1993-130 a
-
�ad
CERTIFICATE OF' OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date fit�u/r. 24 19
This is to certify that work requested to be done as shown by Permit No. 93-130
has been completed.
This structure may be occupied as a 7/4 04 Soeex
73 OLd AWL& Lane, V.rx.od. t eiggkta Lot 28
Location
et;L Reattg
Owner I //}
By Order Town Board
TOWN OF QUEENSBURY
/)
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY x
No. 93-130
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to CSL REALTY
OWNER of property located at 73 O..d Mtil. Lane, Dixon He,i.ght)S Lot 28 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1/4 o6 owootex °C
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
3049 Broadway
Schenectady NV 12306
2. CONTRACTOR or BUILDER'S Name
r-
MaJou io BnoZ. B2d Z. Inc. c
3. CONTRACTOR or BUILDER'S Address
In
flame
I-
4. ARCHITECT'S Name
5. ARCHITECT'S Address
v
w
C.
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications Mode,.: "The. B ed6 ond" r
32.5x40' ( 1/4 oU jyounptex) az pen, p.Pot p..an, zpeci6icationz and
No. apptc:cation tinc.udting attached one gar gcutctge and 4eptLc zy4-tem
common to who..e owLp..ex.
8. Proposed Use
/Sting..e ,6am.Jy dwe l ng, 1/4 o{y 4ounp..ex
165.00 Apnti.. 30 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
town of Queensbury before the expiration date.) o
Dated at the Town of Queensbury this 30 Day`4
J
SIGNED BY C—� / for the Town of Queensbury
Building and Zoning'.•ctor
. la\ F
jaROcr:ColUlEVEEDEDNES::: '
, .. ,
, . k
TOWN OF QUEENSBURY • . ' I LItt
REVIEWED EY :Alt&
,
FEE PAID $ . i&Sit7
i 0,4*, PER,411IT NP. 0,5-450 •
T.? r-v%
1 • innLvilma kgMtlk APPLICATI9N
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A PERISIT MUST BE OBTAINED BEFORE BEGBINING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID attoma pEtirkirr. !
,. .• ,,. ,
, 1 . All applicants seaces on this application MilST be completed and the signature of the
, 1 applicant MUST appear on the reverse side of thit application.
. ! • i • • • dmiaiia666 .61606666 * * 4 • 4 • 4 * .• 1 • 604 • * • • • •
, . , ! , 1 •
The owner of this property is: C4L kE/114
1 P.O. Andrks '3194q SgoAotil Av .. asiglitzrAPY Ai if , /Z306 ' . : Tel.
. n / ix d
Property Location .73 OLD Ail IA, . ' • TeX Map tit). LI -) / I, 0( 1 I
Bat there been any split of this property since October I,,i9E1/1?, . I. X .V-6 •
If yes Planning Board Review is necessary. .. . yk A - no
SUBDIVISION NAME, IF APPLICABLE:... gx0/x.. )44 . . ,. . LOT NO.
TUE PERSON RESPONSIBLE FOR SUPERVISION OF woRK AS REGARDS TO BUILDING CODES (Si
: 5/Nti'll nAkt,0 ' • •
,, • . ., ‘.. •
NATURE OF PROPOSED WORK: , . !,, o' • .•; ES IIMATED MARKET VALUE OF
* . ti Construction of a new building CONSTRUCTION: ! eAo
.• 1 , II ,,, , . . ' . . .
__ _Addition to i building
a COMPLETE INFORMATION REQUIRED BELOW:
• Site of property' 10 01' . ft x 212---:—.113—ft.
Alteration to a building , . * Exitting 13uildifigt(3) Site NA ft. X . ft.
7—(no change to eitterior dimensions) '.
, 1 ',,:.i : * ,FrOpOsel building -,distante from property line:
___Other work (Describe) '' -' '• " .1c. ' 'III' Frontyacl . li ) . 1 ft. Rear yard g± it.
• r. .-! -.; . • . '" I . 1°; 11'' 'side yards: n51 ft. and 0 ft.
aims AREA OF PROPOSED STRUCTURE
If on corner, Setback from side street :)4#1. ft.
i n 0
i 1st FlOOr 186. 4 s'clitt. io )(1 '.1 ),(---: ' •
. . ,„4,6,- 7,;,! .i• 1 • OCCUPANCY INFORMATION •
2nd FloOt — . sq. ft. 1-P--;1' * • Primary Building -
6;• L (7iii Family 'melting
other Fltiorl —.— Sq. ft,
i •: i (not cellar or basement) 1 : Iii ,.. TWO Family Dwelling
1 ' . . •i.• ... ...Mult101:1 Dwelling/Number of units.
TOTAL. FLOOR ARRA. MO :sq..ti. . ; .
i . 0 .. iiutinonis ,
•
Site of new itructur..37,c- ft . IO ft. . : ,....--. .. !
. • •s' . •:. • cilFoundation-pierhi.b/Orkwiipittial/0 ,; ' ' , O hiitiiiii
1 I ' • • ,fl-I (circle on.)• •I t ';•(' '' .',.!!'''...: 'Lc . `._____other
• .. i .• , • -. y • 1.- : ii-: t - if' , ,,7-87! !::,!
N . of stork. (hahltible Odes) / ' - .."' ' ' ''''"' ' '. P..' -.' ' '1. -- " "" ' ' ._ . - • '
1 . • . . . ,,
Height (grad, to ildgef- :- 4Z,-r..• .- ft..: - . ;I, it adciltibil, What will We bet . • . - ' '
If reeldintialo no. Of Monist I a
Nd. of rIfoocImrdexeludi•ng'be i177
N. otetet 7' '. •• --.,- •",.''::': . : : Acceiory building ,.• .•
Na. o .betiehOd Garage ONE/TWO Car •
f bathroonut '. '
Primary • Attached 00600 WO car
iisatinglamtem PoT-AilL,
Type of fuel (-(-) i'v) . .. • Privet.storage building
0 i
NO. of fireplace. to be installed . ' '
dthar
Will i wood MeV, bei installed 0 , .
I
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: ,.. ., • . ,
Trope of construction, wood frame, fire safe, etc. Woo 1L
Will any second-hand or upgraded lumber be Used? ' if so. for what? NO
Foundation wall material junk-O mNL - 2 PX , Thickness ,
Depth of foundation below grade (to bottom..of footing). '4e'�n1_I4/.
Will there be a cellar? ft It19 Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? yeti Will Any portion be. used es living space? No .
(If so, what portion':` , • sq ft. Type of use?.;,. ; ; ; ; .
Type of roof - doped flat/shed/other Material of Moot z3y Fliam/
Size, wood studs 'L . "x (r) " spacing lb _," o.c. length by ft.
Joists (floor beams) 1st floor Z , "x 10 " spacing 16• "o.c. span jZ' ft.
Joist (floor beams) 2nd floor 10 "x " spacing "o.c. span ft.
Overlays (ceiling !mains) IIIA x spacing O.C. "span ft.
Roof rafters Rf\ "x " spicing o.c. span rt.
Roof trusses (pre-engineered) spacing AA " o.c. span 401 ft.
Exterior wall finish ; j10I?oJi17lL ggvew, /omil .ot What material? Payt, •
' Interior wall finish ,1 , YeLTAN1/10j • MVM; . ; ; . ;, . .
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
. "1YP(X' . Yz". IitL ,J Ls '('WN }h4 WJ /7
Is there to be an bdehih(t betweeil k Wald and dwelling? YE5 If so will a Fire-rated door, enclosure,
' self-closing device be provided? ,:rai. ,:I :K t::,,
Will a flue-lined chimney be installed? Na Height above roof - ft.
Depth of chimney foiljidation below grade . ft. ! .
Depth of fireplace hearth ft. • _ in.,.:,
i Water supply -(uniciper private Well
SEPTIC SYSTEM Dista a from ANY private well (including adjoining properties rl)N /3 . ft.
1 (A sepnrnte applic repair.
,or is necessary for tiny repairor new installation of septic system)
NAME OF BUILDER ) * Ii . Uu1oo, ADDRESS ?VI/ iRa� A� itdEL. 9d1Dig
NAME OF PLUMBER apilh /L/iI3m ADDRESS3131 Aogyip,5,1 tafip)-TEL. NO. 2.36-J/10
NAME OF MASON NIlio (>UNA�Oppl�y..,. .. ADDRESS 301/ o(APvny,iu1IEtnPy TEL. NO. 3V 0-0
NAME OF ELECTRICIAN 61/ RD1 CL K. ADDRESS J79Bonwt J . ,u4 Imo} TEL. NO. 3 lid0
DECLARATION .. ,-
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To the belt of my knowledge end belief the statements contained in this application, together with the
plans and spdeifieltiottt submitted, ire i title and eoripleto statement of all proposed work to be done on
the described premisies end that all provisions of the PUILDINO CODE, THE ZONING ORDINANCE, and
ill other lave pertaining to the proposed work shall t* eompllod With,,whether specified or not, and that
such work la luthorized by the owtiefi ' ",,.:. ' . '" ,
.Signatute . .
Owner, oWners agent, architect, contractor
SPECIAL CONDITIONS OP THE•PEAMITI : r. •
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TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
of OF QUEENSb,.
Application for: BUILDING PERMIT IN COMPLIANCE WITH THf,RVEDRK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before begirl.e'egk ..
�.
ANSWER ALL of the following: & CODE DEFT,
•
1. Gross floor area_ 106k
//�� =2 . Type of heat 6M /e)W Ali
3 . Is the building mechanically cooled? NO •
4 . Percentage of area of windows and doors_
A. over 16% Only
1 . Uo value of gross area of walls , roof/ce,jling and floors
exposed to ambient conditions
2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES, what is the R value?
3 . Slab on grade YES N/O
a. If YES, what is the R value of insulation around
perimeter of floor?
4 . I.s basement heated? YES Ny-
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls F-19
3 . R value of glazed area 2 3
4 . R value of doors P 14t
5. R value of floors over unheated spaces
,99'
6. R value of slab edge insulation - unheated slab AO
7. R. value of slab insulation - heated slab N/A
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade) FP
10. Type of insulation F')M&i3..1 I?17T
C. Controls
1 . Thermostat maximum heat setting '96
D. Duct Systems
1. Is duct system installed in unheated spaces?. YES N[' '
a. If YES , R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe -
2 . R value of pipe insulation
F. Service Water Heating
1. Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximum heating
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No. c1D 10:YB
Telephone �
- (applicant ' s signature)
��. TOWN OF QUEENSBURY
`A�wi
� APPLICATIOf1 FOR SEPTIC DISPOSAL .PERNUTQUEENSb`
� ` RECEIVE D
DATE: 4-2Z-9 APR 11993
LOCATION OF PROPERTY FOR INSTALLATION 7'3 OLD 111ILLi-
/iAyv1Co . °4 �� D ®EST.
Owner's Name: fj g- B�iiO 'S ,rn(,
Address: 30( .&Amy. ellializrApyi AY 12, 6
Installer's Name: ‘i0WJNA4-7//V/ telephone: 2fFZW.
Number of bedrooms (residential only) Z
Total daily flow (compute @ 150 gal per bedroom) .99l90
Topography: Circle one: 411, Rolling Steep Slope % of Slope
Soil Nature: Circle one: and Loam Clay Other /Depth:
Ground Water: At what depth? .. 1).. . Feet
Bedrock or Impervious Material : At what depth? 1°// Feet
Percolation test: Circle one: Cot required required
Rate - Min. Per Inch
Domestic water supply: Circle one: Municipal Well Other
If domestic water supply is a wel
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank 2M9 gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPA E PIT(S): Number of 4.. /Size each CT' feet
by feet
Size of Stone to be used #. Z /Depth or Thickness IZ APPND 560Ay-P/ feet
***************************** WALL-
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks 1' A • Size of Each Gal .
*Alarm system and associated electrical Mork to be inspected by an approved
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: . 4 �i ( Iliti// DATE: 4Z3
Untie System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
bee submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan Shoving:
1.) the proposed location of tho system
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply
S.) size and diminsions Of all tanks, distribution boxes,
tiles fields and/or drywalls
B. Nu system shall be covered before inspection and approval by the
Building Inspuctor. Failure to comply with this requireeMent stay
result in the uncovering of the system by the installer and a fine
of up to $250.00.
C. An approved copy of chi 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 installa—
cion, alteration or rapuir of an approved *yeti', a new proposal lust
bo subMitted to chi Quuunsbury Building Departmont before further
construction.
Town Of Queeasbury
BUILDING and CODES DEPARTMENT
Bay and Haviland ROuds
Queeensbury, New York 12804
•
hmmarks: .
+ - ..
j �48EL(REV pes) • - < EA SEPARAT APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
THE NEW YORK BOARD OF FIRE UNDERWRITERS ,. CERTIFICATE NO.
I` ' DO NOT ITE1-ERE,FOR OFFICE USE ONLY '
4 t t cc ... 'r rl, _. .
1 ti{ I BUILDING PERMIT NO.
j:;
x I I
I ! f TEMP N DATE 4
CITY OR VILLAGE _ ... I TOWNSHIP COUNTY, /
QUS Bate 1�1 Aktc'ElV
STREET AND NO.OR ROAD I ) I .. . POLE NUMBER
�3 0LD Mid LA, i ,
B Off����SS STREETS ISES���`�D���.�/ i ^�• SECTION ; I BLOCK LOT i7�
OCCUPANT'S NAME L^�„(,J` L K ":'., :BUILDING OCCUPANCY G
I .- ::MAPao ae r s ..- � ;•. .• • ; : . - /&ianr7AL ' .
OWNER'S NAME AND ADDRESS- --
�lqy���a gaRle70 90/Wgi'�t 349:yo�w� 5Cf�iror�NYr HOMETELEPHONE NUMBER
CURRENT SUPPLIED BY j FROM THEIR OFFICE E - WORK TELEPHONE U ER
Al11`1� ' f „ . 3'�U l b
BUILDING IS ! I. _
NEW •
OLD❑ WORK IS NEW�C ADDITIONAL❑ DEFECTS REMOVED❑
I LIST BELOW.ALL EQUIPMENT WHICH YOU INSTALLED: •
• NUMBER OF OUTLETS Na of Fixtures& BRANCH t OFFICE USE
Wee- MOTORS HEATERS
lion Lamp Receptacles ' , . i CIRCUITS T ONLY,—.. '
I Ceilin• Side Attach't H.P. Watts ' ' A.W.G. INSPECTION . '
• g Wall„ Recep'Is Switch Pendant Bracket No. Type Each No.. Each NO! Gauge '
i OUT- ! I
SIDE
BASE , 1 • j
I BBAESE-
I: - ` • I
1st -
FL.
: FL. ._
3rd
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 I ,- ------ -i - -FEEDERS '--• .. ELECTRICSIGNS/AMPS- •--, . - , TOTAL WATTS
•
. CHARACTER OF-WORK - :- , ❑ EXPOSED ' GAS TUBE SIGN/TRANSFORMERS OF .- VA
.•.jV L"B --Nkticno,/---. i F Q CONCEALED .. .,
DATE WORK TO BE STARTED - .. DATE COMPLETED SIZE OF-SIGN(NUMBER) �. ' • CAPACITY
-,SERVICE ENTERS BUILDING j - - ! MANUFACTURER OF SIGN - '
i ❑ OVERHEAD UNDERGROUND : .
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) ' "MUST,ENTER APPLICANTS /' ' •
/,/5_p, ,I;-.[..!
IDENTIFICATION NUMBER ., �V I•�.I;':= I o I I�
-•: AVOID DELAYS BY GIVING FULLL'AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS { ,
NAMEOF APPLICANT -- - ,
' 'I DA�OF APPLICATION ••SI A I,EOFAP (CANT. •Cv DI. .'� IL j ?..ZI.. X_%/7 ; ` _ z
STREETADDRESSmy ge.gyted0 pi? '• - E EPH b '
ido
•
,. _.. : , .
_ :„
.,
CITY OR POST OFFICE _ . . - i . . .....„ZIP CODE • LICENSE NO.WHEN APPLICABLE
/..ila fr, iyy ' - ,
O.85 John Street'' J�41 State Street f.'', ❑-584 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 / ALBANY,NY 12207 • BUFFALO,NY 14202 I ROCHESTER,NY 14608 SYRACUSE,NY 13206
THE NEW YORK BOARD- OF FIRE UNDERWRITERS
• --,,..,
!%•- --• GLIMIllaliniUG GI 0.111421121N IMMI AUK= IMINIKEIN *,_,,l'?•-•!--,.).--.,_•)_--.',-A,P-",--,'--P.'?--'-.' '''''''?- —. 1. 1?,,,!„1-7,,,,,„_,,,,,„,,,, ,.
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THE NEW YORK BOARD OF FIRE UNDitzRWRITERS - ' ---- i=
..,,
,-,fi,l.E.,,,j ,,,
BUREAU OF ELECTRICITY
71: F 41 STATE STREET,ALB , EW YORK 122071 •:,
'-'< OCTOriER Date 0-),1(.-}9,. Application o.on file 1:-.0.2011179
i''
,,
PEN)irr NO 9.-.:.t 3 36
: THIS CERTIFIES THAT
• only the electrical equipment as described below and introduced by the • (named on the eik,e application number in the premises of
, •':;.
k.iAsirbli, filz OS i31,MS INC, i 3 OLD I fild.a., 'An,. cyOMENSLIORY, U
• in the following locatio0nThr Basement3993.0 1st Fl. 0 2nd Fl. Section Block Lot ---. ,
0tEv . •
was examined on and found to be in compliance with the National\Electrical Code.
:.%.
: FIXTURE FIXTURES RANGES COOKING DECKS OVENS -,. DISH WASHERS I EXHAUST FANS
• RECEPTACLES SWITCHES
-'. OUTLETS INCANDESCENT.FLUORESCENT OTHER .... AMT. K.W. AMT. K.W. AMT. K.W. , AMT. 1 K.W. ! AMT. H.P. '.4
k
i 6 2>:i 20 1.4 1
. \
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS
BELL UNIT HEATERS MULTI-OUTLET DIMMERS ••--
t'' SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P.€.: WATTS NO.OF FEET AMT. ..
Fe
..t.
...
- -
.4,: SERVICE DISCONNECT- • NO.OF- - -- -- - - -S --E R- - - V- - ' I \ -- --t, ' - 'E- --
METER A W G
AMT. AMP. TYPE gouip. 1 if 2W 1 Jif 3W 3 Ji 3W 3.121 4W N"PEIICACOND• OF eC.tCiND. NO.OF HI-LEG, ot'a,ko NO.OF NEUTRALS A.W.G.
--C,
it. 1 1 50 i:Pi 1 X 1
ii..: ...4
.1- OTHER APPARATUS: I
ii. .
,
13140KE DETEC°TOP 7''I \i,
e4..
\ .1.
• _
Ai N7TIH ONt 1I V. G 0 Z 7,1‘B '
• /' 4„'.).'4•1.'-.....r-,.,..(',?'-ol'''''.•,;.•l'to..,.,.',,'....6,.,.,;,,•,',:'•-0'V,c (2r4
DI / , ,. ' I •
9 DRV ., . - - —
4".
W.' SCINICTAD i..,
BRANCH MANAGER\
il
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may•i identified by their credentials.
ii-;,1,--,„,",,,,,reCrio-reCre'lgiCrio-ral-rio-141,iliCre rei;Ai 14\ie\te.rtiirlil•741•74:1"te.i&\”70);-tecricCiail•-/.1 41-rei""taCtikj.tel•-r6,-//10-411-,drfaC(1,'“,e''',C-.4-;467,-;r&C;•;-.211:',.-,4,-.1/1:,'111.,.-tai.ii"-.711;";e:,..”"a''t.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IIN\INV MANNER.
TOW OF QUEENSBURY
yl1`' 531 BAY ROAD
��` QUEENSBURY,TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME `4//L4Li/1 4 -
LOCATION 7 iI d. ./1/ X19
DATE /Uf2c/q} PERMIT# 91 -/
TYPE OF STRUCTURE , r % eggiy1A0
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
_INSULATION WOODSTOVE/FIREPLACE
REMARKS
f.
r
APPROVAL
N/A ES NO
CHIMNEY HEIGHT/LOCATION k i
B VENT/LOCATION ,
PLUMBING VENT J / ci'
ROOFING /
SIDING 9
DECK/PORCH/STEPS/RAILINGS It L....--
RELIEF VALVES P 1-../-
FURNACE/HOT WATER OPERATING %
INTERIOR TRIM/PRIVACY DOORS �-
FINISH FLOORS:
BATH/KITCHEN WATERTI - T
OTHER FLOORS SWEEPA E
OTHER FLOORS CARPS D 1 4r
STAIR CLEARANCE/RAILINGS ‘,-
SMOKE DETECTORS / \ _-
DOOR CLOSERS 1 L.,-
BATHROOM FANS / a L.---
ALL PLUMBING FIXTURES OPERATING `.
GARAGE FIRE PROOFING \ r/
DOOR CLOSERS \
FIRE SEPA ATION ✓
FIRE/DEMISE WALL , ✓
FINAL ELECTRICAL f
OK TO ISSUE C/O OR C/C x
COMMENTS:
ARRIVE
DEPART
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 S 5-25
NAME il/0-4-a.) ,
LOCATION C1«-t" /"/rl42 .t2 `73
DATE g:/493 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
'aACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE, I
PLUMBING UNDER SLAB J
FRAMING: 1, /
JACK STUDS/HEADERS 4 /
BRACING/BRIDGING /
JOIST HANGERS V
JACK POSTS/MAIN BEAM A
HEATING ROUGH-IN
INSULATION:_ •1,
FOUNDATION WALLS INTERIO R- \ _
FOUNDATION WALLS EXTERI R R-
FLOORS R- `,
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
ARRIVEi/Gy
DEPART
INS ECT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD p
QUEENSBURY, NEW YORK 12804 7/l?
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION REECEIVED tom` /4 3
NAME ,LL/1J L1G��. GC(.o
LOCATION /3 die/ -2k/.1, rl
DATE / �l�' PERMIT I y3-/,3(J
TYPE OF STRUCTURE Xi
RECHECK APPROVED
_ . N/A YES NO
OOTI PIER
LITHIC 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 S'ITE_
FOUNDATION/WALL POUR _t.
REINFORCEMENT IN PLACE a
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL .
ROUGH PLUMBING . .._ _
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: M'
JACK STUDS/HEADERS ,)
BRACING/BRIDGING
JOIST HANGERS /
JACK POSTS/MAIN ,BEAM
HEATING ROUGH-IN I
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
"5.>441474_ evi ft/I-06 3TA-go--s
ARRIVE 0-.K.e) 6?/. /
DEPART l0
I SPE TOR
r,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /4 5.G/� ,2
LOCATION t[ 750/5(h71( i—a.-
DATE 51 4; PERMIT # 93 -/YU
r--
TYPE OF STRUCTURE y /oar ai -
RECHECK APPROVED
N/A YES ENO
4.,(OOTINGS/PIERS / (/
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURSiFOLLOWING!
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 / A
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION: a
FOUNDATION WALLSfINTERIOR\R-
FOUNDATION WALLS EXTERIOR `R-
FLOORS r2-
WALLS R-
CEILING '\
DUCT WORK OR PIPING IN UNHEPTED
SPACES
REMARKS:
�c7T�.v"(yS L/�sz;r4 �C7;2tir� /�\\mod/s�22�-G� 4��
ARRIVE
DEPART Jam-(j
IN PE OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK- 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST% I/o
NSPECTION RECEIVED
NAME % iç
LOCATION 7 3 b/r; ,,a;/1 I,--- c-=
DATE 414 .5 PERMIT # C, 3 -( 3 a
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 l
FREEZING FOR 48 HOURS FOLLOWING '
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE/ ON SITE
FOUNDATION/WALL POUR 1 • t'
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL - )'
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING U QER SLAB
FRAMING: ?C i/
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- 7ci
CEILING R- 7:5„,
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE : 3°
DEPART
<Li J
t NSPECTOR
TOM OF QUEENSBURY 4/6
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Vrns s ',j
Location 1 - 2 -
Date .7/9,3 Permit # 43a1 ,3;
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. ft.
Stone size • ' See_
PIPING: Size Type
Bldg. to Tank �— (� 5 L 35
Tank to Dist. Box 4.1
Dist. Box to Fi e1 d,Pi . _ .,'
Openings Sealed? art - 1
No Partial
LOCATION/SEPARATION.
Foundation to Tank (_S feet
Foundation to Abso,rpYti on
pia feet
Separation of Pits' + .5 feet
Conforms as per.,Pl of Tian Yes No
LOCATION OF SYSTEM ON ,'ROPERTY:
(circle on_e / \
Front - $ea37 - Left Sid - Right Side
Middle Front - Middle Rear
COMMENTS:/
I-j-,)
iL
n{�Oaci
SYSTEM USE APPROVED: ir NO
Arrived: 7.i ( 5
Departed:
Buildi § c or
TORN OF QUEENSBURY i/ �y
BUILDING AND CODES DEPARTMENT '/
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4‘. 149
NAME ke,rl,/-L ,)
LOCATION 7f d ,'/ 42/ .2h/.0
DATE ���4/f1 PERMIT
TYPE OF STRUCTURE /� tu�J��
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 1
)"ROUGH PLUMBING I 6
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
%FRAMING: ! /
JACK STUDS/HEADERS 1 /
BRACING/BRIDGING A'"
JOIST HANGERS
JACK POSTS/MAIN BEAM'\
HEATING ROUGH-IN 't
INSULATION: \
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R •
-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
Pe.we-- va `(5i
JO S� ticvrvo- 04-e- /// /`-
/47-(1; /
ARRIVE 0
DEPART 270
INSPECTOR
-iv or QuEEN
RECEIVED
A
APR 7993
mkro ,
SUMMARY OF TOTAL THERMAL RATING & cc_DE DE„
LIAO firrog1,7415 ViTgayr god
nt.er,the envelope portion of the
TABLE THERMAL
AREA U-VALUE USED RATING
A. WALL ASSEMBLY
Al. Net Wale Av, u w :052 6-Z • -063
Aw
A2. Glaring Al 13 UcLA : 7 -
Al Doors A4 36 tit I:(MO, 67-7. • 4 7,
Ad— Ud
Subtotal Thermal Rating for Sidon A (Al 4-A2+A3): 115
B. ROOF/CEILING ASSEMBLY
91. Roof/Ceiling Ar Ur 4043 6-4
Ar Ur
132. Skylights Aa N 4 Lig • - •
• Subtotal Thermal Rating tor Section ( B1 +B2):
C. ENTER DATA AS APPLICABLE (Either Cl, C2, or C3)
Cl. MOO Ai2Lt utla 0.6 -3 •
C2. Foundation Wall
Wall Perimeter /31 ft.
Above Grade Expoture ft.
Ineuletion Depth
3 Ur ' C-r) ••
Efl
reFootin" g
perimeter fl- ue
C3. Slab Edge Insulation , • •
Subtotal Thermal Rating for Section C (Cl 4-C2+C3):
D.TOTAL THERMAL RATING (A+Ei+C)
wows
I lasullb
• rotifers
guilders Inc.
An-trlt, 1111nl: f091 A713,10CR nty (C1R1 4711-Sc7f1
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.r, . APR 2 81.j9931
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