1990-439 I'A'
I ,
9."
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date thJaf14-1- /0 is,
\I)
This is to certify that work requested to be done as shown by Permit No. 90-439
• has been completed.
• This structure may be occupied as a addition to residence •
Palmer Drive
Location
Christian J & Margaret G Reinhardt
Owner
By Order Town Board
TOWN OF QUEENSBURY
r
Director of Bldg. & Code Enforcement
BUILDING PERMIT y
TOWN OF QUEENSBURY No. 90-439
WARREN COUNTY, NEW YORK t b
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0
PERMISSION is hereby granted to CHRISTIAN J & MARGARET G REINHARDT
l
OWNER of property located at Palmer Drive Street, Road or Ave.
I
rn
in the Town of Queensbury,To Construct or place a Addition to residence
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
tr1
RR4 Box 565 Palmer Drive
Queensbury Ny 12804
2. CONTRACTOR or BUILDER'S Name C�
y
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
lv
Eq
AS
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
No. 504 sq ft Addition to residence as per plot plan, specifications and application.
8. Proposed Use
Addition to residence
n.
$ 40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 10 19 91
rr
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
CD
n.
Dated at the Town of Queensbury this ay of Jul 19 90
SIGNED BY c/ (I' / for the Town of Queensbury
Building and Zoning In or
i
TOWN OF QUEENSBURY
REVIEWED BY
FEE PAID
117
1#0, PERMIT NO. d-4� f
JULBUILDING PERMIT APPLICATION / L p 1990 '
BUILDING & CODE DEPT. .
A PERMIT MUST BE.OBTAINED BEFORE BEGINNING.CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT-11 ►S 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
The owner_.of:this property is: Christian J. 8c Margaret G. Reinhardt eid_..3 „„
0
P.O. Address -4 Box 56_5- ' Tel. 745-7$44 s5#1
Property Location Palmer Drive Tax Map No. 144/ 1/ 16
Has there been any split of this property since October 1, 1988? / X '
If yes Planning Board Review is necessary. - ;_ yes no
SUBDIVISION NAME, IF APPLICABLE . LOT NO.
THE PERSON RESPONSIBLE FOR`SUPERVISION OF WORK AS REGARDS:TO, BUILDING CODES IS:
C. J. Reinhardt
NATURE OF PROPOSED WORK: *• ESTIMATED MARKET VALUE OF
•
Construction of a new building * CONSTRUCTION: $
__Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property l50 ft,x
100 ft.
Alteration to a building * Existing Buildings(3) Size 5 t 4' ft. x 3$t 7p� ft.Irre
(no change to exterior dimensions) g
• Proposed building - distance from property line:
Other work (Describe) . .
Front yard 45 ft. Rear yard ' 42 ft.
•
Side yards 57 ft. and w 34 ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor •
504 sq. ft. .64 = OCCUPANCY INFORMATION
•
2nd Floor e_ sq. ft. ' . • • Primary Building -
Other Floors ` —1--- sq. ft. • LOne Family Dwelling.
(not cellar or basement • Two Family Dwelling
TOTAL FLOOR AREA • Multiple Dwelling/Number of units
5n1i. sq. ft. • Business
Size of new structure ' 14 ft x 36 ft.
Foundatio .allD slab/crawl/partial/full * Industrial
circle one) • Other
No. of stories (habitable space) 1 •
Height (grade to ridge); •
�' �e N.A. ft. , If addition, what will use be?
If residential, no. of families 1 • 2 bedrooms and bathroom and exit hall
No. of rooms(excluding baths)' 2 •
Accessory Building
No. of bedrooms .
2 • nNone_Detached Garage ONE/TWO Car
No. of bathrooms ' l ° • r,
Primary heating system _`fireplace` In ,ebt • Nnnr, Attached Garage ONE/TWO Car
Type of fuel_o •
None Private storage building
No. of fireplaces to be installed Nbhe '' . ' •
Will a wood stove be installed o' • None Other
N
Central Air conditioning No •
OVER
BUILDING PERMIT APPLICATION CONT[NL ED -
BUILDING. SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. Wood Frame
Will any second-hand or upgraded lumber be used? If so. for what? •
Foundation wall material Pe rs (cpncreteihickness
Depth of foundation below grade (to bottom of footing) �Sr
Will there be a cellar? No Heated or unheated? Floor sq. footage --- sq ft.
Will there be a basement? No Will any portion be used as living space?
(If so, what portion? ==== sq ft. Type of use?
Type of roof slopeg)flat/shed/other - : Material of roof 5/8" plyscore - rolled rpofing
Size, wood studs 2 ."x 4&6 " spacing 16 " o.c. length ft. for $ .ft. ceiling
Joists (floor beams) 1st floor 2 "x 8 " spacing -if"o.c. span 14,.ft. 9"
Joist (floor. beams) 2nd floor == "x -- " spacing -- "o.c. span -- ft."
Overlays (ceiling beams) -- "x -- " spacing -- " o.c. span -- ft.
Roof rafters 2 "x $ " spacing bie fo.c. span 4.4. ft. '.ength l6' plus
Roof trusses (pre-engineered) spacing = " o.c. span -- ft.
Exterior wall finish vinyl over plyscore of what material? same
Interior wall finish 1/2t" sheetrock
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: ----
Is there to be an opening between garage and dwelling? --- If so will a Fire-rated door, enclosure,
self-closing device be provided? ----
Will a flue-lined chimney be installed? .NQ Height above roof --- ft.
Depth of chimney foundation below grade -- ft.
Depth of fireplace hearth -- ft.
Water supply - Municipal or private well Private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties . ' 42 ft.
(A separate. application is necessary for any repair or new installation of septic system)
Approved
NAME OF BUILDER Owner ADDRESS Palmer Drive TEL. NO. 745-784J.
NAME OF PLUMBER it Same ADDRESS Same TEL. NO. 745-7844
NAME OF MASON � Same ADDRESS Saupe TEL. NO.' " It
NAME OF ELECTRICIAN //Same ADDRESS Same TEL. NO. " "
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
plants 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 not, and that
such work is authorized by the owner.
Signatureil _<_3„ cam , W17-\,
Owner, o
SPECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION .
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods: ,_..e f= QUEL,—.___
L� V '-' 4 f
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)' D � �'
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;JUL - 3 199°
Multi-Family Dwellings
(3 Stories or Less)BUiL-D1NG 8( CODE KEPT
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 .& 6 - Compliance Methods Require Submission of Worksheets
Christian J. Reinhardt Palmer Drive Queensburv, N.Y. 12$O4
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 504 Sq. Ft. •
2. Type of Heat - Elec. Base Board Other Fireplace insert
3. Is Building Mechanically Cooled? YES x NO
4. Percentage of Area of Windows and Doors Over 17% x Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R 19 3.3 a)
B. Exterior Walls ; : R 19 25 I I
C. Glazed Area R 19 2. 5 •Q
D. Exterior Doors R___2___ 2.,5 2_c5
E. Floors over unheated spaces R 19 25 (q
F. Edge of Slab on Grade (Heated Building) �_ . R None ( I II
G. Basement/Cellar Walls (Above Grade) R None 25 _-
H. Basement/Cellar Walls (Below Grade) R None - II __11.__
I. Heating/Cooling - Ducts - Piping in Unheated"Space R l one 4-. (c) 4 (A
6. Service (Domestic) Hot Water Heating Device •
A. Conforms to minimum efficiency per code % x YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° WILL NOT BE EXCEEDED
et/ < J d.,.� ,1/ Z, /99 745-7844
APPLICANT S S UR DATE TELEPHONE NUMBER;
INSPECTOR'S REMARKS:
REVIEWED BY
DEPARTMENT INSPECTION AGENCY; INC. _.
National Headquarters_ivilODLE 1337 West Chester Pike,West Chester, PA '19380 U" . ,
APPLICANT COMPLETES THIS SECTION • Date: /27/92
City, Town or Township t lieensbury County ',barren State New York
Location/Address Palmer Drive — :Box 565, Route #'4, .Queensbury, N .Y. . 12804-
(If Located in Rural Area - Please Attach Directions) _ Pole # 16
Owner t;hrl ritian J-. & Margaret G. Reinhardt Permit # '
Occupied As -u;nmor Home .Building: New' r Old J X
Occupant • Owner / '
f.!— /.0/9 / r e.),( Work Area in Building (Floor #,etc.): 14' x 36
'�
App. for: Wiring FA Service Xi or: Ready for Inspection: 27/92
Fee Remitted-$ Cash n Check n M.O. n 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 7
Lighting 2 150 Amp. Service Surface Unit Dishwasher Range
7. Water Heater Air Conditioner Dryer 1 ' Pump
Receptacles 14
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 1'/2 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 - Utility: +� -J�gra i4oha.w — C-1en8 Pa11i
` (NAME)s OFFICE LOCATION)
Applicant's Address: Box r_frj, ,
Route -11 Cu �I
(City) c ueenshury , (State)New York (Zip) 12804 Service'Request #
Phone # 2 _ 844 Electrician: _, Owner Cj
MDIA USE ONLY DATE RECEIVED:. . . DATE INSPECTED: -.7�2- ?� 9 �,
Correct Location: Same as Above or: '
Red Notice Label n -`- .
S p 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 '
iJ /) Amp. Service Conductors Pump Vent Fans
MOTORS P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1' Ph 2 3 5 7'/2 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
CERTIFICATIONS USE FOR INITIAL VISIT ONLY . NOTIFIED DATE COFEECT •FEE PAID
I ,if RW Progress: Inc.❑ LKD❑ . , Contractor 7 —'r
❑ CFT Violation: Work Comp.❑ Inc. .❑ " •n L/A Owner. CASH ❑
❑ L/A Due Fee CHK # °e/s
n IPA - Municipal MO #
INV #
Date: - Other Side L Utility Applicant ❑
Owner l
• ' . 0 j/ i .,-) 9 -d
Cut in Card I I Temp # ' Date r ell ' f ��
•
� � �_(-2 2----2---- INSPECTORS SIGNATURE
Final # r' C/ fi . Date /J U /
APPLICATION FORM NO.250 EL 11/89 /
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
- NATIONAL HEADQUARTERS:
1337 West Chester Pike,West Chester, PA 19380
DELAWARE . NEW JERSEY
0
1815 Newport Gap Pike 1030 Kings Highway-North 3901 Hartzdale Drive
Marshallton, Del. 19808 Suite 310 Suite 112
(302) 999-0243 Cherry Hill, N.J. 08034 Camp Hill, Pa. 17011
(609) 667-9200 (717) 761-5340
203 N.E. Front Street
Suite 105 Rear Entrance 350 Grove Street 1542 Bristol Pike
P.O. Box 306 Grove XXII Corner U.S. Route 13
Milford, Del. 19963 Bridgewater, N.J. 08807 Bensalem, Pa. 19020
(302) 422-5729 (201) 526-0880 (215) 244-1919
(302) 856-2218
26 S. State Street Route 19, North
Hackensack, N.J. 07602 P.O. Box 136
MARYLAND (201) 487-5373 Wexford, Pa. 15090
(412) 931-3028
Burch Oil Co. Bldg. Route 9 (412) 935-1558
E/S Route 5 Marmora, N.J. 08223
Charlotte Hall, Md. 20622 (609) 390-1940
(301) 645-2219 VIRGINIA
(301) 884-4547 NEW YORK
706 Erie Boulevard West 3076 Shawnee Drive
Washington Co. P.O. Box 1626
Office Bldg. P.O. Box 285 Winchester, Va. 22601
33 W. Washington Ave. Rome, N.Y. 13440 (703) 667-8484
Hagerstown, Md. 21740 - (315) 736-0477
(301) 791-3190 (315) 337-3480
Hitch Bldg. Room 203 460 State Street
636 S. Salisbury Blvd. Suite 308
Salisbury, Md. 21801 Rochester, N.Y. 14608
(301) 749-0641 (716) 454-5191
Cumberland City Bldg. 52 Margaret Street
Third Floor Plattsburgh, N.Y. 12901
20 Bedford Street (518) 563-2835 _
Cumberland, Md. 21502
(301) 759-6519 PENNSYLVANIA
318-A Commerce Drive 121 W. Tenth Street
Easton, Md. 21601 Erie, Pa. 16501
(301) 822-8300 (814) 452 4604 •
•
18 N. Wyoming Ave.
Room 204
Kingston, Pa. 18704
(717) 288-4906
NOTICE TO APPLICANTS: Final inspection and approval may be required by law before electrical current may be energized for use of
occupants. The Agency undertakes to provide inspections until final certification is granted if such requests are made within 120 days
from date of the last inspection. Upon expiration of 120 days from the date of the most recent inspection, all duties and obligations
owed by the Agency shall be deemed completed,and all fees paid by applicant shall be deemed consideration for services performed. No
further inspections shall be undertaken by the Agency without filing of a new application, and the payment of relevant inspection fees.
No final certification shall be implied or inferred without issuance of a duly executed certificate.
The Agency in accepting application for inspection cannot assume responsibility for unavoidable delays in inspection.
"100 YEARS" PROTECTING THE CONTRACTOR AND THE CONSUMER.
r
- YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
- ' EQUIPMENT TO BE INSTALLED BY
. THE UNDERSIGNED ///���ppp -
TEMP.H DATE0-743
CITY OR VILLAGE WNSHIP I COUNTY
Queens bury Warren .
STREET AND NO. R D - ''I L
'a1mer Drive, Box 565, Route #4 16E17
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANTS NAME BUILDING OCCUPANCY
Il
OWNER'S NAME AND ADDRESSy
D.C. J. Reinhardt - same as above HOMETIFPHNli( z.1F
• CURRE T SUPPLIED BY FROM THEIR F E WORK TELEPHONE�'' NUMBER
Niagara Mohawk Glens Fairs
BUILDING IS I.
NEW g OLD❑ WORK IS NEW❑ ADDITIONAL[X DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH OFFICE USE
Loca- Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. . Gauge INSPECTION
OUT-
SIDE '
SUB- '
BASE
BASE- .
MENT
1st
FL. •
2nd
FL.
3rd .
FL.
•
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
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 MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
•
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) I CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
• - ❑ OVERHEAD ❑ UNDERGROUND
- . DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) DENT F CATION NUMBERS • I I I I I I I '
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. • -"
PRINT NAME AND ADDRESS •
-
NAMEOF.APPLICANT = t • DATE OF APPLICATION 1 NATURE OF APPLICANT Li
(l1J 1�{.,Y�, +� an J. Reinhardt - X t., ; N - .>r-
STHtt��I��H[[6��Dfn�s �TT�11 TELEPHONECNJO.( 7. .5-78 J.
CI DFTPOSTO�FFIL'Eriv®s Box 565 ZIP CODE ':•. LICEN7 .WH�L�ABLE FS'�f
Queensbury, N. Y. 12804 .
❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road • •
• .NEW YORK,NY 10038 1 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
•
THE NEW-Y. ORK BOARD OF FIRE UNDERWRITERS
v --- '.-) .41/1&_./
TOWN OF QUEENSBURY
/,A► 531 BAY ROAD
t ',. QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
AS/1 BUILDING INSPECTOR'S REPORT
INAL INSPECTION
REQUES OR INSPEC ON RECEIVED /5? 3
NAME A
LOCAT ON �` • .
DAT ( a
- .3 PERMITS
TYPE F STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
_INSULATION WOODSTOVE/FIREPLACE _
REMARKS
APPROVAL
,/ N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION 1 ,
PLUMBING VENT @, /
ROOFING 1 I
SIDING
DECK/PORCH/STEPS/VLINGS
RELIEF VALVES
FURNACE/HOT WATER APERATING
BASEMENT INSULATION(DUCTWORK �,
INTERIOR TRIM/PRI'VACY DOORS
FINISH FLOORS: /
BATH/KITCHEN WATER IGHT
OTHER FLOORS 4SWEEP BLE
OTHER FLOORSYCARPE D L/
STAIR CLEARANCE/RAILI GS
HANDICAPPED ACCESS 1 /'
SMOKE DETECTORS 1 ,/"
BATHROOM FANSf/WHOLEHOUS.E FANS
ALL PLUMBING' FIXTURES O'PERATING
GARAGE FIRE PROOFING 1
DOOR CLOSERS e':
OTHER FIRE SEPARATION tX
FIRE/DEMISE WALLS Y�
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL '?
OK TO ISSUE C/O OR C/C
COMMENTS:
gzstho___-A/LOL L . 0-
ARRIVE JO,' 13
DEPART A l)�\J
INSPECTOR
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No 90
Owner 0.. e&-flo gmeor
Occupant
Location Pbr—.144 67.2 Da-
att-TAr 'Y Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
Date a
Insp
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
=Ad tg.f,
i' ROUGH WIRING OUTLETS H.P.
H.P.AIR CONDITIONER
.7 OLLIL2TS� re r { C4 WIRING &CONTROLS FOR BURNER ,"
1/ RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN '
DAMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
e'4K`0 AMP.SERVICE CONDUCTORS
.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER -i.
X.W. RANGE AMP. RECEPTACLE
fK.W.WATER HEATER FRAC. H.P.VENT FANS
MOTORS H.P. 1/20 1/12 I/10 '/e % ''4 '/a '% % 1 11/2 2 3 5 Ph. 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
TOWN OF QUEENSBURY
/! ilikIvw 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAE �
M /s/✓t_!'ii.,�} d/vr:-).;',/1W-/A
LOCATION, SJJ,- /44,4 ,r,_r�� .
DATE 744 - PERMIT#? C'j 2 -'c43 '
TYPE OF STRUCTURE ,,(z, A2 4n�,,4.+ ,
RECHECK •
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
%,FOOTING FOUNDATION BACKFILLAMI
-ROUGH PLUMBING ' FINAL ELECTRICAL EP
JYNSULATION _WOODSTOVE/FIREPLACE
REMARKS i% � �f /.�Oa'yJ.///rs1.r4
.ie,.Gr/a ` _/ /
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION ,;,,"'
B VENT/LOCATION '''''--
PLUMBING VENT
ROOFING
SIDING /�
DECK/PORCH/STEPS/RAILINGS i./..
RELIEF VALVES ,,f
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION,DUCTWORK
INTERIOR TRIM/PRIVA .Yx'DOORS ,// .
FINISH FLOORS: Aj'
BATH/KITCHEN WATER FIGHT AI
OTHER FLOORS SWEEPA:BLE /
OTHER FLOORS CARPETED „,/
STAIR CLEARANCE/RAILINGS ;�
HANDICAPPED ACCESS k ✓ 7
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE /, FANS ;
ALL PLUMBING FIX�rURES OPERATING / /GARAGE FIRE PROOFING
DOOR CLOSERS I
OTHER FIRE SEPARATION ;%
FIRE/DEMISE WALLS
DUMPS TER i .,/,
SITE PLAN/VARDANCE REQUIREMENTS 1/
FINAL ELECTRICAL '.;, V'
OK TO ISSUE 00 OR C/C
COMMENTS:
t. t5 ► y-
ARRIVE \:.1-1!0
DEPART 6(.0 k
INSP T
TOWN OF QUEENSBURY /✓
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED (/7�Gf, f
NAME (242h. O/-u 4%(4,d/7-
LOCATION .l`(.dAlgt. %/-
DATE 9/ /9/1/ PERMIT # Vd`'(_
TYPE OF STRUCTURE /)d/J / j h 1 iiewl e_)
RECHECK APPROVED
N/A YES NO
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/WALL POUR :
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE' •
PLUMBING UNDER SLAB
y FRAMING:
" JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM , '
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
',( INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR FLOORS R-\ �� :;"
WALLS R-\(it/
CEILING R-"l9
DUCT WORK OR PIPING IN UNHEATED
SPACES 1�
REMARKS:
ARRIVE ✓//
DEPART //
SPE TO
TOWN OF QUEENSBURY /1/21
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED g'/6/9�
NAME (- / -a ) i+ e/A
UJjo. -
LOCATION r Ptc., Ygt - ,J
DATE (. 'Q PERMIT # �/J-11 f
APPROVED
(10--0. (!j /ii/. / YES NO
FOOTING/PIERS
MONOLITHIC POUR •RMS
FOUNDATION/DAMP-P'OOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: C%C A"e O
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STE 6
STAIRS-CLEARANCE & RIIL
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVAC DOO. S
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
_FINAL APPROVAL OF CO STRUCTION
OK TO ISSUE C/O OR C, C
A SIGNED CERTIFICATE OF OCCUPAN MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE (CCUPIED!
REMARKS:
/D -
ARRIVE
Al
o0ys�/
DEPART t
INS CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT )1/
BAY & HAVILAND ROADS
QUEENSBURY, EW YORK 12804.
TELEPHONE (.18) 792-5832
BUILDING INSPECTOR'S REPORT
REQUE Z F{OR NSP TION RECEIV D 25 [23 Cj(> n,1
NAMEPV
LOCATION- YL n u
DATE 7120 ( D PERMIT # 96 c Zi- C1
APPROVED
_ YES NO
•
FOOTING PIERS
MONOLITH C POU., FORMS
FOUNDATION/DAMP PROOFING •
ACKFILL APPROVaL
OUGH PLUMBING
FRAMING
ELECTRICAL ROUG IN '
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
— -ROOFING — - - -- - - - -
SIDING
EXTERNAL PORCHES IEPS
STAIRS-CLEARANC: & RAILS
PLUMBING FIXTUR S/•. LIEF VALVE
INTERIOR TRIM/•RIVA, Y DOORS
FINISHED FLOOR.
GARAGE FIREPR.IFING
DOOR CLOSER(S ' •
SMOKE DETECTO•S • '
FINAL ELECTRICAL INSPECTION .
FINAL APPROVAL OF CONST' CTION
OK TO ISSUE C/4 OR C/C - -- --
A SIGNED CERT FICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDIN DEPARTMENT BEFORE
THESE PREMIS ARE OCCUPIE'!
REMARKS:
ARRIVE
DEPART (1 <L a __
INSP CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k I 1 i�i���
TELEPHO (518) 792-5832 ; ,y' ✓L-ti
BUILDING INSPECTOR'S REPORT
REQUEST F. INSPECTION RECEIVE. �'�/Fb
NAME L' /YI� I�3'! 4U4' at d6
LOCATION . fi10� ,
DATE , GjM PERMIT # 90 ' / q
//;;
• APPROVED
a t A 11 YES NO
FOOTING/PIERSt
MONOLITHIC PO ' FORMS
FOUNDATION/DM'-PROOFING
BACKFILL APPRO 'L
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH IN - • •
INSULATION:
FOUNDATION
FLOORS
WALLS . . .
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S 'S • •
STAIRS-CLEARANCE & '^ILS
PLUMBING FIXTURES REL EF VALVE
INTERIOR TRIM/PRI°ACY .00RS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL 'NSPECTIO •
_FINAL APPROVAL OF CONSTRUC ION
. OK TO ISSUE C/O •' C/C
A SIGNED CERTIFI'ATE OF OCCU'ANCY MUST BE
OBTAINED FROM TIP BUILDING Da.'ARTMENT BEFORE -
THESE PREMISES 'RE OCCUPIED!'
REMARKS:
inG.. C 1 /
f;
ARRIVE , s'. I ;1
y; ,..i
DEPART Y r
• INSPECTOR