97-457 ft‘,-• • ' .
CERTIFICATE . OF • OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
November 25 97
Date 19 _
gs-• — te7
97457
• This is to certify that work requested to be done as shown by Permit No.
. .
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
LOT 67 -#15 HYDE COURT
Location
MICHAELS GROUP, INC.
Owner
TAX MAP NO. 148. -3-67 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY Na.
VALUE $ 127900 97457
TAX MAP NO. 148. -3-67 WARREN COUNTY, NEW PORK
PERMISSION is hereby granted to MICHAELS CROP-, IN-C .
OWNER of property located at T,C T 67 f?5 HYDE CO*o-R-T Street, Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE ICI-YILY DWELLING.
iG.
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
1810 ROUTE 9
LAKE GEORGE , NEW YORK 12845
2. CONTRACTOR or BUILDER'S Name
MICHAELS GROUP , INC.
3. CONTRACTOR or BUILDER'S Address
JIM CHANDLER, PROJECT MGR 1810 ROUTE 9
LAKE GEORGE, NY 12845
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
SI�TCjLE FAMILY DWELLING
( )Wood Frame ( 1 Masonry ( )Steel
7. PLANS and Specifications
1644NaQ FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE
AS PER PLOT PLAN SPT TFTf"ATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
$ 223 PERMIT FEE PAID —THIS PERMIT EXPIRES August 21 19 99
(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 21 Day of August 19 9 7
SIGNED BY for the Town of Queensbury
Building and Z i nspector
Building Per/nit Application .
Town of Queensbi�I y - Dept. tfCoum Community Development, 742 Bay Road, Queensbuty, NY 12804 [761-82561 •
pig
A BUILDING & CODE ENFORCEMENT .
Requirements prior to issuance ,
r 1 of this permit:_ PERMIT FILE NO. q117
A permit must be obtained before
beginning construction. No inspections . PERMIT FEE PAID$ ,2023 , .
will be made until applicant has received Zoning Board Action = a y�`
a VALID BUILDING PERMIT. All • Arca /Use ' ," RECREA770N FEE PAID$
applicants' spaces on this application t`- //f
MUST be completed acid the signature •
I 1 Planting ',�3oard Action 9 �9g� REVIEWED BY.' //'
of tlhe..applicant must appear on the SPR / Subdivision / t'cl• , a --�.1 Building Inspector
q1Pplication form. 7h hank 3vit. J Recreation Fee Payment"
Applicant: The Miehae-24 Group, Inc. • `• \ �=Same .. ._. .
Owner _-..,.
Address: 1810 Route 9, Lake Geon.ge, NY 128f(adress:
Phone # ( 518 ) 668 - 3376 Phone # ( ) -
. Property Location: LC 4(o1 . 64-A:1ddei U- ��
Tax Map Number_
Subdivision Name: d�Uvt PoirrtP� G-eevi--G-mc Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
. x New Building: _ CONSTRUCTION: $ 1Z1,e10O •
residence / commercial NNW- ?)4eA
Addition to Building:
residence / 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:�,(U� '
s ft��2`g`�' If ADDITION, what will use
1st Floor ?FAO q• r�` of new addition be? :
2nd Floor - 71 S' sq. ft. p6e / N/A .
Other Floors sq. ft. 1
(not unfinished cellar or basement) ACCESSORY BUILDINGS`�'
" " Detached Garag 1, 2 car
TOTAL FLOOR AREA i p(1M -}' SQ. FT. K Attached Gara a 1, ar .
Private Storage Bui ding
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other •
O FEET X 2 o'(D tt FEET
Foundation Type: Poun.ed Will any second-hand or ungraded
' Number of Stories : 2 lumber be used? If so, for what?
(habitable space only) t No
, `
Height (grade to ridge) : ' feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (Circle all whit 1' es)
to be installed: 1 Electric / Oil Gas" Wood
Forced Hot Air / eboard / Other
Person responsible for supervision of work as regards to building
codes is : Jim Chow-HP/I, Pno jvr,t Managen.
Naive Addresss Phoonj 2845 518-668-3376
Builder: The Michael amp, I Mc. 1810 Rte 9, Lake Geo/c.Q e,
•
Plumber: Fava P.Lumbina, 16A Pcvck Road. GIenz FaLbs, NY 12801 518-798-4399 .
Mason: JD 13ouchQ/L, 8ox 268, Glcavtvitte, NY
•
Electrician: FonovPh Ffoc,t;ur, ?446 ' I044ney St. , Solls.np.eta sy, NY 12308 518-371-9922
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 Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; wn to scale, showing actual location of project on premises.
.Signature: . .
wner, owner's agent, architect, contractor)
•
07/03/95 13:27 5157454423 TOWN OF QUEENSBURY PHt;E 01.
/ /Iva 1 2 1997
°TS � r - Fee Paid
,, u,,� ,,'. TOWN OF QUEENSBURY
.Ft BUILDING & CODES pEPAR1MFN1 _____ __. ,: ____.Permit. #
•-:=h � APPLICATION FOR: PORCIIES-DECKS-
-�i..,, , 0.; . DOCKS & l3OATiIOUSES ESt. Cost
PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description , plans and specifications submitted, and such special
conditions as may be indicated on the permit. IWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION:
Owner of Property; The Michae.PA amp, LLC _�___ _
P.O. Address 1810 Rye 9, Lake George, NY 12845 ,�_^ Phone # 668-3376
Property Location I i 4--'1o1 , 15 - Ck_Ull ' Tax Map # _
Subdivision Name ( If applicable) Hud4on po.Lvie . .
PERSON RESPONSIBLE .FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Jim Chandeen Address Scare Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Dock Boathouse (Circle one)
Size of Structure to be built (square - outage) : 1 Zx12
Foundation Material : Width 8" Conc)te-e FiePhickness
Depth of FoOtiny, below grade: To pnaht Zine pen code
Size of Posts or Studs: 4" x 4" x pen gnadeLong
Size of Floor Joists : 2" x _ 8" x 10� Span
. Decking or Flooring Material: 5/4 x 6 pnez'sune Ikea ed ,
Now will Porch or Deck be fastened to building? .2aq batted
If Roof Will Be Ins ailed, nswer following Questions :
Size of Posts or Stucs : x x Long
Roof Rafters: x Spacing Span.
Roof Trusses (pre-et in ered spacing) : Span
Type of Roof: oped Flat Shed Other (Circle one)
Material of Roof.
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
'rereto, showing 0-early and distinctly all- buildings, whether existing or proposed and
indicate all set back dimensions from -property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x - - ft. .
Existing building(s) : Size ft. x ft, •
Size ft. x ft.
Use of Existing building(s) : _
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards : ft. and ft.
If on corner, setback from side street: . ft.
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
together with the plans and specifications submitted, area true and complete statement
)f all proposed work to be done on the described premises and that all provisions of the
3uilding Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
;hall be complied with, whether specified or not, and that such work is authorized by the
owner.
IATE• : . S klAc) 1 SIGNATURE
—Owner Owners Agency, rchitect, Contractor
EVIEWED BY CODE ENFORCEMENT. OFFICER, DATE SItNATUR
08/20I1997 10:36 15137937061 HAANEN ENGINEERING PAGE 01
HAANEN ENGINEERING
JOHN L. HAANEN ,
G. THOMAS HUTCHINS. P.E. -
August 20, 1997
Mr. Jim Chandler
The Michaels Group AUG Idol'
6 Century Hill Drive
Latham.NY 12110 ., !, 2:1t
Via Fax - 668-4523
RE: Hudson Pointe PUD - Phase 2
Soil Percolation"Pests
Dear Jim:
On August 15, 1997 we performed a soil percolation test on lot #67, in the area where the septic
system is to be located according to the plans. The stabilized percolation rate is 1 minute 10
seconds. Should you have any questions, please call.
Sincerely,
G. Thomas Hutchins, Y.L.
•
I'::IRA('Yt46.4n02'9 Y.L1'R
254 BAY ROAD,QUEENSBURY, N.Y. 12804 •
TEL: (518) 793-7444 FAX: (518) 793-7061
I1.1.i1 1 1 ., LA1tJ1 V1J1Z i ,L AJA ILL rAll I .
Location of properly for installation: hypo 6'. `lk7+L-2 -,
ERMITNII3ER
Owner's Name: The M.cehadA Gnoup, LLC -
Is
� //UJv
7
Address: - 1810 Roi t' 9, Lc go Gonn ,NV 1-984S
Installer's Name: Excavating 1:-Eli PAID e�
Phone #: ( ) 518-639-4035 I
AUG, 12 1997
Number of bedrooms (if residential): TGutee
Total daily flow (residential -compute �i@ 150 gal. per bedroom): 450 -___ _-_ s.
Topography: X Flat 1-7 Rolling 1-1 Steep Slope a, of Slope
•
Soil Nature: I X[ Sand [-1 Loam !1 Clay r---[ Other /Depth:
Ground Water: al what depth? 30 feet
Bedrock or Impervious Material: al what depth? feet .
Percolation Test: I-1 Not Required I I Required/Rate I min. per inch
• Domestic Water Supply: F-1 Municipal F-] Well r7 Other
If domestic water supply is a WEI.I.: water supply from any septic absorption is feet
PROPOSED SYSTEM:
Septic tank: 1,000 gal. (minimum size: 1.0(I0 gal.) _
•
Tile Field: each trench 41 feet. I total system length 162 feet.
•
Seepage Pit(s): number of N/A / size each: ft. x • - ft.
Size of stone to be used: # 2 iSon2 / depth or thickness feet. -
llO1..DING TANK SYSTEM: (if required) ! ; ••
Number of tanks: N/A 'Size of each: _ gal.
Alarm 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 the Town of
Queenshury, any permit or approval granted which is based upon or is granted in reliance upon
any material misrepresentation or failure to make a material fact or circumstance knot:it by or on ` .. - � - -
behalf o fan applicant, shall be void. - - z'-
- I have read the regulations with respect to this application and agree to abide by these and all
requirements o f the Town of Queensbr ry S nitary Sewage Disposal Ordinance. '
Signature o f responsible person: _ Date: 4 (a Nr)
3 bed home
TOWN OF Q UEENSB URY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
- Crl J ) /7
Date - +,‘a -, 11 ,19 CIS Permit No. p
J
APPLICATION IS HERE I°Y 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 one appliance and/or chimney.
1 ./ • / _
Applicant 7,;I, i( ,67 A- ((,),,2/9 APPLIANCE (check appropriate boxes)
Address MO/ a_.; (;)✓ _ + 0 STOVE: ❑Wood ❑ Coal ❑ Pellet ❑ Gas
0 FIREPLACE INSERT
Zip' o of .p , ivy Zip ,r / j ❑ FIREPLACE, FACTORY-BUILT:
❑ Wood u4Gas
Phone (. 1 ) a a- 13 7 lip 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner ,91,721,e 0 FURNACE: ❑ Wood 0 Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
- - -- - ._.--_--.,._----- -_- .-- :_ _ - . . - --- --. Manufacturer:--- -- - ---. -.
Zip .Model:
Phone
CHIMNEY (check appropriate boxes)
:If EXACT ADDRESS of proposed construction
1 0 MASONRY: 0 Block 0 Brick 0 Stone
I (-444ti1 , IC Abe Nal- FLUE: ❑ Tile o Steel
Size: inches
CONSTRUCTION J INSTALLATION MUST h, FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE ' Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS LKDouble Wall 0 Triple Wall.
,REGARDING REQUIRED INSPECTIONS. Ei Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title
ti „.
A 173 3389 (190) Public Safety -\
A 23,3.26.55._� (230) Minor Sales
( ^ Fee Collected-From or Refunded to:, 1' i I f' / r<• /c_ (c A- -r,.J
—Address: ;f'. ', :` _., ,
Dated: J e, nsii v"-7 ,Town Clerk or Deputy: 4 .A4.:- . v .-- lw.------ •--..._
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
a%a,1. ).!lad/'.,9.CAP:CJ!fi":.17,C,.°P.,.9,C ,PS-1l'��,C.7.A9.CJ.9KatC�P.C7V.,1/l'J.�_t7.�ka•.la9.l'7.�.1.AJ,-.1„...,IJ. J.�.IJv.),.._p._C7..n..1..v.1„I'�_py.0 oil' .0 ._l".,AJ�9�:l..:"..:1$.1 J,tc... �.l'1tC.),s4,
THE NEW YORK BOARD OF FIRE UNDERWRITERS i sal-=�5 r
1; 4028 i 89 BUREAU OF ELECTRICITY r
F— 111 WASHINGTON AVE., SUIT '_ ALBANY, NY 12210
't' t -i s`. , ra"7 `c: _ 'r F1'i 2Cy "t-t ,f
' Date if.�sF1';1'1L1isti 1':•:I.`3.> : Application No on file 4i-----,,i---' / ?� .l< ..f a_. I.
!.• THIS CERTIFIES THAT F' :1iI I .'1' NC. q7--45 7 ;
,r,
t+ only the electrical equipment as described below and introduced by t , . .,,licant r ed on the above application number in the premises of ,
',el
Ti'1P HTC'HAE:la;_z (F 0i;.ff1, 15 H Y iE CT. , CIt)1 3s"13Sr3C11't.1°,. NY ,Y
in the following location; 0 Basement ® 1st Fl. � 2nd Fl. GAR Section Block Lot r
was examined on WAria-413Eri 1.1.;• 19`9 i and found to be in compliance with the National Electrical Code. ;j
i''
to FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ,'
j, RECEPTACLES SWITCHES ' 'N.
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. F
i
-,. .15 2,7 29 24 i� ) -
1,
•. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL
UNIT HEATERS MULTI-OUTLET DIMMERS 0
sc. SYSTEMS
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
-' i
�' F 2 2 14 2 1 -
4
SERVICE DISCONNECT NO.OF S E R V I C E
�i AMT. AMP. METYPE EQUIP. 10 2W 1 Ai'3W 30 3W 30 IW NO.OPER COND. OF CC.COND. NO.OF HI-LEG A.OF HI-LEG.G NO.OF NEUTRALS OF NEUTRAL >.
1.-
)-:
I 150 CB 21 2/0 1 /G
1k. v
',c, OTHER APPARATUS:
1-0 K IS l.' 1.IG-1ff-1. r
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i
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!(+ :Jt'�C IU.1 D1'it EC IX)R '_G r
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{ 1:l t�Pf' 1,113;C!1.3rWJJ Fi.t� c�t1i "e t:`.a?-"i l..' •' '',n-."i . �. &I-' 7, r
i. UTL1 AA O. �-f"'4'f 4;'.`1'I.i�:tt.1 ,',� " L 1 '
1nLI 1,r ,R v 4•r: :ti-�, f; •i GENERAL MANAGER 'r
: L'i'11:1LILl, T DY, I)tir., 1.-3(-1,: -r..0, ■i __y ,'1 C# Y
il - Per
to ,f1
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.
-Ni"i'?Y ?'i' sY,,":i'?-,i-,Y`rC '0 rrYr rtl'Y et et '1"-Y0YY YYY'r"et Y.Y O'!.'r :r.C.'YYY'r YY YYY>/Cr Y,YY.Y Cr YY Cy'CY YY Y-r r .y-Cr i' Y.YY:{YYY-fY-%Y.YYYY
• COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
L /aM $M'1
}-u.,;;, TOWN OF QUEENSBURY
`'`'t4'� FIRE MARSHAL.
` r QUEENSBURY, NY 12804
.'�:r.'',,, QUEENS U ,
(518) 761-8205
•
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED a / —, ) I G17
NAME z � —L'.'
LOCATION r
DATE PERMIT # 977 C-
APPROVED
N/A YES NO
Ire02-e---)
TS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY L GHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHI G SYSTEM
HOOD INSTALLATIO.
AUTO. SPRINKLER SY TEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE l
FIREPLACE—MASONRY
FIREPLACE— FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
/
INSPSLIP.PUB INSPECTOR
i
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 j
Building &Code Enforcrnent Arrive: �, Lk) Insp:4CJ
Dept. of Community Development `q [ 5 —
Town of Queensbury Date Inspection Request Received: [C/244/'f
742 Bay Road
Queensbury, NY 12804
NAME lGd�,gl 0 biee PERMIT NO. q.7- *c7
LOCATION •/6 /W A"- Cr". DATE llp51/7
TYPE OF STRUCTURE 5.r% )
N/AI YES j�NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location _ I(
Fresh Air Intake / _
Plumb Vent Through Roof t!
Roof Complete J/
Exterior Finish Complete �J
Interior/Exterior Railings 30" to 36" - rV
_
Exterior Handrails, Balconies, . •' g 18 in. or more V _
Interior Handrails Stairs Both S.:es or More Risers
Grade 2% Awa From Foun a•,ion'
8" Clearance To S' Plate b
.ohs• _
Gas Valve Shut-Off . egu1ato 18" Above Grade C V
Gas Furnace Shut-Off with '30-Feet or within Line of Site i, 19
Oil Furnace Shut-Off at E trance to Furnace Area 'ti
Furnace/Hot Water Hea-r Operating __ __ _ _ ___ ___ _
'(Relief Valve(s) Install-." f
Headroom 6 ft. 6 in On Stairs Vie/Basement Stairs 6ft. 4 in. V
Handrail Exterior Stairs Both Sides More Than 3 Risers I;
Interior Privacy/Trim/Doors/Main Entrance 36" /
Floor Finish U
Bathroom/Kitchen Watertight
Interior Handrails Balconies/Landing 18 in. or more V 4
Railing Across Window in Stairwells y/ /
Smoke Detectors: ✓
,,, ,.
every level
every bedroom
outside every bedroom
inter connected
Bathroom Fans vi
Plumbing Fixtures Vr
Foundation Insulation
3/4 Hour Fire Door/Door Closer y Garage Fireproofing
ii
Garage Penetrations Sealed
Furnace In Separate Room Protected (In Garage)
Light Ventilation Per Room I
Safety Glazing 18" or Less From Floor
Final Electrical
Site Plan/Variance Required Final Survey Plot Planili
As Built Septic System Layout Req.
Okay to Issue C/O
Y am" RESIDENIT L-/ FINAL l.(.Vti7P.d-%C T Od Y REPORT Q-- r(\-
Office No. (518) 761-8256
Building &Code Enfomment Arrive: :6 risp:
Dept. of Community Development 9.0
Town of Queensbury . Date Inspectlof RCqu /est Received: / — c /-9 7
742 Bay Road
Queensbury, NY 12804
NAME r-,(V z�.,,e 7 PERMIT NO. f 'yS 7
LOCATION 'e iu DATE 1 I _� L —ll 7
� 5
TYPE OF STRUCTURE � �
N/A YES NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location V
Fresh Air Intake V� �/
Plumb Vent Through Roof �N
Roof Complete "Y
Exterior Finish Complete i1
Interior/Exterior Railings 30" to 36"
Exterior Handrails, Balconies, Landing'18 in. or more
Interior Handrails Stairs Both Sides 3 or More Risers
Grade 2% Away From Foundation
8" Clearance To Sill Plate /o
Gas Valve Shut-Off Exposed/Regulator 18" Above Grade V
Gas Furnace Shut-Off within 30 Feet or within Line of Site
Oil Furnace Shut-Off at Entrance to Furnace Area
Furnace/Hot Water Heater Operating -'iil� /?P� ✓7�0 ' ` 9J I`i � �
Relief Valve(s) Installed 4 "v// II /y� l
Headroom 6 ft. 6 in. On Stairs j,9 v
Basement Stairs 6 ft. 4 in.
Handrail Exterior Stairs Both Sides More Than 3 Risers �'
Interior Privacy/Trim/Doors/Main Entrance 36"
Floor Finish �/
Bathroom/Kitchen Watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing Across Window in Stairwells
- ' i e
Smoke Detectors:
/'" every level V
every bedroom
outside every bedroom r
inter connected >
.i/v7v,
Bathroom Fans
Plumbing Fixtures
Foundation Insulation •
3/4 Hour Fire Door/Door Closer , V
Garage Fireproofing
Garage Penetrations Sealed ' 7.
Furnace In Separate Room Protected (hi Garage)
Light Ventilation Per Room•
Safety Glazing 18" or ssi rom Floor
Final Electrical 11 it In /�.
Site Plan/Variance Req it R7 L'�� 3(
Final Survey Plot Plan 1l l3
As Built Septic.System Lay ut Req.
•
Okay to Issue Temp C/O
Okay to Issue Permanent C/O
Okay to Issue C/C
i.A Ale hkki TOWN OF QUEENSBURY
/;�1N:: BUILDING & CODE ENFORCEMENT
ti'_
$, f r .:' 742 BAY ROAD
� �F QUEENSBURY NY 12804
. (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT RESIDENTIAL C�
DATE INSPECTION REQUEST RECEIVtbC.n-.- Nr
: �`r11'- L -7
NAME q �C � 0 140
LOCATION /(0 44. k_i. (.-)e 1
DATE \\ L t �)-" 'l, ) PERMIT O 7 !. 7
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL _ FRAMING
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VE hI HEIG T
PLUMBING VENT i
ROOFING C
EXTERIOR FINISH
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
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL •
SI PLAN/VARIANCE REQ.
0
INAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ` '¢ •'•rC-4:.' '
INSPECTOR'S REPORT: ARR '/j6 DEPART INT Ze
REQUEST FOR INSPECTION,RECEI D:
NAME
LOCATION //`� �
DATE b PERMIT 1
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 THI 'I' ^OSE ON SITE
FOUNDATION L ALLPO
RIk
REINFORCEMENI,
FOUNDATION/DAMPPR,��� _
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804�� ° ` //�
INSPECTOR'S REPORT: ARR ! DEPART -S IN V
REQUEST FOR INSPECTION RECEIVED:
NAME NAME Mt CA �5 (# ( i
{{
LOCATION `�,�s s YM�� C:i
DATE 8 PERMIT fl `77 15-7
TYPE OF STR URE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESPONSIHL FOR
PROVIDING PROTE TIO9/FROM F• EZING
FOR 48 HOURS FOLLOWING THE .LACE-
MENT OF THE CONCREbE.
MATERIALS FOR TH!S\PURPOS ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT II 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
1IR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION: 01 PD _
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
iZi (518) 761-8256
5.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURRYYjNY 12804 S '• (fir:'�•Q
INSPECTOR'S REPORT: ARR2•✓ DEPARZ'� `)'�N'Ie/'v
REQUEST FOR INSPECTION RECEIVED: 16 11 1'7
NAME " "\V",-•JC cy 6,��
1LOCATION 5 t is = 0---
DATE A,l�y � PERMIT 6 I 5
`�
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC =OUR FOTA.
REINFORCEMENTlk
ACE
THE CONTRACTOR ISPO' SIBLE FOR
PROVIDING PROTE TIO'' 'OM FREEZING
FOR 48 HOURS FOLLOW 'IG THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS P RPOSE 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
-7//////
JOIST HANGERS
K�POSTiS MAIN BEAM
IR INFIL RATIO1 HA R R V
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: ARJ 7-ob DEPAR -B-J
REQUEST FOR INSPECTION RECEIVED:
NAME 1
LOCATION t Ham_ C—CW5VEV
DATE 1 D114\RI PERMIT A T- 1, c7-t ..
TYPE OF STRUCTURE: RFD c .[ ..Ai.
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
lONOLITHIC POUR FORM
REINFORCEMENT IN PLACE ilk
THE CONTRACTOR I SPON-IHLE •R
PROVIDING PROTE TION :0 FRE ING
FOR 48 HOURS FOLLOWING T'a_ , ,CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOS* 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- let
CEILING R_ 1
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
1) :5:18) 761 8256TOWN OF QUEENSBURY ,.,BUILDING & CODE ENFORCEMENT •
742 BAY RD., QUEENSBURY NY 12804 `41+; ,
INSPECTOR'S REPORT: ARR')"'DEPAR 2 IN
REQUEST FOR INSPEC ONR(E�C VED:
NAME *MC
C ^Q
LOCATION C
hh 1 „/
DATE )b-) V'-9-) PE MIT U
TYPE OF STRUCTURE: di7_ 6 7
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO IH E FOR
PROVIDING PROTE TION FRO F EEZkNG
FOR 48 HOURS FOLLOWING T E LACT
MENT OF THE CONCRETE. J _
MATERIALS FOR THIS PURPOSE ITE
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
HEAT G ROUGH-IN /
SULATION: (J/
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- _ -
WALLS R -
CEILING R-
DUCT WORK OR PIPING IN
U EATED SPACES R-
rabC u&1 OK
/s7A 64- i'
ri1Sv� , Roo , Te;149 e
ntif ;�.41-60
(518) 761-8256
TOWN OF QUEENSBURY N. '1°
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ' '0. r
INSPECTOR'S REPORT: ARR DEPART `'J INTJF-L
REQUEST FOR INSPECTION RECCEIVED: /O U
NAME -C4G{/. C S 6 '4
LOCATION t) Vki(CC &r.
DATE /0 ict/ _ 7 7
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 PURPOSE ON SITE
FOUNDATION/WALLPUUR
REINFORCEMENT IN • A(. _ i _,
FOUNDATION/DAMPPROO''
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 FILTRATION BARRIER
H TING ROUGH-IN
7
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
111.111 (518) 761-8256
TOWN OF QUEENSBURY ,ewe 4
Oat t
BUILDING & CODE ENFORCEMENT s $ a
AT
742 BAY RD., QUEENSBURY NY 12804 ?r ;,,-::
INSPECTOR'S REPORT:, ARR DEPART - INT
REQUEST FOR INS CTION CEIVED: 0
NAME \ NI ,'CX Q 't 3IY£Th'
LOCATION ) Tt,.f cte_1. �'v L
...%
DATE A7)--q. �
` / PERMIT # �%t—1 --41 EJ47
TYPE OF STRUCTURE: -(
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS '
MONOLITHIC POUR F RM
REINFORCEMENT IN P E
THE CONTRACTOR IS R SPONSIBLE FOR
PROVIDING PROTE TIQ� FROM FREEZING
FOR 48 HOURS FOLLO)1aNG THE PLACE—
MENT OF THE CONC TE.
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 NFILTRATION BARRIER
HE ING ROUGH—IN
J— NSULATION 'i
FOUNDATION WALLS INTERIOR R— _
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK ,OR PIPING IN
UNHEATED SPACES R
•
Aki ?\e,t4)'i
(518) 761-8256
*- • xM
TOWN OF QUEENSBURY � `q'
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 `1'.", ,. .F;. r,
INSPECTOR'S REPORT: ARR DEPAR,27`r�INT���
REQUEST FOR INSPECTIONg�/ RECEIVED:
NAME A(Iow,ca 67e
LOCATION 1� V
DATE /0//3 PERMIT fl q/ - 46
TYPE OF S iUCTURE: 5��
RECHECK �/,J APPROVED
N/A YES NO
FOOTINGS/PIERS S
MONOLITHIC POUR FO
/1 -
REINFORCEMENT IN PLA _
THE CONTRACTOR IS RES ONSI'8mE FOR
PROVIDING PROTE TION FROMFREEZING
FOR 48 HOURS FOLLOW NG THE PLACE-
MENT OF THE CONCRE
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
R UGH PLUMBING
7
P UMBING UNDER SLABftir
__
RAMING:
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-
i .�e1IoA1S-- 0
Ai/OW.318) 761-8256
TOWN OF QUEENSBURY1r
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 +11 1,,s1r9
/,
INSPECTOR'S REPORT: ARR DEPART//mil INT
REQUEST FOR INSP TION EIVED /() '— --9 7
NAME ( f /
LOCATION
DATE / / 7 P RMIT 7-1/ 7
TYPE OF STRUCTURE: ,S C
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC 'POUR\FORM 1
REINFORCEMENT IN P CE
THE CONTRACTOR IS RES^ .NS :LE FOR
PROVIDING PROTE TION F•s' FREEZING
FOR 48 HOURS FOLLOWING THE 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
PLUMBING UNDE LAB
,4 ING:'� l a5
JACK STUDS/HEADERS
BRACING/BRIDGING M1
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—
busr444_ Cam) D 47 )0 e V . ( .,v✓-cbruc
7
iCetad
4
TOWN OF QUEEI BURY
FIRE MARSHAL.
QUEENSBURY, NY 12804 •
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVEDd —I
NAMEMAC( Plz
LOCATION ) 1-1-c&e,D__6-)A.1 ---
DATE PERMIT # /c -/--9 7 ! 7- c ✓ 7
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHylG
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
- FIREPLACE- FAcjORY BUILT
REMARKS: OK TO THIS DATE
XJ-71,a,
(t)'
INSPSLIP.PUB TN PE TOR
NReat v 1/ _.) (518) 761-8256
TOWN OF QUEENSBURY
t,% •ate
BUILDING & CODE ENFORCEMENT 'h '.
742 BAY RD., QUEENS/ U QUEENSBURY NY 12804 " �s .K ; a «i
INSPECTOR'S REPORT: ARR0-1 DEPART 1I1 j""IN'I J J1
REQUEST FOR INSPECTION,`RECEIVED: V / ( /
NAME -, C')INC;l D ,
LOCATION / C
DATE JO—/ 7 PERMIT u 97 --115?
TYPE OF STRUCTURE: C�-m
e
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR S RESio SIBLE FOR
PROVIDING PROTE ION R FREEZING
FOR 48 HOURS FOL IN TIE PLACE-
MENT OF THE CONCRET
MATERIALS FOR THIS PU POSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
RO UGH 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- •
aaL) poi
TOWN OF QUEENSBURY
BUILDING"b CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION.
c\tcEnclAio
Name (La
Location (�r� �[`�f
Dateq'�IS�7Permit # — t L'�`/7J/
SOIL TYPE - a -Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length I 'Z
Length of each trench '
Depth of trenches 2 -
Size of stone.
SEEPAGE PITS: Nu Br-
Size -
Stone si -
PIPING: Size Type
Bldg. to Tank Le,
Tank-= to-Dist._Box-: _
Dist. Box to Field/ 't
Openings Sealed?, es o Partial
LOCATION/SEPARAT,
Foundation to Tank vuk" feet
Foundation to Absorption 7 e-gr'feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front Rear - Left Side - Right Side
Middle Front e !tear`
COMMENTS
SYSTEM USE APPROVED:. 1'P` 0
Arrive •
Dena ed. � �
spycui.Iding siector,
19,, i 30 _ifp (518) 761-8256
TOWN OF QUEENSBURY qt
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 '°=`,T r t..i •-
INSPECTOR'S REPORT: AR �DEPARTr "
REQUEST FOR INSPEC ION RE VED: / l
l � /
NAME J��'�
LOCATION ) , i
1/nn
l
DATE q''1 �-ci 7 ERMIT fl 7- q 57
TYPE OF STRUCTURE: ES 1 y /
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS ,
MONOLITHIC POUR FORM ;
REINFORCEMENT IN PLACE
THE CONTRACTOR IS' RESPO FOR
PROVIDING PROTE TIQN FRO •L - EEZING
FOR 48 HOURS FOLLOWING TH PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE 0 SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE +.
FOUN /////:ATION/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- •
•
IE*Z260> C '15 ' _
F2PC /LFI -L-F
&p:itcli (1./ V
0 (518) 618256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT \ r•,
742 BAY RD., QUEENSBURY NY 12804 .r,
1 v 1
INSPECTOR'S REPORT: ARFJI � DEPA :i'0INT ''
REQUEST FOR INSPECT ON REC ED: ` 7
NAME
LOCATION C11 CACitit
DATE PERMIT
/TYPE OF STRUCTURE:
RECHECK APPROV
N/A Y NO
'A FOOTINGS/PIERS
MONOLITHIC POUR FORM
147( —
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESPON • E FOR
PROVIDING PROTE TION FRO FR . ING
FOR 48 HOURS FOLLOWING T , PLA .-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE IN 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 L._
.___I-1_.,--_----,,,j . 1 , :
.ter .,. .�yfr t r,1,fd i5 I•
�•'}�, !IIJ f
•
7 1, �IJ l
4
...........,,,,,,,,..,,,,....,_______,:le
� .,ram Y� tiJ .
n•Trun• • • • .•;..`•k
44 _ ]i`
IJ w7.��•Z „y • 1 i_i.'i
"" • AUG 12 :.;
43
r- .� .� 0 YY#41 _::z
. I
•
•
t ) 7POVED
i1,hApplication
--1 1 ''- ' 'N :\ \ •
1 .
f F QUEENSBURr
•1 1 ►4q . .
; . :
I
_ . 61 -
•
•
ff
ave seen or obs rved, or believe I saw evidence of,. 1 .
• al{.objects such as Ouse I I s, wells,trees, fence:,etc., ;
4hown on this docul ent. I also represent that I have ' I I.,
/ . rerso :Ily measures the distances set forth on the diagram." ,'
.: ---- -- _Al, . t ARE-...... _— _._._ ------ 1..-.
. 4' ''1 %••..•ll'