1991-792 :L•+44
Y1F-44.
4
• CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date. May 15.49 _92
31 ; s1 - 1-,
This is to certify that work requested to be done as shown by Permit No. 91-792
has been completed.
Thu structure may be occupied as a Simile Family Doin11ino
)
Location SrermaN Island Li /7) _g
Owner DOLITTLE LUMBER COMPANY
By Order Town Board'''.
TOWN OF QUEENSBURY • A.
;LI7
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 91-792
WARREN COUNTY, NEW YORK
I
PERMISSION is hereby granted to Dol i ttl a Lumbbr Company ry
OWNER of property located at Cor Sherman Island Rd & Morning Side Drive 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 ri•
PO Box 209eta
Middle Granville, NY 12849 CD
I-
c
2. CONTRACTOR or BUILDER'S Name
John C. Hughes or Brian F. Hughes
c'9
0
3. CONTRACTOR or BUILDER'S Address
Bomoseen, VT 05732 cu
4. ARCHITECT'S Name
N
co
5. ARCHITECT'S Address a
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6. TYPE of Construction—(Please indicate by X) O.
IX I Wood Frame ( ) Masonry ( )Steel ( ) - a
7. PLANS and Specifications
C/f
No. 1,344 sq ft Single Family Dwelling as per plot plan specifications
and application
8. Proposed Use
TI
Single Family Dwelling �•
v
$ 191.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 18, 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 18th 'Day of NOvember 19 91
SIGNED BY c for the Town of Queensbury
Building an Zoning Inspector
l
41'14 r.oF ��EE � o 1
� TOWN OF QUEEf's6`'I�RYr, _ �_��'FD
APPLICATION FOR SEPTIC DISPOSAL PERT/Ir.'I�L� Permit #
Fee Paid 4 5'
,
Date: I� ' ql sewed By
il;t.7t 8' �C�EeE
LOCATION OF PROPERTY FOR INSTALLATION: 74/v-e ec�1ef:�i�'ccic � ,� off- � 9 .
Owner's Name: -17,, 4,7/7; / 6.e„C. e ep.
Owner' s Mailing Address:
Installer' s Name: (30,,r1,A_1 4 3e,,vs O , "Phone #: 5-Ve.6
Number of bedrooms (if residential ) : ;
Total daily flow (residential-compute @ 150 gal . per bedroom) : V3"O
Topography-Circle Onea, Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam Clay Other /Depth:
Ground Water-At What Depth? /Ala-If &,,oj Feet
Bedrock or Impervious Material-At What Depth? ioa ADeind' Feet
Percolation Test-Circle One: Not Required Required/Rate /,3°'Min. Per Inch .
Domestic Water Supply-Circle One: Munici Well Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank /o o0 gal . (Minimum size: 1,000 gal . )
• Tile Field: Each Trench 50 feet//Total System Length 0,00 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: .6//ca ry, DATE: //VI/
•
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, 02 ,
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 1
531 Bay Road
Queensbury NY 12804
Remarks:
1*-
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1,41
I•
TOWN OP QUEENSBURY•
REVIEWED BY:
a OWN OF QUEENSBL. .
1411.1%
VIgill, FEE PAID: )9 ( RECEIVED
PERMIT NO. : •
q 1 -iqz .E'I fiV 131991
• SLOG. & CODE DEPT.
•
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: DOLITTLE LUMBER COMPANY •
P.O. Address: P . O . . Box 209, MIDDLE GRANVILLE , N .Y. 12849 . PHONE642-0643
Property Location: CORNER SHERMAN ISLAND ROAD AND Tax Map No. / 1 / o1-/ 7
MORNING SIDE DRIVE
Has there been any split of this property since October 1, 1988? Yes No X
If yes, Planning Board Review is necessary. 4-`7 6% 5hem—„ rsl-c,,. CZc) s : ..• • •
Subdivision Name, if applicable: HEATHERBROOKE Lot No. 9 ' -
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
JOHN C. HUGHES OR BRIAN F. HUGHES .
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE . •
x Construction of new building - * v-CONSTRUCTION: $ grZ l'A 3•d o
Addition to building * ,
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(-no change to exterior dimensions) * Size of Property: 200 ft. x 150 ft.
Other work (describe) * - Existing Building Size: ,
• . * ft. x ft. NONE N/A .
* ' Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property tin see TO- ptc .
13012 15(, SP 5
1st Floor 1344 Sq. Ft. 56 * Front YardMr'M I Nft. Rear yard 2O ft.M I N
I I * Side Yards �i M I Nft. and(,' -2.8- ft. MIN
2nd Floor NONE Sq. Ft. , < ( 3)* Ifs on cor , setback from side street- ,
Pam'p4 pot,* 34 ft.
Other Floors NONE Sq. Ft.
(not cellar or basement) * OCCUPANCY INFORMATION: , • ,
*
TOTAL FLOOR AREA: 1344 Sq. Ft. * Primary Building
* x One Family Dwelling
Size of New Structure: 28 ft. x 48 ft. * Two Family Dwelling
Foundation: AND 24 ' x 24 ' GARAGE * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Full (Circle One) * Business ,
* . Industrial • '
No. of stories (Habitable space 1 * Other '
Height (grade to ridge) 15 APPROX.ft. * '
If residential , no. of families: 1 * If addition, what will use be?
No. of rooms (excluding baths) : 6 * ,
No.' of bedrooms: 3 * ,
No. of bathrooms: 21 * Accessory Building: •
Primary heating system: HOT AIR * Detached Garage ;- One/Two Car
Type of fuel : OIL * x Attached Garage -XO t /Two Car
No. of fireplaces to be installed: NO * Private Storage;•Building '` -
Will a woodstove be installed?: NO * Other . •
Central Air Conditioning: Yes No x * .
(OVER) `
i
,
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. WOOD FRAME
Will any second-hand or ungraded lumber be used? If so, for what? NO
Foundation Wall Material : POURED CONCRETE Thickness: 8" AND 10"
Depth of Foundation below grade (to bottom of footing) : 4 ' MIN
Will there be a cellar? YES Heated or Unheated? HEATED Floor Sq. Footage: 1344
Will there be a basement? YES Will any portion be used as living space? NOT AT PRESENT
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other SLOPED Material of Roof " {
Size, wood studs 2 " x 6 "; spacing 16 " o.c. ; length 7 ft. 8 5/8 I N .
Joists (floor beams) : 1st Floor 2 " x 10 spacing 16 o.c. ; span 14 ft. 0 .IN .
Joists (floor beams) : 2nd Floor " x " ; spacing " o.c. ; span ft. ,
Overlays (ceiling beams) : " x "; spacing " o.c. ; span ft. N/A
Roof rafters: " x spacing o.c. ; span ft. N/A
Roof trusses (pre-engineered): spacing 2 ' 0 " o.c. ; span 28 ft. 0 IN .
Exterior Wall Finish: VINYL of what material ?
Interior Wall Finish: DRYWALL
•
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
5/8" FIRE CODE SHEETROCK TAPED ONE COAT TO PEAK OF ROOF
Is there to be an opening between garage and dwelling? Y'ES If so, will a Fire-Rated door,
enclosure, self-closing device be provided? YES
Will a flue-lined chimney be installed? YES Height above roof 2' MIN ft.
Depth of chimney foundation below grade: 8 ft.
Depth of fireplace hearth: ft. in. N/A .
Water supply - Municipal or private well : MUNICIPAL
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: 100 ft. MIN
(A separate application is necessary for any repair or n?w installation of septic system. )
•
VAME OF BUILDER & ADDRESS: JOHN C . HUGHES BOMOSEE V , VT . 05732 PHONE 802-468-5045
VAME OF PLUMBER & ADDRESS: HIGH-TECH PLUMBING & HE;kTING. MANCHESTER PHONE 802-362-3992
VAME OF MASON & ADDRESS: - JOHN C . HUGHES BOMOSEEN , VT . VT 'PHONE 802-468-5045
VAME OF ELECTRICIAN & .ADDRESS: ABILITY ELECTRIC RUTLAND , VT . PHONE 802-273-3611
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
ill proposed work to be done on the described premises and that all provisions of the •
3UILDING CODE, THE ZONLNG ORDINANCE, and all other laws pertaining to the proposed work shall
complied with, whether specified or not, and that such work 1s-11 h.o -i'zed by,the owner.
Signature /s/ e
Owner, owner's agent, architect
contractor
•
SPECIAL CONDITIONS OF THE PERMPT:
By:
Code Enforcement Officer
•
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
i'OWN OF Qu '
Compliance Methods: ', cf=ff0� `
PART 5 -,Acceptable table Practice Method - 1 & 2 FamilyDwellings -.(ONLY)
PNOV 1. 3 '1991
PART 6 Thermal Rating - Component Trade Offs 1 & 2 Family Dwel l iAgN i
Multi-Family Dwellings• & CODE DEPT'
(3 Stories or Less) 4:
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise .Residential ,
PART 4 & 6 - Compliance Methods Require Submission of Worksheets ';
DOLITTLE LUMBER COMPANY CORNER SHERMAN ISLAND ROAD & MORNING SIDE,.
APPLICANT'S NAME PROPERTY LOCATION - D.R I V E
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 1344 _ Sq. Ft.
2. Type of Heat - Elec. Base Board Other OIL - HOT AIR
3. '.Is Building Mechanically Cooled? YES X NO '
4. Percentage of Area of Windows and Doors Over 17% X 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 38 NO . OIL HOT AIR,
B. ' Exterior Walls R 21 . NO OIL HOT AIR;
C. = Glazed Area R 3 . 0 NO OIL HOT AIR
D. Exterior Doors UP TO R 14 . 4 - NO OIL HOT AO I R
E. Floors over unheated spaces R
N/A NO OIL HOT AIR,
F. 'Edge of Slab on Grade •(Heated Building) .R N/A NO- OIL HOT AIR
G. Basement/Cellar Walls (Above Grade) R 10 NO OIL HOT AIR
H. " Basement/Cellar Walls (Below Grade) R 10 No OIL HOT' AIR
I. Heating/Cooling - Ducts - Piping in Unheated Space R. N/A NO OIL HOT AIR
6. Service (Domestic) Hot Water Heating Device
r
A. Conforms to minimum efficiency per code X YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
,:, ; - - -/ ,-,4_ - Lv- / *.IF-1,f( .
PLICANT S SIGNATURE DATE TELEPHONE NUMBER' " ;F:
1 Sr
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INSPECTOR'S REMARKS
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REVIEWED BY ` JP
of - d c' fe+ •I .�
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• • _MD& Mao
.w.lw HOD 111 III,111
•
MAIN OFFICE t '"`!N OF QUEENaE ILANTIC-INLAND, INC.
997 McLean Rd. RECEIVED NEW YORK
Cortland,New York 13045 MEMBER OF N.F.P.A.AND I.A.E.I. '
Phone: (607)753-7118 +f
(607)7537809 FIRE UNDERWRITERS fF,IV 13 1991G`1 7 8 ' •
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service)
(Incorporated in the State of New York)
BLDG. &
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises describ� �o i.--IS wemand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE
`
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION (/J
CITY,TOWN,VILLAGE '�t 'Q l v✓7. COUNTY STATE -
STREET CN �,�, S r .1.. L
ADDRESS /1� �f^�` /� c 1 BUILDS.NO.
RURAL /:7o.„ may �Q /y,drs✓%"'.- c51.2 G.. DKe �� V)2 4.-"NR✓J-� or,w.0/2�POLE NO.
DIRECTIONS (� (�j"
OWNER'S ZJ DAi rr-1
NAME Ju 01 1.1�4.., OCCUPIED AS
OCCUPANT /� �1 ) BUILDING—New I101 l❑WORK—New 0 Additional 0
OWNER'S
ADDRESS P.O. "a. 600 AA 6c b 7 ^ J .L d/ 4.4—✓/Il_ N y !a r 5 -
APP.FOR—ROUGH WIRING 17 FI%TURES 0 OR READY FOR INSPECTION 79
7
FEE REMITTED—$ /( BY CHECK CASH❑MONEY ORDER 0 MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK . ,
Number of Rough Wiring Outlets Fixtures Add Installation
Swtch U'tng Recap. KW Med. Mogul Fluor. 500 750 1000 1250 1500'1750 2000 2250 2500 2750 3000
Heat Base Base
Elect.Heat
Amp.Service 2 41-1:1 Water Htr. Burner Alr Cond.
1, g -2� 3 4 Surface Unit Oven Range ` Gr.Div. Dish W. �1
O` Dryer f H.P.Pump Ex.Fan Hood
OTHER EQUIPMENT(Specify Type II Capacities)
TYPE OF- WIRING SIZE OF (� V SUB- BRANCHES® NO.OF
k------
iI� SIGNATURES��i�^ --CONC� OTHER MAIN MAIN CIRCUITS
LICENSES PERMIT It
APPLICANTS /r/f NAME OF
ADDRESS ^U� �G UTILITY
'< OFFICE TO
K" -
C STA r ZIP CODE BE NOTIFIED .
'SI'ACt RELbw FOR USE OF INSI�tttORS ONLY ' ' •
ROUGH WIRING AMP SERVICE KW.SURFACE
OUTLETS EQUIPMENT UNIT
SWITCHES AMP SERVICE KW.OVEN
CONDUCTORS
• H.P.GARBAGE
RECEPTACLES H.P.PUMP DISPOSAL UNIT
• - MEDIUM BASE K.W.
FIXTURES KW.DRYER DISHWASHER
MOGUL BASE K.W.WATER
.FIXTURES HEATER K.W.RANGE
FLUORESCENT H.P.AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
• MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER SMOKE FRAC.H.P.
. QUARTZ FIXTURES DETECTORS VENT FANS
MOTORS,H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 ' 2 3 5 7'h 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
• 500 750 1000 1250 1500 1750 2000'2250 2500 2750 3000 !
APPARATUS Elect.Heat
MISC.INFO. Received Inspected FEE PAID
❑PROGRESS• TOTALS
•
/ 0 DEFECTIVE
«2/e./ ��at 114 ❑Rough Wiring Certificate Check No.
R.. 5, it .2,�11 Lox 60 , 0 Temporary Service Money Order
•
Qieauvic , /V.7i 12g34{ 0 FINAL CERTIFICATE Cash ,
•
❑Dup.Cart.Req.
• Mon. Fri. 6-7:30A.M. 0MUNICIPAL
518.692-9295 Charge
• 518-638-6339 -
ember
M INLAV.F.P.A.&I.A.E.I. Electrical Certi icate
ATLANTIC- INLAND, INC. - NEW YORK
Electrical and Fire Inspection-Enforcing&Consulting Service -
997 McLean Road,Cortland,NY 13045 DATE: 06/09/32 CERTIFICATE NO.: 0>1<r1 70B
OWNER: floli.ttle Lumber AS APPROVED FOR:
Fiorningside Drive
ADDRESS: nucensbury, NY 200 Amp Ser./..b-sw./36-recept./22-md.basesfix.
1-dryer/I-water beat./l-e�isitwa./1-rang e/2 zent
fans/1-smoke det.XXX
ELECTRICIAN:
Ability Electric
ADDRESS: Rte. 144 Box 120,0-3..
Brandon, Vt. `.05733
The conditions following governed the issuance of this certificate,and any certificate previously issi
is cancelled:
�-5 This certificate only covers the electrical equipment listed and installation conditions as of date.Ut
R1 lJ , Ifs D the introduction of additional equipment or alterations,application shall be promptly made for inspectio
l `3 - Inspectors of this Company shall have the privilege of making inspections at any time,and if its ru
are violated,the Company shall have the right to revoke this certificate.
0 —
AI-27
e" PAM
TOWN OF QUEEN BURY-
- i 531 BAY ROAD
�` QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
_ _BUILDING INSPECTOR'S REPORT
' FINAL INSPECTION
REQUEST FOR INSPECTION-RECEIVED 014
NAME S..... c>1., I ff,- LlrpflVBl' `-0
LOCATIONC S6rm w1 „c6, 'I'lOVV1l1
DATE PERMIT# 91 -77 •
TYPE OF STRUC RE 'c D
RECHECK
FIRE MARS,HQL APPROVAL (COMMERCIAL STRUCTURE)
VFOOTING IFOUNDATION WACKFILLI AMING
IOUGH PLUMBING FINAL ELECTRICAL SEPTIC
NSULATION WOODSTOVE/FIREPLACE
REMARKS
1
APPROVAL
N/A I Y S NO
CHIMNEY HEIGHT/LOCATION / ic
B VENT/LOCATION 1 I K
PLUMBING VENT 1 I
ROOFING li I X
SIDING {, I PC
DECK/PORCH/STEPS/RAILINGS >C
- RELI-EF VALVES
FURNACE/HOT WATER OPEfATING DC
BASEMENT INSULATION,�B$€TWORK K
INTERIOR TRIM/PRIVACY DOORS X
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT X
OTHER FLOORS SWEE ABLE A
OTHER FLOORS CAR.ETED
STAIR CLEARANCE/RAtILINGS X
HANDICAPPED ACCES
SMOKE DETECTORS I : X
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING X
GARAGE FIRE PROOFING ' k
DOOR CLOSERS I A x
OTHER FIRE SEPARATION 'A
FIRE/DEMISE ILLS t
DUMPSTER
SITE PLAN/VARrIANCE REQUIREMENTS
FINAL ELECTRICAL ?� X
OK TO ISSUE C/O OR C/C `--
COMMENTS:
ArC-:l7 1-1'N Ft-L ELbw I Z(cjiL l NP&_.-Frt9,1f
R:1) ca. 15 5d A nr e, . aJ g c/o,
ARRIVE //: /o
DEPART n%2-5
INS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT •
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT? Z /
REQUEST FOR INSPECTION RECEIVED
NAME �C�/J1
.1d t iii (
LOCATION SS/, k..45/ L , ti
DATE 4id4r2 PERMIT # ?// ' 7 t-'7
TYPE OF STRUCTURE
RECHECK APPROVED
, N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
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 '1
BACKFILL APPROVAL ( 1/
ROUGH PLUMBING II
PLUMBING VENT/VENTS IN PRLACE'/
PLUMBING UNDER SLAB II11
FRAMING: 1
JACK STUDS/HEADERS k
BRACING/BRIDGING Y! %
JOIST HANGERS ;V
JACK POSTS/MAIN BEAM
FIRESTOPPING : I
WALLS / `l
CEILING
FIREWALLS / /
HEATING ROUGH-IN I'
INSULATION: r
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- 1I V
FLOORS I R- 1 i
iv WALLS 1 R- 8, 14/
CEILING
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE ,
DEPART ?` /e?
INSPECT
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD '
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT j
REQUEST FOR INSPECTION RECEIVED O`y Lf r `q. o�
J I
NAME 0 *1 �- ) L) b m
LOCATION (n, S, -+NoTA 1 rJ'E
� q
DATE PERMIT # `1 I — 1 A
TYPE OF STR CTURE Z
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 PURPOSIE ON SITE;'
FOUNDATION/WALL POUR i /
REINFORCEMENT IN PLACE ! /
FOUNDATION/DAMPROOFING k /
BAC.KFILL_APPROVAL I
OUGH- PLUMBING it /
PLUMB-ING VENT/VENTS IN PLATE/
PLUMBING UNDER SLAB V
FRAMING: 7
JACK-STUDS/HEADERS / X
BRACING/BRIDGING
JOIST HANGERS / '
JACK POSTS/MAIN BEAM/ 4,
HEATING ROUGH-IN / '+
INSULATION: /
FOUNDATION WALLS INTERIOR R- \
FOUNDATION WALLS ATERIOR R-
FLOORS / R-
WALLS / R-
CEILING / R-
DUCT WORK OR PjjIPING IN UNHEATED
SPACES 1
REMARKS:
•
ARRIVE 9
DEPART• •
INSPEC 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 (//MCP/ 1 )
NAME Y L J0(2_ d .1))811C4
LOCATION (' y - 11 rry„.n, cL illavyw��
DATE !( 1o2Ao J i f PERMIT # q / /g62-
\l
TYPE OF STRUCTURE 5 c c
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS 1
MONOLITHIC POUR FORM,
REINFORCEMENT IN PLAE
THE CONTRACTOR IS RE 'ONSIBLE
FOR PROVIDING PROTECTION FROM,
FREEZING FOR 48 HOURS ' OLLOWING
THE PLACEMENT OF THE C CRETE.
MATERIALS FOR THIS PURP°SE QN SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE \
FOUNDATION/DAMPROOFI
(BACKFILL APPROVAL , G
ROUGH PLUMBING 6' (`
PLUMBING VENT/VENTS IN PLA
PLUMBING UNDER SLAB N
FRAMING:
JACK STUDS/HEADERS \
BRACING/BRIDGING A ‘
JOIST HANGERS
JACK POSTS/MAIN BEAM $ '1,
FIRESTOPPING
WALLS
CEILING
FIREWALLS ,
HEATING ROUGH-IN \
INSULATION:
FOUNDATION WALLS INTERIOR R- �.
FOUNDATION WALLS EXTERIOR R-
FLOORS 4 R-
WALLS A R-
CEILING R-
DUCT WORK OR PIPING IN -UNHEATED
SPACES
REMARKS:
ARRIVE / U
J — /
DEPART ,S O n/
INSPECTOR
92/91 14)1
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT/ j
REQUEST FOR INSPECTION RECEIVED /j I ) I 9I
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BUILDING AND CODES DEPARTMENT ./d/e/2
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TELEPHONE (518) 7792-5832
BUILDING INSPECTOR'S REPORT
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BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 00-M-
LOCATION ShNB4. 216-k ''
DATE gi('17%oZ PERMIT # 9/-/92--"
TYPE OF STRUCTURE 5 7)
RECHECK O�` 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 PURPOSEAN SITE
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