1991-041 ir
•• iA
-C"rt:
CERTIFICATE, OF OCCUPANCY
TOWN OF QUEENSBURY
•
WARREN COUNTY, NEW YORK
Date ,0",..ainati,A, 2 19.
This is to certify that work requested to be done as shown by Permit No. 91-041
has been completed.
This structure may be occupied as a inside climhinn arpa
Location 624. Upper Glen Street
Owner Thomas & Marlynn Jacobs/
Inside Edge/Reliable Racing Store
By Order Town Board
TOWN OF QUEENSBURY
(("Dairi
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-041
Jo-
WARREN COUNTY, NEW YORK z ro
PERMISSION is hereby granted to Reliable Racing/Inside Edge ct N
OWNER of property located at 624 Upper Glen Street Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Interior Alterations
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
Marlynn & Tom Jacobs
m
2. CONTRACTOR or BUILDER'S Name r"
►-a
Stephen Adler m
3. CONTRACTOR or BUILDER'S Address
RD#2 Box 277A z
Lake Luzerne NY 12846
4. ARCHITECT'S Name N
m
m
5. ARCHITECT'S Address rn
6. TYPE of Construction— (Please indicate by X)
( 1 Wood Frame ( ) Masonry ( ) Steel ( )
0'
IV
7. PLANS and Specifications
2570 sq ft Interior Alterations as per plot plan, specifications
Nand application. -11
8. Proposed Use —+
rD
Inside climbing area
c+
rD
$ 130.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 20 19 92 -1
0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 'S
town of Queensbury before the expiration date.)
c+
Dated at the Town of Queensbury this 20th Day of February 19 91 a
SIGNED BY %i✓7)/ ,/�j/�- / for the Town of Queensbury
! Build ing"in`d-Zoning Inspector
TOWN OF QUEENSBURY
REVIEWED BY
f FEE PAID = h
� PERMIT NO. W—d17/ �vvt9 OF OUEE;yw :or.,
RECEIVED
a �
BUILDING PERMIT APPLICATION ann�
77�_ �� FEB .
.24
1LDG. & Goof:.
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 MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • * * • * • • • * • • • • • • • * • • • • * * • • • • •
The owner of this property is: RtLmo rcGE /ZAcin:), /iv;,-�c Coc' (ryl�r/ ,1� f sp(- 05-)
P.O. Address 6 UPPC,Z ( ti Tel.
Property Location • Tax Map No.
Has there been any split of this property since October 1, 1988? / X
If yes Planning Board Review is necessary. es no
SUBDIVISION NAME, IF APPLICABLE J- r� �S � LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
S-TE P M EN (I) A 04.;Efe.
•
NATURE OF PROPOSED WORK: • ESr;MATED MARKET VALUE OF
Construction of a new building , CONSTRUCTION: $ /®,OU 0
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 sq. ft. •
OCCUPANCY INFORMATION
•
2nd Floor sq. ft. • Primary Building - •
One Family Dwelling_-
Other Floors sq. ft. • - -�
(not cellar or basement ,�.-� • Two Family Dwelling
d'O/' • Multiple Dwelling/Number of units
TOTAL-FLOOR AREA R5 70 sq. ft. ' `
Size of new structureft x ft.
• ' Business
Foundation-pier/slab/crawl/partial/full • Industrial
(circle one). • • Other
•
No. of stories (habitable space)
•
Height (grade.to ridge)_ ft. • If addition, what will use be?
If residential, no. of families •
No. of rooms(excluding baths) • Accessory Building
No. of bedrooms • _Detached Garage ONE/TWO Car
No. of bathrooms •
Primary heating system CIS far" RV- • _Attached Garage ONE/TWO Car
Type of fuel G�S • Private storage building
No. of fireplaces to be installed •
• __Other
Will a wood stove be installed_
Central Air conditioning •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED I
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. (9Oo82 o Spec, (a,..)s 50a/(9_
Will any second-hand or upgraded lumber be used? If so, for what? •
• I
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? Will any portion be used as living space?
(If so, what portion? • sq ft. Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs "x " spacing " o.c. length ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span 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 " o.c. span ft.
Exterior wall finish of what material?
Interior wall finish
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? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in. •
Water supply CMI.micip i%or private well /iwN icy). o(
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
K(A separate application is necessary for any repair or new installation of septic system)
'TAME OF BUILDER 34 AcZ ADDRESS oe-i�B Z� Lf',4._ TEL. NO. 6Yl o'6�5=
'AME OF PLUMBER ADDRESS TEL. NO.
'AME OF MASON ADDRESS TEL. NO.
AME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
bans and specifications submitted, are a true and complete statement of all proposed work to be done on
,e described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
l other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
•ch work is authorized by the owner.
Signature
Owner, owner's agent, architect, contractor
4ECIAL CONDITIONS OF THE PERMIT:
BY
6
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
QUEENSBuh
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) RECP'VED
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings_;,
Multi-Family Dwellin D Z J 19.1
(3 Stories or Less)
at
PART 4 - Design By Component Performance - Commercial Buildings - Hi Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
W. raLEn 6 UPPER G� C/� �. v/
APPLICANTS NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - LS"73 Sq. Ft.
2. Type of Heat - Elec. Base Board Other Gq, �ozcc �.
3. Is Building Mechanically Cooled? YES G/ NO
4. Percentage of Area of Windows and Doors Over 17% r.// Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED.1
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R 30 33 30
B. Exterior Walls R 25 19
C. Glazed Area °41 R
D. Exterior Doors R a.S 2.5 2.5
E. Floors over unheated spaces R. 25
F. Edge of Slab on Grade (Heated Building) // 11 II
G. Basement/Cellar Walls (Above Grade) R 2,5 19
H. Basement/Cellar Walls (Below Grade) R LI 11
I. Heating/Cooling - Ducts - Piping in Unheated Space R y. 4.(0
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
0!, 6,1r---°16)gs.
APPLICANT'S SIGNATURE • l DATE TELEPHONE NUMBER'
INSPECTOR'S REMARKS:
REVIEWED BY
BLDG. PERMIT NO. 91-041
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A.TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; 624 Upper Glen Street
for the following uses: Hard As A Rock Climbing School
�1 . tom B , '� 4 �r`„- ...
DATE
SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (x)APPROVED
( )DISAPPROVED
with the following conditions: final Certificate of Occupancy to be issued
upon completion of exterior siding.
TEMPORARY CERTIFICATE OF OCCUPANCY FEE:,(<)$10.00 DEPOSIT: (j$100.00
received on qi(>(Ci/ fr6t, (6- P�vef.�,��;1% /
Date of Issuance Director of Bldg. & Code Enforc ment
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
,f �`
/ •
- MAIN OFFICE ATLANTIC-INLAND, INC.
997 McLean Rd. NEW YORK
/ Cortland,New York 13045 • MEMBER OF N.F.P.A.AND I.A.E.I.
Phone: (607)753-7118 FIRE UNDERWRITERS `+
(607)753-7809 ( Consulting Service) 8 9 6 5 9
(607)753-1396 Electrical and Fire Inspection-Enforcingand
(Incorporated in the State of New York)
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below.On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE .
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION
CITY.iota VILLAGE QtlG.-(,-s�,�;Se —1 COUNTY Lt)t1[2(7-LN STATE
_ 1 �
STREET � � -� • BUILDG.NO.
ADDRESS I:J;),�;- V E t_`< ULLv
RURAL
POLE NO.
DIRECTIONS
OWNER'S_T-- - i - -
NAME I , '(' /. I t1 i l \i+C.r (: ,4 , "; OCCUPIED AS -i' <-(,..t i-+
J
OCCUPANT i ,U( h/ c i,,(.�r 1 % , / .J., iS+c(( ' ,-,4•i CBUILDING—New❑Old❑WORK—New❑Additional❑
i ..
OWNER'S P.O.
ADDRESS -
APP.FOR—ROUGH WIRING,I ,FIXTURES❑OR IY-,c� ,;J.-',t ,{. "°^1 S READYFOR INSPECTION 19
FEE REMITTED—$ BY CHECK❑CASH❑MONEY ORDER❑• MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
. Number of Rough Wiring Outlets Fixtures U._.. Add Installation
Swtch Li'tng Recep. KW Med. Mogul Fluor. - _ 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Heat Base Base
Elect Heat
Amp.Service Water Htr. Burner 'Air Cond.
Surface Unit Oven Range Gr.Disp. Dish W.
Dryer H.P.Pump Ex.Fan Hood
OTHER EQUIPMENT(Specify Type&Capacities)
TYPE OF SIZE OF SUB- BRANCHES NO.OF
WIRING OPENI CONCEALED'01 OTHER MAIN . MAIN CIRCUITS
APPLICANTS-- `� I ', 1
Sr SIGNATURE -.A-/ ).J , + -`dt?)'r LICENSE# PERMIT#
- I S .... NAME OF
APPLICANTS UTILITY
ADDRESS
OFFICE TO
CITY STATE ZIP CODE BE NOTIFIED
SPACE BELOW FOR USE OF INSPECTORS ONLY
AMP SERVICE K.W.SURFACE
ROUGH WIRING OUTLETS EQUIPMENT UNIT
SWITCHES AMP SERVICE K.W.OVEN
CONDUCTORS
H.P.GARBAGE
RECEPTACLES H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K.W.DISHWASHER
FIXTURES K.W.DRYER
MOGUL BASE K.W.WATER
. FIXTURES HEATER K.W.RANGE
FLUORESCENT H.P..AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS 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 3 5 71/2 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
APPARATUS - Elect.Heat -
MISC.INFO. Received Inspected FEE PAID
❑PROGRESS TOTAL$
❑DEFECTIVE
Check No.
❑Rough Wiring Certificate
❑Temporary Service Money Order
❑FINAL CERTIFICATE •
- Cash
❑Dup.Cert.Req. Charge
❑MUNICIPAL -
MUN.ADDRESS .
ATTN:
Temp.Cut-in Card No. Final Cut-in Card No.
Inspector
QI-.1-1 _ 'Ai rislinupQI ITV
I
ta k..4„_�.A.,a.1.?,!.a1i Ali���,"...1.!.."..e!....t,...k��t;�"�..?is.T,.i:,"i.a�i... .....11.,i.a .fi.a.! •i.,,,ti.1.ka��a .),ti �.A.,."..,,,.a.�.a..i.,.,,,..?„,,,�,i.j�,." .�i .-a,.a A.i ..,c.i 1"c.?.",.?
if:
THE NEW YORK BOARD OF FIRE UNDERWRITERS.: PAGE 1
4121328�. BUREAU OF ELECTRICITY ;- _'''' .�
", F 41 STATE STREET,ALBANY,NEW YOR(:12207 • .
�, > 2' 99 A lication O.on i e) I- _._1'_l_. '�' 0:196:1 ��n
► Date f1 T�Ci1 _.�.,�. ]. P _� �f ���'; 1 `_,'3 , !.L A # : .. i r-*
ii �: THIS CERTIFIES THAT ., taillI`P NO 91-081 :pi
g. 'r only the electrical equipment as described below introduc fb app icant named on the above application number in the premises of -'F.
-4i
(JONATIIAN LOGAN, RT. 9 RD3 BOX 3095--16, OUEENSBURY, N.Y. '�
.4 in the following location; ❑ Basement El 1st Fl. ❑ 2nd Fl. Section Block Lot ,
�: was examined on MARC!! 1.8,3.9 91 and found to be in compliance with the requirements of this Board. ., -,
1 :: 21
...tt: FIXTURE I 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. '
4
Ik' r f - :i
1 l• S
1
' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ',f sa
' 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 % b
� i
' i
.: SERVICE DISCONNECT NO.OF
S E R V I C E ':f :
P. AMT. MAP. TYPE TER
1,e'2W 1,®3W 3 if 3W 3,B"IW NO.OF C$COND. OF CC.COND.. NO.OF HI-LEG OF.HI-•L G NO.OF NEUTRALS OF NEU AAL '!
i ,S
Y1
�f '1
: tr-
ip OTHER APPARATUS: '..
l
:: rV
e IA. ,!,
,. ..
7. s,' • tP L ii Ti ASOZATES . + *. y
t1, uT-
M
LDi T . _ .
E' BRANCH MANAGER !
4, 1� ,8BLE1 PLACE. 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. ':
= COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
Vtil 531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPOR
COMMERCIAL MU•®ALTE--
DATE INSPECTION REQUEST RECEIVED:,
NAME (i_
LOCATION ea L 3 a 4-_I 1 ,6-1--
DATE 2_— 1 (q9CA PERMIT # ci t`C)- \
TYPE OF STRUCTURE ( -{M„ ' aI FR k
FOOTINGS BACKFILL FRAMING_ PLUMBING
INSULATION
N/A YES NO
CHIM Y/"B" VENT/H IGHT
PLUMBINL VENT/FIX.URES
ROOFING
EXTERIOR FIIf
HEATING/HOT WA`"ER
RELIEF VALVES
FLOORS
FOUNDATION IN•ULATIM
INTERIOR STAIRS/RAIL GS
STOCKROOM ENCLOSURE
FIRE DEMISE ALLS PENET• 'TION
FIRE DAMPERS
CEILING FIRE TOPPING
FIRE DOORS/CL SERS
EXIT DOOR HAR r ARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS\
HANDICAPPED PARKING
FINAL ELECTRICAL \.
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN, IF REO
OK TO ISSUE C/O OR C/C V
--rEM P Co ‘pvEtD k.61 C_OOD MU 1
- c P C-Dt LETlol13 oF- AtO' t6.
6 PE. \ t\c ,6uP
\2_3—`\ \ t'V ,tt3G CbM E
\q)v -E_ 41 c_LoE b T� j1-
iU/1i(-Z
,A,-"'',,, / TOWN OF QUEENSBURY
#, %tit" 531 BAY ROAD
QUEENSBURY, NEW PORK 12804
TELEPHONE (518) 745-4447
` '" BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 4' QQ
PEE ��? T ��✓�7/`�' -�L��/�Ji�/r _
LOCATION 6/ %// &N,-?ti } .Z.P/�/
DATE /,'/%, //i g/ PERIIIT#i 9/- '4/,
TYPE OF STRUCTURE 2t/. ,r01--
RECHECK , / ,�/',/ el?
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL-- SEPTIC
INSULATION 'WOODSTOVE/FIREPLACE _
t �
REMARKS `- /-� e/ (,� �� /7iJ�
�� '71_
;. APPROVAL
/ N/A YES NO
CHIMNEY HEIGHR/LOCATION)
B VENT/LOCATI`ON p
PLUMBING VENT /
ROOFING 1 /
SIDING / ✓--
DECK/PORCH/STEPS/RAJILINGS
RELIEF VALVES yn
FURNACE/HOT WATER,/OPERATING
BASEMENT INSULATI/N/DUCTWORK
INTERIOR TRIM/PR VACY DOORS
FINISH FLOORS,,:
BATH/KITCHEN JATERTIGHT
OTHER FLOOR$ SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANQE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECT9'RS\
BATHROOM FAN /WNOLEHOUSE FANS
ALL PLUMBING!FIXIURES OPERATING
GARAGE FIRE/PROOING_
DOOR CLOSE
OTHER FIRE/SEPARATION
FIRE/DEMISE WALLSA
DUMPSTER 1 %
SITE PLANyVARIANCE REQUIREMENTS
FINAL ELECTRICAL \
OK TO IS/UE C/O OR C/C,
COMMENTS:
ARRIVE__
DEPART
I P T
- ` --TOWN OF QUEENSBURY
531 BAY ROAD
C QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
RAM ev
LOC
DATE 40/Y/ PERMIT#
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL _FRAMING
- ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
- INSULATION WOODSTOVE/FIREPLACE
REMARKS Ai,e440 y_y
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION k',
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS ,i
RELIEF VALVES -"
FURNACE/HOT WATER OPERATING'
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS?
FINISH FLOORS: i,
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPA,BLE •I
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS/
SMOKE DETECTORS /
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS /
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C DA. aact)
COMMENTS:
ycc,e `T C, 0.
ARRIVE
DEPART
INSP
INFORMATION FOR BUILDING DEPARTMENT
LENDING AGENCY
Atlantic-Inland, Inc. is in the process of issuing a Certificate of
Occupancy/Compliance for the electrical installation/
construction project as covered in an application filed with
our main office.
Date Inspector
NEW YORK ATLANTIC-INLAND, INC.
flyi-U' ./15' �0(IL &//726/A % c dL
TOWN OF QUEENSBURY 531 BAY ROAD
QUEENSBURY, NEW PORK 12804
-. 1",44. ; TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
C-/�L
LOCATION o,,,"4/
DATE i/7/g/ PERMIT# /
TYPE OF STRUCTUREa
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL L- RAMING
—ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLyAACE
Cl�?1•'1/7-
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION •
PLUMBING VENT ✓ r
ROOFING ✓
SIDING
DECK/PORCH/STEPS/RAILINGS' !/
RELIEF VALVES •
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT ,
OTHER FLOORS SWEEPABLE •
_
OTHER FLOORS CARPETED ! ✓1
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS i' ✓
SMOKE DETECTORS
BATHROOM FANS/ ✓
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING_ L./-
DOOR CLOSERS
OTHER FIRE SEPARATION /
FIRE/DEMISE WALLS ✓
DUMPSTER , ✓
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL L�
OK TO ISSUE C/O OR C/C
COMMENTS: / /
d' k
c2'
ARRIVE ?•'moo
DEPART v2, `fS
I SP
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED P/ 7 /9
NAME ,`14131-EV di) di Ikee, c 40,,„ ')
LOCATION .P4 q
DATE /719/ PERMIT# 0/'0y/
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING i Cr
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE /
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: p
E/5,..„,,
io fie
ARRIVE /,
17 �
DEPART 17 ,4;1� L��1
INSPECTOR
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/( 0/
NAME .L S',' I€�QJ rr (�(Q \ aC- n8
LOCATION (0e9-E-/ ()1pk1Y G' S1'
DATE j/3// o/ / PERMIT f 9 ! ()-
TYPE OF STRUCTURE 0-QAady P t+ ,
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
FRAMING: / ✓
JACK STUDS/HEADERS \
BRACING/BRIDGING P
JOIST HANGERS —,<
JACK POSTS/MAIN BEAM /
FIRESTOPPING
WALLS
CEILING /\
FIREWALLS / h
HEATING ROUGH—IN /"
INSULATION:
FOUNDATION WALLS INTERIOR R— e,
FOUNDATION WALLS EXJ'ERIOR R— `v.
FLOORS ! R—
WALLS / R—
CEILING / R—
DUCT WORK OR 7PING IN UNHEATED
SPACES
REMARKS:
•
ARRIVE
DEPART
I SPECTOR
TOWN OF QUEENSBURY ����
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 �"6/,44—.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ,A( �� / 469,2 6 .Q
LOCATION
DATE --.7//)/Q/ PERMIT # ��J
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 SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE :;
FOUNDATION/DAMPROOFING J
BACKFILL APPROVAL
ROUGH PLUMBING !(
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: 4
JACK STUDS/HEADERS
BRACING/BRIDGING v c`
JOIST HANGERS
JACK POSTS/MAIN BEAM i s'
FIRESTOPPING
WALLS
CEILING
FIREWALLS /
HEATING ROUGH—IN ii I
INSULATION:
FOUNDATION WALLS INTERIOR.R—
FOUNDATION WALLS EXTERIOR''R—
FLOORS rf R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING 1; UNHEATED
SPACES J
/
REMARKS: /
a// l 7 d eie.!//V lit)0( (-It$
/
111
i
ARRIVE R,09 re
DEPART 20 It #
► I SPECTOR
ADa
X-6
M.
OX
Ll
q-oqq-, 5 1
A
FEB 199