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1991-054 kto CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date , /1;F 19.& This is to certify that work requested to be done as shown by Permit No. 91-n054 has been completed. This structure may be occupied as a Addition to dwelling (Bedroom; 2 Bath, Familyro0an and Office) i nration 4 White Pine Owner Wl 1 i i am & Deborah Brown By Order Town Board TOWN OF QUEENSBURY X.1%.//7 / --‘7//r'./i19'i/ Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-054 WARREN COUNTY, NEW YORK O PERMISSION is hereby granted to Brown, William & Deborah c CO OWNER of property located at 4 White Pine Street, Road or Ave. in the Town of Queensbury,To Construct or place a addition to 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. C° O 1. OWNER'S Address is Same 2. CONTRACTOR or BUILDER'S Name Cu Balogh Construction 120 CD Cr 3. CONTRACTOR or BUILDER'S Address 0 RD#2 Johns Box 286 Queensbury, NY 12804 4. ARCHITECT'S Name J. r4 5. ARCHITECT'S Address O fD Q, 6. TYPE of Construction—(Please indicate by X) J. (X)Wood Frame ( ) Masonry ( 1 Steel ( ) O t cI 7. PLANS and Specifications O a No. 560 sq ft Addition to Dwelling as per plot plan specifications and application 8. Proposed Use (Bedroom, 2 Baths, Familyroom and Office) $ 113.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 25, 1992 (If 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 the expiration date.) Dated at the Town of Queenbur-y this 25th . Day of February 19 91 SIGNED BY for the Town of Queensbury Buildiig, nd Zoning Inspector TOWN OF QUEENSBURY REVIEWED ; _g .Cf-' .. 1�� • FEE PAID $ 4� am/y G.►� g 541/ PERMIT NO. I — ( 5 BUILDING PERMIT APPLICATION - D FEB 21 A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. A�IPNE� & CODE'I�EPT I��N'SPECTIONS 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. • • * * * * • • * * *�t * * * * *_ * /**�* * * * * * * * * * * * *' * * * * * * * * * The owner of this property is: C.U/Z.Z%A -1J i /_ 84)0e4 - - P.O. Address PO• &a ( 4-// g (-)W--7,/e/6---QU SQ 7 9 -30 i c Property Location 1 a4/, 'ewe Tax Map No. / / - 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 7 //> o1 QUE 7,cat7LOT NO. 7 9- THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TOBUILDING CODES IS: • _ NATURE OF PROPOSED WORK: •. ES.1'IMATED MARKET VALUE OF. • Construction of a new building • CONSTRUCTION: $ 5D, OCR' . - • COMPLETE INFORMATION REQUIRED BELOW: /Addition to a building * 7U Size of property 'u /4/g ft x ft. Alteration to a building. * - Existing Buildings(3) Size 3 4 ft. x .S G/ ft. (no'change to exterior dimensions) • Proposed building - distance from property line: Other work (Describe) • Front yard 10,3 ft. Rear yard N 70. ft. Side yards 29 ft. and -57 ft. • If on corner, setback from side street S 8' ft. GROSS AREA OF PROPOSED STRUCTURE - • 1st Floor S-6 0 sq. ft. - .. • .00CUPANCY INFORMATION 2nd Floor' . 5 6 0 sq. ft. • Primar Building - - Other Floors - sq. ft. _ • LOne Family Dwelling (not cellar or basec-:ent , Two Family Dwelling - TOTAL FLOOR 20 sq. ft. II Multiple Dwelling/Number of units Size of new structure S_7 ft x 1 6ft. • Business Foundation-pier/slab/c ,:_;J: tartiaii full- • Industrial (circle iriG; o - Other . No. of stories (habitable space) 2_ - • Height (grade to ridge) N 2-7- ft. * If addition, what will use be? ' /e6w1'/ If residential, no. of families • 2 77 ' F'64 y Aroaq No. of rooms(excluding baths) 3 ' Accessory Building No. of bedrooms • No. of bathrooms .. • __.Detached Garage ONE/TWO Car Primary heating system GA-5 ,179/1& • Attached Garage ONE/TWO Car Type of fuel ►S * Private storage building- No. of fireplaces to be installed e- //ZEp • — Other Will a wood stove be installed__ • Central Air conditioning A) 0 • OV• ER j BUILDING PERMIT APPLICATION CONTINUED - BUILDING.SPECIFICATIONS: Type of construction, wood frame fire safe, etc. Will any second-hand or upgraded lumber be used? If so, for what? GV CU Foundation::wall material . COji1 ✓�•-e) Thickness /0 // Depth of foundation below grade (to bottom of footing) c Will there be a cellar? t/ S' Heated or unheated? y� Floor sq. footage 3'6 6 sq ft. Will there be a basement? ------ Will any portion be used as living space? ,COAJL-- (If so, what portion? sq ft. Type of use? - Type of roof sloped flat/shed/other Material of roof 23S#-/JS�,�,eir5,6///W---2-S Size, wood studs Q "x 4' "spacing " o.c. length g' ft. Joists (floor beams) 1st floor 2_ "x /0 " spacing "/.6 "o.c. span''J/5— ft. Joist (floor beams) 2nd floor 2 "x Jp " spacing /6 "o.c. span"/4 ft. Overlays (ceiling beams) — "x — " spacing _ " o.c. span— ft. Roof rafters 2 "x )2 " spacing o.c. span /0 ft. C',- 2/14- Roof trusses (pre-engineered) spacing 2/' " o.c. span 26 ft. Exterior wall finish f0/ ) V�S/i ,A1C of what material? l// - 'Z_ Interior wall finish % f� D2V If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? -- If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? oCJO Height above roof - 2 ft. Depth of chimney foundation below grade — ft. "2._ Depth of fireplace hearth— ft.— in.. Water supply - Municipal or private well /-/0/V/C/,4,61,L- SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /0 e ft. Ore /1C,'2 (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDERS/W- /7 6e2S Gi✓jOrtgDDRESS P.Wrz 141S 84.2 6'EL. NO. 7 79 f ice /gb.Z�'ztE f 4=ZU2r,GPC/nv NAME OF PLUMBER ' / htvut-m-ADDRESS TEL. NO. NAME OF MASON .04&- 41..b2WADDRESS TEL. NO. NAME OF ELECTRICIAN 6 C�'O 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 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 specif' not, and that such work is authorized by the owner. Signature Owner, owner's agent, vch1 ect, antra r SPECIAL CONDITIONS OF THE PERMIT: BY ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family Dwellings (3 Stories or Less) PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCEBY ACCEPTABLE PRACTICE: 1. Gross Floor Area - //2 0 Sq. Ft. 2. Type of Heat Elec.. Base Board Other c S /4 %--0 x2 3. Is Building Mechanically Cooled? YES L--'110 4. Percentage of Area of Windows and Doors Over 17% rider 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R _3 B. Exterior Walls R - /9 C. Glazed Area R D. Exterior Doors R G E. Floors over unheated spaces R F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R 4-/D H. Basement/Cellar Walls (Below Grade) R -l0 I. Heating/Cooling - Ducts - Piping in Unheated Space R 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED /99/ 7 3 91. APPLICANT'S SIGNATti DATE - TELEPHONE NUMBER INSPECTOR'S REMARKS REVIEWED BY 1_ TOWN OF QUEENSBURY i, , Bay at Haviland Roads,Queensbury,N.Y.12801-9725 1 ,,72._ 'J , �.i APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date 19 F =< Permit No ,1 �' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use`i';6rt1147 J' 1 � , pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply viit`h all' 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 ;:„t r APPLIANCE TYPE Stove Coal Wood Address Li �t a , l� ( �,:.; � Lr� Furnace Hot Air Boiler Zero Clearance Circulating Unit (:r 1 ti i Zip I O Phone 72 .r 30 5 3' If Non-Masonry: Owner's Name r`i_), r` //,r _7,, j' 7.'fr-1, .. .-_. Manufacturer Address `:7,---1Vfi` Model Outlet Size Zip Listed by Number Phone CHIMNEY TYPE Masonry: Block Brick Stone Property location of proposed construction Flue: Tile Steel Size: Factory Built: Manufacturer Model Size COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall V Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ 5? C) " CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ SONRY FIREPLACES AND CHIMNEYS. CASHIERS DEPARTMENT TOWN OF QUEENSBURY, NEW YORK Department: Fire Marshal Amount Collected Amount Refunded Code Number Title A173 3389 (190)Public Safety A233 2655 (230) Minor Sales 33 f F I �e Collected from or Refunded to: �Le i i 4 r• Address: Dated: `'d / - •; Town Clerk or Deputy • 6 t White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal TOWN OF Q LIEENSB URY Bay at Haviland Roads,Dueensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date � 2 / 199 l Permit No.61 ! —05 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 all 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 40R �7-�^/5446 �C APPLIANCE TYPE Stove Coal Wood Address ,ieb,27.2 �,0//1 S7:- f OX ? 6 Furnace Hot Ajji Boiler XI Zip / 2 SO Zero Clearance Circulating Unit ��f';�f��� �� I Phone -7c —479 I If Non-Masonry: O‘vner's Name J/////9/4/ /Sf'OG, 4) Manufacturer /71 r:- di - ��O Address - 4)/9/7 - PAve iel,0 : Model - O TV Outlet Size l'Pg,160140g, ©1, ,r/zt,� Zip /2ra4 Listed by Number Phone 79 O " 3 0 18 CHIMNEY TYPE/Avs ,i tr `U imwoo cosy Poser--792'0 2 1-/-3 Masonry: Block Brick Stone � Property location of proposed construction Flue: Tile Steel. ' Size: ' Factory Built: Manufacturer Model ' Size ('OPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By _ Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall _ Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated ACCORDING TO SPECIFICATIONS. COPY OF . Estimated Cost $ CONSTRUCTION DETAIL REQUIRED FOR MA- . Fee$ SONRY FIREPLACES AND CHIMNEYS. f CASHIER'S'DEPARTMENT D N I IJ `,l' 1 ' is TOWN OF QUEENSBURY, NEW YOR .GC- Department: Fire Marshal Amount Collected Am eStilt-LAM�ntietODE DEFT ount I Code Number Title A j a 00 • A173 3389 (190)Public Safety A233 2655 (230) Minor Sales • Cbllected from or Refunded to: 91O 0e2Ar c l no -1 U Address: /,l Dated:„,l�//q/ Town Clerk or Dep td y� .____1,....... 7, --c _......e • While:Applicant Yellow and Pink:Cashier's Department ; Goldenrod,:Fire Marshal r ''�, MIDDLE D.EPARTMENT.:.INSPECTfONAGE-NCY, INC. \ I National Headquarters • \_ 1337 West Chester Pike;West Chester,'PA' 19380 APPLICANT COMPLETES THIS SECTION Date: cir5,73 L/! p) City, Town or Township (7Z16—&- �e(Y r" County �.e.,), /2 /� State pU • Location/Address e(. 130 Af 4/6:/. 4 i // �'/ . f �, 1F ` S- r / s�<%' --) (If Located in Rural Area-Please Attach Directi ns) Pole # Owner W/../,C /// /" e0CJ _Permit # Occupied As c/,t.,G!-6--- , _ iJ_ Lam' J). 6-2 1-;//tiC----- . Building: .New! I ' Old Occupant e—, 'j/?•, 6= 41, / • `Work Area in Building (Floor #,etc.): App. for: Wiring T Service❑ or: Ready for Inspection: Fee Remitted-$ ' • Cash n Check n M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures • Oven Garbage Disposal Wiring and Controls for Burner 'Amp. Receptacles - Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. • 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'h 2 3. 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's �.. J fo � .J�� r � - - _ . Signature =�,..' f t/ 0 License # Permit ## T/A Utility: �Y .G� 2 Zf T- (NAME) (OFFICE LOCATION) Applicant's Address: Y ,r �iU� A' ?e6 (City)L V ( 1se(,tey (State) .(t)v (Zip)lZ-e`G1/ Service Request # Phone # - 4 Electrician: L--.:7(iJ ?V&-7Z ` • MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above n or: • - Red Notice Label I I ' Rough Wiring Outlets Surface Unit Oven • Switches Range Garbage Disposal Receptacles Water Heater Dishwasher . Fixtures Air Conditioner . ' Dryer •• -"- 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 3/4 1 1,/2 2 3 5 7'/2 10 15 20 25 30- 40 ' 50 75 100 Mark Number of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY • NOTIFIED DATE CORRECTFEE FEE PAID ❑ RW Progress: Inc.❑ LKD❑ V _ ' Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ n L/A Owner CASH ❑ L/A Fee CHK # Due MO # n IPA Municipal ' INV # Applicant ❑ Date: - Other Side❑ Utility Owner . n Cut in Card n Temp # Date ' - • - ' • I I Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 • MIDDLE DEPARTMENT INSPECTION AGENCY; INC. . NATIONAL HEADQUARTERS: 1337 West Chester Pike;West Chester, PA 19380 ' . DELAWARE NEW JERSEY 1815 Newport Gap Pike 1030 Kings Highway North 3901 Hartzdale Drive Marshallton, Del. 19808" Suite 310 Suite 112 (302) 999-0243 - Cherry"Hill, N.J. 08034 .Camp Hill, Pa. 17011 (609) 667-9200 (717) 761-5340 - 203 N.E. Front Street . Suite 105 Rear Entrance 350 Grove Street , 1542 Bristol Pike P.O. Box 306 . • Grove XXII Corner U.S. Route 13 Milford, Del. 19963 Bridgewater, N.J. 08807 Bensalem, Pa. 19020 (302) 422-5729 (201) 526-0880 (215)-244-1919 (302) 856-2218 26 S. State Street Route 19, North Hackensack, N.J. 07602 P.O. Box 136 MARYLAND. _ _ (201) 487-5373 .. Wexford, Pa. 15090 (412) 931-3028 Burch-Oil Co. Bldg. • Route 9 (412) 935-1558 E/S Route 5 Marmora, N.J..08223 Charlotte Hall, Md. 20622 (609) 390-1940 (301) 645-2219 - - VIRGINIA (301) 884-4547 -- NEW YORK - 706 Erie Boulevard West" 3076 Shawnee Drive • Washington Co. P.O. Box 1626 Office Bldg. - - P.O. Box 285 = . Winchester, Va. 22601 _ 33 W. Washington Ave. Rome, N.Y. 13440 (703) 667-8484 Hagerstown, Md. 21740 (315) 736-0477 (301) 791-3190 (315) 337-3480 Hitch Bldg:.Room.203 - 460 State Street - 636 S. Salisbury Blvd. -- Suite 308 Salisbury, Md. 21801 Rochester, N.Y. 14608 (301) 749-0641 , (716) 454-5191 - -Cumberland City'Bldg. - - 52 Margaret Street Third Floor Plattsburgh, N.Y. 12901 . 20 Bedford Street (518) 563-2835 Cumberland, Md. 21502 (301) 759-6519 PENNSYLVANIA 318-A Commerce Drive 121 W. Tenth Street Easton,Md. 21601, Erie, Pa. 16501 . (301) 822 8300 " (814)-452-4604 . . 18 N. Wyoming Ave. Room 204 _ Kingston, Pa. 18704 ' .. (717) 288-4906 - NOTICE TO APPLICANTS: Final inspection and approval may be required by law before electrical current may be energized for use of occupants. The Agency undertakes to provide inspections until final certification is granted if such requests are made within 120 days from date of the last inspection. Upon expiration of 120 days from the date of the most recent inspection, all duties and obligations owed by the Agency shall be deemed completed,and all fees paid by applicant shall be deemed consideration for services performed. No further inspections shall be undertaken by the Agency without filing of a new application, and the payment of relevant inspection fees. No final certification shall be implied or inferred without issuance of a duly executed certificate. _ " • The Agency in accepting application for inspection cannot assume responsibility for unavoidable delays in inspection. "100 YEARS" PROTECTING THE CONTRACTOR AND THE CONSUMER. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date:,,-- / 4/ / City, Town or Township ��' ���' v� County ' /^` (� ( ) State Location/Address (if Located in Rural Area Please Attach Directions) pn|o # ' Owner `/ LL ��!/��/ �/ Permit # / ^L'/� //- `�//L // Building: No �� /O|d�� Occupied As '�' ' ' '' u n0� "v Occupant Work Area in Building (Floor #,oto.): App. fo,: YNhnOF:--' SomiowI I or: Ready for Inspection: Fee Remitted * �- '- �'�- Ca hF7 ChockF-1 K8.O. F] Make Payable To: M.D.iA. Number of Rough Wiring Outlets Elect. Ho�¢ "� ,so m� 1250 z""° `,m moo �"" 250 x,,° "�" Switches - Amp. Service Surface Unit Dishwasher Range Lighting Water Heater Air Conditioner Dryer pump R»«»Ptam|e Numbrrof Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Roxoptodo: Fractional H.P. Vent Fans Other Equipment: &/////r��e�,o�l- o H.P. 1/201/121/10 z/v` z/o 1/= za 1/2 x/* z 11/2 e a u rw m 15 uv co sv ^o sv 75 mv Mark Number m Each Size . Applicant's SignatureUconoo # Pomn� # T/A /� /� / /�'��a� �'/ Utility:'' - (mmws) (OFFICE LOCATION)- App|�ant� Addmo : "^~~'�' ._ � _ ---' _.� (City) ' � / ' r-!- »� ��/x /' (State) 10 (Zip) -u(/ Sonioo Request # Phone # -7���~ �/l Electrician: K8Q|A USE ONLY -- ' DATE RECEIVED: /` -/~ // DATE INSPECTED: Correct Location: Same aoAbove or: Red Notice Label | | Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal R000ptao|oo VVmn, Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &�ontro|o for Amp. Rrooptuo|o Amp. Service Conductors Pump Vent Fans MOTORSvc z� u u � o z/v z1/6zp` z/y z/e 3/4 z z* c a o ' r* m 1: ev un ov ^o sv r, zon Mk Number r o/ Each Size Elect. Heat 500 7501000 1250 /5001750 2000 2250 2500 2750 3000 CERTIFICATIONS uaspon /rIALvm �Rn�r /romc/ mor/p/em o�rs pss FEE PAID � - RVV PmUmo : Inc.�� LKD � Cun�m�o, CFT Violation: r~ ~- ��'- -� Work �� |nc �� � -- � CASH | | L/A Owner . . Fee C H K #/� � u F-1 L/A Duo MO # I J |PA Municipal , |NV # Date: O�h,,��doL� Utility Owno, '-Cut inCard l Temp D�� /�7 / //� �� ' INSPECTORS SIGNATURE �� Final # ' - ' Date ~ • • - MIDDLE DEPARTMENT INSPECTION AGENCY, INC. NATIONAL HEADQUARTERS: - 1337 West Chester Pike,West Chester, PA 19380. - PENNSYLVANIA - • ;NEW YORK •- • - MARYLAND 1.21.West Tenth Street 424 Erie Boulevard West 318-A Commerce Drive Erie, PA 16501 P.O. Box 285 Eastori, MD 21601 _(814) 452-4604 Rome, NY 13440 (301)822-8300 - (315)736-0477 _ ' 18 North Wyoming Avenue (315) 337-3480 . - - Burch Oil Company Building Room 204 ___ E.S. Route-5 Kingston, PA 18704 460 State Street Charlotte Hall, MD 20622 (717) 288-4906 Suite 402 (301)645-2219 . - Rochester, NY 14608 - (301)884-4547 3901 Hartzdale Drive (716)454-5191 Suite 112 .. - Washington County Building Camp Hill, PA 17011 - RR#5,3-XPLO Complex 100 West Washington Street (717)761-5340 - Plattsburgh, NY 12901 Hagerstown, MD 21740 - (518) 563-2835 (301)791-3190 - 1542 Bristol Pike - - U.S. Route 13 Hilltop Plaza Hitch Building, Room 203 Bensalem, PA 19020 143 Troy-Schenectady Road 636 South Salisbury Boulevard (215) 244-1919 Watervliet, NY 12189 - Salisbury, MD 21801 . (518) 273-0861 (301) 749-0641 Route 19, North " P.O. Box 1356 -NEW JERSEY Cumberland City Building. . Wexford, PA-1.5090 3rd Floor (412) 931-3028 1030 Kings Highway, North 20 Bedford Street . . - (412) 935-1558 Suite 310 Cumberland, MD 21502 • Cherry Hill, NJ 08034 (301) 759-6519. - - • DELAWARE ' (609) 667-9200 VIRGINIA 1815 Newport Gap Pike 350 Grove Street.- : - - Marshallton, DE 19808 Grove XXII-Corner 3076 Shawnee Drive - (302) 999-0243. Bridgewater, NJ 08807 - - P.O. Box 1626 . -(908) 526-0880 - - ,Winchester,VA-22601 " 203 NE Front Street (703)667-8484 - Suite 105-Rear Entrance - 26 South State Street P.O. Box 306• : ' ' :Hackensack,-NJ 07602 Milford, DE 19963 (201) 487-5373 - (302)422-5729 -. - Rout 9 - - e Marmora, NJ 08223 • . - (609) 390-1940 NOTICE TO APPLICANTS: Final inspection and approval may be required by law before electrical current may be energized for use of occupants.The Agency undertakes to provide inspections until final certification is granted if such requests are made within 120 days from date of the last inspection. Upon expiration of 120 days from the date of the most recent inspection, all duties and obligations owed by the Agency shall be deemed completed,and all fees paid by applicant shall be deemed consideration for services performed. No further inspections shall be undertaken by the Agency without filing of a new application, and the payment of relevant inspection fees. No final certification shall be implied or inferred without issuance of a duly executed certificate. The Agency in accepting application for inspection_cannot assume responsibility for unavoidable delays in inspection. ".100 YEARS" PROTECTING THE CONTRACTOR AND THE CONSUMER. TOWN OF QUEENSBURY <Ji�0 531 BAY ROAD �;4 " u; QUEENSBURY, NEW YORK 12804 ` TELEPHONE (518) 745-4447 "° BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED Q 1E . /X„,z-- ,Pit-ei-Leib' .tom / -e-Za)7� LOCATION .24,k& 424' f:-C- DATE '7 //la PERMITO %?/05Y(. TYPE OF STRUCTURE_____1&172','2J- RECHECK ...,, FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) r✓4O0TING FOUNDATION BACKFILL FROING UGH PLUMBING FINAU ELECTRICAL _SEPTIC ,INSULATION WOODSTOVE/FIREPLACE REMARKS ,0,,/� ie.6G. 4 7% UJC/ / G AT e if APPRO L N/A YES NO CHIMNEY HEIGHT/LOCATION ''' B VENT/LOCATION ,f PLUMBING VENT I ROOFING I SIDING 1 DECK/PORCH/STEPS/RAILTNGS :1' RELIEF VALVES I — FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUqTWRK INTERIOR TRIM/PRIVACY DOORS x FINISH FLOORS: 4 BATH/KITCHEN WATERTIG.T OTHER FLOORS SWEEPAB� � OTHER FLOORS CARPETD A STAIR CLEARANCE/RAILIRTGS K HANDICAPPED ACCESS I SMOKE DETECTORS I X BATHROOM FANS/WHOLE OUSE FANS ALL PLUMBING FIXTUfS OPERATING GARAGE FIRE PROOFING DOOR CLOSERS I 'n OTHER FIRE SEPARATION FIRE/DEMISE WALLS A DUMPSTER t ,. SITE PLAN/VARIANCE REQUIREMENiTS FINAL ELECTRICAL11' 5.1_1P )Aj 5,5i- X OK TO ISSUE C/O OR C/C k 4. 1 e COMMENTS: \. AteAL C,n,�C-cf t=-! c - i- `'r L'64 ' ARRIVE `Z72--- ) ' DEPART Z-/L(( x- I SP T TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT r {� 531 BAY ROAD E� QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME VA'', qG /420.11 LOCATION 4 `'/ill th DATE I '//ISO /PERMIT # 9/—d,6-L/ TYPE OF STRUCTURE de/(1 RECHECK APPROVED N/A YES NO XFOOTINGS/PIERS t&. ' fj' MONOLITHIC POUR FOR REINFORCEMENT IN ACE THE CONTRACT S RESPONSIBLE FOR PROVID'L 6 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/DAMPRQGRIN yACKFILL APPROVE OUGH PLUMBINGA 1 PLUMBING VENT/VE PLUMBING UNDER 5 (!IC Lt�J ll0 RAMING: JACK STUDS/HEA \,uLe. nlQ 516441 BRACING/BRIDGI JOIST HANGERS (jb����� JACK POSTS/MAI Q u V eAL �e I FIRESTOPPING , ) WALLS C�J5Y3L�rL� CEILING '�`� 0 o� FIREWALLS HEATING ROUGH-IN � ���_ l NSULATION: d � FOUNDATION WAL k FOUNDATION WAL FLOORS )(WALLS (CEILING - DUCT WORK OR PIPING IN UNHEATED . SPACES REMARKS: 4 x:/14/0/A4 ARRIVE DEPART I 3 INSPECT R TOWN OF QUEENSBURY 1A► 531 BAY ROAD - V f-% . ' QUEENSBURY, NEW YORK 12804 � �" TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME 6',M I ifia .bed LOCATION C �� DATE /2,64/ PERMIT# 9/ TYPE OF STRUCTURE 4///k RECHECK F)-RE MARSHAL,,APPROVAL (COMMERCIAL STRUCTURE) -FOOTING &FOUNDATION c-BACKFILL %`FRAMING R,UGH PLUMBING FINAL ELECTRICAL _SEPTIC 1-INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A O YES NO CHIMNEY HEIGHT/LOCATIO B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAI N RELIEF VALVES FURNACE/HOT WATER oPERAT NG BASEMENT INSULATION/DUCT ORK INTERIOR TRIM/P' VACY DOuRS FINISH FLOORS: BATH/KITCHE WATERTIGH OTHER FLOOrS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEA"ANCE/RAILINGS HANDICAPP`D ACCESS SMOKE DE ECTORS BATHROOM' FANS/WHOLEHOUSE 'f ANS ALL PLUMBING FIXTURES OPH ATING GARAG7 FIRE PROOFING DOOR LOSERS OTH FIRE SEPARATION FIR /DEMISE WALLS DU PS TER SI/IE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: Qom, t � P mo i ARRIVE DEPART /Q 3 (r 0 INSPE R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD. QK 12804 UEENSBURY, TELEPHONE (518)NEW 0R92-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 5 J t]I cJ f NAME i r b(-1) V ) L ) C LOCATION L+ l �\t� �-C% j A DATE ` q f PERMIT it9/��5q �j� 1 TYPE OF STRUCTURE WWm'' ,V ,,G-Il 1 RECHECK APPROVED 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 .y 1 BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PL` CE/ PLUMBING UNDER SLAB \ / FRAMING: JACK STUDS/HEADERS / BRACING/BRIDGING / JOIST HANGERS / JACK POSTS/MAIN BEAM HEATING ROUGH-IN / ;INSULATION: FOUNDATION WALLS,/ INTERIOR /( FOUNDATION WAL EXTERIOR R • FLOORS R WALLS 4a.J 1/.j CEILING R- 3 - d DUCT WORK 0 PIPING IN UNHEATD SPACES REMARKS: \ ARRIVE Q ,,'' DEPART �� 41/. 7 ' dad � INSPEC OR TOT6WWQU NSBU Y FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME .5;lf < / .AV, i ,41->54 ./ LOCATION 'Z 2i44-;_,,49. DATE.)76/r/ PERMIT# ���� APPROVED ," N/A YES N,0 EXITS A �� AISLE WIDTHS �' r EXIT SIGNS 1 EMERGENCY LIGHTING / FIRE EXTINGUISHERS I, ar AUTO. EXTINGUISHING SYSTEM t / HOOD INSTALLATION AUTO. SPRINKLER SYSTEM g I ALARM SYSTEM II<� INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKL RS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE / CHIMNEY / WOODSTOVE / FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT { REMARKS: (J 1 OK TO THIS DATE - J-41.1k6a\ 7U'PAA-)1 ARRIVE DEPART / gr INSPECTOR TOWN OF QUEENSBURY \ \�1 A�1 BUILDING AND CODES DEPARTMENT 531 BAY ROAD . QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT/ / / REQUEST FOR INSPECTION RECEIVED `/// �I NAME )—(�,��"1 Il` 1 ) // ( LOCATION / �Jl UfiP `� 1,(1 a- DATE L/ g %( PERMIT # 9 ( L/ I TYPE OF STRUCTURE QA>W-)`0.\,, ) d , (2e- ) RECHECK ) APPROVED" ( N/A YES NO FOOTINGS/PIERS $ MONOLITHIC POUR FORM REINFORCEMENT IN PLACE ) THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS IOLLOW NG THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE N SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING) BACKFILL APPROVAL 1 / TROUGH PLUMBING it d PLUMBING VENT/VENTS INFLACE _ PLUMBING UNDER SLAB / /' FRAMING: 1 r! JACK STUDS/HEADERS 1 BRACING/BRIDGING " p JOIST HANGERS JACK POSTS/MAIN B AM ; HEATING ROUGH-IN (; INSULATION: , FOUNDATION WALL INTERIOR R- FOUNDATION WALL/ EXTERIOR R- , FLOORS R- WALLS / 1 R- CEILING / R- DUCT WORK OR PIPING IN";UNHEATED SPACES / r} / ( REMARKS: \ , le ARRIVE :) " 25 DEPART 3 04 INSPEC R 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 24/4!( it ` LOCATION l r i // DATE =1;���' �j PERMIT # /- C9 CI TYPE OF STRUCTURE de" G RECHECK APPROVED . N/A YES NO FOOTINGS/PIERS • MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR it RESPONSIBLE FOR PROVIDING PR PROTECTION FROM FREEZING FOR 48 H URS FOLLOWING THE PLACEMENT OF 1HE CONCRETE. MATERIALS FOR THIS\PURPOSE ON SITE FOUNDATION/WALL POUR )I REINFORCEMENT IN PLACE ^ FOUNDATION/DAMPROOFI'IG XBACKFILL APPROVAL t jFr ROUGH PLUMBING a ,f PLUMBING VENT/VENTS INOPLACE PLUMBING UNDER SLAB FRAMING: 1 JACK STUDS/HEADERS 1, / BRACING/BRIDGING / JOIST HANGERS °; / JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: / FOUNDATION WALLS INTEI'IOR R- FOUNDATION WALLS EXTE IOR`R • - FLOORS I R- WALLS CEILING / R . DUCT WORK OR PIPIN IN UNHEATED SPACES , REMARKS: • • ti ARRIVE // DEPART / '11-11 die I,n 1 INSPECTOR �GY I AT) TOWN OF QUEENSBURY (-)6 BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED L/ L7 9 NAME -Y r\ . WI I \i 0.m ; LOCATION 4/ L 1;4-, DATE PERMIT # / /—0 5/ TYPE OF STR CTUREn)r)4'1, d1 +0 \--. cve ll;n c RECHECK APPROV D . N/A YE$ NO )tFOOTINGS/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!. f MATERIALS FOR THIS PURPOSE ON? SITE FOUNDATION/WALL POUR A REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING / PLUMBING VENT/VENTS IN PLACE4 PLUMBING UNDER SLAB FRAMING: / JACK STUDS/HEADERS / U BRACING/BRIDGING / JOIST HANGERS / JACK POSTS/MAIN BEAM HEATING ROUGH-IN / INSULATION: / FOUNDATION WALL INTERIO a R- FOUNDATION WALLS EXTERIO R- FLOORS f R- WALLS R- CEILING R- DUCT WORK OR PIPING IN U HEATED SPACES REMARKS: ARRIVE DEPART 4", / INSPECTO . , . jel ' -1("- ' ' " [ • ir±._.i.2/q_fa--- i /0_/_A,/ ..- ' ,. .___I I rld, 1 i . 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