92-396 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 13 19 96
This is to certify that work requested to be done as shown by Permit No. 92396
has been completed.
ADDITION TO DWELLING
This structure may be occupied as a
1676 GLEN LAKE RD.
Location
Owner SICARD, MATTHEW
TAX MAP NO. 43. -1-24. 4 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
--I
BUILDING PERMIT
TOWN OF QUEENSBURY o
No. 92-396 •
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Charles 05_ Sicard
426
OWNER of property located at Glen Lake Street, Road or Ave.
N
in the Town of Queensbury,To Construct or place a Addition to Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and a.
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
RD#1 Box 1676
Lake George, NY 12845
2. CONTRACTOR or BUILDER'S Name
Ray Kraft
fD
3. CONTRACTOR or BUILDER'S Address r-
RR1 CD
Cleverdale, NY
a
4. ARCHITECT'S Name a
0
5. ARCHITECT'S Address
-.
0
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 1,088 sq ft Addition to Dwelling as per plot plan specifications
and application
8. Proposed Use
Living Space
$ 187.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 7, 19 93
(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.)
Dated at the Town of Queensb r ..t 7th D July 19 92
SIGNED BY for the Town of Queensbury
Building and ing Inspector
TOWN OF QUEENSBURY
1�i REVIEWED BY:
SAW" \_,
FEE PAID: N'
v N OF QUEEfV56u;
!
PERMIT NO. : l!Y-,7j to RECEIVED
. JUL 21992
BUILDING PERMIT APPLICATION
BLDG. & CODE DEPT.
\ PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
111 applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Iwner of Property: f; z:), a ," , c,,4; .'d
.0. Address: R t / Go i /C 7C LQ/C G r.. t r C PHONE 2 9`2--- -1'?" -3;
roperty Location: v/c-"
L�i-e Tax Map No.- / ` /�7-0
as there been any split of this property since October 1, 1988? Yes No X
f yes, Planning Board Review is necessary.
abdivision Name, if applicable: %>> ef Lot No.
iE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
0219 rri c cc% St Coke,
TURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
/ Construction of new building * CONSTRUCTION: $ /8i 7O 3 o
f Addition to building
' Alteration to building COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * c,;' Size of Property: /200 ft. x 2OiQ ft.
Other work (describe) * Existing Building Size:
' ! l* ' Ry ft. x 32 ft.
tJ. "�� * Proposed building - distance from
OSS AREA OF PROPOSED STRUCTURE: �
* property line:
t Floor ;J
v/ Sq. Ft. Front Yard . U yard , *• ft.
* Side Yards �'' ft. and �-3: ft.
d Floor S , Sq. Ft. 'F{k
If on corner, setback fr side tr t-
- * f t. _-z_
her Floors Sq. Ft. ,.
of cellar or basement) t -' * OCCUPANCY INFORMATIO : a
*
TAL FLOOR AREA: /0 g g Sq. Ft. ' * Primary Building -
i4 ' * One Family Dwelling
to of New Structure: /-27 ft. x :` ft. * Two Family Dwelling
indation: * Multiple Dwelling/No. of Units
?r/Slab/Crawl/Partfal/Full (Circle One) * Business
* Industrial
• of stories (Habitable space) 2 A/ * Other
fight (grade to ridge) 22 ft. *
residential , no. of families: o ,v E * If addition, what will use be?
of rooms (excluding baths): * � ; ,,,;5 -���of bedrooms: F,c,g * —of bathrooms: 2 j * Accessory Building:
mary heating system: /a 7- /9„e \ * Detached Garage - One/Two Car
►e of fuel : O/ / a,# * Attached Garage - One/Two74ar
of fireplaces to be installed: 0 * Private Storage Buildi ,
1 a woodstove be installed?: 7 * Other
itral Air Conditioning: Yes No *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc.
Will any(second-handor ungraded lumber be used? If so, for what?
Foundation Wall Material : tt.
or Thickness: /'
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? ye ' Heated or Unheated? lje,g Floor Sq. Footage:
Will there be a basement? Will any portion be used as living space?
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped,/ lat/Shed/Other Material of Roof , : •
Size, wood studs ca, " x "; spacing o.c. ; length �'" ft.
Joists (floor beams) : 1st Floor " x p
:f s acing /6, o.c. ; span ft.
Joists (floor beams) : 2nd Floor _ " x " ; spacing ,C, " o.c. ; span ,/ ft.
Overlays (ceiling beams) : " x " ; spacing " o.c. ; span ft.
Roof rafters: " x "; spacing o.c. ; span ft.
Roof trusses (pre-engineered): spacing " o.c. ; span w:f / ft.
Exterior Wall Finish: L of what material ?
Interior Wall Finish:
If a rage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? XI
If so, will a Fire-Rated door,
enclosure, self-closing device be provided? ic.?S-
Will a flue-lined chimney be installed? ,' Height above roof ft.
Depth of chimney foundation below grade: - ----`w---- ft.
Depth of fireplace hearth: — ft. in.
Water supply ..�,r` `.F.y � LL
pp y - Municipal or r�vate w 1)
SEPTIC SYSTEM: Distance from a!u private well (including adjoining properties:P LA f t.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: TA K / Clevc.r Ce (c__ PHONE �'c'•�' ?�'I(Z� -!
NAME OF PLUMBER & ADDRESS:
/crag- PHONE 6S-6-,3G62.
NAME OF MASON & ADDRESS: 1 rc y �y ectcJ PHONE
VANE OF ELECTRICIAN & ADDRESS: ;/ f; , PHONE
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
:ogether with the plans and specifications submitted, are a true and complete statement of
ill proposed work to be done on the described premises and that all provisions of the
lUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall
e complied with, whether specified or not, and that such work is authorized y the owner.
Signature /,
Owner, owner s agent, architect
contractor
PECIAL CONDITIONS OF THE PERMIT: i---
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
OF QUEENSBU:
■pl iance Methods: RECEIVED
RT 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) J U L 2 1992
RT 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings ODE KEPT
Multi-Family Dwellings
(3 Stories or Less)
RT 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
RT 4 & 6 - Compliance Methods Require Submission of Worksheets
'LICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
Gross Floor Area - Sq. Ft.
Type of Heat - ' { Elec. Base Board Other
� ,..d,
Is Building Mechanically Cooled? YES NO
Percentage of Area of Windows and Doors Over 17% nder 17%
R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
Insulation Values: Actual Shown Elec. Heat Other
Roof & Floors exposed to ambient temperatures R 3
Exterior Walls R )
Glazed Area R .,
Exterior Doors R
Floors over unheated spaces R 30
Edge of Slab on Grade (Heated Building) R 11
Basement/Cellar Walls (Above Grade) R 11
Basement/Cellar Walls (Below Grade) R {
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
,' 6- zs= -z
PLI ANT'S SI TUR DATE TELEPHONE NUMBER
SPECTOR'S REMARKS:
REVIEWED BY
TOWN OF QUEENSBURY
.�1�i4 BUILDING & CODE ENFORCEMENT
�3v 742 BAY ROAD
QUEENSBURY NY 12804
,f (518)745-4447
/21 yr DEPART: ,LL)
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: J�
NAME C AA A P,t F
LOCATION `i��� LASS Rot )
DATE I 9( PERMIT I -.2)9 j
TYPE OF TRU" URE ,
FOOTINGS FOUNDATION BACKFILL _ F NG
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT V
ROOFING '
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING ✓�
INTERIOR TRIM/PRIVACY DOORS/ \
FINISH FLOORS: / ,,
BATH/KITCHEN WATERTIG 1
OTHER FLOORS SWEEPAB E
OTHER FLOORS CARPE D
STAIR CLEARANCE/RAI' INGS
SMOKE DETECTORS
BATHROOM FANS V
PLUMBING FIXTU'ES VVVV r
FOUNDATION INSULATION
GARAGE FIR. PROOFING ✓
DOOR CLOS•RS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C ll 1
real
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1/1/U3
SICARD, CHARLES #97-396
Glen Lake Addition to Dwelling WR
Kraft, Ray
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TOWN OF QUEENSBURY /lUC
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR IN01...)/C4:-
PECTION RECEIVED
NAME
LOCATION G,/ f
DATE //U� IL PERMIT I lZ jYC
TYPE OF STRUCTURE , /pad ,_5 O
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
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING t
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:
CI-c *0-t-f-c ei MIA-4c--
j.03
4 7
a `�
J4`/� Sit' LJ,_ 3-4,-1
ARRIVE /I
DEPART a%icru "...D/ `-"_._..
INSPEC 0
V},JJ�� TOWN OF QUEENSBURY
(t-- BUILDING AND CODES DEPARTMENT
1 �� 531 BAY ROAD
\ ' QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Mom- S k CA}-0
LOCATION Cs C-,6,J
DATE Cil3c7/92-- PERMIT # l 2- 3 9 G
TYPE OF STRUCTURE 5-F. 0. O errOA.)
RECHECK Cl4_(M kb, c ..M-Q1iuet APPROVED
'To COMeWZ-r1 18 LA--3 , 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 SLA
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:
tjes CJ �'`>3 S%�iC L c•i
tN,A ,4 , r44
ARRIVE 1 9,
DEPART - '6--
TNSPF . f1R
---``-`i.-'-- ,— cis At ( i 1,-i t / --
TOW OF QUEENSBURY 1
BUILDING AND CODES DEPARTMENT `�'
531 BAY ROAD 2
QUEENSBURY, NEW YORK 1280
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /
NAME___P 4.' 2( C9(
LOCATION i[et / A-1c.&
DATE el Jam) q) PERMIT # g.� vy.k
TYPE OF STRUCTURE ( & 7Z2e/e14.V'gr
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 TER SLAB
' LAMING: �. 1a-C G ,►1Lq X
tt JACK ST / EADERS
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: -
O tC TO (Ats u u-vit NO At- c izi ri c 4L
.A-(21.r P 0 ISC SLO L) ufcr-q-
ARRIVE
DEPART -.3:3c) 44.,
iNSFCnR
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
4114
531 BAY ROAD
QUEENSBURY NY 12804 3.3 u
(518)745-4447 c
ARRIVE: 31' DEPART:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME
LOCATION Z4,
DATE 4 PERMIT # f2-✓''j�
C
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE •R FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT ///
ROOFING
EXTERIOR FINISH ,J
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
VE
INTERIOR TRIM/PRIVACY DOOR'.
FINISH FLOORS: r
BATH/KITCHEN WATERTIGH1 ✓/
OTHER FLOORS SWEEPABL
OTHER FLOORS CARPETED)/
STAIR CLEARANCE/RAILINGS _
$OKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION ✓//
GARAGE FIRE PROOFING ✓
DOOR CLOSERS
FINAL ELECTRICAL ';',464
JaJ / i//
SITE PLAN/VARIANCE REQ. ,v//
FINAL SURVEY PLOT PLAN v/
OK TO ISSUE C/O(OR C/C
et,—a's 74v-
1(//i'jej
/r.SS v cZyei G"1k /r7
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /7
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 / 9/
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED SPAR C.fjls
NAME ,� (! r o id&"-4fd
LOCATION 4'dxi
Z
DATE dAq PE', I #
TYPE OF STRUCTURE ifate
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 i
ROUGH PLUMBING G
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS I
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
INSPFCTf1R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
EQUEST FOR INSPECTION RECEIVEDEC
mr
��ii..f z
AME % e'(
OCATION �'c e
ATE VØt PERMIT # 9 z -
YPE OF STRUCTURE g17/‘---
ECHECK APPROVED
I N/A YES/NO
DOTINGS/PIERS ,/
ONOLITHIC POUR FORM
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
OR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
IATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
OUGH PLUMBING
LUMBING VENT/VENTS IN PLACE
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
IRESTOPPING
WALLS
CEILING
IREWALLS
(EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
1RRIVE 3•0
)EPART 3.r77
IN ECTOR
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
NAME ( 11 d it i/ U t i..d
LOCATION /I4t
DATE 2,/9,1 PERMIT # Y - �a
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 'up&
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- tt
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART ►���
TN:PFCT(1R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
/9
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED, -.
NAME 0i,e0 �✓ ' ;
LOCATION 2i74,2x,
DATE 7 7A PERMIT I £7.`y2
TYPE OF STRUCTURE 6/e o /
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:
ARRIVE ' I
DEPART J
i sT_c,nR
TOWN OF QUEENSBURYwnIr
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 7' I 1 9
NAME��'� C' e)(\all.12z2
LOCATION C- -1iT
DATE 1119 PERMIT # o� i
3 (00
TYPE OF STURE )-in-,- t )/1./r
RECHECK APPROVED U
N/A YES
FOOT INGS/PIERS � ,��
`MONOLITHIC POUR F R
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/DAMPROO ING
BACKFILL APPROVAL ---
ROUGH PLUMBING
PLUMBING VENT/VENTS IN, PLAQ'E
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:
/I
ARRIVE
DEPART
i NSPFCT(1R
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