1991-804 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
..i Date January 216, 19 92
q cC' 'l
This is to certify that wort requested to be done as shown byPermit No. 91®894
has been completed.
This structure may be occupied as a Single F i l y Dwelling ✓ 7
Location Shal l ow Creek
Owner Donald Kruger
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-804.
WARREN COUNTY, NEW YORK
(7 1
PERMISSION is hereby granted to Donald Kruger
IU
OWNER of property located at Lot #8 Shallow Creek Street, Road or Ave. pp
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.
co
1. OWNER'S Address is
Shallow Creek Road
Queensbury, NY 12804
0
0
0
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same 0
Co
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4. ARCHITECT'S Name 13i
C7
5. ARCHITECT'S Address
CD
6. TYPE of Construction—(Please indicate by X)
(XI Wood Frame ( 1 Masonry ( ) Steel ( ) \
N
7. PLANS and Specifications
tel
No. 1,510 sg ft Single Family Dwelling as per plot plan specifications
and application
8. Proposed Use ,
Single Family Dwelling
$ 285.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 5, 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;his�5th D y of December 19 91
SIGNED BY CI for the Town of Queensbury
Building and, ning Inspector
/Jp •
` an TOWN OF QUEENSBURY
• APPLICATION FOR SEPTIC DISPOSAL. PERMIT 'Permit
Fee Paid
•
•
•
Ae,
• Date: • 1 -4 f • Reviewed By
%/P
LOCATION OF PROPERTY FOR INSTALLATION: 2:04" • IP - - S`i ' ( 00.-eak.-
Owner's Name: c_ ,,u,,
Owner's Mailing Address: S L_ L6
Installer's ,Name: - S b . Phone #:
•
Number of bedrooms (if residential ): .
Total daily flow (residential-compute @ 150 gal . per bedroom) :. le-f`r - -
- Topography-Circle One: Flat , Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam Clay ' Other . /Depth:
Ground Water-At What Depth? 4 — Feet
Bedrock or Impervious Material-At What .Depth? . - • ' Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Municipal Well Other
If domestic water supply is a well -
• Separation: Water supply from any septic absorption feet •
_ PROPOSED SYSTEM: Septic Tank 1,co.cp.0 gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench` feet//Total System Length feet
- Seepage Pit(s): Number of / Size: each: ' ft. x r' 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 -rse side of th's sheet and agree to abide
_ by these and all requirements of V' - own of Queens...ry Sanitary Sewage Disposal
Ordinance. - - • . .
SIGNATURE OF RESPONSIBLE PER N . DATE: . (/ ,' - - '(
•
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 OF QUEENSBURY
cIFSI*1
REVIEWED BY: . Q'`"" •
FEE PAD:
PERMIT NO. : qJ 40 -r ouEENSEfa.
NOV 62 19.91
' BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MAOE`IINTIL
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: d,.,,`,,-{d ��
P.O. Address: � ewe`G � a y PHONE 757.4
Property Location: LB 6 B S't J a , e 1,. Tax Map No. / /
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: 54.1L, c en Lot No, 8
• THE PERSON RESPONSIBLE .FOR SUPERVISION OF WORK AS REGARDS TO BUILDLNG CODES. IS:
. NATURE OF PROPOSED WORK: * • ESTIMATED MARKET VALUE OF THE
Construction of new building .* CONSTRUCTION: $ '9 G, c,m-D —
Addition .to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ,' o ft. x
Other work (describe) * Existing Building Size:
* ft. x ft.
*. Proposed building - 'distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor I , cs/c2 Sq. Ft. ' * Front Yard 3 / ft. Rear yard 3 Z ft.
* Side Yards / 3 ft. and i ft.
2nd Floor Sq. Ft. A * If--on corner, setback from side street-
-- - ft.
Other Floors Sq. Ft.
(not cellar or basement) "gyp * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: 10--ch° ' Sq. Ft. * Primary Building -
One •Family Dwelling
Size of New.Structure: -7 p ft. x 2 8 - ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Pa_rtia,r (Circle One) . * Business —
* Industrial
2No. of stories. (Habitable space) / - * Other
Height (grade -to ridge) sty ft. *
If residential , no. of families: i * If addition,. what will use be?
No. of rooms (excluding baths): - 7
No. of bedrooms: 3 *
No. of-bathrooms: * Accessory' Building:
Typeof Primary
feat ing 4w.41. Was-,system: ,,,, i,,� * Detached Garage - One/
�drt-ta. Attached Garage -
No. of fireplaces to be .installed: / * / • Private Storage. Building _
Will a .woodstove be installed?: * . Other
Central Air Conditioning: Yes ele, No - *
(OVER) -
•
BUILDING 'PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. •
Will any second-hand or ungraded lumber be used? If so, for what? (Uo -
•
Foundation Wall Material : 040.1 << _ Thickness: g
Depth of Foundation below grade (to bottom of footing) : (o
Will there be a cellar? Heated or Unheated? Floor Sq. Footage: : .
Will there be a basement? Will any portion be used as living space? to .
If so, what portion? Sq. Ft. Type of Use? ---
Type of Roof: Sloped/Flat/Shed/Other S'(b _ Material of Roof
Size, wood studs " x (o " ; spacing /G " o.c..; length 7 ft.
Joists (floor beams) : 1st Floor " x /o spacing (6, " o.c. ; span / S/ ft.
Joists (floor beams) : 2nd Floor " x "; spacing " o.c. ; span ft.
Overlays. (ceiling beams) : " x " ; spacing . " o.c. ; span ft.
Roof rafters: " ; spacing g-o.c. ; span Z. ft. V
Roof trusses (pre-engineered) : spacing y " ' o.c. ; span o .e -ft.
Exterior Wall Finish.: f4 i of what material ?
Interior Wall Finish: ClIC-ro.cic--- -
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
cs/V
qt e •
Is there to e an opening between garage and dwelling? , If so, will a Fire-Rated door,
/nclosure, self-closing device be provided? -
Will a flue-lined chimney be installed? �,, , Height above roof ft. -
Depth of chimney foundation below grade: t ft.
Depth of fireplace hearth: ft. G in.
Water supply - Munici a or private well :
SEPTIC SYSTEM: Distance from private well (including adjoining properties: ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: (e,0.,.,. -- - PHONE ?9 7-1f >o -7„
NAME OF PLUMBER & ADDRESS: < < - PHONE I
NAME OF MASON & ADDRESS: Vt L V PHONE � r
NAME OF ELECTRICIAN & ADDRESS: Pe- L[Je,�J,,,, � PHONE ?S3-95 )B
DECLARATION
To the best of my knowledge and belief the statements contained i this application,
together with the plans and specifications submitted, are a true d •omplete statement of
all proposed work to be done on the described premises and that . 1 • ovisions of the
BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaini - g • th- proposed work shall
be complied with, whether specified or not, and that such work thor ed by th- owner.
•
Signature /
• Own r, owner s agent, architect
contractor V
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
APPLICANT'S NAME / - PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - Sq. Ft.
2. Type of Heat - Elec. Base Board Other. 6642. ---
3. Is Building Mechanically Cooled? ' lc- 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 3/
B. Exterior Walls R ,Z
C. Glazed Area . - R
D. Exterior Doors R. / �T 0
E. Floors over unheated spaces R —
F. Edge of Slab on Grade (Heated Building) R ---
G. Basement/Cellar Walls (Above Grade) R /9
H. Basement/Cellar Walls (Below Grade) R f Q
I. Heating/Cooling - Ducts - Piping in Unheated Space R S` •
6. Sery ,1 Domestic Hot Water Heatin.' Device
A. Con • s to mini _ - fi ci ency. per code X YES NO
TEMPERAIU' CONTROL MAXIMUM SETTING 140• - WILL NOT BE EXCEEDED
(1-f2 -g( 7474''70_7
A• •L • .E •1 0 ' DATE TELEPHONE. NUMBER
INSPECTOR'S REMARKS
•
44001,
R Et1 3
TOWN OF QUEENSBURY
Bay at Haviland Roads,Dueensbury,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 Unit
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
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
A 173 3389 (190)Public Safety
A233 2655 (230)Minor Sales
Fee Collected from or Refunded to:
Address:
Dated: Town Clerk or Deputy
While:Antillean! Yellow and PInk:Cn.chier's Dern►lment Gnldenrnr/•
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL .
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.tt DATE -/ I
r - - :,• t f ''I _I
CITY OR VILLAGE TOWNSHIP COUNTY
rf....1•. . /--'-j
STREET AND NO.OR ROAD J F • POLE NUMBER
1t
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S NAME • BUILDING OCCUPANCY^''y
OWNER'S NAME AND ADDRESS ;",- // ,�r+' 4„ .- l HOME TELEPHONE NUMBER
ti e.•_��C✓tl ' J E..��: (:.'IS'V, —7 7 -!,` '74:2`77
CURRENT SUPPLIED BY FROM THEIR OFFICE I WORK TELEPHONE NUMBER
i_s I VI-•, '
BUILDING IS
NEW 9- OLD❑ WORK IS NEW Q ADDITIONAL❑ DEFECTS REMOVED El
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS 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 -^ Q.,1,
1st � p�
FL. ,/!{l I 1 0
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
f
CHARACTER OF WORK Q'EXPOSED GAS'TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
/ .I _ / ,7 r
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ,k3-UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS ►
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR PLI ATION MAY BE RETURNED.
PRINT NAME AND ADDRESS I -' `/
NAME OF APPLICANT ) DATE OF APPLICATION SI TU OF PL CANT
4ir) ift , ,A ,,' / , -IJ- - Gi X .
STREET ADDRESS 'TEL PHONE'NT
r ;,, 1 r V
CITY OR POST OFFICE-)0/` f r( ' "I✓ `""- — 'r`f ZIP CODE LICENSE NO.WHEN APPLICABLE
❑ 85 John Street ❑ 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
TI 1r P.Ir1AI Vfr1nI/ n,A nn fr rInlr I IAII'1r1']\AII7ITI IDC
•' .4-`I,-'91• 1,j"1-'9',•.',a,Mk st''9i-.9i...9� .i.•1.Wi."1.!-19!-!.r a„9?,..)_-1.i .!.:41�14 .j1.,),9•psi...%19!."",-...�)19,!- ." .!-",)..i.1.!,,a, .!,poi, )...,•‘., 9i 9!•-.?-•�- 9r,•‘.!;9>,'..,-3!
of
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
' J; 4119326 BUREAU OF ELECTRICL�Y
�; 41 STATE STREET,ALBAN NEW.YO K 12207
Date J• NU 1R�. 21,1992 Applicati Y,No.on file384051 91 A 064541 o
THIS CERTIFIES THAT PERMIT NO. 91,4' g04 In
1
only the electrical equipment as described below and introduced b the applicant nosed on the above application number in the premises of q
;DJN\LD KRUGER, SHALLOW CREEK RD. , P0LEV•6. 0i.1EEN.,B R-V•;-41„----.-_ --
r in the following location; ❑ Basement Li 1st Fl. ❑ 2nd Fl. GAR Section Block Lot 8
is was examined on j}N U\R Y 16•1992 and found to be in compliance with the requirements of this Board.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
g OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. • AMT. K.W. AMT. K.W. AMT. H.P.
z' ,tt oC� 1
�� �� 3L 1 ` 1 • 1 1 .5} F ®
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS n
g SYSTEMS
1. AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. • AMT. AMP. AMT.' AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1 3 1 1.- • 1 GOO
r-- ^;-SERVICE DISCONNECT.:.—_,NO.-OF:__.• _.--- - - ,--5 ,�,•>� R_--., --V,_- I C :E _ -..
METER
; ° AMT. AMP. TYPE EQUIP 10 2W 41.i'3W 3 0 3W 3,9 4W 'No.OF CC.COND. - A.W.G. NO.OF"H4LEG A•W G• NO.OF NEUTRALS A.W.G
.. PER B OF CC.COND.. OF mo OFNEUTRAL
is 1 150 CB 1 X 1 n!U 1 1!0
.' OTHER APPARATUS:
Iii: PADDLE, F\N--1
Df P0SAL:1-I- K.W. .
: o.1'.c,I:-8
.
.'
0
J
.' •
-1."-....--,--- (... .. d .
KRUGER CONSTRUCTION
�' 1BRANCH MANAGER
i s' 1 SHALLOW CREEK ROAD ,
-<; OUEENSBUR\ , N ., 12804 239
•
.; 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. -i--4,-/.Cy4C,..r41'i•r-gCYACY i,eciscrwriaCY•<-4i-4\",ev-,. -ii •7•Y-i•,'i4r-4 EIEBTIMill0 Q MINT ® IIMMIIIIIMMEI ® 0 ® •"• ..
CARY FAR RIIII min IIFPATITMFNT T411S CAPY AP CPRTIFICATP MUST FIAT RE ALTERED IN ANY MANNER-
cOle -----A---:.. ....„.
i.e;e: .,,,,1/4 yo STY)
TOWN OF QUEENSBURY
'' 531 BAY ROAD
t M:w
; � QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
} BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 1l a—I
NAME c 1
LOCATION ' Z)
DATE PERMIT# CV SOL/
TYPE OF STRUCTURE 5 ,NE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION XBACKFILL /R,AMING
ROUGH PLUMBING FINAL ELECTRICALSEPTIC
INSULATION _W 0 STOVE/FIREPLACE
REMARKS
N/A NO
CHIMNEY HEIGHT/LOCATION APPROVALY /✓
B VENT/LOCATION r/
PLUMBING VENT / 1
ROOFING i 1I
SIDING el ,//
elDECK/PORCH/STEPS/RyILINGS� ✓/
RELIEF VALVES i //
FURNACE/HOT WATER OPERATING ✓
BASEMENT INSULATION/DUCTWQRK ,//
INTERIOR TRIM/JPRIVACY DOO S V.
FINISH FLOORS/: /
BATH/KITCHIEN WATERTIGHT 1/J
OTHER FLOORS SWEEPABLEg 1/
OTHER FLOORS CARPETED ,W I
STAIR CLEARANCE/RAILINGS1
HANDICAPPED ACCESS 4,
SMOKE DETECTORS ✓
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING ✓
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL c//
OK TO ISSUE C/O OR C/C i/
COMMENTS:
,)! iv crtYute Df O5/
ii.0079,0y,./Nbge._
ARRIVE
DEPART 3 ✓41) 94 ,12/-Xe-------
INS PA TOR
per/-c� � /
O OP'"QUEESB Y RY v
531 BAY ROAD
c Ma QUEENSBURY, NEW YORK 12804
V `g TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
1/l(0/c1,)_
NAME NAY U7 \G. O
LOCATION Ct /ow Dreidc
DATE l 1 (p/q j PERMIT# 9 I-
1-71
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
/FOOTING FOUNDATION BACKFILL RAMING
/BOUGH PLUMBING FINAL ELECTRICAL VS'EPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
'" N/A YES NO
CHIMNEY HEIGHT/LOCATION{ ,/
B VENT/LOCATION
PLUMBING VENT
ROOFING f„ '
SIDING 4'
DECK/PORCH/STEPS/RAILI'NGS
RELIEF VALVES F
FURNACE/HOT WATERiOPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/`PRIVACY DOORS
FINISH FLOORS:
BATH/KITC`HEN WATERTIGHT
OTHERFLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
6afrA‘e law; fi. 67Z(n
ARRIVE
DEPART .
INS CTOR
Jown of Queencb'ury
a
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL S\-----
STEM INSPECTION
NAME U C
'' c y�:_Y
LOCATION n c ,1 I('7l) p�G L
DATE / _ /3OPEITNo. qfQL(
SOIL TYPE -C - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: i
Absorption fie3;d, total length
Length of each renc/
Depth of trench s
Size of gravel /
SEEPAGE PITS4N . er f)
Size- $ ft.X ft.
Gravel size
PIPING: / Size Type
Bldg. to tank ,1I ,(C
Tank to di . box 11'1' 194k
Dist. box to fiel pit
Openings sealed? YES NO Partial
LOCATLON/SEPARATIO S:
Foundltion to tank ) ft.
Foundation to abso ption 5 ft. •
Absorption to lot�line /5 ft.
Separation of pits U ft.
•. 4 ION OF SYSTEM ON PROPERTY(circle one) •
Front - 'ear - Left side - Right side -
COMMENTS:
•
SYSTEM USE APPROVED % NO
• (12-E4Ut
Buil ng Insp for
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
TELEPHONE (518)NEW 0R K 4
92-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTI RECEIVED e)
NAME \
LOCATION *lc-10 eo
DATE `. 3D 19,1 PERMIT # 1 'SD Li
TYPE OF S RUCT RE (C-; ` CY_22)
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 . E CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL PO R ,
REINFORCEMENT IN P CE
FOUNDATION/DAMPROO INGJ
_BACKFILL_APPROVAL
`-ROUGH PLUMBING
PLUMBING VENT/VE 1IN PLACE ✓
PLUMBING UNDER . AB
FRAMING: E
JACK STUDS®/HEADERS,
BRACING/BRIDGING
JOIST `HANGERS
JACK POSTS/MAIN BAM
FIRESTOPPING
q.
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
3d
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DEPART/e SC5-114/
INSPECT
pg
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT G�
REQUEST FOR INSPECTION RECEIVED )1c9 07 7 ` (
NAME I() ‘CU Cif/
LOCATION R S •\Q t CN eQ
DATE PERMIT 1 (Y
/
TYPE OF S RUC URE < L
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON.IBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOJLOWING
THE PLACEMENT OF THE CONrRETE.
MATERIALS FOR THIS PURPO`E 0 , Iy
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFIN
BACKFILL APPROVAL
ROUGH PLUMBING °/
PLUMBING VENT/V S IN PL CE
PLUMBING UNDE SLAB_
FRAMING:
JACJ(3TUDS/HEADERS
BRACING/BRIDG:IfVG
JOIST HANGERS
JACK POSTS/MAI BEAM/
HEATING ROUGH—IN /
jNSULATION:,;, /
FOUNDATION WALLS IV RIOR R— // •
FOUNDATION WALLS EXTE OR R—
FLOORS
WALLS R—
CEILING R— 3 ✓
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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DEPART ,L 1 � /
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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 )446)I1
NAME j 6N\ .
LOCATION o
DATE PERMIT # 91
TYPE OF STRUC URE 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 ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOkING
BACKFILL APPROVAL t
ROUGH PLUMBING , /
PLUMBING VENT/VENTSIN PLACE/
PLUMBING UNDER SLA ,, /
06-PRATiING: C I-
JACK STUDS/HEADERS ,
BRACING/BRIDGING pe
JOIST HANGERS
JACK POSTS/MAIN 'BEiM
HEATING ROUGH N
INSULATION: 1
FOUNDATIONOALLS I ITERIOR R-
FOUNDATIO,N WALLS EXTERIOR R- •
FLOORS �` R-
WALLS 1 - R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
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DEPART - � I
J I SPECTOR
10- o-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT '
531 BAY ROAD
QUEENSBURY,
TELEPHONE (518)NEW 0RK 4
792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTI RECEIVED
NAME KX-c)crLOCATION )\av CS'`_
DATE. 9- PERMIT # .\,/l(Td`►.
TYPE OF STRU TURE S I
RECHECK APPROVED
N/A YES O
FOOTINGS/PIERS
ONOLITHIC POUR FORM U
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 a :>
REINFORCEMENT IN PLACE c`
F NDATION/DAMPROOFING
KFILL APPROVAL '1 I
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB ,
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS ,ati 9
JACK POSTS/MAIN BEAM K \,
FIRESTOPPING
WALLS <
CEILING
FIREWALLS
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INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS I'l/ XTERIOR R- \,
FLOORS ff R- `•
WALLS / R-
CEILING /' R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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DEPART /
IN PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT '
531 BAY ROAD
'AUEENSBURY, NEWK
'' , TELEPHONE (518)0R92-58324 •
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED W,5//611
NAME YYV ef./ \ OYNct I C1
LOCATION = 8 j 161 v (J1 e b\�
DATE /;"I,5l 1) PERMIT # 9v—XY71
TYPE OF STRUCTURER
RECHECK APPROVED
N/A YES,-NO
FOOTINGS/PIERS .�. 4,"
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE if
FOR PROVIDING PROTECTION FROM /°
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE1,
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR ‘
REINFORCEMENT IN PLACE / -,"
'FOUNDATION/DAMPROOFING ;', / '
' FBACKFILL APPROVAL �, I
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN PLACE 4
PLUMBING UNDER SLAB /A
FRAMING: 1
JACK STUDS/HEADERS
BRACING/BRIDGING 1
JOIST HANGERS
JACK POSTS/MAINL BEAM A
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS I ERIOR R-
FOUNDATION WALLS TERIOR R- .
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR P PING IN UNHEATED
SPACES
REMARKS:
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