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1989-619 JR w CERTIFICATECJF �UPA�I`�T�3�' TOWN OF +QUE'ENSSURY k WARREN COUNTY, NEW YORK i Date F$bruary 21 1990 b WD i This is to certify that work requested to be done as shown by Permit No. A n_a 1 o i has been completed. € This structure may be occupied as A Ci pgl c. 4 Location __ rot fill a 13WPIAld SQ11Mr,e ( 45 Heaul d Drive ) Ow saver Guido Passare�lli By Order Town Board TOWN OF QUEENSDURY f Director of Bldg. & +Code En cement fk l BUILDING PERMIT TOWN OF QUEENSBURY No- _ 8 9-619 WARREN COUNTY, NEW YORK o ca a-r PERMISSION is hereby granted to rrrrnn PA SSARgr 1 r _ OWNER of property located at T Ot 419 Herald Srluare _ Street, Road or Ave. in the Town of Queensbury, To Construct or place a fi4n�1n amI n llin `----- 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 RR # 5 box 126 A Glens Falls, N.Y. 12801 L) 2, CONTRACTOR or BUILDERS Name ro 9 Self 3. CONTRACTOR or BUILDER'S Address tl] t" Same r r-+ 4. ARCHITECT'S Name C" 5. ARCHITECT'S Address sx B. TYPE of Construction — (Please indicate by x) K]{Ifiod Frame ( } Maaonry ( ) steel r� 7. PLANS and Specifications , No. 24' x 54' Single Family Dwelling as per plot plan, specifications, and application, including septic, . attached one and a half car garage, and drivew y. $. Proposed Use Single Family Dwelling !740 $ 203.00 PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 19�-- �7 (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 OueqxwAmj.Cy this Rth r Day of Ailgust 19_, go r-C 4 r+ SIGNED BY N2 for the Town of Queensbury C Builai g and Zoning Inspector .— t TOWN O QUEE. SBUR niTry ♦ aLP d r ( TOWN OF QUEEN SURY Rz 0 RECEIVED r Fee, raiky �3. r� � 1989 WWI LDINO At,lz CUIDES ut PART?f.,N.FT hate 1'64 "ed �} ' 'Lk` and }r11VXL„AND ROAL7,5 R.D 1 Dox �3 ( L� & CODE DEPT. UEg/afS'BIJRY , NEW YDRii 23dOd i�CNn� t NU . O Tel f5281 792MISS3 .: Exit 204 e f s r s r r r . r s r s r r r ♦ * ■ r s s r s r s r ! a a • r r r r h 11r: 1011T MUST GL! OBTAINED 13C1" ORE LLCINNING CONSTRUCTION . NO INSPECTIONS L•' I LL BL MADC UNTIL APPLICAMT HAS RLCLIVCD A VALID BI: ILDrNC PERMIT . All applicable sPaccs On this application must be co "Irletod and the r* lyaturc of the applicant rust appear on the reverse side of this sheet . ■' R is R Y• * * R R X R Ji X • S t do, * ff X 1 R ■ ■ Ir Ft' e owner of this Property is . % / T £ L .z!!5 06- t' , CI . Address ' iroperty location Jr 'TAX MAP NO .1 etas there been any split ae this property since October 1 . L998 ? / yes t% 7f yes , Planning Board Review is necessary . � UGDIVISION t4AMC . IF APPLICAnLC LOT NO . he person responsible for sUpQrvision of work as regards Building Codes is : NAME F . G . ADDRr SS TEL . N '4iamo ni builder Address-"4C 4 '' . Tel -' . G'a �� � ;.,•snr: of P lumi]a3r T dares %r ,rd ��T+el� ra.ame of Masan A4draai � Tel iATuRE Or MOrOSCO %iUlZo: : ZON1IN iNl {] i! " ly�.'1' iC1r! { rewrite trsC antyJ /rcon :. Grucciora of 4 [1a:w builolnq r ZONING2 OLSICNATION OF PROPERTY �AdJitr.on to " lyuLl .JLng ` PERMITTED PRINCIPAL PERMITTED ACCESSORY A1cwc. LLan to ,. Lasildinq r AMINOL + io to sxc .w; rLor ctiina:ns- iontil REVIEW REQUIRL'D — PLANNINC BOARD ZONINC BOARD1 (ick,a: r work { o.ncrau�! ) • SITE PLAN REVIEW M APPROVED DATE • MOSS ARLA OI' L RQVOSaLQ, % 'L' ZLUCTURX " VARIANCE IF APYROVEO ClATE tit Floor sc{ ft . �Q * Remarks : ! nd Floor sq ft . , c✓ , COttPLi 'a'a+ ir+a Or,ru�'s'tGtrr ScL� rVt1aLD vLw�i . SLs:as of proL}.: rty_,, x ft . } the r Floors a q f c . + L'xi:, titu} Luilalia+�j l :: l 5L t" t x r t . ( not cellar or btsamdnt ) r i.� , rOTAL FLOOR AREA 1474 _ --lsq f t . r I:xtsc iatg Asa ,. 1J -L fl#j { AID U4kQ V : ice,: csr n�;w iCrLaCtura: �— � ft X `, ft • i'um.d:ation-pier/::LaaL/erwwl/t�arti.ai uli , l,resLao::wa bua,lsinc2 , dL:. C.ana.a: rraua La+CailaurCy tsnvr W & CClaa on40 + Front yard. is Roar yard Nso of ccorisn 0"icabls s )+ce ) _ ., rt L •-• Bids y;ard:i S"S r C .an4 �� nwight (Urads to ridcj+s ) a 4 ft • If on CGrnaera z Qru" :x frogs sides �,;era:L• tft I ( r4aiduntial4 now of f4mil1649 I ' lio . of rootux tsxcLudina7 b:athstl r� • OCCUf ANt:Y I NFCS[tMP�T 1 W How of budroatelm • Pft Y GfJILOINC: Ito No . of Archroowt:s��4 S Ono fa7gg"Iy dwelling t•ritsi.ry itwatiru} a:ys 4.:tr drwa f"I"ly dWU1l4L4%y ortyll" of rWQ1 mult,141" awulling / Nuaabor of units No . of tirwplacua: tw >a.a ins4cwll�a ...-.� =IssstWu7Gtiat accuLs:uacy st1. 1L ;a ww.t ait:oVai Lrt irtsit.:aLLaaa.l? • 'rCMhna.sa:rac iar:caals Macy Cancr.r.rL Air ca�aatitiLtni.rt 9 AMIMMMM • 13usinrsssa BUILDING STYLL, PRiKAAY STRUCTURE • lnaSusicrial Other t;_►a►ch Canc.+ratarr•.ty L•c•n c:alJin It: wdditiun , w►h"t wilt taw �.x,.i1 repel~ t+unaaiaxt paat.Lasac JraLic IQV%kL QLd atcyls uaaaaa}wlaw ecw}t Cau d Caattar}as Qttaasr " ACCiaSOAY UUILDI"CMw CDLanirL laritr 1'owea amass• '" L+aaCiChirl year.+e}a/one cur/ two car/ car J t] CawIr � CIRCLI� CHIMP PL�:7►S'•C ! ' �llttrSehua.l s «.r:a a,c/wets c�►r/ two c:.rJ,r,,:,_,,,_ r r. r ■ r s ■ ■ r r r • stOr"94 building t ZT1Mh'r• I% 0 04ARKEor VAI. ULP OP • Ocha: r INFOPMATTON ON GUIL82NC SPECIFICATIONS , ON nEVURSL oIZOC OF 'TitTS CHWEr, TO SC COMPLCTUDI Forts BPA 20f88 v1 car. atruct on , woos' fraxe , _ _ _ aa £ c , ar ( ti1ac � vaw., 2 n l any se .:cnd - hand or ungraded - e F.: ur,datson wall material CC> 1x C( ipo c +rct~� Depth of four.datiar. telcw grade [ t bcttorn of fo cir,c ) got � W : 11 there be a cellar ? eta or Ln eased ? L! H - �d Floor sq . footage sq et Will there be a basement ? Will a : y :orticn be used as living space ?_ /�] 4 If so , what portion ? sq . ft , - - �,._a of ase ? ,Kpe of roof - sloped/ flat/shed/other C eJ >taterial of roof 4-1. t. wood studs '" X s Pact nq o . c . ier.g4h ft . .iGlSts floor beams ) ist . floor -" X i C- spac :. :va ic`'" o . c . span�ft . �Tcrists [ floor beams } 2nd . floor " X & 9 spacing C�" a . c , span 44b k3 ft . � verlays ( ceiling beams ) `z NIX IN spacing, "o . c . span 'ft . Roof rafters " X IFspacing --U�...c . c . sYan _1 '2, ^ft . Roof trusses ( pre- engineered) spacira "" o . c . span ft , Exterior wall finish 2- of what material ? l3b�— Interior wall finish 14oL- to G T� If a garage is to be attached , descr . be materials to be used for FIRE SEPARATION : ter$ �.�. Is there to be an opening between garage and dwelling ? c If NNNNNso will a Fire - ratc3 door , enclosure , and self-closing device be provides?? Sete a will a flue -lined chimney be installed? HeLghc above roof ft . Depth of chimney foundation below grade ft , Depth of fireplace hearth ft . Ln , water supply - Municipal or private well SEPTIC SYSTLM _ Distance from ANY private well ( including adjoining properties ft . ( A separate application is necessary for any repair or new installation of septic system ) D E C L A R A T 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 wort: shall be complied with , whether specified or not , and that such worts is authorized by the owner. Signature Owner owner's a e t , ar hitect , contractor SPECIAL CONDITIONS OF THE PERMIT : Sy a 'w TOWN OF QUEENSBURY F 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 �4 2 . Type of heat L� 3 , Is the building mechanically cooled. ? 4 , percentage of area of windows and doors A . Over 16 % Only 1 , Uo value of gross area of walls , roof / ceilLng and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a , Are foundation walls insulated ? YES NO 1 , 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 Y. R value of roof and floors exposed to ambient conditions. 2 , R value of exterior walls - f 3 , R value of glazed area 4 , R value of doors 5 . R value of floors over unheated spaces - � 69 R value of slab edge insulation - unheated slab i � pe 7 , R value of slab insulation - heated slab 8 . R value of heated basement/ cellar walls ( above grade ) E` 9 , R value of heated basement / cellar walls ( below grade ) -. 10 , Type of insulation C , Controls 1 . 'Thermostat maximum heat setting �Q D , Duct Systems 1 , Is duct system installed in unheated spaces ? YES NO a . if YES , R value of duct installation b . R value of duct in other areas ! E . Piping Insulation Y . 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 . ( applicant ' s signature ) TOWN OF QUEENSBUrY CIAPPLICA77ON FOR O SEPTIC DISPOSAL PERMIT' DATE 4c -3 , LOCATION OF PROPForRTY FOR INSTAL ,LrA'T'ION Owner's Name: ,l/ j r+,/0!! Telephone: Address: Installer's Name: ( +''��?�1� . Telephone, , -^ � Number of bedrooms (residential only) - Total daily flow (compute (d 150 gal per bedroom) P 'p Topography: Circle one:ci t olling Steep Slope ,' of Slope Soil Nature: Circle one and Loam Clay Other /Depth: Feet Ground Water: At what depth? /1/ /7 Feet ,r Bedrock or Im ervious Material: At what depth ? / Feet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one 4unicipa Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank /o-er op gal. ( minimum size: 1 , 000 gal.) TILE FIELD: Each Trench >+? feet/Total system length R� o feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # ca2 /Depth or Thickness ,�C' wct. ,�� ' �' 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 Rueensbury Sa y Sew isposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: r � OVER Septic System Inspections : A , All applications for septic system installation , alteration ❑r 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 , rile fields and / or drywells B . No :system shall be covered before inspection and approval by the Building Inspector . Failure to comply with this requirement may result in the uncovering; of the system by the installer and a fine of up to $ 250 . 00 . C . An approved copy of the plot plan shall be available on the construction site . Failure to produce said plot plan at time of inspection may result in an immediate work stoppage . D . Should unforeseen problems during construction prevent proper installa— tion , alteration or repair of an approved system , a new proposal must he submitted to the Qu� unsbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 kvmarks yr.c.e:�w�•e*ri'+7n'e,cY+i7arCre"i'�'QS �¢.��� MIDDLE DEPART AGENCY, INC. VITAT DateFebruary 21 , 1990 that1� equipment fisted has been exfik� n approveii as being in accord with the National Elect .� e', applicable governmental, utility and Ai S. Owner: Guido L'assar L, s ; Occupant: Sarue I! p Location 45 Lterald Ro Cl t 119 u sb s l hcske t r+ I i< ui,Pman7 and insta ua7Pon insAaclad Ihis i dale. It add itienal �i en7 ih d be Inlloduced or alleretions made to existing system thi c ici be null and void, and a Equipment: 77 Outlets ; ece acles s i?Pi1Ga11eA for �� ' s i }S �na ac7inn ahou7d �§aiJbmin p try to this Agency. 200 Arta Se7C Era A lances L�'!' rU +j°der of this certlficata a nt as ma Whis ro[� pp k y i p par7y insurance carrier (agent or ed prhy)as eH Oni 11 cal ion of elaetrlCal Z Protective +J]. j.n,g DB'V j.e e 5 as specified f aq uiPment apprCved r Northern L 6h 4il Applicant: 195 -7 Weelts Ftv L Glens Falls , NY 128 � - 04 15 -028821 idaaw Mo- 7bt me, 1.03 ��J r Arm ENr4y. National Headquartersx r z 9b0 I 6dc"rl"p ve:; 1 in wodid. N.J. dews Date: j ate: , . "°'1�w»/ state County�-�- Cave Town or Township 1 nil Location/Address P-Qle "# ' ., (If Loca in Rural Area - Please Attach Directions}. i # +- y .�,4 y OwnerPdrm _ 1dWedini`In . - 10 Occupied ASIn (� k+ . r. Occupant ' `'Wdrk Area in Building Floor Read for In for: Wirin service or: .� -. ,c " -• -• {fake P 'abl® Fo: M.D.I.A. Check Fee Remitted -" ► ' F x t"r+c: Cash x lrco zoao zsno 2560 z7eo eo _��,, Elect. Heat . so Number of ,Ftougtl 6ut�ets Dishwii er Flange Switches dd AMP. SOrV*d& --r x"rface Unit p Air Conditioner Dryer Lightirvg Water Heater 40. ~~_ DisRosal Wsllts ar+d Coritsols far FteoePtacies _Cblen . . umber of ix ores . �r3 ; Ajp Recegta�leR Y Fractionalkent'Fans Other Equipment» p MOTORS H.P. li x�L it 1/e 3J6 3/4 313 112 3J4 i lYa R 3 S TYc 1Q ]5 2425 30 4 $4 7`S ; xoo4 _ . Mark Number Of Each Size ;•. t APPlicanL'f 1 1Ca17SBIP # " Signature dr Utility : A TIA l r Service Requ ARRNcan ' dress: (Statel ' . Azip)� — est # !City} Isl kcien- Phone # 1 r . _ DATE 1N5PELfil�E1� :'J. . pArt:e RECEIVED_ "• Correct Location» Same as Above 0 or ; .. . Red Notice Label Oven Rough Vlriring Outlets Surface n it Gar pis Deal Switches £ Race CIeS Jf; '. '. 11 A t= {rtacle Fixtures AMP. 'Service E ui meat t Fans Amp. Service ndu Coctors Pum 5 lo[I , a 1J3 YJ2 20 29 .� I Y/`12 1/Yo lJe. l YJ/B - 1 M H.P. ''_'' Me . umber of Each Size eao . 750 1(>DD 1250 !coo 1�so zoos zzeo scow 27so Soon Elect. Heat i KD � h • ` , Contractor R W Progress: Inc. O CASK Violation: Work Comp. Inc fawner CFT Fee CFiK # r Due Utility �nPA OIL r . - Other Side 0.. - -{a k . 9� JA iJ Temp ;on Da1 1 ECT S SI TURF Date �^'' Final # :. APPL.NCATInN FORM NO. 15 0 "EL' /e9 !I / Lie TOW N OF QUEENSBURY T0 BUILDWIII AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY■ NEW YORK J2804- TELEPHONE ( 5I8 ) 792,5932 NjILDING INSPECTOR' S REPORT REQUES`� R INSPECTION RECEIVED_`__ NAME �_ _- -� -� ,Gf Z ,CATION FERMI # DATE 3" APPROVED VVS NO FOOTX'NG1p-TERS S MONOLITHIC POUR p_Piq FX LL NG FOUNDATIONAPPROVAL ROUGGHHBACKF PLUMBING O FRAMING ELECTRICAL lROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING ✓ FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING E?LTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAC ^--- PLUMBING FIXTUPRST REL. DOORS?rEr LIVE VAtw INTERIOR TRIM/ FINISHED FLOORS GARAGE FIREPROOFING -- DOOR CLOSER (S ) SMOKE DETECTORS FINAL ELECTRICALPECUOCTION_ FINAL APPROVAL OF CONS ST BE OCCUPANCY . NT BEFORE A SIGNED CERTI THE BBUX ING DEPART .� OBTAINED FROM PIED! THESE PREMISES ARE OCC iALI INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBU Yr NEW YORK O TELEPHONE (5Z$) 7 2-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSF TION RECEIVED NAME LOCATXON DATE I / f G�P RhIIT # APPROVED YES NO ,FOOTING/PIERS MONOLITHIC gip_ FII7G FORMS FOUNDATION/ BACKFILL AP ROVAL�_ ROUGH PLUMB G FRAMING ELECTRICAL RO +H -S INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGH ROOFING SIDING EXTF.'RNAL P CHES/ST PS SfiAIRS-CLE RANGE & ILS1-� FLUMBI'NG IXTURES/REL EF VALVE INTERIOR RIM/PRIVACY RS J FINISHE FLOORS GARAGE IREPROOFING DOOR C SER (S) SMOKE ETECTORS FINAL E CTRICAL INSPECTION -" FINAL AP ROVAL OF CONSTRUCTIO A SIGNED CERTIFICATE OF OCCUPANC MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE FREMISES ARE OCCUPIED ! REMARKS : INSPECTOR �� Pliatianal .H ar#ers .- �►.....�-^'"" 3_ 9CI17"Plaildon Ave.. Coflingswo�, N.J. 08108 Date: City, Town or Township €^ County (3 �' State Location/Address (If Loca n Rural-Area - Please Attach ireetions) Pale Owner eye Permit �k r. Occupied As v Building:., New Old Occupant Work`i4rea in Building Floor # etc,): for: Wiring Service or: Ready for Inspe6tiono. Fee Remitted - $ Cash F-1 C.heck. M.C7; Ma e.Pa a le - o: M.D, I.A. 000 7So 1 0 12 500 1J90 2A00 2050 2500 2750 $paO Number of Rain Wiring Outlets Elect. Heat - ,. Switches ��yrnp.-Servi Surface Unit DishwasherRangeLighting ReceptaclesWater Heater Conditioner Dryer - Pump Plumber o#'.F' u Oven Garbage Disposal Wiring and Controls for Burner irlir+P. Reeeptacles Fractional H.P. Vent Fans Other Equipment: y MOTORS H.P. /, + 1/1 1/a 1/6 1/4 113 1/9 8/4 I' 1% 2 8 S :. 7�l2 i4 Y5 20 25 30 de . , rs0 75 100 . .. Mark Number of Each Size: a Applicant.'s L L L Signature License T/A ✓ Y -� Utl�ltY N M 1 Appi ican t'S .Address: (City) (State) . :(Zipt Service Request #h Phone �r t39i1II E% RECEIVED: DATE INSP n E z Correct Location: Same as Above or: Red Notice Label ` Rough ,Wiring Outlets Surface Uni /. Oven . . e) Switches Ran ° rbagb b Receptacles ate_ r.H ter S1' Dryec Fixtures Amp. Service Equipment Burner, Wiring WCohtroli for Amp. ptacle Amp. Service Conductors PumpV nt F s MoTons H,P, I/20 1/12 1/10 1/a 1/6 1/4 1/ 1/2 30f 1 1 2 7YZ 10 15.[ 2Q 25 0 5 Mark Number . 2.: ' i.t' of Each Size + .,= 4& t I :. s Elect. Heat Sao I iso 1 1000 1 12s0 IWe 17so 2000 22so a 0 RW Progress: Inc. LKD . Contractor S r CFT Violation: Work Comp. k1c. © u C� 0 L/A Owner CASH Fee CH K # [] L,(A . � _ _ _ . _ . . _ ..... . _ Due M WA lMunierap�rtl:. . MO # titillt�r iNV � � . Cut in Card © Temp # Date i # mil Data r Frs s N 1k1F LTckr FCfT1YrCS'fiC#7r'Ra.'250gC41;H9 BU2-,T,D-rAFG AND TC7IVN QE QiUE13nsBUFtpy BAY & XAVINDGDES DEPAR?1�lENT '2ELEPHaNEY. NEW YPRK 2280* C518.J 792-583.2 BUILL)Ilv(; -TNSPECTO I7 r S D t PQR T FtE +trE s2r xt7R 2IVS2} C NAME ECTTOAV RE'CESvED DATE' �'E'R1y rT cfs 1 FPPT£1VG/PxE'RS t ' I APPRpV&D AVoArQLXPoCINDA THIC PpTjR Fc7R,yS YES Np 2rION/DAMP B ACKFS2:L APpR[�V,i[ �G�OFSNG'-'--�,-�-- ROUGH PLCMBrNG f L "' '— F'RANING ELECTRICAL ROUG ' -'VSUZA2'�rUN: S FOITNDATXOAr 1 rs'ALL,G CErLxNG F Z'1VAL xN XON: SP T CXxMNEY HEIGHT y RPC7FING SIDrNG EXTEISIVAL PPRCHESi'S$'EpS STAr CLEA Ls xNTErrxoR rxrtrRES/R -rVF, vA LV FINxSHED F 1251 yfRiRx L'aT1C ,, I pRS LPRS GARAGE F"tRE PRCJPPXIVG DOOR E' SER SNOK (S�1 FINAL E'T�C'2'PRS FINAL A RPVIC rNSPEC?gSPN E AL OF CL]NSTRTiJCTx A SIGNED CBR-rrp OBTAIN&'D F°R(JM ATE CIF pCCtIRAN THIS& PREMrSES BHSLDxNC DL'P ML7ST BE ARE PCC*upxRn j A ?2'#fRW27 13EFpRE 1'r`EMAavKS; L l� 0 E�'TPR TOWN OF QUEENSBURY RAY IHAVIND CQDES bEPARTMENT OUEENSBURY NE.ryLAAVD ROADS 7161"11 YORdC 1280g 1 {528) 79"2-58.32 rr,�r rNSPECTOR ,s EPc7RT REQUEST FfJR INSPEC NAME 2ION RECEIVED LOCAT-I DATE F'C7pT'S1VG/I��EI2S APPRpVEb MONO YES NO LI7'HIC' POUR Fp+q�dS E QUNDATZ'O1v BAC,f pXZZ APP P'�'RQOFING ROUG}V PLU VAL F'RA .I MBrN BL.SC23?ICAL RQUG -I,y '�'OtWDAfiION FLOORS WALLS CEILING FINAL rNSPECT'rON_ CBII7NEF R. IGHfi ROOF,2-NG ' SID-I EXTER3VAL E,s sT. PS•'fiA PORCH rRS-C'LEARAh,C PZIINBING rNTE I.YT4voRS/RE RIOR 2'RIMI,,ZRxv EF VALVE FxNIS,yED Ff�kj S DOORS GARAGE PTI?jDOOR P OLryFr NG S CLOSER (S� DETECR S FINAL ELEC 2 R F'CA L INSPEC7'r FINAL APPRG �'AL OF CON,Sz.RUC2 _ y N A SIGIVE'D C Rz'IF aB^'ArNED ICATE OF OCCITPrfirtCY S�^ BE 2 flE SE PREf1IS THE 8 UILDING 1 e2E L7CCUP p EL? EPA *Tmzlvr 13EFQRE INSPECTOR TOJV v OF QUEENSBURY BLf IT D Z NG A,VD CODES DEPARTMENT BAY & HAVIL.4 ROADS UEENSBtTRY, NEW YORK Z280,L TELEPHC3NE {518J 792-5832 BUILDING INSPECTOR ' S REP()R T REQLTES2' FOR IN SP�t i SG�N RECREV b NAME ,r/n/ LOCA T2'ON BATE APPROVED FO0TING/PTEI2S YES NO MONO.LITHZ'C PpUR FORMS PIOUNDA2I01VIZ)AMp-,> DF ING BACKPX4L APPJ?0VAL V,R,OUGH JPZZ7MBIIVG, F'RAMSNG ELECTRICAL ROUGFI-IN INSUL„ 2TTON: FOUNDATION FLOORS WALLS ,. 'CEILING FINAL INSPECTION: CHIMNEY HEIGHT r'rry R pDFING SID.d'NG f TZ STASRs, PORCHES/STE ItiS�' PLUMB�NCLEARANCV 4G LS rNTER�F r NIS tKTURESy/pR r y Z,� VA LVE HED PZ4>0,RS ztooRs GARAGE F1'REPRIapg' -- R CLOSER {S 7 f SMOKE DE27EC27C7R P-rNAL ARLECTRICA.Cy jv PI ZNSPECTIDN PVA.L F'PROVA.L �6 CONSTRUC'TION A SIGNED C1 11 O IFICAymL OF 8'TAINED FR & THE OCCUPANCY MUST LtE THESE PR.EMI.S'ES BUILDTNG DEP,4,R ARE DCCUPSIsDI NT BEFORE RF1'ARK[S: ev tyle 7 1-7 c ti f 1 !r! ZMSPEcroR � oW o/ Queernah 8U1L01NG and ZO �� NIMG DEPARTI1+fE1VT Bay and Haviland Road, R.D. 1 Box 98 QueensburY. New York 12801 SEPTIC DISPOSAL SYSTEM1I INSPECTION NAME LOCATI DATE��r & PERMIT N©. f c- SOIL TYPE - Sand - Loam - Clay l Percolation Test Required ? YES Percoation rate / nch TYPE of SYSTEM: Absorption field , total Length of each trench length Depth of trenches Size of gravel SEEPAGE PTTS4N er of 'r Size- ��ft. Gravel - f1 ~ size PTP Tly(`, Bldg _ to tank Size 4'�.. Tank to list. o ! ' Dist_ box to fi open in a f gs Seale YES P7Q - ...�.. Partial LOCATION/SE mtC]Ns Foundation t tank Foundation t absorption ft. Absorption ft. Separation lot line ft. LOCATT f Pits eft. SYSTE24 Front Left ON side de ERTY (circle one) -- � Re - CCNM.ENT �- Right side SYSTEM USE APP1,0V,g YES � NO Build ' nspector 0I/8+6 and v.7. TOWN BUSLDXLD OP QUEENSBURY SNG .AND CODES DEPARZMENT BAY & HAVSLAND ROADS OUEENSS,URYI NE'W YORK 128og TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR X'VSPEC7rXON RECESVED NAME - ` (7`] z�7G"AT'SON DATE A C APPizovED F TING/PS S S NO MONOL2THSC UR FORMS FOU'VDATXON/DAjy P BACFCFILL APPRORFSNG G''RDUGH �'LUMB.£NG v. FRAMSNG ELECTRSCAL ROUGH-2 rNSUZATSoN: FOUNDA7?dN FLOORS ArALZs CESLSNG FSlVAL SNSPECTIdN: CHSMNEY HESGHT ROOF XJVG SSDSNG EXTERNAL PORCHES/STE S STASRS-CLEARANCELS --~ P'LL7MB2NG FSXTURES/�LTEF V.21tE SNTERZdR TRIM/PRtV. CY DOORS FSNSSHED FLOORS GARAGE F2'REPROdF'apNG DOOR CLOSERS) ;' - SMOKE DETECTORS; F2NA.L E'LECTRTCAL ;F INSPEC2'IC7N —_ SNAL APPROVAL Or CONSTRUCTI'pN A SSGNED CERT'SFTCATz OF OBTASNED FROM THE BUSLF OC UCPANCY MUST BE THESE EPARTMENT ,BE'Ft7R, PREMSSES ARE OCCUPIED! REMARKS: SNSP.0 —__ TORN OF QUEENSgURY BLtILbXNG AND CO17ES Z1li'PARTMENT .BAY & IfAVSLAND ROADS f?UEENSBURY. NEW YORK !'28L7S� TELEPHG'NE (518J 7.92-5,932 ✓ BUILDING INSPECTOR ' S REPORT REpUEST XIVSS W `TXON NAME R BCEXVE D LOCATION D7A TZ FE'RMXT # 'Ih APPROVED FOO-r-XrNG XEF.+S YS8 NO MONOLXTH C POUR FORMS FG1£7N2],�T2G1�/,D.AMP-P BACKB.ILL AapPROVA LRODFING Rory PL"UMS2SIVG ING �I RLECTR-rCAL R GF!-XN XNSU,LAT.ro4v FCaPUNL+ATXON FLOOD CEXLXNG FINAL XN^'F�TION: CHI.yNEY HEIGHT ROOFXN'G SIDXNG EXTERNAL PnRCHES/SamEP STAfRS-CLEARANCE & RAX l'LUMBXNG FXXTURES/z AL -r,VfERIOR TRIM/F.Rr \t'ALVE .� FXIVISHET! FURS i l CY IJOO I GARAGE F?FtE.PRC7C7F#NG DOOR CLOSHR (S) SMOKE DJETEC7'ORSr FINAL EIMP,,TRICXl Z ' FINAL XNSpZCTXON APPRO ,AZ OF CO3fWS2TRLrc7m roots A S.IGNS17 CERTXFI U82'AXNEI7 �- CATE OF OCCITPANCY ROM THE BUXLDXNG MUST gE THESE 'PREMISES A,RE bFs'PAI,'Ti�fENT +DCCL*P"21:.ii l BEFORE R'F IRKS: OF if III— XNS'PECTO,R T©3VN OF QiUEENSBURY YLDING AND DAY CODES DEPART�yLeN2 eF HAVrLAND ROADS QTJEENSB(aRY, 1VEW YORK 2280&z— TELBPHONB r52g) 792-5832 BUI I pIIVG INS PECTOR F S REPORT' RBQr�Es R rnrsPE NAME C2?C7N RECE I VE27 LOCATrON DATE � PERMX"T # FOOTSNG APPROVED /P�ERS .YES NO MONOLITHrC POUR FORMS�OUNIDATSOiV1DAMP' PRGOF?NG tAqffAClaprLL APPROVAL ., ROUGH PLUMBING FRAMXMG �~ ELECTRrCAL ROL*GIV—r2y rNSULATION: "OUIVDA 27rON FLOORS WALLS CErLrNG FINA L rN SP EC 2 SON CH Z MNEY HE-I ROOFING S-�D.LNG EXTERIyAL PORCHESf•STEPS STArRS•-CLBARANC.E & RArLS'+PLL7MBING FxxruR,�'S/RELrEF' INTERIOR TRX'M/PRIVACY r'ALVE PX tVXSHE'D FLOORS DOOR GARAGE FIREP.1�7�cING DOOR CLOSER SMOKE DETECO,gS FINAL ELE'C2,RAL 2NSPE FINAL APPROV L OF CTION CC7NS27RTJC2".IO�1y `�---- A SrGNED CERTIFICATE OF _ OBTASNED FROM T OCCUPANCY THESE p HE BUXZDXAVc DEPARTMEIVT T BE REMISES' ,ARE. OCCUPIED! BEFORE Cam" C..r TOWN OF QUEENSBURY BUTLDXNG AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEI ED _ NAME LOCATION DATE . J I PERMIT # ( C( APPROVED YES NO LOOTING/PIERS MONOLITHIC POUR FORMS L- VOUNDAT ION/DAMP-PROOPXNG �ACKFTLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-£N INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS ,STAIRS-CLEARANCH & RAILS PLUMBING FXXTU13PSIREZZEF VALVE INTERIOR TRIM/ IVACY DOORS FINISHED FLOOIj S GARAGE F IR E P FIND _ DOOR CLOSER ( ) SMOKE DETEC RS _ FINAL ELECTRI L INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT '.$EFORE THESE PREMISES ARE OCCUPIEDI REMARKS: tla4 � �� ' r .)� � -� INSPECTOR Y- TOW RY BUILDING C G AND CODES DE BUILDING AND CODES DEPARTMENT ,BAY & HAVILAND ROADS QUEENSBURY, NEW PORK I280+I TELEPHONE (538) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECE VED / ..� NAME LOCATION DATE n - ` PERMIT i#_ C7 APPROVED YES NO �OOTINGIP RS MONOLITHI POUR FORMS FOUNDATION AMP-PROOFING BACKFILL AP VA ROUGH PLUMBI FRAMING ELECTRICAL ROUG IN. INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL FORCHE /STE STAIRS-CLEARAN & RA PLUMBING FIX ES/RELI VALVE_ INTERIOR TRIM PRIVACY D RS FINISHED FLO S _ GARAGE FIRED OOFING DOOR CLOSER S) SMOKE DETEC ORS _ FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCT-TO A SIGNED CERTIFICATE OF OCCUPANC MUST BE OBTAINED FROM THE BUILDING DEPART NT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: V INSPECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP. M DATE CITY OR VI TOWNSHIP WuN1Y STREET CW PJV40 j ,� POLE NUMBER fi' /Jy�/F aEIWEE,dyJ ECHO SETS IS PRE tsegs LOCAM Poe BLOCK LOT OCCUPANT'S NAME BUILCMNG OCCLIPoI CMMNF]S 04 O ASS r �' HO LE �E E 7.7 CURE PPLIED aY IR OFFICE WORK TELEPHONENVMBER BOIL ING FS NEW OLD ❑ 'WORK IS NEW ADDITDONAL ❑ OEFrcm REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No_ of Fixtures & MOTORS HEATERS BRANCH OFFICE USE LGCa- Lamp Receptacles I CIRCUITS ONLY Don Side I Altach't CaiBng WWI R&OWIS Switch 13 TdarTt SI£Ckwt Na Type Na No. mh No. CAiauge INSPECTION OUT- SIDE SL1B- BASE MENT MENT 191 FL. FL. FL. 31d FL. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS El-eCTRIC SKM5AAMPS TOTILL CH4*140=TEFT OF WORK ❑ EXPOSED GAS TUeE SIGNITRAN^ar-TJ1'MAERS OF ❑ CONCEALED UME WORK TO BE STARTED UME COMPLETED gar OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFACTURER OF SIGN �—I IJ OVERHEAD L..I uNDERGROUND DATE INSPECTION REQUESTED ON (OR AS NEAR AS POSSIBLE) MUST ENTER M I I } V f IO00V4CXTK M NUMBER Powl I I f -LAYS BY GIVINIG EML AND ACCURATE INFORMATION. ALL FILLED 01 OR TION MAY BE RFTLU94EQ. PRINT NAME AND ADDRESS NAM PL NIT ,,ZOFTjrUGXUON STR �y TELEPHONE! ND CITY OFFICE LICENSE NO. WHEN APPLICABLE ❑ SS John Street ❑ 41 State Street L7 670 Delaware Avenue O 2I7 Lake Avers e ❑ 202 Arterial Road NEW YORK, NY 10038 ALBANY, NY 12207 BUFFALO, NY 14202 I ROCHESTER, NY id60ft SYRACUSE, NY 13206 THE NEW YORK BOARD OF FIRE UNDERWRITERS fi , 1 ro� lt�d 1 � f CJ s 6) tom' pi CC r 2_ Z _-f 4 C ) x t v VI C)o i i � . �-)ct� � . j . 2 � tr I l r ruFdo ya f r 1 r/ / 2 Lr �]�,�/ OF \ �'y� 1 �'^�iyp Sl�y] �� [��� rL� if I �'[._.P C? — \• LP /00 Zoning Adminislrattor I 0 t a' r 1711.