1989-194 ,. . . , _. _ !. .... . . :: ,,s:T;w;�: _x. �.. ..�:,fir;�, . yq.--• .,.i, r]r�ak, i d'-•-s;Vv7_. ..�, _ . . . .. ,. . �. w yam,_ .
1 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YQRK
l
j Deft March 2 19 90
4 e� � ` 2
This is to certify that work requested to be done as shown by Permit No. 89- 194
has been completed.
fThis structure may upied as Single Family Dwelling
Location 1 0j 7 irnr _ Shorten 14 Surike Ridge Road
i
per John c i fone
j
By Order Town Board
TOWN OF QUEENSSURY
I
Director of Bldg. do Code Enforcement
i
i
I
BUILDING PERMIT r
TOWN OF QUEENSBURY s
No. 89- 194 2
WARREN COUNTY, NEW YORK
1-
F
H
PERMISSION is hereby granted to Jnhn Ci fnnv% C
I
OWNER of property located at 1 nt 7 Cny _ Shej=an i Smoke oke, Rjelge Qom— Street, Road or Ave-
in the Town of Queensbury, To Construct or place a Single Family I T1 n*
at the above location in accordance to application together with plot plans and othe 1 ir information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1 . OWNER'S Address is
p_ 0" box 6"
Glens Falls ,N . , Y. 12801
2. CONTRACTOR or BUILDERS Name
Self r
c
e
3. CONTRACTOR or BUILDERS Address.
S,1 M
4. ARCHITECT'S Name
r
' C
r
■
5. ARCHITECT'S Address
C
C
L
6. TYPE of Construction — (Please indicate by Xi 41
a
OXX Wood Frame l I Masonry ( } Steel R 1
g
7. PLANS and Specifications
2
No. 1708 sq . ft . single family dwelling as per plot plans specifications ,
and application , including one car attached one car garage , septic and
8. Proposed Use drfvewayot
et
21#* Single Family Dwelling Y
MOO C/o
$ 298 215 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December ] 192_ t
(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 this 7st* —Day
� of Na v
SIGNED BYGtc"/T� >`� �
,7tU! „Q far the Town of Queensbury
Building and Zoning I nspecto
ei
'7"C1 +1 N OF QUEENSI3UI2Y APPLICATION FOR BU1LrVTNG AND ZONING PER1*11T
F. ee.t eu ect (R!!y
0 R CIVfOF j
Fee Pa,,r_dc _I__L_— r
1;UILDINC AND CODES Uf : aJUMTN'0F Date I46.4aed .��
LYnY send JIAVrLAND Roans RD 1 Fpx 93 yL (-� $ CO�s 1)
D�P7-
0UVRJVSSURY� NEfV YORK 12804 P+eAmit NO Iwo
7'e1 . ( 518) 702-5832 Ext -204
. .y` ♦ i i R 'Y ,R' i � i • xt rt i i * I 1k i R • ■ i a i i i i w i i i i i • s, a
A PERH IT h(UST Bq OBI'AI NED 'BEFORE BEGINNING CONSTRUCTION * NO INSPLC'! iC3NS
WILL BE A(ADL UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT .
All applicable spaces on this application inust be completed and the
ti, �i pua tune of the applicant must appear on the reverse side of this s)icet .
* A A A A X * * * A rt I: A * 'A It A 2V.
frlie owner of this property is :
L' . Gt . Address Pe l f. 14i3 �L S• �? ''�L�,
Property locations, ' fC.� st�i L ,f� �' TAX lot AP No . Ho
sic r,
llas there been any split of this propertysince October 1 , 1988 ? yes , rao
If yes , Planning 'Board Review is necessary .
SUBDIVISION NAME , IP APPLIC'ARLE LOT NO .
The person responsible for supervision of work as regards Building Codes is :
0 i r omr-- s c� .� z G' .SC..r
NAMLi P . O * ADDRESS TE L a NOo
Name of builder % eu� �"rF `G`"'' Address G
Tel
/ �j Tek .�
ra .me of Plumbert�vn�� c _ 1.ddress
r e
Name of M:sson �Ll��`-==r
-ar �r ,address r Tc: l ,
;4ATLAZE Or PRGFIGSL=D 601:r. ' ZONING INFOitrlATION ( OXX'ice usr: only )
2 c:onsrruction of s naw building * BONING DESIGNATION OF PROPERTY
Addition to a building ` PERMITTED PRINCIPAL. PERMITTED ACCESSORY
"-Altuc:rcian to a L,ui. lding
� lrav cla,�axq� to a:xc � riar clLmen:: ions) * REVIEW REQUIRED — PLANNING BOARD ZONING BOARD
OclLi: r work (+lesCribLT) ; SITE PLAN REVIEW !( APPROVED DATE
C; icOSS ARiLIa OL' PfIOi� OSEO. P+ 'PIcUC'i' UCtE ; VARIANCE # APPROVED 1ATE
1st Floor /� " o � sq ft . * Remarks :
* -
2nd Floor ;20 0 sq f c . ,� COltL'f L '1`l , Ij�l`Ol:rtiA'J'1411 ic! �?UilcLD L1L LGr�� .
Other Floors /� sq ft . * Gies: of vrot,erty �' vu - ft X
* i xistia►ry J�uil�Jii «1 ( : ! Si : v i s X r' t
( not cellar or basama: nc )
TOTAL FLOOR AREA G � sq ft . • L:xisc -61tj bui14Ainaj ( a: ) Use ,rli•'. =
ice.: ar' new structur. € t a ft
IuLVidacion-Pier A crawl/partial/ full Vro,(7a::ud building , d"tanC` Jrouti L.rol,urty lir►u
Clu one ) r Front yµrd �� ft hear yard c"'el ft
No . of :eori¢w (hal lc"- blo vlzacel * Sid. yardsG' rt and
ft
ilvigltt iyradc to ridge } . ' 2 ft • It on corneC , tiu03.ack from sidu scrcut ✓ = a^
If ra sidanti.'31 , no* of fiUnilies .�';'
No . of roo4n:; ( excluding baths ) /,/ ` OCCUf'AJ•icy INFO➢ twATION
Now of badrooms _
„ BItI?'LA.Fi.Y L:UILDINC
No . of batlaroouu; 44Z * one €aAtily dwelling
r'rlwiAry lruatiarrar ,iftwa r':.mily dwulliny
Tyxru of fuel C',T'' T , ltultilal� dwelling / Number of units
No * of firuplaCu4 to boa Permanent occuPruaaY
Will " WQQ J s4ovu tau i1at: L:al14.:d ' ~ ')`tarn se nt occup"ney
Cuncr:rl Air cor,aitiuning.' 7 /'�, ._. l3usinuss
nUILDING STYL-E, PRIMARY STRUCTURE ln+iuscriai
*, Ochur
am.rnc}► Conc.:m! or:d y I.onr c:.13in if .&ddiuion ' wk,lat will uuo
Ic.ris.'d ranch M:rnvi.c.n u,IIi.x__--��
uplic luvol Old scylQ 13uaay.rlow
L"yc Cod Coct"q*2 Oclwr " ACCL;SSGIRY 13uLLG4xtiC—
colani.al J:t3M1 "rowra Mouse cart/ two o:rr/ car
{ CIRCL " ONLl' PLEASE 1 '" two [ air/ c:rr
i i a tr U i a w ■ i v . x • *' Pr.l v" ta: :storage building
L ; 'l' IMATJl 0 MAFtKrIs VA1_ UV OF
4ON ::'J' ftUC'L' ZUN { e?e, 'r
I "F or%jqXTION ON nUILDINC SPECIFICATIONS , ON RrVCRsu slDn OF `PHIS SHI ETa TO BE COMPLC'!'LD !
Farm APA 10198 v1
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . 6. zy6 p
Will any second-hand or ungraded lumber be used? if so , for what ? Uzi �]
Foundation wall material S, / +2 _ Thickness
Depth of foundation below grade (to bottom of footing ) �-:?
Will there be a cellar? ,Z,✓00 Heated or unheated? Floor sq. footage sq ft
Will there be a basement? Will any portion be used as living space ?
( If so , what por sq . ft . - - Type of use?
Type of roof - sloped lat/shedfother Material of roof
Size , wood studs " X " spacing_/' "o . c . lengthAi " t .
Joists ( floor beams ) lst . floor " X it spacing "o . c , span ft .
Joists ( floor beams ) 2nd . floor " X�/!J �" spacing / ` "o . c . span ft .
overlays ( ceilin beams ) "X spacing "o . c . span fr .
Roof rafters " X jc " spacing ✓ b o . c . span _ft .
Roof trusses (pre-engineered) spacing '" o . c * span ft .
Exterior wall finish �/i / U/ SlsAe5 Of what material?
Interior wall finish tS/ eEy 'facj,
If a garage is to be attached , describe materials to be used for FIRE: SEPARATION :
Is there to be an opening between garage and dwelling?_ Z&E52 If so will a Fire-rated
door , enclosure , and self-closing device be provided? yl�_ , I
Will a flue-lined chimney he installed? Height above roof ft .
Depth of chimney foundation below grade A J�ft .
Depth of fireplace hearth t . in .
Water suppLy - Municipal or private well lt-14�'q'a%
SEPTIC SYSTEM Distance from ANY private well ( including adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system)
DEC LA RATION
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.
Signature
Owner, owner's a rt , architect, contractor
SPECIAL CONDITIONS OF THE PERMIT ;
By
.f.OWN OF QUEEZNSBURY
APPLICATION FOR
SCEPTIC DISPOSAL PERMIT
DATE
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: JC? �- r , c�,• Telephone.
Address: ~
Teie
Installer's Name. Imo .; - W , _!H - phone:
Number of bedrooms (residential only)
Total daily flow (compute (a 150 gal per bedroom)
Topography: Circle one: Flat Rolling Steep Slope % of Slope ,1CZA-7;
Soil Nature: Circle on . Sand Loam Clay Other /Depth: Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth ? L , Feet
Percolation test: Circle one: of requir required rate min. inch.
Domestic water supply: circle one: ni pal Well Other
If domestic water supply is a we
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM : Septic Tank / G+ 0 C" gal. ( minimum size: 1 .000 gal.)
TILE FIELD: Each Trench _feet/Total system length - I3;'Q feet
SEEPAGE PIT(S): Number of / Size each feet byO feet
Size of stone to be used # /Depth or Thickness feet
I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbury S y ge ' p sal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON:
DATE: 0 %4V-20 �' SS' Z'
OVER
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 hour:: 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 4;ystrem shall be covered before inspection and approval by the
iW ilding Iiispuctor . Failure to comply with this requirement may
r-4sult in the uncovering of the system by the installer and a fine
of up to $ 250 . 000
C . All 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 problams during construction prevent proper installa—
tioil , alteration or repair of an approved system , a new proposal nfust
bu submitted to the Quuunsbury Building Department before further
c: uncstruction .
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury , New York 12804
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT J
BAY & HAVILAND ROADS ff
QUEE'NSBURY, NEW YORK I28041
TELEPHONE (528 ) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPEC ON RECEIVED !~Z-
NAME
LOCATION
DATE l PERMI # —
APPROVED
YES NO
FOOTXNG/PIERS
MONOLITHIC POUR FORMS _
FOUNDATIONIDAMP—PROOF [ tuts
BACKFILL. APPROVAL
ROUGH PLUMBING j
FRAMING
ELECTRICAL ROUGH—XN
INSULATION: -
FOUNDATION
FLOORS
WALLS
CEILING
Zk-TNAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAI
PLUMBING FIXTURESfRELIE - VALVE
INTERIOR TRIMIPRIVACY R.S
FINISHED FIAORS
GARAGE FIREPROOFING ✓ .. —
DOOR CLOSER (S)
SMOKE DETECTORS �
FINAL ELECTRICAL IN-- SPECT-T N --
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDTZV( � DEPARTMENT BEFORE
TIIESE PREMISES ARE OCCUPIED !
REMARKS:
INSPECTOR
ti THE NEW YORK BOARD OF FIRE UNDERWRITERS I r
# BUREAU OF ELECTRICITY
F 41 STATE STREET, ALBANY. NEW YORK 12207
Dale "? ii � '}p �'! r ,I, • I ', I) Application Na. on file.-. _ . . � .
THIS CERTIFIES THAT 6& _ /51 S�
only She electrical equipment as describeJ before and intre ehmod by the applicant rsaased an the =lone application number in theprernises all
in She following location," ❑ Basement Q let Pl. El 2nd "I ?' Section Block Lot
was examined on i [ `.' l' ! . i :. 1 '• and ound to be in cofa fiance with the r f P equirements of this Board.
R'XTUM EFTA SWITCHES F MPRES RANGES QOCWING DECKS OVEiVS DISH WASHERS EXHAUST FANS
OUTLETS INCANOESCEMT FWORESCEM OTHER AMT. K. W. AMT. K. W. AMT. K.w_ AMT. K. W. AMT- R. P.
DRYERS FURNACE MOTORS RM118 APPLIANCE MWIIRS ISPOCIALIHICIPTI TIME CLOCKS REI,L UNIT HEATERS tMUtTMOUTLET 1DIJ%AAM
AMT, K. W. 4Nh H. P. OAS H. P. AAAT. NO. A. w. O. AMT. AMP. AM7. AMrS. TlANfi_ AMT. N. P. SYSTEMS AJAT. WATTS
NO- Oe War
! I
SERVICE DISCONNECT NO. Of S E R pp V I C E {�AMER
AMT. AMP. TYPE 1 ,e" Yw 1 .0 3w 9 ,e SW 8�' •w PERC CCWiD. OF C+C CONU. P#O. aF #R•tEG Op FwR IEG MO. or. PIEUTRMS p~M EUTRRI.
OTHER APPARATUS:
BRANCH MANAGER
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 credentials.
_ COPY FOR BUILDIMG DEP,ARTMENT_THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.-
THE NEW YORK BOARD OF FIRE UNDERWRITERS F ,
? BUREAU OF ELECTRICITY
41 STATE STRE ET, ALBANY„ NEW YORK 12207
Drete Application No. on file
THIS CERTIFIES THAT f�/1 f �i /
only Elie electrical equipment as described below and intneduced by the applicant named ais the above appUcatson number in the premises of
1: I r ,
inthefollowin6' location; Basement litFl. $nd Fl. „ F ..- ,- , Section Block Lot
raves examirted on V I 1 1 p ' r '. and found to be in cornplr'ance with the regia"Pnents of this Bayard,
FIXTURE "XTURES RANGES COOef"40 DECKS OPENS DISH WASHERS EXHAUST FANS
OUTLETS ACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT, K, W. AMT_ K. W. AMT, K.W. AMT. K. W, AMT,
DRYERS FURNACE MOTORS FUTURE APPLIANCE FERDERS SPECIAL RECOFTI TIME CLOCKS p4 UNIT HEATlRS MULTI-OUTUIT DOVAIINS
AMT. K, W. CAL H, P. GAS UA, P. AMT, NO. A. W. G. AMT- AMP'. AM7. AAVS. TRANS. AM7. I - N SYSTEMS AMT. WATTS
O. OF FEET
I
SERVKM DISCONNECT No. OP S E R Y I C E
AMT. AMP. TYPE 1 A' 11M 1 0 3W 3 X 3W 3 A AW NM Or CC. CaND, A. W. C.. HO. OF MI.IEG A. W, G. iK}, /3F NEUTR14LS A. W. G.
1'E7I / Ot CC. D. CW HFUEG 0I NEUTRAL
OTHI t AMARATUIS:
y � I
MLIL
BRANCH MANAGER
Par
This cerfificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY ` r
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
PELEPHONE (518 ) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST 961Z INSPECTION RECEIVED
NAME
LoOCATXON40pe / aL
DATE A577J PERMIT ,# 194.
r4 F — �� APPROVED
•/ YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATI
D
AMP—PROOFING
BACKFILL PPROVAL
ROUGH PLU BING
FRAMING
ELECTRICA ROUGH—IN
INSULATION
FOUNDATI
FLOORS
WALLS
CEILING
WINAL INSPEC ON.
CHIMNEY FIEI T
ROOFING
SIDING
EXTERNAL PORC ES/ST PS
STAIRS-CLEARR E & RAILS i
PLUMBING FIXTU S/ ELIEF VALVE
INTERIOR TRIM/P ACY DOORS
FINISHED FLOORS
GAP-AGE FIREPROO G ,!
DOOR CLOSERS)
SMOKE DETECTORSi _ xf
FINAL ELECTRICAL E INSP ^TION ---
FINAL APPROVAL O.P CONSyZUCTION
A SIGNED CERTIFICATE OF CUPANCY MUST BE
OBTAINED FROM 3f L E BUIDIN DEPARTMENT BEFORE
THESE PREMISES RE OCCUPI
REMARKS:
11SPECTOR
_7own o ueenstury a"'1`
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R . D_ 1 Box TO
Queensbury, New York 12801
O
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCAT I ON
LATE Z`I + RMIT NO . _.
SOIL TYPE - San - Loam - C104-
ay -
Percolation Test quired? YES - NO
Percolation rate - in/Inca _
If
TYPE of SYSTEM : !
Absorption field , tottll le gth 0410
Length of each trench ` <y3
Depth of trenches
Size of gravel
SEEPAGE PITS{Nu_mber of )
Size- ft. X _ ft .
Gravel size
PIPING : Slzor Type
Bldg - to tank
Tank to <list . box
Distw boi- to field/
Openings sealed? YES No Partial
a
LOCAT2ON/'SEPARATIONS :
Foundation to tankf t.
Foundation to absorption J:ft
Absorption to lot line separation of pits t-
LOCATION SYSTEM ON IpROPERTY (ci.rcle one )
Front - Rea - Left side - Right side -
CCr IMENT
1
SYSTEM USE ,APPROVED S NO
Bui n I Spector
01/86 and vl
._.J'own n/ Queen56ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 0
LOCATION V1
DATE � 31qd PERMIT NO,
SOIL TYPE - Sand Loam - Clay, -
Percolation Test Required? YES O
Percolation rate - Min/Inch
Y
TYPE of SYSTEM :
Absorption field , total length
Length of each trench
Depth of trenches
Size of gravel_
SEEPAGE PITS4Number of)
Size- ft, x
Gravel size
PIPING : Size Type
Bldg . to tank
Tank to diet. box
Dist , box to field/pig
Openings sealed? YEb':, N Partial
r
LOCATION/SEPARATIONS .
r
Foundation to tank ft,
Foundation to absorption ft_
Absorption to lot line
separation of pits
LOCATION OF SYSTEM ON P OPERTY (circle one )
Front - Rear - Left si e - $tight side -
COMMENTS
V,+e2, )A
loon A -t
11 ;ob
SYSTEM USE APPROVED YES NO ?
Bui 1 g Ines ec or
01/86 and v1
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BA3.' & HAVILAND .ROADS
QUEENSBURY. NEW 5 8 ) YORK 79 128 0&
TELEPHONE
832
BUILDING INSPECTOR' S REPORT
REQUEST FOR NSPECTION RECEIVED _�___ __.---
,NAME
LOCATION
DATE I PERMIT #
APPROVED
YES NO
FOOTSNGI PX ERS
MONOLITHIC POUR FO
FOUNDATIONIDAMP-PR FIND
BAcKFILL APPROVAL
ROUGE{ PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
A-#Y'NSULATTGN:
FOUNDATION
FLOORS ,
WALLS
CEILING
FINAL INSPECTS N -*
CHIMNEY HEX HT
ROOFING
SIDING
EXTERNA PORCHES/STEPS -
STAIRS- LEARANCE & RAI
PLUMBS G FIXTURES/RELIE VA-LVE_ --
INTER OR TRIM/PRIVACY D RS
FXNX ED FLOORS
GARA E FIREPROOFING
DOO CLOSER (S)
S E DETECTORS
FXNA ELECTRICAL INSPECTIO
FINA APPROVAL OF CONSTRUC ION
A S GNED CERTIFICATE OF OC UPANCY MUST BE
OBT INED FROM THE BUILDING DEPARTMENT BEFORE
THE E PREMISES ARE OCCUPIED!
REM. RKS : V � 7
t V G� 20 C
f �. i
INSPEC
TOWN OF QUEENSBURY f
BUILDING AND CODES DEPARTMENT f
,BAY & HAVXZAND ROADS
QUEENSBURYy NEW YORK I2801 I
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FO INSPECTION RECEIVED
NAME
LOCATION
DATE PERMIT #
APPROVED
YES I NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATIONIDAMP-PROOFING
,BACKFILL APPROVAL
y+,/ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION *
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEP
STAIRS-CLEARANCE &
PLUMBING FIXTURES/ LIE VALVE
INTERIOR TRIM/PRT Cy D RS
FINISHED FLOORS
GARAGE FIRTiPR ING
DOOR CLOSER (s _........_..
SMOKE DETEC RS
FINAL ELECTR AL XNSPECTION
FINAL APPRO AL OF CONSTRUCTI N
A SIGNEE CERTIFICATE OF OCCUP NCY MUST BE
OBTAINE FROM THE BUILDING DE RTMENT BEFORE
THESE (REMISES ARE OCCUPIEDI
REMARK:0 Leo(
/--
j 'Mipf's
✓� r r� r � G�,�"� /fc�I"r
INSPECTOR
TOWN OF QUEENS BURY
BU.rZDUILpXNG AND COPES DEPARTMENT
BAY & HAVTLAND ROADS
QUEENSBURY, NEW YORK 3280$- 5 S
TELEPHONE (5I8) 792-58.32 � Y
BUILDING INSPECTOR ' S REPORT
REQUEST F. NSPECTXON ECEXVED _
NAME
LOCATXON
DATE ) ( PERMIT #pCj
APPROVED
YES NO
FOOTXNG/PXERS
MONOLITHIC POUR FORMS
FOUNDATIONIDAMP PROOFXNG
BACKFXLL APPROVAL
OUGH PLUMBING
„/FRAMXNG � � .....—
ELECTRICAL ROUGH-tXN
XNSULATXON:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL XN.SPECTXON:
CHXMNEY HEXGHT
ROOFXNG
SIDXNG
EXTERNAL PORCHES/ST1PS
STAIRS—CLEARANCE & a ILS —
PLUMBING FXXTURESflELIEF V VE
XNTERXOR TRXM/PR ACY DOORS '
FXNXSHED FLOORS
GARAGE FIREPROO XNG
DOOR CLOSER (S) ,
SMOKE DETECTO
FINAL ELECTRXC XNSPECTION
FINAL APPROVAL OF CONSTRUC2'XON , u
A SXGNED CER21TF-TCATE OF OCCUPANCY MUST BE
OBTAXNED FRO# THE BUXLDXNG DEPARTMENT BEFORE
THESE PREMXSI3S ARE OCCUPXED!
REMARKS:
e
l
.i rr
---- ---Y�------ _w
XNSPECTOOR
TOWN OF QUEENSBURY r
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280at
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST INSPECTION RECEIVED
NAME
LOCATS(oN
DATE -, PERMIT # !
APPROVED
YES NO
FOOTING/PIERS
MONOLITFh,IC POUR FORMS
L,PtwNJNDATI /DAMP-PROOFING
�CKFILL PROVAL
ROUGH PLUM ING
FRAMING
ELECTRICAL R GH-IN
XIVSULATrON;
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCH /S PS
STAIRS-CLEARAN E & ILS
PLUMBING FIXT RES/R IEF VALVE
INTERIOR TRI /PRIVAC DOORS
FINISHED F RS
GARAGE FIRE OOFING
DOOR CLOSE S)
SMOKE DETECTORS
FTIVAL ELECTRTCAL INSPECT'
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTASNED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED*
REMARKS:
INSPECTOR
TOWN OF QUEENSBURY l ' \
BUILDING AND CODES DEPARTMENT
BAY & HAVI LAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-58.32
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED 9 �1
NAME
LOCATX ,
DATE .q-■ PERMIT # " t
APPROVED
YES NO
FOOTING/PIERS
MONO THIC POUR FORMS
FOUN SON/DAMP-PROOFING
BACKFI APPROV L
ROUGH P MBING
FRAMING
ELECTRICAL OUGH-IN
INSULATION.-
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION;
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ EPS
STAIRS-CLEARANCE & RAILS ^~
PLUMBING FIXTUR S/RELIEF VA E
INTERIOR TRIM/ IVACY DOORS
FINISHED FLpO
GARAGE FIREP PING -
DOOR CLOSER ( )
.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 OCCUPIEDt
REMARKS:
*XNSPZ�C �`
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS / Y�}
QUEENSBURY, NEW YORK 12804- +
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPEC ION R I ED
NAME
LOCATION .�-
DATE LLC PERMIT # `� l
APPROVED
YES O
�OOTING/PIERS
MONOLITHIC POUR RMS
FOUNDATXON/DAMP—P FING
BACKFILL APPROVAL
ROUGH PLUMBING s
FRAMING
ELECTRICAL ROUGH—IN
INSULATION; n
FOUNDATION '
FLOORS
WALLS
CEILING
FINAL INSPECTXO
CHIMNEY HEIGH$'
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLORANCE & .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:
INSPECTOR
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