1988-817 w�"i' -;.J'�,i't-y:Jr)', .'ry�'1J"sz;.� =.,�r, �.,0'';.. . ` � ' - � �,.�' �"5i, ry Yf�.;.1�4�M ,� �. ,;��..-.�.-� � .4i t � � '+lti-, '� i.i`"�'.n, °� •U w«.+. • � .. -•
'F: t�>ri •:rrv ' is ud'�-�i''•
CERTIFICATE OF OCCUPANCY
TOWN OAF QUEENSBURY
WARREN COUNTY, NEW YORK
Date .Ta»isary 24 19 89
(")..ib\ \
This is to certify that work requested to be done as shown by Permit No. 88-817
has been completed.
This structure may be occupied as a One Family Dwelling/ Sun Porch
Location 41 Helen Drive
Owner Conrad Kupillas
By Order Town Board
TOWN OF QUEENSBURY
(— -2)
Building & Zoning Inspector
" BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-817
WARREN COUNTY, NEW YORK
• o
PERMISSION is hereby granted to CONRAD KUPILLAS
00
OWNER of property located at
41 HELEN DRIVE Street, Road or Ave.
in the Town of Queensbury,To Construct or place a ADDITION/SUNPORCH
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
SAME
ro
H
2. CONTRACTOR or BUILDER'S Name Lr—
FREDERICK GIBSON v'
0
3. CONTRACTOR or BUILDER'S Address
ri
RD2 BOX 247 Applehouse Lane
Glens Falls,New York 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
x
m
6. TYPE of Construction—(Please indicate by X)
0
( )Wood Frame ( ) Masonry ( )Steel ( ) ti
r•I
r•
7. PLANS and Specifications fD
No. 18' x 20' Sun Porch as per plot plan, specifications, and =T
application,
8. Proposed Use
One Family Dwelling/Sun Porch
5.00 C/O
$ 48.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 •19 89
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Imo•
town of Queensbury before the expiration date.) rt
F'•
0
Dated at the Town of Queensbury this 19th Day of October 19 88
rr
SIGNED BY tca-Ved 2(4,� for the Town of Queensbury 'b
Building and Zoning Inspector
. i • - -11 -2a - ,7c) .
TOWN OF QUEENSBURY : APPLICATION FORBUILDING AND ZONING. PERMIT
' -
1,77___) , TOWN OF QUEENSBURY
Recieved 149 0 ta- - ---Di 7 p —,.
,f2, •. :, ..A" --- .' - . • •3.1 Li LI.,) L:-: ..: _.; L.z. a,
-) .r' : ..1 ''--'^- 1:1,* • Review 0 . i
/ 1 ,4.f..i ? ,4,
10/4 .1" lit," Fy OCT 3.0-1908
. , • 011.1 oh • Paid Fee 365
7 BUILDING es CODE DEPT.
r4
BUILDING AND CODES DEPAUMENT Vat la•sued lefic70, . • . qq, be
BAY and HAVILAND ROADS RD 1 Box 98 . a c. o
OUEENSBURY,NEW YORK 12804 Peimit No. .
_ --------erro
Tel. (518) 792-5832 Ext -204 . 7,'•
- - -* * * * * * . *, * 1* * * * * , * * * * * * * * * * * * ,*- * . * *_ * * * * *
A PERMIT MUST B4 OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED. A VALID BUILDING PERMIT.
•
All applicable spaces on this application must be completed and the
siguature of the applicant must appear on the reverse side of this . sheet .
* ** * * * * * * * * • * * * * * * * * * * * * * * * * * * * * * * * * * * *
The owner of this property is :" .COMeA0
P . O. Address 411 4616:4 ----Thil,,47-- TEL.
Property location 3I/Mer • . TAX MAP NO. 4.2'eJ / 9 / gP-71.
Has there been any split of this : property since October 1, 1988? 4 k-
If yes , Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
The person responsible for . superyision of work as regards Building• Codes is :
•CRk-94=olicie K, 6 /6.5etn) ae.b.2 Box 2p-7 4419,46iicife.." ZifAii X.'oc
NAME P .O . ADDRESS . TEL. NO. 793-3z,v,k
Name of builder ..5-4V/er Address Tel
Tel
Name of Plumber 109 Address Tel
Name of Mason 5:494W- Address Tel
NATURE OF PROPOSED .ORK: ZONING INFORMATION (Office use only)
Construction of a new building * ZONING DESIGNATION OF PROPERTY SliAZ b4
X Addition to a building 4-
PERMITTED PRINCIPAL PERMITTED ACCESSORY ‘ .0
Alteration to a building 4. v
* REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
(no change to exterior dimensions) . ___
Other work (deScribu) - *
• - - SITE PLAN REVIEW # APPROVED DATE
No ...
4. VARIANCE # APPROVED DATE '
CROSS AREA OF -PROPOSED: STRUCTURE •
.. .
1st Floor 36o sq ft . * Remarks:
, *
2nd Floor /17/4, 4-- sq ft . „. COMPLETE INFORMATION REQUIRED BELOW.
Other Floors4, sq ft . * Size of property. MO ft X / 70 ft.
* Existing buildiitg(ol Size ft X ft.
(not cellar r basement) • *
TOTAL FLOOR AREA 3/0 0 . sq ft . ,
* Existing building (s) Use /Jo the.-
Size of new structure 1.1 ft x cg0 ft
*
Voundation-pier/slab/ raw partial/full * Proposed building, distance from property line
(circ c one) i • 0
No. of stories (habitable space) i * Front yard ,0 ft Rear yard J5-0 ft
• Side yards .5 .5: ft and 625 ft
Height (grade to ridge) 43 ft. *
If on corner, setback from side street ft
it residential, no. of families / , *
No. of rooms(excluding baths) / - w OCCUPANCY INFORMATION
No. of bedrooms X/41/4. ' , PRIMARY BUILDING -
No. of bathrooms PVIsle ' * ' ' -One family dwelling
Primary heating system 1:.1./E-c1-4,C4e,
Type of fuel L-Laelrg.-(C/÷(.. * ..........
Two family dwelling
, ,
Permanent Multiple dwelling / Number of units
No. of fireplaces to be installed it./0A4r -.----- _
. occupancy
Will a wood stove be installed? ;Up
Transient occupancy
Central. Air conditioning? A/0 * _
, Business
BUILDING STYLE, PRIMARY ,STRUCTURE ' • *'—industrial
ther
iuuleh ,,,,,-,e--r.on_umporay----)Log cabin • --9add
, ition, what will use be? 5/AA/
Raised ranch--w-4-ffs.=17---- Duplex * If
Split level Old style Bungalow - * 7ripicil .
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial ' Row Town House * Detached garage/one cur/ two car/ car
j CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ . cac
* * * * * * W VC W 'A A * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ tifr ,t -
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 10/88 vl
--- e.
1jU1LDING PEIi1•tI'T APPLICATION COUTIIIUED,-• '
BUILDING SPECIFICATIONS: `-t';. •
1' of construction, wood frame, fire safe,etc. ' oo6 ��-+ �
Type
' of
any second-hand or ungraded lumber be used? If so, for what? 6
nerrIee n"�. Thickness
Foundation wall material
Depth of foundation below grade (to bottom of footing) Floor sq. footagzsq ft
Will there be a cellar? NO Heated or unheated.? /k'/4•-
Will there be a basement? ilt,c' Will any portion be used as riving sp 9 ?
,
ft. ?. V /���
(If so, what portion 'q' - - Type of .useMaterial• of roo= S',�in1G/N S
'Type of roof slo ad/ let shed/other „o.c. length _ __;ft. p
Size, wood stu "X " apacing�_ _��o,c, span �O ft.
JoiSLs(floor beams) 1st. floor ���X " spacing ivo.c, s an ��
Joists (floor beams) 2nd. floor i✓ � �
it/p. ,"X A
acing 411/ • p' €t.
��X " spacing "o.c.f pan ft.
Overlays(ceiling beam) � o c. .span ! ft. •
Roof rafters 9" "X 60 " spacing / . .span
sp/ ft t•
Roof trusses(pYe-eRginuered) spacing Of what material? /ili�1
Exterior wall finish A'�v
Interior wall finish _ 6'T ex-
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:_
If so will a Fire:-raced
Is there to be. an opening between garage and dwelling? !G� .
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? 0 Height above roof
Depth of chimney foundation 'low grade .
p in.
Depth of fireplace hearth
Water supply Municipal o private well properties /!/ ft.
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining pro p
(A separate application is necessary for any repair or new installation of 5c:pti6 system)
DECLARATION
To the best of my knowledge and belief the statements contained
in this application, together with the plans and specification submitted, are a true and
complete statement of all proposed work to beRdone on,the eddescrl ibedrpremises esrandnthattall
1�rovioions of the BUILDING CODE, THE `ZONING and that pertaining
work is
the proposed work 51�.+11 be complied with,
whether specified or not,
authorized by the owner.
.... . '
Signature `�`�
Owner, owner agent,arct�ect,contractor
* A A * * * * * * * A * •* A * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * kit
SPECIAL CONDITIONS OF THE PERMIT:
By
0/17
TOWN OF QUEENSBURY n '
•
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANC4 WITH THE 'NEW YORK
STATE ENERGY CONSERVATION CODE.
A permit must be obtained before beginning work.
ANSWER ALL of the following: • •
1 . Gross floor area 344 -50
_-cT�
2 . Type of heat
•
•
3 . Is the building mechanically cooled? WO
4 . Percentage of area of windows and doors /�S ► �
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions •
•
•
•
•
2 . Floor over heated spaces YES NO)
a. Are foundation walls insulated YES (41!d
1 . If YES , what is the R value?
3 . Slab on grade YES ( N •
a. If YES, what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES • NO I , /
a. R value of insulation 1/
•
5. Type of insulation
B. Under 16% Only
• 1 . R value of roof and floors exposed to ambient conditions
33 _
• 2 . R value of exterior walls
3 . R value of glazed area
4 . R value of doors •
5 . R value of floors over unheated spaces ,J+��
6. R value of slab edge insulation - unheated slab /��
7 . R value of .slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade) ___
10 . Type of insulation tkry.(riss . 9 //, /7.
. •
C. Controls
1. Thermostat maximum heat setting
D. Duct Systems
1 ., Is duct system installed in unheated spaces?. /Y NO
a. If YES , R value of duct installation /�/
b. R value of duct in other areas
E. Piping Insulation . • !y�, •"
1. Size of hot water 'or cooling carrying agent pipe
. 2 . R value of pipe insulation rr11
F. Service Water Heating � l�/` •
1 . Performance efficiency �� //
•
2 . Temperature control setting maximum •
G. For Swimming Pool Only • A i/ .
1 . Maximum heating
�e No.
Telephone J 5,if /�fi E
P G�
(applicant ' s signature)
INTERIM BUILDING PERMIT •
gi7
PERMIT APPLICANT • �,�„-2s! I✓._�' •
CONSTRUCTION LOCATION ,/ /0„ i
•
EFFECTIVE DATE //c7 //kt?' •
j
APPROVED BY , ,/
•SPECIAL CONDITIONS :
• CI — .
y _
•
•
•
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following pro ossing .
POST THIS INTERIM PERMIT IN A CO PIC . O .S LOC �O _ ! !
./(7111/".• ' ' ' ' ' '
Building & Codes Department
TOWN OF QUEENSBURY
REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!!
1. Foundations Footings, before pouring concrete. •
•
2. Foundations Inspections and Waterproofing, before Backfill.
3. Rough Plumbing, Heating and Frame Inspections before Closing in.the Framework.
4. _ Insulation - Foundation, Floors, Walls, Ceiling.
5. Inspection of Electrical Installations before covering (rough in) and on completion
of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF
OCCUPANCY.
G. All new septic systems or repairs before covering any work.
7. Final Inspections before Certificate of Occupancy is issued.
THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT APPROVAL
OF THE BUILDING DEPARTMENT.
SELECT BUSINESS FORMS (609) 848-5203
APPLICATION FOR ELECTRICAL INSPECTION .
PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES
�jV _ MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
•
jNational Headquarters
900 Haddon Ave., Collingswood, N.J. 08108 •
APPLICANT COMPLETES THIS SECTION Date: 1(y4c,/a-
City, Town or Township iCPUGEtiS ,4eLi2_ . County �Meke/i% State `fie Y.
Location/Address '�7 • �L � �/ J(/c
(If Located in Rural Area_-Please Attach Directions) Pole #
Owner 00#1& L) Z ,Pi�L' L -A ' Permit #
Occupied As i(G'S/'id ems-.,-r�
' Building: NewA---• Old❑
Occupant s'/y!L—
Work Area in Building (Floor #,etc.):
App. for: Wiring❑ Service n or: Ready for Inspection: -
Fee Remitted-$ Cash n Check n M.O. n - • '- Make Payable To: M.D.I.A.
Number of Rough Wiring Outlets Elect. Heat 500 750'1000 1250 1500 17so 2000 2250 2500 2750 3000
Switches •
Lighting Amp. Service Surface Unit Dishwasher. Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans •
-Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's
7 Signature g 4 License # Permit #
T/A Utility:
Applica s Address:,2I2 /30x 27 "1C6,/j/✓ 1-,p-,,,�- • (NAME) (OFFICE LOCATION)
(City) llZ.cS //�vs /(State) /1/ � �1(%�)y (ZipPhone # Service Request #
- Electrician: •
MR.I4 US PNLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above Ti or:
Red Notice Label n
Rough Wiring Outlets . Surface Unit Oven
Switches Range • - Garbage Disposal
Receptacles. Water Heater .• Dishwasher - -
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump - • • Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
•
I 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
I•v11
u -- Patrick bas}inaN
PO Box 321
t";`'` Hudson Falls, M4' 12839
; lh]>:ii 518/798-3473
': :i ii > ELECTRICAL INSPECTOR
CERTIFICATIONS- : USE,FOR INITIAL VISIT-ONLY .. •NOTIFIED _DATE- CORRECT FEE PAID
Ti RW Progress: Inc.Ti LKD Ti • - Contractor - .
❑ CFT Violation: Work Comp.Ti . Inc. Ti
Ti L/A • Owner CASH ❑
n L/A Fee CH K #
Due
n IPA . . Municipal MO #
INV#
Date: Other Side El Utility Applicant
Owner
Cut in Card (l Temp # • Date
•
'V J0f° J`N.vv vJll'vJ toe-FN. �J" cJ \s N., vJMV J t1 a�
( MIDDLE DEPARTMENT,,INSPECTION AGENCY, INC.
900,Haddon-'Avenue;Collin swood,NN.j?08108 � �/� ��
a::
C .%/ 'ft ' / . ```,� Date January 20, 1989
Certif ief that the electrlcal equipment listed has been exam ned•an`d'is approved as beingin accord )
a ,' . •,z , • .ti
with the National Electrica�dC>0 pde,{.applicable governmental, utility rirqS�and,AAgency\\rules. /
C, k. :fit / }r PI x a uJ 4 24 f 6't l 1 a1
a Owner: Conrad Kupillas t,k,. / >y=: �t ` ,: �' .- Dwel.lin 'F`
� [,_-.'..-.,ft(f.-,..,,,,, �t' �t� •
ti�cqupancy �, g P
Occupant: Same t'}. r . Ct >
Ca Location: 41 Helen Drive, Quee1nsbury \(Warrenn,._Co) - _.,'3T s�e c`ovefs,h lectrlc t C,
4 equipment and installation inspected this C)
'r +� i date. If additional equipmentlshoul'd be introduced or alterations made to
L,`:+' \ existingsystem this c rtlhcate shall be null and void, and application for
x \ Y @„ PP C
a Equipment: 18 Outlets, 10 Receptacles, 4}„�Fixtures inspection should be submittedpfor,fptlyto this Agency.
C d 3 C� kt folder of this certdicate sh9('ld present same to his property Insurance carrier
(agent or company)as evidencaofcertificationof electrical equipment approved
t, as specified./ C
cf,C' `�„ ',,., .
I— Frederick Gibson`•..,, ji ,,,,,,..lit.
v
Applicant; RD2, Box 207, Apple house gg '`No. 15-028226 D
Glens Falls, NY 1 804"l= - - - =�>
• . 'Ira /)racr/bR !+ on. /Ina Ara !+ ra /l /iradoruNtersek !i natal de na l+ck oruA,/n,
Form No.703 EL 1-83
•
'TOWN"' OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /�
BAY & HAVILAND ROADS ✓I 119
QUEENSBURY, NEW YORK 12804- �Lll-�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME y2 ad1��Q
LOCATION 97 �,•
DATE f �-/Sr-q PERMIT # ����
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION •
FLOORS
WALLS
CEILING
(FINAL INSPECTION: \
CHIMNEY HEIGHT
ROOFING
SIDING r/'
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE &r'RA'ILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS;'
GARAGE FIREPROOFING ---
DOOR CLOSER(S)
SMOKE DETECTORS A
FINAL ELECTRICAL INSPECTION '1
FINAL APPROVAL' OF CONSTRUCTION\
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
1
INSPECTOR
MIbDLE DEPARTMENT INSPECTION AGENCY, INC.
la — Electrical-Building-Plumbing-Fire Inspections
Date
co I lector
T - constitutes certification that the
d.s above installation, but not the equip-
ment itself, has been visually inspected
as of this date pursuant to the applic-
C-I able codes. If additional equipment
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should
01 be,submitted promptly to this Agency.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS n1
1 QUEENSBURY, NEW YORK 12801 I
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /Z-3 �g"
NAME
l
LOCATION G/ 0,, j-Q,,
DATE /.2-5 - 5-y/ PERMIT # g'
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH- AT
INSULATION: ` %'
FOUNDATION //
FLOORS `//1 //
WALLS r IJ' `-'y' n
r . e
CEILII(1���EC 3S\) �j err
FINAL 1NSPON: i
CHIMNEY HEIGHT
ROOFING et'
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VA VE
INTERIOR TRIM/PRI ACY DOORS
FINISHED FLOORS I
GARAGE FIREPROOFING
DOOR CLOSER(S) /
SMOKE DETECTOR§
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION NN
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES\ARE OCCUPIED!'
REMARKS:
r/7
1
INSPECTOR
r ;
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION� RECEIVED 7, /7//cl
NAME _ ( Lf�t�f.�-�C 4,7 C�-&_
LOCATION
DATE /12// b-�7-Y PERMIT #
\ APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL ,/
ROUGH PLUMBING•\ /
(/FRAMING \
ELECTRICAL ROUGHS IN i
INSULATION:
FOUNDATION `.
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT `f
ROOFING ' \
SIDING l
EXTERNAL PORCHES/!STEPS \
STAIRS-CLEARANCE/& RAILS \
PLUMBING FIXTURES/RELIEF VALE
INTERIOR TRIM/P/2IVACY DOORS \
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER( )
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPRO)/AL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST"BE
,
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
/'
,
/
j�
fi
/ i
INSPECTOR
, i
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
14 BAY & HAVILAND ROADS /7
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR`S REPORT
REQUEST FOR INSPECTION RECEIVED
D� /A p�0-.?
NAME —--�� ' --e yr&�hir1'
LOCATION /j// eC /- Uv x:27
DATE `/3- % PERMIT # o 7
APPROVED
YES 'NO
FOOTING/PIERS /
MONOLITHIC POUR FORMS
FQUNDATION/DAMP-PROOFING
10'13ACKF LL APPROVAL / Nk
ROUGH PLUMBING / V
FRAMIN4
ELECTRI ,L ROUGH-IN
INSULATIO' :
FOUNDA TIe'
FLOORS
WALLS
CEILING
FINAL INSPECTIO
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S "S
STAIRS-CLEARANCE . RA LS
PLUMBING FIXTUR ‘/RELI VALVE
INTERIOR TRIM/P'IVACY D RS
FINISHED FLOC)
GARAGE FIRE" FING
DOOR CLOSER(()
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION '
FINAL APPROVAL OF CONSTRUCTION • \\\\\\
L,
A SIGNED CERTIFICATE OF OCCUPANCY MUST BEN.
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
1 /
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS 19111
�q�
QUEENSBURY, NEW YORK 12801 G
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /Q— 2 -s-f
NAME _ 741(
LOCATION JT XPir� �l/�i/LC4J`•
DATE /0-c}(—fj PERMIT # a ��
APPROVED
YES NO
FOOTING/PIERS L/
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN l
INSULATION: /
FOUNDATION
FLOORS
WALLS f
CEILING S
FINAL INSPECTION:\
CHIMNEY HEIGHT \ 14
ROOFING \ J
SIDING \
EXTERNAL PORCHES/STEPS"/
STAIRS-CLEARANCE & RAILS\
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS_
FINISHED FLOORS
GARAGE FIREPROOFING S
DOOR CLOSER(S) S
SMOKE DETECTORS N
FINAL ELECTRICAL INS ECTION N.
FINAL APPROVAL OF CO STRUCTION N
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
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