1991-107 ),
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 30.. 19 91
This is to certify that work requested to be done as shown by Permit No. 91-107
has been completed.
This structure may be occupied as a c i n 01 o f a m i 1 v ri rarA l 1 i�rt
Location Lot 53 Maple Drive
David Carpenter and Jeanne Carpenter
Owner
By Order Town Board
TOWN OF QUEENSBURY
No-t.
SF
Director of Bldg..& Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-107
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to David & Jeanne Carpenter
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OWNER of property located at Lot 53 Hidden Hills Maple Drive Street, Road or Ave.
cri
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
Western Avenue
2. CONTRACTOR or BUILDER'S Name h
Paul Cordes
--i
3. CONTRACTOR or BUILDER'S Address :o
37 Hidden Hills
Queensbury, NY 12804
.r1
4. ARCHITECT'S Name
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5. ARCHITECT'S Address CD
6. TYPE of Construction—(Please indicate by X)
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( A Wood Frame ( ) Masonry ( ) Steel ( ) '
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7. PLANS and Specifications
iv
No. 2,500 sq ft Single Family Dwelling as per plot plan specifications
n,
and application
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8. Proposed Use —•
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Single Family Dwelling
$ 338.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 26, 19 92
CD
(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.)
sZ
3
J•
Dated at the Town of Queensbury this 26th Day of March i9 91
SIGNED BY /0/V for the Town of Queensbury fD,
Buil ing and Zoning Inspector —'
TOWN OF QUEENSBURY
REVIEWED )41 1
OiAlfg FEE PAID $ OF QUEEWBUR`v
.41/1111ft -RECEIVED L.
- • 11,1ig PERMIT NO. ql- roil
MAR 2 1 1991
.....
BUILDING PERMIT APPLICATION
BLDG. & CODE DEPT.
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 iii • a * * * * * 4. a * * * * * * * * * a • • a * • • « • • * * * • • *
The owner of this property- is:j741/1-1 1--- ...re el Oke c....017en Ar."--
P.O. Address 14/teVii 4/( Tel. '7/ 3 2-6 /d
/ ,,
Property Location A,/- $ ifi4
3 7V.‘4,,,/ / //lap& - ;11, .Tax Map No. f..? /S-7 S3
Has there been any split of this proper - since October 1, 1988? , / A
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE m44' /1,171- LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Aai e67",_,
NATURE OF PROPOSED WORK: ESE-MATED MARKET VALUE OF •
/C
* : /50 eoe),Construction of a new building CONSTRUCTION $ /
* COMPLETE INFORMATION REQUIRED BELOW:
___ __Addition to a building
* Size of property /bid ft xi--Zrt't.
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 e ft. Rear yard FP ft.
•
Side yards /6 ft. and Z6 ft.
GROSS AREA OF PROPOSED STRUCTURE
If on corner, setback from side street ft
10.
1st Floor /9e 0 sq. ft. 17/ 1 i* OCCUPANCY INFORMATION
.ro i tyi • ,,,--
2nd Floor //Pd sq. ft. ItL" ,,,-. .cl- Primary Building -
,- *Pi
Other Floors sq. ft. .) ,• ----
77 ..../ -,,,„iOne Family Dwelling
(not cellar or basert ,Two Family Dwelling
1r
TOTAL FLOOR ARE Multiple Dwellin /Number of units___
Size sq g
ft. . . C ' -II -,5 - -
Size of new structure 7.? ft x I/6 ft. 'I )
Business
Foundation-pierislab/c2._-, :limirtial e9I __Industrial
(circle %.i A‘;.-; 4 Other
•
No of stories (habitable space) 2-- • ,
Height (grade to ridge) Z-g ft. * If addition, what will use be?
If residential, no. of families / •
No. of rooms(excluding baths) .7 • Accessory Building
No. of bedrooms 4/ .
Detached Garage ONE/TWO Car
No. of bathrooms 2ry •
t.// Attached Garage ON•40)Car
Primary heating system 6‘71--/9-/V
Type of fuel (,)--A-5. * Private storage building
No. of fireplaces to be installed / - • -
Other
•
Will a wood stove be installed Aie
Central Air conditioning ty-e-X 2 •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of cons+trUction, wood frame, fire safe, etc. 4 oI p e.,,
Will any second-hand or upgraded lumber be used? If so, for what? fit/0`
Foundation wall material 4GtGo'�i�-C- Thickness
/'
Depth of foundation below grade (to bottom of footing)
i
Will there be a cellar? Heated or unheated? 6r? (dui/
Floor sq. footage /30.0 sq ft.
Will there be a basement? Will any" portion be used as living space? yo
(If so, what portion? • sq ft. Type of use?.
Type of roof - oped flat/shed/other Material of roof f�p� /�. V
Size, wood studs 2i"x C " spacing/C o.c. length Q. ft.
Joists (floor beams) 1st floor 2- "x /d " spacing /6 "o.c. span /3 6 ft.
Joist (floor beams) 2nd floor - "x /U " spacing J2 "o.c. span/ " "ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters 2 "x (2. " spacing /e o.c. span 0 ft.
Roof trusses (pre-engineered) spacing 2 9 " o.c. span 0.-0 ft.
Exterior wall finish . _a, ar2i of whit material? G'!i,;- `
Interior wall finish *,-5,4,4An -zi,1:, . ,,,,,,,h,
If a garage is to be attach , de cribe materials to be used for FIRE SEPARATION: g Ll Y et
p/ Az. 7,-
_ a
(4.,9
Is there to be an opening between garage and dwelling? 7,e...." If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney- be install d�? i�J Height above roof 2_ ft.
Depth of chimney foundation below grate 7 ft.
Depth of fireplace hearth / ft. if in..
Water supply - Municipal or private well /'/t4 Hi�!%�J -
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ` O f" ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER A ti 1. £ -h�S ADDRESS?? / 2a ' //0' TEL. NO. 79.377rZ-
NAME OF PLUMBER ,/ d Ce4c77. ADDRESS A yeN,5 // /€/TEL. NO. 7 y$ 2--ee ?
NAME OF MASON 704-' Gc aY �
vG ��� ADDRESS 2 ��� l������(�TEL. NO. 7 9724'57
i
NAME OF ELECTRICIAN Sze goWie✓ 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 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 . ,��
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS
TOWN OF QUEENSBUR`r
Compliance Methods: - RECEIVED
PART 5 - Acceptable Practice Method -. 1 & 2 Family Dwellings (ONLY) MAR 2-1 1991
60iPART 6 - Thermal Rating - Component Trade Offs 1 & 2 Family DwelliG. COCE CEPT.
Multi-Family Dwelli
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
A Gif a
APPLICANT'S NAME . PROPERTY LOCATION
PART 5 METHOD OF. COMPLIANCE BY ACCEPTABLE PRACTICE: .
1. Gross Floor Area - v Sq. Ft. . d /1
2. Type of Heat - Elec. Base Board Other Ail/Cy-xi Gam/ /q C�/ e--
3. Is Building Mechanically Cooled? ✓ YES NO
4. Percentage of Area of Windows and Doors Over 17% 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 F
B. Exterior Walls R ` /
C. Glazed Area R <-3
D. Exterior Doors_ R
E. Floors over unheated spaces R --r`/
F. Edge of Slab on Grade (Heated Building) R /69
G. Basement/Cellar Walls (Above Grade) R ///7
H. Basement/Cellar Walls (Below Grade) R /09-
I. Heating/Cooling - Ducts - Piping in Unheated Space R -i 7
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
A'tAt-e 3 7
APPLICANT'S. SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS:
REVIEWED BY .
1�. TOWN OF QUEENSBURY `?
APPLICATIOt1 FOR SEPTIC DISPOSAtV RlIITQUEENS!3UR'v I
RECEIVED
.DATE:
LOCATION OF PROPERTY FOR INSTALLATION i 51
BLDG. & CODE DENT.
Owner's Name: 4a v//(/'-c247d?C �.✓ r�
Address: ,t/es'1`:v,7/ i4/ G�c -,�. /1/
-
Installer' s Name: / 2,,A4c4e, Telephone: J77s' 2 / 77
. Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) j'
Topography: Circle one: Rolling Steep Slope % of Slope
/
Soil. Nature: Circle one: Sand Loam Clay Other /Depth: 5- 0
Ground Water: At what depth? 2- 6 Feet
Bedrock or Impervious Material : At what depth? c Feet
Percolation test: Circle one: not require required
Rate - Min. Per Inch
Domestic water supply: Circle one: A1141110 Well Other
If domestic water supply is a. well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank . /1'6G gal . (minimum size.: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length ' 2-SZ feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #. Z /Depth or Thickness / feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each . Gal .
*Alarms 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.
SIIGNATURE OF RESPONSIBLE PERSON: /,iZ CGS DATE:
•
•
•
•
•
, :'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 to 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,
rile fields and/or dryvells
. 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 to 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 r,spair of an approved system, a proposal must
be submitted to the Queensbury Building Department before further
construction.
•
•
Town of Queensbury
BUILDTNG and CODES DEPARTMENT
Bay. and Haviland Roads
Queensbury, New York 12804
Remarks: s.
TOWN OF Q LIEENSB LIRY .
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date ��2/ 19Q/l •• Permit NOq/-�O 7 T
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all
applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all
inspectors to enter premises for the required inspections.
Applicant's NameAu / 6dr-Gtr/eS APPLIANCE TYPE ),-L/ C-e--
L _/ Stove. Coal Wood X.
Address _77 /75-r. �✓ i Wr Furnace - Hot Air Boiler
Zero Clearance Circulating Unit
a Gewf r /1/'.1•. -Zip ��P V
Phone '7 9 3 74 5-"v U If Non-Masonry:
Owner's Name /JG, �i/ / (resinhe d® o-Pe-H/4i"----
r Manufacturer
Address res7-rfr-`-✓ /iv , • Model Outlet Size
l/S
---dis /1/- , Zip/ z"-&/ Listed by Number • .
Phony 7Y. 3 z C / U •
CHIMNEY TYPE
Masonry: Block>< BrickX Stone
Property location of proposed constructio�n. Flue: Tile / Steel
// 'i/ Alf A s---3 7z,d0'goA /�� Size: /3//3
a,c 4. ., Factory Built:
Manufacturer Model Size
COPY OF MANUFAICTURER SPECIFICATIONS IS Height Listed By. Number
REQUIRED FOR FACTORY-BUILT APPLIANCES 'type: Double Wall Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF '
Estimated Cost $
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$„�h
SONRY FIREPLACES AND CHIMNEYS.•
`` --'�
• CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department: Fire Marshal Amount Collected Amount Refunded
i Code Number Title Jc_.
A 173 3389 (190)Public Safety
A233 2655 (230) Minor Sales
%ee Collected from or Refunded to:
Address:
• n
Dated: Town Clerk or De u)67 1,,�' -- f if :..-o )
V
White:Applicant Yellow and Pink:Cashier's Department 6oldenrod:Fire Marshal
cv`\ 1N
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVEDD 9/90/ I /
NAMEc,\) i CQQQ( --*�`.l Q/�
LOCATION - $3 AVVI e ! �
DATE 7/301cl) PERMIT# /---/07
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS n ;''
EMERGENCY LIGHTING .l
FIRE EXTINGUISHERS 1 y'
AUTO. EXTINGUISHING SYSTEM 1
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM ;a
ALARM SYSTEM
r
1
INTERIOR FINISHES
STORAGE: �r'1
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING' UNITS
REQUIRED SIGNAGE
}�
I
CHIMNEY ,+
WOODSTOVE I
FIREPLACE-MASONRY U'U
FIREPLACE-FACTORY BUILT
f y
REMARKS: L' OK TO THIS DATE
NILVV-- -V LI /1(
jae0
7
ARRIVE // ,
DEPART ✓ice v.
INSPECTOR
Pin
TOBh OF'QUEENSBURY
. .^ 531 BAY ROAD
,Nr, j QUEENSBURY, NEW YORK 12804
- TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR IUSPECTICS RECEIVED 7/3O/i
NAMEV(�rv-t-r� (
LOCATION ' (,f `ape
DATE 7/ ol9i • PER4ITO 9 1 --/() 7
TYPE OF STRUCTURE S�"
i< t-,�rva ��
'RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
ROOTING FOUNDATION BACKFILL VFRAMING
OUGH PLUMBING FINAL ELECTRICAL ✓_SEPTIC
TTNSULATION WOO1STOVE/FIREPLACE
SITE PLAN/VARIANNCE R:.QUIREMENTS YES _ NO
REMARKS ruv‘aa.Vic� i' o(c f-
rSL'l
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCAT
B VENT/LOCATION i /J
PLUMBING VENT
i/
ROOFING ,/
SIDING
DECK/PORCH/S •S/RAILING': //
RELIEF VALV,'' ✓
FURNACE/Ht. WATER OPERA".;NG
BASEMENT NSULATION/DUC ORK
INTERIO" TRIM/PRIVACY DOIRS ✓
FINIS, FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE Jf
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS i/
HANDICAPPED ACCESS — /
SMOKE DETECTORS F //
BATHROOM FANS/WHOLEHOUSE FANS ✓//
ALL PLUMBING.FIXTURES OPERATING ✓j
GARAGE FIRE PROOFING
DOOR CLOSERS /
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL / j�
OK TO ISSUE C/O OR C/C r/
COMMENTS:
422 7/2,./v./
cro
ARRIVE /' J
DEPART / (6;;E-
3&d5
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No. 9.//‘27
Owner ififre./.10
Odelipant
Location 1-6r,g3 aue-e-Ice 663tig-e
No. Street/
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by Atei 4- eø.
Nct q -Z3
Date 7-165 -g/ Italeeeee --effek6a44.sc9-kliPector
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380
-
An; ROUGH WIRING OUTLETS �LyH.P.AIR CONDITIONER
3 CJf f r`/T WIRING &CONTROLS(( FOR a 445 BURNER
6 RECEPTACLES F1 P.PUMP
VC, FIXTURES K.W.OVEN
c:::26 DAMP.SERVICE EQUIPMENT //////yyy--- P.GARBAGE DISPOSAL UNIT
a AMP.SERVICE CONDUCTORS , .W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
/K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER 3 FRAC. H.P.VENT FANS
C
I -1/14, ��
MOTORS M.P. 1/20 1/12 1/10 Ye '/6 % % '� Y4 1 1%z 2 3 5 71 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
J js, I.
. --.Jown 'of Queensburc� I
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 .
Queensbury, New York 12801
SEPTIC(�T� DISPOSAL SYSTEM �
INSPECTION
\_(0
NAME 1 !` �. . `IC_ )'V-1-cl
LOCATION �j t 5"3 IN lb�l(? ) tic_
DATE /t /�,1. PERMIT NO. C) 1 R-07
SOIL TYPE - gZa=> Loam - Clay -
Percolation Test Required? , YES - NO
Percolation rate - ;Min/Inchl _ ' '
TYPE of SYSTEM: g
Absorption field, jtotai leilvth -1 )
Length of each trench }
41
Depth of trenches ,t1 0.5.- 3'C'
Size of gravel f'
SEEPAGE PITS-Nuinbei,z of)
Size- ft. X t ft.
Gravel size . 44t
PIPING: ize Type
Bldg. to tank " PA
Tank to dist. box .1 " pee,
Dist. box to field/pt cf." c,
Openings sealed? ' ; S NO Partial
LOCATION/SEPARATIO, S:
Foundation to tank fU ft.
' Foundation to absorption 20 ft.
•
. Absorption to lot line / 1 ft.
Separation 'of p its ft.
LO _'TION OF SYSTEM ON P•OPERTY(circle one)
- Rear eft sid: - Right side -
COMMENTS:
l
i
SYSTEM USE APPROVEDimp NO
to e (7,. `"
Bui ping Insp for
01/86 and vl
)0 ' 4 47)7.,- P.t rcf
1 Q .
k .,
` 4
IlirdativiriMIIIIII
111
n ��
A� PR4YCD , ,
FOR SEWAGE DISPOSAL Ir �'►' - ' F`-15
NEW YORK STATE DEPAR1MIF.UT OF HEALTH ` b X'' /
). .� P. ,moo . s��`
i; E f(M41Eic
snriitA Y 1�''` o
/2-s r'v _ - L
Kt
DATE
/9 . -4,1\
1
H /ZKZZ.
" rav7-' I
•
• •
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• xN. : -8xy4
. 2.1: __.._._-rj
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. Z5b /4� e Ai • •�- (• •
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Zonj )- !` t .!Tr;trad r
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AIL _ A, .r j -`° lilt
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; �3G � spsazr!.:,niwi itIlt - - -n.. �Y: - ._ :--- - -4 _ -
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 R,CEIVED
NAME 10-4714
LOCATION 1-4/` / r ..,, /
DATE /{ / q/PERMIT # q/ ',Z9 7
TYPE OF STRU TURE
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 7
JOIST HANGERS x'
JACK POSTS/MAIN BEAM Il
FIRESTOPPING / II
WALLS /
CEILING ,/
FIREWALLS /
HEATING ROUGH-IN I i
INSULATION: / 1 /
FOUNDATION WALLS INTERIOR R 3,04r
-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS 4 R- /
CEILING R- 3k 4
DUCT WORK OR PPING IN UNHEATED
SPACES J
REMARKS: /
I
ARRIVE /0 45 f
DEPART /0 - 00 r l e /ivy
r INS' CTOR
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 ;05/4)
NAME (JCM/)
LOCATION 5:. siOkj
DATE PERMIT # 9/"l b
TYPE OF STR CTURE
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 ; A/
PLUMBING UNDER SLAB \
FRAMING:
JACK STUDS/HEADERS V
BRACING/BRIDGING
JOIST HANGERS I ";
JACK POSTS/MAIN BEAM t;
FIRESTOPPING
WALLS
CEILING V
FIREWALLS
HEATING ROUGH-IN 4,
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- .
WALLS R- t.
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE //
DEPART // e
INSPECT
/0(
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED ,�. ,r//
NAME AW / f7 ��� 4IZAL2-1/11.-a-2
LOCATION ) ,22 /?44,,_ ,e /,,_i
DATE, !�7 / PERMIT# 9�/z) 7
eG'2C�.. APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
/
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM 4 !'
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM ,$ /
ALARM SYSTEM I /'
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INTERIOR FINISHES
STORAGE: c
CLEARANCE TO SPRINKLERS ,«
CLEARANCE TO HEATING UNITS 1
REQUIRED SIGNAGE I /
CHIMNEY /
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FIREPLACE—MASONRY I 1 (/
FIREPLACE—FACTORY BUILT i
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REMARKS: (� OK TO THIS DATE
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ARRIVE Ili f ()))40-0111DEPART 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
NAME /:-/V/0:e1/0
LOCATION 4:1- "
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DATE `// /��f PERMIT,'# OVO%y
TYPE OF STRUCTURE ��y�j� W �� J de��j�/��
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 INN PLACE
FOUNDATION/DAMPROOFING /
BACKFILL APPROVA\ /
ROUGH PLUMBING \ /
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB\
FRAMING: \V.
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INSULATION:
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FLOORS R
WALLS R—\
CEILING R- \
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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INSPECTOR
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TOWN OF QUEENSBURY ar0 U 11 U
BUILDING AND CODES DEPARTMENT . J�vl,�
531 BAY ROAD !�
QUEENSBURY, NEW YORK 12804 --�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED //ill 9/
NAME Q G 1r
LOCATION Jo \--\1 I I S
DATE L'' J 2)91 PERMIT I 9 / -./67
TYPE OF STRUCTURE
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RECHECK APPROVED
N/A YE 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 t, r;.
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING a7�'
BACKFILL APPROVAL
ROUGH PLUMBING 1 (',
PLUMBING VENT/VENTS IN PLACE ?j a
PLUMBING UNDER SLAB ' I`
FRAMING: r t
JACK STUDS/HEADERS jl
BRACING/BRIDGING ;Y
JOIST HANGERS fl @
JACK POSTS/MAIN BEAM l
HEATING ROUGH-IN U i
INSULATION:
FOUNDATION WALLS INTERIOR R-1
FOUNDATION WALLS EXTERIOR R `'
FLOORS
WALLS R-
CEILING _'
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DUCT WORK OR PIPING IN UNHEATED
SPACES / 4
REMARKS:
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ARRIVE /
DEPART J
INSPECT
TOWN OF QUEENSBURY /�� �f�
BUILDING AND CODES DEPARTMENT i�(' '//
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED 4L/q/(// ,j
NAME / 7bri e Off- L2 . (eV)6• ii24,
LOCATIONA 7?/7n� , /61,
DATE 41///)/q/ PERMIT f 97 lv2
TYPE OF STRUCTURE 4g.:
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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/DAMPROdFING
BACKFILL APPROVAL !
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLA^B
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-
WALLS
CEILING R-
DUCT WORK FOR PIPING IN UNHEATED
'S,PAC ES
R EMARS:
ARRIVF,L`--
DEPART. —1vim r,•�--/
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TOWN OF`QUU ENS UR P.)-1117)/0: 6 b
BUILDING AND CODES DEPARTMENT )
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED / iq 1
NAME 0(5 y C ,�v ) /
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LOCATION j1- .173 3 ,' ��.. t'ivv 4 i 1 l--S
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DATE J_.) 101 C)) PERMIT # I —'��
TYPE OF'STRUCTURE q o n cx,,• _�;„P, II
RECHECK APPROVED
_ . N/A YE) NO
XFOOT`INGS/PIERS f / V
-MONOLITHIC~POUR FORM
REINFORCEMENT SIN PLACE
THE CONTRACTOR CIS RESPONSIBLE
FOR PROVIDING PROTECTION FROM '
FREEZING FOR 48 {OURS FOLLOWING
THE PLACEMENT OF HE CONCRETE.
MATERIALS FOR THIS PURPOSE ON` SITE
FOUNDATION/WALL PO R
REINFORCEMENT IN PLAcE
FOUNDATION/DAMPROOFING :
BACKFILL APPROVAL \
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB \,.
FRAMING:
JACK STUDS/HEADERS i \
BRACING/BRIDGING NI
JOIST HANGERS j \
JACK POSTS/MAIN BEAM! \
HEATING ROUGH-IN f \
INSULATION: \
FOUNDATION WALLS INTERIOR R-\ '
FOUNDATION WALLS EXTERIOR R- \
FLOORS I. R- ‘
WALLS R- \
CEILING ., R- k
DUCT WORK OR PIPING IN UNHEATED S
SPACES
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REMARKS:
ARRIVE
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DEPART // 64047 '
INSPECTO
TOWN! OF QUFFNIscr_IRy
MAR 2 1 1991
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