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1987-653 r 4L ► dd CERTIFICATE OF OCCUPANCY i TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Al Il't Y U 19 7J This is to certify that work requested to he done as shown by permit No. 87-653 has been completed. One-Family Dwelling This structure may be occupied �as/�-a� Location Owner Paul Lansburg I By Order Town Board TOVV'N OF QUEENSBURY Building & Zoning inspector • BUILDING PERMIT � TOWN OF QUEENSBURY � No. . 87-653 Q WARREN COUNTY, NEW YORK w 4a PERMISSION is hereby granted to Paul Lansburg I fl OWNER of property located at Street, Road or Ave. i w in the Town of Queensbury, To Construct or place a 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. [2. t]WNE R'S Address is c RD 4 Box 374 Pinello Rd . F ' ce Glens Falls , N . Y . 12801 w m CONTRACTOR or BUILDER'S Name r- H Same °4 3_ CONTRACTOR or BUILDER'S Address w r• as 4. ARCHITECT`S Name w 70 5. ARCHITECT'S Address 6. TYPE of Construction — {Please indicate by Xy I V Wood Frame ; I Masonry C ) Steel ; ) r ~=i 7. PLANS and Specifications F-� r No. 28 ' x 36 ' per plot plan specifications and application including septic system and attached one car garage . rb B. Proposed Use One-Family Dwelling w a4 $5 . 00 CIO $ 124 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 , ig 88 (If a longer period is required an appllcation for an extension must be made to the Building and Zoning inspector of the town of Clueensbury before the expiration date.) Dated at the Town of Queensbury this 28t:h Day of Sept . 19 87 SIGNED 13Y � r &.,ar .r + for the Town of Queensbury Buil ing and Zoning I nspector mx[ /q�. _ TO BE COMPLETED BY SLDG . DEPT. �.�"" ��'� Application NO . r J0"/It a/ Queeni6es► y Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 T471NsV OF' ai Bay and Haviland Road, R. D. I Box 98 Zoning Designation [2 N ��} U ti Oueensbury, New York 12801 Variance No . -- -r �, Site Plan Review No . $EP 2 2 M7 - + � Approved >'Jv APPLICATION FOR 'fC f3EllLlhlC °� { C � =.3E 4' ` 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 . The owner of this property is : P . O . Address 4 Tel . `� S' �, Cq Property Location :. . �.. , crk +=.jt.. � s � {y_ e Tax Map No . Street nunbt>er a building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WO AS REGARDS BUILDING CODES IS : arc 12ac 1 ` Name I�, t P , O. Address Tel . No . Name of builder'1 � . ` 1 c�+� 1si�C Address i � � � -� r • �•ev�� 7 �`�. Tel . Name of plumbcce��r. 11 Address Tel . Name of mason c c3 Address 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 * 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 . P_ * Size of property 2 . $; ek 04e4IC2 ft X ft . Existing building ( s ) Size�_ft X� ft . PROPOSED BUILDING AND USE : w Existing building ( s ) Use Size of new structure 3J?Ift X Foundation-pier/slab/crawl/parties full * Proposed building , distance from property line ( circle one ) Front yard A2,0 ft Rear yard 3 � ft No . of stories (h bitable space} ft Side yards ft and Height ( grade to ridge) ft . If on corner , setback from side street ft If residential , no . of fami. . i s — No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No , of bedrooms e� ,F PRIMARY BUILDING No . of bathrooms _One family dwelling Primaryheating s stem [3 � ....d Two family dwelling Type of fuel Multiple dwelling / Number of units No _ of fireplaces to be installed Peapent occupancy Will a wood stove be installed?!1✓� c Transient occupancy Central Air conditioning? � _..,�-�.^ Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin * If addition , what will use be? Raised ranch Mansion Duplex '" Split level Old style B alow Cape Cod Cottage Othe '" ACCESSORY BUILDING- Colonial Row own House Detached garage/o r/ two car/ car ( CIRCLE ONE PLEASE } -Attached garage/ ne two car/ car * * * * a * * * * * * * * * Private storage b ing ESTIMATED MARKET VALUE OFF 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 frame , fire safe , etc , �� V. gc , w Will any second-hand or ungraded lumber be used? If so , for what0.? Foundation wall material VXA clQ V, Thickness it Depth of foundation below grade (to bottom of footing ) YZO / ; Will there be a cellar? Heated or .r rkx d? _Floor sq. footage ti t-,--� � sq ft Will there be a basement? Will any portion be used as living space? ss ( If so , what Po ? _sq , ft . - - Type of use? Type of roof - slope flat/shed/other Material Of oaf Size , wood studs "' X___..� " spacing"o . c . length ft . Joists ( floor beams ) 1st . fTcaor �"X 1i __" spacang� T"'o . c . span ft , Joists ( .floor beams) 2nd , floor " "X�" spacing_AA¢Ile . c . span ft , Overlays (ceiling beams ) _ ^""7" spaoing "o . o . span ft . Roof rafters "x " spacing O . C . span ft . Roof trusses (pre-engineered) spacing_ q " o . c . span'tL&Jt . Exterior wall finish Of what material? Interior wall finish > z )4 If a garage is to be attached describe materials to be used for FIRE SEPARATION : Is there to be an a ening between garage and dwelling? , If so will a Fare-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? Vc r Height alcove roof ft , Depth of chimney foundation below grade- ft , Depth of fireplac rth ft . in . Water supply - unic,pa o private well SEPTIC SYSTEM _ nnce from ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of septi system) Town of a A F F I D A V I T STATE OF NEW YORK 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 . '�1 SWORN TO BEFORE ME THIS Signature [-�. � ---- - Owner , owner ' s agent . arcnirect , con tor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : By________ ________________ 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 16 2 , Type of heat ' 3 , is the building mechanically cooled ? (Z, 4 , Percentage of area of windows and doors 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 ? 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 of roof ��+ and floors exposed to ambient conditions e�D ic ,,�t 7]i /EZ! /Z to -: ^ 2 , R value of exterior walls — ' 3 . R value of glazed area fc,��) 4 , R value of doors / .Z 59 R value of floors over unheated spaces 6 , R value of slab edge insulation - unheated slab�J�� 7 . R value of slab insulation _ heated slab 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement/ cellar walls ( below grade ) t, 10 . Type of insulation 121D e /14) G-/�rJ`. - ram' Co Controls Y. 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 rr 1 . Size of hot water or cooling carrying agent pipe 2 , R value of pipe insulation F , Service Water Heating 10 Performance efficiency, 410 '>0 2 , Temperature control setting maximum. { �` G , For Swimming Pool Only i . Maximum heating Telephone N o . "� ( applicant ' s signature ) z *arm af"e4w&OF APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE S , / LOCATION OF PROPERTY FOR INSTALLATION Owner's Names c� `h �.p k ` ., ., .,- Telephone: .' C( Address* `'Q'+KC �i '?�� e`�. V ���� rric � '� srr- � Installer's Nam e: t,r h �52� t M4 t � n, Telephones S',' ,. _ Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography. circle ones la Rolling Steep Slope of slope — Snit Nate: circle one: and Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or impervious Material: At what depth? —�_ feet Percolation test: circle ones n required required / rate min. inch. Domestic water supply: circle ones Municipa Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption [ c, CAI feet PROPOSED SYSTEM* Septic Tank <: y Q gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length �J Q a) feet SEEPAGE PIT(S) 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 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, the 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. Co 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 Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: Date: f Town of Queensbury Building and Code Department Bay at Haviiand Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE i TORN Of QUEENSMY 531 BAY ROAD 12804 TELEPHONEY � ( 518)NEW0RK 792= 5932 BUILDING ININU E p own 5 REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED�f L► ! �� NAM£ t^, LOCATION `+ DATE b PERMIT! TYPE OF STRUCTURE 10r RECHECK FIRE MARS L APPROVAL ( ERCIAL S3RUCTURE) ✓TOOTING F04NIDAT?�N BACKFILL ✓ FRAMING eOUGH PL I G Y FIN ELECTRICALSEPTiC ri1SULATION WORST E/FIREPLACE E PLAN/YARI CE RE IREMENTS YES NO REMARKS .' N/A YE: NO CHIMNEY HEIGHT O�ATION_ B YENT/LOCATI PLUMBING YEN ROOFING SIDING DECK/P RELIEF VA YES FURNACE/ T W RG BASEMENT INSULATION/ CTWOR INTERIO TRIM/PRIVAC DOORS FINISH LOORS : � . BATH ITCHEN WATERTI HT OTHE FLOORS SWEEPAB OTHE FLOORS CARPETE STAIR LEARANCE/RAILING. HANDIC PPED ACCESS SMOKE TECTORS BATHROOM FANS/WH ALL PLUMBING . FIXTURES OPE ' T Ida GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SMRATION. FIRE/DEMISE WALLS DUMPSTER FINAL ELECTRICAL OK TO ISSUE C/0 OR C/C ARRIVE . DEPART THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8C1t75p5E BUREAU OF ELECTRICITY - 41 STATE S NEW YORK 12207 Date JUNE '' 1 , 1991 Applirotion No. on N 11 59589 / 89 H 411911 THIS CERTIFIES THAT R*NIT W . 87 - 653 only the efoetricat equipment as described betas named Iniraduced t naed on the above application number in the promia" of PAIL LANSBUkG , PRI _1TE DRIVE /Ofr BIGB V RD . POLEV 2 4 / 1. , GL'4" FALLS , N . 1` . s in the following location; Q Basement Q bat Ft. © Snd Fl. Sectiarrl 3 7 Blaclr Lot 1 ' 4 1 waa examined on JU NE 1 4 - 1 991 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES ]COOKING DECKS OVENS 104SH WASHERS EXHAUST PANS CKJTWS ECEPTAcLES SWITCHES INCANDESCENT MJCWESCENT I OTHER AMT. K. W. ART, K. W. AMT. K.W_ AAAT, K. W. MAT. H. P. -6 ' 9 3 ' 3 3 i. 1 . 5 3 F DRYERS FURNACE MOTORS PIJTLIRE ^!NUANCE FEEDERS SPECIAL REC"iT WINE CLACKS Rau UNIT HEATERS MULT"KITLEE REMINERS AMT, K. W. OR H. P. GAS N. P. AMT. Nt7. A. W. G, AMT_ AMP_ AMT. AMPS. TRANS. ART. 31. P. No.S ST A,MT. WATTS 1 3 3 600 SERVICE DEpDpNNECT N0. or S E R V I C E AMT. AMP. TAPE METERN 10 2W 1 1 3W 3 .E' 3W 1 30 4W 1 NO. #PERCC, CONND. OF [[ D. NO. of NI IRG Of M'LFG NO, OF NEUTRALS #F EuM TRAt 1 q00 CB 1 1 4 / 0 OTHER APPARAIM PADDLE FANS 3 K.L£[; . R00A1 RE AlEkS : I - . 5 F . ti . . I - 75 K . W I - 1 K . W& ELEC , ROOM HEATERS : 1 - 1 . 25 K . W , . 1 - 1 . 50 I . h . ELEC . RO[]`I HE -ATERS : 1 '' . 5 K' Wf G . F , C . 1 : - A SMOKE DETECTOR : - 1 P?iUL HENR1 LANSHCTRG R D # -f BOX 5 `' 8 a x BIG BA ]- PT) . BRANCH MANAGER (' LEN 11L.L.45 . N% . 1 8()1 ' 3 - Per This certificate must not be altered in any manner. return to the office of the Board if incorrect, inspectors may be identified by their credentiols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST HOT B AETERED IN ANY TOWN OF QUEENSBURY AA BUILDING AND CODES DEPARTMENT 40 BAY & HAVILAND ROADS QUEENSBURYs NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT RbvucsT poR PECTION RECEIVED NAME LOCATION DATE I PERMIT ## �• " � � - - APPROVED YES NO ,FOOTING PIERS MONOLIT C POUR FORMS poUNDATI /DAMP-PROOFING�� _ BACKFXLL PROVAL ,*ROUGH PLUM ING FRAMING ELECTRICAL UGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPBCTION: CHIMNEY HEIGHT ROOFING SIDING EXTE34NAL PORCHES/ST STAXRS-CLEARANCR & RA ALVE PLUMBING FIXTURESIRELI INTERIOR TRXM/T'RIVACY FINISHED Fu)ORS,�— GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL TNSPECTION FINAL APPROVAL OF CONSTRUCT �- ox TO ISSUE c/o OR C,/c ..... �_.. SIGNED CERTIFICATE OF OC PANCY MUS E B A OBTAINED FROM THE BUILDING DEPARTMENT FORE THESE PREMISES ARE OCCUPIE REMARKS: .� ,d� w . _./` A IVS INS ECTOR TOWN OF QUEENSBURY .BUILDING AND CODES DEPARTMENT HAY & HAVILAND ROADS QUEENSBURYy NEW YORK 1280+4" TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED , N or NAME 9AV Jol '-�Cao;- y' 1 •r/J' FJ L 0CA TXON p DA TEiAf PERMIT ,# e7 zal APPROVED YES NO FOOTING/PIERS NONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING HACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—I INSULATION: FOUNDATION FLOORS WALLS tEILI.NG FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING ,EXTERNAL PORC ES/SfiEPS STAIRS—CLEA NCE & RAILS _..._ _ PLUMBING F TURES,IRELIEF VALVE INTERIOR IM/PRIVACY i7OO FINISHED LOORS GARAGE IREPROOFING DOOR SER (S) SMOK DETECTORS FINAL LECTRICAL INSPECTION FINA APPROVAL OF CONSTRUCTIO OK ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PRE'NISES ARE OCCUPIED!• REMARKS: .00 ARRIVk ,2: '~ i pEP'AR.n � I�. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �} BAY 6 HAVILAND ROADS 12L QUEENSBURY, NEW YORK 128016 TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR'S REPORTREQUEST FOR FOR I SPECTION RECEIVED NAME LOCATION DATE /� PERMIT # APPROVED " 2qe� YES NO FOOTINGfPIERS MONOLITHIC .POUR FORMS FO UNDAT ZO N/DAMS'"PROOFING ,BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING } FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURESIRELIEF VALVE INTERIOR 'TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECT-to FINAL APPROVAL OF CONSTRUCTION OK TQ ISSUE C/o OR CfC A SIGNED CERTIFICATE OF OCCUPANCY ^MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' , REMARKS: Of ON gel ARRIVE f � DEPAR INSP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYr NEW YORK 22804- TELEPHONE (5.18 ) 792-5832 BU11DING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED �� NAME �. LOCATION DATE i �. 17 !� PERMIT # ^ � 3 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: 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 OCCUPIEDI REMARKS : INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS (DUEENSBURY, NEW YORK 2280%m TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INS TIdN REC VED NAMEOCA aTI LON DATE ERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATXON/DAMP PROOFING BACKFILL APPRO L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH— ti INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY ,HEIGHT ROOFING SIDING ' EXTERNAL PORCHES/ TEPS STAIRS—CLEARANC & RAILS PLUMBING FIXTU S/RELIEF VAL INTERIOR TRIM) RIVACY DOORS FINISHED FLOi S — GARAGE FIRED OOFING -- DOOR CLOSER { ) SMOKE DETEC RS PXNAL ELECTR CAL INSPECTION FINAL APPRO L OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUSS" BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKSI� f 4 Vol fJ' fI cJ 1 T¢ INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROAMS QUEENSBURY, NEW YORK I280& TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME L',, l /L/!7 S * C r LOCATION• DATE [_f-L_� PERMIT #E - APPROVED YES NO FOOTING/PIERS ' MONOLITHIC POUR FORMS FOU#DATION/DAMP ,,PROOFING BAeKFILL APPROVAL { ^ Rd UGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: x FOUNDATION 1 FLOORS WALLS •- CEILSIVG FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL POR ESISTE �� ,STAIRS-CLEA NCE & RA PLUMBING F TURES/REL F VALVE INTERIOR T IM/PRIVACY OORS FINISHED LOORS GARAGE F1 REPROOFING DOOR C LCTSER (S) SMOKE TECTORS FINAL E CTRICAL INSPECTION FINAL AFlPROVAL OF CONSTRUCTS N �4 A SIGNED CERTIFICATE OF OCCUPAINCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: h { INSP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QuEENSBURY, NEW YORK 3280.9 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT J REQUESTWR INSPECTION RECEIVED_ LOCATION DATE ` kmxT # �� % j APPROVED YES INO FOOTING/PIERS MONOLITHIC POUR RMS FOUNDATION/DAMP-P OOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT 1 ROOFING SIDING EXTERNAL PORCHES/ST S ,STAIRS-CLEARANCE & ILS PLUMBING FIXTURES/ LIEF VA VE INTERIOR TRIM/PRIV Cy DOORS FINISHED FLOORS GARAGE FIREPROOFI DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL IN PECTION FINAL APPROVAL OF C NSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE:' OCCUPIEDI REMARKS: / / r ` V�ja SPECTOR �Jeawn o� �seeerrs6rerr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTORNS REPORT NAME LOCATION Date W / 4f2 Permit No . � J ✓ = 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.__ INSULATION : Foundation Floors walls Ceiling FINAL ELECTRI AL INSPECTION DRIVEWAY APPR VAL Final Buildin Survey^ Next scheduled inspection (call when ready ) Remarks- t/ Buildln44 Inspector 5/86 and-vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT .BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280.. TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INEPECTXON RECEIVED v� NAME LOCATION DATE ', RMIT #_ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBI iU�R:AM2NG ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST S STAIRS-CLEARANCE & QILS PLUMBING FIXTURES1-2ELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFIrNG DOOR CLOSER (SJ SMOKE DETECTORS. FINAL ELECTRICAL :XNSPECTION FINAL APPROVAL OF CC) STRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST Be OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: n INS ECTOR 13UILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW x RK BOARD OF FIRE UNDERWRITERS, FILE THIS COPY WITH BUILOWYCa DN EOiJIRED. 0 v /: , CITY OR VILLAGE STREET AND 4\ 0 Oft 'l"TOWNSHIP S - - HD. h a COUNTY ROAD AND POLE NO. BETWEEN WHA7 - -wEl e CROSS STREETS is PREMI OCCUPANT'S �} t ' .••. TI .. BL K LOT !• NAME BUILDING , OWNER'S NAME'"}^ - {{ OOCUP+MN;Y C�',{j. . ; AND ADDRESS cS, u' LSD- ; ar. '- kc � w�.-,,.� r� T- � TEL. � SUPPLIED /,r^ / BUILDING FROM THEIR E T /*O/✓,j OFFICE IS NEW ® OLD 0 WORK DEFECTS f5 NEW Er A60fTIONAL ❑ REMOVED EJ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Fiiibtree A Ltloom Lamp Raaap{eeils MOTORS BRANCH CIRCt ITS OFFICE USE C7allisy Wall R aI�s Swtadi Amehint Is at Na Type HIP. No. BelowNa ^.M ONLY out Gawp INSP1ECTION side Sub- base Bass- mant Ise Fr. Znd PEEP. f Srd FI. REMARKS; LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This appiication is intandsd to cover the above-listed sgrlPmeM to be inspected but if at time of i You are autherizsd to make dls inspection and adjust this fare tp eoaar the edditiotlal rswaeetiatl these is lour/ additirrsei estuipmeelt rqt nbova Titled, SIZE OF •AlltPaarnt, as Pre k"d by the eppfieent- MAINS FEEDERS ELECTRIC SIGN AAMOS TOTAL CHARACTER I' WATTS OF WORK EXPOSED GAS TUBE SIGN CONCEALED TRANSFORMERS OF WORK TO BE VA STARTED COMPLETED INLINIBERI (CAPACITY) SERVICE OVERHEAD SIZE OF $PON ENTERS UNDERGROUND MAKER ILDING OF SIGN INSPECTION REgUESTEO ON OR AS NEAR AS PVol I E NEW O AVOID OElJL tD IN OR FULL AHD ACCURATE INFORMATION. ALL SPACES OLD Ej MUST BE FILLED IN OR APPLICATION MAY Be RETURNED. DATE OF PRINT NA AN ADDRESS AP C�AT N NAME OF � t./�.� V�, '`+, APPLICANT l�' SIGNATURE rf [^+ ( 8F APPLICANT STREET AODR ESS TELEPiM�]INE # Ci l C 17Y 4R ESL 71 'I ` — p PAST OFF ICE 4+ �`^I- \�11.,rS `4{••" COiIiE LRCE �c..3 '�'Y � NSE ND. WHEN APPLICABLE dB EL (REV- ,leu) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING i 1 S ~ V I F LEGEND KELLEAI.ER IRON PIPE FOUND 2 / ✓ \ a llff. 3a \1b N..)/ j / o UTILITY POLE NIF AMOS NOW OR FORMERLY OF -o- 0/P.S. CAPPED IRON PIN SET w / DEED REFERENCES AIF y 'In ETHEL FISHER TO 5/cAXD `� " PARCEL S" P _. ARNOLD C. &VIOLA M. SMITH /.870 ACRES DATED 4/28/81 l_.538 P.890 R= irr.7r " PARCEL "A° p:-63'oi'9Z 0.758 AGRE a - , \` j I -. Unaulort zed alteration or addition to a survey map bearing a r b C ..7"iCA' [� OUTHOUSE ' �, � 4 �_ __ � ���. _ __ ,___ _.-___ - 1 iteTrsed-�l�am�' survey�ot'°�s' s�afi- 1s a vioration o>'"_�ctfion,.�T�9, w C � j � � - Subdivision 2, of the New York State Education Law. s �� ' < IPA HIf ld \ ��„� �•` ,- •,.� •-�•�..;r � ' a -. ' - - -_ 'a— Only copies from .the original of this survey marked with an 'rER LihF s original of the land surveyor's embossed seal shall be consider- �_ t,vY WIRE p� ed to be valid true copies. Qr �• JP/VE'1� W OD FRAME (/SD fALCAI¢ SHORE, DEED) �\ . WoC D ' 11� ql / S /2°41' +&0f 7Z. 00' � A1° 111b o / .3 \ — _ - / WELL FOVNDAT ION WATER 4114E \ \ ,LP.F. PAQE WIRE FENCE e_ I . j DRAWN BY ENGR. CHK. a�ArTonl -o- NIP f w o Lands to be Purchased by ?X14c e It AQ A ZZ1 ! SCALE TRADE COORD. CHK. - m ul & Linda Lansburg 1 = 40' - DATE TECH. MGR. Town of Queensbury County of Warren 4/ 14/87 _ Cl)PROJECT NO. z o State of New York 87-1 118 oDRAWING NO. > D O GLENS FALLS, LLJ NEW YORK o RIST-FROST ASSOCIATES, P.C. LACONIA, • CONSULTING ENGINEERS NEW HAMPSHIRE -!. David F. garrass BURLINGTON, L.S., #4936.3 VERMONT sHEEToF-,—