1991-330 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Dace August 12, 19 21
This is to certify that work requested to be done as shown by Permit No. 91-330
has been completed.
This structure may be occupied as a 3—Car Detached Garage and npmf
Location Box 356 l�N'1 Sunnyside Rd
Owner Robert dac4 s
By Order Town Board
TOWN OF QUEENSBURY
C\6\..
Director of Bldg. do Code Enforcement
9
BUILDING PERMIT a
x
TOWN OF QUEENSBURY Na 91-330
WARREN COUNTY, NEW YORK
oti
PERMISSION is hereby granted to Robert Jacobs
Co
OWNER of property located at Box 356 RD#1 Sunnyside RD Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 3-Car Detached Garage O- cG'L H
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.
19
1. OWNER'S Address is -
Same `+
CJ�
2. CONTRACTOR or BUILDER'S Name to
Linde] Const. c:
CD
3. CONTRACTOR or BUILDER'S Address
87 2 Main Street h
Hudson Falls, PAY 12839
4. ARCHITECT'S Name C
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel (
7. PLANS and Specifications
No. 900 sq ft 3-Car Detached Garage as per plot plan specifications
and application
8. Proposed Use
Garage
$ 50.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 20, 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 20th Day of May 19 91
SIGNED BY . / ��.. for the Town of Queensbury
Builds g and Zoning I n ctor
TOWN OF QUEENSBURY
11/1
� REVIEWED B
FEE PAID $`/j D TOWN OF QUEENSBLlEt`s
Iiirk.M, PERMIT NO. 9/—f iD RECEIVED
BUILDING PERMIT APPLICATION MAY 2 0 1991
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.
* * * * * * * • * • • * * * • * • * * * * • * * * * * * * * * * • • • * * * * • •
The owner of this property is: 'c)z3 A,7- c 46., L_
P.O. Address 6,i y 36r-4, R,6) g ��nr fjL.Sd,e_ ILTel.
Property Location (V(1Ff— SAliti./ Jy ,(/, Tax Map No. /_/
Has there been any split of this prope.`y- ;inre_O ,
If yes Planning Board Review is necessary. yes no
-"S.U.B.DIV P-t-.�1.CA,— LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
,Pit./ ,cY, J/ moo:e f,, ) / (70-1N/1,
NATURE OF PROPOSED WORK: -- ESTIMATED MARKET VALUE OF •
•
Construction of a new building * CONSTRUCTION: $ j� �,�'"C�
Addition to a building * ' OMPLETE INFORMATION REQUIRED BELOW:
* Size of property .2_0 Z ft x eft.
Alteration to a building * Existing Buildings(3) Size a /,• ft. x %D ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) * Front yard /o,j ft. Rear yard ( ft.
* Side yards 2-t ' ft. and /3 % ft.
•
GROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from side street ft.
1st Floor qL)/ sq. ft. r "
��� OCCUPANCY INFORMATION
2nd Floor„ 7/, f7QrAst_ sq. ft. 4 • ' Primary Building -
Other Floors sq. ft.
One Family Dwelling
(not cellar or baser-:ert Two Family Dwelling
TOTAL FLOOR AREA QOC) sq. ft. • l�lultiple Dwelling/Number of units
Size of new structure 3� ft x ,sft. • Business
Foundation-pier/ lab cra�tilpartusl/full ' Industrial
(circ a one) 0 Other
•
No. of stories (habitable space) / •
Height (grade to ridge) Zo ` ft. , If addition, what will use be?
tlah
•
ms(excl
Accessory Building
Ifer-Qf oQ-ram- . _
No. •
ebetached Garage .13 Car
Pr' • ,__Attached Garage ONE/TWO Car
Type-of-f.usl. • Priva'te`storage-building 1 '
N ed *
Other - •
Wi a-weed'S'i'ove be installed
Cantsal-ifrirtTiMIMMTR--
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. ( ' D 2,q/s2�
Will any second-hand or upgraded lumber be used? If so, for what? it/p
Foundation wall material C �,p 74e, 1gA ,.jr Thickness 2
Depth of foundation below grade (to bottom of footing) 4/ Jj
Will there be a cellar? ila Heated or unheated? I//// ,are/D Floor sq. footage 900 sq ft.
Will there be a basement? ,&JO Will any portion be used as living space? tip
(If so, what portion? sq ft. Type of use?
Type of roof - slope /flat/shed/other Material of roof r/u.,?/- /./r
Size, wood studs 2- "x q " spacing J(, " o.c. length p- ft.
Joists (floor beams) 1st floor Z "x /0 " spacing /L "o.c. span 1 j ft.
Joist (floor beams) 2nd floor "x - " spacing "o.c. span ft.
Overlays (ceiling beams) Z "x („, " spacing/( " o.c. span /7 ft.
Roof rafters 0K "x ( " spacing /( o.c. span / 0 ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish L -
j///. , �/�<,'� of what material?
Interior wall finish rn "sfv
KATES l‘.istaL 7 , 0 •!-Wirei" .A.. ._
• 9 • .. . - . -. ... , - osu e,
-clos' 2
Height above roof ft.
•Qeoth of chimney foundation below �rariP , ft.
Dep ace heart in. -
' Stla.T.LcZYSTEM Distance from ANY, rivA me.1-41^^'__cli^� adjoining properties ft.
(A separate • 'on is necessary for an a ion of septic system)
NAME OF BUILDER/i,;,. / 4,7 r",7,_r/ ; ADDRESS/12 7,24/lam /-. TEL. NO.7r7S�75
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON /-' ADDRESS /l TEL. NO. /l
NAME OF ELECTRICIAN // ADDRESS // 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��),
Owner, owns agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
, r2 -a-7tezA.-Troxi i sicpA_G4- L 7dd-
B Y /(,{-,
MAIN OFFICE . ATLANTIC-INLAND, INC.
997 McLean Rd.
Cortland,New York 13045 NEW YORK
MEMBER OF N.F.P.A.AND I.A.E.I.
Phone: (607)753-7118 • FIRE UNDERWRITERS
(607)753-7809 C 10 7 0 9 2
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service)
(Incorporated in the State of New York)
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below. On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE l..'Ji - t; ��}
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION S A:_O / •
`'
CITY,TOWN,VILLAGE [/Pe,I jf' L'r ,✓' COUNTY ii(-// rfC.'^ STATE �1/V
STREET f -
ADDRESS ', U.Y i' c / ri / ,: "" / f. ,«!•,/ A,7/ •f BUILDG.NO.
RURAL //
DIRECTIONS J�:'f/ {f ./ �'�rf' ( D/�- r r -
Sc (�/ ��.� � =��r L POLE NO.
OWNER'S _, �r / - Cr')WE 'e P% �� J j;'�C.'f_ S OCCUPIED AS V ('.l1�0.(L- Cl i/71 C.7 (CO
OCCUPANT BUILDING—New,1SOld 0 WORK—New❑Additional❑
OWNER'S P.O. -'r L pp/ ' l ,f ,.-l
ADDRESS ',G.}". '-I L •)!fir/° r //sr� �1'. �� 1� 1�' /.�'f�fj ,/
`i ! / /.
APP.FOR—ROUGH WIRING❑FIXTURES❑OR READY FOR INSPECTION . : !'// ( ', / 19
FEE REMITTED—$ BY CHECK❑CASH❑MONEY ORDER 0 MAKEPAYABLE'TOATLANTIC-INLAND,INC--NEWYORK
Number of Rough Wiring Outlets Fixtures Add Installation
Swtch Li'tng Recep. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 .
Heat Base Base
Elect.Heat •
Amp.Service Water Htr. Burner Air Cond.
Surface Unit Oven Range Gr.Disp. • Dish W.
Dryer H.P.Pump Ex.Fan 2_ ood,',./,/
(,i yac. L;
OTHER EQUIPMENT(Specify Type&Capacities) '
• TYPE OF �// SIZE OF SUB-
OPEN(7 CONCEALED❑ OTHER MAIN MAIN BRANCHES C 7
CI BRANCHES
"c"
•
'',`� APPLICANT'S C��^ !/,/ r
SIGNATURE ) '� J..('� //�y LICENSE# PERMIT#
APPLICANT'S // NAME OF
ADDRESS lj UTILITY
• OFFICE TO {�
CITY • STATE ZIP CODE BE NOTIFIED p,L,�,
SPACE BELOW FOR USE OF INSPECTORS ONLY
ROUGH WIRING AMP SERVICE p V l.(F.2/'-.
OUTLETS EQUIPMENT K.W.SURFACE
r UNIT
SWITCHES AMP SERV(CE "r•J f K.W.OVEN
CON1 t'JO'6RS /
H.P.GARBAGE
RECEPTACLES H.P.PUMP • „ �„.t-r �,.•-"''-��^ DISPOSAL UNIT
MEDIUM BASE i s'�'>:�"` K.W.
FIXTURES K.W.DRYE♦ . DISHWASHER
MOGUL BASE K.W.WATER ,,/ -r
FIXTURES HEATER ., � K.W.RANGE
FLUORESCENT H.P.AIRS". AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS 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 3 5 71/2 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
APPARATUS Elect.Heat
MISC.INFO. Received Inspected FEE PAID
0 PROGRESS TOTALS
❑DEFECTIVE
❑Rough Wiring Certificate Check No.
❑Temporary Service Money Order
❑FINAL CERTIFICATE
Cash
0 Dup.Cert.Req.
Charge
❑MUNICIPAL .
MUN.ADDRESS
ATTN:
•
Temp.Cut-in Card No. Final Cut-in Card No.
Inspector •
Al-01' -
MUNICIPALITY '
11, !(.-,!m.l&a5 RI 11.i.a5j aL.'.L .Ri afi..5i.x!g49.p,!— 's .,,1J'i j i:)..i.- iP1.asi..'sti,,J)5,)•i.a5i aCi.-',5i.-1Ltaf "..",)19:_C"..-1,i..P.,,I)9!.",19...-SPi.15i ce1.1Ri", 91.•— 15). •. •r 1• ''i.`9,;4•
1
y THE NEW YORK BOARD. OF FIRE UNDERWR�TTRS : I~
1, ""�, PAGE 1 •:
.-Q18745 BUREAU OF ELECTRICITY /' �-'
�, 41 STATE STREET:ALBANY,NEW•YORK 12207 '
j; 1 f Application No.on file r\ ,
Date JUL1' ��,1991 071 5791/91 .v\ H = 12537
THIS CERTIFIES THAT ':4.v
�' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .5
r
ROBERT JACOBS, SUNN1-SIDE RD. BOX 356 RD1, 0UEENSBURI, N.Y.
— ' in the following location; ❑ Basement 0 1st Fl. Eli 2nd Fl. Section Block Lot
r ; was examined on JULY' 2,19 9 1 and found to be in compliance with the requirements of this Board. ': I
_ ,� ..
FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ``a
j, KEPTACLES SWITCHES
OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
Orj 12 18 7 11 1 -
4.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RK'PT, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,`f
a. SYSTEMS
-, 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 NAT. WATTS L9
3 600 F.
F. .1 SERVICE DISCONN_ECT NO.OF S.. .. - .. -E R..._ ..... V- ..._.I -- - C -E _ ,.ii
F.
q. .1.... AMT. AMP. TYPE EQUIP. 1,B'2W 1 J3'3W 3 if3W 3,B IW NO.O RC.gCOND. . OF CC COND.. NO.OF HI-LEG - OF HI•LEG NO.OF NEUTRALS OF NEUTRAL ,,• r.
P.,
' 1 100 CB 1 X 1 R 1 4
OTHER APPARATUS:
•
PADDLE FAN—_! .
%' PANELBOARDS:1-7 CIR. 100 -
G.F.C.I.-1 ''m
. sa
i •. •4. T.°
KIRK BARTON __ ____- - u Tom'-e`
_ , BOA: '_'.96A HEW ITT RD.. •� _• QUEENSBURV, NY, 12801 . . BRANCH MANAGER `
239
. Per
1 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.
$ p(Y�PY� ® ® MOr1 NEW WW1 ® ram ® ® ® ® ® !ME WIfl CI a'- '`.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
;z •
TOWN OF QUEENSBURY
531 BAY ROAD
AAP QUEENSBURY, NEW YORK 12804
.",,eP4vg TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
LOCATION 4 i ,g4-41. ,,Z.121//6G�-c a �i�
DATE '
9%/q� PER�dITO �1�"53d
TYPE OF STRUCTURE , ela.e, ,ij ,t dp
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
• FOOTING FOUNDATION BACKFILL _FRAMING
ROUGH PLUMBING FINAL -ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: •
BATH/KITCHEN WATERTIGHT.
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS I '
HANDICAPPED ACCESS
SMOKE DETECTORS ' •
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPRATING
GARAGE FIRE PROOFING >
DOOR CLOSERS /
OTHER FIRE SEPARATION /
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
co-(o
ARRIVE
DEPART DI' '•
INSP CTO
ntai
TOM OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTI?
REQUEST FOR INSPECTION RECEIVED_� ��,�(�l
NAME Q 7 ' ['(�')S 7�' / I
LOCATION Su' St _)e_
DATE 7/,- q) 71 • UPERNITtf qI ` � �(
TYPE OF STRUCTURE,__y 4
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS
APPROVAL
N/A YES INO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION i
PLUMBING VENT /
ROOFING d
SIDING
DECK/PORCH/STEPS/RAILINGS •
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS b//
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS '\,
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE; PROOFING S
DOOR CLOSERS ,
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL k/
OK TO ISSUE C/O OR C/C
COMMENTS:
i9.,eyela'-.#1/4 0,54.- / gA'ei
ARRIVE
DEPART D'Lv
Iki
TORT OF QUEENSBURY
531
j •
QUEENSBURY,BAY NEWROAD YORK 12804
- TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION 41414 L l
DATE 77, f�/ • PERMIT#
TYPE OF STRUCTURE 3,' . t/ Af.to('
RECHECK /
FIRE MARSHAL APPROVAL (COMMERCIAL/STRUCTURE)
FOOTING FOUNDATION BACKFILL/ FRAMING
ROUGH PLUMBING FINAL ELECTRIC'AL _SEPTIC
INSULATION WOUSTOVE/FIREPLA'CE
SITE PLAN/VARIANCE REQUIREMENTS%' YES NO
k
REMARKS 1 ;
/I
APPROVAL
/ N/A YES NO
CHIMNEY HEIGHT/LOCATION ;d
B VENT/LOCATION } I
PLUMBING VENT !/
ROOFING
SIDING
DECK/PORCH/STEPS/RAI %INGS
RELIEF VALVES b ;!
FURNACE/HOT WATER O ERA' ING
BASEMENT INSULATIO/DUCTWORK
INTERIOR TRIM/PRI -ACY DOORS
FINISH FLOORS: f
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLEI
OTHER FLOORS CARPETED iy
STAIR CLEARANCE/RAILINGSa
HANDICAPPED A/CESS
SMOKE DETECTORS
BATHROOM FADS/WHOLEHOUSE FANS
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIR: PROOFING
DOOR CLOSp3S
OTHER FI E SEPARATION 1
FIRE/DEM SE WALLS
DUMPSTE
FINAL E ECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
71G � �-p a7/ V 7
;yam � -
ARRIVE
DEPART
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIONON�RECEIVED _5736/j( g/-
�7"Ga�-
NAME 2ir.G G.c`!f�
/
LOCATION 47-,.:;.6-04 ;�I,�./4(.4 O/"'� /CAL_
DATE j/A9/V/ PERMIT # G7%-r934
TYPE OF STRUCTURE � 1 (a-( re-/ (14-
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 I/
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING •
JOIST HANGERS
JACK POSTS/MAIN BEAM a
FIRESTOPPING
WALLS l�
CEILING
FIREWALLS ;I
HEATING ROUGH-IN /
INSULATION: f
FOUNDATION WALLS INT1RIOR R-
FOUNDATION WALLS EXT(RIOR R-
FLOORS R-
WALLS R-
CEILING r R-
DUCT WORK OR PIPING IN UNHEATED
. SPACES
REMARKS:
ARRIVE ;,- e!;' 4 --o1C2e1\_66615/6'4'
�s
DEPART/ —
INSPECTOR
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 S/ai-'I c
NAME - t71B ,S j
LOCATION (>c.3111i c) al( 3
DATE 5"p 1 ) PERMIT Q' C D
11
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 i
REINFORCEMENT IN PLACE Y
FOUNDATION/DAMPROOFING s
BACKFILL APPROVAL /
ROUGH PLUMBING 1
PLUMBING VENT/VENTS IN PLACE d
PLUMBING UNDER SLAB `1 /
FRAMING: ? I
JACK STUDS/HEADERS /
BRACING/BRIDGING t !
JOIST HANGERS
JACK POSTS/MAIN BEAM { '
FIRESTOPPING y
WALLS
CEILING 11 `
FIREWALLS I i
HEATING ROUGH-IN ,'
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS/EXTERtIOR R-
FLOORS R-
WALLS r R-
CEILING l R-
DUCT WORK OR PIPING IN UNHEATED
SPACES i
REMARKS: i !
ai 6-D �o on,t/�J1�c tv�cf
Gn-o e 1�►-fc&s —I tir I,J- /
ARRIVE /040 /
DEPART /V Z0
IN PEC9OR
1
TOWN OF QUEENSBURY
RECEIVED
MAY 2 01991
w �y e,,;. t BLDG. & CODE DEPT,
o
FILE COPY 586So�
�E as .FILE COPY
ti
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DATE
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