1991-285 \ `• .,- .. _.r. - t ., _ ir+ u.. `+- J _.,
` CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 'Yl(Yt/. 4 19 .9_(
This is to certify that work requested to be done as shown by Permit No. 91=285
yW
has been completed.
This structure may be occupied as a family.•room and 0-car attached garage
4L33 'Wintergreen Road
Location
Diane L. Reed & David G. Reed
Owner
By Order Town Board
TOWN'OF QUEENSBURY
.y
Director of Bldg. .'& Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No q1_285
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DAVT11 R f1TANE 'RFED
OWNER of property located at 3.3 Wi ntergreen Rd Street, Road or Ave. in
(xi
in the Town of Queensbury,To Construct or place a Addition to dwelling rn
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
same rns.
2. CONTRACTOR or BUILDER'S Name
same
m
3. CONTRACTOR or BUILDER'S Address
0_
4. ARCHITECT'S Name
5. ARCHITECT'S Address
W
6. TYPE of Construction—(Please indicate by X) -5
-5
(x)Wood Frame ( ) Masonry ( )Steel ( ) CCD
7. PLANS and Specifications
No. 42'x24' Addition to dwelling as per plot plan, specifications and t
application.
8. Proposed Use
Family room and two-car attached garage
$ 59.00 PERMIT.FEE PAID—THIS PERMIT EXPIRES May 29 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.) LL
Dated at the Town of Queensbury this 29th Day of May 19 91 -'
SIGNED BY Xi/il//l// for the Town of Queensbury
Bujlding and Zoning Inspector
TOWN OF QUEENSBURY
� REVIEWED BY .
iFEE PAID $
i � PERMIT NO. qi'� �%' Tow.
BUILDING PERMIT APPLICATION
MAY
B!LG� k OEM
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:Tj\•(a \)C_ \za
P.O. Address Tel. -79 -�� `
Property Location . \A)11'� �.fi C,�- C' ��,r Tax Map No. //' /.5/ c_TA-6
Has there been any split of this property since October 1, 1988? /><'
If yes Planning Board Review is necessary. yes no SZ:5400 119�s-e.
�.�`4OU 11�1 -5•.
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:Il
cZe_ec
NATURE OF PROPOSED WORK: ESCIMATED-MARKET VALUE OF
•
Construction of a new building •
CONSTRUCTION
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property /6,5 ft x /65—ft.
Alteration to a building „
(no change to exterior dimensions) Existing Buildings(3) Size'-� ft. x �'� ft.
• Proposed building - distance from property line:
Other work (Describe) •
Front and y ft. Rear yard ft.
* Side yards 9 ft. and 7o ft.
r • If on corner, setback from side street ---2O ft.
GROSS AREA OF PROPOSED1 STRUCTURE •
1st Floor - 9D ,/Nsq. ft. Jam OCCUPANCY INFORMATION
•
2nd Floor sq. ft. * Primary Building -
Other Floors sq. ft. CV f* One Family Dwelling
(net cell or base nt Two Family Dwelling
TOTAL FLOOR AREA 99O`sq. ft. • Multiple Dwelling/Number of units
Size of new structure • Business
�Z •ft x Z� ft.
Foundation-pier/slab fir.:rtial/full ' Industrial
(circle on-" • Other
•
No. of stories (habitable space) /
Height (grade to ridge) ft. • If addition, what will use be? r/9nii t y gneliki
If residential, no. of families_ *
,P CA
Card
No. of rooms(excluding baths) \ • Accessory Building
No. of bedrooms ' __Detached Garage ONE/TWO Car
No. of bathrooms •
Primary heating system El-Co • Attached Garage ONE/TWO Car
Type of fuel * 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 -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. 7 noC_l' j-'�4,1'f
Will any second-hand or upgraded lumber be used? If so, for what? /t)Q
Foundation wall material g
f),!'1 Cie e ,6 Ln0�/� Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? 02.) 0 Heated or unheated? t )n\-,e-mac, Floor sq. footage 7ZC) sq ft.
Will there be a basement? dot) Will any portion be used as living space? tab hi-ej
(If so, what portion? sq ft. Type of use? I,m,U R rr
Type of roof - slope.j►j.' -. other Material of roof 5 26Z- (-5,4l17icr.,/e y
Size, wood studs r-P, "x re, " spacing 4, " o.c. length F3 ft.
Joists (floor beams) 1st floor Q "x " spacing l( "o.c. s
P= LJr
Joist (floor beams) 2nd floor "x " spacing "o.c. span -ft.
Overlays (ceiling beams) c "x g' " spacing / " o.c. span / S'-ft.
Roof rafters "x ' " spacing )6, o.c. span /5-ft.
Roof trusses (pre-engineered) spacing /6, " o.c. span oQ? ft.
Exterior wall finish c A/cii,rva of what material?
Interior wall finish ,5�c„ t ,jc,
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? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal 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-Th'HV11� fzeed_ ADDRESS .01(0/1)e,R TEL. NO. -7Ci SZ-1
NAME OF PLUMBER ADDRESS TEL. NO.
// //
NAME OF MASON ��c v\---5-) G,'((eea ADDRESS TEL. NO.
NAME OF ELECTRICIAI p•(\ c ?.,EADDRESS // 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- ,,s . ).€p
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF HEATING QUEENSBURY, WARREN COUNTY - 9000
[ft9 dA16DEENSBl1F3Y
RECEIVED
Compliance Methods: MAY 8 1991
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
BLDG. & CODE DEPT.
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
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 2 - Sq. Ft. "
2. Type of Heat - Elec. Base Board ,. Other .- - , ��,y2card 41-1tp
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% 54> Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO
R E Q U I
THE R-VALUES SHOWN ON PLANS SUBMITTED! R D
Baseboard rl/o'U- _
5. Insulation Values: �J,�/ActualShown/ Elec. Heat Other
/mil g 1 � :C
A. Roof & Floors exposed to ambient temperatures �c R `
B. Exterior Walls R 2,/ '
. C. Glazed Area R 1• - /1 7
D. Exterior Doors 4 R
E. Floors over unheated spaces R / ; 11r1
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
�1. Conforms to minimum efficiency per code YES NO
I/`' TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
s.rz Cn . FDS---) -7 -7 9 6791 -
APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS :
REVIEWED BY
r
__ NEW YORK STATE ENERGX CONSERVATION CONSTRUCTION CODE:
312], GK Jr.
PART 5 COMPLIANCE FORM' Building ;Design by Acceptable Practice
1
BUILDING ADDRESS: . 33 w,z4,- -,� ✓ v�fv DATE: ' �
AeB, - IV,1— /2�`d / , COUNTY: . ./L
,,. . ....,• , PHONE: i (518) 79377190 ENGINEER: :------ . _�. GEO�tGE KUROSA. KA:rJR.,;:�<-.E. I_ �
PERMIT APPLICANT:I �, ' o ' �....-- PHONE: .'V9 8-- d'2-- 1
HEATING DEGRE$-DAYS: (Table 2-1 -PO- � - Z7;7403'4-f•7-7 -
BUILDING DESCRIPTION: x Residential'1 or 2 Wellings IC Less than 5,00 gross sq. ft. '
- — 3 stories or less K Glazing less than 17% gross wall:
PROJECT TYPE: the New Construction - Addition to Existing Bldg.
— Substantial,Renovations _ Exempt (7810.6c)
HEATING SYSTEM: 1144 Gas-fired _ Oil-fired _ Heat Pump _ Electric
BUILDING ENVELOPE DATA: 7814.4 .
ENVELOPE COMPONENT REQIMUM
UIRED PROVIDED PLAN/SPEC. REFERENCE
Exterior Wall R = `Qv R = _ l •
Roof/Ceiling R = :Ell- R = if.
Floor R - /y' R = 2/
//i;/44:5Foundation wall R = A�1. R = 4
• Slab edge insulation R = it4 R = w
Glazing R = /.7 R = 2'A �U��LI��
� ��Entrance doors R = Z,S R = /O eJ + /.
Insulated depth bel-grade •D =of,4 D = __ZE4
Skylights R = 44 R = /`/4
Skylights % total roof ' 1% Maximum Qt --% _ /j
VAPOR RETARDER: 7814.2(c)
LOCATION LOCATION TYPE PLAN/SPEC. REFERENCE
REQUIRED PROVIDED PROVIDED
Walls Ceiling f =- /1_, " YO�S.I / _
Floor �/ ,/T/-d/ZlE: �2 ". 0�
Other
INFILTRATION RATE: 7814.2(h)
ELEMENT MAXINUM 75,5ES C'D. PLAN/SPEC. REFERENCE
Windows a 3 2 " ��'/i
Doors
AIR'INFILTRATION BARRIER:, 7814.10(j) Walls/Other ' ' 'Req'd YESI TYPE:
FIREPLACE: 7814.10(k), (m) 0.S. combustion air / 2) Flue damper max. 20 cfm A
non-combust. doors /`�
Gas Ignitio
Q `jyCU ROQ .41r-e-1 ....;
I "0y.
rm r cya GEORGC 1!J iU.�4KA oR., P.E.
�2 v 7/ i. 35869 44.4 GUEENSUURY,S .Y.1 UUSN"THE STOL._� N N.Y. S. P. E. Lir. No . 35869
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED -
TEMP.# DATE •-1; _ L, ;}
CITY OR VILLAGE TOWNSHIP COUNTY
STREET AND NO.OR ROAD POLE NUMBER
BETWEEN WHAT TWO.,CROSS STREETS)IS PREMISE GATED? SECTION BLOCK LOT
`
OCCUPANTS NAME - , 1 BUILDING OCCUPANCY --
i :t \ �v C�.: � ..
f .5 i.)10 N A wat c—. sc` �',-,("\-- '—lc-)7,L,
OWNER'S NAME AND ADDRESS HOf E TELEPHONE NUMBER
CURRENT SUPPLIER 7 1 ,I FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS { • ,� -1 - �'
f-), /1) •
NEW L7 / I:-•(.1,_�( , v S I OLD❑ WORK IS NEW Cr ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE-
MENT
1st
FL.
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
El CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS :-- j ' (---- '
NAME OF APPLICANTI i DATE OF APPLICATION -l'SIGNATURE OF.APP ICAN�T) \
' \ \
',,, ( \ '. ���;f:_ '`.1. X '`�\:;'' \ ' ,�`=:;-' I
STREETADDRESS . ''s j N TELEPHONE NO. t -. /-I
CITY OR POST OFFICE \ , ZIP CODA LICENSE NO.WHEN APPLICABLE
❑ 85 John Street 0 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608' SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
THF NFIV YORK BOA-Rfi, ^c FIRE UNDERWRITERS_
... :11•,& t/1•!&".)ttt,Nl,"..).!,1t.-..•[Jy7!..9,1-1,&.1,,l"„),!..),C:yti,A-1,i\t(e.!•.,!lnee,.?!;a�!-1,!..,"....1!�la ti.1•, f.,I . . at(:"."AR&A,,,�ti fit(1.i,,•!!.. i 1,).,at(,,,n, ..)t& "t� �q 2.!.1.?t
IA' ao1�5u3 THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1 �„
s. �. BUREAU OF CT CITY
1' r 41 STATE STREET,AL ANY,NE YORK 12207 LC
�; Date SEPTEMBER 20,1991 Applicati n No.on fi1e07060291/91 11 413471 -
PERMIT N . 91-285 r
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by he applic named on the above application number in the premises of
1:D3.vID REED, 33 WINTERGREEN RD. , QUEENSBURY, N.Y.
F
z. •: in the following locatiq ; Rase en ❑ 1st Fl. ❑ 2nd Fl. GAR Section Block Lot
�, SE��`i'E,�t;, iT1Fi9i CI'
!c, was examined on and found to be in compliance with the requirements of this Board. o I
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES', SWITCHES INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
•l; 8 12 9
4.
tc' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT.' AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
SI i'
P; SERVICE DISCONNECT NO.OF
S E R V I C E
AMT. AMP. TYPE EQUlF 1,e'2W 1 if 3W 3 if 3W 3,R'IW NO.OFF CC•tCOND. OF CC.COND.. NO.OF HI-LEG Of.HI LEG NO.OF NEUTRALS 0,Azroam
OTHER APPARATUS: - C
t; PANELBOARDS:1-4 CIR. 60
G.F.C.I:-2
4.
if, _ .. ;?• c
G :.
f�., - -� vQ- 'V'r,� .-.
= jl f .N C.i�T<
�� Iowa aiV
Ix: DAV'ID REED • tr�• `ab' `"+.. I
•
33 WINTERGREEN RD. _ _ �s�-
"k' QUEENSBURY, NY, 12804 • BRANCH MANAGER •
E 339
c Per
. ; This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
„lai-i• ® MEW NEED WINE ® ® ® 0 0 8 __ ® C n 0 ® 0 0 ® 0 ® 0
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. . .
6
ifej
TOWN OF QUEENSBURY
;now- 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVE��DD
NAME
LOCATION 23 l/1-1,-/&-sr'ee,.., 21
DATE
// Y�P PERMIT# I— Z.K-
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STgkJCTURE)
LF'OOTING FOUNDATI0J BACKF ILL ✓FRAMING
ROUGH PLUMBING INAL ELECTRICAL _SEPTIC
/INSULATION WOODSTOVE/FIREPLACE
REMARKS )
6
c APPROVAL
r N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING ?; ,`
DECK/PORCH/STEPS/RAILINGS, c
RELIEF VALVES 4
FURNACE/HOT WATER OPERA1ING1
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS1
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE p,
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS yL
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE D'l, ) ;f, /
DEPART ft.i t, ,`A
'I NSP1ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST F NSPECT RECEIVED /O/f
NAME �. /
LOCATION -?)-3 \ )-cy i,\( /y\
DATE PERMIT # III— J
TYPE 0 STRUCTURE ) 0 b u e I h (N o\
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM i
REINFORCEMENT IN PLACE I
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 IN4PLACE
PLUMBING UNDER SLAB A ;�
FRAMING:
JACK STUDS/HEADERS A
BRACING/BRIDGING / \
JOIST HANGERS r" 'b
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS ,
CEILING /
FIREWALLS jC
HEATING ROUGH—IN /
)(INSULATION: I
FOUNDATION WALiLS INTERIOR R— ,
FOUNDATION WAI_LS EXTERIOR R—
FLOORS a 14—Z—f R— .
WALLS j R—2—/ • A:
CEILING /
DUCT WORK O,R PIPING IN UNHEATED
SPACES '
REMARKS:�
umPret— h \
�.�L�FrtZf1�7`�Cl.cf�E)M 3�
S t S)�C0M Pe.--`_tO 0 COIL l-t) gitfr19 124-/L
GA9A-6&- (1A-rk)su\ f2A-I Liu10 ci-I4AA/P #[L
ARRIVE /D,45-O
DEPART /l %OCR
I SP TOR
•
row , TOWN OF QUEENSBURY
/= Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
Building & Codes Department •
INSPECTOR'S REPORT
� 19
33
•
PROPERTY- LOCATIO •
lcWiei6649i
OWNER OR TENANT
BUILDING SEWAGE SIGN • OTHER
REMARKS:
CONTACT THIS/OFFICE WITHIN
( IL/ it.—
•
/NSPECTdP
•
•
•
•
"HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE"
SETTLED 1763
Q f)
TOWN 0 QUEENSBU
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT g
)y/^ /� I
REQUEST FOR INSPECTION RECEIVED CI
NAME \ \ ( c
LOCATION 3,. 1N\ Qiy N (\X (- /v,.
(A
DATE 7 ) (n (3 ) PERMIT # l -I `- S 5
TYPE OF STRUCTURE,RG� 1 )-1 ( Y\ (-0 ,0kGJFC .
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 1'
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL /
ROUGH PLUMBING
PLUMBING VENT/VENTS 'IN PLACE i
PLUMBING UNDER SLAB
J f /
*FRAMING: \ /
JACK STUDS/HEADERS \ /
BRACING/BRIDGING y
JOIST HANGERS
JACK POSTS/MAIN BEA
FIRESTOPPING
WALLS
CEILING
FIREWALLS / 1
HEATING ROUGH-IN/
INSULATION: /
FOUNDATION W LLS INTERIOR '?R-
FOUNDATION WALLS EXTERIOR R-
FLOORS
WALLS R
CEILING R-\
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART 123
INSPEC)OR
-l)
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//7A7
NAME %7//(d '' - 1 / e/LOCATION,?-1
DATE 440/ PERMIT # 9/-W:e.1
TYPE OF STRUCTURE e, ,'4/ r 1, ?.e. =2x
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
.REINFORCEMENT
BACKFILL APPROVAL,
ROUGH PLUMBING
PLUMBING VENT/VENTS 'IN PLACE
PLUMBING UNDER SLAB I
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS i
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
r SD
ARRIVE C/
DEPART /U ��Z �`° (i/'f/L-7-`
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT •
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT i//� 9REQUEST FOR INSPECTION RECEIVED
NAME �2..Q...Cv) AV
LOCATION 3 -A-C/N(c, y PQ M y�C�
DATE(17 I l v c l PERMIT # c /
TYPE OF STRUCTURE jAarJ ;-+-j'rny 4 pc \R1 J I VL,
RECHECK APPROVED
N/A YES NO
r
O.O,TI`N,GW IERS-
'MONOLITHIC POUR FORM I
REINFORCEMENT IN PLACEI
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 F.
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING •
BACKFILL APPROVAL
ROUGH PLUMBING }
PLUMBING VENT/VENTS IN, PLACE
PLUMBING UNDER SLAB 1 /'
FRAMING: i
JACK STUDS/HEADERS 1 (`
BRACING/BRIDGING /
JOIST HANGERS if
JACK POSTS/MAIN BEAM(
FIRESTOPPING i
WALLS
CEILING /
FIREWALLS /• 1
HEATING ROUGH-IN /
INSULATION:
FOUNDATION WALLS.' INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS C R-
CEILING ! R-
DUCT WORK OR PIPING INUNHEATED
SPACES
REMARKS:
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ARRIVE /
DEPART /J l
SPECTO