92-237 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a
INTERIOR ALTERATIONS
Location
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BLDG. PERMIT NO. 9 2-2 3 7
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; Fielding Lane, Cleverdale ,;` 7(/ f/
for the following uses: Single Family Dwelling
DATE SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED
( )DISAPPROVED
with the following conditions: Final Certificate Of Occupancy will
be issued when siding is completed.
TEMPORARY CERTI IC TE OF OCCUPANCY FEE: ( )$10.00 DEP SIT: ( )$100.00
received on ? r
Date of ss ance Director of Bldg & Code Enforcement
David Hatin
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
Temporary Certificate Of Occupancy to be issued upon receipt
of final electrical approval.
BUILDING PERMIT
X
3
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TOWN OF QUEENSBURY
No. 92-237 ,_..,
WARREN COUNTY, NEW YORK ^)
1
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PERMISSION is hereby granted to William Hunt/Penny Black
OWNER of property located at Fielding Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Intel ror Alterations
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. _
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1. OWNER'S Address is
"
William Hunt
Buyer: Penny Black, PO Box 17, New Labanon NY 12125
2. CONTRACTOR or BUILDER'S Name a
Four Point Contracting co
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3. CONTRACTOR or BUILDER'S Address "
New Lebanon NY m
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
CD
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6. TYPE of Construction—(Please indicate by X) un
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( )Wood Frame ( ) Masonry ( )Steel ( )X co
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7. PLANS and Specifications
No. Interior alteration of 936 square feet as per plot plan,
specifications and application
8. Proposed Use
Single family dwelling with alterations m
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$ 36.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 20 19 3 n
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the CD-1
town of Queensbury before the expiration date.) DJ
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Dated at the Town of Queensbury this 20thDay of May 19 92 =
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SIGNED BY t-,, - for the Town of Queensbury
Bu' i i Z Thgtnspector
4,—
, .1 II—I I .I...-, .
7 C. C.i• )—
TI"N 0;1 QUIEMS 8 UR Y / ii/
,
'1 it l ifi owN•ZalarrBuh
REVIEWED BY: i#4 'ilik ow%
111, rim
• FEE PAID: 1)('
e''- MAY 15 1992
PERMIT NO, : Le221-_____70
LOG. & CODE DEPT.
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: uanny j1(2 k:g. •
'
P.O, Address: ,....± ) 4.15K 12.... 01,4,d2ale\ot,I r ),.\y icA frkc PHONE -A ,
Property Location: lita;c14_ ec,e‘fpisk0452_ ,, Tax Map No. ____
Has there been any split of this property since October 1, 1988? Yes No
If yes, Planning Board Review Is necessary.
Subdivision Name, if applicable: . , _Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION. OF WORK AS REGARDS TO BUILDING CODES IS:
C..--" f Tr* 'N IR.
NATURE OF PROPOSED WORK: * ESTIMATED NutT VALUE OF THE
„ ..)..a„.1.
,
Construction of new building * CONSTRUCTION: $ Baw.
= Addition to building *
,1ekr-- Alteration to building * COMPLETE INFORMATION UIRED Bwity
• (no change to exterior dimensions) * Size of Property: Mort ft. x 4f ft.
Other work (describe) * Existing Building Size:
mil••114
* 1.3 ft. x _.2. _ ft.
--- ----------- * 'proposed buiTnii - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
g'16 Bar
1st Floor si Sq. Ft ,bell : Front _ __ .14: :en:r yard ft.
.
2nd Floor Sq. Ft. * If on corner, setback frorrirde street-
ft.
_......--..Other Floors Sq. Ft.
(not cellar orlir—k ' 7),„ :* OCCUPANCY INFORMATION:
.- YAP *
( TOTAL FLOOR AREA: 0 Sq. Ft. * 3r Building -D Dwelling
Size of New Structure: 1. )/4441fi r :04/fIT * One FamilyIn 11
FoundatioU ----- ----- * ------ Multiple Dwelling/No. of Units __Pier/Slab raw Partial/Full (Circle One) • * ------ Business
* ---- Industrial
No.; of stories (Habitable space) 1 * ------ Other
Height (grade to ridge)
If residential , no. of farifiiiii —rt * If addition, what will use be?
No. of rooms (excluding baths): ts- *
No. of bedrooms;
No, of bathrooms: i * Accessory Building:
Primary heating system: - ,r APS- • * Detached Garage - One/Two Car
Type of fuel : -...... * • ------ Attached Garage - One/Two Car
—_,.....No, of fireplaces to e nsta ed: * Private Storage Building
Will a woodstove be installed?: * Other
4v aVAY.II
Central Air Conditioning:' Yes o *
,
(OvER)
MAY 15 '92 21:34 P. 1
BUILDING PERMIT APPLICATION CONTINUED;
BUILDING SPECIFICATIONS:
Type of construction: ' wood frame, fire safe, etc. ___L1 a~
Will any second-hand or ungraded lutber be used?. 'If so, for what? _
Foundation Wall Material : t y Thickness;
Depth of Foundation below grade (to bottom of fooling).
Will there be 'a cellar? VC' Heated, or Unheated? ,.-.r... Floor Sq,. Footage: .
Will there be. ;a basement? A.,;(:) Will any portion be used as living space? Pc>
If so, what portion? -- Sq � Ft.. Type of Use?
Type of Roof:'; Sloped/Flat/Shed/Other S Lo,, e-eF/ Material of Roof
Size, wood studs - i " , ' " ; spacing "' o.c. length _ ft. r04+°70(, )�-
Joists (floor beams) : 1st Floorg_r_W;49 ,' ; spacing . 4/ {t dot„,; span,; ft.
Joists. (floor beams) '2nd Floor —. CD .' " , , 'span' ;
, spacing " o.c en ft.
Overlays (ceiling beams) " x " ;' spacing " o.c.; spin ft.
Roof rafters: : I " x j t " ; spacing ( n;c, ; span 1 ft.
Roof trusses (pre-engineered) : spacing " ' o;.c. ;. span _ ft.
Exterior Wall Finish: e < of what material? ,114
, Interior Wall Finish:
If a garage is to be attached, describe materials to be used for FIRE SERARATSON:
Pit
Is there to be an opening between garage and dwelling? PO If so, will a Fire-Rated door, ,
enclosure, self-closing device be provided? - ----
Will 'a flue-lined chimney be installed? 6415T1Tght above roof . k s7' ft.
Depth of chimney foundation below grade: ' - ft.
Depth of fireplace hearth: . ft. ! . in.
Water supply ": Municipal' or private well ;
SEPTIC SYSTEM: Distance from ateu, private well (including .adjoining properties: 150 .
(A separate application is necessary for 'ELnv repair or new instal lotion' of septic system, )
NAME OF BUILDER & ADDRESS; ` / ,: o r ��'►a4�1t'' � � �P� ,� ` 7NE +r 401i0,
NAME OF PLUMBER & ADDRESS: _. ,:� PHfNi iagr—
f NAME OF MASON'& ADDRESS; Via►.. ._' '�r �--� /. AAA. / PHONE yu2:r.
NAME OF ELECTRICIAN & ADDRESS: , ( . 7-` Re4 PHONE 'lob-9$
' LcP ! —- _
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 : authorized' by the owner.,
Signatu!e �. ��: ,
darner;, .owne's a.iint, architect
,: _.:,�,.,_ contractor.
SPECIAL CONDITIONS OF WE PERMIT;
By:
ode Tn orcemen car
l
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
TOWN OF QUEENSBUH
RECEIVED
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) MAY 1 4 1992
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellin .PG. & COOE DEPT.
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
APPLICAt1'S NAIE PRO PER' L6CA1 I ON f f C
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - `"P1 1 - Sq. Ft.
2. Type of Heat - X Elec. Base Board Other
3. Is Building Mechanically Cooled? YES A NO
4. Percentage of Area of Windows and Doors Over 17% X Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: nn Actual ShownElec. Heat Other
A. Roof b Floors exposed to ambient temperatures !` R / /(d
B. Exterior Walls iZ�o R If i (,06'4)
C. Glazed Area R
D. Exterior Doors R 3, ( D a
E. Floors over unheated spaces R 50 1 0, 7. A)
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
5. Service (Domestic) Hot Water Heating Device
4. Conforms to minimum efficiency per code K YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140' - WILL NOT BE EXCEEDED
1c� . .�� S— ! I —plc 7 � Z�
A LICANT'S SIGMA E DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS:
TOWN OF QUEENSBURY
4�w7A BUILDING & CODE ENFORCEMENT
�11m 742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447 ���
470
ARRIVE: DEPART: !1.`5 5 INSP:J/�-�`�
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION[� REQUEST RECEIVED:
NAME t" ) (Q)
LOCATION
�1 c7-:\ V--1 V)t S- L f\Z
DATE i I.r' s 7'S PERMIT
TYPE OF STRUCTURE \ f L O'
1 o C1�
FOOTINGS Y FOUNDATION _ BACKFILL F t G
ROUGH PLUMBING V SEPTIC INSULATION
FINAL ELECTRICAL /WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS 1NGS
RELIEF VALVES
FURNACE/HO WATER OPE' •TING
INTERI• TRIM/PRIVACYTDOORS
FIN H FLOORS:
BATH/KITCHEN WATERTGGHT
OTHER FLOORS SWEEPA3LE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAII4NGS
4OKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINALL SURVEY • OT PLAN
OK NA TO SSUVORIV
\c LL C t V., N t\�i u7 ,E
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
(11N 531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: t„,,3 DEPART: „„i'JT INSP:7))7
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME Z 1 Z Z ,
LOCATION , ig I e1(1 .r' ,ie,€:-
DATE teinielY PERMIT #
TYPE OF STRUCTURE
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/STEPS/RAILINGS
RELIEF VALVES /
FURNACE/HOT WATER OPE TIN
INTERIOR TRIM/PRIVACY S
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS TEPABLE .
OTHER FLOORS/CARPETED
/
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
/ fi C.,&,e, • / 4,1
&WU/ (VC .
--c i e
IIIIIIIL
TOWN OF QUEENS BURY
UILDING & CODE ENFORCEMEN0,1„.; , T
QUEENS URA YN OD
804 1P _f_7(518)745-4447 ARRIVE E 1Z OCR DEPART: J7-Z0 INSP:
FINAL INSPECTION REPORT - RESIDE
SATE INSP ON REQUEST RECEIVED: -/ /2/5
IAME
OCATION C/� (jsdL6'
ATE PE IT 7
YPE OF STRUCTURE / - .9V ``-'t
OOTINGS FOUNDATION BACKFILL FRAMING _
OUCH PLUMBING SEPTIC INSULATION
INAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
HIMNEY HEIGHT/B VENT/HEIGHT
LUMBING VENT
OOFING
XTERIOR FINISH
ECK/PORCH/STEPS/RAILINGS
ELIEF VALVES
URNACE/HOT WATER OPERATING
NTERIOR TRIM/PRIVACY DOORS
INISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
TAIR CLEARANCE/RAILIN .
WOKE DETECTORS
ATHROOM FANS
s
LUMBING FIXTURES
WAGE FIRE PROOF G
DOR CLOSERS y's
INAL ELECTRIC
ITE PLAN/VAR' NCE REO.
INAL SURVEY PLOT PLAN
K TO ISSUE C/O OR C/C
V-- -- ‘331 "9-1" 27UNC.-\L b - iz'LL-
',E_ ‘vJ Vs5Z_ - - p Co MO o�N`i
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
%QUEST FOR INSPECTION RECEIVED
IAME .4 ;
.00ATION ,.
ATE 1/A PERMIT # ‘41'-, 7�
YPE OF STRUCTURE C 1/Lc12/) 1
ECHECK APPROVED
N/A YES NO
OOTINGS/PIERS
IONOLITHIC 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
(EATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIO' ''<
FOUNDATION WALLS EXTERI' RA
FLOORS R-
WALLS
CEILING R-
DUCT WORK OR PIPING IN UNHEATE
SPACES
tEMARKS:
s76Z (5-Z)V (
IRRIVE
)EPART J13v
INS CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT kill
*531 BAY ROAD
QIEENSBURY, NEW you taw
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED .//: /91(/ t
NAME "(f 1 -'
LOCATION f.� AVGe&7 f Vca
DATE f2/01<{/i(f PERMIT II -,23 /
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
ti
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
3ACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS / t
JACK POSTS/MAIN BEAM /
HEATING ROUGH-IN
INSULATION: 11,01/1 / e
FOUNDATIO WALLSNTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS ' R-
WALLS R- _�
CEILING 37 R- 4' 1
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE r4'V fi
DEPART Of/
INSPEC R
6
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
*531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
tEQUEST FOR INSPECTION RECEIVED
SAME
.00ATION y4
)ATE % C, PERMIT / 9 ,
TYPE OF STRUCTURE •
tECHECK APPROVED
N/A YES NO
'OOTINGS/PIERS "
IONOLITHIC POUR FORM
tEINFORCEMENT IN PLACE
IHE CONTRACTOR IS RESPONSIBLE
=0R PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
fHE PLACEMENT OF THE CONCRETE.
IATERIALS FOR THIS PURPOSE ON SITE
'OUNDATION/WALL POUR
tEINFORCEMENT IN PLACE t
'OUNDATION/DAMPROOFING
IACKFILL APPROVAL
LOUGH PLUMBING
'LUMBING VENT/VENTS IN PLACES
'LUMBING UNDER SLAB
'RAMING: /+'
JACK STUDS/HEADERS
BRACING/BRIDGING K
JOIST HANGERS
JACK POSTS/MAIN BEAMV
IEATING ROUGH-IN
[NSULATION:
FOUNDATION WALLS NTERIO R-
FOUNDATION WALLS EXTERIOR R-
FLOORS -
WALLS '` -CO - 1" ai- -��-
CEILING 1 IS .,- l" y
DUCT WORK OR IPING IN UNHE ED
SPACES
tEMARKS:
(-----74,4?:1 1 Curly
11J et-tip Cc
ARRIVE /( 3
)E PART 11 Ste` �/
INS C 0
TOWN OF QUEENSBURY
BUILDINQ AND CODES DEPARTMENT /5//7
631 BAY ROAD
QUENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
EQUEST FOR INSPECTION RECEIVED 6, a/ ),1-
AME 7` ;',7t 4.1L AtiV
OCATION ccA
ATE tv/A/474 PERMIT I 9, -2.3 7
YPE OF STRUCTURE L- e /z.il cr?Gd
ECHECK APPROVED
N/A YES NO
OOTINGS/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.
ATERIALS FOR THIS PURPQSE ON SITE
OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
OUGH PLUMBING
LUMBING VENT/VENTS IN PACE
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING �✓
JOIST HANGERS ✓
JACK POSTS/MAIN BEAM _ �✓
EATING ROUGH-IN
NSULATION:
FOUNDATION WALLSTINTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
Od/ CA4-41 4f4/f -s-- /r/1'.17-(-
r.-47
RRIVE / Z4'
EPART ,/ ' G'
INSPECTOR
- -„
2/1Z-n---
r •_______
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
LOCATION 17
1 - Dk Ag, LI , 0 G
)ATE tO it th CNPERMIT I
r_.
FYPE OF STRUCTURE \ c>0\A----tn)\]•,.
ZECHECK APPROVED
- N/A YES NO
:00TINGS/PIERS
10NOLITHIC POUR FORM
tEINFORCEMENT IN PLACE .
FHE CONTRACTOR IS RESPONSIBLE
'OR PROVIDING PROTECTION FROM
'REEZING FOR 48 HOURS FOLLOWING
'HE PLACEMENT OF THE CONCRETE.
ATERIALS FOR THIS PURPOSE ON SITE
'OUNDATION/WALL POUR /
:EINFORCEMENT IN PLACE .(
'OUNDATION/DAMPROOFING .
ACKFILL APPROVAL
DUGH PLUMBING
LUMBING VENT/VENTS IN PLACE /
'LUMBING UNDER SLAB
RAMING: '-/
,
JACK STUDS/HEADERS "
,
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MATN BEAM 11
lEATINGROUGH-IN -,
NSULATION: i
FOUNDATION WALLS INT,tRIOR R- ...--
FOUNDATION WALLS %EXIERIOR R-
<FLOORS Nhx.e. VI R- 04r
WALLS R-
CEILING / R-
DUCT WORK OR PIPI/4G IN UNHEATED
SPACES
EMARKS:
RRIVE ICY-71-)
.0'.
INSPECT
, *
TOWN Otate
QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
tEQUEST FOR INSPECTION RECEIVED
IAME F)/ Act('
.00ATION f---1 i.._ 0 tjUL LI;_14 L-
ATE /r,5 W PERMITS
q9-)31
'YPE OF STRUCTURE
ECHECK APPROVED
N/A YES NO
'OOTINGS/PIERS •
IONOLITHIC POUR FORM
EINFORCEMENT IN PLACE
'HE CONTRACTOR IS RESPONSIBLE
'OR PROVIDING PROTECTION FROM
'REEZING FOR 48 HOURS FOLLOWINGV/
'HE PLACEMENT OF THE CONCRETE. /
ATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR
fINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING I i
i
ACKFILL APPROVAL '
OUGH PLUMBING 1 /
LUMBING VENT/VENTS IN PLACE
'LUMBING UNDER SLAB ,
RAMING: / )\JACK STUDS/HEADERS
BRACING/BRIDGING /•
JOIST HANGERS , -
JACK POSTS/MAIN REAM
lEATING ROUGH-IN :-
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION
1444,1_S EXTERIOR R- 1
).
FLOORS 0J YO-06(.243R- X
WALLS R- ,,
•,
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
IMARKS:
I ,r5u LAvrt- ELGoaz_r- 1-4 6-A- vi---
0 ide. s k-i-T-o P- 19)-4 Won)
/us PtcrlDif
. .
RRIVE ,
EPART ,
I SP CTO
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 t.\ Lis.C-NY,
LOCATION ' 1vaz tc-,
DATE (Q) I L{ 1.4 PERMIT # c a—a 7
TYPE OF STRUCTURE' P 1'Te
RECHECK APPROVED
MOOTINGS/PIERS N/A YES
ONOLITHIC 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- t,
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DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE = z7) <
46
DEPART �� _ �y%� )e 0%
INSPECTir
.. ,~
TOWN °
OF QUEENS0URY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
UUEENSBURY, NEW YURK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
'EQUEST FOR INSPECTION RECEIVED
|AME ���
r~ ' ~�-�
.00QT%ON
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IATE 0^ RER14 ��
D� � y'~�
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~��,YPE OF STRUCTURE `
ECHECK APPROVED
N/A YES NO
OUTINGS/PIERS
ON0LlTH{C POUR FORM
EINFURCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
OR PROVIDING PROTECTION FROM
REEZ80G FOR 46'HOURS, FOLLOWING
HE PLACE14ENT OF THE `-`
ATERlAL3 FOR THIS PVRPOSE ON SITE
OUNDAT[ON/WALL PO
ElNFURCEMENT IN PLAC
OUNDATlDN/DAMPRO0F
ACKFILL APPROVAL
OUGH PLUMBING
LUMBlNG VENT/VENTS I P CE
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JACK STUDS/HEADER
BRACING/BRIDGING
JOIST HANGERS �
JACK POSTS/MV70 B�AR
EATING ROUGH-IN ! -------- -
NSULATlQN:
FOUNDATION-
WALLS INTERIOR R-
FOUNDATlON WALLS EXTERIOR R-
FLOURS R-
WALL5 R-
CEILING R- '
DUCT WORK OR PIPING IN UNHEATED `
SPACES
EMARKS:
RRlVE
EPART
INSPECTOR
Xr
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 6`tf/9 j
NAME
LOCATION AJ /2'iec
DATE 41 1/4F.1 PERMIT # gr Z3 J
TYPE OF STRUCTURE b a/„ Ca
RECHECK _ APPROVED
FOOTINGS/PIERS N/A YES NO
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 I
REMARKS:
i..
ARRIVE -'
DEPART 3 -e'
If1'SPEjTOR:
TOWN OF QUEENSBURY /41
_ .
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FORK INSPECTION RECEIVED
NAME ./4L A4Cir
LOCATION / ^--c
?
DATE /�/ PERMIT # q - 237
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/DAMPRO9FING
B�CKFILL APPROVAL /
!/ROUGH PLUMBING ,/
PLUMBING VENT/VENT IN PLACE
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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-
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SPACES
REMARKS:
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DEPART //'y6 1•
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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 6/ J'9]
NAME -6J' ��
LOCATION 1„e iLd,G/vg
DATE 614/95 PERMIT
TYPE OF STRUCTURECTURE
RECHECK APPROVED
. N/A YES NO
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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
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FOUNDATION WALLS INT NOR R-
FOUNDATION WALLS EX '"R OR R-
FLOORS R-
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CEILING Y R-
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SPACES
REMARKS: N
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ARRIVE I i
DEPART
INSPECTOR
/400
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 F,�ti/�t --G 1/f ((
LOCATION
DATE 6//0 3 PERMIT I '9Z-2:. 'J
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES _NO
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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
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JACK STUDS/HEADERS
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FOUNDATION WALLS EXTERIOR R-
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