1991-327 •
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN .COUNTY, NEW YORK
Date February 5 19 9 2
•
This is to certify that work requested to be done as shown by Permit No. 91-327
has been completed.
This structure may be occupied as a Single FM i 1 v Dwelling
location Lot 166 Al aonai n Drive TvnstenM
Owner CGiri sti ne A Cr p v Pag+ea1 tsars
By Order Town Board
TOWN OF QUEENSBURY
/4771
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-327
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Christine & Gray Paeglow
OWNER of property located at Lot 166 Al gongi n Drive Street, Road or Ave.
ry
in the Town of Queensbury,To Construct or place a Si nrgl P FAmily Dwelling -ss
at the above location in accordance to application together with plot plans and other information hereto filed and y'
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
•
fD
1. OWNER'S Address is
Bldg. #10 Apt 5 c,
Prospect St.
Lake George, NY 12845
2. CONTRACTOR or BUILDER'S Name
CL
Edmund F. Tomac CD
ca
0
3. CONTRACTOR or BUILDER'S Address
r
5698 Lakeshore DRive 0
Diamond Pt
cr,
4. ARCHITECT'S Name
0
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( I Masonry ( I Steel ( ) fD
7. PLANS and Specifications a �•
444
No. 2,304 sq ft Single Family Dwelling as per plot plan specifications
and application ro
8. Proposed Use —r
O
Single FAmily Dwelling
$ 3?4_00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 20, 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 th Day, v 19 91
SIGNED BY for the Town of Queensbury
Building and Zoni Inspector
TOWN OF QUEENSBURY
REVIEWED BY �G(J
OF QUEENSBURY
41,1111114416M FEE PAID $ ,21 f9f- ?S RECEIVED
./Mr PERMIT NO. 9/,_07
MAY 171991
BUILDING PERMIT APPLICATION
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: C H I Z I f NE e G RA Lf p gz er"L c W
P.O. Address(4,./dx•di/0/>Vr..r 7A)OSP/ /6-7 A.At/1 g G D A ' Tel.
U Property Location lm..a_7 ( ' = 1-G 4N .1)R I VI l/j/sU4��Db. Tax Map No. / /
Has there been any split of this property since October 1, 1988? 1 / /VO
If yes Planning Board Review is necessary.
�-� yes no
- /SUBDIVISION NAME, IF APPLICABLE y k y,/Dall LOT NO. /(pro
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
*
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF •
•
/ Construction of a new building , CONSTRUCTION: $ 1,QQ, 000,, �
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property 12..5 ft x e ft.
Alteration to a building a Existing Buildings(3) Size ----ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) * Front yard 'c4 ft. Rear yard /6 " ft.
* Side yards 2 0 ft. and s ft.
•
GROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from side street"" ,, ft.
1st Floor i/ 6-7 sq. ft. I "� I �t *
_ " "% OCCUPANCY INFORMATION
2nd Floor 1 J sq. ft. I * Primary Building -
/ c,
Other Floors sq. ft. r� (
One Family Dwelling
(not cellar or baseront J Two Family Dwelling
171 Multiple Dwelling/Number of units
TOTAL FLOOR AREA 23 O' 'sq. ft. ft t
Business
Size of new structure'32— ft x
Foundatio ier/slab/crawl/ Industrial
n'P� partial/ ff�i
(circle one) * Other
•
No. of stories (habitable space) — ,
Height (grade to ridge) 30 o ' ' ft. • If addition, what will use be?
If residential, no. of families / •
No. of rooms(excluding baths)
No. of bedrooms •
Accessory Building
' •
No. of bathrooms 2, • ,Detached Garage ONE/TWO Car
• X Attached Garage ONE WO Car
Primary heating system ���U,�9� �
Type of fuel P'L(re—_ ' _Private storage building
No. of fireplaces to be installed / *
Other
Will a wood stove be installed ,rro
•
Central Air conditioning fG
OV' ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. h/O b 0 F-R 6-
Will any second-hand or upgraded lumber be used? If so, for what? L-11
Foundation wall material P (7-1A�QrL GrYlt,C o, g0 Thickness a
Depth of foundation below grade (to bottom of footing) '7
Will there be a cellar? (.42,0 Heated or unheated? N 0Floor sq. footage I I brt) sq ft.
Will there be a basementL'1 () Will any portion be used as living space? N`O
(If so, what portion? 0 b sq ft. Type of use? I V D Type of roof - sloped/flat/shed/other laterial of roof 4,,,,Cp
a...0,P,
Size, wood studs "x / " spacing/6 " o.c. length s" ft.
,I
Joists (floor beams) 1st floor Z "x 17j" spacing /,6 "o.c. span/7 1" ft.
Joist (floor beams) 2nd floor �?i "x/ . " spacing /, "o.c. span /6�IL��ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacingZ-D " o.c. span J2- ft.
Exterior wall finish �y(6, „ c cLci ' of what material? CerLzAl `
Interior wall finish S '6v� %as:.- 4" �- '
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
II
Is there to be an opening between garage and dwelling? (� If so will a Fire-rated door, enclosure,
self-closing device be provided? p
LQ
Will a flue-lined chimney be install ? 4 0 Height above roof ft.
Depth of chimney foundation below grade NI ft.
Depth of fireplace hearth ft. in. r .
Thr
Water supply - Municipal or private well /f1) lwliL,L,�t
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 ror1unto F (oMtc. ADDRESSS-ggVA/<6N°e.EoR TEL. NO. 66 g -2- 36
DiIrn1ojD iyy
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 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.
Signatur -
Owner, owner's agent, architect, con , ctor
SPECIAL CONDITIONS OF THE PERMIT:
BY
TOWN OF QUEENSBURY
` i i APPLICATIOfi FOR SEPTIC DISPOSAL PERMIT
•
DATE: rqa4i 13_ , 1 ( 1 /
LOCATION OF PROPERTY FOR INSTALLATION (, win )
Owner' s Name: „A /' -„J11 )
Address: /
Installer's Name: /47,6 - /0/'14- Telephone:
'-i'o rM rfi C' v 1 14D E ..
Number of bedrooms (residential only) i4
Total daily flow (compute @ 150 gal per bedroom)
Topography: Circle one: 41010 Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? c-z& Feet
Bedrock or Impervious Material : At what depth? -1( Feet
TOWN OF QUEENSBUR
Percolation test: Circle one: not required require r-st=CE,VED
Rate - 305ect, - , Per Inch MAY 1 7199'
Domestic water supply: Circle one: Municipal Well Other )
If domestic water supply is a we : BLDG. & CODE DEPT
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank / L 0 O gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trenches St) feet/Total system length 2 6-O feet
SEEPAGE PIT(S): of /Size feet
by f
Size of stone to be used it: 2-
/Depth or Thickness l -7._ — Z. feet
a t r**************************
HOLDING TANK SYEMFUIR R'�EQED
NO. of Tanks r' ST Size of Each ,---- Gal .
*Alarm system and associated eccttrical work to be 'sue --
agency. Pected by an app
/j
I have rga the regulation on the rever a side of this �e and agree to abide
by theg�sse and all requirement the Town of Queensb� Sanitary Sewage Disposal
Ordfrfance.
SIGNATURE OF RESPONSIBLE PERSON '612/G6 _ 07y1-fC_DATE: ? ,/�39/
I
•
•
•
Scotto SYscsm Inspections:
A. All applications -for septic *yetis installation, alteration or repair,
as required by the Town of Quesnsbury Sanitary Sewage Ordinance, shall
be subnicced .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 co lot lines
3.) location and distance to structures
4.) location and distance to any water supply •
5.) size and dimensions of all tanks, distribution boxes.
vile fields and/or drywalls •
B. Nu system shall be covered before inspection. and approval by the
uuilding Inspuctor. 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
rusult. in an immediate work stoppage. •
D. Should unforeseen problems during construction prevent proper instills—
. cion, alteration or rupuir of an approved' systsa, a new proposal must
bu submitted to the Qusunsbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Que.nsbury, New_ York 12804
•
kamarks:
•
•
•
ti •
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods: TOWNREE CEIV D SEDFiIr
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) MAY 17 1991
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwel l i ng3LDG. & CODE DEPT.
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
Ckf / f Q.A6Q76 71/rE Pizpe--6 L o etl 66 R i-GoN4 U/iil Lk./1/ ""
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 2- S °a Sq. Ft.
2. Type of Heat - tl.c< Elec. ^Ba e--Bea-r-d Other /tL AT 1 U M
3. Is Building Mechanically Cooled? ) YES NO
4. Percentage of Area of Windows and Doors Over 17% Y Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
—B a s ebo-ard-
5. Insulation Values: Actual Shown Elec. Heat .her
A. Roof & Floors exposed to ambient temperatures R • etAfry3
B. Exterior Walls R 2.,
C. Glazed Area R B•5 - 0,2 6
D. Exterior Doors R 1 5
E. Floors over unheated spaces R
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R ) S
H. Basement/Cellar Walls (Below Grade) R I
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
,r TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
97C-Cf
I NATURE /DATE TELEPHONE NUMBER
PPLI ANT SS N
INSPECTOR'S REMARKS :
REVIEWED BY
TOWN OF Q LIEENSB LIRY
, '; Bay at Haviland Roads,Queensbury,N.Y.12801-9725 '
--:—.• APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
-Date ; •"J`-1/7 19 9/ Permit No. 9/2,7
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 witli':tIl
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 41) G(,,,, d,,..„7„,, p/¢P4./„Grp>. APPLIANCE TYPE
. ✓ Stove Coal Wood
Address• •/Ddas,oe /St 4Q/3 ? Furnace Hot Air Boiler
/ //�� Zero Clearance k Circulating Unit _ V
__ -- G M�f 6—eooe ,°e /' zip lZgyl---
• Phone V V . If Non-Masonry:
Owner.''s Name ' jay • .
Manufacturer VIE flfn w�f,
Address cf-s t Model (wYfC (G cP '
• k) i � ''Outlet Size
. Zip • Listed_by « L ~ Number
Phone
• CHIMNNEY TYPE
•
. Masonry: Block • Brick Stone.
• ' Flue: Tile Steel • Y
1'rc�p/cryy local io �fof proposed construction F r
/OT/1‘ / Di19G6i�J2 Size: 2 tK.4�
• • Factory Built: S�'L � S Of rf
�1t9S u R li AV
_ - .__.Manufacturer Model SS T Size
('()PY OF MANUFACTURER SPECIFICATIONS IS Height Listed By '.t/L. Number VL'ld
• REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall ' X Triple Wall •
AND CIIMNEYS-.-MUST BE INSTALLED • Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ -Y713. 7" 5" --- ._
CONSTRUCTION'DETAIL REQUIRED FOR MA Fee$ r
SONRY FIREPLACES AND CHIMNEYS. -
CASHIER'S DEPARTMENT '
• . TOWN OF QUEENSBURY, NEW YORK
• Department: Fire Marshal Amount Collected Amount Refunded '
Code Number Title r�' -
A 173 33R9 (190)Public Safety
A233 2655 (230) Minor Sales ..
'i c (;c�llcctcd fron ReRefunded to: ha.e `,. v_. �fj, /i ,UI1iiJ ./4;O G%i1-1�/
Address:ress: C/
Dated: 7/7/Z/Town Clerk or Deputy /0 - cDL .._-_
White:Applicant Yellow and Pink:`Cashier's Department. GdMenrod:Fire Marshal
' • YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
' • FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY -
THE UNDERSIGNED
TEMP.# DATE i../ - -; J J '
(
CITY OR VILLAGE -, _ TOWNSHIP -, 1 .�, /. - �COUNTY 1
STREET AND NO.OR ROAD '_./�° - ("` j _ POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANTS NAME BUILDING OCCUPANCY__
lIi 1 4' 7'' -i:: . J,.: 7 /.!-tom%iL a
OWNE SN EANDADDRE,SS .� - . - - HOME TELEPHONE NUMBER
- -A
I( (S ( l 1 I\I L �_ t\'r C/ ,j-:)r; r k_ ( aI ,. -,,t:,._. =-i,J!7
CURRENT SUPPLIED BY ' FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS I--I
NEW g OLD❑ WORK IS NEW 0 ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED •
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE '
SUB-
•
BASE
BASE-
MENT
1st
FL.
2nd '
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS •
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS • TOTAL WATTS
CHARACTER OF WORK • ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA _
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND ' -
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER DENT E CATION PUMANTS I I I;1,. I I I I.
• AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS - " ,
/ .
NAME OF APPLICANT _ DATE OF APPLICATION SIGNATU OF APPLICANT .' ,,,,,:if
Ti. f ll�''� 1) (v N` _r . . ' C Iv rf' C' ( Xr' sue' 7%•1,:9, 2: / /r•:;✓il'L
STREET ADDRESS_ �,r_ may= •
- TELEPHONE NO.
i—,. t� `f ,o-f2 �..-� •. / !. ,_ Q�
.CITY OR_POST OFFICE �'
/I / ZIP CODE LICENSE NO.WHEN APPLICABLE
l `, /' .;r,. J is !I 7 f. L"�-r( - I 2-55 2—< .
❑ 85 John Street ❑ 41 State Street ❑r 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
THE .NFW°YORK BOARD OF FIRE UNQERWRITERS ...:. -
. _(,,,z...\/.)./.\/.\ 1 1 r.\ r_\/.) t 1 /.\/.\/.t,/..\l.1..1„1!.) /-\/.\ /.1/.)1 l.\4,1!.\!.1,\\ /.\/.1/.\/..\4,1 4,1/.....\!..1/., �S.,•!.„,!. h. k/11r.,1 r_ r„9., !„1 r. !.,1?„1,!„1!. i r.;tr,) !„1 r 1 i
.1' THE NEW YORK BOARD OF FIRE UNDERW ERS PAGE 1
® =
8003354
1 -, BUREAU OF ELECTRICITY "
41 STATE STREET,ALBANY,NEW YORK 12207 o
FEBRUAR.S 18,199`_-'. Application No:onfileJ75505.91/91:" 130 I{ 4.15830
Date - I
�: THIS CERTIFIES THAT
-' ,only the electrical equipment as described below and introduced by the applicant named on the hove application number in the premises of
:GRAY & C:HRIS`PINE PAEGLOW, ALGONQUIN DRIVE: O1.IEENItPURY, - N.1':'.`:-
•in the following location; El Basement [SI 1st Fl. ❑ 2nd Fl. GAR Section Block Lot 166
•
,; was examined on 3 a°4O R si 9, 9 .and found to be in compliance with the.requirements of this Board.
.1,
�12 ' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
ECEPTACLES SWITCHES
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT.,. •K.W. AMT.- K.W. MAT. K.W. AMT. H.P.
33 58 43 31 .1 5 1 1 .5 F
i -< DRYERS FURNACE MOTORS RJTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS -
• AMT. K.W. OIL H.P. 'GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT.. AMPS. TRANS. A . H.P. SYSTEMS AMT. WATTS
n 1, NO.OF FEET ,-
;f � 1 3 1 3 GOO •._
�; SERVICE DISCONNECT NO.OF S E R • V -I C ' E
.. METER
AMT. AMP. TYPE EQUIP. 1,2 2W 1,9 3W 3,B'3W 3,11 AW .NO.OAR iCOND. OF CC.taND..- ' NO.OF HI-LEG OF•HI- a NO.OF NEUTRALS OF UAL -
st; 1 200 CB 1 X 1 4/0 1 2/0 -
1, OTHER APPARATUS: '
q 1 ELEC, ROCY1 HEATERS:1-2.0 K.W. .
i. -L-5: MOTORS:1-3.5 H.P. • :._ :
ELEC. WATER HEATERS: :1-1.5 K.W.
�: G.F.C.I:-7
r -- SMOYE DETECTOR:-1 ;
n.
4.
•<, PETER R IiEIDMAN . . •• . ..,
1; 26 ALGONQUIN DR. uu? .
OUEENSPURYE, N Y , 1 80 1 BRANCH MANAGER
S 1' Per23
9
-4; 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. •':
, eee� ® ems eeeeeeeeeeeeeee ,: `:
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. •
,��, - TOWN OF QUEENSBURY At
4"j/�.u- 531 BAY ROAD
�7 QUEENSBURY, NEW YORK 12804
µ; a;'y TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ,,,1 �5
ROE d
LOCATION :'
DATE 2/5fiZ PERMIT 9/.f,,V 7
TYPE OF STRUCTURE_, S' /,U / VCR QI/ --
' lT
RECHECK
FIRE MARSHAL APPR AL (COMMERCI:'AL STRUCTURE)
FOOTING FOUNDATION BACKFIILL ,FRAMING
OUGH PLUMBING XFINAL ELECTRICAL (SEPTIC
INSULATION WOODSTOVE/FIREF,'tACE
c�
l� :Y
REMARKS e av L .Lh P /?�s AIOL( (/1C4p4474,C1i
4.0U U t cUtiY1 -(
J; APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION ' . /�
B VENT/LOCATION /✓
PLUMBING VENT I ,
ROOFING /
SIDING -
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES I .. d
FURNACE/HOT WATER OPERATING V ✓/
BASEMENT INSULATION/DUCTWORK Y. ✓
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: t, /
BATH/KITCHEN`WATERTIGHT t7.
OTHER FLOORS SWEEPABLE ' ✓
OTHER FLOORS CARPETED -i; /
STAIR CLEARANCE/RAILINGS ►/
HANDICAPPED ACCESS '� /
SMOKE DETECTORS '1 ✓/
BATHROOM FANS/WHOLEHOUSE FANS " ✓
ALL PLUMBING FIXTURES OPERATING ;-'.
GARAGE FIRE PROOFING ✓/
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS j
FINAL ELECTRICAL 4 //
OK TO ISSUE C/O OR C/C t/
COMMENTS:
'*IY o '7f25-6L5 i
i 2-
ARRIVE
`-5- I i
DEPART / I S E/T R
larai T�1
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED NAME O XV-t o./Ki. 41)6//)
LOCATION j /(4 6, (2 Q 'F 9t/G6ix_j
DATE 2 5 Q2— PERMIT# G/
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES �''
STORAGE: /
CLEARANCE TO SPRINKLERS A
CLEARANCE TO HEATING UN1ITS
REQUIRED SIGNAGE / ra
a
/ )s.
CHIMNEY /
WOODSTOVE / '`w.
• FIREPLACE—MASONRY / /
FIREPLACE—FACTORY BUILT ?r :/
a.
REMARKS: OK TO THIS DATE
,�
1 ;d.
C5 G
ARRIVE /
DEPART4�/
<• �,e—ii4 G .
`-- -"(INS-PECTO'R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT ?
_ 2'27
REQEEST FOR INSPECT'QYE RECEIVED
NAM
(12A ,L-Ar
LOCATION /QGi
DATE I j/627:� PERMIT if g/J 30-7
TYPE OF STRUCTURE S7q 57,
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 INTLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING.,.
JOIST HANGERS / \
JACK POSTS/MAIN BEAM /
FIRESTOPPING /
WALLS /
CEILING /
FIREWALLS /
HEATING ROUGH-IN /
INSULATION: I
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- �.
FLOORS R-
WALLS R- �t
CEILING R- \
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: 2 7)y����
ARRIVE
DEPART /�
INSPECTOR
c7 y;i2) .,,:,,aeroti
. own Of Queeni6ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Qa_E�O 7 •
�LOCATION �p cAiv\trn
•
DATE 0 // 5 PERMIT NO. 9
✓
SOIL TYPE - Sand Loam - Clay -
Percolation Test Required? YES - NO
Percolation
rate - Min/Inch '
TYPE of SYSBFM:
Absorption field, total length ;_j
Length of each trench _,:: 2
Depth of trenches ' /-,:y
Size of gravel"_; /
SEEPAGE PITS{Number of)f •
Size- ft. X \ ftj
Gravel size
PIPING: \ /Size Type
Bldg. to tank L/
Tank to dist. box ,/ 5 /�
Dist. box to field/pit, r //
,E
Openings sealed? S NO Partial
LOCATION/SEPARATION :
r
Foundation to tanka `/Q ft.
Foundation to absorption :;l— ft.
Absorption to lot,/line /c ft.
Separation of pits . -ft.
.,0e1 'ION OF SYSTEM ON PROPERTY(circle one)
rout) - Rear - Le'ft side - Right side -
ENTS:
64,
04714„ze
J /
tl
SYSTEM USE APPROVE YES,.--" N
BuildingJInspector
01/86 and vi
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 eOLQ-.-' ,l (5 L-)
LOCATION t 1 Nw-e
DATE L C, PERMIT # C -- y7 •
TYPE OF STR CTURE ,
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 PLA4 /
FOUNDATION/DAMPROOFIVG J
BACKFILL APPROVAL \, /
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PUCE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING / \,
JOIST HANGERS
JACK POSTS/MAIN BEAM' 4.
FIRESTOPPING
WALLS
CEILING .%
FIREWALLS /
HEATING ROUGH-IN/
. INSULATION:
FOUNDATION WALLS INTERIOR R-AtOr`,=GT-
FOUNDATION WALLS EXTERIOR R-
FLOORS „ R- ,X
WALLS jz 14 -f- 1 01 _ R-21p..
CEILING R- 7.5g
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
(Avc raves ED6 s (,c1,
ARRIVE ) .�
DEPART 2-OC)
INSPEC OR
TO OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT 9i n I�i ci /
REQUEST FOR INSPECTION RECEIVED(1� II /
NAME \\-�G�e w C Ys 57"l'A f, +C'scitp-
LOCATION � P�fi l G'�,� /- I rh1 i i n
DATE q ,� Ci PERMIT 0 17
l �j � " l �.3�
TYPE OF STRUCTURE S \1 >
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 r, /.
REINFORCEMENT IN PLACE ;r
FOUNDATION/DAMPROOFING /1
BACKFILL APPROVAL +F,'.
) ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE"
PLUMBING UNDER SLAB r.
FRAMING:
-1 JACK STUDS/HEADERS r'
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING /
WALLS
CEILING /
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
F LOORS R :.
WALLS
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE II{ Cl:
DEPART 1
INSPECTOR
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 9/1 ,/
NAME gl//1l/.2e-�/yl/J1- /r?ef feO_ = 7,1/
LOCATION h/- /(,,6 /// ,, -/_/4,-1,
DATE 5Z5��/ PERMIT#G q/ , z.f/`
e_i_ � ,` i
.0 WYt Gr-e__. APPROVED
N/A' YES NO
EXITS /
AISLE WIDTHS /
EXIT SIGNS
EMERGENCY LIGHTING /
i
1
FIRE EXTINGUISHERS 1 //
AUTO. EXTINGUISHING SYSTEM ,/
HOOD INSTALLATION 7
AUTO. SPRINKLER SYSTEM f /
ALARM SYSTEM j r'
°,
A' (�
INTERIOR FINISHES
STORAGE: r
CLEARANCE TO SPRINKLES
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE! 1
(
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
//
REMARKS: ./ OK TO THIS DATE
z%/14--"? 4'1. did/c
ARRIVE --- 01'
DEPART ' 79(), , 44
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 RECCEIVED
NAME PA-6 6 Leal
LOCATION f 6 6; /4L( 9(`, Q(1r A./
DATE ?PO fj PERMIT
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS 5
MONOLITHIC POUR FORM! ,/REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM .f
FREEZING FOR 48 HOURS, FOLLOWING /
THE PLACEMENT OF THE 'CONCRETE. /
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR ,
REINFORCEMENT IN PLACE a
FOUNDATION/DAMPROOFING! /
BACKFILL APPROVAL .
ROUGH PLUMBING :;,
PLUMBING VENT/VENTS INPLACE
PLUMBING UNDER SLAB ', ,
FRAMING: `
JACK STUDS/HEADERS
BRACING/BRIDGING /
JOIST HANGERS /
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING /
FIREWALLS / 1
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
I a
REMARKS: / ,�
(Pe" 1-06/ 7Vli'S jl ��__
ARRIVE
<.
DEPART `0j
NS ECTO
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 72J/9J
NAME N/J4i(,n P, d JI au1. 4 ( /�-(.�J
LOCATION 4f 1/(gyp(�, (,LI e C,Cly-7�/ .L(4t)(/
6---;
DATE 0 PERNIT VI %/3 ?7
TYPE OF STRUCTURE A.��ll�D Cld�a, Gv2-(�l.t16
/ � ,
RECHECK APPROVED 7
N/A ;YES NO
FOOTINGS/PIERS je
/ MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM r
FREEZING FOR 48 HOURS FOLLOWING /
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE/
FOUNDATION/WALL POUR ,r
REINFORCEMENT IN PLACE I
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE /!
PLUMBING UNDER SLAB / .l
FRAMING: / 1
JACK STUDS/HEADERS 1
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM 's.
FIRESTOPPING
WALLS 1
CEILING !
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS I ERIOR R-
FOUNDATION WALLS TERIOR R-
FLOORS R-
WALLS / R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: , tJ/ _ 11 i !'.1-k
141--, t S n- ,jai,;f� ti-c)U 1
C' L T Pc'C) u�
ARRIVE./
DEPART )l—'j-- /a- �?' ' ✓1.y�.Lls j
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�
NAME eiih L< Ooi- x 1 a PC-Oral
LOCATION / /ee6, , (3.1 4Z(zi,to
DATE 6// // PERMIT I
TYPE OF STRUCTURE/ 4/?�f` /yX24 /�9 �/ �k9'
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 1
BACKFILL APPROVAL
ROUGH PLUMBING ,0
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: '
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS /
JACK POSTS/MAIN BEAM
FIRESTOPPING ,•"
WALLS
CEILING /
F I R EWA LLS r�
HEATING ROUGH-IN
INSULATION: I
FOUNDATION WALLS IJNTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS / R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES /
REMARKS:
ARRIVE /Q ,f'�O
DEPART ,`Ks"
INSPECTOR
,.-A C C
d"
01
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0
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TOWN OF QUEEIV'SY3t Fi,,
RECEIVED
MAY 171991
BLDG.
& CODE DEP7'.
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