1991-661 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 18 , 19 91',
This is to certify that work requested to be done as shown by Permit No. 91-661
has been completed.
This structure may be occupied as a Fami l t9 llr el 1
Location Lot 0127 Brrooksi rre Trace (Bedford Close)
Owner" ichael Iasil iot
By Order Town Board
TOWN OF QUEENSBURY
v
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-661 0
WARREN COUNTY, NEW YORK
I✓
Iv
v,
PERMISSION is hereby granted to
Michael Vasiliou Inc. ri
Iv
OWNER of property located at Lot #127 Brooksi re Trace Street, Road or Ave. v
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.
1. OWNER'S Address is
14 Stone Pine Lane
Queensbury, NY
2. CONTRACTOR or BUILDER'S Name
Cu
Same
3. CONTRACTOR or BUILDER'S Address
I—
O
4. ARCHITECT'S Name
CO
N
5. ARCHITECT'S Address O
_a.
'S
fD
6. TYPE of Construction- (Please indicate by X)
( X Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 2108 sq ft Single Family Dwelling as per plot plan specifications and
application
ta,
8. Proposed Use -'
fD
Single Family Dwelling with 2-Car Att Garage -11
$ 308.00 PERMIT FEE PAID -THIS PERMIT EXPIRES September 18, 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ..1
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 18th Day of September 1991
SIGNED BY ; for the Town of Queensbury
Building a,: Zoning nspector
TOWN OF QUEENSBURY ffr*ti
v . ,-;iitirq Or (..1/FENv .:.
"fc<i�� VIEWED BY: 9??/ /__#.€
Pjlj4;f0, .1,
FEE PAID: ,x,- S5X' SEP 1 6 291
.4111.
0� PERMIT NO. : %/�,64, r P, DC. & 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: ,7/C(1-, //. /Z.- 0 C) //cry,
P.O. Address: /` 9 7.e , �� " gyp.,- PHONE. f 73,$3
Property Location: le. $ /27 e�"�� ..t� r Tax Map No. / / 5 ,/4,7 7
c s'/2e -cam'
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: IR:2-;b 6 63;6^ Lot No. /Z7
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE 470
y
Construction of new building * CONSTRUCTION: $ I - O O----
Addition to building * /
' Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ft. x • ft.
Other work (describe) * Existing Building Size:
• * ft. x lk: fizW
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor Sq. Ft. :�4°f * Front Yard . ft. Rear yarddl� ft.
* Side Yards -iii ft. and 40 ft.
2nd FloorP. - Sq. Ft. ,2 7 f * If on corner; setback from side street-
,----,.. . * ft.
Other Floors Sq. _Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION: .
TOTAL FLOOR AREA: —tjam— Sq. Ft. 3U 6 * Pri ary Building -
* i One Family Dwelling
Size of New Structure: ft. x r- ft. * Two Family Dwelling
Foundation:. * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) 2- * Other
Height (grade to ridge) '�2.... • ft. *
If residential , no. of families: / * If addition, what will use be?
No. of rooms (excludin aths) : 7 *
No. of bedrooms: , - .* .
No. of bathrooms: * Accessory Building:
Primary heating system: f� * Detached Garage - One .ova:
Type of fuel : ,�', * `�j Attached Garage - On' /Two Care
No. of fireplaces to. be installed: * Private Storage Building
Will a woodstove be installed? f1'0 * Other
Central Air Conditioning: s No *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood fra ':'', fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what? 1"
Foundation Wall Material : Thickness:
Depth of Foundation below grade, (to bottom of footta : 1 -- S
Will there be a cellar? 47a Heated or Unheated? Floor Sq. Footage:
Will there be a basement? yige5 Will any portion be used as living space? la,
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: ' Slopes lat/Shed/Other Material of Roof _
Size, wood studs , " x 4 " ; spacing " o.c. ; length eP ft.
Joists (floor beams) : 1st Floor "' x /19 "; spacing / - . " o.c. ; span / ft.
Joists (floor beams) : 2nd Floor ° —" x //9 " ; spacing A� "::.o.c. ; span ft. '
Overlays (ceiling beams) : 2 " x " ; spacing " o.c. ; span .- ft.
Roof rafters: x " ; spaci g o.c. ; spa ft.
Roof trusses (pre-engineered) : spacing 9Ly " o.c. ; span 1 . ft.
Exterior Wall Finish: n991/0_,- 1 _of what material ?
Interior Wall Finish: �_ J .
If a garage is.. to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be a opening between garage: and dwelling,? If so, will a Fire-Rated door,
enclosure, self-closing device be provided?: , . ir.:...3p
Will a flue-lined chimney be installed? T: Height above roof P., ft.
;
Depth of chimney foundation below grade: i ,, 5/`�/ ft.
Depth of fireplace ft. in.
Water supply Municipal r private well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: 20 ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: / __Le_ _1 Viti-r/e_jod PHONE 2, 9?
NAME OF PLUMBER & ADDRESS: -"-" r4j�;..�ild ' PHONE ? 5 Qr
NAME OF MASON & ADDRESS: ft/ PHONE 12' 2 d Z Z_
NAME OF ELECTRICIAN & ADDRESS: 8 � r6 4 ® _ ,r,,�f� � PHONE 1f2 CL P-
d'
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 pert ' ing to the proposed work shall
be complied with, whether specified or not, and that such work , author' ed b, t e owner .
Signature ,fir''
er, owner' n(11,,,cl �ct
= ontractor _if
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION .
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
„„oisv t. ' CAUEEN:;4:,.;.,
Compliance Methods: R`LCL:#`ti° :'
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) S E P 1 6' 1991
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwell 'ng=s3. & CODE DEPT.
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
, .7,4 1 f 440° /i'�t .` , /4/6' 4 % /17X100/4r7 ,7
APPLICANT'S NAME PROPE' LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 1 er- Sq. Ft.
2. Type of Heat -C44 Elec. Base Board Other
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 & Floors exposed to ambient temperatures R
B. Exterior Walls R /
9
C. Glazed Area R 1-,-
D. Exterior Doors R
___Vez.3 '
E. Floors over unheated spaces R
F. Edge of Slab on Grade (Heated Building) : R
` FF-,- J.
G. Basement/Cellar Walls (Above Grade) R I(
H. Basement/Cellar Walls --(Below Grade) R 1/ i
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
/77
�(. PE NUMBER
A ICANT S SI N URE ),ATE TELE 75-73_0
NU
INSPECTOR'S REMARKS: -
.41111
RE EWE D BY
L,WN OF QUEENS , ,
MIL RECEWED
`eTsj TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit so?. 1 n 991
Fee Paid
Date: 5
/ Reviewed By 81' CODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION.: j, - e: . 5e
Owner' s Name: A cy ___z_. r e vfrs /e_In 0- 4ivc.,_
Owner' s Mailing Address: eV , ,e /air,, .e___.„
Installer' s Name: 771 ,/. 2 i / fr Phone #: ` na e2:2_.L
Number of bedrooms (if residential ):
,
Total daily flow (residential-compute @ 150 gal . per bedroom) : :'/:TO
Topography-Circle One: Flat Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam Clay Other /Depth:
Ground Water-At What Depth? Feet
Bedrock or Impervious Material-At What Depth? Feet
. Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Mugnicip�a Well Other
If '-domestic water supply is a well - A.
Separation: Water supply from any septic absorption /v U feet
f
PROPOSED SYSTEM: Septic Tank /000 gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench -='� ' * eet//Total System Length c..200 feet
Seepage Pit(s) : Number of / Size each: ft. x ft.
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 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 Queensb ry Sanitary Sewage Disposal
Ordinance. '`
SIGNATURE OF RESPONSIBLE PERSON: 4 e / G DATE: C��
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:
•
NEW YORK STATE ENERGY CONSERVATION- CONSTRUCTION CODE 3/91 GK Jr
PART b COMPLIANCE FORM - Building Design by Thermal Rating Method
BUILDING ADDRESS: &ejFppA , e- DATE: 9/12:y/42 J • -
V Vel—OPPleNrr - &UE Vj,y COUNTY: 141
ENGINEEER: GEORGE KUROSAKA JR., P.E. PHONE: (518) 793-7190
PERMIT APPLICANT: M►iC/ .VA/71.1.4.0U ' PHONE: 713- 7353
HEATING DEGREE-DAYS: 000 Degree-days
HEATING SYSTEM: _.Gas-fired V Oil-fired Heat-pump Electric
SUMMARY OF TOTAL THERMAL RATING:
THERMAL TABLE
AREA esg'cx.Fr ow33 RA ,I USED
A. ROOF/CEILING -IP92.s.g Fr O.02(0 ,f•_ I 4-4
B. NET WALL - 2g7/o jtr g .003 r• 4:(02. 61- 2
C. GLAZING '�� /Q7 ^2
Windows 21*ei.pi- L .So
Patio Doom 42 ya PT o.36 MAC -Co Itv-2
Entrance Doors �p3 F-T 0.34 MAx _ --tC-j b-2
Skylights 40 ( r A1.5 -(e (p-4
D. FLOORS NSA = NJA
D2 BASEMENT/CELLAR.WALLS
?4a11 Perimeter it)42 Feet _ •
Exposure Ab-grd ,(o7- 1.0 Feet
Wall U-Value 0.083
_ Depth U-Value;. 7t 6,4 .To iii-?:.,.. -
._ Below-grade ♦2.2 --
D3 ��
D3 SLAB.INSULATION -
Slab Perimeter tA'" Feet
Insultn R-Value 19/4 •
INFILTRATION CONTROL - ._ .
riC5NO All windows less than 0.35 cfm/lf operable crack.
CDNO All req'd areas -wfinfiltration barrier
TOTAL' " T H E R M AI:.' RA T I N G +-i Ci D
. c
i
-
��� ®P f ` GEORGE KURGSAKA JR., P.E. 'QUEENSi Uri, BUILDING SYSTEMS CONSULTANT "'_ RECEIVED 3$$69 y4; 91( 13 ARBUTUS DRIVE
4� . sUUEENSBURY, N.Y. 12804� 1991 f sc x\� � ---
SEP 1 ; N.Y.S. P.E. Lic. No. 35869
r LDG. & CODE DEPT. -
41PA MIDDLE DEPARTMENT INSPECTION AGENCY, INC. •
National Headquarters -
�•M. 1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION - Date:
City, Town or Township • JA je —1- • ;1!C/ 2- County {� State �Y
�'7— 2 7 g liut
•�'`'f-,4 - r (= r
Location/Address �¢� f
��ii, _ (If.'Lo ate(d'ri Rural Area-Please Attach Directions) Pole #
Owner t' C (- %' t-`L- — V r-S !c._. # cJ,,) �C— Permit # / - r ' r
Occupied As ,, u--�-2%.,:v. VVV(-" 7,--7 e— -.c Building: New Old El
Occupant
' Work Area in Building (Floor #,etc.):
App. for: Wiring r7i. Service,. or: Ready for Inspection:
"-Fee Remitted -$ ` . Cash ri 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
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 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
f
Applicant's fj j,Zie.-� .
Signature ��''��` License # Permit #
T/A • ....--,- f Utility:
(NAME) . (OFFICE LOCATION)
Applicant's dress: t'f —� ` Q / "�e_-
(City) ' '/`''/ ' (State) / ~ • (Zip) Service Request #
Phone # /9 ? /75 3 Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Aboven 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 11/2 2 3 5 71h 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 •
CORRECT
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE FEE FEE PAID
❑ RW Progress: Inc.❑ LKD❑ Contractor
I I CFT Violation: Work Comp.❑ Inc. ❑ CASH I
n L/A Owner_
Fee CHK #
n L/A Due MO #
n IPA Municipal
_ INV #
Date: Other Side❑ Utility Applicant
Owner Fl
•
Cut in Card ❑ Temp # Date -
INSPECTORS SIGNATURE
n Final # , • Date .•
APPLICATION FORM NO.250 EL 11/89
TOWN d i! OF Q LIEE1 V SB i ARY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date ./17 19 9,/ 19 Permit No. 9(--(fit, 1
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 J/ i /( / j htit,77 .43/,APPLIANCE TYPE Stove Coal Wo
od
Address Aln_ Furnace Hot Air Boiler
rq' zi Zero Clearance Circulating Unit
,Phone 99 V ? f If Non-Masonry:
Owner's Name
Manufacturer
Address Model Outlet Size•
.
• Zip Listed by Number
Phone
CHIMNEY TYPE
Masonry: Block X Brick Stone
Property location of proposed construction Flue: Tile X Steel
JrO /,27 a2d4x5, i,PF /Z9CE Size: /Z X
Factory Built:
Manufacturer Model Size
('()PY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPL}TFAN ESO Type: Double Wall .0L, ,Triple Wall
AND CHIMNEYS. MUST BE INSTALLED- Insulated`
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ ,31a4O
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$
SONRY FIREPLACES AND CHIMNEYS.
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department: Fire Marshal Amount Collected Amount Refunded
Code Number Title
A t 73 3389 (190)Public Safety
A233 2655 (230) Minor Sales
Fee' llecled from Refunded to: % er<ha'...-4,
Address:
Dated: Town Clerk or Deputy `
vU
While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
A/1
TOWN OF QUEENSBURY
531 BAY ROAD
1NiA_jir QUEENSBURY, NEW YORK 12804
s TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 4-19b/4-3
NAME .4.e1 j7 CL[.o
LOCATION ,e (1 Q � n/ 4&_' •
DATE 4/ -l/93 PERMIT#) q92'(p O j
TYPE OF STRUCTURE /4 q & t i `..QLu-2
RECHECK � _Y/_
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION; BACKFILL4 FRAMING
_ROUGH PLUMBING ' FINAL ELECTRICAL _SEPTIC
INSULATION WOOSTOVE/FIREPLACE
i1
REMARKS I FFit
Ii
//
j' APPROVAL
,!' N/A YES NO
CHIMNEY HEIGHT/LOCA O,N'' _
B VENT/LOCATION ,f X
PLUMBING VENT ' , • X.
ROOFING 7 X
SIDING
DECK/PORCH/STE W RAI INGS XX
RELIEF VALVES, N
FURNACE/HOT MMATER OP RATING ;,c
BASEMENT IgULATION/ CTWORK X
INTERIOR)RIM/PRIVACY DOORS A
FINISH F OORS:
BATHKITCHEN WATERTI HT ,'c'
OTF}ER FLOORS SWEEPAB E
OTTER FLOORS CARPETED x
STA�IR.�CLEARANCE/RAILINGS,
4A4ATHROOM
&AP-GED ACCESS \ 'MOKE -DTECTORS FANS/W'.uni Turnis F- RS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING '
DOOR CLOSERS X
0
F r v M-IS-6-WADES
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL jp N Pc'+; , N
OK TO ISSUE C/O OR C/C Ks
COMMENTS: e
ARRIVE
DEPART -3? /Z�, �a,
INSP
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 , 5-1/OC2
LOCATION /0?7
DATE/a`/ / PERMIT/ 9/- 64/
TYPE OF STRUCTURE
RECHECK R2.G4
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
- ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC
- INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YE7 NO
CHIMNEY HEIGHT/LOCATION
VENT/LOCATION r/
PLUMBING VENT
ROOFING
SIDING /�
DECK/PORCH/STEPS/R ILINGS ✓
RELIEF VALVES /
FURNACE/HOT WATER 0 RATING /
BASEMENT INSULATION/ UCTWO ✓
INTERIOR TRIM/PRIVAC DO S
FINISH FLOORS: /
BATH/KITCHEN WATER GHT ✓
OTHER FLOORS `SWEF A LE �/
OTHER FLOORS CA ET D
STAIR CLEARANCE AILI GS ✓
HANDICAPPED A ESS
SMOKE DETEC S
BATHROOMJ- S/WHOLEHO SE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING ,'
DOOR CLOSERS
OTHER FIRE SEPARATION /
FIRE/DEMISE WALLS
DUMPSTER l/
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL `
OK TO ISSUE C/O OR C/C i/
COMMENTS: � ? j
2.5
ARRIVE /2)
DEPART /"
INSP
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED / 4'c?/9/
NAME /47/ C!
LOCATION 26 L/27 �/Zi/1j '�•
DATE /07/7/ PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHT NG
FIRE EXTINGUISH
AUTO. EXTINGUIS I G SYSTEM
HOOD INSTALLA ON
AUTO. SPRINK R SY;•TEM
ALARM SYSTE
INTERIOR FINISHES
STORAGE:
CLEA"ANCE TO SP'INKLERS
CLEARANCE TO H ATING UNITS
REQUIR D SIGNAGE .
CHIMNEY
WOO STOVE
,,.-FIREPLACE—MASONRY
FIREPLACE—FACTORY BUILT
REMARKS: I OK TO THIS DATE
) (V
ARRIVE l
DEPART ,�-
INSPECTOR
\\\f Ciro W+ \\Aj\ O
TOWN OF QUEENSBURY n;?�
iy 531 BAY ROAD '`f
QUEENSBURY, NEW YORK 12804
TELEPHONE. (518) 745-4447
---BUILDING INSPECTOR'S REPORT
ANAL INSPECT/IN I
REQUEST FOR IN PECT IoIrRECEIVED /4619 I
NAME �)GAS l g off% \
LOCATION ), — /, 7 C2-nciAS'1I r--�
DATE I //Lj�( / PERMIT# 1) rAP
�` IL- '
TYPE OF STRUCTURE .S7
RECHECK
FIRE MARSHAL APPROVAL ,(COMMERCIAL STRUCTURE)
FOOTING FOUNDATION YBACKFILL �QFRAMING
;ROUGH PLUMBING FINAL ELECTRICAL `)(SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT "
ROOFING ;
SIDING
DECK/PORCH/STEPS/RAILINGS d, /
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK f;.
INTERIOR TRIM/PRIVACY DOORS ;a
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT °
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS .
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING •
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE /d 4s
41
DEPART /A51 /•;= �"'''
/ INSPECTO
awn o/ .__ 3burty
BUILDING I�
LDING and ZONING DEPARTMENT b
' Bay and Havfland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 1 C);642 lirC l l^6\6tu'
LOCATION c)..--0-4- 1.27 C.ArQ b 4 I r`Q._
DATE 1/ / 11( PERMIT NO. q ) -"(Q G /
SOIL TYPE Sand - Loam - Clay -
Percolation Test Required? YES - NO
. Percolation rate - Min/Inch
TYPE of SYSTEM: (1
Absorption field, total length sn d`� / �iI
Length of each trench i'' jii g
Depth of trenches .1
Size of gravel 4�__,
SEEPAGE P ITS4Number of)
Size- ft. X _ ft. /
Gravel size I
PIPING: Size Type
Bldg. to tank J/ pt c
Tank to dist. box 1, 4 We.
Dist. box to field/pit ele p
Openings sealed? YES +'NO Partial
LOCATION/SEPARATIONS: ,' 1�,
Foundation to tank /' /ft.
Foundation to absorption ,�ft.
Absorption to lot line! VI) ft.
Separation of pits / 16 ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front Rea - Left side - Right side -
COMMENTS: If
\
/
•
SYSTEM USE APPROVE' NO
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6
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ----%/2--6 ' .
531 BAY ROAD ,r
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /y2/7 9/
NAME 72/-C-C it-
LOCATION 1 7 ?7
DATE /(7/d*/ PERMIT # 9/4 /
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
ROUGH PLUMBING l
PLUMBING VENT/VENTS IN PLACE /
PLUMBING UNDER SLAB /
FRAMING: /
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS /
JACK POSTS/MAIN BEAM /
FIRESTOPPING
WALLS
CEILING
FIREWALLS /
HEATING ROUGH-IN /
XINSULATION:
FOUNDATION WALLS/INTERIOR R-
FOUNDATION WALLS( EXTERIOR R-
FLOORS ,/ R-
WALLS R- j
CEILING R- 3re
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
4
•
ARRIVE e
DEPART/ 9e7c-ftisPEC( ''►IR
(t/j -1}1?
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME • 74/T'e2/.7a,
LOCATION
DATE e' PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM •, \
! f
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRIkKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE •.
\
CHIMNEY
WOODSTOVE
.!FIREPLACE-MASONRY ;
FIREPLACE-FACTORY BUILT
REMARKS: K TO THIS DATE
ARRIVE / -
DEPART/ L - /a ji
';
`TNSPECTO
TOM 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 /O /0 �/
�11 �>NAME G S � �—( O�,,l � � ,� (AAQ
LOCATION 0L i',-,2 7 66vv`U cl1 4_(P
DATE PERMIT 1 9 / -6,(
TYPE OF STR CTURE S
RECHECK APPROVED
C • jIi N/A YES NO
FOOTI NGS r P�I ERS
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 f
PLUMBING VENT/VENTS IN PLACE
PLUMBING DER ^^SLAB /
4-FRAMING: CCNPcA- t` P
/
''�1 JACK S DS/HEADERS A
BRACING/BRIDGING ,r 'A
JOIST HANGERS ;
JACK POSTS/MAIN BEAM'
FIRESTOPPING
WALLS
CEILING 1
FIREWALLS g
HEATING ROUGH-IN
INSULATION: ;I
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS \ R-
WALLS 1 R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
• 30
ARRIVE
DEPART _27--- � A4_0,4/
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUESTIFOR INSPECTION RECEIVED
NAME 1( .l (-) u )
LOCATION )cl-c-1'L'I c,-;0-t 7 \t?a';ef'r
DATE JcD J(dC;J PERMIT I 611-6 6-,
TYPE OF STRUCTURE b ,
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 I
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFIN'G
BACKFILL APPROVAL .
X ROUGH PLUMBING i "
PLUMBING VENT/VENTS IN, PLACE
PLUMBING UNDER SLAB
SfRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING A.
JOIST HANGERS . ''
JACK POSTS/MAIN BEAM
FIRESTOPPING .:i
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:
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Vfif
DEPART 7 ,
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 09;f )
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME l/451k
LOCATION L/ /27 a t
DATE 9 3p // PERMIT #
TYPE OF STRUCTURE S/179
RECHECK APPROV
N/A YE NO
'-FOOTINGS/PIERS
MONOLITHIC POUR RM)% •
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING"PROTECTION FROM
FREEZING -FOR 48 FpuRs 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 1 ,
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM ( 's
FIRESTOPPING '
WALLS ,
CEILING
FIREWALLS I t
HEATING ROUGH—IN 1
INSULATION: I
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS R— \.
WALLS R—
CEILING i R—
DUCT WORK OR PIPING IN ;UNHEATED �t
SPACES
ft
REMARKS:
r
ARRIVE -I
DEPART <76 �1 {�✓
INSPECT
TOWN OF QUEENSBURY o
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME '14 (/I ra 0r1 k.l./1Zr
LOCATION /a 7 jh.a
DATE 9/ .6 /9/ PERMIT # 9-6,6
TYPE OF STRUCTURE d{4'7?(p j(!4'i/74,74,
RECHECK APPROVED
N/A YES NO
j( FOOTINGS/PIERS /, (y-LLI7
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 I i
XBACKFILL APPROVAL t ;'
ROUGH PLUMBING ? x
PLUMBING VENT/VENTS IN PLACE ' ,"
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING r'
JOIST HANGERS
JACK POSTS/MAIN BEAM ld
FIRESTOPPING r,:'
WALLS 1 {:
CEILING ,(
FIREWALLS 1 k,
HEATING ROUGH-IN i f
INSULATION: /
FOUNDATION WALLS INTERIORR' R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS / R- 1
CEILING j R-
DUCT WORK OR PIPING IN/UNHEATED
SPACES 1�
REMARKS: 1 `�
•
ARRIVE 2
DEPART
INSPEC R
,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT( n rt
REQUES FOR INSPECTION RECEIVED `� c� In
,NAME C1 sl 1 _,mA ) 0.Y`----\-
�
LOCATION ,--).-E I. 7 i'O() ksI'/' LTiY CQ
DATE 72, I6,/ PERMIT f Ci/66o/
TYPE OF STRUCTURE S 1��-'
RECHECK I APPROVED
• N/A YES NO
FOOTINGS/PIERS - ) - • t,
' MONOLITHIC POUR ORM
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 t
REINFORCEMENT IN PLACE 3 r /
FOUNDATION/DAMPROOFING -1 / ✓/
sBACKFILL APPROVAL r
ROUGH PLUMBING 1 .'
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB q
FRAMING:
JACK STUDS/HEADERS x'b
BRACING/BRIDGING 1
JOIST HANGERS 1 1
JACK POSTS/MAIN BEAM J �.
FIRES'TOPPING •
WALLS ' A
CEILING 1
FIREWALLS
HEATING ROUGH-IN ( t
INSULATION: i s
FOUNDATION WALLS INTERIOR ft-
FOUNDATION WALLS EXTtRIOR R-
FLOORS ) R,-
WALLS R
CEILING R-i
DUCT WORK OR PIPING IN UNHEATED
SPACES 1. _
REMARKS:
,z,..<;2)1-jk
� ,, , / r 1�I
f;
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ARRIVE f/-
DEPART// J
INSP CTOR
7I-F-1-mi Frn
TOM OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPOR ``)� qq
REQUEST FOR INSPECTION RECEIVED - �V " l
\)ctS
� JJNAME \ J' k� 1 h I
LOCATION P..-- / rY- 7 C rr>r) ICS\1 krP CC e._
DATE C,p6('1 PERMIT 0(G - (Q(eI
TYPE OF STRUCTURE
RECHECK APPROVED
N/A Y�NO
-FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FRO►1j
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THiIS PURPOSE O,N SITE
FOUNDATION/WALL ;POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL .
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB I
FRAMING: �> I
JACK STUDS/HEADERS #
BRACING/BRIDGING
JOIST HANGERS f
JACK POSTS/MAIN BEAM !
FIRESTOPPING j
WALLS
CEILING / \
FIREWALLS )
HEATING ROUGH-IN I \
INSULATION:
FOUNDATION WALLS INTERIOR''R-
FOUNDATION WALLS EXTERIOR
FLOORS R-
WALLS I R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
A
REMARKS:
fi
c
ARRIVED
DEPART
INSPECTO
I
JUAI�,Quri i
O�O'PIVI
ninist :o.muf
J E LN6i-ll, �
VED
1991
DE DEPT.