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93-229 y
__.._.__... _ --FA - __..___.-- -----
. CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date dieVo ,(44,, .2 19�..3
This is to certify that work requested to be done as shown by Permit No. 93-229
has been completed.
This structure may be used as a two car detached garage
Location Day Road
Owner John and Lara Currie
51-2-2 .1 By Order of Town Board
(I- -;)
OWN OF QUE BURY
‘fvf"
Director of Building & Code Enforcement
BUILDING PERMIT
ro
TOWN OF QUEENSBURY o
No. 93-229
WARREN COUNTY, NEW YORK
H
PERMISSION is hereby granted to JOHN AND LARA CURRIE
•
OWNER of property located at Bay Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Replace Exist. 2-Car Garage
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 H
RR1 Box 1601
Lake George NY 12845
Q
2. CONTRACTOR or BUILDER'S Name
self//Mike Moon
r
3. CONTRACTOR or BUILDER'S Address II
SL
4. ARCHITECT'S Name
5. ARCHITECT'S Address
0
W
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( 1 Masonry ( )Steel ( ) 1
7. PLANS and Specifications
Replace existing 2-car Garage with 24 ' x3711' Two car
Nodetached garage as per plot plan, specifications and
application.
8. Proposed Use
X
w
Two-car Detached Garage ;t
N
I
35.00 MAY 21 94
$ PERMIT FEE PAID -THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the a
town of Queensbury before the expiration date.) 0)
11
Dated at the Town of Queensbury this 2 Day f May 1993
SIGNED BY (' for the Town of Queensbury
Building and Zoni Inspector
f
TOWN OF QUEENSBURY
REVIEWED REVIEWED BY: 60
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING & CODE ENFORCEMENT FEE PAID:
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 PERMIT NO. _ 93-2g 9
(518) 745-4447 .i181920
BUILDING PERMIT APPLICATION t.Nc3 �c
Is
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCT 'i4. N I SPEC 'IONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALIDf UI 4 11W i RMI1..
All applicants ' spaces on this application MUST be g dm.-t.; •, d th0
signature of the applicant MUST appear on the appli - tio-41/i'e.f F'.
OWNER OF PROPERTY:
�o f j, 4 L4412,Q CC.-2 rz i E `Os 6'�
Mailing Address : p , Rotc. 11.01 )- ✓ jy 12-2C / �d J� = -2 rc . c� tJ1. f 1f
Telephone Number(s) : Wo k Home 5P-76/ -d6 ,8 Other
PROPERTY LOCATION:
Tax Map Number: Section S 7 Block Lot of J
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ /1AZ 0Z0/2
EA/St /
NEW BUILDING: �Zvx4 c"- -{"
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL 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
X Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR 7- SQ. FT.
q IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT.
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ASSORY BUILDINGS :
Detached Garage - wo Car
TOTAL FLOOR AREA: SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: y j Commercial Storage Building
���L Other
k LI FEET X FEET
Foundation Type: Co/VCR-Z Re.-00c-k-- Will any second-hand or ungraded
Number of Stories : I lumber be/V u�yd? If so, for what?
(habitable space only) t
Height (grade to ridge) : / g feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies )
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NAME OF BUILDER/ADDRESS/PHONE: M 1 le..E. Mco/I 5 8 _6 2 3 G 672
NAME OF PLUMBER/ADDRESS/PHONE:
NAME OF MASON/ADDRESS/PHONE:
NAME OF ELECTRICAN/ADDRESS/PHONE:
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 noted, and that such work is authorized by the owner.
Further it is understood that I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an : BUILT PLOT PLAN
drawn to scale, showing actual location of • - Jon • e es .
Signature %�
•
(Owner, o agent, architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
1111
c'*j TOWN OF QUEENSBURY ��1 =_}
APPLICATION FOR SEPTIC DISPOSAL PERMIT 1 4imata,#
���` Fee�Paf
F rq �yjj"
Date: o ikjfe6,1ewd By
LOCATION OF PROPERTY FOR INSTALLATION: o8°eo7s 0'
0-- / -NsOwner' s Name: o � N V 2/4
Owner's Mailing Address: k I T - ( 'D I'3 61AE yCU �N
Installer' s Name: 114.11<e_ Mock) /D01,) P 7Phone #: 4 23- 74f2._.
Number of bedrooms (if residential ): 3
Total daily flow (residential-compute @ 150 gal . per bedroom): /i 0
Topography-Circle One Flat Rolling Steep Slope I 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 Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Municipal (V Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption AW feet
C=Jc-1`SriN�
PROPOSED SYSTEM: Septic Tank /D�O gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench feet//Total System Length feet
Seepage Pit(s) : Number of / Size each: ft. x ft.
Size of Stone to be used: # / Depth or Thickness feet
CG'(1nc- f-i y ± t r-Gf 5{tr'Y fig rOC)n.t I�� C�G2!(t�le
**************
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. 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:
1
/ ak ENERGY CODE COMPLIANCE APPLICATION
‘ TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings ( 3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLIICANNT' NAME: PROPERTY LOCATION: �/i e k /6 a I
—Jo L� LA-40._ Gco rf
I J
PART 5 METHOD OF COMPLIANCE liY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - ?e)e)
square feet
2 . Type of Heat - Electric Oil v Gas Other
3 . Is building mechanically cooled? Yes r/ No
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED: R �6
a. Roof
b. Exterior walls R /47
c. Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R
f. Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE TROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
p g t e ✓D e Pumbe
J ! N2 /r— °(
ECTOR' S REMARKS :
TOWN OF QUEENSBURY
531 BAY ROAD
air QUEENSBURY, NEW YORK 12804
`► TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR�_ -INSP IO/�,,, RECEIVED
NAME - �. / h
LOCATION 04"
DATE i� PERMIT# 93-2 2 j'
TYPE OF STRUCTURE
RECHECK
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/STEPS/RAILINGS Y
RELIEF VALVES '4 s'
FURNACE/HOT WATER OPERAI1'
INTERIOR TRIM/PRIVACY DO S V
FINISH FLOORS:
BATH/KITCHEN WATERTIGW
OTHER FLOORS SWEEPABLE \ ,/
OTHER FLOORS CARPETED ✓.
STAIR CLEARANCE/RAILINGS ✓ :
SMOKE DETECTORS ✓
DOOR CLOSERS v'.
BATHROOM FANS ' :f ,
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS ..---
OTHER FIRE SEPARATION �.
FIRE/DEMISE WALLS /
FINAL ELECTR ,f /2!/ t/
OK TO ISSUE /O OR C/C v/
COMMENTS:
4// CO
ARRIVE ''3U f
DEPART 2I /.6" . r
IN PEC R
�itJc2-U-P
TORN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION REECEIVED /04 2,
NAME Ln t h«2c-�:
LOCATION L r
DATE /0/7_1/4_3 PERMIT# _22 y
TYPE OF STRUCTURE (1,,, 11/./ 41ju f,z
RECHECK /
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
,FOOTING - FOUNDATION BACKFILL z-FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
fSULATION WONSTOVE/FIREPLACE
REMARKS Aet,f, G ,cam ,
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
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
G,./cam
f-f„ /C-eror-
- LOC 14/ At 6/
ARRIVE /i36
DEPART ' 5,
9b •VAk
IN -'rCT.R
TOWN OF QUEENSBURY r ;
BUILDING AND CODES DEPARTMENT �--
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT /
REQUEST FOR INSPECTION RECEIVED J'�0�/9.3
NAME
LOCATION k 'try.(` _.
DATE AK? PERMIT #
TYPE OF STRUCTURE %VG/ ' c '.e__.
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
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- i
CEILING R- 3sf
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
q 7
ARRIVE > `KO
DEPART C 4
•� 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 P/W9 3
NAME cOAk +- X(,t rk_ 6- -
LOCATION \A Lir
DATE 4503 PERMIT #
TYPE OF STRUCTURE 2 Ca-c 66=1 Q7X-
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 PUFPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE;
FOUNDATION/DAMPROOFING1
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: kahitit,
JACK STODS/HEADERS
BRACING/BRIDGING
JOIST HANGERS '
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN /
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALJL'S EXTERIOR R-
FLOORS / R-
WALLS /// R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
V .4 ffs3 6 Co tirife-0 Cr d2 0
trr'4 RN' Qcrb+'ov f2=6-6flICOt/6
141 0 LA-r7dL) 1- fN i(2C I r
� 04s_
ARRIVE /0t70
DEPART 16:.
• INS ECT
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 t a iz_2
LOCATION BPr4
DATE 114 /93 PERMIT # 9 -2 -9
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 1
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM-v t,,Thesr. p`
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTER OR
FOUNDATION WALLS EXTE'IUR R-.
FLOORS R-'.
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
Aki Qcr r Ma4 k-pQ Mi tJCo
NOS/VOSVV4 iaS �--Te.-
ARRIVE 3;Os
DEPART 3726
IN TR
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 Jta. 148.0dt,ic
LOCATION
DATE PERMIT # '��'' ��
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITH+C POUR FORM 5/a42 ✓
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
INSULATION:
FOUNDATION WALLS INTERIOR
-
FOUNDATION WALLS EXTERIOR
FLOORS /R-
WALLS / R-
CEILING ] R- "R
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE cf; /5
DEPART
INSPECTOR
TOWN OF QUEENSBURY '64L.t4/
BUILDING AND CODES DEPARTMENT ^,/ '
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4/7'/ ,-r ;
avit-
NAME 7n` ,� `ae `
LOCATION 7Gt-11 ` AWL-
DATE
3 PERMIT # -l
/��y
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
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:
(o ) _ Lt,'kv .
y v_, (//,vim
- To C2 Lost= Cep
ARRIVE t. r:
DEPART Via. L(u
SP CTO
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 4,/i/��
NAME_f ,f N46 I 421iJ j
LOCATION . I •
DATE 047 A3 PERMIT # 71.-/2,9
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
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOf R-
FOUNDATION WALLS EXTERIOR -
FLOORS
WALLS R
CEILING R-
DUCT WORK OR PIPING IN UNHEA D
SPACES
REMARKS:
4/ fg6 9d/
c' l
_<
Sp a &
74,1e5.3 , jj
l
04: -7,e7A, i-ta6
ARRIVE_ 42-50
DEPART �I
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
NAME Cs} ZSLI
LOCATION
-
DATE 6f -f3
PERMIT #
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 kLA( E
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM 1\,
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS I TERIOR R-\
FOUNDATION WALLS XTERIOR R-
FLOORS R-
WALLS # R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE(
NN
DEPART t'po>
S R
�. /
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name n OMAZ
Location — NISI o/
Date (/ 40 Permit # 93-221i
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
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/SEPARATIONS: '',
Foundation to Tank !: feet
Foundation to Absorptipn feet
Separation of Pits _ feet
Conforms as per Plot Pl' n Yes No
LOCATION OF SYSTEM ON PfQPERTY:
(circle one)
Front - Rear - Left Side =, Right Side
Middle Front - Middle Rear\
COMMENTS:
4tLftt,e. 'LPI!„,1
oittei4 6 YL
n� - �� �3µ.)
0tc_1-%. o Cg�
SYSTEM USE APPROVED: YES NO
Arrived: ( 4(0
Departed:
Building n pecto
• 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 6h/gJ 1
NAM 4 O M.-4/P 61.USfy t,
LOCATION \ ad/ £� .
DATE 6102-/Q 3 PERMIT # y3-zz f
TYPE OF STRUCTURE A C,/,,t, GEC/ "-tar APPROVED
N/A YES NO
k 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 BEAT /
HEATING ROUGH-IN �,` ,
INSULATION: \
FOUNDATION WALLS'r'INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
97y. /6
viLf
ARRIVE 7 ?* l
DEPART '67)
I SPECTOR
,ectar
TOWN OF QUEENSBURY felt
BUILDING AND CODES DEPARTMENT !7
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME -71 y k J.G 'a M
LOCATION {�`�- pea
DATE 5/v-6/y 3 PERMIT # 93
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 F
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
X PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS t
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:
Ce'LL(//
ARRIVE 720 if d/
DEPART
INSPECTOR
TOWN OF QUEENSBURY . _,. __ �.
DEPARTMENT OF C_-`0MMUNITY DE 'EL MF_'N . x
i" ,-- L
w 0 Application
d
iLl BUILDINGT PERMIT NUMBER. 4�,\ _ MAY 2
w `# j
l__J q34°1 f t .1 vit 0 '0-,. .... , _yot...:?'
1. BASIC/BUILDING PERMIT INFORMATION: AM .� �..�
0, Applicant/Name& Address Agent/Name & Address "` --
~ 1 N C o E t 6- . applicant agent
4' e-4-- I go (00 ( -r-f I- w
e�C— �. TAX MAP NUMBER:
Z Ownet ' rlltiie/A,ldte s c/ --.0 /
kJ SQ'.fAIe ,i.i d ietk Pt.:. ettW,' ALidir.:,S / 1 7
.9. k6 34
2. PROJECT DESCRIPTION: _ ___ j
_ _ " _ lot plan (2 copies)
_ _ __ i a__ _ building plan (2)
_ _4_ _ E sewage disposal
nergy code
3. PROPERTY INFORMATION: v4 edli., e electrical inspection
Eldriveway permit
SETBACIS REQUIRED ACTUAL. .12 mpleted/signed
_sE PAID
Front Yard _
Front ( if corner)
Side Yard ( 8
NEW CONSTRUCTION
Side Yard (2) ADDITION
Rear Yard 0 ALTERATION
Width 0 MODIFICATION
Depth 0 SIGN
YES NO N/A
PROPERTY IS IN APPROVED SUBDIVISION
ti ltile 00,
Meets depth, width & square footage requirement
\ 0 )
Preexisting, nonconforming lot with proper setbacks
Required road frontage on public road
Has required off-street parking
Permeable area is adequate /(Required: %
Building does not exceed maximum height / Max. ft.
Required setbacks from stream, lake and/or travel coma or
meets requirement
Buffer zones required
Is lot in a Flood Plain Zone?
OVER
x
4 ' STAFF DETERMI ATION:
Ott `r 9- 7 �
u, lew-fg
per Secti (s) of the ILv4I Zoning ❑ Sign ❑ Subdivision
Ordinance Ordinance Regulations
•
r7q - 7oteimutio-R - ie6Act
J' / idthl
LLI
,aAtf
ap Iic
w
aetauito d , a sloac , it
We /)
rce
s 5. REVIEW REQUIRED BY ZONING BOARD OF APPEALS:
ACTION FILE NUMEER RESOLUTION DATE
Use Variance
❑ Area Variance
❑ Sign Variance
❑ Other
Comments:
6. REVIEW REQUIRED BY PLANNING BOARD:
ACTION FILE NUMBER RESOLUTION DATE
❑ Site Plan Review
❑ Subdivision
❑ Planned Unit Dev.
❑ Other
Comments:
REVIEWED BY STAFF /_4 DATE ✓ -1/ COMMENTS
-_-:'
THE NEW YORK BOARD OF FIRE UNDERWRITERS
.., BUREAU OF CITY
41 STATE STREET,A ANY,NE YORK 12207 - .
.,
Date Ni Atilt Itt111-!. 041 , I`'i'''P ' Applico on No on file ''I 21 t''.4--1'''''42'; 11 4:"3:-i'4"
PEN IT T Nt., •.-',.-:''''9
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced the • n.m5don the above application number in the premises of
V '0111 F:, ttil„'s- PP, O1JFPN:43NR?.
in the following location; ci Basement E] 1st Fl. El 2nd Fl. Section Block Lot
NOVEI .it:Ii 01 , 1`.4'14 '`•
was examined on and found to be in compliance with the National Electrical Code.
RECEPTACLES SWITCHES- OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. • K.W. AMT. M.P.
1!'; I I 1-.' 1 L'' ..-
.. _
.,
, —
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS Bei UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.O. AMT. AMP. - AMT. AMPS. TRANS. AMT. H.P. No.of mu AMT. WATTS
. .
.T.;
.. SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP.
".: METER
TYPE Rom 1„ir 2W i A,3W 3 0 3W 3 4W NO.nefeCirCONO. of Ac. ,fa.io. NO.OF HI-LEG OtZLYD .r4°'W NEUTRALS OFAilEVAAL .•
TT.
.,
OTHER APPARATUS: •
.1!:1*FA'. I fitli\l'ENC:• I- .-1. t".. II
.P:I;• I - ', El 1-'
'' i , 1
-..r
II
1 .1(;!t1N V COPP I I.;
(.....- (21A-77e •
0 NH I tiOX t rAll 1,(AY NU
LAKE (4101-0.34: NY, I 2Z a 2,4
BRANCH MANAGER
1
0 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.
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
BUILDING PERMIT NO.
TEMP.# DATE i
I
CITY OR VI f ZIP CODE „- ,,< P TOWNSHIP C NTY
,...,:..„,,,k,_,),,c, erC ic
STREET AND OR ROAD ff}y'' POLE NUMBER
BETWEEN WHAT TWO CR S STREETS PREMISES LOCATED?.. .-# SECTION r !•� BLOC LOT
f- .4r4 fit. ( }� "S- 11'. 1 Ob `4-1 I 0
OCCUP NAML"^"w- / ,/�f - BUILDING OCCUPAN
itC_•( ?{'/C'IE'
OWNER'S NAME AN D SS/� / - ,' Jj /r jj� „� ,/ HO JF�(y{�. N N�ulV7fl/E Ii 066 l-))
f t /...' r t.v#,✓i / ' ...-° hi/rV fV.+l PF 6t e".6v M d; E }` ni _ if
CURRENT SUPPLIED BY f.} -f FROM T)9 IR €4-'/` OFFICE WORK TELEPHONE NUMBER
BUILDING IS
NEW OLD❑ WORK IS NEW 6 ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't yp HP No. Watts No. A.W.G. INSPECTION
Ceiling Wall Recep'Is Switch Pendant Bracket No. We Each Each Gauge
OUT-
SIDE
SUB-
BASE
BASE-
MENT
1st. f+ (f
f 4 { y
FL
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS . FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK
5LEeXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
ONCEALED
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 APPLICANTS . I. III I I
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS pii / /*
NAME OF APPLICANT } J / r f D p�PLIC vSIGNATURE OF APPLICANT
STREET ADD - ,Llyi{' / y,/ {"/! C.. //�J /� /y
i0 / +? V ta- i (..✓f t # Ii" Tl E NU'} 1 , t
CITY OR POST FFICE r D LICENSE NO.WHEN APPLICABLE
Llit
❑ 85 John Street ❑ 41 State Street ❑ 57 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 B FFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
- THE NEW YORK BOARD OF FIRE UNDERWRITERS
it ",.t MIDDLE DEPARTMENT INSPECTION AGENCY, INN.-
...�.. , t Nation Headquarters
13 /West Chester Pike,West Chester,PA 19380
AFT_,..2 vT COMPLETES THIS SECTION Date: er, in-93
City, To or Township 7 County State
Location/Address lil l
Located in Rural Area-Please Attes Di ti s) pole#- ?
Owner Permit# '
Occupied As - Building: Newt 1 - Oldfl
Occupant" * 9 '
Work-Area in Building-(Floor #,etc.):
for :wirin ❑ Service❑ or: Ready for Inspectionn. !..tit /- L. 1 e e.,
Fee nfi ' - _ , .'Cash n Check❑ --1%.€ ❑' _ Make Payable To:`M:D.LA.
- -" 500 750 1000 1250 1500 1750 2000 2250 2500 2750.3000 - - >1
bertif Rou !Miring Oattets= Elect. Heat
Switches Am#1. Service Surface Unit Dishwasher Range
Lighting _- _
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for - Burner
i 7, , Amp. Receptacles Fractional H.P. Vent Fans
: - ,-- Other Equipment:
MOTORS I-IP• .,_ 1/201/i2 1/113 1/4 1/3 1/2 3/4 1 11/2 2 3 5 742 -10 15 20 25 30 40 50 75 I00
Mark Number -
of Each Size
A --
Signature z License* Permit #
Signature _
T/A 1 g 7 '- '/ _ Utility: __ -
�`a .._,i� � . NAME
I (Of FLCE_LOCi4T1O1fl
Applicant's Address: r _ - ,-
(City) 3 `''` . X (State) _ (Zip-) f 2-4-0Service Request #
Phone # Electrician:
. a
CVMLDiA USE ONI-.'f DATE RECEIVED: DATE.INSPECTED:
Correct Locatii is ,88- ,❑ or: - _
Red Notice'Cattle%
Rough Wrii .* t1ets Surface Unit t _ Oven
Switches - Range Garbage DisPt : -g-
Receptacles . - ' Water Heater Dishwasher -
Fixtures Air Conditiatre _ Dryer -'
An/O.Serrrice Equipment - Burner, Wiring i-Controls for Arm. Receptacle >K - -
Amp. Service Conductors Pump MOTORS H.P.
-, 1/ 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1�12 2- 3 5 7112 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
i{
1_Elect Heat-1 - 1SOO 750,I10001250115001175Q 2O012250fi25001275013@QQ
t.
❑ RW Progress: Inc.❑ LKD El Contractor /VD-ri l
CFT Violation: Work Comp.0 Inc. ❑ CASH
.Owner ,Fee
�CH1C_#.
L/A Due MO #
Municipal
. I.N V# ., -
� � cant
Other Sidef Utilt
Data, ;`awn
Cut in Card- ,-❑-Te ni3 Date -_ Y
tirt
El Final, , - .. =_ TiIRE
...v.—APPLICATION FORM NO:250 EL 11/89 _; " q-- - —.
..,.
MIDDLEPAR TN � EC'�N AGENCY, NC. -
-lONALE Q A TERS - ,. �
-
_1337.West wester�,.West ti- er�_PA 1'K � _ --
.
P NNSYL! A K,. . ;�.�_ -. - - y : 11 RYLAND.
f.
i ::-.igt West Tenth s 424 Ede` Boulevard West _ 318-A Commerce Dive {
F'rA 1 6,56f , _ -P0 Box -' - -. - Eason,MD 21601
. -1-�� -—. ;_ _ _NY 13 {301)822"fit}
' (315)736 0477 ;
8 _1;ompany(31�3�7 3480 �C ,r_
Kingston,PA 1870 ° - 469 State Street_ 1r t" arlotte Hall, 2
71 )( 288-4 St 02 --- -. ( 01)645- 9 -
#ier, NY14 ,- ( 01)884-457
397 .HartzdaleDrve . 16) -4519 - - -
£-
, t? _
Suite112 { . -4 -- Yam`_. i
ice 1 RR ,3XPO Complex _ ADO WN r> =
(71 - 9 ,NY.12901- F Hager own. D21 - -
(51 563-2836 - . ` 3 1-31 "
i.
�� - ' _
U.S. - k_Hiop Plaza
Bensalem,� § 143 Troy-Schernectady Road d Iy_. and
(2t � - -'Watervliet,NY 2189 -.Sa ;i 2f$01
- (518)273 -
Route 19,f4Qrth
Wexford,PA 1509 ,.� � 3 `7
412)931 3028 - f0301fings Highway, forth - d j4. A F ,
� (412)935 155$ �- ' �H�11,f�0 � -. _�ki�a�t - -�i• t
.(30f
•. t. -9200'
WNW
1815'Newport`Gap.I 3 Grove S --
-Withal-kWh-- Grove.XXII�r a -'
999- 43 water 1 08807 1 -
a! -- )526=-0880- - 1± f* -1
203 NE Front.Stream )681'..8484
-_ Su =105 farce_,_ _ _ 1 South State Street
P€1ii- ox { - :Hackensack,41- 2
a,DE-19963 • (201)487-373
=mute s
Marmora;,11 -itt1223 - -
ram _ „ -:- - _
NOTICE ,ICA w o_-_,,A_rtd approval;may be require€t by law before electrical current may-be ene r r use of ` -
,_occupants.The en ndertakes to priiiiida*SpectitteSuntil final certification is grantedif such requestsare made- 20 days• i
eft t-inspection= of.120 days from the date of the most recent inspection, all _ obligations o _;1_
the`' be deemed completed, all fees pa idby applicant shall be deemed sider • ▪by+ices performed.No further _
•
• ns wizen by the Agency with ie iimg of a new rplication,and the elevant inspections-ems Nit final
i is all be'imp erred without issuance of a duly executed certificate -
�h Agency iit: pt b; 'onu.fc ection t r res - y for una. ection.
n�