1993-155 A
C :4� ; TIFICATE !F COMPT COMPLIANCE ' t
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 12 19 93
This is to certify that work requested to be done as shown by Permit No.93-155
has been completed.
This structure may be used as a .Wo ccwc attached ganacfie
__Location R ;,;onbaruP. lane
Owner MA.. and MAA. VAvid AZbvt
126-3-41 By Order of Town Board
TOWN OF QUEENSBURY
Certificate of Compliance for
garage issued with no door //
between garage and mud room. .40
Director of Building Code Enforcement
i -
's X
BUILDING PERMIT
TOWN OF QUEENSBURY t c
No. 93-155
WARREN COUNTY, NEW YORK
t
PERMISSION is hereby granted to MR. AND MRS. ('LIVID ALBER
OWNER of property located at t Stephan-Le Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Two Cali. attached garage
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. ~
rn
1. OWNER'S Address is
tame
2. CONTRACTOR or BUILDER'S Name
•••
P-
Davy d T. Ca-Um Con,stnuc ti.on
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name o0
In
r\1•
Io
5. ARCHITECT'S Address
r—
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
24' x29' Two ccn attached gavt.age alo pen. p.2ot p.ean, 4pecAl4icatti.onis and •
No. app.2c.ccttc.an.
8. Proposed Use
Two can. attached galcage
cyt•
35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 3 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.)
Cil
Dated at the Town of Queensbury this and Day of May 19 93 Io
SIGNED BY t / for the Town of Queensbury
Building and Zoni Inspector
TOWN OF QUEENSBURY ! ` REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT +4 OF QUEENS
BUILDING & CODE ENFORCEMENT 1030L . FEE PAIfICEIVEC
531 BAY ROAD
QUEENSHURY, NEW YORK 12804 PERMI INP. q,3 -153-
(518) 745-4447 �Q""IIv . 19J3
BUILDING PERMIT APPLICATION gC+
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION"®®`�NW'"T-SPECTIONS
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: itY1 R _ + W\(S, Q AO' , 0 c,6 L��
Mailing Address : 8 S7-c--P1-E- ,v rc C Q ct Y /,a s;90 cf
Telephone Number(s) : Work Home 7'q3-7375 Other
PROPERTY LOCATION: i A$T- (S P /(r Li (r " Co2rnr7 I & E/t/®.
Tax Map Number: Section i6ve Black 3 Lot �fl
Subdivision Name: icvL 0 f E K Lot No. CO
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ /,' , bar)
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
u ADDITION TO BUILDING: PRIMARY BUILDING -
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
/
GROSS AREA OF PROPOSED STRUCTURE:
X Other -
1ST FLOOR 7,2f) SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT. A}-(.Zr'1-G—E1 wAY
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One . Car
TOTAL FLOOR AREA: 7 a CD SQ. FT. x Attached Garage - G - , o Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
r Other
)_ (. FEET X 1MMQ7FEET
Foundation Type: 8 )(/(/ JLtc4 Will any second-hand or ungraded
Number of Stories : 1 lumber be used? If so, for what?
(habitable space only) k(C)
Height (grade to ridge) : 1,S7 feet Type of Heating System:
Number of' fireplaces a,nd/or woodstove (circle all which applies) K/e
to be installed: �//Ff Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
.pA-V(JJ %_. Ccou_4,\S
NAME OF BUILDER/ADDRESS/PHONE: Obi.0 T. C0(.-U�5� P.0. Px,k 0,9c2(i F.kr Y,, 7R�-1 ye
NAME OF PLUMBER/ADDRESS/PHONE:
NAME OF MASON/ADDRESS/PHONE:
NAME OF ELECTRICAN/ADDRESS/PHONE :
DECLARATION
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 of Compliance being issued, an AS BUI T PLOT PLAN
drawn to scale, showing actual location o ject i
Signature GCnr, CoNTR,
(Owner, own r s agen , architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
'N MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
. National Headquarters -
1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION Date: 0 �`
City, Town or Township �� GC ('(' t\C I(�2�r County I A)r-A K_ I2(.=i\1 State '\I . (.
Location/Address ' • S I G P lH /A-A.I 1 LF I , T.( (E
(If Located in Rural Area - Please Attach Directions) - •
6 r.. Pole # -� � - -
Owner A ('� - -- M !c till I�i 0 ./ 4 e_ fa(.=. / _ ' ,..Permit # . -. 11:-1.9 7 -i
Occupied As - 6 A,' IA c,_. - . - • '' f- ` 'I.' ` Building: Newl I Old, /
"
Occupant . .o .(- . 19-a, 0('0 (= '/2 , , E
Work Area in Building (Floor #,etc.): I •
App. for: Wiringl7] Service 7 or: Ready for Inspection: i)�� le3 Fee Remitted -$ , Cash n Check n • M.O. 1-1Make Payab To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat .
Switches I - • '
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 1/2 2 3 5 7'/ 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's l ram- 1 1 i '
Signature /.��--.* 1 • License'# Permit #
T/A - - Utility:
Applicant's Address: r. (-i. .O\. a c- '.F j •
(NAME) (OFFICE LOCATION)
(City) ��--4-�` '`( EA 1.--A. � (State) i\( .`ir (Zip) . f c) I Service Request #
Phone # 7/ '-/ 3 S'La Electrician: -
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above n or: • - -•
Red Notice Label n ,.
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Dishwasher
Dryer
Receptacles Water Heater
Fixtures Air Conditioner- . -
Amp. Service Equipment Burner, Wiring'&Controls for Amp. Receptacle , .
Amp. Service Conductors Pump Vent Fans .
j MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4` 1• 1'/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
NELECTRICAL INSPECTOR - '
27; 1-800-479-4504
k< 15 Donald Loveland
_ P.O.50 226
Glens Falls,NY 12801 '
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT
FEE PAID
❑ RW Progress: Inc.❑ LKD❑ Contractor
❑ CFT Violation: Work Comp.❑ Inc. ❑
n L/A . - Owner CASH
Fee CHK #
II] L/A Due MO #
n IPA - • .• Municipal .- ,
INV # •
Date: Other Side❑ . : Utility Applicant ❑- Owner -
Cut in Card 7-Temp # - • - - Date . -
INSPECTORS SIGNATURE
Final.# Date
APPLICATION FORM NO.250 EL 11/89
APPI IC_ANT'S COPY
DAL/1-7
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 cr AM —
NAME NL \J 6-K---
LOCATION • 1 f)l‘At,U 1 (
DATE PERMIT # '--'
TYPE OF STRUCTURE
RECHECK AP_P_RnVFn
FOOTINGS/
MONOLITHI '&
REINFORCE
THE CONTI
FOR PROV]
FREEZING'
THE PLACI N
MATERIALS _
FOUNDATI( 1. —
REINFORC( _
FOUNDATI( V —
BACKFILL _
ROUGH PU i \
PLUMBING _
PLUMBING \ _
FRAMING:
JACKS _
BRACING �
JAIT v`\ —_
JACK'
HEATING
INSULATI —
FOUNDA 'N —
FOUNDA _
FLOORS 's,-
WALLS 1 • �t� �`D , _
CEILIN. J
DUCT S+ I
SPACES I_
I
RE RKS:
/ �:.
s ezi--)ffk\s ,
pc,-(2_ 111
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0 4,,,,, -,e--,a 4, Oa, LAe.,,, -
60 , /jam/oA
ARRIVE A5
DEPART /63 ( /
)- -
INS ,CTOR
TOWN OF QUEENSBURY
_ 531 BAY ROAD
' QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME 44/'�,-
LOCATION X / '7/4 l...a. 4iti., .
DATE ,f/ ///c PERMITO t',Y/SS
TYPE OF STRUCTURE 41/ri ( /)./<u 'p,j
RECHECK .
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING ' FINAL ELECTRICAL _SEPTIC
_INSULATION _WOODSTOVE/FIREPLACE
REMARKS � ',
/
APPROVAL
N/A YES NO
,A
CHIMNEY HEIGHT/LOCATION 'f
B VENT/LOCATION ,
PLUMBING VENT A .1
ROOFING A I
SIDING 'y
DECK/PORCH/STEPS/RAILINGS',
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWOR
INTERIOR TRIM/PRIVACYIDOORSk
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT ,'�h
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING/FIXTURES OPERATING
GARAGE FIRE/PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: '
;/' X dAv--e - jav- cf.',1-.
%leeis fi if,‘/-re ; die Al
. Gv 14
c( ( G_et__ Ste, G-.rG( �,/
ARRIVE `/YX
DEPART X*1 _ /'
INSP TOR
AL
k
_ . , .
•
TOWN OF QUEENSBURY A_
531 BAY ROAD
.. , QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 6V/a���
NAME /7i J0.00 d i/Aeh_.
LOCATION I -r''phi w,ce %-
DATE l D ,0_ PERMIT# Q3--/ 5T
TYPE OF STRUCTURE ��/1i-z , &ti C224.Ve
,✓
RECHECK ; 1 �I� O, e_ ,2 t'.I'l �
• /
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
-FOOTING FOUNDATION L—ACKFILL FRAMING
_ROUGH UM
ROUGH ELECTRICAL _SEPTIC
_INSULATION _WOODSTOVE/FIREPLACE
REMARKS
1
CHIMNEY HEIGHT/LOCATION /� 'APPROVALN%A YES NO
B VENT/LOCATION 1 •/
PLUMBING VENT
ROOFING i�✓
SIDING ,r
DECK/PORCH/STEPS/RAILINGS,,✓
RELIEF VALVES
FURNACE/HOT WATER-OPERATING-1 -
BASEMENT INSULATION/DUCTWORK 'k
INTERIOR TRIM/PRIVACY DOORS 'A
FINISH FLOORS: /
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING '
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER •
SITE PLAN/VARIANCE REQUIRE ENTS
FINAL ELECTRICALr'2 g1 -o
OK TO ISSUE C/O OR C/C l °-
COMMENTS: J� , eopb-zzo w
1 `
ri--4-
15 ,!_/_ii.)7,p6 sx
0.062,,,,,w_ Dg-
alittef-' 6"00.1 -5''' ittYr714Z-br
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DEPART ,',r r
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TOWN OF QUEENSBURY 1
531 BAY ROAD � '
P QUEENSBURY, NEW YORK 12804
TELEPHBNE-°-" C 518) 745-4447
' BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 7/f/ '3
NAME `2W k721 A71;/1U ( ei
LOCATION f viitpiNA •e_�, ;r ( .�
DATE 7leif13 PERNITO ' /C,_6'
TYPE OF STRUCTURE A('jo , ft kf- , 40 al)f
RECHECOA apjiy-q .
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
_INSULATION _WOODSTOVE/FIREPLACE
REMARKS ;
APPROVAL
CHIMNEY HEIGHT/LOCATION ', N/A YES NO
B .VENT/LOCATION a ,+
PLUMBING VENT ;+ • /
ROOFING -.
SIDING
j /
DECK/PORCH/STEPS/RAILINGS '; i
RELIEF VALVES ',,/ -.
FURNACE/HOT WATER OPERATIN / ='
BASEMENT INSULATION/DUCTWO°K
INTERIOR TRIM/PRIVACY DOO S 'i. -"
FINISH FLOORS:
•
BATH/KITCHEN WATERTIGH '\.
OTHER FLOORS SWEEPABL� -
OTHER FLOORS CARPETED -
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS =11
SMOKE DETECTORS , .
BATHROOM FANS/WHOLEHOUSE FANS \
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING W '
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C �W
COMMENTS:
0 bdcz(-ti0 T'a`5 )111v 1r 6 g L-�.4-L
eA ti,v ., MA s& o/' Worn
ARRIVE 3!,,,,.-- •
DEPART S") c( C,>� / ,-
INSPEC O'
f, A-<3 6NA- L In b-CIR(c)A-L lAy5 e(eervv ,' /L,,
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No. 19 3��5�
Owner :1 1-b4 R-
Occupant
Location g 5 re-P/ AJ'�
a , Street
Tuwn ur(an• State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by _ et)c.L/J/ s g/
(O o
Date � � � Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
G ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER /p®
K.W. RANGE AMP. RECEPTACLE
K.W. WATER HEATER FRAC. H.P.VENT)FANS
MOTORS H.P. 1/20 1/12 I/10 Vs '/s '/ 'h Is 'h 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
TOWN OF QUEENSBURY �.
BUILDING AND CODES DEPARTMENT
77
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 6,/4/</i
NAME M 7n ApCQiL,Ae, (L&'-e Y '
LOCATION c' .d1 /2J a4f L/
DATE 0//4/9.3 PERMIT # 9,3--/em51
TYPE OF STRUCTURE o„?(?eze,
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 �z
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB /
/1,FRAMING: k I
S UDS/HEADE S /
BRACING RIDGING / h
JOIST HANGERS y
JACK POSTS/MAIN BEAM jX
HEATING ROUGH-IN /
INSULATION: / \
FOUNDATION WALLS INTERIOR R-
FOUNDATION W 'LLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING / R-
DUCT WORK R PIPING IN UNHEATED
SPACES
REMARKS:
4 R\1�66- v� i,v(, -
ro
11
ARRIVE 2:17 d
DEPART -2':30
NSP T R
. ti
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR LNSPECTION REEECCCEIVED
NAME
LOCATION GF
DATE 50 PERMIT # % / / 5
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 )
FFDUNDATION7Bft ,-J
t/BACKFILL APPROVAL\
ROUGH PLUMBING \ /
PLUMBING VENT/VENTS IN' PLACE
PLUMBING UNDER SLAB, ,/
FRAMING: ''J
JACK STUDS/HEADERS\
BRACING/BRIDGING yA
JOIST HANGERS / \
JACK POSTS/MAIN BEAM\,
HEATING ROUGH-IN
INSULATION: / \
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / \R-
WALLS / R-
CEILING /
DUCT WORK' OR PIPING IN UNHEATED
SPACES I
REMARKS: /
-:!Y=L1-14) - .
ARRIVE 4.)'j6
DEPART /
IN PEC OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST OR INSPECTION REC IYED 0
NAME , ah
LOCATION
DATE PERMIT # /SS
TYPE OF ST UCTURE
RECHECK i APPROVED
' N/A YES NO
'OOTINGS/PIERS Pc
MONOLITHIC POUR FORM / ?
REINFORCEMENT IN PLACE 1
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM it
FREEZING FOR 48 HOURS FOLLOWING I
THE PLACEMENT OF THE! CONCRETE. }+
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR ',
REINFORCEMENT IN PLACE '
FOUNDATION/DAMPROOFING I
BACKFILL APPROVAL }. H
ROUGH PLUMBING -
PLUMBING VENT/VENTS IN \PLAVE
PLUMBING UNDER SLAB
FRAMING: F
JACK STUDS/HEADERS /'
BRACING/BRIDGING
JOIST HANGERS /
JACK POSTS/MAIN BEAM! \.
HEATING ROUGH-IN
INSULATION: 1
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R
FLOORS
WALLS £; R- A
CEILING i R- '
DUCT WORK OR PIPING IN UNHEATED ',
SPACES
REMARKS:
CZ/vi 6 19 w-A/ilzril c(6)10)6C7-4116-17.
217f" 11i-
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C•t2C( L*G�—
ARRIVE ! 5-6 o
DEPART (0;o d
INS ECT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW"PORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT /
REQUEST FOR INSPECTION RECEIVED 7c 3
NAME4e..fiX..1 �1 (((
LOCATION V qP Aw.„
DATE I/c 0
a PERMIT I 9' 3 4 � 3
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
4OOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE /
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS P/OLLOWING
THE PLACEMENT OF THE C((jiNCRETE.
MATERIALS FOR THIS PURFOSE ON SE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE i
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN P\LAC
PLUMBING UNDER SLAB
FRAMING: \I
JACK STUDS/HEADERS
BRACING/BRIDGING " \
JOIST HANGERS B \
JACK POSTS/MAIN BEAM /
HEATING ROUGH-IN
INSULATION: l
FOUNDATION WALLS INTERIOR R-\
FOUNDATION WALLS EXTERIOR R- \,
FLOORS l R- \
WALLS J R- \
CEILING R- \
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
r
CtlL - o s,
ARRIVE 2(;:- %C3
DEPART s2.! 45 .
I SPE OR
t
o7.1
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1 11 III -OR
�F QUEENSBURY _ 3 Yo s A>JI
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