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1991-002 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN .COUNTY, NEW YORK Late March 7, 19 91 M C^ t This is to certify that work requested to 4be done.as shown by Permit No. g i-f O2 has been completed. k. This structure may be occupied as a single family dwelling Location 1 5 Mud Pond Road CHARLENE BAIRD Owner By Order Town Board TOWN OF QUEENSBURY • " r Director.of_Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91.002 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Charlene Baird N OWNER of property located at Lot 5 Mud Pond Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single family dwelling 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 15 Beech St, Apt 2 Hudson Falls NY 12839 2. CONTRACTOR or BUILDER'S Name Raymond Sherlock 3. CONTRACTOR or BUILDER'S Address lD 29 LaFayette St Hudson Falls NY 12839 4. ARCHITECT'S Name r 0 rr 5. ARCHITECT'S Address cn 6. TYPE of Construction— (Please indicate by X) 0 0. (x)Wood Frame ( ) Masonry ( )Steel ( ) -_. t• 7. PLANS and Specifications No. 24'x42' Single family dwelling as per plot plan, specifications and application including septic system. 8. Proposed Use Singel family dwelling 120.00 January 3 92 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 ru ru (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the J• town of Queensbury before the expiration date.) 0. Dated at the Town of Queensbury this 3rd Day of, January 1991 J�� SIGNED BY for the Town of Queensbury co Bui ding and Zoning Inspector TOWN OF QUEENSBURY REVIEWED Y - .� 11� FEE PAID $ lj 1 PERMIT NO. 9/Oal-- ..?Vllr; OF Ot a;E.NSI31.9i^SY PC€IVED BUILDING PERMIT APPLICATION JAN 2 1991 BLDG. & CODE DEPT. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. Pill 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 * t a * a a * * * * The owner of this property is:Charlene Baird P.O. Address 15 Beech St , Apt.2 Hudson Falls, N.Y.12839 Tel..747-0494 Property Location Lot #5 Mud Pond Rd. Town. of Queensbury Tax Map No523400 /52 -4 Has there been any split of this property since October 1, 1988? /N0 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: Raymond Sherlock 29 LaFayette St. Hudson Falls,N.Y. 747-7327 * NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF • X Construction of a new building * CONSTRUCTION: $ 70,000 Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: * Size of propertyi 37_i 3 ft i,Q2.30 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 50 ft. Rear yard 41 ft. .7 • Side yards 70 ft. and 90 ft. • GROSS AREA OF PROPOSED STRUCTURE .,� • If on corner, setback from side street ft. 01 1st Floor 1008 sq. ft. I- 1 r.v * OCCUPANCY INFORMATION 2nd Floor, sq. ft. • ' Primary Building - �- Other Floors sq. ft. * g One Family Dwelling (not cellar or bart Two Family Dwelling TOTAL FLOOR AREA; • Multiple Dwelling/Number of units 10Q$ sq. ft. Size of new structure 2,4_ft • x 42 ft. • Business Foundation-pier/slab/c- ;:' rtiai/ •u ' Industrial (circle %rl::> ° Other • No. of stories (habitable space) 1_ • Height (grade to ridge) App. 15' ft. • If addition, what will use be? residential, no. of families 1 • of rooms(excluding baths) 5 • Accessory Building of bedrooms 3 • __Detached Garage ONE/TWO Car \t bathrooms 1 • heating system ElEttric • _.__Attached Garage ONE/TWO Car fuel • \ Private storage building places to be installed None • • Other stove be installed No conditioning No • OVER - ) BUILDING PERMIT APPLICATION CONTINUED - 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? No Foundation wall material Concrete block Thickness 10" Depth of foundation below grade (to bottom of footing) Ann.. 76" Will there be a cellar? Yes Heated or unheated? Unheated Floor sq. footage 1008 _ sq ft. Will there be a basement?Yes Will any portion be used as living space? No (If so, what portion? • sq ft. Type of use? 235# Type of roof - sloped/flat/s hed/otherGable Material of roof I.K.O. fibre-glass composition shingle Size, wood studs 2 "x 6 " spacing 16 " o.c. length92�k4, eft:' Joists (floor beams) 1st floor 2 "x 10 " spacing 16 "o.c. span 12 ft. Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x " spacing o.c. span ft. Roof trusses (pre-engineered) spacing 24 " o.c. span 24 ft. Exterior wall finish Vinyl-siding of what material? ` Interior wall finish Sheetrock If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to he 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? No Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in.. Water supply - Municipal or private well Well SEPTIC SYSTEM Distance from ANY private well (including adjoining propertiesMin. 100 ft. (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER Ray Sherlock-BuildersADDRESS 29 LaFayette St. TEL. NO. 747-7327 NAME OF PLUMBER Ken Celeste ADDRESS Glens Falls.N.Y. TEL. NO. 792-3007 NAME OF MASON Dale Baldwyn ADDRESS West Fort Anne N.Y. TEL. NO.792-1371 NAME OF ELECTRICIANRuss-L-Electric ADDRESS Hudson Falls N.Y. TEL. NO.747-9664 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 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. Signature 1 r i-,, Ly/, ,� �i'�— -Contractor 0 ne , owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS j .LANN OF OUEENSBUR`r Compliance Methods: RECEIVED PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) ' JAN 2 1991 PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings lDO CODE DEFT Multi-Family Dwellings (3 Stories or Less) PART - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 &�6 - Compliance Methods ethods Require Submission of Worksheets R.Sherlock-Builders Lot #5 Mud Pond Rd. Queensbury APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross (Floor Area - 1008 Sq. Ft. 2. Type of Heat -. 'X Elec. Base Board Other 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__ 1 _33 30 B. Exterior Walls • R 25 25 19 C. Glazed Area R :131) - �,�� 2. 5 (.8 D. Exterior Doors R /f 2.5 Z. 5 E. Floors over unheated spaces R 30 25 19 F. Edge of Slab on Grade (Heated Building) R 11 11 G. Basement/Cellar Walls (Above Grade) R 25 19 H. Basement/Cellar Walls (Below Grade) R 11 _a_ I. Heating/Cooling - Ducts - Piping in Unheated Space R 4./0 4.&, 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED ' ZZ� t o vC 4� 12/31/90 747-7327 APPL/CANT S SIGNATURE DATE TELEPHONE NUMBER INSPECTOR'S REMARKS: REVIEWED BY 1��' TOWN OF QUEENSBURY c a APPLICATION) FOR SEPTIC DISPOSAL PERMIT OF QU NSL;lJR'r RECEIVED DATE: 12/31/90 JAN 2 1991 LOCATION OF PROPERTY FOR INSTALLATION Lot#5 Mud Pond Rd. Tn. of Queensbury !BLDG. & CODE DEPT. Owner' s Name:• Charlene BM rd Address: 15 Beech St. Apt.#2 Hudson Falls,N.Y. Installer' s Name: Ray Sherlock-Builders Telephone: 747-7327 Number of bedrooms (residential only) 3 Total daily flow (compute @ 150 gal per bedroom) 450 gallons Topography: Circle one: Flat Rolling-, , Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Ground Water: At what depth? Feet Bedrock or Impervious Material : At what depth? Feet Percolation test: Circle one: not required required On File Rate - Min. Per Inch Domestic water supply: Circle one: Municipal Well Other If domestic water supply is a, well : _ Separation: Water supply from any septic absorptionMin. 100 feet. PROPOSED SYSTEM: Septic Tank 1000 gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench 50 feet/Total system length 9nn feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used #..1/4-1 3" /Depth or Thickness 12" min. feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alarm system and associated electrical work to be inspected by an approved agency. _ 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 Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: , DATE: /.z • 3l •99v • • • • Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted co the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system • 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywalls B. Nu system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure co produce said plot plan at time of inspection may • - result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installa— tion. alteration or repair of an approved .system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads • • Queensbury, New York 12804 k.amarks: : • - TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I2804• TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME !i2Ge LOCATION i!'d 474, 1 DATE (7/1„5"— PERMIT # APPROVED YES NO FOOTING/PIERS ins MONOLITHIC POURtiFORMS FOUNDATION/DAMPPROOFING BACKFILL APPROVAL ROUGH PLUMBING 1'' FRAMING +. ELECTRICAL ROUGH—IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING et-INAL INSPECTION: CHIMNEY HEIGHT ROOFING ✓ SIDING ✓ EXTERNAL PORCHES/STEPS j-Gp 5e-F.Ftetec42 STAIRS—CLEARANCE & ,RAILS 1t PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS ✓ GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS 02 . FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS, ,; L(% ARRIVE DEPART INSPECTOR �,. _ MIDDLE DEPAB;MENT INSPEETION A'DENI;Y, INC. 1 Electrical-Buff ping-Plumbing-Fire Inspections . - rt.? Ikk Date s -'- ' ,.- I k‘r..1744.1 13 I ra. .I rvipliiM r T; ,, constitutes certification that the - above installation, but not the equip- - ment itself, has been visually inspected: i. as of this date pursuant to the applic- able codes.- If additional equipment should be introduced or alterations made to the existing system or struc- ture, application for inspection.'should be submitted promptly to this Agency. , 41---;-<c._ 41--'n1 c� I / A • J®,4vvs of Queenibury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC(PT DISPPOSAL SYSTEM )INSSPECTION NAME `� 32� ,-d C�1�(.i V ,1 0)1'6' 1 LOCAT I ONE� �,-{- 5 (n1 u() ck- c DATE_ Ql / I PERMIT NO. 9/ OOa SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch : TYPE of SYSTEM: • Absorption field„ total length Length of each- tench' Depth of trenches ' .j Size of gravel 1 ' / _ SEEPAGE PITS{Number of) / Size- ft. X '1 ft. 1• Gravel size ! ! PIPING: Size Type Bldg. to tank Tank to dist. box I Dist. box to field/pit / Openings sealed? YES/ NO Partial LOCATION/SEPARATIONSy Foundation to tank / ft. Foundation to absorption ft. Absorption to lot/line ft. Separation of pigs ft. LOCATION OF SYSTEM ON. TOPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: TA h s� l ePk; Cam,\Jo �`''�o m e,C�t 1 i `yam Adr, SYSTEM USE APPROVL• t • 11114,1 Bu_ J n-pector • 01/86 and vl ,4.-4w9Prittrmr-7------7 . ' ----- - ' ' ' • 'I -1-- ' , a/17-044/P-7`1 ' ;,,,i -`II",,-; ,•,, , ., \`;'•4,,,,T '•. ' ,. ,-.A.,0 • gtli' , • .). , I 202. 18 t2-:---------------------:------- 4)t 1 x„ . ., . • • i/ , OWN ORFECQEURIEEED / NEBURY 1) . '1 • ; \) . JAN 2 1991 ir lot 0? --,1 I BLDG. &CODE DEPT. -,/ .. v‘ • _ ki`01 Co ,..., E671 l'a • I o' ____I •. • _ _, __.__ I , i ,..:., 'tt:1 - - 5 ; 7 S• • ,,,-- ; iN k 1 TOWN Oi- L4LiciaNz)b01-0 •'-,-.,• ' — 0 ki:, 0 P Cli 1.-...."'.-"3 n.1 49 - 1 n 7- 7 ___— 1_— - \ 1 o \() . , ''' ' /-,7? -/42/ FILE COPY DRIvEwAyr 4-6 N. STONE/GR , SI DEWA Lk<S: SIN, x3 FT coN 02.3' 9 ,,„. • \ . R.O.W. MUD POND ROAD _ cc�� _own o/ Queeni ur � • BUILDING and ZONING DEPARTMENT ,4 7 - Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • ' SEPTIC DISPOSAL SYSTEM INSPECTION NAME GLth 4 �JCL4��� LOCATION 5" .A( f / 7 6t ,&1 DATE_4 / 9/ PERMIT NO. 91-e04 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length / Length of each trench/ Depth of trenches ' 1 Size of gravel j SEEPAGE PITS4Number o ') _ / Size- ft. X • Gravel size PIPING: Size Type Bldg. to tank y Tank to dist. box i Dist. box to field/pit I 1/4- Openings sealed? YES NO Partial LOCATION/SEFARATIONS: 41 Foundation to tank �.°" ft. Foundation to absorption ft. Absorption to lot l ne �;ti D5 ft. Separation of pits, '' ' `Lkft. LOCATION OF SYSTEM' ON• PROPERiY(circle one) Front - Rear - Left side - Right side - COMMENTS: I SYSTEM USE APPROVED(7) NO Building Inspector 01/86 and vl LY TOWN OF QUEENSBURY 6-7 () 1/-‘ BUILDING AND CODES DEPARTMENT 531 BAY ROAD • QUEENSBURY, NEW 0 TELEPHONE (518) 792-5834 2 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED j,p,P ) NAME 'a N c C�r' 4. �. y -'� "1aYJ ��iv . LOCATION O\D r) 620 ,d 1 DATE - 1 PERMIT # 9 / ---(3 0 nTYPE OF STRUCTURE S 1Ae_- 1-(A!yr �Lj-k)< I RECHECK APPROVED N/A YES NO FOOTINGS/PIERS - . MONOLITHIC POUR FORM REINFORCEMENT IN PLACE , . THE CONTRACTOR IS RESPONSIBLE° / FOR PROVIDING PROTECTION FROM 4` FREEZING FOR 48 HOURS FOLLOWING ,' THE PLACEMENT OF THE CONCRETE:. ;''' MATERIALS FOR THIS PURPOSE ON, SITE 'r FOUNDATION/WALL POUR ( REINFORCEMENT IN PLACE ! FOUNDATION/DAMPROOFING t ,F BACKFILL APPROVAL u '' ROUGH PLUMBING . PLUMBING VENT/VENTS IN PLACE ,), PLUMBING UNDER SLAB ; , FRAMING: ,P` JACK STUDS/HEADERS BRACING/BRIDGING r' il ' JOIST HANGERS i JACK POSTS/MAIN BEAM i HEATING ROUGH-IN li ;INSULATION: I. FOUNDATION WALLS INTERIOR R" , � FOUNDATION WALLS EXTERIOR 0,W_;;;' ✓ • • • FLOORS / I R„ 'v WALLS i...1 l 1 ..e% -5 v CEILING f Gri'70 //s"Ti-, ` z W DUCT WORK OR PIPING IN UNHEATED SPACES d s, I1 REMARKS: // ; 1%V l( I�e I..s'0 ESL 7 t C II G/Yu G/,,•- ARRIVE /:f-r ,,,.._ r - 7 DEPART ) /‘ ' i ';-�'�L� INSPECTOR _lown o/ QuQenJturcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM SYSTEM INSPECTION NAME � � /� ,(�' LOCATION DATES/ J/ PERMIT NO. f -662 • - T SOIL TYPE - Sand -`Lo) - Clay - Percolation Test Required? YES -OP Percolation rate - Min/Inch TYPE of SYSTEM: • Absorption field, total length:' `7 O7 ' Length of each trench SD ' Depth of trenches ' c p / '.. Size of gravel \ �• SEEPAGE PITS4Number of) _ 1»///1 • Size- ft. X ft. Gravel size >" PIPING: Size Type Bldg. to tank /Z/ Tank to dist. box Dist. box to field/ i_t\ ;` Openings sealed? YES , NO Partial LOCATION/SEPARATIONS: ,°.. Foundation to tank y). Foundation to absorption ft. ;t Absorption to lot line ft. Separation of pits ft. /^;' ' LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side _ Right side - COMMENTS: 1f e ti SYSTEM USE APPROVED YES) NO f)14.4-`, Building 'Ins pector • 01/86 and vl Ks TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW 0 TELEPHONE (518) 792-5834 2 BUILDING INSPECTOR'S REPORT 'REQUEST FOR INSPECTION RECEIVED a/4 Jq HNAME C'itO i ti_P�w a1 j h d 'LOCATION r 7L d , d DATE (2/y PERMIT # TYPE OF STRUCTURE /� 41,1 (J i • RECHECK APPROVED N/A YES' NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE f . 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 f ' REINFORCEMENT IN PLACE i FOUNDATION/DAMPROOFING BACKFILL APPROVAL OUGH PLUMBING r ✓/ LUMBING VENT/VENTS IN PLACE. ✓ PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS r BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM, HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIORIR- FOUNDATION WALLSEXTERIOR! R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR :PIPING IN UN EATED SPACES REMARKS: ARRIVE DEPART INS ECTOR OnlowL 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 //�5/q NAME P-DCk:\ ,r ) CCe.Y' JQ _ LOCATION DLO+ MO 0) ?c nc ? DATE I/ ) PERMIT # 9/ —oo TYPE OF STRUCTURE r RECHECK I N/APPROVED A YES NO FOOTINGS/PIERS I MONOLITHIC POUR FORM t REINFORCEMENT IN PLACE ' THE CONTRACTOR IS RESPONSIBLE ' :/ FOR PROVIDING PROTECTION FROM , a FREEZING FOR 48 HOURS FOLLOWING ;` THE PLACEMENT OF THE CONCRETE.} ' MATERIALS FOR THIS PURPOSE ONESITE /' FOUNDATION/WALL POUR ,1 REINFORCEMENT IN PLACE `; / FOUNDATION/DAMPROOFING ; / BACKFILL APPROVAL ` ,' ROUGH PLUMBING +' PLUMBING VENT/VENTS IN PLACE "'r PLUMBING UNDER SLAB a FRAMING: r, i JACK STUDS/HEADERS / ✓ BRACING/BRIDGING JOIST HANGERS 1 i ' JACK POSTS/MAIN BEAM fi 1 HEATING ROUGH-IN / INSULATION: '/ FOUNDATION WALLS INTERIOR R- d' FOUNDATION WALLS EXTERIOR R-/ FLOORS R4 WALLS R= '! CEILING R- t ' DUCT WORK OR PIPING IN UNHEATED',. SPACES / REMARKS: 4 Gt) fe. - e / 44-A,„---.,. / - ,i . .,,, . iARRIVE / ;�" / DEPART / _ �f 'PI '''ECTOR- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME <!/ ,t i.0 —/ k_`���h_4E./ LOCATION /(/,1, rl4:_it' /ri a'lUx�� DATE ;' aC/J/ PERMIT # q7- .(37f APPROVED j YES NO FOOTING/PIERS \ MONOLITHIC POUR FORMS / 7 FOUNDATION/DAMP-PROOFING / r BACKFILL APPROVAL, / ROUGH PLUMBING j FRAMING ELECTRICAL ROUGH-IA' INSULATION: l FOUNDATION 1 FLOORS WALLS ' CEILING I\. . FINAL INSPECTION: / 1 CHIMNEY HEIGHT ROOFING I SIDING I EXTERNAL PORCH S/STEP STAIRS-CLEARAN E & RAILS PLUMBING FIXT RES/RELI F VALVE INTERIOR TRI /PRIVACY OORS FINISHED FLO RS ` GARAGE FIREPROOFING DOOR CLOSER(S) j SMOKE DETECTORS FINAL ELECTRICAL INSPECT{ON FINAL APPROVAL OF CONSTRUCTION - OK TO ISSUE/C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: • li— ARRIVE DEPART • INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT JA6-0BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 • BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED A4( NAME (�� �,111/1'LI I- 1%.. i�(� LOCATION 1,4q.j / j f 4 DATE / /f / i PERMIT # ?) --ala ;{ APPROVED V11 42=11: 1I f YC(.GUA 1/111 YES NO XFOOTINGO/PIES I MONOLITHIC POUR FORMS - � • FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ! ROUGH PLUMBING . { ' FRAMING ? i ELECTRICAL ROUGH-IN • , I .. . • • . . INSULATION: FOUNDATION t t ' FLOORS . • . WALLS �. { CEILING FINAL INSPECTION: ;''A CHIMNEY HEIGHT ? k • ROOFING • 3 \. ' SIDING • • / EXTERNAL PORCHES/STEPS \ STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS, FINISHED FLOORS .GARAGE FIREPROOFING DOOR CLOSER(S) ! SMOKE DETECTORS r l FINAL ELECTRICAL INSPECTION- FINAL APPROVAL OF CONSTRUCTION \ • A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! • REMARKS: THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. . MATERIALS FOR THIS PURPOSE ON SITE ARRIVE YES NO DEPART O` • ((:;;2 INSPECT R LANDS 01F LOT 5 RAINBOW RIDGE TOWN OF QUEE.NSBU Y WARREN COUNTY, 1,\-=.W YORK SCALE : i I N1. = 20 FT. DRAWN q-2( -q0 By L.IaAXTE R N w JWN OF QUEENSBUR ( RECEIVED JAN 2 1991 SLDG. & CODE DEPT. Zoning Administr FILE COPY DRIVEWAY;'1-6 1N. S 10NE / GRAVE SIDEWAU. .5. 31N, X3 Fr CONC. R.O.W. MUD POND ROAD S-,2 — .S