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1992-157 j* r d w.GJ ` CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 8 19 92 This is to certify that work requested to be done as shown by Permit No. 92-157 has been completed. This structure may be occupied as a simile family dwelling Lot 9 Herald Drive, Herald Square Subdivision Location Guido Passarelli Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY 92-157 No. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Herald Square OWNER of property located at Lot 9 Herald Drive Street,Road or Ave. in the Town of Queensbury,To Construct or place a Single Family Dwelling 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 Guido Passarelli 2. CONTRACTOR or BUILDER'S Name Passarel1i/Cerrone 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 1232 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use Single Family Dwelling $ 204.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 21, 19 93 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 21st ;,Day • As ri 1 19 92 SIGNED BY GG i,' for the Town of Queensbury Building and Zof. Inspector TOWN OP QUEENSBURY -�- S--\�/�.� / �;7 4111111111511AREVIEWED BY: li:L. = '_ c _ --�- r 7 '''''' ' ''"'•<-7-1(13- 5115$11' ` C) 5 15 FEE PAID: '75 _ 0 Ot crz' c(Ci Li 1 PERMIT NO. : %)- -- /57 TOWN OF QUEENSBUin: BUILDING PERMIT APPLICATION RECEIVED A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTII2L1. : 21ADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. gip All applicants spaces on this application MUST be completed and the si'gni EOPEn applicant MUST appear on the reverse side of this application. Owner of Property: bio ,'iA7 P.O. Address: 1 f 2>_ , 4.eApp0,447PHONE 7fif-f Z Property Location: Tax Map No./o2� J / Has there been any split of this property since October 1, 1988? Yes No If yes, Planning Board Review is necessary. Subdivision Name, if applicable: ACa. Lot No. 7 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NATURE OF/Construction PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE of new building * CONSTRUCTION: $ f Addition to building * Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: //D ft. x 2K1) ft. Other work (describe) * Existing Building Size: * ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: _ * property line: 1st Floor /2.,, Sq. Ft. 11 * Front Yard SD ft. Rear yard 40 ft. 3 * Side Yards /S ft. and f'v ft. 2nd Floor Sq. Ft. 25 * If on corner, setback from side street- Other Floors Sq. Ft. O * (not cellar or basement) * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: /2 7/go:. Ft. * Primapy Building - * ✓ One Family Dwelling Size of New Structure: Zt ft. x /7/ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partial/Full (Circle One) * Business dl.:- * Industrial No. of stories (Habitable space) / 1 * Other Height (grade to ridge) ZO ft. * If residential , no. of families: / * If addition, what will use be? No. of rooms (excluding baths): o * No. of bedrooms: * No. of bathrooms: / 4( * Accessory Building: Primary heating system: L * Detached Garage - One/ r Type of fuel : * ____,Z._ Attached Garage - One Two C Mn nc .Pi v.n..l ft^nr. +n 1... +tel 7....1. i dr _ BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. ige+d ,.5 �--- Will any second-hand or ungraded lumber be used? If so, for what? .tri Foundation Wall Material : dvezeZ Thickness: 6 Depth of Foundation below grade (to bottom of footing) : f" a Will there be a cellar? fe..t Heated or Unheated 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: Sloped/Flat/Shed/Other 5/ r-d-- Material of Roof / �j a/V: Size, wood studs 7.--9 x 61' ; spacing A " o.c. ; length $7 ft. Joists (floor beams) : 1st Floor 2- " x it) "; spacing /6 " o.c. ; span /7 ft. Joists (floor beams) : 2nd Floor " x "; spacing " o.c. ; span ft. Overlays (ceiling beams) : " x "; spacing " o.c. ; span ft. Roof rafters: " x "; spacing o.c. ; span ft. Roof trusses (pre-engineered): spacing z/ " o.c. ; span , ft. Exterior Wall Finish: fr;ity/ of what material ? Interior Wall Finish: e j , -�--1 _ _"' If a garage is to be att ched, describe materials to be used for FIRE SEPARATION: 5'-r q--11- ' -"Y Is there to be an opening between garage and dwelling? qz f If so, will a Fire-Rated door, enclosure, self-closing device be provided? 27€J << Will a flue-lined chimney be installed? Height above roof 7�" ft. Depth of chimney foundation below grade: ft. Depth of fireplace hearth: ft. in. Water supply - Municipal or private well : it1,,,j;,er ----...-- SEPTIC SYSTEM: Distance from any private well (including adjoining properties: ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: P~xide /4/10#-L--____ PHONE N7' NAME OF PLUMBER & ADDRESS: r/ PHONEp,�- 7 , NAME OF MASON & ADDRESS: 6f PHONE --�f� NAME OF ELECTRICIAN & ADDRESS: A1- ,/3-ive.__. PHONE 77 -22-‘f 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 shal be complied with, whether specified or not, and that such work is authorized by the owner. Signature a er, owners agent, architect contractor CDCrTAI !'ARIIITTTAMC AC TUC nrnuTT. ilift c' Ap�44Y TOWN OF QUEENSBURY �-�5 APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # 7 Fee Paid Date: 100Z---- Reviewed By LOCATION OF PROPERTY FO INSTALLATION: i °7� 24t/a(_ c. eldiu-.-._- Owner' s Name: ,,2- /9Z Aii)not.teA Owner' s Mailing Address: . /44.41 k'.--� ' °%E .� l Installer' s Name: Q/1-/ -.- AT Phone #: ;27/2,--- 5e621 Number of bedrooms (if residential ) : 3 Total daily flow (residential-compute @ 150 gal . per bedroom): fW Topography-Circle One: 4110110 Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipa Well Other If domestic water supply is a we - Separation: Water supply from any septic absorption ifdal OF QUEENSBUH RECEIVED PROPOSED SYSTEM: Septic Tank /in) gal . (Minimum size: 1,000 gal"- Art( 2 0 1992 Tile Field: Each Trench '45 ) feet//Total System Length7et . Ef�eCODE DEPT. 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: � C `_4%e-'--_ DATE: 0A_. - Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, 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 to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. 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: ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Owellinm arou Multi-Family Dwellings RECEIVED (3 Stories or Less) PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise gli2dht PART 4 & 6 - Compliance Methods Require Submission of Worksheets BLC a x)nF PERT, 49;4.4 Pd‘irle.te, Agiaz APPLICANT'S NAME PROPE LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - � 1 � Sq. Ft. 2. Type of Heat -AL, Elec. Base Board Other 3. Is Building Mechanically Cooled? YES Y NO 4. Percentage of Area of Windows and Doors Over 17% Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED THE R-VALUES 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 17 C. Glazed Area R D. Exterior Doors R /1 E. Floors over unheated spaces R �v F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R H. Basement/Cellar Walls (Below Grade) R / , I. Heating/Cooling - Ducts - Piping in Unheated Space R 6. Service (Domestic) Hot Water Heating Device / A. Conforms to minimum efficiency per code i/ YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140• - WILL 'NOT BE EXCEEDED TOWN OF Q UEENS B UR Y 531 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date /6 ,19 Z.. Permit No. (3„-.) -152 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 outadditional form if more than one appliance and/or chimney. AppIIcant(} ,, z APPLIANCE (check appropriate boxes) Address 7 %jq, , e/ /moi"'` ' 0 STOVE: ❑ Wood ❑ Coal o Pellet �� / /12-6 / �/ 0 FIEPLACE INSERT /. t,� / 7 /1/- Zip / 16 T ❑ FIREPLACE, FACTORY-BUILT: ❑ Wood ❑ Gas Phone 0 FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner 0 FURNACE: ❑Wood ❑ Gas ❑ Oil Address IF NON-MASONRY• Manufacturer: ,4i -- Zip Model: "3 vs! Outlet: $ ' inches � f Listed By: Number: 754/ � .VZ/ Phone J` CHIMNEY (check appropriate boxes) Exact address of proposed construction 0 MASONRY: 0 Block 0 Brick 0 Stone FLUE: 0 Tile 0 Steel Size: inches CONSTRUCTION/INSTALLATION MUST 0 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer:__ Model: /lid BUILDING CODE. CONSULT TOWN OF Lisjed By: Number: QUEENSBURY HANDOUTS PROVIDED Double Wall 0 Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Received Code Number Title A173 3389 (190)Public Safety A 233 2655 (230)Minor Sales Fee Collected Fromor-ktefunded to: u c: ,c-`,' ': stk _,A tterd: (,)V-14. Town Clerk or Deputy-4-,r74_ , White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink& Goldenrod: Cashier's Dept. TOWN OF QUEENSBURY FIRE MARSHAL /2/% 1 QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED /7/& NAME 4/01_l/ 4uw LOCATION ref- % i���/l ka.) DATE /ef/9PERMIT# 9)-1,57 ( t. c___- APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES \ STORAGE: CLEARANCE TO SPRONKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FI PLACE-MASONRY it„ REPLACE-FACTORY BUILT REMARKS: u OK TO THIS DATE 4111 2/015 INS' CTOR lilt OFEENSBURY 531 BAY ROAD �" / j QUEENSBURY, NEW YORK 12804 TELEPHONE' (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED 7/00: 99'1 NAME e .)', LOCATION 57 Aw 1/d DATE 7/, //ti PERMIT# 92—157 TYPE OF STRUCTURE 1/49"0 RECHECK FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) LFOOTING FOUNDATION X; BACKFILL X FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS a /_ a j "„ ..47, — ,O7:2)// / 4P L L _ APPROVAL N/A YES NO ✓� CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT /r ROOFING F! SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTI6KT OTHER FLOORS SWEEPABLE\ OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS DOOR CLOSERS ✓ BATHROOM FANS c� ALL PLUMBING FIXTURES OPE ATING " GARAGE FIRE PROOFING r DOOR CLOSERS +/ OTHER FIRE SEPARATION FIRE/DEMISE WALLS • FINAL ELECTRICAL v,— OK OK TO ISSUE C/O OR C/ ✓� COMMENTS: ARRIVE DEPART �1�L I IN PECTOR ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. 7 Owner 6 i-77/-5,S ARC'-e Occupant Location Le '— No. Street Town or Ctty State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by ' v G IL!� Date 7-- 0( _ / tai-wc[y C1 -C C-4c .inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 /L/� ROUGH WIRING OUTLETS / H.P.AIR CONDITIONER ,. S RIFFRETS ' V�( 7"-C/ ' WIRING &CONTROLS FOR 040f• BURNER 5--(4 RECEPTACLES H.P. PUMP • 15 Z+ FIXTURES K.W.OVEN C11C--AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT 4//QAMP.SERVICE CONDUCTORS / K.W. DISHWASHER r K.W.SURFACE UNIT / K.W. DRYER / K.W.RANGE AMP. RECEPTACLE / K.W.WATER HEATER �` FRAC. H.P.VENT FANS / 4'60.0 'c- 1 MOTORS M.P. 1/20 1/12 I/10 4 1/4 1/4 'h %: '/ 1 Ph 2 3 5 711 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS Jown of Queensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME A4 0 LOCATION Ole 710 DATE // / 202 PERMIT NO. %,4,"l� , SOIL TYPE 4610t' - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench j,0 Depth of trenches l Size of grave _ SEEPAGE PITS{Number of) : Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank •40(7c. Tank to dist. box Y (/ Dist. box to field/• . Y et Openings sealed? NO Partial LOCATION/SEPARATIONS: Foundation to tank /X ft. Foundation to absorption jk2 ft. Absorption to lot line J ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: 1 r` tE �eecte 4Ai.0"1/ 4(4- SYSTEM USE APPROVED Oril0 NO Alf221117( Buil•' g 4 n"-ctor 01/86 and vl /4' --��'� WN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804/�i TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED l%7� NAME ./ 01-/,01,,,t LOCATION k" 9 !,/qiiii , /6- DATE ^/ j0/61,7 PERMIT# ' 0 9 , f., ,/tt ---�. N/A YES EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE REPLACE-MASONRY v/FIREPLACE-FACTORY BUILT REMARKS: LA/OK TO THIS DATE ,./:,*4/22.* fr 7'.' 2/015 INSPECTOR 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 Lr) `1,.2 NAME C` -Y ( c4 C ► C.ttrc_ LOCATION 1 DATE -- `. PERMIT # Q.) -±5 7 TYPE OF ST UCTURE 7 -- RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING_ JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERI6R R- Ii( L////: FOUNDATION WALLS EXTERIOR R- FLOORS R- �C WALLS R- i, ✓ CEILING R-30 .. DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE ` h+ DEPART U` r - I4 FSE' TsR 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 f41ZI4 L 0 Sq L/21-1Z6-- LOCATI OJFj DATE J/2_ /QZ--PERMIT # 2-- / S 7 TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS 1 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) AVAlegi-Let4f }'BACKFILL APP DC' ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS II, 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 REMARK: }-lamre_L&v&I.- P1-60 tt& (r- ��M P p Ro©g-tArt, A/14-- v v...2) -5 ©,'`T P-o e i!ATG S ARRIVE /0x(-- DEPART tD:---St .1.t, �,.4 I 'S%CTOR 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 ?4GyctIã S LOCATION o64- 1 -�� lU DATE PERMIT # 9e2 "15 7 TYPE 0 STRU TURE RECHECK APPROVED IN/A YES NO OOTINGS/PIERS ONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ' i 1 PULA 11 6 c o c F - ARRIVE !Cit DEPART %C'_/ (i _ c-- IN •ECTOR 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 4402- . NAM 02_.-NAME LOCATION /1/- - DATES/?/ PERMIT # 5 757 TYPE OF STRUCTURE 77:_ j 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 X PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB , FRAMING: ,4 JACK STUDS/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: ARRIVE r ' DEPART JO', / 4� INSP TOR \Q. c N TOWN OF QUEEN BURY -4,, A 4 AL, —7?)('34- 84 - • P(' ' „ cv c; ---704„, / ._ ,, Zoning Act1 1 Ti1ttX N .Dat ' y • o•• t 3� p 4 Ace/ • / TOWN OF QUEENSBURI � • RECEIVED . , I I ' , APR 2 0 1992 / / ' • 0 t �'” BLDG. CODE DEPT. . g I 44"(3.x.. .6) ...!;::i .7; • / • . a ;.--' 8 .i., ,.), / . . 4, ----, --_:- ---- . g ,. d it • / / S 8 �s - �'� 1 i�RoPoSE Z ip ;BK Wks N :s 3 D6? Go ,Z ' b ° . o / 7 r* 38.42 • • - • • 55 114.3-1 /1-4—iz 44 1 • • . L- I-74.-7a . L_x.•a2 --r so' `= D ! / /L EDER Cts C 1.'9 �� nr 488. 4 �- 83 5C5 E _— _.._.------ • I/l(� �`°1 3 ` 2 L= t ate. 45 L,. moo.o LOJ.G O ,;r3� l /'• / -�'