89-684 - CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No. a9-1Ns'
has been completed.
This structure may be occupied as a
Location ,' Lantern di 11 Road
Ownei John & Anita Duncan
By Order Town Board
TOWN OF QUEENSBURY
(
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY Na 39-684
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John & Anita Duncan
OWNER of property located at 4 Lantern Hi 11 Road 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.
1. OWNER'S Address is
Same
2. CONTRACTOR or BUILDER'S Name
Self
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
r
5. ARCHITECT'S Address
c
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( 1 Steel ( ►
7. PLANS and Specifications
No. 990 sq. ft. Deck as per plot plan, specifications, and application.
8. Proposed Use
DECK
2
C
T
$ 80.Q0 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 90
(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 29th Day of , August 19 89
SIGNED BY 7�--C��1- for the Town of Queensbury
Building and Zoning Inspector
l
APPLICATION FOR
_. ✓1:- > PORCHES - DECKS v TOWN OF
V)
DOCKS & BOATHOUSES u .UR
CEIVED
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWEI 1l1GI: 198)
OF THE FOLLOWING:
BLDG. & err) - D�, i
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: .-JC \M "4 AN tTik .i' (_A-iL(
P.O.
Address: )4\N r6 ny 14 �kr t-OA.- ON Vi SeL_Ji2.L/ 1 & / 12.
Property Location: 4 /,.,twTm m IA k` RA — 12.5 13._•4 L 999j
Street number or building lot number
Subdivision name (if applicable) S %t.,rZ• .1/4zaf
THE PERSON RESPONSIBLE V,9R SUPERVISION OF WORK AS REGARDS TO BUILDING
CODES: 4 N'•.sCA,./.._i
Address: ►..1.(j Tel. 45 2.— o--S-
BUILDING SP CATIONS:
Type of work to be done: Porch Deck `Dock Boathouse (circle one) 44 K I .
Size of structure to be built (squar otage) I ri ' 4 Lli't 1
Foundation Material Width 1 i4--4- Thickness ," 2
Depth of footing below grade 42 fi . 6 K ,-
Size of posts or studs x 6 x 6, Long
Size of floor joist x x - 'Span (/1 c .
Decking or flooring material A X 1 2,n 12 f cc c
How will porch or deck be fastened to building? TS
Tttiis '6c.)..o.�
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW: + RaPi. ►C (
Size of posts or studs x x Long Ce�� � P ,A.t2S
Roof Rafters x Spacing Span
Roof Trusses (Pre-Engineered spacing) "r�x�S ��
Sp
Type of Roof - Sloped - Flat - Shed - Othern �10 4 R. s& 5
Material of Roof —
Type of siding (if any)
********************************************************************************
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. � " x �4 • I " Z 12�
Existing building(s) Size "a ft. x 2,4 ft. k Zoo
4") x Z.4 2.1x C`iZ - po«.
Existing building(s) use tk5`zAYSkIA,
Proposed buildingydistance from property line.
Front yard 5___044____ft. Rear yard ft.
Side yards R ft. and f 16 ft.
If on corner setback from side street j.(/ ft.
DECLARATION I
To the best of my knowledge and belief the stateme s contained in this
application, together with the plans and specifications submitted, a a true and complete
statement of all proposed work to be done on the describ4d premises nd that all provisions
of the BUILDING CODE, THE ZONING ORDINANCE, land all oth •r laws pertaining to
the proposed work shall be complied with, whether speified or no , and that such work
i siaayrized be . 1
i;' il ki\-1
�j SIG NA RE r�
REVIEWED BY ; Owner, Owne Tt`_ent, , r ii T ' , Contractor
/
DATE . /Or
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED/ y(/
/3/q D
NAME & C [1 At2,J4' "g-n
LOCATION 4 ca/yili 44 L' /61
DATE <-7(1/Q/ PERMIT # O 7 - /,1/
APPROVED
l. YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF COTRUC�TION )(
OK TO ISSUE C/O OR(C''/C �GC/ /
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
n
REMARKS: � �° / c�
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