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1989-688 CERTIFICATECJ . OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date June 26 1490 Q7- VV This is to certify ytthat work requested to be done as shaw�tt by Permit No. SJ has been completed. 'Isis structure mayl be occupied as a - Two Familv Dwelling SM0 Mel Left Side- Side A iocatior► John cifone Jr . Owner By Order Town Board TOVN'N OF QUEEN SDURY Director of Hldg. & Code Enforcement +CERTIFICATE OF C►�GT�..TI"�.N+C� TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 26 lg 90 i I i 89-688 This is to certify that work requested to be done as shown by Permit No* has been completed. This structure may be occupied as A Location Lot 18 Smoke Ridge Road (Right Side-Side B) John Cifone Jr. Owner By Order Town Board TOWN OF QUEENSBURY i Director of Bldg. do Code Enforcement i BUILDING PERMIT " TOWN OF +QUEENSBURY Na. i a WARREN COUNTY, NEW YORK n l r l� PERMISSION is hereby granted to John Ci fone Jr . OWNER of property located at I_nt 119 '_Smoke Ridge Read Street, Road or Ave. in the Town of Queensbury, To Construct or place a Duplex -Two Family Dwel 1 i ng 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. t. OWNER'S Address is 1rt� XX P . 0 . Box 684 c Glens Falls , N . Y . 12801 2_ CONTRACTOR or BUI LDEWS Name c Self :;M 3. CONTRACTOR or BUILDER'S Address Same r- c7 4. ARCHITECT'S Name cn c S. ARCHITECT'S Address A.0 t7 S.i 7 rn 6. TYPE of Construction — {Please indicate by 7t} J(X) Wood Frame ( ) Masonry ( l Steel { } v 7. PLANS and Specifications No. 1708 sq . ft . Two family dwelling as per plot plan , specifications , and application , including septic , attached one car 8_ Proposed Use gat age , and drivewiay . c� Two Family Dwelling rri $ 215 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April --- 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 Queensbury before the expiration date.) Dated at the Town of Queensbury this Da $ tember 1989 SIGNED BY for the Town of Queensbury Building and 2oni I napector '7"C]►WN OF QUEENSI3URY APPI. ICATTON FOR tsurL`br )-IG AND ZONING. PERMIT Pa ce- F.cc.Leu 'TOWN OF QUEENSBURY Coe �� Revs d RECEIVED �� F4 � v � AUG � {, 198�J Fee Fsud fi t -�, IWILDINC AND CODES UEPARD ztiv:P. Vate 7b4ued BLDG. & CODE DEPT. FLAY and IIAVILAND ROADS RD 1 DDx 98 '1 0LlEENSBVRY, NEW YOJRK 22804 PeAns-it No . TeJ . (518) 792-5832 Ewe •20A _ . •• r '!• a a a * •la i j * a rt K 0 F s * a a a a r a r a a a s a a r a a a A PERT-11T 161UST D11 OBTAINED BEFORE BEGINNING CONSTRUCTION * NO INSPECTIONS VILL Bi: HADE UNTIL API'LICATIT HAS RECEIVED A VALID BUILDINC PERMIT . All applicable spaces on this application must be conlpletod and the * i la t * r of * the * ;gy p * ijai At Ili* SA ]t car on * reverse * s slso * O haicS �lcs �*e* tom The owner of this property is !r ,� „�' �/+ � 1/G�• �r t, . O Address "/f'!� C)� E IL i �cY'� ---- ! Ho .•�'2 S'�" :'`- roperty location rCC 7-- L�? -;V Z LG /dry'fyOa4e�:7 TAX MAP kias there been any split of this property since October 1 , 1988 ? It yes , Planning Board Review is necessary & yes Ito SU.00XVISION NAME , IP APPLICAftLE LOT NO . The person responsible for supervision of work as regards Building Codes is : NAML P . O . ADDRESS TUL . Hoe liame of builder rrGWk, C��nS.��i�Acldress T p 1130L G 5'hF Tel iv4e N"me of Plumber �►rYh.�..,� [1°✓7'h-S! c"�'�'1*:c3drf:ss r r r � Tel ? r • + Name of Mason ��; .• c cr�r �s Addrass ! . - emmmmmma Tel rr • , ts.%TuRe or PROPOSED 601ZK : ZONING INVOItfLATIOM ( CD.r.flca Liao Only ) Zonnstrucrior, of a 114w lauildin+l # ZONING DESIGNATION OF PROPERTY AAddicion to a builaing ` PERMITTED PRINCIPAL PERMITTED Xk=EBsORY ltur:ation to " 6uildinq faao c4"ngw to excurior cliananzion. ) or REVIEW REQUIRED PLANNING BOARD ZONING BOARD Ochar work fi1.DSCYila.sl SITE PLAN REVIEW # APPROVED DATE ckOSS ARLiA OL' lfROPOSE06 i;T14,UC'Cl! '1 V " VARIANCE tI APPROVED DATE 1st Floor Co sq ft Remarks - . ' 2nd Floor ZL?-P sq ft , � COwLa[.L•'Y'L: . IWGI,:PtA ITN tu:QgJI14UL1 I4VLAwQ0 other Fl4arfi sq fit + Si4Q of proi.,urty� .Z42V r ___ft x e ; Z's ft . lnoc : +� ll ;ar or bos .:u,unty "isC1A4zj lauit,liia•] � ::3 Si::u fC % aa . r TOTS% ._.' f•LOOR AREA�1 7 0b sq f t . " ux"Cillu Duilr. inu t; ) ut:.s . izs uc nGw structure ft k ft t�caoa,d:ation-piarfslaL/crawl/tyarci :al/ tall ' Pxopoz;ucl buildinq, diuc;Ancu iron, prul.�- :rty l.inu (circlu opt, ) , Front yard Ft Rear yard ft Na, . of .storiraa (twlgic;Ablo zpace) v . Front SidQ yard«: i t :and ►t it11" rot deltaic Co ricioe 2 ft * ; If on coradr, uutback frogs S144 acr"G CC tC ro::iduntial , no . or' faanilies � Hoe of roowxt.excluding "th:a) =7r,... '' OCCuPAP4CY 1NFOf*m3AT1ON _ 1100 of trudrooaaas — _ Me No* or batltrooksts .r ` I'1tt}t�°aRY LsUxLDiNC: t+ritw;ary taa:JCIa,KI a;y;;� _._ � �, +► -- ;Ono fagii.ly dwelling �`r+'. r'/L= . ='wo r:uai.ly dwui]. 1nrt '1'ylaar of f uc 1 Noe of firc1alacos to lac: irt;mullud c� +► ,Permanen alwulling y NutWacx` of waits Will :a wuud iLOVaa t+u if&Ut, allud? . Permanent nt occun:aiacy /�^^ •L•r:an::i�rraC OCCup:at,cy C ontr:al Air coxidlcicmifsg7 13tf81hGeSs f, UILDtNG STYLC, PRIMARY STRUCTURE * ' Inatuscrial I"84cta Cont. ,+xi r..ry Lc.c c:,Uirt r Othar 1:.aisi:d ranch K"nmaivaa "`Dui�lc:x R 1f .additicsn , wt+ut will u::u bu3 ss131it luva:l Diet scyla .slaw '" a::ayau Cod cott:ag4 OclaLar ACCLSSORY "UILDINC-• Coioni" Row Tows, House ` LU - cactbed yirs.cl+cl two r cr ( CIRCLE' Otr1l: PLEASE ) AGtactf,:d gar"" CAW Cis two � • ■ • w i a IN * a . a a • a Stt]riage b0llding E ." TxMAZ' tiA MARKn6j• VAI. ue OF 0084 :r•1' 1i1.IC't xG1r1Z? 1NFOl04ATION ON UUTL.OTNC spCCIPTCATIONS , ON REVERSE: sloe of 'rttIs 4MIE 'T, TO ELM COMAL.A:-Ta.4j1 Form DPA 10188 v2 'YnO tir BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? . .�, Foundation wall material�061~ Thickness 4!7- rr Depth of foundation below grade (to bottom of footing ) Will there be a cellar? ef� Heated or unheated? Floor sq* footage sq £t Will there be a basement? t Will any portion be used as living space ? ( If so , what por�t_a.Qn.�- sq . ft . -- - Type of use? ,+9 Type of roof sic sloped l�at/shed/other Material of roof_ Size , wood studs_ '•X...Ale. -^ spacing"o . c . length e;P.TTt. Joists ( floor beams ) lst . floor "'x " spacing "'o . c & span ft . Joists ( floor beams ) 2nd , floor 7 '"X Cam " spacing. /�"o _ c , span_ ael ft . Overlays (ceiling beams ) "X " spacing *'o ..„ span ft . Roof rafters P ,I "x ZO '" spacing o . c . spars_20�z.wft . Roof trusses (pre-engineered) spacing "o . c , span ft . Exterior wall finish +� if✓ , Of what material? Interior wall finish If a garage is to be att shed , describe materials to be used for FIRE SEPARATION ; Is there to be an opening between garage and dwelling?� e' if so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? _ e Height ve roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hear th_'eL&-f t . in . Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well. ( including adjoining properties ft , (A separate application is necessary for any repair or new installation of septic system) DEC LA RATION To the best of my knowledge and belief the statements contained M this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. op Signature Owner, owner's agent, architect, Contra r SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSRURY e? wo/ " WARREN COUNTY , NEW YORK Application .fort 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 / 7C7 2 . Type of heat Ids, 7r 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doorsy �/T4� _. A . Over 16 % Only 1 . 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 1 . If YES , what is the R value ? 3 , slaL on grade YES NO a . If YES , wha J. a the R value of insulation around. ,perimeter of floor ? 4 . Is casement heated ? YES NO a , R value of insulation 5 . Type of insulation B . Under 16 % Only 1 . R value of r of nd floors exposed to ambient conditions 2 . R value of exterior walls - / 3 . R value of glazed. area 4 . R value of doors. 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab, 7 . R value of slab insulation -- heated t, iab Z401 $ . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement/ cellar walls ( below grade ) 10 . Type of insulation + i�. f< C . Controls Thermostat maximum heat setting }�r� D . butt 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 . P � Ving Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of ,pipe insulation • Service Water Heating 1 . Performance offisien � Ae Temperature control setting maximum G . Fcsr Swiisimin, Pool Only 1 . Maximum heating Telephone No . ( pplicant ' s signature ) awry a QttE'era3hurt� BUILDING and ZONING DEPARTMENT Say and Haviland Road, R.D_ 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner ' s Name_ - -ram' + Cs' G .°,I� Tel Ad d r e s s � , Person/Firm installinv system. f , r 1 ,Z Number of bedrooms ( residential only) Zf Total daily fl ( compute @ 150 aal . per bedroom per day ) _ 4;&' , r r Topography fla - rolling - steep - ( circle one ) Dearee of slope Nature of soils : , san loam-clay- other- Depth ft . Ground water-- at what depth? f t . Bedrock or impervious material --at what depth? , r ft . Percolation Test -c ftiTot recruire Required -Rate min/inch . Domestic Water Suppl - Municipal - Well - Other IMPORTANT ! On a separate piece of paper , submit a diagram of the proposed septic system with all dimensions ; including distance from any structure , distance from property lines and distances from any domestic water supply or shore - line of lake , stream , pondoa, wetlands . include all dimensions of the system itself . Description of proposed system : 1 y Septic tank size ,� vO gal . + Tile field- Length of each trench eV ft . Total field V ft . Size of stone # Seepage Pit ( s ) Num er / Size ftx_ ft . Size of stone# - i Any contractor , corporation , individual , Etc . , engaged in the construction of a Sanitary sewage Disposal system , who covers the J same before inspection , does not have an approved Permit , or varies from the approved application , will be subject to a Penalty of $ 250 as provided for in Section 6 . 010 of the Town of Queensbury Sanitary 4Ii Sewage ordinance . Signature of Applicant Date f i 01 / 86 and /vl ` i• TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT DAY & HA VILAND ROADS'' C)uEENSBURY, NEW YORK I280+2 TELEPHONE . (5I8 ) 792-5832 ILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED r NAME Z,OCATIO DATE %�.'� PERMIT i�i ' APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR ORMS FOUNDATION/DAMP- ROOFING BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I INSULATION: FOUNDATION FLOORS WALES CEILING FINAL INSPECTION: CHIMNEY HEIGHT `~ ROOFING SIDING EXTERNAL PORCHES/STE STAIRS-CLEARANCE & I _ PLUMBING FIXTURES/RE IEF ' YALVE_ _. INTERIOR TRIM/PRIVAC DOO FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INS ECTION FINAL APPROVAL OF CO STRTJCTTON OK TO ISSUE: C/O OR �C A SIGNED CERTIFICA OF OCCUPANCY *UST BE OBTAINED FROM THE UILDING DEPARTM T BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ARRIVE -Z INSPECTOR Toivfv l-Z4D OF BUxLD QUEENSBURY SNG BAY AND CODES DEPARTMSN2' & HAVSI ANIJ ROADS QUSENSBURY, NEW YpRfC TELEPd,�C7NE (.SIB J ?92- 832 y' ..• BUILDXIC rrr REgUR xnrspEc S7, Fo'R PE{'TpR r REPORT 2�x NAME N RECExu�D 1,r ZCCATxON DA 2'E P�RMxT # Foo27x,vc/p-rzRS APpj?O "ED MdNd -rcYES Nd POUNDA2+ j UR PORMS BACICFx AMP-PROOF G. LL APPROVAL ROUGH F"LUMBTNG FRAMxNG LECTRTCAL ROUGH-xly xn+.sur,ATxdN: FOUNDATxON FLOORS WAZZS cExLxNG FxNAL x'ti'SPSCTTdN: CHIMNEY HEIGHT ROOF SNG SxDxNG SA � xORCHESjS2'EPs SZAZRSAxRS-CLEARANCE .F RAx P�MRxNG FS x{TURESjRSLx VALVS ERxOR TRS1y1PRxVACY PxN.ISArED FLOORS P GARAGE FSRFsPROOFDOOxNG S RR czos4BR (g� DE2'SCTpRS FxNAL SL FxNAL SC2^RxCAL xNSP C"�xON APP1gpVAL . OF C?I{ TQ TSSUR p OR C© T4RUC c A SxGNED CER- - _ O$TAxNSD gRd I F I CA dF pCC U TFiSS.E F'RE M 7'HE ANCY MxSE.g UxLbSNG „p PA MUST BS A OccUPx RTA ISN2' .BEFORE SD�' RSMAR.Ks: ARRIVE DEPA �/fJrf�v" Z xN TOR TOWN OF QUEENSBURY .BUILDING AND CODES DEPART,F}EjVr BAD' 6 HAVILAND ROADS QUEENSaBURy, NEW YORK 12801. TELEPHONE (518) 792-5632 B UIMING INSPECTOR ' S REPORT r REQUEST R INSPEC!rION RECE'SVED NAME f, LOCATION DATE 1' PE'RNIT ## _ APPROVED FOOTIN fPIE YES NO MONOLITHIC UR FORMS FO'USDA47ONf P—PROOFING .BACI{FILL APP VAL ROUGH PLUMBI FRAMING ELECTRICAL ROU H—IN INSULATION: FOUNDATION FLOORS WALLS CEILING CHTNNEY HEIGHT ROOFING SLUING Lam^ EXTERNAL PORCH.ESf EPS STAIRS—CLEARANCE & I ,S PLUMBING FIXTURES/R HP VA INT$RIOR TRIM/PRXVA DOORSLVE E'7^ FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INS CTX N F2'NAL APPROVAL OF CO STRU zoo OK TO ISSUE C/O OR C A SIGNET] CERTIFICAT OF OBTAINED FROM THE B ,T OCC ANCY MUST BE THESE PRENISES ARE LDING D ARTMENT BEFORE CUPIED t (Y ARRIVE_ ,el DEPAR INSPECTOR — —�— THE NEW YORK BOARD OF FIRE UNDERWRITERS I' _, F i . , ] BUREAU OF ELECTRICITY ' 41 STATE STREET, ALBANY, NEW YORK 12207 Date [ .4ppsicution ,y/yy�y��yVo�f 1.V on file 'y -1 F ' �' ~' .I lei'.. • V ,' F . ' , , - I ;''. 'I- , , I. ! , ! i THIS CERTIFIES 7HA"T (Qj/��[ � V only the electrical equipment as describers below and introdbaced by the 4mNolipant nonrated on the &bosm application number in Lhe premises of 7'1+ ' '( ( { � ��}q }� T� F' I I"; I_ 7 rn: I ' f' : 1 . in the]osloaax �`IrJrcia'linn; `LJ Baaement ;, Iat`FIi. reel FT. Section Black Lot was examined an *; .� !. oriel founud to be in coTmpliance with the requirements of this Board. F&XTU1IR FTACLES SWITCHES FIXTURIFS RANGES COORtfICi DECKS OYENS DISH WA$HE3R$ EXHAU$T FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K. W. AMT- K-W- AMT- K_ W. AMT. DRYERS FURNACE MOTORS PUTURE AMUANCE PEE7iERS S#%CIAL REC'FT TIME CLOCKS I WU JUNITHIATEft MULTI-OUTLET P&AMMRS AMT. K. W. OIL H. P, GAS H. P. AMT. NO. A. W. G. AMY. AMP. AMT, AMPS. VANS• AMT. X. P. No. OF FEET ANIT. WATT$ i SERVICE DISCO►dNEC'T No. of S E R V I C E AMT. AMP. I TYPE M 1 ,I' ZW } J' 3W 3 X 3W 3,M 4W Pam' Cf M. COND. or CC G No. OF Hi-LEG A� M 00. OF NEUTRALS OF WUTUAL rah S OTHER A"ARATM : . l" . T I : :;'Ir II;l" 1 F 'T I .'- T }; . /Prir7 .P-r- -..-al dKw y i `' I'•'. `. :; I BRANCH MANAGER Pea IITf This certificate must no! be aMered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by chair credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVrLAND ROADS QUEENSBURY, NEW YORK 3280&L TELEPHONE (5I8) 792-58.32 / f/ BUILDING INSPECTOR ' S REPORT REQUEST FOR rNSPECTrON RECEIVER NAME z LOCATrON DATE do PERM T # APPROVED YES NO FOOTXNG/PXERS MONOLrTHSC POUR ORMs FOUNDATIONIDAMP— OOF I BACKFrLL APPROVA ROUGH PLUMBrNG FRAMING ELECTRICAL ROUGH— N 1' ,TNSULATrON: FOUNDATION FLOORS WALLS CETLING FSNAL INSPECTrON: CHIMNEY HEXGHT ROOFrNG SXDING EXTERNAL PORC ES/ST S .STAIRS—CLEA NCE & rLS PLUMBING FSX URES/RE EF VAL— a rNTERrOR TR /PRIVACY DOORS FINrSHED F RS GARAGE FXR RO�JFSNG — DOOR CLOSE (S) SMOKE DRT TORS FINAL ELECT SCAL SNSPECTX FSNAL APPR AL OF CONSTRUC rON A SXGNED ERTIFrCATE OF OCCU ANCY MUST BE OB A NED ROM THE BUZLDSNG D ARTMENT BEFORE THESE PR rSES ARE OCCUPXED! REMARKS.* d : 05 U INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS L)UEENSDURY, NEW YORK 1280k TELEPHONE (5.18) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED ! ,� — NAME LOCATION R Q,DATE -_r j�T PERMIT #f_�L C&A APPROVED YES NO FO0TXNG/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFIN jj BACKFILL APPROVAL );EOUGH PLUMBING \lrRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL -rNSPECTrON: CHIMNEY HEIGH' " ROOFING SrDING EXTERNAL PORCH /STE S - " STAIRS CLEARAN & ILS PLUMBING FrXTUR S/R LIEF VALVE INTERIOR TRIM/P V Y DOORS FINISHED FLOORS GARAGE FIRB'PROOF N ` DOOR CLOSER (S) SMOKE DETECTORS FINAL ,ELECTRICAL I TION FINAL APPROVAL OF d NSTRUCTION OK TO ISSUE C/O 0 .�. /C A SIGNED CERTIFIC T OF OCCUPANCY MUST BE OBTAINED FROM THE DU LDING DEPARTMENT BEFORE THESE PREMISES A k UPIED1 REMARKS: L T Y-� •} ^ G ti �7 [�`v a ! ' ; ►� JIB mac/ ARRIVE DEPART I• '�!� i �4' INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �� BAY & HAVILAND ROADS QurENSSURY, NEW YORK 128 01- TELEPHONE ( 518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION 0 / DATE AQ - 12 PERMIT #1 � (p APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR F RMS FOUNDAS'SON/DAMP-P OOFING KFILL APPROVAL ROUGH PLUMBING FRAMING r ELECTRICAL ROUGH-IN INSULATION: sf FOUNDATION FLOORS .� WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING Jr SIDING EXTERNAL PORCHES/ EPS STAIRS-CLEARANCE 6 RAILS PLUMBING FIXTUR IRELIEF LVE INTERIOR TRIM/ IVACY DOOR FINISHED FLOG S GARAGE FIRED FIND DOOR CLOSER ) .SMOKE DE RS _ FINAL ELECT CAL INSPECTION FINAL APPR AL OF CONSTRUCTION + A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: r INSP TOR TOWN OF QUEENSEURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBUrRY, NEW YORK 12$04- TELEPHONE (518) 792-5832 BUILDING INSPECTOR " S REPORT ON RECEVEDREQUES FOR IN PECTI I NAME LOCATION / DATE PERMIT # z ^_ APPROVED YES NO FOOTING/PXERA MONOLITHIC PO FORMS FOUNDATION/DAM1 -PROOFING BACKFILL APPROV L 4,.O TOUGH PLUMBrNG FRAMING ELECTRICAL ROUGH- INSULATION: FOUNDATION FLOORS WALLS CEILrNG FINAL rNSPE1CTTON: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/s EPS STAIRS-CLEARANCE RAILS PLUMBING FIXTURE /RELIEF 1' LVE .INTERIOR TRIM/P. XVACY DOORS FINISHED FLOOR GARAGE F2REPR FING DOOR CLOSERS SMOKE DETEC S FINAL, ELECTRI L INSPECTION FINAL APPROV OF CONSTRUCTION A SIGNED CERTIFrCATE OF OCCUPANCY MUS BE OBTAINED FROM THE BUILDING DEPARTMENT EFORE THESE PREMISES ,ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY /} BUILDING AND CODES DEPARTMENT r' DAY & HAVILAND ROADS b'- (,)UVENSBURY, NEW YORK 1280 TELEPHONE (518) 792-583Z BUILDING INSPECTOR " S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE /� �- �1� PERMIT # APPROVED �{ YES NO &0 C DOTING/PIERS U L"" �'j +Tc,•'C, �;{�} MONOLITHIC POUR FORMS FOUNDATSON/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELR"C2RSCAL ROUGH-IN INSULATION: FOUNDATION FLOORS , WALLS CETLING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDXN,G EXTERNAL PORCHES/ST STAIRS-CLEARANCE & RAI S PLUMBING FIXTURE /RELIE VALVE TNTERTOR TRIM/P IVACY DON. S� FINISHED FLOG GARAGE FIREP FIND DOOR CLOSER S) SMOKE DETEeTORS FINAL ELEC!i4ICAL INSPECTION FINAL APPI30VAL OF CONSTRUCTION J A SIGlVoD CERTIFICATE OF OCCUPANCY ST BE QBTAIOED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS. /ffl ,/ � i I u INS TOR BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. i DATE CITY OR - � � ..,, STREET STREETE AND NO OR COUNTY 1RO^D ANO POLE NO BETWEEN WHAT TWD7`K}' .=tT ..-1.12. / r' ~ /+f %POLE NO CROSS STREETS fS - PREMISKS LOCATED? SECTtDN OCCUPANT'S / ,r _ BLOCK _LOT BUILDING NAME ` i �l' OCCUPANCY OWNER'S NAME AND ADDRESS ,�`}Cf iglJ Cr. TI # u SUPPLIED � _ aY FROM THEIR BUILDING r, . - OFFICE IS NEW E� OLD ❑ WORK ���.+� �I--J DEFECTS IS NEW ;a N ADDITIONAL L REMOVED L7 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Fisnlnw & NCH Loea- Lamp ReeaptaeM BRANCH t MOTORS HEATERS RC OFFICE USE tian Side Attach'# ONLY CtBiry Wall Recepru Switch Pttwirnt Bracket No. Type E� No. Watts No. A.W.O. Each Oatlpt INSPECTION Out- side Sub- beta Baes- inewet 1st Ft. 2nd FI. 3rd FL REMARKS: LIST OTHER ELECTR fCAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, This application is intanAed to corer the above.Imted equ ipm ant to be intpaetad but if at time of ; You are authorized to make this inspection end sdimt the fee to corer the additional ntpae the hem is found edditiwral equipment not above listed, SIZE OF aquipmmt, u prorided 6Y a applicant MAINS C` FEEDERS .. LECTRIC SIGN " TOTAL CHARACTER LAMPS WATTS OF WORK AILED GAS TRANSFORMERS OF TUBE SIGN WORK TO BE VA STARTED COMPLETED (NUMBER) {CAPACITYI SERVICE OVERHEAD SIZE OF SIGN ENTERS UNDERGROUND MAKER ILDiNG OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIVING ED FULL NO CCURATE INFORMATION, ALL SPACES _MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF PRINT NAME AND DRESS _ APPLICATION ' ^' NAME OF .� _ SIGNATURE APPLICANT -~ OF APPLICANT STREET ADCM ESS ,I y TELEPNp # CITY ZIP OR OFFICE .�+^r- +*� .�` aft ,,./ CODE L-_ ` LI WHE PLICABLE�� 46 EL (REV, a/ae) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING