1990-171 .
CEO lRcATE O F OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date (0I910 19=1!.1
cr-1 Li 1
This is to certify that work re nested to be done as shown by Permit No. 90-171
has been completed.
This structure may be occupied as a Single family dwelling
93
Location Lot 101-Hidden Hills-Oak Tree Circle
Owner _ Eerest Wood Homes 1
By Order Town Board
TOWN OF QUEENSBURY
sLotiJ
Director of Bldg. & Cod) Enforcement
ry7 BUILDING PERMIT 1-3
R y
TOWN OF QUEENSBURY
No. 90-171
WARREN COUNTY, NEW YORK o
co
PERMISSION is hereby granted to FOREST WOOD HOMES I
OWNER of property located at Lot 101-Hidden Hills-Oak Tree Circle 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. rly
0
1. OWNER'S Address is
HC-02 Box 286P . U'
Warrensburg NY 12885
0
2. CONTRACTOR or BUILDER'S Name 0
same x
0
3. CONTRACTOR or BUILDER'S Address
0
I'
4. ARCHITECT'S Name r-
a
a
ro
5. ARCHITECT'S Address
•
O
6. TYPE of Construction-(Please indicate by X)
y
(x1 Wood Frame ( ) Masonry ( ) Steel ( )
a
7. PLANS and Specifications
No. 1548 sq. ft. Single family dwelling as per plot plan, specifications and CD
application including septic system and two-car attached garage.
8. Proposed Use c
Single family dwelling go
$ 213.00 PERMIT FEE PAID -THIS PERMIT EXPIRES October 19 19 90
CD
(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.)
Q�l
Dated at the Town of Queensbury this 7,14 Da of, . April 19 90
SIGNED BY / -07 for the Town of Queensbury•
Bui ing and Zoning nspector
IN OF QUEENSBURY 407187420
. REVIEWED BY 4 4.4� *.o(V1
�
FEE PAID $ . ,I3 '''1
g PERMIT NO. GIB /7 2EaVZi &
• BUILDING PERMIT APPLICATION '
4
y
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.
* * * * * . * * * * * * * * « * * * * * * * * * * * * * * * « * * * * * * * * * * *
The owner of this property is: Fo y-c,s I. kl0nd i-nhim
P.O. Address NC - 0( oo- ,?ia)P ;I)n,;v,, s/,.tt;-1 N.Y, 1?Yg'S Tel. ,,,�,:;;'- 3TV/
Property Location fn-z 1n1 7)--,LT —, ,n.n ,.;,- °:,a",b., l;sTax Map No. ,_5"0/ /0/
Has there been any split of this property since October 1, 1988? / ,,'
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE A iinfA IL 1 1is LOT NO. / 6i
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
a
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF •
•
I/Construction of a new building a CONSTRUCTION: $ 1n i, ^;
Addition to a building • COMPLETE INFORMATION REQUIRED.BELOW:
• Size of property too ft x '"' ft.
Alteration to a building * Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) • Front yard 35" ft. Rear yard ft.
•
Side yards d-? ft. and t ft.
•
GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft.
•
1st Floor kl-,;( sq. ft. \%$ •G * OCCUPANCY INFORMATION
2nd Floor 6Q 0 sq. ft. ( _ •
r)-' * Primary Building -
Other Floors sq. ft. • VOne Family Dwelling
(not cellar or basement • Two Family Dwelling
TOTAL FLOOR AREA RLIPIsq. ft. • Multiple Dwelling/Number of units
Size of new structure_ft x e/I, ft. * Business
Foundation-pier/slab/crawl/par i 1%full " Industrial
(circle one) -----' • • Other
•
No. of stories (habitable space) a •
Height (grade to ridge) AS- ft. • If addition, what will use be?
If residential, no. of families i
No. of rooms(excluding baths) 'a' • Accessory Building
No. of bedrooms_= •E • __Detached Garage ONE/TWO Car
No. of bathrooms I •Primary heating system i.R -i •1;y • . / Attached Garage ONE WO Car
Type of fuel r„ • _Private storage building
No. of fireplaces to be installed *
• ____Other
Will a wood stove be installed °,
Central Air conditioning
•
OVER
,
3LILD'IVA• ' . yI_IT .APPLICATION CONTINUED -
-ILDENIp 3PFCIFI 'TIONS:
lene
, ,pe o" � .e' io Y ood frame, fire safe, etc. 4,'�. 4' „r
r
L.
second-h:_,,(^' or upgraded lumber be Used? If so, for what? 1;0
Foundation wall material ;_,b,,le,r-e,Ar., Thickness
pi-
Depth of foundation below grade (to bottom of footing) c
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? v•e5 Will any portion be used as living space?. On
(If so, what portion? ft. Type of use?
j"1 \
Type of roof -csloped flat/shed/other Material Of roof ,s,,l,,,f j- s a ti-
Size, wood studs "x /„ " spacing /4 " o.c: length 3 ft. .
Joists (floor beams) 1st floor a_ "x 6 " spacing /i "o.c. span ft.
Joist (floor beams) 2nd floor a "x r� " spacing lb "o.c. span / ft.
Overlays (ceiling beams) "x " spacing " o:c. span ft.
Roof rafters "x " spacing o.c. span ft.
-16
Roof trusses (pre-engineered) spacing Gt y.- " o.c. span 3 ft.
Exterior wall finish v,•x vi s t`�: z of what material?
� J
Interior wall finish 5 k� �,,, -{�,� P,,
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
h. 't f I 1:0�J1n+-PpiLe k 01:L;{'', Ot'V,ni. (''Tr;'ltrr y � i-. �rL �'�r. r rn�,i`� C i chr. is ''S
Is there to be an opening between garage a and dwelling?P g g g 4i;- s If so will a Fire-rated door, enclosure,
self-closing device be provided? • 1,r,_5
Will a flue-lined chimney be installed? t,,,; Height above roof ft.
Depth of chimney foundation below grade. ft.
Depth of fireplace hearth ft. in,
Water supply -1Munici or private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties b' 000 ft.
(A separate application is necessary for any repair or new installation of septic system)
g� p' 3
NAME OF BUILDER �G;�31� lJ��;,x� 1,+13j;(r?:,,� ADDRESS �'/f�-17,�','�,�y,,J�'ji'!Jn";�:�,:Y��� TEL. NO. � � c c
f
NAME OF PLUMBER r i,/,')� u:r„'',,f ADDRESS ,,,,t,il!i '; ''"�,��,. �, � .TEL. NO. 3.900
NAME OF MASON b_1><t'j�l ,:, !' ?e=;'rJ ADDRESS fi srr., �; n._^',It1:,r TEL. NO. 71 - 0,1
NAME OF ELECTRICIAN,'err,+ 7 ;", i' ADDRESS 4 ,/priv7/ TEL. NO. 7 -" 0(1 i
/
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 BUTT•T1!"^4^ODE, 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.
I14 /Signature " V__
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
1 TOWN OF QUE . NSBUR..
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .. '
ANSWER ALL of the following: ;kfl 4jEV. CFLJEE WS :
c. dr 1
1 . Gross floor area /i)A,pg
2 . Type of heat Oay 4,07 /AA'r
APR 17 1990
3 . Is the building mechanically cooled? ;700 BLDG. &CODE Dr-p1
4 . Percentage of area of windows and doors 151 , 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=.d 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
a. I.f 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 conditions4.30
2 . R value of exterior walls r l�
3 . R value of glazed area
4 . R value of doors r�
5. R value of floors over unheated spaces h-/9
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab , s�r,�i ✓i, i i-
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation
C. Controls (
1. Thermostat maximum heat setting r ) °
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 . Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating -
1 . Performance efficiency We -
2. - Temperature control setting maximum `ape
G. For Swimming Pool Only •
1. Maximum heating •
Telephone No. l,,P -' sir'
(applicant ' s signature)
TOWN OF QUEENSBURY
� , APPLICATION FOR
> SEPTIC DISPOSAL PERMIT ,OWN RECEIVED
9 ® �bL(30
ptpR
DATE lc,'/ 17 MO
LOCATION OF PROPERTY FOR INSTALLATION In4 Jfl/ Oak tree (Aide !`}r
h
�> ?J Tele hone: ;
Owner's Name: Wr .10/?1,. 7.;� P
Address:. 11e 71 ! / in'ti9 -re jz� 1.4.4,74°
Installer's Name: . Ja1/7;" ,4trc1 Telephone: . - 02,-/)2 !_1 _
Number of bedrooms (residential only)
Total daily flow (compute fd 150 gal per bedroom) q,��
Topography: Circle one: 4:0Rolling Steep Slope % of Slope
Soil Nature: Circle one:'Sand Loam Clay Other /Depth: Feet
Ground Water: At what depth? ti Feet
Cl Lis'✓1 :y r.
Bedrock or Impervious Material: At what depth? 9 Feet •
Percolation,test: Circle one: not required required rate min. inch.
Domestic water supply: circle one: 1Vlunicipal Well- Other -
If domestic water supply is a well: •..
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank //)0/) gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench feet/Total system length • feet
SEEPAGE PIT(S): Number of ' 3 / Size each j' feet by feet '
Size of stone to be used # /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:
DATE: ,,, i I / J
I
OVER • . .
- a
-- • - - - —
1
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 $250.00.
• '•
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot- plan at time of inspection may
result in an immediate work stoppage.
- - D.. Should unforeseen problems -during construction prevent proper, installa—
• tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
. , conStruction.
. .
•
. Town of Queensbury
• BUILDING and CODES DEPARTMENT
• Bay and Haviland Roads - •
. Queensbury, New York 12804
•
• •
Rentarks: _ •
•
• . ,
•
•
•
• —
•
• •
•
°'��� MIDDLE DEPARTMENT INSPECTION AGENCY INC.
C------L-).-' /. )
--- ./..'
j National Headquarters ;
•"�'� 900 Haddon Ave., Collingswood, N.J.08108
APPLICANT COMPLETES THIS SECTION Date:r1,40y,J /7;
City, Town or Township +x e--vm- County ts)=,-v z' .ft State
Location/Address )c 1` I 0 I Oa14 I-, -c c ,i,i ' A,ct1.4. i-v,{i,-s
(If Located in Rural Area - Please Attach Directions) Pole #
Owner JY /i't (,r�i,r1,, � ,a, . ' Permit # jam% ' ` 11.„.`-
Occupied As f 1.• ,�' ((= .1 ,i - i I ' Building: New "f Old El
Occupant —J 1.
Work Area in Building (Floor #,etc.):
App. for: Wiring I'--(Service LW Or: Ready for Inspection:
Fee Remitted-$ 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 ti
1
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.,, ""'...{. .
;Signature - License # Permit #
T/A L -, • ,; /-/T3.,G?c- c- } f' Utility: Al. "7I ;`j C,, /.:-,v ' //J.
Applicant's Address: /� -�•-�`- ^ — y� 74,C: (NAME) (OFFICE LOCATION)
(City) vus . - I - ' (State) AI -`f . (Zip) : Service Request # iP '7/7
Phone # /a, 3-31.1""t , . ,-(% ,-y-. t = // Electrician: - --' r 14J
'1'
MDIA USE ONLY DATE RECEIVED: ` <`; / /<'., U • DATE INSPECTED: "'_j /- l C .
Correct Location: Same as Above n or: F,
Red Notice Label n , -
Rough Wiring Outlets Surface Unit -- Oven-
? 0 Switches Range - - - - Garbage Disposal
, a Receptacles Water Heater ••' ` Dishwasher
'-) lJ Fixtures Air Conditioner . / Dryer '
rj,J 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 11h 2 3 5 71h 10 15 20 . 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.LAY LKD❑ Contractor
1 1 CFT Violation: Work Comp.❑ Inc. ❑ -. .
n L/A Owner ` ' CASH ❑
n L/A • Fee CHK #_
- Due
n.IPA Municipal MO # ,
INV #
Date: , Other Side❑ Utility OOwnerant ❑
Cut in Card n Temp # Date ,` • ,/'yi - , _
71
al # , Date _//_ y,-,
J INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 4/89
• t+J�W J��V 'Vt1iIMv JaW X.) el Jiv v
it MIDDLE DEPARTMENT.INSPECTION AGENCY, INC.
900 Haddon.Avenue Collingawood,N J:08108 G
» . , 5v . q :. • `) Date August 1 , e
1990 r
QCerttf te5 that the.electr_ical,aq p ment listed has e�n examined-and.is approved as being in accord
.
v with the National Electrical ,Code, applicable governmental, utility and.Agency'rules.
if
•
>2• Owner: Forest Wood/ Hordes Occupancy Dwelling . C
if i , r i
>f Occupant: Unknown r,
'9 Location: Lot 101 Oak i Tree Ca role, H.1 dd'en- Hii lt1sh..certificate covers the electrical equipment and installation inspected this C
it Queensbury (.Warren Co) NY date. If additional equipment should be introduced or alterations made to C
existing system this certificate shall be null and void, and application for
>2 Equipment: 100-Outlet-s,; ,40-Receptacles; 30-F,IXt.l rgM1should be submitted promptly to this Agency. C
. . , i,. - ,, o er of rthis certificate should present same to his property insurance carrier y
It 200 Amp Service; 2.-Appliances; 3-VenttAgeFl�jpspany)aseviderice,of:certificationof electrical equipment approved 7
as specified./
[ave Hodges ,, ,`" _ • -V��
i 31 Tenth Ave.'"
>p Applicant: Hudson Falls , NY 1�2839 ., i l `� `ND 16-034750/031
'orm No.703 EL 1-03
3e)-(1-
TOWN OF QUEENSBURY r ,� /�
BUILDING AND CODES DEPARTMENT /�
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST 4R NSPECTION RECEIVED .7 CJ/g0
NAME 1• Q.yJ ii t ( t - v' Q�t�✓
LOCATION to)Ig
_ ,ham.t• Vx-tL_
D E (0 17 0 PERMIT # 0— 11 I
) Tht54-1
t., APPROVED
Jha / 1�. �, Lo0 YES NO
F DOTING/PJE"S
•
MONOLITHIC •'aUR FORMS
FOUNDATION/,' P—PROOFING
BACKFILL APP•OV•
OUGH PLUMBING
FRAMING
ELECTRICAL RO}GH—IN '
INSULATION: ''
FOUNDATION }
FLOORS
WALLS . 1 '
CEILING
FINAL INSPECTIO\:\
CHIMNEY HEIGH
ROOFING
SIDING
EXTERNAL PORCHE\/ �i EPS `
STAIRS—CLEARANC\ RAILS a
PLUMBING FIXTURE"+?;/RELIEF VALVE
INTERIOR TRIM/PR,WACY DOORS
FINISHED FLOORS,' '
GARAGE FIREPROOI I\'G
DOOR CLOSER(S) \
SMOKE DETECTO- \
FINAL ELECTRICA r' INS•\, CTION
FINAL APPROVAL •F CON\TRUCTION
OK TO ISSUE C/=J OR C/is
A SIGNED CER 4FICATE 0 OCCUPANCY MUST BE
OBTAINED FRO! THE BUILDING DEPARTMENT BEFORE
THESE PREMI ' S ARE OCCU•' ED!
.
REMARKS:
i ' 5N ( .
. ,._
ARRI' q ; ) i
fi J
LS
DEPART G' / / Li
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12809
TELEPHONE (518) 792-5832
B IIDING INSPECTOR'S REPORT
REQUEST FOR NSPECTION RECEIVED ‘47
NAME ,1/M i' ( 61.07/1 4211I��l LOCATION / 1>i,�/L2sU 2 /av:`�� t'�
DATE 'b PERMIT # yQ -/7/ - -
a f A
APPROVED
YES NO
. Y
FOOTING/PIERS
MONOLITHIC POUR ';ORMS
FOUNDATION/DAMP-.•'OOFING
BACKFILL APPROVA'.
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING Y !/
SIDING G�
EXTERNAL PORCHES/ST,PS
STAIRS-CLEARANCE & A v'ILS IV
PLUMBING FIXTURES/1 E`.IEF VALVE
INTERIOR TRIM/PRIACe DOORS IV
FINISHED FLOORS �
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTOR ,
FINAL ELECTRICAL INSPECTION '
FINAL AP ROV C rCTIO
OK TO ISS c/o, -• C/C Lam'
A SIGNED CERT,' I ATE OF Ot..CUPANCY MUST BE
OBTAINED FROM THE BUILDINe DEPARTMENT BEFORE
THESE PREMIS.S ARE OCCUPIEJ!
REMARKS:
ARRIVEfr
DEPART /6) > /
INSPECTOR
4.
1 .
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.- =
Electrical-Building-Plumbing-Fire Inspections
Labe; /
11-74
''
Date_ ��- �( �,
nil IA ,....-•
i l r _/ _ ,
<j ,,,
ector J
••
Y
T constitutes certification that the
i ; above installation, but not the equip-
• ment itself, has been visually inspected
as of this date pursuant to the applic-
able codes. If additional equipment
should be introduced or alterations
made to the existing system or stuc Y'
- ture, application for inspection should -
be submitted promptly to this Agency.
. gown of Queeniurt71/1/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, -.D. 1 Box 98
Queensbury, New Y.rk 12801
SE'TIC DISPOSAL SYSTEM INSPECTION
NAME %i`/ `' / _ iJ 0, (51-7124_,
LOCATION-. G(1 ( /i� 2 (i }
n 0
DATE /�G PERMIT NO. C()- I I I
SOIL TYPE <an - Lo-m - Clay -
Percolatio Tes Regdired? YES - 6D
Percolatio + rate - M• n/Inch
TYPE of SYSTEM:
Absorption 1\ield, total rig-th`
Length of ea ch
Depth re,ches '
'ze of grave ____---'
SEEPAGE PITS{ umbe of)
Size- 2- ft. X j ft.
Gravel size ; .
PIPING: Size Type
Bldg. to tank Lf Scrf L(o k-' C
Tank to dist. b.x 9 Po'
Dist. box to fi- /p LI pv C -
Openings sealed., E NO Partial
LOCATION/SEPARATIONS:
Foundation to to Jet:} •
-
Foundation to ab urption z-;ft.--
Absorption to to: • ine. ft
Separation 'of pits' ft '
LOCATION O YSTfM 'ON PROPERTY(circle one)
Front - Rear - L{-ft side - Right side -
COMMENTS:
•
•
SYSTEM USE AP ROVED 400 0
. n ,.s%L,.,r
Bui' .ing I7 '
for
'O1/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280g. i02'_____
TELEPHONE (518) 792-5832
•
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED —5/)5/GO
NAME . o--LCI,,ILD' W(1-fJd c/d- 7'7/La
LOCATIO /0 / ,Z? / 1Q1 ..)M zt
DATE ,n-1 j, /qO PERMIT # /11 --/7/
APPROVED
YES NO
FOOTING/PIERS s I
MONOLITHIC POUR FORMS .4q
FOUNDATION/DAMP— 'ROOFING
BACKFILL APPROVAL 1
ROUGH PLUMBING
FRAMING s t'
ELECTRICAL ROUGH=IN
INSULATION:
FOUNDATION •
FLOORS a yil X
WALLS f -- / U. . . . . \CEILING / --76 V �
FINAL INSPECTION: '
CHIMNEY HEIGHT
ROOFING 'ii I. . .
SIDING "', I
EXTERNAL PORCHES/ISTEPS
STAIRS—CLEARANCE;& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS„' Fi,
GARAGE FIREPROOFING '
DOOR CLOSERS) t
SMOKE DETECTORS t;
FINAL ELECTRICAL INSPECTION
r, �.
FINAL APPROVALSOF CONSTRUCTION
OK TO ISSUE C/0 OR .C/C - --- --
A SIGNED CERTIFICATE QF OCCUPANCY MUST BE
OBTAINED FROM. THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
i R
REMARKS: ° a
4' t
b •
1 '
i
t '
ti .
f
P
..---7 / .
ARRIVE if" S
/
DEPART /i)al
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADSAln
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT'
REQUEST FOR INSPECTION RECEIVED .,
NAME , 1rlL GUdn'_„ �yf� Ate'
LOCA i al - /� - � /}://(r,1'
DATE , -/I L//go` PERMIT # G! O i7 J
\ i APPROVED
1 YES ND
FOOTING/PIERS '
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING '
BACKFILL APPROVAL lt
/c i "
) ROUGH PLUMBIN G, arli i/ `/
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CHIMNEY HEIGHT
ROOFING
SIDING `,,
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE &t RAILS
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INTERIOR TRIM/PRIVACY‘pOORS
FINISHED FLOORS 1 \
GARAGE FIREPROOF. NG \,
DOOR CLOSER(S)
SMOKE DETECTORS! ^t
FINAL ELECTRICAL JNSPECTION ','
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 OCCUPIED!
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REMARKS: f
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DEPART ilifi/ a .-
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS Pn9
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 2d . d/ d
NAME d 1J4iL Ii/000 n •
LOCATION ., Jo, e.feb. ,
DATE 006 PERMIT # 91) - / I
APPROVED
YES NO
1. FOOTING/PIERS `3 ,
MONOLITHIC POUR FORMS of
p.,
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
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FOUNDATION
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CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT �.
ROOFING \ (
SIDING
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STAIRS-CLEARANCE & RAILSs,
PLUMBING FIXTURES/RELIEIt' VALVE
INTERIOR TRIM/PRIVACY DDORS.,
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) G�
SMOKE DETECTORS I
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONS/RUCTION .
- OK TO ISSUE C/O OR C/C!
A SIGNED CERTIFICATE F OCCUPANCY MUST BE
OBTAINED FROM THE BUDDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: tj
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. ARRIVE
DEPART
• NSPECTOR
TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENTfill
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST Fe' a SPECTION RECEIVE, 4 2 '1 Jio A IN
NAME ' •Ailthd I
LOCATIONfira 0 , aiz J
DATE 4_ 21 ( 10 PERMIT # 96 11,
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR F0' 45
FOUNDATION/DAMP-PRO• ING r
,BACKFILL APPROVAL
ROUGH PLUMBING ��
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION:
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FLOORS . . . . fir, .
WALLS I.
CEILING .
FINAL INSPECTION:
CHIMNEY HEIGHT A
ROOFING 1 �
SIDING ' ;EXTERNAL PORCHES/STEP ``
STAIRS-CLEARANCE & RA LS\
PLUMBING FIXTURES/RE IEF\VALVE
INTERIOR TRIM/PRIVAC , DO , S
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSP CTION ��
_FINAL APPROVAL OF CON TRUCTION\
- OK TO ISSUE C/O OR C/F
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPA' TMENT BEFORE
THESE PREMISES ARE 0 CUPIED!
REMARKS:
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DEPAR AIL 1,-. i
INSPECTOR
TOWN OF QUEENSBURY ,
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804. .
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT REQUES FOR INSPECTION RE. EIVED_ q ,,,,2V////4)
NAME 7j4J-
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LOCATIO it /a/ lae ripe, (.Uviii
DATE �/71/9L1 P RMIT # 0; -/77
APPROVED
,/ YES NO
j� FOOTING/PIES ` \
/ MONOLITHIC OUR FORMS
FOUNDATION/D P-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBIN
FRAMING .
ELECTRICAL ROUGE -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING ;,
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING j
SIDING j
EXTERNAL PORCHE°•/S 'PS
STAIRS-CLEARANC & "AILS
PLUMBING FIXTUR; S/R , IEF. VALVE
INTERIOR TRIM/P•IVAC', DOORS -
FINISHED FLOORS
GARAGE FIREPROO! ING
DOOR CLOSER(S) ,
SMOKE DETECTOR '
FINAL ELECTRICAL NSPECT :IN '
FINAL APPROVAL 0 CONSTRU TION
A SIGNED CERTIFI'ATE OF OCMUPANCY MUST BE
OBTAINED FROM TH1 BUILDING DEPARTMENT BEFORE
THESE PREMISES APE OCCUPIED..,
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REMARKS: 1 t ‘-i
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