1992-655 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Mardi 5 98
-Date 19 _
i -
This is to certify that work requested to be done asshown by Permit No. 92655
has been completed.
SINGLE FAMILY DWELLING, W/UNFINISHED Bi+ SEME3TI
This structure may be occupied. as. a
1 MOCKINGBIRD LANE
Location
Owner O'CONNER, PATRICK J.
TAX MAP NO. 14 8 . --2-8 @ By Order Town Board
TOWN OF QUEENSBURY
�LL
Dire,ctoc of Bldg. & Code Enforcement
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW, YORK
Date December 22 19 92
This is to 'certify that work requested to be done as shown by Permit No. 92e655
has been completed.
single family dwelling
This structure may be occupied as a
Location Lot 30 Mockinabird Lane, Inspiration Park
Owner Patrick J. 0°Conner
Issued for upper level only. By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
r
BUILDING PERMIT
r,
VALUE $ 0 TOWN OF QUEENSBURY 92655
TAX MAP NO. 148. -2-30 No.
WARREN COUNTY, NEW YORK
O'CONNER, PATRICK J.
PERMISSION is hereby granted to
1 MOCKINGBIRD LANE
OWNER of property located at Street, Road or Ave.
SINGLE FAM DWLG—UPPER LEVEL ONLY
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
2. CONTRACTOR or BUI LDER'S Name
3. CONTRACTOR or BUILDER'S Address
a
4. ARCHITECT'S Name
MDIA
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( 1 Steel ( )
7. PLANS and Specifications
SINGIM- FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAM DWLG-UPPER LEVEL ONLY
0 October 23- 93
$ 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.)
Dated at the Town of Queensbury this 23 Day of October 19 92
SIGNED BY for the Town of Queensbury
Buil ing and Zoning Inspector
S
REVIEWED BY:
FEE PAID: _UWN OF 0UEENS13W.
RECEIVED
PERMIT NO. :
OCT 161992
BUILDING PERMIT APPLICATION BLDG. & CODE DEPT.
PERMIT MUST BE OBTAINED BEF RE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
PPLICANT HAS RECEIVED A VALI BUILDING PERMIT.
11 applicants spaces on this application MUST be completed and the signature of the
pplicant MUST appear on the reverse side of this application.
wner of Property: Patrick J. O'Conner - Lot #30 - Model 3B
.0. -Address: Mockingbird Lane PHONE -
Queensbury, NY 12804 148.7.1, &.3 & &.4
roperty Location: Tax Map No. Al /
as there been any split of this property since October 1, 1988? Yes X No
f yes, Planning Board Review is necessary.
ubdlvision Name, if applicable: Inspiration Park Lot No.148.7.1,7.3&7.4
Lot #30 - Model 3B
'HE PERSON -RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Cushing, Dybas Associates, Architects, P.C.
IATURE OF PROPOSED. WORK: * ESTIMATED MARKET VALUE OF THE
X Construction of new building * CONSTRUCTION: $ 77,592
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: 199 ft. } ft.
Other work (describe) * Existing Building S ze: (Xone
* - ft. x - ft.
* Proposed building - distance from
;ROSS AREA OF PROPOSED STRUCTURE: * property line:
lst Floor 1017 Sq. Ft. Front Yard 30 ft. Rear yard 50* ft.
p� * Side Yards 34 ft. and 40 ft. -
?•.id Floor Sq. Ft. � * If on corner, setback from side street-
ft.
)ther Floors - Sq. . Ft.
(not cellar or basement) OCCUPANCY INFORMATION:
*
TOTAL FLOOR- AREA: 1017 Sq. Ft. * Primary Building -
* X One Family. Dwelling
Size of New Structure: 40.0 ft. x 25.42 ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial ull Circle One) * Business
* Industrial
No. of stories (Habitable space) 1. * Other
Height: (grade to ridge)' ft.
If residential , no. of families: one * If addition, what will use be?
No. of rooms (excluding baths): six
No. of bedrooms: Three
No. of bathrooms: one * Accessory Building!
Primary heating system: Baseboard * Detached Garage - One/Two Car
Type of fuel : Alec AlectrIc Attached Garage - One/Two Car
No. of fireplaces to be installed: None * Private Storage Building
Will a woodstove be installed?: No * Other
Central Air Conditioning: Yes No
(OVER)
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance He
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
Patrick J. O'Conner Inspiration Park (Lot #3o)
APPLICANT'S NAM: PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 1017 Sq. Ft.
2. Type of Heat - x Elec. Base Board Other
3. Is Building Mechanically Cooled? YES x NO
4. Percentage of Area of Windows and Doors Over 17% x Under 17% (io.9x)
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R 38 33 24
B. Exterior Walls R 19 23 i8
C. Glazed Area R 3.45 2.6 1.7
D. Exterior Doors . . R 14.9 2.5 2.5
E. Floors over unheated' spaces R 19 24 19
F. Edge of Slab on Grade (Heated Building) R N/A 10 10
G. Basement/Cellar Walls (Above Grade) R N/A 10 10
H. Basement/Cellar Walls (Below Grade) R N/A - -
I. Heating/Cooling - Ducts - Piping in Unheated Space R N/A - -
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code x YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
APP ICAN SIGNATURE to I (� DA E 8 TELEPHONE NUMBER
INSPECTOR'S REMARKS :
BUILDING SPECIFICATIONS:
Type, of construction: wood frame, fire safe, etc. Wood Frank--
Will any second-hand or ungraded lumber be used? If so, for what? No
Foundation Wall Material : Poured concrete Thickness: an
Depth of Foundation below grade (to bottom of footing) : Below V-O
Will there be a cellar? No Heated or Unheated? Unheated Floor Sq. Footage: 101%
Will there be a basement? Yes "ill any portion be used as living space? No
If so, what portion? NIA Sq. Ft. Type of Use? N/A
Type of Roof:. Sloped/Flat/Shed/Other Sloped Material of Roof Asphalt Shingles
Size, wood studs 2 x 6 spacing 16 o.c. ; length _8 ft.
Joists (floor beams) : 1st Floor 2 " x l0 " ; spacing 16 " a.c. ; span �_ ft. M�
Joists (floor beams) : 2nd Floor - " x - " ; spacing - o.c. ; span - ft.
Overlays (ceiling beams) : - x - " ; spacing - " o.c. ; span - ft.
Roof rafters: - of x - "; spacing - o.c. ; span - ft.
Roof trusses (pre-engineered): spacing 24 " o.c. ; span 13 ft.
Exterior Wall Finish: clapboard Siding of what material ? vinyl
Int;2rior Wall Finish: 112" Gypsum Board
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
N/A
Is there to be an opening between garage and dwelling? N/A If so, will a Fire-Rated door
enclosure, self-closing device be provided? N/A
Will a flue-lined chimney be installed? N� Height above roof NIA ft.
Depth of chimney foundation below grade: NIA ft.
Depth of fireplace hearth: N/A ft. N/A in.
Water supply -. Municipal or private well : Municipal
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: +100 f.
(A separate application is necessary for any repair or new installation. of septic system. )
NAME OF BUILDER & ADDRESS: The Quinn co*my, inc. - P.o. Box 61so - -aluand, VT os7o2PHONE;802I747-7o:
NAME OF PLUMBER & ADDRESS: same.as Above PHONE
NAME OF MASON & ADDRESS: same as Above PHONE
NAME OF ELECTRICIAN & ADDRESS: same as Above PHONE
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. pertaining to- the proposed work sh
be complied with, whether specified or not, and that such work is authorized by the owner.
Signature
0 ner, er s agent, architc
contract r
------------------------------------------------------------------------------------------
SPEC A CONDITIONS OF THE ERMI :
By:
Coe Enforcement Officer
1
c
TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fee Paid
Date: -10116192 Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: Inspiration Park, Queensbury, NY 12804
.Owner's Name: Mr. Patrick J. O'Conner - Lot #30 - Model 3E
Owner' s Mailing Address: Mockingbird Lane, Queensbury, NY 12804
Installer' s Name: The Quinn company, Inc. Phone #• (802) 747-7010
Number of bedrooms (i f residential ): Three
Total daily-flow (residential-com-compute @ 375 Gal.
p 125 gal . per bedroom):
Topography-Circle One: Flat Rolling Steep Slope % of Slope +20
Soil Nature-Circle One: and Loam. Clay Other /Depth:
Ground Water-At What Depth? Feet
Bedrock or Impervious Material-At What Depth? +20 Feet
Percolation Test-Circle One: Not Required Required/Rate 2 Min. Per Inch
Domestic Water Supply-Circle One: Municipal Well Other
If domestic water supply is a we -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank loon gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench 27 . feet//Total System Length 162 feet
Seepage Pit(s) : Number of / Size each: ft. x ft.
Size of Stone to be used: 1/2" tO 1-1/2"Depth or Thickness 1.0 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 Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: DATE:
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: i.m IN P:
FINAI. INSPECTION REPORT - RESIDENT
DACE INSPECTION REQUEST RECEIVED:
NAME 0`cjt�0oN c,e (7
LOCATION P�1��- 0
i
DATE - PERMIT
TYPE OF STRUCTURE
FOOTINGS_ FOUNDATION _ BACKFILL _ FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N A YES NO
CHIMNEY HEIGHT B VENT HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH I
DECK PORCI{ STEPS RA LIN S !
RELIEF VALVES NJ
FURNACE HOT WATER OPE TING
II4TERIOR TRIM/PRIVACY/DOORS
FINISH FLOORS:
BATH KITCHEN WATE IGHT
OTHER FLOORS 'SWEE ABLE
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
t1 ��� 1
OK TO ISSUE C/O O C C
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD ' u
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: DEPART: INS /
FINAL INSPECTION REPORT - RESIDEN -TAL
DATE INSPECTION REQUEST RECEIVE/D:: \
NAME P �\ �^-1l�r�
LOCATION �a LYik~��� RD U' 1�
DATE 1�Z-7 (� PERMIT 0 ( h .
TYPE OF STRUCTURE �! J
FOOTINGS_ FOUNDATION BACKFILL _ FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT B VENT HEIGH
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK PORCH STEPS RAILINGS
RELIEF VALVES
FURNACE HOT WATER OPERATIN
INTERIOR TRIM PRIVACY DO S
FINISH FLOORS:
BATH KITCHEN WATE IGHT
OTHER FLOORS SW PABLE
OTHER FLOORS ARPETED
STAIR CLEARA CE RAILINGS
SMOKE DET TORS
BATHROO 14 FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN VARIANCE RE .
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C C
Lc
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED :?
NAME D C=/ -,'/✓���
c�
LOCATION )
DATE ' PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: U OK TO THIS DATE
J"-w
2/015 INSP+CTOR
r
r
TOWN OF QUEENSBURY
531 BAY ROAD
TELENSBURY, (518)745284447
TELEPHONE
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NME
LOCATION �1 Z
DATE—/ PERMIT#
TYPE OF STRUCTURE ] �/YI' i�,�✓,
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES AD
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING f'
SIDING ,r
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES s'
FURNACE/HOT WATER OPERATING r"
INTERIOR TRIM/PRIVACY DOORS3.
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE, ,,' 1/
OTHER FLOORS CARPETED A',, t/
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORSiy
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTR;/CAL ,
OK TO ISSUE �C/0 OR C/C \
1t
COMMENTS:
i
ARRIVE
DEPART L, '
`�% INSPECTOR
• _Jown o/ QueenJlury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME l�` �ij�'7_•?� :! .�
LOCAT I ON
DATE l" h / PERMIT NO.
SOIL TYPE an 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) * ✓
Size- ft. X.--ft.
Gravel size
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/ it ± 'y
Openings sealed? YE NO artial
LOCATION/SEPARATIONS:
Foundation to tank
Foundation to absorptionY ft.
.Absorption to lot line / �/® ft.
Separation of pits ft.
LOCATION OF SYSTEM O PROPE TY(circle one)
Front Re Left side - Right side COMMENTS: f `a
r
S�s,Ce,i CnICA
SYSTEM USE APPROVIYE0
spector
01/86 and vl
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
c�
Permit No. Z'—6 �J
Owner �� d ! ` Q/-1416 12—
Occupant
Location I`P 7—72v J-1V Elf//`
No. Street
u(� Is /
town or CRY State
Installatioryas itemiiszedon reverse side has been visu ally inspected pu rsuant to appl icable cod es.
Installed by
No. 9646
Date /���� �� t Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ.08108
..,�qq ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
L- A:- : 4-1 /TC WIRING &CONTROLS FOR BURNER
-� RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
6-:?AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W.RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC.H.P.VENT FANS
I
DTORS R.P. 1/20 1/12 1/10 IV$ I'h 1% 1'AS4 TvIll
111
5 7Si 10 115 120 125 130 40 50 75 100
OkRK NUMBER
'EACH SIZE
PPARATUS
TOM OF QUEENSBURY
531 BAY ROAD
QULEY, NEW YORK(518) 745-804
4447
TELEPHONPHOtr
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED L2 I fA
NAME
LOCATIONt
DATE / , Z. T PERMIT#
TYPE OF STRUCTURE µ a1/)
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
L�FOOTING J-GUNDATION —BAC-KFILL FRAMING
_ROUGH PLUMBING . FINAL ELECTRICAL _SEPTIC
INSULATION WbODSTOVE/FIREPLACE
REMARKS (Z MoDI19- AzIL -L,
'APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION _
B VENT/LOCATION ?
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES i
FUR*AeE7R0T-WATER OPERAT ,NG
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: r' ,
BATH/KITCHEN WATERTI;GHT4;:
OTHER FLOORS SWEEPABLE 4,
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS .,
SMOKE DETECTORS f -/
DOOR CLOSERS r
BATHROOM FANS ✓
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING v
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS ✓
FINAL ELECTRICAL ✓
OK TO ISSUE C/0 OR C/C
COMMENTS:
04
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT Val �—
531. BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION //"29CIL/1?Cd'f//h f�
DATE / PERMIT
TYPE OF STRUCTURE �� I /
RECHECK APPROVED
� N/A YES NO
FOOTING /PIE
MONOLITH POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWI G ;
THE PLACEMENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON SITE:'
FOUNDATION/WALL POUR i
REINFORCEMENT IN PLACE }`
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING y
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS f
BRACING/BRIDGING a'
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:
ARRIVE
DEPART
INS P CTOR
TOhT OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR IRSPECTIOA RECEIVED I/,��
NAME --
LOCATION
DATE PERMIT I9 a "
TYPE OF 'STRUCTURE
RECHECK APPROVED
N/A YESI NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE J
FOR PROVIDING PROTECTION FR&4
FREEZING FOR 48 HOURS FOLLOWING
THE PLACENERT 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 s'
BRACING/BRIDGING `a
JOIST HANGERS ;` I
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN -
INSULATION:
FOUNDATION WALL: INTERIOR R-•
r
FOUNDATION IIALLS EXTERIOR R-,
FLOORS i° R-
WALLS R- '4
CEILING R-
DUCT WORK OR PIPING IN UNHEATED,
SPACES '4
REMARKS:
r
ARRIVE bi
DEPART �
INSPECTOR
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY9 NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NANE
LOCATION. D`' �+
DATE N,A0 PERMIT# 9�1_7
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAU ELECTRICAL _SEPTIC
INSULATION WOUDSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT i
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS °.
FINISH FLOORS: C
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAIL"'INGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE t,
DEPART
INSPECTOR
TOWN OF QUEENSBURY � Z�
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED L
NAME
LOCATION '
DATE // PERMIT i
TYPE OF STRUCTURE % )
RECHECK APPROVED
N/A YESI 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
REINFORCEMENT IW PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE'
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING f'
JOIST HANGERS
JACK POSTS/MAIN BEM
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:
Arc �L,7,
ARRIVE
DEPART
INS, ECTOR
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
NACRE
LOCATION 7-)a
DATE� PERMIT 0
TYPE OF STRUCTURE
RECHECK _ APPROVED
N/A YESI NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLAC04ENT OF THE CONCRETE.
MATERIALS FOR TaL12URPOSE ON SITE
)LFOUNDATIO LL P
REINFORCEM 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: 11 11
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR R
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART V1---
INSPECTOR
TOIM OF QUEENSBURY
' BUILDING AND CODES DEPARTMENT
531 BAY ROAD //a/4—
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION chi)
DATE PERMIT 0
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YESI NO
/XFOOTINGS/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/BR DGING
JOIST HANG RS
JACK POSTS MAIN BEAM
HEATING ROUG IN
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WfiLLS EXTERIOR R-
FLOORS R-
WALLS a R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE '
DEPART
PEL,17
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Application
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UNAUTHORIZED ALTERATION OR ADDITION TO M►"P..iLt:FE� `V c
THIS DOCUMENT IS A VIOLATION OF SECTION ^11J SP1R+.T►ou P..QK'SucsDIVL5101J
7209 SUBDIVISION 2 OF THE NEW YORK STATE _
EDUCATION LAW. CA.youz Pu►u" PIZLCAKEJD 6Y KA r►IJ W ��
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i certify to the following
that this survey has been
prepared in accordance with
the Code of Practice for Land
Surveys adopted by the Y.Y.B.
Association of Professional
Land Surveyors as last revised.
PAT 2\C.1G J.'O�C.ONNER Ccjp R.o•W.�
STATEWIDE Fu tid\IJG C.O TLP.
l-rs A1J0jO1ZiiSSIGNS
G.HIG.AGO TtTI..E 11JSUKANG.E GcMPAN�{
_ "ONLY COPIES OF THIS MAP SIGNED IN RED
INK AND EMBOSSED WITH THE SEAL OF AN
OFFICER OF C. T. MALE ASSOCIATES, P.C.,
C F- P' - D \-'Cn1J PLS 4-q O DATE OR A DESIGNATED REPRESENTATIVE SHALL
BE CONSIDERED TO BE A VAUD TRUE COPY"
Date RECORD OF WORK Appr• Lp-r 3p - MOGK.I tJGA1 RD l.A1J E
1\•z,o•g <-�OUtJOATlON L-��J�T 10N ��� N S P 1 RAT 1 O N QARv<
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E -T04]\J COUNTY, NEW YORK
C.T. MALE ASSOCIATES, P.C. FAI UIqLa
d 50 CENTURY HILL DRIVE, P.O. BOX-727, LATHAM, NY 12110 �J
� (518) 786-7400 • FAX (518) 786-7299
S Drafter: 1•F• Checker: CJ Q ENGINEERING • SURVEYING • ARCHITECTURE • LAND PLANNING WLANDSCAPE ARCHITECTURE • COMPUTER SERVICES d
m
Appr, by: Proj. No. 4 Z.���s SCALE: 1" = 3o DATE: I•d ov. 22., A 9 Q7
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