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1990-107 ef 1' i 1 r, a ",t d �CERTI CA E OF OCCUPANCY , TOWN OF QUEENS BURY b • WARRE COUNTY, NEW YORK , E Date /1if,/4 /.1. 19 £ a . r x Permit No. 90-107 This is to certify that work requested to be done as shown by fi k has been completed. y Sunroom • This structure may be occupied as a • Location (-- ' b U Meadow Lane Owner HPrh HyPr i By Order Town Board . . .. ' TOWN OF QUEENSBURY ; • C 'f ; Director of Bldg. & Code Enforcement BUILDING PERMIT x TOWN OF QUEENSBURY No. 90-107 WARREN COUNTY, NEW YORK 00 PERMISSION is hereby granted to HERB HYER Vr1V-e...., OWNER of property located at 10 Meadowie Street, Road or Ave. in the Town of Queensbury,To Construct or place a Sunroom 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. t�1 1. OWNER'S Address is Same ro cr 2. CONTRACTOR or BUILDER'S Name Lee Horning .3. CONTRACTOR or BUILDER'S Address CD RD1 Box 27—A Queensbury NY 12804 4. ARCHITECT'S Name ro 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) ( Wood Frame ( ) Masonry ( I Steel ( 1 7. PLANS and Specifications rr t+. No' 200 sq. ft. Sun room as per plot plans, , specifications and application m 8. Proposed Use 0 ' O Sunroom 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 4 1R0 (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 n of Queensbury this 4tIL Day of April 1990 17. SIGNED BY /���, " for the Town of Queensbury Building and Zoning I ector /UEENSBURY REVIEWED BY 0,4 FEE PAID $ /‘ •. UU 7 PERMIT NO. 9O jp7 �_ o1` `�^-..'u E�i`S`ate -.- BUILDING PERMIT.APPLICATION N. -p it \�/, ,, PR 1990 — A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSP"ECTIO1W- r'" ~. 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 reverse side of this application. * * a * a * a' * * * * * * a * a- * a * * * * * a * * 'a * a * a a- a * • "* * * * a a The owner of this property is:. 1-4�42 13 F{`r'.6L P.O. Address 10 1t144fe,)•�J 1.0P46 Cot:45Pbv42.;- Tel. 09 b- 3665 Property. Location C4 Mt Tax Map No. c//d/ Has there been any split of this property since October 1, 1988? / lq y If yes Planning Board Review is necessary. yes no _ SUBDIVISION NAME, IF APPLICABLE LOT NO. .` THE PERSON ESPONSIBLE FOR.SUPERVISION OF WORK AS REGARDS TO BUILDINGCODES IS: LEE I ,2..t,.-ic, 1 120.421 , �axa7 4,Qv6".`-es e)2r, 12004 • NATURE OF PROPOSED WORK: ESTIMATED MARKET. VALUE OF •. Construction of a new building • CONSTRUCTION: $ 6,1'20 O - • COMPLETE INFORMATION REQUIRED BELOW: Addition to a building • Size of property 1 5U .- ft x 1� ft. Alteration to a building , • (no change to exterior dimensions) - Existing Buildings(3) Size �jZ_ ft. x �4 ft. • Proposed building - distance from property line: Other work (Describe) ' Front yard I O 4. ft. Rear yard 32. ft. • Side yards -C2 2 ft. ' and 4 _ft. • If on"corner, setback from side street lP3 ft. GROSS AREA OF PROPOSED STRUCTURE • 1st Floor 0200 sq. ft. e_, $ 1' • , OCCUPANCY INFORMATION • 2nd Floor sq. ft. * Primary Building- Other Floors sq. ft. • /One Family Dwelling (not cellar or basement • Two Family Dwelling - - TOTAL FLOOR AREA 206 sq. ft. •. " Multiple Dwelling/Number of.units Size of new structure_ft x to ft. • Business Foundation-pie /slab crawl/partial/full ' Industrial (el e one) - • Other • No. of stories (habitable space) I • .-. Height (grade to ridge) / ft. • If addition, what will use be? wN 72c°1-1 If residential,no. of families _ • No. of rooms(excluding baths) / - . • Accessory Building No. of bedrooms 0 • _Detached Garage ONE/TWO Car No. of bathrooms -C3, • Primary heating system (-iar 4I)47 /C..45 • _Attached Garage ONE/TWO Car Type of fuel C.06S ' - Private storage building No. of fireplaces to be installed 0 - • - - _Other' Will a wood stove be installed ,�O • _ - Central Air conditioning . N,I - OV' ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING 'SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. (,e,� FZ4A./L- Will any second-hand or upgraded lumber be used? If so, for what? p40 Foundation wall material dOeqe,,2(S;, Thickness 8 Depth of foundation below grade (to bottom of footing) t L.0 Will there be a cellar? Heated or unheated? �' Floor sq. footage ZOO sq ft. Will there be a basement? Kic.)- Will any, portion be used as living space? (If so, what portion? / sq ft. Type of use? Type of roof slo ed flat/shed/other Material of roof r- 66, Y P P. �/'JfLLGLrJS ����.sG Size, wood studs 2 "x 4- " spacing /(P " o.c. length 5 ft. Joists (floor beams) 1st floor /a "x " spacing "o.c. span ft. Joist (floor beams) 2nd floor 94//l� "x " spacing "o.c. span ft. Overlays (ceiling beams) f./ "x " spacing " o.c. span ft. Roof rafters 4 "x I.O ".spacing 467o.c. span IO ft. Roof trusses (pre-engineered) spacing N,0a " o.c. span ft. / Exterior wall finish 1J�Lazo s. ,p;..,,/e. of what material? v` #v[_�(, Interior wall finish I K Ce T4 GvdUO If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Aithj Is there to be an opening between garage and dwelling? • 11/6 . If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? ti(U Height above roof --- ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth i ft. in, Water supply - Municipal o t it-4 Ai/C,49 L SEPTIC SYSTEM Distance • - . ' private well (including adjoining properties ft. (A separate, application is necessary for any repair or new installation of septic system) NAME OF BUILDER 1. 0/2-4,.t(, c.o..cs;. ADDRESS. 2 0,de ca):he 224EL. NO. 99 3-0202 NAME OF PLUMBER /Jnz,,F. ADDRESS Q�,��.�sws- TEL. NO. NAME OF MASON - &Oxist. ADDRESS TEL NO. NAME OF ELECTRICIAN ,u ADDRESS TEL. NO. DECLARATION . To the best of my knowledge and belief 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 descri.*d 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 s cified or not, and that such work is authorized by the owner. Signature v y 2 . Owner, own ' agent, chltect contractor SPECIAL CONDITIONS OF THE PERMIT: BY y . WARREN COUNTY , NEW YORK • Application for : BUILDING PERMIT IN COMPLIANCE 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 . 2-0 0 S F 0 1--.4 I Hi fit/ f 2 . Type of heat �/J� ��or %r-.'_ ear � � • 3 . Is the building mechanically cooled? V _ _ i,,JE_ E y•.r • 4 . Percentage of. area of windows and doors --,-- A. Over 16% Only . 1 . Uo value of gross area of wa , , roof/_c-e3 ing and floors exposed to ambient condi53'-ons IZ�- a (ccAc,c.51 • 2 . Floor over he . j spacts YES NO a. Are foundat on walls insulate- YES NO. 1. If YES , what is the R value? ' 1 (c 3 . Slab on grade 400 NO t 6 a. If YES , wh .t is the R value of insulation around ,p- ; ' perimeter of floor? 1 4, r , V NC I '(� P , . • 4.. Is basement heated? YES NO1 �; ,, - a. R value of insulation • �,�A- ,yeti 5. Type of insulation Q )tc... Q , 1- -,�s�, 8. Under 16% Only IA / t! 1. R value of roof and floos exposed to� ient conditio rnsa��tz ir V 2 . R value of exterior walls4K0/ 3 . R value of glazed area 4 . R value of doors 5. R value of floors over unheated spaces • • 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 C. Controls 1 . Thermostat maximum heat setting 90-1 D. Duct Systems 1 . Is duct system installed in unheated spaces? YES NO ) - a. ' If YES, R value of duct installation b. R value of duct in other areas • E. n 1. Size nofl hot owater or cooling carrying agent pipeV 2. R value of pipe insulat&gyp _ 12-4 F. Service Water Heating •. 1. Performance efficiency • 2. Temperature control setting maximum G. For Swimming Pool Only l 1. Maximum heating . • Telephone No. - 94> 3- 020 • (applic n a gnature) • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. . FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. (TEMP.# IDATE .l � /f� CITY OR VILLAGE TOWNSHIP ,_ .. .- • • ,i�-C.•' .. COUNTY l(.,—y G,'. :` r/ STREET AND NO.OR J _ ROAD AND POLE NO. /C f--,•,- CS -✓�'- _ . - - . POLE NO. BETWEEN WHAT TWO --) CROSS STREETS IS ; f. _ PREMISES LOCATED? -'`-n:-• •-% -T = `_ --''• ".<--,:_ SECTION BLOCK LOT OCCUPANT'S j /i - BUILDING r,NAME .z •-. � --. � • OCCUPANCY --- -•.:-- C..,-_- - _ L. ':"-- OWNER'S NAME - AND ADDRESS , - - _l. f.,r CURRENT SUBYPPLIED �,_ ,, tir ,; ; j ' ;_, ,:.�- FROM THEIR .`-". ,_.- _ /' . , OFFICE DEFECTS SUILDING - NEW�El - OLD❑ IWS NEW,r7J ADDITIONAL El REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS Loca- ONLY lion • Side Attach't H.P. Watts A.W.G. Ceiling Wall Recepls Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- - side Sub • - base Base- ment • 1st FI. . 2nd Fl. 3rd Fl. - • ' - REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: • DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF - ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS - WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA • WORK TO BE - - (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN • SERVICE OVERHEAD - IUNDERGROUND MAKER ENTERS L BUILDING OF SIGN INSPECTION REQUESTED 11 ON OR AS NEAR AS ;F j i ,_ /- n POSSIBLE - '-�... NEW I I OLD 111 AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES • DATE OF 'S MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION (`' s,- .. i�i,•. PRINT NAME AND ADDRESS ` � NAME OF - " t V SIGNATURE „i APPLICANT "OF APPLICANT :` _-_--,-F:---.jr j, STREET ADDRESS - TELEPHONE# POST OFFICE _ - - - - CODE ' --- •°-•} WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 0,10.11 , MIDDLE DEPARTMENT INSPECTION.AGENCY, INC. ) National Headquarters 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date: . 7—. ..f7 1; City, Town or Township .L ._ s•.. f r- County t_! State A7;j Location/Address r�� 4. ,. L 'f�'' (If Located in Rural Area - Please Attach Directions) Pole # �J Owner - )—/..;.' Lr. (-4 �� Permit # / —/e.) 7 Occupied As Y• i > c_ /-� e,y‘ .7 `;, 6:II,. I -`:-. ,` Building: New❑ OIdi i Occupant Work Area in Building (Floor #,etc.): App. for: Wiring ervice❑ or: Ready for Inspection: Fee Remitted-$ Cash n Check❑ 'M.O. ❑ Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 - Number of Rough Wiring Outlets Elect. Heat 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 llh 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size " Applicant's ! Signature License # Permit # T/A /r c/ Utility: '< ' t^ (NAME) (OFFICE LOCATION) Applicant's Address: ✓ - •1( f /'' `K. " 10 f..: (City) ' �, (State) Iv (Zip) ; Service Request# • Phone # _Electrician:- - . , .. MDIA USE ONLY DATE RECEIVED: f41 7 ? c� DATE INSPECTED: ^, -_ Correct Location: Same as Aboverf or: Red Notice Label I _I ' 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 71h 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CORRECT CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE FEE FEE PAID ❑ RW Progress: Inc.❑ LKD❑ • Contractor Violation: Work Comp.❑ Inc. I I - � -.❑ L/A 'Owner CASH ❑ PI L/A Fee- CHK # Due -MO # ❑ IPA Municipal - -INV # " r r" -- Applicant 0 Date: / "-/ .l =, Other Side l - I Utility Owner. Cut in Card n Temp # Date f, . `{ �/ plFinal # Date 1; INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 " 1 i ?(..,,t ,\•[„�tl,1[/J}! ,A(.,A, A(.V<!}i..tti„,,,!..l•G-op(,_t(.Vie,.AN..t,i.,vi_,v)„,e,,ke., ‘Ai.,,,h,,,vi jh•,v,„ „,.., ,,,Pi„oii.)t(.ae.4.�,i..,t,,,)P_V_h.1,9).a1Pi, .i.?9i,19,.VI,.,,,,J•i:,,i.,t, ,1,...i.-,.i.".,,i.M">,h.,,!..! 1 : THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 '.' 8013451 . BUREAU OF ELECTRICITY •RI7 41 STATE STREET.ALBANY.NEW.YORK 12207 ® ' Date .I`A:CH e ,1'..)33 Application No.o fil"e`05 13ra•i0f'`.x., . .. 11 4220::t4. THIS CERTIFIES THAT PERMIT All-Y. 990--606 only the electrical equipment as described below and introduced y the a pp ' nt med-on-the above application number in the premises of 0 ,i Y- f n cx y 5 7 T f S^� i Lq T�a i N. C. 3T�'. . GRASso 4 2 i Y� ��Rt�-�AN•.(rj1, QE,7.1 ENSr }1 , N..' . in the following location; ❑ Basement ❑~1st Fl. ❑ 2nd Ft. GPR Section Block Lot o li OM was examined on i,' ICH 0✓,1993 and found to be in compliance with the requirements of this Board. n idFIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. cs 4 4 2 - ea - 1 1 NO.OF FEET DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT WATTS • A SERVICE DISCONNECT NO:OF - S E - R V ._ I _.C E - _ AMT. AMP, TYPE METER 1,B'2W 1 0 3W 3 0 3W 3,1'"4W NO.OF CC.C. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. NoEmus. PER B' OF CC.COND. OF HI•LEG Of NEUTRAL • g OTHER APPARATUS: Et ( .t',C,1.:--2 • 1� - s; y r �f {rra-i, GRP,i.380 _ - f _ �" PI '1 NI�' kl'�>; Box ... BRANCH MANAGER ,I UPPER >.��1�.�[�l'•ir. 1 . 1 {, 'Per ; 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. o 1. iCY( 41-i4!i4\-tA re'reCiAi re '10",40'i4,"/M AN-rACYA,"4t'i41-,61,10-4,-40 4, A1A"f 'rerfA,4,-,4 7Ai'qY,A,Tes-i4 WM n ■ COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 4/1--•`^• $. -'‘.1 , N-".141k,t./ kn./ N.,R., til4.1‘3 L, No Li a N...1 P7.4- ''''''' /.. '.7Th%...7"'7 N" r.7:... 4‘" ..f. El Z MIDDLE DEPARTMENT,INpRECTION AGENCY, INC. ) ,,,,.,,k,1%,:::,,,,,,.•,...,_,. sog,tiactdo!,Mehl*Collingswilid;N.1'4181,98 q 0--- I 07 (.• , • „,--r,,,, --- - wr-rt- -- -.,-'.7-7,,,, ) 0, -- -,-, ------------- - OA( --.. ,,.., Dat9September 12, 1990 (7 ,,,. etrtifi tO that tri4 elebtribki equipment listed has beenexahiinexd an' L's approved as being in accord ) .4-,- _./ .4,-„. .. with the National Electrical,t;o00, applicable governmental, utility and AibY16s. .',7.;,.: / / \ f.... ,..,i,. ..,..' , .F.711:‘ , ,..igi .1 p771.7:77.: FI Owner Herb Hyer .f:f• -;,;,f ,I ''I k,31'7,-Niki-t1 ilq - -""--'4':'; au a iii*';5,.% •4 ' •l',4 wit' P ':), well\in Addition C) ,,4 6 '1 iWO-' OCcupant: Same ki„ ,...4 f,:,(4)''-',':-.170,, .i.t? 0 rk, ..,. ei (2 Location: 10 Meadomtir,.l..a .k S,, uet'1e,:i nsp' a ryi (,W akt6r''' uipment and installation inspected this k ate.. dditional.e n urgmenysh 41 be Introduced or alterations made to ) l , \ existing system tInl carOfica e s H be null and void. and application for \ inspection should b si.ibmitted p6eptly to this Agency. ( Equipment:14-Outlets Y'A81-Rec O A 4ptacleil, FF: xre."8-€4 itli,,,__older of this certificate shOldfent same to his property insurance carrier 1) E. 1;;;I.',\\ ''(agent or company)as evldiancilla0ertification of electrical equipment approved \s, as specified./ / AV e : C,? ,m.!..,",. ..,. ---....,___ ........—_,., .-- ... ,./ .. • ' .- ....- e Applicant: Flee Box , , c ( Lqueensbury, NY 128 '171""'is''' 16-000763/031 ) 4c4.iLo.e...r.wzzgrAgy.,vozzgolz .,•,zwza:94.0-.ztiv.w.tzh„)..440- 6.0.........„.‘ Form No.703 EL 1413 . , • • . 1. • • • • • . --.... • QC �- '713- Zed). TOWN OF QUEENSBURY 4/V1 531 BAY ROAD -. QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED l//afQ/1l7/ NAME ✓` 01( j L f,P/r LOCATION / ` /&66-a DATE ///, 7 /q/ PERMIT/ 9,2-/Q 7 TYPE OF STRUCTURE 714 /24,a S / j1'L J RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC /INSULATION WOODSTOVE/FIREPLACE REMARKS PAtak r.1 fl A O J f APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATIO1 B VENT/LOCATION PLUMBING VENT 1 / ROOFING 1 / SIDING I / DECK/PORCH/STEPS/RAILING RELIEF VALVES FURNACE/HOT WATER OPE TVG BASEMENT INSULATION/ UCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: 1 BATH/KITCHEN WA ERTIGHT \ OTHER FLOORS S EEPABLE \ OTHER FLOORS CARPETED STAIR CLEARANC'/RAILINGS HANDICAPPED A CESS SMOKE DETECT RS BATHROOM FAQ} /WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIR PROOFING DOOR CLOS RS OTHER FI E SEPARATION FIRE/DEM SE WALLS DUMPS TE SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: J r-� • ai egYe-A;11 a,T2;4.e, itej ARRIVE // v DEPART /1 INSPECT TOWN OF QUEENSBURV BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, TELEPHONE (518)NEW 0R92-583K 4 2 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME `4�,eir.G-' % �Cf LOCATION /i *,c/ ' DATE l9/ PERMIT S 90 '/07 TYPE OF STRUCTURE &'d//- v G� € G? � 5 APPROVED R CHECK N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE 1 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/WALL POUR ? / REINFORCEMENT IN PLACE 1 ,� FOUNDATION/DAMPROOFING I BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB I± ,� FRAMING: JACK STUDS/HEADERS IA BRACING/BRIDGING / JOIST HANGERS ' JACK POSTS/MAIN BEAM FIRESTOPPING WALLS A CEILING FIREWALLS / HEATING ROUGH-IN/ '1 INSULATION: / FOUNDATION WALLS INTERIOR Ri FOUNDATION WALLS EXTERIOR R-‘ FLOORS R- WA LL S R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: roA_mut Nt Li _r pc-a_ SLtPR1 i e Ar001,07/UI ,l,T 4i YL F it A-C_- (,t/s p,. ARRIVE DEPART / II •CTOR t TOWN. 0'F-.-, QUEENSBURY .. BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280g- TELEPHONE (518) 792-5832 • BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME l44 — LOCATION / 0 Al vi;-4,6 O't r,/ L a. DATE 5f'5(q 0 P RMIT •# CIO'— )O APPROVED YES NO FOOTING/PIERS j ' MONOLITHIC POUR FORMS , FOUNDATION/DAMP—PROOFING ; . . BACKFILL APPROVAL ,,,,��ROUGH PLUMBING ;',1 ,ri )FRAMING ELECTRICAL ROUGH—IN' INSULATION: ' ' • ,• FOUNDATION FLOORS n'! •' , WALLS . A,='1. PLC)`3 HI" - . CEILING. , T.-.:= - '( .:'••/IO e. 4. . K FINAL INSPECTION: ' '1 I CHIMNEY HEIGHT ' .S, -Y. ---ROOFING ' : - '' 4' .,:. . .SIDING----', ;k EXTERNAL PORCHES/STEPS, ;._:, STAIRS—CLEARANCE &r: RAILS/ ' ' -- PLUMBING FIXTURES/RELINE' VALVE INTERIOR TRIM/PRIVACY DOORS. • , FINISHED FLOORS {' • , • GARAGE FIREPROOFING ' , DOOR CLOSER(S) SMOKE DETECTORS I ' FINAL ELECTRICAL INSPECTION ---- FINAL APPROVAL OF ;CONSTRUCTION ' " ' OK TO ISSUE C/O OR 'C/C' 3, ". A SIGNED CERTIFICATE OF'OCCUPANCY MUST BE OBTAINED FROM THE' BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!" - S , REMARKS: ya. \ . 6K.io'i,ui,14 r--4 IA)r rztoIZ J ARRIVE f riDEPART 7� - ! a lINSPE@T/ • Y 1 t s 777. Tit JI LES .. C d atC 'a�^'Mn,,e�asn..c.,«.iwww��R��a. �s. +...;,. ,�......c.r..M . -.. w...wc' ..,?:: 1:;:».�...:::iM.iG' r 1-.. ;..; . ,. . � a. +r, ...e. _. , o ..w.�+�'-.w. n-� <..:,'•s'qr._, l.,.aa... . �.isrrrsrlr SAO ,.."� a iurz -7 } Diu./ f�`+ i ± 114 ,, �ut`�7 rcoL;,� L r- -- -- — — — -+ t rn ( a «I ! I I 2w�t44 (I o 'A P -�%1- 0 - 2`.K e—' T+l c, Q" TW14 RtGrp ►nttvL 3 111 4 K w i. 7 r^ t Q So iZ E 4 O T•d G i - � rN Y WLt -�l �. TfL� f - v4 tEy.Xwmwo/ f \ Co xco to/to w.vM, 14-4 Y t �If j2tt,±o t-Vl�u�si" -7; U2E,7 Co'cC. 4 3)4`" � II L A "tom e.- o .5 t 6,y1 1 �a •c.� } �1 1 G t' 1 z a' I_ 6 a' rig r�Q TOWN OF QUEENSBURY Zoning Ad iniDate str y, Qtt r a � r OW N pF 0UHNSSUlkY 3Ui�D ,, EE�Ts R,EV1EW ED BY DXrl APRI, v 1990 IT ��-•�� _ate-s at �l±�,xa t`- ' �4 RU r.