97-509 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN -COUNTY, NEW YORK
November 19 97•
Date 19
This is to certify that work requested to be done as .shown by Permit No. 9 7 5@ 9
has been completed.
SINGLE FAMILY DWELLING .
This structure may be occupied as a
• 39 BENNETT RD. •
Location
CLUTE. LARRY
Owner
TAX MAP NO. 83. -1-1.5. By Order Town Board
wNTQU
Director of Bldg. & Code Enforcement -
BUILDING PERMIT
VALUE $ 85000 TOWN OF QUEENSBURY 97509
TAX MAP NO. 83. -1-15 No.
WARREN COUNTY, NEW YORK
CLUTE, LARRY
PERMISSION is hereby granted to
360 BENNETT RD.
OWNER of property located at Street, Road or Ave.
SINGLE FAMILY DWELLING
in the Town of Queensbury,To Construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. COMEBRIPPlikek&AD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
CLUTE ENTERPRISES , INC .
3. MENTB WNR RralMELDER'S Address
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. A'FLCHEt801'$7NO8ress
HAGUE , NY 12836
6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING
( )Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
1248 SQ FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE AS
PER PLOT PLAN SPECIFICATIONS
B. Proposed Use
SINGLE FAMILY DWELLING
167 September 8 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
8 September 97
Dated at the Town o uee sbury this Day of 19
SIGNED BY /
J for the Town of Queensbury
(/� --
Building a ning nspector
• puntaing I-'erinit Application '
Town of Queensbui y - Dept. (f Continually Development, 742 Bay Road,
BUILDING & . CODE ENFORCEMENTQ1eettsbtny, NY 12804 (76132561 NOTICE Requirements prior to issuance
A permit must be obtained before , of this permit: PERMIT FILE NO.
beginning construction. No inspections •
will be made until applicant has received 1-7Zoning Board Action PERMIT FEE MID$ 6)7, 6°
n VALID BUILDING PERMIT. All • Area /Use
applicants' spaces on this application RECREATION FEE AID$
MUST be completed and•lh e signature
of the applicant must appet on the n PlanningBoard ACtion REVIEWED BY:
�ppliention form. Thank N... SPR / Subdivision /Other
Dultding titc/xcto
J Recreation Fee Payment
Applicant: Owner: .c.�.C a 4.
Address: t� •L P� C 'a Address:
•
Phone # ( )',S - `7,aZ 7 Phone # ( ) - •
Properly I.ocnlioti: A`'s-•N ,(- ZS ...
Wnittllvlaluii Nnnlhl Tim Mnp Nnnthpr J�
.. ..._. ....... ... .. .. .._ .. ... 7-LilQtIon lIIn k 10
Nl
RE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Bui g: CONSTRUCTION:
< n commercial $ ��t �
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Pr' ary Building -
residence / commercial SSingle Family Dwelling
• Residence / Commercial Two Family Dwelling
A no change to exterior size Family Dwe - '
Other Work (describe below) Office
Mercant 1 O
Manufacturing
Other sEp 021997
GROSS AREA OF PROPOSED STRUCTURE: / ;? •
.53‘0UCt` �Y
1st Floor sq. ft. C) If ADDITION,.; wh GAS e
2nd .Floor f <' of new additioi r4
�n�-`7 sq. !
Other Floors sq. ft`
(not unfinished cellar or baseme ) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: - i.• O.-cry- SQ. FT. ' Attached Garage 1, car
Private Storage Bui ing
SIZE OF NEW STRUCTURE: Commercial Storage Building
l / • Other
`7 FEET X FEET
Foundation Type: Will any second-hand or ungraded
' Number of Stories : � lumber be used? � If so, for what?
(habitable space only) 4 `��
Height (grade to ridge) : -5 feet TYPE OF HEATING SYSTEM:
Number of fireplaces d/or woodstove (circle all whic lies)
to be installed: E Gas /Wood
.orced Hot Air aseboard / Other
Person responsib a for supervise n of work as regards to building(
codes is : C Q _ O0., , . "J
Name Addresss Phone
Builder: •
Plumber: .
. Mason: 2 `��"17
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
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorize. . the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupa - or Ce tificate of C• fiance)) ing issued, an AS BUILT PLOT PLAN by
a licensed survey ; drawn to .cale, show' gar tual 1 lion of project on premises.
Signature: `�� �
(owner, owyer-'s agent, architect, contractor)
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury Permit No. atIV- 01
Dept. of Community Development
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
__
Location of property for installation:
Property Owner's Name:
Property Owner's Mailing Address:
Installer's Name: L-C,L 1.1 Phone # 7 —7-)-Z 7
Number of bedrooms (if residential): Total daily flow:
(residential - compute @ 150 gal./bdrm.)
Topography: 7< flat, rolling, steep slope % of slope
Soil Nature: ?5 sand, loam, clay, other /depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet
Percolation test: not required, required [rate min. per inch]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank: (043 0 gallon (minimum size: 1,000 gal.)
Tile field: each trench SO feet / Total system length: c 2C 0 feet
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: # 2 I depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
CAl_arm system and associated electrical wont to be inspected by a certified agency.For your protection please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to • appli • and agree by these and all requirements of the Town of
Queensbury Sanitary Sewage Disposal
Signature of responsible per ry Date: /,Z �i 7
• ri -60 7
•
ENERGY CODE COMPLIANCE APPLICATIO_
3i YT_ ®�
.'¢ TOWN OF QUEENSBURY, WARREN COUNTY cE�`�
• �L. 9000 HEATING DEGREE DAYS
It SEp 21991
Cord ; ante Methods : PART 5 — Acceptable Practice Method. E �
1&2 Family Dwellings (o �+' '0 NG pt�D 00®�
PART 6* — Thermal Rating - Comoon� rade 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:
—
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - scuare feet
2 . Tvpe of Heat - Electric Oil " Gas Other •
3 . Is building mechanically cooled? Yes No
• 4 . Percentage of area of windows and doors Over 17% Under 17%
5 . P.—VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 3c'5
b . Exterior walls R (c7
c _ Glazed areas R L-(
d_ Exterior doors - R a,
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 K
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes. No
PE- 'TURE CO. -0 s MAXIMUM SETTING I40° -. WILL NOT BE EXCEEDED
A• • i ca A , Si'natur �\ D4t:q. Phone Number
•
INSPECT•R' S REMARKS:
.
A ....,,, "I have seen or observed:it believitsavretidescr of.
1 (J)
I d i (13 aslhloowbnieoctn s such. ioasc m houses,ent also represent th
. wells,trees,fences,at i have .
.ors I ,a ly measu ed the d.. . ,es . forth on the diagram?'
I N ..) /-42.—C
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--•
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code,Enforcement
742 0,ay Road
Queensbury,NY 12804 Arrive am/pm Depar()- am/pm
Inspector's Initials •
C'5-Y-eAAP
NAME: U � PERMIT# v)C1
LOCATION: �n DATE : -0-1-TYPE OF STRUCTURE
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following pl.cement
of the concrete.
Materials for this p -se on s'.-
Foundation/Wallpour
Reinforcement in P1. -
Founda ' n/Dam. oo _ ✓J
11Atpprova OJ
Plumbi g Under S •
Plumbin: - 'r ents in Place
Rough Plum•',I g
Heating Rout -In
Insulation
Foun.. ion Walls Interior R-
Foun•:tion Walls Exterior R-
Floo . R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing .
•
Jack Studs/Headers
Bracing/Bridging •
Joist.Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour •
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
c2.f
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
.�wilding& Code Enforcement
742 :=ay Road
Quee,i:sbury,NY 12804 Arrive De art m/
Ins=ector's Initials
NAME: VILAdt, d C ` P PE' #
LOCATION: l�WpAriar DATE I
TYPE OF STRUC
RECHECK
` AYE NCI. COMMENTS
Footings/Piers I„
Monolithic Pour Form
k\ 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/Wallpour
Reinforcement in Place `
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
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-
Proper Vent, Attic Vent
Framing •
Jack Studs/Headers
Bracing/Bridging
- Joist Hangers
Jack Posts/Main Beam
•
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
TOWN OF QUEENSBURY
.� BUILDING & CODE ENFORCEMENT
7.f 742 BAY ROAD
.� � ' QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART:
FINAL INSPECTION REPORT - 'RESIDENTIAL
DATE INSPECTION REQUEST RE 'I ED: I ( ,%( I
NAME 1 }Cil• Q i
LOCATION ,3 (0C) _ /l� ' \1 '(4:` \0
DATE ) I` PERMIT 19 Ti .511
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
DECK/PORCH/STEPS/RA -ING
RELIEF VALVES
FURNACE/HOT WATER OPE• •T
INTERIOR TRIM/PRIV= 'Y DoORS
FINISH- FLOORS•
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL //ELECTRICAL
SITES PLAN/VARIANCE REQ.
`'T- 4L -SURVEY PLOT PLAN
(R/'
( TO ISSUE C/O OR C/C
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 q 7-0?
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. i Cert. N° 4 9 9 7 6 Cut-in Card No.
Owner ,Z_ /9-7Zil>(' e e-14- re—
Occupant
Location /9"Cilf Ai 4---77- R-P
Installation Consisting of.3 6 WI 7 # . ;2..,e_e-ce—iv / 96/ rz-5-
, ,
BA-Ai'6 er ,Dia) Diay'e---41
i i i • •
Installed By `D‘ /6/-11 665 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 Map cti ns at any ti e,and if its
rules are violated,the Com any shall have the right to revo e t ce i
Date //-1 5-9'
INSPECTO
ember N.F.P.A.,I.A.E.I.
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 t
Building & Code Enforcment Arrive' - , / Ins?
Dept. of Community Development
Town of Queensbury Date Inspection Request Received: `1-1 7 9 7
742 Bay Road
Queensbury, NY 12804
NAME I X a n a PERMIT NO 9 ` -5 / \
LOCATION • ,3(()() (2 pn\;IN Rey:t�) DATE \,\ " -9 7
TYPE OF STRUCTURE
N/A 7LNO
COMMENTS
Chimney Height/"B" Vent/Direct Vent Location
Fresh Air Intake17/
Plumb Vent Through Roof 7 Roof Complete
Exterior Finish Complete
Interior/Exterior Railin s 0" to 36"
Exterior Handrails, Bal oniey, Landing 18 in. or more
Interior Handrails Stairs oth`.Sides 3 or More Risers ✓
Grade 2% Away From F dation V
8" Clearance To Sill Plate \ /
Gas Valve Shut-Off Expos egilator 18" Above Grade
Gas Furnace Shu.Off within 0 Feet or within Line of Site - t
Oil Furnace Shut-s , at Ent • 1 to Furnace Area
Furnace/Hot Water Heater Oper.ting i2
Relief Valve(s) Installed I
Headroom 6 ft. 6 in. On Stair
Basement Stairs 6 ft. 4 in.
Handrail Exterior Stairs Both Sides ' ore Than 3 Risers
Interior Privacy/Trim/Doors/Main Entrance 36" /
Floor Finish 1
Bathroom/Kitchenq,/Watertight /
Interior Handrails Balconies/Landing 18 in. or more J
Railing Across Window in Stairwells j ,/
Smoke Detectors: h
every level
every bedroom "17/-
outside every bedroom � /
inter connected u"1j
Bathroom Fans 4✓
Plumbing Fixtures
Foundation Insulation
3/4 Hour Fire Door/Door Closer
Garage Fireproofing / J
Garage Penetrations Sealed /
Furnace In Separate Room Protected (In Garage) �,/
Light Ventilation Per Room
Safety Glazing 18" of Less from Floor
.1.,12/7
Final Electrical k l k 13 tall e_G[5
Site PlanNariance Required
'1/4/1/
Final Survey Plot Plan
As Built Septic System Layout Req.
Okay to Issue Temp C/O
s
cR D lI O& % c�� 1-1ok. 6 attAi 1110f' i
1 OM
TOWN OF QUEENSBURY T L
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name `c Q )
Location , ( ` 'Q
Date \\-5 9,1 Permit #9 7 SOG1
SOIL TYPE: Sand- 'oam-Clay-
Results of Percol tion Test-
(if applicable) Ra e-Minute/Inc 4A
TYPE OF SYSTEM:
ABSORPTION FIELD: To al Length r2(L)
Length of each trench 4419
Depth of trenches ,L—yr
Size of stone 2--
SEEPAGE PITS: Number- \
Size - ft. x 1 t.
Stone size
PIPING: izr Type
Bldg. to Tank
Tank to Dist. Box fr4c.,
Dist. Box to Field/P' L/ Pk
Openings Sealed? e� . Partial
LOCATION/SEPARATIONS:
Foundation to Tank /j feet
Foundation to Absorption feet
Separation of Pits eet
Conforms as per Plot Plan 41pr No
LOCATION OF SYSTEM ON PROP:R .
(circle o -
Front - 'ear - Left Side - Right 'ide
Middle Front - Middle Rear
COMMENTS:
^mac `C\eOLi a
ria \
� 1
SYSTEM USE APPROVED: dt NO
Arrived: l(a'Io
Departed:
Building nspector
,1
A .
havese , or o b s-e r v e , or believesw evident4 of,
.0;
1. A
oh..:1-.,ct such as houses, wells,trees,fences,etc.,
,
I ri• on 4--; oc ment. I also represent that I have
..rs . ally measu ecl the cl. ,
. . ,es forth on the diagram."
I 1 i
1 —NI 1
1.1:2_6,1
1 ,
. ., - ...Tre.. .. -
14
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A 1
1
1 I
1
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0) 3D
poi) G (51 ) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT '[
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR 4 O DEPART 'I�NT �ur6
REQUEST F': NSP CTION RECEIVED: J O p�-J
NAME , 10_
LOCATION tRa
DATE '( _al • 9 l
TYPE..OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO'
REINFORCEMENT\IN -A
THE CONTRACTOR RESPO SIDLE FOR
PROVIDING PROTE I. -OM FREEZING
FOR 48 HOURS FOLL•WING THE PLACE-
MENT OF THE CONCR:TE.
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: J
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATI_NG,,ROUGH-IN
INSULATION:
_FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FALL
WALLS
R-:
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
•
/'
LAkeler-rre
(518) 761-8256
TOWN OF QUEENSBURY y
01
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ___ ``�,..,
INSPECTOR'S REPORT: ARR DEPART�. �/ INTV R
O
REQUEST FO INSPECTION RECEIVED:
NAME LUI1`—
LOCATION ',6 /3&%01)w(yl -'7T /Q0 ! �ry
DATE /a// 6/�/ PERMIT R 97' v/
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM -
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON IBLE F R
PROVIDING PROTE TION F FREEZIG
FOR 48 HOURS FOLLOWING, H PLACE
MERIT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE N SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE f _
FOUNDATION/DAMPPROOFING
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
) UMBING UNDER SLABRAMING:
JACK STUDS/HEADERS Vf
BRACING/BRIDGING _ V
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-
DIY- . jvp5 (1.,uD<iQ F , Jo�,�;s psi Fa
'k21,) 1 LoA(L
o yk4 Ler6- gQ l 961 AKe - WALL iV LA)
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 �• i • "
INSPECTOR'S REPORT: ARR4 '00"-'DEPART o�5 INTV��--
REQUEST FOR INSPECTION RECEIVED:
NAME 2n �'^
LOCATION /�J / �,'V/VG�'7 /-G'7 �]
DATE /ZS/ �fJ �/ PERMIT fl / / V /
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS A_
MONOLITHIC POUR F.
REINFORCEMENT IN PL '
f
THE CONTRACTOR IS RESP4 -BLE FOR
PROVIDING PROTE TION 'ROM FREEZING
FOR 48 HOURS FOLLOWI e THE PLACE-
MENT OF THE CONCRETE
MATERIALS FOR THIS 'URPOSE 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- • �
Ckl?4571 .Arili 144.at*i47 re fig.)
(518) 761 825
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 +`
INSPECTOR'S REPORT: ARR DEPA4: 25IN'N
REQUEST F INSPECTION RE�CCE�IjVED: / O "I •J •ei 7
NAME lac -"_"�'C-NC
LOCATION' O _ 4 r
DATE ill) I s--9 ) PERMIT A �---) - c°
TYPE OF STRUCTURE: C 0
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES SIBLE FOR
PROVIDING PROTE ION FR•M FREEZING
FOR 48 HOURS FOL 'WIG T E PLACE-
MENT OF THE CONCRE' _
MATERIALS FOR THIS PIWOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLAC _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _. /�
UGH PLUMBING - r4✓//
PLUMBING UNDER SLAB
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
1 R INFILTRATION BARRIER 4_
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
t, 742 BAY RD., QUEENSBURY`1 NY 12804
IN PECTOR'S REPORT: ARR AM DEPART INT Q4
REQEST FOR INSPECTION ECEIVED:
NAME 2:41
LOCATON
DATE PERMIT
TYPE OF�r STRUC UR :
RECHECK L APPROVED
% N/fA YES NO
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FOOTINGS PIERS
MONOLITHIC\POUR FORM
REINFORCEMENT IN PLACE 5`
THE CONTRAC OR IS RESPONSIBLE FO
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE—
MENT OF THE CONCRETE. I
• I
MATERIALS FOR THIS PURPOSE ON SITE
47
FOUNDATION/WALLPOUR —
REINFORCEMENT INPLACE 17
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BACKFILL APPROVAL Fe.
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JACK POST` MAIN BEAM
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INSULATION: I IL
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FOUNDATION WALLS EXTERIOR R"_`_
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CEILING 1 R— `a
DUCT K WO OR PIPING IN 3_
UNHEAT SPACES R—
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(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT `j v
742 BAY RD., QUEENSBURY NY 12804 ,:.�,;,.�)
INSPECTOR'S REPORT: ARR , IDEPART INT b
REQUEST FOR INSPECTION, RECEIVED:
NAME _ J/
4 `, ,
LOCATION , /�` ;l G
DATE . rr PERMIT f -46,w
TYPE OF STR' CTURE: /17
RECHECK \ APPROVED
I �A`� YES NO
FOOTINGS/PIERS (=`f]� ��,,/
MONOLITHIC POU FORM !�f •
•
REINFORCEMENT I+N PLACE _
THE CONTRACTOR Y'S RESPONSIBLE FOR/
PROVIDING PROTE ION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE/
MENT OF THE CONCRETE.
MATERIALS FOR THIS`�PURPOSE ON _
FOUNDATION/WALLPOUR3• i
REINFORCEMENT IN PLACE / _ e �
FOUNDATION/DAMPPROOFIN.G / _ `'
BACKFILL APPROVAL
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ROUGH PLUMBING
PLUMBING UNDER SLAB \
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BRACING/BRI�"JGING
JOIST HANG S
JACK POSTS'MAIN BEAM
AIR INFILTRATION :ARRIER
HEATING ROUGH-IN /
INSULATION:
FOUNDATION WALLS INTERIOR R-
FLOORATION FALLS EXTERIOR R-
FLOORS / R- -
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WALLS R-
CEILING R- _
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
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(518) 761-8256
TOWN OF QUEENSBURY r
BUILDING & CODE ENFORCEMENT =-;:;�
742 BAY RD. , QUEENSBURY NY 12804 ,,' .•',,g°* r,
INSPECTOR'S REPORT: ARR OV/d DEPART INT7*
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JOIST HANGERS
JACK POJ� TS/MAIN BEAM
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INSULATION:
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FOUNDATI N WALLS EXTERIOR R-
FLOORS / R _
WALLS J R-\
CEILING/ R- \
DUCT WORK OR PIPING IN \
UNHEAT D SPACES R- •`,
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ONV\ (518) 761-8256
TOWN OF QUEENSBURY '
BUILDING & CODE ENFORCEMENT .
742 BAY RD. , QUEENSBURY NY 12804 Cray
INSPECTOR'S REPORT: ARR DEPART O- ; ///
REQUEST FOR INSPECTION REC .V !: .
NAME Q�f, i;-A&
1air
LOCATION 3& 0
DATE DI-15—197 PERMIT A /
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
OTINGS/PIERS
MONOLITHIC POU FO _
REINFORCEMENT IN P •
THE CONTRACTOR IS R PONSIHLE 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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