1993-010 • I •
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 8 19 .3_6
This is to certify that work requested to be done as shown by Permit No. 9'Val
has been completed.
This structure may be occupied as a ADDITION TO DWELLING
2 8 OAKWOOD DRIVE
Location
• • Owner LITSTMIAN 11T? 21, 1,41 TIFMNT,9
By Order Town Board
TAX MAP NO. 69-2-13, 14
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
_ _
a -I
BUILDING PERMIT
o
TOWN OF QUEENSBURY No. 93-010
• WARREN COUNTY, NEW YORK -
N
PERMISSION is hereby granted to DR. & MRS. DENNIS LUSIGNAN w
OWNER of property located at 28 Oakwood Drive Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition 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—
c
1. OWNER'S Address is to
same
2. CONTRACTOR or BUILDER'S Name
Hilltop Construction of Glens Falls Inc.
3. CONTRACTOR or BUILDER'S Address •
234 Queensbury Av C
CD
Queensbury NY 12804
Cn
4. ARCHITECT'S Name
5. ARCHITECT'S Address
CO
0
6. TYPE of Construction—(Please indicate by X) 0
!Z
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 6'x12' 1st floor addition and 24'x36' 2nd floor addition as per plot
application and specifications.
8. Proposed Use
Two bedrooms, bathroom and storage shed
80.00 January 20 94
$ 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 0
town of Queensbury before the expiration date.) a.
fD
Dated at the Town of Queensbury this 20th Day of January 19 93
SIGNED BY /POiA a /z, for the Town of Queensbury c�
"' Buildi ning Inspector
TOWN OF QUEENSBURY r } . . • : .
� REVIEWED BY f A '
,/; FEE PAID $
1141%, - --)
PERMIT NO. 44e-i2/O
BUILDING PERMIT APPLICATION
..,, OF OUEENbL,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. .INS Eq NS
TILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
8 CODE DEPT - -.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • * * • • • • * • * • * * * * * * * * * * * -* * * * * * * I • * * * * * * •
The owner of this property is: g, g `IN /0..12./)-uauf' 61Ic.o(1,-). �
P.O. Address 07y Oakwood' G _
�.1� a�u2� '7��Tel. ._j��
Property Location /Tax Map No69 / /..3,/.0
IP
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO. zr
�4
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
`IATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF •
•
Construction of a new building * CONSTRUCTION: $ 4'0, ODcJ
* COMPLETE INFORMATION REQUIRED BELOW:-
K Addition to a building . //
* Size of property jo,a,a3 ft x � 3'�ft. ,
Alteration to a building • a a, Gar� e
-, (no change to exterior dimensions) * Existing Buildings(3) Size ft. x a ft.�o
Proposed building - distance from property line:
Other work (Describe) * Front yard 76,6 ft. Rear yard L"/, /4/ ft.
* Side yards ,5 ft. and q,5,c 3 ft.
•
3ROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor _,�_., '7 __sq. ft.- g *
OCCUPANCY INFORMATION
•
2nd Floor 440 4 sq. ft.ja- * - Pri ary Building -
Other Floors /�f¢� sq. ft.
• _One Family Dwelling
-- (net cellar or_b ,,...�•,nt--_A F • lli
......... or tset$�.:.�cteil ---- - - - --- � - - --T�4�3_.Family_DWeax:RL4.- --_ ____ - - -------
TOTAL FLOOR AREA_ , • it. dXfa / ,
• Multiple Dwelling/Number of units
— � .3q. �/`��• Business
Size of new structure ay ft x 36 ft.2nd-fjpo12 Industrial .
Foundation-pier/slab/c:: : :; rtiadfull
(circle wk,.; • . * Other
._ *
Ho. of stories (habitable space) / • _
Height (grade to ridge) ay ft. • It addition, what will use be?
If residential, no. of families / • .- Pxboov-- , 54-41
No. of rooms(excluding baths) 4 )
Accessory Building
No. of bedrooms o? •
°____Detached Garage ONE/TWO Car
No. of bathrooms / •
Primary heating system 2 ,.i0 ( 1 �,, ' Attached Garage ONE 'WO C�
Type of fuel Via- * Private storage building
No. of fireplaces to be installed ` X-i * Other
Will a wood stove be installed • ,
Central Air conditioning `1-J O *
OV* ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING a PECIFICATIONS: 404
•
•
Npe of construction, wood frame, fire safe, etc. 0c--id
any second-hand or upgraded lumber be used? If so, for what? ✓/-tom,
•
Thickness a wall material � o '
�oundatton C�
>epth of foundation below grade (to bottom of footing)
Vill there be a cellar? €12( , Heated or unheated? Floor sq. footage sq ft.
Vill there be a basement? 'i( - Will any portion be used as living space?
if so, what portion? sq ft. Type of use?
'ype of roo - sloped/jitat/shed/other Material of roof y4S0i)aV
ize, wood studs c "x " spacing /(p " o.c. length 8 ft.
oists (floor beams) 1st floor cs2 "x /a " spacing /(p "o.c. span /3 ft.
oist (floor beams) 2nd floor "x " spacing "o.c, span ft.
,verlays (ceiling beams) d "x " spacing // " o.c. span a ft.
oof rafters "x /v " spacing /(p o.c, span /62 ft.
oof trusses (pre-engineered) spacing olV " o.c. span /(, ft.
xterior wall finish a d of what material? & -eu—
iterior wall finish . 21-1 j_oci
a garage is to be attached, describe materials to be used for FIRE SEPARATION:
/R" eat, Core- S 1-0
there to be an opening between garage and dwelling? no If so will a Fire-rated door, enclosure,
elf-closing device be provided?
ill a flue-lined chimney be installed? yes Height above roof ft.
epth of chimney foundation below grade ft.
epth of fireplace hearth ft. in.,
ater supply - Municipal or private well �(
EPTIC SYSTEM Distance from ANY private well (including adjoining properties I►I ft.
separate application is necessary for any repair or new installation of septic system)
,ME OF BUILDER ADDRESS a4(.3 l{ /SIUdk TEL. NO. qr-033 ?
ME OF PLUMBER ,. 0/ ADDRESS (Lei- TEL. NO.
ME OF MASON Fag6 ADDRESS -I TEL. NO.
ME OF ELECTRICIAN3.C. , __._ ADDRE<SS__
--
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
is and specifications submitted, are a true and complete statement of all proposed work to be done on
described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
)they laws pertaining to the proposed work shall be complied with, whether specified or not, and that
I work is authorized by the owner.
ure gna Sit ( 4t4I
- II
Owner, owner's agent, architect, contractor
CIAL CONDITIONS OF THE PERMIT:
•
• BY
THE NEW YORK BOARD OF FIRE UNDERWRITERS - .CERTIFICATENO.
.DO NOT WRITE HERE-FOR OFFICE USE ONLY
BUILDING PERMIT NO.
TEMP.# DATE aa':r
am. . Tf'"�t f- `f
f
CITY OR VILLAGE I ZIPCODE TOWNSHIP COUNTY
1( Af t :'"'aa,-.,.!---/ ,�..f.F: -X kilo Cf :•-
STREET AND NO.OR ROAD, IPOLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S NAME , �' - BUILDING OCCUPANCY jj
. • c frit •-J 1.1 i )) -- 'rk-1,1-::tK .- 1js 6' , < Ill r /- x 71.,''):/yf
OWNER'S NAME AND ADDRESS :HOME TELLEPHONE NUM ER
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS •i- -. Imo..
NEW Ell
•`_':j.'1;#„:;" OLD IIIE}
WORK IS NEW ede ADDITIONAL El DEFECTS REMOVED❑LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS- . No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE _ _
SUB-
BASE
BASE-
MENT
1st
FL. _
2nd
FL.
3rd
FL. •
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT-TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
' THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
IDENTIFICATION NUMBER 7) 0I I ) I 31
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
,.: .r�'
PRINT NAME AND ADDRESS 1,,, .f • -,';--, •F 1? -'/ ,= ?. -.,_.-. -'?--'`
NAME OF APP (CANT / ..... DATE-OF APPL�IQATION SIGNATURE ORAPPLI CA(
NT I
J X = 3 -
;:.�t/}''�'!-'a�t �. -i ,='1 3r r` t;•.�;1,i iN #•, -1. -s f ?1/ .r' � A-` ')� .-�~• -_-' .°
STREET ADDRESS TELEPIjONENO. _,K,,r.y
fi� p f.' >s apt f ._-. .« •_a
CITY OR-POST OFFICE ZIP CODE- LICENSE NO.WHEN APPLICABLE
(•,s F , .,t 5',LT,-'V , 're"fit
❑ 85 John Street ei State Street ' 0 570 Delaware Avenue 0 217 Lake Avenue - 0 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207-. BUFFALO,NY 14202. ROCHESTER,NY 14608 SYRACUSE,NY 13206 .
(212)227-3700 (518)463-2122 (716)884-1155 - (716)254-0141 (315)463-8552
T_H F NFW Y_OR K_g(�ARn_(I F PLR .t_i��n p Rancw_u_Rc
TOWN OF QUEENSBURY
�� � 531 BAY ROAD
�#""'"' QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTORS REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 44
NAME /2.¢ 4 429/1,472.4
LOCATION 7 e k& w
DATE ,..04/6 PERMIT# 52.7 -100
TYPE OF STRUCTURE 4/L.� 64e„,17
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUcTURE)
FOOTING FOUNDATION KFILL 4.-FRIMING
L.-ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION _WOODSTOVE/FIREPLACE
REMARKS lteeel
APPROVAL
N/A)YES NO
CHIMNEY HEIGHT/LOCATION
B .VENT/LOCATION
PLUMBING VENT
ROOFING z�
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES „�'
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY'POORS --''
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT >.
OTHER FLOORS SWEEPABLE\
OTHER FLOORS CARPETED --�--
STAIR CLEARANCE/RAILINGS \
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WH LEHOUS-E FANS,
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS \-----
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS --
FINAL ELECTRICAL w '
OK TO ISSUE C/O OR C/C
COMMENTS:
,,
a A ems.
ARRIVE
DEPART - .4P _
INSPECTOR
TOWN OF QUEENSBURY jaC/99/
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED JX2/10
NAME pi4 //re%(MIi l c e ir21
LOCATION F '
DATE 5//i Qj PERMIT# g5 -0/49
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAG,E
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: U OK TO THIS DATE
diA4444#)-1
PAre
_ r
2/015 - INSPECTOR
TOWN OF QUEENSBURY bat,
BUILDING AND CODES DEPARTMENT /)
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /416.
LOCATION ai ",t;,fie- 7
DATE 100 PERMIT # q3 0)2)
TYPE OF STRUCTURE Qdd dia j
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 ,k.I/ -- lc
/XBACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R=
FLOORS RI
WALLS
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS
OLD UUJ
ARRIVE //;Zb/
DEPART f/=�P� A
INSPECT°
TOWN OF QUEENSBURY
FIRE MARSHAL ��
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 3.7/5//(
NAME A t- ,e, 4e4( 6 ,-1'-1 'I Crt
LOCATION '/ er 7 1
DATE �� /I" PERMIT# ' -t l
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLES
CLEARANCE TO HEATING/UNITS
REQUIRED SIGNAGE
g•
(;
,r CHIMNEY
WOODSTO-YE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: LI OK TO THIS DATE
17--?4 ,0& -///:;21) 0/e.
2/015 INSPECTOR
a/Kfth TV-
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 Sb5/93
NAME k 42&' , h
LOCATION 4f 00,fre.ej ,
DATE 9,// r,I93 PERMIT # 3-&JO
TYPE OF STRUCTURE id_4/ lw
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
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM/
HEATING ROUGH-IN
INSULATION: .
FOUNDATION WALLS INTERIOR
FOUNDATION WALLS:4EXTERIOR R- \
FLOORS i R- ,55
WALLS R- d j
CEILING ,3$* ikr. R R- 'iS., as/
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
1u1
ARRIVE v? 5
DEPART II _
- INSPECTOR
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 p//Q/ ;
NAME i /� oly
LOCATION , if /O JJJ7it°.. 461,
DATE M/ O PERMIT # 93-D/0 1
TYPE OF STRUCTURE add A) dtlJ�.,�,G�ili7
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
BACKFILL APPROVAL
(ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS i
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM e. .>
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:Qu aft
•
ARRIVE /
DEPART •
INSP CTOR
TOWN OF QUEENSBURY 1/1)47
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION_ RRECEIVED
NAME /4 14 /11�(4 ttl/17A6g72/ / (,71',
LOCATION 41 eaiee,a/2-74
DATE 3/i /93 PERMIT # gJ-0/6
TYPE OF STRUCTURE add 6
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
BACKFILL APPROVAL
X ROUGH PLUMBINGt./
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
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:
ARRIVE 1!,-05-
DEPART e/gr
" - CTOR
4b1,0 d3
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 lb c 3
NAME + ��1,c4
LOCATION „„y,c7-2)(2ii„
DATE y,/(4.') PERMIT # 93 - /6
TYPE OF STRUCTURE Ify.46,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS -
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE . '
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM I
FREEZING FOR 48 HOURS, FOLLOWINp
THE PLACEMENT OF THE ;`CONCRETE/
MATERIALS FOR THIS PURPOSE ONSITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING. /
BACKFILL APPROVAL t'
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING ,r
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS -'INTERIOR R-
FOUNDATION WALLS, EXTERIOR R-
FLOORS R-
WALLS j R-
CEILING ,{ R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
c,64, ch;,-e„,.„
Ca.-'046-k C45e.,
f Gi[',-er,L76
ch 77A 1 cc
ARRIVE /C5 a
DEPART AKf
IN CT 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 . 1 F(//
`33
NAME 21.(5i/ , �f- �/ S . TPF'G►it,S
LOCATION
-DATE 3fic' /4i 3 PERMIT #93 -C/6
TYPE OF STRUCTUREc:6 , k
RECHECK APP OVED
• 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 IVPLACE
APFLUMBING UNDER nit
RAMING: «
JACK STUDS/HEADERS J(
BRACING/BRIDGING R,
JOIST HANGERS
JACK POSTS/MAIN/BEAM;, )l''
HEATING ROUGH-IN
INSULATION: /
FOUNDATION W4LS INTERIOR R-
FOUNDATION W'LLS EXTERIOR R-
FLOORS R-
WALLS /
CEILING / R-
DUCT WORK/OR PIPING IN UNHEATED
SPACES
li
REMARKS: 1
1.1--, 26-erco
ARRIVE ATZ457
DEPART /o=qo
I SPE OR
-'h�ii yf�; TOWN OF QUEENSBURY
s�z- BUILDING & CODE ENFORCEMENT
t E z,q,tir 742 BAY ROAD
,; t 4 QUEENSBURY NY 12804
d F.' r i ,
p,m4:w (518)745-4447
: Illy.aaiVE: DEPART: °®� INSP:
FINAL INSPECTION REPORT - RESIDEN_�
DATE INSPECTIONp REQUEST�� RECEIVED: �/t/////
NAME ���e�rN (v
LOCATION Z.? off AC!eo) Oc,`\3 E
DATE 2-1_C2A1k PERMIT # C1 "-CNo
TYPE OF STRUCTURE 1-1)Qa\CA,...
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION -
FINAL E'�CTRICAL WOODSTOVE OR FIREPLACE
\ N/A YES NO
CHIMNEY HEIGHHT/B VENT/HEIGHT
PLUMBING VENT`o /
ROOFING ,\
EXTERIOR FINISH \
\
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES \ /
FURNACE/HOT WATER OPERATING !
INTERIOR TRIM/PRIVACY DO' RS
FINISH FLOORS: \ A/
BATH/KITCHEN WATERTIGHT \ /
OTHER FLOORS SWEEPABLE V J
OTHER FLOORS CARPETED \
STAIR CLEARANCE/RAILINGS /r/ \
/
SMOKE DETECTORS \
BATHROOM FANS j/
PLUMBING FIXTURES / \
FOUNDATION INSULATIO' \
GARAGE FIRE PROOFI/G
DOOR CLOSERS / D \vki
FINAL ELECTRICAL
SITE PLAN/VAR ONCE REO.
FINAL SURVE/PLOT PLAN y
OKOK T 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 is g
' NAME 1 1t
LOCATION
630i)-i,-e__
-DATE --�-G 3 (q 7'2PERMIT # - r 3 O/O -
TYPE OF STRUCTURE
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
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 R
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM /
HEATING ROUGH-IN
INSULATION: • f
FOUNDATION WALLS INTER LOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS 3 R-
WALLS R-
CEILING
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
1-0 0 60 s-CA-4-g
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ARRIVE
•
DEPART
IN ECT R
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