92-545 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date � � 19 I
This is to certify that work requested to be done as shown by Permit No. 92-545
has been completed.
This structure may be occupied as a 1 i v i nil. Quarters
Location Bi rdsal 1 Road
Kevin Dineen
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 92-545 o
WARREN COUNTY, NEW YORK 111/4
PERMISSION is hereby granted to KEVIN DINEEN
OWNER of property located at Birdsall Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition/Alteration to 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
RR5 Box 30A
Queensbury NY 12804
m
2. CONTRACTOR or BUILDER'S Name
David Fuller
3. CONTRACTOR or BUILDER'S Address
10 Jerome La
S Glens Falls NY 12803
co
4. ARCHITECT'S Name 'z
..r
5. ARCHITECT'S Address
s2
6. TYPE of Construction—(Please indicate by X)
(x 1 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications ‘it
No. 12'x12 & 12'x2' Additions with 1050 sq. ft. of alteration as per r
plot plan, specifications and application and in complaince with Area Variance
> 910apbQ2ue
Living quarters Q
$ 60.00 93
PERMIT FEE PAID—THIS PERMIT EXPIRES September 14 19
0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t1
town of Queensbury before the expiration date.) g
Dated at the Town of Queen is bay of September 19 92
l ca
SIGNED BY for the Town of Queensbury
Build and Zoning Inspector
7
TOWN OF QUEENSBURY
REVIEWED BY: -0"1`1 OF QUEENSbL
. 1�,1 RECEIVED
i. t FEE PAID: A c;
c c P ._'- 1992
PERMIT NO. : / :t5-4lJ--
BLDG. & OODE DEFT.
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: l.CfliiJO tYt NJP.D,O
P.O. Address: Z .. C ok SO ik J� Y PHONE i 1 ? . rjO,4
1-P.�vIS:�ry ,
r
Pro ert Location: � v.
P y ,s� a �t��\� Tax Map No. alb / \ / 31
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.
THE PERSON REESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
bctu-l'a C't. .\1 Uii
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * r CONSTRUCTION: :/6 54 0
,/ Addition to building /,?y, 2 / x„Z</C* =/4.
,/Alteration to building /G,16' fi * 'iv'COMPLETE INFORMATION REQUIRED BELOW: .-
(no change to exterior dimensions) * Size of Property: /C'` - ft. x j'I r ft.
Other work (describe) * Existing Building Size:
* ,:) ' ft. x '/ ' ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
,5-tk: *1st Floor -i=/ Sq. Ft. CZ e �; * Front Yard 2_0 ft. Rear yard 2560 ft.
* Side Yards (y t ft. and )4.3 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: / `fp --Sq. Ft. * Primary Building -
* k/One Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/ ravel Partial/ ull (Circle One) * Business
* Industrial
No. of stories (Habitable space) / * Other
Height (grade to ridge) i % ft. * `
If residential , no. of families: / * If addition, what will use be?
No. of rooms (excluding baths) : 471 * i,'v, r,r, ! t4e r.t
No. of bedrooms: ? *
No. of bathrooms: / * Accessory Building;
Primary heating system: t`; L ii,,t , I ; - * Detached Garage - One/Two Car
Type of fuel : vi1., * Attached Garage - One/Two Car
No. of fireplaces to be installed: / * Private Storage Building
Will a woodstove be installed?: tic: * Other
Central Air Conditioning: Yes No 1,"' *
(OVER)
Y.
:�.. .'+sip, }
i
risi .,._
K` .11,&ming Administrato,
TOWN!OF OUEENSELiF+
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction( woo` dfram), fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what? No
Foundation Wall Material : nc €.I... LiouL Thickness: Jo iv
Depth of Foundation below grade (to bottom of footing) : a O "
Will there be a cellar? Tt a i Heated or Unheated?
aniftec/4eci Floor Sq. Footage: 247 '
Will there be a basement. („r'w. / Will any portion be used as living space? n Q
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: (t d/Flat/Shed/Other
� Material of Roof �" 0 �!� �4; �e
Size, wood studs c " x " ; spacing fie " o.c. ; length 9 ft.
Joists (floor beams) : 1st Floor c " x /0 "; spacing J, " o.c. ; span /4/7 . /312,
Joists (floor beams) : 2rrct Floor " x "; spacing " o.c. ; span ft.
Overlays (ceiling beams) : .2.. " x "; spacing / " o.c. ; span / '(a ft.
Roof rafters: 2. " x 12- "; spacing /(4, o.c. ; span ft.
Roof ('pre-engineered): spacing o.c. ; span ft.
Exterior Wall Finish: .S404.,i.:.nrt.a r r,e,,, of what material ? C p6,t car
Interior Wall Finish: , 11.te. roe..:
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
0
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? r Height above roof 2 ft.
Depth of chimney foundation below grade: 5 ft.
Depth of fireplace hearth: cR(0i/ . in.
Water supply pp y - Municipal o ..private wel):
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. )
pre�` ;
NAME OF BUILDER & ADDRESS: C� l-_ t-GLI L 1‹.- - i L c,-c,t . ket6kf . .Cf7 PHONE j` '', --{4E c;
NAME OF PLUMBER & ADDRESS: S 401 `';, ;- ;Lt. - f , t - I:`Ili 6 i,,‹. -4--PHONE
NAME OF MASON & ADDRESS: 0•,. w` F ¢- g c,_e_,—IL. PHONE 7 ' ,;-
NAME OF ELECTRICIAN & ADDRESS: ,-, pi 0� - ), ;. t,... 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 to the proposed work shall
be complied with, whether specified or not, and that such work i authorized by the owner.
Signature
Owner, owner s agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
,is fic.e 73o1 T✓pen-4A 7144..
Z 34. (ge.S ` t4- 711 By:
0. - If, It +t ut td• 60104 C E orcement O ficer
5 441v4 C4-1JA.0 .
y�:
2w *o.F�,h*-
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
vd4 OF QUEENSbL
Compliance Methods: RECEIVED
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) S E P i 1992
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwelli c CODE ®EPT
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
' ''✓' 1- i. .7-Rft'LL/1 (17 � / kc /b
APPL C NT'S NAME PROPERTY LOCATION J
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - / / (1 Sq. Ft.
2. Type of Heat - Elec. Base Board Other . / L. 1 0 7L L'�4k r'
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% ender 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R 3 fj c 2
B. Exterior Walls R )9 k ) F
C. Glazed Area R j. / YZ 0
D. Exterior Doors R , )e. 2,a
E. Floors over unheated spaces R /e7) )Z, it/
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R
I. Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code v' YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
1 °, /2 il9Z. 79'3- 9�C( / .
APP ICANT'S SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS :
REVIEWED WI
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date--- CI iv Z? ,19 c? 3 Permit No. '"
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws,ordinances,regulations,and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance andlor chimney.
Applicant ,,°.o �{ APPLIANCE (check appropriate boxes)
Address /0 ..-v�r c rr7 c. A,.7 Jae. ❑ STOVE: o Wood o Coal ❑ Pellet
❑ FIEPLACE INSERT
� - n FIREPLACE, FACTOR
��. . (� , � Zips 1 U )0YBUILT:
)11 ❑ Gas
Phone 5 I - 77 3 " Co 1 -3 0 ❑ FIREPLACE, MASONRY:
.; i a Wood ❑ Gas
Owner IK,,G v 3 _ ( w iu Pi r,,eetk,} ❑ FURNACE: a Wood ❑ Gas o Oil
R
Address k ! y -, 4 ( i \"�, O. IF NON-MASONRY:
r Manufacturer:
:.1 , -'p a l3 L y,7 Zip j L O 1 Model: Outlet: inches
Phone `% 91 — �f ) (t) 0Listed By: Number:
CHIMNEY (check appropriate boxes)
Exact address of proposed construction
:14, MASONRY: 0 Block ❑ Brick V Stone
.r 3Y t }� Tile ❑ Steel
Size: /Z x ) 2... inches
CONSTRUCTION/INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT TOWN OF Listed By: Number:
QUEENSBURY HANDOUTS PROVIDED a Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title
A 173 3389 (190)Public Safety ;' 1 ....-
A 233 2655 (230)Minor Sales
Fe -GeCted From Refunded to: t._
Address -
Dated: //,- / `3 Town Clerk or Deputy: t.._ _F e —_.._.....,
White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink& Goldenrod: Cashier's Dept.
//0/-
TO` OF QUEENSBURY 'K'(�
y '%1 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FO NSP TION RECEIVED
NAME /L CC,c-,
LOCAT/ON /,4G/�/�
j8
PERMITS 9 e/
TYPE OF STRUCTURE y,2 9
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
_INSULATION _WOODSTOVE/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 OPERA T 4G
BASEMENT INSULATION/DUCT ORK iiiii
INTERIOR TRIM/PRIVACY D ORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILNGS V
HANDICAPPED ACCESS
SMOKE DETECTORS '
BATHROOM FANS/WHOLjHOUSE FANS
ALL PLUMBING FIXT ES OPERATING ��
GARAGE FIRE PROOF NG
DOOR CLOSERS
OTHER FIRE SEPARAtTION
FIRE/DEMISE WALLS(
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTR 04
OK TO ISSUE C/O !R C/C Ill
COMMENTS��
fI, / m) a/f/epst-/
(or( vc eG or
ARRIVE i-A) / _
DEPART A-2
INSP
TOWN OF QUEENSBURY 'jy4
_ 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME Cip ii
LOCATION 164/t l(z1 iL '
DATE 4I 5140 PERMITS '70?"9-6✓
TYPE OF STRUCTURE ,„5F;) 4ad/4--e.?‘
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION _WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A/ ES/NO
CHIMNEY HEIGHT/LOCATION ,/
B VENT/LOCATION f/
PLUMBING VENT ./
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATIP :
BASEMENT INSULATION/D1CT, ORK
INTERIOR TRIM/PRIVACY! D!.RS e!
FINISH FLOORS:
BATH/KITCHEN WATER ' GHT
OTHER FLOORS SWE ''ABLE V /
OTHER FLOORS CA"ET):D U'
STAIR CLEARANCE/'AILINGS ✓
HANDICAPPED AC 'SS ✓ '
SMOKE DETECTO' ` 1/
BATHROOM FAN./WHOLEHOUSE FANS ,/
ALL PLUMBIN: FIXTURESOPERATING
GARAGE FIR PROOFING ✓
DOOR CLOSERS
OTHER FIRE SEPARATIONi ✓.
FIRE/DEMISE WALLS 1
DUMPSTER ✓�
SITE PLAN/VARIANCE REQUIREMENTS ✓
FINAL ELECTRICAL ✓
OK TO ISSUE C/O OR C/C `. t
COMMENTS: / , f
G4/813" / - , 4
gO,te .414
L f%/ Cal v."3
1416-4,
ARRIVE /*f3f -v�r�
DEPART 09/0
II P
TOWN OF QUEENSBURY 11/
/)
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED j/
NAME
LOCATION i/!1)
DOE /
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UN/TS
REQUIRED SIGNAGE
CHIMNEY '`
WOODSTOVE
FIREPLACE-MASONRY i, ,) ,,V
FIREPLACE-FACTORY QUILT
REMARKS: { , U OK TO THIS DATE
//c.. .r -
2/015 INSPEC R
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No! - tlf 5 t/7
Owner ,
Occupant
Location "5/r/ °SA - le 49•
ut.---exis `wrect
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by 5 co Amer--,u5.6-:-
6
Date
Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
44.
G /1UTI FTQ (Zd ( 14, WIRING &CONTROLS FOR _ BURNER
l'eq RECEPTACLES / H.P. PUMP
"-- L FIXTURES K.W.OVEN
vrZQ QA MP.SERVICE EQUIPMENT H.P. GARBAGE DISPOSAL UNIT
(I/OAMP.SERVICE CONDUCTORS / K.W. DISHWASHER
L[/V K.W.SURFACE UNIT / K.W. DRYER
/ K.W. RANGE AMP. RECEPTACLE
/ K.W. WATER HEATER FRAC. H.P. VENT FA4NS
; Iy/j Q--
4
MOTORS M.P. 1/20 1/12 1/10 '/s IA 'h 'h Yz 3/e 1 11/2 2 3 5 71/2 10 15 '20 25 30 440 50 75 1(
MARK NUMBER
OF EACH SIZE .
APPARATUS
TOWN OF QUEENSBURY 041.
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME )Uivs /^,49,,
LOCATION
DATE n /7 0 PERMIT # _ 92 '$
TYPE OF STRUCTURE 3-.
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 F
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS ` \
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
.EATING ROUGH-IN
/INSULATION: (�pstirJ
FOUNDATION WALLIS INTEIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS { R-/9 ,
CEILING R-38'
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
►dF;k, /oaf. ern
Cot/I
ova 4c / sq
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /J
531 BAY ROAD ' 1 /
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /e)/9.3
NAME `40'1511, 4 Ztit;
LOCATION ,g2,2 al '
DATE 2//J 0 PERMIT # 9 ". 2/jV
TYPE OF STRUCTURE 440 le' 6, ce cC#?
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 I
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING 5 �C
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: �(
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM'j ' , u1
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR -
FOUNDATION WALLS EXTERIOR -
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN NHEATED
SPACES
REMARKS: AA
- r6"/1,1 PO R 2 4 &1-7 i/q/9-Ai
15,1154 I Prt_L(nl(Q ?LEI Mepu6 gAti_Po-,-�S
1)1=-1 l
ARRIVE /: S a
DEPART 2:-0 d
SP CTOR
TOWN OF QUEENSBURY 4 2
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED ,4-% 19
NAME jty /Z � -2,6.
LOCATION
DATE /g192 PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CJ IMNEY
KOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
/ "7/
//
2/015 INS ECT R
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
EC
NAME 4 ems' re/ Jl/
LOCATION r,Yf //,W-
DATE /6 �2 PERMIT# /G:�'�t%j
/ APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER $YSTEM
ALARM SYSTEM
p1
INTERIOR FINIS)IE$
STORAGE:
CLEARANCE/TO SPRINKLERS
CLEARANCE/ TO HEATING UNITS
REQUIRED SIhNAGE
1.
jJ�'
I
CHIMNEY
)f00DSTOV}E
FIREPLApE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: 1 1 OK TO THIS DATE
'' //,,,;%/. /AgeWW ;,? /214027,7
2-i-i'
,1 /V./) Ti, ,ice
, ��4 (2
2/015 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 CTION RECEIVED
NAME E'er
LOCATION
DATE /4 2 PERMIT it V -sY;2,"
TYPE OF STRUCTURE (5,W
RECHECK APPROVED
,N/A YES NO
OOTINGS/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 PEACE
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:
J
.. S T
ARRIVE '
DEPART / .� ,
` INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ' Zt_,
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 .' C?/h"iZG'
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /(/X, /4 7
NAME ,i`,A,"7-4.7
LOCATION d", J/ did
DATE /4/' 1'/9, PERMIT #
TYPE OF STRUCTURE j/ Gl�,LIX.�._iY/C�
RECHECK APPROVED /
.N/A YES NO
X 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
YFOUNDATION/DAMPROOFING Y
NtBACKFILL APPROVAL x
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 IJ(TERIOR R- '.
FOUNDATION WALLS XTERIUR R-
FLOORS ' R-
WALLS ` R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES f
REMARKS:
;_ L- /( I- c L
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ARRIVE (_._ /` '
DEPART -I A-
INSPECTOR
TOMN OF QUEENSBURY 17 fir/
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 G
TELEPHONE (518) 745-4447
� Grt
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /4 G2/99L-
NAME yre..("6�2C
LOCATION _ ` A94
DATE ' PERMIT I % - J SV
TYPE OF STRUCTURE C /&' -
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 FOLLQt4ING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING �r
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE{, /
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
fA.
BRACING/BRIDGING t `'
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIO R-
FOUNDATION WALLS EXTERI R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING I UNHEATED
SPACES
REMARKS:
"ems a y
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY
531 BAY ROAD
.` � TELEPHONEY NEW RK(518) 745-84447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME _ e--
LOCATION en
G/ ��t"
DATE G/ 7,"1 PERMITS %Z" 5
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
_INSULATION WOUDSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILIGS 6
RELIEF VALVES
FURNACE/HOT WATER OP TING\
INTERIOR TRIM/PRIVA DOORS\
FINISH FLOORS: 1
BATH/KITCHEN WAT RTIGHT
OTHER FLOORS SW EPABLE
OTHER FLOORS C PETED
STAIR CLEARANCE ILINGS
SMOKE DETECTOR
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING IXTURES OPERATING
GARAGE FIRE OOFING _
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
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