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1991-693 .t i r CERTIFICATE OF OCCUPANCY TOWN of QUEENSBURY. WARREN .COUNTY, W YORK Date ,ikkil ur.,r f i R 19 • This is to certify that work requested to be done as shown by Permit No. 91-693 has been completed. This structure may be occupied as a single family dwe11 i nq Lot 42 Boulderwood Drive Location - / 4;2,.• Ri chard P Schermerhorn Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY Na 91-693 WARREN COUNTY, NEW YORK A Q PERMISSION is hereby granted to RICH P SCHFRMFRHf]RN N OWNER of property located at I nt 42 Roul riPrwnod Rri vP Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single family Awel i i ng 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 = rn 70 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address J. -5 Z 4. ARCHITECT'S Name 5. ARCHITECT'S Address r 0 6. TYPE of Construction— (Please indicate by X) I Wood Frame ( ) Masonry ( ) Steel ( ) 0 J 7. PLANS and Specifications Q.. CD No. 80'x38' Single family dwelling as per plot plan, specifications o and application including septic system and two-car attached garage. i. 0 8. Proposed Use Single family dwelling $ 240.00 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 to town of Queensbury before the expiration date.) Dated at the Town of Queensbury thYsOth Qay f September 19 91 a SIGNED BY i, for the Town of Queensbury J• uilding and Zo i Inspector a CD J TOWN OF QUEENSBURY REVIEWED BY Ja FEE PAID $ D jig?W PERMIT NO. 9I- 42q_ BUILDING PERMIT APPLICATION " M A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIO_N.,:N.O INSPECTIONS ILL 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: P. sc_Aie. s e,r f-toe 7-- P O. Address 33 Ao,..rPCSo Tel. '7? $- 067y Property Location Loi Z 30,) Ig e_f d A 0C;u e-- Tax Map No. a y/ / /7/r,� r Has there been any split of this property since October 1, 1988? / If yes Planning Board Review is necessary. yes no r SUBDIVISION NAME, IF APPLICABLE Gro, ,f /}c,re s LOT NO. yZ : t_ THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: So A e /r+-: e.r-A© t .0✓ ,1 • NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF • • f Construction of a new building * CONSTRUCTION: $ /30/ po0 Addition to a_building • COMPLETE INFORMATION REQUIRED BELOW: * Size of property ft x ft. Alteration to a building * Existing Buildings(3) Size 80 ft. x 3 2) ft. (no change to exterior dimensions) • Proposed building - distance from property line: Other work (Describe) • Front yard - ft. Rear yard ft. • Side yards ft. and ft. • GROSS AREA OF PROPOSED STRUCTURE * . If on corner, setback from side street ft. 1st Floor 1 .9 0 sq. •ft. • OCCUPANCY INFORMATION i • 2nd Floor sq. ft. • Primary Building - ✓ One Family Dwelling Other Floors sq. ft. (not cellar or base:^cnt) Two Family Dwelling • Multiple Dwelling/Number of units TOTAL FLOOR AREA \49 e,p sq. ft. • Business Size of new structure ft x ft. • Industrial Foundation-pier/slab/c:.: ::;FArtiai/full (circle Other • Uo, of stories (habitable space) / • HLight-(gr-ade-to-ridge)- - /6 ft. • If addition, what will use be? if ,r_sidential, no. of families / • No. of rooms(excluding baths) 7 * Accessory Building No. of bedrooms 3 • Detached Garage ONE/TWO Car No. of bathrooms .2 II Z • Primary heating system lor o p� ue 1+o?- • Attached Garage ONE/ O Ca) Type of fuel p rep cut) • Private storage building No. of fireplaces to be installed / * Other • ':fill a wood stove be installed ,'Jo • Central Air conditioning A/o OV* ER 'LILDING PERMIT APPLICATION CONTINUED - riL•ILDING SPECIFICATIONS: ' pe of construction, wood frame, fire safe, etc. k,iooJ e,. ill any second-hand or upgraded lumber be used? If so, for what? A/O • 'oundation wall material Ganal'� p. Thickness a Depth of foundation below grade (to bottom of footing) there be a cellar? }sr_, 4 Heated or unheated) Floor sq. footage sq ft. 5' ill there be a basement? ,t,, /a, Will any portion be used as living space? o (if so, what portion? ,,i /, sq ft. Type of use? /,,. T.pe of roof -Topeeflat/shed/other Material of roof Size, wood studs Z "x " spacing /6" o.c. length / ft. joists (floor beams) 1st floor i "x gyp" spacing )6 "o.c. span /y ft. Joist (floor beams) 2nd floor X "x X " spacing k "o.c. span ,4 ft. Overlays (ceiling beams) •j "x X " spacing x " o.c. span k ft. :oof rafters X "x ,, " spacing x o.c. span ft. oof trusses (pre-engineered) spacing zy " o.c. span ze ft. :terior wall finish �l,„_plooa.rj S of what material? erior wall finish S e,e- -rac, garage is to be attached, describe materials to be used for FIRE SEPARATION: _.__. 51 R Ci r e c.o ce.- 75)1 71-roc.k Is there to be an opening between garage and dwelling? yes If so will a Fire-rated door, enclosure, :elf-closing device be provided? Will a flue-lined chimney be installed? }/p < Height above roof ,5 ft. Depth of chimney foundation below grade $ ft. Depth of fireplace hearth ft. G in. Water supply - Municipal or private well IVe_,/l 3 EP TIC SYSTEM Distance from ANY private well (including adjoining properties /oo ft. (A separate application is necessary for any repair or new installation of septic system) AME OF BUILDER P• St. t c --06°7 � Jr��',�a ���1���ADDRESS TEL. NO.��•'_�,, °; �-'�._ �t1 '�, � CIE OF PLUMBER sfc ,AIle ,v ADDRESS `- � TEL. NO. 7Li7. 5 ( `( :) E OF MASON Da J-e. A) ADDRESS (- '-` FesA) . TEL. NO. —J37� AME OF ELECTRICIAN nic.. S o ,— / ADDRESS Glee-'S ../''/c TEL. NO. X/ --0,5 DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the 's:ns 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 other laws pertaining to the proposed work shall be complied with, whether specified or not, and that icb work is authorized by. the owner. l' 1 () Il > r l ' Signature � � �:,� Owner, owner's agent, architect, contractor DFCIAL CONDITIONS OF THE PERMIT: BY ENERGY CODE COMPLIANCE APPLICATION u 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 S�her�.s ecw >��/ La V2 go Li e. I ,u.;e,( APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - )d cy%O Sq. Ft. 2. Type of Heat - drapo.,Zec. Base Board Other got, yea 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 33 B. Exterior Walls R 2.S C. Glazed Area R 2 -3 D. Exterior Doors R - 5 E. Floors over unheated spaces R 2-6 F. Edge of Slab on Grade (Heated Building) R /% G. Basement/Cellar Walls (Above Grade) R 2. 25 H. Basement/Cellar Walls (Below Grade) R /1 I . Heating/Cooling - Ducts - Piping in Unheated Space R Y•6 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code . - YES NO -- = TEMPERATURE CONTROL MAXI! UM SETTING 140* WILL NOT BE EXCEEDED ).(,-- 9 t 770 -6 7 APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER INSPECTOR'S REMARKS : R ED B • 4t � TOWN OF QUEENSBURY 1 sf 1 APPLICATIOU FOR SEPTIC DISPOSAL PERMIT DATE: 9- /6- q / ..._.y._ LOCATION OF PROPERTY FOR INSTALLATION L.o f e/Z v/ Owner's Name: rl/'cl� P. 5'c,Aev� a-2P.r'fio � ,t� sw.;-1 Address: 3 L. r'c% A v ^'r Installer' s Name: R . r Telephone: 7 ' g - C 67 y Number of bedrooms (residential only) 3 Total daily flow (compute "@ 150 gal per bedroom) 95'o Topography: Circle one: 400 Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Ground Water: At what depth? A., /4 Feet Bedrock or Impervious Material : At what depth? A/ /fF Feet Percolation test: Circle one: not require required Rate - (/ /), Min. Per Inch Domestic water supply: Circle one: Municipal Other If domestic water supply is a well : Separation: Water supply from any septic absorption / o O feet. PROPOSED SYSTEM: Septic Tank .10 d gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench 4 O feet/Total system length z Y o feet SEEPAGE PIT(S): Number of ›! /Size each k' feet by X feet Size of stone to be used # 1 /Depth or Thickness / feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alarm system and associated electrical work to be inspected by an approved agency. I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNA TURE OF RESPONSIBLE PERSON: 6a! p DATE: 1 SeotiC System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall bs 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 cha 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, cil, fields anJ/or drywalls B. Nu system shall be covered before inspection and approval by the Uuilding Inspuctor. . Failure to comply with this requirimenc may rdsulc 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 the construction site. Failure to produce_ said plot plan at time of inspection may rusult 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 must biz submitted to the Queensbury Building Department before further construction. Town of Queensbury BUILDTNC and CODES DEPARTMENT Bay and Naviland Roads • Queensbury, New York 12804 kumarks: TOWN OF Q UEENSB URY Bay at Haviland Roads,Queensbury,N.Y.12801-9725 - / APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES 5 7 r'r;' Date - /6 — 9 / ;' 19 , - ,.. Permit•No- 9/- C� .3 -.; APPLICATION IS HEREBY M .DE to the Building Departme'rit 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 tlso-w:ilh allow all inspectors to enter premises for the required inspections. ' Applicant's Name ,�J, APPLIANCE TYPE yQ Stove ✓' Coal Wood Address 3 7) I110`r r s« .a/ 4v Furnace .-'' Hot Air - '~ Boiler Zero.'CI'earance Circulating Unit (4>l�� S l (A.!! t A-1 Zip /280 Phone "2 cr _ co 7 If_Non-Masonry: �' , Owner's Name °3 U 0..1 .' '` S c�))v �` " Manufacturer Address Model Outlet Size Zip Listed by' .Number Phone CHIMNEY TYPE Masonry: Block -7-B.nick �''° Stone 1 roperty location of proposed construction ,Flue: Tile ,- Steel V z— Bo La o :nl Size: " Factory Built: Manufacturer 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 Estimated Cost $ goo 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 A173 3389 (190)Public Safety A233 2655 (230) Minor Sales Fee-Collected from or Refund d to: �-' ' . Address: jr Dated: Town Clerk or Deputy While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP.it DATE ;'.7 _ �f j "2, • r C j .I CITY OR VILLAGE TOWNSHIP COUNTY STREET AND NO.OR ROAD .? • POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT I f - ;`i, /? :-! - ; .? OCCUPANTS NAME BUILDING OCCUPANCY �r /f ., I., )• . '3t 1) - ; -' ,' f,•7 ( "..-1 OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER 1 BUILDING IS • NEW❑V OLD❑ WORK IS NEW❑V ADDITIONAL❑ DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles CIRCUITS ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each 'a Each No. Gauge INSPECTION OUT- SIDE SUB- BASE BASE- MENT 1st FL. 2nd FL. 3rd FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA ❑ CONCEALED DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFACTURER OF SIGN ❑ OVERHEAD ❑ UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS . IDENTIFICATION NUMBER AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT - DATE OF APPLICATION SIGNATURE OF APPLICANT¢ I 0 IP: -..A ,.. . --!'. :. ,f 'i I C; — t 1 X if--_la t. .,,..1`._../!-.-IL__.. ' STREET ADDRESS TELEPHONE NO. Jr— (1 �, -- _ . /,`/ CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE ❑ 85 John Street ❑ 41 State Street ❑570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206 (212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552 THE NEW YORK BOARD OF-FIRE I)NQ RWRIT RS- .. 1 ' I196E00 THE NEW YORK BOARD 'OF FIRE :UNDERWRITERS PAGE 31 �, 1?-,�Ij i' BUREAU OF•ELECTRICITY `. 4 P 41 STATE STREET,ALB N . W YORK 12207 Date FEBRUARY" 11,1992 Applicatio o.onfilejt301� 991/91 065729 • 'r THIS CERTIFIES THAT. PERMIT NO. 91-693 , :; only the electrical equipment as described below and introduced.by t applican named on the above application number in the premises of 13 ►; o 7'RICH P. SCHERMERIIORN, 42 BUULDER1OoD DRIVE, OUEENSBURY, N.V . .' in the following location; Basement ❑ 1st Fl. ❑ 2nd Fl. GAR Section Block Lot `1 ►: was examined on FEBRUAR i. 11.,1992 and found to be in compliance with the requirements of this Board. a; 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. 417 57 56 39 II. 1 1.5 �1 F - DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO, A.W.G. • AMT. AMP. AMT. AMPS. ' SYSTEMS TRANS. 'AMA. H.P. NO. ET • AMT. WATTS .tl �: _ .l 1 F :1 F 1 ^ 600 ►; SERVICE DISCONNECT NO.OF S E - • R 'V . •I , ., C.METER E .. l'4: AMT. AMP. TYPE EQUIP. 1,e'4W 1,er 3W 3 JB'3W 3,11'4W Ha OAR$COND. OF ACM/ND.. NO.OF HI•LEG ' OF•gig:" NO.OF NEUTRALS OF NEUGRAL DI 1 200 CB i 'i 1 1/0 .. 1 /0 PI i:' OTHER APPARATUS: ' 1' P_•DDLE FAN-2 a ,'',:i i'!,: SMOKE DETECTOR:-1 • . . . „ G.F.C.I:-8 f„ ,. . . . . • _,. , • • • . .. ., . . ,-,K.: . . 4' • . . q' `' Ji ' ►: RICH RD.P. SCHERMERHORN 33 HARRISON AVENUE . _ Uu?7e®' BRANCH MANAGERGLESa FALLS, NY, 12801 239 0 Per ►; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ;' :, �C'i�7'i�i'i�f'i�i'i�i"i�Y7� 'i�i'i�j'!�i'i�7-i�i'i�i'i�f'i�Y'i�f'r�f'i�?'r�f',�f'i�f'i��'i�Y'i�Y'i�C7�?Y�1•.,1�7�f-i��-i�f-i�Y'i�i'(�i'r�f7�f7�f7�i7�1.i�C'i� .gf.gi.ref av.i�r.���7�i � .i��Y�r.i�� �..,��..��..�}. COPY FOR BUILDING DEPARTMENT.-THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY � � 531 BAY ROAD �_ s3 QUEENSBURY, NEW YORK 128 TELEPHONE (518) 745-4 4/7 BUILDING INSPECTOR'S REPORT FINAL INSPECTION � REQUEST FOR INSPECTION RECEIVED . /l rne` ,c17 0.l� �ll E /Ir1'l�/L�/Ld�AL.) LOCATION 117 DATE ,2/( *e_ PERMIT# /-109J TYPE OF STRUCTURE I� RECHECK !Qj Of F uL� .Gl/1h1��/'.�. Veid..G-I /(i3i(LC4 FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES( NO CHIMNEY HEIGHT/LOCATION t // B VENT/LOCATION 1// PLUMBING VENT ROOFING \ I ✓J SIDING \ /Y DECK/PORCH/STEPS/RAILINGS \ tf/ RELIEF VALVES \ . ✓ FURNACE/HOT WATER OPERATING \ J BASEMENT INSULATION/DUCTWORK\ INTERIOR TRIM/PRIVACY DOORS- \ FINISH FLOORS: BATH/KITCHEN WATERTIGHT✓ t/, OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS '{ ✓ HANDICAPPED ACCESS SMOKE DETECTORS/ l i/j BATHROOM FANS/WHBtE US-E FAAtS 1 r/ ALL PLUMBING%FIXTURES OPERATING GARAGE FIREPROOFING i DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL ✓� OK TO ISSUE C/O OR C/C ✓ COMMENTS: 39 ARRIVE iu 0DEPART /A INSP CTOR TOWN OF QUEENSBURY IA . � 531 BAY ROAD '" g QUEENSBURY, NEW YORK 12804 *`:' _ `''` TELEPHONE (518) 745-4447 iV BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR IINSPECTIOON RECEIVED NAME /I/Gt �\;G/1"7'i.4a'".-- LOCATION _ 1 bC ,C, A ,CY DATE 0/4Z.- PERMIT# 2/ 5;3 TYPE OF STRUCTURE ,jfW RECHE4 FIRE MA HAL APPROVAL (COMMERCIAL STRUCTURE) -FOOTING - OUNDATION �f3ACKFILL '-"FRAMING J OUGH PLUMBI 1--FINAL ELECTRICAL -SEPTIC :-I'NSULATION W STOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION ✓f B VENT/LOCATION // PLUMBING VENT ROOFING SIDING cf DECK/PORCH/STEPS/RAILINGS ✓ RELIEF VALVES /, FURNACE/HOT WATER OPERATING /,��/// BASEMENT INSULATION/DUCTWORK / INTERIOR TRIM/PRIVACY DOORS / d FINISH FLOORS: 1 BATH/KITCHEN WATERTIGHT // i OTHER FLOORS SWEEPABLE 1 // OTHER FLOORS CARPETED / /; STAIR CLEARANCE/RAILINGS t ,J HANDICAPPED ACCESS . k 7 SMOKE DETECTORS - \ BATHROOM FANS/W IS v_ / ALL PLUMBING FIXTURES OPERATING 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 -7ffee/r/eZ0M/ergedd5U f 27i,eL4ee„,4141444 BA/ ,./jeMf OidA ai., ,ram -.- J rote- � ARRIVE `1 fl DEPART/d INSPE 0ffel4r TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT /61_, REQUEST FOR INSPECTION RECEIVED �?-//7 NAME R4 LOCATION 64.E Us' DATED/PVT-7-- PERMIT # 91".UJ� TYPE OF STRUCTURE RECHECK E APPROVED N/A YES Ji0 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/DAMPRpOFING BACKFILL APPROVAL ROUGH PLUMBING 1 PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: f a JACK STUDS/HEADERS BRACING/BRIDGING JOIST' HANGERS JACK POSTS/MAIN SEAM FIRESfTOPPING WALLS CEILING FIREWALLS 4EATING 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: 10411/ //eia2 ARRIVE /2'5 DEPART /L NS PEC TO TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED f%2/4tQi) NAME 4 ,(1.,/ J- ,/.._el/W-1/4/1/k-- 2 LOCATION `f --4 ` CC,d.P.'/,/ L_ LL DATE / j: PERMIT# /-69-3 C;lt.e.ee. - ___g_kc.,,,,,,„—N/A APPROVED 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 SPRI KLERS CLEARANCE TO HEATING UNITS id A REQUIRED SIGNAGE 1\, 1 J CHIMNEY }�OODSTOVE \ / • • FIREPLACE-MASQ RY \ s/ FIREPLACE-FAC/fORY BUILT \ REMARKS: THIS DATE 01, 7_.,.. .2ef,2-z, 0 ,4,•://1 .77/, ,/� �Grf ��;A /1 f � , . , ARRIVE % � � /� j5P/ h DEPART mil( INSPECTOR 0,41, .. .s\ (-e0 j(Le.& tUYI TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED / /,)7 60 NAME c[° ,erfeil4h yn RI‘r: LOCATION 4 � } t)1 / 0 o) DATE PERMIT# CI ' ---(Q,1 j APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SY TEM HOOD INSTALLATION /fr '� AUTO. SPRINKLERSSYSTEM ALARM SYSTEM , i (\ INTERIO FINISHES STOR9 : CLEARANCE TO SPR KLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY ,WOODSTOVE • FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: i OK TO THIS DATE ,--,--2,-,,y,,-.4-:----4,. 12d,_egf,z)7,e.Z.. - a�� i 2 d �n ARRIVE L -6 4/.,--- `,-G'"; J,�?('G ',�j�GJ✓ DEPART 4 - /�/, _z�, `- I SPECTER 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 ) )/i (0) MAME SC: ke)./f iv,-.4\or A Ce-); cA LOCATION),„1-y. 4)a().2-17 U--, j 0 rj t�nnr -P DATE 10 I l (p1 Ct� PERMIT # 9 — (,)c .-3 TYPE OF STRUCTURE 5 , , RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLY FOR PROVIDING PROTECTION F FREEZING FOR 48 HOURS FO QWING THE PLACEMENT OF THE CO RETE. MATERIALS FOR THIS PU"OSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROS' ING BACKFILL APPROVA ROUGH PLUMBING PLUMBING VENT/ ENTS IN PLA E PLUMBING UND, ' SLAB FRAMING: JACK S S/HEADERS BRACI,N /BRIDGING JOI/S1 HANGERS JACK POSTS/MAIN BEAM FIRESTOPP ING WALLS It' CEILING I FIREWALLS HEATING ROUGH-IN -*INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- 4 WALLS R- O CEILING R-3g DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE // S v DEPART �'S C.or- fe(7,,-4,z4--/ NSCTR ul,(1,7ht-)U)/- Ci0/ e}htka-0115teD____ TOWN OF QUEENSBURY I : 3 C7 p IVj BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED Uq1d447 NAME R 0 91 L Lc LOCATION -�d` .T) Q �1Dh , DATE 1,f l o9 Jq/ PERMIT g/ _ 4 TYPE OF STRUCTURE 0 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 BACKFILI_ APPROVAL • 1 ROUGH PLUMBING ( V PLUMBING VENT/VENTS IN PLACE (� PLUMBING UNDER SLAB FRAMING: _ JACK STUDS/HEADERS ' BRACING/BRIDGING_. JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R • - FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ' /4;-: -.41-f?.. APYiee,e4e-e__, gee. (-%/^44/111, /<" 1 �o ARRIVE v DEPART INSPECT TOWN OF QUEENSBURY /02 BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 ' BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /�,/D4/ NAME ,GC%1' LOCATION A DATE l„l////a/ PERMIT 0 l if TYPE OF STRUCTURE _SFJ 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 CACKFILL APPROVAL OUGH PLUMBING f PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB )(FRAMING: p` JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: .,gaea)7,4a-164-e.,f44 )6?"'t ARRIVE 3 fs DEPART c3 �"' / INSP CTOR awn of Q ee n ibur BUILDING and ZONING DEPARTMENT . Bay and Haviland Road, R.D. 1 Box 98 . Queensbury, New York 12801 SEPTIC DISJPOS/AL SYSTEM INSPECTION NAME /9(7e}6 tiC/g4,e/i/1 is-4 /A / LOCATIONF ' 4? 0.ueGLaze-Tf- d 4 DATE //i/cr �� PERMIT NO. 9/- �93 SOIL TYPE �- Sand - oam- - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch : TYPE of SYSTEM: Absorption field, total length ° Length of each trench .0 ', Depth of trenches �4 , Size of gravel i j SEEPAGE PITS{NuMbe of) ' f Size- ft. X ft. Gravel size l PIPING: Size Type Bldg. to tank �C..> Tank to dist. box S( +T Dist. box to field/pit 0,, G Openings sealed? YES`g1'{P NO Partial LOCATION/SEPARATIONS.. j&a R Foundation to tank A /O ft. Foundation to absorption \ ,2w) ft. Absorption to lot line ,5) ft. Separation of pits \6 ft. LOCATION OF SYSTEM ON ROPERTY(circle one) 4 Front ar - Left side - Rigli—E s e-- COMMENTS: If \ 4. V , SYSTEM USE APPROVED 'YE NO Bui ng Inspe tor 01/86 and vl 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 REC IVED NAME Jp' Ql W / ' LOCATION / u ) Vl b `� DATE ! v l 7 %( PERMIT S / -- l 3 TYPE OF STRUCTURE 4� 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 ,� yBACKFILL APPROVAL ROUGH PLUMBING 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 INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- \ FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE ?j DEPART IN PECTOR owc5utivcciI 1f)pin TOWN OF QUEEMSBURY c BUILDING AND CODES DEPARTMENT` 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPO T c, REQUEST FOR INSPECTION RECEIVED ) NAME a..\eV'Y\ �1(t 1 C Z LOCATION 41: -, DATE i(yf O 1q/ PERMIT # 1 /-- (sl 1 3 TYPE OF STRUCTURE/ S RECHECK APPROVED / N/A YES NO / 'FOOTINGS/PIERS IV 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;ySITE FOUNDATION/WALL {POUR r" REINFORCEMENT IN PLACE t FOUNDATION/DAMPR OFING .;' BACKFILL APPROVAL\ . ROUGH PLUMBING o-' PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLA , / FRAMING: JACK STUDS/HEADERS X BRACING/BRIDGING / \ JOIST HANGERS f+' \ JACK POSTS/MAIN "BEAM FIRESTOPPING WALLS CEILING FIREWALLS / HEATING ROUGHIN INSULATION: / FOUNDATION WALLS INTERIOR R FOUNDATION WALLS EXTERIOR R- FLOORS / R- WALLS ; R- CEILING,! R- DUCT WORK OR PIPING IN UNHEATED SPACES- REMARKS: . 714/,f-C7":41 .7/7)-fre /4,,zeevz2 • 1 i ARRIVE / h / DEPART/ "/ciAl/ INSPECT R MAP REFERENCE: GRANT ACRES PHASE TWO BY VANDUSEN & STEVES DATED DEC. 31, 1896 LAST REVISED 5-1— 87 LOT 4 k TOWN OF QUEENfV ` 3F i� } aq