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1992-101 i E CERTIFICATE +CIF C3CCUPANCY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK Elite 7!W rYa (8 !9 aC totom'- 92- 102 to certify that work requested to be done as shown by Permit No, has been completed. This structure may be occupied as a Single Fami 1 y Duelling Location "" Crownwood Lane C?wner John a17 By Order Town Board rr r�C7F QUEENSB FLY Director of Bldg. do Code Enforcement Co --1 r x Ie BUILDING PERMIT LC TOWN OF QUEENSBURY No_ 92-101 0 WARREN COUNTY, NEW YOR K * ` PERMISSION is hereby granted to John Ol igny a a OWNER of property located at Grownwood Lane Street, Road or Ave, in the Town of Queensbury, To Construct or place a Single Family Dwelling r, 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. t. OWNER'S Address is RD2 Box 138 Q Queensbury. NY 12804 3• 2. CONTRACTOR or BUILDERS Name Same may 3. CONTRACTOR or BUILDERS Address fb m 4. ARCHITECT'S Name 'VC S. ARCHITECT'S Address —� t0 S_ TYPE of Construction — {Please indicate by X) ( X) Wood Frame ( ) Masonry l ? Steel { 7. PLANS and Specifications ``arm No. 1600 sq ft Single Family Dwelling as per plat plan specifications and application B_ Proposed Use Single Family Dwelling w/Att 1-Car Garage $ 205- 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 2 . _ 1993 (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 0ueensbury this Da April 19 92 SIGNED BY " for the Town of Queensbury Built and Zoning 1 ctor TOWN OF QUEENSOURY -- REVIEWED BY : FEE PAID : PERMIT NO . • - fQ / TOWN OF QUEENSBUR RECEIVED BUILDING PERMIT APPLICATION MAR 2 7 1992 A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECT MGW A 1F'9Epp9MRpp ffnNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT . A71 applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application . Owner of Property : 4_ , P . O . Address : R D `2 � 1 _ �'e yr. 4' fi`{ 1 _—PHONE =;05 r Property Location : r�, dztrrvzU�rD �[,7� a �y _ ^ Tax Map No . $ 7'0] ' Has there been any split of this property since October 1 , 1988? Yes No If yes , Planning Board Review is necessary . Subdivision Name , if applicable : — Lot No .THE PERSON RESPONSIBLE OR 5UPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : t_ NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION : $ `,j � G4G7 Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : 13� ft . x /%c ft . Other work ( describe ) * Existing Building Size : * -- fto x ft . * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : CJ * 1st Floor , oe7 v Sq . Ft . f _ * Front Yard q 0 ft . Rear yard - 440 ft . Side Yards ft . and ft . 2nd Floor 6 c, e Sq . Ft . . * If on corner , setback from side street- 1 ' 'A� ft . Other Floors Sq . Ft . ( not cellar or basemen` -~ L * OCCUPANCY INFORMATION : TOTAL FLOOR AREA : 4PeJ0 Sq . Ft . * Primary Building - * ___ L One Family Dwelling Size of New Structure : ` ) ft . x ft . * Two Family Dwelling Foundation : * Multiple Dwelling/No . of Units Pier/Slab/Crawl /Partia Ful ( Circle One ) * Business * Industrial No . of stories ( Habitable space ) Other Height ( grade to ridge ) �2- 0 ft . If residential , no . of families : �i _ * If addition , what will use be ? No . of rooms ( excluding baths ) : � No . of bedrooms : No * of bathrooms : / � * Accessory Building : Primary heating system : 4W� . � f¢ * Detached Garage - One/Two Car Type of fuel : , C34!4 �— * Attached Garage - (An: Two Car No . of fireplaces to 45e installed : * Private Storage Building dill a woodstove be installed? : ---- * Other Central Air Conditioning : Yes No ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construction : wood frame. fire safe , etc . Will any second- hand or ungraded lumber be used ? If so , for what ? Foundati on Wa1 1 Ma ter! al : d Thickness : Depth of Foundation below grade ( to bottom of footing ) : Will there be a cellar? Heated nheated Floor Sq . Footage : Will there be a basement ? Will any portion be used as living space ? y'�a If so , what portion ? Sq . Ft . Type of Use ? Type of Roof : lope Tat/Shed/Other Material of Roof Size , wood studs x < " ; spacing �� - -- " o . c . ; length ft . Joists ( floor beams ) : Ist Floor x " ; spacing .._ o . c . ; span ft . Joists ( floor beams ) : 2nd Floor x /0 " ; 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 . ?030 C Exterior Wall Finish : of what material ? Interior Wall Finish : 2 fr If a garage is scribe materials to be used f FIRE SEPARATION : s Is there to be an opening between garage and Tling ? If so , will a re- Rated door , ~ enclosure , self- c os� ng device be provided ? - �'1 i a ue- a e Height above roof ft . Depth of chimney foundation below grade : ft . Depth of fireplace hearth : ft . in . Water supply M�� Liai aV- 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 . ) NAME OF BUILDER & ADDRESS : /3c PHONE NAME OF PLUMBER & ADDRESS : PHONE NAME OF MASON & ADDRESS : PHONE NAME OF ELECTRICIAN & ADDRESS : PHONE ' 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 . Signaturer � e , owner ' s aRgent , architect contractor SPECIAL CONDITIONS O HE PERMIT : By : Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF OUEENSBURY , WARREN COUNTY on 9000 HEATING DEGREE DAYS Carat lance Methods : MMMMMMMUMP PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( ONLY ) or PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwel 1 ings , OWN FIECJEIV O Sauk Multi - Family Dwellings ( 3 Stories or Less ) ,IAR 2 1992 PART 4 - Design By Component Performance - Commercial Buildings on Hi ' Ffta a idential PART 4 & 6 - Compliance Methods Require Submission of Worksheets cooe APPL4CAMTOS RAMEY PROP H PART 5 METHOD OF OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - r' 6 Sq , Ft . 2 . Type of Heat - Elec . Base Board Other c �2 - - 3 . Is Building Mechanically Cooled ? YES N 4 . Percentage of Area of Windows and Doors Over 17 % Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E 0 U I R E D THE R--VALUES SHOW ON PLANS SUBMI17MI - Baseboard 5 . Insulation Values : Actual Shown Elec . Heat Other A . Roof & Floors exposed to ambient temperatures R Be Exterior Walls R ^ Co Glazed Area R 3_ - D . Exterior Doors R V V E . Floors over unheated spaces R F . Edge of Slab on Grade ( Heated Building ) R G . Basement/Cellar Walls (Above Grade ) H, Basement/Cellar Walls ( Below Grade ) R 1 . Heating/Cooling no 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 S E!T I NG 140• - WILL NOT BE EXCEEDED 15 SIGNATURE OAST E TELMONE NUMBE INSPECTOR ' S REMARKS : TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # / Fee Paid Date : ''1;kZ)Ze 3 ,/ / - Reviewed By LOCATION OF PROPERTY FOR INSTALLATION : .�rr'�i Owner ' s Name : Owner ' s Mailing Address : Z2 Installer ' s Name : age E r Phone # : 61 Number of bedrooms ( if residential ) : Total daily flow ( residential - compute @ 150 gal . per bedroom ) : Topography-Circle One : Rolling Steep Slope % of Slope Soil Nature-Circle One • `WS Y Loam Clay Other /Depth : Ground Water-At What Depth ? i' Feet Bedrock or Impervious Material -At What Depth ? Feet Percolation Test- Circle One : ,- squire quired/Rate Min . Per Inch Domestic Water Supply-Circle One , Municiiaa_ Well Other If domestic water supply is a wei^i Separation : Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank &10 gal . ( Minimum size : 1 , 000 gal . ) Tile Field : Each Trench feet//Total System Length d feet Seepage Pit ( s ) : Number of / Size each : ft . x ft . Size of Stone to be used : # 2- / Depth or Thickness feet HOLDING TANK SYSTEM IF REQUIRE(} No . of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified 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 . SI6MATURE OF RESPONSIBLE PERSON : L tG 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 al tanks , distribution boxes , tile fields and/or drywells B . No 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 installation , 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 & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks : THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 bate il.�'1k{i 'fl -Sk k. Application o. an fee THIS CERTIFIES THAT k Ft3<k I 1 `1' Hi - �+,_ - 1 a.r I only the W&OCt►iCAl egUipment Ees described below and iMtnaehaeed by the nsmesl on the eba" application namber bor the pees of Cr{cy��Qod�� in the,lfolloacing location; LJ Basement � �+�� Fat FT. 6C Znd Fl. Section block Lot was examined out � � IcV1 J wend found to be in compliance with the National Hlectrical Code. VIXTURE RXTURlS EANOES CODKINQ DECKS OVENS LNSH WASHERS EXMAiKT FAI�l7i OUTLETS PTACLES SWITCH" tMCANDESCEP01 MONISCOW I OTHER AMT. I K. W. AMT, K. W. DRYERS FURNACE h{OTons FUTURE APPLIANCE I" MMn SPECIAL RECOPY TIME cuwxs BELL, uHtT t ^un MULTI-i uvw avAAmU s n K. W. OIL H. P. OAS N. P. AMT. NO. A. W. C. AMT. AMP. AMT, AMPS. TRANS. AMT. H. P, NOS� AMT. WATTS SERVICE WSCONNECT PId.OP S E R V I C E AMT. AMP. TYPE 1 .0 2W 1 .e 3W S Ae SW J,e IW NO. OFPEE' ACOND- CP dC t&'W6 . NO. d HI.LEG :-M�-& I NO. Of NEUTRALS Oe F Ev&L 200� I 410 a OTHER APPARATUS: BRANCH MANAMR Per This certificate must not be ok ered 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 CER IRCATE MUST NOT BE ALTERED IN ANY MANNER. ' / f f� k OWN OF QUEENSBURY 531 SAY ROAD QUEENSBURY : NEW YORK 12804 TELEPHONE ( 518) 745-4447 BUILDING INSPECTOR ' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME ... CIC LOCATIONDATE PERMIT■ TYPE OF STRUCTURE RECHECK _FIRE RSHAL APPROVAL ( COMMERCIAL STRUCTURE ) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION _WOUDSTOVE{FIREPLACE REMARKS APPROVAL CHIMNEY HEIGHT/LOCATIO# N/A YES NO B VENT/LLICATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS R LINGS RELIEF VALVES FURNACE/HOT WA PERA Ii` G BASEMENT INSULAT DUCTWORK__ INTERIOR IN VA Y DOORS FINISH FLOORS : BATH/KITCHEN AT GHT OTHER FLOORS SWEEPA E OTHER FLOOR CARPETS STAIR CLEARAN E/RAILING HANDICAPPED CESS SMOKE DETECT RS BATHROOM FA {GHOLEHOUSE FANS ALL PLUMBIN FIXTURES OPERA ' NG GARAGE FIR PROOFING DOOR CLOSE OTHER FIRE SEP R�ATIUN — FIRE/DEMIS WALLS DUMPSTER I �. SITE PLAN/ RIAN REQUIR ENT FINAL ELECTR CAL OK TO ISSUE C/O OR C/C COMMENTS : s� -- A.ft4x%3 PLA-AJ AA&L— —1-6 Sam 0A,)014-r% c� FcnoriAt& 1 ARRIVE '/� f ; DEPART lei ~ I WSPErR TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745-4447 BUILDING INSPECTOR' S REPORT FINAL INSPECTION � f REQUEST FOR INSPECTION RECEIVED, &,15 -2 RAW LOCATION DATE� `�f TYPE OF STRUCTURE RECHECK / _FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) FOOTING l/'FOUNDATION s•-BACKFILL FRAMING TROUGH PLUMBING FINAL ELECTRICAL 1�EPTIC .ROUGH _W600STOVE/FIREPLACE REMARKSPv Pyy� '7A► �� ,sru .r ,,� � APP OV L CHIMNEY HEIGHT/LOCATION N/A E5 NO B VENT/LOCATION PLUMBING VENT r ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OP IN . BASEMENT INSULATIONf INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS : BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS L..� SMOKE DETECTORS BATHROOM FANS/WA. ALL PLUMBING FIXTURES OPE ATING GARAGE FIRE PROOFING LWOW - DOOR CLOSERS OTHER FIRE SEPAKAIIUN ✓ " FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VA IANCE REQtJIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS : t ,,dhczcP4e ox ARRIVE ` DEPART TOWN OF QU£ENSBURY /] BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATIO DATE aA PERMIT f TYPE OF STRUCTURE !., �� RECHECK ' APPROVED N/A YES 110 FOOTINGS/PIERS MONOLITHIC POUR ORM REINFORCEMENT I PLACE THE CONTRACTOR S RESP SIR FOR PROVIDING P OTECT FROM FREEZING FOR 48 "OU FOLLOWING THE PLACEMENT 0 THE CONCRETE. MATERIALS FOR T S RPOSE ON SITE FOUNDATION/WALL 0 REINFORCEMENT IN ACE FOUNDATION/DAMPRO ING BACKFILL APPROVA ROUGH PLUMBING PLUMBING VENT/V TS IV PLACE PLUMBING UNDER SLAB FRAMING : JACK STUDS/ ADERS BRACING/BRI GING - JOIST HANG 5 JACK POSTS MAIN BEAM HEATING ROU - IN INSULATION FOUNDATI WALLS TN ERIOR FOUNDATI N WALLS EXTERIOR FLOORS I R WALLS R- CEILiNG R- ,..-- DUCT WORK QR PIPING IN UNHEATE SPACES REMARKS : ARRIVE DEPART ANSPE , OR acca�rr / `�,�-,7 wn o/ �+�een stie�rt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 t SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ON � c_� DATE g/ e?:.' PERMIT No. SOIL TYPE an Loam - Clair - Percolation Test Required? YES - No Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total fengthZ�:> Length of each trenctih Depth of trench s —� Size of gravel SEEPAGE PITS4N er of Size- ft. X f . Gravel size PIPING : Size Type Bldg . to tank eloll 10 -C Tanis to dist . box + � Disto box to field t - Openings sealed? NO Partial LOCATION/SEPARAT S : Foundation to t k €t. Foundation to sorption ft. Absorption to t line ft. Separation of its -ft. LOCATION OF SY TEM ON PROPE`1tTY (circle one) Front - Rear Left side - Right side - COMMENTS :: IL SYSTEM USE APPROVED Y O B ng I spector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 5I8 ) 7921 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION! RECEIVED NAME �e/r%4j �ici k LOCATION ? �• �_v DATE4r,r`rj9 Ag� PERMIT 0 for at TYPE OF STRUCTURE�� RECHECK APPROVED FOOTINGS/PIERS N /A YESI NO MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE14ENT OF THE CONCRETE MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/OAMPROOFI BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS I PLAC PLUMBING UNDER SIAB FRAMING : JACK STUD5 /HEADER5 BRACING/BRIDGING_ JOIST HANGERS JACK POSTS /MAIN BEAM FIRESTOPPING WALLS CEILING N. FIREWALLS HEATING ROUGH- IN INSULATION : FOUNDATION WAL S INTERIOR R- FOUNDATION WA S EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK R PIPING IN UNHEATED SPAC ES REMARKS : r/ ,.r�'r''r�.� [�,LriE'-1►'-c—'1 4.�+'y./"if..d'-c.'-u�?_� ARRIVE DEPART INSPECTOR 04 own O/ 'QueenjAury BUILDING and ZONING DEPARTMENT Bay and Naviland Road, R.O. I Box 98 Queensbury, New York 12807 SEPTIC DISPOSAL SYSTEM INSPECTION NAME I A LOCAT ION C"Vf O t qN..� HATE _ / PERMIT NO ,C)� I -� .=' -- SOIL 'TYPE - Loam - Clay - Percolation Test Required? YES -..�No Percolation rate - Min/Inch _ I TYPE of SYSTEM : Absorption field , to al length C Length of each trench Depth of trenches Size of gravel_ dt SEEPAGE PITS4Number of) Size- fte X _ ft. Gravel size PIPING : Siz Type Bldgm to tank .4/o G Tank to dist. box Dist. box to field/pit Openings sealed? YES µ Partial LOCATION/SEPARATIONS : Foundation to tank I/ ft. Foundation to absorpti'c5n �ft. Absorption to lot ling ft . Separation of pits ft. LOCATI�EM ON PROPERTY circle one ) Front Left side - Rights side - CCIAI ENTS SYSTEM USE APPROVED YE CINO Bu11 actor 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED_J /I NAME 777c) i '4 `i L 1 ! C /'� c . LOCATION k �'� r al 1� � 010 ry D j ATE PERMIT if f TYPE OF STRUCTURE `y RECHECK APPROVED N/A YESI NO FOOTINGS/PIERS LL MONOLITHIC POUR FORM REINFORCEMENT IN PLACEVRETE . THE CONTRACTOit IS RESPOFOR PROVIDING PROTECTIOFREEZING FOR 48 HOURS FTHE PLACEMENT OF THE COMATERIALS FOR THIS AURPTE FOUNDATION/WALL POUR REINFORCEMENT IN PLA6E FOUNDATION/DAMPROOFI BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS LACE PLUMBING UNDER SLAB FRAMING : JACK STUDSMEADE BRACING/BRIDGING JOIST HANGERS _ JACK POSTS/MAIN BE HEATING ROUGH— IN AM INSULATION : FOUNDATION W N ERIOR R— FOUNDATION WA LS EXTERIOR R— FLOORS R— WALLS R- CEILING R- DUCT WORK 0 PIPING IN UNHEATED SPACES R EMArR KS : fl /� } j �► , rR 7 L, t r] !'-r� +rt r ` �'y` �e T t c .�.l' �► c�:M I rtlio ARRIVE 12,f 5Z) DEPART /. 20 f rL, -. .r_ INSPFECp3R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (0518) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME +r� .aa, 10,L LOCATION__._ DATE�;;QV'Z _.._._PERNIT # TYPE OF STRUCTURE_S:22C2? ,/n, �r RECHECK APPROVED N/A YES NO FOOTINGS/PIERS Pala, 7 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 PLA )C FOUNDATION/DAMPROOFIN }r BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN LAC PLUMBING UNDER SLAB FRAMING : JACK STUDS/HE D RS BRACING/BRIDGING A _ - -- JOIST HANGERS JACK POSTS/MAIN BEA HEATING ROUGH- IN '-. �_ X INSULATION ` FOUNDATION WALL INTERIOR - )( FOUNDATION WALLS EXTERIO FLOORS R- WALLS R- CEILING R- DUCT WOR IPING IN UNHEATED SPACES REMAnLfS ; ARRIVE [.;?n DEPART f.' -3r] c N E OR TOWN OF +QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (518) 745- 444-7 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED �y NAME —7 k LOCATION DATE PERMIT 1 # TYPE OF STRU TURF RECHECK APPROVED FOOTINGS/PIERS NIA YES NO XMONOLITHIC POUR FARM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPBNSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 H URS FOLLOWING THE PLACEMENT OF E CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL PO REINFORCEMENT IN PL E —;j,oV OUNDATION/DAMPR00FI G BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS I PLAC PLUMBING UNDER SLAB FRAMING : JACK ST DS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEA HEATING ROUGH— IN INSULATION . FOUNDATION ALLS IN R OR FOUNDATION WALLS EX ERIOR — FLOORS R WALLS R— CEILING R— DUCT WORK OR PIPIN IN UNHEATED SPACES R EMARKS rr- y R ARRIVE ' DEPART - L INSPE TOR ues . TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (518) 745, 4447 BUILDING INSPECTOR 'S REPORT } REQUEST FOR. INSPECTION RECEIVED NAME LOCATION , DATE PERMIT If C:) / f ► _ TYPE VOF ST UCTURE .. RECHECK APPROVED _ F low TING5/PIERS N/A YES NO 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/DAMP900F NG BACKFILL APPROVAL If ROUGH PLUMBING d PLUMBING VENT/V , TS IN P ACE PLUMBING UNDER AB FRAMING : III JACK STUDS EAD RS BRACING/BR DGIN JOIST HANGERS JACK POSTS/MAIN B AM HEATING ROUGH— IN INSULATION : FOUNDATION WALL N ERIQR — FOUNDATION WALLS EX RIQR R— FLOORS R_ WALLS R_ CEILING R_ DUCT WORK OR PIPING IN UNHEATED SPACES R EM1AR KS ARRIVE DEPART_ IN PE OR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP a a4E CRY OR VILLAY$E' ! ! TeANN I STREET AND NCI.0RA0A2 " I i.---`,,[ i +"^�r :...-. {f: 5 .r �J _ Pd.ENUMBER SEi WEEK wlt"�T TwD CRQS$S7REEI8lS PAFldL4�S LDi.RED7 SECITON SLACK LQI apCUPANT'S NA 'yA Y� ,/ BVILDINO QCCYJRANC}r LCd OWNER'S NAM4' RDpgE�ig•- BE/Fj .r •.• ..�1.'1•L. .1" Nf.11.1E NUS' f✓ (.� CURRENT SUPPLIEp BY • FfN:MA /! !-c"-C W K I&LE711ONE NUMBER NEW LIST BELOW ALL EQUIPMENT WIHiCH Yi�U NST11Lf ED AODIFT wL DEFECTS FEM IED LQca� NUMBER OF OUTLETS Na p} fiixlNnBs & Nan Larne FleceptacJes MOTORS HEATERS BRANCH OFFICE USE OUT. CsiNngSid Switch Pill Bracket No. Tvr7e Fs^Ph Na CIRCUfTS ONLY SIDE INSPECTION BASE BABE•. Act FL. 2nd FL. 3rd FL. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABQyE, FOUND THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT To BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS THE ADDITIONAL EQUIPMENT AS PROVID ENT NOT DEED BY TTHE APPUCAN YOU ARE AUTHORIZED TO MAKE THE INSPECTTUN AND ADJUST THE FEE TO COVER SIZE OF MN VI0I ELECTRIC SIGNSILAMpS TOTAL NWTS CNIARIILTER DE NSIAK t 0 EXPOSED +:Jl+ TUBE SYGN!'1'Iq/W g-pRA1EAS OF CyVE MV RK Tp y^py;Tpq ❑ Ca/411I 'IN DArEC10MPLET'ED 512E OE $IQN INDMAEA) SERVICE BLVLDN40 f - CAPAI MRNIJBIEA S7F SGN OVERFIEAp ❑ UNf1ERGRaUNp DATE IN:FE(',7It7N REQUESTED ON AR NEAR AS PO55IBLPJ w eIE aflT uRNEa_ PRINT NAME AND ADDRESS NIII I AME OF All Cq T uTTiEET AI7pq LEWI CITY OR POST OFF E _ t' 111110 st' -y"1,,_ `' !F Y ` e ZIP CO L NEE NO WHEN APPLICABLE 95 John Streal f L4J 41 State Street 570 (aware Avenue II 2 T 7 Laks A anus NEW YORK NY 10038 I ALBANY, NY 12207 + � BUFFALO. NY 14202 ! �� ROCHESTER, NY 14606 � � SYRACUSE, NYY113206 (212) 227.3700 III (518) 463-2122 ! (716) 884-1 155 (III (716) 254-0141 (315) 4638562 THE NEW YORK BOARD OF FIRE UNDERWRITERS OF 0l3EVIW8"M% r��f";FS►IEL1 APR I 1.7.x. & CODE DEPT. TOWN OF QUEEN,BURY Zonin'g A falrator Cs;,}�_ Rob ,,�" "'_�� �� 1 s�r:� 3'� �"`.. +� +b�} .''"'�:�" ter► er `' o two � F/2" SHEETROCK 3/4 TAG 2x 10 All _� [f 14` 42" g 2x61" POLY FILM I 6 " INSULATION R19 3/4 T&G 2x1G F E r, ? �41 1G " BLOCKa '� 40 [47 2x 12s a 1 G!G" � rP 114- K7,4, F . „ 4" CONCRETE � � � , , ATION 2 EPS r61 {} 2 " x 24 ' x 24 ' FOOTING SIDE VIEW W/O GARAGE IMPORTANT: READ ALL NOTES ON THIS DRAINING GEfiEHAf �#5: pi$i±flWTls)•►F. Altuiarole f:tedao,Naadf+p.8akiTratatyilpal,Tsnporary a Peatwieal G f. *4&shwa see 1!We9a t S pfaht.ixNsaoYlaMw++aied.Pialaa fn 6a n a veatae}w ntl trr wltwfs 0..li�?±uu dealt'�r,k*laf. 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ENQ CIKC! aadla nits(ftalliRprii*l�d�d"Ntfilal#ed+lhpvelofmmkirag g waradr tP++•ad prtfi.a. f1Y: � flr: � CY• r , Co44T)'-T10Pq TRUS6 OLIGA`I `1;>ETAILED fly NU. : 1004GI SHT. 1 of 1 Is MI $� INC� V�lEB 6 - ? u { PAI i : A S -514L�ANN PLYWOOD GUSSETS ARE TO BE C-D EXPOSURE I, APA STRUCTURAL. I RACED SHEATHING. POSMON PLYWOOD NTH FACE GRAIN PARAI R TO LONG DIMEWOM AND MEN ► ITli A SEIwII-STRUCTURAL ADHM AND 104 ms OF OuAMTIY Me LOCATION SHOK NAILS TO BE DRIVEN FROM ONE FACE AND CLINCHED FROM THE OPPOSITE. STAGGER NAGS SO AS NOT TO SPLIT THE LLM1ER CONSULT THE AIERICAN PLYWOOD ASSOaATION PUKICATION w AFC--OI REGARDING PROPER ADHESIVES, N THE Sod NAILS SPECIIIED SHOULD BE 3PT LONG AND Vile IN DIAMETER, OF ' IN ACCORDANCE WITH NOS 199I. f� � , e it 40, yz,Ix 1 Z Nx 12'f PLY NOOD ' tib f. EAcP FA c.E H + NA ILS LA I=Acts ;k tic 4 NEw Zx4 �0 Los Nbe S CUT v To F IT SNLY4 so 3 0A A 1Z A 1ZFF (� NAILS PlYwoc)D -1 EAR FACE 3679 Easl Slate St., 11f3rmitagff, I'eflasyhrania 16118 RM lt'Iitek Industries, Inc, - - -