1991-341 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 19 , 19 91
This is to certify that work requested to be done as shown by Permit No. 91-341
has been completed.
This structure may be occupied as a Single Family Dwelling
Location 32 t4i l dwood Place
Owner Jack P.. A Charl pnp - Frrnn
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
f
BUILDING PERMIT a
TOWN OF QUEENSBURY
No. 91-341
WARREN COUNTY, NEW YORK
44.
cN
PERMISSION is hereby granted to Jack P. & Charlene N. Erceg
rn
i
OWNER of property located at 32 Wi 1 dwood Place 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 n
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. lao
.
1. OWNER'S Address is
18 Baybridge Drive -1
Queensbury, NY
2. CONTRACTOR or BUILDER'S Name
Donald Maynard N
3. CONTRACTOR or BUILDER'S Address
Honey Hollow 8
4. ARCHITECT'S Name
CM
5. ARCHITECT'S Address
fD
15.1
6. TYPE of Construction—(Please indicate by X)
144
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications --1
No. 3,455 sq ft Single Family Dwelling as per plot plan specifications
and application
8. Proposed Use
SIngle Family Dwelling
•
$ 442.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 28, 19 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 28th_ Day of- May 19 91
SIGNED BY Epp-a t, l _ for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
REVIEWED BY Ai-D
..' 1 FEE PAID $ `7 -/- , - 7 {`i'OW OF`(1EENSBIJI 'r
� � PERMIT NO. 9 d 3 / P RECEIVED
BUILDING PERMIT APPLICATION MAY 2 21991
BLDG. & CODE DEPT.
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: J, C// �. /2LL-7U = /V• ERci G
P.O. Address /9 ,EA 6-J&E7/Z»'(= A". —61 SP ZP '/.1 27! Tel.(o7 ) - 793 5 s/0
IR 1-0
Property Location ? ()/L.DGf/OOD /',//9C'E-Q� .7JS/3l//Z /y.`-,,i Tax Map No. 7/
/ PoV
Has there been any split of this property since October 1, 1988? / iv-
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE GR4/J% Ade S LOT NO. &a
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Dom n L_D PT AJiI _
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF _f�--_
Construction of a new building * CONSTRUCTION: $ .e�i.`�L�i 1i/,'v,�+:��' -/3U$E � 7E
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
/ /, o"
* Size of property.319,g7 3z0 ft x/ t.
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 yard2 Yp ft.
yard90 ft. Rear
*
Side yards 410 ft. and .5' (., ft.
•
GROSS AREA OF PROPOSED STRUCTURE * [f on corner, setback from side street ft.
1st Floor - 213 j sq. ft. 3 5 *
I 3 0 * OCCUPANCY INFORMATION
2nd Floor /3 z- sq. ft. 3 * ' Primary Building -
Other Floors • �/ One Family Dwelling
sq. ft. 1
(..^.ot cellar or base:-:ont I ( Two Family Dwelling
TOTAL FLOOR AREA) 5S q, ft. { :P �1- Multiple Dwelling/Number of units
Size of new structure .� �1, * Business
,Qp2ft x (l ft.
Foundation-pier/slab/crawl/partial/full • Industrial
(circle one) • Other
•
No. of stories (habitable space) •
Height (grade to ridge) __?p ft. • If addition, what will use be?
If residential, no. of families / *
No. of rooms(excluding baths) w
/ Accessory Building
I
No. of bedrooms ' ' __Detached Garage ONE/TWO Car
No. of bathrooms o2 �� *
//
Primary heating system F/7/4 • N Attached Garage ONE WO Car
Type of fuel (rr/9.S * __Private storage building
No. of fireplaces to be installed / '
• Other
Willa wood stove be installed N U
Central Air conditioning L S •
// •
OV• ER
BUILDING PERMITAPPLICATION CONT[NUED -
BUILDING SPECIFICATIONS: -
Type of construction, wood frame, fire safe, etc. WOO .T-/C1- '
Will any second-hand or upgraded lumber be used? If so, for what? N/4
Foundation wall material 1/�,2,e74 ' Thickness e'r
/ ',r
Depth of foundation below grade (to bottom of footing) 7 - 74
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement?�e-s' Will any portion be used as living space? mac'
(If so, what portion? sq ft. Type of use?
Type of roof s ope. flat/shed/other Material of roof , G�r-___Le7J-.7.--p,6o 4_49-��I
Size, wood studs 51s "x 6 " spacing /6," o.c. length ft. S6i Le f
Joists (floor beams) 1st floor -2 "x /O " spacing /5"o.c. span /I ft. l/4424o v s
Joist (floor beams) 2nd floor__7„7x /0 " spacing/6 "o.c. span /4(ft. UiS�'<o yr
Overlays (ceiling beams) 2_ "x _" spacing /,6 " o.c. span ft. o
Roof rafters 7 "x /O " spacing L(oo.c. span ft.
Roof trusses (pre-engineered) spacingo1? s"� ft.
Exterior wall finish 72...,4, _z�®�o,g2„,'s"-°'"7of what material? L %',9/� `
Interior wall finish 6,//0 GG /y
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
./s3 F/2,0 .00. ,o /P�P/�%,(ice"/
Is there to he an opening between garage and dwelling? 1/so ,- If so will a Fire-rated door, enclosure,
self-closing device be provided? ye $
Will a flue-lined chimney be installed? feS Height above roof / ft.
Depth of chimney foundation below grade 0 ft.
Depth of fireplace hearth 6,2 ft. C in.
Water supply - Municipal or private well ,�lii/yd (-V i(
' SEPTIC SYSTEM Distance from ANY privat well (including adjoining properties �/JO ft.
(A separate application is necessary for any repair or new installation of septic system)
Do, JAl-D 176,0E y/76/1/4cv
NAME OF BUILDE11/7) 1//(JAeD ADDRESS Que�Sgi/,L�;J/I/, TEL. NO. 7 -1/43`-3
PIANACQE - /asd/
NAME OF PLUMBER JGS /g/ // ADDRESS TEL. NO.
NAME OF MASON JOh /7/1 y/7,,4-/e/ADDRESS TEL. NO.
NAME OF ELECTRICIAN ta717_vies- ADDRESS 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 /
ner, owner's t, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
Se
gir
*j TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fee Paid
Date: /V Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: 3 ())/4/5lj)00%) 47C'E -C (E.10-705 / , /0?
51
Owner' s Name: //9CK p. P#4/2C L7uE /V' C F G l 20
Owner' s Mailing Address: /fA��,P0GE . e. OG/H-7US8U1 Y /Uv/ cl)G
Installer' s Name: O/AODELL ,E5 Phone #:
Number of bedrooms (if residential ) : 1/
Total daily flow (residential-compute @ 150 gal . per bedroom) : 60 71/
Topography-Circle One: Fla Rolling Steep Slope % of Slope
Soil Nature-Circle One: San Loa Clay Other /Depth:
Ground Water-At What Depth? f( Feet
Bedrock or Impervious Material-At What Depth? d//,2 Feet
Percolation Test-Circle One: Not Required Required/Rate ' Min. Per Inch
Domestic Water Supply-Circle One: Municipal Well Other a/C/'/
If domestic water supply is a well -
Separation: Water supply from any septic absorption /1b -t feet
PROPOSED SYSTEM: Septic Tank /QOc gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench 60 feet//Total System Length ,g100 feet
Seepage Pit(s): Number of / / Size each: ft. x ft.
4 Size of Stone to be used: # 5 / Depth or Thickness /1no7-. feet
•
**************
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: DATE: r/`4///
Septic Syst.. ,spections:
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 all tanks, distribue;c,,:. '-,oxes, 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:
ENERGY CODE COMPLIANCE APPLICATION t
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
Vic? C4/ez)z rre 32 i /40,-, /6-e-
APPLICANT'S NAME PROPERTY LOCATION f
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 3 ySS' Sq. Ft.
2. Type of Heat - Elec. Base Board Other 7rce.,15 /L — 6 c
3. Is Building Mechanically Cooled? v YES NO
4. Percentage of Area of Windows and Doors Over 17% 1. 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 r
B. Exterior Walls R
C. Glazed Area R '7 Z-
D. Exterior Doors R /3,/(
E. Floors over unheated spaces R/
F. Edge of Slab on Grade (Heated Building) R ,G/
T
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R //
I. Heating/Cooling - Ducts = Piping in Unheated Space R - 4
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
'PPLICANT S SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS :
REVIE ED BY
9
•
° /ICH * • MIDDLE DEPARTMENT INSPECTION AGENCY, INC. -- National Headquarters
1337 West Chester Pike,West Chester, PA 19380 .
APPLICANT COMPLETES THIS SECTION -_(r,_'~/• ;t,= i.. f,•>( ilf r;;;' '_:, ';_'L:`:_ Date: r. ://f%
•
City,Town or Township - - ' !`;. , County I'''-''-' '-. State i\I 't '
Location/Address ' ..f •.
)rr` :' Ji 1_ ( ;, ,. , /
(If Located in Rural Area-Please Attach Directions)' Pole #
Owner _ /"''/ i =I_-_ , L / ! ,/,', .,,-7./: fir` /-r'.`.'(`7- _- Permit #
Occupied As - -, f' /` - - - ' ' . Building: New Old
Occupant • i,, -
Work Area in Building (Floor #, etc.):
App. for: Wiring® Service❑ or: - Ready for Inspection:
Fee Remitted $ Cash In Check ® 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 .
Lighting Amp. Service Surface Unit Dishwasher Range
Water Heater Air Conditioner Dryer Pump
Receptacles
Number of Fixtures Oven Garbage Disposal Wiring and Controls for - Burner
Amp. Receptacles Fractional H.P. Vent Fans
. Other Equipment:
MOTORS H.P. 1/20'1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100 '
Mark Number
of Each Size
Applicant's -
Signature License # Permit #
T/A Utility:
�h;= (NAME) (OFFICE LOCATION)
%
Applicant's Address: ` -`'' ; .//. ,t;/
(City) ' 'f•` ., . `�/'/ ` (State) /''/ -- %-` (Zip) -�) '�
" _ Service Bequest # /
Phone # %f s ) `''' Electrician: -1(,)/%'' -�`"/ _
MDIA USE ONLY •
DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above I I 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. I 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1i/2 2 3 5 71h 10 15 20 25 30 40 50 75 100
Mark Number 11
of Each Size •
500 750 1000'1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
ECT
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORFRE FEE PAID
1 RW Progress: Inc.❑ LKD I I . Contractor
❑ CFT Violation: Work Comp.❑ Inc. ❑ CASH n
n L/A • Owner Fee CH K #
r] L/A • Due MO # •
n IPA ., Municipal
INV #
Other'SideO Utility Applicant I 1
Date: , Owner
Cut in Card n Temp # Date .
-\ I I INSPECTORS SIGNATURE
Final # Date
APPLICATION FORM NO.250 EL 11/89
1'V VVAI, ,VE Ui1LE1®IS13U.KY .
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
•
APPLICATION FOR SOLID-FUEL BURNING-APPLIANCES AND FIREPLACES
Date 19 Permit. No. 90_ ill)
APPLlCATION 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. •
4::
Applicant's Name C ACK ? 6/4/el_E ,6 N,LEILG APPLIANCE TYPE ._
Stove Coal • Wood
•
Address /FAvAa/J) Furnace Hot Air Boiler
Zero Clearance Circulating Unit
CU/AJSA/J,121 Ai,, zip /4�0 .
Phone ( 7t) i93__ ,Q 4/0 If Non-Masonry: „
. Owner's Name ,. eK P. ("- A2«:-uc /1/ eyeeL_G
Manufacturer
Address A S , Model Outlet Size
C •
. /6)/91 , ►i C/ Zip • Listed by Number
Phone •
CHIMNEY TYPE .
Masonry: Block Brick ) Stone
Property location of proposed construction' Flue: Tile ) Steel
/P//71 IOZ) PIN F Size: '
0(. i. -ZJSAIMV A1•V /04W • Factory Built:
Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS . Height Listed By Number
REQUIRE!) FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ '
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$
•
SONRY FIREPLACES AND CHIMNEYS.
•
. CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK'
Department: Fire Marshal Amount Collected Amount Refunded
i Code Number Title ,
A 173 3389 (190)Public Safety •
A233 2655 (230) Minor Sales .
l! ( c�llccled from or Refunded to: -GG.f. #' rho.
V L42-11 ,oc C t' CP O`
_
Address: .--, 1
Daled: / Town Clerk or Deputy ( J '' !�r—)1 ,V
_..rj
. ,..( 9
' White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No.
Owner
Occupant
Location tore-Par -c3 f L-
No. Street
aCt F —11/S Bag ''
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable codes.
Installed by
Date l 2--" "- L / L l f' _ 1 J. �� G('Q= inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108
/ 6 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER •
/U O!ETS t�L - WIRING &CONTROLS FOR BURNER
57 RECEPTACLES - J H.P.PUMP
L 2-- FIXTURES ` K.W.OVEN
16 AMP.SERVICE EQUIPMENT / H.P.GARBAGE DISPOSAL UNIT
yepMP.SERVICE CONDUCTORS / K.W.DISHWASHER
!% K.W.SURFACE UNIT J K.W. DRYER
K.W.RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
Se'rvmm 1. //2c 5 j it-
MOTORS H.P. I/20 1/12 I/10 % %s % 'h %: '/ - 1 1' 2 3 5 7h 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
'1. h.6,rs dk :
TOWN OF QUEENSBURY �^
j`A:` , 531 BAY ROAD �1
�
"ii��'' QUEENSBURY, NEW YORK 12804�'
� ir
' ` TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION • r
REQUEST FOR INSPECTION RECEIVED / _ ) ' lI
NAME Y Q-' ,_ GG.) 4c-
LOCATION 3 )`1 auu cy)l i Cc2_,-!
DATE " ( PERMIT#
TYPE OF STRUC RE ) (\ c4,f\ c km l I L( y))e)i I
RECHECK C)
FIRE MARSHAL APPROVAL (COMMERCIAL SXgAMING
RUCTURE)
1 FOOTING ')(FOUNDATION BACKFILL
ROUGH PL BING FINAL ELECTRIC/A' SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION K
PLUMBING VENT x
ROOFING A.
SIDING x
DECK/PORCH/STEPS/RAILINGS - --- X.
RELIEF VALVES )L
FURNACE/HOT WATER OPERATING K
BASEMENT INSULATION/Otf€TW$R*- x
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED n
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS A'
SMOKE DETECTORS IC
BATHROOM FANS/WHOLEHOUSE/FANS X
ALL PLUMBING FIXTURE PERATING A-
GARAGE FIRE PROOF yX
DOOR CLOSERS
OTHER FIRE SEPARATION )C'
FIRE/DEMISE WALLS IC
DUMPS TER }C
SITE PLAN/VARIANCE REQUIREMENTS )X
FINAL ELECTRICAL Lthu___ C'di -
OK TO ISSUE C/O OR C/C
COMMENTS:5o '16 /6-/,V 63 Ale-g-
,�`4%eoR6-Iv 13U7--hu PC/9 " -
bee___0Aitt-f
ARRIVE 3;-
U
DEPART 3:_'2/G z-
INSP
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION -5 7.-,x4,G71
DATE (0( hr PERMIT# 77-3)/7
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM i
ALARM SYSTEM
INTERIOR FINIS ' S
STORAGE:
CLEARAN TO SPRINK ERS
CLEARS CE TO HEATI G UNITS
REQ71 SIGNAGE
CHIMNEY
WOODSTOVE
.FIREPLACE-MASONRY V
FIREPLACE-FACTORY BUILT
REMARKS: LJ OK TO THIS DATE
6/4. ' 1)
•
ARRIVE 1
DEPART //s7A311 4
/ -44
INSP CTOR
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
NAPE C
r� ll
LOCATION LUtL:hLiu0Cc ()LAW
DATE /2--//Z-/Q/ PERMIT if1 - 3 f uf
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
REINFORCEMEN IN PLACE
FOUNDATION/DA P\ROOFING
BACKFILL APPROVAL
ROUGH PLUMBING 1
PLUMBING VENT/VENTS IN 'LACE
PLUMBING UNDER s\ B
FRAMING:
JACK STUDS/HEADE,V
BRACING/BRIDGIN'k •
JOIST HANGERS 1
JACK POSTS/ ' N TtAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING R► GH-IN
INSULATI'N:
FOUND°TION WALLS I TERIOR R-
FOU aATION WALLS E TERIOR R-
FLPIRS R-
W'LLS R-
EILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS
:A
/= r w Ce/ i i2_
pu
LA-6s 5 s
S'r Ly)S i '02-0t°6 -
ARRIVE
DEPART
I SP TOR
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
MAME
LOCATION - 2-(Of c �
DATE �L � j g ' PERMIT 9 91-34/
TYPE OF STRUCTURE '
RECHECK APPROVED
N/A YES NO
X FOOTINGS/PIERS a,
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 FORi�THIS PURPOSE ON SITE
FOUNDATION/WALL POUR r�
REINFORCEMENT;IN PLACE
FOUNDATION/DAMPROOFING r
BACKFILL APPROVAL
ROUGH PLUMBING`
PLUMBING VENT/VF�NTS IN PLACE
PLUMBING UNDER S4AB ,
FRAMING: A 7
JACK STUDS/HEADERS /
BRACING/BRIDGING\ ,'
JOIST HANGERS \/
JACK POSTS/MAIN BEAM
FIRESTOPPING i \
WALLS I
CEILING I
FIREWALLS /
HEATING ROUGH-IJ
INSULATION: �/
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE 4 /
f;
DEPART `> -.3 U `1,
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 /1/5/GJl
NAME C iC K 4- C_�v.i s\i n
LOCATION "3,- ���� Id /,c-) 1' cQ
DATE 10/4 G// PERMIT # 91 j L
TYPE OF STRUCTURE C( Q
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/DAMPROOFINGI ;
BACKFILL APPROVAL . 1 /
ROUGH PLUMBING
PLUMBING VENT/VENTS IN' PLACE
PLUMBING UNDER SLAB 1'
FRAMING: d
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM''..
FIRESTOPPING /�
WALLS /y
CEILING /
FIREWALLS
HEATING ROUGH-IN/
"INSULATION: n f
FOUNDATIO \MALL INTE IOR R-
FOUNDATION/WALLS EXTERIOR' R-
FLOORS R-
WALLS % R-
CEILING' R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
7. '�
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ARRIVE
DEPART cDG
INSPECT R
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 72474
LOCATION -��g1.�JA ��C�
DATE r PERMIT# 7-2`//
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING j
� r
FIRE EXTINGUISHERS \;
AUTO. EXTINGUISHING SYSTEM /
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM '\/
ALARM SYSTEM A
I \
�
INTERIOR FINISHES a
STORAGE:
CLEARANCE TO SPRINKLERS '
CLEARANCE TO HATING UNITS ;,
REQUIRED SIGNAGE!
CHIMNEY /I
WOODSTOVE /
../FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: ,\I OK TO THIS DATE
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DEPART /I ' T �,GG(('\l��
; 51-
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 2 C 3�U
TELEPHONE (518) 792-5832 J
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED614/4V
NAME je4:. 7Tcec
LOCATION 3 2- '0/7/1 I"l✓'.--�
DATE J,A 7/ PERMIT f C?/' 3C-//
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 CONCRETES
MATERIALS FOR THIS PURPOSE ON' SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING r, i
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS INrpLACE
PLUMBING UNDER SLAB r'
FRAMING: `
JACK STUDS/HEADERS,(
BRACING/BRIDGING j'
JOIST HANGERS rr
JACK POSTS/MAIN f.BEAM y _
FIRESTOPPING
WALLS /
CEILING rr
FIREWALLS r'
!EATING ROUGH-;I
INSULATION: ' / /
FOUNDATION/WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS /, R-
WALLS R- �! 1/
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
70
ARRIVE
DEPARTs �.�
INSPE 0
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
NAME 94/1h / Cha_kiw Ej e C D
LOCATION OZ //U ._eduI7)7d a '?
DATE 9/ (o /g/ PERMIT f 9/
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE 1.
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 ROUR t%
REINFORCEMENT INfPLACE /
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL I f
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB / /
y, FRAMING: j ,/' L/
/. JACK STUDS/HEADERS /
BRACING/BRIDGING' /
JOIST HANGERS \yr
JACK POSTS/MAIN FOAM
FIRESTOPPING
WALLS
CEILING /
FIREWALLS
HEATING ROUGH N \
INSULATION:
FOUNDATIO WALLS INTERIOR R-
FOUNDATIO WALLS EXTERIOR R-
FLOORS \ R-
WALLS \ R-
CEILING \ R-
DUCT W K OR PIPING IN UNHEATED
SPACES �.
REMARKS:
ARRIVE �� l
DEPART 42
INSPECTOR j
_/own of Qu 'eniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME aAtie,, -4 0170 �.(PA"", be
U LOCATION , 3;,� )Aft Id oGD/ Pi
DATE �/ GJ/ PERMIT NO. 9/-,gL
l
SOIL TYPE - Sand oa r- Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SY�-TEM: d
Absorptionffield, total length 3 a
Length of each trench 15
Depth of txenches 5k—c/
Size of gravel d'yi
SEEPAGE PITS(Numbez of) '
Size- ftn‘ X / ft.
Gravel size k
PIPING: \ .1.' Size Type
t P fl
Bldg. to tank E
Tank to dist. bdx </i" Pile,
Dist. box to field/pit di " Pcfc 2'
Openings seale?? `YES NO Partial
LOCATION/SEPARATIONS: •
Foundation tot tank ` /5 ft.
Foundation to/ absorption -36 ft. .
Absorption tc lot line \ 6-0 ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PR PE TY(circle one)
Fro -- Rea - Left side - JRight side -
COMMENTS: �•
1.
•
SYSTEM USE APPROVED dip NO
155 311/2-7
. Du' ding Inspec or
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0
TELEPHONE 792-5832(518) 4
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME \%t/ .G/^Cec
LOCATION 3 Z Gi/."��G✓c' : f �'
DATE Mi 0l PERMIT I 5%(-.3 Y/
TYPE OF STRUCTURE <SNr/ ;"4
_ //
RECHECK L s7G�n 4A4/ fz�/:/SPPOVED
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
FIRESTOPPING
WALLS
CEILING
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
REMARK
of a -um 6\ (105. f ,
ARRIVE f 2 �C7
DEPART 1 /5 Iu
INS CT R
cal ;
TOWN OF QUEENSBURY (�,
BUILDING AND CODES DEPARTMENT -• 1 ,g\'
531 BAY ROAD I IU r
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT ` q +
REQUEST FOR INSPECTION RECEIVED (�//
NAME C �-Q J
LOCATION T7 CJ L_ o CEO
DATE /�1 C1/ PERMIT
TYPE OF STRUCTURE cc.::(\p?Li5ct].(;„^NA,Nb
RECHECK Y C&r&-`Ng-N/APPROVEDNO
y 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 ,
FIRESTOPPING / 1�
WALLS i
CEILING r�
FIREWALLS / •
HEATING ROUGH-IN r ".
INSULATION:
FOUNDATION WALLS/INTERIOR R-
FOUNDATION WALLS EXTERIOR R- 1
FLOORS I R- .
WALLS ! R- ;A
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
9 3�
ARRIVE ,�j
DEPART 9�� G��"
INSPEC R
TORN 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 Lek ` Lf'/���Q( t Cam-- a (°
LOCA ION 747;,Yd/,.(f 7j-0-
DATE 6//9/9/ PERMIT I — .9/
TYPE OF STRUCTURE (n 2,//J pnc()// wl CJ�
RECHECK ?� i/t 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
X BACKFILL APPROVAL
/, ROUGH PLUMBING
PLUMBING VENT/VENTS IN'.PLA.CE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS a
BRACING/BRIDGING fi
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING 6
WALLS I
CEILING I
FIREWALLS e
HEATING ROUGH-IN / ',•
INSULATION:
FOUNDATION WAILS INTERIOR R- \
FOUNDATION W LLS EXTERIOR R-
FLOORS / R- ^:
WALLS / R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES \
REMARKS:
ARRIVE ,/
DEPART 7 3
INSPECT
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY9 NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED ,_9W/61/
NAME 9p-0-0/ O(/l ak"QilL--2
LOCATION 52 f a,d 0--kee (7
DATE ,74P 1 /tf/ PERMIT # gI` y1
TYPE OF STRUCTURE 4ii g/f 7Lzcn(1j11 d /,647
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
FIRESTOPPING g
WALLS
CEILING
FIREWALLS !.
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS p R- .
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED \
SPACES
R EMAR KS:
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S2 A- 2&-O o t'- 2, o�`it A!' ,
ARRIVE "7� (-7
DEPART �45
SPE TOR
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