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1992-029 MM CERT HFICATIE OF O UP Y TOWN, OF QUEENSBURY WARREN COUNTY, NEW YORK Date-�`� _19 . 92-029 This is to certify that work requested to be done as Shawn by Permit No. has been completed. 'Mis structure may be occupied as a Ag of Fourptex Location 82 Old Mill Lane Owner Masul to Brothers/M Real t By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT %�'% Ep TOWN OF +Q U E E'N S B U RY No. 92-029 WARREN C LINTYr NEW YORK � w PERMISSION is hereby granted to _. Masul o Brothers/_ C Real t 1 $2 Old Mill Lane Street. Road or Ave. OWNER of property located at F., in the Town of fQueensbury, To Construct or place a 3A of Fourplex at the above location in accordance to application together with plat plans and other informs tion hereto filed and approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. ka t. OVMER'S Address is 3049 Broadway Schenectady, KY 123% ° ea a 2, CONTRACTOR or B#IILDER S Name r't' Same "f vl 3. CONTRACTOR or BUILOERi S Address Co fV 4. ARCHITECT'S Name R7. a Jr �1 6_ ARCHtTECT`S Address f9 S. TYPE of Construction — (Please indicate by Xi � I xl Wood Frame ( 1 Masonry l 1 Steel { 1 7, PLANS and Specifications C No. 1399 sq ft 34 of Fourplex as per plot plan specifications and c application 8. Proposed Use "r eo x # of Fourplex 183. 00 PERMIT FEE PAID — THIS PERMIT EXPIRES JAnVary , 'g 93 .- (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 Queensbury this 31st — Day of _�. .17n 19— 2 SIGNED BY _ for the Town of Queensbury ' Buiiding and Zoning ! rrspector�� ._,._ TC>'I N t y���� TOWN OF QITEENSBURY ID REVIEWED B d z+ nn FEE PAID * JAN 91 .) � # 41 PER MIT NO. - BUILD11iG CC1DE DEFT* BUILDING PERMIT APPLICATION A PERNIff MU'BT BE OBTAHMD BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MAD19 VNTM APPLICANT HAS RECEIWED A VALID BUILDING PERMIT. All applicants Spaces on this application "v1UST be completed and the signature of the applicant MUST appear on the reverse side of this application. The owner of this property is*. 4I /—r] emu` P.O. Address %v]AV Tel. _�� ,r Property Location /f- L- Tax Map No �/ Has there been any split of this property since October 1 , 1988 ? I If yes Planning Board Review is necessary. //''�� , J yes no SUBDIVISION 'NAME, IF APPLICABLE f/►ypiv + ' TS LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS, Steven M . Masullo or Carmine L . MaSullo r NATURE OF PROPOSED WORE{: EsrMATED MARKET VALUE OF CONSTRUCTION: S 55 , 000 . 00 Construction of a new building * COMPLETE INFORMATION REQUIRED BELOW ; Addition to a building • Size of property ft x ft. Alteration to a building " Existing Buildings( 3) Size A . ft• x tt• (no change to exterior dimensions) a Proposed building - distance from property line: M 7 Other work (Describe) Front yard--ft . Rear yard �ft. » Side yards 23 ft. and �it. e If on corner, setback from side street ft. GROSS AREA OF PROPOSED STRUCTURE e 1st Floor 870 sqo ft. r OCCUPANCY INFORMATION 2nd Floor 529 sq. ft. � „ Primary Building e One Family Dwelling Other Floors N /A MWEES4. ft._ !� r Two Family Dwelling (not cellar ar ement TOTAL FLOOR AREA 1399 Sq. ft. a Multiple Dwelling/Number of units,,_ Business SIXe of new structure 24 . 5ft x 47 ft. Industrial Foundatlow 1erlslab/crawI/partWAjSb . Other (circle one) Now of stories (habitable space) 2 Height (grade to ridge) 23 ft. * If addition, what will use be? If residentialt now of families ! • Nom of rooms(excluding baths) Name • Accessory Building Na. at bedrooms 3 MENOMINEE ' Detached Garage ONE/TWO Car Noe of bathrooms 3 a • X Attached GarON8 WO Car Primary heating system forced hot a i r � Type of fuel kas " Private storage building Noe of fireplaces to be installed Other Will a wood stove be installed no • Central Air conditioning no OV10 ER st°Ft .o[r� c r 61 �rtT .app_!(CATt0N Co ;vTIXt: Ep - I ; • : +s I ,+ BL- ILD1;t1�,' 3PFCliwA444,VS: Type of construction, wood frame. fire safe, etc, 2 x 6 exterior 2 "' solid core gyp . wall Will any second-hand or upgraded 111mberbe used? If so, for what ? No Foundation wall material 3000 psi cone . Thickness 81" 100" if 32 ' span or greater Depth of foundation below grade (to bottom of footing) 48 " min . Will there be a cellar ? yes Heated or unheated? unheated Floor sq, footage ft . Will there be a basement ? Will an 011tiori ? no sq y P be used as living space . (If so, what portion ? sq ft . Type of use? Type of roof - sloped/ flat /shed/other Material of roof 2351/ fiber lass Size, wood studs 2 '"x 6 ," spacing 24 " o, c. length 8 ft . Joists (floor beams ) Ist floor 2 "x 10 " ;pacing 16 "o. c, span 13 fto or less Joist (floor beams) 2nd Floor 2 "x 10 " spacing 16 "o. c, span 13 ft, or less Overlays (ceiling beams) 2 "x 6 " spacing 16 if o. c, span 12 ft . Roof rafters 2 "x 10 " spacing 16 o.c. span 12 ft . Roof trusses (,pre-engineered) spacing 24 " o, co span ft , see truss certificates Exterior wall finish horizontal siding of what material ? vinyl - Interior wail finish " G . Board Taped & Painted If a garage is to ue attached, describe materials to be used for FIRE SEPARATION: " Type X Gyp . Is there to hP an opening between garage and dwelling ? yes If so will a Fire-rated door, enclosure, self-closing device be provided? yes Will a flue-lined chimney be installed? no Height above roof ft. Depth of chimney foundation below grade ft, Depth of fireplace hearth ft. in. Water supply - Municipal or private well Municipal SEPTIC SYSTEM Distance from ANY private well (including adjoining properties N/A ft. (A separate application Is necessary for any repair or new installation of septic system) NAME OF BUILDER I +A-Vi.L,.,p 13-M -MAW. ADDRESS3049 Broadway , Schenqt&1btit4O. 370- 1058 NAME OF PLUMBER 4M4 1 ZVPWj# ADDRESS 88 Newton St , Albany TEL. NO. 459-58 1 1 NAME OF MASON */r- ADDRESS3049 Broadway , SchenectMVL, NO. 370- 1058 NAME OF ELECTRICIAN__ t,+(Ii ►0 )�' `IADDRESS 179 Boxwood I) r , Srhene 355-8 t00 `' i3: NO. DECLARATION To the best of my kMwledge and belief the statements contained in this application, together with the ►fans and "cincations submitted, are a true and complete statement of all PrOPased work to be don* on he described premises and that all provisions of the BUILDING CODE. THE ZONIN Jl ORDINANCE, and other laws pertaining to the proproead work shall b* compiled with. whether sp*c uch work Is authorized by the owner, i[I*d or not, and that Slgnatur• Owner, owner's ag*nt, architect, contractor PECIAL CONDITIONS OF THE PERMIT: BY AUI TOWN OF QUEENSBURY TOWN OF QUEtr. . WARRED] COUNTY r NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH K STATE ENERGY CONSERVATION CODE A permit must be obtained before begkzzni wo � k y AC] SWER ALL Of the following * 1 . Gross floor area LeIg f ---- - �� 2 . Type of heat GAS HOT AIR 3 . Is the building mechanically cooled ? NO q , Percentage of area of windows and doors MIN A , Over 161y 1 . U value of gross o area of walls , roof / ceiling and floors J exposed to ambient cvnditions� - �� ' 2 . Floor over heated spaces YES NO YES T10 a . Are foundationwhat iswalls thesRlvalue ? 1 . If YESESP 3 , Slab on grade YES NO a . If YES , what is the R value of insulation around perimeter of floor ? 41 Is basement heated ? yE8 NO a . R value of insulation - r, , Type of S . Under 16 % 21n1— 1 . R value of roof and floors exposed to ambient conditions R -- 30 2 , R value of exterior walls R - 19 3 . R value of glazed area 2 . 25 -- 4 . R value of doors z value Of floors over unheated spaces R 14 Er . R value of slab edge insulation - unheated slab _ na. 7 . R value of slab insulation - heated slab na ement / cellar walls ( above grade ) na $ . R value of heated bas ement / cellar walls ( below grade ) na g . R value Of heated bas ip , Type of insulation F IRFR RCS F3- T C . Controls 90 ° 1 , Thermostat maximum heat setting p . Duct Systems 1 . Is duct system installed itt unheated spaces ? YES a If YES , R value of duct_ insta 3. la tiOn b . R value Of duct in other areas E y _ Insulation 1 . 51aP of }tot water or cooling carrying agent 2 . R value of pipe insulation _ F Service Water }ieatizt ]. . Performance effency 2 , Temperature control setting maximum GO For Swimming Pool Only 1 . Maximum heating see Dart si x NYS ENERGY CODE Telephone No . ( app3icant ' s signature ) 3gOO 1055 APPLICATION FOR SEPTIC DISPOSAL PERM11' Tpvq,'lrr OF Q�'�N3fu: . L C VI. DATE ko . qj, JAN 29 W1 t - LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: I rfta(? fiM . E V1406 J Telephone: ✓ Ie f I� �CJ — - ____ _----- Address: 5,041 Installer's Name: CA M "� JOH Telephone: Number of bedrooms (residential only) 4t �3 _ Total daily flow {compute (p 150 gal per bedroom) Tcpergraphy: circle one: Flat Rolling Steep Slope % of slope ` Soil Nature: circle one! Sand Loam Clay Other / Depth: Ground 'Water: At what depth? feet Bedrock. or Impe -vious Material: At what depth? ,I4NA feet Percolation test! circle one: xot :required required / rate mill. inch. Domestic water sugaplya circle one: Municipal We]I Other . ...__� IF* domestic water supply is a Well: Separation. WatersuppIy from Se�ptti/c} absorption �� feet PROPOSED SYSTEM: Septic Tank VII[.! gal. (mirximum size: 1 ,UU0 f;s11 .) TILE FIELD: Each Trench feet / Total system length feat SEEPAGE PIT(S): Number of / Size each C]~ f✓ feet by fe ^t Size of stone to be used Depth or '17zickness _ feet FEET ,s1L .f of AID PIJ3 IMPORTANT ...please...LiST NEW EQUlp"MENT Oro BE INSTALLED (over) TOWN OF QUEENSBURY 531 BAY ROAD TELENSBURY , (5I8)745-44447 TELEPHONE BUILDING INSPECTOR ' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAMEl1a, LOCATION d5 D d �.-- DATE jfl= PERMIT#c? �2 9 TYPE OF STRUCTURE RECHECK _FIRE MARSHAL APPROVAL ( COMMERICIAL STRUCTURE ) _FOOTING FOUNDATION BACKFILL FRAMING _ROUGH PLUMBING FINAL ELECTRICAL SEPTIC _INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A Y NO CHIMNEY HEIGHT/LOCA y6N ✓ B VENT/LOCATION PLUMBING VENT ✓ ROOFING SIDING ,.r DECK/P RCH/STEPS/ L NGS RELIEF VALVES FURNACE/HOT WATER OPE TING INTERIOR TRIM/PfaIVACY OORS _ FINISH FLOORS : 1 BATH/KITCHEN � ATERTIGNT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILING— SMOKE DETECTORS DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE S€PARATION FIRE/DEMISE WALLS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C� COMMENTS : ARRIVE DEPART TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME ZLIJ ->Or—t C) rzcp,> LOCATION �,I K9 L 7 1 LL �- ,�► v L— DATE qj ; I c]' Z_ PERMIT # TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS _ MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS ROSPONSIBLE FOR PROVIDING PROTE ION FROM FREEZING FOR 48 HOU FOLLOWING THE PLACEMENT OF THE CRETE MATERIALS FOR THIS PUR SE/ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING �_ BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB . FRAMING : .TACK ST DS/HEADE BRACING/BRIDGIN JOIST HANGERS JACK POSTS/MAIlf BEAM HEATING ROUGH- IN/ INSULATION : FOUNDATION W LS INTERIOR R- FOUNDATION rLLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : ARRIVE_1 �y, DEPARTI.% INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS UWE i 6F 1l4)�' BUREAU OF ELECTRICITY a 41 STATE STREET, ALBANY, NEW YORK 12207 Hate iF;Y"I'IatlFSrifi 14 , IIL4c� 2 Application No. on file THIS CERTIFIES THATIJy /� M only the electrical equipment as deecribed below and introduced by the applican w"Id d on above applicatiom number irs [he prerraisr� of PPYILT)i' , t? t LC) H,T1414 J ANE , 11ASULI/ i }S 0 -.' , 3Uf F i'iiF3I}xt`i , }3 , V . in thefolloanin,B location; EX *� let Fl. El Brad F!. t, MO soctiors Block Lot ` eras examined ors ':;ra-'r'mRPI.1h 0, , 1 'Y1 1' and found to be in cornpo"nee eoith the requireanenta of this Board. r FixTURE PTACLES SWITCHES FIXTURES RA"WS COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ESItTLETS WCANDESCENT FLUCINSCENT OTHER ANT. K- W. AMT. IC W. AMT. K.W. AMT. K. W. AAtT. I H. r_ tb 32 33 12 3 ! Jos 3 F DRYERS FURNACE MOTORS FUTURE APPUANCE PGRDII SPECIAL REC*PTJ TOME CUMIts UNIT HEATERS MULTI-OCITLET DIMMERS r ANT. K. W. CAL H. r. OAS H, r. AMT. NO. A. W. 0. AMT. AMP_ AMT. AMM- TRANS. AMT. H. r. Y STEMSM ANT. WATTS - SOMI CE DISCONNECT I' dN D. OF S E R Y I C E AMT_ AMP. TYPE , 1 .e' 2W 1 0 SW ] X 9w S 1 4W NO. OF CC. COMO, A. W. G. N4. Oe Hb1ES# x. W. G. No- OF NEIfiRAILS A. W. O. PER t OP CC. C OF wwwod OF P&Wmt" OTHER APPARATUSx 3a �� St���, t Wit, r�I x �r.i''m,yct,t•� - � Y AN" ) JONY GM AM M: Aa{} i.t l �`a I3c1X }QI1 r3f�3.itti trt,J"� A aL'Fjk;NFC1'i1fJY . N'i' , 1 ' _?« i BRANCH MANAGER per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BEAN DING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. flown o/ Queendfiury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 . SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION 4 � (J 1 ! f ✓�- [r ' I^ °-`" DATE f c/ L PEwIT 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 Depth of trenches Size of gravel:_ SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size - PIPING . Size Type Bldg . to tank Tank to dist . box Dist , box to field/pit Openings sealed? YES NO Partial I` s LOCATION/SEPARATIONS :/ 11 Foundation to tank ! ft. Foundation. to absor�ition ft .t Absorption to lot } -ine f . Separation of pa-ts ft. LOCATION OF SYSTE94 ON PROP'ERTY (circle one) Front - Rear - Lq6ft side - Right side - CCt+lMENTS : � ��� ►.c.A'la 5 t rc.�' 'i`C.� ��;l'2�.,�c_art-a 1�. C- SeptiC systern o mY on bo 82-84-86-88 Old Mill Lane Permit NOS : 92-029 92-030 99q2-031 SYSTEM USE APED YES NO S JR1 (31.1 n I I Is pe or 01/86 and vl awn o/ �ueens6ur�r �f� BUILDING and ZONING DEPARTMENT � - Bay and Haviland Road, R.b_ 1 Box 98 Queensbury, New York 01 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE ' / - PERMIT NO. SOIL TYPE San - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/inch TYPE of SYSTEM : Absorption field , total length Length of each trench Depth of trenches Size of gravel _ SEEPAGE PITS{Number of) Size- ft. X _�ft. Gravel size -:1.= PIPING : Six Type Bldg . to tank - -�` Tank to diet. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/S=�'A RATIONS : Foundation to tank. � ft . Foundation to absorption y ft . Absorption to loot line k ft . Separation of pitsrft_ LOCATION OF SYSTEM ON PPROPPARTY (circle one ) Front -- Rear Left side - Right sme - COMMENTS : I A L. R oL is 3 ,+9 Tr f 1 ----__ SYSTEM USE APPROVED YE NO Bu dinca Inspeq or -� •` I 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD +QUEENSBURY , NEW YORK 12804 TELEPHONE ('518) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE ,1 /(a PERMIT 0 i TYPE OF STRUCTURE RECHECK APPROVED N A YESI NO FOOTINGS/PIERS MONOLITHIC POUR F RM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPON ISLE FOR PROVIDING PROTECTION FROMR FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE :' MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN S IN PLAC PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM_ HEATING ROUGH— IN INSULATION : FOUNDATION WALLS NTERIO R— FOUNDATION WALLS EXTERIOR R— FLOORS R— WALLS R— CEILING R— DUCT WORK OR PIPINVIN UNHEATI&D SPACES REMARKS : ARRIVE DEPART SPE OR f TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 SAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745-- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVEDIC} Mill LOCATION DATE PERMIT #`� �~'�� TYPE OF STRUCTURE t� {{!"^sat Q1e ,? � 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 PU OSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLA E FOUNDATION/DAMPROOF G BACKFILL APPROVAL. X ROUGH PLUMBING kPLUMBING VENT/VEN S IN LAC PLUMBING UNDER SLAB ',-XFRAM I NG : JACKS DS/HEAD R BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN HEATING ROUGH- IN INSULATION : FOUNDATION LS IN IOR R- FOUNDATION ALLS EXTE IOR R- FLOORS R- WA LLS R- CEILING R- DUCT W RK OR PI ING IN UNHEATED SPACE REMARK ARRIVE 2:ggz) DEPART �J EX) NS CTOR rr TOWN OF QUEENSBURY ;/�� BUILDING AND CODES DEPARTMENT 531 BAY ROAD +QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 UUlLDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED. NAME LOCAT I ON_._{a DATE 15 , / "' ' PERMIT # TYPE OF STRUCIURE ! (� RECHECK APPROVED N/A YES NO FOOTINGSM ERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE _ THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE"ENT OF THE CONCRETE . MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING� BACKFILL APPI?OVAL TROUGH PLUMBING / PLUMBING VENT/VENTS IN .,PLAC PLUMBING UNDER SLAB . FRAMING : JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS + JACK POSTS/MAIN BEA HEATING ROUGH- IN f INSULATION : ,- FOUNDATION WALLS I ERIOR - FOIlNDATION WALLS ,tXTERIOR R- FLOORS WALLS R' CEILING y R- DUCT WORKtORfPIPING IN UNHEATED SPACES I REMARKS : 76 1 et ARRIVE-.- DEPART _ f � INSPECTOR �, Dv .z,."c+i 4er4DC Core.- - 9m T0WN OF QUEENSBURY BUILDING 53 D BAY ES DEPARTMENT 12804 TELEPHONEQUEENSBURY } ( 518)NEW0RK 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTIOtt RECEIVED_ NAME LOCATION �" OWN c� DATE PERMIT TYPE OF S RUC URE APPROVED RECHECK N/A YES Nd FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMELACE NT IN IS RESPONSIBLE THE CONTI FOR PR0YiDIN6 PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACENENT OF THE CO BETE. FOUNDATION/FOR THIS PURP E ON SI REINFORCEMENT IN PLACE FOUNDATION/DAMPFING ROUUGHGH PLUMBi G PLUMBING PENT/V N S IN P PLUMBING UNDER SLAB FRAMING : JACK S S/HEAD BRACING/BRIDGING JOIST HANGERS �~ JACK P05T5/MA-3N BE HEATING ROUGH- IN INSULATION : FOUNDATION ALLS IN E O R- FOUNDATION WALLS E ERIOR RR� 1p FLOORS R- WALLS R_ CEILING DUCT WORK OR I I G IN UNDER E SPACES REMARK'S ARRI V E,. ,- 40 DEPART �" �"� I ECTOR TOWN OF QUEENSBURY � BUILDING AND O �. ROAD PARTMEN __ QUEENSBURYTELEPHONE � ( 518)NEW 7451111114447 BUILDING INSPECTOR` S REPORT REQUEST FOR 114SPECTION RECEIVED� / /q2 NAME p n • I � � env z • . LOCATION Y -Y�--z- -� DATE n// 1f77 PER1'IIT # TYPE. OF STRUCTURE APPROVED RECHECK N/A YES ) .FOOTiNGS/PIEAT MONOLITHIC POUR FORM dk REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIB °E AC FOR PROVIDING PROTECTION FR FREEZING FOR 48 HOURS FOLLO ING r THE PLACEMENT OF THE COIICRE E- (TE MATERIALS FOR THIS PURPOSE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING Id BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/ EN PLUMBING UNDER SLAB IN P E FRAMING : JACK S UDS HEADE _ BRACING/BRIDGIM� JOIST HANGERS JACK POSTS/MAIN BE ���-- HEATING ROUGH- IN INSULATION : FOUNDATION L IN E IOR R- FOUNDATION WALL EXTERIOR R- FLOORS R- WALLS R- CEILING DUCT 'WORK OR PIPING IN UNHEATED SPACES REMARKS : ARRIVE DEPART 4NSECTOR CIE FTrIII NO. THE NEW YORK BOARD OF FIRE UNDERWRITERS DO NOT WRITE'HERE . FOR OFFICE USE ONLY I BUILDING PERMIT No TEMP F DATE �y 7[/f/IJSHIP UI�LM'+� �" �Ir CITY OR VILIAC-E IVV1 POLE NUMAER STRE'E1' A NP OR 1�On.D + � L LOT .+"��F'� 1 L 9EGT16N BLOCK 90 BETE, NNW 1 VC GROSS .El'S IS PREMISES LOCKED? t(�'��7F UUIL41NG pCCUPANT'S NAME � ROME TE LE,aP' NOM/�NULL40�iER ADDRESS Ry / ELEP % }OWNEF.S NA T OFFICE FROM 7HE4Fk CURRENT SUPPLED BY ] f"'� I1� (�' ppvIT70NPL ❑ BEFCCI':+13EMO�+ED 810IL0WIG IS OLD w'ORK I$ NEW LIST BELOW ALL EC]UIPMENT WHICH YOU IN ALLEBRANCH CJFFICE USE NUMBER OF OUTLETS ND. FixtureS & MOTORS HEATERS CIRC %TS ONLY Lamp FIA eC 3 CIOS wamS AIMPECTIONI Loca- H.P. No. Each No. Gauge tion Cele R ene hot Srviucrr Pendant Bracket No. TYPe Each iling Wa OUT- SIDE SLIB- BASE SAI MENT 1st 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 SE INSPECTED, BUT IF AT TIME OF INSPECTION,TH FEE THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER E s THE ADDITIONAL EQuiPM.EENT, AS PROVIDED SY THE APPLI ANT- EL+=erRlcslcNs+L+v.+Ps SIZE OF MAINS &D AMP RS fy��/W/�'yJ �•,jl fr}l��1 ��J EXPOSED GA:,TV BE SIGNriRANSFORMERS OF GHr RK%rE �1.. V ,I,� y yy`I'!T D G�FMIPLET 0 CAPACITY �.E �yAp[_EI'Ep SLZE 4P SIGN [NU MBERI ORi"E YV4RK TA 5 YA.. yy4 ^-J� f!J MANUFAC7 URER DE SIGN SEFNICE ENTERS BUILDING F� OVEgNEAD UNDERGROUND IrUST lcTl f R[off NuyC�AHts 1'.. . , (} DATE iNSPEGII6N ReOUESTED ON [OR AS NEAR AS POSS16LE7 ` �1U' I'I !�FrB •R:;. .- AVOID DELAYS BY GIVING FULL AND A,pCt1RATE INFORIOM0116N. ALL SPAC'E'S M13ST BE FILLED tN OR APPLI'CJ►TION MAY 6E RET'URNEO. OF PRINT NAME AND ADDRESS DAT OF pXyp�pLl 7ION NAME OF APPLICANT STREET ADDRESS ✓� ! I" �IS.J • ZIP CODE LICENSE NO. W HEN APPLICABLE LE dR POST OFFICE� ,��..�,yT��Y{1}y IC}IFCmot 10 202 Arterial Road L� 85 Jahn Street 4- 1 State Street Cj `S Delaware Avenue L7 RO Lake Al+enue fl NEW YC7'RK, NY 10038 ALBANY, NY 12207 BUFFALO, NY 14202 R"�I 1I $E, NY 13206 THE NEW YORK 'BOARD OF FIRE UNDERWRITERS 5 z ILI .a \' C •' 144 � 1 E � t 1 _ � ice. � � i � � !� • � Z �G� � � �` �` C . �t � 1017 � MAP REFERENCE: DIXON HEIGHTS PHASE III MADE FOR MASULLO BROTHERS BUILDERS BY VANDUSEN & STEVES LO T 31 95- MAP L-'� S ,RVEY MADE FOR I� MASULLO BROTHERS TOWN OF QUEENSBURY j COUNTY OF WARREN N.Y. SCALE:— 1"--20'-----`---`---t-� SErTEMBER 18, 1992 -- e� Stnes LAND SURVEYOR f,GLENS FALLS,NEW YORK N.Y, STATE LIC, NO, 35617 I 30-DH