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1991-624 • • rn,r: , 1• ;;•+.01.t�=i%4- ty -S.. '+1. ;t t.��`�> aill"rR:��•1 Aa'Fk•�.ay,,.a Ny1.�ct t — r ram • f 1 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN :COUNTY,• F•1EW YORK Date December 31, 19 91 byPermit No. 91-624 This is to certify that work 'requested to be done as shown has been completed. Single Family Dwelling w®Attached 2 Car 'Garag- . This structure may be occupied as a• Location L 31 Heresford Lane Owner Forest Mood Homes • By Order Town Board TOWN. OF QUEENSBURY C>ckCos.^(\‘ • Director of 131dg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-624 WARREN COUNTY, NEW YORK 1.0 PERMISSION is hereby granted to Forest Wood Homes OWNER of property located at Lot 31, Heresford Lane 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 C approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is HC 02 Box 286 c Warrensburg, NY 12885 0. x 0 2. CONTRACTOR or BUILDER'S Name fD cn Same 3. CONTRACTOR or BUILDER'S Address I— O c+ 4. ARCHITECT'S Name �+ CD CD Vf "h 5. ARCHITECT'S Address O a r 6. TYPE of Construction— (Please indicate by X) CD V) (X Wood Frame ( ) Masonry ( ) Steel ( ) to 7. PLANS and Specifications O -9 No. 1040 sq ft Single Family Dwelling as per plot plan specifications a, and application 8. Proposed Use Single Family Dwelling With Two Car Attached Garage CO $ 155.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 2, 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 2nd Day of / September 19 91 //t/ SIGNED BY /./,/f" a'.%✓ for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY , 10111114 � : :: i 12 : PERMIT NO. : . (-11 — (co"( TOWN OF QUEEN BUILDING PERMIT APPLICATION • , i ' �' rs ` ' 1� Y A. PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPEC JS '.`:B§ . U� �?L APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the �V��r�� re of One OPT. applicant MUST appear on the. reverse side of this. app-lication. * * * * * * * * * * * * * * * * * */ * * * *•* .* .* * * * * * * * '* * * * * * * * * 'Owner of Property: , „ . � TjZ1(Yirn t f pp�� , / q P.O. Address: '/_1: 6X/ I/( C n A%in 7`,' //f /&0..4 4.P 4./I :�� /Vl/�--I0-4ar PHONE- h72 S/�� Property Location: /b f ,�j� ��� � ���,%,� V Tax Map No. //Y/ ‘ /LF/ 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: IA )rn rJA/LUit.'C- Lot No. fi r' THE PERSON RESPONSIBLEP FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: z-pte,-r Ll0i-0J tfuriA-6--r NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION: $ '2dI O O C7 Addition to building * ' Alteration to building * - COMPLETE INFORMATION REQUIRED BEL01 : (no change to exterior dimensions) * Size of Property: all ft. x j ft. Other work (describe) * Existing Building Size: • * ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: 1st Floor l6 J- () Sq. Ft. /gip, op * Front Yard (I0 ft. Rear yard by,-0 ft. * Side Yards ya ft. and y-a 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: if)' o Sq. Ft. * Primary Building - * i/ One Family Dwelling Size of New Structure: a_L, ft. x U? ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl/PartialJFu (Circle One) * Business * _ Industrial No. of stories (Habitable space) \ * Other Height (grade to ridge) f,c- ft. * If residential., no. of families: / * If addition, what will use be? . No. of rooms (excluding baths) : °,c * No. of bedrooms: 3 * . • No. of bathrooms: f * Accessory Building: Primary heating system: c, 1 % - * Detached Garage - One/Tw Type of fuel : . Gc-s * t / Attached Garage - On Two Car No. of fireplaces to befinstalled: U * Private Storage Building , Will a woodstove be installed?: * Other Central Air Conditioning: Yes No , / (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire • safe, etc. s---klE i,, t Will any second-hand or ungraded lumber be used? If so, for what? )4_ Foundation Wal l Material : COj-Z,, ,��t-y,,-t' Thickness: 1" Depth of Foundation below grade (to bottom of footing) : Lft c `; Will there be a cellar? Heated or Unheated? Floor Sq. Footage: 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 Material of Roof Size, wood studs 0, " x L "; spacing l(_ " o.c. ; length - ft. Joists (floor beams) : 1st Floor - x Lo " ; spacing a " o.c. ; span /y ft. Joists (floor beams) : 2nd Floor " x " ; spacing o.c. ; span 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 3I ft. Exterior Wall Finish: k7,,v, ( of what material ? Interior Wall Finish: If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 1/0M InN'oc, f! (flan-,`F GZ;r/ s(IC (.v- (CS Is there to be an opeding between garage and dwelling? v.,,��' If so, will a Fire-Rated door, enclosure, self-closing device be provided? . Will a flue-lined chimney be installed? 'to Height above roof ft. Depth of chimney foundation below grade: ft. Depth of fireplace hearth: ft. in. Water supply - uMpal or private well : SEPTIC SYSTEM: Distance from any private well (including adjoining properties: `1 " ja ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: ,/ g �,�1'� (17(Jl�;f�'�s,_65 IfC- o,l hoo,3,t i,PZ,� ���.re.�,..,ti i PHONE C, 3979 NAME OF PLUMBER & ADDRESS: C A,r t,l,t/ j[/ 51— 01641 PHONE k,2 (.-o( `1 Z> NAME OF MASON & ADDRESS: /4-4("c��n r f 1 id 0-7 t �� V'�:J�PHONE 7 V) —CQ)-,- NAME OF ELECTRICIAN & ADDRESS: ��i�', r-Lr f\S,/:.4,M ( iff L , ,�sfvf�'( HONE 7_ /y// „ - 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 /thg, pro�esed-work shall be complied with, whether specified or not, and that such work is� f o sized n, he owner. Signature • Ow-er, dwher s agent, architect c ntractor SPECIAL CONDITIONS OF THE PERMIT: 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 -1 rr) Ma u /1'10.:c /Of' / //e.yr_44yi APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - /6tIO Sq. Ft. 2. Type of Heat Elec. Base Board Other na5 /i ± 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 SO B. Exterior Walls R 19/ C. Glazed Area R D. Exterior Doors R / 1/ E. Floors over unheated spaces F. Edge of Slab on Grade (Heated Building) R 1I G. Basement/Cellar Walls (Above Grade) R H. Basement/Cellar Walls (Below Grade) R I. Heating/Cooling - Ducts - Piping in Unheated Space R lb 6. Service (Domestic) Hot Water Heating Device. / A. Conforms to minimum efficiency per code V YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED / A t it'W/ 1:72,5-' 1174 APP 1I,yf NT''S' SIGNATURE a DATE' TELEPHONE NUMBER INSPECTOR'S REMARKS: /fr„„)/ REV 1 ' BY 54j TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: 1A,W1 36 t- �,� Reviewed LOCATION OF PROPERTY FOR INSTALLATION: /0/ ) )11�''r s'fl/c 7o,�v' Owner' s Name: firy ,7 '4J / /,)�':r .� Owner' s Mailing Address: 1 9 Installer' s Name: i,75 b7.St f}n _� .� Phone #: vi {+ - - Number of bedrooms (if residential ) : 2, Total daily flow (residential-compute @ 150 gal . per bedroom) : 'J 'cZ) Topography-Circle One: 61_15)- NRolling Steep Slope % of Slope Soil Nature-Circle One:,Y° `Sand ) Loam Clay Other /Depth: Ground Water-At What Dep h? el Feet Bedrock or Impervious Material-At What Depth? c Feet Percolation Test-Circle One Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One:(Municipal dell Other If domestic water supply is a well------- Separation: Water supply from any septic absorption feet PROPOSED SYSTEM:- Septic Tank it)b' gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 51. feet//Total System Length e..t ° feet Seepage Pit(s): Number of / Size each: ft. x ft. Size of Stone to be used: # „3 / 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 t - Town ,of Queensbury Sanitary Sewage Disposal Ordinance. \j' .., & hjL ar DATE:SIGNATURE OF RESPONSIBLE PERSON: 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: °" ~".'` MIDDLE DEPARTMENT INSPECTION AGENCY, INC. • National Headquarters• - ' 1337 West Chester Pike,West Chester,PA 19380 APPLICANT COMPLETES THIS SECTION . _ Date: 4• 1 � ., : • City, Town or Township Vs. ' County State Location/Address I � ' '``• , -sr .i,-', 1:f v.= , )ii fl i . e w (If Located in Rural Area - Please Attach Directions) Pole # •Owner I- . . - '. �..- 1 r Permit # - 4 f,'' ) `'I Occupied As Building: New❑ Old El Occupant - Work Area in Building (Floor #, etc.): . App. for: Wiring n Service n. or: • Ready for Inspection: Fee Remitted- $ - - Cash n Check n M-O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 'Number of Rough Wiring Outlets Elect. Heat Switches Lighting . Amp. Service Surface Unit Dishwasher - Range Water Heater Air Conditioner Dryer Pump Receptacles Number of Fixtures Oven V - Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans • • Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7,/2 10 15' 20 25 30 40 50 75 100 Mark Number of Each Size . --- Applicant's Signature -- License:# Permit # T/A - Utility: Applicant's Address: V - (NAME) (OFFICE LOCATION) (City) ;' (State) (Zip) • - Service Request # Phone # < V • Electrician: MDIA USE ONLY DATE RECEIVED: _ DATE INSPECTED: Correct Location: Same as Above n or: - Red Notice Label Ti . Rough Wiring Outlets . Surface Unit Oven Switches Range Garbage Disposal • Receptacles Water Heater Dishwasher Fixtures - Air Conditioner Dryer . Amp. Service Eq iipment • Burner, Wiring &Controls for Amp. Receptacle - Amp. Service Conductors Pump - ° • Vent Fans - MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number - of Each Size i 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat ' • CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID ❑ RW Progress: Inc.❑ ' LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ l L/A - Owner CASH Fee CH K # El L/A - Due' n :IPA Municipal MO # INV # • Date':'-:.. Other Side❑ Utility Applicant ❑❑ Owner • Cut in Card. Ti Temp # Date - - . - INSPECTORS SIGNATURE .n Final # ; - Date• • ;: APPLICATION FORM NO.250 EL 11/89 awn Of Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME c-0 es A' VW©� 411/06,9 LOCATION 02-0 1 , 3/ yeArescv),Lev,e_ DATE / /. PERMIT NO. 91 - SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches ' Size of gravel_ SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size PIPING: S ze Type Bldg. to tank Tank to dist. box _ Dist. box to fie -•/pit Openings sealed. YES NO Partial LOCATION./SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: to-- u u A-Ct rral t-ou}s AJ&i?i�Ltoci--rnc4.) f_s4 SYSTEM USE APPROVED YE Bu'lding Ir°r pe tor 01/86 and vl .-1-U eS r J')'> TOWN OF QUEENSBURY 14i40/16. 531 BAY ROAD `„1414i NEW YORK 12804 M TELEPHONE (518) 745-4447 ""''`g` BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED ) NAPIE- -0ar 5.�- 0) LOCATION / K_Q___ DATE bpi/CO PERMIT# 9 / (...62 ` - TYPE OF STRUCTURE : > RECHECK FIRE MARS AL APPROVAL (COMMERCIAL �SjRUCTURE) tI FOOTING FOUNDATION BACKFILL X FRAMING OUGH PLUMBING FINAL 'ELECTRICA[TSEPTIC NSULATION WOODSTOVE/FIREPLACE REMARKS _J AP ROVAL / N/A ES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION j PLUMBING VENT f r' ROOFING I i SIDING f / ✓/ DECK/PORCH/STEPS/RAILINGS !/ ✓ RELIEF VALVES /I ✓.- FURNACE/HOT WATER OPERATING I i i BASEMENT INSULATION/DUCTWORK! INTERIOR TRIM/PRIVACY/[ 00RS J ✓ FINISH FLOORS: ,/ BATH/KITCHEN WA/TERTIGHT I ✓ OTHER FLOORS ;S'WEEPABLE I _ OTHER FLOORS` CARPETED I STAIR CLEARANCE/RAILINGS J HANDICAPPED ACCESS I ✓✓- SMOKE DETECTORS I BATHROOM FANS/WHOLEHOUSE FANS ✓/ ALL PLUMBING FIXTURES OPERATING ✓ GARAGE FIRE PROOFING ✓ DOOR CLOSERS OTHER FIRE SEPARATION L..--- FIRE/DEMISE WALLS ✓ DUMPSTER ,/- SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL /_ OK TO ISSUE C/O OR C/C ‘/ COMMENTS: 6 4/I ,M72;¢. ARRIVE DEPART INSP T 1 fiP • Jown o Queeniur I • BUILDING and ZONING DEPARTMENT . Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 - SEPT C DISPOSAL SYSTEM INSPECTION NAME (7-(e StcO Q b0 - . d✓1 es LOCATION I�P tr c--V-j-4 --, DATE /1 /' 7 PERMIT NO. • SOIL TYPE - Sand .+- Loam - Clay - Percolation Test Required? YES -ENO': Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total leng h ^-UC) Length of each trench ' .$c Depth of trenches ' z i 7 Size of gravel_ Z_" SEEPAGE PITS4Number o �"�• •.. - Size- ft. X _ t: •-,14,/ Gravel size -- PIPING: S ze Type Bldg. to tank I L1 56i4�(U' Tank to di . box 1 Dist. bow to field-/pit Openings sealed? YES/ NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. O� Absorption to lot line ft� Separation of pits .4.-'b;4 ft. LOCATION OF SYSTEM ON PROPERTY(circle one) . Front - Rear - Left side - Right side - COMMENTS: I �' J�l 51 T C 1'�'i 1.� ,��o r 1 Lis-is -Rai L LoT— SYSTEM USE APPROVED YES c_NO Building Inspfector 01/86 and vl • ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. Owner P6),2e3r W creD Occupant Location LC.,o r 3/ /c42es /2.0 No. Street uCl iv s el/2V Town or City State Installation as Itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by (51c.L /i/ r-Y G'Zr "C / Date / 2 / / / 2dttbe te)Nda' nspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 3 ROUGH WIRING OUTLETS . - H.P.AIR CONDITIONERggq • `4, •-9T • SLl/��L if WIRING &CONTROLS FOR 6-4_�� BURNER fRECEPTACLES H.P.PUMP / FIXTURES K.W.OVEN V QAMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT �/�AMP.SERVICE CONDUCTORS K.W.DISHWASHER ( ` K.W.SURFACE UNIT f K.W.DRYER ` K.W.RANGE AMP. RECEPTACLE ./ K.W.WATER HEATER z FRAC. H.P.VENT FANS , / p,6' I MOTORS-H.P. 1/20 1/12 1/10 % '/ % X 1 '/ 1 11/: 2 3 5 7' 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE '- APPARATUS TOWI4 OF QUEENSBURY BUILDING AND CODES DEPARTMENT �r7� 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTIOJ1 RECEIVED / /1,�Q/ais4 NAME 15-f4 �?/ -L 4/t9f/- LOCATION x i ,--7/ ige.4 ?✓ i1r .(ezi-e DATE/ 4/9/ PERMIT # 9/-4,w TYPE OF STRUCTURE ,-S 7 RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROQ4 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: i1 JACK STUDS/HEADERS '\ t BRACING/BRIDGING I JOIST HANGERS \/. JACK POSTS/MAIN BEAM FIRESTOPPING WALLS r"� CEILING / \ FIREWALLS ' \ HEATING ROUGH-IN I \ INSULATION: '* FOUNDATION WALLS INT RIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS ( R- WALLS Q R- f Q CEILING R- 36 DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE v_< LS DEPART ,� I SPEC R TOWN OF QUEENSBURY 7 BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 1 1 Z1q/ NAME $ uLe d—'_ )� LOCATION j 0- L-3/ 1Lp,( o . DATE j 2 f'/9 f PERMIT I CP1 - TYPE OF STRUCTURE Ante tic/I/1,4L( c& )Q,e- RECHECK l ! 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 A. PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB )( FRAMING: K JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRES TOPPING WALLS CEILING FIREWALLS '\ HEATING ROUGH-IN \ INSULATION: I FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS \ . R- CEILING ',. R- DUCT WORK OR PIPINGkIN UNHEATED SPACES ; REMARKS: -e. .y i ° ARRIVE /O Lj6 DEPART /6. rc c,; i INS`PECTO1 arX TOWN OF QUEENSBURY � �, 7 BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 /` 1 , 91_ TELEPHONE (518) 792-5832 / BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME { a,14`D, / --, LOCATION (A" , l _ DATE /4/ 7 / ( PERMIT if q/-7o,4 TYPE OF STRUCTURE RECHECK APPROVE ,N/A YES NO X FOOTINGS/PIERS 41J4IA64e 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 h PLUMBING UNDER SLAB ;' FRAMING: ibi JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM " FIRESTOPPING P WALLS CEILING I 1 FIREWALLS HEATING ROUGH-IN C INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTER< OR R- FLOORS R- WALLS R- CEILING / R- DUCT WORK OR PIPING N UNHEATED SPACES REMARKS: ARRIVE DEPART / 2� � INSPECT TO OF QUEENSBURY '/�V BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT / REQUEST FOR INSPECTIO1 RECEIVED `//jamQl NAME j / L P� LOCATI Obi % ?/ / e4ykL DATE ///2/4/ PER4MIT I 9%421 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 O0HE CONCRETE. r MATERIALS FOR THIS PURPOSE ON 5ITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROQFING J ✓/ BACKFILL APPROVAL. 6 ROUGH PLUMBING k: PLUMBING VENT/VENTS, IN PLACE! PLUMBING UNDER SLAB`` FRAMING: , JACK STUDS/HEADERS. BRACING/BRIDGING e. f JOIST HANGERS if JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING E. J FIREWALLSJ HEATING ROUGH-IN V INSULATION: {j FOUNDATION WALLS INTEROR R- FOUNDATION WALLS EXTER IOR R- FLOORS I \ R- WALLS j ?- CEILING DUCT WORK OR PIPING N UNH TED SPACES \ REMARKS:/ ARRIVE DEPART l q„z, I NS PEC TO" / 3 P%)/ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW 0 4 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT Q REQUEST FOR INSPECTION RECEIVED /t /� I t C NAME 0,t--e_Sk We'd T V is LOCATION 3 ! N�r�s � L ►iU'� DATE 6 [C 1 PERMIT # 1 aq TYPE OF STRUCTURE V \k;Th- RECHECK APPROVED N/A Y NO t; FOOTING'S/aPIERS M�OLITHIC 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 bN SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE 1 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 / FIRESTOPPING /• WALLS CEILING FIREWALLS HEATING ROUGH-IN _ INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- F LOO•RS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE —' DEPART '/ <glcI PEC R re, ,,..'_'_ __ I, ,. ----- _., TOWN OF CalE. i d ,.,,,, •,,, , _ , AUG 01991---- ----------------- L , r . BUILDING' & CODE DEff-,- 1— 1 Co-Q /. I . / • : -_;--] ---(1- /, . r i . 1 1- / . . .---• \ I I\. / PO I _ . - -- T. . \if /' _ (.t, 4° • . 4?-,-- --,- , i , ,t!.... c.o, I • . _ CII • ,is-),6 ....„) ,cf-,,,,,, I LA 1 ..*tv ,, ,. Q7z, * 1 ,Iv - e:. . 1 , i , , / 1 /C) 1.71, \\ - -- , V' _ _ 1 0 \ , . . I — : TOWN OF QUEENSBURY - i ! 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