1992-206 I � i
-----------
"'ERTMCATE
�"� P
TOWN OF QUEENSBURY
} WARREN COUNTY, NEW YORK
FF Dace August 20 _ lq sz�
E - 1FOB
" 1
This is to certify that work requested to be done as shown by Permit No, 92-206
€ has been oompleted.
fThis structure may be occupied as a Single Family Dwelling
Location 17 Honev Hollow d
Owner Don Maynard
By Order "Town Board
70" OF +QUE NSH RY
i
Director of Bldg. & Code Enforcement
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BUILDING PERMIT �
TOWN OF QUEENSBURY
No. 92- 2Qfi
WA
NEW NEW YORK
1
PERMISSION is hereby granted to - Don Maynard
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OWNER of property located at 17 Honey Hollow Rd Street, Road or Ave.
in the Town of Queensbury, To Construct or place a -Ir%i ngl p Fami l�f 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.
sy
1. OWNER'S Address is a
29 !Money Hol 1 ow Rd v
Queensbury, MY 12804
2. CONTRACTOR or BUILDER 'S Name
Same
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3_ CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5_ ARCHITECT'S Address
waddle
9
6_ TYPE of Construction — (Please indicate by X) tp
fD
l wood Prame I I Masonry I I Steel ( I 'f7
7. PLANS and Specifications
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No. 2700 sq ft Single Family Dwelling as per plot plan specifications
and application
$_ Proposed Use ,ad
1 a
Single Family Dwelling with att. 2-Car Gar. and fireplace f 0°
$ 368. 00 PERMIT FEE PAID — THIS PERMIT 'EXPIRES May 6 t9�_
(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 Qu is $t y of May 19_.92,_
SIGNED BY /" for the Town of Queensbury
Bu ildi Zoning Inspector
TOWN OF QUEE"SBURY
--..� REVIEWED BY 5'.3�' .��",�d' -� ��
I OWN OF 0UEENS8Uj, ,
FEE PAID : RECEIVE()
PERMIT NO . : ` - , l MAY 4 1992
BLDG• & COE)E E1EPT
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 .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property :
P . O . Address : c2 PHONE
Property Location : / , 7f r� � / jf� Tax Map No ;,� / - f�
Has there been any split of this property since October 1 , 1988? Yes No _
If yes , Planning Board Review is necessary .
Subdivision Name , if applicable : 4C4 (�f udi' Lot No .
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION : $ [:� ,r��r��
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW :
( no change to exterior dimensions ) * Size of Property : /,SZ? ft . x ft .
Other work ( describe ) * Existing Building Size :
* ft . x ft ,
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE : * property line .
1st Floor —� -� ' Sq . Ft . '� * Front Yard ft . Rear yard ft .
* Side Yards ft . and A149 ft .
2nd Floor / .j Sq . Ft . y * If on corner , setback from side street-
* ft .
Other Floors Sq . Ft .
(not cellar or basement * OCCUPANCY INFORMATION :
TOTAL FLOOR AREA : i' i' Sq . Ft . * Primary Building -
Size of New Structure : *
%'-5 ft . x ft . One Family Dwelling
* Two Family Dwelling
Foundation : * Multiple Dwelling/No . of Units _
Pier/Slab/Crawl /Partia ull ) ( Circle One ) * Business
* Industrial
No * of stories ( Habitable space ) _ * Other
Height ( grade to ridge ) 3 2 ft .
If residential , no , of families : * If addition , what will use be ?
No . of rooms ( excluding baths ) : ,? —"""—
No . of bedrooms : �1?
No . of bathrooms : L- * Accessory Building :
Primary heating system : 14> 4' f /,C * Detached Garage - One/Two Car
Type of fuel : —e� .2 �E * } _ Attached Garage - One/Iwo Ca
No . of fireplaces to tie installed : * Private Storage Building
Will a woodstove be installed ? : * Other
Central Air Conditioning : Yes No
( OVER )
I
BUILDING PERMIT APPLICATION CONTINUED :
I
BUILDING SPECIFICATIONS :
Type of construction : wood frame , fire safe , etc .
Will any second- hand or ungraded lumber be used ? If so , for what ?
Foundation Wal l Material Thickness :
Depth of Foundation below grade ( to bottom of footing ) : &
Will there be a cellar? ] _ Heated or Unheated ? Floor Sq . Footage :
Will there be a basement ? �geS Will any portion be used as living space ? /7 Q
If so , what portion ? 1,9` map S+q , Ft . Type of Use ? �
Type of Roof : 1 ape Flat/Shed /Other Material of Roof �rheo-
Size , wood studs ." x _..k2 spacing " o . c . ; length �'' ft .
Joists ( floor beams ) : 1st Floor mac"_ x rc " ; spacing t' 2_ '" o - c • ; span ft .
Joists ( floor beams ) : 2nd Floor x /Q2 " ; spacing '" o , c . ; span /h'=.4p . ft .
Overlays ( ceiling beams ) : " x spacing o . c . ; span ft .
Roof rafters : x " ; spacing o . c . ; span ft .
Roof trusses ( pre-engineered ) : spacing , do o . c . ; span _ ' _ ft .
Exterior Wall Finish ; c vr. of what material ?
Interior Wall Finish :
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 ? C. 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 : O 'n rG �1 /
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 & ADDRESS : _ ,vc:�i7 �/' � /lf.G"/ PHONE
NAME OF PLUMBER & ADDRESS : A /� G'� PHONE
NAME OF MASON & ADDRESS ; zi,2ig PHONE ---
NAME OF ELECTRICIAN & ADDRESS 7 ? G am' PHONE;r'j�',�r� 0
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 thorigedd- by the owner .
SignatureOwner , owner owner s a nt , architect
contractor
SPECIAL rCONDITIONS OF THE~ PERMIT :
By :
Code Enforcement Officer
ENERGY COIDE COMPLIANCE APPLICATION
TOM OF QUEEMNSSURY , WARREN COUMTY - SIOOO HEATING DEGREF QUEENSBLiIt ,
RECEIVED
Compliance Methods:
_ _ MAY 4 1992
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( ONLY )
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwel l idngss ; & CODE DEPT.
Multi - Family Dwellings
( 3 Stories or Less )
PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential
PART 4 3 6 - Compliance Methods Require Submission of Worksheets
�T L TION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :
1 . Gross Floor Area - zk Amm_ „_Sq . Ft . /
2 . Type of Beat - Elec . Base Board Other
3 . Is Building Mechanically Cooled ? _YES NO
4 . Percentage of Area of Windows and Doors Over 17 % Under 17%
THE R-VALUES GIVEN ON THIS SHEET MST CORRESPOND TO R E Q U I R E D
THE R-VALUES SH10W ON PLANS SUBMITMI
Baseboard
5 . Insulation Values : Actual Shown Elec . Heat Other
A . Roof 3 Floors exposed to ambient temperatures R 3
B . Exterior Walls R ) !2
C . Glazed Area R 000m3 ,L �r
D . Exterior Doors R z.s
E . Floors over unheated spaces R _
F . Edge of Slab on Grade ( Heated Building ) R A --�
G . Basement/Cellar Walls (Above Grade ) R
H. Basement/Cellar walls ( Below Grade ) R OV A". T'
i . Heating/Cooling - Ducts on Piping in Unheated Space R '
6 . Service ( Domestic ) Hot water Heating Device
A . Conforms to minimumr efficiency per code _ YES 1M0
TEW ERA URE CONTROL MAXIM M SMING 1400 - WILL WT BE ENCEEM
INSPECTOR ' S REWICS80
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IM71 L4
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Bay at Haviland Roads, Queensbury, N.Y. 12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
! - /J
Date
f 1 Permit Nci. & ems..
APPLICATION IS HEREBY MADE to the Building Department for the issuance o1' a liuiidir)g .aaaci Lisc l'c:rritit
laaarsuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with .all
applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all
hiNpectors to enter premises for the required inspections.
Applicant 's Name 4 APPLIANCE TYPE
Stove Coal Wood
Address e �>� , ` iftj.� , Furnace Hot Air Boiler
Zero Clearance Circula( ing Unit
Phone P. - r� Zip If Nan-Masonry:
( )%%aner's Name
Address Manufacturer
` Zap Model Outict Sire
T •�.�._,.._,
Listed by Number
CHIMNEY 'TYPE
Masonry. Block Brick Sty nc>
E'rrrperl Y t(watioil of proposed construction Flue: Tile /,,,, S(eel J
fi /a i t ZALV�' �- 4�'" Size: II
Factory Built:
( 401'Y OF MANIXACTURER SPECIFICATIONS IS Manufacturer Model Sire
Itl ,QIJII4fs1) FOR FACTORY-BUILT APPLIANCES Height Listed By Number
CIIMNEYS. MUST BE INSTALLED TY Double Wall Triple Wall
ACCORDING 1-0 SPECIFICATIONS. COPY OF In n sulated
Estimated CONSTRUCTION DETAIL REQUIRED FOR MA- Fe Cost $
SC)N12Y FIREPLACES AND CHIMNEYS.
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW PORK
r Amount Collected Amount Refunded
S:DAr 1Vumber Toor
A 173 3389 (190) Public Safety
A233 2655 (230) Minor Sales
Five Collected from or Refunded to:
Address-
Dated: `
Torun Clerk or Deputy � t
White. Applicant Yellow and Pink: Cashier's Department Goldenrod: Fire Afarshall
TOWN OF QUEENSBURY TOWN OF QLJEENS13ull .
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # RECEIVED
Fee Paid
M4 1992
Date : ` Rev iewOdw
LOCATION OF PROPERTY FOR INSTALLATION : ,/ ,`/' � 'r�EG9 /�dr/aw ,�d // EpZ-
�4Ti/3
Owner ' s Name : ,<�
Owner ' s Mailing Address : „/� /;;00 /7
Installer ' s Name : C'�`eeV0 ,,�,g/�/ x� ,5r�,rr f,i�R Phone # : ,' ' $✓Y/
Number of bedrooms ( if residential ) :
Total daily flow ( residential - compute @ 150 gal . per bedroom ) : / ?
Topography- Circle One : Flat Rolling Steep Slope % of Slope ^
Soil Nature-Circle One : and Loam Clay Other /Depth :
Ground Water-At What Depth ? zip Feet
Bedrock or Impervious Material -At What Depth ? Feet
Percolation Test- Circle One : Not Req� uir j Required/Rate Min . Per Inch
Domestic Water Supply- Circle One : Manic+a 3 Well Other
If domestic water supply is a well
Separation : Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank gal . ( Minimum size : 1 , 000 gal . )
Tile Field : Each Trench ��o feet/ /Total System Length ZC2V _ feet
Seepage Pit ( s ) : Number of / Size each : ft . x ft .
Size of Stone to be used : # / Depth or Thickness feet
HOLDING TANK SYSTEM IF REQUIRED
No . of Tanks Sizelof Each Gal .
Alarm system and associated electrical work to be inspected by a certified
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 PERSO11 : DATE : °5 ` c "�! ''
f
Septic System Inspections .
A . All applications for septic system installation , alteration or repair ,
as required by the Town of Queensbury Sanitary Sewage Ordinances 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 the system
2 ) location and distance to lot lines
3 ) location and distance to structures
4 ) location and distance to any water supply
5 ) size and dimensions of al tanks , distribution boxes , tile fields
and/or drywells
B . No system shall be covered before inspection and approval by the Building
Inspector . Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250 . 00 .
Co 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 result
in an immediate work stoppage .
D . Should unforeseen problems during construction prevent proper installation ,
alteration or repair of an approved system , a new proposal must be submitted
to the Queensbury Building Department before further construction .
Town of Queensbury
Building & Code Enforcement
Department
531 Bay 'Road
Queensbury NY 12804
Remarks .
TOWN OF QUEEHSBURY
FIRE MARSHAL
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518) 745- 4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
_'&LA&YA(
LOCATION
DATE �' , PERMIT# 7
APPROVED
N/A YES1 NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO . EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO . SPRINKLER SYSTEM _
ALARM SYSTEM
INTERIOR FINISHES
STORAGE :
CLEARANCE TO SPRI KOS
CLEARANCE TO HEAT UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MAS NR
FIREPLACE- FACTOR BUILT
REMARKS : OK TO THIS DATE
2/015 INSPECTOR
TOMS OF QUEEKSBURY / {
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR' S REPORT
FINAL. INSPECTION
REQUEST FOR INSPECTION RECEIVED —
NAME
LOCATION
DATE PERMIT#
TYPE OF STRUCTURE', 2 L4. j' a a t a�-
L~
RECHECK
FIRE MARSHAL APPROVAL ( COMMERICIAL STRUCTURE )
FOOTING ,FOUNDATION AnBACKFILL t .XRAMING
L fUGH PLUMBING FINAL ELECTRICAL SE" IC
T. f ULATION WOZIDSTOVE/FIREPLACE
REMARKS
APPROV L
9l/A YES
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/P R H/S S/ IL GS
RELIEF VALVES
FURNACE/HOT WATER OPE TIVG
INTERIOR TRIM/PRIVACY QRS
FINISH FLOORS :
BATH/KITCHEN WATERTIG
OTHER FLOORS SW£EPAB z"
OTHER FLOORS CARPET
STAIR CLEARANCE/RAILI G
SMOKE DETECTORS
DOOR CLOSERS �.
BATHROOM FAN�u°' '
ALL PLUMBING Fes[ U S OPE A '[
GARAGE FIRE PROOF G
DOOR CLOSERS
OTHER FIRE S PA I
FIRE/DEMISE WALL
FINAL ELECTRICAL
OK TO ISSUE C/0 OR CX
ARRIVE
DEPART
R
TOWN OF QUEENSBURY
531 'BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518) 745-4447
BUILDING INSPECTOR' S REPMT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION - -
DATE 9.L /11 _ PE
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL ( C ERICIAL STRUCTURE )
_FOOTING _FOUNOATION CKFILL FRAMING
ROUGH PLUMBING' FINAL LECTRICAL SEPTIC
TiNSULATION OOOSTOV FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCALO �
B VENT/LOCATION
PLUMBING VENT
ROOFING '
SIDING
DECK/POR H/5 E fRING70
RELIEF VALVES
FURNACE/HOT WA
INTERIOR TRIM/FINISH FLOORSBATH/KITCH OTHER FLOG S OTHER FLO S STAIR CLEAR NCESMOKE DETEC ORS
'DOOR CLOSE
BATHROOM FANS
ALL PLUMBING MTURES OPERATIAG. _
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE RATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
C ENTS ; /
-W�fie.vy1 ctrzf�.C'y�
so +� L-.,t�„y,x.'cf✓t�.� � ' :..;.. : .. .� f- 14lJ
ARRIVE
DEPART
N ECTOR
_ low,n 0/ Quee" A "ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. i Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM
INSPECTION
NAME s�C! 44 /Y/rx.t GE'
LOCATION 19
DATE / ` � PERMIT NO* f�;!..2 cq>L
SOIL TYPE - ?d ^ Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field , ;total length
Length of each tr ch
Depth f he Size of gravel ...... .......
SEEPAGE PITS-(Numbt of)
Size- ft, X _ ii ft. i
Gravel size
PIPING : S ze Type
Bldgo to tank
Tank to dist . box + �+�
Dist. box to field/ i Sr
Openings sealed? !t S NO Partial
LOCATION/SEPARATION
Foundation to tankl� l ft.
Foundation to absa'rption jg2_�ft .
Absorption to lot/ line 4AP_ft.
Separation of pis - ft.
ON OF SYS OW PROPERTY (circle
one )
rout Rear - Left side - Right side -
CCMMENTS
SYSTEM USE APPROVE E
�uii ing Inspector
01/86 and V1
TOWN OF QUEEKSBURY e. v v /q� Lr
BUILDING AND CODES DEPARTMENT �`
531 BAY ROAD 6e o►' e
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 745- 4447 /0
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME .
LOCATION 1
HATE r� PERMI # 2 rc2 - +�
TYPE OF STRUCARE y J
RECHECK APPROVED
N/A YES NO
"�fF0OTINGS/P I E R S
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEKENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VEN S IN PLACE
PLUMBING UNDER SLAB
FRAMING :
JACK STUM/HEADERS
BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS/MAIN B
HEATING ROUGH- IN
INSULATION :
FOUNDATION ALLS I NT E -
FOUNDATIO, WALLS EXTERIORIR-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS :
-14
$ten Utz
ARRIVE �f
DEPART r
TNSP CT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENTt_
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE (518 ) 745- 4447
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED �'° +G',���
NAME �Are •�' '
LOCATION , feAo
DATE ' ' PERMIT # J
TYPE OF STRUCTURE +' OJV `
RECHECK PPROVED
N/A YES1 NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECT
PON
FREEZING FOR 48 HOURSG
THE PLACEMENT OF THEMATERIALS FOR THIS PUSITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLAC
FOUNDATION/DAMPROOFIN
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN ACE
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BE
HEATING ROUGH- IN
INSULATION :
FOUNDATION WALLS NTER OR R-
FOUNDATION WALL EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR IPING IN UNHEATED
SPACES
REMARKS :
ARRIVE
DEPART 727
INSPTCVR
TOWN OF QUEENSSURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE (518) 745- 4447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Ira
LOCATION /
DATE C.l s�,I`�1..Z PERMIT f 42 �. 17
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YESI 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 GN SITE
FOUNDATION/WALL POUR d
REINFORCEMENT IN PLACE i
FOUNDATION/DAMPROOFING --
BACKFILL APPROVAL �--�—
�{ROUGH PLUMBING
I PLUMBING VENT/VENTS IN \P ACE
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS/HERDERS '
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BE
HEATING ROUGH- IN
INSULATION :
FOUNDATION WALL N ERI R
FOUNDATION WALLS XTERIOR R-
FLOORS R-
WALLS R_
CEILING R
DUCT WORK OR PI ING IN UNHEATED
SPACES
r
REMARKS : cR + ooEL140
-A 1f �
0.
ARRIVEE�
DEPART
iN5 CTO
TOWN OF RY
MARSHAL
mod'
FIRE
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518) 745- 4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAMEw
LOCATION
HATE +o44 �.f PERMIT#
APPROVED
h N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO . EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO . SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES - -
STORAGE :
CLEARANCE TO SPRI ERS
CLEARANCE TO NEAT N UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MAS RY
FIREPLACE- FA OR Y BUILT
REMARKS : K TO THIS�UATE
2/015 PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
Q ! NEW 0
TELEPHONE ( 518 ) 745 4447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION.RECEIVED
NAME +�
LOCATION l
DATE Z:7) PERMIT #
TYPE OF STRU TUBE .
APPROVED
N/A YES NO
FOOTINGS/P�
MONOLITHIC POUR ORM
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 ^,t
BACKFILL APPROVAL «� _
ROUGH PLUMBING
PLUMBING VENT/V NTS IN PLACE
PLUMBING UNDER SLAB_
FRAMING :
JACK STUDS/HEADER �.�
BRACING/BRIDGING i
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH- IN
INSULATION :
FOUNDATION WALLS IN ERIOR -
FOUNDATION WALLS EXTERIOR R-
FLOORS R- "
WALLS
CEILING R`
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS :
ARRIVE
s L
DEPART r
I rzl
INS CT
TOWN OF QUEEMSBURY zi• /e
BUILDING AND CODES DEPARTMENT
531 SAY ROAD /
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518) 745- 4447
BUILDING INSPECTOR' S REPORT
REQUEST FDR.JXSPECTION RECEIVED
NAME
LOCATION
DATE
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YESI NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT THE CONCRETE.
MATERIALS FORT S PURPOSE ON SITE
FOUNDATION/WALL UR
REINFORCEMENT IN P CE
F��flflUNDATION/DAMPROOF G
ci''�ACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN LACE
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEA
HEATING ROUGH- IN L
INSULATION :
FOUNDATION WALLS I TERIOR R-
FOUNDATION MALLS TERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIJING IN UNHEATED }
SPACES
REMARKS : _
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1' ��h �- �J< ► - ;7 (� CC) ,r
f
ARRIVE
DEPART ) �a
I SP OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENTS-},
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE ('518 ) 745- 4447
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPEE,C,TION RECEIVED
NAME & r-
LOCATION
�7.
DATE 051�`� ' PERMIT #
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES 0
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESRPOSE
E
FOR PROVIDING PROTECTM
FREEZING FOR 48 HOURSING
THE PLACEMENT OF THEE.
MATERIALS FOR THIS PU TELt. .
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACFOUNDATION/DAMPROOFIN
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN CE
PLUMBING UNDER SLAB
FRAMING :
JACK S S/HEADER
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAI BEAM
HEATING ROUGH- I
INSULATION :
FOUNDATION OLL INTERI R R-
FOUNDATIOW WALLS EXTERI R R-
FLOORS R-
WALLS R~�
CEILINW R-
DUCT WORK OR PIPING IN UN FATE
SPACES
REMARKS :
ARRIVE
DEPART
IN5 CTOR