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1988-802 it e-. r ..f -.• .. ., i .. .r r ♦- y _. .. ' _... -.. - .. . - r .. —. `+` I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK •• Date January 6 19 39 ()C) , f c)-0 This is to certify that work requested to be done as shown by Permit No. 6 has been completed. This structure may be occupied as a 0 r1 c, Family Dw e 1 l_i n c: • Location Let 24 Hidden Hill 2 .No. 24 Owner Phillip Tucker By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT H TOWN OF QUEENSBURY No. 88-802 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Phillip Tucker w OWNER of property located at 24 Hidden Hills St.No.24 Street, Road or Ave. in the Town of Queensbury,To Construct or place a One Family Dwelling 1° 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 38 Dix Avenue Glens Falls,New York 12801 2. CONTRACTOR or BUILDER'S Name P.J. Enterprises S$ 1X MUM( z b 3. CONTRACTOR or BUILDER'S AddressH. 38 Dix Avenue N. Glens Falls,New York 12801 4. ARCHITECT'S Name 5. ARCHITECT'S Address N 6. TYPE of Construction—(Please indicate by X) K Wood Frame ( ) Masonry ( )Steel ( ) x F'• F-' 7. PLANS and Specifications m No. 24'x32' One Family Dwelling as per plot plan,specifications, and application, including septic and attached two car garage. 8. Proposed Use fv One Family Dwelling 25.00 C/O $ 213.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 1 19 g9 ro (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 �C ,(� // ty SIGNED BY l�Gu/.�,G,j4JGL.Z for the Town of Queensbury rD Building and Zoning Inspector ofN QQ TO BE COMPLETED BY BLDG. DEPT. � I,J, q,4 :`:r r -_ - aw n / Application No. V3 _ wn of Queeniur, Permit Issued 19 ffff L' .- . BUILDING and ZONING DEPARTMENT Permit Expires 19 1 Bay and Haviland Road, R.D. 1 Box 98 Zoning Desig.- o' CU 1 1968 - Queensbury, New York 12801 Variance No BUILDING & CODE DEPT. qq Site Plan R . o. 1 3 I I l APProve• /• //O 7/87Y 2_0 3 P•'t)-(a APPLICATION FOR BUILDING AND ZONING PERMIT W -- 2- I. . * * * * * * * * * * * * * * * * * * *• * * * * * * * * it: * .*. * * * .a. * * * *::* 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. C.J The owner of this property is: �k\ \1\O I(f,-. -V �3_ a✓!'i-&c(,oclse\ f P.O. Address 3 \cl 1 X J� . . Tel.—/7 & 3 6 Ui Property Location: , / \' c/cc1 /i/(a bk,, S . quo. 2-4"( Tax Map No. 9,g/ / Street number or building lot number 99'7 Subdivision name (if applicable) t�1!dc,9c,s.A j 4 /i.5 77 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: 1�J_ 4_,71;r ,rv'C1s-c 35- br G-lee .l-/A ,JY. / 2 O! 75- -Y,3� FS Name P.O. .Adclress Tel. No. Name of builder J 4 '^'1 c . Address Tel. Name of plumber S ,. ,^1 e. Address Tel. Name of mason Sel i^"1 �. Address • • Tel. NATURE OF PROPOSED WORK: * • ZONING INFORMATION: ( Construction of a new building � * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, _Alteration to a building * _ showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all . Other work (describe) * set-back dimensions from property lines. Give * street and number or lot number and indicate • FOR DEMOLITION PERMIT, STATE. SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property ' ' 9c ft X (_J ) ft. * Existing building(s) Size ft X ft. • *. . . . . . . . . . . . . . . . PROPOSED BUILDING AND USE: 1 * Existing building(s) Use • ' Size of new structure [IN ft X, oi-ft '* . Foundation-pier/slab/crawl/partial ull * Proposed building, distance from property line (circle one) * Front yard ' ' 'L{0' ' f t Rear yard 1 CN.D ft No, of stories (habitable space) /00 Side yards t ,ft and ft Height (grade to ridge) *ft. * If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) S LA ' * OCCUPANCY INFORMATION No. of bedrooms ' . * ( e_ * PRIMARY BUILDING - No. of bathrooms 'j Primary heating system(4.c,_71 Ws.- C..7r,,�� - ;I. One family dwelling Type of fuel * Two family dwelling No. (Y�` Ajc,�tLnr�L *• Multiple dwelling / Number of units' No. of fireplaces to be instaled o n� * ' permanent occupancy Will a wood stove be installed? .,i../ Transient occupancy Central Air conditioning? CC, * Business p y BUILDING STYLE, PRIMARY STRUCTURE *' Industrial • 7--Other * ' Ranch Contemporary Log cabin .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 ) * .K Attached garage/one car/ A r car * * * * * * * * * * * * * * * * * *: "Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION � p- � * $ •_ F-34VVu INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - • BUILDING SPECIFICATIONS: Type of construction, d frame , fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? ^ l Foundation wall material (1,J"C1-- Thickness Depth of foundation belo grade (to bottom of footing) (-, /1 Will there be a cellar? e5Heated or unheated? .1}P4•- Floor sq. footage -76,5e sq ft Will there be a basement? Will any portion be used as living space? ,LOD (If so, what portion? sq.ft. - - Type .of use? Type of roof - sloped/flat/shed/other(gawib Material of roof ,-- !44- A4 ,S G,, qi fti, Size, wood studs 'a "X (-, " spacing 2,14 "o.c. length V ft. ' Joists(floor beams) 1st. floor "X " spacing A„, "o.c. span ft. . Joists (floor beams) 2nd. floor "X /> " spacing ii-, "o.c. span /,2 ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing (( "o.c. span, (/ ft. . Exterior wall finish lii,"- �' 1• . Of what material? Interior wall finish air A-orei< • If a garage is to be attached, describe materials to be used for FIRE SEPARATION: `J/Fs I Sheer o . . Is there to be an opening between garage and dwelling? Ye,) If so will a Fire-rated door, enclosure, and self-closing device be- provided? 1e„5 Will a flue-lined chimney be installed? ') '7) Height above roof, ' ft. Depth of chimney foundation below grade ft. ,,&c i ,,.• - C 1..4,.,,,t e 7 'su)!c cJ,-.. /(5 Depth of fireplace hearth ft, in. Water supply - M�unicipal)or 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 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, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether spe if'-ed or not, and that s h work is authorized by the owner. rSWORN TO BEFORE ME THIS Signature_ _ • ___ 0, Owner, owner g, nt, chitect,contractor day of 19 c7 f Notary Public, Warren County, N.Y. . * * * * * * * * * * * * * * * * * .* * * * * * * * * * •* * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • cos /laic" S7 '..fc-,/� -A . ( lcc 5't"c F-/f.;�- . r . /Or-( ;Jrtr.Ga ,' K/.ami, /G/0 7;-per-,. Sl.. . • • 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: _ I /1 . Gross floor area I l9 0 5 � %®4 F cs A- 70 tl Sr s- ,„„ 2 . Type of heat o c,.- .r!'ti f) '� 0.--��, 3 . Is the building mechanically cooled? /Lk) 4. Percentage of area of windows and doors A. Over 16% 9nly 1 . Uo valu= of gross area of walls , roof/ceiling and floors exposed t• .ambient conditions 2 . Floor over heate• spaces Y. NO a. Are foundation alls i • ulated? YES NO 1. If YES , what ' s he R value? 3 . Slab on grade Y 4 a. If YES , wh- is the R : lue of insulation around perimete of floor? 4 . Is basement heated? YES NO a. • value of insulation 5. - ype of insulation B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls ^ 19 3 .. R value of glazed area - -- 4 . R value of doors - I a 5. R value of floors over unheated spaces ,le -PS 0 6. R value of slab edge insulation - unheated slab PEV 7 . R value of slab insulation - heated slab 8. R value of heated basement/cellar walls (above grade) K-- 9 . ' R value of heated basement/cellar walls (below grade) / 4 10 . Type of. insulation hb,,c` �� ///vC 1 841 1�� _ C. Controls 1 . Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? YES . NO a. If YES , R value of duct installation b. R value of duct in other areas E . Piping Insulation ; ; ��9 1. Size of hot water or . cooling carrying agent pipe' y 2 . R value of pipe insulation: ' . . F. . Service Water Heating �r � 1 . Performance efficiency r3O vo 2 . Temperature control setting maximum ' / 6<D 0 G. For Swimming Pool Only 1 . Maximum heating Telephone No. 5i (appl, c, is signature) %Yemen. Outfrodil* APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE l(--)7(V / LOCATION OF PROPERTY FOR INSTALLATION hO eR 7 I4(clele.4. /:( /ILA >Cr Owner's Name: ' "711_ r\c i v\ Telephone: 76'` e 33' t?/�/ Address: I a, Old (Jury /u'r . /si'/5 Installer's Name: f,l elfQ(1 5c j Telephone: 7 7 5 3 6 Number of bedrooms (residential only) 3 Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Flat Rolling Steep Slope % of slope Soil Nature: circle one: and Loam Clay Other / Depth: %D_ feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _11/. A feet Percolation test: circle one: of require required / rate min. inch. Domestic water supply: circle one: itylicipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank (MO gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet / Total system length , _ feet SEEPAGE PIT(S): Number of / Size each feet by 6 feet Size of stone to be used # _ / Depth or Thickness _ feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. 6 C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. • I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: Date: /O /v g I Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD,PLACE TO LIVE R.D6. INTERIM BUILDING PERMIT PERMIT APPLICANT Y ' l LL. P Tv ctet-- 8 ibLpru86S _) CONSTRUCTION LOCATION L - - Z�f �-� p � /�,c� �7(L.( ti EFFECTIVE DATE//0 . • APPROVED BY , • • • 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, follo processing . POST THIS INTERIM PERMIT IN A C SPIC OUS C N ! ! FI . uilding & C es Department . TOWN OF QUEENSBURY • REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!! 1. Foundations Footings, before pouring concrete. • 2. Foundations Inspections and Waterproofing, before Backfill. 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 THE BUILDING WITHOUT APPROVAL OF THE BUILDING DEPARTMENT. e' lIID�. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. t - National Headquarters \°'•�-• 900 Haddon Ave., Collingswood, N.J. 08108 APPLICANT COMPLETES THIS SECTION Date: %�. Cx /'f City, Town or Township l' L-' t C Lz �` County (2 c' ('' re" �'"+ State f k �/ r / 7, �7`/ Location/Address L T- „.1::: : : f c_ , ., - w / , / / ;- Of Located in Rural Area - Please Attach Directions) Pole # _- Owner Permit # Occupied As - / 1-c /r' "r"Ci �-„ I I: Building: NewL�— Old Occupant Work Area in Building (Floor #,etc.): App. for: Wiring 1-" Service(Y or: Ready for Inspection: Fee Remitted-$ Cash❑ Check n M.O. ❑ 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 Lighting Amp. Service Surface Unit Dishwasher Range Water Heater Air Conditioner Dryer Pump Receptacles Number of Fixtures Oven Garbage 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 11h 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size , Applicant's Signature n License # Permit # T/A i'-4- -,! .,,i_ram r-I �-= Utility: PI, /1 C G' ( , ff V /—� //.S (NAME) "(OFFICE LOCATION) Applicant's Address: r -7 L (City) (State) (Zip) Service Request # / /1. Phone # 7 7 _ 1 G Electrician: MDIA USE ONLY DATE RECEIVED: - DATE INSPECTED: r� /- G�_• / -/ GG Correct Location: Same as Above❑ or: • Red Notice Label ❑ Rough Wiring Outlets Surface Unit Oven - .&L_ Switches I Range Garbage Disposal Receptacles / Water Heater / Dishwasher • ', Fixtures Air Conditioner / Dryer )--CO 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 11h 2 3 5 71/2 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 CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID I RW Progress: Inc.©`--- LKD❑ Contractor rr_ _ I I CFT Violation: Work Comp.I I Inc. I I �'J` ❑ L/A Owner CASH ❑ Fee CH K # ❑ L/A Due MO # n IPA Municipal INV # Date: Other Side I I Utility Applicant ❑❑Owner Cut in Card ❑ Temp # Date .. / �f� Final # Date ^' ' / ''INSPECTORS SIGNATURE /2-II- APPLICATION FORM NO.250 EL 11/86 - . MIDDLE DEPARTMENT INSPECTION-AGENCY, INC. , _ NATIONAL HEADQUARTERS: 900 Haddon Ave., Collingswood, N.J. 08108 (609) 858.-4400 DELAWARE NEW JERSEY 1815 Newport-Gap Pike 1030 Kings Highway North 1525 Cedar Cliff Dr. Marshallton, Del. 19808 Suite 310 Camp Hill, Pa. 17011 (302) 999-0243 Cherry Hill, N.J. 08034 (717) 761-5340 (609) 667-9200 203 N.E. Front Street 1542 Bristol Pike. , -Suite 105 Rear'Ehtrance - 350 Grove Street. •. _ U.S. Route 13 - P.O. Box 306 • - Grove XXII Corner Bensalem, Pa. 19020 Milford, Del. 19963 Bridgewater, N.J. 08807 - (215) 244-1919 . (302) 422-5729 . (201) 526-0880 (302) 856-2218 Route 19, North 26 S. State Street P.O. Box 136 Hackensack, N.J. 07602 Wexford, Pa. 15090 MARYLAND (201) 487-5373 - . (412) 931-3028 -- (412) 935-1558 Milford Professional Bldg. Route 9 3610 Milford-Mill Road .. Marmora, N.J. 08223 . Baltimore, Md. 21207 (609) 390-1940 VIRGINIA . (301) 922-1122 • - . • NEW YORK 3076 Shawnee Drive Burch Oil Co. Bldg. P.O. Box 1626 E/S Route 5 706 Erie Boulevard West Winchester, Va. 22601 Charlotte Hall, Md. 20622 - • : P.O. Box 285 - (703) 667-8484 .. (301) 645-2219 Rome, N.Y. 13440 • (301) 884-4547 (315) 736-0477 - - . , • (315) 337-3480 - Washington Co. Office Bldg. 460 State Street . , . 33 W. Washington Ave. - Suite 308 • . - - - Hagerstown, Md.- 21740 - Rochester, N.Y. 14608 (301) 791-3190 (716) 454-5191 Hitch Bldg. Room 203 • 243•Margaret Street • _ • - . - - 636 S. Salisbury Blvd. . Plattsburgh, N.Y. 12901 Salisbury, Md. 21801 • . (518) 563-2835 ' _ (301) 749-0641 PENNSYLVANIA Room-301 Main Street Court House - 121 W. Tenth Street - Elkton, Md. 21921 Erie, Pa. 16501 _ • (301) 398-5200 , _ . . (814) 452-4604 318 Commerce Drive 18 N. Wyoming Ave. Easton, Md. 21601 Room 204 , (301) 822-8300 Kingston, Pa. 18704 ` . (717) 288-4906 NOTICE TO APPLICANTS: Final inspection and approval may be required by law before electrical current may be energized for use of occupants. The Agency undertakes to provide inspections until final certification is granted if such requests are made within 120 days from date of the last inspection. Upon expiration of 120 days from the date of the most recent inspection, all duties and obligations owed by the Agency shall be deemed completed, and all fees paid by applicant shall be deemed consideration for services performed. No further inspections shall be undertaken by the Agency.without filing of a new application, and the payment of relevant inspection fees. No final certification shall be implied or inferred without issuance of a duly executed certificate. • The Agency in accepting application for inspection cannot assume responsibility for unavoidable delays in inspection. "100 YEARS" PROTECTING THE-CONTRACTOR AND THE CONSUMER. • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEWYORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. TEMP.# DATE CITY OR -- f VILLAGE ( - { i -t \-,,, , ,--` TOWNSHIP COUNTY f-_ .j; i (,- ..-) STREET AND NO.OR 1 I i ROAD AND POLE NO. ;J '- +:• i s-,'(" 1 f-4- if(' . +', . POLE NO. BETWEEN WHAT TWO f� CROSS STREETS IS •i-, :�4V ,} 'i ! may' ( PREMISES LOCATED. ` !f ' t,'-'1', y !- SECTION BLOCK LOT OCCUPANT'S BUILDING NAME t it- OCCUPANCY OWNER'S NAME- + TEL.# AND ADDRESS I CURRENT SU / BYPPLIED 4_, t-..c.,- .. - t,,`r-i. e I('�-� FROM THEIR ti— •'- /l • 1. 'l , OFFICE BDEFECTS SUILDING WNEW E •OLD❑ IS NEW a ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. Fixtures& BRANCH NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUITS OFFICE USE Lace- ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out • - side Sub- base Base- ment 1st Fl. 2nd Fl. 3rd Fl. • '- REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. 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 ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS n - POSSIBLE NEW I I OLD El AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF 1' // �' _ MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION i` .'}f- `/'''' PRINT NAME AND ADDRESS - / - SIGNATURE -- `if NAME OF - �i � -• '.- C— }°. +�° ri , - X OF APPLICANT = :`c. l- :� t-� APPLICANT 1' � �� ., -- /4 STREET ADDRESS ` TELEPHONE# -- f• , " - -S ' CITY OR f-_ \, :'r '+ !�''� j ZIP /.-i1',�-/./ I LICENSE NO. POST OFFICE '__ - t-' I f (.- • L' / CODE r.;• - WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 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 E /XV) �CEIVED NAME /'�/7 I/�,, /c/c e LOCATION ' V `��� DATE /-(/p-c0 PERMIT # eo - ea. APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ,TTNSULATION: n FOUNDATION o� • FLOORS WALLS • y - (),,04: 5 (• cey CEILING 2,=,38 . FINAL INSPECTION: g, CHIMNEY HEIGHT ROOFING 1 SIDING EXTERNAL PORCHES/STEPS ;'', STAIRS-CLEARANCE & PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS e. GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION f FINAL APPROVAL OF CONSTRUCTION • (/J A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: �� I d LS S(.(� �� Lc_�tJ-•� INSP TOR PLUMBING-HEATING—Sales&Service GENERAL CONTRACTING �_ ,tO R J . ENTERPRISES "rg-, 38 DIX AVENUE EXT„ GLENS FALLS, N.Y. 12801 Tel.(518)792.5368 • January 6 , 1989 Town of Queensbury Bay Road Queensbury, NY 12804 I , Phillip J. Tucker, President of P. J. Enterprises certify that we have installed insulation at Lot 24 Hidden Hills Drive, Queensbury, with R-38 in the ceilings, R-19 in the walls , and 2" polystyrene insulation on the foundation as to meet the New York State Building codes . Phillip J. Tucker /rjl President i TOWN OF QUEENSBURY "` N/ BUILDING AND CODES DEPARTMENT i4�"F'• BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i- "/ TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S'-PZ ORT REQUEST FOR NSPECTION RECEIVE /- 3 - k."I NAME LOCATION -!ay R6j.P�n id ` Cp 11.)0 01/ , DATE / • morD 9 PERMIT # r-s=-w2. APPROVED YES NO FOOTING/PIERS ' MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING , BACKFILL APPROVAL\ ROUGH PLUMBING \: FRAMING I. ELECTRICAL ROUGH-IN \, :r INSULATION: y FOUNDATION A FLOORS WALLS ` ' . CEILING ,'`' j/ FINAL INSPECTION: CHIMNEY HEIGHT ,r ROOFING �� SIDING Y' EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE+& RAILS L.// PLUMBING FIXTURES/RELIEF VALVE ✓ INTERIOR TRIM/PRIVACY DOORS V FINISHED FLOORS GARAGE FIREPROOFING tti DOOR CLOSER(S) ; I SMOKE DETECTORS (//'- FINAL ELECTRICAL INSPECTION / FINAL APPROVAL OF CONSTRUCTION d A SIGNEDiCERTIFICATE OF OCCUPANCY MUST BE OBTAINED' FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: k_ ID ,• ,1- 'I ' 6/9 • INSPECTOR -m MOLE OIPARTMENT INSPECTION AGENCY, INC. Etectilcx Bulking Plumbing-eke Inspections — G J Date m 1 sector i d,IALi-Z, T1 - constitutes certification that the above installation, but not the equip- - u: ment itself, has been visually inspected CO 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- lure, application for inspection should ° 0 be submitted promptly to this Agency: Z f } TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENTWin - BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FO I SPECTION RECEIVED /Z-/ NAME --� - _ ll./.' LOCATION, DATE /Z-Z; 7 PERMIT # 95---O 2- APPROVED' YES NO FOOTING/PIERS MONOLITHIC POET FORMS i FOUNDATION/DAMP\PROOFING;' BACKFILL APPROV I (.,-ROUGH PLUMBING 1./ p.FRAMING j ✓ ELECTRICAL ROUGH-I INSULATION: FOUNDATION FLOORS • r WALLS CEILING I FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/•TEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURE /RELIEF VALVE INTERIOR TRIM/P• VACY DOORS FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSER(S) SMOKE DETECTOR. FINAL ELECTRICAL INSPECTION FINAL APPROVAL iF CONSTRUCTION A SIGNED CER 'IFICATE OF OCCUPANCY MUST BE OBTAINED FR, THE BUILDING DEPARTMENT BEFORE THESE PR 1r' SES ARE OCCUPIED!. REMARKS: INSPECTOR 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 //-/ /7' NAME ile4t9 I jCUc) LOCATION 4 l L &A} //'6f DATE //— / PERMIT # F(�-fO APPROVED ! YES NO -F6STING/PIERS MONOLITHIC POUR FORMS (j 1 FOUNDATION/DAMP-PROOFING 1 BACKFILL APPROVAL ROUGH PLUMBIC FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING A SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES RELIEF VALVE INTERIOR TRIM/P VACY DOORS\ FINISHED FLOORS GARAGE FIREPR FING DOOR CLOSER(0 SMOKE DETECTORS FINAL ELECTRICAL INSPECTION �. FINAL APPROV L OF CONSTRUCTION A SIGNED ERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT""BEFORE THESE PR MISES ARE OCCUPIED! REMARKS:0, pop tiitste bi1.i t1) V(72 PL He`X)4 k'�d2 -4 i,�te-i I S (P-0 11 �'-sSrR-icrSD �7L. St, - ie6 *- Cco2 (e-t g-- CA4,059-7-6-KH 2)Y.‘1 INSPECTOR i cc�� • awn o/ QUeen3Ittry : BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DIcPOSAL SYSTEM, INSPECTION ,j / l,� / r T("G�Cam' NAME I -•. I,4'. - - YT 7 ,_- P1:i' LOCATION //' (, ,/ 1, / ,J DATE //A / I PERMIT NO.\ �� —9 Z--- SOIL TYPE - S nd - Loam - lay - Percolation Te t Required. YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: • Absorption field, total length 1,0U Length of each tr-nch Depth of trenches •'`? • Size of gravel_ SEEPAGE PITS{Numbe T f) Size- ft. X - Aft. Gravel size . A PIPING: S?i4e GG � i Bldg. to tank /� , r Tank to dist. box ti 1�L--9 Dist. box to f'eld/a t ( ' /'2'Y-L-'�7 Openings sealed? YES ) NO Partial LOCATION/SE°ARATIONS: Foundation/to tank iL'ft. Foundation to absorption 1,t ft. • Absorption to lot line , ( ft. Separat'on of pits \ ft. LOCATI _ SYSTEM ON PROPERTY(circle one) Front - ear 1 Left side -;Right side - COMMENTS: ( / 1 tV/IP r Y . • SYSTEM USE APPROVED YES NO 1 . // Building Inspector 01/86 and vl . f i 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 //I//J/ NAME C�/mac/' ( //�,�J�,�LOCATION %x- DATE //a{J ,51 / PERMIT # I/ APPROVED YES NO t- FOOTING/PIERS if MONOLITHIC POUR FORMS FOUNDATION/DAMP ROOFING BACKFILL APPROVAL ; ROUGH PLUMBING \ / FRAMING \, ELECTRICAL ROUGH-IN V/ INSULATION: FOUNDATION FLOORS I' WALLS CEILING / FINAL INSPECTION! 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