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1992-670 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 _ This is to certify that work requested to be done as shown by Permit No.92-670 has been completed. single family dwelling (modular) This structure may be occupied as a Location Lot 18 Goldfinch Road, Inspiration Park Ronald D. Sparks Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement s BUILDING PERMIT T a TOWN OF QUEENSBURY No. 92-670 WARREN COUNTY, NEW YORK cc In PERMISSION is hereby granted to Ronald D. Sparks a OWNER of property located at Lot 18 Goldfinch Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a Single family dwelling (mom ar) 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. T 1. OWNER'S Address is x V. 0 2. CONTRACTOR or BUILDER'S Name r' 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name I- 0 5. ARCHITECT'S Address f-+ CC G7 0 0. 6. TYPE of Construction—(Please indicate by X) -h ( Wood Frame ( ) Masonry ( )Steel ( ) n 0. 7. PLANS and Specifications Model : 1A No. 36'x25.42' Modular Single family dwelling as per plot plan, specifi- cations and application including septic system. 8. Proposed Use N Single family dwelling CO $ 168.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 27 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.) cC s1 Dated at the Town of Queensbury this 27 Day of October 19 92 SIGNED BY r G / 14.4,41 for the Town of Queensbury to and Zoning Inspector •.nn %Fr MC.nao�■• REVIEWED BY: 'OW fi t' FEE PAID: 4 Cp D �wN OF QUEEN � RECEIVESBUr. PERMIT NO. : %,) OCT 2 0 1992 BUILDING PERMIT APPLICATION R!®G' & CODE DEpr PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL IPPLICANT HAS RECEIVED A VALID BUILDING PERMIT. Ill applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. r * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * )wner of Property: Mr. & Mrs. Ronald D. Sparks - Lot #18 - Model 1A '.0. Address: Goldfinch Lane PHONE 148.7.1, 7.3 & 7.4 'roperty Location: Queensbury, NY 12804 Tax Map No. / R'/ c / /0 las there been any split of this property since October 1, 1988? Yes X No [f yes, Planning Board Review is necessary. Subdivision Name, if applicable: Inspiration Park Lot No.148.7.1,7.3& Lot #18/Mode. FHE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: Cushing, Dybas Associates, Architects, P.C. NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE X Construction of new building * CONSTRUCTION: $ 76,495 Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: 100 ft. 2C loo f Other work (describe) * Existing Building Size: xone * - ft. x - ft. * Wised builds ng - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: * 1st Floor 915 Sq. Ft. * Front Yard 30 ft. Rear yard 44 f * Side Yards 34 ft. and 30 ft. 2.1d Floor - Sq. Ft. * If on corner, setback from side street * ft. Other Floors - Sq. Ft. (not cellar or basement) * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: 915 Sq. Ft. * Primary Building - * , x One Family Dwelling Size of New Structure: 36-0 ft. x 25.42 ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partial'1 Circle One) * Business * Industrial No. of stories (Habitable space) One * Other Height (grade to ridge) Tumanty Tien ft. * If residential , no. of families: one * If addition, what will use be? No. of rooms (excluding baths): Four No. of bedrooms: Two No. of bathrooms: One * Accessory Building; Primary heatino system: Baseboard * Detarhad rarRaP_ - nne/Two Car BUILDING PERMIT APPLICATION CONTINUED: BU-.DING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. Wood Frame Will any second-hand or ungraded lumber be used? If so, for what? No Foundation Wall Material : Poured Concrete Thickness: 8" Depth of Foundation below grade (to bottom of footing) : Below 5'-0 Will there be a cellar? Yes Heated or Unheated? Unheated Floor Sq. Footage: 915 Will there be a basement? No Will any portion be used as living space? N/A If so, what portion? N/A Sq. Ft. Type of Use? N/A Type of Roof: Sloped/Flat/Shed/Other Sloped Material of Roof Asphalt Shingles Size, wood studs 2 " x 6 " ; spacing 76 " o.c. ; length A ft. Joists (floor beams) : 1st Floor 2 " x 70 " ; spacing 76 " o.c. ; span 77 ft. Ma Joists (floor beams): 2nd Floor 2 " x 10 "; spacing 16 " o.c. ; span 77 ft. Whe Overlays (ceiling beams) : - " x - "; spacing - " o.c. ; span - ft. Applicai Roof rafters: - " x - " ; spacing - o.c. ; span - ft. Roof trusses (pre-engineered) : spacing 24 " o.c. ; span 13 ft. Exterior Wall Finish: Clapboard Siding of what material ? Vinyl Interior Wall Finish: 1/2" Gypsum Board If a garage is to be attached, describe materials to be used for FIRE SEPARATION: N/A Is there to be an opening between garage and dwelling? N/A If so, will a Fire-Rated door, enclosure, self-closing device be provided? N/A Will a flue-lined chimney be installed? An Height above roof N/A ft. Depth of chimney foundation below grade: N/A ft. Depth of fireplace hearth: N/A ft. N/A in. Water supply - Municipal or private well : Municipal SEPTIC SYSTEM: Distance from any private well (including adjoining properties: 100+ ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: The Quinn Company, Inc. - P.O. Bos 6150 - Rutland, VT 05702 PHONE(8021747-7010 NAME OF PLUMBER & ADDRESS: Same as Above PHONE NAME OF MASON & ADDRESS: Same as Above PHONE NAME OF ELECTRICIAN & ADDRESS: Same as Above 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 sha. be complied with, whether specified or not, and that such work is authorized by the owner. Signature ► irS --- Owner, 1 er's agent, architec contractor ' 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 Dwellings; Multi-Family Dwellings (3 Stories or Less) PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets Mr. & Mrs. Ronald D. Sparks Inspiration Park (Lot #18) APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - 915 - Sq. Ft. 2. Type of Heat - x Elec. Base Board Other 3. Is Building Mechanically Cooled? YES x NO 4. Percentage of Area of Windows and Doors Over 17% x Under 17% (1o.3%) (9000 D.D.) 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 38 33 24 B. Exterior Walls R 19 23 18 C. Glazed Area R 3.45 2.6 1.7 D. Exterior Doors R 14.9 2.5 2.5 E. Floors over unheated spaces R 19 24 19 F. Edge of Slab on Grade (Heated Building) R N/A 10 to G. Basement/Cellar Walls (Above Grade) RN/A 10 10 H. Basement/Cellar Walls (Below Grade) R N/A - - I. Heating/Cooling - Ducts - Piping in Unheated Space R N/A - - 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 D . . A r TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: 10/19/92 Reviewed By _ LOCATION OF PROPERTY FOR INSTALLATION: Inspiration Park, Queensbury, NY 12804 Owner's Name: Mr. & Mrs. Ronald D. Sparks - Lot #18 - Model 1A Owner' s Mailing Address: Goldfinch Road, Queensbury, NY 12804 Installer's Name: The Quinn Company, Inc. Phone #: (802) 747-7010 Number of bedrooms (if residential ): Four Total daily flow (residential-compute @ 225gal . per bedroom): 500 Topography-Circle One<— t-� Rolling Steep Slope % of Slope P Soil Nature-Circle One: Sand Loam Clay Other /Depth: +20' Ground Water-At What Depth? +6'-0" Feet Bedrock or Impervious Material-At What Depth? +20 Feet Percolation Test-Circle One: Not Required Required/Rate 2 Min. Per Inch Domestic Water Supply-Circle One: Munici Well Other If domestic water supply is a well - Separation: Water supply from a_._Y septic absorption feet PROPOSED SYSTEM: Septic Tank _ gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 36 feet//Total System Length 216 feet Seepage Pit(s): Number of / Size each: ft. x ft. Size of Stone to be used: i/2„ to i-i/Z* Depth or Thickness 1.0 feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Sizeiof Each _Gal . by Alarm system and associated electrical work to be inspected r15-7-certified agency. **************** I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: f/te lf eta) tb‘p RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement Dept. of Community Development Arrive m Depa Town of Queensbury Inspector's Ini ' .f 742 Bay Road Queensbury,New York 12804 L NAME R®!3 A LD ,3� 13 PERMIT# 9Z'Jl© LOCATION �ri GOLVF 1 tJC }{ Rr c t) DATE Z —Z —CC TYPE OF STRUCTURE u L.EJ N/A YES NO COMMENTS Chimney Height"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landin: 18 in. . more Interior Handrails stairs both sides 3 .r more ri - s \-Wc Grade 2%away from foundation 2-t )�� 8"clearance to sill plate Gas Valve shut-off e ..sed/regulat,,r 18"a•.ye grade Gas Furnace shut-off wi, 30 feet or line of site Oil Furnace shut-off at en' - , '1 .ce area Furnace/Hot Water Heater opera Relief Valve(s)installed Headroom,6 ft. 6 in. on stairs Basement stairs,6 ft. 4 in. Handrail exterior stairs both sit es more than 3 risers Interior privacy/trim/doors/m. entrance 36" Floor Finish Bathroom/Kitchen waterti: t Interior Handrails Balconi s/Landing 18 in. or more Railing across window stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures �"� il(�insulation ?ci-i' � o� C.tx0.- ��ePET1iYit., tct1►— �Cs►,���_ '�\.� 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) } Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp. C/O(Certif. of Occupancy) *Okay to issue permanent C/O(Certif. of Occupancy) TOW OF QUEEI SBURY 531 BAY ROAD ``l QUEENSBURY, NEW YORK 12804 TELEPHONE , (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED %f/92_ NAME // A_�,1._,_'" ._, _. ,,,i_.'_s LOCATION { /f , ,/e.i, IL J DATE /i5411,47)1 PERMIT# Q. 6 7(9 TYPE OF STRUCTURE .5----/...;) (- J RECHECK FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) PFOOTING i-FOUNDATION ✓BACKFILL FRAMING ROUGH PLLMBING FINAL ELECTRICAL -StPTIC _INSULATION WOODSTOVE/FI-REPLACE REMARKS (j �-z/'JJ i 1 APPROVAL /i14771 N/A IES NO CHIMNEY HEIGHT/LO ION B VENT/LOCATION,. c PLUMBING VENT ROOFING SIDING .,t ;.✓ DECK/PORCH/STEPS/RAILINGS RELIEF VALVES �'( PtRM€€/HOT WATER OPERATING :.' INTERIOR TRIM/PRIVACY DOORS (/' FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED ,./- STAIR STAIR CLEARANCE/RAILINGS ;/ SMOKE DETECTORS ....,..DOOR ,"'DOOR CLOSERS -1 BATHROOM FANS .----- ALL ALL PLUMBING FIXTURES OPERATING ,---- GARAGE GARAGE FIRE PROOFING DOOR CLOSERS :� OTHER FIRE SEPARATION FIRE/DEMISE WALLS FINAL ELECTRICAL ✓i OK TO ISSUE C/O aR C/C ;/ COMMENTS: frip.:T A I C 1 gl i - �s)16 E 02 S<<ct 5 e'C.eci"L - t�K 5moke ARRIVE 1 / DEPART 1:40, IN-'ECTOR ELECTRICAL INSPECTIONS G�G ry G^// DUPLICATE MUNICIPAL RECORD P.;rmit No. / 16 Owner /`. r#4-12--x' =occupant Location LU 7 / FN ) /4)/kH"77 No. /v Street ��'t.L(Z7� S -- - Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by (01-I. Ty el t No. 9‘ c) Date /2 r / � ) 17 c Inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 .own of Qaeenitur I BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME Ct, r LOCAT ION !/ DATE///7/ Q.2 PERMIT NO. 9,2 -- 616 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Q Length of each trench 3 Depth of trenches ' 2i • Size of gravel 'L SEEPAGE PITS4NuMber of) • Size- ft. X _ ft. Gravel size PIPING: Size Ty e; Bldg. to tank ..//' t Tank to dist. box '4 /Oj 6 Dist. box to field/pit . Openings sealed? . -,NO P,rtial LOCATION/SEPARATIONS: Foundation to tank X!0 t. Foundation to absorption 241 ft. Absorption to lot line / ft. Separation of pits r ft. LOCATION YSTEM ON PROP RTY(circle one) Front - R ar - Left side Right side - COMMENT . 1 Mt r a. 4/0 r-D Ri>0 650 er- r ..___ A09t SYSTEM USE APPROVED icy O "I‘/1";--- .(722) Building Inspector 01/86 and vl Jotun of Queeni4urcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME �Grl�f LOCATION n KZ:/-4 ( DATE /0 PERMIT NO. C) SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS4Number of) Size- ft. X __ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY,(circle one) Front - Rear - Left side - Right side - CCMMENTS: C6J-er fir (ct_ I SYSTEM USE APPROVEDdip NO 7-2) Building Ins ector 01/86 and vl TOWN AURY BUILDIING &FCODEE ENFORCEMENT'D•*0- C ti 531 BAY ROAD 41111 QUEENSBURY NY 12804 C , (518)745-4447111 ARRIVE: "A'`5'� DEPART: kc)',G, INS• Ailk < FINAL INSPECTION REPORT - RESIDENT DATE INSPECTION REQUESTIRECEIVED: (- NAME kA� !-l�� Ci�l--=H `LX) V 1' LOCATION C_-"C A.0�1 1.:'C .V 1 DATE 0 PERMIT # CICL7qp TYPE OF STRUCTURE /) ` l 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 DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING Prir INTERIOR TRIM/PRIVACY DOOR FINISH FLOORS: BATH/KITCHEN WATE IGHT OTHER FLOORS EEPABLE OTHER FLOC) S CARPETED STAIR CL RANCE/RAILINGS SMOKE ETECTORS BATOOM FANS P}, MBING 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 �' V -- U --\ --l_ 1JX10 RV__ A k VR cx__ `.5 )3 1 LA____ gvzt %F..4,-.\t-r_. TOWN OF QUEENSBURY 531 BAY ROAD � d QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME M/772,. /i9z7.,J l .r LOCATION)i y%l ' ,,gi-r ,41 DATE o f2 PERMIT# 3e)'-4 X9 TYPE OF STRUCTURE . 570 ( z2 /4z ) RECHECK ' FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC - INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION � B VENT/LOCATION ✓ PLUMBING VENT ROOFING ✓ SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES ✓ _ F-URNACELHOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE, ✓ OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS ✓ DOOR CLOSERS ,/ BATHROOM FANS ✓ ALL PLUMBING FIXTURES ORERATING ✓ GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: 1 ARRIVE 0 7/' / DEPART f` INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUU T FOR INSPECTION RECEIVED ll/ey/� � a N E /A0-6-v�c�/4'%l•�l LOCATION / /— / (O 70 DATE // /v/Q Z-PERMIT # 9a? - !! TYPE OF STRUCTURE ,..56) C 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 /'� FNDATION4CLP OU� �/ 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 INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS ' R- CEILING R- DUCT WORK OR OIPING IN UNHEATED SPACES REMARKS: • ( ri-ep 1(1/11 ARRIVE ^� DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 4 ,1,00/.79 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /00';2 NAME LOCATION p /`// DATE /0/e1.4. PERMIT # �� • �� 16 TYPE OF STRUCTURE GS7/4-7,D &W,e7K//Za_c/) RECHECK APPROVED ,N/A YES NO 'FOOTINGS/PIERS u' MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CON E. MATERIALS FOR THIS PURP E ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFINGj BACKFILL APPROVAL II ROUGH PLUMBING PLUMBING VENT/VENTS IP PLACE`' PLUMBING UNDER SLAB FRAMING: �— 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 v ,` ' DEPART 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 ////f/a NAME 41(071d 6�YLOCATION L /,P 11�.[:lC.J DATE 0094) /. /2, PERMIT # god 670 TYPE OF STRUCTURE ,3F-2) (,')' _ L.J _ )yzw RECHECK APPROVED N/A YES NO FOOTIN )C 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 ti JOIST HANGERS t JACK POSTS/MAIN BEAM E, HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R\- FOUNDATION WALLS EXTERIOR Rei FLOORS R- WALLS R-'. CEILING R DUCT WORK OR PIPING IN UNHEATD SPACES REMARKS: q c fi„`i�kul M.A t.<1,0�r p !"l /Z� i Z cj ARRIVE DEPART f( Z� I .SPEC-OR 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 `LA0/9,2 NAME 4a-62)r} j LOCATION „;4=40O2/d' XYfL DATE /t/I'o f�2 PERMIT # 9,2,- 4'7O TYPE OF STRUCTURE S//) ((y- _'7iL ) RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVID G PROTECTION FROM FREEZING FO HOURS FOLLOWING THE PLACEMEN ',OF THE CONCRETE. MATERIALS FOR -NIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING , PLUMBING VENT/VENTS IN, PLACE PLUMBING UNDER SLAB y`\ FRAMING: \ JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM . HEATING ROUGH-IN r INSULATION: FOUNDATION WALLS INTERIIJR R- FOUNDATION WALLS EXTERIOR R- FLOORS ,' R- `s WALLS ' R- CEILING I R- DUCT WORK OR PIPING It! UNHEATED SPACES REMARKS: ARRIVE DEPART INSPECTOR