96-609 (2) . „
. . •i --5-'1'''- ' ' ' , -: • .:
vimirms, v----
. ,•
:.1 • . . .
' .
CERTIFICATE OF OCCUPANCY - - ' '
. . ,TOWN OF QUEENSBURY 7 ', .
WARREN COUNTY, NEW YORK
i ., . .. . , July 9 97
, , • Date - - - 19
. . .
. „
• •
, .
- - This is to certify that work requested to be done as shown by Permit No. 96609
has been completed. - • •
. .
RESIDENTIAL ADDITION (8EDROOH,BATH&EAMI A' RH
) • This .structure may be occupied as a .
123 SEELEY RD. •
. ,
• . ' Location . . . ,
. ' Owner H'." GUERRA, JOSEPH & ROSE & , • . .
• . .
TAX, HAP NO. 16 . ,-1-32 . By Order Town -Board
. .
. . • c.... '(*--1-1)1'Cy NS R
. ,. ,
,.,
-i Director of Bldg. &' Code Enforcement
.
. .
. . , • „
• • , . -
. .
., - - . • •, . , -
BUILDING PERMIT
VALUE $ 50000 TOWN OF QUEENSBURY . 96609
TAX MAP NO. 16. —1-32
No.
WARREN COUNTY, NEW YORK
.
GUERRA, JOSEPH & ROSE &
PERMISSION is hereby granted to
123 SEELEY RD.
OWNER of property located at Street, Road or Ave.
RESIDENTIAL ADDITION (BEDROOM,BATH&FAMI
in the Town of Queensbury,To Construct or place a
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
CAMPRIELLO, A. & S. 1675 RANDOLPH RD.
SCHENECTADY, NY 12309
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X) RESIDENTIAL ADDITION
I 1 Wood Frame ( ) Masonry ( )Steel
7. PLANS and Specifications
148 0SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ADDITION (BEDROOM,BATH&FAMILY RM)
132 October 8 98
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
8 October 96
Dated at the Town of Queensb D.y of _ 19
•
SIGNED BY / L� -'%� for the Town of Queensbury
Building and Zo ing Inspector
_ ___1 Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256]
1A BUILDING & . CODE ENFORCEMENT
NOTICE Requirements prior to issuance ( /
of this permit: E NO(7 C a !
A permit must be obtained before R r' _6.
beginning construction. No inspections .' v- t 3�PERMIT F E PAID$ r
will be made until applicant has received n Zoning Board Act[�n _ c
a VALID BUILDING PERMIT. All Area /Use SEP 2 71 6✓
KELREAT N FEE
applicants' spaces on this application .TOWN OF C3tlEtrv�ntlRY
MUST be completed and the signature Planning Board A oigUILDING/-1ND= WE BY: -
of the applicant must appear on the_ SPR / Subdivision /Other Building Inspector
4pplication form. Thank you. J Recreation Fee Payment J
Applicant: ! P., -� 1-k'"= 6113 .2.-. Owner: ,ls1j
• 'Address: kt9 i I -k•VS Address:
Co61 1 ( �-+E I c;ra6.-p'f Ny 112303,
Phone # (rJ[17 ) 51'2- (QB3e)- 31 4411 Phone # ( ) -
Property Location: 1.J Ga L-.. 4 ' R2 mot' ��� � 2y,�
I Tax Map Number --ram—� I •l J'."�i"i
Subdivision Name: 1,\OK.1- -
Section. Block Lot"
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 50 0.04t
residence / comm, ial
V Addition to B ilding .02 NOV ,
esidence / comme - . OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial . ✓' Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Fam l weal.
g l Office
'
Other Work (describe below) Mercanti4e
Manufact rir EP 3 01996
_ �'� Other
GROSS AR A 0• 0 •OS = T r. ':• - TOWN OF QUEE °SbURY
_ I k� in ���- { 3UILDINC.".:LDCOD
1st Floor. : ,� �z/i If ADDITION, w a will use
s' • of new, addition be? :
2nd .Floor ' ;"�,_ i_ . sq. ft.
Other Floors sq. ft. Ri 'f't-1l F-Atil 1,
(now-.efinished cellar or basement) ACCESSORY BUILDINGS:a
4%. . \ c-IY ..._ 11A, Detached Garage 1, 2 car
T* _ OOR AREA: 11 �4 SQ Q. FT. Attached Garage 1, 2 car
z t Private Storage Building
SIZE OF NEW STRUCTURE: W Commercial'Storage Building
FEET X 1CQ FEET� 1� �'R'" Nk Other
ii 01.Ft®\-.
Foundation Type: lcDrl N61 9.`.1'rf i� Will any second-hand or ungraded
• Number of Stories : alumbe .be used? If so, for what?
(habitable space only) , 149W-'
Height (grade to ridge) : VA feet TYPE OF_ HEATING SYSTEM:
Number 'of fireplaces®and or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas // ood
orc d Hot it / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is: 11 Rl r v s7_
Name Addresss. Phone
Builder: Li -c-a ..x0 d .
Plumber: Lt
Mason: ti
Electrician: d°
DECLARATION: Please sign below after you have carefully 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 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 MALT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: i
ow s n is agent, architect, contractor)
•
.. Application fir SEPTIC DISPOSAL PERMIT o
,� v`�
Location or property for installationS rj SEP 9 71996 i 0
0wncr's Name �m ell tja ' '1ikll'14 Rd.MI,3Jc1�RY / i0
�DJnI®Af�,l-cot�
Uwncr"s Mailing Address: 1./� G�"l `�4" � /_� lei
FEE PAID
• Installer's Name: Phone #: •
- Number of bedrooms (if residential): -
Total daily flow (residential -compute @ 150 gal. per bedroom):
Topography: (—I Plat . E1 Rolling F-1 Steep Slope % of Slope
Soil Nature: n Sand n Loam rI Clay Other /Depth:
Ground Water: at what depth? feet
Bedrock or Impervious Material: at what depth? feet
Percolation Test: [ 1 Not Required I I Required/Rate min. lx•r inch
Domestic Water Supply: Q Municipal i1 Well ri Other
If domestic water supply is a WIiI..I.: water supply from any septic absorption is feet .
I'ROI'OSiiD SYS l M:
Septic tank: gal, (minimum size: 1.000 gal.) - •
•
"lilt Field: each trench feet. / total system length feet.
Seepage Pil(s): number of / size each: " ft. x ft. •
Size of stone to be used: # I depth or thickness • feet. . -
HOLDING TANK SYSI'I?M: (if required) • • • •
. Number of tanks: • Size of each: gal. - ' ..
Alarm .system and associated electrical work to he inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Cade of the Town of
Queellsbury, any permit or approval granted which is based upon or is granted in reliance upon •
any material misrepresentation or failure to /mike a material feet or circumstance knoWn by or on
behalf of an applicant, shall be void.
.
1 have read the regulations wit!: respect to this application and agree to abide by these and all
requirements o f the Tonvr.o f Queensh try .St titary Sewage Disposal Ordinance.
Signature of responsib'e person: /? / 1124-1440.- Date: //2.'//c
'-cvED
'vim ENERGY CODE COMPLIANCE APPLICATION o
- TOWN OF QUEENSBURY, WARREN COUNTY SEP 2, 71996
}� .:.�-._¢ 9000 HEATING DEGREE DAYS ' v
`a %E
eoJddOar�rL;,n�(�C r
Compliance Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Off s
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: •nn
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - � - - scuare feet
2 . Type of Heat - Electric /Oil Gas Other
3 . Is building mechanically cooled? /Yes No
`4 . Percentage of area of windows and doors Over 17% /Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof • , R
b . Exterior walls R
c . Glazed areas R
d. Exterior doors R
e . Floors over unheated spaces • R
f . Edge of slab on grade (heated building) R 1
g. Basement/cellar walls ( above grade) R
h. Basement/cellar walls (below grade) R
1. Heating/cooling-ducts-piping in unheated space R �.1k
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code V. Yes. No
TEMPERATURE CONTROL MAXIMUMS SETTING 1400 WILL NOT BE EXCEEDED
A ,plicfln ' s S' nature Date Phone Number °170, 6g1 /
ov ato/q0 a- 0558,
INS 'ECTOR' S REMARKS:
•
•
•
1\CYll\-Q
TOWN OF QUEENSBURY
BUIL1.041Iptl
DING & CODE ENFORCEMENT
742 BAY ROAD
• �. QUEENSBURY NY 12804
(518) 761-8256 /F. .
I J�/ARRIVE:• ' / DEPART: / '20 INSP: ►-[/
FINAL INSPECTION REPORT -RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: ,n C\—9'7
NAME )Q.. ,
LOCATION
DATE PERMI -- rcEP
TYPE OF STRUCTURE.
FOOTINGS y/ FOUN.YIATION BACKFILL F MING _
ROUGH PLUMBING #i SEPTIC ( INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
�^- N/A YE , NO._..,
CHIMNEY HEIGHT/B VENT/HEIGHT
112)
PLUMBING VENT
ROOFING
EXTERIOR FINISH V/' .
DECK/PORCH/STEP /RAILINGS
RELIEF VALVES /
FURNACE/HOT WATER OPERATING ✓/
INTERIOR TRIM/PRIVACY DOORS y�
FINISH FLOORS: Y/
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS V
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES _ -
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS f
FINAL ELECTRICAL J
SITE PLAN/VARIANCE RED.
FINAL SURVEY OT PLAN
/
OK TO ISSUE C/ OR C/C
014 jv / ""— % IV / JA-� G—�C4 .
(518) 761-8256
TOWN 'OF QUEENSBURY •
BUILDING & CODE ENFORCEMENT " :,.
742 BAY RD., QUEENSBURY NY 12804 • . ,
G/ //(�
INSPECTOR'S REPORT: ARB//25 DEPARTS �v INT \JA1
REQUEST FOORRI INSPECTION RECEIVED:
NAME 6zi-e-iee'.-
LOCATION 6e4 q.. a - *-- 6
y
DATE ( PERMIT i
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 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 ,.
OUGH PLUMBING
LUMBING UNDER//�� SLAB �/�!
l/
)RAMING:It-W � /) V
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT `4'
742 BAY RD., QUEENSBURY NY 12804 `, ir; er+t t,->
•
INSPECTOR'S REPORT: ARR f•�(EPARI°36I1447
REQUEST FOR INSPECTION RECEIVED:
NAME 6UC-R2.4-
i
LOCATION
DATE l .6./4.7 PERMIT A -96 —cc7 '
TYPE OF STRUCTURE:
RECHECK APPROVED
NLA YES _ NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,
REINFORCEMENT IN P CE I _
THE CONTRACTOR IS RESPONS I/E FOR
PROVIDING PROTE TION FROM EEZING
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
1 ROUGH PLUMBING
P MBING UNDER SLAB
FRAMING: �T®,c)
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 `,^�c/
INSPECTOR'S REPORT: AR(.1. 5 DEPART 4�INTV/�
REQUEST FOR INSPECTION/ RECEIVED:
NAME .Ci 6 i '2/4
LOCATION / 2Z'CGy6G �0 .
DATE �f'//7 j / PERMIT R 407
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A f YES NO
FOOTINGS/PIERS fl
9/
MONOLITHIC POUR FORM •
REINFORCEMENT IN PACE
THE CONTRACTOR IS 'ESPONSIBLE 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
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— •
(518) 761-8256
TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 0110
742 BAY RD., QUEENSBURY NY 12804 .•'.• A
INSPECTOR'S REPORT: ARR/�•c�.BEPART/`� INTO
REQUEST FOR NSPECC�TJION RECEIVED:
NAME ( t.1�'/el�i9
LOCATION ,652,6& P
DATE? 99/ PERMIT A �—�'
TYPE OF STR CTURE:
RECHECK APPROVED
N/A_ YES NO
FOOTINGS/PIERS 1
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON IH E FOR
PROVIDING PROTE TION F M F EZING
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 _
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- •
���R 11.tt 5
(518).761-8256
•
TOWN OF QUEENSBURY '
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 "{ .'"Li✓ '` .
INSPECTOR'S REPORT: ARR3 jaEPAR'fi/ " Woe-c--
REQUEST FOR IlNSPPECTION RECEIVED:
NAME 6V U9�12e
LOCATION
DATE i '7
7 PERMITSTYPE OF STRUCCTURE:
RECHECK V APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC PO • FO• +.
REINFORCEMENT IN PLATE.
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 _ L _
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
RLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PLUMBING UNDER SLAB •
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTSIMAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION_WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
lDUCT WORK OR PIPING IN
UNHEATED SPACES R- •
•
t 4,q.m/A1C& £ C 412�-,N'eb5 e
- e, d
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR�I�. DEPART INT 0
REQUEST FOR INSPECTION RECEIVED:
NAME (1j-errs n
LOCATION c>CL ep
,02
DATE <3JL7A-) PERMIT 9 %407
TYPE OF STRUCT/Uf/RE:
RECHECK CG ey /N+ fir f 41= N1AP ES��NO
FOOTINGS/PIERS l _
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _•
THE CONTRACTOR IS RE ONSIBLE R
PROVIDING PROTE TI FROM FREE NG
FOR 48 HOURS FOL ING THE PLACE-
MENT OF THE CONC TE.
MATERIALS FOR THIS PURPOSE ON SITE -
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _ �—
FOUNDAT ION/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- •
•
C�j/M� ���14'Se GA- SO,l'c� S/�
//fe S&ye, Q/P-Seel 1�
X):5T) (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 +�:•'; j�,,
INSPECTOR'S REPORT: ARR//J() DEPART NTc)
REQUEST FOR INSPECTION RECEIVED: - d
- (f
NAME GA.)
/"\c-� �..�
LOCATION 123.��/�
DATE 3-" 27 -� PERMIT 6- 60
TYPE OF STRUCTURE: ba.6
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM-
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON IBL FOR
PROVIDING PROTE TION FRO F EZING
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
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN d
p/15SULATION: CA \f-Q_ 6),Vy� _ ``/�
FOUNDATION WALLS_ INTERIOR R-� _
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
p - yer- .4ot rle,' /Ad‘,944
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 j,.•
INSPECTOR'S REPORT: ARR//CK/DEPART INT sL/j�
REQUEST FOR INSPECTION RECEIVED: -.)-1f? 7
NAME
LOCATION I ( �
��
DATE ^ PERMIT
A
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NQ
FOOTINGS/PIERS
MONOLITHIC POUR FORM'
REINFORCEMENT IN ?ACE
THE CONTRACTOR IS R .PONE :LE FOR
PROVIDING PROTE TION RO FREEZING
FOR 48 HOURS FOLLOWIN' E PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS •URP• E ON SITE
FOUNDATION/WAL FOUR
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 _
HEA G ROUGH-IN
NSULATION: 1,7
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- I5
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
•
:2-1706a vpr. Ar7er:
G17G,se U�L�
%m W4/&- 4'"-
�cy.
(518) 761-8256
TOWN OF QUEENSBURY 41r0
,•,
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ?�y
INSPECTOR'S REPORT: ARR/A5' DEPART INT y0�
REQUEST FOR INSPECTION DECEIVED:
NAME / fj°e r
LOCATION e-: �
DATE -3A/ (� PEERMIT 8
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS 1
MONOLITHIC 1�0 FORM `
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOMING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE -
k•OUNDATION/WALLPOUR _•
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
'LUMBING VENT/VENTS IN PLACE1/11
_
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER •
!EATING 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- •
(518) 761-8256
TOWN OF QUEENSBURYCA.
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 "
INSPECTOR'S REPORT: ARR.,?)L( DEPART INT ; )#--
REQUEST FOR INSPECTION RECEIVED:
NAME 6?Ue.f/-4
LOCATION �e/q/J
DATE 3� 7 PERMIT #
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES , NO
FOOTINGS/PIERS
MONOLITHIC POUR Fa:t
REINFORCEMENT AIM _
THE CONT' . TOR 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
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- •
•
e ..54p
Cj - Fj
C/�el C-l?////j lecia I /
cj/it) l'f 7
TOWN OF QUEENSBURY
"`'O� FIRE MARSHAL
. .�` ', ,, QUEENSBURY, NY 12804
• (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 3-7 -41
NAME
LOCATION /23 J e
.,_.6j-
DATE PERMIT #. 9D" D0/ •
APPROVED
N/A YES NO
EXITS
AISLE WID S
EXIT SIG S
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION .
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE: •
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
CiutE, _ei/ice_e_4-) a-E.-Ma/tip
J al- -J o Coiditete417L,
fjegGliK, '.61:60),,Y Ot:V y
.elfri4.., d, go.,/,'-'----z-y( ,
(1).- tee,
- , ,., tga&rt
.&," , ____L
INSPSLIP.PUB INSPECTOR
‘,/2-5, . D,,
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY/ NY 12804 C ,
nen
INSPECTOR'S REPORT: ARR/" ? AR'T " '/DINT J
REQUEST FOR INSPECTION RECEIVED: //e/f7
NAME O(
LOCATION S.ieGF RO
DATE Oft, PERMIT A f CQ r 6O7 `
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTING$/PIERS
MONOLITHIC POUR FORM I!
•
REINFORCEMENT IN PLA - -
THE CONTRACTOR IS RE•'••NSIBLE FOR
PROVIDING PROTE TIO• F'OM FREEZING
FOR 48 HOURS FOL ,INg THE PLACE-
MENT OF THE CONC'•-TE. I
MATERIALS FOR THIS PURPOSE ON SITE,
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE L
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
?LUMBING VENT/VENTS IN PLACE
ROU H PLUMBING
P UMBING UNDER SLAB
RAMING: r&COR5 vj
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS Al-
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
JIEATING 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-
2 k t2Ac r/o./s- (-c
•
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 11!!!!L
742 BAY RD., QUEENSBURY NY 12804INSPECTOR'S REPORT: ARR DEPAR11
REQUEST FOR I SPECTIIIOO�NQRECEIVED:
NAME 6e,C�J7
LOCATION l /U��Gv�% / D
DATE / /cj /,J7 PERMIT A % :1'-6;Iq
TYPE OF STRUCTURE:
RECHECK _ APPROVED
1 N/A YES NO
FOOTINGS/PIERS I,
MONOLITHIC POUR FORM I
REINFORCEMENT IN PLACE
Vr
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
FRAMING:
JACK STUDS/HEADERS _ M
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH- Y
INSULATION: 1 (��
FOUNDATION WALLS INTERIOR R-
ATION WALLS EXTERIOR R-
LOOKS
R- .
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
/Z; 30
(518) 761-8256
f,-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ;r
742 BAY RD., QUEENSBURY NY 12804Qa°. „
INSPECTOR'S REPORT: ARRG 2`35EPART d✓ INT
REQUEST FOR INSPECTION RECEIVED:
NAME 6U6-ek4-
LOCATION - z -LUtr
DATE 11 (97 PERMIT A %_ 7
TYPE OF STRUCTURE:
RECHECK _ APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PL E
THE CONTRACTOR IS SPON ISLE FOR
PROVIDING PROTE TI N 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
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUG —
INSULATION: Akilk[.,
FOUNDATION WALLS INTERIOR R— _
FOUNDATION WALLS EXTERIOR R—
VFLOORS
R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN
UNHEATED SPACES R— •
•• f"4.(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 l:;:.qr; w
INSPECTOR'S REPORT: ARR�' " DEPART2'y INT "
REQUEST FOR INSPECTION RECEIVED: a/7/ 7
NAME GUGQ2/4
LOCATION 6.G-EL Y& ��O . //�� - G
DATE �/5/177 // PERMITT# Cf� 6�7 J
•1`J"�-TYPE OF STRUCTURE: •T; 7 5%'o
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
•
REINFORCEMENT IN PLACE
THE CONT• CTOR IS RESPONSIBLE FOR
PROVIDING -ROTE TION FROM FREEZING
FOR 48 HOU•S OLLONING THE PLACE-
MENT OF TB C'NCRETE.
MATERIALS FO: THIS PURPOSE ON SITE
FOUNDATION 41► POUR _
REINFORCEM NT -N PLACE
FOUNDATIO /DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
t
iR GH PLUMBING
LUMBING UN ERSLAB
FRAMING: 1Ain4L - y
JACK STUDS/HEADERS _ •%0 .
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- •
•
I.74STALL 01-ib 3L-64.144n1C,- UNIO62 J1)05; 6-thY
``,1A(P L E-7 C- r 4,94 iitlL o 5P1,N 6 L cc.lt 1 Ak9
fiuutpc 4 i_I 8...,,,.4 1,/..):,:, bAJo •i' P 1. L *bS
(518) 761-8256
TOWN OF QUEENSBURY ,.
,
BUILDING & CODE ENFORCEMENT :,`j
742 BAY RD., QUEENSBURY NY 12804 "'
INSPECTOR'S REPORT: ARRA DE 4
DEPART v •�UINT
REQUEST FOR INSPECTION RECEIVED:
NAME 6U6',/e.*
LOCATION *Z14 tic �j
DATE %Z�Z-7 f��0 PERMIT H / - 09
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ' - -,
REINFORCEMENT IN PLAC
THE CONTRACTOR IS4RESPO SIDLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE,_ _
k'OUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING -
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
hLUMBING UNDER SLAB
FRAMING: e/1 gr1 k(/ C5Ik-c gO INL 4 7
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-
(518) 761-8256
TOWN OF QUEENSBURY011F
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARF/,_EPART.�P` NP'�
REQUEST R.�FOORINSPECTION RECEIVED: II12.2,19�
NAME G(,1E2/2,9
LOCATION 6ii6 Mop.
DATE 1 7/ PERMIT $ 41-
TYPE OF STRUCTURE:
RECHECK APPROVE
N/A YE NO
FOOTINGS/PIERS 1
9
�IONOLITFIIC POUR FORM
"/REINFORCEMENT IN CE
THE CONTRACTOR S SPONSIHLE FOR
PROVIDING PRO TIO FROM FREEZING
FOR 48 HOURS OLLON G THE PLACE-
MENT OF TH CONCRETE
MATERIALS FOR THIS P RPOSE 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
INSULATION:
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS
R- _
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- • -