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1991-807 CERTIFICATE OF OCCUPANCY TOWN OF OUEENSBURY WARREN COUNTY, NEW YORK Date *ad) ! (a 19 g ?ns This is to certify that work requested to be done as shown by Permit No. 91-807 has been completed. This structure may be occupied as a Single Fami l Y Dwelling Location - � kieresford Lane Owner David A. Bowen By Order Town Board TOWN OF QUEENSBURY fly- / Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-807lv WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to David A. Bowan ko OWNER of property located at Lot #2 Heresford 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. 1. OWNER'S Address is PO Box 4781 Queensbury, NY 12804 ci 2. CONTRACTOR or BUILDER'S Name 0 Same 3. CONTRACTOR or BUILDER'S Address 0 c+ 4. ARCHITECT'S Name N CD CD 5. ARCHITECT'S Address -11 0 r sv 6. TYPE of Construction—(Please indicate by X) ( X Wood Frame ( ) Masonry ( )Steel ( ) y 7. PLANS and Specifications �7 No. 1,248 sq ft Single Family Dwelling as per plot plan specifications a) and application 4.4 8. Proposed Use tZ) Single Family Dwelling E, cc $ 204.00 PERMIT FEE PAID —THIS PERMIT EXPIRES NOvember 14, 1992 (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 14th Day of ! November 19 91 SIGNED BY �: G6f i for the Town of Queensbury Building and ZoninOnspector AMIL s' j TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: \\ N Y + I l,QQ ‘ Reviewed By LOCATION OF PROPERTY FOR INSTALLATI : --A 2 '\\O q-8 L E Owner' s Name: � ; -i3€0 Owner' s Mailing Address: y °4`Qj�1Ni\ HY811 aLKI, � Iv� I W() Isf Installer' s Name: �U� ���a� Phone #: � � �� Z2. Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom) : "f J) Topography-Circle One: Flat ollin�c Steep Slope % of Slope Soil Nature-Circle One: 46 Loam Clay Other /Depth: Ground Water-At What Depth? (\kc -vv 0 Feet Bedrock or Impervious Material-At What Depth? \`•'tT % Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Munici 1 Well Other If domestic water supply is a we I Separation: Water supply from any septic absorption lb° t feet PROPOSED SYSTEM: Septic Tank I'ik gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length 2 )'() 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. IQ q SIGNATURE OF RESPONSIBLE PERSON: t-�n DATE: 11 U) ` ` 11 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: TOWN OP QUEENSBURY . �� REVIEWED BY: l& i14#0 FEE PAID: QO c9-5 ^ goif�co • PERMIT NO. : et 1 - Ro •T.. - . ; ;,_ : Y i,r.:, t:if i, ' ' , -,,,,/ '• ,1 J r bl, BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTION t IMAfl I C.PT° 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: 6P4J N , RWRN1 P.O. Address: - PO eoc i-11%\ W 51,\'Q�a. N1 1.-No9 PHONE `�g i Sol ./ I I Property Location: \ -Sfoi-0 t.An1Q Tax Map No:-//9/ 6/ 02 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: °0O Nk(791 Lot No. 9 THE PERSON \ S\RESPONSIBLE\ /� FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: t&A-1 NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE X Construction of new building * CONSTRUCTION: $ Etoito Addition to building * Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: D-lb ft. x IS-0 ft. Other work (describe) . * Existing. Building Size: • *' ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: 1st Floor I Z`'�(e Sq. Ft. jl�! * Front Yard `3) ft. Rear and �5 `0 ft. * Side Yards `,)..1, ft. and yard ft. 2nd Floor Sq. ft. * If on corner, setback from side street I .7CI ' * ft. Other Floors Sq. ,Ft. (not cellar or basement) * . OCCUPANCY INFORMATION: TOTAL FLOOR AREA: 12,y'? Sq. Ft. * Primary Building - * X One Family Dwelling Size of New Structure: ft. x I ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl IMP /Full (Circle One) * Business * Industrial No. of stories. (Habitable space) 1 * Other . . Height (grade to ridge) y— ft. * If residential , no. of families: I * If addition, what will use be? No. of rooms (excluding baths): No. of bedrooms: * • . No. of bathrooms: )- - * Accessory Building: Primary heating system: • CAS 04 Aka * Detached Garage - One/T. . • r Type of fuel : Q,---A. 7( Attached Garage - One wo C• No. of fireplaces to be installed: i .* . Private Storage Buildin. Will a woodstove be installed?: No * • Other Central Air Conditioning: Yes No X . * (OVER) • 1 BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire' safe', etc. (,00o0 41t,i - Will any second-hand or ungraded lumber be used? If so, for what? (W Foundation Wall Material : �=� � CO0et0 309-6q. Thickness: g,, ti` Depth of Foundation below grade (to bottom of footing) : I ' Will there be a cellar? Heated or Unheated? JJ kAJ !3 Floor Sq. Footage: Ilq Will there be a basement? jc Will any portion be used as living space? (J) If so, what portion? Sq. Ft. Type of Use? Type of Roof: Sloped/Flat/Shed/Other S l.OPC—O Material of Roof 20 jt- OW c}1 st.(-, Size, wood studs " x (. " ; spacing N " o.c. ; length ft. Joists (floor beams) : 1st Floor c)-- " x \ b spacing k ( , " o.c. ; span 1 . ft. Joists (floor beams) : 2nd Floor " x " ; spacing - " o.c. ; span - ft. Overlays (ceiling beams) : -- " x — " ; spacing — " o.c. ; span - ft. Roof rafters: - " x - " ; spacing - o.c. ; span - ft. Roof trusses (pre-engineered) : spacing 7_(( " o.c. ; span a () ft. boogLE T. Exterior Wall Finish: ' I6 of what material ? P1/4SPC-NIIE v (mdu ku(�UG-- Interior Wall Finish: 'II" ' Ye �'-cicsol k - 'Ne(�)( Lu(Jk.(sMikuo J If a garage is to be attached, describe materials to be used for FIRE SEPARATION: " I ?-. `IC Cs1 PsJ -k Q A Is there to be an opening between garage and dwelling? (,c If so, will a Fire-Rated door, enclosure, self-closing device be provided? i E Will a flue-lined chimney be installed? W Height above roof Tia ft. Depth of chimney foundation below grade: ft. 2CCQ.0 ClC-AOIWC: cd(- -i" EuIL Depth of fireplace hearth: ft. — in. 1'Q_OLAq Water supply - Municipal or private well : UIOu (P(�L_ SEPTIC SYSTEM: Distance from any private well (including adjoining properties: t'c\ ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: r\i\' , We • v PHONE `9 - 411i NAME OF PLUMBER & ADDRESS: 0 C-1 U1.451 1.e '0...)-)C>'KANS0 PHONE A-92,--kbl' NAME OF MASON & ADDRESS: Z ', M'J) 0.V C,-( ob PHONE 19 ?' 1(>1(15 NAME OF ELECTRICIAN & ADDRESS: Lc- ,NvotCvx C h)) (SUS PHONE '11 (DC 0(8 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;1all -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 i uth rized b the owner. 7 Signature . i K 1., • Owner, ner`s agent, architect contractor SPECIAL CONDITIONS OF THE PERMIT: 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) 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 %W\\ ' 4k9--)31 La / 1 \kleke-Mer-O UAN\€) Q),ACM8A6 APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - 1`2Y-02. Sq. Ft. ► 2. Type of Heat - Elec. Base Board Other 1Vo"" Nk 3. Is Building Mechanically Cooled? YES x- 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 Q .0 IRE D THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R B. Exterior Walls R 19 C. Glazed Area R 1.`.�,� D. Exterior Doors R )4, 1 E. Floors over unheated spaces R 1 1 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 /xx \ YES NO T ERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED VCR--cam, II NOV. MI % , 1 ' APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER INSPECTOR'S REMARKS: TOWN OF QUEENSBURY Bay at Haviland Roads,Oueensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date 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 required inspections. Applicant's Name APPLIANCE TYPE Stove Coal Wood Address ` �� � Furnace Hot Air Boiler { Zero Clearance Circulating nit U `Zip Phone If Non-Masonry: Owner's Name Manufacturer Address Model Outlet Size Zip Listed by Number Phone CHIMNEY TYPE Masonry: Block Brick Stone Property location of proposed construction Flue: Tile Steel Size: Factory Built: Manufacturer - Model Size ('OPY 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 A l 73 3389 (190)Public Safety A233 2655 (230) Minor Sales Fee Collected from or Refunded to: Address:. I)aicel. t Town Clerk or Deputy While'Annlirani V.11aw and Pink.rnehler'r fl ,,...., /.nl lowrn.t• I iii:Th.- \x, - MIDDLE DEPARTMENT INSPECTION AGENCY; INC. �. National Headquarters , 1337-West Chester Pike,West Chester, PA 19380 • APPLICANT COMPLETES THIS SECTION Date: Ott A \ City, Town or Township ( .0 County VI aktN State 4 j ",V �� � '�Location/Address 1- k �^�� — � L:ysl�'� '��`��� � 0A✓� y " (If Located in Rural Area-Please Attach Directions) '� f Pole # Owner " - Permit # Occupied As Building: 'New❑ Old Occupant Work-Area in Building (Floor #,etc.): App. for: Wiring n Service Ti or: Ready for Inspection: Fee Remitted-$ Cash n 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 c). 0 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 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size `�_ Applicant's e` 1 Signature "-e-N•—` License # Permit # T/A L)� C�' Utility: (NAME) (OFFICE LOCATION) Applicant's Address: (City) .(- .a >Q (State) I (Zip) I nog Service Request # Phone # ' ; ` `09 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 11/2 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 COPEECT FEE PAID RW Progress: Inc.❑ LKD❑ . Contractor ❑ CFT Violation: Work Comp.Ti Inc. ❑ 1 I L/A Owner. CASH n n L/A Fee CHK #- Due MO # n IPA Municipal . INV # Date: • Other Side CI Utility Applicant CI Owner ❑ Cut in Card Ti Temp # Date n Final # Date INSPECTORS SIGNATURE TOWN OF QUEENSBURY VIIINd ; 531 BAY ROAD QUEENSBURY, NEW YORK 12804 ' TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED 3 /O f 9 NAM 0___R;r2c..)— --Ar\ ` E LOCATION � a es ). t& - DATE : l I (p/9d—PERMIT# 62 / — O 7 TYPE OF STRUCTURE S C- t:> n RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL, S RUCTURE) FOOTING 1OUND TON BACKFILL FRAMING ROUGH PLUU'BI G FINA ELECTRICAL SEPTIC INSULATION 0 DSTOVE/FIREPLACE REMARKS APPROV L ' N/AI Y NO CHIMNEY HEIGHT/LOCATI N 9� B VENT/LOCATION i PLUMBING VENT I ROOFING / J5j SIDING l / ✓ DECK/PORCH/STEPS/RAILINGS' RELIEF VALVES )e / FURNACE/HOT WATER OPERA'TPQG d� BASEMENT INSULATION/DI!CTWW ✓/ INTERIOR TRIM/PRIVAC,P DOORS ►i FINISH FLOORS: " BATH/KITCHEN WAT1ERTIGHT OTHER FLOORS SWEEPABLE ✓ OTHER FLOORS GARPETED \ STAIR CLEARANCE/RAILINGS NI ✓ HANDICAPPED ACCESS \. SMOKE DETECTORS \ �/// BATHROOM FANS/WHOLEHOUSE FANS \ Vj ALL PLUMBING FIXTURES OPERATING \ ►// GARAGE FIRE PROOFING \ / DOOR CLOSERS \V OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS / FINAL ELECTRICAL i// OK TO ISSUE C/O OR C/C ✓ COMMENTS: //7 - 7/. /-#41e2)/ ARRIVE / Z 0 �d DEPART I - INSP OR TOWN OF QUEENSBURY 531 BAY ROAD :` f� ' QUEENSBURY, NEW YORK 1280 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED gf5//�/5 NAME 0(/.v-t_d." ,6 eLe_o A x._ LOCATION 4ei- ,= ,(,PG a-,10z � 4_ DATE 3/(D'9„2 PERMIT# CiJ - O'1 TYPE OF STRUCTURE SO a/11/ra/7 aril ray_ RECHECK)MaJ - A4/f Wid FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING _IFOUNDATION ACBACKFILL k_FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS>e 41_. )21D/4 i i'a-/- j",el-e 2/ /-( )4„;ti p-4.14-e-"-LC.,( ' (f V /APPROVAL G NTA YES NO CHIMNEY HEIGHT/LOCATION , B VENT/LOCATION PLUMBING VENT rf ROOFING Jt ' SIDING 0 I. DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATTING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPAB`LE % OTHER FLOORS CARPETED \ STAIR CLEARANCE/RAIL4"NGS \ HANDICAPPED ACCESS SMOKE DETECTORS / BATHROOM FANS/WHOJEEHOUSE FANS', ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS / '' OTHER FIRE SEPARATION ‘ FIRE/DEMISE W/LLS \ DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS , FINAL ELEC ICAL OK TO ISSU/E C/O OR C/CIt COMMENTS: ` 41'444 7f4 Afte/jtf/4/ -71a /� am/i? � ,�.ec. IQvr - Xfrfi i's;g4/77, ARRIVE DEPART / ri 1.14L/ INS E TOR (;)/7 TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED ,2 "/9 NAME LOCATION DATE' 3 I(7 6 PERMIT# 4/0/7 U CI.-CtlAn c-21 APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY / FIREPLACE-FACTORY BUILT REMARKS: (i OK TO THIS DATE ARRIVE / — DEPART /l�6 / IN PE TO 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 LOCATION / o2 et_ DATE 312,11q. PERMIT # 91-4/ TYPE OF STRUCTURE cS/9 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 ENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR, REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL V ROUGH PLUMBING PLUMBING VENT/VENTS IN, PLACE d PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS r`" BRACING/BRIDGING_ , f JOIST HANGERS r� JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: �Z FOUNDATION WILLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS 1' R- / CEILING R- DUCTfWORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART // etzziY INSPECT ELECTRICAL INSPECTIONS /DUPLICATE MUNICIPAL RECORD Permit No._.9/'u((!T 0 / Owner ,42-46� L Occupant Location J-U T - 2 / 2&��C�2© No.U- —c /S y Street Town or City State Installation as Itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by v` '� 7--/C Date 3 Ateddr: Inspector ' ..;--MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 gROUGH WIRING OUTLETS H.P.AIR CONDITIONER _____TS- ) l rC WIRING &CONTROLS FOR BURNER 38- RECEPTACLES H.P.PUMP FIXTURES K.W.OVEN; Q-rAMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT � AMP.SERVICE CONDUCTORS K.W. DISHWASHER clK.W.SURFACE UNIT 1 K.W. DRYER K.W.RANGE AMP. RECEPTACLE K.W.WATER HEATER 3 FRAC. H.P.VENT FANS 4OTORS M.P. I/20 1/12 1710 1/4 % '/ 'h 1/2 Y. 1 11/2 2 3 5 71 10 15 20 25 30 40 50 75 1( BARK NUMBER IF EACH SIZE 1PPARATUS a-1/4Tc\ TOWN OF QUEENSBURY ;1! BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 ' TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED I ) 9 NAME \s\ LOCATION 4 1\e 'PS 1(1Y) DATE 1 O(e to PERMIT # c ! - V 7 TYPE OF STRUCTURE . _ RECHEC4( 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 I,,=- FRAMING: 3f' • JACK STUDS/HEADERS BRACING/BRIDGING_ Aff JOIST HANGERS 4' f JACK POSTS/MAIN BEAM' I HEATING ROUGH-IN r i INSU.LAT_ION, FOUNDATION WALLS4INTERIO R- FOUNDATION WALLS' EXTERIOR R • - FLOORS I R- /1 / WALLS f I R- 19 _ CEILING I R- f/ DUCT WORK OR' PIPING IN UNHEATED SPACES ', REMARKS: ARRIVE �/ DEPART �- + _ INSPECT R Cjea Va-4A-C__Q=±197)/) TOWN OF QUEENSBURY' FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 1 J 11 1I 9 2- l NAME QTxxe1v\ ) LOCATION aL 74 2 /escAj i,eVv,Q DATE I 1 `5 C PERMIT# APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTIN‘UISHEK AUTO. EXTIN,GUI,S ING SYSTEM HOOD INSTALLATION AUTO. SPR OILER SYSTEM ALARM SY `fEM fNTERIOR FItiISHES STORAGE: _, CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY „ 'FIREPLACE-FACTORY BUILT REMARKS: --/ OK TO THIS DATE /2_5ijAA- ARRIVE DEPART j 2SS� ( ;) •�2.'� INSPECTOR TOkW OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT 2 1 ,d,REQUEST FOR INSPECTION RECEIVED r NAME )( LOCATION �s S�DYd QLet/r`Q— DATE ' PERIIT f I so TYPE 0 STRUCTURE S-t-V. RECHECK APPROVED . N/A YES NO FOOTINGS/PIERS l MONOLITHIC POUR FORM t REINFORCEMENT IN PLACE / THE CONTRACTOR I ,�RESPONS3BLE FOR PROVIDING PROTECTIONfFRO4 FREEZING FOR 48 HOURS E, LLOWING THE PLACEMENT OF THE,ANCRETE. MATERIALS FOR THIS URPOSE ON SITE FOUNDATION/WALL PO { REINFORCEMENT IN LACE FOUNDATION/DAM,p OOFI$G BACKFILL AP R VAL . -17 TROUGH PLU BING PLUMBIN VENT/VENTS IN PLACE PLUMBING UNDER SLAB I FRAMIf46: I JACK STUDS/HEADERS( BRACING/BRIDGING I JOIST HANGERS JACK POSTS/MAIN B,AM - FIRESTOPPING WALLS CEILING if FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- /9 ✓� ✓l CEILING R- 3`t6 DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: I/4 Neck`411() Pt/D - �. LVIrd 10,1/06-n Mtjs� gd T h o Sfizt 54- 0,4 ccifLa•-4144 /r-.) ARRIVE DEPART INSPECTOR own of Qfteenitury BUILDING and ZONINI DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION g _ jeAk:.. DATE / / X PERMIT NO. 9 /--,?0 7 SOIL TYPE - Sand - Loam.- Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, toral length Length of ea. tren, S 6 ' Depth of trenches - / ' Size of gravel . - _ SEEPAGE PITS,-EN , i.er of) Size- ft. 1 _ ft. Gravel size A. PIPING: Size . Type Bldg. to to if, ' Tank to dis . bo + /) Dist. box o fiela�/pit C� n- e/( Openings ealed? ', YES NO . Partial LOCATION SEPARATIOiS Foundat• n to tank) yv ft. Foundat on to absorption ft: Absorp ion to lot \ine ft: Separation of pits i q ft: LOCATION OF SYSTEM IN PROPERTY(circle one) Front; Re - Left side - 'Right side - COMMENTS: SYSTEM USE APPROVED 40 NO / U -" Bu` ing Inspe tor 01/86 and vl _ Ci\Cd1,vv-EV 1 V/►1 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 5' /2/9 NAMEc)---Ok��PM � �} I r , 1 LOCATION es -) DATE ,a- 1 PERMIT # 91 O 7 TYPE OF TRUCTURE 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 HOU'. FOLLOWING THE PLACEMENT OF TH ONCRETE. MATERIALS FOR THIS PU'POSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATI ON/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN 'LACE _PLUMBING. UNDER SLAB -t FRAMING:_' JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION W' LS INTERIO` R- FOUNDATION 'LLS EXTERIO' R- FLOORS R- WALLS R- CEILING R- DUCT WO OR PIPING IN U' FJEATED SPACES / REMARKS: ARRIVE DEPART SPEC 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 ///*///4,/ NAME Ave,/ �✓��,� LOCATION �%-",;17 d. 4-- DATE /0 7/9/ PERMIT # 7/,U 7 TYPE OF STRUCTURE c5;45/) 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 PO R / REINFORCEMENT IN PLACE3(c .I FOUNDATION/DAMPROOFING BACKFILL APPROVAL .t 1 1/ ROUGH PLUMBING t / PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB ‘ s� FRAMING: JACK STUDS/HEADERS X BRACING/BRIDGING /vt JOIST HANGERS / JACK POSTS/MAIN SEAM FIRESTOPPING '� WALLS `t� CEILING FIREWALLS HEATING ROUGH-IN 11 INSULATION: / t� FOUNDATION WALLS INTERIOR ?- FOUNDATION/WALLS EXTERIOR A- FLOORS WALLS R CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART ! 8? i &tbtA. /INSP TOWN OF QUEENSBURV BUILDING AND CODES DEPARTMENT 531 BAY ROAD / lo= -36 QUEENSBURY, NEW 0 4 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME AO o,!/`(Cff ))LQ-aJe'14 h LOCATION /- • ,�V-(/AQiU A DATE ///_2tgI LZ/ PERMIT I / 9/ cf2d7 TYPE OF STRUCTURE �S[� RECHECK APPROVED N/A YES NO /XFOOTINGS/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 1 PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAP FRAMING: JACK STUDS/HEADES / BRACING/BRIDGING' .' JOIST HANGERS 1 JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS is HEATING ROUGH-IN k 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 INSPECTOR . I Aasoe pr�o�/ T .Ei�c/y.D�"TA�L .✓oT rO-fCALE� Gale O-C-r ` .JV-C T/ Oil% L aiVG /TuOm-14 L /E61J Z�7�� 1_ / �oftravt Foe .I�'I'!►t /� ...r_ _ �—.-. ntiwMa orur.vi,o I Awe r40 r o , ' r: v •''v JLOP! �(,' Tr . 2Q "Mti1/. AdJolPTloWTIEA�GV Cal �Rou�/ow,wrF,C� a�O,tot{ K /MAIa✓ioi{!' _ ��,�T��-Tn �_ efi:,. .; - - - •(/N'/XEAr�o pi!/sol.Iy rwwve rs lie.•.•'j ,, •,S�FT?1-7:. 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