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1992-086-r- N o+e s -v- u+hor i zed or cadd i+ion -in a survey Map becrin A I ice used land surveyor's o sea I is a viola -}-;on o sec+ion 7209, 5ubdiv1510n 2 , f +he KleLu Yor►� S-lb-4e aduco�-l-ior� Low. Only copie-s from +he. ori9-In al Qf -}�.)is curve Map m arke6 w;+h can orl ,no 1 of +he- land y _s�O�urve«r)or's embs osed seo� ��ll � covlsidered vb licl +rue copies. Ce-r�*R'tca-I-ior)s indic-tied hereon S;fin;f� .�I,�- th i s surveL) was pre red in �ordarxe� wi <' "h— exi5+Inc) Cock o Proc-}-ice. -I,,, Land Su a�.lop-leed b�� -N-� ►�l w York S-�-le Sys o Profess is Inca l Land Sury �>csi-ion �a-hon s shall ruin on 1 u� -� ors • So id cer+i f i c- +he surveuj is Prepared ctind or ibeir be aI-F l+he-+le, cornpcany And lendincc) irk} hereon one +o lend i r1 in s +ut on . Cer-}� f i ca-� onS ore no�- +rcans-��rnble -b c�dcli-l-ior�cal in i+ s(jbz_�e(�oen+ owner,!,. s+ u+�ohs or Subjec+ +o cnu) eosernen+s o-� record. * Dee�cl ?-)efemr)ce �Je ffreu� M..Jones and Doro+hu) J. -Jones dca-I-ed march I9, 19 record : momh 19 1985 Li ber- o ' �d5 ��q , age 2r,>9 Mop P)e.-FerP_nc-P- %il C-m5+haven Subdivision Owned bL Pro-Crmif buil e-trs , -Inc. bul : John Van Duser) dcaieci Auqu,}-} 2Z, 1978 ,revised : DecembE-r- G, Ig7g Cer+-vFied +o : I Jcc ii W. Loroe.n , Diane Tile USA -7nsurnnoe. Cor rca�'ior� of �lec� Yort� Home. Fund inq t= inde:rs , i+S successors Qnd lot, assi9 r�s . �OF NEB, Y w "° 04905 ��0 y to N 0 SV� lands noun or �orYr e r L u) of Nia�caro, Nlo!-�w1� Poc er Corparc+ion oee Qeed Li be G I G , Paces I o07 iron pif:e -Found ZO r di 11,9 1& . . ° land I� oS L) I 0 � I I ° 0 Q �m�_rt%Mn9s -71_ Z•eve.V-0" I Z'i �A7 -tuna � 0 c: d 0 I � eiec%ric boxes I I I iron pipe iron pin find. s�re�-1 bo�undS I I Z�tZa.S - Drive' TOWN OF QUEENSBU� - -- RECEIVED MAR 19 199Z s-I-ree-� bovnd� i BLDG. & CODE DEPT. i Az' TOWN OF QUEE o a surveu� Q pcarCe,1 of land reP pAred for lv*� Scott E~ Diane Lzrze I .. Zonin 9 A +he, Town s Date...,,,. S i+ u a +e In o� Queensburu) , Coun+u o-� WQrren Sin-4� � � of i`le:w York, do e. Apr►1 13, Ig8? F i ichard W . nne+j- Lic.ensed Larr1 Surve or, CG lens Falls, t je u� Yo L Flo. 04g4� 19 Y CER.TIFIC.A.TE OF C7CCUPAN CY TOWN OF QUEENSSURY WARREN COUNTY , NEW YORK Date F e b r et a r, t 9 � ,,.r.`[] This is to certify that work requested to be done as shown by Permit No. a — i � F has been completed. This structure may be occupied as a ADDITION TO DWELLING 11, ZENAS DR . Location 0-mmer 11ARSr' N MR MRS nrnTT By Order Town Board TAX HAP NO , 92 . -- - 2 . 83 'MWN OF QUEENS$URY Director of Bldg. do Code Enforcement BUILDING PERMIT x TOWN OF QUEEMSBURY No 92-086 MO WARREN COUNTY, NEW YORK v uo n� PERMISSION is hereby granted to iAr. & Mrs . 'Scott Larsen fv ns OWNER of property located at 11 Zenas Drive Street. Road or Ave_ 00 tas in the Town of Queensbury, To Construct or place a —Addition to Dwelling w/Septic Alteration & Woodstove 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. t_ OWNER'S Address is fL Same tb u 2. CONTRACTOR or BUI LDER "S Name +'f Gt Shane E . Lobner r► 3. CONTRACTOR or BUILDER 'S Address r+ µ+ t+J fD 4. ARCHITECT'S Name N G tea. C iP 5. ARCHITECTS Address 6_ TYPE of Construction — (Please indicate by X) S* Ca. I Xy Wood Frame i i Masonry i I Steel ( I e J. 7. PLANS and Specifications No. Addition to Dwelling w/Septic Alteration & Woodstove as per plot plan o specifications and application 8. Proposed Use J Bedroom and Family Room ea $ 113 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES March 24 , 1993 (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.l Dated at the Town of Queensbury thisn4957 March }9 92 SIGNED BY for the Town of Oueensbury Building ap Inspector TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Pegrd#jr# QE.QUFENSBUhi Fee Paid RECEIV �r Rev i ewed BVAR 19 1992 Date : LOCATION OF PROPERTY FOR INSTALLATION : r ) ,+►1 .3 8s CODE DEPT. Owner ' s Name : M 6,A Zc. #* °It=A fSewAJ Owner ' s Mailing Address : 11 '�ERtJA 1 Installer ' s Name : Phone # : 6vGZZ U+M 0 Number of bedrooms ( i f residential ) : Total daily flow ( residential - compute @ 150 gal , per bedroom ) : +Topography- Circle One : Flat Rolling Steep Slope % of Slope ' tip �a ,D� �� Soil Nature-Circle Spa d-` oam Clay Other /Depth : Ground Water- What Dept Feet Bedrock or Impervious Material -At What Depth ? Feet Percolation Test- Circle One : Not Required Required/ Rate Min . Per Inch Domestic Water Supply- Circle One : Municipal Well Other If domestic water supply is a well - Separation : Water supply from any septic absorption feet '�' qq OOO PROPOSED SYSTEM: Septic Tank � t ' g�Sl , { Minimum size : I , al . ) Tile Field : Each Trench feet//Total System Length 7. 00 eet Seepage Pit ( s ) : Number of / Size each : ft . x ft . Size of Stone to be used : # / Depth or Thickness feet HOLDING TANK SYSTEM IF REQUIRE No . of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. yr *,wr�ryr riryr,� r* I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance . SIGNATURE OF RESPONSIBLE PERSON : DATE : 1 � 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 an 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 of up to $2500004 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 installation , alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction , Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks : TOWN OF QUEEMSOURY -� REVIEWED BY : " TOWS" OF OUEi 'BUR*4 ., FEE PAID : t- �. �� �13 "-'-, PERMIT NO . : Q �1 , MAR 1 �J WZ BLDG, & CODE DEFT. BUILDING PERMIT APPLICATION A PERMIT 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 . * * * * * * * * * * * * * * * * * * -k * * * * * * * * * * * * -k * * * * * * * * * * * * Owner of Property : P . O . Address : 1 1 Z,�_ � Q lu a PHONE Property Locations k.3 Tax Map No . l Has there been any split of this property since October 1 , 1988? Yes No If yes , Planning Board Review is necessary . Subdivision Name , if applicable : Lot No , THE PERSON RESPONSIBLE FOR SrUPERVISION OF WORK AS REGARDS TO BUILDING COZIES IS : NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION : �yp Addition to building * 1 Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : � 5 ft , x 135" ft . r'{ Other work ( describe ) + * Existing Building Size : .c�.Sf c^Jr f 15�,ot4 eir ier( # C�h K;,x"ra )o n * ft . x ft . GROSS AREA OF PROPOSED STRUCTURE * t h� 4 . * Proposed building - distance from * property line : * 1st Floor '71C� S► - $ Sq . Ft , '��'-'`= � = -* Front Yard ft . Rear yard 2-0 ft . --lop v, > S�z. * Side Yards � ft . and lL3 ft * 2nd Floor Sq . Ft . * If on corner , setback from side street- * ft . Other Floors Sq . Ft . (not cellar or basement ) OCCUPANCY INFORMATION : * TOTAL FLOOR AREA : 1 � Sq . Ft , * Primary Building - *Size of New Structure : 1_`` One Family Dwelling ft . x �-f . fe.?ft . * Two Family Dwelling Foundation : * Multiple Dwelling/No . of Units Pier/Slab/Crawl /Partial /Full ( Circle One ) * Business '"'~"`ft * Industrial No . of stories ( Habitable space ) Other Height ( grade to ridge) ft . If residential , no . of families ; * If addition , what will use be ?Noon No. of rooms ( excluding baths ale No . of bedrooms : No . of bathrooms .* ' `� ut Accessory Building .• Primary heating system : !e c fed I`3.4 Detached Garage - One/Two Car Type of fuel : * Attached Garage - One/Two Car No . of fireplaces to be installed : - m * Private Storage Building Will a woodstove be installed? : y��. _s * Other Central Air Conditioning : Yes No * Qf ae� a�"vi ( OVER ) IT • r BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construCtion : wood frame , fire safe , etc , � Will any second- hand or ungraded lumber be used ? If so , -'-for what 's Foundation Wall Material : /1 "��a T h i c k n e s s : Depth of Foundation below grade ( to bottom of footing ) : Will there be a cellar? &)_(Z� Heated or Unheated ? Floor Sq , Footage : ` " 7� Will there be a basement ? Will any Y portion be used as living space ? If so , what portion ? Sq . Ft , Type of Ilse ? -� t,� Ik'_�► � � � � G kli"':'A;,.^, . Type of Roof : Sloped/Flat/Shed/Other i Material of Roof Id'. Size , wood studs _ ' x ' �R � spacing " length ft . Joists { floor beams } : Ist Floor ', x .f 1 ' 'd oists { floor beams ) ; 2nd Floor spacing o . c . ; span ft , _�_ �� Overlays ( ceiling beams ) : . . I� - x _-6, " ; spacing o , c , ; span ft . �__ x _ ;P ,I : spacing o , c . ; span Roof rafters * x " ; spacing o . c , ; span � i ft . ft . Roof trusses ( pre-engineered ) : spacing ' IY y p g i o . c . ; span c_'/. G. 1t . Exterior Wail' Finish : � Jt _� r� of what ma teri al ? Intoriar wa71 Finish . ,�,y. F'o .-�,�- - 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 ? enclosure , self- c7osin device be a g If so , will a Fire- Rated door , 9 provided . r.._ Will a flue- lined chimney be installed ? ' � Height above rpof ft . Depth of chimney foundation below grade : ft . . Depth of fireplace hearth : ft . ^ in . Water supply - Municipal or private we71 : SEPTIC SYSTEM : Distance from any private well ( including -( including adjoining properties : ft . (A separate application is necessary for any repair or new installation of septic system . ) NAME OF BUILDER & ADDRESS : '�° � A, n Cr so f £' ` t: i �i �'' Ile NAME OF PLUMBER & ADDRESS : PHON E�_ Eaas NAME OF MASON & ADDRESS : PHONE t• �_ ,{ (;2 ". Y. PHONE NAME OF ELECTRICIAN & ADDRESS : c e% I.- r , • s 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 3UILDING 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 Owner , owner s agent , arc itect contractor By: o e n orcement cer NOW ENERGY CODE COMPLIANCE APPLICATION TOM OF OUEENSBURY , MARREN COUNTY - 9000 HEATING DE N)"S 3UEENSBUkti 'Ht VGEiVED CaMliance_Methods . MAR 19 1992 PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( ONLY )BLDG. S CODE 1]EPT, PART 6 - Thermal Rating - Component Trade Offs - I & 2 Family Dwellings ; Multi - Family Dwellings ( 3 Stories or Less ) PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential PART 4 a 6 - Compliance Methods Require Submission of Worksheets Ate'L���` NAME'[� P Q PE � �-'G IV 19 '�,�.s' 1. l"C ► �.I E LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE - 1 . Gross Floor Area - f p 2 *7 Sq . Ft , 2 , Type of Heat on � ,LElec . Base Board Other 3 . Is Building Mechanically Cooled ? YES NO 4 , Percentage of Area of Windows and Doors Over 17% Under 17% THE R*oVALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D THE R-VALUES SHOW ON PLANS SIIBMI'M! Baseboard 5 . Insulation Values . Actual Shown Elec . beat Other A . Roof & Floors exposed to ambient temperatures R�_ B . Exterior Walls R C . Glazed Area R D . Exterior Doors R r^ l Ee Floors over unheated spaces R 01 F . Edge of Slab on Grade ( heated Building ) R Go Basement/Cellar Walls (Above Grade ) R H. Basement/Cellar Walls ( Below Grade ) Rom_ T . Heating/Cooling - Ducts - Piping in Unheated Space R 6 . Service ( Domestic ) Hat Water Heating Device A . Conforms to minimum efficiency per code YES 0000mlo�NO TEMPERATURE CONTROL M AXIMIlN -SETTIM 14CO• An WILL NOT BE EMCEEDED INSPECTOR ` S REMMRKS r r y - O : Rx' � .. . at I*kvlk nd fkwA46 = N.11. y�Dti-sa77l5 APPLICATION FOR SOLID-FUEL BURNING APPLIAtkES AND FIREPLACES No. r] Rte M -r 4, 19 Perm ft w ,+ AI'l*t.1CA'n )N IS HEREBY MADE to the Building Department for tl*e issuance of a Building :end Use Permit pursuant to the New York State Fire Prevention and Building Cade. The applicant or owner agrees to comply with :t!! applicable laws, ordinartog 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 APPLIANCE TYPE Stove Coal Wood Addrrss ` - Furnace Hot Air Roiler Zero Clearance t'. Circulating Unit - MP Phone If Now-Masonry: Owner's Name Manufacturer — � Add ress , < y Model Outlet Size tFl iP ._ # Listed by Number 1*Itt*nc• r, > CHIMNEY TYPE Masonry: Block Brick Stone 1*roperty last ion of proposed construction Flue: Tile Steel Size: Factory Built: Manufacturer Model Size COPY OF MANUFACTURER SPECIFICATIONSIS Height Listed By Number. REQUIRED FOR FACTORY-BUILT APPLIANCES Type.* Double Wail Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated ACCORDING TO SPECIFICATIONS. COPY OF Esdmated Cost $ CONSTRUCTION DETAIL REQUIRED FOR MA- Fee $ � SONRY FIREPLACES AND CHIMNEYS. CASHIERS DEPARTMENT TowN cap QumNsvuRYM NEW 'YORK i)rllitrllR Ilf: Fil'�. 1 Amen�t Collected Amount Refunded QWe Number Silk s A 173 3389 (190) Public Safety A233 2655 (230) Minor Sales Pre C:olleCted from o hinded 1= Address: De lk Y W*bar:AmWie*w #" ► 'Y i+sl: i the IlerslYs! Al 4. Member fV.F.P.A. & f.A.E.I. .Lrf4Ct/ icaf Cef tZ�tcato ATLANTIC - INLAND, INC. NEW PORK Efec frical a nd Fire inspection•Enlorc in 8 Cons uifing Service _N 997 McLean Road, Cortland. NY 13045 — �fiiy — yly,i—, DATE : CERTIFICATE NO- : OWNER . � c ' tt3 f, l ,rir st✓ th AS APPROVED FOR: S ! t; prrrir3 1 +r Kr s: .i �ir fh � r= ( Arirl7 t :i or ) ) ADDRESS: 48uh •�rrta � uutx y , NY •r - rs rw . / 3 i-5 - x rry r e'r i.r €. . � t� - Tn ci . t7 �1 ::xr-� t j at . / •'l - f LI'tC) -t T J x fr5K) S. i t_lYrt. . c-,( , tnIr , / '�' - : Xnrikfy dC t. . XXX The conditions following governed the issuance of this certificate, and any certificate previously issued i `.--.'�. i" 4? i. k. [., y t k3�'Sl cancelled: ELECTRICIAN: This certit icate only covers the electrical equipment listed and installation conditions. and does not bear an a L'T ID r responsibility or liability for lass due to electrical reasons as of date posted. Upon the introduction of addition: to r,�c? t r£-3 b i a Y y , NY 1 280 4 alterations, application shall be promptly made for inspection. ADDRESS: FIoia rs of pals shallhCompany shall have the Voke phi of making inspections at any time, and if its rules ar he Company snap have the right 40 uevoke this certificate. AI - 27 ^ C,'.eT 1 t. f-3 7. F� X] C-1t fC'):C' t'_ ri F.% 3 1"' (:/ V ill L-11 'F ) 1E--' 'i 1. 1 i•1-1c71" XIl F7 F` r_}t_ E5 C'. fa 'f;. P lit . ~ tk NSBURY L BUILDI G &' CODEEENFORCEMENT y~� 742. BAY ROAD oUVSNgBURy 12804 ( 51B ) I45 • 'i^ DEPART : . ' INSP ' T,THAT. INSPECTION RE'POItT — RESIVEsi AL DATE INSpecTION REQUEST RECEIVED1 OF NAME LOCATION yam` DATE . PERMIT i1 � SCy TYPE OF STRUCTURE O N �� F'OdTINGS FQUNDWION B FILL �. F rm ..��__ SBPTIC INSULATION ROUGH PLUMBING NDODSOVE OR FIREPLACR .� FINAL ELECTRICAL I, E& no a C B G T B V P U B G V N !i FINC ECK to RC" T P I AG R L EF VA VES FURNACEIROT WATERG N E IO TR M P IY Cy DO R F N S F S ' BAT fIS.ITCH WAT RTTGHT T ER F RS SW E LE OTHER FLOORS CARPE E STAIR CLE N E E INGS SMOKE D T C O S A H OO F S SLUM ING FIXT R S OUNDATION I U A ION GARAGE FIRE PRO F NG OR CLOSERS FINAL ELECTRICAL SITE PLAN VARIANCE RE FINA' L 5uRy E PLOT PLAN C}K TO ISSUE C OR C i 5 it 3 TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745-4447 BUILDING INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED{ MANE r' Y7 ' �_ l �-h2 S k-A LOCAT ION r Z 'I '� fl DATE_ 9 4 G ��PERKIT# TYPE OF STRUCTURE OA) RECHECI FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) FOOTING YFOUNDATION '�6ACKFILL )< FRAMING NSULATION W00 TOVE/FIREPLACE OUGH BING FLSEFTIC REMARKS APPR AL N/A ES NO CHIMNEY HEIGHT/LOCATIO B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILIN RELIEF VALVES FURNACE/HOT W ER OP A NG BASEMENT INSULATION/DUC 0 INTERIOR TRIM/PRIVACY D FINISH FLOORS . BATH/KITCHEN WATERTIGH OTHER FLOORS SWEEPABL OTHER FLOORS CARPETS STAIR CLEARANCE/RAILI S HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WH LE . SE NS ALL PLUMBING FI %TUR S OPE ATI G GARAGE FIRE PROOFINNG DOOR CLOSERS OTHER FIRE SEP RA ION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VA ANCE REQUIREM NT FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS : r ")p ARRIVE DEPART TOM OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QTELEPHONE � NEW 0( 5 8 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INISPECTION RECEIVED NAME. j LOCATION DATE PERMIT # .�. TYPE OF STRUCTURELiad X2 P RECHECK. � `7 � � � APPROVED N/A YES NO FOOTINGS/PIERS k MONOLITHIC POUR F RM _.. REINFORCEMENT IN PLACE I THE CONTRACTOR IS RIES00161B E FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOO�LOWING THE PLACEMENT OF THE CPJRETE_ MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN I FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH 'PLUMBING PLUMBING VENT/VENTS IN PL PLUMBING UNDER SLAB FRAMING : E JACK S /HEAD BRACING/BRIDGING - ` JOIST HANGERS JACK POSTS/mATUB A HEATING ROUGH- IN INSULATION : FOUNDATION L N E FOUNDATION WALLS EXTERI R- FLOORS R- WALLS R- CEILING R- DUCT WORK R PIPING 17 UNHEA E SPACES ' VEMARKS : ARRIVE DE PART TNSPFCTnR TOWN OF QOEENSBURY BUILDING AND BAY COES DEPART PARTMEIiT RUEENSBURYTELEPHONEy NEW 0 ( 518 } 7 45- 44 7 BUILDING IKSPECTOR' S REPORT G r REgUEST iFOR INSPECTION RECEIYEI) �� KI LOCATI14�N� PERMIT f DATE - � TYPE OF STRUCTURE ; APPROVED - RECHECK N/A IYES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESpolfflIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOIIN6f THE PLACOWKT OF THE CONCRETE . i MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFING BACKFILL APPROVAL -,,ROUGH PLUMBING PLUMBING VENT/VEN S IN t £ PLUMBING UNDER SLAB FRAMING : JACK S /HEAD BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN 8 HEATING ROUGH- IN INSULATION - E FOUNDATION L FOUNDATION WALL ,I EXTERIOR RR_ FLOORS R. WALLS CEILING DUCT WORK R IP G IN UNHEA E SPACES RE ARRIVE DEPART.,.,. 1 r pFjrTpna TOWN OF QUE£NSBURY BUILDING AND CODES DEPARTMENT 531 SAY ROAD gTELEPHONE } NEW 0 ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REgUEST FOR INSPECTION RECEIVED LOCATION /f_ p / - DATE PERMIT TYPE OF STRUCTURE jk AP RECHECK N/A YES NO F OTI S/PI R MONOLITHIC POUR RM REINFORCEMENT IN PLACE THE CONTRACTOR IS RES SIB LE FOR PROVIDING PROTECTION FROM FRETH££ZING PLAC FOR 48 ENIM OF TS FOLLOWING HECONCREm MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFING� J r BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN S IN C PLUMBING UNDER SLAB ' FRAMING : JACK S /HEADE _ BRACING/BRIDGING _ `J JOIST BANGERS JACK POSTS/MAIN BEATING ROUGH- IN INSULATION : FOUNDATION W L N FOUNDATION WALLS EX ERIOR R- FLOORS R- WALLS R_ CEILIN DUCT WOR OR I IN IN UNHEA E SPACES RE R ARRIVE DEPART LTN %p n TOM OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD 12804 bra 4RK TELEPHONE � NEW 0 ( 5 8 } 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED n W NAM LOCATIONv. DATE PERMIT # TYPE OF T CTURE RECHECK APPROVED N/A YESI NO FOOTINGS/PIERS j MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLsOWING THE PLACEMENT OF THE CONCRETE _ MATERIALS FOR THIS PURPOSE ON SITE ; FOUNDATION/WALL POUR REINFORCEMENT IN 'PLACE FOUNDATION/DAMPROOFING . ' -}KBACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN S PLACE PLUMBING UNDER SLAB FRAMING : JACK S DS/HEADS _ BRACING/BRIDGING + JOIST HANGERS f JACK POSTS/MAIM BEAM HEATING ROUGH- IN INSULATION : FOUNDATION W EL IN E I R- FOUNDATION WJ ELLS EXTERIOR R- FLOORS R- WALLS R- CEILING p R- DUCT WORK R PIPING IN UNHEATED j SPACES REMARKS : I ARRIVE 4 DEPARTL. Ni - INSPECTOR 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 / /4 EMIT # �. TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR F RM REINFORCEMENT IN PLACE THE CONTRACTOR IS RES SIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE . MATERIALS FOR THIS PP RPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOPING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/, , TS IN PLACE PLUMBING UNDER AB FRAMING : JACK STU S/HE RS BRACING/BRIDG N JOIST HANGER JACK POSTS/MAIN B ""AM _ HEATING ROUGH- IN INSULATION : FOUNDATION ALL S IN 'ER OR R- FOUNDATION WALLS EXTERIOR R- FLOORS R' WALLS R` CEILING R" DUCT WORK OR PI ING IN UNHEATED SPACES REMARKS: / :.co ;ems' A ARRIVEDEPART ECTOR TOWN OF QUEEMSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSSURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED 11 '� NAME c, Y �. ic.� ` d. I�� � LOCATION �_ -- DATE_14 'PERMIT if TYPE OF TRUCTURE d--1-Ca cvC� X RECHECK APPROVED N/A YES I NO 00 s/ 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_ BACKFILL APPROV ROUGH PLUMBING PLUMBING VENT/PLUMBING UNDERFRAMING : JACK S DS/HBRACING/BRIDJOIST HANGERJACK POSTS/MHEATING ROUGH— INSULATION `. FOUNDATION W L TE OR FOUNDATION WALL EXTERIOR R— FLOORS R— WALLS R— CEILING R— DUCT WORYK7 PIPING IN UNHEATED SPACES REMARKS : ARRIVE DEPART INSPECTOR own 0/ Queenig"ry BUILDING and ZONING DEPARTMENT Bay and Maviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE �1, '_. PERMIT NO. SOIL TYPE - ands 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 PITS4Numb r of) Size- ft. X - ft & Grave]. size PIPING : Size } Type Bldg . to tank Tank to dirt , box sir Dist. box to field it Openings sealed? ES NO Partial r` LOCATION/SEPARATIONS : Foundation to tank ft. Foundation to absorp xa 4-;�(! ft . %a )lo Absorption to lot l ne eft. 5'ewe5s Separation of pits i ft . LOCATION OF SYSTEM/0N PROP TY (circle one) Front - Upar Le$`t side - ght side - CCMMENTs SYSTEM USE APPROVED ES O 36t,11%dirl§ Inspector 01/S6 and vl T OF QUEEN58tIRYff/ BUILDING AND CODES DEPARTMENT ` 531 SAY ROAD Q y NEW 0 � TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATIONj� DATE PERMIT f�PERMIT # TYPE OF STRUCTURE Jz4e G2 Gf-'r_ RECHECK �APPROVED N/A YES NO FOOTINGS/PIERS _ MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FR FREEZING - FOR 48 HOURS FOLLOWI G THE PLACEMENT OF THE CONCRET . MATERIALS FOR THIS PURPOSE 0 ITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN AOFLAC PLUMBING UNDER SLAB FRAMING : .TACK STUDS /HEARER BRACING/ SRIOGING JOIST HANGERS JACK POSTS /MA BEAM FI RESTOPP ING WALLS CEILING FIREWALLS HEATING R GH- IN INSULATI FOUN ION WALLS IN ER OR R- FOUN TION WALLS EXTE OR R- � �h FLO S R- W LS I R- ILING I R- UCT WORK OR PIPING N UNHEATED SPACES REMARKS : 7 ARRIVE DEPART KINSPE OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT / it 531 SAY ROAD. QUEENSBURY , NEW YORK 12$04 TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTORaS RECEIVED REPORT REQUEST' FOR INSPECTION RECEIVED NAME LOCATION DATE f iT PERMIT f TYPE OF STRUCTURE/ RECHECK AP ROVED N/A YES ' NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING -FOR 46 HOURS FOL40WING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSt ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING : JACK 5TUD5/HEADERS BRACING/ BRIDGING JOIST HANGERS — JACK POSTS /MAIN BEAM FIRES TOPPING WALLS CEILING FIREWALLS HEATING ROUGH— IN INSULATION : FOUNDATION WALLS IIPTERIO R— FOUNDATION WALLS YTERIO R— FLOORS R— WALLS JR~ CEILING DUCT WORK OR P ING IN UNN TED SPACES R RKS : .I o ARRIVE DEPART IN5 PEC TDR TOWN OF�URY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR` S REPORT REQUEST FOR INSPECTION RECEIVED 7ewo�4 NAME LOCATION DATE < PERMIT TYPE O STR .TUBE RECHECK APPROVED N A IYESI 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 ITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING : JACKSTUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH— IN INSULATION : FOUNDATION WALES IN ERIOR R— FOUNDATION WALLS EXTERIOR R FLOORS WALLS CEILING DUCT WORK OR PIPING IN UN EATER SPACES REMARKS : f ARRIVE f DEPART INSPECT R "'�^'�^ / hiat}Epnai 1-lead+quarbers _ . 1337;WI cl, <P�* 11'93BO ' Date : City, Town or Township aaw County_ s� ,, State Location/Address ( If Located in urat Area - Please Attach Directions) PQie # Owner "Perirritk460 Occupied As Occupants WdrV'Area in Building Floor # etc. ) : App. for: Winn Q Service0 or: Ready for ins ection - Fee Remitted - $ Cash L:3 Check ( Make Pa able To: M.D. L.A. 300 350 12 2750 9000 Number of Rough Wiring Outlets Elect. Beat ' Switches xe'ol? 1750 2000 2250 2E00 Lighting Amp. Service �cface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer : Pump Number of Fixtures Oven P _ �arbage Disposal Wiring and Controls for Burner 'Arnpi.'`Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/2 1/12 111Q 1/a 1/6 1/$ 1/3 1/2 3/4 1 14: 2 S 74z 10 15 2Q 25 3e 4Q 5Q 75 . 1G1Q Mark Number of Each Size Applicant's - _ Signatureg, .r �s� License # Permit # r/A Applicant's Address: I M r , : IMAM .IF CA Ip (City) {Statel_�„ (Zip ) Z0 5L s +~ Phone # -e Kn +� v-- Service Request # - Elec ricianaiA ja Z a. FSATE RECEIVED: DATE INSPECTED: Correct .Location : Same as Above Q or: Red Notice Label 0 Rough Wiring Outlets Surface Unit Oven .Switches Range Garbage Disposal Receptacles Water Heater - C3ishvvasher Fixtures ?k1r 'Conditibner Amp. Service Equipment Burner, U ring ! Ccilitr is for Amp."Receptacle Amp, Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1/12 1/14 1/8 1/6 1/4 1/a 1/2. 3/4 -1 - vz- 2 .. 7i/z le 15 20 25 30- 00 , 'SB 35 IOU . Mark Number r. of Each Size f Elect. Heat 500 T30 1000 125fl IS00 175p E000 2260 2500 2750 d000 to E] RW Progress : Inc. Q LKD O Contractor © CFT Violation : Work Comp. F-1 Inq. [] L/A Owner CASH L/A Fee Due CH K # �. IPA. . Municipal MO # ILL d INV # Data : LOther 5ide0 Utility L L . Applicant Owner Cut in Card Temp # path 4 11 Final # . Date INSP CTORS. SIGNATURF APPLICATION FORM nro. 25o•i it IMe , - 531 BAY ROAD, QUEENSBURY , N .Y. 12804-9725 BUILDING AND CODES DEPARTMENT ( 518 ) 745 4447 NOTICE : ACCORDING TO OUR RECORDS THERE IS AN UNRESOLVED BUILDING PERMIT AS DESCRIBED BELOW . WE WOULD APPRECIATE YOUR ASSISTANCrE IN BRINGING IT TO A SUCCESSFUL CONCLUSION , PERMIT ISSUED TO S ott Larsen FOR Additionikyoodstdxf3gATION ^ TL gems UUziy.e - - - - _ - _ _ BUILDING PERMIT # ,� Ogg DATE ISSUED 3/24f92 DATE EXPIRES 9(24 93 REQUIRED INSPECTIONS Date inspected CONVENTS 1 . Foundation footings before pouring concrete 4129152 2 . Inspeanvtion of foundation and } damp pxoofing (if required) 61-1192 3 . Framing and plumbing before 719192 any work is covered , 7127192 4 . Tnsulation of walls , ceilings 817192 and foundations . 01� (Rotjghin electrical inspection ) 5 - Septic system- installed per 4124192 a roved Ians . 6 . FINAL, INSPECTION-Including : =OElectrical final Building final �__--- Fire Marshal (if re uired) THIS BUILDING PERMIT IS STILL OPEN, EVEN IF EXPIRED , WE CANNOT CLOSE OUT THE PERMIT UNTIL ALL - REQUIRED INSPECTIONS HAVE BEEN MADE . ti THERE CAN BE NO CEI:TIFICATE OF OCCUPANCY OR CoNP,LIANCE ISSUED UNTIL ALL INSPECTIONS HAVE BEEN MADE . rbese inspections to be made by Electrical Inspector . REMARKS : Xt appears that all required inspections except tfaEi Electrica3 final inspection and the .final inspection by the -buildings inspector halve been done . Tf there has been a swoodstove installed aS plannedp it is ,imperative that it ° be inspected by the Fire Marshal . Please contact this office as soon as practical to obtain the required inspections . 1/9'4vl