88-719 i
CERTIFICATE OF -OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date jAnuary 9.1 19 a
This is to certify that work requested to be done as shown by Permit No. 88-719
has been completed.
This structure may be occupied as a Addition - Sun Room
Location 7 Midnihht Drive
Owner Donald And Marie Cartier
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN . OF QUEENSBURY
No. 88-719 y
WARREN COUNTY, NEW YORK 5�c
ro
PERMISSION is hereby granted to Donald & Marie Cartier z
0
OWNER of property located at 7 Midnight Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition — Sun Room
at the above location in accordance to application together with plot plans and other information hereto filed and 011
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
Same
2. CONTRACTOR or BUI LDER'S Name
Kevin Speck
d
0
3. CONTRACTOR or BUILDER'S Address
F-'
RR#5 Box 180 P
Glens Falls,New York 12801
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4. ARCHITECT'S Name FJ
N•
n
W
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
• V
( )Wood Frame ( ) Masonry ( )Steel. ( )
F'•
P.
7. PLANS and Specifications
00
No. 16'x16' Addition — Sun Room, as per plot plan, specifications, rt
and application. d
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8. Proposed Use
Addition — Sun Room '0
55 00 C/o
$ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 89
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the a
town of Queensbury before the expiration date.) H.
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F,.
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Dated at the Town of Queensbur is 12th Day of October 1988
I
SIGNED BY LAC for the Town of Queensbury G
Building and Zoning Inspector
O
0
TOWN OF QUEENSBURY
BUILDING and ZONING DEPARTMENT os U LL
j
'
Bay and Haviland Road, R.D. 1 Box 98 ��� �� 1988
Oueensbury, New York 12801
BUILDING & CODE DEPT.
Approved : J ,k.l.
APPLICATION FOR C�`v
BUILDING AND ZONING PERMIT-
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION: ANSWER ALL OF THE FOLLOWING,
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description', plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
------------------------------------------------------------------f------------------------------
The owner of this property is: 011d) (?..1i1A i2lln,c , �U—
P.O. Address (, i ,w ` j �" Tel.
Property Locationi Tax Map No.
Street ngn
Aer or building lot number
Subdivision name (if applicable)
THE PERSON RESP014SIBL'E FOR SUPERVISION OF WORK AS REGARDS BUILDING ,CODES IS:
Name P.O. Address Tel. No.
Name of builder iUjJ e. Address y L,c,x /$D Loos FeUk Tel. _7 02—:! 9
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WRK: * ZONING INFORMATION:
_Construction of a new building * TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
Addition to a building *'drawn reasonably to scale and attached hereto,
_Alteration to a _building showing clearly and distinctly all buildings,
(no change to 'exterior dimensions)" * whether existing or proposed and indicate all
_Other work.' (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURL•'S AFFECTED. of water supply and location and configuration
of septic disposal area.
*
* COMPLETE INFOr:MATION REQUIRED BELOW.
* Size of proper ty�/So)xI 6 ft X IV x7F ft.
* Existing buildings) 5izekj,�, ft X 341 t.
*
PROPOSED BUILDING AND USE: * Existin building (s)(s) Use J
9 y IEe3 i dou1 c
Size of new structure /6 ft X L ft *
Foaridation-pier/slab/crawl artial ull * Proposed building, distance from property line
(circle one) * .�
No, of stories (Yiabitable space) �. * Front .yard �jp ft Rear yard �.� ft
lleight. (grade .to ridge) /� ft. * Side yards /�' ft and �® ft
If residential, no, of families_ * If .on corner, seLback from side street ft
No. of rooms(excluaing baths) L * OCCUPANCY INFORMATION
No. of bedrooms
* PR RY BUILDING -
No. of bathrooms One family dwelling
Primary heating system , * Y g
�"Type of fuel * Two family dwelling
.
No. of fireplaces to be installed -- * Multiple dwelling •/ Nurnber.of units
�
Willa wood stove.�be installed?. * Permanent, occupancy
Transient occu
Central Air- conditioning'? — * Parc
y
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
* Other '
nch Contemporary Log cabin * If addition, what will use be?
Raised ranch Mansion Duplex
Split level Old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row `: Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * _Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED:
Form BPA 4/86 and-vl
3.UILDING PER 11T.. APPL:ICATIO11 CONTINUED -
:U1LDING SPECIFICATIONS:
Pype of construction, wood frame, fire safe,etc. l /Tl� I�Llm�
dill any second-hand or ungraded lumber be -used?- If so, for what? t�
7oundation. wall material CXV)c -2te_ bjn K Thickness �F
Depth of foundation below grade (to bot ooting)
dill thare,be a'. callar? Al& Heated or heated? L'loor sq. footage sq ft
dill there`be a basement? -Will any po ion be used as living space? Wei
(If so, what portion? sq.ft. - - Type of use?
Type of roof - ' loped flat/shed/other Material.-of r of ��'' 1 K 6 . c
Size, wood studs off' "X_( " spacings'o.c. length 2y& ft.
Joists(floor beams) 1st. floor o2 "X If spacing /6 "o.c. span_(,ft.
Joists (floor beams)'` 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X If
spacing "o.c. span ft.
Roof rafters o2 "X__L_" spacing LLo.c. span ld ft.
Roof trusses(pre-engineered) spacing "o.c. span ' ft.
Exterior wall finish �ICt»��i9lcnn Sf .�I��r► Of what material? AlLu'r,i'ItwY►
Interior wall finish _ /lC 742 Ca i�
If a garage is 'to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be -an opening between garage and dwelling? If so will a Fire-razed
door, enclosure, and.s,tlf-closing device be- provided?
Willa flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in. n
Water supply -.Municipal or private well 02 At11
SEPTIC SYSTEM ; Distance from ANY private well(incl ding adjoining properties t.
(A separate application is necessary for any repair or new installation of septic e;ystem)
'own of Queensbury A F F I D A V I T
:ounty of Warren STATE OF NEW YORK
I swear that to the best of my knowledge and belief the statements contained
.n this application, together with the plans and specifications submitted, are a true and
:nmplete statemerit-of all proposed work to be donelLon the described premises and that all
)rovisions of the BUILDING CODE, 'ME ZONING ORDINANCE, and all other laws pertaining to
:he .proposed work shall be complied with, whether specified or not, and that such work is
authorized by the. owner.
SWORN TO BEFORE ME THIS Signature_ - ----------------
owner, owner's ager4,arcnizect,contractor
day of 19
Jotary Public, Warren County, N.Y.
A
SPECIAL CONDITIONS OF THE PERMIT:
_ r
ay---------------------------------------
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for: . BUILDING PERMIT IN , COMPLIANCF, WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following:
1 .. Gross floor area
2 . Type of, heat F-leOr? L
3 . Is the building mechanically cooled? /{�J
4 . Percentage of area of windows and •doorsO
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions le"i'l�lha
h 37 Eh)r,rs .. 634
2 . Floor over heated spaces - YES NO
a. Are foundation walls insulated? YES NO
1. If YES , what is the R value?
3 . Slab on grade YES NO
a. If YES, what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES NO`
a. R value of insulation
5. Type of insulation �,� _
B. Unde 16% Only
1 . R v ue of roof and floors exposed to ambien conditions
2 . R value of terior walls
r3 . R value of glaze area �a
4 . R value of doors . J
5. R value of floors over nheated spaces
6. R value of slab e •ge insulation - unheated slab
7 . R vaXof
insulation - he ed slab
8. R vaated as b ement/cellar walls (above grade)
9 .:- R v ated basement/cellar wall�low grade)
73j It
10. ype of insulation F "5 lvu
C. Controls
Thermostat maximum heat setting_ ,)
D_ Duct Systems
1. : Is duct system 'installed in unheated spaces?- YES NO
a. If" YES , R value of 'duct installation
b. R value of duct in 'other areas
E. Piping Insulation
1. Size of hot water 'or cooling carrying agent pipe
Z. R value of pipe insulation
F . Service Water Heating
I .. Performance efficiency
Z:. Temperature control setting maximum
G. For Swimming Pool Only ,
1 . Maximum heating
Telephone No. 7V �ISE�
(applicant ' s signature)
NEW YORK STATE
ENERGY CONSERVATION CONSTRUCTION CODE
PART 6 COMPLIANCE FORM
THERMAL RATING METHOD
ONE-,.'AND TWO-FAMILY BUILDINGS
BUILDING P GROSS FLOOR AREA
ADDRESS,
NUMBER OF STORIES
DEGREE DAYS -
CONTRACTOR, ARCHITECT OR ENGINEER ICE Ink") r . �o'-e c�
GIeA,5 F-W 5 N.y_ 0-0 /
TELEPHONE _7qcr)
PRE-QUALIFYING CONDITIONS
All _pre—qualifying conditions for use of Part 6 have been met. .
VYes No
TOTAL THERMAL RATING
The total Thermal Rating for this building design is The
Worksheets that developed this Thermal Rating are attached. A Thermal
Rating of zero or greater indicates that the building envelope complies
with the Energy Code..
PRESCRIPTIVE REQUIREMENTS
INSULATION: 7815.5
Element Required Specified
Vapor. Barrier — where capable of Yes
absorbing moisture /
Continuity — at plate lines, sill Yes t/
lines and corners
47
AIR LEAKAGE: 7813.5
INFILTRATION RATE
Element Required Specified
Windows . 5 cfm/linear foot
Sliding Glass Doors . 5 cfm/square foot t/
Swinging Doors 1 .0 cfm/square foot
CAULKING. WEATHERSTRIPPING AND SEALANTS
Location Required Specified
Exterior Joints — Windows Yes
Exterior Joints — Doors Yes �—
Openings at Walls - Roof./Ceiling Yes
Openings at Wall Panels Yes
Utility Service Protectors Yes
FIREPLACE
Element Required Specified
Outside Combustion Air Yes nl L
Infiltration Control: Yes
20 cfm flue,damper, or or
non—combustible doors All"
48
HVAC CONTROLS: 7813.13
THERMOSTAT
Type Required Range Specified
Heating. Only; 45 75 degrees mina
Cooling Only:,.: 70 _ 85 degrees min. . AJ_ A
Heating and .Cool i rig 45 85 degrees min. 7 Aj
HUMIDISTAT
Required. Specified
Type Relative Humidity R.H.
Add Mo.i,sture 30% .maximum
Remove:Moistu.re, 60% minimum
TEMPERATURE ZONING
Type : :Required Specified
Thermostat Each System-
Thermostat Each Dwelling. Unit
Shut-off•. Each Zone
Sh-ut-off. Each Floor
CONTROL •SETBACK .
Type Required Specified
Switch, ,or :Clock,...or.Manual Yes
49
j -
3
HVAC .EQUIPMENT PERFORMANCE REQUIREMENTS.: , 7813.23.
Minimum Specified
Equipment' - Performance Performance
..� Gas Boiler 70% AFUE,
Gas Furnace AFUE
{ Oil Boiler- 75% AFUE
Oil Furnace 75% AFUE
:a Heat- Pump - -Air Source
High temp (47 deg. ) 2.6 COP
' Low temp (17 deg. ) 1 .8 COP
Cooling 8.5 SEER
l .
Heat Pump Water Source 3.0 COP-
Cooling 8.5 SEER
Central Air Conditioner . 9.5 'SEER
MECHANICAL SYSTEM INSULATION: 7813.19 and 7813.20 .
ti Hydron.ic Low Temp. Required Thickness Specified .
Pipe Size at.-I" R4 - .R4.6 Thickness
1 and less . : 3/411
1 1/4" to 2" .111
Forced Air Required Specified.
Duct Temperature :R-Value R-Value
A. T of 52-5. Deg.. F. or less. 3.5 (Min..)
A of more than 52. 5 -Deg. F. AT(Deg.F. )(s . ft. )
15- btu hr
is
e - •
r
- 50
WATER HEATERS: 7813.33
Minimum Energy Specified
Type Factor Required-` - Energy `Factor
Electric Storage .93, .0013V
Gas .60 — .0019V -
Oil .59 .0019V
COMBINATION SERVICE WATER.HEATING/SPACE, HEATING .
Maximum Standby Loss Specified
-13:3 pmd + 400
n
CONSERVATION OF HOT WATER: 7813.38
Maximum Specified.
Fixture GPM GPM
Lavatories 3. :
Showers 3
ELECTRICAL POWER: 7813..52
Does building comply with .National Yes _ No
Electric Code":.-
51
NEW YORK STATE
ENERGY CONSERVATION CONSTRUCTION CODE
..-.PART 6 WORKSHEET: 01
THERMAL RATING METHOD =
ONE- AND TWO-FAMILY BUILDINGS
P
BUILDING �!dn %� �`• GROSS FLOOR- AREA _G
ADDRESS
0_^ , U", Y' .NUMBER OF STORIES .
DEGREE DAYS
CONTRACTOR, ARCHITECT OR ENGINEER I�IPVIri �' Or-,C C
:.. TELEPHONE 712 - LIE 2
if the. building does not meet the following pre-qualifying
conditions, Part 6..bf the Energy Code may not beused.
YES NO
Building is one-. or two=family residential .
'Build.ing. is detached.
of : Building is .less than 5,000 gross square feet.
BuiIding.,.is :three stories or less in height.
-Entrance doors have a storm door
r, certified U. value_ of .40 or less. I,
L ` Glazing area/gross wall area is equal to or
less than:
24% if 5' 000 degree days
23% if 6,000 degree days
20% if 7,000 degree days
18%. if 8,000 .degree days
16% if. 9,000 degree days
If all, of. the above conditions are .not met, either PART.. 3., ;
PART 4 or PART 5 of.:the Energy Code must be' used. ' '.
k
411..
n�eaF9jfP-"',f ,°Lfi'YNx .nosryt^+ i i ee 'yz.sc:< SfSl,e
a�'irrr� a�3:a'r w,d:ie ��''�z�.<5%..,w,i:.n%...,c3i%:•`_'t-....... .,...na-._.... .> _..._. . .s.. -
'SUMMARY OF� TOTAL, THERMAL -RATING
If :theTotal Thermal Rating is zero- (0): or greater, 'the' proposed
design for the,' building envelope complids with the Energy,Code...
THERMAL: TABLE
AREA. U-VALUE - RATING : USED . .
-A. ROOF/CEILING.' j 13 _
32 _
B. NET. WALLS
C. GLAZING
Window ,30
Wi ndow .. jam- — fo r
Skylights --.37 O
D1 . FLOORS
D2.- BASEMENT/CELLAR WALLS. "
Wall Perimeter . F-eet-
Ezposure Above Grade Feet
Wall U-Value
Depth-of Wall' :U-Value .
Below Grade. Inches.
D3., SLAB INSULATION :.
S1ab .Perimete'r Feet
'Insulat-ion ,R-Value ..
E. INFILTRATION CONTROL
Conditioned Floor Area Sq. Ft.
F. SOUTH FACING ..GLAZING =
South Glass/Total Glass Percent .
-'-Gl . Area/Gross,Wall Area Percent Conditioned Floor .Area: 'Sq. Ft. d
: - TOTAL -THERMAL-RATING .
:. . _ .45
I
DIRECTIONS: For each component of the proposed building design enter the
design information requested such as. Areas, "U" or "R" Values.
} Additional -lines are provided for, designs with more than one component
construction type. Obtain thermal ratings for each item by consulting
the appropriate Tables.
A. ROOF/CEILING Obtain Thermal Ratings from Table 6-1,.
6-2, 6-1E or 6-2E depending upon degree
days and heating type.
Area: U—Value:
Square Ft, Thermal Rating
Area: U—Value: `rG
Square Ft, Thermal Rating
B. NET WALLS Obtain Thermal Ratings from Table 6-1 or
6-1E depending upon heating type.
Area: U—Value: 0
Square Ft. Thermal Rating
Area: U—Value:
Square Ft. Thermal Rating
Note: Net Wall Area = Gross Wall Area minus Basement/Cellar
Walls, Glazing Areas and Door Areas.
C. GLAZING Obtain Thermal Ratings from Table 6-3- or
6-3E depending upon heating type.
'WINDOWS
Area of Glazing: �. !} U—Value: _3,)
Square Ft, ThermaT Rating
Area of Glazing: / U—Value: 1'1 �
Square Ft.. Thermal Rating
SKYLIGHTS
Area of Glazing: 0 _ U-Value: 37 �)
Square Ft, Thermal Rating
42
D1. FLOORS Obtain Thermal Rat ings .from Table 6-11
6-1E or 674E depending upon degree days
and heating type'.
Floor Area: _ U—Value.: , ', a
Sq. - Ft, Thermal Rating
D2. BASEMENT/CELLAR WALLS , Obtain Thermal' Ratings .from
Table 6=4, 6-5; 6-6- or 6-5E
depending upon degree days
and heating type.
Wall Perimeter:
Linear. Feet
Exposure Above Grade:
Feet
U—Value of. Wall :
Depth- of Wall. U-Value
Below Grade:
Inches Thermal. Rating
Note: ` Use the above grade U-Value of the wall. L..The Thermal
Rating Tables have been designed to take into account. the,
insulating effect ..of the earth.
D3. SLAB INSULATION Obtain Thermal Ratings from Table 6-7
or 6-6E depending upon heating type.
Slab Perimeter:
-Linear Feet
Insulation R—Value: ' � 14
'Thermal Rating
43
E: : INFILTRATION CONTROL Obtain -Thermal Ratings from Table 6-8
or `6-7E depending upon heating type_.
: If the building does not meet 'the following conditions,
enter NA (Nct Applicable.) for- Thermal Rating.
YES NO
All windows have an air` leakage rate of 0.35 cfm
or less per •linear foot of operable sash crack; - .
All net wall areas have an infiltration barrier;,
and
A .heat recovery ventilator;.'which transfers heat
between the outgoing airstream and--the. airstream
entering from the outside, is installed.
'Conditioned Floor Area: _
.(Shall not include Square. Ft. .,Thermal Rating
basement/cellar floor area)
F. -SOUTH- FACING GLAZING Obtain Thermal Ratings from Table 6-9
or 6-8E depending upon heating type.
If the building does not meet the -following conditions,
enter NA (Not Applicable) for Thermal Rating.
YES NO
The building is no -less than 1 ,250 square feet in
conditioned floor area;
At least 45 percent of .all glazing faces within
30 degrees of true .south;
_ = All glazed areas in buildings are no more than
U(glazing) = 0.58; .
South faci.ng glazed areas are free. of any site
obstructions during the heating season; and
An area,of four.-inch- thick concrete or' masonry
is exposed to direct sunlight from. south facing
glazing. : The area of this concrete or, masonry
shall be no less than three .times the area of
south facing glazing.
Conditioned
South Glass/Total Glass: F1oor. Area: Square Ft.
(See Above)
Glass Area/Gross Wall Area: %
Thermal Rating
.44
` SELECT BUSINESS FORMS (609) 848-5203
APPLICATION FOR ELECTRICAL INSPECTION
PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
"'- 900 Haddon Ave., Collingswood, N.J. 08108
Date:
City, Town or Township- lems �[r,�,(S County Wo-rren State
Location/Address `
� (I cated in Rural Area • Please Attach Directions) Pole #
Owner I o_r l! cg=,V ' Permit #
Occupied As ko5IA ejA C_Q_ Building: NewlSiL Old❑
Occupant 14er)e Co_4-Ti Zj!—
Work Area in Building Floor #,etc.):
App. for: WiringX Service❑ or: Ready for Inspection:
Fee Remitted-$ Cash❑ Check❑ M.O. ❑ Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2,50 ;'""
Number of Rough Wiring Outlets Elect. Heat
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. T711
/12 1/10 1/B 1/6 1/4 1/3 1/2 3/4 1 11h 2 3 5 71/: 10 15 20 25 30 40 50 75 100
Mark Number of Each Size
Applicant's —�J
Signature License # Permit #
T/A 1 Utility:
Applicant's Address: (NAME) OFFICE LOCATION
(City)C I uls l� (State) 4_1 y. (Zip) /_)�d Service Request #
Phone # -7 90 — 'Ys 29 Electrician:
MIDIA USE ONLY
DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above❑ or:
Red Notice Label ❑
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 � 111] 2 3 5 [Jh� 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Elect. Heat 500 1 750 1000 1250 1500 1750 2ono 2250 2500 2150 0000
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID
FEE.
❑ RW Progress: Inc.❑ LKD❑ Contractor
❑ CFT Violation: Work Comp.❑ Inc. ❑
❑ L/A Owner CASH ❑
❑ L/A Fee CHK #
Due❑ IPA Municipal MO #
INV #
Date: Other Side❑ Utility
Applicant ❑
Owner ❑
Cut in Card ❑ Temp # Date
• �Jk`VJ�`tav�vJ Jes`vJ� J�WV \a J I�v \ac/"RV \.+J�v.1�vJ�'v
MIDDLE DEPARTMENT.INSPE,,CTION AGENCY, INC.
s ,. .. : :...._.. UUU
900 yHadtlon Avenue;Collingswotid,'Pd:J 08108
Date January 22, 1989
,,ry /��;i;. '� ` -n, ..J^i�,� •. .^..,
Cerrlf ley that ttie'Selectrlca�l equipment listed has been examined''and is approved as being in accord
with the National Electrical -CocJe�aPplicable governmental, utility and,Agency'rules.
Owner: Don Cartier ' D'we'1•li'n
z. r js. .,l. O'ccupahcy g'w.
Same `:' f , h 1e „� >a ,,' ; y>":;
' Occupant. .. f �r,
7 Location: 7 Midnight Drri e'l Queei sburyi (Warren Co) NY- ;Th s'certjticate covers ttie electrical:equipment and installation inspected this `
�- date. If additional equipment�shoUld be introduced or alterations made to
C:a a„ existing system this cerTificate shall be null and void, and application for
-�' inspection should be submitted pro, ptly to this Agency.
Equipment. 11 Outlets;` e8 receptacles; 1 F,ixture.� A�� �
� .r u�',q T'Aolder of this certificate shoUtd.l§r ent same to his property insurance carrier
E
(agent or company)as evidence'o�,eertification of electrical equipment approved
as specified. 11! C
Don Cartier �.
7 jNo.
Applicant: Midnight Drive' ,;_-,. - ;_ `� 15-028211
L
Queensbury,.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280!1-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIO RECEIVED_1 S--
O
NAME l'
LOCATION
DATE -(�, C. PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING "
ELECTRICAL ROUGH-IN
INSULATION: !�
FOUNDATION j f
FLOORS
WALLS t/
CEILING
FINAL INSPECTION: `''
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEP,S
STAIRS-CLEARANCE & PAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS-1 f
GARAGE FIREPROOFING sti
DOOR CLOSER(SW �
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROV /L OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: 0��P
I V i�`vl Aa
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME -
LOCATION
DATE ��- PERMIT #
APPROVED
YES INO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL .?OUGH-IN
t_�SULATION:
FOUNDATION
FLOORS
WALLS /
CEILING :310
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPEC ION RECEIVED /
NAME
LOCATION ,
DATE PERMIT # �� - 2 l
APPROVED
YES NO
FOOTING/PIERS /
MONOLITHI POUR FORMS
FOUNDATION AMP-PROOFING
BACKFILL APP OVAL
UGH PLUMBIN
V FRAMING `
ELECTRICAL ROUGH SIN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S EPS
STAIRS-CLEARANCE RAILS
PLUMBING FIXTURES%hRELIEF VALVE
INTERIOR TRIM/PR1{VACY DOORS
FINISHED FLOORS
GARAGE FIREPROO ING
DOOR CLOSERS)
SMOKE DETECTo S
FINAL ELECTRICA INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!-
REMARKS:
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS -
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED_
NAME
LOCATION
DATE P RMIT #
APPROVED
YES NO
FOOTING/PIERS rt
NOLITHIC POUR FORMS
DUNDATION/DAMP-PROOFING I
BACKFILL APPROVAL
ROUGH PL#MBING l�
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: �
FOUNDATION fJ
FLOORS
WALLS �1
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHESxrgTEPS
STAIRS-CLEARANC & RArLS
PLUMBING FIXTUI S/RELIEF\VALVE
INTERIOR TRIM PRIVACY DOD.
FINISHED FLOORS
GARAGE FIREPROOFING �1
DOOR CLOSER(#)
SMOKE DETECFZORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION \\
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPEC ION ,PECEI ED
NAMEL� C�G'��
LOCATION /�ii 1 l/; / ✓�/G��
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DATE t l/ PERMIT # ( ��q
APPROVED
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YES,i NO
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BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING '
ELECTRICAL ROUGH-IN %rr
INSULATION: I
FOUNDATION /
FLOORS
WALLS
CEILING �J
FINAL INSPECTION? A
CHIMNEY HEIGHT
ROOFING
SIDING , �' A
EXTERNAL POR�HES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING F XTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHFD�AOORS
GARAGE FIREPROOFING �1
DOOR CLOSER(S)
SMOKE IETECTORS
FINAL ELECTRICAL INSPECTION
FINAL A Ell
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A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED-!
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