92-757 401
CERTIFICATE
OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date jAktialy (L 19 f
This is to certify that work requested to be done as shown by Permit No. 92-7 57
has been completed.
This structure may be occupied as a office
Location99 Quaker Road
Frammis Development Corporation
Owner
Tenant: Internal Revenue Service
By Order Town Board
TOWN OF QUEENSBURY
( 7)
Director of Bldg. ac Code Enforcement
--I
BUILDING PERMIT
TOWN OF QUEENSBURY No. 92-757
WARREN COUNTY, NEW YORK ,,_,
0
00
PERMISSION is hereby granted to FRAMMIS DEVELOPMENT FOR TENANT-INTERNAL REVENUE SERVICE CA)
OWNER of property located at 99 Quaker Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Interior Alterations
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.
--I
m
1. OWNER'S Address is
PO Box 639
r
Latham NY 12110
m
2. CONTRACTOR or BUILDER'S Name
Plaza At Latham Assoc
m
3. CONTRACTOR or BUILDER'S Address1-4
PO Box 639
Latham NY 12110
4. ARCHITECT'S Name
5. ARCHITECT'S Address l0
l0
c
o,
[D
6. TYPE of Construction—(Please indicate by X) 0
^S
( )Wood Frame ( ) Masonry ( )Steel ( )
0
7. PLANS and Specifications
No. 5000 sq. ft. Interior Alterations as per plot plan, specifications
and application.
8. Proposed Use
Office
J.
0
250.00 December 10 93
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 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.) .�
cu
c-f
Dated at the Town of Queensbury this Day of December 19 92 0•
N
SIGNED BY j for the Town of Queensbury
Building and Zon nspector
TOWN OF QUEENSBURY
REVIEWED BY:
Allift
1010f, gN OF QUEENSBi.,.
FEE PAID: p,,,c0 RECEIVED
PERMIT NO. : /'d 7,57
DEC 2_ 1992
BUILDING PERMIT APPLICATION ` S
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: — Fri s Development Corporation
rporation
P.O. Address: Box 639 Latham, New York 12110 PHONE(518)785-663:
Property Location: Quaker Road Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No X
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No. 108-1-37
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Roger L. Ruel
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * - CONSTRUCTION: $ 45,000.00
Addition to building *
X Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) * Existing Building Size:
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line: 2.44 acres
*
1st Floor S600 Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards ft. and ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: 5,000 Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * x Business
* Industrial
No. of stories (Habitable space) 1 * Other
Height (grade to ridge) N/A ft. *
If residential , no. of families: * If addition, what will use be? N/A
No. of rooms (excluding baths) : *
No. of bedrooms: *
No. of bathrooms: * Accessory Building: N/A
Primary heating system: R�ftop HVAc _ _ __ _ * Detached Garage/- One/Two Car
Type of fuel : as * Attached Garage - One/Two Car
No. of fireplaces to be installed: N/A * Private Storage Building
Will a woodstove be installed?: N/A * Other
Central Air Conditioning: Yes x No *
(OVER)
3UILDING PERMIT APPLICATION CONTINUED:
3UILDING SPECIFICATIONS:
type of construction: wood frame, fire safe, etc. Structual Steel/Masonry
Jill any second-hand or ungraded lumber be used? If so, for what? No
'oundation Wall Material : Poured Concrete Thickness: 12"
)epth of Foundation below grade (to bottom of footing): 4'-0"
Jill there be a cellar? No Heated or Unheated? Floor Sq. Footage:
Jill there be a basement? No Will any portion be used as living space? No
:f so, what portion? Sq. Ft. Type of Use?
ype of Roof: Sloped/Flat/Shed/Other Flat Material of Roof Modified Bitunn m
;ize, wood studs " x "; spacing " o.c. ; length ft.
loists (floor beams): 1st Floor " x "; spacing " o.c. ; span ft.
loists (floor beams): 2nd Floor " x "; spacing " o.c. ; span ft.
)verlays (ceiling beams): " x "; spacing " o.c. ; span ft.
toof rafters: " x "; spacing o.c. ; span ft.
toof trusses (pre-engineered): spacing " o.c. ; span ft.
:xterior Wall Finish: paintQa Concrete Block of what material? Masonry
nterior Wall Finish: .Painted Gypsum & Concrete Block
a garage is to be attached, describe materials to be used for FIRE SEPARATION: N/A
:s there to be an opening between garage and dwelling? If so, will a Fire-Rated door,
!nclosure, self-closing device be provided?
Jill a flue-lined chimney be installed? Height above roof ft.
)epth of chimney foundation below grade: ft.
)epth of fireplace hearth: ft. in. N/A
Dater supply - Municipal or private well :
;EPTIC SYSTEM: Distance from any private well (including adjoining properties: ft.
A separate application is necessary for any repair or new installation of septic system. )
JAME OF BUILDER & ADDRESS: Plaza At Latham Assoc. P.O.Bx639,Latham N.Y. PHONE (518)785-6633
JAME OF PLUMBER & ADDRESS: Moon Plumbing & Heat. 8111 Bluebird PHONE (518)792-6355
So. Glens Falls, N_Y_
LAME OF MASON & ADDRESS: Met Const. Co. 27 Blinn St. , Whitehall, N.Y. PHONE (518)499-0807
VAME OF ELECTRICIAN & ADDRESS: Ungerman Electric P.O.Bx 6539, Albany, N.Y. PHONE (518)436-8741
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
!%,,•i,,•),,•r ,• ,•r ,•i ,•r ,•t ,• ,•r ,•r ,•i ,•r ,•i ,•i ,•i ,•r ,•i ,•i ,•i ,•r ,•r ,•r ,•r ,•i ,• ,•r 0•r ,•r ,•r ,C ,• ,•r_API.1•1.,•i ,•r ,• ,•; ,• ,•r ,•r ,•r ,•r ,• ,• ,• ,•r ,•r ,•r ,•i ,•r ,•r .•. ,•i ,•,
THE NEW YORK BOARD OF FIRE UNDERWRITERS pc,'h: I
;; BUREAU OF ELECTRICITY
41 STATE STREET,ALBANY,NEW YORK 12207
:' Date FEBRU 1 I.I 1. #9-3 Applicat' o.on file 82I 49 1/`i3 A 0800I -r
'; THIS CERTIFIES THAT Pal Nt,r° 92757
only the electrical equipment as described below and int ed by t named on the above application number in the premises of
FRAHI I.I E l DFVELO TENT CORP, 9.:i QUAKER $,D. I R.R.S S. QUFLNSF3URY, N,Y.
:: in the following location; ❑ Basement Ellet Fl. El 2nd Fl. Section Block Lot
was examined on JANU ? ' 28. 1 99 3 and found to be in compliance with the requirements of this Board.
.`_. FIXTURE RECEPTACLES SWITCHES RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
a_:,:. OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
51 64 I3 1 I;t -- 1'1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS ma UNIT HEATERS MULTI-OUTLET DIMMERS
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. MAPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
i'
-.'
►: SERVICE DISCONNECT NO.OF S E R -_ V 1 C E
AMT. AMP. TYPE -MET�' 1 t 2W 1 0 3W 3 0 3W 3 0 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G.
i
PER A OF CC.COND. OF We OF NEUTRAL
-i,
i'
: OTHER APPARATUS:
H 1`. -
Et tEK ENf..:'1 PACE--4
!ME Rc:4'i HEATERS:._, t. K 1.4:.
i'
1'
' HER
AN NGERIAN;
_ U1�-
S SHsRI?AN AVENUE
ALBANY. NY, 12206 BRANCH MANAGER
�; 239
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.
yi-,•i,.\ ,•C r•i'r•\'1•r'r•''''C'''a' 'a ''•;'r•''re'',•,".r• .r•,._'•,'.•`.•\.,•\-,•`.'r•._-,•' ' ''( r ._, \. - -- - ' ta,- - - - - - - --
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Ph-
TOWN OF QUEENSBURY
531 BAY ROAD4X-tt
411111
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME /eC
LOCATION 4LAti?4
DATE l� 3PERMITS 0-
TYPE OF STRUCTURE -h i +-
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
- ROUGH PLUMBING FINAL ELECTRICALiSEPTIC
- INSULATION WOODSTOVE/FIREPLACE
REMARKS gfr
/ APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATIO
B VENT/LOCATION
PLUMBING VENT I
ROOFING
SIDING \L
DECK/PORCH/STEPS/RAILINS
RELIEF VALVES
FURNACE/HOT WATER OPERAT 4G
BASEMENT INSULATION/DUCT QRK
INTERIOR TRIM/PRIVACY D ORS
FINISH FLOORS:
BATH/KITCHEN WATERT GHT-;
OTHER FLOORS SWEEP LE fit
OTHER FLOORS CARP ED `
STAIR CLEARANCE/RAI INGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHO EHOUSE FANS
ALL PLUMBING FIX URES OPERATING
GARAGE FIRE PROD ING -
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C 1
COMMENTS:
ARRIVE
DEPART
INSP T
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED / l
NAME :7;X5
LOCATION 7 J ,21wjeg4, leaf
DATE 2IZ/4, PERMIT# 9.0?-757
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING •
FIRE EXTINGUISHERS
4UTO. EXTINGUISHING SYSTEM � .
iOOD INSTALLATION ✓'
AUTO. SPRINKLER SYSTEM
kLARM SYSTEM ,40
[NTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS •
CLEARANCE TO HEATING UNITS
ZEQUIRED SIGNAGE -
'HIMNEY -
lOODSTOVE
F �
'IREPLACE-MASONRY
'IREPLACE-FACTORY ILT /~
►EMARKS: OK TO THIS DATE
r#;14Q-
/015 INSP CTOR
BURY
TOWN OF QUEENS ,A/
531 BAY ROAD
filia,
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION--
REQUEST FOR INSPECTION RECEIVED
NAME j(IVIAAML g..-Weikl-ie• J-e-tarte
LOCATION if Aadta Id
DATE z/4/._9 PERMIT# 9 75 7
TYPE OF STRUCTURE 64,4, ezi,zw,ix„-6,
RECHECK Aria:h ed*WA z- yew .
FIRE aSHAL A ROVAI OMMER ��L STRUCTURE)
!_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL-- SEPTIC
_INSULATION _WOOOSTOVE/FIREPLACE
REMARKS
APPROVAL
IN/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT s
ROOFING i
SIDING
DECK/PORCH/STEPS/RAI IN ✓
RELIEF VALVES /
FURNACE/HOT WATER OPE TING ;✓
BASEMENT INSULATION/D TWORK
INTERIOR TRIM/PRIVAC . DOORS •/�
FINISH FLOORS: 4 \,..
BATH/KITCHEN WATERTIGHT\ ✓
OTHER FLOORS SWE PABLE
OTHER FLOORS CA ETED ✓
STAIR CLEARANCE/R ILINGS ✓
HANDICAPPED ACCE
SMOKE DETECTORS , ✓
BATHROOM FANS/WHpLEHOUSE FANS ✓
ALL PLUMBING FIXTURES OPERATING 4,,E-''
GARAGE FIRE PROOFING ,...,
DOOR CLOSERS %/'
OTHER FIRE SEPARATION .,f
FIRE/DEMISE WALLS
DUMPS TER •✓
SITE PLAN/VARIANCE REQUIREMENTS ' '
FINAL ELECTRICAL 1 „........---
OK TO ISSUE C/O OR C/C i .)6-
t
COMMENTS:
1 '51:1 4 )4 '17Z/7 -94' Coi.:-,Salo, cz;a_/7
':tl- i tt . ./✓YO /0,2,3 „i o r
f ,„
ARRIVE
DEPART
INSP T
TOWN OF QUEENSBURY
FIRE MARSHAL 942VV
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED / /0
NAME ,pWais
LOCATION 9, „elezzeitjidef,
DATE ,Ay'/�. PERMIT# 2,2--75,7'
APPROVED
N/A YES NO
EXITS
ISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
=IRE EXTINGUISHERS .✓
kUTO. EXTINGUISHING SYSTEM
{OOD INSTALLATION
kUTO. SPRINKLER SYSTEM
\LARM SYSTEM
INTERIOR FINISHES
;TORAGE:
CLEARANCE TO SPRZ( LERS
CLEARANCE TO HEA NG UNITS
ZEQUIREO SIGNAGE '`
:HIMNEY
(OODSTOVE
IREPLACE-MASOIRY
'IREPLACE-FACORY BUILT
:EMARKS: U OK TO THIS DATE
r �
/7/1/47-#77,441,o'
/015 NSPE TOR
96
OWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED /'tleA
NAME 4a4 A aa? ��
LOCATI. N �J ���! A
DATE ti 9/ PERMIT# 9'2- 7,.3-7
TYPE OF STRUCTURE 4?-44-
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL AMING
,[! ROUGH PLUMBING FINAL ELECTRICAL __SEPTIC
INSULATION
_WOODSTOVE/FIREPLACE
REMARKS `4s isdex,er
APPROVAL
' N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING r`
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
DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS -
FINAL ELECTRICALS-Lt P ok) 5 ir&— 5('
OK TO ISSUE C/O OR C/C
COMMENTS:
OPLSA) Adt& Iki lz rLEXITCOTZ(Zttom_
L1 Pa.oc, 0 -C Los i uG, ¢-
,v6, --gt 69._ rfloarilff1-4.--
Wet-0— rtrzbAlliSiM-L.ANnoc/4-4--
ARRIVE 7:1/10,
DEPART jQ*(/ S�
I SP T
j?6+6/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMEN
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FO INSPPE TION RECEIVED 1 1 /993
NAME M� if. t'�-
getLOCATION (A
DAT f 1qq3PEIT I 9 -
TYPE OF STRUCTURE
•
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM 1
REINFORCEMENT IN PLACE y
THE CONTRACTOR IS RESPONSIBLE)
FOR PROVIDING PROTECTIONFROM
FREEZING FOR 48 HOURS FOLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PUR-POSE ON SITE ,
FOUNDATION/WALL POUR,
REINFORCEMENT IN PLACE eF
FOUNDATION/DAMPRS FING ----T
BACKFILL APPROV' '(
WOUGH PLUMBIN 4.-/e
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNOtR SLAB
)4PRAMING:
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:
n Cork-
ARRIVE
DEPART
' INSPECTOR
41A
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPO T
REQUEST FOR INSPECTION RECEIVE
NAME c
J1'S
LOCTN &/4it 4
E'./)
DA PERMIT # 9a- Z$7
TYP * F STRUCTURE
RECHECK - APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE ,
THE CONTRACTOR IS RESPO SIBLE
FOR PROVIDING PROTECTIO FROM;
FREEZING FOR 48 HOURS F LOWING
THE PLACEMENT OF THE CO.l RETE.
MATERIALS FOR THIS PURO E ON SITE
FOUNDATION/WALL POUR 't.
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS/ IN PLACE\
'LUMBING UNDER SLAG :� /
10cRAMI NG: ,` "
JACK STUDS/HEADRS
BRACING/BRIDGING
JOIST HANGERS I
JACK POSTS/MAIM BEAM
HEATING ROUGH-I
INSULATION:
FOUNDATION WILLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
,. //4th Rod//_ O
k_
�C-A
- // /'+aft 644.
J� 4 t 42°7 4
ir.-e wd/oh o* Asia. s; •
9 r
ARRIVE
DEPART
INSPECTOR
+r-
Jown of Queen Jtur
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME14-f-- -1)
LOCATION 24)T•
DATE 11 21/ 9'>—PERMIT NO. crZ`7 5 7
SOIL TYPE - - Loam - Clay -
Percolation st Required? YES - 101 )
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total len•t Q. 5o
Length of each trench 31)
Depth of trenches `4.: -3 C' " •
Size of gravel pi --
SEEPAGE PITS{Number pf) _ -----
Size- ft. X ft. �
y..
Gravel size
PIPING: `,Size Type
Bldg. to tank Sri 140
Tank to dist. box
Dist. box to field/• ' i `fir
Openings sealed? 4110 NO Partial
LOCATION/SEPARATIONS:
Foundation to tank 1 •_ft.
Foundation to absor ion f t
Absorption to lot 7{ine f t
Separation of pits/ �/� _ t.
LOCATION OF SYSTE ON PROPERTY(circle one)
Front - - Left side - Right side -
COMMENTS: 1
is .' 5f40 NfIL' "
tcr-
4i
i(_ T-c) ( 144:—
SYSTEM USE APPROVED4#11, NO
-, 11;4_
Building I pector
01/86 and vl
TOWN OF QUEENSBURY i/n
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 7 45-4447
BUILDING INSPECTOR`S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 2Ymot 1 6�
LOCATION Li 4'7 z;a.zfictl (?'
DATE / !Q/0 PERMIT # I,Sq
•
TYPE OF STRUCTURE w,:t9L, 61,0r V /--/J
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:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIEING IN UNHEATED
SPACES
REMAR S: ,, Wit
ES
�� ► JrC6 AJ 5- L- 1}17-►i{ 'Dm t=r1
1:4,/)--2_34- 17;,46
rfac 6:7_(A/6
ARRIVE ;
DEPART 2:/�� !, -��-C..�
INSPE TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 ' 34e1"-
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ,12 ?44‘
LOCATION 40 94 9? eireA,
DATE /e,?/? 1A PERMIT # 9 - 73
TYPE OF STRUCTURE
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS A
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE f'
FOR PROVIDING PROTECTION FROM,
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE; MAP --
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 f
INSULATION: .'
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
k/2- i174 FA(Z-
ARRIVE -
DEPART 1' ' INY*OR