96-680 _ --
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
4
Date May 19
This is to certify that work requested to be done as shown by Permit No. 96680
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
t.35 EAGAN ROAD
Location
Owner `3ONSTANTINO, JORGE
TAX MAP NO. 137 . -1-4 . 2 By Order Town Board
i TOWN OF QUEENSBURY
/ &,.0:4 `-`- -
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 18600 OWN OF QUEENSBURY No. 96680
TAX MAP NO. 137 . -1-4. 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to CONSTANTINO, JORGE
OWNER of property located at HUDSON RIVER,ON Street, Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY 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
END OF EAGAN ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
VEYSEY, WES
3. CONTRACTOR or BUILDER'S Address
61 MACARTHUR DRIVE
GLENS FALLS, NY 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
1 1 Wood Frame ( 1 Masonry ( I Steel ( )
7. PLANS and Specifications
12680.SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
S 161 PERMIT FEE PAID —THIS PERMIT EXPIRES May 2 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 2 Day of May 19 97
SIGNED BY � ��,u`�'��T /^/ \ 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 [761-8256]
-O BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance r -,
of this permit: PERMIT FILE NO. ��
A permit must be obtained before 13(p. a-s re
beginning construction. No inspections PERMIT FEE PAID$ ( oc
will be made until applicant has received Zoning Board Action fl , 3
a VALID BUILDING PERMIT. All Area /Use $
applicants' spaces on this application RECREATION FEE P e AID
MUST be completed and the signature Plaruting Board Action REVIEWED BY: V
of the applicant must appear on the SPR / Subdivision /Other ` Building Inspector application form. 77revit,,,,. J
Recreation Fee Payment _ �
Applicant: A.�l►L . a" 14 Owner: �I d✓�e- ( o.w i fao
• Address: 4j "%dr- /4r 10l• G► . Address: `/ arlal- - .1/
Phone # �
(6/4--)�l�_ - .F307 Phone # ( _) - !� j
Property Location: e✓ ./ o(, ipw
a.
Subdivision Name: fax Map Number_ 3' I I
Section Block Tnt
MATURE OF PROPOSED WORK: ESTIMATED MARKET VA UE OF THE
New CONSTRUCTION: $ CIUC7
ire idence / commercial
Additi n to uilding:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (desc ibe below) Mercantile
r- 0Y,t/n- eAS' i/1.1 Manufacturing
U Other
GROSS AREA OF PROPOSED STRUCTURE: �� 0 C T 3 07996
Q If ADDITION, what will use
1st Floor �r �. sq. ft./ of new addition be? :
2nd .Floor -?! sq. ,ft. 3
Other Floors sq. \\ ,
(not unfinished cellar or base
ACCESSORY BUILDINGS:
q
�l Detached Garage 1, 2 car
TOTAL FLOOR AREA: / S / FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: (/ Commercial Storage Building
�C FEET X I' FEETeor
Other �� er{� SC Yn
parci--- 1 a.)/ ),.
Foundation Type: taI7C. v/vet Will any second-hand or ungraded
Number of Stories : r")-- lumber be used? If so, for what?
(habitable space only) AJO
Height (grade to ridge) : feet TYPE OF_ HEATING SYSTEM:
Number of fireplaces and/or woodstove ( i all which appli s)
to be installed: / K ectri / Oil / Gas / /Wood
orced Hot Air / Baseboard / Other
Person resppnyyssible.//for supervision of work 4A regards to building
codes is : 41 0" ile / /ram 41 e4 �1?"1:S13G7
, � Na` Addresss Phone
Builder: Wl� tt/ '
Plumber:
Mason: 3
Electrician:
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 Uwe shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, show'°g actual location of project on premises.
Signature:
, - 7SIP
(owner, o is agent, ar it:i contractor)
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
. ,t4 — C)
Date ,19 - Permit No.
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 than one appliance and/or chimney.
Applicant { , /0WeiiiAPPLIANCE (check appropriate boxes)
Addressf 0 STOVE: QWWood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
)115 For, /' Zip '')?r;:,,, ❑ FIREPLACE, FACTORY-BUILT:
Phone ❑ Wood ❑ Gas
.. 7 0 FIREPLACE, MASONRY:
.�... is 1 ❑ Wood ❑ Gas
Owner Lit jar(e Coid 1)1741,0 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address -V IF NON-MASONRY APPLIANCE:
Aii � Manufacturer:
iiii 1, Zip ;� Model:
Phone `'
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
\, i 0MASONRY: ❑ Block 0 Brick 0 Stone
""" �fFLUE: 0 Tile 0 Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ,❑ Double Wall 0 Triple Wall
REGARDING REQUIRED INSPECTIONS. i3Insulated 0 Direct Venting
0 Chimney Liner
4
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title Cj
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: \Otie(_,.:Q . ,c.,
Address:
Dated: Pig Town Clerk or Deputy: ,6-, ..�, _t. A ,'( ;, f
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
793-8307
WESLEY C . VEYSEY
BUILDING CONTRACTOR
Remodeling — Additions 61 MacARTHUR DRIVE
New Construction l _ l/Oj GLENS FALLS, N. Y. 12801
kiJ r
1-1 avtst'
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I RECEIVED
NOV 051997
TOW">,
BI��i.DiN Ai' D CO®E
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To- 660
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TOWN OF QUEENSBURY
`` BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
i
DEPART: ___- -
INSP:
ARRIVE: __--
FINAI. INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: I ( �. "'
NAME -31�-
LOCATION --
i/ `� PERMIT 1
DATE
TYPE
TIN OFGS__STRUCFOUTURE
NDATION BACKFILL FRAMING _-
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL_ WOODSTOVE OR FIREPLACE
-MP-11111111111111111111
-
CHIMNEY HEIGHT II VENT .-
PLUMBING VENT A41111100.
-
ROOFING Afilihriai-
EXTERIOR FINISH --
DECK PORCH STEPS RAILINGS .-
RELIEF VALVES .-
FURNACE HOT WATER OPERATING .-
INTERIOR TRIM PRIVACY DOORS .-
FINISH FLOORS: .-
BATH KITCHEN WATERTIGHT --
OTHER FLOORS 'SWEEPABLE �-
OTE{ERFLOORS CARPETED -
STAIR CLEARANCE RAILINGS
an
SMOKE DETECTORS IIIII1
BATHROOM FANS - _
PLUMBING FIXTURES i OMNI--
FOUNDATION INSULATION -
GARAGE FIRE PROOFING
DOOR_ CLOSERS _
FINAL EL ' RICAL
SIT •LAN VARIANCE RE - ‘ 41I
INAL, SURVEY PLOT PLAN .�
OK TO ISSUE C 0 OR C C
TOWN OF QUEENSBURY
01110.
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
C.f
REQUEST FOR INSPECTION RECEIVED / / (1 t
NAME off : Y '
-
- LOCATION
DATE PERMIT # f ( '� 7 l - to KO
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTIN
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING'SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
ZWOODSTOVE
FIREPLACE- MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: I - ❑ OK TO THIS DATE
E
• 041/4'";14?
-314,a 4,„„izz,, ,,6 „el
INSPSLIP.PUB - SP T'
i-li
CA4,-1 0
V \
RESIDENII.AL FINAL INSPECTION REPORT
Office No. (518) 761-8256
Building &Code Enforcment Arrive: V,/ Insp:-3IZ
Dept. of Community Development
Town of Queensbury Date Inspection Request Received: 1\i (0-97
742 Bay Road
Queensbury, NY 12804
NAME ,. . c t ,........ y-fRf PERMIT NO. (0-- GST1)
LOCATION C''r. N ,c\,A.e:r, yZ_A\I-�- v1 ) DATE
TYPE OF STRUCTURE j4 ''
14/A NO COMMENTS
Chimney Height/"B" Vent/Direct Vent ation //V ,
Fresh Air Intake
Plumb Vent Through Roof \4 //
Roof Complete 1/
Exterior Finish Complete 'i
Interior/Exterior Railings 30" to 36" 4
Exterior Handrails, Balconies, Landing 18 in. oi\more ✓/
Interior Handrails Stairs Both Sides 3 or More Risers ✓/
Grade 2% Away From Foundation °d\ V/
8" Clearance To Sill Plate
Gas Valve Shut-Off Exposed/Regulator 18" Above Gr e i 1�
Gas Furnace Shut-Off within 30 Feet or within Line of ite V
Oil Furnace Shut-Off at Entrance to Furnace Area
Furnace/Hot Water Heater Operating
Relief Valve(s) Installed l/
Headroom 6 ft. 6 in. On Stairs V
Basement Stairs 6 ft. 4 in. V
Handrail Exterior Stairs Both Sides More Than:`3 Risers /4
Interior Privacy/Trim/Doors/Main Entrance 36" V/'
Floor Finish t0
Bathroom/Kitchen Watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing Across Window in Stairwells
4 Smoke petectors: ,
every level 844i _
every bedroom •
outside every bedroom
inter connected 4
Bathroom Fans /�
'Plumbing Fixtures i//
'f Foundation Insulation '- �/
3/4 Hour Fire Door/Door Closer
Garage Fireproofing if
Garage Penetrations Sealed Y¢
Furnace In Separate Room Protected (In Garage) %
Light Ventilation Per Room
Safety Glazing 18" or Less From Floor /
Final Electrical ✓
Site Plan/Variance Required f
Final Survey Plot Plan t!
As Built Septic System Layout Req. V/ /
Okay to Issue Temp C/O
C< t> l0 o6— UV 5 i0ari �121211i Pifs- IPvI e-i - A PP/CO u
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
NameCensjrCC--V-ri\_e-Th \ (
Location \-\k-�WJZY c
Date 10 ,O--Ccl Permit # Co— CZ°_
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/ nch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total ength
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: ilk
Size - f ft.
Stone size AIL
PIPING: 11111 Size ype
Bldg. to Tan
Tank to Dis . Box
Dist. Box 'o Field Pit
Openings ealed? Yes No Partial
LOCATION EPARATIONS:
Foundat'on to Tank feet
Founda on to Absorption feet
Separa ion of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Ri ht Side
Middle Front - Middle Re r
COMMENTS: e\-e-
\-27�� �-�- ,mac
SYSTEM USE APPROVED: YE NO
Arrived- ,
Depar ed: 4 ?y
' .
Building nrec 'o
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. y,
Main Office 357 Elwyn Terrace — Manheim,PA 17545 cp
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVALQ
Panel Board No. Cert. 4 5 8 5 3 Cut-in Card No./.4.9.1...3. ..
Owner U-cs G• C rhg. f.e.n. 0
Occupant Y71 c
Location ik , flQQ 1/44.cc.n.s b L•ey.
Installation Consisting of...A.0.0i4 e a Se nvic.e.,) "I 1 e
S 1/4 - e-r,s„ /Pro e) 12y S.lea girr7147,‘
W.Afe.a. eest7eR, 5.< S tr0/4e... Ver. Cvno s
t
.fr the Ae ez S
Installed By.A.Y../3 CQM. I Lic. *
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke t certificate.
Date 10 - 1-9 / INSPECTO
ember N.F.P.A.,I.A.E.I.
TOWN OF QUEENSBURY i\U•A' a�
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location
Dat O ' ( -9 7 Permit # __ `f
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTE :
ABSORPTION FI D: Tot Len th
Length of each renc
Depth of trenche
Size of stone
SEEPAGE PITS: Nu er- ft.
Size - f x
Stone size
PIPING: Size Type
Bldg. to Tank _____—
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS: feet
Foundation to Tank feet
Foundation to Absorption _ feet
Separation of Pits
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:
3
Gil /I
vi ,rJei-fjhni 1.„4"
/(
cej
SYSTEM USE APPROVED: YES
NO
Arrived: 34.4'
Departed:
Building Inspector
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793-8307
' W£ S L£ Y C . V£ Y S £ Y B VILDING CONTRACTOR
`""--�'1 UR DRIVE
Remodeling — Additions /` L/C)
EL,,� — L IEAALLS, N.Y. 12801
New Construction / , MAY 01 1997
TOWN OF QuE NS3URY
BUILDING AND CODE
( -1,\i,e 'i Ne,'s 'io7 VI•olk
ii-7374-07-Ys '-e 1 i)
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!"! have seen or observed, or believe I saw evidence of,
21! objects such as houses, wells, trees, fences, etc.,
' ishoin n this document. I also represent that ! have
personally measured the dist nces set forth on the diagr y .
I C IGNATURE v� / ° D
1 i
\7lr) ) i
(518) 761-8256
TOWN OF QUEENSBURY (,!
ll
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
i
ZQb DEPART
INSPECTOR'S REPORT: AR 401. ' t/f
REQUEST FOR INSPECTION RECEIVED:
NAME
1 1i\ %V30
LOCATION I��jP..�� 9-NV
DATE v'- C1-7 PERMIT It M.Q1-(W)
TYPE OF STRUCTURE:
RECHECK APPROVED
NJA YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN CE
THE CONTRACTOR IS SPON I LE FOR
PROVIDING PROTE TIO FR M REEZING
FOR 48 HOURS FOLLONIN TH PLACE-
MENT OF THE CONCRETE.
MATERIALS OR THIS P RPOSE ON SIT —
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE 4
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: ` u5o VQ/
JACK STUDS HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
//e
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION: j 1 t
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: ARDEPART
REQUEST FOR INSPECTION RECEIVED:CE
NAME \ n
LOCATION Ec k p f
DATE 2j 16197 PERMIT I CAI
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE \_ y . .
THE CONTRACTOR IS RESPONSIBLE-FUR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE tLACE-
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
J/FRAMING: _ -
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
EATING ROUGH-IN
"INSULATION: S4.-A. `(
FOUNDATION WALLS IN ERIOR R-
Ik
FOUNDATION WALLS EXTERIOR A- -.
FLOORS R- _
WALLS R--
' CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- _
b 1 6M
VAIDEKEa� �` Cyfi
.41(518) 761-8256
TOWN OF QUEENSBURY /.
BUILDING S CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
APP
?
TOR'S REPORT: AR DEPAR :1 �Gr
INSPECTOR' � �
REQUEST FOR INSPECTION RECEIVED: 7
C
NAME1.1
LOCATION ►-S4 Eft-
`-
�' Q"
iiit- t l fA4&0 _4
/ �//�
DATE 7947 PER IT 9 9�i'-CGS C�
TYPE OF STTURE: C>T
RECHECK APPROVED
NIA YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO S LE FOR
PROVIDING PROTE TION F M REEZING
FOR 48 HOURS FObkONING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUR'OSE ON SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE -, 1
FOUNDATION/DAMPPROOFING - -
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE —
RO GH PLUMBING D QA C
PLUMBING UNDER SLAB .
FRAMING• M1 /Iv/
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS 7- [X9U- 4
JACK POSTS/MAIN BEAM -
AIR INFILTRATION BARRIER
JHEATING ROUGH-IN
'SULATION:
FOUNDATION WALLS INTERIOR R- _ _
FOUNDATION WALLS EXTERIOR R-
WALLS R- «
CEILING R
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
\) E
z
t,1rt't.r 7 _ (518) 761-8256
TOWN OF QUEENSBURY
BUILDING 4 CODE ENFORCEMENT (Obi '
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR Z_ EPART 7a1 INT-- -'
REQUEST F INSPECT ON RECEI ED: 1 .-
NAME r\Si 'n' , PYVC')
LOCATION ,-. .I(\,
DATE -- 3 PERMIT # '`q ��,-(Q? C)
TYPE STRUCTURE: �5 f-0
RECHECK APPROVED
N/A YES NQ
FOOTINGSJPIERS
MONOLITHIC FOUR FuRM
REINFORCEMENT IN
THE CONTRACTOR '`'," •NSIBLE FOR
PROVIDING PROTE TIO FROM FREEZING
FOR 48 HOURS FOLLOWI a THE PLACE-
MENT OF THE CONCRETE. ----
MATERIALS FOR THIS PURP.'.E ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE _.,---
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PL BING VENT/VENTS IN PLACE f '
UGH PLUMBING t ' i
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- - _
owy (518) 761-8256
TOWN OF QUEENSBURY O
P
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
IV
INSPECTOR'S REPORT: ARR,Z‘.aEPAR IN
gyr
REQUEST F R. INSPECT ONjj RE EIVED: �a,,.�,
NAME _ �� �RY\ \n- C
LOCATION C M �
DATE /r —� PERMMITT i
TYPE OF STRUCTURE: Sc'--
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RE ONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWI G THE PLACE-
MENT OF THE CONCRETE
MATERIALS FOR THIS P RPOSE ON SITE 111
FOUNDATION/WALLPOUR - •,c
v i-i 0
REINFORCEMENT IN PLACE \^/ i
FOUNDATION/DAMPPROOFING 0S: \0b ,.."11h
4V1 )
SACKFUL APPROVAL �C% ' - ,) ,lk" p�i►.
PLUMBING VENT/VENTS IN PLACCl' \
illjI '
6 - 7
ROUGH PLUMBING �� r IC�Y\`� 4#
P MBING UNDER SLAB ►
i P, 42
NY FRAMING: �� v. ,
JACK STUDS/ ADERS YO,. ..
BRACING/BRIDGI
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-
(7) cELLc 67-N _ C)?Et r,)( I''\t9ALt
DOC6LE___SST kA E 41 oiE
6t K,6 a c>� � 6tt of
5Th'? c.:w., `,.,c .
4-4111
y (518)761-8256
TOWN OF QUEENSBURY (PIO
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY
BURR( NY 12804J '"-
INSPECTOR'S REPORT: AR/0 •p-DEPAR "t/'*N 1
REQUEST FOR INSPECTION
NPECTION RRE(CEIVED: -7 -[ ' / 7
NAME j )1
LOCATION 46-tTi- .
DATE -7"a A 7 PE T f 6 -� !/
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YE$J , NO
fPO OTING2� .1
MONOLI HI 'OUR FORM
REINFORCEMENT IN PLACE _ 1 .,
THE CONTRACTOR IS "SPONSIHLE F•R
PROVIDING PROTE TION :OM FREE NG
FOR 48 HOURS FOLLOWING T' - (4•CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOS ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLAC r _-_
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- _
WALLS R-
CEILING R- A
DUCT WORK OR PIPING IN
UNHEATED SPACES R- -
��// �t
RO U ' 7$ 0 j/o,i)
4)4-1
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
--
INSPECTOR'S REPORT: ARF /''/ DEPARTt/«2/ NT 1 c
REQUEST FOR INSP TION RECEIVED: /j/ 9 7
( l/
NAME s^-
•
LOCATION rlj z� 6't/L
( h\E PERMIT A 9 —
TYPE OF RUCTU E: 6
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR -aRM
REINFORCEMENT IN Ph.CE
THE CONTRACTOR IS RE. •O.SIBLE 'OR
PROVIDING PROTE TION F•.'.. FRE, ING
FOR 48 HOURS FOLLOWING HE PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PU' OSE ON $ITE —
FOUNDATION/WALLPOUR
/R'E�INFORCEMENT IN PLAC
FOUNDATION/DAMPPROOF G
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
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 QUEENSBURY110
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR !O DEPARTn: "4
REQUEST R INSPECTION RECEIVED: 1
NAME
LOCAT ON
DATE f PERMIT 1
TYPE OF STRUCTURE: 5 F--
RECHECK APPROVED
if
N/A YES 0
OOTINGS/PIERS
MONOLITHIC POUR FORM / -
_
REINFORCEMENT IN - +CE _
THE CONTRACTOR - RESP• SIBLE FOR
PROVIDING P•= - ION FR' FREEZING
FOR 48 HOURS FOLD ,e T'E PLACE-
MENT OF THE CONCR''E.
MATERIALS FOR THIS RPOSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
.T-
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
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 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 �J�
INSPECTOR'S REPORT: ARR DEPART . +�' IN'1d./f
REQUEST FO),INSPECTION RECEIVED:
NAME (-4741 % 1 f4✓00
LOCATION V*/1 /e`-) -
DATE "6 I ,k PERMIT # 411e4
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO�
0 ING RS
MONOLITHIC POUR" FORM,
REINFORCEMENT IN P
THE CONTRACTOR IS RES NSIBLE FOR
PROVIDING PROTE TION OM FREEZING
FOR 48 HOURS FOLLOWING 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
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-
'r,-0 0 A C !/ - Cf4E"-Lt
Qp I, (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY.. NY 12804
INSPECTOR'S REPORT: ARR�65;EPARTTIO,t ' NT
REQUEST FOR INSPECTIONN �RECC�EIVED: eD'10 -G�
NAME / L0J G�/ iUO2
LOCATION C(4'Czi,i / 3. /j
DATE 6-1/-47 PERMIT t '�F -le T"`
TYPE OF STRUCTURE: (�
RECHECK APPROV D
A N/A Y S NO
V/FOOTINGS/PIERS P/[Kk k
MONOLITHIC POUR FORM .
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP IBLE FOR
PROVIDING PROTE TION F 0 REEZING
FOR 48 HOURS FO ING THE LACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP SE 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 _
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-
Pr /0' e`er 111(51) 761-8256
TOWN OF QUEENSBURY00
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804 _ l
INSPECTOR'S REPORT: ARR-P BDEPAR/S IN'N
REQUEST FOR INSPECTION RECEIVED:�� �rr���
et�av /J 7 in+C NAME J
LOCATION 61r: !4-,41 AD
DATE % / PERMIT I t(s� 'r
TYPE OF S RUCTURE: rD
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIE'S
MONOLITHIC PO ' FF '
REINFORCEMENT I'['LACE _
THE CONTRACTO' IS RESPONSIBLE FOR
PROVIDING PRO E T •N FROM FREEZING
FOR 48 HOURS OLLO ING THE PLACE-
MENT OF THE CONCRET• .
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
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-
<rf� ( < PiD,e `moo kieta( ( ,}
(1 1 i /tite
5‘PT
7 f 40(23
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name W,b
Location e w� P\C I\)
Date \Z.:Lill Permit # C�� ►
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test
(if applicable) Rate-Minn /Inch
TYPE OF SYSTEM:
ABSORPTION IE !. Total Length _
Length of - . h tr-nch
Depth tre ches
S ' e of stone
SEEPAGE PITS: Numr-
Size - x ft.
Stone size
PIPING: / Size Type
Bldg. to Tank /
Tank to Dist. ox
Dist. Box to Feld/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation io Tank feet
Foundation/to Absorption feet
Separation/of Pits feet
Conforms As per Plot P1 an Yes No
LOCATION/OF SYSTEM ON PROPERTY:
(circle kne)
Front - ;`Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS: (14
— A26?7 E —\ t.1 6
c•�pF� C) . \ PG G E
L1 ` vot-\- 1 c )
_
SYS1U:M t�� APPROY t3EY v�
Arriv Alk
Dep tecy`�
Building ,ector