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1989-857 ANCY CERTIFICATE TOWN OF CIUEENSBURY WARREN COUNTY, NEW YORK ps March 25 19 91 This is to certify that work requested to be done as shown by Permit No. 89- 8 57 has been cornpleted4 This structure may be occupied as a single f am il)6 dwelling l .cscatiott # Heresford Lane C➢w�ner Anchor Builders , Inc . By Order Town Board TO'NVN OF QUEENSDURY r Director of Bldg. & Code Enforcement BUILDING PERMIT • x TOWN OF QUEENSBURY No_ WARREN COUNTY, NEW YORK , PERMISSION is hereby granted to ANCHOR B Il DFRS, TN n Qu OWNER of property located at #2S Hiaresfard I anp Street, Road or Ave. C-f O in the Town of Queensbury, To Construct or place a 'Si nq1 P Family dwal l i ng at the above location in accordance to application together with plot plans and other information hereto filed and i� approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ' tst f . +OWNER'SAddressis 1 Box 442 Clifton Park , NY 2. CONTRACTOR or BUILDER 'S Name 3� 3. CONTRACTOR or BUILDER'S Address CIO S Rri .'Wt? G 4. ARCHITECT'S Name r'n CA cn Y Ny S. ARct4rrECTS Address h S. TYPE of Construction — (Please indicate by X) k)O*Vood Frame I I Masonry f } Steel f 1 N rn 7. PLANS and Specifications rM M No 24 ' x 26 ' single family dwelling with 2 car garage , septic system -mart and drivewAyas per 2lot plan , application and specifications . B. Proposed Use SINGLE FAMILY DWELLING . $ 192 QO PERMIT FEE PAIL? — THIS PERMIT EXPIRES .Mina 1 1990 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the y town of Oueensbury before the expiration date.) �--� Dated at the Town of Queensbury this Zth Day of NoVpmhpr x Mn SIGNED BY for the Town of Queensbury Building and Zoning I rispett6r r ITI r r a TOWN OF QUEENSBURY r ' REVIEWED BY FEE PAII} -" � PERMIT NO. � BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADS 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. « * « « ! • * « « « « • * « +r • +� « rr w s s « « w « f « « « « • * w « w * s r r The owner of this property is: P . O. Address 3' � .c'eJ �' S " Tel. ' ' . or Property Location VqeL Tax Map Has there been any split of this property since October 1 , 19889 / if yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE/�/'r �,.�,r.:eoc.VzF:: LO "I" 1104 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NATURE OF PROPOSED WORK : ESF.'MATED MARKET VALUE OF w _Construction of a new building CONSTRUCTION: S COMPLETE INFORMATION RE+QUiRED BELOW : Addition to a building * ` Size of property �r, f�'7' y/ -�-� ft x ft . Alteration to a building ` Existing Buildings( 3 ) Size &/ 42 x ft . (no change to exterior dimensions) Proposed building - distance from property line: Other work (Describe) " Front yard v --ft . Rear yard 72) 'F' ft . Side yards a.5 ft. and Ya?s_ '� ft. w GROSS AREA OF PROPOSED STRUCTURE sq• ft. # If on corner, setback from side street ft. 1st Floor ('+ ' f „t � OCCUPANCY INFORMATION 2nd Floor �- T+[P sq. ft. 0' (/•6 Primary Building - Other Floors sq. ft. y'' - _^_One Family Dwelling (not cellar or t &)fae W4 f Two Family Dwelling 00�/ je'+ 'ZY4 r Multiple DwelUng/Number of units TOTAL FLOOR AR - sq. ft. * Business Size of new structure !tx�/' ft � Foundation-pier/slab/crawl/part fuII e� , « industrial (circle one) " Other 2� �. 1 No* of stories (habitable space) . J Height (grade to ridge) L7 ''" ft. If addition, what will use be? If residential, noe of famlUes�, No. of rooms(excluding baths) • Accessory Building No* of bedrooms r �Dotached GarW a 014E/TW O Car ..�. No* of bath"Wms e Pri mwry heating system /' Attached Garage ©NE "J Type of tual_,[ _ " Private storage building No* of fireplaces to be inst&Lt*d Other Will a wood stave be installed ' /:: Central Air conditioning A!� OV16 ER BUILDING PERMIT .- , PPLIC .-kTION CONTINUED SUILDING 3PF. C1FICATIONS. Type of construction, wood frame, fire safe. etc. ,,,r � Will any second-hand or upgraded Itimber be used ? If so , for what ?__ �fee w' Foundation wall material ¢e,< Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar ? S' Heated or unheated? �,� Floor sq. footage Will there be a basement ?- Will any portion be used as living space? /Vrs (If so, what portion ? J& sq ft. Type of use? Type of roof - slope d/flat/shed/othergja&d�eM aterial of roof Sire, wood studs "x " spacing " o. c. length ft. /Y }''- . 01;7�"."r�: cis :Zx`,s� Joists (floor beams ) let floor s„x F' _" spacing_, "O. c. span„/eft. Joist (floor beams) 2nd floor 12—"x " spacing o. c. spaft. Overlays (ceiling beams ) "x spacing " o.c, span ft. Roof rafters of � ' ' spacing - o. c. span.; Roof trusses (pre-engineered) spacing_" o. c. span.';2,J:! �ft . Exterior wall finish.2 o;w'.? ,., of what material?4 Interior wall finish r If a garage is to be attached, describe materials to be used or FIRE SEPARATIdN. Is there to be an opening between gate eyand dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? r Will : flue-lined chimney be instal ed? Height above roof Depth of chimney foundation below a ft, Depth of fireplace hearth ft. in, Water supply - . Municipal or priv a we 146L2 = SEPTIC SYSTEM Distance from ANY private well (including adjoining proper ties,?!�`, ! ' . r t�, (A separate application Is necessary for any repair or new installation of septic system) NAME OF BUILDER ,y} ' Lj: ADDRESS .0,k i r,r�i'.xo•�• �TEL. NAME OF PLUMBER ';�/�,,�,,� ,�`� ADDRESSC TEL . N©. NAME OF MASON �. ADDRESS 1J* TEL. NO . r � NAME OF ELECTRICIAN ADDRESS :a sd TEL. N€]. i', • ,o? r } DECLARATION To the b*st of my knawledg* and b*Uof the- stat* rents contained in this application, together with the Plant and specifications submitted, are a truer 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 authorfsed by the owner, F Owner, own*0s agernt, architect, contractor SPECIAL CONDITIONS O@ THE PERMIT: BY WARREN COUNTY , NEW YIRK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE st be obtained before beginning work . p permit tru ANSWER ALL of the following : 7� 1 . Gross floor area ,r 2 . Type of heat._ -, 3 , Is the building mechanically cooled ? _ 4 , percentage of area of windows and doors A . over 16h Only 1 , Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heat - 3 spaces YES NO YES , NO a . Are founder an walls insulated ? 1 . If YES . what is the R value ?/ 3 , Slab on grade YES (�N�O a . If YES , wh . t is the ( Value of insulation around perimeter of floor ? 4 , Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation � s�` ' *� �, s"s " ' 4 B . Under 16 Only 1 . R value of roof and floors exposed to ambient conditions L► 2 . R value of exterior walls 3 . R value of glazed area - S 4 , R value of dvc+ rs $ , R value of floors over unheated Space - , 5 . R value of slab edge insulation -- unheated slabr�'L �. 7 _ R value of slab insulation - heated slab3tFL S , R value of 'heated basement / cellar walls ( above grade ?oee �' % �F g , R value of heated basement / cellar walls ( below grade ) 100 Type of insulation _ . zrkEiCR C . Controls 1 . Thermostat maximum heat setting D . Duct SYstems NO 1 , Is duct system ins '" lled in unheated spaces ? YES a . If YES . R value of duet instatllatio b . R value of duct in other areas ��` ' !'� � -- - - EII, piping insulation 1 . Size of hot wataz .:-•' cooling carrying a ent pipe 2 . R value of pipe insulation F" . Service. Water Heating i , performs nce efficiency maxima f 2 . Temperature Contxol setting G . For Swimming Pool Orily 1 . Maximum heating Telephone No . ( applicant ` s signature ) 0"TT)TV7+4 Ulm Q-UEEN=Ry APPLICATION FOR tf SEPTIC DISPOSAL PERMIT .DATE LOCATION OF PROPERTY FOR INSTALLATION �/Y '�' -F ��►`� ' - Owner's Narne:,�r�iyc��e�' "' Telephone:, ,C c'CS Old Address: -� // /✓S Telephoner �G � p Installer's Name:. Ze- » r� •=� = -'I'' Number of bedrooms (residential only) '4- Total daily flow (compute (d 1 so gal per bedroom).4eE ) Topography: Circle one: Fla Rolling Steep Slope of Slope r;v -5.5rT •Z�'4 Soil Nature: circle one and Loam Clay Other S ep'P Feet Ground Water : At what depth? _Feet Bedrock or Impervious Material. At what depth? 4Le, Feet 4 Percolation test: Circle one{'no required rate min. inch. Domestic water supplyt circle one: Municipal Well Otherr�'r�•:,�,. r YM� y, ; If domestic water supply is a well: feet Separation: Water supply from septic absorption PROPOSED SYSTEM , Septic Tank ,rA0<�0 gal. ( minimum size: 11000 gal.)-'fe+lt/Total sy�`rig feet CSEEPAGE& PIT(S)o ILE FIELD: Each Trench // "-� Number of �. I Size each Cta feet by `� Meet Size of stone to be used # ,Z /Depth or Thickness rC -r'f �`raGCCi '�r crGe�mirc„ 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 RESI"+C)NSiBrL, Ec} PERSON: 7 �^ DATE"— OVER TOWN OF QUEENSE URY _ APPLICATION 'OR ;ri ♦ 1, ^.--ate SEPTTC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION Telephone: Owner's Name. Address: / _ _Telephone: G 'J!L Installer's Nam,+e:� T �~ Number of bedrooms (residential only) Total daily flow (compute C4 150 gal per bedroom)_ SCI Topography: Circle one: Fla Rolling Steep Slope 9(� of Slope Feet Soil Nature: Circle one Sand Loam Clay Other ,d '.k' eprs Ground Water: At what depth? -�,� Peet Bedrock or Impervious Material• At what depth? �,J:,. Feet Percolation test: circle one• not require required rate min. inch. Domestic water supplyt circle one: Municipal Well C}thei��M� _- " - -- yylcrv4. G-"gyp If domestic water supply is a well: feet #4Z� Separation: Water supply from septic absorption a al. ( minimum size : I V000 gal.) PROPOSED SYSTEM : Septic Tank_ ,c� � ' g ,��- �feEt/'t'ofaT sya-ftrt re`rigtFi `3 feet TILE. FIELD : Each Trench SEEPAGE' PIT(S): Number of I Size each ( feet by e'1 feet ::Size of stone to be used # IDepth or Thickness 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: OVER Septic 3 stem £ns actions : 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 : L • ) the proposed location of the system 24 ) location and distance to lot lines 3 . ) location and distance to structures 4 • ) location and distance to any water supply . S . ) 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 Inspuctor . Failure to comply with this requirement may result in the uncovering of the system by the installer and a Of up to $ 250 fine . 00 . Cosite * approved copy of si the plot plan shall be available on the construction te . 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 rupair of an approved system , a new proposal roust bu submitted to the Quuensbury Building Department before further construction , Town of Queensbury BUIL.DTNC and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 Kim-urks T&M OF'BQUYEEKSBURY � QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792-%32 BUILDIPM INSPECTOlk* S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME LOCATION,,,r , '" ors' DATE y PERMITf TYPE OF SI'IIdrL}y� .1CT11R y2 ye ZZ'i , 'ar '.�' RECBECK t� % 2 A Trv•`L. Lr/i FIRE MARSHAL APPROVAL ( COMMERCIAL $STRUCTURE ) I 'FOOTING FOUNDATION BACKFILL / FRAMING 'ROUGH PLUMBING 'FINAL ELECTRIC SEPTIC TINSULATION WODUSTOVE/F# REPLA SITE PLAN/VARIANCE REQUIREMENTS YES me � r REMARKS APPROVAL 4 i N/ YE' NO CHIMNEY HEIGHT/LOCATION f B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPSf LINGS RELIEF VALVES FURNACE/HOT WATT G BASEMENT INSULATION/DUC ORk _ INTERIOR TRIM/PRIVACY D ORS FINISH FLOORS : BATH/KITCHEN WATERTI HT OTHER FLOORS SWEEP A E OTHER FLOORS CARPET D STAIR CLEARANCE/RAIL GS HANDICAPPED ACCESS SMOKE 'DETECTORS BATHROOM FANS/WHOL NS ALL PLUMBING FIXTU ES OPEUTi GARAGE. FIRE PROOFI' G DOOR CLOSERS OTHER FIRE S��t FIRE/DEMISE WALLS DUMPSTER FINAL ELMOCAU OK TO ISSUE C/O R Cf ARRIVE 9 DEPART ° ' TOWN OF QUEENSBURY $ BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED_ ` / NAME LOCATtOAtgA! -��+ �i _I er DATE I rI PERMIT # TYPE OF STRUCTURE ^ RECHECK r 4 , . _ „�� y ¢a„ PROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE . MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN LACE PLUMBING UNDER SLAB FRAMING : JACK ST /HEAD RS r BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM , HEATING ROUGH- IN INSULATION : FOUNDATION WALLS INTER R- FOUNDATION WALLS EXTE R- FLOORS I R- WALLS R- CEILING R- DUCT WORK OR PIPIN IN UN EATED SPACES REMARKS : r r I ARRIVE DEPART INSPECTOR THE NEW PORK BOARD OF FIRE UNDERWRITERS � r= � ! BUREAU OF ELECTRICITY 41 STATE STREET. ALBANY, NEW YORK I22O7 c Date Application .'Yo. ' .. x THIS C&FFTIFiES THAT 1 l I F I �ry 9 only the eleetrEcel YE RM F 7 Al }i ry 7 1 r ' r . " Ci f, egaiprnent oe deserlbed fielore and lntrodErced b Y t nom"d on she above hd 4iCl R I' 1 T eiPPlteanors r+arrrber in tlswprsassaei 4f L]. Ir " ' 13F�F ESF'{rkD LN GLEti �7 FIJ ,L! , ti . y in thefollosving location; ICI Basement lst Fl. E�j $nd Ff.svaa ezarnined on KI a I v t! 1 R. , 9 91 `'.� li Section -[ 1 ') Block, Got •1 r� rrx ondfound to be in compliance I.vitle the reguirelosents of this Board. TUEE 47NJTLATS OWTAce,Es sWITCNEs iMrCAHDESCENT FIXTURES R rq IL.NC*ES cooKe DECKS rLUORESCENT OTHER AMT, K. W. OYCi�IS DISH WASHERS EXHAUST FANS 1 ; A J, 4 1 AMT. K. W. AMT. K.W. AMT" K. W. AMT_ M. P. DRYERS 1 ` FURNACE MOTORS FUTURE wMtLAFtCE ERs AMT FeeK. W. o+r H. P. GAS He � IAI REC'17 TIME CLOCKS AMT. Plp" A. w. G_ SPEC SELL. LMMT HEATERS MRN.T1-CUTlE7 bllyWlERS AfAT' ruxP• AMIT- AMPS. TRANS. AMT. �. P_ SYSTEMS MO. OF FEET AMT" WATTS SERVICE DISCONNECT ND. OIr 1 AMT. TYPE. S R V' _ SOUMETP, r rr aW r 0 3W 7 Jr 3w 3 1 4W Ha. op CI s OMO. A W, c. C E C5F C. CGND. NG• OF MIlECs A. W. G. NG. OF NEUTRALS pF11 G. TRAl _ Of ME-[EG J . DTHER 'r�AEA7US: ;I.EC ro I10r 1 > _ 16 L1 *: `I:}: ?"'`I' CrT�?Zc L L Fell r r I' P b 'Y1" , i. t]6 r, BRANCH MANAGIER This oertificatWEREe must not be ahered in on ; k Y manner, return to the office of thMome board if incorrect. InsFMrotors may identified b - - COPY FpR 8UI DI DE AR M I r their c redentials. — - -- - — - --- - E K T!F ICA E 5 N E A E 7Oi■! OF QUEENSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792-S832 BUILDING INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVE` NIUlIE !�/Y1.C►s/'?1--1.f 3i f r .i' t��2.�/ LOCATION[ cf S 3i 11 v iT ®C 1 DATEPERMIT! d t` TYPE OF STRUCTURE I RECHECK FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) FOOTING FOUNDATION ACKFILL FRAMING 'ROUGH PLUMBING FIN t ELECTRICAL SEPTIC } INSULATION WOMSTO /FIREPLACE "SITE PLAN/VARIANCE REQU EMENTS YES _ NO REMARKS N/A YEM NO CHIMNEY HEIGHT/LOCAT ON- 8 YENT/LOCATION PLUMBING VENT ROOFING SIDING VALL RELIEF VALYaN / G FURNACE/HOT G BASEMENT INSON/DU Rr INTERIOR TRIACY D00 S FINISH FLOOR BATH/KITCHERTIGHT OTHER FLOOEPABLEOTHER FLOOPETEDSTAIR CLEARAILINGHANDICAPPED SMOKE DETECTBATHROOM FANL Ham`► ✓ALL PLUMBINGURES OPERAGARAGE FIRE ING DOOR CLOSER OTHER FIRE FIRE/DEMISEVWALLS DUMPSTER FINAL ELECTRICAL OK TO ISSUE C/0 OR C/ Ali2 t.+i /060645p � ARRIVE (� DEPART L �A TOWN OF QUEENSBURY Say at Hav#AW Rced, Qereerrslwry, NY 72804-9725- 5x8 792 Building & Cades Department yR"� SNSPECTOR 'S REPORT U c) :sl7c� M �-t��" S • �'�-J��r'�+J�'�_Tro r�O , bit V€�- PROPERTY LOCATION OWNER OR TENANT — x BUILDING �.SEWAGE SIGN OTH s RE RKS i� 3 �GT PAAleSro CONTACT THIS OFFICE —�{ m� 0 &r-O IT NWT�SP E�CTOR "HOME OF NATURAL. BEAUTY , , , A GOOD PLACE TO LIVE" SETTLED 1763 TOWN OF QUEE'NSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS T ' Y D� ELEPH&NE (5 ) 792- 5832 8 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION PERMIT # DATE APPROVED { I YES NO f FOOTING/PIERS MONOLITHIC POUR FO FOUNDATION/DAMP-PROD NG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: § FOUNDATION FLOORS � WALLS CEILING FINAL INSPECTION . CHIMNEY HEIGHT,._ ROOFING SIDING EXTERNAL PORCHES/STEP LS STAIRS-CLEARANCE & SIRE PLUERTC7R TRIM/PRIVAC, I DOORSFF LVE IN FINISHED FLOORS GARAGE FIR EPRIXoFING _`_-.- DOOR CLOSER (S) SMOICE DETECTORS FINAL ELECTRICAL INSI�CTION FINAL APPROVAL OF CONSTRUCTION OK To ISSUE C/o OR C%C A SIGNED CERTIFICATEOF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUFIEDI REMARKS : ARRIVE� d:t DEPART IN VECTOR TOWN OF QUEENSBUR'Y BUILDING AND CODES DEPARTMENT RAY & HAVILAND ROADS QuEENSBU'RY, NEW YORK 12806t TELEPHONE (518) 792-5832 { BUILDING INSPECTOR' S REPORT REQUEST R INSPECTION RECEIVED NAME ay G.c41 LC?CATSDlN �.K • `��.'�� DATE ( � ! FERMI # ell APPROVED YES NO FOOTING/PIERS MONOLITHIC POkJR FORMS _ FOUNDATION/DAMP—PROOFI G BACKFILL APPROVAL _ ROUGH PLUMBXN4F FRAMING ELECTRICAL R H—IN INSULATION: FOUNDATION FLOORS ` WALLS — / �•' CEILING FINAL rNSPECTXO CHIMNEY HEIGH ROOFING SIDING i EXTERNAL PO H /STEPS STAIRS—CLEA NC & RAILS PLUMBING F XTUR /RELIEF VALVE_ INTERIOR T IM/PR VACY DOORS FINISHED RS k� GARAGE FI EPROOFIVG DOUR CLOS R (S) t SMOKE DE CTORS FINAL ELEC ICAL INSP CTION FINAL APPR VAL OF CON RUCTION A SIGNED ERTIFICATE OF CUPANCY MUST BE OBTAINED ON THE BUILDIN DEPARTMENT BEFORE THESE PRE ISES ARE OCCUPIE ! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED %L'� NAME LOCATION rie DATE 1,r.R YO'V/? PERMIT # ,4i_ �-4 1 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROQFING BACKFILL APPROVAL i. -1106UGH PLUMBING ,�iAMING V ELECTRICAL ROUGH-IN INSULATION: ly FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE STAIRS-CLEARANCE & RA L PLUMBING FIXTURES/REL VALVE INTERIOR TRIMIPRIVACY RS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL. INS CTIO FINAL APPROVAL OF CO STRUCVD A SIGNED CERTIFICA E OF OCST BE OBTAINED FROM THE UILDINGT BEFORE THESE PREMISES AR OCCUPIE REMARKS: cU4Fly Q0 s pp S rPwaCI TOR 2NSPEC ft I TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 2280& TELEPHONE (518) 792-58.32 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED /f NAME % LOCATION - DATE PERMIT # APPROVED YES NO FOOTINGfPIERS MONOLITHIC POUR RM9 FOUNDA TSON/DAMP-P OOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE S STAIRS-CLEARANCE & PLUMBING FXXTURES/REL F VALVE INTERIOR TRIM/PRIVACY RS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUC. SON A .SIGNED CERTIFICATE OF OCC ANCY MUST BE OBTAINED FROM THE BUILDING D PARTMENT BEFORE THESE PREMISE'S ARE OCCUPIED1 REMARKS: / INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ,/� {�/9 BAY & HAVXLAND ROADS f"f� ■ QUEENSBURY, NEW YORK 2280& TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED � NAME LOCATION DATE PE IT # _ APPROVED YES NO FOOTINGfPIERS MONOLITHIC POUR FORMS 1 F0UNDATX0Nf DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S EPS STAIRS-CLEARANCE RAILS PLUMBING FIXTURES RELIEF VALV INTERIOR TRIM/PR ACY DOORS FINISHED FLOORS GARAGE FIREPROO ING - DOOR CLOSERS) SMOKE DETECT0. FINAL ELECTRICA INSPECTION FINAL APPROVAL OF CONSTRUCTION t A SIGNED CERT FICATE OF OCCUPANCY MUST Bt OBTAINED FRO THE BUILDING DEPARTMENT BEFbRE THESE PREMISES ARE OCCUPIED! REMARKS: i 1"r J INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTNJSNT BAY & HAVILAND ROADS S2UE'ENSBURY, NEW PORK I280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT 00 REQUEST FOR INSPECTION RECEIVED NAME � JLae �.. T_.../+G-...c..._.• LOCA TION DATE A PPWVED YSu NO TING/PIERS MONOLXTmxc POUR FORMS FOUNDA'TX /D -P12OOF`SNG BACKFILL APPRO AL ROUGH PLUNBING FRAMING ELECTRICAL ROUG IN INSULATION.- FOUNDATION FLOORS WALLS CEILING Y FINAL INSPECTIONO CHIMNEY HEIGHT ROOFING pp SIDING EXTERNAL PL7RCHES/S PS STAIRS-CLEARANCE RAILS PLUMBING FIXTURE RELIEF VALVE INTERIOR TRTN/P VACY DOORS FINISHED FLOORS GARAGE FIREPR ING DOOR CLOSER (.S') SMOKE DETECTO S FTNAL ELECTRIC INSPECTION PXArAL APPROVAL OF G'ONSTRUC!r_T N A SIGNED CERT FICATV OF OCCUPANCY MUST BE OBTAINED FROM '*1'HE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDf REMARKS. INSPECTOR SUICpING and ZONING [7EPARTHEMENT Bay and Haviland Road, R. D. 1 Box 98 Oleensbury, New York 12801 NAMESE IC DISPOS4L SYSTEIy IN EC T I OVu LOCATION DATE / PERMrT ,N4. SOIL TYpE SOIL atio sand - Loam lay Percolatio Vest Required rate YES - iHin/I h TYPE of SYS Absorption field Length of r total length Depth of e`= h trenchsize og tr ches grav SEEPAGE PITSf i' Size. fr umber o Gravel's£t. PIPING : —� nldcJ - to tank size/ T".Ype Tank to list . Dist. },ox x to fie d/ t -t Ppenings sealed? S NoPartial 't'�ATION/SEPARAq+I Foundation to tank Le t Foundation to abs �ft' Absorption to lot Lion eft. Separation of ,pit e =S ft . TOC'-ATION �ft. ST, Front Rear PROPERTY (circle one) CC1MiKE s de - Right side SYSTEM USE AP D YES Q Du Ins ector 01/86 and vl ENERGY DATA Building Design by Component Performance Part 4 ( 7813 ) HERITAGE f (TWO CAR GARAGE/2/ $9 FAMILY ROOM )- S �r- o t7�� 1 ) Degree Days - 9, 000 - One Family Dwelling Uo 2) Component Area Code Prroposed Wall 29398 sq . ft . 0 . 16 max . 0008 Roof/ Ceiling 938 sq . ft . 0 . 04 max . 0 . 03 Floors N/ A Basement Walls 76 1 . f . 0009 max . 0009 ( 480• mine ) Slab Edge 68 1 . f . R-10 R-10 U Total m068 • 3) Windows Peachtree double hung - 3 /4" insulated glass - U=0 . 44 Peachtree sliding patio door - 3/4" insulated glass - U=0 . 47 X Glazing - 7% Fireplaces to be provided with outside (not from garage , 'basement , etc . ) air supply as per energy code . Damper its to be rated at maximum of 20 CFM as per energy code . Infiltration* Doors = 1 . 0 CFM/ SF Windows *t . 5 CFM/SF (*Infiltration ratings - consult manufacturers ' information - testing must be made at 25 mph wind speed) Infiltation Caulk l) aD al oors _• r� [] F 2 ) Windows ryY'/ 4s 33 Roof Penetrations �, Z ev 4) Envelope Penetrations ! Gas forced hot air heat �` 00 F€SS►D'���. 2li dd y y 370 ` . -- r. S� � ""mow � pYK!- �•.. M� � a fsf Z '`�CC� ��' .w` r '� = 27'. It? 33 .J ,{ . ��'y'4.�, � � �\ Syr• / w }� a � TtiJK / J ? 00. kr 1p PC) Nip Ate.'.' , :u:•`. _ u - >. 1 I 'rZ+00 J� .4�COP +50 Tj& _ 4 r DEPT. BUIL REVIE BY CV BATE 6 . Y �1 I• �