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1987-118
OCCUPANCY CERTIFICATE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Saptemhgn I U 19 an This is to certify work requested to be done as shown by Permit No. 87-118 has been completed, v This structure may be oiccupied as a One-Famil Dwelling Location Lot 51 W1110-w Road ( St . ILL%4ow 2 ) Owner Mark Chenler By Order Town Board TOWN OF QUEENSDURY �Building n�ing Inspector ~ BUILDING PERMIT TOWN OF +QUEENSBURY No. 87-118 t WARREN COUNTY, NEW YOR K PERMISSION is hereby granted to Mark Chenier rf OWNER of property located at I'e t 51 Willow Road (St . No .. 2) Street, Road or Ave. � r (The Pine's of Queenstrury ) in the Town of Queensbury, To Construct or place a One—Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and n approved and in compliance with the Town of Queensbury Building and Zoning Ordinance, 1 . OWNER'S Address is Laurel Lane Queensbury , New York 12801 2. CONTRACTOR or BUILDERS Name Joe Rouller r 0 3. CONTRACTOR or BUILDER 'S Address ~ Box 301 Cleverdale , New York w C c 4. ARCHITECT'S Name C P P r V 5. ARCHITECT'S Address ; C n 6. TYPE of Construction — (Please indicate by X) i YY Wood Frame ( I Masonry ( y Steel I ) 7. PLANS and Specifications No. 64 ' x36 ' per plot plan , specifications and application submitted Including sewage system and two-car attached garage . S. Proposed Use One-Family Dwelling m 1 5 $5 . 00 CIO 71 . 00 Nov . 1 87 PERMIT FEE PAID — THIS PERMIT EXPIRES 19 ty (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,) I" H- R Dated at the Town of Queensbury this 6 t h /Day of April 19 fi Z °R SIGNED BY for the Town of Queensbury Building and Zoning Inspector �v TO BE COMPLETED BY BLDG . DEFT . TowN of QUEEN:SPOI.�R' o vwn o Qecee4n3 urn[ Application No . [ M N 11 Permit Issued 19 ���Yuu^S' L1 BUILDING and ZONING DEPARTMENT Permit Expires 19Mn � � Say and Haviland Road, R. D, 1 Box 98 zoning MTV Designation Queensbury, New York 12801 variance No . =""'li� , Site Plan Rev BUILDING & 1C©DE DEPT- d j Approved by * .lee 44 �O APPLICATION FORXf FUIEDING 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 . ..............------......---.... .-- ---------------__ _�------------^----------..---- ---_ ------ The owner of this property is : P . O. Address .,.. 1. ¢,. CCU.+-+s G'�wr .rL✓'= Tel /�,,��do' "'.S r'F+'06 Property Location : r .S / a {s z Gr , Tax Map No . Street number or building of n6mber Subdivision name (if applicable) ;,r,v -, *OFs.e C ..+a. THE PERSON RESPONSIBLE FOR SUPERVISION OF W WAS REGARDS BUILdING CODES IS : . / e-Name P . O. Address Tel . No . Name of builder ry of Address Tel . Name of plumber Address .ti.s Yo Tel . -'Sz$3 Name of mason Address^ ec r oy Tel . � - re97 NATU OF PROPOSED WORK : ZONING INFORMATION : Construction of a new building A PLO`!' PLAN 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 whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . Size of property LJ3p ft > /7o ft . * Existing building s) Size ft X ft . PROPOSED BUILDING AND USE : Y + -1/ 3 (, * Existing building ( s ) Use Size of new structure �ft XVgft Foundation-pier/slab/crawl/partial ul Proposed building, distance from property line ( circle one ) �. Front yard "W'' 74 � ft Rear yard -+.. �'y ` ft No . of stories (habitable space ) .k * Side yards 30 ft and £t Height (grade to ridge) v ..e0yr £t • If on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No * of bedrooms _ No . of bathrooms �► Ze PRY BUILDING One family dwelling - Primary heating system f� �. Two family dwelling Type of fuel —• No . of fireplaces to be installed ,/ w Multiple dwelling / Number of units Permanent occupancy Will a wood stove be installed? a -a Transient occupancy Central Air conditioning? ,e_n _ Business BUILDING STYLI=, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin Other Raised ranch Mansion Duplex if addition, what will use be? 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 ca , wo 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 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood fram fire safe , etc . Will any second-hand or yxngraded lumber be used? If sop for what ? Foundation wall material Thickness /O �• Depth of foundation below grade (to bottom of footing ) Will there be a cellar? .✓o Heated or unheated? Floor sq . footage sq ft Will theme be a basement? Will any portion be used as living space? ,00 " ( If so , what portion? .............sq . ft . - - Type of use? Type of roof sloped lat/shed/other Material of roof s , Size , wood studs*_ 'X /�" spacing �_"'o . c , length _,C�ft_ de Joists ( floor beams ) 1st . floor 4�"X ,eo " spacing_ "o , c . span_/'3ft . .foists ( floor beams ) 2nd . floor + "X . o spacings ^"o . c , span 'fe'y ft . Overlays (ceiling beams ) y ,"X�/ '" spacing."'o . c . spanz/3^ ft _ FLc7of rafter or3E �pacxrsc�—��� e . e Roof trusses (pre-engineered) sp cing� ,a Floc _ span .. G' ft . Exterior wall finish A/}/ o . of what material? Interior wall finish f If a garage is to be ,attached , describe materials to be used for FIRE SEPARATION : Is there to be an 6pening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device �b Cprovided? Will a flue-lined chimney be installed? x Height above roof ft . Depth of chimney foundation below grade�`ft , Depth of fireplace hearth eft . I Water supply - Municipal or private well c,w o SEPTIC SYSTEM _ Distance from ANY private well ( incli6ding adjoining propertiesootp ft , (A separate application is necessary for any repair or new installation of se is system) Town of A F �F I D A V I T STATE OF NEW YORK ry Warren County off Warren I swear that 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 . i.SWORN TO BEFORE ME THIS Signatiire�_— f _-- _____` . 0 Owner , owner ' agentparcrx� eectp actor 3! day of 19 ,7 Notary Public , Warren County , N , Y , SPECIAL CONDITIONS OF THE PERMIT : BY _W"Wwl - TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for % BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. . ANSWER ALL of the following : 1 . Gross floor area 3aa sdW 2 . Type of heat 3 . Is the building mechanically cooled ? � 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . U value of gross area of walls , roof / ceiling and floors o exposed to ambient conditions 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 . Under 16 % Only 1 . R value f roof and floors exposed to ambient conditions, 2 . R value of exterior walls _ 3 . R value of glazed. area 4 ; Moo4 . R value of doors 40� • 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab Be R value of heated basement/ cellar walls ( above grade ) g . R value of heated basement/cellar walls { below grade ) 10 , Type of insulation_X cez m.'WS e' C . Controls Ir 1 . Thermostat maximum heat settingti D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES 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 2 . R value of pipe insulation F . Service Water Heating 10 performance efficiency 2 . Temperature Control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . app1 cant ' s signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE .3 ZL31% / ;, 7 LOCATION OF PROPERTY FOR INSTALLATION .��^' .s �/ „Grf o4.e ewj:�! T+•r� vs�- /� Owner's Names ,gi / �'../�C / TTelephone: Address: ,te'"cL� , i5o�/,,j -' ,(r�Lr . r �iaGLS Installer's Name: —f Telephone: Number of bedrooms (residential only) 900 Total daily flow (compute @ 150 gal per bedroom) Topograph-y : circle on Fiat Rolling Steep Slope 90 of slope Soil Nature: circle oner`� San '. Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or impervious Material: At what depth? feet Percolation test: circle one: not required required { rate '" min. inch. Domestic water supply: circle one:`'iylunicipa� ell Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench j /� feet / Total system length .1`s �� feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness /� feet I M P O R T A N T ...Please...LIST NEW EQUIPMENT TO BE INSTAIA=ED (over) Section II 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 Z.) 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. I have read the regulations above and agree to abide by these and all requirements of the 'rown of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . HOME OF NATURAL BEAUTY A GOOD PLACE TO L [ VE TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT a�., L BAY & HAVIAND ROADS QUEENSBURYy NEW YORK 12804- TELEPHONE (518) . 792-58.32 4 BUILDING INSPECTOR ' S REPORT i REQUEST FOR INSPECTION RECEIVED -�q NAME LOCATION DATE _ T PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POURiFORMS FOUNDATION/DAMPROOFING BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH N INSULATION: 4 FOUNDATION ; FLOORS WALLS CEILING FINAL INSPECTION; CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS .STAIRS-CLEARANCE & . ILS -� PLUMBING FIXTURESIP LIEF VALVE ✓ INTERIOR TRIM/PRZTfA Y DOORS FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSER (S) .SMOKE DETECTORS , FINAL ELECTRICAL TNSPEC ON FINAL APPROVAL O� CONS T UCTION OK TO ISSUE C/o I6R C/C A SIGNED CERTIF ' CATE OF CUPANCY MUST BE OBTAINED FROM HE BUILDIN DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIE S REMARKS : CAI ,a ARRIV ;" DEPARTV=; INSP TOR TOWN OF QUEENSBURY BUILDING AND C ES DEPARTMENT BAY 6 HAVILAND GADS QUEWNSBURY, NEW YORK 1280& TELEPHONE (518 792-5832 BUILD NG INSPECTOR' S 4ORTREQUEST FOR INS ECTION RECEIVED NAME LOCATION DATE PERMIT # APPROVED YES NO iu FOOTING/PIERS MONOLITHIC POUR RMS FOUNDATION/DAMP- OOFING BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION: FOUNDATION FLOORS WALLS �/ CEILING / FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ PS STAIRS-CLEARANCE RAILS PLUMBING FIXTURES LIEF VALUE INTERIOR TRIM/PRI CY DOORS FINISHED FLOORS GARAGE FIREPROOF N DOOR CLOSER (s) SMOKE DETECTORS FINAL ELECTRICAL INSP CTION _ FINAL APPROVAL O CON TRUCTION OK TO ISSUE C/o OR C/ A SIGNED CERTI ICATE OCCUPANCY MUST BE OBTAINED FROM HE BUI ING DEPARTMENT ,BEFORE THESE PREMISE ARE OCC IED! REMARKS: ARRIVE DEPART - � Zl%fSi;EC TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT SAY & HAVILAND ROADS QUEENSBURY, NEW YORK 2280di— TELEPHONE (518) 792-5832 �� BUILDING INSPECTOR ' S REPORT REQUESTjR INSPECTION RECEIVED NAME 1 4 Al (e A LOCATION DATE PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS _ FOUN,QATION/DAMP-PROOFING BACKkILL APPROVAL ROUGNN ING FRAM ELECROUGH-IN INSU FO FL { WALLS CEILING N-TNAL INSPECT N: CHIMNEY HEIG ROOFING SIDING EXTERNAL PORCHE64WTEPS STAIRS-CLEARANC RAILS PLUMBING FIXTU S/ LIEF VALVE INTERIOR TRImlpRIVA DOORS FINISHED FLOORS GARAGE FIR944ROOFING DOOR CLOSE _- Cs) SMOKE DE T TORS FINAL ELEC ICAL INSPECTOO FINAL APP VAL OF CONSTRUCT ON A SIGNED CERTIFICATE OF OCCNP MUST BE OBTAINED FROM THE BUILDING MENT BEFORE THESE P.�EMISES ARE OCCUPIED REMARKS: r r INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (516) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME _ .^�.J f L - LOCATION DATE PERMIT ## APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-XN ,XINSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS__ PLUMBING FIXTURES/.RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR 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; +1„ XNSPE TOR AD- 5 �: s � : -THE .NEW YORK -.BOARD -0F ;PJRE UN IFRW.Rt�'�# t�- i }3l/FtEflti OF ELECTRIG1T+y k4r ki' 3ik 1y' 9 I !5' # all STATE STREST. ALSANY,-�AEW YORK li�t>'f ; 3�- 1g - _ _ ic.trorr No, er. frte . ' thRr� .. October 35 , 1987 — 1�f1fr�'06191 A fr, ' y r : THIS CEflTfPiEB THAT - __ - { _ - ke only sha afecxriew fqudpwawrEe a dome ribod below and irrtrodmead by tilde app"vent wanaed on ftho above Arvacetieft rwaa6s An tAw prremww" dw TV Rou3l,ex Cons CO^ . , `JLo [ . 51 Willow , Glean Fa1lss ° 3�iew , ` } in thefollorofinR laratiora; .$aeerrasaat _ � let #71 frrd ink, � C)ex is i$ +� ":,,I. �e:ceiaa ��falrk _ �.�},3. goer examined an. .{ 9 .. . ._ . . and found to be in compliance with the mquir+enaents of this +t#vs++a1 9J24187 flt7CTtJ'A[ wCus SWITCHES RTUREs Itill ING tuts OVENS DISH WASHERS eiiiiiiiiiiiii 2XHAk3lrT PANS COUNTS n+CANDEsctrar M.U09"Ctwt r MT. K.w. rwT; rz. w" AMT. rcw. r MT. R. w. = AMT, sir.r• kj _ _.. -53 DR an fu*NACE MOTORS PUTU F ANRI.iMiC':>T INISCIALMOVff, TIME CWCKs :EexSysTams ipil! itEATlktSi . ',Z1IUYUMERTi ArNTe x.We .Oat : .41L i.- PAZ ra r- AMT. 040- A. We G. /.MT" Aerr. AMT. rums" TEAWls. AMT. 'tr.R F i!:'t A6k1T_ .i_j MATTs 1 - 1 el ange WT - _ - erl lie SiE'Rvxz 01sCO"lN*Cv NO.'Of - S _ -;R Y : It C AMT, -aM► "" 1.e' 3w t X t;lv a/r sw a at aw. atC.crt cc, COMM A.We am aw of sc.Como, .srt>. Gf re tK. .0 Hwy,-G wa.or aa�ewu - A.W.0. Zen Darter 11tTAlAT1JScek E I I- } 7 k!"} v11 �1 eactr3.G i." oom H at4br '",a 'm _ 'k `1 4 ..i 1:. .. :1 !. - -J 'L >..4 AW 1 1. F +— !{Y l� '3i - mnko Detect- ell pkd rt ' keeek Iap. 0a &kl K752 � I _ , - 1fe — - yI ERA E1. fxcltr3c its .: ••.� '. 3r�cfi Lang - - _ * C i19 .: .# '8 s U W gig �i $ Q _ _ —MANAGER _ iRAAR!t 4 1 _ �.r�c+r•.� r — ! kk w - !T v 3 This Ryrtificats r+tu51 not bo altered in any onamTer, rettun to Tiwe offico of the board if incorrect. Inspectors rnoy be identified by their credentials. c� II gown o/ Queens6ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 i SEPTIC DISPOSAL SYSTEMS INSPECTION NAME Aom" LOCATION_ DATE PERMIT NO . 411 SOIL TYPE an Loam - Clay Percolation Test Required? YES Percolation rate - Min/Inch TYPE of SYST Absorption fi d , total len h Length of eac trench Depth of trenc es size of gravel •,? SEEPAGE PITS{N er of Size- ft. X f Gravel size PIPING : Size T e Bldg . to tank cic(r Sf Tank to dist _ bo M'f Dist. box to fi d Openings Seale ES NO Partial LOCATION/SEPA TIONS Foundation t tank ft- j Foundation t absorpti n .1 "2 ft _ Absorption lot linef t _f Separation f pits fte OF SYSTEM. ON PR PERTY (circle one) m?TS . Re - Left side Right side SYSTEM USE APPROVE YE NO Building Inspector 01/86 and vl P1 BUILDING and ZONING DEPARTMENT / • J Bay and Haviland Road, R. D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT gONNA C:;v >r --,,r .r e_4/ 15ram--- permit No . ✓ =Footing/Pier Farm APPROVEDs YES NO Foundation waterproofing kfi11 raining Roofing Siding Masonry Veneer tolFough Plumbing Relief Valves Ext . Porches Finished Floors Interior 'min Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Surveyr Next scheduled inapection call when ready Remarks- . . B ilding Insp cto 6/86 and-vl awn "' 1 ,/,7 BUILDING and ZONING DEPARTMENT e 111 p I Bay and Haviland Road, R, D, 1 Box 98 • Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date Pe rm i t No ✓ APPROVED - "YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney &6NSULATION : Foundation Floors Ceiling FINAL EL CTRICA INSPEd0fION DRIVEWAY APPROV Final Building urvey Next scheduled inspection (call when ready Remarks- _ 7 40 5/86 and-vi wilding Inspector BUILDING and ZONING DEPARTMENT Bay and Haysland Road. R. D. 1 Box 98 Oueensbury. New York 12$01 BUILDING INSPECTOR ' S REPORT NAME toy, 4 }- �-- LOCATION ,LOT $- j ate7J _ Permit No . r - APPROVED - YES NO Footing/pier Forms y 44 - Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing --"_ Relief Valves Ext . Porches Finished Floors Interior 'Prim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION � DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- Buil ing Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 88 Oueensbury, New York 12$01 iBUILDING INSPECTOR ' S REPORT NAME" ek} /f f e, l / �1 LOCITIONfM ;ho7 � GJ � ,�Idrd Date /'I f�_ Permit Na . "7 - w w �Footln ✓ - APPROVED - YES NO g/Pier Forms Foundation Waterproofing 1/Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar. Fireproofing Boor Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Cie i ling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL. F'inal. Building Survey Next scFieduled inspection (call. when ready ) Re ma r ks- Sul dxng Inspector 6f86 and-vl � r "Pet, vurn o/ ueenizurty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDIWj:(110 SPE OR ' S REPORT NAME t LOCATION Date / Permit No . 8 Lel ✓ - APPROVED - YES NO Doting/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry veneer Rough Plumbing Relief Valves EXt . Porches Finished Floors "— Interior Trim_ Stairs & Railings Cellar Drain Tile W Concrete ,Floors Plbg . Fixtures Gar . Fireproofing . Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Wa11, s Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready Rema rk Building Inspector 6/86 and-vl _J'ourn o� �eteerrs6ur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATI N� / Date A�/_ Permit No . ✓ = APPROVED - YES NO AxTting/Pier Farms Foundation Waterproof3.ng Backfill Framing Roofing Siding Masonry veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings _ Cellar Drain Tile_ Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- PaLL _ ?lily Building Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46£ L, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED" * DATE CITY ORS VILLAGE TOMINSlIIP / � S.�^' - .- r ,...: �• . _ COUNTY STREET AND no. OR ROAD AND POLE NO. Z / x-"" +3 !� r G C t• ..✓ ..a "..f POLE NO. BETWEEN WHAT TWO PRISES LOIGY ED7 / +�' �+ ^✓ SECTION BLOCK LOT OCCUPANIT"S BUILDING NAME r^:J� C-- .;�' ... .. K^ - OCiGUPANCY OMMIERIS NAME AND ADDRESS �S. _f,.r> -s , . . [." ,c-�r.a .+'. %" ,_ „j 'f 'I .�- TEL. CLIKKum SUPPLIED ,.- /' �.�+ ,,r J'� BY r' - '1 " «5 .�" FROM THEIR - Ca- ,r^"L-a !r �-'t OFFICE FECTS is ILDING NEW OLD ISORX NEW �. ADDITIONAL CQ REMOVED 0 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NLO R MOTORS HEATERS OFFICE USE Laer ONLY skl. Aesaw. x H.P w.m» Oe3y weB RaISP'Is Synia! - - Braeaont Ma Type Eanh Na Eieh N'a DerEe INSPECTION OR7F Nl/e Sub, Ilrn Brrr wRwM lIt Fi_ Z" FI 3rd FL REMARKS: LIST OTHER ELECTRICAL DEVICES MOT SET FORTH ABOVE: 00 NOT USE THIS SPACE. This apPVc ti a inuwdad to co+er the abowe-listed epuoom t to be inspecxrd but d at time of i rs You are �oei=41 to bake thr imprction and sdjw t the fan to ceerer URr additional nsPac'h� is found eddixionel eiI11i1Mnenx not abore listrd, eRP{i11nMRIR, M Proaided by xhe applicant.. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF ■IIORK CONCEALED TR ANS FORK"RS OF VA WORK TO BE -•-^ �. / ,r' I (NUMBER) (CAPACITY) STARTED .r--✓'..{F i[ SIZE Of SIGN SERVICE OVERHEAD UNDERGROU MAKER ENTERS ILDING OF SION INSPECTION REOUESTED ON OR AS NEAR AS POSSIBLE NEW OLD E AVOID DELAY BY GIVING FULL AND ACCURATE IN FOR MATT ON. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME AND ADDRESS _ NAME OF V SIGNATU RE I►PPLIGAI#i ,F ____.�__ l �,.r �r /l OF APPLIGAPI7""�^� -- - -�'" '""w• STREET ADDRESS -<L 7r^ �s'.a.lr �`"�C..- " r/� of r-a -2J. TELEPHONE CITY OR ZIP yp LICENSE NO" r POST OFFICE CODE /. 'r- ep-o4? O WHEN APPLICABLE ae EL (REV" -I]ea) A SEPARATE APPLICATION MUST` BE FILED FOR EACH SEPARATE BUILDING r Ir+Y ^! 4 C? D/ } ♦�� } Goon r VA J410 "se-g" (84S) wom ` umi n0 a 30 A% . 'OWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 1 2804-9 725-5 1 8-792-5832 September 4, 1990 MR. MARK CHENIER 2 Willow Road Queensbury, New York 12804 RE: .Building Permit # 87-118 for a Single family dwelling at 2 Willow Road Tax Map No. 90-8-51 Dear Mr. Chenierz The permit noted above has expired without a final inspection raving been done by this department and a Certificate of Occupancy issued for use of the new construction. Please contact this department no later than September 15, 1990 to arrange for this inspection. Thank you for your cooperation. Very truly yours, DA'VID HATIN, DIRECTOR BUILDING & {CODE ENFORCEMENT DH:lm "HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763