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1991-590 it CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY,_ NEW YORK Date At .3 19 93 30q This is to certify that work requested to be done as shown by Permit No. 9i 59 v. has been completed. This structure may be occupied as a Single f.Ai l y Dwelling Location Harris St—et Owner fro A Mrs Ronald Scott Dunham r, //7-2 2 I By Order Town Board TOWN OF QUEENSBURY /06/IrY d %/7 /ter Director of Bldg. do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-590 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Mr. & Mrs. Ronald Scott Dunham OWNER of property located at Harris Street Street,Road or Ave. E in the Town of Queensbury,To Construct or place a Single Family Dwelling a 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 (-) 10 Forest Drive Gansevoort, NY `+ 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address cn 4. ARCHITECT'S Name rt. N ' 5. ARCHITECT'S Address CO CD -n Oi 6. TYPE of Construction—(Please indicate by X) a (X Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 960 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use Single Family Dwelling $ 120.00 PERMIT FEE PAID—THIS PERMIT EXPIRES August 19, 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 thjs. i9th D of August 19 91 SIGNED BYt i for the Town of Queensbury Building and Zoning ' ctor TOWN OF QUEENSBURY REVIEWED BY: `O OF WEENdBUrta 46% E EGERTI) FEE PAID: /RD AUG 161991 PERMIT NO. : 9/ ��l7 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: 14g, ' O Ai V j ,- I\fU P.O. Address: Th ;5r I2Jv . Cl/vtts,,Evo'l2-I Jr�I . PHONE 7T3437 Property Location: J/l WJ3 �JUeeit Tax Map No. 1l7/ 2 / Has there been any split of this property since October 1, 1988? Yes No �� /o 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: FM4/61 5 iL/I1 t NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE / Construction of new building * CONSTRUCTION: .$ 74 ,)e7812 Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: gQ ft. x )/ ft. Other work (describe) * Existing Building Size: • * ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: 1st Floor 960 Sq. Ft. * Front Yard 55 ft. Rear yard gg ft. * Side Yards , .. ft. and JO 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: /� qlj(/ Sq. Ft. * Primary Building - * e7 One Family Dwelling Size of New Structure: 2 ft. x 4 d ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partia (Circle One) * _ Business * Industrial No. of stories (Habitable space) i * Other Height (grade to ridge) )(D./.-(T' ft. * If residential , no. of families: * If addition, what will use be? No. of rooms (excluding baths) : No. of bedrooms: 3 • No. of bathrooms: J * Accessory Building: Primary heating system: pjc�-4-ar .�114 * Detached Garage - One/Two Car Type of fuel : , dr; * Attached Garage - One/Two Car No. of fireplaces to be installed: t J * Private Storage Building Will a woodstove be installed?: NO * Other Central Air Conditioning: Yes No (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. WO-DO �% 6 Will any second-hand or ungraded lumber be used? If so, for what? A10/ Foundation Wall Material : 40A6 lh(6 Oj i- Thickness: Depth of Foundation below grade (to bottom df footing) : 7: 4- Will there be a cellar? V-6 Heated or Unheated? 0d1VIPc Floor Sq. Footage: Cf Wz Will there be a basement? Will any portion be used as living space? If so, what portion? Sq. Ft. Type of Use? Type of Roof: Sloped/Flat/Shed/Other theieLE Material of Roof.j4 vGL455 Sf-(-i/UGL.S Size, wood studs 2- " x " ; spacing f(p " o.c. ; length /Z "ft. 15'6b Pc'' Joists (floor beams) : 1st Floor 2 " x g " ; spacing /( " o.c. ; span Ja ft. Joists (floor beams) : 2nd Floor _1 " x r " ; spacing " o.c. ; 'span ft. Overlays (ceiling beams) : 2_ " x 40 " ; spacing _)(o " o.c. ; span /7 ft. Roof rafters: 0- " x (v " ; spacing )6 o.c. ; span a ft. Roof trusses (pre-engineered) : spacing — " o.c. ; span / ft. Exterior Wall Finish: pPj 4'' Vj vA of w at material ? AI yjl Interior Wall Finish: %Z 6 ps&'Wt Wall h14v !J 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? 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 : 1JI11 C SEPTIC SYSTEM: Distance from any private well (including adjoining properties: M-O, ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: R6144 A S Dunh itil PHONE 793-- ?f�f 2 NAME OF PLUMBER & ADDRESS: ,Same_ PHONE _ NAME OF MASON & ADDRESS: Sl y_ PHONE ' aI.l e NAME OF ELECTRICIAN & ADDRESS: e_ 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 )1}- 1)0/1/442/ • Owner, owner' s agent, architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer i ENERGY CODE COMPLIANCE APPLICATION 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 d114 d 5Duvih4vYt APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - T60 Sq. Ft. 2. Type of Heat - Elec. Base Board Other � � � � t � yP � barley 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 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 B. Exterior Walls R 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 2) 1 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 VOVA DtAikwol 49, 71? -F3 7 2_ APPLICANT'S SIGNATURE D TE TELEPHONE NUMBER. INSPECTOR'S REMARKS: s lww-wwv TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: Reviewed By LOCATION OF PROP RTY FOR INSTALLATION: e OWN OF (WEENSEUrl FiEGEiVED Owner' s Name: Pomid S Di,//1 W,,N) _ 1991 � J Owner' s Mailing Address: 16 ��v ��� V � t� eC v/cF Airy, /2V ) Installer' s Name: MAI2K RIGI BLDG. & CODE gn1 #: Number of bedrooms (if residential ) :Total daily flow (residential-compute @ 150 gal . per bedroom) : -45 Q 411i Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? 21Jrf Feet Bedrock or Impervious Material-At What Depth? NA Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: unicipa Well Other If domestic water supply is a we - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank (060 gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length feet Seepage Pit(s) : Number of / Size each: ,F ft. x ft. Size of Stone to be used: # / Depth or Thickness I / 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 reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.SIGNATURE OF RESPONSIBLE PERSON: IJ y DATE: </ �1/471/ 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: YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY, THE UNDERSIGNED 59/) TEMP.H DAM f`((((-a CITY OR VILLAGE TOWNSHIP COUNTY (:7/ . .A 1'-') 1=4Il ; (\)I//'.1,_4 Y -1 11,)-III j,,4 STREET ANb Na OR ROAD t - a" POLE NUMBER f'Tf 1/l/I ra ' : f�Jl BETWEEN'WWU TWO'CROSS STREETS IS PREMISES LOCATED? { SECTION BLOCK LOT 1 G74-�vf€iA‹ 51-- eIAAA OCCUPANT'S NAME BUILDING OCCUPANCY • OWNER'S NAME AND ADDRESS ,` I HOME TELEPHONE NUMBER CURRENT SUPPLIED BY "� - '''' FROM TAEIR ' OFFICE I)r5 3 I /' WORK TELEPHONE NUMBER BUILDING IS NEW OLD 0 WORK IS NEW V 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 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 �' / SUB- BASE BASE- is q Jj __ BASE- MENT G lS�� 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 I J/�6 pp FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS CHARACneR OF WORK` VA EXPOSED GAS TUBE SIGN/TRANSFORMERS OF pJi-i/1J 1 t/V- 0 CONCEALED DIM 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 APPLICANTS IDENTIFICATION NUMBER I 1 AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAIVOF APPLICANT DATE OF AP L CATION SIGNATURE OF APPLICANT k/)I i!1,1 i,Ir.?144, Wi 11� °'1 X STREET ADDD,BESS `' _, TELEPHONE Ng. CITY OR POST Fes ZIP CODE LICENSE NO.WHEN APPLICABLE Af 85 John Street 41 State Stree 570 Delaware Avenue 217 Lake Avenue 202 Aiterial 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 t ' TL.IC AIC1A/ vnEne Drukon CAC CID= I I-All' D A/DITCDO !1,w"-..w!,},�,,v!,w,,w a,.•s.a,cu,w,,1e,.w,w?,,v,,_o wa or,.Pv ,v 10,w!,_v, v,,w, v.,v,1 w,,w."-91.—",". v,.w!.".cv ,v,,vc_wi •_ w,_w,,4v,..v,-,v v w, v.,vi,w fv,,_w ,v,,w!4, •i THE NEW YORK BOARD OF FIRE UNDERWRITERS I' C;[; 1 ;; r BUREAU OF ELECTRICITY 1 I 41 STATE STREET,ALBANY.NEW YORK 12207 1 -•• AUt3U.T 31 , 1 tt�3 ; c-') 17'14'391l`.?'i 11 2.: 54 ': 4 Date Application No.on file 1-1;Wahl`i' 1'1{ •.- 9 j...990 THIS CERTIFIES THAT _ ► only the electrical equipment as described below and introduced by he applicant named on the above application number in the premises of • Vey,,,.. "c.: }t7H LL) O. DUNH M, E-APPIS 1 T„ (1.140 V 1.#12-i., W.Y. in the following location; qq❑' Basement ❑`�• 1st Fl. ❑ 2nd Fl. Section Block Lot o ? 1J GMT .)ter., I9a 4 �, was examined on and found to be in compliance with the National Electrical Code. ': RXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS *1-:d• OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. • ' • ,,c.) 32 28 2'1 .t 1 5 '. t1• 'i �' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS mu UNIT HEATERS MULTI-OUTLET DIMMERS '• r AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS i' No.of FEET rib ►: .E r .: ii SERVICE DISCONNECT NO.OF S E R - V I C - . - E -- - `: 1• AMT. AMP. TYPE METE 1 A 2W 1 X 3W 3 N 3W 3,e'4W NO.OF CR eCOND. OF CC C6ND.. NO.OF HI-LEG OF•H'LEG NO.OF NEUTRALS OF NEUGRAL , • 1 :c t'FF X 3 4 f(i) 3 .:.t C.'i 's; it• OTHER APPARATUS: � -i. 'A' t3 P.i, T--4 SIVIIT l)FaTFCTO ;, .. . 1: ' .' .;. 1' It g. RONALD 3, 1MJ1II-1AM ."D,1"..%1 • FOREST DR IV Ll ' 4tl., yy,�11 ��tfqq 1 \\vv' 11 ." (or. : CIA)7e::` �' BRANCH MANAGER D' 2 ic; : 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. < i TOWN OF QUEENSBURY 531 BAY ROAD ,. QUEENSBURY, NEW YORK 12804 N •• TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT - FINAL INSPECTION RE, EST FOR INSPECTION RECEIVED Gd/ c/' LOCATION • /' /t DATE 9,1�f J; PERMITS Q/_5%d TYPE OF STRUCTURE- he fi Va `RECHEC grvt.d ✓7. +D j-vnf s crnc & . Ver2 - FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC - INSULATION WOOD,STOVE/FIREPLACE REMARKS APPROVAL a, N/A • YES NO CHLMNEY HEIGHT/LOCATION B VENT/LOCATION ''4; PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES 4,, rs FURNACE/HOT WATER•.1OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: 4 ,' BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE .OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS J DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS / OTHER FIRE SEPARATION FIRE/DEMISE WALLS - FINAL ELECTRICAL OK TO ISSUE/C/O OR C/C y( COMMENTS: �� CIO __(-etet----Lo ARRIVE DEPART /i4 INSP CT e-unrh ( y nth TOWN OF QUEENSBURY 531 BAY ROAD Y1*#v_ ,�, QUEENSBURY, NEW YORK 12804 ", '..: TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT • FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED f IV - NAME 1r6 1 -c1 Zzai t- 1.4n) LOCATION,Qa-ii .- DATE 43_6192 PERMIT# 9/-i9L) TYPE OF STRUCTURE , 6j RECHECK � ,vaLp , e/ ,p 4 libed, FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING LEOUNDATION L-BACKFILLi GAMING ;✓ROUGH PLUMBING FINAL ELECTRICAL _4—SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS Lnetid f \ ./ Q 1L/-0 g-- H /� 2 11J5 ULl'h 7 O,(/4o.40016-T APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION I K B VENT/LOCATION PLUMBING VENT ii / X ROOFING x SIDING I DECK/PORCH/STEPS/RAILINGS .I )e RELIEF VALVES ,f X FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT }� OTHER FLOORS SWEEPABLfE x OTHER FLOORS CARPETED', STAIR CLEARANCE/RAILINGS!;, SMOKE DETECTORS I DO8R CLOSER-. / BATHROOM FANS ,P ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING POOR CLOS€R& LS'y FINAL ELECTRICAL ;W OK TO ISSUE C/O OR C/C COMMENTS: ep a,<j caps-0 6- v r� c`� � Ce�,crc-5 i�C-S _ n/nAAA-ems V&N r 1----1-tet P9s 3v 2417411,/9,3a 14) ARRIVE DEPART � � Lw -- I ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 ' BUILDING INSPECTOR'S REPORT ff. REQUEST FOR INSPECTION RECEIVED 1 NAME \i"\`VM c LOCATION DATE PERMIT 0 Qj / r S ( 0 TYPE OF STRUC RE , 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 / JACK POSTS/MAIN BEAM; HEATING ROUGH-IN SULATION: O/./ FOUNDATION WALL INTERIOR R= FOUNDATION WALLS EXTERIOR R-, FLOORS R WALLS CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: J kv S&u 612.4-•L CA--:t o).'S' /,U /.4 S LG--I IA/Oh Ws (, -;r 0,4.1 co zn_L=.T 4o U Q t= 2 J /1--0 P P.-c)c J& L6Cu 1,'1.. v&-c Alto s 187 PzC r-6 13t1_- bCzba/v is iSs if 64 , C/cL t-sz.. INS e6e r(o,,✓ 3& ARRIVE `O. DEPART /O; d{6' INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 4664 1 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 ' BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED � /92-- NAME X2,1-4 lJllp(/'_''4nc/ LOCATIONtGlJii3�%� DATE 44�f�2 PERMIT # 7/iryJ TYPE OF STRUCTURE 0-X12) 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 JACK POSTS/MAIN BEAM 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: • A9 0.0 \� �k�2 ��Q"► (iv_ 1.1.9 CP&ki Z 5Q6Ts 00 (RJkeC 00-c,cJ ti Tb f�cu j A)s UL/3=re0Jt! ARRIVE /Z- 1---- • DEPART ) Lf INSPEC OR TOWN OF QUEENSBURY /9/97 BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ,I/,/y', NAME �t -776/ ,✓4t d f4-v-� LOCATION › _M241 DATE ,.y/J j/JCS PERMIT I TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/_P_IERS MONOLIT REINFOR Lk1-U tLtp Azguaree< THE CON 2,42,/qa _ FOR PRC del- e- FREEZIV THE PLC 72oit - O e- MATERIA I E FOUNDA1 ° e REINFOF �- C 24M FOUNDAI__ .. BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE -~-- PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS r JACK POSTS/MAIN BEAM ' HEATING ROUGH-IN y! INSULATION: / /` FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS r" i R- WALLS / R- CEILING R- DUCT WORK OR PIPING IN'n,UNHEATED SPACES e , REMARKS: oi 1/ CT"0 CI iZ rcf 1 C-t As i O 5 &r tl P l - JO & 1VL ARRIVE /t O s DEPART INS ECT R 1 Jouin o/ Queeniur1 • • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SE9\13-V00j ;) TIC DISPOSAL SYSTEM INSPECTION NAME u I1\0011/N.. LOCATION \ '(\15 S4^ DATE /(9-0PERMIT NO. / ,5-70 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length , ©O Length of each trench' ./b/ Depth of trenches ' a r-T • Size of gravel_ .7Z- SEEPAGE PITS{Nuinber o Size= f ft. 'Gray size PIPING: Size ,, Type Bldg. to tank '/' SCI.f 0 Pd L Tank to dist. box L,I A y° Pve- Dist. box to field/. ' " PVC- - Openings sealed? at NO Partial LOCATION/SEPARATIONS ;� Foundation to tank �! (6 ft.I-- Foundation to absorp ion/ Q_o ft.-j Si Absorption to lot line f ft,400C5 0K_ Separation of pits 11, I Ar/,g- ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left de - Right side - COMMENTS: j' Ssfrt tJ P 6 PL J 5-14wl,i( U Lo CAS(D,cJ `�" ,(\i-t 6- le- / P/AJ 514-0 4 L6 s-mp/4-(6A. 1 fi Pi k Tao b SYSTEM USE APPRO ED 11010 NO Building spector 01/86 and vl B. TOWN OF QUEENSBURY f-3 PA° BUILDING AND CODES DEPARTMENT 1 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 3f5 )q.. 1 / NAME �Z Y1 Vh?Yl,'1(n'VYN LOCATION \ham 1 S Skre_121-4 DATE :j �'O2 PERMIT # 9/ �(� � l 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 PURPQSE ON SITE FOUNDATION/WALL POUR / • REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING / BACKFI_LL APPROVAL -! 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N/A YES NO FOOTINGS/PIERS " MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HO RS FOLLOWING THE PLACEMENT OF TH CONCRETE. /' MATERIALS FOR THIS P POSE ON SIsTE FOUNDATION/WALL POUR • �" REINFORCEMENT IN PLACE ,✓ FOUNDATION/DAMPROOFING • BACKFILL APPROVAL / ROUGH PLUMBING PLUMBING VENT/VENTS IN BE E _PLUMBING UNDER SLAB / / FRAMFI�NG': ' h V JACK-STUDS/HEADERS 4 BRACING/BRIDGIN1 JOIST HANGERS/ I ✓/ JACK POSTS/MVIN BEAM ; ✓ HEATING ROUGHIIN INSULATION: /7 FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS r R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: e A-5"4"'frn", ARRIVE DEPART )1 / INSPE OR YTOWN OF QUEENSBURY TY) BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ��. NAME oN\ y'Y1 QoD2C.,64 LOCATION l i'l�' K- 1 ._k ,gl C�C}_ DATE , PERMIT # I1 `J !%O TYPE OF STRU URE 3 S ) RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM \„ REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE 4 FOR PROVIDING PROTECTION FROM i FREEZING FOR 48 HOURSIFOLLOWING , THE PLACEMENT OF THE CONCRETE. i� MATERIALS FOR THIS PU POSE ON SITE,' -FOUNDATION/WALL POUR / 1//,://; REINFORCEMENT IN PLA4 FOUNDATION/DAMPROOFING / BACKFILL APPROVAL ��j/// ROUGH PLUMBING i' PLUMBING VENT/VENTS IN\PLAC PLUMBING UNDER SLAB FRAMING: \ i JACK STUDS/HEADERS % BRACING/BRIDGING '\ JOIST HANGERS I JACK POSTS/MAIN BEAM' '1 FIRESTOPPING A WALLS CEILING F FIREWALLS / t' HEATING ROUGH-IN ' ',, INSULATION: i. 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JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING ,;` ` FIREWALLS HEATING ROUGH-IN Ji INSULATION: :1 FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS / R- CEILING ) R- e, DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: cm,t,efort I,u5N-e-vd-Al r3A,LA.il air 0 /� eo r ARRIVE - DEPART � >-✓ INSPE TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT //y 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED (� NAME 0 n ►NU1 ry v ( (j\r‘ - LOCATION050.-Nci:<-7., eck DATE U /�./ PERMIT I /_5� inn TYPE 0 STRUCTURE ;70RA,1 L1 , c€`U. RECHECK APPROVED N/A YES NO _ OOTI:NGS:/TERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. 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