96-163 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NE YORK
June 16 99
Date 19 _
96163
This is to certify that work requested to be done,as shown by Permit No.
has been completed.
REPLACE EXISTING FOUNDATION
This structure may be occupied as a
251 ASSEMBLY POINT
Location •
CHRYS, MICHAEL E.
Owner
TAX MAP NO. 6 . -1-2 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 10000 TOWN OF QUEENSBURY No. 96163
TAX MAP NO. 6 . -1-2
WARREN COUNTY, NEW YORK
CHRYS, MICHAEL E.
PERMISSION is hereby granted to
251 ASSEMBLY POINT Street, Road or Ave.
OWNER of property located at
REPLACE EXISTING FOUNDATION
in the Town of Queensbury,To Construct or place a
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
1001 MORGAN AVE.
SCHENECTADY, NY 12308 2812
2. CONTRACTOR or BUILDER'S Name
CRANDALL, CHRIS
3. CONTRACTOR or BUILDERS Address
R.D. #1 , BOX 1376
LAKE GEORGE, NEW YORK 12845
4. ARCHITECTS Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X) RESIDENTIAL ALTERATIONS
( )Wood Frame ( 1 Masonry ( 1 Steel (
7. PLANS and Specifications
REPLUE EXISTING FOUNDATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
REPLACE EXISTING FOUNDATION
50 May 3 98
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.)
3 May 96
Dated at the Town of Queensbury this Day of 19
f ?
SIGNED BY f for the Town of Queensbury
Building a Zoning In r
Department of Community Development Reviewed By:
Building & Code Enforcement orcement l; ildin Ins pector
?'own of Queensbury Permit No. ! (0 R D3
742 Bay Road
Queerisbury, New York 12804 "" Fee Paid $ t ✓
(518) 761-8256
Building Permit Application
A PERMIT MUST BE OB`I'AIN_ED_B_BFORf•_ BEGINNING CONSTRUCTION. NO INSPECTIONS
'I'
WILL BE MADE UNIL I\PPL]:CAId'1._11AS RGCLIVL D A VALID BUILDING PERMI`1'.
All applicants ' spaces on this application MUST be completed and the
signature of Lie appl-i.c, L MUST appear.- on the ap licaLion form.
Applicant: /C7/i ,e Owtt r
Address: / e 7 ZZC:Ary Aciclress: /00 r 4,(„44,)
I'Itnnc // Vc'tcs=
( 3.77 - /oar Phone it ( ck V2z - /CJ ¢- vc�
Property Location: .5e/'-U C y iG/N 7—
GCS I
Snh<livision Name: Inx MopNunther __. __--- ./_._-_1....._.t.__ '
-----------____..---.------___-._ ___—._ --- Section Block h 1
NATURE OF PROPOSED WORK: I?STTMII'['I I) MARKET V UE OF THE
____ New Building: CONSTRUCTION : $
residence / commercial / � ���
Addition to Building:
residence / cotmne.rcia]. OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size . _ Family Dwelling
Office
/ Other Work (describe below) Mercantile
Manufacturing
�- f :�/�> Other
GROSS AREA OF > SBD STRUCTURE:
1st Floor /` CjC sq. ft . If ADDITION, what will use
of new addition be? :
2nd .Floor b' O sq. ft .
Other Floors sq. ft .
( not unfinished cellar or basement) ACCESSORY BUILDINGS •
Detached Garage 1 , 2 car
TOTAL FLOOR AREA: /6 / Sp. FT. Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
FEET X FEET
Foundation Type : L C/ttl' _ Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
( habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove ( circle all which applies )
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsilW for supervision ,o/ work s re ardr t building
codes is : J f2Y S /Oar �`�f ovens✓A z "767�., J/�7 -(-2 2 —/0 Ste¢
Name Addresss Y Phone
Builder: — ( : 2/S C&nprc f(e74 r//il-1- i'1l t-rGN iz
Plumber : /
Mason :
Electrician :
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the wner. Further, it is understood that I/we shall submit prior to a
Certificate of Occup, ncy or Certifi 'ate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; • wn t sc e, showing actual location of project on premises.
Signature:
(owner, owner's agent, architect, contractor)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive m Depart
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York 12804 n l )
NAME \ C1 CL I ` PERMIT# ` I1
LOCATION l Qrcv, DATE -�-
TYPE OF STR TURF
N/A YES NO COMMENTS
Chimney Height"B"Vent/Direct Vent Location
Fresh Air Intake l
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 6"
Exterior Handrail balconies,I ding 18 ''. or more
*Interior Handrails .1.. both •des 3 or • ore risers
Grade 2%away from fo
8"clearance to sill plate
Gas Valve shut-off expo-•. regulator 18"above grade
Gas Furnace shut-off wi • 30 feet or within line of site
Oil Furnace shut-off at • trance to furnace area
Furnace/Hot Water H::ter operating
Relief Valve(s)ins . ed
Headroom,6 ft. 6 . on stairs
Basement stairs,6 . 4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
- CFoundation insulation
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) �/
( ‹ oitz:41.47,40
RESIDENTIAL FINAL INSPECTION REPORT i
Office No.(518)761-8256 Date inspection request received:
•
Building& Code Enforcement 0-1!talest
Dept. of Community Development Arrive'2'14 am/pm Depart
Town of Queensbury Inspector's Initials f-at)a-#9m
742 Bay Road J
Queensbury,New York 12804
NAME �1\1\\1 �� `( �1.� � 7 PERMIT#
LOCATION S( `\c,4 . A/AD ✓ , <",-u DATE ( _ 1
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
s L
Plumb Vent through roof 4G,)e%e,'`T
Roof Complete
Exterior Finish Complete 5,1 1/u4t.�
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or mo
Interior Handrails stairs both sides 3 or more ri s
Grade 2%away from fo dation
8"clearance to sill plate
Gas Valve shut-off exposed/reg 18" v de
Gas Furnace shut-off within 30 feet or line of site
Oil Furnace shut-off at entrance to area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs ,f
Basement stairs,6 ft. 4 in. V
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
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 PlanNariance 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)
(518) 761-8256
TONG OF QUEENSBURY1110
BUILDING 5 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR`6/1 DEPART INP,Z/
REQUEST FOR INSPECTION RECEIVED:
NAME /Iid Cxr 1
LOCATION eit. ' e,
DATE //S / PERMIT A 4,674.7
TYPE OF STRUCTURE: 14.4'rti'A-,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAY
THE CONTRACTOR IS RESPO ISLE FOR
PROVIDING PROTE TION FRO FREEZING
FOR 48 HOURS FOLLOWING T PLA .-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP SE 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-
. :< --AJV /* Alf I/ ' - f 2/.7
G}a/ /.4,4", (J.c--
//--c / 0 7/cA7
TOWN OF QUEENSBURY
j1111-111111-4111.
BUILDING & CODE ENFORCEMENT
'�i 74 12 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: o{ r3i> DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION RE VEST REC V �7 -G
l�
NAME (. �i ///�
LOCATION �, l A- r �'��( P
DATE _g --01 PERMIT I L LO t
_^
TYPE OF STRUCTURE EICA)ka4 J (74(i2i,t)4��Y\FOOTINGS FOUNDATION ^ "BACKFILL i
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/RA ING
RELIEF VALVES
FURNACE/HOT WATER OPERA NG
INTERIOR TRIM/PRIVACY ()ORS
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
/4/t/"?'d et,,/ !l/ ��/`'/tiCi+/
O10,) -P kr/4€
(518) 761-8256
TOWN OF QUEENSBURY (0110
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRAL DEPART INT
REQUEST FOR INSPECTION ECEIVED:
NAME a i 7 (Zr/�
LOCATION #f .G"
DATE PERMIT /
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONS HLE F R
PROVIDING PROTE TION FRO FRE ING
FOR 48 HOURS FOLLOWING HE P CE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS iURPOSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN P E
FOUNDATION/DAM 00 ING;
BACKFILL APPROVAL /
PLUMBING VENT/VENTS IN PLACE _ _
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING: y
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
/
HF�ATING ROUGH—IN
L/INSULATION:
FOUNDATION WALLS INTERIOR R—)/ i,
FOUNDATION WALLS EXTERIOR R—
FLOORS R— _
WALLS R— _
CEILING R—
DUCT WORK OR PIPING IN
UNHEATED SPACES R— —
F '17
(518) 761-8256
TOWN OF QUEENSBURYICA
BUILDING E. CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR/J DEPART INT N`--
REQUEST FOR INSPECTION RECEIVED:^ ' I
NAME 7k"'',�"' \�` `r�c�1L
LOCATION 5 A . r �\,7 uL,As eq./NA 57)
DATE — PERMIT I 4 6_1
TYPE OF STRU4TURE: Q
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIER'
MONOLITHIC PO FORM
REINFORCEMENT N PLACE _
THE CONTRACTOR IS RESPONSIB E FOR
PROVIDING PROTa TION FROM 'EEZING
FOR 48 HOURS FO LONING THE PLACE-
MENT OF THE CON,RETE.
MATERIALS FOR T iS PURPOS ON SITE
FOUNDATION]WALLP$UR
REINFORCEMENT IN LACE
FOUNDATION/DAMPPRP0FINe
BACKFILL APPROVAL
PLUMBING VENT/VENTS PLACE _
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/ EAD 'S - T
BRACING/BR'DGING
JOIST HANG RS
JACK POSTS MAIN B
AIR INFILTRATION 'ARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION W'LLS INTERIOR R-
FOUNDATION W.LLS EXTERIOR R- _
FLOORS R-
WALLS R-
DUITIWO R-
DUCT WORK 0 PIPING IN
UNHEATED SP'CES R-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name gczex Ck •
Location . 57
$5�,.,4,) /" �
Date .:��7 Permit #
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Len h
Length of each trench -
Depth of trenches
Size of stone
SEEPAGE PITS: Numb -
Size - ft. ft.
Stone size .�
PIPING: Size Ty e
Bldg. to Tank i/1 G
Tank to Dist. Box y` b'G
Dist. Box to Field/P'
Openings Sealed? No Partial
LOCATION/SEPARATII :
Foundation to Tank / / feet
Foundation to Absorption ~feet
Separation of Pits eet
Conforms as per Plot Plan No
LOCATION OF SYSTEM ON PROPERT' :
( ' -- - one)
ront , Rear - Left Side - Right Side
is e Front - Middle Rear
COMMENTS: / er, ! 1
s// �,l�J
4/..// aw.,,5 .1- 'l
SYSTEM USE APPROVED: 0600 NO
Arrived: 3'0)
Departed:
Building nspe for
(518) 761-8256
TOWN OF QUEENSBURY (011/
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12880jj4
INSPECTOR'S REPORT: AR EPAR'P"'"�aNT .JdL
REQUEST FO INSSPECTION RECEIVED:
NAME _ fIR t;5
LOCATION/ 0- S>6�JUt6L 5 AT.
DATE 0 1 /9 PERMIT A �t /6 3
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FO.R
PROVIDING PROTE TION FROM FR ING
FOR 48 HOURS FOLLOWING THE, CE-
MENT OF THE CONCRETE.,,
MATERIALS FOR THIS RPOSE ON SITE
FOUNDATION/WALL UR ___
REINFORCEMEN' IN PLACE
FFOOUNDATION/DAMPPROOF�NG _
✓BACKFILL APPROVAL r l T(ft -
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-
f0au (518) 761-8256
,-eafaxis
TOWN OF QUEENSBURY101
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRT ,. ".DEPART INT "IC-
-
REQUEST FOR INSPECTION RECE VED:
NAME 1
LOCATION
DATE C PERMIT A
TYPE OF S nCTURE
RECHECK 11fTI C-- APPRO ED
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. A
MATERIALS FOR THIS PURPO.E ON SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING -- / _
' BACKFILL APPROVAL el, �j�'Ic�j��1IIi VVV _
PLUMBING VENT/VENTS E
ROUGH PLUMBING _
PLUMBING UNDER AEI
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—
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 .
INSPECTOR`S REPORT: ARR7. 7J DEPAR /6 INSk
REQUEST F INSPECTION R. I___VED: VVV G
NAME �4d.�o i— /5 r�{I/,40
LOCATION ' J ' il, TT /
DATE (j�s/�'/J�ee PERMIT 0 ,P"‘^//
TYPE OF STRUCTURE:
RECHECK _ APPROVED
N/A YES NO
(OTINGS/PIERS Alenolt.-
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 THIS PURPOSE ON S TE
FOUNDATIO WALLPOUR
REINFORCEME IN PLACE /
FOUNDATION/D `PROOFING
BACKFILL APPROVAL
PLUMBING VENT VENT' IN P .CE
ROUGH PLUMBING -
v
PLUMBING UNDER SLAB
FRAMING:
JACK STUD LHEADER
BRACING/ RIDGING L
JOIST NGERS
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-
er 04-*
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 44'•'
INSPECTOR'S REPORT: AR o DEPAR/�' / NlJ
REQUEST FOR INSPECTION RECEIVED: GGGGGG
NAME e1Z4'-)0/ z-- (P
LOCATION ���� 1144 . P'
DATE _� ��1!/ 0 PERMIT #
TYPE OF STRUCTURE:
RECHECK v/ _ APPROVED.
D N/A YES ) NO
JFOOTINGS/PIERS Pig_
70NOLITHIC POUR FORM
,/REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWINGITHE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUR•OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PL.C'
V
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/ ADE
BRACING/BR 'GING/ -
JOIST HAN! RS - -
JACK PO` S/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-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR6 DEPAR r 1 IN ✓�/
REQUEST OR INSPECTION RECEIVED:
NAME ,e4-i✓44-4-(/
LOCATION 41/R1, /7---
DATE 6;///'.2 CCC PERMIT {k ?oy" & 5
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 FREEZIN
FOR 48 HOURS FOLLOWI 'G THE PLACE
MENT OF THE CONCRET '.
MATERIALS FOR THIS •URPOSE ON 'ITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
F UNDATION DAMPPROOFIIIIII _
BACKFILL APPROVAL ORM
PLUMBING VENT/VENTS I • ACE
ROUGH PLUMBING
PLUMBING UNDER SLAB !
FRAMING: _
JACK STUDS HEADERS •
BRACING B IDGI G
JOIST H, 'GERS
JACK P'.TS/MAIN BEAM
AIR INFILTRA'ION BARRIE'
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTER OR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
() /111
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR1F 7c DEPART'-Lb I
REQUEST FOR INSPECTION REC VED: �_
NAME MjC,i Q A "
LOCATION
DATE - -9 PERMIT # (0^/623
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS " Qg7ci€)1
MONOLITHIC POUR FORM ' _
REINFORCEMENT IN PLA E '7, - , 13 _ 17/
THE CONTRACTOR IS RE.PONSIBLE FOR
PROVIDING PROTE TION FROM FR ZING
FOR 48 HOURS FOLLOWI'G THE P ,CE-
MENT OF THE CONCRETE
MATERIALS FOR THIS P 'POSE • SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING.
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN P CE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HE DERS
BRACING/BRID ING
JOIST HANGE
JACK POSTS/ IN BEAM
AIR INFILTRATION B RRIER
HEATING ROUGH-IN /
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- i
FLOORS R- I
WALLS R-
CEILING R-�1
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
1 Ar\A i. 11.2% i C c V"_