1990-237 . ,
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
f,
WARREN COUNTY, NEW YORK
Date July 25 19 _90
30A
This is to certify that work requested to be done as shown by Permit No. 90-237
has been completed.
This structure may be occupied as a single family dwelling
\ (Th ""rs4.-<Pleasant Lane
Location
Owner Thm k Ann Pyn
• By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-237
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to TOM AND ANN RYAN �c'n
00
OWNER of property located at Lot 81 Pleasant Lane 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 •
Clark St
Queensbury NY 12804
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2. CONTRACTOR or BUILDER'S Name
Stephen M. Kelly R'
Kelly Construction
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3. CONTRACTOR or BUILDER'S Address
11 Willow Road
Queensbury NY 12804.
4. ARCHITECT'S Name
00
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5. ARCHITECT'S Address
Po
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
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No. 26'x64' Single family dwelling as per plot plans, specification, and
aq
application including attached two-car garage and septic system.
8. Proposed Use Po
Single family dwelling
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$ 290.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 10 19 90
(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.)
Dated at the Town of Queensbury t ' 10th . Day f May 19 90
SIGNED BY \s :e, for the Town of Queensbury
/Building and Z Wing Inspector
TOWN OF QUEENSBURY
REVIEWED BY
4 % FEE PAID $ ,?65
PER MIT NO. D '"Ag
�l_ WOWN OF
BUILDING PERMIT APPLICATION M
l! lJ
MAY -11990
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIONBOMInggetiMPEPT.
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:.0 in A A ,Pr A A,
P.O. Address C P 1 .n ,4 Tel 7 , Y7 Z
Property Location A 0 7 `# g/ e s• 7 ZI4
pe y �, �' � Tax Map No. 93/d/t
Has there been any split of this property since October 1, 1988? / b,
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF.APPLICABLE /r"d e,. At/its LOT NO. Fl
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
/
S�e i�Pyi `/ /l e/ 7 ire�/y c c ks f f G c_ // t_i
NATURE OF PROPOSED WORK: ESr MATED MARKET VALUE OF cc .•
K Construction of a new building • CONSTRUCTION: S //2/oG6
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property 7S ft xl--'ft..
Alteration to a building .
(no change to exterior dimensions) • Existing Buildings(3) Size _, ( ft. x 2A1. ft.
• Proposed building - distance from property line:
Other work (Describe) •
Front yard 3_ ft. Rear yard 'Y ft.
•
Side yards -.o ft. and -zD ft.
•
GROSS AREA OF PROPOSED STRUCTURE ,_p •• If on corner, setback from side street ft.
1st Floor /061 s ft. \0 s 1 _
q' 11e • OCCUPANCY INFORMATION
2nd Floor /� 6 sq. ft. • Primary Building -
Other Floors
s ft. 3 T One Family Dwelling
(not cellar or basement) Q p•/ Two Family Dwelling
TOTAL FLOOR AREA,/?6 sq. ft. 1 � /; • Multiple Dwelling/Number of units
Size of new structureft xft.
• Business
Foundation-pier/slab/crawl/partial/full • Industrial
(circle one) • Other
•
No. of:torloa (h^"able space)= • c- -
Height (grade to ridge) / rn ft. • If addition, what will use be?
If residential, no. of families__ •
No. of rooms(excluding.baths)
• Acca.-smy Buii6ir�g
No..of bedrooms • Detached Garage ONE/TWO C
No. of bathrooms L •
Primary heating system . /,�i - / r • pC Attached Garage 0 r 1�0 Car
Type of fuel �.%3
___Private storage building
No. of fireplaces to be installed / •
Will a wood stove be installed, A,c) • __Other
Central Air conditioning •
OV• ER •
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BUILDING PERMIT .APPLICaT[ON CONT[NDED -
BUILDING 3PECIFICATIONS:
Type of construction, wood frame, fire safe. etc.
Will an:ysecond-hand or, Upgraded lumber be used? If so, for what? /r/,
Foundation wall material Ca4 e,, Thickness 8'
Depth of foundation below grade (to bottom of footing) /do "
Will there be a cellar? i Heated or unheated? c..z Floor sq. footage /°e d sq ft.
Will there be a basement? Will any portion be used as living space? 4L0
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/other -1' Material of roof 4s /54,v vG. 6,j, /er
Size, wood studs "x („ ". spacing y6 " o.c. length ft.
Joists (floor beams) 1st floor . "x /6 " spacing // "o.c. span /`L ft.
Joist (floor beams) 2nd floor "x /a " spacing / ' "o.c. span / / ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing .y " o.c. span .28 ft.
Exterior wall finish of what material? A-/ yZ
Interior wall finish fa '� S � e i-yc eoc-
ee
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: --cfd'
Is there to be an opening between garage and.dwelling? 4-S If so will a Fire-rated door, enclosure,
self-closing device be provided? LS
Will a flue-lined chimney be installed? " Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in,
Water supply - Municipal or private well ,/17‘j/v fe.,//9ia/
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 1re//y COAst[orr? ADDRESS // dLr/(G - ,d TEL. NO. 7,3 - 3G .2-z
NAME OF PLUMBER ,e-e/fr Cckst,o6c„S-<ct, ADDRESS TEL. NO.
fC /r
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN 1( /( ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
plans and specifications submitted, are a tru and complete statement of all proposed work to be done on
the described premises and that all provisiv&'-.of the BUILDING CODE, THE ZONINr ^°^"``""[==": and
all other laws pertaining to the proposed work shall be complied h, whether specified or not, and that
such work is authorized by the owner.
Signature .
Owner, wner's ent, ar hit ,-
D contractor
SPECIAL CONDITIONS OP THE PERMIT:
BY
WARREN COUNTY , NEW • YCRK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE, -NEW YORK
STATE ENERGY CONSERVATION CODE r
:.J :k lt \dig
A permit must be obtained before begirt-r1 ++Ncr ` �
• ANSWER ALL of the following: Unn l>rl � l "
JL�
1 . Gross floor area o7/ WM -11990
2 . Type of heat �.��5 BUILDING & CODE DEPT.
3 . Is the building mechanically cooled? Ate
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heat i 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. If 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 conditions
,f3 &" n
2 . R value of exterior walls 4r - fc/
3 . R value of glazed area 49' .2. 2-
4 . R value of doors /*• /
5. R value of floors over unheated spaces
6. R. value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab
8 . R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellart/' walls (below grade)
10. Type. of insulation T lb elf
� SS
C. Controls
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If YES, R value of duct installation
b. R value of duct in other areas
E. Pipina Insulation
1. Size of hot water or cooling carrying agent pipe
2. n of pipe insulation - .
P. Service Water Heating
1. Performance. efficiency
2. Temperature control setting maximum, ¢Sc
G. For Swimming Pool Only
1. Maximum heating
Telephone No. 7� ' -� /
(a�licant' s q ure)
TOWN WN OF Q UEENSr URY
, J��.. APPLICATION FOR
1;
-=j. SEPTIC DISPOSAL PERMIT °INN OF 9U`
41111ip g vi i--g I
b:•. ;:i I
MAY -11990
DATE `1/:ga* BUILDING & CODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION �G� �� ���S �,yo� /,�,,
Owner's Name: / D/ s,a t- Telephone: 77 C9',�Z- 4 4 2
Address: �r7 �i j r(/K �C
Installer's Name: fro Ci /4 �= Telephone: 7 "./ 2`1?
Number of bedrooms (residential only)
Total daily flow (compute (d 150 gal per bedroom) ( Q' Cr
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one:C
Loam clay Other /Depth: Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one: Municipal Well Other il
If domestic water supply is a well:
Separation: Water supply from septic absorption feet S/4 ✓ `
PROPOSED SYSTEM: Septic Tank /Di2O gal. (minimum aize: 1,0071 gal:
"N :I\A 1) 1 , )
TILE FIELD: Each Trench feet/Total system length ` i fee 1 ti.4
I
1 II) l'") ri
SEEPAGE PIT(S): Number of ,L-. / Size each' & feet by &" �y' d 6 feet ,. �^ppgg ��'� _ .�
f n)r �� t�� t' �.
iVL r
Size of stone to be used # /Depth or Thickness -`fe t 1� $ fr , r . 4 1
d ,j�11
********************** - - i
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 nitary Se age Disposal O,ir} rice..
SIGNATURE OF RESPONSIBLE PERSON: ; i. fH /,>!' , /_"!i.:
DATE: 7_
�1 ft G/ `
OVER
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s�P�Ic` �Yocem Inspections:
— '
�7�6ol
A. �� � for septic system installation, alteration or repair,
as required''by the Iuwu of Quaeosbury Sanitary Sewage -Ordiouoce, shall
cbw 8 ildiu D c c u� l t 24 b b � tar.
c
, u �u� epar mwo c eaa ours e ora o
of .couorructibfiJ�ud shall include, a plot plan showing: -
l, the proposed location of the system _ �
2,) location and distance to lot lines -
2,) location and distance to structures
A,) location and distance to any water muoolv
5.) size and dimensions of all caoba, distribution boxes,
tile fields and/or drywella
B. No system oba l be covered' before in apecciuo and approval by tbw
Building Inspector. Failure to comply with tbia� reguiremeut may -
result in the uncovering of the system by the installer and afiue
of up to $250.80.
C. An approved copy of the ,plot plan shall be available on the construct
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 iuecalla_ .
tioo, alteration or repair of an approved system, a new proposal must
be submitted to cbe Vu*eoabury DuildiogDepartmeot before furcber _
construction.
Town of 8ueepobury
8OILDTNC and CODES DEPARTMENT '
Bay and Buviluud Roads
Queenabury, New York 12804
8courks- ~
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TOWN OF Q UEENSE URY
Bay at Haviland Roads, Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
�Date d �� r
19 Permit NO. 90 -2-3 f
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 ei��Pfl i47 f/y APPLIANCE TYPE
/ ,/ Stove Coal Wood
Address // %///%j,,v J y 1 Furnace Hoot Air Boiler
��is ePIS ` � l r Zero Clearance V, Circulating Unit
Phone 2 9 ! '_?o G. 2— If Non-Masonry:
Owner's Name �/ y4
Address ,/, ci<0„-/� c Manufacturer
01/P.-eh f � ,{�S/ Zip G - Model Outlet Size
✓� , %2( Listed by Number
Phone
CHIMNEY TYPE
Masonry: Block Brick Stone
Property location of proposed construction Flue:' Tile Steel
40 7 ` g/ /-)/P,c.f Ph ,/,,a h .9 Size:
./i'/ddPdi %////.1' - �-r ee/2sZ 4�v . ' Factory Built:
Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS
REQUIRED FOR FACTORY-BUILT APPLIANCESHeight Listed By Number
AND CHIMNEYS. MUST BE INSTALLED Type:Insulated Double Wall Triple Wall ,
ACCORDING TO SPECIFICATIONS. COPY OF
Estimated Cost $ „�ll_
CONSTRUCTION DETAIL REQUIRED FOR MA- - �
Fee$ F .;
SONRY FIREPLACES AND CHIMNEYS.
•
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department: Fire Marshal Amount Collected Amount Refunded
1 Code Number Title rf9� '
\\ A173 3389 • (190)Public Safety /�"
1 A233 2655 . (230) Minor Sales
�I Collected from or Refunded to: x P,4/a ( �7,/ /-47-,J
1
Address:
a____.,__
Dated: ,9 f/ / T
/ ! /l� Town Clerk or Deputy //, L �Q�
' White:Applicant Yellow and Pink:Cashier'sQ denartment Gn nr,, a A ^r
i•R'rr ' f1,^; _-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832 ?IrIAL'i
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED �a;./Q6
NAME �,J)YI /L j41*) Aeli/.Li
LOCATION ,' 6j ('/ /��„Qa Xa
DATE 7,2`!�/�9'(1 ! PERMIT # 90-,,�, 7
/ APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FO S '
FOUNDATION/DAMP-PRO FING
BACKFILL APPROVAL ( f'
ROUGH PLUMBING
FRAMING 1, '
ELECTRICAL ROUGH-IN ';
INSULATION:
FOUNDATION
FLOORS `j,
WALLS ;
CEILING Si •
XFINAL INSPECTION: S,k /
CHIMNEY HEIGHT •
ROOFING
SIDING �,
EXTERNAL PORCHES/STEPS; I
I/'.
STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF LVE i
INTERIOR TRIM/PRIVACY DOgIRS /
FINISHED FLOORS
GARAGE FIREPROOFING '4 • l/
DOOR CLOSER(S) 4t L"'
SMOKE DETECTORS ' a f/'
FINAL ELECTRICAL INSPECTION L/
_FINAL APPROVAL OF CONST UCTIQN
- OK TO ISSUE C/O OR C/Cl
A SIGNED CERTIFICATE O' OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCIUPIEDt
REMARKS:
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ARRIVE
DEPART
INSPECTOR
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
Electrical-Building-Plumbing-Fire Inspections
Date
IXIVA. 1 I M
relite P -
T' 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. If additional equipment
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should 1l
be submitted promptly to this Agency. ,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
-)C REQUEST FOR INS'ECTION RECEIV D
NAME ,,� G'7 Yf/ /"/Q .
LOCATION p•/
DATE -/? '7 0 PERMIT# Q0 '- n2$ -27
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FO''4S
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELEC_'RICAL ROUGH-IN
11 - SULATION:
FOUNDATION .
FLOORS
WALLS
CEILING -`3
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST
STAIRS-CLEARANCE & '.ILS
PLUMBING FIXTURES/;'Er EF VALVE
INTERIOR TRIM/PRI AC DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL :1NSPECION
FINAL APPROVAL 0 CONST'UCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTI ICATE OF 'CCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISD. ARE OCCUPIED!
REMARKS:
ARRIVE £
DEPART
l `
INSPECTOR
TOWN OF QUEENSBU'
BUILDING AND CODES DE'ARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792— ':32
BUILDING INS'ECTOR'S REPORT
REQUEST FOIE ITS ECTION RECEIVED 6
NAME �- I (j dt��
�
A.LOCATIONeritiA
DATE jJ
P RMIT #1 APPR VED
�� %% YES1 NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN '
INSULATION:
FOUNDATION
FLOORS
WALLS I
CEILING I '
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF V LtE
INTERIOR TRIM/PRIVACY DOO S
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPE ION '
FINAL APPROVAL OF CONS RUCTION
A SIGNED CERTIFICAT OF OCCUPANCY M ST BE
OBTAINED FROM THE ILDING DEPARTME T BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
(1,
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(k)
L
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801. A
TELEPHONE (518 792-5832
BUI ZING INSPECTOR'S REPORT
REQUEST FORf IN 'PECTION RECEIVED i, / i
NAME ' l A 17/7 471_
LOCATION 1/ s& 4,1se
DATE £ !' PERMIT # �= "�
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP PROOFING
BACKFILL APPROV' -NJ
ROUGH PLUMBING
FRAMING '1 _r\
ELECTRICAL ROUGH- IN `��
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S EPS
STAIRS-CLEARANCE & '•'I S
PLUMBING FIXTURES/RkL EF VALVE
INTERIOR TRIM/PRIVA DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL IN••ECTIvN
_FINAL APPROVAL OF CINSTRUC'ION
OK TO ISSUE C/O 0° C/C
A SIGNED CERTIFIIATE OF OCCU'ANCY MUST BE
OBTAINED FROM TH BUILDING D •ARTMENT BEFORE
THESE PREMISES RE OCCUPIED!
REMARKS:
ARRIVE , /,
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i.
TELEPHONE (518) 7925832
BUILDING PNSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /"
NAME c� rove_ /{ 1/ •
i
LOCATION /7 L .3/ /141(.4yi ,< /iS
DATE ,6/2579 0 PERMIT # ' 1, ? 32
APPROVED
1 YES NO
/
FOOTING/PIERS
MONOLITHIC POUR FORMS / '
FOUNDATION/DAMP—PROOFING l'
BACKFILL APPROVAL a, 1 '
ROUGH PLUMBING ;i • .
FRAMING + l
ELECTRICAL ROUGH—INS, 1 '
INSULATION: /
FOUNDATION I .
FLOORS i . . . .
WALLS I . .
CEILING 1 ' 1 '
FINAL INSPECTION: n 1
CHIMNEY HEIGHT I
ROOFING 1,,'
SIDING .A. •
EXTERNAL PORCHES/STEPS ' •
STAIRS—CLEARANCE &/' RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRI;VAC' 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 OCCUPIED.
F
REMARKS: r1 1.
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ARRIVE y,5
DEPART : 457
INS ECTOR
TOWN OF QUEENSBURY J
BUILDING AND CODES DEPARTMENT L
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
•
BUILDING INSPECTOR'S REPORT
REQUEST FOR PECTION RE IVED
NAME •
)j
O
LOCATION ofb e
•
DATE ,`,qo PERMIT ,# 2,
APPROVED
•,1 • ,,'' YES NO
.1
FOOTING/PIERS q tr
n 4ONOLITHIC POU '
(�(FOUNDATION P-PROOFING
BACKFILL APPROVAL; S`r
ROUGH PLUMBING • ''
FRAMING ''
ELECTRICAL ROUGH-SIN ;
INSULATION:
FOUNDATION 6
FLOORS. ` •t. .
WALLS . n`'
CEILING la. '
FINAL INSPECTION{:
CHIMNEY HEIGHT"
ROOFING I
SIDING
EXTERNAL-PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED iFLOORS ;',
GARAGE FIREPROOFItiNG
DOOR CLOSER(S) 1 •
SMOKE DETECTORS 'il.
FINAL ELECTRICAL INSPECTION
.FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR •C/C
1
A SIGNED CERTIFICATE "OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
Y.
THESE/PREMISES ARE OCCUPIED!
l
REMARKS: \
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ARRIVE
DEPART
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rid..........„,:s.,,
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /)
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832 1
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 1 6; T) t'i
NAME ��
LOCATION /J-�c ''�/ a,( l,Q ,a 4.,.
DATE 511114Q PERMIT # 0 1)— 2-3
li a
A APPROVED
/' YES NO,,.
XFOOTING/PIERS ±, f'V
MONOLITHIC POUR 4ORMS
(FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL1 f
ROUGH PLUMBING ? is
FRAMING ''
ELECTRICAL ROUGH—IN I
INSULATION:
FOUNDATION 1 /
FLOORS. t
WALLS
CEILING A /
FINAL INSPECTION: 9
CHIMNEY HEIGHT I
ROOFING I
SIDING 1
EXTERNAL PORCHES/SUPS
STAIRS—CLEARANCE & ARAAILS
PLUMBING FIXTURES/RLIEF VALVE
INTERIOR TRIM/PRIVA Y DOORS
FINISHED FLOORS I
GARAGE FIREPROOFING
DOOR CLOSER(S) a t';
SMOKE DETECTORS f 1
FINAL ELECTRICAL TNSPEC ION
3
FINAL APPROVAL OF/ CONST UCTION
OK TO ISSUE C/ODOR C/C
A SIGNED CERTIF CATE OF OCCUPANCY MUST BE
OBTAINED FROM HE BUILDIN DEPARTMENT BEFORE -
THESE PREMISES ARE OCCUPI D!
REMARKS:
-rine 4/"(-)
t`)/ ,..4...., )/
. 7 f4 tic ),/ P
t) r
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DEPART 1 1 i �l .
0
INSPECTOR
TOWN OF
1
Zoning
Date—
l000 G1AL. '-0pNK
(2) x $' .SEAPAC-IE' PI-1 S
If 5.2C.'
3 3 — oo"
O
0
Z
z
w
mr
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MAY -1 INO
BUILDING & CODE oEi, r.
MAP REFERENCE:
HIDDEN HILLS SUBDIVISION
MADE FOR RALPH & MICHAEL WOODBURY
BY VanDusen & Steves DATED MARCH 26, 1986
FILED SEPTEMBER 22, 1986
IN MAP CABINET A SLIDE 44
LOT 82
APPROVED
FOR SEWAGE DISPOSAL
OtW VORK VAR DEPARTMENT OF HEALTH
P.E.
vo SAN1IAPT ENGINEER
DATE
LOT 81
15,666 sq. ft.
0.35 acres
385.
385.84
386.02
�oP
19 00
_ w
72 02' 20
S
LOT 68.
93-5-81
IV
36
QapCA�GG Pad
S
385.80
1Ab AO
� 3
3
5�
LOT 69
LOT 80
LOT 70
19/212,, �m �IJQrL
`>� 'F/ /emsr tone —
�.•• 0 0
b
MAP OF A SURVEY MADE FOR
QD
i
h
I
(3)
STZVZ KW-L-L Y
TOWN OF QUEENSBURY COUNTY OF WARREN N.Y,
SCALE, 1"=30' DATE i JUNE 12 1990
VanDusen & Steves
LAND SURVEYORS,GLENS FALLS,NEW YORK
N.Y. STATE LIC, NO, 35617