1988-885 ''"-"-•-‘ ' - 4..",2,11--0P444,4"kti--q=5, ru," 1-ri'l-j(•#‘•=11
•
t: I
CERTIFICATE' OF • OCCUPANCY
TOWN OF-QUEENSBURY
WARREN COUNTY, NEW YORK
• Date April 20 19
/),O\ t \())--()--44 •
This is to certify that work requested to be done as shown by Permit No. 88-885 •
has been completed.
•
This structure may be occupied as a One Family Dwelling •
•
• Location a= Algonquin Drive
• Peter & Theresa Weidman . •
Owner
By Order Town Board
TOWN OF QUEENSBURY.
•
•
. •
• • ,•..•Director of Bldg. 6c Code Enforcement
•
. „
• .
BUILDING PERMIT
TOWN OF QUEENSBURY w
No. 88-885 .d
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Peter & Theresa Weidman N
N
OWNER of property located at Algonquin. 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
10 Helen Drive
Glens Falls,New York 12801
2. CONTRACTOR or BUILDER'S Name
SAME
ro
t'1
3. CONTRACTOR or BUILDER'S Address H
t�J
SAME sz-
H
x
4. ARCHITECT'S Name -
7y
t�1
m
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) •
O
MO Wood Frame ( ) Masonry ( )Steel ( )
7
7. PLANS and Specifications
H
No. 28' x 40' One Family Dwelling as per plot plan, specifications,
and application submittedincluding septic and attached two car garage .
8. Proposed Use
One Family Dwelling
1-x1
25.00 C/O
$ 299.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 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 r�
town of Queensbury before the expiration date.)
t=1
Dated at the Town of Queensbury this 9th Day of November 19 88 r'
SIGNED BY i for the Town of Queensbury
Building and Zoning Inspector -
TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT
,`, -, ,. late- �il(/.�r�
Y ,; ',. Reaieved 1,- _ l20-
:'1. y Rev;:- ;4ra.r .. ..' III?( 3s.
W FJ .�....... 04
i,)4. `'' . Fee. Paid 321.60
VV
BUILDING AND CODES DEPARTMENT Date Iaaued
BAY and IIAVILAND ROADS RD 1 Box 93
PUEENSBURY,NEW YORE 12804 PeAun.i t Nu. _
Tel . (518) 792-5832 Ext •20A
.. .* * .* * a * 'a * i * * a * * * * * * * * * * * * * * *• * * * * *. * * * * a
A PERMIT MUST B1.4 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS
. FILL BE MADE UNTIL APPLICANT HAS RECEIVED A 'VALID BUILDING PERMIT.
•
All applicable spaces on this application must be completed and the
s ' nature of the applicant must appear on the reverse side of this sheet .
* 'A A A * * * t * * :t /: t * * :t * * * * * * * * * * * * * * * * * * * * *
The owner of this property is : 0 f� -1- Tk_e ,--ma_ tA)e__ per-i.4-1
p . 0. Address /0 / n 'f i tJ-e____ (��9-I- j29. •
/a..dg-O TEL. 2 r9 8 38 �S /
lroperty location AIgDyttcAlA, I9rrJ� �dT7� l� TAX MAP NO./2�/ 2 /(p•19
Has there been any split of this property since October 1 , 1988? /, T
yes no
if yes , Planning Board Review is necessary.
SUBDIVISION NAME, IF APPLICABLE 4.0_14 (()' r YLP _ LOT NO . flea
The person responsible for supervision of work as regards Building Codes is :
Petle r tdar v- /O `!.ot„.„ ir T d1 e- at-ea,v-441 / 79 & 3( -S _
NAME P .O . ADDRESS TEL. NO.
Name of builder PJe.,- Cd LOava.,- Address d0/ 0_0_,,,„ Or( vex Q Tel 792- 3 8 —
Name of Plumber111,,, ()f;5 Address Tel L.. (Q.,.o- -,-elr. Tel '1'8- /J'r78
Name of Mason � u1 Le"- Address w p,,,.,,7,Q Tel- Tel rj q - 02.a--
,
NATURE OF PROPOSED I.ORK: ZONING INFORI'IATION (Office use only)
Vonstruccioti of a new building * ZONING DESIGNATION OF PROPERTY S tZ- II
_Addition to a building PERMITTED PRINCIPAL V PERMITTED ACCESSORY
Alteration to a building
(no change to exterior dimensions) a REVIEW REQUIRED - PLANNING BOARD ZONING BOARD_
Other work (describe) '
SITE PLAN REVIEW If APPROVED ' DATE
CROSS AREA OF PROPOSE, STRUCTURE VARIANCE 11 APPROVED DATE •
•1st Floor // O sq ft . ; Remarks: . • '
2nd Floor i/aO sq ft . a COl•1PE.ET! INFOIQ4ATION REQUIRED BELOW.
Other Floors sq ft . * Size of property /c - q ft X ,%7 ft.
( not cellar or basement) * Existing building(::) Size 17t X rc.
TOTAL FLOOR AREA_aagO sq f t . a -
Lxisting building (s) Use
Size of new structure 28 ft X 0 ft a .
L'our�dation-pier/slab/crawl/partial .D a Proposed building, distance from property line
(circle one) a
Front and $ ft Rearyard ft
N . of stories (habitable space) 2. * Side yards �.S ft and ft
Height (tirade to ridge) a-s' ft. ' y 3
U residential, no. of families
If on corner, setback from side street rc
No. of rooms(excludin'j baths) a OCCUPANCY INFORMATION
uo. of bedrooms y a PR4,, ARY ItUILDINC -
No. of bathrooms A 7*._ . One family dwelling
Primary heating 5y9cem eD I �Jo1- ,,.i...�
(.W Two family dwelling
Type of fuel Oil
No. of fireplaces to be installed
( a Multiple dwelling / Number of units
=Permanent occupancy
Will a wood stove be installed? NO
•
Central Air conditioning? NO . Transient occupancy
'tBusiness
BUILDING STYLE, PR1MARY STRUCTURE * Industrial •
a Ocher
Ranch Contemporary Lou cabin if addition, what will ue be?
Raised ranch Mansion Duplex a
:split level Old Style Uunuja°low a -
Cape Cod Cottage Other * ACCESSORY BUILDING-
( olonial) -Raw Town House a 'Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) a Attached garage/one car two ca / . car
. * * * * * * * * • * * * >, * * * * Private storage building
ESTIMATED MARKET VALUE OF aOther
CONSTRUCTION $ / 0t _-O
]N[•'ORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form DPA 10/88 v1
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction4Wood fraMi) fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? /i
Foundation wall material C „. -J-.e._ Thickness 8 "
Depth of foundation below grade (to bottom footing) 71
Will there be a cellar? /e4 Heated o unheated? Floor sq. footage MID sq ft
Will there be a basement? Will any portion be used as living space? /1(0
(If so, what portio ? sq.ft. - - Type of use?
Type of roof - ope flat/shed/other Material. of roof A ,, '
Size, wood studs 2 "X , " spacing /6 "o.c. length ft. fi
14
Joists(floor beams) 1st. floor a.. "X /p " spacing "o.c. span �3 ft.
Joists (floor beams) 2nd. floor aZ "X /D " spacing /(o "o.c. span/a'y1(ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(prey-engineered) spacing .yJ "o.c. span ,Z$ ft.
Exterior wall finish C b .12 Of what material? LA e..pS
Interior wall finish ,r®
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: d ....A
Is there to be an opening between garage and dwelling? ,04 If so will a Fire-rated
door, enclosure, and self-closing device be provided?. ,p,4
Will a flue-lined chimney be installed? (/,ao Height abe roof A ft.
Depth of chimney foundation below grade / ft.
Depth of fireplac- - th ft.. in.
Water supply Municipal .r private well
SEPTIC SYSTEM — Distance from ANY private well(including adjoining properties n/i9 ft.
(A separate application is necessary for any repair or new installation of septic system)
DECLARATION
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, T.HE 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.
Signature cste../- W
Owner, owner's agent, architect, contractor
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
By
f
TOWN OF , QUEENSBURY '
WARREN COUNTY, NEW YORK. '
Application for : BUILDING PERMIT IN COMPLIANCg -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 • C2,a4 o _ .
2 . Type of heat pi I H wJe- --
-3 . Is the building mechanically cooled? A(C)
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. I.f 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 . P. value Al r of and floors exposed to ambient conditions• _,
2.. R value of exterior walls A;' /1?-
.
, •3 . R value of glazed area 3. 2
4 . R value of doors . R /y•.
• 5 . R value of floors 'over unheated spaces U\
6. R value of slab edge insulation - unheated slab • •
•
7 . R value of slab insulation - heated slab
S. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls -(below grade)__ .
10. Type of insulation P, k'i-e-Q 14.Q41
C. Controls n�o
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 ' . • ' .•• . a
1. Size of hot water 'or cooling ca g agent pipe
2 . R value of pipe insulation
F. Service Water. Heating / /`
1 . Performance efficiency .
2. ' Temperature control, Setting n ximum / 9 4 . '
C. - For Swimming Pool Only •
1. Maximum heating -
Telephone No. / a •-38 ^ •
(applicant ' s signature) _
k
TOWN OF QUEENSBURY
APPLICATION FOR
SEPTIC DISPOSAL PERMIT
DATE Ocj' / 0 g
LOCATION OF PROPERTY FOR INSTALLATION ) /(ooZ 19I onq u n, i✓r;JC'_
Owner's Name: �.,r Q�i re.so�/1(). ().e.iSnu., Telephone: 798- 38g5
Address: /D Hag.— /0-
Installer's Name: Eia4. «Q €00-$^42 Telephone: 7?V--OaAa
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) (p O O
Topography: circle one:41P Rolling Steep slope % of slope
Soil Nature: circle one: M0 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 unicipal Well Other
If domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank /0O0 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S) : Number of 3 / Size each feet by 7 feet
Size of stone to be used # 3 /Depth or Thickness a P fi feet
******************************************************
I have read the regulation on the reverse side of this sheet and agree
to abide by these and all requirements of the Town of Queensbury Sanitary
Sewage Disposal Ordinance.
(),LV\ Signature of responsible person:
Date: /1/4-bd'
(OVER)
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. '
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 installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks:
YOU.ARE-HEREBY REQUESTED TO
- •INSPECT;AND ISSUE CERTIFICATES -
- ' - -.FOR THE FOLLOWING.ELECTRICAL . _
: - : -: EQUIPMENT TO BE INSTALLED=BY' _ _
THE UNDERSIGNED -_
-- TEMP.k - DATE
/../��3
CRY ORRyILL)AGE. TOWNSHIP - -CQUNTY •
J STREET Dp O.OR ROAD _, I _ POLE NUMBER
✓ is t ✓1 /�r 1 ✓ - .
BETWEEN H�C^TWO CROUSTREETS IS PREMISES LOCATED?- - ' SECT IN- -• 'BLOCK LOT.
� e-r:- ec-a-�,. .. 4.l fi• j 0..'"iG.h'a:id IL R./ -5 /+ � - --
OCCUPANT'S.NAME • - ' r• -' • _ •. BUILDING OCCUPANCY -
OWNERS,NAME AND ADDRESS - - ,' • _- - HOME TELEPHONE NUMBE
i�-C-'---1 ..,/• -i< + 7 bt e r a -S= .NV >it�pal ck r�c,-n.' • - .. • 2 %8—.2- `�
CURRENT SUPPLIED BY -- FROM THEIR OFFICE I WORK TELEPHONE NUMBER
.f�/ -t ct —� . \11 Y�IN ��iL.. , ..: . �! s `� ( >,' .
e•� 5 7 l �- /./
BUILDING IS- �-�// _ - - --
NEW-IJ - • OLD❑ - • WORK IS • NEW ADDITIONAL❑ - DEFECTS REMOVED❑
- - . . LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH - OFFICE USE
NUMBER OF OUTLETSMUIURS HEATERS
Loca- Lamp Receptacles . CIRCUITS ONLY
lion 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: . • : - - - -
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS '
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE.THE INSPECTION AND ADJUST THE FEE TO COVER
-THE ADDITIONAL EQUIPMENT AS PROVIDED BY THE APPLICANT. . .." , - -
SIZE OF MAINS. _ - • - .FEEDERS , • ELECTRIC SIGNS/LAMPS • - - TOTAL WATTS
. . o G'/4-. • - . -.. - . .
CHARACT�f�EF OF WORK - ., - ❑ EXPOSED - GAS TUBE SIGN/TRANSFORMERS OF - - - VA
i P.,) Ca y�5`(r'cc cif CI;h A 0 5: :❑ CONCEALED -
DATE WORK TO BE TARTE9 - - . /- • DATE COMPLETED ' SIZE OF SIGN(NUMBER) • - - - CAPACITY.
/// a
0/ . . . - •
_
"SERVICE ENTERS BUILDING --r�•,/ MANUFACTURER OF SIGN -• -
❑-OVERHEAD -. L'1 UNDERGROUND ' -
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE)•'-- " -• MUST DENT FICAER T ON APPLICANTS
NUMBER ►
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND'ADDRESS -._- . - •• - • ^} •
NAME.OF.APPLICANT: • . - - --DATE OF A.PLIC4ION Si T��ryp AE OF;A P L IC(A 1IT•
P 1.) 'Qt�L.— cz;r /� L _ . /I/� � n f`� t
c�
STREET ADDRESS • - ' , . : . - TEHONFNO.
?
: Y O / e.:I P.rti -l i' L J Q---- - .. - fS �•
CITY QR POST OFFICE ? ZIP CODE LICENSE NO.WHEN APPLICABLE
❑ 85 John Street- _ ❑ 41 State Street '- ❑ 584 Delaware Avenue ❑ 217 Lake Avenue . ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 .- BUFFALO,NY 14202 - ROCHESTER,NY 14608 - SYRACUSE,NY 13206
TNF t FW Y(�RK RC)AR OF FIRE UNDERWRITERS
.(..' [..',,Ca.l)A.).l,./-..i..J 1...t.\...1..(..\.(.A ..[.J..C�(.)_C.‘(.)1,1..k/.a/.a,,%);a/.A 1.) ),.(.?I.).J..k,(..\/.1t',Ca!.),9(.J_9!1,.V_0(.1 ,.}../.1}(A.?Q„\.i..VI(35(,‘ /J (.?/:3 J„l.(...)„I /.%./) 1, I.' ,
THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE
a ` "I ' i BUREAU OF ELECTRICITY IDµ
1 41 STATE STREET,ALBANY.NEW YORK 12207
14, '4 7 Application No.on file .
Date APRIL 1 ,., . 1_ %'' g 00� 12 i_" /8:3 ff J0573I
THIS CERTIFIES THAT 00
El
1 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of El
PETT R, IIERU..n ;E 'i :::. A. _.. UIp r,P OUEENPP..t:TR , .. .,i ,
' in the following location; 0 Basement LA- 1st Fl. E 2nd Fl. T.P. Section Block Lot t;'
was examined on 7 Cl; and f ound to be in tom lLance with the re uirements o this Board.
2PR. C_ 1_ ..I'.f: P 9 I
1
FIXTURE KEPTACLESI SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
-< OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
5 I 1 -.
55
{ 1 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RK'PT. TIME CLOCKS ®Ell UNIT HEATERS MULTI-OUTLET DIMMERS
'' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H P SYSTEMS
N AMT WATTS
O.OF FEET
.'c
1
-? 1 r
gl
4 SERVICE DISCONNECT NO.OF S E R V I C EEl
AMT. AMP. TYPE METER i�•2W 1%3W 3.B•3W 3,B'IW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A'W'C'- NO.OF NEUTRALS A.W.G.
as �_ wimp. PER B' OF CC.COND.. OF HI-LEG OF NEUTRAL
4 t
•
OTHER APPARATUS: •
-c
•
ELEC. t-:.T.Lrt IlDTER:., , a -.i . 5 I:,Y. -
t' ' ' T: t' T - . :
j „ cli•...L I.!l_TECT".)H: t r.
4
PETER
WEIM N .
.ILL E`` DR, BRANCH MANAGER
ii i3 L`::: F TLL'; . ... 12801 .-
-'39
Per _
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials, »l
1st\r[lr[vr Net tat Nat au auauaui it tAlitavMAY 12naI mat.aL au'UV Wit imtIitAiitViUIII AEUAa1 Iltt 11411411iliv['mum art aurvs[Aar srrart nt vat U 101WI Uri T rWil
vtr
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
5
ii•
'Jim.., *6vJ VJ �J�vJ vr_f4vJov V N.,eiNgoN.3Ji!vJag'N.+J VJ P
r
( MIDDLE DEPARTMENTINSPECTION AGENCY, INC. 'a X J' C)
900 Haddon Avenue Coliingswood,N;J 08108 D X �� s
C '�; ' r t ~ . •-t g y `, A\' Date
6 4,tr1 January 10, 1989 C
(� Certlfle_ that the,el tribal_eculpment listed has been`examined andtls approved as being in accord l)
with the National Electrical Code applicable governmental utility and Agency rules. C
Highland Park s / Y i ; '_t' _Al: Occupancy , 5=R st'au�rant C.
Owner: CV
I K
Restaurant, .1 f - i l , t t '
1 Occupant r ; , r - �s; j ,{. C
Haviland Road; Queensbury (Warren,Co) .•f'iThis'certificate covers the?electricebequipment and installation inspected this C)
Location: date. If additional eguipmentJshould be introduced or alterations made to ;
4 i ; t` \ existing system this co tfticate shall be null and void, and application for C
t +;=° 1 inspection should be submittatl promptly to this Agency.
Equipment: 1600 Amp Servlee; 4-400 Amp Disconnects, a Holder of this certificate should present same to his property insurance carrier �1
3c:.�U:: ;��e �� J
�,• (agenlorcompany)asevtdenceotcertificationofelectricalequipmentapproved C
'am �' ' as s ecified. r / / .r e
2 Highland Park, .. ~a t , ei r , �u ' ' f' � 3
Applicant:
Haviland Road ` L' � `' -"' ~'No. 15-020407
2 1 Queensbury, NY 12804 , is
naai0C-1,6+404-1 0ra 00, /) era An gloot•o'l /+� �+�.a l"-Ikte "a fir iVS � !+7 ao,"Zz y.Zz! V _ s
TOWN OF QUEENSBURY
011
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BU LDING INSPECTOR'S REP RT
REQUEST FOR I SPECTION RECEIVED ii Z/I�o pm
NAME 9_v 1,�)L V l PAW a,f✓ I
LOCATION ,1,Q,}J-11l( A ,14,i l41,
DATE /J i"11.40 v PERMIT # , 0 - OM)
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR F S
FOUNDATION/DAMP-PR OFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
. WALLS
CEILING
p FINAL INSPECTION: o G 04
UL CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAI.S K
PLUMBING FIXTURES/REL . ' VALVE
INTERIOR TRIM/PRIVAC "ORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL IN i•ECTIO
FINAL APPRO L CONSTRUC '.01 ;
OK TO ISSU /O R .C/C t0!
A SIGNED CERTIFIC'TE OF OCCU'ANCY MUST BE
OBTAINED FROM TH , BUILDING DEPARTMENT BEFORE -
THESE PREMISES A'E OCCUPIED!'
REMARKS: (46 �/
I t9 AJ!. 1,1)
l
i
1 I. 7;2)7 9/f/ PI .
•
•
kip C/
ARRIVE 9 !rS✓
/ /f
DEPART /b' 's �"
. INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5 2
BUILDING INSPEC OR'S REPORT
REQUES OR INSPECTION R CEIVED - � icQ i\
NAM W AZA 6 1
ATION } Yi--
DA E A)krytJ!cr PERMIT # %,"' > C
�/ /l APPROVED
/6 SI16i6,r„ 7, ,7y/- YES NO
FO ING/PIERS
MONOLITHIC POUR FORMS
FOU ATION/DAMP-PROOFING
BAC ILL APPROVAL
ROUG PLUMBING
FRAMI G
ELECTR CAL ROUGH-IN
INSULA ON:
FOUND TION
FLOOR
WALLS
CEILING
FINAL INSP TION:
CHIMNEY H GHT
ROOFING
SIDING ^0�4-
EXTERNAL PORCFI'. S/STE•S �,/1,
STAIRS-CLEARANC. & 'ILS )C
PLUMBING FIXTURE R:LIEF VALVE ;x
INTERIOR TRIM/PRI '4Y DOORS
FINISHED FLOORS `
GARAGE FIREPROOFING
DOOR CLOSER(S) :
SMOKE DETECTORS X
FINAL ELECTRICAL I SPECTIt'N
_FINAL APPROVAL OF ONSTRU ++ION v
- OK TO ISSUE C/O O' C/C
A SIGNED CERTIFICATE OF OCCiPANCY MUST BE
OBTAINED FROM THE BUILDING 0 PARTMENT BEFORE
THESE PREMISES A•E OCCUPIED!
REMARKS:
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7 AliVo( // -- VM' /'/ ''
ARRIVE
DEPART
V
INSPECTOR
INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THENEW YORK BOARD OF F FIRE UNDERWRITERS
/A
APPLICATION NO.V $7-,� 6
LOCATION
•
DATE
•
FORM IBD(REV.1/86)
INSPECTOR .
•
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 1'/7/. '9
NAME / '/cf/ /7 OW '
LOCATION 41; P. 7V/2'' s/.2!? c✓
DATE e[l/ /tl�!&/ PERMIT # ;�} �j
I
APPROVED
YES NO
FOOTING/PIERS •
MONOLITHIC POUR FORMS'
FOUNDATION/D P-PROOFING
BACKFILL APPRO AL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH``-IN
,INSULATION:
FOUNDATION 31
FLOORS • \ ( .
WALLS \ l �-/ '/ _ ,XN
CEILING \ " _` /( -- ,'�' I
FINAL INSPECTION: V l
CHIMNEY HEIGHT /\
ROOFING I \
SIDING /
EXTERNAL PORCHE %STEPS:
STAIRS-CLEARANO & RAILS
PLUMBING FIXTU ES/RELIEF VALVE
INTERIOR TRIM PRIVACY DOORS
FINISHED FLOC) S `
GARAGE FIREP OOFING \
DOOR CLOSER( )
SMOKE DETEC FORS
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:
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1/41
pli.(--(7 - --` 7 �lg v
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR IN PE TION RECEIVED
NAME p''(�/ , l'C/c�Z�jajJY,
LOCATION _
b.� ) ,e
/
DATE lU"- - PERMIT #
,APPROVED
YES NO
FOOTING/PIERS ,i
MONOLITHIC POUR FORMS ; I
FOUNDATION/DAMP-PROOFING ,,I
BACKFILL APPROVAL 1 /
(„ROUGH PLUMBING 5<
jRAMING I' V\
ELECTRICAL ROUGH-IN f /
INSULATION: h
FOUNDATION 1
FLOORS Zi
WALLS •
CEILING /‘
FINAL INSPECTION: /
CHIMNEY HEIGHT I
ROOFING 1
SIDING / - \
EXTERNAL PORCHES/STEPS `C
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTU'ES/RELIEF VALVE
INTERIOR TRIM/I RIVACY DOORS
FINISHED FLOC, S • \GARAGE FIREP.00FING
DOOR CLOSER(S)
SMOKE DETEC ORS
FINAL ELECTRI AL INSPECTION \
FINAL APPROVA OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
•
•
/ i
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 RECEIVEDJ 3/2�� 7
NAME If],/i
LOCATION ,
DATE 3/j A/ 2 PERMIT # gyp,
` \ / APPROVED'
1 ,'YES NO
FOOTING/PIERS a\ /
/
MONOLITHIC POUR;FORMS ;'
FOUNDATION/DAMP-{PROOFING
BACKFILL APPROVAL,
ROUGH PLUMBING \, /
FRAMING /
ELECTRICAL ROUGH-IN\ /
INSULATION: 1I, I
FOUNDATION
FLOORS \
WALLS
CEILING >v
FINAL INSPECTION: 1 \
CHIMNEY HEIGHT / °:\
ROOFING 1
SIDING I ,
EXTERNAL PORCHES/S T EPS \
STAIRS-CLEARANCE & RAILS \
PLUMBING FIXTURES RELIEF VAIS,VE
INTERIOR TRIM/PRI ACY DOORS \
FINISHED FLOORS \
GARAGE FIREPROOFING
DOOR CLOSER(S) 1 z
SMOKE DETECTORS '
FINAL ELECTRICAL NSPECTION \FINAL APPROVAL OF CONSTRUCTION 'i,
'.
i
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
C' !Ii...).17
J
01
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INSPECTOR
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ,,(,1��izi,Li{
LOCATION Lm i c- I L�yt Q t.g 1 (0
DATE `.24/6 r� U
J PERMIT NO. ST'
SOIL TYPE Sand Loam - Clay - 4
Percolation est Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: {Yrt
Absorption field, total length,''
'
Length of each trench a
Depth of trenches
Size of gravel, x'
SEEPAGE ITS4Numb of) / 1 -
Size- ft. X ; f 2.,
Gravel size `]f
PIPING: 1Size T
Bldg. to tank �° l/L
Tank to dist. box ',.pT -r
Dist. box to field/. " A/
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /Oft.
Foundation to;absorption aarIt.
Absorption to lot line ', /49+-ft.
Separation, of pits '', /, ft.
LOCK •N "OF SYSTEM ON PROPERTY(circle one)
'runt -' Rear - Left side -,Right side -
r•r ITS:
1
c
SYSTEM USE APPROVED ES NO
Ad
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Build! Ilinspector
01/86 and vl
•
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME --- W6(vAyiIf
LOCATION /1-L �(, (JL1!(tV P�
DATE /i/7//i� PERMIT #
jjj APPROVED
YES NO
XFOOTING/FPS C/471}-G, -
MONOLITHIC POUR FORMS •
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS
WALLS ,
CEILING
.`.
FINAL INSPECTION: i
CHIMNEY HEIGHT
GOOFING- r •
SIDING
EXTERNAL PORCHES/STrF�'OS ,
STAIRS-CLEARANCE &IRAILSy
PLUMBING FIXTURES/RELIEFVALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS/
GARAGE FIREPROOFING .
DOOR CLOSER(Sy
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:
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C177 S1 RAi/it/6-0 ' ( U
fx
INSPECTOR
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Jown o f Queenitur, •
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME (A) 17, 10 /1/) -.,
LOCATION 2_0,T E-a r R L G ou,A)
Date 's / 6/crc Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing ,
Roofing /
Siding , I •
Masonry Veneer j
Rough Plumbing /
Relief Valves \
Ext. Porches r
Finished Floors ` /
Interior Trim
Stairs & Railings /`'
Cellar Drain Tile / \
Concrete Floors I+ \
Plbg. Fixtures /
Gar. Fireproofing \
Door Closers /
Smoke Detectors/
Chimney i
INSULATION: ( '�`
Foundation j/ •
Floors I •
Walls
Ceiling •
FINAL ELECTRICAL INSPECTION '
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
•
Remarks-
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o .
•
•
•
Buildin Ins ec r
6/86 and-vl
,oV ' i //-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADSii- 712
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION� � RECEIVED
NAME f���—�= l/ GC/,e
LOCATION ,(c ,
DATE `/_GO- RMIT # e(�,-(���
/ APPROVED
YES NO
X
L/FODTING/PIERS
MONOLITHIC POUR FORMS /
FOUNDATION/DAM.-PROOFING
BACKFILL APPRO L
ROUGH PLUMBING /
FRAMING 1
ELECTRICAL ROUGH IN /
INSULATION: l
FOUNDATION /
FLOORS
WALLS 1 / .
CEILING
FINAL INSPECTION: \ I'
CHIMNEY HEIGHT \
ROOFING \ /
SIDING \+'
EXTERNAL PORCHES/ye EPS
STAIRS-CLEARANCE•& ILS
PLUMBING FIXTURES/R IEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
r
GARAGE FIREPROOFING
DOOR CLOSER KS) \
SMOKE DETECTORS \`
FINAL ELECTRICAL INSPECTION \
FINAL APPROVAL OF CONSTRUCTION
I'
A SIGNED %ERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE P . MISES ARE OCCUPIED!
REMA%S:
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INSPECTOR
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BUILDING & DES DEPT. -....
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REVIEWED BY
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