96-655 CLRTIFICNFE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Da to 19
This is to certify that work requested to be done as shown by Permit No. '��'
has been completed.
This structure may be used as a COHMEiRC IAL ADDI s ION
Location 8,0 ROUTE; 9
Owner KNT(311T7 OF G'fz; S sI IILS
By Order of Town Board
TAX HAP 140 , 7u . -1.-11, TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 230000 TOWN OF QUEENSBURY No 96655
TAX MAP NO . 73. -1-11 . 2 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to KNIGHTS OF GLENS FALLS
OWNER of property located at 88 ROUTE 9 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a COMMERCIAL ADDITION
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
88 LAKE GEORGE RD.
OUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
BARBER, DANIEL R.
3. CONTRACTOR or BUILDER'S Address
NOTTINGHAM DRIVE
QUEENSBURY, NY 12804
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)
COMMERCIAL ADDITION
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
6452N°SQ FT COMMERCIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
COMMERCIAL ADDITION
$ 650 PERMIT FEE PAID —THIS PERMIT EXPIRES October 29 19 98
(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 29 Day of October 19 96
SIGNED BY Jln-ti for the Town of Queensbury
Building and Aonhng Inspector
Building Permit Application
Town of Queensbury - Dept. of Community Development,' 742 Bay Road, Queensbury, NY 12804 [761-8256]
BUILDING & . CODE ENFORCEMENT
NOTICERequirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO. O�
beginning construction. No inspections PERMIT FEE PAID$ �O�
will be made until applicant has received ❑ Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$
applicants' spaces on this application
MUST be completed find•(he signature ❑ Plaiming Board Acllon REVIEWED BY.•
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
—24
application form. rn ���,,. �. Recreatiot tee Payment
Applicant: fi Owner:
Address: f / Address: ~
Phone # ( J�Q ) " ' � (Q P one #
I'rohcrly Location:
Subdivision Name: AJ : 1'ax Map Number.—
Section Block Lot
OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION:
residence commercial
Addition to Buil jncy.--�
residence Icommecial OCCUPANCY INFORMATION:
Alteration to Bu d�_R(Jr Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling ---�a
no change to exterior size Family Dwe�'lling `..
Office
Other Work (describe below) Mercantile OCT 211996 ,
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
,a
lst Floor. . . . . . . . �._ , �sq. ft. If ADDITION, what w 11 use
2nd .Floor. . . . . . . sq. ft .
of new gddilion be
Other Floors . . . . sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: I`7 S L SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
^ FEET X ��I� Other
.
Foundation Type: Will any second-hand or ungraded
Number of Stories : l lumber be used? If so, foil, w at,Z
(habitable space only) TT /�J GI
Height (grade to ridge) : CJ feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which' appli s)
to be installed: Electric / Oil / Gas //�ood
Forced Hot Air / Baseboard / Other
Person res nsible for s�}=�n of work as re and to buildin
codes is : d r L �C `
Ndme ddresss Phone l
Builder:
Plumber: �' �
Mason:
Electrician:_ ' _
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
y
Application for SEPTIC DISPOSAL PERMIT o
51'AMP 1U.;C HIVl-.D ry
L� o
Location of property fin• installation:
Owner's Name 'lilt UAll11{R
Owner's Mailing Address:
r� U 1:131i PAID
Installer's Name:
Number of bedrooms (if residential):
J J
Total daily flow (residential -eomhute w 150 gal. her bcdrmmu):
Topography: '-tat Q Rolling Steep Slope % of Stolle
Soil Nature: Loam Clay Q Other /i epth:
Ground Water: at what depth? ,y 6 feet
Bedrock or Impervious Material: at what depth? fact
Percolation Test: Not Required Required/Rate min. lwr inch
Domestic Water Supply: Municipal 0 Well 0 other
If domestic water supply is a Wlil..I— water supply from any septic absorption is feet
PROPOS131) SYSTIilk,: r r�s -fir ms �A sr& kW 9--W
Septic tank: gal, (minimum size: 1.000 gal.)
'life field: each trench fact. / total system Icngth fact.
Seepage Pit(s): number of / size each: ft. x ft.
Size of stone to be used: # / depth or thickness feet.
I101-DING 'TANK SYS1'13M: (if required)
Number of tanks: Size of each: gal.
Alarm symem and associated electrical work to be inspected by a certified agerrc•y.
For your proreclion, please note that prtrsttan! to .Section 1.36-29 o f the C'ride o f the Ton•ir of
Queensbury, any permit or approval granted which is based itpon or is granted in reliance upon
any material misrepresenlation or fcrilrtre to make a material fret or circ:unistance knon'n by or on
behalf of an applicant, shall be void.
I lurve read the regulations n' •spec! !o Il ' tr pplica i tr 1 agree to abide by these and u!1
requirements of the Tony of(- M. rttry Sa ittr Se rrr e s osuI Ordinance.
.Signature of responsive person: Date;
.�- ENERGY CODE COMPLIANCE APPLICATION
TOXIN OF QUEENSBURY,' WARREN COUNTY
9000 HEATING DEGREE DAYS '
Comol i ance Methods : PART 5 - Acceptable Practice Method -
1&2 Fam ly 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
Commerce al Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area scuare feet
2 . Type of Heat - Electric Oil Gas` Other
3 . Is building mechanically cooled? _ Yes No
4 . Percentage of area of windows and doors Over 17% _7�(Under 17%
5 . p-VALUES FOP. INSULATION GI V NI BELO:a MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
b . Exterior walls R
c . Glazed areas R �
d. Exterior doors R
e . Floors over unheated spaces ,R
f . Edge of slab on grade ( heated building) R d
g. Basement/cellar walls ( above grade) R
h. Basement/cellar walls (below grade) R _ /0
1 . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestia) hot *water heating device` �
Conforms to minimum efficiency per code X Yes. No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 = WILL NOT BE EXCEEDED
App . nt ' s� •gna Da e Phone Number
r
INSPECTOR'S REMARKS:
��jer�noo� �cre� �C�r�orat�or�
Builders & Developers
81 Nottingham Drive, Queensbury N.Y. 12804
est. 1970
Daniel R.Barber,Prm Tel.(518)798-4252
September 23, 1996
David Hatin, Bldng Inspector
Town of Queensbury
742 Bay Rd
Queensbury, NY 12804
Dear David,
I am responding to your question on the 50% rule regarding the value of the present K _
of C bldng vs the proposed addition. I am the original owner and builder of the K of C
and thus am more than qualified to evaluate the cost differential.
The present facility is 6,481.6 sq. ft. Replacement cost here is conservatively $95 a
sq. ft. This comes to $615, 752.
The present facility is:
a) Multi-level with several offshoots
b) Total exterior and interior walls are made of concrete blocks entirely_ to
peaks of gables
c) Main bar and interior decor is quite elaborate
d) 400 amp electrical service will provide power for addition
e) Kitchen facilities are quite extensive. There is only a modest
increase in facilities in proposed area.
These are only highlights of the existing structure which gives credence to its value.
Now the proposed addition is 6,437 sq ft. and in contrast is extremely spartan. We are
budgeting $230,000 for it. There are complete estimates to back up this cost . This
comes to $36 per-sq ft. The difference in costs is reflected by
a) Proposed is slab-on grade construction
b) Proposed bldng is basically one large room
c) Proposed exterior walls are simple 2 X 6 construction with almost no
interior partitions
d) Proposed roof is sheet metal
e) Proposed interior decor is extremely plain due to budget. Painted
sheet rock
Therefore the proposed is estimated to cost 37 % of the original structure. This puts us
quite under the 50% cost.rule.
incerely,
Daniel R. Barber
m
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- C
UDDER
ENGINEERS & PLANNERS
ASSOCIATES
January 8, 1997
JAN 0 81997
David Hatin, Director
Queensbury Office of Buildings and Codes„
742 Bay Road
Queensbury, New York 12804
KNIGHTS of COLUMBUS
ROUTE 9, QUEENSBURY
Attention: John O'Brien
Building Inspector
Gentlemen:
Daniel Barber, Contractor, has requested that i prepare a roof structuial modification for the
kitchen/storage area of the new addition at the : :;f C.
The attached sketch shows the details of the chwige which amounts to replacing a portion of one
roof truss with a rafter system in order to increase ceiling height in the kitchen and
corresponding modifications to the fire wall cor►struction. The sketch shows how the integrity
of the fire wall will be maintained at the roof hack over its full length.
Very truly yours,
SCUDDER Associates
Engineers-& Planners
Charles H. Scudder, P.E.
Principal
Attachments: Drawing Details
C. Daniel Barber
P.O. Box 4522 Queensbury, New York 12804 (518) 793-14.75y FAX (518) 798-3747
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04/30,197 10.142 10516 793 4146 RIST FROST. [�1001
RIST•FROST ASSOCIATES. P.C.
21'BAY STREFT
P o PDX 638
OIENS FALLS NY COP
.
12801.0838
FAX 51A•793.414G
518-793-4141
April 30, 1997
RFA #89-5000.049 RC96
Mr. George Hilton
Planning & Community Devel6pment
Town of. Queensbury Office Building
742 Bay Road
Queensbury, NY 12804
Re: Knights of Columbus
Route 9, Queensbury
Site Plan No. 49-96
Dear Mr. Hilton:
We have reviewed the water consumptio6 data submitted with Scudder Assoc:i.ates'
letter of April .9, 1997, revised water consumpti'nn data with event descriptions
submitted April 25, 1997 and have had a discussion with .Knights of Columbus
management (Donna Farr) regarding meal service at the events.
Based on the data submitted we concur that the proposed sewage system capacity
of---992 gallons per day-as described in Scudder Associates' Engineering Report.
dated September 11, 1996 is adequate.
Please call if you have any questions.
Very truly yours,
RIST-FROST ASSOCIATES, P.C.
William J. L vandowski, P.E.
Senior Vice President
WJL/lab
cc: C. Scudder (Fax 798-3747)
ALBANY FIRE PROTECTION, Inc.
AVENUE B , P.O. BOX 429
WATERVLIET, NEW YORK 12189
FIRE PROTECTION SYSTEM
LETTER OF CERTIFICATION
NAME OF PROPERTY- r NNG-u-ra nE COt t1MBL15
ADDRESS: RQLIT A -
-(211F NSB 1 Y,NY
CONTRACTOR: At BANY I=IRE PROTECTION DATE: �r►/8197
IDENTIFY SYSTEMS INVOLVED: mono "'°o SYSTEM ► FW ADDITION ONI Y
The above referenced Fire Protection Work has been performed'in accordance with the following
APPLICABLE STANDARDS
NFPA-13 1996 --
The above standards were used as a basis for the design,fabrication,installation&testing of the
Fire Protection Systems for this project.
REMARKS:
CERTIFIED BY: OWNERS/CONTRACTORS REPRESENTATIVE
MICHAEL MACKEY
TITLE: DESIGNER TITLE:
J
- 1
ALBANY FIRE PROTECTION, INC.
AVENUE B P.O. BOX 429 WATERVLIET,NEW YORK 12189
518-274-1405 FAX 518-274-0294
TO: DAN BARBER
COMPANY:
FAX NO.: 798-4252
FROM: MIKE MACKEY
PROJECT: KNIGHTS OF COLUMBUS - GLENS FALLS, NY.
DATE: 5/9/97
MESSAGE:
DAN,
THE LIQUOR CABINET WHICH WAS BUILT AT THE ABOVE REFERENCED PROJECT IS VERY
SIMILAR TO A PORTABLE WARDROBE UNIT AS DEFINED IN NFPA-13 1996,STANDARD FOR
INSTALLATION OF SPRINKLER SYSTEMS. IN SECTION A-4-13.8.2 OF NFPA -13 PORTABLE
WARDROBE UNITS TYPICALLY MOUNTED TO A WALL,DO NOT REQUIRE SPRINKLERS TO BE
INSTALLED IN THEM.ALTHOUGH THE UNITS LIKE THE LIQUOR CABINET ARE ATTACHED TO
THE FINISHED STRUCTURE,THE STANDARD VIEWS THESE UNITS AS PIECES OF FURNITURE
RATHER THAN A PART OF THE STRUCTURE THE LIQUOR CABINET IS COVERED BY
SPRINKLER PROTECTION FROM THE CEILING MOUNTED SPRINKLER HEADS.
a
ALBANY FIRE PROTECTION, INC.
DESIGN-INSTALLATION -SERVICE
AVENUE B P.O. BOX 429
WATERVLIET, NEW YORK 12189
(518)274-1405 FAX 274-0294
MAY 21 , 1997
KNIGHTS OF COLUMBUS
GLENS FALLS COUNCIL
QUEENSBURY, NEW YORK 12804
ATTN: BUILDING INSPECTORS
RE : KNIGHTS OF COLUMBUS
NEW ADDITION
QUEENSBURY, NY 12804
GENTLEMEN:
THE INSTALLATION OF THE FIRE SPRINKLER SYSTEM AT THE ABOVE
REFERENCED PROJECT WAS DONE IN ACCORDANCE WITH THE NATIONAL
FIRE PROTECTION ASSOCIATION STANDARD 13 AND ALL AUTHORITIES
HAVING JURISDICTION .
THE MATERIALS USED WERE UL LISTED , FM APPROVED AS REQUIRED .
IF YOU HAVE ANY QUESTIONS OR REQUIRE ADDITIONAL INFORMATION,
PLEASE DO NOT HESITATE TO CONTACT OUR OFFICE .
S CEREL�IY,
BY ON PRITCHETT
PROJECT MANAGER
i
CONTRACTOR'S MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING
PROCEDURE
Upon completion of work,Inspection and tests shall be made by the contractor's representative and witnessed
by an owner's representative.All defects shall be corrected and system left in service before contractor's
personnel finally leave the Job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving
authorities,owners and contractor. It Is understood the owners representative's signature In no way prejudices
K=:
PROPERTY NAME KNIGHTS OF COLUMDUS DATE 5/19/97
PROPERTY ADDRESS ROUTE 9 QUEEN55UKY, NY.
ACCEPTING BY APPROVING AUTHORITIES(NAMES) 1.5.0.COMMERICAL RISK 5ERVICEO,INC.
ADDRESS 90 f KE5IDENTIAL PLAZA, BOX 4990 5YRACUSE, NY. 13221
PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS ®YES ❑NO
EQUIPMENT USED IS APPROVED ®YES ❑NO
IF NO,EXPLAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS ®YES NO
TO LOCATION OF CONTROL VALVES AND CARE AND
MAINTENANCE OF THIS EQUIPMENT?
IF NO-,EXPLAIN
INSTRUCTIONS
HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES? YES NO
1. SYSTEM COMPONENTS INSTRUCTIONS YES NO
2.CARE AND MAINTENANCE INSTRUCTIONS YES NO
3. NFPA 25 y YES NO
LOCATIONOF SYSTEM SUPPLIES BUILDINGS NEW ADDITION ONLY
YEAR OF ORIFICE TEMPERATURE
MAKE MODEL MANUFACTURE SIZE QUANTITY RATING
CENTRAL- FEND ELO-16 97 .64 1& 165
CENTRAL -ATTIC 55-1 .97 .04 20 200
SPRINKLERS
CENTRAL - DRY FEND DRY FEND- RECE55ED 97 1/2 8 165
CENTRAL - FEND MODEL GB 97 1/2 19 165
PIPE AND Type of Pipe 6LACK STEEL 5CH 40&5CH 10
FITTINGS Type of Fittings 6LACK CAST IRON&DUCTILE IRON
MAXIMUM TIME TO OPERATE
ALARM ALARM DEVICE THROUGH TEST
VALVE TYPE MAKE MODEL MINUTES SECONDS
OR FLOW .
INDICATOR
DRY VALVE QUICK OPENING DEVICE
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
CENTRAL AG
TIME TO TRIP TIME WATER ALARM
THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED
DRY PIPE PRESSURE PRESSURE AIR PRESSURE
OPERATING
TEST, MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Withou 1 V
•r.
Lh
OPERATION ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC
PIPING SUPERVISED ❑YES ❑NO I DETECTION MEDIA SUPERVISED ❑YES ❑ NO
DOES VALVE OPERATE FROM THE MANUAL TRIP,REMOTE,OR BOTH ❑YES ❑NO
DELUGE CONTROL STATIONS
AND IS THERE AN ACCESSIBLE FACILITY IN EACH IF NO,EXPLAIN
PREACTION FOR TESTING
MAKE MODEL DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO
SUPERVISION LOSS ALARM? OPERATE VALVE RELEASE? OPERATE RELEASE
YES NO YES NO MIN. I SEC.
LOCATION MAKE & SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE
PRESSURE &FLOOR. MODEL (FLOWING)
REDUCING INLET(PSI) OUTLET(PSI) INLET(PSI) OUTLET(PSI) FLOW
VALVE TEST
HYDROSTATIC: Hydrostatic tests shall be made at no less than 200 psi(13.6 bars)for 2 hours or 50 psi(3.4 bars)
above static pressure in excess of 150 psi(10.2 bars)for 2 hours. Differential dry-pipe valve clappers shall be left
TEST open during test to prevent damage.All aboveground piping leakage shall be stopped.
DESCRIPTION PNEUMATIC': Establish 40 psi(2.7 bars)air pressure and measure drop,which shall not exceed 1 1/2 psi(0.1 bars)
in 24 hours.Test pressure tanks at normal water level and air ppressure and measure air pressure drop,which shall
not exceed 1 1/2 psi(0.1 bars)in 24 hours.
ALL PIPING HYDRAULICALLY TESTED AT 200 PSI( BARS)FOR 2 HOURS IF NO,STATE REASON
DRY PIPING PNEUMATICALLY TESTED YES R NO
EQUIPMENT OPERATES PROPERLY FX I YES NO
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,
SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE,BRINE, OR OTHER CORROSIVE CHEMICALS
WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? ®YES ❑ NO
DRAIN I READING OF GUAGE LOCATED NEAR RESIDUAL PRESSURE WITH VALVE IN TEST
TEST SUPPLY TEST CONNECTION: —10 PSI ( BARS) CONNECTION.OPEN WIDE: 115� PSI ( BARS)
UNDERGROUND MAINS AND LEADIN CONNECTIONS TO SYSTEM RISERS OTHER EXPLAIN
FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING
VERIFIED BY COPY OF THE U FORM NO. 85B ❑YES ® NO WORK PERFORMED 6Y OTHERS
FLUSHED BY INSTALLER OF UNDER-
GROUND SPRINKLER PIPING ❑YES ® NO
IF POWDER-DRIVEN FASTENERS ARE USED IN ❑YES ❑ NO IF NO,EXPLAIN
CONCRETE, HAS REPRESENTATIVE SAMPLE
TESTING BEEN SATISFACTORILY COMPLETED?
BLANK TESTING NUMBER USED N/A LOCATIONS NUMBER
WELDED PIPING M YES NO
IF YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING
PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST ®YES ❑NO
AWS D10.9,LEVEL AR-3?
WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS
QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST ®YES ❑NO
AWS D10.,LEVEL AR-3?
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE
WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE
THAT ALL DISCS ARE RETRIEVED,THAT OPENINGS IN PIPING ARE ®YES ❑NO
SMOOTH,THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED,
AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED?
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE
(DISCS) THAT ALL CUTOUTS(DISCS)ARE RETRIEVED? ®YES NO❑
HYDRAULIC NAMEPLATE PROVIDED IF NO,EXPLAIN
DATA ®YES NO
NAMEPLATE
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN
REMARKS 5/21/97
NAME OF SPRINKLER CONTRACTOR ALDANY FIRE PROTECTION,Inc.
SIGNATURES TEST WITNESSED BY
FO OWNE ( NE ) T LE DATE ,
d �
FOR SPRINKLER CONTRACTOR(SIGNED) TITLE DATE
DFNNIS MrKONKFY FORFMAN
ADDITIONAL EXPLANATIONS AND NOTES
NOTE:The above form i5 a word for word facsimile of figure 5-1(a)of NFPA 13(1996 edition).
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: D DEPART: ^� NSP:
FINAL INSPECTION REPO
COMMERCIAL ------ MULTIPLE DyyrrELLZNC�
(hotel, mote/, apt. complex)
DATE INSPECTION REQUEST RECEIVED:
NAME K ()F— C,
LOCATION \�
DATE PERMIT 0 g(c) (C)5s
TYPE OF STRUCTURE C.
FOOTINGS _BACKFILL_ FRAMING_ PLUMB NG__
INSULATION
N/A. YES _ _ NO
CHIMNEY/"B" VENT HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS -
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS_
PLATFORM ELEVATOR
HANDICAPPED ACCE
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN IF RE
OK TO ISSUE CIO OR C C
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: 'On DEPART: INS
FINAL INSPECTION RE R7
COMMERCIAL ------ MULTIP ,DWELLING
(hotel, mot / pt com'I.O-X)
DATE 11,,SPECTION REQ EST RECEIVE
NAME
LOCATION Q -
DATE / "� '- fl ��^ PERMIT #
TYPE OF STRUCTURE
FOOTINGS _BACKFILL_ FRAMING PLUMBING_
INSULATION
t N A YES NO
CHIMNEY "B" 'VENT HEIGHT L__
PLUMBING VENT/FIXTURES
ROOFING CAQ-
i
t -
EXTERIOR FINISH,
HEATING/HOT WATER
RELIEF VALVES l _
FLOORS 1 _
FOUNDATION INSULATION
INTERIOR STAIRS/RAILAGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENE'L' ' TION
FIRE DAMPERS f
CEILING FIRE STOPPING !
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE �
EXIT STAIRS/RAILS J
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED P�AR�KI' G
FINAL ELECTRICALI 1 _
SITE PLAN/VARIANC REQ.
O
FINAL SURVEY PLOT PLAN IF RE
OK TO ISSUE C/O OR\C/C
"4'OZyN—OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: Z'-4 DEPART: INSP: z�) fl
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
(hotel, motel apt comp4eo
DATE INSPECTION RE E T RECEIV D:
\.
NAME t
LOCATION
DATEI (7 PERMIT #-
TYPE OF STRUCTURE 0 t F+%}
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N1A YES NO
CHIMNEY/"B" VENT HEIGHT _
PLUMBING VENT/FIXTURn
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE _
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS —
HANDICAPPED PARKING —
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN IF RE
OK TO ISSUE C/O OR C/C d
As
.� �7Yt3L �/01 SG�tP-� •_
J
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 �6-�SS
MUNICIPAL CERTIFICATE rJ `i'-� �E}Lj]ECTRICAL APPROVAL
43234
�
Panel Board No................... Cert. `t 3 G Cut-in Card No..........................
Owner......KIAA.Aff/... .....Q .... dC'tL4!Ida...9-U.S...................................
Occupant.............. ........ ........................................... ........................... ............... ............
Location..r�..�... ... .... �aG�l{.1 ............. �.y.....
Installation Consistingof..��...$;to�.`"Gfa< C� '�� a�� 1-1 1Z-5
�................. ........`...............................y
f ...........
e—
/ .....SG 2111 ........ 0.f�-... O ......................................
Installed By..... /IZfiL12�%11--X . 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 making in cti9 s at any time, and if its
rules are violated,the Company shall have the right to revok t cert' tE.
Date.....J... .. l.�.l....../.............. INSPECTOR ..... ...... ...1�'.. .......
Member
TOWN OF QUEENSBURY �.
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12864
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 11 ��
Location
-_-_Date ` - -C Permit #�
SOIL TYPE. and-Loam-Clay-
Results of Percokat1on Test-
(if applicable) R te- pute/Inch
TY : /
BSORPTI FIELD: tal Length _ -
ength o each r ch
Depth of trench
Size of stone
SEEPAGE PIT : Num
Size - ft. ft.
Stone size
PIP - Size Type
1 dk to Tank �bov��� �
Ta k to Dist. Box --�
Di s ox l e d/Pi t `41"
Openings Sealed? Yes No Par
!OC ION SEP P� ��
undat'on to T k�' ecv�- t
Foun ation to Absorption _4�o' feet
Separation of Pits feet
Conforms as per Plot Plan Yeses
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front, lddle Rear,
COMMENTS:
Lei VL-RC)
.. r
-T7U
SYSTEM USE APPROVED: YES rlfO--)
Arri v 1�
De p t
But diVspector
\-QcA
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
c3 • _
/ 2
ARRIVE: Y P� DEPART: I YNSP:
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
(hotel, motel, a t. complex)
DATE INS ECTION REQUEST RECEIVED: ._C'
NAME
LOCATION
DATED ( PERMIT #
TYPE OF STRUCTURE _ 1)
ki
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING
INSULATION --
N/A YES NO
CHIMNEY/"B" VENT fiEIG1iT
PLUMBING VENT FIXTURES
ROOFING
EXTERIOR FINISH
HEATING HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION IN ULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING /
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE f
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING 8�
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN IF RE
OK TO ISffSUE C O R C/C / l
' 'e, O,ir c,tf^�'Ui:•�1 /✓ L'+'i��" /-cVzaa e /-,-Xl/
is�J.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742; BAY ROAD
QUEENSBURY NY 12804
n (518)745-4447
ARRIVE: e,2f sS DEPART: INSP: _
FINAL INSPECTION REPORT
COMMERCIAL --- - MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED:
NAMEC C
LOCATION
DATE , PERMIT #
TYPE OF STRUCTURE �ln - l(JFas
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING.
INSULATION
N/A YES NO
CHIMNEY "B" VENT HEIGHT
PLUMBING VENT FIXTURES
ROOFING
EXTERIOR FINISH
HEATING HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION IN LATION
INTERIOR S A/IRS RAILIN
STOCKROOM ENCLOSURE
FIRE DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS FiS ,!
HANDICAPPED BATHS /� L
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN VARIANCE RE .
FINAL SURVEY PLOT PLAN IF REOI
OK TO I OgQR C C
4 Ar �IV14,er
f
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name v .
Location
Date J YA Permit # SS
SOIL TYPE: Sand-Loam®Clay
Results of Pe olat on Test-
(if applicable Ra e-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIEL : Total Length _
Length of eac t ench
Depth of nche
Size-.-of stone
SEEPAGE PITS N u he r-
Size - ft. ft.
Stone size _
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATIONS/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption _ feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear .
COMMENTS:
4 4,
SYSTEM USE APPROVED: YES NO
Arrived: C2 f/j
Departed:
Building Inspector
TOWN OF QUEENSBURY
FIRE MARSHAL
S` QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 22
NAME
LOCATION ,,Z ZS? ern
DATE PERMIT #
4Y APPROVED
EXITS
N/A YES NO
AISLE WIDTHS ;
EXIT SIGNS k/
EMERGENCs 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
�V WOODSTOVE
FIREPLACE - MASONRY
NFIREPLACE - FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
INSPSLIP.PUB IN PECTOR
AdVERakh TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 22804
(518) 761-8256
ARRIVE: J DEPART: INSP: oy
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED:
NAME Q
LOCATION
DATE PERMIT fl
TYPE OF STRUCTURE
FOOTINGS _BACKFILL F ING PLUMBING
INSULATION
N_/A YES NO
CHIMNEY/"B" VENT[}tEI H
PLUMBING VENT FIX RES
ROOFING
EXTERIOR FINISi
HEATING HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN IF RE
OK TO ISSUE C/O OR C C
J1714,61- -7�1 lei le4f..
Pin�Prlc/ r 14.4 /y ch Pius/'"
/ � r
(518) 761-8256
TOWN OF QUEENSBURY x--
BUILDING & CODE ENFORCEMENT r
742 BAY RD., QUEENSBtU/ROY/NY 12804
INSPECTOR'S REPORT: ARR 7'!J DEPART INTO'--
REQUEST FOR INSPECTION RECCEIVEDD�'
NAME YJ/dr z147 �l
LOCATION
DATE J3 �� PERMIT A s
TYPE OF STRUCTURE: m l
RECHECK APPROVED
N/A YES NO
','
FOOTINGS PIERS "
7
MONOLITHIC POUR FORM
J
J
P>
REINFORCEMENT IN PLACE {
THE CONTRACTOR IS RESPONSIBLE FOR a`
PROVIDING PROTE TION FROM FREEZING;°
FOR 48 HbURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. r�
i
MATERIALS}AFOR THIS PURPOSE ON SITE
jr
FOUNDATIONNALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL d
PLUMBING VENT/VENTS IN' PLACE
ROUGH PLUMBING
k,N
PLUMBING UNDER SLAB
-
FRAMING•
JACK STUDS/HEADERS
BRACING ,BRIDGIN(d
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION HARRIER
�p
HEATING ROUG�-IN _
INSULATION J
FOUNDATION WALLS INTERIOR R-
FOUNDA 'ION WALLS EXTERIOR R-
FLOOR R- -
WALLS� / ✓ R Z
CEIL NG � R-•
DUCY WORK OR PIPING IN
UNHAATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY x--
BUILDING & CODE ENFORCEMENT r
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPART];!!�TdINT 2 G
REQUEST FOR INSPECTION RECEIV/E�D�:
NAME 1-Mfl G I-y 5 Op
LOCATION C�
DATE 2- !d G PERMIT 9
TYPE OF STRUCTURE:
RECHECK APPROVED
N A YES NO
FOOTINGS/PIERS
MONOLITH
REINFORCTHE COHTLE FOR
PROVIDINREEZING
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
RLUMBING VENT VE S IN PLACE
OUGH PLUMBING kl�`r J{-
PLUMBING UNDER SLAB
FRAMING:
JACK -STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
EATING 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-
010P(� IA) P4 C z c_ /� ���►'
(518) 761-8256
TOWN OF QUEENSBURY -=
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBU i Y.b2804
I
c CJ �^�
INSPECTOR'S REPORT: A DEPART V INTj
REQUEST FO INSPECTION RECEIVED: ..Z�� yz
NAME /Vl&1tf5 O"', C-0L!/l/rlAV3
LOCATION 161I
DATE PERMIT
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
F O INGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN ACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOHING 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
��EATING ROUGH-LN
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT r
742 BAY RD. , QUEENSB//UU��RRY NY 12604
INSPECTOR'S REPORT: AR&2 DEPART INT"`
REQUEST FOR INSP CT ON RECEIVED:
NAME em )
LOCATION
DATE a
_. 7^ PERMIT s
&� -
TYPE OF STRUCTURE: M=
RECHECK APPROVED
N/A Y S NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONS BLE FOR
PROVIDING PROTE TION FROM REEZING
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
PLU BING VENT VENTS IN PLACE ,1
UGH PLUMBING V
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-
(518) 761-8256
TOWN OF QUEENSBURY -'
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR o DEPART100- I o °
REQUEST FOR INSPECTION RECEIVED:
NAME c
LOCATION
DATE ®PERMIT fl (
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN LACE
THE CONTRAC R IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
14ENT 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
[=_MpLo"�-F
PLUMBING UNDER SLAB
FRAMING: E L
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-
pffi\ (518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR�1 DEPART INT�
REQUEST FOR INSPECTION RECEIVED:
NAME SK-
(\ (sus
LOCATION i U v
DATE 1 � PERMIT R
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN P ACE
THE CONTRACTOR RESPONSIBLE FOR
PROVIDING PAOT 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
HEATING ROUGH-IN'
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
EILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
W
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPART
REQUEST FOR INSPECTION RECEIVED:
NAME n ['�
LOCATION
DATE PERMIT �
TYPE OF STRUCTURE: C-V S"AFA D�\J
RECHECK AP PROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN P CE
THE CONTRACTOR IS RESPONSIBLE 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 PLUMBINGtV
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INSULATION•
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
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� (518) 761-8256
TOWN OF QUEENSBURY -Y--
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR= DEPART''
LO
REQUEST FOR INSPECTION RECEIVED:
(
NAME K ni-- t-` _LOCATION 6j§ � q J
DATE PERMIT
TYPE E"C11�l1{{��nn
TYPE OF STRUCTURE: (-,� "� �tAL�NL_
RECHECK APPROVED
N/A E NO
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MONOLITHIC POUR FORM
REINFORCEMENT IN PA
THE CONTRACTOR RESP NSIBLE FOR
PROVIDING PROTE TION F M FREEZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SI E
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBINJG UNDER SLAB 1 " 1 -
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FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
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0 010 (518) 761-8256
TOWN OF QUEENSBURY =r--
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR ^• DEPART� ]
REQUEST FOR INSPECT,1011 RECEIVED: ! /
NAME
C'
LOCATION
DATE PERMIT A
TYPE OF STRUCTURE: C�
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORMM`�
REINFORCEMENT IN PPIfAOE
i 7
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTEITION 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
K MBI _
PLUMBING UNDER
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-
(518) 761-8256
TOWN OF QUEENSBURY -'
BUILDING & CODE ENFORCEMENT r
742 BAY RD., QUEENSBURY NY 12804
t
INSPECTOR'S REPORT: ARR EPARTIN
REQUEST FOR INSPECTION RECEIVED:
NAME Tyr, G
LOCATION 1:2) Rc)i
DATE 0 C PERMIT
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A -YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
4-1
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE 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
$ACKFILL 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
HEATUNG ROUGH-IN _
FOUNDATION WALLS INTERI R R-
FOUNDATION WALLS EXTERIOR R- _
FLOG -- -- - R--- -- - -
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(518) 761-8256
TOWN OF QUEENSBURY -'
BUILDING & CODE ENFORCEMENT r
742 BAY RD., QUEENSBURY NY 12604
i
INSPECTOR'S REPORT: ARRDEPART c C
REQUEST FOR INSPECTION RECEIVED:
NAME OF cI
LOCATION �� Re -F 9
DATE h o Icil PERMIT t LEE
TYPE OF-STRUCTURE: w
RECHECK AP PROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSI E FOR
PROVIDING PROTE TION FROM F EEZING
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
UMBING UNDER SLAB
FRAMING
JA ;/IfEADERS
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-
(518) 761-8256
TOWN OF QUEENSBURY -'
BUILDING & CODE ENFORCEMENT r
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR} EPART Ot
REQUEST FOR INSPECTION RECEIVED:
NAME V c,F;-- c1
LOCATION
DATE PERMIT !4 [Q'��
TYPE OF STRUCTURE: cz ,tA RD1 J F
RECHECK A PROVED
N/A E NO
7
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO SIBLE OR `.
PROVIDING PROTE TION F M FREEZ HG.
FOR 48 HOURS FOLLOWIN THE PLACE .i
MENT OF THE CONCRETE. 1
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING NB R
FRAMING
STUDS44RMERS
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-
r
(518) 761-8256
TOWN OF QUEENSBURY r
BUILDING & CODE ENFORCEMENT -
742 BAY RD., QUEENSBURY NY 12604
INSPECTOR'S REPORT: ARRLjt�DEPART11 , I
1
46-
REQUEST FOR INSPECTION RECEIVED:
NAME c
LOCATION ��� CA5
DATE I /PERMIT
TYPE OF ST UCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
r�
THE CONTRACTOR IS RES ON BLE FOR
PROVIDING PROTE TION M FREEZING
FOR 48 HOURS FOLLONIN THE PLACE-
MENT OF THE CONCRET .
MATERIALS OR TH7PURP\CSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: "
� JACK STUDS HE
CIN BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY
--
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR-A DEPART INT
REQUEST FOR INSPECTION RECEIVED:
NAME !/h
LOCATION (� J
DATE d' PERMIT A
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
i
MONOLITttIC POUR FO
i
REINFORCEMENT IN ACE
J,
THE CONTRACTOR I RESPONSIBLE 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
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-
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(�518 1 761-825c5
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: 'AP/1-4LJ� DEPAR
REQUEST FOR . NSPECTION REC VED:
[7
NAME
LOCATION Q
DATE R PERMIT
TYPE OF STRU TURE:
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 FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENTG/VRENTS IN P ACES
i
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
( SULATION:
FOUNDATION WALLS INTERIOR R zt
-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS JAI R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT r
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR-6", VDI EPARTS' IVINT���
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATIOBNr� �I
DATE PERMIT u,
TYPE OF STRUCTURE:
RECHECK AP PROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN. PLACE
THE CONTRACTOR IS ES ONSIBLE FOR
PROVIDING PROTE TIOV FROM FREEZING
FOR 48 HOURS FOLLOW G THE PLACE—
MENT OF THE CONCRE
. s
MATERIALS FOR THI PURPOSE ON SITE
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FOUNDATION/WALL90UR- 1
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 _
INSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R— _
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN
UUHEATED SPACES R-
14141w Rooms
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(518) 761-8256
TOWN OF QUEENSBURY = "
BUILDING 6 CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPART3'/`l IN
REQUEST F INNSP,E�CTION RECEIVED: fJ
NAME /! /rJl V f�C CJ� 66G'!•i-$xiJy S
LOCATION r
>r
DATE Ti Z 7 PERMIT A
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A I YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PL
THE CONTRACTOR IS ESPONS BLE FOR
PROVIDING PROTE ION FROM REEZING
FOR 48 HOURS FOLLOWING THE PLACE—
MENT OF THE CONCRETEo
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
SACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
&ING
UNDERSLABNG: 111tC` /�JrP/'�l�
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—
(518) 761-8256
TOWN OF QUEENSBURY x--
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR PZ,' DEPART INT
REQUEST FOR INSPE IFT
RECEI ED: "-
NAME
LOCATION qlnA
DATE d C�2 PERMIT A
i
TYPE OF STRUCTURE: ( -
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITffIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS SPONSIBLE FOR
PROVIDING PROTE TIO FRoji FREEZING
FOR 46 HOURS FOLLOW G E PLACE-
MENT OF THE CONCRETE
MATERIALS FOR THIS P POSE ON SITE
FOUNDATION WALLP R
REINFORCEM NT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UND SLAB
FRAMING. w ,
JACK STUDS/HEADER
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-
(518) 761-8256
TOWN OF QUEENSBURY '
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR�' DEPART
REQUEST FOR INSPECTION RECEIVED:
NAME
LOCATION
DATE 19 PERMIT 0 C
TYPE OF STRUCTURE: Co 0 t1��
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POU FORM/
REINFORCEMENT I LACE
THE CONTRACTO IS RESPONSIBLE FOR
PROVIDING P TE TI N,FROM FREEZING
FOR 48 HO S FOLLO' LTG THE PLACE-
MENT OF HE CONCRETI�.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
LAI' CiLv::
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-
o1--�
TOM OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Day Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location _
Date -3-Cl Permit 0
SOIL TYPE: Sand-Loam-Clay-
Results of PeryteTnch
on Test-
(if applicable -Minute/Inch
TYPE OF SYSTE�ABSORPTION F _ tal Length
Length of ch
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATINS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
�.
SYSTEM USE APPROVED: YES NO
Arrived: // 1/U
Departed:
Buildings speetor
TOWN OF QUEEIMSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Read
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Ka
Location
Date — Permit #
SOIL TYPE: Sand-Lo -C ay-
Results of Percol i n Test-
(if applicable) ate Minute/I ch
TYPE OF SYSTEM: '
ABSORPTION FIELD: Total Le gth.
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number
Size - ft. ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. B x
Dist. Box to Feld/Pit
Openings Seal d? Yes No Partial
LOCATION/SEP TIO*9S:
Foundation 'o Tank feet
Foundation o Absorption feet
Separatio of Pits _ feet
Conforms s per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
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of i��� CEL, w—k `
SYSTEM USE APPROVED: YES
Arrived:
Depar L
J
Buildi g speetor
TOW OF QUEENSBURY
BUILDING b CODE ENFORCEMENT
531 Bay Road
Qoeensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 4C&LPA
Location _
Date r �-- � �p Perini t #
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) ate inute/Inch
TYPE OF SYSTEIM:
ABSORPTION FIELD: otal Length
Length of each - ei ch
Depth of tren es
Size of ston
SEEPAGE PITS: Numb r-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATIGN/SEPARATI0S:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
r�
J,C
n�
SYSTEM USE APPROVED: YES NO
Arrived: L/
Departed:
Building Inspector
9-� 3 (518) 761-8256
TOWN OF QUEENSBURY x
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR2L___2EPAR `
REQUEST FOR INSPECTIO� RECEIV D:
NAME
LOCATION
DATE - / 7ERMIT
- �
TYPE OF STRUCTURE:
r
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORUf
REINFORCEMENT IN A E-
THE CONTRACTOR IS RESPONSIBLE 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
XLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
'LZ
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT I
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARF 3Z,;} DEPAR G
REQUEST O INSPCT ON RECEIV '
NAME
LOCATIONI /� J
DATE `�O'er - PERMIT A ( _
TYPE OF STRUCTURE:
RECHECK APPROVED
N A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONS LE 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
F UNDATION DAMPPROOFING
ACKFILL 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
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- 1� _
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8250
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
i
n
INSPECTOR'S REPORT: A DEPAR�[
REQUEST F ECTIlQN RECE VED:
NAME !
LOCATION
DATE PERMIT q
TYPE OF STRUCTURE: JYl (
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