91-573 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 31. 19_gl
This is to certify that work requested to be done as shown by Permit No. 91-573
has been completed.
• \
This structure may be occupied as a ½ of Duplex
Location JIB Smokeridge Rd
Owner John Cifone Cifone COnstmrtinn
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT .�
TOWN OF QUEENSBURY No gl_573
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Cifone Construction
OWNER of property located at 12 B Smokeridge Road Street, Road or Ave.
eu
in the Town of Queensbury,To Construct or place a z of a Duplex
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
Box 684 r?
Glens Falls, NY 12801 c
2. CONTRACTOR or BUILDER'S Name0
Same
N
C'h
3. CONTRACTOR or BUILDER'S Address
e+
4. ARCHITECT'S Name
Na
co
5. ARCHITECT'S Address
0
P1/4.
6. TYPE of Construction—(Please indicate by X)
fD
( XWood Frame ( ) Masonry ( )Steel ( ) tZ
7. PLANS and Specifications
No. 1,716 sq ft z of Duplex as per plot plan specifications and c
application -h
8. Proposed Use
'O
2 of Duplex co
$ 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 of , August 19 91
SIGNED BY ( ")lL� for the Town of Queensbury
Building and Zan' I nspecto r
TOV N OF QUEENS BURY �s1
i 6)0eLL----)(,'
^. �ti , f: REVIEWED BY: 'it L..t_-- /OWN OF QUEENSBUh,
''_ RECEIVED
it, FEE PAID: it-ng..4 if 7-r(( �`�"Z—
,a n :� Gj (_57• . AUG 131991
1. , ?. PERMIT NO.
BL.DG. & CODE DEPT.
BUILDING PERMIT APPLICATION
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\' 'c c v- e
P.O. Address: — ' p,y< GB4 QiE�s k S ---/',/ JAOO( PHONE ?2.-92i.(,2.
Property Location: Sao\<,2r1ckrjc Rd, Tax Map No. l / i® / FZ..
Has there been any split of this property since October 1, 1988? Yes No `A_
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Rwrvit R,•z4 c Lot No. 12_
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
y( Construction of new building * CONSTRUCTION: $ 17J S2)
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions), * Size of Property: 17.3 ft. x 25m®.ft.
Other work (describe) * Existing Building Size: 1y.01,1 a
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: ct-eA , fly property line:
1st Floor V ) ) ( Sq. Ft. 5 * Front Yard GO ft. Rear yard 1C214 ft.
* Side Yards is ft. and 7 c1 ft.
2nd Floor — Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors 111 ) 1 Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: ft. x G(p ft. * - Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Parti . (Circle One) * Business
* Industrial
No. of stories (Habitable space) .,„ * Other
Height (grade to ridge) 2.0 ft. *
If residential , no. of families: 2.._ * If addition, what will use be?
No. of rooms (excluding baths): i (® . *
No. of bedrooms: Cv. * .
No. of bathrooms: Li * Accessory Building:
Primary heating system: '-- 0 - Wit,- * Detached Garage - One/Two Car
Type of fuel : C' * Attached Garage - One/Two Car
No. of fireplaces to be installed: NA * Private Storage Building
Will a woodstove be installed?: 1.40 * Other
Central Air Conditioning: Yes x No * P\1 O N
(OVER)
BU ftDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. Wo o cg- Fx-one.
Will any second-hand or ungraded lumber be used? If so, for what? No
Foundation Wall Material : ) Q
C:Oq•>� Thickness:
Depth of Foundation below grade (to bottom of footing) : 1.
Will there be a cellar? , . , Heated or Unheated? Floor Sq. Footage: 171
Will there be a basement? `ic,,5 Will any portion be used as living space?
If so, what portion? ) 3 Bc3 Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other 310F,c_cl( Material of Roof q��
Size, wood studs ? " x C�, " ; spacing l (, " o.c. ; length 6 ft.
Joists (floor beams) : 1st Floor I30
/,4 " x Ili/g " ; spacing o.c. ; span )L4 ft.
Joists (floor beams) : 2nd Floor - " x " ; spacing " o.c. ; span ft.
Overlays (ceiling beams) : /./,,4 " x " ; spacing " o.c. ; span ft.
Roof rafters: /VA " x " ; spacing _ o.c. ; span ft.
Roof trusses (pre-engineered) : spacing 2 o.c. ; span 2 ft.
Exterior Wall Finish: GA oe - of what material ? Vpn-7,4
Interior Wall Finish: .11/2. C)r ,�- \-ocji<
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Ni;
•
Is there to be an opening between N•dwelling?and garage g. �{ If so, will a Fire-Rated door,
enclosure, self-closing device be provided? NA
Will a flue-lined chimney be installed? IN,Q Height above roof ft.
Depth of chimney foundation below grade: jam ,_ ft.
Depth of fireplace hearth: fl - ft. in.
Water supply - Municipal or private well : r4)0)1N‘c,A p
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: NI ft.
(A separate application is necessary for any repair or new installation Of septic 'system.-)
NAME OF BUILDER & ADDRESS: `Spotnc• c0 - 1- PHONE `J' Z 9 Z.
NAME OF PLUMBER & ADDRESS: Io PHONE n
NAME OF MASON & ADDRESS: de PHONE ed
NAME OF ELECTRICIAN & ADDRESS: PHONE to
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
• Orn r, owner s a nt, architect
c n ractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOW OF -QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREEMACSOF QUEE�JS J ,
RECEWED
CooplUnce Meth ,,'+s: RUG 1 3
1991
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
I3LDG. & CODE D PT,
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
RPPLICA�P9T s RJAa&ov,� PROPER LOCATIONUvtr� i��t. cSv .
PART 5 69ETHOD OF CO 'LIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 2— Sq. Ft.
2. Type of Heat - Elec. Base Board Other (3-3. Rork- Pey'
3. Is Building Mechanically Cooled? )( 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 SHONA ON PUNS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R 3
B. Exterior Walls R ,\CA
C. Glazed Area R 3, 3
D. Exterior Doors R F3.
E. Floors over unheated spaces R N ,,
F. Edge of Slab on Grade (Heated Building) R 12
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R '7. 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
TEf ERATURE CONTROL MAXIEUM SETTING 140' - WILL NOT BE EXCEEDED
T r�R- •7HBER
APP ICAN S SIGN�iURE E
INSPECTOR'S REMARKS :
e
El -0_,.c.\�. +A.(1.141.t,J.!a/-11,1•�/-a!.`,a.�.,k�,Pa,!4 ti�A-1,.!-I[:a to i.�.1...i.a P,.JA P,P,.P., 1 P.tia tia.PAP,i._Ai."."J,?-e!,a 1.-9i-1_,,_ !.A,!.. ...i.:.i_�.i.;.!4t. 1 ...i:�,! I
THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1
1: lt)`'r711 Pi
BUREAU OF ELECTRIICITY. . . 51
1, 41 STATE STREET,ALBAN ;NEW,YORK 12207 '
JANUARY 06,1992 Application o.onfile777,11-1791/91 06 769 Ili
THIS CERTIFIES THAT PERMIT' NO, 91-573 •
t?
1,
introduced only the electrical equipment as described below and by the app •' on the above application number in the premises of tl
1'
i..10 HN CIFONE, SMOKE RIDGE RD. , OUEENSBURV, N.V. •
in the following location; ❑ Basement 0 1st Fl. ❑ 2nd Fl. OUT Section Block Lot 1 r1
DECE'•1BER 26,1991 S
was examined on and found to be in compliance with the requirements of this Board. ;1
E. 1i
- I. FIXTURE FIXTURES . RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
ECEPTACLESI SWITCHES
�, OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. _ AMT. K.W. AMT. K.W. AMT. H.P. .?g
In
1 '1. 1 E 3 2 6 1,1 . . 1. 5 • . .. 1 1.5 3 F 1
' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS ®EU UNIT HEATERS MULTI-OUTLET DIMMERS ,,
�, 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 AMT. WATTS ,-
.: 1 . 3 1 F . • a
4 .
4' 'P
4_ SERVICE DISCONNECT NO.OF 5 E R V I - C E :'
.<. AMT. AMP.-- -TYPE EQUIP. I 0 2W 1 0 3W 3 03W 3.e IW NO.OAR 1COND. OFC.C CON OF HI-LEG D.. NO.OF HI-LEG f NO.OF NEUTRALS OFTR NEUAL `•,
f� i
. 1 .1✓0 !CB 1 X. 1. '1.'1./0� 1 1 L
-! OTHER-APPARATUS: '
NOTORS.1-2.5 H.P. o
1; G.F,C,I:--7 . . R.
SMOKE DETECTOR:-2 0
�; r'IFONE CONSTRUCTION /
tii 1, AIRPORT INDUSTRIAL DR. _ . CIA
4 PO BOX 684 . BRANCH MANAGER
1 % GLENS FALLS, NY, 12801 239
�, Per o=
q; 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. E g"D
'r- r - - littlitinittvvmi[ �anal Ale Iffr lie vtmetAi�ileAmnatvrvtrutfulevii ilv vitt vi veruin !lile lonsarvfriir mile mallet Amt rr\W
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES -
-FOR THE FOLLOWING ELECTRICAL '
EQUIPMENT TO BE INSTALLED BY .
THE UNDERSIGNED ,•I
TEMP.# DATE r1l/ 11 �t ,r5
•
.J l 1/I .
CRY OR VILLAGE TOWNSHIP . COUNTY
STREET AND NO.OR ROAD - 7 - - POLE NUMBER
i _ . \, , 1: - ,-_ • . \.`) _(
BETWEEN WHATTWO CROSS STREETS IS PREMISES LOCATED? . SECTION BLOCK . LOT
1
OCCUPANTS NAME BUILDING OCCUPANCY •
OWNER'S NAME AND ADDRESS - .. HOME TELEPHONE NUMBER
i : t,, ,,., i 1 .`
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
%•_i i I.- > t T^'I - ,.. , \--_-.(L r7 a- ri f_ l.T
BUILDING IS
NEW OLD❑ WORK IS NEW❑ ADDRTONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH OFFICE USE
LOCa Lamp Receptacles MOTORS HEATERS 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
7 L'I`--) (4-Y.-t )
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
/AJ 1 14 (^_`.. ( \ IDENTIFICATION NUMBER
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 .- �t / DATE OF APPLICATION �/SI NATUREiOFAtPPL - T
\r� �l �' til. L_._ (.. _-, ; 1 1, r. /� �y ✓�_. y „�
STREET ADDRESS TELEPHOT4E NO.
CITY OR POST OFFICE ....__ ZIP CODE LICENSE NO.WHEN APPLICABLE
,l , \— ( f-` ( •
-7.- . ) 1 ..
treet 0 41 State Street ❑570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
Y 10038 . ALBANY,NY 12207 I BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(518)463-2122 (716)884-1155- (716)254-0141 '. _(315)463-8552
,LVfRK ROARD OF FIRE UN.DERWRITER$„,-__
•
gown of QuQe,1Jur `9 9
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOOSAL SYSTEM/ INSPECTION
NAME /
I 1 'ri e L L�11,0LE(. i(int
ii , )
LOCATION 4'1')LC-��('i t ?d/(. j�1:(.
f-/ t " f� l- .)-
DATE //1 iY err PERMIT NO. CFO -- '73
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - ;NO
Percolation rate - Min/Inch _
TYPE of SYSTEM: I
Absorption field, total length ACC%/ (
Length of each trench 'i,
Depth of trenches ' Z--,i j •
Size of gravel .X z._ /
SEEPAGE PITS- Number of)/ --
Size- ft. X • f t.`- • v Pr:_--------
Gravel size 1
PIPING: '\ / Size Type
Bldg. to tank , ~/
ij c'c._.
Tank to dist. boxt c{ ;VIVc--
Dist. box to field/p I-( /i(��'_._
Openings sealed? YE!,J NO Partial
1
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundatio to 'absorption ----it ,
of
Absorption to lot line fq
Separation of pits A-�', ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Fronteaz' - Left side - Right side -
COMMENTS:___.
15 cic' G.AL. 'i }Al1C_.
7 0 (. r`. I-)c) K.-� ,.L .) CO 7 C+!-I,1
--(s r-e:if-i .c: .- . .
SYSTEM USE APPROVED YES j NO
j/TI
1---; --
Building Insp ctor
c _ai'q t_ , i lII
01/86 and vl
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
NAME 4j417Q 6X 4/1-11 i i
LOCATION /, e idac) 16
DATE ////,5/9/ PERMIT # 9/-11-,Z??
TYPE OF STRUCTURE XI(
( ' '4 -i%
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/DAMPROOFI;NG
BACKFILL APPROVAL .
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: i
JACK STUDS/HEADERS : ;/
BRACING/BRIDGING
JOIST HANGERS r
JACK POSTS/MAIN BEAM .1
FIRESTOPPING
WALLS
CEILING 'af
F I R EWA LLS
HEATING ROUGH-IN
INSULATION:
irk
FOUNDATION WALLS INTERIOR R- if X
FOUNDATION WALLS EX ERIOR R-
FLOORS R-
WALLS R- I`1' Jt
CEILING R- 3 y
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE i12-72-3a
f /
DEPART J'I
INPEC
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
^ / / ) 2 J q 1
NAME C_a, ?Y`L i^c\i "( (xJ �i \ ll
LOCATION 1 �-/�� <11 ka- \
DATE )( J g �� PERMIT I q I -5 2 c
TYPE OF STRUCTURE 2
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
XROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB +'
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS 7
/
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 1/.20 'O'�r
DEPART 0 � // f �� _
INSPECTOR
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 /i]99
NAME r- e.c tr EP5-y
LOCATION ) ,Snte di i OC ) '\
DATE )1 I g (01 PERMIT 19 -57
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
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB / \
'FRAMING: ' X.
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 j,
INSIECT 1
TOE! OF QUEENSBURY :2)),)
BUILDING AND CODES DEPARTMENT ' 1)
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
g 1
REQUEST FOR INSPECTION RECEIVED
I
NAME C (t C. GY`
LOCATION I - S[ ( Q I c)
DATE i�U'', i I PERMIT # I I -- 5-7
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 f
FOUNDATION/DAMPROOFING x'
-- BACKFILL APPROVAL ' _S<
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB •
FRAMING: 's.
JACK STUDS/HEADERS
BRACING/BRIDGING I f
JOIST HANGERS t1 /
JACK POSTS/MAIN BEAM l<<`
FIRESTOPPING A
WALLS
CEILING ,.
FIREWALLS e
HEATING ROUGH-IN • 4
INSULATION: is
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- /0 , is
FLOORS j., R-
WALLS R- ,
CEILING R- ,
DUCT WORK OR PIPING ;IN UNHEATED
SPACES
i
REMARKS:4
VvrcL I)G1.4t�5 6u/a ID Ia. Lxr��z«orzl)
a / o ie- 4- 04r24L 5 i i—iivij .yi,llidf'�r74.,
1
PO f (2,441 �✓�dz,o 0.O i re-
.
7
ARRIVE Z:A1----
0o Vhi4Ec1
TOR
OOF QUEENSBURY 0 /26
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME eday(p, 61-y-11h.t/.1izi,erx
LOCATION e /1� f,
DATE 4/ 07/ PERMIT # 9/--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
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 A
/
DEPART r/i
IN PECTOR
TOWN OF QUEEMSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0
TELEPHONE (518) 792-5834 2
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED h
/? J
NAME e-ttote_) e l/V— /�.6L.('' O )
LOCATION /W q�1�}L,¢- � Zd9e /e d__
DATE 6/4 11I9! PERMIT #
TYPE OF STRUCTURE 1,.- d_LitalLAz
6 ,�i iii_, _ UU' -_E5> 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 APPRO4/AL
ROUGH PLUMBING \ e-
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: .
JACK STUDS/HEADERS /
BRACING/BRIDGING \.. /
JOIST HANGERS
JACK POSTS/MAIN BE M'
FIRESTOPPING i.
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION: /
FOUNDATION WALI/S INTERIOR: R-
FOUNDATION WALLS EXTERIOR ,R-
FLOORS /
WALLS / R-
CEILING / R_,
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS::/
l(s/�' 12 1?t.'j0
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ARRIVE
DEPART / ) 34) 1/;.
( � I,NS PgC T.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 .
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPOR
REQUEST FOR INSPECTION RECEIVED J ..21')
C.'Y
NAME � C�`(� - S I
C�
LOCATION CLQP+/ 6 See
DATE F c) 9 l PEP9MIT I ' 1 —�7
1 L
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
OUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
-A-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:
CA-� i )2ZO.-J 1)63 --iA9i(l/6v'r- •
9
ACC. l). ,r Pc,V 132. fr
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ARRIVE 100:ie
DEPART fO'6-'
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