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1991-647 • ‘4A.t CERrrIFICAPI'E OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date April 169 19 92 This is to certify that work requested to be done as shown by Permit No. 91-647 has been completed. This structure may be occupied as a Single Family Dwelling jat-f5-Cline Avenue Loc.ation Owner Hr. And Mrs. John F. Moynihan By Order Town Board TOWN OF QUEENSBURY • Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. q1-h47 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to P1%M JOHN F MOYNIHAN 00 OWNER of property located at lot 5 Cltt Avenue 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. 1. OWNER'S Address is 10 Stewart Av Glens Falls NY 12801 2. CONTRACTOR or BUILDER'S Name Daniel Girard 3. CONTRACTOR or BUILDER'S Address 0 Glens Falls NY -n 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 c-F C31 n 6. TYPE of Construction— (Please indicate by X) �• rD ( Wood Frame ( ) Masonry ( I Steel ( ) 7. PLANS and Specifications No. 44')60' Single family dwelling as per plot plan, specifications and application including two-car attached garage (septic is municipal ) 8. Proposed Use Cr) Single family dwelling October 21 92 763.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 19 ! a (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.) 22nd October 91 Dated at the Town of Queensbury this llth Day of , 19 SIGNED BY Ond oo for the Town of Queensbury"� cra Buildinngg and Zoni Inspector 6:1/ TOWN OF QUEENSBURY i : .. AltREVIEWED BY: r (fin' �uiL. ' `" i, ''''1 -14r i ; FEE PAID: 0363, 67) �P, �_ � � BUII.UQ: O & CODE DES fl PERMIT NO. . f/—lp17 F a ,ro (fir@ '.wAf tom"6Iyra1% L / , E.t a(;"i� i fit, ,-) BUILDING PERMIT APPLICATION S E P 1 u 1991 A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS W�IU C,E 1A ggJVTIL 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: P.O. Address: J,� ,S7eAr r�- /vim PHONE Property Location: 0L v 0 dr . R-Ve- Tax Map No. /a / I / 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: f1 i n cE AolrlsKiae Lot No. •5 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE —Construction of new building * CONSTRUCTION: $ /2..5 --L' Addition to building * Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: Or ft. x i 5 ft. • Other work (describe) * xi ting Building Size: * ft. x AP,- ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: i f* property line: 1st Floor /./a 8 Sq. Ft. / o Front Yard J 9 ft. Rear yard / 3 ft. 1C ./e -- *-- Side Yards j - ft. and i ft. 2nd Floor . ?o Sq. Ft. Z * If on corner, setback from side street- -r 44- ft. Other Floors ----- Sq. Ft. -> L (not cellar or basement) 5* OCCUPANCY INFORMATION: TOTAL FLOOR AREA: / 9'9 8 Sq. Ft. 2-�d * %.,r_i Building - �/� * One Family Dwelling Size of New Structure: 4"r ft. x e<Q ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partial /MP (Circle One) * Business ..�. * Industrial No. of stories (Habitable space - - * Other Height (grade to ridge) 4? ft. * If residential , no. of families: otIg5- * If addition, what will use be? rli(-- No. of rooms (excluding baths) : , .,LS" --Tril * No. of bedrooms: 4A-Ririg- No. of bathrooms: - v * Accessory Building: Primary heating system: ,47 s. /; /F!- * Detached Garage - One/Two Car Type of fuel : l/(, 4/ACAL_, * —r Attached Garage - One/ o C No. of fireplaces td be installed: 0;r)j * Private Storage Building , Will a woodstove be installed?: Yio * Other Central Air Conditioning: Yes Now (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: -8302550 fire safe, etc. 64500 43Crywr.:- Will any second-hand or ungraded lumber be used? If so, for what? yl o Foundation Wall Material : e O/1C r '73& A�Thi ckness: ;41 Depth of Foundation below grade (to bottom of footing) : b - Will there be a cellar? Heated or Unheated? 04/4 Floor Sq. Footage: /' 8 Will there be a basement? in C Will any portion be used as living space? fl oP If so, what portion? 4 4- Sq. Ft. Type of Use? 4 i4 Type of Roof: Sl o e /Flat/Shed/Other Material of Roof _ p i `/ day iLt Size, wood studs " x " ; spacing ) < " o.c. ; length 6 ft. Joists (floor beams) : 1st Floor " x /0 spacing 1, " o.c. ; span /4 ft. Joists (floor beams) : 2nd Floor 2 _ " x /O "; spacing J . " .o.c. ; span , )214 ft. Overlays (ceiling beams) : " x , " ; spacing ) " o.c. ; span . ,4 ft. Roof rafters: " x /o " ; spacing 1( o.c. ; span l9( ft. Roof trusses (pre-engineered) : spacing rr " o.c. ; span /its ft. Exterior Wall Finish: Vi ' 41 as of what material ? 17,yr 7 L_ Interior Wall Finish: 3 _t.,fir',,- : ,-7' Rod .� zzi A If a garage is to be attached, describe material to be used for FIRE SEPARATION: Is. thdre to be an opening between garage and dwelling? 161d4f so, will a Fire-Rated door, enclosure, self-closing device be provided? )43-_!5 / Will a flue-lined chimneybe installed? ! { °�� � Height above roof �°� ft. Depth of chimney foundation below grade: ga,413 ft. Depth of fireplace hearth: / ft. 4- in. Water supply - Municipal or private well : Kt, tir, y ,, r, _ SEPTIC SYSTEM: Distance from any private well (including adjoining properties: /7 4- ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: -70 } ,,,, J 4 g it R,',4 PHONE R- NAME OF PLUMBER & ADDRESS: ,,' p 6 0 PHONE /1 7 7 NAME OF MASON & ADDRESS: > >- y 41 ill/ r' PHONE 'f 8? 63 NAME OF ELECTRICIAN & ADDRESS: l; /,�A _f i , /J PHONE 7 l r 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 thorized by the owner. 1 Signature L r ,,,,..)/ • Own r, owne/ s agent, arc itect contractor 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:p i ;0 1991 Multi-Family Dwellingt' (3 Stories or Less_) nL®a. & CODE DEFT. PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets APPL CANT'S NAME / PROPERTY, LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area /9ni Sq. Ft. 2. Type of Heat - Elec'. Base Board Other 67a-5' /X71- k — 3. Is Building Mechanically Cooled? YES _ D' NO 4. Percentage of Area of Windows andpoors Over 17% rX 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 3 g 2-`r B. Exterior Walls R / g 1$ C. Glazed Area R 3.1 /. 7 D. Exterior Doors R 2 .S z•S E. Floors over unheated spaces R 3 o/ig /9' F. Edge of Slab on Grade (Heated Building) R i✓/9 _ -- G. Basement/Cellar Walls (Above Grade) R H. Basement/Cellar Walls (Below Grade) R I. Heating/Cooling - Ducts - Piping in Unheated Space R. 'Z_ _ z 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code X YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED L\-Y AP LICANT' SIGNATURE DATE 'TELEPHONE NUMBER INSPECTOR'S REMARKS: D41//!/ RE EWED B jt or_ F " //z. L. Li x IS - ft - - or P3 -• 3 /e as- 7-,4p x2 5 3,e,..)4 g % 7"// - L, v ! ✓! 9 'D act)a/4 v p '- 2 45 w-7) 'aDo w n - ®s n , DO - 8 rvl � 2F3� 5 2 - C` � zs j n&P _ I iDdw - • e e _ 61 3 3 o uJ Le Fa MAIN OFFICE ATLANTIC-INLAND, INC. 997 McLean Rd. NEW YORK Cortland,New York 13045 MEMBER OF N.F.P.A.AND I.A.E.I. _ Phone: (607)753-7118 FIRE UNDERWRITERS (607)753-7809 C 1017 21 (607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service) (Incorporated in the State of New York) Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below. On demand applicant agrees to pay for - inspection service in accord with schedule of charges. APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE j' I ,' 1 ' l THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION CITY,TOWN,VILLAGE `-)'tJ�:;�/JJ WYi'"�c"1 COUNTY l/-/;���/41 G=/'7 STATE Ili 4�=_.'cl--/C),41-7f`• STREET I .ja_. _ J' _ f ADDRESS .,`,`;'"'r' .J L_ t_I ,'? L.:- f7L" L BUILDG.NO. RURAL DIRECTIONS POLE NO. OWNER'S r _ �--- NAME ,,' '.' F/1,:''6 J 1c)11 rl //2..7/1,/i.- OCCUPIED AS S r'7 G') LL. / 3 -ii ' (.f OCCUPANT •_..>/ er7 C F / BUILDING—New U Old 0 WORK—New❑Additional 0 OWNER'S P.O. ADDRESS I C''' _ -.t,�, 4.••c_J/I 7. 71_-_._. '`7,/1:-.71 APP.FOR—ROUGH WIRING❑FIXTURES❑OR READY FOR INSPECTION - - 19 FEE REMITTED—$ BY CHECK 0 CASH❑MONEY ORDER 0 MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK Number of Rough Wiring Outlets Fixtures Add Installation Swtch Li'tng Recep. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Heat Base Base / Elect.Heat ; ,, / Amp.Service Water Htr. Burner Air Cond. i' Surface Unit Oven Range Gr.Disp. Dish W. • _. Dryer H.P.Pump Ex.Fan Hood • OTHER EQUIPMENT(Specify Type&Capacities) TYPE OF _ SIZE OF SUB- BRANCHES NO.OF WIRING OPEN❑ CONCEALED O' OTHER MAIN ,��(-.)0 ;1 11/ MAIN CIRCUITS I� APPLICANTS ,>,/p .,/ ` SIGNATURE 1'1•r -_':^r-t / '_.Y=>r_-c:!,_-�C;"' LICENSE# PERMIT# T'S NAME OF APPLICANTS ADDRESS ,, , / =.� 7r1 r9 L_� f.714 UTILITY Ill)-r -f/4 d r7'7 4 )4.Yri c-c-' , r. OFFICE TO CITY (•_, f-^ STATE /-) (-I ZIP CODE 1 ca r``) I BE NOTIFIED l C c'.1 S o 1/--Z-S SPACE-BELOW FOR USE OF INSPECTORS ONLY ROUGH WIRING AMP SERVICE K.W.SURFACE OUTLETS EQUIPMENT UNIT SWITCHES AMP SERVICE K.W.OVEN CONDUCTORS H.P.GARBAGE RECEPTACLES H.P.PUMP DISPOSAL UNIT MEDIUM BASE K.W. FIXTURES K.W.DRYER • DISHWASHER MOGUL BASE K.W.WATER FIXTURES HEATER K.W.RANGE FLUORESCENT H.P.AIR AMP. RECEPTACLES FIXTURES CONDITIONER MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER SMOKE FRAC.H.P. QUARTZ FIXTURES DETECTORS VENT FANS MOTORS,H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1' 2 3 5 7' 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 APPARATUS Elect.Heat MISC.INFO. Received Inspected FEE PAID ❑PROGRESS TOTAL$ ❑DEFECTIVE Check No. 0 Rough Wiring Certificate ❑Temporary Service Money Order ❑FINAL CERTIFICATE - Cash ❑Dup.Cert.Req. Charge ❑MUNICIPAL MUN.ADDRESS ATTN: Temp.Cut-in Card No. Final Cut-in Card No. Inspe- AI-o1 MUNICIPALITY TOWN OF Q LIEENSI LIRY • Bay at Haviland Roads, Queensbury,N.Y.12801-9725 . APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES ., Date /d 19 1/ Permit No. l -IA 1 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 atiP4ti conditions that are.•art� f,these re utrements and atlso.-will allow all r ti P . . r�. q � �° inspectors to enter premises for the required,inspections. Applicant's Name /��©c^ /�( ^/Jf .,A'.. ,D/ /j A 'PLIt�N.GE 'I;YPE meJ i /'ili. ':`4l''�M.f 4 , !-!f`?/4N I'll l ,,t i l . 1.�f i 1 ,,:. ;• t :-•,�.,_ ; Stove f Coal Wood d Address /Q S w,,9 ,eL. A:k4- "', ?5_:- Furnace • Hot Air Boilet - lo ,ram s • H.- Zero Clearance ,�.p-''' Cir•_culatinl; Unit tjL z..;ii- s 2f`-ffIL� /7.4 ,OP Ai red ► (`, d (i:: i: .. /--- Phone t. a ,o .-.If Non;: Iasonrj�, = ;,F 'Owner's Name „a,, Manufacturer Address Model Outlet Size Zip Listed by Number I'hote . . CHIMNEY TYPE • Masonry: Block Brick Stone Property location of proposed construction Flue: ,'Tile _ Steel .LOB .S ('/ A 4 g- /'?a.14 nn.•> SO 6 O)rl S, oe7 Size: i Factory Built: CL '4-4-'m ��e 1 1 p7 / d 1 Manufacturer P Model P Size P COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By . Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated d.----- Wit,. ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ .,8 S'c.)e) CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ SONRY FIREPLACES AND CHIMNEYS. • CASHIER'S DEPARTMENT TOWN OF QUEENSBURY, NEW YORK • Department; Fire Marshal ,f Amount Collected Amount Refunded O Code Number Title ' A]73 3389 (190)Public Safety A233 2655 (230) Minor Sales • Felccled from�r Refunded to: �-$ a t� ,a a V c bl (2 , 7, r°v, 0/ -` �, AL,491//) Dated: m A/ Town Clerk or Deputy l� l / While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal I "� Member N.F.P.A.&I.A.E.L `� �/ ATLANTIC- INLAND, INC. - NEW YORK EtCCCtrteaf Certificate E • _ • Electrical and Fire Inspection-Enforcing&Consulting Service 997 McLean Road,Cortland,NY 13045 DATE: CERTIFICATE NO.: C�101721 • 05/12/92 , • OWNER: AS APPROVED FOR: P7r. & Pins. Joei:u•-i1oynihan • Cline Ave. Lot 45- ADDRESS: _ `° Residence; Queensbury, NY 200 Amp Ser./25-ssr./4.5_recept./20-md.1ase fly./1.- fluor.fix./1-dryer/1-range/2-vent fans/2-smoke ELECTRICIAN: Daniel Gi.raed det` }`l' 97 McDonald St., ADDRESS: Glens rills, NY . 120i . The conditions following governed the issuance of this certificate,and any certificate previously issue ..A. is cancelled: - •( — " " This certificate only covers the electrical equipment listed and installation conditions as of date.Up( the introduction of additional equipment or alterations,application shall be promptly made for inspection( 7.„ .. rm Inspectors of this Company shall have the privilege of making inspections at any time,and if its rul _t ; Y are violated,the Company shall have the right to revoke this certificate. ' 0 • — . . Al-27 "Certificate is not for the approval of the fire alarm pa btefrive system:." TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED ,4 S1/9 \�� l NAME 1 r� Win') jbr�ll n c � l nI LOCATION ,- �n /- 1_(_-- ) DATE (:) I ti( 9l PERMIT# C) 1--= (D�'7 ` APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM •N, INTERIOR FINISHES '. r STORAGE: 4' CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE t" CHIMNEY WOODSTOVE / • FLREPLACE-MASONRY ,/-- /FIREPLACE-FACTORY B BUILT REMARKS: 'OK 'TO THIS DATE / 61Kry'66i- 1147i ARRIVE DEPARTS771,/,Z5/- LS / L-I—SP'ECTOR ch/ 0 , TOWN OF QUEENSBURY '7 BUILDING AND CODES DEPARTMENT 531 BAY ROAD • QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPEC ION RECEIVED . � 5 �L NAME S 6�i v, oyih r� . LOCATION 4,4 V 1 (\i AV-4? DATE PERMIT II TYPE 0 STR CTURE S , F 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 A ' ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE, PLUMBING UNDER SLAB FRAMING: / - JACK STUDS/HEADERS BRACING/BRIDGING / JOIST HANGERS JACK POSTS/MAIN BEA \ HEATING ROUGH—IN a ` INSULATION: / . FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R— FLOORS R— WALLS / R— pT CEILING f R— 3c DUCT WORK OR PIPING IN UNHEATED SPACES • / REMARKS: r ' ARRIVE DEPART VSPECT R ,. 11.,067}V\.0\1 TOWN OF QUEENSBURY ,,:i'► 531 BAY ROADi an ` QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED it /�/�s 7 3-- NAME I 1 ��«4 i 110.n I 1`� I ► - ciA li c LOCATION '2- '1 f' C.41 ei ,)FE U ,p,. DATE I I I q 2 PERMIT# 9 I - ,/7 TYPE OF STRUCTURE , A er . rn, j e4gi (L RECHECK FIRE MARSHAL APPROVAL ( OMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL [FRAMING ROUGH PLUMBING FINAL ELECTRICAL' _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION ;,/:, B VENT/LOCATION i PLUMBING VENT 1 ;/ ROOFING 1 ,....---- SIDING I a-� DECK/PORCH/STEPS/RAILING -&i4061/41� <<% RELIEF VALVES " „.„....- FURNACE/HOT WATER OPERA ING ....--- BASEMENT INSULATION/D T IRK ✓" INTERIOR TRIM/PRIVAC DOO'S �'' FINISH FLOORS: BATH/KITCHEN WAT,'TIGHT ;`/ OTHER FLOORS SW PABLE �--- OTHER FLOORS C"PETED STAIR CLEARANCE/'AILINGS HANDICAPPED AC SS :.!' SMOKE DETECTO' ✓ -" BATHROOM FAN / ; :• ,NS ALL PLUMBIN FIXTURES OPER'TING i/ GARAGE FIR, PROOFING DOOR CLOS. 'S OTHER FI r E SEPARATION i L� FIRE/DErISE WALLS I ✓' DUMPST" 1...---- SITE 'LAN/VARIANCE REQUI'•MENTS ✓ ,- FINAL ELECTRICAL ✓/ OK TO ISSUE C/O OR C/C COMMENTS: /G` /9.2.- ARRIVE DEPART / INSP T cA .',LS c.(‘ 'C--' TOWN OF QUEENSBURY FIRE MARSHAL q-',, QUEENSBURY, NEW YORK 12804 \I �11 TELEPHONE (518) 745-4424 4- 1 PM FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED L.j 11519 - NAME MOU6\ 1 `'-vitNAr9 ffl 4\ Y) LOCATION 1 94 5 L i ne A1r-. A,,—R-- DATE I tpe a PERMIT# CI I — �t! 7 I APPROVED N/A YES NO EXITS AISLE WIDTHS ' EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEN ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRIN LERS CLEARANCE Td HEATIIG UNITS REQUIRED SIGN/ IGN GE CHIMNEY WOODSTOVdE 1 FIREPLACE-MASONRY ,CFIREPLA(CE-FACTORY BUILT / , REMARKS: Li OK TO THIS DATE 2/015 `-INSPECTOR' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED NAME V- / ;91 ►A LOCATION C \ ` (N .E, , DATE 1 .7,4 Ll PERMIT i c ) — Cn 4! TYPE OF STRUCTURE S c AM RECHECK APPROVED N/A YES NO FOOTINGS/PIERS • MONOLITHIC POUR FORM REINFORCEMENT IN PLACE i . 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 r / ROUGH PLUMB,;fNG PLUMBING VENT/VENTS IN ;.PLACE PLUMBINGIUNDER SLAB i / FRAMI NG V JACK'STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM _EATING 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: da ARRIVE 7 / DEPART ! <� -'c'C" 1('VZI 1 INSPECTOR TOWN OF QUEENSBURY Al BUILDING AND CODES DEPARTMENT tY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /,.J G- q NAME �?/ / litA�-/ (mil i (2 LOCATION /1Y3 ( &4LQi Az DATE li ,i ,'2 iqf PERMIT i q/- 4'7 TYPE OF STRUCTURE `1 '/C:/) 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 i THE PLACEMENT OF THEICONCRETE. 1 MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR! ; REINFORCEMENT IN PLACE f /j FOUNDATION/DAMPROOFING r✓J/ BACKFILL APPROVAL \ ROUGH PLUMBING i I • PLUMBING VENT/VENTS IN PLACE / PLUMBING UNDER SLAB , FRAMING: 'a 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- WALLS R- CEILING R- ' DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE )Z — DEPART. )& _ d?G%�/� I NS PEC TO TOWN OF QUEENSBURY (2)10 I La BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT �/ / ,� REQUEST FOR INSPECTION RECEIVED // NAME ) ► WO \ , I 7 AA\ LOCATION Ck DATE l l/ip 5 ill PERMIT if Cl --- (0'77 TYPE OF STRUCTURE RECHECK APPROVED N/A YES, NO 4FOOTINGS/PIERS s/ 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 FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R • - FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE O,`.>J i DEPART /O< V6 75<—r INSPECTOR 25,e4), 44,17 TON OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME JdL� 7#074/X 4.7 LOCATION S c/i,.r .474G-c_ DATE // y y PERMIT I 2/ - 6 1/7 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! 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