1991-699 —I
111
BUILDING PERMIT k
12
TOWN OF QUEENSBURY
No. 91-699
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Michael Jabaut
OWNER of property located at Stewart Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 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. C
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1. OWNER'S Address is .y
RD2 Box 158
Queensbury, NY
fro
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
C,
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4. ARCHITECT'S Name R+
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CI.
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
O
("Wood Frame ( ) Masonry ( ) Steel ( I 7'
7. PLANS and Specifications
No. 238 sq ft Porch as per plot plan specificationsand application
8. Proposed Use
Porch
16.00 PERMIT_FEE PAID —THIS PERMIT EXPIRES October 2, 19 92
(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 D o October 19 91
/ o
SIGNED BY iY for the Town of Queensbury
Building and Zoni 'I spector
TOWN OF QUEENSBURY Fee Paid /6, 0
BUILDING & CODES DEPARTMENT Permit # 1--/ °/
APPLICATION FOR: PORCHES DECKS
DOCKS & BOATHOUSE Est. Cost
A .PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE 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. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of i;Propelly;' ir_hc o ( J D kC a l+
P.O. Address`,, \),)__ 1 SR Phone # —(q�- lo �1 5
Tom ;
Propertygt`o;cati on EB-}-p,, ,m-q- �c1 t��ri.S�'�r, Tax Map #
Su,bd °v:i.s:i on Name (If applicable) m j
•
A PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: .
Name:„v.- A Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: QV) ec Dock Boathouse (Circle one)
Size of Structure to be built square footage) : •• 3$
i�Foundation Material : Width lb g ,�
Thickness
Depth of Footing, below grade: fig ."
Size of Posts or Studs: .x x • Long
Size of Floor Joists: . ;x x Span
Decking or Flooring Material : 31/2-4 Tl-1 Cu( Pb`Ja t COI JCF'
How will Porch or Deck be fastened to building? U P 5
Co N c ? r r - t C G o.PJMS
If Roof Will Be Installed, Answer Following Questions: 404
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing. • Span
Roof Trusses (pre-engineered spacing) : Span
Type of Roof.: Sloped Flat Shed Other (Circle one)
Material of Roof:
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. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: 60 ft. x a50 ft.
Existing building(s) : Size ft. x , J 7 ft.
Size ft. x ft.
Use of Existing building(s): (ZCSIDel C.0
Proposed structure, distance from property line: .
Front yard 58 ft. Rear yard lto A ft.
Side yards 440 ft. and lflLi 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.
DATE: fs/ f SIGNATURE
J Owner, 0 r s Agency, Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE GNATURE
( / ,
� MIDDLE DEPARTMENT INSPECTION AGENCY, INC. , F
\ National Headquarters
1337 West Chester Pike,West Chester, PA 19380 •
APPLICANT COMPLETES THIS SECTION ' Date:
City, Town or Township i •-- County ' ' t t `) State •
Location/Address } } ' _)
(If Located.in Rural Area - Please Attach Directions) Pole # • '
Owner r .•/- I''.. I . • - f I:---;( , t 1—i__ Permit #
Occupied As - Building: New❑ Oldn
Occupant
• . - Work Area in Building (Floor #,etc.):
App. for: Wiring n Service El or: Ready for Inspection:
Fee Remitted-$' - • Cash n Check n M.O. I I Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches •
Lighting i_\ i 1k 1E.--_ Amp. Service Surface Unit Dishwasher Range
- - i Water Heater Air Conditioner Dryer Pump
Receptacles -
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
• Amp. Receptacles Fractional H.P. Vent Fans -
_ Other Equipment: 'i i i E_i _ ' 1,. ` t .i ,
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 .3/4 1 1'/2 2 3 - 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size •
Applicant's
Signature License # Permit #
- T/A Utility:
Applicant's Address: (NAME) (OFFICE LOCATION)
(City) . (State) (Zip) Service Request #
• Phone # • Electrician: '
MDIA USE ONLY •
DATE RECEIVED: DATE INSPECTED:
`"` Correct Location: Same as Above n or:
Red Notice Label -n�, .
• Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
'- Amp. Service Conductors Pump Vent Fans _
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6'1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
- 500 750 1000'1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
•
CERTIFICATIONS USE FOR INITIAL VISIT ONLY . NOTIFIED 'DATE CORRECT FEE PAID
I I RW Progress: Inc.El LKD❑ Contractor
❑ CFT Violation: Work Comp.❑ Inc. ❑ CASH
J I L/A . Owner
_ Fee CHK # __
El /A Due MO #
n IPA - Municipal • -
INV #
Date: Other Side CI utility Applicant 0 Owner
Cut in Card n Temp # Date
El Final # / Date INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 11/89
s. TOWN OF QUEEUSBUR:Y
BUILDING & CONK ENFORCEMENT
t 742 HAY ROAD
1 ' QUEENSBURY NY 17.004
(5)13)745 4447 .
ARRIVE: WA DEPART: f1:�'U INSP: �•
FINAL INSPECTION REPORT - RESIDE TI L
DATE INSPECTION-� REQUEST RECEIVED: .
;
NAME Z p-�WC.7:
LOCATION kk'CVtiN7IFT
DATE _ 1 \Clc PERMIT # 91499
TYPE OF STR URE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING. SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
. ROOFING $
EXTERIOR FINISH
t
it " .
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES 6 •
• FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: /��i
BATH/KITCHEN WATERTIGHT!
OTHER FLOORS *SWEEP BLE
OTHER FLOORS CA ETED I •
STAIR CLEARANCE/ ILINGSIf/
SMOKE DETECTOR f
BATHROOM FANS
•
PLUMBING FIXTURES
FOUNDATION INSULATION •
GARAGE FIRE PROOFING .
. DOOR CLOSERS .
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN /
OK TO ISSUE C/O OR C/C V
Je/ l 673
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ram+
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRI,;tC)DEPARTWWIN
REQUEST FOR INSPECTION RECEIVED: .3 /3 5
NAME _ 1 C 1 c r
LOCATION `1C`Ne-\ G3
DATE
►cam9 PERPII'1' #
-I Lo Cl
TYPE OF TRU TUBE: c;b (
RECHECK APPROVED
` N/A Y7 NO
FOOTINGS/PIERS k�\n`,
MONOLITHIC POUR FORM "`lll"""
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE •N SITE
FOUNDATION/WALLPOUR ', 4111 J
REINFORCEMENT IN PLACE
FOUNDATION DAMPPROOFING
bACKFILL APPROVAL , 1(
PLUMBING VENT/VENTS IN PLAC
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HE DERS
BRACING/BRID' ING
JOIST HANG 'S
JACK POST /MAIN BEAM w
AIR INFILTRATI,' BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERI R R-
FOUNDATION WALLS EXTER '.R R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN - --
UNHEATED SPACES R-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME LAZ, 9S-aLth
LOCATION 14. J Pd
DATE 17 (7/g PERMIT if
TYPE OF STRUCTURE POLO 2 (2-
0 ,QL. - fJz �tlLCt_//�RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS /D/ i/G// Q •
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM '
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCIETE.
MATERIALS FOR THIS PURPOSE ON SIt
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFIN � ,0,. ��,
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLAGEi
PLUMBING-UNDER SLAB
FRAMING: "s
JACK STUDS/HEADERS
BRACING/BRIDGING ';
JOIST HANGERS 'r
JACK POSTS/MAIN BEAM (' u
HEATING ROUGH-IN
INSULATION: i
FOUNDATION WALLS INTE IOR
FOUNDATION WALLS EXTE IOR R-
FLOORS Rt.
WALLS
CEILING
DUCT WORK OR PIPING IN UNHE1ED
SPACES
REMARKS:
� / rVti!fji l,iJ U O.)L.'/ ICJO.'b)
is�ry�-,T` L.L(ns I
19 btA i k 060 TO io/ r
p, r
L.41 PY1BthS bura i2�Lh
A-1- V Lu.
ARRIVE / 1
DEPART Z :L16 0�
INSPECT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME r-/A-- /4-V 1
LOCATION 4-121 v
DATE (//2 )/c --- PERMIT # /—( ?
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
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 PURPOSEf/ON SITE
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE I'
FOUNDATION/DAMPROOFING I/
BACKFILL APPROVAL .
ROUGH PLUMBING
PLUMBING VENT/VENTSPIN!PLACE
PLUMBING UNDER SLAB)
FRAMING: f.r s"
JACK STUDS/HEADERS
BRACING/BRIDGING I
JOIST HANGERS
JACK POSTS/MAIN ,IBEAM
FIRESTOPP,rING
WA LLS/
CEILING
FIREWALLS
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
REMARKS:
ARRIVE /;SAC (61?/.
DEPART /;.)51
V INSPECT1 R
)""l�Q
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION�/ RECEIVEDE
�� / ✓NAME /'//� mac'/ �h,
LOCATION •i)?ret
DATE 41 //h PER QIT # 61/_6
TYPE OF STRUCTURE P
RECHECK APPROVED
/ , ; N/A YES NO
L/FOOTINGS/PIERS /e/i.,/S/
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE
THE CONTRACTOR L'S RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF\THE CONCRETE:i
MATERIALS FOR THI'S PURPOSE;ON'/SITE
/FOUNDATION/WALL POUR /'o/%,,
REINFORCEMENT IN PLACE / / /
FOUNDATION/DAMPROO.FING/
BACKFILL APPROVAL k /
ROUGH PLUMBING
PLUMBING VENT/VENT;S% IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/H4DERS
BRACING/BR IFDG I NG
JOIST HAN,G'ERS
JACK POSTS/MAIN (BEAM
FIRESTOPP4ING
WALLS
CEILING
FIREWALLS
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
REMARKS:
•
ARRIVE
DEPART 1 3�
/ 411Itr
/ I NS PEC
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT �j
531 BAY ROAD �� /
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /r ,�'
NAME (c171-f,hW—f
LOCATION p� 4 /
DATE / AO/ PERMIT
TYPE OF STRUCTURE
RECHECK APPROVE
N/A I YE, NO
FOOTINGS/PIERS 1/
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING -FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRT E.
MATERIALS FOR THIS PURPOSE ON SITE
XFOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL H"
ROUGH PLUMBING �.
PLUMBING VENT/VENTS IN PLACES
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS 11 /
BRACING/BRIDGING
JOIST HANGERS A
JACK POSTS/MAIN BEAM / E
FIRESTOPPING /
WALLS j
CEILING I ,
FIREWALLS /
HEATING ROUGH-IN
INSULATION: f
FOUNDATION WALLS IN ERIOR R-
FOUNDATION WALLS E IERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPI G IN UNHEATED
. SPACES
REMARKS:
So
ARRIVE /
DEPART / v0 e4,�
INSPECTOR
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TOWN OF QUEENSB Y BUILDING DEPARTMENT
arl«r g; — — — — L
not_be_co ued as indicating the --- =
plans and 0ar� rations are in full
compliant.,-441; tne-code.— . —-- 1— — —
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