97-664 BUILDING . PERMIT
TOWN OF QUEENSBURY
VALUE $ 8000 No. 97664 -
TAX KAP NO. 12.-1-6 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HUNT, WILLI>LM p
OWNER of property located at FIELDING LANE Street,Road or Ave.
in the Town of Queensbury,To Construct or place a nasi 3swPIAL_Atr lPATT(}P
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
25 DEER RUN HOLLOW
CLIFTON PARK, NY 12065
2. CONTRACTOR or BUILDERS Name
KUGRACE, ALBERT
3. CONTRACTOR or BUILDERS Address
18-_CRESTWOOD LANE
TROY, NY
4. ARCHITECT'S Name
NEW: YORK BOARD
5. ARCHITECTS Address
9far40,118110'YORK. BOARD OF_ FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ALTERATIONS
( )Wood Frame ( )Masonry ( )Steel 1 1
7. PLANS and Specifications
1100 Q FT RESIDENTIAL ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
RilitIDNITIAL, ALTERATION.
$ $FRMIY`FEE PAID -THIS PERMIT EXPIRES November 1+5__ i9 = 9
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
November. 97
Dated at the Town of Queensbury this D"ay o"l 19
SIGNED BY for the Town of Queensbury
Building nd oning Inspector
Building Permit Application
Town of Queensbury - Dept. qf Coinnrunity Development, 742 Bay Road, Queensbury, NY 12804 /761-82.56/
BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance
of this permit: PERMIT FILE NO. ��IN
A permit must be obtained before ii ��� .�
beginning construction. No inspections PERMIT FEE PAID$ `--�
will be made until applicant has received ri Zoning Board Action `
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$
applicants' spaces on this application h
MUST be completed and the signature 0 Planning Board Action REVIEWED BY. /V
of the applicant must appear an the SPR / Subdivision /Other Bailrling Irrsnecmr
application form. 7hank,w.. J Recreation Fee Payment
Applicant: William Hunt Owner: Same + r
• Address: 25 Deer Run Hollow, Clifton Park, Address: Same NOV o5 1997
NY 12065 OL+
Phone # ('518 ) 456 - 6101 Phone # ( ) - - U. gin'
Property Location: Fielding Lane, Cleverdale, NY t .,
Subdivision Name: N/A Tax Map Number __ /d /
Section [Hock lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 8,000.00
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
X Residence / Commercial Two Family Dwells .•._..,
no c ange to exterior size Family Dw 11 ((4 4 -, ---
Office-
:� i , E)
Other Work (describe below) Mercantile
Manufacturing NOV 05 1997
X Other Cabin i Trvk`4
GROSS AREA OF PROPOSED STRUCTURE: ,.„ri aw7 .- ;qV
ut..r4.e1-
If ADDITION, what will Miler----. ..
1st Floor 1,100 sq. ft . of new addition be? :
2nd .Floor - sq. ft. N/A
Other Floors - sq. ft.
(not unfinished cellar or basement) •
ACCESSORY BUILDINGS:
- Detached Garage 1, 2 car
TOTAL FLOOR AREA: 1,100 SQ. FT. - Attached Garage 1, 2 car
- Private Storage Building
SIZE OF NEW STRUCTURE: - Commercial Storage Building
- Other
- FEET X - FEET
Foundation Type: Existing Will any second-hand or ungraded
Number of Stories : 1 lumber be used? If so, for what?
(habitable space only) Rough Sawn - Rafters
Height (grade to ridge) : 15 feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : Albert S. Mugrace, 18 Crestwood Lane, Troy, NY 518-286-1156
Name Addresss Phone
Builder: Richard Gladys P.O. Box 56, 2 Leopard Road, 518-656-9749
Plumber: Fort Johnson, NY 1207U
Mason:
Electrician:
DECLARATION: Please sign below after you have carefiully 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 p - - ecl work shall be complied with, whether specified or noted, and
that such work is authorized )y the 'wni . Further, it is understood that I/we shall submit prior to a
Certificate of Occu I.ncy'or t ertifica e . Compliance being issued, an AS BUILT PLOT PLAN by
a licensed s • • sr; awn to • ale, hi w g actua ocation of project on premises.
Signature: _ illib
own r, owner's agent, a lchitect, contractor)
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
-2-- (OW LI
Date / ,
1�' S 19 7 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 and/or chimney.
Applicant (.) ( `cL{',' ,�-t 14 u c -T APPLIANCE (check appropriate boxes)
Address F( '(--- c;0,',,_) , c 4 ❑ STOVE: ❑Wood ❑ Coal o Pellet ❑ Gas
❑ FIREPLACE INSERT
C �/�<-- p(-4-6,.,= Zip ❑ FIREPLACE, FACTORY-BUILT:
❑ Wood ❑ Gas
Phone ❑ FIREPLACE, MASONRY:
Wood ❑ Gas
Owner `. 4-7 .,- 0 FURNACE: ❑ Wood ❑ Gas At-Oil
Address c,z4.- /�&: IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT AD ESS of pr osed construction
w1ASONRY: 0 Block 0 Brick 0 Stone
..)
'�"11G FLUE: file 0 Steel
.,1 Size: -: X g 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 0 Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount .ollec Am nt Refunded
Code Number Title I j S! C7,, C' KCC '� /
A 173 3339 (190) Public Safety i� ``
A 233 26 (230) Minor Sales L` r ,
Fee Collected From or Refunded to: � \Ve-ANCt-C- _ -i2 l - ,� /
Address: ` U; f 0--- ; . 1 v_ + i / '
Dated: Town Clerk or Deputy:
_ „ NiA(rirl /
ltiziie: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Gold. q : Cashier's Dept.
i ti_.,. Y
(9
441104.
A� .T ENERGY CODE COMPLIANCE APPLICATION ®V 05 � ?
�� OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Tr-
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
APPLICANT' S NAME: PROPERTY LOCATION:
William Hunt Fielding Lane. Cleverdale. NY
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 1,100 square feet
2 . Type of Heat - Electric X Oil Gas Other
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:
a. Roof R 21
b. Exterior walls R 11
c . Glazed areas R 1.7 .
d. Exterior doors R 2.5
e. Floors over unheated spaces R 19 w
f. Edge of slab on grade (heated building) R N/A
g. Basement/cellar walls (above grade) R N/A
h. Basement/cellar walls (below grade) R N/A
i. Heating/cooling-ducts-piping in unheated space R 5
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code x Yes No
TEMPERATURE CON MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
p 1 ' c 's S . a /ice Date tr, Numbe
v
• / -i- �- 11/5/97l d r'"�
INSPECTOR' S REMARKS:
.e)(ak
TOWN OF
F RY
w} BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE:
DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME kK__/,
LOCATION a —"—DATE --' 0
PEltrtIT A
TYPE OF STRUCTURE
FOOTINGS FOUNDATION
KFILL
ROUGH PLUMBING SEPTIC NSUL BAC INSUL FRAMING
FINAL ELECTRICAL ATION "-'
WOODSTOVE OR FIREPLACE
NL NO
CIiIMNEY fiEIGHT B VENT ffEIGfIT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK PORCH STEP RAILINGS
RELIEF VALVES /
/
FURNACE HOT WATER c•
INTERIOR TRIM PRIVACNT.►•�MI
FINISH FLOORS: -
BATH KITCHEN WATERTIG'T
OTHER FLOORS SWEEPAB E
OTHER FLOORS CARPETS.
STAIR CLEARANCE RAILI 'GS
SMOKE DETECTORS
BATHROOM FANS
PLU MBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINALE 'CTRICAL
E PLAN VARIANCE RE•. 7
FINAL SURVEY PLOT PLAN
OK TO ISSUE C 0 OR C C
�O#; 'Oh;A 'the) 4612 1 (p(9
� � 7 N10 �iWll� T j
,)BAN 'mil t,,a 7 t;-2 ., , „,k. , l�
U
GENERAL INSPECTION REPORT I/i 7
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement "-C-`.
742 Bay Road
Queensbury,NY 12804 Arrive 'C•5,5 am/pm Depart am/pm
Inspector's Initials - /J
NAME: PERMIT# 7
LOCATION: FeIi Li r�-, DATE : ' rr
TYPE OF STRUCTURE: %{
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form re; •2 A/q / , `,- f %x t C - ) .e ;711044,,.,
Reinforcement in Place ,
The contractor is responsible f I' 1..),..', i `'t `!/ t k 4'., .�J t 1; ' ierm4/ ;
providing protection from ing \ 'A if-/PG b `et " -;.;,"^+ IA s V Ic "> ; . t`I/M'"/ (4 ,tt
for 48 hours following the plac$ment , ,/
/
of the concrete.\- / �
Materials for this p' on si - !-. ,` if .- 4,.,/ V.C, L, c., t ,.. ; ,.,.
Foundation/Wallpour ar
Reinforcementin Place `,r..-' 7f 'f f ?VI" ii�+'
Foundation/Dapnpproofing 1 . ab
Backfill Apprgal " -„.. �;•", 1 ,� ,' 6 C'- . ,. wt'1�a
Plumbing Und Slab illiz fry,' r f Tyr. ,e •, i v? /" r,.. ‘„,/(
Plumbing VenlVents in Pl.. _.;- ; ., ; ' s
Rough Plumb' ely
-„-f�" ``fig' ` ` ` '�
10
r
Heating Rou ,`''.'y, i ,t' L.4,m,,7 (• ,_rc t- r a t.,-,i!
Insulation C; A rt s/ ,f„.PIhi") e0.4fis .e 4'r c
Foundation falls In 'or R- 1
Foundation(ails E rior R- ,. f ., tw A)1r� 'y �� J
Floors R- A`
Walls
R- _,
r . r f C
g
Ceilin R- 4I V
Duct work o iping in )0e b,-3
unheated s R-
Proper Vent, Vent
Framing
Jack Stu ers
Bracing/Bri g N ,
Joist Hangers
Jack Posts/Mai Beam\
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 7 am/pm Depart am/pm
Inspector's Initials ' /-
NAME: A),� �., dam!- PERMIT#
LOCATION: 17 e( ,7 �,, DATE : 1,. ��
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form ! ,{ p
Reinforcement in Place Nl �� �'`'
The contractor is responsible for 7�J� // ;
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
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-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
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
;)_efL9(‘\
TOWN OF QUEE RY
40 BUILDING & CODE ENFORCEMENT
742 BAY ROAD12
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTIONa REQUEST RECEIVED:
) )NAME 1 \\`
LOCATION Pam\
DATE 1 0 P IT 0 I7
-6, Lt
TYPE OF STRUCTURE S l�
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION
FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEP RAILINGS .
RELIEF VALVES /
FURNACE/HOT WATER ERATI G
INTERIOR TRIM/PRIVACY
FINISH FLOORS:
BATH/KITCHEN WATERTIG T
OTHER FLOORS SWEEPAB E
OTHER FLOORS CARPETE
STAIR CLEARANCE/RAILI GS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL E CTRICAL
/7/
E PLAN/VARIANCE-REQ•
FINAL SURVEY PLOT PLAN
OK TO``ISSUE C/O OR C/C Q
(518) 761-8256
TOWN OF QUEENSBURY010
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR9.3) DEPART INT
REQUEST FOR INSPECT ON RECEIVED:
NAME
LOCATION be4
DATE /1-APERMIT # 5., - 62
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR I- RESP,NSI:LE FOR
PROVIDING PROTE T 'N F•OM -REEZING
FOR 48 HOURS FOLLOW a THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PU POSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLA•
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
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-
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 0 V)
NAME id
LOCATION /� La,
DATE'4204____ PERMIT# 97-40/
AP9'ROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTE
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLE'S
CLEARANCE TO HEATING NITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY , ' ir.004
FIREPLACE-FACTORY BUILT
REMARKS: U OK TO THIS DATE
f44414,
/44/0u0A7
2/015 OOR
s RESIDENTIAL FINAL INSPECTION REPORT r \ 1
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept.of Community Development Arrive 3'(4,-) am/pm Depart am/pm
t,
Town of Queensbury Inspector's Initials '
742 Bay Road
Queensbury,New York 12804
PERMIT#w `Maria•
LOCATION
NAME i'i� 1 y DATE
�\ ° .
TYPE OF STRUCTURE ( c3 J\\ r
N/A YE NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location >/
Fresh Air Intake /
�'� f floc; ..
Plumb Vent through roof
Roof Complete 17,
' /
Exterior Finish Complete +/ 3' ec,i_ des /(!�/" Ce
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more S4C 5
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 ft. 6 in.on stairs 1.
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 1
Railing across window in stairwells
Smoke Detectors: :/
every level ,/
every bedroom ,/
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation s'
3/4 hour fire door/door closer ✓�
Garage fireproofing
Garage penetrations sealed ✓
Furnace in separate room protect•. in garage) ✓
Light ventilation per room ✓
Safety glazing 18"or less from fl, r
Final Electrical
Site Plan/Variance required f
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)
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive/jI0 am/pm Depart am/pm
Inspector's Initials V�
NAME: t.4Y r" PERMIT# 97-6E K.
.
LOCATION: e d DATE : 5-- / 4j
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place C ( - ,- `,-` / ihr, t 1-6/:
The contractor is responsible for
providing protection from freezing /NJ/ r �,••4,74, 7 0,-
for 48 hours following the placement
of the concrete. • /A, kith,- S/al C A-c, X.
"�'//J4 //
Materials for this p se on site
Foundation/Wallpour 1 r�'�� � '� `1�ft�
Reinforcement in Place
Foundation/Dampproofi, : 411 G vt;-
Backfill Approval
Plumbing Under S • •
Plumbing Ven A'ents in Place
Rough P1 s . ng
Heating •ough-In
Insulation
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/Headers
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
( / ` ' ter--- _�
/J (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR!// O DEPART INT?
01(
REQUEST FOR INSPECTION RECEIVED:
NAME 1 fa_o.w
LOCATION /71
c-
DATE PERM T 3
a
TYPE OF STRUCTURE: It
C� �Z Jr,1
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
j1ONOLITHIC POUR FORM
REINFORCEMENT IN PL• E
THE CONTRACTOR IS - SPONSIBL FOR
PROVIDING P••TE TIO FROM FR•EZING
FOR 48 HOURS OLLOW G THE 'LACE—
MENT OF THE CO a
MATERIALS FOR THIS PIRPOSE 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
HEATING ROUGH—IN
ULATION:
FOUNDATION WALLS INTERIOR R— _
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R_
CEILING
DUCT WORK OR PIPING IN
UNHEATED SPACES R—
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRWDEPART ANT ;0, --
REQUEST 0 INSPECTION RECEIVED: l
NAME U tis.\� 1 \\\ C 'ors {�
LOCATION !\ C. )h, t\ t \ r 1 `---C2.-/,(
DATE i J.3 or) PERMIT . ( ' t le,
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
$EINFORCEMEN N PLAC
TN CONTRACTOR IS ESP &ISLE FOR
PROVIDING PROTE TIO FR M F'EEZING
FOR 48 HOURS FOLLOWIN E LACE-
MEET 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
HEATING ROUGH-IN
SULATION•
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS /
R-(/ Y
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
/45 .
/7 e elAs
(518)761-8256
TOWN OF QUEENSBURY0110
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR 12IJ DEPART INT
REQUEST FOR INSPECT N jRECEIVED:
NAME (/�' /�//
LOCATION "'leg' &IlwA-
DATE 4/47 PERMIT I 7 4* ''cf/
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FO OWING THE PLACE-
MENT OF THE CON RETE. i-�
,_____
MATERIALS FOR THI PURPO ON $I E -
FOUNDATION/WALLPOUR
REINFORCEMENT IN P CE _
FOUNDATION/DAMPP OFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB _
FRAMING: ri"
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-
C 4//�: AO. a /1(s�L Z. i Z�j
/ly e Air-'
i,vv —1 ,(43 '1"'
(518) 761-8256
TOWN OF Ojib
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRA14 DEPART INTN/
REQUEST FOR INSPECTION RECEIVED: I� )I ()
NAME SC 1 �" - , i lal.,l'y
LOCATION \ _ 4 �'? ci `` 0;} f w J
DATE 7 ( PERM-IT A *;k
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RECHECK APPROVED
N/A YES NQ
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THE CONTRACTOR IS RES NSIB FOR
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FOR 48 HOURS F WING HE P CE—
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MATERIALS FOR THIS PURPOS ON SITE _
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FOUNDATION WALLS EXTERIOR R— _
FLOORS R—
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TOWN OF QUEENSBURY010
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY
NY 12804
INSPECTOR'S REPORT: ARR /1' 6DEPART IN�T1j
REQUEST .F R INSPEC ION RECEIVED: 1l ),1 7
NAME UJ\ 1 \1 arYNA
LOCATION + \ ` )
DATE \\`) Ll A�1 PERM c "(4 '/
TYPE OF STRUCTURE: cR�,'s AllelraT7en
RECHECK APPROVED
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MATERIALS FOR THIS PURPOS ON SI E
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PLUMBING
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AIR INFILTRATION BARRIER
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INSULATION:
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FOUNDATION WALLS EXTERIOR R-
FLOORS R-
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CEILING R-
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UNHEATED SPACES R •
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TOWN OF QUEENSBURY
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�� FIRE MARSHAL
'k` QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED f//ff
NAME /1 `�` �,1
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LOCATION f'1%dam ' a/'_42,
DATE PERMIT # //.1/10/ () 17f
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AUTO. SPRINKLER SYSTEM
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CLEARANCE TO HEATING UNITS
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FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
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REQUEST FOR INSPECTION RECEIVED —3 9 -7
NAME Q \* \L,
LOCATION � \cal A 1-677
DATE PERMIT # �A � , 7_ ' L/
APPROVED
N/A YES NO
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(518) 761-8256
TOWN OF QUEENSBURY (PIO
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12604
INSPECTOR'S REPORT: ARR/ i DEPART INT 24
REQUEST Fs
' INSPPEC ON E EIVED:
11T3 1
NAME ` �
LOCATION �`C ''
DATE \""' UL4 -j PERMIT` ) `7 / ` l!(O Ci
TYPE OF STRUCTURE: /
RECHECK A .PROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON IBLE FOR
PROVIDING PROTE TION FRO FREEZING
FOR 48 HOURS FOLLOWING T PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE A4 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 B
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INT RIOR R-
FOUNDATION WALLS EX RIOR R-
FLOORS R-
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CEILING R-
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FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED f9* / )ex,
NAME //1,�;4/ri . /,� /C41
LOCATION ./"..-184/at &7 a)aear/�
DATE PERMIT # ////$ q 7-(apil
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EXITS
AISLE WIDTHS
EXIT SIGNS
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FIRE EXTINGUISHERS
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HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
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TOWN OF QUEENSBURY (PIO
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY/y NY 12804
INSPECTOR'S REPORT: ARR/M DEPART INT -
REQUEST FOR INSPECT ON RR CEIVED:
NAME /T/ rrGc42-- /4/
LOCATION JCL"
DATE U 3L PET
TYPE OF STRUCTURE: r 9 (a,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
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 PL,'E
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- _
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
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(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT CS
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR i/ 311 DEPART 1 INT c� .
REQUEST FOR INSPECTIOONRECEIVED: ` d-
NAME
LOCATION (G(�i/ �--+
DATE PERMIT
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PL. E _
THE CONTRACTOR IS . SPONSIHL FOR
PROVIDING P••TE TIO FROM FR-EZING
FOR 48 HOURS OLLON G THE 'LACE—
MENT OF THE CO • a
MATERIALS FOR THIS PIRPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE � 1
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 _
HEATING ROUGH—IN _
ULATION: _
FOUNDATION WALLS INTERIOR R— _
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING
CEILING R— . Y
DUCT WORK OR PIPING IN
UNHEATED SPACES R—