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89-927 j• '%iE '�+'S�d'�`*.'s'�1'%;�p;�.'�^ ;�5"s. µ '. `'�' �`•'y�.':.+�--.°,�5,'�`„"'•.:7w�. '.. �,'";�:^. .rs:-'::"2o��.lr"r'+�'�;j-, �'�'R':�P'�r.;Tr.'<¢•+�-fis_7i:7�gJ�:':�l t3,:r.+�a,Y.: -7,+; , i I CER.PMW ANTE CIF OCCUPANCY r i TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK I I f Date April 16 19 90 F C) This is to certify that work requested to be done as shown by Permit No. 89- 927 I I has been completed. This structure may be occupied as a single family dwe l l i n g f 1,40cation ` Brookfield Run t74vt+et Michael Vast 1 iou By Order Town Board I TOWN OF QUEENSBURY Building i1o4oning Inspector M. i BUILDING PERMIT -� It' x TOWN OF QUEENSBURY No_ 89- 927 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to 11ICHAEL VASILIQU cr .'+. OWNER of property located at 4�3 Brookfield Run Street, Road or Ave. w in the Town of Queensbury, To Construct or place a Single a Family Dwelling =" ry 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. 1 . OWNER'S Address is 32 WiIlow Road 2. CONTRACTOR or BUILDER'S Namert Same LQ 3. CONTRACTOR or BUILDER'S Address 4_ ARCHITECT'S Narne ' 5. ARCHITECT'S Address ."per B. TYPE of Construction — (Please indicate by X) + TC �9 r-� i i(} Wood Frame I ) Masonry I ) Steel I ) 7. PLANS and Specifications # No. 62 ' x 58 ' single family dwelling with attached two car .... garage with septic system and driveway as er a lication , s ecifications and t4;"� pla> 8. Proposed Use Single Family Dwelling o� r $ 14L'A _ 00 PERMIT FEE PAID — THIS PERMIT EXPIRES 1 f 1 f 19 t yj_ (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.T i r Dated at the Town of Queensbury this 1st Day of nprptnhpr 19..B9_._ m r- SIGNED BY � � for the Town of Oueensbury 8 u i Iclong and Zoning Inspector 0o f+7 TOWN OF QUEENSBURY REVIEWED BY 4cl ` W!� ERMIT NO. TOWS �caDSguRY BUILDING PERMrr APPLICATION %1314 N AC�}'��1 8r-ne' & GODE D'EPT" A PERMT 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. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * The owner of this property is: lk lelr ,em L 4 s7le- i oo P.O. Address '3 1iG C7 /�s G}i TeL Property Location A,.;� Tax Map No. Has there been any split of this property since October I , 1988 ? / .0D If yes Planning Board Review is necessary . yes no SUBDIVISION NAME, IF APPLICABLEirC'bc�. J %� GfJT/ YES LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS. NATURE OF PROPOSED WORKS * ESrwMATED MARKET VALUE OF JCanstruetion of a new building + CONSTRUCTION: $ Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: * Size of property , ,�/ �t}C :t . ft x ft. Alteration to a building " Existing Buildings( 3) Size onv ft. x ft. (no change to exterior dimensions) Proposed building - distance from property Iine. Other work (Describe) ' Front yard ?o ft. Rear yard 45;/49 7 ft. +r Side yards_? ft, and ,ggr{Q ft, +r GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. 1st Floor / /!'/r L sq. ft. Lq 0 * OCCUPANCY INFORMATION 2nd Floor 107 Z. sq. ft. t/� � * Primary Building - Other Floors --- sq. ft. * .One Family Dwelling basement)(not cellar or ba ') ` / ,► Two Family Dwelling TOTAL FLOOR AREA.97 ff�r sq. ft* " Multiple Dwelling/Number of units Size of now structure f,�ft x . �'�'ft. " Business Foundation-pier/slab/crawl/partial/full " tndustxlal (circle one) " Other No* of stories (habitable space) + Height (grade to ridge), ` t ft. t If addition, what will use be+ If residential, no, of families Nos of rooms(excluding baths) �7'� * Accessory Build ftq dr No* of beooms ge " Detached Garage ONE/TWO Car No* of bathrooms �;p / • Primary heating systertf -ram ,� 9� + Attached Garage ONE WO Car Type of fuelz� y� j,,yz ,� • Private storage building ~f Noo of fireplaces to be installed ., Other Will a wood stove be installed Central Air conditioning * OV• ER Sl: [ LDING PERMIT APPLICATION COITINL: ED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. Will any second-hand or upgraded ltimtxer be used? If so, for what ) Foundation wall material " ,7�7`c `Thickness Depth of foundation below grade (to bottom of footing) 6:::'� ,,c-4- 7 . Will there be a cellar ? vies eate or unheated ? ,!//- Floor sq, footage sq ft . Will there be a basement ?W ill any portion be used as living space ? [l� _- (If so, what portion? sq ft . Type of use? Type of roof slope�`latlshedlother Material of roof Size, wood studs 7 "x..gi� "' spacingz " o. c. length $ ft . Joists (floor beams ) 1st floor ,Z "'x " ,spacing-A,...Tra.c. span ft. Joist (floor beams) 2nd flaor� "x�/ "" spacing "'o. 0. span / * ft. Overlays (ceiling beams) 7 "x_ 1 spacing AC "' o. c. span ft. Roof rafters 2 "x..EL." spacing-AL.o. co span ft. Roof trusse re-engineere spacing" o. c. span ft. Exterior wail finish �c° /J./3 /2 5jp, ,� e; of what material Interior wall finish. ey` If a garage is to be attached, describe materials to be used for FIRE SEPARATION*^ Is there to he an opening between garage and dwelling? #4 JVO If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? SI' j Height above roof. ft . Depth of chimney foundation below gradeL_ft. Depth of fireplace hearth ft. in, AA %vE Water supply - Municipal or private well ?,2,, V,¢ z -- SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /(pp ft. ^� (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER I�^ 5 �,. DDRESS �� r� n�t,jr6> TEL. NO. NAME OF PLUMBER , /'4" ^_ADDRESS 41Z � ti�� TEL. NO. NAME OF MASONry j gym► p _ADDRESS ', Y13.+rw _ TEL. NUJ. Z40:E2 - 022`,� NAME OF ELECTRICIANJ4 _ ADDRESS TEL. NO. DEC LA RATION To the lest of my knowledge and belief the statements contained in thvS,4:ppllcatlon, 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 aL other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. r Signature J4 Lon ' nor, owner's ent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY TOWN OF QUE NSBUn _ WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following 1 . Gross floor area �2 ^ O"!:07 'OF � �,r _ ,� ► -.- 2 . Type of h e a t , t'� `""v�3 r�f�.� f - 7 .�'�� �rr,a 3 . is the building mechanically cooled ? 4 . Percentage of area of windows and door -� A . Over 16 % On1Y 1 . U value of gross area walls , roof / ceiling and floors exposed to ambient nditions 2 . Floor ove eat - 1 spaces YES O a . Ar foundat on walls in ated ? YES NO if YES , what is e R value ? 3 Slab on grade NO ? a . rf YES , w is the R value of insulatio ]round perime r of floor ? 4 . is b ement heated ? YES NO a R value of insulation 5 . Type of insulation s . Under 16 . Only 1 . R value of roof and fl exposed to ambient conditions. 2 . R value of exterior walls ,' '� 7T 3 e R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces 'f� 6 . R value of slab edge insulation - unheated slab 70 R value of slab insulation - heated slab 4W a R value of heated basement/ cellar walls ( above grade ) (] 9 . R value of heated basement/ cellar walls ( below grade 1a Type of insulation C . Controlsa 1 . Thermostat maximum heat setting G � D . 'Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation annumm 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service stater Heating 1 . Performance efficiency xC'��-'� � +� -e"�` L' �"�' � • '� 2 . Temperature control setting maximum _ � G . For Swimming Pool Only WON 1 _ Maximum heating Telephone No �72. 3, 3 �� Af applicant signature ) TOWN OF Q Uri ENSPL'RY APPLICATION FOR �! } SEPTIC DISPOSAL PERMIT DATE / Vt� LC+GATION OF PROPERTY FOR INSTALLATION Owner's Name: Telephone. Address: Installer's Name: 1'r �► ,�' r ,. r, Q� Telephone: 3 Number of bedrooms (residential only)_ Total daily flow (compute (d 150 gal per bedroom) 4 00 6;1 � Topography: Circle one: Flat Rolling Steep Slope % of Slope/ Soil Nature: Circle one San Loarn Clay Other /Depth: Feet Ground Water: At what depth? A0 Feet Bedrock or Impervious Material: At what depth? Feet .... Percolation test: Circle one not required equired rate min. inch. Domestic water supply: circle one: unicipa Well Other If domestic water supply is well; Separation: Water supply from septic absorption /626 feet PROPOSED SYSTEM: Septic Tank e-,10400 gal. ( minimum siz - 000 aI.) - ^� TILE FIELD: Each Trench feet/Total system length f eta SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # /Depth or Thickness feet 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 Dispo"I Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: ?�l ' '' <S" OVER Septic System Inspections : A. all applications for septic system installation , alteration or repair , as required by the Town of Queensbury Sanitary Sewage Ordinance , shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing : 1 . ) the proposed location of the system 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 , the fields and /car 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 ut up to $ 250oOOQ co 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 Queensbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Uaviland Roads Queensbury , New York 12804 KL marks r09*45 t�•tes MIDDLE DEPARTM —� ON AGENCY, INC* ~ � 000 _ B 11risric. lr/ bate May 20 , 1990 (Cc rtifcee; that le tr�iVa equip nt listed has been �Dent $ approved as being in accord with the National Elect ' C`pe, pplicable governmental, utility and. 112a es. Owner: Mike Vasiliou .fp Sin le Famil Occupar:t.� S � ..,. Location: Brooicf i eld R Q&We S caryficate t 1 rlc uipment and installation inspected this date. It additional ui nl sh be inlroduced or alierabons made to + existing system thi c in be null and void. and application for 1 l0 outlet e t 4eC p tac 1 e s ; 30 F ioxture s r inspection should submit[ p tly to this Agency- Equipment. [t � �t � older of this ce finale sh nt some to his property insurance carrier 2()0 Amp gerVi � App ]. iancies ; `� "agent or company) as SO c Slrrcatiain al a lace rice l eq uipme nt sp proved _ as specified.,:" F ERA liiectric ` GE '1B - Applicant: Candleberry Lane � ._ _ __�_ 16 -032633 � Queensbury , NY 128 Faints His, 703 EL 1o43 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 2280& TFs ,EPHONE (5I8) 792-5$32 BUILDING INSPECTORS REPORT REQUEST I — - 2N RECEIVED NAME *' a LOCATION DATE PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR PO FOUNDATION/DAMP-PR ING BACKFXLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- XN INSULATION: FOUJYMTXON gr.+nas WALLS CEILING FINAL 2NSPECTIONc CHIMNEY HEIGHT ROOFING SIDING E,YTERNAL PORCHES/STEPS --- STAIRS-CLEARANCE & RA L. PLUMBING FXXTURES/RE EF VALVE INTERIOR TRIM/PRIVAC RS FINISHED FLOORS - GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL IN ECTION FINAL APPROVAL OF C NSTRUCTIO OK TO ISSUE C/O OR C/C _. �....�_ A SIGNED CERTIFIC TE OF OCCUPA Y MUST BE OBTAINED FROM THE BUILDING DEPA TMENT BEFORE THESE PREMISES A E OCCUPIED!' REMARKS: ARRIVE 3s� 5"Q INSPECTOR TOW RY BUILDING OF QD CODS DE BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 22804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECT N RECEIVED ^' rJ f NAME LOCATION DATE PERM # _ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO S FOUNDATION/DAMP—PR PING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING { FINAL INSPECTION: / CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAI PLUMBING FIXTURES/RELIEF LVE_ INTERIOR TRIM/PRIVACY FINISHED FLOORS ff GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTOO _ FINAL APPROVAL OF CONSTRU ION ox. TD I SSUE C/O OR C/C A SIGNED CERTIFICATE OF CUPANCY ST BE OBTAINED FROM THE BUILDS DEPARTM NT BEFORE THESE PREMISES ARE OCCUP EDI REMARKS: �5 f ARRIVE DEPAR'�if- c�� INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY G HAVILAND ROADS QUEENSSURY, NEW YORK 1 280& TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR ..XNSPECT19N RECEIVED NAME LOCATX01 yef RATS I PERMIT ! q APPROVED iI YES NO FOOTING/PIERS MONOLITHIC POU . FORMS FOUNDATIONIDAMP PROOFING BACKFILZ APPROV L ROUGH PLUMBING FRAMING ELECTRICAL ROUG IN INSULATION: FOUNDATION FLOORS- WALLS CEILING FINAL INSPECTIONr , CHIMNEY HEIGHT ROOFING SIDING .EXTERNAL PORCHE STEPS _................ STAIRS^CLEARANCE . & RAILS PLUMBING FIXTURE RELIE VALVE INTERIOR TRIM/PRI%rACY RS FINISHED FLOORS ' - GARAGE FIREPROOFI _ DOOR CLOSE-R(S) _- ,SMOKE DETECTORS FINAL ELECTRICAL INSP ..TION FINAL APPROVAL OF CO UCTION OK To ISSUE c/o on I A SIGNED CERTIFICAT OF OCCUPANCY MUST BE OBTAINED FROM THE ILD G DEPARTMENT .BEFORE THESE PREMISES ARE OCCU ED! NPAAKS: L RRTVE 4 � � 1, 3 AINSPYR OWL ,.15lational.Headquarters . .., f , . 90 Had"n Ave:. .ollirigswood, N.J. 08108 Date: ..tone City, Town or Townshl t County 4.�- '� c re. ja State dIdd.— Az . , : ... a.✓ . . Location/Address 4 { (if Located in Rural Area - Please A#tech Directions) Pale 0 . Owner, Md kP &I rt. dd— Occupied r1s - 8u51din Alsuy OldO Occupant ; Work Area in build Floor etc,): A far: Wiri Service or: dead for. ln ec}ion " Fee Remittent �''" ` Caah 0Idd Check 1N:O. dd.I i1N' a a le ii M.D. LA. � � '!M1' 1E Y 17 2ROd 2E54 E600 27¢0 9Qp4 Number R+p±+9h +ry�►Slytlets Elsct.: l leaf . , Switches ` Lighting "^ ' ` i '�tfiaee Unit Dishwashar Range Water -IHeater -iAft �nditioner R►Yer :" : �punip Receptacles ., mber, cd u Oren ` G aSe Disposal Wiring and Controls for Burner - 1Rrllp: -Reeaptwiiiles - = :, Fractional H.P. Vent Fans 19 ? ± ° '"' Other Equipment: � " dd MOTOfau H.P: 1�I - 1/8 1/s 1/4. ii 3 1/!* 3/a 1 i�la ..2 ?' 311 5 7�lt 10 is 20 25 80 40.- 5Ap .* ldoo-. k%rk iYumber ... . of. Each Size Agpi mitts . .. 5ugnature r' License- it T/A 'U44kw: Apl icant' d AM f #tLits (city) (atstsi -zip i y%r 'Service Request # - Eleptrician: iilTfw, ECEIVED: €LATE InfsPr;CrEo: ` - ... . Correct Location : . . Same as Above or: .. 1 9 9. Red Notice Label: Rough Wiring Outlets Sur 4limUnit Oven - . Switches . Flangear 'sKttai '-.. Receptacles Watar. N r Dishvrr r ` Fixtures Air Con' a er Amp. Service Equipment Burner,. $e Controls for Amy F3eceptaple Amp. Service Conductors. Pum V nt fan MOTORS H,P. IV201PI112PIWO1 118 1/e 1/4 1/3 1/2 3/- 1 @ 7�/r' 10 15 " 20 29 O 7901 1 fAerk Number „ . of Each Size t ;EIeCL Ill 5oe 750 2000 3250 ;sqo ;75p EOoo 30 ! 2'16 i , 0 RW Progress: Inc. LKD Contractor CFT Violation :- Work Comp. 0 }r' m [] ._ [� L/A On CASH . 0. L/A Fees • . CHK # _ . _ ._. _ . .IPA . ' ,: ,, - ' . " IVluniGiPal : � . am .F'., ,. r_ _ ., rude - : Other SYreD UtiIlti 4 Cut in Card [] Tamp Date �. flEw Id d . 1. ~s Date W ..� _ . ..�_.a... -. v.._ . . TOWN OF QUEENSBUR.Y BUILDING AND CODES DEPARTMENT I3AY CoHAVILAND ROADS r QUEENSBURY, NEW YORK I2801� TELEPHONE (528) 792—SS32 ILDING INSPECT R ' S REPORT r ,- REQUEST FOR INSPECTS REdEIVED NAME _ LOCATION ,►' DATE EY}MIT # " 1 APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR ORMS 4 FOUNDATIONIDAMP— OOFIN 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 & Rj IL _— PLUMBING FIXTURES/RE IE VALVE _ INTERIOR TR-rMIPRIVAC3t D FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) _ SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONS RUCTION A SIGNED CERTIFICATE O OCCUPANCY MUST BE OBTAINED FROM THE BUI ING DEPAR ENT BEFORE TIIE'SE PREMISES ARE OCC PIED! REMARKS : # � 6S �' .INSPECTOR TOW RY BUILDING OF G AND COVES DE i3UILDING AND CODES DEPARTMENT DAY & HAVILAND ROADS QUEENSBURY, NEW YORK I2809- TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR IN PECTIOP RECEIVED r NAME LOCATIO DATE ERMITf, r, APPROVED YES INO FOOTINGIPIERS MONOLITHIC POUR FO14MS FOUNDATION/DAMP-PROOFING + BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: iI FOUNDATION FLOORS WALLS CEILING FINAL .INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEP"; STAIRS-CLEARANCE 6 R4xzs PLUMBING FIXTURES/RE IEP VALVE INTERIOR TRIM/PRIVAC?Y DOORS FINISHED FLOORS GARAGE,' FIREPROOFING+ DOOR CLOSER (S) ,SMOKE DETECTORS FINAL ELECTRICAL INS ECTION FINAL APPROVAL OF CCiVSTRUCTION A SIGNED CERTIFICATk OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ,AREiOCCUPIEDI REMARKS : INSPECTOR 7o"In QI Quee ") i ury BUIL-DING and ZONING DEPARTMENT Bay and Ha''viland Road, R. D. 1 Box 98 Clueerlsbury, New York 12801 SEPTIC DIPOSAL SYSTEM INSPECTION NAME r LOCAT I C3N' Ct'6l T , A Sb � DATE _,e / -!!ZZ PEPMIT NO , SOIL TYPE - Sand - Loam - Cl - Percolation Test Required? ES - NO percolation rate - Min/Inch TYpE of SYSTEM: \ f Absorption field's total 1 ngth 5.�403> Length of each trlench f� Depth of trenches , Size of gravel SEEPAGE ;=ITS-(Number of _ Size- Et. X _ \ft - Gravel size PIPING : size Type Bldg , to tank 10' [ Tank to eilst , box or Dist. boy: to field it z/ gpenings sealed? _Ei N Partial LOCCATION/SLPARAT S : Foundation to t k ft- Foundation to a sorption {7 ft . Absorption to t line ft. Separation of its ft , LOCATION OF S STEM ON PROPER Y (circle one) CFront� - Rear Left side - R ht side CI'�INIENTS I� SYSTEM USE APPROVED YES f/i" 11C7Linspectoy ///////'" /Bu ng 01/86 and v1 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ,BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I280k TELEPHONE (5I8) 792-5832 BUILDI INSPECTOR' S REPORT REQUEST FOR INS ECTION ]DECEIVED NAMEyf LOCATION r �ff'ryry' DATE l PERMIT # c APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR ORMS FOUNDATIONIDAMP— OOFING BACKFILL APPROVAL ROUGH PLUMBING pp FRAMING ELECTRICAL ROUGH—I INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL .INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S EPS STAIRS—CLEARANCE & I _ PLUMBING FIXTURES/ L EF VALVE INTERIOR TRIM/PRIVA DOORS FINISHED FLOORS GARAGE FIREPROOFIN DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL NSPE ION FINAL APPROVAL O CONST UCTION A SIGNED CERT ICATE OF CUPANCY MUST BE OBTAINED FRO THE BUILDI DEPARTMENT BEFORE THESE PREMIS S ARE OCCUPI Df REMARKS: c J, IN ECTOR TOWN OF QUEENSBURY /] BUILDING AND CODES DEPARTMENT /Lf� BAY & HAVILAND ROADS QUEENSBURYr NEW YORK I280,oLt TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECT N RECEXVED NAME r — LOCATIO 40 DATE fra'L PERMST # MYESAP-PROVED FOOTING/PIERS MONOLITHXC POUR FO FOUNDATION/DAMP--PROO ING J,AACKFXLL APPROVAL ROUGH PLUMBING FRAMING ELECTRXCAL ROUGH—XN J:� INSULATION: FOUNDATION FLOORS WALLS CEXLING FINAL INSPECTION. CHXMNEY HEIGHT ROOFING SXDXNG EXTERNAL PORCHES/ TEP STAXRS—CLEARANCE & RAF PLUMBING FXXTUR S/RELI F VALVE_ — INTERIOR TRIM/ VACY ORS FXNXSHED F2OOR GARAGE FIREPR FXNG - DOOR CLOSER (S _...._ ....................... ........... SMOKE DETEC S FINAL ELECTRIC L INSPECTIO FINAL APPROVAL OF CONSTRUCT ON A SIGNED CERT FICATE OF OCCU ANCY MUST BE OBTAXNED FRO THE BUILDING D PARTMENT BEFORE THESE PREMXS S ARE OCCUPIED! l REMARKS: INS EC\TOR TOWN OF QUEENSBURY BUXLDXNG AND CODES DEPARTMENT BAY & HAVXLAND ROADS QU'EENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR XNSPECTION RECEXVED (! d r NAME LOCA TZL�_ 4. DATEQ IT{� —_ —A4PPRROVED ES NO TXNG/P RS M0IVOLXTHXC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFXLL" APPROVAL ROUGH PLVMBXIVG FRAMING ELECTRICAL ROUGH-�et42N XNSULA TXONr FOUNDATION FLOORS WALLS CEXLXNG FXNAL XNSPECTXOIv 1 CHIMNEY HEXGHT ROOFXNG SIDING EXTERNAL PORCHES/ST PS STAIRS—CLEARANCE RAIL PLUMBING FIXTURES RELIEF VALV` INTERIOR TRIM/P VAC"Y DOO FXNXSHED FLOORS GARAGE FXREPR FXNG — DOOR CLOSER ,(S SMOKE DETEC S FrA7AL ELECTRIC Ti INSFECTIC7N -- FINAL APPROVA OF CONSTRUCTXON A SIGNED CER IFXCATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUXLDX)VG DEPARTMENT BEFORE THESE PREMXSES ARE OCCUPXED! REMARKS: rr �' r r r i XNSPECTOR — ` — THE NEW Y©RK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO. DO NOT WRITE HERE - FOR OFFICE USE ONLY BUILDING PERMIT NO. TEMP # I DATE CITY OR VILLAGE �� .� TO NNSHIP r '- OF COUN Y iPOLE NUMBER BETWEEN WHAT TWO CRASS STREETS IS PREMISES LOOATEp�y-- .f SECTION BLOCK OCCUPANT S L N ELOT 6UIL DING FECU /. 'L ' 4Q OWNER'S NAAIIE ANLTAbpRESS _ HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WT]RK TELEPHONE NUMBER BUILDING IS NEW OLD :.I WORK IS NEW ADDITIONAL n DEFECTS REMOVED rI NUMBER OF OUTLETS LIST BELUW ALL EQUIPM4ENT WHICH YOU INSTALLED Loca- No. of Fixtures 8 MOTORS BRANCH tion - Lamp Receptacles HEATERS OFFICE USE Swe Altach t CIRCUITS ONLY CBiling Well Recep'Is Switch Penaanl Bracket No. Type H.P Wam AW.G. OUT- Each No, Each No. Gauge INSPECTION SIDE SUB- BASE R0.SE- MENT Ut FL. 2no FL NCO FL, REMARKS: LIST OTH EFT 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 INSPE THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT CTION AND ADJUST THE FEE TO COVER LCHARACTFR NS FEEDERS ELECTRIC SIGNS�LAMPS -- TOTAL LYATT^ OF WORK I-IEXPOSED GA!', TUBESIG NlTRANSFORMERSOF1 CONCEALED O BE 5'�FTEDDATE COMPLETED SIZE OF SIGN (NUMBER) G�YPgCIiY ERS BUILDING OVERHEAD J UNDERGROUND ION HFUUESTEO ON (OR AS NEAR A$ POSSIBLE) OE!DELAYS BY OMNG1 FULL ANO ACCURATE INFORMATION. ALL 'SPACES MUST BE FILLED IN OR APPLICATION MAY Be RETUffiNED. PRINT NAME AND ADDRESS NAME OF APPL T • /,r fir,•- ,�,,, r c P,�„ �•r 7 ,„y ��„ J �,.� ICg7y DATE OF fONi' ••3 /R—''] ,rr�„ VI' ILLSTREET A DRESS TE PHONE NO, CITY OR POST dFFICE — ZIP CODE LICENSE NO. WHEN APPLICABLE IJ 85 John Street [ ] 41 State Street L7 570 Delaware Avenue 217 lake Avenue NEW YORK, NY ID038 � ALBANY, NY 12207 + RUFFALQ, NY 14202 f ROCHESTER, NY 14608 � ElSYRACUSE, NY 13208 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 189 �+ r /� PLAST RAUG DRA NAt;E ,� - / r BI FKi \\\ / ( PE FQRATED) _ r a .EPTIC TANK I T,.YP1 ISTRISuTION. PDX TYP) .�' �_ ! t�p�I• e'er _ '`'� /3 Boa \ �.�, "'�•� ov er � ... - J