1990-019 CERTIFICATE OF OCCUPANCY
•
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 28 10E190
This is to certify that work requested to be done as shown by Permit No. 9°-19
has been completed.
This structure may be occupied as in alteration
Locatio tyeLGlen Street
Owner • Greens Appliances
• By Order Town Board
TOWN OF QUEENSBURY
7`)
Director of Bldg. & Code Enforcement
BUILDING . PERMIT
TOWN OF QUEENSBURY No. 90-19
.
WARREN COUNTY, NEW YORK 'b
2
O
PERMISSION is hereby granted to Greens Appliances
•
681 Glen Street Street, Road or Ave.
OWNER of property located at
in the Town of Queensbury,To Construct or place a n alteration to building
FP
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
428 Old Niskayuna Road
Latham, NY 12110
t71
2. CONTRACTOR or BUILDER'S Name
ro
ro
3. CONTRACTOR or BUILDER'S Address
2
4. ARCHITECT'S Name
5. ARCHITECT'S Address
co
6. TYPE of Construction—(Please indicate by X)
tci
( )Wood Frame R(Masonry ( )Steel ( ) _ rn
ti
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7. PLANS and Specifications
No. Alterations to 50' x 142' building as per application, specifications and
plot plan.
8. Proposed Use
Alterations •
$ 355 PERMIT FEE PAID —THIS PERMIT EXPIRES August 6, 19 90
(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.)
rt
6th • February90
Dated at the Town of Queensbury this Day of 19
SIGNED BY ���. for the Town of Queensbury
Building and Zoning I s ector
TOWN G,.'"QUEENSBURY
•� REVIEWED BY
TOWN OF Q1!BENSBI)RY
FEE PAID = RECEIVED
PERMIT NO. go
JAN `' 1 1990
� �_
BUILDING PERMIT APPLICATION
fSLtSi : & CODE DEP1,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
'CLL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • * • •. • • • • • •
The owner of this property is: GREEMS PPLlAt.7C_ ;S
P.O. Address, 426 obi, }JISIGAsuN& _9(-4101AM ta`l. " I21Io Tel. NO 1$3-S- 1.
Property Location Co81 C-1L tS.3 S-t'. ., C�uFFrJs �Y Tax MapNo. 103 / I / 26.4
Has there been any split of this property since October 1, 1988? / )C
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE — LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF •
Construction of a new building „ CONSTRUCTION: S 1 33)E-0c
* COMPLETE INFORMATION REQUIRED BELOW:
Addition to a building [m3
* Size of property olO%g(4 ft x ft.
X Alteration to a building ' Existing Buildings(3) Size ft. x 14k ft.
(no change to exterior dimensions) • •
Proposed building - distance from property line:
Other work (Describe) ' Front yard ft. Rear yard ft.
• Side yards ft. and ft.
* If on corner, setback from side street ft.
GROSS AREA OF PROPOSED STRUCTURE •
1st Floor aMS9 1(00 sq. ft. •
OCCUPANCY INFORMATION
•
2nd Floor — sq. ft. •. Primary Building -
Other Floors — s4, ft. • One Family Dwelling
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA6'720 sq. ft. • Multiple Dwelling/Number of units_
_
• Business
Size of new structure ft x
• Industrial
Foundation-pier sla crawl/partial/full
(care a one) • Other
No, of s*milms (habitable space) I • _ -__
Height (grade to ridge) "111 13I +— ft. • If addition, what will use.be?
If residential, no. of families •
No. of rooms(excluding baths) •
Accessory Building
No. o! bedrooms • Detached Garage ONE/TWO Car
No. of bathrooms — •
Primary heating system__ • =Attached Garage ONE/TWO Car
Type of fuel Nizroan.L GAS ' =_Private storage building
No. of fireplaces to be installed '
• _=Other
Will a wood stove be installed kip .
Central Air conditioning •(ES •
OY' ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. HP500I2y
Will any second-hand or upgraded lumber be used? If so, for what?
Foundation wall material Cow• lip Thickness g`' i (2"
Depth of foundation below grade (to bottom of footing) 5l 8".
Will there be a cellar? No Heated or unheated? Floor sq. footage — sq ft.
Will there be a basement? kp Will any portion be used as living space? t)p
(If so, what portion? — sq ft. Type of use? —
Type of roof - sloped/IV shed/other Material of roof P uit-I--Up
Size, wood studs 2 "x (o spacing 24 " o.c. length 10 ft.
Joists (floor beams) 1st floor — "x — " spacing —"o.c. span — ft.
Joist (floor beams) 2nd floor — "x — " spacing -- "o.c. span ft.
Overlays (ceiling beams) 2 "x ID " spacing 1(o " o.c. span . 8 ft.
Roof rafters — "x — " spacing — o.c. span — ft.
Roof trusses (pre-engineered) spacing4'-6,1 o.c. span 4E3 ft.
Exterior wall finish`aToc_c.c) - �.C,tz of what material? `
Interior wa11 finish c '?F5oM 1R1
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: -
Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade — ft.
Depth of fireplace hearth ft. __ in,.
Water supply - Municipal or private well M 01.51c,1 SAL
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
�1CAi V1�Lb� _ MAli� �I.
NAME OF BUILDER (hPt'�5?flTi�+� ADDRESS 4N/ TEL. NO. S'! 4W-7ca7
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
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 ovisi.�-,pc ,of the BUILDING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner.
Signature
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
TOWN OF Q(lE _ VSBUR.
WARREN COUNTY , NEW YORK
Application for :. BUILDING PERMIT INCOMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
- A permit must be obtained before beginning work.
' ANSWER ALL of the following: /OWN OF QUEENSBURY
G'F-CEIVED
•
1 . Gross floor area 51N8 E
JAIVr-199O
2 . Type of heat NATORlsL CaLS • -
3 . 'Is the building mechanically cooled? YES BLDG. CODE DEPT.
4 .. Percentage of area of windows and doors
A. Over 16% Only
' 1 . U value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heat .• spaces YES . NO
a. Are foundat on walls insulated? YES NO. -
1. ' If. YES , what is the R value?
' 3 . Slab on grade YES - NO_ . t
a. If YES , wh .t . 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
3 $
2. R value of exterior walls R .Iq
3 . R value of glazed area 0 •41 a
•
4 .. R value of doors �� • Z •
-
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 () •9j
8 . R value of heated basement/cellar walls (above grade)
9. R value of heated . basement/cellar . walls (below grade)
10. Type of insulation PI. 'oe. )c-4-s / CPS
•
C. Controls 7
/
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? 015 NO
• a. If YES , R value of. duct installation
b. R value of .duct in other areas -
E. Piping Insulation "
1. Size of hot weter • or co ng carrying agent pipe Ii2
2. R value of pipe insulation
F. Service Water Heating
1. . Performance efficiency
- 2. Temperature control setting maximum lino F
G. For Swimming Pool Only •
1. - Maximum heating
p �
Telephone No. C� ' ��� • 4? •
(ap•lic is signature!
PERM 42i(5/88) STATE OF NEW YORK— DEPARTMENT OF TRANSPORTATION
_�—_—�—
{, „ ' 3647
. ,::, ,,,-: ic,":4-,:,,,:-.A . " ,
25.00 °`r'"' Permit No. 01-89-3647
Permit Fee-ram $ "'=Z 47/O1/9U
Ins. Fee f $ : ,2 a 50"' ',r+ F _ ' ' ', .' Est C,ornpl Date
$ 27.501 HIGHWAY WORK PERMIT =� ' ' '- }' ,
Total Received c' ••' 1 >i:1,�1 ' �'' 417
Check or M.b: No. 181 i7: '!. SH'No.
Liability Insurance • /' / . Deposit Rec. for$ 0.00
Policy No. Expiring Check or M.O. No.
Disability Benefit Coverage :• '' ism 't'r"• .-• ' ., ,,,I Dated �.
Policy No. I. . -. , •,,,.
' ti
Permittee: GREEN'S APPLIANCE •l. • Charge to Bond NO."`-`_`t S • 1 0.00) -'•
,.,.1681 UPPER GLEN ST ; I '„ .1,t '`+ ' ' 41- .3. ',or Undertaking oh File
• QUEENSBURY r NY 12804'-=.- i.. . ._.j '.`" i `"Worknieri's Compensation_
,[ y - # , d rolicy No
St;t S III
Billing Address: I i) i [ ,.i ; , Vieturn:of Deposit Made Payable to:
•(Complete if different from aboVe) F 1 t (Complete-if different from Permittee)
' , 1 '14 .t ., i arr ,1
1 il
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Under the provisions of the Highway Law or Vehicle &Traffic Law, permission is hereby granted to the permittee to:
TO REBUILD EXISTING COM@IERCIAL ENTRANCE AS SHOWN ON ATTACHED,PLANS. ALL.DISTURBED AREAS TO BE RESTORED TO ORIGINAL C
ONDITION. CURB DIMENSION AND PAVEMENT TYPE SHALL MATCH EXISTING CONDITIONS. ,
I ,
THE PERMITTEE IS RESPONSIBLE FOR THE MAINTENANCE AND PROTECTION OF TRAFFIC.IN ADDITION,ANYBODY WORKING IN
THE RIGHT OF WAY IS REQUIRED TO WEARIA HARD HAT AND A REFLECTIVE SAFETY VEST. • '
County— WARREN , Municipality— QUEENSBURY - Route #— '9 .
as set forth and represented in the attached application at the particular location or area, or-over the routes as-
stated therein, if required; and pursuant to the conditions and regulations whether, general or special, and methods
of performing work, if any; all of which are set forth in the application -.d form of this permit. '_ �s,.:.....i.•
Dated at � ' N.Y.. ( o issioner ofIra poIlr f
a:,Ai,) r
Date Signed 12/06/89
::w B 141• M, .41 y '.:4 AU .S r
-,, I!',;.,.1`_r4{!*--'.L..Fj d';Q` ' . 1 ' , ( c
, II .14 1. • .
ti�TA T" .1, . , „', ,., ur: .. r !I
This permit, with application and dray in6'T-(or"cbPtes thereof)'a ltached•'shall"be placed -rit.'C'R .
in the hands of the contractor before any wdrlbegins • , , .,, ,. . ,, ;,,„
NOTICE: Before work is started and upon its completion,the permittee absolutely must notify the Resident Engineer,
HERBERT F STEFFENS PO BOX Z50
(518)623-3511' WARRENSBURG, NEN• YORK 128135 ,;,,,,;. 0,,
i • ,." l,.,f 15�t+� d1R1 �;-'INS `i-d`i R• „ ?,a ,.
H� •
Work authorized by this Permit was completed on (Date)
Refund of deposit or return of bond or reduction-of'amount charged against bond or deposit on file for this permit . '
whichever is appropriate, is requested:
Date
PERMITTEE AUTHORIZED AGENT(IF ANY)_ _;
Upon acceptance of work performed as'satisfactorily completed, the Resident Engineer will sign the following and
forward to the Regional Office.
Work authorized by this Permit has been satisfactorily completed and Is accepted.(Reverse side of this form must be '
completed).
Date $ z
RESIDENT ENGINEER
The Regional Office will forward this,form to the Main Office with,the appropriate bo ;checked. :',- , ;--, 1. :, :
To : HIGHWAY PERMIT SECTION: .
[ ] Refund of Deposit on this Permit is authorized. 't+.tR-)
[ I Return of Bond furnished for this Permit is authorized.
[ ] Amount charged against Blanket Bond for this permit may be cancelled. .
[ ] Retain bond for future permits. .
Date
• ' REGIONAL TRAFFIC ENGINEER
The issuing authority reserves the right to suspend or revoke this permit, at its discretion without a hearing or the
necessity of showing cause, either before or during the operations authorized.
The Permittee will cause an approved copy of the application to be and remain attached hereto until all work under
the permit is satisfactorily completed, in accordance with the terms of, the attached application. All damaged or
disturbed areas resulting from work performed pursuant to this permit, will be repaired to the satisfaction of the
Department of Transportation.
Upon completion of the work within the state highway right-of-way, authorized by the work permit, the person, firm,
corporation, municipality, or state department agency, and his or its successors in interest, shall be for
maintenance and repair of such work as set forth within the terms and conditions of the work permit.
1
•
- „,...-1-0- MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
i \..........
� �
National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
•
APPLICANT COMPLETES THIS SECTION . Date:
City, Town or Township C,'(1P-e'15 -c7 r County .c.iOl f f e V) State n) t ,
/ (7) ��.
Location/Address Jr r�" ���'.�'? J' �{)U e�'n bU!-
(If Located in Rural Area-Please Attach Directions) Pole #
Owner 6 r C t°n ( ppl i c• k -e S Permit # uf i; - ) (
Occupied As _St,. ✓ '`Z Building: New❑ Old 1- --+
-Occupant - r-�. v'^--C._
Work Area in Building (Floor #,etc.):
App. for: Wiring 1 "f Service❑ or: Ready for Inspection:
Fee Remitted-$ Cash❑ Check I M.O. ❑ 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 / 3C
Lighting •j Amp. Service Surface Unit Dishwasher Range
Receptacles c9 Water Heater 3 Air Conditioner ,_- Dryer Pump
Number of Fixtures _ Oven • Garbage Disposal Wiring and Controls for Burner
>S Amp. Receptacles Y.? 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 1'/2 2 3 5 7,12 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size ,/?
Applicant's ,
Signature ([c ' 1/ - -�,7 � License # Permit #
T/A / / Utility:
Applicant's Address: (NAME) (OFFICE LOCATION)
(City) (State) _ (Zip) Service Request #
Phone # Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: -
Correct Location: Same as Above❑ or:
Red Notice Label ❑
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 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
Elect. Heat
1
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT
FEE PAID
❑ RW Progress: Inc.❑ LKD❑ Contractor
1 1 CFT Violation: Work Comp.❑ Inc. ❑
❑ L/A Owner CASH ❑
Fee CHK #
(l L/A 1 Due
Ti IPA - Municipal MO #
INV #
Date: IEl
Other Side! I Utility Applicant
Owner
Cut in Card ❑ Temp # Date
❑ Final # Date INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 4/89
•
J14vJ J�VJ vJ Nit/ VJ VJ t”.."44\.,,, Jf�`v/� ,\ �7\ \vc 1VJ���J,N. a../ r7:\Jam\ /1 k"
MIDDLE DEPARTMENT:INSPECTION AGENCY, INC. y)
900 F}addon'Avenue`Collingswood 1J'Js;Q8108 I V
t,
,,,,
r ';r� �, i, _ `.,, `.s., *. Date March 27, 1990 `
`: (&ertlf leg that theyelectr)ca ,equipment listed has been examInes1 a'''''Cr
sTapproved as being in accord '
C ..": .•v",;“ , *,,'AN
with the National Electrical Code applicable governmental utility and Agency rules. )
,k r RI d
�l_rr �A� rub ap �,I t CTI7 , I �� , u ,
t?�#a1 Store
Owner: (.�re<ea's r'�pplian�c�ets , / � ���� � C)
C,
Occupant: Same t #7.3 ! ` ,pittil---1.,,,:e'pl'el,',711ip,g,1!,N,.:.:;,_R„:
, s'
Location: Upper Glen S•L e \t , Quteensbury' (Tti'arr-en GO)-�NY "Thscer'ficatecoverpthe�elecncal:quipmentand installation inspected this C�
t l 1`,.' 1 date. If additional equipment tshoufd be introduced or alterations made to
C b 41 :e. 1. existing system this certificate shah be null and void, and application for
inspection should a submitted promptly to this Agency. C
e Equipment: 109 Outlets, 17\Rec ee tac l e s , 7 )_st of e?i7 i.,g, older of this certificate sha�ild Present same to his property insurance carrier
200 Amp Sub Paneh. \275 F1 Wire Mold for Recept7agentorcompany)esevidenceotcerlificationof electrical equipment approved
j as specified..' /l ,, J
acles b� �, r t ;�
C
�Y
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qI Ra.yno Electric--( . 4��� E "d8 - , ,;!Applicant; PO Box 2486 �v .J-ENO. 15-033267
( L
Glens Falls, NY '12801-"—,: '__I .. . , )
..lw.l+c..wnrl.r zant /�'\►4l��.�.l+z yz..w�:/ ✓"\ \ s.
Farm 11n.703 Ft 1-83
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 7/'
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION, RECEIVED lfa64.6NAME .P�/�C1 £I1O )1(4/nA'/
LOCATION (11 J /JhfIll
DATE 311 Q l/ t D PERMIT # 9O'/ .y
4L) APPROVED
. )YES NO
FOOTING/PIERS •
MONOLITHIC POUR FORMS ,i
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL `;'
ROUGH PLUMBING ( :'
FRAMING 1 ;1
ELECTRICAL ROUGH:1IN
INSULATION: ,'
FOUNDATION N :4
•
FLOORS 1.1 Y
WALLS
CEILING �'
FINAL INSPECTION!:
CHIMNEY HEIGHT?
ROOFING 'r
SIDING f;. 41
EXTERNAL PORCHES/STEPS `
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/ RIVACY+ DOORS
FINISHED FLOORS, I _
GARAGE FIREPROOFING`
DOOR CLOSER(S) /r
SMOKE DETECTORSF;. i' _
FINAL ELECTRICAL .INSPECTION
Qn
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES /ARE OCCUPIED!•
It
REMARKS: ;;
(
Y,g ()lin
ei/./t,c (i,'1,0, t-1,-.) • .
I Y.
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0 b, L6
a /I 16 iez '''..
cl , iPjfk,,,,,„.„,
•
INSPECTOR
TOWN OF QUEENSBURY J/94/
BUILDING AND CODES DEPARTMENT 69---
BAY & HAVILAND ROADS V
QUEENSBURY, NEW YORK 1280k ( (�
TELEPHONE (518) 792-5832 �—�—
BUILDING INSPECTOR'S REPORT
REQUEST R INSPECTION RECEIVED 4s&/ 4O 4
NAME h�C2d6'�iL�'�f'
LOCATI N ( / 7 1_,(� ,
DATE l pi 1D S' PERMIT # 6.ty i
1
APPROVED
t 1 YES NO
FOOTING/PIERS I ni
MONOLITHIC POUR FORMS .
FOUNDATION/DAMP-PROOFING • ,j
BACKFILL APPROVAL i
ROUGH PLUMBING 'j '
FRAMING 7 ,
ELECTRICAL ROUGHSIN .
INSULATION: 7
FOUNDATION .'
FLOORS , 11 . .
11
WALLS • q . is
CEILING q • r '
FINAL INSPECTION � '
CHIMNEY HEIGHT ;' AciA,./:_a___
•
ROOFING- - - - - , - - ---
SIDING 1 . .
EXTERNAL PORCHES/STEPS ,
STAIRS-CLEARANCE & RAILS .
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY/DOORS
FINISHED FLOORS ' i
GARAGE FIREPROOFING JJ
DOOR CLOSER(S) 1 P
SMOKE DETECTORS /
FINAL ELECTRICAL INSPECTION
.FINAL APPROV AL OF CO,NSTRUCTI ' • • X
- OK TO ISSUE C/O OR,t4�C / \
a
A SIGNED CERTIFICA-TEhSOF OCCUPANCY MUST BE
OBTAINED FROM THE/BUILDING DEPARTMENT BEFORE
tA
THESE PREMISES A.13OCC+UPIEDt
1 t • . .
t (� �G(� O fC_
REMARKS: e c-rL.t e, , L.U'/,�
iq'9O
II— // -
, ARRIVE
DEPART R i( s
( NEcTR
IIIMPIONW
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT Mi
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED di�6p/lf'Q
NAME 4 ,„,ijki,,,,.,,,J J LOCATION ( L a ,,
DATE , q/� 7V qo PERMIT #0 9Q-/9'
APPROVED
. u YES NO
1/1
FOOTING/PIERS;
MONOLITHIC POUR FORMS e
FOUNDATION/DA1QIP-PROOFING
BACKFILL APPRORVA�/. P
ROUGH PLUMBING, /i-,�-L w %f{- J (2oc - )(
FRAMING D'
ELECTRICAL ROUGH-IN '
INSULATION: t
FOUNDATION
FLOORS %:. 1 .
WALLS 1i ,Y •
CEILING cb I
FINAL INSPECTION:V . •
CHIMNEY HEIGHT cj
- - ROOFING l _ -- ----- - -
SIDING 1 '„
EXTERNAL PORCH S)STEPS
STAIRS-CLEARANE '& RAILS
PLUMBING FIXTU1zES%RELIEF VALVE
INTERIOR TRIM%PRIVACY DOORS
FINISHED FLOORS
gbRXWOFIREPROOFING, X
DOOR CLOSER(S) x
SMOKE DETECTORS , _
FINAL ELECTRICAL INSPECTION 5L� f3 a45 cJ TC
FINAL APPROVAL IOF CONSTRUCTION . �.K-
i
,
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROMITHE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED.
il
i.
REMARKS J415 6_41/.(l62 $'Al0 fib-1 l
RA:--V&C"1 O,,
, _ f L L4-,3 i-LG--n.
f"
/4,613 fr-n9-Ar/l4kifis A rs /69 " tm-&----
fi�I'��,tlxT�C-s, D -
INSP CTOR
•
. fr----'7:`
MIDDLE DEPARTMENT INS' . , r' 0 y. INC.
E!i'�ctritdi Bui�i.,^:, Plumbin , Z .um
Ilk Dat e , rioAr -, i
..- _ r. / pa.. _ . , _
. _
1 ,ector iir d��
T - cons tutes certif ation th•t ,
00 above ins -nation, b not the • • ip-
r-{ ment itself, has been isually inspected
C�'J as of this date pursuant to the app
ic-
di able codes. If additional equipment
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should _
Z.
be submitted promptly to this Agency.
Z
i• •
y:-- /
TOWN OF QUEENSBURY • 1/ii, -
BUILDING AND CODES DEPARTMENT 11
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO I SPECTION RE IVED z� �j6)
NAME _ iftd/JJ B/L. 9
LOCATION
DATE / - CQ PERMIT # 0-19
e
APPROVED
_ /V YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS/
FOUNDATION/DAMP—PROOFjTNG
BACKFILL APPROVAL 1J
M OUGH PLUMBING P,9 7 14 L. 0 ASV L / I)
`'FRAMING ( "
ELECTRICAL ROUGH—IN
INSULATION: ' i I
FOUNDATION 1, i '
FLOORS Ey i
(WALLS ,0 ,1 x
CEILING v
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING ''
' SIDING 14
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 6PPROVAL OF CONSTRUCTION
11
S'
A SIGNED CERTIFICATE OF 'OCCUPANCY MUST BE
OBTY/INED FROM THE BUILDING DEPARTMENT BEFORE
•THESE PREMISES ARE OCCUPIED!'
i
i
REMARKS:
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INSPECTOR
AA;ti7—
TOWN OF QUEENSBURY �Ji
BUILDING AND CODES DEPARTMENT /111
BAY & HAVILAND ROADS ��JJ
QUEENSBURY, NEW YORK 12804•
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST F'' INSPECTION RE' I VED 2�9/90 AM
NAME / /L f7I / f
LOCATIO.0/ e/,',6 f /�' (f6(_66e
DATE 0nnC1'n /// PERMIT # 9()-I"/
APPROVED
YES „Po
FOOTING/PIERS \ 1 L /
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING /
BACKFILL APPROVAL I j
ROUGH PLUMBING j ,'
FRAMING k •
1
ELECTRICAL ROUGH-IN '1
4NSULATION: /
FOUNDATION I
FLOORS j 1+ . •
WALLS 1 s'
CEILING 1 ci
FINAL INSPECTION: e'
CHIMNEY HEIGHT \ I
ROOFING ,P
SIDING e!
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAALS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY )OORS
FINISHED FLOORS
GARAGE FIREPROOFING 1
DOOR CLOSER(S)
SMOKE DETECTORS i
FINAL ELECTRICAL INSPECTION
FINAL APPROVALIOF CONSTRUC'ION
re
A SIGNED CER}1'IFICATE OF OCC7PANCY MUST BE
OBTAINED FROM THE BUILDING EPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
r
REMARKS:
The Contractor is responsible for providing
protection_from freezing for 4_8Ehours
folTowing thelacement of the concrete.
(Materials for this purpose on site
\ YES NO
30 k /) -- J ` `J ,ecj`',
d'Y1? ) r2272ked' �, cuLh
1,
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INSPECTOR