94-394 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 2 19 95
•
This is to certify that work requested to be done as shown by Permit No. 34394
has been completed.
This structure may be used as a DECK
Location GLEN LAKE PD . , OFF
Owner BERNHAR1 , JOHN H
By Order of Town Board
T ra 1t `,r NO . 4 1 '19 TOWN OF QUEENSBURY
Z(2.w_\2"Q
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY 94-394 No
WARREN COUNTY, NEW YORK
ro
PERMISSION is hereby granted to JOHN H. BERNHARD ZO
OWNER of property located at Jay 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
PO Bx 722 W
Glens Falls NY 12801
2. CONTRACTOR or BUILDER'S Name
;cJ
C7
3. CONTRACTOR or BUILDER'S Address O
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
O
(x)Wood Frame ( ►Masonry ( )Steel ( )
7. PLANS and Specifications
400 sq ft ( irregular) Deck as per plot plan, specifi-
No. cations and application.
8. Proposed Use
Deck
t7
$ 32 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 2 19 95
(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 2nd Day of ugust 19 94
SIGNED BY for the Town of Queensbury
Building and Zoni In ctor
i
1 TOWN OF QUEENSBURY Fee Paid j.),
f ,- ' ! BUILDING & CODES DEPARTMENT ( r)
I , Permit # 7- /t/
OR 4 APPLICATION FOR: PORCHES-DECKS-
! DOCKS & BOATHOUSES Est. Cost 5 JUUv .
"2---,
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 followingwork which will be
done in accordance with the description, plans and specifications submited, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL TLANS S HIL•LOE SUBMITTED
WITH THIS APPLICATION. f•. d90'V ;
,,LL ( Li.) .r ,: I 4k:c h"rti 1. 1 c�U fir. ✓lt % I T��/I/• {I
�b ,
`l` /Q6640 Jo of Qr
Owner of Property: �0/4A✓ / 4 36-Qdl.ilic7 4 °, ,/
P.O. Address I o x -)c,D 5 l�NA\� ! ` 1 $)1 P�``.. e# -'1z53
Property Location ...Mt/ /Cl� . a1.1G.,g, Ct -ei.d5 AVM,7 ,,. tr sax M .
µ
Subdivision Name (If applicable) L.'tftlRc .s v 5'fc'. ,e
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch CDs.s.,0 Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : 4 O Os
Foundation Material : Width jge,Ag. Thickness '`
Depth of Footing, below grade: 4w "
Size of Posts or Studs: g°a x _ e e x g Long .40 et"-
Size of Floor Joists: g P x / 0 " x ,,fit ' Span
Decking or Flooring Material : - C 7,--4 pr. frAfer. C'z
How will Porch or Deck be fastened to building?
ei) ,Ems' 430,9,4 ..f3 ¢, E,4 7c d cc,/-A-- C2) -f°,. 'Y6;3Z " 0.ev reNfe-k_
If Roof Will Be Installed, Answer Following Questions: €r- ,..2..f,,,,,zet.olie ..5,7
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: /C/ ft. x / 6 ft.
Existing (buhdin�g(s) : Size 42 ft. x 40 ft.
Size ft. x ft.
Use of Existing building(s) : re5',J, , ( ,
Proposed structure, distance from propertyline:
Front yard 6O ft. Rear yard 7' ft.
Side yardsc6 07— ft. and 20 ft.
If on corner, setback from side street: �V„4; . 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 •rovisions of the
Building Code, the Zoning Ordinance, and all other laws pertaining to, 'he proposed work
shall be complied with, whether specified or not, and that such wor "i . authorized by the
owner.
DATE: � L ig'�' SIGNATURE / �/�_ \
0 n: • . nc , Architec ontractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 'Ai ' �TURE
1
TOWN OF QUEENSBURY
4 BUILDING & CODE ENFORCEMENT
f 742I BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: / • J�
4' DEPART: / I INSP: J
FINAL INSPECTION REPORT — RESIIDENTI L
DATE IN ECTTION REQUESTI
RECEIVED: _
NAME �P �C ��^✓
LOCATION
( /2V
DATE —/q.<_ PERMIT / /
TYPE OF STRUCTURE ()
FOOTINGS FOUNDATION BACKFILL RAMING
ROUGH PLUMBING _ SEPTIC INSULATCOk
FINAL ELECTRICAL WOODSTOVE OR FIREP ACE
N/ YES NO
CHIMNEY HEIGHT/B VENT/I IGHT
PLUMBING VENT
ROOFING f
EXTERIOR FINISH
i
DECK/PORCH/STEPS/RAILINGS d
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS f
FINISH FLOORS: /
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL //
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN /
OK TO ISSUE C/O OR C/C
„ ,e11Z*
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED g/45/54-/-
NAME \I /T 4t\- � A krZ
LOCATION J 1 1426L- ” / 4f.
DATE S,Sigct PERMIT # q4 - 3 1p
TYPE OF STRUCTURE C J
RECHECK APPROVED
N/A ES ' NO
)OOTINGS/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
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLsE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN AEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R ..
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- '
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE t�
DEPART //;Lf
INSPECTOR
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GLEN LAKE
,..%y
FILE c ,e TOWN OF OUEENSgURY
TOWN OF QUEENSBURY RIFILPING DEPARTMENT
BUILDINL1' 8,4 CODfrDEPT
Eased on our limited examination,
it---- ,/
_.. ,comoiancp with ow comments sh.:ll
REVIEWED BY
not he co trued Fis indicating '-,
cians and specificatiens are in full
DATE
compliance with the code.
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