1988-816 re
. ,
• CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
November 9 89
Date 19
This is to certify that work requested to be done as shown by Permit No. 88-816
has been completed.
This structure may be occupied as a One Family Dwelling
Location LAs"---) Lot #89 Hidden Hills
Owner Brian & Kimberly Schaff
By Order Town Board
TOWN OF QUEENSBURY
(,/ 67,,,b,",(;
Building & Zoning Inipector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-816
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Brian & Kimberly Schaff
OWNER of property located at Lot #89 Hidden Hills 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
6 S.Jordan Drive
Saratoga Springs, New York
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2. CONTRACTOR or BUILDER'S Name
rh
SAME
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3. CONTRACTOR or BUILDER'S Address I'•
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4. ARCHITECT'S Name o,
ro
rt
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
X(XaWood Frame ( ) Masonry ( )Steel ( ) t-'
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7. PLANS and Specifications
No. 52' x 32'/34' Single Family Dwelling as per plot plan, specifications,
and application, including septic and attached 2/3 car garage.
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8. Proposed Use *;()
Single Family Dwelling x
F-'
25.00 C/O
$ 273.00 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.) 0
co
Dated at the Town of Queensbury this 26th Day of October 19 88
SIGNED BY C(/' , ,' for the Town of Queensbury
uilding and Z ing Inspector t7
F'•
OQ
TOWN OF QUEENSBURY
•
WARREN COUNTY, NEW YORK •
Application for; BUILDING PERMIT IN COMPLIANC WITH THE NEW YORK
STATE ENERGY CONSERVATION CODEE -
•
A permit must be obtained before beginning work. -
ANSWER ALL of the following:
1.. Gross floor area a 1 (o Cl' Sql
2 . Type of heat NA.A.J r--I c,.s
3 . Is the building mechanically cooled? Ves
4 . Percentage of area of windows and doors
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
-3so" Q-ate
2 . R value of exterior walls R - a Li• ` /
3 . R value of glazed area GtJGQ-P., S
4 . R value of doors 2- l •
5. R value of floors over unheated spaces R•
6. R value of slab edge insulation unheated slab
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
•
10 . Type of insulation A.1-::"5/'4.s S - /17-/(
C. Controls O
1. Thermostat maximum heat setting (10 -- cld '
•
-D.- Duct System -- -
-
• 1 Is duct- system installed in unheated spaces? YES NO
a. I'f YES, R value of duct installation 3
b. R value of duct' in other areas
• E. Piping Insulation 3`� �c lb,
1. Size of hot water or cooling carrying agent pipe
. 2 . R value' of pipe insulation
•
F. Service Water Heating
1. Performance 'efficiency
2 . Temperature control setting maximum •
G. For Swimming Pool Only
1. Maximum heating
•
Telephone ,No. .39 �y�7 ka .4_) d
//
(applicant ' s i ture)
TOWN;,OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT
ve-
` R ec.%ev ed 10 r 6 ,
c-1/27 '. , , f-p i,..t ,:: : 7
• :;,'! '1'y t,, Fee Pcu.d 29,V/f c ci 1 19O
BUILDING AND CODES DEPARTMENT Date I4s4ued /�j/aei .
BAY and HAVILAND ROADS•RD 1 Box 98 / BUILDING & CODE DEPT.
PUEENSBURY,NEW YORK 12804 Pen.m-ct No.MYR.
Tel . (518) 792-5832 'Ext •204 1.-
* * * * . * * .* •* 1* * * * * * * * * * * `* * * * * * .*: * * * * * * * * * *
A PERMIT MUST B1l OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicable spaces on this application must be completed and the
sici ature of the Applicant *must appear on the reverse side of this sheet . .
* * * is * * * * f * * * * * * * * * * * * * * * * * * * * * * * * *
The owner of this property is : TS-iryAn c //4„,6_, / s „1-W
P . O. Address S. -r� .., Dr._ So-A- ,h� S. A0! TEL.5v1-64// 7
1 TAX MAP NO. 93 / 5 / 999
Property location �O I� �� U�P,y,S�u�y
Has there been any split of this property since October 1,' : 198B? 4
yes no i"
If yes , Planning Board Review is necessary. i
SUBDIVISION NAME , IF APPLICABLE 4•°�I�A-ear !-WIS 6NJkat\wBicr-,LOT NO.
The person responsible for supervision of work as regards Building Codes is :
r►cc1r.
5c 4,�-4 6 S. Safi1 ,K. Dt.. Sc. sfri•��s , tik 574-0�t17
NAME P .O . ADDRESS EL. NO.
Name of builder}{t„., j-1 kritvrKelf4 Address 6 S. .A6Ccicr., Ac. Sort'•{Seri S Tel 5 S ` -' ` 1-7
Name of Plumber Mo& I'1c+,,-,se,•. Address 15 Hope. ,1 L Ca-nS ravr- Tel , Li-ff$?8
Name of Mason $r,ow, M•e-low Address Oey15 4...0.s NA Tel
NATURE OF PROPOSED hORK: * ZONING INFORMATION (Office use only)
Construction of a new building * ZONING DESIGNATION OF PROPERTY
Addition to a. building *
_ PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to a building * ,
(no change to exterior dimensions)
* REVIEW .REQUIRED - PLANNING BOARD ZONING BOARD_
Other work (descr.ibe) * SITE PLAN REVIEW # APPROVED DATE
CROSS AREA OF PROPOSED, STRUCTURE * VARIANCE # APPROVED DATE
1st Floor ,N6 sq ft . ' * Remarks:
4.
2nd Floor i076y sq ft . N. COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ICI, q 6 ft x 1 20 ft.
Other Floors sq ft . * ExistingSize
building(s) ft X ft.
(not cellar or basement) * .
TOTAL FLOOR AREA a t/-�P sg3if t • * Existing building (S) Use
size of new structure .Tj2 ft X /3yft *
Foa,tdation-pier/slab/crawl/partial/ uT . * Proposed building, distance from property line
(circle one) * Front yard 33 ft Rear yard . re ft
No. of stories (habitable space) * Side yards RCS ft and 3 ' ft
height (grade to ridge) ft. * If on corner, setback from side street ,w$ ft
If residential, no. of., families 1
No. of rooms(exclud ng'baths) 1 • * OCCUPANCY INFORMATION •
No. of bedrooms
* PRIMARY BUILDING -
No. of bathrooms 2 t/Z * )C One family dwelling
Primary heating system Aj ,4vrc.k..4 6-cc ) Two family dwelling
Type of fuel 6c5 * Multiple dwelling / Number of units
No. of fireplaces to be installed 1 * Permanent occupancy
Will a wood stove be installed? No * Transient occupancy
Central Air conditioning? �CeS • * Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Other
!such ContuuporarDLon cabin * If addition, what will use be?
liaised ranch Mansion Duplex
Split level Old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one cater/...two car/
car
( CIRCLE ONE PLEASE ) * (Attached garage/one car/ two car/ ` AR • car
• * * * * * x I * A * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION * •
1pO OG(7
]NFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED:
Form BPA 10/88 vl
BUILDING PEIU.tIT h1 PLICra1011 CONTINUED - .
WILDING SPECIFICATION: ?:
Type of construction, wood frame,
fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? ca
Thickness$ uvy�
Foundation wall material Ce�Y1C�P w
(to bottom of footing) ,,, sq ft
Depth of foundation below grade sq. too tag �
Will there be a cellar? Heated or un eate Flo r
Will there be a basement? Will any portion be used as living space? wJr
sq.ft. - - Type- of use?
(If so, what portion? q' Material..of roof
'Type of roof - ope flat/shed/other
��X (D " spacing_(_"o.c. length �_tt. �ft.
Sits, wood r studs „X 1 " spacing _"o•c• span
Joists(floor beams) 1st. floor _�_��X��� spacing I b "o.c. span ( (.�-ft.
Joists (floor beams) 2nd. floor .�_ spacing�'�o.c._ ='pan�1L.
Overlays(ceiling beams)_ .
_"X_12 " spacing A(e--o.c. span_- ft.
Roof rafters �'o.c. span__1_�t .
Roof trusses (Pre-engineered) spacing_
Exterior wall finish`°, tiJcaoA
Of what material?....--- -----------------'
Interior wall finish 5
If a garage is to be attached, describe materials to e used for FIRE SEPARATION:
between garage and dwelling eS If so will a Fire-rated •
Is there to be on opening device be provided?
door, enclosure, and :ney closing v Height above roof a ft.
Will a flue-lined chimney be installed? 1�T� -
Depth of chimney foundation beloW grade 3/2 ft. .
Depth of fireplace hearth / ft...6._in. •
Water supply - Municipal or private well Mu t.CJ rops=rtias ft
es
SEPTIC SYSTEM _ Distance from ANY private well((iuding a d'oiininniinng p tlaron of ptic syst.
(A separate application is necessary for any repair
or DECLARATION )
To the best of my knowledge and belief the statements contained
in thisapplication, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done on,tl e described
e scrib ed premises
ses andninthat
taall
I
provi::ions of the BUILDING CODE, THE `LONIN�lattler specified or not, and at such work is
the proposed work shall be complied with,
authorized by the owner. L ` S ..co
•.. Signature_ 0v
Owner,
owner':: agen tect,contractor
% .
x A A * x * * * * A A * * * * * * * * * * * * * * * A * * * * * if * *
SPECIAL CONDITIONS OF TILE PERMIT:
•
•
•
By
•
' c-� o APPR,O►
7-wit of 011e417,dryet1 ' .
DATETII
APPLICATION FOR SEPTIC DISPOSAL PERMIT ,
ZUIiItiG L ULDO CODES DG Y.
10Vitt 0f QuW liUIIY
DATE.. /e0 / / PP
LOCATION OF PROPERTY FOR INSTALLATION Ln 7 Acgt ` ,i Leg 041514...
Owner's Name: , x/n1 44/&,4 &A j./' Telephone: $ y-6 qi7
Address: 6 S. „Sb!4c, ci
r; 42 S-pich.: o Sec„_ /�/ /2064
Installer's Name: 0a.A a Ycb_,�e..,`- Telephone: -MD b -ciP
Number of bedrooms (residential only) _ 3
. Total daily flow (compute @ 150 gal per bedroom) _ ySp q,ta,
Topography: circle one: dip Rolling Steep Slope % of slope• _
Soil Nature: circle one: 'and Loam Clay Other, / Depth: feet
• Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: unici al Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption . feet
PROPOSED SYSTEM: Septic Tank /DOo gal. (minimum size: 1,000 gal.) .
•
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE P1T(S): Number of .. / Size each .�
O feet Gy � feet
Size of stone to be used 'u e20A$ / Depth or Thickness o' feet
: 44 * * * a * 4 y 4 * * * * * X * * * * * 4 . 44444 * * * * * * * * * * * * *
IMPORTANT •
...Please...LIST NEW L•'QU1.1'MZNT TO BE INSTALLED
• s * • * * s; 4 4 + 4 4 * 3 * s * * * * * * # * ♦ 444 4 * 4 . * * 4 a 44 * 4
(over) ..
I
Section 1I ,' Septic System Inspections:
q°A. ,a All" pp,lications for septic system installation, alteration or repair, as
. required by the 'sown of QueLnsbury 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,',` >:1.)_a':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 dii ensions of all tanks, distribution
'f.
boxes, the fields and/or drywells ,
r,13. No„system shall be covered before inspection and approval by the building
y" ' Inspector. Failure to comply with this requirement may result in the
'. uneovcring of the system by the installer and a fine of up to $250.00.
C. An 4pproved copy of the plot plan shall be available on the construction
site: Failure to produce-said plot plan at time of inspection may result.
in an immediate work stoppage.
D. Should unforeseen problems during:construction prevent proper installation, '
alteration or repair of an approved system, a new proposal must be submitted
to theQueensbury Building Department before further construction.
•
I have read the regulations above and agree to abide by these•and all requirements
of the Town of.Queen::bury Sanitary Sewage Di.:po::al Ordinance.
Signature'of responsible person: a&i......_., g-' S
/� yer;,..
N•
Town of Queensbury. -~
Building and Code.Iepartment '
q Bay at Haviland'.Ito:►d
Queensbury. New York. 12801
(518) 792-5832
(',. ` SELECT BUSINESS FORMS (609) awn-¢2{14 _
• APPLICATION FOR ELECTRICAL INSPECTION
PLEASE BEAR DOWN YOU'ARE MAKING. (4) COPIES,- ,
MIDDLE DEPARTMENT INSPECTION AGENCY `INC.
_ . _ �' . •�;I National Headquarters - ,' , : " '
G
900 Haddon Ave:, Collingswood, N.J:08108:. - ;' i •
1 ,
APPLICANT COMPLETES THIS SECTION Date:
. : ._ ,i •• ,:Fi ` " Nil
City,'Town or TownsliiP''�' - Q.l-� b°''j ' •- County v�[2 r'r...";, _ • State
Location/Address
(If Locatedl! in Rural Area-Pllease Attach Direction's): •
8.P/A Pole #
Owner' ' .✓:' .' aI P��. csCHr4FF :Permit #
Occupied As Building: New Old L
Occupant 6e,ANi:::, Lel - . .
�j ': � fJ,�'r✓rr- Work Area in Building,(Floor #,etc.): . . .
App. for::Wiring I •-:Service(/ 'or: •, '- . ' - ' - Ready for Inspection: V •
Fee Remitted-$' • - Cash n Check n . - M.O. n . . . : - 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 .. ..__-
Receptacles Water Heater Asir Conditioner' • . Dryer. - ' Pump
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 1I/2 2 3 .5 7'/2 ,10 15 20 25 30 40 50 75 100
Mark Number' -
of Each Size- -
Applicant's .
Signature V License # Permit #'T/A Utility:` / ed:. 6/y..ii.T -. /'- `,f/A
Applicant's'Address: (NAME = (OFFICE LOCATIO,
(City) (State) (Zip) Service Request #
Phone # - ,V - V V Electrician: - - • •
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: .
Correct-Location: "Same as Above n - .- or: - - - •
Red Notice'Label ❑ • -.
Rough Wiring Outlets . : . Surface Unit.; - V ' ' Oven . -
.., - Switches V - Range • . r` ''• Garbage Disposal -
• „Receptacles Water Heater• .! Dishwasher' .
Fixtures: •Air Conditioner f . Dryer
• 'Amp. Service Equipment .-- Burner,Wiring &Controls for V . , Amp. Receptacle • -
Amp. Service Conductors ' Pump - V . : Vent Fans '
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1I/2 2 •3 5 71h 10 15 20. 25 30 40 ' 50 75 100
Mark.Numberi - _ _ -
of Each Size
Elect. Heat 500 750 1000 1250'1500 1750 2000 2250 2500 2750 3000
i.. .
•
dr •'„ ,•.... i' s` CORRECT,,' '
C�ERTIFI ATIO6IS G r. l —USE FOR,INITIAL VISIT,ON�Y NOTIFIED DATE . • FEE PAID -
❑;RW:: + Progress: Inc.❑ LKD❑ Contractor + 1,
❑'CFT - Violation 'Work Comp.❑ Inc, ❑ , - ",
(—] L/A - , Owner' CASH
Fee-- CHK #
❑,L/A - Due: MO
❑`-IPA = . . .... .Mu cipa ni I
Date: •` OtherSiden+''1 „ Utility ' : Applicant n
I .. . Owner ❑
Cut.in Card,: , ni Temp # Date
.. , -`UJ.7. e.. .+J ..rJ4vJ" •VJ vJ+7ckJ vJ4.V V O.misGVJ vJ vt vc!^3J.. � �• � � �•/
MIDDLE DEPARTMENTANSPECTION AGENCY, INC. 1'O ill
90�9 C.Ion avenue,Cpj ngawood N 1 08108
• ts'
. . c„', °:•__,_— - ` 'fi 0 �,` Dart; November 9, 19 89
y p
�\ Ke.er_1 Lt that tl•e electr)cal,eduipment listed has been &)am'ined an ' s approved as being in accord
�1 {'>��
with the National Electrical Code applicable governmental, utility and gency ules. C\
( i f- f art s"/ `t t�, " T:I —r„, F . .•7-1, ` `' i, C3)
Brian & Kim e chaff ,• , > Dwellings .� 1
COwner: �':-.,,. t s- / Ea{ ;J Occupancy .� \ C\
Occupant: Same �t I C r i.���/l 4 .� gyr { r _.�� t�� 1�1 )
Lot 89 Hidd$ ais; QueensburY (EI'q_aire�l3:x+oi,4 I rt hcate cove the elec rtcaf equipment and Installation inspected this C
Ce Location: f .� \
,;u. date. If additional equiRinenttsh40 be introduced or alterations made to I J
' existing system this certjfica a shalt be null and void• and application for
105 Outlets 450 Race Receptacles; 3.0, Fixlur s; inspection should gesdbmitte�prop tlytothisAgency.
( Equipment: P �p�� il� . pi g&e older of this ce tificate sh (rfd,pr sent same to his property insurance carrier
iR! �LUas:: "'Gm tl �8C4e f 9 P P �
200 Amp Serv�Ce; 7 ApRlianees (agent orcomp,�ny)asevfd nce:0 ertillcationofelectricalequipmentapproved I)
ti! as specified.) AY
'C
( 'ZI.$;. ii.
Brian Schaf f�. * ' `` �t c 4 - 1
Applicant: Lot 89 Hidden Hills _ - No. 15-024659
�Queens bury, NY 12804``'w ''" �`-'1- �-'` � y
3
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPEC ON RECEIVED
NAME
LOCATION t ( 7 4 //4)
DATE 7791/J / PERMIT # ,iD O p 4�j
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
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)1`
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:
elr
e A-64
1, L61,24 Z1ZIGA, `�-
16 a
CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- /9�//
�TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME c
LOCATION �/ 94.` ?? �,t,G A. )4/ eee
DATE Z -'(3� y PERMIT # /e
APPROVED
YES NO
FOOTING/PIERS i
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL \\
ROUGH PLUMBING j
FRAMING /
ELECTRICAL ROUGH-IN /
( SULATION:
FOUNDATIONL�� V
FLOORS
WALLS ;' . . .
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING I •
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & "RAILS "
PLUMBING FIXTURES/tELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS,
FINISHED FLOORS I °.
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS{
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL F CONSTRUCTION . . ';
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
EAS6M AJr- Ar l �1SV11�i r0.t1.�t�-�
IN ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS Pik)
QUEENSBURY, NEW YORK 1280i-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED •
NAME -2 42 /
LOCATION( , ,;(.GO„
DATE -a-)-I'1 PERMIT # 0 - (_
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL •
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
(' ./INSULATION:
FOUNDATION •
FLOORS. .
WALLS ;.)!-Q J
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
TH ,SE7PREMISES ARE OCCUPIED!
REMARKS: (J‘ •
),509, tAc.)-4Dif-
r Z 1!�&z C
INSP, CTOR
//A - 275-337/
TOWN O QUEENSBURY .,e2z1
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ,,�1 u/11 ,
LOCATION f O/�� Al i /&v.1)/
DATE �j �g'��f 9 PERMIT # p J -(4)
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING,
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS f
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT 4
ROOFING ;y
SIDING
EXTERNAL PORCHES/STEPS' N
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS g
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF ACONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
A-, 67gC-64k4,a4t-*
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/
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT --)27r) .
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION CEEI/V D
NAME G,6.L9/!�1 � �C-i`� //
LOCATION DY E7 420.,1 y1:(00 .
DATE ‘)Y d PERMIT # $? -$ /
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL • f
ROUGH PLUMBING
RAMING , �C� '
ELECTRICAL ROUGH-IN
INSULATION: '
FOUNDATION '
FLOORS \ . .
WALLS k
CEILING • %F
FINAL INSPECTION:" I
CHIMNEY HEIGHT \ /
ROOFING ''r l• •'
SIDING A
EXTERNAL PORCHES%STE'PS '
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS i,
GARAGE FIREPROOFING ''•�
DOOR CLOSER(S)
SMOKE DETECTORS \,
FINAL ELECTR CAL INSPECTION ' . \FINAL APPROV L OF CONSTRUCTION \
A SIGNED CEI'TIFICATE OF OCCUPANCY MUST'BE
OBTAINED FR M THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: i
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INSPEC R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY '& HAVILAND ROADS /
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION D f(f7 // 4L ./e.Z
DATE L/ i j PERMIT # ' -ai 6
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BAFILL APPROVAL
SOUGH PLUMBING ✓j"
AMING
ELECTRICAL ROUG —IN
INSULATION:
•
FOUNDATION
FLOORS
WALLS / •
CEILING
FINAL INSPECTION: \
CHIMNEY HEIGHT \ •
ROOFING
SIDING
EXTERNAL PORCHES/STEP
STAIRS—CLEARANCE & RA`ILS
PLUMBING FIXTURES/RELIEF-VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS '
GARAGE FIREPROOFING
DOOR CLOSER(S) / •
• SMOKE DETECTORS'
FINAL ELECTRICAL/INSPECTION
FINAL APPROVAL 75F CONSTRUCTION.
A SIGNED CERT FICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMIS ARE OCCUPIED!
REMARKS:
•
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•
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v INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280g.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RE�CEI�VED/O
NAME ( -2��c-//Ld�Jf,9 -
LOCATION D 7 � f!�-GG/ZGiCLLk- ec.
DATE L- ` PERMIT # d f ,/ 6
w " APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS /
FOUNDATION/DAMP-PROOFING
BA KFILL APPROVAL /
OU H PLUMBING
AMING / L/
ELECTRICAL ROUG -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST
STAIRS-CLEARANCE & ''{LS
PLUMBING FIXTURES/R LIF VALVE
INTERIOR TRIM/PRIVACY co
FINISHED FLOORS
GARAGE FIREPROOF NG
DOOR CLOSER(S)
SMOKE DETECTOR
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL aF CONSTRUCTIO
A SIGNED CERTIFICATE OF OCCUPANCYIMUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISE ARE OCCUPIED!
REMARKS:
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INSPECTOR
io n
TOWN OF QUEENSBURY -------
BUILDING AND CODES DEPARTMENT -��
BAY & HAVILAND ROADS r
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832 L/L(
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME _-- h5(-1-1.4/2 ,1G//l2
-)Ift •
LOCATION %;2 1 ,f7V �E' (j1� 46
DATE //-q- rq PERMIT # i1(r'S76)
APPROVED
YES ,NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/:.AMP-PROOFING
BACKFILL APPPOVAL
ROUGH PLUMBING
FRAMING ay
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION \
FLOORS
WALLS � /7
CEILING \ I
✓FINAL INSPECTION:
CHIMNEY HEIGHT \. /
ROOFING
SIDING
✓EXTERNAL PORCHES/'.STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING F /XTURES/ ELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS 1 .
GARAGE FIREPROOFING\ k)�/
DOOR CLdSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL A PROVAL OF CONST CTION
A SIGNED CERTIFICATE OF OC UPANCY MUST BE
OBTAINED FROM THE BUILDING pEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED.!
REMARKS:
g.„-/
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INSPECTOR
•
•
i'
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.-
Electtical-Buildiingg;Plumbing--Fire Inspections�
• 500F8,05 L'. /o r r ` -�i,�Q2e�t /�+///�'
` r Date /�. . ,�► - ths,„
ve
1-Asoli
I ector �f( � -
T constitutes certification that the
i 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. stuc-.
ture, application for inspection should
be submitted promptly to this Agency.
•
•
TOWN OF QUEENSBURY ()t °
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME _ h ,( 6-Li,_-� �(, .C� 6'Lc
LOCATION 1i/(" i) — T ( �i� �i( _P A 7�1"�._, 1 . (A.._
DATE T?17/(6C PERMIT # PT — Ilj)
. APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS a
FOUNDATION/DAMP—PROOFING •
BACKFILL APPROVAL
ROUGH PLUMBING,.
FRAMING r
ELECTRICAL ROUGH.IN '
INSULATION: •
r
FOUNDATION
FLOORS '
WALLS
/ CEILING ''r
/FINAL INSPECTION: ?',
CHIMNEY HEIGHT ;' ;
ROOFING
SIDING ,+ `, X.
EXTERNAL PORCHESISTEPS X
c
STAIRS—CLEARANCE RAILS X
PLUMBING FIXTURES/RELIEF VALVE ,X
INTERIOR TRIM/PRIVACY DOORS ���
FINISHED FLOORS \,
n
GARAGE FIREPROOFING \
DOOR CLOSER(S) \, `"z r N.
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:
/ I
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INSPECTOR
Jown of Queena4ur, '
p .. . BUILDING and ZONING DEPARTMENT
Bayand Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME /6 /,r2 /. 4V
LOCATION !di7 ). //
DATE_/Wh PERMIT NO. Fe 6,-/6
SOIL TYPE - ii;;)- Loam - Clay - .
Percolation Test Required? YES - NO ;
Percolation rate - Min/Inch %f
/
TYPE of SYSTEM: '
Absorption field, otal length // .
Length of each tre ch• Jr
Depth of trenches ' 1
Size of gravel_
SEEPAGE PITS{Number of) ' /
Size- C, ft. X t. I
Gravel size , :f I
PIPING: V
ize Type
Bldg. to tank / 56{A id
Tank to dist. box ifyf SVL g3'
Dist. box to field/' " 3`'
Openings sealed? / ES NO Partial
LOCATION/SEpARAT?ONS:
Foundation to t k /3 ft.
Foundation to Iobsorption / ft. .
Absorption to lot line \/D1}ft.
Separation o r pits Soft.
LOCATION OF SYSTEM ON. PROPERT�Y(circle one)
Front - Rea - Left side - Right side -
COMMENTS:
/1 1
f
SYSTEM USE APPROVED YES q NO
Building I,s ector
•
Jown o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION / j-
Dat: ' , /0 E _ Permit No. fg- /`,'
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YE / NO
.F6oting/Pier Forms
Foundation
Waterproofing
Backfill //
Framing
Roofing
Siding ,!
Masonry Veneer'' .
Rough Plumbing . .7
Relief Valves •'
Ext. Porches
Finished Floors \
Interior Trim / \
Stairs & Railings
Cellar Drain Tule
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing • \
Door Closers
Smoke Detectors
Chimney ,/
INSULATION: "at
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
r�
3J
Building Inspect r
6/86 and-vl
i �'
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /9727
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED__ ?- 7 l
LOCATION ; / ji (1'"q 714 '/,1_, /l/Cj�
DATE / -f PERMIT # /city' 1(iJ
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS A, ,la'
FOUNDATION/DAMP-PROOFING :44
(-/BACKFILL APPROVAL `! `'
ROUGH PLUMBING \ r,
FRAMING
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
1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM Tj1E BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
r '4/,G! !
12 , v
INSPECTOR
Jown of Queen4ar,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION .
Date rOk / Permit No.
V = APPROVED - YES// NO
`ooting/Pier Forms
Foundation,
Waterproofing
Backfill \
Framing \ /
Roofing. J
Siding /
Masonry Veneer \
Rough Plumbing \
Relief Valves \
Ext. Porches \ /
Finished Floors L
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-
•
•
•
Building Inspector
6/86 and-vl