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1991-540 1,- -..,=4.‘ ammw ...1 l. r CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date dfi./314".)_, 39 19 This is to certify that work requested to be done as shown by Permit No. gl-Siin has been completed. ' This structure may be occupied as a diiino room and open porch 54 Wincrest Drive Location Dr. & Mrs. William Bitner, Owner By Order Town Board TOM VN OF QUEENSBURY (-----) - V — Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-540 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Dr. & Mrs. William Bitner rn OWNER of property located at 54 Wi ncrest Drive Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition & Alteration to 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. 1. OWNER'S Address is same 2. CONTRACTOR or BUILDER'S Name —I Ruggles Construction 0 3. CONTRACTOR or BUILDER'S Address V) 4. ARCHITECT'S Name J. . 2) 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) (x 1 Wood Frame ( ) Masonry ( )Steel ( ) cn 7. PLANS and Specifications t n No.216 sq ft Addition and 216 sq ft Alteration to dwelling as per plot -1 plan, specifications and application. 0 8. Proposed Use J. Dining room and open porch re 24.00 July 29 92 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 iz (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the iZ town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 29th Day of , July 19 91 SIGNED BY ZG>. for the Town of Queensbury Building and Zoning Inspecf. —' J• TOWN OF QUEENSBURY 4011111 Sfq REVIEWED BY:. 1/ (OWNOFQUEENSBUF. ,G(/ vo#4,43, FEE PAID: /021-- RECEIVED PERMIT NO. : q/-546 JUL 2 51991 BLDG. & CODE DEPT 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: 17,g',' h Fs _ )I 1 )T,.S P.O. Address: _1f itif , - die, Nsu,5y, 1 PHONE Property Location: SA-JilE. Tax Map No. / / Has there been any split of this property since October 1, 1988? Yes No 1.---'- If yes, Planning Board Review is necessary. - Subdivision Name, if applicable: 0C14,4 pj4 z V . 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: $ 2 t3.c , )( Addition to building * ?( Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: j i ft. x -2..o ft. Other work (describe) * Existing Building Size: * hto ft. x 2,9 ft. Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: //a ��.� * �� property line: 1st Floor -4a 7--. Sq. Ft. // -.? *� Front Yard 7a ft. Rear yard 7G ft. * Side Yards y.o ft. and Alik ft. 2nd Floor Sq. Ft. * If on corner, setback from side street- - * ft. Other Floors Sq. Ft. * (not cellar or basement) * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: 4 3 y- Sq. Ft. * Primar Building - * One Family Dwelling Size of New Structure: ,7/17 ft. x /1. ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partial/Full (Circle One) * Business * _ Industrial No. of stories (Habitable space) t * Other Height (grade to ridge) ft. * If residential , no. of families: / * If addition, what will use be? No. of rooms (excluding baths) : * t7f.th�l� -goE,11-1 �f p -r„ ,� No. of bedrooms: * �' No. of bathrooms: _- * Accessory Building: Primary heating system: /; . IN/4/A— * Detached Garage - One/Two Car Type of fuel : 4,p.s / * Attached Garage - One/Two Car No. of fireplaces to be installed: * Private Storage Building Will a woodstove be installed?: 4/b. * Other Central Air Conditioning: Yes No * (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. Will any second-hand or ungraded lumber be used? If so, for what? Foundation Wall Material : Lea etch 71 L4 Thickness: Depth of Foundation below grade (to bottom of footing) : Will there be a cellar? J(`) Heated or Unheated? Floor Sq. Footage: Will there be a basement? hlp Will any portion be used as living space? If so, what portion? Sq. Ft. Type of Use? Type of Roof: 1S1 oped F1 at/Shed/Other _ Material of Roof _As4:1_4,41.T Size, wood studs Z " x b " ; spacing l4 " o.c. ; length '7 ft. 51.1tRepirieflioor beams) : 1st Floor ' " x 4. "; spacing " o.c. ; span _ ft. J Joists (floor beams) : 2nd Floor ----" x , spacing " o.c. ; span ft. Overlays (ceiling beams) : 2 " x_, " ; spacing L o.c. ; span ).. ft. Roof rafters: " x 1d " ; spacing E, o.c. ; span )41. ft. Roof trusses (pre-engineered) : spacing o.c. ; span ft. Exterior Wall Finish: ' of what material ? ALIThi Interior Wall Finish: L s �4 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? 6/27 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 : Mol/1Gip,p L 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: _ 7yU G.4Lr� PHONE -74. -0_r_hz NAME OF PLUMBER & ADDRESS: 51 /p.Q L) :NusE PHONE-y9 NAME OF MASON & ADDRESS: C 0 A/ . PHONEJ 2. . gam, NAME OF ELECTRICIAN & ADDRESS: g ,�-r �,2 i PHONE7��as�� 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 orized th owner. Signature wner, owner s agent, chitect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE) 1, N$47 0tn ow Compliance Methods: JUL 2 5 1991 PART 5 - Acceptable Practice Method - 1 & 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 PROPERTY. LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - 2 14 Sq. Ft. 2. Type of Heat - )( Elec. Base Board C.3.AckL 'Jler. 1/1/l,4 444 3. Is Building Mechanically Cooled? , x YES NO 4. Percentage of Area of Windows and Doors 4/ Over 17% Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R -3Al B. Exterior Walls R -"2 4 C. Glazed Area D. Exterior Doors E. Floors over unheated spaces R )( F. Edge of Slab on Grade (Heated Building) R- / 4- G. Basement/Cellar Walls (Above Grade) R 7c 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 A7A L ANT'S SIGNATUR /DAT�p TELEPHONE NUMBER INSPECTOR'S REMARKS: REVIEWED BY MIDDLE DEPARTMENT INSPECTION AGENCY, INC. .._.�. National Headquarters • 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date: 7 !/i` City, Town or Township /. 1 r c- r ',I '. r.r _ a('L/ County 'i'V _\ C r r i'' State ,i/// f Location/Address . 'i- 1 , 1 .,,it ..' r ..--1 -1;7 . , - i r t 1 , n :1- .J. x1 )' ‘/• ' (If Located in Rural Area- Please Attach Directions) Pole # Owner 'r / ; I i:, ` i" r _1 �; �` Permit # // F,''I-' Occupied As , , : i 1 t /- Building: New❑ Old Occupant 1 / t•1/9 • (' , , - Work Area in Building (Floor #,etc.): , App. for: Wiring F1 Service n or: Ready for Inspection: Fee Remitted-$ Cash❑ Check n M.O. n •Make Payable To: M:D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches ' Lighting Amp. Service Surface Unit Dishwasher Range Water Heater Air Conditioner Dryer Pump Receptacles / -- ' Number of Fixtures Oven Garbage Disposal Wiring and Controls for - Burner Amp. Receptacles Fractional H.P. Vent Fans - - '- - Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'/2 10 15 20 25 30 r 40 50 75 100 . Mark Number of Each Size Applicant's _ / • Signature i'-'/="_'; - i* - - is License # Permit # T/A -, _ ; . , ; f, % •� Ct. ( , , ,• .i. Utility: (NAME) (OFFICE LOCATION) Applicant's Address: _ ' -/ T' -)- (City) r• t '•r-- i ',l i ' i'- - (State) I1'/,/ (Zip) I',-) /-! Service Request # Phone # ! / Electrician: l' C ; . ,l l , . 1 — . ., . MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above or: Red Notice Label n Rough Wiring Outlets - Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump 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 2 3 5 7,/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 Elect:Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor . ❑ CFT Violation: Work Comp.❑ Inc. ❑ L/A Owner CASH ❑ Fee _ CHK # ❑ L/A Due MO # n IPA • Municipal INV # Date: Other Side❑ Utility Applicant CI Owner I I Cut in Card n Temp # Date •n Final # • Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 5.4 %"1."."I 1�i 19!-"Iv!..j!t_fi,Avi--A{-J.h.��.A."ga.",-I,l,-Iv i,.•i.".aQ,".)_•91. -In�',.."a°t-In..‘.i--It!..1,4 ),•&Al?�(.".A./. 0?.",,1•i.on t9)••,--19,-•"-0!•ei.1y!1•0 9_".),,-•gi • v THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1 "i. -` 8020696 BUREAU OF ELECTRICITY 1; 41 STATE STREET•'ALBANY•NEW YORK 12207 . l Date . OCTOBER 23,1991 1. Application No.on file 780979'1_/91 H 413948 il • THIS CERTIFIES THAT q'— 5 1 �, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of l;ILLIAM BITTNER, 54 1+INCREST DRIVE, OUEENSBURY, N.Y. - :: in the followinglocation� ❑ Basement 5.] 1st Fl. ❑ 2nd Fl. Section Block Lot ?� 1 was examined on OCTOBER 18,1 991 and found to be in compliance with the requirements of this Board. ,_ FIXTURE I FIXTURES RANGES COOKING DECKS OVENS _DISH WASHERS EXHAUST FANS : -1' OUTLETS ECEPTACLES SWITCHES INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT- K.W. AMT. K.W. AMT. , K.W. - AMT. H.P. ''''.1:. _ A. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT• TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .it ' 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 AMT. WATTS- SYSTEMS .,.' - :. SERVICE DISCONNECT NO.OF S E' R V . I C E 5t � O � AMT. AMP. TYPE EMEUEP 1,B'2W 1,9"3W 3,B'3W 13,6'4W NO.OARCOND. OF CG COND.. NO.OF HI-LEG OF-HIIEG NO.OF NEUTRALS Op NEUGRAL v OTHER APPARATUS: -' ELEC. ROOM HEaTERS:�-1 .5 K.Y. .1-1 K.W. • r d: it.. R & M ENTERPRISES I '��' P.O. BOX337 _ 01.0 �! BRANCH MANAGER i:. GLENS FALLS, NY,, 1:801 o Per . . IX; 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. ': t-,.�Y. -,..1;. !Mir a !II oo ® ® MEMO MIME 51051ESEiliMI ® ® !ME I' o ® oe0000 ® 000a . '5' % COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. II !C•.t.....s.�asti���,t.,,,.a f„.„..�.�i."..��,.�P/t.����.�..,,,,...s,..,s,.�PtaPt...„,..,.,!...,,,./..x.,... .a.,.,...i i.,, ,,... .,.a..ti,.�a..,.,./.a..,.ase.,...,.,�..,..,..s a..,.,. ,,./.,..,.,..,.,.,.,��.,., ,. ,.„.r., .,.• THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE .'1 8021677 ,' 1, BUREAU OF ELECTRICITY j�� � y p 41 STATE STREET,ALBANY,NEW YORK 12207 l� E. Date NO``E BER 01,1991 Application No.on filta8'1.33891/91 i)\ II I1�1138 . THIS CERTIFIES THAT "� : only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ,, - ROBERT RUGGLES 1, Ile: , 5 WINDCREST DR. , QUEENSBURY, N.Y.. iw i' in the following location; ❑� Basement ❑ 1st Fl. ❑ 2nd Fl. ' OUT . . Section Block Lot e' was examined on OC'TC)BER 28,1991 and found to be in compliance with the requirements of this Board. • i' IA; FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ECEPTACLES SWITCHES if. OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1. C-' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS P F. SYSTEMS 'i i 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 AMT. WATTS ' - s• F. j, • �i SERVICE DISCONNECT NO.OF ; S . E R V I C E 'is A t. AMT. AMP. TYPE METER 10 2W 1 jif 3W 3,0'3W 3,9'4W NO.O CC.COND. OF CC.COND.. NO.OF HI.LEG OF.HI LEG NO.OF NEUTRALS Op NEUTRAL %� ; 1 150 CB 1 X 1 2/0 1 1/0 i' OTHER APPARATUS: : 1. 4,i� - � II- YLL hl ..„ :4. . R a: II ENTERPRISES : -<, P.O. BO.Y. 3 7 _ CTuT -i, GLENS FALLS, NY, 12801 BRANCH MANAGER 239 '-�c: • 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. u li .7i-4-eie -..r i,si-. Mniraif Min CI B 1I 0 rain [I 0 ll ME !I 0 ® !9 0 0 0 0 l l ® 0 0 ® 1 M MO !I 0 ® 0 1I II a COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. , L, TOWN OF QUEENSBURY Ai)7 :7'M;. 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED /D/yf/ NAME A �C/�L Njthz4 LOCATION k-41 7;161 14©4 4-p DATE /09 PERMIT# ��.fid TYPE OF STRUCTURE 4i /al��.� j"thl,6 RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) /FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING —FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS�}?0 , j// ��,1 ��7 APPROVAL N/AI 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 DhOORS 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 SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: CC L* 2 U ut< ARRIVE //I' ) DEPART /I,,D5 INSP J 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 NAME /12t. aZ MG4 ,e44�,/// '/ 7WJ LOCATION, ,-71 " ��(%'� %r%� DATE /0 /,' / '/PEIT I TYPE OF STRUCTURE..-/,d/i2/Q a (-. P„�r f ar,;,, 9A-;i/s-- APPROVED N/A YES NO (FOOTINGS/PIERS Ad rj//f/c/ 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 a PLUMBING VENT/VENTS N PLACE PLUMBING UNDER SLAB . I FRAMING: 1 1 JACK STUDS/HEADERS 't;,_! BRACING/BRIDGING V JOIST HANGERS /\ JACK POSTS/MAIN BEAM \ FIRESTOPPING WALLS \ CEILING FIREWALLS HEATING ROUGH-IN }(INSULATION: FOUNDATION WALLS INTERIOR R-\ )OUNDATION WALLS EXTERIOR R Mel I / rooks /j9/ \ I LLS CEILING - DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: F �A s.6 G' L i( iO5 PETaiii i�� 1 i �✓� �AJ4-L I s v69, ARRIVE -5-'7_((- DEPART INS ECT TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT` 531 BAY ROAD QUEENSBURY, NEW YORK 12804 ,___------- TELEPHONE � _ (518) 792-5832 =--- BUILDING INSPECTOR'S REPORT „ I 1 )REQUEST FOR INSPECTION RECEEIVED 6 NAME ?�� 'RQ N ) ��)3 l� I` Ci.v1, g� LOCATION Lk 1,23 j\r Ir t r/ DATE 9 I PERMIT # 9 ) -- 5 7 0 TYPE OF STRUCTURE 0/4/-I— tlUe l i ii 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 k_ACE / FOUNDATION/DAMPROOING / BACKFILL APPROVAL ‘, / ROUGH PLUMBING \ it PLUMBING VENT/VENTS �IN PLACE( PLUMBING UNDER SLAB t, if )6RAMING: ‘ JACK STUDS/HEADERS e ` BRACING/BRIDGING 1/ JOIST HANGERS X JACK POSTS/MAIN BE Mk FIRESTOPPING ' WALLS CEILING / 4 FIREWALLS HEATING ROUGH-IN/I *INSULATION: / FOUNDATION W LLS INTERIOR R- FOUNDATION ALLS EXTERIOR R- FLOORS I R- . WALLS ; R- CEILING R- K DUCT WORK'OR PIPING IN UNHEATED SPACES REMARKS: '/, I VS oLt\11c/) P&L- P(Jv.V C3— (--Cl :10,z i,U tLL lc0 0 M c�,ALi Z-- `D J S � 1461,4r ' '1i re_ ARRIVE 7�6 0I: DEPART xi. ( c_ IN PEC R TOWN OF QUEENSBURY 7/ / BUILDING AND CODES DEPARTMENT 2/( 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME A04 ,f 2(I nn1. AZa�l2( 41 t) LOCATION /4,714, J44 4Pr.- DATE W%/ PERMIT # 9/-,92") TYPE OF STRUCTURE, . ' ( C.7 de.e/1/4/17r 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 e. REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL F ROUGH PLUMBING f PLUMBING VENT/VENTS IN PLAQ;E /' PLUMBING UNDER SLAB / FRAMING: . _ JACK STUDS/HEADERS /" BRACING/BRIDGING t / JOIST HANGERS V JACK POSTS/MAIN BEAM FIRESTOPPING I WALLS CEILING / k FIREWALLS I HEATING ROUGH-IN / INSULATION: 6 - FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR - FLOORS /WALLS / - CEILING / DUCT WORK OR PWIPING IN UNH TED SPACES REMAR S: ARRIVE l},v{} DEPART /6;f 5 INSPECTOR