97-322 . CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
• WARREN COUNTY, NEW YORK
Date September 5 19 97
3 I tag." a
• This is to certify that work requested to be done as shown by Permit No. c . '
has been completed. •
•
This structure may be occupied as a
SINGLE FAMILY DWELLING
.52 CLEMENTS RD.
Location
Owner SEVERENC_E. RANDOLPH &
By Order Town Board
TAX ICaP NO. 27 , -3T 1.. 4
OWN OF QUEENSBURY
!A
D rer' of r of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 90000 TOWN OF QUEENSBURY No. 97322
TAX MAP N0. 27 . —3-1 . 4 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SEVERENCE, RANDOLPH &
OWNER of property located at 52 CLEMENTS RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLING
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.
t eftsYSA116415JENKINSVILLE RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
HOME STORE OF GLENS FALLS
3.9CONIRACTOROADILDERS Address
QUEENSBURY, NY 12804
4. ARCHITECTS Name
COMMONWEALTH ELECTRICAL AGENCY
5PtR C,1;1j,EETiCtiSOPyddress
HAAGUE, NY6b 12836
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
1008 U. FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
120
$ PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 99 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.)
1 July 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury 7-30ZR
Permit No.
Dept of Community Development
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: (,,L..' a�' � o
Property Owner's Name: C. 1\1.{ ( ANT) RASO PSe)
Property Owner's Mailing Address:
Installer's Name: "112 Phone # bSo2/2411
Number of bedrooms (if residential): — 3 Total oily flow: 45a
(residential -compute @ 150 gal./bdrm.)
Topography: V flat, rolling, steep slope T of slope
Soil Nature: V sand, loam, clay, other /depth:
Ground water: at what depth?4 feet / Bedrock or Imperious Material: at what depth? _ feet
Percolation test: V not required, required [rate rain. per inch]
Domestic water supply: municipal, Voi well, ccher
If domestic water supply is a WELL, water supply from any tic absorption is feet.
PROPOSED SYSTEM
Septic tank: 111 gallon (minimum size: 1,000 gal.) JUN 6 1997
SS TOE ds4 (.}
Tile field: each trench feet / Total system''ngth: � tfet � �'`'jt,' ' U'�1�
coot
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: # / depth or thick—ems. feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
r �
`Alarm system and associated electrical work to be inspected y a agency. •
For your protection, please note that pursuant to Section 136-29 of the Code cc the Town of Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any materal eesentation or failure to make a
material fact or circumstance known by or on behalf of an applicant;shall be
I have read the regulations with respect to this application and agree to aide lv these a d all requirements of the Town of
Queensbury SanitAry Sewage Disposal Ordinance. •
I
Signature of responsible person , i�9, 0 Date: (Odd 0(C l
...
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 (761-82561
INOTJCEJ'O BUILDING & .CODE ENFORCEMENT
- Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO.- 7
beginning construction. No inspections ) O O
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ /Q2C/,
a VALID BUILDING PERMIT. All • Area /Use
applicants' spaces on this application. RECREA770N FEE
MUST be completed and•the signature El Planning Board Action
of the applicant must appear on the REVIEWED BY.
`pplication form. nk.►l ym. SPR / Subdivision /Other
Bu!!d!n Inspector
Recreation Fee Payment
Applicant: 1 U olis wrote of- . 1! Owner: GI 14.19 Rikimri e..\/
• Address: qb aiNI— PQ BL)11I Address: ( O R1 / T` 1is 140
now # (5b ) 1.I.9," 24-7d. Phone # 9g2. :J
GG��•,, .Apae7
Properly Location: C.L..t t T P—CPAYP
llulullvl�luu Nuutt�l - . Tex Mop Number 3 i \f ,
Nowlin' Monk lid
NATU E OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
!d New Building: CONSTRUCTION: $ 1.O Q2
Fr t
res / commercial '
Addition to Building:
residence. / commercial OCCUPANCY INFORMATION:
Alteration to Building: Pr3.mary Building -
residence / commercial V Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size . , Fami iy DFfe--ling--_._®....��
Office -iC: 1,i
Other Work (describe below) Mercantil
Manufactu ingjUN •�� 1997
Other
GROSS AREA OF PROPOSED STRUCTURE: /
®�� If ADDITION, i�w `L !`illi� usre
1st Floor. . . . . sq. .ft. of new addition be? :
2nd .Floor. . .UNVIN)t,, E sq. ft.
Other Floors sq. ft. ` --
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
• Detached Garage 1, 2 car
TOTAL FLOOR AREA: c• 1(0®`) SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
(pe•0 FEET X �€a'- 0 FEET a Other
N A+
Foundation Type: 10"4.0 (./ eL1c7c,V.. Will any second-hand or ungraded
' Number of Stories: lumber be used? If so, for what?
(habitable space only) Oar
Height (grade to ridge) : '1"® feet TYPE OF HEATING SYSTEM:
Number of fireplaces armiVor woodstove (circle. all whi°ch_.ppli s)
to be installed: �t Electric / O / ia. 11 //Wood
TForcedTHot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is: �.C7 "� ®45j�A -fS la (- e 5-To ? `1941 ,411
Name Addresss Phone
Builder: '1 OF-IS Q62� 191217-x1-1
Plumber: . 4\1*- pl,v- 1 t el '—t917,02 4¶1
. Mason: - 0/01-e c-r6w i'.
Electrician: a
DECLARATION: Please sign below alter 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 BUILT PLOT PLAN by
a licensed surveyor; drawnto scale, showing actual location of project on premises.
Signature: alf24 � - r� .1� •
6).3
wner, owner's agent, architect, contractor)
.
9 7-37),0.
_ . ,,
' ��`z' ENERGY CODE COMPL LANCE
APPLICAT-��
'. 5`4 -TOWN OF QUEENSBUP_�, WARREN COUNTf `sr. _. _ 9000 HEATING DEGREE DAYS '
JUN .16 1997
Comcl lance Methods : PART 5 - Acceptable Practice ..biehod (:", " 1JRY
1&2 Family Dwellinslu'on, �J
PART 6* _ 4J! .ti 11'\)z AND rt%'
Thermal Rating - Comp-off 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: ,7- w 1*
-VIM. 1-1-0114S c.. 1-49274, op it' ,. Gl-rei op-r , 12-obND #21/q t 4.
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
•
1 . Gross Floor Area - I00q7 • scuare feet
2 . Tvo e 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 O
b . Exterior walls R ' 1 q
c _ Glazed areas R -3.0
d_ Exterior doors • R 14
e . Floors over unheated spaces R Nam,
f _ Edge of slab on grade (heated building) R '01r
g_ Basement/cellar walls ( above grade) R R.%1 •
h . Basement/cellar walls (below grade) R R-T-
i. Heating/cooling-ducts-piping in unheated space R ti!
11/4
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 icant's i• ature
P Date r \IVPhone Number
/6E1
INSPECTOR' S REMARKS:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — 11anheim,PA 17545 y7 2 '�
j/MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
( 4702
Paner)Board No.?` Cert. Cut-in Card No.
Owner:;-;. S cZc%Te/b e -
Occupant c/
Location `° -f-f�(YI C A-1 T A2 /) (J../ L +A`/
Install•tion Consisting of �4...1 " e H 3 f,-�Lc 6, `=_(�/ �--,J
Lt) :.a.7° / ij Y --2-e 0 S �I',c
e
Installed By n/t/2-C C--2--E•`C' t Lic.# _
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of maki g insp� ns at any time, and if its
rules are violated,the Company shall have the right to revoke t erttc
Date:..��.�- f INSPECTOR. (TA �—e
Member N.F.P.A.,I.A.E.I. '
ae2. f 0
t .,.�4 TOWN OF QUEENSBURY
.4-4 ���i►x BUILDING & CODE ENFORCEMENT
f it s„ 7421 BAY ROAD
,�nlIN QUEENSBURY NY 12804
l,'„' ` (518)745-4447
q /�ARRIVE: DEPART: ' INSP: ��
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPE//TIIO�N((RR�EQQ�UEST RECEIVED:
�UC%
NAME [ V�•//'A/cl
LOCATION ,
O,CC- px✓TS .o
DATE Fi/J /77 PERMIT # 7/ ` '31Z
TYPE OF STRUCTURE '5p J
FOOTINGS to/FOUNDAT ON BAC FILLFRyAMING Lf
VSEPTIC PLUMBING SEPTIC VINSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YE NO
CHIMNEY HEIGHT/B V, NT/HEIGHT f
N',..D PLUMBING VENT~`` )p/
ROOFING
/7//,
EXTERIOR FINISH 7 DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING ?;//
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS '':///:
SMOKE DETECTORS
BATHROOM FANS f
PLUMBING FIXTURES f /
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL `f
SITE PLAN/VARIANCE REO..
FINAL SURVEY PLOT PLAN //'3/97
OK TO ISSUE C O OR C/C
Og /41 u& % P-5( rAtiltL -e-.& -
i 0
TOWN OF QUEENSBURY
-e 1ftglil BUILDING & CODE ENFORCEMENT
7 -'a: 742 BAY ROAD
QUEENSBURY NY 12804
`F cg.x (I (518) 761-8256
ARRIVE: DEPART: INSP: CIL
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPEC IONR�EEQ/UU-EST RECEIVED:
NAME GF `NC�
LOCATIONN 2isC A) i S /e1`3 •
�7
DATE _ //4//r7 PERMIT A /? -322
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING _ SEPTIC _ INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH •
ECK PORCH ST S RAIL NGS
RELIEF VALVES
FURNACE/HOT WATER OP TING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
4OKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FI L ELECTRICAL
TE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY /:%n%
d .
• .B DING 5 CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804 •
(518) 761-8256
, SEPTIC DISPOSAL SYSTEM INSPECTION
Name %6/(5, /446-5-
Location e c 5 4) .
Date (09h j Permit # l 7 -
SOIL TYP : Sand-L oa -Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: ftal Length .
Length of eacq. t,-
Depth of trenc`
Size of stone
SEEPAGE PITS: Ni ber-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/P'
Openings Sealed? Vil.> No Partial
LOCATION/SEPARATI I
Foundation to Tank /0 feet
Foundation to Absorption — feet
Separation of Pits _ eet
Conforms as per Plot Plan ' No
LOCATION OF SYSTEM ON PROPER ..
(circle one)
Front - Rear - Left Side Right Si e
Middle Front - Middle Rea
COMMENTS:
L L/T /,v L& /,t)S/C, c >
v
•
SYSTEM USE APPROVED: YES NO
Arrived: 8^S'
Departed:
lgei
Building Inspector
TOWN OF QUEENSBURY
BUILDING b CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 4g1M`Kkii(fc--
Location CL C.ae"-3
Date 8 1 C Permit # C '1 ./4)/I'll
SOIL TYPE: Sand-Loa Clay-
Results of P- tolation Test-
(if applicari - Rate-Minute/Inch -
TYPE IF SYS.
ABSORP ' :!� , . 'LD: Total Leng, r _
Length of ea h trench t -J ( �
Depth of tre chested-+
Size of stone '"X
SEEPAGE PITS: Number-
Size
- ft. x ft.
Stone size
PIPING: Si Type
Bldg. to Tank �g � P
Tank to Dist. Box A 69
Dist. Box to Field/Pi a tti
Openings Sealed? No Partial
LOCATION/SEPARATION'.
Foundation to Tank /V feet
Foundation to Absorption Q feet
Separation of Pits eet
Conforms as per Plot Plan 0 No - .
LOCATION OF SYSTEM ON PROPERT
(circle one)
Front - Rear .- Left Side - Ri ht Sid
Middle Front -- Middle Rear
COMMENTS:
•
•
SYSTEM USE APPROVED: NO
Arrived: a `25
Departed: 4Buildi
c
Building nspector
/00 /
TOWN OF. QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 4Lcsr-c /,Az-� c kola
Location —+(ee'►ken
Date 7 / ` _ Permit # f2-
9
SOIL TYPE: Sand- •. -Clay-
Results of Percolation Test-
(if applicble) Minute/Inch
TYPE OF SYSTEM:
ABSORPTI ELD tal Length
Length of each tr nch
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
�
Bldg. to Tank 1 b 0
Tank to Dist. Box $ c'
Dist. Box to Field/Pit u
Openings Sealed? Yes a Partial
LOCATION/SEPARATIONS:
Foundation to Tank ,(9 feet
Foundation to Absorption ( feet
Separation of Pits fee
Conforms as per Plot Plan Yes o
LOCATION OF SYSTEM ON PROPERTY:-
(circle one)
Front - Rear - Left Side Right Side
Middle Front - Middle Rear
COMMENTS:
eo,,Qz 4,v K
SYSTEM USE APPROVED: YES 4
Arrived: t( ` 3s
Departed: ( `
Building Inspector
oak
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY// NY 12804
INSPECTOR'S REPORT: ARR//J//'ffDEPART INT
REQUEST FOR INSPPECTION RECEIVED:
NAME SI— ,V�•lot`, (�
LOCATION JS -- C'�Q:9'10-6 �i'• q�7
DATE ��/ / 1 PERMIT A / /—Sit—
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT I��\PLAC
THE CONTRACTOR IS R ON BLE FOR
PROVIDING PROTE TION ROM FREEZING
FOR 48 HOURS FOLLOWIN 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— •
• 0(0 Lsevod
al)-til671)7)
3 Y (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 t,•.ff'��, ��//�
INSPECTOR'S REPORT: ARR 3-- * DEPART �INT`f�1
REQUEST FOR INSPECTION /REEiCEIVED: IF— ! `-1 OPT)
LOCATION NAME Sj�i'nVnli�/ � \t2e !OPT)
LOCATION 53- C S�CK..v'v\vil
DATE ' —% cA -] PERMIT i pc-) -3
TYPE OF STRUCTURE: `C
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS ,, -MONOLITHIC POUR NIA
REINFORCEMENT IN ACE
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
HEA ING ROUGH-IN
NSULATION: ,.
FOUNDATION WALLS INTERIOR R- 1
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
. '1 "i 3 (TY) (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ' ; ,
INSPECTOR'S REPORT: ARR dJtd DEPART?INT
REQUEST F INSPECTION RECEIIVED:
NAME -�;v /ECV c �p g
LOCATION 20Ink 11 � 11\
DATE ..V- -LT ? PERMIT # c>vi—` 21—
TYPE OF STRUCTURE: ;c- 0
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM I
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIB OR
PROVIDING PROTE TION FROM FR- ZING
FOR 48 HOURS FOLLOWING THE P4-CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOS ON TE _
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _.
ROUGH PLUMBING _
PL BING U R SLAB
JACK STUDS/HEADERS •
BRACING/BRIDGING ��_
JOIST HANGERS ce'/
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 3J/a DEPART
REQUEST FOR INSPECTION RECEIVED:
NAME s UPi p,/G-6
LOCATION C mew /0
DATE 017
PERMIT t 97`3-Z2-
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE ._
THE CONTRACTOR IS 'ONSIBLE FOR
PROVIDING PROTE TI•N FR, FREEZING
FOR 46 HOURS\ FOLLO ING TH. PLACE-
MENT OF THE CONCRE;,, .
MATERIALS FOR THIS P►'POSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACEpe
_.
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 ag 0-0
BUILDING 6 CODE ENFORCEMENT F
742 BAY RD., QUEENSBURY NY 12804 r't16.2 fV'i,,..,,-,
INSPECTOR'S REPORT: ARR 3 1� DEPART INT a
REQUEST FOR INSPECTION RECEIVED: ( /97
NAME `iT!)V��SOJv✓e _ !!ll�G.�R_.
LOCATION f I
DATE s 1 4 / PERM T A 9 7-3 p�
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 PURP S . ON SITE
FOUNDATION WALLP@ R
REINFORCEMENT IN PLA _ �{
FOUNDATION/DAMPPROOFIN
BACKFILL APPROVAL
' PLUMBING VENT/VENTS N PLACE
/ _
/n OUGH PLUMBING
PLUMBING UNDER SLAB _
RAMING• _ rt 1 /
JACK STUDS/HEADERS 17-
JOSINHANGIRSING
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-
•
j !,1 1 /h " 4cni -/sr1. a i`
AV
j;rev,/ 7.4-/cfea-ek 44"
Syr,/ CN �1/ r®o^
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY9 NY 12804
INSPECTOR'S REPORT:REPORT: ARR/I& DEPART INT
REQUEST FOR INSPECTION RECEIVED:
NAME ��JtJ(lr�/l.j
LOCATION p�}� ` (�-t Qn
DATE o �',�� PERMIT A / /^_21
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR 0
REINFORCEMENT IN P ACE
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
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
�J�HEATING ROUGH-IN
kINSULATION:
/_ 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 :; '':
ir
INSPECTOR'S REPORT: ARga..:.?j(DEPART c fy. • i
C
d r"
REQUEST e• INSPECTION RECEIVE . `s
CO
NAME — di • \ , ' 1---' ')�1 ��
LOCATION 5%; 111 V
DATE 7 -t 4-9-7 PERMIT A R1' 1 J li�
--TYPE OF. STRUCT ;RE: -_
is
RECHECK " APPROVED
t i N/A YES , NO
FOOTINGS/PIERS 1 a
G.�
MONOLITHIC POUR FORM P ,
REINFORCEMENT IN LACE `
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TITON FROM FREEZING
FOR 48 HOURS FOLLOIING THEPLACE-
MENT OF THE CONCRE E. 4
MATERIALS FOR THIS URPOSE ON SITE _
FOUNDATION/WALLPOUR /,
REINFORCEMENT IN PLACE!i`
i
FOUNDATION/DAMPPROOFIN/1/Cs
"
ACKF'ILL APPROVAL 1Bi; ll �U1tC - -- - -
PLUMBING VENT/VENTS -oIN PACE
ROUGH PLUMBING Y \ _
PLUMBING UNDER SLAB h
FRAMING: ;�'
JACK STUDS/HEADERS 1
BRACING/BRIDGING %
JOIST HANGERS %
JACK POSTS/MAIN BEAM t
AIR INFILTRATION HARRIER
HEATING ROUGH-TN \ . .
4
INSULATION:
FOUNDATION'WALLS INTERIOR R- 1
FOUNDATION' WALLS EXTERIOR R- 1
FLOORS R- -17—
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN -
UNHEATED;SPACES R-
fq (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRi\"7tEPART ree
REQUEST FOR INS E TION RECEIVED: 7
NAME etiere✓1CCi ae k 6.41//���dy ��j"�3d
LOCATION L,L-'th, *�' i `ee 1
DATE 1 /4 .7 PERRMMIIT 1 / /'
TYPE OF S RUCTURE:
RECHECK APPROVED
_ NIA YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RESP NSIBLE FOR
PROVIDING PROTE TION OM FREEZING
FOR 48 HOURS FOLLOWIN THE PLACE-
MENT OF THE CONCRETE
MATERIALS FOR THIS URPOSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
ACKFILL-APPROVAL ' - Vat - - -
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- L
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
�1
7-.2O 11. 4itt (518) 761-8256
`TOWN OF QUEENSBURY fi
BUILDING & CODE ENFORCEMENT r' ,
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR ', )DEPART 7 C
•
REQUEST FOR INSPECTTI�O/Nf�RnE�CE�IVED: # ir
NAME �_� , l'i TJ r C Mallir !C;10,1&•,
LOCATION AIAlI_ ti5 _ �7�
DATE -$ '9 ) PERMIT i 9-]'3 P-a,
TYPE OF STRUCTURE: 6 FlL)
RECHECK APPROVE
N/A YE NO
OTINGSJ PIERS
MONOLITHIC POUR/FORM , Vi//2/
REINFORCEMENT I,F7 PLACE '� ?
THE CONT CTOR IS RESPONSIBLE FOR
PROVIDING OTF T ON FROM FREEZING
FOR 48 HOUR fcL WING THE PLACE-
MENT OF THE CO BETE.
MATERIALS FOR 1 IS 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-
,r.J.6 THE HOME STORE OF GLENS FALLS, INC.
ttun<le.).
Your Home Authority 95 Park Road
■ Airport Industrial Park
Queensbury, N.Y. 12804
(518)792-2477
FAX(518)761-4647
July 7, 1997
Town of Queensbury Building & Codes
742 Bay Road
Queensbury, N.Y. 12804
Re: Mr. & Mrs. Severance permit
This is to confirm that when the second floor is
finished there will be two bedrooms upstairs and only one
bedroom on the first floor. Bedroom #2 will be converted
to a mudroom.
Sincerel
(,. 0_,U.2.e. 0-6,L
Robert OS rander
RO:ds
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RECEIVED
SEP 0 21997
TOWN Of QUEENSSURY
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HAP OF A SURVEY HARE FOR
TOWN OF G20CePS�rZy COUNTY. N.Y.
SCALE s So' DATE . Q�� . Z 9 , 1,317
vatousen & steves-
LAND SURVEYORS, MDM FALLS, NE9 YM
KY. STATE LIC. NO. 35617