1991-288 tip_,•. . . - ..
'.' "ir .
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN 'COUNTY, NEW YORK
Date August 16.19 91
This is to certify that work requested to be done as shown by Permit No. 91-288
Bas been completed.
•
This structure may be occupied as a Si nal t'- Farm l y flw 1 l inn
Location Rainbow Ridge Lot 1/8
Owner Laurie and Frances Eelanson
By Order Town Board
TOWN OF QUEENSBURY
72
111�t
Director of Bldg. & Code Enforcement •-
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BUILDING PERMIT
a
TOWN OF QUEENSBURY K
No. 91-288 24
a
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Laurie & Frances Melanson N
I
OWNER of property located at Lot 08 Mud Pond Rd Street, Road or Ave.
Co
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. ro
a
7
1. OWNER'S Address is in
PO Box 231 0
Y
Indian Lake, NY 12842
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2. CONTRACTOR or BUILDER'S Name �.
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3. CONTRACTOR or BUILDER'S Address W
7
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4. ARCHITECT'S Name Oh
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5. ARCHITECT'S Address o.
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6. TYPE of Construction— (Please indicate by X) Cl.
(X)Wood Frame ( ) Masonry ( )Steel ( ) c
7
co
7. PLANS and Specifications CD
No. 1,008 sq ft Single Family Dwelling as per plot plan specifications a
and application
8. Proposed Use
G
Single Family Dwelling
7
0
$ 120.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 13, 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 13th Day of May 19 91
t
SIGNED BY Qkt6 for the Town of Queensbury
Building and Zoning Inspector L
TOWN OF QUEENSBURY +.
REVIEWED
," 1� i FEE PAID $ 4,d TOWN OF QUEENSB1JRlf
1;4 PERMIT NO. RECEIVED
BUILDING PERMIT APPLICATION MAY 91991
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 a * * « * * * * * * * * a * a a * * * * « * a ,* * * * a • *
The owner of this property is: Laurie and Frances Melanson
P.O. Address P. O. Bo_x 211 Tncdian Lake , N_.Y. _ 2842 Te1.648-5976
Property Location Lot;. # g Mud pond Rd. Queensbury,N.Y. 12801 Tax Map No.52/
Has there been any split of this property since October 1, 1988? / X
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE Rainhnw Ridge LOT NO. 8
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Raymond Sherlock_29 Lafayette St .Hudson Falls ,N.Y. 747-7327
•
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF •
X Construction of a new building * CONSTRUCTION: $ 70 . 000
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: ,
* Size of property 128 . 84 ft x109 .9ftt.
Alteration to a building * Existing Buildings(3) SizeNnnP ft. x gleAl ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) * Front yard 3. 0 ft. Rear yard ft.
* Side yards 4'?a ft. and 3 ft.
* If on corner, setback from side street a.0 ft.
GROSS AREA OF PROPOSED STRUCTURE *
1st Floor 1 nnA sq. ft. '-'
I * OCCUPANCY INFORMATION
2nd Floor sq. ft. • ' Primary Building -
Other Floors sq. ft. " X One Family Dwelling
(not cellar or basement) Two Family Dwelling
TOTAL FLOOR AREA1008 sq. ft. * Multiple Dwelling/Number of units
Size of new structure ft x 42 ft. " Business
Foundation-pier/slab/c-:_..;:r rtiai t0 ' Industrial
(circle urn::; o Other
•
No. of stories (habitable space) 1 •
Height (grade to ridge) App . 15 ' ft. • If addition, what will use be?
If residential, no. of families 1 •
No. of rooms(excluding baths) •
Accessory Building
No. of bedrooms " No Detached Garage ONE/TWO Car
No. of bathrooms 1 •
Primary heating system Electric , • No Attached Garage ONE/TWO Car
Type of fuel ' No Private storage building
No. of fireplaces to be installed None "
" _aa___Other
Will a wood stove be installed . No
Central Air conditioning No ‘`, '
OV' ER
BUILDING PERMIT APPLICATION CONTINUED--
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. Wood Frame
Will any second-hand or upgraded lumber be used? If so. for what? No
Foundation wall material Cement Block Thickness 10"
Depth of foundation below grade (to bottom of footing) 80-84 inches
Will there be a cellar? Yes Heated or unheated? Unheated Floor sq. footage 1008 sq ft.
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 - slc ed/flat4/shed/otherGableMaterial of roof Self-seal fibre-glass 3 tab
Size, wood studs_2 "x " spacing 16 " o.c. lengtl/ ` :,tyc
Joists (floor beams) 1st floor 2 "x 10 " spacing16 "o.c. spanl2 ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) rrns '§ " spacing " o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing 24 " o.c. span 24 ft.
Exterior wall finish Clapboard of what material? Vinyl
Interior wall finish Drywall
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? No Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well Well
SEPTIC SYSTEM Distance from ANY private well (including adjoining propertiecin. 100 ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER Raymond Sherlock ADDRESS Hudson Falls , N.TEL. NO. 747-7327
NAME OF PLUMBER Kenneth Celeste ADDRESS Glens Falls ,N.Y. TEL. NO. 792-3007
NAME OF MASON Dale Baldwin ADDRESS Fort Ann,N.Y. TEL. NO.792-1371
NAME OF ELECTRICIANRuss Luce ADDRESSHudson Falls,N.Y. TEL. NO.747-9664
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 wc:k 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. _
Signatur �%��E :.eA.
Ow er, owner's agent:, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
{
BY
/�
47 TOWN OF QUEENSBURY 1
siv .y APPLICATIOD FOR SEPTIC DISPOSAL PERMIT/� j �)�+ y�p
` f l�.l E'�'N C�N� '+.+1 LIeEjMENSBURY
DATE: 4- -91
////
LOCATION OF PROPERTY FOR INSTALLATIONLot1fr8-Mud Pond Rd.Q1le fl 'y, .D
Owner' s Name: Laurie and Francie Melanson BLDG. & CODE DEPT.
Address: P. 0 . Box-231 Indian Lake .N.Y. 12842
Installer' s Name: R. Sherlock-Builders Telephone: 747-7327
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) 450
Topography: Circle one: Flat Rolling Steep Slope % of Slope
•
Soil Nature: Circle one: Sand Loam Clay Other and gravel/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 1 000 gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench 50 ' feet/Total system length 200 ' feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #.3/4-1;" /Depth or Thickness 1 2" feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alamo 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.
SIGNATURE OF RESPONSIBLE PERSON: �,p, ,�'/� DATE: 4- -q1
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•
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 tho system
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance co any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields and/or drywalls
B. No system shall be covered before inspection and approval by the
building Inspuctor. Failure to comply with this requirement may
• rgsulc 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 • -
resulc in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
bu submitted co the Quuunsbury Building Department before further
construction.
• Town of Queenabury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queeensbury, New York 12804
h.amarks:
•
•
•
4 •
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
TOWN OF QUEENSBUID
RECEIVED
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
MAY 91991
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwelling DEL & CODE DEPT.
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
Ray- Sherlock-Builders for :
Laurie and Frances Me] anson Lot- # 8 Mud Pond Rd . Qiieenshnry,N_Y.
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 1008 Sq. Ft.
2. Type of Heat - Elec. Base Board X Other
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 REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
Ceiling R-38
A. Roof & Floors exposed to ambient temperatures R
B. Exterior Walls R- 25
C. Glazed Area R 3 . 03
D. Exterior Doors R11-12
E. Floors over unheated spaces R-25
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R
I. Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code X YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
- -7127
A PLI NATURE 4 DATE 747TELEPHONE NUMBER
INSPECTOR'S REMARKS :
RE BY
9
f i 6t, - MIDDLE DEPARTMENT-INSPECTION AGENCY;INC. - -
�\ ,' National Headquarters
1337 West Chester Pike,West Chester, PA- 19380
PPLICANT COMPLETES THIS SECTION - , Date: jf.//_- /
City, Town or Township Gil G/.-- /� : `. County tF�r t y State A,,,�r'
Location/Address ill ,',..-',/ p(, _,'I, , , 1 1.7. i ice- ;P •
(If Located in Rural Area- Please'Attach Directions) Pole #
,/ Owner .f i .it.t.E7 / /. Permit # , / -,-c'/J,:f
•
Occupied As _ t = ( �> ,. 1 Building: NewW1 Old❑
Occupant
• Work Area in Building (Floor #,etc.):
App. for: Wiring I--)-- Serviced or: - Ready for Inspection: (R,f)1 (.F,I It
Fee Remitted-$ Cash❑ Check❑ M.O. I 1 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 �l/"
Lighting 1 :2, no. Amp. Service Surface Unit Dishwasher / Range
Receptacles ;7 �" / Water Heater Air Conditioner Dryer •- - Pump
Number of Fixtures Oven • 'Garbage Disposal Wiring and Controls for Burner
_j 7) 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 1i/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100
Mark Number _
of Each Size •
Applicant's
Signature ram, ( License # Permit #
T/A Utility: -
Applicant's Address: •j ✓f\elf Q f'�1. pi-
, (City) )-/ .id .i:v i--(f,/I C (State) Al f (Zip) I ? J Service Request*
Phone # 2/ ' '— ' '7 it Electrician: /?i--r; 1<-I i /.1 I .1t t' ' '
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: . -
Correct Location: Same as Above❑ or: - - -
Red Notice Label ❑ -
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 1P/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 LKD❑ Contractor
1 CFT Violation: Work Comp.❑ Inc. I I —
n L/A Owner CASH I 1
❑ L/A Fee CHK #
Due MO #
❑ IPA . Municipal.
INV #
Date: Other Side I I Utility Applicant ❑
Owner - -ri
Cut in Card ❑ Temp # Date.'. -
• - - INSPECTORS SIGNATURE
I I Final # Date •
APPLICATION FORM NO.250 EL 11/89 '
TOM OF QUEENSBURY
531 BAY ROAD
At* , QUEENSBURY, NEW YORK 12804
TELEPHONE • (518) 792-5832
BUILDING INSPECTOR'S SORT
FINAL INSP� E.CI ' Q'IC
REQUES ION RECEIVED � rJ - f
NAME -
LOCATION
DATE 31/62/Ci( PERMITf1
TYPE OF STRUCTURE 3 f -cl
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING `FOUNDATION i BACKFILL A_FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
(,INSULATION W DSTOYE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
•
REMARKS {{yI
/ APPROVAL
} if N/A YES NO
CHIMNEY HEIGHT/LOCATION I
B VENT/LOCATION t
PLUMBING VENT
ROOFING ( Y�
-- SIDING -
DECK/PORCH/STE S l LINGS; /�'-`-
RELIEF VALVES ti
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUC;TWORK X
INTERIOR TRIM/PRIVAC,Y DOORS X
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE }�
OTHER FLOORS CARPETED X
STAIR CLEARANCE/RAILINGS X
HANDICAPPED ACCESS'
SMOKE DETECTORS /
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING.FIITURES OPERATING JC
GARAGE FIRE PROOFING . X
DOOR CLOSERS/ 7C
OTHER FIRE SEPARATION: �Z
FIRE/DEMISE WALLS
• DUMPSTER. x
FINAL ELECTRICAL X
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE /6:35--
DEPART /O. 1'S-
ELECTRICAL INSPECTIONS
, DUICATE MUNICIPAL RECORD
Permit No. Qp /� �i
Owner -- /�fry £ f472&4Y er<
- Occupant
Locti:ion ____yy __� 4 J
CaL-Y.W� ✓ fi 6c� Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes. /
Installed by'"___,f&.I C< l2 E 1AJ re d
Date ;i?--(2--- 4 Ar3 -
Vra.MWe 41t, '
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. 1337 West Chester.Pike,West Chester,PA 19380
7 ROUGH WIRING OUTLETS/ H.P.AIR CONDITIONER
O3dikSErs- 174/ WIRING &CONTROLS FOR BURNER
6. RECEPTACLES -I.p.PUMP
FIXTURES K.W.OVEN
MP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS W. DISHWASHER
FEW.SURFACE UNIT ‘trref K.W. DRYER
FyrW. RANGE AMP. RECEPTACLE
Q✓ K.W.WATER HEATER <171 FRAC. H.P.VENT FANS
1 +Le,
MOTORS N.P. 1/20 1/12 1/10 % '/c '/ '/a % % 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
•
-awn of Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC D1S//P��OSAL SYSTEM INSPECTION �
NAME l� of U h-S C1 Lcl U n^�-P. 411(67,44e4
LOCATION ci..40% 7 3 9 ►l Ud (711‘..CPRC,)
DATE IK / S PERMIT NO.294:2-d___:XE
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length o2 S
Length of each trench '
Depth of trenches r f—
Size of gravel f$-r_
SEEPAGE PITS{Nuin of) •
Size- X ft. ��-
Gra size
PIPING: Size Type Bldg. to tank ,-F 5c//I(o (tic_ •
Tank to dist. box L( PjiC_.
Dist. box to field/p' e�/,
Openings sealed? 'y E NO Partial
i
LOCATION/SEPARATIONS: /
Foundation to tank 2 ft.f—
Foundation to absorption Z ft.
Absorption to lot line ft.
Separation of pits ".; _,( it.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Theft side) Right side -
COMMENTS:
4 WILL S 6 &
r.-CifvG ;iJ
,4
laci-PLAV- . -',.
c l2 ro Cb v-ec__
SYSTEM USE APPROVED YES NO
B ilding Ins ec or
01/86 and vl
-)/54) is 07'j
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 7/ ► 7/
NAME \' \V) r\ cY\ ))- 1 ,P
LOCATION t { atT() ( nc\ -_ ,r)
DATE ��PERMIT # 9 6 -, a 0 es
TYPE OF STRUCTURE S;(\cb-- tln (- . vs2v6
tJ
RECHECK A PROVED
IN/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 i
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS r, /
BRACING/BRIDGING ?'
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING x
FIREWALLS
HEATING ROUGH-IN
gINSULATION: 1
FOUNDATION WALLS INpERIOR R- i
FOUNDATION WALLS EXTERIOR R-
FLOORS f R- 1 f
WALLS ,i' R— 19
CEILING / R- �3F'
DUCT WORK OR PIPING IN UNHEATED li
SPACES
REMARKS: /
ARRIVE 3 157
DEPART c4EC
TOR
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 1//5/G1 f
NAME (, Ml ,klt)'t( c).4- 6ttlx.ro,
LOCATION �� �) (�� PA-0 \)-- O
DATE 7/ Ism ( PERMIT # —c)-gg
TYPE OF STRUCTURES;(v A QU1/4.)u2A1
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM t
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE !
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING 3
THE PLACEMENT OF THE CONCRETE. I
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
. (ROUGH PLUMBING ,•; Tzalt A /
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: .)
JACK STUDS/HEADERS )
BRACING/BRIDGING 9 /
JOIST HANGERS /
JACK POSTS/MAIN BEAM 1
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN h
INSULATION:
FOUNDATION WALLS INTERIOR- t
FOUNDATION WALLS EXTERI 'R R- t
FLOORS / R-
WALLS / R-
CEILING / R-
DUCT WORK OR PIPING N UNHEATED
SPACES
REMARKS:
BIZ iG �'S��L KCL-.
C64.i A 12_ L*-) -
T 0 NA-iLi):U� -, v
L1 CJ 2( J i Uti4L 8 jL-3P��-�
ARRIVE /
DEPART 1- S ��. -1-
! INS` ECTO
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 7l(J/q i
NAME S --'`•N^ < : \ Ut'i P l c 1reo
LOCATION f U$ Q7c
DATE f J I c / PERMIT # 9/ —?&;
TYPE OF STRUCTURE
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 WIDER SLAB
FRAMING: (JlLt, Vic ,- : i'.1�(. r.0 A.
JACK STUDS/
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 R=;
WALLS / R-\
CEILING / R-
DUCT WORK OR/PIPING IN UNHEATED`•\
SPACES /
REMARKS: \
ARRIVE ,)ip
P _
DEPART I L-"-' 5z)
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT CI I
E ,��
REQUEST FOR INSS�PECTION RECEIVED JJ
NAMh(;.ti1.SO( LCAl 'r e 4-`rco&-esZo
LOCATION V M U d 1 6--)A.tx (7,cY
DATE PERMIT f 9 /
TYPE OF ST CTURE �; � SL. m l D13,.) /
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 1
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING /'
BACKFILL APPROVAL
ROUGH PLUMBING rl
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB '
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS ,f
JACK POSTS/MAIN BEAM /
FIRESTOPPING
WALLS n
CEILING
FIREWALLS
HEATING ROUGH-IN 'I •
INSULATION: f
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTFt2IOR R-
FLOORS ✓ R=
WALLS R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
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REMARKS: •
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DEPART /O rt I . /I/1
/LL
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 TELEPHONE (518) 792-5834 2
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED V
NAME 1 1 EaR n,S(1Y\J r76 U HC J V'y-c(il�QQ
LOCATION �(��' 1\(�) W�cld V\r)
DATE ,5 f)L/ q i PERMIT , ,
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YE'S NO
AFOOTINGS/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 i
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB if
FRAMING: I
JACK STUDS/HEADERS
BRACING/BRIDGING /
JOIST HANGERS
JACK POSTS/MAIN BEAM !;
HEATING ROUGH-IN /
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALL/S EXTERIOR R-
FLOORS / R-
WALLS R-
CEILING / , R-
DUCT WORK 0 / PIPING IN UNHEATED
SPACES
REMARKS:
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ARRIVE / .-;1-10
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INSPECTOR
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RECEIVED
AUG 1 r, 1991
I
BL G. & CODE DEPT. .
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