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1992-117 N - +CERTIFi+CATE OF OCCUPN' TOWN OF QUEENSBURY WARREN COUNTY , NEW YORR Date_ /—. a - L� 92. 117 This is to certify that work requested to be done as shown by Permit No. has laeen completed. Single Familhis structure may be oecupied as a Dw llin 'P oca�tion Shal l oM Creek Road owner Donal d Kruger Hy order Town Hoard TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement : ,� :. ac BUILDING PERMIT 0 TOWN OF QUEENSBURY No 92- 117 WARREN COUNTY, NEW YORK I IV W r PERMISSION is hereby granted to Donald Kruger OWNER of property located at Lot 17 Shallow Creek Rd Street, Road or Ave. in the Town of Queensbury, To Construct or place a Si nQ1 Family Dwe11 ins 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. to ell -s t . OWNER'S Address is 12 Shallow Creek Road Queensbury, NY 12804 w iz 2. CONTRACTOR or 8U1 LDE R 'S Name Salve r 3, CONTRACTOR or BUILDER 'S Address VF tJ7 4. ARCHITECT'S Name C'! 5. ARCHITECT'S Address ro aT �v a S. TYPE of Construction — (Please indicate by X) i x} Wood Frame I } Masonry ( I Steel i I ♦. _ fn wr 7_ PLANS and Specifications fR9 N6, 2. 120 sq ft Single Family Dwelling as per plot plan specifications a r� and application . 8. Proposed Use Single Family Dwelling w/Att 2 Gar Gar. Transferred fray # p91-825 A ri l 9, 19 93 to ES (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of she town of Queensbury before the expiration date,) Dated at the Town of Queensbury this 9th # _ April 1992 ::::J SIGNED BY for the Town of Queensbury Building and 4pfning Inspector TOWN OF QUBENSBURY � Lk REVIEWED BY : � 4EJ FEE PAID : Qnsferred f PERMIT NO . : 92-117 APR 1992 L BUILDING & CODE DEPT, BUILDING PERMIT APPLICATION 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 . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property : Ronald Kruger P . O . Address : 12 Shallow Creek Road PHONE 793- 5707 Property Location : Lot #7 Shallow Creek Road Tax Map No . 75 / 1 ! 23 . 7 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 : Shallow Creek Lot No . #7 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE X Construction of new building * CONSTRUCTION : $ 1109000 . Addition to building Alteration to building COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : / G+S ft , x /en/ ft . Other work ( describe ) * Existing Building Size : 40 ,, 790 * 2-`1 ft . x ram'', cp ft . * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE , * property line : 1st 'Floor 1 ,040 Sq . Ft . * Front Yard -3 ft . Rear yard � ft , * Side Yards tz� ft . and ft . 2nd Floor 1 .080 Sq . Ft . * If on corner , setback from side street- * ft . Other Floors 1 ,040 Sq . Ft . ( not cellar or basement ) OCCUPANCY INFORMATION : * TOTAL FLOOR AREA : 2 , 120 Sq . Ft , * Primary Building - * X One Family Dwelling Size of New Structure : 26 ft . x z2o ft . * Two Family Dwelling Foundation : * Multiple Dwelling/No , of Units Pier/Slab/Crawl /Partial /Full ( Circle One ) Business * Industrial No . of stories ( Habitable space ) 2 * Other Height ( grade to ridge ) 24 ft . If residential , no . of families : 1 * If addition , what will use be ? No . of rooms ( excluding baths ) : 6 , No . of bedrooms ; 3 No . of bathrooms : 2 Accessory Building : Primary heating system : Wm Air * Detached Garage - One/Two Car Type of fuel : Gas * X Attached Garage - One/Two Car No . of fireplaces to be installed : * Private Storage Building Will a woodstove be installed ? : NO * Other Central Air Conditioning : Yes No X ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construction : wood frame., fire safe , etc . Wood 'Frame Will any second- hand or ungraded lumber be used ? If so , for what ? Foundation Wall Material : Concrete Thickness : 8" Depth of Foundation below grade ( to bottom of footing ) : 6 ' Will there be a cellar? Heated or Unheated ? Floor Sq . Footage : Will there be a basement ? Yes Will any portion be used as living space ? No If so , what portion ? Sq . Ft . Type of Use ? Type of Roof : Sloped/Flat/Shed/Other Sloped Material of Roof Fiberglass Size , wood studs 2 "' x 6 " ; spacing 16 " o . c . ; length a ft . Joists ( floor beams ) : 1st Floor 2 x 10 " ; spacing 16 " o . c . ; span 14 ft . Joists ( floor beams ) : 2nd Floor 2 x 10 " ; spacing 16 it o . c . ; span 14 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 27 ft . Exterior Wall Finish : Yinal siding _ _ of what material ? Interior Wall Finish : Sheetrock If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 5/8 fire code Is there to be an opening between garage and dwelling ? Yes If so , will a Fire- Rated door , enclosure , self- closing device be provided ? Yes Will a flue- lined chimney be installed ? Yes Height above roof 2 ft . Depth of chimney foundation below grade : 6 ft . Depth of fireplace hearth : 3 ft . 0 in . Water supply - Municipal or private well : Town 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 : Donald Kruger PHONE 793-5707 NAME OF PLUMBER & ADDRESS : Same PHONE NAME OF MASON & ADDRESS : Same PHONE NAME OF ELECTRICIAN & ADDRESS : Peter Weidman PHONE DECLARATIOR To the best of my knowledge and belief the statements cant ine in this ap licati n , together with the plans and specifications submitted , are a tru an c plete tatem t of all proposed work to be done on the described premises and that all pr ision of t e BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertain g to t ' pr os work shall be complied with , whether specified or not , and that such work uthori , ed the owner . ti Signature Own r , o er s Ogent , architect contractor SPECIAL CONDITIONS OF THE PERMIT : By : ode nforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOMB OF QUEENSBURY , MARREN COUNTY - 90M HEATING DEGREE DAYS Cowl iance Methods: PART 5 - Acceptable Practice Method on 1 b 2 Family Dwellings ( ONLY ) PART 6 no Thermal Rating - Component Trade Offs on 16 2 Family Dwellings ; Multi - Family Dwellings ( 3 Stories or Less ) PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential PART 4 6 on Compliance Methods Require Submission of Worksheets Donald Kruger Lot #7 Shallow Creek Road APPLICAWNS KANE PROPERTYLOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : on 1 . Gross Floor Area - 29140 Sq . Ft . 2 . Type of Heat no Elec . Base Board Other Gas WW Air 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 R E Q U I R E D THE R-VALUES SHOW ON PLANS SUBMITMI Baseboard 5 . Insulation Values ; Actual Shown Elec . Heat Other A . Roof & Floors exposed to ambient temperatures R 36 Be Exterior 'Walls R 21 C . Glazed Area R 5 On Exterior Doors R 4 E . Floors over unheated spaces R - F . Edge of Slab on Grade ( Heated Building ) R G . Basement/Cellar 'Walls ( Above Grade ) R H. Basement/Cellar Walls ( Below Grade ) R� ft i . Heating/Cooling no Ducts - Piping in Unheated Space R 5 6 . Service ( Domestic ) Hot Water Heating Device ANNUMEN A . Coni icy per code X YES NO 1. MRXIMlM SETTING 140a on WILL *NGT BE ENCEEM �`- v April 6 , 1992 793- 5707 APPLI ONE INSPECT( - 4� R TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # 92- 117 Fee Paid Date : 4/6/92 Reviewed By LOCATION OF PROPERTY FOR INSTALLATION : Lot #7 Shallow Creek Rd . Owner ' s Name : Donald Kruger Owner ' s Mailing Address : 12 Shallow Creek Road Installer ' s Name : Same Phone # : Number of bedrooms ( if residential ) : 3 Total daily flow ( residential - compute @ 150 gal . per bedroom ) : 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/ Rate Min . Per Inch Domestic Water Supply-Circle One : Municipal Well Other If domestic water supply is a wfel T - Separation : Water supply from an septic absorption feet PROPOSED SYSTEM: Septic Tank 1 ,, � gal . ( Minimum size : 1 , 000 gal . ) Tile Field : Each Trench feet//Total System Length feet Seepage Pit ( s ) : Number of / Size each : ft . x 6 ft . Size of Stone to be used : # - / Depth or Thickness feet y HOLDING TANK STEM IF REQUIRE No . of Tanks Size of Each Gal . Alarm system and associated elec ric 1 work to b petted by a certified agency. yrr * *** I have read the regulation on the reve se side of thi sheet and agree to abide by these and all requirements of t e T wn of Quee ry Sanitary Sewage 'Disposal Ordinance . SIGNATURE OF RESPONSIBLE PERSON : DATE : y— - 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 , the 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 : - ._ ::.... h,+ .. _ .r. :... .'+,"'9+4C•'aF':.,iR�T.�i1S{I¢•_-.•:.• yl'd' :1' rT.. : _.j. .. __ []WW OF QUEENS.BLIMY � Say at Maviland Roads, Gueenasbury, N.Y. 12WI1 9725 � APPLICATION OR SOLID-FUEL BURNING APPLIANCES AND FIREPLLAC , Date 19 Permit No. A1'in..wxriON IS HEREBY MADE to the Building Department for the issuance of a Building <tnd Use l'ennit t pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrecs to comply with all applicable haws, ordinances., regulations and all conditions that are part of these requirements and also will allow all inspectors to enter remises for a required inspections, Applicant 's Nam &� ,,&. * .9... _r APPLIANCE TYPE Stove Coal Wood Add `✓ x..-1 +� Furnace Hot Air Boiler Zero Clearance Circulating Unit If Nop-Masonry: Phone Owner's Name ,., . .„, , Manufacturer Address Model Outlet Size Zip Listed by Number Phone `;p if Ir " 15` '70 7 CHIMNEY TYPE Masonry: Block Brick y . . Stone l'reoperly location of proposed construction Flue: Tile k_ Steel �6 Size: V k AWx �f ��- jrx jt6z cot„ r le Factory Built: Manufacturer Model Size COPY OF MANUFACTURER 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 $ SONRY FIREPLACES AND CHIMNEYS. CASHIEWs DEpAlrtm r TOWN c)F QuEeNswIwY, NEW YORK Denarlmeszte. Fire Marshal Amount Collected Amount Itefanded (,udp N amber Til1e A173 3389 (190) Public Safety A233 2WS (230) Minor Sales Fee Collected from or Refunded for Address Mated. Town clack or llepa WAffe: ,fppfierwe Ysffmr+�re/PMk:+C+r�rr"s Wprrpwewf Gafdew�ad: Ftar AlarsAat _ . T011N OF QUEEXS8k Ry 531 SAY ROAD TELEPHONE (518 O 745,3 4"7 SUIL91ps INSPECTOR` S *.0T FINAL INSPECTION REQIJEST FOR INSPECTION RECEIVED MAKE LOCATION DATE.--���PERMIT# TYPE OF STRUCTURE_ !i► v RECHECK FIRE MARSHAL APPROVAL ( COMM EFILL L S, T RUCTURE ) FAQTINGUPIOATIOINA�LECTRICAL �EP`TIC ROUGH PL MBINGWOZDSTOVE/FIREPLAC'E INSULATION REMARKS PROVA N/A YES NO CHIMNEY HEIGHT/L06ATION B VENT/LOCATION PLUMBING VENT x ROOFING SIDING INGS DECK/PQR H/STE / , RELIEF VALVES I ING� FURNACE/HOT WA ER P ' INTERIOR TRIM/PRI ACY OORS FINISH FLOORS : K BATH/ KITCHEN ATERTIG'I{T OTHER FLOORS WEEPABL K. OTHER FLOORS CARPETED � STAIR CLEARANiCE/ RAILINGS � K. SMOKE DETECTORS DOOR CLOSER, ?C- BATHROOM FA 5 ALL PLUMBING FI TURES OPERA I G GARAGE FIRE PROOFING�� � x DOOR CLOSERS OTHER FIRE SEPARA ON FIRE/DEMISE WALLS FINAL ELECTRICAL OK R / Lf COMMENTS ' A{ ,�,, C1 .ti1�-F M ARRIVE �. DEPARTT�� I E 0 ~� TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY , NEW ORK 128 44 TELEPHO FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME_,--r 11i LOCAT I ON-044 --'`� � DATE /Cy ' PERMIT## ' APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO . EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO . SPRINKLER SYSTEM ALARM SYSTEM INTERIOR 'FINISHFS STORAGE : CLEARANCE TO SPRINKLERS CLEARANCE. TO HEATING UNITS REQUIRLD SIGNAGE CHIMNEY WOpDSTOVE Fri"REPLACE-MASONRY ,f IREPLAC£-FACTORY BUILT REMARKS : OK TO THIS 'DATE 2/0I5 SPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS 411 BUREAU OF EL CITY ` F— 41 STATE STREET, AL Y, NEW YOR 12207 Date OC.'Te ?v III 2 43 ' . S '+`3 4ppiicat' No. on file t� 23r+ +�3 : F1 4) i 5 t 143 THIS CERTIFIES THAT F'F.Iikfl'I` f , :' - :1. 1 only the electrical equip 'ment " deacribed below and in raeksoed the named on the above application number in the premises of t in thefallowing iocati ; Basement let Ft. 2nd Fi. ee!k Section Blvck lout i ums examined on -drT1i a andfound to be in compliance with the requirements of this Board. { FXTURE RXTtMM RAMM COOKING DECKS OVENS DISH WASHIPRS EXHAUST PANS CUTLETS WEPTACIAS SWITCHIS tW.ANDES(:FF0f KUOPANCENT I OTHER AMT. K. W. AMT. K- W. AMT- K-W- 14MT. C W. AMT- N. ►. *435 Api' DRYERS FU*NACE MOTORS FUTURE APPUAHCE FtEDRRS SMOAL REC'PT TIMECIOCKS WWL UNIT NEATENS MULT"WILET DUM 111R5 AMT. K. w_ O1L M, P. OAS N. ►. AMT. NO. A. W. G. AMT. AMP. A NMT. AM►!F. TRANS. AMT. H. t. 00 fm AMT. WATTS SRRYMCE DISCONNECT NO. OF S R R V I C E AMT. AAhP. TYPE ++ 1 OW 7WI 1 0 2w 2 X 2w 2 0 4w NO. 0rP ER*COND. Cw CC ela&o. NO. OF I-WUM Of IW-UG6 NO-`Or NtVTEALS I Of NWE- a- ' OTHER APPARATUS: 5 ' t;I�L1GFIi t�c')I1�a'1'I2UC'T1.UN � F DON KRUGER 12 SHA-lalk)Fi t'ItFIEK [:OAD BRANCH MANAGER ' Per w This certificate must not be altered in any mannerr return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. TMS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �� own-�� '�seeen3Eretr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTETI INSPECTION NAME .0 r LOCAT I ON o 9 F=- `61k, i ir L 2- lee 2.i'C DATE /� PERMIT NO. SOIL TYPE - nd - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch _ TYPE of SYSTEM: Absorption field , total length ZOE Length of each trench Depth of trenches Size of gravel_ ; SEEPAGE PITS# r of) size-ize- X ft. ft.* Gravel size PIPING : S1 Type Bldg . to tank Tank to diet . box 4y � r Dist. box to field/ y Openings sealed? - Y NO Partial LOCATION/SEPARATI Foundation to tan ft. Foundation to orpt on Q-2V €t . Absorption to t line �€t . Separation of its -- ft. LOCATION OF STEM ON P PERTY ( circle one) Front - ea Left side Right side - CC MMENTS : `Q. CSC SYSTEM USE APPROVE YES O 1 g ns ctor 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 INSPECTIOM RECEIVED( NAME —' C7``''fftr_k �r LOCATION ` ka I s ? L.Ng'o J DATE PERMIT # 9 ,2 — ,/ / TYPE OF STRUCTURE RECHECK APPROVED N/A YESI NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPOROBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FO LOMIING THE PLACEMENT OF THE GON BETE . MATERIALS FOR THIS PURPOS ON SIT 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 JACK POSTS/MAIN BEAM HEATING ROUGH— IN INSULATION : FOUNDATION WALLS IrflERIOR R— FOUNDATION WALLS TERIOR R— FLOORS R— WALLS R— CEILING R-3 DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : f ARRIVE DEPART INSPECTOR TOWN Of QUEENSBI.IRY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED `.2 _ NAME f LOCATION DATE T2 PERINIT TYPE OF STRUCTURE �'th CX0 E II,`az RECHECK APPROVED CJ N/A YESI NO FOOTINGS/PIERS _ MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPOHSIBL FOR PROVIDING PROTECTION FR FREEZING FOR 48 HOURS FOLL ING THE PLACEMENT OF THE CONC E . MATERIALS FOR THIS PURPOSE, ON SITE FOUNDATION/WALL POUR o REINFORCEMENT IN PLACE ; FOUNDATION/DAMPROOFING ` BACKFILL APPROVAL —;ROUGH PLUMBING 5 PLUMBING VENT/VEN S , N PLACE PLUMBING UNDER SLAB' FRAMING : JACK S UDS HEAD S BRACING/BRIDGI G JOIST HANGER JACK POSTS/TRAIN BEAM __ HEATING ROUGH— IN INSULATION : FOUNDATIQ W LLS INTERIOR R— FOUNDATION WALLS EXTERIOR R-- FLOORS R— WALLS R— CEILING R— DUCT WORK OR PI ING TN UNHEATED r SPACES REMARKS : '7 IZC✓ cl ARRIVE DEPART L ' EPA _ �I„?� INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT �y REQUEST FOR INSPECTION RECEIVEDX� C c+ -- NAME r-� LOCATION f r DATE PERIMIT / _ ' TYPE OF STRUC URE RECHECK APPROVED N/A YESI NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE _ THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FQLLOWING 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 PLAC PLUMBING UNDER SLAB >\44;RAMING : JACK STUDS/HEADERS BRACING/BRIDGING i JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH- IN INSULATION : FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS _ R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : ARRIVE 4INS DEPART OR TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECi"ION RECEIVED NAME S: ~ LOCATION DATE _ PERMIT# -�I j ? APPROVED EXITS NIA YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO . EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO . SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE : CLEARANCE TO SPRINKLERS_ CLEARANCE TO HEATING U IT REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MAS NR ,,,FIREPLACE-FACTORY BUI i REMARKS : OK TO THIS DATE 2/015 INSPECT � M TOW N OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (51$ ) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED f NAME {,� W LOCATION DATE PERMIT # _f TYPE OF STRUCTURE RECHECK APPROVED FOOTINGS/PIERS N/A YES NO MONOLITHIC POUR FO M REINFORCEMENT IN P CE THE CONTRACTOR IS R SPONSI FOR PROVIDING PRATE TION F FREEZING FOR 48 HOU FOLL WING THE PLACEMENT OF TH CONC ETE. MATERIALS FOR THIS P RPO E ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLA --- F XWW"NPRQOF 'PILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN I PLACE PLUMBING UNDER S AB FRAMING • JACK STU S/ ADERS BRACING/BR DING JOIST HAN RS JACK POS /MAIN BEAM����...... HEATING R GH- INN INSULATI FOUND ION ALLS INTE Ip R- FOUN TION WALLS EXTERIOR R- FL S R- WA LS R- CEILING Rw DUCT WORK pR PIPING IN UNHEATED SPACES REMARKS : a ARRIVE % DEPART � . x SPECTOR � � 11 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ('518) 745- 4447 BUILDING INSPECTORS REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DA7_ I aL PERMIT 0 TYPE O ST IfCTURE ' RECHECK APPROVED FOOTIN N/A YES NO GS{PIERS MONOLITHIC POUR ORM REINFORCEMENT IN PLACE THE CONTRACTOR ISfECT SIBLE FOR PROVIDING PRO FROM FREEZING FOR 48 HFOLLOWING T14E PLACEMENT OFCONCRETE. MATERIALS FOR THIS RPOSE ON SITE FOUNDATION/WALL PO REINFORCEMENT IN P CE FOUNDATION/OAMPRO I�VG BACKFILL APPROVA ROUGH PLUMBING PLUMBING VENT/V TS IN PLACE PLUMBING UNDER LAB FRAMING : JACK STUDS ADERS $RACING/GRID ING JOIST HANGS JACK POSTS/ IN BE HEATING ROUGH IN INSULATION : FOUNDATION ALLS IN ERIOR R- FOUNDATION 'WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : ARRIVE DEPART ITTSvtu TOR IL I I � a l ; v S Q Q ill a