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1991-544 • .t.CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 419 ql This is to certify that work requested to be done as shown by Permit No. 91 544 has been completed. This structure may be occupied as a Single Family Dwelling' Location Lot 93 Mohawk Trail Owner Forest Mood Hones By Order Town Board TOWN OF QUEENSBURY r\17) Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-544 0 WARREN COUNTY, NEW YORK ice+ C'e7 PERMISSION is hereby granted to Forest Wood Homes te. w OWNER of property located at Lot 93 Mohawk Trail Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single Family 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. T 0 1. OWNER'S Address is HC-02 Box 286P Warrensburg `"' T` 0 0 a 2. CONTRACTOR or BUILDER'S Name _ Same a rD to 3. CONTRACTOR or BUILDER'S Address - I— Same - w 4. ARCHITECT'S Name O ce 5. ARCHITECT'S Address - `s W 6. TYPE of Construction—(Please indicate by X) - -- , ( X Wood Frame ( I Masonry ( )Steel ( ) N 7. PLANS and Specifications CD No. 2,679 sq ft Single Family Dwelling as per plot plan specifications 0� a and application - 8. Proposed Use - Single Family Dwelling with Attached 2-Car Garage - fD, co $ 348.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 31, 1992 (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 this 31st Day of -July 19 91 . SIGNED BY 7- �i si; for the Town of Queensbury Building and Ziertmg Inspector i\ • TOWN OF QUEENSBURY S 68 CA),r REVTEWED•B A' `RA NS . 1 FEE PAID $ ..�v4/; r-�5-C�-T31e g71� PERMIT NO. �^� s`OWi'S OFQ11cENSBUHl � � / IkECwiilED BUILDING PERMIT APPLICATION JUL 2 91991 - 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:= . , * « * * * • * * * • • • * * * * * * * * * * * * * .* « * * * *;,.* * * * * « * • .* * The owner of this property is:_nrp,t e I Irnri Finw,c,s P.O. Address lle-0r boy,'iLf lhi`!, yyn,, ‘e4,y6 Tel. 4 ?- cj79 Property Location '01 4. Pi( tom k ; ..i 1 .. Tax:Map No./2-//p / • • Has there been any split of this property since October 1, 1988? _ / jJ If yes Planning Board Review is necessary. - yes no - SUBDIVISION NAME, IF APPLICABLE TVp_t,rRltin LOT NO. C�� THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: 4 * NATURE OF PROPOSED. WORK: • ESTIMATED MARKET VALUE OF /Construction of a new building „ CONSTRUCTION: $ 1Q.,nni� Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: • Size of property ...p';"?k ft x `'`'` ft. .. Alteration to a building , • (no change to exterior dimensions) Existing Buildings(3) Size_ ft. x ft. " Proposed building - distance from property liner _ Other work (Describe) " Front and y b r . ft.-: Rear yard -) b i --ft: • Side yards ,.) f) . ft.` " .-.and "„le) 'ft. . • GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street .: ft. 1st Floor R-Noi sq. ft. /lie'. 1(a8*.. OCCUPANCY INFORMATION 2nd Floor ► 71n sq. ft./l d;'I u 1 --Primary Building - •__ t Z Other Floors sq. ft. e /One Family Dwelling (not cellar or base.^:znt .35:- . Two Family Dwellingg TOTAL FLOOR AREA 7_sq, ft. `�i ; Multiple Dwelling/Number of units Business Size of new structure? ft x dg ft. Industrial Foundatio n-pier/slab/cravd/part inl/full (circle one) • Other _ • No. of stories (habitable space) (� • `� Height (grade.to ridge) c ft.. • If addition, what will use be? - If residential, no. of families I - • .Hp.:of rooms(excluding baths) • ° t' `No. of bedrooms q • No. of bathrooms cl 1 ; Detached Garage ONE/TWO Car Primary heating system Jn,,+ rn,4, • I/ Attached Garage ONE/TWO Car - Type of fuel © I " __Private storage building No. of fireplace;, to be installed I, • ' Other• ./, • Will a wood stove be installed h Central Air conditioning hl •• OV• ER ., BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: • Type of construction, wood frame, fire safe, etc: S-J-,'- k ;nu 6i 166, ~l" pot Will any second-hand or upgraded lumber be used? If so, for what? J Foundation wall material ((miC..�+H�;4o Thickness I Depth of foundation below grade (to bottom of footing) y'ff J� Will there be a cellar? h 0 Heated or unheated? Floor sq. footage sq ft. Will there be a basement? V - Will any portion be used as living space? (If so, what portion? sq ft. Type of use? Type of roof -J.g d/flat/shed/other Material of roof r 1, IN r s Size, wood studs a "x 6 " spacing J/6, " o.c. length (•c' ft. U Joists (floor beams) 1st floor r.,2 "x /n " spacing If,, "o.c. span 11 ft. Joist (floor beams) 2nd floor c2, "x /0 " spacing 1(,) "o.c. span II/ ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x " spacing o.c. span ft. Roof trusses (pre-engineered) spacing " o.c. span ft. Exterior wall finish �nj p 0,4 ,.V`c of what material?- - Interior wall finish 45! ��. fi, ��; � ;t o,,,,e: If a garage is to be attached, describe materials to be used for FIRE SEPARATION: s S a r2; AX/ Is there to ge an opening between garage and dwelling? ',,? If so will a Fire-rated door, enclosure, self-closing device be provided? le Will a flue-lined chimney be installed? rot, Height above roof- ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. • Water supply - 64unicipal� r private well SEPTIC SYSTEM Distance from ANY private well (including adjoining properties r„c h (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER vg-I kingfvi threpi ADDRESS He-6,1 krdsl, P IAf 1rf TEL. NO. l r. "5 NAME OF PLUMBER u, P-�; a °;: r'., ,; l .-t''� jI�iJ41,F �� a ADDRESS r���� � �����A TEL. NO. :L J Am NAME OF MASON :lk d o,t er,r,,,tiai)i ADDRESS MeL;}. ^ r . !•;.< r��,, ,t;..l( TEL. NO. -7 —ot,l''11 t NAME OF ELECTRICIA _ -I ADDRESS Cj-�'(«; r,A. 1v, r,, ,.f&'TEL. NO. '` ;`" 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 end that all provisions of the BUILDING CODE, THE ZONING ORDINARCE, and ell other Laws pertaining, .o the proposed work shall be compute with, whether specified or not, and that Ruch work is authorized by the owner. Signaturrei`ti. O ne , owner's agent, architect, contractor i SPECIAL CONDITIONS OP THE PERMIT: BY _ 1 ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS. . 1 OVVN -OF QUEENSBUH Compliance Methods: pmr.711fpn PART 5 - Acceptable- Practice Method - ?. & 2 Family Dwellings (ONLY) , JuL , 1991 PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family DwellingsLUO, & C;uut LiEPT (3 Stories or Less) . . PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets - 770,51— (.117rArtSS tr-4- 6/2 abhatialCITI-ren( APPLICANTS NAME-- PROPERTY LOCATION PART-5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - Sq. Ft. • 2. Type of Heat - . Elec. Base Board Other 1 LPt. ,4, !/ 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 MUST CORRESPOND TO REQUIRE D THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5.- Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R 2. 0 B. Exterior Walls R l, s . C. Glazed Area R D. Exterior Doors R E. Floors over unheated spaces • R F. Edge of Slab on Grade (Heated Building) R. G. Basement/Cellar Walls (Above Grade) R r • H. Basement/Cellar Walls (Below Grade) R _ - I. Heating/Cooling - Ducts - Piping in Unheated Space R /0 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code 1./YES - NO TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED • ✓ / / ta,3 APPLICAIIT.YS SIGNATURE DATE TELEPHONE NUMBER INSPECTOR'S REMARKS : REVIEWED BY r Pji j TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT apI*tot/. 0i IFENSRUN; Fee PkidoeivFri Date: J �� iv „2A , ! ( RevieweAy2 91991 LOCATION OF PROPERTY FOR INSTALLATION: 11771 qj3 1'( '? ;%,,,, WOO. & CODE DEPT, , Owner' s Name: I 1 1f kW d //?Yyta Owner' s Mailing Address: 0- ()g. h/r�,- orw; t (,t,', 1r .Y,,,,,, Installer' s Name: 11011I,_( PPKcaA/aAil'r `Phone #: /7 Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom) : 00 <r Topography-Circle One: •_Flat) Rolling Steep Slope % of Slope Soil Nature-Circle One 'Sand Coam Clay Other /Depth: Ground Water At.What Depth? ' � '' `'" Feet ; 'ram, +-raw Bedrock or Impervious Material-At What Depth? i g Feet Percolation Test-Circle On of Required Required/Rate. Min. Per Inch t, Domestic Water Supply-Circle One: Mcipa unil) Well Other _ If domestic water supply is a well-- , „ Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /0 0 0 gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench sr/ feet//Total System Length 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 Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** I have read the regulation on the revers side of this sheet and agree to abide by these and all requirements of the Tow / of' Queensbury Sanitary Sewage Disposal Ordinance. )k 4-- , IGNATURE OF RESPONSIBLE PERSON: DATE: ` ; ` .Pm Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, 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 all 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. C. 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: .. 10 . V N: V 1 " UEL rl S1 UK Y Bay at Haviland Roads,Oueensbury,N.Y.12801-9725 ,: Tw-:r - ,,,, APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date. —17 I 1 .d C7 19 �? Permit No. gf-541 APPLICATION IS HEREBY MADE to the Building Department 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 are part of these requirements and also will allow all inspectors to enter premises for the required inspections. • • • Applicant's Name APPLIANCE TYPE Stove Coal Wood Address,-. r ; _ 3 s ';i,.. . x F.,r fu' 1A,,•. .• ..= fy,;'. ' �,�"�� " � � ��i'%'F;F-� ` ) �;;,, '���r�, F,t Furnace I-ibt it Boiler - .:'Zero Clearance Circulating Unit . • Zip 1.,. A i Phone (.�) . - t;'a ?f� .. If Non-Masonry: , Owner's Name ,, r,',.':' ' r2r. °` 7cfV'42 ' - .Manufacturer Address Model ' •. Outlet Size _ ' Zip Listed by Number Phone- .. , CHIMNEY TYPE ' ' Masonry: Block Brick Stone Properly location of proposedcon'struction i Flue: , Tile' Steel,.._.. . j ; ' Size: . Factory Built: • .. Manufacturer M'Qiik5;�!'7dModel 4 Size COPY OF,MANUFACTURER SPECIFICATIONS IS . Height 4-- Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES • Type: Double Wall 1.0.'° Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated \\/(4 ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ I �� � CONSTRUCTION DETAIL.REQUIRED FOR MA- Fee$ SONRY FIREPLACES AND CHIMNEYS. CASHIERS DEPARTMENT ;ri_. • TOWN OF QUEENSBURY, NEW YORK • I)cyartment; Fire Marshal Amount Collected" 'Amount Refunded Code Number Title • 4 - _ A 173 3389 (190)Public S fety . . •A233 2655 (230) Minor Sales . ee ( rtl :ted from or ' efunded to: l. JL— )/ c �7 % Address: • . Dated: �9�9/Town Clerk or Deputy .\��D_.,,\ U 091J,C,.L' / 1 U . White:Applicant ' Yellow and Pink:.Cashier's Department Goldenrod:Fire Marshal • TOWN OF QUEENSBURY i4L !.. FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED // 7 /.; NAME �0Y - l-ADC);) �� LOCATION Vl/ Nf\Mkk,-4 ;�Ve,,,3Q DATE W 1401 PERMIT# 4 /It APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS A` AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION; µ` AUTO. SPRINKLER SYSTEM 47 ALARM SYSTEM44. I i ' INTERIOR FINISHES ';/ STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO I;IEATING UNITS REQUIRED SIGNAGE' , CHIMNEY WOODSTOVE • FIREPLACE-MASONRY v/FIREPLACE-FACTORY BUILT v` REMARKS: OK TO THIS DATE qL- ARRIVE /C1 ,t/ �J J?7,11 DEPART /u Z� )6 INSPECTOR TOWN OF QUEENSBURY /J, 3 M __--53? BAY ROAD ✓ QUEENSBURY, NEW YORK 12804 Vgil TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED /1 I/,3/9 NAME .� `7///; i 4/?tom.-9 LOCATION - /Z7A-d-7-4( •N 1'.G/ DATE ' / , PERMIT# 9�-..5 TY F UCTURE LAV2C/4 (e-v, �, A, 47g RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) —FOOTING 4—FOUNDATION YBACKFILL FRAMING TROUGH PLUMBING -FINAL ELECTRICAL T, &EPTIC vYNSULATION WOODSTOVE/FIREPLACE REMARKS ( (p (1ilalL 'ei ,-0-C_AL_Qato- (___ ' ' (1 1--ri'1 cz.ef1 fi-o :a 7 ' APPROVAL N/A Yip/ NO CHIMNEY HEIGHT/LOCATION' / B VENT/LOCATION ,;11/ PLUMBING VENT 1 ‘ ROOFING „ Vi SIDING ,/ DECK/PORCH/STEPS/RAIL'INGSI RELIEF VALVES / I v/i FURNACE/HOT WATER OPERATING r// BASEMENT INSULATION%DUCTWORK d INTERIOR TRIM/PRIVACY DOORS \ FINISH FLOORS: r '1 / 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 r� DOOR CLOSERS OTHER FIRE SEPARATION - FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL // OK TO ISSUE C/O OR C/C tf COMMENTS: /` /l/2-i/lc/ ARRIVE /4 DEPART /v i/ ' O /INSPEC R • c7 Jown o/ Queeni‘ury AI7 • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL /S SYSTEM INSPECTION NAME Alte-/-1 ljat e-t LOCATION A 3 A- /A . DATE /ie6 /% / PERMIT NO. 9/-.s41-/ SOIL TYPE 6-Sand Loam - Clay - Percolation Test Required? YES - NO, Percolation rate - Min/Inch 6 TYPE of SYSTEM: Absorption field, total length - (9 / Length of each trench 501 / Depth of trenches Size of gravel SEEPAGE PITS-(Number of) ' t / Size- ft. X ft. '„/ Gravel size PIPING: Size }Type Bldg. to tank u I • I JI/e- Tank to dist. box 4J -" Dist. box to field/pit Openings sealed? YES NO : artial LOCATION/SEPARATIONS: °• Foundation to tank / )C) ft. Foundation to absorption =?i,)ft. Absorption to lot line' 3D ft. Separation of pits 'ft. LOCATION OF SYSTEM ON PROPERTYI(circle one) Front - ear - Left' side - Right side - COMMENTS: • • SYSTEM USE APPROVED S NO $1LJ Buil ng Insp gctor 01/86 and vl • ELECTRICAL INSPECTIONS /�/ DUPLICATE MUNICIPAL RECORD Permit No. ://` --��� Owne /2C T CU`67'.D. e Occup nt Location LO rl3_ 426/7/ `C No. Street /3 ally Town or City _ State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by C 06•14(.4 Ty Date /o T ! `/ �CfP.PCQ�� jn� a4.,jlnspector. MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.113 EL. 900 Haddon Ave.,Collingswood, NJ 08108 /'.2. ROUGH WIRING OUTLETS •H.P.AIR CONDITIONER (G 2- Okl*L-LI S J,„et G WIRING &CONTROLS FOR 6 ify ` BURNER 6- RECEPTACLES H.P.PUMP • 0 FIXTURES K.W.OVEN - i TAMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL SAL UNIT &AMP.SERVICE CONDUCTORS v K.W.DISHWASHER K.W.SURFACE UNIT f K.W. DRYER 1,1-C.W.RANGE AMP. RECEPTACLE FRAC.H.P.VENT FANS /. $74/1-1%*Z[. 1 MOTORS H.P. I/20 I/12 WO y IA I/ I/ I/: % 1 11/ 2 3 5 71 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS TOWN /�f�;�OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTIONA/ RECEIVEDD NAME `'�[�t �V _ 43-ntata-, LOCATION AL2/7G-LL DATE c/X(JA7 PERMIT# 9//541 01aLLcuAZ ,,�-� APPROVED N/A YES NO EXITS ( r' AISLE WIDTHS EXIT SIGNS / EMERGENCY LIGHTING ;: A FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION \ AUTO. SPRINKLERSYSTEM\ ALARM SYSTEM / f INTERIOR FINISHES STORAGE: / at CLEARANCE TO SPRINKLERS \ CLEAONCE TO HEATING UNITS, REQUIRED SIGNAGE ` I CHIMNEY • WOODSt OVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: 1LJ OK TO THIS DATE 1p ARRIVE 9/, DEPART � 1,t?"-Ka{N INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW 0 4 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION 4L71- 9B j 1/414:4 DATE 9/17A/ PERMIT # 9/ 4Z4 TYPE OF STRUCTURE 12i C/1,����� 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 s r ROUGH PLUMBING / PLUMBING VENT/VENTS INPLACE / PLUMBING UNDER SLAB ), / FRAMING: JACK STUDS/HEADERS , / BRACING/BRIDGING / JOIST HANGERS �pe� JACK POSTS/MAIN BEAM A FIRESTOPPING WALLS CEILING / k FIREWALLS i \ HEATING ROUGH-IN / XINSULATION: / / FOUNDATION WALLS/INTERIOR R- FOUNDATION WALLS' EXTERIOR R- �. FLOORS /+ R- WALLS I R- CEILING I R- 3e":, DUCT WORK OR PIPING IN UNHEATED 't SPACES REMARKS: ARRIVE IO .OS DEPART LS N R TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED C7, ' NAME ktt—tt LOCATION . DATE q/ :y/ q( PERMIT# 7l 4y rr !!! ( APPROVED .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 SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE—MASONRY FIREPLACE—FACTORY BUILT d/f REMARKS: 1 OK TO THIS DATE ARRIVE 1111/DEPART 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 P 1_4 q/ NAME 1i41,?/ LOCATIO¢Y�/` 5?' � li7f 4 'L DATE ?/_1j5 /0 PERMIT i g/-1--,)-W TYPE OF STRUCTURE p4,{/i�/ /--1/k2,(;)1 RECHECK l D 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 y ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB `// XFRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WA LLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE l DEPART l3J� 1,,%, / INSPECT TOWN OF QUEENSBURY r.,C) BUILDING AND CODES DEPARTMENT ' ) -1 Fd 11- BAY & HAVILAND ROADS [(I it ' ; QUEENSBURY, NEW YORK 1280 •--�' TELEPHONE (518) 792-5832• ' (/ BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME Ic a 7; 0 _)(t4 -`� LOCATION L - 1 .3 /Ito f{A-ecltL P_'-1-.t(_. DATE sipz.�9r PERMIT # QC-S `f�( //// APPROVED YES NO FOOTING/PIERS ,' MONOLITHIC POUR FORMS / FOUNDATION/DAMP-PROOFING '/ Y BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: 1 FOUNDATION /`• . FLOORS WALLS Itt / CEILING 1 FINAL INSPECTION': CHIMNEY HEIGHT\ ROOFING SIDING EXTERNAL PORCHES%S7EPS STAIRS-CLEARANCE q RAILS PLUMBING FIXTURES RELIEF VALVE INTERIOR TRIM/PR VACY DOORS FINISHED FLOORS �'i, GARAGE FIREPROO ING DOOR CLOSER(S) I `w . SMOKE DETECTOR ' 1„ FINAL ELECTRICAL INSPECTION FINAL APPROVAL F CONSTRUCTION A SIGNED CERTII1ICATE OF OCCUPANCY MUST BE OBTAINED FROM • HE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: Asp iiGi 0A-A4P-- R2c)Or i..-PC,,: &IJL- Poc �-c f.0,,.7n_, «,s , S . N. I SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR IINSPECTION RECEIVED NAME /2 r (bLQ(`Z 1'-, M `� LOCATION MTT. I) MC) / k DATE/2Z f?f PERMIT I -.5`f TYPE OF STRUCTURE 5_' DLA,i&t`{,t/C, RECHECK APPROVED N/A YES NO CCFOOTINGS/PIERS 1 y--L(Ic{) 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 I;N PLACE PLUMBING UNDER SLAB/ FRAMING: JACK STUDS/HEADERS BRACING/BRIDG.ING JOIST HANGERS' JACK POSTS/MAIN BEAM FIRESTOPP ING G" '' K WALLS ` CEILIN 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: o-T-1iu; 9 K&D rT )A o, / iz iLi eg is .L{ 136-LoO l �v- To rra/ Wire L y ARRIVE I= /S DEPART if! IN E T R TOWN OF QUEENSBURY 164 BUILDING AND CODES DEPARTMENT W �/�531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED i/c/ NAME ; ;;� / r-f/,/Jr N,r'r LOCATION / / �44:��/ /. DATE )1(/4/ PERMIT # 9/S-W TYPE OF STRUCTURE J4"- e &A)/. RECHECK APPROVED N/A YES NO IERS 0KLITHIC POUR FORM3 j3 t{1 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: `gyp JACK STUDS/HEADERS . BRACING/BRIDGING JOIST HANGERS r` JACK POSTS/MAIN BEAM `• FIRESTOPPING WALLS CEILING FIREWALLS '1 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: cl_6/,v ( 66s ©1-ff60rr-v, po it'063or fti- F7o11A)L s ARRIVE /N DEPART lino INS EC R 7/- ,_ _ / + qg /4044yot141 '0_8_ y_rie.419 W_cto a ii4 0 __- - ____,_, LOWN1-0-F-OUEENSBUK . f,1 ECER/ED - JUL 2 9 1991 BLDG. _&_CODE DEPT, .._ __,_9_jk... , . .ii3 .......--- I , :,- TOWN OF QUEENSBURY 1 -..,4, i _L9' ri 4 . 4:4 , -1 ' • _ k•aa'--1> ' • ri 5/ .1---- _ IIII dAll''' I lamemors,r-e or,....rra,Ve.7..V..10, I,. ‘ ? 44' 41 - : -- 1 1 .kilic 11,, t 2_ , 1 I 14/1611,0e Trth