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COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 itf3C1 4 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No Cert.N2 66655 Cut-in Card No. Owner T 0 �'v,040/(/ /C4 Location ��vr 6GEA1 LgKt /Qf+ Q ct Installation Consisting of 42.2 /re,446. 7/2-ere/; 5 9 c / 7275 3> smes—Ar t-- Installed By Oibl.e. Lic.No. 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 m ' inspections at any time, and if its rules are violated,_ d, pa the Company shall have the right to rev e is rtific Date f¢ `6 INSPECTOR.. GENERAL INSPECTION REPORT 9,v6 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road / • Queensbury,NY 12804 Arrive` m Depart atn/pm Inspector's 'fiats � � NAME: .,j r/4 (°I A,/ PERMIT# .36), LOCATION: Cz g0 DATE : 7 S e TYPE OF STRUCTURE: RECHECK N/A NO CO 1 NTS , Footin erg c 4 Monolithic our 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/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing 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 R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping r � fie, TOWN OF QUEENSBURY ,( BUILDING & CODE ENFORCEMENT "It a 742 BAY ROAD QUEENSBURY NY 12804 ( (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL _7 DATE INSPECTION REQUE T RECEIVE : NAME C;LX�11, 'LOCATION J 7 s \\ DATE 3��_�" PERMIT I tS '"( TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL_ WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH PECK/PORCH/STEPS/RAI INGS _N) JiELIEF VALVES FURNACE/HOT WATER PERATING INTERIOR TRIM/P IVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C iv l/ seA/136 . 4",?r. rt;r 9 ,' ."M ,4 AVM AL /d i- / oil [yam I- /X A,V ePoZ) 77S 7C /� TOWN OF QUEENSBURY / • BUILDING & CODE ENFORCEMENT Ortor 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: _3136 DEPART: INSP a- FINAL. INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RRECEIVED: NAME 6k-f ICy � / / at LOCATION f)- L�C� * aI ( DATE /i/1/�'/ 47 PERMIT R J Yl3 vl TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _ N/A YES NO CHIMNEY HEIGHT/B V NT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATIN INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BAT/I./KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS _ FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C ✓ Sic45 61 4k env TOWN OF QUEENS RY FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 5ki 7 NAME GNU r\ LOCATION 1 Sa EIene ) DATE PERMIT # ' • l77 9S33 APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTI G FIRE EXTIN USHERS AUTO. EXTINGUISHING .YSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE - MASONRY /FIREPLACE - FACTOR BUILT • REMARKS: 0 OK TO THIS DATE r /I/►'�.- id k INSPSLIP.PUB .111°F INSP C •R TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED ^ 2-6 /0/_ NAME j � U-O�fi��l / LOCATION CS/ &J LA , DATE PERMIT # c--/0 ,7 71f SAS G eer^ APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHER AUTO. EXTINGUISH! G STE HOOD INSTALLATI AUTO. SPRINK SY TEM ALARMS M INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: 0 OK TO THIS DATE 6e-141 GA)deoP) NSPSLIP.PUB INSPECTOR TOWN OF QUEENSBURY 11 BUILDING & CODE ENFORCEMENT ��ity 742 BAY ROAD '� QUEENSBURY NY 12804 (1 (518) 761-8256 ARRIVE: pi(,() DEPART: INSP'(,* NAL INSPECTION REPORT - RESIDENAL DATE IN`, EC ' IN RESUEST RECEIV al-PI-CI? NAME ` e56) LOCATION dill J 7 'q DATE - - "63-7 PER T Aj� 303i, TYPE OF RUCTURE �f FOOTINGS 'L FOUNDATION BACKF1LL _ FRAMING ROUGH PLU .:ING SEPTIC I,' ULATION FINAL ELE 'RICAL WOOUSTOVE „aR FIREPLACE N/A I YES NO CHIMNEY HEI HT/B VENT/HEIGHT PLUMBING VE ROOFING EXTERIOR FINI H DECK/PORCH/STE'S/RAILING. RELIEF VALVES FURNACE/HOT WATE' OPE' TING INTERIOR TRIM/PRI AC % DOORS FINISH FLOORS: BATH/KITCHEN WATv,.'. IGHT OTHER FLOORS SW:: PALE OTHER FLOORS C' •PETE.' STAIR CLEARANCE!' ILING'• SMOKE DETECTOR ;' • BATHROOM FANS PLUMBING FIXT+RES FOUNDATION ISULATION GARAGE FIREPROOFIN' , DOOR CLOSE S FINAL ELE' 'RICAL SITE PLA./VARIANCE REO. FINAL S •VEYPLOT PLAN OK TO SU:(YlL�' OR C C 4 4111. / ��f 6,.� co ,' 'r ic `/ ` TOWN OF QUEENSBURY ��i� ' BUILDING & CODE ENFORCEMENT `' 742 BAY ROAD QUEENSBURY NY 12804 (! (518) 761-8256 ARRIVE: C9/1/6 4 DEPART: INSP: _S FI AL INSPECTION REPORT - RESIDENTIAL/ DATE INSPE04ION REQU$ T RE EIVEDt /�/ y/[ 7 4;:NAME d 'lit Gk ` LOCATION DATE _ PERMIT N 3)3 TYPE OF STRUC U FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC _ INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/g VENT/HEIGHT PLUMBING VENT ROOFINGAft EXTERIOR FIN SH ■ w DECK/PORCH/ TEPS/RAILINGS RELIEF VALIES FURNACE/HID'F WATER OPERATING F� INTERIOR/TRIM/PRIVACY DOORS FINISH LOORS: BAT KITCHEN WATERY HT OTHER FLOC, SWE AB OTHER FL RS C P T STAIR CL RANC IL NGS S OKE ECTO PATH OM NS �' ` PL BING F T FOUNDATION I SULATION GARAGE FIRE P OFING (a DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO• -.0/////// FINAL SURVEY PLOT PLAN OK TO ISS R C C TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT t 742 BAY ROAD QUEENSBURY NY 12804 ll (518) 761-8256 ARRIVE: .2(''W DEPART: _ INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST CE VED: NAME O' kleZ LOCATION DATE PERMIT I TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC _ INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/H IG PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C i,,/ ��G 47,4/ at- S-40-‘-5 5 49 I 97"0 TOWN OF QUE SBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location - �1 _K Date I\ -' 6 Permit # S -303 SOIL TYPE. any Loam-Clay- Results of Percola io Test- (if applicable) Ra -Minute/Inch TYPE OF SYSTEM: ABSORPTION FIEL : T tal Length Length of each trench Depth of trenches }� Size of stone SEEPAGE PITS: Nnber- Sio - ft. Stone size ,�i1 /C PIPING: Size Type Bldg. to Tank v " Tank to Dist. Box y'1 Dist. Box to Field/Pi 9/" L Openings Sealed? 4120 No Partial LOCATION/SEPARATION . Foundation to Tank feet Foundation to Absorption is feet Separation of Pits eet Conforms as per Plot Plan AUMII No LOCATION OF SYSTEM ON PROPER (c ' e one) IOW- Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: lI ie' La l' oe[i SYSTEM USE APPROVED: OP NO Arrived: /),'U Departed: Building Inspector (518) 761-8256 TOWN OF QUEENSBURY611 BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY))// NY 12804 INSPECTOR'S REPORT: ARROl 6 DEPART INT:4- REQUEST FOR INSPECTTIIp1 (14L74 �RECEIVED: NAME - �/ LOCATION / tOc<< /Pe, DATE / �/ PERMIT A J l ;14J TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIE•,• MONOLITHIC PO • FORM REINFORCEMENT I PLACE THE CONTRACTOR I RESPONSIBLE Fell PROVIDING PROTE ON FROM FREE ING FOR 48 HOURS FOL ,SING THE P • E- MENT OF THE CONCR 'E. MATERIALS FOR THIS '•URPOSE • SITE FOUNDATION/WALLPOUR ____ REINFORCEMENT IN PLAC FOUNDATION/DAMPPROOFINk _ BACKFILL APPROVAL PLUMBING VENT/VENTS IN • ,CE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/ 'EADERS BRACING/BR IGING JOIST HANG RS JACK POST MAIN BEAM AIR INFILTRATION :ARRIER ATING ROUGH-IN INSULATION: FOUNDATION ALLS INTERIOR R- FOUNDATION ALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- Ak1 re44 (518) 761 8256 TOWN OF QUEENSBURY (PIO. BUILDING & CODE ENFORCEMENT 742 BAY RD. , QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR7'DEPAR'141 INT REQUEST FOR INSPECTION RECEIVED: /o{ 7 NAME 44, let =` tO I ' 9 . PERMIT # TYPE OF STRUCTUR; : RECHECK AP'ROVED N YES NO FOOTINGS/PIERS MONOLITHIC POUR FIRM t REINFORCEMENT IN P ACE - THE CONTRACTOR IS "SPONSIBLE FO. PROVIDING PROTE TIO FROM FREEZI 0 FOR 48 HOURS FOLLOW NG THE PLAC-- MENT OF THE CONCRETa. MATERIALS FOR THIS P RPOSE ON SITE _ FOUNDATION/WALLPOUR -_ REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL A PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUD HEADERS _ BRACING/B' IDGING JOIST HA ERS JACK POS S/MAIN BEAM ; AIR INFILTRATIO BARRIER HEATING ROUGH- N 7 JSULATION: FOUNDATIO WALLS INTERIOR R- FOUNDATI WALLS EXTERIOR R- S WALLS R-fQ CEILING R-� DUCT WORK OR PIPING IN UN EATED SPACES R- _ VAPOK 8Aal&R o« CALA t-VR acH6crc OF 425. tee wtevededg• Pô, Q \J Al - 01< :, cY,y,.. s, ..,. �.v.. ze 4 rar ":a l* ki, u.t!_I*., i ns4 a">zs.', T n y:.. r _„�.�,- �. �r�st, :� � •,. .::.r + �d N :' e....;„ n';- ay' rr :.. :y^..'� 4 S' ,�,:'� .r��. �' •F t" .t'.',�$ g� • ,•.�p r .r. ;"t" ,r^1.�._^^�,,,, . :,r ..> r;�.. u.., :3 6 r+„� •t,- i::�} s'''ysti yr ,�w k S�.°44f tF' rL. .;:, ,.. - C'. 'tom✓. T,f, r .:..i. a ..,'?"ti• :1 K� We Y 11.+'{:y�"'0.. 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Lix �. ,§, Yr sf+F".s{u _ . �4 TOWN OF QUEENSBURY 116 BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 ''w INSPECTOR'S REPORT: ARR4/(/) DEPART INT // - REQUEST FOR INSPECTION RE IVED: NAME 6- 1 LOCATION 4LL 0? DATE /O 7 6 PERMIT I 9C:349 TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSE E FOR PROVIDING PROTE TION FROM RE ING FOR 48 HOURS FOLLOWING T PLA E- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON S'TE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB _ FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER 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 R- (518) 761-8256 TOWN OF QUEENSBURY (011 BUILDING b CODE ENFORCEMENT 742 BAY RD., QUEENSBURY//\\ NY 12804 INSPECTOR'S REPORT: ARR !"w DEPART INT_ REQUEST FOR INSPECTION RECEIVED: NAME _ LOCATION t:641 ( 4LM9f-cidiDATE �OPERMIT # TYPE OF STRUCTUR RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE _ THE CONTRACTOR IS RESPONSIBL OR PROVIDING PROTE TIC)• FROM F: EZING FOR 48 HOURS FOLLO I THE •LACE- MENT OF THE CONCRETE. _ MATERIALS FOR THIS PU:i:ISE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN • ACE FOUNDATION/D'v •ROOFING BACKF PPROVAL 17 PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER _ 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 R- (518) 761-8256 TOWN OF QUEENSBURY 0110' BUILDING & CODE ENFORCEMENT 742 BAY RD. , QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR/'l r DEPART INT REQUEST FOR INSPE 04 RECEIVED: NAME Jeff 4,r LOCATION 64, 1 e DATE //f S/96 PERMIT It 9Y:3e3 TYPE OF STRU T RE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM ! REINFORCEMENT IN PLAC - THE CONTRACTOR IS RES'•NSIBLE FO PROVIDING PROTE TION F'OM FREEZI G FOR 48 HOURS FOLLOWING THE PLAC-- MENT OF THE CONCRETE. MATERIALS FOR THIS PURP• E ON ' ITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING _ BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADN'S BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIE HEATING ROUGH-IN INSULATION: FOUNDATION WALLS IN RIOR R- FOUNDATION WALLS EX ERIOR R- _ FLOORS R- _ WALLS R- CEILING R- _ DUCT WORK OR PIPING IN UNHEATED SPACES R- AJ Phi, �1�'y� f✓i z �au� � � /1/,/f f phi (518) 761-8256 TOWN OF QUEENSBURY BUILDING 5 CODE ENFORCEMENT (01b 742 BAY RD. , QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR!j24 DEPART INT all- REQUEST FOR INSPECTION RECE V�ED: NAME 7// Ad LOCATION C-[e`- lc4 n[� DATE /IS 6 PERMIT t -303 I S TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FO•, - REINFORCEMENT IN PLACE - THE CONTRACTOR IS RE=PONSIBLE OR PROVIDING PROTE TION ROM FREE ING FOR 48 HOURS FOLLOWINi THE PLI E- MENT OF THE CONCRETE. MATERIALS FOR THIS PUR•'SE O. SITE FOUNDATION WALLPOUR _. REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING _ BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLAC: ROUGH PLUMBING PLUMBING UNDER SLAB �(( \,FRAMING: 5,/"' JACK STUDS/HEAD S BRACING/BRIDGIN JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRI R HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- _ CEILING R- _ L DUCT WORK OR PIPING IN UNHEATED SPACES R- /1-/// yetS/ 4,- /V/ e 5- aJ G06,uf1eg brg( ' SO) L". / - �L �- fivrs yjGH #?J /~ Afem e~1 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 ' . INSPECTOR'S REPORT: ARR3/r DEPART INT 4? REQUEST FOR INSPECTION RECEIVE : NAME ,e st4 447 LOCATION G Q/ //4!C! Ry DATE ��J PERMIT H TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR T1110 PURPOSE ON p4TE FOUNDATION/WALLPOf�)R e` REINFORCEMENT IN ACE 'N FOUNDATION DAMPPROOF g BACKFILL APPROVAL PLUMBING VENT VENT. IN PL CE ROUGH PLUMBING PLUMBING UND FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER 1 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 R- -/7A' A/vi/r10 1: //✓J11e J C4/ll e'/Aetri _ US a 7-(.h'/ 4- 7'lx4e e eich.vs TOWN OF QUEENSBURY `Ys BUILDING & CODE ENFORCEMENT . < 531 BAY RD., QUEENSBURR7Y� NY 12804 y INSPECTOR'S REPORT: ARRO +J DEPART 3r/v INT . REQUEST FOR INSPECTION RECEIVED: NAME _ J - LOCATION +lr Z‘ DATE /1/ PERMIT 951.163 TYPE OF STRUCTU'E: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FON REINFORCEMENT IN PL CE THE CONTRACTOR IS R.SPONS LE FOR PROVIDING PROTE TIO FROM-FREEZING FOR 48 HOURS FOLLOW' G T PLACE- MENT OF THE CONCRET MATERIALS FOR THIS PIRP• E ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACL FOUNDATION DAMPPROOF DACKFILL APPROVAL PLUMBING VENT/VENT' IN P ACE • ROUGH PLUMBING PLUMBING UNDER S lB FRAMING: JACK STUDS HEADER` BRACING/BRIDGING JOIST HANGERS ` JACK POSTS/MAIN B AM AIR INFILTRATION BARRIER 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 R- /vet/ O�rer TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 `' INSPE TOR'S REPORT: ARR .iT TDEPART ion INT2�/ REQUES FOR INSPEQTIO1/�EC I D� NAME �� / LOCATION cL DATE ` JLl � •ERMIT # gc-36 TYPE OF STR'C RE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR Fs* REINFORCEMENT IN P •CE THE CONTRACTOR IS RE,P• SIBLE FOR PROVIDING PROTE TION 'OM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. \ _ MATERIALS FOR THIS PURE ON SITE FOUNDATION WALLPOUR REINFORCEMENT IN PLACE." _ FOUNDATION/DAMPPROOFINIIIIII BACKFILL APPROVAL ? PLUMBING VENT/VENTS IN1PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEAD S BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN EAM AIR INFILTRATION BARRIER 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 R- l �lr• /.C /7%e Gr U C1.1 P� OQ�/�„ , TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD. , QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR DEPART �, `6IN ill''' REQUEST RR tNS ECTION RECEIVED: ��5 NAME �" .,.... �-�i./ INv LOCATION DATE 3'7, Q-5 PERMIT # 1 s- ✓a3 TYPE OF 5j1'RUCT RE: • ' ► `fit RECHECK APR - • N A YES O (L9OTINGS/PIERS MONOLITHIC POUR ORM J REINFORCEMENT IN PACE 1f •w% /4 44 THE CONTRACTOR IS R+ PONSIB FOR PROVIDING PROTE TION FROM F•EEZING FOR 48 HOURS FOLLOWI THE •LACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PUR•ISE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE i FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN 'LACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDSLHE DERS BRACING/GRID ING - - JOIST HANGER' JACK POSTS/M' IN BEAM AIR INFILTRATION BAR•IER / 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 R- Y4Zie TOWN OF QUEENSBURY • r` BUILDING & CODE ENFORCEMENT • 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: AR DEPART ��I tip REQUEST FOR INSPECTION RECEIVED: ,NAME r-. A � (LOCATION ' .! , { � DATE �( i 2 PERMIT # *� TYPE OF Si UCTUR I: -1-(CA.(Are. RECHECK APPROVED 1 N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FO% REINFORCEMENT IN PLA E THE CONTRACTOR IS RES:•ONSIBL FOR PROVIDING PROTE TION OM F• EZING FOR 48 HOURS FOLLOWING THE :LACE- MENT OF THE CONCRETE, MATERIALS FOR THIS PURPO E ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING ? CKFILL APPROVAL • PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS, EADERS _ BRACING/BR DGING JOI:T HANe RS JACK POST•/MAIN BEAM AIR INFILTRATION/BARRIER HEATING ROUGH-II INSULATION: FOUNDATION WALLS_INTERIOR R- FOUNDATION WALLS EXTERIOR R- _ FLOORS R- - "- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- Zb3 `` 5- TOWN OF QUEENSBU t BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 l , INSPECTOR'S REPORT: AR DEPART .'/ .�L�i7A REQUEST FOR INSPECTION REECEIVED: VP :I di* NAME / I ` ' \ .► �I LOCATION S -1Q - "IP DATE g - ` (Q. -p( PERMIT A q S TYPE OF STRUCTURE: ` --J )3 RECHECK _ APPROVED N A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM *REINFORCEMENT IN PLACE , THE CONTRACTOR S RESPONSIBLE F.R PROVIDING PROTE ION FROM FRE ' ING FOR 48 HOURS FOL,OWINO THE P 'CE- MENT OF THE CONCR•'TE. MATERIALS FOR THIS 'URPOSE ON SITE ` FOUNDATION/WALLPOUR . REINFORCEMENT IN PLACD ,41") ?E FOUNDATION/DAMPPROOFIN_ey t."---f t ‘ BACKFILL APPROVAL PLUMBING VENT/VENTS IN P 'CE ROUGH PLUMBING PLUMBING UNDER S AB FRAMING: JACK UDS/HEADERS BRACI 'G/BRIDGING JOI . HANGERS JA ' POSTS/MAIN BEAM AIR INFILTRATION BARRIER 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 R- • sed Ro C�j lj'�\ 1 1� o - 6\LPG C zl JUI`I '7C VJ(�Jti 51LYKU I'WSiJf`fKT 5T5 I h!'I`.i HT J I'1Fi H h'.�/J • Material Safety Data Sheet U.S. Department of Labor • May be used to comply with Occupational Safety and Health Administration OSHA's Hazard Communication Standard; • (Non-Mandatory Form) 22 CFR 1010.1200. Standard must be Form Approved 7 consulted for specific requirements. OMB No. 1218-0072 . IDENTITY (As Used on Label and Lisa - - We: Blank s are not permitted if soy teem isnot appfieable, or no C-21 hhan ra ananttet* the space mint be marked to txbcr to tt a ' Section 1 . Manutaciurees Name ewe N t SILPRO MASONRY SYSTEMS, INC. 617-663-4616 Acidness (Number, &rust, City, Stara, and ZIP Coda) Telephone Number for Odom scion STONY BROOK INDUSTRIAL PARK 1-617-772-4444 • Data Prepared 2 NEW ENGLAND WAY IANUARY 30, 1990 . . AYER, MA. 01432 e of Prrps or(� � + - _ i r ,l,r, �� . • Section Ii — Hazardous Ingredients/Identity information . Other Limits -; Hazardous Components (Specific Chemical identity; Common Name(s)) OSHA PEt. ACGIH TLV Recommendso %(optfonag•t None • Composition: Non-Hazardous Materials . . Latex suspended in water at approximately 25% . i < / N ,; _ i Section lie — Physical/Chernical Characteristics . Boiling Point Specific Gravity(H20 a 1) 100/C-212F Water 1-1. 2 ' Vapor Pressure(mm Fig,) - • •Melting Point 17 .20C/68F Vapor Density(AIR . 1) Evaporation Rate N/A - ) 1-Water (Bute Acetate . 1) 1-Water Sdubility In water ------ -- Dilutable • Appearance and Odor Appearancei Milky white liquid: Slight Ammoniacal Odor • . , Section IV — Fire and Explosion Hazard Data i Ftaah Point(Method Usk "Flammable Limits Non-Combustible LEL UAL i Exang media N/A N/A N/A Spada! Fire Fighting Prmcedui • Nome • • Unusual Fro and expl000n Hazards - j Material can splatter above 100/212F. Polymer Film can burn. • locally) OSHA 174,Sept 1903 J UI ' r1HsuN Y 5Y5 I t rl i HYLK I`IH H r•a , Section V — Reactivity Data Stability Unstable conditions to Avoid Temperatures over 177C/350F • staid XX Incompatibility µlatenals to Avoid) None Hazardous Decomposition or Byproducts; None Hazardous • Hay Occur Conditions to Avoid N/A Wilt Not Occur • 4 XX - - ----- --- - Section VI — Health Hazard Data Ram(s)of Entry, -- Inhalation? Skin? �? Ftoatth Hazards(Acute and chronic.) jUhdl,ation-Prolonged_ exoposure could cause headache 6/or nausea. Irritating to skin upon repeated or prolonged contact. Slightly irritating to eyes. CaminolgenicitK - NTP?N/A MAC N�? • • OSHA t3sgylat.d? Signs and Symptoms of Exposure None Medical Conditions Generally At39rsvatod by Exposure N/A Emergency and Fust Aid Procedures Inhalation-move subject to fresh air. Nye & Skin contac Flush eyes with water for 15 minutes. If irritation persists, call Phys: Section VII — Precautions for Safe Handling and Use - Steps to Se Taken in Case Material Is Released or Spitted Keep spectators away, floor may be .slippery: Use care tc avoid falling. Dike and contain spill with sand, earth, etc. • Waste Disposal Method • Landfill or incinerate the solids and contaminated diking as per local, state and federal regulations. Precautions to ae Taken in Handling and Storing • - -Keep from freeinq-Product may coagulate. • • Other Precautions None Section VIII — Control Measures Respiratory Protection(Spooky Type)• -- -- - ---, None required with normal ventilation conditions. • Ventilation Local Extiauui - Mechanical if necessary Special N/A Mechanical (Gawks!) Otto( Protective Gloves A N/A Impervious l I Eye Prowa�n Chemical Splash Goggles One( Protective Cloning or Equipment - • None wod dHygionia Practices - Normal Page 2 u.a.a .a IN .4n.s2,hsns VI/V1/U6 14.40 rM 414 'IA LOUD ‘la Vlr4.Cr141 kYVVL CTS Cement Manufacturing Company 2337 Roscomare, Suite 10 Los Angeles, CA 90077 e/8> c/1 , (310) 472-8898 FAX (310) 472-2893 • 7/1/92 MATERIAL SAFETY DATA SHEET . Rapid net Cement, Grout & Concrete Section I - General Information ' 1 . Rapid Set Products , 2077 Linda Flora Drive, Los Angeles, CA, . 90077 • 2 . Emergency Telephone Number : (310) 472-8898 3 . Chemical Name and Synonyms : N.A 4. Trade Name and Synonyms : Rapid Set Cement Rapid Set Non-shrink Multipurpose Grout Extra High Strength Mix Rapid Set Non-Shrink General Construction Grout MiX Rapid Set Concrete Mix 5. Chemical Family : Calcium Salts 6. Formula : Silicon Dioxide (si02 ] 15.40% • Aluminum Oxide [Al, O, ] 13.74% Iron Oxide [Fel Om ] 2. 38% • Calcium Oxide [Ca0] 50. 87% Magnesium Oxide (MgO) 1.26% Sulfur Trioxide [803 ) 12.52% Loss on Ignition 2.84% Total Alkalis [As Na2O] 0 .56% Insoluble Residue . 2.38% Section II - Hazardous Ingredients 7. Hazardous Ingredients : N.A. Section III - Physical Data 8 . Boiling Point : N.A. 9. Vapor Pressure : N.A. • 10. Vapor Density : N.A. 11 . Solubility In Water : Blight (typically 0.1 - 1%) 12 . Specific Gravity : Approximately 3.10 13.. Percentage Volatile By Volume : N.A. 14 . Evaporation Rate : N.A. 15. Appearance and Odor : Gray (or white) powder, odorless Specialty Cements ChemComp' Shrinkage-Compensating Cement Rapid Set" Products! Cement • Non Shrink Grout • Concrete Mix 07/07/92 12:29 FAI 213 472 2893 CTS CEMENT f Section IV - Reactivity Data 16. Flash Point : N.A. 17 . Flammable or Explosive Limits : N.A. 18. Extinguishing Media : N.A. 19. Special Fire Fighting Procedures : N.A. 20 . Unusual Fire and Explosion Hazards : None • Section V - Health Hazard Data 21. Threshold Limit Value : 5 mg/m3 (respirable dust) 10 mg/m3 (total dust) 30 million particles per cubic foot 22. Over Exposure: See below • - Acute Dry cement, when combined with body moisture and wet . cement, especially as an ingredient in plastic (unhardened) concrete, can dry the skin and cause alkali burn. Cement dust can irritate the eyes and upper respiratory system. Chronic Cement dust can cause inflammation of the lining tissue or the interior of the nose and inflammation of the cornea. Hypersensitive individuals may develop • and allergic dermatitis . (Cement may contain traces • or hexavelent chromium. ) • 23. Emergency and First-Aid Procedures : Irrigate eyes with water. • Wash affected areas of the body with soap and water. Section VI - Reactivity Data 24. Stability : Product is stable. Although no hazardous reaction • wi,ll occur, Rapid Set products should be kept dry until used. 25. Incompatibility : None 2G. Hazardous Decomposition Products : None 27. Hazardous Polymerization : Will not• occur Section VII - Spill Procedures 28 . Steps to be taken in case material is spilled : Use dry clean- up methods that do not disperse• the dust into the air. Avoid breathing the dust. 29. Waste Disposal Method : Material can be returned to container for later use, or it can be disposed or as common waster. 2 Y1/10I/96 ♦i•4Y s'0.6 66W VI wYV V•.. v-w-•,v % r Section VII - Special Protection Information 30. Respiratory Protection : In dusty environments, the use of NTc)9H approved respirator is recommended. 31 . Ventilation : Local exhaust carp be used, if necessary, to control airborne duet levels. 32. Eye Protection : In dusty environments, the use of tight- fitting goggles is recommended. 33. Skin : Use barrier creams , gloves, boots and clothing to protect the skin from prolonged contact with cement, especially wet cement in plastic concrete. Immediately after working with cement, workers should shower with soap and water. Precautions must be observed because cement burns occur with little warning - little heat is sensed. Section IX - Special Precautions • 34. Precautions to be taken in Handling and Storing : None 35. Other Precautions : None • • • • TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S : .PORT: ARRVLADDEPARTI`+45' REQUEST FOR IN •.CTION RECEIVED: NAME C-O Dt3 LOCATION — eai Ili .• • DATE 9I y I t a PERMIT I 5_7 3 TYPE OF STRUCTURE: S PO RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE -CONTRACTOR IS RESPON=IBLE FOR PROVIDI PROTE TION FRO FREEZING FOR 48 HOURS,FOLLOWING TH PLACE- MENT OF THE CbNcETE. MATERIALS FOR THIS P.•POS: ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS[HEADERS BRACING/BRIDGING - JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER \` 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 R- kk iS% FP v.x % ►�T� P lj,_ PAS Q � ttC 1 t TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT • 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: AReaDDEPARTI 4111110 REQUEST FOR INSPECTION RECEIVED: NAME �F 6 Ar LOCATION GLEAM cOAr DATE [�t t 05- PERMIT A - 5 - .3 TYPE OF STRUCTURE: RECHECK APPROVED N A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR I. RESPONSIBLE OR PROVIDING PROTE ON FROM FRE: ING FOR 48 HOURS FOLL• ING THE P CE- MENT OF THE CONCRE . MATERIALS FOR THIS •URPOSE •, SITE FOUNDATION/WALLPOUR O� REINFORCEMENT IN PLAG FOUNDATION/DAMPPROOFI G BACKFILL APPROVAL PLUMBING VENT/VENTS IN • ACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/ ADERS BRACING/BRI'-GING JOIST HANG •S JACK POSTS MAIN BEAM - - AIR INFILTRATION :ARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION ALLS EXTERIOR R- FLOORS R WALLS R - CEILING _ R- DUCT WORK OR PIPING IN UNHEATED SPACES R- D � , Tb DACE °4 . W (*- - FovOOFnlok) t)\ t kcZaVNIC.1 R ALc �I RocAr1 iCt ►3301.)S 6 6 M-1100 - - t `EP it 08/11/95 17:52 [2©3 688 7497 BANK BLDG. CORP. 002 r I Stephen L . Jager, AIA Architect One Univac Lane, Windsor, Connecticut 06095-2662 203-688-7209 Fax 203.688-7497 . August 11, 1995 Mr. David Hatin Code Enforcement Town of Queensbury RFCE�VED Queensbury, NY A U G 11 1995 c RE: Godnick Residence TOWN OF QUEENSBURY • BUILDING AND CODE Dear Mr. Hatin, Architectural Supplemental Instructions One: i; The foundation can be poured in two .� stages followed: provided the following process is : I portion can be The four foot pour shall be done separately without setting any vertical dowels in the wet concrete. I After sufficiently cured the top poured using #4 dowels ©12" on center vertically. The dowels shall be drilled and set in epoxy into the lower pour 12" and the upper pour 12" minimum. The walls shall be bonded together with concrete glue, "Weldcrete" or equal; per manufacturer's instructions prior to the second pour. I It is recommended, but not required to consider installing a water stop along A any two stage pour. i If you have any questions please call me. ,I!iSincerely, O ►; •.,.(7,Z,A --„i_._ ,• A:-.../ r Stephen L. Jager, AIA ...,.,'' Architect J.,. NY License # 022826 c 1 ., } p , ) ,., j� - 1 ati�' r ,:•- '\i a�� 10' - Ark TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT I 531 BAY RD. , QUEENSBURY NY 12804 -7 INSPECTOR'S REPORT: ARR1C, p f . D tDEPART INT li4' REQUEST FOR I PE TION RECE VED: t NAME (7 ! a�1(_, LOCATION � -Q/rL Q � 6E7C:j DATE PERMIT fl ' `3 3 TYPE OF STRUCTURE: �) RECHECK APPROVED 1—A�F�InF 510' N/A YES NO �OOTINGS/PIERS (11Rr1R� MONOLITHIC P• R FORM 'REINFORCEMENT N PLACE 15 THE CONTRACTOR S RESPONSI: E FOR PROVIDING PROTE 'ION FROM REEZING FOR 46 HOURS FOLL'WING THo PLACE- MENT OF THE CONCRa4E. MATERIALS FOR THIS 'URP•.E ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLAC:, FOUNDATION/DAMPPROOF 'NG BACKFILL APPROVAL PLUMBING VENT/VENT' IN PLAC ROUGH PLUMBING PLUMBING UNDER SL'B FRAMING: JACK STU'IS[HEADERS BRACING :RIDGING JOIST H• GERS JACK POS S MAIN BEAM 1 AIR INF'ILTRATIO BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WA IS INTERIOR R- FOUNDATION WA LS EXTERIOR R- _ FLOORS R_ WALLS R- CEILING _ R_ DUCT WORK OR `IPING IN UNHEATED SPAC'.S R_ 1.%. 1 LL ►)EE L EEP O\ c* C3E t�G ‘311V-A-1E Pe ED 67E? o 51_0y C3Ac14 F RotA 61 Fes; Fbo1 i I10151- TEE SLPscvD I lU