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1992-018
r 1 1 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 29 19 92 This is to certify that work requested to be done as shown"by Permit No. 92-018 has been completed. This structure may be occupied as a Summer home & alteration to 2-Car Garage Location Assembley Point Owner Moe & Eleanor Leinoff Conditional Certificate of Occupanyy: By Order Town Board No use of loft area (no railings). Owner states will not be used TOWN OF QUEENSBURY Director of Bldg. c c code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No 92_018 WARREN COUNTY, NEW YORK c • Eleanor PERMISSION is hereby granted to floe & 111111110Leinoff F.. OWNER of property located at Assembley Point Street,Road or Ave. in the Town of Queensbury,To Construct or place a Guest House with Alteration to 2-CarGarage 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. (D 1. OWNER'S Address is Same V 2. CONTRACTOR or BUILDER'S Name fD William J. Caproud rr 0 3. CONTRACTOR or BUILDER'S Address O 2781/2 Broadway Fort Edward, NY 12828 4. ARCHITECT'S Name N In 5. ARCHITECT'S Address �p Z 0 6. TYPE of Construction—(Please indicate by X) et (X)Wood Frame ( ) Masonry ( )Steel ( ) V tC 7. PLANS and Specifications k �D No. 446 sq ft Single Family Dwelling and alteration to 2- Car Garage T as per plot plan specifications and application Aka 8. Proposed Use Summer Home and alteration to 2- Car Garage $ 83.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 28, 19 93 sac (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.) r} e't 28th anuar 92 0 Dated at the Town of Queensbury this � Day � y 19 y l elSIGNED BY --a for the Town of Queensbury Building and Zoning In ctor co CD 9 -.-- / — c:7)---,- 'OWN OP Q UEENSBURY , ftl 17 4124 REVIEWED BY: TOWN OF QUEENSSURY I OW FEE PAID: gC, E c. RECEIVED PERMIT NO. : q tC(‘ AN 23 1992 • BLDG. & CODE DEPT. BUILDING PERMIT APPLICATION PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL PPLICANT HAS RECEIVED A VALID BUILDING PERMIT. 11 applicants spaces on this application MUST be completed and the signature of the )plicant MUST appear on the reverse side of this application. * * * * * * * * * * ** *, * * * * `* * * * * * * * * * * * * * * * * * * * * * * * * * 7!vner of Property: p2.'0/�' 1 e,1 -/ Guy 7=>c 1ectrt©r- 0. Address: /,Zi//� ��7,o `'1, PHONE ciy. - 7', 7 C 33 'operty Location: ,455>=ter.//.i' ft..,...7 . Y Tax Map No. 9 / / / s there been any split of this property since October 1, 1988? Yes No 4, yes, Planning Board Review is necessary. bdivision Name, if applicable: Lot No. E PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDI G copEs IS: n .. '._1_:--- ) di./4:4,-, -.7- c '')9Mee,0 v, --)c,sz„,,i i, i'Cc1-1': "k-- !) 7 ---" ' ,' C1/4:' 1 1) .) TURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION: $ :o Do. oe- Addition to building * Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: ft. x ft. Other work (describe) * Existing Building Size: * , 9c/ ft. x 4,4,7 ft. * Proposed building - distance from )SS AREA OF PROPOSED STRUCTURE: * property line: t Floor 9(r Sq. Ft. Front Yard jd ci ft. Rear yard ? ft. * Side Yards /o ft. and 7,;-- ft. i Floor Sq. Ft. '3�-- * If on corner, setback from side street- per Floors ' 'u , ft. E,) Sq. Ft. - * At cellar or basement) s4 on * OCCUPANCY INFORMATION: 43,:z.„fr rLiec,�- '- -e_ * rAL FLOOR AREA: l'Sq. Ft. * Primary Building - * One Family Dwelling :e of New Structure: 1/,g ft. x 629.‘,/' ft. * Two Family Dwelling Ind n. Multiple Dwelling/No. of Units _ Ir W/Crawl/Partial/Full (Circle One) * Business * Industrial of stories (Habitable space) ,/ * — Other ,S .//14%/?_ 1No 1-f= ght (grade to ridge) 23 ft. * residential , no. of families: 6:1v ,// If addition, what will use be? l�v of rooms (excluding baths): 2 * _ of bedrooms: * . • of bathrooms: Ar..-- / * Accessory Building: mary heating system: E`rf� ?l1,.c, * Detached Garage - One/TV::: ►e of fuel: * ( Attached Garage - One/T of fireplaces to be installed: AUK:-‹ * / Private Storage Building , 1 a woodstove be installed?: o * _____ Other Axial Air Conditioning: Yes No * (OVER) JAY9x-2.— BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood fram % ire etc. 4"d '2 Will any second-hand or ungraded lumber be used? If so, for what? Foundation Wall Material : '' 2,r> Jo/' Thickness: Depth of Foundation below grade (to bottom of footing) : /yr, Ali l 1 there be a cellar? /(,/ Heated or Unheated? , Floor Sq. Footage: dill there be a basement? ' Will any portion be used as living space? [f so, what portion? -- ~ Sq. Ft. Type of Use? /t- rype of Roof: (S1op )F1at/Shed/Other 5/22 Material of Roof e,/,, j)55 size, wood studs " x ‘,c " ; spacing 1•( o.c. ; length ft. foists (floor beams) : 1st Floor " x spacing " o.c. ; span ,--- ft. oists (floor beams): 2nd Floor " x --- "; spacing -- " o.c. ; span ft. verlays (ceiling beams) : 2,, " x ( "; spacing /I " o.c. ; span J ft. oof rafters: " x fy "; spacing ,/� o.c. ; span /(74P7 ft. oof trusses (pre-engineered): spacing Z.' " o.c. ; span r/ ft. Kterior Wall Finish: !jfw. ,;(,,(2)cof what material ? /P/e/ to ocsv lteri or Wall Finish: .5( i cI F a garage is to be attached, describe materials to be used for FIRE SEPARATION: A4- !6 11( F-79 0 la 6-4 ff/ir I/5 r R 0,1 ee lit (4,4.; there to be an opening between garage and dwelling? ,f//, If so, wilta Fire-Rated door, (closure, self-closing device be provided? 11 a flue-lined chimney be installed? e, Height above roof 4" - ft. pth of chimney foundation below grade: ,4,,', ft. pth of fireplace hearth: s, ft. , v in. ter supply - Municipal or private well : pg-Gv..,4/7/----- SYSTEM: Distance from at private well (including adjoining properties: ft. separate application is necessary for any repair or new installation of septic system. ) ME OF BUILDER & ADDRESS: 6.)-4-4-w-• (c) 7Y----; Agyaty 17,A7 PHONE /24/ HE OF PLUMBER & ADDRESS: - PHONE NE OF MASON & ADDRESS: PHONE 4E OF ELECTRICIAN & ADDRESS: PHONE DECLARATION To the best of my knowledge and belief the statements contained in this application, !ether with the plans and specifications submitted, are a true and complete statement of proposed work to be done on the described premises and that all provisions of the LDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall complied with, whether specified or not, and that such work is authorized by the owner. Signature "') • ner, owne ag- t, architect contractor • CIAL CONDITIONS 0 THE PER KIN By: Code Enforcement Officer _7, _ _.,,. a.- _V.__. °. ___ --_ 1".""....": 4 A ....1111116. . S ... . .. 1' L :,,,,at i_ 0 , x; 60 ki k:. - .... 1 *4 1 '. ... - N4 '11 6„ _ (i„,_ , cyth . , _ . .. vi rii,.... _ ,. __ _. i 0,,),,,A __ - (Li d tik t 01 t . . ti gi .. ? / / , ,i, - -, c4 1 1i; if f j f !(.1/),,,tA,API,P/,,AP/,Ari,,,r APi„Al[„,i,Al•,APr_At/,,•i,f•r Opi ,, AP) tei Pe a P API Ari ,•, ,/ 06i ±•i AP 01, APJ,AP/.AP ,11/_1,, ,Cf,,C OP,,,,i fCJ,f11/ Ali.\P,,AP ,,Pi OP/ AlPi kg, Al AV AO} Al, AV,A, ,•; _•, _•, THE NEW YORK' BOARD OF FIRE UNDERWRITERS PAGE I. �' 4166932 BUREAU OF ELECTRICITY �; 41 STATE STREET.ALBANY,NEW YORK 12207 .` Date ,�( �`.`I, I c3:' Application No.on file j9 13 + 2: �_° A (3'''3e.9 '; THIS CERTIFIES THAT only the electrical equipment as described below and introduced by ltow �'� t named on the aboveapplication number in thepremises gPPI of H()F LT'.,T NOF T , LAKE PARKWAY RD1 BOX 1294, LAKE GEORGE, N.Y, . in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. GA.R:AT T'1C Section Block Lot iii:; was examined on :DULY 22, 199:'. and found to be in compliance with the requirements of this Board. :'' ' FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS i' OUTLETS INCANDESCENT FLUORESCENT OTHER ANT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. i' • .1:7 21 14 .1. '' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS _SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS �' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. MAT. H.P. No.of FEET AMT. WATTS i' i 1 A' iii' SERVICE DISCONNECT NO.OF S E R V I C E METER AMT. AMP. TYPE EQUD. 1,d 2W 1 3W 3 Ar 3W 3 F 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO' NEUTRALS A.W.G. `. PER r!' OF CC.COND. OF HI-LEG OF NEUTRAL i' i' • OTHER APPARATUS: ►'' CEILING FAN- I ':,' ELEC. ROW HEATER J. 3-1 E.W. •I HELBOARD : 1-9 C1R, 100 ELEC. WATER H ;ATER i: : I- ,s KM, . • t . F.C.1.. -3 13HOF Fi DETECTOR OR: 1 ......)...i,....,L.....1 (..... PA1.L R. 1'OTTIN ,,, ..„ Cruz �' 219 SC 'CNSH ROADBRANCH MANAGER BURNT HILLS, NY, 12027 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT RP AI TFRFn IN AMY AAAkIWe:Q O V`� ie TOWN OF QUEENSBURY /0 s'a 531 BAY ROAD 1111 QUEENSBURY, NEW YORK 12804 � TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED 7/3- �-- NAME 1 INO c fAC)1! 4 LOCATION qSS.12,(411.L. , Q O X DATE rip ycia PERMIT# 90) -0/ R TYPE OF STRUCTURED' 34 1/,u ,+4l1 4-0 RECHECK a- 'r G ' —' FIRE MARS AL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFILL X FRAMING ROUGH PLU BING FIN ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE tvig)wt1)Z`.e�tincoK REM RKS 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 r/- INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT r� OTHER FLOORS SWEEPABLE z/ OTHER FLOORS CARPETED c/ STAIR CLEARANCE/RAILINGS! SMOKE DETECTORS ✓ DOOR CLOSERS BATHROOM FANS ✓' ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING ✓' DOOR CLOSERS OTHER FIRE SEPARATION c/ FIRE/DEMISE WALLS c/ FINAL ELECTRICAL ✓/" OK TO. ISSUE C/O OR C/C COMMENTS: Ay/ FLA 7fra 1 ga ,0 jC- - ddi 1"/ °- ID C" c‘ Dwn,a. SimsGi Q... , I 7,0d . ARRIVE DEPART N PECTOR S)r-YI 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 Leitg 90. NAME Le___:‘ �1 �I ��l-� "I LOCATION1-1�yS.Q/lry1�l(� pi_-(k14- DATE PERMIT it TYPE OF STRUCTURE <,E;c: ‘ ) RECHECK APPROVED , N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDIWG 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- 70) (../4 CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART IN CTOR 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 Le/ I Lof NAME 2 i r t'�o-e, j teams a� v � LOCATION �S DATE (i) 1. PERMIT I q(2- O 1S) TYPE OF STRUCTURE S_G:� ,i— Iu— 4j''Cgi 6c RECHECK APPROVED ,N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDIW6 PROTECTION FROM fREEZIN6 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 i(�FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING ' JOIST HANGERS JACK POSTS/MAIN !itAM HEATING ROUGH-IN ; INSULATION: FOUNDATION WALLS INtERIOR R- FOUNDATION WALLS EXTgRIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE • DEPART INSPECTOR 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 41 Z2yNAMELOCATION DATE 6/q/q ii/vA PERMIT # 0'"0/, TYPE OF STRUCTURE RECHECK 1/t/7L f r\ 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 PIPING IN UNHEATED SPACES REMARKS: -,c,CL)c ç\LAAT3 iro- ARRIVE DEPART 1G INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 11; 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 54)(eider J NAME I'fi7 D L, 11 LOCATION0-64-tt DATE 50, ( J az PERMIT # q, -Q 1 q TYPE OF STRUCTURE tfof Ail iv aCeli444 RECHECK APPROVED N/A YES NO FOOTINGS/PIERS POUR FORM / oo LS jC 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: 5L--& �6-Lcnci_7-; 5&& K 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 ill fvr' 4 PpA phfl,a7 (Air-Coo/L. feeorr-UftSC-7S 4/& eb&VA-CrelZ1/, :B /U 6WA 6 2-. C6 ri�=t CA ria u 0/J o or T2 eA ... ARRIVE il r -- DEPART h2100 EGG. NS CT R TOWN OF QUEENSBURY 7 BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED TAME /6"//7(41) LOCATION /T 7 DATE 3 l4 j Z_-- PERMIT # 92_0/r TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS - MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONS#BLE FOR PROVIDING PROTECTION ROM FREEZING FOR 48 HOURS FO LOWING THE PLACEMENT OF THE CON RETE. MATERIALS FOR THIS PURPO E ON SITE FOUNDATION/WALL POUR 4 • REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING I A( BACKFILL APPROVAL h k ROUGH PLUMBING 3 PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: /JACK STUDS/HEADERS ' BRACING/BRIDGING JOIST HANGERS r y JACK POSTS/MAIN SEAM HEATING ROUGH-IN INSULATION: / ) FOUNDATION WAL S INTERIOR R- _ FOUNDATION WADS EXTERIOR - FLOORS WALLS R CEILING R- DUCT WORK OR PIPING IN UNHEAT SPACES REMARKS: A�c�'v Gv.i-ti_,IbftM P r'hwi,6w 6izAt be��^ _ 9-1- LgM1 J_._..___........A. . „-� pocialac, cL-�6, ( A--tt frr __, ;n ARRIVE 2, K f DEPART _3 00 / I SP CTOR TOWN OF QUEENSBURY it'07 % BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPOR 4 REQUEST FOR INSPECTION RECEIVED ,14/40/704— NAME ,he'vt? trt.yi00z s LOCATION /I DATE 3/�X PERMIT # 9 OF TYPE OF STRUCTURE sc.. /,,f/L ?Lb RECHECK APPROVED N/A YES NO FOOTINGS/PIERS X MONOLITHIC POUR FO 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 OV SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFI G * BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLA E PLUMBING UNDER SLAB It FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN _ KINSULATION: )(FOUNDATION WALLS INTERIOR R , FOUNDATION WALLS! EXTERIOR R-\ FLOORS 1 WALLS R- CEILING `i R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 31N-10 44.) (c) ni( leiviLoAr ARRIVE . 1 _ DEPART '..(-\\r: I S PE OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION (\-5'5— - ©1 AJ DATE 2 3/Q2_.._ PERMIT # —� r 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: K W CM 6 S V P/A bt--7-1,11Co (;(i c iI i E (/1/6 _ o cSCJsS / • XcS'—w(D l6C7r iiUr S (7Lo S i w1�rt,c-S ARRIVE -OCR DEPART :20 NS PE TOR 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 ! 3/ qd- NAME eL e- y"rt. Ioe 4'6/eq 't,w LOCATION SSe'Yvv j' c?(S j A 4- DATE PERMIT # 9 , cYP TYPE 0 STRUCTURE C (Y;S-k i Jn 4-h Dr, V 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 PIPING IN UNHEATED SPACES REMARKS: r \ -* ')f 67''/ if'fri It.42.--•/c-- Ac_57 eic,_ r) , ; (k// 4, i,f:rec--lo,,--- ARRIVE /4.7 7 (.. ---D / DEPART i:' IN CTOR