1990-385 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ` ntcCh, I 19 91
(*" . to) v _ (+2
This is to certify that work requested to be done as shown by Permit No. 90-385
has been completed.
single family dwelling
This structure may be occupied as a
145 Oak Tree Circle
Location
FRANCIS & JUSTINE LEMERY
Owner
By Order Town Board
TOWN OF QUEENSBURY •
Director of Bldg. & Code Enforcement
r`
BUILDING PERMIT
TOWN OF QUEENSBURY No 90-385
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to FRANCIS & JUSTINE LEMERY
OWNER of property located at Lot 145 Oak Tree Circle Street, Road or Ave.
"'family the Town of Queensbury,To Construct or place aSingle 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.
tri
1. OWNER'S Address is
8 Murdock Av
Ganes Falls NY 12801
2. CONTRACTOR or BUILDER'S Name
fv
Raven Industries
3. CONTRACTOR or BUILDER'S Address
58 McCormack Dr
Queensbury NY 12804
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address ~`
0
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6. TYPE of Construction—(Please indicate by X) "3
CD
CD
(x)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
A
No.
75'x32' Single family dwelling as per plot plan, specifications and
application; including attached two-car garage and septic system. rn
8. Proposed Use
Single family dwelling
I
$ 264.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 20 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.)
aq
Dated at the Town of Queensbury • 20th Da of June 19 90
SIGNED BY for the Town of Queensbury
Building and Z ing In ctor
TOWN OF QUEENSBURY
REVIEWED BY
11< h) FEE PAID $ 6at c®
v*-.3, PERMIT NO. CeO . 3 5
EE1\. .,.,.\
...via OF QUA
BUILDING PERMIT APPLICATION LIDINMYN
Li-
JUN•151990
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. 68I85lv8C8 DEPT.
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
The owner of this property is: - s' v.— 7e_ L�Pi�>,ze'..
P.O. Address 7.— !�07‘..,
,-G �v"e— Tel. „„7, ` Z�
Property Location / 15--- daZ )/ C Tax Map No. g3/ / /i(
Mom` /fib
Has there been any split of this property since October 1, 1988? / srk/#
If yes Planning Board Review is necessary. yes "
J /01 -
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SUBDIVISION NAME, IF APPLICABLE 7 LOT NO. /cjl�
THE PERSON RESPONSIBLE FOR.,SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
*
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF •
_renstruction of a new building * CONSTRUCTION: .$ //S Q��
Addition to a building _ * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property 2 33 ft x -2- �t.
Alteration to a building * Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) - *
Proposed building - distance from property line:
Other work (Describe) * Front yard 32- ft. Rear yard -V ft.
*
Side yards )Z ft. and ZQ• ft.
*
GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street 3? €t.
1st Floor sq. ft.17�1 �j
OCCUPANCY INFORMATION
2nd Floor sq. Mole- qs Primary B ` ing -
Other Floors sq. ft. P / ne Family Dwelling
(not cellar or b asme ent �(*'T Two Family Dwelling
TOTAL FLOOR AREA /, 9'sq. ft. * Multiple Dwelling/Number of units
Size of new structure �S'ft x 3� ft. * Business
(Foundation-pier/slab/crawl/partial * Industrial
(circle one) - * Other
No. of stories (habitable space)
Height (grade to ridge) `X---?. - ft. * If addition, what will use be?
:f residential, no. of families / * .
'No. of rooms(excl_uding baths) - *
Accessory Building
No. of bedrooms * _Detached Garage ONE/TWO Car
No. of bathrooms Z *
[Primary heating system /5g/j
21� * ached Garage ONE 4 WO
Type of fuel 6y * __Private storage building
No. of fireplaces to be installed /`-- *
* __Other
'Willa wood stove be installed *
�'
Central Air conditioning .,�/__ _--
OV*ER
Y
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, ood frame fire safe, etc. �/7
Will any second-hand or upgraded lumber be used? If so, for what?
Foundation wall material �l� /�rf2 Thickness
Depth of foundation below grade (to bottom of footing) 6<-4
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
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 - , o. at/shed/other Material of roof �
Size, wood studs Z "x p " spacing " o.c. length cft.
Joists (floor beams) 1st floor 2"x6E " spacing 0 "o.c. span �6' ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams). "x " spacing " o.c. span ft.
Roof rafters -'x an ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish �, �,- of what material?
Interior wall finish S' �/,� � �J -- sj •
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
1 /
Is there to he an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft.,in.
Water supply - Municipal or private well v G���L
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties
(A separation application is necessary for any repair or new installation of septic system)
NAME OF BUILDER �� --1CADDRESS � ��% TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN Vir ADDRESS TEL. NO.
1,
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
`lens 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
Kll other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
ouch work is authorized by the owner.
Signature
Owner, owner's agent, architect, contractor
iPECIAL CONDITIONS OF THE PERMIT:
BY
TOWN OF QUE `1S5Um
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 . -
2 . Type of heat . CT f5 rifi
3 . Is the building mechanically cooled? •
9r
4 Percentage of area of windows and doors
A. Over 16% Only -i_itavL.7 do CODE
1 . Uo value of gross area of walls , roof/ceiling and floors
• exposed to ambient conditions
•
2 . Floor over heat•.d spaces YES NO
a. Are foundat on walls insulated? YES ' NO
1. If YES , what is the R value?
•
3 . Slab on grade 'YES : NO `
• a. If YES , wh .t is the R value of insulation. around
perimeter of floor? •
4 . Is basement heated? YES NO
- a. R value of insulation
5. ' Type of insulation
•
B. Under 16% Only •
1. R value of roof and, floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area ���y - �G -'
4 . R value of doors / iU S �
•
5. R value of floors over unheated spaces -
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
10•. Type of- insulation • .
C. Controls G
1. Thermostat maximum heat setting
D. Duct Systems
1: Is duct system installed in unheated spaces? NO
a. If YES, R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cdd4ing carrying , agent pipe
2 . R value of pipe insulation
F. Service Water Heating V
1. Performance efficiency
2. Temperature control setting maximum /%25-
G. For Swimming Pool Only
1. . Maximum heating
Telephone No.
(applicant ' s signature) •
TOWN OF QUEENSBURY
APPLICATION FOR
SEPTIC DISPOSAL PERMIT OF
JUN 1 5 1990
DATE BUILDING & CODE DEPT. •
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: Telephone:
Address: !/
Installer's Name: G ����/7' ' Telephone:
Number of bedrooms (residential only)
Total daily flow (compute Cd 150 gal per bedroom) YS��
Topography: Circle one: AM Rolling Steep Slope % of Slope
Soil Nature: Circle one: Loam Clay Other /Depth:
Feet
Ground Water: At what depth? ,��G � Feet
Bedrock or Impervious Material: At what depth? /��,u .Feet •
Percolation test: Circle one: not required required rate s min. inch.
Domestic water supply: circle one:dieW Well Other
If domestic water supply is awel
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank Q gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trenc t/T al system length feet
SEEPAGE PIT(S): Number each /feet b Size y _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 San' Sewage Disposal Ordinance.
SIGNATURE OF RESPO SIBLE PERSON:
DATE: ���'��(
OVER
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Septic -System Inspections:
A. �ll ap9licaiooa for septic system installation, alteration or repair,
~��b` req��r�d't b ` cbe Towo of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department: at least 24 hours before start
of cuuacructiou and shall -include o plot plan showing:
^ l.} ,tbe 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 drywelIa
� `
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 oyacem by the installer and u fine
of up cu $25O.U8.
'
'
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot' pldn at. cime of loapoccioo may '
reoulc in an iouuedioce work stoppage. `
D. Should unforeseen problems during construction prevent propmr. inscalla—
cioo, alteration or repair of an approved- system; a new proposal must
be submitted to the Uueeoobury Building Department before further
construction.
'
Town ofQueens-bury
BUILDING and CODES DEPARTMENT
Bay 'and Banilaod Duu6o
Oueeo,sbury� New York 12804
,
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TOWN OF QUEENSBURY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date 19 Permit NO. 92-3 3
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 /!��/' ._Gs ,-,'r s APPLIANCE TYPE
Stove Coal Wood
Address .fr Furnace Hot Air Boiler
,� f Zero Clearance �--`� Circulating Unit
/ -4 ZiP
Phone z If Non-Masonry:
Owner's Name
Manufacturer /
Address • Model Outlet Size
Zip Listed by Number
Phone _ z�
CHIMNEY TYPE
Masonry: Block Brick Stone
Property location of Eroposed construction Flue: Tile Steel
Size:
Factory Built:
Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $
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
A173 3389 (190)Public Safety
A233 2655 (230) Minor Sales
i%
',Collected f or Refunded to: /X.!`,e ,�"�,�>�1,..�/2./.�,d
Address:
-
Dated: /. /gd Town Clerk or Deputy m r-A 0‘
-�
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While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED ,--,
TEMP.# DATE r '4 --' li
CITY OR VILLAGE ��,{/> J TOWNSHIP • • /COrUN�yy
Lis` �Y /-:C D•s�-' (/2"
STREET AND NO OR R D T �-- % POLE NUMBER
r / /V S� ---t-, -J r,--e. Cam-/1 ' /T-/ € ..1':/l-S
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANTS NAME /'`-" / BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER - � ?
/— i<.;-,, G/ �,-i-r�/ -- 9. %G:-4�iJ .sir^ liz'
CURRENT SUPPLIED BY esf. ��F O THEIR OFFICE WORK TELEPHONE NUMBER
ff i'
BUILDING IS
NEW IS OLD❑ WORK IS - NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED '
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS • ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No., Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE-
MENT
1st
FL.
2nd
FL.
3rd
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 ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) DENT F CAT AN NUMBERS I► I I I I I I.
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLI T f DATE O APPLI ION SIGNATURE, FR,12GigN-Y
STREET ADORE.6 � 9 ._..- -. TELEPHFFO
'� .o/� lI �r '-- c 2—3�
CITY OR P9ST OFFICE ZI CODE LICENSE NO.WHEN APPLICABLE
-_--- ❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
TIFF NPW YnRK RfAR1) OF FIRE' UNDERWRITERS
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tt..?.!...s*.i.)..t.,...1,?.."-1,,!..?!."-s.T.e..4.4,.?...,".)..,(ki.. ..4.".1.-1,!,"- -1.!..1,!..?.?..,?...19,!.e.14..!.. -",),..!..),?...."!..1 -1,P,,?...",...1,?.."..1,!..1.•.).,e.)...!.).L.•!.. -".).•!.e?-A.?.,..?.."."-?.!."...‘,.!...,"?-1,!...??:-7,;
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THE NEW YORK BOARD. OFF.IRE UNDERWRITERS l'iAGE 1 .
:::{,. •-•
F. i.4 1186503 BUREAU OF ELECTRICITY .
A.- -
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41 STATE STREET,ALBAN NEW YORK 12207- • • ..
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Date
i Application No on file„y 45 6 90/,-90 . . 1 THIS CERTIFIES THAT PERM:11' NO. 90-3i.V.:.
"k. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of :.1"
..,,
.....s, f,
...-,,: FRANCIS LEMERY, 01!f TREF, CI RrLE, 111.1.)1, ,F.I‘I EI ILLS, QUEEN SBURV,
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, in the following location; 12LI Basement L2.1 1st Fl. Li 2nd FL GAR • Section Block Lot 145 ....ii.
was examined on f1ARCII 07,1991 : and found to be in compliance with the requirements of this Board.
- -1,
FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :sip
OUTLETS ECEPTACLES SWITCHES
INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. K.W. AMT. H.P.
'..t. ..<' ANT. 1.1 ei
E.: lie.,: . • ''ii E
f. ii• 48 53 43 16 ,-)
.:. - . 1- . 5 . . • ' ' 1 • 1 .53 F , ,...
- --v
- -e
< DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS •ef:4
2 iiP SYSTEMS
AMT.' K.W. OIL H.P.. GAS H.P. AMT. NO. A.W..G. • AMT. AMP. AMT. AMPS. TRANS. ANT. . H.P. NO.OF FEET AMT. WATTS 'zIti Ej
. ,
I. F
3 1. 1 600
.... ..'l .131
-
• • .1 Eg
!..„ SERVICE DISCONNECT NO.OF S . ' E R V I . C E • :).-.
-‹. METER
P. AMT. AMP. TYPE wimp. 1 if 2W 1 XI'3W 3/I 3W 3 If 4W NO.OFpEiCiCOND.
OF t '.lAND.. NO.OF HI-LEG ONT-a NO.OF NEUTRALS d-aam
ip .__
..„ .,,
..i.
.1 ,00 CB
-4. • - 1. X 1 4/0 1. 2/0
OTHER APPARATUS:
• ,
....: ...6
-it fa
2 1;4 PADDLE FAN-1
= -v :!-..411
MOTORS:1-3 H.P. . • I . .. '
• .,,, •1,1,
--.1: G.F.C, I:--G
= .. ,., • .:-. -~r1
SMOKE DETECTOR:-1 "
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:la g
:..... iii, . , •,-,, =
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ii,,, . •
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...,, •
•...„ . .•
RAVEN INDUSTRIES kkcru.77.e .ii
...(, ,
HAROLD RAVEN
- • . • • .
BRANCH MANAGER .1.1 ii, 58 MCCORZ.IACK RD. , . ,
. ... -
LAKE P GEORGE, NY, 1 ,,,
2845 • • . • . er 239 i.4, i 'k .,
= -<, I _.:*--
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.4. : This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. :'..:
'ft' ii-iir-74?-4-cielelei-lelei-isi..4crie-ielai-7.7eigi-?. ffiffinliftiliftile !I MEI !I !SOMME! !I a cam INEI WI CI a a lamin a ei a a a II MEI t1 fl k*; -5- e.....
COPY FOR BUILDING DEPARTMENT: THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
is
4
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR SPECTION RECEIVED q7-6��/
NAME J �1` I\. 9)441Aly-Ei
LOCATION „,
DATE PERMIT # C c .1 :.1
, �`r APPROVED
6tJ YES NO /
FOOTING/PIERS
MONOLITHIC POUR FORMS '
FOUNDATION/DAMP—PROOFING ':
BACKFILL APPROVAL
ROUGH PLUMBING •
FRAMING
ELECTRICAL ROUGH—IN ' /
INSULATION: �•
FOUNDATION
FLOORS i
WALLS
CEILING
FINAL INSPECTION: /
CHIMNEY HEIGHT /
ROOFING /
SIDING /
EXTERNAL PORCHES/STEPS /•
STAIRS—CLEARANCE & RAILS •
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY/DOORS
FINISHED FLOORS /
GARAGE FIREPROOFING/' •
DOOR CLOSER(S) /
SMOKE DETECTORS /
FINAL ELECTRICAL INSPECTION
_.FINAL APPROVAL OF1CONSTRUCTION '
OK TO ISSUE C/O OR c/c
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM 1HE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!.
REMARKS:
Ne
0/„(
•
•
• ARRIVE /� /,
DEPART /))//J 9,'�d'�`G111
• INSPECTOR
02.'Vtt
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIC
REQUEST FOR INSPECTION RECEIVED
MANE )- 4x -
LOCATION tzz
DATE - I/ C1 / PERMITf ! O g 5
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES a NO
REMARKS
APPROVAL
N/A YES/NO
CHIMNEY HEIGHT/LOCATION ✓
B VENT/LOCATION
PLUMBING VENT
ROOFING r f/
SIDING ✓
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING ,;'
BASEMENT INSULATION/DUCTWORK; foi
INTERIOR TRIM/PRIVACY DOORS;
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT .:'
OTHER FLOORS SWEEPABLE , -
OTHER FLOORS CARPETED /
STAIR CLEARANCE/RAILINGS d
HANDICAPPED ACCESS
SMOKE DETECTORS J
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE PROOFING dj
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS:
DUMPSTER
FINAL ELECTRICAL!
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE
DEPART doe-
TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME -to
LOCATIONV/444,41i
('� �
DATE / /'4/ PERMIT # ge, - 3015
APPROVED '
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: I
FOUNDATION
FLOORS
WALLS 41?
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING }
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE: & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)'
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ARRIVE
DEPART I/ y�
INSPE OR
(L9A)
•
awn o/ Queen.iturj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME P -eA!V •
jj � ,-
LOCATION 06 4- J .5 —CZ k --(v.Pf2.0�
DATE /_ PERMIT NO. 90
SOIL TYPE - Sande Loam - Clay -
Percolation Test Rquired? YES - NO
Percolation rate - Van/Inch
TYPE of SYSTEM:
Absorption field leng
Length o c trenc
De of trenche
ize of gray 1 •
_
SEEPAGE PITS4Number of)
Size- 5 ft. X f
Gravel size , - -
PIPING: Size Type
Bldg. to tank PcJ'c�
Tank to di . box zf (Ire
Dist. boy£ to field/pxt L(
Openings sealed? 4100 NO Partial
LOCATION/SEPARATIONS]
Foundation to tank /7ft.
Foundation to absorption ?p- t.
alb
Absorption to lot line l� f
Separation of pits .. J. ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - - Left side - Right side -
COMMENTS:
•
•
SYSTEM USE APPROVED ktil NO
•
Bui ing Ins ctor
•
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
•
REQUEST FOR INSPECTION RECEIVED /-��:h/�
NAME ?(Atti-Trz/'��/,/f /�l 4, )1LOCAT 7 `r�
DATE ARA/4) PERMIT # 5?1�, 51,6-
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING f
BACKFILL APPROVAL / •
ROUGH PLUMBING\•, 1
A FRAMING
ELECTRICAL ROUGH-IN "
INSULATION:
FOUNDATION
FLOORS .\ .
WALLS
CEILING l 4 ' "
FINAL INSPECTION, \
CHIMNEY HEIGHT( \
ROOFING / tt
SIDING 4
EXTERNAL PO1CHES/STEPS
STAIRS-CL 'RANCE & RAFLS
PLUMBING , IXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHES' FLOORS
GARAGE ,'FIREPROOFING i •
DOOR !-LOSER(S)
SMOK D,' DETECTORS
FINAL LECTRICAL INSPECTIO ' "
FINAL/'APPROV AL OF CONSTRUCTION
OK T4 ISSUE C/O OR C/C
A S GNED CERTIFICATE OF OCCUPANCY MUST BE
OB AINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
ARRIVE / -
DEPART ` G
• INSPEC R
' _ wn of Queenitury
` BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98/ 7
Queensbury, New York 12801
SEPTIC DISPOSALL SYSTEM INSPECTION
NAME , 4Ct,'�-r%oC» `.!_L,f- 7.t✓-72-,/,. nyI'Ylri'/LG�,
O
LOCAT I ONXOV /-/,"51 /�r0 ' /4/..e. C C/e
DATE /'7 / ' I) PERMIT NO. /C%` ,5
SOIL TYPE - :nd - Loam - lay -
Percolation Tst Requir ? YES - NO
Percolation race - Min nch
TYPE of SYSTEM:
Absorption field, total length
Length of each tr:= ch
Depth of trenches
Size of gravel_ _
SEEPAGE PITS4N .er,of) •
Size- ft. _ t.
Gravel size
PIPING: Size Type
Bldg. to tan
Tank to disc. box
Dist. box t. field/pit
Openings s:;aled? YES NO Partial
1
LOCATION/' PARATIONS:
Foundatio, to tank ft.
Foundatioi to absorptio ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
ISxPas& P1p -roA/
flPrt-L filj S AJ W-i- 'L _
Ald Co 'A cc-t o AJ I WM 16(1 ` --
SYSTEM USE APPROVED YE /NO )
B ding nsp ctor
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS �M
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 7t2-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /�g 9�!
J
NAME4. j/ J a4
11
LOCATiolO_ 1/ /
DATE 7,44M) PERMIT it
IAPPROVED
11 YES NO
FOOTING/PIERS
MONOLITHIC POUR ORMS
XFOUNDATION/DAMP- ROOFING I
BACKFILL APPROVA1 S
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-,£N 11 .
INSULATION:
FOUNDATION
FLOORS i
WALLS j
CEILING A
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S'L'EP
STAIRS-CLEARANCE &\ ILS
PLUMBING FIXTURES/ LIEF VALVE
INTERIOR TRIM/PRIVA Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFIN
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL I SPEC . ON
_FINAL APPROVAL OF ONSTR}7CTION
- OK TO ISSUE C/O O C/C 1
A SIGNED CERTIFI ATE OF OC'UPANCY MUST BE
OBTAINED FROM T BUILDING EPARTMENT BEFORE
THESE PREMISES RE OCCUPIED..
REMARKS:
.•
•
ARRIVE /, �/
DEPART 44 U /
// INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /J
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- D�
TELEPHONE (518) 792-5832 J
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED A/iZ,Z/ 9.
NAME Llriflr�t 'y& C/—J 1f'
LOCATIO - /r'7�.15" (/ Ci J,� P✓ l�/J?C�P�
DATE 6k2/W PERMIT # 9G' — I
APPROVED
17116- 4 VI I/` 6 YES NO
1C FOOTIN /PIERS 1 t
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PRQOFING
BACKFILL APPROVAL . .
ROUGH PLUMBING
FRAMING '
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION d'
FLOORS
WALLS )<
CEILING F . . /
FINAL INSPECTION: 1
CHIMNEY HEIGHT
ROOFING
SIDING s A/
EXTERNAL PORCHES/STEPS . . . I'
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS 1 /
GARAGE FIREPROOFING ,/
DOOR CLOSER(S) r�
SMOKE DETECTORS . ' •
FINAL ELECTRICAL INSPECTTON
FINAL APPROVAL OF CONSTRUCTION . . .
OK TO ISSUE C/O OR C/C 14,
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!.\
REMARKS: / <
/
,• \g)V2()
OMCF-
ARRIVE ( 1
DEPART L`L7
INSPECTOR