92-352 BUILDING PERMIT
0
TOWN OF QUEENSBURY No. 92-352
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Psychological Associates
OWNER of property located at 386 Bay Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to building
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.
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1. OWNER'S Address is r-
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2. CONTRACTOR or BUILDER'S Name
Do-Awl Construction
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3. CONTRACTOR or BUILDER'S Address
PO Box 930
Glens Falls NY 18201-0930
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
XX)Wood Frame ( ) Masonry ( 1 Steel ( 1
7. PLANS and Specifications
No. 26'x42' Addition to building as per plot plan, specifications and
application and in accordance with Site Plan # 9-92.
8. Proposed Use
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Office space for doctor' s office
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$ PERMIT FEE PAID —THIS PERMIT EXPIRES June 24 ,19 93 0
110.00(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.)
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Dated at the Town of Queensbury this 2 h y of June 19 92 to
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SIGNED BY for the Town of Queensbury
Building and Zoni spector
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date
�Z
This is to certify that work requested to be done as shown by Permit No. 92-
has been completed.
office space for doctor' s office
This structure may be occupied as a
386 Bay Road
Location
Psychological Associates
Owner
By Order Town Board
TOWN OF QUEENSBURY
_ _
Director of Bldg. & Code Enforcement
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TOWN OF QUEENSBURY `.
REVIEWED BY: MN 1992
Alla Received V
*Ars" FEE PAID: [ Too of Queonsboly ..,1‘)
8mg,0Wt
PERMIT NO. : 9 3 <'p'e ,,, yr mc.
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: .sL(C I.10 LO6 I Got A S6o(, i )4 iiS
P.O. Addresss5g�" ,14,( 21.214D PHONE 79 9O,SZ
Property Location: ZP�r D Tax Map No. t 6/ I / IL)
Has there been any split of this property since October 1, 1988? Yes No
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE P S P NSIB FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PR ED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ ,Q, ()CO "'
Addition to building *
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: 'lot aft. x In' ft.
Other work (describe) * Existing Building Size:
* W. ft. x 4,4 ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor IC)q a Sq. Ft. * Front Yard (0 3 ft. Rear yard 5 7 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: Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: ,?(p ft. x 4 1- ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/WP/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) 1 * Other
Height (grade to ridge) I—) ft. *
If residential , no. of families: * If addition, what will use be?
No. of rooms (excluding baths) : 5- * OFF ice Spcce
No. of bedrooms: *
No. of bathrooms: if ... * Accessory Building:
Primary heating system: tro, FveCL Ale * Detached Garage - One/Two Car
Type of fuel : C,45 * Attached Garage - One/Two Car
' No. of fireplaces to be installed: 0 * Private Storage Building
Will a woodstove be installed?: No * Other
Central Air Conditioning: Yes . No *
(OVER)
DIN PE APPLICATION CONTINUED:
BUILD J G . PECIF TIONS:
Type-of construct on: wood frame, fire safe, etc. (,u0OD rY-pm
Will any secon and or ungraded lumber be used? If so, for what? Ato
Foundatfoti'11a11 Material : " ? i'
GbA►C (aCoC,K Thickness:
Depth of Foundation below grade (to bottom of footing) : 2 "
Will there be a cellar? CIAwc, 5/4tHeated or i TD. /o5 2 Floor Sq. Footage:
Will there be a basement? Js/c) Will any portion be used as living space?
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other Sc.cjPeD Material of Roof ASPi 7
Size, wood studs Z " x (, "; spacing 16, " o.c. ; length ft.
• Joists (floor beams): 1st Floor 2 " x (U "; spacing We' " o.c. ; span ft.
Joists (floor beams): 2nd Floor " x "; spacing " o.c. ; span ft.
Overlays (ceiling beams) : " x "; spacing " o.c. ; span ft.
Roof rafters: Two. x "; spacing 2y, o.c. ; span Z(. ft.
Roof trusses (pre-engineered) : spacing ` " o.c. ; span 2,4 ft.
Exterior Wall Finish: ih,,k L 540ac r of what material ?
Interior Wall Finish: Ile S/1
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so, will a Fire-Rated door,
enclosure, self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth: ft. in.
Water supply - Municipal or private well : 0JLtr4IL1 A92
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. )
CDl)N^ e e4
NAME OF BUILDER & ADDRESS: ] - w(_ Cc)14 5T1...tc.cao..-/ .' 4c j$o PHONE 79.S- 3«b
NAME OF PLUMBER & ADDRESS: DC) - ALL COx6r44%470 t C7 PHONE
NAME OF MASON & ADDRESS: !r PHONE
NAME OF ELECTRICIAN & ADDRESS: / ' PHONE
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
together with the plans and specifications submitted, are a true and complete statement of
all proposed work to be done on the described premises and that all provisions of the
BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining he proposed work shall
be complied with, whether specified or not, and that such work i . ,t, • i . -d by the owner.
1111
11
Signature '/
Ow - , own: • agent, architect
contracto
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
.pliance Methods:
AT 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
AT 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwellings
(3 Stories or Less)
RT 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
AT 4 & 6 - Compliance Methods Require Submission of Worksheets
'PLICAN G.tT S NAME LA2 ��3R' i 5 PROPERTY LOCATION & .et(
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
Gross Floor Area - t D 4i 6 Sq. Ft.
Type of Heat - Elec. Base Board Other 6.0rS r ? 14-u1
Is Building Mechanically Cooled? YES NO
Percentage of Area of Windows and Doors Over 17% Under 17%
E R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
E R-VALUES SHOWN ON PLANS SUBMIT'PED!
Baseboard
Insulation Values: Actual Shown Elec. Heat Other
Roof & Floors exposed to ambient temperatures R f- 3$'
Exterior Walls R — /e1
Glazed Area R
Exterior Doors R
Floors over unheated spaces R alp
Edge of Slab on Grade (Heated Building) Z ''SfY. R /l
Basement/Cellar Walls (Above Grade) 24 5411 R
Basement/Cellar Walls (Below Grade) 2 " S(Y R Il
A/
. Heating/Cooling - Ducts - Piping in Unheated Space R. -!
. Service (Domestic) Hot Water Heating Device
. Conforms to minimum efficiency per code YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
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PPLICANT'S SIGNATURE DATE TELEPHONE ! UMBER
NS PECTOR'S REMARKS:
REVIEWED BT
TOWN OF QUEENSBURY
FIRE MARSHAL
-ENSBURY, NEW YORK 12804
_LEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST Ft
NSPECTION RECEIVED
NAME '
:Shy. e 1
5
LOCATION / e'
DATE %,ez PERMIT# 5'"Z 3sz_
� e-mf 4 f .1 APPROVED
EXITS N/A YES NO
AISLE WIDTHS
EXIT SIGNS ��.
EMERGENCY LIGHTING Kin_
11111111
FIRE EXTINGUISHERS nil
AUTO. EXTINGUISHING SYS M M_
HOOD INSTALLATION 111111_
AUTO. SPRINKLER SYSTEM ®_
ALARM SYSTEM ®_
,I IIIIII
INTERIOR FINISHES 1111111
STORAGE:
CLEARANCE TO SPRINKLERS IIIIIII CLEARANCE TO HE' INC' UNITS ME_
REQUIRED SIGNAGE M_
e MI
CHIMNEY 111111111111111111
WOODSTOVE M_
FIREPLACE-MASO 'Y 111._
FIREPLACE-FACTRY BUILT 11111_
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REMARKS:
OK TO THIS DATE
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INS PECTOR
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ill BAY
QUEENSBURY, NEW RYYORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST fOR,ITECTION RECEIVED
NAME S J t' .al i . �-1(-
LOCATION g
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DATE /!,lam PERMIT# -35:Z S
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
SOOTING -FOUNDATION YBACKFILL _
FRAMING
LROUGH PLUMBING
$SULATION WO DSTOVE/FIREPLACEL -SEPTIC
REMARKS 1
i
APPROVAL
CHIMNEY HEIGHT/LOCATION N/A YES NO
B VENT/LOCATION
PLUMBING VENT =M
ROOFING
SIDING =�
DECK/PORCH/STEPS/RAI
RELIEF VALVES ==
FURNACE/HOT WATER I ERATI °G
INTERIOR TRIM/PRIV'CY DOORS __NIP
FINISH FLOORS:
BATH/KITCHEN WA ERTIGHT n■
OTHER FLOORS S EPABLE MOM
STAIRER CLEARANCE/•RI INGS
SMOKE DETECTORS
OOOR CLOSER1/4 S
-I�
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING _ �
GARAGE FIRE PROOFING
DOOR CLOSERS �=
OTHER FIRE SEPARATION ULMER
FIRE/DEMISE WALLS
FINAL ELECTRICALMUM
OK TO ISSUE C/O OR C/CiiMEM
COMMENTS: ��
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ARRIVE -_ \DEPART i
1 I NS•-CTOR
TOWN OF QUEENSBURY
, ,(BUILDING AND CODES DEPARTMENT
531 BAY ROAD
-P111(9
QUEENSBURY, /4
NEW. YORK 12804
O TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED t')
NAME i'l.171�/1 /sl `
LOCATION
DATE o? _PERMIT E� ' ,6i Cl"
TYPE OF STRUCTURE
RECHECK
APPROVED
FOOTINGS/PIERS ` N/A YES NO
MONOLITHIC POUR FIRM11111
REINFORCEMENT IN PLACE Emig
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE MATERIALS FOR THEENT OF
FOR THIS PURPOSE ON�SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE`i .
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/BENS IN PL r1.111
PLUMBING UNDER SLAB ACE ��
FRAMING:
JACK S UD /HEAD S
BRACING/BRIDGING =
JOIST HANGERS -`
JACK POSTS/MAIN B�Egl .____11111111=
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HEATING ROUGHPOSTS/MAIN
II
INSULATION: " ---
FOUNDATION WALL. INTERIOR R —
FOUNDATION WALLS EXTERIOR R-
FLOORS ' 1111
WALLS R111.1.11
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CEILING R
DUCT WORK ill PI'ING IN UNHEATED
SPACES ■■
REMARK ; illIl
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DEPART
`INSP . TOR
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TOWN OF QUEENSBURY
FIRE MARSHAL /774-fi7
010 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 2
NAME 14r
LOCATION
DATE 9
..)-- PERMIT# 9 _ I
APPROVED
EXITS N/A YES NO
AISLE WIDTHS " '
EXIT SIGNS
Iffill
EMERGENCY LIGHTING ` ,
&-R /70014eit
4
�`?a • , ' ®■
Ai . ,` ,
47- , a ,.-.
FIRE EXTINGUISHERSII i
AUTO. EXTINGUISHING SYSTEM E ► =
HOOD INSTALLATION / WA_
AUTO. SPRINKLER SYSTEM / M_
ALARM SYSTEM ,° Ems_
INTERIOR FINISHES
AIII
STORAGE:
CLEARANCE TO SPRINK ERS �t
CLEARANCE TO HEATI - UNITS MINI
REQUIRED SIGNAGE MI_
MI
■■
CHIMNEY ani ' ■
WOODSTOVE 111111111111
FIREPLACE-MASONRY. Will
FIREPLACE-FACTORY/BUILT ' MI
REMARKS: OK TO THIS DATE
2/015
INS ECTOR
0-6,ticw qty id SI(Ae4
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TOWN OF QUEENSBURY ,i -7 ''''e 6Ts j
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTWS REPORT
REQUEST FOR INSPECTION RECEIVED9 57
NAME 77-54-idtdckit-&--(71fS'6 - '
LOCATION I 3962 v&-(-- eirz--1---„--------
TYPE OF TRUCTI‘F 41d, -lo
RECHECK
APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLATE7--
THE CONTRACTOR IS RESPONSIBLE ,-----,
FOR PROVIDING PROTECTION FROM i
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 ------
BACKFILL APPROVAL '
,.....____ i '
ROUGH PLUMBING ---
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: .
JACK STUIT57HEADES
BRACING/BRIDGING -
JOIST HANGERS \'
JACK POSTS/MAIN BEAM i
EATING ROUGH-IN
14NSULATION:
FOUNDATION-WALLSIN ERIOR R- / X
FOUNDATION WALL4 EXTERIOR R- i
FLOORS ' R-
WALLS
" : R- i X
CEILING R-
DUCT
WORK OR PIPING IN UNHEATED
SPACES
I
t. .
REMARKS:
---- -
ARRIVE .
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7:--
DEPART
Nii-li TO
TOWN OF QUEENSBURY a640 ail-
Al 531 BAY ROAD 0// 1"D_,
ill I QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIY APIEDMhe: 044%-
,
NAME s/. ' A J1 6 is IF .I G ci i
LOCATION
04.4W", Inc -
�A `, PERMIT# ' ` i3 P
CM
TYPE OF STRUCTURE ,�/�
RECHECK `�
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
OO
_INSULATION WDSTOVE/FIREPLACE _
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
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN TERTIGHT
OTHER FLOORS WEEPABLE`
OTHER FLOOR CARPETED '°, ft
STAIR CLEARA E/RAILINGS {,
SMOKE DETECT RS
DOOR CLOSER
BATHROOM F S
ALL PLUMBI G FIXTURES OPERATING
GARAGE FIR, PROOFING
DOOR CLOSERS
OTHER FIR SEPARATION
FIRE/DEMI, E WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
V- (0 lOVAA0/ 114Ar1il5 -ram-0,1z.
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ARRIVE
DEPART
NSP CTO
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 Vf49(1(60-
NAME c,k--sf", VAr)I(1 i C.C.,,,1 A 5coe_1417i;-2
)
LOCATION DATE NJ,7 '2 PERMIT # q.-;) --:35;
TYPE OF STRUCTURE AN).113
RECHECK APPROVED
i N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ..,..;
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPJ .IBLE
FOR PROVIDING PROTECT!,- FROM
FREEZING FOR 48 HOURS Fi, LOW'/
THE PLACEMENT OF THE CO RETE.
MATERIALS FOR THIS PURPO.E0 SITE
FOUNDATION/WALL POUR / •
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING ,J
PLUMBING VENT/VENTS IOACE
PLUMBING UNDER SLAB /
-*FRAMING:
: .
JACK STUDS/HEADER
Iii. li '
BRACING/BRIDGING! '
JOIST HANGERS f '1
JACK POSTS/MAIN/BEAM
HEATING ROUGH-IN /
INSULATION: i
1
)(FOUNDATION WADS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS
i _
WALLS , -
CEILING
DUCT WORK OR PIPING IN UNHE ,ED
SPACES
. ,
REMARKS:
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Cal Aii Pt ke,T3 4-,V egootil
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ARRIVE I 2 5 ; , / ,
DE PART i 2S-V--
NS in
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 128O -
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECE VED
NAME ?t\‘45026f"AL_ C OC
LOCATION 1 C C JA r)
DATE s/(?/?Z. PERMIT # 0 552
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORC!ES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTU 'S/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS ‘ _
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS _
FINAL ELECTRICAL INSPECTION
FINAL APPROVAA OF CONSTRICTION
t
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREJ `ISES ARE OCCUPIED!
REMARKS:
I)
ANPPc /, t I4J i -L O
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i0A/i AT e 4 ��,p,,,,c / U ,�c,6,u-s
Arttocv 4 PiN9 tiC;ati_
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INSPE TOR
TOWN OF QUEENSBURYHIT)
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED gpJ l 9)
NAME c) 4 0 ( I Crc..- ` A's co c
LOCATION (( & c4
DATE g7��/ 9 PERMIT it _3
TYPE OF/STRUCTURE 1-
RECHECK AP OVED
, 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 T
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE t'
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:
ARRIVE
DEPART
NSPECT(1R
zxiac,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ,14t1;4
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 POI-,
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT 2-' '
REQUEST FOR INSPECTION RECEIVED Jh/9 G1 __
NAME P / 0.66<p &i1 YAa s
LOCATION ,? (, AL,' Rd
DATE "1/007 PERMIT 5-Z SP
TYPE OF STRUCTUREt 6
RECHECK 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 f'
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL '0.
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS i
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS IP ERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
41; g61067
ARRIVE
DEPART
NSPFCT(1R