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94-406 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date +�C �� 19 T7 This is to certify that work requested to be done as shown by Permit No. 9 4-4 0 6 _has been completed. single family dwelling with This structure may be occupied as a two car attached aaraae Location Lot 41 .Sara Jen Drive, Lehland Estates Subdivision Guido Passar&&Ii Owner 7 4-2-41 By Order Town Board •TOWN OF QUEENSBURY �r'0 � Director of Bldg. do Code Enforcement BUILDING PERMIT H TOWN OF QUEENSBURY No 94-406 � ro WARREN COUNTY, NEW YORK z Guido Passarelli 0 PERMISSION is hereby granted to LEHLAND ESTATES Lot 41 Sara Jen Drive OWNER of property located at Street, Road or Ave. I Famil y l in the Town of Queensbury,To Construct or place a Single y Dwelling I 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 45 Herald Drive Queensbury NY12804 t- t� x 2. CONTRACTOR or BUI LDER'S Name t1 z d 3. CONTRACTOR or BUILDER'S Address H H t�J 4. ARCHITECT'S Name r O 5. ARCHITECT'S Address F-' fn 6. TYPE of Construction—(Please indicate by X) IPi j Wood Frame ( ) Masonry ( I Steel ( ) LI (D 7. PLANS and Specifications C7 76 ' x 28 ' Two story Single Family Dwelling as per plot F1 No. plan, specifications and application including two car C attached garage and septic system. m 8. Proposed Use Single Family Dwelling U, N- LQ $ 311 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 5 �g 95 m (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the It town of Queensbury before the expiration date.) F'• Dated at the Town of Queensbury this 5th Day of' August 19 94 SIGNED BY <_ i`i_%�� for the Town of Queensbury (D Building and Zoni )lnsp�ctor N F-' N- Y TOWN OF QUEENSBURY REVIEWED BY: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING & CODE ENFORCEMENT FEE PAID: 531 BAY ROAD QUEENSBURY, NEW YORK 12804 PERMIT NO. �a�i (518) 745-4447 BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAI,VED BEFORE BEGINNING CONSTRUCTION. ' NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants' spaces on this .application .MUST be comp,Lerq_d d the signature of the applicant MUST appear on the appl.icaiion fortfi:`��,� t _ OWNER OF PROPERTY! d v ► lV L cIII Mailing Address : y ! Oc ' Telephone Number(s) : Work - < Home Quee � � B!d '7SbUry PROPERTY LOCATION: ,P - �� \'`� g deft. Tax Map Number: Section B do ;y �L` t, Subdivision Name: __�L?1 znc-lsTaT s of No. ! NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE CONSTRUCT ION: $! NEW BUILDING: ESIDENC COMMERCIAL OCCUPANCY INFORMATION: ADD TO BUILDING: PRIMARY BUILDING - RESIDENCE/COMMERCIAL rL.,-�Single Family Dwelling ALTERATION TO BUILDING: Two, Family Dwelling RESIDENCE/COMMERCIAL Family Dwelling (NO CHANGE TO EXTERIOR SIZE) Office OTHER WORK (DESCRIBE BELOW) Mercantile Warehouse Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: 1ST FLOOR S SQ. FT. /_- I - 2-U IF ADDITION, USE OF NEW ADDITION: 2ND FLOOR /d , SQ. FT. ®„ •1 OTHER FLOORS Q SQ. F'T• / y (not unfinished cellar or bases i ACCESSORY ' BUILDINGS: Detached Garage - One/Two Car TOTAL FLOOR AREA: a t°j so ~ate Attached Garage - One/ wo Ca If Private Storage Building . SIZE OF NEW STRUCTURE: Commercial Storage Building Other FEET X _— - FEET Foundation Type: o � ���,n�v�Ta, Will any second-hand or ungraded Number of Stories ,." 2; lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : feet Type of Heating System: Number of fireplaces and/or woo stove (circle all which a lies) to be installed: D Electric 0' Jt / Wood Forced Hot Air / aseboard / Other PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NAME OF BUILDER/ADDRESS/PHONE: !' NAME OF PLUMBER/ADDRESS/PHONE: NAME OF MASON/ADDRESS/PHONE:- NAME OF-ELECTRICIAN/ADDRESS/PHONE: 170tie DECLARATION To the best of my knowledge the statements contained in this appli- cation, 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 CPrt1fi-na+ �f .ta • !r \r ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY' 9000 HEATING DEGREE DAYS �e � , eN queer v Compliance Methods : PART 5 - Acceptable Practice Method 1&2 Family Dwellings (only) PART 6* -. Thermal Rating - Component Trade`-_Offs;.=' 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME : PROPERTY LOCATION: C'� �„Ica �s,5�y e�� ► ��,�/ CSa v� - `�'�v�. ��. ��� PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - ,�2 yaD square feet 2 . Type of Heat - Electric Oil V Gas Other 3 . Is building mechanically cooled? Yes . i/ No 4 . Percentage of area of windows and doors Over 17% _LZUnder 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 go f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R J— h. Basement/cellar walls (below grade) R 11__ i. Heating/cooling-ducts-piping in unheated space R _8A 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code V11"Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Applicant igna ure D to Phone Number 4 . 0 INSPECTOR' S REMARKS : TOWN OF QUEENSBURY J APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # ,� (��e�',V Fee Paid JUL 7aix 1994Date: iewedTGQ d of c , ueensburLOCATION OF PROPERTY FOR INSTALLATION: �o� v _ De Owner' s Name: Owner' s Mailing Address: Installer' s Name: I`fzuL©✓: Phone #: Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 'gal . per bedroom) : 600 Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One: CEi92 -Loam Clay Other /Depth: Ground Water-At What Depth? �__... Feet Bedrock or Impervious Material-At What Depth? --- Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: , ipal Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank l ` 5 C� gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length g�jq feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # / Depth or Thickness feet HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: &64'�1/ DATE: ,' Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1) the proposed location of the system 2) location and distance to lot lines 3) location and distance to structures 4) location and distance to any water supply 5) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: �a TOWN OF QUEENSEURY 531 Bay Rd., ®ueenabury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date '/„ ,19 '?'Jy Permit No. E ? - APPLICATION IS HEREBY MADE'to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws,ordinances, regulations, and all conditions that are part of these,requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than appliance and/or chimney. Applicant , y : - �,-, , ��;` APPLIANCE (check appropriate bones) Address •v 25' ❑ STOVE: ❑ Wood ❑ Coal ❑ Pellet ❑ FI EPLACE INSERT �:,. :-a ;rk.�y ✓ jl' Zip ;.n C:- p:=Fl REPLACE, FACTORY-BUILT: r tj ❑ Wood aoGas Phone ❑ FIREPLACE, MASONRY: ,r ❑ Wood ❑ Gas Omer M % �' ❑ FURNACE: ❑Wood ❑ Gas ❑ Oil Address tt IF NON-MASONRY: a Manufacturer: - Zip Model: Outlet: inches Listed By: Number: Phone CHIMNEY (check appropriate boxes) Exact address of proposed construction ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone � FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTIONANSTALLATION MUST ❑ FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT TOWN OF Listed By: Number: QUEENSBURY HANDOUTS PROVIDE,, ❑ Double Wall ❑Triple Wall REGARDING REQUIRED INSPECTION§. ❑ Insulated Cashier's Department Town of Queensbury, New Fork Dept: Fire Marshal Amount Collected Amount Received Code Number Title A 173 3389 (190)Public Safety A 233 2655 (230)Minor Sales Fee'Collected Fr or Refunded to: Address: r Dated: Town Clerk or Deputy: vr'�� ! i ` ;r, 1Mte:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink& Goldenrod: Cashier's Dept. APPROVE . Application . AUG - 5 Z. ning Administrator `f0VJN__ OF QUFE.-q Ily� A r.ZpD �\�0%6 N1% Tfi'-J 1OiI T!'1-,1 fl t f^-lh1 n K5 1 111"'nTA ILJh i n�.i i 1 ILIS.Tn i.�rT �� ^ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGF,' 1 4079539 BUREAU OF ELECTRICITY F 41 STATE STREET,ALBANY.NEW YORK 12207 Date GC`t'C?EtL;I? "'7,199t�, rcat�` i N.o- o f "` v229 r 5!I A 10 1i'.-10 THIS CERTIFIES THAT PERMIT140. ---..- only the electrical equipment as described below traduced by the applican on the above application number in the premises of GUIDO PASSAR LLT, SARA-JEN, CCU EEIISBURN, D.Y. in thefollowing location; ® Basement ® Ist Fl. ® 2nd Ff. GAR Section Block Lot 41 was examined on C}('TOOMP 2-4,1994 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTJ FLUORESCENT OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 4.6 51 49 40 6 1 '1.5 2 F DRYERS FURNACE MOTORS FIXTURE 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 SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. TYPE METER 1,B'2W 1 p 3W 3 p 3W 3.'4W NO. CC.COND. A.W.G. NO. HIAEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER AV OF CC.COND. OF HI-LEG OF NEUTRAL 1 200 CD 1 X 1 4/0 0 0 OTHER APPARATUS: CE",TLING FAN-4 G'F.C'..Le --6 0 St-KOKE DETE! T('.)r;;-I 0 jOE GROSS ELECTRIC 1 560 PNIKEP DP. QUEENSBURY, NY, 12€04 BRANCH MANAGER 2:39 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. ewe mgm eee ® mgm eeemeMeoeel® eeeWee WNW eeeee ® eeeen rnav FnR w Ill n1AIn nr-PARTRflFNT TWIA rr1pv nF rFRTIFIrATF MI IST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY9 NEW YORK 12804 �C,6 TELEPHONE (518) 745-4424 Cep FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME `j re ! I U 1 d LOCATION LQ f L, j <�ara1''. DATE qq PERMIT# APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS / EMERGENCY LIGHTING / FIRE EXTINGUISHERS AUTO. EXTINGUISHING rYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYS EM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SP I LERS CLEARANCE TO HE NG UNITS REQUIRED S.GNAGE CHIMNEY WOODSTOVE F Lkp -MASONRY IREPLACE-FACTORY EUILT REMARKS: OK TO THIS DATE 1 2/015 INSPECTOR J•v.. TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY ROAD QUEENSBURY NY 12804 (518)745=4447. ARRIVE: DEPART: 'J(f INSP: FINAL INSPECTION REPORT - RESIDEJNTI L DATE INSPECTION REQUEST^RECEIVED: / NAME LOCATION V oe DATE _ I , PERMIT 0 TYPE OF STRUCTURE II FOOTINGS_ FOUNDATION BACKFILL 1 FRAMING — ROUGH PLUMBING,— SEPTIC INSULATION ' FINAL, ELECTRICAL WOODSTOVE OR FIREPLACE 1 - - d A YES NO CHIMNEY HEIGH' I3 VENT HEIGHT PLUMBING VENT I \ ROOFING 1 1 EXTERIOR FINISH DECK PORCH STEPS RAILINGS / RELIEF VALVES t FURNACE HOT WATER OPERATING l INTERIOR TRIM PRIVACY\D00RS FINISH FLOORS: BATH KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE RAILING SMOKE DETECTORS I BATHROOM FANS / �X PLUMBING FIXTURES' . ✓ FOUNDATION INSULATION GARAGE FIRE PROOFIN DOOR CLOSERS �^ FINAL ELECTRICAL / J tr X SITE PLAN/VARIAN4 REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C 0 OR C C L�,-o / ,(p� -, - TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT ' r 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR DEPAR�'I��T REQUEST R INSPECTION RECEIVED: NAME LOCATION 1 DATE l V , PERMIT # TYPE OF STRUCTURE 1. RECHECK a APPROVED i ;N/A YES NO FOOTINGS PIERS 11; MONOLITHIC POUR FORMI REINFORCEMENT IN PLACE �( THE CONTRACTOR IS' RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING,THE PLACE— MENT OF THE CONCRETE.' U MATERIALS FOR THIS PUR'POSE ON SITE FOUNDATION/WALLPOUR 1 " - REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING __BACKFILL APPROVAL- __ _ — — PLUMBING VENT/VENTS IN PLACE _ ROUGH PLUMBING PLUMBING UNDER SLAB/ A FRAMING: / 1 JACK STUDS'/HEADERS •, BRACING BRIDGING JOIST HANGERS A _ JACK POSTS/MAIN BEAM1 N, AIR INFILTRATION BARRIER HEATING ROUGH—IN _ INSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR FLOORS / R� WALLS 6' R— CEILING ; R— DUCT W04K OR PIPING IN UNHEATED SPACES R— U V. ,.� a (Parly TONN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road . Queensbury NY 2804 516-745-44 7 SEPTIC ISPOSAL SYST INSPECTION Name Location c ri Date Ll P �rmi t # SOIL TYPE: San -Lo -Clay- Results of Perc' 1 �ti on Test- (if applicable) R te-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD Total Length ;_U Length of each ench S Depth of trenct s Size of stone a" Z SEEPAGE PITS: . Nu ber- Size - ft x f Stone size PIPING: Size Type Bldg. to Tan Tank to Di s �.. Boxe-- Dist. Box tg Field/kit Jr Openings Se4led? �es -o Partial LOCATION/SARATI ONS:i1 Foundation to Tank feet Foundation. to Absorption feet Separatio of Pits feet Conforms is per Plot P1' n Yes No LOCATION PF SYSTEM ON PAOPERTY: (circle one) , Front fTF ar - Left Side�� Right Side Middlent - Middle Reap COMMEN �, a i- - / L LT 1 l��l(� 6D C Z (-Guff SYSTEM USE APPROVED: YES Arrived: Departed: Building Ifispiector Cc,tW '0 0)V L-- � �//z/ TOWN OF QUEENSBURYm BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 9 4 g y SAME } LOCATION DATE PERMIT # `q- t-/ (o f YPE OF STRUCTURE_S,.12�Le, �{myy&( ZECHECK APPROVED N/A YESI NO =00TINGS/PIERS 40NOLITHIC POURA 1EINFORCEMENT I fHE CONTRACTOR NSIBLE FOR PROVIDING PN FROM FREEZING FOR 48OLLOWIN fHE PLACEMENT OCRETE. 4ATERIALS FOR THIS PURPOSE ON ITE =OUNDATION/WALL POUR 1EINFORCEMENT IN PLACE =OUNDATION/DAMPROOFING 3ACKFILL APPROVAL 20UGH PLUMBING _ ILUMBING VENT/VENTS IN PLA E 'LUMBING UNDER SLAB -RAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM iEATING ROUGH-IN (NSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS E ERIOR R- FLOORS R- WALLS R 111 - CEILING R DUCT WORK OR PIP17G IN UNHEATED SPACES 1EMARKS: 1RRIVE )EPART (�.:�—, � SPECTOR TOWN OF QUEENSBURY ��/ BUILDING AND CODES DEPARTMEN 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE' ('518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED —T NAME �i0���� /ii LOCATION DATE 9�, y� PERMIT # 996 TYPE OF STRUCTURE i 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/DAMPROOFING BACKFILL APPROVAL e ROUGH PLUMBING L— PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB x FRAMING: f!' JV r 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: -rie;rrr�� ARRIVE DEPART_ INSR CT & ;� 3, 1� i r"U �P � TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD �r QUEENSBURY, NEW YORK 12804 TELEPHONE•• (518) 745-4447 BUILDING INSPECTOR'S REPORT J REQUEST AR R INSPECTION RECEIVED NAME /"�s��'��L'� LOCATION � DATE L15 PERMIT #. TYPE OF STRUCTURE RECHECK APPROVED N/A YES - NO OTINGS/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 k FOUNDATION/WALL POUR I REINFORCEMENT IN PLACE ! FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING / PLUMBING VENT/VENTS IN PLAC / PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS t 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: P1 a:rL T-6 ARRIVE DEPART AlU R T0WN 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 M� 7 ,_, LOCATION //z j9,t,_a__ Q2 A&-.1 DATE Cf PERMIT 5. 9 � TYPE OF STRUCTURE RECHECK APPROVED N/A YES ' NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT PLACE THE CONTRACTOR RESPONSIBLE FOR PROVIDING PR TECTION FROM FREEZING FOR 48 , URS- FOLLOWING THE PLACEMENT 0 THE CONCRETE. MATERIALS FOR T IV PURPOSE ON SITE FOUNDATION/WALL k'tUR REINFORCEMENT LMPLACE FOUNDATION/DAM OOFING BACKFILL APPR L ROUGH PLUMBI PLUMBING VE / ENTS- IN PLACE- PLUMBING U ER LAB FRAMING: JACKS DSRE, DERS BRACINt/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 ARRIVE v DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD �L QUEENSBURY, NEW YORK 12804 TELEPHONE' ('518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR I€iSPECTION RECEIVED NAME LOCATION a5 f 1j l�r, qZL DATE�� PERI4IT TYPE OF STRUCTURE RECHECK APPROVED N/A YE5 NO OOTINGS/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 i FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL / ROUGH PLUMBING _ PLUMBING VENT/VENTS IN PLA E PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN B M HEATING ROUGH-IN-- INSULATION:- FOUNDATION WAL INTERIOR R- FOUNDATION WA S EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED ` SPACES REMARKS: �0 � L) ARRIVE DEPART INSPECTOR