92-150 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ,4d/ J 2&19
This is to certify that work requested to be done as shown by Permit No. 92-150
has been completed.
This structure may be occupied as a Single Family Dwelling
Location Lot #1 Hall Road
Owner Daniel Barber
-� 21.. 22.2
'� 2 By Order Town Board
TOWN OF QUEENSBURY
4a1}(li Vigibit-7
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY •
o
No. 92-150
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Daniel R. Barber
N
OWNER of property located at Lot #1 Hall Rd Street,Road or Ave. N
in the Town of Queensbury,To Construct or place a Single Family Dwelling op
at the above location in accordance to application together with plot plans and other information hereto filed and a
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. •
C
•
1. OWNER'S Address is v
RD5 Box 119
Queensbury, NY 12804
2. CONTRACTOR or BUILDER'S Name
Same
I-
0
3. CONTRACTOR or BUILDER'S Address
S
4. ARCHITECT'S Name
O.
5. ARCHITECT'S Address
Nf
iG
6. TYPE of Construction—(Please indicate by X) fD
( X Wood Frame ( I Masonry ( )Steel ( ) a
7. PLANS and Specifications
No. 1040 sq ft Single Family Dwelling as per plot plan specifications g
and application r�
8. Proposed Use
Single Family Dwelling with Att. 2-Car Garage
$ 155.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 5, 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 5 pay pf 9 May 1992
SIGNED BY 14, for the Town of Queensbury
Building and Z ing I ctor
4 s
TOWN OF QUEENSBURY ,- OF
:A , ; �A
REVIEWED BY:
1031$1 FEE PAID: )5[- `T----2_ APR 15 04
PERMIT NO. : Cl a _ J .`.a C) 3LD(, & CODE ®Ept
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 rever side of this a lication.
* * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: � a
P.O. Address: i(( P 5 ' .c7.751 I ( PHONE )i)P
Property Location: )c& o_,_ A24; Tax Map No.2 �/ y' _
yam- ay��c.
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: Lot No.4/
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
, D Ai)-l '\ 1 f.. L . S A F. K ,
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
_ K Construction of new building * CONSTRUCTION: $ 5o c o d
Addition to building
Alteration to building * COMPLETE INFORMATION Rf QUIRED BELOW:
(no change to exterior dimensions) * Size of Property: f(a'-f'ft. x / 2'ft.
Other work (describe) * E isting Buil . Size:
* 0/6 ft. x -� ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor / b 1f® Sq. Ft. /V * Front Yard 3'7 ft. Rear y rd /D ! ft.
* Side Yards a5ft. and ft.
2nd Floor Sq. Ft. ' 'J * If n c9orner, setback from side street-
* (p�ta ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: / 0 416 Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: 6 ft. x 7 ft. * Two Family Dwelling
Foundation: *, Multiple Dwelling/No. of Units —
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) / * Other
Height (grade to ridge) /Z, ft. *
If residential , no. of families: c-r._ * If addition, what will use be?
No. of rooms (excluding baths) : S---1 *
No. of bedrooms: *
No. of bathrooms: * Accessory Building:
Primary heating system: * Detached Garage - One/Two Car
Type of fuel : _ * . Attached Garage - One/To Car
No. of fireplaces to be instal ed: ----- * Private Storage Building
Will a woodstove be installed?: * Other
Central Air Conditioning: Yes No *
(OVER)
BUILDING PERMIT APPLICATION CONTINUA:
BUILDING SPECIFICATIONS: A ‘4.0
'� t
Type of construction: wood frame fire sa `e, etc.
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation Wall Material :. 1P thickness: R/��-,,�,,.
Depth of Foundation below grade (to bottom of footing) : —
Will there be a cellar? Heated or Unheated? Floor Sq. Footage:
Will there be a basement? ..Will any portion be used as living space? 2
If so, what por
tion? Sq. Ft. Type of Use? - .
Type of Roof Sloped Flat/Shed/Other Material offf Roof
Size, wood studs x " ; spacing 116" o.c. ; length 645 ft.
Joists (floor beams) : 1st Floor " x `( " ; spacing d/4 " o.c. ; span / 3 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-engineer ): acing c " o.c. ; span 'C 6et.
Exterior Wall Finish: o what teri al ? 's � .�
Interior Wall Finish: / ( o
If a garage is to be attached, describe materi s to be used for FIRE ARATION:
Is there to be an opening between garage and dwelling? If so, will a Fire-Rated door,
enclosure, self-closing device be provided? ' 7 Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth: in.
Water supply - Municipal or rivate well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: /6, 5 ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: „ -L 2 C,..a62 PHONE )) 2'9-,52
NAME OF PLUMBER & ADDRESS: _
/ PHONE t l
NAME OF MASON & ADDRESS: if PHONE I r
NAME OF ELECTRICIAN & ADDRESS: r ( PHONE r 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 p 'ning to th proposed work shall
be complied with, whether specified or not, and that such wo is au ize by the owner.
Signature '):
Owner, owner s agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
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
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - /p 44 cD Sq. Ft.
2. Type of Heat - IEle ) Base Board Other
3. Is Building Mechanically Cooled? YES \/"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 SUBMITTE!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R —3 ,
4
B. Exterior Walls R______
C. Glazed Area R 1 , 1.a
D. Exterior Doors R /0 /b
E. Floors over unheated spaces R
F. Edge of Slab on Grade (Heated Building) R '—' "----5
G. Basement/Cellar Walls (Above Grade) R / 9 / /✓
H. Basement/Cellar Walls (Below Grade) R_ 7 --/-2-✓
I. Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code YES NO
ZUT 0L MAXIMUM SETTING 140• - WILL NOT BE EXCEEDED
1) 9_ g. 9, ,.c-c
APPLI NT'S S GNA EL NE NUMBER
INSPECTOR'S REMARKS:
el, 140).5; .:. . . AiiilliP
45457k ti___
rbiTiitir tr ---
. - iiE�BT
Pew
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.
ilift
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� TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fee Paid
Date: Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION:
Owner' s Name: a_ r
? en_&).x.
Owner's Mailing Address: F Ds- ger—fi it / k )( / 2'6
Installer' s Name: q�, ,,L c.., () Phone #: � 1 �� ;.
Number of bedrooms (if residential ):
Total daily flow (residential-compute @ 150 gal . per bedroom) : 1,s
Topography-Circle One Flat) Rolling Steep Slope % . lope
Soil Nature-Circle One: Sand Loam Clay Other „ j,,. i,epth:
Ground Water-At What Depth? Feet
Bedrock or Impervious Material-At What Depth? Feet
Percolation Test-Circle One. Not Require Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Municipal 0 Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption l G Ofeet
PROPOSED SYSTEM: Septic Tank /0 0 cJ gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench feet//Total System Length l feet
Seepage Pit(s): Number of '14 / Size each: ft. x Sift.
Size of Stone to be used: # '3 / 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 o e Town of ueensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: TE: 9`
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
IMO TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR PECTION RECEIVED
NAME ',c e/ 71-5_
LOCATION 497 ,/—i,7 0
DATE C 2 '.,? PERMITI rgA • /j
TYPE OF STRUCTURE S rD
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
_INSULATION _WOODSTOVE/FIREPLACE _
REMARKS
APPROVAL
CHIMNEY HEIGHT/LOCATION N/A YES NO
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATIN'
BASEMENT INSULATION/DUCTW,'K`
INTERIOR TRIM/PRIVACY DOI'S
FINISH FLOORS: \
BATH/KITCHEN WATERTI T
OTHER FLOORS SWEEPA: E
OTHER FLOORS CARPET D
STAIR CLEARANCE/RAIL GS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHO HOUSE FANS
ALL PLUMBING FIXT RES OPERATING
GARAGE FIRE PROD NG -': �/
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTR L
OK TO ISSUE4sR C/C ✓i
COMMENTS:
ARRIVE 3` 27
DEPART 221
IN T
TOWN Of _QUEENSBURY P/-1
531 BAY ROAD
QUEENSBURY, NE# YORK 12804
�%- TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION� RECEIVED 9//'/J
NAME �LYI/12-al 4C7IZ€A
LOCATION `3 f / )04/ . £
DATE 9//4/9.3 PERMITS 72- /5l)
TYPE OF STRUCTURE , l2}j a2,e
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING t.FOUNDATION t-BACKFILL L—FRAMING
TROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS Ai. /Q- '
APPROVAL
N/A; YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION '
PLUMBING VENT
ROOFING ✓
SIDING r
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/RAILINGSr v/
SMOKE DETECTORS
DOOR CLOSERS /
BATHROOM FANS ✓
ALL PLUMBING FIXTURES OPERATING t/
GARAGE FIRE PROOFING v'
DOOR CLOSERS
OTHER FIRE SEPARATION /v."'
FIRE/DEMISE WALLS ✓ z
FINAL ELECTRICAL ✓
OK TO ISSUE C/O OR C/C t/
COMMENTS:
%fVie , ,
ARRIVE 31/0
DEPART -312c <� \
I C
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No. o?' /5-4 /�
Owner /3 ,C/� /,4,C/ 23,/L JG
Occupant Lqcation )L M- <` /2
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by g' t 12 T H,
N27
g ._ Inspector
1 6 '�
Date '7!1 ..��
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL.
/.. ")C?) ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
L/ 7 Q...ETTS WIRING &CONTROLS FOR BURNER
Sy RECEPTACLES / H.P.PUMP
Y FIXTURES J K.W.OVEN
f Y
)AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
y °AMP. SERVICE CONDUCTORS / K.W. DISHWASHER.
7 j-- V K.W.SURFACE UNIT K.W. DRYER
/ K.W. RANGE AMP. RECEPTACLE
/ K.W. W�ATE�R HEATER � FRAC. H.P.VENT FANS
,
MOTORS M.P. 1/20 1/12 I/10 Ye '/ '/. 1/2 1/2 '% 1 112 2 3 5 71/2 10 15 20 25 30 40 50 75 1(
MARK NUMBER
OF EACH SIZE
APPARATUS
TOWN OF QUEENSBURY
BUILDIikNG & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name bmizi
Location )150-/ 94/4/4
Date Permit # 90?—/?0
SOIL TYPE:Swan Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length ___--
Length of each trench__..
Depth of rn:&es__ —?
Size o stone
SEEPAGE PITS: er-
Size - ft. x ft.
Stone size ''
PIPING: �
Sige Type
Bldg. to Tank r--/ig VQ
Tank to Dist. Box
Dist. Box to Field/P ,,
Openings Sealed? (Yes)
No Partial
LOCATION/SEPARATIONST
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits z°' feet
Conforms as per Pltt Plan es No
LOCATION OF SYST7A ON PROPERTY:
(circle one)
Front eater - •eft Sides Right Side
Middle F '-#M�, dear
COMMENTS: ,
6-4'\
SYSTEM USE APPROVED: (!ESSES
j) NO
Arrived:
Departed: ,
Building nspec or
TO OF QUEENSBURY
BUILDING A D BAY ROAD
CODES DEPARTMENT
53
QUEENSBURY, N W YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED N /9/4g
NAME *4't Zafic J
LOCATION ////- 7 .0 _11
DATE 4/177 /?;:? PERMIT # 907"11/45-d
TYPE OF STRUCTURE JFJ ki C fi Xi/L./
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 INTERIOR R- ( 9
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
CEILINGt� I, vro� R- +
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
�%
ARRIVE :2: \_____,//
DEPART Z: diAL-
SP OR
TOWN OF QUEENSBURY 4tit
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED , /h1/1/3 /911(..
NAME
LOCATION k / PG1�
DATE ,:gici f q3 PERMIT # 9 '-/54)
TYPE OF STRUCTURE ,?1
RECHECK
APVROVED
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 SIT4
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFIN
,BACKFILL APPROVAL
,ROUGH PLUMBING e
PLUMBING VENT/VENTS IN LACE
PLUMBING UNDER SLAB
FRAMING: L--�
JACK STUDS/HEADERS \vi
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM ; ,
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERI R d
FOUNDATION WALLS EXTERI R R-
FLOORS R- 'l
WALLS 1 R-
CEILING R-
DUCT WORK OR PIPING IIi' UNHEATED
SPACES
REMARKS:
v.
ARRIVE 11' io
DEPART
rWECTOR
TOWN OF QUEENSBURY 7
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 (<1-2/ )
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4 A9 am-
LOCATION , l 4 '/
DATE 4/l W PERMIT I y -/,5
TYPE OF STRUCTURE 5 ,7) We. Gl C�:deep .e
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 PLAC
PLUMBING UNDER SLAB
,(FRAMING: ili.odc_ �-ebi Q hil4 '\
JACK STUDS/HE4ERS U
BRACING/BRIDGING a
JOIST HANGERS t
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
(INSULATION: r7'NA e n a
FOUNDATION WALLS INTEFIO
FOUNDATION WALLS EXTERI R-
FLOORS R-
WALLS AA-
CEILING !k-
DUCT WORK OR PIPINGIN UNHEATED
SPACES
REMARKS:
ve PLN ,L
ARRIVE
DEPART
I PE OR
/ TOWN OF QUEEMSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD �t
QUEENSBURY, NEW YORK 12804 ,1 �/�
.,
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /L'i,'f L-C c-i t.- A -C---
LOCATION ] Q'/LL Li ti
DATE q,,, z- PERMIT # 9 / 5-0
TYPE OF STRUCTURE _S/'-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 r
FOUNDATION/DAMPROOFINEG ?/ ini
x __BACKFILL APPROVAL _
ROUGH PLUMBING
PLUMBING VENT/VENTS IN` PUCE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING_ _
JOIST HANGERS i
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN /
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS I R-
WALLS 1 R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
vr1) %,4"te5
r
11 -5-rf,1 i=-T -- /-) / / - . wkif.)12.(/' .....
ARRIVE
DEPART �--
INSPE 0
TOWN OF QUEENSBURY jgeadBUILDING AND CODES DEPARTMENT
531 BAY ROAD /9r21
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING IXSPECT'W S REPORT
REQUEST FOR I SPECTION RECEIVED 0/Yel?d,A,
NAME 1
LOCATION / 9 L/
DATE ����/f�� PERMIT # ra%..co
TYPE OF STRUCTURE
RECHECK APPROVED
- N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR F .M
REINFORCEMENT IN PLACE
THE CONTRACTOR IS R4SPONSIBLE
FOR PROVIDING PROTECTIt „ FROM
FREEZING FOR 48 HORS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR I r
REINFORCEMENT IN PLACE-------------
X 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 PIPING IN UNHEATED
SPACES
REMARKS:
`Q—tv Faas, 0., (1,.s.d f 5'% 20 icn
Wad.
ARRIVE
DEPART /�14(
[NSPECTOR
TO k? OF QUEEMSB3JRY
BUILDING AND CODES DEPARTMENT 4: <--�A
5M BAY ROAD
QUEENSBURY9 NEW YORK 12804 I;/77
TELEPHONE (518) 745-4447
BUILDING INSPECTIY S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /4 0 L.4r! ,� i‘4�-
LOCATION / r/ f
DATE q//c/92 PERMIIT y,2 -/
TYPE OF STRUCTURE 1 c� C !t'' '/5
J
RECHECK APPROVE
1 N/A YE NO
( FOOTINGS/PIERS
MONOLITHIC POUR FORM j
REINFORCEMENT IN PLACE [
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING P'TECTION 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 J
ROUGH PLUMBING -�
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
•
JOIST HANGERS
JACK POSTS/MAIN BEAM I
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INT RIOR R+,
FOUNDATION WALLS EXTRIUR R-`
FLOORS / R-
WALLS / R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED •
SPACES
REMARKS:
ARRIVE
DEPART
INSPEC OR
• • w
i
i
f
1
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