1991-787 rp+/ �.: _r r5 hh V •-, -:n-.r, f - vh.t,..} 4 ylj•'. .�{: "s•g-i,,.�,.._� -;t'4 •f,_t'�
. a�� .'� 'ti o-r +-tit:•} + ..tl F,. • �
CERTIFICATE OF OCCUPANCY •
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORE
Date January 28. 19 92
This is to certify that work requested to be done as shown 'by Permit No. 91-787
has been completed.
This structure may be occupied as a
Single Family Dwelling
LocationLot #34 Herald Square Village '
Owner Herald Square Village Inc.
By Order Town Board
TOWN OF QUEENSBURY -
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-787
WARREN COUNTY, NEW YORK -a
0
PERMISSION is hereby granted to Herald Square Village Inc.
rV
crt
I
OWNER of property located at Lot #34 Herald Square Street, Road or Ave. iF
w
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
co
45 Herald Drive
Guido Passarelli
2. CONTRACTOR or BUILDER'S Name
a
z
Passarelli/Cerrone fD
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name :�
I-
0
trt
5. ARCHITECT'S Address ett0
trJ
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( I Masonry ( ) Steel ( )
fD
7. PLANS and Specifications T'I
No- 1,344 sq ft Single Family Dwelling with one Car Garage as per plot
plan specifications and application
8. Proposed Use
fD
Single FamilyDwelling
$ 207.00 PERMIT.FEE PAID —THIS PERMIT EXPIRES November 7, 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 7th Day of November 19 91
SIGNED BY �p c �i for the Town of Queensbury
Building and Zoning Inspector L-
TOWN C w`su GS 3
OP QUEENSBURY
AREVIEWED BY:
iaibli .0° ,-, t ) GO
ra FEE PAID: , 1 , ,-- °1 I OWN OF QUEENSBU
9 PERMIT N0. :
RECEIVED
NOV 7 1991
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS+WIILLL E 1ADEEUNTIL
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: C irz-f- bef
P.O. Address: ,( /e_ , PHONE 7/(p
Property Location: _1 31( Tax Map No. / /
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: , ' m l Lot No. _"'. t
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: $ 911 o ,
Addition to building *
' Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: 2 ry ft. x /v o ft.
Other work (describe) * Existing Building Size:
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
ap
1st Floor 67 2- Sq. Ft. O * Front Yard s ft. Rear y rd .1-0 ft.
Side Yards 6 v ft. and ft.
2nd Floor f7 2 'Sq. Ft. � * If on corner, setback from side street-
* D ft.
Other Floors Sq. Ft. �1� *
(not cellar or basement) 1 D ot, * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: A9/9. Sq. Ft. Primary Building -
* / One Family Dwelling
Size of New Structure: ZV ft. x 7 Vft. * Two Family Dwelling
Foundation: —7— * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) Ai ft. *
If residential , no. of families: J' * If addition, what will use be?
No. of rooms (excluding baths): , *
Ho. of bedrooms: * -
No. of bathrooms: z,- * Accessory Building:
Primary heating system: f �,,,n� * Detached Garage - 0 /Two Car
Type of fuel: * Attached Garage - On Two Car
No. of fireplaces to be installed: / * Private Storage Bu ding
Will a woodstove be installed?: * Other
Central Air Conditioning: Yes 7/ No
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. 8d.
Will any second-hand or ungraded lumber be used? If so, for what?•
3
Foundation Wall Material : /� e /v Thickness: F
Depth of Foundation below grade (to bottom of footing) : 5-'j''
Will there be a cellar? Heated or Unheated? Floor Sq. Footage:
Will there be a basement? ��( Will any portion be used as living space? fl✓J
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other � Material of Roof S i,v9, t
Size, wood studs 7" x " ; spacing A " o.c. ; length ft.
Joists (floor beams) : 1st Floor 7 " u, spacing i " o.c. ; span /'?ift.
Joists (floor beams) : 2nd Floor Z-- " x , " ; spacing // " o.c. ; span `° L ft.
Overlays (ceiling beams) : " x " ; spacing " o.c. ; span ft.
Roof rafters: " x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing 2 / " o.c. ; span Z ft.
Exterior Wall Finish: //, /y// 2t ' of what material ?
Interior Wall Finish: /Z " k-Vea oL 4L---
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? z./e.i If so, will a Fire-Rated door,
enclosure, self-closing device be provided? -
Will a flue-lined chimney be installed? G4-,s Height above roof v ft.
Depth of chimney foundation below grade: ft. '
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: `/(r '2� PHONE )7X7-J3/1
NAME OF PLUMBER & ADDRESS: , ) i_- PHONE 6 4-,379/
NAME OF MASON & ADDRESS: PHONE 6'2-/W6e
NAME OF ELECTRICIAN & ADDRESS: / j)� 1- j�p�2 PHONE ?Z/
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 authorize_d,2by the owner.
Signature
• Owner, owner's 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
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
*(-4.11 • .4 /
APPLICANT'S NAME PROPERTY LOCATION 7
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - /3 Sq. Ft.
2. Type of Heat - Elec. Base Board Other Arit
.1;g ,Q
3. Is Building Mechanically Cooled? 7/ YES NO
4. Percentage of Area of Windows and Doors Over. 17% ✓ Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: L Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R 30
B. Exterior Walls R _
C. Glazed Area R 3-7--
D. Exterior Doors R 11
E. Floors over unheated spaces R
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R
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 ✓ YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
• /,4/ 7e-ry2,/
NUMBER
APPLICANT'S SIGNATURE / DATE TELEPHONE
INSPECTOR'S REMARKS:
REV ED B
TOWN OF Q LIEENSB URY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date • .. i; 19 `7/
f, Permit No. ,-_f ..
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.
Applicant's Name,";' ;:f. i . / �' APPLIANCE TYPE
f. , Stove Coal Wood
Address 7 : ' - _x' " .,_..`' .�_ ,?- c%`t✓'� ;� 9 Furnace Hot Air Boiler
P ) �� Zero Clearance L.., Circulating Unit
r' �!2.c. 4-r->.k. .s., /C 'I , Zip /2-4.:,I/
Phone If Non-Masonry:
Owner's Name 2: L, s _..� % /_ �s ,, (.
;_ Manufacturer /'` 1
Address : -..r ''.1�_:,+,7_.t : <'' ' Model , r;'Z., 3C_-, ' Outlet Sire
re;;:,/ `,_. .�r t4 a' , • "7/ Zip / :& i! . Listed by Number
. Phone �.-74 "f ;Z,/
CHIMNEY TYPE
Masonry: Block Brick Stone
Property location of proposed construction Flue: Tile Steel
Size:
Factory Built:
Manufacturer Model Size
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
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$
SONRY FIREPLACES AND CHIMNEYS. .
CASHIERS DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department: Fire Marshal Amount Collected Amount Refunded
1 Code Number Title `s}q;)`" '''
A 173 3389 (190)Public Safety - -
A233 2655 (230) Minor Sales
Fee Collected from or Refunded to: i i`. : ''., ?'. , iy'.
Address:
Date(E)// '/ ' }i Town Clerk or Deputy i ' t-
While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal 7
' ` MIDDLE DEPARTMENT_INSPECTION RGENCY, INC.�°
D
i National Headquarters .
1337 West Chester Pike,West Chester, PA' 19380
APPLICANT COMPLETES THIS SECTION Date: E71
City, Town or Township �� i7? Q.�s,e.c/ County :-.f�,�-1.4/j�-v�--- State 4/'
Location/Address 76.,f'`— -7/ 1,.// /.f1 ��r/ s,.g�_� ,
(If Located in Rural Area - P}base Attach Directions) Pole # r�, r'f
Owner �''%' ./�.~,/:G �'"" ;ilZiz �" 63,--C Permit # L�'f
, ,1/ /
Occupied As S7../(ljp- ,Z/247IJ Building: Newt' 1 Old I I
Occupant
' • Work Area in Building (Floor #,etc.):
App. for: Wiring❑ Service n or: Ready for Inspection:
Fee Remitted - $ Cash❑ Check ❑ M.O. ❑ Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
Water Heater Air Conditioner Dryer Pump
Receptacles
Number of Fixtures Oven 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
of Each Size
Applicant's 7 e !
Signature ' -%r ��. � ,--- -- <. License # _ Permit #
T/A t Utility:
Applicant's Address: (NAME) (OFFICE LOCATION)
(City) (State) (Zip) Service Request #
Phone # Electrician:
, MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above or:
Red Notice Label ❑
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10, 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 7'/2 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
Elect. Heat
I CORRECT
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE FEE FEE PAID
RW Progress: Inc.❑ LKD Contractor
❑ CFT Violation: Work Comp.! I Inc. ❑
L/A Owner CASH
Fee CHK #
L/A
Due MO #
IPA Municipal
INV #
Date: Other Side El Utility Applicant El
Owner ❑
Cut in Card 1 Temp # Date •
❑ Final # Date INSPECTORS SIGNATURE
APPLIcATIQN FORM NO.250 F.L 11/89
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No. i-1 PI
Owner ! ?-1-5-S '�C,"Z„L
Occupant
Location/-C9 3 'I #67/2,56
No. C
a�,C J1 I FX Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable codes.
Installed by /el 74 �
9 No 6
Date / `Z 7 y� / A( PtP cz400 Inspector
MIDDLE DEPARTMENT INSPECTION AGENC NC.
FORM NO.18 EL 900 Haddon Ave.,Collingswood, NJ 08108
9 7 ROUGH WIRINGQ OUTLETS H.P.AIR CONDITIONER
3 A ,Lc.! (I /ro WIRING &CONTROLS FOR BURNER
Licq RECEPTACLES H.P.PUM7'
3 FIXTURES K.W.OVEN
& MP.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. I/20 1/12 1/10 % I/& % ' 1 M 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
DaitC111111
TOWN OF QUEENSBURY
Mw- 531 BAY ROAD
': <<* QUEENSBURY, NEW YORK 12804
�"54,H TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RFCEIVED 1 i _31 9 -
NAME ` J\\G _\IO) SQ .
LOCATION ,�C�4 7,2)q Yc'�l() VV,9-9--
DATE 1 -. PERMIT# 9 1 - 72?
TYPE OF TRUCTURE
RECHECK Nps,,,P Co :b.A .,tea dlina (An ,4
FIRE MARSHAL APPROVAL (COMMERCIAL ST tUCTURE)
FOOTING ✓FOUNDATION \/BACKFILL /FRAMING
7IOUGH PLUMBING FINAL ELECTRICAL EPTIC
NSULATION WOODSTOVE/ IREPLACE
REMARKS
. f'
t APP OVAL
N/A YE NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION }; - /'
PLUMBING VENT 4 ✓/
ROOFING 3d , '' ,/
SIDING LI/ f'
DECK/PORCH/STEPS/RAILINGS F f' ✓ ,/
4y
RELIEF VALVES II ✓ /
FURNACE/HOT WATER OPERATIh ' 1 ✓, i
BASEMENT INSULATION/DUCTIOK .
INTERIOR TRIM/PRIVACY DOORS °
FINISH FLOORS: re",
BATH/KITCHEN WATERT. GHT r, ✓Q
OTHER FLOORS SWEEPA"BLE ��
OTHER FLOORS CARP, rTED ✓STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS ✓,
SMOKE DETECTORS 1 ✓/
BATHROOM FANS/WHOLEHOUSE FANS 1 ✓
ALL PLUMBING FIXTURES OPERATING):' /
GARAGE FIRE PROOFING • /✓�1,'DOOR CLOSERS
OTHER FIRE SEPARATION ✓,,
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS V
FINAL ELECTRICAL
OK TO ISSUE C/0 OR C/C
COMMENTS:
ie.,Aeet 7(..7N,k()_ bri--C,,
ARRIVE
DEPART
SP T
Z n` ✓9
cY ( /\
,
TOWN OF QUEENSBURY I
FIRE MARSHAL /��/ `� F
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 1--\-(py-CA S-1,100thp ,
LOCATIO) S'It )•'L( (1
DATE / o)4 °'�PERMIT# 6 r 7N 7
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING 1 a
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTE0
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES .n
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE%
CHIMNEY
WOODSTOVE
IIREPLACE-MASONRY
,/FIREPLACE-FACTORY BUILT
REMARKS: LJ OK TO THIS DATE
(. 7K-1Th?
ARRIVE //
DEPART, /024
INSPECTOR
Jewn of c n3burcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98.
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME - y Gz � lO 4/ 7�1
LOCATION !tom ' p
31 G i4' 46 .
DATE. ;Z w/ /' PERMIT NO. //-7,7
SOIL TYPE - and Loam - Clay -
Percolation est Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length ( SZ
Length of each trench ' v o
Depth of trenches
Size of gravela. �I
SEEPAGE PITS{Number of) f
Size- ft. X \ ft. /
Gravel size
PIPING: Type
Bldg. to tank \
Tank to dist. box Y
<4149
Dist. box to field/p
Openings sealed? JE °\ NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /oZ ft.
Foundation to absorption ab ft.
Absorption to loot line ft.
Separation of/pits 'rift.
LOCATION OF SYSTEM ON PROPERTYcircle one)
Front - Rear eft side - Right side -
COMMENTS: •
y4�
SYSTEM USE APPROVED 42PAINO
Buie/Inspector'
01/86 and vl
?ShV
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 4/GGLL (4-{-, /`C Cf"�`c (- .
LOCATIONt 0 )�p�
DATE /4/1A/ PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
i
FIRE EXTINGUISHERS ,
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
1,
INTERIOR FINISHES „ \.
STORAGE: /
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITSr,
REQUIRED SIGNAGE/
i
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
/FIREPLACE-FACTORY BUILT
REMARKS: WOK TO THIS DATE
-.4/2A"/„G--/W7/7- _yA•/'(;-d-j/1
• (1
2 ' "—
ARRIVE //
DEPART // (, O4
INSPECTOR
TOWN OF QUEENSBURY J
BUILDING AND CODES DEPARTMENT (
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR
S�//INSPECTION
,RECEIVED
�/
NAME (i/,�l/)L- k'/if
LOCATION , d�� �,/ /J ,/t_a_, ,( ,
DATE I /19/ PERMIT # 9/- le/
TYPE OF STRUCTURE ,511
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM I REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FRO
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE:
MATERIALS FOR THIS PURPOSE ON *'SITE
FOUNDATION/WALL POUR . ‘
REINFORCEMENT IN PLACE r
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
HEATING ROUGH-IN
u INSULATION: r
` FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS f R- ► ;I
CEILING
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
-� .
F__ yl
t /
ARRIVE 1 _S 1/� / s
DEPART 7, /'�
INBPE OR
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
(AME
LOCATION LOT--5
DATE j 2_/6 7q/ PERMIT I 9-w 9
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 PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL . 1.
)(ROUGH PLUMBING 't:
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB 1 .?'
X'FRAMING:
JACK STUDS/HEADERS /1
BRACING/BRIDGING ." 1
JOIST HANGERS / \
JACK POSTS/MAIN BEAM E \
FIRESTOPPING
WALLS J
CEILING ,a
FIREWALLS _ _
HEATING ROUGH—IN I �.
INSULATION: /
FOUNDATION WALLS INTERIOR R— \
FOUNDATION WALLS EXTERIOR R—
FLOORS / R—
WALLS / R—
CEILING f R—
DUCT WORK OR PIPING IN UNHEATED
SPACES ,
REMARKS:
, � I • , !
IL,"1.Ci'EO&
ARRIVE ... : Gr' — • ;
--
DEPART , - -)()
INSPECTOR /
I
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 .�T 3 `�
i,fC
DATE l e 2-/ci PERMIT # f / 0 �/
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
OOTINGS/PIERS INT0-z.q tti& e)
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
hFOUNDATION/DAMPROOFIK -
BACKFILL APPROVAL . \ `c`1" 1,
ROUGH PLUMBING r 3
PLUMBING VENT/VENTS I PLACE'
PLUMBING UNDER SLAB \
FRAMING: \
I
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS A
JACK POSTS/MAIN BEAM / \
FIRESTOPPING
WALLS
CEILING
FIREWALLS 1
HEATING ROUGH-IN 1
INSULATION: /
FOUNDATION WALLS NTERIOR R- \
FOUNDATION WALLS EXTERIOR R-
FLOORS R- \
WA LLS R-
CEILING R-
DUCT WORK OR PI ING IN UNHEATED
SPACES
REMARKS 'r it
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DEPART /; ^I�� L' - �--�•�
I NS•PEC/OR
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 �P/L04.V ,S
r2.1.,
LOCATION ;`-4 C5
DATE ///7 / PERMIT # 7l -
TYPE OF STRUCTUREII/Q ScO
RECHECK - APPROVED
N/A YES �PF�
4FOOTINGS/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 1 /
PLUMBING VENT/VENTS IN PLACE, /
PLUMBING UNDER SLAB
FRAMING: ,i
JACK STUDS/HEADERS /
BRACING/BRIDGING / s:
JOIST HANGERS /
JACK POSTS/MAIN BEAM / 1.
FIRESTOPPING /
WALLS / \:
CEILING / E
FIREWALLS / d,
HEATING ROUGH-IN / a
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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