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1989-841 �x ., , .. .. . 7,y,F,. - , %, r . CERTIFICATEt�%F L3I' A►N ,5 ' TOWN OF QUE'ENSSURY WARREN COUNM NEW YORK Date Apri 1 30 19 90 This is to certify that work requested to be done as shown by Permit No. $9-841 has been comPleted. This structure may be omupied as a S i i9j-!g Fami 1 V Dwelling l.,ocation _. Loge k Tree circle Owner girch P . SchermgrhQrn Bey Order Town Board TOWN OF QUEENSSURY Director of Bldg. do Code Enforcement BUILDING PERMIT p TOWN OF QUEENSBURY No. WARREN COUNTYr NEW YORK 0 PERMISSION is hereby granted to RICH P SCHERHERHORN ------ �n to OWNER of property located at 05 Street, Road or Ave.Oak Tree Circle 0 in the Town of Queensbury, To Construct or place a Sin 1 e Family Dwell i n cti+ 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 Avenue con Glens Falls , NY 12801 z rri �o 2. CONTRACTOR or BUILDER'S Name rn c7 3. CONTRACTOR or BUILDER'S Address �p ['S 4. ARCHITECT'S Name 5. ARCHITECT'S Address r Cs --1 G. TYPE of Construction — (Please indicate by X) a cn { x1 Wood 'game { } Masonry { 1 Steel l l t 0 7� FPILAINSSpecifioatiorrs 1160 ` x 1100 ' single family dwelling as per applicationsspecifications and plot plan with driveway and sewage system . e 7e Cli Single Family Dwelling $ 289 Otl PERMIT FEE PAID — THIS PERMIT EXPIRES 14a� 1 19 90 4+ (If a longer period is required an application for an extension musk be made to the Building and Zoning inspector of the town of tlueensbury before the expiration date.) rri r � Dated at the Town of Queensbury this 31 $t Day of October 1989 .� 9 r �. . for the Town of Queensbury -� SIGNED BY �- Building and zoning I n or Ile: f'n `i'C!�►V L71' UEEN5�3UI2Y APPI. I CAT ION I' 0(t BUT LDTH416 AND ZONIND PI: 1tA{ II" ' F' ec i et! eat Prf - +li•�� �`-H]r r Fee PaId t qi A Q� • ]� .9 IMILDINC AND CODES tsl :1 'ARTI'1f?.�rr Vote Idaued IJAY Zrnd gAV.FLAND ROADS RD I I3Ox 9a OUEENSBURY, NEiJ YORK 12804 PC1tn1 r t No . 7`c] . (5I0) 792-5832 Exr 204 f ! f w R : R A R w ■ R I f A * f R f ■ R R R R R r w R ♦ f R a a R f a A 1' CitLEIT MUS'C D1 OBTAINED 11I 1 0ItE 'BEGINNING CONSTRUCTIOIJ . NO INSPECTIONS UNTIL APPLICANT HAS ItI: C > IVI: 13 A VALID IILJILDINC PERMIT {,' ILL BE MADE .All �? Il11Cti17I4' spaces on this application must be coslipl. eted and the ti I* tea tore of the upl-iI icant 1liust a)�peax on the reverse side o C this sheet S ik a k e !t ak k• 7k Yc * x * ie k�•y * * !e * ya t da ie is The owner of this property � e' & 7 Ft 3 3 t�!o. t- .- w s e .y �4 y e. G.• Fr . Al -T E L P . Q . Address .1! 'PAS{ MAP NO . / � � / 5 Property loc :ation �J/,t?,�C?�� Ilas there been any split of this property since October 1 , 1988 '? yes / Izo jr yes , Planning Board Review is necessary , LOT NO , SUBDIVISION IJAME , II 7 PPI ICAnLr _ 40 — 1' I� e person responsible for supervisionof Work as regards Building Codes is : F' � nl NaO-•NAME C) , � J Iiame of builder Te1�YSCLG7�_ 9 [s +eaa of Plumber �F— C—Li ►1 T.cl:iress ; 'PE�l '! i '• 1'x '1 • Addrezls • +'�!' IJ"Sink: of Mission � o .w - �.C� + lv' 1111TURE Or f'f.ol'DLCo WI:K : wZ (lNI t'4 I N1 �+DIiAIJ+ 1' IL1h) ( raiPicr us ' OnI y � �CCxrl::trUCII of a now buildirsci w lC1tJING DL•'SIGNATION OF PROPERTY Addition to a building W PERMITTED PRINCIPAL. PERMITTED ACCESSORY hltcr at ion to a Building REVIEW REQUIRED -- PLANNING F3oriRD ZONING BOARD ONO chalv] 6z to exterior ditnenuions) + Utlt4r +. ock Ir1. crii�.r} SITE PLAN RE•.VIEW # APPROVCD DATE GkaOlS AREA pl' 1' 1IDPCYS ! ❑. PFtUr 'i' UItE ,r VARIANCE # APT'ROVEL) DATE Cy'o sq f t , f �J� Y + Remarks l :: t FloorM 1 / sl�i © a . . 2 nd Floor — _ / / sq f t . / C? + CoIj1 I,L11 If�l•'C31 iM'L'i[3N l+1_t1UlIcLD LIEL [ rW ` sira of prolwrty! lobkkkIkkkkkkkk ft x Cltiicr Floors s } sqEta + I. x I` t • L x1=:tii►tj k�u r i�li rr•] I ::) 1 �* ( not cellar or bas . rnent } 4roTA L. r Loon AREA I L60 sq f t • L:x :kx i.+ig bu .i. laiila3 (:: } u::•: ' i ::.: cur II utructurs f t x f t Iaaar�d:ation-pier/ :1a1/crawl/partial/ full " Vrojnox:Cd building , di:;tancu fraln L,ruL�erty line (circle one. } * front y:. rd ft Boar t1.� . of stories (ta:xbitahll.= sLsacc3 Lt „ Side yards J �ft .nal 11� irailt ( (Trade to ri.dtl .: ) �' kkkkkkkkkk ft * + If on corner , :;utb;ack from ::icln scr4: oc Tr If rossida:ntiµl , no . of OCCuPkN.A:Y 1NFORMAT1014 I1c30 of rootn:t ( excluding 110 . of bcdroaknr.: _ -- PRIMARY LUILD114C 110 . of bachroollb-Z .ma's �+ �/ .I faauily dwelling Pa iul:ar Ilu:atiIl{ s : G ,�nr_rv. ra khjz: ,�+.:1' y � y • ec � 'i`►rar r:.tn.ily cIw411intJ 'ryL,u of fuel w ltultiial : iluuilincj / Number of units 110 , of firuLal :ec. :: tea lau ir►stµlluct� �C F'Crknanent OCCupalrcy ti1i11 a wuual ;tcxr� a: Lc iIr : l :illud".' ,rR. * •l'xansierat uucuLr:arlCV L:.:Iatr:.l Air COia11Jt1Gnsr�a):� 74 w I3u,irtc:ss (1UILDING STYLC, PRIhNLRY E1' RUCTURL + lndu5trial achcr I:anctt 4`pnt.:u.1:c.a7..ry LGr� c:.lain 1r .addition , WIki0I Will u::.3 tract"t I:.ai ::"Ci. ranch M"n:3iL+if ❑uyniux 3lslit 140Vsl Gid style + ACCLS .G1RY IlUILDING-- Ca a Cod Cott:uJ•' Clttwr car ularsi:i ROW 'i'0wra Douse " 1 uCachau cI ►riacl4/one ctar/ two car/ [ CI RCLI;: OiJ k: PLf:A=:E } � ,�-JLCCUCtl a:el al ;,arac3uf 4rl a: ciar/ two c.:ar —y Ca ►' • a R R w w r * • w R a : rr w R w '�' I'ra.V..it� storage building L `.' 1• IMA'1' I: n HhRIKIET VALUE or ' 'aclavr y�, ,�+ - ��� Q.. _ - � -. ... 1NVO!'11•IATION ON nUIL,DINC SPCCIVTCATTONS , ON REVERSE SIPR OF 'PHIS ^Ill t"P, •PO BF. coKpt.i;'F'Lt3 ! Form VPA I0/88 VI r BUILDING PERMIT APPLICATION CONTINUED - t BUILDING SPECIFICATIONS : Type of construction , wood .frame , fire safe etc . . eat J�'f o,,, ..ti. . Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material ^' A/ACk'S Thickness Depth of foundation below grade (to bottom of footing ) f Will there be a cellar ? ye.9 Heated or unh Floor sq. footage ft Will there be a basement? ye. *S Will any portion be used as living space ? ,t,,+p ( If so , what portion? A, p sq . ft , - - Type of use? Type of roof - s ope flat/shed/other Material of roof Size , wood studs "X spacing - "{ 7 - P g_ ,lG "o . c . length „ft . Joists ( floor beams ) 1st . floor 7 "'X spacinq_�,rf,""o . c . span / +" ft . Jaists ( floor beams ) 2nd . floor _�_._"'X�"' spacing ""o . c , span- Ift . Overlays ( ceiling beams ) _ "X spacing ""o . c . span ft . Roof rafters '"X "' spacing p . c . span ft . Roof trusses (pre-engineered) spacing_2_""o . c . span ��6 f ft . Exterior wall finish Of� ?y �Of what material ? %.flan y! L Interior wall Mini slt if a garage is to be attached , describe materials to be used for FIRE SEPARATION : 5 i 'T" ',r.^ e; �� r,i e 5 1 a e..+ 4"Vlc. Is there to be an opening between garage and dwelling? �- If so will a Fire- rated door , enclosure , and self-closing device be provided? +ye�.5 Will a flue-lined chimney be installed? t.*` Height above roof }c ft * Depth of chimney foundation below grade _'lft . Depth of fireplace hearth e .. ft . inl Water supply - unicipal 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 L A R A T 1 0 N 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 , s Owner, owner's agent, architect, contractor As Is Is Is Is SPECIAL CONDITIONS of THE PERMIT : By TOWN OF QUEENSDURY ~ WARREN COUNTY # NEW YORK Application for : BUILDING PERMIT IN C014PLIANCU WITH THE NEW YORK STATE ENERGY CONSERVATION COOS, A permit must be obtained before beginning work . ANSWER ALL of the following : 1 . Gross floor area d 2 . Type of heat FoC'C e.r] 'V10t A; r C�ct1.5 3 . Is the building mechanically coeled ? q . Percentage of area of windows and doors A . Over 16 * Only y 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 Li±Si' 1 . If yeS , what is the R value ? 3 . Slab on grade YES No a . If YES . what is the R value of insulation around perimeter of floor ? A . Is basement heated ? YES a . R value of insulation 5 . Type of insulation : ¢" Fs . Under 16 % Only 1 . it value of roof and floors x posed to ambient conditions, � �` MAq it 2 , R value of exterior walls 02 Zx� •3 . R value of glazed area Y - A . R value of doors jQ _Ir ,_ 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation_ - unheated slab d .� ? _ R value of slab insulation - heated slab so R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement/cellar walls (below grade ) L!e e Ip . Type of insulation '% Co Controls +� 1 . Thermostat maximum heat setting_ %,(a�__.r __.._ Do Duct systems. 1 . I5 duct system installed in unheated spaces ? YE NO a . If YES , R value of duct installation R� r. - b . RR value of duct in other areas E . Piping Insulation ] 1 . Size of hot water or cooling carrying agent PiPeow 2 . R value of pipe insulation F . Service Water Heating p 1 . ,performance e £ ficLency 2 . `temperature control setting maximum-- -de V A!5� -- G . For Swimming Pool C1n1Y j Maximum heating Telephone Nc . itG Y ( applicant ' s signature ) TOWN OF QUEENSBURY APPLICATION TOR �-� SEPTIC DISPOSAL PERMIT DATE / o / Z S / Err LOCATION OF PROPERTY FOR INSTALLATION owner ' s Name : /`S tc„k �S ." e ,<`d''h► e ,+ t+i7�Ut Telephone : Addressa � � J �' Installer ' s Name : 4R 1"wtil.J ► rJ1 ! Telephone : .. 71 Number of bedrooms (residential only ) Total daily flow ( compute @ 150 gal per bedroom) LCT'F Topography : circle one : Flat Rolling Steep slope % of slope Sail Nature : circle one : and Loam Clay Other / Depth : feet Ground Water : At what depth? „�A feet Bedrock or Impervious Material : At what depth? feet Percolation test : circle one : Eof require required /rate min . inch . Domestic water supply : circle one : unicipal Well Other If domestic water supply is a Well : feet Separation : Watersupply from Septic absorption PROPOSED SYSTEM : Septic Tnnk.,ZAO G gal . (minimum size : 1 , 000 gal . ) TILE FIELD : Each Trench feet / Total system length feet y% 6 r SEEPAGE PIT (s) : Number of / Size each jiff _feet by feet Size of stone to be used #1 3 /Depth or Thickness 2. � feet �kkkk*�lkkit itkkkie�k is kikkkkkk*k,tk it*k* kkIkk it*kkk9t dk*kitkir Aek it*kkk 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 : /`' jr$ '� (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 : MIDDLE DEPA�RTM ON 10.GENCY, INC. su0 a Y IFUSP Datrs May 20, 1990 ��33,, Q�QCtif ieg that le �t4r,;E4 ec(uipment listed has beeni ex4r ►{ ned 4 approved as being irti]accor4,d with the National Elect ' E ; applicable governmental, utility and,/o(��C}r es. Owner: R i ell Selkerme n , f pa �'� �� 1� � S11. 1e F�Ini t a Qccupanf: � -�- Location: ALot 105 Hidd 1 � e coryficote t Gml roc Uipmant and instanatian inate I1 additional Ui ant sh be inlfodueed or alteratrdxisting system thij G4 ice be null end void, and aprE ur meat: 110 'Outlet Oa"Re6 Ptacles ' Fix L1XeS ' nspec[ion should b� subm+tt p ily t a this Agency. p '� � iRtder of this caltitieales td en[ sane to Pits Rroparty insurFynt, }p 1�+ �Y,� ^�J�,�'yp $'l�ylr' $ a ' tog ant or comppnyi as eviClflnc "ificat i an o)ei ec7rtcal e4u 1p m 20 ^- as aped tied , F KC17y Rlectirz _ 1� tS�. -.. r Apphcanf: Wf_ 11ow. Road _ _,_..... . _._._,_.. -- - 0 . 16 -032931 Queensbury ,, NY 128 Fears No. 7W ai.. 7 TOWS OF QUEENSBURY /1 ,BUILDING AND CODES DEPARTMENT F iyJ HAY & HAVILAND OADS QUEENSBURYO 5 gJYog2�5 280� TELEPHONE 32 BUILDING INSPECTOR' S REPOR REQUEST FOR INSPE TION RECEIVED NAME LOCATION PERMIT # DATE ,APPROVED YES NO FOOTI NGI PI ERS MONOLITHIC POUR ORMS _ FOUNDATION/DAMP" ROOFING BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH N INSULATION: FOUNDATION FLOORS MALLS CEILING / FINAL INSPECTION: f CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESIST STA_TRS-CLEARANCE & EF ALIT --- PLUMBING FIXTURE INTERIOR TRIMJ"PRIVA ' OORS FINISHED FLOORS '---� GARAGE FIREPROOFING ,DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL IN PECTION --"' FINAL APPROVAL OF C NSTRUCTTONCy S` BE A SIGNED CERTIFIC TE OF ONC4upAly MENTT G BEFORE OBTAINED FROM TH THESE PREMISES A E OCCUPIE REMARKS : IN PECTOR TOWN OF QuEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEENSBURY, NEW YO92-5832D TELEPHONE (5I8 ) BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVCD --* NAME LOCATION ���` ' '7 PERM.�T DATE APPROVED 'k YES Nd FOOTINGII'IERS MONOLITHIC POUR ORMS FOUNDATION/DAMP- OOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-1 INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL xNSPECTSON: CHIMNEY HEIGHT ,ROOFING SIDING EXTERNAL PORCHES/S2�EP STAIRS-CLEARANCE & RAI -• �- PLUMBING FIXTURES/ ELI VALVE INTERIOR TRIMIPRIVACY RS FINISHED FLOORS a � GARAGE FIREPROOFIfG r DOOR CLOSER (S) SMOKE DETECTORS - FINAL .ELECTRICAL I PECTION FINAL APPROVAL OF OONSTRUCTIO t A ,SIGNED CERTIFICATE OF OCCUPA Cy MUST BE OBTAINED FROM THE BUILDING DEP TMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: Ve4 eO i r � � -_ INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYr NEW YORK I280k TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECT! N RECEIVED NAME LOCATION DATE PERMIT ## , Y APPROVED YES NO FOOTSNG/PIERS 1 v . MONOLITHIC POUR F( FOUNDATION/DAMP-PROkVFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- XN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL .INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S , PS STAIRS-CLEARANCE & aJRAILSx PLUMBING FIXTURES . RELIEF VALVE _. INTERIOR TRIM/PRACY DOO FINISHED rLOORS L - GARAGE FIREPROO ING DOOR CLOSERS) SMOKE DETECTOR ,' - FINAL ELEWTRICA INSPECTION �r FINAL APPROVAL F CONSTRUCTIXO _ OK TO I5SUE C/ OR C/C A SIGNED CERTI ICATE OF OCCUPA&CY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISE ARE OCCUPIED! REMARKS: 6 ARRIVE J ax TOR _ /own o/ Queens urrY BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME yi LOCATION LATE /�Q PERMIT NO. SOIL TYPE - Loam - Clay - Percolation and Required? YES - NO Percolation rate - MAn/Inch L '— TYPE of SYSTEM: r Absorption f field , tqi tal length Length of each trenit, Depth of trencher size of gravel IEZ SEEPAGE PITS4Number ,of) Size- ft. X eft. Gravel size PIPING : - Sized Type Bldg . to tank � U Tank to dist . box r# Dist . box to fiel ' A e � Openings sealed? S NO P r� tial i LOCATION/SEPARATIONS. Foundation to tank t. Foundation to absorp ion ft . Absorption to lot la, a ft . Separation of pits ft. LOCATION SYSTEM PROPS (circle one) Front Rear Left s de - ight side - CCMMENTS e SYSTEM USE APPROVED YE Bui long Inspector 01/86 and v1 /"f TOWN OF QuEENSBURY NT t BUILDING AND CODES DEPARTME BA & HAVILAND ROADS 1280§6 QUE'eNSBURYr NEW YORIC vW TELEPHONE ( 518 ) 792-5$32 BUILDING, INSPECTOR' S REPORT GD R NSPECTION RECEIVED REQUEST / I Jill NAMEIee LOCATION DATE GM,-_ QC`E' IT A,P.PRO'VED YES NO FOOTINGIP "POUR FORMS MONOLITHI FOCTlVDATIO DAMP-PROOF NG C KF A PROVA L BA ILL ,ROUGH PLUM ING FRAMING OUGH-IN ELECTRICAL ; �"'rN5ULATION : + FOUNDA TIO FLOORS r� WALK CEILING FINAL INSPECTI CHIMNEY HE.TGH . ROOFING SIDING T,EPS EXTERNAL PORC E RAILS __--�- STAIRS-CLEARANCIE ELIEF VALVE PLUMBING IXTURR CY DOORS rNTrRIOR F.TNZSHI}D Ft'Rs GARAGE FrRgPROOFI DOOR CLOSERS) SMOKE DETBCTC7R5 rN5 FICTION :jr FINAL ELECTRCAL STRUCTION FINAL APPROVAL OF CO OCCUPANCY MUST' BE THE BUILDING DEPARTMENT BEFORE A SIGNED EROMIFICATE ': OF OBTAINED CUPIED ! THESE PREMSSES ARE OQ t REMARK.`- 3 � s� € } :3 i NSPECTOR TOWN OF QUEENsBURY BUILDING AND CODES DEPARTMENT .SAY 6 HAVILANWROADS I28OS� OUEENSBURY, NEW opx 7�2-5832 TELEPHONE ( BUILDING xNSpECTOR' ` nEPoRT REQUEST F�y (R�I�yNSSPECTIO.Nr�RECE ED NAME ,L/_ _ `= �.. �� LOCATION Q PE IT # DATE �! ��� r APPROVED YES NO FOOTXNGIPIERS MONOLITHIC POUR FbRMS FOUNDATIONIDAI pj?OOFIN, BACKFILL APPROVAL e- ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL XNSPECTXON : CHIMNEY HEIGHT,__ . ROOFING — - SIDING EXTERNAL PORCHES STEPS STAIRS-CLEARANCE & RAILS_^^ PLUMBING FIXTURE RELIEF VALVE_ INTERIOR TRIMIP VACY DOORS FINISHED FLOORS I GARAGE FIREPROO XNG DOOR C.i.OSE.R (S) SMOKE DETECTOR _.. FINAL ELECTRICAL INSPECTION_.----- FINAL APPROVAL O CO,NSTRUCTXON I Pe BE A SIGNED FROM T E BUILDING D AARTMENTT.BEFORE ,OBTAINED RE EDl� THESE PREMISES REMARKS : ft, a INSPEC �R TOWN OF QUEENSBU'RY BUILDING AND {CODES DEPARTMENT .BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 728C14— TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FO rNSECT N RECEIVE Q NAME LOCATION PERMI� # DATE APPROVED YES I NC? FOOTING/PTER.5 MONOLITHIC POU FORMS -- FOUNDATION/DAM PROOFING BACKFILL APPRO L �OUGH PLUMBING RAMING LECTRICAL ROUE ,—IN INSULATION. FOUNDATION FLOORS WALLS CEILING s FINAL -INSPECTION CHIMNEY HEIGHT ROOFING SIDING ExTERNAL PORCHES TEPS —'— .STAIRS—CLEARANCE RAILS__ PLUMBING FIXTURE ELIEF VALVE INTERIOR TRIMIPR Y DOORS FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSER (S) SMOKE DETECTOR FINAL ELECTRICAL INSPE ION,^��_ — FINAL APPROVAL O CONS T UCTION— A SIGNED CERTIF CATE OF CUPANCY MUST BE OBTAINED FROM T E BUILDIN DEPARTMENT BEFORE THESE PREMISES RE OCCUPI RE Sr + , 3 f NSPECTOR {yy�)q National Flea sr 6e,y .l 'l3EfCl Hi6l I f. .l ., ,, %�+8:; 06iltfigswbad.' 14x DSt08 bate: City, Town or Township County- 1[-lP _K.,� Stateµ A. Location/Address - f . - (lf Locate . ural 'A P! ase Attach Qirecti ns) Pole # Owner * ` : . _ _ Occupied As Pamll1. # _ ^ — Occupant jI Building: . New . " � Oid� work%Area in Build' Floor #, etc.).: rvi for . Whin : :sece or. Flea far ins err : FeeRemit _ ,:. Cast rr Check 'ffil:i7; M Sq�e 'i'or. fN,b.l.A. Nurrl F�tf ii i i IABr#iig r„lutietg:, " . Elect. Heat A. Leras s � _ 4F00 Moss seen saoo 1 z3so a000 Switches Lighting ' Amp: Servlcrr:s ,! L: r Iir9Facae Unit pialiw skier` _Range Receptacles Water Heater Air Conditioner. pryer r; : pump Number of Fi 'u _ Oyerr 'Ciftbage Dispoeal' Wir irM and Controls for_ Burner ? <.Receptae4as- r Fractional H.P. Vent Fans Other Equipment: +;. . .MOTORS bar- /,Z, 1i/ : -1/a IJa 1/4 1J3 1f2 3J4 -1 l+fi 2 y ,' §. 7y= 10 15 Rat 25 3ii 4df:. , 50 75 lob Mark Number- 3 of Each Siaa �ongatura. t .. LiceInso #. :. ��it-.. # - RPi I Adf�raa8 ?YO !' rjr (City) ; i' S�'� a4r' s � ia"tatey Ilsi � Service Request # o� orlie # 4 ;:EI +c >;c�lv l oA C)ATE fIVSPECI ELF:" - 'Carrect Location : Same as Above or: * :. a eT. . r Red Notice Label L.. :. PA! c + MIM Rough Wiring Outlets Surface Unit Oven : ' Switches Ran ` i']c al Rem acles Y11a H ter ,' ' 01 :Qis r c. . _ G} Fixtures sAfr. °rxstli one IF! er Amp. Service Equipment Burner, ri ._- Controls for Amp. 77AA"- t8ele ` ' obe Am ; Service Conductors Pum Vent Fans Mark NRumhePr 1f20 1/]? ^YJa - JB if 1/3 1fr! 8 4s - r3 -, jr 10 1520 2554 5' . of Each Siza F ` apqpq _ E5 r' Elect. Heat sao Aso 100913,211011 000 lssa 1 lase 2aD0 2Sso sad ftW Progress:' Ind. LKD 4``ontractor ►' r 'CFT Violation : Work Cisnip_O Irw Q Q L/A Owner CASH Q L/A. rLL Fee CHIC # IPA ' n.: . . . . :V l,11LLRIQIpaI A, LL1�1 MD ': i�wa*k" , VAPPW a j- ...t8fLit d . 1 ' . . . , ti Yj ;A trtq IOwne Cut in Card kA 0 Temp # r r {?sOe,.... . . APiICPCT1rJ'°�IJ'" . .., �..K_ a..� . . . . . . .... ..._.� _ . .. --._.s. ... .. x. .. _ - „i ,. . _. . . TOWN OF Q DE l¢� BUILDING ANDD CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYr NEW YORX 1280g-- TELEPHONE (518 ) 792- 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVEDeoA , —_ NAME LOCATION DATE /�- y PERMYT # T, APPROVED YES NO FOOTING/PYERS MONOLITHIC POUR FORMS„_ FOUN TION/DAMP—PROOFING SCFILL APPROVAL ROUGH PLUMBIN ° FRAMING ELECTRICAL ROU H—YN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH /STEP — -- STAIRS—CLEARA E & RAI PLUMBING FIX RES/RELIE � VALVE INTERIOR TR /PRIVACY DClRRS FINISHED F ORS GARAGE FIR PROOFING DOOR CLOS R (S) SMOKE DE CTORS FINAL ELEC ICAL INSPECTION FINAL APP OVAL OF CONSTRUCTION A SIGNED ERTIFICATE OF OCCUPANCY MUST BE OBTAINED PPOM THE BUILDING DEPARTMENT BEFORE THESE PREM2k9ES ARE OCCUPIED! REMARKS: n4 to AAJI AV INSPEC OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QuEENSBURY, NEW YORK 32804 TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR ANSPECTION RECEIVED _ NAMEI ✓? . r1 s y 7., t�nCy � LOCATION /�L� ✓ oz4e.4 DATE f£I 3 PERMIT # C7 - e4q l APPROVED YES NO y00 NG/PIERS OLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFTLZ APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH— N INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: e CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEP STAIRS—CLEARANC & RAI S PLUMBING FIXTU ESJRELI VALVE _ INTERIOR TRIM PRIVACY D(" FINISHED F S GARAGE FIRE OOFING DOOR CLOSER S) SMOKE DETE RS FINAL ELECTR CAL INSPECTION FINAL APPRO L OF CONSTRUCTION <. A SIGNED CE TIFICATE OF OCCUPANCY' , MUST BE OBTAINED FR THE .BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS. 119 INSPECTOR ! p0 , do R i - i 4k- � � y lY pow C r, fff� r f I fi u w 1 11 OAK TR--Ez GiR�LE r ■ 1 0 W O D �4 U 0 z N z 0 r L 0 > uj LLJ LL O o U to < O W° 0 _ —I . t t t r r 0009-OV 9NINndo