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1990-054 vt- CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date a./24//, 19 9/ -6(C) -54 This is to certify that work requested to be done as shown by Permit No. 90 has been completed. This structure may be occupied as a of 2 family dwell inc 92- Locati _/.e9 Overlook on Owner Hiland Park Corporation By Order Town Board TOWN OF QUEENSBURY ,4-(7, / Director of Bldg. & Code Enforcement 7o' BUILDING PERMIT x TOWN OF QUEENSBURY No 90_54 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to HILAND PARK CORPORATION OWNER of property located at 29 Overlook Street, Road or Ave. N in the Town of Queensbury,To'Construct or place a 1/2 Of 2 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 RD #5, Glens Falls 2. CONTRACTOR or BUILDER'S Name 'O Dana Cross Bldg. Superintendent c 3. CONTRACTOR or BUILDER'S Address = 1-1 --I - 4. ARCHITECT'S Name 5. ARCHITECT'S Address ' N 6. TYPE of Construction—(Please indicate by X) m r 9Q(Wood Frame ( I Masonry ( I Steel ( ) - - - O O 7. PLANS and Specifications No. 1646 sq. ft. 2 of 2 family dwelling with septic system and. attached R 2 car garage as per application, specifications and plot plan. 8. Proposed Use 1 z of 2 family dwelling. 25.00 fireplace $ 2. 49.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 15 19 90 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the '11 town of Queensbury before the expiration date.) N Dated at the Town of Queensbury this 15th Day of March 19 90 3 SIGNED BY for the Town of Queensbury v Building and Zoning nspector m I— r 0-1 a, TOWN OF QUEENSI3URY APPLICATION FOR BUILDING AND ZONING PERMIT N.I1 c- Recieved s ` °( l'u.t ;,<"�•.;;` --- Reviewed ' ' Yr F MAR 12 199U ce -t4,0 . _ 45' U iiliplAa , BUILDING AND CODES UI:)'ARTpfEIrr Date I4bued (214-) BLDG. & CUDE L,L'T. BAY and IIAVILAND ROADS RD 1 Box 93 PUEENSBURY,NEW YORK 12804 PAun-i t Na. CIO 51 Tel . (518) 792-5832 Ext •209 1 * * * * * * •A * 1 * * * * * * * * * * * * * * * * * ` * * * A A * * * * A A A PERMIT MUST B1l OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS h'1LL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicable spaces on this application must he completed and the siIrtlature of the applicant must appear on the reverse side of this sheet . /1 * * * * * * * * * * * * * * A * * * * * A * * * * * * * A * A * * * * The owner of this property is : 1, 1A,�r� -Pele k- CD z4 L ,.., P . O. Address D C 0.0n , T7611. )`"it IZS?l,i TEL.19(.1 / �j .( co Property location I TAX MAP NO. 5/6/ (p / Has there .been any split of this property since October 1 , 1988? / u yes Y if yes , Planning Board Review is necessary. SUBDIVISION NAME , IF APPLICABLI? CJ'`,.lcQwx',1 . LOT NO. The person responsible for supervision of`` work as regards Building Codes is : --N•n r CrEOSS , y` a mac. 'So p•oZi r a • � eia� 1� `�- - SC$J-4 _ NAME \ P .O . ADDRESS TEL. NO. Name of builder Vrr•21e_ Address Tel Tel Name of Plumber 5 A Jt . Address h( -,. c7a11 S F'V •�-I , Tel iq3 y'j ein Name of Mason `at:Nickw ;,,-‘, Address lam) FA- QiV1U P. 1 . Tel :-IOI2 i3 7I r NATURE OF PROPOSED W RK: ZONING INFORMATION (Office use only) Construction of a new building • ZONING DESIGNATION OF PROPERTY _Addition to a building •; PERMITTED PRINCIPAL PERMITTED ACCESSORY _Alteration to a building • r (no change to exterior dimensions) w REVIEW REQUIRED - PLANNING BOARD ZONING BOARD Other work (describe) ' SITE PLAN REVIEW' II APPROVED DATE GROSS AREA OFPROPOSED; "TRUC'i�c•tn M VARIANCE 11 APPROVED DATE • f Remarks: • 1st Floor /r // sq ft.. /'_�5 • 2nd Floor 52. 9 sq '. rJiu Z t- ,,. ,COMPLETE Itd1ORMATION REQUIRED BELOW. p /C Other floors sq •f-t . 3 �I�izc o,t property ft X ft. ( not cellar .or bass: n�rnty `rlxisting building(:;) tiiZe et: X it. TOTAL FLOOR AREA/ �f(;, )sq f t . �' • Existing building (s) Use Size of new structu-re_-ff-t- X ft ` Fomndation-pier/slab/crawl/partial ( ' • Proposed building, distance from property line (circle one) • Front and ft Rear and ft No. of stories (habitable space) • y y Height (grade to ridge) ZC.., ft. * Side yards ft and ft If residential, no. or families 1 ,,. It on corner, setback from side street ft Ho. of room:;(excluding baths) ScC V10.1 • OCCUPANCY INFORMATION . , - Ilo. of bedrooms Z R PRIMARY BUILDING - No. of bathrooms Z , One family dwelling Primary heating system Tp5 4-104 INi • _Two family dwelling Type of fuel NVO- za �r' Li 1 ^5 Multiple No. of fireplaces to be installed t , 11� dwelling J / Number of units Will a wood stove be installed? AJD • • Permanent occupancy • 'Transient occupancy Central Air conditioning? �S • Business BUILDING STYLE, PRIMARY STRUCTURE , Industrial Ranch Contemporary Lac? cabin • - Other 'A. ��,Q 11, Raised ranch Mansion • if addition, what will use be? split level Old style Bun ow • Cape Cod Cottage Other • ACCESSORY BUILDING- Colonial Row Town house • . Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) • Attached garage/one car/ two car/ cat * 7-C-� >< * A A • Private storage building ESTIMATED MARK/ET VALUE OP • Other CONSTRUCTION I \\ • INFORMATION ON BUILDNG SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED: Form DPA 10/88 v1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. kc O >'ti�= Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material-ev,„-Fc A (-( L Thickness Up" Depth of foundation below grade (to bottom of footing) Will there be a cellar?9FS Heated or unheated? Floor sq. footage v5;T-7 sq ft Will there be a basement? Lics Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/otherrjor. Material.-of roofASph t- 611 ct I , Size, wood studs 2. "X C;. " spacing I U "o.c. length ft. Joists(floor beams) 1st. floor a "X /0 " spacing it, "o.c. span 1.4 ft. Joists (floor beams) 2nd. floor Z "X te, " spacing /G "o.c. span tY ft. Overlays(ceiling beams) Z "X sZ " spacing /6 "o.c. span IG ft. Roof rafters z "X " spacing /(, o.c. span -ZZ ft. • Roof trusses(pre-engineered) spacing 7' "o.c. span 2z ft. • Exterior wall finish �:(x. Of what material? C.Pd,o q.- Interior wall finish *Pn;..% V. ,cL 9 1/p5u h-. 0..),A f( G3c;N 4,7_0 • 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? yips If so will a Fire-rated door, enclosure, and self-closing device be provided? Willa flue-lined chimney be installed? rj Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well 1'11VA1 i 4 / (P 0 I SEPTIC SYSTEM _ Distance -from ANY private well(including adjoining properties czoo ft. (A separate application is necessary for any repair or new installation of septic 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 V-)9-1:9..\ �� • • Owner, owner's agent, architect, contractor • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By TOWN OF QUEENSBURY APPLICATION FOR • Zi10 SEPTIC DISPOSAL PERMIT eft DATE LOCATION OF PROPERTY FOR INSTALLATION ► L,Av ( �p Owner's Name: Ffi(p n c L Co e Telephone: 7i 3 2c: Address: j>14-L`) f-I Q u; I n -2D t �.o�S �h j�s v /2 ,,i Installer's Name: (J l i r,1,-\,n -Pia ;z k Telephone: 7 9 3 - Number of bedrooms (residential only) Z_ Total daily flow (compute (d 150 gal per bedroom) _j 5 () Topography: Circle one: Flat Rolling Steep Slope % of Slope S i 0 pr7 Soil Nature: Circle one: Sand Loam Clay Other ..S410 0 /Depth: I (o Feet Ground Water: At what depth? IS Feet Bedrock or Impervious Material: At what depth? 7v Feet Percolation test: Circle one: not required required rate I p min. inch. Domestic water supply: circle one: Municipal Well Other ✓v1 unu c t P o I If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank !000 gal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench feet/Total system length - feet SEEPAGE PIT(S): Number of � / Size each �� feet by L't' feet .T�c�U �j�'I C� " Size of stone to be used # a/Depth or Thickness G., 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 Queensbu nitary Sewage Di osal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: OVER TOWN OF QUEENSBURY • Bay at Haviland Roads,Oueensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES 5— Date 3 l . go 19 Permit N O2;T— APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all inspectors to enter premises for the required inspections. Applicant's Name ..k APPLIANCE TYPE Stove Coal Wood Address RYW 1-f c Furnace Hot Air Boiler � �I r Zero Clearance � Circulating Unit ����� ,� Zip � ��� Phone `7 9 _. >6 erl If Non-Masonry: Owner's Name Manufacturer Address Model, Outlet Size Zip Listed by Number Phone CHIMNEY TYPE Masonry: Block Brick Stone Property location of proposed constructs n Flue: Tile Steel X 2Ci U 'a t P . Size: q 1 Factory Built: Manufacturer Model Size COPY OF MANUFACTURER SPECIFICATIONS IS Height_ Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cot$ CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ SONRY FIREPLACES AND CHIMNEYS. CASHIERS DEPARTMENT TOWN OF QUEENSBURY, NEW YORK Department: Fire Marshal Amount Collected Amount Refunded Code Number Title A173 3389 (190)Public Safety • A233 2655 (230) Minor Sales 1 _ Fce Scctcd fr mm or Refunded to: I ail__ (2.1,PA ,• Address: 4IP) 0‘.,I 1 I (CLth (I .dd_l Dated: j /-I `"I( Town Clerk or Deputy While:-Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal MIDDLE DEPARTMENT INSPECTION.AGENCY, INC. National Headquarters VIM 110. 1337 West Chester Pike,West Chester, PA 19380 _ APPLICANT COMPLETES THIS SECTION Date: (I/ C-_-;f% City, Town or Township ,K%t ' f'71-71/ =) r",'i County () f` i''1/ `� !° State /V. V Location/Address -_/(/ /'‘) ()r /:'i' f.)1) /' - - (If Located in Rural Area - Please Attach Directions) Pole # Owner /i / G. /a`•'() 1 ; ,1) /? /� Permit # ���/ Occupied As ,&"../-;'-) Building: New��- Oldi Occupant Work Area in Building (Floor #,etc.): App. for: Wiring n'''Service L 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 1'/2 2 3 5 7'/z 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's - • Signature License # _ Permit # T/A /= /Lf -.qr' /) i-=2.142/?4' Utility: .'- (l,',-/1 41/' A'(!) s°`'"`!/i. 11 (NAME) (OFFICE LOCATION) Applicant's Address: - r (City) i, =s i_t=:'=.>>1 S -?•/-//'S/' (State) Al , / .�(Zip) //- 6 Service Request # Phone # 7 '/:.5— :' _'(;) J -Electrician: _ ,f a-,'Lf .4 ( /_�ti S ~, MDIA USE ONLY 'DATE RECEIVED: ] !, /�� / S - f i DATE INSPECTED: f 2 Correct Location: Same as Above n or: Red Notice Label n -. :_-.) 'fof,4 -- l; ;- T.! ,/' • • Rough Wiring Outlets Surface Unit Oven L 3-Switches -'"Flange ' - +Garbage Disposal 0 �j Receptacles /- er Heater J Dishwasher C/'. Fixtures --•Air Conditioner `' Dryer 7.i..%_Amp. Service Equipment Burner, Wiring &Controls for(,;' Amp. Receptacle '/, ,,r,Amp. Service Conductors Pump ,,,,...-2 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 7'/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 CO RECT .FEE PAID ❑,RW Progress: Inc.❑ LKD❑ Contractor I '1 CFT Violation: Work Comp.❑ Inc. _- n L/A Owner CASH ❑ . Fee CHK # n L/A - Due MO 1 I IPA Municipal r - "INV # Date: (/ /� `t' Other Side '�� Utility Applicant 0 f-.• Owner. • • Cut in Card Temp # Date ,. / ' f�/,/ r. /` ti `;!-`:•. A ,' . c:- <=/ INSPECTORS SIGNATURE n Final # Date ( " t= .` / . APPLICATION FORM NO.250 EL 11/89 - • �J vJVJ vJ vJ �+ v JAG J�, cMv J svJe MIDDLE D Haddon venue CS•PECTIOIV AGENCY, INC. RIOISI-/ ' 900-Raddon-Avenue;Colllnyiwotid,N;JR:08108 ,s d .� d t), `, Date August 3� 1990 Certlf leg that the equipment listed has been examinedsand.is approved as being in accord with the National Electrical Code; applicable governmental, utility and.Agencyrules. C 11 E;7 Owner: Hiland Park;r/''`-_ / ; t 1 1 " Occupancy ..Dwelling. Occupant: Unknown i Location: s cer i to covers the electrical equipment and installation inspected this 29 Overlook Dr Qu'eerisbury (Warren"'Cd t If additional equipment should be introduced or alterations made to existing system this certificate shell be null and void, and application for Equipment: 40 Eixt7�i�n��spqecction should be subIhitled prdrr,plly to this Agency. 11 O-Out 1 e t S, '!4 O-R e c e p t a C e s, `--,,,.UePoy this certificate should prgsent same to his property insurance carrier (ag pany)as of certification of electrical equipment approved 200 Amp Service; 4`-Appliances; 3 Vent(nggg ; i ''',Q:::, '',..i Hiland Park • ,i F ,t Applicant: ' Haviland Rd. Box-`.;..4$1 "`ND• 16-035306/031 2� ..}SmY �Queensbury, NY 128�04��:==�� e:.�. �=���z TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804• TELEPHONE (518) 792-5832 BUIL'.INC INSPECTOR'S REPORT REQUEST FOR INS"ECTION CEIVED Z 90 NAME 4l ,L/ ,/ . LOCATIO i-1 1 G/ L (��t �'`� DATE 7/Z- /0 PERMIT #; (70-S4 APPROVED YES NO FOOTING/PIERS r MONOLITHIC POUR Fe' S FOUNDATION%DAMP—PR'OFING BACKFILL APPROVAL ROUGH PLUMBING r FRAMING ELECTRICAL ROUGH—IN ' INSULATION: FOUNDATION / FLOORS WALLS 12 - // CEILING , .P 3 FINAL INSPECTION: r CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEWS STAIRS—CLEARANCE & • LS PLUMBING FIXTURES/R L EF VALVE INTERIOR TRIM/PRIV' Y DOORS FINISHED FLOORS r GARAGE FIREPROOFIN DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL I ,ISPECTI N FINAL APPROVAL OF 1 ONSTRU ION \\\\* OK TO ISSUE C/O 0', C/C A SIGNED CERTIFIC'TE OF OC PANCY MUST BE OBTAINED FROM TH BUILDING EPARTMENT BEFORE THESE PREMISES A'E OCCUPIED. REMARKS: :::; r;: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i �/� TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S ' :4ORT REQUEST FOR `NSPECTIONN RECEIVED C fQ NAME f4,_ }i!C 7/� e4 LOCATION OS G A/g i DATE ‘A." fd PERMIT :. y J APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP ;•ROOFING BACKFILL APPROVAP. ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- N " V INSULATION: ' " FOUNDATION FLOORS ' WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S , PS STAIRS-CLEARANCE &' ;AILS PLUMBING FIXTURES fP:: IEF VALVE INTERIOR TRIM/PRI:%A DOORS FINISHED FLOORS , GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS ' FINAL ELECTRICAL ?NSPEC 'ON ' " FINAL APPROVAL OP CONSTRICTION OK TO ISSUE C/O 1R C/C A SIGNED CERTIFICATE OF OiCUPANCY MUST BE OBTAINED FROM "a E BUILDINe: DEPARTMENT BEFORE THESE PREMISES ARE OCCUPI 0!" REMARKS: / 7 F/a ce 9 ARRIVE ' .?(9 //al DEPART 3 lA INSPECTOR TOWN OF QUEENSBUR BUILDING AND CODES D PARTMENT �% BAY & HAVILAND ROAD QUEENSBURY, NEW YOR 12801- TELEPHONE (518) 79 -5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPEC ION ,R CC�IVED 7�� /70 ` ft- NAME .f(-L�( /,-1 fI�/ /,/ ,� /.4 C y (l LOCATION A_ -/iYA��/ / 1C�� - . DATE Gj /(9 /j 0 PERMIT '# n-� APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PR FING BACKFILL APPROVAL ROUGH PLUMBING ��` FRAMING I ' ELECTRICAL ROUGH-IN ,. INSULATION: FOUNDATION i FLOORS 'I . . . WALLS CEILING . 1 FINAL INSPECTION: I CHIMNEY HEIGHT I, ROOFING ' I SIDING EXTERNAL PORCHES/ST iS STAIRS-CLEARANCE & '1ILS PLUMBING FIXTURES/''E .i EF VALVE INTERIOR TRIM/PRI ACY, DOORS FINISHED FLOORS y GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS ' \1 FINAL ELECTRICAL NSPECTI,ON . . FINAL APPROVAL 0 CONSTRUCTION ' OK TO ISSUE C/O ,SIR C/C i - -- A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM HE BUILDING7'DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED REMARKS: / , \ .' ARRIVE w,`30 DEPART/ • f 7.J + IN PECTOR (---p, gown of Queensburcy BUILDING and ZONING DEPARTME Bay an Haviland Road, R.D. 1 Box Queensbury, New York 12801 • SEPTIC DISPOSAL SY-TEM INSP TION NAME Q0 LOCATIO I'19 / DATE -!,56 ��� �PERMIT N0. 1 SOIL TYPE - Sand - Loam - Cl y - it Percolation Test Required? ES - NO Percolation rae - Min/Inch - TYPE of SYSTEM). 11 Absorption field, total 1-ngth Length of each nrench Depth of trenches ' ' Size of gravel' SEEPAGE TS{Nuihber of) Size- ft. ft. 7 Gravel size �/ PIPING: Size Type Bldg. to tank 5, 4vc Tank to dist. box mi, //14(4 Dist. box to field/. /,exL--- Openings sealed? (ES 0 Partial LOCATION/SEPARATIi S:Foundation to to \ I Zi- ft. ' Foundation to ab.o ,ption ft. Absorption to l.t ine -` ft. • Separation 'of • 'ts / 4,), ft. LOCATION :TEM N PROPERTY(circle one) Front - ear / Left \side Right_.side'= .. ._. COMMENTS: f -78 -r5 i7 _ i 11y f i\t ,v. t AqC-- ,- � \ - ,l, i ( dill SYSTEM USE APPROVED YES N • BBi�d.t-g Inspector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FO• INSPECTI RECEIVED c. ( O 1$1 NAME y LOCATION 2_ I1/�J jL_I DATE ,q J 19 6 PERMIT # ct O-64- y' APPROVED ' I .i YES NO FOOTING/PIERS f� 11 MONOLITHIC POUR FORMS ,, 1 FOUNDATION/DAMP-PROOFING/ I ACKFILL APPROVAL 1 I OUGH PLUMBING ' i FRAMING / ELECTRICAL ROUGH-IN ' / . ' ' . INSULATION: I FOUNDATION FLOORS . . . . . . . WALLS ,fit . . CEILING %; . . FINAL INSPECTION: 0 CHIMNEY HEIGHT i ROOFING d• , SIDING •3 1 • • EXTERNAL PORCHES ESTEPS ' • STAIRS-CLEARANCE& RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PTIVACY DOORS FINISHED FLOOR ( _ GARAGE FIREPROOFING DOOR CLOSER(S)1 v, SMOKE DETECTORS 8 • FINAL ELECTRIC L INSPECTION FINAL APPROVA OF CONSTRUCTION OK TO ISSUE C(O OR C/C 1 1 4CCUPANCY SIGNED CEIFICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPARTMENT BEFORE THESE PREMI ES ARE OCCUPID! REMARKS: \\\ • \ . , ARRIVE if `V" DEPART 1 INSPECTOR a TORN ( QUEENSBURY 4e 531 BAY ROAD ``, j ' QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR ��INSPECTION RECEIVED NAME �C/�20g4, ' LOCATION 2?9 AVA5-L DATE20/4i PERMITS TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION. BACKFILL FRAMING ROUGH PLUMBING 1.41NAL ELECTRICAL^_SEPTIC INSULATION WOODSTOVE/FIREPLACE SITE PLAN/VARIANCE REQUIREMENTS YES — NO REMARKS APPROVAL YES NO CHIMNEY HEIGHT/LOCATION ✓ B VENT/LOCATION PLUMBING VENT /\ ROOFING / SIDING / DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING / 1 j BASEMENT INSULATION`/,DUCTWORK r k INTERIOR TRIM/PRIVACY( DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABI.E / OTHER FLOORS CARPETED ,! STAIR CLEARANCE/RAILINGS I. HANDICAPPED ACCESS i/ SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE 'FANS ALL PLUMBING .FIXTURES OPERATING GARAGE FIRE PROOFING / I, ✓ DOOR CLOSERS OTHER FIRE SEPAPATIONr ✓ FIRE/DEMISE WALLS DUMPSTER �— _ FINAL ELECTRICAL r OK TO ISSUE C/O OR C/C COMMENTS: s, ARRIVE �i ,/// DEPART : 1I L" /� S . ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. Owner /64-Aie Sig Occupant n4. Location cP19 6 11&-i24._ts-e) juSt,ry Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by P/Mk-- c-)Nf 9 Date aled.4 'MIDDLE DEPARTMENT DEPARTMENT INSPECTION AGENCY,INC. FORM NO.18 EL. 1337 West Chester Plke,West Chester,PA 19380. JJ ROUGH WIRING OUTLETS ✓ H.P.AIR CONDITIONER 1..`./�/�2,,,e-3tl`P 9 Trey WIRING &CONTROLS FOR .. BURNER 3 RECEPTACLES H.P.PUMP SS FIXTURES K.W.OVEN 2.(i/AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT / , AMP.SERVICE CONDUCTORS �K.W. DISHWASHER ///[/ K.W.SURFACE UNIT K.W. DRYER i. K.W. RANGE AMP. RECEPTACLE K.W.WATER HEATER FRAC. H.P.VENT FANS /MOTORS H.P. 1/20 1/12 1/10 % % % % '% % 1 11/2 2 3 5 71/2 10 15 20 I 30 40 50 75 100 MARK NUMBER r OF EACH SIZE APPARATUS #;a' TOM OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPEPOR'S REPORT FINAL INSPECTIONI REQUEST FOR INSPECTION RECEIVED 4/0/ NANE LOCATION ,4 DATE 1:// 4/ • PERMIT# TYPE OF STRUCTURE . 2 RECHECK FIRE MARSHAL APPROVAL (fCOMMERCIAL STRUCTURE) 2/FOOTING FOUNDATION 4-BACKFILL /FRAMING PLURI1SULATIONBINGWOODSTOVg/FIREPLACE'f —_ fPTIC SITEkf. PLAN/VARIANCE REQUIREMENTS / YES _ NO REMARKS tjif Z it "'OVAL Y NO CHIMNEY HEIGHT/LOCATION V B VENT/LOCATION 1) I ►/� PLUMBING VENT / ✓ ROOFING y / SIDING / DECK/PORCH/S EPS/RAILI;4GS RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/bU'CTWORK INTERIOR TRIM/PRIV Y DOORS FINISH FLOORS: ! BATH/KITCHEN WA ERTIPHT OTHER FLOORS S EEPABLE OTHER FLOORS ARPETED STAIR CLEARANC /RAILINGS HANDICAPPED A CESS SMOKE DETECT RS Y BATHROOM FA /WHOLEHOUSE FANS ALL PLUMBING .FIXTURES OPERATING GARAGE FIRE PROOFING ✓'- DOOR CLOSERS OTHER FIRE SEPARATION ;i FIRE/DEMISE WALLS DUMPSTER FINAL ELECTRICAL ✓ OK TO ISSUE C/O OR C/C COMMENTS: ARRIVE /' s DEPART ='c� TOWN OF QUEENSBURYCOE /6 DEPARTMENT BUILDINGAND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUESTFOR INSPECTION RECEIVED /,„: /9,0. // NAME N G21'2z' 141J LOCATION a9 ��� DATE 4 3/9 Q PERMIT # APPROVED Ll G'Zl(//11'6(1YY YES NO FOOTING PIERS MONOLITHIC POUR FORMS • FOUNDATION/DAMP-PROOFING BACKFILL APPROVAIj ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-4IN F' INSULATION: • FOUNDATION .1/ FLOORS • / WALLS F` CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING 7y SIDING EXTERNAL PORCHESSTEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES'RELIE1 VALVE INTERIOR TRIM/PRIVyACY DOORS FINISHED FLOORS tE / GARAGE FIREPROOFINI DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL IN.?P'CTION FINAL APPROVAL OF C,ON4TRUCTION A SIGNED CERTIFIrATE O OCCUPANCY MUST BE OBTAINED FROM THEf BUILDING DEPARTMENT BEFORE THESE PREMISES/ARE OCCUPIED! 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