1992-701 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK FILE COP Y
Date June 17 19 93
This is to certify that work requested to be done as shown by Permit No. 92-701
has been completed.
This structure may be occupied as a single family dwel 1 i ng
with tlit ee-car attached yQi aye
Location Int 4 flak Val lay Why, Nnrth Fnrty SubdA
Owner PATRICIA & DAVID KRUCZINICKI
26-2-14 .1
By Order Town Board
Use of fireplace in this dwelling TOWN of QUEENSBURY
is conditional as per attached
from Fire Marshal Clifford Grant
If'flwd Val
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 92-701 c
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to PATRICIA & DAVID KRUCZINICKI
1 .1
OWNER of property located at Lot 4 Oak Valley Way Street,Road or Ave. i-.
in the Town of Queensbury,To Construct or place a Single family dwAl 1 i ng
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 7C
30 Pinoin Pine c)
Queensbury NY 12804
r)
2. CONTRACTOR or BUILDER'S Name 7<
Cifone Construction
c+
3. CONTRACTOR or BUILDER'S Address 2.
n
J.
I�
4. ARCHITECT'S Name
J.
CL
5. ARCHITECT'S Address
I-
6. TYPE of Construction—(Please indicate by X)
( )Q Wood Frame ( 1 Masonry ( )Steel ( ) 0)
cc
7. PLANS and Specifications
No. 3400 sq ft two-story Single family dwelling (irregular shape)
as per plot plan, specifications and application including three-car attached
8. Pro . �G
Single family -dWeVitig
az
426.00 November 6 93
$ PERMIT FEE PAID -THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 3.
town of Queensbury before the expiration date.)
6th November 92 e-
Dated at the Town of Queensbury this l -y of 19
/
SIGNED BY00,4/41(
; for the Town of Queensbury
Building and '4 ng Inspector
TOWN OF QUEENSBURY
--
401111116 REVIEWED BY: -"'-
"j411,1,
FEE PAID: 1,14, =6'/ _vvIV OF OUEENSBUr
RECEIVED
PERMIT NO. : 9R- 7 /
Nov 21992
BUILDING PERMIT APPLICATION r-LDG' & CODE DEpT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL 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.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: PAV \C_\A ' DATE KRJc--imc (%
P.O. Address: 3o PINior! PiNe ta.,u Vf .3f.'l 1\13. PHONE -- 9 -1941
Property Location: T q ` l/q,a,,Qj \fgA,i' Tax Map No. WO / 0,. / '4.1
Has there been any split of this property since October 1, 1988? Yes No X
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: N QP,T\ . FQ f ')( ( Kul Ra3t �-ot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
MM"- CI orl C
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
)<:. Construction of new building * CONSTRUCTION: $ o1. f
Addition to building *
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: 31e, ft. x a5 ft..)
Other work (describe) *x •Existing uilding Size:/
19,. 155- 3�1
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
to *
1st Floor \6QID Sq. Ft. i ;i * Front Yard Ila ft. Rear yard ao.3l ft.
.1,-;,-,
6^ * Side Yards &,5 ft. and X10 ft.
2nd Floor \ bCO Sq. Ft. /U t If on corner, setback from side street-
ft.)
Other Floors Sq. Ft � '
* '
1,1
(not cellar or basement) ` ei *j1 OCCUPANCY INFORMATION:
s* 111
TOTAL FLOOR AREA: 390.0 Sq. Ft. * Primary Building -
* c One Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) oa_ * Other
Height (grade to ridge) [4 1 ft. *
If residential , no. of families: * If addition, what will use be?
No. of rooms (excluding baths) : *
No. of bedrooms: 4
No. of bathrooms: i,, * Accessory Building:
Primary heating system: cofCEV VIDT A1PN * Detached Garage - One/Two Car
Type of fuel : O\ * )( Attached Garage - One/Two Ca NR
No. of fireplaces to be installed: I * Private Storage Building
Will a woodstove be installed?: tato * Other
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: (wood frame), fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what? \\j ,
Foundation Wall Material : -i \"\I Thickness;
Depth of Foundation below grade (to bottom of footing) : cb
Will there be a cellar? Heated or Unheated? Floor Sq. Footage:
Will there be a basement? `(E.7'5 Will any portion be used as living space? C)
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: (Slope dlat/Shed/Other Material of Roof J \q S O 1��.. -
Size, wood studs*-723,7, " x (,. "; spacing " o.c. ; length 13 ft.
Joists (floor beams) : 1st Floor Va. " x \\743 " ; spacing \ c" " o.c. ; span \) ft.
Joists (floor beams) : 2nd Floor � �, " x \17/, " ; spacing \L, " o.c. ; span \5 ft.
Overlays (ceiling beams) : / " x B " ; spacing ,(, " o.c. ; span \5 ft.
Roof rafters: c.74.,„ x \O " ; spacing \c, o.c. ; span 1r' ) ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ' ft.
Exterior Wall Finish: (--1- �' �( ; of what material ? C.'.c=4 41
Interior Wall Finish: 40 'S\J /1
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 54R -1`t'P- )(
Col 51 v•
Is there to be an opening between garage and dwelling? Y C-� If so, will a Fire-Rated door,
enclosure, self-closing device be provided? '`1'(c�
Will a flue-lined chimney be installed? Height above roof a! ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth: \ ft. A in.
Water supply - Municipal o private well
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. )
I
NAME OF BUILDER & ADDRESS: C_\ :ItAj c..)1.45 Q.O lAsi „ PHONE lq a-9'd0
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: \` `\ ‘A ` ' PHONE
NAME OF ELECTRICIAN & ADDRESS: " " PHONE
DECLARATION
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
not, and that such work is authorized by the owner. Further it is understood
that I/we shall submit prior to a Certificate of Occupancy or Certificate of
Compliance being issued, an AS BUILT PLOT PLAN drawn to scale, showing actual
location of project on premises.
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
✓k'f�i oP C?UEEiV
Compliance Methods: RECEIVED
���r
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) NOV 2 1992
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;'®C• & CODE DEF
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
Co\-15t Co iNC_ 1.._.ol- Nowm V-of, f (
APPLICANT'S NAME PROPERTY LOCA N oA�,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - - A /C)1/4C) Sq. Ft. •
2. Type of Heat - Elec. Base Board Other OIL. \c(3-1
3. Is Building Mechanically Cooled? YES X NO
4. Percentage of Area of Windows and Doors Over 17% X, Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R EN )
B. Exterior Walls R )N\
C. Glazed Area R5
D. Exterior Doors R____
E. Floors over unheated spaces R \q
F. Edge of Slab on Grade (Heated Building)
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
A. Conforms to minimum efficiency per code CK YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
APPLICANT'S SIGNA UR DATE TELEPHONE NUMBER
e°0-)5
TOWN OF QUEENSBURY �
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date 10 I a$ ,19 9a Permit No. i/.4 - /0/
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws,ordinances, regulations,and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more then one appliance and/or chimney.
Applicant C► Gwva Q ,s+ iw{ APPLIANCE (check appropriate boxes)
Address (F ❑ STOVE: o Wood o Coal o Pellet
0 F I EPLACE INSERT
Nl. Zip 1'a, $) FIREPLACE, FACTORY-BUILT:
11 Wood ❑ Gas
Phone 1 q - qa 4Q. 0 FIREPLACE, MASONRY:
Wood Gas
Owner ' o Wood o Gas o Oil
�'CR�C�� DAVE 1�Ru��iNICK� 0 FURNACE:
Address LOT deA ueA2\-jvi - { IF NON-MASONRY:
Manufacturer: crT I t,_
G ,, ,;,,
W4, Zip Model: Outlet: 11-\3 inches
Listed By: Number: MN‘vzib
Phone `i q 3 - t g 4
CHIMNEY (check appropriate boxes)
Exact address of proposed construction
❑ MASONRY: 0 Block 0 Bricif 0 Stone
FLUE: ❑ .Tile_-. f _Steet l
inches
CONSTRUCTION/INSTALLATION MUST X1 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer:c r-i1C. Model:
BUILDING CODE. CONSULT TOWN OF Listed By: Number:
QUEENSBURY HANDOUTS PROVIDED 11 Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title r ,
A 173 3389 (190)Public Safety 4 ;,
A 233 2655 (230)Minor Sales
Fee Coll cited From—Cir Refunded to: C _ b 'J{> a1 ,
Address:
Dated: //,/. /r.•Z Town Clerk or Deputy: L_._ .. r f� -----
White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink& Goldenrod:Cashier's Dept.
1�, :vd OF OUEENBBUrr
4TOWN OF QUEENSBURY DECEIVE
APPLICATION FOR SEPTIC DISPOSAL PERMIT 9ermit #
NOV 21892 Paid
Date: \CD)`oZ 1 ci. , BLDG. & COzrar'd By
LOCATION OF PROPERTY FOR INSTALLATION: L 1- `I ( or#1 t-Tc.0of ' '14LE( 'rt
owner's Name: • 2VT C_l,. 1N 1C)PitNik, \<f X2-1 t4 t a i
Owner's Mailing Address: Q\IIOO ?‘ ? ue..e►1. J'iv� \\1%.4 \ .cy4
Installer's Name: Q,,\ Vr'C)1s1-7 cj z \ C.Q INC Phone #: u---q .43
Number of bedrooms (if residential ):
Total daily flow (residential-compute @ 150 gal . per bedroom): ( Q3
Topography-Circle One: Flat Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam Clay Other /Depth:
Ground Water-At What Depth? Vil 114 Feet .
Bedrock or Impervious Material-At What Depth? 1J-, Feet
Percolation Test-Circle One: �. No Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Municipal Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank \a5Q gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench (DO feet//Total System Length 300 feet
Seepage Pit(s): Number of / Size each: ft. x ft.
Size of Stone to be used: # / Depth or Thickness feet
**************
HOLDING TANK SYSTEM IF REQUIRED
No. of Tanks Size\of Each Gal .
Alarm system and associated electrical work to be inspected by a certified
agency.
****************
111
I have read the regulation on the reverse side of this sheet and agree to abide '
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance. •
SIGNATURE OF RESPONSIBLE PERSON: DATE: \k\I I()a
TOWN OF QUEENSBURY /k
* 531 BAY ROAD
QUEENSBURY, NEW YOR
TELEPHONE 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED _CEVED
NAME
LOCATION
DATE '
PERMIT/ _767
TYPE OF STRUCTURE ,5"-/ 2)
RCHECK.) L'" /
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION
BACKFILL ROUGH PLUMBING FINAL ELECTRICAL-FRAMINGP
_INSULATION _WOODSTOVE/FIREPLACE --SEPTIC
REMARKS
CHIMNEY HEIGHT/LOCATION APPROVAL
B VENT/LOCATION N/A 155, NO
PLUMBING VENTMIIIIME
ROOFING
SIDING 1111111110101
DECK/PORCH/STEPS/RAILINGS ,
RELIEF VALVES
11111114114211
FURNACE/HOT WATER OPERATIP
111111111MBASEMENT INSULATION/DUCTWORK;::".
INTERIOR TRIM/PRIVACY DOORS =�
FINISH FLOORS;
BATH/KITCHEN WATERTIGHT ;k OTHER FLOORS SWEEPABLE T- Ilin
OTHER
CLEARANCE/RAIL NGS:f _�/
STAIR
ACCESSMUM
SMOKE
HANDICDETECDTVIIIIIIIII
RS
inognillipleif
BATHROOM FANS/W ,1 s
GARAGEUFIREGPXT
ROOFING ;DERATING /
DOOR CLOSERSiMilift
aiMFIRE/DEMISEOTHER FIESWALLS TIO
DUMPS TER ���
FINAL ELECTRSITE ICA�CE;REQUIREMENTS ��
OK TO ISSUE C/O OR C/C allV
COMMENTS: 111111122
ARRIVE 1 _ II
DEPART lia ',
INSP:r T,
TOWN OF QUEENSBURY
',�� FIRE MARSHAL
QUEENSBURY, NEW YORK 12804 /4/47
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION //s_ ' W
DATE PERMIT#
92-lei
APPROVED
EXITS N/A YES NO
AISLE
WIDTHS
EXIT SIGNS
_
EMERGENCY LIGHTING 1111111111111
11.111111
1111111
FIRE EXTINGUISHERS nil
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION ==
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM ==
11E1
INTERIOR FINISHES111111a
STORAGE:
CLEARANCE TO SPRINKLERS, 11111111
CLEARANCE TO HEATING UNITS __
REQUIRED SIGNAGE
11111
CHIMNEY -
WOODSTOVE
FIREPLACE-MASONRY / �
REPLACE-FACTORY BUILT ��
REMARKS:
II OK TO THIS DATE
_4,-_7-;---,/,__-,/)%'-- ------'--
'- ,y',,l ,ice `or C/ r `'
/ • (*./___,///,,,e r .1 -
2/015 !*-/ -
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.NSP.CTOR
Arili
TOWN OF QUEENSBURY
�"� 531 BAY ROAD
i .
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTORS REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RE EIVED 3
NAME 1_, t_:�� �.
�- :L
LOCATION
DATE . -- ��
PERNITI ______12_:_.701.._____,70L
TYPE OF STRUCTURE
RECHECK LU J 11
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION
BACKFILL
_ROUGH PLU1 BING FINAL ELECTRICAL—__SEPT
_INSULATION _WOODSTOVE/FIREPLACE —SEPTIC
REMARKS
CHIMNEY HEIGHT/LOCATION APPROVAL
B VENT/LOCATION N/A YES NO
PLUMBINGOOVENT ==
ROOFING
SIDING1.111.111
DECK/PORCH/STEPS/RAILINGS �—
RELIEF VALVES �'
FURNACE/HOT WATER OPERATING,
BASEMENT 1111,11111
NTERTRIM/PRIVACYUDOORS3 ��
FINISH FLOORS: _
BATH/KITCHEN WATERTIGHT t
OTHER FLOORS SWEEPABLE s li.
ailliall
OTHSTARER FLOORS CARPETED CLEARANCE/RAILINGS —_
HANDICAPPEDMOKETACCESSRS �`
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE -`AN^�==
ALL PLUMBING FIXTURES OP, RAT G MI11111111
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION !! _`
FUE/TEMISE WALLS ==
DUMPS TER
FINALSITE PELECTRICALCEREQUIREMENTS ��
OK TO ISSUE C/O OR C/C r-
COMMENTS:
r
,z2, 4,6i 4 .
,370,-4 0... n. stak i-(A. 4
Li. 7-zseviti"A. Sp 5. 1241- 4-o Ast,tAtJ
ARRIVE_ sr ,
DEPART
INSP To'
A1Y8 :Na
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
/T'2ue /vick-T
Name
Location 0 r#iC 1/A-4.4- -kt
Date ;//JJ3Permit #
SOIL TYPE: Sanda 'Clay
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: ----__
ABSORPTION FIELD: Total Len th , ,
Length of each trench g �
Depth of trenches
Size of stone
0 SEEPAGE PITS: Number-
Size - ft, x
Stone size ft.
PIPING: Si e T
Bldg. to Tank /1;1' 7- (,v Ype
6-
Tank to Dist. Box -
Dist. Box to Field/Pit--
POpenings Sealed? ---______
LOCATION/SEPARATIONSYeS N° Partial
II_ Foundation to Tank
Foundation to Absorption r feet
•`a - i feet —
N.0 Conforms as per Plot Plan feet
v LOCATION OF SYSTEM ON PROPERTY:Yesillak
(circle one)
Front - 'ear' eft S d l Right Side
Middle Front 'i . e ear
Cr'OMMENTS RI
I'D GC
5 ) ,hrcy)
( L.L_ fop_(cLttLeTTOA,' i*c ,,
SYSTEM USE APPROVED: YES (! )
Arrived:
Departed: ///
Building fspe t,
TOWN OF QUEENSBURY kit
FIRE MARSHAL /
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME `
LOCATION , t l e y ��
DATE / J`' PERMIT#
APPROVED
EXITS N/A YES NO
AISLE WIDTHS _
EXIT SIGNS __
EMERGENCY LIGHTING __
FIRE EXTINGUISHERI ■■
AUTO. EXTINGUISHIG SYSTEM _
HOOD INSTALLATIONI _=
AUTO. SPRINKLER S STEM __
ALARM SYSTEM i __
11111111
INTERIOR FINISHES ' 1111111
STORAGE:
CLEARANCE TO SPRicKLERS 1111111111
CLEARANCE TO HEATNG
REQUIRED SIGNAGE UNITS S=
11111
CHIMNEY 11111
WOODSTOVE __
F,I-REPLACE-MASONRY __
„FIREPLACE-FACTORY BUILT __
REMARKS:
II OK TO THIS DATE
2/015 /77�!r A
NSPE TOR
TOWN OF QUEENSBURY 4
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
2 ,�
LOCATION
DATE 3,411! PERMIT#
APPROVED
EXITS N/A YES NO
AISLE WIDTHS __
EXITITSIGNS
EMERGENCY LIGHTING ==
NIl
FIRE EXTINGUISHERS 111 HG SYSTEM _
HOOD INSTALLATION __
AUTO. SPRINKLER SYSTEM __
ALARM SYSTEM __
1111111
INTERIOR FINISHES ■■
STORAGE:
CLEARANCE TO SPRINKLERS 1111111111
CLEARANCE TO HEATING UNITS __
REQUIRED SIGNAGE S_
CHIMNEY 111111
WOODSTOVE
FIREPLACE—MASONRY __
FIREPLACE—FACTO BUILT __
.�s
REMARKS:
II OK TO THIS DATE
f,
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2/015 "1�•'uDi►..
IN PECTOR
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 � /( ren.(
NAME fn a_`id.
LOCATION X- 4 ea t'2 Ly iJ(C�rl !1
DATE E� PERMIT # •
TYPE OF STRUCTURE SF,.:6 (, cal ?{( (
RECHECK APPROVED
FOOTINGS/PIERS N/A YES NO
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/DAMPRQOFING
BACKFILL APPROVAL`*
ROUGH PLUMBING
PLUMBING VENT/VENT IN PLACE
PLUMBING UNDER SLAB'S
FRAMING:
JACK STUDS/HEADERS A
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
)( INSULATION:
FOUNDATION WALL INTERIOR\R-
FOUNDATION WALL EXTERIOR -
FLOORS RR1,
WALLS R-11 X
CEILING s
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
moo CDA c q-—
_____________
Gz-L do-T-Q ova -
ARRIVE
11/
DEPART
INSPE TON
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 .,
LOCATION eak 61111 t/1,J y,
1 DATE 3/1/19. PERMIT ' --//67/
TYPE OF STRUCTURE „S 4 ;Lk
RECHECK APPROVED
S NO
FOOTINGS/PIERS
MONOLITHIC POUR-T
REINFORCEMENT IN
THE CONTRACTOR IS
FOR PROVIDING PRC
FREEZING FOR 48 f
THE PLACEMENT OF
MATERIALS FOR THl
FOUNDATION/WALL F
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
LOUGH PLUMBING �..•a'°�
PLUMBING VENT/VENTS IN PLACE
PLUMBING U R LAB
FRAMING: ,1
JACK ST IS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION: a,Z /Q 4/4I
FOUNDATION WALL INE2RIOR
FOUNDATION WALLS EXTERIOR
FLOORS R-
WALLS R- ;- 1,00/"
CEILING
DUCT WORK OR PIPING IN UNH R'T D'
SPACES
REMARKS/:,
j�
ARRIVE 0Z"45- J
1 'ilit
DEPART 3-5-
INSPECTO'
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 !'Zt'/t r K to
LOCATION AO it 9
DATE 3fr1!'3 PERMIT # g? —70/
TYPE OF STRUCTURE
RECHECK APPROVED
FOOTINGS/PIERS N/A YES NO
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
BACKFILL APPROVAL
ROUGH PLUMBING }
PLUMBING VENT/VENTS IN PL E
PLUMBINGUNDER 4
FRAMING: �►k c/
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM \
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERI R R-\
FOUNDATION WALLS EXTERI R R- L\
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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DEPART 4 *MIL/
I SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NE" V r '' 116
TELEPHONE (5 Lc�A, '
BUILDING INSPEi , ,USLI 014'1-
REQUEST FOR INSPECTIONI� `' , ��-
f Li r� ' r
NAME K ()G Z i/L.i
LOCATION LC'i
DATE l Ns! C f PERMIT # '11J4, 7' - 7o/
o/
TYPE OF STRUCTURE 5-r=.D-` �' �' i? FP-
RECHECK
PRECHECK 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
BACKFILL APPROVAL
ROUGH PLUMBING :
PLUMBING VENT/VENTS IN PLLC
PLUMBING UNDER SLAB
)(FRAMING: 41/ l �J►c
JACK STUDS/HEADERS ti
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN Fizrt v
INSULATION:
FOUNDATION WALLS INTERI R-
FOUNDATION WALLS EXTERIOR R-
FLOORS i R-
WALLS ! R-
•
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE a,5�
1
DEPART
INS'i CTOR
TOWN OF QUEEtL.MJRY /egEtt
BUILDING AND CODES DEPARTMENT
531 BAY ROAD Th
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ///2./W
NAME
LOCATION‘A 4 0609A Vothsi iLk
DATE // PERMIT I ,
TYPE OF STRUCTURE 5/-.-- 2)
RECHECK A''PRCi'Er)
FOOTINGS/PIERS 1N/A ' YE.j NO
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 FORTHIS PURPOSE ON SITE
FOUNDATION/WALL POUR - -
REINFORCEMENT IN PLACE
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INSULATION:
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FOUNDATION WALLS EXTERIOR R-
FLOORS R-----
WALLS R- ___
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES ■
REMARKS• 'i
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BUILD NG�ANDF CODES DEPARTMENT ;, /
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /!j17/90Z
NAME
LOCATION 44iAA liaW2v Zaw
DATE J(l i f i qA PERMIT it 9R -70/
TYPE OF STRUCTURE J��
RECHECK APPROVED
N/A 115 40
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
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS ji
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
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:
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ARRIVE
DEPART
' 'INSPECTOR
TOWN OF QUEENSBURY c=?eX
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /'L?f/1.. eia K f 7.1 ` /-1-1-43i4l .
LOCATION '4i/4L e . Ind //n, < ®®iSS.t�t
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DATE //i0/14PERMIT"'# Ci,?_ 1/7/
TYPE OF STRUCTURE SF] �.a.3C (j /L. 1_
RECHECK APPROVED
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MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLL ING
THE PLACEMENT OF THE CONCRTE.
MATERIALS FOR THIS PURPOSE1ON SITE'
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE I
FOUNDATION/DAMPROOFING k` 1
BACKFILL APPROVAL 3
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FRAMING:
JACK STUDS/HEADERS
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BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM j'
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTtIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS 1R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: i44os1 / �/
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