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1988-928 • • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 17 19 _89 This is to certify that work requested to be done as shown by Permit No. 88-928 has been completed. This structure may be occupied as a Sinqle Family Dwellin Location 3 X,J3ENNETT ROAD Owner Larry Clute By Order Town Board TOWN OF QUEENSBURY 0/72,02(a.-7.11 - Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 88-928 - WARREN COUNTY, NEW YORK w • PERMISSION is hereby granted to Larry Clute ,! rn OWNER of property located at W.Bennett Road 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 RR#1 Box 363 Gailey Hill Road Lake Luzerne, New York 12846 c� r H 2. CONTRACTOR or BUILDER'S Name r Iv n n 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address • bd CD co rt 6. TYPE of Construction—(Please indicate by X) rt 0 44 Wood Frame ( ) Masonry ( ) Steel ( •) 7. PLANS and Specifications No. 28' x 44' single family dwelling as per plot plan,specification, and application, Including septic and driveway 8. Proposed Use Single Family Dwelling t„ N• 25.00 C/O CD $ 147.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 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 F�• town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 5th Day of December 19 88co 1-4 Qling SIGNED BY - for the Town of Queensbury and Z ning Inspector APPLICATION FOR BUILDING AND ZONING PERMIT TOWN OF QUEENSBURY - .. sate- Reci.eved �� /. TOWN f3'';'; ,1„...._ . Reviewed t ec .S RECEIVED"ir BURY ,,a z F,F; •4'�'� ' AI �!0�4 Fee Paid fi/1 ' c,% DEC - 1 1988 BUILDING AND CODES DEPARTMENT Date I44ued $LOd• BAY and HAVILAND ROADS RD 1 Box 98 - CO®S OBper Puma pUEENSBURY,NEW YORK 12804 P -m.c t N0. ger- 9v2�' . Tel . (518) 792-5832 •Ext •204 . - .* '1, * * * * •* * 1 * * * * *, * * * * * * * * * * * * '•*, * - * * * * * * * A PERMIT MUST BI- OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicable spaces on this application must be completed and the siffuature of the applicant must appear on the reverse side of this sheet . * k * * * * * * * * * * * * * * * * * * -* * * *" * * * * * * * * * * * * The owner of this property is : \____ -+2SZ`{ CL-tkTNE P . O. Address i30X -ZW3 GtlaXt_Ni 1\\LA_FO• L_• 2XEA-6N)ETEL. 64TG- Property location W. j ' - Ro • TAX MAP NO. 33 / 1 / 1( Has there been any split of this property since October 1 , 1988? yes/ Inoue 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 : 1-_.. � Cu,A-VrE, 62.�l 30x3G3 Gi,\ ,-e la\ta-940. l uf._ ' TEL. a.Gc&-Zce9 NAME P .O . ADDRESS Name of builder\- . Ct.u�-1- Address ' Lit _ Lea 3 - Wp•`%)' Tel 6A(0-3`IZ5 (1,w- E Address 1—IA�•G3_ LAAZONF k 1V•°,• Tel (e9 6-3ce i Name of Plumber Tel Name of Mason Address NATURE OF PROPOSED hORK: *y ZONING INFORMATION (Office use only) e/Construction of a new building * ZONING DESIGNATION OF PROPERTY .S • /4 Addition to a building * _ PERMITTED PRINCIPAL PERMITTED ACCESSORY Alteration to a building * _ a REVIEW REQUIRED - PLANNING BOARD ZONING BOARD (no change to exterior dimensions) Other work (de cr.ibe:) - ■• SITE-PLAN -REVIEW #- - APPROVED _ DATE _ -. - * * VARIANCE # APPROVED DATE GROSS AREA OF : PROPOSED%•STRUCTURE sq f t . * Remarks: ?Ae ek•- /•'�1 - 1st Floor 123Z ✓ 2nd Floor sq ft . ,,. COMPLETE INFORMATION REQUIRED BELOW. * Size of property ►`j'Z.00o ft X 1O0 ft. Other Floors — sq ft . * Existing building(s) Size ft X — ft. (not cellar or basement) * TOTAL FLOOR AREA M32 sq f t • * Existing building (s) Use Size of new structure Z2 ft a y4 f Foci:dation-pier/slab/crawl/partial full * Proposed building, distance from property line (circle one) yard ft Rear yard SZ ft *• Front No. of stories (habitable space) _ * Side yards 7 ft and 3� ft Height (grade to ridge) BCD ft. * I£ on corner, setback from side street— ft If residential, no. of families 1 No. of rooms(excluding baths) (v * OCCUPANCY INFORMATION No. of bedrooms 3 ; PRIMARY BUILDING - No. of bathrooms % 'Ie • v/One family dwelling Primary heating system ' 1..._'Td2AC * Two family dwelling 'Type of fuel — Multiple: dwelling / Number of units No, of fireplaces to be installed © ^ w Permanent occupancy Will a wood stove be installed? i•0o 'Transient occupancy Central Air conditioning? �o a Business BUILDING STYLE, PRIMARY STRUCTURE *' Industrial Other elftContemporary Log cabin * If addition, what will use be?Raised ranch. Mansion Duplex Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- h.111cN Colonial Row Town House * Detached garage/one car/ two car car ( CIRCLE ONE PLEASE ) * Attached garage/one: Car/ two car/_ • car „ * * * * * * * * A * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION • 90 QdO• 00 a ]NC`ORMATTON ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SWEET, TO BE COMPLETED: Form BPA 1D/88 vl • • 1sU1LDINC .PERMIT, APPLICnTION CONTINUED - • • WILDING SPECIFICATIONS: Type of construction', wood frame, fire safe etc. � ® \AA- Will any second-hand or ungraded lumber used? If so, for what? Foundation wall material eOu(2.q,® COv f_ Thickness Depth Depth of foundation below ade (to bott v nt footing) '7 q ft Bated or unheated? Floor sq. footage s will there be a cellar? �•" � will there be a basement? YeS Will any portion be used as living sp" (If so, what portion? -- sq.ft. - Type of use? ^ l S Material..of roof SH�v� `Type of roof - sloped flat/shed/other „o.c. length ft. 2 X g Co " s acin Size, wood studs p „X " spacing- 1Co o•c• span 1� ft. ,joists(floor beams) 1st. floor ' Z _I .- " span -- ft. Joists (floor beams) 2nd. floor -- "X — spacing — o.c." Overlays(ceiling beams) •Z "X y " spacing Zed "o.c. span 14 ft. Roof rafters -- "X — " spacing o.c. span ft. uo.c. span ZQ ft. Roof trusses (pre-engineered) spacing �4 material? � Exterior wall finish O�K-O lus s � Of what c_ Interior wall finish eN\ If a garage is to be attached, ascribe materials to be used for FIRE SEPARATI � If so will a Fireiraced • Is there to be an opening between' garage and dwelling. door, enclosure, and self-closing device be proiidzh� above roof ft. Will a flue-lined chimney be installed? o t• 9 Depth of chimney foundation below grade Depth of fireplace hearth — ft.— in. • Water supply - Municipal or private well ro ertias �J _ _ft. SEPTIC SYSTEM _ Distance from ANY private Wel ( nCluornnc:wadjoining instal p ion of Septic system) (A separate application is necessary for any repair 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 doneon on,thede describedrprew sesres andnthattall provisions of the BUILDING CODE, THE ZONING specified or not, and that such work is the proposed work shall be complied with, authorized by the owner. Signature - C • Owner, owner's gent,arcnitect,contractor A * * * * * * * * * is * * * * * is * * * * * * * * * * It * is * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • By • TOWN OF - QUEENSBURY • • WARREN COUNTY, NEW YORK . • _ Application for: BUILDING PERMIT IN COMPLIANCR'.WITH THE NEW YORK . • STATE ENERGY CONSERVATION CODE. . , A permit must be obtained before beginning work. ANSWER ALL of the following: 1 • 1 .. Gross floor area ' YZ-0 4 sQ • -7'. 2 . Type of heat '�.. C,,a Z \Cr 3 . Is the building mechanically cooled? 'NO 7 4 . Percentage of area of windows and doors 1 ' • 4. o2 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 16% Only ' 1. R value of roof and floors exposed to ambient conditions_ • isa- s) lean c ' 2 . R value of exterior walls �Z.19+3/`i14 lL 0 k..� is%5 NAN'S •3 . R value of glazed area .r'f`i . 4 . R value of doors P4.r7 , 5. R value of floors over unheated spaces beaaS 6. R value of slab edge insulation -unheated slab NA • 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 \CS ri, S ' C. ' Controls a 1. Thermostat maximum heat set • • ting • -Ll0 ' D.' Duct Systems ' . . 1 ..; Is duct system installed in unheated spaces? YES C) . • . __ 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 N dTs% . . 2 . R value of pipe insulation F. Service Water Heating -11 - �_ 1 . Performance efficiency 12. - • 2. Temperature control setting maximum )'70° • G. For Swimming Pool Only • .� 1. Maximum heating + • • Telephone No. GR!0-3q'2ct •_ 1 c I ,. . 15- (applican ,' s signature) TOWN OF QUEENSBURY ram, APPLICATION FOR. ,� SEPTIC DISPOSAL PERMIT DATE 'fOCh1Y ZZSZ. / \ctcRg' LOCATION OF PROPERTY FOR INSTALLATION w, EYOW.IU V Rio, g3--\ - t`o Owner's Name: J--KA�ca Y (L VE Telephone: Gct G- '39Z9 Address: RER, t VDOX -v`o-s CjpoLsy `-N \Ll, Sm. LAN‘, L2a12v Y\D.y? Installer's Name: 6-2YCA C2.0 `p,G Telephone: P-Ic8- 43r7(.1 Number of bedrooms (residential only) 3 Total daily flow (compute @ 150 gal per bedroom) 4 SQ cr,P o Topography: circle one: 400 Rolling Steep slope % of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: feet Ground Water: At what depth? 0('')Y'\'E. . feet Bedrock or Impervious Material: At what depth? yanNoE feet Percolation test: circle one: not required required/rate min.inch. Domestic water supply: circle lone: Municipal Well Other — If domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank \p(r.) gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench -- feet / Total system length feet SEEPAGE PIT(S): Number of z / Size each r W feet by q h feet 1 Size of stone to be used # 3 /Depth or Thickness t Inn vo. 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. Signature of responsible person: � . Date: \--2)0sC_, \ \ \clef (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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installa— tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 Remarks: - SELECT BUSINESS FORMS (609) 848-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES , 0',.-,..w* MIDDLE DEPARTMENT INSPECTION AGENCY, INC. \ /ViCiii National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 4,410,cal .., RT. ! H 'r Date: `\— —Ci',5 City, Town or Township l lts_,..Y\i \L- ,..a. County V. 12..:2V- v'1 State 1\.-,..\--e. Location/Address `:---Z ' (If Located in Rural Area- Please Attach Directions) Pole # '— k_>,:;— Owner c a.--;'-c' C,... A. ,� Permit # Occupied As \ \'..'i-,:' -,c `, Building: New iig Old❑ Occupant Work Area in Building (Floor #,etc.): App. for: Wiring I I Service n or: Ready for Inspection: Fee Remitted-$ 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 Slice — �,_ Applicant's \ t—'' (� Signature \� \\ License # Permit # T/A Utility: \ '7 (NAME) (OFFICE LOCATION) Applicant's Address: ac_t .4�c,K ;:-14 �- L� L �\ . �' �--�\L (�- (City) -s' L aZX ....: (State) M, . (Zip) tid y' C-• Service Request # Phone # (--ci C —:V't< ,`=l Electrician: MAWS!'091. dk DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Aboven 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 1'/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 ;::r;. Elect. Heat 2. ,,._... ELECT IL 3i� i:,!.i�_ CORRECT CERTIFICATIONS USE FOR INITIAL VISIT ONLY N9TIF1ED DATE FEE= FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.n Inc. n I1 L/A Owner CASH U (� L/A Fee CHK # Due ; MO # n IPA Municipal INV # Date: Other Side El Utility Utility El Cut in Card n Temp # Date I h Ieper•-rn,Re t`Ir.,.I nTI I99 I (� MIDDLE DEPART ,; ,. 1 S FG�Q AGENCY, INC. 0 9 0 . 900.,}iaddor►*WAIN- nura rQuint oOd 41008 (• e .., t,�` ` i SPEcri oats July 12, 1989 • C .. Qertlf leg that t ,e)e t�a),ec IU pment listed has been exanute arietifs approved as being in.accord C) I(cable overnmental, utilityan rules. c with the National Electra: �ceC p g Owner: Larry Clute psi D Ali g 11) Same � a Occupant: ; Bennett Roa� .k fluQn b r certificate ta�elec deaf; uipment and installation inspected ` Location: ) C v date. Ifa additional e�w elec de f be introduced or alterations made this 3.1 existing system thii c icate qv be null and void, and application for C $7 Outlets, °17 ece tacles; ffi inspection should gesubmitteitp.: tly to this Agency. ` Equipment: t � }older of this ceficate sh 'Id,' nt same to his property insurance carrier 200 Amp SerVi, 6 Ap ianees (agent or comp y)asevl nee f' ertification of electrical equipment approved C� as specified C C -.A4 CE Larry Clute � Applicant: RRl, Box 363, Ga .i er: NO. 15-022024 C L Lake Luzerne, NY 12: .`<4, C. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS • QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INS EC ION RECEIVED. 7/77� NAME Gib / / LOCATION AE'4wW" DATE 2 //• %/�J1 PERMIT # �j' C � APPROVED YES NO - • FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING • ELECTRICAL ROUGH-IN ' • INSULATION:, FOUNDATION FLOORS ' WALLS f` CEILING FINAL INSPECTION: • CHIMNEY HEIGHT'';, • ROOFING ° _ • SIDING jF EXTERNAL PORCHES%STEPS r STAIRS-CLEARANCE &RAILS (J1 PLUMBING FIXTRES/RELIEF. VALVE ff . INTERIOR TRIM/PRIVACY\DOORS 1// FINISHED FLOORS l/ GARAGE FIREPROOFING ✓J. DOOR CLOSER(S) ' e /` 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: ► • Ci . ci/e_ •� / • , 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 NAME LOCATION (1) o. DATE 'f 3 PERMIT # � ( �� APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING • / BACKFILL APPROVAL / ROUGH PLUMBING FRAMING / ELECTRICAL ROUGH—IN / INSULATION: f' FOUNDATION d FLOORS i WALLS / CEILING / . FINAL INSPECTION: / CHIMNEY HEIGHT / .. ROOFING I SIDING / EXTERNAL PORCF1'ES/STEPS STAIRS—CLEARI}'NCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TFIM/PRIVACY DOORS \ FINISHED F/WORS GARAGE FIREPROOFING '\ DOOR CLOSER(S) SMOKE DE ECTORS FINAL ELERICAL INSPECTION FINAL APP OVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: C//ltiTc____ (2/Z1-') Xl.e;1) INSPECTOR , . ' • : MIDDLE DEPARTMENT.INSPECTION AGENCY,INC.- , . • Electrical-Building-Plumbing-Fire Inspections _... • . . Labe 85 . , , . . „ , .._.,... . . . T consti utes certification that the . , 1 above installation, bdt 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 made to the existing system or stuc- ture, application for inspection should be submitted promptly to this Agency. . . . • , •,. If --- — .---- - ---- __ TOWN UEENSBURY BUILDING AND CODES DEPARTMENT c? /Vh i BAY & HAVILAND ROADS 0 ' QUEENSBURY, NEW YORK 1280� TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT C REQUEST FOR INSPECTION RECEIVED ''7— NAME LOCATION 3s((ii- DATE 6.-- S'"(-8-9 PERMIT II /1 - APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS F, 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 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: (5)° Ce9O-Aff'C' INSPECTOR • •• awn of Queeñiur, fr1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYS - INSPECTION (-4 NAME cY Gdy ,H e -' (-1 4 n/.Avf//s LOCATION �/ m/7e / / DATEc5-'/'1/(q PERMIT NO. Fr-or SOIL TYPE - Sand 7 Loam - Clay - Percolation Test Required? YES - NO Percolation rate -,Min/Inch 1 - TYPE of SYSTEM: • \ Absorption field, topa1 length / . Length of each trenc1 ' Depth of trench • Size of el_ fi _ SEEPAGE PITS{Number of) • Z Size- ‘15- ft. x _ ft}. • Gravel size �1 PIPING: Size Type Bldg. to tank 11 Li" SC{.( 140C_ Tank to dist. box \\ C_( /2cTC ../p Dist. box to-fieldit `.A L{ Openings sealed? ;' ealk NO Partial . LOCATION/SEPARATIONS: Foundation to `tank `y / / ft. Foundation to"' absorption 3a ft. Absorption to lot line 10 1t.ZA '-(-- Separation,of pits • 20 ft. LOCATION OF SYSTEM ON• PROPERTY(circle one) Front - 4110 Left side - Right side - COMMENTSe • • SYSTEM USE APPROVED 41111 • Bu' ding Ins ect • • 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS �y�/� QUEENSBURY, NEW YORK 1280c r TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME Ya ;7 (i A , LOCATION , X .!�2/1�L1 �/ L li DATE (s // -f9 PERMIT # APPROVED /b YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN !' l'1SULATION: s FOUNDATION f'I FLOORS `?�=21-,-) WALLS CEILING F cF' -d—.5/t 4 /..- _ FINAL INSPECTION: i1 CHIMNEY HEIGHT :/ ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS r ' 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: INSPEC CR TOtiVN" 0 �UEENSBURY 4, ��r BUILDIN D CODES DEPARTMENT ►/ w4; A/ BAY & HAVILAND ROADS /�. '=?} QUEENSBURY, NEW YORK 1280k ,✓ I�yO '" /� TELEPHONE (518) 792-5832 /f)) 130 c 11, BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME (-Oily l_./U1'e- LOCATIONJ'/3.5� t-�N.�4v/ •Qi DATE y��/ PERMIT # Fk l LF L APPROVED :' YES NO FOOTING/PIERS M9NOLITHIC POUR FORMS 49UNDATION/DAMP—PROOFING VBACKFILL APPROVAL3C.. ROUGH PLUMBING FRAMING ELECTRICAL ROUGH=IN ' INSULATION: FOUNDATION \. FLOORS .\; ' WALLS ',14• 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 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: Q 1 -------- '14.------- ij.e I(C/C S7-,V / Ii 677 INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS �J QUEENSBURY, NEW YORK 1280i TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED Li / NAME (�J0( Cit LOCATION m `1 v1-f‘X DATE t-III i 3 17ce'‘ PERMIT # = ct APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL f l'1ROOGH PLUMBING ' ,,i L�RAMING �, t> ELECTRICAL ROUGW-IN INSULATION: FOUNDATION / FLOORS N 1 WALLS V CEILING ' FINAL INSPECTION:i" CHIMNEY HEIGHT! ROOFING 1 SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEAT 2ANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOER(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: /2c9 / ./ INSPECTOR limar 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 \d:\13\a3 NAME C LOCATION • �J�l _ v�lVL4 DATE 1 A r PERMIT # y � (� _ APPROVED 'Y � SJ �'.lur3 IYES NO FOOTING/PIERS \1, I MONOLITHIC POUR FORMS f \ FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL \ % ' ROUGH PLUMBING \ FRAMING \ • F ELECTRICAL ROUGH-IN '' I INSULATION: t, FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: n CHIMNEY HEIGHT � 4, ROOFING SIDING EXTERNAL PORCHES/STEPS 1;, ti STAIRS-CLEARANCE & RAILS I. PLUMBING FIXTUkES/RELIEF VALVE INTERIOR TRIM%PRIVACY DOORSI, FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINALjEL'ECTRICAL INSPECTION / FINAL/APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' 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