1993-069 CERTIFICATE OF'OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date /5 19
This is to certify that work requested to be done as shown by Permit No. 9 3_d 6
has been completed.
_ single family dwelling
This structure may bC occupi l as a r.��i�}� l�r rs c� r a r ar �-a r.h rz1 rs a r a rr p
Location 11 ( ---#er, G/_ 7.,
Owner (-ha y-A c-Vl elm 1'Y\_eit O\r"
4 6—2.5 ' OOP rna an By Order Town Board
TOWN OF QUEENSBURY
A iNd b 1.
Director of Bldg. do CodeEnforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-069
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to RICHARD P. SCHFRMFRHORN (.7-1
OWNER of property located at Lot 5 Masters Common South 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
1 Brookfield Run =
Queensbury NY 12804
2. CONTRACTOR or BUI LDER'S Name
3. CONTRACTOR or BUILDER'S Address rj'
s
iv
-5
IZ
4. ARCHITECT'S Name
5. ARCHITECT'S Address
I-
0
c-+
cn
6. TYPE of Construction—(Please indicate by X)
Iv
In
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications n
O
a
No. 70' 8' Two story Single Family Dwelling as per plot plan, specifica- 0
x6
tions and application including three car attached garage and septic system. I N
8. Proposed Use N
O
Single Family Dwelling
$ 440.00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 30 19 q4 co
(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 30t y o March 19 93
SIGNED BY for the Town of Queensbury
m
Building an ing Inspector
TOWN OF QUEENSBURY
1111111,1111A` REVIEWED BY: cc
FEE PAID: �� t 0 aS z� S •� OF ()UEEW:h.RECEIVED
.11111.
PERMIT NO. : gg -dia q
1VIAR 31993
BUILDING PERMIT APPLICATION ' ntlika®®EEEM
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: J;c,k P. Scl,e.rwk e -L,o r�
P.O. Address: roo k n1 PHONE
d Ark
Property Location: 1..oi Jr MaSte r 35wnrnons So✓+h Tax Map No.
Has there been any split of this property since October 1, 1988? Yes No 17*
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: );(a nJ Pocr k. Lot No. 5
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
P,Q P. Sell uc,n/I ("1-, U
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
.(/ Construction of new building * CONSTRUCTION: $ 3a 0 o o v
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:
*
1st Floor aoO7 Sq. Ft. ''T® * Front Yard ft. Rear yard ft.
/ 0 * Side Yards ft. and ft.
2nd Floor 1. H 9 1 Sq. Ft. f- * If on corner, setback from side street-
e* ft.
Other Floors �( •Sq. Ft. *
(not cellar or basement) O g * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: 3 500 Sq. Ft. * Primary Building -
,/ One Family Dwelling
Size of New Structure: 7 o ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partia (Circle One) * Business
* Industrial
No. of stories (Habitable space) g * Other
Height (grade to ridge) 30 ft. *
If residential , no. of families: / * If addition, what will use be?
No. of rooms (excluding baths) : 9
No. of bedrooms:
No. of bathrooms: .- * Accessory Building:
Primary heating system: Ho-1- A;C * Detached Garage - One/Two Car
Type of fuel : o. * ,//' Attached Garage - One/Two Car
No. of fireplaces toe installed: / * Private Storage Building
Will a woodstove be installed?: ,n/o * Other
Central Air Conditioning: Yes ,( No *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. wood � �,,,
Will any second-hand or ungraded lumber be used? If so, for what? A/o
Foundation Wall Material : pooreA Co,ic,re.ti, Thickness: g "
Depth of Foundation below grade (to bottom of footing) : 7 '
Will there be a cellar? )1 Heated or Unheated? x Floor Sq. Footage: X
Will there be a basement? }%.S Will any portion be used as living space? ^/v
If so, what portion? X Sq. Ft. • Type of Use?
Type of Roof: Slope Flat/Shed/Other Material of Roof % tz)J�,,Jod
Size, wood studs " x (, " ; spacing ►(-, " o.c. ; length 7 ft.
Joists (floor beams) : 1st Floor " x 19_ " ; spacing J ( " o.c. ; span 76 ft.
Joists (floor beams) : 2nd Floor 0_, " x /6 "; spacing » " o.c. ; span /( ft.
Overlays (ceiling beams) : 9, " x g "; spacing /6 " o.c. ; span /6 ft.
Roof rafters: p " x j o " ; spacing I o.c. ; span ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: r e.Aci.r 5 n _ of what material ?
Interior Wall Finish:
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
5/Fi e J‘
Is there to be an opening between garage and dwelling? >ia.S If so, will a Fire-Rated door,
enclosure, self-closing device be provided? Y&C
Will a flue-lined chimney be installed? We S Height above roof 5 ft.
Depth of chimney foundation below grade: X ft.
Depth of fireplace hearth: 9- ft. in.
Water supply - unicipa or private well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: )v o ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: P;�1(1 P- Sc1ne ►M Llrbti ('.iJ PHONE '7,T-067Y
NAME OF PLUMBER & ADDRESS: a_ A l I e_ ) PHONE 7y-2 —56 53
NAME OF MASON & ADDRESS: 10o-Le C?),4 PHONE 7qa- 737/
NAME OF ELECTRICIAN & ADDRESS: iAi i k,e— Co vvt i S k-v_. PHONE 147 y-3o5
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
Compl ia`nce-be i'ng i ssued,`an AS—BUILT PLOT--PLAN 'drawn to - - -
location of project on premises.
Signature -�
Owner, owner' 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:
,eM OF QUEENSbI..
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) RECEIVED
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; MAR 23 1993
Multi-Family Dwellings
(3 Stories or Less)
r)(4. & CODE DEFT.
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
V idr\ P". s e f✓,l e e Y to r �'1" 6 ✓Vl GS)(t,/ for cam►
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - Sq. Ft.
2. Type of Heat - g0 Elec. Base Board Other
3. Is Building Mechanically Cooled? ,/ YES NO
4. Percentage of Area of Windows and Doors Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures C-37)FLA 00AestAi
B. Exterior Walls R
C. Glazed Area R 9. 5
D. Exterior Doors
E. Floors over unheated spaces R X'
F. Edge of Slab on Grade (Heated Building) R /f
G. Basement/Cellar Walls (Above Grade) R 041
H. Basement/Cellar Walls (Below Grade) R ) )
I. Heating/Cooling - Ducts - Piping in Unheated Space R 2(
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
tG ko --9 3 '58 —o 6 7e/
APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS : 1 I
.migia,
' I " D
.mN OF QUEENSb�
iskj TOWN OF QUEENSBURY RECEIVED
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fee Paiq Ap r ? 1393
Date: 3 a a -%3 Rev ewedy'� et CODE DEPT
LOCATION OF PROPERTY FOR INSTALLATION: 1..&+ 5 v'Y1q, 4-e(' Covvi or Sov -h
Owner' s Name: P;c.y, StJ,e ,r ,, ' tr J- o r/v
Owner' s Mailing Address: 1 (?rooks;e,ld. �tviv'
Installer' s Name: Y`ic„ P. Sci-Ne f'✓v► e r-1o,,J Phone #: 79 S-067 V
Number of bedrooms (if residential, ) : 1/
Total daily flow (residential-compute @ 150 gal . per bedroom) : , ///',4
Topography-Circle One: Flat Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sa • Loam Clay Other /Depth:
Ground Water-At What Depth? A-) /A- Feet
Bedrock or Impervious Material-At What Depth? A1/4 Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle On . Municipa> Well Other
If domestic water supply is wel-l—
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench 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 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: -
A//) 3 �3
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:
THE NEW YORKBOARD'OF FIRE -UNDERWRITERS CERTIFICATE NO. .
I e DO NOT WRITE HERE-FOR OFFICE USE ONLY 1
• . BUILDING PERMIT NO.
TEMP.# DATE (r 1, : (_�
1
CITY OR VILLAGE TOWNSHIP COUNTY(..,i....�r}-•.?�.,.' u.. i- 1A-.) 4‘"i'ti A)
STREET AND NO.OR ROAD C _ POLE NUMBER
_ i ,
-
BETWEEN WWiT TWO CROSS STREETS IS PREMISES LOCATED? ro - SECTION BLOCK LOT
0 ,i -. . -i • _
OCCUPANTS NAME ' " - BUILDING OCCUPANCY
�-, ( 1 I- irlA: r.1 i> f-A i
OWNER'S NAME AND ADDRESS -" HOME TELEPHONE NUMBER
I :1 t %i t_:! is ski.-\. fLeE,t!t) , _ 7
•
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS ,'I—Is - - ,,r
NEW La OLD❑ WORK IS NEW LJ' ADD/ONAL❑ DEFECTS REMOVED 0
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tlon Side Attach't H.P. Watts A.W.G.
Ceiling Wail 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.
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 SIGNSILAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGNITRANSFORMERS OF VA
• ❑ CONCEALED I '
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING , MANUFACTURER OF SIGN ,
0 OVERHEAD 0 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 . • DATE-OF APPLICATION SIGNATURE OF rA{PPLICANtT E:
STREET ADDRESS - ' TELEPHONE NO.
V:' - ::,i,'.`4 i ik.i '] r, „r, ^/fir
CITY OR'POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
• '. .t - ` t-,,,)I,..h__ /J. el. /.- r-)V . . i ? (4
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
-rum AIm\A/_.vr1DI1 Dt A.Dr1 r1C CID= I IAIrICDiA/IDITCDC. -
TOWN OF QUEENSBURY
531 Bay Rd., Oueensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date - c2.2 ,19 9` Permit No. r.1, -1.' 2 '/
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 g• - z.;i APPLIANCE (check appropriate boxes)
Address / 11r4,a ,� g", d' /L✓,4./ IZSTOVE: ❑ Wood ❑ Coal o Pellet
❑ FIEPLACE INSERT
z. sbu r ,,t�.X, Zip i t'9 / O FIREPLACE, FACTORY-BUILT:
❑ Wood ❑°Gas
Phone 67S. 2 9° 3 - 0 6 ? Y ❑ FIREPLACE, MASONRY:
Wood Owner f ®` ❑ FURNACE: o Wood o Gas ❑ Oil
Address IF NON-MASONRY:
Manufacturer: lo w
Zip Model: 3,00 c OV Outlet: i inches
Listed By: Number:
Phone
CHIMNEY (check appropriate boxes)
Exact address of proposed construction
0 MASONRY: 0 Block 0 Brick ❑ Stone
" ,-)`)r,r- ' 1, rt.av rN' FLUE: ❑ Tile of Steel
Size: inches
CONSTRUCTION/INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT TOWN OF Listed By: Number:
QUEENSBURY HANDOUTS PROVIDED ❑ 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
A 173 3389 (190)Public Safety
A 233 2655 (230)Minor Sales
Fee Collected From or Refunded to:
Address: b by
Dated: 2 , Town Clerk or Deputy:
White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink d< Goldenrod: Cashier's Dept.
TOW!I OF QUEENSBURY
'� �:, 531 BAY ROAD
" w. QUEENSBURY, NEW YORK 12804
�, TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED _
NAME SC(- Z ,t L,v 4 '
LOCATION LQ T- /�(
' , a2 (�
�` 4OA/3 Ca
DATE /0j f-/1 PERNIT# /75l®0
TYPE OF STRUCTURE <3_ r_ 0--
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT ,'"
ROOFING _r
SIDING 7
DECK/PORCH/STEPS/RAILINGS ;. .,,"
RELIEF VALVES if
FURNACE/HOT WATER OPERATIN '
INTERIOR TRIM/PRIVACY DOOR
FINISH FLOORS:
BATH/KITCHEN WATERTIG'T
OTHER FLOORS SWEEPAtE
OTHER FLOORS CARPETED \
STAIR CLEARANCE/RAILINGS \
SMOKE DETECTORS Q
DOOR CLOSERS / \
BATHROOM FANS / \
ALL PLUMBING IXTURES OPERATING ,
GARAGE FIRE ROOFING
DOOR CLOSERS
OTHER FIRE EPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
.6-.-T c-,,c.i..�A't L
ARRIVE //
DEPART '% ./ .
NSP;'CTO''
TOWN OF QUEENSBURY
#� w 531 BAY ROAD
° ,:t QUEENSBURY, NEW YORK 12804
' TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME � .0 . p21L!
LOCATION 1..Q v `j fJ6itii poor ibtvi
DATE I1(3 12//S PERNIT# (.3 '001
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
-ROUGH PLUMBIN - VFINAL ELECTRICAL—_,SEPTIC
-INSULATION OODSTOVE/FIREPLACE
REMARKS L.tv(;1,. 41n �(st.nnMQ,�Y(c.°c✓�ei i�� •
NO`� APPROVAL
N/A Y
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT / 1 Sc
ROOFING K.
SIDING /f K
DECK/PORCH/STEPS/RAILIN k� k'
RELIEF VALVES \
i'' L HOT WATER OPE TING � k
'IOR TRIM/PRIVACY DOORS '.
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED K
STAIR CLEARANCE/RAILINGS yg
SMOKE DETECTORS 3t
DOOR CLOSERS X
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING X
GARAGE FIRE PROOFING
BA4R G18SERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL P1173,0v-6- j(
OK TO ISSUE C/O OR C/C
COMMENTS:
RPikitolx?_,wyze—T(G),41 1 J-'<C
SLLtverz__ MZ-610S Vacy96-A._ rcr-rfAi
ARRIVE
DEPART
1 - NSP CT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUES FOR INSPECTION RECEIVED ) / ,/ ,i 3
NAM `j Cii--. S -e-a-vv hv2-1---
LOCATIO - M,(A4, (ear.-, ohs Soc 1p;t-.
DATE -7 J WC/3 PERMIT # /3-(X3
TYPE OF STRUCTURE S
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 1
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL \ -7
ROUGH PLUMBING \,
PLUMBING VENT/VENTS DM PLACE
PLUMBING UNDER SLAB A
FRAMING: I ilk (/
JACK STUDS/HEADE 'S \
BRACING/BRIDGING .,p0._ c.-----
JOIST HANGERS ct. \
JACK POSTS/MAIftT BEAM \
HEATING ROUGH-IN
\ASULATION: \
/ FOUNDATION W ELLS INTERIOR 'S
FOUNDATION W LLS EXTERIOR R\
FLOORS R-\,
WALLS R-g$ es"
CEILING R-31, ?----"
DUCT WORK QR PIPING IN UNHEATED
SPACES `.\;,
REMARKS: w,
ARRIVE L/, /0 /1 .Ir
•
DEPART 02,5
INSPECTO
TOWN OF QUEENSBURY Ph-
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION(� RECEIVED
NAME �_Y�hile/4r�
LOCATION 75- i474
DATE 6/ 93
U PERMIT # — cZ'
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING,' /
illACKFILL APPROVAL fi /
ROUGH PLUMBING /
PLUMBING VENT/VENTS INiPLACE
PLUMBING UNDER SLAB \,f
✓FRAMING: X
JACK STUDS/HEADERS f ,
BRACING/BRIDGING / k;
JOIST HANGERS / \
JACK POSTS/MAIN EAM
HEATING ROUGH-IN / 1
INSULATION: I
FOUNDATION W L'LS INTERIORT-
FOUNDATION WALLS EXTERIOR R-
FLOORS / 04,
WALLS / R-\
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED\
SPACES /
REMARKS:
1 ao.)21. 5duds
"2" zd 6vap ,Q,x�' 6)5 1/2 '
3_ i_p5 3-a iL fosi-S
11( /la5 A 0 , 9 -f-o Cyr'
A ci taw, 6-6411 `ems'
5• '°act noire-th,cLt c jam„ I-00ot 1 vu
6 `0"-oi4 r ovhl2Gar ail ufsNI-a S
ARRIVE I
DEPART
INSPECTOR
TOWN OF QUEENSBURY /1,ifcDy
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 ���
DATE 6/ PERMIT f 13-c6 5
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING /
THE PLACEMENT OF THE CONCRETE. /
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL /
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN\PLACE
PLUMBING UNDER SLAB V
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 i R=
DUCT WORK OLR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE &.ZG •
DEPART Fie' c�
INSP OR
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 6/6/93
NAME /be)idtd, 7 �,Qf(jnu hi '
LOCATION tia �6�,lim�, CL7yJ
DATE 5/51( PERMIT # -06
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE/
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING'
THE PLACEMENT OF THE CONCRETE/
MATERIALS FOR THIS PURPOSE Q,N' SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING x
XBACKFILL APPROVAL I�.
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB A,
FRAMING: I
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:
tI0
Yo dczb
pot.rt c_ 1 rM Przo vrf,W6
Pori p6zMti CA-2o0.,0st:�-
ARRIVE
e DEPART ,100
INS EC OR
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 G� JG�9�,
LOCATION L614s-AJ
DATE p 0 PERMIT # 93 -c f
TYPE OF STRUCTURE Sir0
RECHECK APPROVED
N/A YES ENO
✓FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE -'
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE/
FOUNDATION/WALL POUR f
REINFORCEMENT IN PLACE / /
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL I
ROUGH PLUMBING .�
PLUMBING VENT/VENTS IN PLAT!
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS V
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN ,f
INSULATION: ✓ V
FOUNDATION WALLS/INTERIORr`:R-
FOUNDATION WALLS EXTERIO0R-
FLOORS /
WALLS / RA
CEILING / R- .
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: '\
ARRIVE
DEPART
I SPECTOR
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 R/ECEIVVED� 4007, q, p/4
NAME ku*&d �ll-C1'(.�Y/i`IZIJ /Z 4L)
LOCATION 4 j 77i t ZLi 687,4431d-j[A_
DATE 1//a.%/%.1 PERMIT - �%
TYPE OF STRUCTURE`S 2) Zv A? abL dj
RECHECK APPROVED
N/A YES ,NO
)(FOOTINGS/PIERS
MONOLITHIC POUR FORM ,• r'
REINFORCEMENT IN PLACE / 1
THE CONTRACTOR IS RESPONSIBLE If
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWI G
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE ,/
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING 11 I
BACKFILL APPROVAL ;, /
ROUGH PLUMBING Il,+
PLUMBING VENT/VENTS IN PLACE A
PLUMBING UNDER SLAB I \1
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING / V
JOIST HANGERS /
JACK POSTS/MAIN BEAM/
HEATING ROUGH-IN I
INSULATION: /
FOUNDATION WALLS INTERIOR R- 2,
FOUNDATION WALLS EXTERIOR R- ',
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
•
ARRIVE
DEPART
I SPECT
MAP REFERENCE:
MASTERS COMMON SOUTH
HI LAND PARK P. U. I.I.
BY VanDusen, & Steves
FILED IN DRAWER 17 FOLDER 1
r
r
t�z
�. �`f 'SEW `l �•
I HEREBY CER'?FY TO
WOONG MAN & YOUNG SOOK LEE
GLENS FALLS NATIONAL BANK AND TRUST COMPANY,
IT'S SUCCESSORS AND/OR ASSIGNS
-IICAGO TITLE INSURANCE COMPANY
SAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON
1E GROUND ACCORDING TO RECORD DESCRIPTIONS AND
10WS LOCATIONS OF BOUNDARIES AND IMPROVEMENTS
4 THE PREMISES AND THERE ARE NO ENCROACHMENTS
fHER THAN SHOWN.
:ON M. STEVES
JED: MAY 19, 1993
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OIF SECTION 7209, SUB -DIVISION 2. Of THE
NEW YORK STATE EDUCATION LAW.'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY (C4
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.'`CERTIFICATIONS INDICATED HEREON SICNIFY THATTHIS SURVEY WAS PREPARED IN ACCORDANCE MATH THEEXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPBY THE NEW YORK STATE ASSOQATION OF PROFESSIONALLAND SURVEYORS. SAID CERMCA71ONS SHALL RUN ONLYTO THE PERSON FOR WHOM THE SURVEY IS PREPARED , A.ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL
AGENCY AND LENMC INSTIIUPTOON L15TE�D HEREON, ANDTO THE ASSIGNEES OF THE LENDING INSTITUTION.'
to
ca
v
v
co
Q
MAP OF A SURVEY MADE FOR
WOONG MAN & "UNG SOOK LLLL
I OWN DF OI.IEE:NSRUIRY i COUNTY OF WARREN N . Y ,
-A`E : 30' DATE 1 MAY 19, 1993
vuAlsen steves
Ll"NI 1 -3i-ENS FALLS, I S, NFW VnRK
'.F I=. = `IRON R'?n F(7 JND
tllll�Ilif'