92-413 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 12 19 96
This is to certify that work requested to be done as shown by Permit No. 92413
has been completed.
This structure may be used as a DECK
Location NOON HILL ROAD
Owner ORMIN, BARBARA
By Order of Town Board
TAX HAP NO. 48--2--4 . 3 TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY °
No. 92-413
WARREN COUNTY, NEW YORK
.Ia
PERMISSION is hereby granted to Barbara Ormin w
OWNER of property located at Moon Hill Rd 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 a
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
r
1. OWNER'S Address is t7�
Robert Lent
1022 County Brook Court a
Guilderland, NY
2. CONTRACTOR or BUILDER'S Name
Ray Bennefield
0
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3. CONTRACTOR or BUILDER'S Address
3534 Farmwoods Rd
Ft Ann, NY mA
ma
4. ARCHITECT'S Name a
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
No. 204 sq ft Deck as per plot plan specifications and application
8. Proposed Use
Deck
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 10, 1993
(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 Oth Day Jul 19 92
SIGNED BY % G for the Town of Queensbury
Bui ding and
Zo i In ctor
!r TOWN OF QUEENSBURY
.��,tIVE® Fee Paid —
� T BUILDING b CODES DEPARTMENT ~ kEENSBUr.
APPLICATION FOR: PORCHES DECKS Permi t # U
DOCKS & BOATHOUSES Est. Cost
JUL 9 1992
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
BLDG. 8( CODE DEPT.
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.
B(Irk?co. (G i r,
Owner of Property: (Cfllner� �_e i*)
Se)c/
P.O. Address ID` C�,�,r�� ---i5wk Of CNa it-i-ei I --Q 6' Phone # 6 / `l S
Property Location CA;.t,A) } ,fit, Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: 1 �4�n� i �, � Address 3,53q EcYm �ls k i F7/40,71, Phone# 5S?Z-L.
BUILDING SPECIFICATIONS:
Type of work to be done: Porch (11e k Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : Z pq- S Q 0,
Foundation Material : Width b'' Thickness h'`
Depth of Footing, below grade: iy
Size of Posts or Studs: y x x Long
Size of Floor Joists: 01( x x !v ' Span
Decking or Flooring Material : ,5�jyY
How will Porch or Deck be fastened to building? LAG.
If Roof Will Be Installed, Answer Fol owing Questions: cam•
Size of Posts or Studs: x x ong
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.
Sic 0/61- 'P//4ski 1 : (, f\Qr,
Size of Property: ft. x ft.
Existing building(s): Size ,�, ft. x Uz,g ft.
Size iu ft. x 7_3 ft.
Use of Existing building(s) : sec,
Proposed structure, distance from property line: •
Front yard 641 ft. Rear yard ?3 + ft.
Side yards 4av± 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 specified or not, and th uch work is authorized by the
owner.
DATE: 7 7 / Z SIGNATURE '
e , s gen , Arch' , Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 7 145 1..-SIGNATURE J
TOWN OF T40
/�� QUEENSBURY
-41- 1 BUILDING & CODE ENFORCEMENT
� �3 742 BAY ROAD
QUEENSBURY NY 12804j (518)745-4447 f�j�/
;.'v F..: if`` !d"t! DEPART: 1f � INSP: v0`�®
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUESSTRECEIV
NAME Q/�� VooA) l5j' pt e-' k
f r�
j
LOCATION don/ e> 4
DATE /(v71c6 PERMIT # ft 7/;
TYPE OF STRUCTURE ^2.Aj( ///
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIG T/B VEN /HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
7
DECK/PORCH/STEPS/"ILI GS
RELIEF VALVES
FURNACE/HOT WATER OP RA
INTERIOR TRIM/PRIVACY DO4 •
FINISH FLOORS:
BATH/KITCHEN WATERTIG:T
OTHER FLOORS SWEEPABL
OTHER FLOORS CARPETEn
STAIR CLEARANCE/RAILI
S OKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFI G
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAnZVARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR I _
.O"
r(?e' 5i--4i 0 1 4.)
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with OW comments shall OWN OF QUEENSBUr.
not be construed as indicating the RECEIVED
plans and specifications are in full
compliance with the code.
JUL 9 1992
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---r-r _ RAY BENNEFELD
,I "e76,r.c_rs - --,, ,, - , . - '--,ZY/0 i...• -10- . — Home Repair & Construction
Fort Ann, NY 639-5224
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BUILDING C fa b ; S DEPT.
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REVIEWED BY .._
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FILE Ciii DATE ___7//0/?2___
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, 27.S6 SEPfIC SY5IEM 4 WELL. ADDED —
TOWN OF O.UEENSSURY 'COUNTY of WARREN,N`f.
C. T.MALE ASSOCIATES. P.C.
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Appr.br; •S7 Q X' fl Pro). No.87.5585 SCALE: I" 50' LDAT E: SEPT.11148e