93-738 11
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
March 22 96
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 93738
has been completed.
ALTERATION TO DWELLING
This structure may be occupied as a
ROUTE 9L
Location
Owner SULLIVAN, 11/1U WILLIAM
TAX HAP NO, 1 . _1 r L 5 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT1-3
TOWN OF QUEENSBURY
No. 93-738
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to MR. & MRS. WILLIAM SULLIVAN
OWNER of property located at Plum Point Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations to dwelling
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. r
1. OWNER'S Address is
c/o Dr. Thomas Sullivan
1386 Foxfield Dr
Skaneateles NY 13152
2. CONTRACTOR or BUILDER'S Name
Brantwood Corp
3. CONTRACTOR or BUILDER'S Address
5
4. ARCHITECT'S Name
5. ARCHITECT'S Address
rty
6. TYPE of Construction—(Please indicate by X)
( Wood Frame ( )Masonry ( )Steel ( ) Fd
O
7. PLANS and Specifications �
250 sq ft Alterations to dwelling as per plot plan,
No. specifications and application.
8. Proposed Use
Additional kitchen area
12 . 00 rt
$ PERMIT FEE PAID —THIS PERMIT EXPIRES December 15 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.) O
In
Dated at the Town of Queensbury this Dayo December 1993
SIGNED BY = for the Town of Queensbury
Building and Zo ' spector N
L4
OP QUEENSBURY
REVIEWED BY
6111111hkilliallift FEE PAID $ /A. 71f„2 3/5/94/
PERMIT NO. Q.�j- 13647 cz d x-
BUILDING PERMIT APPLICATION /2C --
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
LL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
he owner of this property is: Mr. & Mrs. William Sullivan c/o Dr.Thomas Sullivan
O. Address 1386 Foxfield Dr. Skaneateles, N.Y. 13152 Tel. 315 685-3449
Pub t'� 9L Town of Queensbury
.operty Location Y Tax Map No. =/f /
:s there been any split of this property since October 1, 1988? ___/_
yes Planning Board Review is necessary. yes no
TBDIVISION NAME, IF APPLICABLE N/A
LOT NO. •
IE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Richard S. White Brantwood Corporation
•
ITURE OF PROPOSED WORK: ESP:MATED MARKET VALUE OF •
•
Construction of a new building • CONSTRUCTION: t 39, 000. 00
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
- h vvi • Size of property ft x —ft.
LAlteration to a building , cacti/ kthizo,O• Existing Buildings(3) Size ft. x_ft.
(no change to exterior dimensions)
Proposed building - distance from property line:
_Other work (Describe) " Front yard ft. Rear yard ft.
•
Side yards_ ft. and ft.
• If on corner, setback from side street ft.
LOSS AREA OF PROPOSED STRUCTURE •
1st Floor ± 250 sq. ft. • OCCUPANCY INFORMATION
•
2nd Floor sq. ft. • Primary Building -
Other Floors sq, ft.
• xx Family Dwelling
(not cellar or basement) • _Two Family Dwelling
• Multiple Dwelling/Number of units
TAL FLOOR AREAS°sq, ft.
:e of new structure ft x ft. • _Business
undation-pteslxlab/crawl/ • _Industrial
(circle one) • Other
•
6 of:glee thlitable space) 1 •
•
*tit (grade o ridge) unchanged• ft. • If addition, what will use be?
residential, no. of families 1 •
w of rooms(excluding baths) 1 • Accessory Building
►. of bedrooms 0 • Detached Garage ONE/TWO Car
of bathrooms 0 •
unary heating systems electric • Attached Garage ONE/TWO Car
pe of fuel
PNwte storage building
1. of fireplaces to be installed •
U a wood stove be installed no • Other
•
—......_
mtral Air conditioning no
OV• ER
9CILDiv; PERMIT iPP'_IC ATIO4 =OcT: L ED -
BUILDING ;PECIFIC.ATIOvS: SEE PLANS ATTACHED
T'.pe of construction, wood frame, fire safe. etc. Wood frame
Will any second-hand or upgraded lumber be used? If so. for what? no
Foundation wall material
block Thickness 10"
Depth of foundation below grade (to bottom of footing) 48"
Will there be a cellar? no Heated or unheated? unheated Floor sq. footage sq ft.
Will there be a basement? no Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/other shed Material of roof conventional
Size, wood studs "x " spacing " o.c. length ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " 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? NO If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? NO Height above roof ft.
Depth of chimney foundation below grade n/a ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well unchanged
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)
AME OF BUILDER Brantwood Corp. ADDRESS 25 Quaker Rd. TEL. NO. 793-7007
AME OF PLUMBER ADDRESS TEL. NO.
AME OF MASON ADDRESS TEL. NO.
AME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
lard and specifications submitted, are a true and complete statement of all proposed_work to be done on
le described premises and that all provisier-.of the BUILDING CODE, THE ZONINft 4.0:'_":rn"Cit.and
1 other laws pertaining to the proposed work shall be compll with, whether specified or not, and that
ich work is authorized by the owner. m
Signature
Owner, owner's agent, architect, contractor
PECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
" � 9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
t .
( " 1(,l C.t"'J �„e 9 ! f4:y i.-�-a I a*,. ���s'?1 c '_' .a \.5.,�,1�4 cm:N. I r
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - - ( square feet
'fl
2 . Type of Heat - -' Electric Oil Gas Other
3 . Is building mechanically cooled? Yes i No
4 . Percentage of area of windows and doors Over 17% ` Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
b. Exterior walls R
c. Glazed areas R -
d. Exterior doors R -
e. Floors over unheated spaces R 11
f. Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R -
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R -
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code `'� Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Appl ' a S' nacre Date Phone Number
INSPECTOR' S REMARKS:
TOWN OF QUEENSBURY
ae BUILDING & CODE ENFORCEMENT
i � 742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
iVF.: � Q r DEPART: INSP: '',____
FINAL INSPECTION REPORT - RESIDENTIAL V—
DATE INSPECTION REQ ES RECEIVED:,IV
t
NAME /I4 bi r_C/L,
LOCATION 9L.
DATE 3 2/ b PERMIT # 93-23i
TYPE OF STRUCTURE
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
DECK/PORCH/STEPS/RAI INGS 1
RELIEF VALVES
FURNACE/HOT WATER OPERA' ING
INTERIOR TRIM/PRIVACY D.IRS
FINISH FLOORS:
BATH/KITCHEN WATERTIG.
OTHER FLOORS SWEEPA:LE
OTHER FLOORS CARP TED
STAIR CLEARANCE/"ILINGS ,
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIX.URES
FOUNDATION NSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO. /
FINAL SURVEY PLOT PLAN
OK TO ISSU, C/O -' C/C
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TOWN OF QUEENSBURY 1-ko v
+E�14� A BUILDING & CODE ENFORCEMENT
E— trii� 742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
vc Pk DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME � UU c\NAtJ
LOCATION P LA.)\ P
DATE 2,.\ :A'9 W PERMIT \)'F i')
TYPE OF STRUCTURE RDD "T() ti�3t�ME� t
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
��� N/A TES NO
ECHIMNEY HEIGHT/B VENT HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINI
DECK PORCH STE', ' .CLINGS
RELIEF VALVES lr
FURNACE/HOT WAT'R OPERATING
INTERIOR TRIM/•RIVCY DOORS
r'FINISH FLOOR.:
BATH/KIT' EN WATER GHT
OTHER F SIRS SWEEPABLE
OTHE' FLOORS CARPETED
STAI' CLEARANCE/RAILINGS
ENKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
WOK TO ISSUE C/O OR C/C
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ILDING & CODE ENFORCEMENT /,
(1)' 531 BAY ROAD iik t? l' 4,,,,....
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C•� QUEENSBURY NY 12804 r ',N+4,
jj/ (518)745-4447
(ARRII.VVE� ``7O DEPART: A 20 INSP: '4
- F�INAL INSPECTION REPORT - RESIDENTIAL
DATE I1y(SPEcTION REQUEST RECEIVED: qd-3 PY
NAME Sti,6(ke._...—
LOCATION TY/ 4.1- / //✓d jr 7
DATE 6: , 3 C7 PERMIT i !,J ir
TYPE OF RUCT RE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
NIA ISS NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT L''''''
EQpFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY LORS •
FINISH FLOORS:
BATH/KITCHEN WATERTIGUT
OTHER iLDORS SWEEPABL
OTHER BOORS CARPETED
STIR CLEAjtANCE/RAII003.
SMOKE DETECTORS }..
pETHROOM FANS
PLUMBING FIXTURES
PARAGE FOIE PROOFING
P )R CLOSERS . •
7INAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY OT PLAN ✓
OK TO ISSUE OR C/C •
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TOWN OF1; ! - BUILDING & CODE ENFORCEMENT 1S
G531 BAY ROAD Z 1- =-44✓
QUEENSBURY NY 12804 ula ',
(510)745-4447
#ARRIVE: Q �", DEPART: rO-1,4 INSP: A ,
FINAL INSPECTION REPORT - RESSIDENTIAl
DATE IN PEC'CION REQUEST RECEIVED: 40' nt-1 "�
NAME U -�--
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LOCATION 1 6
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DATE // )-� - ! PERMIT 1 ( 7' / .1O
TYPE OF STRUCTURE ([vd{ 1tn
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
NIA YES No
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VEJIT
ROOFING
EXTERIOR FINISH
PECK/PORCH/STEPS/RAILINGS // "
BELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS 7/
FINISH FLOORS: v/
BATH/KITCHEN WATERTIGHT
OTHER I*LOORS SWEEPABLE ✓
OTHER FLOORS CARPETED ✓
STAIR CLEARANCE/RAILINGS Z'/
SMOKE DETECLORS I ✓✓✓/
BATHROOM FANS / `/
PLUMBING FIXTURES J
c_;ARAGE_EIAN PROOFING
mot CLOSER / A `V -
1~'IH L BLB IuuL 4L4LJ
v�� ,./.
SITE PLAN/VARIANCE REO,t V/
FINAL SURVEY PLOT PLAN N/
OK TO ISSUE C/O OR C/C
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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 c /
LOCATION a 9&
DATE ? 2S/1/ P PERMIT # 7
///
TYPE OF STRUCTURE
RECHECK APPROVED
- N/A YES NO
FOOTINGS/PIERS •
1ONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
1ATERIALS FOR THIS PURPOSE ON SITE
=OUNDATIWITALL POUR
EINFORCEMENT IN PLACE
:OUNDATION/DAMPROOFING
3ACKFILL APPROVAL
ROUGH PLUMBING
'LUMBING VENT/VENTS IN PLACE
plAIG UNSLAB
RAMING: cl _ILAA(44/4 .''' \e/
JACK STUDS HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN REAM
IEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
..,.......
WALLS R-
OEILIN R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
-— ),1-`" ---: ) \
_
‘...-
,..
kRRIVE ._,
WPART tO '..,0 ,-).--- :,-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
tEQUEST FOR INSPECTION RECEIVED
IAME
.00ATION
IATE ,5/0K PERMIT # 4.37-71.
'YPE OF STRUCTURE
ECHECK APPROVED
N/A YES NO
.00TINGS/PIERS •
IONOLITHIC POUR FORM
EINFORCEMENT IN PLACE
'HE CONTCTOR IS RESPONSIBLE
'OR PROVIDING PROTECTION FROM
'REHM FOR 48 HOURS FOLLOWING
'HE PLACEMENT OF THE CONCRETE.
IATERIALS FOR THIS PURPOSE ON SITE
DUNDATION/WALL POUR
:EiNFORCEMENT IN PLACE
8UNDATION/DAMPROOFING
ACKFILL APPROVAL
'OUGH PLUMBING
tUMBING VENT/VENTS IN PLACE
'LUMBING UNDER SLAB
RAMING: 1
JACK STUDS/HEADERS /
BRACING/BRIDGING -
JOIST HANGERS ti
JACK POSTS/MATN BEAM V
EATING ROUGH-A i ± \
NSULATION:
FOUNDATION WALLS INTERIOR 'R-
FOUNDATION WALLS WERIOR R-
FLOORS R-
WALLS R- vA _
CEILING ' R- 774;4,
DUCT WORK OR PIPING IN UNHEATED
SPACES
IMARKS:
RRIVE (A , k
/r
IPART C1_,
/ INSPECTOR /
t'A',,.:Ilifp .
641'e:_r/vpi,. (V( ,, , ,„,:p1
JATOWN OF QUEENSBURY
LhYr' '
DING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
-----
REQUEST FOR .INSPECTION RECEIVED �/ `
IAME L. t' G'il/
'_OCATION vti V d�I /-2VA
)AT !-
E // 7 PERMIT # 9 - Ztf
TYPE OF STRUCTURE
tECHECK APPROVED
- N/A YES NO
'OOTINGS/PIERS •
10NOLITHIC POUR FORM
tEINFORCEMENT IN PLACE
IHE CONTRACTOR IS RESPONSIBLE
=OR PROVIDING PROTECTION FROM
=REEZING FOR 48 HOURS FOLLOWING
IHE PLACEMENT OF THE CONCRETE.
1ATERIALS FOR THIS PURPOSE ON SITE
'OUNDATION/WALL POUR
tEINFORCEMENT IN PLACE
'OUNDATION/DAMPROOFING
IACKFILL APPROVAL
LOUGH PLUMBING E c,,r
'LUMBING VENT/VENTS IN PLACE
'LUMBING UNDER SLAB
'RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
(EATING ROUGH-IN
:NSULATION:
FOUNDATION WALLS INTERIOR R- (/!\
FOUNDATION WALLS EXTERIOR R-
FLOORS R ty
WALLS
CEILING #�
DUCT WORK OR PIPING IN UNHEATED
SPACES
tEMARKS:
(Pat /3/4/7)16/...i. 47%-/ (444
"A.r- (.4.4,0--16 0' 727d1 ‘ie..--1--
IRRIVE 3(2_0
1EPART 3(t// (/7
INSPECTOR
i� /
(el/AV/
��yy a TOWN OF QUEENSBURY
UILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
tEQUEST FOR INSPECTION RECEIVED S////5`�
•
TAME !
OCATION ,: Y "t 1 ''mil
(ATE y'/://4;/ PERMIT # `fg- 137
'YPE OF STRUCTURE
IECHECK APPROVED
- N/A YES NO
FOOTINGS/PIERS •
IONOLITHIC POUR FORM
;EINFORCEMENT IN PLACE
'HE CONTRACTOR IS RESPONSIBLE
'OR PROVIDING PROTECTION FROM
'REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
IATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR
',EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
'AUGH PLUMBING
'LUMBING VENT/VENTS IN PLACE
'LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM /
(EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R- /
DUCT WORK OR PIPING IN UNHEAXED
SPACES
EMARKS:
j,.
\ is/ 'f.?�� 4.7
4;1;4
RRIVE r 2--4,
E PART
INSPECTOR
( /6*X/ X piti
`o,i-z 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 57i//� 7`
LAME 501(//1/G6AL.
_OCATION
)ATE 5/11/41 PERMIT S '3 131
TYPE OF STRUCTURE •
tECHECK APPROVED
N/A YES NO
'00TINGS/PIERS "
10NOLITHIC POUR FORM
tEINFORCEMENT IN PLACE
IME CONTRACTOR IS RESPONSIBLE
=0R PROVIDING PROTECTION FROM
=REEZING FOR 48 HOURS FOLLOWING
fHE PLACEMENT OF THE CONCRETE.
1ATERIALS FOR THIS PURPOSE ON SITE
'OUNDATION/WALL POUR
tEINFORCEMENT IN PLACE
'OUNDATION/DAMPROOFING
IACKFILL APPROVAL
tOUGH PLUMBING
'LUMBING VENT/VENTS IN PLACE
'LUMBING UNDER SLAB
'RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM _
EATING ROUGH-IN
1SULATION:
FOUNDATION WALLS INTERIOR
FOUNDATION WALLS EXTERIOR
FLOORS
WALLS R
CEILING / R-
DUCT WORK OR PIPING IN NHEA ED
SPACES Via`
tEMARKS:
/ .7/
/1p UAL /L
ARRIVE
DEPART %/(24/
INSPECTOR
TOWN OF QUEENSBURY `
BUILDING AND CODES DEPARTMENT
h� /
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
[QUEST FOR INSPECTION RECEIVED
i(
AME
OCATION Y` 4,,
ATE /.7� % ? PERMIT if93 73 E3
YPE OF STRUCTURE/ / 4/4 -
ECHECK APPROVED
N/A YES NO
DOTINGS/PIERS
DNOLITHIC POUR FORM
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
DR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
4TERIALS FOR THIS PURPOSE ON SITE
DUNDATION/WALL POUR
EINFORCEMENT IN PLACE
DUNDATION/DAMPROOFING
4CKFILL APPROVAL ,f
DUGH PLUMBING
LUMBING VENT/VENTS IN PLACE ''
LUMBING UNDER SLAB t
RAM I NG: _
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM NJ1
EATING ROUGH-IN
4SULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
tRIVE \(:)1..
:PART 110 Y
IN PECTOR
TOWN OF QUEENSBURY /
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE• (518) 745-4447
BUILDING INSPECTOR'S REPORT
tEQUEST FOR INSPECTION RECEIVED /, /`�f*
TAME 72/ter..- 1f1Ji ,
.00ATION (� � j r%1
ATE /: %4/(i3 PERMIT I
'YPE OF STRUCTURE
ECHECK APPROVED
N/A YES 0
'OOTINGS/PIERS
IONOLITHIC POUR FORM
EINFORCEMENT IN PLACE
'HE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
IATERIALS FOR THIS PURPOSE ON SITE ;
OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
OUGH PLUMBING
LUMBING VENT/VENTS IN PLACE /
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MATN BEAM
(EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INT IOR R-
FOUNDATION WALLS EX RIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
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Engineering Details
Sand fill to have pre perc rate - 5-lo 'nin/ire ON-SITE SEWAGE SYSTEM •
No vehicular traFf Ic on hanks or bed3Cole n»how„ - I _ i - 15
leaching bed to be grass seeded i mauntalned ott. '93
A1( toilets to be 1.5 gat. Per flush nom. WI�„�„IAM # MARGARET SULLIVAN r
All shower heads 4 domestic -Faucets restricted to 3.o9pm_ max.
SKetch from deed description and rcuah field measurements not -orSurv.ey purposes NY 3 RT. 9 L - Tn, Qnsby Sh 3of 3
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