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89-822
BUILDING PERMIT 1-3 TOWN OF QUEENSBURY No. 89-822 WARREN COUNTY, NEW YORK a ca PERMISSION is hereby granted to JAMES FIt iU3CY OWNER of property located at Mason Road, Clcvcrdak. Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to building 04. at the above location in accordance to application together with plot plans and other information hereto filed and `i' approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 49 Merribrook La Stamford CT 06902 FY ti 2. CONTRACTOR or BUI LDER'S Name James Fregoe k Fregoe Construction 3. CONTRACTOR or BUILDER'S Address fib RD#2 Lake George NY 12845 4. ARCHITECT'S Name O 5. ARCHITECT'S Address 0 ro 6. TYPE of Construction—(Please indicate by X) cfl C2. (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 391 sq ft Addition to building as per plot plans, specifications and application. 8. Proposed Use ,r. O Addition to building for bedrooms and bath. $ 32.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 30 19 90 .41 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Circa town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 30th_ Day of April 1990 SIGNED BY _ ,. /: }l- _=� "L for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY �., T ' REVIEWED BY `OA. *.ti p .. i FEE PAID $ 6,. Coil„.Fr PERMIT NO. (q- 7 2 4c. •7i %l)-c-9Qi • BUILDING PERMIT APPLICATION 'cps `949 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 reverse side of this application. • • • • • • • • • • • • • * * a * * * • * * * • * • * • s • • • • * a * * * * * • The owner of this property is: e,., Rnyle, P.O. Address 4 ile-'ri (Iron 1 „u2,iSi��r Nc ) ( n.,1 0 0OaTe1. .Qrz?,- 31 _ 7 (- Property Location Lasn n L2) elP,v,,r _12. Tax Map No. 0 / / Has there been any split of this property since October 1, 1988? / A /3 - 7/ 2 If yes Planning Board Review is necessary. yes no `�3 SUBDIVISION NAME, IF APPLICABLE LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:1; ---'- rJ NATURE OF PROPOSED WORK: " ESTIMATED MARKET VALUE OF • Construction of a new building • CONSTRUCTION: $-'.—�,e Xddition to a building • COMPLETE INFORMATION REQUIRED BELOW: CIS• Size of property lb \ ft x ft. Alteration to a.building , " Existing Buildings(3) Size ft. x o21- ft. (no change to exterior dimensions) • ,• Proposed building - distance from property line: Other work (Describe) " Front yard 2Q.a. ft. Rear yard .3 ft. * Side yardsf) '3" ft. and -75-+- ft. * GROSS AREA OF PROPOSED STRUCTURE * `If on corner, setback from side street ft. 1st Floor e,x,41,-1,-c •sq. ft. " OCCUPANCY INFORMATION • 2nd Floor ?- I sq. ft. * Primary Building - Other Floors • done Family Dwelling sq. ft. (not cellar or basement • Two Family Dwelling TOTAL FLOOR AREA 3_sq. ft. • Multiple Dwelling/Number of units, Size of new structure, 1-) ft x ?. S ft. • Business • Foundation-pier/slab/crawl/partial/full * IndustrIal (circle one)pA�se,)-. • * Other " No. of stories (habitable space) • Height (grade to ridge) �2 ' ft. * If addition, what will use be? he t rty.-.,,a._ If residential, no. of families 1 • lrxal� No. of rooms(excluding baths) • No. of bedrooms a • Accessory Building __Detached Garage ONE/TWO Car No. of bathrooms 1 • Primary heating system Lh,P„ • —__Attached Garage ONE/TWO Car Type of fuel oA • • ®Private storage building No. of fireplaces to be installed " o __Other Will a wood stove be installed - Central Air conditioning " OV' ER 1 • BUILDING PERMIT .APPLICATION CONTINUED - t�: BUILDING SPECIFICATIONS: . Type of;cons{truction, wood frame, fire safe. etc. • wood cQ- Will any second-hand or upgraded lumber be used? If so, for what? 1.1 Foundation wall material efc i S4w). Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft. 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 Material of roof c rl,,,D.31sk. Size, wood stu 2 "x 4 " spacing 1(0 " o.c. length 2 ft. Joists (floor beams) 1st floor _po, "x " spacing "o.c. span ft. Joist (floor beams) 2nd floor Q.* "x " spacing "o.c. span ft. Overlays (ceiling beams) , "x. O " spacing Ip " oc. span II ,ft. Roof rafters "x ) 0 " spacing I L o.c. span( >214r ft. Roof trusses (pre-engineered) spacing / " o.c. span ft. Exterior wall finish al u,-, c* 4 yy i rBl 664,i terial?• Interior wall finish S If a garage is to be attached, describe materials to be used for FIRE SEPARATION: L. Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? t"') Height above roof ft. Depth of chimney foundation below grade - ft. Depth of fireplace hearth " ft. in, Water supply - Municipal or private well vi(; .1 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) R02 NAME OF BUILDER RI-pone ip,.,A4.,r4JG-�crn Q(ADDRESS t PI , TEL NO. (,.44:5-S c�d4- NAME OF PLUMBER `1 ADDRESS TEL. NO. NAME OF MASON — ADDRESS TEL. NO. NAME OF ELECTRICIA/kav,d(( 5gI(Y,AckADDRESS'(i Lua1li l�t IAes �" TEL. NO.4c14-D-3$Q DECLARATION To the best of my knowledge and.h•lief 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 thet-all provisionief-the BUILDING CODE,THE ZONING ORDINANCE, and tll other laws pertaining to the proposed work shall be complied with, whet r specified or not,and that such work is authorized by the owner. Signature Owner, owns 's age • , architect,.contractor SPECIAL CONDITIONS OF THE PERMIT: BY .lJ,,L\- lJC VVL - .1J0V . . WARREN COUNTY , NEW YORK . Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE • - A permit must be obtained before beginning work . ANSWER ALL of the -following: 1 . Gross floor. areaIsi . • 2 . . Type of heat h, It), b c ce--rt . 3 . Is the building mechanically cooled? - Lc • 4 . Percentage of area of windows and doors 11� A. Over 16% Only • 1 . Uo value of gross area of walls , roof/ceiling and floors • exposed to ambient conditions . 2 . Floor over heat=.d spaces YES - NO a. Are foundat on walls insulated? YES ' NO - 1. If YES , what is the' R value? • 3 . - Slab on grade .YES NO • - ` a. If YES , wh .t is the R value of insulation around. ' perimeter of floor? • • • 4 . Is basement heated? YES NO . a. R value of .insulation _ 5. Type of insulation B. Under 16% Only 1. R value of roof and floors exposed to .ambient conditions• '; 3cD • 2 . R value. of exterior walls • 2 i 1 4‘k'x 5 Sul% ,I2 ! 3 .. R value of glazed area Rno,ars,-.. +�+� .+ I S•e i 4 . R value of doors -- 5. R value of floors over unheated spaces • 6. R value of .slab edge insulation - unheated slab 7. R value of slab _insulation - heated slab 8. R value of heated basement/cellar walls (above grade) -- 9 . R value of heated basement/cellar walls (below grade) 10. Type of insulation aertAigs C. Controls 1 . Thermostat maximum heat setting • D. Duct - Systems . - . • 1 . . Is duct system installed in unheated spaces? YES ' • • a. - If YES , R value of duct installation • b. •R value of duct in other areas - • E . Piping Insulation - 1. Size of hot water or cooling carrying ayCnt pipe • . - 2.. -LR. val-u.e_.of pipe i nsulati.on . .. -. - 7- -. F. Service Water Heating • — 1. Performance efficiency 2.• Temperature control setting . maximum - • - G. For Swimming Pool -Only. ' . • . 1 ._ Maximum heating• • . . . Telephone No. . (4&--5 4- M-- (1' ,C)-e (applint .snat.ure) • __ s j TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: tipla+o Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: 11 c,r cI; (iviQi e Owner's Name: c Vir inhec,, Owner's Mailing Address: �(asc�,l. Q, e 6urr Installer' s Name: C} ,C.P` W ter Yalern v Phone #: Number of bedrooms (if residential ) : S Total daily flow (residential-compute @ 150 gal . per bedroom) : Y5-0 Topography-Circle One: dr Rolling Steep Slope I of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? l/.�fc,r�c,,___ Feet Percolation Test-Circle One: Not Required Required/Rate / Min. Per Inch Domestic Water Supply-Circle One: Municipal . 60:50ther If domestic water supply is a well - Separation: Water supply from any septic absorption /�J feet PROPOSED SYSTEM: Septic Tank `OM gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 2,50 ( feet//Total System Length 66--J feet 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 Quee bury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: /b7// 4 DATE: Vll4T) 1 • 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: • d/2 TOWN OF QUEENSBURY 531 BAY ROAD 11�'t QUEENSBURY, NEW YORK 12804 . `f TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION , f,/,,,, REQUEST FOR INSPECTION RECEIVEDY) ,c/ NAME 91/11‘-e-a-) \91, X.P-4'-Crr 'Ji LOCATION 7 /1%, £ DATE /0/0 PERI4ITO Pi--i a2 TYPE OF STRUCTURE az/1/ 11G SLL( RECHECK -as x ,��'4. i SeAt.;�P:,.-, �I FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) ^_FOOTING FOUNDATION BACKFILL FRAMING _ROUGH PLUMBING ANAL ELECTRICAL ,SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS /4f--- ,- AP ROVAL N/ 'YES NO CHIMNEY HEIGHT/LOCATION / /' B VENT/LOCATION t/ PLUMBING VENT ROOFING / SIDING ✓ DECK/PORCH/STEPS/RAILINGS ✓ RELIEF VALVES ✓- FURNACE/HOT WATER OPERATING 1/"' BASEMENT INSULATION/DUCTWORK ✓� INTERIOR TRIM/PRIVACY DOORS ✓' FINISH FLOORS: BATH/KITCHEN WATERTIGHT ✓ OTHER FLOORS SWEEPABLE 1 OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS l'> ✓, HANDICAPPED ACCESS i C L..--- SMOKE DETECTORS 1, L.---- BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING ✓- GARAGE FIRE PROOFING L..."-- DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS ci DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS' ✓ FINAL ELECTRICAL ✓// OK TO ISSUE C/O OR C/C COMMENTS: ARRIVE I DEPART ,'�, A 11 I P To' 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 )/7J9 NAME nn .it1.4C--cry LOCATION C(,44ti R.4, (Ji �/� DATE d9 /0/J PERMIT i - --42,P TYPE OF STRUCTURE dji- /?.l1 L/eC(,/Af RECHECK `14APPROVED . N/A YES NO FOOTINGS/PIERS . MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDIIG PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR / REINFORCEMENT IN PLACE i FOUNDATION/DAMPROOFING + • BACKFILL APPROVAL • ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB VFRAMING: Sv-ivv.-i �� JACK STUDS/HEADERS BRACING/BRIDGING •f JOIST HANGERS •/ JACK POSTS/MAIN BEAM p HEATING ROUGH;IN / kINSULATION: 4,,,, I�;,,_,,/ / FOUNDATION WALLS INTERIOR' R- -/, FOUNDATION WALLS EFERIOR\R- ,- - FLOORS R- z-' / WALLS R jef- CEILING / R', :,-- DUCT WORK OR PIPING IN UNHEATED SPACES / v'' J 1. REMARKS: ' �J �/I `J L . , t'Y--- /-1 .f'•--C 4,--zI 1 ; 7 ARRIVE C0' DEPART I(IL) ,/ ` - TN Ft R _own o/ Queenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R,D. 1 Box 98. Queensbury, New York 12801 SE TIC DISPOSAL SYSTEM INSPECTION NAME �/};LQkI JAI/VI • LiCji • LOCATION La it g of (Y/IMUIALI, DATE. 142 /1I2- PERMIT NO. r C//f�/� SOIL�PETYPE - 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 ;\7 ' Size of gravel ? _ SEEPAGE P ITS4Nuinberl of) Size- ft. X ft. ;'/ /A Gravel size , i' // l; PIPING: Size Type Bldg. to tank Tank to dist. box y ;' c% t- L. Dist. box to field/pit . Y4 % ,C • Openings sealed?7-'- YES;% NO Partial I LOCATION/SEPARATIONS: Foundation to tank Pj //ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(_c-ircle one) Front - Rear - Left` side/-Right side; - COMMENTS: 1 ' • i s _. _ , • • 1 _ SYSTEM: USE APPROVED YES NO • Building Inspector • 01/86 and vl • • • �ouin o Queen.5‘ury • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION • NAME 9xi LOCATION �/t 42. /2(, DATE / /9A PERMIT NO. ,29 SOIL TYPE - Sand - 6m2 Clay - Percolation Test Required? YES -(N0) Percolation rate - Min/Inch TYPE of SYSTEM: • Absorption field, total length' Length of each trench ' • , Depth of trenches ' • Size of gravel • SEEPAGE PITS{Nuinberi of) Size- ft. X ft. Gravel size , • PIPING: - Size Type . . Bldg. to tank • Tank to dist. box s Dist. box to field/pi ` Openings sealed? YES NO Partial LOCATION/SEPARATIONSµ: Foundation to tank/ I, _ ft. Foundation to absorption ft. Absorption to lot/line• ft. Separation of pits . s ft. LOCATION OF SYS' EM.ON PROP.ERTY(circle one) Front - Rear - Left sideight side - COMMENTS: / / D7'71( L r • • • SYSTEM USE .APPROVED YES NQ„) / � Buildin4N, nns �'cfor • 01/86 and vl . . 4/ _ L .. .. _ i N 0(2,r if -- Ter_4 - —— 1 l . t ° ./ , I I , 0 i 1 ___ __- 0--- ! e_- ---- or- 1 .01 .0.4 • I ____ i. ----- SL-7-1 • \ _ e g ff 1 / 1 \.._._._._._.____r___D 1314::. (AD..7"u7 4 r/...1 G.,ac -... - AI 7-0 6.e i 1 , . \ . I _ 1 i \$ 1 , _ .___ __ _ _ _ i 1 o ' _ . , .._, NI 11-3 ots) IlL I) . “,3 I // 7- •-; _ _____ I-- " 4.0-- ...._..........._____ __... _ -- .... (.8 ; : _ .,....-- -:--,.--. • . v. -.... L !, LI,..!.. -..2.--,..2,,,;,...-...-:: ....-:,,.:...;-,„:.,..r..i...i.":;',...1,.-,...-..,..,..,----..".•...1,z........,...,,.. L-:;.>.-__,..,la:::i.-.,:.:, i-2,. t-...•"...r.,-..-...,',:z_.,,..,.-.:,.. ,,r , '.".„-,-_--,:-..,..,,,,'.,' .:.",-.,&..L.T1,-.;---..;:,-."-:Y 1,,I,Z.,....,.,i,:--;:•4 -,:=i't" ....:H.-,-.i':-,--:•.:,,-a:,...-s-r-;--', ;,---, --- ',,--i-:=:-:,:gia _ . . TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /1/2,1 531 BAY ROAD / QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED t��.2���� NAME . Vti4C,1l2.r/_,I�, LOCATION__«' 42e, ,o CX Q Lk'h l.44. r DATE A e/ PERMIT # TYPE OF STRUCTURE azCI-,z,di( —AeV7v4 RECHECK APPROVED . N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONT"i CTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR '<3- 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 X INSULATION: 0,/7Ot& etvt> FOUNDATION' WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R LJALLS R �, CEILING /" ' - _ DUCT WORK OR PIPING I UNHEATED SPACES REMARKS: ARRIVE / ;70 DEPART /. T _ FC nR • Jouvn o/ Q een i rcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION • NAME LOCATION. (/4/A, 4Ka2�//Y'/t_i/�i DATE 7%fi 9 PERMIT NO. ef9-f2. 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) t 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 y`° ft. • LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side =`, Right side - COMMENTS: air,/ p y • lz(I • . g , eiTcC/ W;1/ pt" SYSTEM USE APPROVED YES NO (71:7272) Building - nspector hIimdvl 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 r� NAME /4--. :6?--� LOCATION f>4-.,_ i/- DATE /:. y- PERMIT # ai" 2 'E2. TYPE OF STRUCTURE d'f �v�/--- 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 t------' PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS ' BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM.. t./ FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN ,: INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WELLS EXTERIOR R- FLOORS ;J R- WALLS / R- CEILING J R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: fir7ti JQ"(' -J ///..-.-- - /117/f- CC/mil�' f'-��'' /CIS r_p_ ra0 ARRIVE p' S1 DEPART 6r-; INSPECTO 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 MAME ,...`"/g) LOCATION DATE 71.) 1- PERNIT # E3%'r 02- TYPE OF STRUCTURE ) c/ RECHECK APPROVED N/A YES NO FOOTINGS/PIERS • MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FRu ` FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS ;PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN Pl*E / FOUNDATION/DAMPROOTG BACKFILL APPROVAL , ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS A BRACING/BRIDGING ./. \ JOIST HANGERS / JACK POSTS/MAIN BEAM HEATING ROUGH-IN 1 INSULATION: / FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS / R= WALLS / R-' CEILING / R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ' ,l ARRIVE DEPART 1 _ PFCT(1R 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,(/102 NAME ,vl LOCATION! ZGC iv d ( Xn//mil di? DATE /J4t/q2- PERMIT TYPE OF STRUCTURE `rd&!-a1,-.74e RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE COY11T' CTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 0% 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- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 4-o/ efel,"7- ARRIVE 3iffc DEPART . ..3d- /D. 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