92-569 y CERTIFICATE OF COMPLIANCE . ,r
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TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ee ,/- -€4,, / 19 .
This is to certify that work requested to be done as shown by Permit No. _ 92-5. '
has been completed.
This strtucture may be used as a deck
Location Assembly Point Rnad
Owner M/M Robert Buthmaster
By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY o
No. 92-569 .
WARREN COUNTY, NEW YORK v
to
PERMISSION is hereby granted to M/M ROBERT BURHMASTER
OWNER of property located at Assembly Point 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 co
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
70
1. OWNER'S Address is
RR1 Box 1338 Assembly Point Rd
Lake George NY 12845 70
2. CONTRACTOR or BUILDER'S Name
Anthony Verhaeg 0
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3. CONTRACTOR or BUILDER'S Address c
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4. ARCHITECT'S Name
5. ARCHITECT'S Address N
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6. TYPE of Construction—(Please indicate by X) o
-J.
(x)Wood Frame ( )Masonry ( )Steel ( ) c'l'
70
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7. PLANS and Specifications
No. 152 sq ft Deck as per plot plan, specifications and application.
8. Proposed Use
Deck
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$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 23 19 93
(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 23rd Day of September 19 92
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF Qi1EENSBURY Fee Paid
wirmi BUILDING & CODES DEPARTMENT
APPLICATION FOR: PORCHES-DECKS- Permit # i
DOCKS & BOATHOUSE IV - iuL Est. Cost 0 --
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRO&M.8LPaRgbOKIWWER 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.
Owner of Property: ,t. E /l7,QS, uW k1495
P.O. Address " .4
Phone # GS-6-9Z13
Property Location ,3' 1 Aspin4ty le<< ,, Qb✓ SOU Ay Tax Map # F`9-/
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: /`rNTi'2ay 641690`
Address 10S / /i1 Phone# 4/2/1/
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage): /sX.
Foundation Material : Width &t&r 8"' Thickness yfr
Depth of Footing, below grade: etre
Size of Posts or Studs: x 6 x 36'' Long
Size of Floor Joists: '( x x g Span
Decking or Flooring Material : 12/
How will Porch or Deck be fastened to building? fd ij TO
4?1SPt.kh '?k IJSi,dr 2X� corn building? ,
f T�/S 'ii77r�v f
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: ,, ft. x %. % ft.
Existing building(s) : Size ft. x 4 ' ft.
Size ft. x ft.
Use of Existing building(s): /114i( ywsc--
Proposed structure, distance from property ine:
Front yard ft. Rear/yard S ft.
Side yards AN { •' ft. and %f' 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. j
DATE: 9/�-71 SIGNATURE y 6,
Owner, 0. er' s Ag cy, Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
/ttv
TOWN OF QUEENSBURY
531 BAY ROAD
le,-aj TELEPHONEY (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME 2�A /6-4e-4/ , Z-t•)""U'tiz- -
LOCATION L na ,e127-67ite' Zt/7
DATE jobio PERMIT# 9i?S&9
TYPE OF STRUCTURE L'. ___.
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
47FOOfING FOUNDATION BACKFILL FRAMING
_ ODROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT /
ROOFING
SIDING
DECK/PORCH/STEPS/RAIL GS
RELIEF VALVES 4
FURNACE/HOT WATER ELATING
INTERIOR TRIM/PRICY rORS
FINISH FLOORS:
BATH/KITCHEN WATERTI4T
OTHER FLOORS`'#SWEEPABL
OTHER FLOOR CARPETED \
STAIR CLEARANCE/RAILINGS\
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C ;._---'
COMMENTS:
liARRIVE
DEPART 'i
t INSPECTOR
TO OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECT'..; S REPORT
REQUEST FOR INSPECTION RECEIVED 7/*AP,9/
NAME Zif7ve_ •(4-40_j'� t �
LOCATION L iA-,&
DATE 04//f02 PERMIT # i 'S6
TYPE OF STRUCTURE
RECHECK APPROVE
1 N/A YE NO.
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWIPIG
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR I {
REINFORCEMENT IN PLACE v
FOUNDATION/DAMPROOFING___ —
BACKFILL APPROVAL `;
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN; BEAM
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
DEPART (/‘ c
INSPECTOR
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