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2002-298 TOWN OF, OUEENSBURY 742 Bap Road,Queensbutq,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518)761-8256 CERDIIIIFICA" 'I"E0, MPLIANCE Permit Number: P20020298 Date Issued: Thursday,April,25,2002 This is to certi£y that work requested to be done as shown by Permit Number P20020298 has been completed. Tax Map Number: 523400-296-009-0001-010.000-0000 Location:. 11 SUTTON TERRACE Owner: STEVEN&DONNA SUTTON Applicant: SUTTON'S MARKETPLACE This structure may be occupied as a: By Order of Town Boatd- Shed I Storage Sheds TOWN of QUEENSBURY Director.of Building&Code EnIcement Building Permit Application Town of Queensbury—Dept of Community Development,742'Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File_No No inspection will be made until applicant has received a Fee Paid $ . 4 valid building permit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear on the Reviewed By:. application form. Applicant• _ Owner:_ Address: Address: Phone#( - Phone#{ ) Property Location: Lot Number: / House Number / Subdivision Name: Tax Map Number: ❑ New Building: residence /commercial Estimated Market Value of Construction: $ ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? UK Alteration: residence/tehmerc' ❑ No change to exterior size: rest om'l ❑ Other work(describe ) Check OCeupancyInformation V Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ❑ Single family dwelling o Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units F=r,*a-P_ ❑ Office t� ❑ Mercantile 3 2 t '❑ Manufacturing ❑ _ 1 car detached garage_ -- -- ❑ 2 car detached garage at P#t_t?ONQ, AND (',ODE ❑ 3 car detached garage ❑ 1 car attached garage ,❑ 2 car attached garage ❑ car attached garage Storage building- commercial kk ❑ Storage building- residential ❑ Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil t gas/wood /forced hot air f baseboard t other: Number of Fireplaces to.be installed <''�—Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason Electrician Declaration: please sign below after you have carefully read the statement: To the best of my knowledge 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 sp elfified or noted,and that such'work is authorized by the owner. Further,it is understood that Itwe shall su por to a ertificate of Oc. �r Certificate of Compliance being issued,as requested by the Zoning Admimsnqutur or irector f Build' and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all n ; cons c ' Signature: owner,owner's agent,architect,contractor Office Use GENERAL INSPECTION REPORT Inspector: Town of Queens.bury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE VO am/pm: DEPART_am/pm Note,: (518) 761-8256 Inspector's Initials,_ NAME: PERMIT#, LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS ;L Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48.hours following the placement of the concrete. Materials for this purpose on site FoundationVaRpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing__ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/1-leaders Bracing/Bridgmig- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppi 9 L:\SueHemingway\Building.Codes.Inspection.FORMSIGENERAT,INSPECTION REPORT.doc ... .. _ ..... ..-....C.... ... .... .. ... .. ........ ..... .. _ .._. .... _ ~fig, rR � REVIEWED BY DATE � w AT-.�..!. -.1.-........ _... _.. ..._ _ .._ rE-.. .. ._ .. IM" km IS FOR. OF � ,•rvPt 2...3 2002... OF ... .. ..:...... ....Y..t __ .__. ..... . ._.._... .. .._ ..._ _ �f�- SB __. ..: -._{.;.i........_.._...-- -----._....... ___......_ ....... .. .......... _. ......_..--- ... 2dOn0Ur�l��ri4ti�ii-+�•X�fFir;a�JUr��....._.-.....__. ..._ --- compiian z wiih our comments shall ;. : .. .. _.._.. . . ... - not be construed as-indicating the . plans and specifications are in full compliance . h �G .:i