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1992-106 . .. •:M��RIc;y.,;,�P"..F,�`--.v.r ,,moo,,. —.�- ,.,...-� .. r4 , CERTIFICATE OF CUPA N'%`..eY TOWN . OF QUEENSSURY WARREN COUNTY, NEW YORK Date Z& i q V,3 This is to certify that work requested to be done as shown by Permit No. 92- 206 has been completed. This structure may be occupied as a Single FARMIy Dwelling i location 1 Lady Slipper Dri re pwTwr Gloria McHurry 90 - 7- 2 By order Town Board "MVWN OF 4UEENS8URY NfnMae -;eya" Director of Bldg. do Code Enforcement k BUILDING PERMIT � TOWN OF QUEENSBURY No 92- 106 .� WARREN COUNTY, NEW YOR K 'r`I ro V PERMISSION is hereby granted to Gloria McMurry t9 OWNER of property located at _ 1 Lady Slipper Drive Street, Road or Ave_ c �C in the Town of Queensbury, To Construct or place a Single Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and approved and in Compliance with the Town of Queensbury Building and Zoning Ordinance. w t. OWNER'S Address is Hudson Falls , NY 2. CONTRACTOR or BUILDERS Name r Northeast Builders Q 4 3- CONTRACTOR or BUILDER'S Address ^r• 'ryrp7 fD ..S O ..f 4. ARCHITECT'S Name S. ARCHITECT'S Address N7 J um tQ 6. TYPE of Construction — (Please indicate by X) i Wn (X) Wood Frame ( ) Masonry ( ) Steel ( } tiC 7. PLANS and Specifications ' No. 1882 sq ft Single Family Dwelling as per plot plan specifications r?, and application a. Proposed Use u� Single Family Dwellingwr/att 2-Car Gar. $ 263. 00 PERMIT FEE PAID — TEAS PERMIT EXPIRES r!ri1 2 . 19_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 t Aniri 1 19_92 it SIGNED BY for the Town of Queensbury oil Ong and ing Inspector TOWN or Q[TEENSSUBY REVIEWED BY : FEE PAID : � LG'� Awn PERMIT NO . : ^ -! � MAR 3 '. 1g9L 8Ly1LDlNG & 0017E DEPT. 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 . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property : //e�Azx7 P . O . Address : /vT� sr.r.� , // � PHONE Z %';7 Property Location : /' 4A ' �+��A, ax Map No . I 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 : �A��k Lot No . THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : NATURE OF PROPOSED WORK ` * ESTIMATED MARKET VALUE OF THE .,� Construction of new building * CONSTRUCTION : $ cam- d CJ CJ Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : ft , x ft . Other work ( describe ) * Existing Building Size . * ft . x ft . * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : * 1st Floor , ' Sq . Ft . g * Front Yard • ;Q - ft . Rear yard ft . G�3 * Side Yards3 ft . and , - ft. 2nd Floor Sq . Ft . ff� - * If on corner , setback from side 'street-- . e:7&3r �� * ft . Other Floors Sq . Ft . ( not cellar or basement * OCCUPANCY INFORMATION : TOTAL FLOOR AREA : Sq . Ft . * Primary Building - * One Family Dwelling Size of New Structure : ;?.5 ft . x Y3�: ft . * Two Family Dwelling Foundation : * Multiple Dwelling/No . of Units Pier/Slab/Crawl /Partial u1 ( Circle One ) * Business * Industrial No . of stories ( Habitable space ) �/_ * Other Height ( grade to ridge ) e ft . If residential , no . of families . * If addition , what will use be ? No . of rooms ( excluding baths ) * * _ No . of bedrooms : " No . of bathrooms : 2� * Accessory Building : Primary heating system : T = * Detached Garage - One/Two Car Type of fuel : ©j- / j,. Attached Garage - One wo Car No . of fireplaces to be installed : * Private Storage Building Will a woodstove be installed ? * * Other Central Air Conditioning : Yes No ( OVER ) ' BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construction : wood frame , fire safe , etc . 11 � Q, 0 Will any second- hand or ungraded lumber be used ? If so , for what? C�) Foundation Wall Material : t' ca r � �. 5� Thi ckness : Depth of Foundation below grade ( to bottom of footing ) : Will there be a cellar? - kA� Heated or Unheated ? = AqAAc:cA Floor Sq . Footage : Will there be a basement? � Will any portion be used as living space ? Y'J o If so , what portion ? Sq . Ft . T pe of Use ? Type of Roof : S1 oiled/Flat/shed/Others ti _ Material of Roof, Size , wood studs - x �_" ; spacing " o . c . ; length ft . Joists ( floor beams ) : 1st Floor _ x spacing p . c . ; span f ft . Joists ( floor beams ) : 2nd Floor x " ; spacing -- o . c . ; span ft , Overlays ( ceiling beams ) : -- " x " ; spacing " o , c , ; span __ �t . Roof rafters : - --- x ; spacing - o , c , ; span ---- ft , Roof trusses ( pre-engineered ) : spacing o . c , ; span ft . Exterior Wall Finish : � r� � of what material ? U i Interior Wall Finish : Sti C� c f a garage is to be attached , descri mratterials to be used for FIRE SEPARATION : czCc 1J � Is there to be an opening between garage and dwelling ? f so , will a Fire- Rated or , %enclosure , self- closing device be provided ? rqe , xr5 +� 1 Will a flue- lined chimney be installed ? Height a oof ft . Depth of chimney foundation below grade : — ft . Depth of fireplace hearth : ft , in . Water supply - Municipal or private well : C ; ,,r's, SEPTIC SYSTEM : Distance from any private well ( including adjoining properties : (A separate application is necessary for any repair or new installation of septic system. ) NAKE OF BUILDER & ADDRESS : X\J (')CL N � �3 � "�'�yc � � PHONE NAME OF PLUMBER & ADDRESS : VJ Ca +2 �6& 4 a5 PHONE ` NAME OF MASON & ADDRESS : fk`\ `�'' E, y.�r r PHONE /9 5;�,Z `/ 3 2 / NAME OF ELECTRICIAN & ADDRESS : PHONE DECLARATION To the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with , whether specified or not , and that such work s authorized by the owner . Signature�,' c , s Owner , owner s ant , arc test contractor SPECIAL CONDITIONS OF THE ERMIT * By : Code Enforcement Officer ENERGY CODE COMPLIANCE APP@.ICATIOM T17MN OF QIIEENSBURY , WARREN COUNTY - 9000 HEATING DEGREE DAYS Compifame Methods : PART 5 - Acceptable Practice Method - 1 A 2 Family Dwellings ( ONLY ) PART 6 - Thermal Rating - Component Trade Offs - 1 b 2 Family Dwellings ; Multi - Family Dwellings ( 3 Stories or Less ) PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential PART 4 8 6 on Compliance Methods Require Submission of Worksheets APPLICANT85 RAW PROPERTY/LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : i . Gross Floor Area - / ,�f' Sq . Ft . 2 . Type of Heat we Elec . Base Board Other 4/1-_" 114 ZjL 3 . Is Building Mechanically Cooled ? YES pr/ NO 4 . Percentage of Area of Windows and Doors Over 17% Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D THE R-VALUES SH00 ON PLANS SUBMITrW! Baseboard 5 . Insulation Values : Actual Shown Elec . Heat Other A . Roof & Floors exposed to ambient temperatures G? Be Exterior Malls R C . Glazed Area R. D . Exterior Doors R� E . Floors over unheated spaces R� F . Edge of Slab on Grade ( Heated Building ) R" �/ ,7 G . Basement/Cellar Walls (Above Grade ) R � H. Basement/Cellar Malls ( Below Grade ) R I . Heating/Cooling - Ducts - Piping in Unheated Space 6 . Service ( Domestic ) Not water Heating Device A . Conforms to mini mruts efficiency per code ZYES NO TEMPERATURE CONTROL MRXIMUM SETTING 1400 - WILL NOT BE EXCEEDED I NS PEC"fQR ' S F&lMRKS : -- l c�� r r +� Ca f�1 t�GtiG- � U +Ps 1� - s Po/-- /9 8nuc GS QA•r06 REV IIEVED BY { BLDG. PERMIT NO. APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 1 -Lady Slipper- Dl: . . yu for the fallowing uses: = Ingle Fan ly Dwelii_ ng w�. -ch exa._ ep ic�.1 Of /01 1 f DATE SIGNATURE OF APPLICANT I it TEMPORARY CERTIFICATE OF OCCUPANCY I The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby §MalkPPROVED ( )DISAPPROVED j I with the following conditions: r� r into l C. F s � ict� Lf_3 c) J C7c_ c_ C1PLtY, cy Vji 11 j�e. aSnUe Ci Upon <_.oinplt.? ti- 0Tl oi° f Ie separat- :; curl i i i ga ,-age _ nc_° lua -Lng � _ �C71 K' l E_' E'.J.�,._�1�?'.. cf l2d 77f1 l fl } 47 _ tit i'y )ix X a / =5 " [7t ifo i i -ao%yn t; -- a • , tv1 =. y EQ -3rLjae-' j TEMPORARY CERTIFICATE OF OCCUPANCY FEE: 0$10.00 DEPOSIT: 0$100.00 received on 47 / 29 / 93 Date of Issuance Director of Bldg. Go- de Gde Enforcement f THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 6 o DAYS FROM THE DATE OF ISSUANCE. 4 NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. 4 I V*2Q L TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date : _ ww�/_ Reviewed By LOCATION OF PROPERTY FOR INSTALLATION : � l,GG Owner ' s Name : Inc Owner s Mailing Address . ,. OD V �" Z. r e + Installer ' s Name : f, Phone # : / Number of bedrooms ( if residential ) : „ram Total daily flow ( residential - compute @ 150 gal . per bedroom ) : L"t5 ,A -- Topography-Circle One : Flat Rolling Steep Slope % of ~Slope Soil Nature-Circle One : and Loam Clay Other /Depth : Ground Water-At What Depth ? 55 : Feet Bedrock or Impervious Material -At What Depth ? Feet Percolation Test-Circle One : Not Required Required/Rate C> Min . Per Inch S: Domestic Water Supply-Circle One : Mun1ci pal Well Other I" �r'�y � r .' e, 1,42.6! If domestic water supply is a we - Separation : Water supply from ap' septic absorption feet PROPOSED SYSTEM: Septic Tank ..� gal . ( Minimum size : 1 , 000 gal . ) Tile Field : Each Trench `?.,- feet//Total System Length , 7. - feet Seepage Pit ( s ) : Number of — / Size each : ft . x ft . Size of Stone to be used : # C- / Depth or Thickness ,�'r feet *,t w*wir,t�,ti�nrir sir HOLDING TANK SYSTEM IF REQUIRED No . of Tanks Size\of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. 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 : _ � If DATE : .✓"�/- , 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 al 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 $250 . 00 . C . An approved copy of the plot plan shall be available on the construction site . Failure to produce said plot plan at time of inspection may result in an immediate work stoppage . D . Should unforeseen problems during construction prevent proper installation , alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction . Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks : TIMM OF WEENSBURY 531 BAY ROAD QUEEN581SRY , NEDI YORK 12804 TELEPHONE (51$) 745-447 BUILDING INSPECTM' S REPORr FINAL INSPECTION RE4$EST FOR INSPECTION RECEIVED NAME N� - . LOCATION ra [] -- q75 PERMIT# (7 - f -0 DATE TYPE OF STRUCT1MtE ' RECHECK FIRE MARSHAL APPROVAL (CBACCKFILL L STRUCTURE) 'FOOTING —FOUNDATIFINAL ELECTRICAL~ SEPTIC ROUGH PLUMBINGWOMSTOVE/FIREPLACE INSULATION REMARKS -'r'^ A Gf�` dT LLB . ROV AL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING LIN S DECK/P H/S RELIEF VALVES G �- FURNACEMOT WARERC A' ACY D RS INTERIOR TRIM/PRIV � FINISH FLOORS : BATH/ KITCHEN WgTER OTHER FLOORS EEPA E OTHER STAIRCLE RANCE/RATE NGS SMOKE DETECTORS DOOR CLOSERS BATHROOM FAN S OPERA ING ALL PLUMBING FIX GARAGE FIRE PRO ING� -- DOOR CLOSERS ION OTHER FIRE S P FIRE/OEMISE W LS FINAL ELECTR AL OK TO ISSUE /0 O IC Co N S : C1 {5 curs lug -- 6-6�b& ry A� f + e�_ UlcrCis, r l r L— ARRIVE a DEPART "i '� E R THE NEW Y© RFC BOARD OF FIRE UNDERWRITERS 1 ,riG E 1 BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY,. NEW YORK 72207 Date Fs11[ iJ:i 1 [� 3 , 1. `? i .'. .4pplicatiara o• an Ile 1 1 :'4]" ` y 11 4 '1: 4 :1 ., THIS CERTIFIES THAT 111 '1i1T !J1` LEA+{' only the electrical egrsipnsent as described below a" introamC0011 by t +earned a s alae .bone alppiieasian essn+nber in teas wsiaea ws �i AM M in she following location. q Bea Iat Fl. :nd Ft. �' �` Section Black Lot rs was examined o � �� and found to he in compliance with the National E.Jectrioa, Code. PI]KTURE ACAS SWITCMS RXTUMB RAN4E5 COMM*Mims OVENS NSH 1MASMERS EXMAUST FANS MOMS INC+►A�y1,"KItSCtM N.UOKESCtNT OTHER AMT. K. W. AI K. W. AMT. K.W. AMT. —KW, AMT. !T, P. 3-7 AS A ■ DRYERS PUMA" MOTORS FUTURE APPUA#MCE PRR 111S SPECIAL RRC'PT TIME CLOCI(S BELL MW HEATERS (MULTI 4UTWV Rg AMT. X w, OIL W P, GAS M. P. AMr. NO. A, W, G. AMT. AMP, AMT. AMIS. TRAMS. AMT. H. ►. NOYOP T TaMS AMC WAM SER1lIM no. 4F S E R V I C E AMT. AMP_ TTrF *CAM. I .w 7w l 0 3W I 3 X 9W 13 1' 400' NO. OF CC. COND, A. w. G. NO. OF HI-LEG A. W. G. NO. OF wtuTK,ua of rarw'trGiiAt MEN .sr OF cc. caND. Of M. y ^"` �1 OTHER APPARATUS: Coln Qwr%�41 (mid r1 ) Fi 11l4110kPY. : L . ( )lil•1 '1'f•:i.�'C dervZ"I► BRANCH mANAOER Per This certificate Trust not be altered in any manner; return to She office of the Board if Incorrect, Inspectors may be identified by their cmdantiols. COPY FOR 13UILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, qa TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION ,RECEIVED NAME- LOCATION LOCATION 0 DATE Z PERMIT# —Ao C TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE ) FOOTING AFOUNDATION kBACKFILL V FRAMING TROUGH PLUU BIND FINAL ELECTRICAL SEPTIC ZINSULATION T WOiDSTOVE/FIREPLACE REMARKS APPR VAL CHIMNEY HEIGHT/LOC TION /A YES NO B VENT/LOCATION PLUMBING VENT ROOFING 5 1 D I N G DECK/PORCH/ I LPS/RA NQNGS RELIEF VALVES FURNACE/HOT WA ER OPERA InTG. �-- BASEMENT INSULATION/DUCTWO INTERIOR TRIM/PRIVACY DO FINISH FLOORS : BATH/KITCHEN WATERTI T OTHER FLOORS SWEEP E OTHER FLOORS CARP ED STAIR CLEARANCE/RA INGS HANDICAPPED ACCES SMOKE DETECTORS BATHROOM FANS/ OLEHOUSE F NS ALL PLUMBING XTURES OPERATI G GARAGE FIRE OOFING DOOR CLOSER S FINAL ECTRICAL {5 OK To. SSUE C/O OR C/C CO,MryM/EXTTS , [' Re ARRIVE DEPART- ) ,�� F 3Q AM TOWN OF QUEENSBURY �� BUILDING AND CODES DEPARTMENT 531 BAY ROAD Q * NEW 0 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR hi" RECEIVED NAME �T�rJ!�.11 LOCATION DATE _ _ 111Q � '�Jr PERMIT # q TYPE OF STRUCTURE RECHECK APPROVED /A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPQVRE - FOR PROVIDING PROTECTIO FREEZING FOR 48 HOURS F THE PLACEMENT OF THE CO MATERIALS FOR THIS PURP _ FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ' ROUGH PLUMBING Ai PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADERS BRACING/BRIDGING � .- .JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH- IN � - INSULATION : FOUNDATION WALLS INTE OR R- FOUNDATION WALLS EXT IOR R- FLOORS R- WALLS f R- CEILING R- DUCT 'WORK OR PIPIN IN UNHEATED SPACES REMARKS : y/ry ��'� / /,�cx c'-c.-s ARRIVE $. " DEPART NS CTOR 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 3 PERMIT # TYPE OF STRUCTURE 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 HOORS OLLOWING ' THE PLACEMENT OF THE C NCRETE . MATERIALS FOR THIS PU PDSE bN ITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFIN BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN P ACE PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADERS_ BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN B AM HEATING ROUGH- IN INSULATION : FOUNDATION WALL INTERIOR FOUNDATION WAL E%TERIOR R FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : '�' d d�(�.s Y'�' '�T�'*� 4AY�'a`� +�� Fn //fG'/►i,E9 r AR I VE DEPART I19SPECTOR EENSB BUILDING AND CODES DEPARTMENT �/Q� o 531 BAY ROAD QUEENSBURYj NEW12804 TELEPHONE ( 5 €3 ) 0RK 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE-4zl Pi # TYPE OF STRUCTURE RECHECK APPRO ED N/A YESI 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 CO CRETE . MATERIALS FOR THIS PURPOSE ON SIT, FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL )(ROUGH PLUMBING ~+ PLUMBING VENT/VENTS IN PLA e. PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH- IN INSULATION : FOUNDATION WALLS I TERIOR R- FOUNDATION WALLS XTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR P ING IN UNHEATED SPACES REMARKS : ARRIVE DEPART * 3cF INSPECTOR 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 RECEIVED A2=7 C NAME G:._,. LOCATION on DATE I&, 4 ,7 P IT TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE . MATERIALS FOR THIS PURPOSE ON S TE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BLCKFILL APPROVAL UGH PLUMBING PLUMBING VENT/VENTS IN CE PLUMBING UN ER LAB FRAMING . s JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS _ JACK POSTS/MAIN B ' AM HEATING ROUGH— IN INSULATION : FOUNDATION WAL INTERIOR R FOUNDATION WA S EXTERIOR R— FLOORS R— WALLS R— CEILING R— DUCT WORK OFj PIPING IN UNHEATED SPACES REMARKS : l v-4 <yls A>� ARRIVE / DEPART f INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD Am QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDINGS INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME � LOCATION_ 1y�,rjo t ,gr _, e DATE f/ —_PERMIT f TYPE OF STRUCTURE- _ _ aLi-__ 12n ;� lidiA IV RECHECK APPROVED '/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPON BLE FOR PROVIDING PROTECTION RON FREEZING FOR 48 HOURS FO LOWIN THE PLACEMENT OF THE COIN RETE MATERIALS FOR THIS PURPO E 0 SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN P CE PLUMBING UNDER SLAB FRAMING : .TACK STUDS/HEADERS ; BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEA HEATING ROUGH- IN INSULATION : FOUNDATION WALLS I TERI R R- FOUNDATION WALLS XTERI R R- FLOORS R- WALLS 1 R- CEILING R- DUCT WORK OR PI NG IN UN}iEATED SPACES REMARKS : ,I�L{>c7r�- C� � ,�"s .�"'r��-' ll��►q�z �'c+� ,M,L,--Tr �._ - U14-UC- s O TZ Fir " - . ARRIVE DEPART ? L INSPE 0 f Get✓�' ClI L Q sf'�,f� ,u./vuirar c+ �ue�n � hure� � , BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Ou+eensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME f!�''t-----� / -7,,r LOCATION DATE -3 / T Z PERMIT NO. SOIL TYPE - Sand - Loam - Clay - Percolation Test Required ? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM; Absorption field , total length r+ p Length of each trench. Depth of trenches Size of gravel SEEPAGE PITS{Number of) Size- ft. X _ ft . Gravel size PIPING : Size Type Bldg . t4 tank t, Tank to dirt , box Dist. box to field/pitt Openings sealed.? YES" L LOCATION/SEPARATIONS . Foundation to tank Foundation to absorpti Absorption to lot lineSeparation of pits tLOCATION OF SYSTEM ON : PROne) Front Rear - Left side - CCMME TS : rR- IL n /' SYSTEM USE APPROVED YES i !NO ` 1 �./ Building Inspe or 01/86 and vl TOM OF QUEENSIBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QTELEPHONE � NEW 0 ( 518 } 745 4447 BUILDING IKSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED.��� }� NAME LOCATION DATE f PERMIT f TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO F00TING / IERS MONOLITHIC POUR FO M REINFORCEMENT IN PLAC��� THE CONTRACTOR IS RESP Si LE FOR PROVIDING PROTECTION FROM FREEZING HOURS CR EG OFTHCONFOLLOWIN THE MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE ' FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/V N S IN P A PLUMBING UNDER _.SL.AB )( FRAMING : :i f> JACK 5 /HEAD BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN B A HEATING ROUGH- IN INSULATION : FOUNDATION L N E I FOUNDATION WALLS EXTERI RR- FLOORS R_ WALLS R_ CEILING DUCT WORK R PIPING UN EA E SPACES , r a. h l A4 C Y> rat� r �` � cEti� JLI ARRIVES DEPART - "� ' TNSPFC R TOWN OF QUEEfiSBUlty BUILDING AND CODES DEPARTMENT 531 BAY ROAD Q9 NEW YORK 12804 TELEPHONE ( 51,8) 745-4447 BUILDING INSPECTOR' S REPORT t REQUEST FOR INSPECTION ,�RECEIVED JJ LOCATION Z DATE 4e' PERMIT # �- g //1 TYPE OF STRUCTURE RECHECK APPROVED N/A IYES NO FOOTINGS/P MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESP SIBLE 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 APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS VENT/VENTS IN P CE PLUMBING UNDER SLAB FRAMING : JACK ST DS/HEAD S BRACING/BRIDGING JOIST HANGERS _ JACK POSTS/MA N B AMA_ HEATING ROUGH— IN INSULATION : FOUNDATION ALL IN I R— FOUNDATION WALLS EERIOR R— FLOORS R— WALLS R— CEILING t R" DUCT WORK OR PIPING N UNHEATE SPACES REMrtKSw d { t Ar , .1 Cl IL i C` f ►' I k,) �'- ARRIVE DEPART. /J;.rlz INSPE O TOWN OF QUEEMSBURYAo BUILDING AND CODES DEPARTMENT 531 BAY ROAD > QUEENSBURY , NEW YORK 12$04 TELEPHONE ('518) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME r LOCATION DATE fC�l..� .;�L PERMIT � �• TYPE OF STRUCTURE_ ,, , - 7 RECHECK APPROVED FOOTINGS/PIERS N/A YES NO MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RES SIBLE FOR PROVIDING PROTECTI FROM FREEZING FOR 48 HOURS F LLOWING THE PLACEMENT OF THE C CRETE. MATERIALS FOR THIS PURP SE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING )( BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/YEN S IN LACE PLUMBING UNDER SLAB FRAMING : JACKS O /HEAD 5 BRACING/BRIDGING JOIST HANGERS _.... _ JACK POSTS/MAIN BEAM _ HEATING #LOUGH- IN INSULATION: FOUNDATION W LL E I R- FOUNDATION WALLS XTE OR R- FLOORS R_ WALLS R- CEILING R- DUCT WORK OR I ING IN NH TED SPACES ,REMARK f t ARRIVE Z DE PART WSPETOR 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. C; IF p� NAME L4Ol Y' LOCATION ) ' DATEPERMI TYPE OF STRUCTURE. RECHECK APPROVED N/A VES1 NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RES SIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE C NCREfE. MATERIALS FOR THIS PUR USE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACEt pUNDATION/DAMPROIjEING ' " VACKFILL APPROVAL ckY a ROUGH PLUMBING •° PLUMBING VENT/VENTS INIPLACE PLUMBING UNDER SLAB t FRAMING • JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN B AM • HEATING ROUGH- IN )( INSULATION : FOUNDATION WALL ERIU R- FOUNDATION WALLS : XTERIOR R- FLOORS R- WALLS CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R EMARKS : ARRIVE �/().. 2 DEPART 3 r�*J � I 4PEOR&: TOWIN OF Q'UEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 5I8 ) 79215832 BUILDING INSPECTOR ` S REPORT REQUEST FOR INSPECTION RECEIVED_p � LOCATION -hv . �� �h(} � DATE PERJ4IT J TYPE OF STRUCTURE a � } RECHECK APPROVED N/A YE NO OUTINGS/PIERS ONOLITHIC 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 APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN S IN LA E PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADERS BRACING/ BRIDGING JOIST HANGERS JACK POSTS /MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH- IN INSULATION. FOUNDATION WALLS IN ERIOR R- FOUNDATION WALL EXTERIOR R- FLOORS R_ WALLS R_ CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : '1 ARRIVE DEPART INSPECTOR MIDDLE DEPARTMENT INSPECTIDN :I N Y� ItllC. --r—^- National Headquarters 3 37837 West. Chester.Pike, Weat .Cf it6r,.PA 19C3 442X # Date: rLol�cati ty, Town or Townshiprl } ? County kgg. ,-/ _State anfAddress F7 ,#} .r�Cif Located in Rura Area - Please Attach Directions) Pole C]v1rner / • Permit Oc,%cupied As Building: New D6 Ockupant a W rk Area ih Buildin 1=1oor #, etc ): . for: Wirin - � rvlx:e 'or: - - Rea for Ins ion c . a F Remitted - $ Cash Checic M.@, r, Mske abia,To: :M:D. I:A. N miler +§� IitoriglT lAfiriElg OUtrets �EIeCt, Beat soo 7sa xa+ho . aao x�oo as gawp szso saoa s�su auoo itches L ting Amp. Service _ Surfa a.Uinit Dishwasher Range Water Heater Rdkceptacles L y - +41�Conditioner Dryer Pump Num r of Fixifur Oven ... ; � Carbape' Disposal Wiring[And Controls for - Burner _Amp. Receptacles = Ld Fractional H.P. Vent Fans Other Equipment: M TORS H:P:' .1/6 1/4 1!3 1/8 3/4 I • 1 2 3`• 5, 30 lb 20 25 94 40 50 75 rk Number of Each Sixe A icant's . Si natureXr License # Permit # tltlht ' . : lira is Adrinas# .. , Y' I a [ 'tY} .. CStata} - r (2i �1-- Service Requ fit # , ., . one # EIecL7ician: [fs4TEJ4rMCr:IVED: DATE INSPECTED: rnect Location . Same as Ai &e. . ' or: h . fled Notice Label . RdugFlY4Cnilh .Outlets Sur#ace Unit Switches ? Ran , Receptacles : Water Heater{ Dish of I Dishwashef:: . Fixtures Air.:Conditioner D r Amp. Servi Equi yment Burnet, Wiring & Co»troisUw, Amp:-riecepVtarole "f' • _Amp: Sarvi Conducts ws.. . Pum Vent Pans•:- , . nsaTClFts H.P: O } fs 1/a lj3 1I2 1 l,h! 2 + 8 . ; ¢ 10, 15 20 25 3}! auo 5O 75 Mark Number �� - - J _ v of Each Size �a . : ; +Elect. Heat SQG zoen rssa xsaa 17so sons xzao sand snap Soon _ _ - - . 0 RW Progress; Inc. Q LKD Q Contractor 0 CFT Violation: - Work Comp. � Inc. 0 [� L/A Owner CASH 0 I fA Fee CHK ## _I Px4 Dus t e Mw,'ll, ipal NIt7-#, - _ INV ,: . e, EM cr Pr nUtI hne c Otter Side kp tILcut I trd4rr at ad >.i n ` Tem # s NCT ]N .r w a CL i t 1 l �.C�.� • L 6 G � �r 3Sa4.98e g2. 4 za ow•" 1 rj M , v o o'er ,aci o a✓ 4 f IV D tiv Q1'v - if to 0 V " O i tj to lY I!y U o ZZ.raooa. x k� S 7^5 `J. ir r 3'3,.a`t forma. ,,. ' .�.. ,38,�SE• WLU Oka iz_ in OU 1a \ - IV - f +s Cb SAW 1992 i HUjL01MC & CODE DEPT. wy �wt l x 'tJu a i^ -'C' .c 'a T r'C • 'OdE4Jrvh. �. ,+n��i:. �'w 3 4 Sr' �,