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1989-535 _ :1 .. .l5 . �: s;;fl,i +,ss.'. :x.+sess *.,.•'�ass'.� • s�,pw.yp-'x.:•.�".'�,k ':.: ". 'gas.a:*e,s, , . s* I CERTIFICATE ' (E)IF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK I Date . January 16 tq 9O This is to certify that work requested to be dons as shown by Permit No. has been completed. This structure rnaq be occupied a Single Family Dwelling i 4 Location Owner Richard & Marcia Trzaska By Order Town Board t TOWN OF QUEENSBURY I A Jj { Director of Bldg. & Code Enforcement 1 i I i 's x r BUILDING PERMIT TOWN OF QUEENSBURY No. 89~ 535 WARREN COUNTY, NEW YORK t PERMISSION is hereby granted to Richard & Marcia Trzaska OWNER of property located at Cor . Nel son & Northwood Street. Road or Ave. in the Town of Queensbury, To Construct or place a 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. — x 1 . OWNER'S Address is 16 Olde Coach Road Diamond Point N . Y . rt, 2. CONTRACTOR or BUILDERS Name � sau Byron Ri st 3. CONTRACTOR or BUILDERS Address "J 7 r. Bay Road Queensbury , N , Y , 12804 4. ARCHITECT'S Name 5. ARCHITECT'S Address r CI 6. TYPE of Construction — (Please indicate by X) u c_ j()Q Wood Frame 1 } Masonry i } Steel 1 ? c i. PLANS and Specifications c r No. 51 ' x 58 ' Single Family Dwelling as per plot plan , specifications , and application , including septic , attached two car garage , and driveway K r S. Proposed Use SINGLE FAMILY DWELLING $ 4-14 PERMIT FEE PAID — THIS PERMIT EXPIRES February . 1 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 Clueensbury before the expiration date.) Dated at the Town of Queensbury this th Day of Jul V 19 89 ` SIGNED BY 4 for the Town of Queensbury 8 u i ajng and Zoni ngrl ffspector 4 +I LJ Y t1' L,J i' L.+�GE. V ..] Li L.v iL Y .''t n n, r • r - .� ". Y `i :i !,..' r r� r �.� 5, ti 7j �.• ` '•i i r r. \t + -•- ..---c- rO RECEIVEDLl 7.I4 FCC Iv tr4d4q/ 79s 1 C1I LDINC ,VI} CUCIL=S rJt Dace Iaaued a DEPr, :riY ,Ind HAVILAND ROApj RD } 430x 93 nuEENSBURY , NEsv YORiti 1 ?d Oa Pv�tmt t No . _ q0 Tel . ( 518 ) 792 - 5334 E'xc 204 r r s ■ s ■ ■ s ; r s ■ w ■ w e s w r r r ; s r s s ■ ■ + s r a r ■ s . A l' Efl? IIT MUST CO OBTAINED BEFORE BECINtJJNC+ CONSTRUCTION . NO INSPECTIONS t4' ILL Br HARE UNTIL APPLICANT HAS RECEIVED A VALID BI: ILDrNC PERMIT , All applicably spaces on this application must be completed and the L; , (Tuatara of the applicant must appear on the reverse side of this sheet . 'F * * * * A. r: A A * * it A * 7k * f[ 7s * X * A * * *. * ,s 7t is ■ * h x owner of this property is Ric" ) i� J1AQ lI 17' ZA I:;. 19— I ff I !L T E L . 10 p 0" ' 3 // 3 t � roperty location c3 � Es 3 rAK MAP NO . 7 / 4/ / 41 ttas there been any spli co"t this property since October 1 . ISB9 ' � yes no if yes , Planning Hoard Review is necessary . SUBDIVISION NAME , IF APPLTCAnLE � eo /' f �'€?i& t� r4tr �5� �'j LOT NO " 'the parson responsible for supervision of work as regards Building Codes is : NAMJ:. 1� . G . ADDRGSS TEL . NO * saume of builder o fafs r Address A, Y AD . Tel oz - f Tel � ';7� yLmwly 1+ame of Plumbar Z;e f C l.ddress h1sm3 of MciSOnC&yjQo a Kj% r A1drQa5 6A r RD Tel -74 f : i.1Tu..,.R--mot Or f'f:OPOSi:D h1:.71:l. : Z () CVIt'1' C; IN1OKj16t TION f0rj .lce use an1y1 e,n � tructicr� of builaire7 * ZONINC DESIGNATION OF [PROPERTY �Acl,aicran to a bUilaisig # PERMITTED PRINCIPAL PERMITTED ACCESSORY Eiio c1 �.,i <<j � to .:xt � rior <titnansionsl " REVIEW REQUIRED - PLANNING BOARDoonommomp ZONING BOARD_ QL3ie": r wort: € .1 %jrncrLUol ; SITE PLAN REVIEW # APPROVED DATE t A05i ARUA OV PRCPOLr tD, :% IrfcUCOrURV + VARIANCE # � PF>ROVEO DATE . St Floor ©p"- sq ft . Remarks : 2 nd Floor' Q r &3 sq f to Cot"1Plo,LTC JNj.*Gr.rvti`r`LLIN ItL U11cLl] ur: ww . --- 00000 r� ` Sir p e of ropwrty /S / f t x Othcr Floors -��D— sq ft . � fL xrt . ( not cellar or basement } 1_xiuCLcoc} r:ui11�, �•} { � 1 Si .:.: _ r TOTAL FLOOR ARIA r1¢ I • r✓ sq f r. " L:XLalL illy] ti�. a 14.14.1u} ( ; 1 US,. :` i :: . Eat nLir :; Cructuru S` r � f t xs- 4' fC r�ua, �d:acian-pier/ ;:1.1L/Cr.lwl,/I�3rti.al ru ` k'rolso�:ua 1Guilaissg . di:. c..n� u rrour I,r+al,urty lino #cirelu one ) * S"2 ft * Front yards 1' e Rear yard No . of stories (t►:alti ca": 4�1)aCc ) ■ SidQ y"rdu o2U f c :and r c 1luight ( gra.cta to ridq*,; ) 4 fr . * If on corner , 4.4.; tlia�k from sir34ow �Creuc � fc I1: rouidsjncial , no . Of f"- Milic5 rtoa of roornY ( excludinq bAtha) ' ❑CCUPP"t Y 1NF0r4vATICN 110o of budroomx 3 PRIMARY LUILDINCi 400 Noo of b"Cllroo[u:: 7.. * One fanuly dwelling kariu6ary Ilu.ati#rc} uy%;%; %ou r?r' Acr 1'��o� am Iowa family dwulliny "rYLsu of foci G. A-a^' w multiples .lwrr:llir►g / Kws+l;or of units uo * of firuplacu :r cu llae inr:c:�llecr�^ I}arus.anz�st ocs"u :a[�cy Will u Wlilkr siLOYY Yr.: ill:i Ciallrr6l? /�lN+* r:.snt,r" Air COJLJ, 6t1Un.,rlg.' Awo r r 1'Yif 1141[:[� L LIi:CLlt4a(I L'y ,� llusinr:s�t Fau ) LD ) NG STYLE, PRIMARY STRUCTURE * lncrustrial ru[;c)� Conc..u�i:c.r,.ty Lrri c:.luin * Och■sr 1+.+ is.:d r.ar►C!� run�tis,l� Our,l �:x . 1C .addition , what will uu.s b.a't arolit lev,rl Old acyla L+u,iy.. Lorr * " •• c.ajau C404 CQLt"UQ Ocrwr ` ACCESSORY UUT "02NC- CQLon4,"1 rtow TOwll 110PASO uutach4d g4r�tgajono Cur/ two car/ c:ar CIRCLL: C"a PLUArx ) * :KACt4Chua cj "r:acju/O41Q c - Jr7ro wo c:a'i7''� cue• • a a r ■ ■ in r r 0 N ■ a ■ ■ ■ llriv" cv stor"gaa building L STIMATIl ' O MAaxe*j• vALUU DP Othur }pb [� / A�C.K 000 INFOr NTTON ON BUrLDINC sPrcirrcATioNs , ON Rr.VCmE e. jon of T11TS 1 r€HUCr, To Be COMPLETC01 Form 8PA 10186 v1 BU OI :G REFuMl, A' PPLICATE - N _ _ N SI., l "DING SPEC IFfCAT IONS _ .y_ e of conatx-uctlon , o j fraT _ .. rt' saL co2t.= . Will any second-hand or ungrada. l m` er uz used _ If so , ror what ? Fvun: ation wall material 107 ,ad '('�� _Thickness Depth of foundation below grade ( to bottom of footLnq ) Wi11 there be a cellar ? ueated o unheat ? Floor sq . footage 2,7,0f& sq rt Will there be a basemen `Will any portion be used as living space ? f✓ b ( If so , what portion? sq . ft . - - Type of use ? Type of roof - oQe / flat/ shed/oti er Material of roofA.06 Size , wood studs 7Z " x " spacing length -£ t . ��— Joists ( floor beams ) 1st . floor Z� " X 14!�? spacinq J.�� _" o . c . span / 3 ft . /'� + Joists ( floor beams ) 2nd . floor Z " X lej spacing ! g " o . c . span 1j"'—ft . A4Al. Pr overlays ( ceiling bea{,ms ) Z " k�_" spac .tng�" o . c . span^S ft . f Root rafters � - PDX spacing 14 o . c . S - an 14- ft . 1� ,, ems �jy l� ra. G w 5 .s . � - lci2. � Roof trusses (pre-engineered) spacing _ " o . c . span ft . clfrcrs Exterior wall finish `j� rAjK.J Of what material ? (�. rjgX2,q= Interior wall finish ta .F— „� ,trj If a garage is to be atched , describe ma eriais to be used for FIRE SEPARATION : S r` v2. f 0 M-4 IS there to be an opening between garage and dwelling?� if so will a Fire - rated door , enclosure , and self-closing device be provided3 VA;'it ' Will a flue - lined chimney be installed? ` "5 Heighc ab ve roof Z� 41 ft . Depth of chimney foundation below grade Depth of fireplace hearth I ft . .C'�oin . Water supply - icipg or private well SEPTIC SYSTEM _ i ance from ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system ) DEC LA RATIO N 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 shalt be complied with , whether specified or not , and that such work is authorized by the owner. Signature C - At Owner, o ner's agent, architect , contractor• SPECIAL CONDITIONS OF THE PERMIT : By. . ... . .... ________ + TOWN OF QUEENSBURY 1 WARREN COUNTY , NEW PORK 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 : {{ 1 , Gross floor area 2 , Type of heat. 3 . Is the building mechanically cooled ? I4© -- Wxra 2-75"c. WM tZ,714- rw...r���a 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 2 e tr x [z. 3 a `y (2-7 + 4- C, ,� X If) of�'Z� 3 f �+ x �1 -*_ � n � �4 Z 7 z7 2 , Floor over heated spaces YESC3-3 e. a . Are foundation walls insulated ? YES 19 If YES , what is the R value ? 3 . Slab on grade YES a , If YES , what is the R value of insulation around perimeter of floor ? 4 , Is basement heated ? YES ( f a . R value of insulation , 5 . Type of insulation � � / Be J Under 16 �nly R value of roof and floors exposed to ambient conditions 2 , R value of exterior walls � t 3 _ R value of glazed area 12S 4 , R value of doors es> 5 . R value of floors over heated spaces I, 1S4rE ..cJz. 6 , R value of slab edge insulation . unheated slab. 7 . R value of slab insulation - heated slab Be R value of heated basement / cellar wails ( above grade ) --"" 9 . R value of heated basement / cellar walls ( below grade. ) - " 10 . Type of i. nsulation_ ] � - C , Controls 1 . Thermostat maximum heat. setting (p D , Duct Systems 1 . Is duct system installed in unheated .spaces ? E5 NO a , if YES . R value of duct installation } F! ra♦'at5 ck+d-6&'x1tk be R value of duct in other areas Mi1�CirIAL E , Piping Insulation 1 . Size of hot water or cooling carrying agent pipe 3G� Ma ?t 2 . R value of pipe .insulation Q. 44 F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G , For Swimming Pool Only 1 . Maximum heating Telephone No . ( a plicant ' s s gnature ) J"OWN OF QUEENSPURY APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE �g C'ORro L:le LOT - CovIRT%"%.� si es r•+1-rNG-s LOCATION OF PROPERTY FOR. INSTALLATION IVEtSonl Z #VO T-* t0000 S Owner's Name: RSi CH-A"O. D T- ,2A 5 KPk Telephone: 8 11 Address: COAc h PCII04 ryi 6 ki 01 A) I- e Installer's Name: Telephone: 7 �� ?7 Lj Number of bedrooms (residential only) Total daily flow (compute (a 150 gal per bedroom ) 470so Topography: Circle one: la Rolling Steep Slope 6 of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet Ground Water : At what depth ? HA Feet Bedrock or Impervious !tlaterial: At what depth? J%rA Feet Percolation test: Circle one: n©tc required required rate min. inch. Domestic water supply : circle one: Municipal Well Other if domestic water supply is a well: Separation: water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank 1060 gal. ( minimum size: 1 . 000 gal.) TILE FIELD : Each Trench 63 feet/Total system length feet SEEPAGE PIT(S): Number of / Size each 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 Sewa,se Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON : DATE : 7" -1 - �1AbAK OVER septic System Lnspections : A . 111 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 skull include a plot plan showing : 1 . ) the proposed location of the system 10 ) 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 , rile fields and / or drywells B . No yysrem shall be covered before inspection and approval by the isuildi.ng inspuctor . Failure to comply with this requirement may r4sult 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 r� su1t 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 he submitted to the Queunsbury Building Department before further eoitstruction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York. 12804 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 191 BAY & HAVILAND ROADS r�� QUEENSBURY, NEW YORK I.280sE ,r//�-+l� TEL (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST R INSPECTION RECEIVED NAME L0C,ATXON/ DATE IT # APPROVED YES NO FOOTXNG/PIERS MONOLITHIC POUR FO S FOUNDATIONIDAMP—PR PING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL XNSPECTION: CHIMNEY HEIGHT ROOFING SXDXNG EXTERNAL PORCHES/STEP - - STAIRS—CLEARANCE 6 LS PLUMBING FIXTURES/RE F VALVE INTERIOR TRIM/PRIVA RS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL IN ECTIO FINAL APPROVAL OF C NSTRUC ON A SIGNED CERTIFICA OF OCCU NCY MUST BE OBTAINED FROM THE UILDING D ARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI- REMARKS: INSP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT , BAY & HAy*ILAND ROADS C Y� NEW Y0 TELEPHf.7NE (518 ) 792-58328 BUILDING INSPECTOR' S REPORT REQUEST fi; INSPECTION RECEIVED NAME s LOCATION PE # DATE APPROVED YES NO FOOTING/PI RS _ MONOLITHIC POUR P—FPROO ING FOUNDATION BACKFILL AP ROYAL ROUGH PLUMB NG FRAMING ELECTRICAL R UGH—I INSULATION: FOUNDATION FLOORS WALLS CEILING vofINAL INSPECTI CHIMNEY HEIGH ROOFING SIDING EXTERNAL PORC C ,STES RAILS STAIRS—CLEA LIEF VALVE ---- PLUMBING FIX /RACY DOORS INTERIOR TRI lPR FINISHED F RS GARAGE FIRE OOFI DOOR CLOSER S) SMOKE DETEC ORS FINAL ELECTRI AL INSP TION V FINAL APPROVA OF CONS UCTION�� A SIGNED CER FICATE OF UPANCY MUST BE OBTAINED FRO THE BUILDING �jpARTMENT BEFORE THESE PREMISES ARE OCCUPIED' ) REMARKS : INSPECTOR IN III liiiiiii, 111, MIDDLE DEPARTMENT INSPECTION AGENCY, INC. 900 NsddOn r^� � 'Av�niui*, Collln4rwM►d. ri.J..4bAOB d Y iI''!����it-„[111e—' ii -- y�i�-•~—Jy oaet; December 12 , ].989 QTttf it that the electrical equipment listed has been examined and is approved as being in accord with the National Electrical Code, applicable governmental , utility and Agency rules. Dwelling Owner: Richard Trzaska occupancy: . : ,.. Same PWI Occupant: ueensbu Warnenand Location:: Lot 38 Courthouse F.S tat4�8 > Q Role If additional equipment ShouW oa nl�aducad Sorllalterations @m ae to e aleting system Chia certillCola Shall Ue null and void, and applmaban far � Receptacles ; $ Fixtures ; Inspection Should be Sudmrl[ed promptly to this Agency- Equipmerrt: 118 Outlets ; 5 Holder of this aertlRcata should present Same SO hl3 property +nau ranee earner 200 Amp Service ; 9 Appliances (agent or company)as evidence of eartiticalran of eleclr+Cal equipment appro' ed as specllied, FBob Murtha No . 15 -026933 Applicant: 91 Mannis Read Glens Falls , NY 12801 � . 70WI'3 OF QuEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS I280+t- QVFENSSURYr NEW PORK TELEPHQ!vE ( `��-S ) 792- 5832 IIDING INSPECTOR' S REPORT RECEIVED REQUEST ,R� INSPECTION NAME LOCATION PERMIT # � DATE —` r. APPRQVED Ll YES NO FQOTIN+GIPIERS FORMS MONOLITHx 'BUR PROOFING FOUNDATIONAL ROYAL ROUGH PLUMBING ROUGH' FRAMING ROUGH—IN ELECTRICAL INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : r--- —" CHIMNEY HEIGHT____ ROOFING __------- SIDING pORCHE5IST EXTERNAL CLEARANCE & RA STAIRS— RELx VALVE PLUMBING FIXTu ES RS INTERIOR TRIMRpR VACY D FINISHED FLOORS GI�RAGE FxREPR FINE DOOR CLOSER (S S SMOKE DETECT CTRIC L INSPECTION ELE FINAL OF Co NS'TR-UCTXON FINAL APPROVA OF OCCUPANCYST BE CERTIFICATE BUILDING I7EPARTM NT BEFORE A SIGNED FRAM THE BUILD OBTAINEPDE[a! %S ARE OCCUPIED ! THESE REMARxS : INSPECTOR Tows OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW yORK' 228Dk TELEPHONE 151 32 BUILDING INSPECTO R' S RE"'T REQUEST FOR SPECTION mz NAME '�1111 /74/u %�'_/�_ l �lTi LOCATION r ) PERMIT #1 DATE `7 APPROVED YES Na FOOTXNc,k1PIFRS MONOL.rTV.rC 9N1 P_PROOFING R FORMS FOUNDRYPPRaVAL BAC KF I LI ROUGH PLU yING FRAMING UGH-IN ELECTRICAL INSULATION: FOUNDATION FLOORS WALLS CEILING r FINAL INSPECTION : i CHIMNEY HEIGHT ROOFING r SIDING EXTERNAL PORCHESISTE -�----' STAIRS-CLEARANCE & S -- PLUMBING FIXTURESIR LI VA VA LVE INTERIOR TRIMIPRIV Y FINISHED FL40'OR'S GARAGE FIREPROOFI DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL I N FINAL APPROVAL OF ONSTRUCTIO BE A SIGNED CERTIFI UILD NG DEPARTMENT E OF OCCUPANCY TBEFORE OBTAINED FROM THEE THESE PREMISES ARE CCUPIEDS REMARKS : irukt I PECTOR TOWN OF QUEEiNSBURY ? -7 BUILDING .AND CODES DEPARTMENT f BAY & HAVILANND E�ROADS ORK L280 QUEENSBURY, 792-5832 TELEPHONE (518 ) BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED �_.------- ~ d NAME y LOCA TION — f D / r-7 PERMIT ATE VED � APPRO YES FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP�,'pROOFING`� BACKFILL APPROVAL U'.RO&GH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION= FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT l ROOFING SIDING EXTERNAL PORCHES/ST P STAIRS—CLEARANCE & RAMS PLUMBING FIXTURES RELIEF VALVE INTERIOR TRIM/PR ACy DRS,---- FINISHED FLOORS 4 GARAGE FIREPR ING� DOOR CLOSER (S) SMOKE DETECTO SINSPECT-TON FINAL ELECTRIC FINAL APPROVAL OF CONSTRUCTION A ,SIGNED CERT FICATE OF OCCUPANCY MUST BE OBTAINED FRO THE OCCtDING 1PIED � EPARTMENT BEFORE THESE PREMIS l42 REMARKS : r'%woo i ►L t NSPECTOR TOWN Or QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK _7.280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST Ffif INSREC TION sEOEEIVED � -_� LOCATION ct �- 4r y PERMIT DATE # APPROVED YES NO FOOTING/PIERS k MONOLITHIC POUR \FORMS FOUNDA'TIONI DAMP-)�ROOFI NG BAC.KFILL APPROVAL` po6GH PLUMBING w VRAMING ELECTRICAL ROUGH-IN ! INSULATION: �# FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST PS STAIRS-CLEARANCE & ILS PLUMBING FIXTURES/ ELIEF VALVE INTERIOR TRIM/PRI Cy ,DOORS FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL AISPECTION FINAL APPROVAL CONSTRUCTION ED CERT3'FICATE OF OCCUPANCY MUST BE . A SIGN OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED [ REMARKS: PECTOR cc-77 of Queens ��- BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.Q. 1 Box 98 pueensbury, New York 12801 SEPTIC DISPOSAL_ SYSTEM INsPECTION L4CAT I ORV _ j PEWIT DATE SOIL TYPE - Sand -'RLoaimClay aES^ - N❑ percolation Test Required? Percolation rate - Min/Inch ,;L TYPE of SYS total length Absorption fie d , Length of each ench -__--- Depth of trenche Size of gravel: SEEPAGE PITS-FNvmbe, . of) Size_ ft. x t. Gravel size --�-�� j Type PIPING : 1 BldgA, to tank Tank to disc. box [list . box to field/ O Partial Openfrngs sealed? T j LOCATION/SEPARA' IONS % ft. Foundation to dank tion - t. Foundation to 'absorp ��Z € A,Absorption t.0 lot line � -ft . Separation cif pits OPERTY (ci le one) ,CATION oz PR f SYSTE 4 CN Right s e Front - Rear - Left side - r � SYSTEM USE APPROVED ES NO Buz cling nspectar 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY HAVILAN OYORK 32SC1� QUEENSBURY, 792-5$32 TELEPHONE ( 518) BUILDING INSPECTOR' S REPORT REQUEST FOR INSPEC ION RECEIVED ____.------ NAME v LOCATION . �y �a, PERMIT # DATE '1 7 `s ` APPROVED YES NO FOOTINGIPIER FOUNDATXIOON/DAM - DA FORMS1�i�NOLIT PROOFING G .g}►CKFIL.L APPROV ROUGH PLUMBING ; FRAMING ELECTRICAL ROUGR_IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION- CHIMNEy HEIGHT ROOFING SIDING EXTERNAL Pt7RCHESI & PS L STAIRS-CLEARANCE & RAILS " PLUMBING FIXTURES RELIEF LVE~_ INTERIOR TRIM/PR ACy DOO - FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSERS) y SMOKE DETECTO FINAL ELECTRICA INSPECTION FINAL APPROVAL F CONSTRUCTION BE A SIGNED CERTI ICATE OF OCCUPANCY TTBEFORE OBTAINED FROM THE BUILDING DEPARTM THESE PREMISES ARE OCCUPIED! REMARKS : INSPECTOR TOWN OF QUEENSBURY !3UTLDING AND CODES DEPARTMENT / BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280'� TELEPHONE ( 518) 792.5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RrfEIVED !VANE LOCATION �7 DATE ! � PERMIT #_ G APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR PO S FOUNDATION/DAMP-PR FIND BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN _INSULATION, FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS-CLEARANCE RAILS -- - PLUMBING FIXTURES RELIEF VAL INTERIOR TRIMfP VACS° DOORS FINISHED FLOORS GARAGE FIREPR ING DOOR CLOSER (S SMOKE DETECT S FINAL ELECTRIC L INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE Tf!ESE PREMISES ARE OCCUPIED !' REMARKS: INSPECTOR TOWN OF QU£ENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVILAND ROADS QUEENSBURY, NEW YORK 12806- TELEPHONE (528 ) 792-5832 BUILDING INSPECTOR' S REPORT �+ REQUEST F R INSPECTION RECEIVED ! NAME _ LOCATIO DATE - r ) - �- --PERMIT ## /�I pp OVED 7�OOTzrrGlPrERs MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICALGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES) EPS; STAIRS-CLEARANCE RAI _ PLUMBING FIXTURE RELIES?. VALVE INTERIOR TRIMIPR VACY DOORS FLNSSt1ED FLOORS GARAGE FIREPROO NG DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL NSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTTFIC E OF OCCUPANCY MAST BE OBTAINED FROM THE )gUxLDTNG DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : INSPECTOR SELECT SUSINES .l9) 228-7775 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES �.�. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N-J. 08108 Date : City, Town or Township U�ENS 13U County Lc�9R � 1V State Location/Address L or' J69 l cat r+ a H4DUs� �S� rix7 s 00_RlveQ /1l� .c<ra +v NORTN /y 00D ^�;'] _ (If Located in Rural Area Please Attach Directions) Pole # Owner /S ICH .•T�Zr �t Zf+� lkfl Permit # Occupied As l Building: New Older Occupant # �"� Work Area in BuildingFloor #, etc, ) : for: Wirin O 'Service 0 or.• Read for Ins ection : Fee Remitted - S Cash Q Check M.O. Make Payable To: M.D. I.A_ l'- 1250 15gq 175q 2000 2250 250q 2760 3000 Number of Rough Wil her Range ing Outlets Elect. Heat Switches �4JJ !% b "k Amp. Service Surface Unit Dishwas Lighting x Water Heater Air Conditioner - Dryer Pump Receptacles tiC Oven Garbage Disposal Wiring and Cont for IS k S Burner Number of Fixtures Amp. Receptacles _— L Fractional H.P. Vent Fans Other Equipment' MOTORS H,P. 1/2 1112 1/10 1/8 1/6 1/4 1 3 1/2 3/d 1 14z 2 3 5 742 10 15 20 25 30 40 50 7k 100 Mark Number of Esch Size Applicant's Permit # _ Signature # License TIA +• /J Utlllty : N/H A;P*q /"!? Df.rr[1iK Ltrv,s t-rllts.s / Applicant's Address: QI �Y]Anryls .� 4ifyA E OFFIC 1 acATI (City) (j St3Uoe (State) /V Y (Zips) )2801/ Service Request # Phone # IB 3 - f 9 %3 Electrician : • ` DATE RECEIVED: DATE INSPECTED: Correct Location : Same as Above Q or : Red Notice Label 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/& 1/6 1/4 1/3 1/2 3/4 7 Ilya 2 3 5 171h LO 15 20 25 30 40 50 i5 100 Mark Number of Each Size 500 750 1004 1 1250 1500 06 225tl 230 1750 2g0 2750 1 3000 Elect- Heat , . Q RIN Progress : Inc. LKD Q Contractor CFT Violation : Work Comp. Q Inc- E-1 COSH [] LIA Owner Fee CHK # Due � IMO PA Municipal NV # Applicant Dare - Other Side CI Utility Owner Cut in Card [] Temp # Date ___ TOWN OF QUEENSBURY ZMNnC Administnitot pe —l0 77-0 S i�o , act 30 �uN I9a9