1991-542 t CV
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
' WARREN COUNTY, NEW YORK
ii?av "
Date 06T6MBER 14. 19..91
This is to certify that work requested to be done as shown by Permit No. 91=542
has been completed.
This structure may be occupied as a _ dining room with patio and front
- porch and extension of garage to twc car
Box 213 West Mountain Road ..
Location
Walter D, & Deniece L Wicks
Owtner
By Order Town Board
•
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
•
BUILDING PERMIT
TOWN OF QUEENSBURY 9
No. 91-542
WARREN COUNTY, NEW YORK
•
PERMISSION is hereby granted to Walter D. Wicks and Deniece L. Wicks
OWNER of property located at Box 213 West Mountain Rd Street, Road or Ave.
w
in the Town of Queensbury,To Construct or place a Addition and 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
RD#2 Box 213 West Mountain Rd
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name N
Tony Johnson •
d/b/a To-Jo Builders J
ri-
3. CONTRACTOR or BUILDER'S Address fD
Z
37 Briwood Circle o
Queensbury NY 12804
rD
4. ARCHITECT'S Name
J•
CD
n
CD
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
IK I Wood Frame ( ) Masonry ( )Steel ( )
G7
O
7. PLANS and Specifications X
No- Alteration of 168 sq ft/Addition of 168 sq ft including one-car w
attached garage as per plot plan, specifications and application.
CD
8. Proposed Use to
c-t
Dining Room, patio with front porch and expansion of one-car garage to two-car
garage.
szu
J•
$ 57.00 92
PERMIT FEE PAID—THIS PERMIT EXPIRES July 29 19
(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.)
Q
Dated at the Town of Queensbury this 29th Day of. July 19 91
I SIGNED BY for the Town of Queensbury
Building and Zdyi�ng Inspector O
Q
co
co
TOWN OF QUEENSBURY
REVIEWED
. 1 FEE.PAID $ , Q . 1. ;a°' £a Cr, ,t�,P.5`�9�$ b
PERMIT NO. 9 i Selma
BUILDING PERMIT APPLICATION
JUL 'ICATION 1991
BLDG. & CODE ()EFT,
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.4of this application.
* * * * a * * * * * a * a * a * * "a a a * * * a * a a * a a t a * * * * -* * * * * *
The owner of this propertY is: .s.
P.O. Address j j& 1.: (.alr-sl/)i7 Fe ?R+D o2, Tel. 7Q02 . 3 y3/
Property Location 67)0E.12Akdatmy /u-,. • /Asp y Tax Map N.:43ro A21..g._3
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 (;(M6/ M7�� -pA R K LOT NO. ;
THE PERSON RESPONSIBLE FOR.SUPERVISION'OF WORK AS REGARDS TO BUILDING CODES IS:
/ w/c--.--F-A4,1-6 ..B ,A) / t ,cZn -"-- 0-1 ,ioli p-s
NATURE OF ROPOSED WORK: - ESTIMATED MARKET VALUE OF
Construction of a new building * CONSTRUCTION: $ /;5;,fir, l
vr
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property j 67 n ft x l` ft.
Alteration to a building * ExistingBuildings(3) Size "
(no change to exterior dimensions) c�l ft. x 5$- ft.
* Proposed building - distance from property line:
Other work (Describe) * Front yard 3`/Y2. ft. Rear yard 7"/' 6 // ft.
*
Side yards // ft. and �2 . ., ft.
*
GROSS AREA OF PROPOSED STRUCTURE J�- a* 1 If on corner, setback from side street ft.
1st Floor sq. ft.l e93 s(Y /'*�T'
/ d OCCUPANCY INFORMATION
2nd Floor sq. ft[k gP -Primary Building -
CDi , 'rk V'One FamilyDwelling
Other Floors sq. ft. O•s' g
(not cellar or, base:rent) •g + Two Family Dwelling r .
TOTAL FLOOR ARE,
ciU ulSi�le Dwelling/Number of units
Size of new structur, -------—
Foundation-Pier s al U aitJ VP al ) Q
(circ i %y,
4-lawc310A-LO,
U
No. of stories (habit
4)
Height (grade to ric 4 A R ll GB. F, ,,,,v/awe
If residential, no. a t
�� .
t)
No. of rooms(exclu3 'g �mo,>,(-'tom Fojc.#w
No. of bedrooms 1 Cav Gvcç_ a °o ;/TWO Car
(� Q� -
Primary heating si J 1 -` `- `ck"""Q i (08 s -P+ )T,'Car
Type of fuel e� t L d r 6xa S�,'n-,\G�rs�
n6
No. of fireplaces to be installed 0
• Other
Will a wood stove be installed
Central Air conditioning •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. WOO Q (FR Arn E
Will any second-hand or upgraded lumber be used? If so. for what? (9 i(J L7 5,E E 2 z j r,.
Po C
Foundation wall material'kd'kl g 'Z 1� &# j (J Y3Ii5
�� J�(',R �� ,� �� l�S Thickness
Depth of foundation below grade (to bottom of footing) !
Will there be a cellar? 6V-O Heated or unheated ti-EATad Floor sq. footage AD s ft.�
Will there be a basement? /130 Will any portion be used as living space? e7 - �O�
(If so, what portion? /6 rj sq ft. Type of use? cRh.,r,,,yL
Type of roof - sloped/flat/shed/other Material of roof i9gp1/1A,( r S/-'/v iks
Size, wood studs 2- "x l -"`spacing /6 " o.c. length ft.
Joists (floor beams) .lst floor -• 2 "x 1 ." spacing )61"o.c. span a-ft.
Joist (floor beams) .2-rd-ftaar "x " spacing. ., "o.c. span ft.
Ove s.(ceiling beams) "x " spacing " o.c. span ft.
R-ool-rr tcrs "x " spacing o.c. span ft.
9 / n c� p
Roof trusses (pre-engineered) spacing �- " o.c. span ft.YZ At 2- �ZFlfs 2 /
Exterior wall finish hcL,b,2r of what material?`
Interior wall finish e (-n '/ 41 aarce_y ._1)--e zxx,tt-s -S/& Z r € CocJ
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? USC If so will a Fire-rated door, enclosure,
self-closing device be provided? •v es
Will a flue-lined chimney be installed? ,Uo Height above roof ft.
Depth of chimney foundation below grade-- ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well /i 0 IV 1G i Pfi-h
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 - ;de/s ADDRESS 37 ei--/ vooclC<<tkEL. NO. 9 61-- 477P7
NAME OF PLUMBER ADDRESS - TEL. NO.
NAME OF MASON I; )o &; 1c�P.�S.`.'" ADDRESS 37,r•"(.ucrdClic1,2.. TEL. NO. 77-- '95
NAME OF ELECTRICIAN ADDRES' a.=•, '. % '':1. TEL. NO - " �•a kb v"2 9 ( ( ,tz,k 1 /C�
t 3
'' -- -- -- — — nwr+c�n a.�r!�tcatrr — - — - -
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. /,, aa
Signature 1 L o )h t'
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OP THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION I
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
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
,
bi fffi-ER aD,cy "1)En mere_ .4 Wl e,kS ri A)Iftz. toE6 nirRc. ` Dx9. A '
1 3 colge )64uvy.
APPLICANT'S NAME PROPERTY LOCATION 12 8o4/
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - /6 S Sq. Ft.
2. Type of Heat - Elec. Base Board Other J7 / 1 r
3. Is Building Mechanically Cooled? YES ✓ NO
4. Percentage of Area of Windows and Doors Over 17% VUnder 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 313 4l 4
B. Exterior Walls 31/2_ - I ;n hfi-- R /s-t$L( __
C. Glazed Area R _
D. Exterior Doors R !6-- _
E. Floors over unheated spaces R 19 _41_
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
A)d-AZ Mad 7.? :-3.1,07
APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS :
ONE/
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.# DATE A
7 /`.
CITY OR VILLAGE ,. l r TOWNSHIP I" - i ' COUNTY
STREET AND NO.OR ROAD ' POLE NUMBER
fr.).(,y ;,.z I - l,')i-- c /t lc (4, 7 . 1D.444 Z.
BETWEEN WHAT TWO CROSS'STREETS IS PREMISES LOCATED? SECTION i BLOCK LOT
I I�'r,,,, !d TI,tom' r- --1 v 4- I is (--.<•..f gl 'rsJ A'C- .
OCCUPANTS NAME BUILDING OCCUPANCY •
6.") Pr I E K.. , l.,f)) :.k
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
t=-t-Nt i -(s 'i, 41,—/ l;- r f c/. /v '1`.`K• (DoEra ro 6 }i.••.{.1;-i!; /z_,G(7 c� C:/:.t' " 7 2..7 •:i y 3%
CURRENT SUPPLED BY 1 FROM THEIR OFFICE/ / WORK TELEPHONE NUMBER • ./:::��
Ali
!P# 63 (.• r- ./}i 0 /?p, L&Jk c:% )
.e. / 7'2- 25-, - 'J
BUILDING IS /
NEW❑ OLD EQ r�" WORK IS NEW❑ ADDITIONAL IV.'- REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
lion 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 .,,r
SUB-
BASE •
BASE-
MEW _
1st • -
FL. I
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
•
i
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD LJ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICANT ` DATE OF APPLICATION SIGNATURE OF APPLICANT
f,(..)/4)./A(�A' .�. /,tiIc <" r X .
STBEET ADDRESS _ _ / 1 ' TELEPHONE•�NO. -7 .- .
CIT/OR POST OFFICE ZIP CODE• LICENSE NO.WHEN APPLICABLE
())„ li ¢js 6J �� / 7, / e I/
85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue u 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
TI—IP NFW vnRK RnARn nF FIRE UNDERWRITERS
•
-P,A,• .L .0.).?.!..-1!.)!-1.!.,� 1 ,,Is,, ?..•91 S., ti,1 to ti-•!,Atf.:.!,a'i.ati 'l,a'i-Est: .. J. !A!,.1.91-A.1"4a7tia..-?..�� a�!.�At."6af!.","--,1.".M. a.'9,,MJ•.‘1•A i.. i.' ,..!..,-,- ‘_J.) '.').
� iin
�'? THE NEW YORK BOARD. OF FIRE UNDERWRITERS AGE .1
413-4597 /
BUREAU OF ELECTRICITY 'I/
_ 1' VVv
-1, F 41 STATE STREET.ALBANY.NEW YORK 12207
- NOVEMBER 01,1991 Application No.onfil3/751891/91 /5 060693 '��
Date '':„
.<, THIS CERTIFIES THAT G� ®T•
_ 4,
-v only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ®`
�,IYALTER WICKS, WEST MOUNTAIN RD. , QUEEN'SBURS-,- N.Y.
'' in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. GAR Section Block Lot
1; OCTOBER 28,1991
.i, was examined on and found to be in compliance with the requirements of this Board. :is.
1' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '
' ECEPTACLES SWITCHES
' INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. _ K.K.W. AM a
' OUTLETS T. K.W. AMT. K.K.W.W. AMT. . H.H.P.P. 4
�; 15 13 16 14
-r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .! #
SYSTEMS�, 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 ';�v
LL
� 600 '. .
r. �; i
�; SERVICE DISCONNECT NO.OF S E R' V I C E ." -
�. AMT. AMP. TYPE EMOEUEF 1.2'2W 1,9 3W 3 If 3W 3�'4W NO.OAR gCOND. OF CC.COND.. NO.OF HI-LEG OF•HI-LEG NO.OF NEUTRALS OA.W.G.
RAL ':�
1 200 CB 1 N 1 4/0 1 2/0 'i
-' OTHER APPARATUS:
•,,
.1. PADDLE FAN-1 .
1: G.F.C. I :-2
1
�, , ,
BOB `IUR 1'H't
--.1: 91 MAN IS.i RD. (Jt�
1. GLENS FALLS, NY, 12801 - BRANCH MANAGER
. 239 0
{' 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.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
qi
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION`` 1 1
REQUEST FOR INSPECTION RECEIVED
NAME F '� vX.11,1 -Ak
LOCATION (&) . Mt) Rd` P-` .
DATE PERMIT# t j"—5 7
TYPE OF STR CTURE L �-/I� �v C)(i &j
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION X,BACKFILL FRAMING
ROUGH PLUMBING FINA ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS )P��� C� '\--fir,
/ APPROVAL
;Jv/A YES NO
CHIMNEY HEIGHT/LOCATIONS J
B VENT/LOCATION it
PLUMBING VENT
ROOFING I
SIDING kd
DECK/PORCH/STEPS/RAILINGS `; ./
RELIEF VALVES
FURNACE/HOT WATER OPERATING.;
BASEMENT INSULATION/DUCTWOR'K`
INTERIOR TRIM/PRIVACY DOORS \
FINISH FLOORS: f '
BATH/KITCHEN WATERTIGHT' ( ✓
OTHER FLOORS SWEEPABLE;+
OTHER FLOORS CARPETED j.
STAIR CLEARANCE/RAILINGS `.
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES :OPERATING
GARAGE FIRE PROOFING r�!
DOOR CLOSERS
OTHER FIRE SEPARATION;
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS /
FINAL ELECTRICAL �/
OK TO ISSUE C/O OR C/C
COMMENTS:
• /1",e_4(111&,,e•ce 6 775/f
ARRIVE 9
a2:7
DEPART /a
INSPECT
TOWN OF QUEENSBURY
/�► 531 BAY ROAD
` QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED� lop/9/
NAME VN(1)*5 ,I J1r9,142 1(
LOCATION P)1( J 3 W {) V R
DATE/V-2/C)/ PERMIT# 9l r 59,9- -
TYPE OF STRUCTURE vb` r;A�) /141-+' .dv DW e i l
RECHECK [
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
1 N/A 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 V/'
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: '\
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE I
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 /
DUMPS TER /
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL /
OK TO ISSUE C/O OR C/C
.
COMMENTS: d-Leff;
,
t �
ARRIVE %/
DEPART
INSP T
TOWN OF QUEEMSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION
//RECEIVED
NAME %A% Li/iG4
LOCATION /7/
DATE Jn l2 j/ PERMIT 0 9/-SyZ-
TYPE OF STRUCTURE aa,
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 PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB \ "
FRAMING:
JACK STUDS/HEADERS \ /
BRACING/BRIDGING
JOIST HANGERS t`
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
)ATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R'-
FOUNDATION WALLS/EXTERIOR R-
FLOORS RA
WALLS R-\ /S //
CEILING R-'('1
DUCT WORK" OR PIPING IN UNHEATED
SPACES
REMARKS: \
63ef7-2. 6 >//
ARRIVE 3'-5.1i`S-
DEPART 3
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
NAME id, MY;
LOCATION r�cl/ Al/
DATE 9/�y PERMIT I
TYPE OF STRUCTURE /&/4
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 PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL ,
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
Pt1MBING UNDER SLAB
✓ RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM \
FIRESTOPPING r \
WALLS
CEILING ;' \
FIREWALLS i
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:
fa 1 7 J
/g 7/fri4 ,e
ia, exF . �
ARRIVE
l /S'
DEPART/l
INSPECTO
TOWN OF QUEENSBURY //29 ,30
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
TELEPHONE (518)NEW 0RK 4
792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVEDR >
NAME Ga/ n �,C/i c kS
LOCATION (/Pfs' i��! EW
DATE 00/ PERMIT #
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 PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
.d8-BACKFILL APPROVAL i
ROUGH PLUMBING I
PLUMBING VENT/VENTS IN PLACE!
PLUMBING UNDER SLAB
FRAMING: r`
JACK STUDS/HEADERS
BRACING/BRIDGING A
JOIST HANGERS 1
JACK POSTS/MAIN BEAM
FIRESTOPPING `
WALLS
CEILING
FIREWALLS /
HEATING ROUGH-IN /
INSULATION: 8
FOUNDATION WALLS INijERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING \ R-
DUCT WORK OR PIPING IN, UNHEATED
SPACES
REMARKS:
/e5t /4 S cPcy
/:-/e0--r> 7;;;
7—D /Le,)'
. G�
y .
ARRIVE .'' t
DEPART •.5',5"
EC OR
- row OF QUEENSBURY
J1) BUIL' NG'�.ND CODES DEPARTMENT
f 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIONRECEIVED f
NAME at/PA, 14 �(ll//'il,-�P.GQ Val-4
LOCATION, a/. 11 2Z-16e, /�'
DATE 460% PERMIT # 5:71-3 -2_
TYPE OF STRUCTURE ///giee-
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 PLACE
>( FOUNDAT\ION/DAMPROOFING
)(BACKFIL+ APPROVAL
ROUGH PLUMBING
PLUMBING \VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: \
JACK STUDS/HEADERS
BRACING/BRI\DGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
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:
ARRIVE
DEPART
INSPECTOR
� �� , .TOWN OF QUEENSB URY
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 .
Building & Codes Department •
,� / INSPECTOR'S REPORT
\V/ `j 19
� '
PROPERTY LOCATION •
OWNER OR' TENANT
BUILDING )(SEWAGE SIGN OTHER
REMARKS: / s 7% /- /` _) • /,i
/ , / .
r. /� _ `
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CONTACT THIS OFFICE WLTHIN _'J / :/ .
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fi k 1,� ,. / ,/� 'elL `i
' 'INSPECTOR
•
"HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE"
SETTLED 1763
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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 REPORT3 ` w
REQUEST FOR INS ECTION RECEIVED Lpi i1
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ii
NAME \C I cjl11 ^^ f' 1 c 1i('�J e
LOCATION � I' 1 1 \k� \?,,_ r _
cy- ,\--1.01-- ,2.,,,s13-
DATE pr' PERMIT f r/-yd`-1,/
c
TYPE OF STRUCTURE ki -/ fJ 4c) (Lel I frCrtv
RECHECK APPROVED nV "
N/A Y 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 ON1SITE
FOUNDATION/WALL POUR ' i%
REINFORCEMENT IN PLACE 4'
FOUNDATION/DAMPROOFING\ '.
BACKFILL APPROVAL ,
ROUGH PLUMBING , r'
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB ;4
FRAMING: 1'
JACK STUDS/HEADERS
BRACING/BRIDGING I
JOIST HANGERS I '±.
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS t
CEILING / ,A
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:
ARRIVE � '
00
DEPART 3 6 /jp / '
NS PEC 7.
WEST MOUNTAIN ROAD
PLOT PLAN
SCALE - 1"- 20'
q.
i
I
OWN UEE NSBUH.
RP _E �.E COPY OF
JUL 2 6 1991
SLOG. & CODE DEpT
TOWN Of QUEENSOM WARM 109=9
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TOWN OF QUE
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