1993-105 CERTIFICkIE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date k/i14/iii-eit.... /619 23
This is to certify that work requested to be done as shown by Permit No. q 9)-105
has been completed.
This structure may be occupied as a -pizza_ -pre2n ra+Ti an (7)1,7"a
Location 111 (looker --Pri
Owner De,rhr- f3 5 Votios.
iertart+ au.o.ka.r 42)4 nie
By Order Town Board
' - • TOWN OF QUEENSBURY
iCamd. 4 /
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. q3 ( a5
WARREN COUNTY, NEW YORK Cn
PERMISSION is hereby granted to ... erne+r105 KOL i OS / Quriker
OWNER of property located at 111 / uQ,kgr Rd. Street, Road or Ave. ..
in the Town of Queensbury,To Construct or place a Add r 4.7Dr) ±D J- ti I&1)3
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. O
1. OWNER'S Address is 0
,28 SPA -Dg (r
G A s r . r rrG'.S N y 12ZLo/
6
r.,
2. CONTRACTOR or BUI LDER'S Name
1`1 a <' G E R ( 1.15 ITT
3. CONTRACTOR or BUILDER'S Address
8 t F 1 LUr4-y
roc; pwA-R i7 28 .8
4. ARCHITECT'S Name
11'
5. ARCHITECT'S Address
Z
tv
6. TYPE of Construction—(Please indicate by X)
(fir)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 1(X l Z' j17 i T7 0 N -ro BLLI L)l l4q 95 PEi< -a-4or -PLA ,
SpEG CATI Ours Aar fi1PL1 CATI ON/,
8. Proposed Use
7
11 i1ZP SPAR -170W ARREA-
$ J 5,oo PERMIT FEE PAID—THIS PERMIT EXPIRES AP1? L 24, 19
(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 t4.i 2JPTM Day f I PR It— 19
C
SIGNED BY
for the Town of Queensbury
Building and fling I nspecto r
0
TOWN OF QUEENSBURY. ow REVIEWED BY . -/lam . .
COMMUNITY DEVELOPMENT DEPARTMENT 1 , , = ,fifY
0
BUILDING & CODE ENFORCEMENT FEE PAID: _
531 BAY .ROAD '...'; _,
QUEENSBURY,., NEW YORK 12 804 « . PERMI,T NO. '
(518) 745-4447 `
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 application form.
OWNER OF PROPERTY: `De -l/rd OS , k o l i OS -
Mailing Address : .'28 Spot_ Drive ScorairosQL. SQrings , ' Ny 4'3,`8GG '
Telephone Number(s) : Work(5lO y92-z305 - Home r. Other
PROPERTY LOCATION: III :• atta Le - Rd� , ' �evnc I- 1 V'1.
. Tax Map Number: Section -9 Block Lot
eS
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MA ET VALUE OF THE
CONSTRUCTIO : ' $
- - - NEW BUILDING:
RESIDENCE/COMMERCIAL , OCCUPANCY 'INFORMATION: -
ADDITION TO BUILDING: . . PRIMARY BUILDINGV- , '
RESIDENCE/COMMERCIAL . Single Family`-Dwelling -
ALTERATION TO BUILDING: Two Family Dwelling _
RESIDENCE/COMMERCIAL Family Dwelling , . .
(NO CHANGE TO EXTERIOR SIZE) Office .
OTHER WORK (DESCRIBE BELOW) - Mercantile
Warehouse
Manufacturing , ' '
{teslaurgt�tier ..
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR , It/CI SQ. FT.'
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT. R ET A KI\1IO&P 1 Z A • ,
OTHER FLOORS " - SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car
TOTAL FLOOR AREA: ictcl. SQ. FT. Attached Garage .- One/Two Car
Private . Storage. Building
SIZE OF NEW STRUCTURE; ' Commercial Storage Building
them
FEET X FEET
Foundation Type: (a ouck :;COIwC_0.ETE'" Will any, second-hand or ungraded
Number of Stories : p Me lumber be used? If so, for what?
(habitable space only) r•
Height' (grade to ridge) : IC) feet Type of Heating System:'
Number offireplaces and/or woodstov.e (circle all which 'applies) -
to be installed: Electric / Oil / Gas / Wood
" .Forced Hot Air / Baseboard /Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
�-- 4 ° T303
NAME OF BUILDER/ADDRESS/PHONE: i.wtkG-ex-c l s..9 2S Pr`o ui F r A NW f 2-2$
NAME OF . PLUMBER/ADDRESS/PHONE;
NAME OF MASON/ADDRESS/PHONE:
NAME OF, ELECTRICAN/ADDRESS/PHONE:
V _ D CLARATION - :. -
To the best of 'my knowledge the statements contained in this appli
cation,- 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 noted, and that such work is authorized by the owner.
Further it is understood that I/we shall submit,prior ,to a Certificate of
Occupancy or Certificate ofCompliance : being issued, an AS BUILT PLOT. PLAN
drawn to scale, showing actual location of 70j2it on' pr ises t _Signature - "(of* (i.)
(Owner, own is agent, a chitect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE S-IDE: =
ENERGY CODE COMPLIANCE APPLICATION
4.1110
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
*Requires submission of worksheets
APPLICANT'S NAME: `` PROPERTY LOCATION:
t Mr-0 o s C7 e tra L k S 'IT Q ci R d .
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 1 Gf4 S I F square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes X No
4 . Percentage of area of windows and doors Over 17% S, Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 30
b. Exterior walls R 1 ,01
c. Glazed areas R 3dQ
d. Exterior doors R
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
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Applitchintis Signature D to hon Number
/1 - C�Q.�� ( Afro /6 /993 �518) - 3 03
INSPECTOR'S REMARKS:
THENEW YORK BOARD OF FIRE UNDERWRITERS . - CERTIFICATE NO.
DO NOT WRITE HERE FOR OFFICE USE ONLY j
,
i BUILDING PERMIT NO.
TEMP.It DATE
r.J• ji_3)
'CRY OR VILLAGE ' { 4 I I ZIP CODE IpIVNSHIP `- COUNTY 1
(- !s=>.U�`7 k--('.i S it :�L''!�'',r irDLAB4,.{- IVaxi €1n
S RI=ET AND NO.OR ROAD POLE NUMBER
1 ! ° a lA sal
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK r LOT .
:_�
OCCUPANT'S_NAME
R BUILDING OCCUPANCY
ki -..n 1"-2 1 4 (a edit.retell,i( f A,
OWNERS NAME AND ADDRESS ry , HOME
STELEPHONE NUMBER _
03
CURRENT SUPPLIEb BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS
NEW ElOLD 5it. - WORK IS NEW lCf,ry
ADDITIONAL Ni DEFECTS REMOVED❑
•
. - : LIST.BELOW ALL EQUIPMENT WHICH YOU INSTALLED •
NUMBER'OF OUTLETS _ No.of Fixtures& • BRANCH OFFICE USE
Loca- - • Lamp Receptacles . MUIURS HEATERS CIRCUITS ONLY
lion Side . Attach't- H.P. Watts AW..G.
Ceiling Watl - Recep'Is Switch _Pendant' Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
BASE ,
BASE-
MENT
1st 4 I
FL.
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
/
-THIS-APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,-THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER -
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTEDON(OR AS NEAR AS POSSIBLE) DUST F CATION NUMBER ENTER • 11 I I I I I _
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES-MUST BE FILLED IN OR APPLICATION'MAY BE RETURNED. '
• PRINT NAME AND ADDRESS -
NAME OF APPLICANT - - DATE O APPL CATION SIG TU E OF APPLICANT /" Ar I
ST' t Le l i nc› e T o ( k(' �/ �� �of 3 x �,� t i,,r �;rr_co-� ( _v.e, a v'S .
ET ADDRESS' TELEPHONE NO. / y
cl ;; Y 0 l•Y( p, 10._I� - i B {z1 T' "C)
CITY 6R POST OFFICE- ZIP CODE LICENSE NO.W HEN'APPLICABLE
D 85-John Street - - ❑ 41.State Street. E,570 Delaware Avenue 0 217 Lake Avenue .. 0 202_Arterial Road
NEW YORK,NY 10038 , ALBANY,NY 12207 BUFFALO;NY 14202 ROCHESTER,NY14608 . SYRACUSE,NY.13206
(212)227-3700 (518)463-2122 (716)884-1155 � . (716)254-0141- ..' (315)463-8552
. , . - .-..--. ...-.•., './\i i-i1/1A7"1'iT'`Y1r- rir-tr I 1P Ir'1rr1lAIrYI'Trnc+--_-
!l, •i,-•;.,.5:•i,?•i.•�,?•i,1• 1•(_O,,•_�h_•,k• ai. b. •r 1 •t,?• wi"}•i,?•i,?•>,?•!,?•i?•i.?•�,a•,,,?•(,?•( •,„,..!.. r,..•.!.",,b,wi.wi_,.h,�•r:• N, b..,.,,,..!..,...,.,..,..,..,...,....1,,....,.._ .• _•_ • ,•,�,,
THE NEW YORK BOARD OF FIRE UNDERWRITERS c-or;l< +
ic � ri.3 la��5 BUREAU OF ELECTRICITY RjUv :0
1' 41 STATE STREET,ALBANY.NEW YORK 12207
Date AUGUST 03,199? Application o.on file.' I7'.`a`309 i,/9; 0!IJI' U 42 '
1.:: THIS CERTIFIES THAT PF RHIT r O 93,105 y� '-i,
only the electrical equipment as described below and introduced by the Pliant named on the i ooe application number in the premises of
-' DEURTR OS k,Oi.,7Os, IA/ Q11AK1�,R RD, 91Lii0LAOS GU RALLS. t;LENS FALLS, N.Y.
so in the following location; ❑ Basement Ell 1st Fl. ❑ 2nd Fl. Sectional`-a Block° Lot f.'
so
:; was examined on jOL 7-:8. i`_9-?'
and found to be in compliance with the National Electrical Code.
t; RXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
�; OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER . AMT. K.W. . AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
3. 5 1
4.
1-t' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS mu UNIT HEATERS MULTI-OUTLET DIMMERS
�1 AMT. K.W. OIL . H.P. GAS H.P. - AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. OF. AMT. H.P. FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V ___ I, C --- E
�• METER
, MAT. AMP. r -TYPE EQUIP. 1,B'2W 1.f 3W 3%3W 3/ir 4W NO OF C CCOND. OF CCC.COND. No.OF HI-LEG • Of•N•& No.OF NEUTRALS -O E AL
w'. OTHER APPARATUS:
i NO
i'
a;
i'
t
W.
W.
-' —
i'
a
i'
-t 1'31-G't }L�"t c`7� i7 L1.tL[•i A.l,1. f
is4; 228 BROAD AY' 2u7-
, FORT 1 DNARD, N"., '12828, BRANCH MANAGER
239
-A
Per
This certificate must not be altered in any manner;return to the office of the Board if'incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY �^
531 BAY ROAD / �---
° . TTELEPHONEY�
. (518) 745-4447
BUILDING INSPECTOR'S REPORT
FYNA1. INSPECTION �/l�/��
REQUEST FOR INSPECTION IVED
NAME A i/L /),r_4t Vt_.)
LOCATION / / 7 �_l,et.J� /Q0
DATE )I,L 13 PERMIT# 93--/Os
TYPE OF STRUCTURE aid c&
RECHECK P(.caTivj i 6- 0 ((
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
I
APPROVAL
N/A YES NO
CHIMNEY HEIGHT ' OCATI
B VENT/LOCATION\
VENT
ROOFING
SIDING. k i _ x
DECK/PORCH/STEPS/RAIILINGS
RELIEF VALVES
FURNACE/HOT WATER PRIATING
INTERIOR TRIM/PRI ACY OORS
FINISH FLOORS:
BATH/KITCHEN W ERTIG T
OTHER FLOORS S EEPABLE \
OTHER FLOORS CARPETED \
STAIR CLEARANCE/RAILINGS \,
SMOKE DETECTORS
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:
at-0
Sd&� 06g-7
ARRIVE
DEPART
INSPECT
TOWN OF QUEENSBURY
FIRE MARSHAL
�j QUEENSBURY, NEW YORK 12804
((// TELEPHONE (518) 745-4424
4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 1l K/4?f3
NAME ,hz24,
LOCATION //r/ at/e'r1Zt, Rt.
DATE 9/,q/q_3 PERMIT# 943-/45
APPROVED
EXITS N/A YES NO
AISLE WIDTHS
EXIT SIGNS 1 f
EMERGENCY LIGHTING
l
FIRE EXTINGUISHERS \
AUTO. EXTINGUISHING SYSTEM ,f`
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM ,
ALARM SYSTEM
INTERIOR FINISHES I/ \
STORAGE:
CLEARANCE TO SPRINKLERS ,
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE f/
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
,7,6y
2/015 "INSPECT R
TOWN OF QUEENSBURY
• 531 BAY ROAD
rt QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED '4i/�4A3
GUC/.
NAME f, h14_, L JJ
i � Ze/.
LOCATION /f?
DATE /f/ger/9.9 PERfIITf 93,-/a J
TYPE OF STRUCTURE 60 �j eIIi vp
RECHECK •
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
�irDOTING FOUNDATION ACKFILL AFRAMING
ROUGH PLUMBING 4-FINAL ELECTRICAL _SEPTI
FfSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
CHIMNEY HEIG T/LOCATION N/A YES 'NO
B .VENT/LOCATIO
PLUMBING VENT ; • rK
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES 1\
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/pRIVA'CY DOORS
FINISH FLOORS: i '\
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE \
OTHER FLOORS CARPETED \
STAIR CLEARANCE/RAILINGS \
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING 1
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMM {ITS:
Il.4;, i (3 EJt._. ) ;\ `tc i0,/2
•
it -
ARRIVE
DEPART (7) -✓�—'-'
INSP T
6 1‘C.,
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 RECEIVVED
NAME 21L€ - e—
LOCATION /- e (Z/
DATE '7 9 9/c'j,5 PERMIT # 93-i 4s
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 ,/ H
FOUNDATION/DAMPROOFING , a�
BACKFILL APPROVAL
. ROUGH PLUMBING • d
PLUMBING VENT/VENTS IN PACE/
PLUMBING UNDER SLAB /
FRAMING:`_A;-(2i{r'�C(r,
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS / '
JACK POSTS/MAIN BEAM/ \
HEATING ROUGH-IN
INSULATION: / \
FOUNDATION WALLS j'NTERIOR R-
FOUNDATION WALLSJEXTERIOR R- N.
FLOORS ,�/ R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:Alba) Cr2-4�--J « I,& i rf.4 f4`e��' & Pi& f c(C) r1
j ,, y.. ,4..r
y
ARRIVE '.7/^, %d :///T'
DEPART 7t;70
/ IN ECT R
TOWN OF QUEENSBURY JeaQ
BUILDING AND CODES DEPARTMENT I /24_,
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED 7/i $/ 3
NAME �ZG 1P�,c� /eC1 G�/t'Atk,
LOCATION /l°r ,0?.t y red
DATE Jl/4l93 PERMIT # 9j -0 S
TYPE OF STRUCTURE add, tc
RECHECK APPROVED
VI/A
YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE 7
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS !FOLLOWING/-"�
THE PLACEMENT OF THE CONCRETE.,
MATERIALS FOR THIS PURPOSE ONSITE;
FOUNDATION/WALL POUR y1 ;a'
REINFORCEMENT IN PLACEq
FOUNDATION/DAMPROOFING1 /
BACKFILL APPROVAL
ROUGH PLUMBING r}
PLUMBING VENT/VENTS IN PEACE
PLUMBING UNDER SLAB A+1
FRAMING: „ d
JACK STUDS/HEADERS J
BRACING/BRIDGING I 0
JOIST HANGERS a� 1
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN / k
)(INSULATION:
/ - FOUNDATION WALLS INTERIOR RF
FOUNDATION WALI(S EXTERIOR R''�
FLOORS R-1;
WALLS I R- AY �C
CEILING } R-50. 5G
DUCT WORK OR PIPING IN UNHEATED\
SPACES
REMARKS: /
CA-U- cif+► ��noT I i , s
ARRIVE 1-`2_9�c,,'
DEPART 'ZL' V" PE OR
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 RECCEIVED
NAME S t.— ‹Arcj,tJ
LOCATION % 1
DATE 7// q3 PERMIT # 5:3--A S
TYPE OF STRUCTURE ddA, 11 d _
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 O SITE
FOUNDATION/WALL POUR I i
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFIN /
BACKFILL APPROVAL /
___ _ROUGH_ PLUMBING _ _ i i
PLUMBING VENT/VENTS IN' PLACE
PLUMBING UNDER SLAB /
FRAMING: Q1r?1--ui-C,. \ )(
JACK STUDS/HEADE S l
BRACING/BRIDGIN I
JOIST HANGERS 1
JACK POSTS/MAIN BEAM \ .
HEATING ROUGH-IN
INSULATION:
FOUNDATION ALLS INTERIQR R-
FOUNDATION WALLS EXTERIOR R- 0C/
FLOORS R-
WALLS \R- _
CEILING R; 5'-
DUCT WORK OR PIPING IN UNHEATED
SPACES \
REMARKS: `..
-ueeo►2: I`3�G.i-A-ii-t Gut(&Ai fALD1 l LiZ-p
Q fe--
ARRIVE 2: )d '
DEPART v,ice/ r _ l , ,--v/ii
INSPECT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME �Uce<`e/ a8;
LOCATION (plJde, EY
DATE 6 2S /? PERMIT # 93
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 •t
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. y
MATERIALS FOR THIS PURPOSE ON SITE;'
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE .'
uNDATION/DAMPROOFING
ACKFILL APPROVAL t1a,
ROUGH PLUMBING Yr
PLUMBING VENT/VENTS IN PLACE s
PLUMBING UNDER SLAB
FRAMING: FE
JACK STUDS/HEADERS kht)
BRACING/BRIDGING 4;
JOIST HANGERS
JACK POSTS/MAIN BEAM f "
HEATING ROUGH-IN '
INSULATION: n r
FOUNDATION WALLS INTERIOR R- (0
FOUNDATION WALLS EXTERIbR R�.}
FLOORS R
WALLS I R'il
CEILING R-,
DUCT WORK OR PIPING L UNHEATED
SPACES a
4
REMARKS: A
��r1��(J ) ��r� X.IGL'�(L _f
ARRIVE 920
DEPART q2>6 )
INSPECTOR
A
4 al'
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIONN R ED
NAME r/, € -
LOCATION d, ("
DATE g/( Ins PERMIT # 92,�Ur
TYPE OF STRUCTURE 14W,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS K
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 SIT
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLA( E '
FOUNDATION/DAMPROOFIN
BACKFILL APPROVAL J
ROUGH PLUMBING \ /
PLUMBING VENT/VENTS Iry PLAC
PLUMBING UNDER SLAB @ \ f
FRAMING: 1
JACK STUDS/HEADERS 1
BRACING/BRIDGING
JOIST HANGERS \/4
JACK POSTS/MAIN BEAM I
HEATING ROUGH-IN /1
INSULATION: • 1
FOUNDATION WALLS IN ERROR R-
FOUNDATION WALLS EX ERIOR R
FLOORS R1;
WALLS R�
CEILING R-1
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: y
l r.
ARRIVE I 0_0 •
DEPART T 6LE /
•
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME aze/-.
LOCATION //7 62(//i/4• f�{
DATE V-?/ /-3 PERMIT i /�r
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 l ,+
FOUNDATION/DAMPROOFING $
BACKFILL APPROVAL
ROUGH PLUMBING - �-%'
PLUMBING VENT/VENTS IN PLACE I ,71
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING '
JOIST HANGERS / g
JACK POSTS/MAIN BEAM 4 _
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS I- R- '4
WALLS / R-
CEILING R-
DUCT WORK OR PIPINGfIN UNHEATED
SPACES
REMARKS:
4/01 6M ) .4
ARRIVE 117,
DEPART %�(�i (
IN PEI OR
xTSTIN\IG CAR PORT EXISTING CAR PORT
,/./ I
I I T-III i I I I I
I I ! j Sit?iN(x ! i
1 I !
f j I i I i j
EXISTING
WINDOW
3uiLDING
I I I I
/
/ l 1 4 1 ► I j • iHH . ,
t 12_p_ , 12 err +
CEIL9 'CEILING, JOISTS �r�A'��D On� i
rr
1 NSutA"I IOrJ 6 ItiutAT.io4;
Fig±:RcciASS 5 FigcRG,t_k&s
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shall
ax
not be construed as indicating the
plans and specifications are in full
Gv
16. fl C compliance with the code.
. 5TuD5
TOWN OF 'FENSBURY
BUILDING , C
EPT.
•
1-rr-)SLAB CONCRE 1 iiIhs
REV6EWCD BY
FLOOR 4 �iw�;oa DATE
FouDM-IOW-8- �t?OL1r- STYRENE
?Cu?. FOAM -Berg R.c� FILE COPY
T� „
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r
5{
43 9 /
IS.
L
ExiSTING BULDING
i! - i
L_1 I
6 7, 4 l2xi -9" 30 135i
PROPOSED
ADDITION
32- t 148, • i a0'
,
80
r
5q
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i . 2 00/
APR 191993
ll
SCALE . 1/8 — 31II
- ' . ,N OF QUEENSBORY
is
Q. U A K E. R R 0 A D