1991-519. ____,; -.. �"i�.. , .� =.`d` ' �i ` r S.l �:� .�- .-.l�f�l..� -:�•`.I�R*1�'r�-:...I sir,y�.:.v`;- .�}.. �.ili h`.�. �. ♦- r � ,. -. °" sv :��.. yl t:'y it�r'
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY,. NEW YORK
Date March 17, 19 92
This is to certify, that work requested to be done as shown by Permit No. 91-519
may;
has been completed. r'
This structure may be occupied as a of Fourpl ex. i xon .III° }
Location B0:Old MiliLane `
Owner C & L Realty! Masul l o Brothers Builders %?
By Order Town Board
` TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
d �
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-519 —0
WARREN COUNTY, NEW YORK �.
PERMISSION is hereby granted to Masullo Brothers Builders C'
OWNER of property located at 80 Old Mill Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 4 of Fourplex Dixon III
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.
O
1. OWNER'S Address is
C & L Realty
3049 Broadway
Schnectady, NY 12306 •
2. CONTRACTOR or BUILDER'S Name —�
Masullo Brothers 0.
3. CONTRACTOR or BUILDER'S Address fkr
0
—h
O
4. ARCHITECT'S Name
fD
x
5. ARCHITECT'S Address
CO
O
O
6. TYPE of Construction—(Please indicate by X)
( X Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
fD
No. 1,381 sq ft 4 of Fourplex as per plot plan specifications
and application
8. Proposed Use
4 of Fourplex
$ 217.00 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 17-th. Day.of ' July 19 91
SIGNED BY : 41 _ for the Town of Queensbury
Building and Zoning I ctor
� I
, +OWN OP QUEENSBURY
j
REVIEWED 8Y � t,0. ,,.. .� ,g-r.--.F� s ;.5.
., ��, FEE.PAID = /I� -<kM:s�a��- -
).31 . . . .. . .. .. PERMIT N9. -- 7
BirmitiO PEItMi'ti.AP N PLICATIO ,
,'. ,, BL.DU. 81 CODE DEPT..
,
i ! A PERMIT MUST BE OBTAINED UEPO,RE BEODINI IO CUNST1tUCTION. NO INSPECTIONS
WILL BB MADE UNTIL APPLICANT IIA$'1tECEiIVED A VALID fUILDINO PERMIT.
All applicants wares on this Application 14UST be completed and the signature of the
i applicant MUST appear on the reverse side of thig application. " ' '
• a • •R,•• • •,,r it ,•.• ••;••., •.S, -+ ,.• • • • • •'r , • • • • • • ,• • • • .. • • • • • • •
The owner,lof this property •
Is: Ct s�_Ad s •
P.O. Address 3 � • l�'�.. V /y` /23DC Tel. n -Mfg i
Property Location f3Obib ALL. i ' •,: Tax Map No. / / •
• ,,;
Has there been any split of this property since October 1,,1988?, I. )C •
If yes Planning Board Kevie,w is necessary. ybs no 3/)(
i
SUBDIVISION NAME, IF APPLICABLE..AN / 0/73 ,c,;,.;...RI,; LQ1; NO. . "
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS aE•DARDS TOtBUILDING CODES IS:
egnilivE L Auutip _ • . r
- NATURE OF PROPO8ED WORM ' : .. 0. ,.. to'
., ..li ESi';MATED MARKET VALUE OF: , •
')., Construction of a new building a CONSTRUCTION: $ gDDOo
' li COMPLETE INFORMATION REQUIRED BELOW:
Addition to a building ; • I Rat,lAN
Size of property/b/./3Sia.A6 ft x ft.
Alteration to a building ,
Existing, Bulldings(3) Size ft. x ft.
(no change to exterior dimensions) • • e .; ',',.,V, : .
.. • ' • Proposed building -;distance from property line:
Other work (D.eacribi!) „ ' D
Front yard ft. Rear yard 3 ft.
i. 1 . 7 : I'' • r-'11 '0aa1i °:I 'Side yards' 0 ft. and 2$ ft.
GROSS AREA OF PROPOSED ST UCTURE ,((nn,{{ If on corner, setback from side street ft.
1st FIooF., a' sq. tt.1 (j 0 ' OCCUPANCY'•INFORMATION •
•
2nd Flog_ ' '911 ' sq. ft. ?, /1, jPrimary Building -
• ? .';! `:; ['V4 I
, One Family►:.•welling ' •'
i , Other Flbbrs� N/A sq. ft.- i .
(not cellar or.6asement) ` ` ''.1, ,,,:. ,, Two Family;Dwelling
j t 4 • :MultipleDwelling/Number of units
�TOTAL FLOOR AREA I3� aq. ft: ..,;. ,' , : e� Business
Size of heir structure _4Z ft x 226- ft. . , -'..
Foundation-pier/:lab/crawl/paella! * fndustrlal
i (circle oils) �' , •i Other
!,No. of stories (habitable space) r F
HSight.(grade to ridge)' ` 24: , • ft.,. , ' • •; It a(kltlon, what will use bet .
If residential, no. of families, ] • ' , '0
j No. of room$(excluding baths) 6 •,, ; 'I '1 ell' .
^,, i,;, f , Aecessorq Building
i No. o!tsidrtloini 3, , 4, Detached Garage 011E/TWO Cage
No. of bathrooms i
Primary heating system, 645 AeIli2 . e X Attache! Oar rots WO /
Type of fuel Ca'AS ' • • _____Private storage building
NO. of fireplaces to b. Installed_ •
e°
Willa wood stove be Installed N� 7 Other
•
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
T%pe of construction, wood frame, fire safe. etc., H'OD /ti AM! w/Z"7 X 'll9E Vac r /Yok 0145
Will any second-hand or upgraded lumber be used? if so. for what? Be •
lilt
Foundation wall material ee,0/02 MIND e . Thickness a 1(iv
d7
Depth of foundation below grade (to bottom of footing) '1 /1l/,(
Will there be a cellar? YES Heated or nheated Floor sq. footage 66Z sq ft.
Will there be a basement? NO Will any poi. ion be used as living space? NO
(If so, what portion? . sq ft. Type of use?
Type of roof - slope flat/shed/other Material of roof if*A.T 1to/AS5 Sigma
Size, wood studs "x G " spacing " o.c. length S—
Joists (floor beams)'1st floor "x /0 " spacings 16i' ft'.jn'.66f. •
Joist (floor beams) 2nd floor Z "x /d " spacing /6" "o.c. span
Overlays (ceiling beams) Z. "x 6 " spacing 16' " o.c. span 12 ft.
Roof rafters Z. "x Jo " spacing /6 " o.c. span j2' ft.
Roof trusses (pre-engineered) spacing 24 " o.c. span ft, Ste•77P1/s5 OED77 a1g5
Extetior wail finish bled- dick. B8860 'of'what hiatdrial? U jL
Interior wall finish Ye" PAMI L 6W MO
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: . •
T X OR V "�1 R. ,�E DooR 1 e w6ic . .
Is there to he an opening between gage and dwelling? Y S If so will a Fire-rated door, enclosure,
self-closing device be provided? Y
Will a flue-lined chimney be installed? NO Height above roof ft.
Depth of chimney,•fotindatio,n bejow.grade ft.
Depth of fireplace hearth. ft. in...
Water supply - Municipal or private well PIPN/C/PAL
SEPTIC SYSTEM Distance from ANY- private well (including adjoining properties /.3:0/10 ft.
(A sepRrAte ap;z!Ic•tloh Is necessary for any repair or new installation of septic system)
NAME OF BUILDER PIA51Clo �,� �tS,&, s�DDRESSA89uAalAI11r.OIR1fCKEL. NO. 61.4018
NAME OF PLUMBERI III PLU,1OJN4 ADDRES9ONE� N , v6. Y TEL. NO. c`f�,9 - �8��
•
NAME OF MASON 11fj/ rn14' 6ONL1O1N5 ADDRESOMIPfOADV4.40191Ec1A['TEL. NO. Z10-IDf o
NAME OF ELECTRICIAN O RLEC. ADDRESS /7/ *WOW aVg TEL. NO. ‘93-47P0
.4a/m!?GTADy
DECLARATION
To the belt of my knowledge and belief the statements contained In this application, together with the
plans and specifications submitted, are a true And corhplete 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 [awl pertaining to the proposed Work shall be complied with, whether:specified or.not, and that
such work is authorized by the owner. . " ' '• • .
• ' .Signature . d .
Owner, owner's agent, archltect, contractor
SPECIAL CONDCMONE OP THE PERMIT, '•
BY
. •:;:..,
. , _,-,-.•••
! . ; •II ; : - ' - ;;; ; : ; .. • l'1 .. . ;
I . , i : • , .i __ ,_
. .
• iI TOWN oF; QuEENSBURY - . . •.• .
• . i
•
• .
. ..,
NEW: YORK
WARREN COUNTY ,
. .
. .
, .
. ,
. •
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
I . STATE ENERGY CONSERVATION CODE
I I .
. , A permit; mUst be •obtairied before beginning work .
•
JUL 1 i 1991
ANSWER ALL of the following: I - •
i .
. . . I
1. 1 Grots1floor area COL . .
• . atTL2,. k, %,:i6-i_$ OPT
• 2 . IType Of heat GAS HOT AIR I .
.
I
. .
i. i • .
. -
3 . Is the building mechanicallylcooled? NO ,
I 1 .
. !
4 ; i Percentage of area of windows and docirt MIN 8%
., . • - ! I
A. Over 16% Only ! .
1. . U value of gross area of wal16 , 1roof/ceiling and floors
exposed to ambient conditions;
; . .
. ,
, .
. .
,
2 Floor over heated spaces YES NO
. .
a. Are foundationwallt insulated? YES NO
. . . 1 . If YES , what I it the R; value?
I I • • . I .
. . ,
. .
3.„ I Slab on grade YES 1 NO I !
. . . . a. If YES, what is the R value of insulation around •
perimeter of. floor? . . .
. • , . - I ' ,
. ' ! • 1 . . ; , •
. . ! . 4'. Is basement heated? ! ' YES • 100 ',
' a, R value of, insulation , 11
5 Type of insulation
• , . 1
. . I .
B. Under 16% Only '' . - . - , • 'I ! • 1'.. , - R value of roof and floors exposed to ambient Conditions
—
; . • . R- 30 !
; .
. ! ; 2 . R value of exterior walls R- 19 ,
,
1 . R value of glazed area .2 ,25, .
: . , • .
. : .
4 . R value of doors
2 . 50
•. , .
- .
I 5: R value of floors over unheated spaces R _ 19
• ii
• .
; ! 6. R value oftlab edge; itstiliObn - unheated slab na
i' ' • 'r 1 i 1
7 . R value of slab insulation - ' heated slab na
- ; -
. • , . i .
8,' R value of heated basement/cellar walls (above grade) na
, 1
9. R value of heated basement/Cellar walls (below grade) na . .
1
•
10.: Type of insulation FTRFRGIAS RATT 1 • .
v • ' 1 .• • : a .
. ,
C. Controls . H
. . . .
1,.. Thermostat maximum heat setting .1 90° .
; . .
- .
D. Duct Systems . '
, 1... Is duct system installed in unheated spaces? YES ,
. - •
.. a. If YES , R :value of duct installation
• : : b. R value of duct lir .Other1areas .
• I , ,
E. Piping Insulation I.
I 1 1 . . Size of hot water or; COoliag ! CAttVing agent pipe 1 /2 & 3/4
2'. ' R value of pipe indtilatiori ij • _
•
F. Service Water Heating 1 ' - H .
• 1 .
,., Performanceefficiency ;
1
2 . • Temperature control setting MaximuM, -7 -
. ;
• G. For Swimming Pool only : ' • -1. Maximum heating . .. .
. •
. ,
. i • , ii •
•
. • - -
Telephone! NO. i Nfia
37o-to56 . 1 • • 1 :(applicant ' s signature)
I 1 I i
'1 I , • i
I . • .- 11 I
,
TOWN OF QUEENSBURY
, t,0 APPLICATION FOR SEPTIC DISPOSAL PERMIT
OWN OF QUEENsBii,„
DATE: 7/‘
RECEIVED
LOCATION OF PROPERTY FOR INSTALLATION gO OLD n1a,LAIV6
JUL 1 6 1991
Owner's Name: RIALTY
BLDG. & CODE DEPT.
Address: 104if MIDWAY, kowany Aikw fox
Installer's Name: Pm kilso 1AW5 I ' Telephone: 257-00
Number of bedrooms (residential only)
Total daily flow (compute @'150 gal per bedroom) *)
Topography: Circle one: CP Rolling Steep Slope % of Slope
Soil Nature: Circle one: and Loam Clay' ' Other'' /Depth:
Ground Water: At what depth? 7 ZOf Feet
2
Bedrock or Impervious-Material : At What depth? ' ' 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 ZOO gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPAfiE PIT(S): Number of 41 /Size each 6-8 feet
by feet
Size of stone to be used #. 2 /Depth or Thickness /2" 3/,0645Tievit 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.
if SIGNATURE OF RESPONSIBLE PERSON: 1.,ak DATE:
Septic System Inspections:
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 includes 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 drywalls
B. Nu system shall be covered before inspection and approval by the
Building Inspector. Failure to comply with this requirement may
rasult in the uncovering of the system by the installer and a fine
uf up to $250.00.
C. An approved copy of che 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 Quaensbury Building Department before further
construction.
Town of Queensbury ,
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads '
Queensbury, New York 12804
kamarks: .
•
1 If
i
, I
•
I •
. 46EL(REV.I/BB) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
THE:NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
`::'DO NOT WIRITE HERE--FOR OFFICE•USE ONLY ,
BUILDING PERMIT NO.
•
•: TEMP.N DATE?Ali 9 �J./9
CITY OR VILLAGE TOWNSHIP U&l1 ei? _ • V (�/*/ •
`//1y 1LLlU_�ry/L✓Jf�l nPOrJLE7NUMBER
STREET AND NO.O+R ROAD
}Jg/n�O LC) PILL
�i LA/�,,y"u N/7/{�f/J'�Ay'�/7'�J
B 7I_ WHO II�WVYtD REV�Su)PPREMII/SVGf/ awl
RA SECTION BLOCK LOT
OCCUPANT'S NAME t1A5UuO{jJ n^��I L11 4A /�� BUILDING OCCUPANCY �� ���
OWNER'S NAME AND ADDRESS n*I-gEA Ii//�y /4!Y!)Gl{l3, 17 j q &A� .7 �I HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY ,1�/►�b_I FROM THEIR OFFICE ►y'R J WORK=E�-��ON_NUMBER
BUILDING IS `� /Jv "I!V, /�U b lIZJJ'/1 ((fit
NEWX • OLD❑ WORK IS NEW X ADDITIONAL❑ DEFECTS REMOVED 0`-a LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOIORS HEATERS BRANCH • OFFICE USE .
Loca- Lamp Receptacles CIRCUITS ONLY. .
lion Side Atcep'I Switch Pendant Bracket No. Type Each No. Each No. Gau Watts ge INSPECTION. .
Ceiling Wail Recep'Is
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 J 50 Ale
FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CI IARACTER OF WORK {y •r('�/y/,•lC• ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
IyE J� emogivia XCONCEALED
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 APPLICANTS /�
IDENTIFICATION NUMBER- o ' I(? ) `.Ib 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 /t rtI]Rui n Er•'f'l/ DATE OFAPPLI ATION XSI A E OF,i•PLICANT - •
STREET ADDRESS 1
9 i go LOOD TELE�I. E 40. 00
1 ^ U ZIP CODE LICENSE NO. N APPLICABLE
CITY OR POST OFFICE J/4^,�/ \J v 1�f�/'�
❑ 85 John Street {4.IN, U41 Stateat Street ❑ 584 Delaware Avenue 0 217 Lake/ Avenue 0 202 Arterial Road
NEW YORK,NY 10038LBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206 •
7 THE NEW YORK BOARD OF FIRE UNDERWRITERS
.4,".,\.(."„19,!Jt��.�.,���,��i".11!1.4i._•(..1t/.�a„14, ���.l.Cj•!.)11!.111!.at�.off..II,! .,1..i.,.„,.,.}.i.-A„.-,,„i.,.,.,.,.a�t.a.,.av,,).,(0,.,.(.,.;.,.,,,,../.,.,.,.„.,.,.,.,.:. �.,.,.,.,.,..,.. .?�.,.,.,.,.,.,ti.,...��� -
-: THE NEW YORK BOARD OF FIRE UNDERWRITERS LAP xv '''
*ii, •: 4001057
BUREAU OF (CITY, •
�, 41 STATE STREET, LBANY•NE YORK 12207. • • '_.
'c MARCH i::::
l '. l7t i'1 {t ican N .:1' 91.~�+ y below and int ed by the scant named on the above application number in the premises of
ii,'; .icd, REALTY, 80 OLD MILD DAN ,', P•1ASULL4:) BROS. BURS :I NC. , 'iiEEMSB Ry, N.Y.
in the followinglocation t r r3l?. 1.T T.
❑ Basement ❑' 1st FL ❑ 2nd Fl. Section Block Lot
IA' MARCH 1t,,:l992
, was examined on and found to be in compliance with the requirements of this Board. •�
.p 1,: :
FIXTURE KEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. ' K.W. MAT: K.W. AMT., K.W. AMT. K.W. MAT. H.P. '
28 37 27 22 2'. . 1. 5 .7 E -
L
:: DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RCPT. TIME CLOCKS DELI. UNIT HEATERS MULTI-OUTLET DIMMERS ••!
3 ! RCPT. SYSTEMS 's
.v .' AMT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. _ MAT. AMP. 'AMT. : AMPS. TRANS: AMT. H.P. NO.OF FEET AMT. WATTS
ti
q J.
i
1•
if,: SERVICE DISCONNECT NO.OF S E R . V =I C E. `�
A11MT. MAP. TYPE EMQEU�F. 1,e'2W 1�•3W•3 p 3W 3,9 4W �•OAR 1COND. OF CCC. OND.. NO.OF HI-LEG of HI IEG NO.OF NEUTRALS qq Op EWUTGQ'AL ,,•
'a W. .L .�.�'!L CB .L X 2/0 •)., • .1/0 IN'
S,
ie: OTHER APPARATUS: .
t,' G, 'F .C..i.: .
, SMOKE DETECTOR:-1 ;
8 �•
1 i, '
•
• .179 BOXWOOD DRIVE CTu?'
�• SCHENEC`IADY, NY, 12303 BRANCH MANAGER
1• to
e, 239
o
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.
n f• i-%• ® ® ® o ® ® 0000 ® ® ooeeee0000e ® ooeInriMM ® ee ® e =
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. s _•
�.C1 P IY
TOWN OF QUEENSBURY
j ►:ice 531 BAY ROAD
i` ;. QUEENSBURY, NEW YORK 12804
.y TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION /
REQUEST FOR INSPECTIION RECEIVED 3/ /(el/9�
NAME c\OtC)
t S j'I//1 lS ,, yO S
LOCATION KO O f() w`/I v41
DATE 3 // 7/9kg-PERMIT# 9/ 5/ _
TYPE OF STRUCTURE 4 �J ,Ups f
RECHECK (J
FIRE MARSHAL APPROVAL (COMMERCIAL ,STRUCTURE)
FOOTING YOUNDATION VBACKFILL FRAMING
ROUGH PLUMBING FINA ELECTRICAL EPTIC
INSULATION _WOODSTOVE/FIREPLACE
REMARKS
i
APPROVAL
N/A ` YES.. NO
CHIMNEY HEIGHT/L/OCATION / /
B VENT/LOCATIONS �' �/
PLUMBING VENT ; /
ROOFING 1' I ✓
SIDING 1
DECK/PORCH/STEPS/RAILINGS / /
RELIEF VALVES Al. V
FURNACE/HOT WATER OPERATING"'
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRI\VACY DOORS ✓ ,
FINISH FLOORS: r
BATH/KITCHEN WATFiRTIIGHT J
OTHER FLOORS SWEE'QABLE V
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAI;I TANGS v//
HANDICAPPED ACCESS/ \
SMOKE DETECTORS I \
BATHROOM FAN
ALL PLUMBING FI/TIDES OPzERATING
GARAGE FIRE PROOFING
DOOR CLOSERS / ` 1/
OTHER FIRE S9PARATION \
FIRE/DEMISE WALLS \DUMPSTER l ;
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELEC ICAL
OK TO ISS E C/O OR C/C
COMMENTS: ,,,"4,4,7
e
ARRIVE c�
DEPART o- �
INSPEC
IA) (-(l
TOWN OF QUEENSBURY a
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
•
REQUEST FOR INSPECTION RECEIVED l ld J,2
NAME f'VS 0\\n PD aF0 D
LOCATION / 0 I() I I i ii
L-CJ__
DATE 1/497 9 c) PERMIT 9 T / —57 ci
TYPE OF STRUCTURE - Jl �7I£' �,' 7/7
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 :r
BRACING/BRIDGING
JOIST HANGERS ;,.
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN <,.,
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS t R- +,
WALLS 1 R- / _
CEILING \ R-?fO ✓..
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
ARRIVE /
DEPART / s- ____.-
IN OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR IINSPECTIOaN R EIVED
NAME 7�%<�'f -4-4
LOCATION ,,(-2 /��/��1
DATE 7' /Q "/ PERMIT # q)) - `5 I
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 i
FOUNDATION/DAMPROOFING 1
BACKFILL APPROVAL I
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB '` I
FRAMING: ';; I/
JACK STUDS/HEADERS I`,
BRACING/BRIDGING I
JOIST HANGERS /"
JACK POSTS/MAIN BEAMS N,
FIRESTOPPING
WALLS ,
CEILING I
FIREWALLS
HEATING ROUGH-IN Y \
INSULATION: \
FOUNDATION WALLS INTERIOR R- `,
FOUNDATION WALLS EXTERIOR R- ,`
FLOORS R-
WALLS R- ,,
CEILING ` R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
,O 'al/A!7 -g
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eyg7,.(7 O' .la 0-e,Ai
#j
ARRIVE
DEPART f /We
C TO
/AO
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT l
REQUEST FOR INSPECTION RECEIVED i p (I / 9
),
� Illl
NAME ��(, N) ' B r(s .s
LOCATION .? (IC) rn► 1) iXa `-
DATE C, PERMIT #� ,} 1 1 T )
TYPE 0 STR CTURE L( rT
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE if .
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THEjCONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE >'
FOUNDATION/DAMPROOFING;i
BA_CKFILL APPROVAL r,
"
5`'OUGH PLUMBING '.
PLUMBING VENT/VENTS TN PLACE
PLUMBING UNDER SLAB ;r
RAMING:'
JACK STUDS/HEADERS
BRACING/BRIDGING;r •
JOIST HANGERS
JACK POSTS/MAIN, BEAM
HEATING ROUGH-M
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R •
-
FLOORS R-
WALLS ( R-
CEILING I R-
DUCT WORK ORjPIPING IN UNHEATED
SPACES
REMARKS:
/eichpai, 014 /.
•
ARRIVE /off
DEPART / C77-/ ` '/
�` INSPECT2R
0&& 'Nil ..
_ wn o/ QueeniLry,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
ti 4 C.6\)19-Q-'s
•SEPT IC DISPOSAL SYSTEM INSPECTION
NAME çc\ sv)/o ;a-5S,
LOCATION X(a. 0)cc ins
I! jtp-r�
CI
DATE 9 / 4PERMIT NO. ci / -5/ /
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 1
SEEPAGE PITS{Number f)
Size- ft. X ft.
Gravel size
PIPING: Size ' Type
Bldg. to tank
Tank to dist. box • ."\
Dist. box to field/pit
Openings sealed? YES; N� Partial
LOCATION/SEPARATIONS:
Foundation to tank' ft.
' Foundation to absorption ft.
Absorption to lot line ft:
Separation 'of Fits ft:'•
Y
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear/ Left side - Right .side -
COMMENTS:
// .
•
•
•
SYSTEM USE APPROVED lel NO
Bui ing Insp ctor
01/86 and vl .
164A OF QUEEWSBORY //6
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
R � YORK
TELEPHONE (518) 79 4
2-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED � /
NAME LI/e�.�1,4 -CQ-t7
LOCATION �G1 4 )2t,/! c- ___-
DATE �,/V97 PERMIT #
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
V BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS .;'
JACK POSTS/MAIN BEAM tir
FIRES TOPPING
WALLS 4
CEILING •''
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R •
-
FOUNDATION WALLS EXTrERIOR R-
FLOORS i' R-
WALLS « R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES •
REMARKS:
kc/,ZU-i, WA-LC
:NA-i 0-Piae 111-CL/C-,
ARRIVE eZ- -J0
DEPART . y(} / r,
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT a
531 BAY ROAD
QUEENSBURY,
TELEPHONE (518)NEW 0R92-583K 4 2
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
/�
MAME ef.Q.t i ao ,
LOCATION :el'•(1
DATE 7/ 1/q/ PERMIT # 9r-gI
TYPE OF STRUCTURE jt r /fAWLmillt-
r
RECH 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 q 1
REINFORCEMENT IN PLACE ,4]
FOUNDATION/DAMPROOFING ? .1
BACKFILL APPROVAL l J
ROUGH PLUMBING ,
PLUMBING VENT/VENTS IN PLACE('
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS ;y .0
BRACING/BRIDGING '(;`
JOIST HANGERS
JACK POSTS/MAIN BEAM ';!
FIRESTOPPING
WALLS
CEILING 1
FIREWALLS t`
HEATING ROUGH-IN I sy
INSULATION: 1 .
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS I R-
CEILING / •
DUCT WORK OR PIPING IN UNHEATED
SPACES /
REMARKS:
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DEPART �)2 1I '.;,
GINS1ECTOR
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