1989-864 TIM
CER.T'IFICA'TE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date Apri l 30 1990
This is to certify that work requested to be done as shown by Permit No.
89-864
has been completed.
This structure may be occupied as a
Sin le Family Dwellin
1_.ocation Lot #62 - Bishop Court
Cwc.er Michel & Monique Julien
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. rsc C de Enforcement
BUILDING PERMIT
TOWN OF +QUEENSBURY 'x
No. R9-864
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MICHELLE & 7�iDN IQUE JULIAN ,�,
+o
OWNER of property located at Lot #62 Bishop Court. Street, Road or Ave-
rn
tv
in the Town of Queensbury, To Construct or place a Si jq l e Famj 1 y Dy r I j ng
at the above location in accordance to application together with plot plans and other information he
tiled and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
9 . OWNER'S Address is
Zenas Drive
L,
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2. CONTRACTOR or BUI LOEWS Name r—
RAVEN INDUSTRIES
3
3. CONTRACTOR or BUILDER"5 Address r'a
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M
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MO
4. ARCHITECT`S Name
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5. ARCHITECT'S Address
6- TYPE of Construction — (Please indicate by X) r-
wood Frame [ D Masonry 4 ) Steel ( } *1=
ON
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7- PLANS and Specifications
No- 60 ' x 38 ' single family dwelling with septic system and driveway
as per application , plot plan and specifications . �'
-el
S. Proposed Use c
Single Family Dwelling
$ _ 277 - p() _ PERMIT FEE PAID — THIS PERMIT EXPIRES Jung l 1990 —
(lf 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 Atha expiration date.)
2M CA*.r
rn
Dated at the Town of Queensbury this 3rd Day of November 1
m
SIGNED BY c / for the Town of Queensbury
Bun ding and Zoning inspector
r
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TOWN OF +4UEEN5BURY
REVIEWED BY G= RE TOWN C EN5BURY
RECEIVED
FEE PAID $
CL
PERIb11T NO. OCT 31 1989
BUILDING PERMIT APPLICATION BLDG, & CODE DEFT. `
A PER MUST BE OBTAINED BEFORE BEGINNING CONSTRRUCTION. 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.
* s s * * * s � w * s s * ,may*��s * • : * * : * �«.�wy * * r : * * # ,r « * s * * * * * «
The owner of this property isz ��: r'�/7re �► �1' '/�ra. acv� i.E'.: ..�
P. O. Address -�*.d rfi'r.' - � ✓'. yti• .,-+ � ., .�. T'el
Property Location �� .mow-®- Cam. -r7 "fax Map No. e?6 T I r 2-
in
Has there been any split of this property since October 1 . 1988 ?
If yes Planning Board Review is necessary. yes no `
SUBDIVISION NAME, IF APPLICABLE ae Oar 6.�11?e*17 LOT NO.
THE PERSON RESPONSIRLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK : ESr:MATED MARKET VALUE OF
bnstruction of a new building w CONSTRUCTION._ S /,..s�`,S'
Addition to a building " 'COMPLETE INFORMATION REQUIRED BELOW:
Size of property G�d'+'3s`1-�- . '� ft x 'eft.
Alteration to a building Existing Buildings(3 ) Size ft. x fte
(no change to exterior dimensions)
Proposed building distance from property line:
Other work (Describe) Front yard ft. Rear yard 1WZ9Ci' ft&
Side yards '4 -O ft. and "tea'' ftV
GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft.�
1st Floor sq. ft. 1
OCCUPANCY INFORMATION
r►
2nd Floor /,/i'�3' '' sq. ft. Primary Building
Other Floors sq. ft. _ .---"-- ne Family Dwelling
(not cellar or basement ,. Two Family* Dwelling
TOTAL FLOOR AREA /+�'G' sq, ft. " Multiple Dwelling/Number of units
+► Business
Size of new structureZ,�Ljt x —ft.
Industrial
Foundation-pier/slab/erawllpartia
(circle one) " Other
•
Nov of stories (habitable space) ,.
Height (grade to ridge) a "r ft. If addition, what will use be?
If residential, no. of families�� :
No. of rooms(exciuding baths) Accessory Building
No. of bedrooms 3 " Detached Garage ONE/TWO Car
No* of bathrooms - #
Primary heating system *� Attached Garage ONE�CaY'
Type of fuel_,mo s " Private storage building
No. of fireplaces to be installed_____ /f _ Other
w
Will a wood stove be installed
Central Air conditioning w _ .-� 01
OV" ER
BUILDING PER :1IIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc.
'[Nils any second-hand or upgraded Irimber be used ? If so, for what ?
Foundation wall material _Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage s q ft .
Will there be & basement ? � Will any poc•tiorl be used as living space ?
(If so, what portion ? sq ft . Type of use ?
Type of roof -� at/shed/other Material of roof
Size, wood studs_ ``? "x_ " spacing,JZ'' " o. c. length ft. —
Joists (floor beams) 1st floor "Z— "x ,+G- " spacing./ ",a.c. span /'�i/ft,
Joist (floor beams) 2nd floor �_ "x /(j " spacing—Zggrrrro c. span f ft.
Overlays (ceiling beams) "x " spacing " o. c. span ft*
Roof rafters "x " spacing o. c. span ft.
Roof trusses (pre-engineered) spacing Z. r " o.c. span 2 � ' ft.
Exterior wall finish C'r�. 6, of what material?
Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 4
Is there to be an opening between garage and dwelling ? I/ If so will a Fire-rated door, enclosure,
,n.
self-closing device be provided? . 77
Will a flue-lined chimney be installed? .r�G �.�r -Height above roof. `-G' - s' ft,
Depth of chimney foundation below grade__7� 0'rft.
Depth of fireplace hearth ,/ ft. 0" in.
Water supply - Municipal or private well1�,.f yz
EPTIC SYSTEM Distance from ANY private well {including adjoining properties
(A separation application is necessary for any repair or new installation of septic system)
NAME OF BUILDER ,46eG':!5� -T,�o' ADDRESS S /. �. o L. NO. !.r''1'�!— 2 �2?rww
NAME OF PLUMBE,R��''�� ADDRESS, TEL. NO,
NAME OF MASON eveoCio., ADDRESS r ' -' - ,:ram TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
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 ne on
be do
the described premises and that all provisions of the BUILDING CODE, THE ZONING {ORDINANCE, and
tll other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
;uch work is authorized by the owner.
Signature
Owner, owner's agent, architect, contractor
1PPECIAL CONDITIONS OF THE PERMIT:
BY
TOWN OF QUEENSSURY
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 :
?�.
1 . Gross floor area � .�1/'
2 . Type Of heat c,:'"r
3 . Is the building mechanically cooled ? ��� ---
4 . Percentage of area of windows and doors
A . Over 16 '% Only
1 . 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 an floors exposed to ambient conditions.
2 . R value of exterior walls
3 . R value of glazed area lT �+ ' y
4 . R value of doors or
5 . R value Of floors over unheated spaces f .
6 . R value of slab edge insulation - unheated slab
7 , R value of slab insulation - heated slab
8 . R value of heated basement/ cellar walls ( above grade )
9 . R value of !Heated basement /cellar walls ( below grade )
10 . Type of insulation r " x w" 7
C . Controls
1 . Thermostat maximum heat setting
D . Duct systems tems NO
1 . Is duct system installed in unheated spaces ?
a , If YES , R value of duct installation
b . R value of duct in other areas
E . Pi p i n g Insulation �.�J.--�-�`"�y
1 . Size of hot. water or cooling carrying agent pipa
2 . R value Of pipe insulation
F . Service Water Heatin2
1 . Performance efficiency
2 . Temperature control setting maximum
G . For Swimming Pool Only
1 . Maximum heating
Telephone No .
a plicant ' s signature )
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATL? _ ��
LOCATION OF PROPERTY FOR INSTALLATION"
Owner's Name: cam » Telephone: 7e �
Address: tisx ,, r -��- � -.�- -�. .'
Installer's Name: Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle oneZgZl oiling Steep Slope S'o of slope
Soil Nature: circle one . anti oam Clay Other / Depth* feet
Ground Water: At what depth? 7 feet
Bedrock. or Impervious Material: At what depth? ��rr feet
Percolation test: circle ones reg required / rate min. inch.
Domestic water supply= circle one: dt5gici Well Other
IF domestic water supply is a Well: feet
Separation: Watersupply from Septic absorption
PROPOSED SYSTEM: Septic Tank 4m d gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench L/' feet / Total system length �'/ feet
SEEPAGE PIT(S) : Number of ---- Sze each feet by feet
Size of stone to be used # � 7 Depth or Thickness feet
IMPORTANT
..Xlease...LIST NEW EQUIPMENT TO BE INSTALLED
(over)
Section II 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
Z.) location and distance to lot lines
3.) location and distance to structures
4e) 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 the
uncovering of the system by the installer and a fine of up to $Z50.00.
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 installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
1 have read the regulations above and agree to abide by these and all requirements
of the Town. of Queenshan-y Sanitary Sewage EKSP rsal Clydinaace.
Signature of responsible person:
Date;
Town of Queensbury
Building and Code Department
Bay at Haviland. Road
Queensbury, New York 12801
(518) 74Z-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD, PLACE TO LIVE
TOWN OF QUEENSBURY
Bay at Haviland Roads, aueensbury, N.Y. 12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date ._ .f , f
xv � Permit No.
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 a I I
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 ' A ,�"i, =y--'� APPLIANCE Coa! ''Wood
Stove
Address — ���• � �^ _� Furnace Hot Air Boiler
Zero Clearance Circulating Unit
zip
Phcme y'i,,r If Non-Masonry:
Owner's Name Manufacturer � _ %
Address_. Lac r'� -r "�' �'` Model - Outlet Sire
�- y r .- _ Listed by Number
Phone CHIMNEY TYPE
Masonry: Block Brick Slone_,�1e --
Propertylocation or proposed construction T ter
Size:
Factory Built:
Manufacturer Model Sire
COPY OF MANUFACTURER. SPECIFICATIONS IS Height Listed By Number.
REQUIRED FOR FACTORY-BUILT APPLIANCES Type Double Wail Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee $ off'
SONRY FIREPLACES AND CHIMNEYS.
CASHIER'S UErARTMENT
TOWN of QUEENSBURy, NEW YORK
Denar#tnent: Fire_Marshal Amount Coilected Amount Refunded
Code Number Title r~
A173 33ti9 (190) Public Safety
A233 2655 (230) Minor Sales
r
Fee (7l�ectcd�I [1 Refunded to:
Address:
zl
Dated. own Clerk or Deput
Goldenrod: Fire
White: Applicant Yellow and Pink. Cashiees ,Deprrbnene
TOWN OF QUEENSBURY
BUILDING AND CODES ,DEPARTMENT�' �
BAY & HAVILAND ROADS c
QUEENSBURY,r NEW YORK I280&
TELEPHONE (5I8) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR,� INSPECTI RECEIVED
�VZ
NAME efe
�
Z
r,OCAT ION
DATE PERMIT # � �' �f
APPROVED
+' YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/'DAMP— 'ROOFING
BACKFILL APPROV.�tiL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUG —IN
i
INSULATION:
FOUNDATION
FLOORS 4
WALLS
CEILING
FINAL INSPECTIO =
CHIMNEY HEIGH
ROOFING
SIDING
EXTERNAL PORCHESISTEPS
STAIRS—CLEARANCS S RAILS
PLUMBING FIXTURE51RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER (S)
SMOKE DETECTORS.
FINAL ELECTRICAL INSPECTION _..
- FINAL APPROVAL OF CONSTRUC`
OK TU ISSUE C/O ' OR C/C —
A SIGNED CERTrltTCATE OF OCCUPANCY MUST BE
OBTAINED FROM II BUILDING DEPARTMENT .BEFORE
THESE PREMISE+` ARE OCCUPIED!
r"
f/
�r�r d L�
pgPAR� r —�—y— ---�
SPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS � ,
I f BUREAU OF ELECTRICITY
41 STATE STREET, ALBANY, NEW YORK 12207
Mate i , . pplication .Va. on file
THIS CERTIFIES THAT _ a ' - SCA4
only the electrical erlTsipment as described below wnd intradlesceld by the appaicant narssed on the above oppffcetion number in the pronsisea of
ill .xl�i►ih1"1 LR z +"' 1 fans k511�1r' T ` .
in the following locations: Basement lat pl. Ersd FY. Section Block Lot
teas examined on 1 4 onrlfownd to be in compliance with the cegsairementa of this Board.
"XTURE A ik'�S �� IO NXTURRS RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETSCLXS1 INCAPESCENI FLUORESCENT OTHER AMT, K. W. AMT, K. W. AMT- t.W- AM %T. . W. AMT. R. P.
52 As 1 40 1 'dvo I 1 5 1 4 Its 3 Ir"
pItYERS FURNACE MOTORS RlTtIRE APPLIANCE tlROERS ISMCM REC`FT TLME CLO4Ki fay, UNIT HEATERS MULTI-CWTLET v$ML lERS
AMT. K. W. CNs M. P. GAS H. P. AAM NO. A. W. G. AMP. AMT_ AMPS. TRANS. AMT, HIO I H. P- S. or r FEET •AMT. - WATM
l 3 AJMT.v- 1 V
SERVICE DISCONNECT MD.OF S E R V L C E
METER AMT. AMP. TYPE EDLIV. 1 X 2W 1 A' 3W 3 X 31M :I ON 4W �' �PERCR C . CC/NO. OF CC4ND. NO. OF NI-LEG ' W. HO. OP NEUTRAL$ #' RAt
'ice da I Ix I I i
OTHER APPARATUS:
0 .P . C2:
5 +slaf�tlKC IPIEl9�GC�iL+,t �. —� 7
3
Qfca i BRANCH MANAGER
LAW `ftvm-f, *M pa%4 5 Per I }•' -... .
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. THd1S COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
DS
BAY & HAE'ILAND RO EW R
TELEPHONE K I2801 + �
QUEENSBURY, 5 S ) 792-5$32
BUILDING INSPECTOR' S REPORT
XQUEST FOR I SPECTION RECEIVED_
NAME 4-
LOCATION I &r9� �, I ,1
PERMIT #� LP `f
DATE APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP ROOFING
BACKFILL APPROVA
ROUGH .PLUMBING
FRAMING
ELECTRICAL ROUGH-
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY' HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STE S
STAIRS-CLEARANCE IL __v--�--
PLUMBING FIXTURES/R LIE VALVE
INTERIOR TRIMIPRIV y D ��'
FINISHED FLOORS
GARAGE FXREPROOFIN
DOOR CLOSER (S)
SMOKE DETECTORS PECTIC7N_
FINAL ELECTRICAL I ---
FINAL APPROVAL OF ONSTRU'C ION
1
A SIGNED CERTIFIC TE OF OCCUPANOX MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES A OCCUPIEDI
REMARKS : "'
01 \
�l
x
1
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
,RAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518 ) 792-5S32
BUILDING INSPECTOR' S REPOR
1gVUEST FOR INSPECT ON RECEIVED
NAME
LOCATIO
DATE 6 PERMIT # Q `
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFI
BACifFI LL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION: 1
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION :
CHIMNEY HEIGHT
ROOFING 1p
SIDING
EXTERNAL PORCHES/STE S
STAIRS—CLEARANCE & ILS '
PLUMBING FIXTURES/R LIEF VALVE
INTERIOR TRIM/PRIVA Y DOORS
FINISHED FLOORS
GARAGE FIREPRO0FTN
,'DOOR CLOSER (S )
SMOKE DETECTORS
FINAL ELECTRICAL I PECTION _
y( F.I NAL APPROVAL OF ONSTRUCTION!
o i
A SIGNED CERTIFIC PE OF OCCUPA Cy MUST BE
OBTAINER FROM THE BUILDING DE P TMENT BEFORE
THESE PREMISES A OCCUPIED!
REMARKS:
f i
N PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBU'RYr NEW YORK I2801&
TELEPHONE (5I8) 792- 5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTIONp`/��RECEIVED�I�
NAME' _�C+ /+��1 i ' Ipl� 1 6c,))L)c tt I cy' flr
LOCATION —Os /� /y
DATE +� PERMIT "'� — 4.
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR ORMS
_..
FOUNDATION/DAMP— ROOFING
.BACKFILL APPROVA
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGHt-IN
INSULATION: a
FOUNDATION
FLOORS
WALLS
CEILING
FINAL. INSPECTION :
CHIMNEY HEIGHT
ROOFING l
SIDING 1
EXTERNAL PORCH /STEPS
STAIRS—CLEARAM,{CE & RAILS
PLUMBING FIXTL{RE41RELIEF VALVE
INTERIOR TRIMY7,PRI VACY DOORS
FINISHED F S µ
GARAGE FIREP OOF-TW
DOOR CLOSER ( )
SMOKE DETEC7bRS
FINAL ELECTRL AL INSPECTION
FINAL AlPROVA OF CONStRUCTION
A SIGNED CER4TFICATE OF l&CCUPANCY MUST BE
OBTAINED FRO1f THE BUILDINv DEPARTMENT ,BEFORE
Tf1ESE PREMISIS ARE OCCUPI.)D1
REMARKS:_ tc:
r � y
'I INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 1 ll
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TEL,EPHONE (518) 792-5832
BU I LL3I NG INSPECTOR' S REPORT
REQUEST TNSPEC'T'IO2 ' C9I[FED - 2- AC) � �v
NAME
LOCATION
DATE _2- C�> PERMTT # '
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFIA�b
BACKFILL APPROVAL
('eROUGH PLUMBING -avz
FRAMING
ELECTR?CAL ROUGH-XN
/INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHE4,��.'STEPS
STAIRS-CLEARANCE"' i& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOOR.a
GARAGE FIREPROOFING
DOOR CLOSER (S)
SMOKE DETECTolfs
FINAL ELECTRICA INSPECTION
FINAL APPROVAL 3F CONS! "RUCT1'ON
A SIGNED CERTIPXCATE OF OCCUPANCY MUST BE
OBTAINED FROM a*HE BUILDING DEPARTMENT BEFORE
THESE PREMISES 'ARE OCCUPIED!
REMARKS: /4-5' 1' -Al F 's 0 9 a +��1+ 1�1� An -�5
A) i " r4 i � a 61S
CA
u � w um cuv - ► LA&S PA
IN.SPEC
TOWN OF QUEENSBURY
BU.ILD2NG AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY NEW YORK 1280q,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR. -INSPECTION REC VED
NAME
LOCATION f
DATE PERMIT
I
APPROVED
YES NO
FOOTINGIPIERS J
MONOLITHIC POUR RMg
FOUNDATION/DAMP- OOFING -
BAC KPXZL APPROVAL -
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL -INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHESf EP
STAIRS^CLEARANCE RA S
PLUMBING FIXTURE RELI F VALVE
INTERIOR TRIM/PR ACY R,S
FINISHED FLOORS
GARAGE FIREPROOF NG
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL NSPECTIO
FINAL APPROVAL OF CONSTRUC ON
A SIGNED CERTIFI TE OF OCC ANCY MUST BE
OBTAINED FROM TH BUILDING PARTMENT BEFORE
THESE PREMISES A E OCCUp_TEZ) jr
REMARKS;
INSPECTOR
TOWN OF QOEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND RCODS
QUEENSBURY, NEW PORK 1280&
TELEPHONE (528) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR rNSPECTION RECEIRr
NAMELOCA2'ION
DATE Z" P8RMI2' APPROVEDYES NO
FOOTXNG/PrERS 1`
MONO>LITHIC POUR ORMS
FOUNDA T-rON/DAMP-tR pOFI NG
BACKFILL APPROVA.4 —
ROUGH PLUMBING
FRAMTMG
ELECTRICAL ROUGH— N
INSULATION:
FOUNDATION
FLOORS
WALL$
CEILING
FINAL XAFSPECTrON;
CHXMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST S
.STAIRS—CLEARANCE &
PLUMBING FXXTURES/REL VALVE
` -
XMrERIOR fiRrM1P.RSVACY RS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL rIVSPECT
FINAL APPROVAL OF CCJNSTR T `
A SIGNED CERTrFICATE OF CUPANCY MUST BE
OBTArNED FROM THE BUrLDIN DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPI [
REMARKS;
s
l:
r SPECTOR
JO[1/1Z O� Q FFr'l J f� �, f .
BUILDING and ZONING DEPAnTMENT + '+
Bay and Haviland FPoad, R. D. y $0x 98 "Jt'HT
Queensbury, New York 12801
SEPT DISPOSAL SYSTE
M INSPECTION ION
NAME
LOCATION
DATE ERMTT NO.
r ', 3 f q -R & LI--
SOIL TYPE - Sand ` - Loam _ Cla Percolation y Test Reclulred ? yE7q' —�--�
Percolation rate NO
- Min/Inch
TYPE of
SYSTEM : �
sorption field , '(total le
Length of each tre6ch th
Depth of trenches
Size of AIravel
SEEPAGE ;JITS{N le of
Size- ft . X
Gravel s1ze
PIPING : �-
Size
Bldg * to tank r - TYpe
Tank to dist . box ---6!e" —�
r)i.st , bos: to fie
s
OPeni.n /pi
S sealed? yE NO
Partial
LOCATION,JSEPA TIONS : I
Foundation to tank I /C3
Foundation t abscr ft'
Absorption o .i�t n\ ft .
Separation of lot line ft.
LOCATION pits ft.
Front -
SYSTEM ON PROP RTY (circle one
R,�ar - Left
sid
'CGMMENTSio e xght side
r "
f r +
SYSTEM USE APPROVED YES l -}
d ng Inspec or
01/86 and v1
:7o4Wrt
BUILDING and ZONING DEPARTMENT
Bay and Hauifand Road. Rj), I Box 98 I
OueenSbury, New York 12801
SEPTIC DISPOSAL S STEM INSPECTION
LGCATION
DATE Wf-3-91 PERMIT
SOIL TYPE and - Loam - Cla
Percolation Test Requi y
red YES
Percolation rate N
Min/Inn
h
TYPE of SYSTEM : y
.'Absorption field , total le th
Length of each trench rr
,Depth of trenches ? f
size of ijraveT
SEEPAGE ?lTs4uumber of)
Size- ft. x ft.
Gravel size
PIPING :
Bldg * to tank ` Type ti
Tank to d ist . box
Dist . boa: to field/pit
Openings sealed ? YES NO
artial
LOCATION/'SEPARATIONS :
Foundation to tank
Foundation to abscrpt f� ft
Absorption to lot Ain `��ft
Separation of pits ft '
LOCATION ear SY RTYft,
Front - ea TF'P7 PROPE (ci le one )
_ side ef'
COMMENT - Right S ' de _
SYSTEM! USE APPROVED YE
N
Bui n Spector
01/86 and vl
TOWN OF QUEENSBURY
BUILD2'NG AND CODES DEPARTMENT
BAY & HAV.1rLAlVD ROADS
QUEENSBURY, NEW YORK 12809.
TELEPHONE (518) 7921-,1158.32
BUILDING INSPECTOR ' S REPORT J
REX?UE ,^�FOR INSP N RBCEIVED
NAME
zocATION - �—�-
Dal TE PERMrT #
APPROVED
FOOT'INGfPTER.S YES NO
MONOLITfiIC POUR FORMS
F L7NDATZoAr1D P'-PROOFXAVG
CKF'ZLL APPAL
ROUGH PLUMBING
FRANrNG
ELECTR3CAL ROUGH=3jN
INSULATION:
FOUNDATION
h
FLOORS
WALLS
CEILING `
FINAL INSPECfiION:
CHIMNEY HErGHT 1
RDOF.TNG
SrDINc
EXTERNAL PORCHE
SSTArRS-CLEARAN Ef& TRAT
PLUMBrNG FIX 74ES/REL2E VALVE
rNTERIOR TRI /PR3'VAC.Y 17p
FINTSHED F RS
GARAGE FIR PROOFING
DOOR CLpB (S) ---�
SMOKE DE fi CT'ORS
FINAL ELECT ICAL I'NSPECTTO�ON
FINAL APPRO L OF CONSTRUCTION
A STGNE17 CERTIFICATE pF
OBTA 2 NED FROM CUPANCY mUST BE
THE BUILDING DRFARTMEIVT. .BEFORE
THESE PREMISES ARE OCCUPTED,{
REMARKS.*
rNSPECTOR ��
TOWN OF QUEENS BUR'Y 4
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12216,
TELEPHONE (518) 792-583 !J
BUILDING INSPECTOR ' S .REPORA V
REQUEST FOR INSPECTION REjagXVED
NAME 001
LOCATION �, _ ,c
DATE _ f{�M PERMIT #
C
APP VED
YES NO
1_ OOTXNG/PIERS
MONOLITHIC POUR FORMS
FOUNDAT IO1 I DAMP--PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH+IN
INSULATION.-
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCH E /STEPS _
STAIRS-CLEARAN E & RAI
PLUMBING FIX RESIRELIE ' VALVE
INTERIOR TRI /PRIVACY DC1S
FINISHED F RS *_
GARAGE FIRE ROOFING
DOOR CLOSE (S)
SMOKE DIET TORS
FINAL ELECTf�ICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNEZ) CERTIFICATE OF OCCUPANCY Mt(ST BE
OBTAINED FROM THE BUILDING DEPARTMENQ' BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO,DO NC7f WRITE HERE - FOR OFFICE USE ONLY
BUILDING PERMIT NO.
7E MP M DATE
TOWNSHIP
COON Y
STREET .4N11 NO pR ROAD 1.
'-BETWEEN WHAT j.-s � ' � POLE NUMBER
TWO GROSS SIRE ETS +S PA EMISES LD('.,AfED"Y
SECi1pN BLOCK
OCCUPANT'B NAME LOT
BUILDING OCCUPANCY
OWNER-S NAME ANp ADDRESS
}TOME TELEPHONE NUMBER
CURRENT SUPPLIED BY FROM THErR "`:��••
OFFICE VVDRK TEL EPHDNE NUMBER
BUILDING IS —
I I G WORN IS ME IV ADOITlONAL DEF ECTS REMOVED LJ
LST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
LI NUMBER OF OUTLETS No. of Fixtures & BRANCH LAMP Receptacles MOTORS HEATERS OFFICE USE
Pion
Ceiling Arracfl't CIRCUITS
WI ceP fs
Wall Re Switch Pend ONLY
3nf Bracket No Type Ea h ND. ONLY
A.WG.
OUT- Each No Gauge INSPECTION
SIDE
SUB-
BASE
BASE-
MENT
t st
20cFL. I
and _—
FL.
3 rc1 —
FL.
REMAAKS: LIST OTHER ELECT R rCAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EOUIPMENT 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
k16H4_A_R'AZCTF)E
F MrtIN$
FEEDER$ ELECia IG SIGNS.RAMPS
TOTAL WATTS
KE%POSED GI TUCONCEALERORK TO BF STARTEDDATE COMPLETED SIZE OF SIGN CNIUMBER}
CAPACITY
E ENTERS 6U: NGf'' MANUFA[TURER OF SIC}N
OYEflHEAD UNDEFGF IXJND
INSPEG41gN REpUEBTED ON IOq pS NEgR Arc pDs$IBIE} II
MUST
IDENWIFIICATION NUMBER �AYOId DELAYS BY G�FVJADDRESS
FULL ANd ACGUIiATE INCORIYIAT1pN. ALL $PACES rwusT BE FlLLEp !k OR APPLICATION MAY BE RETIfRNED.
PRINT NAME AND AbbRES5 _
NAME OF APPLICANT
-f DATE CIF AID L UCAIi O
,N 8613NATUi161?F Ay"LICANTy.
_ - TELEPHONE NO
CITY OR POST OFFICE r .-
_ ZIP CODE LICENSE NO. WHEN APPLICABLr'
_ ,r
85 John Street �4 1 S Uai tO St ree k �7 570 Delaware Avenuevenue 202 Arterial _
NEW YORlf, NY 10038 ALBANY, NY 12207 + BUFFALO, NY 14202 1 RIOCHES ER, NY 14608 + SYRACUSE, NY 132M
THE NEW YORK BOARD OF FIRE UNDERWRITERS
I
l
V '
I
LOT S3 4",
�� LOT 52 � LCJI' J J
w
2 4
o a 4 LINES 50'EACH
i � N
LOT 6
41 TOWN OF QUEENSBURY
41,8350'- x, R
s BUILDING & CODS DEPT.
REVIEWED BY —
�? DATE
LOT 61
c F i Cil F :,fV MADE FOR --
WE
RA VEN INDUSTRIES"
w...,."rv._...,,�
TOWN 0 WJt F NSBUKY i,OUN1 Y OF WARREN
-SCALE, a .,50' DATE O CT08(lR 24, 198,j
VanDuwcn k Steves
LAND SUh VCYl:iko G!_ENS F'AL!_S,NE:W YORK
' Y. SWE L YC. NCI 35617
8.q--3Jh