1989-175 h
CERTIFICATE OF COMPLIANCE s
TOWN OF QUEENSSURY �
WARREN COUNTY, NEW YORK
i L}aee,_ April 26 1990
- ' L4 `7
This is to certify that work requested to be done as shown by Permit
has been completed.
DECK
j This structure may be occupied as a
11
Location
Frederick Vir inia''gsbine: .
kOwner
By Order Town Board
TOWN OF QUEENSSURY
Director of Bldg. do Code Enforcement
i
I
BUILDING PERMIT �
TOWN OF QUEENSBURY No. � �- , � 5 M
WARREN COUNTY, NEW YORK C
co
N
FRsl�i rtsasttt +
PERMISSION is hereby granted to �r Aa.- : rk V i �_;� *ty-a ---- Cn
Street, Road or Ave. low"
OWNER of property located at .2 -,p�,t, god—E,VNJ—LAjte
in the Town of Queensbury, To Construct or place a laoumu !.
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.
[I .:O:IWV:NER'S Address is bd
+Z+Some
tz
, CONTRACTOR or BUILDER'S Name �+
V
psi
Self
3. CONTRACTOR or BUILDER 'S Address
CC
r'!
Same W
4. ARCHITECT'S Name 9?1
+4;
F+•
r{
OQ
IJ+
ARCHITECT'S Address
6. TYP Construction
hI`i+s•— (Please indicate by X)
f Y Wood Frame l Y Masonry I ) Steel I Y N
W
G"f
7. PLANS and Specifications ~
O
No. 12 ' x 12 ' deck as per plot plan , specifications , and I
application . c
0
8, Proposed Use
9
Deck ro
C7
NOVEMBER 1 89 rti
$ZHA 16 a00 PERMIT FEE PAID — THIS PERMIT EXPIRES ��
(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_)
tz
'Dated at the Town of Queensbury this h Day of April _ 199
r"r �
SIGNED BY for the Town of Queensbury yr
Building and Zoning I 4tor
TOWN OF � UEENSI3URY APPI. TCATION FOR BUILDINCh ANTI ZONING PI R�ITT
pec ieu ed TOWN OF QUEENSBURY
---.� RECEIVED
Reu.i.2iued
APR 13 1q
Fee— Paid
-- R�
WILDING AND CODES U1 :1'A11FDq:! !f Date Taaued SLOG. & CODE DEPT.
I3AY and IIAVXLANU ROADS RD 1 BOX
pUEFNSBVRY0NE1J YOpK 1. ?804 PeAm t Nos. z
To) * ( 518) 792-5832 Exc •204
• w w w w PIN ■
Is `w s i x Is w w Is w w w w ■ ■ w w w w w w w w ■ • x ■
A PERMT MUST Bq OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS
VI LL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUI LDINC PERNITT .
All applicable spaces on this application joust be cojnpleted and the
s -; puature of * the appliIlk A cant al3� ckr * o* the * °*e * } e side Of this * } �k ° * t *
` ) e owner of this Property is :
11 . 0 . Address
TA MAP tyo
llroP �: rty location !✓ �� d� r� av G�'J° '�-'r�'
L11he
s there been any split Of this property since October Is 19B8 ? yes /- now_
yes . Planning Board Review is necessary . LOT NCO .
nolVISION NAME " IF APPLICABLE
person responsible for supervision of work as regards Building Codes is :
NAM1 P . O . ADDRESS Tfi . NCl . —
Address Tel
Name or builder Tel
r-I of Plumber 110dress "tral
Name of M:_kson Address
14d%TURE OF PROPOSED WORK : ZONING INi ORMATION ( Of Tice use 01
ron:: crucciors of a naw building ZONING DESICNA"T`ION OF PROPERTY
Addition to a uuilJinq ; PERMITTED PRINCIPAL PERMITTED ACCESSORY
�Alturation to a I;uildinq REVIEW REQUIRED — PLANNING HOARD ?.ONTNC BOARD,
�~ Coto C14:Ll1q : to ext , riot [llln n .' iOriS � # APPROVED DATE
,�Otltver work (da-cri13.!) "�� Jc a�� lt'� `� BITE PLAN REVIEW #
r
(.:: ttOSS AREA Cal•` PROPOSED, t: TRUC `1URC
VARIANCE 4 APPROVED DATE
1st Floor sq f t . w Remarks :
2 n d Floor sq f t . CO1•t!' f.1 '1'1 . I}11'G1i:fM`1'lON !tl r�u 11tL D Llk iUtil .
Sire. of PXOP"urtyy^ f t x # [
Other Floors sq fc . + Lxi�tirtcJ ]uuil+lils.] I :7 ai ::k.` rt
{ not collar or bas. 4mant )
TOTAL FLOOR AR>~A� sq ft . r Lxi: cing 1]uillinkJl:: 1 U�,:
4' ixs tar new z:tructur�: ft X ft "
1`our.d:avian-riit: r,fslaL/cr:awl/IaarcialJrull ' �'iarlsasud nuilcsincl , distance. from JiraX,scarty+ lino
lcirclu one: ) Front yard ft Rear yy"kd� ft
NJ6 of atorie.s {ltalaitarile �pact: l Si d•: yards jet and, rc
N.:ighc ( gradr: to ri.dtl .a ) ft • if on corner . k .frola sid, 1crout rt
If rouidL:rI noo of f alai III s IN
OCCUPANCY fNFOf hjATICYV
Neo of rooaoxlexcluding b:.kth=% )
IIoe of budroomu pRIMARY LUILDING
No * or b:at1lrQQmt1 One fw"ly dwelling
1'riuury
`�YP4 of fuel htultilale: ,.lwellinq / dumber of units _
No , of f iruplaeuz; tea lave in :c;all.:d PeruwAllont Occupancy
will ;a WL 04A :i"Wsa boa in L' :, llud' Z•Y;ansiiVUL' cu cuja:anc y
L'.antr:al Air coriciitioning:' ausinuus
BUILDING STY1_E0 PRIMARY STRuGTURE . Indust rial
Ocher
1:.tttctt Contkalnl�a ..ry LI C4b!n If ,.►ddicion , w1'liat will ta::v bu7
1ui :ad ranch MaIiIi i Dul,leI
11�1ir IWtI Old aCy/lo LlulkLJ" 1QW
C krat cJa OC1kur ACCESSORY LIUILDIIIC—
Cod cocta l�� tachatl yarl.c]eJone cur/ two C: c;ar
Coltrnial Row 'town House{ CIRCI. 0 CHE' PL.f:ALI~ l ' Att"Chld g:ar;agvfon,� car/ 1 wo car/ c" r
a • ■ ■ w w : ■ . w ■ ■ w 7r ttIkr.iV.,lta: StIor"90 building
� a `rIMATI: ji MARK.r'r vAj. UI: C7I'
*
CON -: orRUCY` IUa
INPORAIATTCN ON 13UTLOTIAC SPCICIFTCATIONS . ON REVERSK SID ? OF T13IS St1L'k:To 'lL] Be COMPLE"I'L'A !
Form DPA 10/83 vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
'type of construction , wood frame , fire safe, etc .
Will any second-hand or ungraded lumber be used? If so , for what ?
% Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing )
Will there be a cellar? Heated or unheated? Floor sq . footage sq ft
Will there be a basement? will any portion be-used living space ?
( If so , what portion? sq . ft . - - Type of use ?
Type of roof - sloped/flat/shed/other Material of roof
lr� rSize , woad studs "'x '" spacing O . C ." length ft *
Joists ( floor beams ) lst . floor,' ' spacing "' o . c , span ft .
111I .joists ( floor beams ) 2nd . floor "X "' spacing •"o . c . span ft .
Over-lays ( ceiling beams ) or spacing "o . c , span ft .
Roof rafters " X " spacing o . c , span ft .
Roof trusses (pre- engineered) spacing "' o . c . span ft .
Exterior wall finish Of what material?
Interior wall finish
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
Is there to be an opening between garage and dwelling? If so will a Fire-rated
doer , enclosure , and self-closing device be provided?
Will a flue -lined chimney be installed? Height above roof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft . in .
Water supply - Municipal or private well
SEPTIC SYSTLM _ Distance from ANY private well ( including adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system )
D E C L A R A T 1 0 N
To the best of my knowledge and belief the statements contained in this
application, together with the plans and specifications submitted, aloe a true and
complete statement of all ,proposed work to be done on the described premises and
that all provisions of the BUILDING COD )✓, 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 t owner.
Signature
Owner, owner's agent, architect, contractor'
SPECIAL CONDITIONS OF THE PERMIT :
By
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEEN.SBURYr NEW YORK I280&
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR XNSPIkCTXON RECEIVED
NAME
LOCATION
DATE -_� LJ PERMIT #J rS
APPROVED
YES NO
FOOTINGIPIERS
MONOLITHIC POUR FO
FOUNDATION/DAMP-PR ING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & PAX _ _.....
PLUMBING FIXTURES/RELI VA VE
INTERIOR TRIM/PRIVACY OORS
FINISHED FLOORS -
GARAGE FIREPROOFING
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL .INS ECTION�
_ FINAL APPROVAL OF C UCT.
01C To ISSUE c/o OR /C --�--�---
A SIGNED CERTIFIC E OF OCCUPANCY ST BE
OBTAINED FROM TH BUILDING DEPARTM NT BEFORE
THESE PREMISES A OCCUPIEDI
REMARKS: / )� A!
oil
_ } f r
ARRIVE I f
DEPART � ��
YNSPECTOR
OWN OF QUEENSBURY
i F
`7 oing Adn g istr ®r
Date
----------------
2
mow.
x
t
°M }
p g"x:g
41 Y
`E lli 1��� Q
k
RMEVVEDISY
DATE
w
4'
'
4.t.T k'-� F y*- E'.. FFFFr+++++•nn^",,, �� �q ,�^
F
P
P
r
G
4
16
L14
��k i��