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1989-883 1 I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK f I i I �^y� J t% Date -� �L !j f.. J 1 r !. ^' f. 19 LJ� This is to certi work fY that requested to be done as shown by Persnir No._ ,. 89-28'4 has been completed. 1 This structure may be occupied as a Single Family Dwelling f j Location ---- � Maple Drive Ovwner Balogh Construction i BY Order Town Board TOWN OF QUEENSBURY � ev i Director of Bldg. & Code Enforcement I y BUILDING PERMIT p 7K TOWN OF QU EENSSU R.Y � WARREN COUNTY, NEW YORK �f PERMISSION is hereby granted to BALOG CONSTRUCTION t OWNER of property located at Lot # 6 Maple -Drive Street. Road or Ave- oIUMi 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_ F2CONTR ER'S Address is RD #2 - John Street Box 286 r ueen bur ACTOR or $UI LOER S Name n SAME 7p 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name r 5. ARCHITECTS Address O •Mr tJi Cn 6. TYPE of Construction — (Please indicate by X) i { V, wood Frame { ) Masonry { 'Steel f 1 90 rR 7. PLANS and Specifications w. No. 38 ' x 68 ' single family dwelling with septic system , driveway as per application , specifications and plot plan . S. Proposed Use Single Family Dwelling cn $ 215 DO PERMIT FEE PAID — THIS PERMIT EXPIRES November 13 , 19 90 (If a longer period is required an application for an extension musk be made to the Building and Zoning inspector of the fl) town of Queensbury before the expiration date.I T a ..r. Dated at the Town of Queensbury this 13th Day of November 19 89 SIGNED BY �r✓�t� for the Town of Queensbury Building and Zoning If nspe+ctor tea. a f!J TOWN OF � UEE?�7SBURY APPLICA16TON FOR BUILDING nNn ZONING PERMIT � Lzcr.-� �- pec.i.ev TOW OF QUEENSBURY t� — _ RECEIVED QV 7 1989 ,%d Fee Pa t I�UiLDJNC� AN(3 CUBES (. 1J1J RTP't >A ff Date; I4AUed BL & C©DE OEPT. BAY and 11AVILAND ROADS .RD 2 BOX 943 (]UEENSBURy, 1VRN YORK ' = 04 P�."utt� Ner . Tel . ( 528 ) 792-5832 Ext 209 w W • w * A 13EIMIT NIUST ELF 0BTAINr11 BEFORE BEGINNING CONSTRUCTION . NO INSP} +Ci IONS VILL 131: MADE UNTIL APPLICANT HAS 11ECEIVED A VALID BUTLDINC PERMIT . All applicable spaces On this aPlicatian )Host 6c completed and the Ts it� zyature of the applicant ntuxsta�j�pcar on the reverse sick of this /s }�z]cct , .rs ri :k K is :n al 'k k is Y: Ye k k � !"�,ClC3—� * .''_dr�} �x 7 Yc * vac Ye yc •/: de �C k y/t �/��i.' ��� 'i' he owner of this property is : -•ec �' P . O . Address fjfy C� OE�'L1 l r Ax ttAP tt[ i� ro ,perty location � . r' �' I s' 11as there been any split Of this property since October 1 , 196p ? yes tto � If yes . Planning Board Review is necessary . LOT NO . SUBDIVISION NAME , IF APPL. ICARLE 41, n, e yperson responsible for �su/P►ervision of wo� rk,,.r�as regards nui. lding �'�Crodes ,7i�s,,:: � �,l''f 1V - • L- - �".�' 1r7"+--' 0"'`�`` f/C_-J- ¢`c7"� I.�d/t 2 �C:ii (yam;' 9 r 0 (Jet ju1.�. 7Z.36 / f NAME P . O . ADDRESS ^ � TI: L , N4 . ,ram i 2 E��'j Wtj �� ►•Acid ress 5: f ! Yrl ' Tel 1 u� taame of builder ���l ,7 t ^Tei - - �' � taame of Plumber j'cd��� 7rlt� 1•ddress �� Name of Musson .ej ri��e/y�DLcl9 ,rIal� 13ddrass i' �wCz' /i.' �Ci� C� +fir r `rel -7 I4ATURE OF PROPOSED wLOjz .: ZONIrJG INFORMATION ( Utir. ce usa Onl9 ) � x n �j ConGructio of a ttaw buildin : CONING DL`SIGNATICIIV OF PROPERTY Ad4ition ea a buil .liltg . PERMITTED PRINCIPAL PERMITTED ACCESSORY �AIL.:r:aLian to " J:uilding SREVIEW REguIRED -- PLANNING BOAR❑ ZONING BOAPD� ( t►o CI <�.t:ry4 t4 .axL +vriar " *%Aon:: ions oLt,ir work (4QsCrtja0) ' SITE PLAN REVIEW H APPROVED DATE VARIANCE i# APPROVED LATE C. tOSS AREA OL' pRDL' OSGi]. STRUCTURE • Remarks lst P sq loor r %` L 2nd Floor sq ft . C41•LL� LUhTL IfJi'C3L:1LA't'1C7ty 3ckrliJlLcLR u i.L+NI . � � �a yam, ,�_— f t K f L .� t"e sq f t . " Slza of PrOl,urt / Cs Other Floors " L x3stiiscy 1�uilJia �7 ( :z ) 5i �u ( not cellar or basement ) TOTAL FLOOR AREA /�� 0 sq f t w ' L xi>Li1ig bu.iltitinej ( :: ) Use cat.' new ltructur.s 62 a 4CFrft " t'o►:tedat ion-pier/ i1aL,/crawl/laarci:aif ul ' Yralaa �scl builuing , di::L:►nc e: trotGt l, r.slaarLy lirtu i (ci-rCl.: O"Q ) Front yard S` G L t Rear yard f" cj ft N.] . of : orie a a. (jLUbL:.blw s :. lloace ) [STt+ f � rG Side yrds _ i S? t :an+1 I Ilwight ( Urada to ridcle ) `Z a fG . If on Corner , s� tb;ACk lroin S'-4L " s"0:Lme� ie 1 t' rQaiduntial, no . of fainili+'a OCCuPANQY INFOP40ATICN No . of rooins ( excludin■ IxAchs ) .6 tiao of bedrooms PRIMARY UUILDINO No . Of baLltroamo One family dwelling Prittulry 111Uata.r►r3 .:yJL �119 AEQ�A' I .. Two f&-A"LLly d►,rwlliny •rypu of frrel� I;iWA S —__, _ KlUltilrlu dwelling / Humber of units _ Nom of firQl4lac4.::: to b�.: isx :Gµlleu S+C7Cu"nont accurwicy will ::LOVa >a� inS to ll ed? our' # 'L,r:►ns ie:nC caL Cail:►f►L ',l control Air Corrclitiunirtg:'^ .N G� 13usinLss UUILDING SM.E, PRLMARY STRUCTURE „ irxdustrial l::anci► C4t►tu�ui:cr.,ry "C2 Cabin If ,addiiioez , wl �:►t will uua: loa:? L: wiscd ranch MsnsicAAk Duy.la:x r Jplit lu+uol Old scylC L1u4tj.41aw ,:.Lau Cod Cott:igj z Otlt.: r ACCESSORY BU'IL.DxNc- Coloniwi ivaw 'fawn House ` Lj�: tachau y _►raqu/ones Car/ t ;� r/ C:.r ( CIRCLU CINC PLI�Ase ) • �" ACtacYLe ri ej:� ragu,/oila Car/ two c.:•r Cue' w • a : s w * ■ • w w w ■ ■ • # L'r.iVr.eLu sLor"cjQ building L: S 't ' MAPS • HJ1RKrd10 VA1. Uy OF '" �ipcher r C014tm VisucorIUN pCr INFORMATION ON I36UTLDINC SPECIPICATIONS , 4!I FtIVERSE SIDr OF THIS EHLt"I', "PO AL~ C4MALE"L'L:[3L Form BPA 10/88 V2 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , lid..from fare safe etc . Will any second-hand or a ed lumber be used? If so , for what ? s�7Ll Foundation wall materialC� cil2 E'rM� Cl'hickness !r'� Depth of foundation below grade (to botto footing ) / . Will there be a cellar?.XE Heated or 415FTheated Floor sq . footage 0 sq ft Will there be a basement? any portion be used as living space? N r? ( If so , what por ? sq . ft . - - Type of use ? ~ - Type of roof slope /flat/shed/other Material of roof /'} , r; �r :,>— r� C_tr� Size , wood st�„ x.A;�2_NO spaci.ng.,�ONO . c . length - ;brft . Joists ( floor beams ) lst . floor ^� " ){ /� spacing__- I�-"o , c . span ft . Joists ( floor beams ) 2nd , floor "X — No spacing "o . c . sp; -- ft Overlays ( celling beams ) — "X — spacing — " o , c , span — ft . Roof rafters — X -- N' spacing o . c . span - ft . Roof trusses (pre- engineered) spacing -,2 .4NO0 . c . span ." 2. ft . Exterior wall finish <=Lalm� JON [ f what material ? - Interior wall finish 2,05 " Gg Llf< - —If a garage is to -% � attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling?_y'45;�3' If so will a Eire-rated door , enclosure , and self-closing device be provided? [2opo �r Will a flue- lined chimney be installed ? ^' 14::S Height above roof --� ft , Depth of chimney foundation below grade -- ft . Depth of fireplace hearth t -- ft , — in , Water supply - 'Municipal or private well u '" y-5 C/t . L tJ ,7j►SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties L 0 ft . -f—.- (A separate application is necessary for any repair or new installation of septic system ) D E C L A R A T I O 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 Owner, owner's age t, re c ntractor SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK 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 : IV Gross floor area +� ��� �� Slo ' - 2 . Type of heat ( ,045- �rrA lz� 3 , is the building mechanically cooled ? '�n cx 4 . Percentage of area of windows and doors '/ A . Over 16 % Only i . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . if YES , what is the R value ? 3 , Slab on grade YES NO a , if YES , what 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 B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions _ 2 . R value of exterior walls 3 . R value of glazed area " 4 . R value of doors /' f/f � /� 5 . R value of floors over unheated spaces x " / 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 ) go R value of heated basement / cellar w,ralr^l_.�s� ( below grade ) 106 Type of insulation Co Controls s- p 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation [ - b . R value of duct in other areas E . Piping Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F , Service Water beating Ay 10 performance efficiency 2 , Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . ! 9 3 ( applicant *SXge ) V� ■ TOWN OF QUEENSBURY TOWN +Ca 'F NSBURY APPLICATION FOR i KEPT. SEPTIC DISPOSAL PERMIT REVIEWED BY DATE I DATE LOCATION OF PROPERTY FOR INSTALLATION -� � �� � � � � 1-1 L ,c- s � Owner's Name: a �f� Telephone: Address: Installer's Name: , ,fi7 +�[ f GCJ� Telephone: �- -- Number of bedrooms (residential only) J Total daily flow (compute (d 150 gal per bedroom) Topography: Circle one: Flat Rolling teep Slope % of Slope Soil Nature: Circle one San Loam Clay Other /L7epthe '2. Feet Ground Water: At what depth? Feet Bedrock or Impervious Material: At what depth? Feet Percolation tests Circle one, not required required rate min. inch. Domestic water supply: circle one Municipa Well Other If domestic water supply is a we Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank I, 000 gal. (minimum size: l , OnO gal.) TILE FIELD: Each Trench - t/Total syste th feet SEEPAGE PIT(S): Number / Size a ph f ety fee Size of stone to be used #..3./Depth or Thickness feet I have read the regulation on the reverse side of this sheet and agree to y thes and all requirements of the Town of Queensbury Sani ry Sewa al Ordinance. SIGNATURE OF RESPONSIBLE PERSON: f DATE : Xo rr, 7 <e ? OVER Sepkic System Inspections : A . 4% 11 aPplicacions for septic system installation , alteration or repair , as required by the Town of Queensbury Sanitary Sewage OrdYnance , shall bu 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 � . ) 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 , the 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 tilt uncovering; of the system by the installer and a fine of up to $ 250 . 001 G . 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 immudiate work stoppage . D . .`should unforeseen probl4ms during construction prevent proper installa- tion , alteration or repair of an approved system , a new proposal must h` Submitted to the Queensbury Building Department before further construction , Town of Queensbury BUILDING and CODES DEPARTMENT Bay and HavIland Roads Queensbury , New York 12804 h i.IEla rks . TOWN OF QUEENSBURY 531 BAY ROAD QUEEN5BURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT L INSPECTI REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMlTif TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVALFOOTING ( COMMERCIAL STRUCTURE ) +� ✓FOUNDATION c,— ACKFILL —FRAMING +ROUGH PLUMBING l F7NAE ELECTRICAL —i4,—WPTIC Y^YNSULATION —WOODSTOVE/FIREPLACE] REMARKS t' e APPROVAL CHIMNEY HEIGHT/LOCATI N N/A YE NO B VENT/LOCATION t/ PLUMBING VE14T ROOFING SIDING DECK/ PORCH/STEPS /RAILIN S RELIEF VALVES FURNACE/HOT WATER OPERA N BASEMENT INSULATION/DUCT K INTERIOR TRIM/ PRIVACY DOO S FINISH FLOORS : BATH/KITCHEN WATERTIG OTHER FLOORS SWEEPAS OTHER FLOORS CARPETE STAIR CLEARANCE/RAILI S HANDICAPPED ACCESS_ SMOKE DETECTORS — BATHROOM FANS/WHOLE' USE ANS ALL PLUMBING FIXTUR S OPERATI G GARAGE FIRE PROOFI DOOR CLOSERS OTHER FIRE SEPARA N FIRE/DEMISE MALLS DUMPS TER SITE PLAN/VAR AN E REQUIREM N S FINAL ELECTRICA OK TO ISSUE C/O R C/C COMMENTS : /409-0 ARRIVE �+ DEPART I S TOWN OF QUEENS-BURY BUILDING .AND CODES DEPARTMENT BAY & HAVILAND RODS QUEENSBURY, NEW YORK 1280& TELEPHONE (51B ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION -of— DATE PERMIT # JJ �� �lAPPROVED YES NO FOOTING/PIERS MONOLITHIC POU FORMS -- FOUNDATION/DAMP ROOFING BACKFILL APPROVA.& ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING : FINAL INSPECTION = v CHIMNEY HEIGHT L ROOFING SIDING EXTERNAL PORCHES/SST PS STAIRS—CLEARANCE & ILS PLUMBING FIXTURES! LIEF VA VE INTERIOR TRIM/PRIVCY DOORS ' FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) � SMOKE DETECTORS FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF ONSTRUCTION OK TO TSSUE C/O Olk C/G A SIGNED CERTIFY OF OCCUPANCY MUST BE OBTAINED FROM TIEE BUILDING DEPARTMENT BEFORE THESE PREMISES OCCUPIED ! REMARKS : t ARRIVE LaEPAR� If/` INSP TOR lultp©LE E)EPARrtN ypp i)1N AGENCY, INC.rt[ f[ e� that f - - d ` y osra With the National Electri letria equipment listed has been exere . March 23 , 1990 61 Cpc e. applicable governmental, utility arid-. � approved as being in accord Owner: R a to iz a mas t Opti S. Occupant: 01 <t81e Faiaf y !Lot 5 6 A�q rT� ] n L f]C3fion: 'M;�� 1a: Ki el, iQu r't19 " 'P ;�i 4 ca ryfiCafa f,w Equrprrient: 110 Ui i t ].@ t S yT {� Re C "afs If addlnonal "t at an uiPfnsnf and instailahOn i t a c t es axlgfing a naPsciad f ?Li0 Al � � � �� Fixtures . system fhi r»rlhull and Id o. anerq=Phfi madafio 111�� + �'X"V 1 Q ' ri$ p spec lion Should sn6rpitt p d !o this � oy. and aPPi+Cehon fM '�S A 'P z anc @ s ,}.• �Si a older of ihis cey! ficsts a yY �? 3y; sesnl or a panyf as Go A!Cs""1n to NO WO~ fnuranca Wrier as apecdisd. ,./ Bloc taicsi sgxWpmsnt � KeI1y Elect i�;; ' aPP O,.etl Apptrcant: wf- 11ow Road ' ` 3 sdueeustury , 14Y 128 _ . .. .--.._ D . 15 -032014 Fa.wm MO. 703 EL 5-83 'O'VN OF QUEENSBU,RY I3UX L HA AND CODER PARTNENT B s AY HAVILANII RC7AIlS S' J fJ QUEENSHURY, NEW YORK Z2801 TELE"Ph"ONE (518) 792-58.32 BUILDING INSPECTO ' S REPoRT REQUEST F XNSPECTXON R IVED NAME ,1�/ . r,�•a "! L,OCATXON DATE PE XT # GG +^s + APPROVED FOOTING/PIERS :• # YES NO MONOLXTHXC PO FOUNDATXON LiAMA FORMS —PROOF NG BACKFXLL APPROL ROUGH PLUMB1rNG FRAMING ELECTRICAL ROUG 3NSfJZATXON: —XN , FOUNDATXON e FLOORS BALLS CEXLXNG FINAL INSPECTION. CHXMNEY HEXGHT t ROOFING SIDXNG EXTERNAL PORC7►ESf EPS ST.AXRS—CLEARAB7C j'LUMBING FIJIT�JRES/t4RAXL LXEF L'ALVE TRI PRIVY DOORS FINISHED FLOG GARAGE FIREP*0OFXNG DOOR CLOSER (,k) SMOKE DRTEC7VRS FINAL ELECTRICAL INSPE`C ON FINAL APPROVAL, OF CONST CTION ... S A S-'iGNED CER73 P-TCATE OF dBTAINED FRO THE BU-rZDXN EPARTMET BEFORE THESE' PREMISS ARE OCCUPIED[ REMARKS: ¢ ( k f 6 L E \i 2' cTaR -' TOWN OF QUEENSBURY "UXLDrNG AND CODES ZlEPARTMENT / } BAY & HAVILAND ROADS J4 '2UEE'NS,BURY, NEW YORK J.?Bo¢. TELEPHf3311E (5I8) 792-5832" BUILDING INSPECTpRrS RF PORT REY2r1EST F R XNSPECTION R ErvED ,► Ie �jrt} NAME ZOCATXON DATE 1°E'RMXT # ` APPROVED FOOTING/.PIERS YES NO MONOLXT!{rC POUR F`01 ]S FOUNDATrOMIDAMP ,P� FXMG BAC'07'XLL APPROVAL OUGm PLUMBING 1 RA MING ELECTRICAL ROUGH—xN l 1-NSU.LATXON: POUNDATXON F FLOORS WALLS CEILING PXNAL INSPECTION: CHIMNEY HzrGHT ROOFING SxDXNG EXTERNAL S/STE STAIRS—CLEARANCE' & RA PLUMBING ES RE F `— xNTERXOR TRZ"MfPRIV4CY DOORSLVE FT4ffrSHRD PLOORS GARAGE DOOR D �R CLOSER (S) SMOKE DETECTORS PINAL ELECTRICAL INSP 1m N F.ZIVAM APPROVAL Or R TION A SIGNED CERTZPICATE `-- OBTAINED FROM THE 2 E C UPANCY MUST BE THESE PREyyISES AREBuz XNG KPARTMENT B&"FORE CaC UPIED REMARKS: 1G7:43'& ;2! ;3 t '[ NspiscTOR ~�~ 6urLDING and ZONING DEPARTMENT I + Bay and Havifand Road, R, D, I Box 98 CJueensbury, New York 12801 !`�► SEPTIC DISPOSAL SYST INSPcrrory +wr jet LOCAT I DATE PERMIT N0. SOIL TYPE sand _ Percolation Test Re - Clay Percolation +mired ? YES rate Min/Inch TYPE Of SYSTEM: - Absorption field , total length Length of each tr ° Depth of ch trenches Size of gjravel SEEPAGE PITS{Nu a of) Size- __ft. x Gravel size - ft. PIPING : Bldg - to tank Size Type Tank to (list . box Dist . boa: to field/p Openings sealed? YE NO Partial LOCATION/SEPARATIONS : Foundation to tank Foundation to abscrp o ft. Absorption to lot Zi ft' Separation of pit, ft. LOCATION OF pits ft. SYSTEM PR ERTY (circle one) Front - Rear CCMMENTS : Le£ side Right side - 1 ,. t SYSTEM USE APPROVEb y •� Cis ; LA0 AV $u1lding Spector 01/86 and vl BUILDING andZONING DEPARTMENT Bay and Havifand Road, R. 0, i Box 98 Queens bury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ONN LJ{ n Ael DATE PERMIT NO. 9 SOIL TYPE - S$nd - Loam Clay Percolation T4st .'fieclulzed ? - Percolation raF YES .- I'3in/Inch NQ�~ TYPE of SYSTEMI Y Absorption fie Length , total of length 9 each ench 1)epth of trench Size of grave].• SEEPAGE P'TTS4N� er of) Size— JC ft. Gravel size f.t. PIP-TN(; : _ S--dg . to tank Si e Type------- Tank to Gist , box Dist . box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS : Foundation to tank Foundation to absor -�— £t. Absorption to lot li itn e Separation of efts ft. LOCATION of SYSZ"RHt ft. Front - ,Rear O�'ERTY (circle one) COMMENTS : - Lef sidP e - Right side - Ok SYSTEM USE APPRpVED � NO r Buildings Insp for 01/86 and vl TOWN OF QUEENSBURY BUXLDrNG AND R2'MENT ' BAY & HAVXLANDCODES R©ADSDEPA QUEENSRURY, NEW YOREC 1280+F TELEPHONE (518) 792.5832 BUILDING INSPECTop F s REPORT REQUEST FOR TNSPECTrON RECEXVED NAME LOCA 2'ION DATE F c JPERMST # � APPROVED +-�"OJO2'ING/PIERS YES NO MONOLX2'HTC POUR F S ` FOU4VDA27ION/DAMP_PROOFING BACICFXLL. APPROVAL ROUGH PrUMRXNG PRAMXNG r E'LEC2'RXCAL ROi7 H—XN I'NSUZA 2ION: FOUNDATION FLOORS WALLS CEXLXNG FXNAL XNSPEGTTON: 4 :r CH;TMNEY HEXGHT j ROOFING 6. SIDING EXTERNAL PORCH S/STYpS STAIRS—CLRANCE & RAILS P4UMBXNG -PXXT-URPRsS/RXXTERTOR OORSIVAELaZ-EF VA LUE FTNXSHED CY DOORS `-y GARAGE FXR�PROOFXNG DOOR CLOs4h (S) SMOKE DETJCTORS FINAL ELEC-rf6Z1'CAL I NIP~ E U 2:ZN�--�—� FrNAL APPR4VAy OF COIVSTRUC �p a A SZONED d'ERTIFICA2'E OF OBTAXNED FROM 2'HE OCCUPANCY N7jS2 BE TAFE.SE PREMISES AREBVTLDXNG DEPAR7'MENT BEFORE OCCUPIED! RF'MARICSr Y AU112 XNSPECTOR �� ' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 2280k ,r-}� TELEPHONE (518) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME ©c1� - i7 r LOCATSONt5 DA �-} TE /�!�" 7 ` _PERMI #1 S� APPROVED YES NO FOOTXIVG/PIER MONOLITHIC PO U FORMS FO DATION/DAMP ROOFING L.-B�AC.KKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS ;Zz WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORC S/STEPSXSTAXRS _ —CLEA CE & RAILPLUMBING FI TURESIRELIEINTERIOR T XM/PRIVACY D F.I"NISHED LOORS GARAGE F REPROOFXNG DOOR C SER (S) SMOKE ETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPXEDI REMAR,�K+�.So: a f ,�.y o m o { 2xmScTOR _ __ _. .J'c�nWn ozeee�n � bssreM BUILDING and ZONING DEPARTMENT Bay and Hdv+land Road, R. D. 1 Sox 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION LOCATION �' BATE A PERMIT NQ ._ SOIL TYPE - Sa1(id - Loam Percolation Te t Required? FRS - NO Percolation Min/Inch i i 4 � TYPE of SYSTEM: '< Absorption field ,\ total 1e�hgth Length of each tr ch Depth of trenches - - r size of gravel- SEEPAGE P IT S4Numl�e Size- ft. ^.. t Grvel size -` � a Size Type PIPING : Bldg . to tank Tank to dirt. box _ Distw box to field/ partial Openings sealed? ES NO �a LOCATION/SEpARATI Id S : f t. Foundation to t f Foundation to a orption �'` to 1 t line f t Absorption f one)separation of " ts LOCATIONS Sy TEM ON PROP TYQcjrcle Front - ar Left side - fight side - comMEN 1'fS p, Vb SYSTE USE APPROVED YRS NO M Building Inspec r 01/s6 and vl TOWN OF QUEEENSBURY BUILDING AND CODES DEPARTMENT RAY & HAVILAND ROADS QUEENSSURY, NEW yoRK 22809- ;TELEPHONE ( 516) 792-5832 BUILDING INSPECTOR' S REPORT J i ! REQUEST FOR INSPECTION RECEIVED j ,NAME LOCATXON �y j DATE it~ P IT E � APPR¢VED , TSNGIPTERS MONOLITHIC POUR FO S FOUNDATION/DAMP-PROOFING -- BACXFILL APPROVAL ROUGH PLUMBING FRAMING ` - ELECTRICAL ROUGH-IN INSULATION: p FOUNDATION . FLO(:)RS WALLS CEILING f FINAL INSPECTION; CHIMNEY HEIGHT ROOFING SIDING t EXTERNAL PORCHES STEPS STAIRS-CLEARANC & RAILS PLUMBING FIXT U. S/RELIEF VALVE —.- INTERIOR TRIM/ RIVACY DOORS _ FINISHED FLOI S GARAGE FIREP OOFING —� DOOR CLOSER ) SMOKE DETEC RS FINAL ELECTR CAL INSPECTION FINAL APPROV L OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST B OBTAINED FROM THE BUILDING DEPARTMENT BE E THESE PREMISES ARE OCCUPIED' � 111111111 Will, REMARKS : rl �, INSPECTOR WOO LE DEPARTMERT INSPECTI Oft AGENCYANCo ' National Headquarters 900 Haddon Ave,, Collingswood, N.J. 08108 e Date : City, Town or Township "�y"$ 1 fr+r* Count .�d +�.+?G.�1'/" yam'' t� __State Lacati on/Address (If Located in Rural Area Please Attach Directions) Pole # Owner. +rlr}- Permit # Occupied As Building: New Old F1 Occupant Work Area in Building Floor #, etc.) : App, for: W4 i ng 0 Service Q or: Ready for Inspection : Fee Remitted - $ Cash F-1 Check M M.O. © Make Payable To: M.D. I.A. .5a6 760 1000 1250 a5aa 175a 2e00 2250 2500 2750 $DOO Number of Rough Wiring Outlets . Elect. Heat Switches Lighting Amp, Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Nu ber of Fixture Owen Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/2 1/12 1/10 1/8 1/6 1/4 1/3 312 3/4 ; 1Ms 2 3 5 7Vz 10115120 25 30 40 S4 75 . 100 Mark Numb r of Each Size Applicant's Signature License # Permit # T/A Utility : . Applicant's Address: (NAME) ICE L CATI (City) (State) (ZiP) Service Request # Phone # Electrician-, e j DATE RECEIVED: DATE INSPECTED: Correct Location : Same as Above [ or, Red Notice Label 0 Rough Wiring Outlets Surface Unit Oven Switches Range , Garbago f3is6osal . Receptacles Water Heater Dishwasher' Fixtures Air Conditioner D ` er - 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 $/ 1 1 2 3 5 7Yx 10 15 20 T 40 50 76 1-11 Marls Number of Each Size - Elect. Heat saa 75a loan a25o asoo a75a moo 22so 250,1! 2700 aaoa ED RW Progress: Inc. ED LKD EJ Contractor 0 CFT Violation : Work Comp. ED Inc. ED 0 L/A Owner CASH fl L/A Fee CH K # !PA Municipal Due MO # INV # Dom: Other Side F1 Utility Applicant iLlwner Cut in Card 0 Temp # pate 0 - INSPECTORS SIGNATURE Final # Date APPLICATION FORM NCf. 250 EL �11/a6 - - _ ti UVa \ } a V y a� Z k. rv" ���i � � •�lam. l ��(� 10 00 0 �v 4. ZS O J` 7 G t" n V a.. C; 1