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1989-856 }�. ,��€'3►5.: `.a'+rr .'F•�? ♦ r. .'il'. : ?.a : +u+x':�4ti4A�R' ._r'S�pT, w . ',ni+oi' i.vr.,�.'-'s�rla•'"' ..5.:. ..? ,� .. R J CERTIFICATE %'.D'j'UF OCCUPANCY � TOWN OF QUEENSDURY WARREN COUNTY, NEW YORK Orate March 14 19 91 TMis is to certify that work requested to be done as shown by Permit No. 89, 856 has been completed. This structure may be occupied as a single family dwelling s Heresford Lane owner ANCHOR BUILDER55 INC By Order Town 'Hoard TOWN OF QUEENSOURY Director of BIdg. do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY � No. G9-856 WARREN COUNTY, NEW YORK : . PERMISSION is hereby granted to ANCHOR B I1I ❑'FRS , I C . ,.., OWNER of property located at #22 F{p oc-ford la Street, Road or Ave. 0 in the Town of Queensbury, To Construct or place a single fami ll )C dwelling "Mh 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. r, i-+ t. OWNER'S Address is t 6T'F I Box 402 =" CliftonPark . NY 2. CONTRACTOR or BUILDER 'S Name a CONTRACTOR or BUILDER'S Address Coo) S C? C? C 4. ARCHITECT'S Name �--� G7 1'rl 9- ARCHITECT'S Address +fMs lV 6. TYPE of Construction — (Please indicate by X1 V f'r7 ( k Wood Frame ( I Masonry ( I Steel ( f to 7. PLANS and Specifications No. 24 ' x 26 ' single family dwelling with septic system , driveway & 2 car garage as per plot plan , application & Specifications . S. Proposed Use SINGLE FAMILY DWELLING . to $ 1 $? [IG PERMIT FEE PAID — THIS PERMIT EXPIRES .3une 1 , 19_ '90 � (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 10r town of Oueensbury before the expiration dabs.) p Dated at the Town of Queensbury this Day of -V mher 19 89 1" SIGNED BY for the Town of Queensbury R'I Building and Zoning Inspector I,r.. C,1� TOWN OF gUEENSHL'RY REVIEWED BY A FEE PAID S ff5?1 C /.� O PERIWTT NO. q - e5-1 (}� .q BUILDING PERMTr APPLICATION p{p ��'i� Otii¢Gcr t,-►Op A PERWr hgUST BE OBTAINED BEFORE BEGINNMG CONSTRUC" ION. NO 3%rE TIC]NS WELL 88 MlIDE UNTIL APPLICANT HAS RECENED A V^LM BUILDING PERMIT. t'n'� All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. w a s • s w w w w ■ ■ w w w w a w w ■ w w w w w w w w w w w w ■ w w a a a a w a w The owner of this property is* A' //✓{ ' . P. O. Address " Property Location Tax- �- -r" Tax Map No./ IS" IG�s;/ Has there been any split of this property since October 1 , 1988 ? ! If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE4/'' ,.�.,0•ri?F LOT MOO THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NATURE OF PROPOSED WORK : Esr:MATED MARKET VALUE OF r Construction of a new building ,. CONSTRUCTION : -- * COMPLETE INFO I9 EQUIRED BELOW: Addition to a building , d 7°' Size of property -- ft x ft . Alteration to a building Existing Buildings( 3) Size Lf ft, x ft , (no change to exterior dimensions) " Proposed building - distance from property line: Other work (Describe) " Front yard le --.Sg� tft. Rear yard � ft , Side yards a..S ft . and �P"-�-` ft, w GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street*g Oft . r 1st Floor /:e';i ' sq. fte * OCCUPANCY INFORMATION • 2nd Floor� sq* ft. a M Primary Building - rtaa,4&t' 91yc=> 5 * one Family Dwelling Other Floors sq. ft. (not cellar or Lent) Two Family Dwelling . �. Multiple DweliiriglNumber of units TOTAL FLOOR AREA sq. ft. /� Business Sire of new structur ft �ft' Foundation-pierlslabicrawlfpartfafull " Industrial G�1 (circle one) `---'' • Other Cd4tr:') mg Noo of stories (habitable space) Height (grade to ridge) _:. 20 Z''` fte • If addition, what will use be?_�+ll If residential, noo of families + No. of rooms(exaluding baths) l * Accessory Building No. of bedrooms _3� 1 • Detached Garage ONE ar Noo of bathrooms /" - c 0 �..—'"" • Attached Garage EJ� ' - Primary heating system,��gV ter. Type of fuel '.V * Private storage building' No* of fireplaces to be instaile4 'W/Z001 Other • i r Will a woad stove be installed • Central Air conditioning ZY01 OV' ER BUILDING PERMIT .-\ PPLICATION CONTINUED - BUILDING SPECIFIC 3TIONS: Type of construction, wood frame, fire Safe, etc. �r- Will any second-hand or- upgraded Itimberbe used? If ao, for what ? Foundation wall Material r5.h,s±5A?g!,72F- jAZ:�ee4ot Thickness Depth of foundation below grade (to bottom of footing)- 0� : Will there be a cellar ? Heated or unheated? OFF 4 Floor sq. footage..'- -�'S ,y - �sq ft . Will there be a basement ?- Will any portion be used as living space ? ! (If so, what portion ?� . sq ft. Type of use? OF Type of roof - sloped/flat/shedlother +'�- Material of roof Size, wood studs "x " spacing " o. c, length ft . ,/,1 Y--S -!=---- Joists (floor beams) 1st flour spacing ' 'to 0c, spa n,&S ±7 ft. Joist (floor beams) 2nd floor. "xa=169�" spacing ZAL."o. c, s pa nwggd ft. Overlays (ceiling beams) tex " spacing „ o. c. span ft. Roof rafters "x 22 f spacing ..... �o. c. span_ Roof trusses (pre-engineered) spacing" o. c. span fte f�Exterior wall finish' may, of what material? ej.Z,yuez- _ S�,G•, �a { Interior wall finish a Ifs garage is to be attached, describe materials to be used ar FIRE SEPARATION: Cs there to hp an opening between garage and dwelling? if so will aFire-rated door, enclosure, self-closing device be provided? ,,� ' g f t Will aflue-lined chimney be instal ed? Hai ht shave roof Depth of chimney foundation below a ft. Depth of fireplace hearth ft. in, Water supply - . Municipal or, priv a we SEPTIC SYSTEM Distance from ANY private well (including adjoining properties -� (A separate application Is necessary for any repair or new installation of, septic system ) NAME OF $UILDER � i ,✓•�' ( ADDRESS �"_ i" .. ••riC"..Cr�_TEL. NO. NAME OF PLUMHER�//7 ...�A l✓1DRES I, .riz�. .- 'C.4� ✓ TEL. NAME OF MASON ADDRESS ', TEL. NO. "f Je NAME OF ELECTRICIAN ADD RESBf��irT�.►z!' _ TEL, NO. _S,S"Z - .242s _2�) DECLARATION To the best of my knowledge and belief tho- statements contained in this application, together with the Plans and specificAtions submittedv are a true and complete statement of all proposed work to be done on the described premises and that &H provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed wont shall be complied with. whether "cffled or not, and that ' such work is authorized by the owner. Signature Owner, owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMMs BY - WARREN COUNTY , NEW YCRK Applica-tion 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 followings - 1 . Gross floor area 2 . Type of heat 31 is the building mechanically cooled ? _ Y!-�•!r'� 4 . Percentage of area of windows and doors A , over 16 % Only 1 . U value of gross area of walls , roof / ceiling and floors o exposed to ambient conditions 2 . Floor over heat - 3 spaces YES No a . Are foundat on walls insulated ? (YES , NO 1 . if YES . what is the R value ?-/Z 3 . Slab on grade YES NO 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 214r "c-' B , Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions ... G1 2 . R value of exterior walls: ,( 3 . R v a l u e v € g l a z e d a r e s ,�5 .' [' t�;.�.%C' /r' �' ✓J[ %c.�',,/r � 4 . R value of doors 5 . R value of floors over unheated spaces ' 60 R value of slab edge insulation - unheated slab,e4ap„ 'r !C�-�. 7 . R value of slab insulation - heated slab 4�LL✓'� 8 . R value of heated basement / cellar walls ( above grad ), e ee' Itiert 90 R value of heated basement / cellar w—al, ls ( below grade '.G�rys35 104 Type of insulation c . Controls 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 installat3. o rk f b . R value of duct in other areas ' E . Piping insulation 1 . Size of hat watd � A. . cowling carrying a ant pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency , 2 . Temperature control setting maxima r - G . For Swimming Pyal only 1 . Maximum heating �.?���,'` Telephone N o . �_- ( applicant s signature ) ENERGY DATA Building Design by Component Performance Part 4 ( 7813) [HERITAGE - ONE CAR & TWO CAR GARAGE OPTIONAL DEN WIT2 /089E CAR GARAGE 1 ) Degree Days - 9, 000 - one Family Dwelling rO Uo G° 2) Component Area Code Proposed F � Wall - nq den 1 , 846 sq . ft . 0 . 14 Max . with den 2 , 163 sq . ft . Roo€/ Ceiling - no den 676 sq . ft . 0 . 04 max . 0 . 03 with den 837 sq . ft . 0 . 03 Floors N/A Basement Walls - no den 84 lf . f . 0 . 09 max . 0 . 09 ( 48" min . ) with den. 76 l . f. 0 . 09 Slab Edge - no den 18 1 . £ . R-10 R-10 with den 58 l . f . R-10 U Total - no den ' Q67 with den . 070 3) Windows Peachtree double hung - 3/ 4" insulated glass - U=0 . 44 With Den - Peachtree sliding patio door - 3/ 4" insulated glass U=0 . 47 % Glazing - No den 7% With den - 8s Fireplaces to be provided with outside (not from garage , basement , etc . ) air supply as per energy code . Damper is to be rated at maximum of 20 CFM as per energy code . Infiltration* Doors = 1 . 0 CFM/ SF Windows = . 5 CFM/SF (*Infiltration ratings - consult manufacturers ' information - testing must be made at 25 mph wind speed) Infiltation Caulk and Seal lf 1) Doors �� 2) Windows pr' 4 Qua•' ► 3 ) Roof Penetrations 4) Envelope Penetrations Gas forced hat air heat •� +`�O o 67 OWN OF QUEENSBURY 'tA '^.�` APPLICATION FOUR � SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION'S Owner's Name Telephone: 5�� *' - .c SCE Address: 3 X 'L �J Tcr .+�K iL1 �CS ,� a Installer's Name r r ',�-G . '' --per ~ !i+'S Telephone: e'* Number of bedrooms (residential only) Total daily flow (compute (d. 150 gal per bedroom) 40p Sri Topography: Circle one: Fia Rolling Steep Slope % of Slope ,y'c�.�' �.v s Soil Nature: Circle one San d. Loam Clay Other I`f3epl�e Feet Ground Water : At what depth ? 429� Feet Bedrock or Impervious Material: At what depth ? ,rut Feet Percolation test: Circle one o regr�e required rate min. inch. Domestic water supply: circle one: Municipal Well Otherroe-�,- c' If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank Z6100 gal_ ( minimum size : 1 . 000 gal.) y M I T'l t�L`� TILE FIELD : Each Trench � fe tl o a syS� e g SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # "2- /Depth 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: Ze 'f - Gam_ OVER Septic System Inspections : A , All applications for septic system installation , alteration or repair , as required by the flown 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 BO No system shall be covered before inspection and approval by the Building Inspector . Failure to comply with this requirement may result in the uncoveri.nb of the system by the installer and a fine ut 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 instaila— t1on , alteration or repair of an approved system , a new proposal must be submitted Co the Qu� onsbury Building Department before further Uonsrructfon . Town of Queensbury BUILDTNG and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 kcoi : rkS ; TOM OF QUEE11SBMM' 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 79211111, 5832 BUILDING INSPECI08' S NEPGWT FINAL INSPECTION REQUEST FOR IRSPECTION RECEIVED NAMEJill •c � � t,OCATION _ DATE-=� �PEAI+RiTS TYPE OF STRUCK I 1 RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) 1 `FOOTING FOUNDATION BACKFILL FRAMING " ROUGH PLUMING FINA1.ELECTRICAL SEPTIC 'INSULATION WOMSTOVE/FIREPLACE Ito I SITE PLAN/VARIWM'CE REQUIREMENTS AYES .� F REMARKS Jill H/ YE NO CHIMNEY HEIGHT/LOCATI B VENT/LOCATION PLUMBING VEl4f ROOFING SIDING G DECK/P RELIEF VALVES NC FURNACE/HOT W7�'F BASEMENT INSULATION/DUC 0 INTERIOR TRIM/PRIVACY D S FINISH FLOORS : BATH/KITCHEN WATERTIG OTHER FLOORS SWEEPASL OTHER FLOORS CARPETE STAIR CL HANDICAPPED ACCERSS AILIN SMOKE DETECTORS N BATHROOM FANS/WH H ALL PLUMBING FIXTURE OPERATII GARAGE FIRE PROOFIN �^ DOOR CLOSERS OTHER FIRE S FIRE/DEMISE WALLS DUMPSTER FINAL EL OK TO ISSUE CIO R ! ti s 1` a �- ARRIVE�� DEPART + d ) TOI/1 OF QUEENSBURY 531 SAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 792-5832 BUILDING INSPECTOR`S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED! oq ! MANE 1 LOCAT o;K :/'r ` , : :� i DATE, �` / _PERMIT# Opel-X6'1 TYPE OF Ste. �!- RECN EC11 FIRE MARSHAL APPROVA ( COMMERCIAL STR CTURE) l OOTING ,.€i}UNDATI N �'''BACKFILL FpAMING _ROUGH PLUMBING ✓ FINL ELECTRICAL SEPTIC i NSULATION WODDSTOkE/FIREPLACE TE PLAN/VARIANCE REQur EMENTS f no f REMARKS 1� YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING G DECK/P -- RELIEF VALVES -- FURNACE/HOT W 1�� N BASEMENT INSULATION/DUCTWOR INTERIOR TRIM/PRIVACY DOOR FINISH FLOORS : BATH/KITCHEN WATERTIGH OTHER FLOORS SWEEPABL OTHER FLOORS CARPETED STAIR CLEARANCE/RAILIN HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/ ALL PLUMBING FIXTURES OPERATI x GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE S FIRE/DEMISE WALLS DUMPSTER FINAL EL OK TO ISS�rU-E C/0 R C/ ARRIVE DEPART `� �_ -:� { . vt �. ... . -. ... - . . . . .._.. f �. � THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELEC,'TR. ITY 41 STATE. 'STREET. ALBANY, (4AW YC1R#t 12207 Date '`!:� R C•"i 1 L 3 . � ) <} ]. Application .Vo. ore fllP; � n. 4)`1 �i I p c' It 9 4-1 THIS GERTIFIiES THAT rr berin thepremisea of only the electrical s�quipnaent e: described 6vsleb and intradtto*d by the applicant named on [lte above aPPlwatiOn nu ItiL HE:ykt I' t :4 t., : . ^ 7 k1ETSF:: F �}RI) 1, �:'1E. . L:L I :"i }> r` :�1.,� ..: : 1 �-�'y tnd Fl. section kt <r Block r Gat 1!L;12 : in the following location; Basement 1st Fl. Q �,li uma examined on 'f � 12{' 4i �? R � �' cJ i and found to be inn complianc8 with the requirements of this Board. URES RANGES COOKING PECKS OVENS DISH WASHERS EX FIXT HAUST FANS ttxTURE AGES SWITCHES , OUTLETS INC ANLIESCENT rLUO11tSCENT OTHER AMT. K. W. AMT. K. W, AMP_ K.W. AMT. K. w. AMT. y� 1 4 1 L .: 1 � • ' • ' i i .1 r ir' 1 • PRYERS FURNACE MOTORS FVTURE APPLIANCE PEEPERS SPECIAL RECTT TIME CLOCKS am NEAtt HEATERS MY STW" AM�S AMT. K. W. DIL H. P. GASH P. AMT. NO. X W. G. AMT. AMP, AMT, AMrS. TRANS- AAaT. H. P. No. OF FEET 3 i F` L � � � S E R V 1 C E SERVICE DISCONNECT ► W. a• Ho. Or NEUFRw�a Gs a[ii»A� AMP. AMP. TYPE EOUIP. ; ••�• 7w 1 ,0 3W 9 J1 9W 3l IW NO. OF CC. CaND. A. W. G. Nq. Or RI-LE{i 6F HI.4EG }EE Ar Or CC. COMO. OTHER APFARATVSi Fr ,F • lm:NrrR IFEATFRNs : : E x ROBE R11, i' P*0\ -L�l"i BRANCH MANAGER CIA F"f'r?Pi TMi`s 1 `'.+'} r, This certificate must not be altered in any mann*r return to the office of tlx Board if incorrect. Inspectors may be identified by their credentials. own of Qjueen +x+'� RTMENT 1361LDING and ZONING OS i Box 98 Bay and Haviland Road, •R y ueensbury, New Yor 12$C}1 SEPTI p15PC15A'L SYST I NSPECT ICN1 ry�1E LOCATION �' .5� PERMIT 9 �� r)ALTE Sand clay - — - SCIL 'TYPE i eda "YES - NO percolation Test Redd 'percolation ate - Min Inch TYPE of SYST n to 1 length Absorption fi 1d , Leng th of eac franc Depth of tren hes Size of gravel SEEPAGE f x ft E er ft. .�-�--�- Gravel size size rType p Ip ING : _ Bldg . to tank Tang to List. bo --�1 Dist. box to f aryl YES L3D Partial openings Sealed- LOCATI /SEPARATI S = y ft. Foundation to tom` ft. to abs r tion ft. Fatxndat.ioxi to lot 1 ne "sorption ft. Separation of p i s pBQp oFRTY TS0 (circle one 7 T €t ide r Ri9ht -Fro side Front / Fteax L COMME 0 SYSTEM i3 SE PPRtYV E5a 8 Su . 9 Inspector 01.186 and vl TOWN OF QUEENSBURY - BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW 528 ) YORK©9 128 06� TELEPHONE 832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTS ECEIVED - NAME e eV e �L 1 I// L r�1 /C" S / LOCATION i . DATE ! ci PERMIT w APPROVED � YES NO FOOTING/PIERS , MONOLITHIC POUR FC] S FOUNDATIONID g-pigp�FING�� i_ BACKFILL APPROVAL ROUGH PLUMB14G s FRAMING { EL !'RICAL RouGH-IN G SULATION: I FOUNDATION '. FLOORS WALLS CEILING FINAL INSPECTION : , CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF LVE INTERIOR TRIMfPRIVACY FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) , _ SMOKE DETECTORS_—_~^ - rq FINAL ELECTRICAL INSPECTS FINAL APPROVAL OF CONSTRU TION 4 A S GNI ED CERTIFICATE OF CUPANCY f�d,JST BE BUILD DEPARTMENT BEFORE OBTAINED FROM THE THESE PREMISES ARE OCCUPI Df 1!11 id REMARKS INSPECTOR TOWN OF QUEENSBU' RY BUILDING AND CODES DEPARTMENT f BAY & NAVILAND ROADS C)U,EENSEURy. 5EW yoR -S 2804- TELEPHONE ( 32 BUILDING INSPECTOR' S REPORT REQUEST FO NSPECTION prC&I ,� 0 i NAME _ LOCATION DATE PERMIT # APPROVED YES NO FOOTING/PIERS ` MONOLITHIC PO FORMS FOUNDATIC7NfDAMPN�PROOFING ... BACKFILL APPRI ROUGH PLU ING r( FRAMING `^ELECTRICAL ROUGH-1N INSULATION: FOUNDATION FLOORS WALLS j CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES� STEPS STAIRS-CLEARANCE & RAIL;p, —_ PLUMBING FIXTURES/RELIEt ',VALUE INTERIOR TRIMIPRIVACY D 1C?1gS FINISHED FLOORS GARAGE FIREPROOFING } DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OpCUPANC3X MUST BE OBTAINED FROM THE BUILDINF DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKSi".A"c �.. r I SPECTOR jv f � rrOWN OF QUEVt"Bo" BUILDING AND CODES DEPARTMENT �. xAVI7.AND R YORK ADS I28C} QUEENS,BURYI $ ) 792_5832 TELEPHONE PORT WILDING IPISPECTC3R ' S INS ECTION RECEIVED ---' NAME LOCATION pERMIT DATE �- APPROVED YES No_....- FOO'TINGIPIERS poLIRRMS MONOLITHIC p F OOFING OUNDATIO ppPROvAL BACKFXLL PLUMBING ROUGH FPJLMrNG ELECTRICAL ROL7Gx-x INSULATION: FOUNDATION FLOORS WALLS CEILING TION : FINAL INSPEC CHIMNEY HErGHT ROOFING SIDING RCH.ESIST PS EXTERNAL p1NCE & I VALVE-` --. ST TR5- FIXTURES/ ELIE PLUMBING IMIPR24, CY D OR`' INTERIOR RI14 GARAGE FIREPROOF' G DOOR CLOSER (S ) SMOKE DETECTORS I SPECTION FINAL LECTR AL OF ONSTRUCTI N FINAL UPANCY MUST BE A SIGNED CERTIFI TE OF OCC BUILDING DEPARTMENT BEFOREOBTAINED FROM TH THESE 'REMISES A E OCCUPIED! REMARKS : I i4 1 4 INSPECTOR TOWN OF QUEENSBURY g�TZLD3NG AND CODES DEPARTMENT BAY & HAVILA ROADS 28 QUEENSSURYr 792-58 TELEPHONE { 518 ) 32 BUILDING INSPECTOR' S REPORT REq]UEST FOR INSPECTION RECEIVED NAME !3� //�4/!j�'',a`•I �, lc E'_.�- LOCATION 1 PERMIT # DATE -�-^t—'~" APPROVED YE NO TING/PIERS MONOLITHIC POUR FORMS FOUr1DATIONIDAMP-PROOFINGr� BACIMXLL APPROVAL ROUGH PLUMBING FRAMING H-IN ELECTRICAL R INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING S EXTERNAL PORC ESIST STAIRS-CLEA NCE +� � PLUMBING FI RES/RE VALVE INTERIOR T M/PRIVACY r-� - FINISHED F RSA_ {-,,pjRAGE FI PROOFING DOOR CLOS R TORS -- SMOKE DE -- FINAL ELEC RICAL rNSPECTXON_�� FINAL APP VAL OF CONSTRUCTION UpANCy A SIGNED RRTXpIcATE or OM THE BC1�I�C DEPARTMENT T.BEFORE OBTAINED THESE PREP�kwES ARE OCCUPIED r REMARKS : + + �{G7 i i 47i.7 i 1 r n INSPECTOR YOU ARE HEREBY (REQUESTED TO INSPECT AND ISSUE CER77FICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED �p TEMP II DATE CI TYCOUNTY f�,,,,y,f/, G•...u+v rs.-....'� �r�,,. L?/..^SF.I"'� .-7 .. STREET AND NNO,OR E10;P POLE NUMBER BETWEEN WHIT TWO CROSS STREETS iSSPREMISES I.OQ^.ATED? 'SECTION BLOCK LOT er�7 ow OCCUPANT'S NAME BUILDING OCCUPANCY !o.f - :' ' OWNER'S NAME AND ADDRESS _,/ +0i'�404' /' /�cfi r '�- y/'.I /r' E TELEPHONE NUMBER G URRENT SUPPLIED BIY FROM THEIR�r OFFICE WORK TELEPHONE NUMBER BUILDING IS NEW E!I' OLD ❑ WORK LS NEW R9' ADDITIONAL ❑ DEFECTS REMITTED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED LucaNUMBER OF OUTLETS No. of Fixtures & BRANCH OFFICE USE tion tamp Receptacles MOTORS HEATERS CIRCUITS ONLY ion Side Attach'[ .P. Watt, A.W.G. Ceiling I Recap'E 5uv16ch Pendant Bracket No. Type ESHEh ND. FgcN NO- Gauge INSPECTION OUT. SIDE sue• BASE e/kSE- MENT igt FL. 2nd FL. 3rd FL. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT 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 TD COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEL;? ELECTRIC SIGNSIThM PS TOGkL LWV-I':, YYJ CHAAACTFR OF WORK — �a.nricED Oh:TUBE SIGNnPN SFORMERS CW lee. CONCEALED DATE WORK T7 BE STAR1'fI-,O DATE.GIOMPLEfED SIZE GF 510M[NUMBER] CAPACITY SERVICE ENTERS BUILDING M yANUKAC:MRER OF SIGN ElovERHEAD r6am'UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS WEAR AS POSSIBLE} MUST E R MIDID DELAYS BY OMNO FULL AND ACCURATE IN ATION. ALL SPACES MUST BE FILLED IN OR APPLICATIDN MAY BE RETURNED. PRINT NAME AND ADDRESS NAMEOqPP/L_IG/ANT ,,/�OW Le DATE OF APPLICATION ,/�/ STREET AOURESS TELEPHONE NO. 7 CITY OR POST OFFICE r �.�'I� ZIP CODE LICENSE NO WHEN APPLICABLE I Jar- .T+9..f d'i.►S,�/w�'�' s .1. � 6K �!f ❑ 85 John Street ❑ 41 Ste ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arlerial Road NEW YORK, NY 10038 ALGA NY 122RTt BUFFALO, NY 14202 ROCHESTER, NY 14WS J SYRACUSE, NY 13206 THE NE C7FtK BOARD OF FIRE UNDERWRITERS Vp Ion PO/ Cad f oe �4e +� G 3� �- ' - �� /Zd/ tomNis n,n 14 ` --. OF on le Wo t in N N 1 qb ob 4 i , G97. 90 `