1988-781 • ; r ft Ldfr-1;1 • "
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 1 g 19 Rg
I
This Is to certi1fy hat work requested to be done as shown by Permit No. 88-781
has been completed.
This structure may be occupied as a One Family Dwelling
nratiot:1W 11.-32 Lambert Drive
Owner Pro-Crafty Inc.
By Order Town Board
TOWN OF QUEENSBURY
aot,
Building & Zoning Inspector
. _
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-781
WARREN COUNTY, NEW YORK
I-
PERMISSION is hereby granted to Pro-Craft, Inc.
OWNER of property located at Lot #32 Lambert Drive Street, Road or Ave. N
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
RD#4 Box 511 Big Bay Road
Queensbury, New York 12804 b
2. CONTRACTOR or BUILDER'S Name
H
H
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
0
H
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
Crl
XX)Wood Frame ( ) Masonry ( ) Steel ( )
t7
7. PLANS and Specifications H
tsJ
No. 65'x32' One Family Dwelling as per plot plan,specifications, and
application,including septic and attached two car garage.
8. Proposed Use
One Family Dwelling
5.00 0
$ 150.00 PERMIT FEE PAID —THIS PERMIT EXPIRES PiX 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.)
Dated at the Town of Queensbury this 17th Day of October 19 88
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SIGNED BY /a/6 o
�,R.OZ / for the Town of Queensbury
Building and Zoning Inspector /Lit_
,, t?' .r; ,tr4'TO` BE' COMPLETED BY BLDG. DEPT. TO,,'JN'O: ,!!JErr,,;,;• •..4;t•-z• ,•.,:!!',:iA
�] 6 Application No. • ,I. I ,: •'•�. ui_.., '' ',!!,'l,S' ;i:;!
_Jowia ol Queeia9 ur� ', Permit. Issued 19 1''A,r
BUILDING and ZONING DEPARTMENT ; Permit Expires 19 ,r u7 • F
Bay and Haviland Road, R.D. 1 Box 98 •Zoning '-gnationdiag -
Queensbury, New York 12801 , i',. :..Vari ce No. • ' rUILD NG,: • T;:;ii'•
. PcOJjiE:i�BR.
�3'1.' 'i�l:., ,q.,$3,te /N, lan Revie O /. tt,:'::r,,1..!,.!:,' • •� J'ier.::,.;ti!rf,' ,
�1 ,;,y .; ,,'AP off; Y� 4/ ,•
APPLICATION FOR ;d f‘BUin ':AND ZONING PERMIT;.'.`'' ' , : ` ' v
* * * •* * * * * * * * * * '*. * * *..••*' *,. * * * * * * * * Iit•. * * ** * * 'Pi * *''*; .*1;'II. ti '
A PERMIT MUST. BE OBTAINED BEFORE,.BEGINNING CONSTRUCTION.'•ANSWER',ALL OF THE FOLLOWING. .,
The undersigned hereby applies' fora •Building Permit to do the following work which. will „,.' r,•._•::;,
be done in accordance with the description,'•plans and specifications:submitted, ;and.._such;:;.- ;i.►; �'i,•:
special conditions as may be indicated,:on•the"Permit: .. • " .'!" • .i':r•t: :' 1 r-, ; r i•: ;T•,, .'^•r`'','!`S';`•
The owner of this property is: •'•• P.PFT) C� ,i
P.O. Address f : .•,,,,
r ,611.74 - a�fenAS'bu(2 • Tel. 7Q8" /3
Property Location: l v+ 3 M.�QQ_-� P�J¢- Tax Map'No. /.2.// /�3a.•r;'/
. Street number...or'.buildizg•.'lot. number.1 ' '.L' ..,.;,.,.,.:1-:,.;�,. _.. _,• :5,2,-.1,A:;';.' ',
Subdivision name (if applicable). r: ��f}�(T
'tJ
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING, CODES :IS:. •
kr /n. Jones ak P,,SbU1e 'j4�=r
Name . P.O. Address ' ' ' '' ' '•'! ••.,., •Tel. No. • : • '
ri
Name of builder Fko —t(21lr- . 1n1M.;Address :•. - d I�.�euS�-1 1 . ' ' ' Tel. 8-..`'13 .
Name of plumber . (- o -- CRC- �kic(Address • ' i i Tel. - r
Name of mason P/Lo--CRA.c* ANC, •• Address 0 Tel. .
, • 1., ,•, .?: r •
NATURE OF PROPOSED WORK: , , * •. .; ZONING INFORMATION:
.Construction of a new building.'' '' * i,s•; '`
g'''`•- PLOT PLAN MUST BE PREPARED: AND SUBMITTED, ".
Addition to a building °`'`' '''`'r" *'drawn reasonably to scale and attached •hereto, �1,_,: ;::;. : •
Alteration to a building "` '''''=`'''i•''. *•'
g ., showing clearly and distinctly 'all buildings,r;..t,= -' ..
(no change to exterior dimensions)';' '': *'whether existing or proposed and 'indicate='all J •r.`':'.,'-.
Other work (describe) *.set-back dimensions from property 'lines. Give.''!!,!':'..•!i•
-* street and number or lot number and indicate+.,:•; ,
:::' *'• whether interior or corner lot.`"Show location '• c`',?': •-r ..:.
FOR DEMOLITION PERMIT, STATE SIZE•-• - • * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. • .* of septic disposal area. .. 1._:. - - `"' ,',':.:.• .--..
*
• * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property / 7 „
,` + ft'X D'.ft. ?'V`
* Existing building(s) Size ft X ft: • :•...-;'•"!e
PROPOSED BUILDING AND USE: *. Existing building(s) Use
Size of new structure *
Foundation-pier/slab/crawl/partial/full!' * Proposed building, distance from property line.- .: :,'
(circle one) =
No. of stories (habitable space) * Front yard 3g ft Rear yard /36 •'ft ;•;.�
Height (grade to ridge) �' j ' ft.::;.* Side yards j5 ft and G ft: ,'r .
*,Tf on corner, setback from side .street street ft...•:-:: ':,;'.';,
If residential, no. of families •
is
No. of rooms(excluding 1pat hs)" : 'f * OCCUPANCY INFORMATION •• ' ' 'fi! •
No. of bedrooms
No. of bathrooms a la *' PRIMARY BUILDING - '..,,I,,
*' One family dwelling , ,;,,;,,, ;,,_,...» ..
Primary heating system Elea- �:
Type of fuel elegy-j*•R;c`-� : '*. Two family dwelling , , . • ;,,.,
* Multiple dwelling / Number of units • '
No. of fireplaces to be installed '-. / Permanent occupancy
Will a wood stove be installed? p *• .
* Transient occupancy
Central Air conditioning? * Business
BUILDING STYLE, PRIMARY STRUCTURE : ,f' ' Industrial , r
Ranch oemporarLog cabin' * Other '
nt
If. addition what will .use be?
Raised ranch Mansion ! Duplex ' .: '.•'. * '
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 ) *'Attached garage/one car/ • o ca ./ Car
* * * * * * * * * * * * * .* * * * * 'Private storage building
ESTIMATED MARKET VALUE OF '1 ' . * ' Other . . . ' . ' ' .
CONSTRUCTION * •
$ y(v.., 006',
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, ' TO BE COMPLETED! ,
Form BPA 4/86 and-vl , • . •
BUILDING PERMIT APPLICATION CONTINUED -
s
BUILDING SPECIFICATIONS: , ; ` • �. s . �'>;< � ', '
Type of construction, sod fram=, fire safe,etc. •
Will any second-hand or ungra•ed lumber be used?' If so,' for ;what? N6
Foundation wall material ro�t•(Z•e� �coo4 �����f Thickness rr
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Depth of foundation below grade (to bot •II •f footing)
Will there be a cellar? e. : •
5 Heated or ? Floor sq: 'footage ' sq f,t .?
Will there be a basement ND Will an •ortion be used as„'living',space?
(If so, what port' • .? sq.ft. - - Type of use?
•
Type of roof - -lope,/flat/shed/other Material.•of. roof SNINErL[�
Size, wood studs- _ "X 6 " spacing , j "o.c. length 8 ft.' .
Joists(floor beams) 1st. floor 2 "X fa '!' spacing ' lb "o.c:: span rot ft. i :: i „I"
Joists (floor beams)' 2nd. : floor' 0' '• "X /4) " spacing /(p ' "o.c. span )a;
Overlays(ceiling beams) "X '—" spacing "oic. span ft i .7 r
Roof rafters "X spacing o ::. .
c'. span �- ft. • �
Roof trusses(pre-engineered) spacing, "o.c. span 50 ft.
Exterior wall finish s i art‘N ' ' Of what'p}aterial? if//�fi
Interior.wall finish S heg-fROks
If a garage is to be attaqied, describe materials to be used for,FIRE SEPARATION: orc6 • !
'will wi-{-' Vg" /P_ecoeJe ee ck- ed c M / g..i4g 6Afztot5 .e
Is there to be an opening between garage and dwelling? ye." -If so 'will'a Firerated
door, enclosure, and self-closing device be provided? e.c
Will a flue-lined chimney be installed?: yes Height above roof 7' ft.
Depth of chimney foundation below grade G% ft. ,
Depth of fireplace he rth 8 ft. e)in. ' ' '
Water supply - unicipal private well , •
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)•;'' ' .'
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 ion 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.
authorized by the owner.. .,•
SWORN TO BEFORE ME THIS Signature
77er-ad ��
1 O , . ner' agent;arcn�.tect, ontractor_:
day of Off% 19 eg
. � •is .. .. :
Notary Public, Warren County, N.Y..
*V* * * * * * * * * * * * * * .*., * ,*;.* * : * * * * .* .* * * * * * * * * * * * * * *. * * * * * *
SPECIAL CONDITIONS OF THE. PERMIT: ' .
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By
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.'s' I "' I •
„ • , 4
TOWN OIL QUEENSDURY
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:
Ei
� 61 . Gross floor area ✓/q
2 . Type of heat E/ec'fjIt_
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors � ► 7 Q
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 r of and floors exposed to ambient conditions_
3Ert its
2 . R value of exterior walls /t o2J •-cS
3 . R value of. glazed area --�o,•<13 • Cie-SS
• 4 . R value of doors R, •
5. R value of floors over unheated spaces . ea2 ' Ga
6. R value of slab edge insulation - unheated slab N4
7 . R value of slab insulation - heated slab /01
8. R value of heated basement/cellar walls (above grade) y//,F.
9 . R value of heated basement/cellar walls (below grade) /,4
10. Type of insulation � c/k ss B. # N
s a � y/ s Jiee/,S
C. Controls �//
1. Thermostat maximum heat setting 7 2
D. Duct Systems
1. Is duct system installed in unheated spaces? YES AALL NO
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 cooling carrying agent pipe, / 2
2 . R value of pipe insulation U /�
F. Service Water Heating ����
1 . Performance efficiency
2 . Temperature control setting maximum /03°
G. For Swimming Pool Only
1 . Maximum heating N/11-
Telephone No. ( (tr/ 33
ap is t ' ss ' gnatu e)
rovviN O Cb - UJE.. .'IT
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.: r7-,
INTERIM BUILDING PERM `- ", i jjj
CCT '71988
BUILDING & CODE DEPT.
PERMIT APPLICANT Pi0 - C RAFT -
CONSTRUCTION LOCATION Lo-r- 3 A. • 4ptiviseizr £D 2 .
EFFECTIVE DATE /0 / 7 88
APPROVED BYf .
SPECIAL CONDITIONS :
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 SP U OCATION ! !
, . 04,...% 4.......,
't
Building & odes Department
TOWN OF QUEENSBURY
REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!!
1. Foundations Footings, before pouring concrete.2. Foundations Inspections and Waterproofing, before Backfill. FILE F
i k
3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework.
4. Insulation - Foundation, Floors, Walls, Ceiling.
5. Inspection of Electrical Installations before covering (rough in) and on completion
of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF
OCCUPANCY.
6. All new septic systems or repairs before covering any work.
7. Final Inspections before Certificate of Occupancy is issued.
THERE IS TO BE NO OCCUPANCY OF TIIE BUILDING WITHOUT APPROVAL
OF THE BUILDING DEPARTMENT.
APP
tvftcfC2uetlidA '
DA ► rr
f
APPLICATION FOR SEPTIC DISPOSAL PERMIT ZONING ,��A►I CODES DEFT.
TOWNt! QUEENSBURY
DATE lD ( /
LOCATION OF PROPERTY FOR INSTALLATION . * -3��Z4 b at RIUe
Owner's Name: _ PRp Telephone: ._ (.����,5 J
Address: — K y Gox 6-4 s/ct Bic/ go. �(.(eenJS�►-t A
Y,
S -/`
Installer's Name: I -te ` . / Telephone:;
Number of bedrooms (residential only)
• Total daily flow (compute @ 150 gal per bedroom) _
Topography: circle one:01 Rolling Steep,Slope % of slope
Soil Nature: circle one: Loam Clay . Other / Depth: feet
Ground Water: At what depth? � feet
Bedrock or Impervious Material: At what depth? r--- feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: unicipal . .Well :Other.
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank /O gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench ! 7 feet / Total system length 1gg feet
SEEPAGE PIT(S): Number of / Size each feet buy feet
Size of stone to be used it c2 / Depth or Thickness e2 feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
, •
Section II Septic System Inspections:
A. All applications for septi:.: z-y.i.em 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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
1 have read the regulations above and agree to abide by these and all requirements,
of the Town of Queensbury Sanitary Sewa e Disposal Ordinance. ,
Signature of responsible person:
v
Date: /
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Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
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Si III " fl1f &T In • r •
I - -i 17. 4;orj---. -----..••,.. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. '
(I iQvIcliAji:
National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
•
-... . . • ,, . -,. . .. • .. , . ..„, . _. .
cAPPWCANT Cgri/IFUTES THIS,SECTION': Date: .-'':' -
City, Town or Township '-:
:....: ----. • : ii.. ,.... C...... / ••• ) .- • ..- ,/-/
County - . • ,•-• State
A...../, V
i'
1 j' .i, -.7---.) ; • i ,.... 4-- -7"?.-
Location/Address 1----'-' ,• ' ‘
'' - ' ..-- . •--4-11<) Vil_..."
(If Located in Rural Area- Please Attach Directions)
Pole #
Owner i '("'---' - '•--- ''-:- ;'•!-:'- T Permit # _
,. ,..,t..- i" . . j•,.
Occupied As • . - ' '.
i Building: New*N..-- Old ILI
Occupant . • '•-• ' '
• Work Area in Building (Floor #,etc.): .---)/---,-) ip..../---/ L.
App. for: Wiring E Service1'<1 or: Ready for Inspection:
Fee Remitted-$ Cash pi Check ri M.O. I-1 Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches 7-1(,C,7 • •
- • Amp. Service -
Li ghting Surface Unit Dishwasher Range
Water Heater Air Conditioner Dryer . Pump
Receptacles
Oven Garbage
Number of Fixtures Disposal Wiring and Controls for Burner
•
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
•
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1,/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 . 100
Mark Number
of Each Size .
.. , .
Applicant's 0, i U.. . 2,7: ,./ -;.,•:..,.. 7 I '// ,/;/(6.:',..., ` •
Signature •::: ! t - j '- ' f ' . ---'''''"" ). ' cense #
/ _ •. Permit #
,
T/A Utility: /-,-'/,.0-. c'...i e•-' j i _,,,..0.•:-.p./)),- c:-.
(NAME) (OFFICE LOCATION)
Applicant's Address: ti."-i---Th i 1-':..`-- -' 1/ ' i. • :."..`; i i--i---
.-,
(City) (..5.. ... . ., ,,, i. ,.. ,,
_(State) is/',/ (Zip) i'' -;'(-3 / Service Request # . .
. /
Phone # ('• n. ) 7//,'" - i -.'....:::" -:• Electrician:
.- '• " • '
MOM USE ONLY, DATE RECEIVED: • DATE INSPECTED: , . •
-
Correct Location: Same as Above 1-7 or: • .
Red Notice Label I-1
Rough Wiring Outlets I Surface Unit Oven •
Switches • Range • Garbage Disposal
Receptacles . Water Heater - Dishwasher
Fixtures Air Conditioner ,• • •••• • Dryer . ,
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle..
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 7'/ 10 15 20 25 30 .40 50 75 100
Mark Number
of Each Size . . . ,.
' .
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat . . . . •
. .
. . .
• • -
. . .
. ,
. ,
FEE PAID Z •CERTIFICATIONS CORRECT:E,USE FOR INITIAL VISIT ONLY " - ' ' NOTIFIED DATE FEE
. .
1 RW Progress: Inc.0 LKD 0 . Contractor '
• ,
El CFT Violation: Work Comp.10 Inc. [1] •
Ti L/A Owner CASH 0
Fee , CHK #
r7 L/A . . Due _. .. MO # . .
1-1 IPA Municipal
• . „ -' ' INV #••
• . . •
Date: Other Side 0 . Utility ... • Applicant 0.-
Owner 0
. . ,
Cut in Card ElTemp # Date .
• • ,
• • . • • • INSPECTORS SIGNATURE
r7 Final # Date
APPLICATION FORM NO.250 EL 11/86 .
VJLM�V�JW4N.,J • J•r1•VJMVJArkyJ V VJ VJ•Q•V \+ V VJlg•V J VJ,4..+e../41•VJ �J•� J•Q •
MIDDLE DEPARTMENT,INSPECTION AGENCY, INC. gi' ` iI
900 Haddon Avenue CoiOngewoad N J 08108 e
(' � �" � i; u Dot}. January 17, 1989 e
•
Certlf leg that the l ctrical.equipment listed has been examined and;is approved as being in accord C
C
with the National Electrical Code applicable governmental, utility and-.Agency rules. 0 J
Owner: Pro-Craft Inc' t � OccupancyD we: ling
iOccupant. Single Family : a1 'J ,. :,Location: Lot 32 Lambert'} DYive,._Queensbury .-(Warren Cokhi1'rt)ficateco ea tha_electn1 .cal egwpment and installation inspected this{ ,,,„ \ date. If additional egwpinenttshould be introduced or alterations made to
,�` .L existing system this certificate shall be null and void, and application for Equipment: 115 0utlets,`�'6Q "Receptacles; .25-,Fixtures.; inspection should be submittedpromptlytothisAgency.
1"'r<c. t a,,--j i LIU 1 folder of this certificate should,present same to his property insurance carrier
t'�ay' 200 Amp SerViee; .' 7 Appliances (agent orcompany)asevidenceofeertificationotelectricalequipmentapprovedh \ as specified.:
. �\ .� // - j r I•
Pro-Craft Inc * rs 7441.
Applicant: RD4, Box 511, Big�Bay Ad-----._ ''NO. 15-028531
Queensbury, NY 12804 x
mwr\ or* on. o r*tyla o r1 oc.o.,"cur.oc...M/-3 0. r\.t4/l +r\ �r
rk Ck 1J1110 1
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1 \
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
Electrical-Building-Plumbing-Fire Inspections
La' 3a 4ne.1"1 -1D,�
Date i \
ecto Irvi''i O
T - , :constitutes certification that the
above installation, but.not the equip-
ment itself, has been visually inspected
as of this date pursuant to the applic-
able codes. If additional equipment
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should
be submitted promptly to this Agency.
TOWN OF. QUEENSBURY
BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS 4.1&
QUEENSBURY, NEW YORK 12801--
TELEPHONE (518) 792-5832 /1271/2;? .
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED `//,fi
NAME O � ) 7y
LOCATION ` .
DATE /`/ PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL •
ROUGH PLUMBING 06,1
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS \
WALLS
OILING
NAL INSPECTION.: ." `
'/CHIMNEY HEIGHT 1,
\ROOFING `' ••
SIDING 1 air
EXTERNAL PORCHES/STEPS/A, ..
STAIRS—CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS /
GARAGE FIREPROOFING !l/
DOOR CLOSER(S) f
SMOKE DETECTORS/
FINAL ELECTRICAL/INSPECTION ' '
FINAL APPROVAL OF CONSTRUCTION \ V
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INS ECTOR
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
�9
NAME A-i-```c .i ,
LOCATION L,-, z LI .,,-n-4t�'-�•L:iZ;
DATE ) LI Z'7 7 cc"- PERMIT # 7` --- )c-l
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
)(INSULATION: •
FOUNDATION \
FLOORS _
X WALLS ` I!
CEILING /, 1�
FINAL INSPECTION: b\ r
CHIMNEY HEIGHT
ROOFING I
SIDING / °.\,
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/REL`IEF VALVE
INTERIOR TRIM/PRIVACY `DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTR!CAL INSPECTION>,�
FINAL APPROV L OF CONSTRUCTION
y
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A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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47 ,
/,,., ,
„...„_______
. . / INSPECTOR
/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
// ;/, ,?/7
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /W- O(�
NAME
LOCATION �D f
DATE /�- 7 PERMIT # (�f ' f�
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL • ''
RO GH PLUMBING
AMING y
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: 1`
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•
INS CTOR J
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 (..��'C 4 N- T
LOCATION 52 !ACE&ice ,
DATE /VZZ/g)-ir PERMIT # 63' '1 1
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR \FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL •
ti
)(ROUGH PLUMBING L'�
X FRAMING 1"�"ar!l C_ _ ¢ /
ELECTRICAL ROUGH-IN\
INSULATION:
FOUNDATION
FLOORS \ 1 •
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING ,1
EXTERNAL PORCHES/ TEPS \
STAIRS-CLEARANCE/& RAILS N'
PLUMBING FIXTURgS/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:
•
14(
ILAM
Dtt-Cr' .1 011S P( SC 116 i
t,:
INSPECTOR
Jotun of Queenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
/62, ...
C)ueensbury, New York 12801
SEPTIC ISPOSAL SYSTEM INSPECTION
NAME /J �/1X-P- - 1
LOCATION gr I G
DATE/P/ PERMIT NO. p(-7/0�
SOIL .TYPE - `. '-and - Loam - Clay,
Percolatio Test Required? YES - NO
Percolation' rate - Min/Inch /
TYPE of SY.STE: /
Absorption fie 1, total length 2j�
Length of each tench # e)
Depth of trenches ? •
Size of gravel_
SEEPAGE PITS-fNumber ° ) "
Size- ft. X _ Ft
Gravel size / '
PIPING: ($, Si . Type
Bldg. to tank /Y / e.,
Tank to dist. bcoy Hie
Dist. box to fill �!d/.' . ��/
Openings sealed, Imo=`" NO Partial
,/;f
LOCATION/SEPARATIONS:
Foundation t9Itank `Oft.
Foundation tb absorption 7,2ft.
Absorption to lot line /deft.
Separation:of pits tL ft.
LOCATION/4YSTEM ON' PROPER Y(circle one)
Front - - Left side - Right side -
COMMENTS:
SYSTEM USE APPROVED ES NO
Buildin I spector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /6f/??
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832 ______—
BUILDING INSPECTOR'S REPORTO
/
REQUEST FOR NSPECTION RECEIVED O,—G1 O
NAME /,le e4t(77 J�
LOCATION /2 c //
DATE /Q—�� PERMIT #�/!0 f/
APPROVED
#� YES NO
FOOTING/PIERS 4�
MONOLITHIC POUR FORMS
F UNDATION/DAMP—PROOFINGl
BACKFILL AP VAL ry v
ROUGH PLUMBIN
FRAMING 1a'
ELECTRICAL ROUG —IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING S
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHSS/STEPS
STAIRS—CLEARA CE & RAILS ,
PLUMBING FIXTORES/RELIEF VALVE 'NI,
INTERIOR TRI l PRIVACY DOORS `' R
FINISHED FLOORS
GARAGE FIRE"OOFING
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: v4 ( "' ��n lO)I
DA,A4e Poo ci c/u --
(oo.) a..
INSPE TOR
s Jown of Queenilurcy •
BUILDING and ZONING DEPARTMENT
' Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION/0_2p/ ,Z � ���
Date ? / Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - Y��:� / NO
//Footing/Pier Forms I/
Foundation ;% \
Waterproofing
Backfill
Framing
Roofing I
Siding t
Masonry Venee
Rough Plumbing
Relief Valves ;r•``
Ext. Porches
Finished Floors \
Interior Trim
Stairs & Railings /
Cellar Drain Tile
Concrete Floors Ar
Plbg. Fixtures
Gar. Fireproofing f \
Door Closers h'
Smoke Detectors if
Chimney
INSULATION:
Foundation .
Floors
Walls •
•
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY APPR VAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Iti
If
•
Building Inspector
6/86 and-vl
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