91-047 .. -e r", ;f 1': • YY-._:.e Y.du�. ..�t. ti -zUe H ._, e r� ._..
CERTIFICATE� OF OCCUPANCY
TOWN OF QUEENSBURY.
WARREN COUNTY,, NEW YORK
Date July 19 lq _91
1
This is to certify that work requested to be done as shown by Permit No. 91-047
. r
has been completed.
This atructure may be occupied as a Comwrcial Bldg. (Bank)
Location Quaker, Rd
Owner 73 Quaker Road Associates
Tr•ustco Bank/TEnant
By Order Town Board
-TOWN-OF QUEENSBURY
Director of Bldg. Code Enforcement
i1 1
_,
BUILDING PERMIT
a
TOWN OF QUEENSBURY "
No. 91-047 X. � a
WARREN COUNTY, NEW YORK 'fl
o
PERMISSION is hereby granted to 73 Quaker Road Associates /Tenant Trustco Bank
OWNER of property located at Quaker Rd Street, Road or Ave.
4t
in the Town of Queensbury,To Construct or place a Commercial Bldg.
Y
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
1500 Broadway
New York, NY 10036-4015 IT
��
IT
2. CONTRACTOR or BUILDER'S Name X
Robert Geltman
`C� Q
in
3. CONTRACTOR or BUILDER'S Address in
60 E. 8 Street, Suite 30P
New York, NY 10003
ro
VI
4. ARCHITECT'S Name
5. ARCHITECT'S Address C
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) flood Roof. Masonry Halls
�.
7. PLANS and Specifications p
No. 1,568 sq ft Commercial Bldg. as per plot plan specifications and a IT
IT
application
B. Proposed Use a
a
Commercial Building c
$ 282.50 PERMIT FEE PAID —THIS PERMIT EXPIRES March 2fi, 19 92
(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.)
Dated at the Town of Queensbury this 26th Day.of March 19 91
SIGNED BY /J, for the Town of Queensbury
Building and Zonjk Inspector
TO;NN;QI' QUEENSBURY F
0Aj
4,
�
l (
f
�
REVIEWED BY �L c`` � lv
FEE PAID $ � 0 f 6 0 5� t
PERMIT NO. ])-bq7 � _
BUILDING PERMIT APPLICATION
CG
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
NII.L BE MADE UNTM APPLICANT HAS RECEIVED A VALID BUELDING 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.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
The owner of this property is: 73, Quaker Road Associates
P.O. Address 1500 Broadway, New York, NY 1 0036-4015 Tel. ( 21 2 ) 704-9800
Property Location Quaker Road Tax Map No. 1 01 / 1 /4 . 4
. 101 1 4 . 31
Has there been any split of this property since October 1, 1988? ! X
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE apA _LOT NO. r
PHfE&SOL4 RESP N.SBTE FOR SUPERVISION 0cORafREGARD S a O BUILDING 9•e Arc tc2 OF �N P (( 613 ) 234.
North Country Engineering-ATTN:David. M. Klein, P.E. .- P.O.Box 4187, Glens 4445
Falls, NY 12804 ( 518 ) 668-4522 •
MATURE OF PROPOSED WORK: * ESf:MATED MARKET VALUE OF
' Construction of a new building * CONSTRUCTION: S 1 -
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property ft x ft.
Alteration to a building * Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions)
Proposed building - distance from property line:
Other work (Describe) * Front yard ft. Rear yard ft.
Side yards ft. and ft.
*3ROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft.
+ "'-
1st Floor 1568 s ft
q• . OCCUPANCY [NFORMATION
*
2nd Floor sq. ft. * Primary Building -
Other Floors sq. ft. • One Family Dwelling
(not cellar or basement) Two Family Dwelling
=AL FLOOR AREA 1568 sq. ft. • Multiple Dwelling/Number of units
iize of new structure 5 6 ft x 28 ft. " Business
* Industrial
?oundation-pier slab crawl/partial/full
(circle one) ' X Other Bank
Jo. of stories (habitable space)= _ +
ieight (grade to ridge) ft. # If addition, what will use be?
f residential, no. of families +
lo. of rooms(excluding baths) • Accessory Building
to. of bedrooms ' Detached Garage ONE/TWO Car
Ito. of bathrooms •
Irimary heating system • Attached Garage ONE/TWO Car
Type of fuel ' Private storage building
la. of fireplaces to be installed ' Other
Hill a wood stove be installed
r •
'entral Air conditioning
OV* ER
f
BUILDING PER%IITAPPLICATION CONTI'4 ED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. Wood Roof , Masonry Walls
Will any second-hand or upgraded lumber be used? If so, for what? NO
Foundation wall material Concrete Thickness 8
Depth of foundation below grade (to bottom of footing) 411 Plus
Will there be a cellar. NO Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? NO Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/other flatMaterial of roof EPDM
Size, wood studs "x spacing " o.c. length ft.
Joists (floor beams) 1st floor "x if spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x it spacing "o.c. span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x It
spacing o.c. span ft. See Plans
Roof trusses (pre-engineered) spacing " o.c. span ft.
exterior wall finish Painted of what material? Masonry
nterior wall finish Painted
f a garage is to be attached, describe materials to be used for FIRE SEPARATION:
s there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
;elf-closing device be provided?
Nill,a flue-lined chimney be installed? Height above roof ft.
3epth-of-chimney foundation below grade ft. - - -
)epth of fireplace hearth ft. in.'
Water supply - Municipal or private well
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)
60 E. 8 Street, Suite 30P
AME OF BUILDER Robert Geltman ADDRESS New York, NY TEL. NO. ( 212 ) 260-4649
0005
AME OF PLUMBER ADDRESS TEL. NO.
AME OF MASON ADDRESS TEL. NO.
AME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARA77ON
To the best of my knowledge and belief the statements contained in this application, tagether with the
Ph s and specifications submitted,ace a true and complete statement of all proposed work to be done on
e described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, -nd
l other laws pertaining to the proposed:work shall be complied with, whether spocifded �r spat, gribd tatat
ch work is authorized by the owner.
Sloature -
- Owner, wnees
'ECIAL CONDITIONS OF THE PERMIT:
BY
r
i
QuakeA Ptaza TAu6tco Bank PeAm.it 091-047
This pekmit ,is i6zuzed Jot the constAucti,on o4 the bu tding .6he-2
only. AU .in6mmattion negwuced 4oA plan review mu.6t be zubm.ctted
be6oAe zttuctutte 6Aaming ,us approved. beta iZ6 needed inctu.de, but
oAe not Lb iced to:
AU dootc .us zu, inteh i,oA 9 exteAioA
AU intet otL paAtiti,on.6, counteu, a.,5tu.
Bathtcoom tayouts, accasabte 9 useabte Got H"capped
Accessabte Aoute--att Aeguited--exi z
Rated patrti ionz & opening pAotecti.vet, (i4 Aegu,itced)
Locationos oji Exit zigns, emeAgency tight,5, Fite Bxti.ngu,i�shetas.
etc.
/v"
PHOh•IE NO.
SOIL & MATERIAL TESTING, INC.
57 S. MAIN STREET
' CASTLETONF NY 12033
(518) 732-7205 - CASTLETON SMT JOB, #' 1
(607) 722-1582 - BINGHAMTON TEST DATE: 3/1/91
VXE D COMPACTION SUM14ARY
JOB NAME & LOCATION 73 QUAKER ROADr QUEENOBURY, NY
ARCHITECT OR ENGINEER VERNON-C. HOFVXAN, JR. F P.E.
i CONTRACTOR PRO-KRAFT
METHOD OF FIELD DENSITY
MEASUREMENT.' NUCLEAR , �
TEST 1991 LIFT# NTL MAX. LAS HATER iN PLACE
Yt DATE LOCATION OR ELEV NARK DRY DENSTY CONTENT DRY DENSTY COMPACTION COMMENTS '
3 1 30TTOM Of FOOTING -5' 1211 3 .7 99.5 NORTH END _
T 11 11 11 7.3 ' 109.0 SOUTH END
3 COT I N9.•R• 11 11 11 3,8- 112 .S 99.5 NORTH 1 HO
4 '!-.TQP QF .FPV r ' 1i 11 11 4.9 -112 .8 98.7 MIDDL
ry " T OP OF FOOTING -4.®o 11 ' 11 It 5. 1 110.7 96. 9 9OUTH Flitl
t
t
1 -
,t
NOT12 9 S 15ENCITIER CHOW"s LB6 PER CUBIC FOOT PKRCSRT COMPACTION. BACFD ON MAXIMUM-DRY 06"flTY OOTAINCD -
7 South Main Street
Castlet one NY 12033
Te-laphOne (5.£3) 732-7205 Fax N,:. ;�5 8)1 732-416
FACsjm= TRAj SMzssTOx RECEIVF)
cmvany: 'roun .of__it��e�sbs:_�; - Re:Y--------T --- APR 15 1991
Dive Hatin (B3 dA�TORNEY'S
Attn: g_ I nsp ,) ;OFFICE
Fax No. : 745-4403 � Date: 4/15 9' _.
Fran; Nana_d E. Vaughn - Job Ne.� 77461
wia, are ,ftirq pagas L-Yc1td his river llattcr.
Pay :L will T will not Ix- .-,P-n6 i rg original
!F LrIMZ A Z kl-N W UW�; OP tu"N F-RDEZZYZ WIl MUD
CALL (518) '732-7205 1 TATE:LY.
PROJECT
n. MATERIAL TESTING, INC. NUCLEAR RELATIVE COMPACTION �
.57 s 1SETOV�1H MAIN,EW YURlC 1T033 TEST IR DATA JOB NUMBER .... .... . ..... .�f. ..
DATE .... . _ ... �! -. �... ....-.
..-. _. •.�-+>r-�.�.��:.-i ....
•TROXLER FLECTRON3C LABDRATORIES, INC, P_ 0. BOX 5997, FHONE(919)787-5424, RALEIGH, NORTH CAROLINA 27407 USA TAKEN BY
TEST i4UM4i+Efl I 2 3 4 3 6 T 9 ) 9 10
STATION
' I
OFFSET
ELEVATION
AAODE E! DEPTH
DENSITY I
COUNTDIENSITY
•CGUNT RATIO
�L NET DENSITY —�ic-t� S�
PCF f 2 r r� Z f�,Ti_7 1 OQl
I
�►R��A� APR ,1991 W
COUNT
_—,- — --. — ----^--_;IR—G ' fC IV@
Z. eensb�uryRATIJRw
W A
[L AIR-CAP
,p
l -
DENSITY
IK'CNSTURE
COUNT
txqSTURE
{ItJNT R,4'TICJ
MOISTURE
PCF
D4�Y DENSITY
+ i
MalsTuRk
r
~ MAX. OBTAINABLE
1- DENSITY —
OPTIMUM
n MOISTURE
% RELATIVE
=, COMPACTIONCj��' �'? � � ��` -�'Z
STANDARD COUNT REMARKS:
DENSITY WNSTURF_
iA//, /,/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE PERMIT #
TYPE OF STRUCTURE
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 g
JACK POSTS/MAIN BEAM W,
FIRESTOPPING
WALLS:
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS IN ERIOR R- �.
FOUNDATION WALLS E,TERIOR R k,.
FLOORS R-
WALLS R-
CEILING l R-
DUCT WORK OR P I ING IN UNHEATED
SPACES
REMARKS: >> �
GD
ARRIVE 3rM
DEPART 3�),f
INSPE TOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS
PACE 1 8
24657 BUREAU OF ELECTRICITY
41 STATE STREET.ALBANY.NEW'YORK 12207
Date JULY 23,1991 AIicati nNo.onfile07107391/91 A 056137
THIS CERTIFIES THAT //(j �
only the electrical equipment as described below and intruclyd by the applicant named on the above application number in the premises of
TRUST CO. BANK, QU ER RD. , QUAKER P1fA, QUEENSBURY, N.Y.
in the following location;, Basement 4 1st Fl. LLJJ 2nd Ft. Section Block Lot
was examined on DULY 17,1991 and found to be in compliance with-the requirements of this Board.
FIXTURE ECEPTACLES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. I K.W.: AMT. K.W. AMT. K.W. AMT. H.P.
35 33 13 35
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS
NO.OF FEET I
I
2. 1.5
SERVICE DISCONNECT NO.OF S E R V I C E
AMT AMP TYPE METER �.2W 1�'3W 3,9 3W 3,9'4W NO.OF CC.COND. A.W.G. NO. HI-LEG A.W G. NO.OF NEUTRALS A.W.G.
EQUIP PER$ OF CC.COND.- OF HIAEG OF NEUTRAL
1 200 CB 1 l 1 2/0
OTHER APPARATUS:
f
EMERGENCY/EXIT LIGHTS-5 1
ELEC. ROOM HEATERS:4-1 h.W. ,2 K.W. I!
PANELBOARDS:1-15 CIR. 100 1 ELEC. WATER HEATERS: :1-1;5 K.W,
SIGNS:I-2-G-8 V
WEL TECH 1
BRIAN BENJAMIN BRANCH MANAGER
58 ASH ST. %
SARATOGA, NY, 12866 235
Per ;•
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPYbF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
nog
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME I YQ S_A Co 1C
LOCATION Ql),qtp� �
DATE g ERMIT# I -y g 7
1
APPROVED
N/ � YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING l JG
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM,
HOOD INSTALLATION , ,
AUTO. SPRINKLER SYSTEM V
ALARM SYSTEM
t.
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SP INKLERS4
CLEARANCE TO HATING UNITS
REQUIRED SIGNAGE r
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- ACTORY BUILT
REMARKS': OK TO THIS DATE
ARRIVE
DEPART A 0 v�nLiLt-c/uv
INSPECTOR
A�
TWA OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR'IINNSPECTI RECEIVED
NAME < -�
LOCATION A/Z a
1
DATE �� / PERMIT#
TYPE OF STRUCTURE
RECHECK 6
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOU DATION BACkFILL FRAMING
_ROUGH PLUMBIN FINAL EL UCTRICAL SEPTIC
INSULATION OODSTOVE/FIEPLACE
SITE PLAN/VARIANGE REQUIREM TS YES _ NO
REMARKS ;
NA YES NO
CHIMNEY HEIGHT/LOCATI
B VENT/LOCATION
PLUMBING VENT IN.
ROOFING
SIDING j
DECK/P H/S IRA GS'
RELIEF VALVES I k►
FURNACE/HOT WA ER OP ING',
BASEMENT INSULATION/DUCTWOR d
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN W04ERTIGHT
OTHER FLOORS SQEEPABLE
OTHER FLOORS gARPETED
STAIR CLEARANCE�/RAILINGS
HANDICAPPED AC.�ESS
SMOKE DETECTO S
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING .FIXTURES OPERATIN ',
GARAGE FIRE ROOFING
DOOR CLOSER \
OTHER FIRE SEPARATIONti
FIRE/DEMIST WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
e,r,
ARRIVE
DEPART
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE PERMIT
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YESI NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING -FOR 48 HOURS FO/LOWIN6
THE PLACEMENT OF THE CON RETE.
MATERIALS FOR THIS PURPO E ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE J
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
',PLUMBING VENT/VENTS IN PL CE
PLUMBING UNDER SLAB-
,FRAMING:
,FRAMING: /
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM I0.
FIRESTOPPING �
WALLS
CEILING
FIREWALLS r'
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R- t.
FOUNDATION WALLS EXTERIOR R- 1.
FLOORS R- Vr
WALLS { R-
CEILING R- 1,
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE .cr0
DEPART /0
N ECTOR
T0WN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY9 NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
MANE / �°? �7�',�C4Ag l
LOCATIONuz2!.22
DATE PERMIT #/
TYPE OF STRUCTURE
RECHECK APPROVED
N/Al YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM f
REINFORCEMENT IN PLACE I n
THE CONTRACTOR IS RESPON�ISLE
FOR PROVIDING PROTECTIONIFRON
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE COOCRETE.
MATERIALS FOR THIS PURPOSE ON SI E
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACEjj
FOUNDATION/DAMPROOFING1
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLAC _
y SLAB
FRAMING: j If
JACK STUDS/HEADERS
BRACING/BRIDGING .'
JOIST HANGERS
JACK POSTS/MAIN BEAMd'
FIRESTOPP ING
WALLS
CEILING
FIREWALLS y
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WA I'S EXTtRIOR R-
FLOORSt' R-
WALLS it R-
CEILING R-
DUCT WORK OR/PIPING I'N UNHEATED
SPACES
REMARKS: !�
1}
ARRIVE /-' -F-o
DEPART O?DIV
N CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD d
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED )�
NAME J ill l ���lllc/
LOCATION ��lJ 3
DATE /(a PERMIT # ql-e i,
TYPE OF STRUCTURE
Y
RECHECK ! APPROVED
t N/A; YESI NO
FOOTINGS/PIERS i a'
MONOLITHIC POUR FORM y
REINFORCEMENT IN PLACE e //
THE CONTRACTOR IS RESPONSIBLE ,
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLOWING
THE PLACEMENT OF THE CONCRtTE.
MATERIALS FOR THIS PURPOS ON SIT
FOUNDATION/WALL POUR ft
REINFORCEMENT IN PLACE ,
FOUNDATION/DAMPROOFING, '
BACKFILL APPROVAL
R ROUGH PLUMBING
PLUMBING VENT/VENTS IN PL4CE�f
)(PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALL EXTERIOR R-
FLOORS R-
WALLS d R-
CEILING I R-
DUCT WORK OR IPING IN UNHEATED
SPACES `t
REMARKS: f
cvl -
f'9U'vV L
ARRIVE 00®
DEPART /Jt
' INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
4 � NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /o q
NAME
LOCATION
DATE /O PERMIT #
TYPE 0 STRUCTURE
RECHECK :` APR ROVED
` N/AfYES1,,NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE a` 1
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM r
FREEZING FOR 48 HOURS FOLLOWING 19"
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSEION SITE
FOUNDATION/WALL POUR e4
REINFORCEMENT IN PLACE fU if
FOUNDATION/DAMPROOFING N I
BACKFILL APPROVAL 6'
ROUGH PLUMBING F I
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: 1,!
JACK STUDS/HEADERS
BRACING/BRIDGING .�
JOIST HANGERS P
JACK POSTS/MAIN BEAM ,' A
HEATING ROUGH-IN ,
INSULATION: S1
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS ; IJ R-
CEILING i'' ? R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART 3a
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT n
531 BAY ROAD I`
QUEENSBURY9 NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION.
DATE PERMIT #
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YESI NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE!
FOR PROVIDING PROTECTION FROA'
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING S
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE ,r
PLUMBING UNDER SLAB s,
FRAMING:
JACK STUDS/HEADERS ;
BRACING/BRIDGING N
JOIST HANGERS ,?
JACK POSTS/MAIN BEAM x"
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN ;
INSULATION:
FOUNDATION WALLS INTURIORER-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS f' R-
CEILING J R'r
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY / /
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME a
LOCATION
DATE PERMIT # 91 t04
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YESI NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE J
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING 't
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SIjTE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL i}?
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB ju
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING ."
JOIST HANGERS �)
JACK POSTS/MAIN BEAM %i ;1
FIRESTOPPING
WALLS `+
CEILING
FIREWALLS
HEATING ROUGH-IN �r
INSULATION: �' ]
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS 'EXTERIOR R1
FLOORS i
WALLS R-
CEILING ; R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE F�
DEPART
N
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME( S i'c
LOCATION
1
DAT PERMIT #
TYPE OF STRUCTUREn�
RECHECK APPROVED
N/A YESI 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+
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB 4'
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR R
FLOORS R
WALLS R=
CEILING R'
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: i
ARRIVE /30
DEPART /,' VT
I PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD '
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEI D
NAME
LOCATION r J
DATE PERMIT #_7 zz�
TYPE OF STRUCTURE
RECHECK APPROVED
N/A I YES 0
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING -FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING,
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN' PLACE rl
PLUMBING UNDER SLAB r "
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS r'
JACK POSTS/MAIN BEAM r"
FIRESTOPPING
WALLS fF
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS IN R-
FOUNDATION WALLS EXTERIOR R-
FLOORS f R-
WA LLS R-
CEILING k R-
DUCT WORK 'OR PIPING IN UNHEATED
S PAC ES .±
REMARKS: �r / `
3 �
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ARRIVE
DEPART
SPECTOR