97-696 CERTIFICATE. OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date October 22 19 99
CDC12(-L, e /— i
This is to certify that work requested to be done as shown by Permit No. q 7 A g r
has been completed.
• This structure may be occupied as a RESIDENTIAL ADDITION (BEDROOM & BATH)
20 SUNSET TRAIL
Location
Owner LATTERELL, MERILE, JR. &
TAB MAP NO. 27 . -1-? . 51 By Order Town Board
TOWN OF QUEENSBURY
'a/7/k', "
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUE;ENSBURY No
VALUE $ 12000
TAX .MAP NO:. 27- 1:-1. 51 WARREN COUNTY,NEW YORK -
PERMISSION is hereby granted to LATTERELL &
OWNER of property located at 20 SUNSET TRAIL Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a SS ��rrqq TT�� DD �77 p
at the above location in accordance to application together ploT planAs3nd&tKBT�r�l� i'ai ti trill AT
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t. OWNER'S Address is
EHILY STAR ROUTE. BOX 92A
s QUEENSBURY: _)fl 12804
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
::-CNEW YORK BOARD .:,. . ,..:_::.
5. ARCHITECT'S Address
r),NE T YORK ..BOARTV OF .FIRE•::.,UNDERWRITERS
6. TYPE of Construction—(Please indicate by X) Rpg
1 1 Wood Frame ( I Masonry ( )Steel
DENTIAL ADD.I:TLON im
7. PLANS and Specifications
560^li3q ft:RESIDENTIAL. ADDITION (BEDROOM AND BATH.);:AS.;r<PER- ikLO Ta
PLAN SPECIFICATIONS -
8. Proposed Use
;;.... .RESIDENTIA-L-,:ADDITION:.(BEDROOM & . BATH)
-.�� ,._ _ .� .�::�� ��� ,�;.,.�.:Decs>obe�l�. , tg' �.F�;a.
$' Pt nni F PAiu 7HIS`PERMIT`EXPIAfS"' .•s`,;
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
_.. December, ,. , r.,;:.w 97 � . ... .0 t;
Dated at the Town of Queensbury this may o �-. -1�"`
SIGNED BY �+ _� for the Town of Queensbury
Building and Zoning Inspector
Building Perm it Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensburv, NY 12804 /761-82.561
-O BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance r 1
r 1 1�."of this permit: PERMIT FILE NO. � O9 kp
A permit must be obtained before
beginning construction. No inspections Oct
ZoningZ c,,
will be made until applicant has received n Board Action PERMIT FEE PAID$
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE AID$
applicants' spaces on this application
MUST be completed and•the signature n Plmuiing Board Action REVIEWED BY.
P-8----
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
application form. nm,►`,,„ J Recreation Fee Payment \_ \,,---
rJApplicant: (►'l e v-�'e +i e's a Owner: `{Y1� •1-e A- �'�--e T ( l
• Address: e/-0 SvrJSe.1- kYIT, 1 Address: 0 So S•e4- i'--Y44,-; l
Phone # ..(�j/ - ) 72 D Phone # (,5-/ ) 6 try - .9 75
Property Location: o`Ld _Su,-J5p ff4- �r-A% l
.:: Tax Map Number2.2_/ ) ��I
Subdivision Name: --
Section Block lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ / . ()0 d
residence / commercial I
Addition to Building:
(residence)/ commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial . X Single Family Dwelling
Residence / Commercial Two Family DwelJJ.x.g___
no change to exterior size . Family Dl4ng-6
Office ��-; .
Other Work (describe below) Mercantile' "
Manufacturing NOV 21. 1997
Other
GROSS AREA OF PROPOSED STRUCTURE: ,,,,
here wi If ADDITION, w ll use
1st Floor 6 O sq. ft. of new addition be? :
2nd .Floor sq. ft. A (-I-,,---c,�� �/_ sPt +�
Other Floors sq. ft. U
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: -CZ () , SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
q
p�-O FEET X o-C)--- Other FEET
Foundation Type: C G6.,)c•a- .4 --e Will any second-hand or ungraded
Number of Stories : 1 lumber be used? If so, for what?
(habitable space only). Af c)
Height (grade to ridge) : L feet TYPE OF HEATING• SYSTEM:
Number of fireplaces and/or woodstove (circle all which . . .lies),
to be installed: 0 Electric / Oil / / Wood
Forced Ho / :aseboard / Other
Person respo Bible for supervision of work as regards to building
codes is : U lA)N ,.Pr-y
Name Addresss Phone
Builder: I)' _ c ( ( 'c\r •
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
other laws pertaini to the proposed work shall be complied with, whether specified or noted, and
that such ork i a orized by the owner. ,urther, it is understood that I/we shall submit prior to a
Certificate• f Oc r\cy. rtificate Compliance being issued, an AS BUILT PLOT PLAN by
a licensed s ey a n t , slowing actual location of project on premises.
L .
Signature: i
\(owne ner's agent, hitect, contractor)
•
•
�►i_= ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COU TY I
=`_ 9000 HEATING DEGREE DAYS °"
NOV 211997
Compliance Methods : PART 5 - Acceptable Practice Mert�hod = 1'
1&2 Family Dwellings (onl, Nc,: .;x_ U` `
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 OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - � b 0 square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? X Yes No
4 . Percentage of area of windows and doors Over 17% X Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND- TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R d
b . Exterior walls R
c . Glazed areas R
d. Exterior doors R -7 -7
e . Floors over unheated spaces R
f . Edge of slab on grade (heated building) R: : `=
g. Basement/cellar walls (above grade)- R / > )I
h . Basement/cellar walls (below grade) R j1 l!
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
P TURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
p 'nt Signatu_r-e-- Da e Phone Number
IN PECTO_ ' S REMARKS :
if
BLDG. PERMIT NO. 97-696
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY -
;`
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property(---,,,
located at;, 20 Sunset Trail Merile & Emily Latterell
for the following uses: Residential Addition (Bedroom Sr' Bath)
April 23 , 1999 .(-‘,Le7-4 ,,,,c,:?4,44tii;V)7 •
DATE SIGNATUR/OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
•
= The TEMPORARY CERTIFICATE OF_OCCUPA_NCY ts_hereby ( Q ROY_ED_:.___-
( )DISAPPROVED
with the following conditions: Certificate of Occupancy to be
issued upon completion of: Foundation Insulation
sr
TEMPORARY CERTIFICATE OF OCCUPANCY FEE:_t_ 10.00 DEPOSIT: O$100.00
received on April. 23,1999 zi?i
o,
Date of Issuance Director of Bldg. & C de 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�lJ,ITJAl'J`eP.I.SI. M.IPAIJ,�_lJ_�l IA J__!..AP IIAL J_Sl Itt! W.OW'IO_l'Al'J!WWI lIAJ:J_WIMP.QW ltl'Atk'Al' _lWD, 10. ,_l'AW.OMe l' _IA1."1 W0._,VA II:Al",J_l'Ig!_l'g ee ,
WI qa
ix; THE NEW YORK BOARD OF FIRE UND WRITERS PAGE 1
8075033 BUREAU OF ELECTRICITY r
I I- 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210
IA
i Date APRIL 29,1'9 Application No. on file 4455.5d 98/'4 — F, 45365 r
'Ai THIS CERTIFIES THAT R
'Ai only the electrical equipment as described below and introduced by the applicant named on the above application nu ber is in the premises of A
-4 rY
r(1 1
�1 F RILE LATTER.EL , 20 SUNSET TRAIL, QUEENSBUFRY, N1' r
in the following location; III Basement Basement 1st FL 2nd FLSection Block Lot ;he
was examined on APRIL 23 1999 and found to be in compliance with the National Electrical Code. i
=G rr
�CI ,
jI FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS it
IX: OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. I,
tjti
Wi / 16 14 12 3
■-■■■.■.WI d' -
ti
1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
=G IV;
=, AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. CI H.P. NO.OF FEETAMT. WATTS t
jl SERVICE DISCONNECT NO.OF S E R _ V _ I C E
i< METER rY'
-Q AMT. AMP. TYPE EQUIP. 1 0 2W 3 0 3W 3 0 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A W.G. 1}
G PER 0 OF CC..COND. OF HI-LEG OF NEUTRAL ry.
•
III 'h
It PY:
OTHER APPARATUS: r
.<I ,
�(i G.F.C.I:
'cI SMOKE DETECTOR:—3 r
rY
IA' TRACK LIGHTING:—2 'S'-
j i}
WI p4,
g -1.- r
it T, 916. .•.., .i ))--
:41 1�ERILE .LATTER `L.t, �„r P7 „ _ 6")-r- .
1 20 SUNSET TRAIL _-0 a�z t�r;�,d.�•
�`o'. Pr
QUxENSBURY, NY, 12804 by:....i �+:1 a'.4`4� 11 't GENERAL MANAGER
;r Y 4 'V, . �A! v 2.39 ;:
-C1 %,.6 ,. 4 la+4, , LIlN r
WI -4r,: 6.r , P,,� _ d. Per i
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. ;yi
'/,1".W.YYa'Y Y�Y Y,Y Y.YY.Y 4Y Y•YY••Y 4765VaWI,ii Y YiYY.T.Yili Y•YYiY YiYY•Y Y4Y Y.Y Y.i'AiTAY Yi Tr;Y-•Y411SitYiY%-764TY.Y 43 Y•Y Y.Y Y.47,i1.Y 47147647a,,T,.-4745iTaiiii
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
. rr
RESIDENTIAL FINAL INSPECTION REPORT
7 l— .
Office No. (518)761-8256 Date inspection request received: ' 3 r�f
Building& Code Enforcement (j
Dept. of Community Development Arriv l7.�Gr� Depa t
Town of Queensbury Inspector's Ini • s
742 Bay Road
Queensbury,New York 12804 Q _-
NAME \ C \P)Y l C-� 7 PERMIT# 1 -(09
(./2
LOCATION g n i3\1 1. ' VC DATE c l " y`�
TYPE OF STRUCTURE ( &- \ c 1/
N/A YES NO COMMENTS
Chimney Height"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconie.,landing 18 • . or more
Interior Handrails stairs both ,ides 3 or mo . risers
Grade 2%away from foundati►
8"clearance to sill plate
Gas Valve shut-off exposed/reg ,tor 18"a n•ve grade
Gas Furnace shut-off within 30 feet •r wi • line of site
Oil Furnace shut-off at entrance to .ce ..ea
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more that 3 rise
Interior privacy/trim/doors/main entrance 34"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
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 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arriv K m Depa S' 4e I,
Town of Queensbury Inspector's Ini '-j,
742 Bay Road
Queensbury,New York 12804 Q
NAME __ 1 PERMIT# iJ� !1
LOCATION -7 C7 k> � Fl-1� DATE Li —23— �'t
TYPE OF STRUCTURE 1T \L El DU
N/A. YES NO COMMENTS
•
Chimney Height/"B"Vent/Direct Vent Location _T—
Fresh Air Intake /
Plumb Vent through roof ,/
Roof Complete Ji
Exterior Finish Complete ,/
Interior/Exterior Railings 30"to 36" J
Exterior Handrails,balconies,1.,q11: 18 in. or more .✓ / ,
Interior Handrails stairs both s.••s 3 o ore risers ,Q//
Grade 2%away from foundat..n , `/
8"clearance to sill plate / J
Gas Valve shut-off exposed/I•gulator 18'. above grade ,//
Gas Furnace shut-off within 0 feet or wi r ' line of site //
Oil Furnace shut-off at en II • 1 • to furna.- area ti/ /
Furnace/Hot Water eater o.• ating • / V
Relief Valve(s)instal ;+ ✓ /
Headroom,6 ft.6 in. on gi • c//
Basement stairs,6 ft_4 in. ,/ .
Handrail exterior stairs both s des more than 3 risers t� .
Interior privacy/trim/doors/m. entrance 36" V
Floor Finish 1//
Bathroom/Kitchen watertight / 1/
Interior Handrails Balconie • ding 18 in. or more Railing across window in stai 'ells ✓
Smoke Detectors:
every level ,// /�� c-� e
every bedroom , l v P)
outside every bedroom v/ C '>
inter connected V/i
Bathroom fans y
i i
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer ✓
Garage fireproofing •
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical /
Site Plan/Variance required ✓
Final Survey Plot Plan ✓/
As Built Septic System layout required 1/ .
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 Date inspection request received: •
Building& Code Enforcement
Dept. of Community Development Arrive `7"& am/pm Depart am/pm
Town of Queensbury Inspector's Initials C�h'
742 Bay Road
Queensbury,New York 12804
PERMIT#
NAME �� 7 V 1
LOCATION DATE — —
TYPE OF STRUCTURE i \1i
N/A YES NO COMMENTS
Chimney Heightl'B"Vent/Direct Vent J,ocat-" 1 /
Fresh Air Intake / 6A d?any
Plumb Vent through roof l 1 u
Roof Complete 1
Exterior Finish Complete
Interior/Exterior Railings.30"to 6" /
Exterior Handrails,balconies;landing 18 in. or afore
Interior Handrails stairs both/ides`3-or-more users
Grade 2%away from four tion
8"clearance to sill plate
Gas Valve shut-off expo'ed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at trance to furnace area
Furnace/Hot Water Heat operating
Relief Valve(s)installe
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft. 4•in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
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)
1'4/`
9 l l3O
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive GI /Y am/pm Depart am/pm
Inspector's Initials (Dittl--
NAME: PERMIT#.710�
LOCATION: �? �Y� �. � DATE . �—akx
TYPE OF STRU TURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form /
Reinforcement in Place / /
The contractor is respo•`iblfor
providing protection. omyfreezing
for 48 hours folio '•gtlie placement
of the concrete.
Materials for this p •se on site
Foundation/Wallpo
Reinforcement in PI.
Foundation/Damppr••fing
Backfill Approval
Plumbing Under Slab
Plumb' g Vent/Vents i i Place
igh Plumbing V
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
( r$, C(7D
GENERAL INSPECTION REPORT do it,
Town of Queensbury I ^,
Dept. of Community Development Date inspection request received: 1�) /V
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart �pm
Inspector's Initials
NAME: eri I e kik+1Pr-a 4l PERMIT#. _-( l -
LOCATION: D : 2
TYPE OF STRUCTURE: , i,_,(/ rh l
RECHECK J
N/A YES NO COMMENTS
Footings/Piers I. I
Monolithic Pour Form
Reinforcement in Place
The contractor is nsible for
providing protection freezing
for 48 hours following the cemen
of the concrete.
Materials for this purpose o to
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
P1 i bing Under Slab
umbing Vent/Vents in Place P6ii-
'ou Plumbin • . .t4% iJ� g � � ef'
Heating Rough-In 1 � -�2 �C-C I� 1� �6i`i
(fation
oundation Walls Interior. R-
Foundalion Walls Exterior R-
Floors R- f
Walls R- f. �/
Ceiling R- U
Duct work or piping in
unheated spaces R- f
oper Vent,Attic Vent •/"
Framing r t 14L . .
Jack.Studs/Headers
Bracing/Bridging - / V
Joist Hangers . V
Jack Posts/Main Beam V AA 1(ott ktxps ta) Ai '- 61
Air Infiltration Barrier.
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
• I' - ). /Q2 13 v (518) 761-8256
TOWN OF QUEENSBURY *,,, `_
BUILDING & CODE ENFORCEMENT "1: c,
.742 BAY RD., QUEENSBURY NY 12804 1.1 ,;.
r
INSPECTOR'S REPORT: ARR DEPAR� INT
REQUEST F RIIN P CTION RE D: ''
NAME
LOCATION c� Akfle‘,
DATE r.).`-- i 1`-q - / PERMIT B _
TYPE OF STRUCTURE: RC'S
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR I- •ESPONSIBLE FOR
PROVIDING PROTE IO' FROM FREEZING
FOR 48 HOURS FOL 'NI a THE PLACE-
MENT OF THE CONC•:; E.
MATERIAbS-FOR THIS :•URr•OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLAC
TION/DAMPPROOFING r L
ll� 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-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY s
BUILDING & CODE ENFORCEMENT ''" Cl
742 BAY RD., QUEENSBURY NY 12804 •a^s;:''.`
INSPECTOR'S REPORT:, AR1(b DEPAR4(O , IN1L) -
REQUEST FOR INSPECTION RECEIVED:
NAME L EN--vc-C-c L-C.C--
LOCATION -u•P \--- ,KJi
DATE 1 dueLiq7 PERMIT A 7 67TYPE OF STRClRE:
RE'HECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE ct
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PU OSE N SITE
FOUNDATION/WALLPOUR
r--
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 •
-
,) yy)
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
• f
INSPECTOR'S REPORT: ARR It�EF-�
- PAR�� � INT
REQUEST FOR INSPECTION1lR CEIVED: . (1 -0
NAME i�1'` 01-
LOCATION - 1 ' 1 !r1 .Ll
) L-c)
DATE - �, -97 . PERMIT A
TYPE OF STRUCTURE: Rl 1
RECHECK APPROVED
N/A YES NO
OOTINGS/PIERS
MONOLITHIC POUR FORM
U//
REINFORCEMENT IN PLACE -0 ._
THE CONTRACTOR IS RESPOI(SI LE OR
PROVIDING PROTE TION FRO REEZI,NG
FOR 48 HOURS FOLLOWING TH LAC -
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE 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-
o.
i a'
S L= P 7-1
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LM
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TRAIL
11"APpil,
NOV 21 S97
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