97-433 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date September 4 19 97
V
) . 1) (Yi 10
This is to certify that work requested to be done as shown by Permit No. 97433
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
LOT 9 GENEVA DR.
Location
Owner
MATE, LARRY
TAX MAP NO. 120. -1-1 . 14 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 60000 TOWN OF QUEENSBURY No. 97433
TAX MAP NO. 120. —1-1 . 14 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to CLUTE , LARRY
OWNER of property located at LOT 9 GENEVA DR. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWFT.T.T1Ta
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
13 DAWN RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
CLUTE ENTERPRISES, INC .
3. CONTRACTOR or BUILDER'S Address
13 DAWN ROAD
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE , NY 12836
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( )Wood Frame ( I Masonry ( ) Steel ( 1
7. PLANS and Specifications
1008Neq ft SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
120 August 1 19 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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 August 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY
p ) for the Town of Queensbury
� . V���
Building and Zoning Inspector
711, Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
-O BUILDING & . CODE ENFORCEMENT _
NOTICERequirements prior to issuance r r 1 of this permit: PERMIT FILE NO. 9j�[�'1 33
A permit must be obtained before
beginning construction. No inspections - / /`� n O
ZoningBoard Action PERMIT FEE PAID$ / 9O.
will be made until applicant has received In
a VALID BUILDING PERMIT. All • Area /Use RECREATION FEE PAID$
applicants' spaces on this application
MUST be completed and•the signature n Planning Board Action •
REVIEWED BY:
raid-
of the applicant must appear on the SPR / Subdivision /Other
Building Inspector
application form. Thank p. J Recreation Fee Payment ` -
Applicant: LC( `'t. LL2. C eie Owner:
•
Address: �'S Oa.w.... Address:
1'hono # D-VVC )icia .. n?J.1? Photi # ( ) •
Properly Location: w-4- 4 , 'j�t� / , 1 .
��^^ r- \ Tax Map Number /—J 9
Subdivision Name: I e,,N.0cJc� 5 �ira..1...S — Section Section Block Tnt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Bu. . e . - : . CONSTRUCTION: $ GC) o,Q
-sidence a commercial
Addition to :uilding: _�--- " , --
residence / commercial OCCUPANCY INFORMATION: - '
Alteration to Building: Vary Building -
residence / commercial Single `Family DwOing
ya�9
Residence / Commercial Two Familue'1`�ing .'
no change to exterior size . Family pwe;llingy
�� -'
• 0 f f i cue 1`�`:,�,`R
Other Work (describe below) Mercant\ile>>_
Manufacturing
•
Other
GROSS AREA OF PROPOSED STRUCTURE: 420
C� sq. .ft. If ADDITION, what will use
1st Floor 2nd Floor sq. ft. / ¢�of new addition be? :j /A
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS: 1"-D'O✓%- '-
• Detached Garage 1, 2 car
TOTAL FLOOR AREA: 4.- \oO' SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building ,
FEET X 3 FEET Other
•
Foundation Type: .� `o" Will any second-hand or ungraded
Number of Stories : t_ :5 lumber be used? If so, for what?
(habitable space only) �—
Height (grade to ridge) : 19 feet TYPE OF_ HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which = ' 4 i s)
to be installed: ' 46 Elect ' _Qil / Gas '/Wood
ced Hot Aires :a: -board / Other
Person responsible for supervision of work as regards to building
codes is : L� �' S,.. �. -7ct 7D77-7
Name Addresss Phone
l Builder:
Plumber: C t C1 _c- 2
9 Mason: ,r�
Electrician: C, Or, � C T .h. ?c?d S .
5 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 roposed work shall be complied with, whether specified or noted, and
that such work is aut tzed b 11 the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Oc pancy'or Certificate o mplianc eing issued, an AS BUILT PLOT PLAN by
a licensed's eyor; drawn seal , s wing ctual ation of project on premises.
Signatu e:
(owner, o er's agent, architect, contractor)
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury Permit No.
Dept. of Community Development
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
L
Location of property for installation: V dt
Property Owner's Name: L c s
Property Owner's Mailing Address: VN. D
Installer's Name: CUP_ -�c� 5 r� , Phone # + -7.21 -
Number of bedrooms (if residential): Total daily flow: 3 O 7..)
(residential - compute (0 150 gal./bdrm.)
Topography: flat, rolling, steep slope 90 of slope
Soil Nature: >i sand, loam, clay, other/depth:
Ground water: at what depth? feet / Bedrock or Impervicus Material: at what depth? feet
Percolation test: X not required, required [rate min. per inch]
Domestic water supply: municipal, well,
If domestic water supply is a WELL, water supply from any sec absorption is feet.
PROPOSED SYSTEM
Septic tank: kZ70 gallon (minimum size: 1,000 p.1.)
Tile field: each trench 5o feet / Total system ieigth: C-000 feet
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: # . / depth or tbickzess feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
CA15ra1 system and associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code of Town of Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any mated misrepresentation or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be vain
I have read the regulations with respect to ' application and br these and all requirements of the Town of
Queensbury Sanitary Sewage Disposal
Signature of responsible per n: Date: —7 : l5?
�`c-z'• .ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS '
Comoliance 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:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
•
1 . Gross Floor Area - �00"8- • square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically. cooled? Yes _ No
4 . Percentage of area of windows and doors Over 17% >nder 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
- a . Roof R v�c�
b . Exterior walls R \9
a . Glazed areas R
• d- Exterior doors ' R 0.54-
e . Floors over unheated spaces R
f . Edge of slab on grade (heated building) R
g_ Basement/cellar walls (above grade) R tq
h . Basement/cellar walls (below grade) R ti
i. Heating/cooling-ducts-piping in unheated space R . 44.5""
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code TY Yes. No
PERATURE CO•P -OL • ' IMUM SETTING 1400 = WILL NOT BE EXCEEDED
A• • is 's • ' • •r= D to Phone Number
/INSPE TOR'S REMARKS:
•
TOWN OF QUEENSBURY
--,�f BUILDING & CODE ENFORCEMENT
'i# 742 BAY ROAD
� QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: IN
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPEC I N REQ EST RECEIVED: C —G
NAME 111
LOCATION oLe4MO
DATE \ PERMIT / �'� I ♦J3
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
DECK/PORCH/STEPS/RAILLNeS
i
RELIEF VALVES
FURNACE/HOT WATER OPE• 4TING
• INTERIOR TRIM/PRIVACY IOORS
FINISH FLOORS:
BATH/KITCHEN WATER' GHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
'''' '-'33'' '.)1.- ../CD°
,,,/o _ TOWN OF QUEENSBURY
.4y BUILDING & CODE ENFORCEMENT
,i# W 742 BAY ROAD
fr� � QUEENSBURY NY 12004
(518) 761-8256
ARRIVE: *S.:d-6 DEPART: W2 INSP:
ZZff!!//
FINAL INSPECTION REPORT - RES NTIAL
DATE INSPECTION REQUEST R CEIVED:
NAME
LOCATION (1 `'
DATE C% 3 9-1 PERMIT 1 ( /�j 33
TYPE OF STRUCTURE 6 .0
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
- N/A YE r- NO
CHIMNEY HEIGHT/IPVENT/1 EI T
PLUMBING VENT
____,_)
r ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILING
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 : ///r////1/
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING i /
POO LOSE S ("
FINA 0I AL 064-5
SITE PLAN/VARIANCE REQ. iFINAL SURVEY PLOT PLAN
OK TO ISSUE / OR C/C
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 9 7.-y3j3
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. ``Cert. 4.418 2 Cut-in Card No.
Owner Z./2�V.
- 1
Occupant _ /'
Location LD ( 7 G d / ` �4�"`'er-A�'tC
Install'tion Consisting of e2 i. 1 61 ���� e / L
:P ry,, -F '1..4/ -nc..i.e
Installed By , 46- e5 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 making inspejg. at any time, and if its
rules are violated,the Company shall have the right to revoke i e rtifi
Date. , 43
✓4 2 INSPECTOR. f
Member N.F.P.A.,I.A.E.I.
` . µ TOWN OF QUEENSBURY `30 9L3
BUILDING" & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION .
NameNic " J
Location C> CT+ t
Date Z`j Permit #� s/ -- L/33
SOIL TYPE Sand-Loam-Clay-
Results of Percol .tion Test-
(if applicable) "R: - Minute/Inch
TYPE OF SYSTEM.
ABSORPTION FIELL. ..1 Length 7(-6
Length of each .tren 1 ll c, cn' -
Depth of trenches 1_
Size of stone
SEEPAGE : Number-
Size . x f
Stone size
PIPING: Size Type
Bldg. to Tank /-!"ar-L tiD
_Tank to Dist. Box _ 4{
Dist. Box to Field/Pit L%t�V c.
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank V7) feet
Foundation to Absorption 7_�� feet
Separation of Pits — feet
Conforms as per Pl of T anD yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front Imalrlattlai
COMMENTS:
•
SYSTEM USE APPROVED: ES N0
Arriv
Dep. ted iiitieb
Ardita. A 6 A
Building ' •ecto.r
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)„..3 \Oo OrY) (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR- DEPART L INREQUEST FOR INSPECTION RECEEIIV D: _ i.1\ C� !
NAM Z J \�C\
LOCATION ,57-_. ; S"C` �k
DATE L '' PE IT
TYPE OF STRUCTURE:
RECHECK APPROVED
/-/-/:1) N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RE ONSIBLE FOR
PROVIDING PROTE TION ROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE -,___
FOUNDATION/DAMPPROOFING - _
$ACKFILL APPROVAL
?LUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING: •
.JACK STUDS/HEADERS
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HiAVNG ROUGH-IN
iNSDLATIO
_FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS WALLS
CEILING R-
CEILING R- 1
DUCT WORK OR PIPING IN
U:HEATED SPACES R •
-
'4a0 &A) — a(< -
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
,� l
INSPECTOR'S REPORT: ARR,�, EPAR � INT1,�
REQUEST FIR INSPECT IONc�R ��C,EIVEDD:- 1,3~C 7
NAME P O \ C1� �
LOCATION •
PIMA IrkrtS jo/
DATE% 13 --97 . cPERMIT A / 11;33
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES _ NO
FOOTINGS/PIERS
MONOLITHIC POUR F
REINFORCEMENT IN PLA
THE CONTRACTOR-I SPONSIBLE FOR
PROVIDING PROTE TION ROM 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
IR 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-
3 F'fl/- (518) 761-8256
n1.
TOWN OF QUEENSBURY (0110'
BUILDING & CODE ENFORCEMENTr
742 BAY RD., QUEENSBURY NY 12804 "A
INSPECTOR'S INSPECTOR'S REPORT: ARR DEPART'" INT�
REQUEST OR INSPECTION RECEIVED: g-1 3--c
NAME 1
LOCATION l ��JY U�,1•�
DATE 7 PERMIT' A CAT— (4
TYPE OF STRUCTURE: `��(—)
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS o _
� a
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO IH FOR
PROVIDING PROTE TION FR M FREEZING
FOR 48 HOURS FOLLOWING E PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING -
BACKFILL APPROVAL
PL MBING VENT/VENTS IN PLACE
OUJGH 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
i
'' 0110
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPARTq 4 �I,NT
REQUEST FOR INSPECTI �EACEIVED�yy �J -1 )
-97
NAME r Y` ��✓�/\X�" QC�
LOCATION Ge_ ` ' ��1 �
DATE 8-4 3-9 PERMIT 1n-7 -1 3
TYPE OF STRUCTURE: SS�
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLA
THE CONTRACTOR IS RESPO LE FOR
PROVIDING PROTE TION FR M FREEZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUR OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING -
PLU BING �UNJD�,EpR�®SLA/B�,� /y _ . •
RAMING: �// K i6V5.4- 6%14JL1
JACK STUDS/HEADERS
BRACING/BRIDGING ` ._�_
JOIST HANGERS _
JACK POSTS/MAIN BEAM vi
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-
61/ 71 - (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT J.
742 BAY RD., QUEENSBURY NY 12804 r* `
INSPECTOR'S REPORT: ARR� : DEPAR - fr
REQUEST F±R INSPECTION RECEIVE : —, 1IP
NAME !I e Y}l Q i� 9 , / . �j
LOCATION I 4 ( 'v\\NY ``�1\ ` J
DATE PERMIT f - -L/
33
;11r7
TYPE OF STRUCTURE: ,,R? T
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 FOLLOY(ING THE LACE-
MENT OF THE CONCRE
MATERIALS FOR THIS P44), PO E OAT SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FO DATION/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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURYR NY 12804 • • `
INSPECTOR'S REPORT: ARR ;V.6DEPARa INT C-02
REQUEST FO IN PECTION RECEIVED: 117
NAME `11.k y r‘5\ '
_LOCATION q-Cre/v.QLJz1 i111>
3DATE 5 �i -P / P IT A 9 7 _ t3
TYPE OF TRUCTURE: 5VT)
RECH K _ APPROVED
N/A YES NO
�POOTINGS/PIERS .�_
MONOLITHIC POUR F RM
REINFORCEMENT I PLACE 07_*---.
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 _
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-
\f AN 6
TOWN OF QUEENSBURY
i FIRE MARSHAL
QUEENSBURY, NY 12804
' (518) 761-8205
. FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 7 'a-S
l
• NAMEq \S Voy--- 1.0-PA
LOCATIONCNC , DruP-0YRS Cif ArYVVOAllik
DATE PERMIT #-'cs0c17 q.--7-4.)-4?
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS /--' ,‘ .2 .-,4/2-570-9 ✓
EMERGENCY LIGH I y
- VFIRE EXTINGUI"HERS //v_ , 7
AUTO. EXTINGUISHING SYSTEM •4
HOOD INSTALLATION /
AUTO. SPRINKLER SYSTEM ./!
ALARM SYSTEM ✓
INTERIOR FINISHES ✓
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE ,/
CHIMNEY /
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
e' d/ t‘ 7 4-Or)Z V/9p7
% i.
/-1 ) ehre
1r
INSPSLIP.PUB NSP TOR
_-
r
' cation , : . ; JUL 2 9 1997
... , ..:. 1 1
I —
50
- Zoning Administrator
I TOWN OF GUEENSBURY
3
1
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