1988-706 .. •'+' .. is —,i. .:11" ti; ;�') ,«, .• /��u:rt' .,S''.: a. . ;e
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSIBURY
WARREN COUNTY, NEW YORK
Date August 21 19 90
This is to certify that work requested to be done as shown by Permit No. 88-706
has been completed.
This structure ma be occupied as a of Fourplex
Location 12;13) Overlook
Owner Hiland Park Corporation
By Order Town Board
TOWN OF QUEENSBURY
Building tee Zoning Inspector
rg
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-706
0
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Hiland Park Corporation
rn
OWNER of property located at 12(B) Overlook Street, Road or Ave.
in the Town of Queensbury,To Construct or place a of Fourplex
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#5
GLens Falls,New York 12801
2. CONTRACTOR or BUILDER'S Name
t7
Hiland Park/Northern Homes a
3. CONTRACTOR or BUILDER'S Address
0
SAME �d
0
4. ARCHITECT'S Name
0
. z
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
XOCX Wood Frame ( ) Masonry ( )Steel ( )
trJ
7. PLANS and Specifications
ri
No. 38' x 60' a of Fourplex as per plot plan, specifications, and
application, including septic and attached two car garage.
8. Proposed Use •
of Fourplex
5.00 C/O °,
$ 167.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 1 19 89
(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 19th Day of October 19 88
SIGNED BY 4 42-t K,52 �� for the Town of Queensbury
Building and Zoning Inspector lda
I TO BE COMPLETED BY BLDG. DEPT.� Application No.
i _lawn Of Queeni‘stry Permit Issued 19 ;y(1 7) rj I� U
',' , ,
b BUILDING and ZONING DEPARTMENT • � J •L t
Permit Expires 19 � jj
i Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation �+ �.
Queensbury, New York 12801 Variance No. +JEP .2(..) 1988
! Site Plan Review No.
! BUhLDiIS1TG DEFT.
Approved b EOURPLEX "�',o
N APPLICATION FOR
f .
F�UILDINf, AND ZONING PERMIT � �
* *. # *. * # # * *. * * # # # # * # * * * # .*. # # # . # * *. .*. # * # .* * # * .::
N
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: HILAND PARK CORPORATION
P.O. Address RD#5 Glens Falls NY 12801 Te1.793-2000
Property Location: #12 Of #11 thru #14 fourplexrax Map No. / /
Street number or building lot number
Subdivision name (if applicable) Overlook
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
DANA CROSS Building Superintendent - same - 793-2000
Name P.O. Address Tel. No.
Name of bui er
Hi11d Park/Northern Hoedgess ft Tel.
Name of plumber same Address TT Tel. if
Name•of mason Baldwin Masons Address W. Ft. Ann NY Tel. 792-1371
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
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, NA ft X ft.
*:Existing building(s) Size --- ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use na
Size of new structure 38 ft X 60 ft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) *
* Front yard NA ft Rear yard ft
No. of. stories (habitable spade) 2 * Side yards NA ft and ft
Height (grade to ridge) 20 ft.If residential, no. of families 1 * If on corner, setback from side street ft
No. of rooms(excluding baths) see plans * OCCUPANCY INFORMATION
No. of bedrooms 3 *
1 * PRIMARY BUILDING -
No. of bathrooms 2 - * One family dwelling
Primary heating system gas hot air * Two family dwelling
Type of fuel natural gas * Multiple dwelling / Number of units
No. of fireplaces to be installed . 2 * Permanent occupancy
Will a wood stove be installed? 110
Central Air conditioning? yes * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * X Other of Duplex
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow *
Cape Cod Cottage X otherTraditidri CESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * )( Attached garage/one car/ two car/ 2 car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * +Other
CONSTRUCTION $ 150, 000 *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
1 ,
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: *NOTE THIS STRUCTURE INCORPORATES AN APPROV1U
PARTY WALL" AS OUTLINED ON PAGE 11 OF PLANS
Type of construction, wood frame, fire safe,etc. Wood Frame
Will any second-hand or ungraded lumber be used? If so, for what? none
Foundation wall materia]reinforced block Thickness 10"
Depth of foundation below grade (to bottom of footing) 6'1 O"
Will there be a cellar? yes HoafA1 or unheated? Floor sq. footage 608 sqft
Will there be a basement? es will any
y poizion be used as living space? ye s
(If so, what portion? 789 sq.ft. - - Type of use? residential
Type of roof - sloped/flat/shed/other Material, of roof'ABphalt Shingle
Size, wood studs--"X 6 " spacing 16 "o.c. length 9 ft.
Joists(floor beams) 1st. floor 2 "x 10 " spacing 16 "o.c. span 14. ft.
Joists (floor beams) 2nd. floor 2 "X 10 " spacing 16 "o.c. span 1)4 ft.
Overlays(ceiling beams) 2 "X 8 " spacing 16 "o.c. span 16 ft.
Roof rafters 2 "X " spacing 16 o.c. span 22 ft.
Roof trusses(pre-engineered) spacing 24 "o.c. span 22 ft.
Exterior wall finishStained Wood Of what material? Clear Cedar
Interior wall finish painted gypsum wallboard
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
5/8 Firecode Sheetrock
Is there to be an opening between garage and dwelling? 110 If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? yes Height above roof 4 ft.
Depth of chimney foundation below grade 7' 2" ft.
Depth of fireplace hearth 1 ft.8 in.
Water supply - Municipal or private well Municipal
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties 1200 ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT County of Warren STATE OF NEW YORK
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 donelon 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 E THIS Signature___ _ _- tti
Li 19 0�
(7 Own r, owner's agent,arcnicect,contractor
((e day of Jpj,),l!/ SANDRA ONGEL
0 Notary Public, to of New York
/1,( ap a_ I( , LA-Y Z_� Warren County,No.490917
Notary Public, Warren unty, N.Y.� Comm.Expires on Oct.19,19
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
OVERLOOK SPYGLASS
TOWN OF QUEENSBURY of Fourplex
WARREN COUNTY, NEW YORK (SITE DESIGNATION #12 - B
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 2121 • sq. ft. .
•
2 . Type of heat Gas Hot air
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 •
s•% Are foundation walls insulated? YES NO
`l. If YES, what is the R value?
•
3 . Slab`th grade YES NO
a. If 140 ,- what is the R value of insulation around
• perimakpir,. of floor?
•
4 . Is basement he'ated? YES NO
a. R value onsulation
•
5. Type of insulation.
•vf
. B. Under 16% Only f
1. R value of roof and fl. .4s exposed to ambient conditions_
2 . R value of exterior walls "476• •
3 . R value of glazed area �O�}
4 . R value of doors
5. R value of floors over unheated spaces. •
•
6. R value of slab edge insulation - unheate`d slab
•
7. R value of slab insulation - .heated slab ``
`
B. R value of heated basement/cellar walls (above ),Kade)
•
9. R value of heated basement/cellar walls Abelow gra(es)
10. Type of insulation ``%�
C. Controls `
1 . Thermostat maximum heat setting 95 degrees `�•
D. Duct Systems • -
1 . Is duct system installed in unheated spaces? YES NO -
a. If YES , R value of duct installation R!). -
b. R value of duct in other areas •
E. Piping Insulation •
1 . Size of hot water or cooling carrying agent pipe 7/8"• - 3/8"
2 . Rvalue of pipe insulation f: Armaflex R-2
F. Service Water Heating
1 . performance efficiency 93%
2. Temperature control setting maximum
G. For Swimming Pool Only • •
1 . Maximum heating
Telephone No. 793-2000 1JJ'LM1JAT 11✓1A—.
( licant ' s signature)
•
r tint o Oicdl
APPROVED •
DATED...
APPLICATION FOR SEPTIC DISPOSAL PERMIT ZONING &OLDO CODES DU'T.
. TOWN OF QUEENSDURY
•
DATE Sept. , 15th / 1988 OVERLOOK/SPYGLASS
# 12 B
4 of fourplex
LOCATION OF PROPERTY FOR INSTALLATION HILAND PARK
Owner's Name: HILAND PARK CORPORATION Telephone: _793-2000
Address: RD#5 Haviland Road, Glens Falls NY 12801
Installer's Name: HILAND PARK CORPORATION Telephone: 793-2000
Number of bedrooms (residential only) _ 3 _
Total daily flow (compute @ 150 gal per bedroom) ` 450
•
Topography: circle one: Flat Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay- Other / Depth: feet
Ground Water: At what depth? 8 feet
Bedrock or Impervious Material: At what depth? 16 feet.
Percolation test: circle one: not required required / rate 10 min. inch. or less @ 614)'
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 '2000 gal., (Minimum size: 1,000 gal.) -
TILE FIELD: Each Trench 4-2 feet / Total system length 287 feet •
SEEPAGE PIT(S): Number of / Size each feet li'y feet
Size of stone to be used it 2 / Depth or Thickness 6 feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * # * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * s * * * * * * * * * *
•
•
(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: (� ✓�
Date: 9 (6/05
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
•
(518) 792-5832
•
•
•
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PERMIT APPLICANT ••• � ,
CONSTRUCTION LOCATION /a, • Gov% .
EFFECTIVE DATE
APPROVED'-'';:,BY-..
• SPECIAL CONDITIONS : . - .. --
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•
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This. -Willi's willcertify. .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' .p.er ':plans ,. submitted.-It •is. .the •
responsibility of the, applicant' to obtain`. the.--Permit
from : the. Building Department, ` following processing. '- ..
.
POST THIS = INTERIM PERMIT ' IN A ` CONSPIC S`.LOC ION ! !
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. Bui
• lding & Codes • Department
'... •. ,-,• • • • , ,TOWN- OF 'QUEENSBURY
• YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
_ - FOR THE FOLLOWING ELECTRICAL •
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.A DATE -
•
CITY OR VILLAGE TOWNSHIP COUNTY
�UETENSBURY WARREN
STREET AND NO OR ROAD " POLE NUMBER
Rockwell Rd
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
Haviland and Sunnyside
OCCUPANTS NAME BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS II 1JARTTI PARK CORPORATION HOME TELEPHONE NUMBER
HILANDLl 793-2000
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
Niagara Mohawk Glens Falls
BUILDING IS �7
NEW g OLD❑ WORK IS NEW 1N ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
L0Ca- Lamp Receptacles CIRCUITS ONLY
lion Side Atlach't H.P. Watts Ceiling Wall Fine Switch Switch Pendant Bracket No. Type Each NO Eech NO. Gauge INSPECTION
OUT-
SIDE •
SUB •
-
BASE
BASE- '
MENT
Isi -
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 200amp ❑ EXPOSED
A,G TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED -20-8 8 12 ATE conrigiED SIZE OF SIGN(NUMBER) CAPACTTY
SERVICE ENTERS BUILDING '11 FV]I1J7 MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS ►
1111111
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS - 7��.�/
NAME OF APPLICANT DATE OF APPLICATION ISI NATURE OF CAN ` 'HILAND PARK CORPORATION 9-16-88 X` .
STREET ADDRESS TELEPHONE NO.
RD/#5 Box 481 793-2000
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
GlPus Fells NY 12801 •
❑ 85 John Street ❑ 41 State Street ❑ 584 Delaware Avenue ❑ 217 Lake Avenue 0 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER„NY 14608 SYRACUSE,NY 13206
THE NFW YORK BOARD OF FIRE UNDERWRITERS
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( MIDDLE DEPARTMENT,IN§RECTION AGENCY, INC.
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CerttlILD that the4legttibalequipment listed has been akanritile Arial.iis approved as being in accord ck)
4, .1/ \ yi
4, with the National Electdoal Codd, applicable governmental, utility and,Agency ides.
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ti Owner: Highland Park4Ci'O' Lt./ KM A-,7:ih:il .'- -".- 1.
KE Occupant:
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1 of 4 Ple24 0 *,g,'Ai. :k?,4$.!•87 [1.1 ,,,. A, gi ,,,..;.:Y,,, , :,,,,A,
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; Location: 12 Overlook'(,pi ivf4 t ueen'slm. (iTiiiiiiiiECO rkyaslit:'' ''''',"1 R,-,!
date.ctilrtif,ricdritttieLoly lutiri:iieelneici.; 1 .
nr)guriccleidnsotar llaaittieornatiinosirmteaddethtios CA
ititledci equipment
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A 1 existing system thip certtlicapa strati be null and void, and application for V
Equipment: 105 Outletsv,40 ecqpracles;liaptcvtlaspK;,....,.,insipcjection should be submitted prereptly to this Agency
uc- or f this certifiac:t sh 6clipVent am to hiescprriipeertyuiinpsmueranntcaep carrier C"
2 00 Amp Servide 2, App\Rances;g liY Ire t LAW RI-5 4...
I:genet or c7ny) eevid nc,e'bfdeertificeatioen of el 1 al q proved )
t as specified. ..,!..ry
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Applicant: Haviland -----_----- } • e
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'Queensbury, NY 12804-4 .,„.„12„,,,„
16-029125
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TOWN OF QUEENSB a�(/
BUILDING AND CO
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
i
REQUEST ,•R INSPECTION ':CEIVEDOO MObV(- '
NAME !✓( (d_ AV LL
�LOCATION ' v (a APE!�(��U
DATE !) 2, G O P�
I:RMIT'# /
APPROVED
YES NO
FOOTING/PIER
MONOLITHIC PO +R FORMS !'
FOUNDATION/D' ''-PROOF2/NG
BACKFILL APPRO,,AL 1
ROUGH PLUMBING . II
FRAMING
ELECTRICAL ROUG !. IN ' N
INSULATION: •
FOUNDATION
FLOORS ,
WALLS �(
CEILING \, II •
,"FINAL INSPECTION: A
lr CHIMNEY HEIGffT il, (JCL'/L - ' ' LV
ROOFING I\ . . 1/
SIDING (I
EXTERNAL PORCHES%S PS
STAIRS-CLEARANCE& ','ILS
PLUMBING FIXTURES/RE',,IEF VALVE
INTERIOR TRIM/P �t*VAC ', DOORS �I
FINISHED FLOORS
GARAGE FIREPROO ING
DOOR CLOSER(S)
SMOKE DETECTORS If �✓
FINAL ELECTRICAL IINSPECTI
I
FINAL APPROVAL1OF CONSTRUCJON ' ' LV
OK TO ISSUE C/O Ou
iJ
A SIGNED CERTIFIdATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING D ','ARTMENT BEFORE
THESE PREMISES A1E OCCUPIED!'
REMARKS:
ARRIVE �U Zj
DEPART Ge2-s0 ______c,// y
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804•
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S RE'SRT
REQUEST FOR INSPECTION RECEI D y 21/cG�/,��
NAME 1 or k.dL7 /L.
LOCATION (/ 2- ( U/ , Lz L_
DATE , 2_ / 'o PERMIT 'I- a�"1 V�
wL f 1 1 / j APPROVED
;a. /Iuli ri•V YES NO
FOOTING/PIERS /
MONOLITHIC POUR ORMS
FOUNDATION/DAMP-"00FIN ' •
BACKFILL APPROVAL i
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN /
INSULATION:
FOUNDATION
FLOORS • ` .
WALLS /l
CEILING i, . .
FINAL INSPECTION:/
CHIMNEY HEIGHT/
ROOFING
SIDING
EXTERNAL PORIHES/STEPS
STAIRS-CLEA''NCE & RAIL'
PLUMBING FI TURES/RELIEF VALVE
INTERIOR T yiM/PRIVACY DO•'S
FINISHED F •ORS
GARAGE FIaEPROOFING
DOOR CLOSE R(S)
SMOKE DEFECTORS
FINAL ELECI!RICAL INSPECTION .. .
FINAL APPROVAL OF CONSTRUCTIO " ' "
OK TO ISSiE C/O OR C/C
A SIGNED.CERTIFICATE OF OCCUPA CY MUST BE
OBTAINED FROM THE BUILDING DEPA"TMENT BEFORE
THESE P'+ MISES ARE OCCUPIED!
REMARKS
rl
•
04,0-9( \--, P .
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ARRIVE (-111# _ ,
DEPART L�
INSPECTOR
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No. FY- C)(0
Owner //KJ h ,1-1)
Occupant
Location
No. / Street i
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
Date P-D--(-0 - Pc) Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
_ K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC.H.P.VENT FANS
MOTORS H.P. I/20 I/I2 1/IO '/e 1/e '/a '/ I% '/e 1 1% 2 3 5 7'/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADSM -
QUEENSBURY, N W YORK 1280k
TELEPHONE (5 8) 792-5832
BUI ING INSPECTOR'S REPORT
REQUEST FOR I PECTION RECEIVED 7/Z,)
NAME /./ A;�� /ayt
LOCATION / a/i
DATE ., � PERMI T # — ?c(_,
APPROVED
&V/.114 YES NO
FOOTING/PIERS
MONOLITHIC POUR ' ORMS
FOUNDATION/DAMP-'ROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH- ,N '
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
)(FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING 1//7
SIDING
EXTERNAL PORCHES/ST, PS "•
STAIRS-CLEARANCE & MILS
PLUMBING FIXTURES/' IEF VALVE
INTERIOR TRIM/PRIV?C DOORS '
FINISHED FLOORS / _
GARAGE FIREPROOFIN v
DOOR CLOSER(S)
SMOKE DETECTORS i ��/
FINAL ELECTRICAL IN•PECT N ✓ rid•
_FINAL APPROVAL OF C&NSTRU TION
OK TO ISSUE C/O OR /C
A SIGNED CERTIFICA OF OCC PANCY MUST BE
OBTAINED FROM THE :UILDING EPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:\.a_4-a!„/ . l-1../�..C'JJ7 90 I�.y1/./.2
G4 CC �ZtJui l7 ✓C�ri
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ARRIVE /`30
DEPART
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 RECETY D
NAME T-
��� 7:
LOCATION � (a;l/l1.4.14,2
DATE L5/-c9' PERMIT # ,7/
•
APPROVED
YES NO
FOOTING/PIERS
i
1
MONOLITHIC POUR\FORMS ,l
FOUNDATION/DAMP-PROOFING I
BACKFILL APPROVAL I
ROUGH PLUMBING \ 1
FRAMING , ) '
ELECTRICAL ROUGH-IN
JI SULATION:
FOUNDATION
FLOORS
WALLS \/ .
CEILING I (� 1
FINAL INSPECTION: \ ,r
CHIMNEY HEIGHT A
ROOFING 3\, '
SIDING I
EXTERNAL PORCHES/STEPS �.
STAIRS-CLEARANCE & RAILS\
PLUMBING FIXTURES/RLIEF VALVE
INTERIOR TRIM/PRIV CY DOORS
FINISHED FLOORS I
GARAGE FIREPROOFING
DOOR CLOSER(S) I r\
SMOKE DETECTORS I
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
. ':TOWN OF QUEENSBURY / r r.,,f';;2 ,
..
BUILDING AND•CODES 'DEPARTMENT /'
BAY & HAVILAND ROADS G./i i%: ,j--
QUEENSBURY, NEW YORK 12804, ,�:'.
TELEPHONE (518), 7.92-5832
BUILDING INSPECTOR'S REPORT .
REQUEST FOR INSPECTION RECEIVED
• NAME /-/j Y/`^ f y r/.-'':'7, ,/,,...:;: ,`?" E" .
LOCATION
•:/1 ,••- .i;'`;.- '2 /-7e), /-- /y
DATE ' " I
;//7_ ��, . PERMIT # � '�C/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS ,
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL •
ROUGH PLUMBING {' .
FRAMING t��
•
ELECTRICAL ROUGH-IN
INSULATION:
•
FOUNDATION ,
. .,' FLOORS •, ,
WALLS
CEILING _ Ii„! / '
FINAL INSPECTION:,,,, .
`
CHIMNEY HEIGHT.. 2 % .. .
ROOFING.: , f; :r
SIDING . . . . /. ' ,
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE.'&: RAILS
" . PLUMBING FIXTURES/RELIEF VALVE
INTERIOR- TRIM/PRIVACY DOORS .-
• • FINISHED' FLOORS' . •
1
GARAGE FIREPROOFING 1, • ' -- '
• DOOR CLOSER(S) • • - . . •
' " SMOKE DETECTORS' :-: ),,'
FINAL ELECTRICAL INSPECTION ' .. ' -
FINAL APP OVAL OF- CONSTRUCTION " •
-A'SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED 'FROM THE 'BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!- '
REMARKS:
•
•
INSPECTOR
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 dlC �
7
LOCATION ��'G(l,o f j // �4-/3_ /7 K
DATE 1"'�1 �� PERMIT /�f-7o L
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUM NG
?FRAMING ��lG
LIZ-
ELECTRICA ROUGH-IN
INSULATION. r
FOUNDATION • ,/
FLOORS /'
WALLS \ /
CEILING '1, 7
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING \ /
SIDING Y
EXTERNAL PORCHES/,STEPS
STAIRS-CLEARA/VCE &\RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TR/M/PRIVAC' DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLO/SER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION\
FINAL APPROVAL OF CONSTRUCTIbN
A SIGNED CERTIFICATE OF OCCUPANCY\MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
(ijtr/-Z-----Jtjl(/
INSPECTOR
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
/2//5/VSV
NAME
LOCATION ( % (/.� -/ I .f dam'/ /Z
DATE i ry i J '-J PERMIT # — -70
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS '
FOUNDATION/DAMP—PROOFI4G •
f/BACKFILL APPROVAL r7
ROUGH PLUMBING td •
FRAMING ,q
ELECTRICAL ROUGH—IN "Y •
INSULAT .', :
FOUNDAT '.
FLOORS
WALLS
CEILING A
FINAL INSPECTION:'
CHIMNEY HEIGHT4
ROOFING f
SIDING P
EXTERNAL PORC ES/STEPS
CE & RAILS moo•,,
PLUMBING FIX URES/RELIEF VALVE
INTERIOR TR ij /PRIVACY DOORS `�.,.
FINISHED F ORS
GARAGE FIR PROOFING
DOOR CLOSE:''(S)
SMOKE DET? TORS
FINAL ELEC r'ICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
Jown of Queeniurj
BUILDING and ZONING DEPARTMENT'
Bay and Haviland Road, R.D. 1 Box 98
_ ,
Queensbury, New York, 12801
BUILDING INSPECTOR ' S REPORT
NAME . :4fcz.t....‘
LOCATION . I Z_ } U � �.�i�L
Date/4/4 /___ Permit No. —�, .1,�',em'""-
%\( = APPROVED - YES�� NO
Footing/Pier Forms fit'°
Foundation lk
Waterproofing % • /
Backfill /
Framing A ,gip
Roofing /
Siding . / '
Masonry Veneer / /
!/Rough Plumbing j S'ff, V
Relief Valves
Ext. Porches d
Finished Floors ,
Interior Trim /
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofs
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 •
-
* .
• • ye, ;;‘--•----
. .
• Building Inspector
6/86 and-vl
Jown of Quceniur,
BUILDING and ZONING DEPARTMENT
• Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION 41/z 00,e ,
Date_a/y/ Permit No. -k
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing , (////'"
vBackfill r- -/)
Framing A,
Roofing
Sidings ///!
f /
Masonry Veneer /
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors i
Interior Trim •
Stairs & Railings
Cellar. Drain Tile g4
Concrete Floors ),
Plbg. Fixtures ‘"/
Gar. Fireproofing
Door Closers
Smoke Detectors ji
Chimney '
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Buildin Inspector
6/86 and-vl