1988-929 •
• CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Viareh 9 19
30 1c'
This is to certify that work requested to be done as shown by Permit No. 88-929
has been completed.
This structure may be occupied as a Single Family Dwelling
LocationLot 35 Wings Falls Court St. No 11
Owner Masullo Brothers Builders, Inc.
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
H
BUILDING PERMIT
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TOWN OF QUEENSBURY o
No. 88-929
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Masullo Brothers
OWNER of property located at Lot 35 Wings Falls Court St.No. 11 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 u'„
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1.•OWNER'S Address is
3049 Broadway
Schenectady, New York
2. CONTRACTOR or BUILDER'S Name
SAME
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
X Wood Frame ( ) Masonry ( )Steel ( )
OR
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7. PLANS and Specifications riy
No. 34' x 48' Single family dwelling as per plot plan,specifications,
and application, including septic and driveway. v'
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8. Proposed Use o
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Single Family Dwelling rt
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25.00 C/0 89
$ PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19
(If a long period is required an application for an extension must be made to the Building and Zoning inspector of the �.
tow of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 5th Day of December 19 88og
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SIGNED BY for the Town of Queensbury w
Building and Zoning Inspector
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c-� Application No.
Down Of QueenJbttrty . .Permit Issued _ 19 TOWN OF q.u4I~N6BUR'#
BUILDING and ZONING DEPARTMENT Permit. rx ►ires� 19 . . RECEIVED
Bay and Haviland Road, R.D. 1 Box 98 Zo;e`ng resignation_.
Oueensbury, Now York 12801 •Varian �,-N • NOV 2 8 198E -
.. • . Site • a: Rai w No. . •
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f+pP= b. IF BLDG. & CODE DES .
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APPLICATION FOR • '' �qh f• a %i' • -J.
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; 'EUILDING AND ZONING 'PERMIT
• * •* * * * * * * * * * * * * * * * * •* .* .* * * * * * *. * * iv * * * * * * * * ::•*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned 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: Me$ulls Brothers builders. Inc. •
P.O. Address ln49 Rrn g1 xpy yn^1r Te1.170-1 QSR
Property Location: ><.oc 3S //aa-S- -�IVY/4j CQLL.S GT` Tax Map No. /24/ (/r /
Street number or building lot number • , ' • i�pc -c 46"
subdivision name (if applicable) Queensbury Forest U
THE PERSON RESPONSIBLE FOR- SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: •
.liaSullO Urathe.>;s_B .l.deX112—inlc. 3049_13.. adgay._; heng.ctady, Nev York 518-370-1058
• Name P.O. Address Tel. No:
Name-pi builder Same•• • • • Address Same as Abobe Tel. Sams
Name':of plumbeill&B ph,bins Address 88 Newton Stree. Albanw.N.Y. Tel.459-5811
Name- of masonittuilders Address Same . Tel. Sime-
MATURE OF PROPOSED hK)RK: * ZONING INFORMATION:
Xt Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
•
Addition to a building - - . * drawn reasonably to scale.and attached hereto,
Alteration..to. a building • * showing clearly and, distinctly all buildings,
(no.phangesto exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
. * street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZB •i+ND w whether interior or corner lot. Show location
'LOCATION OF STRUCTURES .AFFECTED. of water supply and location ,and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ' /60.2$ f t x /22-99 f t.
. * Existing. building(s) Size ft X . ft.
*
PROPOSED BUILDING AND USE: . * Existing building(s) Use
Size of new structure 34 ft X 48 ft. *• •
Foundation-pier/slab/crawl/partial ull * Proposed building, distance from property line
(circle one) * ' See Attached
go. of stories (habitable space) 2 * Front yard pia ft Rear yard ft
Height (grade to ridge) 23' ft. * Side yards ft and ft
ff residential, no. of families • • .1 * .If on corner, setback from side street ft
go. of rooms(excluding baths) * • . 9 .* OCCUPANCY INFORMATION
Ao of bedrooms ' 3 • : • • *
go. of bathrooms 1 * PRIMARY BUILDING :
Primary heating system Elertrir , . ply , * One family dwelling
type' of fuel Electric • * Two family dwelling
:lo. of fireplaces to be installed 1 * Multiple dwelling/ Number of units
Jill a wood stove be installed? 1�,' * Permanent occupancy •
::antral Air conditioning? yes * _,.....Transient occupancy
Business ,
UILDING STYLE, PRIMARY STRUCTURE * Industrial
stanch Contemporary Log cabin * •
Other '
Raised ranch Mansion Duplex *, If addition, what will use be? •
sp t level Old style Bungalow •
=aoe_Cod . Cottage . Other * ACCESSORY BUILDING-
�ol'or-:.- Itbw Town House. * Detached garage/one car/ two car/ car
• ( CIRCLE ONE PLEASE ) * X Attached. garage/one car/ two car/ car
.• * * * * * * * * * * * * * * * * .Private storage building
ESTIMATED MARKET VALUE OF •* Other
CONSTRUCTIO *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF .THIS SHEET, TO BE COMPLETED!
Form SPA 4/86 and-vl
BUILDINC. PERMIT APPLICATIUM .CONTINUw —
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. Wx41 Frame
• Will any second-hand or uhgraded lumber be used? If so, for what? lb
•
•
Foundation wall materialIturalCommete Thickness 8" &
Depth of foundation below grade (to bottom of footing) 711'
Will there be a cellar? TIZ Heated or unheated? , Floor sq. footage 1,755 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/shedlother Material of roof Asphalt Shingles
Size, wood studs 2 "X 6 " spacing 24 "o.c. length R ft.
JA (floor
sts beams) 1st. floor 2
"X in " spacing 16 "o.c. span14 _ft.
Joist ,
i (floOr beams) 2nd. floor 2 "X 10 " spacing_162o.c. spani4 ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing 24 "o.c. span ,ft.
Exterior wall finish Ahriman . Of what material?
Interior wall finish 4" 41remdc- Painted
If a garage is to be attached, describe materials to be *used for FIRE SEPARATION:
FireCbde
Is there to be an opening between garage and dwelling? . Yes If so will .a Fire-rated
door, enclosure, and solf-closing device be,provided?, Yes
Will a flue-lined chimney:be installed? yes - Height above roof 2 ft.
Depth of chimney foundation below grade 700 ft. '
Depth of fireplace hearth ft. 8 in.
Water supply -*Municipal or private well Nadal*
SEPTIC SYSTEM Distance from ANY private well(includirig adjoining properties ft.
.(A 'separate application is necessary for any, repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YOR'
County of Warren
I swear that to, the best of my knowledge and belief the statements contained
th this application,, together with the plans and specifications submitted, are a true and
omplete statement of all proposed work to be done on. the described premises and that all
d...v:.sions_of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
44)c: proposed work shall be complied with, whether specified or not, and that such, work
is
luthorized• by the owner.
• . ,
SWOhN TO BEFORE ME THIS • •• ••"Signature..AJAYr
.Owner, owner's agent,arcnitect,contractor
22-- day of - NV 19%
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * a * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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• By
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TOWN OF QUEENSEURY
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 1?4$ sq. Ft.
2 . Type of heat Electric Heat Punp
3 . Is the building mechanically cooled? YES
4 . Percentage of area of windows and doors 1470
A. Over 16% Only
1. Uo value of gross area of walls, roof/ceiling and floors
exposed to ambient conditions See Attached
• 2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES, what is the. R value? R-13
3. Slab on grade. YES Q•10
a. If YES, what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES (115
a. R value of insulation
5. Type of insulation Fiberglass
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 .
4 . R value of doors
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
C. Controls
1. Thermostat maximum heat setting . 900
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 .
1. Size of hot water or cooling carrying agent pipe .." & 3/4 Copper.
2 . R value of pipe insulation
F. Service Water Heating
1. Performance efficiency
2. Temperature control setting maximum
G. Fgr Swimming Pool Only
1. Maximum heating
Telephone No. 370-1058 i / 0 .444iir
(applicant ' s signature)
.70fien Ckettufgetity
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE /,/ e8 .
LOCATION OF PROPERTY FOR INSTALLATION LD7 3S noys "" //4/7/1�iSS �iQI�S CT
Owner's Name: / / )LLO &PDS ZO 5. ' Telephone: 3 2D `Noire
Address: 3oley B/P6i9►U' 4,4y, SCi/l/E6740y /1// /2306
Installer's Name: /1/i�SUL1.0 Telephone: 3V are
Number of bedrooms (residential only) 4
Total daily flow (compute @ 150 gal per bedroom) -Coo d.
V
Tcpography: circle one: ar Rolling Steep Slope % of slope..
Soil Nature: circle one: and Loam Clay .Other / Depth: _ feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one:(ot requir. required /rate min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well: '
Separation: Watersupply from Septic absorption — feet
PROPOSED SYSTEM: Septic Tank /e00 gal. . (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 50 feet / Total system length ZS-O feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # a . / Depth or Thickness feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
•
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.
•
1 have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature Jo/f responsible person:
-
Date: ,/./_ 22-g8
•
•
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
46 EL(REV..veal A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
BUILDING PERMIT NO.O.
•
• .. TEMP.F DATE �( ��f
•
CITY OR VILLAGE /7 ��ZZ VVV r�
TOWNSFiIPOU� 4 (1/fY ki�UkTne 1
STREET AND NO.OR ROAD POLE NUMBER
Lo73,5, AlaZ54— //0/1//65 t=R[GS CT- "
BI ffkiv.WO CROSS STREETS IS PREMISES LOCATED? / �a f Too rAav v BLOCK LOT
f' �� IJR �/D W/1 ro�v cr
NAME - BUILDING OCCUPANCY
OWNER'S Ng/ AND ADD_fjJ<S� aiL J HOME TELEPHONE NUMBER
sVS
CU/RR�/E $l..MV[Li)BY U U FROM THEIR OFFICE WCI EPHgN-P ER
BUILDING IS (j/I L//' / ,
NEWX ' OLD D WORK IS NEW tg ' ADDITIONAL❑ DEFECTS REMOVED D
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
Loca- NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Lamp Receptacles CIRCUITS • ONLY
lion Side Auach't
Ceiling Switch Pendant Bracket No. Type H•R No. Watts • No. GaA.WugeG. INSPECTION
Wall Recep'Is YP Each Each Gauge
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
2100/MP
CHARACTER OF WORK ...:.❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF
/1/EW CUVS/WCNA/ . ❑ CONCEALED VA
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
El OVERHEAD IX UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
IDENTIFICATION 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 PLICA ��� J� DATE OF APPLICATION SI N T RE 0 PPLICANT
STREET ADDRRUWArEyrSS ,r !/ G7L� _ r TEL NE NO.
•
/79 ,3oxWoao D4 S. 3 -evav
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
:3Ci1E1lJ T/W7 ///71 /2303
❑ 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 •
THE NEW YORK BOARD OF FIRE UNDERWRITERS
...(..}.1..'. I' t ' MR MUM ntrUnk1M Thik1VIK.ql‘M/Mk,NUntrk'PLR/fg%7 )W1C1 MA lill/IR Mk lit Mall' .,
THE NEW YORK BOARD. OF FIRE UNDERWRITERS
I -12-Ct C3 .
BUREAU OF ELECTRICITY C3
2 il: F 41 STATE STREET,ALBANY.NEW YORK 12207
MEI '
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'.-' 4A, Da te "I :1,-, 11 ! ' , ! !,11" Application No.on file .",-;' 1 : ! ,i•,; i,.., :j;,.' i.--:''. C3
' -c V -1',,-'11- ' -',,•-,. :',., ''i ' . )
4.; THIS CERTIFIES THAT
lil
, o. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
f Dia SLA D br:0-1-Kvrs gki(D-e.e.S. \0110j--C-Palvc, c+. ittik. \k , Quejerc \bsk ,
- o in the following location; El-Basement 1st Fl. 111-‘2rad Fl. 1:;:il Li Section Block
Lot
11,RCII .:'.1..'.. i )';''was examined on and found to be in compliance with the requirements of this Board.
.."' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS
. % ANT. K.W.
!,
ECEPTACLESI SWITCHES
.„
FURNACE MOTOINR
OIL H.P. 1 .,
GAS H.P.
INCANDESCENT:FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. - K.W. AMT. H.P.
1 I '
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS ' BELL
NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. i L . c-
UmiNITT.HEATERSH.p. MULTI-OUTLET DIMMERS
SYSTEMS
NO.OF FEET 1
AMT. WATTS
,
1- i
„
T. SERVICE DISCONNECT NO.OF S E R V I C E no E
. METER
AMT. AMP. TYPE mug% 1,J1 2W 1 0 3W 3 II 3W 3.0 4W NO.OFpEiCiCOND.
OF AeCV:IAND. NO.OF HI-LEG Ot.Ft& NO.OF NEUTRALS
OFANUAL
g 1 N rl: ,. ,
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E , OTHER APPARATUS: Pi i ti °
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,-,-. : ,iy:,:: BRANCH MANAGER -
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Per i , ,,,
..___
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. :
.iCe't i.1 i'l?1 ii."1"i'i“??.'i...?i''i'Ci'i'l 1''?i''i'ri.?../{..?761 i.'"/ i''-'-'..,7 i'1'r%i.'ii“i?.1.?1?1 S..i.Rni.i../'V./\"(V('ef V.'i CI I"( l"/ "t Cl l"/ 1'•I 1"/ el-Cr I", ,", C, ,", ,"i'
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COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
--.
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i _
THE NEW YORK BOARD. OF FIRE , UNDERWRITERS (''` 1
:
r , BUREAU OF ELECTRICITY
�; 41 "STATE STREET.ALBANY.NEW YORK 12207
'
i' Date ,YI: 1-' , 1 0, .I '. - . Application No.on file •L i`"i.I: .7 1 :• ; 4: `I CI 0•1 5
ilk. THIS CERTIFIES THAT
ht 1' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
ti not
•; ,. :s.•.. , P,POTHEU C,I;li.l)l;ii;. ,i; ; i I.;: i71 . LI_?(".. 1 :i:li:,,, , I fit.7.
%• in the following location; ❑-Basement ❑ 1st Fl. ❑''2nd Fl. I` Section Block Lot r'
was examined on and found to be in compliance with the requirements of this Board.
tci FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
• OUTLETS ECEPTACLES SWITCHES
�, INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
�(� '`! 36 1 •-. -i - �I. r ; r
% DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS.
' AMT. K.W. OIL H.P. GAS H.P.ii4 - ANT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. ANT. H.P. NO,OF FEET AMT. WATTS
,t. o
1-. o
1 ..---(: • • .
►; SERVICE DISCONNECT NO.OF S E R V I C E ]
• �: AMT. AMP. TYPE EQUIP 1,6'2W 1 jr 3W 3 R'3W 3,9 4W NO.O CC.iCOND. OF CC.COND.. NO.OF HI-LEG OP HI-•LEG NO.OF NEUTRALS Op alNEUTRAL
'' 1
OTHER APPARATUS:
tj j r::1-.0 I;_ : 1 7: 11. 1'. o
t1O1- I.i'iFCTOR.: --1 •
0
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7.2* '..: r
a il: . 7(:!5",--4-.--J-(2.--.71 5:
114 1.70 R•i;; ., ;)t}1 :if;Ts f: •
,..,<' C 1T 1. r T I;`! .. }. ..)0BRANCH MANAGER
�; Per
: This certificate must not be altered in any manner;return to the office of the''SB,oard if incorrect. Inspectors may be identified by their credentials. •i. E.
i4
c hire -4-cie-iele7 ie'riei iai YiiY-iaf'iil'iifYeY'ilci•i-iele';e'4 ® 0 IMMO 8 ® ® ® ® 0 ® ® ® 0 ® 0 ® .;%.�:r.I el
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
.,a
INFORMATION FOR BUILDING DEPARTMENT
;ME-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
APPLICATION NO.03 S�1
/�-N
DATE INSPECTOR
FORM IBD(REV.1/86)
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION��R�ECEIVED 3 -7 -u/
NAME /2-2d/�
Q- (1(%f O
LOCATION // (t/.,v ae
DATE c_. - . PE�# g_/Gl�
9 '
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
.a
BACKFILL APPROVAL i
ROUGH PLUMBING ;
FRAMING , '
ELECTRICAL ROUGH-IN .
INSULATION: \ /
FOUNDATION \
FLOORS
WALLS
CEILING
FINAL INSPECTION: ,
CHIMNEY HEIGHT L.,,/
ROOFING • L/.
SIDING • t/'
EXTERNAL PORCHES/STEPS' ' 117
STAIRS-CLEARANCE & RAILS C.d
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS 1"/
FINISHED FLOORS Via . c_
GARAGE FIREPROOFING �V
DOOR CLOSER(S) / 1,',
SMOKE DETECTORS 1
FINAL ELECTRICAL IN4SSPECTION
FINAL APPROVAL OF dONSTRUCTION ki/''
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE WUILDING DEPARTMENT BEFORE
THESE PREMISES ARE,OCCUPIED!
REMARKS:
f��. � fly " '34-
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• /Lettlio-, tfe.v,,,,,fi)
INSPECTOR
Jown o/ Queenatury
• BUILDING and ZONING DEPARTMENT
Bay and-Haviland Road, R.D. 1 Box 9
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME MGt-Z/O
LOCATION ////
DATE "- 'V/67 PERMIT NO. f 9
SOIL TYPE - . - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: II
Absorption f ld, total length
Length of each trench ' Lae
Depth of trenches • 7 , ''
Size of gravel \
SEEPAGE PITS{Number o'f) '
Size- ft. X \ ft.
Gravel size ,
PIPING: Size Type
Bldg. to tank
Tank to dist. box \r 4 /2LA,
Dist. box to field/p' 1.�" kg
Openings sealed? 4 NO Partial
LOCATION/SEPARATIONS: ;
Foundation to tank 12 ft.
Foundation to absorption 'D ft.
Absorption to lot line MA" ft.
Separation of pits • `),` ,ft.
LOCATION OF SYSTEM ON PROPERTY'(circle one)
Front - +•- Left side - Right side -
COMMENTS: r
Cev.41';i1.01P1),..r
ff'' LL
OK. `io
SYSTEM USE APPROVNDrYES NO
\t1/4.. -
Building Inspector
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 /, -',3 Q---
NAME —- -- '/ l CtA-GCL1
LOCATION [� r `i(/�/� i�- J £ J
DATE /-3 -S-6r PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL >'
ROUGH PLUMBING l
FRAMING \ 'J
ELECTRICAL ROUGH-AV
/t INSULATION: ; ,
FOUNDATION/-trLI>&
FLOORS "{
WALLS / d
CEILING /�- -(7 L /
FINAL INSPECTION: /
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARADjCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSERS)
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:
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 /W-42 F
NAME -- / a-A1- -mow 1/ J lQ 4
LOCATION p f _ ,i, aGA /vim //
DATE /47-- A PEI:MIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING /'
BACKFILL APPROVAL
JROUGH PLUMBING
RAMIMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS ,
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT r`V
ROOFING
SIDING
EXTERNAL PORCHES/STEPS ii
STAIRS-CLEARANCE &;`RAILS 'k
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:
NSP T
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 � >"27 i_
LOCATION
DATE __________PERMIT # �(� 7Q/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES%STEPS
STAIRS-CLEARANCE &°RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING c
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
a
A SIGNED CPRTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
k/td), Ul 6.0 ")
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 /4g-f
NAME -- �c(_,-02,e,a//10
LOCATION
DATE / - 1/ PEkMIT # f "��
AP ROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
dNDATION/DAMP-PROOFING
BACKFILL APPROVAL )1(
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH=IN
INSULATION:
FOUNDATION
FLOORS
WALLS '+
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING 1,
EXTERNAL PORCHES/STEPS '\
STAIRS-CLEARANCE.;.`& RAILS'',
PLUMBING FIXTURES/RELIEF 'VALVE
INTERIOR TRIM/P,-RIVACY 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:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /per'
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME _405'6F/4
LOCATION / // l-il;Fad s'
DATE /07/5" PERMIT # ff' Y:ael
APPROVED
YES NO
FOOTING/PIERS [i
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING JI
ELECTRICAL ROUGH-IN f`
INSULATION: fir'
FOUNDATION y'
FLOORS
WALLS
CEILING
FINAL INSPECTION: �;'
CHIMNEY HEIGHT r ROOFING _
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS/
GARAGE FIREPROOFING "'t
DOOR CLOSERS/
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVSL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED ROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
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