1993-026 -fir s; ,. ,��
s �
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ,or•'a tir7, 64.-0 419 6,3
56)
This is to certify that work requested to be done as shown by Permit No. 93-n25
has been completed.
single family dwelling with
This structure_any be occupied as a
J r.rvv ti,ct 47144.a�,lMl! 01 p9C
Location Lot 25 Hamnton ('Hurt. (hiennchuru Fnroct SIIhrlivic9nn PhAco TTT
Owner Forest Wood Homes, Inc.
121=4. 25-
By Order Town Board
TOWN OF,QUEENSBURY
/ c///
Director of,Bldg. do Code Enforcement
' D
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-026
WARREN COUNTY, NEW YORK I,
_ N
I
PERMISSION is hereby granted to Forest Wood Homes Inc.
OWNER of property located at Lot 25 Hampton Ct, Queensbury Forest I I I 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.
-n
1. OWNER'S Address is
0
HCO2 Box 286P
Warrensburg NY 12885
0
0
2. CONTRACTOR or BUILDER'S Name t7
same
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
C31
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5. ARCHITECT'S Address c+
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6. TYPE of Construction—(Please indicate by X) c+
CD
(XI Wood Frame ( ) Masonry ( )Steel ( )
fD
CD
cn
7. PLANS and Specifications Cr
No. 48')(26' Two story single family dwelling as per plot plan, specifi-
cations and application including two car attached garage and septic system. -
8. Proposed Use CD
m
N
Single family dwelling `+
H
H
I---1
$ 201.00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 5 19 94
(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.) csm
fD
Dated at the Town of Queensbury this 5th Day of February 19 93
a
SIGNED BY /th/ e7J/ for the Town of Queensbury c�
B 'j nd Zoning Inspector
rD
uo
-
TOWN OP QUEENSBURY ,
Oft% REVIEWED BY: / N
• VON FEE PAID: ¢ f ''
�� �t�N OF QUEEN °
�. .PERMIT NO. : qq —O2Jp RECEIVED
FEB 11993 -
BUILDING PERMIT APPLICATION\
7',DG. & CODE E EP7°o
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: Fowl Wad Aims
P.O. Address: IIe-aa box Asp Gs1 cJu IVY, 1Ms- PHONE k(J-fil9
Property Location: lot o(5 /1aM ),f J ,,s Tax Map No. A2///
• 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: Lasky/Jr( &fa pAu/S10L Lot No. ��
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
Aid 1/064 Akit,J .
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
,,' Construction of new building * CONSTRUCTION: $ /0 006
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) * Existing Building Size:
* ft-. x ft.
•
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
CIO *
1st Floor 7570 Sq. Ft. r * Front Yard ft. Rear yard ft.
�� * Side Yards ft. and ft.
2nd Floor 7ag Sq. Ft. -,.. j, * If on corner, setback from side street-
,`- * ft.
Other Floors it
Other Ft. �(\�j
(not cellar or basement O * OCCUPANCY INFORMATION:
grep*
TOTAL FLOOR AREA: I LAN Sq. Ft. ✓ * Primary Building -
* ✓ One Family Dwelling
Size of New Structure: IN ft. x a6 ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Ful'l (Circle One) * Business
* Industrial
No. of stories (Habitable space) , * Other
Height (grade to ridge) ,17 ft. *
If residential , no. of families: / * If addition, what will use be?
No. of•rooms (excluding baths) : /, *
No. of bedrooms: 3 *
No. of bathrooms: IA - * Accessory Building:
Primary heat tng. system: tart aoY * Detached Garage - One/T.o Car
Type of fuel : 415
°.* Attached Garage - One Two Car
No. of fireplaces to be installed: I * Private Storage Building.
Will a woodstove be installed?: 140 * Other
Central Air Conditioning: Yes No V *
(OVER)
•
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. sfickbcu14--wvciei -ome
Will any second-hand or ungraded lumber be used? If so, for what? h o
Foundation Wall Material : e ,e„-cde • Thickness: g,,
Depth of roundation below grade (to bottom of footing) : 9 1'
Will there be, a--,cellar? hp Heated or Unheated? Floor Sq. Footage:
Will there be a basement? ties Will any portion be used as living space? via
l
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: 1 op Flat/Shed/Other Material of Roof �1101„v-iv3
Size, wood studs .2 " x C, " ; spacing (6 " o.c. ; length S ft.
Joists (floor beams) : 1st Floor a— " x 10 " ; spacing Z +o " o.c. ; span i ft.
Joists (floor beams) : 2nd Floor 4=1—. " x i,c) " ; spacing J , " o.c. ; span ft.
Overlays (ceiling beams) : " x " ; spacing — " o.c. ; span ft.
Roof rafters: " x " ; spacing o.c. ; span _ ft.
07 .
Roof trusses (pre-engineered) : spacing ay " o.c. ; span av ft.
Exterior Wall Finish: Vt'v` St of what material ?
Interior Wall Finish: s A-t-D-uL _ _.7,.,,
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: '?F. ,SC„ -c¢L
° Avg ce.i, ‘,.- mo d- koi,,srP Y(e S,rci,w,0
Is there to be ail opening between garage and dwelling? Ar.,s If so, will a Fire-Rated door,
enclosure, self-closing device be provided? i es
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace he the ft. in.
Water supply - Munic.pal or private well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: t o ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: 17reAt G6oar1 ryuva gfi-026,10A 9lxu i ,%f PHONE /,� ?3 _
NAME OF PLUMBER & ADDRESS: R,�� I S- PHONE 62(-O/Y6
6D3 q'g21
NAME OF MASON & ADDRESS: .P �k ts PHONE � J
NAME OF ELECTRICIAN & ADDRESS: AKA A/Ait eAdoe AL PHONE Oar—Ni`
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 wor 's authorized by the owner.
Signature
' O ne , owner' s agent, rchitect
c actor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY COOE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
_JN OF QUEENSE ,..
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings' (ONLY) RECEIVED
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family ,Dwellings; F'B
Multi-Family Dwellings 1993
(3 Stories or Less)
rLDO. & CODE DEPTH
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
.keit gpri,ilk/KM 1/)71- Cou4704.
APPLICANT S NAME PROPERTY
LOCATI N
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - /VW Sq. Ft.
2. Type of Heat - Elec. Base Board Other tlyi
3. Is Building Mechanically Cooled? YES NO 4.. Percentage of Area of Windows and Doors Over 17% L - /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 0
B. Exterior Walls . R fT
C. Glazed Area R
-D. Exterior Doors R /
E. Floors over unheated spaces R
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 /0
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
-\' ' ' TE'
04 JHMBER '
APPLI A ' IGNATURE ` fELON
INSPECTOR'S REMARKS:
.7. ..
e.
REVIEWED BT7
Oft. 4AiN OF QUEENSEL.r.a
1,350 TOWN OF QUEENSBURY RECEIVED
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fe4 d 11993
Date: -Ja,�,i 21 11.9.3 Revig9ed& /ODE DEPYa
LOCATION OF PROPERTY FOR INSTALLATION: joI ,2fAnylm (7our/
Owner' s Name: /acf- d14,A0
Owner' s Mailing Address: ge_ v- Belk / ' baerm.„4174v. /UV
Installer's Name: 54,642pas et1- -c Phone #:
Number of bedrooms (if residential ):
Total daily flow (residential-compute @ 150 gal . per bedroom): 41,,C0
Topography-Circle One: Rolling Steep Slope % of Slope
Soil Nature-Circle One: _.l Loam Clay Other /Depth:
Ground Water-At What Depth? reA,14-4;1,,41.
L Feet
1
Bedrock or Impervious Material-At What Depth? 1 .�a , Feet -
1
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 -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank /Op0 gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench feet//Total System Length zv feet
Seepage Pit(s) : Number of / Size each: ft. x ft.
Size of Stone to be used: # 2- / 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.
SIGNATURE OF RESPONSIBLE PERSON: DATE: ' �rr)gin
,;.. ;
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
531 Bey Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date 1 f"iM ,19 93 Permit No. l -. . .
APPLICATION IS HEREBY MADE to the Building Dept. 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 to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant /ej ape hipiqj APPLIANCE (check appropriate boxes)
Address He.-i, 2/ f 0 STOVE: o Wood o Coal o Pellet
❑ FIE PLACE INSERT
J 6 Zip /a2-W • CFI REPLACE, FACTORY-BUILT:
o Wood 0 Gas
Phone 42 j-417f ❑ FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner
SG,1,vt pf Dt ❑. FURNACE: ❑Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY: A
Manufacturer: P-Alew
Zip Model: 4Lbutlet: inches
Listed By: Number:
Phone
CHIMNEY (check appropriate boxes)
Exact address of proposed construction
! ❑ MASONRY: 0 Block 0 Brick 0 Stone
l� JS cow{ (� ..4 k- FLUE: 0 Tile 0 Steel
Size: inches
CONSTRUCTION/INSTALLATION MUS ❑4ACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT TOWN OF Listgd By: Number:
QUEENSBURY HANDOUTS PROVIDED 0-Double Wall 0 Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title . gam,
A 173 3389 (190)Public Safety n 9
A 233 2655 (230)Minor Sales
Fee Collected From_or Refunded to: 5`%'3`1I.111. l f �fl?�,r4; %,of, _ f'
Address:=
Dated: /', % Town Clerk or Deputy:-6 ,
White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink& Goldenrod: Cashier's Dept.
THE NEW YORK BOARD OF FIRE E UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
BUILDING PERMIT NO.
TEMP.N DATE - - i
. t
CITY OR VILLAGE 1 TOWNSHIP COUNTY
u. !
STREET AND NO.OR ROAD � (%,= ,'1::'" ''.POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS ISFPREMISES LOCATED?'- ` SECTION BLOCK IAT
•
Ti' d a" .i f', ,... . ,-. r ryf,. .,e' .
OCCUPANTS NAME " - BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
l ?d
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS
NEW❑I i OLD❑ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
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 _ -
1st
FL.
2nd _ -
FL. _
3rd -
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIStAPPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS '
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
\CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF t4 VA
rig. CI CONCEALED ' y -
DATE WORK TO BE STARTED ,)- DATE COMPLETED SIZE OF SIGN(NUMBER) '\ - < CAPACITY
1 •
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN J '
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) . MUST ENTER DENTIN CAT ON NUMBERS ►
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICANT r. DATE"OF APPLICATION SIGNATURE OF APPLICANTT.
STREET ADDRESS - " . ,- - '-TELEPHONE NO:'
CITY OR POST OFFICE ' ` ' - ''''- . ZIP CODE LICENSE NO.WHEN APPLICABLE
-'`j ..: t i#flit 3I-ff.:`r' .
❑ 85 John Street /❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue 202 Arterial Road
NEW YORK;NY-10038 ( ALBANY,NY 12297 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
1212)227-3700 \ (518)463-2122 (716)884-1155 , (716)254-0141 . (315)463-8552
.y TI Ir wIriA-r 1FP1rlli nP1A in in P1r rIrnr I IAIr%I-rn\A/nITr-in n
tZ„".,or..\ „1",IL,191.,• MI Ilk till 1r l•, • •l All •( •e • •I V•I1,•1,,1 •i)• 191 •,,"/.":.o1„"."",1,11,1,1,•r..)•,",,,•r s•J; ,Lilo,• n,-,•/ •/ L. • • M;k• c•,,,L.,Mi.Mi 0// ,•,_?.
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1' 'G1'e t
flo I66'..',i
:; BUREAU OF ELECTRICITY :
�, 41 STATE STREET,ALBANY,NEW YORK 12207
Date f1t"vrF�l'TflI ' ?. 1`a`�_3 Application No.on file 1.0 958c':''3/.'4:: f1 0"•Ut:S3(1
•: THIS CERTIFIES THAT
• only the electrical equipment as described below and introduced by the applicant named on the ))application number in the premises of c!
i �.� t t �;, t ar•� y N a�
€"{`T#i�.J'KA)01.1 t1.t11,1 S,. ) 1 419f° f-41, OitE ,11Slit.11;J-,. 11,y 4
•
s: ® Basement ® 1st Fl. [] 2nd Fl. �'' �9 Section Block Lot .ii
• in the following location;g �l i t(� t •�
•' NOVEL tt3. 11.. 1 l�, 1.c)'-+J:i
�; was examined on and found to be in compliance with the National Electrical Code. ':
;
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER MAT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. rii
7 :19 L; 'i 1 ' 1 1 ,.5 2 I'
't. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
; SYSTEMS :4
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. ANT. AMP. - AMT. AMPS. TRANS. AMT. H.P. NO. FEET AMT. WATTS .
1'
�; 1. F .1 ,:.itti .1 '..
i;
f' SERVICE DISCONNECT NO.OF S E _ R V I _C E . ':
lit: AMT. AMP. TYPE EQUIP. 10 2W 1 A•3W 3 i'3W 3 07W NO.OF IQ,CCCOND. OF CCC.iAND.. NO.OF HI-LEG OF HI•lEG NO.OF NEUTRALS Op EUGRAL •,i
i"
J, 1 :_'6.10 ' :''1i 1 X I 4/CI .1 ,/0 '
OTHER APPARATUS: :
-, FFJt101':E r.*YPEIcl'Oft. - I.
i
�, 1
W.
-. .4
-
' 1
el'
J. i
-`,: . -.).1./,_„."...._:_. /
I
:.
w. 1;k,,,,.E`T` ET.el IVzIte° nit
1 .r.' 110HA1UK AVEU u
iC�i�T;Tlt.. 11 y` Z t 3t 2 BRANCH MANAGER
s; 2 2 '
Per
; This certificate must not be altered in any manner;return to the office ofifJ ® C
the Board if incorrect. Inspectors may be identified by their credentials.l1ss�
of .f(.- i-ci• ME ® h1 • .,•;,.,�; . .i�`..,.;isi i1i,•a(:y. 4V`ie (ja dui a ../` r•i i4;.-4-•i�i'i. Est ..•'.-'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY /-7/14-
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED r zz/93
NAME . 1/R4,/ Gf/ '_ '04771.42
LOCATION 4 2 q(A/y,/JA-,7 (/'
DATEL/z/2 y/ PERMIT# 73 -e
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 y`
; ,.
\
CHIMNEY
WOODSTOVE \
REPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: I I OK TO THIS DATE
2/015 v u I SPE R
TOWN OF QUEENSBURY
/,�► 531 BAY ROAD
41 QUEENSBURY, NEW YORK 12804 '
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED /�.6?_/9
NAME I?.ALL [.f/ L0,-,�0�/
LOCATION)fi a?S jjjy7�-, -71 (1
DATE / 2/e ' PERMIT/ 9'O
TYPE OF STRUCTURE, L„ -7j-1. % vG
RECHECK i --/-1(4",--////lr.
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION cJACKFILL 'FRAMING
R UGH PLUMBING 1/fINAL ELECTRICAL tom fPTIC
SULATION _WOODSTOVE/FIREPLACE
REMARKS- fel,,`,1 w..ti :/ . d�r -
APPROVAL
yte,41\ (0,ii .i= i- 3 -eit.x._
/A YES NO
CHIMNEY HEIGHT/LOCH ION V/
B VENT/LOCATION ✓
PLUMBING VENT
ROOFING \ i
SIDING \ v
DECK/PORCH/STEPS/RAILINGS; �--
RELIEF VALVES
FURNACE/HOT WATER OPERATING`,,
BASEMENT INSULATION/DU,,CC�TWORK\ .4/
INTERIOR TRIM/PRIVACY DOORS 1,, ,/'
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT f
OTHER FLOORS SWEEP1BLE \ ./
OTHER FLOORS CARPET f D \ ,,
STAIR CLEARANCE/RAILINGS ,
HANDICAPPED ACCESS ..7\;,V
SMOKE DETECTORS $, ;/
BATHROOM FANS/WHOI=EHOUSE FANS ,/
ALL GEUFBING FIXTURES;; OPERATING 7
GARAGE FIRE PROOFING Q19
��-
DOOR CLOSERS 1
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER J �/
SITE PLAN/VARIANCE REQUIREMENTS N/
FINAL ELECTRICAL VA c-c.a,. \l V/ c 2 V
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE ‘O,, LIC)
DEPART kE):46 „ 7
IN P , TO,
TOWN Off'Q ENSBURY CIDPV
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name -;; 2vaG
Locationfa� ,,
,6223
Date
/,?/6,(9.? Permit # 9,4=024
SOIL TYPE: a�Loam-Clay-
Results of Percolation Test-
(if applicable) .Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length a.)u
Length of each trench
Depth of trenches 2,73 i- -
Size of stone 7P— .
SEEPAGE PITS: Number-
Size -
f t, x
Stone size -------
PIPING: Size Type
Bldg. to Tank cJ__ t(U J t C.
Tank to Dist. Box- -_ _- —
Dist. Box to Field/Pit
Openings Sealed? Yes "` No Partial
LOCATION/SEPARATION S"
Foundation to Tank feet
Foundation to Absonpti ,n feet
Separation of Pitts � \ feet
Conforms as per,;Pl of PPpn YesS No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left S�d Right Side
Middle Front Egli e Rea_r_.)
COMMENTS:
SYSTEM USE APPROVED: YES ! NO
Arrived:
Departed:
Building nspector
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR PECTION RECEIVED
1
NAME 7-oredvi/ 1�ij : ; rnrol
LOCATION /FL h, 9; C/1
DATE a .4 S �,�� PERMIT# 93-O2
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
1
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATLNG UNITS
REQUIRED SIGNAGE
�T
f Y'
CHIMNEY '
ti
WOODSTOVE / <.
FIREPLACE-MASONRY
/FIREPLACE-FACTdRY BUILT
/
REMARKS: ( k-I" OK TO THIS DATE
(//,h)//g6 7q41//171,'
i021dVd7 )/X/P//d/-64
2/015 I SPECTOR
j";/;
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 ��J/ /L
LOCATION 46 Zcf— 47,1,
DATE 1/...9h.) PERMIT # 2.7--az-
TYPE OF STRUCTURE SI-40
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM A
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 1
ROUGH PLUMBING ,
PLUMBING VENT/VENTS INPLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS I
BRACING/BRIDGING I
JOIST HANGERS
JACK POSTS/MAIN BEAM /
HRATING ROUGH-IN /
NSULATION: \
FOUNDATION WALLS 3NTERIOR R-
FOUNDATION WALLS EXTERIOR /
FLOORS R, / ✓
WALLS ,� R-\I'7
CEILING
DUCT WORK OR/PIPING IN UNHEATED
SPACES I
REMARKS:
ARRIVE it);
\cv,),/
DEPART gb
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
. QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIONn RECEIVED
NAME I-0 W �X
0 %YS
LOCATION t9\b0l C-
DATE ��1��-)\5
ci 3 PERMIT it 9 0,2.6
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM .
REINFORCEMENT IN PLACE 1/
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE 'WN` SITE
FOUNDATION/WALL POUR A
REINFORCEMENT IN PLACE ,
FOUNDATION/DAMPROOFING / v///,'
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-
WALLS R-
CEILING R- ,
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
I 6:6, Ck�L i JY1c(�S erg. Id,
•4// k)612_pi,-044-,Is ,(12 id i-700,4)
y
ARRIVE /:
DEPART 155
INSPECTOR
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 ,,g01
NAME `�,; .Pirv_
LOCATION L J X/ t/_ ,
DATE M6frfi PERMIT - o 2-Z
TYPE OF STRUCTURE ‘___5X0 411
RECHECK APPROVED
N/A YE NO
)'FOOTINGS/PIERS ,/Y(24QO,Q—
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
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-'
FOUNDATION WALLS EXTERIOR R=
FLOORS R-
WALLS ;; ,R-
CEILING ;4 R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE I i
DEPART 1
"N' PECTOR
TAW
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 .//1,93
NAME \12e4I LCJ a"Dj A 1(.. )
LOCATION `vim (�2 /N((/j�1(��,' G,C� J(/i
DATE ,21G0 ll/., PERMIT # 03- 021,
TYPE OF STRUCTURE �Sr� w c)C ��U�
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
Z FOUNDATION/DAMPROOFING D�
OACKFILL APPROVAL 5-66-6 ,&o-ecJ K,
// ROUGH PLUMBING
PLUMBING. VENT/VENTS; IN PLACE
PLUMBING UNDER SLAB',
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS rr.
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN ,ftr';
INSULATION: ; '
FOUNDATION WALLSY'INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS ;; R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES ;a
REMARKS: •Y.
VA2bO
ARRIVE
DEPART
N IPECTOR
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 L 4 ►o n _
LOCATION LD2-?5.-- (AMPT 21C7—
DATE 7_1/0 PE."4 uIT 0 "3-Ca
TYPE OF STRUCTURE F=IJ , '
RECHECK APPROVED
,N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE 1
THE CONT.. CTOR IS SPONSIBLE
FOR PROVIDING PROTECTION FRI.r° 'I
FREEZING FOR 48 HOURS FOLLOWING ,'.'
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE(ON SITE
FOUNDATION/WALL POUR i ,;
REINFORCEMENT IN PLACE ,r'.
)(FOUNDATION/DAMPROOFING f,� —�-�
?cBACKFILL APPROVAL I)
ROUGH PLUMBING ii P
PLUMBING VENT/VENTS IN PLACE '
PLUMBING UNDER SLAB L r
FRAMING: , 1
JACK STUDS/HEADERS ?t
BRACING/BRIDGING t:: l
JOIST HANGERS
JACK POSTS/MAIN BEAM ,
HEATING ROUGH-IN YT,
INSULATION: ,
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS i . R-
WALLS 'Ek R-
CEILING P ''c.R-
DUCT WORK OR PIPING IN UNHEATED
rr
SPACES j,
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REMARKS: l "%
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ARRIVE.
DEPART 60
IN E OR
TOWN OF QUEENSBURY gt:-,101`/27
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED J
NAME i 12�G ///d-D7.� 54 7 4
LOCATION `, ¢ o )( /'X/2t172
DATE •v?l�/OL5 PERMIT # 22-0,26
•
TYPE OF STRUCTURE SO 7,r/
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 kt •,'"
JOIST HANGERS ,` ;
JACK POSTS/MAIN BEAM4
HEATING ROUGH-IN
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FOUNDATION WALLS EXTERIOR R •
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FLOORS 0, R-
WALLS \ R-
CEILING ?" �R-
DUCT WORK OR PIPING IN UNHEATED
SPACES i
REMARKS: Q
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