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1990-236 ,lti; za t �r:,:•_s' �.. .. -.v, M .. - _i Y ._.- __. ___•... ,,,, ,•-::::,.r;,z` -.. !,Ott 11•?k. e. CERTIFICATE OF OCCUPANCY ,. TOWN- OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 28 19 al )1,_ n 1 k J I w 90-236 This is to certify that work requeste to be done as shown by Permit No. has been completed. This structure•may be occupied as a single family dwelling (..2-22l Dream Lake Road •&(--- Location DAVID GALLAGHER Owner By Order Town Board TOWN OF QUEENSBURY i Director of Bldg. & Code Enforcement BUILDING PERMIT 1-3 TOWN OF QUEENSBURY No. 90-236 WARREN COUNTY, NEW YORK co PERMISSION is hereby granted to DAVID GALLAGHER _ w y � OWNER of property located at DREAM LAKE ROAD 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. 1. OWNER'S Address is RD#1 Box 332A Dean Road Hudson Falls NY 12839 2. CONTRACTOR or BUILDER'S Name Sterling Quality Homes 1z1 ' c 3. CONTRACTOR or BUILDER'S Address 2 Bronk Drive Queensbury NY t7 4. ARCHITECT'S Name fD ' r sv 5. ARCHITECT'S Address cD 0 Sv 6. TYPE of Construction— (Please indicate by X) )Wood Frame ( ) Masonry ( ) Steel ( ) • -t 7. PLANS and Specifications No. 1224 sq. ft. Single family dwelling as per plot plan, specifications andCrq application. fD 8. Proposed Use Single family dwelling 0. a • **CHIMNEY FOR OIL FURNACE MUST BE COMPLETE. $ 144.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 3 1990 aq (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 3rd Day of May 1990 SIGNED BY for the Town of Queensbury Building and Zoni ,) nspector TOWN OF QUEENSBURY REVIEWED BY r= f FEE PAID $ /441— j'OWN OF QUEL"(�'.S(O� ZY PERMIT NO. D11 BUILDING PERMIT APPLICATION m8v ' TO() BUILUv.p A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.- NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the. applicant MUST•appear on the reverse side of this application. « « « * * * * * « « «. * * * * * * * * `* * * * * * * « * * * * * « * * * * * * * * The owner of this property is: Tct.V I() Gj a\`04.gI h e r P.O. Address *VI 'BOX 339.A -Jean Rd, 0Jso, 1S Tel. 7117 96a Property Location D reQvn la k2- s oc Tax Map No. ks--/ /3/ 6 Has there been any split of this property since October 1, 1988? /' 1/ fiU/2//)' If yes Planning Board.Review is necessary. yes , no a/ SUBDIVISION NAME, IF APPLICABLE LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: -TUek. �T2` rer NATURE OF PROPOSED WORK: ESI'IMATED MARKET VALUE OF • V Construction of a new building • CONSTRUCTION: $ l ` 5; Oo° Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: * Size of property 2.-5 ft x ft. Alteration to a building * Existing Buildings(3) Size ft. x ft. (no change to exterior dimensions) • _Proposed building - distance from property line: Other work (Describe) * . Front yard 30 ft. Rear yard f /a ft. * Side yards 11. ft. and . / q® ft. • GROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from side street ft. 1st Floor l ,2 2 y sq. ft. � aa c. OCCUPANCY INFORMATION 2nd Floor sq. ft. .* Primary Building - Other Floors sq. ft. • V One Family Dwelling (not cellar or basement * Two Family Dwelling TOTAL FLOOR AREA l 2 V/ sq. ft. • Multiple Dwelling/Number of units Size of new structure 26 ft x Y S ft. • Business Foundation-pier/slab/crawl/partia ( 1 * Industrial (circle one) • • Other • No. of stories (habitable space) I • Height (grade to ridge) f 6 ft. * If addition, what will use be? If residential, no. of families I * No. of rooms(excluding baths). 6 •• Accessory Building No. of bedrooms 3 • _Detached Garage ONE/TWO Car No. of bathrooms . • Primary heating system T.o i)e r .N.144ecil Attached Garage ONE/TWO Car Type of fuel ©` _Private storage building No. of fireplaces to be installed • Other Will a wood stove be installed Central Air conditioning NI • OV• ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING: P',FCIFICATIO �1S Type.of con'struction,'wood frame, fire safe, etc. (. O 003 Fro +z,,Q Will any second-hand or,;upgrttaded lumber be used? If so, for what? Na • 1 Foundation wall material Corse re--Ce Thickness 'i Depth of foundation below grade (to bottom of footing) 6 ' / O " Will there be a cellar? Ye S Heated or unheated? (.)r1 hem-fed Floor sq. footage 19 a y sq ft. Will there be a basement? YeS Will any portion be used as living space? ht o (If so, what portion? • sq ft. Type of use? Type of roof sloped flat/shed/other Material of roof %a" Q 1 y�roedi Felt Pc ppr) iFt er f Ios. Size, wood studs wL "x 6 " spacing )6 " o.c. length S ft. S� ^D1 Ida- Joists (floor beams) 1st floor 2-- "x /0 " spacing /6 "o.c. span / 3 ft. Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. Overlays (ceilingbeams) a "x 6 " spacing 16 " o.c. span ft. Roof rafters l "x 6 " spacing 16 o.c. span ft. Roof trusses (pre-engineered) spacing " o.c. span ft. Exterior wall finish V1/1 LA S i d '!•'i i j n f of whatt material? - Interior wall finish 5 hee* r ock, - Pot - -ed If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? • Will a flue-lined chimney be installed? Yes Height above roof t}t(-a v el h 7 G r- ol' + Caerec) Depth of chimney foundation below grade 6' ft. -rcrl^ 'L .Yr Depth of fireplace hearth ft. in. Water supply - Municipal or private well Fri veto Uv e_l SEPTIC SYSTEM Distance from ANY private well (including adjoining properties je,0 ft. tMirl , (A separate application is necessary for any repair or new installation of septic system) l�� a 1s. NAME OF BUILDER Si-e eV; Qua ( \%"ADDRESS `}3rank Wiens F TEL. NO. 79 '3- 3 5 t 3 I-1 d vv,e S NAME OF PLUMBER Saws e ADDRESS TEL. NO. NAME OF MASON S r€r1(n9 QuG Icy ADDRESS TEL. NO. - - • [Ad erws NAME OF ELECTRICIAN Soy. wn� ADDRESS TEL. NO. • DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. , Signature - Q dA491.-- ///y//// )�� / /, Ownervowner's agent, architect .,,contractor 4/ -!/ l /r' ! '7 );/ J .k--\,,17 a",. e.-- in a f 7— 0 4-6. (-1,67;g/i/ter -- SPiCIAL CONDt4IONS OF THE PERMIT: I' /l'?-•,P . BY f --t., /r ..�n f%'' i • f WARREN—COUNTY , - NEW YORK . Application for : BUILDING PERMIT IN COMPLIANCE WITH THE -NEW YORK STATE ENERGY CONSERVATION CODE . A. permit must be obtained before 'LjJwo6{� . ; ' . ANSWER ALL of the following: ° u�11 �t' II( - 1 . Gross floor .area - I a a 'f sit _ MAY T 41990 2 . Type of heat 0f �OA' latA--e (-BUILDING a'CODE DEP''. • 3 . -Is• the building mechanically -cooled? NC) - 4 . . . percentage of area of windows and doors 1-I -14 6 `77a A, Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions • 2 . Floor over - heats spaces. YES NO ' a. Are f oundat on walls insulated? . YES NO • 1 .• • If YES . what is the R value? 3, Slab on grade YES - NO a. If YES , wh .t is the R value of insulation around perimeter of floor? 4. Is basement heated? YES NO a. R value of insulation - 5. . Type of insulation • B. . Under 16% Only • 1. R .value of roof and loors exposed to ambient conditions R eyo-F • • K-ccb • / • F too r5 J•e.e.- exe.se:-v1 e. . • 2 . R value of exterior walls GZ— a • 3 . R value of glazed . area . 4. R value of doors K s 9 • . . 5. R value of floors over unheated spaces_ . g-1 / - 6. R value of slab edge insulation - unheated slab /0 - 7. R value of slab insulation- heated slab . . . Wig S. R value of heated basement/cellar• walls (above grade), PA • 9. R value of heated basement/cellar walls. (below grade) WA 10. Type of - insulation N:a 6er ieiSS .EaL --(- ill k ( 7.D) (J✓tc.9r C. _Controls e7 o 1. Thermostat maximum heat setting D.. Duct Systems 1. Is duct systei installed in unheated spaces? YES cp . a. If YES, R value of duct installation . b. R value of duct in other areas E. Mips Insulation . • 1. Site of hot water or cooling carrying agent pipe . 2. R value of pipe insulAt#c, _ ' . - t. Service Water Heating t✓keeedg 5 44— - 1. PerforiancS efficiency gte-L�r%� — 62 eu� , k'A - qw �3 . 2. ,Temperature control setting maximum ' • lec, 6 G. For Swinging Pool Only I 1. • Maximum heating r{V IA . Telephone No. —7 / D . (app . ants signature)//�� { 1 TOWN OF QUEENSIURY APPLICATION FOR �=v\ > SEPTIC DISPOSAL PERMIT *riv �' l.?c:L. 0/ l. 11 I_1 W i_b MAY -11990 DATE T. - 2-0— 47� BUILDING & CODE Der LOCATION OF PROPER TY FOR INSTALLATION /D r ea yr I-.c 2.- 4 Owner's Name:'Da V 1oi T, Cj (t a 7 hQ r Telephone: 7 'I.7 9 6 a Address: ("De_ae . Roc%_or 6'l U s d� a S Installer's Name: A- l (-4.) Telephone: 7 9 S " L '3 15 Number of bedrooms (residential only) 3 Total daily flow (compute ld 150 gal per bedroom) 7 5 Topography: Circle one Flat> ollin Steep Slope 96 of Slope (.0-fe re_ 40es e, tS 70 ;r9 Soil Nature: Circle one: San` Loam Clay Other /Depth: Feet Ground Water: At what depth? Feet 1 r Bedrock or Impervious Material: At what depth?5zko I"?eet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one: Municipal Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank JO 0® gal. (minimum size: 1.000 gal.) . TILE FIELD: Each Trench 50 feet/Total system length 00 feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # 3 /Depth or Thickness feet ************************* I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitar Sewage Disposal O finance. l SIGNATURE OF RESPONSIBLE PERSON: \ a' ' ___ DATE: - 2 Y 9 d OVER • • SepticSystem Inspections: • • A. .A11'.applications for septic system installation, alteration or repair, as required, by the Town of Queensbury Sanitary Sewage Ordinance, shall ' 6e`submi'teed' to"the Building Department. at least 24 hours before start of .construction and shall include a plot plan showing: 1.) the proposed location of the system 2.) location and distance to lot lines • ' 3.) location and distance to structures • 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells • B. No system shall be• covered before inspection and approval by the Building Inspector.' Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. • C. An approved copy of the plot -plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may • result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installa— tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. • Town of Queensbury ' BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 • • • Rumarks: • '` °�w ``. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. �` --,'j National Headquarters /' "..-" 900..Haddon Ave., Collingswood, N.J. 08108 — APPLICANT COMPLETES THIS SECTION Date: '-{ - .;j.S---•-620 1. 1 City, Town or Township �.)C c%r-) \•�`-)'fr` / County r� 'f f e 0 State t � Location/Address L• � 1 - c '�� ‘1-- '' kl �� ` (If Located in Rural Area-Please Attach Directions) Pole # Owner - I c, '/ r",D -- L.:1C.\Ar., '71 WC. f .. Permit # Cir`) " f ,nt0 Occupied As I r''i'/ "� \'/ ^{1'��"' �`° '"j Building: New Old❑ • Occupant 'ID c: ,/ =C° ,\ i--Y;'' ' -, .:)it C : Work Area in 1Buildirig (Floor #,etc.): . App. for:. Wiring❑ Service f or: ^�j c . 1,�n f',`: :- . Ready for Inspection: Fee Remitted-$ Cash n,; Check n M.O. n Make.Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches • GC} Lighting Amp ' Service Surface Unit Dishwasher Range Receptacles / "'Water Heater Air.Conditioner I- Dryer. - Pump Number of Fixtures -'• Oven r-` • • . - Garbage Disposal Wi,ring'and Controls for ` Burner Amp. Receptacles Fractional H.P. Vent Fans • • - Other Equipment: Lc�'`c, S)'z: f i�'� r" - ''_'' ' ' MOTORS H.P. 1/201/12 1/10 1/8 f%6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number ?, • of Each Size - < Applicant's ) ' Signature --` ' _` ' % .d : .,(.r License # ' Per It # T/A _ Utility: -7 ,' VVI`-, �-'1 IC" ki ; ram ' Applicant's Address: --- . r3 t c t} `✓°"' : ?%'C- (NAME) (OFFICE LOCATION) f; t �r`1 ,; { 7�--n y , - (State) j\t `' (Zip) 1, . r' ° -Service Request # -� City) ! 0 Phone # _/`! 7, - `-ti r-, 1 _, // Electrician: fit' =• - i (-)° r-1 - MDIA USE ONLY DATE RECEIVED: (�, -r ?' 5G DATE INSPECTED: V - j / --9�) Correct Location: Same as Above n ,,,..or-:-----------,.. t Red Notice Label n , . Rough Wiring Outlets Surface Unit- .. , Oven Switches _ Range c Garbage Disposal Receptacles Water Heater . Dishwasher Fixtures Air Conditioner Dryer . `),-) (; Amp. Service Equipment Burner, Wiring &Controls for ' Amp. Receptacle Amp. Service Conductors , - I Pump Vent Fans -- MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 7'/2 1) 15 20 25 30 40 50 75 100 Mark Number of Each Size / - - . 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 . Elect. Heat i . . . • CORRECT CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE FEE FEE PAID • ❑ RW Progress: Inc.1{ ,/- LKD❑ • Contractor _ El CFT Violation: Work Comp.❑ Inc. ❑ n L/A Owner CASH ❑ ❑ L/A - • .. Fee CHK #` pi' Due MO # • n IPA • } Municipal • r' yINV #' Date: ' Other Side❑ Utilit• 1 \ '' . „JAppli'cant El . yP Cut in Card n Temp # Date a Date -s , >{}'. INSPECTORS SIGNATURE IN Final # (r,,� (1 7 /7rf f ` ,/, r/ - r L . ` t APPLICATION FORM NO.250 EL 4/89 1 r11_1 J J•W v J MIDDLE DEPARTMENT.,INSPECTION AGENCY, INC. 5' 900 H ddQnAvenue,Colllnyuwood N J.08108 le 4k� ^ .! yf-' rj-v1,,r J_�.__ , •,.. '� Dato July 16, 1990 tertlflP_ that the electneal,equipment listed has been examined and is approved as being in accord with the National Electrical Code', applicable.governmental, utility and Agency'rules. ; Owner:David J. Gaallagier '` ' Occupancy Dwelling'; Occupant: Same t I Location: Dream Lake Rd. ,', Qt.eenSbury f Marren Cros�ceriflytte covers the electrical equipment and installation inspected this t. dat . If�addMona! equipment should be introduced or alterations made to 4 "�,jexisting system this ceftlficate shall be null and void, and application for200 Amp Sl�lrva.c.., 3 Appl'? n lder f should be submitted promptly to this Agency.Equipment: i.•�4`eM sar._ee, s�„ "Holder of this certlhcate shquld present same to his property insurance carrier(agent or company)as evi ceofCertilication of electrical equipment approved as specified., / fir ,` C A. D. Tellies �, ill,, ;., -: W Applicant: 2 Bronk Drive =� �''I _ �' No. L_Glens Falls , NY 12804 . ..__.::� «y�. , 16-036023/031 cl r,..4,.." 1 04-.. �-. On. !+ !I f eN fuNeeie ld4 + ,...i/ t, Form No.703 EL 1-83 ,7 TOWN OF QUEENSBURY ()1 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801- TELEPHONE (51:) 792-5832 BUI LING INSPECTOR'S ORT REQUEST FOR INSPECTION RECEIVED 1{c 1 ci o p/1L, NAME ))�cL 1 /�all IIII LOCATION )1_0 , - L DATE ri I111I`7() PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FIRMS FOUNDATION/DAMP-P••OOFING BACKFILL APPROVAL' ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I ' INSULATION: FOUNDATION FLOORS WALLS • CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING a ', / EXTERNAL PORCHES STPS STAIRS-CLEARANCE; & ",'ILS PLUMBING FIXTURPS/R ' IEF VALVE INTERIOR TRIM/PJ'IVAC 1 DOORS FINISHED FLOOR ' GARAGE FIREPR•OFING DOOR CLOSER(S) SMOKE DETECTO1 FINAL ELECTRICAt INSPECTiON _FINAL APPROVAL IF CONSTR TION - OK TO ISSUE C/,! OR C/C A SIGNED CERTI, ICATE OF OCc UPANCY MUST BE OBTAINED FROM ! HE BUILDING DEPARTMENT BEFORE THESE PREMISE" ARE OCCUPIED' REMARKS:O ji( ! LL A Oil_ Cat i '1 cile'-S i/6" © Oil �L�/k b L,U a l,� ULS ►lQck the-k-- (-10 CID vV{ L own L e_o 11.. is5'Lt.e_ 5E +T € • 3,6:6-4- „714,--)7 It'! 4(41 . ARRIVE 36 - DEPART.3 / Al-440 l/ • INSPECTOR 6(AL TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT Pik/ BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHO.E (518) 792-5832 BUILDING INSPECTOR'S REPORT • REQUEST FIR INSPECTIO RECEIVED III R0 d PM NAME UU.,l d - jolosiv0 LOCATIONJY} 14 ,/ DATE i1 ) 1 7 PERMIT # )- J APPROVED YES NO FOOTING/PIERS MONOLITHIC POUF FORMS • FOUNDATION/RAM', PROOFING • BACKFILL APPROV°L ROUGH PLUMBING FRAMING ' ELECTRICAL ROUGH-"N ' INSULATION: FOUNDATION FLOORS WALLS . CEILING . FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE ' STAIRS-CLEARANCE & "t.LS PLUMBING FIXTURES/RE F VALVE INTERIOR TRIM/PRIVAS L•OORS FINISHED FLOORS GARAGE FIREPROOFINe, DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF C►NSTRUCTIoN OK TO ISSUE C/O OR C/C SIGNED CERTIFIC•9E OF OCCUP' CY MUST BE OBTAINED FROM THE BUILDING DEPORTMENT BEFORE THESE PREMISES A' OCCUPIED! REMARKS: O l(�f�L�R-��,(I a r` �' /' Cart�J 4 i8 li ��,( - � J U e c-c k • r\I G j o :AI I L 'r SS 0 OS tN L� Ko, 7 1 -(1 IS S F S C do one mine 7 'P/2 , ete access ARRIVE DEPART II 0 1° �0 JINSPECTOR TOWN OF QUEENSBURY V BUILDING AND CODES DEPARTMENT BAY & HAVILAND R ADS QUEENSBURY, NEW RK 12804 --- - TELEPHONE (518) 92-5832 BUILDI G INSPECTOR'S REPORT REQUEST FOR INSP TION RECEIVED (pl a ciU ()PA NAME j�)d11`(G (444_Oh�LOCATION)'�_(0,I lC _ • DATE (Q r7 "I 1(i( PERMIT # Z .j(n APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FOk S FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING ! ' 91FINAL INSPECTION: CHIMNEY HEIGHT 11 ROOFING i,'/ SIDING l/ / EXTERNAL PORCHES/ST 'S / STAIRS-CLEARANCE & ILS l/' PLUMBING FIXTURES/ IEF VALVE i✓i INTERIOR TRIM/PRIV C DOORS i// FINISHED FLOORS j/ GARAGE FIREPROOFING DOOR CLOSER(S) — �� SMOKE DETECTORS ; .' V / FINAL ELECTRICAL INSPECT'ON " ' r� .---- FINAL APPROVAL OF CONSTR'CTION " OK TO ISSUE C/O •' .C/C A SIGNED CERTIFI ATE OF OaCUPANCY MUST BE OBTAINED FROM T,E BUILDIN DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIE'!. REMARKS: pe617 Ol hrve j7) !/ J ;/ /« k. 1 // 4; &s ./4g1-. .e ,.c� A., i ?k If ARRIVEe// DEPART 7401-7 / 4 / INSPECTOR • • . - MIDDLE DEPARTMENT INSPECTION AGENCY, INC- . • Electrical-Building-Plumbing-Fire Inspections Labe (..,/ 5008 8i 85 c:"?c,1 al?. • Date - J.. ' IS ector r T consti ut s ton at thor: — above installation, but not the equip.', ment itself, has been visually inspected as of this date pursuant to the applic- able codes. If additional equipment should be introduced or alterations made to the existing system or stuc- , ture application for inspection should • • be submitted promptly to this Agency. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT• BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804• 1/7L / TELEPHONE (518) 792-5832 / BUI� lING INSPECTOR'S REPORT �J REQUEST FOR IN •ECTI ON RECEIVED O NAME ! \Ugli/ LOCATION ///41,e/%/�s7/Lc� o4U.lG f�/ DATE //,.:Z U PERMIT # APPROVED 42eg 0-77 e ��� i YES NO )(FOOTING/PIERS MONOLITHIC POUR F0 • S �l FOUNDATION/DAMP—P•';'IFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS . . . . . . . . CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFINGS SIDING EXTERNAL PORCHES/STE' . STAIRS—CLEARANCE & ;LS PLUMBING FIXTURES/R; L 'IF VALVE INTERIOR TRIM/PRIV':CY ',,ORS FINISHED FLOORS GARAGE FIREPROOFI 'G DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL I SPECTIO FINAL APPROVAL OF CONSTRUC ION OK TO ISSUE C/O r• .C/C A SIGNED CERTIF' ATE OF OCC/PANCY MUST BE OBTAINED FROM T E BUILDING c.EPARTMENT BEFORE THESE PREMISES ARE OCCUPIED. REMARKS: 7/ ARRIVE (0?„ DEPART 57 INSPECTOR awn of Qurj • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98/L n Queensbury, New York 12801 / • //1)) SEPTIC DISPOSAL SYSTEM ISPECTION NAME ge, ,,--of „ha,,P�� )4..e _.) . LOCATION /4_ z /( ,c�C& DATE J6/nN 9D PERMIT NO. r,/.31a / SOIL TYPE - Sa ',• - Loam - Clay - Percolation Tes', Require YES - NO Percolation rats. - Min/I ch TYPE of SYSTEM: L„ Absorption field. total ength (' Length of each t ,-nch G. Q L/4 Ye2 Depth of trenches ' .1.3 Size of gravel SEEPAGE PITS{Numbe• of ` Size- ft. X _ ft Gravel size PIPING: Size Type Bldg. to tank \/J ,% Tank to dist. box L/( Dist. box to field/e a,-.. ) . / /!' Openings sealed? �,. ' " NO Partial LOCATION/SEPARATION`'.: Foundation to tank t. Foundation to abso I•tio ft. Absorption to lot ine ft. Separation of pits — ft. LOCATION R1� ST ' ON PR�'IPERTY(circle one) Front - / ar Le!t side.- Right side - COMMENTS d ir �,il • [/ . SYSTEM USE ;.PPROV D ' YES NO Buildi g nspector 01/86 and vl TOWN OF QUEENSBURY • BUILDING AND CODES DEPARTMENT f BAY & HAVILAND ROADS I'y�J QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST(FIR INSPECTION� I RECEIVED 6-f2O NAME (I i��JCJ { l LOCATION ,(� k jLL� 0 i DATE , 5 I 29 190 PERMIT #` 0 .r 2(3 ) / APPROVED Ir YES NO FOOTING/PIERS ' ,1 MONOLITHIC POUR FORMS :1 FOUNDATION/DAMP-PROOFING' ACKFILL APPROVAL I ROUGH PLUMBING I FRAMING 1 ELECTRICAL ROUGH-IN ;. INSULATION: r I FOUNDATION I FLOORS 1 . . WALLS . . . . is P CEILING • . . f • • ' FINAL INSPECTION: ' ' CHIMNEY HEIGHT ROOFING • • • ;;; SIDING 0 EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/REL1I$F VALVE . INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS (; _ GARAGE FIREPROOFING DOOR CLOSER(S) \i, SMOKE DETECTORS 3 • ' FINAL ELECTRICAL INSPECTION ' S r: FINAL APPROVAL OF CONSTRUCTION - OK TO ISSUE C/O OR .C/C Y, 8 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING',DEPARTMENT BEFORE - THESE PREMISES ARE OCCUPIED!. • REMARKS: - C, DifoR 1 OproX \ 1. 4 .. t • rL______ .::,3. ARRIVE -1 DEPART lb.all •. 6-4IN PECTOR • TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPEC JON RECEIVED (�JO rl NAME01)1 w1 id 1 A_Q/V((( LOCATION K DATE ‘51jg1 ci3 PERMIT # 90/ 3G II APPROVED YES/ NO (OOTING/PIERS ONOLITHIC POUR FORMS FOUNDATION/DAMP-P'OOFING : . 7/ ' BACKFILL APPROVAL ROUGH PLUMBING ' . FRAMING ELECTRICAL ROUGH- N . '' . . ' ' INSULATION: FOUNDATION FLOORS WALLS . CEILING FINAL INSPECTION: CHIMNEY HEIGHT I ROOFING SIDING .i EXTERNAL PORCHES/ TE I S STAIRS-CLEARANCE I �y ILS . PLUMBING FIXTURESIRELIEF VALVE INTERIOR TRIM/PRI ,1,�CY DOORS FINISHED FLOORS /1 GARAGE FIREPROOFI G ' DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL NSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O R •C/C A SIGNED CERTIF CATE OF OCCUPANCY MUST BE OBTAINED FROM 1IE BUILDING DEPARTMENT BEFORE • THESE PREMISES ARE OCCUPIED! REMARKS: p___ (20 p 'Th'14-b •--ei,z-,-'‘i ARRIVE(eL'e_.5411) ( 6-F DEPART I -� -1 _��� INSPECTOR ' REV 0SEo: ' 8/1/89 cuGEORGE KUROSAKA JR., P.E. BUILDING SYSTEMS CONSULTANT _ 13 ARBUTUS DRIVE QUEENSBURY, N.Y. 12804- (51 g)793-7190, • RESIDENCE: 13 ARBUTUS DRIvF QUEENSBURY, N.Y. 1 2gO4 PHONE 518 792••1522 BUILDING INSPECTOR go_7-310 • TOWN OF QUEENSBURY re: Factory Manufactured Home TOWN HALL - BAY ROAD Installation.Certification. QUEENSBURY, NY 12g04 , Attention: DA V I D HAT I N Dear sir, This is. to certify that I have observed and inspected the installation of a "Factory Manufactured Home"; as defined by the New York State_.Uniform Fire Prevention and Building Code, Chapter D - MANUFACTURED HOUSING, Article 2 - FACTORY MANUFACTURED HAKES, as applicable to your local building regulations; there appeared to be no apparent structural damage to the units, due to or attributable to the transportation or loading/unloading of the units, herein- after dscribed as follows: T� CPig Date of„ Installation: Site Location: 9/47 -0-O4;f Community: . TOWN OF QUEENSBURY County: WARREN Manufacturer/Supplier: ,V,FG16,J s Address: ecrio t 7"_ f�sj—!s • Insignia Serial No. 3.-r4A'd ' Plan Approval No. o•y7 ® 3S9 • Manufacturer"s•Model/'omponent No.: G'�'ff� J oo 7 Date of Manufacture: S4,/itAID . Installer/Supplier: 04240,04 a egele, w„.. I have also examined the approved Plans & Specifications for the abovementioned "Factory Manufactured Home", and to the best of my knowledge and belief, this "Home" has been installed in accordance with these approved Plans & Specifications, and all other applicable laws codes, ordinances,standards &/or regulations. 00F NE� SUBMITTED, RESPECTFULLY 0: ...,,,,,,,,,,,,,.._—i h�.!,,,-- GE KURCS ttt /- v 467 i)i ____.______ .::::T/,- f,n V , cr • ‘-^''''''.,, . • ‹''''1/4411;14(.6 1 cc: iilh. Fo Ho J5B69 �S'���� GEOE GEORGE KUROSAKA JR., P.E. ''=c)PErS1014 j" brill f DREAM LAKE 50 a w Ln 6` TYF i p l 7` rR'CPCSF.� - n ri A S 89 -45"CCEr i UTILITY PC L E C� 4� I 5 �F- WELL IGC' MIN. -C � EPTIC L.;arC,E TREE TOWN F OF QUEL- L6 zo rig ., MAY -11990 ® mot-vWG & COUt vEPj PRCPCSED RESIDENCE FOR DAVID J. -,, CATFALEPw GALLAGHER 'EAAA LAKE QUEENSSURY, NY st.aLE : til- I DRAW N : v SITE PLAN HOMES go -� 4