88-703 J ._,1 e•^/,. _,.' -.r�.,. u .. i. j fi it�j'l.�r! :L;.�Y'Y"•y '�J $Y.:i*).� fi.� _
e ark `• 8'r' �t�--.r.�{ v'": ..•�:^.�• � t.��li';;^•'z, '� 's ��.f�:� eau' .r` 1 l`•. r'y�`�c
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date My ?1 19 R<9.
I ate
This is to certify that work requested to be done as shown by Permit No. 88 703
has been completed.
This strut re may be occupied as a One Family Dwelling
aoIzcagLockhart Mountain Rd.
n
Owner Louis Kosloske
By Order Town Board
TOWN OF QUEENSBURY
/
Building &JZen ing Inspector
BUILDING PERMIT H
TOWN OF QUEENSBURY No. 88-703
WARREN COUNTY, NEW YORK
o
. •
PERMISSION is hereby granted to Louis Kosloske
OWNER of property located at Lockhart Mountain Rd. Street, Road or Ave.
N
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
RR±1 Box 1140
Lake George, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name 0
az All County Builders
0
3. CONTRACTOR or BUILDER'S Address
0
cn
Ballston Spa, N.Y.
4. ARCHITECT'S Name
0
5. ARCHITECT'S Address
rt
0
6. TYPE of Construction—(Please indicate by X)
d
rt
( Wood Frame ( ) Masonry ( )Steel ( ) N.
7. PLANS and Specifications
No. 32' x 36' as per plot plan, specifications and application including •'
septic system am'
8. Proposed Use 0
One Family Dwelling m
rJ
w
0 r
N.
$5.00 C/O �c
$ 105.00 PERMIT FEE.PAID —THIS PERMIT EXPIRES April 1 1989
(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.) I~
F,.
27th September 88 crg
Dated at the Town of Queensbury s Day of 19
lam.
/
SIGNED BY for the Town of Queensbury
Building and Zoni g Inspector
1C
_lawn ul Queeloluiy :,
L
BUILDING and ZONING DEPARTMENT • ! iJ
Bay and Haviland,.Road, A.D. 1 Box 98 . .. . • .. . , • `� 9
Ctuaensb ry, New York 12801 • • � � •�.��8�
aG.
' . . , .- . . . - . . .,.,.. , . aulzolN�.& CODE _�.
.� APprov�d.by: _ pisto : .`.
APPLICATION FOR . - • '• %:AM. .. • I .
BUILDING AND.. ZONING PERMIT • G �'`��� � L. a/o
* . * * * , . * * * * * * * . * * * * * * * * * * * * * * *• *. * * * * * *. * *.,*
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: t/ /;$* , 1t7 ��� ,
P.O. Address / q/- /ei& //`te? - 447/re • be�lgc� - G(/ Tel.�je '"9-S /?
Property Location: ��e'/a/V%Z74 44"/' P• /, Tax Map No.pa3 / / -
. Street number or building lot .number . . . .. .
Subdivision name (if applicable) • . . .
TIE. PERSON RESPONSIBLE FOR SUPERVISION OF WORK.AS REGARDS BUILDING CODES_IS:_ : .
e7 N�,r�, /4f,1 k/-/ 1,,e /AZO ' -Gcle keyP . ;,1‘,,6 f7,. .;
P.O. Address 'Tel. No.'
Name of builder ei 6G/�t/Ti. .Iei, d42,s Address f/ /1 �M. . • Tel - g f2/7/ -
Name 'of plumber AA", 2_.5 / Address' 4/;.L/- W, AA y, Tel.
• ,Name of mason ('666 P- Vwc-4 iNvi Address��N, /fie..,/%/e Tel Tel. r
NATURE OF PROPOSED WORK: •
* ZONING INFORMATION:
I/ Construction of a new building .* TWO PLOT PLANS' 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 OLI`PION PERMIT, STATE SIZE AND • * whether interior or corner lot. Show location
LOCAPI b�' TRUCTURES AFFECTED * of water supply and location and configuration
* of septic..disposal area. _
*
�� * COMPLETE INFORMATION REQUIRED BELOW.
4%'.`��� * Size of property ft X 9•37 ft.
* Existing building s) Size ft X ft.. • •
PROPOSED BUILDING AND'USE: . *
' * Existing buildings) Use
Size of new structure 32. ft X 36ft * . . .
Foundation-pier/slab/crawl/partial/ * Proposed building, distance from property line
(circle one) *
No. of stories (habitable space) * Front yard ft Rear yard • 0 Zift
Height (grade to ridge) ft. * Side yards ft and /� ft
If residential, no. of families OAi * If on corner, setback from side street • ft
No. of rooms(excluding baths) Five . * •• OCCUPANCY ' INFORMATION
No. of bedrooms 77'i e e_. . . . *
No. of bathrooms 7-WO . * PRIMARY BUILDING - - '
Primary 'heating System ,r',�One family dwelling , • .
' g y Na4' AW?
Type of fuel p(C. *' Two family dwelling '
. No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove, be installed? y• et * Permanent occupancy
Central Air conditioning? * Transient occupancy
* ' Business •
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
. Ranch Contemporary Log cabin Other
Raised ranch:, Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow *
Cape Cod• Cottage Other) . . * ACCESSORY BUILDING- . . • -
Colonial - Row Town House *- Detached garage/one car/ two car/ car, '
(-CIRCLE ONE PLEASE ) . * Attached garage/one car/ two car/ car
' * * * * *• a' * * * a * * * * * * * _Private_ storage building •
ESTIMATED MARKET VALUE OF . * Other •
CONSTRUCTION $ l 11) AO • * -
- - L 5d_.I
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-v1
•
BUILDING PER.1I'1' APPLICATION CONTINUED - •
•
BUILDING SPECIFICATION:
Type of 'construction, wood frame, fire safe,etc. i& 1
Will any second-hand or ungraded lumber be used? If so, for what?. A o
Foundation wall material exit[.o2e' Thickness e "
Depth of foundation below grade (to .bottom of footing)
Will Will there be_a cellar?pec 'Heated or unheated? 4d Floor sq. footage //SZi sq ft
Will there be a basement? Will any portion be used as living space?
(If so, what portion? sq.ft. - - Ty a of use?
Type of roof - sloped/flat/shed/otherB10 M Material. of roof Ntti� gheAlcfLec
Size, wood studs ?i "X spacing '? "o.e. length ft.
Joists(floor beams) 1st. floor Z. "X " spacing /t "o.c. span ' 5 ft.
Joists (floor beams) 2nd. floor "X " .spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.. •
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wail finish '1,(190rl -g d l f� ;Of what material? 4tT. •
Interior wall finish Y2RV U74lt •
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?
e - s ng evice row. e ? -
Will a flue-lined chimney be installed? Height above roof - ft. •
Depth of chimney foundation below grade L ft.
Depth of fire = in. 77
Water supply -.Municipal or private',.well �/e /1
SEPTIC SYSTEM Distance from ANY private well(including adjoining .propertiese/6d ft.
•
(A separate application is necessary for any repair or new installation o"f' s%ptic system) •
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County or Warren
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 ion the described remises 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 TIIIS ' , Signatu �
hwner, owner's agent,arentcect,contractor
day of 19 1
Notary Public, Warren County, N.Y.
* * * .* * Y 7t * •_* * * '* * * * * * * * * * * '* * * * *• * * * * * * * * * •* * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
•
By
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 . Type of heat /�'/, - /f,/ /•�i/ / ,rr l/ ,lc' t 7
3 . Is the building mechanically cooled?
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
2 . R value of exterior walls • . 7-2.S
' 3 . R value of glazed area S�
4 . R value of doors /)9''
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
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
10. Type of insulation ,Z;.GetEf 5s
C. Controls
1 . Thermostat maximum heat setting D. Duct Systems
1 . Is duct system installed in unheated spaces? YES CNO)
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 %
f� CJ - r7 .: " j' ,/ ) /qV ` G�d
Telephone No. Lh .s I 1 ,� !r/ 7
P
(applicant ' s signature)
•
. of Clara/it-Ty
DATN$
II .
APPLICATION FOR SEPTIC DISPOSAL PERMIT ZONING Di CODES OEI'Y.
1Q OF QUED JJUitY
•
DATE
•
LOCATION .OF PROPERTY FOR INSTALLATION LOCK L1"
Owner's Name: a%,s /7, tp,r�,C 40, . Telephone: �� 9�'/ 7
Address: /r t�,-. 8 t //`t o �e®,e9E,,
Installer's Name: Telephone:
•
Number of bedrooms (residential only) _ 3
Total daily flow (compute @ 150 gal per bedroom) _ ¢50 •
Topography: circle one: Flat Rolling Steep Slope % of slope _
•
Soil Nature: circle one. San Loam Clay Other / Depth: feet
•
Ground Water: At what depth? feet
Bedrock or impervious Material: At what depth? _ • 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 Tankiale: gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length /,, e5 feet
SEEPAGE PIT(S): Number of . / Size each feet by feet
Size of stone to be used 11- / Depth or Thickness feet
•
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED •
* * * * * * * * * as * * * * # * * * * * * * * * * 44 * * * * * * * * * * * * *
FILE COPY
(over)
r
•
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 •
Z.) 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 Sewa ispo::a1 Ordiiuuice.
Signature of responsible person: i_i)'J/' � • L -� ' a_
Date:
•
Town of Queensbury
Building and Code_Department •
Bay at Haviland Road
Queensbury, New York 12801
•
(518) 792-5832
•
•
• . , T'• :I P, i 11
INTERIM BUILDING PERMIT
PERMIT APPLICANT '1
CONSTRUCTION LOCATION
EFFECTIVE DAT 7/2:249r
APPROVED BY
SPECIAL CONDITIONS :
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, fol sing processing .
POST THIS INTERIM PERMIT IN A C, SPI UOU LO' LT ON ! !
. .4 46.416..a...._
Building & C'.des Department
. TOWN OF QUEENSBURY
REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!!
1. Foundations Footings, before pouring concrete. FIL E C' P'' I
2. Foundations Inspections and Waterproofing, before Backfill.
3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework.
4. Insulation - Foundation, Floors, Walls, Ceiling.
5. Inspection of Electrical Installations before covering (rough in) and on completion
of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF
OCCUPANCY.
6. All new septic systems or repairs before covering any work.
7. Final Inspections before Certificate of Occupancy is issued.
THERE IS TO BE NO OCCUPANCY OF. TIE BUILDING WITHOUT APPROVAL
OF THE BUILDING DEPARTMENT.
- ' YOU ARE'HEREBY.REQUESTED TO
- INSPECT AND.ISSUE CERTIFICATES '- -
• -FOR, THE FOLLOWING ELECTRICAL - -
' EQUIPMENT TO BE`INSTALLEDBY '
THE-UNDERSIGNED I Y'w' '
TEMP.#. - DATE ,. /�-- /i../'
CITY OR VILLAGE • - TOWNSHIP:
STREET AND NO.OR ROA - / �- /
ET - - - POLE NUMBER
• BWEEN WHAT TWO CROSS STREt REMIIS LOCATED? "SECTION • • BLOCK . - : LOT • -
OCCUPANT'S NAME - ' - ,BUILDING CCUPANCY - ' •
y / - 7.�
OWNER'S NAME AND ADDRESS -• - • HOME T LEP ONTRUMBR- ,
_ � �
CURRENT SUPPLIED BY . FROM THEIR - OFFJGE WORK TELL NE UMBER -
- 7
BUILDING IS . - - _ -
. -NEW Id - OLD❑- '' - WORK IS NEW ADDITIONAL El . DEFECTS• -. REMOVED❑
♦ - - • LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED -
is;:._ No.of Fixtures& BRANCH OFFICE USE
„NUMBER OF OUTLETS' MOTORS". HEATERS' CIRCUITS ONLY
Loca- Lamp Receptacles
':` =rlion
Side Attach't H.P watts- Aw.G• INSPECTION
Ceiling . wan Recep'Is Switch Pendant .Bracket Bracket No. ?ype ' Each No. Each ° No' ' Gauge
-OUT- -• - -.
- .SIDE . .
SUB ••
. - -
-- . . .
MENT
-
FL. _ _ - - _ .. -
• - 2nd - - - •. -
FL.. . . .
3rd
FL. -
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: • - - - - . -
•
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 MAINS. - FEEDERS. ELECTRIC SIGNS/LAMPS TOTAL WATTS -
' CHARACTER OF WORK ' . - , • . ❑ EXPOSED - , GAS TUBE SIGN/TRANSFORMERS OF - - . VA -
_ ❑ CONCEALED . -
DATE WORK TO BE STARTED •- DATE COMPLETED SIZE OF SIGN(NUMBER) . -. -CAPACITY
SERVICE ENTERS BUILDING- . - - - • MANUFACTURER OF SIGN - -• . -
❑ OVERHEAD ,.❑ UNDERGROUND -• - •
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) ' - . DENT F CATION NUMBERS • I I I
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.- '
•
PRINT NAME AND ADDRESS-
NAME OF APPLICANT' / DA F APP ICA SIGN OF�APPLI �L% • ,
STREET ADDRESS �3 J - TELL/E/$�• E �"'//j� ,-•-
/?/A-1//— /.3C� // - - - - /] ,,CODE. '..LICEN Na WHEN P ABLE -
-•CITY OR POST r,,c2„FFICE Jr2'. if uog!-Ls - _ - -_�j. _ !,�/ f -" - - .
❑;85 John Street - . - ❑ 41 State Street a 584 Delaware Avenue ❑:• 17 Lake Avenue - • •- 0.202 Arterial Road
NEW YORK,NY 10038 • ALBANY NY.12207 -,BUFFALO,.NY 14202 ., ROCHESTER,NY 14608 , ,•, SYRACUSE,Ny:13206
T ktP NFW-vnRK RnARD OF FIRE UNDERWRITERS '
/ )ed. e
New York State Department of Environmental Conservation
Division of Regulatory Affairs
P.O Box 220, Hudson Street
'1!"
Warrensburg, NY 12885
Telephone: ( 518) 623-3671 or 668-5441
May 4, 1988 Thomas C. Jorling
Commissioner
Louis Kosloske
RR1 Box 1140
Lake George, New York 12845
Re: DEC #5-5234-00097/00001-1
Dear Mr . Kosloske:
Enclosed is your permit which was issued in accordance with
the applicable provisions of Environmental Conservation Law.
Please review the general and special conditions that are intended
to minimize the environmental disturbances associated with your
project .
Please note that it is the responsibility of the permittee •and
his agents to comply with all permit conditions . Prior to
commencement of activity, the Fire Control Office shall be notified
at ( 518) 623-3671, as stated on the permit . Further, the permit is
valid only for the activity expressly authorized. All work
authorized by this permit shall take place im the timeframe stated on
the permit . Work beyond the scope of the permit shall be considered
as work without a permit. Any failure to comply with these terms may
be treated as a violation of Environmental Conservation Law.
Questions regarding the terms of the permit should be directed to
William Miller of our Regional Fisheries Office telephone #( 518)
623-3671 .
Should your plans change, please contact this office to determine
if modifications of the permit are required.
Thank you for your interest in environmental conservation.
Sincerely,
t
Thomas W. Hall
Deputy Regional
Permit Administrator
TWH/cg
Enclosures
cc: ECO T. Callahan Fire Cpntrol
FR G. Stec APA
W. Miller File
LGPC
,..,
. .
I .. s
• E THE NEW YORK BOARD. OF FIRE 7! UNDERWRITKRS .
.....
.1
BUREAU OF ELECTRICITY .c
. .
..,, 41 STATE STREET.ALBANY.NEW Y YORK 122071
lic / li
Date JUNE 1 I, I'.;e 0 Application No.on file+:,: ,..!!:'.-,::,;r :.z./',:,A5s/
• THIS CERTIFIES THAT IT-1(MIT'
.1„; only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
g ti f,ouri.!,„ 1;0:.-- 1 :.-f.u.:;, 0,-)(-_,Iii:',WI' NOUNTATN Ref,D, Pi?Iirk nom nlr,',1-,: ::c J,-',0': I, if,C11.::E, N.V. •
.,... ,
in the following location; Er Basement El 1st Fl. El 2nd Fl. Section Block Lot
slc: was examined on i...-\V 1.c.. , 1'718'1,
...5:
i OUTLETS
--c• ECEPTACLES SWITCHES
INCANDESCENT FLUORESCENT OTaHnEdRfoun Amdt To. be n
k.W.
compliance with the requirements of this Board.
FIXTURE I FIXTURES '
RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 141 "ill
'
AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. '''a
, -
s..
F :ti
tc: :).D•
-e.
tk, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS :."
,
— 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
Pt: ,
I 3
IX: I SERVICE DISCONNECT NO.OF
S E R V i
I C E ..
1 litc.: AMT. AMP. TYPE Eougo. 1 Jif 2W 1 iff 3W 3/I 3W 3 if 4W NO.OFpEiCiCOND.
OF deaND.. NO.OF HI-LEG otza NO.OF NEUTRALS
OFANt119RAL ED
MCI E
', 1
I ( A z.15
—.
,v, OTHER APPARATUS:
6-1: i'l f.:)T 0 R I:: 1. -r n .1,.iF.;.1
1 7.
,;' .
w. 2!10t:.E.; D F.rt-!-14-.T:,-..,}';.:
--v
,.., ...
..<,
. ..,, ..
tt, 1:3
-1,
' 1.-'<•
_SI'
1:WIE: ::41,-,c:.k;.;i:',, ti', . i "1. .,
BRANCH MANAGER.! / ' (
..:.'
'.;
', 1 '-' ED -
Per ; \ .Q.-../ .
• P-Q
This certificate must not be altered in any manner p return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
mew ri m n rllso csomirso min min n n n min mrso
COPY FOR FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY ./l/
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED `j,-�L,
NAME / ac/...Oc ki
LOCATION � Ge .,/ ,41„L
DATE ,5��j C? PERMIT # -<�.7��
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS ,
WALLS t
CEILING
c�I
W FINAL INSPECTION:
CHIMNEY HEIGHT (
ROOFING
SIDING ice/
EXTERNAL PORCHES/STEPS'
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF`,VALVE /
INTERIOR,)TRIM/PRIVACY DOORS ✓
FINISHEp'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:
INSPECTOR
INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE. •
THE NEW
�` YORK BOARD OF FIRE UNDERWRITERS
V APPLICATION NO. a q 9
Th+--
LOCATI l �)
/
DATE INSPECTOR
FORM!BD(REV.1/86)
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST F R INSPECTION RECEIV D 3/3 d 1,
4 - t &NAME O /
LOCATION Y ,41) --Rd.
DATE 3131 ?..? PERMIT # 703
! 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:
I
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_ - /3
NAME �I6�QJ7�'��4C�i Lf
LOCATION �, ,1/ 2L 72
DATE /7 rig PERMIT # ( ' 70,5
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
-MING L✓'
ELECTRICAL ROUGH-IN
2ULATION
FOUNDATION \
FLOORS \ . .
WALLS
CEILING \ L/
FINAL INSPECTION:
CHIMNEY HEIGHT t\
. 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:
INSPECTOR
.own o/ Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
' Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 4kicc'-4 , ._A iAL___-
LOCATION Xcd?',.Le 9 L /911U
DATE/, --// PERMIT NO. (e- '7615
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: � ��,,,�,, ,
Absorption field, total length 2y�!' `
Length of each trench 6710 , /
Depth of trenches ri" • A/
Size of gravel -44- 3 4/
SEEPAGE PITS*Number of) /7
Size- ft. X ft. 41
Gravel size /%f
PIPING: Size / Ty
Bldg. to tank ,/
Tank to ist. box jg 1
Dist. box to field/ i%1
j���
Openings se�aled? Si NO Partial
LOCATION/SEPARATIO f/��
Foundation totank /D ft.
Foundation to 'ab$d'rption //g)ft.
Absorption to ole line ft.
Separation of p/ets j_ ft.
LOCATION OF SYS�• EM PERTY(circle one)
Front - Rear /L -t side - Right side -
COMMENTS: I
l
14
SYSTEM USE APPROVED Y 0
Bui ding In ctor
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT/!
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ///7//Y
NAME -- e !{/cgj/�--
LOCATION a, .L. - /7 Q ,
DATE 0/9":/c5 PERMIT # -- 7O 3
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING /
ELECTRICAL ROUGH-IN /
INSULATION: 6�"
FOUNDATION
FLOORS v.41. /
WALLS 111., I
CEILING 1R& 1
FINAL INSPECTION:
CHIMNEY HEIGHT " ;j
ROOFING .AN
SIDING f \\ '
EXTERNAL PORCHES/S 'EPS %
II
STAIRS-CLEARANCE i& RAILS‘
PLUMBING FIXTURE/RELIEF Tl 3.VE
INTERIOR TRIM/PRIVACY DOORS.._
FINISHED FLOORS' NN
GARAGE FIREPROOFING • ' ,�
DOOR CLOSER(S/)
SMOKE DETECTORS
FINAL ELECTRITL INSPECTION ' \\
FINAL APPROVALI OF CONSTRUCTION \\ '
IEt
A SIGNED CERFICATE OF OCCUPANCY MUST BE
OBTAINED FRO ' THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
11
( , I \
l' j ir 0
KNSPECTOR
0,5S ( •G`2 2or, 6.I6L I
awn of Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
y
/ / - Queensbury, New York 12801
BUILDING INSPECTOR' S - REPORT
NAME h031,1-031
LOCATION Low- r/* R.0
Date (0/L / ,- Permit No. g$-`70.3
* * * * * * * * * * * * * * * * * * * * * * *
Sr = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing f
Roofing
Siding !Y.-
•
MasonryNVeneer
Rough Plumbing
Relief Valves ,f'
Ext. Porches N, I
Finished Floors N. ,r
Interior Trim ',^�_ i
Stairs & Railings . /
Cellar Drain Tile �.-._,
Concrete Floors ,1 �,
Plbg. Fixtures /
Gar. Fireproofing / X.
Door Closers 'N,
Smoke Detectors / '\,_
Chimney I • , _
INSULATION:
Foundation ./
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- L n
00. .0.41. Ai-
Ile. Pird /PIA/v4 . ee c1m. l'fla
•
• •
. .
vt dGt •
•
Bui di ns ctor
6/86 and-vl
Jown of Queeniur,
c ' BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
\
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME /�0� 4.�
•
LOCATION f„c/j`z,I'/ ije= /
Date 76/S / _ Permit No. c/fr-7
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE / NO
VFooting/Pier Forms
Foundation /
Waterproof'�,ng 0I
Backfill
Framing \
Roofing \ /
Siding \,,.,
Masonry Veneer
Rough Plumbing
Relief Valves r1/4;
Ext. Porches / '` .
Finished Floors /
Interior Trim %,
Stairs & Railings,/ `�,
Cellar. Drain TiLe ‘
Concrete Floors/ 'a
Plbg. Fixtures' ,A.
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-
• Buil ing Spector
6/86 and-vl
_......... _.._._ _... ....... ... . .. ... ..............
70
l
FILE COPY
SCALE: 'Z: Pit APPROVED BY DRAWN BY
DATE:
DRAWING NUMBER
'eTE IDYM POST 18AB-08 -11 x 17