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93-354
n xa v �a f- CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date faf1 � AL 19 This is to certify that work requested to be done as shown by Permit No. 9 3—3 5 4 has been completed. This structure may be occupied as a Single Family Dwelling with two car attached gzaage Location Lot 6 Shallow Creek brad, Shallow Creek Subdivision Owner Donald P . Kriiger 75-1-23 .6 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 93-354 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to DONALD P. KRUGER Lot 6 Shallow Creek Road OWNER of property located at Shallow Creek Subdivision Street, Road or Ave. N in the Town of Queensbury,To Construct or place a Single Family Dwelling l at the above location in accordance to application together with plot plans and other information hereto filed and uN, approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Shallow Creek Rd Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name G9 LT1 same t7 3. CONTRACTOR or BUILDER'S Address O Di I—' 4. ARCHITECT'S Name • 5. ARCHITECT'S Address ti O 6. TYPE of Construction—(Please indicate by X) rt ( Wood Frame ( ) Masonry ( )Steel ( ) lv 7. PLANS and Specifications 32 ' x58 ' Two Story Single Family Dwelling as per plot No. plan, specifications and application including two car attached garage and septic system. n 8. Proposed Use (p (D Single Family Dwelling $ 237 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES JULY 9 1g94 N- (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.) (D Dated at the Town of Queensbury this 9th Day of. July 1993 SIGNED BY for the Town of Queensbury Building and Zoning In or C7 (D H TOWN OF QUEENSBURY krt REVIEWED BY: COMMUNITY DEVELOPMENT DEPARTMENT `: BUILDING & CODE ENFORCEMENT f k FEE PAID: /02111- ,5:., YA 6 531 BAY ROAD � QUEENSBURY, NEW YORK 12804 PERMIT NO. y - —6 4 (518) 745-4447 BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants ' spaces on this application MUST be completed and the signature of the applicant MUST appear on the application form. OWNER OF PROPERTY: bo vt_e,-ec( p, l�!�[ 'c e-✓ Mailing Address : 5 mw C° .g Cie �� 4'�F S ?07 .....a • Telephone Number(s) : Work -) .- Home Other PROPERTY LOCATION: Tax Map Number: Section Block / ..,2.3 Lot , ‘ Subdivision Name: s-4.4 iia 0"e-el Lot No. 6 NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE CONSTRUCTION: $ °' MI' _---. NEW BUILDING: Hy, moe -- RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION: ADDITION TO BUILDING: PRIMARY BUILDING - RESIDENCE/COMMERCIAL i' Single Family Dwelling ALTERATION TO BUILDING: Two Family Dwelling RESIDENCE/COMMERCIAL Family Dwelling (NO CHANGE TO EXTERIOR SIZE) Office OTHER WORK (DESCRIBE BELOW) Mercantile Warehouse Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: 1ST FLOOR I, r ';,Z SQ. FT. i2. 4 _ IF ADDITION, USE OF NEW ADDITION: 2ND FLOOR )44. r SQ. FT. OTHER FLOORS SQ. FT. yi (not unfinished cellar or basemet ACCESSORY BUILDINGS : / � d Detached Garage - One/Two _Car TOTAL FLOOR AREA: r G SQ� FT. Attached Garage - Ong/ wo Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building Other -5.2„ FEET X 51/416 - FEET Foundation Type: CGy.e Will any second-hand or ungraded Number of Stories: .Z lumber be used? If so, for what? ( habitable space only) Height (grade to ridge) : •Z 0 feet Type of Heating System: Number of fireplaces and/or woodstove (circle all which - . • ies ) to be installed: Ele .trir / O' 1 / Gas' Wood orced Hot Air/ :aseboard / Other PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : NAME OF BUILDER/ADDRESS/PHONE: /i4, i r....- E 54..cc. NAME OF PLUMBER/ADDRESS/PHONE: Polo 14.1-0 �^ NAME OF MASON/ADDRESS/PHONE : fs' ^",1 e,� e0.�., X¢ ,fie, , NAME OF ELECTRICAN/ADDRESS/PHONE : KAe r,,,,, 444,,,,�.,.,.4,4, DECLARATION To the best of my knowledge the statements contained in this appli- cation, together with the plans and specificatio► submitted, are a true and complete statement of all proposed work to %e d.ne on the described premises and that all provisions of the Building Cade, the Zoning Ordinance and all other laws pertaining to the proposed or shall be complied with, whether specified or noted, and that such wor is authorized by the owner. Further it is understood that I/we shall sub /it firi•r to . Certificate of Occupancy or Certificate of Compliance being ' ssue• , an • BUILT PLOT PLAN drawn to scale, showing actual location of •r%o;;c _ pr�m ises . Signature lam' , '1? (Owner, ow er' s agen , Frchitect, contractor) FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE: sf lej TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: -.)—Z-43 Reviewed By I LOCATION OF PROPERT F INSTALLAT Owner' s Name:Owner' s Mailing Address: S � d �e�C J�('_ #:Phone Installer' s Name: � C �,reccJ' -7 3 `3'7AK Number of bedrooms (if residential ) : `3 Total daily flow (residential-compute @ 150 gal . per bedroom) : v J.0 Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? ® Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Not Require Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municisa Well Other If domestic water supply is a we - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /,PaD -gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length feet Seepage Pit(s) : Number of / Size each: 6 ft. x sr ft. Size of Stone to be used: # � . / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIREp No. of Tanks Size\of Each Gal . Alarm system and associated electri .1 work to be inspected by a certified agency. *** ******** I have read the regulation on the :rse side of th's sheet and agree to abide by these and all requirements of 'own of Queen .ury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON- . �44 � DATE: _ 3 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. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: TOWN OF QUEENSBURY s31 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date '? _ - ,19 ' 3 Permit No. 'y.3 •-4 -;f APPLICATION IS HEREBY MADE to the Building Dept: for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws,ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perfom required inspections. Please fill of additional form if more than one appliance end'or chimney. Applicant 1 A,64. ..-- APPLIANCE (check appropriate boxes) 7 Address ‹ ;�;v s e <_ -Q, ❑ STOVE: o Wood o Coal o Pellet 0 FIEPLACE INSERT ' f i Zl p /'' p FIREPLACE, FACTORY-BUILT: ❑ Wood g Gas Phone ❑ FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner 0 FURNACE: ❑Wood ❑ Gas ❑ Oil Address IF NON-MASONRY: Manufacturer: . Zip Model: Outlet: inches Listed By: Number: Phone Exact address of proposed construction''.,, CHIMNEY (check appropriate boxes) �.�` ❑ MAS*NAY: 0 Block ❑ Brick 0 Stone Ark` 6,- J:9::4/ 4)6-.1 FLUE: 0 Tile (-.1Steel Size: inches CONSTRUCTION/INSTALLATION MUST 0 FACTORY-BUILT: I.ONFORM TO NYS FIRE PREVENTION £. Manufacturer: 2 -`11 Model: 3UILDING CODE. CONSULT TOWN OF Listed By: Number: )UEENSBURY HANDOUTS PROVIDED 0-Double Wall 0 Triple Wall EGARDING REQUIRED INSPECTIONS. 0 Insulated Cashier's Depart a e vt Town of Queensbury, New York pt: Fire Marshal Amount Collected Amount Received le Number Title 73 3389 (190)Public Safety 33 2655 (230)Minor Sales Collected From or Refunded to: ress: t19 rn Town Clerk or Deputy: 4'`c r.4 A ) � D.'t,t White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink dt Goldenrod: Cashier's Dept. TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED iOI)-J J3� 3 w l / / NAME` j"--)0---_ LOCATION f Ce- I- C,��6,.r" � 7 DATE 6 Ii 3 PERMIT# r 3. PPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE ,FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: ( I OK TO THIS DATE 2/015 INSrP TOR pArlTOWN OF QUEENSBURY 531 BAY ROAD • ' t,m QUEENSBURY NEW YORK 12804 � ;. TELEPHONE , (518)(518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME JT)Es-Vv<: ;-1Ae_ro LOCATION S �o�u � DATE 3 PERMITS 4i:2- TYPE OF STRUCTURE RECHECK'` L5 42.s2c(,- Y4'“ i "c,,_ FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEP RAIL 5 IN �( C RELIEF VALVES FURNACE/HOT WATER OPERATING , INTERIOR TRIM/PRIVACY DOORS: FINISH FLOORS: BATH/KITCHEN WATERTIGHT" OTHER FLOORS SWEEPABLE,'<. OTHER FLOORS CARPETED, STAIR CLEARANC AILI , -tea SMOKE DETECTORS DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING PC DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS. FINAL ELECTRICAL,/ akj '3 , JX OK TO ISSUE C/OOR C/C COMMENTS: ,? ,/V(;fir, - .oK 0G--�G--e-oy5 6,../ a-1 i OVA) Do teo;--p--- ARRIVE DEPART INS ECTOR TOWN OF QUEENSBURY 531 BAY ROAD BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED //)/ww,/0 KANE LOCATION DATE PERMIT# gg- �qj 4' TYPE OF STRUCTURE c RECHECK/A�-'a�)5�td lawy z4ge-e'.0, FIR[ MAR3HAL,APPROVAL (COMMERIClAL STRUCTURE) Z�FQOTING FOUNDATION 8ACKFILL ^4-FRAMING GH PLUM `NG FINA{--ELECTRICA -- IC - M3ULATlON __ �W �3TUVE/FlREPLACE -.� REMARKS ` APPROVAL - -- ` ---'---' N/A YES NO CHIMNEY HEIGHT/LDCATlON \ B VENT/LOCATION PLUMBING VENT VENT RD0F[NG A �--- - SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERA I/,/cx/ox /xIn/rx/vxC, D09RS � �---- FINISH FLOORS: ' BATH/KITCHEN WATERTIOT OTHER FLOORS SWEEPABtE OTHER FLOURS CARPEjXD ` �---- ' STAIR CLEARANCE/RA G% '` x SMOKE DETECTORS ' Q��RCLOSERS '� BATHROOM FANS - '- ALL PLUMBING FIX 3 OPERATING GARAGE FIRE PROOFING X DOOR CLOSERS - (f_- DT FINAL ELECTRICAL 0K TO ISSUE'C/o OR C/C �---~ COMMENTS ' roo\5s-&r ' �. ~ �-u' `��_�� �. � '- rAAlo ����� -~-���N/ ` ARRIVE DEPART TOWN OF QUEENSBURY '1171( 4 FIRE MARSHAL ;', QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED /Gr/1,f/& NAME -?/Z 'l folk,e(f t_-..s LOCATION %,"- d 7,.€7t''. 1 < C..s .z7.1:'Z< DATE 1 C/.2 7/9,g PERMIT# j,.*--;.jj APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY 'tIREPLACE-FACTORY BUILT RKS: grOK TO THIS DATE b( 144r9 ‘, ar71,9V 6/,/,14,4_,4 bi-1,/-d./ C.g.i C11:11 -4 ' . - 47/ 4411/7412 , , .,,, Si w 2/015 INSPECTOR TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED /ZAr NAME /�ff;?r / jj 6441-1 LOCATION iD/ r ',, /�t,i DATE 7/2?/U PERMIT# :_554 APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY 'FIREPLACE-FACTORY BUILT REMARKS: '-' OK TO THIS DATE 441 k— /2)&7-d-714 42'. 47r/ 76. 77112,, 74- l '/7 '%� ( & f ez) . ram,//4,f-a//// es, 4,, 2/015 INSPECTOR TOM OF QUEENSBURY 4/77 BUILDING & CODE 1-FORCEMENT 531 Bay Road Queensbury NY 12804 518-745—.47 SEPTIC DISPOSAL SYSTEM INSPECTION OZkwece__ Name AknSd Oa Locationd,i :„.11/24,.//19-///, e: r.e.. Date 5**. Permit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTIv, FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Sie Type Bldg. to Tank 9 5-coo Pvc-- Tank to Dist. Box Dist. Box to Field/Pit Openings Openings Sealed? 41) No Partial LOCATION/SEPAwg.TL ,!S: Foundation to Tank OIC_ feet Foundation to Absorption ())e__ feet Separation of Pits c.D t - feet Conforms as per Plot Plan Yes No LOCATIto OF SYSTEM ON PROPERTY: (circle one) - ront - Rear - Left Side - Right Side quilidle rot)* - Middle Rear CO' ,ENTS: s -voL&J £)( CTçJJ Lir-r-foiti 01-1- 4s-r6--1 SYSTEM USE APPROVED: YES NO Arrived: Departed: ,7:,c4 Building Insaector TO OF QUEEASWRY if.l'edl; BUILDIKG & COE FORCEMENT //IV 53/ Bay Nmid Queensbury HY 12804 510-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name /46tvi a_kic4 6,6(? )6/> Location 7/— (1,2 jklyte2uick,..., Date _6th3 Permit # 9:3-33V SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTE4: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- 2 Size - ster- ft. x Ts---- ft. Stone size TV-----. PIPING: Size Type Bldg. to Tank Tank to Dist. B*1 Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATEVS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits eet , Conforms as per Plot Plan : No LOCATI OF SYSTEN OT4 PROPERP. (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear arVENTS: to‘ _(-7-acout-a___ 6 AlL124 - L r* tfit. 1) GeNc-c- t A444; NI-- WA-1z • 1_) -6--c 9-P 6-g Cox. tiQAc;7--ba(1( 44) SYSTEM USE APPROVED: YES Arrived: r /IS' Departed: )4 _ Buildin Inspe or TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME � (6 _ -- LOCATION LeN ( —SA\p\--utock) (7(21-61/(___ DATE Vaal? 3PERMIT # 'j6Y 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: f V74 N`j..7t 9/2-fi -30-k /061- 76A-137 Pig INSPEt OR TOW OF QUEEESEURV t1“ BUILDING AND CODES DEPARTMENT 531 BAY ROAD r f r • QUEENSBURY, NEW YORK 12804 V TELEPHONE (518) 745-4447 ----- BUILDING nOPECTOR°S REPORT REQUEST FOR IP SNETIO RECEI:QED (E E \\ (')t-Y'z__ LATgca `eGSh iCD6 ' DATE - PE 3IT g 9,�-3 c / TYPE OF STRUCTURE ` ? , RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FAT,. REINFORCEMENT IN PLACE THE CC' TRACTOR IS RESPONSIBLE FOR PROVIDING E ROTECTLOM FROM FREEZING FOR 4.0 LOURS FOLLOE (NG THE RUC. EWT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR • REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING- UNDER SLAB -" -_ FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION; FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS ' R- WALLS / R-ig/ R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 0,1E- c_ 607_.W -LS - R.-- C ta) &6}A ARRIVE q.' c'-'---- .. .DEPART , . 41 �_ IN 'ECTI TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /721 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 0/4-4 NAME , '711, - /rl%/ 12-' LOCATION j t �'j J9,6) DATE `A/ft PERMIT # 93- TYPE OF STRUCTURE ��,i�., t-' ,,21 RECHECK APPROVED . N/A YES NO FOOTINGS/PIERS • MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM/ FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN ,PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING/ JOIST HANGERS JACK POSTS/MAI,N BEAM HEATING ROUGH-IN ( INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION 'WALLS EXTERIOR R- FLOORS R- WALLS I R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 110°P\-0`t ARRIVE DEPART 3 ®d INSPECT R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT -__. 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME den t ,, 449,7 r1_.'f� LOCATION i 4 '/ '}J q% DATE f/'Zô /47,5 PERMIT # 99-�,�'i TYPE OF STRUCTURE q !) RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN 4INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART Z` � �v INSPEC OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 9//'I'79 NAME 44-yLcdae LOCATION Xf (i DATE 09/0 PERMIT # 3. 4/ TYPE OF STRUCTURE ,.51(/) Lt' 0,942.. / fa0 RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING Ad JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: je-gi/ cy7‘ (2) ARRIVE DEPART 6Pj INSP`E TOR ZI/-2 TOME OF QUEEMSBURY BUILDING & CODE ONFORCEMENT 531 lay Road Queensbury NY 12604 7 &Le 511-745-4447 SEPTIC DISPOSAL SYSTU INSPECTION , - Name -- / Z7-k_ tr ..-1i-- Location Date 9//q45 Permit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTIC FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Numbtr- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPAATEMS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM OE PRO (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: 1 Ic59-4 SYSTEM USE APPROVED: YES NO Arriv : it)re Departed: /: ., Buildi spector TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ®�' 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /C��.� NAME fj LOCATION /AL W447.L/ (�.140'.4P-4 / DATE 9/C/93 PERMIT # 9, -0.521 TYPE OF STRUCTURE %.5/I' RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL TROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB (FRAMING: JACK STUDS/HEADERS , BRACING/BRIDGING _ )C JOIST HANGERS X\ JACK POSTS/MAIN BEAM . HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R • - FLOORS R- WALLS R- CEILING i R- DUCT WORK OR PIPING IN UNHEATED SPACES / REMARKS: 6 ***1ici fjCR-L - C> Pt5 P1 akCI-1/3-0 nn F1-� 6/L__ PLUNIZ I iC) aCTIOil 24 C� r fPA/v1 VG ARRIVE �� 1 DEPART 5-'5-- IN PE OR °COL /;5of n '7l, /q3 TOWN OF QUEENSBURY ��f BUILDING AND CODES DEPARTMENT ' '/ 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 7//6/9- NAME LOCATION "4-- 6 DATE 7//9 /93 PERMIT # 51/ TYPE OF STRUCTURE 1f) 14/ RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL 'ROUGH PLUMBkNG PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE ja 7 c-0 DEPART ,' /0 INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME 1)ZU -- LOCATION Le:c C C e G DATE 2101Q-s, PERMIT # 1 - T 1 TYPE OF STRUCTURE RECHECK APPROVED , N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLILOWING THE PLACEMENT OF TH CONC(ETE. MATERIALS FOR THIS RPOSE ON SITE FOUNDATION/WALL POUR I REINFORCEMENT IN PLACE FOUNDATION/DAMP ROOFING'' , BACKFILL APPROVAL 1 ROUGH PLUMBING PLUMBING VENT/VENTS IN P AC_E PLUMBING UNDER SLAB F FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING ;' JOIST HANGERS JACK POSTS/MAIN BEAM! HEATING ROUGH-IN INSULATION: ` FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: Jf LLAti2_ P -Z4 r-7?c2 A4 A S0 Lint-CC- 1-14VMD rr a t PeCittcr CNao A 1\ fr ARRIVE j i DEPART ;A-(c) INSPECT R 4,1/4) 1,11:/„1 /_,1 Lt /‘,1 i„\1_,M„‘ I_\ /„\).\91,_OP/„1.1„1111,.011.,,91„19,,.1111„\91„1.91_",,,i)„\94)91_,191_,191, _VII, . „VP)_ , _ . , , ,, ,,,1„, ,.,ss aft islt na alum ssvnitssumk=viall=t, , --: , THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 '-- --.. 1119326 :-., .4. BUREAU OF ELECT;- ICTY _)50 Date NOVEMBER 0 STATE STREET 9- ,ALBANY,NEW YORK 12207 3,1,'.':-:- • 1.'421.0 , - q / A 090064 -t, Application No.on file - • — '. ••• .4 ,i. THIS CERTIFIES THAT • only the ebiCtrical equipment as described below end irsgesdsseeZ by the appllzacte ttcw-soc5 ccu the above application number irs eke prea- i2es of :,-,- ,-, ' :C 4 ' OAR KRUOER, SHALLON CREME RD, ODEENSBOPY, N. tivik , in the following location• R Basement El 1st Fl. Eil 2nd Fl. Section Block ,i. 042TObi was examined on and found to be in compliance with the National Electrical Code. ,): .... FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ' .., FIXTURE RECEPTACLES SWITCHES --': OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. VAT. K.W. AMT. H.P. -- --c ,-.., .38 -L• DRYERS FURNACE MOTORS FUTURE APPUANCE 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. APAT. AMPS. TRANS. AMT. H.P. NO.OF FEET A/AT. WATTS ::: --" ..,1 SERVICE DISCONNECT NO.OF S E R V I C E , AMT. MAP. TYPE Boum 1,0 2W 1,/,3W 3 0 Sw 3 0 Aw NO.OFpoiCiCOND. OF AGetOND. HO'C3F HI-LEG ot"rso NO.OF NEUTRALS OP NEUTRAL j 2e* 1 .-V --': OTHER APPARATUS: ..'- CEILING FAN-4 ' Di -F KAK •,, --,Y G.FXII, -8 -, --c. SHOFF DETECTOR:-1 ... --(' -, 4.. -,. _ , • ,P •..•t-'4 4 4.1•/.4I-'-ro: ..,, -<, ' -:--,,,• 4, ' ,,N 4 •,..411 i" .•. ." .:- -V KRUGER CONSTRUCTION . . , :i. •,, ' DON KRUGER -.6 — _,, 12 SHALLOW CREEK ROAD .c. BRQNCG1 MANAGER -:, k. QUIlEttilitin't,. NY .4, -6 Per ...1; 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. COPV FIR S'ALOrG IEPAMTMENT. THIS©IP(IF CERTIFICATE MUST NOT I!tE ALTERED IN ANY MANNER.