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1992-538 kr 41 CERTiFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date January 27 19 93 This is to certify that work requested to be done as shown by Permit No. 92-538 has been completed. This structure may'be occupied as a single family dwii l i n g with two-car attached garage Location I nt 1 I ambert nriYe, (lakwnnrIc Suhrdiv�cinn owner Ronald Ball and Linda Ball 121-1 a 13.4 By Order Town Board TOWN OF QUEENSBURY l'aPa ce711/4 411 Director of Bldg. do Code Enforcement e* BUILDING PERMIT TOWN OF QUEENSBURY o No92-538 , WARREN COUNTY, NEW YORK ro PERMISSION is hereby granted to RONALD & LINDA BALL ,r • OWNER of property located at Lot 1 Lambert Drive, Oakwoods Subdiv. Street,Road or Ave. 'p in the Town of Queensbury,To Construct or place aSi ngl a fami l y 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. 1. OWNER'S Address is CO RD#4 Judmar Lane °r Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name self gu a a 3. CONTRACTOR or BUILDER'S Address r- 3 4. ARCHITECT'S Name 5. ARCHITECT'S Address I— a B cr 6. TYPE of Construction—(Please indicate by X) (x I Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications a 0 No. 40'x26' Single family two-story dwelling as per plot plan, speci- �* fications and applicaiton including spetic system and 2 ar attached garage 8. Proposed Use Single family dweling with two-car attached garage cn 265.00 September 4 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 -.h town of Queensbury before the expiration date.) !L Dated at the Town of Queensbury th- ay September 19 92 cc SIGNED BY for the Town of Queensbury Building and Zo Inspector .�. TOWN OP QUEENSBURY ea' REVIEWED BY: kg. 91 APj4aPJF FEE PAID: q , b ) -- PERMIT NO. : V-,63S/ RECEIVE S E P 1992 BUILDING PERMIT APPLICATION t O. & CO©E 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: 'Rona. (l 1-NOrk , 13ALL Jail. ciAlar Ot /1101 P.O. Address: — 1Z -b 4k I Juc(mct v / anc PHONE 7aa�3 SL7 Property Location: Aa, trP -D T I G% , (c6 Tax Map No. /mil / / / X3-y Has there been any split of this property since October 1, 1988? Yes No If yes, Planning Board Review is necessary. Subdivision Name, if applicable: () J o d5 Lot No. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: 7.cna_ A ALL NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE , \--/ Construction of new building * CONSTRUCTION: $ 1 0 t C O Addition to building * '. 2 g Alteration to building * / COMPLETE INFORMATION, ED SOW," (no change to exterior dimensions) * / Size of Property: .-& t.v ' t. Other work (describe) * / Existing Building Size: * —ft. x -----ft. * Proposed building - distance fro , GROSS AREA OF PROPOSED STRUCTURE: * property line: 1st Floor JO )4 Sq. Ft. * Front Yard ft. Rear yard ft. d /I ') * Side Yards ft. and ft. 2nd Floor 1 141 Sq. Ft. `_ ..___. * If on corner, setback from side street- » .y `: * f t. Other Floors Sq. Ft. " jk £.eN (not cellar or basement) * OCCUPANCY INFORMATION: TOTAL FLOOR AREA: a5/ee Sq. Ft. * * Primary Building - * v., One Family Dwelling Size of New Structure: 40 ft. x ;1(0 ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partial/Full (Circle One) * Business * Industrial No. of stories (Habitable space) * Other Height (grade to ridge) ft. * ` If residential , no. of families: * If addition, what will use be? No. of rooms (excluding baths): * No. of bedrooms: `, * No. of bathrooms: (2 ;., * Accessory Building; Primary heating system: (Y15 * Detached Garage - One/Two Car Type of fuel : 166 * -----/— Attached Garage - One Two)Car No. of fireplaces to be installed: c) * Private Storage Buildi Will a woodstove be installed?: C * Other Central Air Conditioning: Yes No ✓ * (OVER) A` f.w • •Hatton SEp 21992 r" :risi ' Zoning Administrator TowN OF QUEENSBURY e BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. ti(A)et.eLk {.,A rL2. Will any second-hand or ungraded lumber be used? If so, for what? '�JI,() Foundation Wall Material : 0,0102A1 latok Thickness: Depth of Foundation below grade (to bottom of footing) : Will there be a cellar? (/,Q;O . Heated or Unheated? Lutji(lipk, Floor Sq. Footage: Will there be a basement? 4,z) Will any portion be used as living space? --ILA) If so, what portion? Sq. Ft. Type of Use? Type of Roof: Slope /Flat/Shed/Other Material of Roof adifiut 6.4,/,/teej Size, wood studs " x " ; spacing " o.c. ; length ft. Joists (floor beams): 1st Floor -e.,_ " x /C, "; spacing IC " o.c. ; span /3 ft. Joists (floor beams) : 2nd Floor 2.---" x kj " ; spacing lG " o.c. ; span / 3 ft. Overlays (ceiling beams) : 2_-- " x lU "; spacing /6 " o.c. ; span /3 ft. Roof rafters: " x "; spacing o.c. ; span ft. Roof trusses (pre-engineered): spacing 2 '! " o.c. ; span 2( ft. Exterior Wall Finish: i4J /g_ 1'cpt,Uc of . Interior Wall Finish: b2,t wA.4.x_ If a afage is to be attached, describe materials to be used for FIRE SEPARATION: 7 YF')Er X G\i'F'Sthitit. C1?)0S12-0 - Is there to be an opening between garage and dwelling? 11,4 If so, will a Fire-Rated door, enclosure, self-closing device be provided? Qp Will a flue-lined chimney be installed? -y,,t\ Height above roof ft. Depth of chimney foundation below grade: ft. Depth of fireplace hearth: -' ft. in. Water supply - Municipal or private well : G/tte, . , SEPTIC SYTEM: Distance from any private well (including adjoining properties: ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: `1W L PHONE --- NAME OF PLUMBER & ADDRESS: 4k4Ot DtAilfAi PHONE NAME OF MASON & ADDRESS: nck1/100 5tkan-cc!. A ) -°, , PHONE 'i Q " &&3 NAME OF ELECTRICIAN & ADDRESS: _ Meti-x, - 444-hick `d.grA. ., PHONE 7q 3(p k'Q / 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. Signature ' ." Owner, owner's agent, architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer ...,PbdPly'wNbh� "T� 11 V �t.W u.ro YM•'�i�l# r;I.l TOWN OF QUttiv3burc z APPLICATIOtI FOR SEPTIC DISPOSAL PERMIT DATE: �� Z LOCATION OF PROPERTY FOR INSTALLATION X©'e Owner's Name: 'ROnIQ. td , 5 `v) LL L 1 o k Address: n e -L . 1992 Installer's Name: 1°\0(1 6. Gf\LL Telephone:17g aa3(9 r G. & CODE DEP Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) ISO Topography: Circle one: Flat C.Bollilip Steep Slope % of Slope Soil Nature: Circle one: Ca• Loam Clay Other /Depth: Ground Water: At what depth? /vA- Feet Bedrock or Impervious Material : At what depth? /V Pt-- Feet Percolation test: Circle one: -knot requi ed required Rate - Min. Per Inch Domestic water supply: Circle one: unicipal Well Other If domestic water supply is a well : Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank Ic?Oc? gal . (minimum size: 1,000 gal ) f-eetATota 1 system 1 enith SEEPAGE PIT(S): Number of o /Size each F- feet by feet Size of stone to be used # /Depth or Thickness l j i )CM. 0 f, ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alarm system ssociated electrical work • nspected by an approved agency. 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: W- DATE: fc20q?--- Seott$ System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted co the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance co any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywalls B. Nu system shall be covered before inspection and approval by the iuilding Inspuctor. Failure to comply with this requirement may result in the uncovering of cha system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure co produce said plot plan at time of inspection may rusult in an immediate work stoppage. 0. Should unforeseen problems during construction prevent proper installa— tion, alteration or repair of an approved system, a new proposal must bu submitted to the Quaunsbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 00 —> vi 1 Ai _5 ----'i r. \, ‘ \\\\ OF QUEENSbk- RECEVED s,:"--- ',__, 6 C / `r SE.P 1 1992. .--) ELDG. & CODE DEPT, \ __ __- \ , , \ kcSs \ — Ai)P R OV' Application \4-7 —- --.. \ SEP _ 2 IM2 \ ' \--z, \ \ t TIWNsin8F ENS BURY \ ' \ ,- ti \ , .„----7 , • -- -1" 1- , \r- 0 ,Is Vi11►1VL/ TOWN OF QUEENSBURY eft 531 BAY ROAD t QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME kmaic t ,4 i Ia) ai/ LOCATION 4"f / ig�lfif-lit �' £(L DATE J G'f/ 99, PERMIT# 9 -3gx TYPE OF STRUCTURE ,5 E2 RECHECK ,L,,,(. a. r�.(' FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) +FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING FINAL ELECTRICAL SEPTIC - INSULATION __W?;_FINAL REMARKS APPROVAL N/A YES 'NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING r DECK/PORCH/STEPS/RALIN(‘f X' ) RELIEF VALVES , x' X FURNACE/HOT WATER OPERATING X BASEMENT INSULATION/IICTWORK INTERIOR TRIM/PRIVA,CY'\DOORS FINISH FLOORS: `° BATH/KITCHEN WAERTIGHT OTHER FLOORS SWEEPABLE, OTHER FLOORS CARPETED \ rSTAIR CLEARANC /RAILINGS , X' HANDICAPPED AQt ESS SMOKE DETECT* BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C X COMMENTS: go lP Pnoa6--5so g u/fo gh2h136-Po0k i— PLC-c.t Al(o r 14r S (N .'�-.E-C 1_0 3(✓0 414)&6 S - O CO LAIL U)<« PI.0 N p/ T t b TZ 0 f-Portz 14 — 15 trot est,-0 Ta c-vtf- _-- 1 35 v6 ARRIVE to K DEPART it,) I P rri ► . TOWN OF QUEENSBURY 531 BAY ROAD ill QUEENSBURY, NEW YORK 12804 Ow TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION ___7 REQUEST R INSPECTION RECEIVED / yoz NAME 4=--e--(2-- LOCATION I i- V`e-� DA PERMITS "- 5Se.(/ TYP OF STRUCTURE C12;) RECHECK _FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING _ ODROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION Pc PLUMBING VENT K. ROOFING K SIDNG _ A 11.00 'ORCHAil$40' = X RELIEF V'LVES FURNACE/HOT WATER OPERATING t< INTERIOR TRIM/PRIVACY DOORS X' FINISH FLOORS: BATH/KITCHEN WATERTIGHT X OTHER FLOORS SWEEPABIE OTHER FLOORS CATE_D' STAIR CLEARANCEZRAILIN� /S SMOKE D ORS - C-DDOR CUSERSM BATHROOM FANS 'JC ALL PLUMBING FIXTURS OPERATING n. GARAGE FIRE PROOFIG X; BOOR-almEWEERS 0 �f �, F I/B • FINAL ELECTRIC L OK TO ISSUE C/O OR C/C COMMENTS: .lio,�� FCc:,c R -ram -,-rs C6—LCAlt— i4.4.4i.11 P/1--1 L. C /\-G c - i G- P?.4C:L iE- - V%Lt< 3. ie Ens;- F?L,,s ,v-i:'t4 S t©i h! ( - CiVi,A1Cb 6frov e t— (Vo J reftfripovid,rr II-. --Iii , C-As , ARRIVE • : .21 DEPART f O;i-Ij / . N TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ,1444- 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR°S REPORT REQUEST F SPECTION RECEIVED NAME /4 ,/, LOCATION / / � - ' DATE ,i z- PERMIT # 52- — TYPE OF STRUCTURE rip RECHECK !APPROVED /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 ONSIT FOUNDATION/WALL POUR 3 REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL 4; i - ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE si PLUMBING UNDER SLAB FRAMING: i ' JACK STUDS/HEADERS 2i BRACING/BRIDGING ' f JOIST HANGERS 1 JACK POSTS/MAIN BEAM RING ROUGH—IN 1 1 INSULATION: I FOUNDATION WALLS INTERIOR �R— r FOUNDATION WALLS EXTERIORIIR— FLOORS Fl R— WALLS j R— f i \ CEILING R—3'S 1_ A. DUCT WORK OR PIPING IN UNHEATED SPACES i \ REMARKS: ARRIVE . t — DEPART 2 41� ; 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 NAME Fft -tA.._ LOCATION 1 1..,--4-0 ei : - -_- DATE L I I J1T/'L . PERMIT # 92 r t TYPE OF STRUCTURE „/- ) Lfr',L CJC i D RECHECK APPROVED 'N/A YES 1 FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE_ THE CONTRACTOR IS SPONSIBLE FOR PROVIDING PRO CTION FROM FREEZING FOR 48 H FOLLOWING THE PLACEMENT OF THE CONCRETE. :F` MATERIALS FOR THIS PURPOSE ON ITE FOUNDATION/WALL POUR' ems: REINFORCEMENT IN PLAE FOUNDATION/DAMPROOFING / BACKFILL APPROVAL 9 ROUGH PLUMBING F4u &)c - r X., PLUMBING VENT/VENTS IN 'LACE PLUMBING UNDER SLAB 4` 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: X- D-v,ivtai4,./v, C;Aliv.iii-tIN -7,---, --_ r) IA W- ARRIVE 1 j' DEPART V �' `7-`" INSPECTO TOWN OF QUEENSBURY G �� (I BUILDING AND CODES DEPARTMENT 531 BAY ROAD rig) QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME 1 f r-rJzti 4 &p &LL' LOCATION1cf / ,pfrki)-(41 ,f& DATE %j�/,/Q/9? PERMIT I Q,a TYPE OF STRUCTURE SPJ) n'jf CeatiAcic RECHECK APPROVED ,N/A YES 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 Z)(ROUGH PLUMBING 7 4-t_ PLUMBING VENT/VEN IN PLACE - PLUMBING UNDER SLAB Y` )( FRAMING: JACK STUDS/HEADERS fi 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 REMA KS 1 po 44 L. OA...As fi6e;pho k. 12- RZ- mrs Pk-'rieU ir- - pus r LA-T-f • r. ARRIVE ` r DEPART INSPEC OR , nn Journ o/ Queenitur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME kYkalklc&ILk 44, LOCATI� ..- ) i: ntc <" N DATE / PERMIT NO.9a-538 SOIL TYP -( aLam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS{Number of) _02 Size- ft. X :,s3 ft. Gravel size 11 PIPING: S iz Type Bldg. to tank i 7 1 Tank to dist. box T 1O `c.. Dist. box to field/. cc Openings sealed? deo. NO Partial P t" LOCATION/SEPARATIONS: Foundation to tank f4Z ft. Foundation to absgkptioh _02 3 f t. Absorption to lot/line A 5 ft. Separation of pits eft. LOCATION OF SYST-14 ON PROERTY(circle one) Front -TRea-±j- eft side 4 Right side - COMME :_--- - ` 3 : a SYSTEM USE APPROVED YE O Building Ins ector 01/86 and vl 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 £77itL/ems` rL'-ii,,s6,:eJ cid&,/_,C.-;Vi / 4' ,/,/,/gAi.Alit—. DATE i�,4 j9,g PERMIT # g ^,Sad TYPE OF STRUCTURE S�� RECHECK APPROVED ,N/A YES f 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 s` _ BACKFILL APPROVAL / _ ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE / ' PLUMBING UNDER LAB FRAMING: /7 JACK STUD /HEADERS / BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM f HEATING ROUGH—IN f INSULATION: d FOUNDATION WALLS IN ERIOR R— _ FOUNDATION WALLSEXTERIOR R— FLOORS / R— WALLS f` R— CEILING 7 R— DUCT WORK OR P ING IN UNHEATED SPACES REMARKS: / '1411: ---dia-124 — Lek tiocs c•.,f f �r - r 4f _:,_, I ,motcc IA/9174-tt-t-tvriE): r _. ARRIVE DEPART /1:Z4 fl. , IN PE TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT '4,),),;7 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT EQUEST FOR INSPECTION RECEIVED NAME ,./19e.A.Aal r- Affi3K,41. 4,4, LOCATION1 DATE g PERMIT 0 92-53f TYPE OF STRUCTURE 546) LcJ aG-Q ,&c. RECHECK APPROVED N/A YES t 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 n BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS INt LACE PLUMBING UNDER SLAB FRAMING: / JACK STUDS/HEADERS BRACING/BRIDGING -- JOIST HANGERS "---A JACK POSTS/MAIN ; EAM HEATING ROUGH-IN/ INSULATION: , FOUNDATION L.LS INTERIOR R- FOUNDATION ALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R EMAW: loc-r� j, )u ji Ar'+v l - 7 rti2 0 ' 01- 4/IP--rizvo,r-/ ram, ARRIVE :>' ) / / ? DEPART /(l'iLq- INS EC R Ai TOWN OF QUEENSBURY, ,o r -ers ik BUILDING AND CODES DEPARTMENT7J '.- 53I. BAY ROAD QtENSBURY, NEW YORK 12804 • TELEPHONE (518) 745-4447 BUILDING INSPECT' . a S REPORT REQUEST FOR INSPECTION CEIVED/ Ad--9` (} NAME '0 I ,► a A. _I. --‘11V i I LOCATION / — L. ul�'� ,�j)j: ,.cA'`vi(ri DATE b� PERMIT # TYPE OF STRUCTU E S f/t(f14 lxr digA RECHECK APPROVED r N/A YES h � OTINGS/PIERS ONOLITHIC POUR FOKm— f7 A REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE — I 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 ' L PLUMBING VENT/DENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK ST /HEADS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH—IN INSULATION: N FOUNDATION WALLS INTERIOR R=v FOUNDATION WALLS EXTERIOR R— FLOORS R— WALLS R— ` CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: U�� �:)i P 0t. T i& S ( GAf Gar i-t GAS o R 6-1t- lZMS grzA4 fro rz_ 1?_(., O' l4prci& PLptAJS 610 ARRIVE DEPART //r',-_ INSPEC OR • ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. q 2 - Owner co A 6 de Occupant �.// Location .f61 � e t- T i7 ,t No. Street Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. C Installed by �`- t/24i/9/t No. Se-a Date - 3 ,� ��`� Inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 gROUGH WIRING OUTLETS H.P AI�CONDITIONER I ArS _L WIRING &CONTROLS FOCt6 lifitgagig_ BURNER [ 8' RECEPTACLES H.P.PUMP 5-`/ FIXTURES K.W.OVEN &C/CAMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT 16`k AMP.SERVICE CONDUCTORS / K.W. DISHWASHER K.W.SURFACE UNIT K.W. DRYER _ / K.W.RANGE AMP. RECEPTACLE K.W.WATER HEATER C FRAC. H.P.VENT FANS RS H.P. 1/20 1/12 1/10 'Vs 1 / Ih 1 3: 1 1/ 2 3 5 n4 10 15 20 25 30 40 50 75 1 NUMBER CH SIZE 4RATUS