1991-736 0,
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CERTIFICATE OF • OCCUPANCY
.. . . TOWN OF QUEENSBURY . .
i..; . ...
WARREN COUNTY, NEW YORK ., -- •
',..,. .
- ,
Date ,/,,,ki../1/A4z- •• / 19 9-2-
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• ,
This is to certify that work requested to be done as shown by Permit No. . 91-736
has been completed. • „ .
. , . .'•-?":)-;:..,. . , /r'-•/,-- -• •
-•-, This structure may be occupied isja SinOlO'FaMtly Dwelling . .
Location Martindale 'Road •
. Owner • Mauro C. a Charles T. Mellon Jr
.. . .
._. ..
By Order Town Board
TOWN OF QUEENSBURY
•;1-i7 • .-L
•
Sii17 . A ,,,A9 //,
Director of Bldg. & Code Enforcement
• .
. . , . .
. . ... . . . .
-
. )
,
CE P:.TIFICATE OF COMPLIANCE
,
! TOWN OF OUEENSBURY
WARREN COUNTY, NEW YORK
, .
Date (11/nziWulA Al 19 59ii
,
, .
. .
This is to certify that work requested to be done as shown by Permit No. 91-736
has been completed.
This structure may be used as a two-car attached garage
,
Location Martindale Road
Owner Maura C. and Charles T. Mellon Jr.
. ,
1/47-2. 2 By Order of Town Board
TOWN OF QUEENSBURY ;
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, ! Director of Building AlCode Enforcement ,
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BUILDING PERMIT
TOWN OF QUEENSBURY 0
No. 91-736
WARREN COUNTY, NEW YORK 'o
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PERMISSION is hereby granted to Maura C. & Charles T. Mellon Jr
j I
OWNER of property located at Martindale Road 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.
0
1. OWNER'S Address is
RR1 Box 1625A Martindale Rd z
Lake George NY 12845
a
2. CONTRACTOR or BUILDER'S Name Ro
Woody Greene s
Greene ConstructionrD
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
a
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5. ARCHITECT'S Address phi
fD
6. TYPE of Construction— (Please indicate by X)
( XWood Frame ( ) Masonry ( ) Steel ( )
fL{
7. PLANS and Specifications -n
a
No. 2004 sq ft Single FamilyDwelling as per plot plan specifications and
application `.<
8. Proposed Use X
Single Family Dwelling —'
$ 282.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 17, 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 ,17 Day October 19 91
SIGNED BY c . !�//'%' for the Town of Queensbury
Building and Zoning,' spector
, TOWN OF QUEENSBURY
REVIEWS
4111ft FEE PAID S 7d OF QUEENSBUR`t
RECEIVED
Ulna"
PERMIT NO. C.
OCT 151991
BUILDING PERMIT APPLICATION
BLDG. & CODE DEPT
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.
* * « * * * o « * * * * « * * * * a * * * a * * * * * * * * * * * a * * * * * * a
The owner of this property is: Aura C. and Char1€S 7 file/Ion TR.P.O. Address RR I 'Sox «Z57' ,.Mar-Wok. Uokd ,Z4Xe Gedr�ie,1u1YIWiel. 773-5793
Property Location Yilar�nMt Ro0.d. Tax Map No. qa /02/ 02
Has there been any split of this property since October 1, 1988? / ilk)
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
ivooc[ii Gree11. Green Gn s.fruc-1-i„c,, 773-7/y(, .
•
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF
Construction of a new building „ CONSTRUCTION: $ �G1I O
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property °US- ft x 386 ft.
Alteration to a building • Existing Buildings(3) Size ft. x ft.
(nn change to exterior dimensions)
• Proposed building - distance from property line:
Other work (Describe) • Front yard ft. Rear yard ft.
•
Side yards ft. and ft.
•
If on corner, setback from side street ft.
GROSS AREA OF PROPOSED STRUCTURE •
1st Floor /I o? $ sq. ft. de (L /3r2-4. OCCUPANCY INFORMATION
2nd Floor �' 76 sq. ft. et �•o ��, Primary Building -
Other Floors sq. ft. D x One Family Dwelling
(not cellar or base,:.�rt „ - Two Family Dwelling
TOTAL FLOOR AREA 2 sq. ft. !T'�7--- Multiple Dwelling/Number of units
Size of new structure a 8 ft x 70 ft. � � �
Business
Foundation-pier/slab/craw l/partial� • Industrial
(circle one) • Other
•
l o. of stories (habitable space) 02.
Height (grade to ridge) 3`/ •
g �' ft. • If addition, what will use be?
If residential, no. of families I •
No. of rooms(excluding baths) 7 *
3 Accessory Building
No. of bedrooms •
_ Detached Garage ONE/TWO Car
No. of bathrooms 01 YL •
Primary heating systemBaseboa,d No/ Wfer • X Attached Garage ONE(I'WO Ca)
Type of fuel 0 / • __Private storage building
No. of fireplaces to be installed O •
�� • Other
Willa wood stove be installed e7 5
Central Air conditioning /V •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. Wood Frarb-e_
Will any second-hand or upgraded lumber be used? If so, for what? •
p 1
Foundation wall material POured Cvnere l e_ Thickness 8" 3.5OC) P S•1,
Depth of foundation below grade (to bottom of footing) ' t,
Will there be a cellar? Ves Heated or unheated? It.e�fed Floor sq. footage //2. e sq ft.
Will there be a basement?_ 1e any portion be used as living space? :WO
(If so, what portion? sq ft. Type of use?
Type of roof - (lope/flat/e/other Material of roof a(. cred - Sh;1..9les e/a, ,
Size, wood studs o` "x " spacing /b " o.c. length $ ft.
Joists (floor beams) 1st floor a "x /0 " spacing /(6 "o.c. span //ft.
Joist (floor beams) 2nd floor oR "x /O " spacing /b "o.c. span A/ft.
Overlays (ceiling beams) 2, "x " spacing " o.c. span // ft.
Roof rafters o2 "x /0 " spacing /6 o.c. span /i ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish 7�6 a s,a ,D/ ciaoard S of what material? Vi;,,
Interior wall finish 5hee�-roe,K day
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
1{eavy S/g" ).irecoce SI'ee�'roc1C
Is there to be an opening between garage and dwelling? Yes If so will a Fire-rated door, enclosure,
self-closing device be provided? AS
Will a flue-lined chimney be installed? `des Height above roof 3 (FIT Roc,5) ft.
Depth of chimney foundation below grade 06ft. (.2 - 8" Floes)
Depth of fireplace hearth ft. in.
— W'trter supply-- Iviunicipai or private well - kid
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties )bow ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER )iwood Greehe, ADDRESS W y CCt1 liion Glensl4/'EL. NO. 793-719'
NAME OF PLUMBER Floyd fay4 idak ADDRESS of (A-Mon SI-. tJWf 1taI/ TEL. NO. 1/97 23od
NAME OF MASON ton Maynard_ ADDRESS a9 / u tf Hallow RO• Eby, TEL. NO. 746-39??
NAME OF ELECTRICIAN F)oLci 1110,r+ind4+e. ADDRESS) Cc):11 ai►, S¢, 14J113e44/1 TEL. NO. 'MY-a3da'
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
Owner, owner's ent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DE REEC AVJEENSBURY
Compliance Methods: OCT 15 1991
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)B! DG. & CODE DEPT.
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
Mauro C. ancI C6rles Mar+inccale Road
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - a O0 Sq. Ft.
2. Type of Heat - Elec. Base Board Other ail No+ Ladly 8.stboareC
3. Is Building Mechanically Cooled? YES X NO
4. Percentage of Area of Windows and Doors 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 3g z
B. Exterior Walls R Iq
C. Glazed Area R f. ,3 /. 7
D. Exterior Doors R 2. 7
E. Floors over unheated spaces R /I/A
F. Edge of Slab on Grade (Heated Building) R ,if
G. Basement/Cellar Walls (Above Grade) R )0 /b
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 1��/
YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
to-//- l/ 793-397/3
APPLICANT'S SIGN URE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS:
REVIEWED BY
TOWN OF QUEERfSEURc,
if ki
j TOWN OF QUEENSBURY RECEIVED
APPLICATION FOR SEPTIC DISPOSAL PERMIT PernO CT# 1991
Fee Paid
BLDG. & CODE DEPT.
Date: IO.f 1rcti Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: filar-inca.k Io&c
1.
Owner's Name: Mauro, C. a-d Charles T. Yl'lellun J
Owner' s Mailing Address: RR1 Sox 16a5i n1ar4-inc'n/e Road Lag 6eac , I2a'gS
Installer' s Name: Phone #:
Number of bedrooms (if residential ) : .3
Total daily flow (residential-compute @ 150 gal . per bedroom): 1151)
Topography-Circle One: Fla Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand oa ' Clay Other /Depth:
Ground Water-At What Depth? / 911. Feet
Bedrock or Impervious Material-At What Depth? /2 5- Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Municipal ell Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption /pn feet
PROPOSED SYSTEM: Septic Tank !)O°O gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench ..5S feet//Total System Length 2p O 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 the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: CX l % DATE: /°-11-fl
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:
.
TOWN VI-• QULLNSL UKY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
/ Date
10 - i I 19 ri Permit. No. 97-77.6
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 and all conditions that are part of these requirements and also will allow all
inspectors to enter premises for the required inspections. 10od5A-Yi (7 o/- c •'-c/7 .5Pd ,/e-7`.
Applicant's Name �vNytt �1� 1 APPLIANCE TYPE
(►iaLtrn C,'unr� lflUrlpS �, YYlpllvn �t2. Stove Y Coal Wood 'K
Address Mirkhdalt, kokot RR1 Box I1725/1 Furnace Hot Air Boiler
Zero Clearance Circulating Unit
L ke G'0 - ,01). Zip f 2,8N5
Phone -753-59y3 If Non-Masonry:
Owner's Name Scs.►x e,
Manufacturer
Address Model Outlet Size
Zip Listed by Number
Phone
CHIMNEY TYPE
• Masonry: Block X Brick Stone •
_
Property locationlJ of proposed construction Flue: Tile X. Steel
Ill 4✓'` 1,1ciait go/ Size:
Factory Built:
Manufacturer Model Size
COPY ()F MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ .
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ K
SONRY FIREPLACES AND CHIMNEYS.
CASHIERS DEPARTMENT
• TOWN OF QUEENSBURY, NEW YORK
.
I)c'yartment: Fire Marshal Amount Collected Amount Refunded
Code Number Title A 5.—
A173 3389 . (190)Public Safety
A233 2655 (230) Minor Sales
F c( o Icctcd from or Refunded to: /7/2 / - 77,0 1/}7ii \1
Address: �- ---, /
Dated: /7/c/6/Town Clerk or DeputyC:=-_---- A . 17_�/ (A)
White:Applicant Yellow and Pink:Cashier's DepLnenl Goldenrod:Fire Marshal
i
(''''���� ''" " MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
( � I' . National Headquarters
1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION Date: • ; •'I i
''':,L'-' i--,(-/•�7 14.,r 1 '/'
City, Town or Township �-� •" •I County State I-`
Location/Address I/;• ' ) ?" ; 1 " '- ` ; ,i
j(If Located in Rural Area -Please Attach Directions) Pole #
•
Owner (/i, •'i ' 1, . , ' w 1! + r• t'r; /ii'. . _ Permit # f `/`/) ,
Occupied As Building NewEI Old❑
Occupant - -
• Work Area in Building (Floor #,etc.): '
App. for:'Wiring X❑ Service Inh 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 j; Elect. Heat
Switches ll ^, .,--..
Lighting
l; -c--- " Amp. Service ' Surface Unit Dishwasher Range .
Water Heater Air Conditioner Dryer Pump
Receptacles
Number of Fixtures l; Oven 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 11/2 2 3 5 7,/2 10 15 20 25 30 40 50 75 100
Mark Number l
of Each Size .
Applicant's j111 - �� •;�.
k. Signature: f l-n- : ' /`X" 7 -License # Permit #
T/A `�' .__ . `- 1 Utility: '.' i, •
(NAME) (OF_FICE LOCATION)
Applicant's Address: 7.
(City) — (State) (Zip) • .. ` Service Request # r
Phone.# ._ I; ' . - ..=-_ ;+-' '.:/- '' Electrician: • '• '
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Aboye n or:
Red Notice Label n it
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage"Disposal
Receptacles l' Water Heater Dishwasher
Fixtures i+ Air Conditioner - Dryer
Amp:Service Equipment Burner, Wiring &Controls for a Amp. Receptacle
Amp. Service Conductors" " - - - Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 II 8 1/6 1/4 1/3 1/2' 3/4 1 11/2 2 3 5 7� 10 15 20 25, 30 40 50 75 100 .
Mark Number
of Each Size • ij nI
i� II Elect. Heat 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
i . •
II 1 ..
,
I;
II
• CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID
FEE
❑ RW Progressil h Inc.❑ LKD❑ Contractor
I I CFT Violation: Work Comp.❑ Inc. ❑
n L/A Owner CASH ❑
Fee CHK #
Due
1-7 IPAI Municipal MO #
INV #
•
Date: I• Other Sidell Utility - Applicant ❑❑
!I Owner
{! -
- Cut in Card ❑ Temp # Date - - •_
• INSPECTORS SIGNATURE
❑ Final # hi • ' Date
\�ICATION FORM NO.250 EL 11/89 •
TOWN OF QUEENSBURY
531 BAY ROAD
'Clti101 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR°S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED . iJt-rJ"�
/�1 (` C
NAME LGf41
LOCATION/v J2-'i u r.),41. -
DATE j 1 51 I qq, PERMIT/
TYPE OF STRUCTURE CA-p�.(;(r
RECHECK: f S 7) .") WC,: C�1 ioi(1-4'O
FIRE MARSHAL APPROVAL (COMMERCIAL 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
PLUMBING VENT
ROOFING •
SIDING ,-
DECK/PORCH/STEPS/RAILINGS
,, RELIEF VALVES j
FURNACE/HOT WATER OPERAT 'G
BASEMENT INSULATION/DUC 'WORK
INTERIOR TRIM/PRIVACY 110ORS
' FINISH FLOORS:
BATH/KITCHEN WAT TIGHT
OTHER FLOORS SW PAB .E
OTHER FLOORS CARPETE
STAIR CLEARANCE/RAILIN
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUS FANS
ALL PLUMBING FIXTURES 0 ERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION \
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
CST. � crr
ARRIVE
' DEPART -3-10
IN P T
TOWN OF QUEENSBURY i%r/2
531 BAY ROAD
� ' QUEENSBURY,TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT •
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 1/49 3
NAME N AJzAQ- y )2(g P.,/x_.J
LOCATION /t, 1d1-2(
!'- DATE %ice/x PERMIT/ /9/-73CC
T1 OF STRUCTURE 4i4p ',.
RECHECK- JJ
FIRE MARSHAL APPROVAL (COMMERIC,IAL STRUCTURE)
FOOTING - FOUNDATION BACKFILL ,'FRAMING
ROUGH PLUMBING FINAL ELECTRICAL_%' SEPTIC
INSULATION WOODSTOVE/FIREPLACE
r d
REMARKS r, f
APPROVAL
N/`A YES NO
CHIMNEY HEIGHT/LOCATION ,, t,
B VENT/LOCATION '
PLUMBING VENT
ROOFING
SIDING r r/
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: f '�
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS I
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
COMMENTS:
r ( 5/,/ r- ALP
C4JeY
ARRIVE 3 relf
DEPART /;f/)
INSPECT OR'
1�
•
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
1— _
Permit No. `?34 /y
Owner ___ i M4r� ‘L Z`7 ail
Occupant Mil
/�//'�
Location /!/'�(1/' aj�yy/Jy//t Q /� 'C--€g
Town or City Slate
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by 567T
0.
Date ._F2 /' �� Inspector
• MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. giLONENNINEWHINIWIIIIMMED
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
8 'rS �� WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP V
S�
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
MOTORS H.P. 1/20 1/12 1/10 % %s % I/z I/: V. 1 11/2 2 3 5 71/2 10 15 20 25'30 40 50 75 r100
MARK NUMBER
OF EACH SIZE i
APPARATUS
t
TOWN OF QUEENSBURY G//Z�J
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION.RECEIVED *93
NAME &aim
LOCATION ;1 }; .,t, feet
DATE //,/f� PERMIT $ c2,1- 2: i
TYPE OF STRUCTURE /A//49:c9-
RECHECK APPROVED
1, N/A YES NO
FOOTINGS/PIERS
;MONOLITHIC POUR FORM
'REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWIN
THE PLACEMENT OF THE CONCRETE.
.MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING j
PLUMBING VENT/VENTS IN PL `CE
; PLUMBING UNDER SLAB
/ FRAMING:
JACK STUDS/HEADERS /
BRACING/BRIDGING /
JOIST HANGERS / \
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN / `q
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WAL/S EXTERIOR R- N
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART /I/
-�.--�
I , P 0
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION I�,1- C,(� IQP- .
DATE 3 {I/93 PERMIT# 1 1-73 a,
TYPE OF!!!STRUCTURE G-sr : t--A-r .-e ,
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
ZFOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS 1/6-i2 1.4_1 r-\rp�CS-OPe-V&D Fd�Z�9'F�t4Q
C�0 L 5Stilfo ci„�/ I`0@4-.45Er-
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT I
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING/.
BASEMENT INSULATION/DkTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIG T
OTHER FLOORS SWEEPAB E
OTHER FLOORS CARPET D 1
STAIR CLEARANCE/RAIL!'NGS ,
HANDICAPPED ACCESS „/
SMOKE DETECTORS /
BATHROOM FANS/WHO(EHOUSE FANS,
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PRO FING \
DOOR CLOSERS
OTHER FIRE SEP RATION
FIRE/DEMISE W LS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: /� '
N l�1 T2 u-C -r O
Imo]vA.0A--�(O.,L) O,U
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`
DEPART /1;qc,
SP
Al-y2
• •TOWN OF QUEENSBURY /
BUILDING AND CODES DEPARTMENT
531 BAY ROAD -
QUEENSBURY, NEW YORK 12804 .".(041
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 7",;j,/.0%
NAME (�/, Xite/ /-_/
LOCATION *if-er7:„„/2,
DATE Oef/� PERMIT
• TYPE OF STRUCTURE /aey �'l/l
RECHECK ; APPROVED
�! N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM-
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTIONiFROM
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: 411',
JACK STUDS/HEADERS s' '"'
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM,r'�
HEATING ROUGH-IN ..1
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R,
FLOORS
WALLS " R-
CEILING / • R •
-
DUCT WORK OR PIPING IN UNHEATED
• SPACES
REMARKS: �+
247 ' . We
()(e. TV PO() )77
05-i ;) & ,V(i rC RR;) 9L6A,
ARRIVE a
DEPART 1��! J� ///7\
ALL ��-�----
' INSPECTOR ✓
�
TOWN OF QUEENSBURY 1/r��
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
NN;,R TELEPHONE -' (518) 745-4447
.4.4 BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
AiAkIEi s/mili Mld 9_ 'tZi
LOCATION /i(/,/�1_f—l/Y/l�f'.G„e„.,
DATE _QA/AZ PERIIIT# 9%-z
TYPE OF STRUCTURE 5 b--- (Z �i,e___
RECi -(711 (/ er41-
FIRE MARSHAL APPROVAL (COMMERCIAL 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
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGSatr'McJ 7�
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGSr
HANDICAPPED ACCESS /
SMOKE DETECTORS
BATHROOM FANS/WHOLEHO,USE FANS
ALL PLUMBING FIXTURES OPERATING", )
GARAGE FIRE PROOFING
DOOR CLOSERS 1`
OTHER FIRE SEPARATION
FIRE/DEMISE WALL'S
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL '
OK TO ISSUE C/O OR C/C
COMMENTS: ,
2.t2t3-o& `1 -A/ w1z-0 lac Dooas l c�
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DEPART `Z:Za
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ELECTRICAL INSPECTIONS
•
DUPLICATE MUNICIPAL RECORD
Permit No. -
Owner C 1,4/ lLUGL(
Occupant
Location ;IYM112J7 Al .P t- 'f2o0
--,.A as 2� ,^/ Street
Town or City /� State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes. ����
Installed by /V tsf�T -D G6
N __ 6
Date EG � __�1CCl¢cd ector
MIDDLE DEPARTMENT INSPECTION AGENCY, tI,C.
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19360
/5/17 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
J,/_ ,6 OtSFT.ETS g-e.v/ /.1L- WIRING Et CONTROLS FOR &C / � BURNER
&Lc RECEPTACLES / H.P.PUMP '
3 7 FIXTURES K.W.OVEN
c ? f MP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
L AMP.SERVICE CONDUCTORS / K.W. DISHWASHER
K.W.SURFACE UNIT / K.W. DRYER •
/ K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER 6 FRAC. H.P.VENT FANS
3 nel e.
(,1)'(J-(//Li'cn> c--
MOTORS H.P. 1/20 1/12 1/10 % ' % Ih % '% 1 11/2 2 3 5 71/2'10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
TOWN OF QUEENSBURY
a ��►' 531 BAY ROAD /liY
J , QUEENSBURY, NEW YORK 12804 /11 I
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION1
REQUEST FOR INSPECTION RECEIVED /4_.
/1(7/d r% ¢ (lir'akit/ / Jf
.LOCATION 77(D (.6 �
DATE _2462 PERI'IIT# %/- 7362
TYPE OF STRUCTURE ScD cil),,67
RECHECK /
FIRE MARSHAL APPROVAL (COMME•RCIAL STRUCTURE)
`SOOTING OUNDATION BACKFILL GAMING
4--ROUGH PLUMBING FINAL ELECTRICAL 4,-S-EPTIC
1„1-NSULATION WOODSTOVE/FIREPLACCE
, l
REMARKS
I/1
APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCATION V i`
B VENT/LOCATION 4
PLUMBING VENT X
ROOFING / I
SIDING
DECK/PORCH/STEPS/RAILINGS t
RELIEF-VALVES r s •k
FURNACE/HOT WATER OPE ' TIN' K
BASEMENT INSULATION/D) K X
INTERIOR TRIM/PRIVAC DOOR
FINISH FLOORS:
, BATH/KITCHEN WATE TIGHT h X
OTHER FLOORS SWE ABLE 1 K
OTHER FLOORS CAR ETED 1 k
STAIR CLEARANCE/R LINGS j<
HANDICAPPED ACCES 1 x
SMOKE DETECTORS l 1 j,
BATHROOM FANS/W-0 -!i'&E-FT.=:-S`_, X
ALL PLUMBING FI URES OPERATING I "
GARAGE FIRE PROeFING
DOOR CLOSERS
OTHER FIRE SEP"ATION X
FIRE/DEMISE WA LS k
DUMPSTER iX
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL i('
OK TO ISSUE C/O OR C/C
COMMENTS:
SIPS ra-OM Dori s �" iz;s -
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DEPART J ?i •'fit- .Lit-�.---�
IN P
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
' REQUEST FOR /INSPECTION RECEIVED
//1—
NAME / .. ! �_��'cj -
LOCATION
DATE 2-/*/j Z PERMIT# 5;2/'2
•
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 \\
STORAGE:
CLEARANCE TO SPRINKLER
CLEARANCE TO HEATING ITS
' REQUIRED SIGNAGE �J�
4 IMNEY J
OODSTOVE I . ✓4
FIREPLACE—MASONRY I
FIREPLACE—FACTORY BUILT �\
11
REMARKS: g U OK TO' THIS DATE
ji/}Y
ARRIVE
DEPART Z -- ��'�—'
�-- SPE 'TOR
(//4-):e9/7
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 �� 7
NAME
LOCATION 2
DATE ///_ /4"/Q/ PERMIT # `�7
TYPE OF STRUCTURE ____5 ' 7
(, RECHECK APPROVED
N/A YES NO
' FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
j FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
;' REINFORCEMENT IN PLACE
' FOUNDATION/DAMPROOFING /
I' BACKFILL APPROVAL!
PLUMBING VENT/VENTS IN PLACE c '
1 PLUMBING UNDER SLAB, /
G: ^. /
JACK STUDS/HEADERS,,.
P BRACING/BRIDGING 2
JOIST HANGERS i
JACK POSTS/MAIN EAM
'; FIRESTOPPING
WALLS ..
'' CEILING ,(
FIREWALLS
HEATING ROUGH-IN _
1 INSULATION:
FOUNDATION 'ALLS INTERIOR R-
FOUNDATION ALLS EXTERIOR R .
FLOORS R-
WALLS R-
CEILING R-
1. DUCT WOR OR PIPING IN UNHEATED
SPACES
REMARKS: _ or
�-� -tit C t_
,rl A. i C7 j
a Ai
' ARRIVE
j DEPART 2-1 'N.:
INSPECTOR
it
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION; RECEIVED
NAME (/ �%i�/�.w
LOCATION , �_/��� z.7 .
DATE /'7 /&/ PERMIT# ?/7�(.
�/ APPROVED
N/A YES NO
EXITS
AISLE WIDTHS ,7
EXIT SIGNS t j
' EMERGENCY LIGHTING ( I
i )/
f J
FIRE EXTINGUISHERS, ,'
AUTO. EXTINGUISHINIf SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPR NKLERS
CLEARANCE TO,HEA NG UNITS
REQUIRED SIGNAGE
t.
/'CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
f
r
REMARKS: / 1 OK TO THIS DATE
7f
(b_.6,(,"(., e•,,,--W n.;-_-_"a2--6A)
;2
ARRIVE
DEPART 4.4
INSPECTOR V
, (y)
5 , _town or Queeniburcy
clk BUILDING and ZONING DEPARTMENT .
`1 I Bay and Haviland Road, R.D. 1 Box 98
' Queensbury, New York 12801
6t.)%pc,
.- SEPTIC DISPOSAL SYSTEM INSPECTIONN
NAME C O Q ` A__le> (r alk/L \
LOCATION S%\itio\.-(\k-- --151.__-c1\�
DATE i9 / PERMIT NO. CI/ 73( p
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
I.
TYPE of SYSTEM:
Absorption field, total length po
Length of each trench - f
r
'Depth of trenches a-- 3 `
Size of gravel4'1'2- J
-SEEPAGE PITS4Number of) ' 4 I
Size- ft. X. ft.
,Gravel size ,
PIPING: Size,;! T pee
'Bldg. to tank / : /jII�/ '
Tank to dist. box i41'.! /yG -
Dist. box to field it <<ki1 f?
,Openings sealed? YES NO Partial
ia'
LOCATION/SEPARATIONS: it
'Foundation to tank ft.
Foundation to absorption: 6 ft.
Absorption to lot line ,`!�' ;°3p ft.
Separation of pits `.' ft.
',LOCATION OF SYSTEM ON PROP$TY-(e le one)
Front - Rear. - Left side ,,Right side
COMMENTS:
•
1 A
.}'
•
SYSTEM USE APPROVED .) NO
' 4110 - / "11 /el:10j
Bul ing Inspec or
•
Ol/86 and vl •
L .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 A2— /
NAME /72/_5,�L U/t/
LOCATION �9. 4=-,n7- 4
PATE /f X�� PERMIT # 9//-- 73 y'
TYPE OF STRUCTURE — 3---� -- :7
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT V PLACE
THE CONTRACTOR S RESPONSIBLEFOR PROVIDING P OTECTION FROM
FREEZING FOR 48 OURS FO OWING
THE PLACEMENT OF THE CO CRETE.
MATERIALS FOR TH S PUR OSE ON SITE
FOUNDATION/WALL P UR
REINFORCEMENT IN L E
FOUNDATION/DAMPRO f NG
BACKFILL APPROVAL
ROUGH PLUMBING - - - -
PLUMBING VENT/V TS IN PLACE
PLUMBING UNDER LAB
GAMING: i=G/i"- 7
JACK STUD /HEADERS
BRACING/I"RIDGING_
JOIST HANGERS
JACK POSTS/MAIN BEAM)
HEATING ROUGH-IN
tijiatEATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS x 1-kl/ra7 ti R- X
WALLS 1j'Lvvt1 R
CEILING R 7C
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
M1L-- VOtD- (tit II+iA-U-S
/ARRIVE %s Z '
/ --'DEPART --s_--,
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT •
REQUEST FOR INSPECTICM RECEIVED
NAME \qJ '_C (`fin cACUalk./A,'
LOCATION I �,\),�y�rie.�_P . it
DATE 1, /71 / / PERMIT # ° 1 ' 7} (2
TYPE OF STRUCTURE
' RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR S RESPONSIBLE
FOR PROVIDING PR TECTION FROM
FREEZING FOR 48 URS FOL WING
THE PLACEMENT OF E CONC ETE.
MATERIALS FOR THI PURPO E ON SITE
FOUNDATION/WALL PO R
REINFORCEMENT IN P ACE
FOUNDATION/DAMPROO IN
BACKFILL APPROVAL
,,ROUGH PLUMBING K
''' PLUMBING VENT/VENT IN PLACE
PLUMBING UNDER SL
FRAMING: 4�
JACK STUDS/HE DER$.
BRACING/BRID SING
JOIST HANG 'S
JACK POSTSIMAIN BEAM /0 i'(i )(:Ap i
FIRESTOPPI
WALLS
CEILIN
FIREWAL S
HEATI ROUGH-IN
INSU TION: /
F NDATION WALLA, INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
- - ��IM:
ARRIVE � .;b C) 111`
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DEPART L)( 1 (/Ai 11 iari/
_INFECTOR
' v�
(7 /4-'01q1
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST OR INSPECTION RECEIVED
NAME �G
LOCATION ‘SA"
DATE/(')/- )9 I PE T I I ? 3�
TYPE OF //STRUC//TURE • " ��
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
. TA YNDALLON/DAMPROOF-ING .
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING r'
JOIST HANGERS '
JACK POSTS/MAIN BEAM '
FIRESTOPPING ;� ;'
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
-�, INSULATI:ON:.
r"` FOUNDATION WALLS 'INTERIOR R-
FOUNDATION WALLS EXTERIOR R- /9
FLOORS \R-
WA LLS
CEILING R.-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
I
I
ARRIVE
DEPART \
i
\IN P OR
FKik /3 fil
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 /(,I/--/ 9j
( > / ,
NAME \ \/uc' my) 0 C.LUTLC. 4-I
LOCATION %C'L'11 L ( L - Qv) /I
DATE/O / / PERMIT # ! 7-2)l D
TYPE OF STRUCTURE R
RECHECK APPROVED _/
N/A YES, N6
FOOTINGS/PIERS
.MONOLITHIC POUR 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 ONISITE
FOUNDATION/WALL POUR j
REINFORCEMENT IN PLACE;
FOUNDATION/DAMPROOFINGJ
BACKFILL APPROVAL
ROUGH PLUMBING j
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB A
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:
11‘
ARRIVE 3 .10
DEPART
-
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T.�1NR1 OP QUEEI41SBUR':?a\
`
���11�� bj(� RECEIVED
..® �h l,� �So'
OCT 15.1991 , ;�;
y GelsNSBL9 `. LDG. CODE DEPT.
7->27 PLOT PLAN -co,.
iYi.t4r. C. .,4 C.h as.Its T. iiil e lion Jr,