1991-099 CERTIFICATE 'OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK .-
Date .qi/A-t PJ fr -/ 1. 9
7. 09 •
I (0 _4— qg
This is to certify that work requested to be done as shown by Permit No. 91-099
has been completed.
This structure may be occupied as a Laving Rom
Location 17 P dl 1 ory Avenue
Owner Rorer P. Jr. & Pamela L. i'Jhato.t 7 q
By Order Town Board
TOWN OF QUEENSBURY
fi
/2d/f/d . ifci//I!o/
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-099
WARREN COUNTY, NEW YORK i
PERMISSION is hereby granted to Roger P. Jr. & Pamela L. Whiting
OWNER of property located at 17 Mallory Avenue Street, Road or Ave. lV
r-+
in the Town of Queensbury,To Construct or place a Addition to alteration
at the above location in accordance to application together with plot plans and other information hereto filed and C
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is po
Same a
CD
ry
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
a
4. ARCHITECT'S Name O,
e+
O '
C t.
5. ARCHITECT'S Address CCD
6. TYPE of Construction—(Please indicate by X)
()Q Wood Frame ( ) Masonry ( )Steel ( ) _ 3
7. PLANS and Specifications
No. 312 sq ft Addition to Dwelling as per plot plan specification a
and application
8. Proposed Use
Living Room
$ 24.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 21, 19 92
(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 of Queensbury this Day of .March 19 91
SIGNED BY `=_ /�. for the Town of Queensbury
Bui ding and Zoninfj nspector
TOWN OF QUEENSBURY
REVIEWED BY TOWN OF QU►ErNBgu
/; FEE PAID $ L7 JL� J !iE }
/ � PERMIT NO. 91 Qq 9
� � MAR 1.. 1991
BUILDING PERMIT APPLICATION
BUILDING a CODE DEP s:
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.
* * * * a a * * a * a * « * * a a * «. * a * a a * a * a a a a « « * * * * * * * *
The owner of this property is: �DC}Ql( J. ,k_• f/ 4._F1Uia <--A, Lu_.Ij 9,
P.O. Address /7 `1'Y) GL.Lc4LP. a..ltLAu_ , Tel. 793- `107,3
Property Location /7 in Tax Map No. /1 '7 /02/ / /
Has there been any split of this property since October 1, 1988? / ,...---
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:
•
NATURE OF PROPOSED WORK: ESI'IMATED MARKET VALUE OF •
•
Construction of a new building a CONSTRUCTION: $ Si 971
* COMPLETE INFORMATION REQUIRED BELOW:
►Addition to a building '-3-r
* Size of property IM ft x /,/,�"ft. 78'1-
Alteration to a building * Existing Buildings(3) Size c$ ft. x c2 3 ft.3
(no change to exterior dimensions)
' Proposed building - distance from property line: i 'I`Other work (Describe) * Front yard ! J ft. Rear yard IN ft. !�_�"°rJ
Side yards I el. ft. and N ,5 ft. /
•
'GROSS AREA OF PROPOSED STRUCTURE a If on corner, setback from side street ft.
1st Floor 3 /a sq. ft. ' 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:_ sq. ft. • Multiple Dwelling/Number of units
'Size of new structure—la ft x A (a ft.
* Business
Foundation-pier/slab/c ._ ,' rtiai/full ' Industrial
(circle �:iii.: • Other
•
Vo. of stories (habitable space) / w p
Height (grade to ridge) ft. • If addition, what will use be? aj I Vil)y le OO/fl
Kf residential, no. of families I
No. of rooms(excluding baths) / • Accessory Building
No. of bedrooms D • Detached Garage ONE/TWO Car
No. of bathrooms D _
Primary heating system Oi./ )Drer=cl--lot /rt)r- • .____Attached Garage ONE/TWO Car
Type of fuel a * _Private storage building
No. of fireplaces to be installed 0 *
Other
Will a wood stove be installed
Central Air conditioning /J)t *
OV' ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. -[..c./OCri Likat7212_.
Will any second-hand or upgraded lumber be used? If so. for what? `n.�
Foundation wall material b.QAC.� Thickness B I
Depth of foundation below grade (to bottom of footing) If '
Will there be a cellar? ji.)p Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? nJd 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 ` 11c .
Size, wood studs "x .(o " spacing /(o•. " o.c. length 71 4,f.
Joists (floor beams) 1st floor a "x 8 " spacing /4 "o.c. span /2 ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters A "x ;1 " spacing /(o o.c. span /3 ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish KL/Lti.Q `�ZL�U of what material?
Interior wall finish %a //
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? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or 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)
',TAME OF BUILDER L-636cpX P 1 ADDRESS 17 rilaidattiakit. TEL. NO. 193-7013
,TAME OF PLUMBER ADDRESS TEL. NO.
VAME OF MASON ADDRESS TEL. NO.
',TAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
lens and specifications submitted, area 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
U 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 oa_frid Lg. .�.1-ft.0 ,
Owner, owner's agent, architect, contractor
PECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal .Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwellings
(3 Stories or Less) .
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6. - Compliance Methods Require Submission of Worksheets
�► • LU-kciljn 17 .
APPLICANT'S NAME _
PROPERTY LOCATION - -
PART 5 METHOD OF'COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 3 / a. Sq. . Ft. .
2. Type of Heat - Elec. Base Board Other da liftted 110-h" alx. --
3. Is Building Mechanically Cooled? YES X NO
4. Percentage of Area of Windows and Doors Over 17% ) . 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
B. Exterior Walls R ('9
C. Glazed Area R
D. Exterior Doors. R
E. Floors over unheated spaces R -a
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R
I. Heating/Cooling - Ducts - Piping in Unheated Space R
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
,__Oa,,ract. .3- /8-91 793 -7073
APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER-
INSPECTOR'S REMARKS
REVIEWED BY
g
�� YOU ARE HEREBY REQUESTED TO
c (� INSPECT AND ISSUE CERTIFICATES
/ / 1J\1 FOR THE FOLLOWING ELECTRICAL
CP/ r c �'C EQUIPMENT TO BE INSTALLED BY
��/ THE UNDERSIGNED
_____` TEMP.N DATE
CITY OR VILLAGE TOWNSHIP COUNTY
STREET AND NO.OR ROAD POLE NUMBER
I /
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
" OCCUPANT'S NAME __ BUILDING OCCUPANCY
. . ): i -I . , i..
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
- ' II) I
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
,!_, .. -. ,.r'. .,//1
BUILDING IS '
NEW❑ OLD LS WORK IS NEW LJV ADDRIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion 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 APILICATION 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 GA;TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON OR AS NEAR PS POSSIBLE) MUST ENTER APPLICANTS
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
-PRINT NAME AND ADDRESS
' NAME OF APPLICANT _, DATE OF APPLICATION SIGNATURE OF APPLICANT J,
r �(
/, hli" - 17'1f ; ti( Via.. „)t�. 1'/-'— _. i.l _ .! / „ ! 1.' !, :..J',..".f„ :•VI-
STREET ADDRESS . TELEPHONE NO.
( ) r ill.: : .-`r,; ; i ..-(_' i;( i - ! (_/ I i
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
')1/ ir i v , ../ ;i.ii / .,';'1'-1
85 John Street 41 State StreetLJ ❑ 570 Delaware Avenue ❑ 217 Lake Avenue 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
THE NEW YORK BOARD OF FIRE UNDERWRITERS
!(..,11,,,I.,".,Rti?9,1.19!1.9i„,,,0.(,_MLA'',J_IP!.kei,.\1Pr..Or,)9(,‘,R,‘",1,),i,)te,.•/„Ilr,)Q,)l(J,,IN ,,•/,.01.r,a"i,".M„1,1.(,fib, tr.a,1,),/,OtJl1P_Lx‘e.„tIri.",>tr.;er,,,r,,b„.19,„h, h Mt h„,,(,iQ,iilkt,1r, O,}b„t.,?!
�: THE NEW YORK BOARD OF FIRE UNDERWRITERS P-�{,I~ 1
-4' : 8.017037
s. BUREAU OF ECTRICITY. - _ v
1; fl • 41 STATE STREET.A AN. , EW YORK 12207' , •
1' FEBRUARY 13,1992 Applicati n No.on fi )6591191/91_ H 415788
ti ►' Date
THIS CERTIFIES THAT PERMIT N0. 93.-099
t ii
': only the electrical equipment as described below and introduced by hçpjvInt named on the above application number in the premises of•
WI R0G-GER P. WHITING LJR. , 17 M LLORY i'E. , QUEENSB ".RV.. N.Y •
in the following location; El Basement ❑ 1st Fl. ❑ 2nd Fl. Section`" j Block's Lot 13'
S' £EBRUA.Rl� 10, 1992 �
was examined on and found to be in compliance with'the requirements of this Board. `ii
4 FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :
pi OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. .K.W. AMT. K.W. AMT. H.P. •:;','
-
4 10 3 4
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 ANT. WATTS -a
'i
i
ti SERVICE DISCONNECT NO.OF S E R R. • V - I . C E . , `:
AMT. AMP. TYPE EQUIP. 10 2W 1.S'3W 3.33W 30 IW NO.OFF C$COND. OF CCC.CgLD.. • NO.Of HI-LEG ' OF•We NO.OF NEUTRALS OF EUTGAL ,
.i
1
1 200 GB 1 I. -I/0" • 1 2/0
OTHER APPARATUS:
n 'e
G.S .C.I:—•1 ••:4
•
_ ,•
!. .,• '�
,
ii — , 'e
1,
1t ' \ ' : (
ROGER P. WHITING Jfl.
• 17 $P LLORi •:1\'I . �rT�'-
' ; Q1iTEn�SBijR , NY, a.=;80 • BRANCH MANAGER
'39�, - ::: '.
..-Per _
IV,; 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. :
,";• nirieltItIlliEntlitl51EIMISTIMENENIEMMINIEllrii5050CIIIIMIIINIEriMINMESE51151ifinffIMME1510
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE,ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TML TELEPHONE (518) 745-4447
BUILDING-INSPECTOR'S REPORT
NAL_INSPECTIO
REQUEST FOR INSPECTION RECEIVED
NAME 4V 11 . l (\ cO c `4' �Ga rn el G
D l
LOCATION cN, cis -Pp1 _-,
DATE 0-) PERMIT# qi —oq
TYPE OF STRUCTURE /Wc) 4-10
RECHECK
FIRE MARSHAL APPROVAL COMMERCIAL S RUCTURE)
FOOTING FOUNDATION A.BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCATION
•
B VENT/LOCATION
PLUMBING VENT , ✓
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
STAIR CLEARANCE/RAILINGS /
HANDICAPPED ACCESS
SMOKE DETECTORS ✓.
BATHROOM FANS/WHOLEHOUSE+ FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING I C/ •
DOOR CLOSERS
OTHER FIRE SEPARATION;' ✓
FIRE/DEMISE WALLS
DUMPSTER ✓
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL t
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE
DEPART
INSP T
C5jA l'‘dki\f\
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 /�/1l
NA ME r 11t'{- , cLINg, 61-1140
LOCATION l7 RV,11 [r Ave )
DATE g ,5/q t PERMIT I 9 / 1
TYPE OF STRUCTURE ( � -d(r 4-O Ldl/' ,
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 INPLACE
PLUMBING UNDER SLAB /'
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 R-
FLOORS / R- �30 ✓
WALLS r R- /9 �✓
CEILING d
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
I SPECTO
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT �) C`p•
531 BAY ROAD w_
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT,'
REQUEST ^FOR INSPECTION RECEIVED l) cd/ if
NAME �,\ J`l� 'v.C' 9,0 /\. -1- -70,...
LOCATION 7 n\d i ew , , Y-e
DATE /" PERMIT # 9 1 Ce9
TYPE OF STRUCTURE /4):)-1~4j�rYt 41)0tte)1 )A
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 ', I 1.--"-
JOIST HANGERS
JACK POSTS/MAIN BEAM',
FIRESTOPPING
WALLS
CEILING /y
FIREWALLS /
HEATING ROUGH-IN /
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR 'R-
FLOORS r R-
WALLS I R .
CEILING 1 R-\,
DUCT WORK OR PIPING IN UNHEATED
SPACES /
REMARKS: \
ARRIVE /. "7
DEPART (XI-
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 (9 f I(2/ 91
NAME •CZ'mr. \\._k IVti'R c
LOCATION ,T1 (; 1 1 of Dr1KJ'(u-t--P
DATE �e l ` 171 PERMIT # `f /
TYPE OF STRUCTURE PO'/' ' 0/-htt''/teoo11,1
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/.DAMPROOFINGr
BACKFTLL APPROVAL
ROUGH PLUMBING �>
PLUMBING VENT/VENTS IN PLACE\
PLUMBING UNDER SLAB
FRAMING: f'�-,'r.-N =-'.'
JACK STUDS/HEADERS l V
BRACING/BRIDGING
JOIST HANGERS 4
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION: ! `'t.
FOUNDATION WALLS INTERIOR R- @.
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS IR- As-
CEILING jR-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
/
ARRIVE
DEPART /�'
INSPECTOR
,� UY.S
TOWN O Q UEENSBURY 4
-BUILDING AND CODES DEPARTMENT /AO'
531 BAY ROAD r/` }
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 57/1 S/`n
/
NAME 6 ► n , '� o° 1'rvf)
LOCATION j.7 (l ?1/(51-cMI)n
/ v`R--
DATE /(p/q/ PERMITf# 9 / '0 /
1 J �
TYPE OF STRUCTURE Adai i am
RECHECK
APPRO E
N/A Y S 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 ,
JOIST HANGERS .I.!
JACK POSTS/MAIN BEAM A
HEATING ROUGH-IN `'�
INSULATION: ; 1
FOUNDATION WALLS INTERIOR• R-`
FOUNDATION WALLS EXTERIOR R- k
FLOORS f.' R- 1.
WALLS /' R- ,\
CEILING R-
DUCT WORK OR PIPING IN UNHEATED'
SPACES
REMARKS:
ARRIVE 3 _' � )
DEPART
INSPECTOR