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1992-231 CERTIFICATE OF OCCUPANCY z TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Z 19 j& D [ . This is to certify that work requested to be done as shown by Permit Nov 9 2 2 31 has been completed, single family dwelling This structure may be occupied as a S#i6th 4.-xoq oaf a44aehQd-+�2E Location Lo South Inland Far PUD Fitzgerald Realty of Glens Falls Inca Owner 46 - 7 - 15 Sy Order own Bci" TOWN OF QUEENSBUR Director of Bldg. do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No 92-231 �` o WARREN COUNTY, NEW YORK 1 V PERMISSION is hereby granted to Timothy Sinn OWNER of property located at Lot 15 MaSter4z CO n 5011th Street, Road or Ave. Family in the Town of Queensbury, To Construct ar place a Single y 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. L77 r:Al NER"S Address is 9 Pine Street bany, NY 12207 cr coNTRACTOR or StJf i_DER'S Name Loren 1k Starr Der , Inc . PO Box 4377 Queensbury, KY 12804 3. CONTRACTOR or BUILDER'S Address P O 0 + Ht " d. ARCHITECT'S Narne N iA 5_ ARCHITECT'S Address C3 a 6. TYPE of Construction — (Please indicate by X) O 0 r+ (X. ) Wood Frame t } Masonry ( ) Steel flf Jy 7, PLANS and Specifications No. 3245 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use �• Single Fancily Dwelling .J $ 424wOO PERMIT FEE PAID — THIS PERMIT EXPIRES Mail` 22a 19 93 � (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Q.ueensbury before the expiration date.) Dated at the Town of Queensbury this 22nd Day of , May tg 92 a SIGNED BY for the Town of Queenshury Building and Zon`sng 1 nspCdldr TOWN OF C UItENSBURY ; REVIEWED BY : FEE PAID : PERMIT NO . : - �'�` NAY 1992 r r 8ceived !.Y BUILDING PERMIT APPLICATION f Md29%:t� A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS Q TIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT . A17 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 : 1 r-7 7--0 'Z ,1"k') P . O . Address : 6 ` Y.r. cf1G.130J.d/ `2 A) `/' /J 7 PHONE 4/4'Y 7 - f 3 / Property Location : / STupn Tax Map No . / / 2 / / .5 Has there been any split of this property since October 1 , 1988? Yes lam` No If yes , Planning Board Review is necessary . Subdivision Nance , if applicable : � c ,�y vra ?K_ Lot No . lS� THE PERSON i -RESPONSIBLE FOR SUPERVISION OF ^WORK AS �REGARDS TO BUILDING CODES ISO �G7� F A R. Z,9174 Jf-' ✓ 7?9121Z [/ tE�U NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE ✓ Construction of new building * CONSTRUCTION : E / je)GNU Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : 19v;2 ft . x 19-3 ft . Other work ( describe ) * Existing Building Size : * - fta x ft . r�'oposed building - distance from GROSS/ AREA OF PROPOSED STRUCTURE : * property line : Ist Floor 4 � 7r3 Sq . Ft . * Front Yard s ft . Rear yard 6�=� ft . / (�, [} * Side Yards ft . and '7 — ft . 2nd Floor 4S � Sq . Ft . * If on corner , setback from side street- * Other Floors '� Sq . Ft * . t� ft (not cellar or basement * OCCUPANCY INFORMATION : TOTAL FLOOR AREA : 4,�34) .S' Sq . Ft . * Primary Building - * 31 . One Family Dwelling Size of New Structure : `/.,2-- ft . x ft . * Two Family Dwelling Foundation : * Multiple Dwelling/No . of Units Pier/Slats/Crawl /Partial Ful ( Circle fine ) * Business * Industrial No . of stories ( Habitable space ) - * Other Height ( grade to ridge ) ft . If residential , no. of fam es : r * If addition , what will use be ? No. of rooms (excluding baths ) :No . of bedrooms : No. of bathrooms : — Accessory Building : Primary heating sys em: y0 7 ' kl. c' * Detached Garage - One/JvAQ Car Type of fuel . 045 •a lac * 5� Attached Garage - One Car Hoe of fireplaces to installed : / * Private Storage Building Will a woodstove be installed? e. , „ ,� * Other Central Air Conditioning: Yes �.2 Flo - - ( OVER ) BUILDING PERMIT APPLICATION CONTINUtD : %, BUILDING SPECIFICATIONS : - - . N ; Type of co ood frame fire safe , etc . Will an cond+and a 00 graded lumber be used ? If so , for what ? ,c2� *f CL, Founda n W 11 t4a teal : �"' ; ' I F- Thickness : e Depth oun ati on bel o rade ( to bottom of footing ) : Will the e a cellar ? - " ., t= '�� Heated or Unheated ? g /4 Will there �? cellar ? - . Floor Sq . Footage : 14111 any portion be used as living space ?If so , what portion ? _ Sq . Ft . Type of Use ? Type of Roof : <r /Flat/Shed/Other Material of Roof _- Size , wood studs x u " ; spacing / C " o . c . ; length 4.7" ft . Joists ( floor beams ) : Ist Floor -2 x Joists ( floor beams ) : 2nd Floor �� 1e � spacing o . c . ; span r } ft.j . x " , spacing / ' o . c . ; span -J ft . Overlays ( ceiling beams ) : �- x f� spacing /� o . c . ; span Roof rafters . a2- x / C> ' ; spacing 16� o . c , ; span JS� ft , Roof trusses ( pre-engineered ) : spacing o . c . ; span ft . Exterior Wall Finish : _ "e�'Ag' cD JyIaZ+ of what material ? -rr Interior Wall Finish : n ,, If a garage is to be attached , describe materials to be used for FIRE SEPARATION : S / �Lre X r/tZ Trr_ r Is there to be an opening between garage and dwelling? k;?!�:J If so , will a Fire- Rated door , enclosure , self-closing device be provided ? Will a flue- lined chimney be installed ? Height above roof Z2 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 b ADDRESS : ` `-'' 7 5 3nrLL-Ag v � 7 �� z vs �3cin 12 60'tr PHONE ,2 geS NAME OF PLUMBER & ADDRESS : r' YL) 4�ac C9 �crYSCJIc.J ct� ``7 42116 PHONE 57f&3- 40015"NONE '7 NAME OF MASON & ADDRESS : x1O`�R f NAME OF ELECTRICIAN & ADDRESS : -�, ,,+� 7 c c Ii'r c3 GYiFa� ''�u3I PHONE�S'y- aj 4ll 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 belcompTiedDEv with,lE ZONING whether specNfiled 'orand not � landother thatlaws suchpertaining author the zeropo Lh wo hall er . Signature . > r* wR agent , arc itect contractor THE ey= Code ri orcement cer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY on 9000 HEATING DEGREE DAYS Compliance Methods : wwo PART 5 - Acceptable Practice Method - I & 2 Family Dwellings ( ONLY ) 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 PROPERTYOCAfiI N PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - 3;d y5 Sq . Ft . 2 . Type of Neat - Elec . Base Soars! Other_Or�u T r,fZ4 3 . Is Building Mechanically Cooled ? � 2ES NQ 4 . 'Percentage of Area of Windows and Doors Over 17% >e� Under 17% THE R-VALUES GIVEN ON THIS SHEET MST CORRESPOND TO R E Q U I R E D THE R-VALUES SHOT ON PLANS SUBMITTED! Baseboard 5 . Insulation Values : Actual Shown Elec . Heat Other A . Roof & Floors exposed to ambient temperatures R 06 B . Exterior Walls R c2 / C . Glazed Area R D . Exterior Doors R /.3. E . Floors over unheated spaces R 3e? F . Edge of Slab on Grade ( Heated Building ) R All? G . Basement/Cellar Walls. (Above Grade ) R J3 H . Basement/Cellar Walls ( Below Grade ) R f 1 . Heating/Cooling - Ducts - Piping in Unheated Space R G * Service ( Domestic ) Hot Water Heating Device ommmmm A . Conforms to minimu;n efficlencr per code YES NO TEMPERA C MAXIMUM SETTING 140" - WILL. NOT BE E=EEDED 5 � � & err. N INSPECTOR ' S FA MRXS : r TOWN [��r►F Cy.kw 7 Q�, UEENS B U R'Y 531 Say Rd., or sbury. N 1 i.804 APPLICATION FOR SOLID FUEL BURNINGF APPLIANCES AND CHIMNEYS Date !!t Ferstit No. APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit ' pursuant 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 arc part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form If more then one appliance and/or chimney. Applicant R ot5-O, APPLIANCE (check appropriate boxes) Ad d tress ]267 39 '7_ n STOVE: ❑ Wood ❑ Coal ❑ Pellet 0 FIEPLACE INSERT Zip /;" 60V CarFI REPLACE, FACTORY-BUILT: CCWbod ❑ Gas Phone © FIREPLACE, MASONRY: _ ❑ 'Wood ❑ Gas Owner l 1vL>-ri4 j mac_ M FURNACE: ❑ Woad jaGas ❑ Oil Address ; i�„v . IF NON=MASONRY: / Manufacturer. mac" ZIP / 7 Model: SN Outlst: +�t Inches Listed By: 4c4.. NumberaA 6018 Phone 4`4' 9 CHIMNEY (check appropriate boxes) Exact address of proposed construction L. �y ,r^ ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone 1 I 6� �'5 Cowan FLUE: Tile ❑ SteieSizes . ncMeea CONSTRUCTION/INSTALLATION MUST Or FACTO RY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: /rl Model: Il CF ! BUILDING CODE. CONSULT TOWN OF Listed By: Uit Number: 6016 QUEENSBURY HANDOUTS PROVIDED arDouble Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated Cashier's Department flown of Queensbury, New York Dept: Pica Marshal Amount Collected Amount Received Code Number Title ' - A 193 3399 (190) Public Safety A 233 2655 (230) Minor Sales - Fce Collected From..o Refunded to: -A _ Dated: Town Clerk or Depu White. Applicant Green: Fire Marshal Yellow. Bldg. Dept. Pl Goldenry as►eier's Dept. APPLICATION FOR PUBLIC ACCESS TO RECORDS TO. TOWN OF QUEENSBURY ., '►'lYl [ �r �, RECORDS ACCESS OFFICE 742 BAY ROADi QUEENSBURYr N.Y. 12804 to inspect the fallowing records: Ir hereby apply rE' [tS EXPLAIN PURPOSE: APPLICANTS NAME: MAILING ADDRESS: SIGHATUREV AGENCY USE APPROVED DENIED Record of which this agency is legal Custodian cannot be found: Signature/Title Date: rain h& 0V07TCE: You have a right to aprrear a denial of thrs a,Pplrcation to the Head of Me.�,r+ e►,rcrr Who must folly a reasorrr for sac* a"enrar in wrrang seven days ofrecclPt of an wear. X hereby appear" Srgnature TOWN OF QUEENSBURYr TOWN CLERK'S OFFICE 742 BAY ROADr QUEENSBURYr NEW YO" 128" E-MAIL townclerlcCc�g+ nsburv.net Fax No, (5181 745-4474 Phone No. (518) 761-8234 'fl'lyN{ OF BENS RY 531 BAY ROAD gUEENSBURY ' NEW YORK 1280 - TELEPHONE (518) 745-4447 WEPWT mi'moll f'. INS PECTf1R+ " FINIAL INSPECTIGH REQUESt FOR 1"SPECTIdI CEI11 { 'o TION UQCA � PERNITII .r-�— Djkl _, TYPE OF SYRUCTIRw RECHECK COMNIERIGIAL STRUCTURE) MG BACKFILL FRSEiPTIC FIRE MARSHFOuNDATdIONL i ELECTRICAL � FOOTING FINAL "ROUGH PLlt4BINGYIdODSTOVE/FIREPLACE - INSULATION REMp,RKS PR VAL NIA YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUP4BING VENT ROOFING SIDING CH/S 5/ LiN 5� DEL A ER 4P A NS REL IEF VALVEw FURNACE/HoT INTERIOR TRIM/PRIVACY Od FINISH FLOORS - WATERTIGHT BATHIKITCHEN EpAIBLE OTHER FLOORS OORS CARPSED OTH FL ERSTAIR ILIN S Sf44KE DETECTORS/ DOOR CLOSERS ING BANKROdt4 FATiS� ES OPER ALL PLUMBING FIX GARAGE FIRE pROOF $NG� DOOR CLOSERS OTHER FIRE S P R ON FIRE/DEMISE WALLS FINAL ELECTRICAL OK TO ISSUE C/0 OR fC COt414 N S ARRiVE�,�'Q� DEPART I R TOWN OF QUEENSSURY FIRE MARSHAL QTELEPHONE ( 518) 745- 44244 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCAT I O /` f DATE PERMIT# APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY GH I G FIRE EXTINGUISHERS AUTO . EXTINGUISHING S TEM� HOOD INSTALLATION AUTO . SPRINKLER SYST ALARM SYSTEM INTERIOR FINISHES STORAGE : CLEARANCE TO SPRIN E S CLEARANCE TO HEATI NETS REQUIRLO SIGNAGE CHIMNEY wooDSTOV E FIREPLACE- SOKR FIREPLACE- FACTORY UIL 1' REMARKSm TO THIS DATE /015 N PECTOR TOM OF QUEENSBURY ir 531. BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745-4447 BUILDING INSPECTOR' S RAT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT* TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL ( COMMERICIAL STRUCTURE) FOOTINGFOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL L ELECTRICA SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES 00 CHIMNEY HEIGHT/LOCATION -- B VENT/LOCATION PLUMBING VENT. ROOFING' SIDING D€CK/P CH/ T S/ ILIN RELIEF VALVES FURNACE/HOT WATER 0 IN INTERIOR TRIM/PRIVACY ORS' FINISH FLOORS : y , BATH/ KITCHEN WATE IGH OTHER FLOORS SWEE ABLE OTHER FLOORS CAR TED STAIR CLEARANCE/RA LINGS ' SMOKE DETECTORS i DOOR CLOSERS _ -- BATHROOM FANS ALL PLUMBING FIXTURES OPERA"ING -GARAGE FIREPROOFING - DOOR CLOSERS OTHER FIRE SEPA ION FIRE/DEMISE WALLS FINAL ELECTRICAL OK TO ISSUE C/O OR /C COMMENTS : ARRIVE DEPART � = t-�-� E p rfI EtECrgICAI IP35PEClIcll+i 9EHv■. z.. e Manheitit, PA 17545 OVAL COMMO E TRICAL APPR Main Office. 357 E1wYn Teter FLEC S MUNICIPAL CERTIFICATE �0 3 3 ?. CJ Cut-in Card i Fsnel $tiardNo- Ces�/ �� �,G �y . ... ..... .... .. . . ' i owner C1ecuPantAt Af ] 1 /S ' inSt:fllatitln CunsistinL-C. . . " - '' - ,- r r ' � T . � `x'. �`. . ., . '�.- .. .off ,. . ._ tic . #.. .- . . . . . . . . .. . ..rev iouclY f7 .. •.. ....t... .• and any ceriiii Cale P ....., .. _.: '-..-.�.. rL,l? 1�. . .. . - .-' this certificate. ' on e.•.. .... . ...- the N%uancc of s o date.. e SnstaSled BY governed condition rumPtlY made for iytenx and in li ca.ticn shall be P The conditions icxlinwinK € electrical e4u1P time, and it its issued is cancetled:fonlY Covers the Ur alterations, aPP ar any' This Ceriiftcateof additional equipmertK a 0 e ins{tec the In any ve vke ptit to erti COMP shalt ha t to revoke insF inspectors of this Come shad have the ri 'i3'� d the C anY . ... .. . . .... . A �.1. violated - � ember N-P p.A.. 1. rules are � yTiSr'FOTO Date .- � - TOWN OF QUEENSBURY BUILDING AN CODES 3AY ROAD DEPARTMENT NEW 12804 (jTELEPH©NE { 51F3)0RK 745 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEiYED c NAME LOCATION - I 1 �l PERMiTr DATE.�_�,.� G � TYPE OF STRUCTURE APPROVED Y RECHECx N/A YES NO FOOTINGS/PIERS MDNOLITHIC POUR FORM REINFORCEMENT NT IN PLACE RE5PON5I- THE CONTRACTOR FOR MovIOING PROTEC 10% F OWING FREEZING FOR 48 THE PLACEMENTOF THE CONCRETE - MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE L! FOUNDATION/DAMPROOFIN6 BACKFILL APPROVAL -JJ ROUGH PLUMBING PLUMBING VENT/VFNTS IN PLACE PLUMBING UNDER SLAB FRAMING ` JACK ST DS/HEADERS BRACING/BRIDGING�_�- JOIST HANGERS`___ JACK POSTS/4MIN BE HEATING ROUGH- IN ��-.- INSULATION : FOUNDATION WALLS INTE IOR FOUNDATION WALLS EXT R- R- FLOORS R- WALLS R- CEILING DUCT WORK. OR PIPIN IN UNHEATED SPACES �{ig QEP Ak ARRIVE DEPART ANS ECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS FAGS I BUREAU CSF ELECTRICITY 41 STATE STREET, ALBANY- NLeW- RK t2207 Date APPlicat' lYa. an file i F;ltt lI' Wj 'G l THIS CERTIFfES THAT V ^_: - oniyr Lhe clectrica!equipsnerat ae deecribed Y and intro du ced by the eprUcame mansed on the rho" opp"cation susnxber in theprensisws of : 1411 Alt S7AR�R, "AUTM C0946w S. , CPHMASURY6 W Y . in the following Locaa ;,��n�a let FT. Pnd Fi. 'section Block Lot was examined on �aI4 r ❑and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES comwo DECKS OVENS DISH WASHERS EXHAUST PANS CIUTLETS T`TAc�s SWITCHES INCANDESCENT N11OeES"MT OTHER AAAT. K- W- AMT, K. W. AMT. K.w. AMT. K- W. AMT. i PRYERS FURNACE MOTORS RITURE AvmAlMCE rL eas IsrsaAL Rocrri TIME c ms I wu j UNIT MAMRS I VAATMWTWT OMb URS AIMT. K. w. OIL H. P. GAS H. P. AMT. Mo. A. W. G. Aw. AASP. Amt. AMPS. TRANS. AIMr. H, P. SYSTEMS ArA WATTS No. of !�T SERVICE DISCONNECT No. of 5 p� E R V I C E AMT. AMP. rvPE .jOW►:_ �.�'21M 1-X__3W 3 X SW 3.i' A'w Nd, dPPpr",R'C�D OF CC. COND. NO. 4F HI-LEG OF MUGG' NG. GP r'&UMALS CIF h E4RRAL ' OTHER 0,14ARATUSt YIG� I1� �']r- � cm "Mns# is Inc& cs. r*ivtciate. ` `his is ft .z1tl -tow Smirvi&es fkimadereA 40nky- �pfEre ,,,■,�.,,�,,�� _ Crh. e ► A14 BI11a+�lE�a+ tl�+ BRANCH MANAGER {�ANSiavc?C4ZT . NY . r Per This certificate must not be attend in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT SE ALTERED IN ANY MANNER. ------- ___ ___. ____ _-..— — __- -- — _— � � �_ ____ --- ____ ____ _ _.. ..._ _. _ __ TOW OF EBUlty BUILDING AND CODES QEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME M ; YIAA LOCATION PERMIT if TYPE OF STRUCTURE_ /� RECHECK APPROVED FOOT GS/PIE S N/A IYES1 NO MONOLITHIC POUR F RM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPOMS BLE FOR PROVIDING PROTECTION FREEZING FOR 48 !{OURS FOLL WIM THE PLACEMENT OF THE CONCR E: MATERIALS FOR THIS PURPOSE OBI SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC j FOUNDATION/DAMPROOFING e BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN I P C PLUMBING UNDER SLAB FRAMING : JACK BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN B A HEATING ROUGH- IN )dN ULATION : F ION L E FOUNDATION WALLS EX ERIOR R- FLOORS R_ WALLS R- CEILIN R_ DUCT WORK R PI IN I UNHE SPACES REMARKS : ARRIVE DEPART 4&rm5 ,pF .TnR TOM OF QUEENSBURr BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 51.8 ) 745- 4447 " BUILDING INSPECTOR ' S REPORT — REQUEST FOR INSPECTION RECEIVED NAME t LOCATION - 1 GATE 1PERMIT TYPE OF STRUCTURE RECHECK APPROVED F00FIN 5/PI RS N/A YES NO (MONOLITHIC POUR FORK! REINFORCEMENT IN PLACE THE OR PROOV DING PROTECOR IS S Sre FREEZINfG FOR 48 ON FROM THE PLACEMENTH011 FOLLOMI G RET I. MATERIALS FOR TOHISNp POSE O SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFIN BACKFILL APPROVAL 'ROUGH PLUMBING PLUMBING VENT S IN C PLUMBING UNDER SLAB INFRAMING : JACK S S/HEAD BRACING/BRIDGING JOIST HANGERS JACK POSTS/MA N B HEATING ROUGH- IN INSULATION : FOUNDATION( L N E I FOUNDATION WALL EXTERIOR R- FLOORS WALLS R- CEILIN R- DUCT WORK R PI ING IN UNHEA E SPACES RE RKS ARRIVE DEPART sPFCTno OF QUEENSBURY L ` ' BUILD NM AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK I2B04 qm TELEPHONE ( 5I$) 745- 4447 BUILDING INSPECTOR 'S REPORT REST_ FOR INSPECTION RECEIVED G ` NAME LOCATION DATE_.!:Li �PE�Ir TYPE OF TRUCTURE f- RECHECK APPROVED FO TIN S/ IERS N/A YES NO MONOLITHIC POUR F RM REINFORCEMENT IN PLACE THE CONTRACTOR IS RES LE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE 'j FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/V N S IN PL C PLUMBING UNDER SLAB -�FFRAMZNG : STACK S HEAD BRACING/BRIDGING JOIST HANGERS .TACK POSTS/MA N ; B HEATING ROUGH- INS - --- - INSULATION : FOUNDATION I E FOUNDATION WALLS EXTERIOR R- FLOORS ` WALLS R` CEILING R- DUCT WORK PI NG IN uNHE: E SPACES RE KS : ARRIVE DEPART rNSPFFcrna TOM OF QWENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745-4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION_1_E' _ �r rr DATE -4, b C} y PERMIT TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS SPONIS I8LE r FOR PROVIDING PRO CTION FROM FREEZING FOR 48 RS FOLLOWIP THE PLACEMENT OF E CONCRETE. MATERIALS FOR THIS PURPOSE OW SITE FOUNDATION/MALL PO R REINFORCEMENT IN P AC FOUNDATION/DAMPR00 ING BACKFILL APPROVAL. ROUGH PLUMBING PLUMBING VENT/VEH N LACE PLUMBING UNDER SLAB FRAMING : JACK sTUM/HEADER BRACING/BRIDGING JOIST HANGERS — JACK POSTS MAI "' - _ / B�ANT' HEATING ROUGH- i INSULATION : FOUNDATION uffLLS INTERIOR \R� FOUNDATION ALLS EXTERIOR FLOORS R� lj WALLS R, CEILING R_ DUCT WOR R I NG IN UNHE E SPACES REMARKS./ ARRIVE DEPART FN. PFCTn2 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 SAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745-4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION BATE, PERMIT !_ TYPE OF STRUCTURE l c . r- r7 ` RECHECK APP OVED N/A YES I NO FOOTINGS/PIER MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE— FOR PROVIDING PROTECTION FROM fi° FREEZING FOR 48 HOURS FOLOWI L THE PLACEMENT OF THE CONCRET MATERIALS FOR THIS PURPOSE SITE -FOUNDATION/WALL POUR REINFORCEMENT IN PLACE ( FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS INKLACt PLUMBING UNDER SLAB FRAMING : JACK 5 DS/HEADER BRACING/BRIDGING — __...._.._. ........._ JOIST HANGERS JACK POSTS/MADE EAM HEATING ROUGH— IN INSULATION : FOUNDATION WA IN ERIOR R— FOUNDATION WA LS EXTERIOR R— FLOORS R� WALLS R— CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : ARRIVE DEPART INSPMTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD gig +QUEENSBURY , NEW YORK 12804 �I TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED IeA4 - MA14E LOCATION Z DATE I® PERMIT -- TYPE OF STRUCTURE . /�2 t. v(__v43 RECHECKAPPROVED N/A IYESA, 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 PJACE IL PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADERS BRACING/BRIDGING _......... ._.._. JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH- IN INSULATION : FOUNDATION WALLS INTERFOUNDATION WALL S EXTERFLOORS WALLS f R- CEILING R- DUCT WORK OR PIPING 1,A UNHEATE SPACES REMARKS : ARRIVE DEPART IN TOR TOWN OF QUEFNSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QTELEPHONE � NEW 0 ( 518 ) 745~ 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME ,+^ s LOCATION4; ti DATE _ ' 'j IPERHIT it �- - L URE TYPE OF c RECHECK APPROVED N/A YES NO OOTINGS/PIERS MONOLITHIC POUR FO REINFORCEMENT IN PLACE T]HE CONNTRACTOR IS �ESPON��LE FOR PROVIDING PROTEICTIOV FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PI #tPOSE ON SITE FOUNDATION/'WALL POURI REINFORCEMENT IN PLAIC -- FOUNDATION/DAMPROOVIN _ BACKFILL APPROVAL _ --- - ROUGH PLUMBING PLUMBING VENT/ N S IN P ACE PLUMBING UNDE .. SLAB FRAMING : JACK S D HEADS S BRACINGfSAIDGING JOIST HANGERS JACK PO S/MAIN BEATING rUGH- IN INSULAT N • FOUND TION W L S IN ERIOR FOUN TION WALLS EXTERIOR RR_ FLOO S R- WAL CEI ING R- DUCT WORK OR PI ING IN UNHEATED SPACES REMARKS : r ARRIVE DEPART INSPECTOR TOM OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 -BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 7 45- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED �- NAME LOCATION DATE In j_J.CL TYPE OF STRUCTURE RECHECK APPROVED N/A YES1 N - FOOTINGS/ IERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM ` FREEZING FOR 48 HOURS FOLLOWING ri 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/V NTS IN PL CE PLUMBING UNDER SLAB FRAMING . 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