1991-294 Y Jai
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date /i 2 3/1,/r
This is to certify that work requested to be done as shown by Permit No. 91-294
has been completed.
This structure may be occupied as a Si nOl P family diwP1 1 inn
"Locarion Lot 29 Morningside Circle
Vincent and Grace Ciafardini
Owner
By Order Town Board
TOWN OF QUEENSBURY
/1/4/ie'd � �n
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-294
WARREN COUNTY, NEW YORK z
1 (�
PERMISSION is hereby granted to Vincent and Grace Ci afardi ni
N
OWNER of property located at Lot 29 Morngi nsi de Circle Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Single Fami ly 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.
1. OWNER'S Address is
258 Delaware Ay
Clifton NJ
2. CONTRACTOR or BUILDER'S Name 'r1
Peter Imperiale
3. CONTRACTOR or BUILDER'S Address
337 Morningside Circle
Queensbury NY 12804
4. ARCHITECT'S Name
-S
cu
rD
5. ARCHITECT'S Address
0
c I-
6. TYPE of Construction—(Please indicate by X)
a)Wood Frame ( ) Masonry ( )Steel ( ) -
0
7. PLANS and Specifications —'
cq
No. 42'x56' Single family dwelling as per plot plan, specifications and
application including septic system and two-car attached garage. . _ CD
8. Proposed Use c
Singel family dwelling
277.00 May 15 92
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rD
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury Day.of / f� May 19 91
SIGNED BYz for the Town of Queensbury
Building and Zoning In`,pector rD
trz
TOWN OF QUEENSBURY `'�� �
REVIEWED B %/
,/;1111ft - FEE PAID $ a 77
F4 PERMIT NO.
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.
* * * * a * * * * a * * * * a a * a * a * * a * * a a a * a a * * * * * * * * * a
The owner of this property is: th 1Jec ►J "V A Vt_t -e e. Q 04.11.p a_ l N
P.O. Address. JCS OQ `a.W yL►v A i4-0 e C\i �=Ei� �v •�' Cel. �U 1 Ll1 )- C57 4 3
Property Location Lo$ act moRN1 I N C/S I i e C\2e.I t. Tax Map
Has there been any split of this property since October 1, 1988? / /''?- "� 9
If yes Planning Board Review is necessary. `` yes no
SUBDIVISION NAME, IF APPLICABLE t4G-01 \\Q12. p_or51C LOT NO. a
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
V€-1-e G P-A v4 l C
•
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF
/ Construction of a new building * CONSTRUCTION: $ I aS�O� Ga
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
• Size of property ) `y met/cc ft x ft.
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 '7 5- ft. Rear yard / 00 ft.
a
Side yards 3 U ft. and yr' ft.
•
GROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from side street ft.
1st Floor ///, sq. ft. 1/17 '
OCCUPANCY INFORMATION
•
2nd Floor / / 5 0 sq. ft. I I° • Primary
Building -
Other Floors sq. ft * One Family Dwelling
ft.
(not cellar or basemont 4.4 Two Family Dwelling
3O 1 sq, ft. • Multiple Dwelling/Number of units
TOTAL FLOOR AREA;
Size of new structure �� ftx ft * Business
,�,� .
Foundation-pier/slab/creatl/partial ' Industrial
(circle one) ' Other
•
No. of stories (habitable space) -2- •
Height (grade to ridge) a ft. • If addition, what will use be?
If residential, no. of families Ll •
N.o. of rooms(excluding baths) 8 •
Accessory Building
No. of bedrooms 3 •
No. of bathrooms • _Detached Garage ONE/TWO Car
36/c
Primary heating system N•Sl•A C • • £Attached Garage ONE O ' ar
Type of fuel CA I * Private storage building
No. of fireplaces to be installed 1 * Other
Will a wood stove be installed tz'n *
Central Air conditioning y,cs• •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: v6mo VAIG repro 6.0
00JLn
Type of construction, wo•. e, fire safe, etc. LIJ O-b V- �ZY�KYIE; nQ
Will any second-han• or ytgrade•.- � s� 1'umber be used? If so, for what? AS- �� . Seco nrcC •
am;1 �1 ` _coo + t % 'D I c t•a.
ti
Foundation wall material B ICSC'_AC Thickness l 6
Depth of foundation below grade (to bottom of footing) 5
Will there be a cellar? S Heated or unheated? t{Itl/-IC/a-Ti b Floor sq. footage sq ft.
Will there be a basement? tf L S Will any portion be used as living space? ‘ 10 k- Kt h+ au ig_(
(If so, what portion? 5c3v sq ft. Type of use? �1 i -y Roo frk•
Type of roof - sloped/flat she then Material of roof 0.,"(0 • /(, .CDC
Size, wood studs 'g_ "x " spacing (( " o.c. length ft.
Joists (floor beams) 1st floor ca. "x / 6 spacing /("o.c. span /3 , ft.
Joist (floor beams) 2nd floor 6,2 "x /0 " spacing /G"o.c. span /3 ft.
Overlays (ceiling beams) / O tics " spacing " o.c. span . ft.
Roof rafters a "x " spacing (C7 o.c. span /2 ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish Lt jb p 1 T. of what material?
Interior wall finish ce + fi-CSC/C
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Sj,' Fige e.O-1) e,
Is there to be an opening between garage and dwelling? yes If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? VG-S Height above roof .. t ft.
Depth of chimney foundation below grade 3-i ft.
Depth of fireplace hearth 4A ft. fo in.
Water supply <Municibr private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties i ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER{�c k vxfoi.Ip,i@ADDRESS33? Moil-h1i/43.1/0aTEL. NO. Ind s'O L.
c.i r2 elC
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
plans and specifications submittea, 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.
Signatur
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
.
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal Rating - Component. Trade Offs - 1 & 2 Family Dwellings;
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
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - nsoc-s Sq. Ft.
2. Type of Heat - Elec. Base Board Other 0 1 t
3. Is Building Mechanically Cooled? (1;45 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 3 0
B. Exterior Walls R
C. Glazed Area R 3 ` r
D. Exterior Doors R
E. Floors over unheated spaces R _
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 NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
atzr �r a. �, 577/2/ 9'?37� 9' e-
' G( DATE TELEPHONE NUMBER
APPLIN S SIGN'ATURE
INSPECTOR'S REMARKS :
yea-VtPALs
TOWN OF QUEENSBURY 1 '
41Virl APPLICATION FOR SEPTIC DISPOSAL PERMIT
Alp,A •
DATE: /7///l
LOCATION OF PROPERTY FOR I``NSTALLATI ON kO f j-c( 010(LAI I/0 9S /b £ C- I Eel(?)
Owner's Name: Ut ce K) T G ems C l u� F�-Vt- i+►•+
Address:.254 -I•elA-W ifa w ix. Prue_ Cj l c , w Co76i 9'
Installer' s Name: S)-A n TAie St-04Je ✓_- Telephone: .992 '725-7
l
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom)
Topography: Circle one.: (F`la) . Rolling Steep Slope % of Slope
Soil Nature: Circle one: nd Loam Clay Other /Depth:
Ground Water: At what depth? Feet
Bedrock or Impervious Material : At what depth? ' Feet
Percolation test: Circle one: . of requ— ire) required
Rate - Min. Per Inch
Domestic water supply: Circle one: Municipa Well Other
If domestic water supply is a well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank f(fo o - gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench ' feet/Total system length ,, -46 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
- Size of stone to be used #. r /Depth or Thickness feet
**,r**************************
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:ed-U., C 17_flwc&.2L DATE: a/2/9/
Septa S stem Inspections:
\11
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.
tile fields and/or drywalls
B. Nu system shall be covered before inspection and approval by the
tuilding Inspuccor. Failure to comply with this requirement may
result in the uncovering of cht system 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
'ice. Failure co produce said plot plan at time of inapeccioa may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or rupuir of an approved system, a new proposal must
bu submitted co the Quuunsbury Building Department before further
construction.
Town of Queensbury
BUILDTNC and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
•
•
4 •
TOWN OF QUJEENSB1.,TRY
, Bay at Haviland Roads,Queensbury,N.Y.,12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date 5 ( 7 • • 19 I Permit No.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention.and Building Code. The applicant or owner agrees to comply with all
applicable laws, ordinances, 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
• i Stove Coal Wood
Address 337 P1 0 a!U 1 o Q,r/ de C ( P.e /.a Furnace Hot Air Boiler
' ' '' ' Zero Clearance,/ Circulating Unit
qt-1 e P N S b(.(,i • Zip: / 02 (PO ./'. '.. { .-..
Phone cj: rj' 2 • If Non-Masonry:
Owner's Name Q/ NCPnit k Gfi‘,)c Q C t ;1 Paa c_4 'iw1
Manufacturer
Address a. T8 is.yel p t.,J A N 4 0 U2 Model Outlet Size
c ,\ i C 4-0 kJ , N • T , • Zip e 7,'- / -/ Listed by Number
Phone ) ' 1-0 a 076 CHIMNEY TYPE
• Masonry: Block Brick % Stone
' Property location of proposed construction Flue: Tile Steel • /'
:•1�0 q M ci i11U 10 qS 1'(.-2 Q 1 (Z C I t, ' Size: IC)'
Factory Built:
`t ee lU b� ��`i •/ Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall
ANI) CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ 57crtiO
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$
SONRY FIREPLACES AND CHIMNEYS.
CASHIERS DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department: Fire Marshal.„ Amount Collected Amount Refundd
Code Number Title ,25, ti
A 173 3389 (190)Public Safety
•
A233.2655 (230) Minor Sales
Fee Collected from or Refunded to: ek c.2-04-,0e//‘7
d
Address: 337 igveai`SS,J .C(i-cif._ .
f
Dated: - 1-3- `, I Town Clerk or Deputy 3 L P f/L C....0, 'I I
1
White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
7
/ MIDDLE DEPARTMENT INSPECTION AGENCY,.INC. \
National Headquarters '
1337 West Chester Pike,West Chester, PA 10380
APPLICANT COMPLETES THIS SECTION . Date:
City, Town orTownship nr( '� � / '/ '�`y County u| L /Q State
/
Location/Address /�i,� -� �i \ S
-.(IfLuoatodin Rural Directions) pn|o ** -
Ownor \ �/ '��� ^� �� ^� ^ `'� � ^ . | Poim� #
� � c � � ,` �. � i �- � ` �� L.\ ��' ' ' � ^ ' / / Building: No�n��� O|d| I
Occupied As ~ �� ` ' ' ��' ~ `` ` " � =�� '
' -
Occupant
Work'Area' in Bui|ding\Roo', #,bt�) ` -
App. �hn� N8hn8�l Ser�oo�� or � Ready for \nspoodon:
�� ' ' � � D | /�
Fee Remitted * i '� � / ` 'Ca h�]' '�-. � 11Chon�F� `� `� ^ 1ND. �] /KAahopayuNm7�� . � .
mo nm /mm 1250 1500 om 200" 22502500 2750300"
Number of Rough Wiring Outlets Elect. Heat
Amp. Service Dishwasher ~' RangeSwitches Su..~~ Uni�
Lighting pump. Heater / r Conditioner Dryer
Receptacles �� �� ' �'- Oven +~- Garbage Disposal Wiring and Controls for "'� Burner
Number of Fixtures —
/ ) Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS
H.P. .1p01oe vz z/o' z/o 1/4 1/31/2 3/4 1 zm x a u r* m zo ev zs sv *v ,o 75 mo
of Each Size
Mark Number
Applicant's/� �
' �`^��'�' �� ^ � ��' ^ p' Uoomm ** Ponnb #
Signature- ^T/A ' Utility: (mmwe) (OFFICE LOCATION)
Applicant'sAddress: '
'--11 u�r/�u "� ��} y �� � (zip) / l��Y ��� R�� #
(]tY) �`v ' .
�� cy "
/ �� ��� �_ Booth�an�
Phnno � / ` / '
'
K0O|A USE ONLY DATE RECEIVED: DATE INSPECTED:
_ ,jCo,mct Location: "-� Same u, Above F-� o,:
---�Ie'd Notice Label'F-1
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Cpnt,o|, for Amp. Rovopmo|o
Amp.So,viooConduotom Pump Vent Fans
MOTORS H.P. veo zuu 1/10 z/o 1/6'1/4' 1/3 ve o/° z z* e o y r* zo z, uo 25 ao ^v sv 75 znn
. Ma"`."""."".
of Each Size
' em ,= zmm 1250 1500175020002250 e5002750 3000
Elect. Heat
om*qsor FEE PAID
rso o�r�
oenT/r�Arnxmn USE FOR INITIAL n/mnrONLY NOTIFIED -����- ���n+/°
Fl RVV Pmom^ : Inc. LKDF-1 Contractor `
E:1 CFT Violation: Work Comp. Inc. CASH \
7L/A � Owner Fee CHK #
L1 L/A D«« N1O #
-� l |PA Municipal ' � �
' ' |NV #
Applicant
| |
Date: _ Oth»'Side�� UtilityOwnor
N
Cut inCard F-1 Tonnp ** Date ' N
'
INSPECTOR sSIGNATURE
F-� Final # Date ` ]
,
APPLICATION FORM NO.,250 EL 11/89
111 STATE OF NEW YORK
DEPARTMENT OF HEALTH
District Office 282 Glen Street Glens Falls, New York 12801 (518)793-3893 FAX(518)793-0427
Lorna McBarnette
Executive Deputy Commissioner TOWN OF QUEENSBU14 OFFICE OF PUBLIC HEALTH
RECEIVED Sue Kelly
Executive Deputy Director
MAY 1 5 1992 Brian S.Fear,P.E.
District Director
BLDG. & CODE DEPT.
May 7, 1992
Mr. Peter Imperiale
- 30 Morningside Circle
Queensbury, New York 12804
RE: . Heatherbrooke Subdivision
Lot 29
Queensbury (T) , Warren County
Dear Mr. Imperiale:
This letter will serve to confirm the Department's acceptance
of your proposal to use seepage pits instead of. a tile field .on the
above lot.The original subdivision map approved on April 6, 1977
indicated tile fields for sewage disposal. My knowledge of the
area and review of the original soil pits would indicate that the
site is acceptable for dry wells. The use of two six foot diameter
by 8 foot deep dry wells with a minimum of one foot of stone around
them would be equivalent to the. size of the leach field required
on the original plans.
Very truly yours,
Brian S. Fear, P.E.
District Director
I/�
l
BSF:ns
cc: Town of Queensbury Building Department
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804 1
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 11`}o�,-3)9'/
NAME jc •- G A I J f\(ICQ/►ti%t
LOCATION a j nW0e, C(ry_a,
DATE PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING .
/w
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYST
HOOD INSTALLATION =;,
AUTO. SPRINKLER SYST ,
ALARM SYSTEM
INTERIOR FI7 ES
STORAGE:
CLEARAN,E TO SPRINKLERS
CLEAR, ' CE TO HEATING UNITS
REQUIRED SIGNAGE
'I
C • MNEY
1ODSTOVE
• FIREPLACE-MASONRY .
FIREPLACE-FACTORY BUILT
REMARKS: Li OK TO THIS DATE
DZ, a cl ecIl.0 ,.
ARRIVE
DEPART
INSPECTOR
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 /u7,
NAME C �up (,/)j %
LOCATION /_
DATE /GSA/ PERMIT I 5/ -)i;/
TYPE OF STRUCTURE S/IP
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 ,r
THE PLACEMENT OF THE CONCRETE. ,,/
MATERIALS FOR THIS PURPOSE ON SATE
FOUNDATION/WALL PO R I
REINFORCEMENT IN PL CE /
FOUNDATION/DAMPROOF NG /
BACKFILL APPROVAL ./
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
✓PLUMBING UNDER SLAB 't.. 7 ✓
FRAMING: /
JACK STUDS/HEADERS '1
BRACING/BRIDGING f
JOIST HANGERS }'
JACK POSTS/MAIN BEAM
FIRESTOPPING /
WALLS a
CEILING /
FIREWALLS
HEATING ROUGH—IN /
INSULATION: /
FOUNDATION WALLS INTERIOR R—
FOUNDATION W1'LLS EXTERIOR R—
FLOORS J R—
WALLS / R—
CEILING R—
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
ARRIVE I
DEPART
INSPECTOR
1.
TOWN OF QUEENSBURY
531 BAY ROAD
_ QUEENSBURY, NEW YORK 12804
" TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIry
REQUEST FOR INSPECTION RECEIVED je04/2----
NAME rmi? wYLA ,/ LY/CO C� l Cli,oti't-e i)
LOCATION 9 6jj('IP
DATE /U//1//9,q PERNITO 91' 7 f `
TYPE OF STRUCTURE 45/e-2) w .Qe Cd 6�
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
j OOTING 1.FOUNDATION Lj6'ACKFILL 9 F�R�A ING
_L� vBUGH PLUMBING FINAL ELECTRICAL JEPTIC
.1„7I'NSULATION WOODSTOVE/FIREPLACE
REMARKS �� �j/1�/ )/e4A_a_e_,
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION ;(
B VENT/LOCATION K'
PLUMBING VENT ," X
ROOFING /
SIDING A
DECK/PORCH/STEPS/RAILINGS 1 )`
RELIEF VALVES
FURNACE/HOT WATER OPERATING 1/ x
INTERIOR TRIM/PRIVACY DOORS/1
FINISH FLOORS: f
BATH/KITCHEN WATERTIGHT(
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS "�
DOOR CLOSERS /
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING'‘
GARAGE FIRE PROOFING
DOOR CLOSERS / 1 X,
OTHER FIRE SEPARATION in
FIRE/DEMISE WALLS
FINAL ELECTRICALLt��+,r ;t-
OK TO ISSUE(C/0 OR C/C ){
COMMENTS:
�/ A /�
1eic ! Imo--C3 f:1
/ 1 �
ARRIVE
DEPART %f:3< Cu
INSPEC R
TOWN OF QUEENSBURY
FIRE MARSHAL 702
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME U�%z= i t
�rn,cn (�c����c.-c4 Au
LOCATION 44q �41/42�
DATE /c*?,%d PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS rr
EXIT SIGNS I ,!
EMERGENCY LIGHTING '
}
FIRE EXTINGUISHERS /
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATgON
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM y
} /-
INTERIOR FINISHES
STORAGE: 'ai
CLEARANCE TO/SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNA Ei
CHIMNEY s
,WOODSTOVE
.,/ FIREPLACE-MASONRY .�
FIREPLACE-FACTORY BUILT
REMARKS: I 1 OK TO THIS DATE
2/015 • IN P CTOR
ELECTRICAL INSPECTIONS
!�' DUPLICATE MUNICIPAL RECORD
Permit No. � 1!G
Vr �
Owner a ( �``
Occupant
Location 1-d�o�1 �O O�1/ 6 'ID !i
Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by Pa 7 41 iftP! �
' Date 10-46 `l daLCIVC-ir-- a 45spector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108
/ J~ ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
'WTLePS rem WIRING &CONTROLS FOR BURNER
3 RECEPTACLES / H.P.PUMP
6 FIXTURES K.W.OVEN
a0 DAMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
yo//
AMP.SERVICE CONDUCTORS / K.W. DISHWASHER
[� K.W.SURFACE UNIT K.W. DRYER
/ K.W. RANGE AMP. RECEPTACLE
/ K.W.WATER HEATER V FRAC. H.P.VENT FANS
i C-4"--11ea7— Pufui'S
r— rzc6
MOTORS H.P. 1/20 1/12 1/10 % ' )% % % )% 1 1% 2 3 5 7% 10 15 20 25 30 40 50 75 100
NARK NUMBER
)F EACH SIZE
APPARATUS •
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
�y �J •
NAME J/Kce/ /
LOCATION,rt �
DATE /o�/6/9/ PERMIT # 0-2 C/
TYPE OF STRUCTURE '0 Z-14ij ' KILtideM12
RECHECK APPROVED
N/A YES NO
K FOOTINGS/PIERS 0 ( /8J'r/ UuI'
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 d'
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFINGG ig.&iL ), /C/
XBACKFILL APPROVAL', /u ?_
ROUGH PLUMBING
PLUMBING VENT/VENT IN PLACE
PLUMBING UNDER SLAB /
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING ;
JOIST HANGERS
JACK POSTS/MAIN EAM.
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH IN
INSULATION:
FOUNDATIO WALLS INTERIOR'\-
FOUNDATIO WALLS EXTERIOR R-
FLOORS R
WALLS / R-\
CEILING R- "
DUCT WORK OR PIPING IN UNHEATED,
SPACES
REMARKS:
ARRIVE
DEPART
INSPE TOR
efY)
• TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR°S REPORT
REQUEST FORINSPECTION RECEIVED (Si ( ( C
NAME 1 FA j°A r\\ ) U 1 i\COvC a-
LOCATIO_I LN d €-4 �� \MCAV�� f` `� )
DATE (4 1 c 9 ow-
TYPE PERMIT N
OF STRUCTUREF c ,
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
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM'
HEATING ROUGH-IN `
INSULATION:j+lr�
FOUNDATION WA_LS/INTERIOR R- .
FOUNDATION WALLS EXTERIOR R-
e wo FLOORS
WALLS
CEILING R= • -
DUCT WORK .OR PIPING IN'UNHEATED
SPACES ,
REMARKS: '
- Yl
piAil
))6t-
.. S 2s ,'1
ARRIVE - ;
• % •
DEPART ,'
IN ECTOR"
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT � /i
531 BAY ROAD f
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ip)i 4oia v- 1 gze ( l3‘,/bALOCATION, i jy , � 77H4f,G•y f,,/6(e, C 2C'ZC'
DATE ��/,�/� PERMIT I �J�f
TYPE OF STRUCTURE
Gi
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
F}�EINFORCEMENT IN PLACE , 1�
OUNDATION/DAMPROOFING
+�BACKFILL APPROVAL i / ✓
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE /
PLUMBING UNDER SLAB g /
FRAMING: /
JACK STUDS/HEADERS a
BRACING/BRIDGING /
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRES TOPPING j
WALLS / y
CEILING /
FIREWALLS / S
HEATING ROUGH-IN /
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R- 1
WALLS / R-
CEILING / R- \
DUCT WORK OR PIPING IN UNHEATED \
SPACES
/ \
REMARKS: /
ARRIVE 3.-c. D /11��� IDEPART /KW/i
V S•ICTOR
NIftiy- 0 9iN\
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 690/
NAME CV-,\(G N(0 i I'l\ V I\a t'kAA:I- 1-G c
LOCATION -1-4 Iar I A S/'c)( arc EL
DATE (0).5 I C/ PERMIT I if - 9ti
1
TYPE OF STRUCTURE S Ao8e 0.I\N\ , 1
RECHECK APPROVED
N/A YES. 0
,YfOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF E CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE ;
FOUNDATION/WALL POUh
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL 1, /
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN`,PLACE /
PLUMBING UNDER SLAB /
FRAMING: /
JACK STUDS/HEADERS /
BRACING/BRIDGING /
JOIST HANGERS I
JACK POSTS/MAIN BEAM ,,t,
FIRESTOPPING
WALLS
CEILING i
FIREWALLS .
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R •
-
FOUNDATION WALLS/EXTERIOR R-
FLOORS / R-
WALLS R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES /
/
REMARKS:
'1
CA ' y
t--cKzt k,(. 7
ARRIVE 9 /f�
DEPART (A
INSPECTOR
Qucen3hur ' - Apc- -----
own ofa
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
�a Queensbury, New York 12801
/,LiiTC?/L7
SEPTIC DISPOSAL SYSTEM INSPECTION ,
NAME V , , z ,
LOCATION ij ,;)2f )X 4W/ dif, (/),L/
DATE Z5//5/JZ. PERMIT NO. 9�.?
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 graver,
SEEPAGE P ITS4Nth ber of) '2, y
Size- 5 ft. X \ 'ft. !
Gravel size , )3
PIPING: \ Size/ ype
Bldg. to tank \� `f ,Type
—
Tank to dist. box '1,„ tf Pdc_- •
-
Dist. box to field/.it?;, ,q' A/'L--
Openings sealed?__ AMDki NO Partial
tl.
LOCATION/SEPARATIONS: / \, •
Foundation to tank '/ ".,O f t.
Foundation to absorption 41.3cJft.
Absorption to lot line C;�C,ft.
Separation of pits j ft.
LOCATION OF SYSTEM ®N PROPERT,Y(circle one)
Front - Rear - Left! side - Right side -
COMMENTS: r Y"
A
Picyr P(^A-� G C
•
SYSTEM USE APPROVED NO,---.,
(/ ?/=/2( "4
Building Ins ector
01/86 and vl
A)
41
O I 2G4 A-+
o $
47
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- Zs �e , ' i OWN OF QUEENSBUh .
RECEIVED
E
'-SUN fS 1992
BLDG. & CODE iDEPT.
I HEREBY CERTIFY TO
V+"_?CENT S. & GRACI_ R. CIAFARDINI
ALBANY SAVINGS BANK, i'.S. B. , ITS SUCC I )) tORs
AND ASSIGNS
MONROE ABSTRACT & '1'I'CL('. CORPORAION
THAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON
THE GROUND ACCORDING TO RECORD DESCRIPTIONS AND
SHOWS LOCATIONS OF BOUNDARIES AND IMPROVEMENTS
ON THE PREMISES AND THERE ARE NO ENCHROACHMENTS
OTHER THAN SHOWN
LEON M. STEVES
DATE A) L"z 4 ; \5I 2
"UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB —DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW."
ONLY COPU FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.'
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUITION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.'
MAP OF A SURVEY MADE FOR
qvnc_E.,n-t Gizbcs V,. C%kVA%Z!Dl-nl
T0W14 OF w 4S _- s_ � c,� COUNTY, N.Y.
SCALE I 1 S. DATE; I S e e 4 I cJ9 z
Vadusev. k Steves
LAND SURVEYORS,GLENS FALLS,NEV YORE{
N.Y. STATE LIC. NO. 35617
s