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1991-597 FA CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 1a.t,G 24, 19 et P2)6 Ai - (2- This is to certify that work requested to be done as shown by Permit No. 91-597 .. has been completed. This structure may be occupied as a Single Family Dwelling pO Location Brickoven Lane Maxine Bird Owner By Order Town Board TOWN OF QUEENSBURY ,47/'7,�� Se h4 / Director of Bldg. & Code Enforcement BUILDING PERMIT a x 3 a TOWN OF QUEENSBURY No. 91-597 0 WARREN COUNTY, NEW YORK ,% 1r N 1r 1 PERMISSION is hereby granted to Maxine Bird 1 I co V OWNER of property located at #87 Brickoven Lane (Bedford Close) Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and to approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Y 1. OWNER'S Address is 3 Moorewood Drive a x Queensbury, NY 12804 m 2. CONTRACTOR or BUILDER'S Name Maxine Bird w 1 3. CONTRACTOR or BUILDER'S Address n R O M r 4. ARCHITECT'S Name a fD N .1. 5. ARCHITECT'S Address 1G� M -rl a S 4.114 6. TYPE of Construction— (Please indicate by X) CZ v yy t` )Wood Frame ( ) Masonry ( )Steel ( ) E 7. PLANS and Specifications �• 10 No. 2,380 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use Single Family Dwelling $ 323.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 6, 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 b Day o• . ./ September 19 91 SIGNED BY c/ /,(//n for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY TOWN OF QUEEN dta ti `� REVIEWED BY. �c s41�wi� / 0 7 c456-111WTF)rli s FEE PAID: sEP �' PERMIT NO. : r / `$ / 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: :X174.,1'%/g C jj� ,l'� Tr/a ver P.O. Address: "7/0-M'e �d //Y/- Qf4 y PHONE 7 P- Sq 6, Property Location: ' 07 e2/21c('Cr2-w c�.r/c" ( &Uax Map No/415575 f 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: C1/Be.',.0 C/QSe — Lot No. 7cx.Irefi 7 Ler- THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: � k' //2 0 NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE y' Construction of new building * CONSTRUCTION: $ 00 000 Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: /SO ft. x /' ' ft. Other work (describe) * Existing Building Size: * --- ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: * 1st Floor //. G® Sq. Ft. / SCR. * Front Yard 50 ft. Rear yard /HO ft. / 3 .2 * Side Yards 2cft. and J0 ft. 2nd Floor // o26 Sq. Ft. 35 * If on corner, setback from side street- 3 3 * ft. Other Floors -- Sq. Ft. * (not cellar or basement) * OCCUPANCY INFORMATION: TOTAL FLOOR AREA: 23JO Sq. Ft. * Primary Building - * y\ One Family Dwelling Size of New Structure: ep.7 ' ft. x (c/ ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partial4100)(Circle One) * Business * Industrial' No. of stories (Habitable space) * Other Height (grade to ridge) ,. (� ft. * If residential , no. of families: / * If addition, what will use be? No. of rooms (excluding baths) : 7 No. of bedrooms: y * No. of bathrooms: * Accessory Building: Primary heating system: ILA— AW * Detached Garage - One/Two r Type of fuel : o/z< * V Attached Garage - One wo Car No. of fireplaces to be installed: --- * Private Storage Building Will a woodstove be installed?: * Other Central Air Conditioning: Yes No y * (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: . • %, Type of construction: wood ,frame, fire safe, etc. �vaU�1 Will any second=hand •or,un:grad,ed lumber be used? If so, for what? ,"O Foundation Wall Material : pawed .w Gj Thickness: 2-// Depth of Foundation below grade (to bottom of footing) : / Will there be a cellar? )�,f Heated or( nheate . Floor Sq. Footage: Will there be a basement? Will any portion be used as living space? M:3 If so, what portion? Sq. Ft. Type of Use? Type of Roof: to ~ Flat/Shed/Other Material of Roof ,7-A ' Size, wood studs ,2 " x " ; spacing A', " o.c. ; length ft. Joists (floor beams) : 1st Floor (72 " x /Q "; spacing / , " o.c. ; span /y ft. Joists (floor beams) : 2nd Floor (.22 " x /0 " ; spacing l " o.c. ; span /L/ ft. Overlays (ceiling beams) : " x " ; spacing " o.c. ; span ft. Roof rafters: " x " ; spacing o.c. ; span ft. Roof trusses (pre-engineered) : spacing _V V " o.c. ; span , $' ft. Exterior Wall Finish: M,s'A,I C' ,- of what material ? Cea/A• 05-f Interior Wall Finish: // / ,17-,4e/ If a garage is to be attached, describe materials to be used for FIRE SEPARATION: “ 7rcCGd` ,5-A Is there to be an opening between garage and dwelling? vef If so, will a Fire-Rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? Height above roof -- ft. Depth of chimney foundation below grade: --- ft. Depth of fireplace hearth: — ft. in. Water supply Municipajr private well : SEPTIC SYSTEM: Distance from any private well (including adjoining properties: ft. •(A separate application is necessary for any repair or new installation of septic system. ) C.i NAME OF BUILDER & ADDRESS: 4,4 6jf-cszC.// PHONE ,2 l � NAME OF PLUMBER & ADDRESS: /G A?c-scoff Cj e/=-: PHONE NAME OF MASON & ADDRESS: PHONE NAME OF ELECTRICIAN & ADDRESS: 2 -2l lT- 6 /. PHONE 7f$- 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: Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating = Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family Dwellings (3 Stories or Less) PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets , ,e,. .7 .`3leiCKoe. =,t/ cep-- 3eic,e-adar",//5c-i.)/eof APPLICANT'S NAME PROPERTY LOCATION C,dsc.-- PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - 02.y® Sq. Ft. 2. Type of Heat - Elec. Base Board Other Qi/ 4e4- '--e 3. Is Building Mechanically Cooled? YES NO 4. Percentage of Area of Windows and Doors Over 17% 7' 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 ;RO- B. Exterior Walls R / C. Glazed Area R -Y•C D. Exterior Doors R /y / E. Floors over unheated spaces R / F. Edge of Slab on Grade (Heated Building) 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 YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER INSPECTOR'S REMARKS: QREV ED B TOWN OF QLIEENsi.z, . Dn'iCiPWrie,:-.0 lr 15 ,zi !il s mv TOWN OF QUEENSBU A��pp l - APPLICATION FOR SEPTIC DISPOSAL PERMI � �''P'd rmit # BUILDING & C.ODFL9d Date: f Reviewed By - LOCATION OF PROPERTY FOR INSTALLATION: Zar 7 Q/e/C/Cin,ei/ s,L` Owner' s Name: `;�ksZe 2(i2,C) Owner' s Mailing Address: ;7AeOd L " ,( L- s Installer' s Name: Phone #: Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom) : �d Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One: and Loam Clay Other /Depth: Ground Water-At What Depth? ,tl Feet Bedrock or Impervious Material-At What Depth? /t2/j4 Feet Percolation Test-Circle One: of Required Ra.uired/Rate Min. Per Inch Domestic Water Supply-Circle One: gMunici Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /500 gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench ,� / feet//Total System Length ,Ps-0 feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # vZ / Depth or Thickness f 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: 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 include a plot plan showing: 1) the proposed location of the system 2) location and distance to lot lines 3) location and distance to structures 4) location and distance to any water supply 5) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of •the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: • • `,TOWN OF QLIEENSBLIRY r' Bay at Haviland Roads,Oueensbury,N.Y.12801-9725 '" '' + APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES';,+ - '`y. f /� W-Sq7 Date /13 �J�--_ 7 19�/ Permit No. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all inspectors to enter premises for the required inspections. Applicant's Name /I/x/,q /E APPLIANCE TYPE Stove Coal Wood • Address / 7 ./967-oi 1150-�/7 7� Furnace Hot Air .Boiler /� Zero Clearance Circulating Unit (' li 1 i Al ci Zip J)C�. 0 Agli s_ff Phone 2? R - ✓6 / If Non-Masonry: Owner's Name ,r JV) Manufacturer Address _ Model . Outlet Size Zip Listed by Number b Phone . • ' CHIMNEY TYPE ' - , . ,-, Masonry: Block ,. - Brick: Stone • P •operty location of proposed construction Flue: Tile Steel f�U� • 7 ---7 .,elCitee9il--F,(i— Size: ?C � 1 630E 73 .Lio, " /2_gb 4,e Factory Built: /COPY OF 1\'IANtJFACTURER SPECIFICATIONS IS Manufacturer Model ;' • Size Heigh_ Listed By Number '--- REQUIRED FOR FACTORY-BUILT APPLIANCES AND CHIMNEYS. MUST BE INSTALLED Type: Double Wall Triple Wall = Insulated ACCORDING TO"SPECIFICATIONS. COPY OF Estimated Cost$ 0 e7 CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ ", A SONRY FIREPLACES AND CHIMNEYS. CASHIER'S DEPARTMENT TOWN OF QUEENSBURY, NEW YORK Department: Fire Marshal • Amount Collected Amount Refunded Code Number Title 075.f A173 3389 (190)Public Safety A233 2655 (230) Minor Sales 1'cc o Colleted from r efunded to: �J/7#/4,., %/4.)''"a Address: Dated: )I '/ /9/Town Clerk or Deputy K7-4/-\42-1,-. r 0, _ /( l ^ ,0, ---/ d� 44'hile:Annlicani Yellow and Pink:Cashier's Denarimenl Goldenrod:Fire Marshal 1"" MIDDLE DEPARTMENT INSPECTION AGENCY, INC. Iql National Headquarters •�--•' 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date: , ,,✓,.-/ 1 1 r City, Town or Township /(Jee••7 c,/ County State _ _ s� Location/Address ` '� f� (If Located in Rural Area-Please Attach Directions) Pole # , Owner ' r -. Permit # 5 Occupied As .x ,'S.:-.•-){= -C','``1 k�,, r�-)' II k 1°-a Building: NewIL'I Old❑ Occupant f` �`' Work Area in Building (Floor #, etc.): App. for: Wiring® Service 7 or: Ready for Inspection: e`; e 4 s'Aat`r"t r Fee Remitted-$ Cash n Check n M.O. in 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 Water Heater Air Conditioner Dryer Pump Receptacles 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/z 2 3 5 7'/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's Signature License # Permit # T/A Utility: Applicant's Address: (NAME) (OFFICE LOCATION) (City) (State) (Zip) Service Request # Phone # Electrician: MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above IT or: Red Notice Label n Rough Wiring Outlets Surface Unit Oven Switches Range r ,-. Garbage Disposal Receptacles Water Heater 3 k:1 Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump - II Vent Fans MOTORS H.P. 1/20 1/12'1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 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 CORRECTFEE FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. IT • n L/A Owner CASH ❑ Fee CH K # ❑ L/A Due MO # n IPA Municipal INV ## • Date: Other Side El Utility Applicant ❑ Owner Cut in Card n Temp # Date Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 • S(..\p„l.•4Tt+,1•i i•+"1•;,,\•i,1•t 1•i" 01,),"_"/?•+," .++•,,_1,/ 1•i,,,•i,"/M,jek c•+ •i.111//„ i.19+.‘•i:Mi._•/„O•.t",11/,!, .a•+,10,,, �•+,"1.9,,t•+,%•..1•/-:a+,n+.M M/.+•+. ti.19,-,•+,,•+ 111,J_0+„,y! e THE NEW YORK BOARD OF FIRE 'UNDERWRITERS PAGE j im BUREAU OF ELECTRICITY - s. I- 41 STATE STREET.ALBANY.NEW YORK 12207 „ ' sn 1; f.1 i - Application No.on file "t 6 1 •; Date MINE .. , a 1'3rJ�." PP I {�Qtiiws2�'. 1 i 5;, II ��.�fiK,? THIS CERTIFIES THAT - JJJ "o only the electrical equipment as described below and introduced by the applicant names'On the above application number in the premises of c:, 6 2 s NT J t a f f Y K O VEl; U F E 'j R s , pa u^i ti` - in the following location; ❑ Basement El1st Fl. El2nd Fl. _ Section Block Lot 0-`..,1 was examined on 1''A Y 2 2;,19 9 2 and found to be en compliance with the requirements of this Board. 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. AMT. H.P. 1. -c. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT, K.W. OIL H.P. GAS H.P. AMT. SYSTEMS NO. A.W(G. AMT. AMP. AMT. AMPS, TRANS. AMT. H.P. NO,OF FEET_ AMT. WATTS ' 1 : 1: g,; - SERVICE DISCONNECT NO.OF - -5 --- E- - —II - . -V - I - C E— _ -4. METER AMT. AMP. TYPE [Qum 1,e•4W 1 03W 3 03W 3,e'1W NO.OAR BCOND. OF CC.AND.. NO.OF HI-LEG op.i LEG NO.OF NEUTRALS Op EUGRAL - i' �, i 2 O R h A 'iiO 1 2/C, R .: OTHER APPARATUS: it: ELEC. WATER HEATERS. . t- -.`4 V.V.. %: l:r..l .C. I:"•L, i-OKL DETECTOR--1 . . • IPJ. --.1)v,...„....„ J, (,.... � !{OBERT (�rD/. MAR`LO'J ELEC. di X 2121 �'el: �C Li n;�r,^ ffipr BRANCH MANAGER �: L/ILC, LUZERhEO YF 1' ! 1et's46 �''>1 -6 . - 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 cred i-4-ci.i Y.f'i.i'i.i--43 iii i-ii iii-iiY ie-i.i-i&-,4 iviriai 4s'ie-i.f'4i 9437.Y'ie-ie'i.t-ie;-4 e tilliNESELD COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. otit • N ---6 TOWN OF QUEE B RY t jfiih, a 531 BAY ROAD 4 QUEENSBURY, NEW YORK 12804 , r , TELEPHONE (518) 745-4447 -- ' ' BUILDING INSPECTOR'S REPORT iO J-,/ FINAL INSPECTION C 17 l�'j'y� REQUEST FOR INSPECTION RECEIVED cJ / l 1j,Z' ' 1 NAME ' 1 I LOCATION (2)11(1( © Vim. DATE 5 go PERMIT# 9 I 7 7 / TYPE OF STRU TURE c RECHECK FIRE MARS AL APPROVAL ( OMMERCIAL STRUCTURE) YFOOTING"FOUNDATION �XBACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL XEPTIC INSULATION WOODSTOVE/FIREPLACE , j REMARKSUC4 SU/ -Noes,/ 1 1 AP1PROVAL N/A.I YES✓NO CHIMNEY HEIGHT/LOCATION , i .✓ B VENT/LOCATION \l / PLUMBING VENT i / ,.._.....- ROOFING 4 / SIDING ,' ✓v' DECK/PORCH/STEPS/RAILINGS i_ 1 f RELIEF VALVES 1 / �- FURNACE/HOT WATER OPERATING #f BASEMENT INSULATION/DUCTWORK:A ✓ INTERIOR TRIM/PRIVACY DOORS / FINISH FLOORS: ' BATH/KITCHEN WATERTIGHT / OTHER FLOORS SWEEPABLE / 7. ✓ OTHER FLOORS CARPETED , !, ✓ STAIR CLEARANCE/RAILINGS ; ✓ HANDICAPPED ACCESS ' �' SMOKE DETECTORS ✓ BATHROOM FANS/WHOLEHOUSE FANS i, ALL PLUMBING FIXTURES OPERATING • :--7-. GARAGE FIRE PROOFING r/ DOOR CLOSERS ✓+. OTHER FIRE SEPARATION ✓ FIRE/DEMISE WALLS ,1 ✓, DUMPSTER / ✓ SITE PLAN/VARIANCE REQUIREMENTS v"- ,------ FINAL ELECTRICAL ✓ OK TO ISSUE C/O OR C/C ..,---- COMMENTS: /ff / Z-e 6Z-ck--- / (hGl d al ' )- , ARRIVE DEPART INSPECTOR C-;:tc` TOWN OF QUEENSBURY , FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE ' (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED /. V9c)- • NAME . \a x 'A P (l i rO LOCATION J `7 evilc,kropin 06 Q. DATE 57,j0p0-/ PERMIT# 9 f —SC) l APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS • EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION / AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES ,�' STORAGE: CLEARANCE TO' SPRINKLERS/ CLEARANCE TO HEATING •UN"ITS REQUIRED SIGNAGE CHIMNEY • tOODSTOVE -"FIREPLACE-MASONRY / FIREPLACE-FACTORY BUILT 1� REMARKS: 11 OK TO THIS DATE • 2/015 I OR" TOWN OF QUEENSBURY ()IV BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED�� NAME MCV\I n (7 \ LOCATION d " 1 c)-3Y' Gk pl DATE PERMIT # 5 1 7 TYPE OF S RUCTURE 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 TH4 CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUq REINFORCEMENT IN PLACE d` FOUNDATION/DAMPROOFI`p1G BACKFILL APPROVAL ROUGH PLUMBING { PLUMBING VENT/VENTS IN PLACE / PLUMBING UNDER SLAB , FRAMING: , )7 JACK STUDS/HEADERS t / BRACING/BRIDGING JOIST HANGERS P' JACK POSTS/MAIN BEAM, FIRESTOPPING WALLS , CEILING t / FIREWALLS u�' HEATING ROUGH-IN i INSULATION: FOUNDATION WALL INTERIOR R- FOUNDATION WALLS EX'TEROR R- FLOORS / , R- WALLS i ‘ R- y d/4 CEILING d \ R- , DUCT WORK OR PLPING IN UNk1EATt SPACES f REMARKS: \\\\\,.. ] 06 ARRIVE /L DEPART // " Ag2,14/L.---'// INSPECTOR • P)1 • TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 4or„ NAME \=1 °,r:i^`�1 - !;, IN LOCATION h-c 9e)'-.iv„ J_f:,/;, r DATE 0 11 .r-? ;1,flp; PERMIT# (1) 1- q 1 5 U �_. I 1, APPROVED N/A YES NO EXITS I AISLE WIDTHS 11 / EXIT SIGNS ,` I EMERGENCY LIGHTING{, F If FIRE EXTINGUISHERS AUTO. EXTINGUISHINGtSYSTEM 1 HOOD INSTALLATION } 1 AUTO. SPRINKLER SYSTEM „' ALARM SYSTEM ', 4? I, I • "t INTERIOR FINISHES }{ I STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATI.I1G UNITS REQUIRED SIGNAGE 1 i CHIMNEY ir_ ‘ WOODSTOVE i 1 . FIREPLACE-MASONRY/ t FIREPLACE-FACTORY BUILT 9 REMARKS: ? t✓ OK TO THIS DATE -'''..41e4-_,-),,?/,,,;z.,-/-. . .ge.• ii,„:,./ a„1 ,___. ARRIVE G �� DEPART 2 2 d NSPEC OR TOWN OF QUEENSBURY _ BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW 0 4 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECT' RECEIVED NAME LOCATION a DATE //247 2 PERMIT # G/`5F7 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 ON1SITE FOUNDATION/WALL POUR it REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING 1� BACKFILL APPROVAL. i1 ROUGH PLUMBING PLUMBING VENT/VENTS If, LACE PLUMBING UNDER SLAB „ FRAMING: JACK STUDS/H RS BRACING/BRIE NG JOIST HANNERS JACK PUTS/MAIN BEA FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: _ z//14,-rAl-f; ARRIVE DEPART J 1 INSP CTO TOWN OF QUEENSBURY c� ` ,`� BUILDING AND CODES DEPARTMENT is 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME Yna/U 1j1 0ekd LOCATION`�j J- I .k/Yih%41) O�a -ems DATE /1/20/9/ PERMIT # 9J`5Q7 TYPE OF STRUCTURE Y/ .D 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 SIN PLACE FOUNDATION/DAMP`ROOFING BACKFILL APPROVAL 9ROUGH PLUMBING IL`eeh.Qti( ,. �/ CPLUMBING VENT/VENTS IN/PLACEh7., PLUMBING UNDER SLAB, / )( FRAMING: J1QCI'L2('�1 1 JACK STUDS/HEADER BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN EAM, FIRESTOPPING WALLS CEILING "a FIREWALLS I �L HEATING ROUGH-INI INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: nik dJ >i►� _ (W J ARRIVE �� 3v DEPART `' INSPEC OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT 1 1 ,� of REQUEST FOR INSPECTION RECEIVED ! , NAME MGon i n-e_ Ne-,30\ (- LOCATION 12)\c C:cS11e..ivA DATE 11113191 PERMIT # J 59? 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 BAC_KFILLAPPROVAL _ ROUGH PLUMBING_17' - J( 6 PLUMBING VENT/VENTS- - -PLACE1 PLUMBING UNDER SLAB I FFRAMING: # JACK-STUDS/HEADERS \ / BRACING/BRIDGING 1 JOIST HANGERS ‘ rV `y JACK POSTS/MAIN BEAM FIRESTOPP ING WALLS CEILING FIREWALLS / HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR S' R- FOUNDATION WALL `EXTERIOR R- \ FLOORS / R- \ . WALLS / R- CEILING / R- DUCT WORK OR PIPING IN UNHEATED SPACES / REMARKS(TT aT ` T 1 C ��i I ��►°L- . err (A ,1crtSs ma._ `5,LG-c i71)A/ � L �- Dc- PLUi14 i4,7 ;J ARRIVE DEPART /z;o r /vL/ -,�t INSPECTOR !' r Jown ot Queenit ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME ?D'iy-c) \1' -AI, A a- LOCATION 7 Br 1, rn�em �grn� DATE l() // LO 'PERMIT NO. 9l _ c7 SOIL TYPE 411,10- Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Q 5 Length of each trench' Sp ' / Depth of trenches ' 0. / f Size of gravel' i,,jfo2 / _ SEEPAGE PITS{Number of) \ / Size- ft. X /' Gravel size '% PIPING: \ Size Type Bldg. to tank \� q PC--Tank to dist. box L/ i/ Dist. box to field/pit / I/ Openings sealed? 4100P \ ` NO Partial LOCATION/SEPARATIONS: Foundation to tank /C9 ft. Foundation to absorpVion 'ie> ft. Absorption to lot l' e . \110 ft. ,ems Separation of pits \ ft. LOCATION OF S T ON PROPERTY(circle one) Front 1 Le• t side - Right side - COMMENTS: ',, / p./,_„a\,, x t 1M 1 SYSTEM USE APPROVE S NO • \. Bui g Inspector 01/86 and vl . TOWN OF QUEENSBURY ./e-Azt BUILDING AND CODES DEPARTMENT ��`/ 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /�6// y/ NAME �CI �l/yt• % LL - LOCATION ,7 4`12.66A,6)/a-7--J �f.�� DATE AO/a, PERMIT II 9/- 3-97 TYPE OF STRUCTURE / /i c✓ RECHECK APPROVE N/A YE NO (FOOTINGS/PIERS �j�JL2 �_ ✓✓✓ MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS 'RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING .FOR 48 HOU FOLLOWING//' THE PLACEMENT OF THE CONCRETE. / MATERIALS FOR THIS P `POSE ON SITE FOUNDATION/WALL POUR \ REINFORCEMENT IN PLACE\ FOUNDATION/DAMPROOFING \ ;/ BACKFILL APPROVAL ROUGH PLUMBING t I PLUMBING VENT/VENTS IN PL C PLUMBING UNDER SLAB ' FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING I \ JOIST HANGERS I JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING I FIREWALLS HEATING ROUGH-IN INSULATION: t FOUNDATION WALLS INTE IOR R- y FOUNDATION WALLS EXTE IOR R- $ FLOORS R- ' . WALLS R- CEILING I R- 1t DUCT WORK OR PIPING IN UNHEATED SPACES 4 1 REMARKS: -U ARRIVE ``//� DEPART l& S PECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME c3[V2.,p LOCATION (CQZ.Ocrj,J' , C DATE /0 f( � cll.cll. �PERMIT # s 7 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 PLACk ,( FOUNDATION/DAMPROOFING, I x BACKFILL APPROVAL I ./ >c ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE / PLUMBING UNDER SLAB k / FRAMING: 1 / JACK STUDS/HEADERS 1 1 - - BR-AC-ING/BRIDGING t / JOIST HANGERS / JACK POSTS/MAIN BEAM k / FIRESTOPPING WALLS ,f CEILING / FIREWALLS / I HEATING ROUGH-IN I I INSULATION: / FOUNDATION WALLS INTERIOR RL FOUNDATION WALLS ,EXTERIOR FLOORS ,/ R- WALLS ,> R- rt CEILING / R- \ DUCT WORK OR /PIPING IN UNHEATED, SPACES 1 REMARKS: 14, ,5O f )uxis0,-rc9il /- D -PowQ1- \ JL To' /3c,KHL ARRIVE /it DEPART 2 1 0'6 INSP C11 TO OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW 0 4 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED IAJIE (b2 ti7 LOCATION -\32AC,� L.( r— DATE Ci J2 i JCS( PERMIT # 11—S 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 PURP 0SE ON SITE /FOUNDATION/WALL POUR I s` REINFORCEMENT IN PLACE 1 FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING }} PLUMBING VENT/VENTS IN PLACE/ PLUMBING UNDER SLAB FRAMING: A JACK STUDS/HEADERS I BRACING/BRIDGING / \. JOIST HANGERS I" JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING / FIREWALLS HEATING ROUGH—Ip INSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R— FLOORS R— WALLS R— CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES ti REMARKS: .i 012 ARRIVE 2/k)17— � j DEPART 1%I S� /�L ti INSP CTOR • r � NA" ' (./. ''')0/ . , ...P..\..... ..,,,c- --, 7 14° 5 // . >('' . y ......r: 4) . . ,.. N. "1 ) • .,.. A' / /' / 41:1:1N• 0 . (8 8) Q I ) gip . '\_A 44 P.‘,/- t- . . 7. • • - , P 1 ;,h lr RI F.>4--: %.•b i4;.,.. I X-'311 ,-;, (17: ks1';-,''c:?:i el, 1 Wi:kr'470,, ti.i\ ail i s- i ,,,% V4 0 : v.),A ' 0 -: 2 . - I . 00 ,, 8-0.11.01 C. ..... '. 1 111.4 4 �> CdI�, r‘ si..,.. .71 C \ L DEpr .441114 . 6 0 A ...., . , . \ 1 c . t ,,,e)- v . . . . r N A •i 1) /I . • ‘P ... .: • • • 06;k211 • • r . ! em :yw • , •t6. i s::. a .., 5. • •. - • „ NN.0.),. .'"— '. . . .. - ../ .. 9 Piow.„, r,1). S''' re err i.) CO -ril 1. i , \ .%a !) rl CI) ,i._ Z #: Ise