1988-244 {
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CERTIFICATE 'OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 19 19 89
Srg —
This is to certify that work requested to be done as shown by Permit No. 88-244
has been completed.
This structure may be occupied as a One Familu Dwelling
Location Lot 86 Hidden Hills Drive - Hidden Hills - st. No. 51
Owner A & Z Drywall Dev., Inc.
By Order Town Board
TOWN OF QUEENSBURY
/if�---
• ;
Building & Zoning Inspector
BUILDING PERMIT
a
TOWN OF QUEENSBURY
No. 88-244
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to A & Z Drywall Dev. , Inc.
(St. No. 51)
OWNER of property located at Lot 86 Hidden Hills Dr. — Hidden Hills Street, Road or Ave.
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 41
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. sh
N
1. OWNER'S Address is b
R.R.#2 - Box 528
Granville, N.Y. 12832
2. CONTRACTOR or BUILDER'S Name b
CD
Same C
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3. CONTRACTOR or BUILDER'S Address cb1
Same
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4. ARCHITECT'S Name co
rn
N.
a,
0
5. ARCHITECT'S Address b
Imo•
ti
ti
to
6. TYPE of Construction—(Please indicate by X) b
(N)Wood Frame ( ) Masonry ( )Steel ( I
7. PLANS and Specifications >Z
R,
No. 30' X 60' as per plot plan, specifications and application
including septic system and attached 2-car garage. ti
ti
8. Proposed Use
One Family Dwelling
0
5.00 c/o
$ 108.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 1988
(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.) LC
Dated at the Town of Queensbury this l7th Day of May 19 88 ti
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
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 1 315
' 2 . Type of -heat ( G'}S -` C�I,�Gj(L1G ��"� P rs,
3 . Is the building mechanically cooled? P"r* •
4 . Percentage of area of windows and doors S
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
•
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
l. 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 of roof and floors exposed to ambient conditions
2 . R value of exterior walls
•
3 . R value of glazed area R- 3 t 6
4 . R value of doors } '
5 . R value of floors over unheated spaces a5
• " 6 . R value of slab edge insulation - unheated slab /4/9
7 . R value of slab insulation - .heated slab JN
B . R value of heated basement/cellar walls (above grade) /1"f
9 . R value of heated basement/cellar walls (below grade) //I
10 . Type of insulation 041 F er( 11,111, GL5-1LId4/ G rtoorlg
C. Controls
1 . Thermostat maximum heat setting
•
D. Duct Systems •
1 . Is duct system installed in unheated spaces? YES N"
a. If YES , R value of duct installation /'-'f-
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
1 . Performance efficiency Cr
2 . Temperature control setting maximum t Lt O
G. For Swimming Pool Only r�) •
1 . Maximum heating •
Telephone No.
(applicant ' s signat re)
TO BE COMPLETED BY BLDG. DEPT. YC +•^,v OF QUE1N.SEa' ? '
' C. i 0 r7 r; �...i
�j .Application No. P :
_ wn o/ Queei.iZurij Permit Issued 19 'l - - J
BUILDING and ZONING DEPARTMENT LI �/ - 8 i .
Permit Expires 19 I �' IJI
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No. BUILDING & CODE DEPT.
— Q� Site Plan R w No. .
` ` �, 2e , „,,,
V.--�t\k APPr v S Q'
APPLICATION FOR •
BUILDING AND ZONING PERMIT i/3 -Fe a- Ati ,
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ::•*
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: Il4Z c(Z\/ k, LA- p V t j f 1. C.)RR
P.O. Address CI >s 5q g- erPONVI VCJl) my, ) - 3 ,D-- Tel. c(j'-I9-` 1 T3 c
Property Location: L.c� 6 0 i OOefr I+ ) r- lis' u...1 $) S1 Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable) \-# ( DOS- ti R 1 L,L-
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
R IC,li- S i RA°6"- f)r Z PLING
Name P.O. Address Tel. No.
Name of builder Az P izkiv'f UL YJc v i 4ddress RE2-2-•Qa?Cs";--'-�Ri},0f LL&y/q-y Tel. 6 Lig-1'3 S--
Name of plumber I1 yJ( ,J •f}�f3 c,_,,,�K( Address a.-jk9 Ra-c /7�TaA< 1,vp C:a� Tel. '7° 3— Gag y
�L-L5"
Name of mason `ri--C,IVI A< Address Id' - A l i jj) L ,v J I(ii_,,- Tel. t L%2,_J y L b •
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT 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
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
/Q M- * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 0 0 ft X lad ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE:
r3FrO'jl 6, 6k * Existing building (s) Use
It Size of new structure / ft X
Foundation-pier/slab/crawl/partial full * Proposed building, distance from property line
(circle one) * Front yard 2, S ft Rear yard J 0 ft
No. of stories (habitable space) 1
Height (grade to ridge) ft. * Side yards ft and ft
* If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) c * OCCUPANCY INFORMATION
No. of. bedrooms 3 * PRIMARY BUILDING `-
No. of bathrooms .
Primary heating system �s' * One family dwelling
n * ,Two family dwelling
Type of fuel ls^�1.5
No. of fireplaces to be installed po * Multiple dwelling / Number of units
Will a wood stove be installed? , .v
** Permanent occupancy
Central Air conditioning? �� Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
i Contemporary Log cabin * Other '
•� �sed 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 ) * "'l Attached garage/one car/ -wo car ' car
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * _Other
CONSTRUCTION (�t� *
INFORMATION ON BUILDING6v LFfI,P,I TIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form 8PA 4/B6 and-vl __.L. 9T-
BUILDING PERMIT APPLICATION CONTINUED -
•
BUILDING SPECIFICATIONS:
Type of. construction, wood frame, fire safe,etc. 1/'201='iD R-)kj (l
Will any second-hand or ungraded lumber be used? If so, for what? NO
Foundation wall material 170 0 ('2.f310 Thickness id 1
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
Will there be a basement? *5 Will any portion be used as living space?
(If so, what portion? sq.ft. - -)Type of use? -
Type of roof - - opee/flat/shed/other3//g. Material. of rooffilli file_ T . 1cLf� Fc�i�� CDC
Size, wood stu. _ "X 6 " spacing 1-4 "o.c. length ft.
Joists(floor beams 1st. floor "X " spacing "o.c.. span ft. .
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.. .
Roof rafters "X spacing o.c. span ft.
-Tizu 5 5'Yq'L)'Y1
Roof trusses (pre-engineered) spacing a44 "o.c. span ft.
Exterior wall finish C. L%-j) A-(f S" l i9(Fvb-Of what material?
Interior wall finish 5 1-+-};L- R bt,2
If a ga age is to be attached, describe materials to be used for FIRE SEPARATION:
1) 1 ' 1t1��r 1-o G r
Is there to be an opening between garage and dwelling? r-- If so will a Fire-rated
door, enclosure, and self-closing device be provided? 1�
Will a flue-lined chimney be installed? Height above r of ft.
Depth of chimney foundation below grade -�'v!�t.
Depth of fireplace hearth/Ill-ft. in.
Water supply - Municipal or private well TOW p,) uo U), 1�
SEPTIC SYSTEM _ Distance from ANY private well(including adjoinin `properties ft.
(A separate application is necessary for_ any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of 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.
SWORN TO BEFORE ME THIS "'"-2. Signaturea ---ef''-p1 " - 1---
Owner, owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT: •
By
INTERIM BUILDING PERMIT
PERMIT APPLICANT -74- Z 0/2y • L./1.
CONSTRUCTION LOCATION / - 11jl,'( 7' .//'//
EFFECTIVE DATE • /�'`�y � /J'g
APPROVED BY //, - .
SPECIAL CONDITIONS :
•
•
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of. the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit -
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONSPICUOUS OCATION ! !
Building & Codes Department •
TOWN OF QUEENSBURY
FILE COPY
alun Of Vicect1e4
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE /
LOCATION OF PROPERTY FOR INSTALLATION l.C.9 I 1410otT, i-h L, (-4
Owner's Name: RI-2 fla. 1,,, P 1, V DU I)t Telephone: 5 i 3
Address: I( oL 160 N. Gi-artooi LI, L !" r I i
Installer's Name: l WO (lc, Telephone: l9 - 1 y
M'i D GR v) f'-w•
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) 9- c O
Topography: circle.one: Fla Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: feet
Ground Water: At what {lepth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank I 600 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S): Number of 3 / Size each 6 feet by feet
Size of stone to be used # 3 / Depth or Thickness L feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(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
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.
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.-
(TEMP.# j I DATE l '��
CITY OR - --- l ,
VILLAGE '-' - .`' j l- _°' L . •: TOWNSHIP --‘( Y:0,1'' I?_ i-,`•/ COUNTY k El :,:: rt-./
STREET AND NO.OR -
ROAD AND POLE NO. - POLE NO.
BETWEEN WHAT TWO
CROSSROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK 5 LOT
OCCUPANT'S L �1l - ' ii BUILDING .-�. •
-
NAME I `L \T •.-,.?'�—" OCCUPANCY cs,,
OWNER'S NAME 1 -{. ' _ } (, tAND ADDRESS ..�(t..\ ':� co , J-t j'S ,s^, -x- - TEL #
CURRENT - `��` t `(
SUPPLIED \� r,. n I ` tf����k. FROM THEIR .JU 1 F. OFFICE
BUILDING ✓c`EEJW`❑ SOLD❑ iWs
NEW ❑,� ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS Fixtures& BRANCH CIRCUITS OFFICE USE
Loca- ONLY
tion Side Attech't H.P. Watts A.W.G.
Ceding Wall Reeep'is Switch Pendant Bracket No. Type Earh No. Exh No. Gauge INSPECTION
'
Out- �^. r* -
side �J
Sub-
base .
Bur i_j .,
ment ;� --
1st FI. ''— C./
`) .ri r
P
2nd Fl.
3rd Fl. -
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
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,io make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF r`..{/ :=,.-L ELECTRIC SIGN TOTAL
MAINS !/ /L"� FEEDERS /1, LAMPS WATTS
1 _ /.
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED —_ COMPLETED SIZE OF SIGN
SERVICE OVERHEAD - - �' UNDERGROUNDy•> 'MAKER -
BUILDI ��,�,-,...--^-`-•-- OF SIGN -
BUILDING -
- INSPECTION_REQUESTED n n
POSSIBLE NEAR AS I I I I
NEWI OLD I I
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION •.,
PRINT NAME AND ADDRESS - ` {
(SIGNATURE fy ;.'d`'-
NAME OF p.{. j j 7 1 i_ .. ;.i i`_ /�OF APPLICANT'' '- _ r/� f y .
APPLICANT'
• STREET ADDRESS ` (`•. = <"'• TELEPHONE# f; -, ;
CITY OR i "j -./ - ZIP LICENSE NO.
POST OFFICE r,;.,, ,.i-1%t--`'' .j .I . , CODE / 'i -7. WHEN APPLICABLE
46 EL (REV.1/e6) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
1 1
!%,.�tl.\t4a1, 4."..1,!.. w..e1.In)_"4.".at_1. 6".a�(.,�tti t(„��(JAL.tIJ_�1-sit ne4,e4.".ate,?ti.at(.fit(�h; Jt( jt(."fi ?
iP THE NEW YORK BOARD. OF FIRE UNDERWRITERS LAE 1.
{0;13803
-a
j; 41 STATE STREET.ALBANY.NEW YORK 12207
Date _ ?I_'i1iI 1.i .1'_? �} 0" 1 3 r_l 1 f:8 f, , v 1 O_:09`9:>
Application No.on file --.- - h•= �� ��
THIS CERTIFIES THAT •
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of :7. DEVELOPMENT, HIDDEN }I i LI.S . POLE NUMBER :'.07. GLENS FALLS, N.Y.
6
in the following location; ❑'Basement ❑�1st Fl. ❑ 2nd Fl. S'' Section Block Lot
?l�, - I0, 1.9 :9
was examined on and found to be in compliance with the requirements of this Board.
II FIXTURE I FIXTURES RANGES _COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
ECEPTACLES SWITCHES
i 3 31. 7 -1 3 :1. I
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI OUTLET DIMMERS
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 SYSTEMS AMT. WATTS
1 3 1. r
SERVICE DISCONNECT NO.of S E R V I C HI-'L G E o 5
AMT. AMP. TYPE UIP 1,B'2W I 1,B 3W 3 if3W 9,B'AW NO.OFF C�COND. OF CC.COND.. NO.OF HI-LEG OF' NO.OF NEUTRALS OP NEUTRAL =�
200 CB
1/0
I.
w ,- OTHER APPARATUS:
'n J.P. -..I: -c
li
MINE DETECTOR:-2
gj.
�' I-
F
1'
LI
ii
GLENS S FALLS,L`u NY, 1. J.I. BRANCH MANAGER. -
Per '! a
.,, This certificate must not be altered in any manner,return to the office of the Board if incorrect. MO Inspectors!WV ® ME
may be identified by their credentials. :
eriel�i`l�r7a ® ll ® ll ll t ME 11 I7 n M N'i��'ie',6,'",e'i11..�.-.r
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. • 99
TOWN OF QUEENSBURY
P/r7 BUILDING INSPECTOR' S REPORT
SITE INFORMATION
BUILDING PERMIT NO. 88244
FIRST NAME A & Z LAST NAME DRYWALL DEV . INC .
ADDRESS _LOT 86 HIDDEN HILLS +D°IRIVE
CONTRACTOR A & . Z DRYWALL DEV . INC .
\\
DATE 06,/16/89 a%
\ //
INSPECTIONS
APPROVED (Y)
r FAILED (N) DATE INSPECTOR
�
r
\, r
W
FOOTINGS \ / Y 05/15/88 WR
MONOLITHIC POUR FORMS / /
FOUNDATION/DAMP—PjOOF ./ /
BACKFILL APPROVAL/ , Y 05/23/88 BM
ROUGH PLUMBING / � Y 08/22/88 RG
FRAMING:
PARTIAL / 4. Y / /
COMPLETE / �: Y 08/22/88
ELECTRICAL R!IN \ / / AGENCY
INSULATION : \ RG
FOUNDATIO R—RG
FLOORS R—
WALLS / R— \ Y
CEILING/ R— `\,. Y
II1MJ PECTION:
ROOFIiG —
SIDING r'
EXTENAL PORCHES/STEPS '4`--
STAIR CLEARANCE/RAILS flU
PLU BING FIXT/R VALVE `trl
INT RIOR TRIM/DOORS
FIN SHED FLOORS I T1L/
GARAGE FIREPROOFING C
DOOR CLOSER (S)
SMOKE DETECTORS t.,
FINAL ELECTRICAL INSPECTION `j// / AGENCY A - Y Ie e-L eg
FINAL APPROVAL OF CONSTRUCTION / / ;
CERTIFICATE OF OCCUPANCY ISSUED / /
REMARKS
FOOTINGS FOR GARAGE NOT READY 05/19/88 , SEPTIC SYSTEM OK 04/10/89 FO
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /917-2
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME - � - Z
LOCATION 67 j �� G �iti 7V//ls 79
DATE -- 3 -F9 PERMIT # (P" CV 4 1/
:APPROVED
� YES, NO
•
£..4 OTING/PIERS ve.fi,L `�\
MONOLITHIC POUR FORMS / \
FOUNDATION/DAMP=PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING •
ELECTRICAL ROUGH-IN
INSULATION: {3"
FOUNDATION •
FLOORS
WALLS .
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT � .
ROOFING
SIDING
EXTERNAL PORCHES/S!2'EPS
STAIRS-CLEARANCE & RAILS \
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS=,
FINISHED FLOORS/
GARAGE FIREPROOFING ;,
DOOR CLOSER(S)/ e
SMOKE DETECTOR'S
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:
•
INSPECTOR
INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
APPLICATION NO. 2 4747 y
g L 1 ll
LOCATION
710/i�
DATE INSPECTOR
FORM!BD(REV.1/86)
•
Jown o� Queeniurj
• BUILDING and ZONING DEPARTMENT q Bay and Haviland Road, R.D. 1 Box 98 9
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ,•` `'`" Z �2l .il
LOCATION /G2)L o ,4/,(,1e=&? A/�
DATE_` -4/iq PERMIT NO.
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch j :
TYPE of SYSTEM:
Absorption field, total le r'
Length of each tr
Depth of t es
Size o gravel Vl. _
SEEPAGE PITS{Number of) f
Size- ft. X -ftJ •
Gravel size
PIPING: '^r�` Size Type
Bldg. to tank f $ela 0
Tank to dist. box J` 14
Dist. box to field%pit
Openings sealed? �1 Obi NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /7jft.
Foundation to absorption Z_L/ ft.
Absorption to,plot line C)J& ft.
Separation of/pits OIL ft:
LOCATION OF YSTEM ON PROPERTY(circle one)
Front _ Fez_ Left side - Right side -
COMMENTS:
•
SYSTEM USE APPROVED
Building nspector
01/86 and vl
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 / /'7/?r
NAME _ 4�}-a z,.t,�/a�`Ctit �i1�(/G� , ✓/
LOCATION
DATE /47/1/c/ W PERMIT I /(q —21/y
h'r APPROVED
YES NO
�r
FOOTING/PIERS ,4
MONOLITHIC POUR FO S 1
FOUNDATION/DAMP-PRO aING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN "
-INSULATION: /
FOUNDATION
FLOORS
WALLS
CEILING )(7"/
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING "
EXTERNAL PORCHE /STEPS
STAIRS-CLEARANC & RAILS ‘
PLUMBING FIXTU ES/RELIEF VALVE
INTERIOR TRIM RIVACY DOORS
FINISHED FLOG S ‘
GARAGE FIREP OOFING
DOOR CLOSER S)
SMOKE DETE TORS
FINAL ELECT CAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
e
Weid.leCV(1)
INS VECTOR
Jown of Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /f //
LOCATION % 6 11,,, /_ f?,//s'
Date 9 1 / . Permit No. rd' �'{
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Wraming
Roofing
Siding
Masonry Venee \ /
ough 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 ELECT AL INSPECTION
DRIVEWAY APPR -
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- Ixecatt
1-
j/LA 3r2g Gam/2-" v,.Sial ig . o 6C
•
Buil i ns or
6/86 and-vl
_town Of Queeni4ur,
- BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME A,s2. -D� t_ti A,
LOCATION16V" d ;\A )LtJ
Da 1,. 2/ Permit No. We `-0'
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms /
Foundation
Waterproofing
Backfill //
F raming /`
Roofing
Siding
Masonry Veneer
Rough Plumbing& L,'
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 ELECT' CAL INSPECTION
DRIVEWAY APPRIVAL
Final Buildin:, Survey t
Next scheduled inspection (call when ready)
Remarks-3.1 1.d..0 ` kt_..,
Piiij&Q
Sa ' •der N64_.
hers,
s ti.s6 ,,,))c-iiLAD
Building Inspecto
6/86 and-vl
.Town of Quecnitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME /9v4 % %(. f, 12,6CJ .
LOCATION �D II Ki ;�?, ,
Date �jj 3 / Permit No. U U -O7`L 9.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
(Footing/Pier Fi/ Gms
undation �p
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
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICA INSPECTION
DRIVEWAY APPROV'
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Q1
L
.. 14)1
Building Inspector
6/86 and-vl
_town of Queenáur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 2
LOCATION ,VZ‹
Date„5-.:(3/f K Permit No. a 274
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / N
Footing/Pier Forms
o dation
aterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves f,
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 ELECTRIIAL INSPECTION
DRIVEWAY APPRIVAL i
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
I/ IP/
tte
A-
Building Inspector
6/86 and-vl
4�' awn o Queen3tur
j0BUILDING and ZONING DEPARTMENT
n Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME / / -2 `17,441-
LOCATION •' / <%ie4 f6ç
Date ,S--/q /" Permit No. V-2
* * * * * * * * * * * * * * * * * * * * * * *
$ — APPROVED - YES / NO
Footing/Pier Forms C'4.4 5 n
Foundation i/X�
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ven-er
Rough Plumbi ,
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detector
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT•t CAL INSPECTION
DRIVEWAY APP'OVAL
Final Building Survey '
Next scheduled inspection (call wh n ready)
Remarks- ?//
/7
//fe- % ' '
61
Building Inspector
6/86 and-vl
j Iq✓'� .Down of Queenibur/
fBUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME fi
LOCATION4L gb- Y(" p,S
Datevr-/s /g Permit No.
* * * * * * * * * * * * * * * * * * * * * *
� ✓ = APPROVED - YES / NO
'Soting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene-r
Rough Plumbin•
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof'ng
Door Closers
Smoke Detectcrs
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Bu n Inspector
,o and-vl
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