1988-917 � '',.
3
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN. COUNTY, NEW YORK
Date in(1)Z ch 25 19
This is to certify that work requested to be done as shown by Permit No. 88-917
has been completed.
This structure may be occupied as a Detached One Car Garage
Location Laurel Lane
Owner Walter Symons & Ann Humiston
By Order Town Board
TOWN OF QUEENSBURY
r7)
�..
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. RRXRIX 88_917 H
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Walter Symons & Ann Humiston
OWNER of property located at 32 Laurel Lane (Clendon Ridge) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Detached One Car Garage
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.
w
1. OWNER'S Address is w
SAME
2. CONTRACTOR or BUILDER'S Name
Charles Rappoli & Walter Symons
cn
---. — -- — 1-4
3. CONTRACTOR or BUILDER'S Address - Z
O
cn
SAME
4. ARCHITECT'S Name L�—
H
C=i
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
N.)
( )Wood Frame ( ) Masonry ( )Steel ( ) r
7. PLANS and Specifications Lam'
No. 16' x 24' detached one car garage as per plot plan, specifications, r
and application submitted.
8. Proposed Use
Detached One Car Garage
10.00 C/C
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 89
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n
town of Queensbury before the expiration date.)
to
Dated at the Town of Queensbur this 23rd 1 l ay of November 19 88 z
SIGNED BY s.../ ! "`~ for the Town of Queensbury
Building and Zoning Inspector
O
t�
•
TOWN OF QUEENSBURY
APPLICATION FOR BUILDING AND ZONING PI;RNIT
fat - TOWN OF QUEENSBURY
Reci.eved /`/2� ' RECEIVED
-i ce Reviewed ///a
j / . . , err
+i';it Fee Paid fi ;3�" BUM. CODE OEM.
BUILDING AND CODES DEPARTMMENT Pate liszued
BAY and HAVILAND ROADS RD 1 Box 98
pUEENSBURY,NEW YORK 12804 Penm.t t No. '- 9f 7
Tel . (518) 792-5832 'Ext •204
• '* * * * * * :'* * 1 * * * * * * * * * * * * * * * * * * * k * * * * * * * *
A PERMIT MUST B4 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
s-isivature of the applicant must appear on the reverse side of this sheet .
* IA * * * * * * * * * * * . * * * * * * * * * * ,*I * * * * * * * * * * * *
The owner of this property is : lr.). \/v,40,.'•.S ` I_�lnn • u is -t6s _ 7Qv </�oc/
P . O. Address Zo`L 1,; n ..‘ r-2l I..h.w �P) &(-R 5 ,At, JoyTEL./.,- -797 - 7,R 71(
Property location 33 ko,Qr- lave Cl-u 4,1 &1,(4ya (, ).p,,t•t7`-0I/3TAX MAP NO. /R/ / / / 33
Has there been any split of this property since October 1 , 1988? yes no
If yes , Planning Board Review is necessary.
rr
SUBDIVISION NAME, IF APPLICABLE �•p�,A, hC . R,,4(1_a, _ LOT NO . .
The person responsible for supervision of work as regards Building Codes is :
C�e4AQS Za 9O1V. L W, S. vaGels (9a 1-n,0,-(- '/Qn�. 4 .F. -) 73 - 7�7 y Po-
NAME I I .O .1 ADDRESS TEL. NO.
Name of builderw.s r 4, ,A,5 Address 3`ot (•„ 0-e( la.ot e 6 r-, Tel 7 T3 ,7 9-7(/ 14-6cae"
Name of Plumber vr/ Address Tel ^7¢3- t4 x-e`-( ,Ulsor`-,
Name of Mason Address Tel
NATURE OF PROPOSED h,ORK: ,v ZONING INFORMATION (Office use only)
/onstruction of a new building * ZONING DESIGNATION OF PROPERTY S',2 - /.,,,
Addition to a building 1-
--- PERMITTED PRINCIPAL PERMITTED ACCESSORY r/
Alteration to a- building * ` J�
(no Change to exterior dimensions). w REVIEW REQUIRED - PLANNING BOARD ZONING BOARD'
Other work (describe) SITE PLAN REVIEW # APPROVED DATE
*
* VARIANCE # APPROVED DATE '
GROSS AREA OF . PROPOSED, STRUCTURE
, ,
�� ///
1st Floor - )o sq ft . * Remarks:
te
2 n d Floor sq ft . W COMPLET4 INFORMATION REQUIRED IRED BELOW.
* Size of property / cil ft X /v Q ft.
Other Floors • sq ft . * Existing building(s) Size ,3G, ft X 4/0 ft.
(not cellar or basement) It
X TOTAL- FLOOR AREA /(Q sq ft . * Existing building (s) U5e 611e •A@ O/``� Cku.eg t (/
xSize of new structure / ft X,�,( ft * G� a
Foundation-pier/ '/crawl/partial/full * Proposed building, distance from property line
(circle one) * Front yard 9S- ft Rear yard c/ ft
Na. of stories (habitable space) �1/� * Side yards /WA. ft and ft
height (grade to ridge) / ft. •
* It on corner, etback from side str.eet,30 ft
if residential, no. of families ti//i),
No. of rooms(excluding baths) ,U// * OCCUPANCY 1NFORMATION
No. of bedrooms ' N /)- , PRIMARY BUILDING - •
No, of bathrooms MA • One family dwelling
Primary Y lueatin�3 stem ./-14,
* Two family dwelling
Type of fuel NJ•A- Multiple dwelling / Number of units
No, of fireplace/, to be installed //} *• Permanent occupancy
Will a wood stove be installed? 4.1 * Transient occupancy
4'I
Central Air conditioning? /r * Business
BUILDING STYLE, PRIMARY STRUCTURE *' industrial
* V Ocher Cc..(`c11�
]Winch Contemporary Log cabin * If addition, what will use be?
liaised ranch Mansion Duplex
Split level Old style Bungalow *
Cape Cod Cottageilleagali * ACCESSORY BUILDiNG-
Colonial Row 'town House ' * Detached garage/one car/ two car/ / car
. ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two cur/ • cap
* * * * * * * *, * A a * * * •a * * _Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form•BPA 10/88 v1 /C- /' / v 490
•
IsUiLDING PEIMI'I' AIPLTC/A.1'10N CONTINUED - .._
BUILDING SPECIFICATION: ''..
Type of•.construction,. ,wood frame, fire safd,e.tc. ;r-o �4.cf!'12•49.-
Will any second-hand or-ungraded lumber be used? If so, for what? .tJ o
Foundation wall material doit @J"e4-e- Thickness
Depth of foundation below grade (to bottom of footing) oor sq. footage �(�i sq ft
Will there be a cellar? Aid Heated or unheated? 4} 7 ��
Will there be a basement? NO Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use? yr...//4
Type of roof .1!aopepflat/shed/otiter
Material.-of root ,Pa,;fiQ0.5
Size, wood studs`.. "x `t " spacing i-b "o.c. length '3' ft.
s _H spacing , "o.c. spun ft. ',
Joists floor beams) 1st. floor "X � spacing � "o.c. span�_ft• •
Joists (floor beams) 2nd. floor`�;e�sc� ��X "o.c./ ;;pan ft.Overlays(ceiling beams) • "X spacing__ltaof rafters ;l .
"X 1C7 " spacing I6, o.c. span it ft.
//
'Roof-.trusses(pre=engine:e:red) spacing "o.c. span ft.
r Of what material?
Exterior wall finish C, �� .7 � c6 ,x
g'
Interior wall finish 0 't 10
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 44
•
Is there to be an opening between garage and dwelling?_ If so will a Fire,-rated
door, enclosure, and self-closing device be provided? ft.
Will a flue-limed chimney be installed? Height above roof. --.
t.
Depth of chimney foundation below grade
Depth of fireplace hearth NlA ft. ( in.
Water supply - Municipal or private: well eludin adjoining properties ft.
SEPTIC SYSTEM _ Distance: from ANY private welrelair or nc:w installation of seht c system)
application is necessary for any P
(A separate
DECLARATION
' To the best of my knowledge and belief the statements contained
in--tlys application,—togt ther_-with_the_ plans and specifications submitted, are: a true and
complete statement of all proposed work to b�RDINANCI'.,tlancldallro h;:rplawsspertaininyttoll
provisions of the BUILDING CODE, THE ZONING
the proposed work shall be complied with, whether specified or not, and that such work is
authorized by the owner.
Cc; 142-#Y1•
Signature 9J� --- -Owner, owner's agen ,arcnitect,conac
•
A * * * * * * * A -* * A W * * x * * * * It * * *. * * * * * A A * * * * * ,c * * * * * * A I *
SPECIAL CONDITIONS OP TUE PEhMIT:
By
• 5• Y
MAIN OFFICE ATLANTIC-INLAND, INC.
997 McLean Rd. NEW 1�K
Cortland,New York 13045 x
MEMBER OF N.F.P.A.AND I.A.E.I. ,/UI
Phone: (607)753-7118 FIRE UNDERWRITERS C
(607)753-7809
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service) 0 70 3
(Incorporated in the State of New York)
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below.On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
•
APPLICATION FOR ELECTRICAL INSPECTION— PLEASE PRINT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION
CITY,TOWN,VILLAGE • t.1.,, C. if:.v�- \-,v\\ , COUNTY `.)-J ', \ l Vl STATE ('J ' y
STREET - ✓1\ •�
ADDRESS " LA 1.--..a.-)C=�. , C�1,V•\_-1 BUILDG.NO. 'i 1
RURAL
DIRECTIONS !-.) ;j o\ �'.0y\ \--.S. \ \--' POLE NO.
OWNER'S ` t t
NAME '�_I 5 ' '. \ \ \ ,;.I t'l�'1 (,V\ OCCUPIED AS \\ I. = t'A -.Q...\ r"
OCCUPANT \ �� BUILDING—New 0Old❑WORK—New❑Additional❑
OWNER'S P.O. ( r•;j‘�/
ADDRESS l_ `` t_,':x .":\ -�` l�..�•� . `..-'',•.1 a .f]•.'\`_. ''0 JC 'yi • \ l/
I ,
APP.FOR—ROUGH WIRING 0 FIXTURES 0 OR J/ READY FOR INSPECTION I/-• 19
FEE REMITTED—$ v�,, , U BY CHECK Fe"..
J CASH 0 MONEY ORDER❑ MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
Number of Rough Wiring Outlets Fixtures Add Installation
Swtch Li'tng Recep. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Heat Base Base
V7 • Elect.Heat
Amp.Service Water Htr. Burner Air Cond.
Surface Unit Oven Range Gr.Disp. Dish W.
Dryer H.P.Pump Ex.Fan Hood
___ . OTHER EQUIPMENT(Specify Type&Capacities)_ ___ _ '- _ _ - _ - • -
•
TYPE OF SIZE OF SUB- BRANCHES NO.OF
WIRING OPEN 0 CONCEALED 0 OTHER MAIN MAIN CIRCUITS
APPLICANT'S i ` , '� �-
XSIGNATURE
' ). VA) 1, \.J.i:. \ • , -"";ti..1, ('\\;U._\�f) LICENSEN PERMIT1F
APPLICANT'S `- @ NAME OF
ADDRESS --i• � `.•-.r ,..0 I?',., �`..7.,,,1\J`J� UTILITY
J } / OFFICE TO
CITYI ,;'U'�..�v j 10-aY , STATE \L `\/ ZIP CODE t t'L.I BE NOTIFIED
SPACE BELOW FOR USE OF INSPECTORS ONLY • '
ROUGH WIRING ----/ �� � AMP SERVICE K.W.SURFACE
OUTLETS (,.,/. "-':.�G/ -- EQUIPMENT UNIT
7_ SWITCHES AMP SERVICE K.W.OVEN
li t • 7-, CONDUCTORS
H.P.GAR
., RECEPTACLES � q�4 � '--�-r-� H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K.W.
FIXTURES K.W.DRYER DISHWASHER
MOGUL BASE K.W.WATER
FIXTURES HEATER K.W.RANGE
FLUORESCENT H.P.AIR F.,l_ />f,AMP. c ,r•_� RECEPTACLES
. FIXTURES CONDITIONER • C.n
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER ' SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS 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 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
Il •
APPARATUS / / Elect.Heat — _ _
1 ted !°� '" �. FEE PAID
TOTAL$ ,' ,S .;
INFORMATION FOR BUILDING DEPARTMENT/
. LENDING AGENCY Check No. /L2 js
Money Order
Atlantic-Inland, Inc. is in the process of issuing a Certificate of Cash
Occupancy/Compliance for the electrical installation/ Charge •
construction project as covered in an application filed with .
our main office.
,_:, _cp_5--_ 9.2, j/q‘..4:4--/-(......---. --,-•
Date Inspector Inspector
NEW YORK ATLANTIC-INLAND, INC. - -
.I i01f1111f II 1: ..
MAIN OFFICE
ATLANTIC-INN
LAND, INC.
997 McLean Rd.. NEW YORK
Cortland,New York 13045
MEMBER OF N.F.P:A:AND LAE,C - -
Phone: (607)753-7118 FIRE.UNDERWRITERS
. . (607)753-7809 -.52184
.
(607)753-1396!. (Electrical_and Fire Inspection-Enforcing and Consulting Service) :
(Incorporated in,the State of New York).,.
Desiring Certificate of Approval,application:is made for inspection of electrical installation,in the premises describedbelow.On demand applicant agrees to pay for
inspection service in accord with schedule of charges. :
APPLICATION FOR ELECTRICAL INSPECTION PLEASE PRINT OR:TYPE .' .
. THIS SECTION-TO BE.COMPLETED BY.APPLICANT , • DATE OF APPLICATION , tO SI SPY('
CITY,TOWN,VILLAGE ,.7`,t_k h.S\�7 - ' . 'COUN•TY" I I )e (s-(-Y STATE Aj
Q V`
STREET �'1 `- :. 1' �
ADDRESS 'J ° .- C--Q '\�y tn,•l `��5 .V-ra U�. . ... J ;: BUILDG.NO: .3—'
DIRECTIONS' v��b�.., Y A.� '['0 L...23 `2 r 0,..k.1 �,4 .. ' C(.'-4Ci lc�Y4.' R.4. \)..Q ' / POLE NO. : •
OWNE
NAMER'S .�" Q�S i. �. L.4UNA. I••D1 /\, OCCUPIED AS ' (�•WI,L1 IQ.,.."-."-•LII,
OCCUPANT iit p Lr '. ,• BUILDING -New l Old❑WORK ew 0 Additional
OWNER'S P.O. Q ' ' >. .. , .
ADDRESS ' . 0LW�,'2�
APP.FOR ROUGH WIRING Ie FIXTURES❑OR . 01 P.A.,rck.,ri— READY FOR INSPECTION ' • 19
FEE REMITTED—$• s '!', BY CHECK❑CASH❑MONEY•ORDER❑ •MAKE PAYABLE TO ATLANTIC-INLAND,INC NEW YORK ' .
Number of Rough Wiring Outlets Fixtures - - ' ' , Add Installation . - •• - -
Swtch- Li'tng ' Recep. ' -KW Med. Mogul Fluor. . . ' ,500 750 '1000 1250 1500 1750 2000 2250 2500 2750 3000 -
'. Heat - Base Base -
Elect.Heat "
• ia. 2 - • Amp.Service . '0 .• ` Water Htr.' i Burner Air Cond.
Surface Unit Oven Range Gr.Disp. Dish W.
--• ,., -Dryer H.P.Pump Ex.Fan Hood
OTHER'EQUIPMENT(Specify Type 8 Capacities) • t1,,,Y -
TYPE OF ;' SIZE OF - y �. i ,
WIRING" OPEN CONCEALEDt OTHER MAIN. SUB-. BRANCHES 'CO.OF
MAIN��� ' CIRCUITS
APPLICANT'S 1
O SIGNATURE - O., ,--• A-, ...1`► A _ LICENSE# P RMIT#
APPLICANTS' —' I ( - - _ - -
ADDRESS. C 1_ � 1 It _.' _ _i w i _ I-t• . ..UTILITY OF.. , �.L •i. Y - ,.
' ' : OFFICE TO ".
CITY . ; STATE ZIP CODE -• - • BE NOTIFIED
' ` '' SPACE BELOW FOR U_SE O.F.INSPECTORS ONLY`+ `" :^:',i t"•'.: x 1.ecii4'.-.
-` ROUGH WIRING - • AMP SERVICE K.W.SURFACE `
.. OUTLETS EQUIPMENT - UNIT '
SWITCHES - AMP SERVICE .. K.W.OVEN
" , - CONDUCTORS _ .-
- I - H.P.GARBAGE
RECEPTACLES - .. H.P.PUMP _. - DISPOSAL UNIT
,: MEDIUM BASE
. �'�
- . FIXTURES , . K.W..DRYER . - DISHWASHER
MOGUL BASE - K.W.WATER FIXTURES .. HEATER - K.W.RANGE
, `"-FLUORESCENT...i -H.P.AIR AMP. RECEPTACLES
:_FIXTURES CONDITIONER ' , _ ,.
MERCURY VAPOR OR WIRING&CONTROLS FOR. , BURNER SMOKE FRAC.H.P.
'QUARTZ FIXTURES - - DETECTORS ' VENT FANS
.MOTORS;H.P: , ' . 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1�1/2 , 2 3 _ 5 , -711 10 15 20- :25 30 40 50, 75 100 '
MARK NUMBER'' .
` .,
• ,. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
APPARATUS .,
_ _ ... . .._- .... Elect.Heat
• MISC.INFO _ -
• 77�� }7�/y Received .. , Inspected -r '; FEE PAID
•.. • "".Stanley .�. atyka, ❑DEFECTIVE .. _
TOTAL$
_•p.'/1� f1J,r��`•.��x 60 0 Rough Wiring Certificate. ' - _ Check No.
- Greenwich, '1N1.Y. 12834 ID Temporary Service Money Order
❑FINAL CERTIFICATE - - . . - ..
,.Vlon. -bra. 6,- 7.30 A.M.: : Cash`
_ 0 Dup.Cert.Req.
518-692-9295 ❑MUNICIPAL . - . • , Charge
' "(518) 638-6339
MUN.ADDRESS
1
Member
INLA N.F.P.A.&I.A.E.I. Electrical Ce/ tificate
ATLANTIC - INLAND, INC. - NEW YORK
Electrical and Fire Inspection-Enforcing&Consulting Service
997 McLean Road,Cortland,NY 1304`�
�`-� DATE: Ups/06/c;2 CERTIFICATE NO.: `--1 r!7rt'
OWNER: i:in' tc i 3`'t+suns � AS APPROVED FOR:
J
24 Laurel 3 ar:c &T.
�
ADDRESS: �/ Ca''a•gt:
C.iitctet�sbux5 j Ian // i-s x.
t:./4-�:c•.:�egt J: tnc?.b�� t� I?-i^3FCI r°ecr I,t, .: ,
• .
ELECTRICIAN: :Waiter S��tno•T.s ` `
24 Laui:el Lone , -
ADDRESS: QueE s ury , ' 28;oLf•' -,
•
The conditions following governed the issuance of this certificate,and any certificate previously issue
is cancelled:
'. ,r
This certificate only covers the electrical equipment listed and installation conditions as of date.Upo
f .` %'-� the introduction of additional equipment or alterations,application shall be promptly made for inspection.
i , , .• � - ;•1 - Inspectors of this Company shall have the privilege of making inspections at any time,and if its rule:
Ili are violated,the Company shall have the right to revoke this certificate.
0 .-- _
N-27
TOWN OF QUEENSBURY
/BUILDING AND CODES DEPARTMENT
r 531 BAY ROAD
rr QUEENSBURY, NEW YORK 12804
/ TELEPHONE (518) 792-5832
/ BUILDING INSPECTOR'S REPORT
/EST FOR INSPECTION RECEIVED
pp
rCATION 2 ep,/X o
ATE ,04/0 PERMIT # f -g/7
/TYPE OF STRUCTURE
!RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
. REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: 4(1,LC,-(4)alb `L� L ,d&c
y)(,,C11
ARRIVE
DEPART
INSPECTOR/
�1 TORN OF QUEENSBURY ���
. � � 531 BAY ROAD
j QUEENSBURY, NEW YORK 12804
w...,,.1; TELEPHONE (518) 792-5832
BUILDIIN;, INSPECTOR'S REPORT
FINAL INSPECTION 2/ A /
REQUEST FOR INSPECTION RECEIVED 1 ,3 ,1/ - 21
/ Leh , i91'67i'W•
LOCATION //., /I ii/�e p .(1.,4�l -,
DATE .-{V9/ • PERMIT# f q/'1
TYPE OF STRUCTURE Jo/z. .1.,/J J4tj /9J a%l/sv
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
!/
SOOTING FOUNDATION 'b'1BACKFILL FRAMING
ROUGH PLIjBING FINALi;ELECTRICAL_SEPTIC
INSULATION WOODSTOVE%FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES ® NO
REMARKS,./ .47 /yh. VC47 /14,4( /�?/1/ ./e
74'.2a - // /T , a A
)111a" . Go &3SQ'4vg,f APPROVAL
CHIMNEY HEIGHT/LOCATION N/A Jl/YES NO
B VENT/LOCATION
PLUMBING VENT )
ROOFING ✓/
SIDING 1 /
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES i, /
FURNACE/HOT WATER OPERATINGf-, /
BASEMENT INSULATION/DUCTWORK/
INTERIOR TRIM/PRIVACY DOORS,+.'
FINISH FLOORS: /'i
BATH/KITCHEN WATERTIGHT/
OTHER FLOORS SWEEPABLE/ p
OTHER FLOORS CARPETED,'
STAIR CLEARANCE/RAILINGS f•
HANDICAPPED ACCESS /
SMOKE DETECTORS R 4
BATHROOM FANS/WHOLEHOUSE FANS,,
ALL PLUMBING .FIXTURES OPERATING
GARAGE FIRE PROOFING <,
DOOR CLOSERS 1
OTHER FIRE SEPARATION .
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL I
OK TO ISSUE C/O OR C/C
i
COMMENTS: ‘
557W/ /1/66/7,5- .6-;:4c .:1Z///y&cf:".94.4-/
&/1 AY C.L4. 113- a/(/
clY
ARRIVE
DEPART 4- —
R
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 `j/a./ / ,17„1-2p20
LOCATION i dime_
DATE g/1/7 / PERMIT #
Cc�e� APPROVED
• YES NO
(OTING/PIERS',, /
MONOLITHIC POUR,,FORMS �� • l
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL,_
ROUGH PLUMBING `
FRAMING
ELECTRICAL ROUGH
INSULATION:
FOUNDATION
FLOORS • 'r711
WALLS c .
CEILING
FINAL INSPECTION: .%
CHIMNEY HEIGHT „?' �•
ROOFING d k
SIDING 1
EXTERNAL PORCHES/STEPS ' \'y,
STAIRS-CLEARArNCE & RAILS \
PLUMBING FIX{PURES/RELIEF VALVE 3L
INTERIOR TREM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOR(S)
SMOKE DE ECTORS 1
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:
NA /J 6r IC
•
•
/////
•
INSPECTOR
TOWN OF QUEENSBURY
Bay at Haviland Road, Queensbury, NY 1 2804-9 725-5 1 8-792-5832
Date: Csi -1 � /99/
J.?
RE: Tax Map # /2/—
Building Permit # If- 9/7'
Dear ) .
The inspections for the building permit indicated above have been completed
by this Department. However, the final electrical inspection has not been
made, or if it has, we have not received an indication of this from the
electrical inspection agency to whom you applied.
Please contact your contractor, or the electrical inspection agency
representative for this area, list attached, to finalize this inspection as
soon as possible. A Certificate of Occupancy or Certificate of Compliance. •
cannot be. issued for this project until such time we receive this notification;
and therefore, the dwelling, addition, garage, etc. for which you applied,
cannot be legally used in the Town of Queensbury.
We anticipate your cooperation in this matter.
Very truly yours,
•
• DAVID HATIN, DIRECTOR
BUILDING & CODE ENFORCEMENT
(A-/ J�/2.-6Wiz./
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"HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE"
SETTLED 1763 •
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N PERMISSION FROM PROFESSIONAL BUILDING SYSTEMS INC. IS PROHIBITED.
USE OF THESE PLANS FOR CONSTRUCTION OR ANY OTHER PURPOSE WITHOUT WRITTtENSIONS `SHOWN.
THE AT PLANS ,4ND DETAILS CONFORM TO ALL R£OINREMENTS. THEY SHALL VERIFY ALL DIMENSIONS BEFORE
THESE DRAW►NGS. THEY MAY NOT 6E TO EXACT ��' 'E ONLY THE � OYSTEMS CRAFTING DEPARTMENT OF ANY DISCREPANCIES BEFORE WORK IS PERFORMED.
Dp NOT SCALE
�t�TRAC1"�RS S4�IA11; CONSULT APPLIGABIE BUILDING �� 1Q ��� SST OR STRUCTURAL PROBLEMS RESULTING FROM THE FAILURE TO FOLLOW THESE PLANS AND DETAILS.
OV01SR AND C , .......,cTo� 1[^7iAN WORK AND .SMALL NOTIFY PROFESSON BOIL DMiG ` r
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TOWN OF QUEENSBURY
BUILDING & CODES DEPT.
REVIEWED BY
DATE �i •, 2,3,:_/,
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AWTIONS/R*VISIONS
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Laurel ' (50' Row) Lane
Lot Area 21,182 sq.ft..
of NEw-_
I:,::, ." t:cce HG,y� y Notes
. Q` �q. 4. . `Pip C .
Lot numbers refer to a map of "Glendon Ridge'
. , ,,1 dated 9 January 1974 by John B. Van Dusan
, • *% and recorded in the Warren Co. Clerk's Subject Deed
Z * -�.;. lit • Office in Book 101 of Maps at page 18.
i HOI AD VILLAGE, INC.
ip • - O°� Location of subsurface Septic System as shown to
Walter J. Symons & Ann lL Humiston
V6' O49412 J�j1 to me'by Walter J. Symons 8 September 1987.
. SF NY 0i I did not personally see this system.
t N•�- LAND - g° 12 February 1988 Book 878 page 385
I I hereby certify to
S
3Savings Albany Savings�Bank Survey for
e Walter A Symons & Ann IL Humiston
j.
k.
`• `� 2 z ;,_ •
Walter J. Symons & Ann M. Humiston
i::''L. ' t Itte?irr/ •• 4/111/0
I Huimston I9 49472
Certifications indicated hereon signify that situate in
' this survey was prepared in accordance with '
1 , the existing Code of Practice for Land Surveys ' '
adopted by the New York State Association of Town of Queensbury Warren Co., N. Y.
,,,,.,,; Professional.Iand Surveyors.
Unauthorized alteration or addition to this Scale 1"=30' 8 September 1987
map is a,violation of Article 145, section
-1 7209, sub- (2) of the New .York
P LawSurveyed by Benchmark Surveying Services, 82 Front Street, Ballston Spa. N.Y.
�'�`;•y? State: Education Raw. I
77i-,f.