1988-950 I., E
1
T
CERTIFICATE OF': OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 6 12 0 Gin
19 .�
I
Q-301i0)--- 1 --
This is to certify that work requested to be done as shown by Permit No. c -9 5°
has been completed.
This structure may be occupied as a Sing `' Family Dwelling
location \ L( " 2 u' oha'E':Si Trail
Owner Forest Wood Homes, Inc
By Order Town Board
TOWN OF QUEENSBURY
u-rr( k 1n LuJ,(c_
Director of Bldg. do Code`Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-950
WARREN COUNTY, NEW YORK
Forest Wood Homes Inc .
PERMISSION is hereby granted to
Lot # 106 Mohawk Trail
OWNER of property located at Street, Road or Ave.
Single Family Dwelling
in the Town of Queensbury,To Construct or place a `.
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 HCO2 Box 286P
Warrensburg, New York 12885
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Addj ssme bsda
G
4. ARCHITECT'S Name (3—
5. ARCHITECT'S Address
i0
6. TYPE of Construction—(Please indicate by X)-
( )Wood Frame ( ) Masonry ( I Steel ( ) -
T
7. PLANS andSpecifiFajionX 40 Single family dwelling as per plot plan,
No. specifications ,, and application, including septic
and driveway.
8. Proposed Use 5
Single Family Dwelling
25 . 00 &")
$ 359 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 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
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 4th Day of January 19 89 ill
SIGNED BY for the Town of Queensburya
uilding and Zoning Inspector L..
TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT
0
'Recieved I
J,A l2�
=. ,
Revd, e 3 - 0
Fee Paid 4-�
•
BUILDING AND CODES UI:PARTPE;T Date Iooued -
BAY and NAVILAND ROADS RD 1 Box 98 •
nUEENSBURY,NEW YORK 12804 Penm-i t No. W- q 5'd
Tel . (518) 792-5832 Ext •204
.. 4 * * * * x. •;* * t * * * * * * * * * * * * * * * * * * * A * * * * * * *
A PERMIT MUST BIl OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIO▪NS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicable spaces on this application must be completed and the
silLature of the applicant must appear on the reverse side of this sheet .
* 'A * * A * * * * * * A * * * * * * * * * * * * * * * * * * * * * * * * *
The owner 'of this property is : Fovec+ 1.A•A^>4.' It-Alyner=s 7,roz.
P . O. Address `-{C- Oa. P)0,:•e e.,9 Way-rc-n,Attrel p df. ` ( -bitcS" TEL. 1.- (,a3- 3I70
`` ��TAX MAP NO. / /
Property location Ic`�- lbl l��iaalnc�.to '1,a.et `lheswnnrl`
Has there been any split -of this property since October 1 , 1988? yes/ no
, lf yes , Planning Board Review is necessary.
SUBDIVISION NAME, IF APPLICABLE T.1vve,svJbrA LOT NO. M4,
. The person responsible for supervision of work as regards Building Codes is :
g 11 '' ,zs.'.,, ;at,
, P WarccNo.6- e) " /o ¢ -3 9.71
NAME P .O . ADDRESS a..) TEL. NO.
Name of builder Fove-4 L04411 117111 cldress 14t„-OA, Creep Xi?F,P IA:'S-0.k-rP4.n.€1:,.a6: Tel f-• (.,a,S" Re• l.( ei
Name of Plumber G+C P?.;;12 , Address )" o a',.+su`( St. l'.( 6/Act rlgi• l,*dos 4' Tel (,.--q G,-J.!.t.o`N
t 0/ Address rt-e 1 RA (d: :rnaks'ile_E � Tel 76).1- NA ._
Name of Mason �a�a�� _Pre,wca•a' Prk d g fez, ,N
r
NATURE OF PROPOSED WORK: ZONING INFORMATION (Office use only)
1nscruccion of a new building } ZONING DESIGNATION OF PROPERTY
_Addition to a building ; PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to a building . '
• REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
(no change to exterior dimensions) _
Other r work (de:tribe) SITE PLAN REVIEW # APPROVED DATE
r
w VARIANCE # APPROVED DATE '
GROSS AREA OP PROPOSED, STRUCTURE
1st Floor Ilab sq ft ./ ,;a- x Remarks: •
2nd Floor I reW sq f t . ) '' r. COi•iPLl TE.IN1?ORmATION REQUIRED BELOW.
t, Size of property �► t:�� ft X ix, f t.
Other Floors sq ft * Existing building(s) Size _ ft X rc.
( not cellar or basement)
TOTAL FLOOR AREA P t{ 0 sq f t . ' Existing building (s) Use
'_:ize of new structure Xf ft X t.1i ft '
you,+dation-pier/slab/crawl/partial/(fu11P * Proposed building, distance from property line
(circle one) ;
•
* Front yard v ft Rear yard 4 7 ft
No. of stories (habitable space) R Side' yards 43 , ft and go' t c
Height (grade to ridge) 30 ft. If on corner, setback from side street ft
it residential, no. of families
No. of rooms(excluding baths) 10 ' OCCUPANCY `INFORMATION
No. of bedrooms y + • WS
# PRIMARY LUILDINC -
No. of bathrooms Q1 a { ,/One family dwelling
Primary heating system If1A+ s..s tr. Two family dwelling
Type of fuel nE1 x Multiple dwelling / Number of units
No. of fireplaces to be installed + Pertnancnt occupancy
Willa wood stove be installed? tin Transient occupancy
Central Air conditioning? \`i?.,, * 13usincss
BUILDING STYLE, PRIMARY STRUCTURE - Industrial
,� - Ocher
Ranch Contemporary Log cabin It addition, what will use be?
Raised ranch Mansion Duplex
•
Split level Old style bungalow '
Cape Cad Cottage Ocher ' ACCESSORY BUILDING-
l.onial , Raw Town blouse ' Detached garage/one car/ two car
car
. ( CIRCLE ONE PLEASE ) ' „el ttached garage/one car/ two car/_:car
* * * m •A * * * x * * * ; Private storage building
ESTIMATRD MARKET VALUE OF * Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 10/88 v1 .
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
C '
Type of construction, wood fram fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, 'for what? hp
Foundation wall material rA urCAe_
Thickness g.:o
Depth of foundation below grade (to bottom of footing) Y
Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft
Will there be a basement? ve,,s Will any portion be used as living space? n Q
(If so, what portion? sq.ft. - - Type of use?
Type of roof - loped lat/shed/other Material.-of roof .. ';elp 671 G e t „_-(2.
14,1
Size, wood studs "X " spacing / , "o.c. length y ` ft.
Joists(floor beams) 1st. floor "X 1n " spacing /ej, "o.c. span ft.
Joists (floor beams) 2nd. floor a "X /l " spacing f4 "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters ."X " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing ,1 ® "o.c. span OR ft.
Exterior wall finish r ' �; Of what material?
Interior wall finish ,s1,12pA-Y71C ��g'�
If a garage is to be attached, describe materials to. be used for FIRE SEPARATION: S��n+Ira c
e•I+) - vatt,11 A/n.fre, ei t-.'.d.4"C :t.' ''9t? rs-.423`fi::ffl 4,k!" '1 A tY :3.f
Is there to be an opening between �ff�"rage,�rana. dwelling? N e..d If sof will a Fire-rated
door, enclosure, and self-closing device be provided? —1
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace he.rth ft. in.
Water supply Municipal • • private well A"'-i"'
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties :fj ft.
(A separate application is necessary for any repair or new installation of seVti.c 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 � CAA„\�f
Owner wner!s agent, architec , contractor
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
i :i . . -' -,I:' . !,.. :'-•, ,, .
. .
. . •TOWN OP NEENSBURY
, . .
. . . • .
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 .. Cross floor area .Ad. •
— . .
..,..
2 . Type of heat ca, c-cr2 Cb ,L____;___R.
I . Is the building MechanicaflycoOled? '
. .
4 . Percentage of area of windows and doors • -7 00
A. Over 16% Only
. . U value of gross- area of walla , roof/ceiling and floors
0 _ .exposed . to ambient conditions .,.
. • . • . \ . _ . .
. . .
. •
• 2 . Floor -ceated spaces YES \ %
.. a. Are found in walls insult ? . -.YES NO . •
. .
1 . If YES , w - • t is. the • aluer
3 . Slab on grade YES
a. If YES , what i - the R121ii4-14. 1! insulation - around
. perimeter • : floor?
' .
• 4 . . Is base nt heated? . YES NO .
value of insulation '
. . • . -.,.„. .
. .
Type of insulation., . • . — .
_ . •
. . B. Under 16% - Only
1 . R vulue or roof arid floors expose'd to ambient conditions
• . . . .
• 2 . R value of exterior walls
._.
• .3 . R •value of glazed'.area - • • • Z.- 3 , 2
- . .
•
value of doors . 1 4 ' t • _ ..........•
5 . R value of floors over unheated upaces 12. 14:i
---,
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) ---7--- .
9 . R value of heated_basementicellar walls (below grade) . •
10. Type of insulation WiigPt crn<L7-11A4 1=1 1 .
C. Controls
'
1. Thermostat maximum heat -Setting„ .
• .
D. ' Duct Systems . . '
. • ' 1 . . . Is duct'system 'installed in unheated spaces? YES ' : '.
. '. :'• a. ' If YES , a value of duct installtion . - • . :, •
'..2"b. R value of - dUct'.in other areas
' E. Piping Insulation
1.. Size of hoc water 'or cooling carrying agent pipe
. : 2 .' • R value of pipe insulation - . •
F. Service Water Heating ‹-:•,.•_,, • .
. ' . • .
• 1 .• . verformance efficiency . : •
2. . , TellitpcIrature. control . st.-tting maximum___ JO
__ _______:_ •
C. - For Swimming Pool Only •
. ,
- -1. maximum heating . . _---, .
' .
. . .. .
- . •. . •• • . . .
- ' Telephone No. 1- 123q/7/ ." .1,x4, ' L
•419antiu signature)
. . . •
. . . . .
. • • • .
. .
.. .
•
. • . . .
. ' • . - . . . .
. .
. , . . . . .
. . •
7'61VN4OF QULENSBLIRY
APPLICATION FOR
SEPTIC DISPOSAL PERMIT
BAH f;....� .
DATE bee_, o27 d log
LOCATION OF PROPERTY FOR INSTALLATION iccf ibb T hP 4ttb-gg i i 6011
Owner's Name: FrwPrt 'rome_c Telephone: -6a3 - 1
Address: 14( - 0 a p X 141 v m tare)
Installer's Name: Darr t el ,r-,,.i Telephone: 'qL- Qa
Number of bedrooms (residential only) Li
Total daily flow (compute O. 150 gal per bedroom) �'�OD
Topography: Circle one: lat Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet
Ground Water: At what depth? d' lc, Feet
Bedrock or Impervious Material: At what depth? O (, Feet
Percolation test: Circle one: QF require] required rate min. inch.
Domestic water supply: circle one: Municipal Nell Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 57 feet/Total system length • Q, , feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # /Depth or Thickness feet
**•*****************:**:k***
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: A Dik^,,,,t—
DATE: ('G, �� l,V
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 faviland Roads
Queensbury, New York 12804
Remarks :
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
/ A„„�
TELEPHONE (518) 792-5832 j72
BUILDING INSPECTOR'S REPORT/
REQUEST FOR INSP tom'"
TION RECEIVED 4 J/9,Q
NAME { L/ --M 11
LOCATION G /D
DATE /%�;�4/9u PERMIT # iff-',j)
�_ APPROVED
4 �'47i (7/I'7 G. /�1 itl6Iit YES NO
FOOTING/PIERS s
MONOLITHIC POUR FO'
FOUNDATION/DAMP—PROO;ING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
)(FINAL
)(FINAL INSPECTION:
CHIMNEY HEIGHT1.7
ROOFING L//1
SIDING .
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAIi.
PLUMBING FIXTURES/RELI '' VALVE
INTERIOR TRIM/PRIVACY D`1ORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS LVj
FINAL ELECTRICAL INS!ECTIO
FINAL APPROVAL OF C• STRUC '!ON
OK TO ISSUE C/O OR /C (�
A SIGNED CERTIFIC'TE OF OCC 'ANCY MUST BE
OBTAINED FROM TH: BUILDING ' PARTMENT BEFORE
THESE PREMISES "E OCCUPIED!'
REMARKS: /
-, • EQ/z.T.
ARRIVE
DEPART
INSPECTOR
f
TOWN OF QUEENSBURY •
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING! INSPECTOR'S REPORT
REQUEST OR INSPEGfrTION RECEIVED(5 1/(CJ/qv ,M
NAME e-}LaA .i( L CIVI9 c 41_1n�
LOCATION f Qfr, L y M a.);,--k
DATE L�//71 'J( PE IT # 1{ �3
• APPROVED
YES NO
FOOTING/PIERS 7 )�
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL!
ROUGH PLUMBING i,
FRAMING L • 1 ' •
ELECTRICAL ROUGH-rN •
I • • '
/1'NSULATION:
"` FOUNDATION Ya I
FLOORS • i'
WALLS f
CEILING ! 3 6
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING • f
SIDING kI
EXTERNAL PORCHESrSTEPS
STAIRS-CLEARANCE c& RAILS
PLUMBING FIXTURESX*LIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) 4,
SMOKE DETECTORS A
FINAL ELECTRICAL I#SP4'CTION . .
.FINAL APPROVAL OF ICONS,TRUCTION '
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILD\ING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
t
ARRIVE
DEPART 2,31d
• INSPECTOR
Jown of ?u ?enihu,y.
BUILDING and ZONING DEPARTMENT 47,72
Bay and Haviland Road, R.D. 1 Box 98:
Queensbury, New York 12801
SEPTIC DISPOSAL_p SYSTEM- INSPECTION
NAME
LOCATION VD& ;OcZ
DATE �, / (el PERMIT NO. "g 9)
SOIL TYPE - Sand -Loam - Clay -
Percolation Test_Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: �7
Absorption field, total ten th
Length of each trench '
Depth of trenches ' ,.
Size of gravel
SEEPAGE PITS4Nuinber of) 'r..
Size- ft. X ft.
Gravel size "
PIPING: . Si. e r Type
Bldg. to tank 11 /76.
Tank to dist. box ; ` G;W-
Dist. box to field/pit,,Q ;'�LI t//'/'
Openings sealed? ES / NO \Partial
LOCATION/SEPARATIONS: 1 / �-
Foundation to tank y /t f .
Foundation to absorption %/ 1f
Absorption to lot line. (t,/ft\
Separation of pits ft.
1OCATIONIOF SYSTEM ON PROPERTY(ci cle one)
F\ront fear - Left/side - Right s'de -
COMME`!�S:
•
fk
•
SYSTEM USE APPROVE YES NOf
rls
Building Inspector
•
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /J
BAY & HAVILAND ROADS �-
,J
QUEENSBURY, NEW YORK 12804-
jy
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 3 i ( )
NAME )-U'7 e,-2
LOCATION d/G 4 22c 4
DATE 3 )3 0 l S-Ck PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL !4
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
(„..-INSULATION:
FOUNDATION
FLOORS
r
WALLS
CEILING
FINAL INSPECTION: r`{
CHIMNEY HEIGHT ✓,,
ROOFING '/'n
SIDING
EXTERNAL PORCHES/STEPS },
STAIRS-CLEARANCE &� RAILS1
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:
C
*vitit/
0/41-')4))))
INSPE OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
•
BUILDING INSPECTOR'S REPORT
REQUEST FO INSPECTI N RECEIVED
9 /,/1
NAME )
LOCATION di✓� ^� /
DATE 3l7fr �IT # e e7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING `E
ELECTRICAL ROUGH—IN
INSULATION: 't\
FOUNDATION \
FLOORS \
WALLS
CEILING
FINAL INSPECTION: \ =/
CHIMNEY HEIGHT \ if
ROOFING
SIDING u'
EXTERNAL PORCHES/STEPS '',
STAIRS—CLEARANCE & RAILS\,
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS'^,
FINISHED FLOORS i
GARAGE FIREPROOFING
DOOR CLOSER(S) ti
SMOKE DETECTORS
FINAL ELECTRICAL1INSPECTION "
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!"
REMARKS:
•
f
4Gv'"(2-0<
INSPECTOR
poi
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS -T-` • /fC os• woo 0
QUEENSBURY, NEW YORK 12804-
1/V
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 6 ��l kip R v,-i �-
LOCATION Lo T ,'O Co /�d ti q- jj TRA--(L
DATE 31131 37 PERMIT # %^(75"0
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
)(ROUGH PLUMBING V
)(FRAMING t,/
ELECTRICAL ROUGH-IN 1
INSULATION:1/4
/
FOUNDATION
FLOORS,
WALLS
CEILING ''",
FINAL INSPECTION:
a
CHIMNEY HEIGHT
ROOFING
SIDING \ //
EXTERNAL PORCHE ST PS
STAIRS-CLEARANCE RAILS
PLUMBING FIXTURE / LIEF VALVE
INTERIOR TRIM/PIIVA DOORS
FINISHED FLOORE
GARAGE FIREPRFING
DOOR CLOSER(,2S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION\
FINAL APPROVAL OF CONSTRUCTION '
7 \
r
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE -
THESE PREMISES ARE OCCUPIED!
REMARKS:
11*
f!►. s1X• ----- sfr‘.-Z9_v_....„-,
k0,0(n)
I SPECTOR
TOWN OF QUEENSBURY e
BUILDING AND CODES DEPARTMEN
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280g.-
TELEPHONE (518) 792-5832
lit
BUILDING INSPECTOR'S PORT
REQUEST FOR INSPECTION RECEIVED /,
NAME '� !! �./!/ JS�}- 7-76- 2.7
i
LOCATION / J,7' /�Gt a..G2l'ICi ;?
DATE '-/ PERMIT # CJ` 57�Ci
APPROVED
YES NO
(DOTING/PIERS ez. .G� ,"�
MONOLITHIC POUR FORMS L% /'
FOUNDATION/DAMP-PROOFING (/"
LJIAciFILL APPROVAL IV
t
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION ',, /
FLOORS v,
WALLS
CEILING \
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING .
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
STAIRS-CLEARANCE
FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
d
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:
Le" uf 11-e-- k-o--(
()
____VA
INSPECTOR
S
- •A
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 %/O�` /O 6/ /17e9A2,1 —
DATE /r-20 PERMIT # Ff' q z
APPROVE
YES NO
OOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL ter'"
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION di
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) s�
SMOKE DETECTOR
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL/OF CONSTRUCTION
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A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: krut46,0
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