1993-035 •. - - .,i - r -p _4j. F i.. r .:+a '`.,r'u'.ra,rc•• ,,.de., % a_ ..,.._ .. _ .,..-a
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71.1111.11m.ilw ' ,
CERTIFICATE OF OCCUPANCY ` T
TOWN OF QUEENSBURY
WARREN COUNTY; NEW YORK
Date '` i 19 9.3_
v
, 3 01 , \ LA_ \-_D_a
._
This is to certify that work requested to be done as shown by Permit No. 93-035
has been completed. .
This structure may be occupied as a single family dwelling with
1- 7' me* S- '0-0-- two car attached garage
Location- Lot 40 Amethyst Drive Ambershire Subdivision
Owner Forest Wood Homes, Inc.
125-7m40 -
By Order Town Board
` TOWN OF QUEENSBURY
Director of Bldg. Oc Code-Enforcement
-4
BUILDING PERMIT
• , o
TOWN OF QUEENSBURY No 93-035
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to FOREST WOOD HOMES, INC.
OWNER of property located at Lot 40 Amethyst Drive 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.
rn
1. OWNER'S Address is (n
HCO2 Box 286P —'
Warrensburg NY 12885
2. CONTRACTOR or BUILDER'S Name =
0
same
3. CONTRACTOR or BUILDER'S Address
n
r
4. ARCHITECT'S Name o
c+
5. ARCHITECT'S Address �
co
c+
to
c+
6. TYPE of Construction—(Please indicate by X)
(X 1 Wood Frame ( 1 Masonry ( 1 Steel ( )
7. PLANS and Specifications
No. 62')(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 cn
Single family dwelling csa
ro
fi
265.00 February 18 94 a.
$ PERMIT FEE PAID—THIS PERMIT EXPIRES 19
(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.)
rD
Dated at the Town of Queensbury 18 a of February 19 93
SIGNED BY for the Town of Queensbury
Building an ning Inspector
TOWN OF QUEENSBURY
eVN OF QUEENSBL
4111116 REVIEWED BY: RECEIVED
k � FEE PAID: �& �- e p
� � _ FEB 111993 •
PERMIT NO. :
• ` W1)G. & CODE DES
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
11v
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: Fli,61 kW Alm,
P.O. Address: J e-o Lrx �� WiU►�►�Pinslia� j.f hug- PHONE US-3979
Property Location: Jhis Lid Q��P �� Tax Map No. !" / 7 /46 '
Has there been any split of this property since October 1, 1988? Yes No r/
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: afrftbevsh1yt Lot No. 40
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
pert Nond 411/a
NATURE OF PROPOSED WORK: * ; ESTIMATED MARKET VALUE OF THE
V Construction of new building . CONSTRUCTION: $ 0 p 0p
Addition to building
Alteration to building * COMPLETE INFORMATION:REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: X1 ft; x ft.
Other work (describe) * Existing Building Size:
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
43 *
•
1st Floor /(J jJ Sq. Ft. I * Front Yard ft. Rear yard !o ft.
/I * Side Yards slY ft. and as' ft.
2nd Floor 1D0o Sq. Ft. * If on corner, setback from side street-
? * ft.
Other Floors Sq. Ft.
(not cellar or basement) 2,105 OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: o2l49 Sq. Ft. A-6
Primary Building -
/ •v- One Family Dwelling
Size of New Structure: bg ft. x 0 ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partia l/IP (Circle One) * Business
* Industrial
No. of stories (Habitable space) ., * Other
Height (grade to ridge) •, S ft. *
If residential , no. of families: * If addition, what will use be?
No. of rooms (excluding baths) : g
No. of bedrooms: L.
No. of bathrooms: a * Accessory Building:
Primary heating system: kifa4- * Detached Garage- - One/Tw Car
Type of fuel : + * ✓ Attached Garage - One Two Car
•No. of fireplaces to be ihstallled: , * Private Storage Building
Will a woodstove be installed?: 40 * Other
Central Air Conditioning: Yes No v/ *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. sta f,,,a I+ U,,00ci -fravre_
Will any second-hand or ungraded lumber be used? If so, for what? no
Foundation Wall Material : cew,treAr Thickness: 8. "
Depth of Foundation below grade (to bottom of footing) : c{'r"
Will there be a cellar?,' no Heated or Unheated? Floor Sq. Footage:
Will there be a basement? Yes Will any portion be used as living space? hp
If so, what portion? 1 Sq. Ft. Type of Use?
Type of Roof: Slo. /Flat/Shed/Other Material of Roof aspL -
Size, wood studs " x (p " ; spacing (c " o.c. ; length g ft.
Joists (floor beams) : 1st Floor . " x Ip "; spacing ( , " o.c. ; span (its( ft.
Joists (floor beams) : 2nd Floor " x iO " ; spacing )0, " 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 J " o.c. ; span dy ft.
Exterior Wall Finish: , of what material ?
Interior Wall Finish: sLee.-az. 4-a. a , ,,, 6,1
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: jisL-ee_Aybok
Is there X:7-n 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? no Height above roof ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth: ft. in.
Water supply Municipal or private well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: 1r4eInt.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: fares Mud Awes i/&DA,ax Iawinrrs iuy/JI Pau- PHONE A,1_3- g79
NAME OF PLUMBER & ADDRESS: Ott
1L0 / PHONE ca 60r�
NAME OF MASON & ADDRESS: � � L r 6vx uytt V` r PHONE 6;-3-3`/g
NAME OF ELECTRICIAN & ADDRESS: Q,y f � � s,Aa PHONE 4ay-fyjy
DECLARATION
To the best of my knowledge the statements contained in this application,
together with the plans and specifications submitted, are a true and complete
statement of all proposed work to be done on the described premises and that
all provisions of the Building Code, the Zoning Ordinance, and all other laws
pertaining to the proposed work shall be complied with, whether specified or
not, and that such work is authorized by the owner. Further it is understood
that I/we shall submit prior to a Certificate of Occupancy or Certificate of
Compliance being issued, an AS BUILT PLOT PLAN drawn o scale, showing actual
location of project on premises.
Signature A
0 finer, • ner s agent, architect
cogtract•r
•
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
evil OF QUEENSSL..
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) RECEIVED
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family owellir6E8 111993
Multi-Family Dwellings
(3 Stories or Les1)13 $ CODE DEPT
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
Forej
APPLICANT?S NAME 'f PROP RTYDLOCATIO
N
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor .Area - g 1 a 0 Sq. Ft.
2. Type...of Heat - Elec. Base Board Other i gro �qs Ld ar
3. Is Building Mechanically Cooled? YES I�/ NO
4. Percentage of Area of Windows and Doors Over 17% v/ 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 3d
B. Exterior Walls R 1°1
C. Glazed Area R 3.2
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
14/1 { 4 lD eV k23-317f
AP' ICAO 'S SIGNATURE DATE TELEPHONE NUMBER'
INSPECTOR'S REMARKS :
v iN O.F QUEENSEt, .
RECEIVED
`4 j TOWN OF QUEENSBURY FEB 11 1993
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fee Paid
BLDG. & GUDE DEPT.
Date: FCic 1-0LC7. 3 Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: Led- 40 c,_. s�
Owner' s Name: sdL 1 4 Vtowes
Owner's Mailing Address: --(ye. \,off -�(�-� ( 1
Installer's Name: cam` oj v--e_ Phone #: ( 3-351z1
Number of bedrooms (if residential ) : 4
Total daily flow (residential-compute @ 150 gal . per bedroom) : (Leo _
Topography-Circle One: de Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sa , Loam Clay Other /Depth:
°
Ground Water-At What Depth? g Feet
Bedrock or Impervious Material-At What Depth? Feet
Percolation Test-Circle One: of 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 Lost) gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench s D feet//Total System Length 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 REQUIRE
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:
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 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date €-r�k /0 ,19 '?3 Permit No. -J_.
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 j,,,,.,,f Wiwi Wenvwi APPLIANCE (check appropriate boxes)
Address J/?•t)2 1/1i 04 p ❑ STOVE: o Wood o Coal ❑ Pellet
0 FIEPLACE INSERT
Ak_ ,yYI-,u I i 4 y, A . Zip 11Air o-FIREPLACE, FACTORY-BUILT:
/ crWood ❑ Gas
, r
Phone .3-i;vi7q ❑ FIREPLACE, MASONRY:
❑ Wood ❑ Gas
F
Owner 3`, '`t /1 0j ;,Yt 0 FURNACE: ❑Wood ❑ Gas ❑ Oil
Address
IF NON-MASONRY:
Manufacturer: r-&-i,r i., c.
Zip Model: (Outlet: inches
Listed By: Number:
Phone
CHIMNEY (check appropriate boxes)
Exact address of proposed construction
0 MASONRY: 0 Block 0 Brick 0 Stone
/ •{ 416 av >/k i r4 ,re.. FLUE: ❑ Tile ❑ Steel
° Size: inches
CONSTRUCTION/INSTALLATION MUST Q/FACTORY-BUILT:.
CONFORM TO NYS FIRE PREVENTION & Manufacturer: ,..., .,•: is Model::
BUILDING CODE. CONSULT TOWN OF Listed By: r s Number:
QUEENSBURY HANDOUTS PROVIDED o'Double Wall 0 Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title
A 173 3389 (190)Public Safety
A 233 2655 (230)Minor Sales
Fee-Collected From or-Refunded to: "/;`. . ;-, :,.*I %1;7r if -1- F�
Address: - - - - f
Dated: .ty'///i Town Clerk or Deputy:'r`---< x .,r�.r,�. ( )4'IN1 I ,,.--
•
r
White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink di Goldenrod: Cashier's Dept.
•
- THE .NEW YORK•BOAR D OF FIRE UNDERWRITERS ; - CERTIFICATE NO.
•r' DO NOT WRITE HERE-FOR OFFICE USE-ONLY
BUILDING PERMIT NO.
,< t
TEMP.# DATE '.J G. 3
1 .
CITY OR VILLAGE I ZIP CODE I TOWNSHIP COUNTY
a _
STREET AND NO.OR ROAD POLE NUMBER
-BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION - BLOCK LOT
OCCUPANTS NAME " - BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
CURRENT'SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS I-I fr - -
NEW Q t OLD❑ - WORK IS - NEW❑ _. .-ADDITIONAL❑- DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT.WHICH-YOU INSTALLED' ..- .-
- NUMBER OF OUTLETS • No.of Fixtures& BRANCH . OFFICE USE
.Loca- Lamp Receptacles MOTORS HEATERS CIRCUITS ' -- "ONLY
•
lion Side Attach't H.P. Watts AWG.
Ceiling Wall - Recep'IS Switch Pendant Bracket No. Type Each ND. Each No Gauge -'INSPECTION ''
OUT-
SIDE - -.
SUB-
' BASE t
BASE-
• MENT
1st
FL.
2nd . .
FL. .
3rd
FL. ;
•
`. ' 4
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
a;
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 WAITS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY .
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN •
❑ OVERHEAD ❑ 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 APPLICATION MAY BE RETURNED.-'
PRINT NAME AND ADDRESS
NAME OF APPLICANT DATEOF APPLICATION Ii SIGNATURE OF APPLICANT Yam ,_,,.
s :{., i';`�;a,.,..P-� mV.. =:-- - «� I
STREET ADDRESS %� TELEPHONE NO. '
i f .
CITY OR POST OFFICE'''' "" ` ZIP CODE LICENSE NO.WHEN APPLICABLE
.. _ .I.'it!,1 -4 }L.• .i ism f ! 3/vo .•..3
❑ 85 John Street 3 0 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
_ —. .— - .... ... . ....... ..11 . —..--.. . a rfl Ifl—fa A 1/-1T-1 ,6_1-
S(,Ai lti,ati,ja,ttt,1ti, t/Ai \ti A,,A Vti,)ti,\t/}ti,vti 1td,ph,}tr,1ti,1ti,Ott,A/ 1t \ti ti,",\IN„\h,Ot/,\ti:1ti i,•/„I.L,ti,}tJ,}t7_1tr Ai"jti 1t:,"/ M tr t;.ti t.Ai;At>M t,it tt .h,,tr;,
_ THE NEW YORK BOARD OF FIRE UNDERWRITERS vA.G 1.
• �• 1& l6�r`�S BUREAU OF ELECTRICITY
!' r 41 STATE STREET,ALBANY,NEW YORK_ 12207
Date 'I\PRILi 2:L 1993 APPlication No.on file 1..149(3l 1'3.3/�.S O A 08 .343
°=.; THIS CERTIFIES THAT qi
_,,
• only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
s;
FGF'8StTWOOD 110111 , 40 A11FsTHYS T, QUI MDSBU1:Y p N.Y..
�; in the followinglocation; 3 Basement ' ed {a�1;
0 1st Fl. 2nd Fl. Section Block Lot
-t' AIZfli1.0 lb..1993 •
:; was examined on and found to be in compliance with the National Electrical Code.
_: FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER MAT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P.
°c
'1, 24
4 48 21:i 24 '1 1.`i 1. 1'
.- DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
ii; SYSTEMS
• AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. MAT. AMPS. TRANS. AMT. H.P. No.OF FEET AMT. WATTS
1 1' w 1
J:
• SERVICE DISCONNECT NO.OM F -- - _ _ S_____ E_ R_ _ V_- I C E
MAT. AMP. TYPE mum 1 Jr 2W 1 p 3W 3,v 3W 32 4W NO.OF C CCOND. of team.
NO.OF HI-LEG ot-ga NO.OF NEUTRALS of E.G
1. 200 CB 1 X 1 4/0 1 2/0
J.
a,-1' OTHER
+ APPARATUS:y /
�' G1,a1.'(,Ca't_.. un i q' q
�, S11C)1.1�1 D1J.L'1JCT`F4 i.- 1
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l; AR1 T EIE "1'RIC INC. (_,127 F:t;.'4I1, W. AVE CrV..77e
: '}COT , fW, 12.Wt2 BRANCH MANAGER 4
4
: 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.
.7t7ttlit '4 0 II 0 0 0 ® •c,.,-p"/t,;47`g7-y, .ii.,-;•;✓N'4;—;•; it.:i.-,-4?.i•—;. s;:.t•;-;4',--.',)--
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
/,,,,,m1, c(-4,)&37----
,.
r,..,
him TOWN OF QUEENSBURY
:,,/A►;, 531 BAY ROAD
443'. QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REP T
FINAL INSPECTION
REQUESTOR
CL INSPECTION RECEI i E 6 s 93
NAME / t
LOCATION .C a
DATE r / PERMIT# 3 j;,
TYPE S UCTURE .
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION /BACKFILLI' FRAMING
_ROUGH PLUMBING . FINAL ELECTRICAL SEPTIC
_INSULATION _WOODST,VE/FIREPLACE
REMARKS i
/ i.
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION f
B VENT/LOCATION ( t =Wien
PLUMBING VENT ,1 P tea,
ROOFING i I tea,
SIDING X
i !?
DECK/PORCH/STEPS/RAILINGS! 111111E511
RELIEF VALVES j .I =W,
FURNACE/HOT WATER OPERATIING
BASEMENT INSULATION/Dl1WWORK 111111101
INTERIOR TRIM/PRIVACY DOORS IIIIIImi
FIBITH FLOORS: a
BATH/KITCHEN WATERT7'IGHT 111111111
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED!, IIIIIIral
STAIR CLEARANCE/RAI'LING$ 111111EZ11
HANDICAPPED ACCESS/
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING IIIIIIrm
GARAGE FIRE PROOFING . IMAM
DOOR CLOSERS MINIM
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL .*C
OK TO ISSUE C/O OR C/C 1,
COMMENTS:
Co 4/11/ cro 2 A-i D'V -rD,c TO
k3R_t,v6 - .ias
/v g .
ARRIVE 2!1
DEPART Z E 6
P
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 02d/+3
NAME ;7- // Qo
LOCATION I-40 , 058!/
DATE 3 PERMI 93-/f3$
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION ,;n
AUTO. SPRINKLER SYSTEM ,7
ALARM SYSTEM ,
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO/HEATING UNITS
AG
REQUIRED SIGNE
e,
CHIMNEY / „
WOODSTOVE/
IREPLACELMASONRY
FIREPLACELFACTORY BUILT
REMARKS: I 1 OK\TO THIS DATE
(C2,4
�,
2 015 %
/ INSPECTOR
TON OF-QUEENSBURY
BUILDING G CODE ENFORCEMENT a64-41/
531 Bay Road ,Q/37
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 7y /Z4v/4l�' / '
Location M-y/j a>2/./ j,4/2L f&
Date ///2//, Permit # 95 9
SOIL TYPE: Sand-Loam-Cl ayf t).0
Results of Percolation Test- r
(if applicable) Rate-Minute/Inch 0--5
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length Z'5-6
Length of each trench 3 0
Depth of trenches 2-3 ;jr-
Size of stone , . z-- f
SEEPAGE PITS: Number- I
Size - ft. x
Stone size A,'
PIPING: E;' size Type
Bldg. to Tank ', f Sci4(-(v (XJL_
Tank to Dist. Box ft '-( vv il,, -
Di st. Box to Field/P' . f
Openings Sealed? Yes �
No Partial
LOCATION/SEPA;',I TIONS. ;.
Foundation to Tank \ /3 feet
Foundation to Absorpiti on, 7LcD feet
Svpara-t-i-e A 1 feet
Conforms as per Plot P1 an 110 ' No
LOCATION OF SYSTEON PROPERTY:
(circle on- ,/
Front - Rea - Left Side - Right Side
Middle Front - diddle Rear
COMMENTS: / \
11 z
// \
SYSTEM USE APPROVED: 411) NO
Arrived: '5,(2,,
Departed: "3� -
Building nspector
AWL-
TOWN OF QUEENSBURY •
FIRE MARSHAL
QUEENSBURY., NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED .�/ �f(3
NAME t & M,
LOCATION �� �Q 4-
DATE 3 2a/9," PERMIT# Q jf
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TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
y FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED ,y,'5/9?
NAME /(Pj/ Z6/(7;- ()v�',il
LOCATION 14) /. e 4 GAIL
DATE St. 6/`93 PERMIT# 9.JO3,j�
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2/015 - INSPECTOR
TOWN 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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NAME j ,d2 /(1/-dz7 /11.7)(f
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DATE 3Iaq (99.7 PERMIT # I 9g- Q, .,5
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FOOTINGS/PIERS
MONOLITHIC POUR FORM
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FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
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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 RECEIIVVED
NAME 'r'L�S/ a�' /rei
LOCATION L L (� iL /
DATE 3 PERMIT
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
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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 J////f$
NAME U<<P, G? 54 _
LOCATION 41,- 4/0 C G�L "
DATE ,000 PERMIT # 9(9'o
TYPE OF STRUCTURE j: (,cam /--
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 SITy
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DEPART /Z:o s
INSPECTO
TOWN OF QUEENSBURY
FIRE MARSHAL 7-12/2
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
• FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 349/93
NAME a ( ,' 2
LOCATION d-11> (imle/4,4
DATE gl9/�/- PERMIT# 93-0e-5-
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
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FIRE EXTINGUISHERS J I
AUTO. EXTINGUISHING SYSTEM /
HOOD INSTALLATION / /
AUTO. SPRINKLER SYSTE /
ALARM SYSTEM /
INTERIOR FINISHES /7
STORAGE: \
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REMARKS: / 1 - I -r OK TO THIS DATE
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2/015 INSPECTOR
TOWN OF QUEENSBURY °6
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTfION RECEIVED
NAME � / ` Waa/J 4c-,/46-5
LOCATION A/t(�A-i4- p-I -c i li —
DATE c7j //� ///Q3 PERMIT # 63-026
TYPE OF STRUCTURE((
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS -PPR-44.—
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
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REINFORCEMENT IN F,LACE
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BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED J/AC/,lady
NAME cJ9/4/ / %i:fed
LOCATION 6 .1XQ (i//77.1. 1/9/'
DATE L. 072 PERMIT # 93 f5s
TYPE OF STRUCTURE c5C Lt/ 'c CLtr
RECHECK APPROVED
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MONOLITHIC POUR FORM
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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 (\.A -t22({-( 1�l 93
NAME ) 4--- ;i
LOCATION L d- Tv �A4 g�f P *��
�y�DAT ( (g T3 PERMIT # ( 9'3—0.3$
TYPE OF STRUCTURE
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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
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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 REECEIVED
NAME 7tej l�dry
LOCATION L / y�,yyy/c,
DATE 6 S.3 PERMIT # 9 3-3J
TYPE OF STRUCTURE S7/.)
RECHECK APPROVED
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MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
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MATERIALS FOR THIS PURPOSE ON SITE,
FOUNDATION/WALL POUR '
REINFORCEMENT IN PLACE
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