92-782 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
�a Date M;3v 22 19 g5
This is to certify that work requested to be done as shown by Permit No. 92-782
has been completed.
This structure may be occupied as a single family dwelling
Location Mason Road
Peter and Lorraine Lewin
Owner
13-1-21 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
—I
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 92-782
WARREN COUNTY, NEW YORK
N
PERMISSION is hereby granted to Peter and Lorraine Lewin
OWNER of property located at Mason Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration to 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
PO Box 263
Cleverdale NY 12820
szo
2. CONTRACTOR or BUILDER'S Name t—
self o
1
3. CONTRACTOR or BUILDER'S Address rD
4. ARCHITECT'S Name
5. ARCHITECT'S Address
(T
6. TYPE of Construction—(Please indicate by X) su
a.
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Alteration of 1440 sq ft 1st floor and 2260 sq ft of 2nd floor of
Single family dwelling as per plot plan, specifications and application.
8. Proposed Use
Single family dwelling
cu
$ 72.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 18 19 93
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the o
town of Queensbury before the expiration date.) a
rD
Dated at the Town of Queensbury this h D December 19 92 -'
(,
SIGNED BY
for the Town of Queensbury
Bti • nd o i ctor
J. G. J. J. . .7 G U .-Z = •f b . 1V1 XV.. lvl H XI. J. lV 1 Cf LJ 1 L L7 L'C-.t'Y..J t' U •-
"•; $IuY1i U 'i
l �1:1d YY'1 618 �+G 443Z AAL al.ub ,. y l► 4.... ..A •.
COWW OF QaEEHSBUILY ' '
4!!!!!!i4 • REVIEWED BY: ---__:411L--___
7,-a
` FEE PAIN: .
PERI4I1' NO.: qp?-7gA
• • BUILDING PERMIT APPLICATION '
. PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL, BE MADE UNTIL
APPLICANT HA RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
Applicant MUST appear on the reverse side of this' application.
I * * * * * * * *, * * * * *� * * * * * * * **� *. * * ,rye * .* * * * * * * * * * *. * *
rimer of Property: F 4z7-eIZ d' G-CJ /i lier/-e_ . / .
P.0,.Address: i9O .40Y ,c26 4' eileA i-L e . • PHONE 7S'4 f4Z71—
Property Location: /1,7, a" a_ 3-4) Tax Map No. , 1- /
2/L.
, . .• •
Has there been any split of this property since October 1. 1988? Yes No
If yes. 'Planning Board Review-is necessary- . ,
Subdfvision Name. if applicable:
Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OWORK AS REGARDS TO. BUILDING 0005515:
1-15,4
NATURE OF PROPOSED WORK: ' * ESTIMATED MARK VALUE OF THE '
Construction of new.building • • * CONSTRUcTiON: $ c of 0ov ' '
---- A
ddition to building di * COMPLETE INFORMATION ,QUIREDxBE��W. ft
_ Altersti4lt t0 building .
(no change to exterior dimensions) • * . Size
ExiaLing�Bulldinp She: . •
Other work (describe) * ft, x rt. 114- 1 . ,
_____- * Proposed bui1111 -. distance from
moss AREA.. OF PROPOSED, STRUCTURE: property line:
1st Floor a Sq. Ft. 2 Y , ,. * Front Yard !,_ ft. Rear yard ._._r_T ft. .
* Side Yards ft. and ft.
2nd Floor _ No -. 'Sq. Ft." (4 -'' • " * ' If 'on Corner, Fatback from side street-
• 72 ft. ,
Other Floors ti/,9 , Sq. Ft. *
(not cellar or bas want) , ' * OCCUPANCY INFORMATION:
,*
TOTAL FLOOR AREA: 260 Sq. Ft. * Primary Building - '
* dno Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: tor iSri * "! Multiple Dwelling/NO. Of units T,
Pier/Slab! a� Partitill (Circle one) * Business
* . � industrial
No. of stories (Habitable space)
'Other •
Height (grade to ridge) .�50 ft. ,..,.
If residenial. no. of families If addition, what will u ee? .
No. of roouts (excluding baths): ,
• No. of bedroamst • * Accessary Building;
u.. nf' hathrnnmt_ . 211 _ .,--_-6_J A—..s.S.e — Anmf run t..rer
1 G• 1 J. • .7 U •.7 • 'a o r ivi fl. a a n a-a. a a ._r.r a ..a a...ram -
1a/09/92 09:17 Al 518 796 4442 THE CLCJCh cENTLA Iouua,
y ,
' ENERGY CODE COI1PUAnCE.APPLICATra
TOWN of Diner,_ _R CCITT - ropippoo DEGRAT DAYS
Wtgleca Methods:
.
PART 5 -.Acceptable Practice Method - I. & 2 Family Dwellings (ONLY)
ART Thermal Rating - Component Trade Offs - . 1 & 2 Family Dwellings;
Multi-Family Dwellings
(3 Stories,or Less)
PART 4 - Design By Component Performance •. Commercial. Bulldinge .„ Hi-Aloe. Residantiel
?A T 4 & 6 - Comnllance Methods Require Submission of Worksheets
4X/y9-#1112- Ze/A.Mi) • /174-seW
APPLUCAKT'S RAW VRaterEOCATIO-
M745. : p cue: ace ,crahr4c4r.
epee rw y?t r#frX s" it.)a 71w s 1 p
L. Bross Floor Area - Sq. Ft 'y1"
2. Type of Heat - Other xis pbsky.,0 ar04 A.
3. Is Building Mechanically_ Cooled? YES XNO
4. Percentage of Area of Windows and Doors X Over 17% . Under 17% • '
THE R-VALUES GIVEN EN THIS swum CORRESPOND TO RQUTRED -
THE R-VALUES SHOWN OK PLANS 1 •
Baseboard
5. Insulation values: Actual Shown Elec. Heat Other
A. Roof A Fl oor5 exposed to ambient temperatures R
B. Exterior Walls R 54 ,
C. glazed Area. . . R��,
o.- Exterior Doors R /1
E. Floors over unheated spaces . R 1. _
F. Edge-of Slab an Grade (Heated Building) PLO_ . •
G. Basement/Cellar Walls (Above Oracle) R N
..-
H. Basement/Cellar Walls (Below grade) ' R fl/A
1. Heating/Cooling - Duds - Piping in Unheated SPace R
6. Servito• (Domestic) Hot Water HeatinD Device
A. Conforms to minimum efficiency per code -YES '
fatruRE:CONTROL W.WIJM SEITIJl6 140', 4 ViLL NOT_BE EJCEEDL
1 G. 1 1 . • G u „ � - r .Lvi r. — -a— av - a=.._. -. ————— - - -
—~'aleUUn3 "• 00 17 -' 1"8- 7sa 4438 . THE CLOCK CENTER 14004
BUILDING PERMIT APPLICATION CONTINUED: ,
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. lifol, (.0e0)�
Will any second-hand or ungraded lumber-be used? if so, for what? ifl0` .g,zG eve•,
Foundation Wall Materiel : • _ z/irk. Thickness: v.C• ,Zk
Depth of Foundation below grade (to bottom of footing): /Baez _
Will there be a cellar? _Etyi06 ,_ Heated or Unheated? y,i/, Floor Sq. Footage:
Will there bed basement? " Will any portion be used as living apace? _ no)
If so, what portion? N�A Sq. Ft. Type of Use?
Type of Roof: ; F1at/Shed/Other — Material of Roof 1
Size, wood studs 2 ° x • '; spacing /6 _° a.c.; length dt, _ ft.
Joists (floor beams): 1st Floor g " x 3 °; spacing / " (Lc. ; span
t.
Jo is (flao beams ,: Znd o�r " x _ ": spacing —. ° o.c.; span — f
s l �+� x " spacing " o.c.: span " ft.
0 r1aylC�ceiling ba8iil5�: . �� x � ,
Roof rafters: /0/4 " x "; spacing — o.c.; span ! ft•
Roof trusses (pre-engineered): spacing . ¢ " n.c.; span i1 dr ft- ci . �14•
Exterior Wall Finish: ' lei 614, of what material? Y l ( G _.-
Interior Wall Finish: a a 0 ',
t
If a garage is to beattached. describe materials to be used for FIRE SEPARATION:
MO .
Is there to be an opening between garage and dwelling? AO. If so, Will a Fire-Rated door,
enclosure. self-closing device he provided? oar P/4 . .-.
\ Will a flue-lined chimney be installed? Height above roof /V -I j / � ��1-
Depth of chimney foundation below grade='��' osr4 �• ft. A?
Depth ,of fireplace hearth: APp4.wo. ft. in.
Water supply - Municipal,Or private well: ,•_ep h0c...
SEPTIC SYSTEM: Distance from aja private;iwell (inpluding adjoining propert1es: ft.
(A separate application is necessary for any repair or new installation of septic system.)
NAME OF BUILDER & ADDRESS: ( 6 141- _ PHONE!
NAME OF PLUMBER & ADDRESS; --- _PHONE
. NAME OF MASON & ADDRESS: _ PHONE
PHONE
NAME OF ELECTRICIAN & ADDRESS:
DECLARATION
To the best of my knowledge the ,
statements contained in this application,
together With the plans and speGi f't Gations �itted h2 described prem. are a true and ises and pth8ti
statement of all proposed work to be done on allother laws at
all provisions of the Building Code. the Zonis Ordinance. and or
ertainin to the proposed . work shall be complied with,
wheth t i ger pecifir d or
p_� __a r,�t e�rrh work is acuthorizad by the owner.
• TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
r; k (518)745-4447
•
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:A �
NAME 96-pv A��/Lc_-(U
LOCATIONN c0,Ll 12 1 Ji
DATE ✓ L�2 S PERMIT fl ? 2.-
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A 9YES NO
CHIMNEY HEIGHT/B VENT HEIGHT
PLUMBING VENT
ROOFING I /
EXTERIOR FINISH V /
I
DECK/PORCH/STEPS/RAILING /
RELIEF VALVES /+
FURNACE/HOT WATER OPERATI I;
INTERIOR TRIM/PRIVACY DOOR
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS - •
PLUMBING FIXTURES `
FOUNDATION INSULATION \I
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL 'ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
0 le. T-CD /S 506; Per_ filf
cc_ou ourt-. -
TOWN OF QUEENSBURY
531 BAY ROAD
Ilk: QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTORS REPOR
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED II
NAME L//�r4w* / (AjL,(
LOCATION ;)e., 2
DATE ///5 1 PERMI # ?2--�7 gJ 2
TYPE OF STRUCTURE
RECHECK,
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODS 'OVE/FIREPLACE '
REMARKS
APPROVAL
N/A 'YE, NO
CHIMNEY HEIGHT/LOC, ION
B VENT/LOCATION ✓
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/'AILINGS � .
RELIEF VALVES ,Vr'
FURNACE/HOT WATE' OPERATING vr
BASEMENT INSULAT ON/DUCTWORK V
INTERIOR TRIM/PR VACY DOORS
FINISH FLOORS:
BATH/KITCHEN :ATERTIGHT
OTHER FLOORS 'WEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE RAILINGS
HANDICAPPED ACIESS ✓ ,
SMOKE DETECTOR'
BATHROOM FANS/ HOLEHOUSE FANS ✓/
ALL PLUMBING FIXTURES OPERATING / ✓
GARAGE FIRE P''OFING r/
DOOR CLOSERS 14
OTHER FIRE SE'ARATION V
FIRE/DEMISE W'LLS J
DUMPS TER i/
SITE PLAN/VAR ANCE REQUIREMENTS ,/
FINAL ELECTR -' . /zu2o3 +ram /
OK TO ISSUE 4I/I IR C/C_ ✓
COMMENTS: /� -
-Le e / ,' ` oi_ �ri-S
4 fa(ak eei4 -/6Seine.'/—
ofQ.6-6,,,,,,..../- �i''J
ARRIVE 2:015-- .
DEPART g VP.
IN PC OR
C__ •\3- -z``.\
TOWN OF QUEE BURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
_ TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 'r7T& tiOh
NAME '-T_I2 l V_-i1.1V
LOCATION M\ Kj R( tAn
DATE 2 L PERMIT#
TYPE OF STRUCTURE ALX-rr, \-)10 : ‘ 1
RECHECK ,
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL g FRAMING
-ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
(INSULATION WOODSTOVE/FIREPLACE
REMARKS r i���
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING f
DECK/PORCH/STEPS/RAILINGSI
RELIEF VALVES i .;
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORO
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT \
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
-I'
STAIR CLEARANCE/RAILNGS
HANDICAPPED ACCESS/
SMOKE DETECTORS ,%
BATHROOM FANS/WHOLEHOUSE FANS \
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE" ff�h
DEPART 7 5 / ,21 , ),
INSP T
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
NAME &i
LOCATION , �- -� /Q.1
DATE 4,7Ac��,3 PERMIT I 907- 78,;),
TYPE OF STRUCTURE
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 FO!LOWING
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: / +U
FOUNDATION MALLS INTERIOR R-
FOUNDATION/WALLS EXTERIOR R-
FLOORS I R- ✓
WALLS R-
CEILING R- ✓
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE IS-0-0 ) I
DEPART j
INS ECTOR
' 1411 TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSP TIO RECEIIVED
NAME /eez)/z
LOCATION ,./.6 -
• DATE / �,24 PERMIT I 92-71Z 3,
TYPE OF STRUCTURE 5SD &Ar
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 A`
BACKFILL APPROVAL
ROUGH PLUMBING /
PLUMBING VENT/VENTS 0 PLACE
PLUMBING UNDER SLAB I
FRAMING: • 1
JACK STUDS/HEADERS A ,''
BRACING/BRIDGING \/
JOIST HANGERS /
JACK POSTS/MAIN BEAM ',.
HEATING ROUGH-IN
KINSULATION: \
FOUNDATION WALLS( INTERIOR R-
FOUNDATION WALL'S EXTERIOR R-
FLOORS ,% \R-
WALLS ' R-
CEILING R43
DUCT WORK OR PIPING IN UNHEA\TED
SPACES
REMARKS:
•
4-4/ ,(.6,5
ARRIVE 02L3S ;
DEPART 01%
I SP CTOR
TOWN OF QUEENSBURY 4J
BUILDING AND CODES DEPARTMENT ' ' �C
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /4/s/:j
NAME
LOCATION
/�?� �L 14
DATE /(/f e'/7 PERMIT # �� 7tfo,ZS�
111
TYPE OF STRUCTURE
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
XFRAMING: /
JACK STUDS/HEADERS
BRACING/BRIDGING /'
JOIST HANGERS
JACK POSTS/MAIN BEAMS
HEATING ROUGH-IN `4,
INSULATION: A
FOUNDATION WALLS LNTERIOR R-
FOUNDATION WALLS EXTcRIOR R-
FLOORS / R-
WALLS I �;, R-
CEILING !� R-
DUCT WORK OR rIPING IN UNHEATED
SPACES i-
REMARKS: ///1 / 77;77-
/ f
ARRIVE
DEPART 9'z1
S ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST F(R I SPE TION RECEIVED
NAME P 4r iP6a4;`
LOCATION a,k/4 G��
DATE 90/J- J PERMIT # 92--212 ff
TYPE OF STRUCTURE
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 1
FRAMING: j
JACK STUDS/HEADERS /
BRACING/BRIDGING ;+/'
JOIST HANGERS f
JACK POSTS/MAIN BEAM /c
HEATING ROUGH-IN /
INSULATION: {
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS ' R-
WALLS 4R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES \
REMARKS: ;
3:_,J Jz (7e
3,4'Cf ` 0- \ 1 ri �
ARRIVE 11762
DEPART //'7-e -I-)
INS CTOR
TOWN OF QUEENSBU4 •
BUILDING AND CODES "DEPARTMENT
531 BAY ROAD h"I
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED i, 7`f3
NAME (;;;?: O.(.o-t-i .)
LOCATION L_./9f,', /]YL_ /f 1(
DATE 01/4 3 PERMIT I f -71,Q�).°
TYPE OF STRUCTURE a"- * ff
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: A..d
JACK STUDS/HEADERS
BRACING/BRIDGING G, ✓
JOIST HANGERS +�
JACK POSTS/MAIN BEAM M. ✓
HEATING ROUGH-IN ,' \
INSULATION: \
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR F-
FLOORS ,' R.
WALLS
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS•
„ .e.�� �/�✓�✓ , ��
ck✓oLtelu4 r ���cir�:� ,,rY
ARRIVE /& to-
DEPART ✓&T •
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 9//0/9*j
NAME �,( ti ew-CAL- -
LOCATION -/ .L`M /CA
DATE 9/ (p/yA PERMIT I , 9 --7I2 S,P
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS r'.
MONOLITHIC POUR FORM i
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 'k
REINFORCEMENT IN PLACE\l .
FOUNDATION/DAMPROOFING7
BACKFILL APPROVAL ;\
ROUGH PLUMBING
PLUMBING VENT/VENTS/IN PLACE
PLUMBING UNDER SLAB' \
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS/r17-
JACK POSTS/MAIN BEAM 7/' •
HEATING ROUGHftIN
INSULATION:
FOUNDATION' WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R
WALLS R- '
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:q- i
11 ///
i� ✓�! ' 'U a%�'✓ 6,. //�
at, az/=4,2 la-4
2 / r
,a._ • - k.a.f)•
Gam,
ARRIVE ,/{(7C / • /
DEPART t-7/C0
INSPWW
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 2.e(jj ,
LOCATION , er4q RA,
DAT - `/ / PERMIT# ? -7/�?
(-4 6/,6 -, APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
•
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM .f
HOOD INSTALLATION .
AUTO. SPRINKLER SYSTEM ;f
ALARM SYSTEM
INTERIOR FINISHES • A
STORAGE: I
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATIIG UNITS
REQUIRED SIGNAGE , t
CHIMNEY I
JOODSTOVE •
FIREPLACE-MASONRY 1
FIREPLACE-FACTORY BUILT
•
REMARKS: OK TO\THIS DATE
anie
2/015 NSPECTOR