1991-608 CERTIFICATE OF OCCUPANCY !
CERT
TOWN OF QUEENSBURY
WARREN COUNTY,. NEW YORK
Date October 24. 19 91
This is'to certify that work requested to be done as shown by Permit No. g1®6°8
has been completed.
This structure may be occupied as a Single Family Milling!
Location lie re sfnrd C-r
Owner Forest Hood Homes
By Order Town Board
TOWN OF QUEENSBURY
b
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY w
No. 91-608 x
WARREN COUNTY, NEW YORK a
•PERMISSION is hereby granted to Forest Wood Homes to
OWNER of property located at Lot 30 Heresford Street, Road or Ave.
w
in the Town of Queensbury,To Construct or place a Single Family Rwpl l i ng
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 -n
HC-02 Box 286P0s
Warrensburg, NY
2. CONTRACTOR or BUILDER'S Name
0
Same a
x
0
a
3. CONTRACTOR or BUILDER'S Address fD
N
r-
0
4. ARCHITECT'S Name
w
A
S
O
5. ARCHITECT'S Address
h
-I
O
6. TYPE of Construction-(Please indicate by X) N
-1.
( X Wood Frame ( ).Masonry ( )Steel ( ) tG�
fD
7. PLANS and Specifications
No. 1,525 sq ft Single Family Dwelling as per plot plan specifications
and application
8. Proposed Use
rD
Single Family Dwelling �•
$ 228.00 PERMIT.FEE PAID —THIS PERMIT EXPIRES August 26, 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 this 26th Day of August 19 97
SIGNED BY for the Town of Queensbury
Building and Zoning Inspect
c4) 66 — / ili ; ‘0\x\-5 S°; way
TOWN OF QUEENSBURY 61
a OE i *�
c�q
ei
�- 8
--Q)2A y
REVIEWED BY: TOWN OF QUEEN i. �,.>_
••4111111b11
i T FEE PAID: � '�` 5V — a4E171
_.,,,,i0
PERMIT NO. : q 1 Ze®U AUG 221991 L.)
BUILDING & 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: Frip.4 kborl go100.5 II
P.O. Address: Ile-0 6 ,2 i P �l vvi- 1.4014I AL� V PHONE
Property' f-n
Location: /04 �(j HOre,g- v& `� Tax Map No.//7 / 6 /ugd
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: fAIO4►,1 ,yr, Lot No.
h-
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
I Oro I/ll Flip J i-1l7irvi S q
f
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
,_A
Construction of new building * CONSTRUCTION: $ Rirylon
Addition to building * ' -
Alteration to building., t;:,. • * COMPLETE INFORMATION REQUIRED BELOW:
an
(no change to exterior dimensions) * Size of Property: I 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 k Sq. Ft. * , Front Yard SS' ft. Rear yard t i ft.
* Side Yards a:7 ft. and r;1 ft.
2nd Floor R." .,''' Sq. Ft. . * If on 'corner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: drs . Sq. Ft. * Primary Building -
* V One Family Dwelling
Size of; New Structure: 21, ft. x LU, ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) a c ft. *
If residential , no. of families: J * If addition, what will use be?
No. of rooms (excluding baths): 1 *
No. of bedrooms: 3
No. of bathrooms: i ', * Accessory Building:
Primary heating system: 1ptid,- , olr * Detached Garage - One/Two C_ar
Type of fuel : ovils, * ,/ Attached Garage - One/sTo Car
No. of fireplaces to be''installed: 0� * Private Storage Building
Will a woodstove be installed?: hfl * Other •
Central Air Conditioning: Yes No ,, *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED: •
BUILDING SPECIFICATIONS: •
Type of• construction`. .;wood frame, fire safe, etc. ,.*c 1( lft H U0614 —A ,l/%• .
Will ,any 'second-hanW;or•, ungraded lumber be used? If so, for what? ?,ii
Foundation Wall Material : NIAL,N?). Thickness:
Depth-of'Foun"dat`i on. below grade (to bottom of footing) :
Will there be a cellar? YID 'Heated or Unheated? Floor Sq. Footage:
Will there be abasement? 1it'.A Will any portion be used as living space? h 0
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other Material of Roof _
Size, wood studs D� " x t " ; spacing) lb " o.c. ; length g ft.
Joists (floor beams) : 1st Floor a " x [ " ; spacing (b " o.c. ; span 19 ft.
• Joists (floor beams) : 2nd Floor. " x "; spacing )10 " o.c. ; span °jam, ft.
Overlays (ceiling beams) : . " x " ; spacing " o.c. ; span ft.
Roof rafters: " x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing N " o.c. ; span s ft. . •
Exterior Wall Finish: 1l, ITNAy, of what material ?
Interior Wall Finish: :ci n �lr., y; �?,_ ,,,1 ,a Ld
If a garage is to be attached, describe materials to be'used for FIRE SEPARATION: s! 1.-‘ 0"
-ci N6-1\& c ^k _ ✓`J''. n �"i'�' i 64-1 4'qA di; l.' !;'tm FS* c am.. 4;.7. c
Is there to be an opening between garage and dwelling? Vie-) If so, will a Fire-Rated door,
J�
enclosure, self-closing device be provided? N �
Will a flue-lined chimney be installed? 4= 9 Height .above roof ft.
Depth of chimney foundation below grade: ft. -
Depth of fireplace--hear_th: ft. in. .
.Water supply -(Municipal or private well :
SEPTIC SYSTEM: Distance from anyprivate well ft.
(including adjoining properties: � .,�,� ft.
(A separate application is necessary for any repair or new installation of septic system. )
•
NAME OF BUILDER & ADDRESS: i ) .,T, ;, ;)" 9. 1 t1 '-+ PHONE
NAME OF PLUMBER & ADDRESS: fft_A: 17 V, ! '(;;, J 5 j a,,4,,,4,(i ' PHONE f,? !- NCI
(`1
NAME OF MASON & ADDRESS: '•v-,_ -F - F e 1: 1
r (-,.;..irE,:r- ,J'. �i,^;�, .A :':��, ,,.• PHONE ,r)
NAME OF ELECTRICIAN & ADDRESS: (,.,. "' r,Ji7 'J cL-S. y�,�. . M n:ti:,,; PHONE Lf 'j)ij1
0
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 i,s aurfhorized.151 the owner.
• Signature "..V'
• 'O)0e:r; owner's agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:. • Q4 �
/
By: .•
�., .
• Code Enforcement Officer
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
APPLICANT'S NAME PROPERTY LOCATION
•
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
•
1. Gross Floor Area - /S-01 Sq. Ft.
2. Type of Heat - Elec. Base Board Other lr='S a' ,; C_ l) i
Y 3. Is Building Mechanically Cooled? YES NO •
4. Percentage of Area of Windows and Doors Over 17% d,/ 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 40 •
B. Exterior Walls R . 11
C. Glazed Area R i 2
D. Exterior Doors R )0
E. Floors over unheated spaces R J&7j
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. ;?i?
6. Service (Domestic) • Hot Water Heating Device
A. Conforms to minimum efficiency per code ti,/' YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
22o ¢ Y ( 3 -5 ; 27
APPLI'CANT�'S SIGNATURE ,.')DATE ' TELEPHONE NUMBER'
INSPECTOR'S REMARKS:
REV -ED
/r��
`�a j TOWN OF QUEENC$9 YOF QllEE3 v _
APPLICATION FOR SEPTIC DIS � " P'e mit #
��', ' .11Foo Paid
,� : .129
AUG 2 21991
Date: (kw _ /q Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: •1 F.,r 6 1-ll0,_rg,v.gt
Owner' s Name: 7e,„%4- bj"_„„..
Owner' s Mailing Address: --0� L4 ' tOex, Pp,c(3a.,,r4. 61,A<'
Installer' s Name: 4,:nso E e'reutnA:1)r�,�� rr Phone #:
a -J •
.Number of bedrooms (if residential ) :
Total daily flow (residential-compute @ 150 gal . per bedroom) :
Topography-Circle One: Flat Rolling Steep Slope % of Slope
Soil Nature-Circle One: 40110 Loam Clay Other /Depth:
Ground Water-At What Depth? a ` Feet
Bedrock or Impervious Material-At What Depth? Feet
Percolation Test-Circle One: (N to Required) Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Mun>>.ca,p.a-1- Wel 1 Other _
If domestic water supply is a well -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank 14)0 3 gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench . KaN feet//Total System Length .e - O 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 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: cd DATE: al Diu,
//lir
SepticiS`ystem' 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:
..__ ,. ..
a 144,VAXisiVi . 11"U1- A-, -
Ice z_. 7 & *;, - c„4 `,';"--- - ._ • ,1
•,, . ,
TOWN OF QLIEENSBLIRY.
Bay at Havlland Roads,Queensbury,N.Y.12801-9725
• :.
•. APPLICATION.FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
..,
. ''''''''''' ;1''' al -1\ fel el it.• - .
, • - ..,,..il,.. .. 4,447-70 ,-.i; I.,:?_ Dr------- _
Date- ----- , ."; '-. " ,,, - ':-. '; ' 19 7) Permit No.
v .-,,,, k''' I •. 0 ;,—
) I.,%1 4- :---! !*.) , 't-
, APPLICATION-IS HEREBY MADE to the Building De,partment for the issuance of a Building and Use Permit
pursuant 16 the New York State Fire Pt'eventiotiaiid tifildiniCode. The applicant or owner agrees to comply with all
....
applicable lztws, ordinances, regulationsand all conditions thaeArdiliartOf these.reqpirementatid also will allow all
--,4
' . inspectors to enter premises for the required lily e' dtiorLI''''''':
,,, .4 1 • ,
',1-- i ' . i ' .) APPLIANCE TYPE -
Applicant's Name .fo--1-e- /4 ." AZ(44- . '• ..
Stdve '' Coal Wood
't a I t 1 :.',V"' h'p ,1 -. 11 "-.
Address 11 0 1 - 0 a- . , ---r () r , . ,'Ftiin6ce ' .-- Hot Air Boiler
-:.— : f ,, Zeifoit'leia4nce,".i'ki; 13.f,`-ltirculating Unit
WOAAJL,„i„..,,e,,,t,.;. --). rA.A.. zip /d-f.g
Phone ( ,..,' G D- 'Pi 2Y If Non-Masonry:
. ,
Owner's Name .. ,.. •.'
,
.
• • -: --,,,:._:;-,,, -,.;'-Manufacturer
Address .,
Model , . . Outlet Size
Zip
, '
'..- Listed by .." Number
• , t, . , i,
Phone; - ' • -4:.?..
. ' .
• . CHIMNEY TYPE
.
.
. • •
' Masonry: Block Brick Stone
Property location.of proposed construction Flue: Tile .Steel
- ° 4-1-vu 4 , .Size:-
-
Factory Built: .
Manufacturer IWA)c,Li Model A-- ., 7 Size .24
COPY OF MANUFACTURER SPECIFICATIONS i: Height ..--1 ' Listed'By NuMber
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Le‹.,.,. Triple Wall •
AND CHIMNEYS. MIJST BE INSTALLED Insulated
ACCORDINGTO,SPECIFICATIONS. COPY OF Estimated Cost $
CONSTRUCTION.:DETAIL REQUIRED FOR MA- Fee$
SONRY FIREPLACES AND CHIMNEYS.\
, .
- . CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
• ,
. .
:.' .
Departmen(: Fire Marshal Amount Collected Amount Refunded
Code Number Title 67)
. .
A173 3389 (190)Public Safety
A233 2655 (230) Minor Sales
, . .
. ---
Collected from or,N efunded to: c-11-Nr P Or Wil'ori
. —
ss: • - ------yip\
, , •
- -9 Town clerk or Depu y ‘ -----1-id. -1-------1(rf
While:Annlicant ' Yellow and Pink:Cashier's Denartment Goldpnrrich Fir.Ainrchnl
.
j p 0K5 '91
-476L-0°
TOWN OF QUEENSBURY '-e
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 0
A)-- 9(
NAME cO`��44 U \---r "/ )-IZmt 7
LOCATION 0434-3 O fereS-roy 2L.
DATE1f�644M/ PERMIT# 9 / 1Pd0
// APPROVED
N/A YES NO
EXITS
AISLE WIDTHS '1 /
EXIT SIGNS
EMERGENCY LIGHTING /
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION \
AUTO. SPRINKLER SY:7M
ALARM SYSTEM
l
1
INTERIOR FINISH S s V
STORAGE:
CLEARANCE 0 SPRINK ERS
CLEARANCE 0 HEATIN UNITS
REQUIRED SIG AGE
CHIMNEY ______,\ .
WOODSTOVE I
FIREPLACE-MASONRY /
,/--FIREPLACE-FACTORY BUILT \ ✓
REMARKS: U OK TO THIS DATE
ARRIVE /3SA7 ,
DEPART �/' M' (:�.
INSPECTOR
1.)(\,\)‘( k-)IY\
TOWN OF QUEENSBURY
4'/� 531 BAY ROAD
ila-'i'w;. QUEENSBURY, NiEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION /
REQUEST FOR INSPECTION RECEIVED ! b ,2/ V
NAME '(S(e..,5V \XY,t);)
LOCATION ale+ 30 i-ley-es-cey-(� ,2
1
DATE /%c1 PERMIT# I / -t OR
" TYPE OF STRUCTURE �S N
RECHECK Cj\ On`'C1`Aa.. d_ j'AS(Jl-
F 1 MAR HAL APPROVAL (C MMERCIAL STRUCTURE)
, F00 G KOUNDATION \ACKFILL .yRA
ROUGH UMBING j FINAL ELECTRICAL SEPTIC
NSULATIO WOcDSTOVE/FIREPLACE [Id
NO cit5
REMARKS
7
APPROVAL
N/A Yt/Es NO
CHIMNEY HEIGHT/LOCAT ON
B VENT/LOCATION V J
PLUMBING VENT /\ 4
ROOFING /
SIDING
DECK/PORCH/STEPS/RAILI GS
RELIEF VALVES /
FURNACE/HOT WAT R OPER TING /
BASEMENT INSUL TION/DU TWORK /✓
INTERIOR TRIM PRIVACY DOORS Al
FINISH FLOOR : /
BATH/KITC EN WATERTIG T _ /
OTHER FLOORS SWEEPABL d
OTHER F DORS CARPETED �/
STAIR CLE RANCE/RAILINGS cJ
HANDICAP ED ACCESS
SMOKE D EC TORS /j
BATHROOM FANS/WHOLEHOUSE FANS c //
ALL PLUMBING FIXTURES OP RATING 1/
GARAGE FIRE PROOFING /
DOOR CLOSERS d
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS —
/
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
*,64.4e,d/ J&A '
ARRIVE //'
a
DEPART/ //
INSP Tr.'
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No.
Owner �6/c eS TGtJU7� �(TUY/2
Occupanct r
Location � � T 1
36 /9/ 463 /F ,2 `O
/
( D t.e`-o iV J /�J Street
Town or City f State
Installation as itemized on reverse side has been visually inspected pursuant to applicable,
codes.
Installed by au (4 / rX �
J No - /j
6
Date J° �� — ! /PDX62)0 ' ---�/\°--akt-Elkkpector
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. 1337 West Chester Pike.West Chester.PA 19330
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
�C:ly CBT.mrS 1,4_,I1 T((.,ice WIRING &CONTROLS FOR (f÷c BURNER
(/' RECEPTACLES H.P.PUMP
i�j FIXTURES K.W.OVEN
, e,,LJAMP.SERVICE EQUIPMENT P.GARBAGE DISPOSAL UNIT
r)AMP,SERVICE CONDUCTORS
K.W.DISHWASHER;;K.W.SURFACE UNIT I �K.W. DRYER
K.W.RANGE AMP. RECEPTACLE
K:W.WATER HEATER iP, FRAC. H.P.VENT FANS
/,Paie-c
MOTORS H.P. 1/20 1/12 1/IO Ve '/ % % %z '% 1 1% 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
I
APPARATUS
•
•
awn of Queniur ci
•
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
•Queensbury, New York 12801
SEPTIC ,DISPOSAL SYSTEM INSPECTION
NAME \ f�/LG �T/ �(l-� 719�?L2hr,
LOCATION p(ia- 0-a / //.P/I Gig(
DATE`14/109/ PERMIT NO. 9/6D I •
SOIL TYPE AM, Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: 0
Absorption field, tot}}l length �7l •
Length of each trench.1 U '
Depth of trenches '
Size of gravel m_ 10
SEEPAGE PITS4Nuinber of
Size- ft. X ft
Gravel size ,
PIPING: S'ze T pe
Bldg. to tank )/
Tank to dist. box
Dist. box to field pit
Openings sealed? YES NO Partial
LOCATION/SEPA-, IONS:
Foundation to ank Oft.
Foundation tiv absorptiory
Absorption too lot line I ,..()ft. •
Separation of pits 4, ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - - eft si Right side -
COMMENTS:
•
'7 oz? /17-...c4;$4,L_H
•
•
•
•
SYSTEM USE APPROVED kttl" NO •
•
Bu' ing Inspec or
01/86 and vl •
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME A*4‘72,...
LOCATION /4 '
DATE A///7/ PERMIT#
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 r
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATINGNI'TS
REQUIRED SIGNAGE "�,;�
CHIMNEY
WOODSTOVE II
,FIREPLACE-MASONRY
FIREPLACEFACTORY BUILT,/
r
REMARKS: OK TO THIS DATE401116/"--21
/614211-14-4-1\
ARRIVE
DEPART / J47,
eAr,
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /
531 BAY ROAD /°)29
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME htMl- V #07,i, q
LOCATION 2 fr J �V..64k U Ge
DATE /0//4/7/ PERMIT # 9/-4d7
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 r'
BACKFILL APPROVAL 3`
ROUGH PLUMBING V ;J
PLUMBING VENT/VENTS IN PLACE/
PLUMBING UNDER SLAB 1 I
FRAMING: N I
JACK STUDS/HEADERS -
BRACING/BRIDGING V
JOIST HANGERS i\
JACK POSTS/MAIN BEAM I ‘
FIRESTOPPING '
WALLS
CEILING I'
FIREWALLS
HEATING ROUGH-IN t \
INSULATION: \
FOUNDATION WALLS 'INTERIOR R-
FOUNDATION WALL ;' EXTERIOR R- 4QJ/�6 /2
FLOORS R-
WALLS R- /9' \ iX
CEILING f' R-.3o
DUCT WORK OR PIPING IN UNHEATED \
SPACES I
1 '
REMARKS: I
•
ARRIVE Z;Z
DEPART
ECTOR
064 e, V1Y\
TOM OF QUEENSBURY r Q�
BUILDING AND CODES DEPARTMENT �I ?P�
531 BAY ROAD 1 I
QUEENSBURY, NEW YORK 12804 I j+L-IY
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT� j
REQUEST FOR INSPECTION RECEIVED / l �/ .
NAME co T Sk- U )100 )-I9yylQL)
LOCATION 294- 30 HP'(e ►✓d
DATE/D/3lW PERMIT # /—(0S
TYPE OF STRUCTURE S
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 PURIOSE ON SITE
FOUNDATION/WALL POUR 1
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING ti
BACKFILL APPROVAL /
ROUGH PLUMBING q
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB A d /
FRAMING: a,
JACK STUDS/HEADERS / k
BRACING/BRIDGING /
JOIST HANGERS I 11
JACK POSTS/MAIN tBEAM
FIRESTOPPING /
WALLS J
CEILING /
FIREWALLS 1' 1
HEATING ROUGH/IN it
INSULATION:
FOUNDATION/WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- 1,
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
INSPECTO
TOWN OF QUEENSBURY A
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIOFN RECEIVED
LOCATIOl /4
DATE 9/AI9/ PERMIT # f
TYPE OF STRUCTURE ^
RECHECK APPROVED
N/A YES NO
X FOOTINGS/PIERS klea,age
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
)G FOUNDATION/DAMPROOFING /J✓
( BACKFILL APPROVAL .
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS A
BRACING/BRIDGING ,'
JOIST HANGERS '
JACK POSTS/MAIN BEAM
FIRESTOPPING r/'
WALLS A
CEILING /
FIREWALLS /
HEATING ROUGH-IN/`
INSULATION:
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR R-''.
FLOORS / R- >,
WALLS i R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED \
SPACES
REMARKS:
ARRIVE
DEPART Jv �' f
INSPECT"
TOWN OF QUEENSBURY 641(I)
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT Qr /� (r)((li
REQUEST FOR INSPECTION RECEIVEDD OO
NAME c-bye,,&1-\..)a)nC7 1)
LOCATION ?Q ) eAreA 0-
DATE 7i (LI PERMIT I ( I -(008
TYPE OF TRUCTURE
RECHECK APPROVE
N/A YES NO
eA0.05iNGS7PIERS�
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 ,7
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL .%
ROUGH PLUMBING ,/
PLUMBING VENT/VENTS IN,' PLACE ,/
PLUMBING UNDER SLAB ; I'
FRAMING: ) /
JACK STUDS/HEADERS /
BRACING/BRIDGING { f'
JOIST HANGERS I /
JACK POSTS/MAIN BEAM \ /
FIRESTOPPING
WALLS
CEILING V
FIREWALLS /
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALL INTERIOR1R-
FOUNDATION WALLS EXTERIOR 1-
FLOORS g-
WALLS R,-
CEILING R
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART .J b 3o
INSPE OR
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