1989-439 I +t
+CERT'I FICA E OF COMPLIANCE �
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TOWN 10F QUEENSBURY
WARREN COUNTY, NEW YORK
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` Date 11111y 19 .9
9P, �J' �3
This is to certify that work requested to be done as shown by Permit No.
has been compieted.
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i This structure may be occupied as a _.
Srr Pnpd Anrrh9 Fox Hollow Lane
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LAw ation
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Owner
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By Order Town Board
TOWN OF QUEENSBURY
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Director of Hld9. do Code Enforcement
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BUILDING PERMIT x
TOWN OF QUEENSBURY No. 89_439
WARREN COUNTY, NEW YORK , y
PERMISSION is hereby granted to aim Douarrey
OWNER of property located at 9 Fox Hal 7 ow Lane Street, Road or Ave_
in the Town of Queensbury, To Construct or place a Sr reeved Porch
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
Same c
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2. CONTRACTOR or BU1 LOER'S Name w
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Self w
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
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5_ ARCHITECT'S Address
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B. TYPE of Construction — (Please indicate by x1
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sa
( Y wood Frame ( I Masonry [ I Steal ( )
7. PLANS and Specifications
No. 13 ' x 13 ' screened porch as per plot plan , specifications , and
application .
S. Proposed Use r
Screened Porch
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$ 16 , 00 PERMIT FEE PAID - TEAS PERMIT EXPIRES January 1 19 90 �
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(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.)
Dated at the Town of Queensbury this 15th Day of June 19 89
SIGNED BY for the Town of Queensbury
Building and Zoning rnspector
TOWNOFUEE`ti'SBU12Y � , r , w. 'DUI ,rT �. Nn *q N rr. rZ tr
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otz
TQWN DF QUEEiVSBURY
RECEIVED
P r/
Fee Faid � ,/� ,[ JUN 13 1989
11oU I LD I NC AND CODES va.te 74a ued
�riY .� ,nc! Flrti vl,�r3nrc+ Roans !tn l Box a3 BLDCi. & CODE DEFT.
nUEE`N.SBURY , NEW YORX 1230 .1 P ` ntt No .
Tel , ( 518 ) 792 -5332 E'xt 204
a a a a a ■ .a a : k a a a a a * a a ! r • s • s • •' k • • • w • ■ • • ■
A 1' EW117 MUST G12 OBTAINED BEI. ORE PECINNING CONSTRUCTION . NO INSPECTIONS
10I LL BL HADG UNTIL APPLICANT II11S RECEIVED A VALID BUILDINC PERMIT .
All applicablo spaces on this application must be completed and the
ruature of the applicant must appear on the reverso sick of this sheet
fe i4 w * :s X * * !C k ■ !c A * A % !4
Millie owner of this property //is : t Y1^(
Address t7� 1a LEI eat-i z L"_ T E L .
iroperty Location 5t ` 'TAX MAP
il .as there been any split of this property since October 1 ,
yes no
If yes , Planning Board Review is necessary .
:. UBDIVISION 14AME , IF APPLICABLE LOT NO .
'i, he person responsible for sup4ervision of work as regards Building Codes is :
E: P . G . A D Rkr;az� T 1L . N O .
f4"me of builder +1u a !T"r.c, Address J' +�
t4"ma of Plumber v Address Tel
hasme of MzLson AUdrezi5 Tel
rr.tiTuRE ap PRQfDSLL] 1r.ul2K : r ZONING INN OfLAfATION fOrrice use only )
conocrucciarr of a iruw building '" ZONING 02SICNATION OF PROPERTY
-S7AdJition to a ).xuildit+q r PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alcvi»..Lion to is L" ilding
� t110 I ,.+eu] . to .:x [: prior clirnons' ional r REVIEW REQUIR.CD - PLANNING BOARD. ZONING f3bARD�
0044ar work ( Juncr .Lbo) # SITE PLAN REVIEW d APPROVED DATE
r
t.oKOSS ARLA OV 1, RoPOSL' D . t 'rDcuc,iouhz * VARIANCE N. APPROVED} DATE
L .yt Pioor 141 sq ft . a Remarks :
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a _
nd Floor sq f t . w COi•YD'L1C111L: INt'0irhVk»r10N iCi-; ,U11CLD7 U1: LAAY1 a
Other Floors sq ft . a Sij*= of prol+� rty. zo � � fL x 7-( ( fr .
+ L:x.isitit�{l liuiiii � i] ( s: 1 5ia� i' L X ft .
( not collar or bas *2 c1
/
TOTAL FLOOR AREA C [" ! sq f t . a LX.I acing QW .616A .Lrt.l ( :. 1 Wa+j
of ntw aturu / 3 f t x ,0 f t
1•'ukuId:ation i, nu
fc: irclu one ) Front yard 7C_ a t Rear yard ! fr.
NJ . of stories (kkaMbivabl%: tLa.acc ) _ ,, _ -
fly ;gne [ tJradc to riel<a..: 7 .3 ft , ss.d.: y:.rd:: rt land et
I i realdwAtial , no . of f amilie7
a It on corn4r , :.0 tba,ck .Croon sidt., ac rwc:c f C
Nom of rao+nY i uxcludinq b"th:ak OCCUPANCY INFQr4*%AT ION
Ito4 of budroolfts , PRIMARY GUILDINc: Mm
NO , of b"rAkroomu; Ono fanu.ly dwelling
k'rimary 1ku.aciurj uy :iL .:w : lyp i;AW.Lly dwulliny
Yylau we fuQ1 a Mult.Lpl%& dwelling / Number of units
No . of firwplacwa: to kru in::c:allud 111aruLaln4kLt DCCUPWu cv
WL11 " wOQJ MiLoVa k,,: i1kuLQllwak'.'
k:asntr.al Air coi,411tiunir,g .' a 1'r:an :iwrkl: ouculs:arkc y
I3usincss�t
EkUILDING STYLE, PRIMARY STRUCTURE ■ Industrial
lutrch Conc%alLi:.cer"ry "Q cabin Ochear
I+aaitiw4l rnr'kala M..kna.ir.�k Ou,1•lwx • If .ad.iicion , w1L..aC will uu.;= 10�%7
11�1 ac lwv.xl Old utylQ lsu++yalaw
a:_.1.+u Cod CO&twclu Oclwr " ACCL'3SORY LiUILOINCG
CUlGni.al atOV i'owt+ tiOakSB ' 4ss: taChacl gariAga/ono cur/ two c4r/ CrAr
( CIACLI: QWL: PLXXZF= ) s Acc4Chuu q"r"qu/Dl1a4 Czar/ two C:+r/ C.aa'
■ ■ s ■ s s ■ s a b"il"ing
USTIMA.TUD MARKr*1' VA14U C OF a Och+3r
a: ONh: 'rKWC'L' IU [i , lI4nC?r3 a
7NFor%x^TION ON nurLDINC#; prcjprCAT`1ONS , ON rtLVERSE: CIQC OF THIS CftUCI', 110 Be COMPLCTCOI
Form BPA 10188 vl
BUILDING PERMIT APPLICATT_CN _ ZNTI` UED -
BUILDING SPEC IFICrTIGNS :
:ype of construction , wood frame , - ere safe , etc .
mill any second-hand or ungraded lumber '^e used ? if so , for what ?
Fou..zdation 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
4ize , wood studs " X " spacing " o . c . length ft .
Joists ( flocor beams ) 1st . floor " X " spacin4 " o . c . span ft .
Joists ( floor beams ) 2nd . floor " X spacing " o . c . span ft .
"i)verlays ( ceiling beams ) `•X spacing "o . c . span ft .
Roo£ rafters " X IN 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
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 EC LA R ATIO 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, anl�) 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.
g
Si mature
Owner, o er's agen t•chitect , contractor
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SPECIAL CONDITIONS OF THE PERMIT :
$y- -.. .......-........ ......____
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE 1518 ) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION ECE�T�`EI?
NAME
LOCATION 10
DATE PERMIT #-
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATIONIDAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN�
INSULATION:
FOUNDATION
FLOORS ;
WALLS
CEILING
NAL INSPECTION .
CHIMNEY HEIGHT
ROOFING ,
SIDING `
EXTERNAL PORCHES/ST PS
STAIRS-CLEARANCE & RAILS.
PLUMBING FI.XTURESJRELIEF ',VALVE
INTERIOR TRIM/PRIf17ACY DOORS
FINISHED FLOORS ---�-
GARAGE FIREPROO ING�
DOOR CLOSET �-
SMOKE DETECTOR
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUT
DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
I CTOR
tAlirnv & 440 '
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS .
QUEENSBURYt NEW YORK 1.28096
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION �
BATE `� PERMIT
APPROVER
YES NO .
4/�dOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION;
FOUNDATION r
FLOORS
WALLS }
CEILING '
FINAL 2NSPECTIdN:
CHIMNEY HEIGHTT --
ROOFING
SIDING
E,7CTERNAL PORCHES/SO S
STAIRS-CLEARANCE f RAILS
PLUMBING FIXTURE /RELIEF VALVE
INTERIOR TRIM/P IVACY DOORS
FINISHED FLOOR
GARAGE FIRED WING
DOOR CLOSER ( )
SMOKE DETEC RS
FINAL ELECTR 7cAL INSPECTION
FINAL APPROV L OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!-
" �q
REMARKS.
fl a,f
Vf
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT r BAY & HAVILAND ROADS A
QUEENSBURY, NEW YORK I2804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME T Q V
LOCATION I r
�-n L
DATE �p /l f� PERMIT
APPROVED
YES NO
X FOOTING/ ' ij'� x c-4
MONOLITHI POUR FORMS
FOUNDATION/DAM' PROOFING
BACKFILL APPROVAZ
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS `
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
yr
ROOFING
SIDING
EXTERNAL PORCHE /STEPS
STAIRS-CLEARAN & RAILS
PLUMBING FIX TU ES/RELIEF VALVE
INTERIOR TRIM PRIVACY DOORS
FINISHED F S
GARAGE FIREP OOFING
DOOR CLOSER ( )
SMOKE DETEC ORS
FINAL ELECTRI AL INSPECTION
FINAL APPRO L OF CONSTRUCTION
A ,SIGNED CER IFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS.
INSPECTOR
. ._ % G11f2 C7 LGG�f'L.� L�GGN B U I L D I N G & C O D E S D E P T .
THE FLANS SUBMITTED HAVE BEEN REVIEWED AND
HAVE BEEN FOUND TO LACK SUFFICIENT DETAIL
FOR PROPER PLAN REVIEW ,
WE HAVE ISSUED THIS PERMIT WITH THE
FOLLOWING STIPULATIONS :
I . THE WORK WILL BE INSPECTED AND MUST CONFORM
TO ALL PROVISIONS OF PREVAILING CODES ,
2 . IF DEFICIENCIES ARE FOUND THEY MUST BE COR -
RECTED BEFORE WORK CONTINUES .
3 . FAILURE TO COMPLY WILL RESULT IN REVOCATION
OF THE BUILDING PERMIT
7
Code En-for c ent Officer
a
to
Building Permit #
COMMENTS :
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