1988-933 -4
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date r 7,=1 ,11 2 9 19 �i 9
This is to certify teat v4ork requeated'to be done as shown by Permit No. 88-933
has been completed.
This structure may lie occupied as a Single Family Dwelling
Locationt 2 Pleasant Lane
Owner Harold Raven
By Order Town Board
TOWN OF QUEENSBURY
L/�L '
Director of Bldg. do Code Enforcement
" j H
BUILDING PERMIT H
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TOWN OF QUEENSBURY
No. 88-933 0
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Harold Raven ;
OWNER of property located at Lot 82 Pleasant Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Single 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
58 McCormack Road
Lake George, New York 12845
2. CONTRACTOR or BUILDER'S Name z
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n
SAME
a.
3. CONTRACTOR or BUILDER'S Address
SAME
4. ARCHITECT'S Name
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5. ARCHITECT'S Address 00
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6. TYPE of Construction—(Please indicate by X)
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N(XXWood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No. 74'8" x 26'8" XXXXXX single family dwelling as per plot plan,
specifications, and application, including attached two car garage,
8. Proposed Use septic, and driveway.
Single Family Dwelling
r•
25.00 C/0
$ 203.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1, 19 89 m
(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.)
h
Dated at the Town of Qu sbury this 19t Day of December 19 88 ty
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SIGNED BY for the Town of Queensbury I~�
Buil ing and Zoning Inspector
QO
. ,
i: 1
TO BE COMPLETED BY BLDG. DEPT. ' : .. .- .; :,..,vm ji,-1,c.i.:si7,,.. .,-,
.., -eQ,
50 0/ 4aeenitury Application No.
tun
11,•!:::-:;c:E v F,r;
Permit Issued ' • 19 • . - •
. . .
BUILDING and ZONING DEPARTMENT Permit Expires ' 19 .
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation • • • DEC I 1988
Queensbury, New York 12801 Variance No. . .. . . .
• .
Site Plan Review No. . ." '. ' -,3!. ns(,•;,' .5,1 Cri1.1_•.L f-Ji-zf
• . . . .
•
Approved by: - '.
. 00
;250>4er
APPLICATION FOR ' . • . . • • _
BUILDING AND ZONING PERMIT . •. • .. ..
,5--. 00 • ...
* * * * *. * * * * * * * * * * * * * * * * * * * * * * *' *. .0 2-14/ke *Oto* * *::.*
• . q ea-r-i.-/q-
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL ciF THE FOLLOWING. ..
The undernigped 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.. _ . .
• .
The owner of this property is:
.47-42-nfre-.0 :7-7 ' I-s-7--z--77-'
. -1' — . • • -
P.O. Address C /77.76,----02g.- - . ?.i•-,-.-. . Tel.
Property Location: Ze:7'-- e _.z
/ez-e4e.j.,.._>e G:-.1---,. ag,..tevie4'Wx Map No. / /
__ __.
Street number or building lot umber
Subdivision name (if applicable) '•• ' •
- ' . '
. .
THE PEASON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: • •.
A7-A' t.Z"- ,_21-2,elei-/;4,,..7 I> --- .- 2- '- ''.. .,--0,-;,,,.,.Z, . • : c4 •,*.e— 2__ __.?(:,*-,
Name P.O. Address . • . Tel. No. ..
'Jame of builder --.2,- -1-Ag....,Address ' -V,7,-,_..., - !.. .7s-- ;C;e:›1.--(..._ ' Tel. ./-0,4,---?_2-s'i-,-
iame of plumber ' l? i / Address G • . 7./ Tel.
'Jame of mason 7"6,?....bj-/) 4Z-p/4 Address .ee"47,/,‘....., ...1.: , Tel.
• • • • •
4ATURE PROPOSED WORK: * - ZONING INFORMATION: .
onstruction 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 *. snowing- 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 . .
* whether interior or corner lot. Show location
'OR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
.0CATION OF STRUCTURES AFFECTED. -----*---
of septic:disposal area.
. • .
' *
COMPLETE INFORMATION REQUIRED BELOW. •
* Size of property. /,e07 ft X /..1,5 ft.
* Existing building(s) Size ft X ft.
g=7-7---- *
)ROPOSED BUILDING AND USE: /VF6' ) '
/ / , 1' * Existing building(s) Use
*
;ize of new structure 7$.' if ft X 6../Tft
.oundation-pier/slab/crawl/partial * Proposed building,. distance from property line
*
(circle one)
.„ Front yard " ",.:?C'i— ft Rear yard - ---- ' ft.
4o. of stories (habitable space) //
,—./ * Side yards" ' Zr-- ft and ' ' /3,_____ ft
.eight (grade to ridge) ti ft.
If on corner, setback from side street ft
.f residential, no, of families ' i/ *
Jo. of rooms(excluding baths) —_,, ' * OCCUPANCY INFORMATION - -•
*
Jo. of bedrooms
, PRIMARY- BUILDING - •
;o. of bathrooms .2_
,'1,.211e-family dwelling.
,rimary heating sYstem 04., .-e_r/V.4:,...-
' Two family dwelling
:hype of fuel _- )-, * _
Multiple dwelling / Number of units
-Jo. of fireplaces to be installed /
:• ' Permanent occupancy.
Jill a wood stove be installed? --,----- ---- •
, Transient occupancy
!entral Air conditioning? ----___
* Business
* •
lUILDING STYLE, PRIMARY STRUCTURE " ' Industrial
* • ,
. .
" -Other
LTIC-Ir-1 ) Contemporary Log cabin . *
If addition, what will use be?
Itazised ranch Mansion Duplex *
;Edit level Old style Bungalow *
:ape Cod Cottage Other * ACCESSORY BUILDING- , . .
;olonial Row Town House * ' Detached garage/one car/ two-car/ car
( CIRCLE ONE PLEASE ) *' . ched garage/one car/..ericr-tra-17, car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF *' Other
CONSTRUCTION *
• .
11FORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! .
W B l • • '
orm PA 4/S6 md-v • . •
.
, . .. .
• ' • • , •
T 1
.
BUILDING PERMIT APPLICATION CONTINUED -
•
BUILDING SPECIFICATIONS: •
•
Type of construction, wood frame, fire safe,etc. >� �
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material /6/ / { Thickness %%
Depth of foundation below grade (to bottom of footing) •
Will there be a cellar?1/5/ Heated or eated Floor sq. footage sq .ft
Will there be a basement? Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other 5"X,pe Material••of roof l_`e
Size, wood studs "X 6' " spacing j6 "o.c. length 27-` ft.
Joists(floor beams) .1st. floor ' "X /G" spacing %/' "o.c. span/3 eft.
Joists (floor beams) 2nd. floor "V " spacing "o.c. span ft._
Overlays(ceiling beams) "X spacing "o.c. span ft. " , __- c ,
Roof rafters " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing > "o.c. span 25""e t..
Exterior wall finish • �1. Of what material?
Interior wall finish C S / ��� 34'
If a garage is to be attached desc ibe materials to:be us d for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? f/J Lf so will a Fire-rated
door, enclosure, and self-closing device be "provided? z�
Will a flue-lined chimney be installed? gr-Height abov roof a-- 3 ft.
Depth of chimney foundation below grade
Depth of fireplace hearth % ft. 6/ in.
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well(including .adjoining properties_0====f-t-. -
(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_ f ��
Owner; owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y. •
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * •* * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
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:
1 . Gross floor area /10%141 x/
2 . Type of heat /
3 . Is the building mechanically cooled?
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_
)
2 . R value of exterior walls
3 . R value of glazed area /�— Zr.-e ��G� ,.,` ,
4 . R value of doors ,'e 4
5 . R value of floors over unheated spaces p1 --' "'"
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
C. Controls
1 . Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? Y S NO
a. If YES , R value of duct installation 7
b. R value of duct in other areas
E . Piping Insulation .'
1. Size of hot water or cooling carrying age pipe
2 . R value of pipe insulation.
F. Service Water Heating
1 . Performance efficiency ® oa t�
2 . Temperature control setting maximum /��'�� 1.4 C
G. For Swimming Pool Only
1 . Maximum heating
Telephone No.
(ap licant ' s signature)
i 1
...7101en- of OtiarlAni
APPLICATION FOR SEPTIC DISPOSAL PERMIT
•
DATE A.G / y)'
LOCATION OF PROPERTY FOR INSTALLATION Z7`1-- ��
Owner's Name: s�CC� � �� Telephone: C. 4- Z Z-?y-1
Address: �"� _ ?'c 4.
Installer's Name: Telephone:
Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) $
Topography: circle on-1110111
olling Steep Slope % of slope
Soil Nature: circle one.. and Loam Clay Other / Depth: feet
Ground Water: At what depth? ? 5 feet
Bedrock or Impervious Material: At what depth? feet �,Q �IS f DiJ
ice... g-la�xi
Percolation test: circle one: not required required / rate n. inch. £ ' Q CA-Le�
Domestic water supply: circle one: ,4f .. Well Other _ roi21 A -
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ Meet
PROPOSED SYSTEM: Septic Tank t/ gal. (minimum siz<1,000 gal.
TILE FIELD: ach Trench feet / Total system length feet
SEEPAGE PIT(S): Number of ac feet by feet
Size of stone to be used # _ / Depth or Thickness — feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
P
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.
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: / 4F- %P •
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
1-... . -i.
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
'TEMP.# (DATE l 1 w�J^•��
CITY OR I %fy } S
VILLAGE TOWNSHIP r •.--.,,ff,..` COUNTY !/- i-y ._
STREET AND NO.OR r�
ROAD AND POLE NO. d i f._ rJ Z • Ce,,, - G�-� —. 4 - / =!'�� POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS j - ,_.- .,,F '4 _,i-. ' I r G �'
PREMISES LOCATED? �'=- /t�S '' SECTION BLOCK LOT
OCCUPANT'S a_� _ f .. BUILDING —• / l z y //
NAME ',F lL:—2 —L., i:�R",,:f, ,f. , OCCUPANCY ]. . , v -'Gf
OWNER'S NAME ,-- ,,� r'
AND ADDRESS i .i �`` r��' ,/n� 4 r=c v y..- TEL.# , l��f C
CURRENT
SUPPLIED FROM THEIR !r , L OFFICE
BY /// m
BUILDING WORK DEFECTS NEW / ❑ S� OLD NEW ADDITIONAL❑ REMOVED ❑
"✓LIST BELOW ALL EQUIPMENT WHICH YOU.INSTALLED •
No.of Fixtures lk BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS
Loce- ONLY
tion Sides Attaeh't H.P. Watts A.W.G.
Ceiling Wall Reeep'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 ' '''.'',..P'`e SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS / '!-~ OF SIGN
BUILDING -
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD .
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
- / f� !�`�,./r —F// '-
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. - APPLICATION
PRINT NAME A DRESS /� PY7 _';j' I
NAME OF . .�,''' SIGNATURE ems,.__ y
APPLICANT ✓ � !��`� /X OF APPLICANT._-f �" ./ - r
STREET ADDRESS S !Y '- 'f' '�'�'''✓"'`' ( � ��'" �TELEPHONE# ' -?-�`
POST OFFICE % -G."l .�/ fi',` �. r CODE' ?-C (+'> WHEN APPLICABLE
46 EL (REV. I/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING r
. .
- • . .„ .
: ep,..p.n..1,1_1..!."".1.1.. ..ln"...1. ""Av.!.. .1".1...,.."."... .""."..1,?...1. .1.. "."...1.4.".A.,,4,....I.A.. .!.. ."...1.!."."..1, ,, ?.. .1.. ".. ,,,,,y,...2.,.!..,1.! •
it
rTi ic..c: THE NEW YORK BOARD. OF FIRE .UNDERWRITERS PAGE 1 I
P.:4 ..
1, 1186503 BUREAU OF ELECTRICITY ' . : '
41 STATE STREET.ALBANY.NEW YORK 12207 - • .
g
Date APRIL 17, 1989 Application No.on file 0363 . ' A 0059A0
to 1:35
THIS CERTIFIES THAT PERMIT NO, 82- 933 • • ya, Ei
m iip
§ .....,c.: only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ni t
so
; RAVEN INDUSTRIE , 32 PLEM;ANI LANE, TTENSBURY, N,Y. 1:171
in the following location; III,;Basement 111:1st Fl. 0 2nd Fl. CAR
Section Block Lot
._..,.
was examined on ?1_1\13Cf1 2 53, 1 98 9 and found to be in compliance with the requirements of this Board.
Ilk.
-.6
FIXTURE ECEPTACLESI SWITCHES RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS N-
As' il. OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. .AMT. K.W. AMT. K.W. AMT. H.P.
R v.
35 :: 1 3 7 4 1. 5 , • . .., .3 i
es, ty DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS -
t 1: AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT.. AMPS. TRANS. AMT. H.P.1 NO.OF FEET AMT. WATTS
.
• 1 3 [ V' . 3 . 600 1 E
g .t: i • .
....4 -6
-- 1. SERVICE DISCONNECT NO.OF S E 'R V ' - I . C E
-t. METER
1.k. AMT. AMP. TYPE K 1..11 2W 1 X 3W 3 X 3W 3 X IW NO.OFpEiCiCOND.
OF tnRID.. NO.OF HI.LEG op.41:,26 NO.OF NEUTRALS
OfkallGiAL
-t. -
1 200 CD I.
411: OTHER APPARATUS: .
.iii 8r.q01;.E DETECTOR I.
.. i.:_.:
. .
.
MO
1 t
. • I Y.:
—
-.0 HAROLD RAVEN
.. s_1(; . . • _,.
.. 58 MCCORMACK RD.
. ....,,
,....1
...„
, tk, LAKE GORGE, NY, 12847 .
..'
.'
. . . : •
BRANCH MANAGER
Per ___
113 tin
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. ILI 1.4
1
it Ta-(le-4i.iei-Tai-i•-ri.i..?ii-i‘C-4 51E5En rifir CIIVENEI r1 fl tItl t1 fl !II II 515111 MEMO IMO Cl !Irl ISTI rI M ri II 5121101251/515151011%0 F
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. F.
sw
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT —/ ' ' .
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804—
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR I�NSPECCTI RECEIVED 3/' 7 /-'q
NAME \C � I p�
\ iL, r— /
LOCATION� r7! �2 �[)�
DATE T3./c?�.'C I` 9 PERMIT # r
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS d
CEILING
FINAL INSPECTION: `.
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING`FIXTURES/RELIEF. VALVE l/
INTERIOR TRIM/PRIVACY DOORS v/
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION t/ _
FINAL APPROVAL OF CONSTRUCTION ' of
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM. THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
IN PECTOR
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.
THE NEW/ YORK BOARD OF FIRE UNDERWRITERS V.i APPLICATION NO. i
-2 /ems
LOCATION /
DA E.'' INSPECTOR
FORM IBD(REV.1/86)
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- --61M 1
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 3/ &',/F-G%
NAME { 4 '
LOCATION 0... (._.Qf-Q)li/Y\ C
DATE �/a a/ . 0 PERMIT # Fr-5 .5 3
APPROVED
ae-1>(..,G'hz---C� 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 st
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF/CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
p/6ebt_etkr
$11/1
INSPECTOR
'►.
TOWN OF QUEENSBURY Cethy
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832 g '
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 627-./5
NAME -----
LOCATION ) .F,% "�,e/t f
DATE /r PERMIT # J'f 9
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
VINSULAT ON: �'ti,
FOUNDATION /
FLOORS w
WALLS rZ.-1 1, i
CEILING 2—�0 7
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING ;`
SIDING
EXTERNAL PORCHES/STEPS '''
STAIRS-CLEARANCE &/RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PR C1VACY DOORS
FINISHED FLOORS r
GARAGE FIREPROOFING
DOOR CLOSER(S) 1
SMOKE DETECTORS
FINAL ELECTRICA/ INSPECTION
FINAL APPROVAL OF CONSTRUCTION '
A SIGNED CER IFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: �� ' n��6 r I N�� 9%-
Arog� �J
IN PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804 AR `
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION(� RECEIVED o� - 10 - --9
NAME —.—OCKA,..erD `C - Cam.., rG,
LOCATION �� •r PA - �,ti. , '9f'LH I C,
04
DATE 0.- j ?j -S-q PERMIT # R-'- J ?j 3
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL _ _ ,
j/ROUGH PLUMBING t`-,- b.- .00.12, 6'U ,,t ,,(
FRAMING - V.,
ELECTRICAL ROUGH-IN
^INSULATION: /
FOUNDATION
FLOORS
WALLS
CEILING \
FINAL INSPECTION:
CHIMNEY HEIGHT N
ROOFING e
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE 7 RAILS
PLUMBING FIXTURES%RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS,'
GARAGE FIREPR FING
DOOR CLOSER(S) < •
SMOKE DETECTO,S
FINAL ELECTRIC L INSPECTION '
FINAL APPROVAL OF CONSTRUCTION '
A SIGNED CERT.Z FICATE OF OCCUPANCY MUST BE
OBTAINED FROM ' HE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
REMARKS: r
6
0, K. vi-utttg,w'n,
A.. cI i2r \i:, t)t .,- kat-'- 'S li
`p i,
It ).2ic i f) )
y2, SPECTOR
- '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 241i 1P7
NAME efa JA\J pa'7 LOCATION "L,.-
DATE 11 PERMIT # ? ) q J 3
APPROVED
YES NO_
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DMP-PROOFING E%�t
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)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
2D-6U -OVI/L,C) s' r°(4
'1) -(41 1-6-601
INSPECTOR
f' ti
awn o/ QUCQJhUPty
• BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME hkek.A.- „GQ (--- () Q \(\
LOCATION
_'14:14R.9- D. \�� .
DATE i/��/ W--7 PERMIT NO. (g- - /33
SOIL TYPE - GSa - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of ,SYSTEM: '
r •
Absorption field, total length Lc.%-�
Length of each trench '_J) ,f
Depth of trenches i— Z r /1
Size of gravel -197r,4 / _
SEEPAGE PITS{Nuinber of)' "--
Size- ft. X -•- frL -
Gravel size\ /
PIPING: \1 / Size Type
Bldg. to tank f 1-.
Tank to dist. ox %,` ;:.' L '�_.
Dist. box to fi ld/pith' l'
Openings seale'd?\(YES) NO Partial
LOCATION/SEB,RATIONS:
Foundation, o tank\ ,// ft.
Foundation` to absorption ,:2(-)ft.
Absorption to lot line /:,,: ft.
Separation of pits \ ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front -F;Re_ a_r_r Left side`\ Right side -
COMMENTS
c),',ViL,L./7'.2L..4 ',,;;'.:/
•
SYSTEM USE APPROVED K. YES) CIO
Building Inspector
01/86 and vl
TOWN OF QUEENSBURY /�
BUILDING AND CODES DEPARTMENT ,a_4_XI
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i--
TELEPHONE (518) 792-5832 /749
BUILDING INSPECTOR'S REP-ORT
REQUEST FOR INSPECTION RECEIVED /
NAME /ri& V
LOCATION ,1CJ7`/ (fo7
DATE `-,.33 4-q PERMIT # 11',9c9 3
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
(.�FUDATION/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/1 RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER'(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
11 /PI: W/.1'.. t51)
INSPECTOR
•
sown of Queeni4urcy V
BUILDING and ZONING DEPARTME
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
•
NAME -�
LOCATION /1_
Date /2/ / (Permit No. //G . A��
* * * * * * * * * * * * * * * * * * * * * * *
t/ = APPROVED - YES✓ NO
yFooting/Pier Forms V •
Foundation •
Waterproofing •
Backfill
Framing
Roofing �
Siding •
Masonry Veneer
Rough Plumbing
Relief Valves •
Ext. Porches
Finished Floors
Interior Trim ';
Stairs & Railings
Cellar Drain Tile , •
Concrete Floors r
Plbg. Fixtures
Gar. Fireproofing,'
Door Closers
Smoke Detectors
Chimney
INSULATION: •
Foundation I
Floors •
Walls
Ceiling •
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
•
Remarks-
Plate PLA-,is -
ding Inspect ;
6/86 and-vl
1. r TOWN OF
BUILDING &
L G REVIEWED Bb DATE
h
.,i.rP'iii"I i:7 L'f iiEALTli
O
DA rF.
r F` N
4 t
l
' Cam. MAP OF A SURVEY MADE FOR
n' Atilrc"R 1 YrQus--clz S ten
�.x1 P,.C(2-4:..R)
Q EL�Ns 0,V f..."( .m.,.m..,....",w..�. �....
31
VanDus an a to vas
LAND SURVEYORS,GLENS FALLS,NEW YORt^; .�
N.Y. STATE L.IC. NO. 35617