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CERTIFICATE OF OOMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ,_',atec //19 ge
This is to certify that work requested to be done as shown by Permit No. 93-108
has been completed.
This structure may be used as a porch roof
Location Lot 69 Homestead Village
Owner MICO Corp
Bobi l e Home Owner: Kobert M. Green By Order of Town Board
TOWN OF QUEENSBURY
Director of Building A Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY No 93-108 W
WARREN COUNTY, NEW YORK N
ROBERT GREEN
PERMISSION is hereby granted to
OWNER of property located at Lot 69 Homestead Village Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Rnnf over slab 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. m
1. OWNER'S Address is
MICO Corp o
PO Box 12, Colchester VT 05446 m
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) —J.
J( )Wood Frame ( 1 Masonry ( ) Steel ( ) ca
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7. PLANS and Specifications
No• 8' 10"x20' Porch roof over existing slab porch as per plot plan,
specifications and application.
8. Proposed Use
Porch roof o
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$ 16.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 22 19 94
-n
(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 22nd Day of April 19 93
SIGNED BY j}/ ZIItI C for the Town of Queensbury
'/ Bui jL(gand Zoning Inspector
t
eft• 7"*.., ,%. n.•• ' TOWN OF EENSBURY Fee Paid 1'IIO
wF l `', QUG.
'' � x BUILDING & CODES DEPARTMENT} APPLICATION FOR: PORCHES-DECKS-VPermit # g�-� Q
`a . DOCKS & BOATHOUSES Est. Cost 14-8-6
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
h done in accordance with the description, plans and speciftoatlo QU N i4ted, and such special
F conditions as may be indicated on the permit. TWO SETS OF S1H lP PLANS SHALL BE SUBMITTED
f"` WITH THIS APPLICATION.
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APR J 1993
_,;= Owner of Property: i7'/C/� Coie , �,� CODE DEPT.
`, P.O. Address AD. /�D�( /1/ C,nl_.C� 1 1L I//„ DS-yy6 Phone # �o —,V6 5—..5—,
Property Location 69 / ,7,i 4 ) U L1
l G�� Tax Map #
';, Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
k Name: Ji0)1, / yyl. c/7I/ Address 67'�/.V�1e,'/ yip 1/1L1 6PLa.oine# ;7 .j-Z6Fi
a:.//ate
Vk`'. BUI I-N ECI ATIONS:
Type of work to be done: Po Dock Boathouse (Circle one)
:` Size of Structure to be bui square footage): $'Io" x o gOkf
41 Foundation Material : Width Thickness
,Yr, Depth of Footing
,p below grade:
ag It
t� ` Size of Posts or Studs: x ,� �� x // Long
'''r Size of Floor Joists: x x Span
0.
»" Deckingor FlooringMaterial :
Ca lUG P
:! How will Porch or Deck be fastened to building? RJ14l2,
s
}k bit) 14 oZ X 1 D,Z -—V— ' 6'` POST-
0
<. If Roof Will Be Installed, Answer Following Questions:
,. Size of Posts or Studs: yx /' x �� �. Long
•r. Roof Rafters: g2 x 6 �� Spacing ,•/ " Span 16 /0 ii
Roof Trusses (pre-engineered spacing): Span
Type of Roof: TS]_(ped ) Flat Shed Other (Circle one)
A G
&I, Material of Roof: r 1PbriC, 640,0jc ))
' ZONING INFORMATION:
I
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED drawn reasonably to scale and attached
_ hereto, showing clearly and distinctly all g whether or r
buildings, proposed and
'' indicate all set back dimensions from property lines. Show location existingf water supplyand
;: location and configuration of septic disposal area.
,'•; Size of Property:. 5 ft. x /4z0 ft.
' Existing building(s): Size ft. xft.
` ` Size ( ft. x /D ft.
t•v, Use of Existing building(s): sif
Proposed structure, distance from property line:
Front yard 3 5 ft. Rearward 20 ft.
'` Side yards ( ft. and ft.
" " If on corner, setback from side s reet: ft.
z
DECLARATION
r To the best of my knowledge and belief the statements
"� 9 en s contained in this application,
r<,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 pertainingto the
rw: proposed work
•yshall be complied with, whether specified or not, and that such work is authorized by the
Lam.,;owner.
e^DATE: /!9 ) Z� 1 ? SIGNATURE
+ Owner, Owner' s Agency, rchit c , ontractor
1 REVIEWED' BY CODE ENFORCEMENT OFFICER, DATE 10- q. SIGNATURE
•
TOWN OF QUEENSBURY
531 BAY ROAD
jun'"• QUEENSBURY, NEW YORK 12804
- TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME ( r) ,R-i
LOCATION LT- ULI -66-
DATE //9(/ PERMIT# / -10 Crs"
TYPE OF STRUCTURE Po j2Ci-k QC)p r
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A 'YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING ,J
SIDING I
DECK/PORCH/STEPS/RAI I'NGS
RELIEF VALVES \,
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION'/DUCTWORK
INTERIOR TRIM/PRP1ACY DOORS
FINISH FLOORS: a;
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
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMME S:
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TOWN OF QUEENSBURY BUILDING DEPARTMENT I i I A i ; I, /9/ 55g4 rL '4.re-'44eci" ,JI Pt7
Based on our limited examination, i
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compliance with our comMents shall ./1 i 1 • , ,
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A PROV
. _ ..._ _ Application
APR 2 1. 093
Zoning Administrator
—OWN OF QUEENSBURY
hI OF QUEENSb
RECEIVED
APR 19 7993
_
1 & CODE DEPT.
-