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1989-202 y j r y 1 CERTIFICATE C3F CJCCUPANC.0 'Y' c TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK August 14 89 Date 19 89- 202 This is to certify that work requested to be done as shown by Permit No. has been completed. I Single Family Dwelling This structure ma�be occupied as a Locati<m 5 Owner Thomas & Nancy Wallace By Order Town Board TOWN OF Qt1EENSBt1RY sDirector of Bldg. & Code Enforcement I i I BUILDING PERMIT TOWN OF QUEENSBURY No_ ag_ -2n9 WARREN COUNTY, NEW YORK O ' to PERMISSION is hereby granted to 'f`Y40MAS S __NANNCY JAA11 LACE � OWNER of property located at T !1T &7 17 19f3NFY Hf"1T Street, Road or Ave. I� V 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. F2. OWNER'S Address is la CONTRACTOR or BUI LDER'S Name Draw [" DEAN NOWLAND JR . � 3_ CONTRACTOR or BUILDER'S Address BOX 140 STAR. ROUTE a. ARCHITECTS Name 47 ly r6, ARCHITECTS AddressPE of Construction — IPlease indicate by XI X{9 ) Wood Frame { I Masonry I } Steel I 1 r C r 7. PLANS and Specifications 82 ' x 40 ' Single family dwelling as per plot plan , INN sppecifications , and application , including, septic driveway and � �,oEbed two Car &axsae - 8. Proposed Use C n Single Family Dwelling CA INA* C C7 IN 25 . 00 c /o is IgC in PERMIT FEE PAID -- THIS PERMIT EXPIRES w s>s.'m. --$• �+ i (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.} �rr1 Dated at the Town of Queensbury 21 y1y of Apr iI 19 89 I-'• t� 'rl SIGNED BY for the Town of Queensbury Building and o ing Inspector f'y r. #Q APPLICATION FOR 'BUILDING AND ZONING PERMIT TC1 VN Cti`I� I.IL�ENSI3URY TOWN OF QUE KSBURY Reviewed ` RECEIVED Fee 0"d t �' 540 APR 17 1999 BUILDING AND CODES U1 :PART1 1*rf Dolte Teac.ted BLDG. St CODE DEP"i". BAY and IIAvXla ROADS RQ 1 Dox 93 I.3N OUEENSBURY, NEW YORh: 12804 PCJt "it Nc, . Y / Tel , (518 ) 792-5832 Exc -204 .. .• 1► • ■ x 'A •s ■ ■ ,Y R • ,t w } ,s 1, ■ a` ■ x f ■ ■ ■ iw s w : s ■ Is if a w w A PERHIT MUST B4 OBTAINED UE- FORE BEGINNING C€.7NSTRUCTION , NO INSPECTIONS WILL BE }MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDTNC PERMIT . All applicable apace s on t )iiS application must be conipleted and the sipuature of the applicant must raPT*1car on the reverse side of this sheet . * � * yc * 7Y JC 7e :k ie iik is 7G nt ac yc * ye 7k The owner of this property i s : 6461 TEL . P ' O * Address RnoQ ra r TAX MAP t3a . �' ��`/ 6 / rr vroperty locatio 'Y//7%loejoa Ilas there been an splic of this property since October 1 , 19@@ ? yes / 1Y;Q_— lf yes , Planning card Review is necessary . SUBDIVISION NANIIE , F APPLICABLE LOT 'Na . 1' he ersan respansi le tar stxpervisian of work as regards Building Codes P . a . ADDRESS It Til Na . NAMlc: Tel blame of builder T G Address -s" Tel T.ddress Name of Plumber 'TeI Name of Mason Address 14ATURE Or PROPOSED Ir011K: . 1 ZC)NING INVO1tDPPTION ( Office us ' only ) • ZONING DESICNATION OF PROPERTY �Canstructior+ of a new building Addition to a buil.ling ' PERMITTED PRINCIPAL PERMITTED ACCESSORY A1ta:r;a.tion to a ) .uilding r ' { s ,a ci "toiqu to uxc .lrior tlitrien5i0"s ) ' REVIEW REQUIRED - PLANNING BOARD ZONING BOARD Uck,er tiwork { le_CriLAte ) SITE PLAN Rl~VIEW # APPROVED DATE VARIANCE It APPROVED DATE [ROSS AREA O1' 1' rtai' aSCD. TrtUCTURS Remarks : 15t Floor q ft . „ 2 n d Floor / s q f t . COit171.E'1'L• I fJl'al:rM'1'iaiV !tl:llU i1ct=D ItLL041 . rt Other Floors sq f t . �ai'la: of l�roF�urty_ 2 t •H�3 r' t Xa :fl7 . ` Lxisti�tg 1�uil� li� � l { :: ) Si,c CL ?( tt . ( not cellar or basQmt4nc ) .r TOTAL FLOOR AREA� sq f t ' Lxir tintl l}ui ldirttl � ;; ) Us4 i N!+"� INIIIIIIIIIIIII ' ic&j of new lcructur� eft ?: ft ' It Focus d:ation-pierj ;lab/crawljL�arti..l r' N[ ojnp:;a:d builuinq , di::c:anca: zraau L�roisa:rcy iin4 i '" r {circles one ) + Front yard 16e> is Raar yard f t � + Na . of stories �)1:►llit ahla �lauCc ) „ Sida yards 3c7 fr. and 75 it Il&:ight ( grade to ridQo ) 2¢3 1 f t • If on corner . :;;UC pack troin si,du :;cruc c r' c If rouid. ncial , no * of tamilies OCCUPANLY INFOP40ATICN No , of rooms ( excluding b"chs) „ l/ w . tlo. of IWdrooms * PRIMARY DUILDING000 Now of lascitroonr:: ~'f*Z �pne. .family dwelling 11riuu. ry lkwating .;yULiw31k .d,77 .9r/L r Twt7 fi:.mLlye dwullinal Tyluo of fuel 1945 Multiple dwelling / Humber of units No . of firuplacA.1:; u 13e in::tall::d Pcrm"nottt occup:uacy Will :a WOOD Scava: Lu irl::tall"d ' /+:a ,rx;tytslu[a4 ot:catl arac f eJ r. • L.snt;.r:al nir cantlitiunirag: � 13usinu5s BUILDING ;TYL.E, PRIMARY STRUCTURE lrtciu�trial ,� achcr t,:witacks Cant usl:c.s :�ry l.cn cuJoin If .addition , w1i"r. will usa k�u7 t:aist d ranch M"nsit,sl Duljlux " wwww ll�lit 1vvJl Old style laurt{1., low ` NIGOIN Ca �u Cad Cottugu OcYu: r ; ACCESSORY LiUgari go/ car 'o l on i.c.l i:aw 1'awtr }louse ' La.itachacL yar2aQC}pnC Cixr} two cur} ( CIl2C10 ONE PLEASE ) ' �AtLwch+.'ai 9;4ragulona c4u wo / c`ia r ■ • ■ . Is • w ■ ■ ■ r as OF 1#Y'iYiaC� £tar:aga: building I S '1' IHAR' I: D HARKr'r V AI. 0 V C} L' ' 9rher 3NFor%HATION On BUILDINC SPECIT' TCA"TIONS , ON TtCVER.SE: SIDO OF Ar"S SrIL•',I'T. 'l70 Be COIdFLlr'1`EDL Form BPA 10188 V2 -A'y 7L� y BUILDING PERMIT APPLICATION CONTINUED - ERJIt_DING SPECIFICATIONS : Type of construction , C; d frawe fire safe , etc . Will any second-hand or ungraded lumber be used? if so , for what? /tX3 Foundation wall material el Thickness �'S Depth of foundation below grade ( to bottom of footing ) Will there be a cellar ? Heated o in Bate Floor sq. footage Will there be a basemen c Will a� s ortion he user3 as living space ? gr q ft ( If so , what portion? "" I 64&sq . ft . - - Type of use? Type of roof - slo ed lat/shed/otlxer Material of roof Size , wood studsu�_ x ' { spacing_ /� "o . c . length , £t . Joists ( floor beams ) 1st . floor spacing � p�`•'o . c . span /�yt•� £t . .Toists ( floor beams ) 2nd . floor 3 l•K_�Zz " spacing "o . c . span;;_ ft . Overlays ( ceiling beams ) . , "x__j;�_• spacing /G ' "o . c . span�ft . Roof rafters ,,rep spacing /� o . c . span24F ft . Roof trusses (pre-engineered) spacing 'Kit span ft , Exterior wall finish �e Of what material ? Interior wall finish _ G - >/y �vr�e•,,AtL If a garage is to be atta he ed , �,describe materials to be used for FIRE SEPARATION : �f jr dr w re-i•� Is there to be an opening between ga age and dwelling?_cb{r� if so will. a Fire-rated door , enclosure , and self-closing device be ,provided? Will a flue -lined chimney be installed? 05 Height ah8ve roof 21, ft , Depth of chimney foundation below grade ft . Depth of fireplace hearth.. -ft . Water supply - Municipal or private well iy+ ux:e.e-ir��o SEPTIC SYSTL:M _ Distance from ANY private well { including adjoining properties ^,5% ft . (A separate application is necessary for any repair or new installation of septic system) D E C L A R A T I O N 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 / Owne , owner's agent, architect ontractor to or 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 -j 2/I <i 2 . Type of heater rr of 3 . Is the building mechanically cooled ? A . Percentage: of area of windows and doors fri • �re 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 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. oe- 3 S 2 . R value of exterior walls e4e 3 . R value of glazed area Z2 - 4 . R value of doors /C /Z/, 5 . R value of floors over unheated spaces . 30 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab Alido 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement / cellar walls ( below grade ) t - 13 10 . Type of insulation , �p , , , � � s + Lo C . Controls 1 . Thermostat maximum heat setting 00 Do Duct Systems ,•-�;� 1 . Is duct system installed in unheated spaces ? YES NS a . If YES , R value of duct installation b . R value of duct in other areas _ ___ _- E . Piping Insulation 1 . Size of hot water or cooking carrying agent pipe y� I 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency G� 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . ( applicant ' s signature ) TOWN OF QUE• ENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION Cc+ j� // /~' / }/ trim,+ � Owner's Name: /" "'e ,ZZ"r r Telephone: Address: i 2 7� �'�'�? =7. r� toed ' r: y + i92G � Installer's Name: ^_Telephone: j yr j Number of bedrooms (residential only) ` Total daily flow (compute (a 150 gal per bedroom) � }�a Topography: Circle on Flat Rolling Steep Slope % of Slope Soil Nature: Circle one Sand Loam Clay Other /Depth: Feet Ground Water: At what depth? 7 Feet Bedrock or Impervious Material: At what depth? yo Feet Percolation test: Circle one: of require required rate min. inch. Domestic water supply: circle one. Municipa Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank jcer.'.a gal. (minimum size: 1 , 000 gal.) TILE FIELD : Each Trench Meet/Total system length G� feet SEEPAGE PIT(S): Number of / Size each feet by 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 QueensW.2,04 itary Sewage Disposal Ordinance, SIGNATURE OF RESPONSIBLE PERSON: L r' v /— / DATE : 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 hours before start of construction and shall include a plot plan showing : 1 . ) Elie proposed location of ttae 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 plat plan at time of inspection may result in an ianmediate work stoppage . D . Should unforeseen problems during construction prevent proper installa- tion , alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction , Town of Queensbury BUILDINC and CODES DEPARTMENT Bay and [laviland Roads Queensbury , New York 12804 lt�marks : , F.'3 I `' � A L c [9ATION FQfI ELECTRICALANSPECTION . 'BE;AH DOWN YOU ARE MAKINGf4� COPIES p- - pT 1.IA _. ,C < 4'• kt y� IMWNT JNSPECTI.0N;I�G,ENCY, IN C .. . tie#ional Headquarters , 900 Haddon Ave., Collingswood, N.J. 08108 r ,+ / r Date : .yf!/7f ` I,Wdoq City Town nr County Jf.�1 { ' State_r +• ' LocationJAddrtiass ► 1.': ,- s , (I'f, t. cated in Rural Area Please Attach Direction$) Pole # Owner �'t- f Permit # Occupied AS a- ''" - ._•�. AISTOK.; 4 _mac.. Building: New Old El Occupanti�iC+.ns:ehs dt 'v= '- .:x + € Work Area in Building {Floor #r etc.} . A for: WirinSarvice oi•.!� Read for Inspection : Fee Remitted - $ 7 , , .: Cash'I� heck Q ' M.O. I] Make Payable To, M,D. I.A, c.* f 5qa 7Sa loop 325a l5aa 37ya 2oaa 225a 25ao 27sq 3ggq Number of Rough W�r gutlets : .E�g t. Hea# Switches : Lighting' ra -" Amp. Service Surface 4nit Dishwasher . Range ReceptacleF ' a ;x;' ' § Water Heater Air Conditioner , Dryer . Pump r1n r of F' s r�---- - — Oven Garbage Qls opal Wiring and Controls for Burner x< Anlp. Receptacles Fractional H.P. Vent Fans tl her Equipment ' #,f�,+ 2 1/le 7.fa A( ,l/4 lf3 1/2 3/4 k' : 143 .'Y 3 5 74t k[1 15 2D. 25 30,140 5 r. G 7.ry 3" Mark Numbrry.a+e of Each Siza < .' signature License s# Permit # TIAd . - . s av4 Utility: Appllcen#" dness NAME OFFIC L4 . i IClty ViP) 0ea& Service Request # Phone '�. l=lectrician dd pATE;RECEl111Ff]: I DATE INSPECTED. Correct"Locatr Barrie as 'Above : or» i Red Notica tl:'beie ' ::,r ' ; ;' f-Rou h Vifi ing:C]utlets r Surface Unit Chen #'Swi#chg5 . - ' i' Range GarbageDisposal 'Piece tacles. r ll - } Water Heater Dishwasher Fixturs5 , .: +lr r r:. f t' ' Air Conditioner Dryer , r Am ServiRCE ui ment '6 r-s '` .. V Burner,. Wiring & Controls for;'= Amp. Receptacle Amp-. Serv`ce Conductors ' " ` : .: " PUMP Vent Fans MOTORS " P 1/�9 [It'll � a 1!3 : /a la 1 1�/3 a s 5 74x 10 15 2a x5 ae ao 5a as iMark Number - -+' " . ;st, i . i of $i + FTI as� ': .v { '..:. - Soo 76q' 1000 3.?5a 14gq 375a 2gaD 2250 35aa 275a 3g00 ' 'J Pd.triPk d...1 i5:b ►ar+ et, Meat e18 -33ixBs9 . . . w i IY> ICAI, �1 "ECTOS r , . ,. _ { l RWPI j {� Li' LKD 0 3 Contractor ,'w' Ft ' CFT `� 1 l 1 comb �]'3 Jnc. 0 r r :: . ,ii ,slr Ovvner s CASH ' 0 LEA ..< �e 7} i QFeeue ,:i CH K # !.: O IPA " �`` " ' ' `,� � Municipal MomINV Qataa. x . tN Other Sided UtilitCy I dOAw> lerant SAA . \4 iiP .,.1y IJ'i {� r rt �+ . '�'SK�r a a'd Cut In Cards * rn� A , I ik Date ._ja I .°:: . °':.. . `' .. M ,..,- i .. INSPECTC]R$ SIC,NATURE I 111p: rSSuE L)ArE (MfAfDotyyy PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AMEND, 4, Wm P Leonard Agency Inc EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. RR #5 Lake George Road Glens Falls NY 12801 COMPANIES AFFORDING COVERAGE COMPANY rf LETTER A Firermns Insurance Company of Newark NJ COMPANY - INSURED LETTER YA�nas City Fa-re. and Marine Insurance Co i 4 HOWLAM CONSTRUCTION INC COMPANY c LETTER Box 140 Star Route a. Glens Falls NY 12801 COMPANY LETTER pp COMPANY E LETTER 111,� ]a ME11 I I��Wm Willvi 116s:1 P46F 61, THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WKWH THIS CERTIFICATE MAY BE IS SUED OR MAY PERTAIN, THE INSURANCE AF FORCED BY THE P OLICJE S DESCRIBED HEREIN IS SUBJECT T 0 ALL THE TiERCA S 0 E XCLU SION S 0 AN U COND I- TIONS OF SUCH POLICIES_ ,Lim mts Shown May Ha-ve Been Reduce Bv Paid C a3jTnks.. Col d d� 4 LTR TYPE OF INSURANCE PGLICV EFFECTIVE PCJCY FXMRAJj0i'4 ALL LMIITS IN THOUSANDS POLICY NUMBER DATE NI.WPONY) DATE (i~EQYYP GENERAL LIABILITY GFINEFLAIL Afl6i;[GATE $ 1 500 01 A X COMMERCIAL GENERAL LIABILITY CBP 6026057 6-3-88 6.3-89 �1SflU-TSGCJWWPS ACGHEGArE $ -1 5 0 L X OCCURRENCE �JN6 I!AJURY X CLAIMS MA —1 F�xl J�(FIZA)11AL & AD�UITII� $ 500 OWNER'S & CONTRACTORS PROTECTIVE EACH 0"VEIRENCE $ 500 FIAT. OAfJAi:,E LAW ONE FIRE) $ 50 MEDICAL EXPENSE (ANY OUT PEA$QN) $ AUTOMOBILE LIABILITY ...... ANY AUTO CSL A x SP I Jd C 6026057 6-3-88 6-3-89 $ ALL OWNED AUTOS SCHEOULED AUTOS jYER PERSON) $ HIRED AUTOS INJURY 500ity d4 NON-OWNEU AUTOS VIVIFINT) d GARAGE LIABILITY DAMAGE $ EXCESS LIABILITY EACH AGGR65GATC OTHER THAN UMBRELLA FORM d STATUT011Y It WORKERS' COMPENSATION od F3 AND 11W 8703005 6-3--88 6-3-89 $ 100 (EAC4i ACCIDENT) EMPLOYERS' LIABILITY $ loo OTHER DESCRIPTION OF OPERATIONSI LOCATIONS fVEIAICLII RESTRICTIONSI SPECIAL ITEMS d .mltf'=L�� Fp SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 'd Town of Queensbury 1"T MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Bui Iding and Code F4nforcement LEFT, BUT FAILURE *0 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 7m"" Bway Road d LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATUVES, Queensbury NY 12804 AUTHORIZED REPRESENTATIVE ?,P4 d p p 41� t TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 32804I TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FO NSPECTIONrRECEIVED NAME WCATIO DA TE f '! PERMIT # , APPROVED YES NO FOUNDATION FLOCJR WALLS CEILIN FINAL INSP TION: CHIMNEY HE GHT r ROOFING SIDING EXTERNAL PORCHNS/STEPS LIZ STAIRS-CLEARANCE & RAILS } ` . PLUMBING FIXTURES/RHLIEF, VALVE INTERIOR TRSM/PRX$rAcY DOORS Lr FINISHED FLOORS GARAGE FIREPROOFtNG � - DOOR CLOSER (S) SMOKE DETECTORS' FINAL ELECTRICAL.' INSPECTOO FINAL APPROVAL -OF CONSTRUCT3N A SIGNED CERTIFICATE OF OCCUPANCY. MUST ,BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED? REMARKS: k f y INSPECTOR - ^ TOWN OF QUEENSBUR`1' BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEEN.SBURY, NEW YORK 1280-ol. TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED - - / Cr _ 6 Cog NAME LOCATION f DATE J ] _ PERMIT # FS `P - �o APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOU'NDATXON1DAMP-PROOPXjVG BACKFILL APPROVAL. ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FlopoRS "AraS CEI ING L.IPINAL NSPEcTION: CHIM Y HEIGHT ROOFI G SIDING l EXTERNA PORCHESfSTEPS STAIRS- EARANCE & RAILS PLUMBING -rXTURES/RELIEF LVE" INTERIOR IM/PRIVACY DO RS P'I NISHED F RS GARAGE FIRE OOFING � - DOOR CLOSER ( SMOKE DETECTOR FINAL E.LECTRSCAL SP CTIpN FINAL APPROVAL OF STRUCT-r N A SIGNED CERTIFIC E OF CUPANCY MUST BE OBTAINED FROM THE BUILDIN DEPARTMENT BEFORE THESE PREMISES A E OCCUPIED REMARKS. Lr� P (D �. I SPEL^TpR TOWN of QUEENSBURY BUTLDrNG AND COZIES DEPARTMENT SAY & HAVXLAND ROADS QUEENSBURY. NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR NSP CTX N RECErVF.D NAME z y7 LOCATXON DATE PELT # 1 APPROVED FOOTING/PIERS YES NO MONOL.lrTff-rc POUR FORMS FOUNDATZolV1DAMP-PROOPT2VG BACKFrLL AARROVAL ROUGH PLUMB*NG FRAMXNG ELEC2'RTCAL UGH-TN .rNSULATroN: FOUNDATTOAA FLOORS WALLS CEXLXNG VFXNAL TNSPECTX ,r CHIMNEY HEIGH ✓ ROOFING SrDXNG EXTERNAL PORCHE TEPS STAIRS-CLEAIRANC & RAXLLS PZ.UMBING FXXTU S LIEF, VALVE v rNTERXOR TRIM/ RrV Y DOORS r FXNXSHED FLOG S GARAGE F-TREF OOFING - DOOR CLOSER ( J SMOKE DETEC'#'C)RS FINAL ELECTRICAL rNSPECTr FINAL APPROVAL OF CONSTRUCT 04V A SIGNED CERTXFXCATE OF OCCUPANCY MUST BE OBT'AXNED FROM THE BUXLDXNG DEPARTMENT BEFORE THESE PREMXSES ARE OCCUPXEDr REMAR KS ���Z nor �' t�'d,�' r�,r•''�P,r''f' s'�"7� S,S/�y,� .INSPECTOR - ' - TOWN OP QUEENSBURY BUrLD1'NG AND CODES DEPARTMENT BAY R HAVrLAND ROADS Qt7EENSBURY, NEW YORK 1280d- TELEPH0NE (518) 792-5832 BUILDING INSPECTOR " S REPORT REQUEST FOR rNSP TrON RECEIVED NAME l�.7 =0, or LOCATrON / DATE rr APPROVED FC)OTING/PIERS YES 1VCJ MONOLXTHrC POUR FORMS POUNDAT-rOJV1DAMP-PRO.. XAFG BAC"rLL APPROVAL ROUGH PLUMBrNG FRAMrNG ELEG`TR-TCAL ROUGH-TN .rNSULATTON: FOUNDATION r' FLOORS WALLS CErLTNG FINAL XIVISPECT-I CHIMNEY IiErGHT ROOFING SrD_ING EXTERNAL PORCHESf EPS .S7'AIR.S-CLEARAN & RAILS PLUMBrNG FrXES/RELIEF. VALVE rNTERIOR f4 M/PRIVACY DOORS FX AFXSHED zf jOoR,S GARAGE ,erREPROOl rNG DOOR LOSERS) SlI DETECTORS FrN ELECTR.TCAL rNSPECTrON FrNAL APPROVAL OF CON,3TRUCTrON A STIGNED CERZ; 1CATE 0� OBTAINED FROM THE BUILDING DEpARTMCUPANCY �T BEFORE THESE PREM1`SES ARE OCCUPIED! REMARKSIle rf� Z410 °� . rNSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES i7E'PARTMSNT F BAY ,� HAVILAND ROADS 0 UEE4V S8URYo NBW YORK I2g U4 TELEPHONE (518) 792-5832 ex N LUILDINCv INSPECTOR ' S REPORT REQUEST, roR -TAlSPEC2'zON RECEIVED LOCATXOi�� DATE y PE IT APPROVED FOOTING/PIERS YES NO MONOLITHIC .YOUR F ar F0UNDAT2-0Ar1VANp_pR F I NG BACKFILL APPROVAL ROUGH PrLU'NBTNG FRAMING ELECTRICAL ROUGH-TN TNS'ULAT- ONE FOf7NDATTON FLOORS WALLS CEILING �- FINAL TNSPEC'TIONr CH.ZMNEY HEIGHT ROOFXNG STDTNG r EXTERNAL PORCHES/S�EPS STAIRS-CLEARANCE PLUMBING FIXTURE RAILS INTERIOR /RELIEF LVE TRIMlP VACY DOOR FTNTSHED FLOOR GARAGE PTREPR F-'NG-� DOOR CLOSERS SMOKE DETECT RS FINAL ELECTRI L INSPECTTON FINAL AFPROV OF CONSTRUCTION A SIGNED CE TTFICATE OF OBTAI T NED PR yr OCCUPANCY MUST BE Tf�ESE PREIKISESAREBUILDTNG De- ARTMENT BEpjRS OCCUPIEDr REMARKS: _ /ouvn o/ Queens6 SWI.DING and zc►rvrnlG raEP,aRTnnr;HE nrr Bay and Haviland Road, R. D, f Box IT (]ueensburY, New York 128()l 98 SEPTIC DISPOSAL SYSTEM INSPECTICIN NAME �.� LOCATION �- DATE �� PERMIT NO. 0 �a SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YzS Percolation rate - Min/inch TYP of SYSTEM: Abso tion field, r Length f each t Ien Depth o trenches �' es Site of avel SEEPAGE P Size- S{Number off_ X Gravel Size PIPING : Bldg . to tank ~~�Type Wank to that . Dist.o box to fuel r OPenin t I *.Ia sealed ? ES N,a ---• Part±al LQCATIoN/SEPA RAT S Foundation to t J Foundation r ?" ft. Absorption to �fto t linesoxpt line ft . tion of its OF S � ft . STEM C]s a RTY (circle one) Rear Left side - S : fight side - SYSTEM' USE APPROVED YE YE Btu i din Inspector 01/66 tnd vl TOWN OF QUEENSBUR'Y BUTLDTNG AND CODES DEPARTMENT BAY & HATIIL;ND ROADS 7VEENSgURY, NEW YORK 128oI TELEPHONE (578) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR T�EC T 1y NAME RE EIVED L[aCA2'IDN f / OL fy"J�� DATE "7 PERMIT #Gp A,P,,V. "D FOOTTN,GIPIERS YES NO NONOLITHIC POUR FORMS FOUNDA 2'TO NI DAMP=PROOFING BACKSILL APPROVAL ROUGH PLUlgVrNG f F+ANTNG ELECTRICAL A'OUGH- IN INSULATION; FOUNDATION Fr.�"JRS WALLS CE- LXXG FINAL rNSPECTIO CHIMNEY HSIGHT'• rf ROOFING SrDTNG EXTERNAL PORCHESz/ TEPS STAIRS-CLEARANC4e RA rrs rNTERTOR rjR TU2ESIRELrEF -V AEPLUMBINGFIS I� RXVACYDORSFrNTSHED F � � �- GARAGE F'TF2S'PROOFSNG DOOR CLOSER (S) SMOKE DV%`ECTORS FTNAL ELECTRICAL rNSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTTFTCATE OF THE BUrLDrCUP OBTArNED FROM ANCY MUST BETHESE PF+'EMrSES ARE G DEPARTMENT BEFORE OCCUPIED, RE'MARKS.- v i rNSPEC"3'py�r T03VN OF QUEENSBURY $UrZDXMG AND CODES DE'P.ARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEky YORK 1280g. TEZZPHONE" (518) 792�5832 BUILDING INSPECTOR t S REP f�a ' RZVUEST' FaR ORT rnrSpECTTrON NAME -- � RxcRrVsb DATE o fp APPROVED FDCJ?'ING/p IRS Y$S AFO MOh►OLITHrC FOUN+DATT.ION UR FORMS P—PRCMDFTIVG �1�''KFr� AP AL OUGH PLiIMB G v�`RAMl-NG Er,ECTR�.� R GH-rN G 'rSi' TrON. FOUNDATION FZOORS WAZ g cErLING FrNAL INSPEcrro CHrMNEY HErGH ROOD rNc SIDING ExT ERNAL pORc�rx s Ps.STAIRS—CLEARANCE PZVNDrNc FrxTv RArLS INTERrOR RE LrEF VALE~- VZ FINrsHED F V Y DOORS CARAGE FrR1sPR FINC; DOOR CLOSER ] SNO'KE DET RS FrNAL ELECTRICAL INSPECTION FINAL APPROVAL DF C'.....UCTItJN A SIGNEb CER2 rFTCATET OF O$TArNED FROM THE BUILD OCCUJP'ANCY MUST THESE PREAdrSES ARE INC DEPARTMENT BEFORE' OCCUP r eD t. Xj �r � ✓ / / � yr Avkl .^er rNSPECTOR i OF QUEENSBURY ,ING AND CODES DEPARTMENT & HAVILAND ROADS i ENNSBURY, NEW YORK 1280& LEPHONE ( 518) 792-5832 BUILDING INSPECTOR' S REPORT [� REQUEST FOR INSPECTION RECEIVED " Iv ■ 1p NAME ~- LOCATION DATE �.. ,�i - , PERMIT APPROVED YES NO FOOTING/L'IERB MONOLITHIC R FORMS FOUNDATION/D -PROOFING_��_ BACKFI LL APP AL �--�- ROUGH PLUMBING . (..FRAMING ELECTRICAL ROUGH N r INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION,- CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS -•-- PLUMBING FIXTURES/RELIE LIVE INTERIOR TRIM/PRIVACY D RS FINISHED FLOURS - GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL TNSP TION �.- FINAL APPROVAL OF CON TRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: P J . INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVILAND ROADS QUEEi "iBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR sr]ySPECTI-01V'jR E NAME I VEb DATE �+ RMIT (1` APPROVED FOOT-rNG/PIERS .. q I'ES No MONOLITHIC POUR Fr F'OUNDATXOAF1DAMP-PROOFSiVG BACKP'1'LL APPROVAL ~ ROUAGH PLUMBING FUMINGIre BLECTRICAL \,j�OUGH-IN INSULATION: FOUNDATION y/ -'LOC7RS WALLS CEILING ' FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SI DTIV'G EXTERNAL PORCHES/S PS S2'ATRS-CLEARANCE PLUMBING FI ILS INTERIOR TR /pES RE IEF VALVE ,FINISHED Fr' ooj? VACY DOORS GARAGE FIREPR FIND DOOR CLOSER ( SMOKE .DETEC R,S -�---,_ FINAL ELECTRI r INSPECTION PINA,L APPROVL OF CON,,TRUCTrO A SIGNED C TXFICATE OF CUPANCY ST BE OBTAINED FRG?M THE BUILDI� DEPARTMENT BEFORE THESE PREMISE'S ARE OCCUPIEDf REMARKS: INSPECTtaR �` TOWN OF QUEENSBURY BUILDING AND CODES DEpARTNENT ^ BAY & HAVXLAND ROADS P - QUEEN.SBURY, NEW YORK 12801- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE #f C S" 9-_� J APPROVED FOOTING/PIERS YES NO momoLXTHIC POUR FORMS_ P OUNDATION/DAMP-PROOFING & AACKFXLL APPROVAL ROUGH PLUND.TNG FRAMING f ELECTRICAL ROUGH-rN XNSULA TXON: FOUNDATXOJV FLOORS WALLS CEXLrNG FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ EPS STAIRS-CLEARANCE RAILS PLUMBING FrXTURE /RELIEF VALVE INTERIOR TRXM/F rVACY DOORS : �`- FXNISHED FLOOR GARAGE FIREPR PING DOOR CLOSERS SMOKE DETECT $ FINAL ELECTRrCI{L AV UN FINAL APPROVAL Ior CONSTRUCTION A SIGNED CERTrFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUrLDXNG DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYe NEW YORK 1280g.. TELEPHONE (518) 792-58.32 BUILDING INSPECTOR'S REPOFZT REQUEST FOR XNSPECTION RECET VED NAME DATE -lief PERMIT A ROVED ES NO G OOTINGfPIERS MONOLrTHrC POUR FOUNDATION/DAMP—PR PING BACKFrLL APPROVAL ROUGH PLUMBING FRAMrNG EZECTRXCAL ROUGH-IN IIVSUZATrON: FOUNDATION FLOORS WALLS CEIZXIVG FINAL rNSPECTrON- CHIMNEY HEIGHT ROOF I'NG SIDrNG EXTERNAL PORCHE (STEPS ,STAIRS—CLEARAN E & RAILS PLUMBING FIXT ES/RELIEF VAZ E INTERrOR TRIM PRXVACy DOORS FINTSHED F RS GARAGE FrRE OOFING DOOR CLOSER Sj SMOKE DETEC ORS FINAL ELECTR AL INSPECTION FINAL, APPROV L OF CONSTRUCTION A SrGNED CERTIFXCATE OF OCCUPANCY MUST BE OBTArNED FROM THE BUrLDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS. / 1 rArSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS _ QUEENSBURY, NEW YORK 1280g. TELEPHONE (518) 792-58.32 BUILDING INSPECTOR' S REPORT REQUEST —FOR �jINSPECTION RECE IVED NAMEpq LOCATION /0° DATE - PERMIT r# L'LL - p APPROVED YES NO L.F670TING/PIERS MONOLITHIC POUR FORMS FOUNDATTON/DAMP-PROOFSNG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH N INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE S -- STAIRS~CLEARANCE & rLS V PLUMBING FIXTURES/ ELIEF LVE INTERIOR TRIM/PRI CY DOO FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL O CONSTRUCTION ' A SIGNED CERTIF CATE OF OCCUPANCY MUST' BE OBTAINED FROM E BUILDITNG DEPARTMENT BEFORE THESE PREMISES CUPIEDi REMARKS.: coee*.le -e T r�'•+"� ,�v© �-r ;:w,,� ac1�G. r7.G'f Gcxv� r dI INSPECTOR . � ® ~ ~� �40qze +• _ » 2 k' Q 4 , Ste» \ � �: lo ' 7 : } a _ _ a , � z \ W\� � \ 77wr4 OF QUEENSBURY oning A | ' ! r ��z�