97-251 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY; NEW YORK
Date August 5 19 37
•
This is to certify that work requested to be done as shown by Permit No. 9725.1
has beensompleted.
SINGLE FAMILY DWELLING
This,structure Imay be occupied as a
LOT 18444 LAMBERT DR.
Location
Owner LA CASCIO, ANTHONY & .
TAX MAP NO. 1.21. -1-13 32 By Order Town Board
TOWN OF QUE SB RY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 83000 TOWN OF QUEENSBURY No. 97251
TAX MAP NO. 121 . —1-13. 32 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to LA CASCIO . ANTHONY &
OWNER of property located at LOT 18 LAMBERT DR. 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.
1. OWNER'S Address is
BARGMANN,H. & BARETTA, A. 6 HIGHLAND AVE .
QUEENSBURY NY 12804
2. CONTRACTOR or BUILDERS Name
AJS ENTERPRISES , INC.
3. CONTRACTOR or BUILDER'S Address
6 HIGHLAND AVENUE
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( )Wood Frame ( ) Masonry ( 1 Steel ( 1
7. PLANS and Specifications
18341OSQ FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
247 May 30 19 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
May 97
Dated at the Town of Queensbury this 30 Day of 19
SIGNED BY c4 )L s-E for the Town of Queensbury
Building and Zoning Inspector
11M1114432 ENERGY CODE COMPLIANCE APPLICATION
pbommi
'�ar' 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
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
fis%
4e7pc, P 14'7L k-r
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floo Area - 74F3 y° square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes k No
4 . Percentage of area of windows and doors Over 17% )( Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 3P
b. Exterior walls R . /9
c . Glazed areas R `L, c—
d. Exterior doors R /Z• c
e. Floors over unheated spaces R
f. Edge of slab on grade (heated building) R A/
g. Basement/cellar walls (above grade) R y/04
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code X Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° — WILL NOT BE EXCEEDED
Appliga,nt' nature DV 7o9n3 N� j
/4;7
INSPECTOR'S REMARKS:
`;4%j TOWN OF QUEENSBURY 'J
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # I 5)
Fee Paid
Date: ��0' Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: `D/ // i �-tr—/ d4 .
Owner' s Name:
y G /// h , �/' - �jv� tm
Owner' s Mailing Address: �7 �' �Gu ! �1' rx7
a/i Phone #: -'�'j�
Installer' s Name: �.�,l ��� �� ��� Y-
Number of bedrooms (if residential ) :
Total daily flow (residential-compute @ 150- gal . per bedroom): /-.:C-0
Topography-Circle One: Flat Rollin• Steep Slope - % of Slope
Soil Nature-Circle One: San Loam Clay Other /Depth:
Ground Water-At What Depth? �/ Feet
Bedrock or Impervious Material-At What Depth? r/V/1- Feet
Percolation Test-Circle One: Not Required Required/Rate 4 IIin. Per Inch
Domestic Water Supply-Circle One: unicipa , Well Other
If domestic water supply is a we 1 -
Separation: Water supply from any septic absorption �,/ feet
PROPOSED SYSTEM: Septic Tank JO-0 0 gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench S-6 feet//Total System Length -6 feet
Seepage Pit(s): Number of l,7� / Size each: ft. x ft.
Size of Stone to be used: # Z/ Depth or Thickness . 3 feet
HOLDING TANK SYSTEM IF REQUIREp
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: 5/`07
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:
TOWN OF ram -QUEENSBURY REVIEWED BY: \1i��COMMUNITY DEVELOPMENT DEPARTMENT `', -i c9
BUILDING & CODE ENFORCEMENT FEE PAID: S q
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 PERMIT NO. l - c
(518 ) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
OWNER OF PROPERTY: r6 6 J'(`'(,G
Mailing Address : / AV` % c✓ if v-C ,,A-14.5' 1Z/
Telephone Number(s ) : Work 7 y':j -7lei Ho e (OOther
PROPERTY LOCATION: 3y'!lO ! c'/s / " 3, 3 2_
Tax Map Number: Section 1f Block Lot
Subdivision Name: oQyCu/-0 6 ir Lot No. /r7
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ P3J d .
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PPRIARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family D
(NO CHANGE TO EXTERIOR SIZE) Office RFCEIVED
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturin MAY 21 1997
Other
GROSS AREA OF PROPOSED STRUCTURE:
/`�a TO�hlry�' '�'' `°� :jUF�1�
1ST FLOOR /'oj - SQ. FT. eb B �- u�
j - IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR 7F6 SQ. FT. o-(C�C7
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car
TOTAL FLOOR AREA: / 0C jy SQ. FT. jL Attached Garage - One wo a
Private Storage Buildi
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other .
FEET X 5 Z FEET
Foundation Type: ytod Ce6tc q 4, Will any second-hand or ungraded
Number of Stories : 2- lumber be used? If so, for what?
(habitable space only) / S
Height (grade to ridge) : )--/ feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: , ,. ke Elect ' Oil / Gas / Wood
orced Hot Ai / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS-f
NAME OF BUILDER/ADDRESS/PHONE : iTS
ro , . f/.1r°,< 4 7 �"7-'6'/•
NAME OF PLUMBER/ADDRESS/PHONE: I • t edo- 5`-�'.�7
NAME OF MASON/ADDRESS/PHONE: '�/' :i-A., 792-/3 7(
NAME OF ELECTRICAN/ADDRESS/PHONE: �S /o ke.r - ,. r,. 7 -7Sriy
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, together with the plans and specifications submitted, are a true
and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Code, the Zoning Ordinance
and all other laws pertaining to the proposed work shall be complied with,
whether specified or noted, and that such work is authorized by the owner.
Further it is understood that I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, AS BUILT PLOT PLAN
drawn to scale, showing actual location of premises .
Signature L�
(Owner, owne ' s e t, archi`t/ect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SI
-4J••9.a",1:._l '),,C 1'J9,4:),l•,94:)- t2 _l'.?AJ,,.1-a,!Z•ln?,_,:;lt.-In.e_:.1n.),neK),.9AA:,n5.,9Ae�.!3:..AJ.94 9 9_4l,..U',..:A9.l').9A'7..CJ.�,1:,,..0 �Ca.40n:.n.A._l'7.._.::M.:'J_..iC _l'0,l..P.,9- �AJd.Ie:e-4:lSk4.
J. IY
THE NEW YORK BOARD OF FIRE UNDERWRITERS I' '" '� ' r
• ,001 b M r
�, BUREAU OF ELECTRICITY
• ' 111 WASHINGTON AVE., • i , ALBANY, NY 12210
{r JGi1.`.':T 0.5,.1.9 •. i.6' 9 i!°.-: N i.,.. 1 VJ r
I
i0 Date Application.'o.on file Pi.rrlkill.l 1.' d�f:-•'.. •Lo i:..'1.3
!. THIS CERTIFIES THAT it
-<+ only the electrical equipment as described below and introduced by the app scant named on the above application number in the premises of Y
►-t.. a 5 L p F f 1 ! - 0,
►.i( '.`(1fv f ��1as�.;A:-L tO, T.u'�a-�BER DG. LOT 18,, i.� �l'i�".il1.4.j)t 11::1, I .Y. .11
in the following locationt�rll L�. r
} � Basement � 1st FL 0�2nd Fl. Section Block Lot
.• was examined on d►� and found to be in compliance with the National Electrical Code.
sk re'
.' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;h
j ECEPTACLES SWITCHES
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. T
Ore
-t I ,.2 22 2 1 1 !. ,._1
• ii
-I' DRYERS , FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,t
►'. iY
=<' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT., WATTS Y
J.
•
41
►' SERVICE DISCONNECT NO.OF S E R V I C _ E ___ - - -- 'r
t ,r
1% AMT. AMP. TYPE METER 1 if 2W 1..3W 3 0 3W 3.®'AW NO.OFF CR CCOND. OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS o NEUTRAL Y
;< I. .:(J}J,�) i:1-1 1 X 1. el/0 1 2/0
it OTHER APPARATUS: - :r
Ili, Giii, .1+.'.{.:.x:-. 'r
;.:i' ME-.E D5,jTEC'1'0!R:-.f.
t<i 1 t T
-� ,Y
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1. i,J 1 11'I�2'l:.fF i 1.}i`'.1 o•10:i ,.•.•6`, iV l . L L :„..
'; 1.I.,.l;W !"f'4Ll.,S r NY, 1 8 el ':s.y,r4 � ,6 GENERAL MANAGER y
- i - _ r V1 Per
!Si 1:
., This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. :
'(•4\.,f(Y?'i ?,1`/'c . c"i(Y' `i i'•i'CI ?Y fY{y'Cr ..7.1 YY YY YY C,Y Y'i\:•i YY(Y't•Y Y.Y Y?19 i'Y\'Y IY YY(Y YY'Cy f.Y YY Y..Y\,YY YY IY.Y FY FYY9YYYY YY`CY YY'1'Y Y4'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
K.,' ,5) {
TOWN OF QUEENSBURY
;w'1• �; BUILDING & CODE ENFORCEMENT
� � y 742 BAY ROAD
`�-a' QUEENSBURY NY 12804
"r z"y° (• (518) 761-8256
ARRIVE: - DEPART: si INSP:V
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPECTIO REQUEST RECEIVED: S—11
a
NAME
LOCATION I C `E—f"{
DATE , -S-`9 - 1 PERMIT U C)c—)—
TYPE OF STRUCTURE SjCAl
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHTIB VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
ECK PORCH STEPS RA LINGS
ELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
EMOKEDETECTORS
PATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
r
FINAL ELECTRICAL
SI PLANA VARIANCE REO.
FI AL SURVEY LOT PL N
OK TO ISSU C/O OR C/CV/ •
TOWN OF QUEENSBURY
41
441.��t".' BUILDING & CODE ENFORCEMENT
ci3 742 BAY ROAD
�'/" �"t QUEENSBURY NY 12804
` : l ' (518) 761-8256
ARRIVE: DEPART: INSP: GA
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSP CTIO REQUEST RECEIVED: g 7
NAME Q �c_ �,V)
' LOCATION �J
DATE (—J``9 L PERMIT 0 'S lJ
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
ECK PORC TEPS ILINGS
RELIEF VALVES '
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
ELUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE P VARIANCE REO.
INAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
(ArYu
-� .Q.
•.- TOWN OF QUEENSBURY
�7 , BUILDING & CODE ENFORCEMET
kf. 742 BAY ROAD
". ,.� , y QUEENSBURY NY 12804
" • r'.,t c (' (518) 761-8256 \
ARRIVE: Pv DEPART: I: INSP: ._
FINAL INSPECTION REPORT — RE DENTIAL 7
.....
DATE IN PECTION REQUEST RECEIVED:
r.
NAME Lie
LOCAT I O `'I
DATE g"—/ —97 PERMIT' A �12-
TYPE OF STR CTURE ,�
FOOTINGS FOUND KFILL FR�tTNG
ROUGH PLUMBING EPTIC NSULATION
FINAL ELECTRICAL ODSTOVE OR FIREPLACE
N/A 1� NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT - ((i7,
ROOFING
EXTERIOR FINISH- ` (12/7
DECK/PORCH/STEPS/RAI INGS--
RELIEF VALVES I
/
FURNACE/HOT WATE PERATING
INTERIOR TRIM/PRIVACY DOORS \�
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
/
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS lif
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATIONtv/
I: ii
GARAGE FIRE PROOFING
DOOR
FINAL ELER7CAL
SITE� 1 PLAN/VlRIAN REO.
FIN DRVEY PLO LAN-r ,� C-i 7/,,/
OK TO I SSU AJ[�1 OR CJC
1,iao jpj L=,� . P05 P4-56�
. TOWN OF QUEENSBU YQ " 1 ! U
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Ift
Name G A,C�__
Location c / Nealiif'��"it D
Date Permit #01, /i .
SOIL TYP • Sand- s.oam-Clay-
Results of ercol ti on Test
(if applicable) R to-Minut /Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total La n tli ;.lab
Length of each trench , , ,
Depth of trenches s 3 /
Size of stone ',i'`7i
SEEPAGE PITS: Numb"er- I
Size - ft. 1 ft.
Stone size '
PIPING: t Stz.e Type �/
Bldg. to Tank °` cam �"O
Tank to Dist. Box h " 2-0
Dist. Box to Field/f' . t' 4
Openings Sealed? /' e,s No Partial
LOCATION/SEPARATION .
Foundation to Tank/ feet
Foundation to Abso1rptio, feet
Separation of Pit fe-
Conforms as per P. of Plan, Yes •
LOCATION OF SYSTEM ON PRO ERTY:
(circle
Front - :._e_lt>i .'eft Side - Right Side
Middle Front - ) fiddle Rear
COMMENTS:
Ei n1AL- AP Roo iti--- ' ,.
SYSTEM USE ' 'PROVED: YES NO )
Arrived: ' : '°
Departed: Oral
v?f c
Building Inspector
feviNd cc
n� (518) 761-8256
TOWN OF QUEENSBURY �
BUILDING & CODE ENFORCEMENT 1
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR ySC)\DEPART1k ' i I _
REQUEST FFO IN ECTIION�� R,EECC\EIVED: ( -- /
NAME c' - Lc .SiV�
LOCATION all
DATE --7 9 7 PERMIT R q 7 --5(
�`TYPE OF STRUCTURE: 5'FA()
RECHECK APPROVED
N/A YES NQ
FOOTINGS/PIERS
MONOLITHIC POUR FORM - -,
REINFORCEMENT IN PLACE
THE CONTRACTOR\IS RESPON,IBLE FOR
PROVIDING PROTE`•TION- F•:iM FREEZING
FOR 48 HOURS FOLI\OWING TH PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS POSE ON SITE
Nlir
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPRO)FING
-BACKF-ILL -APPROV. - _ - -
PLUMBING VENT/VENTS IN PLACE
tn� j
ROUGH PLUMBING f Q\�'S\ J
PLUMBING UNDER SLAB -
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
TING 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 ez,
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 4 s. 1kf 9`
INSPECTOR'S REPORT: ARR/6 EPAVelA NT42v
REQUEST FORO INSPECTION RECEIVED:
NAME L-o(195C! 0 /�
LOCATION �r/g L K r lac •
c
DATE 7/i 97 PERMIT 0 q7— z-5'- /
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES ONSIBLE FOR
PROVIDING PROTE TION ROM FREEZING
FOR 46 HOURS FOLLOWI G THE PLACE-
MENT OF THE CONCRET
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE f. _
FOUNDATION/DAMPPROOFING
B KFILL APPROVAL
LUMBING VENT/VENTS IN PLACE _ f
ROUGH PLUMBING 1//
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-
•
!)6 j 4 L ,4) I C. R_,q--r .5 / 5
Arc\
(518) 761-8256
TOWN OF QUEENSBURY , '•
BUILDING & CODE ENFORCEMENT ^
742 BAY RD., QUEENSBURY NY 12804
'.L �
INSPECTOR'S REPORT: ARR DEPA i' NT'
REQUEST FOR INS ECTION RECEIVED: ®- ` 7
N.,NAME /
G
LOCATION 6
T
DATE PERMIT 1
7
TYPE OFdRUG URE: / ,S 0
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLA.Og-
THE CONTRACTOR IS RESPONS LE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING TH PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE,_
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _ _,,,_
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
LUMBING VENT/VENTS IN PLACE
OUGH PLUMBING
11/
PLUMBING UNDER SLAB
-ZING' /
J CK STUDS/HEADERS z/
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
IR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- .-_j
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN Ill
UNHEATED SPACES R-
641
• r (518) 761-8256
TOWN OF QUEENSBURY :+
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRil DDEPART4,A�N .
REQUEST FOR IN PPECCT�ION RECEIVED: /c) g / 7
-
NAME o"'� a jC%r D74-
/Vj
LOCATION ��4 O
DATE qa§-75)-7 PERMIT fl /
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE THE CONTRACTOR IS ESP NSIBLE FOR
PROVIDING PROTE T ON FR M FREEZING
FOR 48 HOURS FOLLO4ING T E PLACE—
MENT OF TH CONCRE E.
MATERIALS FOR T I,S PUS E ON SITE
FOUNDATION WALLPOUZ
REINFORCEMENT IN P ACE
FOUNDATION/DAMPPRO FING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE —
ROUGH PLUMBING
PLUMBING UNDER SLAB - /
aING: ►/. /
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— _
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742 BAY RD., QUEENSBURY NY 12804
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