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1993-146
CERTIFICATE OF . OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 30 , 19 94 This is to certify chat work requested to be done as shown by Permit No. 93-146 has been completed. single family dwelling This structure may be occupied as a Newcomb Street Location wilfried Klein' Owner 130--1--15 . 3 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement I- BUILDING PERMIT TOWN OF QUEENSBURY No 93-146 0 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to WILFRIE;D KLEIN OWNER of property located at Newcomb Street Street, Road or Ave. vt 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 PO Box 132 Glens Falls NY 12801 2. CONTRACTOR or BUILDER'S Name self H 3. CONTRACTOR or BUILDER'S Address F'• fD 4. ARCHITECT'S Name 5. ARCHITECT'S Address (D n 0 5 tS' 6. TYPE of Construction— (Please indicate by X) rt ( xT Wood Frame ( ) Masonry ( )Steel ( ) li (D rt 7. PLANS and Specifications 301 )60 ' Sinyle family dwelling as per plot plan, specifica- No. tions and application including septic system. cn 8. Proposed Use Single family dwelling rt, w 180 . 00 June 17 94 N• $ PERMIT FEE PAID -THIS PERMIT EXPIRES 19 i— (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 17 th Day of June 1993 LQ SIGNED BY /pa,/i,✓l 90e-6 / for the Town of Queensbury Bull arfc Zoning Inspector TOWN OF QUEENSBURY c' REVIEWED BY:. ...riftc ) 0 F !tgire ' FEE PAID: 1 tro — RECEIVED PERMIT NO. : 9.g— /4, APR 8 1993 Pr 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: /V/*/a // / x-I // P.O. Address: Pc, ��A. /3.,2 ,A-/s��% // r PHONE 2 9 ?- 7S Property Location: ,1460 Con'6 57-- Tax Map No./kJ/ / / 4' AC,3 Has there been any split of this property since October 1, 1988? Yes No A' If yes, Planning Board Review is necessary. Subdivision Name, if applicable: Lot No. .--------- 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: $. AOOrli Addition to building * Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: /6 o ft. x .(9c3 ft. Other work (describe) * Existing Building Size: * ft. x 3 Z ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: 1st Floor /5-0o Sq. Ft. 1 * Front Yard 6d ft. Rear yard TO ft. * Side Yards 6f.3 ft. and -s ft. 2nd Floor Sq. Ft. * If on corner, setback from side street- * 27470' ft. Other Floors Sq. Ft. * (not cellar or basement) * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: '5—d d Sq. Ft. * Primary Building - * D( One Family Dwelling Size of New Structure: act ft. -x 5-0 ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partial00(Circle One) * Business * . Industrial No. of stories (Habitable space) / * Other Height (grade to ridge) / ft. * If residential , no. of families: / * If addition, what will use be? /v er�e. No. of rooms (excluding baths) : t/ e * No. of bedrooms: * No. of bathrooms: 2 * Accessory Building: Primary heating system: ro 2ti/Q-c-e_ * Detached Garage - One/Two Car Type of fuel : 0 i/Arz._ a c-.s * Attached Garage - One/Two Car No. of fireplaces to be installed: .�vz../G * Private Storage Building Will a woodstove be installed?: P L, * Other Central Air Conditioning:,. Yes No y * �l (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. Will any second-hand or ungraded lumber be used? If so, for what? //-) o Foundation Wall Material : &a9.Jc2l_ T Thickness: v Depth of Foundation below grade (to bottom of footing) : 7 Will there be a cellar? _� Heated or Unheated? Floor Sq. Footage: /S`a a Will there be a basement? Will any portion be used as living space? ' - ' If so, what portion? Sq. Ft. Type of Use? Type of Roof: Sloped/Flat/Shed/Other S/opeci Material of Roof 25 Z vAr s1/U-/S J Size, wood studs Z " x " ; spacing " o.c. ; length ft. Joists (floor beams) : 1st Floor 2 " x /Z "; spacing _ /(a " o.c. ; span / ft. Joists (floor beams) : 2nd Floor x "; spacing o.c. ; span -- 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 30 ft. Exterior Wall Finish: of what material ? 1/, i. a_ CI- Interior Wall Finish: 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? If so, will a Fire-Rated door, enclosure, self-closing device be provided?Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade: ft. Depth of fireplace hearth: ft. in. Water supply - Municipal or private well : /7o,v/c /fa_ 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: PHONE NAME OF PLUMBER & ADDRESS: PHONE NAME OF MASON & ADDRESS: PHONE NAME OF ELECTRICIAN & ADDRESS: PHONE DECLARATION To the best of my knowledge 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. 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 project on premises. Signature Owner, owner s agent, architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer // sskral_ TOWN OF QUEENSBURY A OF QUEENSbL APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # RECEIVED Fee Paid /APR 7 1993 Date: Reviewed _B,y, COW: LH:PT LOCATION OF PROPERTY FOR INSTALLATION: /l/ d a 6-iv s Owner' s Name: G�///f 1 d //e /a/ Owner' s Mailing Address: p d ga k l 3 2.— G'-/e%)s //s N K Installer' s Name: , X Ct/ A. 7 Phone #: Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom) : Topography-Circle One: a Rolling Steep Slope % of Slope Soil Nature-Circle One: OW Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other /d ti/ L— If domestic water supply is a well - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /60() gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench ,-O feet//Total System Length . 457re, 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 REQUIRE 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: DATE: �'�— 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, 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 531 Bay Road Queensbury NY 12804 Remarks: 0 ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS 14 OF QCIE—ENSI5 RECEIVED ` Compliance Methods : PART 5 - Acceptable Practice Method -APR 1993 1&2 Family Dwellings (only) PART 6* - Thermal Rating - Component-Ta• s 1&2 Family Dwellings; Multi-FamilBfy 'DEFT 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 - J 5 O 0 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% ,' Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R Act c. Glazed areas R �o2. 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 App� �nature� Date Phone Number INSPECTOR' S REMARKS : l l 0 I//f BLDG. PERMIT NO. 9 I l 62 APPLICATION FOR A TEMPORARY,CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; I a c 1 fr LA.) cur,m for the following uses: UJ( j L( 1,.J((o "" I ,c)Co (. /n A-I I L —J ///3 h DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED ( )DISAPPROVED with the following conditions: ( n ,trt 0 Z .!�i r n A ) C1 rc- Sp,-c-c&is ) LAZ 1�(Lc) 1 A'l,O U C_ CO !" e- !S T-( Co . NUJ L I U Ce J S 7 FGz►"^%ar) I m-1 S fn u v�-�(� -a-- A)c� Li Cif , /c,D G rz<=s TEMPORARY CERTIFICATE OF OCCUPANCY FEE: (�")$10.60 DEPOSIT: (" $$100.00 • received on /'� L/<< yr;'. Date of Issuance Director of Bldg& Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES -cCD, DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. -THE NEW YORK BOARD OF FIRE- UNDERWRITERS- CERTIFICATE NO. - DO NOT WRITE HERE.:FOR OFFICE USE ONLY - - • BUILDING PERMIT NO. i TEMP.# DATE -'CITY OR VILLAGE,,,_, - 4 / I ZIPCODE -/ TOWNSHIP i COUNTY • ,. STREET AND NO.OR ROAD ~ - POLE NUMBER /!/(` /)C' ( j -- .- . `iL-' :f7 ...,% / BETWEEN WHAT TWO CROSS STREETS IS-PR EMISES LOCATED? - .SECTION [f, BLOCK LOi . /' -'-F i - &' ,- /..7 .r,.J OCCUPANTS NA E-.-_ 1 • J:1 1 BUILDING OCCUPANCY OWNERS NAME AND ADDRESS HOME TELEPHONE NUMBER tr -�° i,. / l E • CURRENT SUPPLIED BY - j FROM THEIR OFFICE WORK TELEPHON :NUMBER f / _ • 1 �r)-" _ �: %. 4 f6?a .. :w_ BUILDING IS �1 - t - • '- NEW,.--.*., - - . - -OLD-❑ WORK IS NEW 0,.--, ADDITIONAL❑ DEFECTS REMOVED❑ - EQUIPMENT WHICH YOU INST L E `' :LIST BELOW ALL •E NUMBER-OF OUTLETS.: No.of Fixtures& MOTORS HEATERS 'BRANCH ' -. OFFICE USE Loca- „ - - Lamp Receptacles CIRCUITS ONLY tion-,- Side Attaph't H.P. Watts AW.G. . Ceiling Wall • Recep'Isz, Switch - Pendant 'Bracket. Na .Type Each No Each Na Gauge INSPECTION. 3: _ OUT- sY SIDE ' SUB- BASE BASE- MENT= • -. 1st: - FL, • 2nd' ' ' FL - 3rd FL- • F - 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.INSPECTIONAND"ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS ELECTRIC SIGNSILAMPS 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 REQUESTED ON(OR AS NEAR AS POSSIBLE) - - MUST IDENTIFICATION ENTER APPLICANTNUMBERS ► I I I I I AVOID DELAYS BY GIVING°FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAYBE RETURNED. - _ • PRINT NAME AND ADDRESS • -_ NAME OF AP LICANT 2 ' - . DATE OF APPLICATION SIGNATURE OF APPLICANT / /r`.7 .l""1 A' `!r1/ "...1 .—/1 2 X STREET-ADDRESS ' TELEPHONE(NO. CITY OR POST OFFICE / /// (/'Ai zJP CODE LICENSE NO.WHEN APPLICABLE • c-r� 5 /—c"r / a— f 85 John Street 41 State Street 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)88471155': :: (716)254-0141.„ . . (315)463-8552 - . THE NFW YOR_K:BOARD :OF FIRE UNDERWRITERS: TOWN OF QUEENSBURY (Z.,1 BUILDING & CODE ENFORCEMENT /111 531 BAY ROAD /QUEENSBURY NY 12804 (518)745-4447 )1 f�1 Le 0 ARRIVE: DEPART: INSP: FINAL INSPECTION .REPORT - RESIDENTIAL J DATE INSPECTION REQUEST RECEIVED: , '-9 NAME ), PA , `t LOCATION \JeA.,,_,C6"4.,, `v[� DATE � `" ( PERMIT # S"' TYPE OF STRUCTURE 93 L FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION _ FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH A4 Py.Erb DECK/PORCH/STEPS/ INGS RELIEF VALVES FURNACE/HOT WATER OPERATIN INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARP�ETEII RAN STAIR CLEACE/I ILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN 12.6-c o OK TO ISSUE C/O OR C/C i TOWN OF QUEENSBURY n BULDING & CODE ENFORCEMENT SB31 BAY ROAD 27 3 1 ;. 5 � " ` QUEENSHURY NY 12804 1 .. .;, (518)745-4447 ARRIVE: DEPART: t�"V k ("E) INSP ✓ S) FINAL INSPECTION REPORT — RESIDENT L DATE INSPECTI• REQUEST RECEIVED: NAME LOCATION !2-A, A 614/ f/1 8 J 1 (� DAT II E _L ' PERMI # % 5 --I 4 TYPE OF STRUCTURE FOOTINGS FOUNDATI' N BACKFIIL FRAMING ROUGH PLUMBING S PTIC INSJLATION • FINAL ELECTRICAL 7OODSTOVE 7FIREPLACE N/A YES , NO CHIMNEY HEIGHT/B VENT/HEIGHT i 'V PLUMBING VENT i ✓ ROOFING I EXTERIOR FINISH �l N. DECK/PORCH/STEPS/RAILINGS . RELIEF VALVES FURNACE/HOT WATER OPERAT• NG ✓ INTERIOR TRIM/PRIVACY L ORS ••// • FINISH FLOORS: j J BATH/KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE V r , OTHER FLOORS CAR ETED le / :/STAIR CLEARANCE/RAILINGS SMOKE DETECTORS / \ V/ BATHROOM FANS / PLUMBING FIXTURES 9 ✓ FOUNDATION INSULATION \/ GARAGE FIRE PR(OFING V n / DOOR CLOSERS i1 f FINAL ELECTRICA �` L ti 'h tt1ZI14 s \/r if SITE PLAN/VARIANCE REQ. `✓ _J\ FINAL SURVEY PLOD` PLAN (--) OK TO ISSUE C/O OR C/C _ %,-/-'. I 26 (LG€fL AVA-C-- 1 ELECTRICAL INSPECTIONS 3 ^DUPLICATE MUNICIPAL RECORD 9 Permit No. (/(%f Owner CV-4./57-A [ Occupant tV/\a. n Location I0- L Town w City State Installation asitemiizzedQonn reverse side h been visually inspected pursuant to applicable Codes. Installed by (/ Na Date f/`3 V z Inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.16 EL ROUGH WIRING,,OU/TLETS H.P.AIR CONDITIONER / _Q R S�; . {/-Q WIRING &CONTROLS FOR / BURNER aa.. RECEPTACLES H.P. PUMP '�FIXTU RES K.W.OVEN 9.60 AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT Lilo AMP.SERVICE CONDUCTORS K.W. DISHWASHER K.W.SURFACE UNIT ! .K.AN'DRYER K.W. RANGE 1...90 AMP. f 1 10_y2 ..RECEPTACLE K.W.WATER HEATER W FRAC.FRr+• H.P.VENT FANS • MOTORS H.P. 1/20 1/12 I/10 % I/6 % IA 1 Y. 1 1y2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE • APPARATUS TOWN OF QUEENSBURY 3WO 41111!IN BUILDING & CODE ENFORCEMENT 7S 531 BAY ROAD. QUEENSBURY NY 12804 /,. (518)745-4447 ARRIVE: DEPART: INSP: (II FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: I NAME ` LC ( (1 LOCATION J j 1JeCL-)6:)PV1 fn J �j' DATE _ ! r/ IIq y PERMIT }} ! /y7 TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO • CHIMNE HEIGHT/B VENT/HEIGHT PLUMBS G VENT ROOFING. r A EXTERII�R FINISH L, Prw, _ DECK/Pe CH/STEPS/RAILINGS RELIEF ALVES FURNACE HOT WATER OPERATING Pc INTERIOR TRIM/PRIVACY DOORS /\ • FINISH FLIORS: BATH/KIT HEN WATERTIGHT , OTHER FLsIRS SWEEPABLr OTHER FLO• S CARPETDI STAIR CLEARA E/RAILINGS SMOKE DETECTOR. BPHROOM FANS PLUMBING FIXTURE• FOUNDATION INSU A ON •GAALGE ,I_RE P'•OFINk FINAL ELECTR CAL SITE PLAN/V RITurF' 1270 FINAL SURVaY PLOT PLAN OK TO ISSUE C/O OR C/C '\ C,�P v.A/0-s6-0.0r u ) ► ��-s ICt f 6 ti 5 k vcL PP-612,CA/ C&4-112 Al5()EMI") 0 u NJ oM p y4i -763 LD G LfCe-&---U �.— L: c 10M TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT / REQUEST FOR ISPECTION RECEIVED fQ/J3 Sy NAME 1"LA eC� 1C�,j J� J LOCATION / i4wJh DATE h 1 PERMIT I 93 -J & 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 1 REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE 1, PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS! BRACING/BRIDGING yb' JOIST HANGERS / JACK POSTS/MAIN BEAM ,Y FJEATING ROUGH-IN �' "ANSULATION: FOUNDATION WALLS INTERIOW R- FOUNDATION WALLS EXTERIQR FLOORS / R-�---WALLS �-- CEILING DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: • ARRIVE .3 °C).5 r DEPART' INSPECT -= 6-;V TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR I ECTIOW RECEIVED NAME U V LOCATION / G.l it DATE PERMIT f q 3-/cLc 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 LAUGH PLUMBING <3 j-allia 1�[ PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS ; BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM i HEATING ROUGH-IN s;;p INSULATION: A FOUNDATION WALLS INTERIOR R-/ \ , FOUNDATION WALLS EXTERIOR R;' FLOORS ,R- WALLS /R- CEILING / R- DUCT WORK OR PIPING IN ,UNHEATED SPACES REMARKS -(Jo 19 -€-,� V(2A-1 p s e1 ,/11 ,4-1 A-) 'a 0 2/.-I.(.s c CSoA'g- I a0 A—i I IPd ARRIVE . DEPART .2:46 INSPECTOR -0-• 0/4/) i. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR I PECTION R CEIVED NAME/, / -e /L LOCATION./--- /(,,43 mJ Uc DATE .7 ��� PERMIT # / 3 --/44, TYPE OF STRUCTURE 0q) 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 i ROUGH PLUMBING t PLUMBING VENT/VENTS-IN PLACE PLUMBING UNDER SLAB .;49LAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM / \ bc 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 REMF)B,Kl T-6 \ 3- iA"e-4( P&ST T k t .rf 0 B 61 - 4 F-2-u9 pit_ _______, Qi( o t ,Us UU-r& - ARRIVE `N DEPART L4A _ INSPEC OR LA 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 L�p , LOCATION' DATE , 4 7 31�y PERMIT I Q�j—i4 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 ROUGH PLUMBING *PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH—IN INSULATION: V FOUNDATION WALLS INTERIOR R FOUNDATION WALLS EXTERIOR R— ', FLOORS - R— s` WALLS R— CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES �. REMARKS: ARRIVE DEPART // I PE r/Z// TO€,.N OF QUEENSBJRY BUILDINGS CODE ENFORCEMENT2/ 531 Bay Road / ��j��(( Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name ,,[ 'Z/ c/ Location Date 7//q/yJ Permit # 95 i4 SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch Q-� TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SE tAGL vITS—Nktith-q.r- Sze - ft. d< ft. PIPIP➢C: --- Size Type Bldg. to Thk q G v c Tank to Dist, Box VL Dist. Box tcAidld/Pit Li _ Openings Sealed? Yes No Partial LOCATION/SEPAR4IONS: Foundation to i4 k _ / feet Foundation to Absorption feetA SPn�NaFinn of Pil`$ Conforms as per'' Pl o, Plan Yes ©o LOCATION OF SYSTEM PROPERTY: (circle one) Front - Rear - eft Si.e - Right Side Middle n- - fiddle R-ar COMMENTS SYSTEM USE APPROVED: YES NO Arrived: 2"_/ B Departed: 7<> Building I spec o TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST R INSPECTION RECEIVED - '� 3 NAME v/ i LOCATION telAiLairy Sareer DATE 01-S 3 PERMIT # 9�- iLka TYPE OF STRUCTURE ?'> �' l� RECHECK I APPROVED 'N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM I I REINFORCEMENT IN PLACE I THE CONTRACTOR IS RESPONSIyBLE FOR PROVIDING PROTECTION FROM / FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCATEJ MATERIALS FOR THIS PURPOSE\r' SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE k FOUNDATION/DAMPROOFING -- BACKFILL APPROVAL ROUGH PLUMBING PLUMBING ,° PLUMBING VENT/VENTS IN PLACE` PLUMBING UNDER SLAB / FRAMING: / JACK STUDS/HEADERS / BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM , HEATING ROUGH-IN INSULATION: FOUNDATION WALL INTERIOR R- FOUNDATION WALL EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE /7_5%0 1 //r.2 DEPART t C� V. .-/__ t h' I INSPECT R TOWN OF QUEENSBURY Aa" BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 7/ZG/ram' NAME LOCATION tt�/,�{�_py,( - DATE `�/2-o/J3�� PERMIT # 9'3-/5l6 TYPE OF STRUCTURE Sk-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 r' THE PLACEMENT OF THE CONCRETE MATERIALS FOR THIS PURPOSE ON tITE' FOUNDATION/WALL POUR \ �` REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING I '\ BACKFILL APPROVAL ' ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS ' BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM 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 REMARKS: Ad �s/� J- `+ '?r I C`�'✓Fl k7 i Ar( IC X 2) /f)✓jr'ilP,i ARRIVE %_l DEPART %"->> � INS ECT R lZdA/ ,plop Y ser 1601,04,2D D,9N/F1.S 7t ED4/.4t.p-SA,Pgy DAN/EL,S 9-/2- /942. 22414G 5, 35 E Z50.oc /D4' �9ArT/Sad/ r. 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