89-353 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 16 19 89
This is to certify that work requested to be done as shown by Permit No. 89-353
has been completed.
This structure may be occupied as a Single Family Dwelling
Location G1Pn 1 akp Road
Owner John & Barbara rgaisnn
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 89-353
WARREN COUNTY, NEW YORK aw+
w
PERMISSION is hereby granted to John & Barbara Kenison
OWNER of property located at Glen Lake Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Single Family Dwelling
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
RR 1 Box 1784
Lake George, N.Y. 12845 c)
2. CONTRACTOR or BUILDER'S Name 0
Self
3. CONTRACTOR or BUILDER'S Address
Q
SAme
4. ARCHITECT'S Name
5. ARCHITECT'S Address
d
CD
. -
6. TYPE of Construction—(Please indicate by X)
CD
(XX Wood Frame ( ) Masonry ( )Steel ( ►
IN
7. PLANS and Specifications
No. 28' x 54' (1512 sq.ft.) Single family dwelling as per plot plan,
specifications, and application, including septic.
8. Proposed Use
Single Family Dwelling tn
co
rD
c/o incl. -n
13+
$ 180.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 89
(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.)
Dated at the Town of Queensbury this Day of „ . 19 89
SIGNED BY for the Town of Queensbury
rBuil and Zoning I ctor
TOWN OF QUEENSBURY 1 APPLICATTON FOR BUILDING AND ZONING PERMIT •
t
Rec,i ev e►I s Y �� WN OF QUEENSBURY
Y; Reviewed RECEIVED
--- Fii MAY 20Mai 1989
Fee Paid ,
BUILDING MD CODES urPARTPtEATF Date Iaaued BLDG. & CODE DEPT.
1Y and NAVILAND ROADS RD 1 Box 98
(UEENSBURY,NEW YORK 12804 Penrn.i,t No. 19 _ 35 3 _
,
Tel . (518) 792-5832 Ext 204 - *
A PERMIT MUST B13 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS
VILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT.
All applicable spaces on this application must be completed and the
sicuature of the applicant must appear on the reverse side of this sheet .
* * * * * * * * * * * A A * * * * * * * * * * * * * * * * * * * * * * * * \
l'he owner of this property is : „r /t,`' J'�'' � r}
- 4-4.:'7i 1-- fi l - ,���- �i<I NtI
O . Address / L/ 1:3(c < j .yyty„, 1_ w/c - (`-{:.1/'&4. s j',.. / TEL. 7g-f-; V '7
property location (Lt 7 til-k ( /j 1) TAX MAP NO. 3,6 // 3 /-
teas there been any split of this property since October 1 , 1988? /, '\
yes no f ,57
If yes , Planning Board Review is necessary. I'
SUBDIVISION NAME, IF APPLICABLE LOT NO . Pi)
l'he person responsible for supervision f work as regards Building Codes is :
e E-1\)a
NAME P .G . ADDRESS TEL. NO.
lame of builder Address Tel
same of Plumber Address Tel
game of Mason Address Tel
\TuRE Of PROPOSED InORK: �• ZONING INFORMATION (Office use only)
Lonscruccion of a new building r ZONING DESIGNATION OF PROPERTY
Addition to a building ' PERMITTED PRINCIPAL PERMITTED ACCESSORY
_Alteration to a Luilding •
(no ch.uu)e to exterior dimensions) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Ocher cork (describe) ' SITE PLAN REVIEW # APPROVED DATE
ROSS AREA OV PROPOSED, STRUCTURE ` VARIANCE # APPROVED DATE_
st Floor /,S 0 sq ft . & Remarks:
nd Floor sq f t . & COMPLL:'i'l: IN!'ORmATiON REQUIRED ULLOW.
• Size of property 3 (3 ft X )37 ft. X5DO $ u0
they Floors sq' ft . • `J
not cellar or basement) Lxi�ting building():) Size ,li- ft: X /(' fc.
OTAL FLOOR AREA J / 1 sq ft .
• L'xi::cin building_1 J():) Liza 01.-A- - r/
ize of new structure arf) ft X 'a/f '
c anciation-pier/slate/crawl/partial full ' Proposed building, distance from property line
(circle one) ' �� /
/ , Front yard .� ft Rear yard 2 ft
J. of stories (habitable :mace) / ft
.- , .,-�: ft. . Side yards „?,S'`7 ft and S
eight (yrzde to ridge) i'_.' ft. • It on corner, :setback from side: scr.uce_..--_ce
f residential, no. of families/
o. of rooms(uxcludin'l baths) ., • OCCUPANLY INFORMATION
lo. of bedrooms , PRIMARY BUILDING -
io. of bathrooms r� l • •_One family dwelling
'rim:try hwcing ..yuce►u f,.;� e:;f t; • Two family dwelling
Wu of fuel (2i/ • Multiple dwelling / Number of units
io. of fireplaces to be installed 4), 1'eruwnent occupancy
Jill a wood sL'ove: be installed? i,J
f ��1'ransleJ►t occupancy
ventral Air conditioning? /t fir, Business
WILDING STYLE, PRIMARY STRUCTURE Industrial
Other
:ancli,i Contemporary ].on cabin ; It .addition, what will due be?
<.aTsed ranch mansion Duplex
1plic level Old style Uuagelow '
:ape Cod Cottage Ocher • ACCESSORY BUILDING-
:olonial Row 'Town House • Detached garage/One cur/ two car/ car
( CIRCLE ONE PLEASE ) ttached guragu/ogle car/ two car/ car
a • a • r a s a a • • • r * * • • Private storage building
ESTIMATED MARKET VALUE OF • Ocher
CONSTRUCTION , /-,-, t).„; `�.'/--') •
�
]NF'ORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SWEET, TO BE COMPLETED!
Form DPA 10/88 vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
i
Type of construction, wood frame, fire safe,etc. � ��''
Will any second-hand or ungraded lumber be used? If so, for what? ,'(,,j`')
Foundation wall material ow ,r ,J'e, Thickness y
Depth of foundation below grade (to bottom of footing) ' 3 t-61 F r' -t:,
Will there be a cellar? { Heated or eated Floor sq. footage / / sq ft
Will there be a basemen? Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof eloped flat/shed/other . Material of roof .. —4.....-,7• X..�
Size, wood studs "X (-,. " spacing 1i. "o.c. length �.I' f f
Joists(floor beams) 1st. floor . .3 "X '_ s
" spacing /Y "o.c. span it- ..ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. ,span ,i ft. •
Overlays(ceiling beams) "X ( " spacing "o.c. span t,.
P 9 r !� P f,� = ft.
Roof rafters 'I "X .4 " spacing (� o.c. span ' ft.
Roof trusses(pre-engineered) spacing A; "o.c. span ) y" ft.
Exterior wall finish /L`t;L��{ S:_ .t Of what material? • /4( e-�� <. '
Interior wall finish • y�I, r. ,1'" 44 /, i
If a garage is to be ached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? ;Li- If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Ljc.. . Height above roof ft.
Depth of chimney foundation below grade J�/ ft.
Depth of fireplace hearth ft.__ _ _
Water supply - Municipal o vate well •
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties / t ft.
(A separate application is necessary for any repair or new installation of septic system)
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 L 4" - ;L1-c) )----_,
Own r, owner's agent, architect, contractor
1
* * * * * * * * * * * * * * * * * * * * * *• * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEE•NSPUPY
APPLICATION FOR
SEPTIC DISPOSAL PERMIT
gap
DATE -' )
LOCATION OF PROPERTY FOR INSTALLATION ,` , .` ��; -
4 it`i' t, f� t.'`" J
Owners Name: I ,:,, ;VI ; . ":, f Telephone: 7 " �_,_; ,, --
�, . t z ! F ' "_ <, ��._xf1 r•_ /", f a ��
Address:
Installer's Name: ' j(7.1A /7�7 j< -.A '/s;-1 Telephone: f ec 7
r
Number of bedrooms (residential only) -�
Total daily flow (compute (d 150 gal per bedroom)
Topography: Circle one..F t , Rolling;Steep Sipe °6 of Slope
Soil Nature: Circle one: (and Loam Clay Other /Depth: Feet
Ground Water: At what depth? j Feet
Bedrock or Impervious Material: At what depth?
Percolation test: Circle one: (not required required rate min. inch.
Domestic water supply: circle one: Municipal(Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption fCt` feet
PROPOSED SYSTEM: Septic Tank / Off', ) gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet/Total system length a: g ei =' feet
" I
SEEPAGE PIT(S): Number of 4;/ / Size each feet by feet
Size of stone to be used #_2/Depth or Thickness feet
*************************
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: ,i" - ;:%' "� �"f"'✓
-7 1 fY 4 .4 -_ // Af,`
DATE: ' �-- f 1 : I 6.v
OVER
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 submit-ted 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. Nu 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 installa—
tion, 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 and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks :
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
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_ I ) / 1 -
2 . Type of heat c:"-t'X A.�, C,� !.�. A? --.1 Y�./� /t.,?-*
3 . Is the building mechanically cooled? ,�?
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 heated spaces YES NO
a. Are foundation walls insulated? ( , S NO
1 . If YES , what is the R value?
3 . Slab on grade i NO
a. If YES , what the R value of insulation around
perimeter of loor?; .
c )
4 . Is basement heated? 4 ,S NO
a. R value of insulat_ . •
5. Type of insulation
B. Under 16% Only
1 . R v lu,e of roof and floors exposed to ambient conditions
2 . R value of exterior walls f I -i-I I - d.,,c- ilL 1
3 . R value of glazed area LL' U-' �- C) 144. i c
Y
4 . R value of doors - a/d £ / .l.-,c, (4.-4 - ,7 67i-_ U-/S
7-7
ii
5 . R value of floors over unheated spaces__ /- %CJ- 6,
6 . R value of slab edge insulation - unheated slab -�
7 . R value of slab insulation - heated slab /i" ,`
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
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas
E . Piping Insulation �f
1 . Size of hot water or cooling carrying agent pipe //
2 . R value of pipe insulation
F . Service Water Heating
1 . Performance efficiency '// (;cij ic if /cat -
2 . Temperature control setting maximum 260
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 1(7 4" �1 s �
plicant ' s signature)
11
J -E, , `, - 11 , ' \ i . j ,,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 1 � �!`
BAY & HAVILAND ROADS .__
QUEENSBURY, NEW YORK 12804•
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME _ ' -,
LOCATION 'a c_ & _ < 1 \`;, '-i�
DATE ' '11 PERMIT # -�3
1 AP ROVED
ES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APP*OVAL
ROUGH PLUMBI
FRAMING
ELECTRICAL RO H-IN
INSULATION:
FOUNDATION
d
FLOORS
WALLS fr
CEILING i
KFINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING /
SIDING ✓/
EXTERNAL PORCIES/S ' PS V/
STAIRS-CLEA NCE & AILS t /
PLUMBING FI1TTUR /
ES/REA EF VALVE ✓/
INTERIOR T YM/PRIVACY DOORS c/
FINISHED ORS ,
GARAGE FI EPROOFING \
DOOR CLO ER(S) --
SMOKE D ECTORS
FINAL ELE TRICAL INSPECTION
FINAL AP ROYAL OF CONSTRUCTIO ✓/
A SIGNE CERTIFICATE OF OCCUPANC MUST BE
OBTAINS ROM THE BUILDING DEPART NT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
Grit VJ3("S Uka2 F/'a4:1,--C
n
r,
k
il'
, , INSPECTOR
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 RECEIVED
NAME K�N� Sot\r-
LOCATION 'U A f ) ��... 2_0 AID
DATE 1.1/VI
PERMIT # >C� 3
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING,
4
FRAMING
ELECTRICAL ROUGHtIN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEAANCE & 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: W 4 6 r d,N� Is Co M p, t-P
ALL ►3ewes si+ovLO rT- Lxe66,
30 LoP & -
IN ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
f`�
NAME / 4/AJ(15Old
LOCATION i
,t) .E4-K it o,,„
DATE 3 PERMIT # rq- 3s '
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLSr
CEILING /
FINAL INSPECTION: '
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARAMCE & 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:tAnktdu Gwto tAA, Q '"r
is GM 9 L r
(s)
Adtm-Y _ a ()Pt GAO ` c
(----N' A
Aor., .'
#flIF
INSPE TOR
✓ouin 019 Queen Jturf/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 rl
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAMEp--Ck-,n J`6Z-Pr-ti,nj-d3 C r�
LOCATION
DATE Vc/ � � PERMIT NO. - 3 S 3
SOIL TYPE - Sand - Iioam - Clay -
PercolatiOn Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total' length 020?9
Length of each',_trench ey, loc,c)
Depth of trenches 0270 '
Size of gravele,2
SEEPAGE PITS4Numb r:of)
Size- ft. X - - ft.
Gravel size
PIPING: \ Size Type
Bldg. to tank z/ /9ve
Tank to dist. box y //
Dist. box to field/pit
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation ti tanker ft.
Foundation tb absorption „Z /''\ft.
Absorption to lot line — `ft.
Separation of pits fit.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side Right side
COMMENTS:
3O -4' --41'0- '/7 - 5/3
SYSTEM USE APPROVED YES 0
Buil ing Inspector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED D -- 7- 1
NAME ,k Q-k-1
LOCATION -,.� cIZC__ jkvi 7
DATE 0 - ('- PERMIT # g9- 3 J 3
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS 10
FOUNDATION/DAMP4PROOFING
-BACKFILL APPROVAL
ROUGH PLUMBING )
FRAMING
z
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHEDLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
'
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF CCUPANCY MUST BE
OBTAINED FROM THE BUILDI G DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPI !
REMARKS:
1
i °,_ rr
b '
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 0'77
LOCATIO 'I g j'eee
DATE '-/N`( PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MO .IC POUR FORMS
OUNDATI•. `DAMP-PROOFING'S f,f
KFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS `..
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM \THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: %) Cro-Dt6-
136
priX,
19AciL ) fiSetc;r7.0
INSPEC OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INS ECTION RECEIVED 6`Pi -
NAME
LOCATION
DATE C'" 9.0 - PERMIT # %3 513
APPROVED
YES /NO
/FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH+IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING F.,
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/R$LIEF',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:
)(6q &Lif 4
NSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT / 17/1
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- `..-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION (/ /ak � �(
DATE Zj -tg-VPERMIT #
APPROVED
YES ` NO
F6OTING/PIERS 1 r ( V
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
4 SIGNED CERTIFICATE OF OCCUPANCY MUST BE
3BTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: ( )
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NSPECTOR
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TOWN OF QUEENSBURY =
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