91-572 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 31, 19 91
This is to certify that work requested to be done as shown by Permit No.91-572
has been completed.
This structure may be occupied as a ; of Dunlex
Location 12 A Smoke Ridge Road
Owner Ciforee Construction
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT .�
TOWN OF QUEENSBURY
No. 91-572 -a
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John Cifone (Cifone Construction) C
12A Smokeridge fD
OWNER of property located at g Road Street, Road or Ave.
0
in the Town of Queensbury,To Construct or place a 5 of Duplex vi
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 0
Box 684
Glens Falls, NY 12801
2. CONTRACTOR or BUILDER'S Name
Cifone Construction cn
a
0
3. CONTRACTOR or BUILDER'S Address
cc
4. ARCHITECT'S Name
5. ARCHITECT'S Address
0
"h
6. TYPE of Construction— (Please indicate by X) G
(X)Wood Frame ( ) Masonry ( ) Steel ( ) rD
X
7. PLANS and Specifications
1,716 sq ft 2 of Duplex as per plot plan specifications and
application
8. Proposed Use
z of Duplex
$ 108.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 22, 19 92
(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 22nd Day f August 19 91
SIGNED BY ,r for the Town of Queensbury
Building and‘Zoti)ng Inspector
TOWN OF QUEENSBURY BUIDPJg DEPARTMENT
TOWN OP QUEENSBURY Booed oe Oar limited exa
com th our�m tuft •
C not be as indtc en the
REVIEWED BY: /t) ans and st�cifications aro in full •
.. � �� compliance with the coda.
F � FEE PAID:
� OF ttLiilllr�pl,�l�
PERMIT NO. :.- •qi lJ 1 RECEIVED
AUG 131991
BUILDING PERMIT APPLICATION
BLDG. & CODE DEFT
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: J O N Yl c2
P.O. Address: 3ox G84 G)ev-NS S ly / I /Bo' PHONE7?Z--92L42_
Property Location: s Inn okc_rlc ge Rd Tax Map No. 12_1 / 10 / 1 Z
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: . 1urri� R%ctC Lot No. 12
THE PERSONO RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
dOln,n Ctc-ov%c
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
X Construction of new building * CONSTRUCTION: $ /4 7j
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: )Z3 ft. x 2•,5'O ft.
Other work (describe) * Existing Building Size: i-vaN a
• * ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: property line:
1st Floor IT) 16 Sq. Ft. 758 * Front Yard GO ft. Rear yard .I(,Lt ft.
* Side Yards 2 g ft. and 23 ft.
2nd Floor — Sq. Ft. go,- * If on corner, setback from side street-
* — ft.
Other Floors 1i 1(0 . Sq. Ft.
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: Z(o ft. x Gt, ft. * ' X Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Parti .l (Circle One) * Business
* Industrial
No. of stories (Habitable space) _ 2 * Other
Height (grade to ridge) 20 ft. *
If residential , no. of families: 2 * If addition, what will use be?
No. of rooms (excluding baths) : .; ) (o - *
No. of bedrooms: G * •
No. of bathrooms: * Accessory Building:
Primary heating system: )-}o-f- (4 or * Detached Garage - One/Two Car
Type of fuel : G s * Attached Garage - One/Two Car
No. of fireplaces to be installed: NA * Private Storage Building
Will a woodstove be installed?: ►,D * Other
Central Air Conditioning: Yes X No * N O Ni
(OVER)
BUILDING'PERMTT;AP,PLI-CA LONrUNTINUED:
BUILDING SPE.CI)FFIGA:T.IONS , •.,f.E
Type of co -.wood .fr-ame, fire safe, etc. (,JoocE Froze.
Will any second-hand or ungraded lumber be used? If so, for what? No
Foundation Wall Material : Co p>c_ Thickness:
Depth of Foundation below grade (to bottom of footing) : 1i
Will there be a cellar? , Heated or Unheated? 1-Ics4t4 Floor Sq. Footage: )7 1( ,
Will there be a basement? ye Will any portion be used as living space? y
If so, what portion? )3$Q Sq. Ft. Type of Use? lacj, J wroi7
Type of Roof: Sloped/Flat/Shed/Other s10 Material of Roof
Size, wood studs ? " x Co " ; spacing ! (, " o.c. ; length E ft.
Joists (floor beams) : 1st Floor •13/114 " x WA, "; spacing 2 " o.c. ; span )14 ft.
Joists (floor beams) : 2nd Floor piiQ " x "; spacing " o.c. ; span ft.
Overlays (ceiling beams) : 14 " x " ; spacing " o.c. ; span ft.
Roof rafters: fy'4 " x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing, 2_ " o.c. ; span ft.
Exterior Wall Finish: G_cia V2Socixds of what material ? VIr - '1
Interior Wall Finish: )/2
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: N p
Is there to be an opening between garage and dwelling? 1A4k If so, will a Fire-Rated door,
enclosure, self-closing device be provided? NA
Will a flue-lined chimney be installed? 1\t Q Height above roof ft.
Depth of chimney foundation below grade: NA ft.
Depth of fireplace hearth: N A- ft. in. 1
Water supply - Municipal or private well : Muln`C,1 po..a
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: NA ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: C Srovvc • Cov.S i PHONE 79 Z 2.1-4 L
NAME OF PLUMBER & ADDRESS: II PHONE II
NAME OF MASON & ADDRESS: " PHONE i1
NAME OF ELECTRICIAN & ADDRESS: I% PHONE II
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 -
0 er, owners gent, architect
co tractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
- Code Enforcement Officer
' ENERGY CODE COMPLIANCE APPLICATION •
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods: 'Tif= s, .Jh.�
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellin4WG 1 3 1991
Multi-Family Dwellings
(3 Stories or Les3EDG & CODE ® t T
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
APPLICANT'S as-o��AME PROPERTY LOCATION2_ ) Ur�t Rta3c_ svb.
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - .3L.\? 2_ Sq. Ft.
2. Type of Heat - Elec. Base Board Other Gra„5 *crr POY•
3. Is Building Mechanically Cooled? x YES NO
4. Percentage of Area of Windows and Doors Over 17% 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 _
B. Exterior Walls R .•\ % 1
C. Glazed Area R 3 w3
D. Exterior Doors R 3•
E. Floors over unheated spaces R
F. Edge of Slab on Grade (Heated Building) R ID. I
G. Basement/Cellar Walls (Above Grade)
H. Basement/Cellar Walls (Below Grade) R 17. 5-
I. Heating/Cooling - Ducts - Piping in Unheated Space R. NA
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code X YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
10•
8 f Ia , �92 q Z
AP' ICANT'S SIG TURFDATE TELEPHONE NUMBER
INSPECTOR'S REMARKS :
REVIEWED BY
itj ),).,ei,e6-(1( R-67.4Air Juo .c . cii_sri..3
`j � TOWN OF QUEENSBURY
• APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fee Paid
Date: S/ ` _\ /C? i Reviewed By
LOCATION OF PROPERTY. FOR INSTALLATION: Lb-h ) L. S mo , •p.,„ <• .--(
Owner's Name: dcpkv , C\-o'A
. Owner's Mailing Address: 1 , 0 .1 . • G8 _ Gc -kis y
Installer' s Name: CI cH„n �_ CU".:,"T' C Phone #: `72.,--9ZU1._
Number of bedrooms (if residential ) : [7
Total daily flow (residential-compute ,@ 150 gal .. per bedroom):, 900 Goj
Topography-Circle One: 40 Rolling. ' Steep Slope % of Slope
Soil Nature-Circle One: Sand" Loam Clay Other /Depth:
Ground Water-At What Depth?, Feet
Bedrock or Impervious Material-At What Depth? Feet
Percolation Test-Circle One: . Not Required Required/Rate Min. Per 'Inch
Domestic Water Supply-Circle One: 411.M Well Other
If domestic water supply is a we -
Separation: Water supply from any septic absorption feet .
PROPOSED SYSTEM: Septic Tank \ .. 0 O gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench Q feet//Total System Length 1....10 0 feet � ; .1. ` Y
Seepage Pit(s) : Number of / Size each: ft. x ft , 4 ,
Size of Stone to be used: # / Depth or Thickness feet , �,.
pU6I9SI �
�'a c� t 8
yeinsidi. cu
HOLDING TANK SYSTEM IF REQUIRED �ft
No: of Tanks Size of Each G. 'ts c2\'
Alarm system and associated electrical work to be inspected by a cer .fi g 40-'
agency.
****************
t 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: '-wL.__C. 7(ir
-- DATE: 8/Z 1 /R I
,
Septic System Inspections:
A. All applications for septic system installation,
alteration
naore,repair,
as required by the Town of Queensbury Sanitary Sewage
Or shall
be submitted to 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 to any water supply
5) size and dimensions of all tanks, distribution boxes, tile fields
and/or drywells
B. No system shall be covered before inspection and ..approval by the esult Binlding
g
Inspector. Failure to comply with this requirement may
uncovering of the 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 to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation, '
• alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
Town of Queensbury
Building & Code Enforcement
Department
531 Bay Road
Queensbury NY 12804
a.. ,
Ren4rks: . •
tftf
1. :0
,444,0 4i' 41,
''.
•
•
YOU ARE•HEREBY REQUESTED TO
. INSPECT AND ISSUE CERTIFICATES
FOR THE;.FOLLOWING ELECTRICAL
• • EQUIPMENT TO BE INSTALLED BY
• THE UNDERSIGNED
• _ TEMP.# DATE f °1
t-/ ✓ �✓ •
_
CITY OR VILLAGE TOWNSHIP ;i COUNTY
STREET AND NO.OR ROAD - '`-�•V POLE NUMBER
BETWEEN WHAT TWO CROSS STRE IS PREMISES LOCATED? SSCTION BLOCK LOT
ty i If-J.
OCCUPAaTS NAME - BUILDING OCCUPANCY
OWNERS NAME AND ADDRESS • HOME TELEPHONE NUMBER
c ii d -2 Li )
CURRENI`SUPPLIED BY _ FROM THEIR OFFICE" . WOAK TELEPHONE NUMBER
BUILDING IS `
NEW OLD❑ WORK IS •I NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS • HEATERS BRANCH OFFICE USE
•LDS Lamp Receptacles CIRCUITS ONLY
tion Side Attach't H.P. I Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT- 0
SIDE •
SUB-
BASE '
BASE-
MENT
1st
FL
2nd 1
FL.
3rd II
FL 1'
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
1 s >- 1/"�t'!'arn -- • . -
CHARACTER OF WORK ) ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED .I
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING - MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND 1
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST IDENTIFICATION APPLICANTS
PUMANTS
(A) % kl C r:k ‘
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN'OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS .
NAME OF APPLICANT DATE OF APPLICATION SIG TURr,APPI T
t.STREET ADDRESS TELEPHONE N
1-1 I.-)
SL.` , r,;L - cr 7'-- 2 -t 2
CITY OR POST OFFfCE ZIP COD LICENSE NO.WHEN APPLIOXIME
a }
❑ 85 John Street 0 41 State Street ❑570 Delaware Avenue ;❑ 217 Lake Avenue ❑ 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
Tub nil_Fni v(1R.V Rfl RIl nF'FIRF I INIIFRWRITFRR
a.
S '4.4"C.\��Ca�.l?�.l?7!-1,..90.9 9I-s i""..17z...9-•!:!."...n soi:e!. �t�.a�(.a�C�..?!t..��.� t�.".?�-•!... ."-1.4-1,i. ti.aft).a9�.?�i:���."4.9!..1,!.. i"..".:9!..19 ,,..��i.a.�",".,�.i a._ ,,,i.y.,,af.
THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1
4033771 '!
�, BUREAU OF ELECTRICITY ;
r 41 STATE,STREET,ALBANY.NEW YORK 12207
Date
JAN1JARI 06,199'2 Application T —nfi1P7744691/91 A 063767
0
THIS CERTIFIES THATPERMIT o
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of o
- ®JOHN !:'.T.PCNE.., SMOKE RIDGE RD. , OUEENSBUR'i, N.Y. . .
in the following location; ❑ Basement 2nd Fl. GAR •
Section Block Lot 1 n .
❑ lse Fl.
DECENJ3ER �'b;1C}Q1
was examined on and found to be in compliance with the requirements of this Board. ..;-
1.
FIXTURE RECEPTAClE5I SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
NOUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. .AMT. _ K.W. AMT. K.W. AMT. K.W. AMT. H.P. '?_„
1.1 13 26 14 - 1. 5, .1 1 , 5 3 I' ; .
• fit' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS ! +
i'; SYSTEMS 4i
W. AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. • AMT. ' AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET ANT. WATTS I.
', 1 . 3 1 I -1
►; SERVICE DISCONNECT NO.OF S E R V I C E `la„;
-METER
f. (. AMT. AMP. TYPE EQUIP. 1,B'2W 1%3W 3 0 3W 3%4W NO.OF CR gCOND. OF CC.COND. _NO.OF HI-LEG, OF we - NO.OF NEUTRALS OF NEU RAL ;:a I
4; 1 150 CB . 1 X 1 2/0 1. 1./0 :'
� •
. OTHER APPARATUS: . •
MOTORS:11"-2,5 }l ,P
SMOKE DETECTOR:-2 ' ••
1 •
-'0
t:IF'C}NF CONSTRUCTION
-V AIRPORT INDUSTRIAL DR. - ' — _ CrtJ'
1,
1, PO BOX 644 BRANCH MANAGER
t. 1; GLENS FALLS, rtY, 12801 '3`9
Per s
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. `i
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
'0\6\(\ kg-iVic
TOWN OF QUEENSBURY (�
01111K 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILD.ING_IPISPECTOR°S REPORT
FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED /)/0 j1/ Jq
jts.,c10 .
LOCATION r-1,Qk ( )N �' )kF, d c .Q
DATE %.234 /%/ PERMIT# l 5
TYPE OF STRUCTURE :1L, (1 U
RECHECK
FIRE MARSH L APPROVAL (C MMERCIAL ST UCTURE)
,/FOOTING s/FOUNDATION BACKFILL �R MING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
NSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION ✓,r
B VENT/LOCATION //r
PLUMBING VENT
ROOFING •
SIDING
DECK/PORCH/STEPS/RAILINGS ✓
RELIEF VALVES
FURNACE/HOT WATER OPERATINI'
BASEMENT INSULATION/DUCT IRK MEM
INTERIOR TRIM/PRIVACY DOORS
FIBIH FLOORS: .�
BATTH/KITCHEN WATE' IGHT
OTHER FLOORS SWE PABLE
OTHER FLOORS C! 'PETED
STAIR CLEARANCE/RAILINGS le.-14
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS •✓
OTHER FIRE SEPARATION ✓
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS ✓
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
2 `-,1y
ARRIVE
DEPART
INSP T
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 .
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED l )1
NAME C A 1� 4.4..tPc I,�v
LOCATION . ` qi .= >f�
DATE ) ; t3 ) \ PP. 'IT # O I ,
TYPE OF STRUCTURE
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 CONCRETEi
MATERIALS FOR THIS PURPOSE ON' SITE
FOUNDATION/WALL POURS, t
REINFORCEMENT IN PLACE 6
FOUNDATION/DAMPROOFING,_ j
BACKFILL APPROVAL /
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB , 'a
FRAMING: /
JACK STUDS/HEADERS / `•
BRACING/BRIDGING P
JOIST HANGERS /
JACK POSTS/MAIN BET
FIRESTOPPING
WALLS
CEILING f`
FIREWALLS /
EATING ROUGH-IN
SULATION: 4,,,V,,-a �ekes :-"A4
1 �1
FOUNDATION WALLS INTERIOR R- it '',,
FOUNDATION WALLS EXTERIOR R- t i
FLOORS R- k
WALLS R- I?
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
es
ARRIVE / --
DEPART)/ 4
INSPECT°
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 2 5832 7 5 4L/4 7
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED )11 ()II
NAME G l &rr'-_ CS71"\cE i ()C.'bNrA
LOCATION f - S n c t e Ri {e �� I n
DATE !)) 24/' i PERJIT #
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE J
FOR PROVIDING PROTECTION FROM /
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON TE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PL E
PLUMBING UNDER SLAB
FRAMING: / 1
JACK STUDS/HEADERS / 1,
BRACING/BRIDGING /
JOIST HANGERS / \
JACK POSTS/MAIN BEAM
FIRESTOPPING 4
WALLS
CEILING / .
FIREWALLS �.
HEATING ROUGH-IN \
hNSULATION: U'(?, iY5
FOUNDATION WAL1/ INTERIOR R- \
FOUNDATION WA S EXTERIOR R- \
FLOORS !'f jWALLS R- \
CEILING a "" //�� R-1/ \ (�
DUCT WORK 0 PIPING IN UNHEALED
SPACES
REMARKS:
ARRIVE /U
DEPART
INSPEC R
•
Town of Queenibur , ` U2
• BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME i
LOCATION (, 41 t 64( f,i
DATE II/ ev (i/ PERMIT NO. d d --.
•
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length ' O C)r-i
Length of each trench ' "L,
Depth of trenches ' /
Size of gravel I,
SEEPAGE P ITS4Nuinber of)
Size- ft. X\ i ft_✓�' /f�� j
Gravel size \, :��' / -�
PIPING: ' " lSize Type
Bldg. to tank 'a 5/ /PVC-
Tank to dist. box , / L( j'c-
Dist. box to field/pi-„ //G/ _— - -- -
Openings -
Openings sealed? AYE$) NO Partial
,
LOCATION/SEPARATIONS: `y
Foundation to tan ft)
Foundation to absorption ft OIL
Absorption to lot line ` f
Separation of pits jti
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - ar e -% Left side - Right side
COMMENTS:
- 0 i So x65 -2_ ')0o z-:I O 5
(6.44,416,d 7457*
•
SYSTEM USE APPROVED DYESNO
Building Insp6ctor
01/86 and vl
TOM OF QUEENSBURY Pin
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
//1
NAME Lt7le, C /4J.1. .t0/I
/1 ,Q n
LOCATION l 4 ' L'nZ¢��, t� �N p , GI
DATE / t f 5 l Q f PERMIT I
TYPE OF STRUCTURE , d AI..?1919
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 PLUMBING x
/ PLUMBING VENT/VENTS IN PLACE;
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
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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DEPART f�1�-� ) f{
INSPECTOR
/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT ct
REQUESTFOR INSPECTION RECEIVED
NAME 0--u fY L =',A,uU';Z 21 y
n t:aLOCATION oL / Snip-Re_ ,
DATE I ` 5. \C\ PERMIT #
L
TYPE OF STRUCTURE 3 cr
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'
FIRESTOPPING
WALLS
CEILING
FIREWALLS -
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 /,(. ,%
DEPART
INSPECTOR /,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT •
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR REPORT 9 1 �
REQUEST FOR INSPECTION RECEIVED
NAME Q,l(31A_S2.,-
LOCATION i, 5r10 ice i c)(C
DATE (ci. PERMIT I f ,S 7
TYPE OF STRUCTURE
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
C✓FOUNDATION/DAMPROOFING 5C
\X BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: _
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN i
INSULATION:
FOUNDATION WALLS INTERIOR R=
FOUNDATION WALLS EXTERIOR R-
FLOORS /R-
WALLS R-
CEILING d` R-
DUCT WORK OR PIPING IN UNHEATED
SPACES ,1
REMARKS: r
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PO5Th-6)(.7e./4 J Tenrao
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DEPART D�U (/1
,/rJ
IN PES/TOR
0,i \t).-LY
'INN OF QUEENSBURY j V
BUILDING AND CODES DEPARTME
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED f s)t!
171 l S v C
NAME C -( nf� �-'Y
LOCATION (1W 4-.Tik)Cl 'v )pS{q
DATE 51/3b J l PERl9IT # � 5-17�
TYPE OF STRUCTURE
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 /
ROUGH PLUMBING \
PLUMBING VENT/VENTS IN PLACE \
PLUMBING UNDER SLAB ';r;'
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING .
JOIST HANGERS \
JACK POSTS/MAIN BEAM ,
FIRESTOPPING
WALLS
CEILING
FIREWALLS
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
DEPART
INSPECTOR
TOWN OF QUEENSBURY 4 11
BUILDING AND CODES DEPARTMENT I
531 BAY ROAD
QUEENSBURY,
TELEPHONE (518)NEW 0792-583RK 4 2
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 0.,6/Q/
NAME .� P . l-)1.k P.-GC.(" .O'L )
n
LOCATION 12. 2 -A v 4 4, , �C n
G i /j,r OI
DATE j/,2 7I� PERMIT # 9/ -57.2.
TYPE OF STRUCTURE b._ d% l.vy
RECHECK APPROVED
N/A YES NO
XX 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 /
FIRESTOPP ING
WALLS //
CEILING \ /
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR FO\
FOUNDATION WALLS EXTERIOR A-\
FLOORS J R-
WALLS I R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED \
SPACES \
REMARKS:
2tU_' aita4/1--C
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
TELEPHONE (518)NEW 0R92-583K 4 2
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 6J 0r�'1 q
NAME 1 � e— rtlits5-Ayi
LOCATION "i- �.� ScraL )C�
61 al
DATE g/i-,p- 1 1 PERMIT # /—S 9 d
l
TYPE OF STRUCTURE 6-6 t'_ _
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
FIRESTOPP ING,
WALLS
CEILING
FIREWALLS
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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POUJZ4AJc -a s
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DEPART / S
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