1991-610 - 1 f. `hi ._ v }h1�.. 4. .:i. a 'rd1J`,. ..^F.f:+tom v-Y•Y.,ry ti -T., .- - _...
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date . /9,li)`'U/a)Gt e 24019 9t.304 I
This is to certifythat work regiested to be done as shown by Permit No. 91
has been completed.
This structure may be occupied as a Si ngl Fa"��� Bill ng
Location30 Honey Hollow Rd
Owner Jack & Kathy LaBo nbard
By Order Town Board
TOWN OF QUEENSBURY
/
Director of Bldg. & Code Enforcement.
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-610 x
WARREN COUNTY, NEW YORK
Nn
PERMISSION is hereby granted to Jack & Kathy LaBombard -` c
OWNER of property located at Honey Hollow Rd. Street, Road or Ave.
tr
in the Town of Queensbury,To Construct or place a Single Family Dwelling w
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.
I—
a
1. OWNER'S Address is
O
12 Buena Vista
Queensbury, NY 12804 .
2. CONTRACTOR or BUI LDER'S Name
Daniel Valente
as
3. CONTRACTOR or BUILDER'S Address
O
60 Sweet Rd s
Queensbury, NY 12804
4. ARCHITECT'S Name 0
O
O
ce
0
5. ARCHITECT'S Address
O
a
6. TYPE of Construction—(Please indicate by X) N
(X)Wood Frame ( ) Masonry ( )Steel ( )
CO
CD
7. PLANS and Specifications n
No. 2,954 sq ft Single Family Dwelling as per plot plan specifications i
and application `<
8. Proposed Use
CD
-I
Single Family Dwelling
$ 409.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 27, 1992
(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 27th Day of August 19 91
SIGNED BY Vfor the Town of Queensbury
Building and Zoning I nspr
TOWN OF QUEENSBURY
�� REVIEWED BY:
ILItEi FEE PAID: L40)4, ,gp <- LtC9,4
PERMIT NO. : q/r uo TOWN OF OLIEE ASt:“k,L
vowcli„, t.,.3.4,1..1,(:, V 1,4„,d
w
BUILDING PERMIT APPLICATION
AUG22199 •
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS W� ,pBENRTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. BUILOBNM O`
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: OAQ: 73 � X gp-RG.,.,6 .ao ,
P.O. Address: J4 r e.. �c., r4dcL 426 1 /f7 , PHONE 99 -09s-3
/
Property P y Location: A/uoy f4?44",4 Tax Map No.19, / S'/ �
/�
Has there been any split of this// property since October 1, 1988? Yes No
If yes, Planning Board Review is necessary. "
Subdivision Name, if applicable: c4�, R0D C„j- o- Lot No. /3 Q,
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
-:\) ;z-n-- L 3(4 -r c ----
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
✓Construction of new building * CONSTRUCTION: $ 2.60 o1NS
Addition to building *
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: /3Y ft. x /9 6 ft.
Other work (describe) - * Existing Building Size:
• * `7 ft. x (#0 ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
> * ---/1st Floor /, 17) Sq. Ft. �-°9. * Front Yard 0 ft. Rear yard -S ft.
/ 30 . * Side Yards 60 ' ft. and P' ft.
2nd Floor J'7.`7 Sq. Ft.5 * If on corner, setback from side street-
/
ft.
Other Floors — Sq. Ft. 3 8 g
•
(not cellar or basement) * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: lags-4 .Sq. Ft. * Primaryy Building -
* L./One Family Dwelling
Size of New Structure: 3-7 ft. x 66 ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/ ull (Circle One) * Business
* Industrial
No. of stories (Habitable space) /7 * Other
Height (grade to ridge) 7 f / ft. * "
If residential , no. of families: / * If addition, what will use be?
No. of rooms (excluding baths): j 0 *
No. of bedrooms: c�
No. of bathrooms: `�J _ * Accessory Building:
Primary heating system: fir}- 14,-4, * Detached Garage - One/Two Car
Type of fuel : ' ® i h * -Attached Garage - One/Two Car
No. of fireplaces to be installed: / * • Private Storage_ Building
Will a woodstove be installed?: 'yL--s * _ r/ Other
Central Air Conditioning: Yes a — No * ' .. CA9-/1., .
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. 449c90E) T;#
Will any second-hand or ungraded lumber be used? If so, for what? A.(4)
Foundation ,Wall Material-: - 3SvL pi'l G?o c--o— Thickness: ``
Depth of ;Foundation below grade (to bottom of footing) : t,
Will there be'a' ce.11a n? Heated or Unheated? — Floor Sq. Footage:
Wi l l therel:be a ,ba•sement?,., es Will any portion be used as living space? No
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other 06 Material of Roof y Dom,}L,s 4 w C.L,
Size, wood studs , " x fo " ; spacing j (, " o.c. ; length r ft.
Joists (floor beams) : 1st Floor - " x " ; spacing /6 " o.c. ; span' / ft.
Joists (floor beams) : 2nd Floor a x " ; spacing /6 " o.c. ; span /S--d ft.
Overlays (ceiling beams) : " x - " ; spacing / , " o.c. ; span ' ft.
Roof rafters: , . " x / 0 " ; spacing /6, o.c. ; span ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.Exterior Wall Finish: , m4 R a -/U of what material ? g a/U4..c e..-'
Interior Wall Finish:
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
\-!;42* e_.
Is there to be an opening between garage and dwelling? )//,..g If so, will a Fire-Rated door,
enclosure, self-closing device be provided? 1` l,1'
Will a flue-lined chimney be installed? y .Height above roof rhiv A-o " fit.
Depth of chimney foundation below grade: I eb i ft.
Depth of fireplace hearth: / ft. t/ in."
Water supply - Municipal or private well : vcc.i,...)
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: " ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: > )1(.2 0/9-L zY 6-0 s'ex,. T 2t cpa ONE
NAME OF PLUMBER & ADDRESS: 07/0/Le QLc c.i/,,7 (2{-9 R L PHONE `7/-. 3'
NAME OF MASON & ADDRESS: gal, ,2T ( /5-(31i,' Si— C JG ' / PHONE e-62, ' ' 7
NAME OF ELECTRICIAN & ADDRESS: 6 /44-0,7 j Jlc 1 ' _ % & 6A/HONE 6 eA -�,3s-�
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 u- horized by the owner.
Signature
• Owner, owne 's agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
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
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
7DA-A-1//l, //a&N,h--- A V /2-2 /e)2 0 A%16t ) Z/1:
APPLICANT'S NAME PROPERTY LOCATION /f
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 12' 9S1 Sq. Ft.
2. Type of Heat - Elec. Base Board Other COL / i972
3. Is Building Mechanically Cooled? DYES NO
4. Percentage of Area of Windows and Doors Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R 3 S''
B. Exterior Walls R 19
C. Glazed Area R PI. 10.
D. Exterior Doors R IZ/'i 3
E. Floors over unheated spaces R
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R 0Z1f
H. Basement/Cellar Walls (Below Grade) R io/
I. Heating/Cooling - Ducts - Piping in Unheated Space R '-
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code i YES NO
c
TEMPERA RE ONTROL MAXIMUM SETTING140° - WILL NOT BE EXCEEDED
/--'
A F - -9 1 7 i 8-= 5c),
APPLICANT'S SI NATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS:
REVIEWED BY
AMIEL
TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fee Paid
Date: �'� ��� Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: ��-.' i, ' 5aec c 7—
Owner' s Name: /N o- 81917,O
Owner' s Mailing Address: 4- --6.- l 4 c'te„ Quz.t—oeti,prj
Installer' s Name: Z4 "6-1 � Phone #: 79J 7-4
Number of bedrooms (if residential ) :
Total daily flow (residential-compute @ 150 gal . per bedroom) :
Topography-Circle One: Flat Rolling Steep Slope % of Slope
Soil Nature-Circle One: an Loam Clay Other /Depth:TOWN OF `t+�7i.JEENS6, .V
Ground Water-At What Depth? /1 Feet sr; - � .�5 � ; Vy,.3
Bedrock or Impervious Material-At What Depth? ei fg;
)11
Percolation Test-Circle One: Not Re uired Re uired/Rate in. P liffi h� ����
Domestic Water Supply-Circle One: un i ci pa Well Other BUILDING & CODE DEPT.
If domestic water supply is a we -
Separation: Water supply from any septic absorption — -c) feet
PROPOSED SYSTEM: Septic Tank / 21') gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench .;7)! feet//Total System Length '2 i feet
Seepage Pit(s) : Number of / Size each: -- ft. x ft.
Size of Stone to be used: # Z / Depth or Thickness / feet
**************
HOLDING TANK SYSTEM IF REQUIRED
No. of Tanks Size of Each '' Gal .
Alarm system and associated electrical work to be inspected by a certified
agency.
****************
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the To H of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: ���t DATE: 1 Z3 5
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:
. ... .:.
TOWN OF QUEENSBURY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
. .
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
30 - '•
Date ?'":773 ''' ,- . ,.. 19571 . ,--• Perrnjit No. CI.).
v•-: ,....,,.,-•:,,:,„, ,...!.1- -
Ili
' •
... •:' 'rnr-:1' ,_,, . , 4'1' v-, f 14:,..- il .'• ,i: -/".--4., ,...,i,''.
APPLICATION IS HEIIEBY'M'ADE toThe Building Dc'epatirrieldfOr tliC issU:iLT)nc -of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all
applicable Iztws, ordinances, regulations and all conditions that are part of these requireMerlts,,,apc1 al:s_9yill allow all
.
inspectors to enter premises for-ficeieguireditispleetiotisje i i
..
Applicant's Name 1 pitfi.6-,-e.,, 114t.?„--0111--6-'-' :._j APPLIANCE TYPE
,,• Stove ,- Coal Wood
' _L.. ,
f- . .1-:'
Address 6 0' S(Aiw-4-- ai , Furnace '1,"" Hot Ai.f • • ,.,- Boiler
Zero Clearance
Uk4"414°86f tvli AJ til
Zip 4.(f1)tt,-• Circulating Unit
Phone j-f 9i;—is-->:-61-0 ./,' , -. : If Non-Masonry:
Owner's Name : 6 ii,': '-'s-. ' 2Xt:;,,,;4,,,,,,H-43,, ,, -...,:- ,..::ix," AZ>,,
Mrufactucer
Address if.cP' A( — ...4-1-e. --4 /.1/,r chit-- i. ,.,/ Model Outlet Size
rix.x.A.,.. 8.,,,, itArq( Zip /afeY,/., Listed by Number
Phone 7 5 — 07373 .
_
,
, , ) ,
,,,-,
CHIMNEY TYPE . . .. . c
. •
, ,'S•.:- , __.....,....,,,,„... ., a tu-stF-T,:-T-13kkk Brick Stone
Property location of proposed construction ..-, „ Flue: . -Tile', ,,,, V Steel
60\1— / c . *--,; -A-I AL-61 . Pt0. Size:'((2)( 11--
.. .,
E-.=-<-' S-- e_d'..emi Ca-61‘,0..: . - Fattory.Built:
. v , Manufacturer ----Model Size
COPY OF MANUFACTURER SPECIFICATIp.NS IS ,: • Height, - Listed By Number
REQUIRED FOR FACTORY-BUILT APPIIIANC'ES Type: DO-Oble Wall Triple Wall
AND CHIMNEYS. MUST BE INSTALLED ..,
Insulated
ACCORDING TO SPECIFICATIONS. COPY OF
Estimated Cost $
CONSTRUCTION DETAIL REQUIRED FOR MA- .
F $ee
SONRY FIREPLACES AND CHIMNEYS. , .,, / , (,..,,,(_.) •
• CASHIER'S DEPARTMENT •
TOWN OF QUtENSBURVNEW YORK
. ,
Department: Fire Marshal Amount Collected Amount Refunded
Code Number Title .D< c ° ..0'
A 173 3389 (190).Public Safety .
A233 2655 (230) Minor Sales 7'. . jefee' i ,,,
A4'1
' , • ,4 ,p, ,,,,. -7-.C*--
:: i i;
i- ' Z,.I'''
Fee Collected Collected from Refunded to: A -Q-A(1,.1, , I rn te5?_A t.....
,... __________ ...,
,- -
Address:
Da": ji/M/A-°' Town Clerk or Deputy
/ (
While:A nalirani Yellow and Pink.rneklpr'r Denarinsoni Cnblo”rrzti•Piro
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED ( /()
TEMP.N DATE
CRY OR VILLAGE TOWNSHIP COUNTY ,
STREET AND NO.OR ROAD s I t POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
./ .1 r_ J. .,/ "- r - r'
OCCUPANTS NAME BUILDING OCCUPANCY `
OWNER'S NAME AND ADDRESS I HOME TELEPHONE NUMBER
/ .�i :i^`i r-F -, e-..i tYY,( /,c (I)iJ,_P_.f- (,(4,-,- ; r'i, 67 i} / '/'' r/ "." ', `1_,,.J-_-
'
CURRENT SUPPLIED BY FROM THEIR / OFFICE l' f WORK TELEPHONE NUMBER
L/ /
BUILDING IS
NEW J'' OLD El WORK IS NEW,la...,.---"' ADDITIONAL❑ DEFECTS REMOVED❑
6-� 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 H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE-
MENT
1st
FL.
2nd
FL.
3rd
FL. `
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. ,
SIZE OF MAINS FEEDERS ELECTRIC SIGNSILAMPS TOTAL WATTS
l -) +!
CHARACTER OF WORK ,.EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCFAI FD
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN,(NUMBER) CAPACITY
n
SERVICE ENTERS BUILDING I MANUFACTURER OF SIGN
❑ OVERHEAD tD.UtDERGROUND •
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER 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
NAME OF /APPLICANT ) // DATE OF`' i.".I APPLICATION!j KNAT�/SIGUREOF-APPLICANT
7 '1�l L -I- ('--lo'--- f -a ,r `- 7":T. c;Y
STREET ADDRESS i I. '\ TELEPHONE NO. / _
'1 I1.0 LF -' - it 1/-V-.-L ;',..Y. ' . C(L7 - 7 .>,Y --
CITY ORl!POrST OFFICE "� ,/ // ZIP CODE LICENSE NO.WHEN APPLICABLE
( jf I .ram., L. y:I,'t.�A, , A) V, / p/! £ ((4.�- 1
❑ 85 John Street ❑141 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
—. .- . .•.. . ...ia.--..s .-..-. a .—.n a .r-..-- . .• .Ir-1 fit A i rl i-r Ir rl n
9.c„ (\9,,,m.l9/Jtk,si.Atr its,tt_tr ati;t "tia p;19!„!..,t,.)ti, 9,o kt/:"."_.ktl tr,t..m.o, ,t(.006.,tr.aJ.t(":1•tX?fit:•! .ti.)b.1ti-.t7;itt 1.? fit[ " ti: h•4!
THE NEW YORK BOARD OF FIRE UNDERWRITERS• '#'-`E I
1 BUREAU OF ELECTRICITY, ;�
t, FEDKARy 41 STATE STREET,ALBANY:NEW YORK 12207-. . -`
1 Mpplicat'dn No.on file' �'k,'
Date PERMIT NJ,, ti3. Es:lr ''-
: THIS CERTIFIES THAT
': only the electrical equipment as described below and introduced by t app icant named on the above application number in the premises of -'
;`1i2. JACK/KATHY L?PCMB\PD, HONEY HOLLOW RD. : ! EE'Y F1UFt4 : N.Y.
GAR r5 5 9,,Y)
w. in the following location;. E Basement Li 1st Fl. E 2nd Fl. Section'`' Block- Lot
92
was examined onUAKV and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 4
!>z ?sj _' fib 3 1 r, 1 3 i .cl i j
c
4.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS ma UNIT HEATERS MULTI-OUTLET- DIMMERS .
ti: SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. • AMT. AMP. AMT. AMPS. TRANS. W. H.P. NO.OF FEET AMT. WATTS
i, 1 i 2 F .E 9 GOO •',
: SERVICE DISCONNECT NO.OF S E R V - I C E
--6 METER
tt• AMT. AMP. TYPE EQUIP. 1.0 2W 1 0 3W 3 0 3W 3/'4W NO.OF C CCOND. OF CC.COND.. NO.OF HI-LEG Of•HI-LEG NO.OF NEUTRALS OF NEUTRAL 1.,i
1 �1. 200 OH .�. X 1 '�/0 I1 'IC .
pc,
• OTHER APPARATUS: `S
'le:
PADDLE FAN- 1 .
•
t 6LEC, ROOM HEAIERS.1"2,0 E.W. .�
1: "cror :: 1-5 H,P, 3-F H.P. .•
. . .I . -8
SMOKE.
DETECTOR:-3 . '
TRACKLIGHTI ?G:- 6 - , I
x
ED};ARD LAG
TROUT LAKE ROAD . _ Uu7
-
hG1,TC?;ti' LANDING, .l.''..fi1 .l BRANCH MANAGER `
' • - • . - 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. :.
e'nPY FAL? RI III nIRIr IlFPAPTAAPKIT TNIC rnPY rip CFRTIFICATE MUST NOT RE-ALTERED IN ANY MANNER.
- g cfL ����
P4
TOWN OF QUEENSBURY �
;�, , 531 BAY ROAD
a� 1 £.:;�'. QUEENSBURY, NEW YORK 12804
�! TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINNAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME LA_ P /1 e A-2-D
LOCATION )� -� LA(-Jct.)
DATE _z /Zc) 49�PERMIT# ' . ` k-Q 1`1
TYPE OF STRUCTURE 1" : b _ W 3 Ci-f>__C<-
( RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL-- SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YE, NO
CHIMNEY HEIGHT/LOCATION //
B VENT/LOCATION /
PLUMBING VENT d
ROOFING �/
SIDING r /
)(DECK/PORCH/STEPS/RAILINGS/
RELIEF VALVES /
FURNACE/HOT WATER OPERATING t/,
BASEMENT INSULATION/DUCTWORK ✓/
INTERIOR TRIM/PRIVACY DOORS ✓
FINISH FLOORS: /
BATH/KITCHEN WATERTIGHT , //
OTHER FLOORS SWEEPABLE �
OTHER FLOORS CARPETED /
STAIR CLEARANCE/RAIL\INGS,/
HANDICAPPED ACCESS ,' /d
SMOKE DETECTORS k„/ /
BATHROOM FANS/W
ALL PLUMBING FIXTURESAPERATINGvi
GARAGE FIRE PROOFING / '", ✓/
DOOR CLOSERS Pt
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS je p
DUMPSTER
A'
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL. /
OK TO ISSUE C/OrOR C/C �/
COMMENTS:
ARRIVE .
��s
DEPART
INSP C R
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED ?/�2
` �[ / /� / � �
NAME !�� % X d lJ�Y12Qa/Y,
LOCATION /7L7j7/0„e /4//;,C)
DATE /5 92 PERMIT
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHE\ ,
STORAGE: /
CLEARANCE TO SPRINLERS /
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE \ I
CHIMNEY \.
,WOODSTOVE ,+ k
✓ FIREPLACE-MASONRY / \ 1 j
FIREPLACE-FACTORY BUILT `• I
REMARKS: OK TO THIS DATE
01 -K. t7.-11Pg'
ARRIVE
I'/ A '
DEPART �� S / ��i� _ /Z-97,7
INSPECTOR
fi
.iF ., TOWN OF QUEENSBURY
531 BAY ROAD QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
r r�' BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION; ,L ///0 �
DATE �/44 Z PERMIT# 9/4—M5
TYPE OF STRUCTURE tS7 Z)
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
LPOOTING :-FOUNDATION LBACKFILL _FRAMING
' UGH PLUMBING FINAL ELECTRICAL OPTIC
NSULATION WOODSSTTOVE/FIREPLACE
REMARKS /U�'J
APPROVAL
N/AI YE,2 NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT —\ / t/
ROOFING 4
SIDING \. / V DECK/PORCH/STEPS/RAILI' GS '
RELIEF VALVES I d/
FURNACE/HOT WATER OPERATING c��
BASEMENT INSULATION/DUCTWORK t //
INTERIOR TRIM/PRIVACY DOKRS t�
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABvLE
OTHER FLOORS CARPETED 1 ✓ /
STAIR CLEARANCE/RAILLNGS \ i i/
HANDICAPPED ACCESS ;/
SMOKE DETECTORS 1 't ✓/
BATHROOM FANS/I4HOLE11U NS A,
ALL PLUMBING FIXTURES OPERATING, £�/
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL !/
OK TO ISSUE C/O OR C/C
COMMENTS:
,2i,ottirill"-? a 7 7 95/2.
/c ` '`4"" ��i ce ,.,
ARRIVE/
DEPART)' --�
INSP
lint
J
TOWN OF QUEENSBURY N�
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED -2/4/7/52-
NAME 1c.(1: 4. 2,ZtoX
LOCATION y e_, 4/�Y id /3?
DATE di/9z PERMIT# 2/ (/a
1 /
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHI G SYS EM
HOOD INSTALLATION
AUTO. SPRINKLER `STEM
ALARM SYSTEM
INTERIOR FINISHES \
STORAGE:
CLEARANCE TO SPRINKLER
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE \
CHIMNEY
W9ODSTOVE
IREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: U OK TO THIS DATE
Jy CL list
ARRIVE irb
�0•-
DEPART `D /i/k. ese)0111.?"/-
INSPECTOR
teUeA/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED iq fP'i
NAME J a b�'11� 1 -2), JC GK d'szik 2
LOCATION arilexe'0) 010 VN-)
DATE M,97161t PERMIT # c\ 1 -(.0i
TYPE OF STRUCTURE S �c-
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 i
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING 9
BACKFILL APPROVAL i
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: 'c1 I
JACK STUDS/HEADERS‘ 1
BRACING/BRIDGING \ 1
JOIST HANGERS X
JACK POSTS/MAIN BEAM N.
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN_AP
INSULATION:
Ix FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- J Y ,t✓///
CEILING R- 38
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART lid
I NS PEC OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK - 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR, INSQECTION RECEIVED
NAME \ J� 431-th,
,'LOCATION0.--,7 +2W
DATE ///2 9/ PERMIT # 5/-� 6
TYPE OF STRUCTURE (c
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE t
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING �'
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE /
FOUNDATION/WALL POUR a, !
REINFORCEMENT IN PLACE +;
FOUNDATION/DAMPROOFING k p' /
BBCKFILL APPROVAL kx f
1./ROUGH PLUMBING \ / I
PLUMBING VENT/VENTS IN PLACE n /
PLUMBING UNDER SLAB \/
FRAMING: A
JACK STUDS/HEADERS / A
BRACING/BRIDGING / '\
JOIST HANGERS / A
JACK POSTS/MAIN BEAM /
FIRESTOPPING
WALLS
CEILING ,
FIREWALLS '',
HEATING ROUGH-IN I 1'
INSULATION: /
FOUNDATION WALLS INTERIOR R- k
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS ( R-
CEILING / R- \.
DUCT WORK OR PIPING IN UNHEATED \,
SPACES \
REMARKS: '\
ARRIVE A7 —
DEPART ! `�
INSPECTO
/ 3 Or
of Queenibur
■ and ZONING DEPARTMENT ,
Bay"and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME y
r
" LOCATION -(A«�'v i-kl(n-t) ^f ,
DATE /0 / .3 PERMIT NO. t 1 -AA 0
i,
SOIL TYPE - .Loam - Clay -
Percolation Test Required? , YES .- NO
Percolation rate Min/Inch
ri
TYPE of SYSTEMD.. ,'.
ii
Absorption field, total Aength 5b
Length of each tench , '(j _
Depth of trenches .-3'
Size of gravel ''"Y
SEEPAGE PITS{Nuinbei\ of)
Size- ft. X \ft.
Gravel size
PIPING: ‘Size : Type
Bldg. to tank +,I.,z j /I
Tank to dist. box '4 "
Dist. box to field/pit 9�" .
Openings sealed?,�� YES \NO Partial
/IJJ
LOCATION/SEPARATIONS:.
Foundation to tank re, ft.
Foundation to absorption a,ft.
Absorption t' lot line :wfilt.
Separation of -pits. f> .
LOCATION OF/SYS •k PROPERTY( rcle one)
Front -tJ- eft side - Right side -
COMMENTS:
r
r /) ,+L1 -0 rn1
,A.
SYSTEM USE APPROVED 414 NO
Bu' ding Inspe tor
01/86 and vl ,
TOWN OF QUEENSBURY
"/.7
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME �.��[ xet,_4424a-za_ct. '
LOCAT N
DATE /d`.`//9 j PERMIT # 6./e
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR ,FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IDS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING-FOR 48 'HOURS FOLLOWING
THE PLACEMENT OF';fTHE CONCRETE.
MATERIALS FOR THI$ PURPOSE ON SITIE
FOUNDATION/WALL POUR t
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOF;ING /
BACKFILL APPROVAL
ROUGH PLUMBING 1 /
PLUMBING VENT/VENTS hJ PLACE/'
?LUMBING UNDER SLAB b, / ,.
,FRAMING: \A J//'
JACK STUDS/HEADERS I
BRACING/BRIDGING
JOIST HANGERS `//
JACK POSTS/MAIN BEAM''
FIRESTOPPING
WALLS
CEILING /
FIREWALLS / !,
HEATING ROUGH-IN I
INSULATION: /
FOUNDATION WALLS INTERIOR R'?,
FOUNDATION WM.LS EXTERIOR R- A
FLOORS R-
WALLS ! R-
CEILING i R-
DUCT WORK O}PIPING IN UNHEATED
SPACES
REMARKS:
Poivvy
•
•
::: ;;
-
INSPEC R
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED /(/I 9/
NAME J
LOCATION /I//f? 47446)
DATE /p L9 PERMI# /41/D
/I
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
GI
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
;FIREPLACE-MASONRY"
FIREPLACE-FACTORY BUILT
REMARKS: // , ` OK TO THIS DANTE
Did
e/19
r
•
ARRIVE
DEPART ,71° `�
INSPECTOR d
TOWN OF QUEENSBURY ArOU
BUILDING AND CODES DEPARTMENT
531 BAY ROAD 20 �i�14`
QUEENSBURY, NEW YORK 12804 /c
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION) RECEIVED
- L�
NAME �cL 4 4 -
LOCATION de-9,44/4)
DATE % /6�/ PERMIT # 5 /-6lo
TYPE OF STRUCTURE S�./...W / /5
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. '9
MATERIALS FOR THIS PURPOSE ON SITE)
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE a /
aFOUNDATION/DAMPROOFING
ACKFILL APPROVAL '„ I
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE;
PLUMBING UNDER SLAB /71
FRAMING:
JACK STUDS/HEADERS ir
BRACING/BRIDGING /
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS A
HEATING ROUGH,,-,IN
INSULATION: :`
FOUNDATION WALLS INTERIOR R- \1
FOUNDATION WALLS EXTERIOR R-
FLOORS R- k
WALLS R- I
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES \,
REMARKS: \\
ARRIVE /c
DEPART,/
INSPECT
WAX
TOWN OF QUEENSBURY V
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /#'il
NAME 01---R):7Y(7 r
LOCATION 1� \-O)I610
DATE fi PERMIT # 9 / (VC)
TYPE OF ST UCTUR �(tlf-
RECHECK APPROVEA
N/A YES' NO
'FOOTINGS/-PLERS ✓
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
FIRESTOPPING i•
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION: //
FOUNDATION WALLS INTERIOR,-R?
FOUNDATION WALLS EXTERIOR RF
FLOORS '' R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE /el
DEPART / d
INSPECTOR
1;36 P411
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
.QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 0'��I/1/
NAME (1 i" OTh CLlrO
LOCATION )-)-oJ/fi't)
DATE r RMIT
TYPE OF STRUCTURE 5)]
RECHECK APPROVED
N/A YES/ NO
-FOOTINGS/PIERS V
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE 4
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS':.FOLLOWING %f
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SUITE
FOUNDATION/WALL POUR t) P'
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFIN .
BACKFILL APPROVAL fl /7
ROUGH PLUMBING g I
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB tI r
FRAMING: ,Y
JACK STUDS/HEADERS! I
BRACING/BRIDGING sr
JOIST HANGERS ,
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING ,(
FIREWALLS I
HEATING ROUGH-IN f
INSULATION: r
FOUNDATION ;WALLS INTERIOR R-
FOUNDATION/WALLS IXTERIOR R-
FLOORS % R-
WALLS ( R-
CEILING I R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
ARRIVE J
DEPART J �
INSPECTOR
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