97-318 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
October 2'7 97
Date 1997318
This is to certify that work requested to be done as shown by Permit No.
has been completed.
SINGLE L AIf5LY DWELLING
This structure may be occupied as a
Gs N =
1"i- LAN_{�,
Location
VAf.iL I+!`l`'L{R BUILDERS, INC
Owner
TAX t l 1:£ NO. 61. -I-5 8 By Order Town Board
T OF QUEENSB RY
Director. of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 119000 TOWN OF QUEENSBURY No.
TAX MAP NO. 61 . —2-58 WARREN COUNTY, NEW Y0RK 9i318
PERMISSION is hereby granted to VALENTE B-UILB-B ;, IN'C .
OWNER of property located at GENTRY LANE Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY dDI DWELLING
at the above location in accordance to application together wit plot p ans an o er information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
60 SWEET RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
VALENTE BUILDERS
3. CONTRACTOR or BUILDERS Address
60 SWEET ROAD
QUEENSBURY, NEW YORK 12804
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
( )Wood frame ( )Masonry ( )Stee�N tE FAMILY DWELLING
7. PLANS and Specifications
1450 t• FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECTFTCATTON5
8. Proposed Use
SINGLE FAMILY DWELLING
$ 215 PERMIT FEE PAID —THIS PERMIT EXPIRES June 27 19 99
(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 27 Day of June 19 97
SIGNED BY QD,A.X-R for the Town of Queensbury
� �•� !'`�
Building and Zoning Inspector
; -
' Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 (761-82561
- BUILDING & . CODE ENFORCEMENT
NOTICE Requirements prior to issuance
A permit must be obtained before , of this permit: PERMIT FILE NO• . - 1.
beginning construction. No inspections D
will be made until applicant has received 0 Zoning Board Action PERMIT FEE PAID$ �s,
• a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION F .` P• ) $ •
MUST be completed and•the signature EPlanning Board Action
•
of the applicant must appear on the REVIEWED B : ,
application form. A. •
SPR / Subdivision /Other Ar Building lnspeaor
i
- .1 - Recreation Fee Payment
VA
Applicant: (Zc TILC'Owner: 5/407E_
' Address: w 5LJG� 9s)• t e ess: C
•
1'hono # ( ,[ _) 'lib^ S L)c Phono # ( ) •
Property Location: 3 (, iev i._ 1&E . //
Subdivision.Name: � Lt `1--c �JI- � 1:..,s. , Tax Map Number . C. on .2 Laig
r Section Block Tnt
N T RE OF PROPOSED WORK: ESTIMATED MARKET yALUE OF THE
New Building:. CONSTRUCTION: /)(4000
residence / commercial .
Addition to Building:
residence. / commercial OCCUPANCY INFORMATION: .
Alteration to Building: Primary Building -
residence / commercial X( Single Family D ' '
Residence / Commercial Two Family Dwe liynd
•
no change to exterior size . . Family D;elli '
Office 'z
Other Work (describe below) • Mercantile JUN.1 8 1997 Manufacturing
Other TO �1�`0F.-6..,..�: _
GROSS AREA OF PROPOSED STRUCTURE• 4�O ��lfL®iiV�,� :r "o:;', Y
�
1st Floor ,�y,�"0 sq. .f� If ADDITION, what will use
`�`�-
2nd .Floor sq. ft. / of new addition be? :
Other Floors sq. ft. '
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: 4:" /i/5O SQ. FT. XC Attached Garage 1, E.2R>
Private Storage Building
SIZE OF NEW STRUCTURE:. . Commercial Storage Building
Other •
2 i3 FEET X 5 c3 FEET .
Foundation Type: F ..20(l.i ) e.00c .cTi= Will any second-hand or ungraded •
' Number of Stories: / ' lumber be used? so, for what?
(habitable space only)
Height (grade to ridge) : )8 feet TYPE OF HEATING SYSTEM:
Number . of _'`
fireplaces nd/o woodstove (circle all which . . .lies)
to be installed: '-- - ' _ / Ce // ood
Forced Hot Air / Baseboard / Other -
Person re-isponsittle for supervisi f work a regards to building
codes is: D "3- t asz. _ V
'Name Addresss Phone
Builder: VA rg � 1=.125 j-'C. 6o 5w��9.-b,,f,FeiuS iVi '79(g—
Plumber.: 1731J.x-5e_?_ c .3 9 fil i%ytiW1 "- .T.VE! 1-44E 1.-L)7. y 6ct6 37,
. Mason: VPL,EAJr SbO Y>1 -QS 211.ue-. -
Electrician: V. ) 1 -&v / T(1.c,1)-r- LA-4p Q- . ` 0hb (. 0.g.I— 2.355
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 specified or noted, and
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a
- Certificate of Occupa or Certificate of C mpliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; . , n t/scale, sho i tual location of project on premises.
Signature: • ,.
l
(owner, owner's agent, architect, contractor)
;('J,V..,_A.l J::,,.n/•J_t/',t.C.nAn•lt_l':,P\t.C"a._l'JJAat/:J_tl'7,tn:lt/,)":';3,t.:•)!, A...c:lt.C7J,4.:),J.t1:et._l'?..C�,.94*C�na/2X../.j%),.1'J.A',1,9._l'At._l':,4 S"C'at._l"J.tKJ.t_f'An.l.t_Cltl:lt:17. -91 t._C"17,An,_l'ecC,,S:,
-h IY
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE [.
.c, ��' BUREAU OF ELECTRICITY ,y
111 WASHINGTON AVE., SUIT ALBANY, NY 12210 r
Date DEC EMBER i.LY[1 i, r08,1 C,t.3'7 Application No.on file ''�t IC-"�l"t'? F. ?% A. [.,3v"{s'i �r
. THIS CERTIFIES THAT l:'E !' .C3' N(..) `s'j_ i3 r1
• only the electrical equipment as described below and introduced by the lie named on the above application number in the premises of Y
-v• VALEa1Pd:i [;:LDRS I:I'di: af�;t1 ."R L,F',,NE, MR•/ R S. ta, ; EN, ot}l>R�,Pf8;3i.lRY, N 1
.r, in the following location; 1''• Basement ❑ 1st Fl. ❑ 2nd Fl. GM< Sectioti!1 Block Lot
k: was examined on 01-11'{BEI :-.t . 19 9 1 and found to be in compliance with the National Electrical Code. S-
-4: IV,
.FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
SWITCHES �r
• OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. Y
I j°' ,•
t-v DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,r
': Y
�' AMT, K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.111:3 H.P. NO.OFF FEET AMT. WATTS Y
SERVICE DISCONNECT • NO.OF S E R V I. C E r
�i AMT. AMP. TYPE METER L 0 2W 1 2 3W 3 0 3W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G.
r_t EOUIP. PER.B' OF CC.COND. OF HI-LEG OF NEUTRAL Y
R T.
i 1 rYli ;r}" 1 ❑ ■ 1 p` !t 1 ! li i •
�' OTHER APPARATUS: !lii
-(4 <T
4).ii
:Y I'i[eYEC% UiiTEl`' OBT.TER:..1f • t.-4.5 K.(I, ,a
1 Y � ,T-
• i' . .I-;.— I .
UOi;W DETECTOR —4 •
r
1Y <r
1.1
i•<.
1, -I`..r . - y
•
_. •
t:, ,,,
L l.}k•liil',}.J I-FlGOY 4.T t : l GLJ�, ,T
.,. . TROUT LA f<n RU s,.) 1• '1,.:,„pis•• r,ji L -1 Y
1301�T'l N 'LANDING,, I�Y. 1� :314 `�y.l�S�` -t.al:o GENERAL MANAGER ly
ICI Al i R/ — yT'% . ...9
., -, -.• �_ _ Zi Per 3-
g.: This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
-?-iAi" -,-;.?'<t?<P/ri;i4f rA\"i6i.-4?YAi'isi-iAi`4f 41-cie•iii-iti Y.i`;.?YAi'7iY7A7YAY'i�.JeYii—?.. YYA(1AfYt('i.iYACYAY:?.?•4?YAYYA8 ie—i-e.:sie i.Oe'cieY-i-e.V.zielis?.?e?e4:c?.YYtY?",itYA?t-
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
• /��' TOWN OF QUEENSBURY
w w/�r BUILDING & CODE ENFORCEMENT
s.+.f3 . 742 BAY ROAD
�/ �sw. QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: 02-4
FINAL INSPECTION REPORT -RESIDENTIAL
DATE INSPE IO REQUES RECEIVED: / 1 -
NAME
LOCATION I
DATE - PERMIT I A l�7�3l
TYPE OF STRUCTURE 4Sc4
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEI
PLUMBING VENT l
ROOFING \
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
:\
RELIEF VALVES
FURNACE/HOT WATER OPERATI G
INTERIOR TRIM/PRIVACY DOO S
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
•
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
, DOOR CLOSERS
FINAL ELECTRICAL
SITE N/VARIANCE REQ.
NAL SURVEY PLOT PLAN i
OK TO ISSUE C/O OR C/C
i9,L, 1\1)=1-; CI
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 1
Building & Code Enforcment Arrive: 1`A- Insp:
Dept. of Community Development
Town of Queensbury Date Inspection Request R ved:/O --d.7- 1. 7
742 Bay Road
Queensbury, NY 12804 ` ZtAAQ �7fNAME \J al O rC�_ PERMIT NO.R ! -3/
LOCATION . (7-�e)1�\rr ,'L-ev-•1A_ DATE 1(7 --a 7-- 7
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location J/
Fresh Air Intake V
Plumb Vent Through Roof •:/f
Roof Complete V
Exterior Finish Complete •f
Interior/Exterior Railings 30" to 36"
Exterior Handrails, Balconies, Landing 18 in. or more
Interior Handrails Stairs Both S. s 3 or More Risers ik/1/1/
Grade 2% Away Fro Foun•• io
8" Clearance To Sill Pl ke Gas Valve Shut-Off Expo -,�/Regul for 18" Above Grade
Gas Furnace Shut-Off wi n 0 F t or within Line of Site
Oil Furnace Shut-Off at F ntranc. t Furnace Area -
Furnace/Hot Water H- r Operating 41/
Relief Valve(s) Installed
Headroom 6 ft. 6.in. On Stairs V
Basement Stairs 6ft. 4 in. V//
Handrail Exterior Stairs Both Sides More Than 3 Risers
Interior Privacy/Trim/Doors/Main Entrance 36"
Floor Finish
Bathroom/Kitchen Watertight 1/
Interior Handrails Balconies/Landing 18 in. or more
Railing Across Window in Stairwells ,/
Smoke Detectors: i
every level VI
every bedroom J
outside every bedroom =
inter connected ,//'
Bathroom Fans V/
Plumbing Fixtures r/
Foundation Insulation
3/4 Hour Fire Door/Door Closer
Garage Fireproofing tj.
Garage Penetrations Sealed
Furnace In Separate Room Protected (In Garage) ,/ , l
Light Ventilation Per Room /' \/
Safety Glazing 18" or Less From Floor ti(
Final Electrical ,/ -
Site Plan/Variance Required \/ I
Final Survey Plot Plan
As Built Septic System Layout Req.
Okay to Issue Tip C/O ,
TOWN OF QUEENSBURY f
-- BUILDING b CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804 '
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ,. /1. ,4. ��,. !!
3 ocati one t-Oh"e✓ 1:1 a 6er71 .
✓ ,
.Date qQ/9 7 Permit #
SOIL TYPE: Sand-Loam-Clay-
Results of Percol at- bn ' est-
(if applicable) Rate Min to/Inch
TYPE OF SYSTE
ABSORPTION FIELD: : ength
Length of each trench
Depth of trenches
Size of stone -
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Sze Typo
Bldg. to Tank G
Tank to Dist. Box
Dist. Box to Field/P^-
r
Openings Sealed? . No Partial
LOCATION/SEPARATION :
Foundation to Tank 23 feet
Foundation to Absorption feet
Separation of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
u_n \ c. A-)
Vk Pr ' c & I
SYSTEM USE APPROVED: YES NO
Arrived:
Departed:
,gc.,/
Building.Inspector
kilf\
c\RM (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ..
INSPECTOR'S REPORT: ARRV-2_5DEPART \1U.— T-- - -
• REQUEST FOR IN PECTION RECEIVED: '1--(4KgrA
Va.
NAME -A-,(-
LOCATION c n NTY. y
DATE PERMIT 97-L3J
c
TYPE OF STRUCTURE: J
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM \
_
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPOa BLE)FOR
PROVIDING PROTE TION F M EZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PU POSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _ -
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
HE ING ROUGH-IN --_L
NSULATION:L I-, �v
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS fl K 1A 2 0L R-tk R-
DUCT WORK OR PIPING IN
UNHEATED[� SPACES R- , /
• `C Q�c `� _4� \ Y
(r)TV)
(518) 761-8256
TOWN OF QUEENSBURY .
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
II ll �
INSPECTOR'S REPORT: ARRI:C DEPART�' `I INT��F'�
REQUEST FOR 'IN PECTIO RtttIIIECEIVF : F-- i�, 7
NAME \/CSi Pnn, k� 0 A Lam/
LOCATION TES /11 �J
DATE . g-",Il 2.-9-7 PERMIT 1 q 7J3
N7
TYPE OF STRUCTURE: Si3O
RECHECK APPROVED
N/A YES _ NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
-
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RE ONSIHLE FOR
PROVIDING PROT TIO ROM FREEZING
FOR 48 HOURS FO OW N THE PLACE-
MENT OF THE CONCRT .
MATERIALS FOR THIS POSE ON SITE
FOUNDATION/WALLPOU _
REINFORCEMENT IN PLACE _ _,.,_-
FOUNDATION/DAMPPROOFING 1-----
BACKFILL APPROVAL
PLU ING VENT/VENTS IN PLACE
\ R GH PLUMBING
PLUMBING UNDER SLAB ._ _
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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- •
-�� (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR ®' DEPART=,
/REQUEST F INSPECTION RECEIVED: 1
NAME Ni 0\ eirk �1 1 • •s
LOCATION 3 & i E L
DATE - `� PERM!IT `3 1
TYPE OF STRUCTURE: � 5 ( )
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS A
MONOLITHIC POUR FORD
REINFORCEMENT IN PLAe-
THE CONTRACTOR IS RE••PONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWI. G THE PLACE-
MENT OF THE CONCRET 7.
MATERIALS FOR THIS PURPOSE ON SIBS_
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL-'APPROVAli
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS _ V
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
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- •
•
kJcaD iNANA 41 - R`vC�o(Z 'io acci
flj /Yt\ (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ,
742 BAY RD., QUEENSBURY NY 12804
V
INSPECTOR'S REPORT: ARRW3nDEPARTIC�'-��
REQUEST Fs." I SPECTIoN REC EDr- V. AIW
_
NAME r Ale -) ,,-,A...... ' AiP
LOCATION ,� � - �` 0 I
DATE _ G PERMIT S 0 7 3
TYPE OF STRUCTURE: S 1
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
—
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RES ONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOW NG THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _ _
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
IR INFILTRATION BARRIER ___):77
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-
10 f '1'V\ (518) 761-8256
TOWN OF QUEENSBURY x--
BUILDING & CODE ENFORCEMENT
•
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR\\V.)DEPART
REQUEST FOR IN ECTION RECEIVED:
NAME /� \
LOCATION 3 l �`_-'�'J/ -��"/1
PERMIT\\\ #
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR ORM
REINFORCEMENT IN CE
THE CONTRACTOR IS RES ONSIBLE FOR
PROVIDING PROTE TION ROM FREEZING
FOR 48 HOURS FOLLONI THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
NY/
Fe NDATION/DAMPPROOFING _
v/BACKFILI:APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING .
JOIST HANGERS
JACK POSTS/MAIN BEAM ,
AIR INFILTRATION BARRIER
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT . '
742 BAY RD., QUEENSBURY NY 12804
rr77
c��
INSPECTOR'S REPORT: ARR,L2f-)EPART_C� _ l�
REQUEST FOR NS ECT))ION ECEIVED:
NAME \,/°\. -l'/��rY �� 'V
LOCATION
DATE � -� ERMIT
1 -3t `
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A ES1 _ NO
OOTINGS/PIERS i
MONOLITHIC POUR FORM
-
REINFORCEMENT IN PLACE J
THE CONTRACTOR IS RESPONSIBLE OR
PROVIDING PROTE TION FROM FREE ING
FOR 48 HOURS FOLLOWING THE PLA -
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SI E
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
_gACKFILL APPROVAL --— - - - — - -- --
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BE•
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
• 1
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIIOR R-
FLOORS R-
WALLS R-
CEILING R- _
DUCT WORK OR PIPING I
UNHEATED SPACES R-
-
5�a�� tab VA-) 'ti F U -‘►3C--,1j
���o► c\ o Q�Fac� ��1 tea
— _
:hi
I 2:
1
: : •
• s;
/ f: \ 41'':......[:::: ;i:;i::::::::;::.:::.••::::::::::c:::::. :';:i:i:;:if:::::,:i* ..1,k. .:•:•:•:•:•:•:•:•:•:•:- 5 A O !' :::: x r i .;:if .
il1 :::::::::1 il:if::::i:::::::a.:Ii:::11::::::: ::::::1::::%, -, ct.
.. ••.• — ————-4 IS :::'::: : :i i::::0,._j:ii..::
•
�•• \ •� \ ▪ •'•Q
•
•
14
i 1 •'..
-... • .:—...., '::•::::. .:::.:::....:.....
-, ,4---,-: o .•.:;F: N a.
l \ cs...,_•,,.,S...% 1'..::.:7 iN
\ .--P. 4\:4 ..T: 1:1)
•
_
•itn ...,N
i
0
:/V:oS -SG-51 E 499 /4 �: �::::::: • • to
-, 1 -- .1 i
- -- - - I
„ j"-05 -.56 - 6-0"-i tA)._,...__I 484. 4-6 ,., \ \ ).•••-•••kr ,,
• \\ as y;
i \ � ti off.
— — ._► ce ti
n
.:.. ...:.....:
ti
I
:..::::: ::::::::.*:::::.*:.::: ::.:::.:::::i:i:;*:.::: .: )..).%..-1 .- .:. . .:::::::::?:.:.:::::::.:ii....:.:: shig::::i:: :: ...... :::::.:.:.::::::i.:::: ::: .......-... ,
4 •
c-
'a
:......: :::•:•:•:•%:•:•:•:•:: .......:•:-...:•:•:•:•:•: :•:•:•:•:•:•:•:•:•:•:•: ....:.......:••• .•:• :•:•:•:•:•:•:-:•:•:•%* •:•:.......:•:.:•:•:•••• 2 I• II141L
- t
• J r
iact
7\ PARCEL A .� _ m�.: — s ,
i �.2 LU, 'i mar
vii
J , I
d!:!...::!.._:!:•••••••••••••••:•:•:•:•:•:....:•:...:•:..........:::::::F:::::;:::::::::.:.:.:::::::::.::::::::::::::t:::::::::................,......„,:t: 1{
rj}
k H
�h
C�
O
933_8S1_ _ --- 1 B -� _ _ - -- -- ` _
/e - -- - _- - -------- . -"\I ',\l'il� . n 1 +ter ^EXISTING ' --STREAM
-
•
Q
W 41 ,4 N �
O\
ob
W t Q a o
M,4Gli./ET1
Wok o 44 QN, � � ca wq� o
Qfj33
�
Q
16 / T ,p y
F . {1
Q ol
1
e wi�
� I�1000 -Jr
3
t
o�-s•s r ��°
� a
o�
W.
v.
�Ks
<4,1c-,,?o,-o L 4i1/'
N1 r v'P.r,pc c
Sa' . -0-
3>
I
W�
N
/�Si-�f-.sb S'
fMsi 9f3oS
� v
y
- - — _ _ /17 z�ofo S'
37. 77' - - - - L7tz
ti
4Da
ti
oa
�
N\
AO
pa
�
I
aw
/
I
I
97 7 o z
. - 7 .7 a' a' d
O /-)7 1
Wei
i �,acK .�► .J
� ti •� OQ �?� � 0 4 W
ONV
o
Q
14
v
v
J
W
J
s �
�
_
0 N
V V
Da
J
IN,
I
.7 Jr A-' ive ce
3 �
'
.f
w
i _
A �
O
ALI
m
Gt �,
s�
•
4j* .
... 1