1991-760•
n `,i titi� \•jv i.e: y ' •,,.N d••�.l'1* • :; irbe ;iJ•.-r i.-.:`' 0Y rye., ., :.�Y��� ..1 rti"A�:i . .h{"rr:'+..
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY'_: :
WARREN COUNTY, NEW YORK
Date April 3„ 19 92
•
This is to certify that work requested to be done as shown by Permit No. 91-760
•
has been completed.
This structure may; be occupied as a. Simile Family Dwelling Watt 2-Car nAra20%
I nratiori Lot 72 Orchard Drv$e
Owner Rich. , P. Schermerhorn Jr�,C7%a,vi .L a kudvi :Cukumei ly
By Order Town Board
TOWN OF QUEENSBURY
t.
Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY No. 91-760 w
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Rich P. Schermerhorn Jr.
OWNER of property located at Lot 72 Orchard Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Single Family Dwelling
N
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. CD
a
CD
1. OWNER'S Address is
33 Harrison Avenue 0
Glens Falls, NY 12801
2. CONTRACTOR or BUILDER'S Name
Same
I-
0
r+
3. CONTRACTOR or BUILDER'S Address N
17
a+
-s
4. ARCHITECT'S Name a
rD
5. ARCHITECT'S Address
N
tc
f1
6. TYPE of Construction—(Please indicate by X) ..
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
ro
No. 2,908 sq ft Single Family Dwelling as per plot plan specifications
and application rc
8. Proposed Use
Single Family Dwelling with 2-Car Attached Garage
$ 350.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 28, 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 ,2 h Day f October 19 91
SIGNED BY '- i j< /, for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
REVIEWED BY r� � v 250
itrog
FEE PAID $ O`s� OF PERMIT NO. q/--7(p T OWN(� RECEIVED SBUOUEEi Y,-
BUILDING PERMIT APPLICATION OCT 2 5 1991
BLDG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTII. 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: gc,1, P. cc,ke,r ho rdJ Jc..
P.O. Address - 33 tlac seal �J � Gle.�.s Falls Tel `?Q8- o67g
Property Location_` • Orelsd D r;v e. Lo f 7 a Tax Map No. 1p O , 6/'c '
Has there been any split of this property since October 1, 1988? / ✓
It yes Planning Board Review is necessary. - yes no
SUBDIVISION NAME, IF APPLICABLE Or•a1,q,0.8 Pa. .k LOT NO. 7.2._
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
R,c.1. P . cLQe •v 'Tr.
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF •
./ Construction of a new building • CONSTRUCTION: $ /S o o 0 0
Addition-to-e-building • COMPLETE INFORMATION REQUIRED BELOW: _ , _
• Size of property la a ft x 18 ft.
Alteration to a building a Existing Buildings(3):Size ft. x ft.
(no change to exterior dimensions)
• Proposed building - distance from property line:
_Other work (Describe) • Front yard 5o ft. Rear yard 75 ft.
•
Side yards 3 3 ft. and 3 6 ft.
•
GROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from side street ft.
1st Floor 111161 t sq. •ft. / 5d *- -. .
• OCCUPANCY INFORMATION
2nd Floor .I,yy1 sq. ft. / 35 Primary Building - •
Other Floors sq. ft. a : ✓ One Family Dwelling
(not cellar or �ement) • Two Family Dwelling
TOTAL FLOOR AREA]P.3025 sq. ft. • Multiple Dwelling/Number of units
Size of new structure58ft x 32 ft, • Business
Foundation-pier/slab/crawl/parts • Industrial •
(circle one) • Other
•
No. of stories (habitable space) a •
Height (grade to ridge) al. ft. • If addition, what will use be?
If residential, no. of families j •
Nor of rooms(excluding baths) 9 : • Accessory Building
No. of bedrooms y __Detached Garage ONE/TWO Car
No. of bathrooms 3 1/L, •
Primary heating system• i}e+ A;r , • Attached Garage ONEWO C J
Type of fuel gas • Private storage building
No. of fireplaces to be installed / •
Willa wood stove be installed ,N • __Other
Central Air conditioning A/o •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
/
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. ,wood
Will any second-hand or upgraded lumber be used? If so. for what? /1/0 "
Foundation wall material Gc,n c!'e�-c f31 o c.k Thickness /p "
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? yG c Heated or unheate� Floor sq. footage I,14y sq ft.
Will there be a basement? Ye_.Ye...5 Will any portion be used as living space? ,t/o
(If so, what portion? ,v f4 sq ft. Type of use? N/,4
Type of roof - sloped)flat/shed/other Material of roof
Size, wood studs a "x " spacing I(a " o.c. length g ft.
111.11
Joists (floor beams) 1st floor "x " spacing t� "o.c. span iffe, ft.
Joist (floor beams) 2nd floor 2, "x .io " spacing 16 "o.c. span i4'' i i ft.
Overlays (ceiling beams) "x k " spacing k- " o.c. span SL ft.
Roof rafters )4- "x x " spacing K o.c. span ft.
Roof trusses (pre-engineered) spacing ay " o.c. span 3/ '8 ft.
Exterior wall finish " g(,is p boa rca of what material?
Interior wall finish s�1e,e,A. .„ \.
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
61 a 4;re.c o..lP _
Is there to be an opening between garage and dwelling? Yes If so will a Fire-rated door, enclosure,
self-closing device be provided? Ye.s
Will a flue-lined chimney be installed? YesHeight above roof 6 _ _ ft. - .- .
Depth of chimney foundation below grade,✓/ ft.
Depth of fireplace hearth 9. ft. in..-
Water supply - Municipal or private well /Ye,,,fG/'/,ovL
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ,t//,4. ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER R;c.►,, P. sri.,e_NvIerialkwRESS FAILS TEL. NO. 7g g- o 7 Y
NAME OF PLUMBER 5}e.Ve, Allen/ ADDRESS Auas o.v Po-115 TEL. NO. 741- .c
NAME OF MASON "17a1e 15a.i %V;Ai ADDRESS F+, ANN TEL. NO. 792_-- i,571
NAME OF ELECTRICIAN R;c.ti S po pe.L ADDRESS C, Icons Fa..I s TEL. NO. 76 /- o S S Z
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
ell other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner. n_t/
Signature
L A .�
' • Owner, owner's agent, architect, contractor
SPECIAL 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
P. so,.. `rv, e.!' Iq a• L o - 7 L b o c,).,a r C o r;v e.,
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - a , 9 0 $ Sq. Ft.
2. Type of Heat - P a.s Elec. Base Board Other
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
- A. Roof-& -Floors-exposed-to- ambient-temperatures - P. 30 - --
B. Exterior Walls R I q 25 19
C. Glazed Area R a • 5 2, r (•?
D. Exterior Doors R o9. 5 2.5 205
E. Floors over unheated spaces R ,✓/A_ 25 19
' F. Edge of Slab on Grade (Heated Building) R ,✓ f4 �— —I
G. Basement/Cellar Walls (Above Grade) R �, `1 25 \c
H. Basement/Cellar Walls (Below Grade) R I It l (
I. Heating/Cooling - Ducts - Piping in Unheated Space R • (a 4-. 4-. Co
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
AP LP ICANT'S SIGNATURE D�7E TELEPHONE NUMBER:
INSPECTOR'S REMARKS:
REVIEWED BY
TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT
• DATE: /0/2//9/
LOCATION OF PROPERTY FOR INSTALLATION Deal 0.ocN 17r; tie. L+ 7 2.
Owner'.s Name: R:c\, P. Sc.3-,e, wNe11-Nor"/
Address: 3 No,.er;soA, Au, C. F
Installer' s Name: 'Q:e.L+ A. rwl,echer-A.7 Telephone: 778 _0 y
Number of bedrooms. (residential only) q
Total daily flow (compute @ 150 gal per bedroom) 6 o 0
Topography: Circle one: 411M Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? j/ A Feet
Bedrock or Impervious Material: At what depth?. /✓/,4 Feet
Percolation test: Circle one: not require required
Rate - 1 '/A. Min. Per Inch
Domestic water supply: Circle one: Municipa Well Other
If domestic water supply is a well :
Separation: Water supply from any septic absorption /D o feet.
12So
PROPOSED SYSTEM: Septic Tank Aggiir gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench 60 feet/Total system length tOksvX0 feet
SEEPAGE PIT(S): Number of /1-04 /Size each feet
by feet
zi
Size of stone to be used . /Depth or Thickness 8 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.
SIGNATURE OF RESPONSIBLE PERSON: (2- DATE: i6 /a/ /91
•
•
•
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 subsicced. co the Building Department at Isaac `24 house 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 co structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields and/or drywalls
B. Nu system shall be covered before inspection ancrap.proval by the
Building Inspector. Failure tocomply with this requireemenc may
result in the uncovering of the system by the installer and a fins
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 say
result in an immediate work stoppage.
•
D. Should unforeseen problems' during construction prevent proper installs—
cion, alteration or rapuir of an approved system, a new-proposal must
be submitted co the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay .and Haviland Roads
Queensbury, New York 12804 •
•
kQni rks:
•
_ Tnfutt of (1Queittsburg Bep:trttt int
Bay at Haviland Roads Office Phone 518-793-7771 Queensbury, New York 12801
PAUL H. NAYLOR RICHARD A. MISSITA
Superintendent Highways Deputy Superintendent Highways
DRIVEWAY PERMIT
•
DATE: /o/41 / 9 /
APPLICANT NAME: Ric. A. Sc.l,erv►ta!` hordu
TELEPHONE NO. : 7 9 $ 0 4,7 6/ •
ADDRESS TO BE INSPECTED: Lod 72 O (`c,1,-, De.
RETURN ADDRESS: 33 \4 c.,e so,v irJ e- G• F• )J' Y' Ia43°1
Applicant must show exact location and width of_ driveway„(s ).
' to be connected to the highway by, ; placing stakes at the'
specified location
The ..Superintendent of Highways ,' Town of Queensbury, has
• reviewed the application of the, above •named, resident to
connectea driveway to the Town road. The ' following: actiori
has been taken: — . . .
STEP 1; ( ) Preliminary ...Approval,
NEED: • • ( L . Slight Swail
• ( ) • Level With The Road-
( ) Deep Swail
Size Pipe to be used ( if necessary)
( )12" ( • ) 15" ( ) 18" ( ) 24" ( ) 36"
Preliminary inspection by DATE
Approval by Highway Supt . - Depty. Supt.
After receiving the Preliminary Approval, submit the permit
• to the Town of Queensbury, Highway Department upon completion
for a Final Approval .
STEP 2 : ( ) Final Approval
( ) Rejected
DATE:
Paul H. Naylor
Superintendent of highways
Town of Queensbury
•
TOWN OF Q LIEENSB LILY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date /U / 1ST 19 Permit Nog d —760
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 cz • (, cc>1, 1,„, r,r h o r N APPLIANCE TYPE
Stove Coal Wood
Address s c, N �� ( Furnace Hot Air Boiler
Zero Clearance ✓ Circulating Unit
1
G1to 'cki1 s A} �• Zip /c) sa /
Phone 7 3 _ 0 6 7 .y If Non-Masonry:
Owner's Name S0l0l e,. cA-.s o, 1 o ✓e.
Manufacturer /4 c e-S f'
Address Model 04c.3 G Outlet Size /0 "
Zip Listed by Number
Phone
CHIMNEY TYPE
Masonry: Block Brick Stone
Property location of proposed construction Flue: Tile Steel
• Size:
U 7Z 0/'r k a /`ci fle U � i...._., 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. •
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
•
Department: Fire Marshal Amount Collected Amount Refunded
Code Number Title ,Q,$ .ov
A173 3389 (190)Public Safety
A233 2655 (230)Minor Sales
Fee Collected fr_o}m or Refunded to: ► ( �Il�111 ee( ka
Address: / 1
Dated: ) p /1 /
! I
Q rj/�� � ) Town Clerk or De uGY F
t -/
White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
•
i` YOU ARE HEREBY REQUESTED TO .
1 INSPECT AND ISSUE CERTIFICATES .
l' FOR THE FOLLOWING ELECTRICAL
b • - EQUIPMENT TO BE INSTALLED BY - •
it THE UNDERSIGNED 977
)TEMP.# DATE I —7/ q!
. li
CITY OR VILLAGE li • TOWNSHIP - COUNTY
STREET AND NO.OR ROAD I - • POLE NUMBER
[ 'e„ ' hi: , j L. -
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK ' - .LOT .
-I;\ t.;. ..,r c !! O r 1 g,. � ems,• /At. ,-,: r - 5 - 7? •
OCCUPANTS NAME . ;I / t7 BUILDING OCCUPANCY ,
I: ;' II 3, r, ,.. . / . r ,1 , "
OWNER'S NAME AND ADDRESS • 11 . _
7 HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY lI FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS/ - •1, .
NEW[N ;r OLD❑ WORK IS NEW❑ ADDMONAL LI DEFECTS REMOVED❑
II LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
• NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- II 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- II
SIDE II
SUB- I
.BASE .
BASE- If .
MENT • -
1st it
FL. II . . .
2nd
FL.
•
3rd I
FL. II .
II '
•
• II
II
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
1 • '
II
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 11r1 FEEDERS ELECTRIC SIGNS/LAMPS_ TOTAL WATTS.
1I
CHARACTER OF WORK ;I ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
14 .❑ CONCEALED
DATE WORK TO BE STARTED I - DATE COMPLETED SIZE SIGN(NUMBER) CAPACITY
I
. SERVICE ENTERS BUILDING II MANUFACTURER OF SIGN -
•
- Ij ❑ OVERHEAD ❑ UNDERGROUND .
DATE INSPECTION REQUESTED ON l(OR AS NEAR AS POSSIBLE) MUST ENTER IDENTIFICATION NUMBERS ►
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
II
PRINT NAME AND ADDRESS
NAME OF APPLICANT III - . DATE OF APPLICATION X SIGNATURET OF APPLICAN4T , •.
n ; , I `7 i., -. - Z. I - '11 /f ! .�._L....'.c..
STREET ADDRESS t jl h .TELEPHONE NO.
1 Y. — :--:..-7
CITY OR POST OFFICE II
-- - • ZIP CODE LICENSE NO.WHEN APPLICABLE
. \ - , it-, \\`, A_J.1", - .._ t;_;,! , t - • .
85 John Street it 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 !r (518)463-2122 (716)884-1155 •(716)254-0141 (315)463-8552
THFi! NEW YORK BOARD'•
OF FIRE UNDERWRITERS
,.. ,..„...,.,,�i,),i,)t(j�,,,O,„t,,,.�A,,1.,„,.,„,,,„:„.,,„,.,..h,_b,,.,,,.. �.(..„h,)t(,,..i,,t,,,Q,,.. ,,t(,.,o„,...,,.b-,h.a.���(,J..¢).%ati,1..(.}„,,...!„ti„.,,,.,,,b.j.!.,.,,,.,.,b,\b,•,.t,.?t,,,t,.it,.�.,,,.(.,.,.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAW. .
'• �, 41196600 BUREAU OF ELECTRICITY '
:, 41 STATE STREET ALBANY NEW YORK 12207 . .
i, ro , i t Application n ilea ''�' f .? 41
., Date PR.L a tutu,. .9`,�, PP f 8'2 1 r 1 0678 `
A: THIS CERTIFIES THAT i 1 {t.,, L t, C —7r,i
13, '' only the electrical equipment as described below and introduced the • t named on the above application number in the premises of •'
i r,.z.]:;,P,: P.„ SC R I.:101E1111C1'M, O1 Cil' N). DR , t;)11F,1;,N:-131J-.01, 1\:..'Y... f
in the following location; Ill Basement ill 1st Fl. El 2nd Fl. `-'ii •Section Block Lot 72
is was examined on AP . ., 02 r..1.99 2. - and found to be in compliance with the requirements of this Board. '
'mac. ,
:; FIXTURE FIXTURES RANGES COOKING DECKS . OVENS DISH WASHERS EXHAUST FANS '
al •' OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER' AMT. . K.W. AMT. K.W. MAT. K.W. AMT. K.W. AMT. H.P. ••'
-1k' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. 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. TRANS. AMT. H.P. N SYSTEMSF AMT. WATTS
•' SERVICE-DISCONNECT NO.OF S E R V • .. 1 C. • E
11. �: MAT.
AMP. TYPE [QIP. 1B 4W 1 3W 32 3W 3,l!IW NO.OAR$COND. OFGOND..•• NO.OF HI-LEG o •HEGNO.OF NEUTRALS Op NGAL
e o
'4' .I, 200 CB .i. x 1 '/O .3 {;lt.l szi
i, •
�' OTHER APPARATUS: •
S31.0K:ri D VC ECT OR.. —1.. . . •
9
t �'
�,
1:- _
•
1,.
• Crum
is �33 f3 RR sUW A Ps�NUE
!r T y 131JV�' Je�
BRANCH MANAGER
?�: �.T7e .t' } A a NY, 12.801 NO
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. : ,
"i('%• ® 5125122EGMEME 0 I1 El rgrargineallMari 0 0 ® 0 0 0 0 ® nariaririn 0 ® 4j'i1 '44"f7si 4i'y7'y"gY 4 4;4'y ;4c'5-•
21
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
11 . a.•AN B RY
FI1r C Y
TOWN OF Q UEE S U
.I 531 Bay Road, Queensbury, NY 12804-9725 (518) 792-5832
I
TO: File , 91-760
FROM: C . A. Grant, Acting Fire Marshal
DATE: April 6 , '1992
SUB: Fireplace
Certificate of occupancy for 91-760, Orchard Drive may
be issued with condition that fireplace may not be used until
properly installed. Contractor Schermerhorn has been advised
that to complete the installation, noncombustible material
must be added along the top front of the fireplace where it
joins the interior wall . This space is presently open to the
fireplace chase . This office mist be advised when fireplace
installation is complete so permit can be issued.
C . A. Grant
Acting Fire Marshal
"HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE"
SETTLED 1763
JfYY)TOWN OF QUEENSBURY
531 BAY ROAD
Arm. QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR I SPECTION RECEIVED �/�/9
NAME (i Ul e/kQY P1 R1 C,A
LOCATION 0�- Olrc) '� 1 ( e -
DATE 117 3 j g� PERMIT# 9 /- 7 &C)
TYPE OF STRUCTURE S z C" F
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
"FOOTING FOUNDATION TYBACKFILL ,FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION V
B VENT/LOCATION ,
PLUMBING VENT ��"
ROOFING i..''",-
SIDING i,/
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES +-,' ,
FURNACE/HOT WATER OPERATING ✓'
BASEMENT INSULATION/DU&FWORK,/ i/ ,
INTERIOR TRIM/PRIVACY;DOORS / �''
FINISH FLOORS: J
/BATH/KITCHEN WATERThGHT / a `
OTHER FLOORS SWEEPABLE / i/"
OTHER FLOORS CARPETED / i/
STAIR CLEARANCE/RAILINGS`
HANDICAPPED ACCESS A L.--
SMOKE DETECTORS / ‘. vim'
BATHROOM FANS/WHOLEHOUSE'\FANS --•
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING \ •✓,
DOOR CLOSERS ' 'I. vr
OTHER FIRE SEPARATION 'V,
FIRE/DEMISE WALLS v
DUMPSTER V,-
SITE PLAN/VARIANCE REQUIREMENTS V
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C '
COMMENTS:
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DEPART k 1 \i
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TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED -)X gA:\'
NAME m #6wEiz
LOCATION,�S f g,0? OthCad___Aac,
DATE J/?G' /j? PERMIT# 9/-7 d
6e ,0 APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
i
INTERIOR 1FINI-SHES
STORAGE: , /
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SI,GNAGE
CHIMNEY,
WOODSTOVE
JE-IREPLACE-MASONO
Y FIREPLACE-FACTORY, BUILT
REMARKS: U OK TO THIS DATE
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2/015 `"INSPECTOR
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED,?/ i/9
NAME l-ph P ✓1 (1/virKait0"./,_
LOCATION * / U 4 L2
DATE 319,19 PERMIT# q/- /-&96
f_iL6 ehax(06,e e____ APPROVED
N/A YES NO
EX TS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
F'
INTERIOR FINISHES r
STORAGE:
j IS"
CLEARANCE TO SPRINKLERS,''
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
f}'
CHIMNEY
WOODSTOVE / x.
FIREPLACE-MASONRY / !•
1IREPLACE-FACTORY BUILT ,/
REMARKS: 1 U OK TO THIS DATE
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TO t OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
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REQUEST FOR INSPECTION RECEIVED ,./,i/9,;Z /j/),,
NAME /- ///1Vi/ kiMeD'Uff ni 11✓
LOCATION 4 7„ h4//7g„�X /L t.,
DATE J'r/ q \`' PERMIT 1 g p. 0 Q
TYPE OF STRUCTURE
RECHECK APPROVED
VI/A
YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 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 PLACEa^e^P ✓
PLUMBING UNDER SLAB_
FRAMING: Yr
✓.
JACK STUDS/HEADERS t, /r'
BRACING/BRIDGING_ �:
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN 1
/INSULATION: ;'
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- ,
FLOORS R-
WALLS ; R- /
CEILING .f R- 5
DUCT WORK OR PIPING IN UNHEATED
SPACES a
REMARKS:
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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 RECEIVEDNAME g111
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LOCATION 7 0-04acO'f
DATE 1/0 PERMIT I #' 749
TYPE OF STRUCTURE ,),Wfi'
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS '
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS f`
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: , PAW-c1
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DEPART / 9r141114
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INSPECTOfi
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 1/g S/
NAME 7__Age. )10YI1 (R%
LOCATIONM Q
DATE /I g8 Gi`)- PERMIT # 9/- / (/(Pl
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 /f
REINFORCEMENT IN PLAVCE'
FOUNDATION/DAMPROOFIFG
BACKFILL APPROVAL
ROUGH PLUMBING / '
PLUMBING VENT/VENTS IN;PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRID,GING
JOIST HANGERS
JACK POSTS/MAIN BEAM \
HEATING ROU)4H-IN
INSULATION: �.
FOUNDATION WALLS INTERIOR R-
FOUNDAT/ION WALLS EXTERIOR R •
-
FLOORS/ R-
WALLS/ R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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DEPART 'ij
PEC,9R
✓ocun of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
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SEPTIC DISPOSAL SYSTEM INSPECTION,
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NAME �`)�i n1 e\A\ \` t' (;'\
LOCAT I . }� � C�.r�) ` �C I VP_
DATE if / PERMIT NO. 91 "' /c0
SOIL TYPE - Sand Loa - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption total length
Length of each a ench'.�',G_- — / Q
Depth of trench
Size of gravel' ( �:
SEEPAGE PITS{Nuinberfof)
Size- ft. X V ft.
Gravel size , .r/k
PIPING: Size
P
Bldg. to tank, 'I 'J n
Tank to dish box cl -' ' /' vr
Dist. box to field/pit /1 /r,
Openingysealed? ES NO Partial
LOCATION/SERARATION= :
Foun,clation to tank id ft.
Foundation to absorption 26 ft. •
Absorption to lot 1. e ft.
Separation of pits 6 ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
�1 • _ - Rear - Left side - Right side -
Co ` NTS:
•
•
SYSTEM USE APPROVED ® NO
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Bu ding In pector
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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
NAME
LOCATION E/' 7„? Abh,C'/.:'Z/
DATE //�6/4/ PERMIT # 9,'- 76,o
TYPE OF STRUCTURE <SA)
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/DAMPROOFfNG
X BACKFILL APPROVAL \
ROUGH PLUMBING ' `
PLUMBING VENT/VENTS INWLACE
PLUMBING UNDER SLAB ,
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING \
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING \
FIREWALLS
HEATING ROUGH-IN ;
INSULATION: Y j
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
TOR
TOWN OF QUEENSBUR� � OM
BUILDING AND CODES DEPARTMENT
531 BAY ROAD `"
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME P1V
LOCATION:- i� - i ' CA,-DATE 1 I( 7' -1 / PERMIT # �l ' -` (Pip
TYPE OF STRUCTURE
RECHECK r , APPROVES
N/A Y NO
FOOTINGS/PIERS 1/
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLEi /
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 PLIACE
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:
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DEPART
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