1990-573 T.'a
' CERTIECATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date at_in 10 19 a
This is to certify that work requested to be done as shown by Permit No. Q0-,579,
has been completed.
This structure may be occupied as a single family dwelling in 1/2 of Duplex'
Lot 9 - Unit B - Smoke Ridge Road
Location
JMC PROPERTIES
Owner
By Order Town Board
TOWN OF QUEENSBURY
: 4fr-
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 90-573
WARREN COUNTY, NEW YORK
z
PERMISSION is hereby granted to JMC PROPERTIES • 0
OWNER of property located at Lot 9 - Unit B - Smoke Ridge Road Street, Road or Ave. '-'
0
in the Town of Queensbury,To Construct or place a 1/2 of Duplex
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
23 Willow Road •
Queensbury NY 12804
CD
2. CONTRACTOR or BUILDER'S Name FU
O
Cifone Construction Co Inc b
3. CONTRACTOR or BUILDER'S Address
PO Box 684 t�
Glens Falls NY 12801 cip
4. ARCHITECT'S Name
0
5. ARCHITECT'S Address
td
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( I Masonry ( )Steel ( v. 0
ro
7. PLANS and Specifications
(xi
No- 1/2 of 1708 sq. ft. Duplex as per plot plan, specifications and application C
including one-car attached garages and septic syRtPm_
8. Proposed Use
Single family dwelling in 1/2 of Duplex
I.
$ 120.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 28 19 91
(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.) �p
ro
28th August 90
Dated at the Town of Queensbury this Day of g 19
r
SIGNED BY /..)(I i for the Town of Queensbury
Building and Zoning In for
El
gi
" -(...‘,2-.2 Lv hA 4,1.:4:%<a(a t.�,-19-!a i.49,�'1'.."!..",),�'51. ..:.,_e! 1--9J A."".a5i..?4.19'. (. .i.5 a5i,".•:9)5i..AA!."•"..a5J.":!Si.19,!- ).)5 )5,_,)•"-IF!.5•,_•�, i,.,I451:apy 4 . C:1 ,, -
.-
THE NEW YORK . BOARD. OF FIRE. UNDERWRITERS PAGE 1
'J1135771 BUREAU OF ELECTRICITY
1, � 41 STATE STREET.ALBANY.NEW-YORK 12207 '.
ic; Date . JUNE 27, 1991 . Application No.on file)J 11539(1J90 05= 666
�' THIS CERTIFIES THAT
, only the electrical equipment as described below and introduced by the applicVnt nameeed//J oit the above application number in the premises of -
,J N C PROPERTIES, BURNT RIDGE, OUEENSBURY, N.Y. •
„i• in the following location; ❑ Basement 0 1st Fl. 0 2nd Fl. GAR Section Block Lot 9B
c i'
_ �, was examined on ,J(;NE. I$,1991 and found to be in compliance with the requirements of this rd. -
i'
0; FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '
ECEPTACLES SWITCHES
• OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. . AMT. K.W. AMT. K.W. AMT. 'H.P. '
• 19 34 19 19 • 1 5 ' 1 1• .5 3 . F
1,
�, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS, AMT. K.W. OIL H.P. GAS H.P. AMT. • NO. A.W.G. AMT. AMP. AMT. ' AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
t<; 1 :'' 3 1
_--- • SERVICE DISCONNECT NO.OF- - - - S - E - - R V I -. C . -• E
!p AMT. AMP. TYPE EQUIP. 1 if 2W 1 3W 3.5'3W 3,B'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A'W G• NO.OF NEUTRALS A.W.G. "
.,, PER.B OF CC.COND.. OF HI-LEG OF NEUTRAL_
' itOTHER APPARATUS: v
-; ELEC. ROOM HEATERS:1-15 K.W.
�.-. MOTORS:1-2.5 H.P.
ELEC. WATER HEATERS: :1-4.5 K.W.
"
fk, e
G.F.C.I:-5 _ ;
SMOKE DETECTOR:-2
' J
—
-: CI;:ONE CONSTRUCTION _-_ -
"' AIRPORTINDUSTR]AL DR. _ cTu7'
PC} }30N 684 BRANCH MANAGER
GLENS FALLS, NY, 12801 - 239
j, 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.
a �rYery6.rer is ,srisri�r,�rYa Y�Y,AY'i�r i�r'i(Y'iAY'I�t ia'Yer'iAr iAf'i�Y>iAr (Y YAY it q i�Y is iAf iA a �1 `r;.1- r
z. ' - COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE.MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QOEENSBURY
REVIEWED BY .,0MT/�/li/�
FEE PAID = 1 Q�
QUEENSBURY
4:�
PERMIT NO. e2 ;ENED
BUILDING PERMIT APPLICA •" `
AUG 21199
�--5 CODE T.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MOST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
sass , • . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • e •
The owner of this property
P.O. Address P3 Gt4491l �/ Tel. 7 ? f22
Property Location ,/o7 f s1f0A/.% ,/19K6 f Tax Map No✓ ///o,/
Has there been any split of this property since October 1, 1988? J/ /
(it/it
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE C1�2A Rid 6°, % LOT NO. �THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
/TO/-► /iye ?o,v 'yZ�
•
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF •
• CONSTRUCTION: S / 0 o 0
Construction of a new building • f,
• Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property ft x ft.
Alteration to a building , • Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
• Proposed building - distance from property line:
_Other work (Describe) • Front yard ft. Rear yard ft.
• Side yards ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor, /, o or sq. ft. 0-0 • OCCUPANCY INFORMATION
•
2nd Floor 7o0 sq. ft. '10 • Primary Building -
Other Floors sq, ft. 5/0 • _One Family Dwelling
(not cellar or basement) . • wo Family Dwelling
TOTAL FLOOR AREA /70Y sq. ft. • _Multiple Dwelling/Number of units_
3i of • _Business
Size new structureft x_ft.
Foundation-pier/slab/crawl/partial/full • _Industrial
(circle one) • . • Other
•
No. of stl.a fhitable space) '
•
Height ($rods' O ridge) ,7 2 ft. • If addition, what will use be?
If residential, no. of families •
•
No. of roons(exciuding baths) 1/ • Accessary Building
No. of bedrooms • Detached Garage ONE/'Two Car
No. of bat soon* •
Primary heating system 1_ei f �j9 • ..1.._Attaehed a 0 WO Car
'type of fuel I.9 .• __Private storage building
No. of fireplaces to be installed A'A' •
Will a wood stove be installed /Yr9 • __Other
•
Central Air conditioning
OV• ER
F
BL•ILD[NC PERMIT APPLIC ;TION CONT: ED -
BC[LD(NG 3PECIFIC.ATIONS:
Type of construction, wood frame, fire safe. etc. %'J Q pj i5e4yz
Will any second-hand or upgraded lumber be used? If so. for what? /e)
Foundation wall material Thickness fr
Depth of foundation below grade (to bottom of footing) e/
Will there be a cellar? �J Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? /[il) Will any portion be used as living space?
(If so, what portio ' sq ft. Type of use?
Type of roof slop/flat/shed/other Material of roof ,Siff/4-g S'
Size, wood studs .2 "x o " spacing / " o.c. lengtnia ,7ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor ' "x /0 spacing /G "o.c. span / -ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters , .. "x /7 " spacing / o.c. span / ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish ,y/r/06%. ,S/ /4, of what material? •
Interior wall finish , S#y j -G o gi4
If a garage is to be attached, describe materials to be used for FIRE SEPARATI.ON:
37e-I/ ,C12,* 14/��v ‘°0' '�
Is there to be an opening between garage and dwelling? /�_ If so will a Fire-rated door, enclosure,
self-closing device be provided?
Willa flue-lined chimney be installed? A./,., Height above roof ft.
Depth of chimney foundation below grade All-ft.
Depth of fireplace he ft. in....
Water suppl - Munici al r private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER Ll/>&C G04-1'ce'DADDRESS TEL. NO. �-z,� -- ,
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
•
NAME OF ELECTRICIAN 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 dote on
the described premises and that all provisions-.of the BUILDING CODE, THE ZONINls " =' "CE,and
ell other laws pertaining to the proposed work shall be complied with • th . • ed - not, and that
each work is authorized by the owner.
sii:nat !�!�! •
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OP THE PERMITS
•
BY
TOWN OF QUEENSBURY _ _
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 w k.
.��;- nLcE<<JSRURY
fE::EIVED
ANSWER ALL of the following:
1. Gross floor area /70 4r AUG 21 1990
2. Type of heat !/ BLDG R rpn6 DEPT.
3. Is the building mechanically cooled.? y.F,s
4. Percentage of area of windows and doors /c81.
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 NO
1. If YES, what is the R value?
3. Slab on grade YES' NO
a. , If YES, wha b the R value of insulation around
perimeter of floor? /4/
4. Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
,
B. Under 16% Only
1. R value of r of and floors exposed to ambient conditions
2. Al value of exterior walls /(-i 9
. 3. .` R value of glazed area____Anr. - 0
4. R value of doors
5. R value of floors over unheated spaces •
6. R Yalu® of slab edge insulation - unheated slab IV
7. R. value of 'slab insulation - heated slab / Y
8. R value of heated basement/cellar walla (above grade)
9 . R value of heated basement/cellar walls (below grade)
10. Type of insulation c://jW4Z
C. Controls
? . Thermostat maximum heat setting w
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. Piping Insulation '
1•. Size of hot water or cooling carrying- agent: pipe "
2. • R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2 Temperature control setting maximum
G. • For Swimming Pool Only .
1. Maximum heating
Telephone No. , I4)`\4 4.1.11ss ' rs4
i'pplicant's• s gnaturs).
APPLICATION FOR. OWN RE.�11ES8ElRY
•, 1 � CEI�p
=v SEPTIC DISPOSAL PERMIT
41.10 AUG 21 -1990
BLDG. & CODE DEPT.
DATE DS-/'o O
LOCATION OF PROPERTY FOR INSTALLATION 110/ /
Owner's' Name: )4,e /7/ e7jW/ '- Telephone: 7F2 9 ��
Ai
Address: Gl//Ile
Installer's Name: It/ /W yl2i.2/8 Telephone:
Number of bedrooms (residential only)
Total daily flow (compute O. 150 gal per bedroom) 0
Topography: Circle on Fla Rolling Steep Slope % of Slope
Soil Nature: Circle o je!" Loam Clay Other /Depth: Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? L Feet
Percolation test: Circle one: of required equired rate min. inch.
Domestic water supply: circle one 'Iunicip 1 Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank/9UD gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench 37) feet/Total system length -..2.5-77 feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # /Depth or Thickness feet
*************************
I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbury Sa • Sew 's 1 rdinance.
SIGNATURE OF RESPONSIBLE PERSON:
DATE: .
OVER .
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
•
(TEMP.# IDATE I
CITY OR _
VILLAGE /'1: / / J -)
� �r/t"� TOWNSHIP COUNTY G7,/ �t f
-
STREET AND NO.OR �,/` c p�, J ., `-/ 4) •%J 1 1;`"'
ROAD AND POLE NO. -�1 ,`J/' ��G/ r)(,� �:�/ 7(-,f 0 657(✓ POLE NO.
BETWEEN WHAT TWO - ,
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S �) "'"' ,.‘--...,...BUILDING
NAME Ti ✓// �. _ /f ,/�.-i�.�,c�'~/,r'1 OCCUPANCY
OWNER'S NAME :- // j /J /r ? / tom-' G
AND ADDRESS jr ) 4� /.-,j ,e /ui'' / ,�-'�Ar,:' TEL.# (.°� ,,� yam".,.
CURRENT - `" .•' k. /�.? ----'1 / /'
SUPPLIED 7).-7
BY r"'i.<<� ,�f/I/ CJ FROM THEIR ( OFFICE
BSUILDING NEW OLD❑ IS
NEW ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.NUMBER OF OUTLETSof Fixtures MOTORS HEATERS BRANCH
LampReceptacles CIRCUITS
OFFICE USE -
Lora- ONLY
Ilion- -
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: 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 '� EXP_OSED__ GAS TUBE SIGN
OF WORK e'CONCEALEfT TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD )UNDERGROUND MAKER
ENTERS ---"—
BUILDING �---"— OF SIGN
INSPECTION REQUESTED ,�w�
ON OR AS NEARASI`
POSSIBLE � i �t _ NEW 0 OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF c'--- "/1�'
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION i'
PRINT NAME ANDADDRESS _
NAME OF / .,i - r:,,��:' r-----) _ r?ir7 X SIGNATURE ('
APPLICANT ,` / �� "� U `OF APPLICANT < �1
STREET ADDRESS , �� —"Oki TELEPHONE# ,/ > "' ' 7
CITY OR ZIP LICENSE NO.
POST OFFICE -� !'� % CODE.-`,! �/ WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
ThOyl
TOWN OF QUEENSBURY ,-
` K ," 531 BAY ROAD f1
QUEENSBURY; NEW YORK 12804
12 TELEPHONE (518) 745-4447
BUILDING- INSPECTORS REPORT
ram-
p FINAL_INSP-ECTION
REQUEST FOR NS E TION RECEIVED ��/ l f
NAME C) -C/`� C l On
LOCATION o if 0- l"> S ITkOk
DATE /430 (iI PERIITf I J !
TYPE OF STRUCTURE -?,4T'1 IL, )o 7
RECHECK (�
FIRE MARSHAL APPROVAL (C,OMMERCIAL STRUCTURE)
SOOTING l/FOUNDATION V BACKFILL •1 FR MING
ROUGH PLUMBING FINAL ELECTRICAL \ EPTIC
--v-YNSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATI )N
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING ✓/
DECK/PORCH/STEPS/RAIL GS � ,p ✓✓
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULAT ON/DUCTWORK
INTERIOR TRIM/"IVACY DOORS
FINISH FLOORS.
BATH/KITC . N WATERTIGHT
OTHER FLIERS SWEEPABLE
OTHER F 'ORS CARPETED
STAIR CLEARANCE/RAILINGS ]
HANDICAPPED ACCESS r
SMOKE DETECTORS ✓ ,
BATHROOM FANS/WHOLEHOUSE FANS ✓,
ALL PLUMBING FIXTURES OPERATING i
GARAGE FIRE PROOFING ✓
DOOR CLOSERS ✓,
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS (/
DUMPS TER b/i
SITE PLAN/VARIANCE REQUIREMENTS ,..
FINAL ELECTRICAL ✓
OK TO ISSUE C/O OR C/C
COMMENTS:
fAt,/ . 77�s�G
ARRIVE
DEPART C(///P -4(1
INSP T
TOWN OF QUEENSBURYAD �
T.`!` j • QUEENSBURY,B NEW AY RYYORK 12804�
— TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 7/�9�
NAME it)7 (, --4- �J
LOCATI ,eg .�i'G(���
DATE 7/0 • PERMITI @ --J-J-3
1
TYPE OF STRUCTURE � ►�' 4il€
RECHECKGJ� ,/iy / �� /
�
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
APOOTING -i5-OUNDATION ,-4BACKFILL i—FRrAMING
.,,';--ROUGH PLUMBING '—FTNALTELECTRICAL_SEPTIC
GNtSULATION W00—GSTOVE//FIREPLA'CE
SITE PLAN/VARIANCE REQUIREMENTS _YES _ NO
REMARKS
I )
APPROVAL
. ' N/A YES NO
CHIMNEY HEIGHT/LOCATION k
B VENT/LOCATION 1 I A
PLUMBING VENT b / X
ROOFING ;1 I
SIDING I
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES ;i I
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY ,DOORS >S
FINISH FLOORS: ' �
BATH/KITCHEN WATERTIGHT X
OTHER FLOORS SWEE9ABLE X
OTHER FLOORS CARPETED,/A/;'r.20Cr.0.5
STAIR CLEARANCE/RAIryLINGS
HANDICAPPED ACCESS ')
SMOKE DETECTORS / I X
BATHROOM FANS/WHOLEHOUSEj, FANS
ALL PLUMBING .FIXTURES OPERATING X.
GARAGE FIRE PROOFING
DOOR CLOSERS /
OTHER FIRE SEPARATION i
FIRE/DEMISE WALLS '
DUMPSTER f v,^
FINAL ELECTRICAL .1i ?�
OK TO ISSUI C/0 OR:C/C \
COMMENTS: 4
0._ C, is.�C'- G_D
ARRIVE L 1' a) ..
DEPART 1.'15--- / / •
124 /-4,F'l,•
. own o/ Queenibur, V L.--
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME CV1 JE_
LOCATION EI e_,11 T ZO
DATE 6//Z15 / R j PERMIT NO. 'rZ J f
SOIL TYPE - Loam - Clay ' `�^-
Percolation Test Required? YES -(NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length LI S&
Length of each trench 60
Depth of trenches 2..- 3 ,rj
Size of gravel
SEEPAGE PITS4Number of)
Size- ft. X ft. /V�/ '
Gravel size
PIPING: ize Type
Bldg. to tank 1 PVC-
Tank to dist. box v�
Dist. box to field/•'t w
Openings sealed? ® NO Partial
LOCATION/SEPARATIONS:
Foundation to tank
Foundation to absorption 2,2 ft.
Absorption to lot line \ D.JZ£t.
Separation of pits
LOCATION OF SYSTEM ON PRO�,ERTY(circle one)
Front -GM - Left side Right side -
COMMENT .
tl
Nr�
S °l
l •
SYSTEM USE APPROVED YES NO
c
Bui ing ns ector
01/86 and vl
LVT11
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT •
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT _a _ l 1
REQUEST FOR INSPECTION RECEIVED
NAME g) �- �Q fi' 1 9.)
LOCATION S v-1n o
DATE 7) ` /PERMIT 5?d
TYPE OF STRUCTURE
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 SIT
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE j
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL r /
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE 9 y'
PLUMBING UNDER SLAB 1 r
FRAMING:
JACK STUDS/HEADERS - - - - --a-- - -! - --
BRACING/BRIDGING /
JOIST HANGERS I
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS I
CEILING
FIREWALLS
HEATING ROUGH-IN "+
ATION: .
FOUNDATION WALLS INTERIOR,R-,J
FOUNDATION WALLS EXTERIOR' R-
FLOORS R- p
WALLS R- /, r
CEILING Q-5)0+(2 5C R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
•
REMARKS: f ',..
/jjo3
ARRIVE lar
DEPART 4=Lr
NSP TOR
TOWN OF QUEENSBURY v7%i_______„
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT jam%�l
REQUEST FOR INSPECTION� RECEIVED //
NAME ( .(, 1 i
LOCATION ��LL &L-6,,r J
DATE //� / PERMIT # 09-.5/43
TYPE OF STRUCTURE /),--/ C(i.,/,/ �D /
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 K
PLUMBING VENT/VENTS IN PLACE,;
PLUMBING UNDER SLAB
xFRAMING: )
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS ,/''
CEILING I'
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS; EXTERIOR R-
FLOORS /' R-
WALLS ,r. R-
CEILING j' R-
DUCT WORK OR.:PIPING IN'UNHEATED
. SPACES ;,'.
REMARKS: ;;r
I
Jt 1
h
ARRIVE /1.--/T
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BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 1j�a
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LOCATION r +mC)�-P \�`I r,
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DATE 1, - R PERMIT-# 90 7
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INSULATION: t: d
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FLOORS d . . . . . .
WALLS ' ' • £/9• _17)/
CEILING " E 51
FINAL INSPECTION: m .
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RA}ILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS `
GARAGE FIREPROOFING r 0
DOOR CLOSER(S) 1
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SMOKE DETECTORS ? '
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/T ---
A SIGNED CERTIFICATE OF OCCUPANCY MUST. BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ARRIVE lam/
DEPART i) �"'
SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /9
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORTO
REQUEST FOR INSPECTION RECEIVED / 2-9/0d
NAME A /piq-LP�
LOCATION. 9/nli/ 9/5 .1_14,g- p ,6 4414
DATE ' /7'k0/ PERMIT .# 96-.5 7J
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING \ ' .
BACKFILL APPROVAL j .
x ROUGH PLUMBING eJJI 4 g)JJi di/�
FRAMING //
ELECTRICAL ROUGH-IN ' 1 1 f •
INSULATION: •'
FOUNDATION ' /
/
FLOORS . . . `' . . . . .
WALLS ','". . . .
•
CEILING / ; '
FINAL INSPECTION:
CHIMNEY HEIGHT / f . . •
ROOFING • •/ t
SIDING / . . .' . .
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS f;
PLUMBING FIXTUR'S/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING I '
DOOR CLOSER(S) '
SMOKE DETECTORS
FINAL ELECTIICAL INSPECTION . ' ' ' . . . . '
FINAL APPROVAL OF CONSTRUCTION . -
OK TO ISSU C/O OR .C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PkEMISES ARE OCCUPIED! a
REMARKS:
•
•
•
ARRIVE
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DEPART � '
INSP CTOR
VN OF QUEENSBURY
DING & ES DEPT.
VED BY
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Plans and specifications are in full
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TO" OF Q*&4SWjgy
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9 Administrator
OWN OF QUEENSBURY
RECEIVED
AUG 21 1990
BLDG. & CODE DEPT.
CMWE XTRUCo,
P.O. ON 684 WALIr - `
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