1991-518 •, .. . • ..3 .,r
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CERTIFICATE OF OCCUPANCY .,
(TOWN OF QUEENSBURY
WARREN COUNTY,. NEW YORK
Date liarch 25, 1q 92
This is to certify that work requested to be done as shown by Permit No. 91-518
has been completed.
This structure may be occupied as a 4 Of Fourplex 'Dixon
Location 78 Old Hill Lane
Owner C L Real ty/ 1'iasu11:•. Brothers Builders
By Order Town Board
TOWN OF QUEENSBURY
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OAK
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Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY o
No. 91-518
kst
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Masul l o Brothers Builders
a
OWNER of property located at 78 Old Mill Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 4 of Fourplex "DIXONI I I"
at the above location in accordance to application together with plot plans and other information hereto filed and Co
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0
e+
1. OWNER'S Address is .
0 & L realty o,
3049 Broadway
Schnectady, NY 12306 a
2. CONTRACTOR or BUILDER'S Name tD
asullo Brothers Builders
O
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name rD
x
CO
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5. ARCHITECT'S Address —'
a
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I-
6. TYPE of Construction— (Please indicate by X) a
CD
(X)Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
No. 1,381sq ft of Fourplex as per plot plan specifications and
application
8. Proposed Use
4 of Fourplex
$ 207.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 17, 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 17t Day f , July 19 91
SIGNED BY �, 1 (.<?, / ;% ) for the Town of Queensbury
Building and Zoning Insp, for
. . . . ,
. . •
( I TOWN or QU ,
EENSSURY . " c.... .,,"
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REVIEWED BY
4 6' .7,;--;6.,//4.). KIN OF QUEENsa' u fi:FpEEERp4PtlikTIDI4c$1."?
ILPArtlif
,i. IIII FriCEIVED ..
llinuittia Peamit APPLICATION
JUL 1 6 1991
. . . .
., • . .1: ,, . . . , BL D9,.. & CODE DEPT.
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A PERMIT MUST BE ()Bump, BEP.O.RE BECIDIN10 CONSTRUCTION. NO INSPECTIONS
WILL BB MADE UNTIL APPLICANT HAgitECEIVED A VALID ritilLbnia PERMIT.
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All appiits reaces on this Opplication MUST be completed and the signature of the
applicant MUST appear on the reverse siderof thit application.
. : a a ,a, a,.., • ,i, ,#,.. t ,,,, il..i•••?, 11..30.,. .k,„:• * • ,• ,•z •11, li. ,I,Ii ,• • * • z M ,• S • • .* • • • • • • •
,
The owner of this property is: ei jefie. 1 ...i. • . . ! ., . . i
P.O. Address .• r: • ; OD h Y ./230 '' :s.:. . Tel.. n -/ofg
; .: ..,. . , i. ..,..; 11
Property Location lb oit-itu. L.Apite Tax Map No. , / /
Nat there been any split of this property since October l, 1988?, .... / X ... .
If yes Planning Boarl Revflw is necessary. ... . ; ybs no 31/0 Arlfr-
/1
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SUBDIVISION NAME, IF APPLI'dABLE,A0 No6N73 ic,,...s.,1,::, LOT NO. . . • ;
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THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS ataARDs TotijuabiNa CODES ISs '
eafii„,,,, L fith,ms„ ... .. . . . :. • •. ..
-' NATURE OF PROPOiED WORK, ,. : . , ,, o• ::;::.' -,y,,i ESIIMATED•MARKET VALUE OF . : •
i •
„ • ' Mem •
I • 7., Construction of a new building CONSTRUCTioNt $
; • .__Addition to a building a COMPLETE INFORMATION REQUIRED BELOW:
i
4 Size of OtOperty/0/./3,:/51.66 ft x ft.
Alteration to a building . *. .511.$9pg.fluilditigt(3) Size ft. x ft.
—(no change to eitterior dimensions) ' - •
.,:,,.. S ' ' , PrOP8iidbuilding.7 distance from property lines
• Other work (DittilbO) Front yard ft. Rear yard Sot ft.
i• , , • ; ., L. ,_.1, t ir,i .. - a , •. i--7',,
Side yards CI ft. - and 0 ft.
1 . . .
: if on corner, setback from side street ft.
GROSS AREAR,F PROPOSED SlUCTURE. . c, .* ;•-, • • !, '-':',i ., . .. ., ..! . . ',' "7"--
• •... . • i- , ! ; :4'f:. . ..•.'7 • '' :. itr!:1!?.Li• I .1 • ..,,7:..4, • - ,;:••.,::., ,....:r•A; , !
• ;• , ;(i)../. . 1*'..-'91'LI* ..,?•':. •'' , , • '4 . .
1st FloOli., : ....62-! sq. ft / i,. r"•1 OcC1.1pANCrINFORMATION •
7 '1',. [ r
2nd FloO1... ' sq. ft. "V' 'z-q-z- . Primary Building -s • , . . ,
! i -Other FloorsiviA .e:.--3!--;'il,V:.7;'•:•..... 1',. ..0 1:-)irl;. ' )Lone Family•DWellIng ''.., .` '• . -
1 : . 1 1 q. ay... • ,(not cellirer 6aement) , .. IN;
, Two Famili,,DtVelling • •'.'.. '
I TOTAL FLOOR AREA /3c5/ q. ii'.. ;', • • ......Multiple Dwelling/Number of units___.
1 ' •
Site of new structure 17- ft it 2Z-6r. ft. . , .. •.. . . ,nd.,uitrlik,
l
IP: , . ' business
'POundation-pler/slabk 0 rawl/partia1/ . ' .• .
1 • 'i I t (circle one) ' '• •1 ''"I'l,:' .... •,i . '. " c Other
. .
ii . • , . 3 ,. , ' .' 1; '11 ' .' dr ! 1=:3' i :''1 •-• •
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No. of stories (habitable space) : 7, ' • "1 ! :',' ' '''.4' ''•" !''..:1 '''1. :'. . ' . • .
Relight (grade to ildge) ! 2.C, :.,.... . it::: , . •! lIi addition, what will use bet . .
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If residential, no. of famine! j ... 1 • . ' :
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111 Nd.. of roodmi(exc lu.dI-ng b3a.t'hs) , . : '
No. ofKertOna ,'':.!.f,::t•i‘,i 1! .., Accessory Building .
Hsi of i:C , •. ,. ONE/TWObetached Garage ONE/TWO Car
bathrooms :• lii . ••
heating 0 X Attaehid Clarig TWO Car
I Prheary eyetira 6AS Abt prz. .
TO, of fuel OS . . . • Private storage building
, ........-.
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' N . of fireplaces to be installed -0- . : .I
Will 'coedstovebe I tall d NO . 7-1—fither 1 , a w OS • .
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING ;prrt>:tr1TtoNg: •
T%pe of construction, wood frame, fire safe. etc., Veep fine w/2"r'l2 x Rk vac_ /fir float 17
Will any second-hand or upgraded lumber be used? if so. for what? No
Foundation wall material 3VO X /i4/,fD Cc Thickness 81/1.Mii
d4
Depth of foundation below t/grade (to bottom of footing) 4CJ /1//y
Will there be a cellar? 1ES Heated or nheated Floor sq. footage 66 Z sq ft.
Will there be a basement? No Will any pot• ton be used as;living space? A
(If so, what portion? • sq ft. Type of use?
Type of roof - slope flat/shed/other Material of roof ./swfar , J Z4 5 sj/bMg
Size, wood studs " ."x (, " spacing/b " o.c. length &-'/%"ft:- '
Joists (floor beards)'1st [loot• Z "x /0 " spacing, )64 :'o.c.:gptiri: - 43 ft'.;,/ L s.
Joist (floor beams) 2nd floor Z "x /6 " spacing 16" "o.c. span :1J•., ' ft.••peLs5S
Overlays (ceiling beams) Z. "x 6 " spacing 161 " o.c. span 12.- ft.
Roof rafters Z. "x 10 " spacing 16 " o.c. span )V ft.
Roof trusses (pre-engineered) spacing 24 " o.c. span it.. S •7foc5s C'FR1rF ATF.S
Exterior wall finish gerieNfAL B'86D ' •'of'what' material? U 1L
Interior wall finish ye Min 6W. flo 7
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: •
`'TO X OR V 'ti A'• rRE BOOR Wewrit ..
Is there to be an oPening between gage and dwelling? Y If so will a Fire-rated door, enclosure,
self-closing device be provided? f� ,
Will a flue-lined chimney be installed? 1 Height above roof ft.
Depth of chimney,•foundation below.grade ft.
Depth of fireplace hearth t. in.• ,
Water supply - Municipal or private well /I f/N1C/P-
SEPTIC SY$TEM Distance from ANY private well (including adjoining properties /R/i/A/ ft.
(A sepRrRte wpplket!An Is necessary.for any repair or new installation of septic system)
NAME OF BUILDER �A5Nto �,�ir �sB�„t ts�Me-
NAME BPAIVl1y. 010JECI`EL. NO.• . rifle
NAME OF PLUMBERN 1 .Ur,I)N6 ADDRESSZIEYThy AK. AO** TEL. NO. :40 - /811
NAME OF MASON 11/3) AUX f(VAN11O4 ADDRESS JJIDADVIB kiim41ROyTEL.. NO. n-INO
NAME OF ELECTRICIAN40ThlIjaEC• . ADDRESS 179 �DXWL V 1? ' TEL. NO. 3��-gido
' kus,elioDy
DECLARATION
To the best of my knowledge and belief the statements contained In this application, together with the
plans and specifications submitted, are a tette and complete statement of aU.proposed work to be done on
the described premises and that all.provisions Of the BUILDING CODE, THE-ZONING ORDINANCE, and
all other law( pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner. . I'
• Signature _ -' IA )J( .
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OP THE PERMIT, , :
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BY
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
'MN OF Qf lFFNS UR
ANSWER ALL of the following:
RECER/gm
1 . Gross floor area JULC8(: 1 G 1991
2 . Type of heat GAS HOT AIR & CODE .DER3',
3 . Is the building mechanically cooled? NO
4 . Percentage of area of windows and doors MIN 8%
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions.
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1 . If YES ,' what is the R value?
3 . Slab on grade YES NO
a. If YES , what 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
R- 30
2 . R value of exterior walls R-19
3 : R value of glazed area 2 .25.
4 . R value of doors 2. 50
5. R value of floors over unheated spaces R - 19
6. R value of slab edge insulation - unheated slab na
7. R value of slab insulation - heated slab na
B.
R value of heated basement/cellar walls (above grade) na
9. R value, of heated basement/cellar walls (below grade) na
i 4 I i
10 . Type of insulation FIRFRG1ASS RATT
C. Controls
1 . Thermostat maximum heat setting 90°
D. Duct Systems - -
1. Is duct system installed in unheated spaces? YES MO
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a. If YES , R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1 . Size of hot water or, cooling ' carrying agent pipe 1/2 & 3/4
2 . R value of pipe insulation .
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
No. '""'"
11/1
Telephone
370-1058 (applicant ' s signature)
TOWN OF QUEENSBURY
oirwl APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE: /--g"91
^F QU ENSBUH.
ILL L
LOCATION OF PROPERTY FOR INSTALLATION 75 ow DANE e>r_CEEiVE.:D
Owner's Name: CIL PMLry JUL i C IDOL
Address: 3,011 MIDWAY, 10014VY JVbW r4K
'G//
Installer's Name: Pm kAryill 1 .em5 Telephone: G
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) 4C
Topography: Circle one: , Rolling Steep Slope % of Slope
Soil Nature: Circle one: and Loam Clay Other /Depth:
Ground Water: At what depth? Zaf Feet
Bedrock or Impervious Material : At what depth? 72Or Feet
Percolation test: Circle one: (not required required
Rate - Min. Per Inch
Domestic water supply: Circle one: Municipal Well Other
If domestic water supply is a, wel .
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank 24OO gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total systemn length feet
SEEPAGE PIT(S): Number of 11 /Size each 6`8 feet
by feet
Size of stone to be used #. Z /Depth or Thickness /2" 1►//JEj 1j 7i ii feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical work to be inspected by an approved
agency.
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: DATE: f)-16-9/
Septic System Inspections:
A. All applications for septic systes installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
bee submitted to the Building Department at least 24 hours before stare
of construction and shall include a plot plan showing:
1.) the proposed location of tho 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 drywalls
B. No system shall be covered before inspection and approval by the
Building Inspuctor. Failure 'to comply with this requirement may
rdsult in the uncovering of the system by the installer and a fins
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 muse
be submitted to the Qudunsbury Building Department before further
construction.
Town of Queensbury .
' BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
kenl:lrk :
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j 46EL(REV rea) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING •
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
' DONOT WRITE! -FOROFFICEUSE ONLY . •
BUILDING PERMIT NO.
. .
r
TEMP.# DATE l n. q_q( 9/ 5/
'bi CITY OR VILLAGE TOWNSHIP' fl gy l •COU�ITy�� "
W/►rVI►pll(1J
STREET AND NO.OR ROAD .
vie aD riiLL bulb- POLE UMBER
BE,E /iTyQ�O CROSS SjLj�ETS IS PREMISES LOCATED? SECTIO BLOCK LOT
OCCUPANTS NAAIMMEE/�r/f�NA/'„'Tl/ lF) e yb z BUIL ING OCCUPANCY
• OWNER'S NAME AND AD(DR'REESSSSc,., ''rf1/ ��//�; /w/3�M,�I'„a p/S J1q A^�il y /1 1,o,i�l 9y y HOME TELEPHONE NUMBER
r��I IIfK I/1'JV) C/y��N t�ll'llu 1 Y
CURRENT SUPPLIED BY Ail o FROM THEIR OFFICE '23#6 WORK TELEPHONE NUMBER
BUILDING IS ,//IY/ 37D/t UU
NEV' . • OLD❑ WORK IS NEW>' - ADDITIONAL El DEFECTS REMOVED El
- 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 AW.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: - '
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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 /f`D /I e FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WVN IAr(ORK 0067400
l}j��/� 0� XPOSED GAS TUBE SIGNITRANSFORMERS OF VA
' U 5 CONCEALED •
DATE WORK'R)BE STARTED // )Q DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING ����----yyyy(((( MANUFACTURER OF SIGN •
El OVERHEAD ir UNDERGROUND
DATE INSPECTION REOUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS' I I D ( I I r
IIDENTIFICATION NUMBER ; .7 1 ; ,t iri'l _I
- AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS jq
NAME OF APPLICANT `� ^�^� � �� D OF(/P I�ATION. XSI OF PPLIC NT
I/.�/1 !/VI I!1 !!
STREET ADDRESS /� { �oXw�P iv,. TE HONE, u /,,,
CITY OR POST OFFICE/0"^,E00 v f/✓i x %z 0DEDE LICENSE NO.WHEN APPLICABLE
El 85 John Street X. State Street ❑ 584 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 I SYRACUSE,NY 13206 ,
THE NEW YORK BOARD OF FIRE UNDERWRITERS
!S* \t/„\tl. �/, t/,M\t/,.1t1,\t/,to 1t/, t/,\t/„\tJ,_\t/, t/.,t/„Mi.,,, tl, t/, t/, /./M tr„\.1kr,"\t/,M tl,•\t/,\t/,11kc t
�•'- -� �-=-`- - - -- �'- �- -- - --� - - -- .)• r a a• 1,t/.,‘•,!.)tl,atr,i.t(, t/,a}/.at(,,a, t/„t/.)tl.,t/, tr,st/,,,a.,t/, tr,n/,,,a-,,tr- ti,1t,,g
1 THE NEW YORK BOARD OF FIRE UNDERWRITERS "'1{' '
: r,001.�ir}'1
®
BUREAU OF ELECTRICITY
o: F. • 41 STATE STREET,ALBANY,NEW YORK 12207' o
-< MARCH 30;1992 0 7.V01_/�I:t/`p.i: ' A06 7 i 92 to
i; ,Date Applicae o.on L
THIS CERTIFIES THAT ' • • •
only the electrical equipment as described below and introduced • t named on the above application number in the premises of
•q.: C.&i., R,E.,LTY. 78 C) J) MIL7L! LANE, MA;;ifLL° Fox.;, ti)./1)t;;, (?lii+,}w ;1ti}r,,. N.y_ o _
" • in the following location; 0 Basement 0 1st Fl 0 2nd Fl. • Section• .3. s. Block Lot `
t I?lg1iCH ? ,.i.994'
:t was examined on and found to be in compliance with the requirements of this Board.
;
f1 FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
F OUTLETS, INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
® 42 27 _c 9 I I. 5 . I. t,. S,'
® DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS SELL 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
3 F
a SERVICE DISCONNECT NO.OF . . - - S E R . -y.... . I • C .- E - -
c METER
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3,e'4W NO.OF CC.COND, A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G.
PER B OF CC,&JD.. - • .Of glo OF NEUTRAL ilo
} 1.5 t? C :i- X •f. 1 Ci. - - ,
ID -
OTHER APPARATUS:
j .
SMOKE DETECTOR:— . . .
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:
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. :t79 iOXWOO.D DR7Vr'; _ (Sub" :: =
i !c 2C7 .ENr;CT. fi'f, hi'+', 12303 BRANCH MANAGER
3 g<; - 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. :
,*,amen ® o ® oeo ninianor war ® ® e0000 ® 000 ® 0000 ® oM00000000000 .
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. •
ilk,a A117)
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED VJ LO l
NAME M0 V\I O liSI1.
LOCATION ! 0') I f I I,
r
DATE J. L )CLPERNITI I J l S
TYPE OF STRUCTU E CY
RECHECK
•
_FIRE MAR ALIAPPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION \LBACKFICL FRAMING
ROUGH PLU BIND FINA ELECTRICAL SEPTIC
INSULATION \WOODSTOVE/FIRc4PLACE
REMARKS i /
/i
�1 APPROVAL
N/A YES NO
CHIMNEY HEIGHT/COCA ION 7 /
B VENT/LOCATION / /
PLUMBING VENT /
ROOFING /
SIDING ` , j
IL N
DECK/PORCH/STEPS/RAIGS � /
RELIEF VALVES / ✓/
FURNACE/HOT WATER OPERATING ,//
BASEMENT INSULATION/DUITWORK 1/
INTERIOR TRIM/PRIAACY OORS
FINISH FLOORS: \
BATH/KITCHEN WATERTIG T //
OTHER FLOORS SIWEEPABL \ v/
OTHER FLOORS1CARPETED \ /
STAIR CLEARANCE/RAILINGS \
HANDICAPPED AG` ESS ;SMOKE DETECTORS /
BATHROOM FANS/W i //
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSER I
OTHER FIRE SEPARATION
FIRE/DEMIS WALLS
DUMPSTER /
SITE PLAN VARIANCE REQUIREMENTS /
FINAL ELECTRICAL //
OK TO ISSUE C/O OR C/C
COMMENTS:
. 74e,eigi/ze°100.1 6 2 Si.5176-
if
ARRIVE / '
A 3.--- C/-/.1;4eAt
DEPART/v
U INSPECTO
47)
164)
TOWN OF QUEENSBURY J
BUILDING AND CODES DEPARTMEN ---
531 BAY ROAD 7► "
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED L1.1)
NAME KS 1'OS
LOCATION �-2 OO/1) ft2 //
DATE y.-',1,9-/9'9_,PERMIT #TYPE 0TRUCTURE tif
c-/ dts-,-- q' �
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE f .
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION''FROM
FREEZING FOR 48 HOURSFOLLOWING
THE PLACEMENT OF THE kONCRETE.
MATERIALS FOR THIS P,UR'OSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN P,LYACE
FOUNDATION/DAMPROOFING
BACKFILL APPROV L
ROUGH PLUMBING
PLUMBING VENT4VENTS IN PLACE
PLUMBING UNDER SLAB I
FRAMING: '
JACK STUDS/HEADERS
BRACING%BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN r'
INSULATION:
I. FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R •
-
FLOORS R-
WALLS R- l cl 1//
CEILING R- 06 v
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART 7 `5'
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /pp 2-
NAME ONGS011 n9-DY-6_S
LOCATION rig O 1() r) P I
DATE ' PERMIT # / / R
TYPE 0 STRUCTURE U - t.)( l e/
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 p✓,.
FOUNDATION/DAMPROOFING ,✓
BACKFILL APPROVAL )f
ROUGH PLUMBING if
PLUMBING VENT/VENTS INL'ACE
PLUMBING UNDER SLAB if
FRAMING: V.�,•e_ketT
JACK STUDS/HEAD1RS
BRACING/BRIDGING
JOIST HANGFt /
JACK POW /MAIN BEAM I
HEATIN OUGH-IN I
INSULATION:
/FOUNDATION WALLS INTERIOR R-
/ FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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ARRIVE j
DEPART / �
• NSPECTOR '
we3 HI-y)
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT ` Ji)/c1REQUEST FOR INSPECTION RECEIVED l
NAME \(\ �6)IIG� iti /i
Y0S
43
LOCATION 2 ( /f d
DATE ( /6) L
PERMIT # 1 5/ 2
TYPE OF STRUCTURE
RECHECK APPROVED
gr N/A YES NO
FOOTINGS/PIERS • ,a
MONOLITHIC POUR FORM 011
REINFORCEMENT IN PLACE „r .
THE CONTRACTOR IS RESQONSIBLE
FOR PROVIDING PROTECTIONFROII
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS P1J POSEION SITE
FOUNDATION/WALL POUR a
\RREINFORCEMENT IN PLAC
FOUNDATION/DAMPROOFIN
BACKFIL L APPROVAL
ROUGH PLU TNG1/
PLUMBING VENT/VENTS IN ' LACE
PLUMBING UNDER SLAB t
FRAMING: .9.
JACK-STUDS/HEADERS
BRACING/BRIDGING p
JOISTHANGERS E \
JACK POSTS/MAIN BEAM
•
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: �: r 01
1Ww
26-2
45w:4
ARRIVE/D ?�
DEPART �d l d� ` l`�`2�
1 INSPECTOR
�
.71-Cd32-210. 127
_Jouin of Quee'nsburt1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
• Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Ns zfO.S
LOCAT I O//N 7 APPERMIT
s Ok) #1)% 1DATE NO. )— JJ ZS
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 PITS4Nuinber of) yi
Size- ft. X ft. !!
Gravel size '.! „r
`., PIPING: Siz'e / Type
Bldg. 'to tank
Tank to dist. box ��rf
Dist. box to field/pit , ,
Openings sealed? YES Partial
LOCATION/SEPARATIONS: 1 (9
Foundation to tank / 'a ft. .
Foundation to absorption ?y ft.
Absorption to lot line ''{ft. '
Separation of pits/
LOCATION OF SYSTO ON PROPERTY,(circle one)
Front - Rear - , left side - Right side -
COMMENTS:
SYSTEM USE APPROVED YES NO
•
Bui ing Ins ctor
01/86 and vl
I is OF QUEE'dSBURV vL
BUILDING AND CODES DEPARTMENT ��
531 BAY ROAD
4 �TELEPHONE (518)0R92-583K 4 2
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ! /q/Q(
NAME /0 n0_L Q_p�` - /Ltd A14_9 '
LOCATION 7/ P7/ P Q/ iP_4c v j
DATE fig B Cl/ PERMIT # 9/-trII
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING ,
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 ar
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS ' R-
WA LLS / • R-
CEILING / .R-
DUCT WORK OR PIPING IN UNHEATED
SPACES i
REMARKS
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/ {irULNA-I Pa- b2() >1`1�C�fr1
ARRIVE
DEPART /
INSPECTOR
TOWN OF QUEENSBURY 76.jL
BUILDING AND CODES DEPARTMENT
531 BAY ROAD /�//�1
QUEENSBURY,
TELEPHONE (518)NEW 0R92-583K 4 2
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 7/;' I �/
NAME ] /l
LOCATION '7, (O&f `sEc,t
DATE 7/obi PERMIT I 9f/-547
TYPE OF STRUCTURE Yg- ip-61./L///9G
RECHECK APPROVED
N/A YES NO
)/FOOTINGS/PIERS
' MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION 1FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONDRETE. /
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE 1 /
FOUNDATION/DAMPROOFING \ /
BACKFILL APPROVAL It a
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE'
PLUMBING UNDER SLAB a
FRAMING: / �a
JACK STUDS/HEADERS `s
BRACING/BRIDGING /
JOIST HANGERS / r
JACK POSTS/MAIN BEAM / P
FIRESTOPPING `
WALLS t
CEILING / q
FIREWALLS / 1,
HEATING ROUGH-IN /
INSULATION: I
FOUNDATION WALLS /INTERIOR R-
FOUNDATION WALLSEXTERIOR R-
FLOORS / R- 1
WALLS / R-
CEILING 1 R- 1
DUCT WORK OR P/IPING IN UNHEATED
SPACES /
/
REMARKS:
/I Ali
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DEPART l `3D 4 ‹
INSPECTO
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