1991-193 fr �
r`‘
CERTIFICATE OE OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY,. NEW YORK
Date VUILL
4 19 i
This is to certify that work requested to be done as shown by Permit No. 91-193
has been completed.
This structure may be occupied as a Si nol a Family Dwelling
gLocation Lot 54 Maple Drive ,
Owner Stephen M. Kelly
By Order Town Board
TOWN OF QUEENSBURY
/19a/7/d; 1 /41, //Po
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY 91-193 x
No.
WARREN COUNTY, NEW YORK ► w
PERMISSION is hereby granted to Stephen M. Kelly
w
OWNER of property located at Lot 54 Maple Drive Street, Road or Ave.
cn
trt
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.
et.
rD
1. OWNER'S Address is ro
Same
a
ft.
2. CONTRACTOR or BUILDER'S Name —'
4<
Same
I-
0
3. CONTRACTOR or BUILDER'S Address
01
4. ARCHITECT'S Name 0
fD
5. ARCHITECT'S Address
N
CO
CD
6. TYPE of Construction—(Please indicate by X) a
(X)Wood Frame ( ) Masonry ( )Steel ( ) ...i
l<
7. PLANS and Specifications
fD
No. 2,120 sq ft Single Family Dwelling as per plot plan specifications
and application ca
8. Proposed Use
Single Family Dwelling
$ 265.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 16, 19 93
(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 16th Day of April 19 91
SIGNED BY �� ,v t for the Town of Queensbury
Building a d Zoning Insor
TOWN OF QUEENSBURY
REVIEWED B TOWN OF OUEENSBURY
' 1 FEE PAID ',,,,- t,,.
PERMIT NO. Ct ®� i cis � (�
APR 151991vi
BUILDING PERMIT APPLICATION
BUILDING & 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.
* * • * * * * * * • * * * * * * * « • * * * * * * * * * * * * * * * * « * * * * *
The owner of this property is: S/-egei, / 7 /(-P,/
7
P.O. Address // Z,-i/44-- WA--/ Tel. 77 —� "2--
Property Location o41- sci , /94 r 7, /G-_ Tax Map No.5 /sj6"
Has there been any split of this property since October 1, 1988? / bc
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE/ 75/%/ /s LOT NO. q
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
%///-
•
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF •
Construction of a new building * CONSTRUCTION: $ // 7/(50D
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property /G ft x /7K 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 c_<`o ft. Rear yard d ft.
* Side yards /g"-- ft. and /K ft.
•
GROSS AREA OF PROPOSEDx STRUCTURE • —
If on corner, setback from side street ft.
1st Floor ,i G 0U sq. ft. / *
*
OCCUPANCY INFORMATION
2nd Floor /0 ( ) sq. ft. P? 5 * - Primary Building -
Other Floors c)& 5• • . .._One Family Dwelling
sq. ft.
(not cellar or base: 4" Two Family Dwelling
TOTAL FLOOR AREA.&U2 sq.
� • Multiple Dwelling/Number of units
ft.
Size of new structure6c ft x (�� ft. • Business
Foundation-pier/slab/c .::5:;kirtiai/full * Industrial
(circle uii:: • Other
•
No. of stories (habitable space)
•
Height (grade to ridge) 00 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/T . e - -
No. of bathrooms L •
Primary heating system A&v A-la tpf • *_ Attached Garage 0 • /TWO " ar
Type of fuel 6 12S * 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 -
BL'ILD[,N'G`5PECIFI`C,O'IONS:
Ti,pe'o.f`construct'ion`wood frame, fire safe, etc. /1/07C1
•
,.Wi,11ftny second-hand,or upgraded lumber be used? If so, for what? /4/o
Foundation wall material Cf'I C/f' / -Z Thickness r )(
Depth of foundation below grade (to bottom of footing) //. - //
Will there be a cellar? )/-PS Heated or unheated? Ceti 9 Pia7ze� Floor sq. footage "O 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 S Material of roof Z1-• -•f.0, s'
Size, wood studs .Z "x 6 " spacing / " o.c. length , ft.
Joists (floor beams) 1st floor c2 "x .�G " spacing /G "o.c. span / f ft.
Joist (floor beams) 2nd floor o1 "x " spacing 4 "o.c. span /y 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 02 ' ft. `
Exterior wall finish of what material? J /h y `
Interior wall finish 5/ �PV O' c't"
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
j� F7 e ��7 s/�eY , c/r
Is there to he an opening between garage and dwelling? / J If so will a Fire-rated door, enclosure,
self-closing device be provided? Y-e.5
Will a flue-lined chimney be installed? /7o Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well /4't/'16 /wit
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 i)?/// Ce6 5/1-0(4e DDRESS // w/ //ate n,'1 TEL. NO. 7 1✓?—'3S �-Z—
NAME OF PLUMBER M//y Cc4 Static//,,, ADDRESS // TEL. NO. �/
NAME OF MASON // /t ADDRESS TEL. NO. /7
NAME OF ELECTRICIAN // ADDRESS Ii TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
pans and specifications submitted, are et true and complete statement of all proposed work to be done on
the described premises and that all provisions of the BUILDING ODE, THE ZONING RDINANCE, and
all other laws pertaining to the proposed work shall be complied i h, whether spe ' ied or not, and that
such work is authorized by the owner.
Signature 4
Owner, wner's nt, hitect, contractor
SPECIAL 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
/6f d/ SY 1 ez,4/-p. c ,e/ -e
APPLICANT'S NAME PROPERTY LOCATION ili���v �lS
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - e2V a d Sq. Ft.
2. Type of Heat - 6,t33 Elec. Base Board Other
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% DC 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
33
A. Roof & Floors exposed to ambient temperatures R _ V 33
B. Exterior Walls R .z. J .,2S
C. Glazed Area R -2,4', -?.S
D. Exterior Doors R e2._c- a._5
E. Floors over unheated spaces R 023
F. Edge of Slab on Grade (Heated Building) R // //
G. Basement/Cellar. Walls (Above Grade) R 3
H. Basement/Cellar Walls (Below Grade) R /% //
I. Heating/Cooling - Ducts - Piping in Unheated Space R �! 6 G
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code YES NO
TEMPERATURE CON , L MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
14/ 2 73--L� y
APPLICANT SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS :
REVIEWED BY
/�, TOWN OF QUEENSBURY 3
ti, � APPLICATIOM FOR SEPTIC DISPOSAL PERMIT
DATE:
LOCATION OF PROPERTY FOR INSTALLATION /6274 cC/ . /77pM/•e ' e
Owner' s Name: CS-VP/gee, /yl ��1/
Address: // �i// 4, j_451,/ 7 a(.ee/o' Y( / ,e2/
Installer' s Name: A42, G'/ktc7L Telephone: 7p /Lo 3
Number of bedrooms (residential only) 17/
Total daily flow (compute @ 50 gal per bedroom) S G Q'
Topography: Circle one4111111
Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sa d 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 well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank /t 2 gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench S"11 feet/Total system length 2S'6' feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #. /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 To of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: 4 DATE:
I 1
•
Santis System Inspection: •
•
A. All applications for septic system installation, alteration-or repair,
as required by the Town'of Queensbury Sanitary Sewage Ordinance, shall
be submitted co the Building Department at least 24 hours before start
of construction and shall include a plot plan shoving:
1.) the proposed location of the system •
2.) location and distance to lot lines
3.) location and distance co structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields anal/or drywalls
B. Nu system shall be covered before inspection and approval by the
building Inspuctor. Failure to comply with this requirement may
result in the uncovering of the system by the installer and a fine
of up co $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure co produce said plot plan at time of inspection say
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper inscalla—
cion, alteration or repair of an approved system, a new proposal must
be submitted co the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks:
•
•
•
•
4 •
•
\ ...'~M�'� ft. - 'MIDDLE DEPARTMENT. INSPECTION,AGENCY, INC.
i
j National Headquarters
1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION Date: •
r
City, Town or Township (0'/--/ .1?-P'.=- f Xi I/ County �, / ra: State ,t, �/,
Location/Address r/�1/ c--V ,:,;�,ir. �!i;G ° l.� G r.�': �� r/
(If Located in Rural Area - Please Attach Directions) Pole #
Owner (-- 7�-- u,,,, �!,-. ,(''.�,./;,f Permit #
Occupied As _ / ✓,,i �' r. .. \/ Building: New❑ Old CI
Occupant • ,
Work Area in Building (Floor #,etc.):
App. for: Wiring Ti Service n or: Ready for Inspection:
Fee Remitted-$ Cash n Check Ti M.O. Ti Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat .-
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
Water Heater Air Conditioner Dryer. Pump
Receptacles
Number of Fixtures Oven • Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. - 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75. 100
Mark Number - -
of Each Size
Applicant's `� ..�
Signature C p//1 /'I, 1 - ti t/7 J License # t`1;? '%-. 3 Permit #
T/A • Utility:
Applicant's Address: jr/ /41c./,":./ (NAME) (OFFICE LOCATION)
(City) 6./. .'r;:-; d,,;.,,y' (State) '' •s-7 -.. (Zip) 7.:>A e r Service Request # —
Phone # Electrician:.
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: N
Correct Location: Same as Above n or: ' -
Red Notice Label n .
Rough Wiring Outlets Surface Unit Oven
Switches Range ; _ - -Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer '
Amp. Service Equipment - Burner,Wiring &Controls for Amp:Receptacle
Amp. Service Conductors Pump .- Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4' 1 1'/2 2•. 3 5 7'/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
Elect. Heat
CERTIFICATIONS USE FOR INITIAL VISIT ONLY` NOTIFIED DATE CO RECT FEE PAID
❑ RW Progress: Inc.I I LKD❑ • - Contractor
CFT Violation: Work Comp.❑ Inc. Ti - CASH
Ti L/A Owner _ Fee
CH #
n L/A - -- Due -- MO #
Ti IPA -, •. Municipal. - INV #
Date: - - - Other Sided Utility Applicant ❑❑
Owner
Cut in Card. I I Temp # . Date .. - . -• -
INSPECTORS SIGNATURE
n Final # Date
"pp, .' ATIl1N F^QM No 9Fn FI 11/89
ELECTRICAL INSPECTIONS
/DUPLICATE MUNICIPAL RECORD
Permit No. 9//'l 2�j---4
Owner 6_!__e7/6—
-- Occupant
Location 1.__ 7 S .i! PC�LC �/�• '
tr t
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable-
codes.
Installed by 1��zt V 6-z6--e,
Date 7 L l ' ?/ 4U-el.�-- r/Y`G`L! p4,c,tor
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. _1337 West Chester Pike,West Chester,PA 19380 _.
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
7
L(2,„,„ OLSLE-FS SLL) (7( WIRING &CONTROLS FOR (19-5-^ BURNER
RECEPTACLES H.P.PUMP
�FIXTURES K.W.OVEN
�d(,MP.SERVICE EQUIPMENT /I/-1,p GARBAGE DISPOSAL UNIT
A .?.SERVICE CONDUCTORS (/ K.yt.DISHWASHER
/ K.W.SURFACE UNIT v K.W.DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER C�FRAC. H.P.VENT FANS
/ cryki.o/ce-
MOTORS H.P. I/20 1/12 1/10 % '/e 1 '% % '3% 1 1% 2 3 5 71 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
�, i614Y Vr), Form,
OM 53OF
QUEAYRENSDURY
1`r,5j . . .QU'tENSBURY9 NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION r---)
REQUEST FOR INSPECTION RECEIVED l
NAME 1ofi . 1<e1Lu
LOCATION 04. sq y791z
DATE c2/l c c ( • PERMIT# 9 I- /Cj '
TYPE OF STRUCTURE ,,'n c�Qr . U- N Ile)I i"'iv
RECHECK id.O,o,,w,174 r_g,,,,YL,l 1r �/ r O
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
7 OOTING (FOUNDATION -BACKFILL FRAMING
ROUGH PLUMBING FINAL PLECTRICAL �_ EPTIC
-INSULATION WOONSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUI EMENTS YES NO
�'1�
REMARKS i/)6 /y/
\ !
•
A APPROVAL
• N/A YES NO
CHIMNEY HEIGHT/LOCgION
_ ._ B VENT/LOCATION s i,
PLUMBING VENT / /
ROOFING / �, �/
SIDING / J/
DECK/PORCH/STEPS/RAILINGS p//
RELIEF VALVES/ ✓/
FURNACE/HOT WATER OPERATING
BASEMENT INS`LATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: y
BATH/KITCHEN WATERTIGHT //
OTHER FLf00RS SWEEPABLE i , //
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS /
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS �/
ALL PLUMBING.FIXTURES OPERATING 1//
GARAGE FIRE PROOFING V/
DOOR CLOSERS Pi
.OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C V
COMMENTS:
�,4- ,( - 7-/7 -VV
ARRIVE // '
DEPART )/ -- //'"'-
NSPE5T R
acc�� �- 1 V I
wn of Queniurcy ,/S
BUILDING and ZONING DEPARTMENT /
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 1(/-7L L
LOCATION LOT / /vlj-r(1
CIPADATE V/I i 1 PERMIT NO. � ' 19 3
SOIL TYPE Sand - Loam - Clay - /
Percolation est Required? YES - NO
Percolation rate - Min/Inch _ i
1
TYPE of SYSTEM: , a°
Absorption field, total length p?j`o
Length of each trench
Depth of trenches / ` , ' I
Size of gravel 4,, /
SEEPAGE PITS{Number of) ' /
Size- ft. X ft. /
Gravel size /
PIPING: Size Type
Bldg. to tank l'f P(/C
Tank to dist. box /i
Dist. box to field/pi Y ,, Y
Openings sealed? ' /NO Partial
LOCATION/SEPARATIONS: i
Foundation to tank / /Z? ft.
Foundation to absorption Zpj. ft.
Absorption to lot line /prft.
Separation of pits / — ft.
LO ION OF SYSTEM ON PROPERTY(circle one)
ront Rear - Left/side - Right side -
NTS:
r ,
ar
r
) ,,, 1
I ___76'.._kill ., ,
SYSTESE APPROVED`
M U N
B ' di Insp tor
01/86 and vl
TOWN OF QUEENSBURY
Y) ply
BUILDING AND CODES DEPARTMENT ' f
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION1 RECEIVED Ci9 pflj
1� I
NAME I l k_j( <,�1-C'�f-� i
LOCATION ,5k)-IT If NkVle_rN
DATL O 3 C) ) PERMIT II 9}! -j'i 3
TYPE OF S RUCTURB. ncUc 2 No p. t l
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PRQTECTION FROM
FREEZING .FOR 48 OURS FOLLOWING
THE PLACEMENT OF E CONCRETE.
MATERIALS FOR THIS\PURPOSE ON SITE
FOUNDATION/WALL POUR 1
REINFORCEMENT IN PLACE ii
FOUNDATION/DAMPROOFING _ P
BACKFILL APPROVAL \ /%
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB \ if
FRAMING: `j
JACK STUDS/HEADERS /'.,
BRACING/BRIDGING
JOIST HANGERS /
JACK POSTS/MAIN BEAM/
FIRESTOPPING !
WALLS r'
CEILING / \
FIREWALLS /
HEATING ROUGH-IN \
. -INSULATION: '
FOUNDATION WALLS INTERIOR R- 1
FOUNDATION WALLS EXTERIOR R- 1
FLOORS , R- @
WALLS R- /Q \ ✓
CEILING R-'k' \ ✓
DUCT WORK OR PIPING IN UNHEATED \
. SPACES \,
REMARKS: `.,
1 •
ARRIVE `I -'
DEPARThi �‘'
NS PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIONI RECEIVED
NAME 1-.�j(/L !,
LOCATION 5Y /'(/W/XT
DATE <1 2�/ co PERMIT # 91-1
/ APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL 1 47,
)(ROUGH PLUMBING N/',- 't-IA-{-j_. —/ `tF-7_'koo(S j`
.XFRAMING 31 •
X
ELECTRICAL ROUGH—IN I ,
INSULATION: /
FOUNDATION
FLOORS 17
WALLS
CEILING
FINAL INSPECTION: i
CHIMNEY HEIGHT i ,'2
ROOFING 1 j
SIDING td
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RA LS
PLUMBING FIXTURES/REfIEF VALVE
INTERIOR TRIM/PRIVAC ;DOORS
FINISHED FLOORS `�t,
GARAGE FIREPROOFING
DOOR CLOSER(S) a`','0
SMOKE DETECTORS ? i)
FINAL ELECTRICAL INS/EOTION
11
FINAL APPROVAL OF INSTRUCTION
}
A SIGNED CERTIFICATE OF 'OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ?RE OCCUPIED!
i
REMARKS:
NSPECTOR
TOW OF QUEENSBURY �✓✓ /
yy
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORTT� ��,//
REQUEST FOR INSPECTION RECEIVED fj/ '�j'�, ��
NAME .�Cl ;,,p-e. 70/ JJ �(
LOCATION 41.—/- a ,/t_ AL--
DATE PERMIT
TYPE OF STRUCTUREyAIQe:?b llJ/X/, / ( -P��V
RECHECK l APPROVED
N/A YES NO
FOOTINGS/PIERS s
MONOLITHIC POUR FORM
REINFORCEMENT IN'. PLA;E
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
3( 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 ,+
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS 'INTERIOR
FOUNDATION WALLS EXTERIOR R-\
FLOORS R-
WALLS R-
CEILING R—
DUCT WORK OR:PIPING IN UNHEATED
SPACES
REMARKS:
to
352
t
ARRIVE / -�
DEPART l -5j
INSPECTO
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT hid
531 BAY ROAD �/�
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /q/9(
NAME 1 �i,e.
LOCATION../ ,i , iy2,
DATE 4/2//7/a/ PERMIT 0
TYPE OF STRUCTURE z 1nJ.//iyr /J /)e(/ o,4/
RECHECK /APPROVED
4N/A YES NO
)(FOOTINGS/PIERS-
MONOLITHIC POUR FORM f'
REINFORCEMENT IN PLACES
THE CONTRACTOR IS RESPONSIBLE f' '
FOR PROVIDING PROTECTOR FROM
FREEZING FOR 48 HOURS' FOLLOWI G
THE PLACEI1ENT OF THE `CONCRETE.
MATERIALS FOR THIS PURPOSE4ON SITE
FOUNDATION/WALL POUR'' ,,
REINFORCEMENT IN PLACE `.
FOUNDATION/DAMPROOFI:NG
BACKFILL APPROVAL i".° x
ROUGH PLUMBING
PLUMBING VENT/VENTS ItN PLACE
PLUMBING UNDER SLAB)
FRAMING:
JACK STUDS/HEADERS,
BRACING/BRIDGING
JOIST HANGERS/
JACK POSTS/ ON BEAM
FIRESTOPPING
WALLS 1' ,
CEILING / l
FIREWALLS / 1
HEATING ROJFJGH-IN I'
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDAfION WALLS EXTERIOR R-
FLOOR6 e R-
WALL' ( R-
CELLING ( R-
DUCT WORK OR PIPING IlN UNHEATED
SPACES
REMARKS:
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DEPART,/
INSPECT
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