96-523 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 1 19
98
This is to certify that work requested to be done as shown by Permit No. 96523
has been completed.
REBUILD SINGLE FAMILY DWELLING
This structure may be occupied as a
147 PILOT KNOB RD.
Location
Owner PHILLIPS, ROBERT & DONNA
TAX MAP NO.- 18 . -1-2 0 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 65000T0WN OF QUEENSBURY 96523
TAX MAP NO. 18. -1-20 No.
WARREN COUNTY, NEW YORK
PHILLIPS , ROBERT & DONNA
PERMISSION is hereby granted to
147 PILOT KNOB RD.
OWNER of property located at Street,Road or Ave.
REBUILD SINGLE FAMILY DWELLING
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
774 WRIGHT AVE.
SCHENECTADY, NY 12301
2. CONTRACTOR or BUILDER'S Name
HAAKENSON, PHILIP
3. CONTRACTOR or BUILDER'S Address
RR3 BOX 3604
FT ANN,NY
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( )Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
143040.sq ft SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
REBUILD SINGLE FAMILY DWELLING
160 September 6 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.)
6 September 96
Dated at the Town of Queensbury this Day of 19
SIGNED BY ��-L� �V� for the Town of Queensbury
Building and Zoning Inspector
yfim.q.4iNM c
Department of Community Development 'F' • ` ' Reviewed By: `J� _
Building & Code Enforcement
, -' .ch
3, j B ilding Inspector
4Town of Queensbury 4$, I Permit No.
742 BayRoad
, a
Queensbury, New York 12804 / Fee Paid $ I GP,
( 518 ) 761-8256 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 application form.
Applicant: a6 T.A,$IDoriti11 ,b. R-h . iPS Owner: r-1,,'-It --"'•`._._ -.
Address: 114 UV erGEf i AvL 1Cc i+G;vEc m-b-i s-i ll3d'Address: S At-:E
Si:£5o?Setc. fb4Jt±LA_;N61 i
Phone # ( 1 8 ) !a�(c 7�.Av_ 2�vr.n� iz.;�� ����-:tCC
-0C>o4 Phone # (5i8. ) 37L 4:17( . '
Property Location: 147 P i_cr f!,,Jo�0�7) kA irsi-t d_� N -1 zc't=4- __ — -
- Tax Map Number 0 / l / OC)
Subdivision Name: N Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ oci
residence / commercial.
Addition ',to Building: _
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial • X Single Family Dwellirfg
X Residence / Gammereial Two Family D '
no change to exterior size : Family 17441UI ®
Office
Other Work (describe below) Mercantile AUG 2 61996
Manufacturing
Other TOWN O, QuEENSBURY
GROSS AREA OF .PROPOSED STRUCTURE: f`9a BUILDING AND CODE
Li Q
1st Floor Idly- sq. ft. i If ADDITION, what will use
2nd .Floor 4 f 1r, sq. ft. C'r, of new, addition be? :
Other Floors sq. ft. .
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: ► 4 3 O SQ. FT. Attached Garage 1, 2 car
RE-E--5,c'Pa> Private Storage Building
SIZE OF E STRUCTURE : Commercial Storage Building
2-6, FEET X `f FEET Other
•
RGpc../d(.:_i+sl.t av4L1A,uLt Fo-.e-% Pt.A T F •-1 UP
-F5Er_w5 i_Ace,E-n2 Fe.LL cet )r's_R.:P-h0it t ;ND.S J944
Foundation Type: PiE2S Will any second-hand or ungraded
Number of Stories : j p8. s 4-dr'+ lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : Z.41- feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: 2.- Electric / Oil / Gas /(Wood)
Forced Hot Air / Baseboard / Other
Person res onsible for supervision of work as regards to building
codes is : koc,;szr A .P1+s�i.105 -74.Wr�1cHT /fE)`ScH�, vtc_T111,1, ki1 123 J 7 (518) 372 4•27C
Name .i j 55 Add esss PhQn
Builder: t+i i-�i'ds' c6+KE art , ,RP.3. ? �pX 36 i Arit � - f-cli G39-- f - -7
Plumber: 4� -
. Mason: re .
Electrician: c;
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 owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
n
Signature: ` -U. Riv-- A _1/ Ij -
•(owner, 9w-1�€.r�' -age.i =----'+-�'�t r nntr ���r)
•
(0-5—g3
ENERGY CODE COMPLIANCE APPLICATION
4: TOWN OF QUEENSBURY, WARREN •
` '¢ 9000 HEATING DEGREE DA S PECCWED
Compliance Methods : PART 5 - Acceptable Pract ,ce M5h�� F9
1&2 Family Dwell n.�SV���on1 � �ygg0y�y
PART 6* - Thermal Rating - .0 �1V6 a ,i = O. fs
1&2 Family Dwelli• , 1-Family
Dwellings (3 stories or less)
PART 4* - Design -by Component Performance -"
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION: •
12v sic( - A. L11 7 r"�I L� I�N� (-2.a
_DONN4 E. , I - L. n5 k.A iT?;K► ci f�Y 1J� f 2844-
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
•
1 . Cross Floor Area - (43 0 square feet
2 . Type of Heat - Electric - Oil Gas X . Other I:Uoc
3 . Is building mechanically cooled? Yes X. No
4 . Percentage of area of windows and doors Over 17% X Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 30
b . Exterior walls R (�
c . Glazed areas R 2,.04-
d. Exterior doors • R 3,0
e . Floors over unheated spaces • R NA
f . Edge of slab on grade ( heated building) R
g. Basement/cellar walls (above grade) R NA-
h . Basement/cellar walls (below grade) R Nl-
i . Heating/cooling-ducts-piping in unheated space R i'4A
•
6 . Service (domestic) hot *water heating device
Conforms to minimum efficiency per code X • Yes. No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 _ WILL NOT BE EXCEEDED
Applicant' s Sig ature Date Phone Number
(A5 cNJ plc b:A3G-LEI b'J' '6
INSPECTOR' S REMARKS:
g '. c%)
TOWN OF QUEENSBURY
FIRE MARSHAL
4 QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPOT
REQUEST FOR INSPECTION RECEIVED 6//
NAME 4322R:elqi- I311le/P59
LOCATION 1'L7 1 /Cd7 14ols Ra ,
DATE PERMIT # 6//fra % r �
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTII
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SY EM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
IOODSTOVE
PLACE-MASONRY
FIREPLACE- FACTORY BUILT
REMARKS: 0 OK TO THIS DATE
CO /
1 ,-,JZ6'/
INSPSLIP.PUB P T
L„, Cato ,_.- CXO 0 I/
RESIDENTIAL FINAL INSPECTION REPORT • • G V ,r �i
V
Office No.(518)761-8256 Date inspection request received: (i^i r
Building& Code Enforcement -}� V�
Dept. of Community Development Arrive%' s �m/pm Depar �� j
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbu , ew York 12804
NAME AP % i, R,.16 tj\-: PERMIT# C) 67 -3
LOCATION 1 \- 1 GA- 7Nri c.<( C�J DATE 6_ 1 —`�g
TYPE OF STRUCTURE j�Ac.—.)
'„-- N/—Y.ES NO COMMENTS
Chimney Height/"B"Vent/Direct VenLocation A
Fresh Air Intake
Plumb Vent through roof / ,P �`
Roof Com Complete
d
Exterior Finish Complete N
Interior/Exterior Railings 30"t 36"
Exterior Handrails,balconies,I ding 18 in. or more /
Interior Handrails stairs both si s 3 or more risers /
. Grade 2%away from foundation 8"clearance to sill plate ///tV
Gas Valve shut-off exposed/regula 18"above grade 1/
Gas Furnace shut-off within 30 feet o within line of site / /
Oil Furnace shut-off at entrance to furn ce area
Furnace/Hot Water Heater operating //
1017 t
Relief Valve(s)installed / 1 (i/ ;
Headroom,6 ft. 6 in. on stairs / i
Basement stairs,6 ft.4 in. /.
Handrail exterior stairs both sides more than 3 •seri
Interior privacy/trim/doors/main entrance 36" / ii .
Floor Finish / /
Bathroom/Kitchen watertight / V
Interior Handrails Balconies/Landing 18 in. or mnore V
Railing across window in stairwells
Smoke Detectors: / //1
every level / V
every bedroom / f
outside every bedroom /
inter connected / f�
Bathroom fans / IV
Plumbing fixtures /.
Foundation insulation
ifrii \
3/4 hour fire door/door closer
Garage fireproofing / ili \ 1
Garage penetrations sealed I \ •
Furnace in separate room protected(in garage) V i \
Light ventilation per room
Safety glazing 18"or 1 ss fr m floor > v,
_N
Final Electrical ����7 \\
Site Plan/Variance required
Final Survey Plot Plan O(- l e) 15 5 0 E- /
As Built Septic System layout required \ J
Okay to issue C/C(Certif. of Compliance) -�l('c� r1'� �i�AC
Okay to issue temp. C/O(Certif. of Occupancy) l ti!/}4._
Okay to issue permanent C/O(Certif. of Occupancy)
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
/_ 742 BAY ROAD
�• QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART:. INSP:
FINAI, INSPECTION REPORT - RESIDENTIAL
DATE INSPECT REQUEST RECEIVED:
NAME /r{It4e5
LOCATION / ` L of kvdi
DATE PERMIT V/ b-5-a3
TYPE OF STRUCTURE S� ///
FOOTINGS_✓ FOUNDAON BACKFILL VFRAM(NG
ROUGH PLUMBING (SEPTIC INSULATION S/
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 OPERA NG,
INTERIOR TRIM/PRIVACY OORS
FINISH FLOORS:
BATH/KITCHEN WATER IGHT
OTHER FLOORS 'SWE PABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSE S l G
FINAL e CICAL7
)
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
/1)66-0 i1 /1441Z5//F-L -//v
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. 7
Main Office 357 Elwyn Terrace — Manheim,PA 17545 lG\e.,
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
`"-\.....i
Panel Board No. Cert. 4 4176 Cut-in Card No.
Owner....../9 'Y / /112LL-/ PS
occupant Location ! 4'7 A-c-r A."Aie) 2n. AieWil
u
Installation Consisting of ' t 61 .' £'L P,. / L./ 7
1- 6.4-- , p6)11Ilc eP -- rg 3hieT
Installed By S Le Lic.#
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of makin. inspe ons at any time,and if its
rules are violated,the Company shall have the right to revoke thi•rtif ate..
Date "t 47 INSPECTOR.
ember N.F.P.A.,I.A.E.I.
ft: COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAI9
Panel Board No. Cert. 4 3 2 4 2 Cut-in Card No. ve-Ski
Owner go A e-ior P/74/4-4-/Ps
Occupant
Location f/GO 7- /eitity3 fibs.. &u.e--evy
Installation Consisting of. /O gra-V-1 /4/ a 6 xe-c e'-f' /.21-/
/ /21)-Ai6e- D2y67e/ Alaif 1/ -i/I4o1(,&--•
r
Installed By 5'14-744 e— Lic.#
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of makin. inspec ' ns t any time,and if its
rules are violated,the Company shall have the right to revoke h'Art'fi e
Date
---,2- - i 7 INSPECTOR ,
ember N.F.P.A.,I.A.E.I. ,_
'✓ (518) 761-8256
TO OF QUEENSBURY �
BUILDI G & CODE ENFORCEMENT • _% !
742 BAY D., QUEENSBURY NY 12804 ,-
INSPECTOR'S R ORT: ARIVU DEPART, NT A"
REQUEST FO INSPECTION RECEIVED: 51' )
NAME ifi1t,
LOCATION /-0 leAid, en
DATE ,//4:7/(9 PERMIT A 6-5 Z3
TYPE OF STRUCT RE:
RECHECK APPROVED
N/A YES 1 NO
FOOTINGS/PIERS - _,
MONOLITHIC POUR FORM
REINFORCEMENT I PLACE
THE CONTRACTOR I. RESPONSIB E FOR
PROVIDING PROTE ION FROM "•EEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONC' TE.
MATERIALS FOR THI' PURPO'E ON SITE
FOUNDATION/WALLPOU' -
REINFORCEMENT IN PL'CE
FOUNDATION/DAMPPROO _
BACKFILL APPROVAL ,
UMBING VENT/VENTS A PLACE
ROUGH PLUMBING
i I)
PLUMBING UNDER SLA:
FRAMING: •
JACK STUD/HEADE'
BRACING/:RIDGING
JOIST HA'GERS
JACK PO S/MAIN BE
AIR INFILTRATIO' BARRIER
HEATING ROUGH- N
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WOR OR PIPING IN
UNHEATED SPACES R- • \
•
PRô - f Pi 05 4-5 , /e ,82
�(4.../1 (518) 761-8256
Stir:
J *TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT w'
742 BAY RD., QUEENSBURY NY 12804 -•
INSPECTOR'S REPORT: ARR9�I DEPARTC -1 IN L_, O�c
REQUEST F ` NSPE ON J ECEI .0—
NAME A♦ 11 k./�� �,g1' lr
LOCATION
DATE c l— 3" 1 7 PERMIT B 3
TYPE OF STRUCTURE: 41 ►J, (��1 1 c��0
RECHECK- - APPROVED
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.
MATERIALS OR T S PURPOSE ON SITE
FOUNDATION POUR `
REINFOR 4 T IN PLACE
FOUNDATION/D1 PPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _ a
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-
f ,\)T\n
(518) 761-8256
TOWN OF QUEENSBURY
-•
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARV: DEPART/2 IIT
REQUEST F\\\\ I NS"PW RECEIVED1:
NAME � VA
LOCATION \L\ -4 tc�
DATE g`
fJi
(
PERMIT A CC"( 0
\i �5 -3
TYPE OF STRUCTURE: 'P. -)h\ t)
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN P •CEYir
THE CONTRACTOR IS R ONSIBLE FOR
PROVIDING PROTE TI• ` FROM FREEZING
FOR 48 HOURS FOL • • THE PLACE-
MENT OF THE C!:a
MATERIALS FOR THIS PU`POSE 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 CSI� p
INSULATION: �"1��uCp4�m�1��
1
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UN EATED SPACES R-
(51) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT "'•; ,'
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR i` DEPART 2s ✓y
NTi ot"
REQUEST FOR SPE/C�TION RECEIVED:
NAME -4/�J
LOCATION l t%LOT 6'f✓J».3 /2�O .
DATE >jhl7/i? PERMIT $ e;✓ 5 k; 7
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FQOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP SI LE FOR
PROVIDING PROTE TION ROM REEZING
FOR 48 HOURS FOLLON NG TH PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
k'OUNDATION/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
.,1
..1 IR INFILTRATION BARRIER
HEATING ROUGH-IN
rA � V1 oMM A/4.
INSULATION:
/..
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- -
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
C A-LL l� el• C. I.6-,‹.(c
l NOR S
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 "z: "
INSPECTOR'S REPORT: ARRS,r{IvDEPARP IN REQUEST FO5INSPECTION RECEIVED: I iLf a
NAME
LOCATION Wl k'V'de
DATE I,I 1 o L91 PERMIT M
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR ,FORM
REINFORCEMENT PLLAACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS EOLLOHING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE 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
jiEATING ROUGH-AN
tif,00vZ
INSULATION: r-ue-1t &RA _
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
_FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
'77)C-5 4A4Trt•-‘
(518) 761-8256
', I. :
TOWN OF QUEENSBURY a
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY< NY 12804 -04t'z 1
INSPECTOR'S?REPORT: ARRZ'3S DEPART02r NTj�4
REQUEST FORp INSPECTION RECEIVED: I gT
NAME f 1 i4 /P 5 LOCATION V f�'/1-07- k`",,ex•//i�
PO
DATE 1/110-/ _ PERMIT Q / ' 171.3
TYPE OF STRUCTURE:
RECHECK APPROVED "'
N/A YES NO _
FOOTINGS/PIERS
MONOLITHIC POUR FO ,
REINFORCEMENT PLACE _
THE CONTRACTO IS RESPO SIHLE FOR .
PROVIDING PROTE TION FROM FREEZING -
FOR 48 HOURS FOLLOWING THE PLACE-,
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE _
k'OUNDATION/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 __
J•�EATING ROUG}IN.(
INSULATION: i'ft ( ,
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
- \/A L ,,, LE to v.)- (,)P-LC_ -o 14—
'‘
0v `` (518) 761-8256
. it-ejiL% ...7 . .ems
a
TOWN OF QUEENSBURY
BUIL�ING &CODE ENFORCEMENT +,
742 BAY RD., QUEENSBURY NY 12804 ��tt' i;
INSPECTOR'S REPORT: ARXK DEPAJ'o'✓ INT 4&-
REQUEST FO INSP CTION I`VE\• 1 - _9 7
NAME OO
LOCATION \ r7 l I O f- , 6.
DATE 1 '- ii '- ct? PERMIT\ # Ct(0-52-3
TYPE OF STRUCTURE: ¢e'�\Si, l�1 S J
RECHECK - APPROVED
2 N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACP
THE CONTRACTOR IS • -SPONS'ILE' FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE 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
H •TING ROUGH-IN '1 E
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LOCATION I /Or (4 6
DATE I v' 'a-I 15)v PERMIT g 9_52�
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR ,w DEPART.` 1 O INT JI L
REQUEST FO INSPECTION RECEIVED:
NAME (I�MIL�-GPj
LOCATION 1'17 0' I o r 161-,c U Pb
DATE ad 24% PERMIT $ � :p
TYPE OF STRUCTURE: c-rp
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INSPECTOR'S REPORT: ARf - v/�EPART(( ' IN„
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FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE . (518) 745-4424
FIRE MARSHAL INSPECTION REPORT /lfi�nn
REQUEST FOR INSPECTION RECEIV rT71
NAME Pk:(1141S 4A-461
LOCATION 1 ?e7/
DATE Adi c Q/C/PERMIT# 16' 2-3
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 .,,
INSPECTOR'S REPORT: ARR DEPARA4/" N'1"46
REQUEST FOR SPECTION RECEIVED:
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INSPECTOR'S REPORT: ARR DEPAR T./ N /e
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NAME i_ct PS
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