91-301 CERTIFICATE ,OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 1 19 _ 95
r
i
! This is to certify that work requested to 'be done as shown by Permit No. 91301
r
has been completed.
`ALTERATION TO BLDG.
This structure may be occupied as a
Location
Owner ' GTLLIS , RAE
'.PAX HAP NO. 23. -1-29 . 1
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
s ..l I%ih a
x
BUILDING PERMIT
TOWN OF QUEENSBURY '
No. 91-301 N
WARREN COUNTY, NEW YORK
I
ua
PERMISSION is hereby granted to Rae Gillis a,
OWNER of property located at Lockhart Mtn Rd Street, Road or Ave.
a
in the Town of Queensbury,To Construct or place a Alteration to Building (D
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.
N
1. OWNER'S Address is
Same c
a
2. CONTRACTOR or BUI LDER'S Name
Sarre
z
3. CONTRACTOR or BUILDER'S Address d
4. ARCHITECT'S Name
5. ARCHITECT'S Address
e+
6. TYPE of Construction—(Please indicate by X) a
( )Wood Frame ( ) Masonry ( ) Steel
7. PLANS and Specifications
O
No. 7,200 sq ft alteration to building as per plot plan specifications
and application cc
8. Proposed Use '
Trailor Manufacturing and woodworking Shop
$ 410.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 12J9 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 12th Day of August 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning spector
TOWN OF QUEENSBURY !!!!!!
REVIEWED BY
FEE'PAID - Q 2 6D
PERMIT NO.
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION: 'NO INSPECTIONS
WELL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces :bn this application MUST be completed and the signature of the
applicant MUST-appeae on the reverse side'of'this application.
The owner of this-property is:. t9 (.1S
P.O. Address zycni&� A/ Z� z l4 Tel.
v
P.i•operty Location _I,�In � I�(-� ` �. Tax Map No.
'-Has there been any split of this property, since October_1, Y1988_?
"Cf yes Planning M6 rd Rti ewis necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE.PERSON, RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS :TO BUILDING CODES IS:
NATURE OF-PROPOSED WORK: * ESC;MATED MARKET VALUE OF
CONSTRUCTION: S" /Q6CYJ
Construction of a new building *
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* . Size of property cr,-es ft x -ft.
Alteration to a building * E
Existing Buildings(3 Size ft. x
(no change to exterior dimensions) ) �G ft.
* Proposed building - distance from property line:
Other work (Describe) * Front,yard ft. Rear yard ft.
*
Side yards ft. and ft.
GROSS AREA OF PROPOSED STRUCTURE * If"on corner, setback from side street ft.
2,2
Itt Floor sq. ft. OCCUPANCY INFORMATION
•
2nd Floor sq. ft. * Primary Building -
Other Floors sq. ft. • One Family Dwelling.
(not ce!!ar or base:-:ent) Two Family Dwelling
Tv t'f►L
-r LUUR A�RE= �_ ,- sq. ft.- —= r Ui-tiple°'fuweluflg/'riumDer OVUM
. --—
Size of new structure Bu ' ess
��ft x /y ft.
Foundation-pi er/slab/crawl/partixl/full Industrial
(circle one) ° Other
::o. of stories (habitable space)_
Height'(grade to ridge) // ft. , If addition, what Will use be?
If residential, no. of families .A_/A ,
No. of rooms(excluding baths) /_2 # - °,:Accessoey Building
No. of bedrooms, Detached Garage ONE/TWO Car
No. of bathrooms Alk - ' •
Primary heating system �/r�� + ttached Garage ONE/TWO Car
Type of fuel OW ' _Private storage building
No. of fireplaces to be installed 'XI/l
* Other
Will a wood stove be installed
Central Air conditioning /✓
OV* ER'
BUILDING PERtiIIT APPLICATION CONTINLED -
BUILDING 3PECIFICaTIONS:
Type of construction, wood frame, fire safe, etc.
Will any second-hand or upgraded lumber.be used? If so, for what?
�..�r
Foundation wall material &�-kans+ k_ Thickness -
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? I-A-b - Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? JUO Will any portion be used as living space? ~�O
(If so, what portion? sq ft. Type of use? -
Type of roof -'sloped/flat/s hed/other Material of roof&1y s � , r SLop"�
Size, wood studsZt" "x " spacing" o.c. length ft.
Joists (floor beams) 1st floor "x " spacing' "o.c. span. ft.
Joist (floor beams) 2nd floor, "x " spacing "o.c.-span ft.
Overlays (ceiling beams) "x " spacing " o.c. span . ft.
Roof rafters "x It spacing
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish -A;Wfl� of what material? `
Interior wall finish 5 �{ m_efG
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? k/bo a roof ft.
Depth of chimney foundation below grade
Depth of, fireplace hearth ft. in.
Water supply - Municipal or private well—
SEPTIC SYSTE M Distance from. ANY private well (including adjoining properties ft.
(A separate 'application is necessary for any repair or new installation of septic system)
NAME OF BUILDER?,& G,V/p ADDRESSZ-0CeAA,,,//f/�I✓ TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
plans and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the BUILDING CODE, THE'ZONING ORDINANCE, and
all other laws pertaining to the proposed work shall-be complied with,-whether specified or not, and that
such work is-authorized by the owner.
Signature -�
Owner, owner's gjjDarc itect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
AmencaLn Pie Co. !
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RD 1, Box 1431, Lake George, New York 12845 (518) 668-3963
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P.O. Box 243
Luzerne, NY 12846
(518) 668-3103
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TC1-+ED FR'OM A M.�P By JOHN VAN C'US- N 19E.1
SK� OPtAWING
PATE ram- APT r10VED Or 1
'TOWN OF QUEENSBURY O% A;
/., BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: DEPART: INSP: .
FINAL INSPECTION REPORT
COMMERCIAL - --- MULTIPLE DWELLING '
DATE IN SPECTION REQUEST RECEIVED: '
NAME �E- A LUI
LOCATION
DATE PERMIT •# q L^`A ��
TYPE OF S RU TORE' ���ER TF_el,k-kn
FOOTINGS __BACKFILL_ FRAMING_ PLUMBING
INSULATION
N/A YES NO
.CHIMNEY/"B" VENT/HEIGIiT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULA N
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
TIRE/DEMISE ,WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE- STOPPING
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN VARIANCE RE .
FINAL SURVEY PLOT PLAN IF RE
OK-'TO ISSU O R C C
• TOWN OF QUEENSBURY `)J i i U�
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447 .
ARRIVE: DEPART: INSP: -V
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
DATE INSPECT ON REQUEST RE EIVED:
NAME
LOCATION
DATE �(f- I"� PERMIT # 4U
• TYPE OF STRUCTURE
FOOTINGS BACKFIL FRAMING PLUMBING
INSULATION
A YES NO
CHIMNEY "B" VENT HEIGH
PLUMBING VENT FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILIN
STOCKROOM ENCLOSURE
FIRE DEMISE WALLS PEN TRATION
FIRE DAMPERS
CEILING FIRE STOPPI G
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE `1
EXIT STAIRS RAILS/
PLATFORM ELEVATOR
HANDICAPPED ACC SS
HANDICAPPED BA HS
HANDICAPPED P RKING
FINAL ELECTR CAL
1 _
SITE PLAN VARIANCE REQ.
FINAL SURVEY PLOT PLAN' IF RE
OK TO ISSUE (CIO R C C
Cd
S,l
TOWN OF QUEENlB"RY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
' TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED BTU 5
NAMELOCATION 1 v�r�t'l/nt_r �h.: ,�! c.l,� Z_o
DATE i1S PERMIT# f
TYPE OF STRUCTURE
RECHECK,
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLKMBING FINAL ELECTRICAL _SEPTIC
_INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
CHIMNEY HEIGHT/,L0'ATION N/A 'YES NO
B VENT/LOCATI.ON
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RA'ILINGS
RELIEF VALVES Vk
FURNACE/HOT WATER OP RATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY�DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED '
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
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
e-e IA-
ARRIVE
DEPART
_TNSPECTOR
TOM OF QUEFMSBURY
BUILDING AND CODES DEPARTMENT
53I BAY ROAD
QUEENSBURY9 NEW YORK 12804
TELEPHONE (518) 745-4447
BUILUIUS RASPECTO(R°S REPORI7
REQUEST FOR PECTIM RECEEU
NAME Gi f:r .7 ` e
LOCATION v —
DATE 3 PERMIT 0 q/-j 1
TYPE OF STRUCTURR44—
RECHECK APPROVED
,N/A YES N(
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPOHSXBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOHING
THE PLACEMENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATIONAIALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING y"
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/1lEN SHIN PLPL'ACf
PLUMBING UNDER SLAB { %
FRAMING: � 1 t,
JACK S UUDSHEAD RS ia,V
BRACING/BRIDGING IV"
JOIST HANGERS
JACK POSTS/MAIN BEA )r'
HEATING ROUGH-IN xt'I
INSULATION:
FOUNDATION WALLS IfNTE OR R-•
FOUNDATION WALLS �i)(M.OR R- _
FLOORS R-
WALLS I R-
CEILING I R-
DUCT WORK OR P�I•PING INJUNHEATED
SPACES ;i
REMARKS:
� /
,,q /er
ARRIVE `2
DEPARTK'
. SPECTOR
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR PECTION RECEIVED
NAME AlION o G/%li All
DATE ' PERMITO 9/-,7dl
TYPE OF STRUCTURE RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
—FIRE
FOUNDATION BACKFILL FRAMING
`_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
_INSULATION WOODSTOVE/FIREPLACE r
REMARKS ^
APPROVAL
CHIMNEY HEIGHT/LO ATIO N/A YES IND
B VENT/LOCATION
PLUMBING VE14T
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES;,
FURNACE/HOT WATER OPERATING
BASEMENT INSULATI N/DCTWORK
INTERIOR TRIM/PR VACYYROORS
FINISH FLOORS:
BATH/KITCHEN WATERTI6}IT
OTHER FLOORS�SWEEPABLE
OTHER FLOOR CARPETED k
STAIR CLEARANCE/RAILINGS
HANDICAPPED�, CCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FI4 E PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE
DEPART
I S T
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i
SO21395 BUREAU OF ELECTRICITY
F 41 STATE STREET,ALBANY,NEW YORK'1220
®ate 1[.11iY l�r9,:� Application No.on file�L�� 3 .J`_j �1 H 41.2;0 !
THIS CERTIFIES THAT J
only the electrical equipment as described below and introduced by the he aacat applicant named on plion number in the premises of
n
in the following location; ❑ Basement 5d lst Ft. ❑ 2nd Ff. Section Block Lot
was examined on JUKE 24, 1992 and found to be in compliance with the requirements of this Board.
FIXTURE RECEPTACLE SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. I K.W. AMT. I K.W. AMT. I K.W. I AMT. I K.W. AMT. H.P.
4 4} 3 �
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS dELI. UNIT HEATERS MULTI-OUTLET , DIMMERS
AMT. K.W. OIL I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. H.P. SYSTEMS AMT WATTS
NO.OF FEET
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER �•YW �.3W 3,dT 3W 3,B'IW NO-OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G.
EQUIP• PER Z OF CC.COND.. OF HI-LEG OF NEUTRAL
OTHER APPARATUS:
�rrI.11J�a�t �ut�r��
T,AI,X' I.UZEiRRE, NY, 1.2846 BRANCH MANAGER
9
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 COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK e�W
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECE YED
NAME e
C��
LOCATION
DATE 46 � PERMIT#
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL _FRAMING
_ROUGH PLUPBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/Al YES NO
CHIMNEY HEIGHT/LOCATIO l r•'
B VENT/LOCATION >{
PLUMBING VENT q ,d'
ROOFING ;
SIDING J.
DECK/PORCH/STEPS/RAILINGS''•,
RELIEF VALVES �! c
FURNACE/HOT WATER OPERATING,.
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: r
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWE�EPABLE
OTHER FLOORS CARPETED
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
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
Iti•}G/"lam/�- /J .�/„ cJ-�r/�
ARRIVE
i
DEPART ?>�d
LISP T
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 �i �c� - /Z
LOCATION G-oGGifi,1 y/1—
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 FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FI RESTOPP ING
WALLS
CEILING 100,
FIREWALLS
F TING ROU� N
INSULATION:
FOUNDATION WALLS INTERIOR R— ti
FOUNDATION WALLS EXTERIOR R—
kill
FLOORS R— y
WALLS R— i
CEILING R— hi
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE % S�
DEPART Cj Of'
I N S P EGITOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME C,,e G//J
LOCATION C IAIAI
DATE 2 sZ PEPJ41T -0
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 FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR 7
REINFORCEMENT IN PLACE I
FOUNDATION/DAMPROOFING I ai
BACKFILL APPROVAL 1
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN �
INSULATION: i t:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS ' R-
WALLS i' R-
CEILING R- �.
DUCT WORK OR PIPING IN' UNHEATED
SPACES
REMARKS: i
lee-
ARRIVE
DEPART r�G
T _ PFCTnp
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 cn//,)
LOCATION
DATE V 2 PERMIT # �/-�U/
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 FOLLOWING
THE PLACEMENT dF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL ROUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING s
BACKFILL APPROVAL
'Ao-ROUGH PLUMBING
PLUMBING VENT/VENTS'IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS 1_
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM'
FIRES TOPPING
WALLS
CEILING
FIREWALLS \
HEATING ROUGH-IN`
INSULATION: �'/ \
FOUNDATION WALLS INTERIOR R-
FOUNDATIONJWALLS EXTERIOR\�-
FLOORS f Rr
WALLS ' R-\
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
Gnvr-� �lo
ARRIVE -31 2f'
DEPART 3�70
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
LOCATION UL /
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 FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR\THIS PURPOSE ON SITE
FOUNDATION/WALL,POUR
REINFORCEMENT INJLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL,
ROUGH PLUMBING N
PLUMBING VENT/VENTSXIN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING �, J
JOIST HANGERS
JACK POSTS/MAIN BEAM r
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION W LLS EXTERIOR R-
FLOORS 7 R-
WA LLS R-
CEILING f R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
IN ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTME
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
MANE
LOCATION
J
DATE J/ 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 FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL ti
ROUGH PLUMBING t ;:
PLUMBING VENT/VENTS IN PLACE i
PLUMBING UNDER SLAB
FRAMING: Si
JACK STUDS/HEADERS !
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JACK POSTS/MAIN BEAM t �,
FIRESTOPPING ;,
WALLS
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F I R EWAtb& S �
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INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
1
REMARKS j1
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lelen
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ARRIVE
E ART
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
LOCATION
DATE PERMIT # 91 bJ()
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YESI NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
o 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: I ,
JACK STUDS/HEADERS I i
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAMI
�(FIRESTOPP ING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTY RIOR R-
FOUNDATION WALLS EYE R-
FLOORS R-
WA LLS R- c
CEILING R-
DUCT WORK OR PIP NG IN�UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
INSP OR
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 ,S/b PERMIT #
TYPE OF STRUCTURE—
RECHECK APPROVED
N/Al YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING o
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE ( >`
FOUNDATION/DAMPROOFING f
BACKFILL APPROVAL t
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: 1
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS '
JACK POSTS/MAIN BEAM41
FIRESTOPPING
WALLS
CEILING 7 ;
FIREWALLS d
ATING ROUGH-IN/
NSULATION: j
FOUNDATION WILLS INTERIOR R-
FOUNDATION°YALLS EXTERIOR R-
FLOORS ! R-
WA LLS R-
CEILING / R-
DUCT WO K OR PIPING N UNHEATED
S PAC ES /
R EMAR,KKS
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ARRIVE 1(,30
DEPART
INkPACTOR
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