1993-081 ql t i
, Y
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date M'ia.,ca 47 19 21
3 I, `o- It- 4f
This a to certify hat-work requested to be done as shown by Permit No. 93-081
has been completed.
This structure may be_occupied as a single family dwelling with
Ail two car attached garage
Location Lot 89 L� 'estire Drive, Woodmere Subdivision
Y
Michael J. Vasilibu
Owner
119-6.18
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
r e
BUILDING PERMIT
TOWN OF QUEENSBURY `
No. 93-081
WARREN COUNTY, NEW YORK t �,
ai
PERMISSION is hereby granted to MICHAFI J. VASILIOLI INC_
co
OWNER of property located at I of 8 I ancPcti rP Dr, Woodmere Suhdi v_ 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
14 Stone Pine La
0
2. CONTRACTOR or BUILDER'S Name
same
m-
0)
m
3. CONTRACTOR or BUILDER'S Address
1-1
n
4. ARCHITECT'S Name
5. ARCHITECT'S Address
r
0
c
.00
6. TYPE of Construction—(Please indicate by X) 0)
rD
X I Wood Frame ( ) Masonry ( )Steel ( )
fJ)
ci'
J.
"S
7. PLANS and Specifications CD
No. 40'x42' Single family dwelling as per plot plan, specifications and
application including two car attached garage and septic system.
8. Proposed Use
Sirigl'eifa)rii'ly dwelling
J•
191.00 April 2 94 fD
$ 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 a
town of Queensbury before the expiration date.)
10.
Dated at the Town of Queensbury this ay, f April 19 93
0
SIGNED BY for the Town of Queensbury
Buil ing and Zoni Inspector tO
TOWN OF QUEENSBURY ' REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT 5 •i
BUILDING & CODE ENFORCEMENT ... '� f(. FEE PAID: /J /`I/�
I
531 BAY ROAD '' '"' s3, /�i n G
QUEENSBURY, NEW YORK 12804 PERMIT NO. %� 'OS/
(518) 745-4447 ,yi' OF 1,2 tENI b.-
BUILDING PERMIT APPLICATION RECEIVED
A PERMIT
BEMUST
MADEEUNTIL OBTAINED
APPLBEFORE
HASBEGINNING
RECEIVEDCONSTRUCTION.
BUILDI I M IONS
PE T
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the applicatiou gfeO7DE DEPT
OWNER OF PROPERTY: L. L /
Mailing Address :
Telephone Number(s ) : Work Home Other
PROPERTY LOCATION: Za90d/17P.c —��,tie Z7�F D 1I/E
Tax Map Number: Section ///,, Block' /„ Lot
Subdivision Name: ,(e)C/9/ � Lot No. C 3
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 110 / 00 n
X NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL )( Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR /` (70 SQ. FT. J/(OI
:/7-.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT.
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS :
Detached Garage - One T, . - .r
TOTAL FLOOR AREA: /3 O O SQ. FT. X Attached Garage - One Two Car
1 . Private Storage Buildin.
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
4 'e FEET X Z-72- FEET
Foundation Type: v 267L,E) Will any second-hand or ungraded
Number of Stories : / lumber be used? If so, for what?
(habitable space only) /Utc)
Height (grade to ridge) : /Z feet Type ,of Heating System:
Number of fireplaces and/or woodstove (circle all which a••lies)
to be installed: en El / Gas / Wood
orced Hot Air Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
yA r/ 1 /)'STr"- ' Ffw+...
NAME OF BUILDER/ADDRESS/PHONE : /1I(Ct+A-C� �1 . V (ctoc) ,Zu . ACE ��31a1
NAME OF PLUMBER/ADDRESS/PHONE: - �� 8 ->c�2 �i� — 9 �-3�/
= �
NAME OF MASON/ADDRESS/PHONE : A-/L-la - / CCr Abtait, O 7>Z-02 z'2
NAME OF ELECTRICAN/ADDRESS/PHONE : fJ)„vG,0t A-s.1 ^ 7?(P=K2 1ror--
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 noted, 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 to scale, showing actual location of pr j c o pre ises .
Signature ..60-7e-, 40
(Owner, owner' ag n , architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
�-.'vtali k.•7 ENERGY CODE COMPLIANCE APPLICATION d46N OF QUEENSE
j TOWN OF QUEENSBURY, WARREN COUNTY RECEIVED
9000 HEATING DEGREE DAYS
APR 11993
Compliance Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (on-:Pf• CODE ®EPTa
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
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - / DO square feet
2 . Type of Heat - Electric Oil 40
e. Other
3 . Is building mechanically cooled? Yes (21:-)
4 . Percentage of area of windows and doors Over 17% X Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 3 '
b. ,Exterior walls R (q
c. Glazed areas R 3,
d. Exterior doors R '" 1
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 r-
6 . Service (domestic) hot water heating device .
Conforms to minimum efficiency per code X Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Ap c 4;:g11_1tue/e9 Da e / Phone Number
INSP CTOR'S REMARKS :
/ � .0/ OF QUEENSBi...
� � TOWN OF QUEENSBURY RECEIVED
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
Fee Paicji 993
rIG. &'CODE DEPT.
Date: (3��29 93 Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: /47 J'A Cjc5r4. '( ne(4/C
Owner' s Name: /tf,c,s .ii J vfrsic ( nc) 4/e.
Owner's Mailing Address: l/ 5 p Pee?..q //0-r/C'
Installer' s Name: #07,04.0e.ip C_ n r�. Phone #: — mZZZ._
Number of bedrooms (if residential ):
Total daily flow (residential-compute @ 150 gal . per bedroom) :
Topography-Circle One: Fla Rollin. Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam Clay Other /Depth:
Ground Water-At What Depth? /Ube0C j a it-,4Feet
Bedrock or Impervious Material-At What Depth? 40,-)c-f- ,C,,v,‘"rl.-a et
Percolation Test-Circle One: Not Required 'equired/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 /00 O gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench "® feet//Total System Length /a 7 feet
Seepage Pit(s): Number of / Size each: ft. x ft.
Size of Stone i- sed: # / Dep o. feet
/al g
4./ 53/
**********
i I . 1 -INK 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:
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:
Toinn of Tupenshury 3igljfnag PepartmEnt
Bay at Hartland Roads Office Phone 518-793-7771 oueensbury, New York 12801
PAUL H. NAYLOR ,r'f\I OF QUEENS (CHARD A. MISSITA
Superintendent Highways RECEIVED Deputy Superintendent Highways
DRIVEWAY PERMIT IPR11993
•
��. & CODE DEPT.
DATE: /2 C� j
. APPLICANT NAME: d t �� fz �/, i toe/ At/C..
TELEPHONE NO. : 3 - 7.3
ADDRESS TO BE INSPECTED:
RETURN ADDRESS: /Y
Applicant must show exact location and width of driveway(s) to be connected
to the highway by placing stakes at the specified location.
The Superintendent of Highways, Town of Queensbury, has reviewed the application
of the above named resident to connect a driveway to the Town road. The
following action has been taken: �--
STEP 1: ( ) Preliminary Approval `�/14
NEED: ( ) Slight Swail
( ) Level With The Road Lo7
( ) Deep Swail
Size Pipe to be used (if necessary) h�
( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36"
Preliminary inspection by DATE * /.7i�
Approval by Highway Supt. Depty. Supt.
After receiving the Preliminary Approval , submit the permit to the Town of
Queensbury, Highway Department upon completion for a Final Approval .
STEP 2: ( ) Final Approval
( ) Rejected
DATE:
PAUL H. NAYLOR
Superintendent of Highways
Town of Queensbury
MIDDLE DEPARTMENT INSPECTION AGENCY, INC. •
National Headquarters
•..-., - 1337 West Chester.Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION •
- Date/7/ y3
City, Town or Township UP 0,4- County �, /�/'�-j State —
Location/Address 6 % , ` //4171./C' (z 5 T/77 /vG
(If L
��cate in Rural Area-Please Attach Directions) Pole #
l Owner i /l ! A /<Y'C�f ( Permit #
Occupied As �� 5
-F. ,2 (. Building: . Newn Old
Occupant
Work Area in Building (Floor #, etc.):
App. for: Wiring] Service f or: Ready for Inspection:
Fee Remitted-$ Cash PI Check I I M.O. ❑ Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
Water Heater Air Conditioner Dryer Pump
Receptacles
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
•
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size _
Applicant's
Signature License # Permit #
T/A / Utility:
• (NAME) (OFFICE LOCATION)
Applicant/'s.�ddress: e` /e- �ZT''\Q„ , � ./2,, �-
(City) (..�6 / (Zip) G Service Request #
Phone # -� — 7 3 S 3
(State) /7 / Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above n or:
Red Notice Label n
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 T 1/6 1/4' 1/3 1/2 3/4 1 1,/2 2 3 5 7,/z 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID
❑ RW Progress: Inc.❑ LKD❑ Contractor
❑ CFT Violation: Work Comp.❑ Inc. n CASH ❑
Ti L/A Owner Fee
CHK #
❑ L/A Due MO #
Ti IPA . Municipal
_ I N V #
Applicant ❑
Date: Other Side❑ Utility Owner
Cut in Card n Temp # Date
Ti Final # Date INSPECTORS SIGNATURE •
APPLICATION FORM NO.250 EL 11/89 .
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No.-Fjj�� 5 ^V Sj
/��7 l Owner / !1 .�i& V (L t o Occupant
Location 4 G,7_ U Q
A j/ Street
(,(/ Tox•n ur Ctn• yly State
InstAt1 tion as itemized on reverse side has been visually inspected pursuant to applicable
codes. , �
Installed by i 0 it)
SI 2-7
Date Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL.
ROUGH WIRING OUTLETS
H.P.AIR CONDITIONER
1. r( { L.LY WIRING &CONTROLS FOR BURNER
kRECEPTACLES H.P.PUMP
3 g FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS /L K.W. DISHWASHER
K.W.SURFACE UNIT / K.W. DRYER
/ K.W. RANGE AMP.!!! RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS 1
OTORS H.P. 1/20 1/12 I/10 '/a % % '/a %z ' 1 1' 2 3 5 7' 10 15 20 25 30 40 50 75 100
ARK NUMBER
EACH SIZE
PPARATUS
rwro'+
.-,e
,
TOWN OF QUEENSBURY v,-
31.
tA► 531 BAY ROAD 1
t QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
'W BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ,S//,5193
NAME 14,1_1 Ii w
LOCATION ., f f (�(AJJA7} All, .
DATE 6124/9.3 PERMIT#} fs-on
TYPE OF STRUCTURE S f, & Ae eat rit-i
RECHECK , edf, .
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING i$OUNDATION s_BACKFILL v FRAMING
TROUGH PLUMBING . FINAL ELECTRICAL _SEPTIC
k-INSULATION WOODSTOVE/FIREPLACE
REMARKS ![,gip d... AL, $IOC
??e,I . , tii,e yee. wP� / A ROVAL:'
N/A YES;. NO
CHIMNEY GHT/LOCATION
A,
B VENT/LOCATION
PLUMBING VENT • • ;"
ROOFING • l K
SIDING r K,
DECK/PORCH/STEPS/RAILINGS I k
RELIEF VALVES i: .
FURNACE/HOT WATER OPERATING F K
BASEMENT INSULATION/DUCTWORK X
INTERIOR TRIM/PRIVACY DOORS,N: X
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT' ' K
OTHER FLOORS SWEEPABLE,' j,
OTHER FLOORS CARPETED' g-
STAIR CLEARANCE/RAILINGS $ k
HANDICAPPED ACCESS ,'
SMOKE DETECTORS V It R.
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING K
GARAGE FIRE PROOFING x
DOOR CLOSERS ,1
OTHER FIRE SEPARATION
' F- EIDEMi-SS-E WALLS,
PSG / .
S-T-E PLA TS
FINAL ELECTRICAL AVo; -C7-
OK TO ISSUE C/O OR C/C .X
COMh)ENTS:
L,6_-7Z f C
A P e-r(0V
ARRIVE 7.,Zp , _ i/
DEPART 7- w A,�,`A/�i,A.V�
'NS'[ TI'
TOMN OF QUEE6 SBURr //
BUILDING g+ CODE ENFORCEMENT�
531 Bay Road
Queensbury NY 12804 •
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name *g_61487>
Location / 4 ,442,e ,, AL
Date 6A5//',6 Permit # ?-di/
SOIL TYPE: Sans- +am-Clay •
-
Results of Percolation Test- //
(if applicable) Rate-Minute/Inch/[/
TYPE OF SYSTEM:
ABSORPTION'S FIELD: Total Length -'7co
Length of each trench
Depth of trenches 7— 3
Size of stone 4:c77,=
SEEPAGE PITS: Number-
Size - ft ,. (as"- ".
Stone size ,i�
PIPING: /i Size Type
Bldg. to Tank / 12{ SJ45—
Tank to Dist. Box / ? 2- Au L
Dist. Box to Field/Pi j 4 Qu-t—
Openings Sealed? qiiip No Partial
LOCATIC7b/SEPIA :TIQnS
Foundation to t rd feet
Foundation to Absorption feet-F
Separation/of Pits - g75feed
Conforms a.s per Plot Plan ' No
LOCATI(bbt"rJOF SYSTEM OM PROPERT
(circle one)
Front - ea '- Left Side -‹'Light Sid
Middle Front - Middle Rear
COMMENTS: <__ - k filli Age_p IAA)
SYSTEM USE APPROVED: YES NO
•
Arrived: Th
Departed: l0-;cp
Buildi gI pec or
CRANESVILLE BLOCK Na. r �2
I�I' RT. 5S • AMSTERDAM, NY 12010
O '� `o \\\\\'4/,
887-5560 • 346-1251 '
MASON SUPPLIES READY MIXED CONCRETE
AMSTERDAM 887-5560 AMSTERDAM 842-7270
JOHNSTOWN 762-3318 SCHENECTADY . . . .346-5063
r
_ - a —
v / / O
7/
zre=±,L,,
(t7 I /2
s
6—P741/21)
Gal
LCLL4
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION /Y gP
DATE S�f9; PERMIT 0 p'eatV
TYPE OF STRUCTURE �/D
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 .0
REINFORCEMENT IN PLACES /
FOUNDATION/DAMPROOFING�� I'
BACKFILL APPROVAL
ROUGH PLUMBING ., i7'
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB f
FRAMING:
JACK STUDS/HEADERS ,p \.
BRACING/BRIDGING /'
JOIST HANGERS /
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN / A
xINSULATION: / \
FOUNDATION WALLS/INTERIOR R=.,
FOUNDATION WALLS' EXTERIOR R- \
FLOORS R- ti
WALLS / R- /j\
CEILING / R-
DUCT WORK ORI PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE /O,` if
DEPART
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 INSPECTI RECEIVED . _3
NAME 1 1`4 J2.... a i
LOCATION ,
DATE PERMIT #
TYPE OF STRUCTURE /
RECHECK )/ 4'P_- APPROVED
N/A YES NO
FOOTINGS/PIERS 1
MONOLITHIC POUR FOR 11
REINFORCEMENT IN PLACE 1 /'
THE CONTRACTOR IS RESPONSIBLE1
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING"
THE PLACEMENT OF THE CONCRETE')
MATERIALS FOR THIS PURPOSE ONSITE_
FOUNDATION/WALL POUR �l :
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING / 1
BACKFILL APPROVAL f
ROUGH PLUMBING l
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB /
AMING:
JACK STUDS/HEADERS J
BRACING/BRIDGING / a/
JOIST HANGERS /
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN i
INSULATION: 'f
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
if67,41 eer‘c,-.1.
ARRIVE / 10
DEPART / ISd�
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 INSPE'TION RECEIVED
NAME J 9 e/1"—j
MISPIMA
LOCATION ' iS_DATE ��t PERMIT # q.5
TYPE OF STR CTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS / a'
MONOLITHIC POUR FORM I /
REINFORCEMENT IN PLACE1
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM ,J
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR A
REINFORCEMENT IN PLACE I
FOUNDATION/DAMPROOFING ' I
BAS.KM APPROVAL I
7R OUGH PLUMBINVG> c\ /
PLUMBING VENT/VENTS IN PLACE
BING UNDER SLAB
d'AMi ems Id
JACK STUDS/HEADERS
BRACING/BRIDGING 7 17/
JOIST HANGERS
JACK POSTS/MAIN BEAM/
HEATING ROUGH-IN /
INSULATION: d
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EsXTERIOR R'-,
FLOORS d R-\
WALLS f R-
CEILING / R-
DUCT WORK OR PIPIING IN UNHEATED,
SPACES /
REMARKS: ( /',
/+7 G��/
/41/ 1 ( /
Aw e/ td`vvei
ARRIVE drs v
DEPART 3) /0
INSPEC R
04W., .
. .
sIlterdi � TOWN OF QUEENSBURY
Bay at Haviland Road, Queensbury, NY 12804-9725—
Building & Codes Department
INSPECTOR'S REPORT` Q
• / 1 4 Z--1J19 93
1-LT 1__-radu --i rz6-
PROPERTYWk'S
LOCATION
rL. lou -- R_-_,-2,tt IF 1-0
OWNER OR TENANT /
BUILDING_SEWAGE SIGN_ OTH�E'R
f
REMARKS: 13 t� F.1 LL1 i AI/ Per (•C�y{J.
6----R-iz'
4lJ/L- )ci/V rof WA '-( _S
t^ TIDUI`LC3 .
C�C�,I�r'C-- T! �[�-
86 s�.l G ice 7- /{f,-5 curet-6
Pao p L--G A-,VO c/ RPA-c
. 1 r- /0--cdsi A-r2--, :60 Fa&
•)31 " ref (--C- WE
l �
OA-Mi frtsoCtA-6 /U . cPvl f214
r /
NS ECTOR
"HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE"
SETTLED 1763
I- c 41k
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIION RECEIVED
NAME r�J/%4
LOCATION 2/' ? L6//Cr3/
DATE i/7it3 PERMIT i ?3 -OF/
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
UNDATION/DAMPROOFING ,h' x
ACKFILL APPROVAL
ROUGH PLUMBING 2'
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB /`
FRAMING: '
JACK STUDS/HEADERS /'
BRACING/BRIDGING '. I
JOIST HANGERS /
JACK POSTS/MAIN BEAM I'
HEATING ROUGH-IN ,,,/
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR; R-
FLOORS •f' '.R-
WALLS - R-
CEILING / R=,
DUCT WORK OR PIPING IN UNHEATED
SPACES +'
REMARKS:
cD:.00 Ms� 12�/k-D L
Pprfai 7, --L PA-e,_ _c_-0 re_.
ARRIVE
DEPART /O� ---0
INS E OR
TOWN OF QUEENSBURY iyood
,BUILDING AND CODES DEPARTMENT531 BAY ROAD �
QUEENSBURY, NEW YORK 12804 (/
TELEPHONE (518) 745-4447
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Y/,za4,u,
LOCATION - (f- ���,(� ��
DATE 4/2.fq_3 PERMIT # 3 -
TYPE OF STRUCTURE C.
RECHECK APPROVED
1 N/A YES ,NO
\/FOOTINGS/PIERS J �/
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING\PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT DF THE CONCRETE.
MATERIALS FOR TH S PURPOSE ON SITE_
FOUNDATION/WALL OUR
REINFORCEMENT I tPLACE
FOUNDATION/DAMPROFING
BACKFILL APPROV �L
ROUGH PLUMBING N.
PLUMBING VENT/V NTSVN PLACE
PLUMBING UNDER ,LAB
FRAMING:
JACK STUDS/HE DERS N,
BRACING/BRID ING _ N,
JOIST HANGER "\,
JACK POSTS/MA{IN BEAM N‘
HEATING ROUGH- yN
INSULATION:
FOUNDATION WALLS INTERIOR R- `' _
FOUNDATION WALLS EXTERIOR R- `r
FLOORS R-
WALLS R- `4
CEILING R- 'N
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
8'k/6 A/
4-15
•
s kt%kr
ARRIVE p21,/5
DEPART 3:00
INSPECTOR
L y,•, ,
'Q o•� `x a-,',...•
//•
\ ,--.1 s' ci. 004 , _ --k A
_-'00--)\ , \ ` ._ ' X o'/ -, 0/>° .
•
Nit
\ 0.04IV - c.
I*I
/y IL_
. <E- /Fss,` b/ , R ys; �\ _.. z •j ,� 4o t a Es __,_sue.
i`
1 \ JV ,� ill', o
IA
j
\/ i 00\,- - c I F� L f- -
1 r r
3 " 0 •07/ 0 (0o//86p '86726Ti .01
• a ? it-c,
(771 „ 0/, _c _. 29 -/V
— - -- /1/.7.7a1,9
v a 0I I •
a i;
(11\1
?ofr zz \ �� ` �� W AE /�'O71r7d-7a'
___ ��1 0 __ .( t :r o2_:�z
(I, v 6/
MI a
_ lc, o,� ti
o fr - 1 \ \\AO ~ • da OF ®tlI�EIVS �
\ os RECEIVED
,Nis,.,,,NN.::::.7 • . ,---__________` APR 1993
a I � 0 .0 /
07 o7, _co -,, z8 /v-
\o+o . y - G. & CODE DEP
T.
D , , , . / / ) / 1 \ \ .. .-„\„ i .: : .
1 . ,
--,.,..______ ill .11,jr -k-:. I °. • i I: L 10
A Ay =1 0/ \\. N -.
• , -0. \• ,,s.,1:4; j ;,_, ›-i.47/ -e r'8 /V 4C`P
- - F
1 zI ° '/ .( s� 60<
r+AP RE�EaEt�ce
woop MELE _`w-4p,✓"SI.pI
BY cuu N.T e.R 0 MCC_oA),A AGIc
ATE 0 4 Pk I L 41 f e18.7
L %YT 9
&I S
�_ --YT 8
22-,b5-8 I -,, 4+
t,J 1 f
it
n
r\
n�
I HEREBY CERTIFY TO
DORIS,M. PIDGEON
THE FIRST NATIONAL BANK OF GLENS FALLS, ITS
SUCCESSORS AND/OR ASSIGNS
MONROE TITLE INSURANCE CORP.
THAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON
�Q
THE GROUND ACCORDING TO RECORD DESCRIPTIONS AND
L !�� SHOWS LOCATIONS OF BOUNDARIES AND IMPROVEMENTS
ON THE PREMISES AND THERE ARE NO ENCHROA CHMENTS
" OTHER THAN SHOWN
36 ;
h
3 t 3 __
LEON M. STEVES
DATE- Mil i ZL JW,7
0..**.
IV
.r. ZQ`�y2-6272829�
.� of MAY 1993
w.walw• ,N N
Rebel w
Towne .4
apt �
ro
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL r A
MOLATION OF SECTION 7209, "-DIVISION 2 OF THE
NEW YORK STATE EDUCATION LAW.'
ONLY COPIES FROM THE ORIGINAL OF THIr SURVEY
MARKED "TH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.'
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
TENS SURVEY WAS PREPARED IN ACCORDANCE MATH THE
EASIING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTTTUIT1oN LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTWN.'
ct�
t tS—S` 8