1991-506 ...�.,. ;:,ram. .•x r.,'._,::,,:(;,.. .�;y _ -t
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 25 19 _ 96
Dqc , to -
This is to certify that work requested to be done as shown by Permit No. 91506
has been completed.
This structure may be occupied as a
SINGLE FAMILY DWELLING
2) BENNETT RD.
Location.
Owner , LAHORA. KEITH
TAXMAP NO.. 83. -1-12 . 8 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 91-506
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Keith LaMora Oo
OWNER of property located at Bennett Road Street, Road or Ave.
N
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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. to
e+
1. OWNER'S Address is
Lot 0121 Lamplighter Acres r-
Ft Edward, NY 12828 0
2. CONTRACTOR or BUILDER'S Name
Self
fo
3. CONTRACTOR or BUILDER'S Address
a
N
4. ARCHITECT'S Name to
CD
n
a
5. ARCHITECT'S Address —�
4.4
X
fb
6. TYPE of Construction—(Please indicate by X) -�•
tp
( X Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 1,144 sq ft Single Family Dwelling as per plot plan specifications
and application
8. Proposed Use
Single Family Dwelling 11/2-Car Garage
$ 167.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 25, 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,Jhis—�5th Day,of July 19 91
SIGNED BY Ova N/, for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
REVIEWED BY i-
. 1/ FEE PAID $ /o 7- TOWN OF 1 E J S
O Jcl:►dw.6llR`;
PERMIT NO. 9/,,5i),C RECEIVED
BUILDING PERMIT APPLICATION JUL 151991
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: 4e.-k L�(�
P.O. Address U-\- xesV--\- Tel -11--VS \'S sz{
Property Location �s��.� ��- 1, CD,,.�,�,,„,\,„ Tax Map No. 3 /1/ I a.p
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE _ LOT NO.----
THE PERSON RESSPPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
`lamb" \O C`'.A-
*
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF •
XConstruction of a new building * CONSTRUCTION: $
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property . ft x -//6 ft.
Alteration to a building • *• Existing Buildings(3) x . ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) * Front yard ft. Rear yard ft.
•
Side yards ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side stye-t ft-1st Floor 1 �-{ sq. ft. �* OCCUPANCY INFORMATION
2nd Floor sq. ft. * Primary Building -
Other Floors s ft. • ,One Family Dwelling
(not cellar or base:nt Two Family Dwelling
TOTAL FLOOR AREA •�� s q ft, ' Multiple Dwelling/Number of units
i-= •
Size of new structured( , ft x Lig ft. • Business
Foundation-pier/slab/c' rtiai/full " Industrial
(circle irk;:; • ° Other
•
No. of stories (habitable space) \ •
Height (grade to ridge) 11 ft. • If addition, what will use be?
If residential, no. of families t •
No. of rooms(excluding baths) •
� Acc sort' Building
No. of bedrooms •
etached Garage WO Car
No. of bathrooms \ •
�c�� ,� • Attar arage ON /.TWO Car
Primary heating system
Type of fuel c� \ '
rivate storage uilding
No. of fireplaces to be installed Q2 '
• ___Other
Will a wood stove be installed
Central Air conditioning tJ
OV* ER
_ r
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc.
Will any second-hand or upgraded [timber be used? If so. for what?
‘\
Foundation wall material ��.,r� -�-- Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? , ,,u,42401.Floor sq. footage sq ft.
Will there be a basement? vn, Will any portion be used as living space? N D
(If so, what portion? / sq ft. Type of use?
Type of roof slope:. flat/shed/other Material of roof , -��
Size, woo studs a2 "x 6 " spacing ((, " o.c. length9ADA ft.
Joists (floor beams) 1st floor "x 10 " spacing /4, "o.c. span I2j ft.
Joisc(fl cr befe-tea^^ "x— " spacing
Overlays (ceiling-beams "x " s —_" ft.
Ro f , vf► .s "x " •
pacing pan ft
Roof trusses (pre-engineers l) spacing i Jl " o.c. span lL. ft.
Exterior wall finish 6 /1-- c�,`'. �'`0, ,�g�of what material? S
Interior wall finish /'a.. '' �U
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there''t6 be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided? �J
Will a flue-lined chimney be installed. Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fire• ���
Water supply = Municipal or private well .:� _c,-�� )
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 kill,Z4-/Sr-R- ADDRESS ( c tz,I Ltawm, 1.54A-cif-EL. NO. —JCS'' 133-4/
NAME OF PLUMBER S)-1-rvi.e._ ADDRESS TEL. NO.
NAME OF MASON Sy—. e- 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.
Signature
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
\ IENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS`\,
Compliance. Methods: OWN OF QUEENSWH I
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) RECEIVED
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;J UL 1 5 1991
Multi-Family Dwellings
(3 Stories or Less)
BLDG & OO.D. D-.Ft
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
\2N "\---Ar\
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - \ s '—ALA Sq. Ft.
2. Type of Heat - c. Base Board Other \Scz' A r
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof &doers exposed to ambient temperatures R
B. Exterior Walls R \\
C. Glazed Area R , mS(
D. Exterior Doors R�
E. Floors over unheated spaces R l�
F. Edge of Slab on Grade (Heated Building) R r,
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R
I. Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code 2><T YES NO •
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS :
REVIEWED BY
aim of TurensErury ,li$Fifuag ,Bepartment
Bay at Haviland Roads Office Phona 518-793-7771 Queensbury, New York 12801
PAUL H. NAYLOR RICHARD A. MISSITA
Superintendent Highways Deputy Superintendent Highways
DRIVEWAY PERMIT
TOWN OF QUEENSBUR
f F: EJVED
DATE: r
JUL 15 1991
APPLICANT NAME: c
BLDG. & CjDE DEPT.
TELEPHONE NO. :
ADDRESS TO BE INSPECTED:
RETURN ADDRESS:
Applicant must show exact location and width of driveway(s) to be connected
to the highway by placing stakes at the specified location.
The Superintendent of Highways, Town of Queensbury, has reviewed the application
of the above named resident to connect a driveway to the Town road. The
following action has been taken:
STEP 1: ( ) Preliminary Approval
NEED: ( ) Slight Swail
( ) Level With The Road -
( ) Deep Swail
Size Pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36"
Preliminary inspection by DATE
Approval by Highway Supt. • Depty. Supt.
After receiving the Preliminary Approval , submit the permit to the Town of
Queensbury, Highway Department upon completion for a Final Approval .
STEP 2: ( ) Final Approval
( ) Rejected
DATE:
PAUL H. NAYLOR
Superintendent of Highways
Town of Queensbury
Age: TOWN OF QUEENSBURY
1741 APPLICATIOfl FOR SEPTIC DISPOSAL PERMIT
•
DATE: 'Lo— .cam
TOWN 7.F gip'; =tiNSBUF6--
LOCATION OF PROPERTY FOR INSTALLATION IR:)e)...1.��-c 5 - •
Owner's Name: ,A„ oy,A Jill j
Address: d �— \�-\ l \a ��--ter r�S D^+ D E. DEPT.
Installer's Name: Telephone: f(LA \3Sy
Number of bedrooms (residential only) '3
Total daily flow (compute @ 150 gal per bedroom) Sp
Topography: Circle one: 41110 Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other - - - /Depth:
Ground Water: At what depth? ND 4.- Feet
Bedrock or Impervious Material : At what depth? Feet
Percolation test: Circle one: knot required ,)required 0— 5 ram;
Rate - 0--'1- Min. Per Inch
Domestic water supply: Circle one* unicipal Well Other
If domestic. water supply is a. we . .
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank \oO 0 gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench (..off feet/Total- system length O feet
SEEPAGE PIT(S): Number of ize each feet
by e 3
Size of stone to be used #. : . /Depth or Thickness 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'`fi t -�1 -, DATE: L.7 .C3 'cA k
I
kepCiC 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 co the Building Department at least 24 hours before start
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. Nu system shall be covered before inspection and approval by the
uuilding Inspuctor. Failure to comply with this requirement may
rwsulc in the uncovering of the system by the installer and a fine
uf up co $250.00.
C. An approved copy of the plot plan shall be available on the construction
•site. Failure co produce said plot plan at cims of inspection say , -
rusult in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper inscalla—
cion, alteration or rap:Air of an approved system, a new proposal must
submitted co the Quuu nsbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804 •
•
k.:marks:
•
•
•
•
••
�.._.
\ YOU ARE HEREBY REQUESTED TO
\ INSPECT AND ISSUE CERTIFICATES
\ FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP. ( DATE
.,,c TOWNSHIP COUNTY
STREET AND NO.OR ROAD ` - POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S
�NAME \ BUILDING OCCUPANCY
t/^V,,,,V14.a \1. �..,1' VV N V r' .. -.
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
} ,.�\.M. 1 e 1 \ C ...1
CURRENT SUPPLIED BY FROM THEIR ' OFFICE .` .�.,A n WORK TELEPHONE NUMBER
• ( `1 =�- S' L--i 7
BUILDING IS ....LyLy����
NEW( OLD❑ WORK IS NEW r>l< ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOIURS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each ND. 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
l_J ,,.i -A..v _..-.-- —_` ..
CHARACTER OF WORK GAS TUBE SIGN/TRANSFORMERS OF
❑ EXPOSED VA
.Iq CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
-a ;� -
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
�OGERHEAD ❑ UNDERGROUND �---
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
...,W ,-,- 'y IDENTIFICATION NUMBER
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 SIGNATURE OF APPLICANT
11-- ,' \\ \,-,, \_._N\ ',I tit,.> C.e\ LY- 3 -.``- \\ X - - -3,.n7.-\iV k,-.1_,,_
STREET ADDRESS t TELEPHQNE NO. .
1r:.) \-4-\ l�-,`t,•'\n,)\r \c\.4.`. k1_c 5 ' 1 - ` `�
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
ID 85 John Street 0 41 State Street E 570 Delaware Avenue 217 Lake AvenueEl o 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
TI-IF NIFW vnPK RnARn (1F FIRF`I'INI)FRWRITFRS
!!e".","• ,1_,l Ll,rrltl,\•{\•O•l,\•i\•), •/.,\•r\•/.".}ti t(•\•r.)• \•.,\1//,M %•),1•l,\•r • \•/•\•/ .Q M.l•/ M, i•%,\•),\•�,19,1, ,1•/\•„Vii,)•I • A/i • ki ,,, • • t•/ •! •,t .,•I • t•/,fb,4•
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1. ci
_ 41C 8042282 o
BUREAU OF ELECTRICITY
• so:; 41 STATE STREET.ALBA W YORK 12207
i' Date 3UNE 09,1994 Application o.on.fit 12ii 9 793/93 11 4123283 to
; THIS CERTIFIES THAT -PEI-TUT NO ''
• only the electrical equipment as described below and introduced by the want named on the above application number in the premises of
KE-1'rH LAI-IORA, BENIIETT ST, Q US5NSBURY, N.Y.
1: in the following location; 0 Basement El 1st Fl. ❑ 2nd Fl. GAR/OUT Section Block Lot
11A: 20: 1994
was examined on and found to be in compliance with the National Electrical Code. '
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ':
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. ' K.W. AMT. K.W. AMT. K.W. AMT. K.W. MAT. H.P.
11
12 3'7 1.9 :�.i' 1. :I.. i
11'1.
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,--
i; SYSTEMS
MAT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. MAT. H.P. NO.OF FEET AMT. WATTS
1 F 1 330 10/3 1 50 1 5 GOO
-SERVICE DISCONNECT--...-. NO.OF. -- - S_ ._. -.E" _ -. R. _ _ _V_ . I --- - -C-- - - —E._._..--__ - .
S�. AMT. AMP. TYPE EQUU. 1,e'2W 1 0 3W 3,G'3W 3 0 IW NO.OPER irCOND. OF CC.CGSND.. NO.OF HI-LEG o •We NO.OF NEUTRALS OF NEUGRAL i
Ft
4;- 1. 200 CB 1 X 1 1/O 1. 2/0
j" OTHER APPARATUS:
i. G.F.,C.T.:
ti' t�
�� SI"106E DETECTOR::"".1
0
TRACK LIGHTING:—8
-.
o
t
ICPTTH 1.i/1110R
."-1.' a ? WNOTRE, OAHE ST - - -- - - _ crl .7
2.!' GLENS FALLS. NY, ':12801 - - BRANCH MANAGER ."
e; 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.
$Ci f w"farfa1'Ia CifC'iai'iai-'iaC'ial”!estiiefef(a!Ta('iai raCia 'ai(al s(a %al is 'Ia fa(rai'rµi'iat rat w-fax ra!ra -iic a [aCia(-a! a a a ,ai'tarfa 'acie-a a;/ai a a a• a a'-ri
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
-4,
*W TOWN OF QUEENSBURY
.+ BUILDING & CODE ENFORCEMENT
" � 742 BAY ROAD
' 4ap QUEENSBURY NY 12804
' r (518)745-4447 /
:..,:i vE: ��+to� DEPART: 1%,kik40 INSP r ,
FINAL INSPECTION REPORT — RESIDENTIt. G
DATE INSPEC ION R EST RECEIVED: 'r kk j
r.
NAME C Y 0 .`-� _a�
LOCATION Ap" c t,E-
DATE —� —1 PERMIT f -A r `LJ6
TYPE OF STRUCTURE C-
V7)
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC _ INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES •
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT - --- -- - ------— -
OTHER FLOORS SWEEPABLE /
OTHER FLOORS CARPETED .
STAIR CLEARANCE/RAILINGS
aMOKE DETECTORS _
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION \\1////;////
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ. i
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY
ELF thiC%, BUILDING & CODE ENFORCEMENT
lt, ���r�� 742 BAY ROAD
- ' � Aaw QUEENSBURY NY 12804
L .A1 , (518)745-4447�
- 1\`.)f-? DEPART: ,\'c--,5INSP• -�
�'i v .:
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME y<E\-C-N \--R\C)P1\
LOCATION 9)Ee .SETT Rt
DATE I�1/\416— PERMIT A C11 -�`xc)
TYPE OF STRUCTURE
—6i FCC LC) Z A ITT 6---
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE•
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOQRS
FINISH FLOORS: 1
BATH/KITCHEN WATERTIGHT\`
OTHER FLOORS SWEEPABLE \
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS \
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURE ,
�)\
FOUNDATION I-N ULATION \, /;;;-
GARAGE FIRE PROOFING (-1-> (
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
-_-) 10_kM nlyc). _ Ltvo gQcs\4_E.
it\s. --T-\o1 \YDt
TOWN OF QUEENSBURY 3s`o(J
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804 •
. (518)745-4447
ARRIVE: 3i/ DEPART: _3f..)4 INSP:
/41,0% FINAL INSPECTION REPORT - RESIDENTIAL '
DATE INSPECTION REQUEST RECEIVED: 7 G/Jy/
NAME
LOCATION
DATE .7/7/9Z7 v •
PERMIT # 9 ✓a
TYPE OF STRUCTURE s J i-f/ . /! 47171 /� A
FOOTINGS FOUNDATION BACKFILL FRAMING_
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A ZES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
HECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING •
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS / • }:
BATHROOM FANS
PLUMBING FIXTURES 'S
1
GARAGE FIRE PROOFING
POOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO, /
FINAL SURVEY PLOT PLAN
a
4
OK TO ISSUE C/O OR C/C
Le_
-7/___,e--.)
TOWN OF QUEENSBURY ��
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: ,2`y�� DEPART: o?s✓r INSP: 10
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUESTI RECEIVED:
:/ 7/s/9�"
NAME '-*P/J1'�/%' a. 7)//0 L—
LOCATION r� ..I%Ae4yj7- `ed
DATE //(i>/97 • PERMIT A 9/-.1I)4
TYPE OF STRUCTURE $� ,fi/ .I r', //G`/J/iW/%�
FOOTINGS FOUNDATION BACKFILL FRAMING _�
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A , TES f NO
CHIMNEY HEIGHT/B VENT/HEIGHT ,`�
PLUMBING VENT _ :
ROOFING
EXTERIOR FINISH
PECK/PORCH/STEPS/RAILINGS
RELIEF VALVES V/
FURNACE/HOT WATER OPERATING //
INTERIOR TRIM/PRIVACY DOORS ✓
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
r J
STAIR CLEARANCE/RAILINGS ` /
SMOKE DETECTORS r
pATHROOM FANS /
PLUMBING FIXTURES '+I ✓ i--
1 V/
GARAGE FIRE PROOFING E.
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POOR CLOSERS r 1 /
FINAL ELECTRICAL !
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SITE PLAN/VARIANCE REO. r
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY
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531 Bay Rd. , Queensbury NY 12804
• • ;•. ; 518-745-4447
Building b Code Enforcement
NSPE TOR'S REPORT 0--jL)6.
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Property Loca ion
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Building c Sewage Sign Other
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TOWN OF QUEENSBURY /�-�iJ
BUILDING AND CODES DEPARTMENT ///!�/
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED O`a,3/9Y
NAME , ldb IX�v
LOCATION let1f_t°/f /'r/
DATE R ljo2 f//y/// PERMIT I.
TYPE OF STRUCTURE .5�� w ,20
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 /
HEATING ROUGH-IN
l' INSULATION: ad,404m
/` FOUNDATION ALLS INTERIOR+`R-
FOUNDATION WALLS EXTERIOR R-
FLOORS �' R- i cj
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART //. 0 , u �
INSPECTO;
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 �s744Y
NAME 4u
LOCATION eole7/" if/
DATE .7/44y( PERMIT
TYPE OF STRUCTURE /-/) rij. [° aa- yCr.
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 1
PLUMBING VENT/VENTS IN PLA E /
PLUMBING UNDER SLAB /
FRAMING: /
JACK STUDS/HEADERS
BRACING/BRIDGING ;
JOIST HANGERS ,( \
JACK POSTS/MAIN BEAM / \
HEATING ROUGH-IN \ '
v INSULATION: d.)L4W__- \
FOUNDATION/WALLS/INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
R MARKS:
ARRIVE
DEPART (&3 j
NS ECTOR
?,sL I
TOWN OF QUEENSBURY
531 BAY ROAD
64='',..: QUEENSBURY, NEW YORK 12804
`r ;. TELEPHONE (518) 745-4447
( L w BUILDING INSPECTOR'S REPORT
FINAL INSPECTION /
REQUEST FOR INSPECTION RECEIVED Siii/ I°( S'.
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LOCATION ' c EL- liZJZ, 42
DATE 4 PERMITS
TYPE OF STR CTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT DC
ROOFING + X
SIDING \ X
DECK/PORCH/STEPS/RAILINGS 'a K
RELIEF VALVES S. 7
FURNACE HOT WATER OPERATING .;
ERIOR TRI PRIVACY DOORS ,/ K
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT / \
OTHER FLOORS SWEEPABLE / y�
OTHER FLOORS CARPETED / AS
STAIR CLEARANCE/RAILINGS \
SMOKE DETECTORS }�
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING uc
DOOR CLOSERS
OTHER FIRE SEPARATION
FINAL ELECTRICAL p_, 51.T4:
OK TO ISSUE C/O OR C/C
viol_COMMENTS: . •
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DEPART ,2_ (/,--
NS.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ;_ n - -, �- C .4orGL.
Location vl— ;4,c_
Date S z' Permit #
SOIL TYPE: San Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length /YTj •-{- —
Length of each trench --
Depth of trenches T- -
Size of stone
SEEPAGE PITS: Number-
Size - ft. x '��
Stone size
PIPING: Size Type
Bldg. to Tank t, y- Scy 4-(n v"--
Tank to Dist. Box „` L4 �,,,
Dist. Box to Field/Pi t/A `,p
Openings Sealed? Yes 't No Partial
LOCATION/SEPARATIONS( k
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Foundation to Tank / feet
Foundation to Abs �f'pti on feet
Separation of Pi I4 feet
Conforms as per Plot Plan "e No
LOCATION OF SY�TE1 ON PROPERTY:
(circle one)
Front - eaP - Left Side Ri .ht\ Sid••
Middle Front - Middle Rear
COMMENTS:
•
SYSTEM USE APPROVED: 6a) NO
Arrived:
Departed:
2t/
Building I'nsp cto,
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
NAME 4! llti - -A i4GW-
LOCATION P IL/- -1- f
DATE ?j` I
7 9' PERMIT D. `71'�D fa_1
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 !.
V.ROUGH PLUMBING ' j,L_ I . . - _X
PLUMBING VENT/VENTS 'IN PLACE
PLUMBING UNDER SLAB 1 '
FRAMING: / ''.
JACK STUDS/HEADERS / ',
BRACING/BRIDGING ,I
JOIST HANGERS /
JACK POSTS/MAIN BEAM '
HEATING ROUGH-IN '
(INSULATION:
FOUNDATION WALLS INTERIOR R- /�.lYt.�/,
FOUNDATION WALLS EXTERIOR R-
FLOORS
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FLOORS R-
WALLS R- '
CEILING R- 3Z`
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SPACES
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DEPART / L5 ) INSP C OR
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TOWN OF QUEENSBURY // / 122---
BUILDING AND CODES DEPARTMENT ' 1'���
531 BAY ROAD / ,
QUEENSBURY, NEW YORK 12804 a4 4/. G
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION le
ECEIVED
Ali NAME 4
LOCATION .f f,,'b el.eigr
DATE /2- is >7 PERMIT f 40 971" 506
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. I
MATERIALS FOR THIS PURPOSE ON SITE ,`
FOUNDATION/WALL POUR - r,'
REINFORCEMENT IN PLACE 1 .4.
FOUNDATION/DAMPROOFING t •<'
BACKFILL APPROVAL 1
ROUGH PLUMBING 1 i -
PLUMBING VENT/VENTS IN ';PLACE/
LUMBING UNDER SLAB i ..
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JACK STUDS/HEADERS Ue'
BRACING/BRIDGING r • ,
JOIST HANGERS ,/° 1, X.
JACK POSTS/MATN BEAM` X
HEATING ROUGH-IN / -'',
INSULATION:
FOUNDATION WALLSiINTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R
WALLS R-
CEILING R- '
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: ,IAN WO-io k�2?�;a.-u .aJ V si ti.s D i h O L/A-C.I
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DEPARTv3
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TOM OF QUEERSBORV
BUILDING AND CODES DEPARTMENT /9441
531 BAY ROAD
QUEENSBURY9 NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPO el
REQUEST FOR INSPECTFr'. RECEIVED 7/ij/920I—
LOCATION ,// )1 /
DATE 1/Z;274/2... PERMIT 0 Y `" 0.-42
TYPE OF STRUCTURE, 6 )
RECHECK APPROVED
}N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE -
FOR P'OVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON SITE.
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE Er
FOUNDATION/DAMPROOFING =MO
BACKFILL APPROVAL
ROUGH PLUMBING _�.�
PLUMBING VENT/VENTS TN��PLACE/
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JOIST HANGERS fr
JACK POSTS/MAIN BE
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INSULATION: `4
FOUNDATION WALL ' INTERIOR R- \,
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS r" R—
CEILING / R—
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMAR((K11S:
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ARRIVE l:D
DEPART f;7� INS R
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
NAME L l"IDTai4-
LOCATIONj Ft10 /
DATE 175/97� PERMIT # 9�5 Q 4
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 1
ROUGH PLUMBING /
PLUMBING VENT/VENTS/IN PLACE
PLUMBING UNDER SOB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
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:
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ARRIVE
DEPART /a
INSP CT
TOW! 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 !.n u-A 9 (1-_
LOCATION /1/17. iCLL
DATE l`444a? /q/ PERMIT # /J�(�
TYPE OF STRUCTURE IC/4(f
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS Re- diagii/ 2/L
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: e
JACK STUDS/HEADERS \ /
BRACING/BRIDGING \ 4
JOIST HANGERS �fb
JACK POSTS/MAIN BEAM A
FIRESTOPPING
WALLS
CEILING l \
FIREWALLS I
HEATING ROUGH-IN I
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EX ERIOR R-
FLOORS ,/ R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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ARRIVE 1I Jo i
DEPART 7.1
INSPECTO ,
TOWN OF QUEENSBURY jet&
BUILDING AND CODES DEPARTMENT
531 BAY ROAD ���
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT � /
REQUEST FOR INSPECTION RECEIVED ri-,A,lf7
NAME 4J,4(
LOCATION /
DATE / ram.79/ PERMIT if -566
TYPE OF STRUCTURE/��y,' .����
RECHECK ! APPROVED
N/A YES NO
FOOTINGS/PIERS 11/42-
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`iPURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PUCE /
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL ✓
ROUGH PLUMBING t, /
PLUMBING VENT/VENTS 'IN PLAGUE
PLUMBING UNDER SLAB r l
FRAMING: !1 I
JACK STUDS/HEADERS c. /
BRACING/BRIDGING /
JOIST HANGERS I
JACK POSTS/MAIN BEAT,.
FIRESTOPPING / 1
WALLS /'
CEILING / fi
FIREWALLS $
HEATING ROUGH-I
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION FALLS EXTERIOR R-
FLOORS / \ R-
WALLS / 1 R-
CEILING / R-
DUCT WOR OR PIPING IN UNHEATED
SPACES �@
REMARKS:
Focrri
ARRIVE J 1�
DEPART )1;45— I//it' I
INSP CTOR