1988-565 V 11 hi^iy" '.�ju_�I'> :r1 J i;i•,'krtY 1fi�� w7g41,,-;1 t'�^ ®"� f � ti..q j+��,i�.�r r��r,�i � I l u
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•
CER TIFICA�TE ® OCC FANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ' October 12 19 89
I Li 1 qA
This is to certify that work requested to be done as shown by Permit No. 88-565
has been completed.
This structure may be occupied as a One Family DwNellin:T
Location l " # (Itobin Lane
Owner George Bandura „
By Order Town Board
TOWN OF QUEENSBURY
i ti
Building & Zoning Inspector-
. BUILDING PERMIT 1-3
TOWN OF QUEENSBURY
No. 88-565 b
WARREN COUNTY, NEW YORK
O
00
PERMISSION is hereby granted to Genrge Bandura
OWNER of property located at. Robin Lane #12 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
m
0
1. OWNER'S Address is Ug q
(D
72 Schroon River Rd.
Warrensburg, N.Y.
a
2. CONTRACTOR or BUILDER'S Name
A J S Enterprises
0
3. CONTRACTOR or BUILDER'S Address
6 Highland Ave.
Glens Falls, N.Y. 12801 - Ca
4. ARCHITECT'S Name
I-
tD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
0
( ) Wood Frame ( ) Masonry ( )Steel ( )
CD
7. PLANS and Specifications
No. 50' x 26' as per application, plot plan and specifications including septic a.
system and attached two car garage. •
8. Proposed Use
One Family Dwelling
$5.00 C/O
$ 128.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MaRCH 1, 19 88
(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.)
Dated at the Town of Queensbury .31st Day of, August 19 88
SIGNED BY 'r7c for the Town of Queensbury
Building and Zoni Inspector .
TO BE COMPLETED BY BLDG DEPT
T`, ti C .�
.Je wra ueen��urt� 'Application No. f?
Permit Issued 19 � �
aUILDING and ZONING DEPARTMENT permit Expires 19. e �f
Bay and Haviland Road, R.D: 1 Box'98 Zoning Desi nation
. g ,AUG��G 2 ��
Queensbury, New York 12801 :Variance No .
Site P1 iew N• BUILDING t .CODE DEFT`
4, Op\ Appro
APPLICATION FOR CC) - 1
3 .
BUILDING AND ZONING PERMIT . l ., s�/a
`* * * * * * * * * * * * * * * * * * A.* *, *s * * *; * * :* *;:* * * * * * d * *
sAid
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION ANSWER ALL OF THE FOLLOW G.
The undersigned hereby applies.for .aBuilding Permit to do the following work which will,
be done in accordance with the description, plans and specifications submitted, and such
special conditions as maybe`indicated on,'the-;Permit
The. owner of this property is: ge ' ... 04 n , a -tikr4j i ;g _ .
P.O. Address 1 I� ';y (i�it tat , . ' 9 .tv Tel:�6 '*"ili4, '.
Property Location: `2iN L .-,, m q,ma ) Tax map No. r'.5'tailq. ,
Street number or building to numbe2C.
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR.SUPERVISION OF. WORK.AS REGARDS'BUILDING.,CODES.IS: '
S4 mom_ ,P As s ( FL4 A N kh _ -
Name P O:. Address Tel. No,
Name of builder Address f i1, Tel- 1'.API
Name of plumberRI; 113 ' 3�, .:Address,. .a_ .A?(� :. ea egp �� Tel.
Name of mason 1 . . Address r* . " Tel. 4,, �,,.
NATURE OF PROPOSED WORK: * ' ZONING INFORMATION:
YtkConstruction 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 .existin.g or. proposed and indicate all'
Other work (describe) * set-back dimensions fro*.property lines: Give.
* street and number or lot number and indicate`
whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND
LOCATION OF STRUCTURES AFFECTED. • of 'water supply:.,.and location and configuration
^- * of septic`•disposal area: :
*
* COMPLETE 'INFORMATION REQUIRED BELOW
Size of property ,t',/, ft h ft.
Existing-:building(s) Size " ft X f
PROPOSED BUILDING AND USE:
* Existing .building(s) Use
Size of new structure eft X ft._. •• *
Foundation- ier scab crawl a
p / / /partial f 11 ' * Proposed .building, distance from.property liras
,_ (circle one) ' .,..- *
No. of stories (habitable space) ,f Front yard ® ft Rear and , .-ft
* S• ide .yards, ft and s ,. . - ft
Height (grade to ridge) �," ft - �a
If residential, no. of families 1. * If on corner,. setback from side streetpd,ft
No. of rooms(excluding baths)' * ' OCCUPANCY INFORMATION
No, of bedrooms wil
No, of bathrooms �9 * .PRIMARY BUILDING
Primary heating system 8 (Nivv'` * One, family dwelling
Type of fuel q ,$et, Two family dwelling
No. of fireplaces to be installed. *- Multiple dwelling / Number of units
Will a wood stove be installed?_ .. d Permanent occupancy .,
Central Air conditioning? _ — * Transient occupancy
;Business .
BUILDING STYLE, PRIMARY STRUCTURE * `Industrial
Ranch Contemporary LogOther •- :. .
po y cabin:" If addition, .
Raised ranch Mansion Duplex * :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 ) .' * `10 Attached garage/one .car/ wo,�ca / car
* * * * * * * * * * * * * * * * -* 'F '. Private storage building
ESTIMATED MARKET VALUE OF * Other 0
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. UZOOL),PitAglitiortzLir
Will .any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material 'e..,, �m�; Thickness
-Depth of foundation below grade (to', bottom of footing) as60
Will there be a cellar?j Heated or iiShette
k ; Floor sq.' footage '� � sq ft`.
Will there be a basement? " y
°� Will ;an . p onion,be> used as living, space? Akt 6
(If so, what portion? s ft.
q• Type of use?
Type of roof - s d/flat/shed/other Material of roof g '
Size, wood studs '� � � � �"`'
"X .to " spacing E "o P. length -ft.
Joists(floor beams) 1st:' floor �L �° "�
"X d" " e acin
Joists (floor beams) 2nd. floorp g "o O. span ,�,� ft. ��} A�
rf.
�:_ ��X �.� " spacing � � "o.c, span act!) ft. '(Is 41 E°za
Overlays(ceiling beams) "X spacing "o.c. span ft.
Roof rafters „X spacing .o:c span ft.
Roof trusses(pre-en(pre-engineered) spacing g "5itti "o.c span ft. -IS i :'
Exterior wall finish A @ Of :what material? (� �II - ria ,(
Interior wall finish ,,,, " 1 c ' ` -.
If a garage ••s,to be attached, describe %materials to be„used for }'IRE, SEPARATION;
a 1.EEC '
Is there to be an opening between garage and dwe1ling? f C If so;will a Firerated
door, enclosure, and self-closing device be :provided? -AI ton
Will a flue-lined: chimney= be :installed? ` Y -'_ Height above``roof '' ' �• ft
Depth of chimney foundation-below, grade ft -
Depth of fireplace hearth 144ft. - in _ ,
Water supply - ureic al or private` well ''
SEPTIC SYSTEM _ Distance;.from ANY private well(including adjoining:.properties �$� ft
(A separate application is necessary fore:any repair' or 'new installation of septic system)
Town of Queensbury .
County of Warren A F F I �D A V I T. - " STATE OF NEW-;'YORK
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 Signature {
1s - (�, Owne , owner's agent,arcn iect contractor
day of YW9s19 _: „�
b y otiro �Yk0ENe G D
���f.Mew Yo k
e°'n`n•yea July 17 Notar Pul:1�ic, Warren Cb�inty, N.Y, ,
wJ J
* * * * * * * * * * * * * * * * * * * * *. * * * * * _* * * * * * * * *,:* * * * * *, * * *;. * *
SPECIAL CONDITIONS OF THE PERMIT.
e-4n 4..
•
,:: By
TOWN: OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for: BUILDING ' PERMIT IN COMPLIANCE WITH : THE NEW YORK ••:H
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the followit“2: _
1. Gross floor area
- 2. Type of heat '., /' j tat,:4 j
3. Is the building mechanically cooled?''
4. Percentage of area of windows and doors , 61
7 .6 . .,.,
A. Over 16% Only -
1. Uo value of gross :area:: of walls, roof/ceiling and floors 1
exposed to ambi nt conditions
2. Floo ver heat d ..apaces E NO
a. Are foundation"wall insulated? YES- NO - i
I f YES, what is the;: , value?. 'j
3 . Slab n \rade YES NO
a. I YES, what is, the. R .value. o ,�insulation " around
perime�er`;'of floofxr?, ,. "; .
basement heaated? YES NO
a. value of': i sub ation
5'. Type of insulation
• ' . B. Under 16% Only
1. R value of roof ..and exposed to ambient conditions ;-
• "
2. R value of exterior walls � .
3 . R value of glazed area A 61
4. R value of doors „�• e
5. R value of floors over .unheated 'spaces a
6. R value of slab edge 10atilation 7 unheated slab
7. R value of slab. insulation' heated :slab' . ` ,® '
/
8. R value of heated basement/cellar walls ;(above: grade);C., I
9. R value of heated basement/.cellar walls (below grade)' A;
10. Type of insulation ilekt >
C. Controls '
1. Thermostat maximum heat setting _ X
,
D. Duct Systems ,
1 . Is duct system- installed in unheated spaces? YES a:)) .:-
a. If YES', R -.value of ducti'-•i.nstallation
b. R value of ductin -other areas
E. Piping Insulation d9
1. Size Of hot water or cooling carrying agent pipe
2 . R value of pipe' insulation ,gyp v ''
F. Service Water Heating ,f
1 . Performance efficiency '` /I :
2. Temperature control setting maximum Amt...tro 'A
G. For Swimming Pool Only
1. Maximum heating' $%
t
Telephone No. 61 ifiVaN'427
itapplicant' s signSa ).
, _
e -
0,,,,,;erfaandpani
APPLICATION-..FOR SEPTIC-DISPOSAL PERMIT
DATE 4,
4 /
LOCATION OF PROPERTY FOR INSTALLATION t. g$ �'` .. ( _, °
, - ='
Owner's Name: k a c i Telephone: :, g" - r �( 5
Address: ` u ., it,UeNt4 mkate.--ti :, s , k , °'iitkr41 rlk44
Installer's Name: , Telephone: ttr7 ,
Number of bedrooms (residential only) .
Total daily flow (compute:@ 150 'gal`per bedroom) : "
T o�Ph : circle one: :FlatlhngSteepSlope of slope Soil Nature: circle one: Sand Loam Clay_' Other / Depth: feet
Ground Water: At what depth? feet .
Bedrock or Impervious Material• At what depth? feet
Percolation test: circle one: no:'required , required /rate min. inch.
Domestic water supply: circle one:. Munici 'Well .Other,
IF domestic water supply is a Well:
Separation: Watersupply from Septic:absorption feet
PROPOSED SYSTEM: Septic Tank t e.V9gal. ^(minimum.size: 1000 gal.)
TILE FIELD: Each Trench L feet./ Total system length feet
SEEPAGE PIT(S): Number of / Size'.each feet by, • feet
Size of stone to be used / Depth-or Thickness' feet
*_* * * *'* * * * * * * * * * * * * * *. * * * * * * * * * * * * * * * *_* * * * ,.
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * *:* * * * * * * * * * *** *r*.:* * *.* * #:* * *:*-*"* * *
,
(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. .
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: tl
Date: 8 t� �
a
Town of Queensbury
Building and Code_Department
Bay at Haviland Road
nsbury, New: York -12801,
Quee
(518) 792-5832
SETTLED 1763 . . . 110Mv:: OF NATURALBEAUTY . , A GQQ 1 al_,. Tn i ivr:
INTERIM BUILDING PERMIT
FILE COPY
PERMIT .APPLICANT ;;b' ZA 11
- .
CONSTRUCTION LOCATION
AJE___
EFFECTIVE DATE S1 ifi
iht
APPROVED.. BY
SPECIAL CONDITIONS :
!IV 4S u L - 1 O
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 CO SPI UOU 0 : T. ON ! !
4N,
Building & C des Department
TOWN OF QUEENSBURY
' YOU ARE HEREBY REQUESTED-TO -
- INSPECT AND ISSUE CERTIFICATES -
- FOR .THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY •
-'. THE UNDERSIGNED' cm :.
- • TEMP.#. DATE,-' _C j 1
CIR OR)VILLAGE ,�... ( TOWNSHIP - - -
(-J ) �1 �^L✓ - � • \ -: ^=r�,�, /l.)V ..! - POLE NUMBER
STREET AND NO.OR ROAD tf`rt`-- - t - -
•
(.�N 1CR STREETS IS PRE LOCATED? 1 - SECTION BLOCK _
BETWEEN WHAT TWO
OCCUPANT'S NAME BUILDING OCCUPANCY " - --
(. ,= CDT - C-7 lid(" -i`.)(\).0L,-)Q-A CS l (\)L-- k:
OWNER' AME AND ADDRESS HOME TELEPH NUMBEE , / S
s�`✓1C� Cif --.• 6..---' (-
C RRE iSUPPLIED BY eD - ." 'e-,) FROMAi 5 -- V'-, �� OFFICE WORK TELEPHONE
9PH3— ?�1' �..
BUILDING IS PA - _` _ /
NEWi' - - OLD❑ • WORK IS - NEW ADDITIONAL 0 .- DEFECTS REMOVED❑
• LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
• NUMBER OF OUTLETS ' No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- - . Lamp Receptacles ' CIRCUITS ONLY
lion Side Attach't No.' Each Gauge INSPECTION
Ceiling Wall Recep'Is Switch ,Pendant. 'Bracket No. Type No.'. No.
OUT- • - . . , •
SIDE
SUB- .
- .. BASE _ - ." - - •_ ,.
BASE- . • - -
MENT • --
1st - - . . - .. '
•
FL: .
2nd • - .
FL. - . -
' 3rd -
FL: , .
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: . .
"THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS •
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. "
,., SIZE OF MAIN/ - FEEDERS' ELECTRIC SIGNS/LAMPS - _ TOTAL WATTS
CHARACTER 0`WORK ' ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF _ - /'VA
i � � - - . �
.. WORK t TO 1(_W U.CONCEALED -. _ - '
DATE AR TED.7. DATE COMPLETED SIZE OF SIGN(NUMBER) • - CAPACITY
SERVICE ENTER BUILD ,' .- MANUFACTURER OF SIGN
❑ OVERHEAD• UNDERGROUND -
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) ' . ////// ��'___ . . MUST ENTER APPLICANTS ► /'. I� I/ I g-I+�I/f
l 1 IA, ('A-= �. -. .IDENTIFICATION NUMBER .�
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION-ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS.
NAME OF APPLICANT A . E FAP�ICAT ON SIGI�AT Fr F APPLIQ NT- /
f .-� ,..�i t=t2 J 4_,i 5 S 1. i\ i - X c fJ
STREET ADDRESS- �.. ; .I - . ... TELEEP{�O 0. y_ J . -
) 1 ; E L. i0. ki ZIP CODE - LICENSE -WHEN APPLICCAAB(LE r.Crri OR POST OFFICE
0 85 John Street " 11'41 State Street • - Cl-584 Delaware Avenue, 0 217 Lake Avenue , 0 202 Arterial Road. •
NEW YORK,NY 10038 '" . ALBANY,NY-12207 BUFFALO,NY 14202- ROCHESTER,NY 14608 SYRACUSE,-NY 13206
Tuc nipinI vnRK RnARn OP FIRP 1 INDERWRITERS
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 ylb,0
LOCATION / /'
DATE /O//ff PERMIT #(7 C� �
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP=PROOFING
BACKFILL APPROVAL J'
ROUGH PLUMBING \
FRAMING }
ELECTRICAL ROUGH-IN /
INSULATION:
FOUNDATION 1
FLOORS 1
WALLS •p(' •
(2I FILING
AL INSPECTION: \ ,.� •
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS V!
STAIRS-CLEARANCE & RAILS \
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS\ v '
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) !� J
SMOKE DETECTORS ; ter--
FINAL ELECTRICAL INSPECTIOI i!i7 iJ ]i\f ��
FINAL APPROVAL/OF CONSTRUCTION 1,
A SIGNED CERTIFICATE OF OCCUPANCY MUST' BE
OBTAINED FROM,, THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
A)
0 0 -
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 v
APPLICATION NO, 16 U ) -
Li- 1Z K to G( I,, Lcti
LOCATION
DATE INSPECTOR
FORM IBD(REV.1/86)
•
•
•
_town of Queenihur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC .DISPOSAL SYSTEM INSPECTION
NAME c ii
LOCATION 42, lv-k- c'
DATE ci// / 91 PERMIT .NO. r P ' J
SOIL TYPE - and Loam - Clay -
Percolation Tes Required? YES - L1
Percolation rate - Min/Inch
TYPE of SYSTEM: / /
ti Absorpon field, total length •2o,,"
Length of each trench S'M- A, (-c.ii/ i PLf4AT
Depth of trenches - 3-'1 rT- - /
Size of gravel' `'� _
SEEPAGE M1 SINumbe ) • / /"`
Size ft.
avel s�.zev,
PIPING: \ .Sirze Type .
Bldg. to tank r" q (,lc--
__Tank to gist. box _ _/ __11__. Pcr-c--. .__
Dist. box to field/p' '/ Fee_
sealed / ES NO Partial
LOCATION/SEPA TTONS:
Foundation to tank, 0 id-ft. 'j Q)u
Foundation to absorption ft-la b
• Absorption to lot line ft:T IBC-J Ib"'Ai-
Separatioxof pits \A!/oa ft.
LOCATION/OF SYSTEM ON� PROPERTY(circle one)
Front /Rear - Left side - Right side -
COMMENTS:• q
Wi -
�yvE3At Cr P/or PL�4,cf Sf�(°cc�( 6
E X(sr-t u 1.oCf*r(6,c; f c L A-c6-
Ft &L D Z(A/&SI Wirt4 SG-Prit IrzA-Ty 0it!
Faom u,A)DA-�CCU id vivo Paz P L --r /
LING5�
1
41—Af/o V6'r'-Y-9 L 5sc/r' J1 .c1---T-L
SYSTEM USE APPROVE YES N
1
�,(�� r � Bu lding Insp tor
/l/E�L(J �� �&C q 0
01/86 and vl L f
5' S ( U3'
c.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS p_4(y),
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
/ /J
LOCATION /,
DATE PERMIT # 6 -5-45
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL`°ROUGH-IN
INSULATION:
FOUNDATION
FLOORS 7) n
WALLS f •
9 f
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 CLOSER(S) i A
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:
•
01)64•
INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT �
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME . 2iC"-zi ' //�5q.�77,e1. 0%/C
LOCATION la, - -,-' C(i✓��-
DATE 2 3/- PERMIT
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
)(ROUGH PLUMBING FRAMING &14:51(4.)
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 CLOSER(S)
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: n-
z rccor_ ST t Al a(N�
` z
INSPEC OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT -
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
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LOCATION !7, „ (,.„` R.
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A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
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REMARKS:
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INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION{ RECEIVED
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A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
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THESE PREMISES ARE OCCUPIED!
REMARKS:
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INSPECTOR'
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
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INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
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