inspections A TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
-
ARRI DEPART: 7`C)c INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: 3 -
NAME V P
LOCATION�/// 3 4 k\ Pj M & _
DATE PERMMIT N g777 )
TYPE OF STRUCTURE ,l/fixCa/1/t ]1 Qerk
FOOTINGS FOUNDATION BACKFILL _ FRAMING
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL�LF��RI�L � W�DSTOVE OR FIREPLACE
J``�hc``��`` 'SS(( t I Ql� N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING _
EXTERIOR FINISH
DECK/PORCH/STEPS/RA LINGS A
RELIEF VALVES
FURNACE/HOT WATER OPE' .TING
INTERIOR TRIM/PRIVACY LOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGH
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETE►
STAIR CLEARANCE/RAILI GS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSUL TION
GARAGE FIRE PRISFING
DOOR CLOSERS
FINAL ELECT'ICAL
SITE PLAN ARIANCE REQ.
FINAL S •VEY PLOT PLAN
OK TO ISSUE C/O OR C/C
f/A-et--
r �-faVT l/A ki,6 cw /14 i.L RoY.
) ofs )--4Pdt
C GoS�� (crc
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
• �� � 7/
Permit No.()wrier M` 6/' 0�"//-' "
Occupant /�
Location 3 AJNo. re f �J(/ Street
Town or City State
Installation as itemized on reverse side has been visually� inspected pursuant to applicable codes.
Installed by #C (. e!�—L.
fixnn( 6
Date G '�V� 9 Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL.
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
K.W.RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
tboe., Gv f/z/NG CAP t 1,0e.r6 rRr��
(TORS M.P. I/20 1/I2 I/IO Sri S4 % X 'h Y. I 1S4 2 3 5 7S4 10 15 20 25 30 40 50 75 100
RK NUMBER
EACH SIZE
SPA RATUS