91-684 •
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
,.‘
,L.
Date July 7 19 95
This is to certify that work requested to be done as shown by Permit No. q 1r;9.it
has been completed.
/2 OF DUPLEX •
This structure may be occupied as a
2 SHONE RIDGE RD.
Location
Owner c•rvoniP, CON:-I'PRITC'PT ON
By Order Town Board
TAX HAP NO . 121 . -1 -1 5. .
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-684 -o
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to CI FONE CONSTRUCTION1-4
OWNER of property located at Lot 15 Smoke Ridge Road Side A Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1/2 of duplex 01
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
John Cifone
PO Box 684
Glens Falls NY 12801 1-1
2. CONTRACTOR or BUILDER'S Name "n
Applicant
3. CONTRACTOR or BUILDER'S Address
Pzi
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction-(Please indicate by X)
0
( Mood Frame ( 1 Masonry ( )Steel ( )
rD
7. PLANS and Specifications Cl.
u0
No.26'x33' 1/2 of duplex as per plot plan, specifications and application
including a septic system shared with Side B of same. Q.
cn
8. Proposed Use -�•
Single family dwelling-1/2 of duplexre
$ 204.00 PERMIT FEE PAID -THIS PERMIT EXPIRES September 30 19 92
(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.)
--h
Dated at the Town of Queensbury this 3 Day f September 19 91 0
SIGNED BY ` C;_ for the Town of Queensbury
Building and Zoning In ctor
TOWN OF QUEENSBURY
• by v01=
REVIEWED BY: AZ. 4? NEC t1RD.
101$1, FEE PAID: I 20.q SEP 2 Ei 1991
PERMIT NO. : q/- 1,g4
-"-,Ut^a. & CODE DEFT.
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 reverse side of this application.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. *
Owner of Property:
P.O. Address: es,OX (.oQ 4 c IN15 = °, �1r��., � 12-,QyO i PHONE•-R 'f)./1'7,
Property Location: r, :'1',,E Kj. Tax Map No. I7..,j / tO / 15
Has there been any split of this property since October 1, 1988? Yes No X
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Jt fTZ 7 Lot No. 15
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
J b\-. I
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
X Construction of new building * CONSTRUCTION: $ (4)0 Di A)
Addition to building * /
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: V15 ft. x '21'0 ft.
Other work (describe) * Existing Building Size:Nttl'
•
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor 11-711,0 Sq. Ft. * Front Yard b5 ft. Rear yard 3n ft.
* Side Yards ,) ft. and t.3 } ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors . \-1 Ike Sq. Ft.
(not cellar or basem__ent) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: 2(49 ft. x 3 ft. * ?< Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial (Circle One) * Business
* Industrial
No. of stories (Habitable space) ;4, * Other
Height (grade to ridge) 9-.0 ft. *
If residential , no. of families: ;L * If addition, what will use be?
No. of rooms (excluding baths) : 140
No. of bedrooms: t.,o
No. of bathrooms: * Accessory Building:
Primary heating system: \.Acrv. Detached Garage - One/Two Car
Type of fuel : Attached Garage - One/Two Car
No. of fireplaces to be installed: T,if'\ * Private Storage Building
Will a woodstove be installed?: No * Other
Central Air Conditioning: Yes x No * Na/E.
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. 1,4,opr] Fr yti,,,F
Will any second-hand or ungraded lumber be used? If so, for what? VJ'Q
Foundation Wall Material : CONIC. Thickness: Qj'
Depth of Foundation below grade (to bottom of footing) : 4
Will there be a cellar? Heated or Unheated? V\EATIEV Floor Sq. Footage: \1\I0
Will there be a basement? (E 5 Will any portion be used as living space? '(E S
If so, what portion? \-3 j Sq. Ft. Type of Use? �'� 5N-111
Type of Roof: Sloped/Flat/Shed/Other S-.OPP( Material of Roof SOlt
Size, wood studs ;-., " x (a " ; spacing 14, " o.c. ; length $ ft.
Joists (floor beams) : 1st Floor 1311 " x 1175. " ; spacing " o.c. ; span +.4 ft.
Joists (floor beams) : 2nd Floor N " x " ; spacing " o.c. ; span ft.
Overlays (ceiling beams) : INIA " x " ; spacing " o.c. ; span ft.
Roof rafters: W " x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing 2-.1 " o.c. ; span k, ft.
Exterior Wall Finish: C., ,F ?,,u of what material ? \MIA,.
Interior Wall Finish: 5 4€4 s F .,K 51 ,,
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: NYt
Is there to be an opening between garage and dwelling? HA If so, will a Fire-Rated door,
enclosure, self-closing device be provided? 4,A
Will a flue-lined chimney be installed? NO Height above roof ft.
Depth of chimney foundation below grade: 4/\ ft.
Depth of fireplace hearth: N N ft. in.
Water supply - Municipal or private well : ' k.ftsili
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: v1¢4, ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: .\ FON/ `ow PHONE ^1c12; CvArx,
NAME OF PLUMBER & ADDRESS: ‘k. PHONE "
NAME OF MASON & ADDRESS: PHONE "
NAME OF ELECTRICIAN & ADDRESS: PHONE ''
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
together with the plans and specifications submitted, are a true and complete statement of
all proposed work to be done 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 owner.
Signature ' r_ _.
• Owner, owneragent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
1-¢CfJG1tt�
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) SEEP 2 a91
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwel l tn.gs . gl :,
Multi-Family Dwellings
- (3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
Zrokr C.-; ' OI VNUT. 15 B WJ1T c7e-
APPLICANT S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 54' Sq. Ft.
2. Type of Heat - Elec. Base Board Other P5 .;07
3. Is Building Mechanically Cooled? x YES NO
4. Percentage of Area of Windows and Doors Over 17% X Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R_
• B. Exterior Walls R \q
C. Glazed Area R
D. Exterior Doors R _
E. Floors over unheated spaces R 11A
F. Edge of Slab on Grade (Heated Building) R O, d
G. Basement/Cellar Walls (Above Grade)
•
H. Basement/Cellar Walls (Below Grade) . R
I. Heating/Cooling - Ducts - Piping in Unheated Space R NA
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code ) YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
APPLICANT'S SI A URE DATE TEL PHONE NUMBER
INSPECTOR'S REMARKS:
•
J'
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I/
j TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #,_
• Fee Pei=d= ccr‘i ,
Date: gl lq i q l - Reviewed;HO 2 J 1 Oi
• LOCATION OF PROPERTY. FOR INSTALLATION: cj'ona.e, • t..1� a
Owner' s Name: a\,n ..C.. cob-e,
Owner' s Mailing Address: Qo INN (s 4 ,1.4 'tj c:NL4.6
Installer' s Name: Phone #:
Number of bedrooms (if residential ) :
Total daily flow (residential-compute @ 150 gal . per bedroom) :. 90
Topography-Circle One: Flat Rolling Steep Slope % of .Slope
Soil Nature-Circle One: ilb 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: Municipal Well Other. \ ,y c , p
If domestic water supply is a well -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank 1 O{N) gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench SC) feet//Total System Length 400 feet
. Seepage Pit(s): Number of / Size each: ft. x . ft. -
Size of Stone to be used # / Depth or Thickness feet
**************
HOLDING TANK SYSTEM IF REQUIRED
No. of Tanks Size of Each Gal .
Alarm system and associated electrical work to be inspected by a certified
agency.
• ****************
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements _of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: DATE: ! •
��"
Septic System Inspections:
A.A. All applications for septic system installation,
alteration
or ore,repair,
Se
as required by the Town of Queensbury Sanitary 9
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 he installer 1s and a fine m oft may up to $250100,t in the
uncovering of the system by
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:
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED • . -
TEMP.N DATE L7 ! tf j e
CITY OR VILLAGE TOWNSHIP - COUNTY
STREET AND NO.OR ROAD �} ,,�- -. . POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS ISSP EMISES LOCATED? , -� SECTION I I' J BLOCK • _ LOT
*i 'VRsC'\/..i\( i\Ie =G,151c��, T 1�\L.
OCCUPANTS NAME BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
L_:,, c T -5V,
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS
NEW OLD❑ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Lace.- Lamp Receptacles CIRCUITS ONLY
lion Side Attach't H.P. Watts AW.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.
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 WAFTS
CHARACTER OF WORK II ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA -
❑ CONCFAIFD
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) - CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER DENT F CATION PUMANTS I I I I I I I `
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS '
NAME OF APPLICANT DATE OF APPLICATION • SIGNATURE OF APKICANT
C_1P- .j -- C, .15T CO . • X " C' �.- -
STREET ADDRESS TELEPH NE NO.
90 ''>:.-))l C's~- 4 " 1`1? -ryl 2 42.
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
`` ` E
85 John Street 0 41 State Street 0 570 Delaware Avenue 0 217 Lake Avenue 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 i (315)463-8552
TN NFW vnRK ROAM-) OF FIRE UNDERWRITERS
-
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'%•••14.9!,1a,19),1It •J.a•J..•(..Ul,.C,,) i. •i..gi..�Ct)Cj.", CA. C.., i Ci x.,,t(,t•L.1tj.-?!,.C1.1C.12.1e.1 i Ci.19�.1It!11Li.1C.!1CJ,iC(."..S•i,C,.".•Xi!.,.C,.\C,.�Cj.1C 1•r 1C,1b.A,,,10i,-C,.•,_t,1C ,_C!,,C,-P.
1i
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1.
••-•,' �`p`�r� �'1" BUREAU OF ELECTRICITY
�; •
41 STATE STREET,ALBANY,NEW'YORK 12207- . •
f' Date 31..lL1i 'r '!99" Application/No.on file 0 014891 %91- A 07; 1. O
a '-i: THIS CERTIFIES THAT PL;F1lZ'i' AIC(� �1 tr[3(1
k ' only the electrical equipment as described below and introduced by the pnt n licaamed on the above application number in the premises of
F. i o
- ;MIN CI ONE, E3I'OKE I::[DGI� RD. S )l .A, ��[7I�;17•1:;Juur-i°: 11 ."
�• in the following location; ❑ Basement ❑ 1st Fl. ® 2nd Fl. Section Block Lot .1
ii.e..,: was examined on JULYand found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS , OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
tC-
i- 1 . n.7 2i3 17 :1. '.) 1 1..5 .3 1-.'
< DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS -
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.Of FEET AMT. WATTS
K'
}}, 1
!: SERVICE DISCONNECT NO.OF S E R V 1 ' C E ' .
METER •�� AMT. AMP. TYPE EQUIP. 1,e'2W 1,s'3W 3%3W 3,O 4W NO.OF�R�COND. OF CC.CGOND.. NO.OF HI-LEG OF•HI•LEG NO.OF NEUTRALS OF NEUTRAL
%, 1. 150 C'R :I. A 1 2/0 1 :1.10
•
- OTHER APPARATUS:
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,--"Di 3i"_IF01'liE C011 TRUCTION
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PO BOX C;3`, BRANCH MANAGER :.
e4; GLENS 'FALLS, HY, 12. E3l. . > .}
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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. :
c,.rr;. ® rltlMr ! 7 0000 ® 000000 ® o ® o ® ® ..- .,'r
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
__. TOWN OF QUEENSBURY
. 'tit.
BUILDING & CODE ENFORCEMENT
531 BAY ROAD /i'
QUEENSSBUR-Y NY 12804
l 4
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C�i�(�c%x a � ,/ 7 47
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E 5
ARRIVE: tb�4 DEPART: INSP
FINAL INSPECTION REPOR'
COMMERCIAL MULTIPLE " LLINO
DATE INSPECTION REQi�T RECEIVED:
�6�
NAME / dt,f4 / /�
LOCATION /5- (-(,),w /<�e(� •
DATE - PERMIT #
• TYPE OF STRUCTURE
FOOTINGS BACKFILL FRAMING PLUMBING
INSULATION
/ N/A YES NO
CHIMNEY/"B" VENT/HEIGH1 PLUMBING VENT/FIXTURES / J./
' ROOFING /\
EXTERIOR FINISH / \ V
HEATING/HOT WATER /
RELIEF VALVES i \
FLOORS • / ��
FOUNDATION INSULATION \ y
INTERIOR STAIRS/RAILINGS
V/STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS/PENETRATION \\ /
FIRE DAMPERS / f
CEILING FIRE STOPPING .
FIRE DOORS/CLOSERS 1
EXIT DOOR HARDWARE J
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR f \
\:///:/- . '' \
HANDICAPPED AICCESS
HANDICAPPED BATHS
HANDICAPPE�D PARR�KINGCiV f t►,,, � /'°'
FINAL ELEC'PRIIICAL7 T�b/?Z/a.3 _ _ It
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN-, IF REO
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY
. 6 QUEENSBURY,531 BAY ROAD
� NEW YORK 12804
77
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME C 1 c'c )tJE C f 01-j�P CCT10J
LOCATION Lp kO:c 6 MO KF Rki)(A-=
DATE , -- tot-TA PERMIT# 0\ - g( L( �IpE
TYPE OF STRUCTURE "!'2 ON= 0 0P1-'
RECHECK,
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING v'OUNDATIQN \ B'ACKFILL v4RgMING
,irF UGH PLUMBING FINAL ELECTRICAL AZINSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A 'YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE •
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS ;j ,
BATHROOM FANS/WHOLEHOUSE FANS ;I .`
ALL PLUMBING FIXTURES OPERATING i
GARAGE FIRE PROOFING �.
• DOOR CLOSERS
OTHER FIRE SEPARATION ;
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: 1
•
ARRIVE 7 O
DEPART 2 `
INSP
•
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 �>--• U C l --N
LOCATIONJ- 5PA.C)ke ��+- \cLe
DATE (0 1 i J? PERMIT # 1 /--0
C /�'C7 /�
TYPE OF STIUCTURE nC
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FRO9M
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: r'
JACK STUDS/HEADERS/
BRACING/BRIDGING ;
JOIST HANGERS '
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
. LNSULATION: /
// FOUNDATION WALLS INTERIOR R=
FOUNDATION WALLS EXTERIOR R-\ •
FLOORS 1 id R- \
WALLS 2:-(`j/-r- / P7r 4 J.'kR- \
CEILING / R- , %✓
DUCT WORK OR PIPING IN UNHEATED\
SPACES /
REMARKS:
ARRIVE -1 2c)�
DEPART i�- Q
j
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 II/7/ c[}
d,
NAME \, �51 l-CSf\SAT v OL-N
0LOCATION o _ -- 7 5 Sao k€ it'd (5i d)C.
DATE Lt l /7 LJ PERMIT i _. 0814
TYPE OF STRUCTURE - n-
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 FALLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOAE ON SITE
FOUNDATION/WALL POUR j
REINFORCEMENT IN PLACE } --
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
-- ROUGH PLUMBING jy
PLUMBING VENT/VENTS IN PL01E
PLUMBING UNDER SLAB
i FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN B'AM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WA S INTERIOR R-
FOUNDATION W,/'LLS EXTERIOR R-
FLOORS / 1 R-
WALLS / I ; R-
CEILING/ bJ R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
r'
REMARKS:
1.12
Afai
•
•
ARRIVE l;`,`), L,�
DEPART / .,Zt>
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 24/, 72 _
NAME 69-2Tx,I7,/,C.P47.G'b
LOCATION "V- /f)-yJ//'�j,I �l Gr�e, AZ(G" '
DATE 2/2 i /q PERMIT # fveft/
TYPE OF STRUCTURE /,Y l//./ tf-e-
v
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 /
XBACKFILL APPROVAL /J
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB ''
FRAMING: \1
JACK STUDS/HEADERS 1\,
BRACING/BRIDGING I \
JOIST HANGERS ?
JACK POSTS/MAIN BEAMI
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:
1v
ARRIVE
is
DEPART
INSPEC OR
--fkU
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT n()
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ��/ / z7
NAME Cl '�\Q f C-e1V;J ' 1% 1.
LOCATION i r1oKQ i l 5 S � y_, A
DATE ll :1 161 I PERMIT # G / —'BAR `7
TYPE OF S RUCTURE
RECHECK APPROVED
N/A YES NO
)cFOOTINGS/PIERS jS
MONOLITHIC POUR FORM
REINFOR N PLACE
ONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
_FREEZING FOR 48 HOURS FOLLOWING
LACEM
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
INSULATION:
FOUNDATION WALLS INTERIOR R- /0 X
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
ARRIVE ! J ZS'
DEPART //".3y- AL. L1--j1-;
v INSPECTOR!!
TOWN 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 D
r k�r
NAME C,\, pq (Qc1 /
LOCATION ' 5 5yyhke Zic) S' ()E A
DATE / 1 PERMIT #
7‘,.,2,1./c. 97 .
TYPE OF STRUCTURE Z CAit G.tC
RECHECK APPRO D
N/A Y 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 TN PLACE
PLUMBING UNDER SLAB
FRAMING: ` i,
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS ,
JACK POSTS/MAIN BEAM; ..
FIRES TO PPING
WALLS 5
CEILING F
FIREWALLS
HEATING ROUGH-IN ;`
INSULATION: d
FOUNDATION WALLS INTERIOR R- .
FOUNDATION WALLS EXTERIOR R •
-
FLOORS 1 R-
WALLS 1 R-
CEILING I R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
6
DEPART "
INSPECTO
. • ,
- - \() A•
sown of QUCeilittirli.
. o
BUILDING and ZONING DEPARTMENT
i 1
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
/
. • , . /
• • .•
SEPTIC DISPOSAL SYSTEM INSPECTION
,-,
, NAME l_ _.-
LOCATION
' ' • 0
DATE ) // / PERMIT NO. I f
- (0 S)II
SOIL TYPE - 5, .j-ii)- Loam - Clay -
• Percolation T-est Required? YES - NO
•. Percolation rate - Min/Inch
,.,-----.
TYPE of SYSTEM:
Absorption field, total length
Length of each trench •
. Depth of trenches -7,:-- (
• Size of gravel: 2, .
SEEPAGE PITS4NuMber of) ' , •
•
' Size- ft. X ft.
Gravel size / ]
PIPING: , ! Size / Type
. Bldg. to tank
Tank to dist. box ; i •;/ t` 5:1:0.'
Dist. box to field/pik. y,
Openings sealed? ( ES) /NO Partial
---...,- t
LOCATION/SEPARATIONS: ', t
Foundation to tank i /0 ft.
Foundation to absorption „,-,../z,'0 ft. ,
• Absorption to lot line. 1), /0 ft.
Separation of pits I ,----- ft.
t
LOCATION OF SYSTEM ON PROPERTY(circle one)
-----, t
. Front ----L.Rear."'"- Left side - Right side -
COMMENT51,----__ 1!"-----\
I-71i
- ---------__ —_-_—..----, --
. .. . .
---- rb'
, 1
r---- -‘4--
.-------- j
. , . ___t_____ ___1. i . •
i: 1.------1---1
, i 1
)
SYSTEM USE APPROVED ,7YEJ NO
I
il
z/i iff,.1..,/rst iii i ,
1 /..) Bui4dng"-Inspectori
7".0,/ / / 4/ •
/ i---' ._. t_07 4..//,-, V "-- .,--,,F....7
• J../ (.,,... / 1._.4.1.,,..
01/86 md vl
�SOOGOu. AXK
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A
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i
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a
<i <m
3�1. qa RECEIVED
J U L 0 71995
TOWN Or QUEENS6URY
• BUILDING AND CO`aE
CIFONE CONSTRUCTION CO. 518-792-9242
P.O. BOX 684 SCALE I'-- D`
GLENS FALLS N.Y. 12801 DRAWN BY
DRAWING
NUMBER
�1I I DATE 9
PwT PVAv / QrREVISED 5—
1�CVi5w REVISED