2004-509 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040509 Application Number: A20040509
Tax Map No: 523400-308-011=0001-006-000-0000
Permission is hereby granted to: DAVTD & TANYA ATKINS
For property located at: 9 ANTHONY Ct
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: BANKERS TRUST OF CA NA
VENDEE MORTGAGE TRUST Deck $1, 0
Total Value $1,200. 0
00
1761 E ST. ANDREW P1
SANTA ANA, CA 92705-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-509
420 sq ft DECK
$42.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, July 07, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To f Q2u )nV W e ay, July 07, 2004
W
SIGNED BY for the Town of Queensbury.
Director of Building&Code En orcement
W6 T2 266i hiON.1i:37....F ......................................:...........................................................................
. . . .......
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Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury—Dept of Conununity Development,742 Bay Road,QueensbuM NY
(518)761-8256
A permit must be obtained before beginning construction. No Permit File N _ _ — 1
inspection will be,made until applicant has received a valid Fee Paid
building permit. All applicants'spaces on this application must be Reviewed
y'
completed and must appear on the application form_
Applicant:b I �-+�1_t _ _ _ Owner:
Address: +hcn L F-{ Address.-
Phone,#(5L )-I I�_- foq I a Phone#(_) -
Email Address: Ciftl+►�, A cui ph in.►e+ Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name `Jlltjr '( - l Address: 9 Phon C) 7 3�
Property Location: Lot Number: I House Number �%
Subdivision Name: _ Tax Map Number: 3n5?, — -�p
Estimated Market Value of Construction:
❑ Porch
Deck
ci Dock
o Boathouse RECEI VJZ
❑ Other work(descn"bc
Size of stritcu a to be built 42Z)�square feet .JUN 3 0 2004
TOWN OF QUEENSBURY
Submit along with this application: BUILDING AND BODE
1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs,floor joists,
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed,indicate the size of posts or
studs,roof rafter spacing and span. Indicate type of roof: sloped,flat,shed,or
other. Indicate the type of material being used for the roof.
Declaration: please sign below after you have Carefully read the statement;
To the best of my knowledge 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 lluiiding Code,the Zoning Ordinance and all other laws
pertaining to the proposed work shall be complied witli,whether specified or noted,and that such work is
authorized by the owner.
Applicant's signature; Date_
t..%SueHemingwryV3uildinb.Permit.FORMS1Porch.PorchPetntit.dx M113/o2 revised per D11
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Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection reques received: _
Queensbury Building&c Code Enforcement Arrive: an/p Depart: — m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
1
NAME: _ 1 � PERMIT#:
LOCATION: _ c111 _ INSPECT ON:
TYPE OF STRUCTURE:
Comments
O 1
4
Piers
M �olithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this puT se on site.`
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfrll Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
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