97-501 , • ,
•
CERTIFICATE OF OCCUPANCY „
TOWN OF QUEENSBURY
• WARREN COUNTY, NEW YORK
• - • march 22 99
• Date 19
çp1 //.
0 13
- 97501 ,
This is to certify that work requested to be done as shown by`Permit No.
has been completed.
RESIDENTIAL INTERIOR ALTERATION
This structure may be occupied as a
164 CHESTNUT RIDGE RD
Location
LOWELL, DANIEL
Owner
TAX MAP NO . 54 . -2-7 . 24 • By Order TOwn,Board •
TOWN OF QUEENSBURY
( aut'
Director of Bldg. & Code Enforcement
• , _
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 0 No. 97501
TAX MAP NO . 54 . -2-7 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to LOWELL, D II-EL
OWNER of property located at 164 CHESTNUT RIDGE RD. E. & W. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAL INTERIOR AL'L RAtTI.ON
at the above location in accordance to application together with plot plans andother information ere o tiled and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
93 PEARL ST
HUDSON FALLS , NY 12839
2. CONTRACTOR or BUILDERS Name
LOWELL, DANIEL
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
COMMONWEALTH
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( )Masonry ( )Stee
REgSDENTIAL ALTERATIONS
7. PLANS and Specifications
1600 fQ FT RESIDENTIAL INTERIOR ALTERATIONS AS PER PLOT PLAN
SPECIFTCATTONS
B. Proposed Use
RESIDENTIAL INTERIOR . ALTERATION
$ 64 PERMIT FEE PAID —THIS PERMIT EXPIRES September 9 19 99
(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 9 Day of September 19 97
` 1 \
SIGNED BY �1 � for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
Town of Queensbu,' - Dept. o Community Development, 742 fla-y f Y 1 y Road, Queell.sbrrry, NI' 12804 1761-8256]
I '° BUILDING St . CODE ENFORCEMENT
NOTICE Requirements prior to issuance_
A permit must be obtained before of this permit: I _d _.• :7 ,:'PERM IT FILE NO. TS
beginning construction. No inspections r g
AUGPCRM/T FEE P�11D$
will be made :mtil applicant has received n Zoning Board A�tion AUG
`� � �J,�
a VALID BUILDING PERMIT. All • Area /Use
applicants' spaces on this application TC<<fYa ,-.�'' "'s"^RECRC�iT1ON FEE /At/�n[$
MUST be completed and.the signature Q Planning Board ACtioii —"�`--�IZCVICWEU lilt• -----
of the applicant must appear on the
Qpplieation form. r>anri„,,. SPR / Subdivision /Other, �^ n �� .1Building Inspector
Recreation Fee Payment C.�1\Prv~
Applicant: �` `�sa 1 Lt.io`\ q Owner: ti\1�-\ S \--OA26 %7--
' Address: � l� cam\ QA• \\i-, G Ll?,LI Address: ) o'\ (" NQ «e. \c --K'6
• J
Phone # Efe, )�,.0_ - ` � �Phone # (5� ) - L1-.
Properly Location: /6,4 i 8.4 ' .. �--�,
0 TIP( Mnp Nunilwr S:�...._, -2
' iiI'tllvinittn Nnnit�l Notion I►look 101
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: .$
residence / commercial
dition to Building:
resi . / commercial OCCUPANCY INFORMATION:
- \ Alter ion uilding: Primary Building -
residence / commercial Single Family Dwelling
Resid mmercial oC Two Family Dwelling?; -_-0:. ,-
no change to exterior size . Family Dwellling- ' _. .: '_,''
Office
Other Work (describe below) Mercantile AUG 2 81997
Manufacturing
Other ",:: _ !:. .
GROSS AREA OF PROPOSED STRUCTURE: • ;- _�,R«_4
ibc .`3 z If ADDITION, what will use
1st Floor 5E3 sq. ft.i ffe-3 of new addition be? :
2nd .Floor GU, sq. ft.
Other Floors sq. ft.
•
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: ' t/6 d� SQ. FT. Attached Garage 1, 2 car
d Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
' Other
FEET X-- FEET
Foundation Type: CS7n'4-C/ Will any second-hand or ungraded
' Number of Stories: ' ' lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : 3 r- feet TYPE OF HEATVSYSTEM:
Number of fireplaces nd/or Ito dstov9 e(Circle all • :.li-s)
to be installed: / - Electric / Oilc -Ga . flood
Forced Hot it : :seboarc / Other
Person responsib fo su rvis on work as regas to building
codes is : ��< � rg/'17' 5381
Name Addresss Phone
Builder: •
• Plumber: / lf�/J
Mason: CJ /// . .
•
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 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, an AS BUILT PLOT PLAN by
a licensed surveyor; awn ly71in ctual location of project on premises.
Signature: / , I
(o ner, own s a ent, arc nitect, contractor)
•
7 r
_ AUG 2 8 1997
•
• ^1c ENERGY CODE COMPLIANCE APPLICA' I QN`_ "
� .1 T04iN OF QUEENSBUP.y, WARREN COUNTY' +'
9000 HEATING DEGREE DAYS---u�r-�
Comml i ante 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:
PART 5 METHOD OFF/'' COMPLIANCE BY ACCEPTABLE PRACTICE:
•
1 . Gross Floor Area - l�cSd6 scuare feed
2 . Type of Heat - Electric Gil L. Other
3 . Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors Over 17% Des-tinder 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOW ON PLANS SUBMITTED:
a . Roof R ,J g
b . Exterior walls R !,
c _ Glazed areas R '1
d . Exterior doors • R .3 .C0 _
e . Floors over unheated spaces • 7R
f . Edge of slab on grade ( heated building) R
g. Basement/cellar walls ( above grade) R
h . Basement/cellar walls (below grade)
1 . Heating/cooling-ducts-piping in unheated space R
•
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes, No
TE:SPERATURE CONTROL MAXIMUM SETTING 14O0 = WILL NOT BE EXCEEDED
App icant's -Signature Date Phone Number
INSPECTOR' S REMARKS:
•
V
BLDG. PERMIT NO. 9 7-S 01
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; 164 Chestnut Ridge Road
for the following uses: Alterations to Single FamilvbDwellina
December 22, 1998
DATE SIGNATURE OF APPLICANT
ar
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (y APPROVED
( )DISAPPROVED
with the following conditions: Certificate of Occupancy to be issued
upon completion of : Basement Insulation and Hand Rails on
First and 2nd Floors
TEMPORARY CERTIFICATE OF OCCUPANCY F(B$:O$, 0.00 EP )
received on Decger 22 , 1998 ---
Date of Issuance Director of Bldg. & Code Enforcement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
�1___ . t
RESIDENTIAL FINAL INSPECTION REPORT /c)" ,
r
Office-No."(518)761-8256 adi
Date inspection request received: —'� a w'V"`
Building& Code Enforcement 7 ""Ve
Dept. of Community Development Arrive . am/pm Depa 1•✓- ap/
Town of Queensbury Inspector's Initials . s3
742 Bay Road
Queensbury,New York 12804 �j
NAME L6 PERMIT# q/( -- 6'J
LOCATION / 4ti k aTAr- /(2/ / DATE D --2d`19
TYPE OF STRUCTURE ki40- C rives i `i-z
N/A. YE NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
f Complete
xterior Finish Complete
Interior/Exterior Railings 30"to 36" \ /
Exterior Handrails,balconies,landing 18 in. or more �/ 71// 1 -
Interior Handrails stairs both sides 3 or mor risers \
Grade 2%away from foundation
8"clearance to sill plate '.
Gas Valve shut-off exposed/regulator 18,"at ove grade ///
Gas Furnace shut-off within 30 feet or withi line of s' e i ✓Oil Furnace shut-off at entrance to furnace area ��
Furnace/Hot Water Heater operating (/
Relief Valve(s)installed i ✓
Headroom,6 ft. 6 in. on stairs /
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more h an 3 risers
Interior privacy/trim/doors/main entranc 36" J/
Floor Finish
Bathroom/Kitchen watertight .
Interior Handrails Balconies/Landing 1 in.or more fi
Railing across window in stairwells k/ �_
Smoke Detectors: /
every level ,//
every bedroom ✓/
outside every bedroom 1//
inter connected V
JBathroom fans /
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer li
Garage fireproofing `�
Garage penetrations sealed I1 /
Furnace in separate room protected(in garage) V; '
Light ventilation per room / V
Safety glazing 18"or less fr'm f1 w V1
Final Electrical U)i 13 (��1�
Site Plan/Variance required
Final Survey Plot Plan i
As Built Septic System layout required ,
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy) , \
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256
Building & Code Enforcment Arrive: / 'O: Insp: J p� �E'`'/
Dept. of Community Development
Town of Queensbury Date Inspection Request Received:
742 Bay Road
Queensbury, NY 12804
NAME e% PERMIT NO. Cs. 7 CO
LOCATION •C.2 f-1 i ti?u'i RN,ne.A se.-- DATE 12 ; 1 G,
TYPE OF STRUCTURE f 4JT 4 -r-
N/A YES .NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location 1 l�
g
Fresh Air Intake
Plumb Vent Through Roof /
Roof Complete ✓
Exterior Finish Complete /
Interior/Exterior Railings 30" to 36" f V )f13`JrA — 14}}1C•OIQ/}IC--7 0 cc-e_L `
Exterior Handrails, Balconies, Landing 18 in. or moreC Z't- }�C
Interior Handrails Stairs Both Sides 3 or More RisersN.(' .//
Grade 2% Away From Foundation
8" Clearance To Sill P to
Gas Valve Shut-Off Ex sed/Regulator 1 bove Grade `./
Gas Furnace Shut-Off ' 30 Feet or Line of Site iOil Funnace Shut Off at trance to F . • Area f
rn Fuace/Hot Water Heater Operating J
Relief Valve(s) Installed
Headroom 6 ft. 6 in. On Stair ....,(7/
Basement Stairs 6 ft. 4 in.
Handrail Exterior Stairs Both Sides More Than 3 Risers
Interior Privacy/Trim/Doors/M. Entrance 36" /i
Floor Finish ,�II
Bathroom/Kitchen Watertig .1/4/
Interior Handrails Balconi-./Landing 18 in. or more
Railing Across Window Stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected ikdilli
Bathroom Fans
Plumbing Fixtures
Foundation Insulation i 149e4ira-- 1� Cam,.
3/4 Hour Fire Door/Door Closer ct i-1 nk
Garage Fireproofing V/
Garage Penetrations Sealed �/
Furnace In Separate Room Protected (In Garage)
Light Ventilation Per Room y
Safety Glazing 18" or Less Fr m Fl r Final Electrical1 12 '3
Site Plan/Variance Required
Final Survey Plot Plan
As Built Septic System Layout Req.
Okay to Issue Temp C/O
1 sziv qO b 1'. % ( /4&) & (-0A)'p 1 i lo%C
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. 'j
Main Office 176 Doe Run Road-Manheim,PA 17545 (
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL OS N
Panel Board No nn Cert.N2 66225 Cut-in Card No./14 /13/
Owner . r;o
Location C,( S......L. /Z!vG e (3? .) e e n,t Ja ri 11,,
Installation Consisting of...(191'T / ooe ) Aso C-4 -s("fly/c e_
via Pee, 3o sic% ay L7S, K Srno/ce fleI KL,CI?/4
7 < S
Installed By 'P- es C.Q r LC., Lic.No.
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 inspections at any time, and if its
rules are violated,the Company shall have the right to oke this certificate.
Date / o/ 3/9 INSPECTORS_ .sJ ww 11
J:. > FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
•
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED 9/2 ,fl PERMIT# 97 s0/
NAME .4.209 4/4949 -.
LOCATION �
SCHEDULE INSPECTION ON Y /�'
PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES _ _
STORAGE: _
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE -
rIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
d 9 1/
(lO:;47(ilhfikee,
INSPSLIP.PUB INSPECTOR
4/12a2e122,4/
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ---- '( C-4\-\\ \\\\\
Queensbury,NY 12804 Arriv �= am/pm Depa i
bb Inspector's Initials
NAME: � _�u PERMIT# 9 7 �5
LOCATION: i6T.s,YJT /€, x26 DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YE NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Hea g Rou f In
lation j% �
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- f
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic V t
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
r i-L c'
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road �j�
Queensbury,NY 12804 Arrives 6" am/pm Depart/ -) 1m/pm
Inspector's Initials
NAME: LOtl.)&i-
PERMIT# - I /
LOCATION: %/v/i1%4069-s DATE : 67-6'!L
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is re •o nsib .r
providing protection om freez g
for 48 hours followin the place,.:ent
of the concrete.
Materials for this purpose o si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
eating Rough /
Insulation 1/4J Art, yt i
Foundation Walls Interior R- J O 1i)S j*-[_C: �(�/'u� GN
Foundation Walls Exterior R-
Floors R-
Walls 1 R-
Ceiling j% tSxR- /9tf
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
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road : �(�
Queensbury,NY 12804 Arrive m/pm Depa l CI am/ m
Inspector's Initials - +
NAME: L- c )& _ PERMIT# 6 7`5.0 1
LOCATION: b-{ T Ur R t 0G C DATE : ./(l /./E
TYPE OF STRUCTURE:
RECHECK
N/A YES 0 COMMENTS
Footings/Piers f I
Monolithic Pour Form /
Reinforcement in Place /
The contractor is responsible for /
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site /
Foundation/Wallpour
Reinforcement in Place /
Foundation/Dampproofing /
Backfill Approval • /
Plumbing Under Slab ./
Plumbing Vent/Vents in Place /
R gh Plumbing /
eating R -I n • . ,/T.
ulationrm.--1--(4(.._
,
J .
Foundation Walls Interior R-
Foundation Walls Exteri r R-
Floors " /R- •
Walls • /R- '►\ /7-
Ceiling R- �
Duct work or piping/in
unheated spaces R
Proper Vent, Attic V nt i 4( (ZoU� i' - /
Framing
Jack.Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier � /�� � (-00i*
Fire Separation 1, 2, 3, hour l./ ( 0
Penetration Sealed
Fire Wall 2, 3, 4 hour ,
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arriv,_z_am/pm Depart�/-`� am/p
Inspector's Initials
NAME: I-Y>GJ-(j-- • PERMIT# 7
"LA_7)_\
LOCATION: 0QLi / Q - l ATE :
TYPE OF STRUCTURE:
RECHECK /
/
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is re spc
nsible for
providing protection om freezing /
for 48 hours following e placement
of the concrete. /
Materials for this purpose o u 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- /
Vent, Attic Vent/roper /raming / `�5 M-L-L e4 0I TfUJOAL- "� i.1 pf oRr
Jack.Studs/Headers V `,U �fQ Jot.S� �.c�J,
Bracing/Bridging / V f ���'
Joist Hangers i Ni .
Jack Posts/Main B@im ` ` ,
Air Infiltration Barrier `Reu — ��' �r �/EAsr)��
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour CA-L4--
Firestopping �
r
�(�
,0
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road /
Queensbury,NY 12804 °-tam/pm Departb(1"�
Inspector's Initials /� .
NAME: LOIJaf, \ERMTT# q7 - 5 ) 3
LOCATION: Zii i je1 t.t6 6 D TE :
TYPE OF STRUCTURE: f v%- 4z-T—
RECHECK
N/A YES NO COMMENTS
Footings/Piers I P S
/ 'iMonolithic Pour Formf`�KE i
Reinforcement in Place l a/ LO5 Ti )11-) iX t'R,e u� u D
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement /a)
of the concrete. e,„v„, ,_,,,--, -f-L K- VA^/ti QP/.A-5
Materials for this purpose on site ,
Foundation/Wallpour /
Reinforcement in Place /
Foundarion/Dampproofing 1 *".Backfill Approval / C C���
�--�- R
lumbing 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
l 2518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12604
INSPECTOR'S REPOR : ARO_ !g EPART rl'I NTV
REQUEST FOR INSPEC ION RECEIVED:/
NAME `G' L
n7/ �
LOCATION , , /✓✓C'T Riva
8�, ( 1
DATE 1/17? PERMIT A ' )—
TYPE OF STRUCTURE: , ,/UT. �� "``]r 5O I
RECHECK APPROVED
N/A YES I NQ
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,
REINFORCEMENT IN PLAC.. _
THE CONTRACTOR IS RESPoNSIB FOR
PROVIDING PROTE TION FOM F EEZING
FOR 48 HOURS FOLLOWING THE -LACE—
MENT OF THE CONCRETE. .
MATERIALS FOR THIS PURPiS: ON SITE
,'.
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _ L
FOUNDATION/DAMPPROOFIN'
BACKFILL APPROVAL
PLUMBING VENT/VENTS N PLAC1
ROUGH PLUMBING
PLUMBING UNDER SLA?:
FRAMING:
JACK STU,- HEADERS
BRACING :RIDGING
JOIST H-NGERS
JACK PI+TS/MAIN BEAM II
AIR INFILTRATI+N BARRIER
HEATING ROUGH IN
INSULATION:
FOUNDATIO WALLS INTERIOR R—
FOUNDATIO WALLS EXTERIOR R—
FLOORS R— k
WALLS R—
CEILING R—
DUCT WOR OR PIPING IN
UNHEATED SPACES R—
6(le— C .
s
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 JJ`,;^ * ,,
INSPECTOR'S REPORT: ARR/7`��/'�DEPART? NI TC"A
REQUEST FOR INSPECTION RECEIVED:/
NAME /0'G{./sed-
LOCATION
DATE q? PERMIT A / �=/y��YJWC-0
TYPE OF STRUCTURE: Al , �Gr. (i s.)
RECHECK --5I�\ APPROVED
V N/A, YES NO
FOOTINGS/PIERS _
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVID NG PROTE TION F M FREEZING
FOR 48, OURS FOLLOWIN HE PLACE-
MENT OF THE CONCRET .
MATERIAL FOR T S PURPOSE ON SITE
FOUNDATION LPOUR /
REINFORC EN IN PLACE
/
FOUND TION/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: 4
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 S CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR42,`‹PARfi/ 3INT / Z
REQUEST FOR INSPECTION RRRRRRRECEIVED:
NAME
LOCATION �1�rJ/ � /4l06�
DATE I.07/4* PERM I A Ci10/V/J
TYPE OF STRUCTURE: R-7-T
5 C� /
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 VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
•
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS r
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-
•
-re-- Air: AL,