1989-388 � Ay$
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CERTIFICATE 01 'COI' PLIAN
TOWN OF QUBENSBURY
WARREN COUNTY, NEW YORK
Hatt
This is to certify that work requested to be done as shown by Permit N
has been completed.
This structure may be occupied as a Ze-rdefted Parch
Uwmation Lot 53 Luzenne Road Homestead Village park
Owner Edwin---LangMrtkfy
By Order Town Board
TOWN OF QUEENSSURY
1 {
Director of Bldg. do Code Enforce ent
BUILDING PERMIT
TOWN OF +QUEENSBURY
No
WARREN COUNTY, NEW YORK
s<•.
W
PERMISSION is herebyranted to 1
� Ed►rin
OWNER of property located at Not 53 Homestead Village Parr Street. Road or Ave. '
in the Town of Queensbury, To Construct or place a ��d uPo cn
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.
t- OWNER'S Address is Imo:
Luzerne Road
Queensbury, H . Y . 12804
2. CONTRACTOR or BUI LDER S Name
Self rr,
3. CONTRACTOR or BUILDER'S Address "=
Sam
4. ARCHITECT'S Name
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S. ARCHITECT'S Address
Cf'
G+:
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6. TYPE of Construction — (Please indicate by X) y
._r
r'rT
f I Wood Frame I } Masonry [ I Steel ( 1 G
7- PLANS and Specifications
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No- 240 sq . ft . screened porch as per plot plan and application CID
rn
8- Proposed Use �
7C
Screened Porch
$ 24 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1
CIO)
{if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t"f
town of Queensbury before the expiration date.}
rVi
Dated at the Town of Queensbury this-_ Day of aVpB 19 [_ q
i v
SIGNED BY -;t �
for the Town of Queensbury c
Building and Zoning n ctor 2
TOWN OF QUEENSB URY
APPLICATION FOR
mot' 3 /TOWN OF ouEENsBuRY
.- �-
'""._�� � PORCHES - PECKS RECEIVED
HOCKS & BOATHOUSES
,SUN i _ 1989
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL
OF THE FOLLOWING: BLDG• & CODE DEPT,
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 .
The Owner of this property is: ZY!e E!! LS'i4 �O 1Z / `- / Al d:.
P .O.
A ddress: �',U Sv jg &J ' )f OA /1 eg Ll RAId U /�,¢' A
Property Location: "'
S rPe number or building lot number
Subdivision name (if applicable)
THE PERSO RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING
CODES:
Addrass-
� t �b ! q,;1 Y7wX A IJ V yid o4 jgk A [3 T" /V r13 Tel.`' `,�/
BUILDING SPECIFICATIONS:
Foundation Material Width Thickness
Depth of footing below grade r
Size of posts or studs x x Long
Size of floor joist x x Span
Decking or flooring material
How will porch or deck be fastened to building?
IF ROOF WILL BE INSTA_ { LED ANSWER QUESTIONS BELOW :
Size of posts or studs x L{ x Long
Roof Rafters x _Spacing /G Span J .2, _
Roof Trusses Pre-Engineered spacing)
Span —
Type of Roof - Slop .d - Flat ied� Other
:Material of Roo€ � rl --
Type of siding (if any) C,C tl _ p t4
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale
and attached hereto, showing clearly and distinctly all buildings, whether existing or
proposed and indicate all set back dimensions from property lines. Give street and number
or lot number and indicate whether interior or corner lot. Show location of water supply
and location and configuration of septic disposal area.
COMPLETE INFORMATION REQUIRED BELOW :
Size of property ft x ft ,
Existing buildings Size ft. x ft ,
Existing building(s) use
Proposed building, distance from property line.
Front yard ft , Rear yard ft .
Side yards ft . and ft.
If on corner setback from side street €t .
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 .
SIGNATURE
Owner, Owner's Agent, Architect , Contractor
TOWN OF QUEENSBURY i
BUILDING AND CODES DEPARTMENT
,BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I280&
TELEPHONE (528 ) 792-5832
B4U) G INSPECTOR' S ORT
REQUEST FORCTION RECEIVNAME
LOCATIONDATE }
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR ORMS _....
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL POR :m
CHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED LOORS
GARAGE F EPROOFTNG
DOOR CLO ER (S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTIO
FINAL APPROVAL OF CONSTRUC ON
A SIGNED C.BRTIFICATE OF OCCU ANCY MUST BE
OBTA rhrrn �±rsriv m: r r .rr r r ra. sFCJRE
THE { 1r C 2 yr f
sir ` NPC / r f•
REM .,
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, 1 I � ,
TOWN REC RECEIVED
ff��
JUN � _ 1989
SLAG. & CON Dom• Pic 1
as
TOWN
Bull. ; a DEPT.
REVIEWED BY ( -
DATE