90-754 •
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CERTIFICATEO OCCUPANCY
F 1
\° C TOWN OF QUEENSBURY , r
1
, WARREN COUNTY, NEW Y. R
Date 490,fr lu /5 19 21 1
i 3A --- i"-- D-9 ., i
s This is to certify that work requested to be done as shown by Permit No. 90-7 S4 t
h
has been completed.
This structure may be occupied as a 1/2 of duplex
0 °1 Smoke Ridge Road-Unit B
Location
JMC PROPERTIES/John Cifone Jr.
Owner
By Order Town Board
TOWN OF QUEENSBURY
i 'rr...
Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY No. 90-754
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 B Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1/2 of Duplex
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
PO Box 684
Glens Falls NY 12801
2. CONTRACTOR or BUILDER'S Name
v
same
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3. CONTRACTOR or BUILDER'S Address m
in
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4. ARCHITECT'S Name
J1.
0
ro
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5. ARCHITECT'S Address -5
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6. TYPE of Construction—(Please indicate by X) 0
ci-
(x 1 Wood Frame ( ) Masonry ( )Steel (
' N
9
7. PLANS and Specifications 0
+ ro
No. 854 sq ft (1/2of duplex) as per plot plan, specificaitons and z,
applicaiton including septic system and one-car attached garage. r,
cn
8. Proposed Use co ro
73
Single family residence-1/2 of duplex
$ 120 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 30 19 91
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.) 0
—11
Dated at the Town of Queensbury this 30th Day of / October 19 90
/ J
J ro
for the Town of Queensbury
SIGNED BY /i:a ,�� y
Building and Zoninil spector
`•-Tr.;0/si OF QUEENSIWRY APPI.TCATTON ' FOR BUILDING AND. ZONING PERMIT ,.
fate- ,:-, . .•,iN ''f.•: .��F;.:.:r•.
Peci.eued . . .
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� Fee Paid $ D_ . .'' ' . . . . . ... --'• . '
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BUILDING AND CODES UF.PARTMEla . Date I44tted
tAY and HAVILAND ROADS RD 1 Doi 98 -
• .PUEENSBURY,NEW YORK 12804 . Peto t No. gd-145y, _ • • 4 .... -
TO. (518) 792-5832 Exc •204 • .
.• t • * • * a a • I1 * 1 * • alga I • • • a • .1 -• • a • •U• • • • ..11. ■•' •. •' •• • •
. A PERMIT MUST BI4 OBTAINED BEFORE BEGINNING CONSTRUCTION NO.- INSPECTIONS -'- -
•. WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID. BUILDING PERMIT.. , •.j,.,:
All applicable spaces on this application must be_ completed‘ and. thc
sippature of the applicant must appear- on the reverses side of this s.hee:t. ..,.;-::
i it A * I. * * A * A * A A A A *A * A * * * * * * * * * A * *.. , Ot,
-The owner of this property is: , /� C- � Oit-4
P.O. Address p e y�, 0,e 6P of, p-�S' /5✓¢L...)S ,tom-J - TEL: /e1- Y-1Y'1-a ..:_..
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Property_ location ,Ze% // •S'mo,ee ,'/06Pf TAX A P tigr,. k=2://2.L/_•
etas there been any split of this property since October . 1, 19aa? ` ''''.L...' • -
. If yes, Planning Board Review is necessary. YES►; .ato
.SUBDIVISI.ON NAME. IC APPLICABLR - '!ley,/ JL/de,6 • 0T- NSI
:The person responsible for supervision of work as regards -Duiiding -•Codes: is;• i-
CP/Poti0 (Dryer-s,i CIO- 24/P- /? O or 6 r9A.' _4 5' .rl `--7�2
_.�_ _ P.O. ADDRESS - .. • T .L. NO•. ; -NAME _ . Tel 9.. •
s Mane of builder CDPo•I,e 6'oa15I (('Address P 0- 8 O.Y 68'9 2 9 �`//. ,.;..•_
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.firma of Plumber if • i : Address /i // // Tel - i/ /!. y
Name of Mason- �� Address 1, /i i Tel . _.... /. .... I�...._.__.. . . -
NATURt: OF PROPOSED hORK: • ZONING INFORMATION (Office usa o.n.9) .
,on:.cruccion of a now building _ • ZONING DESIGNATION OF PROPERTY :
Ad iicion to a building ' • PERMITTED PRINCIPAL PERMITTED 7FCCESSORY
' Alt.;c:+tion to a building • ,. (uo clwngu to OXCuriOC dimensions) • REVIEW REQUIRED - PLA,NNZN BOARD_ ZO1W. QQ..
Ocher work (4i crib~:) • SITE PLAN REVIEW APPROVED DATE '` '
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GROSS AREA OF PROPOSED. STRUCTURE w• VARIANCE M APPRQ;M D pATl ,�.:*..
�� .*.�� • ,fir,• ...
or. Floor / ov 8-- . sq ft.P Rerks: .
3,nd. Floor 7o 0 sq ft.ij e-tQ ma
.. COiipt.LTt .41 Ol�rt1►'L'lON tua„UIld;D.;Oeuw. - :
Other Floors 1./f} sq ft . 4 ' Si.e of prol,urty ft X_��ft.
(not cellar or basement) lei • Existing building(s) Si..r Q!,,4.- ft X ', c.
.IOTA:. FLOOR AREA /7o, r sq f t. •
kxiaming building(u) Uuu -,IA-
Cizs of now st;ructur.: ft X ft ' ,�..,
,r_;pRod:acion-pier/slaWcrawl/partial/full ' nopo::cd building, di::canco from property- liso-, .
(circlu one) F yrone and ft Rear �atd ft
.N . of stories (taabicablo slice) .1 • Side yards c,t and fc
Haight (grads, to ridge) 1 L ft. w
If oncornar, :us.tOaok ftcos,.side ::craOS fit: -
-1 f rasidontial, no. of families 2 '
No., of rooms E xcluding- baths) , a OCCUPANCY INFORMATION .
No. of bedroomsa PRIMARY BUILDING - .
No. of bathrooms �f •
a familydwelling •
tac o ry 'Rutting s: 5tuu: M ,4,-T P4'$P ' �i'wo fautily dwu11iny • '
•
of ozeine.e- • Multiple dwelling / tivabor: of UAi,taT
110.- Dom
Ito. of fireplaces •to be installed o -!..— - s►t occun:wcy
Mill a wood at:ovai kw installed? ". ' —1'rans..ent occupancy
.Cwntt:al Air cor&ditioning? CS • ausinwis •
.4VLLOING TYLE,, PRIMARY STRUCTUh E . _N•�lnciusr44a1 •,_ - . -
n u►ch Contomporary . og cabin .`_ pc• . ;`
Iwiawd ranch Mar►sio:� 'i . if :addition, what will ura2 ba? �//>tl- .
:.;Writ larval 01d style kiwi:slow •
',Capp Cud Cottacjs Odor • ACCL•'SSORY BULGING-
- Colonial t:ow Town House • Detached g:aracje/o I; two car/ car
( CIRCLLt ONE PLEASE ) • _tctactwd jar • . anal car Alao ear/ . .. cg
•. • • • • / • s • :• a • • 1 1 1 • • _ Privatd storage building -
L'STIMATI:D MARKET VALUE OF • Ocher •
CONSTRUCTION • •
INFORMATION ON DUILDINC SPF.CIPICAIONS, ON REVERSE SIDE OP THIS CNFST, TO. a4 COMPEOt •
Form DPA 10/88 v1 �� .
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BUILDING PERMIT APPLICATION CONTINUED -
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- . - 8UILDING SPECIFICATIONS:- . , . . .
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Type of construction, wood frame, fire safe,etc. Z41 o 0.4 P-,en-,ge- ,
Will, any second-hand or ungraded lumber be used? If so, for what?
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- -Foundation wall material 4470,tiowore ' Thickness - AP''' ' • . . --'
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* - Depth of foundation below grade (to bottom of footing) . 9 '
Will there be a cellarTifr011eated or unheated? Floor sq.. footage - - . • ' -si ft . .
Will there be a basement? /b10 Will any portion be used as living space? . . -
(If so, what portiot? sq.ft. - - Type of use? - - -
4 Type of roof Slope- flat/shed/other - Material of roof - - — -'
Size, wood stu- - "X ' /.'/' " spacing Ac "o.c. lengthikajrt.
Joists(floor beams). st. floor -- "X --- " spacing "o.c.. span —_ft. , , , , , . ... . . ...
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. - JoistS (floor-beams) 2nd. .floor ;1/41 "X j0 " spacing /6 "o.c.. spap42.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..
l'' Exterior wall finish 1/4e/y/Z. „:5-Me Of what material?. -. . . ..... ...
Interior wall finish 5.y./_,,e7- ,eroeX - . - •
•!. If a garage is to be attached,
describe materials to be used for FIRE SEPARATION:
76J.- — `' tifee . /e4-i--Ao• (r,9A1")
Is there to be an opening between garage and dwelling?- ,e,.S If so.will. a FireTrated.
door, enclosure, and self-closing device be provided? yof
I Will a flue-lined chimney be installed? 4.44-,' -Height above roof ft. •
.Depth of chimney foundation below grade /24-ft.
f . Depth of :fireplace hearthjOh-ft. in.' .
Water supply -Ounicipa, or private well
. SEPTIC SYSTEM _ Distance from ANY private welltincluding adjoining properties
1 ' (A separate application is necessary- for any_repaix. or new- instal4tipnpfspRticsystam) -,...
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. .. • DECLARATION .... ..,. ,......,_ . ... • • :; :..t..i.i
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;• . - To the best of my knowledge .and belief the statements contained in this , ,. i - •• •—
application, together with the plans and specifications submitted, are a true ,and
complete statement of all proposed work to be done on 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 ow . .... .. .. ....... .. ... . . , , . ... _......,
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• . - Signature 0-----7-7.7' ....„--.!.,<-->.---,,..,,:-.--,..-:-:.1 ... .
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• • • - • Qwn , 6 etas agent, arc4tectOntractor ,• - - — :.. - -' ------.------: .
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SPECIAL CONDITIONS OF THE PERMIT: •
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},a,, S a <.4i..� l+C a" -i.'�' .i• `1 .t�_ xv i c'' .'ial..j'T.ri:-,, 'S"' ,}}.- li.,, ,- -
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. t F l l F�. �V. L •" t 1 Y r pia. �r%'-+:
r' y , s, s �•", , 4;1UILDINQ and ZONING DEPARTMENT - :4
-p- : ay and Havlland Road,R.D. I Box 98
. �Oueenebury.New York 12801 _ yj ii
SEPTIC DISPOSAL PERMIT APPLICATION
Owner's Name ,J0;94/ e F6i✓G ,72e • Tel.75 �� e,/, , ..
Address ---) & ] OY ‘7.r.,j 477.4J P.iQ'-.'4L'�/. /.?�/
Person/Firm installing system i' l!� /l1 / /,9-
Number of bedrooms(residential only) � . };
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Total daily flow: (compute @ 150 gal.per bedroom per day)_ 60 o 'ff
Topography: - rolling - steep -(circle one) Degree of slope % ! •
Nature of soils: dr loam-clay- other- Depth ft.
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Ground water-- at what depth? ft. .
• Bedrock or impervious material--at what depth?,,tJ4 ft.
Percolation 'test - Not required--------- 2 Required -Rate min/inch.
Domestic Beater Supply Municipal Well - Other
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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 aim domestic water .
supply or shore-line' of lake, stream, pond or. wetlands. Include all .
dimensions of the system itself. .
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Description of proposed system: 1
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.Septic tank site/ o r gal.
Tile field- -Length of each trench.silLft. Total field t. . .
- ,Size of stone IV . -
'Seepage pit(s)_ - • / .--Side • `f tX_ ft. .Size of tone#.
V :c Anyontractor, -Corporation, jndividual,Etc. , .engaged in ;the ,4
-construction :of 41 Unitary Sewage Disposal -System, who .covers -the -
-'came .pefore inspection, does ,nothave an approved Permit, -or varies ,
:j'..: .from the approved .application, will be subject to a Penalty of $250 3
r his provided for in Section b.010 of the Town of Queensbury Sanitary .
.wage Ordinance. :: : - -
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Signature of Applicant Date
:Ol/8
t?: o 14 4 '- :' : �':'l; tom `• L %'a t ' ' '
X 1.1.. 4 1 i 1",..r:• ....
47
3 y WPI. OF/ICC OVILDING 4 -:; %
', :!i. 14 _ _arti►Y AND NAviLaMe
,; .•.' LINO. ►ALLs• NEW ti01l1[. 111100
�IGHwAY •• ''t.tLIPMONtt 1910) 'i0s•t11>ll
mown t:. f MIQMWAY et�T. 4i
I/f�-7»1
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DRIVEWAY PER+SIT
APPLICANT= . - :
ADDRESS 0/ 1.8"' S/h cG' (( `"6".
• Zto be inspected)
. • " KAII
. : ING•:ADDREss ?a L o l 8'/
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, - gz.r-As i,---41--i./_____57. ,2,,y. i.t.8 r-0 1
The'Superintendent of Highways, Town of Qu ensbury, has
;viewed `ths application. of the above named resident to
i connect a driveway to the Town road. She following •
. action has been taken:
( ) Preliminary Approval (to be followed by •final Approvals)
.4 #anal Approval Granted ... .
. I .) • PMjected: _
wise pie. to ", used•
_(if necessary)
' 4 ) • 4' ) - • • ••' 1 30. 4 -) I_" r 4 ) ,*4 4. 36 F -A
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t sui *• Saylor, .w` . : y ;: ': { _ �-
. yperintendent t fi0hvaya k
. : :._ _ r .1rOwn of Queersbury • •, _ - .:-
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. . mit 143 . ...Ns er NATURAL SIAURY . . .A 0000 PLACI TO LIVI
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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 0
2 . Type of heat `-/J 4 ?',213
3 . Is the building mechanically cooled? ' y -,LS-
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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 heat 1 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
,
S. Type of insulation
8. Under 16% Only
1. R value of1I77roof and floors exposed to ambient conditions
/� -•
2. R value .of exterior walls ;'e-
3 . R value of glazed area 1 i'°�
4. R value of doors
S. R value of floors over unheated spaces
6. 1t 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
C. Controls
1. Thermostat maximum heat setting f��
D. Duct Systems
1. Is duct system installed in unheated spaces? YES MO
a. If YES, R value of duct installation
b. R value of duct in other areas
E. law insulation
1. Sise of hot water or cooling carrying agent pipe'
2. R value of pipe insulpt4
F. Service Water Reatine : .
1. Performance efficiency
2. Temperature control setting maxim!" /4t7
C. For Swimming Pool OnlY
1. Maximum beating
Telephone so. iNtirww
79% )- `�
(applicant's. signature
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
!TEMP.# `DATE l
CITY OR 'l y I I /'
VILLAGE 1 i� /"�f- j�T` �i' TOWNSHIP I-� COUNTY (,44--)- ./ - j-/�
ROAD STREET P OR ,-/� u/ / / 1 f�f^ �/ /'7 POLE NO.
ROAD AND POLE NO. J c,�r✓ �C../
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'SCO /�_ ��UILDING
NAME !`/19,VI% C ,jft�� f OCCUPANCY
OWNER'S NAME /�
AND ADDRESS 77i' f�L�/"f' r)/!2� .,J[�slj'ir'i��� TEL.# 79 2 /
CURRENT
SUPPLIED BY FROM THEIR DEFECTS OFFICE•
BUILDING NEW V OLD❑ WORK NEW,®' ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures&NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIR UIITS 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
1st 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 �ry ff/ ELECTRIC SIGN TOTAL
MAINS T (12 f-- r.�n, FEEDER LAMPS WATTS
CHARAC ER j E, P SE-O`‘, GAS TUBE SIGN
OF WORK 'CONCEALE& TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDER RQj0 MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED (�
ON OR AS POSSIBLE NEAR AS /J /�� .s^l /1_�, NEWIll OLD ` I
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATIO
PRINT NAME A ADDRESS � / e
NAME OF �/ erV� ,5j U fi c- X SIGNATURE ^� �`
APPLICANT ! '�� �' s�OF APPLICANT
STREETR ADDRESS }r/ �, 4f 6G / TELEPHONEC E#N C4
C
POST OFFICE ,! % ) J/"I Z`/�J i� f 2"; CODE '%c �f` WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1
4o3��77
ig
1 1 BUREAU OF ELECTRICITY .
_ 41 STATE STREET,ALBANY,NEW YORK 1220.7' '"
OCTOBER _'1;"1991. Application No.on filel57 J.6090/90 A 06�.^J15 3
Date -
THIS CERTIFIES THAT heo 754 ~
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
JMC PROPERTIES, 1.1.-B BURNT RIDGE; CIFONE CONST, CO INC..; QUEENSBUR ; N.Y.
! in the following location; El Fl. ❑ 2nd Fl. U AR
❑ Basement Section Block Lot P
4 OCTOBER I.1,1.991
was examined on and found to be in compliance with the requirements of this Board.
4 •
FIXTURE KEPTACLE5I SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '
'< OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. •4•Ii
- 17 37 24 17 . 1. 5 ' 1 1.5 3 F
-t DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIALREC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
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 ;i 1 F I
•
SERVICE DISCONNECT NO.OF .S E R - V I C E ® '
AMT. AMP. TYPE METER 1,6'2W 1.9.3W 3 2 3W 3 2 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•N'•G. NO.OF NEUTRALS A.W.G. --o
EQUIP• PER B OF CC.COND.. OF HI-LEG OF NEUTRAL
1 • 150 CB 1 N. ;1. . ' . 2/0 : 1 1/0
5
OTHER APPARATUS: 1
ELEC. WATER HEATERS: :1-4. 5 K.W.
- G,F.C. I ;-5 11
SMOKE ;DETEC:TOR:-1 .
• • . , . - .)
CIFONE CONSTRUCTION
g AIRPORT INDUSTRIAL DR. ..
k PO BON 684 4 BRANCH MANAGER m
GLENS FALLS; 1F; 12801 239 E
o
PerP.
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.
,� ftinsesonnininw rargrennizsommamrstiorsorimegineinesnanwminine.nnion
• COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. I
C- j
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
10 TELEPHONE (518) 745-4447
• ;:t.oteBUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED /oJi f)'11
NAVE MC , \qYQ 1C_`I se__
LOCATION �` 7( e
DATE / PERMIT# 75
TYPE OF STRUCTURE
•
•
RECHEC
FIRE MARSHAL APPROVAL (CQMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
- ROUGH PLUMBING FINAL ELECTRICAL-- SEPTIC
- INSULATION WOODSTOVE/FIREPLACE
REMARKS
y r�
/ APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION Y�
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING tt}�� StDECK/PORCH/STEPS/RAILINGS 1
RELIEF VALVES it
FURNACE/HOT WATER OPERATINGL
BASEMENT INSULATION/DUCTO4
INTERIOR TRIM/PRIVACY DOORS;
FINISH FLOORS: i
BATH/KITCHEN WATERTIG T Jt
OTHER FLOORS SWEEPABL)E j(
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS 5�
HANDICAPPED ACCESS
SMOKE DETECTORS B
BATHROOM FANS/WHOLEHOUSE FANS ,
ALL PLUMBING FIXTUR _ OPERATING X
GARAGE FIRE PROOFINA
DOOR CLOSERS --_______1
OTHER FIRE SEPARAT ON
FIRE/DEMISE WALLS I �\
DUMPSTER J
SITE PLAN/VARIANCE REQUIREMENTS \
FINAL ELECTRICAL
OK TO ISSUE C/O OR\C/C •
COMME • --
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ARRIVE /L a
DEPART /i,_7e,
NSP T
_loom 01 Queeni ur,
• BUILDING and ZONING DEPARTMENT
Bay and Haviland Road,'R.D. 1 Box 98
Queensbury, New York 12801
ckH \-&.-Q
SEPTIC DISPOSAL S STEM INSPECTION C ION
NAMETOC wo\--)04,,
LOCATION V Y11 \- 6 M(1��_ D9(7 C .e
ri
DATE / -2PERMIT NO. 9D - 5/
�'
•
SOIL TYPE - and - Loam - Clay -
Percolation Test Required? YES C.215
Percolation rate. - Min/Inch
TYPE of SYSTEM:
Absorption field, total length 2. rG
Length of each trench' s v
Depth of trenches ' y ;
Size of gravel 112`.
SEEPAGE P ITS-fNuinber of)
Size- ft. ________
Gravel -size --
PIPING: \ ----Size Type
Bldg. to tank I t/ Az-
Tank to dist. box AA:-
� __
1.Dist. box to field/pit 1( ft_
Openings sealed?' 40 NO Partial
LOCATION/SEPARATIyO S:
Foundation to to Jc ft.
' Foundation to aborption ft
Absorption to 16.t line ft 'J —
Separation 'of pits \
LOCATION OF SYSTEM ON PROP RTY(circle one)
Front - 4/ Left side`` Right side -
COMMENTS: /
3
/ .
SYSTEM USE APPROVED YE NO
P(° uil in Inspector
01/86 and vl
• _ I :, , •�x C
i. i.JownofQueeniturf/
•
' BUILbING and ZONING DEPARTMENT '
F Bay and.Haviland Road, R.O. 1 Box 98
• • Clueensbury, New York 12801
SEPTIC'DISPOSAL SYSTEM INSPECTION '
a NAME l FO l;
LOCATION Lit. I FI
DATE •7 L:'l/....•q(•PERM IT'..NO:;, .. - ;'7 s 3 ;
-' SOIL TYPE = -_nd Loam Clay
Percolation Tes Required?' YES NO
.. Percolation rate • Min/Inch ' -
t — 1
TYPE of SYSTEM:
r Absorption field, total length
Length of each trench " _'
'. Depth of trenches • - ' _. ....4., .
size of gravel_ i`, .. /- • . -
rY;
SEEPAGE PITS4Nuinber of) .
Size- ft. X ft � '_' . �, - -
Gravel size > 4-4
PIPING: Size;1 ' e- • •
. Bldg to tank ; Sc`i-4 �[o.It/C- • • 1
• - . • s•' .Tank,to dist: box ;y
- `` Dist: box to field/pit' �fd . , L
Openings sealed? YES Partial. � • y
• ;i iv
I LOCATION/SEPAIATIONS 4
Foundation to tank ' t 10 ft:r.
. Foundation to absorpti'o�' P ft a ,d
Absorption to lot line ° ft. • - ,
' Separation of pits ft: •
LOCATION OF• SYSTEM ON.PROP TY(circle one)
F, Front Rear: - .Left 'side - fight side
COMMENTS ds. • ; $
6t' St1911' C-TA;,/,•1 14/i Ll,1•, "7- .. ";'. 1 .: ,:-'.'!1. .-......',..!,12:i;.'.C,,.: '..',...:j.•i.:::-,,--.:i,•4f,t'i,:.'•-••••,-.-.•.•
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SYSTEM.USE APPROVED YE. NOS
T 1 i • Bum ding ns ctor•
01/86 and -vl , , . •
• .
TO OF QUEENSBURY "/3
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSP ION RECEIV D ,7) /1
NAME 4C .i -e/�, i�
i
LOCATION , /a y�' - 14 g''/
DATE Od/9/ PERMIT # G��-,l/D_
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
BACKFILL APPROVAL .
ROUGH PLUMBING '"
PLUMBING VENT/VENTS IN PLACE y
PLUMBING UNDER SLAB ;/
FRAMING:
JACK STUDS/HEADERS 1 r/
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM ,,Y';
FIRESTOPPING {:`
WALLS ,.
CEILING '
FIREWALLS f,"
HEATING ROUGH-IN I
/(INSULATION: AT 3,
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR .R'-
FLOORS I R=
WALLS / R ,J `? Y
CEILING !7.-R' 4- R- 30 )`
DUCT WORK OR PIING IN UNHEATED
SPACES / .
REMARKS: U tr I 10 9, C4``
Ar • I i-Lfr
sum_rio,t) .:s c:) 1, 0
ARRIVE j. )
DEPART 12:>1"- 1.,t`�
IN PEC/OR
TOM OF QUEENSBURV
BUILDING AND CODES DEPARTMENT .
531 BAY ROAD
QUEENSBURY9 NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME (..: 0A./6'
LOCATION ,W)2l— `� �(� -- �' t_ I '
BATE t 1 C,�� PEt�1IT i; 'I'�317'1
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 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
FIRESTOPPING
WALLS
CEILING /
FIREWALLS
HEATING ROUGH;IN 4
INSULATION: I
FOUNDATION` WALLS INTERIOR R-
FOUNDATIO1 WALLS EXTERIOR R-
FLOORS 4'� R-
WA LL S R-
CEILING R- —
DUCT WORK OR PIPING IN UNHEATED
SPACES
•
REMARKS 4 '
c.
C:► �n rL (.6 1)O° t)L'- T Uv2 2
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ARRIVE f O S
DEPART /7;C)c) !> ,
LJ I' S7i+,v iOR
r
Q each Nolo
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT g/cy C
REQUEST FOR INSPECTION RECEIVED
NAME J M 0 qanyeal-le-7
LOCATION,Lc,1- // SItokekdy UAt
DATE ) J '1/ PERMIT # 90 2/
TYPE OF STRUCTURE IA-- Cic
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 1`
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 i R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMAR
ry
03-r- R- -021A ( 7-
ARRIVE /D' h
DEPART 105: rj
IN PEC OR
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 CEIVED
NAME ✓fri/ edge
,hi
, o'y:hi /J
LOCATION �G`T // �6(e -
DATE i40 PERMIT # v jG 7��
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING /
BACKFILL APPROVAL
ROUGH PLUMBING'• r'
FRAMING /
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS .l
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S,TEPS
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: L(
C7 )C `b t' PfA f c-cr420 t2
THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING
PROTECTION FROM FREEZING FOR 48 HOURS
FOLLOWING THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE k
YES NO
ARRIVE
DEPART Z: 3()
41/1:-(
IN PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO INSPECTOO ECEIVED /��Q
NAME
SIC
LOCATION 11W—w4-Lj -�
DATE ///G� 2 PERMIT #
0)—2j1 J p4( "PR0ED
• ,7�j YES NO •
1/FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING •
BACKFILL APPROVAL
ROUGH PLUMBING',
FRAMING ' •
ELECTRICAL ROUGHi IN .
INSULATION: tr
FOUNDATION r'
FLOORS
WALLS
CEILING
FINAL INSPECTION: a'4
CHIMNEY HEIGHT \
ROOFING \"
SIDING " F
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/ItEL'TEF 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!
1?
'1 'l C 0
REMARKS:
L-
•
THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING
PROTECTION FROM FREEZING FOR 48 HOURS
FOLLOWING THE PLACEMENT OF THE CONCRETE.;'
. MATERIALS FOR THIS PURPOSE ON SITE /tl,�'.
ARRIVE 16 "5.0 YES (( NO
DEPART I I G /�^'
. ,rnl •
INSPECTOR
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