1991-686 T
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE
OF OCCUPANCY
Permit Number. 91686 Date Issued: Monday, November 09, 1992
This is to certify that work requested to be done as shown by Permit Number 91686
has been completed.
Location: 36A SMOKE RIDGE Rd
Tax Map Number. 523400-308-008-0001-027-000-0000
Owner. JMC PROPERTIES
•
Applicant: CIFONE, JOHN
This structure may be occupied as a:
Unknown
By Order of Town Board
TOWN OF QUEENSBURY/�
4 ! F
Issuance of this Certificate of Occupancy DOES NOT relieve the 4 c-
property owner of the responsibility for compliance with Site Plan, G'Jv `G
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-686
WARREN COUNTY, NEW YORK N
PERMISSION is hereby granted to John Cifone
w
OWNER of property located at Smoke Ridge Rd Side A Lot No. 13 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a ; of Duplex
at the above location in accordance to application together with plot plans and other information hereto filed and n
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. C
fD
1. OWNER'S Address is
Box 684 c
Glens Falls, NY 12801 g
2. CONTRACTOR or BUILDER'S Name
Same •
3. CONTRACTOR or BUILDER'S Address
O
CD
4. ARCHITECT'S Name n'
UM
fD
ca.
N
5. ARCHITECT'S Address
CD
r
0
6. TYPE of Construction— (Please indicate by X) •
412
(X)Wood Frame ( I Masonry ( )Steel ( ) W
7. PLANS and Specifications
No. 1249 sq ft 2 of Duplex as per plot plan specifications and
application
8. Proposed Use
1/2 of Duplex
$ 155.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 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 d Day of October 19 91
SIGNED BY C fJ�t / for the Town of Queensbury
Buz mg and Zonifi nspector
•
TOWN OF QUEENSBURY
kke
REVIEWED BY:411111111ft ;.r '
FEE PAID: 7 ��-
jOEN
�jl / a SEP 2 1991
PERMIT NO. : %< (00,
".t1 . & CODE GEC'9
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: --,Do\r Ci-;o,,.�
P.O. Address: srLox Q,i C' LFn cM-'.6 t.iy. PHONE 192--c12.9?.
Property Location: �jvv‘pN/N,e. R;sclQy,. ? %. Tax Map No. 12.I / IO / 13
Has there been any split of this property since October 1, 1988? Yes No X
If yes, Planning Board Review is necessary. i
r� 1 br
Subdivision Name, if applicable: e'uryct' �'�4431., Lot No. 125
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS 0 BUILDING CODES IS:
ZrA srN Ci Foti,e .
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
N Construction of new building * CONSTRUCTION: $ (jO lnits
Addition to building * 1
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: 1-4.3 ft. x 2.i0 ft.
Other work (describe) * Existing Building Size: lloW
ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor 532, Sq. Ft. b ® * Front Yard 156 ft. Rear yard 50 ft.
-70 * Side Yards 2. ft. and 2.7 ft.
2nd Floor -117 Sq. Ft. 0 * If on corner, setback from side street-
* ft. •
Other Floors. Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
. i *
TOTAL FLOOR AREA: 12.gq Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: 245 ft. x 33 ft. * X Two Family Dwelling
Found. ' in: * Multiple Dwelling/No. of Units _
Pier lab Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) 2.. * Other
Height (grade to ridge) 2..,46 ft. *
If residential , no. of families: 9..N * If addition, what will use be?
No. of rooms (excluding baths) : 4 *
No. of bedrooms: 3., *
No. of bathrooms: V/z, * Accessory Building:
Primary heating system: 1,.1crr Alf, * Detached Garage - Ile/Two Car
Type of fuel : C46 WA'Titlt,.l. * K Attached Garage - 011epTwo Car
No. of fireplaces to be installed: * Private Storage Bui .ing
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. \%/0 o(j crdme-.
Will, any second-hand or ungraded lumber be used? If so, for what? IA)
Foundation Wall Material : C..qy., Thickness: +
Depth of Foundation below grade (to bottom of footing) : 41'
Will there be a cellar? NO Heated or Unheated? tNJA Floor Sq. Footage: $44.
Will there be a basement? Will any portion be used as living space? NP
If so, what portion? NA Sq. Ft. Type of Use? NA
Type of Roof: Sloped/Flat/Shed/Other 4:31.4%(:).. „1 Material of Roof $ 41WiL.G
Size, wood studs 2-, " x (Q " ; spacing \lo " o.c. ; length a ft.
Joists (floor beams) : 1st Floor " x "; spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor 1 I " x *Z "; spacing 2-.!q " o.c. ; span I 1' ft.
Overlays (ceiling beams) : 2-- " x (O " ; spacing Von " o.c. ; span 1a ft.
Roof rafters: 2.. " x 1Q " ; spacing Ilo o.c. ; span « ft. 2-A 6-i(10; %'3 aft -N.
Roof trusses (pre-engineered): spacing " o.c. ; span ft.
Exterior Wall Finish: 0_,\_NP EO c 7S of what material ? \/1ts1 1L.L
Interior Wall Finish: V2_, \c-pc\c
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
�/(i) -1-Y X 5lk C 14
Is there to be an opening between garage and dwelling? 1E5 If so, will a Fire-Rated door,
enclosure, self-closing device be provided? '(€5
Will a flue-lined chimney be installed? Whe Height above roof WO, ft.
Depth of chimney foundation below grade: WA ft.
Depth of fireplace hearth: %4i ft. in.
Water supply Municipal or private well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: lr/A ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: C ,; c phe C.or '' PHONE `1910.- 92-42
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE 0_
NAME OF ELECTRICIAN & ADDRESS: `. 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 .-k
• Owner, owners agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
OF�+ �ifs��; -
RECE)V
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) SEP 2 5 1991
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;- & CODE DEPT.
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
�oAeNr . Ci Cov1e_. le<St. 13 s t ? ido SV
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 12-4 q Sq. Ft.
2. Type of Heat - Elec. Base Board Other Zit Nod" Itl�
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% Pc 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 3J V
B. Exterior Walls R IC1
C. Glazed Area R 3.03
D. Exterior Doors R 2)
E. Floors over unheated spaces
F. Edge of Slab on Grade (Heated Building)
G. Basement/Cellar Walls (Above Grade)
H. Basement/Cellar Walls (Below Grade)
I . Heating/Cooling - Ducts - Piping in Unheated Space R. IA
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code D( YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
ti, -t-r q.t a 1 ci 4
APPLICANT S SIGN TURF DATE ELEPHONE NUMBER
INSPECTOR'S REMARKS :
n
•
RD BY
is
� j TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #)F
Fee Paid1ECEiVED
- Date: q`tg1011 Reviewed` Y 2.3 19
LOCATION OF PROPERTY FOR INSTALLATION: .Sie,"oVe R', ''-. -IID DEPT-
Owner' s Name: -A.; C—i•c a
Owner' s Mailing Address: Pa [x(x ( ' ,A (alvr,5 ' A\A
Installer's .Name: Phone -#:
Number of bedrooms (if residential ): . 4
Total daily flow (residential-compute @ 150 gal . per bedroom),: (COO
Topography-Circle One:, Flat Rolling • ,Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam Clay Other /Depth:
Ground Water-At What Depth? Feet-
. Bedrock or Impervious Material-At What Depth?' _ Feet
Percolation Test-Circle One: t Required' Required/Rate Min.' Per Inch
• Domestic Water Supply-Circle One: Municipal Well Other %Jv c1iA1
If domestic water supply is a well -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank \l j3: gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench . • 'feet//Total System Length 2.6 0 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: � DATE: 19
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
TEMP.# DATE
CITY OR VILLAGE TOWNSHIP COUNTY
• ry \N/I,,KeW
STREET AND NO.OR ROAD / POLE NUMBER
LET 5''' ,- A`{is,l,a. CSd -
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? V - SECTION , ��(�� BLOCK LOT
7P. �AN /WISE \O/CtJ •
OCCUPANT'S NAME BUILDING OCCUPANCY
OWNER'S NAME AND AD ESS HOME TELEPHONE NUMBER
it-. 1 C ova -1 9 -
CURRENT SUPPLIED BY C1 FROM OFFICE WORKLEPHONE NUMBER
1
BUILDING IS
NEW 1>< OLD❑ WORK IS NEW❑ 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
tion — — 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-
MENT
1st
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 ELECTRIC SIGNS/LAMPS TOTAL WATTS
St
CHARACTER
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE 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 DENT F CATION NUMBER
C. PP"�v y 11
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICANT DATE OF APPLICATION SI NATURE OF AP C NT
•
Ct fcoln Q, :,S C� x
STREET ADDRESS _ - TELEPHO ENO.
c.v'6�9 • 71 -cl2 4 2
CITY OR P}ZST OFFICE , ZIP CODE LICENSE NO.WHEN APPLICABLE
•
❑ 85 John Street F ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lace Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
THE NEW YORK BOARD OF FIRE UNDERWRITERS
. Si„,,,,QA,afA?t/_)tl)h-,kt,,ktl.tti",aik",J_IP/.Atl".Atl..1i, i,"",.A(.,kt(,0t[_"„011l Ai."_"," %t(..lt[.„11//„XL,),t..,".. h.A[M„kin."fit,, t,_".", ti,1ti: ,"„Mi.,1ti_"."t,,t,.M.!..)!I
o'„ THE NEW YORK BOARD OF FIRE UNDERWRITERS E'P.C.: ; :1 ® .
4
I• .. BUREAU OF ELECTRICITY
sr.: �: p 41 STATE STREET,ALBANY;NEW YORK 12207 .
L Date t`�OV'tal`T 1 1:3,.E'3J Application Neon file C�Lfl -i,E�:i1 Z,`9.1.. A 0 66c)y
. ': THIS CERTIFIES THAT +'T;i �9 i_i 3'Y. t�t.-6
t.. only'the electrical equipment as described below and introduced b the [named on the above application number in the premises of
10
" 'G11E] CAONE s DEE RIDGE RD. , ou ENSBUR l4,Y. •
5
2. in the following location; ❑ Basement .( 1st FL ® 2nd Fl, C. t Section Block Lot 13B
►; was examined on O f'i OBE R 30•1992 and found to be in compliance with the requirements of this Board.
,
- FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
�, OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER . AMT. K.W. AMT. K.W. AMT. K.W. AMT. _ K.W. AMT. H.P.
76 I.1: 1 ii
y` .4. �ii; 2:. .1.6 _ 2 1'
L -.'
�' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
1, SYSTEMS -
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS.. TRANS. "AMT. H.P. NO.Of FEET AMT. WATTS
•
11
�• 1 1' .' ._ 1 •
a •A;
0;
, SERVICE DISCONNECT NO.OF '
S E R V • I C E
�: AMT. AMP. TYPE METER
I NO.o 1coND. OF CC.CGOND.. NO.OF HI-LEG Of•HI we NO.OF NEUTRALS OF NEIJGRAL
f.
•
.1 150 CD 1 X It 2/0 • 1. 1.i %
,1 OTHER APPARATUS: IN•
- : •
1. !.;..f'.C.. ..: -6
i; SHOKE DIIITE;t:'lOP.: -7..
1,
9� 1. CIF OBE E CONSTRUCTION
�, 1�.Eif`% j,.t 1 F$ul,,,E C..C1.L, •
BRANCH MANAGER W
MAPSPALM, t,"LT- ! `.£ _iJ. . . ,_"rs9 o
.. 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. •':
�(i. ® 0 0 ® 0 ® rmetirminew esmnsinin 0 ® 0 ® ® ® rtannor ® ® nson 0 0 .--7t ..i.-. .,.c.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. •
TOW OF QUEENSBURY V
531 BAY ROAD
:Y'�# „ : QUEENSBURY, NEW YORK 12804
ti TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIr
REQUEST FOR INSPECTION RECEIVED� /q
NAME
LOCATIO9�l / 4I.G`i %G�41(1 / i}
DATE /C17 ,/�/Q, PERIITO 9/ll16
TYPE OF STRUCTURE 1Z G L /`'i'
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
-ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
-INSULATION _WOODSTOVE/FIREPLACE
REMARKS .A
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION >
PLUMBING VENT K
ROOFING
SIDING X
DECK/PORCH/STEPS/RAILINGS j<
RELIEF VAL S )C
III 3 MOT WATE: ►PERATING
I` ERIOR 'IT/PRIVACY DOORS X
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS N X
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING a,„
DOOR CLOSERS 1
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS A
FINAL ELECTRICAL Li o,uS;t�;; K.
OK TO ISSUE C/O OR C/C
COMMENTS:ni /�
/VIU�'i (�A-vl'r L-OM l—TOLJ /1•-(
1z Pp'tic
boo Fa_ U ii222-uc
ARRIVE
DEPARTS'-
NSP CTOR
awn of Queeni [try .
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 �\
Queensbury, New York 12801
SEPTIC DISPOSAALLi SYSTEM INSPECTION
NAME A/�
JI� Lo T
LOCATION Li)T . SM(���{ 4' e �. s. / 3
DATE lD Z?/ 92. PERMIT--NO. (q/—& G 6,11I
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO ,
Percolation rate - Min/Inch
TYPE of SYSTEM: t
Absorption field, total length
Length of each trench' CS
Depth of trenc es � f )
Size of gravel -7.
SEEPAGE PITS{Numb' r of)
Size- ft. X \ ft. 7 -
Gravel size \
PIPING: \SI.ze Type
Bldg. to tank ,�
�crl�t v 1Ur
Tank to dist. box f' \ f' /�
Dist. box to field/pitk (/'C__
Openings sealed? ES> N Partial
LOCATION/SEPARATIONS:
Foundation to tank /6 ft.4- -
Foundation to absorption '30 ft.4- ---
Absorption to lot line t ft�4-Z no Pt "
Separation of pits 1� y�,¢ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
Ct t Alt cr ( 5-- 7 �=r
,Lac .-r oArcy
f**24
SYSTEM USE APPROVED Y NO
B lding `in pector
01/86 and vl
TOWN OF QUEEHSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
• QUEENSBURY, NEW YORK 12804
TELEPHONE (518)- 745-4447
BUILDING INSPECTOR'S "i=PORT
REQUEST F R IC SPECTI' RECEIVED
a:d �>J
NAME Gr Vd<�
LOCATION tc / /3 _�j�w�� 04
DATE R 2J �'Z PERNIT ,C
TYPE OF STRUCTURE t Z �
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE ,- .
THE C0NTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FRO7
FREEZING FOR 48 HOURS FOLLOWING
THE PI '.CA ENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON SIRE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL - L 7
ROUGH PLUMBING , -
--PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS /
BRACING/BRIDGING 7
JOIST HANGERS
JACK POSTS/MAIN BEAM,( `t
HEATING ROUGH-IN f '.
1/INSULATION: f
FOUNDATION WALLS I, TERIOR
FOUNDATION WALLS EXTERIOR R17
FLOORS
WALLS r R
CEILING ►/ / / R- A - VA
DUCT WORK OR IPING IN UNHEATED
SPACES 1 +,
REMARKS:
• ARRIVE
/719
DEPART 1 6:`Z j /i--L-
INSPE OR
TOES OF QUEERS WRX
BUILDING AND CODES DEPARTMENT /2
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR E SPECTI:es RECEIVED yl 6/9,,,,d.K_,
C _
NAME
LOCATION /•�/� �1�e i A G
DATE 9/io/OJ PERMIT 0 9/-611
TYPE OF STRUCTURE 2 4
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FRON I
FREEZING FOR 48 H, RSIFOLLOWIRp
ll
THE PLACEMENT OF THE CONCRETE/
MATERIALS FOR THIS PURPOSE ON' SITE
FOUNDATION/WALL POUR 1 ,I/
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL ( /
(ROUGH PLUMBING
? PLUMBING VENT/VEN a Iv 'LACE
PLUMBING UNDER SLAB MN
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING \
JOIST HANGERS
JACK POSTS/MAIN EAM i.
HEATING ROUGH-IN
INSULATION:
FOUNDATION WAL S INTERIOR R-
FOUNDATION WA LS EXTERIOR R- • -
FLOORS R-
WALLS . \ R-
CEILING \R-
DUCT WORK OR PIPING IN UNHEATED
SPACES \,
REMARKS:
N-A4oLC5F} I,U6 O C-0
• ARRIVE
DEPART
INS CTOR
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 \\ N cK' -f tQ 0✓%�i i��,S
LOCATION ), ','4 I �` S i D(, yr)
�--1 pII-
DATE 9/10/"2 PERMIT # 11-dQD!�
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 PyURPOSE!ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFOG
BACKFILL APPROVAL
)(ROUGH PLUMBING 1 r
PLUMBING VENT/VENTS 0 PLACE }�
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING'
JOIST HANGERS /� r
JACK POSTS/MAI'N 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
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DEPART //l; 05 /
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I'NSPECTOR
I
' 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 C
�
LOCATION f 0 I
DATE l V 2--PERMIT # 6 J'
TYPE OF STRUCTURE
RECHECK APPROVED
, N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IDS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF ThE CONCRETE.
MATERIALS FOR THIS PURPOS'E ON SITE
FOUNDATION/WALL POUR ,�
REINFORCEMENT IN PLACE ,
FOUNDATION/DAMPROOFING,W
BACKFILL APPROVAL '
ROUGH PLUMBING
PLUMBING VENT/VENTS tiIN PtLACE
PLUMBING UNDER SLAB/
FRAMING:
JACK STUDS/HEADERS \
BRACING/BRIDGINGi
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN1
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART /4
fi-lam- (///(74)2
INSPTOR/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /3
LOCATION >�
DATE 46fi/ PERMIT # 9/-
TYPE OF STRUCTURE l 1
RECHECK U� 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 f
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS I
HEATING ROUGH-IN ,f
INSULATION:
FOUNDATION WALLS INTERIOR R- //) X
FOUNDATION WALLS EXJrERIOR R-
FLOORS J R-
WALLS R-
CEILING R-
DUCT WORK OR PIP" IN UNHEATED
SPACES
REMARKS:
ARRIVE Mil)
DEPART 1/1,53 LL
INS ECTOR
ar m 1 B )1A,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT v
REQUEST FOR INSPECTION RECEIVED /� -1
NAME ti---d 'TLQL- �(`► Y1
ll�11-- t,Q i
LOCO`'� �jY �Gj i) e I
DATE /f/ J 9 I PERMIT if 1'� ['X l
TYPE OF STRUCTURE 2 LY( 'bv1‘
RECHECK f� APPROVED
N/A YE NO
(FOOTINGS/PIERS I �/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 N'
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN i
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- \
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
. SPACES
REMARKS:
•
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DEPART �;
NS PEC TO'
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