Loading...
1989-564 '�. s�se.---•� . tea- . i CERTIFICA - ` OF +CCCUPA M... JL TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK paw October 24 1990 This is to certify that work requested to be done as shown by Permit No. 89-564 has been comp'ieted. This structure may be occu�vieed as a . Single Family Dwelling M i Location P�cHoney Hollow Road Q er William & Cheryl Haverinan wn i By Order Town Board I TOWN OF QUEENSBURy Director of Bldg. & Code Enforcement I BUILDING PERMIT TOWN OF QUEENSBURY a No. 89-64 ` WARREN COUNTY, NEW YORK ' ry , PERMISSION is hereby granted to William & Cheryl Haveri nan OWNER of property located at Lot 119 HnnaV Hollow Road 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. 1 . {OWNERS Address is Top of the world Condos " Lake George , N . Y . 12845 ; 2_ CONTRACTOR or BUILDERS Name . Dean Howland M J, 3. CONTRACTOR or BUILDERS Address - ' BOX 140 Star AEI Route Queensbury , N . Y . 12804 4. ARCHITECT'S Name S. ARCHITECT'S Address r - [,7 c•: t G. TYPE of Construction — {Please indicate by XY r-` yy C� X A Wood Frame f } Masonry i ) Steel l 1 ti p rb tD c� 7. PLANS and Specifications No. 60 ' x 38 ' Single Family Dwelling as per plot plan , sprcifications ,. '. and application , including septic , attached two car garage , aad B_ Proposed Use CL C SINGLE FAMILY DWELLING $ 457 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 19 90 c , (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t town of Queensbury before the expiration date_) CD Dated at the Town of Queensbury tfii h Day o July 19 €39 SIGNED BY for the Town of Queensbury `c Building and Zoning Fnspector tz� rib a. cs7 00000 TOWN 1 V./�C.L ? LY [Z 3 \ — r To f r r 1. L P r l 'r ru �VI G1 sr•-'" c'� r - co Q f •� ' ' ��v . wed 7G RecGi; ' £'�UxiY J ems. . ' P y _. . Fe0, i'cud ;/o ri JUL ,� 19 WILDINC' AND CODES UI J 'ART?`fE- `T Vaoce I64L4ed Ay and NAVILANA ROADZIP AD 1 Sox 33 / �• '� CaCE � �UEENS9LJRY . NEII YORii 13dod PC.AJYLC..t NO . Epr, Tel , 011s ) 792 - o583 £xe 204 s a a • • a • • • A VEJZ2IIT MUST C13 OBTAINED UEI' aRE EEGINHINC CONSTRUCTION ., NO INSPEcTICINS VILL BE MADC UNTIL APPLICANT 11AS RECEIVED A VALTD BUILDINC PERMIT . All applicable spaces on this application must be completod and the i r* Datur+e of the applicant must appear on the reverse side of this sheet R ik 7c x R * * 7k Yk A * It IG h R R A 3k * * ! * it in x * X * * X * * ■ R R At x . / F '1411e owner of this property is ; '" s � uall � , L1 . 0 . A d d r c s s „ w4Z) Cf u�� �s� +` c ..a�1c _, / �,�u .� . ^r !r L . ,_ -� 2 " ' roperty location _ / �"f/b . TAX MAP N0 . / ilas there been any split of this property since October 1 . 1988 ? ! yes na if yes . Planning Board Review is necessary . . USDIVISION NAME , Ir APPLTC' AnLE LOT NOw hC person responsible for svpurvision of work /as regards Building Codes is : /xfG7 S1Ca�c- ,TESL+ . "4:6 G NAME � F . G . LDORGES TEL . NO . Nztme or builder �-'s' +7+ �+�C,�xsr�. Address S,9mC Tel -.�me of Plumber 1.daress _7 Tel name of mason A.,idrQ..i�i Tel .AYukE or f'f:ol'osco 6Qitl : : . FRLEVIEW iNi 0101A.`l ION ! Office usa only ) (�s 4n � cruCCior, of .k rt�w buildirk7 * SICNATION OF PROPERTY Ad.iitLon Co Q Liuil .lirkg • PRINCIPAL PERMITTED ACCESSORY �A1Gvi' wLLon to wk Luilding + to a %C � ria £ nilncn =.' ianu1 * QUIRED - PLANNING BOARD ZONING BOARD, Ocl .k: r work (J4.iftCriU..: ) • SITE PLAN REVIEW $ APPROVED DATE KQSS AitL' .1 OL` L' fIOT' O3L' G. ;. 'tLcUc: 'i' UEtly VARIANCE M APPROVED DATE * Remarks : _ st Floor A/020 sq ft . Aic . nd Floor G721�340 sq ft �� � fJ � CO1stPLLT4 ir11'Oi.nti'L'iOt1 ltLQNjuila:D uLL.ldkl . other 8laotx sq ft . * of prop, rcy. ! / 3 r. t x=� 2 2 fr . • i:i4irttllt) Y: uil.li+ «] l :: ) 7L : >: - -- f t X rC . snot acll .kr or basQmanc ) TOTAL FLOOR AREA 3g06P aq f t . • Lxt*acsakg nk+ L 1aL r kj Eio U5 : `ii;,� or' nc:w :crua cur c eft A ft - t'c�ky.d;. cion-riicr/ slat/aru,wllLsatti.a Lull ' propo:.c+a tlkall .tLng da :. t •knCu trove i�rcl+urcy lino (cirel.: one ) * Front ijrd � Cc near y"rd Q fe �a N . of .cories (hallic:ablo �l2d )kc ` y '�"' 2 � � * yids y:ard� .� �s r' c :.n4 fc 8 '� llk: ighc ( Ursdc Co ridg") �",�''�- _- ft . 19 on corn.a £ . :.ur.b.ack (rota sic14 �cru� t8�— ec 1f r0aiduncial, no . Of familia ;i ! ttow of ron&atj ( :xcluding b:+chal A C3CCl.l['ANLY 1lvFE3CtMAT1W Il000 of bttdrooaau + pRj)IA,RY 4UZLDINC: No . of A4C11rOg1A:; ; ( onQ ru„A-iy dwelling Vvitt4,�ry 11"" Cilkfj tyk;1 .:uk rwo f"MAJOly dwullin+y "ry,LZU ufr fuel r --!C M1a1CiY�lks Uvw11ing / Nwabor at Unics�_^ ho . of firuplac",: to 1a+: inuco"lwd x�arsa•u,c�1c orcu=s:ukcy will :+ rwaun,l sCavu L.+j irkut:.11�ki? .+k-� ` i"r;anf�:.ikrrkC c7ra:cu(�:�raey cuncs..l Air Cola4L.1.Ci.Hn+.1kC].7� 4&,;s' r l�k3sillfsiTat E1k. IL0114G STYLE, PRLM1ARY STRUCTIAE * Incsuscri�►l Oeh•er t:.u►cf�► COnCWkrj:C.r.rry Lr.*� c:aliin R if .kddiciun , wt�.ac will k,►:.,s b,.r? l...aiw�d randy M,.knaic.kk Q#Ap x -�•�•� U014c, l+ay.al Old scyLQ UMALL}.alow • C� d CpCT:acy� pClwr ' ACC1a5Orly UU3LDING- ar rrloniw how 'lows& Clouse * I+wcschau y ucle/ono star/ c C r.�/ zar( CIAC" ONLY PLVwAZoC * �AttiiCnuS (j"C1a944/011u Ctarf Iwo C.+t ���•C�aa' • ■ + a ■ a ■ • • • • • ■ • * * a + �Vriv" Z%s stor:aga building LCT104ATED MARKrIt VALUE OF • Och.sr CON ::1• HoUCR IUN 11+1VOr*IATTON ON DUTLOTHC SPfCIFICA'TIONS . ON noLVEIiSE E`olcc Or 'S " TS t`ot' �: To 1*0 SE CoMIpLt"TL:G ! Form BPA 10/88 Vol St, [ � D !: ,Z2 5PECIFIC:2T IONS : r _ c construction , wood fzax..eo n it "- :-,y sel-ond- hard or ungradac•a 12 � "a i.. Set' ! ' ci o F :, L.ndation wall material ,,,� `7: , i•vkr.=_ ss Depth of fcur. 3ati4on below gra : e _ ca :bottom of foocing ) ` W : li there be a cellar ' uaate � or un ' eated ? Floor so , footage /GZa sq fc Will there be a basemen gnp Will any portion Lie used as living space ? .A.0A, ( If so , what portion ? sq ._ft . - - .yce of use ' 1rpe of roof - o flat/shedfotr. Gr Material of roof � J .e , wood stun " X spacing s" o . C . i � ngth Jczsts ( floor beams ) 1st . floor " X span / ft . uists ifioor beams } 2nd . fl or '" x 1"7 spacirg�_"o . C . span y� ft . � ,ver lays ( ceiling beams ) " X " spacing " o . c . span £ t . Roof rafters g1x " spacing c * c6 span ft . Rocf trusses'�;j encineere spaci :-,g ]y,. " o . c . sparer+ e. s ft . Exterior wall finish Gf what material ? Interior wall finish. Al-cc- if a garage is to be attache descrlbe materials to be used for FIRE SEPARATION : / ,rI�� Is there to be an opening between garage and dwelling ? If so will a Fire- rated door , enclosure , and self-closing device ba provided? 06 Will a flue - lined chimney be installed? LAI=.. . Height abcsve roof ft . Depth of chimney foundation below grade V✓ 2 ft . Depth of fireplace heaxth ft . C3 in . Water supply unicipa_ or private well SEPTIC SYSTEM _ Distance from ANY private well { including addoining properties ':;?Q ft . (A separate application is necessary for any repair or new installation of septic system ) D E C L A RA `I' 1 0 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 / / /� Owner, owner's agent , architlbcVlcontractor SPECIAL CONDITIONS OF THE PERMIT : gy TOWN OF QUEENSBURY 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 : 1 . Gross floor area 20 Type of heat A!:017 A41 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors A . Over 16 % Only Y . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 , Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 10 If YES , what is the R value ? 3 . Slab on grade YES NO a , If YES , what 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 i . R value of roof and floors exposed to ambient conditions . 9 3 �� 2 . R value of exterior walls R/ `yam 3 , R value of glazed area X3. 4 . R value of doors R1- 5 . R value of floors over unheated spaces k' 6 60 R value of slab edge insulation - unheated slab A ilrl-- 7 , R value of slab insulation - heated slab_^ Ortdr�4 8 , R value of heated basement/ cellar walls ( above grade ) P, &, p 9 , R value of heated basement/ cellar walls ( below grade ) n/fJ 10 , Type of insulation J3 /177 S Co Controls 10 Thermostat maximum heat setting 1� Tr3-.✓L�xhe� � D . Duct Systems__ 1 . Is duct system installed in unheated spaces ? _ YES �N7. a . If YES , R value of duct installation b , R value of duct in other areas E . Piping Insulation_ I . Size of hot water or cooling carrying agent pipe 2 , R value of pipe insulation F . service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G , For Swimming Pool Only 1 . Maximum heating Telephone No . ' V 3 -c VO- 7i / 4611 applicant ' s signature ) BLDG. PERMIT NO. 89- 5f Q APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; Lot #118 - Honey Hollow Road for the following uses: Single Family Dwelling DATE SIGN URE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ()0APPROVED ( )DISAPPROVED with the following conditions: PENDING APPROVAL OF FIRE MARSHALL AND MOVE OAS VENT FOR FURNACE TEMPORARY CERTIFICATE OF OCCUPANCY FEE* t 10 .00 DEPOSIT: 01100.00 received on t Date of Is uar ce Director of Bldg. & Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. TOWN OF QUEENsSURY APPLICATION FOR 'r✓'�4 SEPTIC DISPOSAL PEIit1+'iIT DATE LOCATION OF PROPERTY FOR INSTALLATIONff CJGfz1t'�L" � Owner's Name:. � / Telephone: Address: � vdt� Lres fca� eP©s Gs9�;, rFrfrExr Installer's Name: , ,. 3C,q,�rG �� vyo,� L,c � . Telephone: Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) aoc> i Topography: Circle onez'� Flat Rolling Steep Slope of Slope Soil Nature: Circle one`'Saa d, ) Loam Clay Other /Depth: Feet Ground Water : At what depth? Feet Bedrock or Impervious Material: At what depth ? Feet Percolation test: Circle one: rrpt required .,.,�equ!red rate min. inch. Domestic water supply: circle one: unicipal') Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank /C <f. gal. ( minimum size: 14000 gal.) TILE FIELD : Each Trenches feet/Total system length <D feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # a /Depth or Thickness f 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: � fJ OVER Sceptic SysCenx Inspections : A . All applications for septic system installation , alteration or repair , as required by the Town of Queensbury Sanitary Sewage Ordinance , shall b� submitted to the Building Departmenc 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 . ) Iocation and distance to any water supply 5 . ) size and dimensions of all tanks , distribution boxes , the fields and /or drywells Bt No system shall be covered before inspection and approval by the Building Inspector . Failure to comply with this requirement may result in the uncoverinb 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 immediuce work stoppage . D . Should unforeseen problems during construction prevent proper installa— tion , alteration or repair of an approved system , a new proposal must lam submitted to the Queensbury Building Department before further construction , Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 k4iiiarks : , Ai� TOWN OF Q Id O ,BUILDING ANDD CODESES DEPARTMENT BAY & HAVILAND ROADS QUEENS,BURY, NEW YORK 7. 2806E TELEPHONE ( 518) 792-5832 BUILDING INSPECTOR' S REPORT I�f� REC7UEST FOR INSPECTION RECEIVED -f--'= NAME LOCATION ./ Prey? / DATE Gs PERMIT i 4 APPROVED YES ND FOOTING IERS MONOLITH C POUR FORMS FOUNDATI /DAMP—PROOFING��� BACKFILL PROVAL ROUGH PLU BING FRAMING ELECTRICAL OUGH—IN INSULATION: FOUNDATIO FLOORS WALLS CEILING ]� FINAL INSPECTS f� CHIMNEY HEIGH ROOFING SIDING EXTERNAL PORCHES STE S7.c STAIRS—CLEARANCE I S VALVE PLUMBING F�TXTURES Y DOORS INTERIOR TRIM/PRIV FINISHED FLOORS GARAGE FIREPRCOOFIN DOOR CLOSER (S) SMOKE DETECTORS FINAL. ELECTRICAL I SPEC ON FINAL APPROVAL OF CONST TION�� QK To ISSUE C/O C/C A A SIGNED CF.'RTIF CATS OF OCC NCY MUST BE pARTMENT BEFORE OBTAINED FROM E BUILDING THESE PREMISES ARE OCCUPIED!' y � � RE�7ARxS . _fir.., deI - ' ARRIVE �� DEPAR`r r INSPECTOR MIDDLE DEPART AGENCY. INC. J f jtf (k (Certif iris that ` uipment listed has been e7c approved as being in accord With the National Elect p g Ilcable overnmental, utility an S. e�i $ Owner. b1i11LAW Have ..I P - occupant: SaWe d e cart'tic ate [ uiPnfenS and Irntellafion inspected thin Location.. L# 118Bedf dais. If Ai I ui m ul+ its introduced or aitd app a made fo ,L exieSmfl eyefem fhi is 6e nuP and void, and. appiicaAlon fdi' �S[it�C 1 y SQ �13 �inSPeef ion this CO ano +ld SUbal& 5 l p or a e this his PF . �Qllfpfli L"i^.t.' 11�+ Outlet } 'i" aYF�'11'riE �prnl orsr fromP Yl+ae aria Iti c�on o1aiiecu4cal e4u PMenf apPamdad 200 A=P Servi App ianaea , (agonl iced. I r MmIsrid Ganat ierto.- __ 'S ► GE +1�1363 - Applicant: sox 140 Star Rt ~ - ow 16-029420 G1ena Fa119 , 1 12 FpOI 1fie. 'lOt7i EL 1-03 . . .__._.._.__. . .. - TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVILAND ROADS QUEENSBURY, NEW YORK 1280f- TELEPHONE (518) 7.92-5032 BUILDING DVSPECTOR' S REPORT REQUEST F R INSPECTION RECEIVED y''2 y,�v, NAME LOCATION �1 DATE / /A�/( + / �ft PL4'RMIT (#`_ - APPROVED YES I NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDAT1rON/DAMP-PROOFZXN BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS //CEILING +4'INAL INSPECTION: .e_A_, CHIMNEY H!& _.. w/ ROOFING SIDING EXTERNAL POR ES/STEP STAIRS-CLEA NCE & RAI PLUMBING FIX RES/RELI VALVE _a e7 INTERIOR TR M/PRIVACY FINISHED F RS GARAGE FIR ROOFING DOOR CLOSE (S) SMOKE DETE TORS FINAL ELECTR CAL INSPECTION FINAL APPRO L OF CONSTRUCTIO A SIGNED CE TIFICATE OF OCCUPAN MUST BE OBTAINEb FR M THE BUILDING DEPAR ENT .BEFORE THESE PREMISE'S ARE OCCUPIEDf REMARKS: INSP R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT II BAY & HAV'ILAND ROADS QUEENS$URY, NEW YORK 1280¢ TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FO INSPECTION REC IVED NAME LOCATION ZZ& d' L Gt/ DATE PERMIT # ;5tlrt+ R APPROVED FOOTING/PIER MONOLITHIC FO R FORMS FOUNDATIONI P-PROOFING BACKFILL Al' RL ROUGH PLUMBING FRAMING ELECTRICAL ROUG IN TNSULATION: FOUNDATION FLOORS WALLS CEILING L/+XNAL INSFECTION: CHIMNEY Herr 'HT ROOFING SIDING EXTERNAL PORCHES/S. PS STAIRS-CLEARANCE & ILS PLUMBING FIXTURES REL EF VALVE INTERIOR TRTM/PRI ACY7OpRS FINISHED FLOORS \ GARAGE FIREPROOF NG .DOOR CLOSER (S) SMOKE DETECTOR FINAL ELECTRICAL INSPECTION_ FINAL APPROVAL CONSTRUCTION A SIGNED CERTI ICATE OF OCCUPANC MUST BE OBTAINED FROM THE BUILDING DEPART ENT BEFORE THESE PREMISE ARE OCCUPIED! REMARKS: © ram' �� t's�s,� �''�' ,►=;, r'�.,�, S ck, /Alf- Cam. INSPECTOR TOWN OF QUEENSBUR'Y BUILDING AND CODES DEPARTMENT BAY & HA VILAND ROADS QUEENSBURYy NEW YORK 12809. TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S S REPORT REQUEST F R INSPECTION RECEIVED 1 NAME , f . »'"'77g � I_47CATS d Tf � DATE r�7 PERMIT # - (/ .APPROVED YES NO FOOTING/PIERS ` MONOLITHIC POU FORMS FOUNDATIOHfpAM PROOFING BACKFXLL APPROV L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESr EPS ,STAIRS-CLEARANCE' RAILS PLUMBING FIXTURE RELIEF VALVE INTERIOR TRIM/PR ACY DOORS FINISHED r=RS GARAGE FIREPR NG DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL U CONSTRUCTION A SIGNED CERTIF LATE OF CUPANCY MUST BE OBTAXIVED FROM T E BUILDIN DEPARTMENT BEFORE,' THESE PREMISES RE OCCUPIE ! REMARKS: y-ram,/-/ 1 f INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAN ROADS J� QUEENSBURY, NEW W PORK 12601. TELEPHONE (538) 792-5632 BUILDING ]INSPECTOR ' S REPORT REQUEST FOR TX4PECTION RECEIVED NAME _ L.L / � LOCATIt7N �/ d9 r�J DATE _� PE IT # APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION DAMP—PROOFING BACKFILL APROVAL — ROUGH PLUMBING FRAMING S � F ELECTRICAL ROUGH—IN �SULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION* CHIMNEY HEIGHT ROOFING s.IDING EXTERNAL STAIRPO SfSPS S-CLEARA CE 6 ILS PLUMBING FIX RES/RET5TEF VALVE INTERIOR TR 1PR2VACY DOORS FINISHED F RS GARAGE FIR PROOFING DOOR CLOS R (S) SMOKE DE CTO�RS' FINAL ELEC RICAL INSPECTION FINAL APP VAL OF CONSTRUCTION f t A SIGNED CERTIFvXCATE OF OCCUPANCY MUST BE OBTAINED -t'iROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: tof J,, 00 UYA- Dcva2 P= 7 -- y -- � INSP� TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYe NEW YORK 1280+9— TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FO INSPECTION RECEIVED _ NAME v v L CATION DATE PERMIT ## APPROVED Y S NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING f X+BACKFILL APPROVAL ROUGH PLUMBING `,FRAMING ELECTRICAL ROUGH—IN INSULATION: e' FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING ,SIDING EXTERNAL PORCHES/STEP STAIRS—CLEARANCE & LS PLUMBING FIXTURES/R IEF VALVE INTERIOR TRIM/PRIV Y DOORS FINISHED FLOORS GARAGE FIREPROOFI G DOOR' CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL NSPECTION FINAL APPROVAL O CONSTRUCTION A SIGNED CERTI CATE OF OCCUPANCY MUST BE OBTAINED FROM HE BUILDING DEPARTMENT BEFORE THESE PREMTSES ARE OCCUPIED! REMARKS: f✓� �L+`C� C} ct a!II R lf. L 7� 'o'S G- or l INS TOR ► �"= T� + National Hea�rlquarters . _.: ,�+f'� rr . - . Date: e> J*" City, Town or Township— CMD � ge t: v, s+� N *- _CountyS � r r Car State " `� ; T •_ Location/Address (if Located in Rural Area - Please Attach Directions) f{. .Pole OVKner ,e. Ikeit Ocwpie4 Asn 4t ... m / ck .� „ 4 v E r pan 4 r ,..cl► ,:. . uildin : . .,` a+yr .. O1d 'Work Area .in Baildin Fioor �k etc. J: #or* Wiri rvice �" or Read For Ins ecd6i : Cash Check `i�ii. Payable ToM.D. i.A. rah 175o Soee 2250 2S9aa x75o a000hes _ WirEfig Clutl� . Elect. Beat ' -f1aS ing Amp, 'Servida' ; :; _.k Su'rface, Unit i?ishwietlfasr .,, � ' _ Flange ptacl-fir,, Water Heater Air Conditioner Dryar 'w i Oven '.D sposal Wiring end oQptrols for Burner _ .. . # z73e'cE#ptaioileas . , r `Fractional H.P. Vefw a `- Other Equipment: - T - ,+- � r _ MOTORS i•f.P- }2, �[1 1/10 lfe 1/5 1/t1 1/3 1/2' 3f4 1 1'h 2 a 5. . 73h 10 1-5 20 25 30 40, 50 75 1Q0 P&rk Number of Each Size Applicant's _. . -,r .. Signature License # >• irrlUX # T/A i s / r ,Applicant's dress: ",.41y1ity: ►► l (City} ' (State} (zipl Service Request # .�' " Elect - -ants . . . DATE tiVSPE4}t ED ` Correct Location : Same as Above0 or: .a. Red Notice Label Rough We Outlets Surface Unit Oven Switches Ran Ga ispAosai Receptacles Water Heater ` 191shwasher ` - Fixtures �dtii 'CondE iotEer ' Amp. Service Equipment Burner, Wiring= 'Contiois.for Amp: Ftebeptade Amp, Service Conductors PumpVent Fens MOTORS H.P. JU201af -Z1}10 1/0 1./4 1/3 1/2 3/4 .: 1' 1�/s 2 3 5 7vs 10 15 28 25 O 4W 5- 100 Nark Number # sr':.: of Each Size Fleet. Heat boo 750 aoea a25a ISim > 76o sego 225o z7 ugooa F ; '= : r= �] RW Progress: Inc, LKD (� » Contractor CFTL/A Violation : Work Cornp..� nrk j[3 CASH Owner ED L/A Fee CH K # Due a IPA . _ . Due r MO Date' C3ther amide © Utility. pil?1q JAI 'cam er , Cut in Card Temp f dR #],ate s rig` r ,N. Fi4a1 # DateM1 ar - t _ It I , Ar+P�iClt4K3'filaiA1ES !Y. x.. . - X�It. .. -/utun n� ���err36 BUILDING and ZONING DEPARTMENT Bay and Naviland Road, R. D. 7 Box 98 Oueensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME -+CAT I ON DATE 2 �CJ� PERMIT NO. - SOIL TYPE - Sand - Loam T Percolation Test Required ?Clay Percolation in/Inc Min/Such rate YES - NTCJO�' ��✓ � ' - TYPE of SYSTEM : Absorption field, total length Length of each trench .Depth of trenches Size of ciravel_ SEEPAGE i?ITS_fNtxmbe� Size- Et . X Gravel sdze ` PIPING : $ 2e EZdga to tank Ty Tank to (list_ bo3c Dista box to field/ G Openings sealed? S ENO Partial LOCATION/SEPARATI _ l Foundatic S n to t Foundation to a Absorption to line f t. T'�ft . Separation of its Eta t line _ -E=- ft. LOCATION pg S PR ERTY (circle one ) Front - Rear ft side CCMMEN7TS : Right Side 01 ) 9I t SYSTEM USE APPROVED OSN'� [7 Bull nspector 01/86 and vl TOWN OF QUEENSBURY �r �•-� BUILDI-NG AND CODES DEPARTMENT BAY 6 HAVILAND ROADS QUE'ENSBURYe NEW YORK 2280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED_ - NAME ' LOCAT.rON DATE PERMTT# I S :fie APPROVED �t � YES NO FOOTING/PIERS MONOLXTHIC POUR FORMS FOUNDATION/-DAMP-PROOFING +BAC"XLL APPROVAz ROUGH PLUMBING j FRAMING ELECTRICAL ROUGH-IN INSULATION. FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HE_I'GHT ROOFING SIDING F EXTERNAL PORCH S/STF.;PS STAIRS-CLEARA CE & RAILS PLUMBING FIX RES/RELXBr VALVE INTERIOR TR /PRIVACY boops FINISHED F RS GARAGE FIREPROOFING - DOOR CLOSE? (S) SMOKE DET4VCTORS FINAL ELECTWICAL INSPECTION _ FINAL ,APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUXLDXNG AND CODES DEPARTMENT / BAY & HAVXLAND ROADS QUEENSBURY, NEW YORK -128 p&L TELEPHONE (529) 792-5832 BUILDING INSPECTOR t S REPORT REQUEST ';'OR INSPECTION RECEIVED NAME - L: )CATXON DATE PERMIT # APPROVED ,r YES NO C/FOOTINGfPXERS MONOLXTHXC POUR FORMS FOUNDATIONfDAMP-PROOFXNG BAC ILL APPROVAL, ROUG PLUMBXNG FRAMI G ELECTR CAL ROUGH-XN XNSULA ON: FOUND ION FLOORS WALLS CEXLXNG r' ~ FXNAL XNSP XON: CHXMNEY HE HT ROOFING SIDING EXTERNAL PORC (STEPS STAXRS-CLEARAN & RAXLS PLUMBXNG FIX E RELIEF VALVE INTERIOR TRI fPRX Cy DOORS FXNISHED FLG)6RS --- GARAGE FIRE ROOFING DOOR CLOSES) ^ SMOKE DETROTORS FINAZ ELECT*CAL XNSPECTIO - FINAL APPRO AL OF CONSTRUCT 7 A SIGNED C TXFXCATE OF OCCUPANCY MUST BE O.BTAXNED FROM THE B L UXDXNG DEPARTMENT BEFORETHESE PREMXSES ARE OCCUPIED! R�KS PC XNSPECTOR �__ TOWN UTLD G Q u E ODES DEPARTMENT BUILDSNG AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804t TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR 2NSPECTTON RECEIVED S� NAME LOCATSON ,u DATE �,2g PE T # T _ APPROVED YES NO FPOTXNGIPIERS ONOLITFISC POUR FORMS FOUNDATION/DAMP-PROOFING .BACKFTLL APPROVAL ROUGH PLUMBSNG FRANING ELECTRICAL ROUGH-IN INSULArx6wr FOUNDATIODT t FLOORS WALLS CEILING FINAL SNSPECTI CHIMNEY HESGH ' ROOFING SIDING EXTERNAL PORCHES T S STAIRS-CLEARANCE ILS PLUMBSNG 4F tXTURES ELIEF VALVE INTERIOR TRSN/PR A Y DOORS FINISHED FLOORS GARAGE FSREPR SNG - DOOR CLOSER {S - SMOKE DETEC RS - - F-TNAL ELECTR AL INSPECTION FINAL APPRO L OF CONSTRUCTION s s A SIGNED/CERTIFTCATE OF OCCUPANCY MUST BE OBTArNEDr( FROM THE BUILD-TNG DEPARTMENT BEFORE THESE PREMISES ARE OCCUPSEDj REMARKS: INSP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT DAY & HAVILAND ROADS QUEEN.SBURY, NEW YORK Z2809. TELEPHONE (.518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR/ -TFSPECTION RECEIVED NAME LOCATION DATE PERM2T L APPROVED YES NO FOOTING/'PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING BAC FILL APPROVAL L H PLUMBING ING L Ti;E,,CTRTCAL ROUGH-.TN L. " ,.fSU'LATXON: FOUNDATION FLOORS WALLS L 3' CEILING FINAL INSPECT.LON: CHIMNEY HEIGHT mp ROOFING SIDING EXTERNAL, PORCHESISTEP STAIRS-CLEARANCE ,& R. I PLUMBING FIXTURESIREJ6IE VALVE INTERIOR TRIM/PRIVACk RS FINISHED FLOORS GARAGE FIREPROOFING' DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INS ECTION FINAL APPROVAL OF C TRUCTION A SIGNED CERTIFICATW OF OCCUPANCY MUST BE OBTAINED FROM THE #UILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: + LLA SRC( e. T L`S i 5 --- ' Gi ��E 14n Ecj�' S R&JO 11r Ca Ali 5�,i i !6 S �9 &4-c. ro P AL 4ric. ,L� i! t { bCX 0 A) lVrtom,� i ou S Fez 4 x 1 r A✓ f 4 ) Pic-IZ jA A ps ,A+ qc.. (p .0 ki d& 0 .INSPECT TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �1 �r 13AY & HAVILAND ROADS QUEENSBURY, NEW YORK 12BO!& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT (oa AFPRONO YES NO FOOTING/PIERS ' MONOLITHIC POUR FORMS FOUNDA TION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDA TION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTSPS STAIRS—CLEARANCE & RA-bLS PLUMBING FIXTURES1J�ELl'VF VALVE" INTERIOR TRIM/PRIVACY DOORS F1'NISHED FLOORS j GARAGE FIREPROOFING .DOOR CLOSER (S) i SMOKE DETECTORS f FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF FONSTRUCTION. A .SIGNED CERTIFI ATE OF OCCUPANCY MUST BE OBTAINED FROM TH BUILDING DEPARTMENT BEFORE THESE PREMISES RE OCCUPIEDI REMARK'S INSPECTOR 14 000 Rd, Z6fffng Admin r Date-r!� 11 - -7- 330 WALE: APPROM By OPAM BY TAW