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1993-100 .. :�...T„ .._ _r.<,..,- ..,_..,.,_ut4,...�q.\` .yV��p.,. ,,,,_,-.,,r,91.may,,...-r <.v.N- vmi•.t,.}•rr V.({ti'1.<7 r..-,Pr- .yfrr,-.r�"T"N A...:.-.,,....�,,�lJk<,, ...1 v',.,rv.. -. x. (f A CERTIFI LATE OF OCCUPANCY TOWN OF'QUEENSBURY . -'-, WARREN COUNTY, NEW YORK _ Daie February 10, 19 95 3()) --- I This is to certify that work requested to be done as shown by Permit No. 93-100 has been completed. ite %e one and warLehowse This,+s icture may be occupied as La quake/L. Road,.. Location, Owner MA.cha.e2 and Suzan Ka�:dau - 105-1-1®3 By Order Town Board TOWN OF QUEENSBURY fv Director of Bldg. & Code Enforcement BUILDING PERMIT = TOWN OF QUEENSBURY 3 No. 93-100 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to MICHAEL g SUSAN KAI17AS OWNER of property located at QuafzeA. Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a n "e)r,i"0 a,P.1-Pit !C1nA ! 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 PO Bax 268 7 Cteve'tda,ee NY 12820-0268 2. CONTRACTOR or BUILDER'S Name 3 3. CONTRACTOR or BUILDER'S Address tr 4. ARCHITECT'S Name 5. ARCHITECT'S Address K I 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 800 )s ntuticeet. aLtej.a iavis a out. plat p.2an, zpeci,4ica ,iono and appP,ccatian. 8. Proposed Use Mencavi.,i.2e bwi,2dtiny $ 40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Apli.(. . 29 19 94 (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 _ 29th ,t ay of Ap)L- 193 SIGNED BY - �?; for the Town of Queensbury Building<r• Zoning Inspector a /3/ - 1,5. TOWN OF QUEENSBURY ,. ali REVIEWED BY: COMMUNITY DEVELOPMENT DEPARTMENT \ f - BUILDING & CODE ENFORCEMENT FEE PAID: 531 BAY ROAD , r QUEENSBURY, NEW YORK 12804 PERMIT NO. ?3--/0-6 (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: /Yl I /-/,4 ).::':::: L c .S4 S p` Kt) -/< ) '.2 A S L Mailing Address : .0 /f.©rY 2‘g - Gz_f✓,n-o -'). — ,9'-' / , /2g -2-e Telephone Number(s ) : Work ?ci ff5'e'oo Home 65'G 3 % / Other PROPERTY LOCATION: /d/— $ /• 3 " Tax Map Number: Section iQ 5� Block S� Lot /off Subdivision Name: Lot No. 43 NATURE OF PROPOSED WORK: ESTIMATED KET VALUE OF TH :2) CONSTRUCT ON $ NEW BUILDING: - RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION: ADDITION TO BUILDING: PRIMARY BUILDING - / RESIDENCE/COMMERCIAL Single Family Dwelling ALTERATION NG: Two Family Dwelling R E.N.CE/ OMMERCIA Family Dwelling NO CHANGE TO EXTERIOR SZE Office . OTH, WORK (DESCRIBE -BE-LOW) )C Mercantile Warehouse , . . Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: 1ST FLOOR 6-470 SQ. FT. IF ADDITION, USE OF NEW ADDITION: 2ND FLOOR SQ. FT. OTHER FLOORS SQ. FT.. (not unfinished cellar or basement) ACCESSORY BUILDINGS: A Detached Garage - ne/Two Car . TOTAL FLOOR AREA: r0o SQ. FT. Attached Garage - One/Two Car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building Other FEET X - FEET . Foundation Type: Will any second-hand or ungraded Number of Stories : lumbpF be used? If so, for what? (habitable . space only) - ps Height (grade to ridge) : feet Type of Heating System: - , Number of fireplacesand/or woodstove (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: NAME OF BUILDER/ADDRESS/PHONE : NAME OF PLUMBER/ADDRESS/PHONE: NAME OF MASON/ADDRESS/PHONE : NAME OF ELECTRICAN/ADDRESS/PHONE : A/J /G//J G4-- //, /.4-/ O/) 5 DECLARATION To the best of my knowledge the statements contained in this s-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 of Compliance being issued, an AS BUILT PLOT PLAN drawn to scale, showing actual location of pr 'ec o pr m' s s-. Signature z.' (Owner, o ner s agent, architect, contractor) FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE: . i \\ 0 H ENERGY CODE COMPLIANCE APPLICATION y_.041 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: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - gel9 square feet 2 . Type of Heat - Electric Oil ,)O Gas Other 3 . Is building mechanically cooled? N Yes No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 8g' b. Exterior walls R /1 c . Glazed areas R ck77-( d. Exterior doors R �� e. Floors over unheated spaces R �� f. Edge of slab on grade (heated building) R ,L g. Basement/cellar walls (above grade) R , h. Basement/cellar walls (below grade) R —%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 ,n4n1,=0L-- Date Phone Number INSPECTOR' S REMARKS : - THE NEW YORK BOARD OF FIRE UNDERWRITERS - CERTIFICATE NO. DO NOT WRITE HERE-FOR OFFICE USE ONLY j i BUILDING PERMIT NO. TEMP.H DATE , 1- �rft 'T CITY OR VILLAGE , // ZIP COODE TOWNSHIP COUNTY STREET AND NO.OR ROAD POLE NUMBER ') 0 . ,1- !:. ._ ( J A 13 ' BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? - SECTION BLOCK - LOT OCCUPANT'S NAME ,r) BUILDING OCCUPANCY Ai, ;i ,,..- _� "- OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY ,,7 f FROM THEIR OFFICE WORK TELEPHONE NUMBER /t.I' ,_: e /( ,-t ./ f '1' , i:.jr BUILDING IS pry/ NEW❑ OLD I • . ' WORK IS -' . NEW le' ' ADDITIONAL❑ DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED - . - - 'NUMBER OF OUTLETS No.of Fixtures& -'MOTORS ' HEATERS �- .-BRANCH OFFICE USE Loca- Lamp Receptacles , .. CIRCUITS- ONLY tion Side Attach't H.R D watts No.- AWG. INSPECTION Ceiling. Wall Recep'Is Switch Pendant Bracket No. Type . Each <N Each' 'Gauge OUT- ' SIDE - _ SUB- BASE BASE- .' MENT 1st 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 SIGWTRANSFORMERS OF VA 0 CONCEALED DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFACTURER OF SIGN ❑ OVERHEAD ❑ UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) '' MUST ENTER APPLICANTS ' IDENTIFICATION NUMBER - AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION:ALL SPACES MUST BE FILLED IN OR APPLICATION.MAY BE RETURNED. ' - . PRINT NAME AND ADDRESS . F ,,! �, -f • ' NAME OF APPLICANT DATE OF APPLICATION SIGNATURE OF APPLICANT t/ �%' fit' I. X :" f` '' .f!^/^t'_ -"'.--i STREET ADDRESS TELEPHONE NO. - CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE - ❑ 85 John-Street 0'41 State Street 0 570 Delaware Avenue ❑ 217 Lake Avenue. •• ❑ 202•Arterial Road - • NEW YORK,NY 10038 ALBANY,NY.12207 . 'BUFFALO,NY 14202' ' ROCHESTER,NY 14608 SYRACUSE,NY 13206 (212)227-3700 (518)463-2122 (716)884-1155 - (716)254-0141 - (315)463-8552 'TI I 1-•-1\'I II AI %ini %Iz ri'ii A rlrl EN1— I IPli-''1 IKI 'N'CP']\A tin rrcr)0 .` ?4„1/„\Ol,1.tl„tl,ttl„Pl„AI Ni SIN,101:"OJ 11{11 0t1,_OP i„0II;_P1." OPI „l11/,1h 1t/.)01,1tI,1t)10I,101 1t1 lII,"„Al.!,01ij,O1,11,t:,•,!, 1,A t/.t1,,Il0 \0,,111 h 1i! O' III!. b 11I tI,11, Se PO 19,_le!.}_, 1 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1,:,10 , i `i, t: 60_7 6 7.:J 5 i BUREAU OF ELECTRICITY �' 41 STATE STREET,ALBANY.NEW YORK 12207 :.:Date J 1iit-i CRY 0t 1994 Application :on t 1.4{0289.3/9 3 Li '1.:tD rf$'1 'i 'c. THIS CERTIFIES THAT NERiS1`6' .$3+i. `.�.; .14}{it ; only the electrical equipment as described below and introduced b the applicant med on the above application number in the premises of ,' at edy t9Y1�7 yy,, tii ;� [y yyy q yy�y ,{{ r �,�1 yy }j'y ipi(yy ' -v 1`i-t(.'li_•"7.EI. I1 lA.�:Awl r, /�, O$l.3-31'1HR kOa O!l.LFaisFU16' ', I1l, r :! • in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. Section Block Lot ,# t, was examined on and found to be in compliance with the National Electrical Code. • ` -; 'e ' FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER MAT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ii 1. IA.' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS •-- AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 4. ,, t. 1, 1 :4,� SERVICE DISCONNECT NO.OF . S E R V I C E ' METER tf,. AMT. AMP. TYPE EQUIP. 1,e'2W 1 ii'3W 3%3W 3.0 AW NO.OFpeaCOND. OF CC.egi4D. NO.OF HI-LEG o•as, NO.OF NEUTRALS. OF E J AL ,,14 ' �1. OTHER APPARATUS: o • EXI°i'--1. ``'' • 1' TRACE: I,I�4IiTIN G;'+1.! •':a 1' �, '1 �, • s' -c, — i I , ..-D ; !'1J$-:IC, •:, is_.:,: 1-0 BOX2/G8 _ Uw'C ', {.1,6$ 1i$it_)tF}$,L�_ �!�!". $ ?�" ',�3 BRANCH MANAGER ': (, 2t� r. i:c' Per 'i 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. ': iC'i•C.i,•YY•f'i•1.I•,.rm"I•1 I.1.:reV'IV r•N'r do"lei'reCY el"i•j i ex-i•1"i•i're:ig",do'7.1'Y•i'✓sl.r•1'/V '%•i(eCi•'ief yY-i•.7•0'yY/•f•i•‘:1110re.i•t,•1 AII • A•f✓N'SaC',•i''NV-W.''41, I•i'•)',•• I•,.;•`.:•,- COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ,,- TOWN OF QUEENSBURY 531 BAY ROAD �Mf QUEENSBURY, NEW YORK 12804 ,�.,r s` TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME War 4/az. LOCATION / DATE {446 /r PERMIT# 1)7 fr), TYPE OF STRUCTURE ,�,�1( S - ti RECHECK FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING jL 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/RA INGS RELIEF VALVES FURNACE/HOT WATER I'ERATING INTERIOR TRIM/PR. A Y DOORS FINISH FLOORS: BATH/KITCHEN ATER IGHT OTHER FLOOR' SWEEPA:LE OTHER FLOO'S CARPET D STAIR CLEARANCE/RAILI GS SMOKE DETE'TORS DOOR CLOS'RS BATHROOM FANS ALL PLU :ING FIXTURES s'ERATING GARAGE "IRE PROOFING DOOR OSERS OTHE' FIRE SEPARATION FIRE DEMISE WALLS FIN'L ELECTRICAL jx: OK 0 ISSUE C/O OR C/C )'C ►OMMENTS: 01,03t atrr.' ARRIVE DEPART SPECTOR ' • 1.1 � � TOWN OF QUEENSBURY 531 BAY ROAD,QUEENSBURY, N.Y. 12804-9725 (518)745-4400 MEMO TO FILE RE: KAIDAS, PERMIT #s 91-024---93-100---93-079 • Permit # 91-024 Close out this permit To erect a metal bldg. for storage.--All inspections done except the final Electrical. Permit #93-100 ----Close out this permit Alterations to metal bldg. to form showroom and office. At the conclusion of this job, all inspections were done including the Fire Marshal and the Elecrtical Final. In that this was the same structure as Permit #91-024; the final electrical inspection would include the original basic wiring and service. Permit #93-079--- ol Eye clinic--- Internal alterations to existing bldg. In that the Fire Marshal 's final inspection and the Electrical Inspection have been done and a final slip is in the file, a inspection was made �., of the handicapped bath and the permit may be closed out. • • Vic Lefebvre 2/13/95 "HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE" SETTLED 1763 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 6/f/3 NAME `.1.0/ ,D LOCATION I9±( o iji 2u DATE 6, b/43 PERMIT I TYPE OF STRUCTURE 4%1 GLL/ RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE { FOR PROVIDING PROTECTION FROM fr FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR 6 if REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL V2 ROUGH PLUMBING l PLUMBING VENT/VENTS IN 'LA,CE PLUMBING UNDER SLAB FRAMING: JACK •`STUDS/HEADER BRACING/BRIDGING/ JOIST HANGERS / 1 JACK POSTS/MAIN` BEAM HEATING ROUGH-IN/ INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION ALLS EXTERIOR R- FLOORS R'- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: *1-• ARRIVE / ` J- I' DEPART 61 � 5 at • 1 I' 'ECTOR 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 /� LOCATION eat_ DATE 6A/0 PERMIT # V--/47 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 p' FOUNDATION/DAMPROOFING ,J BACKFILL APPROVAL U ROUGH PLUMBING 1 PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS , JACK POSTS/MAIN BEAM k/ HEATING ROUGH-IN ;p, INSULATION: / FOUNDATION WALLS INTER/OR'R- FOUNDATION WALLS EXTERIOR T- FLOORS R- WALLS f R;; CEILING I Rk DUCTEWORK OR PIPING IN UNHEATED REMARKS: 4)! �/12 l �tJ �'/�/�f� �t1�t�Cep v► 0- I`�i�-7-t Ar ARRIVE / /c- DEPART /6; 36 Et- NS EC 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 INSPECTIQN RECEIVED 5 5', NAMEI jil Oa/ 3 cz3.._r_LQ LOCATION 241 (_,Co, DATE ERMIT # cif TYPE OF S RUCTU E '(�c1� , 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 1 / REINFORCEMENT IN PLACE ,€ f FOUNDATION/DAMPROOFING / BACKFILL APPROVAL C I ROUGH PLUMBING hi - - PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB ,1 FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING / JOIST HANGERS JACK POSTS/MAIN BEAM/ HEATING ROUGH-IN J 4 'INSULATION: FOUNDATION WALLS I TERIOR R- FOUNDATION WALLS XTERIOR R- FLOORS R- WALLS 1 R- /9 CEILING 13-3K' K DUCT WORK OR P PING IN UNHEATED SPACES 11 ti REMARKS: ARRIVE_ / iL I SPE T Ijjj TOWN OF QUEENSBURY t� FIRE MARSHAL ✓ QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME ',L(phate ik.G_ait, rza LOCATION .' 5 ..,24itte! L/ DATE 5J4/91 PERMIT# ( xi- a U- -/L 1z/ APPROVED N/A YE$- NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS }' AUTO. EXTINGUISHING -SYSTEM a ,/ HOOD INSTALLATION AUTO. SPRINKLER SYSTEM f ✓/ ALARM SYSTEM / INTERIOR FINISHES STORAGE: d CLEARANCE TO SPRINKLERS ,1,// CLEARANCE TO HEATING UN,ITS-' -, REQUIRED SIGNAGE CHIMNEY '/ . WOODSTOVE ,r FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT „ REMARKS: U OK TO THIS DATE OK) 2/015 �--IN PECTOR 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 AZ % ;;✓ LOCATION , d1/4 • 1 Y DATE 0/6 PERMIT # a? tat TYPE OF STRUCTURE �� AO' RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM / REINFORCEMENT IN PLACE! fr' THE CONTRACTOR IS RESPONSIBLE/ FOR PROVIDING PROTECTIpN FROM' FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE''ON SITE FOUNDATION/WALL POUR ) . REINFORCEMENT IN PLACE 1 \ FOUNDATION/DAMPROOFING;% BACKFILL APPROVAL f \ ROUGH PLUMBING PLUMBING VENT/VENTS/IN PLACE \ PLUMBING UNDER SLAB'' FRAMING: I JACK STUDS/HEADERS \ BRACING/BRIDGING JOIST HANGERS! JACK POSTS/MAIN BEAM HEATING ROUGH gIN INSULATION: / FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS/ R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: (;) Over 4.,-O/fCcRowe ARRIVE /2-' t DEPART /231e INSPE OR TOWN OF QUEENSBURY /9)1 BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 4004 c , NAME / athei 91- 4 ��,.J /Ll dad LOCATION -z/ fIa/ { DATE -1/4/9 PERMIT f 9 /(rd TYPE OF STRUCTURE WJhg_w_el QJJ-e_ra.Z� - RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS liESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF T`E CONCRETE. MATERIALS FOR THIS PURPOSE/ON SITE FOUNDATION/WALL PO,R REINFORCEMENT IN P ACE I FOUNDATION/DAMPROO ING BACKFILL APPROVAL ROUGH PLUMBING 8r PLUMBING VENT/VENTS N PLACE PLUMBING UNDER SLAB )(FRAMING: A JACK STUDS/HEADERS wa BRACING/BRIDGING 'a1 JOIST HANGERS rkl JACK POSTS/MAIN BEAM Y� HEATING ROUGH-IN I JINSULATION: r FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS'EXTERIOR R- FLOORS �' WALLS CEILING I R- DUCT WORK OR PIPING IN UNHEATED SPACES LI REMARKS: `v. S; ARRIVE • DEPART IN PECTOR ----------- 3 i I — — uev BUILDING DEPARTMENT r< _ . .,_ _ . .._... r�wN ow QOEErvsB Based on our umhod examinattn, complianca With ow comments shall c_e �....; not be constroed as indicating the plena and specifirat(onsatfinfull li compliance with the code. OF QUEENSb, ro s RECEIVED FILE 1993 TCW ,a li� p�. R 1, T — _ DATE DESIGNED FOR 4 dS u — REVISIONS..... DESIGNED BY—..._._. APPROVED __.. —I- - _ _. ---- — ---- — b'i a r/v Joo� J&.1 4iCMENS&BATHS PHONE_,-___ -_----------_—_— -, NO. 1,�e1'1','.-.-1.".."'y.NY,-"- 18'.9 ,'00