1991-163 C
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date a"4'4-4 /319
This is to certify that work requested to be done as shown by Permit No. 91-163
has been completed.
This structure may be occupied as a n ;'c h
Location 17 Stephanie La
JOHN W. Crosse Jr.
Owner
By Order Town Board
TOWN OF QUEENSBURY
(7D/
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY 91_163
No.
WARREN COUNTY, NEW YORK
cD
PERMISSION is hereby granted to John W Crosse Jr
OWNER of property located at 17 Stephanie La Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 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
same
Cn
3. CONTRACTOR or BUILDER'S Address
0
4. ARCHITECT'S Name
v
"5
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( 4 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
sv
No. 12'x14' Porch as per plot plan, specifications and application. �•
r
ry
8. Proposed Use
Porch CD
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 12 ,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 .,� , 12th Day f April 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
FEE PAID�'�'{„�,,Q�
APPLICATION FOR
ESTIMATED VALUE
PORCHES - DECKS NSTRU '_;,.✓ � OF CO CTION$ /G�Li Li, t)
DOCKS & BOATHOUS
401.
A PERMIT MUST BE OBTAINED BEFORE BEGINNIN ONSTRUCTION. 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.
The Owner of this property is: C4osS
P P Y � c �r1 �
P.O. CC,
A ddress: 1 > S ! r.pA"3`I Lisl,
r .
Property Location:
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESP BLE FOR SUP, RVISION OFrWORK AS REGARDS TO BUILDING
CODES: h A kdii t oSRi5 c i2 .
Address: h� �r 1 � � _ Tel. )9(2*3)l 8( x.&k
BUILDING SPECIFICATIONS:
Type of work to be done 'orch Deck Dock Boathouse (circle one)
Size of structure to be built square footage) j X j ` -- /fa$' 47 Fr
Foundation Material Width Thickness
Depth of footing below grade 3 Fi iLT"
Size of posts or studs -j x './ x ' Long TOWN OF QUEENEg i 't
Size-of floor joist --x x - -----. Span
Decking or flooring material
How will orch or deck be fastened to building? r- ,� ,�
APR 1991
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW:
Size of posts or studs gl x % x g Long BUILDING & CODE DEPT.
Roof Rafters /2 x Jo Spacing AA,' Span j /
i
Roof Trusses (Pre-Engineered spacing)
Span
Type of Roof - ope Flat - Shed - Other /'
Material of Roof 4* / td0O y�-F'i,/�t o . �-3O i5/34 Shy �S
e of siding (if any) ,�c,�, , 1 / v
�`YP � /ti��G h �iDUSf� .
*******************************************************.**.:r**
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. Give street and number
or lot number and indicate whether interior or corner lot. Show location of water supply
and location and configuration of septic disposal area.
COMPLETE INFORMATION REQUIRED BELOW:
Size of property ft. x ft. �-- 03))J
Existing building(i) Size ft. x ft.
Existing building(S) use
Proposed building, 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 ecified or not ancl.-th&t...msuch work
is authorized by the owner.
•
SIGNATURE
Own wner s gen , rc i e , n ra c or
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED _
NAME CROSS&--
LOCATIONL-�+�A►N
DATE 42
/41 PERMIT #44a5aFifik4
a-J.146:4 PorLE44 APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING V l a-tA A* Du R,IJ(e iiL xrff v `
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING �/-
EXTERNAL PORCHES/STEPS �r
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
?INAL ELECTRICAL INSPECTION
,INAL APPROVAL OF CONSTRUCTION
)K TO ISSUE C/O OR C/C
I SIGNED CERTIFICATE OF OCCUPANCY MUST BE
)BTAINED FROM THE BUILDING DEPARTMENT BEFORE
rWESE PREMISES ARE OCCUPIED!
WMARKS:G5 c1(2.{5TN6.0 P tz ( -►-a A4 0- 51)
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