96-590 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 10 19
This is to certify that work requested to be done as shown by Permit No. 5 e
has been completed.
This structure may be occupied as a SINGLE FAIIILY DWELLING UV 1-CAR GARAGE
5 LINDEN AVE
Location
Owner KLINE. ROY
By Order Town Board
TAX MAP NO. 101 . -7-18
TOWN OF QUEENSBURY
al/et,"50
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 65000TOWN OF QUEENSBURY No 96590
TAX MAP NO. 101 . -7-18
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to KLINE , ROY
5 LINDEN AVE.
OWNER of property located at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLING W/1-CAR GARAGE
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
5 LINDEN AVENUE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
HERLIHY, WILLIAM
3. CONTRACTOR or BUILDER'S Address
24 FOX HOLLOW LANE
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction— (Please indicate by X)
SINGLE FAMILY DWELLING
( I Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
11u. SQ FT SINGLE FAMILY DWELLING WITH 1-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING W/1-CAR GARAGE
182 September 27 98
$ PERMIT FEE PAID -THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
27 September 96
Dated at the Town of Queensbury this Day of 19
SIGNED BY _ � �' .. for the Town of Queensbury
Building and Zoning In •ctor -�
.- -. Building Permit Application
Town of QueenSbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
NOAt BUILDING & CODE ENFORCEMENT
TICE Requirements prior to issuance
A permit must be obtained before
of this permit: PERMIT FILE NO. d
beginning construction. No inspections
will be made until applicant has received Zoning Board Action PERMIT FEE PAID$ -7 l a J d
a VALID BUILDING PERMIT. All Area /Use k )
applicants' spaces on this application RECREATION FEE KID$
MUST be completed and the signature 1 1 Planning Board Action
of the applicant must appear on the REVIEWED BY: 0-.)#"--
Lpplication form. Thank you. SPR / Subdivision /Other
Building Inspector
J Recreation Fee Payment ..)
Applicant: R;fin l-4 te ,h.( Owner: 6�.J' A. /11e,
Address: `.,2'f r. 3 I taw- L tt Address: B
�-+%eta eLeo , ,64,.a,4
Phone # (ci1_) _ 3- 5 I I Phone # (r'i )
Property Location: L-) 49- (7,
ai�,� htt,q t, Tax Map Number_ ' ' / 7 I l
Subdivision Name: Lt
Section Block I ,t
NATURE OF PROPOSED WORK:
New Building: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $
residence / commercial
Addition to Building: cth residence / commercial OCCUPANCY INFORMATION: [ -� ll = L—'
Alteration to Building: Primary Building - ----64"
residence / commercial >( Single Family Dwelling4
Residence / Commercial Two Family Dwelling -tc
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile re77 '��`
Manufacturing q.:A.,t*
Other 1
GROSS AREA OF PROPOSED STRUCTURE: &;i,` F 01%16
1st Floor l� sq. ft. If ADDITION, vzha4 , ll wi use
2nd .Floor of new, addition +bed '`
sq. ft. 150._d 4N6, N, o to
Other Floors sq. ft.
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: [/ SQ. FT.
X Attached Garage()); 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
-
3 0 FEET X 5 i) FEET Other
Foundation Type: Cf, .'C- .j p' Will any second-hand or ungraded
Number of Stories : l lumber be used? If so, for what?
(habitable space only) ,
Height (grade to ridge) : /7 feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which a pli s)
to be installed: i Electric / Oil / ( a..' _,
Forced Hot Air Q Baseboar / Other
Person responsible for supervision of work as regards to building
codes is:
Name t Addresss Phone
Builder: LiJ 1-1-p t.i It, 1 4, pz ,9-k:A r ..,,_ - •7 s ,.�
Plumber: --‘ cJc r, t.,v 14 IN—Dv-1 `i4It.C.. 79 9 _-�- Y 3 ° -
Mason: .1,: �•---fz- 1d�9 t ' y 41 1' , i ,y-
Electrician: fe b li T ,,, 7f 3 -. j f if 5
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'o certificate o Compli ce being issued, an AS BUILT PLOT PLAN by
a licensed surveyor /raw (d scale, s ingc location of project on premises.
/
Signature: `ty' . ,
(o'ner, owner's agent, arc it ', contractor)
di
//
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
fi
77Date ,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 Litr i APPLIANCE (check appropriate boxes)
Address H tR r.. 1 ❑ STOVE: ❑Wood o Coal o Pellet o Gas
j r 4 0 FIREPLACE INSERT
�.,. t Zip ,2. : Lf FIREPLACE, FACTORY-BUILT:
..._ ,- ❑ Wood lk G as
Phone `j ? 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner k‹_ , ,. ,y/ 14.1 e9 0 FURNACE: ❑Wood ❑ Gas ❑ Oil
Address 5
po— r .
ifir el / I F NON=MASONRY APPLIANCE
Manufacturer: di ,w, $I,-� ..;
t 04) ` Zip ./ . ko Model:
Phone .. la
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
# / 0 MASONRY: 0 Block 0 Brick ❑ Stone
(-=',24 ( t4/64,„ _9 . .. FLUE: o Tile R 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 0 Double Wall 0 Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated ❑ Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title
A 173 3389 (190) Public Safety
A 233 2655 (23.0).4..inor Sales
Fee Collec._ed FQm-or Refunded
Address: Kit7,0L,'°' Town Clerk or Deputy:Dated: r� . ..
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
I +---I
Application for SEPTIC DISP E,r PERM1fT o
STAMP Ri (FB1 V1 1)
O
Location of property for installation:
Owner's Name L'�y A k-11 'MUM'Nly,IMR 10
�t 6rri
Owner's Mailing Address: 9 9 t�.04fl .4e.1e:,-. 0, 0y —5 70 cr..l
_ p FEE PAID Z
Installer's Name: ..c FF i<� t/{,✓T Phone #: 7
tiZI
Number of bedrooms (if residential): <
Total daily flow (residential -compute tort 150 gal. per bedroom): 3
Topography: Flat I I Rolling I f Steep Slope % of Slope
Soil Nature: u.....Sand I Loam I Clay Other /Depth:m
Ground Water: at what depth? 6 feet
Bedrock or Impervious Material: at what depth? Gr C) feet
Percolation'lest: 4.—_.Not Required I I Required/Rate min. per inch
Domestic Water Supply: 1 Municipal I I Well I I Other
If domestic water supply is a WEL.I: water supply from any septic absorption is feet
PROPOSED SYSTEM:
Septic tank:Ao.`9 gal, (minimum size: 1,000 gal.)
Tile Field: each trench L feet. / total system length ; n ) feet.
Seepage Pit(s): number of I size each: ft. x ft.
Size of stone to be used: # / depth or thickness c. feet.
HOLDING TANK SYSTEM: (if required)
Number of tanks: • Size of each: gal.
tri,-,
Alarm system'? and associated electrical work to be inspected by a certified agency.
For your profcction, please note that pursuant to Section 136-29 of the Code of the Town of
Qneensbury, any permit or a ppro"al granted which is based upon or is granted in reliance upon
any material misrepresentation or failure to make a material filet or circumstance known by or on
behalf afan applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Totvat o f Queensbar, Sin itary C 'ag7'I isposaI Ordinance.
df
�(
Signature of responsib'e person: �9 R,, s?, - Date: � �,
';;101110 TOWN OF QUEENSBURY
YA:110 BUILDING & CODE ENFORCEMENT
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: t2.:;b0 DEPART: Vefcgt), INSP ,...-
FINAL INSPECTION REPORT - RESIDE I
DATE INSPECTION REQUEST RECEIVED:
NAME 14-1 0E-
LOCAT ION (.5isaagia___c----1-3F-
DATE \ \\\CA\9(.0 PERMIT #
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A 1 YES r NO
CHIMNEY HEIGHT'S VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM PRIVACY DOORS 111111
11111 FINISH FLOORS:
BATH/KITCHEN WATERTIGHT 11
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
11111111
DOOR CLOSERS
NcFINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
III
FINAL SURVEY PLOT PLAN
*OK TO ISSUE C 0 OR C C
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 5:9(?)'' ()Panel Board No. Cert.t.-�- " e' Cut-in Card No
�/ .
Owner e6 ! /1 L4-
Occupant �,..
Location 6 Ji Al 10 G7A-01 "-(46- X/f
Installati n Consisting of.�[ e,`�/I 39, re/ ' < L e-/ :
Installed By e./ t. a,( 6)/. 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 inspe i ns at any time,and if its
rules are violated,the Company shall have the right to revoke/y,t[s@ertifi ate.
Date ( / `d,g'- ,6. INSPECTOR. -
Member N.F.P.A.,I.A.E.I.
TOWN OF QUEENSBURy
��` ,
BUILDING
& CODE ENFORCEMENT
742 BAY
ROAD
QUEENSBURy NY
N r'
(� 12804
AP
(518) 761-8256
ARRIVE:
`�- DEPART: ��
FINAL INSPECTION
NSP - _-- INSP.
ECTION REPORT
DATE IN
SPECTION R
REQUEST - RESIp AL
NAME E 'IVEp. Q
LOCATIO
®ATE
TYPE OF STRUCTURE PERMIT # /
FOOTINGS
ROUGH PLUMBINGUNDATypN
FINAL ELECTRIC SEPTIC BACKFILL
AL- WOOD INSULIREPLAFRAMING
STOVE OR FIREPLACE' - --
CHIMNEY HEIGHT B VEN N A
T HEIGHTno
PLUMBING VENT
lir-----
ROOFING
E ERIORFINISH
DECK PORCH �._,�
STEPS
RELIEF VALVES
4
STE
FURNACE HOT WATER OPERATING
INTERIOR TRIM PRIVACY DOORS ��
I'INISH FLOORS:
BATH KITCHEN WATE
OT�FLORTIGHT
ORS
SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE_-- LRAILINGS_MORE DETECTORS
BATHROOMFANS
PLUMBING FIXTURES
FOUNDAT �IO NIN-CATION
GARAGE FIREPROOFINGlarn ._____7
_
DOOR CLOSERS
FI&A'._L ELECTRICAL
SITE PLAN VARIANCE REs,
FINAL SURVEY
OK ISSUE
PLAN 11------
TO ISSUE C 0 OR C C
TOWN OF
" a BUILDING QUEENSBURY
& CODE ENFORCEMENT
QUEENSB74URY BAY ROAD;,* ( 12804
(518) 761-8256
ARRIVE:
DEPART:
INAL INSPECTION -- INSP: •
'NSF,' REPORT - RESIDENTI
DATE INSP
TION RE UES'l
NAME ® �� RECEIVED; j`-- per`__
LOCATION
DATE -/4 - 1"), 1 ---
TYPE OF PERMIT g ��
STRUCTURE ,
SH
FOOTINGS
FOUNDATION
ROUGH p
LUMBIN BACINI L FRAMING
FINAL EI,ECTRICAI,� SEPTIC ISU
WOODSTOVE CATION
OR FIREPLACE
CHIMNEY HEI N A
GHT ISVENT 11E ` o
r
PLUMBING VENT ---- _
ROOFING 'j
_________
EXTERIOR FINISH
DECKPORCH/STEPS/
-�-- RAILINGS ----
RELIEF ALVES
FURNACE HOT WATER OPERATING_
INTERIOR TRIM
PRIVACY DOORS ______
FINISH FLOORS:
BATH KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED _______
STA_� CLEARANCE
LRAILINGS
S OKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
•
FOUNDATION INSULATION
GARAGE FIRE PROOFING -
al_____
DOOR CLOSERS
FINAL LEECTRICAL
SITE PLAN VARIANCE
- -__ RED, Iin
FINAL SURVEY
PLOT PLAN
OK TO ISSUE
C 0 OR C C _
TOWN
QUEENSB FIRE EENSgURY
TELEPHONE
ELEpH NY, N EWYOR
FIRE FRS 8) 74N_44 804
REQUEST FOR INSPECTION
MARSHAL INSPECTION REPORT 24
NgME � ale'
RECEIVED
LOCgTION ,' a
942-4 � PERMIT
EXITS 7i� #
AISLE
EXIT SIGNS
WIDTHS
NSA PPROVED
EMERGENCY LIGHTING
YES NO
' �_
FIRE EXT � ..
AUTO.O EXr NNG ISHERs ell
DINSTALLATION
UI
NS SHI NI*
AUTO. TALI
ALARM SPRINKLER OS
STEM STEM .'
.�
INTERIOR isilSTORAGE. FINISHES
CLEAR S
RE CtEARANC E TO SPRINKLERS
QUIRED SINEHEAT
IT
S MIN
**
CHIMNEY
S'
F REPtWO DS
qO F
IREPLAC ` ISONRYall
�� FACTORY BUILT
REMARKS:
OK TO THIS DATE
/015
INSp"CTOR
` DOW
BULL ING p Cp UECNSBU
ARR QUE(SBURY N ROAD RCEMENT ,
VE: (518 y I2804 ` )
�� - ) �61 8256
FINAL DEPART: l
NAME
E INSIIN ION R ECTIOM REPORT NII
C CQUEST RC RESI T r
LOCATION VED: �� I
DATE �7 t
er.
TYPE '-®,�
®F STRUCTURE
/ ��
� ROUGH FOOTINGS URE PERMIT
r'NALPI,tifigibig
I CLECIRI�L_ SE _ BAC # ��
IC KFILL xArsoLio_
CHIMNEY IiEIGli W DST E OR FIR LACiam ING
PLUMBING VENTT B VNCIG N A E
rir
____AW
ROOFING
4 �o
DECK FINISH gillii-________
CKPpeZCH
LINGS
` STEPS
FURNACE13g CF V OE1S t •�zei, ". �,
lip,
r
I`ERIOR WATER
FINIS TRIM PRIV OPERATING
H FLOORS:
ACy DOORS
BATH KI, 4014___T
rCHEN WAOT HERFLOpRS SWERTIGHT
HERFI'ppRS FABLE
STA`CLE CARPETED
S ARANCE
OKE DETECTORS
_ RAILINGS
IT
RooM _
FOUNDATION
O PLUMBING
FIXTURES
AV
GARAGE
ION INSULA _ .
TION
ANG
OppR CLOSERS
L SN E PROOFING
RS
14
FINAL ELECTRICAL
�'�_
SITE TRICAL
PLAN
VARIAN
CE NCE RE*.
FINAL SURVEY PLOT
OK TO ISSUE C O CLAN
C ----- imr
I
N OF
SHAL
qUE TOW IRE QUEENSBURY
TES PBURY, NEW
YOR
FIRE HONE (518)OR 5`4 2804
424
REQUEST FOR
MARSHAL INSPECTION
NAME OR INSPECTION RECEIVED
L OCA TION
)
DATEdb _ se
r? PERMIT#
EXITS
illitliiii
E ITSIGN THS N .APPROVED
EMERGENCY
YES NO
AISLE GENCY LIGHTING
�_
will
FIRE EXTINGUISHERS
AUTp, EXTINGUISHING TINGUISHING SYSTEM
D INSTALLATION
.
AUTO. SPRINKLER
4.4.1111111111
AL RI NKL
ARM SYSTEM ER SYSTEM �_
_-
1111,11111 INTERIOR FINISHES
S
.
STORAGE:
CLEARANCE TO
RE CLEARANCE SPRINK LERS all
IN
QUIRED SIGNAGf HEATING UNITS
alealla
**
CHIMNEY
W00DSTpilliNiiiii
� ► t eaFI �E
FIR PE
LACE-FACTORY
PLACE-MASONRY
`FA
CTORY BUILT �-
REMARKS;
OK TO THIS DATE
2/015
I NSPEC OR
0:761-8256
TOWN OP QUEENSBURY
RUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR:334EPARTalbINT\ie6
REQUEST FOR INSPECTION RECEIVED'
NAME
41'&
LOCATION
tc.=
DATE .70 Z-3 #
TYPE OpERMITP STRU URE:
REcilEcK
______armarAPPROVED
POUR
No
FooTINcs PIERS
NON0LITH/C FoRN
REINFORCEMENT IN PLACE
TUE conTRAcToR XS RESPONSIBLE POR
PROVIDING PROTZ TXON F80144 FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FoR THis PURPOSE ON SITE ,.
FOUNDATION WALLPOUR
REINFORCEMENT XN PLACE
FOUNDATION DAMPPROOFING
PLUMB
iACKFILL APPROVAL
VENT VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
HEADERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
HE TING ROUGH-IN
• .
' NSULATION: ek.6- 674i
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALI4S_g_41MIOR R-
WALI.
CEILING
R-
DUCT WORE OR D PIPING IN
UNHEATE SPACES
)
C°
------ ........1
A
(518) 761-8256
TORN BUILDING OF
QUEENSBURY
AllilV
742 BAY Rjj CODE ENFORCEMENT
INSPECTOR'S , QUEENSBUR804
R S REPO `
REQUEST FOR RT: ARR -�EPART
NAME
INSPECTION RECEIVED: ��NT�I
LOCATION I",„ tr '7 3
DATE t� (`���'r I.
3 �
706
TYPE OF STRUCTURE:
PERMIT S —�
RECHECK `
APPROVED
FOOTINGS PIERS
MON'�THIC No
POUR p0. -
RE
I T I
N QRCEMEN '�
THE C NTRACTO ' IS
FOR 98 HOURS PROVIDING PROTE TIONFR�SIBLE FOR All
—~ ..�
MENT OF THE CONCRETE Na THE PLACE-
MATERIALS FOR
THIS PURPOSE ON SITE
FOUNDATION WALLPOU
—_�
REINFORCEMENT
R
ORCEMENT IN
FOUNDATION PLACE
ON D
$ACPPROOFING
KFILL APPROVAL ____
PLUMBING
VENT VENTS
IN PLACE -
ROUGH PLUMBING
SLAB FRAMING:
, '�-
�_.--
PLUMBING UNDER
__ —�.
BRACI� G LEADERS
TT ANGERS RIDGING -
JOIST
JACK POSTS MAIN BEAM
� _�
-I NFI LT
RATION
ARRIER
HEATING ROUGH-IN
: 4-6ULATION:
71.44
UNDATION /
PATION WALLS X INTERIOR -tom_
—�00(1S LSE R R_
WALLS EXTERIOR R-
CEILING R `�
DUCT WO R-
Un/fEATED SpR PIPING IN R- �-
`TO�� ' A� R-
Gc-
1Cl.< C�9cLd,
SuL_
(518) 761 8256
TOWN
742 B BUILDING & CODE OP EURY
INSPECTORS ' QUEENSBURY NYlENFORCEMENT04 ':.10;: ?
REPORT:
REQUEST FO ORT: ARR �'
} 1/ >.,.
NAME /l INSPECTION DEPAR� �j
LO '�e f2�C�' N RECEIVED: N ✓�
CATION
DATE1062
TYPE 2 !� _'
RECHECK OP STRUC RE: PERMIT ���
MO OTINGS PIERS APPROVED
NO— OL TNICiiiiljr11"11
RE`�ORC POUR FO- , NO
EMENT, IN
PAE
PROVIDING TOR IS ��.
PLACE—
RENT OF HOURS O`c0 ZION S,RO SrRLE FO —� `-`~
RE CONCRETE.tvti THE FP�E ENC '_--
-----
FOUNDATION FOR THIS PURPOSE ON �— -----
MATERIALS
RE WALLpOUR SITE
INFO '!
RCEMENT IN
-----
FOUNDATION PLACE �`
BACKFIL N DAMPPROpFING �� _' —�_
PLUMBING
LUIyB L APPROVAL
TN —,--_
ROUG G VENT VENTS
H PLUMBING IN PLACE ��
PL
KING DE .--�—;��
UNDER R SLAB
�_ __ �_
JOIST CING STUDS
HEADERS
_�� JAC HANGERSING
AIR INFILTRATION
NFIL POSTS MAIN gE
All
HEATING ROU TION BARRIER
H TN �—�.
INSULATION. _� ��
FOUN DAT ION WALLS
�__,—�.._ _�
WALLS S TION WALLS RIOR R,
CEILIN EXTERIOR R_ ��
DUCT �� R,
UNHEATED
OR R_ _� ��
ED SpACKS PING IN R_
V A
#7-4-ri.)5
t.,,,,,e,,,,,,,, ,,,
„ifvIii ._47f):. TOWN OF QUEENSBURY
,_ifit„,___N BUILDING & CODE ENFORCEMENT
742 BAY ROAD
Air-/-a,,,W.,,y41
.ct. ,z4,1„,1.14'" QUEENSBURY NY 12804
''''l ' Aiigge,'
(518)745-4447
- •-,- Z.:'54) _..,
DEPART: _fr.:14 ? INSP:
-------
FxnAt INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST R HIVED:
NANE CA-FFR.
50005,4.4_ ,
..4 _
tocATIoN Alugit ,-,N.
DATE eilAIVIIII4r‹. -
PERMIT
TYPE OP STRUCTURE
4gto Woo AT;
FOOTINGS FOUNDATION BACRFILL FRAMING
ROUGH PLU :INC
SEPTIC INSULAFiatl
FINAL JELECWOODSTOVE OR FIREPLACE
...
Nazi* Ito
CHIMNEY HEIGH11!)!:NT REiGHT MI
PLUMBING VE4Aii
ROOFINGsaralLINII
EXTE'IOR FINISH allaillWri
DECK PORCH STEPS " .
RELIEF VALVES
FURNACE HOT WATER OPERATING
INTERIOR TRIM PRIVACY DOORS
1111141111
111111ft
FINISH FLOORS:
BATH RITCHEN WATERTIGHT
altar
OTHER FLOORS SWEEPABLE aft,
sisitt-------
OTHER FLOORS CARPETED
STAIR CLEARANCE RAILINGS
WWIS ORE DETECTORS
11111!
BATHROOM PANS
PLUMBING FIXTURES ass
Nal
FOUNDATION INSULATION
allall--------
GARAGE FIRE PROOFING
DOOR CLOSERS
in
FINAL ELECTRICAL
§..12B___RLAN VARIANCE REit.
..E./.314-14...5__DRVEY PLOT PLAN
----______ __
OR TO ISSUE C 0 OR C C
ObTA'(A) FIAMki._ , 9 -c, to
<.z,•5E- ocrr TKL5 PeR fAk‘-7-
742
(518) 76/4Q
, QUEENSEBN
IN 56
TOWN OF QUEENSBURY
..,-.
NG & cODE FORCEMENT
S BAY BUILDI RD. URY NY 12804
SPECTOR' REPORT: "112 ---
REQUEST FOR RR
INSPECTION RECEIVED'
NAME
4 tette-
LOCAT/ON
DATE •4-0,41ir -0
TYPE OP
CTURE PERMIT #
STRU :
RECRECK
litAPPROr"
FOOTINGS
VED
NO
PIERS
-----____ .
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
-----------
TRE CONTRACTOR XS RZSPONSIBLZ FOR ------
PROVIDING PROTE TXON FROM PRZEZING•
POR 48 HOURS FOLLOW/NO TRE PLACE-
MENT OP Taz CONCRETE.
----___ -:------
MATERIALS FOR THIS PURPOSE ON SITE :
FOUNDATION WALLPOUR
-
IN PLACE
..._----
FOUNDATION DANPPROOPING
iACKFXLL APPROVAL
,
P UMBING VENT iiriz's rm PLACE : P''''''-;
; ROUGH PLUMBING
PLUMBING UNDER SLAB . : .
PRANING: '
------------
--________
JACK POSTS MAIWBEAN
,
AIR INFILTRATION BARRIER
—____:-----
HEATING ROUGH-IN i
_---------
INSULATION:
,
-----
.gcltrION WALLS INTERIOR R-
_---- -----
ON WALLS EXTERIOR:- .
FLOORS
WALLS
-----;
CEILING
R-
DUCT WORK OR PIPING IN
------:-----
UNHEATED SPACES
-_--.--:
--- •
tiocu-‘,12 VA/4)c , 0K.
(5/8) 761- 56
ToWN OP 74 QUEENSBURY
BUILDING & CODE ENFORCEMENT
2 DAY RD., QUEENSB
REQUEST URY NY 12
INSPECTOR'S T:
E INSPECT ARR DEPARg__________57N7tke-----
' FO REPOR ION RECEIVED:
NAM
I,we
LOCATZON
4U0e4,1 141j :I's
DA7E 4'0
-----_,-
TYPE OP STRUCTURE:
Rzcircx
APPROVED
ierivit: No
POOTTNGS_ PIERS
----___
MONOLITHIC POUR PORN
REINFORCEMENT IN PLACE
THE CORTRACTOR XS RESPONSIBLE FOR
PROT/ID/NO PROTZ ZION PROM PREEZING
PON 48 HOURS FOLLOWING Tice PLACE-
MENT OP TEE CONCRETE.
MATERIALS FOR THIS PURPOSE ON
FOUNDATION WALLPOUR %
_--- ---__,,
REINFORCEMENT IN PLACE1
--.--w--- ..
FOUNDATION DAMPPROOFIN
gACKFILL APPROVAL
ft
H
./
PLUMBING VENT VENTS IN PLICE 0/ .
,-, .-------- ----------
ROUG PLUMBING
PLUMBING UNDER SLAB
FRAMING: .
4 ...-----------
-----
JACK STUDS HEADE
_----
-----
BRACINGOBIDGIN
__--..._-----._
N (
JACK POSTSGERS MAIN -----
IR INFILTRATION BAR lfER
,
Egatkrq-,_?ft11-IN I
-----__---F_______/ - ---_____,--_----:
INSULATION:
__---
_____EQftATIOR WAL-S INTERIOR R-
WALLSFOUNION WA&LS EXTERIOR '
FLOORS i :- ' .„---:-----
IN R- ----_-
CEILING ,7
DUCT WORK OR PIPING -..„--
UNHEATED SPACES
R- -
--------