1991-497 , , . „ -:„„,• ;`,, •-s),••-,:z.1,4 -2.:„ •.; ' -• ,`i.'""
9/- I/ 7
CERTIFICATE - OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY; NEW YORK
f '
Date October 4 19 95
This is to certify that work requested to be done as shown by Permit No. CI 1 /I 0''7
has been completed.
This structure may be occupied as a ADDITION TO DWELLING&2-ATT CAR GAR.
t9 HT. VIEW LANE
Location
Owner POSTER. JANET
By Order Town Board
TAX HAP NO. 82 . -2-7
TOWN OF QUEENSBURY
Director of Bldg.'& Code Enforcement
, .
—I
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-497
co
WARREN COUNTY, NEW YORK
IV
PERMISSION is hereby granted to Janet Foster
,n
View
Lane
OWNER of property located at 1 MountainStreet, Road or Ave.
ro
'Addition to Dwelling the Town of Queensbury,To Construct or place a & 2-Car Att Garage
at the above location in accordance to application together with plot plans and other information hereto filed and a
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
el'
1. OWNER'S Address is
Same
0
2. CONTRACTOR or BUILDER'S Name a,
Larry Dean
ro
3. CONTRACTOR or BUILDER'S Address
Box 2000 RD#2
Hartford, NY 12838 ro
4. ARCHITECT'S Name 0.
Cl
0
5. ARCHITECT'S Address ro
IV
6. TYPE of Construction—(Please indicate by X)
a
(X)Wood Frame ( I Masonry ( I Steel ( ) •
e+
e+
7. PLANS and Specifications
C,
No. 932 sq ft Addition to Dwelling including 2-Car Attached Garage as
per plot plan specifications and application
8. Proposed Use
Dining Room, Breezeway & 2-Car Garage
$ 75.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 12, 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 thish Da of i July 19 91
SIGNED BY C/ .,0 for the Town of Queensbury
Building and Zoning l ctor
TOWN OF QUEENSBURY
t
I
REVIEWED BY: / 1--,-i-------
4, 1 FEE PAID: J IIOvVN OF OLIEENSBDR a
,/ RECEIVEO
PERMIT NO. : 9/497
J U L 101991
BUILDING PERMIT APPLICATION 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.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: _ a4,c_j7-0--411.0
P.O. Address: 4 M -,";(6?-e yam, JJc-ccc) o - PHONE 7g22,-N?41 %cr
Property Location: (4(X (_s-c.4LL ,_ I , / X) I cr4_ 4 . ,JQ Tax Map No. / /
4 J J
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: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
V2iPa/yk .
NATURE OF PROPO ED WORK: * ESTIMATED MARKET VALUE OF THE
)( Construction of new building * CONSTRUCTION: $ SO. 01,i2 fop ma7�'/crts
Addition to building * cf-La.6o -For. enTl& wi-rylabe_
Alteration to building * COMPLETE INFORMATION RERUiIRED BELOW:4
_ 6`
(no change to exterior dimensions) * Size of Property: /oiffs ft. x /82.77ft10
Other work (describe) * Existing Building Size: .r2 :r" R.Sy'e.,2 t, zgr ,;,
. * 24 ft. x /(S ft. each
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor 9q]2 Sq. Ft. * Front Yard .So ft. Rear yard 7 .77 ft.
* Side Yards /D ft. and [9 ft.
2nd Floor (.7 Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors 0 •Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: fc/J2 Sq. Ft. * Primary Building -
* K One Family Dwelling -
Size of New Structure: 2-et ft. x 2-it ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl 'artia /Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) / * Other
Height (grade to ridge) /,Y /41i ft. * r ( ,
If residential , no. of families: * If adi ti n, what will use be? Dinh.ny laoo�,J
No. of rooms (excluding baths) : 3 �jre
No. of bedrooms: Q * ,
No. of bathrooms: p, * Accessory Building:
Primary heating system:,' , * Detached Garage - One/Tw Car
*Type of fuel : * X Attached Garage - One/(iwo Ca
No. of fireplaces to be installed: * ),-- Private Storage Buildin velAs
Will a woodstove be installed?: * - Other 0,14,1,'u,9Roown J..
Central Air Conditioning: Yes No K
(OVER)
qaitaorc
35
CSC et cLit 6yLv 7
1 ZKIy` f(A
Lx1b = 6o �Z
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BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. (///God 7'ra ii U
Will any second-hand or ungraded lumber be used? If so, for what? /1(67
Foundation Wall Material : Ce?6n evil- Thickness: 8'
Depth of Foundation below grade (to bottom of footing) : s r 4''
Will there be a cellar? /0 Heated or Unheated? 'eUnheated? bleaW/14;1/ftqloor Sq. Footage: f32 7/
Will there be a basement? /1/o Will any portion be used as living space?The P//24;,,yy400,k,
If so, what portion? 7�F Sq. Ft. Type of Use? Aroti,p 9• 49m ` ' o/^2atih,,2,2
Type of Roof: S1 oped/Flat/Shed/Other S/'o�eq" Material of Roof /, , fga/J��/t
2 !��A--Li( f'�s" ; l „ g s y" fTs q//' -5
Size, wood studs 2 x �' /'/' ' �h /'er
spacing , 6 o.c. ; length '-7yft. veH���f'��� °4
Joists (floor beams) : 1st Floor -Z " x /o " ; spacing /6 " o.c. ; span /_z' ft.
Hai st s- (f 1 as r—beaul5 , " o. s p-an f
At, 1-ays (ceiling ) ms) : 2 a �sSc%li ; sp •ng ii • r
e . o. .
Roof trusses (pre-engineered) : spacing /� " o.c. ; span /� ft.v-2rf ' 2•r`f �.;_ sse-s '�/'
�c c eo7'-a,6le.
Exterior Wall Finish: . .r '� F .9 r'to iPEse�+,b/elof what material ?� rh S-- �/ate �oa�r( V 1) le
Interior Wall Finish: -S'l,, eeF/^oclf w/.�,'", • J
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
—�' Sil a'e75 ock ail Cohn ectii-y .- // V- evil r c e ////✓y 147/Fire. Poor
Is there to be an opening between garage and dwelling? yes If so, will a Fire-Rated door,
enclosure, self-closing device be provided? /r^ 7fct7 q"oo,`
Will a flue-lined chimney be installed? ArO Height above roof ft.
Depth of chimney foundation below grade: - - ft.
Depth of fireplace hearth: `-- ft. in.
Water supply - Municipal or private well : /g( ui 'c i�,zi/ ,s on /4 rade/i 1-y
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. )
1 l/ a /2Q !7 PHONE S ��2 �'—Y NAME OF BUILDER & ADDRESS: L: Q!�'/^y A eQ.y B X2ovo ,Z Q/���o�
NAME OF PLUMBER & ADDRESS: / PHONE
NAME OF MASON & ADDRESS: A /?v/i/ bra If es PHONES`/6'-e32--S(23
NAME OF ELECTRICIAN & ADDRESS: 8cedx e a.r lec.c.i/ley. PHONE
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/ a
Own r, owner' s:-/(2: it-k_...2
agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
o OWN OF QUEENSRUR,
RECEIVED
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) JUL 1 0 1991
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; BLDG. & CODE DE PT.
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
AP ICANT'S NAME PROPERTY LOCATI /2-R)41 (�
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 9'32_ Sq. Ft.
2. Type of Heat - Elec. Base Board Other hot a.is ( ,r/)
3. Is Building Mechanically Cooled? YES X NO
4. Percentage f Area of Windows an17% , .�
d Doors Over 17% Under s)n
�s���a J 2 .7 d 8 ,
THE EN ON THIS SHEET MUST CORRESPOND TOE -� EQUIRE D •
j/
-VALES G V
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R 30
B. Exterior Walls in 0117 h j 4,5 if000„ d'(T-a.i^aye R if
C. Glazed Area R
D. Exterior Doors R
E. Floors over unheated spaces R /7
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
A. Conforms to minimum efficiency per code YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
�� /v/ q/ 75�- 7 //6'
PLICANT' SIGNATURE -/ / DATE / TELEPHONE NUMBER'
INSPECTOR'S REMARKS:
REVIEWED BY
• YOU ARE HEREBY.REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.N DATE 647 _ %/0
CITY OR VILLAGE • TOWNSHIP, COUNTY -
p
1 ?.9-,'t , /'i.,-.. . 1/fenr+1 f;. F Uzi., it ;_1 i`.F:.: f . /11. t-i• j,/:':1
STREET AND NO.OR ROAD `�1 J r"f Q POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
((
OCCUe S NAME i — BUILDING CUPANCI' I
� /
� �. -r'"( ,�/,s.—C? ,t�.i...• ) i..i�if OC�;��'f'f_.::; Si. / ;•'.fir /`•�lri"� C ___-- •
—
OWNE S NAME AND ADDRESS f !/ HOME TELEPHONE NUMBER .
•
CURRENT SUPPLIED BY FROM THEIR OFFICE. WORK TELEPHONE NUMBER
BUILDING IS
NEW❑--- OLD❑ WORK IS NEW I]-- 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 DENT F CATION NUMBERS
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS _
DATE OF APPLICATION.-` SIGNAT E OF APPLICANT
NAME OF APPLICANT L.
X ,�
STREET ADDRESS t, TELEPHONE
•
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
•
❑ 85 John Street ❑ 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
THE NEW YORK BOARD QF FIRE UNDERWRITERS
805'3507
THE NEW YORK BOARD OF FIRE' .UNDERWRITERS ' FAGS 1
BUREAU OF ELECTRICITY
" 111 WASHINGTON AVENUE,SUITE 704,ALBANY,NY 12210
Date OCTOBE;R 04, L`.395 Application No.on file 15231395/95 ' 'Ll 435264
THIS CERTIFIES THAT PERMIT AIO, �?1—!197
=•- only the electrical equipment as described below and introduced by the applicant mined on the above application number in the promisee of
JANET GOSTER, 1 MOUNTAIN VIEW .LANE, QUEI •,)SBUNY, N.Y.
.'• in the following location; 0 Basement El 1st Fl. El2nd Fl. Section Block Lot
�; was examined on SF,F TE,1 BL1I{ 26 n "� and found to be in compliance with the National Electrical Code.
-v
?: RXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS e
�; OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. 1 K.W. AMT. K.W. AMT, K.W. AMT. H.P. 4
'1; 4.. 16 5 4 ''
DRYERS FURNACE MOTORS RJTURE 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. MAT. H.P. NO.OF REST AMT. WATTS '••
• , •'1
►: SERVICE DISCONNECT _-
- NO.Of .. . _ S_ _....E. .-.. .---R--- -V-- ----- I - C E- - - -
: AMT. AMP. TYPE mum. 1,I 2W 1 p 3W 3/3W 3,e 4W NO.OF CC.COND. A.W"G" `.NO.OF.HI-LEG; A•W G• NO.OF NEUTRALS A.W"G. '•
i. PER 8 OF CC.COND.. ' - OF HI•LEG OF NEUTRAL
:1 15F-0 CT3 1- X 3. 2/0 3. 1/0
ii".
,i-1• OTHER APPARATUS: -
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G.l:'.C.1:-'2 rf
• i".
i
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•
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oN DIE I
...-E"•-..,—L-- C cI
10 FREDELLA AVE. APT B -
GLENS PALLS, NY, 1.2803.
.
ii,'. 3C •_•
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: - - - 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. •:
i• ISM eeee ® eeeeelIESEIeeEMe31EeIeEIeee tIMIESESEM ewe MBISIMBIE eEeel • • .
• COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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EXTERIOR FINISH
DECKIjEgRCH STEPS R A I WL' �
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INTERIOR TRIM/PRIVACY D
FINISH FLOORS:
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OTHER FLOORS SWEEPAB: E
OTHER FLOORS CARPETtD
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TOWN OF QUEENSBURY
k
,::.�l�_�Y.. BUILDING & CODE ENFORCEMENT
iE�L 742 BAY ROAD
` QUEENSBURY NY 1.21104
(518)745-4447
,
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ARRIVE: /- 4-) DEPART:,e1. '-' - INSP: �
FINAL INSPECTION REPORT - RESIDENTIAL
ir
DATE INSPECTION EQUEST RECEIVED: 4-7 ( 195
NAME n Sd�` r __ •
�j - — -
LOCATION t�\ O) 1/ IN p ) A--`/ .
DATE 1 _ /^��C` www PERMIT k Of1_ U/. 1
TYPE OF STRUCTURE 1c j ) 40 ie (1JA ^ll
FOOTINGS FOUNDATION BACKFILL AMING
ROUGH PLUMBING _SEPTIC INSULATION _
FINAL ELECTRICAL i WOODSTOVE OR.`FIREPLACE
IN/A YES NO
CHIMNEY HEIGHT/B VENY'/HEIGHT _ _
PLUMBING VENT %
ROOFING - • _ ____-
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS JT
FURNACE/HOT WATER OPERATIN' •
INTERIOR TRIM/PRIVACY DOO S
FINISH FLOORS:
BATH/KITCHEN WATERTIEHT
OTHER FLOORS SWEEPA:LE
OTHER FLOORS CARP. 'ED — _
STAIR CLEARANCE/ LINGS _ _
SMOKE DETECTORS' !L_ __
BATHROOM FANS l •
PLUMBING FIXTURES
FOUNDATION INSULATION -_ ____, __�
GARAGE FIRE PROOFING ___• -_ ._--_ ___L .
_
DOOR CLOSERS •'
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ. _ ___ .—__
FINAL SURVEY PLOT PLAN
OK TO ISSUE f /)OR C/C • _ . _
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: .'' BUILDING ENFORCEMENT&WN F CODE E / 11)
F. W 742 BAY ROAD
`' : I QUEENSBURY NY 12804
(518)745-444477JJ
ARRIVE: �v s G-o DEPART: 2 0 7L` INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: 7 - )-?R 5
NAMEQNN•�(+(y,� ! , 0 t-liks-e-A...-J
`
LOCATION \ IriCD krA, �/—DATE —7--z7 `—� PERMIT # I / Ci 7
TYPE OF STRUCTURE C�ii}t p� /
FOOTINGS V( FOUNDATION ' BACKFILL I F ING v
ROUGH PLUMBING .,SEPTIC INSULATION -
FINAL ELECTRICAL ‘ WOODSTOVE OR FIREP CE
N/A, YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT �i
PLUMBING VENT \
ROOFING \ 17;
\EXTERIOR FINISH / V
/
DECK/PORCH/STEPS/RAILINGS 9
RELIEF VALVES \ /!
/URNACE HO WATER OPERATIN , i.
ti6."-1 G vet) (y3 t, —
INTERIOR TRIM/PRIVACY DOORS, Iu 6 V
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT /
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS \
J/I
aMOKE DETECTORS I d
/
. BATHROOM FANS I
PLUMBING FIXTURES I 1/
•
INSULATION ' \t
/OUNDATION
ARAGE FIRE PROOFING I
i ✓\DOOR CLOSERS
FINAL ELECTRICAL '
SITE PLAN/VARIANCE REO. 1 \
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
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TOWN OF QUEENSBURY
='4,;, 11 �11+,?", BUILDING & CODE ENFORCEMENT
`^; f 7421 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: P DEPART: INSP: c0/__
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INS CTION REQUEST RECEA.111
IV/EDD: �,
NAME 0 W �4( if
LOCATION / I/ I '�/e1> el — `(I/�
DATE -� ' '.b� I _ PERMIT N 6/ /
TYPE OF STRUCTURE 1
\ I
FOOTINGS FOUNDATION BACKFILL RAMING
ROUGH PLUMBING SEPTIC _ INSULATION •
FINAL ELECTRICAL • FTOODSTOVE OR FIREP CE
\ N/A YES NO
CHIMNEY HEIGHT/B VENT/HEfIGHT
PLUMBING VENT \ •
ROOFING
EXTERIOR FINISH \ /
/
DECK/PORCH/STEPS/RAILINGS \ i
RELIEF VALVES \ /
FURNACE/HOT WATER OPERATING \,/
INTERIOR TRIM/PRIVACY DOORS /
FINISH FLOORS: /
BATH/KITCHEN WATERTIGHT /
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED //
STAIR CLEARANCE/RAILINGS!
SMOKE DETECTORS /
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION!
r \
GARAGE FIRE PROOFING! 1
, DOOR CLOSERS
FINAL ELECTRICAL \ ,
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C q h// �y�j/7
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TOWN OF QUEENSBURY•
BUILDING & CODE ENFORCEMENT' :^
. 531 BAY RD., QUEENSBURY NY 12804 “it-4,:*•.;,
110
INSPECTOR'S REPORT: ARR``Z.:tCj(,DEPART t•0,5"I 0 Air .
REQUEST FOR INSPECTION RECEIVED: ,n
NAME _ til�� RE C�'k�jTEf� ,
�
LOCATION 1 MILfXt\1
DATE 717.._.71CV.F.r PERMIT $ l‘ ' `1 1T
TYPE OF STRUCTURE: 'A 0OTkOr.)
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAC3
THE CONTRACTOR IS RES?ONSIB E FOR
PROVIDING 'PROTE TION "ROM +REEZING
FOR 48 HOURS FOLLOWINe TH' PLACE—
MENT OF THE CONCRETE. •
MATERIALS FOR THIS PUR;SSE ON SITE
FOUNDATION/WALLPOUR
•
REINFORCEMENT IN PL'CE
FOUNDATION/DAMPPRP'FING
BACKFILL APPROV'
PLUMBING VENT/ ENTS IN PLA
ROUGH PLUMBI '
PLUMBING U DER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING -
JOIST HANGERS
• JACK POSTS/MAIN BEAM - -
AIR 'NFILTRATION BARRIER
•
HEA ING ROUGH-IN
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FOUNDATION WALLS EXTERIOR R-
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BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED A'T'L1 tj
NAME J p•� "� Fa3.
LBCATIO13L_AW. ` AI V 1Et� L�f• _
DATE �p �� PERAIT # 9/-1' 1
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 PLACEI-EN1T 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 PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS f'
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM I 1
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FOUNDATION WALLS EXTERItR R-
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TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED?irgr'114j
NAME FOSTER 7-41ET (DI✓c E. )
LOCATION tJE
DATE zl 9 ,9y PERMIT# Cit -1.41(17
TYPE OF STRUCTURE
RECHECK,
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
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CHIMNEY HEIGHT/LOCATION '\
B VENT/LOCATION
PLUMBING VENT 5'
ROOFING \ l
SIDING 5'
DECK/PORCH/STEPS/RAILINGS 5' J
RELIEF VALVES 1
FURNACE/HOT WATER OPERATING %
BASEMENT INSULATION/DUCTWORK 1/
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS/
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHO SE FANS '1
ALL PLUMBING FIXTURE OPERATING ,
GARAGE FIRE PROOFIN
DOOR CLOSERS
OTHER FIRE SEPARATIION
FIRE/DEMISE WALLS/
DUMPSTER
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FINAL ELECTRICAL'
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TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT /
REQUEST FOR INSPECTION RECEIVED 0//v/9
NAME 0 S JGl F�C'i"C" 111
DATE *0/ 9 9_ PERMIT # (—L/ /7
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MONOLITHIC POUR FORM
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INSULATION: /
FOUNDATION WALLS INTERIOR R •
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FOUNDATION WALLS EXTERIOR R—
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DUCT WORK OR PIPING IN UNHEATED
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REMARKS: •
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST R INSPECT RECEIVED
NAM
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DATE //5q PERMIT
TYPE OF STRUCTURE deal/hae
RECHECK APPROVED
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MONOLITHIC POUR FORM
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THE CONTRACTOR IS RESPONSIBLE
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MATERIALS FOR THIS PURPOSE ON SITE`
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FOUNDATION WALLS EXTERIOR R-
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REMARKS:
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BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME O/a, ,/:r J..31 zz__
LOCATION I Al 1- L)a&tu L A.c'&=
DATE/ C/ 2- PERMIT # C ( — y 7
TYPE OF S RUCTURE
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MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON IBLE
FOR PROVIDING PROTECTION FROM G
FREEZING FOR 48 HOURS FO LOWIN
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FOUNDATION WALLS EXTERIOR R •
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TOWN OF QUEEIISBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT G
REQUEST FOR INSPECTIONRECEIVED f(� 1 i 1(
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FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
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BUILDING INSPECTOR'S REPORT ,
REQUEST FOR INSPECTION RECEIVED ��
NAME 0S C,
LOCATION \ 0 dv
DATE 7-Alss.qq PERMIT # ! :j
TYPE OF STRUCTURE
RECHECK APPROVED
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FOOTINGS/PIERS
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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
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FOUNDATION WALLS EXTERIOR R-
FLOORS R-
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REMARKS:
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUIREQUEST FORLDING INSPECTIONCTOR'S RECEIVEDPORTCO /
NAME Jai&\
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THE CONTRACTOR IS RESPONSIBLE
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FREEZING FOR 48 HOURS FOLLOWING
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MATERIALS FOR THIS PURPOSE ON SITE
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REINFORCEMENT IN PLACE
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BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
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FOUNDATION WALLS EXTERIOR R-
FLOORS R-
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CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
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