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2004-442 CERTIFICATE ' OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW -YORK March 5 98 Date 19 _ This is to certify that, work requested to be done as shown by Permit No, 97442 i' has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a . 6 BROWNS PATH Location Owner ABODEELY, MARIA TAX MAP NO. G O. -7-16 . 3 3 By Order Town Board TOWN OF QUEENSBURY all Director of Bldg. do Code Enforcement BUI.L ®ING PERMIT VALUE $ . 260000TO N OF QUEENSBURY No 97442 TAX MAP N0. 60. —7-16 . 33 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to VALENTE BUILDERS, INC. OWNER of property located at 6 BROWNS PATH Street, Road or Ave. in the Town of Queensbury,To Construct or place a SINGLE FAM_T_T.Y DWFT.T,TXr, 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 60 SWEET RD. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name VALENTE BUILDERS 3. CONTRACTOR or BUILDERS Address 60 SWEET ROAD QUEENSBURY, NEW YORK 12804 4. ARCHITECT'S Name NEW YORK BOARD 5. ARCHITECT'S Address NEW YORK BOARD OF FIRE UNDERWRITERS 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING ( )Wood Frame ( )Masonry ( 1 Steel ( ) 7. PLANS and Specifications 2700 W10 FT SINGLE FAMILY DWELLING WITH 2OCAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFCATIONS B. Proposed Use SINGLE .FAMILY DWELLING 359 $ PERMIT FEE PAID —THIS PERMIT EXPIRES August 14 19 99 (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.) 14 August 97 Dated at the Town of Queensbury this Daydfl 19 SIGNED BY / for the Town of Queensbury Building and Zon'i�g Inspector Building Permit Application Town O,f�Queen.sb tl y - Dept. of Conunwdty Development, 742 Bay Road, Queensbury, NY 12804 [761-8256] BUILDING & . CODE ENFORCEMENT 11 O i�Lt� Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections will be made until applicant has received E] Zoning Board Action PERMIT FEE PAID$ a VALID BUILDING PERMIT. All Area /Use RECREA770N F PAI $ applicants' spaces on this application MUST be completed and.the signature pla�t�ting Board Action REVIEWED BY.' of the applicant must appear on the SPR / Subdivision /Other ' Building Inspector application form. ��,. Recreation Fee Payment Applicant: Q��Ef2 -G Owner: aLll a Address: 60 SCE` 9-Z) Address: Pllonv # ( S�� ) 7� '�� 52c w 1'hono # ( S!S ) 7yZ - �'I o lI wwww— www-w www .nw.�ww wwwww wwwwwww I't'opurly Locnllon: QeCX,A>Sl /U //6-33 Subdivision Name: t� ��W � 1 Tax Map Number Section Block Int RE OF PROPOSED WORK: ESTIMATED MARKET .VALUE OF THE New Building: -' CONSTRUCTION: $ `266 pow residence / 'commercial Addition to Building: residence. / commercial OCCUPANCY INFORMATION: Alteration to Building: Pr mary Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling-- no change to exterior size Family DW_eC Office Other Work (describe below) Mercantile' Manufacturin G WSW Other GROSS AREA OF PROPOSED STRUCTURE:�a "' = ' ; 7 2 a_P .t, yls� If ADDITION �wh:at:�-will use 1st Floor.. . . . . . rj(�O sq. of new, addition-"be? : 2nd .Floor. . . . . . . sq. fti Other Floors . . . sq. (not unfinished cellar or b eri ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: j " 700 SQL ' tt:tached Garage 1, \ cacar� Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building // � Other b� FEET X t/S FEET Foundation Type: "cx WD fil: Will any second-hand- or ungraded Number of Stories: lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woo stove (circle all which li s) to be installed: — Al Elec c Oil Ga / ood orced Hot Ai / eboard / Other Person responsible for supervision of work as regards to building codes is: 1_'I wbl i/AIr , ,Name Addresss Phone Builder: La R,c1.�7,7RtL �,�i�_ (�O Sc—, ¢.0 oo Plumber: G'co..0ryt- L141 Zv i 694.-37q Mason: R- c>e(L 5 rvri� _ 2�66 Electrician:_ 1=D La66 P 1_?>gi7bty DECL4RA770N• Please sign below a,Jter you have carefully read the statement. To the best of my knowledge 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 noted, and that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a Certificate of Occupan r ertificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; n scale, s o i g actual n-of project on premises. Signature: (owner, owner's agent, architect, contractor) TOWN OF QUEENSBURY . S BUILDINCT PERMIT NUMBER. `:'; 1i AUG 21`iJn Z17-q L4 =T Administrator L. BASIC/BUILDING PERMIT INFORMATION: A _TOM F QUEENSBURY A licant/Name & Address Agent/Name & Address applicant agent . H TAX MAP NUMBER: .0 0 effiz 2. PROJECT DESCRIPTION: - ----------- ----------------------- - ---- - ___— Plot plan (2 copies) ---------------------------------------- uilding plan (2) sewage disposal P energy code 3. PROPERTY INFORMATION: VS11. electrical inspection driveway permit completed/signed FEE PAID Front Yard Front ( if corner) ❑ NEW CONS TRUCTION Side Yard (er Side Yard (2) 7 ❑ ADDITIQN Rear Yard 20 ❑ ALTERATION Width ❑ MODIFICATION Depth ❑ SION YES NO NIA PROPERTY IS IN.APPROVED SUBDIVISION Meets depth,width & square footage requirement Preexisting, nonconforming lot with proper setbacks Required road frontage on public road Has required off-street parking Permeable area is adequate / equired: o Building does not exceed maximum height / Max. ft Required setbacks from stream, lake and/or travel corridor meets requirement Buffer zones required ----------------------- Is lot in a Flood Plain Zone? 4. STAFF DETERMINATION: As per Sections of the= Zoning 0 Sign 0 Subdivision Ordinance . Ordinance Regulations 5. REVIEW REQUIRED BY ZONING BOARD OF APPEALS: ACTION FILE. NUMIDER RESOLUTION DATE LJ Use Variance 0 Area Variance ❑ Sign Variance 0 Other Comments: ---- -------------------------------------------------------- ------------------------------------------------------------- 6. REVIEW REQUIRED BY PLANNING BOARD: ACTION FILE NUMBER RESOLUTION DATE 0 Site Plan Review EJ Subdivision Planned Unit Dev. Other Comments: ----------------------=--------------------------- ----------------------------------------------------------- �YY-•�.t ENERGY CODE COMPLIANCE APPLICATION TOPJN OF QUEEiYSBUP.Y, WARREN COUNTY ' 9000 'r.F?lT T NG DEGP,EE De'i{S ' C•or= ?a-ce Ve'�.k!oLdZs DART 5 - A(=ceotable Practice Method 1,&2 Fanily Dwellings (only) PART 6* - Thermal Rating - Component Trade Offs 1&2 Fariily Dwellings; Multi-Family Dweilinas ( 3 stories or less) PART 4* -- Design -by Component Performance, Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPL .CAINT' S NAME: PROPERTY LOCATION: PL)j CzQa H L12L-C. Pow T�em S�uatjvl� PART 5 METHOD OF CC?-IPL2ANC7 BY ACCEPTABLE PRACTICE: 1 . G=oss Floor Area - r-?;6�C square feet 2 . T-,, ce of Heat - Electr1 C Oi l Gas` 1 Other T - 1 • T e : c 1 cp Z ed? ti es No 3 . _� nu�_a_nc n_cnan__z_ly o_ _ 4 . Per ce^_tace a= a=ea of windcws and coots Over 17 Under 1 i 5 . -VALUES FOR =�TSULAT=ON G=V=Ni BELOW: MUST CORRESPOND TO R-VAILUES AS SrOSvN ON PLANS SU3MTTTED: a _ Rc o f -- C'r-pL'w R 3 5 b - Exterior walls - R fig_ C _ Glazed areas R 3ro d_ Exterior doors -' R 7"a e . Floors over unheated spaces R r - Edge of slab on grade (heated building) g_ Basement/cellar walls ( above grade) R h _ Basement/cellar walls (below crr ade) R _ 1 . Heating/cooling-ducts-piping in unheated space R '4yq . 6 . Service (domestic) hot 'water heating devic /yes. Conforms to minimum efficiency per code No T PERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED Appl ; n s S• Lure awe Phone urab r INSPECTOR' S REY—kRKS: Application for SEPTIC DISPOSAL PERMIT Town of Queensbury permit No. Dept. of Community Development Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: �6-r 111121-Ase Qcnct-) -F ZOIS Property Owner's Name: �'1J�CLj� GQ�\ Property Owner's Mailing Address: Installer's Name: �v.M)1~Y-S ht Phone # Number of bedrooms (if residential): Total daily flow: (residential -compute @ 150 gal./bdrm.) Topography: flat, /rollina, steep slope 7c of slope Soil Nature: sand, 11 loam, clay, ocher/depth: Ground water: at what depth? feet / Bedrock or Impery=cus Material: at what depth?W7. feet Percolation test: not required, required [rate4'S min. per inch ] Domestic water supply: /municipal, well, ctE--- If domestic water supply is a WELL, water supply from any se--Tc absorption is feet. PROPOSED SYSTEM Septic tank: J" gallon (minimum size: 1,000 gal.) Tile field: each trench % feet / Total system?=gth: too feet Seepage pit(s): number of / size each: ft. by ft. Size of stone to be used: # (b A / depth or thickcess feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each-- gallons Alarm system and associated electrical Rork to be respected by:certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of:he Town of Queensbury, ai3y permit or approval granted which is based upon or is granted in reliance upon any marerid misrepreseuation or farlure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide b7 d e and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: Date: Iowa o QUEENSBURY :f 742-Bay Rd., Queensbury, NY� 12804 . f APPLICATION FOR SOLID FUEL BURNING APPLIANCES AN`D.CHI1 WEYS`g' Date f�l ,19 Permit.•No. 9 APPLICATION IS HEREBY MADE to the Building Dept. for the issuance 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 laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow, all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant }lALrn"vl „�� 4, v ._- APPLIANCE (check appropriate boxes) Address 'mac ,;,, c %'. ❑ STOVE: ❑Wood ❑ Coal ❑'Pellet ❑ Gas ❑ FIREPLACE INSERT (,I-le z, Zip I',=e"OLI ❑.FIREPLACE, FACTORY-BUILT: ❑ Wood ❑ Gas ,Phone 7`1? S2-c'')c,1 FIREPLACE, MASONRY: Wood ❑ Gas Owner f424�1,:i 1 A 6i,,:>e t4y ❑ FURNACE: p Wood ❑ Gas ❑ Oil Address 1"�. )�,�l�r=ct �','i{ , ¢ r�, IF NON-MASONRY APPLIANCE: _ .,Manufacturer: Zip �: r 1 - Model: Phone " "- 9 L) I J CHIMNEY (check appropriate boxes) *EXACT ADDRESS/of proposed construction ❑ MASONRY: C ,Block t7, Brick ❑ Stone FLUE: ' i ig Tile a Steel 'Size: I 1-y & . inches CONSTRUCTION / INSTALLATION MUST',-' 0-FAC ORY-BUILT: ' CONFORNI.TO NYS FIRE PREVENTION & Manufacturer: Model: r'. BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept:Fire Marshal Amount Collected Amount Refunded Code Number Title A'173 3389 (190) Public Safety ' A 233 2655 (230) Minor Sales. " r\ Fee Collected From or Refunded to: '(,) Address: "Dated: 4 Town;Clerk or Deputy: White: Applicant Green:<<` zre;Mkrshidl Yellow:Bldg. Dept. Pink& Goldenrod: Cashier's Dept. 1 a -' TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (' (518) 761-8256 ARRIVE: DEPART: INSP:( FINAL INSPECTION REPORT - RESIDENTIAL DATE INS EC ON Rr\lvEQUEST R EIVED. `� n `/ NAME i� LOCATION DATE '�S PERMITA TYPE OF STRUCTURE FOOTINGS_ FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT B VENT HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH ECK PORCH STEPS RAL•LINGS ELIEF VALVES FURNACE HOT WATER OPERA I G INTERIOR TRIM PRIVACY DOO FINISH FLOORS: BATH KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS LUMBING FIXTURES OUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN VARIANCE RE . F SURVEY PLOT PLAN OK TO ISSUE C/O OR C C RESIDENI74L FINAL INSPECTION REPORT C) Office No. (518) 761-8256 Building &Code Enfon:ment Arrive:q' Ins Dept. of Community Development 6 Town of Queensbury Date Inspec6onRequees eived: 742 Bay Road . Queensbury, NY 12804 _}_ 1 NAME Al Q l�s� - PERMIT NO. LOCATION DATE TYPE OF STRUCT EYM -NO COMMENTS -- Chimney Height/"B" Vent/Direct Vent Location Fresh Air Intake - Plumb Vent Through Roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, 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/Re ato 18' Above Grade Gas Furnace Shut-Off "thin 3 Feet or thin Line of Site Oil Furnace Shut-Off at ntr ce to Fu ce Area Furnace/Hot Water Heater ratin Relief Valve(s) Installed Headroom 6 ft. 6 in. On S irs Basement Stairs 6 ft. 4 Handrail Exterior St ' s Both Sides More Than 3 Risers Interior Privacy/Trim/Doors/Main Entrance 36" Floor Finish Bathroom/Kitchen Watertight Interior Handrails 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 314 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 Req. Okay to Issue Temp C/O Okay to Issue Permanent C/O ------ - Okay to Issue C/C Lands F reputedly Richard.A.&Cheryl L Brown co Nr LLD 185' lLO 14 y! i ':f I : rt) nl 17" l J J1cn In swse�. ,,!•c3 � l � �p .. y , MAR 0.5' 1998 LO CM64OF e 1;'aY"u'"or zsa_aa'. ---r rc isv�' - - t I ' --- T IA;Iun :J !Vrit�i:AY 415''—`-`�- - -- ..�._ -- -/pz -��2.1=j4) ..trBUILDING AND CODE $R O W rlI '.r ,DA TIv .,Y�, , z L/ n Ctensnoe Brun!and ill"Blown Etsrnattfioar oar!wrlaraa Vica m tp PowCxR ad Nm VakTdR Gc..�:629'19RL Ft 150963It �] WOM?,rarrald eottr Qdd Waraas/14iab Berdarn.IIICLI - ..•- . VaMrite 139 loon,l�±r � I.Yr r_ _C'v..m--&t— MAP 0 D:1V3r m l� '9Hat 167 - xs�•nsa��sfa�rr,a,aroeetryfmdcoY.w�e..dR.iraft,.w INBZf�YCER71FYT8M2r1at3.hbodeelyand Ifii21711tl86 ?25l263 MN*RonFav FdWityNatiooelTilelrlsuraaoeCMpanyosfNew Of aswveyof lands af 7-1 R:a@777�ate51n57. York ttlatthis map was preparedt/Gmanm*W e� s� {� �{ ! velim"widess,loa away cc iReground,a=rdlrg to r&=ddescr4ftns. Marla B. Abodeely to s 4 _ . 3baW ili . MSft B.Abode* r ►1 r ,` � •. 7 / -'l Nov. Tom of Queensbury , Warren Co. , .N.Y. fr 8rrTw 101h4fl raonaa r.us3 I-%,HYS Lk.Na.41 {o l.) Scale: I"*-w `November 12 1997 U'WAKI nd aI ar araim.b ikl am— my - bm" a e=aa6laid anwa s wd fa■rrdtaln d, _. 8 ecom 7 M 2 a or,a*flaw Yak Sub - 9tl m ald Map by Eduarlo,l . ' ' MACY Mape RawFsmss Sltbdnisbe,Qwmabuy,.N-Y.. 'CiiAJiid La T.m"w dated Jun 16,19i9,made by 8tadder Ammkitim a++7�mw ear it*agti A or Clio avail srp �loetlsOd Land�a+leyot !"the C&bLq t'X,'S,Cle-1 Clllca an Oci 31;191i1 �w read kOLP atl bo axAftw YM and loin in Plat Cadltel'A',-Stlde 1-lIQ cnvlra. +• D s�] m r % RESIDENI7AL FINAL MTSUCTI'ON REPORT Office No. (518) 761-8256 ` Building &Code Enforcment Arrive: t'� Insp: Dept. of Community Development 'Z}; - I Town of Queensbury Date Inspection Request R a ed: 742 Bay Road Queensbury. NY 12804 NAME � PERMIT NO. LOCATION ' ,l` i L5'Y� f DATE TYPE OF STRUCTURE YES NO COMMEM Chimney Height/"B" Vent/Direct Vent Location V Fresh Air Intake Plumb Vent Through Roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, Balconies, Landing 18 in. or more Interior Handrails Stairs B ides 3 or More Risers +• 1� t � � Grade 2°lo way From oundati 8" Clearance o Sill ate Gas Valve Shut- Exposed/Regul•for 18" Above Grade Gas Furnace Sh - within 30 F t or within Line of Site Oil Furnace t-Off a ntrance t Furnace Area Furnace/ Water Heater r g Relief alve(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" Floor Finish Bathroom/Kitchen Watertight Interior Handrails Balconies/Landing 18 in. or more Railing Across Window in Stairwells Smoke Detectors: L every level every bedroom 41 outside every bedroom inter connected Bathroom Fans Plumbing Fixtures Foundation Insulation 3/4 Hour Fire Door/Door Closer Garage Fireproofing Garage Penetrations Sealed .10 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 Req. Okay to Issue Temp C/O Okay to Issue Permanent C/O - - - Okay to Issue C/C Mahoney P.O.BOX 767 GLENS FALLS,NEW YORK 12801 Notify-Plus Inc. 518J793-7788 FAX:518/793-0602 February 25, 1998 Ms. Maria Abodeely Maple Row Queensbury,NY 12804 Dear Ms. Abodeely: This letter will certify the completion and final testing of the fire alarm system as installed at your Maple Row residence. This inspection was completed on February 23, 1998. All devices were tested and found to be in proper operating order. Should you have any questions,please do not hesitate to contact our office. Sincerely, Benjamin P. Chapman Operations Manager TOWN OF QUEENSBURY FIRE MARSHAL. QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT v . REQUEST FOR NSPE'CTION RECEIVED 0 NAME le�h LOCATION DATE PERMIT # / ��o i� �� APPRO D N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING + + r FIRE EXTINGUISHERS AUTO. EXTINGUISHING S TE HOOD INSTALLATION AUTO. SPRINKLER SYST M ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY FIREPLACE- FACTORY BUILT REMARKS: ❑ OK TO THIS DATE INSPSLIP.PUB EC OR TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NY 12804 (51 8) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATIOV-=�/ DATE PERMIT # l Z 1 / 7 92- L = APPROVED N/A YES NO EXI AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SY EM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY ,`FIREPLACE- FACTO-R Y BUILT a s REMARKS: D OK TO THIS DATE r INSPSLIP.PUB 'INSPECTOR (518)761-8256 TOWN OF QUEENSBURY ' BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR �iDEPART)7-1 DINT REQUEST F R NSPECTION RECEIVED: L NAME LOCATION r e _ / DATE a— "—q PERMIT I G.•. TYPE OF STRUCTURE: <,,,v-n RECHECK APPROVED N/A YES NO FOOTINGS PIERS MONOLIT}iIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONS BLE F R PROVIDING PRO PIE TION FROM FREEZI G FOR 48 HOURS F LOWING TH PLACE MENT OF THE CON TE. MATERIALS FOR THIS PUR N TE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING• JACK STUDS/HEADERS BRACING BRIDGING JOIST HANGERS JACK POSTS MAIN BEAM AIR INFILTRATION BARRIER HE TING ROUGH—IN NSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R— FLOORS R— WALLS R— CEILING R— DUCT WORK OR PIPING IN UPHEATED SPACES R- 0�� SOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY -12804 (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION N ame Location Date Permit # ,3 —411 SOIL TYPE: .Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute./Inch— TYPE OF SYSTEM: ABSORPTIOI otal Length Length of h Depth of Size of s SEEPAGE Per- -Size - x ft. Stone siz PIPING: Size- Type Bldg. to Tank to D Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: . Foundation to Tank feet Foundation to Absorption feet Separation of Pits — eet Conforms as per Plot Plan a No OCATION OF SYSTEM ON PROPERT (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: n f� �j�gulL�-��-,✓ dN �'!:i SYSTEM USE APPROVED: ES NO Arrived: Departed:. JL Building Inspec or . , (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT e 742 BAY RD., QUEENSBURY NY 12604 INSPECTOR'S REPORT: ARR��l G�DEPRR i T - t'A s REQUEST FOR IN PET ION RECEIVED: NAME �� LOCATION 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 PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE— MENT OF THE CONCRETE. MATERIALS FOA THIS PURP N SITE FOUNDATION WALL OUR REINFORCEMENT IN P AGE., FOUNDATION DAMPP OOFING BACKFILL APPROVA ti PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING U ER SIpABRAM ING: �y JACK STUDS/HEADERS BRACING BRIDGING JOIST HANGERS JACK POSTS MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH—IN INSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R— _ FLOORS R— WALLS R— CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES R— 12 TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION � GName Location .' ocation _ Date -� Permi t # 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 - f . .x ft. Stone size PIPING: Size, Type Bldg. to Tank Tank. to Dist. Box _ Dist: Box to Field it Zpenings Sealed? Yes No Partial LOCATIONJSEPARATIONS Foundation to Tank feet Foundation to Absorp ion feet Separation of Pits feet Conforms as per Plot lan Yes No LOCATION OF SYSTEM 0 PROPERTY: (circle one) Front - Rear - 'Left Side - Right Side Middle Front - Middle Rear COA1r9EaTY UNL SYSTEM USE APPROVED: YES ",NO Arrived: Departed: �' Building. Intp &tor TOWN OF QUEENSBURY ` BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name t�t�&/U7_6_ Location Date 1 1 Permit # 77` Y. SOIL TYPE: Sand-Loam=Clay Results of Per oe�ate-Minut - (if applicable /Inch TYPE OF SYSTEMABSORPTION FIELDgthLength of each.:tDepth of trenche :Size of stone . SEEPAGE PITS: Numb ,r- Size - ft. .x ft. Stone size PIPING: Si e T.ype Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? . Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet_ Conforms as per-Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY:. (circle one) Front - Rear - Left- Side -- Right Side Middle Front - Middle Re COMMENTS: C�A- ) . . u6�X� 1454 Igo 1t�i Pc�- SYSTEM USE APPROVED: YES N0 Arrived: Departed: Building. Inspector TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 ( - 'G SEPTIC DISPOSAL SYSTEM INSPECTION Name Location _ Date I � Permit 0 /- SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTE ABSORPTION FIE' • Tot Length Length of each tren Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank. to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: SYSTEM USE APPROVED: YES Arrived: Departed: Building Inspector TOWN OF QUEENSBURY BUILDING b CODE ENFORCEM T 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION � .�,,,S dlti lei l�— Name Location %�y�y2.rlls Date ; ,26 Permit SOIL TYPE: Sand-Loam-Clay- Results of Percola 'on Test- (if applicable) R to Minute/Inch TYPE SYSTEM: ABSORPT FIELD T tal Length Length of ch nch Depth of trenche Size of stone SEEPAGE PITS: Nu ber- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank. to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: A (dk'N� SYSTEM USE APPROVED: YES DNO Arrived: 'S� Departed: Building Inspector TOWN OF QUEENSBURY :' . "%UILDIN6 & CODE ENFORCEMENT 742 Bay Road Queens- bury NY 12604 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Llhtk/ C Lo:cati on 'tr-5 1 Date it)Wq? Permit # !7— SOIL TYPE: Sand-Loam- lay- Results of Percolation Test'- (if applicable) 'Rate=M' to/Inch TYPE OF SYST M: - ABSORPTION F . LD: T al n dh s Length of each ' , 0 Depth of trenche Size of stone SEEPAGE PITS: N er- Size - ft. x ft. Stone size PINING: Size Typ ,� Bldg. to Tank '�i �j 1144 Tank to Dist. Box c Dist. Box to Field/Pi a Openings Sealed? . a No Partial LOCATION/SEPARATI Foundation to Tank /® feet Foundation to Absorption feet Separation of Pits r fe Conforms as per Plot Plan Yes 9o" LOCATION OF SYSTEM ON PROPERT (t— (circle one) Front - Rear - Left" Side - Right Side. Middle Front - Middle Re COMMENTS � �/�.� SYSTEM USE APPROVED: YES N0 Arrived: Departed: �. Build-Ing :Inspector . . (518) 761-8256 TOWN OF QUEENSBURY x BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR�J� DEPART, 06 L REQUEST FOR INSPECTION RECEIVED: NAME LOCATION DATE �l /1-J 7 PERMIT TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZ FOR 48 HOURS FOLLOWING THE P CE- _ MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOZE 0 FOUNDATION WALLPOU REINFORCEMEi IN P C FOUNDATI�2F'D R t G BACKFILL APP L PLUMBING VENT VENT IN PLACE UGH PLUMBING, PLUMBING UNDER SLAB DRAMING° JACK STUDSMEADERS -BRACING/BR DGING JOIST HANGERS In JACK POSTS MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION• FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R_ WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- Foy. R_oMg� 1, _ •...ram.- - , (518)761=8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBU/vRY�NY .12804 n INSPECTOR'S REPORT: AR3 " DEPAR INTL REQUEST FOR I' � INSPECTION RECEIVED: NAME A ert`� Ui 1 A 4s ` LOCATION Lo T (+�(� e t,t `( v DATE 1 PERMIT TYPE OF S T UCTURE: RECHECK APPROVED N A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN ACE P__ THE CONTRACTOR IS RESPO IBLE FOR PROVIDING PROTE TION FRO FREEZING FOR 48 HOURS FOLLOWING TH PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING J<BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING• JACK STUDS/HEADERS BRACING BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION• FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- _ FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- 1J_ p M (518) 761-8256 TOWN OF QUEENSBURY -- BUILDING & CODE ENFORCEMENT r 742 BAY RD., QUEENSBURY NY 12804 �,I INSPECTOR'S REPORT: ARR .J'DEPAR /INT "p- -77 REQUEST FO IN PE/C�T�I N RECE ED: I` NAME �e Y V r LOCATION ( , DATE PERMIT A —� TYPE OF STRUCTURE: �. RECHECK APPROVED N/A YES NO OOTING ,PIERS MONOLITHIC POUR FORM - REINFORCEMENT Iq E THE CONTRACTORPOi IBLE FOR PROVIDING PROTEFRO FREEZING FOR 48 HOURS FOG T E PLACE- MENT OF THE CON MATERIALS FOR THIS PU OSE ON SITE FOUNDATION WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING• _ JACK STUDS/HEADERS BRACING BRIDGING JOIST HANGERS JACK POSTS MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- _ FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- (518) 761-8256 TOWN OF QUEENSBURY — BUILDING & CODE ENFORCEMENT 742 BAY RD. , QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR�-D PART -'61)5 NT� C� REQUEST FOR N PECT�IO RECEIVED NAME -e V LOCATION DATE —4�9—) a —S:�- PERMIT A TYPE O STRUCTURE: (1 RECFI K APPROVED N/A YES NO OTINGS PIERS + MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FO PROVIDING PROTE TION FROM .REEZING FOR 48 HOURS FOLLOWING THE PLACE MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE 0 ITE FOUNDATION WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING• JACK STUDS/HEADERS BRACING BRIDGING JOIST HANGERS JACK POSTS MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 111 WASHINGTON AVE., SU 7 4, ALBANY, NY 12210 0 Date Ar !!cation"0.,onfiler. THIS CERTIFIES THAT �"j only the electrical equipment as described below and introduced by the t he nt named on the above application number in the premises of .-A j URBIA I'MODENIJ)" oPuWW's P -ft` BLIP-,, in thefollowing location; Basement El Int Ft. El 2nd Ft. -Section Block' Lot , . 0 was examined on H 0 4141 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES ICOOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS �ECFPTACLES SWITCHES INCANDESCENT 1 FLUORESCENT OTHER AMT. I K.W. I AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2131 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT. TIME CLOCKS UNIT EATERS MULTI-OUTLET DIMMERS BELL SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 30 SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE ETER 1,92W IAY3W 303W 304W NO.OF CC.COND. -A.W.G NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL 2 o OTHER APPARATUS: Fvr I- -12 it L GENERAL MANAGER J 13t Per - L This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW'YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO. DO NOT WRITE HERE FOR OFFICE USE ONLY BUILDING PERMIT NO. • i TEMP.N DATE �- CITY OR VILLAGE •, _ I ZIP CODE (TOWNSHIP COUNTY _'11`i'C rt STREET AND NO:OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS SmEETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANCS NAME) } BUILDING OCCUPANCY o j OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR 'OFFICE WORK TELEPHONE NUMBER BUILDING IS NEW OLD ElWORK IS NEW ADDmONAL❑ DEFECTS REMOVED El 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 I I H.P Watts A.W.G. Ceiling Well Recepls 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 SIGNSMMPS - TOTAL WATTS CHARACTER OFWORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA ❑ CONCEALED ._ DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFACTURER OF SIGN - ❑ OVERHEAD y�l,UNDERGROUND DIVE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS ► f} 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 APPLICATION SIGNATURE OF APPLICANT STREET ADDRESS TELEPHONE NO. CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE ❑ 85 John Street ❑ 111 Washington Ave. ❑ 3291 Lake Shore Road ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW YORV NY 10038 I SUITE 704 I BUFFALO,NY 14219 I ROCHESTER,NY 14608I SYRACUSE,NY 13206 (212)227-3700 A 18)46 NY 12210 (716)827-1155 (716)254-0141 (315)463-8552 (518)463-2122 THE NEW YORK BOARD OF,FIRE UNDERWRITERS fir'L V cJ e,-V K s S NOV 26 1997 h C 4 9 , j S � c I Qc Ci N , q � r TF ,f y ww - ,2� �3G� I 1 1 car _ V c1q ` 3 of to� c 4�