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1990-161 , 4 CERTIncArrE OF OCCUPANCY TOWN OF QUEENSBURY. WARREN COUNTY, NEW YORK Date iw rh q 19 21 This is to certify thatwork requesteiCto be done as shown by Permit No. 90-161 has been completed. This structure may be occupied as a qincrie fm1u divellincr •—;;--2-6-Lakeview Drive=Lake Sunnyside Estates Inc. Location Raymond C. & Christene A. Adams Owner By Order Town Board TOWN OF QUEENSBURY )9,6A Dv Director of Bldg. & Code Enforcement rr BUILDING PERMIT 6 lv TOWN OF QUEENSBURY No. 90-161 z WARREN COUNTY, NEW YORK I PERMISSION is hereby granted to RAYMOND C. & CHRISTENS A. ADAMS o OWNER of property located at Lot 20-Lakeview Dr-Lake Sunnyside Estates Street, Road or Ave. 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 PO Box 179 Fort Ann NY 12827 Pzi 2. CONTRACTOR or BUILDER'S Name 0 - a H & M Construction n R° 3. CONTRACTOR or BUILDER'S Address 0 10th Avenue Hudson Falls nY 12839 CD 4. ARCHITECT'S Name • cb • 0 5. ARCHITECT'S Address - 0 sv 6. TYPE of Construction-(Please indicate by X) CD CD (xkWood Frame ( ) Masonry ( ) Steel ( ) z n I 7. PLANS and Specifications t L� No. 27' x 56' Single family dwelling as per plot plan, specifications, CD and application including septic system and three-car attached garage z 8. Proposed Use Ul Single family dwelling $ 264.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 20 19 90_ (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 5/2 town of Queensbury before the expiration date.) - Clq Dated at the Town of Queensbury this 20th Day of April 199011) SIGNED BY ` ` � �' �✓ for the Town of Queensbury `C Q Building and Zoning Inspector C aq TOWN OF QUEENSBURY T REVTEWED BY ' FEE PAID $ PERMIT NO. a -/6r a? 13 iyyu BUILDING PERMIT APPLICATION 3LDG. & CODE DEPT. 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. * • * • • • • • * • • • * * • • * • • • • • *. * * * • a * * * • • * • a • • • • • The owner of this property is: Raymond. C. .Adams and. Christene A. Adams P.O. Address P.O. Box 179 Fort Ana. New York 12827 Tel. (518) 747-5332 Property Location #20 Lakeview Dr. Sunny Side Estates Tax Map No. 46 /3 / 20 Has there been any split of this property since October 1, 1988? = / No If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE Lake Sunnyside Estates , Inc.LOT NO. 20 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: Raymond C. Adams • NATURE OF PROPOSED WORK: ESr MATED MARKET VALUE OF • xxConstruction of a new building - „ . CONSTRUCTION: $ 80,000. Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: • Size of property 130'x175f 130ft x 1 53 ft. Alteration to a building * Existing Buildings(3) Size N/A ft. x ft. (no change to exterior dimensions) • Proposed building - distance from property line: Other work (Describe) ' Front yard 80+ ft. Rear yard 40 ft. • Side yards 28 ft. and 25 ft. • If on corner, setback from side street N/A ft. GROSS AREA OF PROPOSED STRUCTURE • 1st Floor _ 1 226 sq. ft. • • OCCUPANCY INFORMATION 2nd Floor 710 sq. ft. • Primary Building - Other Floors N`/A s4. ft. • xx One Family Dwelling (not cellar or basement • Two Family Dwelling 1936 • Multiple Dwelling/Number of units TOTAL FLOOR AREA 2'�sq. ft. Size of new structure 27 ft x 56 ft. • Business FoundatIo ier • Industrial n"P �+��X�t?iYa��ll_ (circle one) 0 • Other • No. of stories (habitable space) 2 • Height (grade to ridge) ft. ,.,�.• -••_Y If addition, what will use be? If residential, no. of families O ne • No. of rooms(excluding baths) Nine • Accessory Building No. of bedrooms Three ' __Detached Garage ONE/TWO Car No. of bathrooms two • Primary heating system OiOi�hot water • __Attached Garage ONE/TWO Car Type of fuel Off ' Private storage building No. of fireplaces to be installed None ' • xx Other Attached Garage THRF_Car Will a wood stove be installed No Central Air conditioning ' OV' ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe. etc. Wood Frame Will any second-hand or upgraded lumber be used? If so. for what? No Foundation wall material Cement Thickness Ten inches Depth of foundation below grade (to bottom of footing) Will there be a cellar? yes Heated or unheated? unheated Floor sq. footage sq ft. Will there be a basement? yes Will any portion be used as living space? No (If so, what portion? sq ft. Type of use? Type of roof - sloped/flat/shed/other slopelIaterial of roof asp/fib. shingles Size, wood studs 2 "x 6 " spacing 1 6 " o.c. length 8 ft. Joists (floor beams) 1st floor 2 "x 12 " spacing 16 "o.c. spart,:�8 ft Joist (floor beams) 2nd floor 2 "x 12 " spacing 1 6 "o.c. spa �8 ft. d Overlays (ceiling beams) 2 "x 6 " spacing 1 6 " o.c. span 28 ft. Roof rafters "x " spacing o.c. span ft. Roof trusses (pre-engineered) spacing 16 " o.c. span 28 I ft. Exterior wall finish Vycan D/5 Vinyl_ siding of what material? Vinyl Interior wall finish 1 /2" Sheetrock (paint & papered) If a garage is to be attached, describe materials to be used for FIRE• SEPARATION: '5/8" Fire code sheetrock Is there to be an opening between garage and dwelling? yes If s• 1 a Fire-rated doo enclosure, self-closing device be provided? Fire rated self closin: doo i will be insta Will a flue-lined chimney be installed? Height above roof AAJ1'1 Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well private well 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) NAME OF BUILDER H & M Const. ADDRESS 10th Ave. H.F. TEL. NO. 747-5871 NAME OF PLUMBER Ray Adams ADDRESS 17 Helen st. H.F.TEL. NO. 747-5332 NAME OF MASON J.D. Boucher ADDRESS East Hartford TEL. NO. 632-5477 NAME OF ELECTRICIAN Dave Hodges ADDRESS 10th Ave. ELF. TEL. NO. 747-5871 DECLARATION To the best of my IQtowledge 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 provisimr^.of the BUILDING CODE, THE ZONING:nrr"'"ANCE, 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. / n SignatureF C. `i� wA-A. (Owns owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY / = i WARREN COUNTY , NEW YORK , Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK / STATE ENERGY CONSERVATION CODE i A permit must be obtained before beginning work . . - / : . - ANSWER ALL of the 'following: . / - 1 . Gross floor area First floor 1226 Sq. Ft. / 2nd. Floor 710 TOTAL 1936Sq. Ft. 2 . Type of heat Base board Hot Water (oil burner) 3 . Is the building mechanically cooled? No • 4 . Percentage of area of windows and doors 108.55 S.F. area A. Over 16% Only 1 . Uo 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 NM 1. If YES , what is the R value? R-10 2" Foam 3 . Slab on grade XFEP§ sL0 ► a. If YES , wh .t is the R value of insulation around perimeter of floor? 4 . Is basement heated? YES Amx a. R value of insulation R-11 insiiie walls 5. Type of insulation Kraft/ Owins Corning Fiberglass • B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions R-38 2. R value of exterior walls R-25 • • 3 . R value of glazed area 1t25 4 . R value of doors R-14 • 5. R value of floors over unheated spaces 2- / / 6.0 R value of slab edge insulation - unheated slab R-�5 • 7. R value of slab insulation - heated slab N/A 8. R value of heated basement/cellar walls .-.(above grade)• R-10 9. R value of heated basement/cellar walls (below grade) R-10 l0. Type of insulation 2"' Foam on outside of cellar walls C. Controls • 1. Thermostat maximum heat setting D. Duct Systems • 1. Is duct system installed' in 'unheated spaces? gA 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 " L copper • 2. R value of pipe insulation .F. Service Water Heating 1. Performance efficiency 2. , Temperature control setting maximum G: For Swimming Pool Only 1. Maximum heating . Telephone No. 747-533 2 fCAAVA/Z- C-04Qcb-A"- — ( 141icant ' a signature) TOWN OF QUEENSnURY APPLICATION . FOR �-v SEPTIC . DISPOSAL . PERMIT AMP DATE February 28, 1990 LOCATION OF PROPERTY FOR INSTALLATION '#20 Lakeview Dr. Lake Sunnyside Estates Owner's Name:Raymond and Christene Telephone: 747-5332 Adams • Address: P.O. box 179 Fort Ann New York .12827 . Installer's Name: Reliable Sewer Service . Telephone: 792-2415 _ Number of bedrooms (residential only) Three l O-'J 9 'U-S Total daily flow (compute (d 150 gal per bedroom) 450 gal. Topography: Circle one: Flat. Rolling Steep Slope % of Slope Soil Nature: Circle one gyitLoam Clay Other /Depth: 7 Feet Ground Water: At what depth? 4)' Feet Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle one: not required required rate /" min. inch. . Domestic water supply: circle one: Municipal Well Other Well If domestic water supply is a well: Separation: Water supply from septic absorption /SD' feet PROPOSED SYSTEM: Septic Tank /OO© gal. (minimum size:.1,000 gal.) TILE FIELD: Each Trench ti 4 feet/Total system length • feet SEEPAGE PIT(S): Number of 0.2 / Size each r feet by/Or) feet Size of stone to be used # 3 /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 Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: "` Av"" `l C. DATE: February 28, 1990 OVER TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED lfl2 7/q 0 NAME /�C(f S 1 . LOCATION oZO+ aQ , c2ri kP.1l,,cui V)r iu"P _ DATE J(/,). 7/9() PERMIT # 9n �o l ! APPROVED (YES NO FOOTING/PIERS 1 s MONOLITHIC POUR FORMS 3 / FOUNDATION/DAMP-PROOFING1 / BACKFILL APPROVAL . • / ROUGH PLUMBING 1 / FRAMING 17,Z(141 61-/ . d ELECTRICAL ROUGH-IN " '1 INSULATION: FOUNDATION FLOORS. . . j WALLS 1 ' . CEILING ( 1 FINAL INSPECTION: CHIMNEY HEIGHT ROOFING f SIDING f; EXTERNAL PORCHES/STEP STAIRS-CLEARANCE & I4S PLUMBING FIXTURES/R LIEF VALVE INTERIOR TRIM/PRIV4CY 40ORS FINISHED FLOORS GARAGE FIREPROOFING 1 DOOR CLOSER(S) / i SMOKE DETECTORS i FINAL ELECTRICAL NSPECTION ' / .FINAL APPROVAL OF CONSTRUCTION ' . OK TO ISSUE C/O R C/C 1 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM TE BUILDING pEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!" REMARKS: 4 € Ch'ec% o)'S+ i_i-Cii-\8-en/LS OX ARRIVE �� J v J DEPART-/1 NSPECTOR TOWN OF QUEENSBURY PA, BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804• TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED i.V.4_1CL NAMEi vs. A d a m LOCATION )0 ) CI J\e_ U i. exo \C )Y t\I P - --__ DATE 1`\ \\ \q0 PERMIT # W2 — / L//�I APPROVED ' YES NO FOOTING/PIERS y/, MONOLITHIC POUR FORMS ,! FOUNDATION/DAMP-PROOFING / BACKFILL APPROVAL 1 • • • ROUGH PLUMBING t • • • I FRAMING k ELECTRICAL ROUGH-IN • • jr — INSULATION: FOUNDATION 1 f',ell FLOORS . ' \ ' WALLS ie//p-' 7i / . r,e210+t. // CEILING o1q"\ / R7 . FINAL INSPECTION: CHIMNEY HEIGHT Y ROOFING y i.. . . SIDING • ,, EXTERNAL PORCHES/STEPS . ... . . . STAIRS-CLEARANCE & ILS PLUMBING FIXTURES/®ELIEF VALVE INTERIOR TRIM/PRIVACY DOORS\ FINISHED FLOORS GARAGE FIREPROOF/ING • `_, DOOR CLOSER(S) ,f SMOKE DETECTORS/ FINAL ELECTRICAL INSPECTION' '' _FINAL APPROVAL OF CONSTRUCTION. . .. OK TO ISSUE C/O/OR .C/C A SIGNED CERTIFrICATE OF OCCUPANCY MUST BE OBTAINED FROM 21HE BUILDING DEPARTMENT,. BEFORE THESE PREMISESIARE OCCUPIED! REMARKS: )/ . , r� JC7 . ARRIVE J DEPART (43 IN ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12809- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT • REQUEST FOR INSPECTION RECEIVED /7:;7/9e NAME e/' �. � LOCATION /J nC/1 DATE /D/v�� C/Q PERMIT # • �/)--/ APPROVED ' YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL XROUGH PLUMBING ' )(FRAMING r ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION FLOORS „' WALLS , - CEILING „ ly FINAL INSPECTION: • CHIMNEY HEIGHT 9 ROOFING • SIDING ' x EXTERNAL-PORCHES/STEPS ', , • STAIRS-CLEARANCE & RAILS ' PLUMBING FIXTURES/RELIEF VALVE I INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS "� F GARAGE FIREPROOFING • / DOOR CLOSER(S)' si / " " SMOKE DETECTORS / • FINAL ELECTRICAL INSPECTION I FINAL APPROVAL OF CONSTRUCTION '' OK TO ISSUE C/O OR C/C // ' A SIGNED CERTIFICATE OF 9C'CUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS:d� l 0ael cot / S,7/J�I4/ S'A;ev Oty 6/c )7iftEo.te .061124 ce"-so-g ARRIVE 1)3 DEPART I 11 INSPECTOR • Jotun o f Queeniurj . BUILDING and ZONING DEPARTMENT Bay an Haviland Road, R.D. 1 Box 98 /t - Que nsbury, New York 12801 SEPTIC DI POSA�L SYSTEM NSPECTION NAME e.e, LCG( 24 14 LOCATION4k',7 ' Lil DATE//g/ 92 ,.ERMIT NO. 9Q-/, / SOIL TYPE -nd r Loam - Clay - Percolation 'Yes equired• YES - NO Percolation rate Min/I h TYPE of SYSTEM: Absorption field, • otal :length Length of each tre, ch • Depth of trenches Size of gravel _ SEEPAGE PITS{Numbe of) _ rZ • Size- ft. X /U , ft Gravel size 3 ; PIPING: Size Type Bldg. to tank 271 Tank to dist. box L/ !/ Dist. box to field/p` cr Openings sealed? 'IS NO Partial LOCATION/SEPARATION.: Foundation to tank : [1/ ft. Foundation to abso• pt. .n Zsb ft. • Absorption to lot ine', 13 ft. Separation of pit-. ,91e ft. /L0 I T OF SYST ON •OPERTY(circle one) Front_ Rear - L:ft sid- - Right side - COMMENTS: • ;-/-0•crOZ- r • SYSTEM USE ,PPROVED YES-) 110 • Building • .pec'or • 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280A. Lid )7/) TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT 1 REQUEST FOR IN//S�►/PECTI��ON, RECEIVED _s/aq//9 NAME i l fui .( Ol (,() awu, ac Lj(Yllo ✓ h" t p n LOCATION /4Q- ,�,) x 7.i) 1) , DATE �1-3v/9a 1 i PERMIT '# 90 7/ ' I • APPROVED ;,/ YES NO FOOTING/PIERS Alketac, ,/ MONOLITHIC POUR FORM 0 I • FOUNDATION/DAMP-PROOI'ING . I BACKFILL APPROVAL j . . I. ROUGH PLUMBING I FRAMING ELECTRICAL ROUGH-IN ' if INSULATION: : FOUNDATION FLOORS • i il./H . . . . . WALLS CEILING FINAL INSPECTION: I , CHIMNEY HEIGHT • ROOFING SIDING ;s. EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS �t PLUMBING FIXTURES/RELIEF VALVE 3 �a INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS ,v 1f GARAGE FIREPROOFING DOOR CLOSER(S) ,f c SMOKE DETECTORS' FINAL ELECTRICAL itNSPECTION ' FINAL APPROVAL OF CONSTRUCTION' ' ' OK TO ISSUE do/OR C/C t -- A SIGNED CERTIFICATE OF i'SOCCUPANCY MUST BE OBTAINED FROM •THE BUILDING DEPARTMENT BEFORE THESE PREMISE ARE OCCUPI Dl t REMARKS:j' .J )/�9c r 1 i/ u3. ( — 11 . rg. Agod CPrrolth o W A9 x 6& an2Z7 a& ge(26" • you/Pou f-exc%__ ______dri p . LI ) caves' j .v i r I � � ��5 « r Ki, is IG fJlv'O/f-i"76J1r ARRIVE 4._____± DEPART i.• INSPEC R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280g- /f'2 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED NAME _.1940. LOCATION � �(�2�( �'LC� 4}/�9 ,,d y,,?e�// DATE `5.7',4/6 & PERMIT # ; ��'`J /Z APPROVED YES NO FOOTING/PIERS i MONOLITHIC POUR FORMS_ FOUNDATION/DAMP-PROOFING BACKFILL APPROVALS I ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I3V INSULATION: • 1• F FOUNDATION y J FLOORS i WALLS g .;( CEILING FINAL INSPECTION: , CHIMNEY HEIGHT ROOFING tip e. • SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RILS ,f PLUMBING FIXTURES/RELIEF/VALVE INTERIOR TRIM/PRIVACY, DOORS FINISHED FLOORS _ GARAGE FIREPROOFING 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 OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDf; REMARKS: Ji a a l_j• • ARRIVE /.d"a DEPART%--V$ INSPECTOR L r 0;TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT11 BAY & HAVILAND ROADS • , �p��`�QUEENSBURY, NEW YORK 1280k // '' TELEPHONE (518) 792-5832 . BUILDING INSPECTOR'S REPORT/�/� -n REQUEST FOR INSPECTION RECEIVED(/��`7 (/ , NAME & ((( LOCATION/. rj v DATE �,/��liv PERMIT # qO—/O / G 1 • APPROVED I YES;�NO (cOTING/PIERS , MONOLITHIC POUR FORMS t,' FOUNDATION/DAMP-PROOFING ' BACKFILL APPROVAL {' ROUGH PLUMBING • • FRAMING ;' ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS ' • - ' • . . . . . WALLS . CEILING J FINAL INSPECTION: ` CHIMNEY HEIGHT', ` ROOFING SIDING . 1 . EXTERNAL PORCHES/STEPS • STAIRS-CLEARANCE d RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS s GARAGE FIREPROOFING DOOR CLOSER(S) t a, SMOKE DETECTORSI FINAL ELECTRICAL INS'PECTION• ' FINAL APPROVAL OF/CONSTRUCTION . - OK TO ISSUE C/0 OAR C/C # ' A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE - THESE PREMISES A!2E OCCUPIEDt ii i, REMARKS: 1 li • i 'i 4 1, l , ARRIVE 6 ,..c ) ,i DEPART :� ?'•�:� 1� j v d INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS • 4/2/(---QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FORS INSPECTION RECEIVED i 5/7/90 NAME �( ,( 4 e/ iJ w 6ut a 44...) LOCATION � ##: A� ,v�G '6 - iu w ,d, - ,/S-'4,„t.Pyx,,tip, I DATE PERMIT - 94 1446/ � /) i 1,A 9 APPROVED i YES NO/ FOOTING/PIERS } • v MONOLITHIC POUR FORMS (/ FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING ' FRAMING ELECTRICAL ROUGH-IN • INSULATION: FOUNDATION FLOORS WALLS CEILING °' FINAL INSPECTION: ,', CHIMNEY HEIGHT r ROOFING ^ j SIDING ''i EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE &, RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS t. GARAGE FIREPROOFING', • DOOR CLOSER(S) f 'i SMOKE DETECTORS 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 THESE PREMISES AREIOCCUPIED!' k o. • REMARKS: 1/Z5l ��vs & ih ‘c<g cuiicil op/ ' GlA ,' ,,s t • • l.Z/1 ��S ec i'o . ARRIVE /p:20 DEPART /0 `,35 d/G;; "' INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT141 BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST,F75 INSPEp7ON RECEIVED 4I 7 )o 'P N1 NAME i� + -ea ` LOCATION ZfiiLwucC DATE h f3 /(2i PERMIT # j) _ \ APPROVED YES NO • VFOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP`,-PROOFING BACKFILL APPROVAL ROUGH PLUMBING ' FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS . . .3 . WALLS . CEILING y;, FINAL INSPECTION: CHIMNEY HEIGHT ROOFING 'A,• SIDING t1 EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY;'+`•'DOORS �z FINISHED FLOORS GARAGE FIREPROOFING �. DOOR CLOSER(S) ti SMOKE DETECTORS +; FINAL ELECTRICAL INSPECTION;: FINAL APPROVAL OF CONSTRUCTION ' - OK TO ISSUE C/O OR -C/C • A SIGNED CERTIFICATE OF OCCUPANzCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE - THESE PREMISES ARE OCCUPIED!- \ i • REMARKS: 119(ed- 67-67% • . ARRIVE //0-0 DEPART --/"/ • • INSPECTOR „eye 3� ,�: I= OF QUEENSBURY /�/ .�� '? : 531 BAY ROAD , j, ' QUEENSBURY, NEW YORK 12804 , +4,%;4- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S + cf: FINAL INSPECTIOA REQUEST FOR INSPECTION RECEIVE NA:KDE A//pi,/vd (i_d LOCATI AE�2() AAn_ii`l_19rr) / DATE •- / f PERMIT# iZ' -A;// TYPE OF STRUCTURE l/ ( 77af 7 RECHECK FIRE MARSHAL PROVAL (COMMERCIAL RUCTURE) !/FOOTING !—FOUN TION BACKFILL FRAMING TROUGH PLUMBING FINAL /.. .-SEPTIC L EPTIC INSULATION WO STOVE/FIREPLA E SITE PLAN/VARIANCE QUIREMENTS YES NO REMARKS /14 v i/ APPROVAL NJA YE, NO CHIMNEY HEIGHT/LOCATION ,` B VENT/LOCATION PLUMBING VENT ROOFING / IMIW SIDING P DECK/PO' H/S 'S/RA`LINGS \ ;. RELIEF VALVES s FURNACE/HOT WA ER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY ODORS FINISH FLOORS: ✓ BATH/KITCHEN WATERTIGHT . OTHER FLOORS SWEEPABLE v OTHER FLOORS CARPETED \ STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS it BATHROOM FANS/WHOREHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE S P•.T. ' 'N FIRE/DEMISE WALLS DUMPSTER FINAL ELECTRICAL OK TO ISSUE C/O OR C/C 1MM. 0 S: ARRIVE DEPART 3 r R • . . . • MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ...., Elecirical-Building-Plumbing-fire Inspections Date - li 2 1 i •-.. Tcoviavrikv ,-- , .-cto 0 __ INTOVYAYIS . - constitutes 'certification-that the above installation, but not the equip. • ment itself,has been visually inspected as of this date pursuant to the applic- able codes. 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I ­ �"_ r` 4. .1 .- I 1j'r .-`1 • I E-= n 01 1% o t i i 4 It a .00 _ a i � � ��� - .� : of ; o/ • , o � /r � ! , i � ! o i I Q v m LL. i • O � 9. ne-r-. sqa - L-Z77 2000 t 7 7/7-776 + X 10 T 7 .1d Tetp� cnc 1 / Ar - TOWN OF %UNSKW MUft�Q Based uwkftdMdmft compkwommommm" not bew to PIM and WINNIMM r M mom go #a "k LAM TOVYN OF QUF-FMS5Vfqy Zoning AdminiiptraOr Date ;'OWN OF 0,UFENSBURN TOWN � ";r`kl�MTYBUILDIM Base, ;united examen" TOWN OF QUEE""I.S!"WRY CMOiai, h our coWgn*dd APR 13 1990 not he onsti ued as indimftft PiMad4pecitications are o id BUIU-;'��G & CODES DEPT. compkMvfb the code. BLD6. (61 G()DE DEPT. REVIEViLi"D BY Aaoa III] FILE COPY DATE l E "Total Homes BY woodburys Z -j 1*1&4 3 I , r7 -34 r7- j\\ a, DATE DATE 0 R 1. —, AP V. T L F NO