90-753' '' •-'''re•.f ,r,' L. .r.ti sltv,'-v.t'" ,v-r.:(''{.YrY?C X'' ',-) --/'-'-"" _,. •L,-ye:, tt i a.s:..-:'''`-4
`' ',
CERTIFICATEOF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
't Date October 11- 19 _91
30? e7-1"—O-Ci90-753' work requested to be done as shown, by Permit No This as to certify 9
has been completed.
This structure may be occupied as a one-half of. dunley
6R0. 4 I Smoke Ridge Road - Unit A
Location --
t
®caner JOHN CIFONE JR./JMC PROPERTIES
T •
By Order Town Board '
TOWN OF QUEENSBURY
/ _ .
Director of Bldg.& Code Enforcement .\,
. r
BUILDING PERMIT -�
TOWN OF QUEENSBURY
No. 90-753 -o
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to JMC PROPERTIES/John Cifone Jr.
OWNER of property located at Lot 11 Smoke Ridge Road-Unit A Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1/2 of Dupl Px
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
POBox 684
Glens Falls NY 12801
c-,
2. CONTRACTOR or BUILDER'S Name
Cifone Construction Co Inc
--I
3. CONTRACTOR or BUILDER'S Address m
N
0
4. ARCHITECT'S Name c7
O
rD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
O
c+
(X)Wood Frame ( ) Masonry ( )Steel ( ) ►—
7. PLANS and Specifications
No. 854 sq ft (1/2 of Duplex) as per plot plan, specifications and
application including septic systema nd one-car attached garage. a
8. Proposed Use
CD
Single family dwelling-1/2 of duplex
$ 120.00 9I
PERMIT FEE PAID —THIS PERMIT EXPIRES October 30 19
(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.)
N
Dated at the Town of Queensbury this 30t Day of October 19 90 0
ter,
SIGNED BY h :/ for the Town of Queensbury -
Building and Zoning Inspe,or
X
1-_ _..�.._ .lS,f .,R...,....3C.. _��••s •DES.T=...`i...+s. _s. _. --�—- ._—.iR."
°:�1'O.ti N;.O • Q,.1EENSB,_ .,.Y APPLTCA`I'ION FOR BUILDING AND "ZONING PERMIT ~" ;`\' '''•
Rea.eyed
A� Reu�iewc .ter�g��/u'�r . ,:�. : .sr�:�.3 1..- , .6.. 1
/ ..
."
UUILDING AND CODES ui:PAIITiI3 rc Vale Iedued 1 Y ......_ .... Y _.._..+.--- . ---_.... .•W ._
;AY and IIAVILAND ROADS RD 1 Box 98
PUEENSDURY,NEW YORK 13804 Pe'un4,t No• _
• Tel . (518) 792-5832 Ext •209.
.• •• • • • • • �• • 1• a .• * a a * a a '• •'• '• a •'. • ..■ • '• ■-^• ■ _ •",r II'-ie' ■' •` s' a
;a: ' A PERM•1IT MUST •B) OIITAINED WORE BEGINNING CONSTRU,CTI.ON., NO; INSPECTIONS • =: '`. "•
, )"'ILL BC MADE UNTIL APPLICANT HAS RECEIVED A VALID:,�.BUI.LDINC .PERMI.T , .,
All applicable spaces on this application must be " completed: and::the. ., _-... .
• ' . s•i puature of the applicant must appear. on the 'reverso . s.ide- •of this: s�isc:t. ...;�:._':
* * /C * w * * * * * * A * * •*. * *. *. * * * _* * . * " I * I * I I., * *;, .*;.:,*. *, *. :.1: :.
.'rhe- owner of t,h.is property is : ,/� � ef-royG' 7/Z -. :�:�,
P.O. •
Address / ' e r�0 ' 68'zi (G1-�' fh-h)5 4 • TEL • �/�/Z l�'`2 .;.� "c
'13r.operty .l_location oca .CV /J .S'M See ,,emew / TAX N"AP 'NO✓��/. •.1?
.
.: has there been any split of this property since. October h;. 19.88? - /er
•
..•i f ' yes, Planning. .Board Review is necessary. • , •,a ;._ n ,!;,` 'r
SU.BDIVISION . NAME., II' APPLICA13LE ' let/444 • ,e,aP6 I;9`Ta,.N,O•.
.1' .
' ''I'hie person responsible for -supervision of ..work: as :regard's '-Buildin g,-::Cod.es ,:isc" -'
ii
--!POti0 �`04,6'✓ cam- /4/B� he cy 6,r9 Y _.. 6-,5- z-Ar. . - ' 2 g' ,y•
—NAML P .O. ADDRESS
,.' �T.LL..; .N . ,•.. �1 ...•
_,.„,,, .
Name of builder Fc 'le eoo Pc7Address . p f- 8 0( ev Tel 79J':`Q , , .:•,.:
t
• bkame of Plumber ii. . i ,. Address /i . II ii Tel. . if. . / :,-
Name of mason. . i, i i .Address i' // ' ii Tel ,(/...._ ..1.�... ._ ...
WURk OF PROPOSED hORK: , ZO,NItIC. I.NFOItWI;O 1 (Diiica use o.n1yJ . '' '.
•
'' • • •
on::crucciot� of anew building ZONING DESIGNATION OF PROPERTY
Addition to a building " •
PERMITTED PRINCIPAL • PEFtMLTTED ]�CESSORY
Alteration to a building ..;r:,,,.,,,.;• : •,, ,..-, .._ : ..
• REVIEW RE UIREO.'.- P.L .NNING BOARD Z.ANINC,:.AQLW_.
� (uo clwngu co exterior•climon«ions) 4 •° �
' ` ' '' Ocher work lies cribas) • ' •. SITE PLAN REVIEW @ "APPROVED DATE a'` ';::`i:
CROSS AREA Oe PROP osco. :i'rtcuc'ru[tc t •
a VARIANCE .Yw_APPRQIIFA , . ATE ,.,_:_...,r;,,.,
•agT .t Floor ov S� •
• sq ft.�\) Remarks: ' •
f'
3 nd_ Floor 70 0 - s.q ft.l• • .COc.1P.sk'1'R IFJ1�O1tt%IAT1ON hU.QU I1d D; UL1.c+L1,,
'Other Floors ,!'i9 . s"q ,ft ..ti. •
' ' Sirs of property ft X ft. ;.
(not cellar or basement) • 3P • Existing bul.lUiagt..). .Situ iy' ,4. 1'c •X .ft..
TOTAL FLOOR AREA /708/ sq ft. • .•
I:xi::tang build4.0 C::)• UsU • /l/�
Cats of new structure ft X ft . . • °'
f
L'u��d:+cion-pier/slab/crawl/partial/toll • lasopo::ed building., distance- trove ptOixurty "lino .,
(circle ono It Front yard ft Rear• ya d ft '
No. of stories (habix ablo space), .1 Side yards _ t,t and fc
if&ec (grade to ridge) • Z ft.• ' If on corner, :setback frols�;sidv ::crude ,,_;r:,.
..I f"residential, no. of "families ..Z
Rio.., .of rooms excluding baths J._./ • OCCUPA 4LY 1NFOPM4T104,. . - . • -
No.. of bedrooms G/ • •
No. of bathrooms .� . PRIMARY BUILDING -
• o family dwelling .
Primary heating 1: arch► t/C,f1-! Peso )D • Two family dwulliny
No. of fuel Lt b �i o • =ultiple dwelling / Nuwbor of .units : .
;No. of fireplaces t4 his installed __permanent occupancy
Nall :. wood stove be installed? -a • —
• _rr:►nsi�rnc occupancy
L•W1ts:+1 Air conditioning? Y ._ Businusi
QUILDING STY1.C,• PRIMARY STRUCTURE ..,•'_ nclust a,�l
Ocher . ; .
it:al►cl► Concuu�l ar:ary tog cabin R —:addition, wl•►ut will u::o bit? //' - ''
raised ranch mansion u• .••
jIhlic level Old style Uuny:a+ow .
•:C:.pu Cod Cottage Ocher • CcgSSOflY BUILDING- • .
..Coloni:+l l:ow Town House • Detached garage/OIL two cad/ car
( CIRCL1 ONE PLEASE.) •, i ttaeh.:d garu9, one car/ wa",tsar/ _ ear •
■ ■ • • Walla . ■ • ■ • Private storage building
ESTIMATED MARKET VALUE OF • Othac
•
INFORMATION ON DUILDINC SPCCIFICATIOI i, ON REVERSE SID.R OF THIS SHIE?, TO_ BE COMPLETEDi
rDD ..
Form DPA 10198 vl t�,\ • • . ,
BUILDING. PERMIT APPLICATION CONTINUED - •
:BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. G✓ p do �,P,B/!�
Will any second-hand or ungraded lumber be used? If so, ,for what? a(/!7
Foundation wall material
6.94/0-g..,,er]e: Thickness � � ' •.
Depth of foundation below grade (to bottom of footing) Lf
Will there be a cellar? 4' 2Heated or unheated? Floor sq..; footage sc ft ,.
Will there be a .basement?'•'Q(/(7 Will any portion be used as -living space? ' —'
--F; (If so, what portio ? sQ.ft. - - Type of useo'
•.
>?,_ Type of roof sloped flat/shed/other Material of roof ' ''' ''' •. •
. Size, wood stu• "X G " l "o.c: '
Joists(floor•beams) st.• :flQorspacing G �� length Pu`�ft.' . , ,,t• . _
X spacing o.c. span - ft... s , ..
Joists(floor beams) 2nd: :..floor e 5 "X /p "; spacing /6'"o.c. s an : 2 ft.
Overlays(ceiling beams) "X " spacing "o.c. 'span ft.' , ' :
Roof rafters "X " spacing o.c. span ft.
Roof trusses( re-en ineered) spacing - `.. `
r p 9 "o.c. span ft:
f Exterior walk finish //ie'y Z ,5'.4 Of• what material? , ,. .... ._.. :,,;:,., -.
;''' :, .' Interior. wall finish " Syle:er /(oe
!;" . If- a garage is to be attached, describe materials t be used for FIRE SEPARATION:
�e- -c;ee leiiDD 4/Asz :
Is there to be an opening between garage and dwelling? y�S If.-so will:'a .Fir -. . ted;::;.
door, enclosure, and self-closing device be provided? y ,• • _•
4i , Will a •flue-lined chimney be installed? �� Heightaboveroof ft j,
_ Depth of chimney foundation below grade AA- ft.
Depth of fireplace hearth , /4-ft., in:]
Water supply ...:...
- unici I? p a or private well
_.. ; `SEPTIC SYSTEM Distance from ANY private well(including adjoining properties f,t..•.".
' (A separate application is-,necessary. .for. .any"...repair..or..new installation of septic system) ; ,;,;;:
.
i.
,'. . DECLARATION
f;.' To the' best of . my knowledge . and belief the statements contained in,,this ] 6''
application, together with the plans and specifications submitted, are a. true„•and •;_t'
. complete statement of all proposed work to be done on the described premises es and •
+' that all prov•
isions 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 ow e .
Signature � ?
Own , o4iE11
er's agent, arch, c>c contractor
C. SPECIAL CONDITIONS-:OF THE PERMI.T:_.
.� _ 4 / >; r i,•-, .,
C.
• - It
•
•
. .BY
•
• - .own of Quvenitury T
. ,i BUILDING and ZONING DEPARTMENT '
. Bay and Havilend Road, R.D. 1 Box 98 • •
=Queensbury, New York 12801
•
SEPTIC DISPOSAL PERMIT APPLICATION
Owner's Name ,.20/1/1/ et,.C -;F9it/G T7 • Tel.7,7_ �� ,
Address )196/2 R ar (�f'/ 4;&,c5 .f59- -5' •�L;?/ /.27 1 v/
,
Person/Firm installing system a/ lt" , f1 -i /L .
Number of bedrooms(residential only) 4/ y,
Total daily flow: (compute @ 150 aal.per bedroom per day)_ ‘p a •
t
Topography:4V- rolling - steep - (circle one) Decree of slope %
Nature of soils: loam-clay- other- Depth ft.
Ground water-- at what depth? ft.
Bedrock or impervious material--at what depth? ,t41A ft.
Percolation Test - Not required Required -Rate min/inch.
Domestic Water Supply�Municipa) Well - Other
IMPORTANT! -
• On a separate piece of paper, submit a diagram of the proposed septic •
system with all dimensions; including distance from any structure,
distance from property lines and distances from am. domestic water
supply or shore-line' of lake, stream, pond or. wetlands. Include all .
dimensions of the system itself. •
Description of proposed system: _f
.
Septic tank size/ma gal. 1
' Tile field- Length of each trench c Oft. Total field2JZ7ft.
Size of atone # t
•- Seepage Pit(s) Number / Size ftX ft. Size of ,stone#_ }1
Any contractor, corporation, i'ndividual,rtc. , engaged in the •i
construction of a Sanitary Sewage Disposal -System, who covers the
same before inspection, does not have an approved Permit, or varies
. from the approved application, will be subject to a Penalty of $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
• Sewage Ordinance.
Signature of Applicant Date i
01/86 ad/vl • j
•
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 ' %;7 oJ1 -
2 . Type of heat ,1f4-/ ? '
3 . Is the building mechanically cooled? ' /GAS
4. Percentage of area of windows and doors ' •
A. Ovir' 16% Only,
1. Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions '
•
2. Floor over heat. i spaces YES NO . • .
a. ' Are foundat on walls insulated? YES NO •
• 1. If YES . what is the R value?
3. Slab on grade YES NO
a. If YES, wh .t 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 .
8. Under 16. Only '
1. R value of roof and floors exposed to ambient conditions_
2. R value of exterior walls le` e.6✓
•
3. R value of glazed area ,3. 9e .
4 . R value of doors
S. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab
7. R value of slib 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 •
C. Controls
1. Thermostat maximum heat setting /0
' 0. Duct . Systems,
1. Is duct system installed in unheated spaces? YES NO .
a. If YES, R value of duct installation
b. R value of duct in other areas
E. PiRina insulation
1. Sims of hot water or cooling carrying agent pipe XL,4
2. R value of pipe insulime4 "
.P. Service Water Heating
•
1. Performance efficiency
2. Temperature :control getting maxisua ...
G. For Swimming Pool Only
1. Maximum heating, 4 —
' - Telephone No. 792 S' (:/e ---
. (applicant' ., signature •
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
'TEMP.# I DATE
CITY ORVILLAGE PI/./ //ff f,-j 5 - ilrf' 9 TOWNSHIP COUNTY (J• �f`'f�eP�:�„ �
STREET AND NO.OR / r / J
ROAD AND POLE NO. !t7/fi,,fr ,2f iJ%.'i ffv---/11— POLE NO.
BETWEEN WHAT TWO / / / r
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
NAME OCCUPANT'S ( _! / ,v,1 c-_/ /��+'`� J OCILDING
CUPANCY
OWNER'S NAME / _ ---
AND ADDRESS `, /s1 /✓; /) I' ✓/ x P.-� r/`i ;'? I.4,, -/—d,-,-/ 2
CURRENT ,f J _ //', .-,, -�f
SUPPLIED ZJ :e ,9 FROM THEIR . - '7"` OFFICE
BUILDING !'�- WORK lllffC��' / DEFECTS
IS NEWJ OLD El IS NEW ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU IN TALLED
No. Fixtures&
NUMBER OF OUTLETS ampfReceptacles MOTORS HEATERS BRANCH CIRCUITS OFFICE USE
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
side
Sub-
base
Base- .
ment
let Fl. .
2nd Fl.
3rd Fl.
' REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS /a 0 d FEEDERS 0 LAMPS WATTS
CHARACTER D 'yGAS TUBE SIGN
OF WORK CONCEALED/ TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROU MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED -ON OR AS
_
NEAR A
POSSIBLES// / j / `11)/,-/J NEW fl OLD 1-1 -
AVOID DELAY BY GIVING FULL AND/ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. _ APPLICATION A� t
PRINT NAME AND ADDRESS r' /
NAME OF /-- U-t U. SIGNATURE / •- ��—��
APPLICANT .//-' //rft `_s; �.`1 ��2 OF APPLICANT / ��
STREET ADDRESS . /2- iC- --�I t '' ' TELEPHONE# •/J ���
_/ C.
CITY OR l/- /^ .J:! j/, [� ZIP J�l/'` LICENSE NO. f
POST OFFICE (/.°/�/�/ /�,l `..� r'/ CODE f ' 'j' WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING .
(.. ,C.,MCA d?_,«.l!14. !.._p.I.n,/.. i.J I., ti.1"..p!..1'..1 t.a!,.!..!J.!..�ti l.. !.P!a l:.1!-.1!.�tia P'tia••PY�Cas!ate,?t!-at!.at�.)�!- !-A i.!. ,.1!.1!- !. r.?/.1 t 1_!.1-&A.1.` !
-t; THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1 i
4035771 BUREAU OF ELECTRICITY
•i; I- 41 STATE STREET,ALBANY,NEW YORK 12207 _ '
a Lr ( r � 9 o
-A Date SEFTEMBER 6,1991 Applicatior 0.onfil®J7- .1990/90 • A 059�0�
'7�
No
.v THIS CERTIFIES THAT -
o
�. only the electrical equipment as described below and introduc by t op lic on the above application number in the premises of
VNC PROPERTIES, 11-A BURNT RIDGE, CIFONE CONST CO, OUEENSBURY, N.Y.
�. in the following location; ❑ Basement El 1st Fl. 0 2nd Fl. GAR Section Block Lot 1...
-, was examined on SEPTE?-1BER 2 3, 1991 and found to be in compliance with the requirements of this Board.
-tea
,' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS T
^�� OUTLETS ECEPTACLESI SWITCHES INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
C -
1, 16 37 22 16 1 5 1 1.5 2 F r
1. -6
S. t, DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLETSYSTEMS DIMMERS
�1 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
1: 1 3 1
�.
�; SERVICE DISCONNECT NO.OF S E R V I C E
� METER
. AMT. AMP. TYPE EQUIP. 1.0 2W 1 p 3W 3,9'3W 3/1 4W NO.OFF,ER 1COND. OF CC.COND.. NO.OF HI-LEG OF HI•`LEG NO.OF NEUTRALS OF NEUTRAL 1i
i
�: 1 150 CB 1 X 1 2/0 1 1/0
-r. OTHER APPARATUS:
1' ELEC WATER HEATERS: :1--1.51 K.W.
-6 G.F.,C.I:-5 Rol
1. �; SMOKE DETECTOR:-1
.4— 1
' CIFONE CONSTRUCTION " � '• °c�'<
I; AIRPORT INDUSTRIAL DR. _ Cru '
-1: PO BOX 684 BRANCH MANAGER
�: t
-; GLENS FALLS, NY, 12801 239
4 Per
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. '' 4
S '•C'iri-r<•rfY\Y V/Y-/r r\.Y ..,YY et fr er et rCY et er CY'C7 fYY-(Y'r rte,(frr (Y Cr Cr rr A'r\-rr-r\"r fY 1-7b.-i r7 Cr Cr C, A-r _Y Cr Cr A 'Cr -r 1-' ; , r ,: '
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
,:.� TOWN OF QUEENSBURY
a .��� 531 BAY ROAD
ANN QUEENSBURY, NEW YORK 12804
` a1 TELEPHONE (518) 745-4447
v'''" BUILDING INSPECTOR°S REPORT
FINAL INSPECTION
REQUEST. FOR INSPECTION RECEIVED JO/� / f(
NAME -'(Y\C ?Th201v\ c_S
LOCATION J i/ St h` 1Aa Q. ) Urt -("
DATE f(y/(/q( PERMITi --- 7 3
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL _FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/ IREPLACE
REMARKS
APPROVAL
N/A, YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION r
PLUMBING VENT 1, ;4
ROOFING `, e
SIDING 't
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES 1
URNAC*HOT WATER OPERATING-f' i K
B' ENT INSULATION/DUCTWORK\
INTERIOR TRIM/PRIVACY DOORS' \
FINISH FLOORS: I
BATH/KITCHEN WATERTIGHT/. `},
OTHER FLOORS SWEEPABLE/ _
OTHER FLOORS CARPETED !
STAIR CLEARANCE/RAILING,S
HANDICAPPED ACCESS / •
SMOKE DETECTORS /
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES? OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS I
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS 1
DUMPSTER 1
SITE PLAN/VARIANCE REQUIREMENTS _
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C X
COMMENTS:
iLOPAPL:cme d nAJacs i1&J3 ALLL-o
�
Fd t(-itlZ awAi-ert Al&6&Tiftl
1-6 rzA/A-ct- 6 A) az 0.oz...4
ARRIVE Cr,L i)
DEPART W7 ) ,G-. ' , 4.4.-_-
INS T
TOWN OF QUEENSBURY ' ) II)
ice. 531 BAY ROAD
bfrcs QUEENSBURY, NEW 'YORK 12804
TEtEPHONE'---_(518) 745-4447
BUILDING INSPECTOR'S REPORT
<-----
,�NAL INSPECTION ) 9REZEIVED .\ / (t 1
REQUEST FOS (� �` l—}�--LC_� _ `I
NAME I kl3 i'Q— 1.,e,\-u v ,
LOCATION \\ . )1\6K_C `) e 5) ei)-
DATE ' (0 PERMIT# — f l.i 7 q 3
TYPE 0 STRUCTURE 2 cl Qom(
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
zFOOTING FOUNDATION BACKFILL VFRAMING
_ROUGH PLUMBING FINAL ELECTRICALEPTIC
YNSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION : X
PLUMBING VENT i ` X
ROOFING 1 / X
SIDING X
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES X
FURNACE/HOT WATER OPERATING K
BASEMENT INSULATION/DUCTW'ORK .
INTERIOR TRIM/PRIVACY DOOR 6 e,,r rcuC•rs,;:- X A',:--
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT 'A'
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED;,vrPitora
STAIR CLEARANCE/RAILINGS% ,
HANDICAPPED ACCESS w
SMOKE DETECTORS / X
BATHROOM FANS/WHOLEHOUSE FANS i(
ALL PLUMBING FIXTURES/OPERATING', X'
GARAGE FIRE PROOFING/ X
DOOR CLOSERS / }(
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS /
DUMPSTER u,
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL5rc•;_:c+zQ,,) ;,4- X
OK TO ISSUE C/O OR C/C
COMMENTS: .:
r
ARRIVE 7.'O) P
DEPART —J` I y
INSP
cc�� \jiG
_loom of Queen.d ur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queenssbury, New York 12801
\--7j-ck----R, -
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME \T\ ? o )Q'i+l $
LOCATION 1 i-hOte �� �� (?,,1y� ,q
DATE L / (p PERMIT NO. k V— / 3
SOIL TYPE - ' - Loam - Clay -
Percolation Test Required? YES -)
Percolation rate - Min/Inch.
TYPE of SYSTEM:
Absorption field, total length 2 TO
Length of each trench 5) '
Depth of trenches ' "Li T-
Size of gravel 1v
SEEPAGE PITS4Nuin of)
Size- f _ ft.
Gravel 'ze
PIPING: • Size Type
Bldg. to tank \ L(
Tank to dist. box c( r7Lr�
Dist. box to field rI wc-
Openings sealed? YES NO Partial
LOCATION/SEPARATIO S:
Foundation to tank f
Foundation to abso tion ft
Absorption to to li e ft
Separation of p'ts �� ft.
LOCATION S TEM ON PROPERTY(circle one)
Front - ,Rear - Left s de - Right side -
COMMEN .
5 5 i ZAt L(J•LUi(f� Uars
SYSTEM USE APPROVED YES NO
-
t
ti
Jdcnfnr
01/86 and vl
•
_town o f Queenitury.
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME )ill
LOCAT ION L� r it S/V1O'
_
DATE / Q( PERMIT NO.
SOIL TYPE - and Loam - Clay -
Percolation Test Required? YES --NO
Percolation rate - Min/Inch
•
TYPE of SYSTEM:
Absorption field, total length
Length of each trench '
Depth of trenches ` .
Size of gravel
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size ,
PIPING: Size, Type
Bldg. to tank Ser1
Tank to dist. box
Dist. box to field/pit-
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank :JP ft:-)--
Foundation to absorption•: ft.
Absorption to lot line : +:` ft.
Separation of pits ft.
LOCATION OF SYSTEM ON 'PROPERTY(circle one)
Front - Rear - Left side -Right side -
COMMENTS:
/ )rZV NI v LO [A
W PLC C; L 't ? - t,US t Uhl O
•
SYSTEM USE APPROVED' YES NO
Bui ding nsp' ctor
01/86 and vl
TOWN OF QUE10 DOr
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT i Ja
REQUEST FOR INSPECTION RECEIVED REPORT ()
NAME r l 1Q Qc
LOCATION\ _�> }J 1� ;�/ Q çZ
DATE41pq q / PERMIT if 90 753
TYPE OF STRUCTURE 2� 9101 S i (` P_
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 PLACES
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM:'
FIRESTOPPING .
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIORR-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- fq ' >
CEILING -3 --3? R-3s--
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE (a% 2
DEPART 10.)f -
IN PECT R
TON OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
FLAME C,
LOCATION c M.0121� \:)-5v 6,6 Z;nT 1.)
DATE oy)(71 PERMIT # 6_ �5 3/�,`J W
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 FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFIL.L APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SL¢B
FRAMING: 1
JACK STUDS/HEADERS,, '
BRACING/BRIDGING''
JOIST HANGERS,:- '
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS /
CEILING / V
FIREWALLS° `i
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: 4 j f
C t �C.IL I-c Po,' 'O
C7 -i95 POS.1-6--)-
ARRIVE
DEPART //:-C10 / ,,u U-`--
I'NSP7TOR
RHO
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
V
REQUEST FOR INSPECTION RECEIVED Xfil (
NAME fn 0_, Pyn-v9 ,kk_o, 3
LOCATION L(5�' \\ <)V\dCe t i ; cQ
DATE 1 R/ 9/ PERMIT I �Q-- '7
TYPE OF STRUCTURE �-rt
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
•,X-ROUGH PLUMBING
PLUMBING VENT/VENTS IN ''PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS,
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN,'BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
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:
POST pu2/ai (r
ARRIVE iQ; (.
DEPART
INS ECT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT .
REQUEST FOR INSPECTION RECEIVED 0 J/(p
NAME G' I��C gr- p�-I��-S
LOCATION 5n- )L'P 11 1 oM//
DATE )g/ 7 PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FIRMS •
FOUNDATION/DAMP-P"OOFING
BACKFILL APPROVAL
OUGH PLUMBING / 5( -00 k
FRAMING
ELECTRICAL ROUGH-I '
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL POR HES/STJPS
STAIRS-CLEA' 'NCE & MILS
PLUMBING FIXTURES/R:LIEF VALVE
INTERIOR ''IM/PRIVA'Y DOORS
FINISHED ,LOORS
GARAGE F_REPROOFING
DOOR C •SER(S)
SMOKE D. TECTORS
FINAL EL'CTRICAL INSP TION
FINAL A:PROVAL OF CONSTRUCTION
-_ OK TO ►SSUE C/O OR C/
A SI ED CERTIFICATE Of OCCUPANCY MUST BE
OBTAINED FROM THE BUI PING DEPARTMENT BEFORE
• THESE PREMISES ARE OCCUPIED!
REMARKSO�cJ lZOitrallo i / is
•
Poc5"—H opi �S
. .
ARRIVE /O.
DEPART (Q,-I0
INS CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT rn
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280$
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED //I
NAME s I/ �. / vAs-,
LOCATION L�t�///J )!7i de. gck
DATE 4%) %6 PERMIT # 10 `7.r3
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 OCCUP
IED!'
REMARKS: Ic L4, _ W/`L I— (2012
THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING
PROTECTION FROM FREEZING FOR 48 HOURS
FOLLOWING THE PLACEMENT OF THE CONCRETE.
. MATERIALS FOR THIS PURPOSE ON SITE )e
ARRIVE 2.r YES NO
DEPART Z : 30
[7Th
i
NSP CTOR
1 ?-Q 1- 0
I - TAO*..S V-
S
m
iT
13
H
n
OCT 1990
TOWN OF Q U EEN.1 B U RY
A
CIFONE CONSTRUCTION Co. 518-792.9242
P.O. BOX 684 SCALE I "-= Zjo*-0
GLENS FALLS N.Y. 12801 DRAWN BY C.
DRAWING
NUMBER
DATE 10 / <10
PLOT P LA fq Lp r REVISED
REVISED
I
i