1990-056 CERTIFICATE OF OCCUPANCY,
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
4
Date
act I - Le
This is to certify that work requested to be done as shown by Permit No. 90-56
has been completed.
This structure may be occupied as a of 2 family dwelling
00verl ook
Location
Owner Hiland Park Corporation
By Order Town Board
TOWN OF QUEENSBURY
thh
/c//1
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-56
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HILAND PARK CORPORATION :.
"0'
OWNER of property located at 30 Overlook Street, Road or Ave.
cn
of 2 Famil Dwellin
in the Town of Queensbury,To Construct or place a lz y 9 c
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, NY 12801 =
2. CONTRACTOR or BUILDER'S Name
Dana Cross
Bldg. Superintendent n
3. CONTRACTOR or BUILDER'S Address
O
O
4. ARCHITECT'S Name
rti
O
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
W
• O
IX)Wood Frame ( 1 Masonry ( ) Steel ( )
IT7
7. PLANS and Specifications I-
O
O
No. 1,946 sq. ft. 2 of 2 family dwelling with septic system and attach-
ed two car garage as per application, specifications and plot plan.
8. Proposed Use
2 of 2 Family Dwelling
25 fireplace
$ 289.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 15 19 90
0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the -19
town of Queensbury before the expiration date.) N
-9
Dated at the Town of Queensbury this 15th Day of Marc 19 90
I—
SIGNED BY � p�� for the Town of Queensbury
Building and Zoning nspector I'n
I—
I-
1-4
TOWN OF QUEENSI3URY APPLICATION FOR BUILDING AND ZONING PERMIT
•i bli, Pate-
't .
$A.;; - Rein e TOWN OF Oi!EEi I°.:
r
w ' ,,: Fee F S 2.8g 41S fI ee..
'1 MAR 12 1990
RUILllING AND CODES U1:PAI:1'PII'I','I' Pate 7aaued 4,5(4)
BAY and NAVIL.-IND ROADS RD 1 Box 98 PUEENSBURY,NEW YOJ?K 12804 Pelun•t t Nu. .9 o- r BLDG. & CODE DE PT.
Tot . (518) 792-5832 Ext -209
84
A PERMIT MUST BIB OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS t+-
li'ILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID 13UILDINC PERMIT. dv
9All applicable spaces on this application must be completed and the
Si nature of the applicant must appear on the reverse side of this sheet .
- lA A A A A * A * A A A A * A A A A * * * A A * AAA A A * A A A * A * A
The - owner of this property is : iNiki lflr)n ire\L. Glelt) a roe .
t' . O. Address . sc-)#.c. . (^-,ion•r--, OII-. '1,`i. 1ZO1 . TEL. '7cr;S-2_Ce//x:
Property location 30 TAX MAP NO. r6 / CP /J
Has there been any split of this property since October 1 , 1988? /
yes ono '1
if yes , Planning Board Review is necessary . $`
SUBDIVISION NAME , IF APPLICABLI: III (Qok. LOT NO.
Thee person
+ responsible for\ supervision�' of work as] regards Building Codes is :
.-� A V!a Ce.°�J3 --Bk..)t,A-tv-v( `)lJ 10.DZ i Vl T O VC' DYI.T' S Y-1,1 P
NAME IA; 1, Nonrn P .O .-ev1tZ�. , P .O . ADDRESS TEL. NO.
Name of builder Address 1 Tel
Name of Plumber IrAVII, . Address CDooc7+,5 tikes 1 IN)c_ i,, Tel 113 413 qc1
Name of Mason }3 (c.uJ,,I,,-/16 3Address k_k__), F— A 6 n ram,L I, Tel •7`7��Z —/3',/
Y
NATURE OF PROPOSED V.O K: * ZONING INFORMATION (Office use only)
X Construction of a new building * ZONING DESIGNATION OF PROPERTY
_Addici4n to a building ' PERMITTED PRINCIPAL PERMITTED ACCESSORY
_A1tec. t_ion to a building * ,
(no change co exterior dimensions) * REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Ocher wort; (describe) * SITE PLAN REVIEW fl APPROVED DATE
GROSS AREA OF PROPOSED; STRUc'1'' L•` i * VARIANCE 0 APPROVED DATE
1st Floor •1r. LI`7 sq ft . l �* Remarks:
2nd Floor � cr sq tel12- 12 a COMPLETE INFORMATION REQUIRED BELOW.
Other Floors sq f III * Size of property ft X ft.
3� " Existing building(::) SiLte ft X ft.
( not cellar or bass: n-e-n-tom ,G��
TOTAL FLOOR ARE- _ 1 c( L4 �q• ft-0
4;.- Lxiscing )� �` � building (J U:.0
Size of new structure ft Xair
t•'oundation-pier/s1�L/crawl/partial Proposed building, distance from property line
(circle one) t Front yard ft Rear yard ft
N . of stories (habitable space) Side yards ft and ft
Height (grade to ridge) 21,3 ft. * y
If on corner, setback from side street ft
if residential, no, of families *
No. of rooms(excluding baths).00 of ok\S * OCCUPANLY INFORMATION
No. of bedrooms * PRIMARY BUILDING -
No. of bathrooms
Primary heating system * One family dwelling
Y J sys Qtd_`, )1b'r dr'2 Two family dwelling
Type of fuel )1tN ?2r11 ,n a * Multiple dwelling
l * 1 / Number of units
No. of fireplaces Co be i I'callcc, ' —
Transient occupancy
Will a wood stove Le installed. t\fl
Central Air conditioning? L E- . 'Transient occupancy
5 * Business
BUILDING STYLE, PRIMARY STRUCTURE , Industrial
* )( Ocher J/Zt ) (,a;---:'')
Ranch Contemporary Ian cabin /
Raised ranch Mansion * It addition, what willu::a:_bia
�(�u1,1 e� - ---4-
split level level Old style bungalow *
Cape Cod Cottage Ocher * ACCESSORY BUILDING-
Colonial stow 'faun house * . Detached garage/one car/ two car/ ~car
( CIRCLE ONE PLEASE ) * r/�lttachr:d garage/one car/ two car/ /9 .,car'
a w • • ■ • % /■J ai w * Y • It Private storage building ( -'
EST1MA'1'lD _MA�i K11.T VALUE OFF\ * wOcher
CON:.'1'ItUC'l'TUI4 Sn.4: 0t •
]NI•'ORMATION ON DUYLDINC`SPEZIPICATIONS, ON REVERSE SIDE OF TUTS SHEET, TO BE COMPLETED!
Form BPA 10/88 v1
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of, construction, wood frame, fire safe,etc. UJ X rJ 'Fe a:'leN�
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material ‘nPc,.er�� � jf - �- Thickness ( +"
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Ws Heated or unheated.? Floor sq. footage ( (,,..3 3 sq ft
Will there be a basement. qE,5 Will any portion be used as living space? ob
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other e4)p4c`( Material.'of roof ,^c ����- S( ,,,p \_p
Size, wood studs 7 "X (0 " spacing / (o "o.c. length `, ft. t
Joists(floor beams) 1st. floor ? "X 10 " spacing /6, "o.c. span /i ft.
Joists (floor beams) 2nd. floor z_ "X /c, " spacing /(1, "o.c. span /4' ft.
Overlays(ceiling beams) 2, "X " spacing f(p "o.c. span I(�, ft.
Roof rafters . "X " spacing ((G o.c. span 2 eft..
Roof trusses(pre-engineered) spacing 2 "o.c. span z Z ft.
Exterior.wall finish r v) a( LJCTD(-N Of what material? rQci/J 2__
Interior wall finish "p��Y�•1� 1 CJC�P t f'v'} UL)Qt I -NSAlz jJ
If a garage is to be attached, describe materialsto be used for FIRE SEPARATION:
Fte_PCO CT)F' 4lDC�� y2e,c.k
Is there to be an opening between garage and dwelling? y?y. If so will a Fire-rated
door, enclosure, and self-closing device be provided? �� La.<,
Will a flue-lined chimney be installed? (, c Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in. •
Water supply - Municipal or private well MO fl IC 1 (.J/o
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties /Zoo 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 speoified
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 QUEENSPuRY
APPLICATION FOR
=v\1 SEPTIC DISPOSAL PERMIT
• 3
DATE
LOCATION OF PROPERTY FOR INSTALLATION ;i) t n -Ne L
Owner's Name:f ?t L (. Telephone: Zcc�,
Address: O HbkI 1?-17t E7(•-0" C.1 tivL(
Installer's Name: /- Telephone: 3
Number of bedrooms (residential only) 3
Total daily flow (compute (d. 150 gal per bedroom) C7
Topography: Circle one: Flat Rolling Steep Slope % of Slope <j,;\De-
Soil Nature: Circle one: Sand Loam Clay Other . \t)p /Depth: I la Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? 2U Feet
Percolation test: Circle one: not required required rate f, min. inch.
Domestic water supply: circle one: Municipal Well Other (nu v11 i Ao I
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank / ODD gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench feet/Total system length • feet
SEEPAGE PIT(S): Number of Z / Size each � feet by (.�' feet •_'J2C:.-)0 �--1" (' C
Size of stone to be used # Z /Depth or Thickness (p 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 • Sewage Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON:
DATE:
OVER
.. r .w.... ,.y.livnw.::.J'..y�^..r_r'Ir.Y. w .�.,..y...l�.r.ry ...y
G<•: T
1 •
\ TOWN OF UEENSB URY
�� Q
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
./ APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
fate 3— 1 Z 9 0 19 Permit No`;,
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 NameNivN ,es L Coe APPLIANCE TYPE
�. Stove Coal Wood
Address � � 10Y qg I Furnace Hot Air Boiler
b fits
Zip r Zero Clearance Circulating Unit
J IQn
Phone -79' —,zoo() If Non-Masonry:
Owner's Name
Manufacturer
Address Model Outlet Size
Zip Listed by Number
Phone
CHIMNEY TYPE
Masonry: Block )C Brick "4. Stone .
Property location of proposed construction Flue: Tile Steel
-• (P) (')( )P f naic PR., Size:
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 Cost$ ,S;' 00
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ -
SONRY FIREPLACES AND.CHIMNEYS.
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
•
Department: Fire Marshal Amount Collected Amount Refunded
Code Number Title 'Y .
A173 3389 (190)Public Safety
A233 2655 (230) Minor Sales
'' I IL/ 4 j . 1 )
Fc (2. tfected frornor Refunded to: r(A ,,,kg,u „ a!" v �_JO�Vi�:lti. r
-Address: ) I tiG1V lit (�( (L11-24
I 1a
Dated, q"1 Z,JO '
s Town Clerk or Deputy //„1' Ca
I1 --- `.N..
While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marsha!
•
~�'�`6\ MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
*APPLICANT COMPLETES THIS SECTION Date: ,
City, Town or Township 00eeos e,v.9 County itlA'►- 0 'State ( 1{
Wr t
• Location/Address O JG e \ - Di, O 'ZZCL,we \t' ,
(If Located in Rural Area - Please Attach Directions) Pole #
Owner Permit #'
Occupied As Building:-. New Old El
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring n Service n or: Ready for Inspection:
Fee Remitted-$ Cash❑ Check Ti ' M.O. Ti 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 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's
Signature --r` "~� —�'—"� `� License # Permit #
T/A y LA1 YD 's2-�=- � e PO r�ts�1v`'\ Utility: .
Applicant's Address: C A �a x 2—VCIi I (NAME) (OFFICE LOCATION)
(City)GigaNn . -Fdt1 (State) 1'J I (Zip) t??a i Service Request #
Phone # —ZQ Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: •
Correct Location: Same as Above n or: -
Red Notice Label Ti .
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 1I/2 2 3 5 7I/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
Ti RW Progress: Inc.❑ LKD Ti Contractor
Ti CFT Violation: Work Comp.I I Inc. Ti .
n L/A Owner CASH n
Fee CHK #
n L/A Due
Ti IPA Municipal MO #
-
• - INV # •. •
Date: Other Side Ti Utility Applicant 'I
Owner I
Cut in Card Ti Temp # Date •
Ti Final # Date INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 11/86
�µn�.r
. ,,, �.6 MIDDLE DEPARTMENT INSPECTION AGENCY; INC.' .-
i 1
National Headquarters
j 1337 West Chester Pike,West Chester, PA 19380 •
• APPLICANT COMPLETES THIS SECTION Date:if-7c;'2/
`) , ",_ c r r; •' 4 ' /,U tf- i(%)' State l.i c ,�
City, Town or Township t- t` r — County /- r
Location/Address '3`- ' A . ' -- /2%' ,, r .. - '
(If Located in Rural Area- Please Attach Directions) Pole # 1 /k,
Owner r/ /'L / 1' r c. .. Permit #`
Occupied As '/1-- 7 " -- Building: New! 'i' - Old❑
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring Q Service 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
Water Heater Air Conditioner Dryer Pump
Receptacles .
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 •
Signature License # Permit #
T/A Utility:
Applicant's Address: (NAME) (OFFICE LOCATION)
(City) (State) - (Zip) Service Request #
Phone # Electrician: ,
MDIA USE ONLY , ,1 `? C _.`L' / /`fr ) t J
DATE RECEIVED: e: ? i/ DATE INSPECTED: —cam"' , — r
Correct Location: Same as Above n or: --; c- . ,. ,. -7--- ---/—..-'7 1` -
Red Notice Label n `- -_-��''. C f_ r` C ' ( ; '•/�`- 1....;).
•
Rough Wiring Outlets Surface Unit Oven
elf: , Switches :-`'Range `-`' Garbage Disposal
. 6 ; Receptacles. °'' Water Heater . - `Dishwasher
4. Fixtures 4--''''Air Conditioner -• v' Dryer
_ ._( Amp. Service Equipment C.4: Burner,Wiring &Controls for , , Amp'. Receptacle
le
Amp. Service Conductors Pump Y. 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/z 2 3 5 71/2 10 15 20 25 "30 40 50 75 100
Mark Number
of Each Size _ .
II500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
_- ;-;-:.: ,s--/Ai-r;2 1 L,) -1-sf-1r' j. `j-> P. ._,. ;�J f f_/.(_-.
L•" 1 .
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
R Progress: Inc.❑ LKD❑ Contractor _ `''��-
CFT Violation: Work Comp.❑ Inc. ❑ CASH El❑ L• /A Owner
Fee CHK #
❑ L• /A _ .- Due MO #
❑ IPA Municipal •
• INV #
Ci - =r/ Applicant ❑
Date: « Other Side L. Utility • / Owner
' { ' , :.
Cut in Card ❑ T• emp # Date . \ / • r' ( ; ' f�` ''
f f / INSPECTORS SIGNATURE
❑ F• inal # Date `/ -'-- " / /
APPLICATION FORM NO.250 EL 11/89 '
•
J ' .,044 ,./4 J �rJ V c1�7 lfiv /c1,.., �l7
MIDDLE DEPARTMENT INSPECTION AGENCY, INC. )
900 Haddetl Avenue"Colllnyswood,-N J 08108 �p�y-��^ `
.)
__,. ,,,,,,._..,.
•..._,. .„,:;:.. Date August 3, 1990 `
Certttleg that the-'electrical equipment listed has been examined''and is approved as being in accord 1/
>,7 with the National Electrical.Code,,applicable governmental, utility and Agency•rules.
6,1
>' Owner: Highland Par} Occupancy -Dwelling,
ii
Occupant. Unknown d
Location: 30 Overlook Dr , Ode eri'sbur=y , Warren-Cm) Ai
mate covers the electrical equipment and installation inspected this C
it • date. If additional equipment,should be introduced or alterations made.to
,' f- existing system this certificate shall be null and void, and application for
•
i9 Equipment: 110-Outlets, `40-R'eceptacles, 40 FixtuFmpal�shouldbesubmlte8promptlytolhisAgency. `
.` ,, : - o 01 this ceybficate should present same to his property insurance carrier i,� 200 Amp Service; 5-Appliances; 3-Ve"n't(ag pany)asevidnc�e ertificationofelectricalequipmentapproved
as spec,led C
>F? Highland Par,) • --- — r ,�•
>/ C
>5 Applicant. Haviland Rd. ‘ y' kN 4 r✓''I':''''''..No.
LQueensbury, NY 12-804..: ,, ..,.. #' 16-035307/031
oma No.703 EL 1-03
ELECTRICAL INSPECTIONS
• DUPLICATE MUNICIPAL RECORD
Permit No. 961-j-6
Owner A.4/C.,g-iviP 4410--k
Occupant
Location 3 6) 60 1)6722_&
e&itlaiati4Y
Town or City Statc
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by Al/Ci;21Zin No
Date Date 42114Zade
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380
////'',,.. ROUGH WIRING OUTLETS '/ H.P.AIR CONDITIONER
/�DI
% OOTCE'�TS}/r-I /TCOCY WIRING &CONTROLS FOR v1T,/ BURNER
3// 7, RECEPTACLESi__ H.P.PUMP
417 FIXTURES J/K.W.OVEN
C2DO AMP.SERVICE EQUIPMENT . H.P.GARBAGE DISPOSAL UNIT
�lS
AMP.SERVICE CONDUCTORS (J KK W. DISHWASHER
K.W.SURFACE UNIT � W. DRYER
,C/`/ K.W. RANGE AMP. RECEPTACLE
V
K.W.WATER HEATER FRAC. H.P.VENT FANS '
MOTORS M.P. I/20 1/12 I/10 Ih % % 'h h '/h 1 11/ 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS c
��f2G dieGi
:� TOM OF QUEENSBURY
`
140k 531 BAY ROAD
QUEENSBURY, NEW
6YORK212804
TELEPHONE
BUILDING INSPECTOR'S REPORT I
FINAL INSPECTION /
REQUEST FOR INSPECTION RECEIVED �7��J f
N /A
DATE '2' / • PERMIT#
TYPE OF STRUCTURE v2_ ,--71 /4
RECHECK
FIRE MARSHAL APPROVAL (COPMERCIAL STRUCTURE)
SOOTING FOUNDATIQN- '-ACKFILL FRAMING
GH PLUMBING FINAL ELECTRICAL SEPTIC
22gSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS
•
APPROVAL .
CHIMNEY HEIGHT/LOCATION • N/A YES NO
B VENT/LOCATION r, �✓ �
PLUMBING VENT ,1 '
ROOFING V,/
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES l •
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK ✓
INTERIOR TRIM/PRIVACY DOORS ✓
FINISH FLOORS: ' '{
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE ,
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS ';,
HANDICAPPED ACCESS o ✓
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS '',
ALL PLUMBING .FIXTURES OPERATING,
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS r/
DUMPSTER
FINAL ELECTRICAL ✓
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE / 3 s
DEPART 5YS
6
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROA.rS
QUEENSBURY, NEW YO'K 12804-
TELEPHONE (518) 7'2-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECT ON RECEIVED ,- '/9 9O
NAMEilk/YI/l ) ilk 1 117f
LOCATION jO !%c,A
DATE �y1/47/%/, PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOF! G
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
A/INSULATION:
FOUNDATION
FLOORS
WALLS
)(CEILING ,FINAL INSPECdLe---
ON:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ IEPS
STAIRS-CLEARANCE RAI S
PLUMBING FIXTURE RELIC VALVE
INTERIOR TRIM/PR VACY ►•ORS
FINISHED FLOORS
GARAGE FIREPROO ING
DOOR CLOSER(S)
SMOKE DETECTO'.
FINAL ELECTRICA INSPECTI•`
FINAL APPROVAL •F CONSTRUC ION
OK TO ISSUE C/o OR C/C
A SIGNED CERTIFICATE OF OC PANCY MUST BE
OBTAINED FRO THE BUILDING 'EPARTMENT BEFORE
THESE PREMI•1S ARE OCCUPIED
REMARKS:
ARRIVE i I
411(1
c/ l
DEPART /(1 aN
7 r
INSPECTOR
TOWN OF QUEENSBURY 4��'
BUILDING AND CODES DEPARTMENT /`I
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804•
TELEPHONE ( 18) 792-5832
BUILDING INSPECTOR'S REP RT
REQUEST FO NSPECTION RECE� VED �/�'f(7 7//C-
/ / 4 ,
NAME �: � �i_d_
LOCATION Q (00/4.( z7 VA,
DATE In /(g /Qo PERMIT # 1
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC PO R FORMS 1
FOUNDATION/D' P-PROOFING
BACKFILL APPROVAL f
ROUGH PLUMBING (.- i
FRAMING
ELECTRICAL RO GH-IN I
INSULATION:
FOUNDATION
FLOORS I
WALLS
CEILING
FINAL INSPECTIO :
CHIMNEY HEIGH
ROOFING 1
SIDING
EXTERNAL PORCH. S/ST PS
STAIRS-CLEARANIE & RAILS
PLUMBING FIXTUR S/ ELIEF VALVE
INTERIOR TRIM/P^I 'CY DOORS
FINISHED FLOORS .
GARAGE FIREPROOF G
DOOR CLOSER(S)
SMOKE DETECTORS \.
FINAL ELECTRICAL 1 •ECTION
FINAL APPROVAL OF CO STRUCTION
OK TO ISSUE C/O •• .0
A SIGNED CERTIFICATE O' OCCUPANCY MUST BE
OBTAINED FROM T E BUI uING DEPARTMENT BEFORE
THESE PREMISES ARE OCCU•IED!
REMARKS:�
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ARRIVE /0•11,� /
DEPART//
INSPECTOR
TOWN OF QUEENSBURY5 .
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORk 1280k
TELEPHONE (518) 742-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR .INSPECTIO RECEIVED0 //�o 4 A4
NAME { , !
LOCATION C._, ?
DATE PERMIT/#
s'
/ APPROVED
. / YES NO
•
FOOTING/PIERS I
MONOLITHIC POUR FORMS c
FOUNDATION/LAMP—PROOFING / L�kACKFILL APPROVAL
OUGH PLUMBING H I
FRAMING v
ELECTRICAL ROUGH—IN I
INSULATION: 1
FOUNDATION a ,i
FLOORS . .1. • I• . .
WALLS I .
CEILING .I
FINAL INSPECTION: 1j
CHIMNEY HEIGHT '1
ROOFING • );
SIDING IA
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS .
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS 'r,
GARAGE FIREPROOFINGs
DOOR CLOSER(S) ,1
SMOKE DETECTORS � • .
FINAL ELECTRIC L INSPECTION
_FINAL APPROVALIOF CONSTRUCTION ' •
- OK TO ISSUE c/p OR C/C \
t
A SIGNED CERT ,FICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING\DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: / 1
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I ,,
114 •
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: / \
—
, ARRIVE
DEPART /I : `
I SPECTOR
TQWN 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 6
NAME
LOCATION ��el/���
DATE ,/(,�lrg PERMIT # 92,
O,� �/ ig/i2Z)./r.
� APPROVED
�/ , Dll Z YES NQ-
/l FOOTI(NG/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-iN
INSULATION:
FOUNDATION
FLOORS • ;if •
WALLS /
CEILING
FINAL INSPECTION: 'i /
CHIMNEY HEIGHT 1
ROOFING �� f
SIDING 'yA )'
EXTERNAL PORCHES/SIlEPS/
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS /
GARAGE FIREPROOFIJG
DOOR CLOSER(S) b'
SMOKE DETECTORS/ "y
FINAL ELECTRICAL/INSPECT ON
FINAL APPROVAL O1' CONSTRUCTION
A SIGNED CERT4FICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING\DEPARTMENT BEFORE
THESE PREMPkES ARE OCCUPIED:
if
REMARKS! •
I PECTOR
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