97-308 •
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 5 19 97
97308
This is to certify that work requested to be done as shown by Permit No.
has been completed.
DECK
• This structure may be used as a
Location 3 FAWN LANE
Owner LIPINSKI , BRUCE & ANDREA
TAX �iAP NO . 121 . -1 -34 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 800 No. 97308
TAX MAP NO. 121 . -15-34 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to T,TPTM.
OWNER of property located at 3 FAWN LANE 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
792-2117 3 FAWN LANE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
LIPINSKI, BRUCE
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( ►Wood Frame ( 1 Masonry ( 1 Steel DICK
7. PLANS and Specifications
1914°SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
DECK
$ 16 PERMIT FEE PAID -THIS PERMIT EXPIRES June 19 19 99
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
Dated at the Town of Queensbury this 19 Day of June 19 97
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
i TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEI'AR1MENT
• APPLICATION FOR: PORCHES-DECKS- Permit
• DOCKS & IJOA1IIOUSES Est. Cost: 00
r
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. 1WO SETS OF STIWC1URAL PLANS SHALL BE SUBMIT1E
WITH -MIS APPLICATION.
Owner of Property: 1\(-•1/4_,, c e Ak(\,ream L' ti. k
P.O. Address F.,U ,,,N L-q,..e i �-
i ,� .,,56..� �� Phone II pig,--3C57 4
Property Location 5� Tax Map If nIais_.3y
Subdivision Name (If applicable) jh „-,,,,,o,,^ V', ,,\eS
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: �\rKc _ L_ e, v�Sti Address VR � �, �ie�s6� Phonel7 �
•
BUILDING SPECIFICATIONS: •
Type of work to be done: Porch X Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : ( 1
Foundation Material : Width _ Thickness
Depth of Footing, below grade: if ,
Size of Posts or Studs: x x Long � �' �--1
Size of Floor Joists: x R` x ( p Span
Decking or Flooring .Material : 5/11 X 6. X /G) , JUN •11 7997
liow will Porch or Deck be fastened to building? ,�c.,) ham; ts' rrj;,4r ,.
vtagY
If Roof Will Be Installed, Answer Following Questions: )J/ A
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 andilis itlt nctly all bii ldfings, 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: 1 i)(P ft. x ; /a g ft.
Existing building(s) : Size ?,►-f ft. x ft. Homes-e
Size li`� ft. x /9 ft. 6,r-Ps� -A+-l�-4-.e1
1\i Use of Existing building(s) : res; �Q�f �(
Proposed structure, distance from property line:
Front yard Si ft. Rear yard d ft.
Side yards aj ft. and '75 ft.
If on corner, setback from side street: '75 ft.
IDECLARATION
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
all proposed work to be done on the described premises and that all provisions of the
iilding Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
\all be complied with, whether specified or not, and that- such work is authorized by the
er..
(. 10( 117 SIGNATURE
O ner, Owner s A ency Ar hi t n`ractor
\[wrD BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
t
i'cv),6-4
'frik—Q_____ . ..s. "r 'L
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
' li!�' 742 BAY ROAD
r QUEENSBURY NY 12804
(518)761-8256
a.
ARRIVE: �l DEPART: ` INS
FINAI. INSPECTION REPORT ` SP�
- RESIDENTI'A�
DATE INSPECTION QUEST R CEIVED: \\/ L
--'97
NAME ,)-. 1 \ C��I� 1 S Q/1kkrq_z_,____
LOCATION
ak l l'
11
DATE
TYPE OF STRUCTURE l . _
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEP IC INSULATION
FINAL ELECTRICAL WO.DSTOVE OR FIRJ PLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HE GHT
PLUMBING VENT
/// .
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE 1
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS I \
PLUMBING FIXTURES / 1
FOUNDATION INSULATION 1
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL I
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT P
OK TO ISSUE C/O O C/C
/ILC- CoiR2C C( Mevs- .d
(518) 761-8256
.,4
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 '
INSPECTOR'S REPORT: ARR DEPART INT J'!/�2t
REQUEST FOR INSPECTION RECEIVED:
NAME Liloi iSff I pi
LOCATION •r�tJ4) teV
DATE ',PAY/47 PERMIT N 477
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC Po R FORM
REINFORCEMENT PLACE,
THE CONTRACTOR IS R`• •;�. BLE FOR
PROVIDING PROTE TION FOM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLU ING UNDER SLAB
ING:
JACK, STUDS/HEADERS
ING/BRIDGING
IST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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 R- •
a57j/UCCM'0112q94
TOWN OF QUEENSBURY
?�"',,. ,:t411011 ' BUILDING & CODE ENFORCEMENT
f 742 BAY ROAD
`? ,{ QUEENSBURY NY. 1280.4
�s
(518) 761-8256
Aw/ '
ARRIVE: ,�• V� DEPART: ��1,� INSP: C! \
FINAI. INSPECTION REPORT - "RESIDENTIAL
/r
DATE INSPECTION REQUEST RECEIVED: Jr? -/o
NAME S "� �1 i ) U.- X ,/
LOCATION/ -7
DATE `(� 1 0--� 7 PERMI 1 ! 3
leTYPE OF STRU TUBE . ' s
FOOTINGS L FOUNDATION BACKFILL FRAMING.
ROUGH PLUMBING _ SEPTIC _ INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _
N/A YES NO
CHIMNEY HEIGHT/B ENT-/H GHT
PLUMBING VENT •
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILING
RELIEF VALVES
FURNACE/HOT WATER OPERATING -
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE .
OTHER FLOORS CARPETED •
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING •
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR
/,,t1S 4 '.LL`r A-)4 ALL-
b1,4"( Ark-D6 . mokotx--_D /1440
/v 14 0,4) orb1- -K I .
MkI16 h - mi i ea stmEc%Ia4 S
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARe14_CDEPARi?A.WF
REQUEST FOR INSPECTION RECEIVED:
NAME ' 1 �l
LOCATION t �
DATE (¢ 1 1197 PERMIT A `IT 306
TYPE OF STRUCTURE: \-)er_.
RECHECK APPROVE
N/A YE NO
V OTINGS/PIERS �jelk
MONOLITHIC POUR FORM
REINFORCEMENT IN PLATE
THE CONTRACTOR IS RE.PONS :LE FOR
PROVIDING P TE TION FROM REEZING
FOR 48 HOURS LLONI1G THE PLACE-
MENT OF THE CON TE
MATERIALS FOR THIS P RPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PL'CE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
0
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 R-
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