1991-403 A i4-. 01
- t
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY,: NEW YORK
Date October 16, 19 91
-D- -;
This is to certifythat work re uested' to be done as shown by Permit No. 91-403
a
has been completed.
This structure may be occupied as a Simile Farm 1 y INelling
Location Lot a" Hidden Hills ID
4
Owner Raver Industries
By Order Town Board
TOWN OF QUEENSBURY
' ��, � �`nl•a1,E�r
Director of Bldg. & Code Enforcement
•t
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-403
WARREN COUNTY, NEW YORK
a
PERMISSION is hereby granted to Raven Industries
w
I
OWNER of property located at Lot 44 Hidden Hills 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 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. tD
1. OWNER'S Address is
5
RR3 Box 3142
58 McCormick Rd
Lake George NY
2. CONTRACTOR or BUILDER'S Name
y
Same
I-
0
3. CONTRACTOR or BUILDER'S Address 41)
a.
CD
4. ARCHITECT'S Name
1.
I/I
5. ARCHITECT'S Address to
um
CD
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
CD
7. PLANS and Specifications
No. 2100 sq ft Single Family Dwelling as per plot plan specifications
and application
8. Proposed Use
Single Family Dwelling
$ 280.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 12, 19 91
(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 Day f / / 19
SIGNED BY 7 ./r
lI , for the Town of Queensbury
Buildinganc(Zoning Insper�for
TOWN OF QUEENSBURY r1
-�_ REVIEWED BY ,/ �
.. FEE PAID $ � �j�-� s P ,�
f ir4e41PERMIT NO. 3� TOWN1i= ttlEd�il �:r,
BUILDING PERMIT APPLICATION LECT: PY
JUN 101991
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. KO11ISigr ®R§ DEPT.
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: 1/./ e.-----,--3---0----- h�����
P.O. Address // i i A-f-- -•f/VZ - Gr✓, ,.�.�_ Tel. �j Z-= fr Z->e
Property Location e� Cat" -.��� Z-1;-• Tax Map No. /: /
Has there been any split of this property since October 1, 1988? / I
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE 1`�0 i LOT NO. r .-
THE PERSON RESPONSIBLE FOR SUPERVISION OF WO K AS REGARDS TO BUILDING CODES IS:
,,--7/&--- - P''‘-7
"....../I1
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF •
ruction 01:a new building *
CONSTRUCTION: $ //f
9
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
_, * Size of property ip, 7/"1 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 3 Z__ ft. Rear yard 7,5 ft.
* Side yards /9' ft. and /, ft.
*
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Flo-or % ,/O.S ?q. ft. 1.2 O . * OCCUPANCY INFORMATION
*
2nd Floor /psp'sq. ft. /0 d * Primary Building -
_ 3 5-. * Family Dwelling
Other Floors sq. ft. 5 5-
(not cellar or basement * Two Family Dwelling
tOTAL FLOOR AREA * Multiple Dwelling/Number of units
P sq. ft.
size of new structure 0 ft x a- ft. * Business
(Foundation-pier/slab/crawl/partialii� * Industrial
(circle one) * Other
*
4o. of stories (habitable space) *
!eight (grade to ridge) Z7- ar' ft. *, If addition, what will use be?
f residential, no. of families
(10. of rooms(excluding baths) _., * Accessory Building
10. of bedrooms * _Detached Garage ONE/TWO Car
>1o. of bathrooms_ _2.- " *
Primary heating system a7L' !d•-- * Attached Garage ONE • O _
type of fuel a c
_Private storage building
ti+io. of fireplaces to be installed ' *
/
* Other
Will a wood stove be installed ,jr/
Central Air conditioning . �/ *
OV*ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type!,of constru.ction .;. ood fr'a'n1 , fire safe, etc.
Will any,second-hand or upgraded lumber be used? If so, for what?
Foundation'widriii terral Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? Li Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof sloes at/shed/other. Material of roof
Size, wood studs Z"x /' " spacing/6- " o.c. length �` ft.
Joists (floor beams) 1st floor "x /42" spacing j "o.c. span /7 ft.
Joist (floor beams) 2nd floor "x / 2 " spacing /<I "o.c. span /f ft.
Overlays (ceiling beams) /�/g)Ve--LT-spacing " o.c. span ft.
Roof rafters /0�dtie-U-spacing o.c. span ft.
Roof trusses (pre-engineered) spacing 2/ " o.c. span ZFft.
Exterior wall finish L�-fib of what material? l/f:•-fyC
Interior wall finish S�Z `
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? 1- If so will a Fire-rated door, enclosure,
self-closing device be provided? /ems
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
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
(A separation application is necessary for any'repair or new installation of septic system)
NAME OF BUILDER //7~7.2--- 7G�y�G ..c ADDRESS 52' '""'{/TEL. NO.
NAME OF PLUMBER I / ADDRESS / / TEL. NO.
NAME OF MASON /0 ADDRESS Tom/ - -1' - TEL. NO. 7!`'---7/�/
NAME OF ELECTRICIAN ��'�� ADDRESS I . 1 ' TEL. NO. c
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
Owner, owner's agent, architect, contractor
'SPECIAL CONDITIONS OF THE PERMIT: -
BY
TOWN OF QUEENSI3URY
�� APPLICATION FOR
r' ti
'\> SEPTIC DISPOSAL PERMIT Tr,.,' 77)F Q;:Er`;:
L‘\:,,,‘„::‘:,1, ,:i Q:, iii
Ili
JUN 1 ` d
DATE J v''e.-- /' /'P/- BUILDING & CODE DEPT.
LOCATION OF
PROPERTY FOR INSTALLATION Zt,ji� ‘?
Owner's Name: .4,— G'���� ..,. Telephone: �y _9 �>R
Address: e,-3 fr- /yam f-- ---' - �.4� C� `
Installer's Name:
/ / L Telephone: 2y Z-- Z'->�
Number of bedrooms (residential only)
Total daily flow (compute (d 150 gal per bedroom)
Topography: Circle one:op• oiling Steep Slope % of Slope
Soil Nature: Circle on . an oam Clay Other /Depth: Feet
Ground Water: At what depth? --( 2P y_eet
Bedrock or Impervious Material: At what depth? vg.' et. - ,
Percolation test: Circle one: not required required rate ,5min. inch.
Domestic water supply: circle one: Well Other
If domestic water supply is a well: y
Separation: Water supply from septic absorption feet
/2 7
PROPOSED SYSTEM: Septic Tank 7_'""t- gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trenci1,100rfeet/Total system length feet
SEEPAGE PIT(S): Number of / Size each O feet by U feet
/
Size of stone to be used #_ 3/Depth or Thickness Z a a,-- v et
*************************
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 Sewa e Disposal Ordinance.
SIGNATURE
- ��
OF RESPONSIBLE PERSON:
DATE: G y -
OVER
•
•
•
Septic .Syste`m Inspections.
A. All applications for. septic system installation, alteration or repair,
as .requiredcby' theilT.o:wn 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, distribution boxes,
tile fields and/or drywells •
B. No system shall be covered before inspection and approval by the
Building Inspector. Failure to comply with this requirement may •
result in the uncovering of the system by the installer and a fine
of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may -
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, 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 and CODES DEPARTMENT
Bay and Haviland Roads •
' Queensbury, New. York 12804
•
Remarks : . - •. -
TOWN OF 'UE N :ji:c•.
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NvdrA .�u ,yawnp :.,
STATE ENERGY CONSERVATION CODE c-;g,- _
A permit must be obtained before beginnE �g��' ¢ ;j.!4 it';
cry
ANSWER ALL of the following:- "� JUN 1 0 a991 �L-./
1. Gross floor area 2,Wd I illiMa& CODE DEPT.
•
2 . Type of heat G :S %'�f % " •
3 . Is the building mechanically cooled? -w�
4 . Percentage of -area of windows and doors
A. Over 16% Only
1 . To value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heat'..3 spaces YES NO
. a. - Are foundat on walls - insulated? YES NO
1 . If YES . what is the R value? . -
3 . Slab on grade YES NO -
a. If YES ; wh .t is the • R value of insulation around
perimeter .of floor? .
4 . Is basement heated? YES NO
. a. R value of insulation
5. Type of insulation
. • B. Under 16% Only
• 1. R value of roof and floors exposed to ambient conditions_
2 . R value of exterior walls � '.
, //
3 : - R value of glazed- area " — '1-- /2 44 #.>11" M
4 . R value of doors. • � 7)" --./2 7: 60,..-
5 . ' R value of floors over unheated spaces '02—'l6
6. R value of slab edge insulation - unheated slab
•
7. R value of slab :insulation •- heated slab - ,
• 8 . R value of. .heated basement/cellar walls (above grade)
9. R value of heated basement/cellarl walls (below grade)
10. Type Of.- insulation / /A��Gli1l
• G
C. Controls �Q
1 . ' Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated- spaces? i;:j -NO
-a: If YES , R value of duct installation
b. R value of duct in other areas -/y
E. Piping Insulation
1. - Size of hot .water or cooling ' c:a�. ying agen pipe .
2 . R value of pipe insulation �� .• -
F. Service Water Heating .
1. Performance efficiency
. 2. Temperature control setting maximum ,�_ =a c)
G. For -Swimming Pool Only . r &/O
• 1. Maximum- heating .
."2 .
Tel No. ,%J� 9 - �- ��%i4
. . (applicant ' s signature) •
TOWN OF Q UEENSB URY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date 7- � - /�/ 19%; Permit No. 9/ "WO3
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
Stove Coal Wood
Address `� / �- Furnace Hot Air Boiler
Zero Clearance Circulating Unit
Zip
Phone z_ If Non-Masonry:
Owner's Name -- � ^
J` Manufactujer
Address Model lir-- Outlet Size
Zip Listed by 41Z- Number /;22
Phone
CHIMNEY TYPE
Masonry: Block Brick Stone
Property location of proposed con truction Flue: Tile Steel
Size:
7 Factory Built:
Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED 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
Code Number Title . Pi 0 L
A173 3389 (190)Public Safety
A233 2655 (230) Minor Sales
r J
Fee Collected from.cSr Refunded to: \\ %/M CI S 1-1(
Address:
Dated:////q Town Clerk or Deputy ..(
/
White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES •
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.N ' DATE r• /
Cny_OR VILLAGE_ TOWNSHIP COUNTY
• �__ - ire . •S^_...,
•
STREET AND NO.ail ROAD .' POLE NUMBER
•
BETWEEN WHATTWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT -.
OCCUPANTS NAME,:, . _ _. `„s'^ BUILDING OCCUPANCY -•-
•
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY- FROM THEIR OFFICE WORK TELEPHONE NUMBER '
BUILDING IS `
NEW[ ,,.• " OLD❑ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MUIURS 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
let
FL. .i
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
ME INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST DENT F ENTER APPLICANTSN PUMANT IIII 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 �� �- `� �^:f��` �> i —;
j-- DATE OF PLIc uION SIGNATU E O PPLICANT
NAME OF APPLIC' Y -_f— ' - ^r f 'w,lj� v �Yr-I' �;;-r.
STREET ADDJESS. - f; ri TELEPHONE.NO- ,7 _ 7.-`.
CITY OR POST OFFICE 7 ZIP CODE LICENSE NO.WHEN APPLICABLE
❑ 85 John Street - ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW PORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202, ROCHESTER;NY 14608 SYRACUSE,NY 13206
THE NEW YORK BOARD OF FIRE UNDERWRITERS
7 • THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1
• 4186503
-•`.. BUREAU OF ELECTRICITY.
-. 41 STATE STREET.ALBANY.NEW YORK 12207 ' .
1 on OCTOBER 21,1991 Applicati No.on file1718 8591/91 A 060156
Date to
THIS CERTIFIES THAT ! ` -463
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
1
RAVEN INDUSTRIES, HIDDEN HILLS, GLENS FALLS, N.Y.
GAR -14
in the following location;• 0 B ement E 1st Fl. 11 2nd Fl. Section Block Lot
OC_,f'OBER 1 .1991
„ was examined on and found to be in compliance with the requirements of this Board. ' .
FIXTURE ECEPTACLES SWITCHES FIXTURES . RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ':T
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. .14
-r
52 63 51 • 5? . . 1. 1.5 3 ' F
•
DRYERS FURNACE MOTORS FUTURE 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. AMT. H P SYSTEMS AMT. WATTS
NO.OF FEET
1 3 1 F • 1 5 600 ®m
_ SERVICE DISCONNECT. NO.OF S E R. V ' I C E •
AMT. AMP. TYPE METER I.,2W 1.17 3W 3,B'3W'3,B•IW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A-W G. NO.OF NEUTRALS A.W.G.
EQUIP• PER.B' OF CC.COND.. OF HI-LEG OF NEUTRAL
't . '_'00 CB 1 X 1 -1/0 1. /0 z
OTHER APPARATUS:
PADDL1E FAN-2 . .
i iMOTORS:1-3 H.P.
G.F'.C.T —8
SMOKE DETECTOR:-1 .
. c
.!
RAVEN INDUSTRIES
'H�ROLD R VEi'1 — CrvOre : ,
RD 3 BON 3142 • . . . . BRANCH MANAGER 1
LAKE GEORGE, NY, 12845 . 239
.
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. •'
c ., Argue/ Au' mar[ aszaIn if[AuAusirii[vrMing!!WUWvasIMTt Mil al[I=INtUV UVa1,afial[i![alra*r1.1ff vat vV11111 Marl tliraar1/1/ILlirsifcvtArtAU
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
_own o Q ee n ibur
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
•
NAME L. ,
- 1 1
LOCATION f,
DATE / 491 PERMIT NO. 9/- 4v-3
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 gravel_
SEEPAGE PITS{Number of)
Size- X M ft.
Gravel size
PIPING: S'ze T pen
Bldg. to tank
Tank to dist. box
Dist. box to field/p'
Openings sealed? Y S NO Partial
LOCATION/SEPARATI S:
Foundation to to k t.
Foundation to sorption Of .
Absorption to of line /b ftc,
Separation o pits f( ft.
JOCATION OF SYSTEM ON PROPERTY(circle one)
Front- Re r - Left side - Right side -
COMMENTS:
SYSTEM USE APPROVED NO
Bui ding I pec or
01/86 and vl
I , . _ .
MAP REFERENCE:
HIDDEN HILLS SUBDIVISION
MADE FOR RALPH & MICHAEL WOODBURY
BY VanDusef & Steves DATED MARCH 26, 1986
FILED SEPTEMBER 22,
IN MAP CABINET A SLIDE 44
LOT 36 LOT 34 I
z
w
-- S 83.27'10" E `�
LJ
100.00'
LOT 44 I
�;
13,500 sq. ft. z
0.30 acres Q
cr
w
0
3'
Cyr I (V
LOT 43 O o - o
) L p
iO � o cZj
PROPOSED Is.
�- 2,.3a CO
16.00• —<. I
1250 GAL I
SEPTIC TANK
li C/)I
4.1r„
0
0
100.00•✓FYI P-e,
MAPLE DRIVE
'j uu es 1--rn1
TOWN OF QUEENSBURY ar 1
R-�"�0 � r
„,. , ,%.. 531 BAY ROAD
, �, QUEENSBURY, NEW YORK 12804
• � ;' TELEPHONE (518) 745-4447
+ ,:il.,.,`. BUILDING INSPECTOR'S. REPORT
FINAL INSPECTION '
REQUEST OR INSPECTION RECEIVED?/Q////of
NAME U -N(
LOCATION cl Luo—rL-
DATEA2 l(PERMIITO q l il 0 3
TYPE OF STRUCTURE _
RECHECK
_FIRE MARSHAL APPROVAL (CQMMERCIAL S : URE)
• OOTING \/FOUNDATI ACKFILL-_ FRA ING
ROUGH PLUP�BING( FINAL ELECTRICAL . ' C
INSULATION WOOD -TOVE1 • •
REMARKS
C�( :V2 )3 q!
Z o 2-r TA-c<C POSTS i o k� A f�0 NG-
APP�VAL
N/J`A 1 YES NO
CHIMNEY HEIGHT/LOCATION ; k`.,
B VENT/LOCATION 1 k
PLUMBING VENT I
ROOFING
SIDING ;1 ,,X
DECK/PORCH/STEPS/RAILINGS,5 �cficjctJ
RELIEF VALVES _� I - 1(_.__
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK , jC:
INTERIOR TRIM/PRIVACY DOORS,
.FINISH FLOORS:
BATH/KITCHEN WATERTIGHT ti h
OTHER FLOORS SWEEPABLE \
OTHER FLOORS CARPETED '
STAIR CLEARANCE/RAILINGS; K
HANDICAPPED ACCESS 1',
SMOKE DETECTORS ti, j/
BATHROOM FANS/WHOLEHOUS.` FANS \
ALL PLUMBING FIXTURES O'ERATING r.
GARAGE FIRE PROOFING_ \ k
DOOR CLOSERS K
OTHER FIRE SEPARATION.
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE R QUIREMENTS
FINAL ELECTRICAL )e
OK TO ISSUE C/O OR t/C
COMMENTS: _
F2O,Vc` S;j r j-e?fit ZJD a Po o iL IoOA-f,
/ u 4 GUt�ei v !1iV4-L EL -e i,2(C*L
ARRIVE if1:6 4 DEPART /.,:'?) KNPEco
ck,NaS2_ Cvc e__-
TOWN OF QUEENSBURY /14/)^
FIRE MARSHAL /-1 1 '' 1
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED,/ /I
NAME (RCCS1 I \ UI j.S i PS
LOCATION / 4414 `/17 .11N4-
DATE A)/ /q 1 PERMIT#
C-, qloo 1.j.:4N APPROVED
NcOre- g16 r
I N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS 1
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER\SYSTEM
ALARM SYSTEM
INTERIOR FINISHES \.
STORAGE: / \\
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING\\UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
�IREPLACE-MASONRY /
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
0(
ARRIVE /i
DEPART /O?s (d7
—INSP CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPO
REQUEST FOR INSPECTION RECEIVED( _
NAME \:, •(!r\1 eAVN
LOCATION ds,, \ `12- /�1��G1k1A Ic
DATE 91 )(p 19) PERMIT I 1 -110 3
TYPE OF STRUCTURE S 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 !
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB 1
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM c,
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
REMARKS:
ARRIVE
DEPART
CTOR
101W,
TOWN OF QUEENSBURY
531 BAY ROAD
gegiS QUEENSBURY, NEW YORK 12804
' 110"'wwi TELEPHONE (518) 745-4447
BUILDING INSPECTORS REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
€ E a tf-
LOUT 13Fi
DATE 0*' PERMITS
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
- FOOTING FOUNDATION BACKFILL _FRAMING
- ROUGH PLUMBING FINAL -ELECTRICAL ;SEPTIC
- INSULATION WOODSTOVE/FIREPLACE 7
REMARKS
/ APPROVAL
N/A9 YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION . r°
PLUMBING VENT /
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES '; T
FURNACE/HOT WATER OPERAT/ING
BASEMENT INSULATION/DUCfTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: �\
BATH/KITCHEN WATERjTIGHT
OTHER FLOORS SWEE/PABLE\
OTHER FLOORS CARPETED \
STAIR CLEARANCE/R1'FILINGS 0
HANDICAPPED ACCESS
SMOKE DETECTORS /
BATHROOM FANS/WIOLEHOUSE FAN
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE P OOFING �1
DOOR CLOSERS
OTHER FIRE StEPARATION
FIRE/DEMIS WALLS
DUMPSTER \
SITE PLAN/ ARIANCE REQUIREMENTS \
FINAL ELE TRICAL
OK TO IS`UE C/O OR C/C
COMMENT' :
4aer,;0 eemi //'t oee
koe-
46,/ cwri
ARRIVE
DEPART
. NSP T
TOWN OF QUEENSBURY rn
BUILDING AND CODES DEPARTMENT '
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED A 7
NAME �/.1.1/ ../t/ L 4aLfe-I-L6A�/��
LOCATION Wit" 'S1,27t 7) /i .
DATE 0./.f./ PERMIT # 4/-403
TYPE OF STRUCTURE
RECHECK ,�
) APPROVED
C�2 ���� / 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/DAMP\ROOFING
BACKFILL APPROV ,L
�(ROUGH PLUMBING/emize JJ
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
4 FRAMING: %, I
JACK STUDS/HEADERS, I
BRACING/BRIDGING \'
JOIST HANGERS ,.
JACK POSTS/MAIN BEAM„
FIRESTOPPING
WALLS
CEILING
FIREWALLS ;' a,
HEATING ROUGH—IN
X INSULATION: I
FOUNDATION WALLS IN, ERIOR R—
FOUNDATION WALLS EXTERIOR, R—
FLOORS R— i
WALLS ? R- �1
CEILING R- i3i r✓✓
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: /
i
ARRIVE `. /'
DEPART /r1:07,
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT 2 /
REQUEST FOR INSPECTION RECEIVED . dr," 7
NAME `U`e lk)o S 1'1 i P_
LOCATION r 1- L/L1 /}i'c)(-)e41. � ��L .
DATE # 1 1 — L, 3
TYPE OF STRUCTURE S S 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 ,I
FOUNDATION/DAMPROOFING d /
BACKFILL APPROVAL /'�"1
2OUGH PLUMBING j/ rt.-..i j,{{_d J/
PLUMBING VENT/VENTS IN PLACE;
PLUMBING UNDER SLAB y /
FRAMING: ,y`�-�- ? ;;�,; .,,4-‘,_N
JACK STUDS/HEADERS /14
BRACING/BRIDGING
JOIST HANGERS /
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS NTERIOR
FOUNDATION WALLS EXTERIOR R
FLOORS R
WALLS RA
CEILING R-\
DUCT WORK OR 'IPING IN UNHEATTD
SPACES \
REMARKSp
--(17)Aftr W/Jell,-17..._ /_(Ai&S.-- ()(()1A/C,
•
ARRIVE
DEPART /(,;
INSPECTQ `��-
TOWN OF QUEENSBURY `
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED d'/ /67/
NAME \��
LOCATION 1/1/ 1
DATE SP-J/0 PERMIT# {',� Ld/1// Cif / qGj
AP ROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS /
AUTO. EXTINGUISHING SYST EM'
HOOD INSTALLATION /
AUTO. SPRINKLER SYSTEM /
/
ALARM SYSTEM {
INTERIOR FINISHES A
STORAGE: /
CLEARANCE TO S�PRIN LERS
CLEARANCE TO/HEATI G UNITS
REQUIRED SIGN,E
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT jf i
REMARKS:
f 1
)0
cLe-11/
ARRIVE \ II n
I °)l �/)f�,`,11.I�P('
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
NAME
LOCATION '4' X dd&, � vJ 61
DATE ///c7/9/ PERMIT # %/--403
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS I
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 h 1
FOUNDATION/DAMPROOFING k�
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS :/[;
BRACING/BRIDGING
JOIST HANGERS e
JACK POSTS/MAIN BEAM 4 t
FIRESTOPPING
WALLS
CEILING / \'
FIREWALLS I
HEATING ROUGH-IN
INSULATION: k
FOUNDATION WALLS I TERIOR R-
FOUNDATION WALLS E TERIOR
FLOORS R`i-
WALLS R4,
CEILING R
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
// ‘,;
ARRIVE /V ; 2-4 J I�
DEPART kill '
' SPECTOR
TOWN OF QUEENSBURY �C
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 1Mq -//
NAME //%/0i'l t \_,qtxi�.rf tom,
LOCATIOND`-/ /�� 440.
DATE 4Y2,1,*/ PERMIT
TYPE OF STRUCTURE . , 792/
RECHECK APPROVED
N/A YES
4OOTINGS/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 i9
JOIST HANGERS
JACK POSTS/MAIN BEAM
FI RES TOPP ING
WALLS
CEILING
FIREWALLS /
HEATING ROUGH-IN /
INSULATION: t'
FOUNDATION WALLS INFERIOR R-
FOUNDATION WALLS E ERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR P ING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
I SPECTOR
i
MAP REFERENCE.,
HIDDEN HILLS SUBDIVISION
MADE FOR RALPH & MICHAEL WOODBURY
BY VanDvsen & Steves DATED MARCH 26, 1986
FILED SEPTEMBER 22, 1986
IN MAP CABINET A SLIDE 44
LOT 36 LOT 34
w � LOT 32
w
's 8327'f0" a
E w
f00.00' _
LOT 44
13,500 sq. ft. a
0.30 acres I a
s
0
0
I N
d.
O �
LOT 43 b o
M tri ti ay
LOT 45
to ~ x
PROPOSED M �O
HOUSE srF
^ Q
iB4Op'
TOWN OF OUE-t-0,96BUH
Izao oAL �
I SEPTIC TANK
$ i 1&'16ft{ P'h 1u'k1n�" 71
3 O
100.00'41 PLOT PLAN MADE FOR
N B z7 f RA VEN INDUSTRIES
MAPLEDRIVR TOWN OF QUEENSBURY COUNTY OF WARREN N.Y.
SCALE, 1*=30' DATE JUNE 7, 1991
Vadusen & Steves
LAND SURVEYORS,GLENS FALLS,NEW YORK
N.Y. STATE LIC. NO. 35617
93-5-44 REVISED 6-10-91