1989-387 x x
�r
t
C lRTlFI0ArM COMPLIANCE
+ TOWN OF QUEENSSURY
WARREN COrUNTY. NEW YORK
L3ste_ _ C 19I
Cam+"--` L�• /�kj L"J 89- 3$7
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a Deck
Location
Owner
By Order Town Hoard
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
t BUILDING PERMIT
TOWN OF QUEENSBURY No ape o
WARREN COUNTY, NEW YORK
+,r
l
E+
PERMISSION is hereby granted to Karen 'i Garal .' Nonclnclan Jr
Air P
OWNER of property located at _ Box 4,2+i�__ni`cir.on Road Street, Road or Ave. rs, h
in the Town of Queensbury, To Construct or place a Dew_
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_
1 . OWNER'S Address is
Sam
2. CONTRACTOR or BUILDER 'S Name �
Self
ar7
3. CONTRACTOR or BUILDER'S Address rrri
Same -'
ru..
rrs
4. ARCHITECT'S Name I"
S. ARCHITECT'S Address
CR:
6. TYPE of Construction — (Please indicate by X)
C I wood Frame ( I Masonry I ? Steel ( 1
cri
7_ PLANS and Specifications
No. Unattached deck as per plot plan ,XK*spec-i f i cati on s , and 1P$X 1 Xi 1*ft
application
8_ Proposed UseMO
x
Deck t
$ 56 - 00 PERMIT FEE PAID — THIS PERMIT EXPIRES lanlrary 7 fg_ 9(1
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
R
town of Queensbury before the expiration date_) T
Dated at the Town of Queensbury this 7th Day of Jun
SIGNED BY .(t�'r"�! 1r lei _ ? for the Town of Queensbury
Building and Zoninglnsp�or A
TOWN OF QUEE- NSB URY TOWN OF QUEENSSURY
RECEIVED
APPLICATION FORTOWN OF ,QUEE14SB
-t "+_ �� RECEIVED [MHO
PORCHES - DECKS
r�7
DQCK S BO THOUSES MAY,`./f7'1^`' K � 19 -DG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNINCV1dDW&T4Ud6T'b(J4*T 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.
The Owner of this property is:_,, yR r 4,j -a C c !c'A fir+ • 1 / xJ F2 1 f9 Ar /
P .O. r VfY
P. ddress: en y
Property Location: L3. a
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING
CODES: ,-n--
Address: 990 X Kc 4&cr c Tel.
BUILDING SPECIFICATIONS:
f
Foundation Material Width r X �q itThicknesses^
Depth of footing below grade / /va 7`
Size of posts or studs r' x x 3 Long
Size of floor joist .2 x� : x Span
Decking or flooring material -� �6 "
How will porch or deck be fastened to building?
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW :
Size of posts or studs x x Long
Roof Rafters x Spacing Span
Roof Trusses Pre-Engineered spacing)
Span
Type of Roof - Sloped - Flat - Sheds - Other
Material of Roof
Type of siding (if any
ZONING INFORMATION:
TWO PLOT PLAINS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scalp
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 la C-0 ft . X . 3 P` ft .
Existing building(s) Size � . t. x _
Existing buildin s use 5 , ,/ .a .t'
Proposed building, distance from property line.
Front yard. / :2 & ft . Rear yard_ J -30 ft-
Side yards .yc, ft. and ?ca 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 .
SIGNATURE
Owner, Owner'sCN ent, Architect, Co actor
TWA* BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE* ( 518) 792-S832
- DUI-LOING ANSPECTOR r 5 NEPH'1R'Y
FINAL
REQUEST `I�lSP INSAECTI'
NAME
LOCATION �;`� ► , ,`
DATE a PERMITf —�_ C f
TYPE OF r
RECHECK
FIRE MARSHAL APPROVAL (CQMFHE IAL AS TUBE)
FOOTING FOUNDATION BACK ILL FRAMING
ROUGH PLWBING FINA17ELE RICAq SEPTIC
y INSULATION 1ODOSTOVE/FIR LACE
RTE PLAN/VARIATCE REQUIREMEN S YES No
REMARKS
WA L
CHIMNEY HEIGHT/LOCATION A
NIA YES NO
8 VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/P /
RELIEF VALVES jr I
FURNACE/HOT WAl�'�� 7, —
BASEMENT INSULATIONfDUC7w i _
INTERIOR TRIM/PRIVACY S '
FINISH FLOORS : j
BATH/KITCHEN WATER7IG
OTHER FLOORS SMEEPAB
OTHER FLOORS CARPETS
STAIR CLEARANCE/RA ILI
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/ N
ALL PLUMBING . FIXTUR OPERATI
GARAGE FIRE PROOFIN
DOOR CLOSERS
OTHER FIRE S
FIRE/DEMISE HALLS ld
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O
COMMENTS
ARRIVE_ �3
DEPART r j s
TOM OF QUEENSBURY "
531 BAY ROAD
T Y � NEW 0
TELEPHONE ( 518) 792- 5832
BUILDING INSPECTOR' S REPORT -
FiNAL INSPECTION '-
REQUEST FOR INSPECTION RECEIVEDOF
LOCATION ,`cm
DATE_ `) f' 9 PERMIT# C ��s
TYPE OF STRUCTURE
RECHECK r C ,3
FIRE MARSHAL APPROVAL ( COMMERICI STRUCTURE )
TFOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRI AL _SEPTIC
INSULATION WOODSTOVE/FIREPL E
REMARKS Y i
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEP I LI
RELIEF VALVES
FURNACE/HOT W TER O E ING
INTERIOR TRIM/PRIVACY OORS�
FINISH FLOORS :
BATH/KITCHEN WATER IGHT
OTHER FLOORS SWEE BLE
OTHER FLOORS CAR TED
STAIR CLEARANCE/ LINGS _
SMOKE DETECTORS _
DOOR CLOSERS
BATHROOMrrffAMION
- �+
ALL PLUM OPERATL11
GARAGE F
DOOR CLO
OTHER FIFIRE/DEMFINAL ELOK TO IS
COMMEN
mac) t _
ARRIVE
DEPART --
I OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12809
TELEPHONE (518 ) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR X SPECTION/ RECEIVED _ � /�`�
NAME I (' �/' o. /of
LOCATION / jel3/
DA TE ERMXT #!tf
APPROVE
YES
DOTING/PIERS
MONOLITHIC POUR Ff.JAMS
FOUNDATION/DAMP-PROOFING
BACKFXLL APPROVAL
ROUGH PLUMBING ~
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY ,HEIGHT
ROOFING
SIDING
EXTERNAL PORCHBqPSTEPS
STAIRS-CIFTXTU
& RAILS
PLUMBINGS/RELIEF V VE
INTERIORIVACY DOORSFINISHEDGARAGE FINGDOOR CLOSMOKE DEFINAL ELECNSPECTION
FINAL APPRCONSTRUCTION
A SIGNED RTXFICATE OF OCCUPANCY MUST BE
OBTAINEDtRSES
OM THE BUILDING DEPARTMENT ,BEFORE
THESE PRE ARE OCCUPIED!
REMARKS:
INS EC OR
x v s
20
.
i .�.
NX
ct
,. .
No
60
PL
AMMA
i
.t. �7