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94-144 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date September 24 19 99 • Thi• s is to certify that work requested to be done as shown by Permit No. 94144 • , ham been completed. This structure may be occupied as a DETACHED GARAGE W HABITABLE SPACE 99 MANNIS RD. Location Owner UNDERWOOD, JAMES By Order Town Board TAX MAP NO. 40. -1-47 TOWN OF QUEENSBURY /76 - Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 9 4 14 4 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to JAMES UNDERWOOD OWNER of property located at 99 Mannis Road Street,Road or Ave. ,p in the Town of Queensbury,To Construct or place a Detached Garage with Habitable Space 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. a z 1. OWNER'S Address is C7 same 0 0 ci 2. CONTRACTOR or BUILDER'S Name C-I N cn 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ± )Wood Frame ( )Masonry ( I Steel ( ) O 7. PLANS and Specifications 36 'x 24 ' Detached garage with habitable space as per No. plot plan, specifications and application. 8. Proposed Use Garage, playroom and storage room and bathroom. sv (D tr rt rt n $ 35 .00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 2 19 95 tr (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I—' town of Queensbury before the expiration date.) (D Dated at the Town of Queensbury this --...2nd Day May 19 94 A) A) n W l N (D SIGNED BY s ' / for the Town of Queensbury Building a ctor F'- rf TOWN OF QUEENSBURY REVIEWED BY: COMMUNITY DEVELOPMENT DEPARTMENT - k BUILDING & CODE ENFORCEMENT FEE PAID: - r 531 BAY ROAD QUEENSBURY, NEW YORK 12804 PERMIT NO. /4f-/ `f (518) 745-4447 BUILDING PERMIT APPLICATION -_ A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. (AO NSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BU DINOVPF MIT. All applicants ' spaces on this application MUST be co p,Iete.,.. Wtthe signature of the applicant MUST appear on the applica son f•\ ,,je0` `- ' Ike o,bud OWNER OF PROPERTY: J (ij'0 2UA \ qtA )/0.* Mailing Address : O 4,'/,j1 f 40 Telephone Number(s ) : Work Ng-- 3b i Home 74.c- -3-34 V7+ --3 \' PROPERTY LOCATION: SW474 Ke) & Lehi (-Ala"— 1 q, 1g /A III /tri, Tax Map Number: Section 4/0 Block / Lot 4/7 Subdivision Name: Lot No. NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE CONSTRUCTION: $ I/Vi Uule '/. NEW BUILDING: RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION: ADDITION TO BUILDING: PRIMARY BUILDING - RESIDENCE/COMMERCIAL Single Family Dwelling ALTERATION TO BUILDING: Two Family Dwelling RESIDENCE/COMMERCIAL Family Dwelling (NO CHANGE TO EXTERIOR SIZE) Office OTHER WORK (Q SCRIBE BELOW) Mercantile <.° µ= Warehouse ManufacturingAaii/e61771 Other GROSS AREA OF PROPOSED STRUCTURE: 1, 1 e 1ST FLOOR 7-4.8 SQ. FT. K'_ / �9yur IF ADDITION, USE OF NEW ADDITION: 2ND FLOOR 661 SQ. FT. OTHER FLOORS ---' SQ. FT. (not unfinished cellar or basement) ACCESSORY BUILDINGS : '--`.'_ Detached Garage 1, O e-- wo Car TOTAL FLOOR AREA: f 3"" a SQ. FT. Attached Garage - One/Two Car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building Other 3& FEET X 2'I FEET, Foundation Type: " . c Will any second-hand or ungraded Number of Stories : 1 y lumber be used? If so, for what? (habitable space only) LO,C 1 Lc,- Height (grade to ridge) : 2 4- feet Type of Heating System: Number of fireplaces and/or woodstove (circle all which applies to be installed: \ Electric / Oil / Gas / ( o0 ,), ,,, 22;, A rne24,: ?u _ ,c,,6: ; .4,Ct-it Forced Hot Air / Baseboa / Other ,4 "1 1 / PERSON RESPONSI_B''yyLJE#� FOR q SUPERVISION OF WORK}�f AS REGARDS TO BUILDING CODES IS: .�.....wsf`Y Pt 1 t_"""(., ie+' , J OH SCs 4 1 NAME OF BUILDER/ADDRESS/PHONE : .'T46; 6/0 OX2 19'9 ribti 4f im . VT---53T NAME OF PLUMBER/ADDRESS/PHONE: u k to NAME OF MASON/ADDRESS/PHONE: p g g�3e� 4017 , NAME 'r)- E LE ITDC I-CTiTT, TDDR SC'/PHONE: 6 ^1h4V444 2/ fiVO9Atitg 4Vg"-- bfr m ` A7 DECLARATION To the best of my knowledge the statements contained in this appli- cation, 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 I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN drawn to scale, showing actual location o proj,e nprises . Signature ,�J1 42 (Owner, ow r' agent, architect, contractor) FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE: ENERGY CODE COMPLIANCE APPLICATION c3 TOWN OF QUEENSBURY, WARREN COUNTY ,i;: � 9000 HEATING DEGREE DAYS c;; ' 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 J AMF3 LUNOE-,1Zwc i) APPLICANT' S NAME: PROPERTY LOCATION: A 'i 0,402,40600 qq M mviv/J 1 �0 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 16 e;"S square feet 2 . Type of Heat - Electric Oil Gas X Other( woo ) 3 . Is building mechanically cooled? Yes x No 4 . Percentage of area of windows and doors Over 17% x Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: R a D a. Roof ^I b. Exterior walls R 11 c. Glazed areas d. Exterior doors R Z e. Floors over unheated spaces R 23- f . Edge of slab on grade (heated building) R to g. Basement/cellar walls (above grade) R i® h. Basement/cellar walls (below grade) R J p i. Heating/cooling-ducts-piping in unheated space R -- 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code X Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED A lica t,' Signju J re� Da e • Phone Number �/" &" "i 1/ '7/ cm - INSPECTOR' S REMARKS: RESIDENTIAL FINAL .INSPECTION REPORT Office No. (518) 761-8256 Building & Code Enforcment Arrive: 3'V Insp: (_( - Dept. of Community Development `-� �� Town of Queensbury Date Inspection Request Received: 742 Bay Road Queensbury, NY 12804 NAME 'f rw:n PERMIT NO. QY Y LOCATION • 4-4-4) DATE 9iff I TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent Through Roof Roof Complete _ Exterior Finish Complete , Interior/Exterior Railings 30" to 36" Exterior Handrails, Balconies, Landing 18 4#i. or more Interior Handrails Stairs Both Si a or More Risers Grade 2% Away From Foundation 8" Clearance To Sill Plate Gas Valve Shut-Off Exposed/Regtor 18" Above Grade Gas Furnace Shut-Off within 30 F t or within Line of Site Oil Furnace Shut-Off at Entrance I Furnace Area Furnace/Hot Water Heater Operating Relief Valve(s) Installed I! Headroom 6 ft. 6 in. On Stairs Basement Stairs 6 ft. 4 in. Handrail Exterior Stairs Both Sides More Than 3 Risers Interior Privacy/Trim/Doors/Main Entrance 36" Floor Finish Bathroom/Kitchen Watertight Interior Handrails Balconies/Landing 18 in. or more Railing Across Window in Stairwells Smoke Detectors: every level every bedroom _ outside every bedroom inter connected Bathroom Fans Plumbing Fixtures Foundation Insulation / 3/4 Hour Fire Door/Door Closer Garage FireproofingV. Garage Penetrations Sealed Furnace In Separate Room Protected (In Garage) Light Ventilation Per Room Safety Glazing 18" or Less From Floor Final Electrical Site Plan/Variance Required Final Survey Plot Plan As Built Septic System Layout Req. / 1/ COkay to Issue Temp C/O W /'/Gsi l t, (518) 761-8256 TOWN OF QUEENSBURY , BUILDING E. CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR Jc9 )) DEPART REQUEST FOR INSP� RECEI NAME ((//�� &PO LOCATION 041'fJ PF DATE /64r PERMIT TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS ="°� MONOLITHIC POUR FO REINFORCEMENT IN ACE - - THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE 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 F ING: _ JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER _ HEATING ROUGH-IN IN ULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- rLOORS R- _ WALLS R- _ CEILING R- _ DUCT WORK OR PIPING IN UNHEATED SPACES R- she/,zo, c'� �.- sd/ 011/ / o'/)e.4 44m 61 fa S/feefrod P4/ r r‘‘ o4Q . •dreg'J GENERAL INSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received: 7 Building& Code Enforcement 742 Bay Road -1 (1) Queensbury,NY 12804 Arrive am/pm Depart ' am/pm Inspector's Initials cW t, NAME: C �e • v� PERMIT# C l4- LOCATION: I j- ezr,, DATE : 7=- TYPE OF STRUCTURE: ..c 1� G.�� e RECHECK ,` `° N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form /� Reinforcement in Place � \ A-S (--)C/"/2�- The contractor is responsible for providing protection from freezing for 48 hours following the placement /f6/1 C /At V 4/J6- f4-e-.- of the concrete. Materials for this purpose : ' site Foundation/Walipour Reinforcement in Pl. - Foundation/Dam ••fing Backfill al Plumbing Under Slab Plumbing Vent/Vents in Place i`- 'ough Plumbing Heating Rough-In InsuliOw Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Head rs Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping 0 4- RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement /�,� Dept. of Community Development Arrive N,�u am/pm Depart Town of Queensbury Inspector's Initials 4_ 742 Bay Road Queensbury,New York 12804 C�i� NAME 0�'1 i } �l�1�Y�s2/) PER # Q 1 — � l �v c'� �'-� � LOCATION \c.`n S �''�� DATE MIT �� TYPE OF STRUCTURE �t� C)S2-- N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 fl. 6 in. on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish u Bathroom/(itchen watertight 'j2y°�YY1�l Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/O(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) `® /� (518) 761-8256 TOWN OF QUEENSBURY "x BUILDING & CODE ENFORCEMENT 742 BAY RD. , QUEENSBURY NY 12804 INSPECTOR'S REPORT: AR"( DEPART I -1tI 4` REQUEST FOR INSPECTION RECEI ED: e) NAME ) 1 LOCATION C‘k. CkIA1 S iJ C9oke DATE I C 3 I 1(f PERMIT A {L. TYPE OF STRUCTURE: c'.C , RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POU FO REINFORCEMENT IN PLACE _ THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE 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 PLMBING 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- FOUNDATION WALLS EXTERIOR R- _ FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- L.-OG 6 E-T u OG 611 LL TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 ` +� INSPECTOR'S REPORT: ARR DEPART INT(2) - �/ REQUEST FOR INSPECTION RECEIVED: �- NAME �e� . .� LOCATION I �� kit-es /! 6 DATE -A0g L PERMIT # li r/ TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE T ON FROM FREEZING FOR 48 HOURS FOLLO ING THE PLACE- MENT OF THE CONCRET. . MATERIALS FOR THIS PiRPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLAC FOUNDATION/DAMPPROOFI BACKFILL APPROVAL PLUMBING VE VENTS IN PLACE ROUGH P. MBING 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- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- • 4. g( 4ea 4'a 4C(.5-&fitrA/,--44 /74:701" TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD. , QUEENSBURY NY 12804 I �INSPECTOR'S REPORT: ARI ',3 DEPAR NISPa REQUEST�F)OR INSPECTION�/� )REECEIVED: NAME _(/�(J�QtRetON e LOCATION /V,44 'f 49 DATE la / TYPE OF TRUCTURE:�'� � PERMIT # 6 e,6d RECHECK { APPROVED N/A Y NO FOOTINGS/PIERS MONOLITHIC POUR FORM / REINFORCEMENT IN PLA THE CONTRACTOR IS RES•ONSIBL FOR PROVIDING PROTE TION :OM FR EZING FOR 48 HOURS FOLLOWING THE : .CE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPISa ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFIN'. BACKFILL APPROVAL PLUMBING VENT VENTS AIRE ROUGH PLUMBING PLUMBING UNDER SL' : C. _1// FRAMING: JACK STUIS/HEADERS BRACING BRIDGING JOIST ,NGERS JACK P'STS/MAIN BEAM AIR 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- g0/L a/N G g-fa-6 ON0CW &VW--ROO-04) �ooR -46 AM-a-5 for Co ruts Peek r &PCe 6-72--jf5- D4,45e- , NAu ,¢ - ewe o PF(' TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12800�J44 + INSPECTOR'S REPORT: AR ' S EPARTIsV ) REQUEST FOR INSPECTION RECEIVED: / £) 1 3 61 5 NAME 01V)./ LOCATION DATE / 0 % 17. -( PERMIT # - /t/L TYPE OF STRUCTURE: Qom " 4t RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE WON FROM FREEZING FOR 48 HOURS FOLL'WING THE PLACE- MENT OF THE CONCR:TE. MATERIALS FOR THIS PURPOSE • ' SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PUCE FOUNDATION/DAMPPROOF NG BACKFILL APPROVAL PLUMBING VENT/V 'TS I}I PLACE ROUGH PLUMBIN PLUMBING UN' R SLAB FRAMING: ACK STUDS(HEA ERS BRACING/BRIDGI G JOIs,T HANGERS JACK POSTS/MA BEAM AI 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- • atitre.- st)rite. 0 fe 0 66/1-R9 t'If G j 5'r4-T JS d F (-*S Pilo Jo Fr 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 ILO Woo 0 LOCATION i"\A ,JAJt3 2 DATE Y/ 2.-6i/'T' PERMIT 0 "!1 l LI 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 BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB(T`tap*J X FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING r JOIST HANGERS JACK POSTS/MAIN .SEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS (JUI94t 544g3 R- �5 WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART INSP CT Np , � / � TOWN OFQ0EENSQ8RY BUILDING AND CODES DEPARTMENT 631 BAY ROAD OUEENSDURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT 1EQUEST FOR INSPECTION RECEIVED IAME SFo�`[)rf�� 'OCATION t4 '^ )ATE PERMIT f 9 L» _ I L4K [YPE OF STRUCTURE tECHECK APPROVED N/A YES NO :00TlNGS/PlERS iOMULITHlC POUR FORM (EINFORCEMENT IN PLACE ' [RE CONTRACTOR IS RESPONSIBLE -0R PROVIDING PROTECTION FROM -REEZXNG FOR 48 HOURS FOLLOWING FHE PLACEMENT OF THE CONCRETE. 1ATERIALS FOR THIS PURPOSE ON SITE 7OUNDATlON/KALL POUR ZElNFORCEMENT IN PLACE :OUNDATION/CWM9eff-M \ACKFILL APPROVAL Z0UGH PLUMBING ` UMBINC VENT/VENTS IN ' `LUMBlNG UNDER SLAB . :RAMINS: JACK STUDS/HEADERS BRACING/BRIDGING —� JOIST HANGERS JAC�, P0STS/1,4«yN BEAM fEATlNG ROUGH-IN INSULATION: FOUNDATION WAILLS INTERIOR R- F0UNDATlON WALLS EXTERIOR R- FL0ORS R- WALLS R- CElL{NG R- DUCT WORK OR PIPING IN UNHEATED ' SPACES <[MARKS: \RR[VE :3: 20 )[PART NSPECT / �*�� 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 �S�(o/ y NAME 9ZinGed 7o .,1! LOCATION 99 :e '40 DATE , 14(7/94( PERMIT i 4744-/4' TYPE OF STRUCTURE 4'J 944 w ALA-. 4, . RECHECK APPROVED FOOTINGS/PIERS •y ,g�52,p&. (c5l‘ /A YES NO x 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 7�4t1',2 DEPART ` Z;57 NSP C