1993-113 •
CERTIFICATE a ._ .COMPLIANCE
TOWN OF QUEENSBURY
•
WARREN COUNTY, NEW YORK
Date avt ut01-u 19 94
This is to certify that work requested to be. done as shown by Permit No 33-113
has been completed.
This structure may be used as a nnrr-h
Location Sherman Island Road
Owner Barry and Linda J. White
150-1--0 . 2 By Order of Town Board .
TOWN OF QUEENSBURY
- .- • - --
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93- 113
WARREN COUNTY, NEW YORK Ui
O
PERMISSION is hereby granted to af}Rr2\11 J. czrxi Li NSA ,%, Wt+
OWNER of property located at 6V n-yin I—5(avli Poor] Street, Road or Ave.
in the Town of Queensbury,To Construct or place a PON'C
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
I?D Bow 32'I
m
Queer-)s6L+-ry N y 1280
2. CONTRACTOR or BUILDER'S Name
SDI
A
3. CONTRACTOR or BUILDER'S Address L�
r
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ►Steel ( ) rn
7. PLANS and Specifications
No.2,0')(Z14.' ►hRCis 1)5 P Z --PLC3 -P`R1' , SPEC I RICf?TIOrLS
A-ND (4I�'' L LC(-4T10N', US
8. Proposed Use T
+)RCS
$ .56 oo PERMIT FEE PAID —THIS PERMIT EXPIRES APR IL 2( 19 94-
(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 TN Day of A-PR IL.. 19 93
/2
SIGNED BY for the Town of Queensbury A
Bur mg and Zoni nspector
/' 16% TOWN OF QUEENSBURY Fee Paid kip--
BUILDING & CODES DEPARTMENT permit # y.3-��,�
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost ANOO
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 followin w• i`h will be
done in accordance with the description, plans and specifications s%rbi t ii. • such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL S.' LL BE SUBMITTED
WITH THIS APPLICATION. PR „ n1993
Owner of Property: ear J and ,J • (oG,,44_, ,/ram. & CODE DEPT.
P.O. Address D '/ R0x 27 SLi�r ryra-J r d . �u� shw}� Phone #
/ �
Property Location SVI�;�'n���1 T��� ��� ' Tax Map #
Subdivision Name (If applicable)
PERSONI RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: fjarr J , LJ�; � Address isn-/Ao„J T . Rai
Phone# 79Z L
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : e/?O s f • 4" '= ®
Foundation Material : Width Thickness
Depth of Footing, below grade: ziy
ii
Size of Posts or Studs: a x 6 x 9a % Long
Size of Floor Joists: a x /J x /j2 Span
Decking or Flooring Material : 7/./ T,i/505 6rmt� P/y,�o�
How will Porch or Deck be fastened to building? � � 7Lo
fx, 5-1,•,,} ham, �4,�c�jj
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing) : g dx__, Span
Type of Roof: Sloped` ' Aat Shed ' Other (Circle one)
Material of Roof: 74 k,* lvi,nl�j /
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: /110. ft. x L C) d ft.
Existing building(s) : Size F2 ft. x '/0 ft.
Size gq ft. x ft.
Us of Existing buildin (s) :
2 f so 9 �`-�n�a 7h td cijc 3 a '
Proposed struct-Gre, distance from property line:
Front yard SCE ft. Rear yard /60 ft.
Side yards 6 0 ft. and ft.
If on corner, setback from side street: 6O 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. t
DATE: 7 A_O " 73 SIGNATURE Gam(/
44,,
wne , � - Agency Architec �, do ractor
REVIEWED �`BY CODE ENFORCEMENT OFFICER, DATE 7_, q. S ATURE .,•--�--
0 U-C11
=°` '------ •,i, MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
1337 West Chester Pike, West Chester, PA 19382-6422
APPLICANT COMPLETES THIS SECTION Date: ': :%
City, Town or Township County • ' ' State
Location/Address - . -• "
(If Located in Rural Area - Please Attach Directions) Pole # g1Y / 3
Owner Permit # r
Occupied As Building: Newf I Old I-'-Y
Occupant
• Work Area in Building (Floor #, etc.):
App. for: Wiring❑ Service❑ or: Ready for Inspection:
Fee Remitted-$ Cash❑ Check❑ 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— _ Amp. Service Surface Unit Dishwasher Range
Receptacles Water Heater - Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
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 7'/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's
Signature License # Permit #
T/A • /:, :- ,•' r - Utility:
Applicant's Address: (NAME) (OFFICE LOCATION)
il ! L..
(City) - (State) (Zip) Service Request # ` -" ' ;
Phone # Electrician:
MDIA USE ONLY f ? `=l
DATE RECEIVED: DATE INSPECTED: / / ,
Correct Location: Same as Above 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 1,/2 2 3 5 7'/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 CO RECT FEE PAID
rf RW Progress: Inc.❑ LKD I Contractor u-----
❑ CFT Violation: Work Comp.❑ Inc. ❑ - /
❑ L/A Owner CASH
n L/A Fee CHK #
_ Due MO #
IPA Municipal
INV #
. . Applicant I
Date: yJ" Other Side 1 >1°` Utility Owner I —I'
Cut in Card ❑ Temp # Date 0
t ; e INSPECTORS SIGNATURE
1 Final # i Date I1
APPLICATION FORM NO.250 EL 4/93
• ELECTRICAL INSPECTIONS
• DUPLICATE22__ MUNICIPAL RECORD
Permit No. 19yl 0
Owner .___23_2,ei2.V !J / Pr
Occupant �" �j ,,, XS
Location-/�6�H-6=' II �'J , /2®,
/Q.Lt e '/ Q t / Street
(/�OJ Town or Csty '/�/ stare
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
N ` CO'
Date b �.. Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL.
4?-3 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER;
QI ITT FT% WIRING &CONTROLS FOR BURNER
// RECEPTACLES H.P.PUMP
7 FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W. WATER HEATER Z FRAC. H.P. VENT FANS
MOTORS N.P. 1/20 1/12 1/10 % %6 '% %3 % 3 1 1/3 2 3 5 71/2 10115 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
6741
TOWN OF QUEENSBURY
__!/�A�� 531 BAY ROAD
-' „ QUEENSBURY, NEW YORK 12804
r
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION ,-
REQUEST FAR INSPECTION RECEIVED X./d-3 3' 3
NAME -9G'c-4 ti __
LOCATION 9112-1--/--.:_-__. ' >el f2-
DATE 9-.2 c_3 PERMIT#
9 //
TYPE OF S IUCTURE !'L4?A
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL vPRAMING
ROUGH PLUMBING ' FINAL ELECTRICAL SEPTIC
LINSULATION _WOODSTOVE/FIREPLACE _
REMARKS "pj,L, ThZj/7g
4 APPROVAL
•
k N/A,,,-YES NO
CHIMNEY HEIGHT/LOCATION, /: ✓
B .VENT/LOCATION . :/�
PLUMBING VENT .4
ROOFING ,7
SIDING
DECK/PORCH/STEPS/RAILINGS ,' ✓'
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK ✓
INTERIOR TRIM/PRIVACY DOORS -/
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT''
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED ,
STAIR CLEARANCE/RAIL'INGS ✓
HANDICAPPED ACCESS i7 ✓
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING ;-"' -
GARAGE FIRE PROOFING ✓
DOOR CLOSERS ; '' ,---
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS ✓�
DUMPSTER ✓
SITE PLAN/VARIANCE REQUIREMENTS ✓r /
FINAL ELECTRICAL -----•
OK TO ISSUE C/O OR C/C i. '
COMMENTS:
1/ �� /Z 1
ARRIVE 1:54..' oZ D /.7
/ , _
,„.,_. ,DEPART c ,, g, ,..
r/INS
C /i 7
TOWN OF QUEENSBURY '. ✓ /2/
BUILDING AND CODES DEPARTMENT.
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED g43
NAME 'J 0AL/ I ///17;
l/
LOCATION ,„1R P)jyy!L,- /n1 J V <- t
DATE /ni,///C/ PERMIT # 9/3-//
1 /
TYPE OF STRUCTURE
RECHECK / APPROVED
, N/A YES NO
FOOTINGS/PIERS 1
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE 1
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM /
FREEZING FOR 48 HOURS FOLLOWING!
THE PLACEMENT OF THE CONCRETE./
MATERIALS FOR THIS PURPOSEpN /SITE
FOUNDATION/WALL POUR a
REINFORCEMENT IN PLACE V
FOUNDATION/DAMPROOFING A'
BACKFILL APPROVAL
ROUGH PLUMBING d` 3
PLUMBING VENT/VENTS IN PLACE 1
PLUMBING UNDER SLAB a
FRAMING: / 1
JACK STUDS/HEADERS /
BRACING/BRIDGING /
JOIST HANGERS /
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN 7/
XINSULATION:
FOUNDATION WALL' INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS % - R-
WALLS / R-
CEILING / R- Zo
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE (0 •(5
DEPART
. NSP1�,IR
TOWN OF QUEENSBURY 44
BUILDING AND CODES DEPARTMENT ' `
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED Oak-3
NAME 67.01Azl 14117i ,
LOCATION �rl.P
DATE &IA 1q3 PERMIT I 9.3-//
TYPE OF STRUCTURE 496W46
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 HOURSIFOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR �J�THIS PURPOSE ON SITE
FOUNDATION/WAI;L POUR
REINFORCEMENT9\IN PLACE
FOUNDATION/DAM4OOFIN'G
BACKFILL APPROVAL
ROUGH PLUMBING \,.
PLUMBING VENT/VENT ' IN PLACE
PLUMBING UNDER SLA`Bk
FRAMING: .r` \,
JACK STUDS/HEADERS\
BRACING/BRIDGING
JOIST HANGERS' .
JACK POSTS/MAIN BEAM \
HEATING ROUG-LIN
X INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR' R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
No /A,v-3 WiGlz T v 0 co
- i,(16 ( '
C I-LLr4f7,z j r
ARRIVE ;
77:
DEPART ?�%c-�S 1J. -
` V I' SPECTO
TOWN OF QUEENSBURY )%/J
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447 ,
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 6//7/5V lh„...
NAME &OLD t/ /'t//
LOCATION ✓/ //Y/,jt,ld,,, /j'
DATE a//7/13 PERMIT # 93-j/`i
TYPE OF STRUCTURE Pj¢f+'-M
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 PURPOSE ON SITE,
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING , r
BACKFILL APPROVAL I
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE n�
PLUMBING UNDER SLAB
FRAMING: �[!
JACK STUDS/HEADERS
BRACING/BRIDGING \ I
JOIST HANGERS
JACK POSTS/MAIN BEAM A
HEATING ROUGH-IN /
INSULATION: p "s
FOUNDATION WALLS INTERIOR Ra
FOUNDATION WALLS EXTO2IOR R'4
FLOORS /
WALLS
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES /
REMARKS:
4)0S i cs. 1/4 .9
,„,
4,1_,,'-SJCcvtt- h ezze l G-;e_e
9
C
ARRIVE r �7
DEPART J o
S ECTOR
N- '0(-(1-0:417
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 V 3
NAME .' BRA/ �j
LOCATION Wif J".44..„ _!I!'�1_ 0
DATE if PE T # C
TYPE OF STR CTURE Y/ '
RECHECK APPROVED
N/A YES NO
OOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION, FROM
FREEZING FOR 48 HOURS FOLLOWING l
THE PLACEMENT OF THE CONCRETE. i
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL /
ROUGH PLUMBING • /
PLUMBING VENT/VENTS IN PLACE'
PLUMBING UNDER SLAB
FRAMING: f,
JACK STUDS/HEADERS /
BRACING/BRIDGING /
JOIST HANGERS /
JACK POSTS/MAIN BEAM!'
HEATING ROUGH-IN ,r'
INSULATION: I'
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R=
FLOORS I R=
WALLS ,;` R-; _
CEILING / R-
DUCT WORK OR PLPING IN UNHEATED
SPACES
i
REr4RKS: •� L(
/0 a VoTu T c-f 7.9 -604-
co )CmPou _
ARRIVE /vim 10
DEPART /a^Zc:--
INS CT R
ME LNGINERGD"TKV n
j 2xh RpFT�kS FALSE 2DDF ATT44CFE0
I
J
l�xl$IiNG
,_. r�TTACHED M.�7gL SOiST
I Ij i
3&'T/G DeckING
- eedNase.a r..10 lxlD 6.edytr� _
FLDOR Shccs 2 x10' ib"'oN ccNtse
L EV LL ° n" soxo Tabt$ c't rourdo P"
-------- t ---- --- -=^
bo a 1 ry
OF OUEE
NSb,
REGFIVED
APR fw, 1993
v I vv1 ,�. caaF D Pr
TOWN OF U Z IN �a°U TZ y TOWN OF QUEENSBUNY BUI M6 DEPAR'EMENT
BUILDING co E PT. Based on our limited awwmk
compliance w b Our *d p F p� p
REVIEWED BY_ mansot anconstrued as�k� Me P` u IF P ®v M u r n i" n i., 111 -/13 r•., Plans and speci6eebons an in 1�
d
I '
POOL
NrW
31 REST
-PLOT �PL KN '1,e = V
a
tQ
App!ication
APR log
/1
Id,r E"iizi:,ator
�':�f'stiRY
4 OF OUEENSb-
RECElVED
APR /U) 1993
& CODE DEPT.