1990-038 r 4'r r'C-.•` ^ o _a 'l1n s _ r . .r /f_:y4.�./_Ur. ..i—�1 r r -w .. r.-'- •V;- _ _e {\
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 3 lq 90
S
is to certify that work requested to be done as shown by Permit No.
90-30
has been completed.
This structure may be occupieedd as a Single Family Dwelling
Location L +' i - Sherman Avenue
Owner Don Maynard
By Order Town Board
TOWN OF QUEENSBURY
i �1�. �i
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY 90-38
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DON MAYNARD
OWNER of property located at Lot #7 - Sherman Avenue Street, Road or Ave. ru
ro
IV
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
17 Honey Hollow Road
2. CONTRACTOR or BUILDER'S Name
a
Self
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
N
5. ARCHITECT'S Address
fD
6. TYPE of Construction—(Please indicate by X)
fD
XX)Wood Frame ( ) Masonry ( )Steel ( )
r
0
7. PLANS and Specifications
v
No. 54' x 26' single family dwelling with attached one car garage, septic
system and driveway as per application, specifications and plot plan.
' 8. Proposed Use t�
Single Family Dwelling
la
$ 157.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 13 19 90 �1
(If a longer period is required an application for an extension must be made to the Building and Zoning,inspector of the 13)
B
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 13th Day of March 19 90
ro
SIGNED BY (21.7 for the Town of Queensbury
Building and Zo ing Inspector
TOWN OF Q UEENSB UR Y
r'OWN OF QUEE NSBUR.
4 —�-. APPLICATION FOR T EIVED
nv SEPTIC DISPOSAL PERMIT
ally
BLDG. & CODE DEPT.
DATE (71 —f 7 1�
LOCATION OF PROPERTY FOR INSTALLATION Shef'm/14
Owner's Name: ,)O/7 M4 ///h Telephone: 29W:22 W
Address: /7 /A/2e? /1/Joy
Installer's Name: (`,6t/ i /',4aJd,4/7 Telephone:
Number of bedrooms (residential only) q
Total daily flow (compute (d 150 gal per bedroom) /VSV
Topography: Circle one Rolling Steep Slope % of Slope
Soil Nature: Circle one and Loam Clay Other /Depth: 70 Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one:411M0 Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank /Q®(' gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench �,9 feet/Total system length 00 feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # si /Depth or Thickness 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 S ' ary ewage Disposal Ordinance.
SIGNATURE F RESPONSIBLE PERSON: • /7/0 ,‘ "� ---
DATE: of /9
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: •
WARREN COUNTY , NEW YCRK
•
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE. ENERGY CONSERVATION CODE
A permit must be obtained before beginning wo_rk . �-
• ANSWER ALL of• the following-:,-„.
1 . • Gross floor area 112 • FEB % 1990
2 . Type of heat ,,., .-0-7
I_J 'CM. „s v.,. �. rr. 6 a.
3 . ` Is the building mechanically cooled? I
4 . Percentage of area of windows and doors PL/P
0
A'. Over 16. Only
1 . Uo value of gross. area of walls , roof/ceiling ' and floors
exposed to ambient conditions
•
2 . Floor over -heat- 3 spaces " YES f` NO
a. Are foundat on walls insul,a/ted? YES NO
• 1. If YES , what is he R value?
•
3. Slab on grade . YES 0/
. a.. If YES , wh .t is the value of insulation around
perimeter of floor /
•
4. Is basement heated? YE/ S NO
a. R value of insu ation
5. Type of -insulation
•
' B. Under 16%. Only
1. R value of roof and floors expos , o ambient conditions_
2 . R value of exterior walls A-
3 . R value of glazed area P-
4 . R value of doors "t //
5. R value of floors over unheated spaces . ,-As-
6. R value of slab edge insulation - unheated slab / 0
7. R value of slab insulation - heated slab ,
8 . R value of heated basement/cellar walls (above grade) PA"
9.- R value of heated basement/cellar walls '(below grade) . /7f
10. ' Type of insulation / hel-'//-/ASS' •
C. Controls , a
1 . Thermostat maximum heat setting (PO
•
•
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. Pipina Insulation 1. Size of hot water. or cooling carrying agent pipe #(. "'
R value of pipe insulation 22
F. Service Water. Heating �,�
1. Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only
• 1. . Maximum heating -
•
Telephone No. 7qt-J96u).
/4„)
(applicant-' s sign�fi'ture) - .
TOWN OF QUEENSBURY
3 r, q0
REVIEWED BY 40 IVN O( QUEENSBUA411111.151
FEE PAID $ () RECEM:n
PERMIT NO. CI(7 ) r_,
FEB 1990
BUILDING PERMIT APPLICATION /� 7)
nn ELDG, i ram:3 E DEP 3,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL 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.
• • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • t • • • * • •
The owner of this property is: T)l711 / /4 e;i7/2-t"-
P.O. Address / '� >�� � /i/d) 44. Tel. 99p 27 cFcP
Property Location Sh&`'"e7iv (/cctacS 671 4a Tax Map No. /`9I2I
Has there been any split of this property since October 1, 1988? / 1�
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO. 7
•
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF
V Construction of a new building , CONSTRUCTION: $ / ' (Doc)
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* Size of property /Q( ft x y ft.
Alteration to a building *
(no change to exterior dimensions) Eidsting Buildings(3) Size. ft. x ft.
1 ' Proposed building - distance from property line:
Other workl(Describe)% • Front yard _GTE) ft. Rear yard 3`7/ ft.
• Side yards ,. '3' ft. and ,. ,3 ft.
•
-GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft.
crO
1st Floor •
�0 c/2 sq. ft. /3a OCCUPANCY INFORMATION
•
2nd Floor sq. ft. • Primary Building -
Other Floors sq. ft. „ • N One Family Dwelling
(not cellar or basement 6v, CQ /d� • Two Family Dwelling
TOTAL FLOOR AREA/ z sq. ft. • Multiple Dwelling/Number of units
Size of new structure ft x ft. • Business
Foundation-pier/slab/crawl/parts •• Industrial
(circle one) • Other
No. of storie (hn-.bitable space) / •
Height (grade to ridge) 16 ft. • _ If addition, what will use be?
If residential, no. of families, / ;
No. of rooms(excluding baths) C • Accessory Building
No. of bedrooms • Detached Garage ONE/TWO Car
No. of bathrooms / • ''//
Primary heating system �/cc, • K Attached Garage j/TWO Car
Type of fuel_ • Private storage building
No. of fireplaces to be installed •
Willa wood stove be installed, l7 • Other
Central Air conditioning 1J (7 •
OVER
•
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING 'PECIFICATIOVS:
Type of construction, wood frame, fire safe. etc. (X 00d itlq/71E.
Will any second-hand or upgraded lumber be used? If so. for what? )O •
or Foundation wall material 0 !' ,,l /-P � Thickness
Depth of foundation below grade (to bottom of footing) d7- r
Will there be a cellar? • Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? .. c/eS Will any portion be used as living space? /'J0.
(If so, what portion? _ sq ft. Type of use?
Type of roof - i pe 'frat/shed/other Material of roof Ylibeir?/44--c
Size, wood studs (-2 "x " spacing /fie " o.c. length (7 ft.
Joists (floor beams) 1st floor "x /(, " spacing /42, "o.c. span /.3 ft.
Joist (floor beams) 2nd floor "x " spacing "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 J,-,95/ " o.c. span �(p ft. . .
Exterior wall finish I ,'n(�/ S/L/,9 of what material?
Interior wa11 finish 72. 9 i, SSon-
If a garage is to be attached, describe materials to.be used for FIRE SEPARATION: ` /'c ' ' /rd COI
Is there to be an opening between garage and dwelling? 7CS If so will a Fire-rated door, enclosure,.
self-closing device be provided? (/f ec
Willa flue-lined chimney be installed?/ /1i Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth . ft. in,
Water supply - Municipal or private well . .
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties 6;20 ft.
(A separate application is necessary for any repair or new installation of septic system).
NAME OF BUILDER non M4674,44 ADDRESS 17/ ey , a4)hTEL. NO. 799PfX-P?
NAME OF PLUMBER ADDRESS. TEL. NO.
NAME OF MASON ADDRESS. TEL. NO.
NAME OF ELECTRICIAN ESS 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.sid+:0,-, ..'l provisions of th' ATTILDING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed Cori" :Man w complied with, whether specified or not, and that
such work is authorized by the owner.
Signature ,./1 // 4jf
Owner, owner's age , architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY .
I '' MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
.m� National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION Date: rs 7_<�;e1
City, Town or Township ( A1. �:,•�, %1"-1 County t.o -fir J 1 State f` /• (/
Location/Address lei.t I .�1 !',j '(';'/'r`:/71;;:i /V61. ( ,(:.:5':'4+_] ?;.0 =t ,I .aa:lT''1- l,,,,,,,j
(If Located in Rural Area -Please Attach Directions) Pole #
' Owner i ,'(f;i` 1/1.•-.``_1--'/"1.y�, Permit # C0-3
Occupied As - I=1 rr/,::, , ,-7.7;7i `� if.:';' ,,; Building: Newl Old❑.
Occupant - - -
Work Area in Building (Floor #,etc.):
App. for: Wiring❑ Service ri 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 Size ..
Applicant.'s /1J'�' /f /IV r''
Signature //i 1 ' /44'W'==�-��.„.., '' - License # Permit-#
T/A ;. Utility:
rr ;f4
Applicant's Address: , ! r.f%':'-'s'/ a° -.�.d f"-- :., (NAME) (OFFICE LOCATION)
(City) (is' j' .4. ,A ' (State) —/,',',1,(7 " _(Zip) i.t' %:I A/' .Service Request#
Phone # i?.:. V " / Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: `
- Correct Location: Same as Above n or: •
Red Notice Label n • '
Rough Wiring Outlets Surface Unit Oven
Switches Range V Garbage Disposal
Receptacles Water Heater Dishwasher.
Fixtures Air Conditioner V 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 11/2 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
Elect. Heat -
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
•
❑ RW Progress: Inc.❑ LKD❑ Contractor _
❑ CFT Violation: Work Comp.❑ ,Inc. ❑
J L/A Owner CASH ❑
pl. L/A i Fee CHK #
Due N1O # _,
n IPA . Municipal
INV #
.1 --Date: 'i'_ '-,--- -_ - , - V Other Side -, Utility - Applicant
Owner CI
Cut in Card n Temp # Date . -•
L I Final # Date INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 4/89 '
TOWN OF QUEENSBURY '4[5 I 1
BUILDING AND CODES DEPARTMENT tJfl J L �(9
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
i
BUILDING INSPECTOR'S REPORT
REQUEST F INSPECT ON RECEIV D a ;12 ('7 N7
4
� J
NAME &. ht 1u., I 0 .
LOCATION } ,oi I t .
DATE \5((Z/gu PERMIT #BSI 4Q -JO
/
• APPROVED
. i YES NO
FOOTING/PIERS G�(
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PFOOFING ,/ •
BACKFILL APPROVAL I
ROUGH PLUMBING j
FRAMING
ELECTRICAL ROUGH-IN I
INSULATION: I
FOUNDATION
FLOORS . . . f . . . .
WALLS . d • . . . . .
CEILING 1. / . . a . . .
FINAL INSPECTION: edLt
CHIMNEY HEIGHT
ROOFING ,;
SIDING .I\, .
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE& FAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS t
&GARAGE FIREPROOFING ,
DOOR CLOSER(S)( i
SMOKE DETECTORS i
FINAL ELECTRICAL INSPECTION ' I.V.2'
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDINKN DEPARTMENT BEFORE •
THESE PREMISES ARE OCCUPIED!
REMARKS:
I \ .,
•
FL---
ARRIVE i , 05
DEPART 0 , 10
INSPECTOR
TOWN OF QUEENSBURY /�f
BUILDING AND CODES DEPARTMENT /
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- P/A
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
1
REQUEST FO NSPFiCTI IVON RECE D V.�J 5"C
NAME `<c i=' :ff/��'%` :�/,�ic
LOCATION SA/7,k,, 4 r'
DATE ,'�5'1 i PERMIT # C
k • APPROVED
s
i; YES NO
_ r
FOOTING/PIERS .
MONOLITHIC POUR FORMS f:__
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL 1
ROUGH PLUMBING,; • I '
FRAMING .,t
ELECTRICAL ROUGH—INf
INSULATION:
FOUNDATION J
FLOORS ; . 1 — . . . . .
WALLS 'n '
i
C 1EILING {,FINAL INSPECTION?
CHIMNEY HEIGHT
ROOFING .I
SIDING y t,.4
EXTERNAL PORCHES/STEPS ' '
STAIRS—CLEARANCE & RAILS V
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/,PRIVACY DOORS it/
FINISHED FLOORS /
GARAGE FIREPROOFING .V.
DOOR CLOSER(S);;
SMOKE DETECTORS •V ,,
FINAL ELECTRICALp INSPECTION ' ' . , . k.,-,/
..FINAL APPROVAL OR CONSTRUCTION 1/
OK TO ISSU4 c/o OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE .
r� �L,
THESE PRISES ARE'iOCCUPIED!
a
F �
REMARKS:i 5 C
f 1 1 1�,
, 1-,.,-alia;(k.,., #1-
' 64, t,„!)„,2 ;,, x3c,gt_ ,,,,,,,4( _
r— �''Ii-�'v� � cam' '- ,4\�.-vt
rr � •
ARRIVE A: u-24'!3, z ' . /
DEPART All I
L
INSPECTOR
I,:; r'
N1INSp6,1101 A''.. •onsN�:
E ptumbin9
RTM F+
•
r Mhp�p� �pEP pildln9
1Electr�cal8 �,�-1 - h
u-PPer
4111k "Ibi0C(0.-*
pate •
®
001,-. at th®
cto I certification heh eQuiP'
conutitu esinspected
above.installation, n visually lic-
has been the app
ment itself, equipment
ursuant to
of th�S date paddit►oval alterations
as es. tf - d or struc�
able CO' introduce stem°r uld
should 'be e;existmg. sY action sho c
ade to the • for insP t •his A9en Y•
m licat►o YomPtiY
ture, aPPitted P
be subm
'
JOU/rd O/ QueeniLry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 `(��
C)ueensbury, New York 12801 a41L- j
SEPTIC DISPOSAL SYSTEM INSPECTION /
TC[Vi
NAME ,owS �Ld .I z/
LOCATION4D/,s/.�4l��l
•�
DATE /10 yG '''PERMIT NO. f h�
SOIL TYPE - Sand)- Loam - Clay -
Percolation Test Required? YES NO
Percolation rate Min/Inch
TYPE of SYSTEM:
Absorption field, total length;
Length of each trench J;X
Depth of trenches •
Size of gravel
SEEPAGE PITS-(Number 'of) .
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank 1_i,/ /"v/C
Tank to clist. box L� // C.
Dist. bo): to field/pit'. l
Openings sealed? ES ,NO artEial
LOCATION/SEPARATIONS:
Foundation to tank I ( ft.
Foundation to abscrption ;Dft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYST TON PROPERTY(circle one)
Front ,- Rear Lef t)side - Right side -
'EGMMENTS:
r ,
•
fh
SYSTEM USE APPR/VED g219(5
Building Inspector
01/86 and vl
Mr. 7
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /1--/
BAY & HAVILAND ROADS pri
QUEENSBURY, NEW YORK 1280i-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUES FOR INSPECTION RECEIVED ► /1 1(1 71 I1
! fff
NAME J��(t , IL(( !L
V
LOCATIOk j{f/1 r:u (),I l , 1. 14-r:*-
DATE 'H fI J 0 PERMIT #� k,
• APPROVED
i. YES NO
FOOTING/PIERS i; t
MONOLITHIC POUR', FORMS 1
FOUNDATION/DAMR PROOFING 1/
BACKFILL APPROVAL a
ROUGH PLUMBING '� ,`
FRAMING 'f '
ELECTRICAL ROUGH.'.—IN ;)
INSULATION: `
V\ FOUNDATION
FLOORS I. r} /7-- C /i' • . q
WALLS A. 7 0:1 .+L 4/�r''Z,-,.'5 -3 f.<( X.
CEILING •Z_ 3 ,, • • \%
FINAL INSPECTION: \
CHIMNEY HEIGHT
ROOFING v. • •
SIDING
EXTERNAL PORCHES/STEPS ' '
STAIRS—CLEARANCE & RAILS
,r
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVA`CY DOORS
FINISHED FLOORS ! _
GARAGE FIREPROOFIIC;
DOOR CLOSER(S)
SMOKE DETECTORS 1` I!,
FINAL ELECTRICAL INSPECTION
_FINAL APPROVAL OF CONSTRUCTION
— OK TO ISSUE C/O OR C/C`,
A SIGNED CERTIFICATE OF ‘OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
r
THESE PREMISES ARE OCCUPIED!
REMARKS:
E
/ \\.
ARRIVE - '
DEPART ) ' yl�7 d..f .. %IiG'��
INSPECTOR
TOWN OF QUEENSBURY 1)1\
BUILDING AND CODES DEPARTMENTI
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT I( �� /�
REQUEST FOR NSPECTION RECEIVED 1�/-1l_; AM
NAME A 1 . (CU laid., ((( 111
LOCATION rrft �C �q j ,(�k,0 /,4, (n l� (,
DATE 4. 1,00
,f �1 PERMIT # ( O(
(( APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
t///://
. BACKFILL APPROVAL
ROUGH PLUMBING
RAMING j
LECTRICAL ROUGH-IN ' '
INSULATION: ' i
FOUNDATION I
FLOORS
WALLS i / .
CEILING 4 i'
FINAL INSPECTION: Y
CHIMNEY HEIGHT 1 / •
ROOFING t ,
SIDING • •1
EXTERNAL PORCHES/STEP. ' f
STAIRS-CLEARANCE & RAILS!! .
PLUMBING FIXTURES/RELIEF/ VALVE
INTERIOR TRIM/PRIVACYtDOORS
f
FINISHED FLOORS 1/
GARAGE FIREPROOFING A
DOOR CLOSER(S) It
SMOKE DETECTORS I
FINAL ELECTRICAL INSPECTION ' . '
FINAL APPROVAL OF CONSTRUCTION
- OK TO ISSUE C/O OR . �/C k
A SIGNED CERTIFICATE OF OC�CUPANCY MUST BE
OBTAINED FROM THE BUILDIN(,; DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
1<' •
. . .
REMARKS: / \ .
' \\\
-
ARRIVE.),At____
I
DEPARTv �
INSP TOR
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 RECEyVED '(ct ho Avg
NAME ---- t ( 4A.,r4
LOCATION �I�)-(-� rck0,{1-Q ,
DATE d q 1II!t
PERMIT # 9 b-
il
APPROVED
- 61 ` YES ,NO
FOOTING/PIERS ‘i*1
MONOLITHIC POUR FORMS i 0
FOUNDATION/DAMP-PRIOFING
BACKFILL APPROVAL % / • ' ' '
ROUGH PLUMBING •'6 ,/
FRAMING i,
ELECTRICAL ROUGH-Mt, '
INSULATION: ,
FOUNDATION '9; •
FLOORS . . '1 t . . ' . . .
WALLS • g C:, . . . . . .
CEILING . . . . . .
FINAL INSPECTION: 6
CHIMNEY HEIGHT a •
ROOFING 4' . . ? . . .
e
SIDING ri
EXTERNAL PORCHES/STEPS!,
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURAS/RELIEF VALVE_
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS ;;
GARAGE FIREPROOFING 'f
DOOR CLOSER(S) Vi
SMOKE DETECTORS` '
FINAL ELECTRICAL NSPECTIONL
FINAL APPROVAL OF CONSTRUCTION '
'6
al
A SIGNED CERTIFIC TE OF OCCUPANCY MUST BE
OBTAINED FROM THEBUILDING DEPARTMENT BEFORE
THESE PREMISES AR OCCUPIED! _
REMARKS: ANO aL(
.
F
THE CONTRACTOR IDS RESPONSIBLEFOR PROVIDING
PROTECTION FROMIFREEZING FOR 48 HOURS •
FOLLOWING THE PLACEMENT OF THE CONCRETE.
r
. MATERIALS FOR THIS PURPOSE ON SITE
ARRIVE %2— '" YES NO
DEPART ,' V t . •
14,/i )13 A r
•
INSPECTOR
TOWN OF QUEENSBURY tat
BUILDING AND CODES DEPARTMENT /P,
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I2801-
•
TELEPHONE (518) 792-5832
•
BUILDING INSPECT��R'S REPORT
REQUEST FOR INSPECTIONJ� C RECEIVED
NAME
LOCATION ?'
•
DATE 3-k --9D PERMIT # q D 38
APPROVED
A YES NO
ff
FOOTING/PIERS f''i
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING};
FRAMING
ELECTRICAL ROUGH=g,IN?"
INSULATION: `
FOUNDATION 5M1's
FLOORS.
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING q
EXTERNAL PORCHES/STEPS\,.
STAIRS-CLEARANCE & RAILS,;
PLUMBING FIXTURES/RELIEF1VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
1C k:
GARAGE FIREPROOFING C},
`e.
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION '
-FINAL APPROVAL OF CONSTRUCTION
- OK TO ISSUE C/O OR •C/C
A SIGNED CERTIFICATE OF OCCUPANCY 'MUST BE
u
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!\
REMARKS:
•
•
ARRIVEd(C)
DEPART' ; 1C_ �" ,i
• INSPECTOR
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 RECEIVED ///3
NAME�-l�Dj7 /.104 v jir/r�c j
LOCATION SGF�i/,mac q �j��_ riL
DATE j//,3' PERMIT # cip - Y
' APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS L-----
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
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
!N ---;- tick* .
\pC 1
, )
Cia i e
• (C) ' • ,(,.r . /giro i W
1 i
I
I
t 0,0 ° 14 d IAklea Do iv Iwa A- e
the9AAftve- S ka2►nA-A ki
690Q.e.NS6vie
-. ' SOTIC_ Lc ti ur
/,� ��- � ' TOWN OF QU NSBU Y
Ay
n 4y f';
a aiming Ad ht'aitrator