1990-258 •" -RIFCATh OF OCCUPANCY
.• , '
t
TOWN OF QUEENSBURY
WARREN COUNTY, NEW,YORK
Date (km/ Oh)4 1 I 19
• VV
3(g I, I tc
This is to certX that workirequestedito' done as shown by Permit No. 90-258
has been completed.
This structure may be occupied as a ncr1 fprnily din/Ali/1a
Lot 14 Hidden Hills Drive
Location
PLINEY TUCKER
Owner
By Order Town Board
TOWN OF QUEENSBURY
40AM I/ 7Y 41141
• Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY AMENDED 4/1/92
No. 90-258
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to PLINEY TUCKER
cn
OWNER of property located at Lot 14 Hidden Hills Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Singel 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#4 Box 425 Division Rd
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
r-
5. ARCHITECT'S Address O
-1==,
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6. TYPE of Construction—(Please indicate by X) CL
0_
(X)Wood Frame ( 1 Masonry ( )Steel ( ) _
7. PLANS and Specifications --'
N
No. 26'x28 ' Single family dwelling as per plot plan, specifications
and application amended 4/1/92 including attached garage and septic system
8. Proposed Use
1
Singel family dwelling
N
no new fees April 1 93
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 rD
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the —1'
town of Queensbury before the expiration date.) Q'
J•
Dated at the Town of Queensbury thiss 15,1 Day o%,. April 19 Q2
SIGNED BY ,G1-7/ i./% for the Town of Queensbury
Building and Zoning)'nspector �'
f BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-258
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to PLINEY TUCKER c;,
OWNER of property located at Lot 14 Hidden Hills Drive 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.
y
1. OWNER'S Address is
RD#4 Box 425 Division Rd
Queensbury NY 12804
ro
2. CONTRACTOR or BUILDER'S Name
CD
3. CONTRACTOR or BUILDER'S Address
0
_ r
4. ARCHITECT'S Name
5. ARCHITECT'S Address CD
r-+
6. TYPE of Construction—(Please indicate by X) d
()0 Wood Frame ( ) Masonry _ ( ) Steel ( ) CD
7. PLANS and Specifications '
No. 1630 sq ft Single family dwelling as per plot plans, specifications and z
application including two car attached garage and septic system. �
ro
8. Proposed Use
Single family dwelling
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$ 252.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 9 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 9th Day of May 19 90
SIGNED BY for the Town of Queensbury
Building and Zo ing Inspector
TOWN OP QUEENSBURY
�1bal J REVIEWED BY: - 7Ig6
APYM FEE PAID: / t
PERMIT NO. : 90 o5 TOWN OF QUEENSBUE 'i
RECE IV D
BUILDING PERMIT APPLICATION APR 1 1992
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIE 'I441WLCUID-13EF4NTIL
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.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: p/ , _
P.O. Address: ..FaX <l2.\ D.)01. Cl�e�/ug.6z.-- PPHONE 2/� /K'
Property Location: 1,z i //s 17 ,�, „ P /�� a/a,�, , /1s Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: /, /-,',i//s Lot No. I }/
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
1 e7
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
'x Construction of new building * CONSTRUCTION: $ / /Z , o v
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: /o o ft. x
Other work (describe) * Existing Building Size:
•
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor Sq. Ft. * Front Yard S/-/ ft. Rear yard S-<f5'ft.
* Side Yards ft. and 3 7 ft.
2nd Floor 7 Z Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors /1/4 Sq. Ft.
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: /4/'-7 Sq. Ft. * Primary Building -
f One Family Dwelling
Size of New Structure: 6 ft. x Z& ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial Full (Circle One) * _ Business
* Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) / z. ft. *
If residential , no. of families: ,/ * If addition, what will use be?
No. of rooms (excluding baths) :
No. of bedrooms: =3
No. of bathrooms: / '/Z * Accessory Building:
Primary heating system: (- ,/ �/oi ia,�r�=* Detached Garage - One/Two Car
Type of fuel : ,E),,4 T„, „frai. s * C` Attached Garage - One/Two Car
. ' No. of fireplaces to be installed: A /, — * Private Storage Building
Will a woodstove be installed?: xU//9- * Other
Central Air Conditioning: Yes No / *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. ( o /77 -
Will any second-hand or ungraded lumber be used? If so, for what? /()
Foundation Wall Material : / J ,E2 (-,1�C Thickness:
Depth of Foundation below grade (to bottom of footing) : /'o
Will there be a cellar? J/ ' S Heated or Unheated? /f„a r„.,/ Floor Sq. Footage:, •
Will there be a basement? Will any portion be used as living space?
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other 5/6 p e rt, Material of Roof 0/7,:,„,7
Size, wood studs ,P " x s ";spacing /r " o.c. ; length ft.
Joists (floor beams) : 1st Floor ) " x /,' "; spacing /l o.c. ; span / 3 ft.
Joists (floor beams) : 2nd Floor 2 " x i v "; 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 Z y o.c. ; span Z 7 ft.
Exterior Wall Finish: l/ i ,cs of what material ?
Interior Wall Finish: t/r, � � z,,Q / j
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? �� � If so, will a Fire-Rated door,
enclosure, self-closing device be provided? ,t/ �-
Will a flue-lined chimney be installed? /U D Height above roof /)// ft.
Depth of chimney foundation below grade: 42/- ft.
Depth of fireplace hearth: ,\i/,Q__ ft. ),/-;- in.
Water supply - Municipal or private well : . „ , r- , /
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: /"%z ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: P/1 ,��� %�c,��- PHONE
NAME OF PLUMBER & ADDRESS: S'-,-,r, e=. PHONE / /
NAME OF MASON & ADDRESS: PHONE /
NAME OF ELECTRICIAN & ADDRESS: PHONE / 7
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 : -7:6_,���
Wrier, owner geni;, architect
contractor
' SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE .COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING .DEGREE DAYS
TOWN OF QUEENSBUR;
Compliance Methods: RECEIVED
PART S - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) APR 1 1992
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwelling BOG
Multi-Family Dwe l 1 i ng & CODE DEPT.
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
.J.0 / 1/ _ / I J7 2, u cr .v
APPLICANT'S NAME PROPERTY LOCATION ,r/J//s
• PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - A/S C_o Sq. Ft.
2. Type of Heat - Elec. Base Board Other C-f-,4S
3. Is Building Mechanically Cooled? YES /NO
4. Percentage of Area of Windows and Doors Over 17% v/ Under 17%.
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R
•
B. Exterior Walls R_T f9
C. Glazed Area R. 3.2-
D. Exterior Doors R l(. Z • v?- 5-,
E. Floors over unheated spaces R N/A- .
F. Edge of Slab on Grade (Heated Building) R 0/A
G. Basement/Cellar Walls (Above Grade) R LZ�(J (Z-LU
H. Basement/Cellar Walls (Below Grade) . R R--II .l-la
I. Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code r/ YES _ NO
TEMPERATURE CONTROL MMXIMUM SETTING 14O* - WILL'NOT BE EXCEEDED
(-/-2 _ 7 • / C
DATE �TELEPHONE NUMBER
INSPECTOR'S REMARKS:
•
REVIEWED-BY
Tofun of Tueenshurg 14ig4fuag Department
Say at Haviland Roads Office Phone 518-793-7771 Oueensbury, New York 12101 _ndtp/
PAUL H.NAYLOR RICHARD A MISSITA J
SupInntMCWrt Highways
Deputy Superintendent Highways
DRIVEWAY PERMIT TOWN OF QUEENSBUR
RECEIVED
DATE: �� � E / - APR 1 1992
APPLICANT NAME:
F/ / e y / /��-� BLDG. & CODE DEPT.
TELEPHONE NO. : ,_ /�� 7/
ADDRESS TO BE INSPECTED: )G 7/. // //s p ��� � /�� /
RETURN ADDRESS: ba, 412-C Q P , VJv/.c c %?_e e--%ti3 zo v
y
Applicant must show exact location and width of driveway(s) to be connected
to the highway by placing stakes at the specified location.
The Superintendent of Highways, Town of Queensbury, has reviewed the application
of the above named resident to. connect a driveway to the Town road. The
following action has been taken:
STEP 1: ( ) Preliminary Approval
NEED: ( ) Slight Swail
( ) Level With The Road
( ) Deep Swail
Size Pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36"
Preliminary inspection by DATE
•
Approval by Highway Supt. Depty. Supt.
After receiving the Preliminary Approval , submit the permit to the Town of
Queensbury, Highway Department upon completion for a Final Approval .
STEP 2: ( ) Final Approval
( ) Rejected
DATE:
PAUL H. NAYLOR
Superintendent of Highways
Town of Queensbury
#41, TOWN OF QUEENSBUFt r
TOWN OF QUEENSBURY RECEIVED
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fee Pai-APR 1 1992
Date: & CODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION:
Owner's Name: r/ / ,c�� —.�„
Owner's Mailing Address: ,p,v ,? sc , vr� ��.v �� 4D P"'"'"'ti ;%"/
Installer' s Name: .X, /�� �_�� Phone #: 7r �� '
Number of bedrooms (if residential ):
Total daily flow (residential-compute @ 150 gal . per bedroom):
Topography-Circle One: at Rolling Steep Slope % of Slope
Soil Nature-Circle One: Or Loam Clay Other /Depth:
Ground Water-At What Depth? Feet
Bedrock or Impervious Material-At What Depth? Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: 110,110 Well Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank /6 o J gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench :5"6, feet//Total System Length / 7' feet
Seepage Pit(s) : Number of / Size each: ft. x ft.
Size of Stone to be used: # ( / Depth or Thickness 2 feet
J r
**************
HOLDING TANK SYSTEM IF REQUIREp
No. of Tanks Size\of Each Gal .
Alarm system and associated electrical work to be inspected by a certified
agency.
****************
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: ��J DATE: / 4= 2
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 installation,
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 & Code Enforcement
Department
531 Bay Road
Queensbury NY 12804
Remarks:
•
TOWN OF Q UEENSB URY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Permit No. 9) 42
Date .7 <-7 ".-7' 719 /'v .
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 p /, X e y Ll�� ,� APPLIANCE TYPE
Stove Coal Wood
Address es s- � �� Furnace Hot Air Boiler
Zero Clearance Circulating Unit
eeti.5 47' ,t) Zip /2_
Phone 7 ' /6 7 / If Non-Masonry:
Owner's Name 7),/ /„> Manufacturer
Address %.�x /z ? A y / // /.ems Model Outlet Size
:c , fv �/ Zip / ko4./ Listed by Number
Phone • i 9 3 /-7/6 7/
CHIMNEY TYPE
Masonry: Block 1/ Brick X Stone
Property location of proposed construction Flue: Tile t' Steel
Size: /3 ' (3
Factory Built:
Manufacturer GIc. %-'I Model Size ,
COPY OF MANUFACTURER SPECIFICATIONS IS Height 5/, Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall x Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ .6)u
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 I/
A173 3389 (190)Public Safety
A233 2655 (230)Minor Sales
Fee(,cr llected from )r'Refunded to: -1� r.!% C��
�_q !
•
Address: c , AQll i/ o,i/ A .An. b�, 7 /
_ • t7 7 1
Dated: , i '
J � 76 Town Clerk or Deputy C d , 1°
-�_
White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
ii,...._- 31....".
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
...cip. National Headquarters
....... 1337 West Chester Pike, West Chester, PA 19382-6422
APPLICANT COMPLETES THIS SECTION ' ,
Date: /- ; /:-
: ..
City, Town or Township- / 1 /../ ..--;- ir:-.is....• --'7, -,..,,; ,.,....- ;....-- y CoUnty 41-#.'...."^-f-,i.----,/,<:•,' x..,-) State 'LI ' I/'
Location/Address -t . .,-,/ Iv; //,.. -:- .- , _. •-•/ ; -',. . .4_,/.: //_k •- .-- / .
• ,
(If Located in Rural Area- Please Attach Directions) Pole #
,-
/
Owner , * Permit #
Occupied As ' . / . Building: Newki OldI I
Occupant •
Work Area in Building (Floor #,etc.):
App. for: Wiring El. Se'rvice El or: Ready for Inspection:
Fee Remitted-$ Cash pi Check El M.O. El 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
Amp. Service Surface Unit Dishwasher- Range
Lighting •
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 1'/2 2 3 5 7,/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's ..- —...—..._ ..."' .
Signature License # Permit #.
_,-- C.::;.-.T/A Uti lity:-q-;/Al,c,-- ''-'--,_.•—''''4- '(-'''''- '`
/ (NAME) (OFFICE LOCATION)
Applicant's Address: -, * ,7- r:•,- ".; .,77 • F.-- i.J: - . .. - /------z
(City) 17" i- ,,,, •-... __ .• /:•....- -A..? (State) A.; , (Zip) .---- -c:/-.-. '../ Service Request #
Phone # -:'-',- 5-z' --',--/ f: 7 / Electrician:
MDIA USE ONLY DATE RECEIVED: • DATE INSPECTED:
Correct Location: Same as Above r7 or:
Red Notice Label El , .
. 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, 11/2 •2 3 5 71/2 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 -
- •
/
. CORRECT.
CERTIFICATIONS USE FOR INITIAL VISIT ONLY- NOTIFIED DATE - FEE FEE PAID
CI RW Progress: Inc.CI LKD E Contractor
El CFT Violation: Work Comp.CI Inc. CI
r7 L/A .
Owner CASH El
. .
Fee CHK #
El L/A .
Due
El IPA #
IPA Municipal ,
.. , . INV #
. •
Date: Other Side CI Utility • Applicant CI
Owner 0
Cut in Card r-7 Temp # Date -
• INSPECTORS SIGNATURE
n Final # Date
, . . ,,
APPLICATION FORM NO.250 El:11/89 " .. . . .
TOIL! OF QUEENSBURY
F` .jT 531 BAY ROAD
r # , :- QUEENSBURY,TELEPHONE (518) 745-4447 .
BUILDING INSPECTORS REPORT
FINAL INSPECTIOW
REQUEST FOR INSPECTION RECEIVED
NAME c kger
LOCATION L ( y epoz rAW ;r?
DATE ( f fig V PERMIT# C1"b-=v59
TYPE OF STRUCTURE' r ID
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATIONA� _WOODSTOVE/FIREPLACE
REMARKS AIL-L"C�'Pr5 br L;" S-LIP TLC.L' P'C1ur'-.
��:, 1i 1D- J L-C 1 1 V L''1 L
f
I APPROVAL
N/A Y.E,S NO
CHIMNEY HEIGHT/LOCATION i
B VENT/LOCATION a '
PLUMBING VENT I / x _
ROOFING !; X'
SIDING 4 I k
DECK/PORCH/STEPS/RAILINGS / X
RELIEF VALVES / j<'
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS X.
FINISH FLOORS: 1.
BATH/KITCHEN WATERTIGHT X
OTHER FLOORS SWEEPABt''E
OTHER FLOORS CARPETED. n
STAIR CLEARANCE/RAJ%ZINGS; j4c
SMOKE DETECTORS /
88aRi6gSfiaS / '.
BATHROOM FANS .{°
ALL PLUMBING/FIXTURES OPERATING
GARAGE FIRE_/PROOFING
DOOR CLOSERS \ '
O R--F I-R RA-TFON 1,
f rizr- E __S
X FINAL ELECTRICAL c7L;I-'UA..'.'a;
OK TO ISSUE C/O OR C/C ___
OMMENTS: = "
(7
A 0't
ARRIVE rm �;�
DEPARI`�` ,�`i
' INSPEO,TOR
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert. N o 3 0 7 6 2 Cut-in Card No.
Owner
• Kice-/2-
Occupant J
Location.. %ig. ..IT,yG�QD c1 6' - S 1,CC7i7/,Y
Installation Consisting of. ' Say-r-ehL,. 4,z &t:& / aag 4/fie•
,09-00 A- se r eG /=21[ DR,07Z1 3F4itig e
Installed By ViA L Lic.#
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of making inspecti s at any time,and if its
rules are violated,the Company shall have the right to revoke thi rtific•
Date./V'r� /3 INSPECTOR..
Member N.F.P.A.,I.A.E.I.
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL e
qo
l)6
Panel``3oard N . Cert. I V� 30 92 0 Cut-in Card No.
Owner, )it.141 GE/ 711 e<e:C.
Occupant
Location.."%o rI y Ali /J.��7jl� /7174( 0(-C X1�y
In tall tion Consisting of..CG:.z 2e�e f) (' a F �
DiwrI ,...3r .3 / �
Installed By /4 57-71-1Le'r6V Lic.#
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of making insp 'ons at any time,and if its
rules are violated,the Company shall have the right to revoke this cert'
Date./fir rS-9 3 INSPECTOR.JC.X
Member N.F.P.A.,I.A.E.I.
•
•
il
1,511-7/2/1y
awn of Queen.iluru
•
BUILDING and ZONING DEPARTMENT ig
Bay and.Haviland Road, R.D. 1 Box'98
•
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
•
NAME 1,24V.y
7_626
LOCATION '(I /0 ,•//66(669/1 •
DATE. Qa? PERMIT NO. 9,0 -
SOIL TYPE 7 Sand - Loam . Clay - -
Percolation Test Required? YES - NO
Percolation rate Min/Inch
TYPE of SYSTEM:
•
Absorption field, total length 4(9 0
Length of- each trench
Depth of trenches
Size of gravel •
SEEPAGE PITS4NuMber of) *,,f
Size- ft.. X ,it. '
Gravel size
PIPING: -
Size Type
Bldg. to-tank - o Vt;P
Tank to dist. box pfr/ -
Dist. box to field/Pi.
Openings sealed?' (Ty NO Partial
LOCATION/SEpARATIONSe •
i•Foundation to tank( % 4--)i) ft.
Foundation to absoiptiOn 2,3 ft 4-
Absorption to lot line /0 ft+-
Separation of pits \ •
LOCATION OF SYSTEM ON PR' PERTY(circle one)
• Front - j - Left side \- '
- COMMENTS:
iL4
. 1, 0 v.
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TOWN OF QUEENSBURY O
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 - /`�
TELEPHONE (518) 745-4447 '
BUILDING INSPECTOR'S REPORT
REQUEST FOR I SPECTION RECEIVED 04(v
NAME i(,
LOCATION ,i/ / X4.ddelt-' 1/ 4/
DATE I � �� PERMIT # ,/,)
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TYPE OF STRUCTURE
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS -
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE'CONCRETE e
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR • /
REINFORCEMENT IN PLACE t
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB_
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING f,
JOIST HANGERS
JACK POSTS/MAIN BEAM ;'
HEATING ROUGH-IN T
-INSULATION:
FOUNDATION WALLS INTERIOR' R- l[
FOUNDATION WALLS EXTERIOR R-
FLOORS I R- ---
WALLS R- /?
CEILING ? R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
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REMARKS:
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DEPART
INSP T R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 'f CL-
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NAME �f1C�- ,- ,
LOCATION 6--1" y/" � 114./: .
DATE V&11- PERMIT # ?6 25Y
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YES NO
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BACKFILL APPROVAL
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FRAMING
ELECTRICAL ROUGH-IN
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FOUNDATION i ,i
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WALLS ./ .
CEILING 1,. ;%
FINAL INSPECTION: g"
CHIMNEY HEIGHT ;'
ROOFING 1
SIDING rY
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE RAILS
PLUMBING FIXTURES)�ERELIEF VALVE
INTERIOR TRIM/�PRI!ACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS f.
FINAL ELECTRICAL INSPECTION
.FINAL APPROVAL OF CO1STRUCTION
OK TO ISSUE C/O OR .C4C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
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THESE PfEMISES ARE OCR UPIED!'
REMARKS: _
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INSPECTOR
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
. QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 5)) )(?=)-
NAME EQ 1 !1 �'�-�� ( t 1 c .1
LOCATION c (4 1 � I � r)>PAN. Pi
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DATE PERMIT 0 f t) 'J 2 J(3
TYPE OF STR CTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS; PURPOSE ON SITE
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE'
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL ),,s
ROUGH PLUMBING /
PLUMBING VENT/VENTS \IN PLACE
PLUMBING UNDER/SLAB
FRAMING:
JACK STUDS'/HEADERS \
BRACING/BRIDGING \
JOIST HANGERS
`JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R •
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FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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DEPART ICM < I �_---
INSPEBTOI$
TOWN OF QUEENSBURYA/.)
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4(////)��',�
NAME7
LOCATION / ((1 } 6
DATE /43/0_, PERMIT I 9 -,20 6P
TYPE OF STRUCTURE
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FOOTINGS/PIERS j, eo/2e` X
ONOLITHIC POUR FORM %%
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE 4
FOUNDATION/DAMPROOFING 1 ,
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE "` -"
PLUMBING UNDER SLAB
FRAMING: •
JACK STUDS/HEADERS
BRACING/BRIDGING 's
JOIST HANGERS
JACK POSTS/MAIN BEAM „f
FIRESTOPPING
WALLS
CEILING C�
FIREWALLS ; 1
HEATING ROUGH-IN /
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
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REMARKS:--.
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INSPECTOR`
TOWN OF QUEENSBURY //7
BUILDING AND CODES DEPARTMENT � ' '
531 BAY ROAD fig
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ,./bACC'd l .c(4ljfr 'c -
LOCATION /f •/ %�-(When //j 7.1.;
DATE 419/Q PERMIT # 90 -2251
TYPE OF STRUCTURE j6)
RECHECK APPROVED
N/A YES, 'NO
FOOTINGS/PIERS / c/,
MONOLITHIC POUR FORM '
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. I
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR f
REINFORCEMENT IN PLACE (
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jBACKFILL APPROVAL /
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BRACING/BRIDGING 't,,"
JOIST HANGERS f
JACK POSTS/MAIN BEAM1
FIRESTOPPING1\
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FIREWALLS 1
HEATING ROUGH-IN t A
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FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR, R-
FLOORS WALLS R-
CEILING R-
DUCT WORK .OR PIPING IN UNHEATED
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REMARKS:
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Bay at Haviland Road, Queensbury, NY 1 2 8 04-9 72 5-5 1 8-79 2-5832
Building & Codes Department
L� INSPECTOR'S REPORT
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"HOME OF NATURAL BEAUTY._.A GOOD PLACE TO LIVE"
SETTLED 1763
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280!
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED___ )6a____
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NAME bi11t/ �� /���
LOCATION d-/LL/9/J
/ / �J /d< ,e,„
DATE PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL,
ROUGH PLUMBING t<'
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
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EXTERNAL PORCHES'/STEPS
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PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS ,
GARAGE FIREPROOFING'',
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL•,';INSPECTION
_FINAL APPROVAL O ' CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ORE OCCUPIED!
REMARKS: MOAo j IL I� l IVt .l " l 1i1
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APR 1 1992
BLDG. & CODE DEPT.
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FI LE9 SECT. ZZ, 19t3 �-
im MAP 6Ae,,jET A, SLIDE 44
i v �`� ' ` l�4n � •
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I HEREBY CERTIFY TO
PLINEY TUCKER
',F1R5'r AME2tcq,.,1 -VITLIE INS• Go_ o� NEw (ott1�
ALBANY SAVINGS BANK, FSB, ITS
SUCCESSORS AND ASSIGNS
THAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON
THE GROUND ACCORDING TO RECORD DESCRIPTIONS AND
SHOWS LOCATIONS OF BOUNDARIES AND IMPROVEMENTS
ON THE PREMISES AND THERE ARE NO ENCHROACHMENTS
OTHER THAN SHOWN
LEON M. STEVES
DATE' Aff L. 3o1 14° -L
r�3. S, 1993
`UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.'
"ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED VATH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.'
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL
AGENCY AND LENDING INSTITUITION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.'
MAP OF; A SURVEY MADE FOR
PL\'n _'LLcW_
TOWN OF QUEENsg�a.�l WA✓z)r-s0 COUNTY. N.Y.
SCALE "_ 30" DATEI . AP41L 301 1*/
Vadusej n & Steves
LAND SURVEYORS,GLENS FALLS,NEV YORK
N.Y. STATE LIC. NO. 35617
ees"SLt' I:LCs S, i!,13 7-0 S FMc.J ;cv-W)f.