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1991-570 -1 - ''r a± CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK k Date September 25, 19 91 This is to certify that work requested to be done as shown by Permit No. 91-570 has been completed. This structure may be occupied as a Single FAmily Dwelling Location PeggyAnn Rd. e Owner Michael Vasiliou t I e,lR By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement e /7 • • - r k BUILDING PERMIT 0 TOWN OF QUEENSBURY No 91-570 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michael Vasil i ou OWNER of property located at Peggy Ann Rd. 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. 1. OWNER'S Address is �. 14 Stone Pine Lane o Queensbury, NY 12804 2. CONTRACTOR or BUILDER'S Name i-a Same CD 3. CONTRACTOR or BUILDER'S Address -p CD 4. ARCHITECT'S Name a O. 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) V7 (X)Wood Frame ( ) Masonry ( I Steel ( ) c0 rb 7. PLANS and Specifications -R 12) No. 1,376 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use CD Single Family Dwelling with attached 2-Car Garage cc $ 193.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 13, 1992 (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 13th Day of August 19 91 SIGNED BY for the Town of Queensbury Building and Zoning I ctor TOWN OP QUEENSBURY REVIEWED BY: � ' 1vvs`,i f.F QUEE BUR ��� RECEi ED Ifiror FEE PAID: R.) AUG 121991 PERMIT NO. : g I --51 b SLOG. 8, 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: / _ acdt ! 1 CIP , P.O. Address: , NIMIlr. PHONE �. Property Location: ;,,t,, Aar- , _AP Tax Map No7,,,;Y / / / B` -q Has there been any split of this property since October 1, 1988? Yes No 446 If yes, Planning Board Review is necessary. Subdivision Name, if applicable: MIIIMINSINIMASSLot No. THE PERSON RESPONSIBLE FOR SUPERVIS N OF WORK AS REGARDS TO BUILDING CODES IS: A/co/et__ fr5f /th4'c. . , NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION: $ G► 404 Addition to building * I Alteration to building * COMPLETE INFORMATION REQUIRED BE OW: (no change to exterior dimensions) * Size of Property: /($ ft. x07 ft. Other work (describe) * Existing Building Size: * -- ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: �,�Z JO 0 * property line: ,- 1st Floor C Sq. Ft. �P/0 5��* Front Yard ft. Rear yard 02 ft. Side Yards 5 ft. and ( ft. 2nd Floor grr Sq. Ft. / (, If on corner, setback from side street- , � 1* ft. Other Floors km.steilb Sq. Ft. (not cellar or basement) * OCCUPANCY INFORMATION: * . TOTAL FLOOR AREA: /3 a Sq. Ft. * Pri y Building - * maOne Family Dwelling Size of New Structure: A ft. x ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partia Circle One) * Business * Industrial No. of stories (Habitable s ace ,� * Other Height (grade to ridge) ft. If residential , no. of families: / * If addition, what will use be? No. of rooms (excluding baths) : * ; No. of bedrooms: ,3 * No. of bathrooms: 2-0 * Accessory Building: Primary heating system: ! A1414. * Detached Garage - One/T, - Type of fuel : (5)40e. * �_ Attached Garage - One gwo Ca No. of fireplaces to be installed: .+— * Private Storage Building Will a woodstove be installed?: * Other Central Air Conditioning: Yes No (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. Will any second-hand or ungra•ed lumber be used? If so, for what? , ot,,,,e5 Foundation Wall Material : e...4- 1 C� Thickness: i !e Depth of Foundation below grade (to bottom of footing) : Will there be a cellar? r 4eate. Jr Unheated? P 6 Floor Sq. Footage: Will there be a basement? Will any portion be used as living space? If so, what portion? Sq. Ft. Type of Use? Type of Roo . Sloped ►:t/Shed/Other Material of Roof Size, wood studs _J" x 4: " ; spacing 4 . o.c. ; lengthJ.- ft. Joists (floor beams) : 1st Floor 2,—" x ' " ; spacing /C. " o.c. ; span / ft. Joists (floor beams) : 2nd Floor _4a. " x /O "; spacing ,1257 " o.c. ; span ft. Overlays (ceiling beams) : Z. " x 0'6 " ; spacing ,' " o.c. ; span 0, ft. Roof rafters: " x ® " ; spacing ,,,,,C o.c. ; span / / ft. Roof trusses (pre-engineered): spacing " o.c. ; span ft. Exterior Wall Finish: fr.r.4',L of what material ? Interior Wall Finish: '' If a garage is to be attached, describe materials to be used for FIRE SEPARATION: -74:P` icioot g* 5 rwo, ir ` Is there to be an opening between garage and d i l i ng? 914, }►�'" so, will a Fire-Rapt! or, enclosure, self-closingdevice be provided? F ...., Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade: +...-° ft. Depth of fireplace _A-„nth: ft. in. Water supply •. .,,- Jr private well : 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: / ec/, A-eL_ VAS ♦ k.Laid /yes PHONE jpj, 74_ r ' NAME OF PLUMBER & ADDRESS: /41- /LAN,,6 ®7 PHONE F 'Ye?) NAME OF MASON & ADDRESS: 4I PHONE 7c2—6.4,0 NAME OF ELECTRICIAN & ADDRESS: j41L0J6",t,1 4-,01.) PHONE 'Pd....42 fid 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 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 t e proposed work shall be complied with, whether specified or not, and that such work iss/ .,a th• ized the owner Signature ,L/ _ . //` /le _.„0, wwn-r, owner s agent, arcnitec contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer c e OWN OF QUE NSBUR j TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: Reviewed _ LOCATION 0 PRO ERTY FOR INST LLATION: Owner' s Name: fr,1$' Lf ) �'v Owner' s Mailing Address: / ..52 .94 Installer' s Name: __005C Phone #: Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom) : rs6 Topography-Circle One Fla _ Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand, Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? --- Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trenc = .- Qeet//Total System Length Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Q eensbury Sanitary Sewage Disposal Ordinance. / SIGNATURE OF RESPONSIBLE PERSON: ((f ; � 1 DATE: - - J ` 01;wa t MIDDLE DEPARTMENT INSPECTION AGENCY, INC., ���n� National Headquarters - -' 1337 West Chester Pike,West Chester,PA 19380 APPLICANT COMPLETES THIS SECTION , Date: f ,fig7 City, Town or Township.. 0 " — , �+ County � �State Location/Address V 0� � B I ` (ILocated in Rural Area-Please Directions) Pole # Owner / "i i L'� S/4.. loci A.. Permit # Occupied As �� .1 -t 'i-3 C: r Building: New> OldI Occupant Work Area in Building (Floor #,etc.): App. for: Wiring Service,1 or: Ready for Inspection: Fee Remitted-$* Cash n Check n M.O. n Make Payable To: M.D°I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional N.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 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size , 1 , s y Applicant's f �,�r Signature i f t` z ;.�x`�,.. - License # Permit # T/A f. Utility: Applicant's Address: (NAME) (OFFICE LOCATION) (City) (State) (Zip) Service Request # Phone # Electrician: MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above! I or: Red Notice Label I I Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher , Fixtures Air Conditioner Dryer Amp. Service Equipment Burner,Wiring &Controls for Amp. Receptacle _ Amp. Service Conductors Pump 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 7V2 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 i ° Elect. Heat CORRECT CERTIFICATIONS USE FOR INI3 L VISIT ONLY NOTIFIED DATE FEE FEE PAID` , I RW Progress: Inc.(_I LKD El Contractor I I CFT Violation: Work Comp.n Inc. I I I 1 L/A Owner CASH n L/A Fee CHK # • Due MO # n IPA Municipal INV # Applicant I I Date: Other Side I I Utility Owner I I Cut in Card ❑ Temp # Date l i Final # Date INSPECTORS SIGNATURE 4PP[ IC4TION FORM NO.250 EL 11/89 A; di TOO OF QUEENSBURY 'Ak 531 BAY ROAD .`- QUEENSBURY, NEW YORK 12804 TELEPH_ON_E (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION 9c� REQUEST FOR INSPE-C'TIN-RECEIVED -`j,� NAME(, C-,1 L,'lSl:'— . NO---9 lA r a LOCATION qiC)Cxp.) - PX DATE C2)I1 jA 1 IP RMITI 1 J 5 70 TYPE OF STRUCTURE 3 c RECHECK FIRE MARSHAL APPROVAL (C MMERCIAL STRUCTURE) jPOOTING FOUNDATION 1ACKFILL \/ RAMING IROUGH PLUMBING FINAL ELECTRICAL N EPTIC NSULATION _W00DSTOVE/FIREPLACE REMARKS 'II APPROVAL vof YES /NO CHIMNEY HEIGHT/LOCATION / B VENT/LOCATION PLUMBING VENT ,, ROOFING 1/ SIDING i '//DECK/PORCH/STEPS/RAILINGS --bevits5teZ RELIEF VALVES `r /, FURNACE/HOT WATER OPERATING% / BASEMENT INSULATION/DOCTWOW ✓ INTERIOR TRIM/PRIVACY DOORS L +f FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED Vz STAIR CLEARANCE/RAILINGS V HANDICAPPED ACCESS ,✓ / SMOKE DETECTORS ✓j BATHROOM FANS/ J€-E--FANS ✓� ALL PLUMBING FIXTURES OPERATING a��' GARAGE FIRE PROOFING h./ DOOR CLOSERS , OTHER FIRE SEPARATION 14 f FIRE/DEMISE WALLS DUMPS TER t// SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C r/" COMMENTS: &fa/coves Avi 4 ql:-s. . ARRIVE V_, W DEPART 144 NSP T 11cc id MU Y n J o3 TOWN OF QUEEMSBURY 531-BAY ROAD ` QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 CTOR'S REPORT FI INSPE 9'/,9_3)91 REQUEST FOR RECEIVED NAME Vct B I 1�{flA (i\ (LOCATION OC�G F' (a,J- �)Y ) DATEpli 6/ E CS, 91 --5 1 V TYPE OF STRUCTURE S �S RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL T UCTURE) FOOTING FOUNDATION BACKFILL 20RAMING ROUGH PLUMBING FINAL ELECTRICAL t.SEPTIC 3INSULATION WOODSTOVE/FIREPLACE SITE PLAN/VARIANCE REQUIREMENTS YES — NO REMARKS ,APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: 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 DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: 2k/ 0462 47/14-67 4 47Q • ARRIVE DEPART e. INSPECTOR /1727 _loom of Queeni4ur BUILDING and ZONING.DEPARTMENT Bay0nd H'taviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME ;A , LOCATION L/ 87 4oa .4, - _ l / j DATE /5P7 PERMIT NO. 9/-5/g SOIL TYPE Sand - Loam - Clay - Percolation Tes Required? YES - NO Percolation rate - Min/In6h TYPE of SYSTEM: Absorption field, total length„ Length of each trench `5,)J Depth of trenches ";j-111- Size of gravel .? c if _ SEEPAGE PITS{NuinberOf) I Size- ft. X .ft. Gravel size PIPING: °Size y e F' Bldg. to tank 4'� ( ;r Tank to dist. box ;' 46/1 VC, Dist. box to field pit J'/ Openings sealed?:/ YES NO Partial a� LOCATION/SEPA TIONS: Foundation to/tank, /5 ft. Foundation to' absorption . ft. Absorption tioto lot line ft. Separation.'Of pits; (, ft. A_ 'TION OF SYSTEMON PROPERTY(circle one) ron,_ - Rear - Left side - Right side - COMMENTS 1 1 SYSTEM USE APPROVED 0 NO B lding I Spector 01/86 and vl ' . .. .......- . . .. . ...W...•...*......• , , 1 ,.....,....i........,,4 n,.., ,,:.. 1 ........ 4 I I . I . 1 . i , • ,. A I f .,..' 1 i i 1 I . I E 1 . , 0 ' 1 . . I k . . / ' . _ i . 1 'i c , . ., . I I 1 - . i I i ! . . \ 1 ... Ali VW....L ei VH . '(.7."2" V/14 Oill i L I , . . . . . --- ------ --._' .._... ,...,_„ Zr":`:•L. - 1 --- .. .. 1 , 1 -........„ 1 I --"--",.,......„.. '1. .1 ' \) 1 .1 / 7') ' ,....,.„.., .,...,,..,, ",,, I "...,..,.....„...... '""'"11\-J I ' 1 ..„..„ —,, ----.-----.._. c I I I ....-..,,.... \ i I \ \ (--,,, ) , N. I ) 1 \\ ,f . •-.,„/ i : ,A 4f,4 1•N,, . '4, Qi . . . bl -------_ -, -••••••„, -_,......„......„ .....,... ....... .........„ (..1')'-..',,, ........ ........ --"- i.:I ........ ........... - • . • ---,.......„. 1 . , .-„,......„ ...........„ 1 ......-,..., ..,. ,............- ,..., - , ........., ,, „,........ ...... . TOWN OF QUEENSBURY BU_ I DING AND CODES DEPARTMENT /4' '! w 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME ` n/:ftha 1J 4, LOCATION DATE?fr/Q/ PERMIT 1 9f-3-70 TYPE OF STRUCTURE uL,!iL i#• RECHECK -,j .M/ ,(I _l.�-GT 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 Sh E 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 1 FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH IN )( INSULATION: /` FOUNDATION WALLS INTERIOR R- FOUNDATLON WALLS EXTERIOR R- FLOORS R- WALLS WALLS R- ) ✓ CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 7/11/14';) "4" Gt4i,AVP IX ARRIVE `v - DEPART GtiG7� INSPECT R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPOR 1 REQUEST FOR INSPECTION RECEIVED �' NAME OS)L N'elA.J 3 LOCATION ! ' C � n i'\Vl(1 DATE l PERMIT #° / -570 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 ..AROUGH PLUMBING PLUMBING VENT/VENTS IN 'PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN ,,BEAM FIRESTOPPING / WALLS F CEILING ' FIREWALLS HEATING ROUGH 1IN INSULATION: FOUNDATION/WALLS INTERIOR R- FOUNDATION'WALLS EXTERIOR R- FLOORS /' R- WALLS t R- CEILING 1 R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE / 3s DEPART 1GA - , �ttry� N TO TOWN OF QUEENSBURY BUILDING AND' CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR I PECTI R CEIVED NAMEVU,S1 ,1 nc. LOCATION ( yivi>4 ) DATE (�r PERM '1 ¶7 C�sp S n TYPE OF STRUCTURE r (,t_1�A'4--2-I s�'i� RECHECK / APPROVED IN/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURSFOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS P tPOSE ON Sr FOUNDATION/WALL POUR z j REINFORCEMENT IN PLACE. / FOUNDATION/DAMPROOFING; f BACKFILL APPROVAL " / ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE, PLUMBING UNDER SLAB FRAMING:- 6 JACK STUDS/HEADERS d' BRACING/BRIDGING �! JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS ' HEATING ROUGH-IN INSULATION: FOUNDATION WALL INTERIOR R- '�, FOUNDATION WA,ES EXTERIOR R- xk _ FLOORS / R- WALLS / R- CEILING / R- DUCT WORK OR PIPING IN UNHEATED ' SPACES / REMARKS: lam_ 141 ARRIVE DEPART I . T R r TOWN OF QUEENSBURY \ ory,BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT �1 / / I 11 REQUEST FOR INSPECTION RECEIVED NAMEVas/ L'ati Mik4cuszN LOCATION r . `7 ,�, io fr\Aym 4c) DATE PERMIT # (J� TYPE OF STRUCTURE 1S c- t RECHECK APPROVE 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 FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERrQ,R R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- _ CEILING R-_ DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: / Sa ARRIVE / eye DEPART ) INSPECTO TOWN OF QUEENSBURY c P1 BUILDING AND CODES DEPARTMENT r, • 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPOR REQUEST FOR INSPECTION RECEIVED � .i f h I r,4 NAME \c&,s-1 t ©l, flL_-Q LOCATION 3 J Zl) DATE O NI PERMIT # L TYPE OF STRUCTURE .S-5 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 ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING -#BACKFILL APPROVAL Y ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM. FIRESTOPPING WALLS CEILING FIREWALLS 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: • ARRIVE 51/ DEPART -- di. / / INSPECTOR TOWN OF QUEENSBURY I BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIONS RECEIVEDis ) NAME CAS; l- 7YL� m J rI LOCATION CZp© .)C6l Y (N DATE /1// L , PERMIT I I -b'7O 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 FIRESTOPPING WALLS CEILING FIREWALLS 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: eig ARRIVE lU DEPART J1j INSPECTOR ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD . Permit No. —570 Owner M . VA q -3A1C Occlupant Location f'e-Cc AA Street oaLerres Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable _ codes. Installed by4 A/67n 4-Ajr No 9 6 6 Date 9-.69-6-- 7/ Weitate "eaG046,sctor MIDDLE DEPARTMENT INSPECTION AGENCY,INC. FORM NO.18 EL. 1337 West Chester Pike.West Chant...De twain t 3 ROUGH WIRING OUTLETS / H.P.AIR CONDITIONER 9 g� GY&INWFS l� WIRING &CONTROLS FOR / BURNER 7_�g RECEPTACLES H.P.PUMP FIXTURES K.W.OVEN MP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT f //C)AMP.SERVICE CONDUCTORS DISHWASHER ,,Ll,/ ".W.SURFACE UNIT tI K.W. DRYER V a. .RANGE AMP. RECEPTACLE WATER HEATER •FRAC.H.P.VENT FANS j it MOTORS B.P. 1/20 1/12 1/10 I% % '/ 3/ 3/z 3% I 11/2 2 '3 5 71/ 10 15 20 25 30 40 50 75 100 NARK NUMBER IF EACH SIZE APPARATUS