91-417 P
1 \
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW FORK
Date cult, /1 19 1-
This is to certify that work requested to be done as shown by Permit No.
91-417
has been completed.
This structure may be occupied as a deck
29 Fitzgerald Road
Location
GARY R. LA VOY AND ANNEGRET LA VOY
Owner
By Order Town Board
TOWN OF QUEENSBUR
9
Director of Bldg. & ode Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY -0
No. 91-417 -°
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to GARY R. LaVOY and ANNEGRET LaVOY
OWNER of property located at 29 Fitzgerald Road
Street,Road or Ave. `o
in the Town of Queensbury,To Construct or place a DPc k
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
I—
C
2. CONTRACTOR or BUILDERS Name
same
-s
3. CONTRACTOR or BUILDER'S Address Cao
4.13
m
4. ARCHITECT'S Name -5
CD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
t0
(X)Wood Frame ( ) Masonry ( )Steel ( I
r+
7. PLANS and Specifications Ni
rD
No. 13'x16' Deck as per plot plan, specifications and application
8. Proposed Use
Deck
$ 16.00 PERMIT FEE PAID—THIS PERMIT EXPIRES June 20 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.)
fD
f7
Dated at the Town of Queensbury this t Day 19 91
SIGNED BY for the Town of Queensbury
Buildi and Zoning In ctor
Oak
TOWN OF QUEENSBURY Fee Paid r4%
* � BUILDING & CODES DEPARTMENT 'OWN OF QUEEN rmi t # 9i 1
APPLICATION FOR: PORCHES DECKS- RECEIVED
DOCKS & BOATHOUSES Est. Cost ?}
JUN 141991
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
!3LDG. 8& CODE DEFT.
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: G 4124 ce 4 vt Vl 6rj \� A i^ r4 ,O
P.O. Address ���' � .p
�r �O� Phone # 7g
` 3 - 70.29
� oS �
Property Location SQ iu '° Tax Map # y1_,/ 5/47
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: lAdoi Address n p Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch alp Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : c2 D g d-+ 2"
Foundation Material : Width L rL 10, Thickness Z1/
Depth of Footing, below grade: 1
Size of Posts or Studs: lti x x I /, Long
Size of Floor Joists: 4o x 13 Span
Decking or Flooring Material : 2
How will Porch or Deck be fastened to building? VI�bI.�L
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing) : Span
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
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 R— ft. x as 0 ft.
Existing building(s): Size a10 ft. x t'O ft. f 5 5-e
Size gy Lft. x ft.
Use of Existing building(s) : /t,0 f 4tt5i '41u/
Proposed structure, distance from property line:
Front yard 7 7 ft. Rear yard / t2 U ft.
Side yards .SCJ ft. and 60 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. / Q � '
DATE: G/�V /� SIGNATURE 'A;A
4
r Own r, Owner's Age Archi Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 6 2 �f SIGNATURE �LG e- r, PLA,US
TOWN Of QUEENSBURY
�A... 531 BAY ROAD
`rksij QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME \,
•LOCATION ° ; -' , <,
DATE e PERMITS f�--,/
TYPE OF STRUCTURE ,
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
--ROUGH PLIMBING FINAL ELECTRICAL_SEPTIC
INSULATION WODUSTOVE/FIREPLACE
RTE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/' .ILINGS ,
RELIEF VALVES
FURNACE/HOT WATER 0' RAT G
BASEMENT INSULATION/RUC ORK
INTERIOR TRIM/PRIVAC ORS
FINISH FLOORS:
BATH/KITCHEN WATERT ` HT
OTHER FLOORS SWEEP. ; KE
OTHER FLOORS CARPE Es
STAIR CLEARANCE/RAIL, NG'
HANDICAPPED ACCESS
SMOKE DETECTORS I }
BATHROOM FANS/WHOL HOUSE .NS
ALL PLUMBING .FIXTIRtES OPE* TING
GARAGE FIRE PROOF/NG
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE ' f
DEPART .------
INSAT`OR
TOWN 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 I is U c
LOCATION/ 6-77/Zi-t._,3 -
DATE 42 1f of PERMIT I q l- l ' 7
TYPE OF STRUCTURE T),--a 4- a C)&-GiL
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
REI11EORCE NT IN PLACE
ZrOUNDATION
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDERSLAB
'A ING' X(o -Do,5rs-
K 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-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE 16114
DEPART /f 2C) �
I NS PEC
•
�/!�� (wj+t '55c'6i )
4� TOWN OF QUEENSB RY
Bay at Haviland Road, Queensbury,NY 12804-9725-518-792-5832
Building & Codes Department
INSPECTOR'S REPORT
/120 199/
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PROPERTY LOCATION(i t �T LA Voy
OWNER OR TENANT
BUILDING) SEWAGE SIGN OTHER
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"HOME OF NATURAL BEAUTY. .A GOOD PLACE TO LIVE"
SETTLED 7763
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JUN 141991
BLDG. & CODE DEPT.
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