Loading...
91-708 CERTIFICATE OF ' OCCUPANCY j TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date /o Ig 5�9 a This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a Si nq�a Famf ly Nma1 T i kf4jg Location Lot 25 f!�ethyst Drive Owner Forest Hood Hmr2s By Order Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement BUILDING PERMIT w w b TOWN OF QUEENSBURY No. 91-708 WARREN COUNTY, NEW YORK I PERMISSION is hereby granted to Forest Wood Homes N crt OWNER of property located at Lot 25 amethyst Drive Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single Family 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. o -s w 1. OWNER'S Address is to HC-02 Box 286P t* Warrensburg, NY c a 2. CONTRACTOR or BUI LDER'S Name Same ro Vf 3. CONTRACTOR or BUILDER'S Address r O c+ N CX 4. ARCHITECT'S Name 9 M C+ to rt• 5. ARCHITECT'S Address to M 6. TYPE of Construction—(Please indicate by X) ( A Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications Ln No. 2120 sq ft Single Family Dwelling as per plot plan specifications cJ and application M 8. Proposed Use pi Single Family Dwelling w/2-Car Attached Garage � $ 290.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 7, 1992 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 6a town of Queensbury before the expiration date.) Dated at the Town of Queensbury this th ay` October 19 91 SIGNED BY for the Town of Queensbury Building and Zoni%Inspector TOWN OF QUEENSBURY GI `7° �` r REVIEWED BY: FEE PAID. FE �a = C L EEE, ,;.?. PERMIT NO. : 8 OCT 0 3 '$991 BUILDING PERMIT APPLICATION BUILDING & OOUE 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. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property: " I P Y� ���'��� P.O. Address: N �,+fir. 3a`F.L JA���,A'r„ ,°,9, PHONE Property Location. � ;;r, W ?. :�."� �r r',T`.;tj J Tax ,Map No. Has there been any split of this property since October 1, 1988? Yes No , If yes, Planning Board Review is necessary. R Subdivision Name, if applicable: r P, ,, - , Lot No. j5 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Ei' Construction of new building * CONSTRUCTION: $ �T Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to -exterior dimensions) * Size ,of Property: „��3 ft. x le ft. Other work (describe) * Existing Building Size: * ft. x ft. * Proposed building - distance from , GROSS AREA OF PROPOSED STRUCTURE: * property line: * 1st Floor Sq. Ft. Front Yard ft. Rear yard ft. ' * Side Yards a f ft. and ft. ' 2nd Floor 1 E Sq. Ft. If! * on corner, setback from S side street- ft. Other Floors Sq. Ft. $ (not cellar or bas-e-m—en—tT OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: �� � .,�, Sq. Ft. * Primary Building - * One Family Dwelling Size of New Structure: ft. x � ft. * Two Family Dwelling r Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partial/Full (Circle One) * Business * Industrial No. of stories (Habitable space) * Other Height (grade to ridge) ,fir; ft. If residential , no. of families: I * If addition, what will use be? No. of rooms (excluding baths) : 9 No. of bedrooms: No. of bathrooms: Accessory Building: Primary heating system: ; -E f * Detached Garage - One/Two-Ca.r, Type of fuel : Attached Garage - One/,Two_ Card No. of fireplaces to be installed: * Private Storage Building _ - Will a woodstove be installed?: �-,D * Other Central Air Conditioning: Yes No (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: I Type of construction:. . wood frame, fire safe, e.tc. ,Stir" k ui 14 wood -4r,r- Will any second-hand or ungraded lumber be used? If so, for what? Foundation Wa11: Maaterial : _�,ll�,r,�w Thickness: Depth of Foundation below grade (to bottom of footing) : 1�" Will there be a" cellar? air) Heated or Unheated? Floor Sq. Footage: Will there be a basement? ,.e,-,,� Will any portion be used as living space? A1) If so, what portion? Sq. Ft. Type of Use? Type of Roof: Sloped/Flat/Shed/Other Material of Roof Size, wood studs " x I spacing _" o.c. ; length _ ft. ,a Joists (floor beams) : 1st Floor " x spacing U " o.c. ; span IV ft. Joists floor beams) : 2nd Floor �_ " x 10 " ; spacing //_ o.c. ; span ;s ft. Overlays (ceiling beams) : x " ; spacing _ o.c. ; span ft. Roof rafters: x spacing o.c. ; span ft. Roof trusses (pre-engineered) : spacing a o.c. ; span as ft. Exterior Wall Finish: _ JAIv N it,�,r', of what material ? Interior Wall Finish: 1�1 21ocxt `) 4wrnf If a garage is to be attached, describe materials to beffused for FIRE SEPARATION: -s L I-! z� Pi"h 6c qa r�Qi', c'6T 1 d,Lr,, e 7rs.�nit 0-1 s--)1G Is there to �e an opening between garage and ddwelling? If so, will a Fire-Rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? `Height above roof ft. Depth of chimney foundation below grade: ft. Depth of fireplace hearth: ft. in. Water supply - Municipal or private well : �L'ldGi'.�1 n.r 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. ) NAME OF BUILDER & ADDRESS: Fore'd WRAJ 67AS'AP_5 �!/ GJ,S�r -j'�rrut3rzn,� /'1 PHONE NAME OF PLUMBER & ADDRESS: (,� ') ;�, '� �� „ 1 PHONE NAME OF MASON & ADDRESS: � `1. ,,, ��onir/5 PIQi��;ES�,D'� 1y'r,f,•�dr, e`1.} .,��n's'ah i(I�� PHONE. NAME OF ELECTRICIAN & ADDRESS: /� F.(f,ti �l, ✓ �r 1�� M1� � _/is PHONE «%v 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 o th.g/proposed work shall be complied with, whether specified or not, and that .such work 's au ho�T�ed by the owner. Signature Owjle owners$ agent, architect cot actor - ----------------------- SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer C-.47 TOWN OF QUEENSBURY "' APPLICATION FOR SEPTIC DISPOSAL PERMIT Fi Date: Oct I W1 Reviewed B r Bl1BLL�9�! C013E E€�T. LOCATION OF PROPERTY FOR INSTALLATION: lot b�i '1��� � r Owner' s Name: W00 1?_&f Owner' s Mailing Address. Installer' s Name: / 4�,. r ;;,�;�_�, Phone #: 711,7a" �. Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom) : Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? � Feet Percolation Test-Circle One: NotiRequired Required/Rate 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 5() gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length 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 Queensbury Sanitary Sewage Disposal Ordinance. i 4 P DATE• SIGNATURE OF RESPONSIBLE PERSON: I; , -� 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: ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: 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 �7'-:�__ �.1 p. i'• APPLICANT'S NAME PROPERTY LOCATION BiJ31.D9NG F& CODE DEPT. PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - Sq. Ft. 2. Type of Heat - Elec. Base Board Other t�j'i , ., _'-wy'' 3. Is Building Mechanically Cooled? YES NO 4. Percentage of Area of Windows and Doors Over 17%' t Under 17% 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� B. Exterior Walls R_ C. Glazed Area R 10 D. Exterior Doors R­ Iq E. Floors over unheated spaces R_ F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R H. Basement/Cellar Walls (Below Grade) R_ I. Heating/Cooling - Ducts - Piping in Unheated Space R � 6'. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code YES NO /,,,TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED 6d. gJ > a - APPLI CN T Y NSIGNATURE DATE TELEPHONE NUMBER, INSPECTOR'S REMARKS : TOWN OF QUEENS BURY Bay at Haviland Roads,Oueensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date a —C 19 q/ Permit No. ju ' `•i i !i is AI'I'IACA`I'ION IS I-IEREI$Y MADE to the Building Department for the issuance of a Building and t)se Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations;and all conditions that are part of these requirements and also will allow all inspectors to enter premises for the required tnspectlonsi.' A > )licant's Ndmc ' F� r ,` =APPLIANCE T PE: "�, Stove Coal Wood dress ly�— Ni, t,Y (� -, Furnace Hot Air Boiler Ad Zero Clearance Circulating Unit IN r P r ` Phone a�" � `• ,'; ,�, , If l`1on-1blasonry•,. iV ,. Owner's Name Sa Manufacturer Address ' Model utlet Sire r zip Listed by Number Phone CIHIMNEY TYPE Masonry: Block Brick Stolle Property location of roposed o truction Flue: Tile Steel Size: ' .. Factory Built: Manufacturer }�' ," Model r _Size COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number t REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall - Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ _ Eft CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ SONRY FIREPLACES AND CHIMNEYS. CASHIER'S DEPARTMENT TOWN OF QUEENSBURY, NEW YORK Del)artment: Fire Marshal Amount Collected Amount Refunded Code Number Title A]73 3389 (190)Public Safety A233 2655 (230) Minor Sales Fee Collected from c►r Refunded to: 0 e S k UVx� Address: Dated: ��p���� Town Clerk or Deputy While:Applicant YeUow and Pink:Cashier's Department Go de rod:Fire Marshal Ford, WOO OCT 0 31991 m 1 o a CODE DEPT. vo t5 f10'. TOWN OF QUEEilk-4 L- Zoning Adminis ' � r TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST/FOR INSPECTION RECEIVED f NAME /O�Q�3�t l�o©d 1z�M&:5_ LOCATION_!dZ-z� I�►-t�TFE DATE Z fo 3 PERNITf cl1 —7O r TYPE OF STRUCTURES RECHECK _FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING _ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS r APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING i. SIDING DECK/PORCH/STEPS/RAI,LINGS RELIEF VALVES ` FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACtDOORS FINISH FLOORS: BATH/KITCHEN WATERTIsGHT OTHER FLOORS SWFEPAB�LE OTHER FLOORS CARPETED STAIR CLEARANCE/.RAILINGS SMOKE DETECTORS. (DOOR CLOSERS BATHROOM FANS" ALL PLUMBINGJIXTURES OPERATING AGARAGE FIRE:;PROOFING DOOR CLOSERS OTHER FIRESEPARATION FIRE/DEMISE WALLS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: ( I� 3As&��,� 4)SuLA-�0,v ARRIVE �o DEPART 2•_CX) CINS/EC TOWN OF QUEENSBURY FIRE MARSHAL QQUEENSBURY, NEW YORK 12804 � TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED n NAMEp, l /1(tT/ �I2Pi1 LOCATION DATE j;Z /0/z 3 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 REPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: OK TO THIS DATE /Ov 2/015 INSPECTOR TOWN OF QUEENSBURY /P( 531 BAY ROAD 1 e"QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR IINSPECTION/R'E`CEIVED zj%1 NAME LOCATION DATE PERMIT#Yn//- A& TYPE OF STRUCTURE RECHECKTa� ��, •olL{ ate FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) vF00TING FOUNDATION vBACKFILL FRAMING ROUGH PLUMBING (/rINAL ELECTRICAL ZSEPTIC INSULATION _WOODSTOVE/FIREPLACE REMARKS__,&,Q djZ APPROVAL CHIMNEY HEIGHT/LOCATION N/A IYES NO B VENT/LOCATION ? PLUMBING VENT ROOFING 1 SIDING DECK/PORCH/STEPS,/RAILINGS ' RELIEF VALVES FURNACE/HOT WATER',OPERATING BASEMENT INSULATION/DUCTWORK_ INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAIL'INGS HANDICAPPED ACCESStl 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: Ajo CL05&L Ow ado1_ /0, tee_ 1+kA-i f N(Q 9 f P6 S I N u u c4kATZx TG R6 ARRIVE I1 DEPART C>cD INSPf TOR ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No.. ��0 Owners Occupant Location ,/_—aT,-;",5' 1'9Wf-7_17'r5T No. Street Vic.(.cZ�sr✓'� �� Town or City State installati?0 as itemized on reverse side has been visually inspected pursuant to applicable Codes. Installed by Date_I T`J/ aalw'u' ~ :4 1 ns ector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.IS EL. 900 Haddon Ave.,Collingswood, NJ 08108 /ROUGH WIRING OUTLETS H.P.AIR CONDITIONER WIRING &CONTROLS FOR v/ ;, BURNER RECEPTACLES H.P.PUMP FIXTURES K.W.OVEN AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT � i MP.SERVICE CONDUCTORS K.W. DISHWASHER K.W.SURFACE UNIT K.W. DRYER K.W.RANGE AMP. RECEPTACLE,.j K.W.WATER HEATER FRAC. H.P.VENT FANS f t � )TORS H.P. 11/20 11/12 1/10 % I/s % 1 11 1 I/z '/ 1 1 lI/2 1 2 3 1 5 7'h 10 15 121125.130140 1511 75 1100 IRK NUMBER EACH SIZE -PARATUS Vicc'7 ,� _Down o/ Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEMINSPECTION NAME LOCATIONS ���� l DATE / PERMIT NO. SOIL TYPE - an - Loam - Clay - Percolation Test Required? YES - 0 Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches-3f, Size of gravel_ d 2 SEEPAGE PITS{Number of) Size- ft. X --ft. I Gravel size PIPING: Size T pe f Bldg. to tank �i UC { Tank to dist. box Dist. box to field/pit '� f Openings sealed? YES NO P' 'tial LOCATION/SEPARATIONS: 1. Foundation to tank ' t. Foundation to absorption t. � Absorption to lot line ft. v� Separation of pits ft. LOCATION OF SYSTEM ON PROEERTY(cirGle one) Front -� - Left side - Right side - COMMENTS: It�'f t SYSTEM USE APPROVE YES NO Bu' ing Ins ector 01/86 and vl — �$���,' .�`� Cif��; �' l�:��. 1 I r `=s;q() �i�� Ito & CODE DEPT. elf ---------- TOIAINI (g-- o z�ky, 1,9 0 (y,I-;i"It j.' 1' 1, e TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 191111 1 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED a h "L- NAME LOCATION DATE 7 PERMIT # TYPE OF STRUCTURE 0 RECHECK APPROVED N/Al YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTEqITION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE' CONCRETE. MATERIALS FOR THIS P RPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLA 'IE x FOUNDATION/DAMPROOFING BACKFILL APPROVAL v ROUGH PLUMBING 1 PLUMBING VENT/VENTS INIP LACE PLUMBING UNDER SLAB A FRAMING: a \ JACK STUDS/HEADERS ,� d BRACING/BRIDGING i JOIST HANGERS JACK POSTS/MAIN BEAM k FIRESTOPPING 1r WALLS CEILING FIREWALLS HEATING ROUGH—IN' INSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R— FLOORS i R— WALLS i R— CEILING i R— DUCT WORK;'OR PIPING IN UNHEATED SPACES REMARKS: IS ARRIVE -- DEPART INSPECTOR TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT# 9 APPROVED EXITS N/A YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM Y r 1 INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING� UI TS REQUIRED SIGNAGE lg CHIMNEY WOODSTOVE FIREPLACE-MASONRY% ;/FIREPLACE-FACTO 0 BUILT REMARKS: OK TO THIS DATE ARRIVE 3 �o DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT yyf 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED //// NAME r/'J`�5j lj J' rn"_�5 LOCATION DATE �9_PERMIT # 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 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 FIRESTOPP ING i WALLS CEILING FIREWALLS HEATING ROUGH-IN (INSULATION: !' FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WA LLS R- CEILING R- , a DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: JLU ARRIVE / DEPART INSPECT PR TOWN OF QUEERSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD Q � NEW 0 TELEPHONE (518) 792-5834 2 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED__ --(( NAME LOCATION. 9� DATE G PERMIT # TYPE OF STRUCTURE 4" RECHECK APPROVED N/A rYESJ NO FOOTINGS/PIERS MONOLITHIC POUR FORM J REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE I 1 FOR PROVIDING PROTECTION FROM �jj J 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 APPROVALr ,a �( ROUGH PLUMBING ;.:a PLUMBING VENT/VENTS IN PLACE` PLUMBING UNDER SLAB ; K FRAMING: JACK STUDS/HEADERSi BRACING/BRIDGING ix JOIST HANGERS JACK POSTS/MAIN BEAM l;. FIRESTOPPING ' a. WALLS CEILING " ! FIREWALLS HEATING ROUGH-IN � INSULATION: ' x FOUNDATION WALLS INTERIOR RN FOUNDATION WALLS EXTERIOR R j. FLOORS E" R--; WALLS R4 CEILING R-';, DUCT WORK OR PIING IN UNHEATED SPACES 1 REMARKS: n�S- :d17 y Po�f�55 ARRIVE DEPART INSPEVOR 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` aaREECEIVEED MA14E LOCATION DATE PERMIT f TYPE OF STR CTURE RECHECK APPROV D N/A YE 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: JACK STUDS/HEADERS BRACING/BRIDGING," JOIST HANGERS JACK POSTS/MAIN BEAM FIRES TOPPING WALLS f CEILING FIREWALLS / HEATING ROU�H—IN INSULATION' FOUNDAT��ON WALLS INTERIOR R FOUNDATION WALLS EXTERIOR R FLOORS R— WA LLS R— CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE S DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT Z �� REQUEST FOR INSPECTION RECEIVED NAME AtJr,41/ LOCATION DATE Azz . PERMIT # TYPE OF STRUCTURE��/J RECHECK APPROVED N/Al YE 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 n , PLUMBING VENT/VENTS IN PLACE f PLUMBING UNDER SLAB ;y FRAMING: t JACK STUDS/HEADERS d BRACING/BRIDGING y 1` JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING ! �� WALLS ` y CEILING ' FIREWALLS HEATING ROUGH—IN INSULATION: 't FOUNDATION WALLS YNTERIOR R_� FOUNDATION WALLS %EXTERIOR R—ti, FLOORS t R— WALLS / R— CEILING / R— , DUCT WORK OR PIPING IN UNHEATED' SPACES REMARKS: ARRIVE /0 DEPART /r0 INSPECTOR TOWN OF QUEEWSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED d NAME C7•CG�\ VJpp� LOCATION DATE PERMIT # TYPE OF S RUCTURE yJ RECHECK APPROVED N/A YESI NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FRO14 FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR RREINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING I B'ArCK+F LPL_��PPRfl`VAL / ROUGH PLUMBING I / PLUMBING VENT/VENTS IN JLAGE PLUMBING UNDER SLAB FRAMING: JACK STUDSAEADERS !I BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS h CEILING FIREWALLS HEATING ROUGH IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WA LLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART I INSPEC OR