96-968 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
January 9 98
Date 19
This is to certify that work requested to be done as shown by Permit No. 96698
has been completed.
RESIDENTIAL ADDITION (BEDROOM, BATH)
This structure may be occupied as a
91 FITZGERALD RD.
Location
VAN SLOOTEN, RONALD &
Owner
TAX MAP NO. 4 2 . -1-3 By Order Town Board
TOWN OF QUEENSBURY
/ 1;4 ccie
GG
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 40000 TOWN OF QUEENSBURY No. 96698
TAX MAP NO. 42 . -1-3 WARREN COUNTY, NEW YORK
VAN SLOOTEN, RONALD &
PERMISSION is hereby granted to
91 FITZGERALD RD . Street,Road or Ave.
OWNER of property located at
RESIDENTIAL ADDITION (BEDROOM, BATH)
in the Town of Queensbury,To Construct or place a
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.
t" OWN
BARBAHAressi% ROXBURY DOWNS
UPPER SADDLE RIVER NJ 07458
2. CONTRACTOR or BUILDERS Name
HORNING, LEE
3. CONTRACTOR
WINCOMAUILANE Address
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. PO BOXARCHITECT'S Address
HAGUE , NY 12836
6. TYPE of Construction—(Please indicate by X) RESIDENTIAL ADDITION
( 1 Wood Frame ( ) Masonry ( I Steel 1 )
7. PLANS and Specifications
712tfoQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFIATIONS
8. Proposed Use
RESIDENTIAL ADDITION (BEDROOM, BATH)
56 November 20 19 98
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
20 a f November 19 96
:: :
ed the Town of Qu ury s—BY for the Town of Queensbury
Building a Zoning Inspector
Dultaing .r'er mit Application
Town of Queensbury - Dept. of Community Development,' 742 Bay Road, Queensbury, NY 12804 1761-8256]
NOTIN
_o BUILDING & CODE ENFORCEMENT
CE Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO. 9 (,--69
beginning construction. No inspections lI�t 06
will be made until applicant has received Zoning Board Action . PERMIT FEE PAID$ 5
a VALID BUILDING PERMIT. All Arcs /Use
applicants' spaces on this application RECREATION FEE P/tl $
MUST be completed and•the signaturePla/uting board Action
of the applicant must appear on the REVIEWED BY.
application form. nit,,,,. SPR / Subdivision /Other Building Inspector
Recreation Pee Payment
Applicant: 2--04 Owner: 20,/41-0 042Pb424 '44 ZpoT«-v
3 4.)t..(c:o,.i4 Gi..isr 6 ?c, cR )f2- - Dbe.v..5
• Address: - E1s(3 viz y , ,,/-Y /•2.3G4 Address: 0p CI o,N-e. t2, y /J J.O'4So
t
Phone # (Sl j_) _22 . - Q222 Phone # ( Z0/ ) 626- 0 3E2
Property Location: Ft"r -GL24Co loan
Subdivision Name: Tax Map Number_ --___/
Section Block Tnt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VA UE OF THE
New Building: CONSTRUCTION: $ ago 6,00 --
residence / commercial t
•
f Addit' --to Building:
residence/ commercial OCCUPANCY INFORMATION:
Alt 'on to Building: Primary Building -
residence / commercial .--"' Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size . Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing '
Other
GROSS AREA OF PROPOSED STRUCTURE: " :,
1st Floor sq. ft. If ADDITION, what will use
2nd .Floor '712 sq. ft, of new additio be? :
Other Floors sq. ft. =�i2ao' ' '0T/J
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: '9/1 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE, Other
I OF NEW STRUCTURE: Commercial Storage Building
24 FEET X 30 FEET •
Foundation Type: 1e.It-2Ei c Will any second-hand or ungraded
Number of Stories : Z. lumber Oe used? If so, for what?
(habitable space only) NC)
Height (grade to ridge) : 26 ,G feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which . .li-s)
to be installed: / Electric / Oil / ' 4. ._.d
Forced Hot Air :aseboar• / Other
Person responsib lia/for supervisioh, qf work as regards to building
codes is : CG'" 44o.2,4t4c. i ' ' C-0,-/co.- A-/E- 293-020,
Name Addresss Phone
Builder: Q,Z.iJ t P4 do.. . 42QGT/0, 4 t Qv0�,,(se0/2s- /)130207
Plumber: '2.,4 ,,,.1„5
. Mason: g4 ,14E
Electrician: CA"-tom.
DECLARATION: Please sign below after you have carefully read the statement.
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 noted, and
that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a
Certificate of Occupanc .'or Certifica of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; awn to, al , showing actual location of project on premises.
Signature: 4G`" ®� 77
_
(owner ner's eat, architec , contractor)
c - ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURy, WARREN COUNTY
• 9000 HEATING DEGREE DAYS '
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings ( 3 stories or less)
PART 4* - Design -by Component Performance -
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICA'1T' S NAME: PROPERTY LOCATION: •
L c 1-40 2 y, c., ru Z
12c; -F J,2P_� ra,.4 c+..(...,(7)s=.4 r' I -P-C.5 "-1 LJ i-- c*,i ..-) C� `H R'Y-',2
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 2 / Z scuare feet
`
2 . Type of Heat - Electric Oil .- Gas Other
3 . Is building mechanically cooled? ------. Yes No
4 . Percentage of area of windows and doors Over 17% ,,- Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof • , R 3E-
h) . Exterior walls R
c . Glazed areas R
d. Exterior doors - R
e . Floors over unheated spaces R i�
f . Edge of slab on grade (heated building) 'R "01
g. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R v /1
1 . Heating/cooling-ducts-piping in unheated space R Niii
6 . Service (domestic) hot *water heating device
Conforms to minimum efficiency per code .-- Yes No
TEMPERATURE '6NTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Appl ' cant ' • ure Date Phone Number
C �.� 7 0 - 4- c,� 15/ea - 2?-6 0 L7)
INSPEC R' S REMARKS:
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date Noiienb c j f } 19 Permit No. I ' (c '
9?
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 and/or chimney.
Applicant �� �� 14c 1-,-) ) ;)c,4> APPLIANCE (check appropriate boxes)
121 Address {, 4� ❑ STOVE:❑Wood o Coal ❑ PelletGas
-- 0 FIREPLACE INSERT
/lit, Zip J;) - tl ,2FIREPLACE, FACTORY-BUILT:
❑ Wood Y: as
Phone 3 _ o ;? ' 17 0 FIREPLACE, MASON
❑ Wood ❑ Gas
Owner oc,\
, , . .x• - 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Afs I F Nth -NfAS N A'tf -`... }.. .
Manufacturer:
N t \ c,\ r ? (z.) Zip Model:
Phone ,90 l R S - (.1) ;'
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block 0 Brick 0 Stone
AZC 'Y'(4 r,-,‘� FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST ,0'FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ouble Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated ,2'oirect Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title C,)
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected From* Refunded to: r
"ttl ess
Dated: I - { c Town Clerk or Deputy: '
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
wDtiritE VVtJU.in GiA'. iiuiiu. it ,rGl.alune JGAvil,6,it ...
Main Office 357 Elwyn Terrace — Manheim,PA 17545 476 C- 7 ,
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert. j 2 5 2 8 Cut-in Card No.
/ :'
Owner /2 "�' f F '94 e cJL c:( r— ;&
Occupant /� �{^ 6
`/
<—/ I C 'c f'L /D /`�V. LCC'
Location �
Installation Consisting of..C.. -l 7 �:l ,ecZ f 2c (.-
Installed By ' -- " C )/ �" e,.) Lic. #
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of mak.. ins •doo at any time, and if its
rules are violated,the Company shall have the right to revoke ert' kl11
Date / �`� —9 7 INSPECTOR
Member N.F.P.A.,I.A.E.1.
Cc
Y` 61(b (518) 761-8256
TOWN OF QUEENSBURY '_
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
SB
INSPECTOR'S REPORT: ARRJ r ED PART�e1 INT.
..Kr"-----
REQUEST OR INSPE ON RECEIVED: - _ `"
v
NAME l\ �� dleV, \� - S,....4)
LOCATION CV\ \ \ 7
p (q-(C)q q
DATE � ` /1��, - PERMIT TYPE OF STRUCTURE: S , ) \i --1 GY',,.!
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESPO IHL FOR
PROVIDING PROTE TION FR M FREEZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE _
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING -
PLUMBING UNDER SLAB __ _
FRAMING: -
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS
WALLS R- /
CEILING R- (sue
DUCT WORK OR PIPING IN
HEAT SPACES R-
Ya iC-i0 N A k5(4/-& OK
Fd fc- Co oc/e/ uG
TOWN OF QUEENSBURY
Oft FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 1 o J 7
NAME VCt 11 S I 001-evl y
r
LOCATION , 1 C R C.'!
DATE PERMIT # -.).,3-c1 t [9'� f
APPROVED
N/A YES NO
EXITS 1
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIG NG
FIRE EXTINGU HERS
AUTO. EXTI UISHING SYSTEM
HOOD TALLATION
AUT . SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
,FIREPLACE-MASONRY
/FIREPLACE- F CTORY BUILT
REMARKS: 6%` 0 OK TO THIS DATE
#fif?rl,,/ry r17 , ( _ .-fL�/ a
elf,fr ,e,,
- ve
o`�
INSPSLIP.PUB I EC.IOR
(518) 761-8256
TOWN OF QUEENSBURY
.�
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
11
INSPECTOR'S REPORT: ARE `v DEPAR '��I INT
REQUEST FOR INSPECTION RECEIVED: 7 Z //7
DAME V4Y4Z--007-&iti
LOCATION l t`7 Z I 0 /�j
DATE 7 - (/ 17 PERMIT # q0 6L i'
PYPE OF TRUCTURE: I
RECHECK APPROVED
N/A YES , NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT PLACE _ ,
CBE CONTRACTOR IS S ONS BLE FOR
PROVIDING PROTE TIO ROM FREEZING
FOR 48 HOURS FOLLOWI ' 'E PLACE-
4ENT OF THE CONCRETE
MATERIALS FOR THIS P'RPOSE ON SITE
?OUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
?OUNDATION/DAMPPROOFING
3ACKFILL APPROVAL
?4UMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
?LUMBING UNDER SLAB
?RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
SIR INFILTRATION BARRIER
iEATING ROUGH-IN
[NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY010
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ��Q�
INSPECTOR'S REPORT: AR !l(DEPARVVOIlf,K -� -
REQUEST FOR INSP:. ION RECEIVED: ;'
�4�NAME `P 1-d07- -AJ
-
LOCATION -rt..-rt.. up E- ' /e.r
7r
DATE �A PERMIT I .r
TYPE OF TRUCTURE:
RECHECK / APPROVED
/ N/A YES NO
FOOTINGS/PIERS /
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RES• 'NSIB.E FOR
PROVIDING PROTE TION F,OM •EEZING
FOR 48 HOURS FOLLOWING , HE PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP4 .E ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLAC7 _
t
FOUNDATION/DAMPPROOFf4G \ _
BACKFILL APPROVAL I e
PLUMBING VENT/VENT IN PLACE
ROUGH PLUMBING / _
PLUMBING UNDER S'AB
FRAMING:
JACK S ' DS/HEADERS
i
BRACIN'/BRIDGING k
JOIST ANGERS
JACK 'OSTS/MAIN BEAM
AIR INFILTRA ION BARRIER
HEATING ROUe, —IN _
t
INSULATION:
FOUNDAT ON WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R— --"'t- _
FLOORS R— �`r
WALLS R—
CEILI.G R—
DUCT 'ORK OR PIPING IN
UNHE• ED SPACES R—
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 11710
742 BAY RD., QUEENSBURY
�NY 12804 f d ,
INSPECTOR'S 'EPORT: ARRI1 ..I' DEPART LINT` w
tEQUEST F n SPECTION RECEIVED:
TAME Ve5 I f
,OCATION 1`
)ATE (Q 9-- 7 PERMIT I ioqg
'YPE OF STRUCT 'E: P0c
tECHECK APPROVED
/A I
YES NQ
'OOTINGS/PIERS
fONOLITHIC POUR URN -
tEINFORCEMENT IN *LACE
'HE CONTRACTOR IS -ESPONSIHLE •R
'ROVIDING PROTE TI'N FROM FRE', ING
'OR 48 HOURS FOLLO INO THE P CE-
4ENT OF THE CONCRE
LRTERIALS FOR THIS :URPOSE iN SITE
'OUNDATION/WALLPOUR
IEINFORCEMENT IN PLAU
'OUNDATION/DAMPPROOFI G _
SACKFILL APPROVAL
'LUMBING VENT/VENTS I A LACE
LOUGH PLUMBING
'LUM G UNDER SLA -
ING:
JACK STUD /HEADERS --f
BRACING/ IDGING
JOIST HA GERS
JACK PO S/MAIN BEAM
LIR INFILTRATIC1 BARRIER _
[EATING ROUGH jIN
NSULATION: /
FOUNDATIO WALLS INTERIOR R-
FOUNDATI WA LS EXTE IOR - _
FLOORS R-
WALLS I R-
CEILING/
DUCT WO K OR PIPING IN
UNHEATEb SPACES_ g-
�I� fp'
/09�
Nc°2\ea.,,Dx,-,061/0 (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPAR � IN�7
1EQU ST OR NSPECT • RECEIVED: 5 �/-- lct)
fir
+TAME V • W*gbbt•
LOCAT ON 110
VPIMMINSO.
c 07 �Q g
DATE , /�'Z.-�-� � ERMIT t
PYPE OF STRUCTURE: C '1
.ECHECK APPROVED
N/A YES NO
FOOTINGS a IERS
IONOLITHI' POUR FORM
1EINFORCEM NT IN PLACE
EWE CONTRA OR IS RESPONSIH E FOR
PROVIDING P OTE TION FROM F•EEZINO
FOR 48 HOUR- FOLLOWING THE PLACE-
4ENT OF THE ONCRETE.
'ATERIALS FOR THIS PURPOS ON I E
?OUNDATION/WAL POUR
tEINFORCEMENT I PLACE _
?OUNDATION DAMPP'OOFIN'
3ACKFILL :: ::Y
'LUMNG PLACE /I
OUCH PLUMBING
'LUMBING UNDER SLA
'RAMING:
JACK STUD /HEADERS
BRACING/B IDGING
JOIST HAN ERS
JACK POS S/MAIN B�
SIR INFILTRATIONNBARRIER
[EATING ROUGH-I
:NSULATION:
FOUNDATION ALLS INTERIOR R-
FOUNDATION ALLS EXTERIOR It-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED .PACES R-
tNyf..kL� MAIL �A--p3 ./ `)
l
7-7711 ." '' 6'./'
(518)761-8256
TOWN OF QUEENSBURY (0110
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR ..- ' DEPART~ INT�
REQUEST F R INSPECTION RECEIVED:\
NAME V\ A O(5 /�(\'NI
�1C
LOCATI N "'► \ k-zogn.Q
DATE CO -I 7- 7 PERMIT I9(CrtS
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC P09 FORIj
REINFORCEMENT IN CE
THE CONTRACTOR IS SPONSIBLE FOR
PROVIDING PROTE TI FROM FREEZING
FOR 48 HOURS FOLLO ING THE PLACE-
MENT OF THE CONC E. _
MATERIALS FOR THIS PURPOSE ON SITE -
FOUNDATION/WALLPOUR -
REINFORCEMENT IN PLACE /----.
FOU DATION/DAMPPROOFING i
ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE -
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-112-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- _
WALLS R- _
CEILING R_
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY0110
BUILDING E. CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPART 7'Iv INT
REQUEST FOR'yINSPE TION RECEIVED:
NAME (J' L J/GSA)
LOCATION 17/ P// z-cot: -. f
DATE a/7ij/'�7 PERMIT I 4X - <(IJ
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PI RS
MONOLITHIC P R FORM ,
REINFORCEMENT I PLA E
THE CONTRACTOR IS RE SIDLE FOR
PROVIDING PROTE TIO FROM FREEZING
FOR 48 HOURS FOLLOW NG THE PLACE-
MENT OF THE CONCRET .
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLP UR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING .
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS/MAIN BEAM
AI INFILTRATION BARRIER _
ATING ROUGH IN
INSULATION: 14/
1-*
FOUNDATION WALLS INTERIOR R-42
�_
FOUNDATION WALLS EXTERIOR R-6 _
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
0- -
/ ° (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 1�
742 BAY RD., QUEENSBURY NY 12804 '�
440
grA
INSPECTOR'S REPORT: ARRIZ,461TEPARTI +il "
REQUEST F INSPECTION ECEIV D: /
NAME V l X. CM IOC1
LOCAT ON ( , z.C 'LtP:1(1)
DATE PERRMIT I
TYPE OF STRUCTURE: 6°) e. S i L e 1-1 G\---\
RECHEC APPROVED
n LL N/A YES NO
/FOOTINGS/PIERS �1 --jlp €b
MONOLITHIC POUR FORD
REINFORCEMENT IN PLACE /'`' .5
THE CONTRACTOR IS •ONSIBLE FOR/
PROVIDING PROT TI• F••M FREEZING
FOR 48 HOURS ,LLO 'NG E PLACE-
MENT OF THE CO ,
MATERIALS FOR THIS •URPOSE ON SITE,..
FOUNDATION/WALLPOUR t--
REINFORCEMENT IN PLA
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACIG/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM
6IR INFILTRATION BARRIER _
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 R-
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