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92-669 U.,atloticate of uccupancy Town of Queensbury Marren.County, New York Bate i abruary 8 , 2000 This is to certify that work regv.ested to be done as shown by Permit No. 92669 has been completed- This structure;-,-.Lay be occupied as a_ SINGLE FPdTl DWLG-UPPER LEVEL ONLY Location 13 GOLDFINCH RD° _______ Owner `PAX HAP NO. 14 8 . -2-17 By Order Town Board O OF EL Director of Building& Code Enforcernent -"!CERTIFICATE OF OCCUPANCY ,x TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 22 19 92 This is to certify that work requested to be done as shown by Permit No92-669 has been completed. single family dwelling (modular) This structure may be occupied as a Location Lot 17 Goldfinch Road, Inspiration Park Owner Judy L. Crosse and John E. Robbins Issued for lower level only, By Order Town Board TOWN OF QUEENSBURY ,V _ Director of Bldg. ac Code Enforcement --I A x BUILDING PERMIT z TOWN OF QUEENSBURY No. 92-669 WARREN COUNTY, NEW YORK , 9 N f � PERMISSION is hereby granted to Judy L. Crosse and John E. Robbi ns OWNER of property located at Lot 17 Goldfinch Road Street, Road or Ave. in the Town of Queensbury,To Constructor place a Single family dwelling (modular) 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 n O to to m 1. 2. CONTRACTOR or BUI LDER'S Name L c a 3. CONTRACTOR or BUILDER'S Address O OJ ca H Z N 4. ARCHITECT'S Name Cr 0 m 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) r O (X)Wood Frame ( ) Masonry ( ) Steel ( ) `+ H V 7. PLANS and Specifications Model : 1B 0 No. 40'x25.42' Modular Single family dwelling as per plot plan, speci- fications and application including septic system. 8. Proposed Use Single family dwelling 190.00 October 27 93 N $ 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.) rD -h 27th October 92 Dated at the Town of Queensbury this Day of 19 J• SIGNED BY for the Town of Queensbury 0 Build n Inning Inspector rD J. TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 v:. Dear Ms. Crosse and Mr. Robbins: Congratulations on the purchase of your new home and hopefully it will be a home that you will appreciate for years to come. This letter is to inform you of some obligations that have been handed to you by the issuance of this Certificate of Occupancy for your new home. As you are very well aware of. you presently have a downstairs or upstairs that is unfinished, depending upon which model you purchased. In simple terms you must fulfill an obligation to the Town of Queensbury when you finish the upstairs or downstairs by calling for required inspections before this area can be used as living space. Most of you will require some type of plumbing, insulation, electrical and final inspection depending on what work you choose to do to finish off this upstairs or downstairs. As a part of this you must call this office to schedule those inspections at a time convenient to you so that we may inspect between the hours of 8:00 and 4:30 Monday through Friday except holidays. Should you modify these homes structurally in any way or put up walls. we would ask that you call for an inspection of those walls prior to any insulation or sheetrock being applied to them. There is no cost or charge to you for calling for these inspections. The building permits have been issued and are good for two years. should you take longer than two years to finish off the upstairs or downstairs. you would be required to pay a $25.00 renewal fee to extend the building permit for another two years which you may do at any time the permit expires. As you will notice on the bottom of your Certificate of Occupancy it says that you are allowed to occupy only the finished space and the unfinished space must not be occupied until such time as you receive a second Certificate t of Occupancy for this space and that Certificate of Occupancy will not be issued until the wiring, insulation, any plumbing and any framing has been i inspected by this Department. We ask for your cooperation in this matter so that we may make your home a safe place to live for you and your family. If at any time you have questions; if you are not sure of what procedure you should follow or what you should do, you can contact any Building Inspector in this office who will be more than happy to answer your questions. You can call this office at any time should you have any questions regarding your new home at all. Once again congratulations on the purchase of your new home and thank you for your anticipated cooperation. lY. DAVID HAT . DIRECTOR BUILDING & CODE ENFORCEMENT "HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE" SETTLED 1763 q REVIEWED BY: 1JWN OF OUEENSOU t . FEE PAID: RECEIVED ,��'D: PERMIT NO. : 9 OCT 2 01992 BLDG. & CODE BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEF RE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALI 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: Judy L. Crosse and John E. Robbins - Lot #17 - Model IB P.O. Address: Goldfinch Road PHONE - 148.7.1, 7.3 & 7.4 Property Location: Queensbury, NY 12804 . Tax Map No. Has there been any split of this property since October 1, 1988? Yes X No. If yes, Planning Board Review is necessary. Subdivision Name, if applicable: Inspiration Park Lot No..148.7_1,7.3&7. Lot #1 - THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: Cushing, Dybas Associates, Architects, P.C.- NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE X Construction of new building * CONSTRUCTION: $ 79,994 Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: too ft. x too ft. Other work (describe) * Existing Building S ze: None * - ft. x - ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: *' property line: x 1st Floor 1017 Sq. Ft. * Front Yard 30 ft. Rear yard 44 ft. * Side Yards 34 ft. and 26 ft. 2.id Floor - Sq. Ft. * If on corner, setback from side street- * - ft. Other Floors - Sq. Ft. (not cellar or basement- * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: 1017 Sq. Ft. * Primary Building - * X One Family Dwelling Size of New Structure: 40.o ft. 2 .4z ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partial ull)(Circle One) * Business * Industrial No. of stories (Habitable space) One * Other HeightA grade to ridge) Twenty Two.. ft. If residential , no. of fam 1 es: one * If addition, what will use be? No. of rooms (excluding baths): 'Ve No. of bedrooms: . Two No. of bathrooms: one * Accessory Building; Primary heating system: Baseboard * Detached Garage - One/Two Car Type of fuel : E.Lecrrlc. * Attached Garage - One/Two Car No. of fireplaces to be installed: None * Private Storage Building Will a woodstove be installed?: No * Other Central Air Conditioning: Yes No (OVER) BUILDING PERMIT APPLICATION CONTINUED: 1 BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. Wood Frame Will any second-hand or ungraded lumber be used? If so, for what? No Foundation Wall Material : Poured concrete Thickness: all Depth of Foundation below grade (to bottom of footing) : Below V-0 Will there be a cellar? Yes Heated or Unheated? Unheated Floor Sq. Footage: 1017 Will there be a basement? No Will any portion be used as living space? No If so, what portion? NSA Sq. Ft. Type of Use? N/A Type of Roof: Sloped/Flat/Shed/Other Sloped Material of Roof . Asphalt: shingles Size, wood studs 2 x 6 "; spacing 16 o.c. ; length a ft. Joists (floor beams) : 1st Floor 2 x 10 "; spacing 16 o.c. ; span 13 ft. max. Joists (floor beams) : 2nd- Floor 2 " x 10 spacing 16 " o.c. ; span 12 ft.where Overlays (ceiling beams) : - " x - "; spacing - " o.c. ; span _ ft.Applicable Roof rafters: - " x - spacing - o.c. ; span - ft. Roof trusses (pre-engineered): spacing 24 o.c. ; span 13 ft. Exterior Wall Finish: clapboard siding of what material ? vinyl Interior Wall Finish: 112" Gypsum Board . If a garage is to be attached, describe materials to be used for FIRE SEPARATION: N/A Is there to be an opening between garage and dwelling? N/A If so, will a Fire-Rated door, enclosure, self-closing device be provided? N/A Will a flue-lined chimney be installed? �- Height above roof NIA ft. Depth of chimney foundation below grade: NIA ft. Depth of fireplace hearth: NIA ft. NIA in. Water supply - Municipal or private well : Mmicipal SEPTIC SYSTEM: Distance from any private well (including adjoining properties: +too- ft. (A separate application is necessary for any repair or new installation of septic system.) NAME OF BUILDER & ADDRESS: The Quinn Company, Inc. - P.O. Box 6150 - Rutland, VT 05702 PHONE(Bo2)747-7010 NAME OF' PLUMBER & ADDRESS: Same as Above PHONE NAME OF MASON & ADDRESS: same as Above PHONE NAME OF ELECTRICIAN & ADDRESS: same as Above 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 ner, er s agent, architect contractor -------------------------------- --------------------------------------a---------------------- SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION y 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 PART 4 & 6 - Compliance Methods Require Submission of Worksheets Judy L., Crosse John R. Robbins Inspiration Park (Lot #17) APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - 1017 Sq. Ft. 2. Type of Heat - x Elec. Base Board Other 3. Is Building Mechanically Cooled? YES x NO 4. Percentage of Area of Windows and Doors Over 17% x Under 17% (10.65x) THE R-YALUES GIVEN ON THIS SHEET MUST CORRESPOND TO (9000 D.D.) THE R-VALUES SHOWN ON PLANS SUBMITTED! R E Q U I R E D Baseboard 5. ' Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R 38 33 24 B. Exterior Walls R 19 23 1s C. Glazed Area R 3.45 2.6 1.7 D. Exterior Doors- R 14.9 2.5 2.5 E. Floors over unheated spaces R 19 24 19 F. Edge of Slab on Grade (Heated Building) R N/A 10 10 G. . Basement/Cellar Walls (Above Grade) R N/A 10 10 H. Basement/Cellar Walls (Below Grade) R N/A - - I. Heating/Cooling - Ducts - Piping in Unheated Space R N/A - - 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code x YES NO TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED 4,- qfZ--- (518) 793-5183 AP kLICANU,"S SIGNATURE DATE TELEPHONE NUMBER INSPECTOR'S REMARKS: TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: " october 19, 1992 Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: Inspiration Park, Queensbury, NY 12804 Owner' s Name: Judy L. Crosse. and John R. Robbins - Lot #17 - Model 1B Owner' s Mailing Address: .Goldfinch Road, Queensbury, NY 12804 Installer' s Name: The Quinn Company, Inc. phone W802) 747-7010 Number of bedrooms (if residential ): Four Total daily flow (residential-compute @ 125 gal . per bedroom): 500 Gals. Topography-Circle One:��t Rolling Steep Slope % of Slope Soil Nature-Circle One Sand Loam Clay Other /Depth: + Ground Water-At What Depth? 611-0" Feet Bedrock or Impervious Material-At What Depth? +20 Feet Percolation Test-Circle One: Not Required Required/Rate 2 Min. Per Inch Domestic Water Supply-Circle One: unici Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank 1250 25D gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 36 feet//Total System Length 216 feet Seepage Pit(s) : Number of t Size each: ft. x ft. Size of Stone to be used: i/2" 1-1/2"Depth or Thickness i_o_ 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: Sc�- APP plication jWN OF QUEENSBUi-t DECEIVED '- OCT 2 6 OCT 2 01992 � Y ' A BLDG. $ CODE DEPT. ...... � F- L _J GOLD"FI CH ROA _V dilur etZ a�sn� -- -� • -� _ ., � i-o J ` rMe Ilob— Ut�'�idJ E _ Ir ` -=VbY i� o lV, - I - _ 1 r' - °`f t . .. Aft coop - $: f -pU NtOfaEL .1'PS x qF 1450 Get.. TILE IGLp.•: I'l -� a uoto 1� u; o IT6�1-G� �� °"'E' CUSHING. DYBAS ASSOCIATES. URAMN: ARCHITECTS. P.C. PLOT PLAN LOT 17 CHEMED: INSPIRATION PARK . rue 1-D1D-193-Aas $CALF: 774 DAY RQAO.MEWS FALLS.MFW Y071R 17R01 PROWi 1-5111";.ye11U „ ..art�'ROV P�^a-K'SUODIVLStoN ovwwivry [ Vr THE NEW YORK STATE �AYouT PV.u” PvmD/a1LED 6Y Ma.I-13"-0 EDUf:AT10N LAW. Muds VBSILttJ%G.-r.Ms�E Assoc . P.G. LAt.�DS N�F 1-�GME OWIJ�R.S ASSaC-IAT 1(=1 0 G.T. MAT ASSOCIATES, P.C. V 3 019V PRIN Eta AND ISSL'4 - - -- -- 01 0 Q Lo'[' �8 � LoZ' ►� ' N N _ N N _ L,4.3 t 40.0 3.3.-I ' Yn �Q F3U1L-17l�JG G� O +� +� �_ /+.>'LF�.ti E.�S f:+v+E1]T GCA►7TlO Ifl 0 �o Nt►tia¢r.1v�oH�.t�Fb�tR (j) 0 GoszP.�V•`f r LL Lam.C; ,DATE D T4..Pce O T.Y.Pdp O w.v. E�ec.`a.N• �* - S . -7 S' 05,00"F— 1 certify to the following that this survey has been prepared in accordance with ^ the Code of Practice for Lead Burreys adopted by the S.Y.B. Association of Professional CrjO R.o•�.].� Land Surveycr■ as last revised. L_- CRo SST= Jo>•tna E. Ro8811.�5 STATE=WIpE- F�I.�o1 uG Ca RP. 1'TS $v�'r' '=SSaI2.S A1Jp�OTZ ASS1G1.]S G4i1GAGo 'T'1TL1= IA]SUT2P.tJC.E C-0Mpp.�JY , "ONLY COPIES OF THIS MAP SIGNED IN RED (t1,_ INK AND EMBOSSED WITH THE SEAL OF AN OFFICER OF C. T. MALE ASSOCIATES, P.C., OR A DESIGNATED REPRESENTATIVE SHALL BE CONSIDEflED TO BE A VALID IIE COPY" Date RECORD OF WORK Appr' LQT \ 7 - GO L-O F 1 t,J C1A ROAD 11.20.42 Fa�NOA�,o>J t.�.T,ou n 1 N S P' 1 RAT 10 � F�ARK P W 0 'Towt,J OR QVE.EZJs0u1Z`t yVA1ZrL-ET.t COUNTY, NEW YORK LL - _ C.T. MALE ASSOCIATES, P.C. ( h Laci 5o CENTURY HILL DRIVE, P.O. BOX 727, LATHAM, NY 12110 (518) 786-7400 • FAX (518) 786-7299 Z nO, Ghecker: G.7 � ENGINEERING • SURVEYING • ARCHITECTURE • LAND PLANNINGU Drafter J•F• LANDSCAPE ARCHITECTURE • COMPUTER SERVICES Appr. by: Proj. No. q2. 1-7�5 SCALE: 1" = 3o DATE: Nov . Iq , 1�tgz 0 RESIDENTUL FINAL.INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement Dept. of Community Development Arriv IAQSplector's rif Depart = �- Town of Queensbury Ini " 742 Bay Road Queensbury,New fork 12804 NAME PERMIT# LOCATION DATE TYPE OF STRUCTURE N/A. YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete te�r'o .Exterior Railings 30"to 36" 2 Exterior Handrails,balconies,landing I in. or m re Interior Handrails stairs both sides 3 o more riser Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off expgsed/regul or 18"above de Gas Furnace shut-off within 30 f or within fin of site Oil Furnace shut-off at entrance tt furnace ar Furnace/Hot Water Heaterbperaling Relief Valve(s)installed _ Headroom,6 ft.6 in. on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both ides more than 3 risers Interior privacy/t im/doors/ ain entrance 36" Floor Finish Bathroom/Kitchen waterti t Interior Handrails Balco ' s/I.anding 18 in. or more Railing across window" stairwells Smoke Detectors: every leveler every bedroom outside every bedr m %n inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed. Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/O(Certif. of Occupancy) "�'JJkay to issue permanent C/O(Certif. of Occupancy) RESIDENTL&L FINAL UgSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement Dept. of Community Development thrive Depart epart Town of Queensbury inspector's Initi 742 Bav Road Queensbury,New York 1280-4 LL NAME 1 J PERMIT# LOCATION _�j DATE — —per TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete �oriExterior 36m tp� a drails, balconies,landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18" ve grade Gas Furnace shut-off within 30 feet or 'thin ' e of site Oil Furnace shut-off at entrance to Earn ce area Fuuivac&Hot Water Heat operating Relief Valve(s)installed Headroom, ft. 6 in. on st s Basement stairs, 6 ft.4 in. Handrail exterior stairs both sides to e than 3 risers Interior privacy/trim/doors/mam enti ce 36" t hen watertight or andra'Is Balconies 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 314 hour fire door/door closer Garage fireproofing Garage penetrations sealed ' Furnace in separate room protected(in garage) Lieht ventilation per room Safety_ glazing 18"or less from floor Final Electrical ZV4 Site Plan/Variance required Final Survev Plot Plan As Built Septic System layout required Okav to issue C/C (Certif. of Comnliance) Okay to issue temp. C/O(Certif. of Occupancy) Okay to issue permanent C/O(Cenif. ol'Occupancy) I l` RESIDENTIAL FINAL,INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement Dept. of Community Development Arrive Depart Town of Queensburyinspector's Initial' 742 Bay Road Queensbury,New York 12804 NAME "v L—) PERMIT# c� LOCATION 1 �3 LY VA P--,. DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete —iExterior s 30"to 36' riur#andrails,balconies,lan 'ng 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to fumace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft. 6 in. on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Cirhen watertight Tor andails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor /,0, Final Electrical Site Plan/Variance required Final Survev Plot Plan As Built Septic System layout required Okav to issue C/C(Certif. of Compliance) Okay to issue temp. C/O(Certif. of Occupancy) �a��\ � � �.�xA Okay to issue permanent C/O(Certif. of Occupancy) GENERAL INSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ` Queensbury,NY 12804 Arrive am/pm Depart a pm Inspector's Initials J 11 NAME: ti� �)!1�ERMIT# l- Q LOCATION: r DATE : — TYPE OF STRUC RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form ReinforcemZoris in Place The con 'ble for providing pr. ion from ing for 48 hours f, lowing th placement of the concret ., Materials for purpose on site Foundation/Wa 1� Reinforcement n Place Foundation/) mpproofing Back ill App oval lumbing U, der Slab Plumbing Vent[Vents in Place Rough Plumbing Heatin Rough-In '� , off''' Foundation Walls Interior R.- Foundation Walls Exterior R- Floors R- Walls R- 4 Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent V Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping C��bbr,� AS QUILT c�osET DEC 31 1993 TOWN OF QUEENSBURY —r — BUILDING AND CODE Cox�� R.CN Do� � -� S�� V J vJ V v vJ �+ J�`G \x vJ�Rx �.+ Vet'• +ei BLDG. DEPT.COPY MIDDLE DEPARTMENT INSPECTION AGENCY,INC. �J7 f' Cate May 14, 1999 . C Certifies that the electrical;wiring to the electrical equipment listed below has been examined and is approved as being in accgrd.with`the National Electrical Code, applicable governmental, utility and Agency rules C in effect on the date noted above and is issued subject to the following conditions:" C Judy Robins - C Owner. Same 'Occupancy: Dwelling C 13 Goldfinch Rd..- This certificate applies only to the electrical wiring to the electrical equipment listed below,and the C Installation inspected as the above noted date based on a visual inspection. No warranty is Occupant: Queens bury',, N'.Y. expressed or implied as to the mechanical safety,efficiency or fitness of the equipment for any 2nd Flr. particular purpose.Thiscerifficate shall be valid for a period of one year from the above noted date Should the electrical system to which this cerVicate applies be altered in any way,including bu C Location: not limited to,the introduction of additional elecl,ical equipment and/or the replacement of any o, the components installed as of the above noted date,this certificate shotl be immediately null and 13-Switches , 20-Receptacles, 11—F i xt u r e Svipid.This certificate applies only to the use,occupancy and ownership as indicated herein.Upon C a change in the use,occupancy or ownership of the pronorfy indicated above,this certificate shall C 1-Vent Fan,l-Smoke-.'Detector be immediately null and void. In the event that this certificate becomes invalid based upon the above conditions,this certificate maybe revalidated upon reinspection by Middle Department In- F—Jud Robbins' " spection Agency,Ind.;zAn,application for inspection must be submitted to Middle Department C y Inspection Agency,,Inc.,to initiate the inspection and vwalidaticn process. A feu will be charoed Applicant. 13 Goldfinch Rd-. for this service.- Queensbury, NY 12804 14-78821 No. C Form No.704 7-94 TOWN OF"QUEENSBURY BUILDING & CODE ENFORCEMENT Q - 742 BAY ROAD QUEENSBURY NY 12604 (518) 761-8256 ARRIVE: DEPART: oZjb IN FINAI. INSPECTION REPORT - RESIDE TIA DATE INSPECTION REQUEST RECEIVED: NAME LOCATION C� DATE Z �� ( C l PERMIT F 1Z tac)1 TYPE OF STRUCTURE FOOTINGS FOUNDATION _ BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES I NO CHIMNEY HEIGHT B VENT !{EIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK PORCIi 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 BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C C fll7tC f vl�� F � t eJS, TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: -Z(--) DEPART: 2-�Q AINSFINAL INSPECTION REPORT - RESID DATE INSPECTION REQUEST RECEIVED: NAME 5 LOCATION V DATE + �j��� PERMIT # 9 TYPE OF STRUCTURE FOOTINGS_ FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE 1 N A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE HOT WATER OPERATING INTERIOR TRIM PRIVACY DO R FINISH FLOORS: BATH KITCHEN WATERTI HT OTHER FLOORS SWEEP BLE OTHER FLOORS CA ETED STAIR CLEARANCE ILINGS SMOKE DETECTO BATHROOM FA S PLUMBING IXTURES FOUNDA ON INSULATION GA E FIRE PROOFING OR CLOSERS FINAL ELECTRICAL SITE PLAN VARIANCE RE . FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C C F 1 K)6OLA to/,) c � 1 6\Ac�P-QV, AtJD 6jAF H� \AJ C3E- 2�eu)E.D_ TOWN OF QUEENSBU Y - BUILDING 6 CODE ENFORCEMENT 531 BAY ROAD U QUEENSBURY NY 12804 (518)745-4447 ARRIVE: �� DEPART: INSP: FINAL INSPECTION REPORT - RESIDEN L DATE INSPECTION REQUEST RECEIVED: NAME LOCATION DATE I I a=-y PERMIT TYPE OF STRUCTURE FO FOOTINGS_ FOUNDATION BACKFILL _ FRAMING _ ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _ N/A YES NO CHIMNEY HEIGHT B VENT EIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK PORCH STEPS RAILINGS RELIEF VALVES FURNACE HOT WATER OPERATI INTERIOR TRIM PRIVACY DO R FINISH FLOORS: BATH KITCHEN WATERT HT OTHER FLOORS SWEEP BLE OTHER FLOORS CAR ETED STAIR CLEARANCE ICINGS SMOKE DETECTORS i BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN VARIANCE RE . FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C C C_RL�- -T-© H��� bx) TOXIN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME /G/ �t �� �—� _ ��✓ �� LOCATION DATE PERMIT# TYPE OF STRUCTURE j, �j✓ �— ii,�U RECHECK ,J�� _,r� � �4' _FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL —SEPTIC _INSULATION WOODSTOVE/FIREPLACE ' REMARKS yi APPROVAL YES NO CHIMNEY HEIGHT/LOCATION I B VENT/LOCATION J PLUMBING VENT d ROOFING �.." SIDING DECK/PORCH/STEPS/RAILINGS :'; RELIEF VALVES --PJR*ME/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 / 1 ALL PLUMBING ,FIXTURES OPERATING, GARAGE FIREPROOFING ✓ DOOR CLOSERS OTHER FIRE 'SEPARATION ✓ FIRE/DEMISE WALLS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: 1 ARRIVE DEPART INSPECTOR TOWN OF QUEENSBURY 531 BAY ROAD IZUEENSB'URY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED �- NAME Q61 LOCATION DATE + PERMIT# TYPE OF STRUCTURE RECHECK - FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) E--FOOTING r_EBUNDATION 4-B-ACKFILL FRAMING _ROUGH PLUMBING FINAL ELECTRICAL SEPTIC _INSULATION _WOODSTOVE/FIREPLACE REMARKS 14 A41�� APPROVAL fd/A ES NO CHIMNEY HEIGHT/LOCATION r' B VENT/LOCATION PLUMBING VENT . ROOFING 1J SIDING ' i DECK/PORCH/STEPS/RAILINGS RELIEF VALVES —FlfRi CfE/HOT WATER OPERAT;NG INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTI HT i. OTHER FLOORS SWEEPAbLE OTHER FLOORS CARPETED Y 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: wm 0 . x &-Ate'd I ARRIVE DEPART G INSPECTOR Jown of QueenjLry A BUILDING and ZONING DEPARTMENT . Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTI/C� DISPOSAL SYSTEAM� INSPECTION NAME 1 /��-(1� �lr�-wtf t4b LOCATION Of I1 C� �JLC� DATE 1' l / �!� PERMIT NO. SOIL TYPE - esan—cl'- Loam - ClayPercolation Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total ,,length 36 Length of each trench i. 3� Depth of trenches ' ;ice Size of gravel_ y SEEPAGE PITS{Number of) Size- ft. X. ft. Gravel size 3 PIPING: size, r( Type Bldg. to tank �! Tank to dist. box f1 �GL Dist. box to field/pit C vL Openings sealed? NO /.•Partial R, LOCATION/SEPARATIONS: I, Foundation to tank %,6 ft. Foundation to absorption 's ft. Absorption to lot line :;eft. Separation of pits ;i ft. LOCATION 0 YSTEM ON PROPERTY(circle one) Front - Rea - Left side - Right side - COMMENT r� SYSTEM USE APPROVED YE NO Building InhLbector 01/86 and vl ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. 9 21✓662 Owner 6z0 5 C' c/t ��f,-� 7/i SJ Occupi:nt Location /"U r 17 No. Street � c ( =2 13 Town or City Stale Installation as itemized on reverse side has been visually inspectedpursuant to applicable codes. Installed by 0- No. Date /�-1/ Z/ �y Inspector M IDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER �-,-o "re 9C(' WIRING 8 CONTROLS FOR, BURNER RECEPTACLES H.P.PUMP v FIXTURES K.W.OVEN ;?C aMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT AMP.SERVICE CONDUCTORS K.W. DISHWASHER K.W.SURFACE UNIT K.W. DRYER K.W.RANGE AMP. RECEPTACLE K.W.WATER HEATER FRAC. H.P.VENT FANS C OTORS K.P. 1/20 I/12 I/10 % % % Ih yt 1 11/ 2 3 5 17%110 115 120 21131 40 50 75 100 ARK NUMBER 'EACH SIZE PPARATUS TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQ ST FOR N PECTION RECEIVED f/—d-3.--Vy NAME LOCATION �o—� 1-7 DATE PER141T # TYPE OF STRUCTURE RECHECK APPROVED N/A YE.S NO OOTINGS PIERS IC1 MONOLIT R 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 i FOUNDATION/DAMPROOFING .BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB <3 FRAMING: , JACK STUDS/HEADERS BRACING/BRIDGING / JOIST HANGERS t JACK POSTS/MAIN BEAM ; HEATING ROUGH—IN INSULATION: a �, FOUNDATION WALLS INTERIOR R— 4 FOUNDATION WALLS EXTERIOR R— FLOORS R— WALLS R— CEILING R— DUCT WORK OR .PIPING;,IN UNHEATED SPACES REMARKS: ARRIVE l DEPART INPCTO L` 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 e , / LOCATION�jZ DATE /(� 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 r' PLUMBING VENT/VENTS IN ;PLACE PLUMBING UNDER SLAB / FRAMING: JACK STUDS/HEADERS .r BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WA�'LS INTERIOR R- FOUNDATION VIA LS EXTERIOR R- FLOORS JJ R- WALLS R- CEILING �_ R- DUCT WORK' OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART INSPECTOR TOWIN 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 G�sa��o6661 — — - LOCATION <7 DATE a���Sa PERMIT it 9_6f TYPE OF STRUCTURE RECHECK APPROVED N/A YESI NO FOOTINGS/PIERS MONOLITHIC POUR FORM _ REINFORCEMENT IN PLACE �— THE CONTRIACTOR 1S RESPRNSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR M HOURS FOLL0ING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS RURPOSE .ON SITE ?oFOUNDATION/WALL POUR`', REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFIN'G BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN S IN ,f?LACE PLUMBING UNDER SLABS+_ FRAMING: JACK STUDS/HEARS//�'; BRACING/BRIDGING , _ JOIST HANGERS �l JACK POSTS/MAIN BEAM HEATING ROUGH-IN I INSULATION: r ' FOUNDATION WALLS INTERIOR R- FOUNDATION WALrS EXTERIOR R-7. FLOORS R- WALLS R- CEILING R- DUCT WORK OR' PIPING IN IINHEAI"ED SPACES REMARKS: I 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 NAME LOCATION 177 DATE PERMIT 0 �o? TYPE OF STRUCTURE RECHECK APPROVED N/A YES ENO FOOTIPdGS/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 I I PLUMBING VENT/VENTS I� PLACE PLUMBING UNDER SLAB i FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING 1 i' JOIST HANGERS JACK POSTS/MAIN BEAM,,' HEATING ROUGH—IN INSULATION: r FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R— FLOORS �r R— WALLS % R— CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES / REMARKS: I t ;I ARRIVE DEPART � INSPECTOR