1990-400- ?r. '-. ' - - - ', %-,' '--.,,-, ....,-,- -, ., ,....„.;.., ...,.' _.-'11 -,;-• - -- ' ,- • ------'
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,
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
- -": WARREN COUNTY, NEW YORK
Date Ma y 7 19 Ell
This is to certify that work requested to be done as shown by Permit No. 90-400
•
has been completed.
This structure may be occupied as a single family dwelling
\
_L,Qt-9 -frOquois Drive-Tyneswood
Location ,
. -
\
\ FOREST WOOD HOMES
Owner. -
By Order Ton Board
\ ,
••,, i ,I • .
---
,
TOWN OF QUEENSBURY
\
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A 1
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41a d 4 4,41-1 -, '.
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, 5 -
Director of131dg. & CodlEnforcen-jent
1
. ..
•
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-400
WARREN COUNTY, NEW YORK
ti
C
PERMISSION is hereby granted to FOREST WOOD HOMES
Lot 97-Iroquois Drive
OWNER of property located at 9 Street, Road or Ave. co°
in the Town of Queensbury,To Construct or place a Single family 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.
1. OWNER'S Address is O
HC-02 Box 286P
tri
Warrensburg NY 12885
2. CONTRACTOR or BUILDER'S Name 0
0
same
C
3. CONTRACTOR or BUILDER'S Address
coo
I.TJ
4. ARCHITECT'S Name
L-'
0
r-r
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5. ARCHITECT'S Address `J
O
O
6. TYPE of Construction- (Please indicate by X) 1-3
(xkWood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications O
O
No. 28'x82' Single family dwelling as per plot plan, specifications and application
including two-car attached garage and septic system and deck.
8. Proposed Use Ur-1
Single family dwelling
a
$ 348.00 PERMIT FEE PAID -THIS PERMIT EXPIRES feeemhPr 22 19 90 ro
(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.)
Oq
Dated at the Town of Queensbury this Day of .Time 19 90
1 /
SIGNED BY � i'd/? �/ for the Town of Queensbury
Building and Zoning nspector
TOWN OF QUEENSBURY
REVIEWED BY
./ 1 FEE PAID $Lj ■ , �J
■ � PERMIT NO. CIO_ •10 N OF QUEENSBURY
)` , RECEIVED
BUILDING PERMIT APPLICATION
JUN201990 "
BLDG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
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 (VP/ -60
applicant MUST appear on the reverse side of this application.
• * • • •. • • • • • • • • • • • • • • • • • • • • • • * • • • • • • • • • • • • •
The owner of this property is: rbf,erf Glom Pbhws
P.O. Address 110-6 ,ho)r ose boa:,c+^e cb I-2 Tel. 979 -
Property Location g 97 , ��-pq,11.41( rink Tax Map No. /2 -, P/ 97
Has there been any split orthis property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
i 0 )
SUBDIVISION NAME, IF APPLICABLE ly .6154 -I LOT NO. q 7
THE PERSON RESPONSIBLE FOR SUPERVISION/ OF WORK AS REGARDS TO BUILDING CODES IS:
for-P.rT (h,li /;w_.r
NATURE OF PROPOSED WORK: # ESTIMATED MARKET VALUE OF •
I/ Construction of a new building „ CONSTRUCTION: $
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* 1.19
Size of property t3o - . -- ft x ` ft.
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 Sp ft. Rear yard ft.
•
Side yards a 4 ft. and d� ft.
•
GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft.
1st Floor /ya$ : sq. ft. 0 l0 R '
• OCCUPANCY INFORMATION
2nd Floor ) � sq. ft. I ZC • ' Primary Building -
Other Floors �S • , One Family Dwelling
sq. ft.
(not cellar or basement • Two Family Dwelling
TOTAL FLOOR AREA ,2/4, /o p sq. ft. • Multiple Dwelling/Number.of units
Size of new structure ,7ft x ga.ft. • Business
Foundation-pier/slab/crawl/partial CO ' Industrial
(circle one) • Other
No. of stories (habitable space)_ •
Height (grade to ridge) ,..c ft. • If addition, what will use be?
If residential, no. of families •
No. of rooms(excluding baths) °J • Accessory Building
No. of bedrooms q • Detached Garage ONE/TWO Car
No. of bathrooms. D?
Primary heating system i$,64-al,rn/ • Attached Garage ON WO Car
Type of fuel 6i • _Private storage building
No. of fireplaces to be installed ) `
•
Other
Will a wood stove be installed pi o
Central Air conditioning 6-5 '
Y OV' ER
W
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc.ft7-0)C wDbn1
Will any second-hand or upgraded lumber be used? If so, for what? k •
Foundation wall material ( c,v-ems Thickness tc
Depth of foundation below grade (to bottom of footing) c r
Will there be a cellar? '`c' Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? yes Will any portion be used as living space? n
(If so, what portion? • sq ft. Type of use?
Type of roof sl•ped/eat/shed/other Material of roof sktie
Size, wood studs 2 "x L " spacing !6 " o.c. length g ft.
Joists (floor beams) 1st floor . "x to " spacing tG "o.c. span ly ft.
Joist (floor beams), 2nd floor "x ID " spacing /6 "o.c. span i y ft.
Overlays (ceiling beams) "x " spacing o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing a.y " o.c. span JR ft.
Exterior wall finish wecA. of what material?
Interior wall finish A--ak.eJ en4e
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: sl._, ac,�et�
Is here to he an opening between garage and dwellin ? eS If so will a Fire-rated door,
self-closing device be provided? e S g Y - , enclosure,
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearths ft. in..
Water supply - icipal sir private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties 4op ft.
(A(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER Fare(IannJ Limo ADDRESS f/Ga -bo>caebetdcor s6 TEL. NO. 6.10 -39 24
NAME OF PLUMBER (, (,�P�,,,,,��i,¢i4 ADDRESS (Oua.,') s-f. 4412 TEL. NO. T,3-
11
NAME OF MASON LArvi &kJa„4 ADDRESS re_Ap%! rcd_, TEL. NO. 61,1-aI 4 V
uv
NAME OF ELECTRICIANS p// &i ADDRESS TEL. NO. 7'W-o to iv
` r
DECLARATION
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 shall be complied with, whether specified or not, and that
such work is authorized by the owner.
Signature
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
•
BY
WARREN COUNTY , NEW Yr.RK
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 . c7).(6407,'
r
2 . Type of heat 0') - h4 /i 1✓ • RECE F ISBURY
3 . Is the building mechanically cooled? yei 790
4 . Percentage of area of windows and doors V% • „ COA. Over 16% Only DE ®EP
1. Uo value of gross area of walls , roof/ceiling and floors'
exposed to ambient conditions
•
2 . Floor over heat- i - 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 •
A. Under 16% Only •
1. R value of roof and floor os pi,,,a4eAves
2 . R value. of exterior walls iti'19.
3 . R value of glazed area 3
4. R value of doors F
S. 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 4 bvr (r,SS •
•
C. Controls
• 1. Thermostat maximum heat setting Tr0 •
D. Duct Systems
1. Is duct system installed in 'unheated spaces? YES NO
a. If YES, R value of duct installation /0
b. R value of duet in other areas
E. Map; insulation
1. Size of hot water or cooling carrying agent pipe_
• 2. • R value of pipe insulpr{^"
- .1. Service Water Heating
_ 1. Performance efficiency 8"1)
2. • Temperature control setting' maximum WO •
G. For Swimming Pool Only
A. Maximum heating •
-
Telephone No. 4 2 3"3/Z9
applicant' s signature)-
TO WN OF Q UEENS B UR Y
APPLICATION FOR
> SEPTIC DISPOSAL PERMIT (P41,
0
� 1 � `OQ ° 0
1990
DATE June,
I ®°t
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: Fares) fined Lief Telephone: ‘23=31)7, vas d�d u�i's rip
Address: ye- hi( 1 ! Veurn9A. rn
Installer's Name: Uxxid gworJ Telephone: 37-Obaa.)
Number of bedrooms (residential only) II
Total daily flow (compute (d 150 gal per bedroom) 6 00
Topography: Circle one: 400 Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet
.4 - r
Ground Water: At what depth? u Feet
liter
Bedrock or Impervious Material: At what depth?. u Feet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one: -Municipal Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank /00 0 gal. (minimum size: 1,000 gal.)
TILE FI ach Trench S feet rrr l�nsth �rn I��t--
SEEPAGE PIT(S): Number of / Size each feet by /0 feet
Size of stone to be used # /Depth or Thickness feet
*************************
I have read the regulation on the reverse side of this sheet and agree to.abide by these
and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON:
DATE: Ji,144x a®i/q90
OVER .
•
•
Septic .System Inspections: •
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and 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,
tile 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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may.
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
•
Town of Queensbury
• BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
•
Remarks:
TOWN OF Q UEENSB URY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date (0 7_D 19 q() Permit No. q161— Lf(J0
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all
applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all
inspectors to enter remises for the required inspections.
Applicant's Name 7, '---.,
' �Q,`f Wood
1�( ��ec' r�'� 11� APPLIANCE TYPE
� Stove Coal
Address t.-i) 2, ��//1S to P Furnace Hot Air Boiler
hZero Clearance Circulating Unit
Phone (() 2- 27 g —1 9 If Non-Masonry:
Owner's Na .e it�{/nrc_____—,..___,
n�. /� 1 Manufacturer
Address /1�'I qi \. / )1 0�'1�rTLA \ktj ' Model Outlet Size
r r l) Zip Listed by Number
Phone
CHIMNEY TYPE
Masonry: Block Brick Stone
Propert" location of prop/Q�sed construction Flue: Tile Steel
l� (FY1 61-1 ki 1/? 41t,t Tr(_A Size:
V i v
Factory Built: /h
Manufactu er (I/ta/1.S1- �Y)1CiModel ; Size 2A-
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall V Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated (11(9) 1_S-Ir- 1—(,0
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cosi)$ (o Q c:p
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 �C-
A 173 3389 (190)Public Safety
A233 2655 (230) Minor Sales Avi A
o�.� V
Fee Collected fro�r Refunded to: cii:,
!�) U U d.—
Addre s: 4,JO) 1 .Q1 '\.-b—,),„ )
Dated: I{
\.01J ) OTOWn Clerk or Deputy /�`l1,_-.`Q-c,. Y ,,,m-(t .,)
t
iJ
White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
TOWN OF QUEENSBURY ,l/�'�
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED/�0� 7// /
NAME \ 112GG )� ? ` /
LOCATION t 9/7 I�l. ��i � /,tom
DATE //f/ PERMIT#
/n APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS .
AUTO. EXTINGUISHING SYSTEM " r!
HOOD INSTALLATION r ''
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM c`
INTERIOR FINISHES rya
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING U`NI 'S
REQUIRED SIGNAGE
CHIMNEY
//
WOODSTOVE !
FIREPLACE-MASONRY/
FIREPLACE-FACTORY' BUILT
REMARKS:
ARRIVE )(
DEPART 1 V `1)
INSPECTOR
, " . ,e-AA,ty
Tow OF QUEENSBURY kg,/
' .4 ^ 531 BAY ROAD
+; #0, 4 QUEENSBURY, NEW YORK 12804
-i,'. TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTI(X
REQUEST FOR INSPECTION RECEIVED J' ///,f
NAME Aim Vs_eLb-L We9--/x47
LOCATION -- Q I `. /-L I
DATE ,� �� PERMIT 9 - 1/2
TYPE OF STRUCTURE 44let4N...146„da//747
RECHECKt') �lY"lun1j:2 ,-
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING !.FOUNDATION ,- BA-CKFILL LFiING
1.RO GH PLUMBING FINAL ELECTRICAL L_- pTIC
I(SULATION STOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS ")
) APPROVAL
CHIMNEY HEIGHT/LOCATION Ni. YE' NO
B VENT/LOCATION ,•
PLUMBING VENT i,
ROOFING
SIDING ;i' v
DECK/PORCH/STEPS/RAILINGS ,f
RELIEF VALVES i; ' Pi-
FURNACE/HOT WATER OPERATING .
BASEMENT INSULATION/DUCTTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: ,•'‘;
BATH/KITCHEN WATERTIGHT;;.
OTHER FLOORS SWEEPABLE t ✓`
OTHER FLOORS CARPETED le---
STAIR CLEARANCE/RAILINGS \;
HANDICAPPED ACCESS ,
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS; ti
ALL PLUMBING .FIXTURES OPERATING ri
GARAGE FIRE PROOFING 1
DOOR CLOSERS V
OTHER FIRE SEPARATION ‘ 4"
FIRE/DEMISE WALLS
DUMPSTER t
FINAL ELECTRICAL �,
OK TO ISSUE C/O OR C/C )4C,
COMMENTS:
Prigw&Os,MP Z--- -i -
A-LoA4sLc.Po4 ?/ iJQo
ARRIVES d
~ DEPART .q.; r
—T
ELECTRICAL INSPEC...ONS
DUPLICATE MUNICIPAL RECORD
Permit No.
,•
Owner f:73 v ---(--.: i 1-4....). c7:4-7/./ ,z`'..<4"
Occupant , •
-s----- c-7...--, •Location " -) i / i c-:--Z--1.-Z?";;I:..iJ , :---7-,
. N9 (----s •
Town or City / State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
/ON°.
Date S.:—. - 27.
''..-", ''''''1,_„...e..argaz.-:._____...Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108
-.<DUGH WIR' JG OUTLETS ' H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
• K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
•
MOTORS H.P. I/20 1/12 1/10 '/e '/ '% Y3 1/1 3% 1 i% 2 3 5 7A 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
•
•
APPARATUS
jwihr o/ Queenitury
BUILD NG and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Q eensbury, New York 1280
•
SEPTIC ISPOSAL SYSTEM INS' CTION
NAME )
LOCATION Le `C'7 1, 2_0 Nuvt.s 0-2---
I
DATE O L( 9 PERMIT NO. Ll—'TUC)
SOIL TYPE _ Sans - Loam - C ay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inc
TYPE of SYSTEM:
Absorption field, total 1-•ngth
Length of each tr_, ch
Depth of trenches '
Size of gravel
SEEPAGE i?ITS.Numbe of)
Size- __ft. X _ ft.
. Gravel size
PIPING: 'size Type
Bldg. to tank
Tank to dist. box
Dist. bo): to field/pi
Openings sealed? YE. NO Partial
LOCATION/SEPARATIONS
Foundation to tank ft.
Foundation to abscr!tion ft.
Absorption to lot 1 ne ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PRO:°ERTY(circle one)
Front - Rear - Lef side - Right side -
COMMEl_ p s`b`r , • 6' , Pi1,,,
)c).2) 4:1,
SYSTEM USE AtPROVED 10
At
- Ale /
IL d d Albr
Build r g-Inspe;for vj
01/86 and vl
•
• _town of Queenibur,
BUILDING and ZONING DEPARTMENT
ay and Haviland -:ad, R.D. 1 Box 98
Queensbury, ew York 12801 ���"
SEP DISPOSALSYSTEM INSPECTION
r
NAME
0
LOCATION 11121*.
/y
/
DATE d/� / °I/ PE IT NO. 90 `1 1J
SOIL TYPE - S:.nd Loam - Clay -
Percolation T- t Required? YES - NO
Percolation ra, e L Min/Inch
TYPE of SYSTEM:
Absorption fiel al len
Length of e ench '
Depth rench •
S. of gray
SEEPAGE P S{N r of)
Size- 4y ft. 1 ft. .
Gravel size •
PIPING: i; Size Aype
Bldg. to tank VC---
Tank to dist. fbox Li 07r/C,
Dist. box to ,ield/p• A/—
Openings seal((d? �NO Partial
LOCATION/SEFA ,TIONS: `,
Foundation to tank ft.
Foundation tci absorpti ft (9/ ,
Absorption to lot line \ ft
Separation oil; pits • ft
LOCATION OF "YSTEM ON P•bPERTY(circle one)
Front - Rear(- Left sides- Right side -
COMMENTS:
-� Aii► PLOY . Lk/ : i
i i l ,ILb_.
1
- / i
1 pi, ..
, 4,3.5 -
(-_ /4/711,0 -, i', q./A-1
/V r G'i� ��
L Isiv i 3( 6 pt" c,__
1I
SYSTEM USE PROVED liiii
^P
• . lit A
•
Bui ding tnspeceor
01/86 and v
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT C\'
BAY & H'VILAND ROADS
QUEENSB `,'Y, NEW YORK 1280k
TELEPHO (518) 792-5832
BUILDING INSPECTOR'S '1PORT
REQUEST FoR INSPECTION RECEIVE "4/9Z)
NAME
7/
LOCATION / •`J,/ ,ar f /`
DATE 7 ,'' 01 PAMIT 4 90- t
APPROVED
!d• // J YES NO
FOOTING/PIE':S r'
MONOLITHIC ••UR FORMS
FOUNDATION/D-? P-PROOFING
BACKFILL APP •VAL
ROUGH PLUMBI
FRAMING
ELECTRICAL ROUT% -IN '
INSULATION:
FOUNDATION �+
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S EPS
STAIRS-CLEARANCE .f '•ILS
PLUMBING FIXTURES ''! LIEF VALVE
INTERIOR TRIM/PRI Ar;Y DOORS
FINISHED FLOORS
GARAGE FIREPROO:ING
DOOR CLOSER(S)
SMOKE DETECTOR'
FINAL ELECTRICA INSPECT' ON
_FINAL APPROVAL i F CONST'', CTION
OK TO ISSUE C/I: OR C/C
A SIGNED CERT , ICATE OF OrCUPANCY MUST BE
OBTAINED FROM THE BUILDIN DEPARTMENT BEFORE
THESE PREMISE. ARE OCCUPIE*•!
REMARKS:
(1/
0) 04
ARRIVE 'J
DEPART7-1)1I1 U / 4 12/6°C9
INSPECTOR
, 7/
TOWN OF QUEENSBURY /9
BUILDING AND CODES DEPARTMENT '/
BAY & HAVILAND ROADS �/
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832 j
BUILDING INSPECTOR'S ', PORT
REQUEST FOR INSPECTION RECEIVE: 7/1 /�Z,
NAME _/0,1/„' 1614,4K, `,,kdri, f.
LOCATION 40` i iAt/ _ ..:./ i/i
DATE OX*Q P RMI # qQ_-41D0
/�a ' APPROVED
CQ!/J7/CG. ; �� / Y:. NO
FOOTING/PIERS
MONOLITHIC POUR FORMS lI K'
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL J_
ROUGH PLUMBING ,_
FRAMING ®._
ELECTRICAL ROUGH-IN -_
INSULATION: WA
FOUNDATION
FLOORS =1W/111111111111
WALLS As M�j�'IRAII
CEILING aillaWVII
FINAL NEYPHEIGHT: rim!
CHIMNEY HEIGHT
ROOFING W-_
SIDING N1—_
EXTERNAL PORCHES/STEPS 1-_
STAIRS-CLEARANCE & RAIL•
PLUMBING FIXTURES/RELIE VALVE
INTERIOR TRIM/PRIVACY D(ORS
FINISHED FLOORS A _
GARAGE FIREPROOFING AIIIIIIIIIIIII
DOOR CLOSER(S) MMINIIMMI
SMOKE DETECTORS
FINAL ELECTRICAL INSPE(TIO '
FINAL APPROVAL OF CON'TRUC ON
OK TO ISSUE C/O OR C C
A SIGNED CERTIFICAT: OF OCC PANCY MUST BE
OBTAINED FROM THE : ILDING ► PARTMENT BEFORE
\THESE PREMISES ARE OCCUPIED!
REMARKS: 1
ARRIVE /
DEPAR
INSPECTOR
awn of Quur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 •
BUILDING INSPECTOR ' S REPORT
NAME J / I
LOCATION 677 J-/ //
Date -te / 0 Perm t No. (b� xD
* * * * . * * * * * * * * * * * * * * * * *
✓ _/ PPROVED - YES / NO
Footing/Pi_r. Forms
Foundation
Waterproofin• /
Backfill' / x(Framing /
�v Abofing
Siding
Masonry Veneer ;,r
) Rough Plumbing IQ
Relief Valves 11 •
Ext. Porches i
Finished Floors II
Interior Trim 8
Stairs & Railings/
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures /
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION: / •
Foundation
Floors ?
Walls
Ceiling /
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey t
Next scheduled inspection (call when ready)
Remarks-
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Building In or
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TOWN OF QUEENSBURY /n��
BUILDING AND CODES DEPARTMENT (
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12809-
TELEPHONE (518) 792-5832
BUI ING INSPECTOR'S REPORT
REQUEST FOR I PECTION�RECEEIVED ' It go Apt
NAME (4L `.0 /(9(c L • -i'
LOCATION �f 9 7- ./ a l-(1 a� VA (.//�
DATE i i 1 PERM I # G�Q�- (3�
APPROVED
YES Ncr
)FOOTING/PIERS
MONOLITHIC POUR CORMS
FOUNDATION/DAMP ROOFING
BACKFILL APPROVA
,
ROUGH PLUMBING
k
FRAMING
r
ELECTRICAL ROUGH �1N
INSULATION:
FOUNDATION
FLOORS
`x
WALLS . . . .
CEILING • • ' •
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/i1i PS
STAIRS-CLEARANCE s s••ILS
PLUMBING FIXTURES, R::, IEF VALVE
INTERIOR TRIM/PR A 1. DOORS
FINISHED FLOORS
GARAGE FIREPROO ;i NG
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL 'NSPECT .N
_FINAL APPROVAL 0; CONSTR 1TION
OK TO ISSUE C/O 4R .C/C •
A SIGNED CERTIF`CATE OF OCR` PANCY MUST BE
OBTAINED FROM ii E BUILDING `;,EPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED:'
REMARKS:
•
ARRIVE E2 ,.+ a 5-- /// ///
DEPART-D f 7 6 /1 "
ISPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVI 'ND ROADS Ay
QUEENSBURY, NEW YORK 1280k
TELEPHONE 18) 792-5832
BU ! DING INSPECTOR'S REPORT
REQUEST FOR I PECTION RECE'VED 7/t j/9
NAME .g''_e,,./ 61, v%'
LOCATION_ ; 'f 10/ /i .
DATE 71/kG? • ' 'IT # -4761YJ
CU/oC-L' teacZq�- APPROVED
4- I r �), '�` - rfT YES NO
FOOTING/PIERS
MONOLITHIC POUR FO• S
FOUNDATION/DAMP-PRa'.OFIN(
xBACKFILL APPROVAL • \/
ROUGH PLUMBING •
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION •
FLOORS
WALLS • '
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING •
EXTERNAL PORCHES/'.TE•',.
STAIRS-CLEARANCE & RA•LS
PLUMBING FIXTURE'./REL' F VALVE
INTERIOR TRIM/P•I VACY 'rOORS
FINISHED FLOORS
GARAGE FIREPROO'ING
DOOR CLOSER(S)
SMOKE DETECTOR` •
FINAL ELECTRICAL INSPECTI..
..FINAL APPROVAL S CONSTRUC'ION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OC PANCY MUST BE
OBTAINED FROM THE BUILDING ,'EPARTMENT BEFORE
THESE PREMISE' ARE OCCUPIED.
REMARKS:
/ j. e r'
•
ARRIVE i f' A/
,
DEPART + ,1i(j ;'
• INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND C'pDES DEPARTMENT C/
BAY & HAVILANDI ROADS / n
QUEENSBURY, N YORK 12804 /T/i
TELEPHONE (51 ) 792-5832
BUI ING INSPECTOR'S REPfRT
REQUEST FOR IN ECTION RECEIVED
NAME NAME i G a r _Tl`
',u�d
LOCATION 01/V
� j 11-,/ I' ��I1�&40121,Y �GD/-LLIXI ADATE 1 PERMIT # 9(�-yeo
APPROVED
YES NO
', IFOOTING/PIERS
MONOLITHIC POUR •RMS r
s FOUNDATION/DAMP-P'OOFING /
BACKFILL APPROVAL: \�
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IS
INSULATION:
i
FOUNDATION
FLOORS
'
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
. r
SIDING l
EXTERNAL PORCHES/ST •"•S
STAIRS-CLEARANCE & ; ILS
PLUMBING FIXTURES/R. i, EF VALVE
INTERIOR TRIM/PRIV': DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
1
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF C;INSTR TION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF 0 CUPANCY MUST BE
OBTAINED FROM THE 1:UILDIN DEPARTMENT BEFORE
THESE PREMISES ARy OCCUPI !
REMARKS: ��
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