1991-780 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN. COUNTY; NEW YORK
February 4 99
Date 19 _
91780'
This is to certify that work requested to be done as shown by Permit No.
••
has been completed.
ALTERATION TO DWELLING.
This.structure may be occupied as a
33 ALTA AVE.
Location •
COLOMBE, GERALD & ROSEANNE
Owner
TAX MAP NO. 117 . —2=3 4 By Order Town Board
TOWN OF QUEE S,B Y
Director of Bldg.& Code Enforcement
1 . i
BUILDING PERMIT
a
TOWN OF QUEENSBURY X
No. 91-780 =
a
WARREN COUNTY, NEW YORK s'
z
O
PERMISSION is hereby granted to Gerald & Roseanne Colombe I.
I
OWNER of property located at 4 Alta Avenue Street, Road or Ave. w
w
in the Town of Queensbury,To Construct or place a Addition to Dwelling m,
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. 'A
1. OWNER'S Address is
Same o
O
B
c
2. CONTRACTOR or BUILDER'S Name yD
Gregory C. Colombe G)
rD
-s
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3. CONTRACTOR or BUILDER'S Address Cl..
Do
XI
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4. ARCHITECT'S Name a
fD
4P
5. ARCHITECT'S Address ai
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a
a
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( ) 0.
rt
7. PLANS and Specifications O
v
No. 1,584 sq ft Additionto Dwelling as per plot plan specifications sp
and application
8. Proposed Use
Ca
3 Bedrooms
$ 176.00 PERMIT FEE PAID -THIS PERMIT EXPIRES November 8, 1992
(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 8t D y of / November 19 91
SIGNED BY / r�"t. .i for the Town of Queensbury
Buirdirig and ZoningI nspector
TOWN OP QUEENSBURY
REVIEWED BY:
AP
`1.%
J41$1, FEE PAID. 14,,d1 _ .r, , f
PERMIT NO. : 91— 780 `rFF •
r 5
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VAALID BUILDING PERMIT. .
is
All .applicants space ion .his application MUST be completed and the signature of the
applicant MUST app:ar on the reverse side of this application.
* * * * * * * * * . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: _./__ ,,a.fit' -� (�/Z� ,-,- .� ( .70 X , _L
P.O. Address: 9A ,, ��,.P. PHONE77?-PS 7C,
Property Location: 1;- � � � - Tax Map No. // 7 / / / 3YF;Y
Has• there been any split of this property since October 1, 1988? Yes No z---
If yes, Planning Board Review is nece- ary.
Subdivision Name, if appl i cabl e: lo' _ /24 . ( 4.2e Lot No.
r
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: $
X Addition to building . *
Alteration to building * COMPLETE INFORMATION pESUIRED BELOW:
(no change to exterior dimensions) * Size of Property: /O2- 1 ft. x 14'2. ft.
Other work (describe) * Existing Building Size:
• * ' ft. x2--' ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st. Floor 7/`�� Sq. Ft J �Y * Front Yard 0 p T ft. Rear y?rd S4- ft.
* Side Yards I5%a ft. and 5')--2'' ft.
2nd Floor .751 2— Sq. Ft.✓"' " * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft./ *
(not cellar or basement) * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: //5 C?V Sq. Ft.'/ * Primary Building -
* X One Family Dwelling
Size of New Structure: `2-1' ft. x ft.�* Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) ft. *
f residential , no. of families: (�1J * If addition, what will use be?
No. of rooms (excluding baths): `t?-1 _
No. of bedrooms: - J`J()
No. of bathrooms: j/ )N � �?C�t`�'1* Accessory Building:
Primary heating system: -r-J ) * Detached Garage - One/Two Car
Type of fuel : 6t L. * Attached Garage - One/Two Car
No. of fireplaces to be installed: * 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 ame, fire safe, etc. /(/avr-,
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation Wall Material : 25.4_, L Thickness:
Depth of Foundation below grade (to bottom of footing) :
ill there be a cellar? ties Heated or Unheated? Floor Sq. Footage:
Will there be a basement? / No Will any portion be used as living space?
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: 6;4/Flat/Shed/Other
Material of Roof - 60/ ,,sP/a (/
� J,I,Size, wood studs o2 " x C' " ; spacing g " o.c. ; length y ft.
Joists (floor beams) : 1st Floor .2- " x /o spacing /( o.c. ; span 7 ft;.`
kJoists (floor beams) : 2nd Floor .2 " x /6 "; spacing /C " o.c. ; span ft.
\Overlays (ceiling beams) : " x " ; spacing _ " o.c. ; span • ft.
Roof rafters: " x " ; spacing o.c. ; span ft.
*of trusses (pre-engineered) : spacing .2/ " o.c. ; span 33 ft.
'txterior Wall Finish:
— d l( of what material ?
''\Interi or Wall Finish: y �
hs0,
I a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so, will a Fire-Rated door,
nclosure, self-closing device be provided?
Till a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade: ft.
1
Depth of fireplace hearth: ft. in.
Water supply - Municipal or private. well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: ft.
A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: ,_,, e, � _. PHONE
NAME OF PLUMBER & ADDRESS: v (6 f ( PHONE %r ,23 76
NAME OF MASON & ADDRESS: / , ' PHONE)7 I/f37f
NAME OF ELECTRICIAN & ADDRESS: 1 �\ ..44 44 =
, PHONE 93oZ8�/
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,
wner owner, agent, architect
(4- contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
. Code Enforcement Officer
1 /
•
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART.4 & 6 - Compliance Methods Require Submission of Worksheets
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - Z Sq. Ft.
2. Type of Heat - (DV- Elec. Base Board Other
3. Is Building Mechanically Cooled? YES L/ 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
B. Exterior Walls R 1. I
C. Glazed Area R
D. Exterior Doors R ( I
E. Floors over unheated spaces R -7
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) RI
H. Basement/Cellar Walls (Below Grade) R
I. Heating/Cooling - Ducts. - Piping in Unheated Space R /jO
6. Service (Domestic) Hot Water Heating Device/
A. Conforms to minimum efficiency per code YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
/19/ -7 9M. (3 7,C
P LICA S SIGNA RE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS:
REVIEWED BY
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
O•l f
Dept. of Community Development Arriv Cpa
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury, New York\12804 \_ 1
NAME( — (� C') \ 0 rU--Q PERMIT#9 I —1 Rb
LOCA'l I DATE
TYPE OF STRUC . \ ) fit jl`1 ('
N/A NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof V,
Roof Complete V/
Exterior Finish Complete ✓`
Interior/Exterior Rail. gs 30"to 36" ti
Exterior Handrails, lconies,landing 18 • . or more
Interior Handrails s both sides 3 or ore risers /
Grade 2%away from fo dation ✓
8"clearance to sill plate ii
Gas Valve shut-off exposed/re ator 18"above grade I`
Gas Furnace shut-off within feet or within line of site ✓
Oil Furnace shut-off at en ce to furnace area /
Furnace/Hot Water Heat operating U
Relief Valve(s)installe '.1
Headroom,6 ft. 6 in.on stairs ✓/
Basement stairs,6 ft.4 in. iHandrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36" vii
Floor Finish Vi
Bathroom/Kitchen watertight •,J
Interior Handrails Balconies/Landing 18 in. or more •f
Railing across window in stairwells ✓
Smoke Detectors: ,.
every level /
every bedroom tl
outside every bedroom
inter connected /
Bathroom fans
Plumbing fixtures V
Foundation insulation
3/4 hour fire door/door closer 7
Garage fireproofing /, /
Garage penetrations sealed
Furnace in separate room protected(in garage) 7 Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan /�
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
PERt\\T E t
RESIDENTIAL FINAL INSPECTION REPORT t\ _Q-9(8
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development• Arrive an Depa : �b:1
Town of Queensbury Inspector's Initials A. 3 Lt wm
Air
742 Bay Road
Queensbury,New York 12804 f
NAME 01,1)B1C E C-Nr\D E - ERNIIT# IP — :pa
LOCATION pLTA fWF1�k)F_ vETP�t,, , RD ATE % �
TYPE OF STRUCTURE 2_ �1 1' A tT1 nO ���
N/A. YES NO COMMENTS
Chimney Height]":"Vent/Direct ent tion --7—
Fresh Air Intake
Plumb Vent through .$f
Roof Complete /
Exterior Finish Complet: .
Interior/Exterior Railings '0"to 6"
Exterior Handrails,balconi laiding 18 or more1,,,v
f
Interior Handrails stairs both .•$rs 3,or e risers . f
Grade 2%away from foundation ✓f
8"clearance to sill plate p „//
Gas Valve shut-off exposed/reg ator 18"above grade
Gas Furnace shut-off within 30 eet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater open ting i Relief Valve(s)installed / -% OTL-- ObuJe3bVbOr o
Headroom,6 ft. 6 in. on stairs J e,O t LE� . AU Tp V3 ,
Basement stairs,6 ft.4 in.
Handrail exterior stairs both side more than 3 risers N I - F1 LL.. C.-AS? 13 TWVW J'-rt'►te a)
Interior privacy/trim/doors/main trance 36" /
Bathroom/Kitchen watertight V 4( VA-13C. L WiA L, _
Floor Finish V -- TEE b.� O1J� \P� DV"/
Interior Handrails Balconies/Landing 18 in. or more �/I/ � t��b1`� Q `� �b?
Railingacross window in stairwells �/
/
Smoke Detectors: v/
every level
every bedroom /
outside every bedroom : ✓/
inter connected / t/
Bathroom fans ../
Plumbing fixtures E1L.011.t6 e fM-SZGOt-ik ; N.,
Foundation insulation ✓
3/4 hour fire door/door closer f
Garage fireproofing c.//
Garage penetrations cealed. 4//
Furnace in separate room protected(in garage) t liLight ventilation per roomSafety glazing 18"or less from floor ` ..--7q�
Final Electrical diT RTI..aA STtC tt\NLP1t�n I Site Plan/Variance required _ ,/
Final Survey Plot Plan ✓/
As Built Septic System layout required J
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
(518) 761-8256
TOWN OF QUEENSBURY �
BUILDING & CODE ENFORCEMENT `+' .I ti
�T•�`
742 BAY RD., QUEENSBURY NY 12804 `, •:
INSPECTOR'S REPORT: ARW I'1 DEPART 1 +A r
4
REQUEST FOR INSPECTION RECEIVED: IAir
�'�
NAME r L , W.`
LOCATION •7,.7) c Ti A\j,E
DATE )'2_�\ � PERMIT A �lr--NO
TYPE OF STRUCTUREA t� Da . ��0
('
RECHECK ;APPROVED
.N/A YES . NO
FOOTINGS/PIERS \! I
MONOLITHIC POUR FORM; �e
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONING\THE PLACE` •
MENT OF THE CONCRETE. I'
MATERIALS FOR THIS PURPOSE ON $-ITE _
k'OUNDATION/WALLPOUR \ s
1
REINFORCEMENT IN PLACE t, it
FOUNDATION/DAMPPROOFING 1, .
t
BACKFILL APPROVAL e, _
\,
PLUMBING VENT/VENTS IN PLACE` .
r e
-
ROUGH PLUMBING
PLUMBING UNDER SLAB
'-
FRAMING: i!
JACK STUDS/HEADERS ! _
BRACING/BRIDGING '1 ii
V
JOIST HANGERS;' �e
JACK POSTS/MAIN BEAM 1
AIR INFILTRATION BARRIER
HEATING .ROUGH—IN
INSULATION: 1
_FOUNDATION WALLS INTERIOR R-
-FOUNDATION WALLS EXTERIOR R—
FLOORS j R— +_
WALLS R— _
CEILING , I9) •
II-
-WORK OR PIPING IN
UNHEATED SPACES R— • 1
• 1
kin 0 O . J 8'
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING 5 CODE ENFORCEMENT t, ' ^`1'y`
742 BAY RD., QUEENSBURY NY 128l!,04 ; .tea /;,
t.
INSPECTOR'S REPORT: ARR`Z-4-� A cDEPA ,-1,� W
REQUEST 'FOR INSPECTION RECEIVED: I.�.� ' Iri
NAME ! 0 SZ [� ! . _ r• i'dD�
LOCATIONg;, / 3�3 rI / -J i (�J�
DATE 5/I, /17 PERMIT�/A 7l—7 A V
TYPE OF STRUCTURE: 0
RECHECK t
APPROVED
V. , _ N/A YES NO
FOOTINGS/PIERS 11
MONOLITHIC POUR FORM t ,
REINFORCEMENT IN PLACE
1\ II -
THE CONTRACTOy1 IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FPLLONING THEjPLACE-
MENT OF THE CONCRETE. Al
1 //
MATERIALS FOR THIS PURPOSE ON SITE,_
FOUNDATION/WALLPOUR ,/
REINFORCEMENT IN 'PLACE / _
i'1
FOUNDATION/DAMPPROOFING
1.1
BACKFILL APPROVAL `t :!
PLUMBING VENT/VENTS IN PLACE
4; A
OUCH PLUMBING x.' at
PLUMBING UNDER SLAB4 'il
' FRAMING: 'a
JACK STUDS?/HEAD
BRACING/BR°IDGI t;
JOIST HANG !„ -
JACK POS /MA N BEAM
AIR INFILTRATIONI RIER \.
l
HEATING ROUGH-I.S F1
NSULATION: 1
FOUNDATIONqdVALLS INTERIOR R`-',
FOUNDATION WWALLS EXTERIOR R-‘,.
FLOORS J R- V _
WALLS rJ R- \;.
CEILING
DUCT WORKOR PIPING IN
UNHEATED SPACES R-
• ,
�I �1
j
(518) 761-'d256
TOWN OF QUEENSBURY
BUILDING E. CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARI CC{))EPARTZ4t I /
REQUEST FOR INSPECTION RECEIVED:
NAME
LOCATION
DATE I 6i1 1 PERMIT fl 91-WO
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
•
REINFORCEME IN P ACE
THE CONTRACTOR I PONSIBLE FOR
PROVIDING PROTE TI N FROM FREEZING
FOR 48 HOURS FOLLO NG THE PLACE-
MENT OF THE CONCRET .
MATERIALS FOR THIS PURPOSE ON SITE
k'OUNDATION/WALLPOUR
REINFORCEMENT IN PLACE 1--
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION: 'b �( .
FOUNDATION WALLS INTERIOR R- _
FLOORATION WALLS EXTERIOR R- _
FLOORS g_
WALLS
WAILING W�-R_ \9_
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
/\)--)
C (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 .'"
INSPECTOR'S REPORT: ARj (j DEPART lrM::!)IN'1 /40f
REQUEST FO INSPECCTION RECEIVED: i
NAME `G I ii
pra
LOCATION l l
DATE ' / PERMIT #
TYPE OF STRUCTURE: Al
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS ? \
\
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES ONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOW G THE PLACE-
MENT OF THE CONCRET .
MATERIALS FOR TH PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL-APPROVAL - ---
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING: \ 4 7 V �c.�
JACK STUDS EADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEAT G ROUGH-IN _
SULATION:11 4. )
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS
R-
CELLI
CEILING << rC R-12 �
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
3=W (51,
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR 3 2,4 DEPART • INT • . `-REQUEST FOR INSPE �7
ION RECEIVED: biI 5 19 7
NAME CO-(D 14-, r
LOCATION t 3 3 ` 5 C\-(A 9 4-t-e_
DATE ( S PERMIT _# -7
'c
TYPE OF STRU 'TURE:
RECHECK APPROVED
N/A YES NO lll...
FOOTINGS/PIERS
MONOLITHI< POUR FO
REINFORCEM T IN P ACE
THE CONTRACTO S RESPONSIBLE FOR
PROVIDING PROTE OM FREEZING
FOR 48 HOURS FOL KING THE PLACE-
MENT OF THE CONC TE. _
MATERIALS FOR T S PURPOSE ON SITE
FOUNDATION/WAL OUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PLUMBING UND R SLAB
RAMING: ( /�
JACK ST HEADERS 1/�^
BRACING -BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM ✓
AIR INFILTRATION BARRIER
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 R-
•
•
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 '?,,4,; ,ice,, .II
INSPECTOR'S REPORT: ARR IV•r)UEPART" 0 IN
REQUEST FOR INSPECCTION RECEIVED: •
NAME ?E\(t F_ Cf t 42j--
LOCATION Li( ( 'CM R \(�
DATE al/6/, %6 PERMIT # - I � 1C
TYPE OF STRUCTURE: �" �`L)t 0
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FRO FREEZING
FOR 48 HOURS FOLLOWING T$E PLACE-
MENT OF THE CONCRETE. JJJJJJ
MATERIAL FOR THIS PUR 'OSE ON SITE
FOUNDATION/W LPOUR
REINFORCEMENT IN AC
FOUNDATION/DAMPPROOF G
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB p
F► --(!)
ry FRAMING:JACK ST ,s
UDS[E D RS, `' ��s/
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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 R- •
•
-v F - kmi 1#1C NCD F k ELD Fain-
FROM GF�RGE_ \/-\vczo�� vcv__
6 3CToeA___
•
`• GEORGE KUROSAKA JR P.E.
DATE JOB NO.
Building Systems Consultant
13 Arbutus Drive PROJECT
Queensbury, NY 12804-9412
LOCATION
518 793-7190 ' 4..
CO TRACTOR OWNER
TO 4 2 O ✓ S'`�-i CG{�E%rr %&
WEATHER TEMP. °at AM
�zz , °at PM
'• / PRESENT AT SITE
�41V fe-i.Ci)
THE FOLLOWING WAS NOTED:
/0/217-/ -57-72_S .5-r/i,/9 ,2-= -5*/ Z,4
/J . J�IS'Y" SST
AV, ram— °3 �S • .
•
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P/72-e --" 1/4 3 7 y-• fD ST' /�I��2. 7� �2 •
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• ,7--- Z/P /1/ e/e -51/.0/_ /51e, -5-7Z -5;07-774- ,1341, --
COPIES TO
T7IMLID REPORT
SIGNED ^� /
TOWN OF QUEENSBURY �-
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR2_,',55-DEPART:32LOLNN
REQUEST FOR INSPECTION RECEIVED:
NAME p -
LOCATION . t--k pLr•A {�`� -
DATE PERMIT H 9 { fa)
TYPE OF STRU TURF: � D ADD
RECHECK _ APPROVED
N/A YES /NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
•
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE ON SIT(
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING•:
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN P 'CE'• _
ROUGH PLUMBING "!- •
PLUMBING UNDER SLAB
•
FRAMING: ,
JACK STUDS/HDADERS
BRACING/BRID( ING
JOIST RANGE'S - -
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BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR1 S— DEPART,-Lj IN
REQUEST FOR INSPECTION RECEIVED:
NAME
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LOCATION 33 Fw Elt31, E—
DATE 7,A 04: PERMIT N 1 { -Tan
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RECHECK APPROVED
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BUILDING AND CODES DEPARTMENT ///0
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ///??//
NAME . ��i� ( . Je „-
LOCATION 4
DATE ///?`/7/ PERMIT # 9/-71d
TYPE OF STRUCTURE ( 6 c apjft41--
RECHECK APPROV
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MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
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FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE\CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
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BACKFILL APPROVAL \
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INSULATION:
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REMARKS:
ARRIVE 1/
DEPART / O5 �l/�`
INSPECTO
TOWN OF QUEEf4SBURY
BUILDING AND CODES DEPARTMENT CJ . 617)
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED l6/6/)'�
NAME4f,01.. lleeekanym(.e. Ode)-}' e
LOCATIONS i/1 �.a.A., at,
DATE /0/6 fq, PERMIT 0 Wf j�,�
TYPE OF STRUCTURE • /-(��
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE 1'
THE CONTRACTOR IS RESPONSIBLE !'
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING f
THE PLACEMENT OF THE CONCRETE. f
MATERIALS FOR THIS PURPOSE ON 'ITE
FOUNDATION/WALL POUR , /
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING
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FRAMING: l /
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JACK POSTS/MAIN BEAM
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INSULATION: / 1
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FOUNDATION WALLS EXTERIOR R-
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CEILING rIJ R-
DUCT WORK OR IPING IN 'UNHEATED
SPACES
REMARKS: `'
ARRIVE
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TOM OF QUEENSBURY
BUILDING AND CODES DEPARTMENT RA.
53E BAY ROAD
• QUEENSBURY9 NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FO SPECTI�} (RECEIVED
NAME e ,_ C/arc
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LOCATION • /az__
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TYPE OF STRUCTURE
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THE CONTRACTOR IS P ESfPgHSIBLE
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BUILDING AND CODES DEPARTMENT :C.�
• 531 BAY ROAD
QUEENSBURY, NEW YORK 12804 >029
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME , A41.61-21f/A1,-
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LOCATION Wgi4 �l
DATE A#2 PERMIT # /- 7 /)
TYPE OF STRUCTURE
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JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
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FOUNDATION WALLS EXTERIOR R •
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WALLS R-
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BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW. YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT /
REQUEST FOR INSPECTION RECEIVED Cl �%tedrkL�
NAMEy14 D(,l�`/i `� £fe//Y/1t� /
LOCATION / l i (,/l DATE 9/3) /�9,2. PERMIT # %/"'71Q
TYPE OF STRUCTURE &id
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 I `
REINFORCEMENT IN PLACE' /
FOUNDATION/DAMPROOFINO
BACKFILL APPROVAL .r`
ROUGH PLUMBING
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PLUMBING UNDER SLAB
FRAMING: "
JACK STUDS/HEADERS/
BRACING/BRIDGING 1
JOIST HANGERS I
JACK POSTS/MAIN/BEAM
HEATING ROUGH-IN/
INSULATION: /
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FOUNDATION WALLS EXTERIOR It
FLOORS R=,
WALLS R
CEILING R-
DUCT WORK OR PIPING IN UNHEATED. '
SPACES
1 REMARKS:
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