1991-725 Rr1 .
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 18 19 92
This is to certify that work requested to be done as shown by Permit No. 9i 725
has been completed.
This structure may be occupied as a Single Faso o �' ®ivel ng
Location Let 30 Stephanie Lane
Owner George Koshgarian
By Order Town Board
TOWN OF QUEENSBURY
ry
Director of Bldg. & Code Enforcement
lP1OVE� AUG 1 19 =.
92 a
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-725 c
WARREN COUNTY, NEW YORK
N
cr.
PERMISSION is hereby granted to George Koshgarian
O
OWNER of property located at Lot 30 Stephanie Lane 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. H
1. OWNER'S Address is Cu
2100 Saratoga Rd -�•
Ballston Spa, NY
2. CONTRACTOR or BUILDER'S Name CD
Same
esz
rD
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name O
et-
CA
5. ARCHITECT'S Address rD
CD
6. TYPE of Construction—(Please indicate by X) r—
O
( Wood Frame ( ) Masonry ( )Steel ( ) CD
7. PLANS and Specifications
No. 1248 Sq ft Single Family Dwelling as per plot plan specifications
and application •
8. Proposed Use
O
Single Family Dwelling
a
$ 144.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 16, 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.)
_I.
CD
Dated at the Town of Queensbury this ,16-th Day o October 19 91
SIGNED BY h f.� for the Town of Queensbury
Building and Zoni Inspector I?eu
TOWN OF QUEENSBURY
TOWN OF QUEENSBURY
41111116
REVIEWED BY: RECEIVED
10111, FEE PAID: M67 OCT 9 1991
PERMIT NO. : 9/gi- BLDG. & CODE DEPT,
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * * * * * * * * * * *. *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: CEO ifG ,' /1 -// 64- g /9 Al
(O ' '� / /�
P.O. Address: --
/�/�- 7`Ti�/,-�- �'` � /�LL,S1�� Ssp-PHONEs7BWS'O AT:.
Property Location: Atk 1-e 36 5 'p,4 ,/ G,q-.,6 Tax Map No. /,zl/ 3 /
J
Has there been any split of this property since October 1, 1988? Yes No
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: G� Tr�"j�A � /) 47 /1-7 0=621 Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
6'3, oAC ' Af-/7G/, / 4
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * - CONSTRUCTION: $ / -�--e: oZ
d
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: Are/
(no change to exterior dimensions) * Size of Property: /o'7j ft. x / 6 f
Other work (describe) * Exist ng Building Size.
* ft. x ft.
* Pr posed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
* - /
1st Floor /2 5/� Sq. Ft.rj'� * Front Yard �-v ft. Rear yar /i�r Sft.
*_ Side Yards '7 ft. and 35 ft.
2nd Floor .07A Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft. *.
(not cellar or basement) * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: fig' Sq. Ft. * Primary uilding -
t,� * One Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling -
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) R' * Other
Height (grade to ridge) ,4' ft. *
If residential , no. of families: / * If addition, what will use be?
No. of rooms (excluding baths) : ' *
No. of bedrooms: ,3 *
No. of bathrooms: 2^ * Acces ory Building:
Primary heating system: c,,7c:TGL/ c. * Detached Garage - One/Two Car
Type of fuel : * Attached Garage - One/Two Car
No. of fireplaces to be installed: �7 * Private Storage Building
Will a woodstove be installed?: �,..- /J�. * Other
Central Air Conditioning: Yes o *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. 3 ee—c--e-i2 �'z- G4e
Will any second-hand or ungraded lumber be used? If so, for what? G'
Foundation Wall Material : Ari /2 La" Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? ye S Heated or Unheated? //64, "0/7 Floor Sq. Footage:i2 S("
Will there be a basement? Will any portion be used as living space? A(2-2
If so, what portion? /I-49- Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other S'c,G /76'# 7; 2 Material of Roof 2i rh, i-:(e ,L Gc.4-c1
Size, wood studs 2. " x G "; spacing lc " o.c. ; length XZ-, 't.
Joists (floor beams) : 1st Floor 2. " x /0 spacing it o.c. ; span
i T ft.
Joists (floor beams) : 2nd Floor , 4" x /J " ; spacing �/L'_'_ o.c. ;.,s15R537 ft.
Overlays (ceiling beams) : '�- " x " ; spacing 2 ' " o.c. ; span 26 -ft`. ''gs
Roof rafters: . `-- " x " ; spacing 2 I o.c. ; span 44-Jit.
Roof trusses (pre-engineered) : spacing 2.4e le" o.c. ; span e ft.
Exterior Wall Finish: ikjl2- g "` of what material ? t/ J%L AF
Interior Wall Finish: 5-/1Ee fZO M )i el
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 47
Is there to be an opening between garage and dwelling? l6-5- If so, will a Fire-Rated door,
enclosure, self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below .rade: 77///nj ft.
Depth of fireplace hearth: ft. in.
Water supply - Municipal or private well : fel(l ttllG/6Z
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: « ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: 6,1 o i\-C' Arcs-/{c40; i,y i PHONE(6 2,irS3'--
NAME OF PLUMBER & ADDRESS: o(W c S�� ti. G�f� PHONE ak"2- 7
NAME OF MASON & ADDRESS: J f/' 4 i2 /- 6k /, PHONE 07 Z
NAME OF ELECTRICIAN & ADDRESS: K/,r/ /3.,�-CL 447A.W PHONE J'l' 3'y-
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 authorize b the owner.
Signature
wner, owne s gent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
`' TOWN: OF QUEENSQUR`r'
��� j TOWN OF QUEENSBURY RECEIVED
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fete id9"1991
Date: RI1l®°A BODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION: Z" ' 30 5]c p/'�
Owner' s Name: '} Vc> �ti ��� �o‘r�
( /7 ` .
� ca
Owner' s Mailing Address: -GCcvc2 _ c,,, u)el S ..c,v_l 2__A')ck
Installer' s Name: lc0v\ C' Gr Q Phone #: 073- N i 7
Number of bedrooms (if residential ) :
Total daily flow (residential-compute @ 150 gal . per bedroom): :.5
Topography-Circle One: Flat Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam Clay Other /Depth:
Ground Water-At What Depth? /0 2_ Feet
Bedrock or Impervious Material-At What Depth? 2Ve-- - Feet
e
Percolation Test-Circle One: ,-Not Required Required/Rate zs—ifin. Per Inch
Domestic Water Supply-Circle One: Ounniei_pa Well Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption lea Mflfeet
PROPOSED SYSTEM: Septic Tank )00 v gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench 1, feet//Total System Length / 5 feet
Seepage Pit(s) : Number of / Size each: // ft. x //9 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.
c'?
_-- .,.SIGNATURE OF RESPONSIBLE PERSON: ��. =-` • DATE: if
i
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods: TOWN
OF QUEENSBURY
RECEIVED
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; 9 1991
Multi-Family DweliiqqA
(3 Stories or Les ' CODE DEPT
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
C oaG //94 Lor3D STc(Phiy 6_4
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - ( 2 Y 7 Sq. Ft.
2. Type of Heat - Elec. Base Board Other
3. Is Building Mechanically Cooled? YES - G/ 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 .1 2 Z�
B. Exterior Walls R 2-3 L�
C. Glazed Area R2l?",e- L/
D. Exterior Doors R 2• S . -
E. Floors over unheated spaces R 2_.—
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R
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
TE E RE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
/1(7 E � / s
LICANT S I N URE D TELEPHONE NUMBER:
INSPECTOR'S REMARKS:
REVIEWED BY
�..'......�,..�,`^, MIDDLE'DEPARTMENT INSPECTION AGENCY, INC.
�. - National Headquarters
• \ 1337 West Chester Pike;West Chester,PA 19380
APPLICANT COMPLETES THIS SECTION ti /' J r 7 L A: j,?�,,` /1 -f,, f �� Date: /�j� `
City, Town or Township ?. i li-G ,�:;,,,.7,-' T 7/). 17 ') r3 `County ),. ,=? 7T ,',.;'State .---` /-
Location/Address ,1 ---- ir'r"" -�r''-/, ` / J /4'4 - •
' (-1-PLocate`din'Fiural Area`IPlease Attach Directions) Pole #
_ t • i f' '/.
Owner :.�f.- . j�i f _f / , ;s �1 Permit # �` /, 1
J
Occupied As ' •,./ <= f -- :,,-,> < ; ,<-y Building: . New d❑
Occupant
Work-Area in Building (Floor #,etc.):
App. for: Wiring❑ Service Ti or: Ready for Inspection:
Fee Remitted-$ Cash❑ Check Ti M.O. Ti Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches
Lighting Amp. Service Surface Unit - Dishwasher • Range
Receptacles 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:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11h 2 3 5 71h 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size - .
Applicant's '" •
Signature cr' _""= f~ ..�
• _`�! - — License # Permit #
T/A Utility:
Applicant's Address: (NAME) (OFFICE LOCATION)
(City) (State) (Zip) .. Service Request #
Phone # Electrician:
MDIA USE ONLY DATE RECEIVED: •
DATE INSPECTED: ' •
Correct Location: Same as Above n or:
Red Notice Label Ti •
Rough Wiring Outlets Surface Unit I 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 11h 2 3 5 71/2 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 CORRECTFEE FEE PAID
RW Progress: Inc.❑ LKD I I Contractor
❑ CFT Violation: Work Comp.❑ Inc. .❑
Ti L/A Owner -- CASH ❑
❑ L/A Fee CHK #
Due MO #
IPA- Municipal _ . .
INV #
Date: Other Side❑ Utility Applicant ; ❑
. Owner ❑
•
Cut in Card I Temp # Date .
❑ Final # Date INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 11/89
TOW OF QUEENSBURY
40 .Y 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION )1/ I r,
REQUEST FOR INSPECTION RECEIVED 11
MANE c'-e0Y
-f
LOCATION ; v%{ ) 'J YL
DATE 3 PERMIT# 9 r '745
TYPE OF TRUCTURE S i Rc L, corn l L-%�(.UQII+4
U U
RECHECK
-IRE MARS) L APPROVAL (COMMERICIAL STRUCTURE)
OOTINGVV FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT I
ROOFING
SIDING
DECK/PORCH/STEPS/RAIL!INGS.,
RELIEF VALVES 1 „r
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY,fDOORS
FINISH FLOORS: ,r
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTOR
DOOR CLOSERS , \
BATHROOM FANS' N
ALL PLUMBING_`FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
r LJ C. fi u mac. s'.,1 (0).) T6 , �f
E k)30 LATIOA.J t.)PP®2_1--S PtCYD D —
1ZAafC Arramp i,cl571-6a0
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DEPART ZQb
NS C R
riLSOLVA0114140)
1 , 531 BAY ROAD 14
c4= ,E QUEENSBURY• ;NEW YORK 12804 0/tn
' j°'` TELEPHONE :1(518) 745-4441 v�
. .. _
BUILDING INSPECTOR'S REPORT
• FINAL INSPECTION �J
REQUEST FOR INSPECTION RECEIV C�
NAME ( 1 C G JA v'i c�.
LOCATION 3 (?,� J2 fluff 1 l Q
DATE PERNITO 91 '2 6
TYPE OF STRUC RE S, c_c ,
RECHECK
FIRE MARSHAL APPROVALOMMERICIA RUCTU'
FOOTING &FOUNDATION BACKFILL A FRAMING
ROUGH PLUMBING FINAL ELECTRICAL ' IC
TI SSU TION WOODSTOVE/FIREPLACE
/REMA�RKori]Z� T n
�'"'c
I
/ APPROVAL
�/ N/A • YES NO
CHIMNEY HEIGHT/LOCATIO
B VENT/LOCATION F
PLUMBING VENT \,, ./
ROOFING ‘i'
SIDING ,%
DECK/PORCH/STEPS/RAILINGS\.
RELIEF VALVES / F.
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVA 'Y DOORS,
FINISH FLOORS: / "a.
BATH/KITCHEN WAi'ERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS OARPETED N
STAIR CLEARANCE//RAILINGS
SMOKE DETECTOR
DOOR CLOSERS k.
BATHROOM FANS (
ALL PLUMBING FIXTURES OPERATING ',,
GARAGE FIRE PROOFING
DOOR CLOSERS `:,
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C X
CO ENTS 7SL�� %Mx w
( 1.)5v 1.). --tC4.c.) -05-r PN 'Ft24----1-1/4P 3-0
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DEPART (Q�
I PEC R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ��w(4-6 k-
LOCATION l (
/ -1)r'l A,�� f ,� r/
DATE �/ /�/ Z C PERMIT # 9/-/
C APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING 1
FRAMING I P`
ELECTRICAL ROUGH-IN /
INSULATION: $ /`
FOUNDATION t,
FLOORS \;\• /y •
WALLS u,
f„
CEILING /
FINAL INSPECTION: f`
CHIMNEY HEIGHT '.
ROOFING
-SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS\
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS\
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!-
REMARKS:
LV'
2E=ZUc-6,11 fLUo s% %f i 5
fky..ov: So it- rX1kA -1 F L/
3uji i ri-1 LA -L&L Al
•
INS ECT
ELECTRICAL INSPECTIONS
DUPLICATE7 MUNICIPAL RECORD
Permit No. 9 r /c 2✓ n
Owner 6' 4'G$ # 6Ai I U
Occupant
Location Lb S /
/4^ B-ei ^/�y Street Town or City State
Installation as itemized on reverse side has been visually inspected pursuant,,to applicable
codes.
Installed by
NI)�j • 6
�f6
Date `� ��1` 1 �Y�l(J3Ll/.� � �1s/G�e�s�Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM No.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108
75/ ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
c(.` Ot+ /T.4- WIRING &CONTROLS FOR BURNER
f RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS J K.W. DISHWASHER
K.W.SURFACE UNIT / K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER
FRAC. H.P.VENT FANS
MOTORS H.P. I/20 1/12 um % % '/ '/3 1/ 1/2 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
4111"
VOW TOWN OF QUEENSBURY
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
Building & Codes Department
k(2/k0-27-1 INSPECTOR'S REPORT
_ — . _3'CI `> 19 -
LT f 6 LP, .A/
PROPERTY LOCATION
kI
OWNER OR TENANT
TENANT
BUILDING/( SEWAGE SIGN -"OTHER
REMARKS:,--• /
F/ 11Z r fU�:�/L1�-i�l .A.T
/1/4«s i IN /4(1&)1J4(
d.l ,,!77l C 1� % mot'
AvP ivt Sr' -
CONTACT THIS OFFICE WITHIN
�4 . ice
INSP`ECTJ'R
"HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE"
SETTLED 1763
TOWN OF QUEENSBURY 17\
BUILDING AND CODES DEPARTMENT
• 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR I SPECTION RECEIVED 7 / (p qz
NAME KO 0 k(l ( 1,
LOCATION J, -- �� anA-�
DATE PERMIT
TYPE OF RUC URE
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 PLACa EMT 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
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
_11*INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R •
-
FLOORS R •
-
WALLS R- la!
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
•
REMARKS:
Sc-Ve,` 1
1
ARRIVE
DEPART
INSPFCTM
TO,; OF Q EE SBORV
BUILDING AND CODES DEPARTMENT •
531 BAV ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 7/1 D /NAME
LOCATIORO '04 -
r
DATE l�U 9 �_PERMIT / / - 74-3
I
TYPE OF STR CTURE ,7
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CO TRACTOR 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/DAMP ROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
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-
WALL5 R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
1-'Loo L l2L ;z,A c -2 60 AL
. akiS
ARRIVE
DEPART M.! j • F. . .r
TNSPEC (1R
\I gr q�
" 1 L TOW? OF QUEENSBURY 0111BUILDING AND CODES DEPARTMENT
• 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED l/9 9-
NAME () aVi 0,-,�,-\ - I CSfa-,
LOCATION S
DATEI)( IC) a-PERMIT t A t " 9 ‹,7cS
TYPE OF STRUCTURE Y' P
RECHECK APPROVED
FOOTINGS/PIERS
t N/A YES NO•
MONOLITHIC POUR FORM r7 ,
REINFORCEMENT IN PLACE F'
THE CONTRACTOR IS RESPONSIBLE/ `
FOR PROVIDING PROTECTION FROM 7
FREEZING FOR 48 HOURS FOLLOWING .'d
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR I • I'
REINFORCEMENT IN PLACE I /
FOUNDATION/DAMPROOFING I /
BACKFILL APPROVAL j /
.(ROUGH PLUMBING 1 / X
PLUMBING VENT/VENTS IN PLACE/
PLUMBING UN SLAB
FRAMING: )/� X
JACK STUD /HEADERS
BRACING/BRIDGING / .,
JOIST HANGERS I
JACK POSTS/MAIN BEAM l
HEATING ROUGH-IN /
INSULATION: / 1
FOUNDATION WALLS/ INTERIOR R-
FOUNDATION WAL S EXTERIOR R-
FLOORS 1 R-
WALLS i R- _
CEILING I R-
DUCT WORK/OR PIPING IN UNHEATED
SPACES i
i
REMARKS:
1
)Lj
130 . 1"0 /ii 1 r / 't
,,;(67/ 1-- (ivy/Pi:kr/Wet cf---
1 r.L.(j-A li;
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ARRIVE ( ----- , �fr
DEPART - 0 •
1 TNS 14 it f' —
PFCTIR
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
NAME � hliZrr�
LOCATION 1f-,61 2 ,/(t/y-1.a 1�
DATE //719A PE+.; IT # 97— 79)9,
TYPE OF STRUCTURE ./c-D
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONT'. CTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FRG7
- FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE' ON SITE
FOUNDATION/WALL POUR' ..1 •
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING I
BACKFILL APPROVAL 1
)(ROUGH PLUMBING ' Y,
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLg$ -
>FRAMING: r1 g
JACK STUDS/HEADERS '
BRACING/BRIDGING i
JOIST HANGERS
JACK POSTS/MAIN BEAM ;
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALLS FNTERIOR R—
FOUNDATION WALLS/EXTERIOR R •
—
FLOORS o R—
WALLS R—
CEILING R—
DUCT WORK OR`PIPING IN UNHEATED
SPACES /
REMARKS: ,
PLu tJ it.,u IF
) -L(00,62_ c Cow
ARRIVE
DEPART (-4/
"<✓�—TNVTIR
TOWN OF QUEENSBURV
BUILDING AND CODES DEPARTMENT
• 531 BAY ROAD
QUEENSBURY, NEW YORK 12804 /7 7)9
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /,000
LOCATION 3D �11o�r/✓, f-76. —
DATE 7%/y1 PERMIT # 9/- 7?5
TYPE OF STRUCTURE c5/7
RECHECK APPROVED
" N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM i
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 .\ i"
PLUMBING VENT/VENTS ,IN PLACE
PLUMBING UNDER SLABI' ',
)(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
1 REMARK :
l'. 005 (_-: L-(5 Ci-K6- -
. A (,u5.1(7,6-e-r-to A.) Gv,/vt---
:..___________________________________
2___07- -- -D
ARRIVE7:-7- I:/
DEPART /Q..', I
C iNSPF .Tf1R/
PiC &C))2Y59- -V
TOWN OF QUEENSBURV
BUILDING AND CODES DEPARTMENT,
531 BAY ROAD c ' "
. QUEENSBURY, NEW YORK 12804 ! I ' of )--)�,
TELEPHONE (518) 745-4447 '
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED Col 'sI Cf
NAME lc C COY 1 _5
1 1 . LIAA.._2_
,,
LOCATION o�-cy C) ,Cl�-e mA-Q..
DATE PERMIT # , I - /CJ c
TYPE OF STRU TURE -Cr .
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE!
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTIiON FROM ';
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE./
MATERIALS FOR THIS PURPOSE ON;+SITE FOUNDATION/WALL POUR \ J
_
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING \
BACKFILL APPROVAL
ROUGH PLUMBING :
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS .
BRACING/BRIDGING
JOIST HANGERS r
JACK POSTS/MAIN BEAM .
HEATING ROUGH-IN / >,
INSULATION:
FOUNDATION WALLS INTERIOR R- \
FOUNDATION WALES EXTERIOR R- • '
FLOORS R- \
WALLS / R- \
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
/kr tell PI c co,v-i-g-d ./ �J�i2c-J-` ► l
0 L LL_-U ,,tit t i•i;fi it4 19 t)) OGA/),:-lta-Z-
ARRIVE //' D I,/
DEPART il , S U /.lJ.� i
INSPECTOR
7-4
TOWN -OF QIJEENSBURY
Bay at haviiand Road, Oueensbury, NY 72&0:-9725-578-792-5832
Buiidin7 & Codes Department
INSPECTOR'S REPORT
( . 191
PROPERTY LOCATION
(c- R { 1\j —
OWNER OR TENANT
BUILDING SEWAGE SIGN OTHER
REilA S: f\ n• �i _ r
•
i
CONTACT THIS OFFICE 1 sal i
2*3SPECTOF2� J�"
"HOME OF N.ATU.4AL BEAUTY. . F GOOD PLACE TO t AT"
SETTLED 7 763
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 /C 1(
NAME -....
LOCATION , U 9
DATE PERMIT # -
TYPE OF STRU TURE ` , V'N
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 THI PURPOSE ON SITE
FOUNDATION/WALL P UR ,
REINFORCEMENT IN LACE
AFOUNDATION/DAMPRO FINGt`
BACKFILL APPROVAL e
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 I U
DO
i
DEPART Ill, S
`--
INSPECTO ,
AIc'v P
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 (Cy S
NAMEY-Nc\c-,\r- � Y
LOCATION C � �
DATE /(�/�-5/Ci1 PERMIT I l r2 5
TYPE OF STRUCTURE S_F �
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 ONSITE.7
REINFORCEMENT IN PLACE D:
FOUNDATION/DAMPROOFING E!:
. -BACKFILL APPROV4L
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE " is
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
DEPART
INSPE OR
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 /7/1/97
NAME el-Z.
LOCATION /
DATE 44/ / PERMIT I g/-74
TYPE OF STRUCTURE An e4--y �/i.f/ G(JeL. 1
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 ; t
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 INTERjrOR R- \
FOUNDATION WALLS EXTE IOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: r
— {-0 2.146/' (,�/ L `� ��ob
4- f FRS PAX= Pot,z-s.
ARRIVE /..; i/
DEPART ZQ O
SP TO
1
(~E En9lneerin9 Amerl,ca Company ; ' ; , '
III u 376 Broadway !; l:
Aug st 3, 1992 ( .d
1st Floor Suite: 11,Arcade Bldg. ; ' 1?
Saratoga Springs, New York 12866 ,I, -- , ; 'i
Mit. David Hatin (b18) 587-1340 ,11 1,I
ii '
Bdilding Inspector ' :j
Town of Queensbury r , , , ,
' Bay Road I -i . 1
Glens Falls, NY 12801 '/,.•1 ) ' .j
, Re: Plywood Floors '
' HOuses b 'Koshgarlan ; 1 I
1 1
- Lot 24 Luzerne Road ,I ;'I.I
- Lot'3O Stephenle Lane
' , I ;
Dear Mr. HatIn I • 1 ! J
, I: II .
I , 1 '
' , I have visited the above mentioned .61;es with Mr. Koshgarian ta Inspebt the I
dclar Ina'tion of the plywood floors. It le my opinion that by cutting the dclam`nations 1
' ;with a circular Saw, and then screwing and glJing 3/4" ply over It the floor;will not buckle. li ,
!r,jj ;1il
I have spoken with Mr. Koshgarian concerning this, and he Is alO.,,o markicti for a i; II ' 1
copy of this letter. I '
i i I If you have any questions plcacc give me a Ball, �' I ii+'i `'
1 III I ,I
"rely ,: ; `,�"� 1 ,� r,,,
l
, ' . ,../?..,t (e,t4f.:.,.. ..., ,+— 4 .:: . i.. i ' i.
' Georg"Y ser�lia 4 P,``F. , . z I '
CC: Koshgar L. lan ,''„ .,, i
+ram, -rti7 S'
1 • ',iiit. 11 1Uk\ 1 ;c ;
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•
�t- Q `i' En9lneerin9 Americo Company J
376 Broadway \...4 5.D i
1st Floor Suite 11,Arcade Bldg. AO47-;Pic ii '' ), A 1:74 A /V .
Saratoga Springs,New York 12866
(518) 587-1340. tk�i
. 1 DATE
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REF LANDS NOW OR
RE1CORD�^' �^^P FORMERLY OF BALL
j LANDS
FORMERLY
NOW OR
OF MOSES HEREBY CERTIFY T0:
(SEE MAP REF. NO. 1)
(SEE MAP
REF. NO. 1) 1.) GEORGE KOSHGARIAN
THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY MADE IN
S 08'42'30" W 100.00'
ACCORDANCE WITH THE EXISTING CODE OF PRACTICE ADOPTED BY THE NEW
YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.
SET IRON
ROD W/CAP
30
AUL F. TOMMELL P.L. S. LI C. N0. 49,LOT
AREA = 19,008t SQ. FT.
(SEE NOTE NO. 1)
MAP REFERENCE:
rn
m
1.) MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION OF LANDS OF WALTER
'-
DOMBEK", DATED SEPTEMBER 26, 1980, MADE BY COULTER & McCORMACK,
- - - - - - - - - - - -
PROPOSED
AND FILED IN THE WARREN COUNTY CLERKS OFFICE ON NOVEMBER 7, 1980
�- - - - - - - - - - - - -
IN POCKET 12, FOLDER 15.
TILE
�,
LO T
31
LOT 29 ------FIELD-----
1 4 UNES ® 47'
`------------
(SEE MAP REF. NO. 1)
(SEE MAP REF. NO. 1)
NOTE:
PROPOSED
+
SANKC 'Q"n A7Bcr
1.:) THIS LOT WILL BE SERVICED BY THE TOWN OF QUEENSBURY WATER DEPARTMENT.
W
3
a
o ' 35'f
o
I_ PROPOSED
op co
N 3 BEDROOM iI j
ap
N HOUSE
Z
17't �
50' BUI; DI LU NE ! iE
^
LOT U
oI
&� 1 N
MAP OF A PROPOSED SUBDIVISION
H
s
OF LANDS OF WALTER DO MBEK
SET 'RON I a.
ROD `N/CAF
TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK
SCALE: 1 INCH = 30 FEET AUGUST 30, 1991
N 08'11'20" E 100.00'
STEPHANIE RIGHT OF WAY = 50' -
:aA4t�AEVT
R 0 ^
w \\�� '••
�ti^DTI OF _ 20,�
�1�./
�1•
TO LUZERNE ROAD
aLI' F. TOAttR
TO CCR;".TH RCAD
,
PROFESSIONAL LAND SURVEYO�,RL
4aa BROADWAY - SARATOGA SPRINGS. NEW YORK
P AU L r . TOM M E" PHONE: l51a) 587-3149 FAX: (51a) 5a7-7u1
P.L.S. L'C. NO. 49,192 MAP NO. 91035.01