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1988-930 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 9 19 89 This is to certify that work requested to be done as shown by Permit No. ' 88-930 has been completed. This structure may be occupied as a Single Family Dwelling Location Lot 137 Oak Tree Circle St.No. 40 Owner Michael Woodbury/Robert Balogh Construction Co. By Order Town Board TOWN OF QUEENSBURY ' 4).7e„, sue Director of Bldg. do Code Enforcement H BUILDING PERMIT TOWN OF QUEENSBURY o No. 88-930 • WARREN COUNTY, NEW YORK 'Qo w u, PERMISSION is hereby granted to Michael Woodbury/Balogh Construction Co_ :o OWNER of property located at Lot #137 Oak Tree Circle St.No.40 Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single Family Dwell-Ing 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 t7 MIchael Woodbury Balogh Construction Co. RD#2 John Street Box 286 Queensbury, New York 12804 2. CONTRACTOR or BUILDER'S Name 0 w SAME 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name ° - - r w 5. ARCHITECT'S Address 3 rt CD (D 6. TYPE of Construction—(Please indicate by X) H. ri ( )Wood Frame ( ) Masonry ( )Steel ( ) F-' fD 7. PLANS and Specifications rt No. 32' x 68' Single Family Dwelling as per plot plan, specifications, ° and application, including septic and attached two car garage and 8. Proposed Use driveway. Single Family Dwelling 25.00 C/0 H. $ 203.00 PERMIT FEE PAID —THIS PERMIT EXPIRES JUly 1 19 89op (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 9th Day of December 19 88 F• � SIGNED BY `//-C1 for the Town of Queensbury ty Building and Zoni Inspector F-' crp r• TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT • 1 Pate- TOWN OF QUEENSBURY Rec,i cued ►iL� , RECEIVED µ , Va 3 z__•-61 Reviewed - , „:' % -' / Fy t � '� DEC - 1988 Paid • �$ ,:,•��• ,'`�`',`-. Fee F Bl.DG, & CODE DEPT, BUILDING AND CODES DEPARTMENT Date 74eued /6' by BAY and JIAVILAND ROADS RD 1 Box 98 3S 0-e2 pUEENSBURY,NEW YOJRK 12804 Pe un t Na• -G 3-0 — as—G, v Tel . (518) 792-5832 Ext 209 _ .. .* * * * * ,r .o* I • A PERMIT MUST BI) OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS ?ILL BE MADE UNTIL APPLICANT , 1-iAS RECEIVED A VALID BUILDING PERMIT. All applicable spaces on this application must be completed and the s-irluature of the applicant must appear on the reverse side of this sheet . * 11, A * * * * * * * * * * * * * A * * * * * * * * * * A * * A * A * A * * The owner of this property is :�� �- ac�bGeey/��Lo�l/ S3• i d /1 Cssft'S1 /� J� �-r �/r J% ? X Z-,t?f a crew .£• 9 3 '" 7�: I zi l' . O. Address �LJ �.VU/7/t/ ,,Z � G�Z Property locationLOT"f7t /37 €O >✓zG a-6-- ii" - TAX MAP NO. !' ;J / S / sf, Avd 90 Has there been any split of this property since October 1 , 1988? yes/, o0 If yes , Planning Board Review is necessary. SUBDIVISION NAME, IF APPLICABLE '- LOT NO. -� The person responsible for supervision of work as regards Building Codes is : ,, d/ r e & (a#- c Ir:% lc a 5et-r. 793 67 / NAME P .O . ADDRESS / 2.C/ TEL,. NO. !�'0-40C-W rO�' / Tel 7 9 3 Name of builder � � �Acldress �''�-� E Tel 7 9'2.-30D7 Name of Plumber. c J C L Address A/}/%30,(!'4S / `� `� Name of Mason-DA GVL=—,*rj3a�1i Address ,/?l�r.�!,�„�/�-�1/,TJ g%� -91/` el 7 O 2 2- NATURE OF PROPOSED 4,,ORK: .• • ZONING/ INFORMATION (Office use only) Construction of a new building } ZONING DESIGNATION OF PROPERTY 3/2- ` /A Addition to a building a PERMITTED PRINCIPAL v" PERMITTED ACCESSORY Alteration to a building a ' ^(no change to exterior dimensions) a REVIEW REQUIRED - PLANNING BOARD _....-.ZONING BOARD ___.--7 Other work (describe) SITE PLAN REVIEW # ---APPROVED DATE! a VARIANCE ff __ -" APPROVED _---DATE ' CROSS AREA of PROPOSED, STRUCTURE ems---- • 1st Floor f • Remarks-: sq ft . a __-, 2nd Floor sq f t . - r CO III.E'1'I .IN1 ORmA'1'ION REQUIRED uELUW. ,�7 f%f sqft . '" Size of property J0� ft X � �� it. Other Floors `v � " Existing building(s) Size — 1t X rc. (not cellar or basement) TOTAL FLOOR AREAL3 gil sq f t • ' Existing building(s) Use -----, Size of new structure 57 ft X 61 ft ' Foundation-pier/slab/crawl/partial ell ` Proposed building, distance from property line (circle one) A� �, Front yard 2 ft Rear yard —7 I ft Na. of stories (habitable space) t)✓"II EF Side yards //„ ft and M ft Height (grade to ridge) / ft. . If on corner, setback from side streuc ft 1f residential, no, of families No. of rooms(excluding baths) ,, (PI,//&' OCCUPANCY 1NFORI•1ATICN No. of bedrooms 2 %/ifs # PRIMARY GUILDI1dC No. of bathrooms / 3/4 / One family dwelling Primary heating system/_M7'✓WA? , Two family dwelling Type of fuel %e c OvArll ) Multiple dwelling / Number of units No. of fireplact:s to lie installed . Permanent occupancy ' Will a wood stove be installed? Transient occupancy Central Air conditioning? AO #, Business BUILDING STYLE, PRIMARY STRUCTURE w' Industrial Ocher __ unch Coptemporary Loci cabin * r if addition, what will use be? Raised ranch mansion Duplex Split level Old style Uuny:alow '" Cape Cod Cottage Other r ACCESSORY BUILDING- Colonial Row 'Town Douse ' Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) Attached garage/one car/ ` r/j wo cog • cud' • a a a EA* x s i • a * ■ * rr Y • * Private storage building ESTIMATED MARKET' VALUE OP ' Other (----- CONSTRUCTION s to 2 60 0 INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OP THIS SHEET, TO BE COMPLETED: Form BPA 10/88 vl ` BUILDING. PERMIT.,APPLICATION CONTINUED - • BUILDING SPECIFICATIONS: ' } Type of''construction, ood fram ,- fire safe,:ete. •_.: . . Will any second-hand or ungraded lumber be used? If so, for what? 4Q Foundation wall material /CC)/OC-2el-e Thickness Depth of foundation below grade (to bot• c ►-- ing) Will there be a cellar?✓)U -ated'or hnh_eei- 2 /3 4 Floor sq. footage ._ sq ft Will there be a basement? s% -5'Will any portion be used as living space? AeCy 7 (If so, what portion? sq.ft. - - Type of use? Type of roof _ sloped,flat/shed/other Material. of roof 4.377/44.9;[,TW,//���- ) Size, wood studs L "X C, " spacing /, "o.c. length - ft. Joists(floor beams) 1st. floor :L "X j O " spacing /6 "o.c. span /2/ ft. Joists (floor beams) 2nd. floor 14X spaerng----"o�c. span ft. Overlays(ceiling beams). "X- " spacing span —ft. ' Roof rafters ' •� "X . " spacing --o..c. span . f.t. Roof trusses (pre-engineered) spacing '1/ "o.c. span :3 2_ft. Exterior wall finish S',/,07/ G- Of what material? [/74 'i • Interior wall finish /9 (t j�/ (�) :�� If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 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? I2U ? Height above roof ft. Depth of chimney foundation below grade — ft. _ Depth of firepla -h ft.-- in, Water supply - unicipal or private well ' SEPTIC SYSTEM istance from ANY private well(including adjoining properties 7O0/-/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, 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. Signature / Owner, owner's age t, a cai' ct,�ontracor • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By TOWN. OP QUEENSAURY ' • 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 if 3 S`' S . 2 . Type of heat /44 AP. G G/95 /f-./ g`. '3 . Is the building mechanically cooled? /1/ 0 4 . Percentage of area of windows and doors . A. Over 16% Only . 1 . U0 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 161 Only • 1. it value of roof and floors exposed to ambient conditions • 2 . R value of exterior walls -0 •3 . R value of glazed- area 4 . R value of doors 2` �f 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 � - B. R value of heated basement/cellar walls (above grade) (3 9. . R value of heated basement/cellar walls (below grade) l 3 • 10. Type of insulation )=/ 12449` C. Controls . 1. ' Thermostat maximum heat setting 90 -D. Duct Systems . l. . 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 1/2_i1 1. Size of hot water 'or cooling carrying agent pipe • - 2 . R value of pipe insulation Ai C3 F. Service Water Heating 1 . 'Performance efficiency . I/ /G-- 2. Temperature control setting maximum 1 8'0 G. For' Swimming Pool Only - . • + • 1 . _ Maximum heating one No. 7? 3 6 . .41 Telephone j/1 (applicant ' s si re) TOWN OF QUEENSJurY APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE " // FIT LOCATION OF PROPERTY, FOR INSTALLATIONj "0' 7 /3 7 /,�/'�'��/� )� 6/2CL6' 4i 140�� •Owner's Name: /LJ�C = Gi06n3UEy Telephone: 7Q. _ 7 9.g (6.C.J/ , J Address: /J JO%W s/ )(/ Aor &G zi/e V. / / Installer's Name: dJ/9l7/0 /7 " , W Telephone: 792- Number of bedrooms (residential only) a� Total daily flow (compute @ 150 gal per bedroom) T 5G ,}L /,,�,./5ty Topography: Circle one: Flat oiling)Steep Slope % of Slope Soil Nature: Circle one Sand Loam Clay Other /Depth: 2-O Feet Ground Water: At what depth? & Feet Bedrock or Impervious Material: At what depth? GeC Feet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one: Municipal Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank //©OO gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench V7feet/Total system length / ' 8 feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # /Depth or Thickness 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 Sa •`-� ary Sewage,Disposal •dinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: , � J /9f 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said .plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installa— tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Iiaviland Roads • Queensbury, New York 12804 Remarks: C r/t Y� (�pJ C—J �c�ai.l OVJ IIN GJJ ry nwIJ Avv,i o,o-uGUJ J/L APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES ®`� MIDDLE DEPARTMENT INSPECTION AGENCY/ INC. T-1_1:116 ° National Headquarters / 900 Haddon Ave., Collingswood, N.J. 08108 A.PP4.igkra CRNPL TgS f#.L§"sgcTION1 Date:/ -S 2? City, Town or Township 4I0(-W's '1yJ C/ County State IV$ Location/Address 4-6)r ! 3 7 CA, - 7 6 — C/�rz.(— (2 'a '. 1/-�L S) If Located in Rural rea - Please Attach Directions) Pole # Owner /Lf/Cf// (t-(pgUfe y e4Lc4 CCY4) c //PLi�7GJW Permit # Occupied As �I�G=LG , ,h1 %-c/ a/ ' 7L-/'O 6 Building: New Old❑ Occupant —S A'�C /1746 USE"- . Work Area in Building (Floor #,etc.): App. for: Wiring❑ Service❑ or: Ready for Inspection: 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 Air 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 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's /� Signature CSC License # Permit #' • T/A Utility:,Nl/9+r /4- J'& Applicant's Address: r �� .<� (NAME) (OF C OCATIONI (City)QC.e �Z.S,a(.liey" (State) /�� (Zip) Z.`�o� Service Request #. Phone # C' / Electrician:• /�� �r�1 *i:,z'%�F If- t r, " !. DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above or: Red Notice Label I Rough Wiring Outlets Surface Unit • Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for • Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3' 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size ..__ - — __ _ • 500 750 1000 1250 1500 1750 2000'2250 2500 2750 3000 - _ .2---' -1` Pati i�K J -�asi:na:a ct. Heat ;i x P1] .Flux 34 e. _ Fails, I_ •4 9 y+�: y�i n11e�GiI I�dl r�, ri_ .. 3- ;ie:' l -3 7 ' Eii`'<<;' <` i Y.LEC -R1CAL IHSPI.(IItOE I • u -.:1 RR CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT . FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor • • ❑ CFT Violation: Work Comp.❑ Inc. ❑ • n L/A Owner CASH ❑ n L/A Fee CH K # Due MO # n IPA Municipal INV # - • Applicant ❑ Date: Other Side El Utility Owner Cut in Card n Temp # Date — INCPFCTf1R:C CIC;NATI IRF 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 n7 rLY, /I ) -r%�/ �F-C/A(i/ LOCATION/ /,9°7 c9a-J- _he-,DATEvvvvvvy``�ff�ff�� 'Fl a PERMIT # ‘P?- ��C2 • APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ' ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS ILING INAL INSPECTION: CHIMNEY HEIGHT / ROOFING 1--� SIDING / j/ EXTERNAL PORCHES//STEPS `\, j/ , 1 STAIRS-CLEARANCE & RAILS'', f/ PLUMBING FIXTURES/RELIEF VALVE d� INTERIOR TRIM/PRIVACY DOORS, J/ FINISHED FLOORS l GARAGE FIREPROOFING \ DOOR CLOSER(S) ', SMOKE DETECTORS 1 %/ FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION ' " \ X A SIGNED CERTIFICATE OF OCCUPANCY MU BE OBTAINED FROM THE BUILDING DEPARTMENT EFORE THESE PREMISES ARE OCCUPIED! \c;t REMARKS: (;:///' i / INSPECTOR • Jocun of Queenaur, ,„4 . : BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPPnOSAL SYSTEM INSPECTION NAME ling .C� l�. A 170 , LOCATION 4 . / DATE %/r J PERMIT NO. -2'" cJ.3C SOIL TYPE - arm.--) Loam - Clay - Percolation `E Required? YES - NO Percolation rate - Min/Inch . TYPE of SYSTEM: Absorption field, total length ,20-v Length of each trench g,ir Depth of trenches ' /- 2.,ar` Size of gravel `j- SEEPAGE PITS{Number of)'`' Size- ft. X ft!. • Gravel size f PIPING: Size Type Bldg. to tank / • 14 Pam. Tank to dist. box/ N I/ Dist. box to fie,1d/pit y! _y____ Openings sealed? NO Partial r+ C�- LOCATION/SEPAIRATIONS: Foundation to/tank ` /7 ft. Foundation to absorption \ d ft. Absorption ,to lot line ''; :. ft. Separation/of pits • ft. LOCATION OF YSTEM ON' PROPERTY(circle one) Front ear - Left side - Right side - COMMENTS: • SYSTEM USE APPROVED YES-5 0 Building Inspector • 01/86 and vl MIDDLE DEPARTMENT INSPECTION AGENCY, INC. Electrical-Building-Plumbing-Fire Inspections • • Date a. - ralli 11111 N I I LI I I I I I I 11 I l +ectorlagt 41, 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 i made to the .existing'system or struc- ture, application for inspection should be submitted promptly to this Agency. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT G% GCS BAY & HAVILNE ROADS QUEENSBURYBURY,, NEW YORK 1280� TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION nnRECEIVED NAME /p/L/ S L1 /� LOCATION f /SI (L / ' (!(„4:C-ZT DATE ); - -6q PERMIT # 93(.9 // APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN 'INSULATION: FOUNDATION FLOORS WALLS ( l CEILING i- ,35< FINAL INSPECTIONc'',. 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 THESE PREMISES ARE OCCUPIED!' REMARKS: � s / a l r7 - c lns/I • INSPECTOR -TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804, 1141/1 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR_INSPEC,TIION RECEIVED 9,•a,1- NAME `��%/ y ' 'mil 47 LOCATION /3-7 64a/ e 1,G /• /v DATE PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS • FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ,,ROUGH PLUMBING ;' FRAMING ELECTRICAL ROUGH=IN y 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 I FINAL ELECTRICAL INSPECTION ' FINAL APPROVAL OFF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THEk-BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: P) AA4. 0(12-17"1° INS CTOR 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 LOCATION L2A. ( Q �r QQ {,�Q kb Cr DATE 1-3 S'/ PERMIT # � — �3 V APPROVED YES NO FOOTING/PIERS U-PAIAA MONOLITHIC POU !/FOUNDATION DAMP—PROOFIN e (/BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: .1 CHIMNEY HEIGHT ROOFING a � SIDING EXTERNAL PORCHES/STEPS ° STAIRS—CLEARANCE &r RAILS \� PLUMBING FIXTURES%RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOOR?' GARAGE FIREPROOFING DOOR CLOSER(Srj SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION F r A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED/FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: / W LtILL . INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION- � RECEIVED Ia`a_a-n NAME �1A�� G����"`'Q L aP � - � LOCATION ) 2) -7 (D�k li�g_ C.CL/c4 DATE I )---(9-j`b o PERMIT # �'� ^ 13 APPROV YES O Cr.-FOOTING/PIERS c' '�Lk-Q,h MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING \ . ELECTRICAL ROUGH-INS INSULATION: �• �-' \ FOUNDATION L / FLOORS WALLS CEILING `t FINAL INSPECTION: `t CHIMNEY HEIGHT ,% ROOFING 1' SIDING 1 `k EXTERNAL PORCHES/STEPS , STAIRS-CLEARANCE & ,RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS, FINISHED FLOORS I \ GARAGE FIREPROOFING \. DOOR CLOSER(S) ,yk 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: - izAt r06, O(2___ A)7- Rh" P-- Afo 6205-r" /J C UmY-- -F6-5 2 gcriVICS A4u5 / b r(2.0-a,c=r-60 1 1/ IN PECTOR TOWN OF QUEENSBURY At/IL BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 JE II� INSPECTOR'S REPORT 1 PECTION RECEIVED /v9--c .1 CI NAME LOCATION i3 CCUt I j (& A DATE id. PERMIT # S9" APPROVED YES NO / U FOOTING/PIERS `/J MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: r^' - FOUNDATION FLOORS • WALLS CEILING 7 FINAL INSPECTION: '`7 CHIMNEY HEIGHT ROOFING r SIDING EXTERNAL PORCHES/STEPS - STAIRS-CLEARANCE & RAILS PLUMBING FJ TURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED D'LOORS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DEECTORS FINAL ELECTRICAL INSPECTION , FINAL APPROVAL OF CONSTRUCTION " A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!. INSPECTOR cq 4 i It Ile Q� ✓l s v U N O q TZ, 1 Y N t M A t