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1991-696 ' • .,.'Y - r{.. �. _ :..•kI Ui � 151r/ + .t..r y;``.; 1 J.1:.5 aJ :y; ! :�.;, '�r' ti tr d �'' ,, Vu •'r�-�f�vrA.bJ 'v,J�.`.'. � `,�,9 �� r •a.✓ 7. �. • CERTIFICATE OF ;OCCV ANCY -:, TOWN OF QUEENSBURY WARREN COUNTY, .f xfW YORE 91-696 This is to certify that work requested to be done as shown by Permit. No. has been completed. This structure may be occupied as a single family dwelling , . Lot 5 Stone Pine Road Location Paul and Margaret Curtis Owner By Order Town Board TOWN OF QUEENSBURY Director,of Bldg. & Code Enforcement, ,.... r ..., ..J. .... ...u �.�ice. s.,. ,c .. .,.. ...... ..._-. I _ BUILDING PERMIT TOWN OF QUEENSBURY No. 91-696 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to PAUL AND MARGARET CURTIS o OD OWNER of property located at Lot 5 Stone Pine Road Street, Road or Ave. ry cn 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 34 Sunset Drive c Queensbury NY 12804 73 to 2. CONTRACTOR or BUILDER'S Name Kenneth Collette - COLLETTE CONSTRUCTION 00 3. CONTRACTOR or BUILDER'S Address i1 9 Collette La Hudson Falls SLY 12839 rD 4. ARCHITECT'S Name c+ 5. ARCHITECT'S Address I- 0 c-r 6. TYPE of Construction—(Please indicate by X) c-. 0 ( yt Wood Frame ( ) Masonry ( ) Steel ( ) CD CD 7. PLANS and Specifications No. 77'x36' Single family dwelling as per plot plan, specifications 73 and application including septic system and attached two-car garage. 8. Proposed Use Single family dwelling ro $ 451.00 92 PERMIT FEE PAID—THIS PERMIT EXPIRES September 30 19 533 (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 of Se tember 19 91 m SIGNED BY L2 . 2 for the Town of Queensbury Building an Zoning Inspe r lV TOWN OF QUEENSBURY . REVIEWED BY: 1illi911111111� FEE PAID: /,17 c 1 .2,5 " Fp, f ce = 1176- � � n PERMIT NO. : 7-6 6 i=:ECL.;: ',_`.) -45- 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. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * -A. * * * * * * * * Owner of Property: f2A u/ -4A2-ye&.'t Cvg- 's P.O. Address: \3 C/ ,5uius .1 O . C�l., e�,1s t<riAr-y PHONE Property Location: 3- 5ftvve tLk a ' f,Nes " Tax :Map No. 9Z / /, //?5 Has there been any split of this property since October 1, 1988? Yes No If yes, Planning Board Review is necessary. ' o Subdivision Name, if applicable: R nre 5 Lot No. c • THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: re, (7,,„76.-g; NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE X Construction of new building * CONSTRUCTION: $ Sb cm) Addition to building * Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: /j 3 ft. x ` )o ft. Other work (describe) * Existing Building Size: * ` ft. x ft.- - * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: * 1st Floor 17 g /LA, Sq. Ft. g * Front Yard ft. Rear yard ft. * Side Yards . ft. and ft. 2nd Floor 1972. Zzaz60 Sq. Ft.aa * If on corner, setback from side street- * ft. Other Floors Sq. Ft. * (not cellar or basement) * OCCUPANCY INFORMATION: ..?7,5—R * TOTAL FLOOR AREA: 3 3 r Sq. Ft. * Primary Building - * X One Family Dwelling Size of New Structure: 77 ft. x 3& ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partialt� (Circle One) * Business * Industrial No. of stories (Habitable space) Z * Other Height (grade to ridge) 3 5 ft. * If residential , no. of families: / * If addition, what will use be? No. of rooms (excluding baths) : /2 * No. of bedrooms: * • No. of bathrooms: 3 * Accessory Building: Primary heating system: • flt/9"- * Detached Garage - One/Two Car Type of fuel : 6a, * X Attached Garage - One(Two CaJ)( i.-J5-1- No. of fireplaces to be installed: I * Private Storage Building Will a woodstove be installed?: A/0 * Other Central Air Conditioning: eli, No * (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. 1J0o1) Fra,,"►. e Will any second-hand or ungraded lumber be used? If so, for what? ,4JQ Foundation Wall Material : Pouted CoaLre fe Thickness: " arm /p " Depth of Foundation below grade (to bottom of footing) : 6 ' r Will there be a cellar? y-le Heated orq_Lheated? Floor Sq. Footage: /9/9 Will there be a basement? Will any portion be used as living space? No If so, what portion? Sq. Ft. Type of Use? Type of Roof: S1 ope Flat/Shed/Other Material of Roof icbe(9445* ..5 .,/e s Size, wood studs Z " x Go " ; spacing /6, " o.c. ; length ft. Joists (floor beams) : 1st Floor Z " x /z " ; spacing / " o.c. ; span /5" ft. Joists (floor beams) : 2nd Floor z " x /Z "; spacing /G " o.c. ; span /S ft. Overlays (ceiling beams) : 7,- " x e " ; spacing /� " o.c. ; span /8 ft. Roof rafters: Z " x /0 " ; spacing /(o o.c. ; span /5- ft. Roof trusses (pre-engineered) : spacing — " o.c. ; span — ft. Exterior Wall Finish: Br,•c,/: C/rt,,a.cI S47 of what material ? Aa-so,ry Interior Wall Finish: Y-7.- �� ,,aw`/ If a garage is to be attached, describe materials to be used for FIRE SEPARATION: �a Pre Ca 2 �G,eef�o�K Is there to be an opening between garage and dwelling? If so, will a Fire-Rated door, enclosure, self-closing device be provided? Y'.a 5 Will a flue-lined chimney be installed? 't 5 Height above roof 9 ' ft. Depth of chimney foundation below grade: C ' ft. Depth of fireplace hearth: / ft. 8 " in. Water supply - Municipaljr private well : SEPTIC SYSTEM: Distance from any private well (including adjoining properties: / O f ft. (A separate application is necessary for any repair or new installation of septic system. ) � GN NAME OF BUILDER & ADDRESS: C5/�e C�„t,r r,�f,�,� a,G� - 9 Ce//e j7p PHONE 7 y ) S J ?3 NAME OF PLUMBER & ADDRESS: tia,),q p/0276 - ���n�A/ Pa2� Q� d� PHONE 79�- y3Qg NAME OF MASON & ADDRESS: (� �1e f/�p PHONE NAME OF ELECTRICIAN & ADDRESS: (Q 4 yNo / 7,4 PHONE 793 6?dt(/ 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' dAR- 7/36A/ • Own er's agent, architect ntrac SPECIAL CONDITIONS OF THE PERMIT: J 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) s : ` "'` -v 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 - 3751 Sq. Ft. 2. Type of Heat - Elec. Base Board Other G _5 ,�o f'ge 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 R E U IRE D THE R-VALUES SHOWN ON PLANS SUBMITTED! Q Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R 38/3p _ALLY B. Exterior Walls R / q /6 C. Glazed Area R 3,7 /. D. Exterior Doors R Z, 7 z ,S E. Floors over unheated spaces R 3 e F. Edge of Slab on Grade (Heated Building) R N� G. Basement/Cellar Walls (Above Grade) R //( -70 H. Basement/Cellar Walls (Below Grade) R j/2/( 70 I. Heating/Cooling - Ducts - Piping in Unheated Space R /(/A 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 APPLICANTS SIGNATURE / DATE TELEPHONE NUMBER INSPECTOR'S REMARKS: 111 s3 j TOWN OF QUEENSBURY R .0 iVE APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: 7/3b/9/ Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: 5 51;,,. /j Qd2. e N1'5 Owner' s Name:- Pay ( 41¢I7 &ize7` Cuf2 s Owner' s Mailing Address: 39 ,Sv,v3e-/- I v" oe. (- WeeAt 6 1 Installer' s Name: 16,, ( /4 Phone #: 7y 5%33 Number of bedrooms (if residential ): Li Total daily flow (residential-compute @ 150 gal . per bedroom) : g D7j Topography-Circle One: Rolling Steep Slope % of Slope Soil Nature-Circle One: Aare Loam Clay Other /Depth: Ground Water-At What Depth? ? dLp Feet Bedrock or Impervious Material-At What Depth? ? Feet Percolation Test-Circle One: Not Required (equire)/Rate / Min. Per Inch b w S t"1" kG Domestic Water Supply-Circle One: 01 Well Other If domestic water supply is a wel - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank / -5 V . gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 5-0 feet//Total System Length 23-0 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 Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: (a'g'`le DATE: 7/30/V 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: ''';~ ' * MIDDLE DEPARTMENT INSPECTION AGENCY, INC. , National Headquarters 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION • Date: ;/.f 7// ./ City, Town or Township i-.)( r '. : (.-•-[ //, County / , ./= State .:0,) '/ Location/Address %7-: - d -, . t,• rL.-'•'. - (If Located in Rural Area- Please Attach Directions) Pole # % ., Owner �=./. ..- / /`/;- ,. /-- ,/ t7 . Permit # 4"` (4+1 (r*: Occupied As - - • - .. • Building: New❑ OId� Occupant •- • , Work Area in Building (Floor #,etc.): App. for: Wiring® Service n or: - . . Ready for Inspection: Fee Remitted'$ Cash Check n M.O. PI'.•' 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 `-//% -} Amp. Service Surface Unit Dishwasher Range Lighting -k - Receptacles /i Water Heater Air Conditioner Dryer 'Pump Number of Fixtures Oven • Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans • Other Equipment: V MOTORS H.P. 1/201/12 1/10 1/8. 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7,/2 10 15 20 25 30 40 50 75 100 Mark Number - - of Each Size Applicant's y--, Signature / --- '={r .! ( / 1, ' k•• . 17 •License # Permit # T/A -Utility: Applicant's Address: i •% I/4 �• X .-,. (NAME) (OFFICE LOCATION) (City)// fi__ - % (State) A.: .N/_ (Zip) l fir ? j Service Request # Phone # • -?:f "7 - 1- , ) ? i;'r, ( "/ - Electrician: ,,•-_ MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: " Correct Location: Same as Above n or: • Red Notice Label n - - Rough Wiring Outlets - Surface Unit - Oven Switches Range • , Garbage Disposal Receptacles • - Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans - MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3.1/2 3/4 1 1'/2 2 3 5 7)12 10 15 20 25 30 40 50 75 100 Mark Number • of Each Size 500'750 1000 1250 1500 1750 2000 2250'2500 2750 3000 Elect. Heat • CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CO RECT FEE PAID I RW Progress: Inc.❑ LKD U Contractor IT CFT . Violation: Work Comp.❑ Inc. ❑ n L/A Owner CASH n ❑ L/A Fee CHK # Due MO # ❑ IPA - Municipal INV # Date: • Other Side❑ Utility ' Applicant ❑Owner Cut in Card n Temp # Date • ❑ Final # • Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 •hr , •7,'.g+ ,.i •� TOWN-..7S .-"f,• •,rw r. . . .... a OF QUEENSBURY . Bay at Haviland Roads,Queensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES • Date 7/ 3o/9 / 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 repr uiref. inspections. ' , Applicant's Name �e� 6// ::,�`.,, . APPLIANCE TYPE 1`" „; c...e ,,Yl, ,. Stove Coal • Wood Address ? (c//e 1° / A) Furnace„'``'• Hot Air), ,__ Boiler J/n , ,Ze.rb Clearance Circulating Unit /l'v cF" 5"QN f fj< /AV 'Y. r Z'P•l;,n ‘ k.V? _ J:' n r. Phone l/ ) S/ 3. If Non-Masonry: l2t' • Pia,/ l�Ja/.• =1,4a C f ... ;,2,7 i s- ^ Manufacturer Address -3 r/ S ,,5,t viz , ' •,•,• ' Model Outlet Size q u az_e-4.2 44-� Zip t aQ-o y ' :Listed by Number 7 - , Phone -7 9 6 a.4 j CHIMNEYTYPE ',i \.. Masonry:f'Block zB ick V.Stone Property location of proposed construction :' :: , Flue. Tile Steel S- S A.p eP,r Pd. 'Size:l»/3xl3 Q 0 P r',11- ,6. Factory Built: A,. 7 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 $-'`-I, da-v CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$. • SONRY FIREPLACES AND CHIMNEYS. • CASHIER'S DEPARTMENT- TOWN OF QUEENSBURY, NEW YORK Department: Fire Marshal Amount Collected Amount Refunded . Code Number Title 067;00 A l 73 3389 (190)Public Safety ,' 1 / • A233 2655 (230) Minor Sales • • Fee Collected from or Refunded to: - -. . 7 Address: , / j 1)a1e( ��D I , Town Clerk or Deputy (A A- �_ z (....„-0/1JZ White:Applicant Yellow and Pink:Cashier's Department Goldelprod:Fire Marshal TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 92 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 5`4 i • NAME �ru,P d ! CI4,W- C vt,) LOCATION AS � ? 4,z, A/ DATE (��j�cf�, PERMIT# 9/- 9Z; APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER .SYSTEM ALARM SYSTEM r` INTERIOR FINISHES / STORAGE: CLEARANCE TO' SPRINKLERS1" CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE �' CHIMNEY IVO0DSTOVE / ✓FIREPLACE—MASONRY , FIREPLACE—FACTORY/BUILT \. REMARKS: U OK TO THIS DATE I -- 2/015 INSPECTOR \ 1 TOWN OF QUEENSBURY 531 BAY ROAD ;r2+� QUEENSBURY, NEW YORK 12804 '`.,�__,.: TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION / � REQUEST FOR INSPECTION RECEIVED NAME !"/I.I.c.Q 4 Cu? (efiLti /I LOCATION " , � e/Yl1 i DATE i i P(), PERMITV 9/— 296 TYPE OF STRUCTURE — RECHECK ,u(,, ,t G4Li FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _iF00TING FOUNDATION KCBACKFILL FRAMING 'ROUGH PLUMBING FINAL ELECTRICAL ASEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS4/4. fp p}U l f)'i /f9 APPROVAL��� j' N/AI YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING - i SIDING I i/- DECK/PORCH/STEPS/RAILINGS (../-• RELIEF VALVES FURNACE/HOT WATER OPERATjING ; BASEMENT INSULATION/DUCTWORK_ .'" INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: r;' BATH/KITCHEN WATERTIGHT �. OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED: i _ STAIR CLEARANCE/RAILINGS t/ HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS / a r/ OTHER FIRE SEPARA ION 1 FIRE/DEMISE WALL ' DUMPSTER J SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL _ OK TO ISSUE C/0 OR C/C COMMENTS: ' l SSvr% G�a i rart)4 s,4A-L s ©7::(/_lc Lc((/ A/ ARRIVE °�K) DEPART ZIP NSP T ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. %,_CO 96 `' - Owner f L t� .L�l I�T7 LC Occupant• • Location .S Q"/0r✓ P//VC-- -No. Street Town or City- State Installation as itemized on reversere side has been visually inspected pursuant to applicable codes� ✓�-Installed by r7 4-K U // Nor)/ Cam. 6. Date 5 -O 9 9 L ctd ' GtA• Inspector MIDDLE DEPARTMENT INSPECTION AGENCYINC. - FORM NO.18 EL. 900 Haddon Ave.,Collingswood,-NJ 08108 ‘1:).„2 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER • ,-QUILETS / rc ti, WIRING &CONTROLS FOR Ce; � BURNER 3 RECEPTACLES H.P.PUMP 7(J FIXTURES K.W.OVEN ,20AMP.SERVICE EQUIPMENT i H.P.GARBAGE DISPOSAL UNIT Lj�//j)AMP.SERVICE CONDUCTORS / K.W.DISHWASHER ( 4� K.W.SURFACE UNIT K.W. DRYER „Or r' K.W.RANGE AMP. RECEPTACLE K.W.WATER HEATER 44 FRAC.H.P.VENT FANS Ailcp 7- --t'G1 A Sao o w e�.c ,,cL -ie4 c' °Z. S--Pridle��' I/2.5 9- .S-etp, PhlitieL' MOTORS H.P. 1/20 1/12 1/10 I/i y y I% % % 1'1y: 2 3 5 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE . APPARATUS (1:$1.'41"A--) TOWN OF QUEENSBURY BUILDING AND CODES /1(/(71,-n PARTMENT / 531 BAY ROAD I)4y QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 ! BUILDING INSPECTOR'S REPORT n(� . REQUEST FOR INSPECTION RECEIVED ca) (/ 9 '- NAME CAA S •'I�' { a- LOCATION, M1 DATEC1 ? Cia PERMIT if9 1 —(j07 (Sl TYPE OF STRUCTURE s 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: !. 1 JACK STUDS/HEADERSa BRACING/BRIDGING JOIST HANGERS 1 JACK POSTS/MAIN BEAM .. HEATING ROUGH-IN ;' 1 INSULATION: ..! $ FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R • - FLOORS • / ( R- WALLS ;% 1 • R- - CEILING ._ -- / . A. , R- DUCT WORK OR PIPINGS;IN UNHEATED SPACES ai REMARKS: \ • • ARRIVE DEPART INSPECTOR. • ,;(1/\} TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION`, RECEIVED 7�l/jn'2 NAME X �C� Lto LOCATION 2/ , _ ;3 1:0 -4 DATE .',A* PERMIT# 9/-61�� APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRIN LER SYSTEM ALARM SYSTE INTERIOR FIN SHES STORAGE: j CLEARANCE TO\SP INKLERS CLEARANCE TO 'HEATING UNITS REQUIRED SIGNAGE \ / CHIMNEY JWOODSTOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMAR S: :V OK TO THIS DATE • a,dj&v /- ARRIVE .i - DEPART (- INS'PECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED J j / 9 NAME )ca, �" ,��i VC LOCATION � 5� l A-P. `4) ,- r DATE L PERMIT # -( P 16-? TYPE OF STR CTURE 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 F LLOWING THE PLACEMENT OF THE CO CRETE. MATERIALS FOR THIS PURP SE ON SITE FOUNDATION/WALL POUR ir REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFIN / BACKFILL APPROVAL 4ROUGH PLUMBING PLUMBING VENT/V N` S N PLACE PLUMBING UND SLAB FRAMING: I JAC,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: ARRIVE DEPART l,/ 'INSPECTOR 7 c\r1) ab�r ; , v n 1-e-c TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD . QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 ' BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED I 67 qz NAME __,>V 15 1 glua) 6-1-Ce,:c a)-- LOCATION / _sh--rucL- Q DATE PERMIT # _ / - l0 90 TYPE OF STR C \ORE RECHECK C`' APPROVED .1 \. . N/A YES NO FOOTINGS/PIERS \ • ', MONOLITHIC POUR ORM REINFORCEMENT IN- PLACE THE CONTRACTOR I ' RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE MATERIALS FOR THIS RPOSE ON I\ FOUNDATION/WALL POURS REINFORCEMENT IN PLA FOUNDATION/DAMPROOFIN BACKFILL APPROVAL \ ROUGH PLUMBING \\, PLUMBING VENT/VENTS I P CE PLUMBING UNDER SLAB A /' FRAMING:- t/ JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS / _ JACK POSTS/MAIN EA e/ HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION4!ALLS EXTERIOR R • - FLOORS R- WALLS 1 ' R- CEILING i/ R- DUCT WORK OR PIPING'IN UNHEATED SPACES REMARKS: '-i . /0;--Zr-X-0766.44. °---(-41---- 477 am a-ws- ARRIVE / � as DEPART f INSPECTO .I4))) Down o/ Queeni urj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME L<9 l- 1 t 1 S LOCATION 5 \,l) .L_/ DATE ,_ 3 PERMIT NO. —(0-7 (i) SOIL TYPE QIIREINP Loam - Clay - Percolation Test Required? ES NO Percolation rate - Min/Inch / ,2t 3D TYPE of SYSTEM: Absorption field, total length oZ st7 Length of each trench 5-0 Depth of trenches 2- 3 Size of gravel '2 SEEPAGE PITSfNuinber of) �! Size- ft. X �f-t� • Gravel size , PIPING: Size Type Bldg. to tank Tank to dist. box 1' Sc-G. 540 Dist. box to field/pit Openings sealed? / NO Partial Ff LOCATION/SEPARATIONS;' Foundation to tank I3 ft. Foundation to absorption 7'75 ft. Absorption to lot line't j, ft. Separation of pits " .— ft. LOCATION OF SYSTEM ON PROPERTY(circle one) ron Rear - A.eft side Right side - COMM TS: f SYSTEM USE APPROVE YES NO Bui ding nspector 01/86 and vl cc�� 1I' awn of ?ueeni4urj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SR,/ PTIC DISPOSAL SYSTEM INSPECTION NAME ( - LOCATION SX .c /�o.z LG_ DATE. //y/ ) / PERMIT NO. //- C, %C SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? S - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches i ' Size of gravel I SEEPAGE PITS*N er of) Size- ft. ft4. Gravel size PIPING: / Size Type Bldg. to tank Tank to dist. box _ Dist. box to field/pit Openings sealed? Y`ES NO Partial ti LOCATION/SEFARAT ONS: Foundation to t I k ft. Foundation to a6sorptio ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF S STEM ON' PROPERTY(circle one) Front - Rear Left side -eight side - COMMENTS: , f a rc ��S) ✓s I// \\/- r w 1//' u r� / /,•3�, 1�,r / /, Liu 1;y- /,�1)L / y c sec 1 ie',�e'G SYSTEM USE APPROVED YES NO ------),47 Building Inspector 01/86 and vl cc�� // j Q awn of Queen96ur, • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL� n SYSTEM INSPECTION NAME Pae.Q� / 11/016A l G- C 01-1 LOCATION k- 5 DATE ///a/9( PERMIT NO. 9l47‘ SOIL TYPE - Sand -Loam - Clay - Percolation Test Required? YES - NO Percolation rate 4 Min/Inch • TYPE of SYSTEM: }' Absorption field,) total ;length Length of each trench ' Depth of trenches; Size of gravel_ , SEEPAGE PITS4Number of) • Size- ft. X ;:; ft. Gravel size •( f` • PIPING: Size Type Bldg. to tank if Tank to dist. box:;' Dist. box to fieliOpit Openings sealed? T-, YES NO Partial 'V7 LOCATION/SEPARAT,IONS: Foundation to tan ft. Foundation to absorption ft. Absorption to lot §dine ft. Separation of pits, ft. LOCATION OF SYSTEM ;ON PROPERTY(circle one) Front - Rear _ Left; side - Right side - COMMENTS: 732,a1 J`! 751/ • SYSTEM USE APPROVED YES NO Building Inspector 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 INSPEECTION RECEIVED • NAME /&LQ -• Cf i(, 6/ktizi LOCATION4/ Arne, /`',t/J -E', /C:a' DATE 1// / 9/ PERMIT # 7/-4 96 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 A PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING ?;? JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING g. WALLS CEILING , FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- A CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: / Atiirj2d ARRIVE DEPART NSP -TOR TOR 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 LOCATION DATE /lJrP/II PERMIT f 694 TYPE OF STRUCTURE RECHECK APPROVED ,C/ N/A YES/NO ,C/ FOOTINGS/PIERS CLIC1 .cam t; V MONOLITHIC POUR FORM i/frz,e_k— 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 ONjlSITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING,), ;,' BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB i FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS ,t JACK POSTS/MAIN BEAM / FIRESTOPPING % ' WALLS / CEILING / Y FIREWALLS i HEATING ROUGH-IN / INSULATION: r' FOUNDATION WALLS' INTERIOR I- I FOUNDATION WALLS EXTERIOR FLOORS WALLS R-\ CEILING R- \ DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 2 ARRIVE // V DEPART ./) SD2 44 /9144' INSPECTO^ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR PECTIOM RECEIVED /d ti2:54 NAME I 4147 LOCATION �c ,� /- DATE %6 71-9i PERMIT 0 -/ 65%Er TYPE OF STRUCTURE S1 -it7 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 l" F CINDATION/DAMPROOFING. BACKFILL APPROVAL ROUGH PLUMBING is PLUMBING VENT/VENTS IN PLACE' PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS 'r CEILING FIREWALLS HEATING ROUGH-IN s- INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLSEXTERIOR R- FLOORS R- WALLS I R- CEILING / R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART (-:;)- / INSPECTOR �\a%4 -� TOWN OF QUEENSBURY -Al BUILDING AND CODES DEPARTMENT \\ 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPO T REQUEST FOR INSPECTION RECEIVED 0 ) 1, QtGL1 NAME LOCATION DATE 7 / PERMIT I CA. \ 4% TYPE OF TRUCTURE S RECHECK APPROV D N/A YE NO .00TINGS/PIERS 1 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 bN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING , JOIST HANGERS/ t 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 1 O 417 DEPART %D ,_44/ INSPECTOR /0011 QIttca --i-11..(' . e1 , 6 it1L-,11 • • I 3� x77 ______J - r a-sf 59"' 0 CLi-e.:4'u,---r 7 . i / ' - I . C°,4--)\\ , (\ I .. I 1 a .. .. - /4 . , /).