95-132 CERTIFICATE OI+ COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date A1Jgnst 13 19 95
This is to certify that work requested to be done as shown by Permit No. 95132
has been completed.
• This structure may be used as a DECK OVER
DOCK
Location 1249 A;;;S UBLY POINT
Owner tU }iNARD, W'ILLIAM H . -
By Order of Town Board
TAX MAP NO . 16 . 6 TOWN OF EENSBURY
Director of B ilding & Code Enforcement
BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 95132
TAX MAP NO. 7. -1-16. 6 No.
WARREN COUNTY, NEW YORK
BERNARD, WILLIAM H.
PERMISSION is hereby granted to
1249 ASSEMBLY POINT
OWNER of property located at 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
R.R. #1 BOX 1249
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDER'S Name
SAME AS ABOVE
3. CONTRACTOR or BUILDER'S Address
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
DECK
( )Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
448 BQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
SITE PLAN REVIEW
8. Proposed Use
DECK
$ ® PERMIT FEE PAID —THIS PERMIT EXPIRES April 2 19 97
(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 14 Day of April 19 95
SIGNED BY \, L for the Town of Queensbury
Building and oning InspectorSC
TOWN OF QUEENSBURY Fee Paid r
". FM' -
BUILDING & CODES DEPARTMENT4"1 Permit # �f3
APPLICATION FOR: PORCHES-DECKS- �J —l3
DOCKS & BOATHOUSES . Est. Cost "„43,70:b
I
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 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.
F
Owner of Property: r ( lit) 1 c,_ (--( ' 6f�
it 14 , e . �d 1d ,/ --
P.O. Address V VI I -eo X i - 49 LAKe CND, r6e_iil�`7 - Phone # 656 •-3202
Property Locations //S-S'e4lbftf &dr Rd t K ox gd Tax Map # -7 -/lc -CC
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: _ Sf}Me_ Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch ,;Y, Deck ' Dock Boathouse
( ill IVY
Size of Structure to be built (square footage): qqsy-F-f-,
Foundation Material : Width 0 / Thickness APR 0 71995 '
Depth of Footing, below grade: NI4 TOWN OF QUE NSBURY
Size of Posts or Studs: ,L, x 6 x 7 Long BUILDING AND CODE
Size of Floor Joists: ^: „ x f' !" x / --'Span
Decking or Flooring Material : ) y, 7/ -1 fy r
How will Porch or Deck be fastened to building? � .
If Roof Will Be Installed, Answer Following Question:
Size of Posts or Studs: x x _ Long
---Roof Rafters: `L x / 2_ Spacing ASpan pi-- j c
,,
Roof Trusses (pre-engineered spacing) : - Span
Type of Roof: Sloped Elate Shed Other (Circle one)
Material of Roof: g,y'(:i J c ,,LJ& --
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: ft. x ft.
Existing building(s) : Size ft. x ft.Size ft. x ft. �1-,`}-'jif.?
c`,' f
Use of Existing building(s) :
Proposed structure, 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 specified or not, and that such work is authorized by the
owner.
DATE: _ /, °,P4 ( `L1) SIGNATURE ' ' '� Y'- (`" ' , t �/.. r l 1...,
n r, Owner's Agency, Archi . ,, , , ntractor
REVIEWED BY' CODE ENFORCEMENT OFFICER, DATE L-/ 3 CC SIGNATURE
TOWN OF QUEENSBURY
411w,i, BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: 02 :VV DEPART: . "� INSPN... 'C'
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: V `1/ `6/5
NAME v`ne,-tN...Q 1 t `,, (U
LOCATION A-SsQfyy` ALA Oki,/\
DATE g- 1 j --q PERMIT q9.5- I ?
TYPE OF STRUCTURE
FOOTINGS_ FOUNDATION _ BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/ f4ES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT \ V
'N. _7__
ROOFING
\ -
EXTERIOR FINISH it
DECK/PORCH/STEPS/RAILINGS\
RELIEF VALVES f
FURNACE/HOT WATER OPE TING 1/:(
INTERIOR TRIM/PRIVACY OORS V
FINISH FLOORS:
i
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTOR
VI.
BATHROOM FANS
il
PLUMBING FIXTgRES ` /
\\\\ ,
FOUNDATION INSULA ION V
GARAGE FIRE PROOF NG ,17
DOOR CLOSERS ti/
FINAL ELECTRICA , v
SITE PLAN/VAR ,NCE RE*.
- (7'--- ,
FINAL SURVEY 'LOT P
illiok
OK TO ISSUE C/O OR IN,
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178 BROAD ST GLENS FALLS NY 12801
6 761-6650 TEL, 7/1-8896 FAX
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