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1989-931 i l i r CERTIFICATE OF OCCUPA,.NI%� 'J 1 TOWN OF QUEENSBURY i WARREN COUNTY, NEW YORK I Date May ly wMis is to certify that work requested to be done as shown by Permit No. $9- 931 has been completed. I This structure may be occupiod as a Single Family Dwe 11 i n a LoKation Lot # 150 - Hidden Hi ] s - Oak Tree Circle i Owner Ken Collette i Sy Order Town Board ti � Tf3VNN OF GlUEi~NSBLJRY stAndins w &omind inspector i BUILDING PERMIT x TOWN OF QUEENSBURY No_ 89_ 931 Al WARREN COUNTY, NEW YORK as to PERMISSION is hereby granted to K n l ette w OWNER of property located at Lot 150 Hidden Hills - Oak Tree Ci r . Street, Road or Ave. tal in the Town of Queensbury, To Construct or place a Si ]lal a Fami l Dwel 1 in 0 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. F3COONNTR R'S Address is 9 Collette Lane Hudson Falls , NY 12839 r, c r r TRACTOR or BUI LDER S Alamo rt SELF ACTOR or BUl40ER S Address 4, ARCHITECT'S Name Mle I-+ S. ARCHf7ECT"S Address 1 S .-a d B. TYPE of Construction — Mease indicate by X1 0()( Wood Frame I } Ntasonry f I Steel r r w 7. PLANS and specifications I No. 45 ' x 43 ` single family dwelling with septic system , driveway & two p9 car attached garage as per application , specifications & plot plan . —a a. Proposed Use m ♦ rM Single Family Dwelling n �v g _ g 0(]_ PERMIT FEE PAiD — THIS PERMIT EXPIRES December 7 19 90 ' Ilf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t!� town of ousensbury before the expiration date.) 'dated at the Town of Queensbury this 7t1'i� pay of _ December 79$9 rr*t -rr rc SIGNED BY 45= __ for the Town of Clueensbury Building aced Zoning Inspector +"— r O m r r + VWN� O Q!IE©VEENSBU1tY F IV p / REVIEWED BY FEE PAID i Z!? "V 2 7 1989 PERMIT NO. Sct—!R as ----- $(.per $ CODS dFPT. BUILDING PERMIT APPLICATION A PERKrr MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. 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. r : s « . r a s « r * . « s . . * s w rr s . . rr +r . r s ■ : . « . ■ : . . s . s The owner of this property is: f . /A h"Le P.O. Address f f/e t .,, , !�'�1 ` ; � /� . '. Tel. �2 U 5�� 3 Property Location , r` / SV Tax Map No. /+I 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 IAlo �ypej I.11< _ LOT NO. SZ� THE PERSO* RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS; NATURE OF PROPOSED WORKe * Esr,MATED MARKET VALUE OF Construction of a new building » 'CONSTRUCTION : S 7470 = Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: • Size of property / d'p hoOft x �!—ft. Alteration to a 'building " Existing Buildings( 3 ) Size ft. x " —' ft. (no change to exterior dimensions) » Proposed building - distance from property lines Other work (Describe) " Front yard 03 � ft. Rear yard ,Ca ft. * Side yards � e ft. and 9!50- ft• T GROSS AREA OF PROPOSED STRUCTURE » If an corner, setback from side street — ft. 1st Floor Ind 4 � sq. ft OCCUPANCY INFORMATION » 2nd Floor C1 } _sq. ftp Leo » Primqjry Building - Other Floors sq. ftr � . » One Family Dwelling (not cellar or'ba emeni� f3 » Two Family Dwelling t ! • Multiple Dwelling/Number of units TOTAL FLOOR AREA J' / �' �sq. it. », Business Size of new structure z ft X k4 a ft. Industrial Foundation-pier/slab/crawl/partial (circle one) * Other No. of stories (habitable space)'__ » Height (grade to ridge) " ' ft. » If addition, what will use ba?mwmmmmmm==M== If residential# no* of familles— / • No. of rooms(excluding baths) 4 • Accessory Building Noo of bedrooms » No. of bathrooms �.. * � Dstached Garage ONE/TWOCCar Primary heating system a/`w.��< • ✓ Attached Garage ONEf�L_±*..5� u' Type of fuel g ,a * Prlvat* storaga building No* of fireplaces to be installed 1 » Other Will a wood stove be inst&Uod Na Central, Air conditioning ,00 t) O1l» ER r S (: 1LD1NG PERMIT APPLIC -kTION COuTINL: EZ) - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe. etc. kyano W i11 any second-hand or upgraded Iti rn her be used? If so. for what ?_ Foundation wall material. , r am Thickness r Depth of foundation below grade (to bottom of footing)`�y' Will there be a cellar9 (, Heated or < nheated' Floor sq. footage B �fd3 `aq ft . Will there be a basement ? /yo Will any portion be used as living space ? (If so, what portion? sq ft . Type of use ? Type of roof 7ilo flat/shed/other Material of roof � ,� �r, �;• SPa J � �' /� J Size, wand studs "x 9� Of spaeing�/ " O. C. length ,—ft . Joists (floor beams) 1st floor 2 "x...Z�o „ spacing_"o. c. spans/ -lift. Joist (floor beams) 2nd floor 01 "x�, " spacing le "o.c. span t ft. Overlays (ceiling beams ) --'"x _»� spacing -'* o. c. span / h ft. Roof rafters _ "x frj " specing�o. cl span_ _ / at� `ft. Roof trusses (pre--engineered) spacing-.�'T o. co span gj�r ft , Exterior wall finish C /AIe ,f'xAd2 of what material? r _ a, Interior wall finish 42 If a garage is to be attached, describe materials to be used for FIRE SEPARATION: J v _r Z^ '�/�,yK !e =144 a Co it's Is there to be an opening between garage and dwelling? . If so will aFire-rated door, enc3osure, self-closing device be provided? �., tz s Will a flue-lined chimney be installed? Height above roof. ft. •" Depth of chimney foundation below grade ft. AV? 5;re s Depth of fireplace hearth c/ft. 0 in. _ Water supply unicipal or private well SEPTIC SYSTEM Distance from ANY private well (including adjoining properties �poy� - - ft. (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER (~ f/p ff� -t DDRESSTEL. NO. 4 ? -�`).3 3 NAME OF PLUMBER Sa `'L��,.h- P ADDRESS__ a �..� o_fJ. S cfv" 2477 ,TEL. NO. NAME OF MASON ( ,;�� ADDRESS TEL. NO. NAME OF ELECTRICIAN ("., ,� ,lavr ¢ ADDRESS TEL. NO. DECLARATION To the best of my knowledge and bellef the statements contained in this application, together with the Plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. Signature lit ' Owner, owner's agent, architect, tract SPECIAL CONDITIONS OF THE PERMIT: BY TOWN OE QUE . `ISSUR ! 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 = i . Gross floor area 20 Type of heat 4 ~ 7`~ LiSx3� 3o is the building mechanically cooled ? lNjr)t 4 . Percentage of area of windows and doors � ? r5 A . Over 16 % 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 a . Are foundat on walls insulated ? YES NO 1 . If YES , what is the R value ? 3 . Slab on grade YES Nt] a . If YES , wh . t is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation B , Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions . 2 , R value of exterior walls A(9 3 . R value of glazed area :2 - Sf 4 . R value of doors 1��,`} 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 1C1k 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 ) A-1 +f' 10 . Type of insulation ee ------- Co Controls a 1 . Thermostat maximum heat setting 26 D . 'Duct Systems 1 . Is duct system installed in unheated spaces ? YES N a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulationqoft- 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation I, F . service Water Heating 1 . performance efficiency FG 2 . Temperature control setting maximum 1 .5"� G . For Swimming Pool Onl]+ 1 . Maximum heating Telephone No . ( applicant ' s signature ) TOWN OF QUEENSPURY APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION / 7` r 044e r ,aP ��e�hlCcf'GP Y' W C/, Ir�r Owner's Name: /oy k Telephone: Address: Installer's Name* Telephone*�/ Telephone: Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) Topography: Circle one: la Rolling Steep Slope % of Slope Soil Nature: Circle one: and Loam Clay Other /Depth: Feet r Ground Water: At what depth? - Feet Bedrock or Impervious Material: At what depth ? Al Feet Percolation test: Circle one: avrol requirecb required rate min. inch. Domestic water supply: circle one: unie' a Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank gal. ( minimum size: 1 ,000 gal. ) TILE FIELD : Each `french feet/Total system length feet SEEPAGE PIT(S): Numb / Size eiich e!� feet by feet Size of stone to be used # 3 /Dept or is ness eet 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: Jr - - DATE: OVER Se tic S stern 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 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 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 ui 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 installa— tion , alteration or repair of an approved system , a new proposal must he submitted to the Queonsbury Building Department before .further c. unwtruction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 Remarks + a TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 22809 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR rNSPECT ON RECEI VR D� NAME f LOCATION DATE PERMIT # d i APPROVED YES NO FOOTINGIPIERS MONOLITHIC PO FORMS FOUNDATIONIDAMP't-PROOFING BACKFILL APPROVe�}L ROUGH PLUMBING ` FRAMING ELECTRICAL ROUGH-`XN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESIST_ PS STAIRS—CLEARANCE & hA,ILS PLUMBING FTXTURESI�LTEF VALVE INTERIOR TRIMIPRIVI;CY DOORS - FINISHED FLOORS I �....... - GARAGE FIREPROOFING L ... ....� DOOR CLOSERS) SMOKE DETECTORS � FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE CIO OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE .BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ARRIvE ,2. INSPECTOR TOWN OF QUEENSBURY Ml BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS OUBENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPE TION RECEIVED NAME r LOCATION DATE PE IT # [ f APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR F RMS _ FOUNDATION/DAMP--F PING BACKFILL APPROVAL ROUGH PLUMBING, FRAMING ELECTRICAL ROUGH—IN INSULATION.- FOUNDATION FLOORS WALLS CEILING `I SAL INSPECTION: t� CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE STAIRS-CLEARANCE & Pd Z �~ PLUMBING FIXTURES/RE IE VALVE _ INTERIOR TRIM/I'RIVAC D R 1. FINISHED FLOORS / GARAGE FIREPROOFING DOOR CLOSER (S) — SMOKE DETECTORS FINAL ELECTRICAL INSPE TION _ FINAL APPROVAL OF CONStRUCTIO OK To ISSUE C/o OR c/cam_ _ A SIGNED CERTIFICATE 0* OCCUPA Y MUST BE OBTAINED FROM THE BUlLoXNG DEPA TMENT ,BEFORE THESE PREMISES ARE OCCI, PIEEDf REMARKS: �rf t rx ■ = r r x ARRIVE ZQ - L LIEPART I D /L7 SIvSkejECTOR vk` _,/nurn n ueens urs&# BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION LD:L I�p DATE 124 ity Q ,r PERMIT NO , SOIL TYPE - Sand - Loam - , Clay - Percolation Test Required? ".YES - NO Percolation rate - min/Inch _ TYPE of SYSTEM : Absorption field , total length Length of each trench ' _ ,r Depth of trenches " Size of tgravel ^ SEEPAGE l? ITS#Nuumber rf ) Size- ft . X _ =ft. Gravel size. e PIPING : S3.z7 Bldg . to tank ` Tank to clist. box Dist* bo,): to field Openings sealed? r ESf N P rtial LOCATION/SEPARATI S . Foundaticin to tanI t- Foundation to abs rption t . Absorption to lot h ine _ eft . Separation of pit "'�ft- TAC'ATION SY�iTET�ON ROPERTY (circle one ) Front ar i,e de - Right side CCMMENT 'L i SYSTEM USE APPROVED YES NO Buil n nspector 01/86 and ul TOWN OF QUEENSBURY j,� /K � BUILDING AND CODES DEPARTMENT )4 � BAY & HAVILAND ROADS QUEENSBURYo NEW YORK 12804r TELEPHONE (528) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTI N RECEIVED 0,4gC, a NAME LOCATrON DATE � PERMIT # .APPROVED YES ND FOOTINGIPIERS MONOLITHIC FOUR FO FOUNDATION/DAMP—PR ING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION- FOUNDATION FLOORS WALLS CEILING ' FINAL INSPECTION. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESI ST P STAIRS—CLEARANCE & LS PLUMBING FIXTURES/ IEF VALVE INTERIOR TRIM/PRIVA DOORS FINISHED FLOOORS — GARAGE FIREPROOFIN DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL IN PEC .ION FINAL APPROVAL OF C ?NST UCTION Ox TO ISSUE C/O p ffC/ C A SIGNED CERTIFI TE OF CUPANCY MUST BE OBTAINED FROM TH BUILD G DEPARTMENT BEPO'RE THESE PREMISES E OCCU ED: REMARKS: ARm=VE: 11 : DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT pAY & HAVILAND ROADS ; QUEENSBURY, NEW YORK 1285iNR TELEPHONE (518) 792-58312 BUILDING INSPECTOR ' S REPORT REQUEST FOR IN EC RECEIVED NAME LOCATION DATE PERMIT # L' -� PROVED ES NO FOOTING/PIERS MONOLITHIC POUR FO S FOUNDATION/DAMP-PR FING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL, INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHETRTVDOORS STAIRS-CLEARANC PLUMBING FIXTURVALVE INTERIOR TRIM/P FINISHED FLOORS GARAGE FIREPROO DOOR CLOSERS) SMOKE DETECTOVCONSTIYTION FINAL ELECTRICA ON FINAL APPROVAL A SIGNED CERTI ICATE OF CUPANCY MUST BE OBTAINED FROM HE BUILDIN DEPARTMENT BEFORE THESE PREMISE ARE OCCUPIE ! REMARKS: INSPECTOR TOWN RY UIZD G AND CODES DE SUILDXNG AND CODES DEPARTMENT SAY 6 HAVILAND ROADS QUEENSBURY,,p NEW YORIC 1280k TELEPHONE . (5I8) 792-5832 UILDING INSPECTOR' S REPORT a REQUEST INSP CTION RECEIVED NAME L OCATXON / DATE PERMIT ' h— R APPROVED E' YES NO c FOOTXNG/PIERS ' MONOLITHIC POUR FORMS J FOUNDATXON/DAMP OOFING SACKFIL.L APPROVA �OUGH PLUMBING FRAMING ELECTRXCAL ROUGH— r XNSULATXON: i FOUNDATXON s FLOORS- WALLS PRO CEXLXNG FINAL XNSFECTION: CHIMNEY HEXGHT r ROOFXNG SXDXNG EXTB'RNAL PORCHES/S EP STAXRS—CLEARANCE Sl RAI PLUMBING FIXTURES �REL3'E VALVE XNTERIOR TRIMfPRX,4rACY FINISHED FLOURS f GARAGE FIREPROOF NG DOOR CLOSER (S) SMOKE DETECTORS FINAL EL.ECTRXCAL $NSPECTXON FINAL APPROVAL OP", CONSTRUCTXON OK To ISSUE C/o OR C/C A SXGNED CERTXFXCATE OF OCCUPANC MUST BE OBTAXNED FROM THE BUXLDXNG DEPART NT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: #6w T.>{ cl, (aomczz ARRIVE 50 DE T dJ PAR / _� EC'TOR TOWN OF QUEENSBURY ,41 BUILDING AND CODES DEPARTMENT —� BAY 6 HAVILAND ROADS OUEENSBURY, NEW YORK 2280d- TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST Ppa INSPECTION RECEIVED {J��' TtJyJr NAMEe2A LOCATION DATE PERMIT # A. ROVED S NO FOOTINGIPIERS MONOLITHIC POUR Ftmms FOUNDATIONJDAMP- DOFING� BACKFILL APPROVAI.J - OUGH PL BING i !`fiJELECTRICAL ROUGH- N INSULATION: FOUNDATION FLOORS. WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/rEP As STAIRS-CLEARANCE & LS PLUMBING FIXTURES/ EF VALVE INTERIOR TRIMIPRIVA Y DOORS FINISHED FLOORS _ GARAGE FIREPROOFS DOOR CLOSER (S) SMOKE DETECTORS 1 FINAL ELECTRICAL SP CTION FINAL APPROVAL OF CONSTRUCTION OX TO ISSUE C/0 R C/C - A SIGNED CERTX CATE OF OCCUPANCY MUST BE OBTAINED FROM HE BUILDING DEPARTMENT BEFORE THESE PREMIS ARE OCCUPIED! REMARKS. � 1 i' ARRIVE DEPART [A SPECTOR TOWN OF QUEcENSBURY 19 BUILDING AND CODES DEPARTMENT BAY A HAVILAND ROADS QUEENSBURYs NEW YORK 3280k TELEPHONE (5I8 ) 792-5832 BIJILDING INSPECTOR' S REPORT REQUEST INSPECTION RECEIVED NAME LOCATION - DATE ' I PERMI #, APPROVED YES NO FOOTXNGIPXIRS MONOLITHIC POUR FORMS FOUNDATION DAMP-PROOFING BACKFILL A PROVAL ROUGH PLUM ING +.FRAMING ELECTRICAL ROUGH-IN INSULATION FOUNDATI N F1OCIRS- WALLS CEILING FINAL INSP TION: CHIMNEY IGHT ROOFING SIDING EXTERNAL RCHE /STEPS ,STAIRS-C RAN 6 RAILS PLUMBING F XTU ES/RELIEF VALVE INTERIOR M RIVACY DOORS FINISHED F S GARAGE FIRE PING DOOR CLOSER ( ) SMOKE DETEC S FINAL ELECTRX INSPECTION FINAL APPROVA O CONSTRUCTION OK To ISSUE /O C/C A SIGNED CE IFXCA OF OCCUPANCY MUST BE OBTAINED FR M THE B ILDXNG DEPARTMENT BEFORE THESE PREMX ES ARE CUPIED1 REMARKS -& d so ARxzvZ l DEPAEt'�_�- /� INSPECTOR TOWN OF QUEENSBBURY BUILDING AND CODES DEPARTMENT BAY S HAVILAND ROADS QUEENSBURY, NEW YORK I280& TELEPHONE (518) 792-5 32 BUILDING IN PECTOR' S REPORT r REQUEST FlopIN.SPEC I N RECEIVED or NAME LOCATION DA TE PERMI # APPROVED YES NO FOOTING,/PI ERS MONOLITHIC POUR F RMS FOUNDATION/DAMP- OOFI G �ACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTTO CHIMNEY HEIG ROOFING SIDING EXTERNAL PO CHE /STEPS STAIRS-CLE NCI ' & RAILS W PLUMBING F XTUFth'6/RELIEF VALVE INTERIOR T IMfPRIVACY DOORS FINISHED RS GARAGE FI EPROOFXNG DOOR CLOS R (S) SMOKE DE ECTURS FINAL E ; RICAL INS CTION FINAL APP VAL OF CONSTRUCTION A SIGNED ERTIFICATE OF UPANCY MUST BE OBTAINED ROM THE BUILDING DEPARTMENT' BEFORE THESE PR l ISES ARE OCCUPIEDt REMARKS: tIc1 AooFo I3Ae�►e.rf ct_. +Goat 'ri4- 9PECTOR 16pq tooIN TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVILAN ROADS _ „} QUEENSBURY, N YORK 1280+� TELEPHONE (5 8) 792-»5832 BUI ING INSPECTOR ' S REPORT REQUEST FOR SPECTION RECEIVED } k Pq NAME LOCATION DATE PERMIT # APPROVED �y - YES NO " *BOTING/PIE MONOLITHIC PO R F S FOUNDATION FING BACKFILL APP VAL " ROUGH PLUMBIN FRAMING ELECTRICAL ROU H- INSULA TION,- FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH S/STAXREPS _. S-CLEARA E & ILS PLUMBING FIX ES/ LIEF VALVE INTERIOR TRIM/ RIVA DOORS .FINISHED FLOOR GARAGE FIREPR FIND oil DOOR CLOSER (S) .SMOKE DETECTOR FINAL ELECTRICAL NSPECTI FINAL APPROVAL O CONSTRUC ON A SIGNED CERTIFIC TE OF OCCUP CY MUST BE OBTAINED FROM THE BUILDING DEPA TM;NT BEFORE THESE PREMISES AR OCCUPIED! REMARKS: The Contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete _ Materials for this purpose on site x (� YES No AAr- r o* 1Ns ,v ��rn 2r aC, - + 4 f [ti'rvs7 ! v Qm 4� � Y - s INSP �� TOWN OF QUEENSSURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 22801- TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR XNSPE TIbN RECEIVED NAME LOCATION �t /J L 19 DATE f f<� +�] PERMIT # " APPROVED _ YES NO �%kpoOTING/PIERS f MONOLITHIC POUR FO i FOUNDATION/DAMP-PROD NG BACKFILL APPROVAL + a ' ROUGH PLUMBING r FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING L EXTERNAL PORCHES/SICL S ,STAIRS-CLEARANCE & ILS / I PLUMBING FIXTURESEF VALE INTERIOR TRIM/PRIV DOORS FINISHED FLOORS GARAGE FIREPROOFIN DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL IN PECTION FINAL. APPROVAL OF C NSTRUCTION A SIGNED CERTIFICA E OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED:' REMARKS: jCjNV- j l 1 t2 M i d 1-�aCrri i �c 2t' ' Ib IN TO met alm National Headquarters14. - _ 2 9W F° Jfdon ,Q�e„+ 5►CirigsWlJ r ' l �'p�7Q8 R Date: X F� City, Town or Township Ue � � � _County - t t�`wA Aelye a rr+.. State y` Location/Address i ' 7 � � �2 w (if Located in Rural Area Please Attach Directions) pole 4P Owner A r*_ �i._ l�I�sFc 1�` �� � s: ; d ..ptirm—t �k Occupied.Af c [��*�--� r 4+ a Building: New :Olcl � Occupant X Wdtk Area in BuildingFloor # eta.1 : A for: VNirin M Service or: flea for lrrs :;4 Fee Remitter! » ' ' - Cash.O Check F&O. °; MakiPB able Co: 11+t.D.i.A Number of,#iolsgh Wi►irig QutletS Elect. Heat e°O °0 saeu soo t-asa 2o0 0 225 0 2"* 2rsn aana Switches ' Lighting ZLd2ot Amp. 'ServIbIF-L Unit Dishw=hir: Range Receptacles Water Heater Air Conditioner Dryer : u Pump Oven ' e Disposal ,_ Wi : g an+�. for. Burner a . Asttip.}F2eceptaclea• �+ ( ; Fracttonat FI P 1:Vent Fate `. .a . iE: Other Equipment: . r -MdTU,R567 P. /2 , 1f.L 1/, 1/e 1/e 1/4 iJ3 1/2 Sr a/4 1 14 . . 2 7Vx Id 1512 2S 3D 40, SD �.i13 }DD fYlar>criurAbm; - - of Each Size Applicantfs signature �T e- ifF tirr eSr �y License aar PeXm► E Y' T/A Utility: . ' - Applicenes dress -4 e �i % 4-Aj - (NAME) (CitYI vl Service Request � Phone F. -, I ctricit� „ i 7<+ : -i r DATE I N8P EM Correct I ocatiion: Same as Above �] or: Red Notice Label Rough,Wiring Outlets Surface !Unit Oven ` Switches Range =Gar [aialias8 " Receptacles Water Heater '' [liskivssstyer Fixtures Air'Cortditioher" _ r Amp. 'Service Equipment Burner, Wr (:aritrol9 for Amp:RetmOtacle t'` Amp. Service Conductors Pump Vent Fans MOTORS H.P. I/2a I/}2 1Jte 1/e 1/6 1/ 1/ 1/2 .a/4 ' < 14fs 2 3 7vs 10 1¢ 20 25 3 5 !Neck Number « x !. 3.' .. of Each Size a Elect. Heat noo rao 1000 I230 iwo Ivao 2000 22eo sse soon n � Ll 0 RW Progress: Inc, [7 LKF { Contractor El CFT Violation: Work Camp, F1 Inc.- El L/A Owner Fee ' 0 El L/A CHK 0 IPA . . Munk Raj Due A Ca MO # INV' Dare, .. Other Sided Cft9lty� rrr Appl ice < Clwntr Cut in Card [] Temp # Date �� Final R, Data r= „r' j"5P RSSIG URE' APPLICATION FORM NO. 258'FCA,/a9 '• - - - - ?,< �.• . a- 3 90 NIP JON 70� Its 3L 0 A k TRH r c.4pxtr Loot f a 45 fF-r, k TOWN OF QUE&48&j#jy Zoning Adm&rt-