1988-833 J r
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Anril 1 1992
This is to certify that work requested to be done as shown by Permit No. 88-833
has been completed.
This structure may be occupied as a Single Family Dwelling/Addition
Location, - + = .`-'�' Connecticut Avenue
Owner Scott Stark
By Order Town Board
TOWN OF QUEENSBURY •
Buildi g & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-833
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Scott Stark N
co
V
OWNER of property located at RD#4 2404 Connecticut Avenue Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition/Bedroom
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
SAME
m
2. CONTRACTOR or BUILDER'S Name
Jeffrey Ingler cn
0
3. CONTRACTOR or BUILDER'S Address
rt
P.O.Box 302 Tuthill Road
Glens Falls,New York 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
0
0
6. TYPE of Construction— (Please indicate by X)
rt
( )Wood Frame ( ) Masonry ( 1 Steel ( 1
rt
7. PLANS and Specifications
m
No. 20' x 20' addition as per plot plan,specifications, and G
ru
application.
8. Proposed Use
One Family Dwelling/Addition
25.000/0
32.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 1989
(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.)
a
Dated at the Town of Queensbury this 28th Day of October 19 88
rt
0
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector c
co
a.
0
0
0
_Juui uI QutaiLr4j ;
TO r+IIN;OF Q r t .
BUILDING and ZONING DEPARTMENT n ,".
Day and Haviland Road, R.D. 1 Box 98 .. . •• n� Li �J L; ''.I'-',
Queensbury, New York 12801 ..JL:( ,. ij
0 :Approved I UI�IDIN & CODE DEPT.
'' • KIP .
APPLICATION I'012 � - ��,� •-
•'BUILDING AND ZONING PERMIT • Q
_
; .
it it it it it t it it it it it it ' it it it I . it t .i it it 'ii. •Y' it it' it it it ii• it ,* is * it * it it `iF• •it `it it;':, '..'
A PERMIT MUST BE OBTAINED BEFORE:BEGINNING CONSTRUCTION. .ANSWER ALL OF THE FOLLOWING.
The undersigned hereby 'applies'#for-a Building:Permit" to 'dd 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. - — -
't'hc owner of this property is: 3Coh' cfa,fr
P.O. Address JIB i/ o?r/o t-?- e,h n1wre.=.,?f I,0J� .Tel. 75,;('-7/J/f
Property Location: D 44L/ d 10 /i . Cow ne 1`c:a- Ai_ Tax Map No:. / /
Street number or building lot number •
-
Subdivision name (if applicable) .
TIlE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
:7;ff,t7 J��ti/�rz Po /Ix 3c Zi41�, / i / ,l. y • 7SZ-o.T/.;s'.
Name ' P.O. Address Tel. Nu.
Name of builder jr44, .J lie Address .f alfar ,�/d7 G.F,tify Tel. 7p,Zo 3/i�
Name or plumber f Address / Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFOR1�lATION:
_Construction of a new building .* TWO."PLOT PLANS MUST BE PREPARED AND SUBMITTED,
4- Addition to a building • *•dra4. reasonably to scale and attached hereto,
_Alteration to a building shoieng 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' -
4. or corner lot.
FOR DEMOLITION PERMIT, STTITE SIZE AND * ofe water lsupplyrand location and�c.onfigucration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property Ago ft X /DO ft.
* Existing building(s) Size 7,o ft X „Z o ft.
*
PROPOSED BUILDING AND USE: * Existing building (s) Use Au, .,/y Pco edj,,
Size of new structure -o ft X ,2o ft *
Foundation-pier/slab era /partial/full * Proposed building, distance from property line
(circle one) * 'Front yard 4/0 ft Rear yard go . ft
No, of stories (habitable space) / Side yards 5-0/ . ft and ON a ? ft
Height (grade to ridge) j *ft. If on corner, setback from side street ft
If residential, no. of families *
No. of rooms(excluding baths) �3 * OCCUPANCY INFORMATION
No, of bedrooms * PRIMARY BUILDING -
No. of bathrooms c O it
4One family dwelling
Primary heating system A,,�r,,,..t� Two family dwelling
Type of fuel DiI c
* • Multiple dwelling ./ Number of units
No. of fireplaces to be installed 7—Permanent occupancy
Will a wood stove be installed? NO * p y
Transient occupancy
Central Air conditioning? iqc ** Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
' Other
*
Ranch Contemporary Log cabin If addition, what will use be? L;v;n .vo y Isn
l.a ed ranch Mansion Duplex *
Split level Old style Bungalow * aiSxec s -
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town !louse *' • Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car.'
" * * * * * * * * * * * * * * * * - * _Private storage building
ESTIMATED MARKET VALUE OF . * Other
CONSTRUCTION *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form !WA 4/86 and-vl
/i./
BUILDING PER.IIT APPLICATION CONTINUED - •
BUILDING SPECIFICATIONS: 3 = 3 v
Type of construction, wood frame, fire safe,etc. o7adaa Qhi,,, oZpeG 4-0‘.15 ,2j cvea a°'dif,64"'t, "a
44.
Will any second-hand or ungraded lumber be used? If so, for what? Aim
•
Foundation wall material f?,0/6,S,4;15./3A4vs g 7i6 i3/ocIc Thickness d
Depth of foundation below grade (to bottom of footing) I"'
Will there be a cellar? A/n Heated or unheated? iiitQ Floor sq. footage yfo sq ft
Will there be a basement? Ali, Will any portion be used as living space? S .
(If so, what portion? //yvo sq.ft. - - Type of use? /1rr/rPoc�N s , f /
Type of roof - sloped/flat/shed/other g/, Material. of roof 1,4 on >(o J� 6�p� /,�s�� g e•S/.af�5
Size, wood studs ;,7 "X C " spacing /2 "o.c. length 422 =tt.
Joists(floor beams) 1st. floor "X " spacing A "o.c. span 76 ft.
Joists (floor beams) 2nd. floor --- "X " spacing — "o.c. span ft.
Overlays(ceiling beams) a "X 4 " spacing /6 "o.c. span „ ft. •
Roof rafters a "X f " spacing /w o.c. span !a!'-ft.
Roof trusses (pre-engineered) spacing = "o.c. span ft.
Exterior wall finish (Z",,,,/ Of what material? ,2
Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: on.`
Is there to be an opening between garage and dwelling? --- If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? 410 Height above roof /(/B ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. --in. •
Water supply - Municipal or private well
•
SEPTIC SYSTEM _ Distance from ANY private well(inclu ing adjoining properties 365 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 specified or not, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature
Owner, owner's agent,arenztect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * ,* * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By
.
•
TOWN OF .QUEENSBURY
W. . 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. • G.d`4'`sfi � .
2 . Type of heat 04 1- 4/ vyr• , •
3 . Is ,the building mechanically cooled? 14 '
4 . Percentage of area ,of windows .and :doors •
A. Over. 16% O y
1 . , pc; value of gross area Of walls, roof/ceiling and floors
exposed t• ambient conditions
•
2 . Floor over heate spaces YES NO
a. Are foundation alls insulated YES NO
1. If YES, what .' s the R Ni - ue?
3 . Slab on grade YES
a. If YES, what is tJR va ,. e of insulation around
perimeter of f Oor? ,
•
4 . Is basement ated? YES NO
a. R vale of , insulation .
5. 'Type insulation
B. Under 16% Only
1. R value Of roof and floors exposed to ambient .conditions_
. �� Its
2 . R value of exterior walls 4 'If
3 . R value of glazed area . I " 6 Us. 3o r /a
4 . . R value of doors /11-7-/c�- - .
5 . R value of floors over unheated spaces # //
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 44.e, 1.1,,,
C. Controls .
1 . Thermostat maximum heat 'setting
D. Duct Systems
1. Is duct system installed in unheated spaces? YES - NO
- • a. I'f YES, R value of duct installation •
b. R value of duct in other areas
E. Aliping Insulation I
1. Size of hot water or cooling carrying agent pipe die l `q,lppelp.
2.. R value of pipe insulation Mu PIkh, •M1•
F. 'Service Water Heating / .
- 1 ' Performance efficiency Ab PhOmii / #V
. - 2 : Temperature control setting maximum
G. For Swimming Pool Only • .
1.. ' Maximum heating NOPi•--
• Telephone ,No. .
. (applicant ' s signature)
mug,,,,.
•
MAIN OFFICE ` • - ATLANTIC-INLAND, INC.
997 McLean Rd.: ' '
Cortland,.New.York 13045 NEW YORK
Phone: (607)753-7118•' •
MEMBER OF N.F.P.A.AND I.A.E.I.
(607)753 76os. . FIRE UNDERWRITERS. 3 2 6 8 2
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service) C.
(Incorporated in the State of New York)'
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below.On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OFAPPUCATION /0 —c i.— X 8
CITY,TOWN.VILLAGE(LA Qu FC nS1--)ue( COUNTY" 'LL_V t+) \� • STATE IV 9O(
STREET .
ADDRESS 1) ago-it C_Or- npr I Ct if AVE .
RURAL BUILDG.NO.
DIRECTIONS POLE NO.
OWNER'S C-A-4-�
NAME p.)`� OCCUPIED AS0
OCCUPANT q c:v'(CY, BUILDING—New 0 Old 0 WORK—New 0 Additionallit
OWNER'S P.O.
ADDRESS. 'AY-Y\F-, .
APP.FOR-ROUGH WIRINGyey FIXTURES❑OR READY FOR INSPECTION 19
FEE REMITTED—$ . r BY CHECK 0 CASH 0 MONEY ORDER 0 MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
Number of Rough Wiring Outlets Fixtures Add Installation
Swtch _Li'Ing., Recap. KW Med. Mogul . Fluor. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
.. / /� Heat Base ' Base
11
. .� Elect.Heat ,
" .. - Amp.Service- /�O ". Water.Htr. Burner Air Cond.
' Surface Unit Oven Range Gr.Disp. Dish W.
Dryer H.P.Pump_- Ex.Fan Hood
OTHER EQUIPMENT(Specify.Type&Capacities)
TYPE OF, SIZE OF SUB- BRANCHES NO.OF
WIRING OPEN 0 CONCEALED X OTHER MAIN /3-O - MAIN CIRCUITS
AP '
SIGNATURE LICENSE rr - PERMIT N
APPLICANT'S " _ _ ` `�,(� NAME OF �`��jj'r�
ADDRESS KJ,Yl\S-.:_ C" ,c ? la-vy- j - UTILITY k vc 0„.:( &c'c.�
OFFICE TO "� '
CITY STATE - ZIP CODE BE NOTIFIED
'SPACE'BELOW FOR USE.OF INSPECTORS ONLY.: ,{ °''-' . ' . .,,. `'`,11.4."
, ' ROUGH WIRING ' AMP SERVICE.,. K.W.SURFACE
OUTLETS • EQUIPMENTS UNIT
SWITCHES AMP SERVICE - K.W:OVEN
• CONDUCTORS
H.P.GARBAGE
• RECEPTACLES - H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K•W.
FIXTURES K.W.DRYER DISHWASHER
MOGUL BASE . '• ' K.W.WATER
FIXTURES. HEATER K.W.RANGE
FLUORESCENT H.P.AIR AMP. RECEPTACLES
•
' FIXTURES • - CONDITIONER'
• MERCURY VAPOR OR ' WIRING 8 CONTROLS FOR' BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS VENT FANS ,I
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 71/2 10 15 20 25 30 40 50 75 100 •
MARK NUMBER t _
OF EACH SIZE - - -
• 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
APPARATUS" Elect Heat• . .
MISC.INFO: /q/ /y Received Inspected FEE PAID
hiV Stanley atyka ❑PROGRESS TOTAL$
❑DEFEC_TIVE'
1Lflp� :.!,!--2,' 7� Check No. •..Ll7�. PDX 60 0 Rough Wiring Certificate
Greenwich, N.Y. 12834 ❑Temporary Service Money Order
0 FINAL CERTIFICATE Mon. -Fri. 6 - 7:30 A.M. 'Cash
0 Dup.Cart Req.
518-692-9295 0 MUNICIPAL Charge
•
(518). 638-6339 '
MUN.ADDRESS _
MAIN OFFICE �t''�� -� ti-Cl INC.0u ��P" MANTIC-INLAND,
ss7 McLean Rd. INFORMATION FOR BUILDING DEPARTMENT - NEW YCRIZ .
Cortland,New Yt LENDING AGENCY
Phone: (607)75; y
(607)75
(607)75 Atlantic-Inland, Inc. is in the process of issuing a Certificate of ,Occupancy/Compliance for the �(ay f�
Desiring Certifical electrical installation/ I demand applicantLss to p\y ford
inspection service construction project as covered in an application filed with our main office. 'E . ;-,
THIS SECTIC �.:.
-/ �� , .}}
CITY,TOWN,VILLA r //� STATE 1 mil,(' l\; l)I•� 7/N
STREET Date /' ���-
ADDRESS ' 1, Inspector BUILDG.NO.
RURAL
DIRECTIONS POLE NO.
OWNERS NEW YORK ATLANTIC-INLAND, INC.
NAME `I
OCCUPANT 1.,�v v---__ •
_ ]
OWNER'S P.O. - I
ADDRESS ---- ------ - -- -- -
'•,q-� •\�� , -
\ r
APP.FOR-ROUGH WIRING FIXTURES El OR READY FOR INSPECTION 19
1
FEE REMITTED-$ BY CHECK❑CASH 0 MONEY ORDER❑ MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
Number of RoughWiring Outlets Fixtures - - - ' -• Add Installation
Swtch Li'tng Recep. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 I I
Heat Base Base
•(-4 f, /(/• Elect.Heat /
I S Amp.Service ) C Water Htr. Burner Air Cond.
• Surface Unit Oven Range Gr.Disp. _ Dish W.
Dryer H:P.Pump Ex.Fan\ Hood
OTHER EQUIPMENT(Specify Type'&Capacities)--- -- - . - - - . - - - '
.
TYPE OF - SIZE OF SUB- BRANCHES NO.OF
WIRING - OPEN 0 CONCEALED.-0 1'OTHER MAIN / 071 MAIN CIRCUITS
_ APPLICANT'S -�-,� � ` 1 r '-�'
- _ o ,SIGNATURE J'/,_{_x .f!.t;, 1\l`, • LICENSE# PERMIT#
• •APPLICANT'S-,,..� , NAME OF _ ,,- _
•
ADDRESS - 1' c- UTILITY t `i ,)I'`L i,`,t,�_
CITY STATE ZIP CODE ` BT
BE N NOTOTI
yIFIED -
- _ SPACE BLOW FOR USE OF INSPECTORS ONLY
ROUGH WIRING AMP SERVICE _ K.W.SURFACE
- OUTLETS - EQUIPMENT - UNIT
SWITCHES - AMP SERVICE j-' K.W.OVEN
/ . - ` H.P.GARBAGE
CONDUCTORS /
/� RECEPTACLES . _ ! H.P.PUMP !�' DISPOSAL UNIT
MEDIUM BASE / K.W.
FIXTURES K.W.DRYER DISHWASHER
MOGUL BASE K.W.WATER
FIXTURES HEATER K.W.RANGE
FLUORESCENT H.P.AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER ` SMOKE FRAC.H.F.
QUARTZ FIXTURES ! DETECTORS VENT FANS
MOTORS;H.P. 1/20 1/12 1/10 108 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
APPARATUS '.-7"--__---+. i 17r— ' Elect.Heat
MISC.INFO ;•i Till- lj u�� 1 i (� 2`�
/N o�`,,,) t fi i.l ', Received Inspected�G? S" -���� FEE PAID �i�
1 �T•C.it�.l,J I - "-CJ PROGRESS ,'�- - �'r TOTAL$ j/�r•1 t}
_ ❑DEFECTIVE' e..J
Check No.
• ❑Rough Wiring Certificate
❑Temporary Service •` Money Order
4R'FINAL CERTIFICATE - /_ y 5 / - �'
- Cash /-�i� ,7— ` r�
El Dup.Cert.Req. -
❑MUNICIPAL Charge
17
_ MUN.ADDRESS—et.'1 C/.� =�--- -% —,d /•Ji
-
,(,i �) __ /�...�,' .' ( ATTN: ' I /1
r r
Temp.Cut-in Card No. Final Cut-in Card No. .7/ //4/ A: t '
a - L
- .,.-- - __
r - Inspector
Al-01
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION
� �
jRECEIVED
NAME - n \ WA
LOCATI. l/,0(;�//}?,erA / 54%
DATE , , %/9�PERMIT f -9f ��?
TYPE 0 STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: c-76_16-Li� ..e >-e__/
2 _- ?i,oz- e_-_-/ adpi-ov CZA-cr 7b
6") )(e't-iy
ARRIVE
DEPART //2- _,
INSPECTOR
w < <I t) U
�cel • � J(V i
•r e . CP-vA
TORN OF QUEE SBURI
531 AD
` =�,,,, ; QUEENSBURY,BAY NEWRYORK 12804
rj TELEPHONE (518) 792-5832
r7G1 1d_GjDi I BUILDING INSPECTOR'S REPORT FINAL INSPECTION •
REQUEST FOR INSPECTION RECEIVED i
NAME JC-0±* -\"U\(\ -
LOCATION C c
r\_ ,e. , !!-1`c-, i 5t9- )v--e_-RY.
DATE • PERf4IT# JS-.3 .
,
TYPE OF STRUCTURE IW\-j cm
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
j FOOTING v OUNDATION BACKFILL XFRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOONSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES — NO
REMARKS '
ii
` APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION X-
B VENT/LOCATION i
PLUMBING VENT i;r k
ROOFING '/ /k
SIDING ' ic
DECK/P R H/STE S/ LJ 5 ,p<
RELIEF VALVES I i
FURNACE/HOT WATE—0 RATTING
BASEMENT INSULATIOWU5Fe6r, X
INTERIOR TRIM/PRIVACY DOORS ,x
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS/SWEEPABLE
OTHER FLOOR ' CARPETEDx.
STAIR CLEARA CE/RAILINGS , '_X
HANDICAPPED CCESS � JC .e
SMOKE DETE - ORS X
BATHROOM F NS/WHOLEHOUSE ANS X
ALL PLUM NG.FIXTURES OPE TING A
GARAGE RE PROOFING X
DOOR CL SERS x
OTHER FIRE SEPARATION ,x
FIRE/DEMISE WALLS A.
DUMPSTER &
FINAL ELECTRICAL X
OK TO ISSUE C/O OR C/C L X
COMMENTS: r( f2C0(j.Col Li1J(o gl-recOf—
CC,v 77—UcrO v. A-L_[_ o,f' - No 0 4vti113)0 -
C 6-48-1 AZ6 (oo rL I AJ5 UTA-r—rcL) 12=19._
1-61) c2,11 . 1:---t16-C-g/f/4-‘,_________________
ARRIVE 3' Z
DEPART_s ,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS 1 //
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED/ /7-70
NAME -- � 5]La/aL-
LOCATION 6-?e;1,72..e.CLL� a(J-'(-�
DATE /7 f 7L PERMIT # D -P3
;' APPROVED
/ YES NO
FOOTING/PIERS /
/
MON LITHIC POUR FORMS /
UNDATION/DAMP-PROOFING / 1
BACKFILL APPROVAL / `�
ROUGH PLUMBING \ 1
FRAMING \
ELECTRICAL ROUGH-IN
INSULATION: ` /
FOUNDATION
FLOORS \ f .
WALLS \ I
CEILING \ I
FINAL INSPECTION: ./\\
CHIMNEY HEIGHT
ROOFING I
SIDING
EXTERNAL PORCHES/ TEPS
\ . •
STAIRS-CLEARANCE RAILS
PLUMBING FIXTURE /RELIEF VA VE
INTERIOR TRIM/PR VACY DOORS
FINISHED FLOORS
GARAGE FIREPROO ING
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:
L40,4-3
/
I SPECTOR
-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 717
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ,/e/2 -c?,,57
NAME _,_57:0
LOCATION / /? C, _
DATE //4 / PERMIT #
� / APPROVED
/ /�, /J—/O�7i) YES NO
1F,,6OTING `•IERS
/MONOLITH 1,, POUR FORMS
•
FOUNDATIO '',DAMP—PROOFING
BACKFILL A•'.'ROYAL
ROUGH PLUMB ''AG P
FRAMING
ELECTRICAL RO H—IN I
INSULATION: •
FOUNDATION it
FLOORS
WALLS y ��
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT •
ROOFING
SIDING
EXTERNAL PORCHES/STF1P4,
STAIRS—CLEARANCE &./RAID
PLUMBING FIXTURESjRELIEF VALVE
INTERIOR TRIM/PRIVACY MOO S
FINISHED FLOORS,
GARAGE FIREPROO?ING
DOOR CLOSER
SMOKE DETECTO 1S
FINAL ELECTRIC INSPECTION
FINAL APPROVAL OF CONSTRUCTION %
A SIGNED CERT' FICATE OF OCCUPANCY UST BE
OBTAINED FROM THE BUILDING DEPARTMEN' BEFORE
THESE PREMIS ARE OCCUPIED!
REMARKS: telaCitIAT
N
L;Lik
•
INSPECTOR
( .
.
,���- �__ -
ate/ - - -
a,,
•
d
led uQ ylq,i�s 1 o'e��r .
•
.,,:;::.11:::::• ..s:;,,s.f„7\..\-r_,,-,i,f,r,,.'.
moo¢/ p. . _ ,6 l ci,..,: ' Jiii .. , • •.. ' . 0. .i',:(00-16 i-•KgI
a:z . . --.-.----;---1- .J,-3,—,.••--;.--40-.---4-.:-_—f.--:—,,1r.-1:;-1_,4,,0,i-ls,—
! �--
. . .••,
. _r"..0• 74i,.•7/.i l,
(N 1.'.,-.=-.''.'
•-'''.•'
. � '. � � mo c :
, ,. ., ...
• ,, )01/-1, • ' : .• ' r. -,1'.,sr'-.\-`:::.1-;3,',NI"'--•' s s
i s . • . . • . _ . 8,,,,I,... .//a) 1 r •• 1 . ' )s 0 , v .
Q� •
•
./ - 'S
.4 N ellgo)dpo `(Ev -rruo 3• ",f h
k(%/ -,LQ�0/.