1991-678 a+
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-678
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Scott & Victoria Johnson
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OWNER of property located at RD4 Corinth Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Enclose Existing Porch
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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. I^
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1. OWNER'S Address is
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Box 352 c
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2. CONTRACTOR or BUILDER'S Name
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Russell Dunham
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3. CONTRACTOR or BUILDER'S Address O
10 Forest Drive
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
( XWood Frame ( ) Masonry ( ) Steel ( ) m
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7. PLANS and Specifications N
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No. 66 sq ft Enclose existing Porch as per plot plan specifications x
and application
8. Proposed Use _i.
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Enclose Existing Porch -
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$ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 26 1992
(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 26th Day of September 19 91
SIGNED BY r for the Town of Queensbury
Building and Zoning Inspector
AskTOWN OF QUEEHSBURY �``'' `�'���`j"``` Fee Paid
� r� BUILDING & CODES DEPARTMENT '`�.'r`;�;��
APPLICATION FOR: PORCHES DECKS- Permit # (I-b v
DOCKS & BOATHCS1M24 1991 Est. Cost //0100 --
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRU°C-.T3-ON$` CPL 'ASPaNSWER 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: 56077 -r V iC-1 dfiA- • CoAt, sv�
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P.O. Address r )K �, � �- - . Phone #
Property Location 6219 `/ Gc�c� 'T `? • QveP''%rhvfl/ Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLEIl7// FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: P cSi/( ,0ve✓r ,41Z/1 Address /arot j9(: . Phone# ;l5-0np
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. BUILDING SPECIFICATIONS:
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Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) :_ 65k.- sfr f7
Foundation Material : Width S" & Thickness L _
Depth of Footing, below grade: / P77
Size of Posts or. Studs: x x Long
Size of Floor Joists: 2- x x 6- Span
Decking or Flooring Material :
How will Porch or Deck be fastened to building? iPaf C r room._
5C1,,C)r I S. 1 re pre-,ky s/t
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: �- x `� x / . Long
Roof. Rafters: 2- x Spacing /5'/ Span 7
Roof Trusses (pre-engineered spacing): Span
Type of Roof: Sloped Flat ( ) Other (Circle one)
Material of Roof: i GD%`‹ yLeo.oa, 46/4 -
ZONING INFORMATION:
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• 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: /4 a ft. x 4,0 ft.
Existing building(s) : Size 2:5 ft. x .ram ft.
Size ft. x 7 ft.
Use of Existing building(s) :
. Proposed structure, distance from property line:
Front yard /7 ft. Rear yard y6 ft.
• Side yards 2-- ft. and € 7 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: - 09T"' 24 SIGNATURE
Owner, Owner's Agen , Arc it t, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 9/40/ SIGNATURE `�
' - YOU ARE HEREBY REQUESTED TO
INSPECT AND.ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED-BY
• THE UNDERSIGNED . -
TEMP.X DATE tj
CITY OR VILLAGE ,e TOWNSHIP COUNTY
STREET AND NO.OR ROAD ' /") _. • , POLE NU71BER
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BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION • BLOCK LOT
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OCCUPANT'S NAME , BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS _ HOM`EE'Cl/ 2 I''''TELEPHONE NUMBER
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CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS .
NEW❑ OLD R WORK IS NEW❑ ADDITIONAL, DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No., Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE- '
MENT • .
1st
FL. ' .
2nd
FL.
3rd
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FL ,
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REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF,AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER •
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS . . TOTAL WAITS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF I. VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN '
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS ►
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS' I
NAME OF APPLICANT DATE OFAPPLICATION SIGNATURE OF APPLICANT
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STREET ADDRESS ' /> T,i !.� .- r TELEPHONE NO.
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CITY OR POST OFFICE - i - ZIP CODE LICENSE NO.WHEN APPLICABLE
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❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
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THE NFW YORK BOARD OF FIRE UNDERWRITERS
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