1991-549 ✓ •
-
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY,_ NEW YORK
Date 'Yl,w 4L 19 4.
This is to certify that work requested to be done as shown by Permit No 31m549
has been completed.
q This structure may be occupied as a Single Family Minna
na
Location Lot 23, Stephanie Lane
Owner George Koshgar Tara
By Order Town Board
TOWN OF QUEENSBURY •
/D/iJx d
Director of Bldg. & Code Enforcement
--I
tyv
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BUILDING PERMIT
TOWN OF QUEENSBURY No 91-549
WARREN COUNTY, NEW YORK w
PERMISSION is hereby granted to George Koshgarian
OWNER of property located at Lot 23, Stephanie Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Single Family Dwelling co
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. o
1. OWNER'S Address is 7,
2100 Saratoga Rd to
Ballston Spa, NY 12020
2. CONTRACTOR or BUILDER'S Name
Same
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3. CONTRACTOR or BUILDER'S Address
t!1
c-F
CD
4. ARCHITECT'S Name
-I.
CD
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( X Wood Frame ( I Masonry ( I Steel ( )
7. PLANS and Specifications
CD
No. 1,248 sq ft Single Family Dwelling as per plot plan specifications
and application
8. Proposed Use —�
Single Family Dwelling
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$ 144.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 2, 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 _2nd Day of August 19 91
<`
/ /
SIGNED BY GG%z /, for the Town of Queensbury
Building and Zoning Iri)bector
TOWN OF QUEENSBURY 60/r,- / VO4-- Ak2., W 9/0/
Aft REVIEWED BY: TOWN CIF °.L
V r+l h.1re '�r ! -,-1, tr..--z: S S1
s71� � FEE PAID: , 'Ier, .•1,:; a .. ?n i
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PERMIT NO. : �UL S 1 1991
BUILDING & CODE DEPT.
BUILDING PERMIT APPLICATION
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.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *- * * * * * * * * * * *
Owner of Property: g �� 7 ,yc,74,eixge/
P.O. Address: cR/00 g -,so,9_J-k5,q,ej f za7K_ i-pi ,G9 /1/ /a007o PHONE g-f.C:-(96/,1"—d
Property Location:,i%7 3 cc T,,,,„,U/F //fj "`J „„.,,, Tax Map No./.2,6 / /
Has there been any split of this property since October 1, 1988? Yes No
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: a)/9GT,i d//23ECK Lot No. 3
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
�/e.6� X-05/-/(9'/t/e 40/r/
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
V Construction of new building * CONSTRUCTION: $ '7 0, d
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: /o o ft. x/97 3. ft.
Other work (describe) * Exis ing Building Size:
. *. it/f/P ft. x ft.
* P oposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor /z Sq. Ft. * Front Yard mom ft. Rear yard- ft.
* Side Yards /.c ft. and 3 3 ft.
2nd Floor 4 Sq. Ft. * If on corner, setback from side street-
* S7 ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
* .
TOTAL FLOOR AREA: /2 5-k Sq. Ft. * Primary Building -
* ,/ One Family Dwelling --
Size of New Structure: 2-6 ft. x 4? ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) / * Other
Height (grade to ridge) /4 ft. *
If residential , no. of families: ,/ * If addition, what will use be?
No. of rooms (excluding baths) : 6 *
No. of bedrooms: 3 *
No. of bathrooms: i * Accessory Building:
Primary heating system: g GgC i * Detached Garage - One/Two Car
Type of fuel : EG.Eci * Attached Garage - One/Two Car
No. of fireplaces to be installed: /U/¢ * Private Storage Building
Will a woodstove be installed?: //f * ✓ Other
Central Air Conditioning: Yes No 1..,7 * Aft, 6-y-R/526:
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
jj��
Type of construction:' (ood-r mea fire safe, etc. SB a/17,0, �dcW4 e
Will any second-hand or ungraded lumber be used? If so, for what? OVO
Foundation Wall.- Material : ciz, C4,,,ti Thickness: 6
Depth of Foundation below grade (to bottom of footing) : 'J / 7z0 6 ,
Will there be a cellar? 4S Heated or Unheated? /9lf Floor Sq. Footage:�t / z,V
Will there be a basement?, /U�0 Will any portion be used as living space? O
If so, what portion? �'� d,0 Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other) (o,4 P /, y Material of Roof a °A,5 c :
Size, wood studs " x "; spacing /C o.c. ; length ( ft.
i
Joists (floor beams) : 1st Floor " x /0 " ; spacing /G " o.c. ; span l,3 ft.
Joists (floor beams): 2nd Floor " x " ; spacing " o.c. ; span ft.
Overlays (ceiling beams) : a ' x 7/ "'; spacing " o.c. ; span 2 / ft. SUSS
Roof rafters: 0. " x I/ " ; spacing Z o.c. ; span74XS ft.
Roof trusses (pre-eng'neered) : spacing ,RV' " o.c. ; span �-6 ' ft. i i
Exterior Wall Finish:cJ )v �` �� of what material ? l///(/�c
Interior Wall Finish: ( &T I C _< //9_ i/
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: �S
Dcic
Is there to be an opening between garage and dwelli g? /U//9 If so, will a Fire-Rated door,
enclosure, self-closing device be provided!,/
/v /
Will a flue-lined chimney be installed? il/i9 Height above roof ft.
Depth of chimney foundation below rade: ft.
Depth of fireplace hearth: AV ft. in.
Water supply - Municipal or p ivate well : -) /G„/.er'IZ-
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: o o�/�,u e/ ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: etc ,E QS ,9-R/A66/ PHONE �(S=06/S--
NAME OF PLUMBER & ADDRESS:- ELS/( / PHONEW-C7/ '6/
NAME OF MASON & ADDRESS: �/O� ,{/QGfj PHONE- PV-VDTZ
NAME OF ELECTRICIAN & ADDRESS: /c'4/0 / ,¢cc, 4b PHONE g -6?5-
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 's authorized by the owner.
Signature
Owner, owner' s agent, archi ect
contractor `
•
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
1j TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # _
Fee Paid
Date: � Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: 'I " " '729-• S P4-e7
Owner' s Name: 6'"e-"`- Vc.sticio,.scLow•
� l2cZC
Owner's Mailing Address: Z[u0 co—Ho,, j� llS ✓
Installer's Name: a✓N A '�` � "� 11 Phone #: ect3--n 7
Number of bedrooms (if residential ) : g
Total daily flow (residential-compute @ 150 gal . per bedroom): 45
Topography-Circle One: 4111, Rolling Steep Slope % of Slope
Soil Nature-Circle One: San. Loam Clay Other /Depth:
Ground Water-At What Depth? /o "Z Feet
Bedrock or Impervious Material-At What Depth? N Feet
fo s"e
Percolation Test-Circle One: of Required quired/Rate z r ilin. Per Inch
Domestic Water Supply-Circle. One: unic' Well Other
If domestic water supply is a we 1 -
Separatio.n: Water supply from any septic absorption /ter M' feet
PROPOSED SYSTEM: Septic Tank 10 a gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench 271/7 feet//Total System Length / feet
Seepage Pit(s): Number of / Size each: 1/Oft. x 'Oft.
Size of Stone to be used: # 1—� / Depth or Thickness I feet
**************
HOLDING TANK SYSTEM IF REQUIRED
No. of Tanks Size of Each Gal .
Alarm system and associated electrical work to be inspected by. a certified
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: id
ENERGY CODE COMPLIANCE APPLICATION .
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
TOWN 3 P
OF tiaffiriNi3 :...,...
Compliance Methods: ® , j `'i n
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
JUL 311991
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwel 1 i ngauiLDING
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - • Jv c7/E!) Sq. Ft.
2. Type of Heat - �Elec. Base Board Other
3. Is Building Mechanically Cooled? YES vNO -
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 & Floors exposed to' ambient temperatures R 3S
B. Exterior Walls R 23
C. Glazed Area , %
D. Exterior Doors R 2-• 5 r%'
E. Floors over unheated 'spaces R lZ 27 6/;-
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R 120
i
H. Basement/Cellar Walls (Below Grade) R
I. Heating/Cooling - Ducts - Piping in Unheated Space R.2"�
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code YES • LN 0
TEMPE TU E CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
APPtICANT'S SIGNATURES d D E TELEPHONE NUMBER
INSPECTOR'S REMARKS:
°���-',�' MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
`s
' National Headquarters
1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION -Col.It, - fG� °C"#A*7 ,i, '-~' Date:—. . ,f
City, Town or Township r!'71 f- .'""r,-` 4'.r'",..-^ x` County r%----%/`�--/�=�f State..- ''" ✓_
Location/Address L s% 2 %- '1-V,;;`. ,% ` -fJ;,°/ '
(If Located in Rural Area- Please Attach Directions) Pole # ,. :
Owner /fir ,r l/,1•, -/.,,-C- i r ,7 ., (F ; i'- Permit # 9/ -
_.
Occupied As / ti't'5 /6„: /r.J- ---,/.0 ./.-, 4. •.
°., . _ -='_ �` Building: ,New Yf Old
Occupant
' Work Area in Building (Floor #,etc.):
App. for: Wiring 0 Serviced or: Ready for Inspection:
Fee Remitted-$ Cash n Check n M.O. n Make Payable To: M.D.I.A.
500 750 1000,1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches
Lighting . Amp. Service ' Surface Unit Dishwasher Range
Receptacles Water Heater Air.Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
'Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment: - .
MOTORS H.P. • 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's ._l M_�--
Signature �= = " License # Permit #
T/A f Utility:
Applicant's Address: 2 e,... —, c Al -.2 ,ia , s1 /7 /---)
(NAME) (OFFICE LOCATION)
(City) '' }-3/ ( r" �-- '%(State) ..-p.- ,"-/. (Zip) -./ E.-C. Service Request #
Phone # er-`('e-~r',,./. ,/ <''� Electrician:
•
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above n or:
_ Red Notice Label n •
Rough Wiring Outlets Surface Unit Oven
- Switches Range Garbage Disposal
-
Receptacles Water Heater Dishwasher •
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 '-1 1'/2 2 3 5 742 10 15 20 25 30 40 50 75 100
Mark Number -
of Each Size
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CO RECT FEE PAID
❑ RW •Progress: Inc.❑ LKD❑ Contractor
I I CFT Violation: Work Comp.❑ Inc. ❑ - -.
L/A . Owner CASH El
Fee CH K #
1 L/A Due
1-1 IPA . . Municipal MO #
INV #
Date: Other Side El Utility Applicant
.. Owner ❑
Cut in Card (1 Temp # - Date . .
❑ Final # Date INSPECTORS SIGNATURE '
-
• APPLICATION FORM NO.250 EL 11/89 . • .
A-_frt
TOWN OF QUEENSBURY
:;r 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745- 47
BUILDING INSPECTOR'S REPORT
FINAL IISPECTIOI4
REQUEST FOR INSPECTION RECEIVED
NAME V:OS 67J ( / ,c/
LOCATION j�--��-J /), ,J i 15--
DATE 5/ L//9� PERMITS g/-510.
TYPE OF STRUCTURE � r� ,
RECHECK 1 ( A) ,-L
FIRE MARSHAL APPROVAL/(COMMERICIAL STRUCTURE)
FOOTING FOUNDATION/ BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSI!OVE/FIREPLACE
REMARKS
APPROVAL
� N/A YES NO
CHIMNEY HEIGHT/LOCATION,, .d
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING /
DECK/PORCH/STEPS/RAILINGS',`;
RELIEF VALVES /
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS.
FINISH FLOORS: sj
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
)(SMOKE DETECTORS
DOOR CLOSERS i
BATHROOM FANS
/ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
)(FINAL ELECTRICALSLt Poo Si?z--.
OK TO ISSUE C/O OR C/C
COMMENTS: -re6Al2-O 114-U�
fv&-6-Av 11WJ4I 266)-
S/uo(- ELT < I�U5 i/�c C�C� .
ARRIVE /0; .
DEPART C CWU
I SP TOR
TOW OF QUEEMSBURY
531 BAY ROAD
���` : x QUEENSBURY,TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTTION RECEIVED
NAME WaSH IJ ECJ, fu A)r
LOCATION / S(:-Q/�(/�,(f
DATE 3/9 j PERMIT# qJ,`)7
7
TYPE OF STRUCTURE
RECHECK trj/4- e------
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL ; FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS /
J
/ APPROVAL
/ N/A YES NO
CHIMNEY HEIGHT/LOCATIO
B VENT/LOCATION
PLUMBING VENT /
ROOFING /
SIDING
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES \ /
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: J
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETf'D
STAIR CLEARANCE/RAILINGS t
SMOKE DETECTORS / \DOOR CLOSERS 1 ,
BATHROOM FANS ,
ALL PLUMBING FIXTUR S OPERATING\
GARAGE FIRE PROOFI
DOOR CLOSERS `;
OTHER FIRE SEPARAT ON
FIRE/DEMISE WALLS
FINAL ELECTRICAL \
OK TO ISSUE C/O OR C/C
COMMENTS: 2S Lf C421 J2J�� J-LLJ
ARRIVE
DEPART ,2c
INS CT R
ELECTRICAL INSPECTIONS
Q DUPLICATE MUNICIPAL RECORD
Permit No. /�5419 /�
Owner `' . /' �� C._id `//--)c/
•
Occupant
Location L o 7— a 3 •
No. Street
To or City / State
Installation as itemized on reverse side has been visually inspected pursuant to applicable codes.
Installed by 73
L 7 No. �C
Date ._GLcc4, Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108
7 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
t,. -2- -- IE S / WIRING &'CONTROLS FOR BURNER
3 RECEPTACLES v.--
H.P.PUMP
. A4 FIXTURES K.W:.OVEN
i..eY1MP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
trio AMP.SERVICE CONDUCTORS K.W.DISHWASHER
�l CC K.W.SURFACE UNIT j K.W.DRYER
/ KW.RANGE AMP. RECEPTACLE
I/ K.W.WATER HEATER FRAC.H.P.VENT FANS
/ 4C Gt' - Lf�. 4465-i7-
MOTORS H.P. I/20 1/12 I/10 % % 'A 'A 1 3 1 11/2 2 3 5 71 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE •
APPARATUS
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY„NEW YORK 12804
TELEPHONE ' (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME 4rn9.Q X,Q Ql /�,��,,.
LOCATION )1/- � W''sf z4t.L.6.
DATE ///�`%/yam PERMITI
TYPE OF STRUCTURE S70
RECHECK 0.6 ,4%./L d
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS f I
/,
/ APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCAT ON
B VENT/LOCATION I ✓':
PLUMBING VENT
ROOFING I 1 ,l^
SIDING ,,r
DECK/PORCH/STEPS/RAI I NGS
RELIEF VALVES
FNAtE/HOT WATER pFERATING
BASEMENT INSULATI.d 4,DUCTWORK
INTERIOR TRIM/PR4 VACY DOORS
FINISH FLOORS: ,,//
BATH/KITCHEN�WATERTIGHT
OTHER FLOOS SWEEPABLE
OTHER FLOORS CARPS ED —
STAIR CLEARANCE/RAIL GS
HANDICAPPED ACCESS i —r
SMOKE EETECTORS
BATHROOM FANS/WHOLEHO E FANS
ALL PLUMBING FIXTURES PERATING ✓`
GARAGE FIRE PROOFING ,�-
DOOR CLOSERS ,✓
OTHER FIRE SEPARATION '
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C 1 ��
COMMENTS:
�
,/��a ivsok :�,/�.•
r r
(._I-%
•
ARRIVE c? • °Za y J
DEPART g--
INSPECTOR
•
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
r liiiiiiikTELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 4C,/9/`
i
NAME 49,7 e koz.1�c;ethia.4( .
LOCATION,�j L �3? 'ti'9.f l,//aYt ce) 449.--7Le:
DATE 41 '7J4/ PERMIT# y/-j l,/I
TYPE OF STRUCTURE 5
RECHECK on4,,, ,g4tA,d ,
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING /_EAUNDATION ,-8'ACKFILL _;„FRAMING
4,R000H PLUMBING FINAL ELECTRICAL _ASEPTIC
_INSULATION _WOODSTOVE/FIREPLACE
REMARKS /1oeL� /(,,,l,t Q, lJa,b7,9.
APPROVAL
) N/,A YES NO
CHIMNEY HEIGHT/LOCATION X
B VENT/LOCATION f; ,X
PLUMBING VENT ;; f
ROOFING v
SIDING ;{ J
DECK/PORCH/STEPS/RAILINGS / x
RELIEF VALVES C J X
FURNACE/HOT WATER OPER4TING f
BASEMENT INSULATION/DUtTWORKJ
INTERIOR TRIM/PRIVACY BOORS J
FINISH FLOORS:
BATH/KITCHEN WATERTIGtT X'
OTHER FLOORS SWEEPABL ' I I X
OTHER FLOORS CARPETED u�
STAIR CLEARANCE/RAILINGS " x
HANDICAPPED ACCESS
SMOKE DETECTORS A
(
BATHROOM FANS/WHOLEHOU E FANS X
--ALL PLUMBING FIXTURES PERATJ NG j = x
GARAGE FIRE PROOFING i ‘
DOOR CLOSERS
OTHER FIRE SEPARATION!'
EPARATIO �k, c
FIRE/DEMISE WALLS / \ K
DUMPS TER f . ti h
SITE PLAN/VARIANCE REQUIREMENTS 'I
1"•-•-FINAL ELECTRICAL
OK TO ISSUE C/O OR 0/C
COMMENTS:
E)i L=VO IZ,t- i'E. V#l..L'r.= ro ---� +F12-0,M-t r-Lo0 j
AO D SMcg6-0L-i&c a i I IU O c,)kA—IL A;ear k���12cc c
PLv m 61 V(o D 2A i;,'S 1-.2-A-)L 1 V RkSTt K ),It i 1-t.
re I C-G--Tr 1-- Lri-L/A- \z q:•
--
ARRIVE ll:,may
7-7.7) )
DEPART ll- J S`
NSP , T
Hp OGO 1Z LUA- OP( A 7 C T'CL,u'i
Tr I--—F— 1 i o p&JU „
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
l�'" TELEPHONE (518) 745-4447
^�' BUILDING INSPECTOR'S REPORT
11Y�
REQUEST FOR INSPECTION RECEIVED I//3 42
NAME fle,P-it e. *j I- L-fi3U
LOCATION Xj f ems? ��i raii.04(Az.
DATE l�f(19 PERMIT
TYPE OF STRUCTURE „5/tj)
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 ;1J
FRAMING: k '
JACK STUDS/HEADERS s,
BRACING/BRIDGING
JOIST HANGERS Y,
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN I,
)(INSULATION:
/ FOUNDATION WALLS INTERIOR R- \
FOUNDATION WALLS EXTERIOR R- 4,
FLOORS F R-
WALLS rL-1 kC
CEILING J` R- 3'
DUCT WORK OR PIPING IN UNHEATED ,
SPACES
REMARKS:
Lo o iz S T tr. ,�i;i L' m
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DEPART . 7C) (9//(„e
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
LOCATION
DATE (U///9 PERMIT 3 "l t-- `'f 9
TYPE OF STRUCTURE
RECHECK APPROVED
} N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLC"CE
THE COR9P.f•CTOR IS R_SPONSIBLE
FOR PRO►JIDING PROTE-TIO7 FRO '
FREEZING FOR 48 HOU<S FOLLOWING
THE PLACEMENT OF TH1 CONCRETE.
MATERIALS FOR THIS 'URPOSE ON S E
FOUNDATION/WALL POU
REINFORCEMENT IN PL Cr / I_
FOUNDATION/DAMPROOF NG /
BACKFILL APPROVAL
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN PLACEf
PLUMBING UNDER SLAB /
FRAMING: /
JACK STUDS/HEADERS !
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM r \
HEATING ROUGH-IN \_
INSULATION: /
FOUNDATION WALLS INjERIOR
FOUNDATION WALLS WERIOR R-
FLOORS fr R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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DEPART (0;1' /ZZ.-/
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TO 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 ILL 511-Ckaf
LOCATION S���} i411u/6-Iv)
DATERMIT- �f
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 PL_SCEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENS IN PLACE R° 11111�
PLUMBING UNDER SLAB /
FRAMING: I
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM ' /
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- 11111�
FLOORS R-
CEILINGR-
s - • Ili
DUCT WORK OR PIPING IN UNHEATED 11111
SPACES
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DEPART ! /i/� L4`_
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S INSPECJOR
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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 - 1 9---
NAME �) 0)-Qf _) )4j l✓ -
LOCATION T \ LCUl
DATE )( -a 3 -S 2 PERMIT # ! -5/y
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 I ,r
} UGH PLUMBING '
PLUMBING VENT/VENTS IN PLACE . F .
PLUMBING UNDER SLAB
FRAMING: _
JACK STUDS/HEADERS i,
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION: B _
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR RA • _
FLOORS R-I
WALLS R- I _
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: l ),
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DEPART / �t�. ��11
INSPECTORy
TOWN OF QUEENSBURY C//1'LL{,�'1112��
BUILDING AND CODES DEPARTMENT J
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED I i)J d'
NAME (}-ty
LOCATION j'� pC ephlth.LL. XCII/A 2_
DATE 11)1 On PERMIT
TYPE OF STRUCTURE S F-.]D
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS i
MONOLITHIC POUR FORM y
REINFORCEMENT IN PLACE I
/
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLO dING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSEJON SITE
FOUNDATION/WALL POUR I I •
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING u?`
PLUMBING VENT/VENTS IN/PLACE
PLUMBING UNDER SLAB ;"
)(FRAMING:
JACK STUDS/HEADERS ;' ; 3C
BRACING/BRIDGING iK
JOIST HANGERS s
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN 1
INSULATION:
FOUNDATION WALLS' INTERIOR R=
FOUNDATION WALLS EXTERIOR R-\
FLOORS 1 R- \
WALLS R- \
CEILING R- N
DUCT WORK OR PIPING IN UNHEATED
SPACES '
REMARKS:
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TOWN OF QUEENSBURY / Vic'
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RE)(_CEIIVVED
NAME J i/
LOCATION
DATE TA ;` PERMIT 9/—
TYPE OF STRUCTURE
RECHECK APPROVED,/
N/A YES,/NO
FOOTINGS/PIERS cif
MONOLITHIC POUR FORM it
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE r
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING ,a
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON STATE
FOUNDATION/WALL POUR 1
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS INLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS/
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION W LLS INTERIOR R-
FOUNDATION ALLS EXTERIOR R-
FLOORS R-
WALLS / R-
CEILING ' R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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• TOWN---OF OUEENSBURY
_ - Bay at Haviiand Road, Queansdury, NY 12E04-9725-578-792-5832
Building E., Codes Department.
INSPECTORE-S—REPORT— -• -
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PROPERTY LOCATION
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BUILDING SEWAGE SIGN OTHER
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"HOME OF NATURAL BEAUTY.. A GOOD PLACE TO LIVE"
SETTLED 1763
_ API o/ Queenibury apek
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 .
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME be H le guii(i-,4.A,;Qi b
LOCATION 0/pha/xt,
DATE q/ S/q/ PERMIT NO. �f��9
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 ' `; • 1 •
Size of gravel_ v
SEEPAGE PITS{Numberof)
Size- ft. X
Gravel size
PIPING: Size / Type
Bldg. to tank yr'
Tank to dist. box ;; /
Dist. box to field/pit /
Openings sealed? YES t NO Partial
t.,
LOCATION/SEPARATIONS:;-
Foundation to tank / ft.
' Foundation to absorption _ ft. •
. Absorption to lot li/ne ' ft.
Separation of pits,/ ft. '
LOCATION OF SYST tON PROPERTY(circle one)
Front - Rear - Le t side - Right side -
CCMMENTS:
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SYSTEM USE APPROVED YES NO ,1
Bu lding Ins e or
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TOWN OF QUEENSBURY JA,Z,12:)
BUILDING AND CODES DEPARTMENT .P))
531 BAY ROAD //
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /9Qb /��l /j CO 2.!,
LOCATION ot2 3 ~-zte4r,(_,_,
~ �t�
DATE #5/9/ PERMIT I
TYPE OF STRUCTURE 04 (1,(dilie
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 F',C FOUNDATION/DAMPROOFING I
BACKFILL APPROVAL f
ROUGH PLUMBING J
PLUMBING VENT/VENT& IN PLACE
PLUMBING UNDER SLAB'; /
FRAMING: 1
JACK STUDS/HEADERS\ f
BRACING/BRIDGING X
JOIST HANGERS
JACK POSTS/MAIN BEAM \
FIRESTOPPING 6
WALLS f `�
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:
Provide adequate bracing before backfill
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DEPART1 :� '��
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT-J1- 3;)1/-7
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIOi RECEIVED
NAME COI
LOCATION Mt " .�v</ Ae"/X4z- 41,44Cx___
DATE 010/4V PERMIT #
TYPE OF STRUCTURE _47
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RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS ry4,
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTEoTION FROM
FREEZING FOR 48 HOURRS FOLLOWING
THE PLACEMENT OF THE\CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR i"
REINFORCEMENT IN PLACE\
FOUNDATION/DAMPROOFING `
BACKFILL APPROVAL .
ROUGH PLUMBING \ f
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB \ ,�
FRAMING: ,�
JACK STUDS/HEADERS A
BRACING/BRIDGING ,r \
JOIST HANGERS ,✓ \
JACK POSTS/MAIN BEAM/
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WALLS /f
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:
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