91-421 ... -.. ' _ ..,d1 1: .`°'i -.Rr `-}.w.'S,f'.. .�.: i�...4 i y .iJ�,. 1.E.v1,'� ^.i. \✓\ _ l...-v+.- _v _'v .. f r - _. r. (� ✓ .. .........
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 18 , 19 91
This is to certify that work requested to be done as shown by Permit No.
91-421
has been completed.
This structure may be occupied as a
Family Room (Alt® to GArage)
Location David A. Judkins
Owner
By Order Town Board
TOWN OF QUEENSBURY
,),-v47/27,
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-421
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to David A. Judkins
OWNER of property located at 7 Cottage Hill Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration to 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. ='
Vf
1. OWNER'S Address is
Same a
2. CONTRACTOR or BUILDER'S Name
Same .,
0
e+
3. CONTRACTOR or BUILDER'S Address c+
U2
co
4. ARCHITECT'S Name .�
5. ARCHITECT'S Address r
ei
O
6. TYPE of Construction—(Please indicate by X) i f
O
(X)Wood Frame ( I Masonry ( ) Steel ( )
7. PLANS and Specifications t0
CI)
No. 250 sq ft Alteration to Garage as per plot plan specifications
and application
8. Proposed Use
Family room
$ 12.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 18, 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 to' 18 Da o. June 19 91
SIGNED BY / for the Town of Queensbury
Building and .rl'ng Inspector
TOWN OF QUEENSBURY
OWN' OF (fit "- ; .
�� REVIEWED BY: �
1 ECE'
FEE PAID: 9le
� � a JUN171991
PERMIT NO. : . I l.4211
BLOG. & CODED PT.
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: c J 6/9,) ,� r� ( / 4/t_ (
P.O. Address: _ (, t 'e' A/( , / PHONE 7 -f
Property Location: ( ,t/7' /� Kv..f-- Tax Map No. 9,// / K / 6
Has there been any split of this property ro erty since October 1, 1988? Yes No
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No,
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
4J a L; Y fr udI Y J
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ 6 rd"
Addition to building
)( Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
' (no change to exterior dimensions) * Size of Property: f . x ft.
Other work (describe) * Existing Building Size: . 1
• * ft. x ft¢ v`
* Proposed buildin pis e from
GROSS AREA OF PROPOSED STRUCTURE: property line:
* I
• 1st Floor 'tk "..-'• "`,•°� f,1:(' Sq. Ft. * Front Y a ft. Rear yardft.
* Side& .6"' ft. and ft.
2nd Floor &3 0 Sq. Ft. * If on orner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: oZtr0 Sq. Ft. * Primary Building -
* >4 One Family Dwelling
Size of New Structure: , ti4 ft. x ft. * Two Family Dwelling
Foundation: — * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) Z * Other
Height (grade to ridge) ruq.4 (90 ft. *
If residential , no. of families: / * If a$ldition, what will use be?
No. of rooms (excluding baths) : 5 * ;;-5,.,), I Getp-a
No. of bedrooms: /t/t * 1
No. of bathrooms: * Accessory Building:
Primary heating sys em: 't� 5" �L * Detached Garage - One/Two Car
Type of fuel : h" * Attached Garage - One/Two Car
No. of fireplaces to be installed: - * Private Storage Building
Will a woodstove be installed?: /4017 * X Other
Central Air Conditioning: Yes --No --—*—'
(OVER)
) ' it
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: Cood frame fire safe, etc.
Will any second-hand or ungraded'lumber be used? If so, for what? 4
Foundation Wall Material : c_Xrr Thickness:
Depth of Foundation below grade (to bottom of footing) : c
Will there be a cellar? 4/o Heated or Unheated? o'c7 Floor Sq. Footage:
Will there be a basement? Will any portion be used as living space?
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Slope < Flat/Shed/Other Material of Roof
Size, wood studs r2 " x // " ; spacing /G> " o.c. ; length ( ft.
Joists (floor beams) : 1st Floor �'�""`"' c " ;� pa.c.i�g�.®__. " o.c. ; span ft.
Joists (floor beams) : 2nd Floor " x /b "; spacing / " o.c. ; span 42,. ft.
Overlays (ceiling beams) : 62., x " ; spacing / - " o.c. ; span / , ft.
Roof rafters: x "; spacing /6 o.c. ; span / ft. _
Roof trusses (pre-engineered) : spacing . " o.c. ; span ft.
Exterior Wall Finish: ►/�f-Gt�i ( , '�` �K= of what material ?
Interior Wall Finish: , 1 ,r;�
If a garage� is to be attached, describe materials to be used for FIRE SEPARATION:
/�a
Is there to be an opening between garage and dwelling? [, If so, will a Fire-Rated door,
enclosure, self-closing device be provided?, (1,10
44
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth:
Water supply - Municipa or private well :
C-
SEPTIC SYSTEM: Distance from any private well (including .adjoining properties: 6y�r',S'D-'. ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: PHONE
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 b he owner.
Signature
Owner, owne agent, architect
contracto
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
OWN OF QUE'- .-
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) RECEIV
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;J UN 1 7 1991
Multi-Family Dwellings
(3 Stories or Less)
BLDG. & CODE DLPT_
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
avl ,451- DcLi n,-J 7 Co,2ye. A//l//, ,
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - (2. b Sq. Ft.
2. Type of Heat - ,Elec. Base Board Other
3. Is Building Mechanically Cooled? YES JC 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 3 2
B. Exterior Walls R :?
C. Glazed Area R a.J`
D. Exterior Doors R,2,.
E. Floors over unheated spaces R jr e,
F. Edge of Slab on Grade (Heated Building) R 41/'
G. Basement/Cellar Walls (Above Grade) R_______
H. Basement/Cellar Walls (Below Grade) R filet
I. Heating/Cooling - Ducts - Piping in Unheated Space R
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
A4ICANT'S/S24ATURE DATE TELEPHONE NUMBER"
INSPECTOR'S REMARKS :
REV D BY
,� TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
A }' TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED / -- l Gl
9 1
�
NAME `�()Ai k
LOCATION rj C n1-4c c . \ l 1 -y
DATE 1� (p/ ! PERMIT/
TYPE OF STRUCTURE Ai -f- --p
RECHECK k,s;M wo Y. (l cq\ n d�\ S
ni h Jl (lox
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTE)
FOOTING FOUNDAT ON BACKFILL X( FRAMING
ROUGH PLUMBING INAL ELECTRICAL _SEPTIC
INSULATION WOODS OVE/FIREPLACE
REMARKS
APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER 0' RATING
BASEMENT INSULATIO ./DUCTWORK
INTERIOR TRIM/PR ACY DOOR
FINISH FLOORS:
BATH/KITCHE WATERTIGHT
OTHER FLOG S SWEEPABLE 0
OTHER FL RS CARPETED t
STAIR CLE ANCE/RAILINGS ✓
HANDICAP D ACCESS
SMOKE DETECTORS 3
BATHRQ M FANS/WHO OUSE FA
ALL yiUMBING FIXTURES OPERA NG
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:
ARRIVE
DEPART
v T�'
ELECTRICAL INSPECTIONS
/ `7`/c1
DUPLICATE MUNICIPAL RECORD
9f Permit No. '
Owner CP' J—u')l'(i i
Occupant '` r /J�
Location .7 W / r L /0 ,G�
E(N'e S' /L 27 Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
Date ` ` au-4eg-- �t
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380
0'0 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
O43.MB S au_/'-e,/7 WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
6 FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
•
MOTORS H.P. 1/20 1/I2 I/10 % % % 'h 1 '% 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
? �cf-e;, i Pn
TOWN OF QUEENSBURY
ry, 531 BAY ROAD
'II QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
, lr BUILDING IUSPECTOR'°S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED . Ix VP I Ct I
NAME .: C) kin 5 ) .��7. ' lam\
LOCATION . 2� /7l/W
DATE `WJACk1 PERMIT# ! 1 — 1 0-1
TYPE OF STRUCTURE 4 H-- 4-0 Cj- r0.�,�
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL/ STRUCTURE)
FOOTING FOUNDATION BACKF'ILL , WRAMING
ROUGH PLUMBING FINAL ELECTRI AL SEPTBC
INSULATION WOODSTOVE/FIREPLA E
j /
REMARKS $1 i,_`.
�� I
if APPROVAL
' N� YES NO
CHIMNEY HEIGHT/LOCATION ' J+
B VENT/LOCATION :' i; I
' ✓PLUMBING VENT ;
ROOFING ✓ /
SIDING „y, ✓�
DECK/PORCH/STEPS/RAILINGS / '''!
RELIEF VALVES / (; /
FURNACE/HOT WATER OPERATING . / ✓
BASEMENT INSULATION/DUCTWO K. /
INTERIOR TRIM/PRIVACY DOO,S ✓
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT ' ✓
OTHER FLOORS SWEEPAB ;�, Lf
OTHER FLOORS CARPETE% � 7
STAIR CLEARANCE/RAILI GS fI
HANDICAPPED ACCESS ,, �
SMOKE DETECTORS
BATHROOM FANS/WHOLE OUSE FANS
ALL PLUMBING FIXTUR S OPERATING
GARAGE FIRE PROOFI G \
DOOR.CLOSERS
OTHER FIRE SEPARA ION7 ,7
FIRE/DEMISE WALLS /
DUMPS TER ✓ /
SITE PLAN/VARIAN E REQUIREMEN S ✓
FINAL ELECTRICAL ,41V /,4- �56i�
OK TO ISSUE C/O OR C/C
COMMENTS:
�'h[sk T2;w .too'{
3, i 14,t s� si'di .
ARRIVE
DEPART '
NSP T
'7
TOWN OF QUEENSBURYj{
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT )C
REQUEST FOR INSPECTION RECEIVED /C�//O/
NAME 5 v v lj A S J _Lk\ '_
c
LOCATION AC-6Wt \.\
DATE/[/ /0 9/ PERMIT I 1 1-4d-1
TYPE OF STRUCTURE N)-el\r42ti (m GAYac
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 il
PLUMBING VENT/VENTS IN PL•`ACE
PLUMBING UNDER SLAB ,
FRAMING:
JACK STUDS/HEADERS`'
BRACING/BRIDGING/
JOIST HANGERS /
JACK POSTS/MAO BEAM
, FIRESTOPPING /
WALLS /
,
J CEILING 't
T-FIREWALLS
HEATING OUGH-IN
INSULAT� ON-:--FOUNDATION WALLS INTERIOR R- .�
FOUNDATION WALLS EXTERIOR R-
FLOORS R- \,
WALLS R- ,
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
if
ARRIVE ,/
DEPART
INSPECTOR
TOM OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT .I 1� I
REQUEST FOR INSPECTION RECEIVED
NAME �Fivic'� �TAS
LOCATION `� Co--Nigc U 4 i�� �
U
DATE 9\pIc I PERMIT • 1 —
TYPE OF STRUCTURE NA- A-- Yacq--
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 1
FOUNDATION/DAMPROOFING i
BACKFILL APPROVAL 1
ROUGH PLUMBING 1 I
PLUMBING VENT/VENTS IN PLACE,
PLUMBING UNDER SLAB 1
FRAMING: '1
JACK STUDS/HEADERS A /
BRACING/BRIDGING A /
JOIST HANGERS ;, /
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS / \
CEILING / \
FIREWALLS / \
HEATING ROUGH-IN /
INSULATION: / 1
FOUNDATION WALLS INTERIOR R- \
FOUNDATION WALL �E T/tRIOR R- \ V
FLOORS poi i / R-40 1
WALLS R- ,,•�,�
CEILING F'-' l R-
DUCT WORK OR PIP NG IN UNHEATED \
SPACES
REMARKS:
•
erdD
ARRIVE /
DEPART �� ``J
INSPECTOR
TOWN OF $ DEEMSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ° -NA
NAME UC)Kl r
LOCATION c) C0-4etcy_ )
DATE PERMIT # LI'C! I
TYPE OF STRUC URE A\ 1_ 4 Ci rc%j=" 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
SOUGH PLUMBING J'
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS.
BRACING/BRIDGING •
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS / w
HEATING ROUGH—IN (
INSULATION: /
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R-
FLOORS R—
WALLS ,% R—
CEILING / 1 R—
DUCT WORK/OR PIPING II UNHEATED
SPACES ;
REMARKS:/
D �� \Le.L [tJ(I /
JL . ✓ w/c of —zi ..mo o.
ARRIVE
DEPART
I NS PEC
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT e72 _,67)
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
a �
J
REQUEST FOR INSPECTION RECEIVED r
NAME L l(-I \s' rk\i; ()
LOCATION �:0T c- __11 Y I 1 C)
DATE ql PERMIT # l i— y
TYPE OF STRUCTURE ,4j+ 4-(`) C fclC\da-
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: t/
JACK STUDS/HEADERS !,
BRACING/BRIDGING
JOIST HANGERS I
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS s/
CEILING
FIREWALLS ='
HEATING ROUGH-IN I
INSULATION: I'
FOUNDATION WALLS INTERIOR R!-
FOUNDATION WALLS EXTERIOR R,-
FLOORS ,� R-
WALLS / R-
CEILING ; R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: l
/191() gfrt 2(fea"- -
belE
�e�e Ca47
y
` lec. vAce, ca.? h
•
ARRIVE / ,':7'
DEPART a�
I PCTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 0-�
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME c_-/�li/o� J UrJ/c '1, S'
LOCATION 7 • (o) f
DATE "/a9/ PERMIT if5/- Yal
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 P RPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLA E
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:
r
s'oe.�,�
767/4
ARRIVE
DEPART
INSPEC OR
TOWN OF QUEENSBURY /�
BUILDING AND CODES DEPARTMENT �'
531 BAY ROAD J
G�. 6 .
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME a afte/f..{�
LOCATION 7 • , ,_ f, WI/ 67/
DATE i f/2/ PER # 9/-
l
TYPE OF STRUCTURE/J/
RECHECK 71,167",
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 y
PLUMBING VENT/VENTS IN, PLACE .(
PLUMBING UNDER SLAB
FRAMING: 1'
JACK STUDS/HEADERS `. /
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM X
FIRESTOPPING I c,
WALLS y
CEILING I
FIREWALLS
HEATING ROUGH—IN /
INSULATION: / k1
FOUNDATION WALLS NTERIOR R—
FOUNDATION WALLS 'EXTERIOR R,
FLOORS
WALLS / R-
CEILING I R
DUCT WORK OR TING IN UNHEATED
SPACES
REMARKS: 'u
I/4a
-u77(£/L"
ARRIVE
DEPART
SPECTOR
LANDS OF
AN ION/0 S. A ✓UDI M C.
L /CAR/
4. 652 P. 1007
LANDS OF
BRENTON ✓. 8 VIOLET B. HAV14AND
4.318 P. 576
LANDS OF
_CHARLES W. 8 ELLEN M. bVD6E
L . 295 P. 233
x r
L A NOS OF
RON.d L D LEE 8 ANN MAREE DAVENPORT
L . 646 P. 1098
LEGEND:
0 SET IRON ROD WITH CAP
• FOUND IRON MARKER
._._ E— POWER
9
o�
2
m
v
c
m
m
m
CC
0
0
LANDS OF
BRAN E. 8 SALLY ANN SHELDON
L.556 P. 598 ;
Grave/ Drive'
2.iNT7 - 9 =0'01 W
- MAP REFEREMES :
I. Map of survey fo Ronald Lee and Ann Marie Davenport, Town
of Queensbury, Warren County, N.Y., dated July 29, )988 by
W. J. Rourke Associates, L.S.
2. Cottage Hill Subdivision - amended First section arfd SoCond
and Third sections by John S. Van. Dusan, L.S., dated March,
19430
3. Warren County, Town of Queensbury
Tax Map No. 91-4-6
Libor, 682/ Page 271
41
v
I hereby certify lst'o'�D-
vidAand Dawn W. Judkins, Hartford
Funding, Ltd., iuccessors and/or assigns and American Title
Insurance Compan ht this map has been prepared in accordance
LANDS OF with the existing code of practice for Land Surveyors adopted by
WILLIAM 8 MARCIA MC6LOIN the New York State Assoc. of Professional Land Surveyors.
L . 518 P. 119 13
• 09/23/88 William J. Rou a LS 49098
4 TOWN OF QUEENSM
Based on w►6ft -.1! �'<!MEIrT
MAP OF SURVEY notd
W. J. ROURKE, A SSOC I A TES
Licensed Land Surveyors
10264 Saratoga Road, South Glens Falls, N.Y. 12803
Main Street, Salem, N.Y. 12865
12 LOT N°S AS PER MAP REF. N° 2 e�4a.-�
WLLIAM J. ROURKE LICENSED LAND SURVEYOR NO. 49098 —
of lands. to be conveyed to
i-OWN OF QUEEtVS3UM,,
DAVID
A. � DAWN W. JUDKINS RECEIVED
TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK JUN 171991
S C A L E : 1 = 20' JA N. N 28, 1987 BLDG. & CODE r)F-PT,
`-,UPDATED: SEPT. 23, 1988
WIN
+r' roa I �.a DEPT.
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REVi4 's �L-D v - Zoning irlistf `
FILE C1Da te
DATE �� s6-3W e
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