUf2 O GL8ef2J GGN BUILDING & CODES D E P T,
'THE PLANS SUBMITTED HAVE BEEN REVIEWED AND
HAVE BEEN FOUND TO LACK SUFFICIENT DETAIL
FOR PROPER PLAN REVIEW.
WE HAVE ISSUED THIS PERMIT WITH. THE
FOLLOWING STIPULATIONS :
1 . THE WORK WILL BE INSPECTED AND MUST CONFORM
TO ALL PROVISIONS OF PREVAILING CODES .
2 . IF DEFICIENCIES ARE FOUND THEY MUST BE COR—
RECTED BEFORE WORK CONTINUES ..
3 . . FAILURE' TO COMPLY WILL RESULT IN REVOCATION
OF THE BUILDING PERMIT
)//77\_
Code Enforceme t Officer
Date
�1- c i
Building Permit #
COMMENTS:
Ekl A_JJ( 0.0 C,/ rC cX) IL EriZA AA I Pl0 M 6.44 t t,CS )VG 1- z i-16-(0/U- ---
FL V, T1c S S Ci F u s&n)
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Pic r Cv-c(_ 1 �= (fit) —
mwi�o�quEmelivimplomminmENT TOWN OF E E I%
TILE GPYdonto.i '�
combos with sift muse lb shell BUILDING
CC DEP .
net be eenmheed es berating the
piens Ind specs eetions en in fed REVIEWED BY /14
FILE COPY compliance with the cods.
_:.,DATE . 5' 9.1 __
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TOWN OF QUEENBBUB`ti
RECEIVED
. AUG 21991
•
BLDG. & CODE DEPT.
ST0219bE
•
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Res'DEN
$4'x z4'
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MIC�HpE1.S�lll21a� 45' _ IP)
ro I-1 ER/YI AVEtiUE E rei4.510 l >.
• TOWS OF OLIEENSBURY
Scow S1+EQ1 SNEJY
„ 1 •
MICNryELS RIVE-
•
Zoning minla at TRK I ZI-l-37 hTE: 81 I I 1
Date S--
ct
LOT" P F N
•
3cnLE: I 20'