1991-335 y.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN..COUNTY,. NEW YORK
Date June 20 19 91
This is to certify that work requested to be done.as shown by Permit No. 91-335
has been completed.
This structure may be occupied as a storaae-"'area
Luzdfne Road
Location
WILLIAM AND CATHERINE EHLERT/
Owner ARROWHEAD EQUIPMEN I
By Order Town Board
TOWN OF QUEENSBURY .
Av
Director of Bldg. & Code Enforcement
•
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-335 a
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Arrowhead Equipment
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OWNER of property located at I uzprne Rd Street, Road or Ave. X
in the Town of Queensbury,To Construct or place a Interior Alterations
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at the above location in accordance to application together with plot plans and other information hereto filed and rn
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. d.
1. OWNER'S Address is
William & Catherine Ehlert
PO Box 4110
Luzerne RD
2. CONTRACTOR or BUILDER'S Name
Dave Coulter
3. CONTRACTOR or BUILDER'S Address fD
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4. ARCHITECT'S Name �l
to
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5. ARCHITECT'S Address to
6. TYPE of Construction—(Please indicate by X)
( X Wood Frame ( I Masonry ( ) Steel ( )
7. PLANS and Specifications
No. 480 sq ft Interior Alterations as per plot plan specifications
and application
8. Proposed Use
STORAGE
$ 35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 21, 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 21st D y of, May 19 91
SIGNED BY \• „247/vl / for the Town of Queensbury
Building and Zonirig1nspector
TOWN OF QUEENSBURY
REVTEWED BY
.4 .1% FEE PAID $ :�jSO�)(
� r... PERMIT NO. �(---- � �
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.
* * * * * * * * * * * a * a * * * * *(�* **�* * * * * * * * * * * s * * * * * * * *
_The owner of this property is: 1\1 11\\GMn a- Ca ' I r
P.O. Address RQ '231ox `Ii LD • Tel. (.3\I)r-lQ':3'9a I.(J5
Property Location Lv 2 U ne 1'\(, e N SID u Y 1 Tax Map No. 73 / -2/ ��
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE Ay-y' Q )hecA ,) LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
0011C Coj \+er
•
NATURE OF PROPOSED WORK: M ESTIMATED MARKET VALUE OF
Construction of a new building a CONSTRUCTION: $ 100DP
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
a Size of property ft x 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 ft. Rear yard ft.
•
Side yards ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
•
1st Floor sq. ft.
* OCCUPANCY INFORMATION
2nd Floor `1 CM sq. ft. * ' Primary Building -
Other Floors sq. ft. » One Family Dwelling
(not cellar or basement) Two Family Dwelling
TOTAL FLOOR AREA 11 D ,sq. ft. • Multiple Dwelling/Number of units
Size of new structure Ia ft x L-K) ft. ' ,Business
Foundation-pier -A Industrial
(circle one) * Other
*
No. of stories (habitable space) 1
•
Height (grade to ridge) 9 ft. • If addition, what will use be? Si-elvoL y-
If residential, no. of families • ( Ot1A-X.n
No. of rooms(excluding baths) 1 * Accessory Building
No. of bedrooms ' __Detached Garage ONE/TWO Car
No. of bathrooms •
Primary heating system CenkrQ L • .__Attached Garage ONE/TWO Car
Type of fuel L • __Private storage building
No. of fireplaces to be installed '
NO
O * Other
Will a wood stove be installed
Central Air conditioning No '
OVER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of_construction, wood frame, fire safe, etc. 4)06 !/ Fe",/Z
Will any second-hand or upgraded lumber be used? If so. for what?
//c.)
Foundation wall material 17,4- Thickness
Depth of foundation below grade (to bottom of footing) it/7;r-
Will there be a cellar? NO Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? KO Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs .. "x " spa ing G " o.c. length ? ft.
Joists (floor beams) 1st floor spacing �fr,yPo.c. span ft.
Joist (floor beams) 2nd floor 41. "x 8-- " spacing / "o.c. span f 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 ft. -
Exterior wall finish •• of what material?
Interior wall finish S y'flt. oc
rx
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? 'G>
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 Munic.i '1n
' 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/ v,9 66A7 A,, ADDRESS f//d1/4 - TEL. NO. 7 ; —2ZZ5---
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAFA fje_Jk7 4 ADDRESS r7(, 7:-.., „_,i_ (2., TEL. NO.793, -2(;5------
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.
Signatur
1
Owner, wner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
A .. THE NEW YORK BOARD' OF FIRE UNDERWRITERS PAGE _,
` 3 BUREAU OF ELECTRICITY
e. 1; I 41 STATE STREET;A Y,NEW YORK 12207
1, Date /PiCatiOflVOOfli , q 3 . t :02.4691/9J h 411781
.,. THIS CERTIFIES THAT µ
only the electrical equipment as described below and in rduc by the li' t named on'the above application number in the premises of
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-c; WILLIAI•I EIILERT, .3?0) LUZERNF, R ?RPOWII.L,AD EQUIPMENT INC,. (3UEENSPUP , N.Y.
in the following location; ❑ Basement L•11 1st Fl. lL_JI 2nd' Fl. Section Block Lot
1' was examined on T , and'ound to be in'com compliance with the requirements ofthis Board. '
�. �fIJI4Ia o�,199a: s p q
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FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS : a
�, OUTLETS ECEPTACLIES SWITCHES INCANDESCENT;FLUORESCENT OTHER _ AMT. K.W. AMT. ' K.W. - AMT. K.W. AMT. K.W. AMT. H.P.
�,
F. -a DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS RELL UNIT HEATERS MULTI-OUTLET DIMMERS *'
1: AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT.. AMPS. TRANS. AMT. H.P. NO.O FEET AMT. WAITS SYSTEMS 'S
'L
SERVICE DISCONNECT NO.OF S E R V_ I C E
1, METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
�, AMT. AMP. TYPE Kw. 1,412W 1�'3W 3,B'3W 3,04W
PER®' .OF CC.COND.. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
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.4, OTHER APPARATUS:
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�; ARROWHEAD EQUIPMENT UuT" :* •
�, I30X 4110 BRANCH MANAGER
1,
QUEENCBURY, NY, 12801
r. - Perna
r. ,4; 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. ':
--i r en,--,iY t• i'i er YY i/\'Y VI 'CI"?-i fY'Cr'CI Cr V/Y•i i•i 7/'Cr i"i'Cr YY Cr'\Y Y•i.1•i Y•i i•i et(•i YY\'•i r•i 1"i i•i ti'i?•i Y•r YY C r C 1 i•i '•i I", 1, i, 17 1/ f•i i v< ,"i-
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE.MUST NOT BE ALTERED IN ANY MANNER. - —
•
YOU ARE HEREBY REQUESTED. TO
_ INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED ,
TEMP.N DATE
CITY OR VILLAGE TOWNSHIP COUNTY
t )rrN.-, k r \( W01(v n/
STREET AND NO.OR ROAD POLE NUMBER
•
BETWEEN WHIT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANTS NAME I BUILDING OCCUPANCY
/1\` 11.�t��C't111 I-01)( �rY)rof ; Tr)r'
O �ENTHOME TELEPHONE NUMBER
WI �SUPPLWNERS NAME IDED BY `DRESS�"j}l r! FROM H . � ' I 0OFFICE �•�l�r !I� WORK LEPH�NE NUM)
C1
q
BUILDING IS
NEW❑ OLD❑ WORK IS NEW❑ 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
❑ 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 DENT FNTER APPLICANTS
NUMBERS PPP. I I I I I
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS 1 f i P.
NAME OF APPLICANT DATE OF APPLICATION IGNA*UR4 OF APPLICANT yI �-/
STREET ADDRESS - - TELEPI4OIVE
•
CITY OR POST OFFICE . ZIP CODE LICENSE NO.WHEN APPLICABLE
•
85 John Street ❑ 41 State Street 570 Delaware Avenue 217 Lake AvenueLI 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
THE NEW YORK BOARD 'OF FIRE UNDERWRITERS
Adli
, .
TOWN OF QUEENSB i V
am... 531 BAY ROAD
`�ir
, j QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME Oie-fi1-e 1id- -i
LOCATION i��f ":" .I 1
/
DATE (i /C//j/ • PERMIT/ ��-- 3s i
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL_SEPTIC
INSULATION \_WOOUSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES, NO
REMARKS \ ;
\ . • ,,, APPROVAL
CHIMNEY HEIGHT/LOCATION ,-
I N/A YES NO
B VENT/LOCATION \ '
PLUMBING VENT t
ROOFING 1'
SIDING t I'
DECK/PORCH/STEPS/RAI&LINGS I.
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DU TWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE\ 1
OTHER FLOORS; CARPETED X
STAIR CLEARANCE/RAILINGS X
HANDICAPPED ACCESS % •;
SMOKE DETECTORS y
BATHROOM FANS/WHOLEHOUSE FANS.
ALL PLUMBING .FIXTURES OPERATING i
GARAGE FIRE PROOFING N.
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
- .(.4Z6fril 4 •71— 1
• CD.�� C1`e v<// 7.&7"r2 r
ARRIVE //6u
DEPART /f61
. TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTTIION RECEIVED OW
NAME
LOCATION . ,1 ,`
DATE 4� W f PERMIT#
.fir -A2Cd2 CL PiLlG&,TiN/APPROVEDA YES NO
EXITS
AISLE WIDTHS >I
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS 4 , i
AUTO. EXTINGUISHING SYSTEM ,I
HOOD INSTALLATION 1 /
AUTO. SPRINKLER SYSTEM I
ALARM SYSTEM ;1 ,l
INTERIOR FINISHES y1
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE /
tl 1'
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: .' ?(I OK TO THIS DATE
(16
f(A.
ARRIVE
DEPART Y ' jig
INSPECTOR
>41
TOWN OF QUEENSBURY
ave___
s. 531
!` j QUEENSBURY,BAY NEWROAD YORK 12804
TELEPHONE (518) 7924832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
•
NAME dh
LOCATION _-
DATE Ml/ PERMIT#
TYPE OF STRUCTURE R�. a1I
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL_SEPTIC �.
INSULATION WOOUSTOVE/FIREPLACE,
SITE PLAN/VARIANCE REQUIREMENTS x YES NO
1 —
REMARKS
i
APPROVAL
N/A YEE' NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION ;o /
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 1,
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/Rq`ILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS 1 k
BATHROOM FANS/WHOLEHOUSE FANS 4
ALL PLUMBING .FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS /
DUMPSTER
FINAL ELECTRI �/
OK TO ISSU C/O' R C/C r/\ ;
COMMENTS:
ARRIVE ZD
DEPART
Z 1Z)
TORN Of QUEENSBURY
xa6� 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIC
REQUEST FOR INSPECTION RECEIVED
NAME iliela7.%-t1/_/7
� �
LOCATION d"�,1 J�,p
DATE / /' PERMIT#
TYPE OF STRUCTURE „-?L/ p.
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL iVFRAMING
ROUGH PLUMBING LFINAL ELECTRICAL _SEPTIC �.
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES, NO
REMARKS
I' I
rAPPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION ,.
B VENT/LOCATION
PLUMBING VENT <<
ROOFING I
SIDING €a r
DECK/PORCH/STEPS/RAILINGS ;'
RELIEF VALVES /
FURNACE/HOT WATER OPERAY?ING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY..DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING .FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION '
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL (j 70.2)/ c/
OK TO ISSUE C/O OR C/C
COMMENTS:
//A4 Vlb
2 5-er L/// fe/.tJ,nc,„
ARRIVE (16 •
DEPART C�` d 77/
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD 4TELEPHONE� (518)NEW 0792-5832RK 4oy\
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 7)36)ci,(
NAME A(\ O ) 11P (T U 1 riZPM 55k
A �� �
LOCATION ,L-.�)Z��rv�eJ (2
DATE 5/, (j °11 PERMIT I 1 3
I i
TYPE OF STRUCTURE ,/,y�\Q,Vi<<,r- tic�j
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE ;'
THE CONTRACTOR ISRESPONSIBLEif
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 OURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS1PURPOSE ON SITE
FOUNDATION/WALL POUR ,
REINFORCEMENT IN PEACE
FOUNDATION/DAMPROOIING,
BACKFILL APPROVAL ;� /J
ROUGH PLUMBING
PLUMBING VENT/VENTS;/IN PLACE
PLUMBING UNDER SLAB"
kFRAMING: �1
JACK STUDS/HEADERS
BRACING/BRIDGINO,
JOIST HANGERS/ 61
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN k'd
INSULATION: /
FOUNDATION)WALLS INTERIOR R-
FOUNDATION'WALLS EXTERIOR R •
-
FLOORS / ;1, R-
WALLS / k R-
CEILING/ $, R-
DUCT WORK OR PIPINGIN UNHEATED
SPACES/
REMARKS:
ARRIVE 7f Z'S-
DEPART c/-9s'
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /T
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME aIL4L6 .
LOCATION - • G • , ti ,%<
DATE 30/ PERMIT I `- ---3�J
TYPE OF STRUCTURE - r z ern
U
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 PLACEMENLOF 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 UNDER SLAB`,
FRAMING:
JACK STUDS/HEADERS \
BRACING/BRIDGING V
JOIST HANGERS T`,.
JACK POSTS/MAIN BEAM/ :✓
FIRESTOPPING J
WALLS
CEILING
FIREWALLS
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:
lQyc,i s, z.
ARRIVE i1'/J
DEPART /.JZJ
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 1/(9c7/9/
NAME N`(Y�v.�r�t 6CDU l
LOCATION ,-)-U z Cf a P Rc)
DATE pd/q/ PERMIT I 9/ 3 35
TYPE OF STRUCTURE
RECHECK APPROVED
, N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM fi
REINFORCEMENT IN PLACE 1
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLQWING
THE PLACEMENT OF THE CONCRETE. p'
MATERIALS FOR THIS PURPOSE 1ON SITE f
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE 1
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL ;1
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLAC8 I
PLUMBING UNDER SLAB
/(FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING / •
JOIST HANGERS ,� 9
JACK POSTS/MAIN BEAM / it i/*
HEATING ROUGH—IN
INSULATION: if u
FOUNDATION WALLS IN/ERIOR f--
FOUNDATION WALLS EX/TERIOR R
FLOORS 11 R7
WALLS / R
CEILING I R?
DUCT WORK OR PIPING IN UNHEATED
SPACES 1
REMARKS:
•
ARRIVE I4) `
DEPART c/213 y . \///(
I NS,PECTOR
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 j Z/z
/ y ,
NAME
LOCATION CJ'76"-"re' 4-1
1/
"/ PERMIT #
TYPE OF STRUCTURE
RECHECK i APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE j t'
THE CONTRACTOR IS RESPONSIBLE '
FOR PROVIDING PROTECTION F$OM
FREEZING FOR 48 HOURS FOL4OWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON CONCRETE./
FOUNDATION/WALL POUR I /
REINFORCEMENT IN PLACE I /
FOUNDATION/DAMPROOFING ? /
BACKFILL APPROVAL r /
ROUGH PLUMBING L/!
PLUMBING VENT/VENTS IN PLACE
PkUMBING UNDER SLAB ��
V RAMING: /
JACK STUDS/HEADER 1 j ✓
BRACING/BRIDGING/ i
JOIST HANGERS / g ✓ .
JACK POSTS/MAI1 BEAM1 ✓/
FIRESTOPPING
WALLS
CEILING /
FIREWALLS / P
HEATING ROUGH-IN
INSULATION {
FOUNDATION WALLS IN ERIOR R-
FOUNDAT/ION WALLS EX pERIOR R-
FLOORS/ l R-
WALLS,F R-
CEILAG l R-
DUgT WORK OR PIPING PN UNHEATED
SPACES' \/
i
REMARKS:
ARRIVE M/2
DEPART /2,Ws
INSPECTOR
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