1991-676 2, �� y
• CERTIFICATE OF OCCUPANCY :.
TOWN OF QUEENSBURY
WARREN COUNTY,. NEW YORE . 5
Date ;arch 2, 19 92
. This is' to certify that work requested to be done as shown by Permit No. 91 676
has been completed.
This structure may be occupied as a Si cavil a Family Nei i na
• Location
Lot f9 Stone Pine Road
Owner Richard' Schermerhorn
By Order Town Board 1�
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
• i
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 2 19 92
This is to certify that work requested to be done as shown by Permit No. 91-67 b
has been completed.
This structure may be occupied as a si nql e f ami 1 y dwel i i nq
Location I.ot #9 Stone Pine Road
Owner s Sandeen Sehder and Mi ndv Lee Ford
By Order Town Board
TOWN OF QUEENSBURY
I"
Director of. Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 91-676
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Rich Schermerhorn
OWNER of property located at Lot 9 Stone Pine Road 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
33 Harrison Av
Glens Falls NY 12801
kx X
2. CONTRACTOR or BUILDER'S Name
SAME
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 1st Floor-1754 2nd Floor-1687 as per plot plan specifications
and app]iratioji
8. Proposed Use
Single Family Dwelling
$ 446.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 30 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 30th Day o,,September 19 91
SIGNED BY for the Town of Queensbury
Building and Zoni • nspector
TOWN F QUEENSHURY _�A -I �'
014 1
REVIEWED BY ,.kAa►. .A
„47... .. .. .
,i FEE PAID $ 1-1 �.c' �' .�. 1� 1�'
f ..s PERMIT NO. I — ({7'7(p.-d:11 �; i.:ttil, i_: ':-. i., .
BUILDING PERMIT APPLICATION
SEP 2,31991
"g..DG. & CODE DEr
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
HILL 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: R;rh 5,, .,r, @ rA„4-,v
P.O. Address a. t4.n..rrsgaA./ Ave_ Tel. 796-0G7y
(7b
Property Location Lot 9 5t , `T'ori e ;NE-. Ro o_c\C Tax Map No. / 3"'/ .F•_`
Has there been any split of this property since October 1, 1988? / / q D-g-737
iBoard Review is necessary. -
f yes es Planning yes no y
SUBDIVISION NAME, IF APPLICABLE 'I1,e-, P;oe,S o'C 6)3ce.v.S1v ury LOT NO. �J
N o-S e. v i
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
`MATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF
•
Construction of a new building • CONSTRUCTION: 1; g5, boo
Addition to_a building * COMPLETE INFORMATION REQUIRED BELOW:
_�� * Size of property y3 , 17 ft x 1:15Z' ft.
Alteration to a building * Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) * Front
yard l� 9,:.' 5ft. Rear yard 3.7 5 ft.
•
Side yards ?4/ ft. and 2 y' ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor I15 Li sq. ft. al LP
�-7 * OCCUPANCY INFORMATION
2nd Floor IG. %f sq. ft. ! ` o • Primary Building -
Other Floors sq. ft. // ° J * w' One Family Dwelling
(not ct.ilar or basement) 7 ., Two Family Dwelling
• Multiple Dwelling/Number of units
TOTAL FLOOR ARELALl`I I sq. ft.
* Business
Size of new structures _ft x 33 ft.
* Industrial
:iioundation-pier/slab/c:._• ::/martini full
(circle ui1,-; " Other
•
No. of stories (habitable space) 2- •
ix,2ight (grade to ridge) .26 ft. • If addition, what will use be?
if r sidentlal, no. of families / •
No. of rooms(excluding baths) io * Accessory Building
Vic. of bedrooms V " Detached Garage ONE/TWO Car
No. of bathrooms ,. V� •
3rirnary heating system Nod A;r • / Attached Garage ONE WO Car
Type of fuel 9 as * Private storage building
No. of fireplaces to be installed I * Other
•
Willa wood stove be installed ,/t)
•
entrai Air conditioning VP,5
OV° ER
BUILDING PERMIT APPLICATION CONTINUED -
R“_ILDING SPECIFICATIONS:
T‘.pe of construction, wood frame, fire safe. etc. 6✓00 e
any second-hand or upgraded lumber be used? If so, for what? ,Jo •
Foundation wall material /0 " 13) o c•.k Thickness / A //
Depth of foundation below grade (to bottom of footing) ,r 7
`.g ill there be a cellar? YP s Heated or unheated? un 1,a a.71�C/ Floor sq. footage /, 7s sq ft.
`,'.111 there be a basement? Will any portion be used as living space? A/o
'If so, what portion? x. sq ft. Type of use? .se
'rope of roof - sloped !flat/shed/other Material of roof z. GA x p4 v r' Eli:
J
e, wood studs a ."x 6, " spacing /6 " o.c. length g ft.
Joists (floor beams) 1st floor c "x /0 " spacing /6 "o.c. span W/o ft.
,foist (floor beams) 2nd floor "x / o " spacing /6 "o.c. span /y 110 ft.
:overlays (ceiling beams) "x " spacing " o.c. span ft.
F.nof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing a'l " o.c. span 33 ft.
E:: te.rior wall finish j�;c �� +�e.�e a t` of what material? �fb 16•,.
Interior wall finish E ,� L c.0c_,�L
. - r. garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to he an opening between garage and dwelling? yeS If so will a Fire-rated door, enclosure,
eif-closing device be provided? ;�s
i,`ill a flue-lined chimney be installed? yr,S Height above roof y ' ft.
Depth of chimney foundation below grade,✓/A ft. (Zero
Depth of fireplace hearth a ft. ( in.
':',,ater supply - Municipal or private well ///u4, c,/e)arL
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /o o ft.
separate application is necessary for any repair or new installation of septic system)
'SAME OF BUILDER R. 5c-1,e en/er/io !',J ADDRESS 33 Nar,riso.v AI eTEL, NO. 7`/ o -0<07q
CAME OF PLUMBER 571e✓e- 4LLeA/ ADDRESS , F �\ �o.rd TEL. NO.- 7'17 - 5(05, 5
.A ME OF MASON Do_Le. Bu.lciwi;/V ADDRESS p} , AA/ A/ . TEL. NO. 7 y Z - /37 /
`!E OF ELECTRICIAN /9,•cJ, S)0ore.L ADDRESS G\er. s F S TEL. NO. 76/ - 6S5L
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
and specifications submitted, are a true and complete statement of all proposed work to be done on
described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
..'.h.er laws pertaining to the proposed work shall be complied with, whether specified or not, and that
Ich work is authorized by. the owner.
Signature
Owner, owner's agent, architect, contractor
?ECIAL CONDITIONS OF THE PERMIT:
BY
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
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 3,q 4I Sq. Ft.
2. Type of Heat - w S 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. Insul'ation-Values: - Actual Shown- Elec. Heat Other
A. Roof &.Floors exposed to ambient temperatures R 33
B. Exterior Walls R a S
C. Glazed Area R 2. 5
D. Exterior Doors R , 3
E. Floors over unheated spaces R a 5
F. Edge of Slab on Grade (Heated Building) R //
G. Basement/Cellar Walls (Above Grade) R 2 S
H. Basement/Cellar Walls (Below Grade) R ,'/
I . Heating/Cooling - Ducts - Piping in Unheated Space R y- G
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 :
REVIEWED BY
TOWN OF QUEENSBURY
,4 APPLICATIOtl FOR SEPTIC DISPOSAL PERMIT
•
DATE: 9 - I( - 9/
LOCATION OF PROPERTY FOR INSTALLATION L o -I- 9 .v e I); e.
Owner' s Name: A'.c,Y, (. S erhor.v 7r ,
Address: ?, 1 ce..f` l"i see .A✓ r4 e - - N• 1' /020i
Installer' s Name: R:c' P . Sc,11e, tr-,e.fiVr Cw Telephone: 77 - o67
Number of bedrooms (residential only) "
Total daily flow (compute @ 150 gal per bedroom) 600
Topography: Circle one: Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? A.1/.4 Feet
Bedrock or Impervious Material : At what depth? #✓ //4 Feet
Percolation test: Circle one: (Fat required required
Rate - R✓ / A Min. Per Inch
Domestic water supply: Circle one: Municipal) Well Other
If domestic water supply is a well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank /a 5 0 gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench 60 feet/Total system length 30 0 feet
SEEPAGE PIT(S): Number of X /Size each X feet
by x feet
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 `cork 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: AU - - - DATE: 7 - 16- q 1
Saints System inspections:
septic system installation. alteration or repair.
A. All applications for
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 shoving:
1.) the proposed location of tho system
2.) location and distance to lot lines
3.) location and distance co structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields and/or dryvells
B. No system shall be covered.before inspection and approval by the
uuilding Inspuctor. Failure to comply with this requirement may
r.:sulc in the uncovering of the system- by the installer and a fine
ui up co $250.00.
C. An approved copy of the plot plan shall be available on chi construction
site. Failure co produce said plot plan at time of inspection may
rusulc in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or rupuir of an approved system, a new proposal muse
bu submitted to the Quuunsbury Building Departmoft.before further
construction.
Town of Queensbury
BUILDTNC and CODES DEPARTMENT
Boy and Haviland Roads
Queensbury, New York 12804
k�marks:
•
•
•
.
•
&fun of Queensbnrg T II£uag gepttrtnti'nt
Bay at Haviland Roads Office Phone 518-793-7771 Queensbury, New York 12801
• PAUL H.NAYLOR RICHARD A. MISSITA
Superintendent Highways Deputy Superintendent Highways
DRIVEWAY PERMIT
•
DATE: 9 - /S - 9/
APPLICANT NAME: ,4 A P 5c.. A e r yn e r,d r-�v
TELEPHONE NO. : 77 g - o y 7 y
ADDRESS TO BE INSPECTED: . L o / 7 Sao .ve, 'w e
RETURN ADDRESS : 33 hi.,cc S a� ✓ �
•
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 _Queensury, _ .has
reviewed the application. of the "above ,na b
med. resident" to
connectea 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 01 highways
Town of Queensbury
TOWN OF Q UEENSE LIRY
Bay at Haviland Roads,Dueensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date 9- /6 — 9 / 19 Permit No.�I t� 010
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 `` APPLIANCE TYPE
{, �• �c� z f YYJ r ho r�/
Stove Coal Wood
Address 31 /-)a. c r ; s, N Furnace ✓ Hot Air ✓ Boiler
Zero Clearance .7 Circulating Unit
Fa.,\ti S Zip 1 `vo/
Phone 7 y _ U G 7 y If Non-Masonry:
. Owner's Name 1?;c.1• P. 5,), ( w, el`b.c ,�n�
Manufacturer /14 a , s 4
Address r ; So A e- Model 4'4)3oc36, Outlet Size
`- F a_t`s ,, Zip 1 8 0/ Listed by Number
• Phone 79 8 — 06,7Li
CHIMNEY TYPE
Masonry: Block Brick Stone
Property location of proposed construction Flue: Tile Steel
Lo + 9 Sta.,, .L Size:
Factory Built:
• Manufacturer fv9a.Irs7C-c,Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall ✓ Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF
CONSTRUCTION DETAIL REQUIRED FOR MA- Estimated Cost $ $ 1, aQ
s
Fee$
SONRY FIREPLACES AND CHIMNEYS.
• CASHIER'S DEPARTMENT
TOWN OP QUEENSBURY, NEW YORK
•
Department:. Fire Marshal - Amount Collected Amount Refunded t.
Code Number Title
A173 3389 (.190)Public Safety
A233 2655 (230) Minor Sales
Fee'Collected fro or Refunded to: 9\'r�1 ITVW kaYV") •
•
Address:
Dated:9 I..-1 Town Clerk or Deputy ) C C_
1
White?Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
11
TOWN OF QUEENSBURY
4 . 531 BAY ROAD
`r . QUEENSBURY, NEW YORK 12804
_ . TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME T ,./,,,, `/�'�at_�
LOCATION itlate-- 77.64w_e- Ass
DATE :Z/.�0-2-., PERMIT# %/4 76
TYPE OF STRUCTURE ,///
RECHECK
'-v/'� /./.1e/�)�24G07 "% ->
O
FIRE ARSHAL APPROVAL
(COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING _FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE .
.e.Lwe ram'
REMARKS i4"/Y2/ /,L ,,,Y(: ✓-vd--/, lri /
l/ APPROVAL
N/A YE$ NO
CHIMNEY HEIGHT/LOCATION B VENT/LOCATION d
PLUMBING VENT
ROOFING yj
SIDING /
/
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING �%
LA BASEMENT INSUTION%DUCTWORK J/
INTERIOR TRIM/PR;F'VACY DOORS J
FINISH FLOORS\/
BATH/KITCHEN'kWATERTIGHT v'/
OTHER FLOORSS SWEEPABLE
OTHER FLOORS CARPETED /
STAIR CLEARANCE/RAILINGS V
HANDICAPPED ACCESS
SMOKE DETECTORS �/
BATHROOM FANS/' Hl E"^"S F "'S
ALL PLUMBING FIXTURES OPERATING /
GARAGE FIRE PROOFING t//
DOOR CLOSERS i/
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL ✓`
OK TO ISSUE C/O OR C/C dd
COMMENTS:
D�
ARRIVE /�
DEPART
INSFx TOR
ILLA
TOWN OF QUEENSBURY
pt�A. 531 BAY ROAD yy)
.�3r: QUEENSBURY, NEW YORK 12804 "
�` ''� TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION /
REQUEST FOR INSPECTION RECEIVED _/2/Jl�/;�
NAME i h er,�rA pj(,r"j l`-/iC
I
LOCATION ` , , Y yl ,..e
DATE 212.`7/%2 PERMIT#
TYPE OF STRUCTURE Si'D
RECHECKJyI;oLd -
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING ;(FOUNDATION X'BACKFILL ;('FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS .eitMa-/ ' L d A, a& ad-r ,,
�1'c�2CL/h �( ���i '�Cth�l1. PPROVAL
G 7 � a YE7 N0
CHIMNEY HEIGHT/LOCAT,�ON e/
B VENT/LOCATION /
PLUMBING VENT id/
ROOFING J r'
SIDING I r �
DECK/PORCH/STEPS/RAILINGS' v/
RELIEF VALVES t / J
FURNACE/HOT WATER OPRRATING �/
BASEMENT INSULATION/,DUCTWORK ✓/
INTERIOR TRIM/PRIVACTOORS ✓
FINISH FLOORS: ,
BATH/KITCHEN WATERTIGHT //
OTHER FLOORS"SWEEPABLE ✓
OTHER FLOORS CARPETED;
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS ✓/
BATHROOM FANS/W S d/
ALL PLUMBING FIXTURES OPERATING 13Jj / lg .
GARAGE FIRE PROOFING f/
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL v
OK TO ISSUE C/O OR C/C r/
COMMENTS: 0
, 5- ii_jr 4-7
/.040 .4ef4e5,
ARRIVE /
DEPART /
INSPEC R
- TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR/al)
INSPECTION RECEIVED
NAME
LOCATION ,; / 9// J �G� �l41l12
DATE .2/ i//z 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
•
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS ;'
REQUIRED SIGNAGE `,
1,
I \
CHIMNEY
WOODSTOVE /
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT /
REMARKS: I OK TO THIS DATE
ARRIVE 1 )
DEPART
INSPECTOR
ELECTRICAL INSPECTIONS
,J DUPLICATE/ MUNICIPAL RECORD
9/�'Permit No. 416
Owner lCC M-e/2 M&72,He2�
Occupant
Location / LI& P/4JO'
No. Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable codes.
Installed by G'//V 2/ Cs &Z=26—''.C.,
C� .6
Date ("9—C.-/ Z! 44A.Ct-P �i7ti Y) Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108
/7 (p ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
61:,, S gLi /"T Ai-� WIRING &CONTROLS FOR V- BURNER
63 RECEPTACLES H.P.PUMP
/ FIXTURES K.W.OVEN
.O AMP.SERVICE EQUIPMENTH.P.GARBAGE DISPOSAL UNIT
Y 7O JJ AMP.SERVICE CONDUCTORS / K.W. DISHWASHER
K.W.SURFACE UNIT / K.W. DRYER
/ K.W.RANGE AMP.! RECEPTACLE
K.W.WATER HEATER ,FRAC.H.P.VENT FANS
/ er17 I /✓--e3 T- GL/3
MOTORS H.P. 1/20 1/12 I/I0 14 14 '/ 'h 1/2 '% 1 114 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE - - .
APPARATUS
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED /,/,M,/if
NAME 4e.),
LOCATION A �k�v It/ 4/l2C_P
DATE 41IZ/Q,Z. PERMIT# 9/-6 %
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS c.
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS 'y
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER; SYSTEM
ALARM SYSTEM .1
,t �c
.\ r
INTERIOR FINISHES`,, /
STORAGE:
CLEARANCE TO SR RINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
/
CHIMNEY I 'b
WOODSTOVE
FIREPLACE-MASONRY
✓FIREPLACE-FACTORY BUILT.
REMARKS: VI OK TO THIS DATE
- 6--•'21d, -7'
ARRIVE L_
l" 1
DEPART �4c ��;,
`-(1-NPETOR
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804 .
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED `% 0 _,
NAME / //r' ,O4,%/mW, , i:_-
LOCATION f f i` ;7". 74 7..e3 A-4L-e----
DAT E J6r//�2_ PERMIT# 9/- L'-;
Q 6peG?i l_h:,/' , APPROVED
N/A YES NO
EXITS e
AISLE WIDTHS
EXIT SIGNS il
EMERGENCY LIGHTING
fi
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM I
ALARM SYSTEM .4
1'
,, I)'
INTERIOR FINISHES \ I
STORAGE: ',. it
CLEARANCE TO SPRINKLERSW
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE '
I
CHIMNEY I
WOODSTOVE 1
FI - RY 1
1 FIREPLACE-FACTORY BUILT
t;,
REMARKS: i /OK TO TH,>IS DATE
9- 1-7 GU'� O/�i� G�ZC�✓
,(/- '//:r?,,12/1 ''-'-71' ..-01-3( t,/y5,;4 )
ARRIVE DEPART-/, ,,,..Z7),52.1.) ,dz„,757,6744,,a7_...X14/2. 4/:
-
22� /!'
� ��i,L,✓rfr
INSPECTOR
TOM OF QUEEHSBURY a
BUILDING AND CODES DEPARTMENT A/7
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED «AH/9/ 0)/
NAME /fU/'ii pit hmytvA14/1/1
LOCATION `,
DATE/?/ g' /9/ PERMIT #
TYPE OF STRUCTURE 6-7)
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION1FROcl
FREEZING FOR 48 HOURS FOLLOWING ,
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR \, //
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING , 4'
BACKFILL APPROVAL ;r
QUGH PLUMBING ;y
PLU RING VENT/VENTS IN PLACE
PLUMB G UNDER SLAB s'
FRAMING:
JACK STUDS/HEADERS ;f
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM`'
FIRESTOPPING
WALLS ;
CEILING
FIREWALLS ./
HEATING ROUGH-IN
V INSULATION: jijC v �+ (,,�.6•-G�-�L)
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS / R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE / '-
DEPART !) �
INSPECTO
TOWN OF QUEENSBURY P/7
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIO4 RECEIVED
NAME P(.C',//) eJ L in'l Q h /Y1 pi
LOCATION XI--
DATE 1 I/, r;2 )qt PERMIT # Lf -Lo 7 l`o
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 '
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: /�
JACK STUDS/HEADERS /
BRACING/BRIDGING 11, /
JOIST HANGERS �!
JACK POSTS/MAIN 7AM
FIRESTOPPING
WALLS /
CEILING /
FIREWALLS
HEATING ROUGH EN
)(INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- /
WALLS R-29' ' P /
CEILING R-- ( v
DUCT WO K OR PIPING IN UNHEATED
SPACES
REMARKS:
'?7,,A4est 7 4(Willvdtt^V-0000
101 /?--;/ 7(6~3 414
ARRIVE
DEPART "5 5-
NSPE TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORTJ/j 'eor
REQUEST FOR INSPECTION RECEIVED
NAME (',\ 1r1V017f\1.61-11) i L
LOCATION)" 9 .; ft (
DATE 1 PERMIT # 1 (p-7((2
TYPE OF TRU TURE �
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 f�
FOUNDATION/WALL POUR 1
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
)ROUGH PLUMBING Fe -)-ii;t,L
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB /
'FRAMING: V
JACK STUDS/HEADERS x ✓,
BRACING/BRIDGING / p, /�/
JOIST HANGERS /
JACK POSTS/MAIN BEAM / V
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:
ARRIVE L// ✓S
DEPART /U
/ � ?4,12.7
NSPECTO
I
Down of Queeniur1 ?::,) `
BUILDING and ZONING DEPARTMENT alb
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 r !u
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Af J1 047_6_/rd?/?e- f__
LOCATION Xi' 9 ),Itirrtx, Ili(p �is��____,
DATE /o�/ f/ �/ PERMIT NO. 9/-67.6
/ /.
SOIL TYPE Sand Loam - Clay -
Percolation ---st Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: •
Absorption field, total length 25 f7
Length of each trench' ,So
Depth of trenches ' i '
Size of gravel .2_ _
SEEPAGE PITS{Number of) ' •
Size- ft. X ft.
Gravel size
PIPING: Size Type,
Bldg. to tank • /t41---)tv �a/rccX
Tank to dist. box `cj ,j wC
Dist. box to field/. ' Y , -t
Openings sealed? { NO Partial
LOCATION/SEPARATIONS: ,J
Foundation to tank 'p, /D ft.
Foundation to absorptionf s 073 ft. '
Absorption to lot line / — ft.
Separation of pits ,/ ''• ft.
LOCATION OF SYSTEM ON,�PROPERTY(circle one)
Front - Rear - Left �ide - Right side -
COMMENTS: • fj
. ,_____T7
Ji
,, ,,
tsg
71
i 1 . .---9.- .
SYSTEM USE APPROVED YES
Buil ng Inspector
/. /hv5Gc4 Pi 1 Plow► ai( t 4 �, P• =
01/86 and vl
TOWN OF QUEENSBURY )al\
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /6J//7
NAME _C%11Q,��rneivil( e A R /
LOCATIONhf 9 _ ►n
DATE o PERMIT # 9 / _(„ 7
TYPE OF STRU TURE
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 ',
ABACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: ;Y
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
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:
7 ARRIVE
DEPART , •
INSP CTOR
-7V
TOWN OF QUEENSBURY 9 -2-'-
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECCE�EIVED�
NAME
LOCATION O4
DATE ��D // PERMIT # 97" !;
TYPE OF STRUCTURE ,TO
RECHECK APPROVED
fOON/A YES NO
TINGS/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 Y.
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS 1
BRACING/BRIDGING ?' q
JOIST HANGERS
JACK POSTS/MAIN BEAM.
FIRESTOPPING �z
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN /
INSULATION: /
FOUNDATION WALLS' INTERIOR R- t.
FOUNDATION WALLS EXTERIOR R-
FLOORS ) R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES .
REMARKS:
ARRIVE
DEPART ,?
NS PEC TOR
1p00
d .
d5rplLo jY
3 53, IS'job
co \ •Op
c4
ci w \
O
O1
c" y
U
TOWN OF QUEENSEURY
• RECEIVED
- MAR 21992 •
BLDG. & CODE DEPT.
w
o cc) i
w o
W `y
o o
ci cP
cr i
�_ r pROpUSED
ROUSE -
2328
co1,_ r--Ak ' 11 -----;
. .., \\,....,:.,,',.., .
T ,\•
I
f
009G - -.
' N
.v "
1