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1990-757.ice'' v •.µ i• I Ar ,/-t '�',� �1✓jy. l r.{wt .. ..' ,..r rr }' t` "ry-fir'v� CERTIFICATE, TOWN OF QUEENSBURY WARREN COUNTY,, NEW YORK Date 0iniaoh 3019 . J /�� 36a. 11 01 This is to certify that work requested to be done as_shown by Permit No. q0-757 has been complete& family dwelling This:structure may be occupies as a single Lot 111 Oak Tree Circle Location STEPHEN M. KELLY Owner;!, d/b/a KELLY CO^1STRo?CTIO By Order Town Board TOWN OF.QUEENSBURY DliA,Y Ai/J, .a9.J.�. A Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY 3 No. 90-757 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to STEPHEN M. KELLY d/b/a Kelly Construction to OWNER of property located at Lot 111 Oak Tree Circle. Street, Road or Ave. t;' 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 11 Willow Rd Queensbury NY 12804 r r 2. CONTRACTOR or BUILDER'S Name N self rD -z3 m- 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name r 5. ARCHITECT'S Address O I-' 0 6. TYPE of Construction—(Please indicate by X) Q' (x)Wood Frame ( I Masonry ( ) Steel ( lD 7. PLANS and Specifications n J• No. 28'x46' Single family dwelling as per plot plan, specifications and application including septic system and two-car attached garage. fD 8. Proposed Use Single family dwelling. cn 191.00 PERMIT-FEE PAID —THIS PERMIT EXPIRES • October 30 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.) 2 Dated at the Town of Queensbury this 30th Day f October 19 90 ` m SIGNED BY for the Town of Queensbury Building and Zonin6 Inspector to TOWN OF QUEENSBURY REVIEWED B .. - . 4111111111111 FEE PAID ; PERMIT NO. 90-757 BUILDING PERMIT APPLICATION -ems o cor.: _ Jsyla CAL �i..)r..,._ _ 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 applicant MUST appear on the reverse side of this application. • • • • a a a * a • a a a a a a * a * a a a a a a * a/* a a a * a a a a a a . . * The owner of this property is: S'7 , i7 ,4; /� � �� /l -f'� Ceti .57YQ01j0 P.O. Address /7 /„///c4, )47G/ea' c�cf47j 4 ( Tel. 772-20.2 Property Location o(a7L /// O1 /11 /4' C c/ Tax Map No. /9?/a/ /// Has there been any split of this property since. October 1, 1988? / p; If yes Planning Board Review is necessary. yes . no SUBDIVISION NAME, IF APPLICABLE Ida A M//S LOT NO. /// THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: St-eRQ , //7 // NATURE OF PROPOSED WORK: ES1'MATED MARKET VALUE OF * Construction of a new building * CONSTRUCTION: $ /Spa'? 0 OG Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: * Size of property /Oo ft x -ft. Alteration to a building * Existing Buildings(3) Size��5 ft. x 7er ft. (no change to exterior dimensions) • Proposed building - distance from property line: Other work (Describe) • Front yard O ft. Rear yard 96' ft. * Side yards /5 ft. and /S ft. * GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. 1st Floor AR sq. ft. ) 3E12_ /5*ff2 OCCUPANCY INFORMATION 2nd Floor sq. ft. * Primary Building - Other Floors sq. ft. J9 / One Family Dwelling / (not cellar or basement . , * Two Family Dwelling TOTAL FLOOR AREA 9_sq. ft. • Multiple Dwelling/Number of units • Business Size of new structure,- ft x 6 ft. Foundation-pier/slab/crawl/parti * Industrial (circle one) • Other • No. of stories (habitable space) / • Height (grade to ridge) 4), ft. • If addition, what will use be? If residential, no. of families / • No. of rooms(excluding baths) w Accessory Building No. of bedrooms • ___Detached Garage ONE/TWO Car No. of bathrooms • Primary heating system ,BS e vl0494/0/ /7 • Attached Garage ONE64Car Type of fuel a'c • Private storage building No. of fireplaces to be installed . Q • • __ Other Willa wood stove be installed 6 Central Air conditioning Q • OV• ER I BUILDING PERMIT APPLICATION CONTINUED I BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. jy OG1 Will any second-hand or upgraded lumber be used? If so, for what? Ala Foundation wall material &/CI f Thickness /D !f Depth of foundation below grade (to bottom of fo ting) Ar i " Will there be a cellar? yes Heated o unhe ed? Floor sq. footage id sq ft. / Will there be a basement? Will any portion' be used as living space? A. a (If so, what portion? • sq ft. Type of use? Type of roof slop /flat/shed/other Material of roof 0 S, /9 5�/V.1-e t Size, wood studs . "x 6 " spacing /! " o.c. length 8- ft. Joists (floor beams) 1st floor .2_ "x !a " spacing /6 "o.c. span /G' ft. Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x " spacing o.c. span ft. Roof trusses (pre-engineered) spacing r.,2r " o.c. span —30 ft. ` Exterior wall finish of what material? CO g /1-/Ve/---- ` Interior wall finish , le.a,9C 'face If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 6-4- % Fffe P ) Is there to be an opening between garage and dwelling? t/PS If so will a Fire-rated door, enclosure, self-closing device be provided? YP,S Will a flue-lined chimney be installed? /1G/ Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. 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) NAME OF BUILDER //y (Cr,f//G,.Vt..,) ADDRESS /( .L,//e4, ,4 ../ TEL. NO. 7y3_,_a?a 2L NAME OF PLUMBER /, '/ ADDRESS TEL. NO. NAME OF MASON /, f ADDRESS TEL. NO. _ NAME OF ELECTRICIAN /� (( ADDRESS TEL. NO. DECLARATION To the best of my Iatowledge and belief the statements contained in this application, together with the Mans and specifications submitted, area true and complete statement of all proposed work to be done on he described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and 11 other laws pertaining to the proposed work shall be compliedi th, whether speci ' d or not, and that uch work is authorized by the owner: Signature i, - /.,4 Kne• owner's ag9 t, itect, contractor •PECIAL CONDITIONS OF THE PERMIT: BY E ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; O C 193b Multi-Family Dwellings (3 Stories or Less) am?, - PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets // cCA Sf'r GU /611 "4 7 /// O, -'/ Mee Ci e c, APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - ASS' Sq. Ft. 2. Type of Heat —GRS Elec. Base Board Other 3. Is Building Mechanically Cooled? YES NO 4. Percentage of Area of Windows and Doors Over 17% D4 Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R 30 3,3 L3© B. Exterior Walls R /7 ZJ 19 C. Glazed Area R I ,Q D. Exterior Doors 2.5 Zo5 E. Floors over unheated spaces R /9 25 I9 F. Edge of Slab on Grade (Heated Building) G. Basement/Cellar Walls (Above Grade) R / 7 25 IcT H. Basement/Cellar Walls (Below Grade) R P / I II -- I. Heating/Cooling - Ducts - Piping in Unheated Space Re. 1 4-, (0 4. 6o 6. Service (Domestic) Hot Water Heating Device • A. Conforms to minimum efficiency per code $ YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED APPL Y/. NT' SIGNA RE DATE TELEPHONE NUMBER: INSPECTOR'S REMARKS: REVIEWED BY ' 9 TOWN OF QUEENSBURY `41 APPLICATIO'I FOR SEPTIC DISPOSAL PERMIT DATE: /00,4 G d L:: LOCATION OF PROPERTY FOR INSTALLATION kV /1/ ft4' 7 ee C/ 22'-e 1290 Owner' s Name: SfP/', e4 /4//y % /ll// Ccy 5/1:1 c1ro4 Jam; " � s� Address: // ki//ow X/, iehs le' / dl�y Ap?S'e'Y Installer' s Name: 40 ,pf f Telephone: 7,98'- Number of bedrooms (residential only) -2 Total daily flow (compute @ 150 gal per bedroom) f S er Topography: Circle one: di, Rolling Steep Slope % of Slope Soil Nature: Circle one:a Loam Clay Other /Depth: Ground Water: At what depth? Feet Bedrock or Impervious Material : At what depth? '� Feet Percolation test: Circle one: rnot required required Rate - Min. Per Inch Domestic water supply: Circle one: 4unicipab Well Other If domestic water supply is a. well : Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank 4 QO7O gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench i? feet/Total system length moo feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used #. /Depth or Thickness feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal. *Alarm system and associated electrical work to be inspected by an approved agency. 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: /76°"/9�d • 1 • Illogic 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 lease 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 co any water supply 5.) size and dimensions of all ranks. distribution boxes. rile fields anal/or drywalls B. Nu system shall be covered before inspection and approval by the Uuilding Inspector. Failure to comply with this requirement may 1%;sulc in the uncovering of cha system by the installer and a fine of up to $250.00. • C. An approved copy of the plot plan shall be available on the construction site. Failure co produce said plot plan at clan of inspiccioa may rusulc in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installa— tion. alteration or repair of an approved system. a new proposal must • bu submitted co the Quuensbury Building Department before further construction. Town ,of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Folds Queensbury. New York 12804 kumarks: ,. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. - - o -75-7 :, National Headquarters, / 1337 West Chester Pike;West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date: City, Town or Township rG(A ( i 1.1,:' �' ' County % �-r,,-;--; State A,. t/. r Location/Address f 1:' ;�7 1 .,j•r I //, /J, / ,t e-I' r.,.;�r r ./ r, / ' (If Located in Rural Area-Please Attach Directio/s), Pole # •Owner ` /t= =;,(• .!,:,; Permit # vJ�. 1�_�r I- ' Occupied As Building: New ' Old❑ Occupant 't 1j Work Area in Building (Floor #,etc.): App. for: Wiring 4[(� Service or: Ready for Inspection: Fee Remitted-$C " Cash n Check n M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat _ Switches _ Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11h 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size - Applicant's - Signature / '71/ /-•/ --I.4'irr - License # 6'l 2 9 Permit # T/A Utility: /' / i•-•_. (NAME) (OFFICE LOCATION) Applicant's Address: , (City) --r•,.,: ,,, (State) a`� rr (Zip)_ /c--)-f` V Service Request # Phone # f Electrician: ' MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above n or: Red Notice Label n - ' Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner - Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors • Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11k 2 3 5 71h 10 15 20 25 30 40 50 75 100 Mark Number _ of Each Size - 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID ❑ RW Progress: Inc.❑ LKD I I Contractor • ❑ CFT Violation: Work Comp.❑ ,Inc. ❑ 1-7L/A ., Owner CASH ❑ ❑ L/A . Fee CHK # • Due MO # n IPA Municipal. _ _ - INV # Applicant ❑ Date: Other Side❑ - Utility - ❑ Owner Cut in Card n Temp # Date Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 v 'k' U . ed P(24-e'YO100/1 t TOWN OF QUEENSBURY 531 BAY ROAD filliiimi .thQUEENSBURY, NEW YORK 12804 Ir. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT - FINAL INSPECTION REQUEST FOR (IINSPECTION RECEIVED. f /a /GJ NAME k�i l ; � e(?I-,Prn LOCATION ,J-� 1 I I)\ r,G�`1� y-tT_-C i i e_ DATE //5j(�_�' Cf/ PERMIT# 9 0-I5 TYPE OF STRUCTURES;\c Vc1N, ce I I L�f q/�I- . circ-ckrc.R� RECHER.719 49ext �g .,v,-r ,Jti-.,P ,9_,/,C FIRE MARSHAL\APPROVAL (COMMERICIAL STRUCTURE) 7-FOOTING v/FOUNDATION BACKFILL V' FRAMING TROUGH PLUMBING FINAL ELECTRICAL ✓_SEPTIC /INSULATION \WOODSTOVE/FIREPLACE , REMARKS A APPROVAL °, N/A YES NO CHIMNEY HEIGHT/LOCATI'ON B VENT/LOCATION ti PLUMBING VENT •fi ROOFING "t; kc kc SIDING f DECK/PORCH/STEPS/RAILINGS; RELIEF VALVES 11 ✓ FURNACE/HOT WATER OPERATING; INTERIOR TRIM/PRIVACY DOORS /, FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE N // OTHER FLOORS CARPETED A ,/ STAIR CLEARANCE/RAILINGS SMOKE DETECTORS �/ DOOR CLOSERS a `\, ✓� BATHROOM FANS 1 y� ✓/ ALL PLUMBING FIXTURES'; OPERATING ; 1/� GARAGE FIRE PROOFINGi '. f DOOR CLOSERS . s OTHER FIRE SEPARATION \ FIRE/DEMISE WALLS \ FINAL ELECTRICAL (/ OK TO ISSUE C/O OR C/C � ; COMMENTS: /e ARRIVE ;2' . , Ee.2 DEPART 4- / TNSPEC OR ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. go-151 -Owner Occupant rotation L t17/ i'AP:11 Street y Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by Date 1:01No. C)-qi Inspector MIDDLE(DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood,'NJ 08108 ROUGH WIRING 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 M.P. I/20 1/I2 I/IO '/e '/6 '/ 'h '/a '% 1 11/2 2 3 5 71 10 15 20 25'30 40 50 75 100 MARK NUMBER .OF EACH SIZE APPARATUS Pni 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 /2/7 Y NAME P\`lsk( S-- LOCATION pi-Of- /// �ct k / 'e (�'(�rrje_ DATE Icyl g C) PERMIT # 9D --�-7`,7 AP ROVED I(\'i vr�� �/��1�111 W%C? a" AYES NO FOOTING/PIER () . MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFIN BACKFILL APPRO AL ROUGH PLUMBING . FRAMING ELECTRICAL ROUGH' N ' INSULATION: FOUNDATION �. FLOORS . , . . WALLS t 7 CEILING I A • FINAL INSPECTION: CHIMNEY HEIGHT A ' ROOFING . . SIDING EXTERNAL POR ES/STEP. STAIRS-CLEARANCE & RAI��'S PLUMBING FIXTURES/RELI'F 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 INS CTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �J BAY & HAVILAND ROADS / QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED JW4A0 NAME (},e-/e-' LOCATION $11.1 f/1 thk- //� e fit DATE 11/11 qQ PERMIT # 7 1 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL / ROUGH PLUMBING FRAMING ���,,,/// ELECTRICAL ROUGH-IN INSULATION: 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 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 J v DEPART / SPECTOR awn of Qurtj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME j C i/ i/a LOCAT I O e "eePeeJ4P111 DATE f 97 PERMIT N .97-�,57 SOIL TYPE - n - Loam - Clay - Percolation st Requi ed? YES - NO Percolation ra e - Min Inch TYPE of SYSTEM: Absorption field, to al length at7t' Length of each tr c ' $0 Depth of trenches - i Size of gravel_ ! SEEPAGE, PITS4Nuinbe •f) ' Size- ft. X _ 't. Gravel size PIPING: .ize Type Bldg. to tank Tank to dist. bo Dist. box to fi- d/pit Openings sealed YES NO Partial LOCATION/SEPARTIONS: Foundation to tank 1- ft. Foundation to absorption ft. Absorption t75 lot line .. ft. Separation of pits /, ft. LOCATION OF/SYSTEM ON PROPERTY(circle one) Front - ea - Left side - Right side - COMMENTS:1 / • SYSTEM USE APPROVED qua NO /.UAt, Bui ing Insp ctor 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 /712 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED / 4/ ) NAME LOCATION ,C/ /// /124h, DATE //,, ,/9of PERMIT # 0-737 • APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING I BACKFILL APPROVAL ROUGH PLUMBING ' FRAMING ELECTRICAL ROUGH-IN INSULATION: 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 GARAGE FIREPROOFING DOOR CLOSER(S) 7, SMOKE DETECTORS 1 FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION 4.. 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: (Uvi kUk CCS /r3 0)t p L I I OJT-t-n,t a P 691206 ( ,„ ARRIVE 2000 DEPART :-(•D INSPECTOR TOWN OF QUEENSBURY -P \(Y� , BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 • BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED )///-i/Cl) NAME S-ieVe- K'I/Pu • ! I CATION /// kTYPP-UC LO i rCJ�/l(i id c 1 DATE //p,I f C�) PERMIT # /(/ 75 7 APPROVED • YES FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: 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 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: • .� -C� / ARRIVE II 76 7 � DEPART INSPECTOR h h 0 0 0 If i 0 z z w co 100,01 4 -Di S�oSA�- ft�t.iT� OCT 1v9;V � � t TOWN OF QUEENSB RI` Zoning Administrator fin} "�� SCALE REVISIONS By DATE TE CKD 4 VD TITLE IND