1987-889 CERTIFICATE OF OCCUPANCY
TOWN OF QUNSBURY
WARREN COUNTY, NEW YORK
November 4 97
Date 19 _
87889
This is to certify that work requested to be done as shown by Permit No.
has been completed.
ATTACHED GARAGE, WALKWAY & ADDITION
This structure may be occupied as a
27 OLD ASSEMBLY PT. RD.
Location
MASON, JAMES & DEBORAH
Owner
TAX MAP NO. 5. -1-26 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 87-889 0
WARREN COUNTY, NEW YORK
U,
James & Deborah Mason I
PERMISSION is hereby granted to
N
Old Assembly Point Rd. a`
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Attached one Car garage, walkway & porch
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 RR#1 Box 1198
Lake George, N.Y. 12845 �^
2. CONTRACTOR or BUILDER'S Name 0
H
John Mason ]'
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3. CONTRACTOR or BUILDER'S Address 0
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P.O. Box 86
Cleverdale, N.Y. 12820
4. ARCHITECT'S Name 0
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) 0
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(x$Wood Frame ( ) Masonry ( )Steel ( ) - 'd
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7. PLANS and Specifications
No. 4'x12' addition, 5'x8' walkway, 14'x24' attached garage, as per
plot plan, specifications and application. rt
8. Proposed Use W�AA))
Addition of attached garage, walkway and addition. I-' CD
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$ 40.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 1, 19 88 o
(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.)
11)
It
Dated at the Town of Queensbury this 28th Day of December 19 87 CD
SIGNED BY ) for the Town of Queensbury
Building an Zoning Inspector
I
TO BE COMPLETED BY BLDG. DEPT.
Application No.
awn of Queenitur, Permit Issued 19
BUILDING and ZONING DEPARTMENT t ) 1, i w^a�
Permit Expires 19 � ;., .. �i; ��i,i� i'
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation IR�- // ' i i I +- j i �J I� (i I
9 _.< �I V cLi
Queensbury, New York 12801 Variance No. /44 l i l l ( ,,_„_.)
Site Plan Review No. �l� i�EC 1
// ig(&' Approved by: CODE:S yL, y �p'
j� F..i'.it I_-NG '4 CODE: D T.
J7 APPLICATION FOR D; q0
y .40.0.-
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:;*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: James and Deborah Mason
P.O. Address RR#1, Box 1198, Lake George, NY 12845 Tel. 656-9316
Property Location: Old Assembly Point Road Tax Map No. / I
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
John A. Mason P.O. Box 86 , Cleverdale, NY 12820 656-9956
Name P.O. Address Tel. No.
Name of builder Sunsoval. Inc. AddresspO Box 86 .Cleverdale .NY Tel. 656-9956
Name of plumber Sunsoval , Tnc. Addresspn Box R6,Cl everdal e, NY Tel. 656-9956
Name of mason Sunsoval , Tnc. Addresspn Box 86 ,C1everdale, NYTel. 656-9956
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
x Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
attached garage ( 14 ' x24 ' ) , 4 ' x12' * street and number or lot number and indicate
d 1t Q�1 ' ' walk * whether interior or corner lot. Show location
F iEMCj1.I'110N5 PIT, STAySIZE AND *
of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
10 ' x20 ' porch *
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ft X ft.
* Existing building(s) Size ft X ft.
* .
PROPOSED BUILDING AND USE:
4 'x12 ' addition, 5 ' x8 ' walkway, ' * Existing building(s) Use
Size of new structure 14 ft X 24t *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one)
No. of stories (habitable space) * Front yard ft Rear yard ft
Height (grade to ridge) ft. * Side yards ft and ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms
Primary heating system * XOne family dwelling
Type of fuel * Two family dwelling
No. of fireplaces to be installed
* Multiple dwelling / Number of units
Will a wood stove be installed? * XPermanent occupancy
Central Air conditioning? * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style . Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one .r two car/ car
( CIRCLE ONE PLEASE ) * Attached garage one ca two car/ car
* * * * * * * * * * * * * * * * * * Private storage .ui ding
_
ESTIMATED MARKET VALUE OF * Other '
CONSTRUCTION $ * —
.+.--2Yi(� DD D
(�(� (�n
INFORMATION ON BUILD//ING S}S CilrCATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. wood frame
Will any second-hand or ungraded lumber be used? If so, for what? no
Foundation wall material cement blocks Thickness 10"
Depth of foundation below grade (to bottom of footing) 7 ' 0"
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
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 - lope /flat/shed/other Material of roof asphalt shingles
Size, wood studs 2 "X 4 " spacing 16 "o.c. length 8 ft.
Joists(floor beams) 1st. floor 2 "X 12 " spacing 16 "o.c. span 16 ft.
Joists (floor beams) 2nd. floor 2 "X 10 " spacing 16"o.c. span12 6'ft.
Overlays(ceiling beams) 2 "X 6 " spacing 16 "o.c. span 12ft.
Roof rafters 2 "X 8 " spacing 16o.c. span 12 ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish cedar Of what material? shingles
Interior wall finish sheetrock
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
2 layers sheetrock
Is there to be an opening between garage and dwelling? yes If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well lake
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that 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 is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature —Cf�
`rZ O er, wner's agent,arcnitect,contractor
(�J day of !/(C , 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY JAMES MASON
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following:
1. Gross floor area of addition - 424 SF
2 . Type of heat oil fired hot water
3 . Is the building mechanically cooled? no
4 . Percentage of area of windows and doors under 16%
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES , what is the R value?
3 . Slab on grade YES NO
a. If YES, what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions_
U = . 04
2 . R value of exterior walls U = . 07
3 . R value of glazed area U = . 65
4 . R value of doors U = . 40
5. R value of floors over unheated spaces U = . 11
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab -
8. R value of heated basement/cellar walls (above grade) -
9. R value of heated basement/cellar walls (below grade) -
10 . Type of insulation fiberglass
C. Controls
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1 . Size of hot water or cooling carrying agent pipe none
2 . R value of pipe insulation none
F. Service Water Heating
1 . Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 656-9956
(ap licant ' s signature)
r=;
SUNSOILAL TOWNOF 2LIEENSSURY
----- •-y--- -- -- RECEIVED
P.O.BOX 86,CLEVERDALE,NY 12820 APR 2
(518)656.9986.656.9956
-April 20, 1989 BLDG. & CODE DEPT.
Town of Queensbury
Building and Zoning Dept .
Bay and Haviland Roads
Queensbury, New York 12804
Att : David Hatin
Dear Dave :
Enclosed please find information relating to the following
two projects you recently inspected:
1 . ) Mary and Paul Vercesi
I have enclosed a building permit application, a map of
the site and diagrams showing where the windows are to be
placed. At your site inspection, you determined that the
installation of the windows would not require site plan
reviews or variances , but that a building permit "might"
be required. If one is required, please process as soon
as you can as the windows will arrive this week and the
customer would love to have them installed "yesterday" .
If a permit' is not required, please let me know.
2 . ) James 'and Deborah Mason
I have enclosed a copy of a sketch plan which was a part
of our submission to you for permit #87-889 . This permit
was granted on December 28, 1987 and has been extended
several times. The current expiration date is September
1 , 1989. The permit calls for construction of a 14 'x24 '
garage , a 4 'x12 ' addition to the main body of the house ,
a 5 'x8 ' walkway between the existing house and new garage ,
as well as the demolition of a 10 'x20 ' porch.
As I mentioned to you previously, Jim' s plans have changed
and he no longer wants to demolish the 10 'x20 ' porch. He
intends to repair the foundation under the porch and install
new windows in the porch. He also does not want to install
the 4 'xl2 ' addition. He still intends to install the
5 'x8 ' walkway and 14 'x24 ' garage .
As per our conversation, I am requesting that you amend
the permit accordingly.
Best ,
John A. Mason
Enc .
JAM/jj
TOWN OF QUEENSBURY
i RECEIVED
APR 2 0 1989
BLDG. CODE DEBT.
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RESIDENTIAL FINAL.INSPECTION REPORT
Office No. (518) 761-8256
Building &Code Enfotcment Arrive: /2?O Insp: t
Dept. of Community Development L� �j
Town of Queensbury Date Inspection Request Received: ) l —1 t 7
742 Bay Road
Queensbury, NY 12804 e7- 8691
NAME ` ... 'ITN ffk(&V PERMIT NO.
LOCATION L 1.a DATE — _c'
TYPE OF STRUCTURE '} yr,,l t O,' ± _a i -cry)
N/A YES NO CO :
r
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 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 i
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 \ V
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 Syste;ocii, out Req. /
Okay to Issue Tern ' /0 3/
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256
Building &Code Enforcment Arrive: '/..`Il) Insp:
Dept. of Community Development J
Town of Queensbury Date Inspection Request Received: I L ` 3 e 7
742 Bay Road
Queensbury, NY 12804
NAME -3 • Ct-3' PERMIT NO.
LOCATION b to � 4( 7*4 DATE 1.1
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, B. c.' 'es, Landing 18 in. or more
Interior H: ails Stai s :,:th Sides 3 or More Risers
Grade 2% Awa Fro .Fo •:tion
8" Clearance To Si P1 to
Gas Valve Shut-Off E .1 sed ' egulator 18" Above Grade
Gas Furnace Shut-Off ,0 Feet or within Line of Site
Oil Furnace Shut-Off at 'trance to Furnace Area
Furnace/Hot Water Heate Operating
Relief Valve(s) Installed
Headroom 6 ft. 6 in. On S :irs
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 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 PlanNariance Required
Final Survey Plot Plan
As Built Septic System Layout Req.
Okay to Issue Temp C/O
A/6
RESIDENTIAL FINAL 1NSUCTION REPORT
Office No. (518) 761-8256
Building &Code Enforcment Arrive: /6,3t) Insp: 47'
Dept. of Community Development /
Town of Queensbury Date Inspection Request Received: ` o 3 0- `q
7
742 Bay Road
Queensbury, NY 12804
NAME ::37C\Y--i-‘e PERMIT NO. F. M
7
LOCATION I, U AScSQ1r,1 i, Kt l DATEr C - CI 7
TYPE OF STRUCTME ,C))'‘)
N/A YES NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent Thr gh oof
Roof Complete
Exte 'or Finish .omp ete
Interior tenor Ra' gs 30" to 36"
Exterior Han s, Balconies, Landing 18 in. or more
Interior Handrai s 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
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 ,rd��� c'1r (.use'-
Garage Fireproofing
1/7
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.
Okay to Issue Temp C/O
q(4-0/1 (518) 761-8256
TOWN OF QUEENSBURY0110
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR''U) DEPART INT {Y
REQUEST FOR INSPECTION RECEIVED: 3 '-,-2 !- 9 7
NAME GLJ'C/',
LOCATION k4I �[Cti�
DATE ' PERMIT 7`
`�'' � / �\ }
TYPE OF STRUCTURE:,A44 CtY \ITW� , L i `-141 \
RECHECK APPROVED
N/A YES NQ
FOOTINGS/PIERS
MONOLITHIC POU FO .
REINFORCEMEN IN E'
THE CONTRACTOR IS R PONSIBLE FOR
PROVIDING PROTE TIO FROM FREEZING
FOR 48 HOURS FOLLOW NG THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
$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
�WSULATION:�fC'! t0
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R
CEILING R-3
DUCT WORK OR PIPING IN
UNHEATED SPACES R- _
307)
(518)761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NX 12804 °11.1°
INSPECTOR'S REPORT: ARRc,C'.1 DEPART INTZ1
`�' S Cry—Ns
REQUEST_ FM,,t , 1 1 s�.IINSPEEC 'CTION RECEIVE • __ _
NAME �✓ \�
LOCATION eg-.1 C 640
DATE'3"^ - PERMIT # %7-
TYPE OF STRUCTURE Oqk`j�\j0 '1 f„y
V�+'iR `�W l
RECHECK APPROVED
N/A YES NO
FOOTINGSJPIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON-'H FOR
PROVIDING PROTE TION FROM EEZING
FOR 48 HOURS FOLLOWING T PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THI •URPOSE 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
• ATING ROUGH-IN
INSULATION:
Y
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
A/6/ r
cet-
--c0,
- Lb ,A 761-8256
. i UM)
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR EPART/"
?Dal
REQUEST INNSSPECTION RECEIVED: /
NAME � ' Irr
o 1 v.4, 4
�'
LOCATION 1- 1--1 ,(�- ���zer►'•
DATE I i 5 `g�7/PERRMMIT 1 r —
TYPE OF STRUCTURE: 4 C3-61Y k J\ GL' 1 -s-
f '
RECHECK AP•R* E
N/A YE NO
FOOTINGS/PIERS
MONOLITHIC POUR RM
REINFORCEMENT IN P
THE CONTRACTOR I PONSIHLE FOR
PROVIDING PROT ION FROM FREEZING
FOR 48 HOURS OLLOHI THE PLACE-
MENT OF TB CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
i
FO RATION/DAMPPROOFING
/
ID----- �l
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- _
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- -
cEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
•
\0.--)W_C:VV6 . Cl.
IA‘ k` O1
`?.._
TOON Of QUEENSBURY
; 531 BAY ROAD
' j QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION - PO LL1 L
REQUEST FOR INSPECTION RECEIVED 5�;,'q/
RARE 9imeil f ) n4;'4
LOCATION 1 '1 �_ejw / .?%` '
DATE I A/C/ / PERMITS 17 (19
TYKE QF STRUCTURE L a,9 ti,01 U� 1 u-bay j�-
1
RECHECK
FIRE MARSHAL APPROVAL. (COMMERCIAL STRUCTURE)
FOOTING ,FOUNDATION BACKFILL G--FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
}NSULATION WO06STQVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS J' '// -
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
1 VENT/LOCATION
'LUMBING VENT
OOFING
IDING
:CK/PORCH/STEPS/RAILINGS. ✓.
:LIEF VALVES
'RNACE/HOT WATER OPERATING
SEMENT INSULATION/DUCTWORK
TERIOR TRIM/PRIVACY BOORS .. �'
'VISH FLOORS:
1ATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED. S/r
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS ' •
DUMPSTER
FINAL ELECTRI
OK TO ISSUR- - ;//r
COMMENTS: 1
4 / A‹/,.
ARRIVE . %'S S�
DEPART t`)
IN
Ary")TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST(^FOR INSPECTION RECEIVED
�1
NAME x 72
LOCATION h -A V (a))-
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FINISHED FLOOR'S
GARAGE FIREPRIrFING
DOOR CLOSER(S
SMOKE DETECT"RS
FINAL ELECTRICAL INSPECTOa
FINAL APPROVAL OF CONSTRU TION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIION RECEIVED 4A-)
NAME921114-b4 I1'�jj( c( .
LOCATION ? & 1i„ 4
DATE / / /9 PERMIT # d'/ "0 f,
APPROVED
YES NO
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INTERIOR TRIM/PRIVA DOORS
FINISHED FLOORS
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GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPE ION
FINAL APPROVAL OF CONST UCTION
OK TO ISSUE C/O OR C/C
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A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUP 'ED!
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT rf}
BAY & HAVILAND ROADS 77
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ed/31
NAME ,v l 2 //k rVL
LOCATION
l< <� tr
DATE / 7 PERMIT # L,
APPROVED
YES NO
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BACKFILL APPROVAL
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ELECTRICAL ROUGH-IN
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FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PO'CHES/STEPS
STAIRS-CL PRANCE & RAIL
PLUMBING IXTURES/RELIE VALVE
INTERIO' TRIM/PRIVACY D RS
FINISH ' FLOORS
GARAG FIREPROOFING
DOOR LOSER(S)
SMOK DETECTORS
FINAL ELECTRICAL INSPECTION
FINA APPROVAL OF CONSTRUCTION
OK lit ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ARRIVE )6;/
DEPART/6'12-
NS CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR NSPECTION RECEIVED,//fG
NAME hd I eh A,O r
LOCATION ia, 0,77 Y, r y
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DATE /,� /;� Cj Gr PERMIT # e �r"t�
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FINISHED FLO$'RS t
GARAGE FIRE'ROOFING
DOOR CLOS -'(S) ;L
SMOKE DE CTORS
FINAL EL TRICAL INSPECTION
FINAL ' PROVAL OF CONSTRUCTION
OK TO SSUE C/O OR C/C
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A SIGNED CERTIFICATE OF CUPANCY MUST BE
OBTAINED FROM THE BUILDI G DEPARTMENT BEFORE
THESE PREMISES ARE OCCUP DI
REMARKS: ^�
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