1990-529 '' •
"1-1- .7"171` - .
— , -
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
D February ate 19
This is to certify that work requested to be done as shown by Permit No. 90-529
has been completed.
This structure may be occupied as a single family
55 Willow Road
Location
Rich. P. Schermerhorn
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY 1-3
No. 90-529 x
WARREN COUNTY, NEW YORK 4
ro
PERMISSION is hereby granted to RICH P. SCHERMERHORN O
St#55 Willow Road Street, Road or Ave. cfl
OWNER of property located at c=)
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
33 Harrison Ay
Glens Falls NY 12801 co)
2. CONTRACTOR or BUILDER'S Name
4
self ti
3. CONTRACTOR or BUILDER'S Address 0
rb
4. ARCHITECT'S Name
5. ARCHITECT'S Address
cn
6. TYPE of Construction—(Please indicate by X)
t-+
O
(x1 Wood Frame ( ) Masonry ( ) Steel ( )
cd
7. PLANS and Specifications
No. 86'x28' Single family dwelling as per plot plan, specifications and application
including septic system and two-car attached garage.
8. Proposed Use
Single family dwelling
sv
$ 262_00 PERMIT FEE PAID -THIS PERMIT EXPIRES February 15 19 91
(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.) N
r-+
Dated at the Town of Queensbury this 15th. Day of - August 19 90 °q
i>
SIGNED BY Li"�iG' /� for the Town of Queensbury
Building and Zoning I ctor
1
L VIINIV
WARREN COUNTY , NEW YCRK
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: `•ONANOF QUEET)SSIM
RECEIVED
1 . Gross floor area
L7 Z
2 . Type of heat hoj A; r AUG 131990
3 . Is the building mechanically cooled? /VO Ri $1 CODE DEPT,
4 . Percentage of area of windows and doors 6/4.
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heat- 3 spaces YES NO
a. Are foundat .on walls insulated? YES NO
1 . If YES . what is the R value?
3 . Slab on grade YES
a. If YES , w.h .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 be,cq\o..SS
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
rot-c - Q- 3`S 12./ Flo ar5 9 " PE,'G7i'ON c f' A -L5
2 . R value of exterior walls R - Z 5
3 : R value of glazed area Y:
4 . R value of doors R- /3
5. R value of floors over unheated spaces JQ - 2 5
6. R value of slab edge insulation - unheated slab n//4
7. R value of slab insulation - heated slab A//A
8 . R value of heated basement/cellar walls (above grade) , t 5
9. R value of heated basement/cellar walls (below grade)- 16
10. Type of insulation /M arI /a.SS
C. Controls
1. Thermostat maximum heat setting Sfle �
D. Duct Systems
1 . Is duct system installed in unheated spaces? Ott4 NO
a. If YES , R value of duct installation R- 13
b. R value of duct in other areas
E. Piping Insulation ,/
1. Size of hot wa . or cooling carrying agent pipe 3/L/
2 . R value of pipe insulation x
F. Service Water Heating
1 . Performance efficiency 1` 6
2. Temperature control setting maximum - Iyo '
G. For Swimming Pool Only
1. Maximum heating. /+/ lA
Telephone No. 71 $ _d(,7 q p
(applicant ' s signature)
TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT'
Pate-
. Ree-Loved
', � Rev.i.e )ed (/ . TOWN OF QUEENSBURY
y RECEIVED
4t., PH
Fee Paid &331 -}-2 .0 � AUG 131990
•
► Date Ibaued • - 0 J 2
BUILDING AND CODES UlIl MTP�I`,f
BAY and BAVILAND ROADS .RD 1 Box 98 n/� BLDG. & CODE DEPT.
PUEENSBURY,NEW YORK 12804 pehmc t No. ''I.V 7129 _ '
Tel . (518) 792-5832 Ext •204
* *- * * * '* ' I - - - •
A PERMIT MUST B1I. OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
' WILL BE MADE UNTIL APPLICANT HAS RECEIVED A'VALID BUILDING. PERMIT. •
•
All applicable spaces on this application must be completed and the
sipuature of the applicant must appear on the reverse side, of this sheet .
* * * * * * * *' * * * * * * * * * * * * * * * * * * * * * * * * 7c * * * *
The owner of this property is : R,cA P. rjGINe,'S'ilV1e..rtnf'/./
P . O. Address . 3 3 filar (, . so N AO t.. ---------�
Property location �5 w;11Oval Rc� iq73,./2 _TAX MAP NO. 9a / 6,/ ".�
Has there been any split of this property inc-e-October. 1 , . 19B8?. /. -X.-
yes no;
if yes , Planning Board Review,-!is necessary. •
SUBDIVISION NAME, IF APPLICABLE /%/ A LOT NO.
The person responsible for supervision of work as regards .Building Codes is :
NAME P .O . ADDRESS TEL. NO.
Name of builder . R. Sc,L,..,r••cv oe,ftddress -2,3 Ha c c+:S aN AJ e. Tel 1 8 " a (7 y
Name of Plumber Ste. e. A1,1e„AJ . Address f-1- . e.ALA.)ea•ed Tel 1'il -S4,5 3
Name of Mason _Qa„..e. Sis,..‘duJ,A/ Address F-k•, AnrN Tel 19Z.- /3'71
a
NATURE OF PROPOSED 6ORK: • ZONING INFORMATION (Office use only)
X Construction of a new building • ZONING DESIGNATION OF PROPERTY
_Addition to a building + PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to a building '
(no change to exterior dimensions)_ 4REVIEW REQUIRED - PLANNING BOARD ZONING BOARD_
Ocher work (de ar.l.boI V SITE PLAN REVIEW 0 APPROVED -DATE
*
CROSS AREA OF PROPOSED, STRUCTURE * VARIANCE II APPROVED DATE
•
1st Floor .oe1I(.oq sq ft .1GZ: Remarks: '
2nd Floor 111-0 sq f t .1 I � w COMPLETE IJ41'ORMATION REQUIRED UELUW.
Other Floors X sq ft . 65
* Size of property a2 5 ft X I $C1 It.
(not cellar or basement) ---:-"-----*-Existing building(:;) Size l t X ct.
if
TOTAL FLOOR AREA112,4 sq f t . • L'xi::cing building(:;) U:;u
'_.'ize of new structure Q6 . ft X aif ft *
1•'ou,ldation-pier/slag/crawl/partial tul *Proposed building, distance from property line
(circle one) ' b ft Rear yard eJ t ft
Na. of stories (habitable space) 1
Side yards p(N ft and 710 ft
Height (grade to ridge) • g ft. • It on corner, setback from side street ft
li residential, no. of families /
No. of rooms(excluding baths) 9 * OCCUPANCY INFORMATION
No, of bedrooms Y . PRIMARY BUILDING -
No. of bathrooms 3 . 1 * i_One family dwelling
Primary heating ::yst:um (Asg• �,p-{' A;rTwo family dwelling
Type of fuel C.,aS LA1sN,ito►.L) , Multiple dwelling / Number of units
uo. of fireplaces to be installed 1 __permanent occupancy
will a wood stove be installed? AJO '
,r Transient occupancy
Central Air conditioning? AJO , Business
BUILDING STYLE, PRIMARY STRUCTURE „ Industrial
I:anch Contemporary Lon cabin * Ocher
Raised ranch Mansion Duplex if addition, what will use be?
split level _ Old style Bungalow '
epe Cod Cottage - Ocher ' ACCESSORY BUILDING-
lonial). kow- Town House. ' * Detached garage/one car/ t_• .' r/ car
( CIRCLE ONE PLEASE ) * Attached garage/one-car/ two car . car
• * * ■ * • • i '-*- * _Private storage building
ESTIMATED MARKET VALUE OF * Other
CON:;'l'ItUC'1'ION $-,,. _al . oOO
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF'TUIS SHEET, TO BE COMPLETED!
Form BPA 10/88 v1
- k
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. Lao el -Fr aN1 e.
Will any second-hand or ungraded lumber be used? If so, for what? Ato
Foundation wall material CpnciceAf, 31oc.,L(, Thickness lei
Depth of foundation below grade (to bottom of footing) 'j'
Will there be a cellar? Ye.S Heated or un eate Floor sq. footage I(,p`{ sq ft
Will there be a basement? ye,$ Will any portion be used as living space? pJd
(If so, what portion? sq.ft. - - Type of use? 11
Type of roof - (Flope.gflat/shed/other Material of roof 5Ji Cal ) �ly uloa d/44spl.a-� S�"��cs
Size, wood studs a "X gc." spacing 106"o.c. length2A ft. 00
Joists(floor beams) 1st. floor 2 "X ip " spacing 12 "o.c. span Hy ft.
Joists (floor beams), 2nd. floor 2 "X (n " spacing IL "o.c. span 14 ft.
Overlays(ceiling beams) X "X X " spacing X "o.c. span X ft.
Roof rafters X "X X " spacing X o.c. span )( ft.
Roof trusses(pre-engineered) - spacing a„y "o.c. span la ft.
Exterior -wall finish G N4313 o .r c) S Of what material? C,e doLC
-Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
J 1 c.1`GG,odC1 r.(4-C+oGA If so will a Fire-rated
Is there to be an opening between garage and dwelling? e, S
door, enclosure, and self-closing device be provided? ye.S
Will a flue-lined chimney be installed? :}/e,,S- Height above roof 5 ft.
Depth of chimney foundation below grade $ ft.
Depth of fireplace hearth 2. ft. in.
Water supply - Municipal or private well #1v,ia'ci`po..L
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties /5(f ft.
(A separate application is necessary for any repair or new installation of septic system)
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 J,,.✓ / .
g p
Owner, owner's agent, architect, contrltor
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED •- -.
TEMP.H // ,
DATE l f I I- 12(1
CITY OR VILLAGE � TOWNSHIP COUNTY
�j / •
STREET AND N-0.OR ROAD"- S. `. POLE NUMBER
BETWEEN WHAT TINO CROSS STREEtS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S NAME BUILDING OCCUPANCY
1 r'
OWNER'S AND ADDRESS - 7 / HOME TELEPHONE NUMBER -7 /
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS IT--TI�� r�/1
NEW[IlL OLD❑ WORK IS NEW L,T` ADDITIONAL El DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
Loca- NUMBER OF OUTLETS Lamp Receptacles o.of Fixtures& MOTORS HEATERS CIRCUITSBRANCH OFFICE
ONLY USE
tion Side Attach't H.P. Watts AW.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) MUST ENTER DENT E CATION PUMANTS
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS j
NAME OFAPPLICANT 1 . DATE OF APPLICATION SIGNAT,U E OF AAPLICANT ,'�
X �, i'
STREEJ.ADDRESS TELEPHONE NO. y
/7 h
CITY OR POST OFFICE / J }, �. / ZIP 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
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
THE NEW YORK BOARD OF FIRE UNDERWRITER$. z•- -
TOWN OF QUEENSBURY
APPLICATION FOR
SEPTIC DISPOSAL PERMIT
DATE 15 17 1 D /
LOCATION OF PROPERTY FOR INSTALLATION 55 bun to K/ Rd . I
Owner's Name: g;�L, S �Le r e.•r`1\o r Telephone: 7? b' -P'&EE-�`� D
Address: 3 3 }4a ,r,r�' S o ,v Av e� AUG 1 2199°
Installer's Name: a;�,L, cc eisirv,•tAoPNTelephone: 7I —067�DEUEPTo
Number of bedrooms (residential only)
• Total daily flow (compute @ 150 gal per bedroom) b o f3Ldta. & C
Topography: circle one: Flat Rolling Steep slope % of slope
Soil Nature: circle' one: Sand Loam Clay Other / Depth: feet
Ground Water: At what depth? ,v /A feet
Bedrock or Impervious Material: At what depth? ,., /A feet
Percolation test: circle one: not required required/rate min.inch.
Domestic water supply: circle one:CMunicipal Well Other
If domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank /oo a gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench (bp feet / Total system length 3 6 o feet
SEEPAGE PIT(S): Number of )C / Size each K feet by X feet
Size of stone to be used 11 X /Depth or Thickness ah.. X 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: Si /70�'
(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 sand 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 QLIEENSELIRY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date 3 - 7 - ? O 19 Permit NOR 0-52-9
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 Li-a Sc.?,,.;,,,1 e cf„0 r• it APPLIANCE TYPE
Stove \/' Coal Wood . ... .._
Address `J /4(if('S U . / Furnace Hot Air Boiler
I Zero Clearance Circulating Unit
,AJ C .E. Zip 13901
Phone 1 %8'r o6 7 41 If Non-Masonry:
Owner's Name /'-e • )-,c--.►",,--?---7 e- 1-, /"'•4 .
Manufacturer
Address r3 .' --1-1(.;r 1" s,e) c--a ift.Qe., Model .. Outlet Size '
Zip ) 3 o( Listed by Number
Phone 79r— U(U `j 4
i CHIMNEY TYPE j.
Masonry: Block 1 rick y/ Stone
\Property Flue: Tile Steel location of proposed construction
Size:
Factory Built:
Manufacturer . Model Size
pOPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall
1 ND CHIMNEYS. MUST BE INSTALLED • Insulated •
. 000RDING TO SPECIFICATIONS. COPY OF Estimated Cost $ ,vo v
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ aG� £%b
`ONRY FIREPLACES AND CHIMNEYS. /
CASHIERS DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
I)epartment: Fire Marshal Amount Collected Amount Refunded
Code Number Title �C2, .
A173 3389 (190)Public Safety
A233 2655 (230) Minor Sales
•
Feeg011ec.tl ci from-t r Refunded to t 0_per A ,t . 0 ,t,i kL 1�I A_ _
•
Address: _ . 1'/i•DLLL ►'(-J /��i • .
Datedg C'i�l
I V Town Clerk or Deputy in i. r\\\ / � '( 1/
1 •
White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
!{,. ..a�tia.v!xe!,"!„ t•,�i,, .,,Pi.. ,1-1,. �,ti.1,,,. !,Ite.1. ,a"!10i.e!-" �!.�!;aa1,a��.ati.".1sl.astiaP!.,IR,1"". ,!,,tl.�,,!."",.n..Ine,.,, ?—,_,?1,1, Y!.a,!";�: ., ,,!.,,,? .
is .•�F.
Fs01381=.1
THE NEW YORK BOARD. OF FIRE - UNDERWRITERS PAG 1x
BUREAU OF ELECTRICITY '
7. 4 I 41 STATE STREET,ALBANY,NEW-YORK 12207 •
'A, FEBRUARY. '1-1 1.99 „109(-1,"-,_00 '� I 1)
if' Date Application No.on •file - i` /, -��
THIS CERTIFIES THAT
�. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
�: rcTC111RD S%;r1ER?'iEPi114P.A1, 33 WILLOW Ii1:?. , irTTEETSI3Lilt`i", ?•;.I'.
1
_ r in the following locatio�+ni3' El Basement 0 1st Fl. 0 2nd Fl. Section Block Lot o CI
- -�{, 1'G L1 Ll'IJ�t R i 0 J,, {. Q 1
�, was examined on - and found to be in compliance with the requirements of this Board. o l
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ,:
�' ECEPTACLESI SWITCHES
OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. _ H.P. '?•tr
=Ci
S G' ' 49 6:.1 1 5 - :1. 1.5 2 x
.,, • A
�. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS' SPECIAL REC'PT. TIME CLOCKS BEu UNIT HEATERS MULTI-OUTLET DIMMERS " ..
.: AMT. K.W. OIL. H.P. GAS H.P. AMT. NO. A.W.G. • AMT. AMP. AMT.- AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS ,
is 1 3 1 . .t, 1 G(1r •
i"; SERVICE DISCONNECT NO.OF
S E R V I C E ,�
, AMT. AMP. TYPE 7.
METER I�,2W 1 X 3W 3 0 3W 3 X IW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G. •! ^�
1, EQUIP• PER E' OF CC.COND.. OF HI-LEG OF NEUTRAL ;
1: :I. 200 CB 1 X 1 a• ,'0' 1 ^/0 I
s:
ill
• OTHER APPARATUS: ,�
� G.F.C .f . -6 - • .
S v; 1:;
�' SMOKE DETECTOR:-2 +`
Ii;
ms)
O'
Pi.Ei.E C )Pt LSI j"
--._._... RD1 BOX 2 21: IN
...:.
_ (Uu(:. T
'mac+ BRAN P LAKE, NY, .1.281.� BRANCH MANAGER
• . 239 /2 rNr--„ P 11"
. .,,
,. .
. ,
Per..„. ,,,,
`1
II,: 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. : ,
. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. •
TOWN OF QUEENSBURY
531 BAY ROAD CL/3/1
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ,,/ /4/
NAME A/�h �/�
LOCATION �S� i/,L4, - j
DATE '�S17/ PERMIT# 90 -5 c g
TYPE OF STRUCTURE �Jy7 ¢I i ,�a,Ccr (J4T1),I.? l2
RECHECK 4U1(/A, Vll1 � J �
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
iFOOTING FOUNDATION XBACKFILL <(FRAMING
( ROUGH PLUMBING FINAL ELECTRICAL 4SEPTIC
_ROUGH PLUMBING
.WOODSTOVE/'FIREPLACE/
REMARKS-C—p alld Mte-e ) -0 rZ`c,c,
• G7id: A-y,. IDllflk — ��11.1 II A PP APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT 4�
ROOFING A
SIDING
DECK/PORCH/STEPS/RAILINGS / Z
RELIEF VALVES i k
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: t�
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPA�'LE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAIL NGS
SMOKE DETECTORS
DOOR CLOSERS /
BATHROOM FANS /
ALL PLUMBING FIXTURES OPERATING :1
GARAGE FIRE PROOF NG
DOOR CLOSERS i
OTHER FIRE SEPAR TION
FIRE/DEMISE WALL 1.
FINAL ELECTR L (yU8J3/9O 1 v
OK TO ISSU C/ R -W \ _
\
COMMENTS: Lf/i) � '•� ,��`� L� C�����
f` s
2,11
.�`•ISG��TT . L G
ARRIVE 9:i9O % /
DEPART 9:
INSPEFOR
TOWN OF QUEENSBURY
531 BAY ROAD c�
C QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR4(.7.4
INSPECTION RECEIVED
NAME jl!k4n71
LOCATION ,5 ��e�,,��J �4✓
DATE Ab/11/ PERMIT#
TYPE OF STRUCTURE
RECHECK ,,ir���; - , /, Cf./i, (v1J/J) ,nC� � g4L,
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING )(FOUNDATION BACKFILL ATRAMING
)ROUGH PLUMBING FINAL?ELECTRICAL SEPTIC
OD INSULATION WOSTOVO/FIREPLACE-; JtQsLu
REMARKSc4, %n,. ,e4/) /} •
3
/ APPROVAL
N/A • YES NO
CHIMNEY HEIGHT/LOCATION "
B VENT/LOCATION y'
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS."
RELIEF VALVES ;k
FURNACE/HOT WATER OPERAyTING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RULINGS
SMOKE DETECTORS /
DOOR CLOSERS I
BATHROOM FANS 1
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS/ 1,
OTHER FIRE SEPARATION
FIRE/DEMISE/WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS
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DEPART Cfai-z
INSPFrT
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
I l /l 1/
NAME 9l 1 alC c h e r 1�1 I rYl d I^f
LOCATION r 7 �? lj'1l f I I 0 Lk.) (a
DATE 1/1 7/9( PERMIT # —702�
APPROVED
• YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING ) "
FRAMING /
ELECTRICAL ROUGH-IN r' I '
INSULATION: r'
FOUNDATION ,17
FLOORS f i
WALLS R// 't.s•`/ iy . •
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT /
ROOFING hF j
SIDING
EXTERNAL PORCf1ES/STEPS
STAIRS-CLEApANCE & RAILS
PLUMBING P2XTURES/RELIEFfVALVE
INTERIORRIM/PRIVACY D 4)RS
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 L/
/
INSPEC OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /5 !�')??a e/7/16 -) .
LOCATION _57P2/161,z)
DATE 7)�f PERMIT #
/
r'( APPROVED
t' /' YES NO
FOOTING/PIERS ,
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING I
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING e(
ELECTRICAL ROUGH-IN I
INSULATION: filr
FOUNDATION
FLOORS
WALLS ' •
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING {
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/,PRIVACY',DOORS
FINISHED FLOORS •
if
GARAGE FIREPIOOFING •
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED/CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
7
11/6--447j
4,qt4'061; ‘,46/ti/AVi.;aW
•
1187<f.Le
INSPECTOR
TOWN •OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I280k
TELEPHONE (518) 792-5832
• BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECE ED 10/
��NAME S 0-1e�(f1'�l�il•-�p�,•)'l, 1
LOCATION 5- �j‘ k() p Q�
DATE Op -, PERMIT # 90 ---
APPROVED
S1(U f f 0Cnvjub c-.)1ueilk\n rr� `� -C 41-05onr YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBIN •
G
FRAMING ' •
ELECTRICAL ROUGH-IN /
INSULATION: f'
•
FOUNDATION
FLOORS • ,r
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING • • • f '
SIDING •
EXTERNAL PORCHES/STEPS; /�
STAIRS-CLEARANCE & RAILS'
PLUMBING FIXTURES/RELIEF VALVE'
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS ;,
GARAGE FIREPROOFING' ;I =i
DOOR CLOSER(S)
SMOKE DETECTORS ,�'
FINAL ELECTRICAL INSPECTION"
_FINAL APPROVAL OF CO STRUOTION
-- OK TO ISSUE C/O OR C/C - .
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING'iDEPARTMENT BEFORE
• THESE PREMISES ARE OCCUPIED,;!
REMARKS: . I•
• /
ARRIVE
DEPART
INSPECTOR
Jown o/ QueeniAury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road,R.D. 1 Box 98
Queensbury, w York 12801
• /21)9
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 11,}Wc /cf-d-!/1-C__//
LOCATION . 975 74,Cglgl/ ,e9
DATE/i0Ae'/ PERMIT NO. 0 —SAY
SOIL TYPE _ Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, 'total length a G O
Length of each trench
Depth of trenches // ._
Size of gravel_ ,
SEEPAGE ]?ITS{Number of)
Size- ft. X ft.\
Gravel size \ J
PIPING: Sine Type
Bldg. to tank •! ! "Vc:
Tank to dist. box f •\ '7
Dist. boa: to field/ • )1! ,/
Openings sealed? ES -N Partial
LOCATION/SEPARATIONS:
Foundation to tank
Foundation to abscrption`` ono €t.
Absorption to lot line /A ft.
Separation of pits ft.
LOCATION OF SYSTEM ON P.ROPERTY(crcle one)
"rout Rear - Left side - Right side -
r NTS:
A/e'edrl/ei42 ?70/774"\
OE 40ve-l2 _ '
SYSTEM USE APPROVED iYES
Building Inspector
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /J
QUEENSBURY, NEW YORK 12804- / /11
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /0 6,�1O
NAME afLG /9ZO4/Lr /�
LOCATION c. j�/ ��,
DATE /1/9D PERMIT #
�I APPROVED
1
YES NO
FOOTING/PIERS t' f
•
MONOLITHIC POUR FORMS/
FOUNDATION/DAMP-PROOFING / )<
XBACKFILL APPROVAL I / K
ROUGH PLUMBING /
FRAMING
ELECTRICAL ROUGH-IN1 /
INSULATION:
FOUNDATION
FLOORS 1 ,(. . . . . .
WALLS 1 1
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S4EPS
STAIRS-CLEARANCE ,&RAILS
PLUMBING FIXTURES/1ELIEF VALVE
INTERIOR TRIM/P IVACY DOORS
FINISHED FLOOR. 1
GARAGE FIREPR1OFING1
DOOR CLOSER(y)
SMOKE DETECTORS •
FINAL ELECTRI AL INSPECTION
FINAL APPROV L OF CONST UCTION
OK TO ISSUE C/O OR -C/C
A SIGNED C RTIFICATE OF OCCUPANCY MUST BE
OBTAINED ROM THE BUILDING DEPARTMENT BEFORE
THESE PRE ISES ARE OCCUPIED!
;,I
REMARKS:
C1C GU/V—LL a
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ARRIVE /0; /S
DEPART J O: Z S
INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES./DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- ��
TELEPHONE (518) 1792-5832
BUILDI G INSPECTOR`S REPORT
REQUEST FOR INSPECTION RECEIVED 5f/5/9a
NAME r
LOCATION 1!
1
DATE e PERMIT # Q'�_17.?y'
jr APPROVED
,
1I YES/NO
FOOTING/PIE S ,__ YE:
MONOLITHIC POUR ;.ORMS
FOUNDATION/DAMP-ROOFING
BACKFILL APPROVA •
ROUGH PLUMBING
•
FRAMING V • 1.��
ELECTRICAL ROUGH- N I "
INSULATION:
FOUNDATION h
FLOORS •
l�.
WALLSI _ .
CEILING A. t . .
FINAL INSPECTION: l'
CHIMNEY HEIGHT A i
ROOFING_ /1
SIDING s 1'
EXTERNAL PORCHES/ST 'PS ft
STAIRS-CLEARANCE & 1AILS
PLUMBING FIXTURES/RE:, IF VALVE
INTERIOR TRIM/PRIVACY.' DOORS
FINISHED FLOORS V
GARAGE FIREPROOFING ) '
DOOR CLOSER(S) //1!t
SMOKE DETECTORS 11 ', .
FINAL ELECTRICAL INSPETION . .
FINAL APPROVAL OF CON/TRUCTION
OK TO ISSUE C/O OR C/ \t\
A SIGNED CERTIFICATE1OF OCC'PANCY MUST BE
OBTAINED FROM THE BUILDING I'PARTMENT BEFORE
THESE PREMISES ARE CCUPI'Eb!•`
s
REMARKS: (1/
ARRIVE
le'
DEPART
INSPEC OR
•
•
• 952
9 .. i
eJECT TO THE RIGHTS OF THE I HEREBY CERTIFY' TO --
OF•GLENS FALLSTO THE WATERS OF THE STREAM RICHARD P. SCHERMERHORN, JR.
FlREMANS FUND MORTGAGE CORPORATION, ITS SUCCESSORS 1
FIRST NATIONAL BANK OF GLENS FALLS, ITS SUCCESSORS. AN
�AN F1RST.AMERICAN TITLE. INSURANCE. COMPANY OF NEW YORK ,
DS 0 f, THAT THIS MAP. WAS MADE FROM AN ACTUAL SURVEY ON
4. � 7+�� THE GROUND„OCCQ$DING TO RECORD DESCRIPTIONS AND
SHOWS L: �1112.2uaOr SOUNDARIES AND IMPROVEMENTS
C'I7'Y ' ON T1 - •I41 4ERE ARE NO ENCROACHMENTS
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LEDW.A' •' -17' `(�� •'
' DATE:'• % b1:� ���-•V OF QUEEN S'`fl�i'i,
.:... RECEIVED
15
/ EIS /
^�P'" FEB_ + 1999
j PL.S '�
c�ErS B F LDG, & CODE DEPT.
t'� / LOT 23. I
/ i 4-1, .649.27 SQl F O. : O
l O
/ �. ^' 'UNAUTHORIZED ALTERATION OR'ADOTI<
•�` MAP BEARING A UCENSED LAND SURVEYO
� VIOLATION-OF SECTION 7209, SUB-DEVISED
' HOUSE Up -.,�W NEW:YORK STATE EDUCATION'LAW.' i
1 ,. ��`CO 'ONLY COPIES FROM•-THE ORIGINAL OF I
' T ,i 20.20. MARKED 'MBE All ORIGINAL OF THE, LANOI
LOT 24 SEAL SHALL BE CONSIDERED TO BE.VAUD
" ( _ 'CERTIFICATIONS-INDICATED IIE3REOti-34
THIS SURVEY'Was.PRE ARE4 Di<ACCDRDj
N v. EXISTING.CODE.Cr PRACTICE:FOR:LAND 9
- 20.6s. BY THE,NEW-YORK STATE:ASSOCIATION-d
" t•
N LAND SURVEYORS SAID CERTIFICATIONS
215(Q$r 1 IS TD THE PERSON FOR"WHOM.THE;SU SURVEY!
�. .N I ON HIS BEHALF TO•THE TITLE COMPANY,:
. 4 1:31;it,". ".+O:i:,_ ' . ^g AGETNCY AND LENDING INSITIIITION LLSTEI
TO THEASSIGNEES OF THE LENDING'tN5T1
""•-•----..4.-...,. . •- •. '1-,.. . ._
wl _ MAP' OF A..SURVEY MADE
.,... .
_ , .. . ..
• .I • ... RICHARD P. SC ERMI
TOWN OF OUEENSBURY COUNTY,
SCALES 1"=50' DATE;
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$
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F1000
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15
LIFT
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,OWN OF QUEENSBURY
RECEIVED
AUG 131990
BLDG. & CODE DEPT.
ALE:
N, TOWN OF QUEENSBURY
Zoning Administrator
Date
SCAL
REVISIONS
DATE
_
OR N
AP '.. V
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6
TITLE NO
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