88-023 -7,-111111111111111111
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY; NEW YORK
May 7 90
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 88-23
has been completed.
This structure mVc.3, d Two Family Dwelling
trrY)arl kie
Lot 4 Burnt Ridge - Sherman Ave. '
Location
Cobe, Inc.
Owner
By Order Town Board
TOWN OF QUEENSBURY
/ _72
Building
& Zoning Inspector
BUILDING PERMIT H
TOWN OF QUEENSBURY 88-23
No.
WARREN COUNTY, NEW YORK z
a
.
Cobe Inc.PERMISSION is hereby granted to
Lot 4 Burnt Ridge — Sherman Ave.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Two 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
64 Crandall St.
Glens Falls, N.Y. 12801
0-'
2. CONTRACTOR or BUILDER'S Name m
H
Ray Cowen C)
3. CONTRACTOR or BUILDER'S Address
64 Crandall St.
Glens Falls, N.Y. 12801
4. ARCHITECT'S Name
r
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rt
td
5. ARCHITECT'S Address 1r
ri
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6. TYPE of Construction—(Please indicate by X) QQ
CD
( x)Wood Frame ( ) Masonry ( ) Steel ( )
cn
7. PLANS and Specifications rh•I
No. 53' x 46' as per plot plan, specifications and application including
septic system ast x c
8. Proposed Use L
Two Family Dwelling
$10.00 C/0
154.00
$ PERMIT FEE PAID —THIS PERMIT EXPIRES August 1, 19 88
(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 29th Day of January 19 88
•
pp t7
SIGNED BY '7770 for the Town of Queensbury
Building and Zoning Inspector '
N•
oQ
•
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
• A permit must be obtained before beginning work.
ANSWER ALL of the following:
1. Gross floor area 2/ SS T`Tv '
2 . Type of heat ` II
3. Is the building mechanically cooled? N 0
4. Percentage of area of windows and doors I `t• 3
A. Over 16% Only
1. Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
EE . ATTAC 'ttJE,2 y C_AL GU i-AvT tc7b1 S
2 . Floor over heated spaces YES 415
a. Are foundation walls insulated? YES NO
1. If YES, what is the R value?
3. Slab on grade YES 0 •
a. If YES, what is the • value of insulation around
perimeter of floor?
4. Is basement heated? YES NO
a. R value of insulation .
5. Type of insulation Fi GLASS
B. Under 16% Only
1. R value of ,.roof and floors exposed to ambient conditions?
6
2 . R value of exterior walls fL et,. Ztij
3 . R value of glazed area
U 4 . R value of doors € /0
7.
5. R value of floors over unheated spaces /'- Z/,
6. R value of slab edge insulation - . unheated slab
N
4�
7. R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
0. Type of insulation � r8 E2GUs. SS
C. Controls �o
1. Thermostat maximum heat setting 8
D. Duct Systems rd A
1. Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2. . R value of pipe insulation
F. Service Water Heating
1. Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximum heating
Telephone .No. 773 `48(23
!. '
(a.plicant' s signature)
�rurK i Oat&Atfry
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE i 1 I 1•8 / 8 7
LOCATION OF PROPERTY FOR INSTALLATION LOT 4 r U ieu I ►` 17 (E
Owner's Name: 040 r3E . -)LLC Telephone: _ 1.93- Co S88 ,
Address: C 4- Cry k1 CbA.l.L ST C. tEkt S PALL S
Installer's Name: ,) Ay CLOEe--/ Telephone: 79 Z - 3›4-8
Number of bedrooms (residential only) 4-
Total daily flow (compute @ 150 gal per bedroom) &00 ?poi
Topography: circle oneone•410 Rolling Steep Slope % of slope
Soil Nature: circle one• Sand Loam Clay Other / Depth: > 3Sfeet
Ground Water: At what depth? > 20 feet
Bedrock or Impervious Material: At what depth? � 3S feet
Percolation test: circle one: not required required /rate min. inch.
Domestic water supply: circle one Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank / 2 cO gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 50 feet / Total system length ZSO feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # 2- / Depth or Thickness _ I feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
JllELA) 1ZSo
kli0 Z.SO .71A- P-
&km) c142Sn,cAud '°76
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted 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 installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person: I
Date: /08/87
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . A GOOD.PLACE TO LIVE
1 . .v & ♦.vv.t.....iuu Li ..►... .Lis,. `I 1p
�] Application No. y IJ E I-� I I lY I a
✓own Ol Queeniturf Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires . 19 NOV 2 01987
Bay and Haviland Road, R.O. 1 Boa .r., Zoning Designation
Queensbury, New York 12801 Variance No. BUILDING tic GOO !_KEPT
Site Pl. '-vi-w NA, _
ro e- b . 0
, • <�(i Cc(' °D
•
PP y' 0 C
APPLICATION FOR 1
BUILDING ANDZONINGr . cT iiN0(60
PERMIT /�y
. * * * * * * * * * * *- * * * * * * * * * *,* * * * * * * 4 * * * * * *::*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. 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
„-i special conditions as may be indicated on the Permit.
The owner of this property is: 10 (3, E 1. k/C .
P.O. Address CA4 Ce k -7 AsLL. S,T Cs.., F. u.V. 12 Sii7 Tel. 793--6S88
Property Location: LoT 4 3u1ZuT eiT)6E - SEea-MN-1J AVE Tax Map No. /Z// 1O/ 4
Street number or building lot number .
Subdivision name (if applicable) ?U 1(4 1Ib G E
THE PERSON RESPQ}NSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: •
RAY C.ow GIL) co 4 . 6r2 �/- j A -a- S T - 79'3 -‘.. 588.
Name P.O. Address Tel. No.
.Name of builder 2 03 e -Lu C- Address 6n4 .(2 A-A)/)ALL ST Tel. '79 3-,S88
Name of plumber Feb.uk 5T02,Eau fLom Address SA O?..A. Tel. 587- 5S14-
Name of mason KEA1 STEELE • Address Foo r ..ANai Tel. 798- 0077
NATURE OF PROPOSED WORK: • * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN .MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and'attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
Other work .(describe) * set-back dimensions from property' lines. Give
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. *
of water supply'and location and configuration
. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
. * Size of property f $ Z_ ft X 2-06 ft. •
* Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE: * O�E
* Exi-sting_buildiny(s) 'Use
Size of new structure 53 ft X �f *. . • •
Foundation-pier/slab/crawl/partial ep' * Proposed building, distance from property line
(circle one) nn
No. of stories (habitable space) !� * Front yard ' 7 s ft Rear yard 637 ft
Height (grade to ridge) /(1 ft. * Side yards ' .3S ft and Go 4-. ft
If residential, no. of families ?i * If on corner, setback from side street ft
No. of rooms(excluding baths) ' ea * OCCUPANCY INFORMATION
No. of bedrooms *
No. of bathrooms Zr/2- * PRIMARY BUILDING -
Primary heating system E LEG, * One family dwelling
Type of fuel E LFC . * ✓'�'wo family dwelling
No. of fireplaces to be installed e) * Multiple dwelling / Number of units
Will a wood stove 'be installed? up * _ Permanent .occupancy
Central' Air conditioning? kl o * Transient occupancy
* Business
. BUILDING STYLE, PRIMARY STRUCTURE ,f' Industrial
Ranch Contemporary Log cabin * Other
Raised ranch sion Duplex - * If addition, what will use be?
Split level Old style Bungalow : - *
Cape Cod Cottage Other _ * ACCESSORY BUILDING- )(_D4.1 E
Colonial • Row Town House * ' Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * 7-Attached garage/one car/ two car/ car
* * * * * * * * * * . * * * * * * * * '---Private storage building
ESTIMATED MARKET VALUE OF * Other ' ' .
CONSTRUCTION $ 41/401.000 *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI
Form BF;\ /CIS. m.i-vl
BUILDING PERMIT APPLICATION CONTINUED - •
BUILDING SPECIFICATIONS:
Type of construction, wood frame fire safe,etc.
•
Will any second-hand or ungraded lumber be� //used? If so, for what?
N.OJJE—
Foundation wall material 10't awc. R L0G!C Thickness /0 I f
Depth of foundation below grade (to bottom of footing) 7'
Will there be a cellar? 1/ES Heated or .1 eated UA!_ Floor sq. footage Z/S3 sq ft
Will there be a basement? sj E$ Will. any portion be used as living space? Alb
(If so, what portion? sq.ft. - - Type of use? •
Type of roof - oped flat/shed/other Material. of roof S/8 PLywoop wf AspH. S HWGis
Size, wood stu s "X (v " spacing 2¢"o.c. length a ft.
Joists(floor beams) let. floor 2 "X /0 " spacing 140 "o.c. span 12- ft.
Joists(floor beams) 2nd. floor 2.- "X 10 " spacing IL "o.c. span ►Co ft.
Overlays(ceiling beams) Z "X Ip " spacing 1(O "o.c. span -I(o ft.
Roof rafters 2 "X /0 " spacing J(o o.c. span 16:. ft.
Roof trusses(pre-engineered) spacing ZQ. "o.c. span 30 ft.
Exterior wall finish STAINED Of what material? W007) 3 /7)///(
Interior wall finish S F}EE'T r1sLK- PA I A(TEb
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, and self-closing device be provided?
Will a flue-lined chimney be installed? AM Height above roof ft.
. Depth of chimney. foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply -(Municipa)or private well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties A/f/4 • ft.
(A separate application is necessary for any repair or new installation of septic system) •
Town of Queensbury rt n C C I D An V I T STATE OF NEW YORK
County of Warren f I 11
I swear that 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 thc 'BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed .work shall be complied with, whether s 'fied or n , and that such work is
authorized by the owner. •
SWORN TO BEFORE ME THIS Signature--- /!
Owner, •wner's agent,arcn.tect,contractor '
day of ' 19
•
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * •
SPECIAL CONDITIONS OF THE PERMIT: •
•
•
•
•
•
•
By
•
•
/ - -
BUILDING DEPT,COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
J. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
—
•
(TEMP.# • (DATE I
CITY OR - - / '' `
VILLAGE i-...X`�='-'. '-= i'' - '''L". TOWNSHIP COUNTY' f.,,I -'`�'r-r-4>
STREET AND NO.OR i I r_ _� i�
ROAD AND POLE NO. r, 1'i(�� r�i POLE NO..
BETWEEN WHAT TWO _ -
CROSSSTREETSIS ''•)'�- _ ' t:j T r.% f ), l'r_ i%:e.
PREMISES LOCATED? -� SECTION l E, / BLOCK F-- LOT 4
OCCUPANT'S / f q )c'Cup( i�., BUILDING ~1 i t f.e_/- x.
NAME "' qq / OCCUPANCY
OWNER'S NAME .1 C .{ Ai?.�:'�e.L S!_• (�. 0 . ,�- 'TEL.# . --t CcS6'
AND ADDRESS , r C.C. f
CURRENT J ,r f-"'
SUPPLIED r4.1 i 1.f� L� t <'; t; (t:`�. -A .�' -
BY' FROM THEIR OFFICE •
BUILDING WORK DEFECTS
IS NEW OLD❑ IS NEW ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Law- ONLY
tion Side Attaeh't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Eaeh No. Gauge INSPECTION
Out •
—
side
Sub- '
bass
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
•
•
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER . EXPOSED GAS TUBE SIGN
OF WORK - CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD • UNDERGROUND MAKER '
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED -
ON OR AS NEAR AS
POSSIBLE NEW I I OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF ?t /e
APPLICATIO
N''
PRINT NAME AND AD DDRESS _ ! i . • / --- l
NAME OF i ' 1 is I-- I C /C A e ' 1. ` F��(SIGNATURE •
APPLICANT ',-. ;�``' f=/_)�'l vim) "OF APPLICANT `t f r 4
STREET ADDRESS, 4 `.., 'f�(^1• t�r 1. ( L' 9/ TELEPHONE# -�" - 6 J 5' 8
CITY OR __. i. F. 7�.( ;J-,4J (^ A,7 ZIP l7 LICENSE NO.
POST OFFICE c-' r = CODE ' �-- WHEN APPLICABLE
46 EL (RN 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
\i .
s'• .
, ti-Yt!..s.441,1.719.!-1•171.!.".-19-In"".??..1.,1.1... .W,g'!-.e0!.".".4•,.•!,.1.9!."."...1•?."..),*1-19?-.St!..19.!."."...3,47M-19&-1.94..,..,!")...?.".".",1•!..1.!..),,,,./.".".ei.,.,...........f.?
ip THE NEW YORK BOARD. OF FIRE UNDERWRITERS PACE [ 10
V 'A. .1e,3577 t 10 7
•--: p BUREAU OF ELECTRICITY
41 STATE STREET.ALBANY.NEW YORK 12207
-i,
Date NAY 2,1190 Application No.on file 00295..10:•_, .!.,c,/ sAi 71/5 A 009'153 so g
r3
THIS CERTIFIES THAT pEuIT N . 8n-,', 10
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of l''
MIT: SHFRNAN AVE. . OUEEURY N.Y.
. 2
ia;t1 in the following location; El Basement El 1st Fl. 0 2nd FL Section I:11 Block I'11 Lot
was examined on V 18 . -1:;(:) N:and found to be in compliance with the requirements of this Board.
I?... FIXTURE OUTLETS ECEPTACLESI SWITCHES FIXTURES
INCANDESCENT.FLUORESCENT OTHER
AMT.R ANGEK.Sw. COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :
AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
31 1.-"<: !-:•Y; 56 4,-! .37 -I
-
!k. DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 1"1
. e. SYSTEMS
. --v 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
. -, , -
?L.
- 6-0 SERVICE DISCONNECT NO.OF
S E R V I C E
'4. METER
AMT. AMP. TYPE EQuip. 1,0 2W 1 ff 3W 3 0 3W 3 if AW NO.OFpEFirCOND.
OF V.V1ND.. NO.OF HI-LEG C4'.ril NO.OF NEUTRALS ONaliAL
ii.
IA. - '.2 ki)0 C I:: 2 :u: 1. 4/,:) 1 2/0 MO
1 (
it. OTHER APPARATUS:
1. 171T-C. JiN 1IE2TEM3- , 5 K.W. ,1- . 75 LY. H- .25 1,. . . . :-i,
.1i.
114 UC R0/3 PE:\TERS: L- L. 5') K.W. . 5-2.0
.i..,': ELff.. WATER HE'ITER : : :-Y1 .!-.:, K.V. ,. .,, ..
: ,
::i.i
'!"_;. F.C..I : -6 . `
SNOKE DETEC,TOR: -
--6
t.L. — •
-C,
-.-Q ', •-7
5 EATHERTNE ',T-II T
280 BRANCH MANAGER
CLENC F',11.1 , NY, 1J .
so-
:
Per .. g
4 IA: 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.
itla 5 5 5 mown 5 ri MI nrinsrannownnnearanirmellsrmanntinnrgrammustimesownwneammi.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 1-10 `96
NAME (1 / ��J�� , J
LOCATIO i — J4, UhM1/�/Y� -/ ,(�IJ✓�r 4///
DATE 5j/Cf� ( PERMIT # �JJ�" J_
APPROVED
-- Cry LelYES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS Fe.
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL a
ROUGH PLUMBING
FRAMING • aA
ELECTRICAL ROUGH—IN I /
INSULATION:
FOUNDATION 1
FLOORS • • v{
WALLS 1I
CEILING 1 •
FINAL INSPECTION: A
CHIMNEY HEIGHT s
ROOFING g'
SIDING
EXTERNAL PORCHES/STEPS I '
STAIRS—CLEARANCE & RAILS /
PLUMBING FIXTURES/RELIEF/VALVE
INTERIOR TRIM/PRIVACYkDOORS
FINISHED FLOORS Ai
GARAGE FIREPROOFING Id
DOOR CLOSER(S)
SMOKE DETECTORS I � •
FINAL ELECTRICAL INSPECTION •
FINAL APPROVAL OF CONSTRUCTION
•
p .
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE ,
THESE PREMISES ARE OdCUPIED!
REMARKS: yd
1//
•
101 �O W�
a;4
6AI -1P •
INSPECTOR
TOWN OF QUEENSBURY 17,
BUILDING AND CODES DEPARTMENTyBAY & HAVILAND ROADS 1?:
y/
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 5-^
NAME � 0 -el.
LOCATIONAG/dJGd‘,'./ 7A- �� n
DATE ,2‘-19 PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN f`
INSULATION: ;
FOUNDATION
FLOORS
WALLS
CEILING r
FINAL INSPECTION: R Ae
CHIMNEY HEIGHT .�,
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE •
THESE PREMISES ARE OCCUPIED!
REMARKS:
L�
/1,&tv
INSPEC OR
pit
_Down of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
6 ?? Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME de)-46, , Q4C-C,-
LOCATION U�,>i//
Date " / Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venter
Rough Plumbi g
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar. Drain Tile
•
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
(oINSULATION:
Foundation Aj4. 14 L- "
Floors
Walls
Ceiling f
FINAL ELECTRIC*L INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call hen ready)
Remarks- 0L1/ i C I7249v f A) () f L
90Sr ECcLO IAi Pt /.(7
•Ee-F-o)2_ I: 4/$ cr ),42 r uil
. 0„, „
Building Ins ector
6/86 and-vl
.Town of Queeniurf1
BUILDING and ZONING DEPARTMENT
Bay and Havilapd Road, R.D. 1 Box 98
Queensbury, New York 12801
gi27
BUILDING INSPECTOR S REPORT
NAME c/6
LOCATION 7 , c� / ‘#,,e
Date _0 jr- Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ " APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
rakfill
ming
Roofing
Siding
uMabnry Veneer
gh Plumbingia‘6-la CJ
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railin•s
Cellar Drain Til-
Concrete Floors
Plbg. Fixtures
Gar. Fireproo•ing
Door Closers
Smoke Detec ors
Chimney
INSULATIO' :
Foundation
Floors
Walls
Ceilino
FINAL '7LECTRICAL INSPECTT•
DRIVEWA\ APPROVAL
Final Bu ding Survey
IJSvuNt-toA)- R6-PLvA1r3IA/(o
Next scheduled inspect .ori (call when ready)
Remarks-
EAV4M&•err 1beIM
A or- �O Art - o {LT ''`fir': f'
lows or; Li v riv4 A-
Bui ding In pe or I
6/86 and-vl
�` �� _Down of Queeni‘ur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME gaJ
LOCATION / /
'7
Date -7- -/ /er Permit No. F0 -,R.3
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Wa erproofing
ackfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves /
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELEC RICAL INSPECTISN
DRIVEWAY AFFROVAL
Final Build ng Survey
Next scheduled inspection (call when ready)
Remarks-
�L� L ✓ i �
Building Inspector
6/86 and-vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS 1/457/7-17
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION r
DATE //R'RI PERMIT # - �,
✓11 APPROVED
YES, NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACJCFILL APPROVAL, /
OUGH PLUMBING Q.c,,,7 -16-t" 7-2� V V
%., FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS '.
WALLS
CEILING
FINAL INSPECTION: /
CHIMNEY HEIGHT/
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR�ETRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE /FIREPROOFING
DOOR LOSER(S)
SMOKE'DETECTORS
FINAL ELECTRICAL INSPECTION '
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: f� J.//0:1 /63 A -rrye
'se `�� / �a es/1
�' J F�ff
ri(/f
; .
INSPECTOR'
_town of Queeniur ,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING •INSPECTOR ' S REPORT
NAME .) l
LocA/40
S,2
II
Date l/ 47 Permit No.
* * * * /* * * * * * * * * * * * * * * */* * *
✓ = APPROVED - / NO
Footing/Pier Forms
, Footing/Pier
J Waterproofing
Backfill
Frami ••
Roofing
Siding
Masonry Veieer
Rough Plumb g
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing
Cellar Drain Ti e
Concrete Floor-
Plbg. Fixtur-
Gar. Firepr••fing
Door Closer
Smoke Dete tors
Chimney
INSULATIVN:
Foundat'.n
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
/(' ale 66/
Building Inspector
6/86 and-vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS / T
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME (1� U'c.
LOCATION T/ `7 ��21/ e4-�- •
DATE { !f - /6-- PERMIT # f 11 < c
• APPROVED
)YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS \ i
FOUNDATION/DAMP-PROOFING i;
BACKFILL APPROVAL 1
ROUGH PLUMBING / t4 ,i',
FRAMING \
ELECTRICAL._ ROUGH-IN
INSULATION.:,
FOUNDATION, 9
v
FLOORS
•
WALLS
,CEILING
vrANAL INSPECTION:
CHIMNEY HEIGHT / ,
ROOFING j V
SIDING � \�, Lr'
EXTERNAL PORCHES/STEPS i
STAIRS-CLEARANCE & RAILS ;`i,, f
PLUMBING FIXTURES/RELIEF VALVE c/
INTERIOR TRIM/PRIVACY/DOORS lk.,
FINISHED FLOORS
GARAGE FIREPROOFING .f N/K
DOOR CLOSER(S) 7!; . i. 1k
SMOKE DETECTORS / 'h 1/
FINAL ELECTRICAL INSPECTION . ' L/
FINAL APPROVAL OF CONSTRUCTION: - ‘_
1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
/
THESE PREMISES ARE OCCUPIED!
REMARKS: II /1 P
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r�.ia 5:re725
0 ,_ 346_ RAJ Sr- s
•
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INSPECTOR
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