91-685 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 7 19 95
This is to certify that work requested to be done as shown by Permit No.
has been completed.
1/2 OF DUPLEX
This structuremay be occupied as a
2 SHOKE RIDGE RD.
Location
Owner ' 1-1-rnmir: rnIsImpucTTnm
By Order Town Board
TX HAP NO . 2 1 -10- ri
TOWN OF QUEENSBURY
r-Th
Director of Bldg. ec Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-685
WARREN COUNTY, NEW YORK
O
4 •
PERMISSION is hereby granted to CIFONE CONSTRUCTION
OWNER of property located at Lot 15 Smoke Ridge Road Side B Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1/2 of duplex `r
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
John Cifone
PO Box 684
Glens Falls NY 12801
2. CONTRACTOR or BUILDER'S Name -n
m
Applicant o
3. CONTRACTOR or BUILDER'S Address N
;A7
c7
- I
4. ARCHITECT'S Name
r
0
5. ARCHITECT'S Address c+
cn
(n
9
0
6. TYPE of Construction—(Please indicate by X)
rD
)Wood Frame ( ) Masonry ( ) Steel ( ) 721.
(.0
N
7. PLANS and Specifications
A
No261x33' 1/2 of Duplex as per plot plan, specifications and application,
cn
including septic system shared with other half.
8. Proposed Use
Singel family dwelling-1/2 of duplex
$ 204.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 30 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.)
O
Dated at the Town of Queensbury this + Day of /September 19 91
//
SIGNED BY // for the Town of Queensbury
Building and Zoning Inspection
TOWN OF QUEENSBURY
•
REVIEWED BY: _CP_±_foti.L. .
4111111ftli
L
"#diPiF
FEE PAID: RECERT:D
PERMIT NO: : 0-145 sEp (_�2 5 1ry�JcJ 0a`�
& CODE DEM s.
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: L\Fp (
P.O. Address: _ ii-74„12,,-) N.Y. 1 2-,9)o t PHONE•.11k 9';•.4 ,
Property Location: r 0Y 6-011X7,? KA, Tax Map No. 19A / 1[) / 15
Has there been any split of this property since October 1, 1988? Yes No %`C
If yes, Planning Board Review is necessary.
/(14.ate- . -
Subdivision Name, if applicable: 1igt,,j 17&E Lot No. 1
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Jb V72:e1 (('
•
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
X Construction of new building * CONSTRUCTION: $ (OW
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: V'I'S ft. x 4 ft.
Other work (describe) * Existing Building Size: Ne'(4:
. • * ft. x ft.
• * Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
* Front Yarda5 ft. Rear and ( ft.
1st Floor l�l�,p Sq. Ft. � y
* Side Yards (,rq) ft. and 45 ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors • \^11(0 Sq. Ft.
(not cellar orb ement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: 2(o ft. x 33 ft. * ;( Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial (Circle One) * Business
* Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) 9-0 ft; *
If residential , no. of families: ;1-` * If addition, what will use be?
No. of rooms (excluding baths): ll.a
No. of bedrooms: (09 *
No. of bathrooms: ,A * Accessory Building:
Primary heating system: F-c r A ,, * Detached Garage - One/Two Car
Type of fuel : Ch 5 * Attached Garage - One/Two Car
•
No. of fireplaces to be installed: 1 #', * _ Private Storage Building
. Will a woodstove be installed?: 1'4t) * Other
Central Air Conditioning: Yes x No * NU1<IE
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. N.f,pprk Fv-ptyy.lF
Will any second-hand or ungraded lumber be used? If so, for what? V40
Foundation Wall Material : C C Thickness: ��
Depth of Foundation below grade (to bottom of footing) : . q'
Will there be a cellar? Heated or Unheated? sTet? Floor Sq. Footage: VI%
Will there be a basement? '( S Will any portion be used as living space? "(C5
If so, what portion? 13( JC) Sq. Ft. Type of Use? E'' / E5p7 4
Type of Roof: Sloped/Flat/Shed/Other ' *-.OPPD Material of Roof 'j1-ttt.A
Size, wood studs 9." x (, "; spacing ‘(,o " o.c. ; length $ ft.
Joists (floor beams) : 1st Floor 13/41 " x %17 • "; spacing " o.c. ; span tq ft.
Joists (floor beams) : 2nd FloortIA " x "; spacing " o.c. ; span ft.
Overlays (ceiling beams) : NA " x " ; spacing " o.c. ; span ft.
Roof rafters: WA x "; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing 9,'1 " o.c. ; span 9L4_ ft.
Exterior Wall Finish: C, f' tOARDS of what material ? "/IH'( ,
Interior Wall Finish: sic A cz •K VP "
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: W ,
Is there to be an opening between garage and dwelling? NA If so, will a Fire-Rated door,
enclosure, self-closing device be provided? 14A
Will a flue-lined chimney be installed? 140 Height above roof ft.
Depth of chimney foundation below grade: NA ft.
Depth of fireplace hearth: W A ft. in.
Water supply - Municipal or private well : TiNutt,IICAVAL
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: t,bk ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: ..\ Fot4 0-1COS7 PHONE —192.- ctLevx..
NAME OF PLUMBER & ADDRESS: PHONE "
NAME OF MASON & ADDRESS: PHONE "
NAME OF ELECTRICIAN & ADDRESS: PHONE "
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 \N.,.J+d, y �,
• Owner, owner' agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE'DAY$'' `CL JED
' ` '�":��`---
�E
Compliance Methods: S E P 2 5 1991
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) ., a CODE DEF;.
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
APPLICANT S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 5452,4, Sq. Ft.
2. Type of Heat - Elec. Base Board Other CiN5 1407 f r,
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% X 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 ‘41
C. Glazed Area RTalaa
D. Exterior Doors R
E. Floors over unheated spaces R 11
F. Edge of Slab on Grade (Heated Building) R 110, 1 -
G. Basement/Cellar Walls (Above Grade) R `(
01
H. Basement/Cellar Walls (Below Grade) R 1.1 ..
I. Heating/Cooling - Ducts - Piping in Unheated Space R. WA
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER'
INSPECTOR'S REMARKS:
REVIEWED BY
RECEVED
)7) j TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit c# !, c ,, mi
Fee Paih r 1301
Date: qhq, g1 Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: t 1 e. p,4 1.0-1' t5
Owner' s Name: 5o\r„y\ (=. , Cone,
Owner' s Mailing Address: VC) FQj( .too G1_4:1145 c:A01.4.6
Installer' s Name: Phone #:
Number of bedrooms (if residential ) :; ,
Total daily flow (residential-compute @ 150 gal . per bedroom) : qa)
ao
Topography-Circle One: Flat Rolling Steep Slope %, of Slope
Soil Nature-Circle One: __ Loam Clay Other /Depth:
Ground Water-At What Depth? Feet
Bedrock or Impervious Material-At What Depth? Feet
Percolation Test-Circle One: Not Require: Required/Rate 'Min. Per Inch
Domestic Water Supply-Circle One: Municipal Well Other \A•v ;G i piet
If domestic water supply is a well -
Separation: Water supply from any septic absorption feet
Cri
PROPOSED SYSTEM: Septic Tank I gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench SC) feet//Total System Length 4OO feet
Seepage Pit(s): Number of / Size each: ft. x ft.
Size of Stone to be used: # / Depth or Thickness feet
**************
HOLDING TANK SYSTEM IF REQUIRED
No. of Tanks Size of Each Gal .
Alarm system and associated electrical work to be inspected by a certified
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: DATE: 'ail\Zi ql
•
Septic System Inspections:
A. All applications for septic system installation, alteration
ore r repair,
as required by the Town of Queensbury Sanitary Sewage
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 Building
Inspector. Failure comply
°Phe installer 1s and aq fine oft up to $250100,t in the
r . uncovering of the systemY
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
Remarks:
YOU ARE HEREBY REQUESTED TO •
-
- INSPECT AND ISSUE CERTIFICATES
FOR THE. FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
' - THE UNDERSIGNED
_ _ TEMP.N DATE ~
r.
F .)
CITY OR VILLAGE - •_ TOWNSHIP 1 _ • - .� .. /OUP
STREET AND NO.OR ROAD tQ�l.4,- }-NOv- \1"-I "'�OLE U
I] f POLE NUMBER
}_crr t l` �jM Th1G 1p1 E c20fACD - . Thi :) 'ti:"1
BETWEEN WHAT TWO CROSS ETTS IS PREMISES LOCATED 5 SECTION A ,BLOCK LOT
OCCUPANTS NAME - - • t . - BUIL- MVG OCCUPANCY
OWNER'S NAME AND ADDRESS TM-. HOMETELEPHONE NUMBER
CURRENT SUPPLIED B'/ , �-.-,FR, M THEIR-^' , OFFICE WORK TELEPHONE NUMBER
N's �.r'') C--,1-,a.r, cAt I5 r. --I CI.7- 4
BUILDING IS -'°"' _ -••' ;
NEW„X '---OLD 0 - '-• . .' '' WORK IS. -r. -NEW ` -.< . ADDITIONAL❑ DEFECTS REMOVED❑ _
- LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS NO:-of Fixtures _- :.BRANCH OFFICE USE
Loco- ,= Larnp'Recelatacles `=" ''MOTORS`i,-'- kIEATER5'•'= CIRCUITS ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge. INSPECTION
OUT-
SIDE -
SUB-
BASE
BASE- ,
MENT •,
1st _.. -
FL.
2nd -
FL. •
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. '
•
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS '
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER •
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. • •
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS • TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING - MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST IDENTIFICATION ENTERPL BNTS ,
L_)11_ 1 .. C.A Z,.t�
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 DATEOF APPLICATION SIGNATURE OF APPLICANT
C_t fit`-)4-J(;-- C__ON<i C;.-'c-) X 1`1R Q.
STREET ADDRESS . . TEI NENbr.
P, c -r )' L„C--
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
C-7.1 PY-N< cI\v - :12— I
❑ 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 -
1111111 " T,J P n=un► VC P.v RC Rn nF-FiRF i INflFRWRITFRS H .
•
=L !(.,w.t"-,1"--"..1*!.1,„ltf,1•i.Inl 1•1.-m.ori,.kvi m".,./.: ..,,.?.,,,.,.,.,„a.., ...kt,...."..,ti."3../.0,...,,,.,,,,n".,1....1.". t." jsi"."."..,•,.,}r.1.?.:.,,,•,,j• 1.t.y....?. .,.,•,.,.,,,.,
4035�771
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
BUREAU OF ELECTRICITY
1; p 41 STATE STREET,ALBAN�Y--.-N�E PORK 12207
W. Date ,7i11'� 22.1992 Application Nt 4'Ya j141 91 1, r •� ::.i.. 1.
mac 1:•i_s1tATT iN 91/625 no .
!c• THIS CERTIFIES THAT /. .,:' so '
'• only the electrical equipment as described below and introduced the applicant named on the above application number in the premises of
i
' •o N ':'1FO 1l� S:1c1: applicant
- : .
<<�CLx 1 I{Si}ul, P.O1'r0. SIDE 1i, Li:; ; 1' 13[1.2Y ,.-dt.ti..
in the following location; > ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot
c. �71}.).Y !(-'1, 1992
was examined on and found to be in compliance with the requirements of this Board.
�: FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
�: OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. ' MAT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
i. , F ® '
d Vic' DRYERS FURNACE MOTORS RITURE APPUANCE FEEDERS SPECIAL REC'PT• TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS o
6 '
AMT. K.K.W.W. OIL H.H.P.P. GAS H.H.P.P AMT. NO. A W A.W.G.G MAT. MAP. AMT. MAPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1•
1, 1 3 .1 1; .I.
6: SERVICE DISCONNECT NO.OF S E R ` V .. '1 C E
-6 MUM
MAT. AMP. TYPE EQUIP. 1,B'2W 1..ti 3W 3,B'3W 3 JB'4W NO.OAR$COND. OF CC.COND... . NO.OF HI LEG ' OF.HI-L G NO.OF NEUTRALS OF NEUGRAL
is: No
• 1 150 CB 1 X 1 2/0 1 :I /0
., �' OTHER APPARATUS:
-. t
i'i .F,C.I.: `5- - . so
• 1 31,Ol'.ii DETECTOR:-2
�,
� NO
"i6i . ICI
4. a
i'
4.
, .1,: . .").„...,,,1 (..- _ .
1,
' AIRPORT INDUSTRIAL DR.
g' 3 BRANCH MANAGER
� GLENS FALLS, i•3<�r> 1_�13Y�1 ... 2..59 .
x Per .:
, .c• . t
0 • 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.
n7e-isi-ii,i-le.4Y iti-lei-1.-f ei-iAt•iir9Ai-ielei-ii-r'46f•iA -4?-4r'ie-iiY•i, ® ® rgir ® ® ® 0 ® n n ll M n ® 0 ll 0 0 ® io'4'..6
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MIDST:NOT BE ALTERED IN ANY MANNER. ,
•
'.427/11'
•
awn ot Queenabur i
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME y . �`t��' `\-- q -; o'c.aC g'"•,
LOCATION f\/ f44 l f �.'1`1,�. r� �� ,// .'S?�
• DATE d / i PERMIT NO. J,-i`� ;J
SOIL TYPE - Sand - Loam - 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 PITS4Number of)
Size- ft. X ft.
• Gravel size
PIPING: Size / T,ype
• Bldg. to tank
Tank to dist. box f I
Dist. box to field/pit 1
. Openings sealed? YES i0 Partial
LOCATION/SEPARATIONS: •
• Foundation to tank ft.
• Foundation to absorption ft.
Absorption to lot line \ ft.
Separation of pits a� \ ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side/ - Right side -
COMMENTS:
lif
l_ t fF
/ 1
,
•
•
• SYSTEM USE APPROVED --YES_.- NOS,,�.`
Building Inspector
01/86 and vl
TOWN OF QUEENSBURY
B �
4 LDING & CODE ENFORCEMENT
ItiS3: , 531 BAY ROAD
' ' QUEENSBURY NY 12804
(518)745-4447
A
ARRIVE: DEPART: INSP:
FINAL INSPECTION RE RT
COMMERCIAL MULTIP D ELLING
DATE NAME INSPECTION REQUEST j��EI���
LOCATION (�`���fpp"/8 S .,/e a�� '
DATE 'S/ /i PERMIT # //c
TYPE OF STRUCTURE
FOOTINGS BACKFILL_ FRAMING_ PLUMBING
INSULATION
N/A YES( NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES J
ROOFING
EXTERIOR FINISH %.71,
HEATING/HOT WATER
RELIEF VALVES
FLOORS `/
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION ./
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS ✓
EXIT DOOR HARDWARE \/
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR n/
HANDICAPPED ACCESS I
HANDICAPPED BATHS
HANDICAPPED
�P R ING -` Y
FINAL ELECTRI A �
SITE PLAN/VARIANCE REO.^
FINAL SURVEY PLOT PLAN, IF REO
OK TO ISSUE C/O OR C/C
• TOWN OF QUEENSBURY
}�. 531 BAY ROAD
��`3ii-== QUEENSBURY, NEW YORK 12804
_y TELEPHONE (518) 745-4447'
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ,51-1 AA' 11--)
NAME C .1 \ E C--L.1J1-)1 P (T\tt
LOCATION v !-t-NaNL,v-_ PAG7C RD
DATE t —Z 94 PERMIT# C\\ -ts ll-__
TYPE OF STRUCTURE 117_ (-_, - nvck_F)c_
RECHECK,
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
�FQ �TING FOUNDATIO KFILL A G
✓ROUGH PLUMBING INAL ELECTRICAL • EPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT > ,V
ROOFING i !,_
SIDING ,;.
DECK/PORCH/STEPS/RAILINGS 1
RELIEF VALVES
FURNACE/HOT WATER OPERATING I
BASEMENT INSULATION/DUCTWORK/
INTERIOR TRIM/PRIVACY DOORS V
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT • ;;
OTHER FLOORS SWEEPABLE /
OTHER FLOORS CARPETED /
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOU E 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
COMMENTS:
D R vV- Fo\ \-) -C"\Uit�
\ \ t.-P\C-?- 00 E
NC2-1 \--V i
ARRIVE Zi HO / t
DEPART 7= 4t____ ,
✓INSP T
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT -6?)//
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447 '
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION
RECEIVED /
NAME ai6-n',
LOCATION , f /5-,4,�'`p -e Z{ 9,t" �CCGcc`�
DATE .`�/.- �/4 PERMIT # C,�/-���fi
TYPE OF STRUCTURE!!l #_
• RECHECK APPROVED
N/A N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP NSIBLE
FOR PROVIDING PROTECTI N FROM
FREEZING FOR 48 HOURS OLLOWING
THE PLACEMENT OF THE C NCRETE.
MATERIALS FOR THIS PUR OSE ON ITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING 1
PLUMBING VENT/VENTS IN FL CE
PLUMBING UNDER SLAB
FRAMING: I,
JACK STUDS/HEADERS E
BRACING/BRIDGING /1
JOIST HANGERS
JACK POSTS/MAIN BEAM j
HEATING ROUGH-IN /
)( INSULATION: % \
FOUNDATION WALLS/INTERIOR R- .
FOUNDATION WALL EXTERIOR R-
FLOORS \R-
WALLS •R- !tI x _
CEILING / R-3
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: (/
•
Ir:
ARRIVE /_tl C� • �` •
DEPART ?T( ) I AL/ - ; --
INSPECTOR
F
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 -4/// ��
NAME C s u c 1 b`l-`-\
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LOCATION a fTJ 5 SdoOk.e. C1114
DATE ' PERMIT II 9 / lP
TYPE OF STRUC URE V N cQ
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RE PON IBLE
FOR PROVIDING PROTEC IO FROM
FREEZING FOR 48 HOUR FOLLOWING
THE PLACEMENT OF THE •ONCRETE.
MATERIALS FOR THIS P'RPOSE ON SITE
FOUNDATION/WALL POU
REINFORCEMENT IN P AC
FOUNDATION/DAMPRO '`-INS
BACKFILL APPROVA
ROUGH PLUMBING , 1:"'
PLUMBING VENT/V NTS IV PLACE
PLUMBING UNDE SLAB
FRAMING: j ,,.
JACK STU9 /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:
r i
ji /0 ; C,1 . L-71•0..
ARRIVE I/ / ��
DEPART % • i.'�! yft---.;n .r ,y; �,.2___.--
11,
INSPECTOR
TO ? 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 �`' ,��j�
LOCATI OK,�f /.S�!'
?/G� / eems..
DATE 124/9:P PERMIT 0 9%
TYPE OF STRUCTURE 0 47 ////,./2/'
G /'
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
XBACKFILL APPROVAL c�
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE;"
PLUMBING UNDER SLAB
FRAMING: !
JACK STUDS/HEADERS t c
BRACING/BRIDGING_ 1
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN x:
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- \
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
`1
ARRIVE
DEPART
INSPECT R
rThLubo 4irh
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 /( 62/0 /
NAME ei �_ tp/V,
..
LOCATION 1 5 S PC)0S, U lig 1
DATE / t/// ?/9 f PERMIT # 9 / - Lpc'S
TYPE OF STRUCTURE - n,,,
fa,),.
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
CO I;
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
tHE-PLACEMENT OF THE CONCRETE.
MA RFUSI 0 I T E
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE '
FOUNDATION/DAMPROOFING ,
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB X'
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R- /0 X
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE fr2,LS R �}�
DEPART /(;3 j ,1//),/;/-/
INyPECTOR
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 Ci t I'cr1-.
LOCATION Q /5 irtle e, -cS ar8
DATE /0 9 2 1/ PERMIT # 9 /-‘4J1,....,
TYPE OF STRUCTURE
RECHECK APPROV
N/A YE NO
?CFOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE !'
FOR PROVIDING PROTECTION FROM t'
FREEZING FOR 48 HOURS FOLLOWING;'
THE PLACEMENT OF THE CONCRETE. ,;'%`
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR, et,,.
REINFORCEMENT IN PLAOX
FOUNDATION/DAMPROOFING !.
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS 1
BRACING/BRIDGING
JOIST HANGERS F
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS 1 R—
WALLS R—
CEILING \ R—
DUCT WORK OR PIPING.__.IN. UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART __
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500 &AIL7/N r�
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FRECEIVED
L 0 71995
t �?UCr.rJ�� t3Y
BtJiLO1MG Atyt; �}DE
CIFON E CONSTRUCTION CO. 518-792-9242
P.O. BOX 684 SCALE I":
GLENS FALLS N.Y. 12841 DR,,,,, N aY
LOT AV 15
DATE 9- 16" 91
REVISED
REVISED