1991-700 •- - -.• • •4---
two
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date "Mak of) 6-2 19
This is to certify that work requested to be done as shown by Permit'No. 91-700
has been completed.
This structure may be occupied as a Sangle Family Dwelling
I-neation West Mountitin Reed
Owner Mr. Ea Mrs. Eric Wiley
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-700 Oleo
WARREN COUNTY, NEW YORK
N
PERMISSION is hereby granted to ter. & Mrs. Eric Wiley
OWNER of property located at West Mountain Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Single Family Dwelling
fD
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.
m
1. OWNER'S Address is
RD#2 Box #202
Queensbury, NY
2. CONTRACTOR or BUILDER'S Name
Hilltop Construction of Glens Falls a
3. CONTRACTOR or BUILDER'S Address
eir
4. ARCHITECT'S Name
a
5. ARCHITECT'S Address
1-1
V1
C,
6. TYPE of Construction—(Please indicate by X) m
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 2352 sq ft Single Family Dwelling as per plot plan specifications rri
and application1-1
8. Proposed Use
Single Family Dwelling
$ 289.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 2, 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 /211 Da. of October 19 91
SIGNED BY / for the Town of Queensbury
Building and Zoning spector
TOWN OF QUEENSBURY
REVIEWED B
,� 1a, FEE PAID. $ rati 7
•
' � PERMIT NO. ! (
BUILDING PERMIT APPLICATION
s-ice 90
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 * •*..* * * * * * * * * * * • * * • * *
The owner of this property is: Mr. & Mrs . Eric Wiley
P.O. Address RD#2 Box #202 Queensbury, NY 12804 Tel. 793-8058 ;.
Property Location West Mountain Road - Tax Map No. pi
Has there been any split of this property since October 1, 1988? / x
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO. -
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Hilltop Construction of Glens Falls, Inc.
"
NATURE OF PROPOSED WORK: " ESTIMATED MARKET.VALUE OF •
x Construction of a new building * CONSTRUCTION: $ 139 , 072
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* Size of property . 280 ft x 91 ft.
Alteration to a building • * Existing Buildings(3) Size 22 . ft. x 20 ft.
(no change to exterior dimensions) *
Proposed building - distance from property line:
Other work (Describe) * Front yard 600 ft. Rear yard 250 ft.
Side yards 120 ft. and 40 ft.
r
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor 1176 sq. ft. OCCUPANCY INFORMATION -
?0 *
2nd Floor 1176 . sq. ft. f `4 • Primary Building - .
Other Floors sq. ft.
?j 4 * x One Family Dwelling
(not cellar or base.::ert i1 Two Family Dwelling
TOTAL FLOOR AREA 2352 sq. ft. 'r Multiple Dwelling/Number of units
Business
Size of new structure 32 ft x 40 ft.
Foundation-pier/slab/c:.xr_A-Artia 4110
• a Industrial
(circle iirf:; r Other
r
No. of stories (habitable space) 2
Height (grade to ridge) 25 tt. r If addition, what will use be?. .
If residential, no. of families_ 1 r
No. of rooms(excluding baths) • 7 b Accessory Building
No. of bedrooms 3 r . _Detached Garage ONE/TWO Car
No. of bathrooms 2 1/2
r
Primary heating system o_t air r _Attached Garage ONE/TWO Car
Type of fuel oil r _
t�eaf Private storage building
No. of fireplaces to be installed l �rN�c�r
EtC�1 ChmNey" Other.
Will a wood stove be installed no .
Central Air conditioning no *
OV" ER
BUILDING PERMIT _APPLICATION CONTINUED =
•
BUILDING SPECIFICATIONS: v
•
Type-of construction, wood frame, fire safe, etc. wood frame
Will any second-hand or upgraded lumber be used? If so, for what? no •
Foundation wall material concrete Thickness 8"
Depth of foundation below grade (to bottom of footing) 8 '
Will there be a cellar? PG Heated or unheated? unheated Floor sq. footage 1176 sq ft.
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 - sloped/flat/shed/other Material of roof asphalt
Size, wood studs 2 "x 6 " spacing 16 " o.c. length 8_ ft.
Joists (floor beams) 1st floor 2 "x 12' spacing 16 "o.c. span /4) ft.
Joist (floor beams) 2nd floor 2 "x 10" spacing 16 "o.c. span 13ft.
Overlays (ceiling-beams) 1'°n "x 1 " spacing `W" o.c. span-Z' ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing 24 ." o.c. span , ft.
Exterior wall finish siding of what material? cedar
Interior wall finish sheetrock
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
o Garace_
Is there to he an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? 0 0 Height above roof ft.
Depth of chimney foundation below grade ft. AJf
Depth of fireplace hearth ft. in., AM-
Water supply Municipai)or private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /ate ft.
(A separate application is necessary for any repair or new installation of septic system)
•
KAME OF BUILDER -1 ADDRESS TEL. NO.
KAME OF PLUMBER 0—'4 ADDRESS 34 p L(J... , itU TEL. NO.16/d')
KAME OF MASON
0.-D77/ 2-t...t.c,b7z.) ADDRESS cuxe • TEL. NO.
KAME OF ELECTRIC!/4 d>- OkiSDRESS 6G )t( u TEL.NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
fans and specifications submitted, are a true and complete statement of all proposed work to be done on
ne described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
1 other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
4ch work is authorized by the owner.
Signature ? J
Owner, own c'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
C 71/1: /h5Z- /llozco-/-ainl toad
APPLICANT'S NAME - PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 0;35 Sq. Ft.
2. Type of Heat - Elec. Base Board Other el/ /'10t 8g- 4/1'7-)Q"ee
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 -32
B. Exterior Walls R -- I
C. Glazed Area
D. Exterior Doors R- 15. 1
E. Floors over unheated spaces R - J
F. Edge of Slab on Grade (Heated Building) R- 10
G. Basement/Cellar Walls (Above Grade) R- 10
H. Basement/Cellar Walls (Below Grade) R - /0
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
41/ke-Z-ZZ 9 t-7o -9/
APP ICANT$ SIGNATURE DATE TELEPHONE MJMBER::
INSPECTOR'S REMARKS :
41111
TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fee Paid
Date: 9- 30-q1 Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: 14e-L Moue--- ;N RDad
Owner' s Name: Ar. .e m r,5, F�i2IC i 'eU
Owner's Mailing Address: ' � Ppx41a-00, f!een5/vAr`7
Installer' s Name: `l At ) 16f) 067vt `F. of CF Tr;d , Phone #: riq?QJJ(?'
Number of bedrooms (if residential ): 3
Total daily flow (residential-compute @ 150 gal . per bedroom) :
Topography-Circle One<Fla) Rolling Steep Slope % of Slope
Soil Nature-Circle One:(:San ) . Loam Clay Other /Depth:
Ground Water-At What Depth? (.,)h k{?rx4t1 Feet
Bedrock or Impervious Material-At What Depth? 011 kj'y)u3IJ Feet
Percolation Test-Circle One: �Vot Require Required/Rate Min. Per Inch
Domestic Water Supply-Circle One:(unicip) Well Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank //y)0 gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench iv feet//Total System Length O O feet
Seepage Pit(s) : Number of (' fly) E / Size each: ft. x ft.
Size of Stone to be used: # c"2 / Depth or Thickness a X J feet
**************
, I HOLDING TANK SYSTEM IF REQUIRED
k
No. of Tanks 0/PE 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: �/h �J , C� �(�G(.f1.. DATE: g-36- 9/
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 beforefurther construction.
Town of Queensbury
Building & Code Enforcement
Department
531 Bay Road
Queensbury NY 12804
Remarks:
TOWN Ul-' (2UEE101S1iUKY .
Bay at Haviland Roads,Oueensbury,N.Y.12801-9725 .
• APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date q - 3O . vI 19 / Permit. No. q'_
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 f l i PPLIANCE TYPE
• ill I Mao Coon3-` . D ch��nc,
t Stove Coal Wood
Address 4-74 (2ue,nshu ro hoe, Furnace Hot Air Boiler
/ Zero Clearance I� Circulating Unit
0tA2en5`1u- -\/ \J zip . iiO4
Phone ( 51?) r7gi- D3 !V 7- " If Non-Masonry:
Owner's Name E rt c. e Qi rr l e. \AI; e q
•Address e5± 1Youn+cgo tJ Roa.Gl Manufacturer
Model Outlet Size
Pu eev bu ro ., kw \f ' zip l a' Listed by Number
Phone / /
CHIMNEY TYPE - n1(2+4 8e5± S
Masonry: Block Brick Stone
.
Property location of proposed construction Flue: Tile Steel
TaK MAD ,I=L R'1 - I — a: ,.d Size:
` 101954 Mot n-t- dad 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 $ • •
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$
SONRY FIREPLACES AND CHIMNEYS.
CASHIERS DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department;.Fire Marshal Amount Collected Amount Refunded
Code Number Title .)---
•
A]73 3389 (190)Public Safety
A233 2655 (230) Minor Sales
Ft6Ilected from or Refunded to: Y7_/, y [ /f„/,/,' �3(-),t-/, i�'�9��..-e7
• 4 --_
Address: r
Dated: 4)//f/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 C,/ ,/? /
9/30/91 `
CRY OR VILLAGE TOWNSHIP COUNTY
fueensbury Marren
STREET AND NO.OR ROAD POLE NUMBER
WPc-If MoilnfFain Rnar1
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
ani-;-r:r and P ggv Ann Rd. single famili
OCCUPANTS NAME BUILDING OCCUPANCY
none
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
Mr. & Mrn _ Fri r- WWWi 1 rev 793-8058
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
Niagara mohawk Glens Falls
BUILDING IS ��--tt,,.. fr
NEW Et OLD III WORK
WORK IS NEW ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOIURS 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 No. 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 SIGWTRANSFORMERS 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 ► I `I
IDENTIFICATION NUMBER 4/ (�I / 7,. / .3 /
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS %,'/"/ j' %> 1 ii 1 ',CSC-G-'%,-}--,-
L.-•mac._.' :.:�.I F -i.,f.,% .-._ �--.'`„ /
NAME OF APPLICANT /. ' DATE OF APPLICATION SIGNATURE OF.APPLICANT.-; : / / !
Hil1L01) Const. of Glens Falls , ,l�m;. >` // .,-/c..4/
STREET ADDRESS 'TELEPHONE NO.
234 Queensbury Ave. -"798-0338
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
Queensbury 12804
❑ 85 John Street 0 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
Tug n�F�1 vnRK RnARn nF FIRF UNDERWRITERS
.{,-•/„\•,_°!,)•/.)•�,•!,_•,,_•,,_•l_•,,fib,��,....J..,.n,J}�.��,,,_•t.1h,?t,,In J',t )t[,� •)Y!,-).l).(, 91.- Gal,,.9!.-A(.1.?• �,ab„1,9,!- _,"-.91.!9i,�.i,`_.i.";��,•9!.J9!Jb.1.?•!.,, •� 1.fib,).!.—14' .fie..!9?-fit,-4!
W. : PAGE
�,
THE NEW YORK BOARD OF FIRE .:UNDERWRITERS
BUREAU OF ELECTRICITY. 4066025 - ::
-41 STATE STREET,ALBAN NEW:YORK 12207
.1 Date ''l3LRCH 0-1,1992 Applicatio o.on Le)8572791/91 A 065342
THIS CERTIFIES THAT - rf Do '
i ; only the electrical equipment as described below and introduc by the plicant named on the above application number in the premises of :,'i' -
z ►-:MTZ, & MRS. 1ILEY, WEST MOU1Nf'AI''•` RD. OUEENSBURY, N.Y. . .
in the following location; E Basement ❑l 1st Fl. 0 2nd Fl. Section Block Lot ii
•`; was examined on FEBRUARI 1'6: 1992 and found to be in compliance with the requirements of this Board. '
t; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ':
i...,,,,.: OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT.. K.W. AMT. H.P.
R
37 GO 38 31 l.. 5 . 3 t"
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS. IELL ' UNIT HEATERS MULTI-OUTLET DIMMERS •,-
�, — - SYSTEMS
fl ► AMT. K.W-. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT- AMP. AMT. AMPS. TRANS. AMT. H.P. NOSY.
FEET AMT. WATTS
tv 1 3 1 F 1 3 600
►: SERVICE DISCONNECT NO.OF S E R V -METER . I C. E -4 ,
R ► AMT. AMP. TYPE EQUIP. 1,B'.2W 1 0 3W 3 0 3W 30 4W NO.OAR$COND. OF CC.COFND.. NO.OF HI•LEG of HI•LEG NO.OF NEUTRALS OF EIJTRAL ..
1 ii(; 1 200 CB 1 X 1 4/0 1 . 2/0 •
i OTHER APPARATUS:
•
' ELEC. WATER HEATERS: :1-1.�,' K, , ' '
G.F.C.I:-7
. �,
►� .. '•i
•
.... ./,_„..„.._,,,,. (._. .. (21.07e:...
i 1
•' ROBERT I). ` A BLOW ELEC. •
ilif< HUBBELL LANE • BRANCH MANAGEP,
LAKE 1( ZERNE, NY, 12846 _'.39
i Per
: 4,: 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. •':
Y
t�-,. n o n ® 0 n ® ® n n n 0 n 0 n n 0 n ew ® 0 rI ® � n e ® ® 0 n -r
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT-BE ALTERED IN ANY MANNER.
'�
TOWN OF QUEENSBURY f�'1.
BUILDING AND CODES DEPARTMENT "'
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /t,&% ///�(,«�LOCATION ,�J/,
DATE ,,-��/ySj' PERMIT #
TYPE OF STRUCTURE//I //
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/VENTSIN PLACE
PLUMBING UNDER SLAB''
FRAMING: I;
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS ,4 R-
WALLS f ", R-
CEILING f` R-
DUCT WORK OR PIPING IN':UNHEATED
SPACES ;
REMARK /
�G�/�-�' CM'CM:G�-CA
y
iA
ARRIVE
DEPART
NSPECTO
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED/l�
NAME l
LOCATION ,�
DATE /2_, PERMIT# -� '
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION e'
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM If !
INTERIOR FINISHES , .Y/
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY I
WOODSTOVE
FIREPLACE-MASONRY
L�FIREPLACE-FACTORY BUPLT
REMARKS: OK TO THIS DATE
ARRIVE
DEPART •
'INSPECTOR
TOWN OF QUEENSBURY.
�` 531 BAY ROAD
, a '°" QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED —��/z
NAME G_46,, X.� > ,
LOCATIOfMI� 7�4 '
DATE ,9(j/�,; PERMIT# 9/-7
TYPE OF STRUCTURE y S�
RECHECK. , ect LsvZ2/7
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
xFOOTING _FOUNDATION .BACKFILL }'FRAMING
ROUGH PLUMBING )( FINAL ELECTRICAL X,SEPTIC
INSULATION _WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A IT NO
CHIMNEY HEIGHT/LOCATION t/
B VENT/LOCATION
PLUMBING VENT
ROOFING yk/
SIDING
DECK/PORCH/STEPS/RAILINGS I /V
RELIEF VALVES Jli
FURNACE/HOT WATER OPERATING a
BASEMENT INSULATION/DUCTWORK v
INTERIOR TRIM/PRIVACY DOORS I
FINISH FLOORS: '\ I
BATH/KITCHEN WATERTIGHT _ \ / ✓
OTHER FLOORS SWEEPABLE \ I �
OTHER FLOORS CARPETED .1
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS / ti, ✓
BATHROOM FANS/ n ,., ✓/
ALL PLUMBING FIXTURES OPERATING a.
GARAGE FIRE PROOFING ¢� @.
DOOR CLOSERS /
OTHER FIRE SEPARATION I
FIRE/DEMISE WALLS I
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL )
OK TO ISSUE C/O OR C/C /
I
COMMENTS: ,dQ 72-7
ARRIVE //
DEPART // d
' INSP
TOWN OF QUEENSBURY 014'
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME rec.. l y
LOCATIONs�` MI X,
DATE /2 7 -/ !PERMIT # ?/- 7
TYPE OF STRUCTURE 5/
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FgO
FREEZING FOR 48 HOURS FOLLQW'NG
THE PLACEMENT OF THE CONCRE
MATERIALS FOR THIS PURPOSE 9N SITE
FOUNDATION/WALL POUR !
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACI
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS'
BRACING/BRIDGING_
JOIST HANGERS
JACK POSTS/MAIN BEAM NSULAT /
TING ION:ROUGH-IN //
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLRWAOLLLSS R- f� /
CEILING R-3(. 4
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
�d
ARRIVE
DEPART
INSPEC R
oteLY
awn o/ Queen3Lry
• BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME CO e •
LOCATION Id p ��' (/
DATE a 07 PERMIT NO. i / C C)
SOIL TYPE � .�- Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate Min/Inch
TYPE of SYSTEM:
Absorption field, otal length0
Length of each tre ch SO
Depth of trenches " / ` •
Size of gravel 4121jr _
• SEEPAGE PITS{Nuinbel o
Size- ft. X _ t.
Gravel -size
PIPING: I Size ' Type
Bldg. to tank
Tank to dist. .ox .' 5f1)
Dist., box to field pit . 5t7
Openings' s aled? 400 NO Partial
•
LOCATI /SEPARATIO'S:
-Foundation to tank /`i ft.
Fotndation. to abso ption
Absorption to lot line /,$ ft.
Separation 'Of pits �.
LO • ION OF_ SYSTEM ON PROPERTY(circle one)
Ago- Rear - Left side. - Right side -
CCIMENTS:
•
c.9/q
SYSTEM USE APPROVED Y NO
Bui ding I Spector
•
01/86 and vl
BUY s M1\
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 1 4.Z 3
NAME '1 I e EYE {� (� �,
LOCATION ��e� ��- "A) v"`CJ
DATE/v_t/qI PERMIT # - 7 00
TYPE OF STRUCTURE J
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 ' RPOSE ON SITE
FOUNDATION/WALL POUR A
REINFORCEMENT IN PL' E ,////
FOUNDATION/DAMPROOF 'NG
BACKFILL APPROVAL
ROUGH PLUMBING v°
PLUMBING VENT/VENT'. IN PLACE
PLUMBING UNDER ' _
FRAMING: ='&r",.'/
JACK STUD' /HEAD'RS
BRAC ' '/BRIDGI
JP T HANGERS
JACK POSTS/MAI, BEAM
FIRESTOPP ING
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:
• r .JO
ARRIVE L, . /
DEPART /,//_/,
INSPECTOR
fi).(tYlattL
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT - /
531 BAY ROAD /
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832 ✓�
BUILDING INSPECTOR'S REPORT }� iLl C
REQUEST FOR INSPECTION RECEIVED / (1 1 )
NAME UO i l e^' i\ 1;6'
LOCATION (-00“) I/ L' v (?c`
DATE 11 c-I PERMIT # 7'V- 7Oc
1
TYPE OF S RUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE'
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOW NG
THE PLACEMENT OF THE CONCR E.
MATERIALS FOR THIS PURPOSE N SITE
"FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE 1,
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS tt
BRACING/BRIDGING ^, _
JOIST HANGERS
JACK POSTS/MAIN BEAM / •
FIRESTOPPING •
WALLS
CEILING
FIREWALLS u
HEATING ROUGH-IN
INSULATION: �..
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- 'e•
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
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 INSPECTION RECEIfVED
1 NAME
LOCATION .a,✓/ J
DATE //0 I f PERMIT # 9/" 71.6
TYPE OF STRUCTURE
RECHECK APPROV
N/A YE NO
FOOTINGS/PIERS 1
MONOLITHIC POUR FORM j
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 SATE
FOUNDATION/WALL POUR a /
REINFORCEMENT IN PLACE r
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL /
ROUGH PLUMBING V
PLUMBING VENT/VENTS IN PLACa,
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS /
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALL INTERIOR R—
FOUNDATION WAL S EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART ?)
INS ETO
ice& PT1
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 ///` '1/
NAME LO I ) P C C
LOCATION �(y� ft) uNu
DATE `� PERMIT # (7 / 7(()
TYPE OF TRUCTURE j
RECHECK APPROVED
N/A YES 0
OOTINGS/PIERS
MONOLITHIC POUR FORM l
REINFORCEMENT IN PLACE)
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPSE ON SITE "
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE .i
FOUNDATION/DAMPROOFING A /
BACKFILL APPROVAL .
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN PLACE !
PLUMBING UNDER SLAB 1
FRAMING: '
JACK STUDS/HEADERS ,a ;
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPP ING
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 i4
DEPART -VIr0
INSPECTOR
JA,40je
b
0.
OPSTJ MR. I
Lor.4-11
r.)9-lVe- WAY
Ack-
PbTrex) lit4a 1N� S
eu
ioor2 Lz)lkc- ro
'To
=0 6&,60fl-K, TAkAc�.
SeTBAC-r-
11
11
TOWN 0""
t
A
1
A
.0
fit
706
SEP 1991
& CODE, DF,
L
:pm
0.
Qz
lwmi
a
cay
LU
llrq4pwl Y
min
� I