1991-240 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January. 10. 19 92
This is to certify that work requested.to be done as shown by Permit No. 91-240
has been completed.
This structure may be occupied as a Single Family Dwelling
Location 053 Box 245
Owner Barbara Cherry
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-240 c
WARREN COUNTY, NEW YORK
Na
PERMISSION is hereby granted to Barbara Cherry
OWNER of property located at RD#3 Box 24i Burch Rd Street, Road or Ave.
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
1. OWNER'S Address is
Same a
CD
2. CONTRACTOR or BUILDER'S Name
John Brearley
Iu
3. CONTRACTOR or BUILDER'S Address
9
r'1
4. ARCHITECT'S Name
N
IC
5. ARCHITECT'S Address rD
6. TYPE of Construction—(Please indicate by X)
( XWood Frame ( I Masonry ( )Steel ( ) m
7. PLANS and Specifications t8
No. 1,120 sq ft Single Family Dwelling as per plot plan specifications
and application
8. Proposed Use
Single Family Dwelling
$ 132.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 26 15-92
(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 26th Day of April 19 91
SIGNED BY 1 ( for the Town of Queensbury
Building an Zoning I nspedctdry
TOWN OF QUEENSBURY TOWN OF QUEENSBURY
REVIEWED BY /�;,,
..4,11111ft FEE PAID S APR 2 51991
PERMIT NO. 9/-,i.m
BLDG. & CODE 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.
• • * • • • • * • • * • * * . * * • * • • • • • • • • • # • • * * • * * * • '• *
The owner of this property is: cc,v-1U L``r
P.O. Address 0\ ?j Roy C Lv) Tel. 7 9 3-4 gs
Property Location cl3 Roy-vau L LL TCk 2Ck Tax Map No. / /
Has there been any split of this'property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO •BUILDING CODES IS:-
*
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF •
•
info
// Construction of a new building , CONSTRUCTION: $ 611
Addition to a building a COMPLETE INFORMATION REQUIRED BELOW:
* Size of property 20 S . ft x 'qt.
Alteration to a building • * Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) • Front yard L/ 0 ft. Rear yard / 6' Sr ft.
•
Side yards p ft. and 3 o ft.
•
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor
/2. D sq. ft. • OCCUPANCY INFORMATION
•
2nd Floor sq. ft. • ' Primer Building -
Other Floors sq. ft. • •
One Family Dwelling
(not cellar or basert - Two Family Dwelling
TOTAL FLOOR AREA)/I2 sq. ft. • Multiple Dwelling/Number of units
-
•• Business
yOft.
Size of new structure �' ft x
Foundation-pier/slab/crawtl/partial •• Industrial
(circle one) " Other
• •
No. of stories (habitable space) 04 •
Height (grade to ridge) / ft. * If addition, what will use be?
If residential, no. of families e_ •
No. of rooms(excluding baths) 8 1'2 * Accessory Building
No. of bedrooms " _Detached Garage ONE/TWO Car
No. of bathrooms, / k� *
Primary heating • _Attached Garage ONE/TWO Car
system F/��T
Type of fuel * Private storage building
No. of fireplaces to be installediy�/Y7e •
Other
Will a wood stove be installed itlo,re
•
Central Air conditioning ' /,/or/e-
OV' ER
BUILDING PERMIIT•_APPLIC.ATION CONTINUED -
BUILDING `S.PECIFI ATIONS:
Type of construction, ood framel, fire safe, etc.
Will any second-hand or upgraded lumber be used? If so. for what?
Foundation wall material /0 (.. / '/- Thickness 7c. '
Depth of foundation below grade (to bottom of footing) 6'4-
Will there be a cellar? /es Heated or unheated? u/L4eci,7P 4 Floor sq. footage ///2c7 sq ft.
Will there be a basement?)/€5 Will any portion be used as living space? Alp
(If so, what portion? sq ft. Type of use?
Type of roof - sloped flat/shed/other Material of roof /`00%— 5 J,,/�/e
Size, wood studs 2, ,"x 6 " spacing / , " o.c. length 8- ft.
Joists (floor beams) 1st floor 2 "x /O " spacing /4 "o.c. span /q ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing. 2. / " o.c. span Z Is' ft.
Exterior wall finish ,5l'e/1,v. of what material? 1/i/2
Interior wall finish 5,. e e JQ oc, I`t
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? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well /46.(4 c_Wr /
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER jr;/t4 /3/-e4"lei,
ADDRESS &4'7 gew-c4i /i / TEL. NO. 7?;—Yr5 Q'
4uee,7s6orr-/ N��i2fs0'/
NAME OF PLUMBER ( ADDRESS ' ` ' •- TEL. NO.
NAME OF MASON I < I ADDRESS / r' TEL. NO.
NAME OF ELECTRICIAN /1- ' ( ADDRESS I ` r TEL. NO.
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 is authorized by the owner.
Signature CLAR) O
Owner, owner's agent, architect,cdntractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
/1�: TOWN OF QUEENSBURY 1
APPLICATIOfN FOR SEPTIC DISPOSAL PERMIT
DATE: t-I k+l l
T W ! OF c'?t.9EEN S UR`(
LOCATION OF PROPERTY FOR INSTALLATION C ��� lC `
Owner's Name: (-iljeAybck.v-c` (' 1�e_A-u •
-
Address: _ c i) L (Arck kL peens . `1 • 2,80y
Con+rcec-t-ou— B Of . zr—
Installer's Name: .)nlhn�recurik.c . Telephone: MAtig5gY7 $-48)3(
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) t 66 7a9 .
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? €70 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: unicipal Well Other
If domestic water supply is a well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench 2.0 feet/Total system length Akre 2.00 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #. 2-- /Depth or Thickness / feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical work to be inspected by an approved
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: PC.A.AJ-0,_ __ Citk u DATE: q1 a41 (?/
t MI
•
Septic System Inspeccions:
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 co structures
4.) location and distance co any water supply :
5.) size and dimensions of all tanks, distribution boxes.
cile fields and/or drywalls
B. Nu system shall be covered before. inspection and approval by the
uuild ing Inspector. Failure co comply with this requirement may'
rusulc in the uncovering of .cha syscem'by the installer and a. fine
of up co $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure co produce said plot plan at time of inspection may
rusulc in an immediace work stoppage.
D. Should unforeseen problems during construction prevent proper inscalla—
cion, alcaracion or rupuir of an approved system, a new proposal must
bu submictud to the Queunsbury Building Department before further
conacruccion.
• Town of _Qusensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
k1ni:►rks: .
•
•
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
TOWN OF aUEENSBUR`t
RECEIVED
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) APR 25 1991
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family DwellEifigigk &. CODE DEPT.
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
-Ra 2kt agc, ilku,c1RA
APPLICANT'S NAME ( PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - // / 2 D Sq. Ft.
2. Type of Heat - Elec. Base Board Other
3. Is Building Mechanically Cooled? YES L/NO
4. Percentage of Area of Windows and Doors Over 17% — Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R •
B. Exterior Walls R / 4/;:z8.o
C. Glazed Area R 4`° E
t RSt&k_CAec1, 5{-eelD. Exterior Doors R
E. Floors over unheated spaces R /9'
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R
I. Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code YES NO •
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
q(a71 9 I 79 3V(NC
APPLICANTS SIGNATURE U DATE TELEPHONENUMBER
INSPECTOR'S REMARKS :
R BY
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
Ci..... "-"ZAH---s\
• . • 1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION Date: •
City, Town or Township �� v- 'it=� ..3 <' j • County �,,•V L� !,— t 1 State l�) ,
Location/Address ,--, -)- �-, , :ri�(Lc_ 1,v.v'(.,_t.=" R C'-1. • .
(If Located in Rural Area - Please Attach Directions) Pole #
Owner Permit #
Occupied As . ' Building: NewI/\ - Old❑
Occupant
' Work Area in Building (Floor #,etc.):
App. for: Wiring n Service n or: Ready for Inspection:
Fee Remitted-$ Cash n; Check n M.O. n - Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect:Heat ,
Switches 1 Amp. Service Surface Unit tf Dishwasher , Range
Lighting 4,.--'
•
Water Heater Air Conditioner w Dryer Pump
Receptacles •
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
: Amp. Receptacles Fractional H.P. Vent Fans
• Other Equipment: °J .., h,,4-14 S i`l:- \'';.�V-t -
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's .-. \'"(_Q,L f� (��r , „�p License'# Permit # -
Signature
T/A Utility:
J _ (NAME) (OFFICE LOCATION) -
Applicant's Address: i•=-r\ '") U•r% _`'�( / ( ',_, 1 c
, _l.,-'1 i-,-r f
(City) �`�,,1. 1-' ,: . ' (State) i\1 . ` ( • (Zip) \. 't(-' f Service Request #
Phone # ('C I` ) : l' - L(',,'1 `f Electrician: •
•
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location:, Same as Aboven or: •
Red Notice Label n
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater - Dishwasher
Fixtures Air Conditioner • Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8' 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 • 30 40 50 75 100
Mark Number
of Each Size • .
.500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
•
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE COFEECT FEE PAID
I I RW Progress: Inc.❑ LKD I I Contractor
❑ CFT Violation: Work Comp.❑ Inc. n
n L/A Owner . - CASH ❑
Fee CHK #
❑ L/A - Due MO #
n IPA Municipal -
_ • INV # •
Date: Other Side El - _ Utility Applicant ❑❑
• Owner
Cut in Card . n Temp # Date -
•
n Final #- Date • INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 11/89
s 7. !ee6..snaPt""..".astasi,, �fi a�i..��.. ta�i aft".4.1.e!-1 .".a . . ..��� "..I e,,a . i . ne .a�i.;�r•aP�r�;•���•��i.1,. . ,"lac�e ! , .1,!-e
THE NEW YORK BOARD. OF FIRE ` UNDERWRITERS PAGE .1
8021691 BUREAU OF ELECTRICITY / ;4
i'
�' I- 41 STATE STREET,ALBANY.NEW YORK 12207
i; Date NOV EMBER 01,1991 Application No.on fili;)812299lI'9_�- i'l. t 41-I137 , �L
THIS CERTIFIES THAT `�, � '� •
-$: only the electrical equipment as described below and introduced by the applicant named on the above ication number in the premises of •!
•-(B?P,BARA CHERRY, 246 B'URCH RD, QUEENSBURY, N.Y.
2 in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot
!:i, OCTOBER ''8,1991
k, was examined on and found to be in compliance with the requirements of this Board. ':P
OUTLETS
� .
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ':„
1, ECEPTACLES SWITCHES ;
• INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. • AMT. K.W. AMT. H.P. '�'.•^
�' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
�. BELL SYSTEMS 'i
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. �,OF FEET AMT. WATTS '; w,
'•
'i
i.4i SERVICE DISCONNECT NO.OF S E R V I C E ':
� AMT. AMP. TYPE MET
1 if 2W 1 if 3W 3.0 3W 3,e'AW NO.O FiCOND. OF CC.COND.. NO.OF HI-LEG OF HI LEG NO.OF NEUTRALS Op NEUTRAL '�
1' 1 200 CB 2 X ' 2/0 1 1/0
-I1 :1g
. OTHER APPARATUS: •��CZ
E. -i I.
150 AMP SERVICE DISCONNECT CB-1
ONE PHASE DIRE 4/0, 1 2/0 SERV.-1
rg
�! PANELBOARDS.1— CIR. 200
1.
B 1RB�1RA CHERRY +
NEENSBURY, NY, 12801 BRANCH MANAGER
.: Per
1::(e; 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. ' A
iai- ® o ® ® ® ® ______ ao ® ® o ® ® 000 -}
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
!te4"a ,e ne!.w"."e.4. .1",l.Inne..�nat<,J•n".1,1,2-"""..,,J.f(.J•?"Avi. .!.A.4 "-1,(. "Tt: }i, w.!-", "" h.,Ai.!.J)?
THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1
8019371 �'
so
�`', BUREAU OF ELECTRICITY '
1; F 41 STATE•STREET,ALBANY,NEW'YORK 12207 . . • a
1 JANUARY 0 2 Application .on ile C /t r 59
Date s 3;'199� PP f'. Ji3C'1 Ia1: 1 H 41�0�
�, THIS CERTIFIES THAT PERMIT :� 91 210 ��
0
only the electrical equipment as described below and introduc by the applicant named on the above application number in the premises of
BARBARA CHERRY, 246 BIRCH RD. , OUEENSBUR'i, N.Y . k
in the following location; `� Basement `� 1st Fl. ❑ 2nd Fl. Section Block Lot
IA.i was examined on DECEMBER 3 0.1 9 91 and found to be in compliance with the requirements of this Board.
is
Lk; FIXTURE ECEPTACLESI SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
is OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
10 =0 I�; 3. . • 1 1.3
4
1.
_ -<. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS g
SYSTEMS
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. • AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO,OF FEET AMT. WATTS ®E
., . , E,
•
W; SERVICE DISCONNECT NO.OF
5--: E___„--_-_-,.R V I C E
AMT. AMP. TYPE EMETUIP O 1,RI 2W 1 0 3W 3 A 3W 3 A 4W NO.OFpR,COND. OF CC.'COND.. NO.OF HI-LEG -OF.MdG ' ...NO.OF NEUTRALS OF NEUTRAL •14 "
It 1 00 CB 1 l 1 -I/0 1 /0
fi; 'i
al, OTHER APPARATUS:
ELEC. ROOM HEATERS:2-.5 K.W. ,,1-- ,75 LW. ,1-1 . K.W.
ELEC. ROOM HEATERS:1-1,25 K.W. ,1-1 .5 h_.W. ,1--2.5 R.W. :'; I
ELEC. WATER HEATERS: :1--I, 5 K.W. .
G.F.C.I: -7
' SMOKE DETECTOR:-1 o
1;
B\PBARA 'CHLRR;'_
w 247 B[IRCH RD. - - _ Uur�
�. OIJL''•E1i£iBl1R1 . i�;1�, 1"80=� BRANCH MANAGER
239 F.
.t
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.
- .,f-, -,.i";.,•,.-r,. ao WINO ® ® Igo ® ® ® 00000
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
y`j 531 BAY ROAD
''Va
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION C 1 r')
REQUEST FOR INSPECTION RECEIVED I// � i _,----__
NAME (SI C J ) U -�r j�;rC1
LOCATION SjO� o -rr t_0Z n, J
DATE l l J7 t I Q._. PERMIT# 9)_____i_Q 11/
TYPE OF STRUCTURE S,
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION _VBACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
' INSULATION WOODSTCVE/FIREPLACE
REMARKS 1
I
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATIOI
B VENT/LOCATION
PLUMBING VENT 9 ;+C
ROOFING ;
SIDING I X
DECK/PORCH/STEPS/''ILI GS X
RELIEF VALVES K
-FURNAeE/HOT _W?. ER__QPE ATING K
BASEMENT N LATION/-D CTWORK
INTERIOR IM/PRIVACYiD0ORS k
FINISH F ORS:
BATH/ ITCHEN WATER IGHT it
OTH FLOORS SWEEP, BLE
OT ER FLOORS CARPET ED X
ST IR CLEARANCE/RAI INGS ;ti
HANDICAPPED ACCESS
/
SMOKE DETECTORS j(
BATHROOM FANS/WHOLFH USE,==EENS- j<
ALL PLUMBING FIXTURE OPERATING X
GARAGE FIRE PROOFIN ' X
DOOR CLOSERS X
OTHER FIRE SEPARATION 1(
FIRE/DEMISE WALLS x
DUMPSTER x
SITE PLAN/VARIANCE REQUIREMENTS K
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C I(
COMMENTS:
•
C,.Y . lb (Sir&. C 0
ARRIVE /6,35 G, / 7
DEPART //-O;') , �' ./G/ - -----
INSPy'TOR `"
TOWN OF QUEENSBURY (",/-
, 531 BAY ROAD
`J ' QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME ' 1 ((.i7.2✓,_-,
LOCATION 1�0 l z,k1 i'`-/,! ;fy:-e �- C
DATE I- / /57 PERMIT# J/`0076'
TYPE OF STRUCTURE i-ip
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_
FOOTING F0-aNDATION —B"ACKFILL FRAffiING
—ROUGH PLUMBING FINAL ELECTRICAL —SEPTIC
�I'NSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCkTIe
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEP./RAI INGS
RELIEF VALVES
FURNACE/HOT W,•TER OP:RATING
BASEMENT INSiLATION/'UCTWORK
INTERIOR T' M/PRIVAC DOORS
FINISH FL IRS:
BATH/K CHEN WATERTIGHT
OTHER FLOORS SWEEPA:'LE
OTH FLOORS CARPET D
STAI 'CLEARANCE/RAILINGS
HAN,DICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
-COMMENTS: 9 ,f
0W/ Wn ), &- A-Lµnsr ;A-df
JO ICA- ( c-t-- Fd rZ bus P lx 7—c c0 AF
ARRIVE /;4-c— �.
DEPART t)/ FS
I SP T
TOWN OF QUEENSBURV ��
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 41-,VerA
NAME '/>Cvr J-to
LOCATION ( X .Z 4 , ,d/4, 4, �Gt
DATE 1/ 0f 0( PERMIT if
TYPE OF STRUCTURE /1 L'er :-(i4'vt-'
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 QF THE CONCRETE. ,:-
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLOUR
REINFORCEMENT IN PLACE ir
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL\ r
ROUGH PLUMBING 6, F
PLUMBING VENT/VENTS 'SIN PLAICE
PLUMBING UNDER SLAB \ f
FRAMING: \ /
JACK STUDS/HEADERS ?
BRACING/BRIDGING w
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FOUNDATION WALLS EXTERIOR R-
FLOORS s R- -1-'
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DUCT WORK OR PIPING IN UNHEATED
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REMARKS 4\
ARRIVE f//C/(}
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DEPART //;5 v A
INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT n/
REQUEST FOR INSPECTION RECEIVED
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LOCATION c30Yciikgi) cg „-ozeAffu_
DATE 7 Jc/C/ PERMIT # 91 — q o
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TYPE OF STRUCTURE Sj \c$ ��
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS I:
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM ,; 'r
FREEZING FOR 48 HOURS FOLLOWING qs�
THE PLACEMENT OF THE CONCRETE. t�
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR F/.
REINFORCEMENT IN RLACE
FOUNDATION/DAMPROOFING I
BACKFILL APPROVAL`,' /'
ROUGH PLUMBING / K
PLUMBING VENT/VENTS IN PLACE //
PLUMBING UNDER SLAB /
FRAMI NG: f/ K
JACK-STUDS/HEADERS /
BRACING/BRIDGINGii
JOIST HANGERS , /
JACK POSTS/MAIN BEAM/
FIRESTOPPING /
WALLS
CEILING k
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FOUNDATION ALLS INTERIOR R-
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FLOORS R-
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REMAR S:
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ARRIVE l 1• 1
DEPART it (5-C) /Le1 ,C,,e,L .
\ . I PE TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 ��L�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED /4‘/-/
NAME 79Tjec.CA- dQAj}r
LOCATION " 4 1,& Ai/kr/' l d
DATE 4X, 4/9/ PERMIT # 9/-24d
TYPE OF STRUCTUREAyy?04 /406/1 - (//s�,�,
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 SITE
FOUNDATION/WALL POUR ,
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING\
BACKFILL APPROVAL 1
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
)( FRAMING: \ K.
JACK STUDS/HEADERS 1
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM sr' '^
FIRESTOPPING
WALLS
CEILING
FIREWALLS ! ,
HEATING ROUGH-IN
INSULATION: 1 1y�
FOUNDATION WALLS INTERIOR R`- \ �..
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LLS R-
CEILING R-
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REMARKS:
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DEPART
INS CTOR
TOUR OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME --.C.-/a--?--1-\(!� -5--
LOCATION �, ( - (�, [ [
DATE d f 2 T1 Q PERMIT i q ^�`CCS
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 SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING r
BACKFILL APPROVAL i
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB r
FRAMING: 1 /
JACK STUDS/HEADERS /
BRACING/BRIDGING `t 1
JOIST HANGERS \,, /
JACK POSTS/MAIN BEAM
FIRESTOPPING '�,
WALLS \
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HEATING ROUGH-IN / 4.
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- l
FLOORS / R-
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DEPART
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 -
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME v 1 ,/)-d-Z.a gAl A /
LOCATION stf.; �44 0,a,,+(7A ,&
DATE 0/7 9/ PERMIT NO. // %/-,71d
f
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? ;YES - NO
Percolation rate - Min/Inch f
TYPE of SYSTEM: Sf
Absorption field, total length /+ C, )
Length of each trench c
Depth of trenches . 3 - j ,
Size of gravel T1-'7_-- 1
SEEPAGE PITS{Nuinbe I! /1
Size- . { ft. (!R°
Gra size ' V
PIPING: Size':j Type
i 1,
Bldg. to tank E;n`I,
Tank to dist. box /t( ; u'c—
Dist. box to field/ ' fit • C_-
Openings sealed? !YES,' NO Partial
LOCATION/SEPARATIONS:/
i
Foundation to tank r/ /a ft.i-
Foundation to absorption b?eft.-1-- .
. Absorption to lot line -..Lft.
Separation •of pitsi t:
LOCATION YSTEM. ON PROPERTY(circle one)
Front -Fear Left side - IRight side -
COMMENTS: • rjtf
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SW . c6),30-''''''',
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SYSTEM USE APPROVED YES NO
ifs
Building Inspector •
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
S
NAME '�-(t e. V' 4)L7Y-
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LOCATION (C - s
DATE j�/ % PERMIT f 9( W(/
TYPE OF STRUCTURE S i v\r L.
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 SITE
FOUNDATION/WALL ^' S�
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL ,
ROUGH PLUMBING
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FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS <'
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R.
FOUNDATION WALLS EXTERIOR R `;'
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REMARKS: �+ k,.
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BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 TELEPHONE (518) 792-5834 2
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED S (6)/9
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NAME tiv .�(G. C \ex\(-
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DATE , ( / PERMIT #
TYPE OF STRU TURE6 Qv`?
RECHECK U APPROV,ED'
N/A YES
OOTINGS/PIERS •
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IN PLACE
THE CONTRACTOR IS RESPONSIBLE
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FREEZING FOR 48 HOURS FOLLOWING /
THE PLACEMENT OF THE CONCRETE. f'
MATERIALS FOR THIS PURPOSE ON SITE/
FOUNDATION/WALL POUR t • /
REINFORCEMENT IN PLACE M a
FOUNDATION/DAMPROOFING ;' /
BACKFILL APPROVAL
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HEATING ROUGH-IN /
INSULATION: !' i
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FOUNDATION WALLS EXT RIOR R
FLOORS R.
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DUCT WORK OR PIPIT IN UNHEATED
SPACES /
REMARKS:
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INS'ECTOR
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Concrete Corp® CrliClemente
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CONCRETE BLOCK WIRE MESH POLY A TARPS THERMO STUD SYSTEMS
"Quality Conccr
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Washington and Front Streets SOUND BLOCK REBAn FIREPLACES SAFETY:oF, 1EnA
STUCCO SYSTEr.15 FACE ORICK CONSTRUCTION CHEMICALS TOOLS A RAN GEAR
RAIN PIPE
GREEN ISLAND,NY 12183
TRAY,NEW PORK 121Bg sEPnc rnr+K DISTRIBUTION BOXES DarvtEu
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(518) 272.5750 OFF TIBBITS AVENUE
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