2000-571 TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (5t8) 761-8201
aw Community Development - Building & Codes (518) 761-8256
BUIEDING PERMIT
Permit Number: P20000571 A plication Number: A20000571
Tax Nlap No: 5 23400- 1 2 1 -000-000 1 -044-000-
Permission is hereby granted to: CHISTOPHER CONNELLY
Owner of properlty,located at: 42 BURCH Rd
in the Town of Queensbury, to construct or place a Porch
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.
Owner Address: CHiSTOPHER CONNELLY
42 BURCH Rd
QUEENSBURY, NY 12804
Contractor or Builder`s Name / Address Electrical Inspection Agency
Type of Construction: Porch Value : $ 11000,00
Plans & Specificatihns
11.1
187 SQ FT PORCH AS PER PLOT PLAN SPECIFICATIONS
$16,00 PERMIT FEE PAID _ THIS PERMIT EXPIRES: Thursday, August 08, 2002
(Ifa 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 Town ueen ; Tuesday August 08, 2000
SIGNED BY sb 2 L for the Town of Queensbury.
17irector of Building & ode &forcement
TOWN OF QUEENSBURY Fee Paid ,
BUILDING & CODES DEPARTMENT Permit #
APPLICATION FOR : PORCHES- DECKS-
DOCKS & BOATHOUSES Est . Cost
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 _
Owner of Property : Cl�, ;kic� m
P . O . Address L4 �h _. Phone #
Property Location ( , Tax Map #
Subdivision Name ( If applicable )
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES :
Name : Of ""nil _ Address L4 - aw,L- , (?c',4 Phone# - 79P- N79 ,
BUILDING SPECIFICATIONS :
Type of work to be done : or Deck Dock Boathouse ( Circle one )
Size of Structure to be built ( square footage ) : Lg-?
Foundation Material : Width Thickness
Depth of Footing , below grade : g ' y
Size of Posts or Studs * ''I, x „(�- � x g Long
Size of Floor Joists : 2 x x 4a Span - .. t KY: pr�Jk
Decking or Flooring Material : 3f PysxrrJ 4r� .
How wi l l Porch or heck be fastened to building ? n,*. -4L,�,�4ft-A
If Roof Will Be Installed , Answer Following Questions :
Size of Posts or Studs : x +�_ is Long
Roof Rafters : x L . Spacing jt,� Span ro `
Roof Trusses ( pre- engineered spacing ) . Span
Type of Roof : lope Flat Shed Other ( Circle one )
Material of Roof : '7irr ( e
ZONING INFORMATION :
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED , drawn reasonably to scale and attached
hereto , showing c early 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 .
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 : 3 kx) SIGNATURES
0 r , OwnerJ'�ncy rch ' ct , Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER , DATE cF �' W SIGNATURE
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