1988-157 • Y .'I.1yi :fi 14Ajt✓/•�. 1. V��—,=V.•K .>V _v-.r y..i.VCy L jra . �, 1 ..Y _- .rF Y r.._. ..
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-
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Dace March 21, 19 91
qpm
_
This. is to certify that work requested to be done as shown by Permit No. £38 157
has been,completed.
One Family Dwelling
This 'structure m y occupied as a
LocationLot o Glenmar Stonehurst Development
Martin Sornborger,
Owner
•
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-157
WARREN COUNTY, NEW YORK
z
0
PERMISSION is hereby granted to Martin Sornborger
U,
Lot 38 Glenmar Stonehurst Dev.
OWNER of property located at Street, Road or Ave.
St. No. 1 I
in the Town of Queensbury,To Construct or place a One 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
1 Wildacre Lane
Barrington, R.I. rt
2. CONTRACTOR or BUILDER'S Name
David Sornborger cn
0
rt
0
o"
3. CONTRACTOR or BUILDER'S Address
rt
220 Maple Ave.
Saratoga, N.Y.
4. ARCHITECT'S Name r'
0
En
rt
rt W
O CO
O 4�
5. ARCHITECT'S Address • m
rt �
m
rt
rt
6. TYPE of Construction—(Please indicate by X) En
•
(x 1 Wood Frame ( ) Masonry ( ) Steel ( ) z
0
7. PLANS and Specifications
No. 58'8" x 30' as per plot plan, specifications and application including
septic system and attached two car garage.
8. Proposed Use
One Family Dwelling
0
0
$5.00 d/o
$ 157.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 1, 19 88 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
c<
town of Queensbury before the expiration date.)
20th April 88 co
Dated at the Town of Queensbury this Day of 19
SIGNED BY (. - � for the Town of Queensbury °°
Building and Zoning Inspector Are •
TO BE COMPLETED BY BLDG. DEPT. ',13 _ OF Q �.r_,
1
c� / Application No. p Ir is T L
awn 01 Queenikar Permit Issued 19
BUILDING and ZONING DEPARTMENT . Permit Expires 19 APR 151988
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No. QUILDING ex CODE El. --P7.
Site Plan 'review .,o. -4;6-p,i_fD /6 z mc7
r� ! Appr., . .ry
rJ P / '�/b /,l/GL,
APPLICATION FOR __I
r ' r
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * *. * * * * * * * * * * it * * * iF * * * * ::*
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
special conditions as may be indicated on the.Permit. •
•
The owner of this property is: ,//9/?7/A/ L S6,e,(1/ O1W, R
P.O. Address // 4//(42402Z 64/ Q/& G.j" e .rri lei Tel.YO/-ZYS--J�c/(o7
Property Location:Lar 36 SiZt u6tivieS'i D.SUeC..OP 4E 'T� Tax Map No. / /
Street number or building lot number((/S ./Z17 )
Subdivision name (if applicable) 1"re J f/( RS i •
•
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: .
/- (/).b .SCRA/R '1Rr % ,2.,20 A4/9,o( AU' A 4TOC-4 illy 7 /0 - ,5-g C�CcI
Name P.O. Address Tel. No.
Name of builder ,qui, ,J Sa/?N o ,c,_/Address O/4 9TrlC-,9'JY Tel.SW -_TT 3- 3(067/ '
Name of plumber ? .L,j(3 Al Sa,?,vi3e,PG,2Address " '` Tel. • is
'`
Name of mason/7q/to .ai2�� j 'Z. Address re G` Tel.
NATURE OF PROPOSED WORK: • . * ZONING INFORMATION:
X 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
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND ' *
LOCATION OF STRUCTURES AFFECTED. * of•water supply and location and configuration
of septic disposal area.
• *
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 3,?& /9/ ft X/(/7 -3/aft.
* Existing building(s) Size ft X ft.
* . . . . . . . . . /VeiviI
PROPOSED BUILDING AND USE:
* Existing building(s) Use
Size of new structure 5gf eft X3O ft * /�l1tii�
Foundation-pier/slab/crawl/partial * Proposed building, distance from property line
(circle one) *
* Front yard ' So ft Rear yard / 30 ft .
No. of stories (habitable space)
/ r {f--- * Side yards ;5Q ' ft and 50 ft
Height (grade to ridge) �C0 ft. * If on corner, setback from side street 5o ft '
If residential, no. of families 9/ •
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
*
No. of bedrooms * PRIMARY BUILDING -
No. of bathrooms _3 x One family dwelling
Primary heating system AOec45p hdtgii1 * Two family dwelling
Type of fuel1ig� W.,
Multiple dwelling / Number of units
*
No. of fireplaces to be installed ' / .
* X Permanent occupancy
Will a wood stove be installed? /I/c
* Transient occupancy
Central Air conditioning? No
* Business
BUILDING STYLE, PRIMARY STRUCTURE ,� Industrial
• ,• Other •
Ranch Contemporary Log cabin * If addition, what will use be?
•
Raised ranch Mansion Duplex .
Split level Old style Bungalow . * .
Cape Cod Cottage Other * ACCESSORY BUILDING-
o-lonial' Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * )( Attached garage/one car/ two car/ a car
* * * * * * * * * * * * * * * * * * ' Private storage building
ESTIMATED MARKET VALUE OF *'---Other
•
CONSTRUCTION *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form DPA 4/e6 and-vl
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS: ..
Type of '.construction, wood: frame, fire .safe,etc. ()(1Q FRA0v,E
Will any second-hand or ungraded lumber be used? If so, for what? NO
Foundation wall material Ca,icRt r&. • Thickness 6
Depth of foundation below grade (to. bottom of footing) , r 9 f
Will there be a cellar?`,Ae5 Heated or unheated? U46fq/Floor sq. footage . sq ft
Will there be a basement? `/eS Will any portion be used as living space? Aid
(If so, what portion? • sq.ft. -. - Type of use? .
• Type of roof -40 o•-• ' lat/shed/other - Material.'of roof ,4$P,VA0T S W/A/C.CES
Size, wood.studs .2 "X y :" spacing /(o "o.c. length 5 ' ft. .
Joists(floor: beams) 1st. floor Q2. ."X . ." spacing/. #th"o.c. spanf-4/Vft.
Joists (floor beams) 2nd. floor ,:.. ,"X A;- • -" spacing/atWo.c. span+I Y ft. ,
Overlays(ceiling beams) ,2 "X 4' " spacing/ f/b"o.c. span/O-/Vft: .
Roof rafters r2' "X 7 " spacing /6 o.c. .span / ' ft.
Roof trusses(pre-engineered) spacing ' "o.c. span ' ft.
Exterior wall finish C(14eba Z p -.. ' :Of what material? Ce0AR
Interior wall finish Sh + -/-swc< '.. . ' ' '
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? jigs If so will a. Fire-rated
door, enclosure, and self-closing device. be- provided? Al-eyeit. le/0,4 Vodie
Will a flue-lined chimney be installed? '/UM Height above roof '/164' ft. ..
- Depth of chimney foundation below grade -2 ft. -
Depth of fireplace hearth / ft./0 in. - '
Water supply - Municipal or private well TNZWW.re C4.1,o4(
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties /. 'ft.
(A separate application is necessary for any repair or ,new installation _of sept4.c _system) . ,,
•
Town of Queensbury . A F F :1 D A V "I T STATE OF NEW YORK
County of Warren
I swear that to the . best 'of .my ' knowledge and belief the statements contained
it in this' application, together with the 'plans and specifications submitted, are a true.and
• complete statement of all proposed work to be done Lon 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.
SWORN TO BEFORE ME THIS Signatur '
Owner, owner's agent,arcnizect,contractor :
day of 19 .
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * *' * * * * * * *' * * * *c * * * * —* * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
.
•
. ; . - By
.
eems�
Meg daietiakey
APPLICATION.FOR SEPTIC DISPOSAL PERMIT
DATE / / /
LOCATION OF PROPERTY FOR INSTALLATION t,aT 3 n SiawE f2$I Su D W 1 S i o N
Owner's Name: MAQTIcv Sc7l2xSlace6r-!7(Z Telephone: jbi-..2YS - L/(07
Address: _j (Li 0,cv .t21 ( 1 gA-22(NG-TOJ66 qa(o
Installer's Name: y W l e.is I C K r Telephone: S g 7 /r7 3
Number of bedrooms (residential only) ' '
Total daily flow (compute @ 150 gal per bedroom) (000
Topography: circle one: Flat 'ollin_ Steep Slope % of slope
Soil Nature: circle one: ► Loam Clay Other / Depth: feet
f
Ground Water: At what {iepth? 15() feet
Bedrock or Impervious Material: At what depth? ? =200 feet
Percolation test: circle one: uired required / rate min. inch.
Domestic water supply: circle one: Municipal 40110 Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption 1�6 feet
PROPOSED SYSTEM: Septic Tank /Doc gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench So feet / Total system length ".S() feet
SEEPAGE PIT(S): Numb ize eac f
Size of stone to be used # / Depth or Thickness / feet
* * * * * * * * *•* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUII'MENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * *"* * * * * * * * * * * * * * * * *
/000 TA AJILL
D►sr 13a
v.-S O 4• 1: 11.4 LD
(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 sal Ordinance.
Signature of responsible person:
Date: -/S
Town of Queensbury •
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
D 1763 . . . HONF " 1L BEAUTY . . _D,PLtr
' INTERIM BUILDING PERMIT
PERMIT APPLICANT DrAvt 17Sc ' C f. iZ
CONSTRUCTION LOCATION Lar ��- �L �j)1/ ToV l4vgs
EFFECTIVE DATE /S 0
APPROVED BY
SPECIAL CONDITIONS :
p!A-A s Urn G 1`-., -u r &1 J,
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit -
from the Building Department, followin processing .
POST THIS INTERIM PERMIT IN A CON ICU US C ION ! !
. .
TOWN L. QUEE:v_ �
Building & Co es Department
E' . TOWN OF QUEENSBURY
APR 151988 ..
LIUILDiNG & CODE DEPT
FILE
COPY
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:
u+-•.el bi • 2_0 3
1. Gross floor area t -
2 . Type of heat 3 #02 4 i4?
3 . Is the building mechanically cooled? ,qO
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
•
2 . Floor over heated spaces YES NO-
a. Are foundation walls insulated? YES NO
-1. If YES, what is the R value?
3 . Slab on grade YES NO
a. If YES, what 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 floors exposed to ambient conditions
38'
2 . R value of exterior walls /9
3 . R value of glazed area •3 Z ' 3 , 3
4 . R value of doors /Q
5. R value of floors over unheated spaces '
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation —heated slab- • / ' / Q •—
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade) 10.--
10. Type of insulation .2 eLA.2i C ( 0oil !/1 q 1/4e( /QJ'
C. Controls a \I
1. Thermostat maximum heat setting /O
D. Duct Systems I
1. Is duct system installed in unheated spaces? #40 0
a. If YES, R value of duct installation
b. R value of duct in other areas • -� I
E. Piping Insulation
1. Size of hot water or cooling carrying agent p
e4r .
2 . R value of pipe insulation •
FA Service Water Heating e/
1. Performance efficiency .0 /°
2. Temperature control setting maximum G' ' (J
G. For Swimming Pool Only •
1. Maximum heating
Telephone No. J ((f - s �� ^3�� ( •..
(applicant ' s signature)
C'JZvJMV,,, vJ J• J•f Vc vJA•vJ vJ.vJil vJ4vJ J �/�C
CMIDDLE DEPARTMENT INSPECTION AGENCY,INC. C
1337 West Chester Pike,West Chester,PA 19380
C' `
oateNovember 2 2, 19 8 8 e
Ceatlf i£g that the electrical equipment listed has been examined and is approved as being in accord
C' with the National Electrical Code, applicable governmental, utility and Agency rules.
C
C Owner: Martin Sornborger Occupancy: Dwelling
Occupant: Same _ �'
Location: Glenmar Dr. , Stonehurst, s ce t �p ers t I ctr' quipment and installation inspected
Queensb idat . ditrl a en ould be introduced or alterations made
Equipment:67—Outlets; 37—Receptacles; 15— to existing system this certificate shall be null and void,and application for 3
inspection should be submitted promptly to MDIA, Inc.
FFixtures; 200 Amp Service; 1—Range; 3
1—Water Heater; 1—Pump; 1—Oven; Holder of this certificate should present same to his property insurance C
carrier (agent or company) as evidence of certification of electrical C
1—Dryer; 2—Vent Fans equipment approval.
p y) �
Applicant: (-Martin Sornborger
1 Glenmar Drive Duplicate i '
Stonehurst No. 16-021605/031 C
C
0��� �,�;�,� L2ueensbury, NY 12804 _f
CVi,.`/�`:/ ,1 A.AR ,,- ,-.�•�4 � /���1+7�/��1►«!��1 Me/-),-1•« .�4 .1• �!�1•, �•�1i/�1 /,p-1 n
Form No.703 EL 1-90
TOWN OF QUEENSBURY //r
BUILDING AND CODES DEPARTMENT r J
BAY & HAVILAND ROADS I I
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 7i/C2_14 (/J
LOCATION /; b y/ . f % (/���/ j��j E' _Ad-
DATE -,q4-G/ PERMIT # fr/51
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING`'
FRAMING
ELECTRICAL ROUGH—IN /
INSULATION:
FOUNDATION
FLOORS . >'
WALLS \ /
ILING
CFTNAL INSPECTION: /' \
CHIMNEY HEIGHT /
ROOFING ;
SIDING •
EXTERNAL PORCHES/STEPS '\ ✓
STAIRS—CLEARANCE & RAILS ✓
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS ✓
FINISHED FLOORS r/
GARAGE FIREPROOFING ✓ �
DOOR CLOSER(S)
SMOKE DETECTORS r/
FINAL ELECTRICAL INSPECTION
FINAL APPR
OVAL OF CONSTRUCTION
1 '
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FRO! THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
K
/' 3c9/172— /47 06S Q/Is
7Z '7 ?. se, c-/06
3
/// ‘G--te2
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS ;"
QUEENSBURY, NEW YORK 12804--
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME JC,i"fV!"brC1
LOCATION C i rp- ar- 20y6, e
DATE /,/-7 PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
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 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:
-ate
L� a(
VV I
NSPECTOR
own of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
Pr('
BUILDING INSPECTOR ' S REPORT
NAME fJ1 ')il') J� 64 „ 7/
LOCATION T- J 0 ./U
Date 2-� / _ Permit No. e( - 7
✓ = APPROVED - YE: / NO
Footing/Pier Forms
Foundation
Waterproof in
kfill
raming
Roofing 1,9c
Sid'�ng
sonry Veneer
' Rough Plumbing
Relief Valves
,A,
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar. Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofin;-'
Door Closers
Smoke Detectors .
Chimney j
INSULATION:
Foundation •
Flbors
Walls
Ceiling \\
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
1 .
Build' g `Spector
6/86 and-vl
_town o/ Quceniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
rri
SEPTIC DISPOSAL SYSTEM INSPECTION`
NAME A//GDI+ /{ R�I C!'/Z_,/
LOCATION
DATE .!a /Fe PERMIT NO.
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total lens _
Length of each 'ench
Depth of trenches
Size of gravel 1
SEEPAGE PITS{Numbe of)
Size- ft. X _ ' t.
Gravel size
PIPING: S'zer Type
Bldg. to tank [�
Tank to dist. box `
Dist. box to
Openings sealed? YrS NO artial
LOCATION/SEPARATION: :
Foundation to tank !`' ft.
Foundation to abso ption
Absorption to lot line ,j ft.
Separation of pit. /t/ ,k. ft.
LOCATION t' . YSTE ON PROPERT- - - one)
Front Rear L:ft side 'igh side
COMMEN
• C
SYSTEM USE APPROVED E NO
1/47//'7
Building Inspector
01/86 and vl
f
Q
_town o ueenibur XBay
BUILDING and ZONING DEPARTMENT
and Haviland Road, R.D. 1 Box 98
(C. Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
,S----1
NAME aee %/pi
LOCATION `o/ -k Stjakri1,4
Date S/ 3/eft Permit No. 0 y�S'J
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
ooting/Pier Forms
i
oundation V
Waterproofing
Backfill
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 ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
k"
Bui ding Inspector
6/86 and-vl
(4,p1/6&6
9`f° awn oi Queeniburcy
BUILDING and ZONING DEPARTMENT
,. ./
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME L a..4. i6 sziatz'/l/
LOCATION %/ ,..3e yozz,,,z_m J
Date Permit No. c'ar-/5 7/
* * * * * * * * * * * * * * * * * * * * * * *
8/ = APPROVED - 'FfS / NO
CF�oting/Pier Forms '
Foundation
Waterproofing •
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Til-
Concrete Floors
Plbg. Fixtures
Gar. Fireproo ing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls •
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL i
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- 1,' 4)("0/,_
f/ HL)
I
,00,, ,_____.
/7
. f Building Inspector
6/86 and-vl
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
NAME ,(N\
LOCATION O o C Y ki
DATE Va/l Q PERMIT # & --)5d7
APPROVED
YES -'NO
FOOTING/PIERS /fit
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS' "
WALLS ; '
CEILING \ ,'
VFINAL INSPECTION: \ /
CHIMNEY HEIGHT \1
ROOFING A / • rr'
SIDING }� ✓
EXTERNAL PORCHES/STEPS ' �✓�
STAIRS-CLEARANCE &/RAI4S
PLUMBING FIXTURES/RELIEF\ VALVE f
INTERIOR TRIM/PR1)tTACY DOORS
FINISHED FLOORS f `� f
GARAGE FIREPROOFING 1,
DOOR CLOSER(S) , y ✓
SMOKE DETECTORS ✓
FINAL ELECTRICAL INSPECTION '
FINAL APPROVAL 1OF CONSTRUCTION ' \;
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE -
THESE PREMISES ARE OCCUPIED!'
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