97-324 CERTIFICATE OF OCCUPANCY
• TOWN OF QUEENSBURY
• WARREN COUNTY, NEW YORK
• Date October 31 19 97
,
This is to certify that work requested to be done as shown by Permit No. 97324 •
has been completed.
RESIDENTIAL ADDITION
This structure may be occupied as a
I 5 PERSHING RD.
Location
Owner WO0f,EV, ( LARK C . III
MA NO. 114 . -2-26 By Order Town Board
TAZ P
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 100000 TOWN OF QUEENSBURY No. 97324
TAX MAP NO. 114 . -2-26
WARREN COUNTY, NEW YORK
WOOLEY, CLARK C . III
PERMISSION is hereby granted to
15 PERSHING RD. Street, Road or Ave.
OWNER of property located at
in the Town of Oueensbury,To Construct or place a RESIDENTIAL ADDITION
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.
11Tffiffinliefg RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
HORNING, LEE
33FN.3FSEI,cari pr Bl Rfi S Address
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
NEW YORK BOARD
5NtIPF5gESI nD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X) RESIDENTIAL ADDITION
( )Wood Frame ( I Masonry ( )Steel ( 1
7. PLANS and Specifications
928 SI;l0FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ADDITION
72 June 27 99
$ 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 Queensbury before the expiration date.)
27 June 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY r (�`��- for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
Town of Queensbuiy - Dept. of Connnunity Development, 742 Bay Ro , iii,•-rsbur y-" 28I f761-8256]
N
o BUILDING & CODE. ENFORCEM N " (' %erg
NOTICE • Requirements prior to issuance rr �j
A permit must be obtained before
of this permit: J A t� /NO. q7—3,/:
beginning construction. No inspections TCVal z r �' p,��
will be made until applicant has received n Zoning Board Action BUILDING-Alp�,: Gv uis$ _
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE P• D ''
applicants' spaces on this application
MUST be completed and•the signature n Planning Board Action REVIEWED BY:
of the applicant must appear on the
\aPPlieation form. nix N„, SPR / Subdivision /Other /Building Inspector IIG J
)Recreation Fee Payment y,
Applicant: 6 Lt Ste*/ Owner: G(iie'ti� s )G�t. W'(�(�(
• Address: 4 0404 9r cop 1P44' gelAddress: I'✓ 19 ✓N) l tab &Al.
Phone # ( 51U ) 5 - - e Phone # (S/P ) 1 . - i' lt,'
Property Location: 16 4i JCP O. 6V 1Swz •
-
]I� / 2 / 2!
Tax Map NumberSubdivlslon Name:. �Okh �, _ _
Section Block Tnt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ /(� 0�, 0D
residence / commercial - /
X Addition to Building:
esidence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial x Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size . Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor A ;� sq. ft. If ADDITION, what will use
of new addition be? :
2nd .Floor .4. .2 sq. ft. Ip�
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
4, Detached Garage 1, 2 car
TOTAL FLOOR AREA: " 4• ell t SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
140 FEET X 21 FEET •
Foundation Type: Gl I Will any second-hand or ungraded
Number of Stories: 2 lumber be u ed? If so, for what?
(habitable space only) f '
Height (grade to ridge) : ig, feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle• all which appli s)
to be installed: ►4J{. Electric / Oil / Gas //Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work ap regards to.IAfllt building,
codes is: CAWS •akke9I4 AGFNI g PM ' ' SG�4Z G*' Ail :bO3.00?7
Name Add es s shone
Builder: 1 4 II.J&► s rk pi7. SC1F- ' t'l Dze"i
Plumber:
Mason:
Electrician:
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 Uwe shall submit prior to a
Certificate of Occupancyor Certificate of • ompliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, sho g actual location of project on premises.
Signature: _ , _ `�i�� _
(owner, owner's .-�nt1� contractor)
7.
• JUN 11
• ENERGY CODE COMPLIANCE APPLICAT 0���
- ' T0WN OF QUEENSBURY, WARREN COUNTRY'-•-- -Y-±\iC. CODE
• 9000 HEATING DEGREE DAYS
Comcl i ante Methods : PART 5 - Acceptable Practice Method -
l&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:
G/ 1ibr5 -104-1.coA 16 p' .i d q go& 6zI•,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - flzb • scuare feet
2 . Type of Heat - Electric Oil X Gas Other
•3 . Is building mechanically cooled? Yes X No
4 . Percentage of area of windows and doors Over 17% X Under 17%
5 . ?-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof • R 3v
b . Exterior walls R II
c . Glazed areas R •2
d. Exterior doors ' R ,3
e. Floors over unheated spaces R
f. Edge of slab on grade (heated building) "R �-
g. Basement/cellar walls (above grade) R jO
h_ Basement/cellar walls (below grade) R 10
I. Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code • Yes. No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Applicant's S
• ature Date Phone Number
tl//Q,777 s�3- 7
INSPECTOR'S REMARKS:
- ,
-4•.?. ..1,4:-1...-K.•,....!•:".•:.L.st!..),4:...k.ne,(.:).7 ...$)_no,p,p,,, ,,.,.:4-s,...pyl:•.1".1:AtkocAtizAcAl.=.3.,. .4:),,v),,,,z.ege,Q.1-.9.4:-I, •:)_,...••pAP.,.•Qvg.•,-.,...ti_•:)_.n..1..„1::%.„2.os.4:.),•..,::.0.);.1..T.g...t,,,:t:.!-_0,..c.In•ks_u_n). :),.. ,&)_••.4p,_•_4:.,_,•./.4„
••,,• fr
-, .-5•••
THE NEW YORK BOARD OF FIRE UNDERWRITERS
i..4 8067722 BUREAU OF ELECTRICITY o--
,c.
,
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 :-
'-c Date NOVMDDED 03.,1997 Application"orrfil 0 '1,:,.'.41:55697/(.-I! 1-1 .(.456(-..:0
l?.
1!<; THIS CERTIFIES THAT l'FIPIIT T :40. 97--•:-!,:"11
r)-
tO only the electrical equipment as described below and introduced b li med on the above application number in the premises of .,-.
14' 1)4
CLARE HHOORY, 15 PURE4-11HG. QUEgHSBUkY11.7-. 9-
!).:.
6 in the following location; E Basement E 1st Fl. gi 2nd Fl. Section Block Lot
t.. .),
it was examined on 01rOBER 2.9,1 -.497 and found to be in compliance with the National Electrical Code. oi
ii: 04
-4 ,...
to FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
RECEPTACLES SWITCHES
OUTLETS INCANDESCENT.FLUORESCENT OTHER . AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.
r-Q •P.
.-r.• r. 3 I'
s'‘, • l'it
..-• DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
IA SYSTEMS gli-1
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. ANT. H.P. NO.OF FEET AMT. WATTS ,>..
, I . ,,...
SERVICE DISCONNECT NO.OF
.-, S E R V I . C E
--c, METER A.to AM W.G.T. AMP. TYPE EQuip. 1 A 2W 1/if 3W 3$3W 3 ill 4W/ NO.OFpEiCe.COND.
OF CC. NO.OF HI-LEG
OF HI•LEG NO.OF NEUTRALS
OF NEUTRAL .,.-
W r>-
,>--
i(o OTHER APPARATUS:
,-0 MOTORStl-F 11,F.
-•:. •
,)--
SMOKE DTECTOR;-6
-Q . .>...!
4 ' o,•••,•
to
-<, —
.).-
'•('. .......•.1/4 . 6..x-...... , ..
..., .>1
.....•1: r./ .
ib,sC: . IV a
t:. if. .11111;.!:i,;,/,..:F. .:41:: •_.1.,:. .,... :-..
--<.
lk . f:77:P.,,•1* 1 • L
1417,.innI,00 tairorfur 6z. Plit.Aii:R1 • .1-,4 „s.,•,. . •
klAION :AVEI 71; "..•!'„...:!....617,",. I.
,!!t:
4:•,‘... i h.ae• •GL3 ALLsM , 1 .. .. (•iit ... - c .g ., GENERAL MANAGER
‘,...L... ...1..!.: ,
2j9 .Y•
r. -:-..1.: ik.gt
.
-1 - ;1 . 7.• '''_• - ''' /Z1 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.
-i--4.i-,--1-.;-ci .1.--;s-i•i',:i '-',C-7 i-i",--1.1-7'7ri i-i i-.?il i-7 c-i"i-i i-i' 'i•i"?i-i i';?T'i i.'.'-1•:•?i'i'?,i.id .-1-:Y i---i.i-i i-i-7c.i'?:?.c 'CY Y,Y'(;fry',I?vr--i-i,50.'.-,•i---.:i•e-s':;-(i-i-i-.)7,T5T:i•'ci-i-7',...:?..-ci-COPY FOR FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Vil
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256
Building &Code Enforcment Arrive: \1�rn Insp.
Dept. of Community Development
Town of Queensbury Date Inspection Request e4ved: \ia +9 7
742 Bay Road t
Queensbury, NY 12804 II
NAME IA)C z`-l 6'�J e . f PERMIT NO -_ -3'
LOCATION • IS'4-Stek- DATE 1 0 l -7
TYPE OF STRUCTURE r a- ce.,_6 ts---. "�rrt. .
(Ec1 .� �'l�t 1�i "
N/A YF-S NO COMMENTS
- )‘\1/
Chimney Height/"B" Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent Throu:h Roof
Roof Complete J
Exte 'or Finish ' ompl:tet1 Interio xteri. Railin s 30" to 36" - v//
Exterior ':a.j ails, B. conies, Landing 18 in. or more 1
Interior Han. ails Stairs Both Sides 3 or More Risers
Grade 2% • ay From Foundation /
8" Clearanc To Sill Plate .f
Gas Valve ::hut-Off Exposed/Regulator 18" Above Grade V
Gas Furna,a Shut-Off within 30 Feet or within Line of Site
Oil Fu • e Shut-Off at Entrance to Furnace Area �`
Furnace. of Water Heater Operating �'-'
Relief ' alve(s) Installed
Head oom 6 ft. 6 in. On Stairs V
Basement Stairs 6 ft. 4 in.
Handrail Exterior Stairs Both Sides More Than 3 Risers
Interior Privacy/Trim/Doors/Main Entrance 36"
Floor Finis 1 /�
Bathroom _: - Watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing Across Window in Stairwells �'
Smoke Detectors:
every level fj
every bedroom pE) 7
outside every bedroom
inter connected
Bathroom Fans
Plumbing Fixtures
Foundation Insulation
3/4 Hour Fire Door/Door Closer V f
Garage Fireproofing
Garage Penetrations Sealed /
Furnace In Separate Room Protected (In Garage) V
Light Ventilation Per Room ��/
Safety Glazing 18" or Less From Floor V i
Final Electrical
Site PlanNariance Required
Final Survey Plot Plan .;�/
As Built Septic System Layout Req.
Okay to Issue Wrfirr C/O
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 `�r /.
INSPECTOR'S REPORT: AR/� ' ��DEPART/0-.,%"IN'I'V
REQUEST FOR INSPECTION RECEIVED:
NAME
LOCATION ,4,,•c/oar. , ( '�,}
DATE 0/q7 PERMIT A ( 7
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE; -
THE CONTRACTOR IS RE'- •• FOR
PROVIDING PROTE TION F REEZING
FOR 48 HOURS FOLLOWING 'HE 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
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
cee; C . �
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 011i .
742 BAY RD., QUEENSBURY NY 12804 S •
INSPECTOR'S REPORT: AR • TEPAR `°J N(
REQUEST FOR IINSPECTION RECEIVED:
NAME WO OA 0
LOCATION &Alf4:11/6 g4-
DATE 4/( 7•7/ 7 PERMIT a 9/ - 21
TYPE OF //S R CTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR F .
REINFORCEMENT IN LACE
THE CONTRACTOR RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS F LLOWING THE PLACE-
MENT OF THE C'NCRETE.
/
MATERIALS FOR THIS PURPOSE ON SITE _
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
$ACKFILL APPROVAL
UMBING VENT/VENTS
o IN PL E
OUGH PLUMBING Ail-il- L G -
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
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPART' INTOPX'
REQUEST FOR INSPECT ON RECEIVED: " a7`�9
I
NAME LJ cx-) * . 1�p�V lJet;
_—
LOCATION 1 09\GY w
DATE g7- PERMIT A�TYPE OF STRUCTURE: J 1 J a l( �' irn
dB
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM )4100011;)
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWINi,/ THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS/ 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
A/I,R INFILTRATION BARRIER _
/f{E ING ROUGH-IN -
/ NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R- .
WALLS R
CEILING R-
DUCT WORK OR PIPING IN
UNHE ED SPACES R- •
P/Lu8) 761=8256
TOWN OF QUEENSBURY tyr •
BUILDING 6 CODE ENFORCEMENT •;'•
742 BAY RD., QUEENSBTY ' r 28V12` =�-.max '•^,�;.*
INSPECTOR'S REPORT: A'.:+'7a DEPAR w-0NT JA
REQUEST FOR INSPE ION RECEIVED:
NAME OD e
LOCATION S G �}
DATE �}' v� 1-7 ERMIT fl %J _(5cL
r, n
TYPE OFS RUCTU E:
RECHECK ; APPROVED
,V N/A YES NO
FOQTINGS%PIERS 4
MONOLITHICC POUR FORM I
REINFORCEMENT IN PLACE
THE CONTRA TOR IS RESPONSIBLE AR
PROVIDING ROTE TION FROM FRE ING
FOR 48 HOU FOLLOWING THE P CE-
MENT OF THE CONCRETE.
MATERIALS FAR THIS PURPOSE N SITE
FOUNDATION/W thLPOUR •
REINFORCEMENTS IN PLACE
1
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
&UGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS FADERS
BRACING/BR DGING
JOIST HANG RS
JACK POST /MAN BEAM
AIR INFILTRATION ,:ARRI
HEATING ROUGH-IN
INSULATION:
FOUNDATION ALLS INTERIO R-
FOUNDATION ALLS EXTERIO R- _
FLOORS R-
WALLS 2t-
CEILING R\-
DUCT WORK OR PIPING IN
UNHEATED -PACES R-
t V g
(518) 761-8256
TOWN OF QUEENSBURY '
4.
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 "•.,y„>,;,t';`e;.,•
INSPECTOR'S REPORT: ARR DEPAR r 0INTV
REQUEST FOR INSPECTION RECEIVED:U
NAME IiLJ0GL .--y
LOCATION / -- P 1 / co / 'do
•
/4-7
DATE 6/`/ PERMIT A ?7 -26-2"�
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN P -
THE CONTRACTOR S " •'.NSIBLE FOR
PROVIDING PROTE ' i4 -OM FREEZING
FOR 48 HOURS FOLLO ING THE PLACE-
MENT OF THE CONCRET,..
MATERIALS FOR THIS P RPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE )_ _f
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
OUGH PLUMBING
LUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _ - yr
•
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- • .
0-4 (518) 761-8256
TOWN OF QUEENSBURY '
•
BUILDING & CODE ENFORCEMENT «
742 BAY RD., QUEENSBURY NY 12604 xfC7 "Li
INSPECTOR'S REPORT: AR*' DEPAR__ " "INT V1Q(.-
REQUEST FOR INSPEWTION RECEIVED: ` ��
NAME U�UO (
LOCATION ( ��� 4
DATE PERMIT 9117-5,)-"/
TYPE OF STRUCTUR. /1i
: %ilL P C
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FJ
REINFORCEMENT IN ACE
THE CONTRACTOR I RESPONSIBLE FOR
PROVIDING PROTE T N FROM FREEZING
FOR 48 HOURS FOLLO ING THE PLACE-
MENT OF THE CONCRET .
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
C tR 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\fl\-14\(W-e.---
(518) 761-8256
TOWN OF QUEENSBURY /1 '
BUILDING & CODE ENFORCEMENT "-' '-�,
742 BAY RD., QUEENSBURY NY 12804 4
r,
INSPECTOR'S REPORT: ARROODEPART I.. i� �
REQUEST FOR Zt7SPECTI N RECEIVED: A
NAME 0 n Q )• J ,,.
(5cO n� ,
LOCATION N. (..7`\;)
DATE 7--D.2j- PERMIT A L/
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR I RESPONSIBLE FOR
PROVIDING PROTE ION FROM FREEZING
-'' t
FOR 48 HOURS FO OWING THE PLACE-
MENT OF THE CON RETE. •
/
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUND ION/DAMPPROOFING _ -
% CKF-ILL 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
742 BAY RD., QUEENSBURY NY 12804 ;g r i,,"
INSPECTOR'S REPORT: ARR/a DEPART T
REQUEST
)FO� INSPECTION RECEIVED: 7 iS `4i 7
NAME J/4jooIe
LOCATION 3
DATE • PERMIT # l'
TYPE OF TRUC URE:
RECHECK APPROVED
N/A YES /- NO
9470TINGS PIERS ��//
MONOLITHIC PO R FO
REINFORCEMENT N P ACE
THE CONTRACTOR I RE NSIBLE FOR
PROVIDING PROTE ION FROM FREEZING
FOR 48 HOURS FO ONING THE PLACE-
MENT OF THE CON BETE.
MATERIALS FOR T IS 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-
of,Li
(,) herc: �
(2? �1
(518) 761-8256
3 t
TOWN OF QUEE SBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 , _
INSPECTOR'S REPORT: AR 2.5 DEPARTS ': (,� `INT )I
REQUEST FOR I PECTION�RECEIVED• r
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NAME 0 Q� '� CS'Q�OA 1/(
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DATE � �1 V� L� PERMIT A , -v��
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TYPE OF STRUC URE: rr
RECHECK 4} APPROVED/
t N/tA YES f NO
LaTINGS/PIERS 0(CA C'� •:� !6
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MONOLITHYC POUR FRM k -
G REINFORCEMENT IN P,ACE ,,•,I'rJ�
THE CONTRACTOR IS RESPONSImLE FOR
PROVIDING PROTE TIOf FROM!FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE°i
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR r'-4'
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REINFORCEMENT IN PLACE f---
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411
FOUNDATION/DAMPPROOF.ING It
If
BACKFILL APPROVAL .'' /1 _
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING '
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING 1
JOIST HANGERS i
JACK POSTS MAIN BEAM k
AIR INFILTRATION BARRIER
HEATING ROUGH=IN _
INSULATION°
FOUNDATIOI WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS 1 R-
WALLS ( R-
CEILING ,i R-
DUCT DUCT WORK OR PIPING IN
UNHEATEDPSPACES R- •
.