1988-747 • ' �.. a't�•�_ •`"• .. ,_�,y+ •l,s: Yt+"<'i�``!1 t,t4 r,?;J.;.�.�iw�.,:- .,�;Y.
� �r.—.>.:r 7+Y•'�.• fir:.:
CERTIFICATE OF 'OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 9 19 88
This is to certify that work requested to be done as shown by Permit No. 88-747
has been completed.
This structure may be occupied as a One Family Dwelling
Location Lot 119 Oak Tree Circle St.No„
Owner Rich Schermerhorn
By Order Town Board
TOWN OF QUEENSBURY
k l f,/L,7-•- ••-7X •
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-747
0
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Rich Schermerhorn
OWNER of property located at Lot 119 Oak Tree Circle St.No.27 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.
1. OWNER'S Address is
1121 Crandall Street
Glens Falls,New York 12801
2. CONTRACTOR or BUILDER'S Name
Same
cip
3. CONTRACTOR or BUILDER'S Address
rt
5
ri
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
XIXX Wood Frame ( ) Masonry ( ) Steel ( )
0
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7. PLANS and Specifications
H
ti
No. 50'x26' One Family Dwelling as per plot plan,specifications, and
application, including septic and attached two car garage.
8. Proposed Use
C)
One Family Dwelling F
En
5.00 C/O
$ 122.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 89
(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.)
O
0
Dated at the Town of Queensbury this 17th Day of October 1988
5
SIGNED BY / L.tc� H.i for the Town of Queensbury
Building and Zoning Inspector bfu/7
ty
N•
04
4 w
�J (P D a 6
dv,, il J
BUILDING and ZONING DEPAIlTMENT C' ��
Day and FIaviland Road. R.D. 1 Box 98 ?sr - To,._ OFC'- 'ET
Queensbury, New York 12801 ! ' .
_, l
- 19 7
Approved by• ; 1988
APPLICATION FOR '
BUILDING & CODE DEPT.
BUILDING. AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * * * * * * * * *• * * * * it- * * * * * ::.*
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: iec,4 ce,ke.y.,,7r -1,,1("A/ .
P.O. Address >PZl1z C,raYlAc1.1l ' i-- ki . ' n/.?/- /Z 80 / Tel. 791--067/
O� (e e e` �c/e
Property Location: (p //y --/a_/_/ � - � --7 . Tax Map No.7. D / �j/oica c/'
Street number or building lot number
Subdivision name (if applicable) ,./,•cIcIe / A'/15
't'lll. PERSON RESPONSIBLE FOR SUPERVISION OF .WORK AS REGARDS BUILDING CODES IS:
i
R - s , 1,,..-il.CL o r Al /I Z. v Iz C.rek Yea c i i Si-. 03,g l✓i$1, J Z rO/
Name P.O. Address Tel. Nu.
Name of builder R, Sc,he r✓sr1C.f cfv Address ;I --1/t- (-fut.rJ tt a-+' Tel. 7 `/ g'-- ci '7 y
Name of plumber $f-c ve, A)I,:,✓V Address Nhidgest! F // S Tel. 7l, 7 - S6 Q 3
Name of mason DOAe,, BoAa„A.�/ - Address - A ✓.✓ Tel. 77 Z —ji 7/
NATURE OF PROPOSED WORK: ZONING INFORMATION:
X Construction of a new building 'x TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
Addition to a building t drawn reasonably to scale and attached hereto,
Alteration to a building t 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
4- street and number or lot number and indicate
•t o1i DL't•IOLI`1'ION t?L'!21•li1', S'TIi1T1; SIZEAND * whether interior or corner lot. Show location
LEGATION OF' STRUCTURES AFFECTED. of water supply and location and configuration
of septic disposal area.
s •
„ COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ' 76. 7V ft X /30.?0 ft.
" Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE: ' Existing building (s) Use
size of new structure SO ft X Z4 ft * '
toar,dation-pier/slab/crawl/partial/full *-Proposed building, distance from property line
(circle one) , Front yard 6/5 • ft Rear yard 93 ft
No, of stories (habitable space) Z. Side yards ft and ft
d2
Height (grade to ridge) p ft. " / ��
If residential, no, of families / w If on corner, setback from side street ft
No. of rootns(excluding baths) -7 ; OCCUPANCY INFORMATION '
No. of bedrooms * PRAY BUILDING -
No. of bathrooms 7- _One family dwelling
Primary heating system Has Vxik- ,,tide,. t,r` * Two family dwelling
Type of fuel n n Multiple dwelling./ Number of units
No. of fireplaces toJbe installed / ' pa Permanent occupancy
Will a wood stove be installed? A/D Transit occupancy
Central Air conditioning? }/P,5 •
. , 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 Bungalow 4.
Cape Cod Cottage Other * ACCESSORY BUILDING-
- Colonial ' Row Town House •' ' • Detached garage/one car/ two ca X car
( CIRCLE ONE PLEASE ) w Attached garage/one car/ twocar/ car
* Private storage building
!
ESTIMATED MARKET VALUE OF '� Other '
CONSTRUCTION W
INFOr.MATTON ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/8G and-vl
uUILDIIIC PERT APPL'1'Ch'PI011 COI•ITIIIUED - :
WILDING SPECIFICATIONS:
Pype of construction, (ood train , fire safe,etc. •
dill any :,second-hand or ungraded lumber be •used? if ,so, for what? AJO
'Foundation wall material 104 kg\ockS Thickness /o i
Depth of foundation below grade (to bottom of footing) 7 '
Will there be a cellar? 0c.6 Heated or un eate Floor sq. footage -7a8 sq ft
Will there be a basement? Will any .on be used as living space? /(142
(If so, what portion? sq.ft.- - - Type of use? '/
Type of roof '- oped flat/shed/other Material. of roof VZ. r4iy. 'r,-1�- 3o.Q e.�'i ZZ 5 Sk,n�, e5
Size, wood studs "X pa " .spacing/6 "o.c. length $ ft.. '
Joists(floor beams) 1st. floor 2 "X /o " spacing I "o.c. span /3 ft. . .
Joists (floor beams)• 2nd. floor , "X to " spacing /G "o.c. span/3 ft.
Overlays(ceiling beams) 9, "X l/ " spacing 2 "o.c. , span p.6 ft. •
boot .rafters "X '" spacing o.c. span ft. •
Roof trusses(pre-engineered) spacing 2 "o.c. span 'A; ft. '
Exterior Hall finish 1/i✓ny L- - Of,What material? Vi , /.L' -
Interior wall finish SAP(4(tc .
If a garage is to be attached, des•ribe materials to be used for FIRE SEPARATION: .
51g 5 kteA CocIC
Is there to be an opening between garage and dwelling? 'i$S If so will a Fire-raced
•
door, enclosure, and self-closing device .be- provided? 'e,4
Will a flue-lined chimney be installed? leS height above roof .9 • ft.-
Depth of chimney foundation. below grade ft.
Depth of fireplace hearth ft. in.
water supply - Municipal or private well • i )i.iYIiC.;pa. 1
SEPTIC SYSTEM • Distance from ANY private well(including adjoining properties 30 . ft.
(A separate application is necessary for any repair ,or new installation of septic system)
Town of nueenmbury. . ' AFFIDAVIT STATE of NEW YORK
County of Warren
I. swear that to the best of my knowledge and belief the statements contained
in this application; together with the plans and specifications submitted, are a true and.,
complete statement of all proposed work to be done `on the described premises and that all
provisions of the BUILDING CODE, 'IUE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether specified or not, and .t • t such work is
authorized by the. own.er.
. 1_,:i/ p. . j ' .
Signature SWORN TOliGl Olcl. ME 'MI5 9
Owner, owner's agent,arcnitect,contractor
day of 19 : .
Notary Public,, Warren County, N.Y-. •
a * * *
a a * :' * * * a : a .a : a sax a a * a a * * * * * a * a * * * * * a * a * * * * *
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 /600
2 . Type of heat /IS . tAlci,+e r C. a aS )
3 . Is the building mechanically cooled? Ye.s
4 . Percentage of area of windows and doors /4/
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. ,;` NO
a: : Are foundation walks;'"insulated? YES NO
1-., If YES, what is:_the :R,. value?
3 . Slab on grade NO
a. If Y1.S , what is the:..R value of insulation around
perimeter of floor?;;`` /
4 Is basement heated? I":YES NO
a. ':' R value of insulation
5. Type` .of insulation dr/ r cy ASS.
B. Under 16% Only
1. R*alue of roof and floors,, exposed to ambient conditions ✓
goes Fg-38`i' '92: iJ✓��� 4ro,,��"
2 . R value of exterior walls • R-- z5
' 3 . R value of "glazed area:.. .. , g
4 . R value of doors .g -13
5 . R value of floors over unheated spaces F-Z5 • V. r
6. R value of slab edge insulation - unheated slab ,lp
7 . R :value of slab insulation - heated slab /Q -10
8. R value of heated basement/cellar walls (above grade) lF'Z I
9 . R value of heated basement/cellar walls (below grade) g r1v
10. Type of insulation 1-i le° 1 a,$ , 5
C. Controls g6 b
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? 0114 NO
a. If YES , R value of duct installation R-/3 •
b. R value of duct in other areas
E. Piping Insulation 3/�
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation '4-1/14.
F. Service Water Heating '
1 . Performance efficiency
2. Temperature control setting maximum /yO
G. For Swimming Pool Only
1 . Maximum heating .)C X
--�Telephone ,No. ??T•D E 7 N ��
(applicant ' s signature)
•
•
%J r o C�tlzdrl,d APPROVED
DATA
• APPLICATION FOR SEPTIC DISPOSAL PERMIT ZONING t GLDO CODES DU'r.
lowli of cuuELI IUItY
•
DATE, 7/7 7 • '. / I? .
LOCATION OF PR 'ERTY F R INSTALL TION - Lei /� T►'7•e c) e. N , , J/j .
Owner's Name: �a�Q owl _ Telephone: 7 ? S' o C V
Address: )t 2 17, (' 'cL vlel ( S+ ' :
Installer's Name: Ae,,D r3 c, 0Li ie,\l 0 S 'telephone:
• Number of bedrooms (residential only) 2
•
Total daily flow (compute @ 150 gal per bedroom) . VS 0
Topography: circle one flat Rolling Steep Slope % of slope
Soil Nature: circle one: an Loam Clay Other / Depth: feet
Ground Water: At what depth? /A feet
Bedrock or Impervious Material: At what depth? _ /1//,- feet •
Percolation test: circle one: not require required / rate ' min. inch.
Domestic water supply: circle oner—OlunicipaT) Well Other
IF domestic water supply is a Well: •
Separation: Watersupply from Septic absorption feet . .
PROPOSED SYSTEM: Septic Tank ire-Tr—gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet -
SEEPAGE PIT(S): Number of 3 / Size each 6 feet by f feet
Size of stone to be used .I 1 / Depth or Thickness feet
4 * * 4 * * ► 4 * 4 4 * * * 4 4 * * 4 * * * * * * * * * * * * * * 4 * * * * K
IMPORTANT.
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * 4 * * * * * 4 * 4 4 * 4 * 4 i 4 4 * 4 4 * * * * * * * * * * *
-
•
(over)
i 1
Section II . Septic System Inspections:
F:. 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
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 pe
rson:
Date:
Town of Queensbury
Building and Code_Department_
Bay at Haviland Road
Queensbury, New York 12801
• (518) 792-5832
/
• YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
_ - FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY .
THE UNDERSIGNED
TEMP.N DATE
ly)r:4t i G�\\ / z7 :1.
CITY OR VILLAGE TOWNSHIP COUNTY
1\ CC t c\c1ti-.Ati ;/, LZ.L 5
STREET AND NO.OR
iSIL(.. plikD POLE NUMBER
A . 1 ilry C1,rc/
ETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK - LOT
OC,IPANT'S FAME '
J -'U C
BUILDING OCCUPANCY
a /c: 11 cc_ e ire-'Z C r i
OWNER'S NAM AND ADDRESS HOME TELEPHONE NUMBER
//Z 'I z ` 1) f .
CURRENT SUPPLIED BY FROM THEIEt OFFICE WORK TELEPHONE NUMBER
BUILDING IS -i
NEW N, OLD❑ WORK IS NEW❑ ADDITIONAL❑ 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
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each ND. Gauge INSPECTION
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 MAINS .FEEDERS ELECTRIC SIGNS/LAMPS - TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND .s .
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) IIIDUENTT F T TON NUMBERS I 1 I
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS r / 4......,t_'NAME OF APPLICANT DATEOF PLICATIceN SIGN�F RE 0 APPLICAN'�'/ //fl )1 yr IAA'' \AC> I'AI i1- / 4 ! K D i }f �—, -
STREET ADDRESS TELEPHONE NO.
517� ( {
\/7 ,0-,\'130,..i\ S+ 7' _<,r 7�
CITY OR POST OFFIC k i IP ODE LICENSE NO.WHEN APPLICABLE
/
❑ 85 John Street ❑ 41 State Street ❑ 584 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO, NY 14202 ROCHESTER, NY 14608 SYRACUSE,NY 13206
T{-IF NEW YORK ROAR' OF FIRF I INDERWRITERS
,-1•••!- -Ine?:••1°!•.1°!--1, • 1..11'?..9,!..‘",i",1-9-etcl•l,"..19 .19I.),•!:"...9).J."-!-Y04-19.-!•!4,9?-1.•!„.??..9/...19.-"."..Ine,"-"--•!..•!.,_,•!•"-""-19!•.•!•AIP.-1,... ", .1L-014-"--1°!-?!
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1 4034399 BUREAU OF ELECTRICITY r .
,‘-
i • r
41 STATE STREET,ALBAN W YORK 12207, .,.."
'i '.:1' •
Date OCTOBER 09,11. 92 Application o.on file ot,,: 37-78.9/39 . A 0751i69
4 ..
THIS CERTIFIES THAT PEREST W. 88-747
only the electrical equipment as described below and introduced by t pl. nt named on the above application number in the premises of 1 -
?.! _- no
I R & IA WUODIMY, UKTWOOD DR. , IMDC.4 9 UNiT 60, QUEENSBURY,
K3•-
in the following location; El Basement El 1st Fl. E 2nd Fl. GAIMP-'„TTIC Section Block Lot K3
was examined on OCTOBER ,71.5, 1..992 and found to be in compliance with the requirements of this Board.
:,..;
FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ..iiOUTLETSETS ECEPTACLES SWITCHES ,-:
INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. NAT. K.W. AMT. H.P.
44, 43 48 37 2 I. r 1..)
• .
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
MAT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. . MAT. AMP. MAT. 'AMPS. TRANS. MAT. H.P. NO.OF FEET Me. WATTS
K3
...
a If I i. 1 .
J. 2 GOO IN -
1.R •
SERVICE DISCONNECT NO.OF S E . R , V I ._ C
,j METER
AMT. AMP. TYPE mum 1,K 2W 1 jr 3W 3.2.3W 3,e.4W NO.OFpfaCOND.
OF C.CND. NO.OF HI-LEG ot•ga NO.OF NEUTRALS
OFANUAL
1 200 CB :t X a.
OTHER APPARATUS: • .
. .
CEILING EAN-1. - . •
HIUOL-1
tiOTOR ,1 I-2..5 h
11 • ELEC. WRTER UEATER0: :1-41. 5 K.W. • • . :.
4 DISPOSALti-F K.W.
G."R,C,I: --7
401E DETECTOR:-3 .
11 .
WOODBURY DEVELOPITENT
*--D.--vs--‘,--,--- (.-
r:ALPH & HICHAEL
, : ..
22 WESTMOD DRIVE . • • BRANCH MANAGER
QUENNMURV, NY, I2B01 . . 239
• .
•
Per
;i.
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. G .
4 ,-;?1„-(-4?-4?'ie?i43iiVt‘iieS7iiii0ii-7e7itiiaOisiielelai41?4,ieie •il'a?iiiie.-iiii4i"i4i-;6i-ei. n a n n esin n rtir MITI rl MEMO M :
ri COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
'-S !(..A1,\Yi .),"„t."...M„kili rt;9!.\"/.,"/„.„,,•LJ"%,,..i„ h.,I.i.\ „LIP(.M M"„\lkC:,Ca1fL)li. IP!„,•/..\11/.1114, 11_!.."„111(J�%a1t(.?11, 11!.11.a11i.11P!4Pi.‘"(.?t(.: „t1P)„P,sb..k•/.".01)„01ri.kei-,"/.I• ,),I,
195484
�, THE NEW YORK BOARD. OF FIRE " UNDERWRITERS _
1: ��_ 7y7
" BUREAU OF ELECTRICITY- o
� December 150 1 841 STATE STREET.ALBANY,NEW YORK 12207 - ,
�; Date Application No.on file 03O53(3® �
...{. THIS CERTIFIES THAT
'c'" only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of o•''
r2 R. Schterhron 119'oak-treeQueensbvey, Net&ogk - dwelling octo
II
ir' Y y s7. garage outside g
.4 in the following location; 0 Basement LJ 1st Fl. E 2nd Fl. Section Block Lot
,^ A,. was examined on 12-6 88 and found to be in compliance with the requirements of this Board.
FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
�, OUTLETS ECEPTACLES SWITCHES INCANDESCENT-FLUORESCENT Vier vAFOR AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. •
' 28 39 2 28 3 1 I . i 6 r
•-‹. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKSUNIT HEATERS MULTI-OUTLET DIMMERS 'r`
BELL SYSTEMS
�' AMT. K.W. OIL H.P. GAS H.P. T NO AMT. AMP. AMT. AMPS. TRANS. AMT. ,H.P. AMT. WATTS
i' l qij 11�1L71. NO.OF FIEETyr
ti ',
�, r 1 50 E/fie :�' �. 6�i •
►; SERVICE DISCONNECT NO.OF S E R V I C E •
AMT. AMP. TYPE EQUIP. 1.2 2W 1,e'3W 3 A'3W 3.3 4W NO.OF CC.COND. tea.
G. NO.OF HI-LEG A•W G. NO.OF NEUTRALS A.W.G. ,�
PER B OF CC.COND.. OF HI-LEG OF.NEUTRAL
2 : I " 2D0 panel 1 f4 .. ?r0
�• OTHER APPARATUS: -. ., o
• 1-smoke detectors
.'
a
o�
KEN Sauper Electric mo i
5' -1, �'.5-Box 155 '
"Glen sFa11s,Ny 12001 .°239..
�, '
BRANCH MANAGER •
., .. r, ia" 'i ,
{; 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.
�C'/.C'gf7.'C'gi��t'7� 'i��'YmusrY .i Y��/�'C' 7�C 7� 'qf'qY'i�f'i�r'i�Y'i�r'/�Y7�Y'i� 7�Y'i�Y'i�
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNUR. 4i
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832 /
BUILDING INSPECTOR'S REPORT
REQUEST FOR NSPECTION RECEIVED / ( 5"
NAME •
DATE /&- PERMIT # S(- i/7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION y,
FLOORS i'~
WALLS
CEILING y'
LAL INSPECTION: . ` Y
CHIMNEY HEIGHT
ROOFING
SIDINGtr
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE &(RAILS
PLUMBING FIXTURE %RELIEF VALVE !/
INTERIOR TRIM/PRIVACY DOORS (,
FINISHED FLOORS(
GARAGE FIREPROCIFING
DOOR CLOSER(S)f
SMOKE DETECTO1S (/f
FINAL ELECTRICAE INSPECTION �(
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
11/11
0 c (7
-ce ,,/
// ,p,
•
INSPECTOR
awn of Quenátur cyy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
' Queensbury, New York 12801
SEPTIC DISP- AL SYSTEM INSP CTION
/ � C P Y /
NAME �1 ��! /� JC ���� /��/�
j �
LOCATION C l/ G/t-7
DATE1I />/ ePERMIT NO. Y u/-71/7
SOIL TYPE - Sand - Loam - Clay 71
Percolation Test Required? YES/ - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total len th L
Length of each•Ntrench� .
Depth of trenches '
Size of gravel _\ '
SEEPAGE PITS{Numbei�,of)
Size- ft. X ��ft.
Gravel size
PIPING: SS,ze Type
Bldg. to tank
Tank to dist. box
Dist. box to field/sit
Openings sealed? ES NO Partial
LOCATION/SEPARATIONS:
Foundation to to / L—ft1
1
Foundation to absorption 1 L-ft.
Absorption to 1st line > ft.\.,
Separation of p is • 'Lft.
LOCATION OF-SY:TEM ON. PROPERTY(circle one)
Front Rear Left side - Right side -
COMMEN 5:-- .
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ov(-- S;;,, /c-s,,,,.4/_6(-0/7 7-
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SYSTEM USE APPROVED(. ---
YES NO
.-!7..7" /1/ '
K'
Building inspector
01/86 and vl
TOW
D OF QUEENSBURY
URY /„^
BUILDING AND CODES DEPARTMENT y/
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED //"/ -JT
NAME
LOCATION /lleJ '// /c 1/2"-e-
DATE � PERMIT # ,F /^y'/7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
(ROUGH PLUMBING .47,c,e_e- _
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS \
WALLS \ /
CEILING \
FINAL INSPECTION: ,
CHIMNEY HEIGHT\ /
ROOFING
SIDING \
EXTERNAL PORCHES/ TEPS
STAIRS-CLEARANCE & RA S
PLUMBING FIXTURES/REE/EF VALVE
INTERIOR TRIM/PRIVAC \1TOORS
FINISHED FLOORS
GARAGE FIREPROOFING �.
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL IN.PECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIF ATE OF OCCUPANCY MUSS' BE
OBTAINED FROM # E BUILDING DEPARTMENT\ EFORE
THESE PREMISE: ARE OCCUPIED!
REMARKS:
INSPECTOR
TOWN OF QUEENSBURY GZ-te---
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801 07/27
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR NSPECTION�j RECEIVED lQ --, 3/
NAME - �1-- -_� ��1 (lf/ 6 /J6_,-/
LOCATION /J/ //9 fi /A�Qi ee/e.de_�
DATE 17-/ -Fe- PERMIT # in - 1791
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS 1
FOUNDATION/DAMP-PROOFING I
BAPKFILL APPROVAL
�Of1GH PLUMBING / v
Ce'fRAMING
ELECTRICAL ROUGH-IN
INSULATION: /
FOUNDATION
FLOORS \
WALLS
\ /CEILING
FINAL INSPEC2'ION: /
CHIMNEY HEIGHT
ROOFING \
SIDING \
EXTERNAL PORCHES.CSTEPS
STAIRS-CLEARANCE \& R 'ILS
PLUMBING FIXTURES ELIEF VALVE
INTERIOR TRIM/PRIVA, Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFI G
DOOR CLOSER(S) _\
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTIO
FINAL APPROVAL F CONSTRUCTI
A SIGNED CERT FICATE OF OCCUPANC MUST BE
OBTAINED FRO THE BUILDING DEPARTM T BEFORE
THESE PREMIkES ARE OCCUPIED!
REMARKS: Offr To5_, (ajka n
Z- L,t4.(31 , i s Ile- --c--ti -f -
NSPECTOR
Jown of Queeniurty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Queensbury, New York 12801
•
BDING INSPECTOR' S . REPORT •
NAME , .- ,,,,l . t
BUI
LOCATION to O4 & Cx'c/e
E
Date/1 Permit o. S; n----
i,/ = APP: OVED - YES / NO
Footing/Pier Forms . '
Foun tion
Waterp fing / .
Backfill , .
Framing
Roofing
Siding
Masonry Veneer 0
Rough Plumbing
Relief Valves
Ext. Porches g N.,
Finished Floors N» •
Interior Trim �
Stairs & Railings # ,
Cellar Drain Tile # N,,
•
Concrete Floors - � �
Plbg. Fixtures ,,'`
Gar. Fireproofing
Door Closers
Smoke Detectors g
Chimney
INSULATION:
Foundation
Floors
Walls'
Ceiling
FINAL ELECTRIC L INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
. ,
•
Next scheduled inspection (call when ready)
Remarks-
•
Bui di g I sp for
6/86 and-vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ;!J//3
NAME "a_.4 5::,_ ,e/e./FYI-eiZ/2v/2-/-1
LOCATION , 7'" 7/% /744Ve2 :e:/, /4/lS
DATE PERMIT # -7 L/
APPROVED
YES O
FOOTING/PIERS L'r�42
MONOLITHIC POUR FORMS \ •
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL Vb
ROUGH LUMBING j
FRAMIN r
ELECTRIC I ROUGH—IN • `?
INSULATION67
FOUNDATIO IT P?
FLOORS 14, 8
WALLS .\ r3 .
CEILING \ i
FINAL INSPECTION. II
CHIMNEY HEIGHT d
ROOFING .\_
SIDING K
EXTERNAL PORCHES/S i P �+
STAIRS—CLEARANCE &`RAILS ,
PLUMBING FIXTURES/"ELIEF I7ALVE
INTERIOR TRIM/PRI'ACY DOORS q,
FINISHED FLOORS
GARAGE FIREPROOFI NG N
DOOR CLOSER(S) `?,�
r
SMOKE DETECTOR') ?
FINAL ELECTRICA INSPECTION "'' ,,
FINAL APPROVAL .IF CONSTRUCTION ate
A SIGNED CE" IFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
•
REMARKS:
7 6o
1._) gdibt
T c Ff-mnp
awn of Queeni6ur5
BUILDING and ZONING DEPARTMENT
ii,01 Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
•
BUILDING INSPECTOR' S REPORT
NAME
LOCATION /477/9 /hlie,„
•
Date/g//Z / Permit No. W--2Z7/7
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES /
L...-"Footing/Pier Forms
Foundation
Waterpro ing
Backfill
Framing
Roof ing ,3
Siding A
Masonry Veneer
Rough Plumbing `,+,
Relief Valves ; *
Ext. Porches
Finished Floors • ; .,4,��
Interior Trim
Stairs & Railings ,F
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures ,
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney • ' •
INSULATION:
Foundation •
Floors
' Walls
Ceiling
FINAL ELECTRICAL IN ECTION
DRIVEWAY APPROVAL
Final Building Sury y
Next scheduled inspection (call when ready)
Remarks-
. 6V\ •
•
10►�- "
B ing Ins.,ctor
6/86 and-vl
Jown of Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801.
•
BUILDING INSPECTOR' S REPORT
NAME
iiGl
LOCATION .0,,E �- , Cf ��
Date /O/7 ge Permit No. 4797
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVERS - YES,./ NO
)OFooting/Pier ;orms f !/
Foundation
Waterproofing
Backfill
'F
y raming '61 /
Roofing 69
Siding •
Masonry Veneer
Rough Plumbing t
0
Relief Valves •
Ext. Porches `O,
Finished Floors ',
Interior Trim
Stairs & Railings
Cellar Drain Til �d
Concrete Floors
Plbg. Fixtures
Gar._Fireproo ing
Door Closers
Smoke Detec ors
Chimney
INSULATIO :
Foundation
Floors
Walls
Ceiling •
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
•
•
'1 1 +.
( r 1
\�'J ��,�, ij •
Building Inspector
6/86 and-vl
awn of Queeniurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION�0 /) fJ �/ /P
Date /OM / Permit No. q.?-797
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pie Forms
Foundation A /
Waterproofing_ '
Backfill
Framing
Roofing 1 ;;
Siding 0
Masonry Veneer
Rough Plumbing N
I
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 ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
(1471(
Building Inspector
6/86 and-vl
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