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CER.'11FI ATE t�F COMPLIANCE1
TOWN OF QUEENSBURY
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WARREN COUNTY, NEW YORK
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April 30 90
f Date 19 —
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This is to certify that ork requested to be done as shown by Permit No. 89-295
has been completed.
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This structure tray be occupied as a r ^rk -
Location
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i Owner Frank Kantorski
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By Ordcr Town Board
TOWN OF QL)EENSB1URY
Director of Bldg. & Code Enf rcement
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at
BUILDING PERMIT
TOWN OF QUEENSBURY
No. A9-295
WARREN COUNTY, NEW YORK N
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1
PERMISSION is hereby granted to Eranlr Kantorski ns
OWNER of property located at 66 Havi 7 and Avenue Ext 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. OwNE R'S Address is
SAME
4
2_ CONTRACTOR or BUILDERS Name
iC
SELF
V
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3. CONTRACTOR or BUILDERS Address
SAME.
4. ARCHITECT'S Name
Ch
Cf1
S. ARCHITECT'S Address To
v
6. TYPE of Construction — (Please indicate by X)
+C
{ } wood Frame f I Masonry ( f Steel [ I rn
C=
rn
7, PLANS and Specifications
10 ' x 14 ' deck as per plot plan and application . -�
B. Proposed Use
Deck
c/c incl .
$ 1500 PERMIT FEE PAID - THIS PERMIT EXPIRES December 1 19_$9_ rr
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the TC
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this Day of F1 may 19 R9 -
SIGNED BY for the Town of Queensbury
wilding and Zoni ctor
TOWN OF QUEENSBUR1' APPI. TCATTnN FOR BUILDING AND ZONINC', PERMIT
17u.Ce -
Rer wl� ta_
wrowt4 OF Q! tE
RECERevFee
BU I LD I NC ARD CODES ul !PART 6fFN` ' Date Ib.a ued BLDG. & CODE DEV;
BAY anal 11AVILAND ROADS- RD i BOX 93
0UEENSDURY, NEIrr Y04RK 22804 PeAmzt No .
Tel . ( 518 ) 792-5832 Ext 204
A I, ElmlT MUST Dil OBTAINED BEFORE BEGIMIING CONSTRUCTION . NO INSPECTIONS
(4' ILL BE HADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT .
All applicable spaces on this application must be completed and the
~ -inaature of the aTplicans trust appear on the reverse side of this sheet
x * x k :k is * * * * * at * * �r * * * it is * ■c * is * *
s
The owner of th ! 5 property is »
P . D . Address y TEL . � .%�
Property location
TAX MAP NO . I J / 2.
I1as there been any split of this property since oct er 1 , 1988 ? yes / n� , -_
If yes , Planning Board Review is necessary .
SUBDIVISION NAME * IF APPLICAL7LE LOT NO '
The person responsible for supervision of
work as regards Building Codes is :
NAME P . 0 . ADDRESS T No .
14ame of builder. Address Tel Name of Plumber 7.ddress Tel
Tel
Name of Masan Addro3s
14ATURE Or PROPOSED 6ORK : . ZONING IN ) : ORl• IATION ( 0frice use only )
C"OrlxiLruCtiorL of is 1:ew LLaildin.� 'ZONING DESICNATION OF PROPERTY
Ada i c io n to :s b" i l ili ng # PERMITTED PRINCIPAL PERMITTED ACCESSORY
A1tua:+Lion to is L,Laildiag {
� ( 110 Ch. ILEJu Lo exc � Y' ior clilnen =' ions ) " REVIEW REQUIRED - PLANNING BOARD 7.DNINC BOARDR
ULhvr work ( .IQ:cr .ibol � SITE PLAN REVIEW # APPROVED DATE.
y ; 'TFcUc "1' UFtEt ' VARIANCE # APPROVED DATE
L; kOSS ARLA 01' L ROL O ., GD.
a Remarks : '
16t Floor sq ft . „
r
2nd Floor sq f t . w COmPLL: r1Z 3N,1•'OI. 4A'TION Jut ()UlhED 1112LoUW .
' Sixa of props. Cty ft % ft '
other Floors sq f t . * L:xiz:ting Lui1�1ir «J
( not Cellar ar bas .:mentk
TOTAL FLOOR AR 'EA� sq ft i L:xiacillg 0ui1.iinu ( 3: ) Uav
4�0i -4u of new structure ft X ft
I:'uua,d:ation-,p jar/ slaL/crawl/parciul/ full ` k'roi�osed builainq , di:: canCu irouL 1+r+31�irty first
(eirclt: on" ) Front yard ft Rear yard ft
Nu . of storiew (kL:►l)ic Atil.: l3Ace ) Side yards f t :and rt
li�ight ( Uradu to ri.dgo ) ft . If on cornar , ;:c: cb;ACX Prom side srrvuc fc
if rQz; idL:Atial , no , car f:amillus
No . of roomy ( excluding b"ths ) ' OCCUPW S4Y i NFDftMAT IC1V
tlo , of budroo+na PR/IMKRY ILLIILDING
Noo of taschrooin .: one fanLily dwelling
t'risn:ary ti{1iaCliktJ ::y LvuL iwo family dwislliny
'1'ypQ of fuel Multiple aAwulltncy / Number of units
No . of f " uplacv:: to Liw irtiscail, d Pertnar►eslc OCCUPiu+ay
Will :a wQQJ s1;QvQ Y,u inst:. 11wd? i`r:ansiurre c34-;CuLU&9kc:l
C:a:ntrc+l Air CarLtLitiunirLg ' uusinuss
BUILDING STYL.C, PRIMARY cTRUCTU E � lrldustrial
Ocher
lei#Ckl CQntu+Ll:or.ry L.c.�? Catlin ; If addition , wlLoAt will u:.:i bv?
t'La4i :;6m;d r.Yncil r' "ny1C,1L 1� a-�'''•-�,
ul31iL luv.sl Old style 1ruaLy.alOW^ -'
:.}ru Go CGLtatla Oc1L.sr '" ACCESSORY 13LjILDI'NC�
C qun 0d Lwow 1'OrrrL klouse '� Lu::tachad 9" riage/Orir? car/ two Liar/ car
colo ( CIRCLU ONL: PLEASE I • ACLu.-hail g;.aragU/QA%Q Carl two czar/
ci► ►'
■ ■ ■ a a R a a . + a + + a 0 pri.vac.: storage building
� 'i' 1MA'I` li [� MhRKE '1' VALUE OF a OchLr
L
1NF`ORPIATION 0" ?IUILDING SPPCIFrCATIONS , ON REVERSE SIDE OF THIS SFIEET, 1'0 BE COI'tPLETUD1
Form BPA 20188 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 as living space?
( If so , what portion? sq . ft . - - Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size , wood studs " X " spacing " o . c . length ft . '
Joists ( floor beams ) lst . floor " X ON
spacing "o . cq span ft .
Joists ( floor beams ) 2nd . floor "X " spacing "o . c . span ft .
Overlays ( cetling beams ) "X " spacing "o . c . span ft .
Roof rafters " X If spacing o . c . span ft ,
Roof trusses (pre-engineered) spacing " o . c1 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
door , 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 SYSTEM _ 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 I 0 N
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.
Signatur
C? er owKjpefl7gept, archit ct , co factor
IN
SPECIAL CONDITIONS OF THE PERMIT :
By---------------- --------------- ------ -
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVSLAND ROADS
QUEENSBURY, NEW YORK I28O!E
TELEPHONE (518 ) 792-58.32
IIDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RE EIVED r •
NAME
LOCATION
DATE P IT #
APPROVED
YES NO
5
FOOTING/PIERS
MONOLITHIC POYTO FORMS. �
FOUNDATION/DAM PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFXM
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL INS EC ON
FINAL APPROVAL OF CO STR TION
A SIGNED CERTIFICATE OF UPANCY MUST BE
OBTAINED FROM THE BU LDING DEPARTMENT BEFORE
THESE PREMISES ARE O CUPIE
REMARKS:
INSPECTOR
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