1993-077 r . ._....„.3
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 30 , 19 94
44 •t . .--- 1 ' <6 3
This is to certify that work requested to be done as shown by Permit No. 93-077
haibLencompleted.
. ..."`" ,,..
„--2 -, single family dwelling with
This structure may
- b eA---1Aupied as a -. V " -
15 L \ L -
utle t.Lw t,..
Location l u ..10c. , uibf,
Corner Gurney Lane'and 01\htesl Mountain Road
1
Samuel J. Butto andil E. Butto •
Owner
32-1-30.2 By Order Town Board
• TOWN OF QUEENSBURY
Directori1, of Bldg. a< Code Enforcement
, _
f,
BUILDING PERMIT
TOWN OF QUEENSBURY No. 93-077
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to SAMUEL J. AND GAIL E. BUTTO
OWNER of property located at Cor. Gurney La. & Old W.Mountai n Rd 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. °J
1. OWNER'S Address is O
1 Empire Av N
Queensbury NY
2. CONTRACTOR or BUI LDER'S Name
Spectrum Enterprises szo
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
520
(X)Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
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No. 89'x50' Two story Single family' dwelling as per plot plan, specifica- `+
tions and application and including three car attached garage and septic system.
8. Proposed Use
Single family dwelling
J.
488.00
$ PERMIT FEE PAID—THIS PERMIT EXPIRES April 2 19 94 rD
(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 2nd Day of April 19 93
a
SIGNED BY i��,% WCZ/1//�
GjeiZfl� for the Town of Queensbury
Building and Zoning Inspector LLL,. �•
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TOWN OF QUEENSBURY 1
REVIEWED BY:
lkit • FEE PAID: 4.teg`k.,,- b Jifj
� � f .v,lp4 OF QUEENSE.:.
All Mil.
PERMIT NO. : 5--0 RECEIVED
MAR 01993
BUILDING PERMIT APPLICATION nG. 8, CODE DEPt
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.
* * * * * * * * * * * * * * 4�*/ * * * * * * * * *� /*L* * * * * * * * * * * * * * *
Owner of Property: Senn ue/ J�*f ��
P.O. Address: ( &>2 /,_e glle__, /ei-)5 -F—Al/S , hi• -i.;),$)0) PHONE 7 ? ,b ea---
Property Location: ('�Otke dd 414g,u yJ�aie. f 4ld11JRsl i, Sax Map No. / / /3
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: A# Lot No.
THE PE SON RESPONSIBLE FOR SUPERVISION OF .WORK AS REGARDS TO BUILDING CODES IS:
, &/0
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
1/Construction of new building * CONSTRUCTION: $ 4a6/ On,
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: 5°1�
* ft. x ft.
- : "* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: ?. * property line:
1st Floor WS. Sq. Ft. 4° /, *_. 1 Front Yard /oo-V ft. Rear yard 4S ft.
!oc 33 * % Side -Yards /oo-i- ft. and fOo- - ft.
2nd Floor f 7 (- Sq. Ft. * ` If on corner, setback from side street-
7. ,* /ba f ft.
Other Floors Sq. Ft. I'qc 4 '28*
(not cellar or basement) i 'e9 I&C* OCCUPANCY INFORMATION:
��®® 3eio 3�
TOTAL FLOOR AREA 3(h Sq. Ft. 64 3 Primapy Building -
Lt_____ 51441 L. One Family Dwelling
Size of New Structure:a9 ft. x 1) f4 8' 'tl Two Family Dwelling
Foundation: 4 6-Q _ Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial Full (Circle One) 5B .* Business
* Industrial
No. of stories (Habitable space) cZ * Other
Height (grade to ridge) ..3,3 ft. *
If residential , no. of families: i * If addition, what will use be?
No. of rooms (excluding baths) : *
No. of bedrooms: _2 *
No. of bathrooms: , A * Accessory Building:
Primary heating system: SVAI-6/65/5147` i., * Detached Garage - One/Two Car
Type of fuel : �q-6 * Attached Garage - One/Two Car
No. of fireplaces to be installed: / * Private Storage Building
Will a woodstove be installed?: AN * - X Other r q c - J C4/C 64nAle-
Central Air Conditioning: Yes X No *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. (,OOoD- ,91Y,e u.l A2+ck, 4cacWill any second-hand or ungraded lumber be used? If so, for what? i`a
Foundation Wall Material : l oti(,2eAt Cucc__ Thickness: /Q "
Depth of Foundation below grade (to bottom of footing) : 2' °. `t
Will there be a cellar? des Heated or Unheated? 11 eareEZ Floor Sq. Footage:
Will there be a basement? Will any portion be used as living space? AVU
If so, what portion? Sq. Ft. Type of Use? 5'o e / G�jLt,` cc' II
Type of Roof: Sloped/Flat/Shed/Other 5./o/) L Material of Roof ',Bey/.qss SA;tiy/c
Size, wood studs 02 x (o " ; spacing /(�, o.c. ; length ft. 1 ettS. es
Joists (floor beam`s) : 1st Floor " x / " ; spacing /(o " o.c. ; span � ft �
1 . /�rss,
Joists (floor beams) : 2nd Floor �-- " x l— " ; spacing l6 " o.c. ; span ft. f ,5-C
Overlays (ceiling beams) : " x " ; spacing " o.c. ; span ft.
Roof rafters: " x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: £ei&/ �// 4 tl of what material ? &do i (4&470,
Interior Wall Finish: She C_.
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
V ke Ce Si(e k
Is there to be an opening between garage and dwelling? yeS-If so, will a Fire-Rated door,
enclosure, self-closing device be provided? e S
Will a flue-lined chimney be installed? Rib eight above roof ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth: ft. in.
Water supply - Municipal or private. well : /YIU.lJLctp
SEPTIC SYSTEM: Distance from any private well (including adjoining properties:/00 ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS:S ej c,,J}js j t,�e, 1%e (2&c,h j4. PHONE 7 .2- 66 a_.,
NAME OF PLUMBER& ADDRESS: /%o/ ,6 Ra/ ,y ,44)OeX, spCfq; yi1PHONE -(N 61-h
NAME OF MASON & ADDRESS: jD e a, ' vZJ- eid ynp/k,Ai sigi , !/C,7,jurc) PHONE 'pt,2-/37j
NAME OF ELECTRICIAN & ADDRESS:vka%/t\-SScy.c e/ PHONE
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. Furth r it is understood
that I/we shall submit prior to a Certificate of Occupan y or Certificate of
Compliance being issued, an AS BUILT PLOT PLAN drawn to ale, showing actual
location of project on premises.
4:
Signature :I4
,( ner, owner s agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
(C de Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
OF QUEENSbu.
RE DEIVED
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
MAR c O 1993
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwel l i ngs FIG• &` ®®E ®EM
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
Ct/&/ (��2 ifteleVea24-) 12/C /NESTi Kd aAPPL CANTS NJ&4- v MEPROPERTYATIOV
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - � • Sq. Ft.
;,
2. Type of Heat - Elec. Base Board Other Gip; r 4iz
3. Is Building Mechanically Cooled? IYES NO
4. Percentage of Area of Windows and Doors Over 17% - Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R
B. Exterior Walls R 02,5
C. Glazed Area R.2. (D. Exterior Doors R.'? S -�
E. Floors over unheated spaces R / 9
F. Edge of Slab on Grade (Heated Building) R 1.//4-
G. Basement/Cellar Walls (Above Grade)
H. Basement/Cellar Walls (Below Grade) R / 6
T. Heating/Cooling - Ducts - Piping in Unheated Space R.
6. Service (Domestic) Hot Water Heating Device /
A. Conforms to minimum efficiency per code V/ YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
LI NT S SIG ATURE DATE TELEPHONE NUMBER'
INSPECTOR'S REMARKS :
RE ' WED BY
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TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit #
RECEIVED
Date: A �2/" ,., J) Revi� �d�B�y1993
LOCATION OF PROPERTY FOR INSTALLATION: gUiiJ h 4U eqDEPT.
_ �� �l�a. & CODE
Owner's Name: line j( 7 ck c„ .r1Y
Owner' s Mailing Address: / '‘124, e_ Cam'/eNS I i5, , /„),P/
Installer' s Name: (,j (5 'A-)jef/ Phone #: 79S' 3/
Number of bedrooms (if residential ): `/
Total daily flow (residential-compute @ 150 gal . per bedroom) : 4 6
-;;)
Topography-Circle On a Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam Clay 06 er /Dept h
Ground Water-At What Depth? Feet
Bedrock or Impervious Material-At What Depth? Feet
Percolation Test-Circle One: equired equired/Rate Min. Per Inches "e'C''''
Domestic Water Supply-Circle One: unicipal Well Other
If domestic water supply is a we -
Separation: Water supply from any septic absorption feet
1241r4Q0
PROPOSED SYSTEM: Septic Ta4 kal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench .W 1'Ufeet//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 REQUIREp
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 t e T n of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: DATE:
)11_,C_
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:
9/15/83
TL 83-5
t SPECIFIC u_ Attachment 1
•
Fran Requirements of Part 75 (NYS Sanitary Code)
•
for
Individual Household Sewage Disposal Systems
•
GENERAL INFORMATION (Applicant Complete)
Name of Aoolicant: Butto Samuel
Last Name First M.I.
Address: •
1 Empire Avenue Glens Falls NY 12801
•
No. treet City/Town State iio
Site Location: Gurney Lane Queens bury Warren 12804
NO. Street City/Town • County Zip
•
(APPLICANT - 00 NOT WRITE BELOW THIS LINE)
1. REASON WHY SITE DOES NOT MEET PART 75 OF NYS SANITARY CODE: (check appropriate box(s))
E Separation distance cannot be achieved.
C Excessive slope.
p High groundwater.
C= Inadequate depth to bedrock or impermeable layer. .
p Soil unsuitable.
Cj Other (explain)
2. PR0PfSED DESIGN OR CONDITIONS OF WAIVER:
•
Allow installation of a tile field trench 10 from front of house.
•
3. THE PROPOSED DESIGN HAY HAVE THE FOLLOWING LIMITATIONS• (check appropriate box (s))
Q Increased risk of well or sorinq contamination.
C:3 Increased risk of surface water contamination.
Increased risk of inadequately treated sewage on the ground surface.
Expected design life of the system will be diminished.
Q Operation of sewage system is subject.to mechanical problems.
C= Other (explain) -
•
lit Additional Information Attached ' Letter 3/3/93 from Samuel Butto
Construction pursuant to this waiver renuest should not pose any foreseeable health or environmental nroblems. In
accordance with New York State Department of Health Administrative Rules and Regulations. Part 75.6 (b). a waiver is hereby
granted. This waiver may be revoked by the•issuing official for a change in conditions for which this waiver was granted.
��� ORIGINAL - Local Health Anencv
COPY 1 - Anolicant
i-n--. / /' /93�/t� COPY 2 - Bureau of Community
District Engineer or County Health Piministrator/Date Sanitation !. Safety
nl'N 152
i
MAR t 993
SYatr: •.'rSJ$ ._,f ..
March 3, 1993
1 Empire Avenue
Glens Falls, NY 12801
Mr. Brian Fear
New York State Department of Health
282 Glen Street
Glens Falls, NY 12801
Dear Mr. Fear:
As we discussed, I am in the process of building a house on
Gurney Lane in the Town of Queensbury, New York (Tax Map
#32-1-30.2) . The lot on which I am building is heavily treed, the
soil is very rocky, and it is an uneven terrain.
I am explaining this to you since I wish to be granted a
variance to place my leach field 10 feet from the front of the house
because of the terrain. The house will have a full foundation and a
10'3" solarium on the front. The solarium will have four-foot frost
walls. It will be 10 feet from this solarium frost wall where I
request my first leach line to begin.
Overall, the first leach line will be at least 20 feet from the
full foundation, as code requires.
I appreciate your assistance in this matter. Should you require
further information or have any questions, you may contact me at the
above address or call 792-3602. Thank you.
Si •erely,
11 a
Imuel Butto
SOIL INFORMATION
. Lando�;ner:_4G,cu' • \
Town: vil
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MAP UNIT MAP UNIT NAME SLOPE DEPTH, TO DRAINAGE CLASS ADDITIONAL ,- , ' '
SYMBOL RANGE BEDROCK
INFORMATION
g" ) C
14 0 Fr g .,te:..c, 4f.1 7i(f... 'ItAll
.40 g-c. . .....,
________
MT wadi'4-'2"lI4:- _..----___
__________,_
______ ___. .______ _
A.,:___
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Drainage Classes: Excessively Depth to Bedrock: Deep-Bedrock is 40" or more below soil
Somewhat excessively surface
Well Moderately deep-Bedrock is from 20-40"
Moderately well below the soil surface
Somewhat poorly . . 'Shallow-Bedrock is from 10"-20" below
Poorly
Very poorly the soil surfaces
- Rock Outcrop-Bedrock is at the surface
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MLRAISII III. 142. 142 s1Cs !!Ralf
ROT. 1,616.11106. 4-S2
TYPIC IVSTISCNNSPTS, C/ARIL-LOAMY. MIXED. ►RIG10 •
INS ■ICE ■IRIS! CONSISTS OP OM. WILL DRAINED SOILS ON UPLANDS. TNSY 110RMID IN GLACIAL TILL. TYPICALLY TIME SOILS HAYS •
A DARK GRAYISH DROWN HART STONY OR ■ITNIMILT STONY PINS SANDY LOAM SURPAC■ LAYIN f INCHES THICK. TNt SUSSOIL PROM S TO
16 I 16 WISH SNOWS ORAVSLLY COARS■ SANDY'-FOAM AND PROM II TO 28 I IT IS . THI
/USaTIATUM PROM 26 TO To IMCMIS 16 OARS SWISH SNOWS •RAVEL LT SANDY LOAM. SLOPES SANG, FROM 0 TO SO PURCSNT.
(STIMA lD S011 PNOPINTIIS I'I
SILTY ' - 1 PRACT PIRCEr? OP MATERIAL LISS 'LIQUID PLAS•
11r.1 USIA TS SSSSI UNIIINS 'AMIN'S )i IN THAN 2- PASSING slava NO. LIMIT TICITY�
IPCT1 10 I 40 1200q IMPS■
•-s'4STY-PSL,STV-SL,ITY-L °M, ML. CL-NI. SM-IC 6-2, A-• 10.25 76-SS 70-S0 SO-SS 30.70 _ 425 N►-f
0•S. STS-PSL.STI-SL.STR-L SM. 'ML. CL-ML A-2, A-• 26-2I 76-SS 70-SO SO-SS 20-70 • 426 NP-S
S-IS IL. SR•SL. ON•L SM. ML. OM A-2, A•• S-•S 66-00 SO-°O 60.60 20•66 426 NP-i
IS- 6 IL. sN-SL. AA-PAL SM. IN • 1.2. A-I. A•1.2 6-1S S0-66 6E►S6" 40.76 20-50 HP
I/PTN CLA MOIST SULK PSRNIA- AVAILASLI SOILy SALINITY --/NNIS - EROSION WIND ORGANIC IV/TV
Ilr.1 (PCT) TTER
Oc/retltll'Y SILITY 11 ���• � WA•,O111O�iITV • �'i�•N 1.1rwU/CMl ii�ZOW ';p Ol( ■R00`�� .
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•-S 7•S• 1.00.1.25 O.S-S.• •.•s•O.Is 4.6-6.0 - LOW .20 i • 2-6
6•26 2-0 1.40.1.66 0.0-4.0 0.05-0.20 4.6•6.0 - LOW .22
1S•T0 1-• 1.46.1.70 0.6.6.6 6.06-0.10 4.6-6.0 •oLtQp{{��11 ep LIM .34 1!
..•ll y M�_�LaOOYR A-T IDN IPTIIG WRING �AMONINS OiPTH NIMINSIS J/I,NH! ROCK - If I lITJIIMITAL OSPPAC`IaONL. 1 )So • ■ L%W -I
0-SS:AMOIAAY 1 PIRC$I SLOWLY, 0.1SYONOoioe1100 MATERIAL 121 _ - f`i
S SPTIC TANK S•IS%; N - .PINGS SLOWLY 18126Si PAIR i
ASSSRPTISN ass%; -SLOPS ■OADPILL 2S•%: PO1R-SLIPI 1
•
P1/LDS -
0.7%. SWAGS INPROSAILI•SICSSS FINIS -
7•t1 - ,
SAND
ARIAS
1
O-ISS: - 1 I IM •IICSff FINIS -
SANITARY /S.%: - -
l ILL GRAVUL
1 I - .
* ' 0-11t: - 0-161.: POOR-SMALL •ARE• RECLAIM'
S ANITARY IS•%: - . IS•%: PODS- ,SMALL .ANSA RECLAIM
►ANSPILL IL
ua1A l
0-lit: POOR-SMALL STONSS
IAILV IS'%: P15R•SLIP■ AT MANAGtMINR l•---)
i C•VIR PSI 0-6%: S -
LANSPILI S.t .SLO►S. •
■CILOIgG I III - •
0-8.: SLIGHT - -PIPING.
W •-IRS: M -SLOPS MSANNNSN TS
S ICAVATISNI 164%1 - PISS AND • -•
0-IS: SLIGHT - -NO WATON
sWaILINlS' S-Eft:. .SLOPS
W I IS•%: -SLOPS
SASS .ts *YIP'S POD '
•
0•6%1 SLIGHT - ' 06SP TO WATIR.
/WaLLINSS S-1S%: N -SLIPS '
WITH 1S•%1 -SLOPS ORAINAGU
1ASIMENTS •
0•S%1 SLIGHT 1 1 0-21: DROUGHTY
SMALL A-At, NOOIOATI- 3•t1 .
COMMERCIAL ••S1 SIVURU-SLIP■ IRRISATION -
SUILSISOS -
0•St: -SMALL STOMS).L — O-SS: LANDS STONES
LOCAL .S-16S: - .SMALL 'TONS',• - S•t:
NSASS ANs LAM STONIS AND
/TRUSTS list; -SLIPS DIVUNSIONS
LAWNS, 0•6S: -.LASGI STOME1,SN '1 --0-SS: LARGI STOSUS,ON000HTV •
INS 6•11%;-M -SLOPS. 5.11 SLIPU.LARS■ STAINS,
AND 'SLY SMALL STONES WATINWAYS -
_ /AMRWATO ISN%: -SLOPE • .
REGIONAL I IONS ,
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•
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. 1
BLDG. PERMIT NO. 9 3-0 7 7
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; Votner Gurney Lane and Olc West Mountain Road
for the following uses: Single Family Dwel Mina
/1
f/ J II
4 l'/�92 /.1 i {
DATE GNATURE'OF 'PPL(ICANT
TEMPORARY CERTIFICATE OF OCCUPANCY �,-
i
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (WAP OVED
( )DISAPPROVED
with the following conditions: Final Certificat1p of Occupancy will be
issued when the following items are i finished: (2) soffit
finished; ( 2 ) upper decks finished; and ( 3 ) door trim on
fire doors. Submission of a surveyed plot plan is also
required for issuance of final Cer4ficate of Occupancy.
TEMPORARY ERTIFICATE OF OCCUPANCY FEE: UOO:0.0 , DEPOSIT: ( _0100.0O A. ...
d
received on /j( // ��� j ,�
Date/of Issuahce i <Difector offBldg. & Cod E forcement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
•
MAIN OFFICE - t :1 36p ATLANTIC-INLAND, INC.
997 McLean Rd. '= I 'l '�- 1- A.—• NEW YORK
Cortland,New York 13045 `I
MEMBER OF N.F.P.A.AND I.A.E.I..
Phone: (607)753 7118 FIRE UNDERWRITERS.
1141099
- (607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service)
(Incorporated in the State of New York)
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below.On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE ,'•✓`I/' `,-.-7 7
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION -�t,?Y,7/`-3
l
CITY,TOWN,VILLAGE i yj//lei.).Ije., / COUNTY /_/ke,i,(fy / STATE Al` ° Vs
STREET i� /^ / , l 1 /
1/I�?tJe /fir/1?LP'. / /%.(lf' § 0 1r/ /f .7 /!2i')//.BJ"'�`,ct:..,(J d/))f:/7 BUILDG.NO.
DIRECTIONS— 3/ECTIONS— LCJ t f ,1 VlAitir- ^�.(..)_I4, 4:. r;e f.�f7 / /`9 j7/ I`•� / O// Q/- (.r 4WLj'POLE NO.
OWNE
NAMERS SA1'1'"PAa -'( i C—:74 °( Yli11 tU OCCUPIED AS / //L y77®J//s'
L� / - /
OCCUPANT C/-q •'»C-.,,, BUILDING—NewNew„,0 Old❑WORK—New 0 Additional❑
OWNER'S P.O, U /� 0 /� / Al `
ADDRESS / 0J c- !' ie' 6;4. .i ''^d e/S ,J.,�/' !C/��V.
It /
APP.FOR—ROUGH WIRING❑FIXTURES 0 OR READY FOR INSPECTION 19
FEE REMITTED—$ BY CHECK 0 CASH 0 MONEY ORDER 0 MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
Number of Rough Wiring Outlets Fixtures Add Installation
Swtch Li tng Recep. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Heat Base Base
Elect.Heat
Amp.Service Water Htr. Burner Air Cond.
Surface Unit Oven Range Gr.Disp. Dish W.
Dryer H.P.Pump Ex.Fan - Hood
OTHER EQUIPMENT(Specify Type 8 Capacities) a
TYPE OF SIZE OF SUB-
BRANCHES NO.OF
WIRING OPEN 0 CONCEALED 0 OTHER MAIN MAIN CIRCUITS
APPLICANT'S
�� SIGNATURE LICENSE# PERMIT#
APPLICANT'S NAME OF
ADDRESS UTILITY
OFFICE TO
CITY STATE ZIP CODE BE NOTIFIED
- SPACE BELOW FOR USE OF INSPECTORS ONLY
ROUGH WIRING AMP SERVICE K.W.SURFACE
OUTLETS - EQUIPMENT UNIT
SWITCHES AMP SERVICE K.W.OVEN
CONDUCTORS
H.P.GARBAGE
RECEPTACLES H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K.W.
FIXTURES K.W.DRYER DISHWASHER
MOGUL BASE K.W.WATER
FIXTURES HEATER K.W.RANGE
FLUORESCENT H.P.AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING 8 CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS - VENT FANS
MOTORS,H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
1
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
APPARATUS Elect.Heat
I
MISC.INFO. Received FEE PAID
Inspected
g& / 4/^ 0 PROGRESS - TOTAL$
u•� �Y/ 3`GGL ❑DEFECTIVE
/<.. i. # /21 60 Check No.
❑Rough Wiring Certificate
Q'eel'G %, /Y. . 12 f3,[f 0 Temporary Service Money Order
Mon.-Fri. 6-7:30A.M. ❑FINAL CERTIFICATE Cash
518-692-9295 i
0 Dup.Cert.Req.
518-632-6339 ❑MUNICIPAL Charge
MUN.ADDRESS
ATTN: '
Temp.Cut-in Card No. Final Cut-in Card No.
AI-01 w Inspector
RAI IkIIfl111nI ITf
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804 •
• Ii
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date , ?bid ,19
Permit No. 1 i3.1 -0 7-7
APPLICATION IS HEREBY MADE to the Building Dept. for he 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.
� II
Applicant c ue/- , Gt` ( . , &I f) APPLIANCE (check appropriate boxes)
Address / 7-7/2,'c. /L)eie y ❑ STOVE: ❑, Wood o Coal o Pellet
' ❑ FI EPLACE INSERT
(--)3/ev56/6 , iU.. (Jr Zip /W'u' ❑ FIREPLACE, FACTORY-BUILT:
0 Wood
Phone 7 - / ❑ FIREPLACE, MASONRY:Gas
Gas
Owner , l a FURNACE: o Wood n Gas ❑ Oil
Address ,, 0 IF NON-MASONRY: 0
` Manufacturer: ,Le/V 0X I y S"
ZipMo i 051/Sie
��del: Outlet: . inches
Listed By: ciIi)oI frW Number:�. (/- 3O
Phone r7 6
CHIMNEY (check appropriate boxes)
Exact address of proposed construction
❑ MASONRY: 0 Block 0 Brick 0 Stone
(71oeuetz desJe1/ AA' ; Ok4 Les-7 Zed• FLUE: ❑ Tile p Steel
' Size: b inches
CONSTRUCTION/INSTALLATION MUST `FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer/ A/1=-o- G✓'Model: Cr-4,1 67T"
BUILDING CODE. CONSULT TOWN OF Listed By: Number:
QUEENSBURY HANDOUTS PROVIDED pbouble Wall ❑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: \ r�"�x6 n! ) F:?`f. r
Address: ' i ,
Dated: %;4`_>5,9/( Town Clerk or Deputy: fl
White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink& Goldenrod: Cashier's Dept.
/ram ( I
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT t�•+ '
p^^'
531 BAY RD., QUEENSBURY/,�� NY 12804 `2?.y}r.^ .7.;
INSPECTOR'S REPORT: ARR+S`/" DEPART INTV!'
REQUEST FOR INSPECTION RECEIVED:
NAME _ .2 4-n9„az/ U/'
LOCATION �v/y` F
DATE fZ 2G f PERMIT # 93-ern
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR ''RM
REINFORCEMENT IN P ACE
THE CONTRACTOR IS ''ESPONSIBLE FOR
PROVIDING PROTE TIO FROM FREEZING
FOR 48 HOURS FOLLOW NG THE PLACE—
MENT OF THE CONCRET .
MATERIALS FOR THIS P RP. E ON / TE
FOUNDATION/WALLPOU'
REINFORCEMENT��IE
FOUNDAT c DAMPPROOF''NG
BACKFILL APPROVAL
PLUMBING VENT/VENTS 'N PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS JACK POSTS/MAIN BEAM w
AIR INFILTRATION BARRIER
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 R—
•
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s4„ Co
MI C6 le;
TOWN OF QUEENSBURY
531 BAY ROAD
� `*'. QUEENSBURY, NEW YORK 12804
=� TELEPHONE (518) 745-4447 •
_ , BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED. ,j,,or
NAME /3LR Q ,--
LOCATION 6/ litajkc7 jai-- Zed GU
DATE jf,1 fQ PERMIT# #-L7 /(/
TYPE OF STRUCTURE Sr�1� lh 2e.-QJL r
RECHECK, C/O tJ, j 06/6 b/I! am -
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
/ FOOTING 1.FOUNDATION iBACKFILL t.OAMING
leUGH PLUMBING FINAL ELECTRICAL leilISULATION WOODSTOVE/FIREPLACE
REMARKS ��
i
c57 G�L� ��?c ,�CG , /APPROVAL
/ A 'YES NO
CHIMNEY HEIGHT/LOCATION /
B VENT/LOCATION I f'
PLUMBING VENT 1 `
/
,/
ROOFING
SIDING j /I
DECK/PORCH/STEPS/RAILINGS d ;/
RELIEF VALVES / f'
FURNACE/HOT WATER OPERATING ,/
BASEMENT INSULATION/DU T RK ;f
INTERIOR TRIM/PRIVACY D RS
FINISH FLOORS:
BATH/KITCHEN WATERTI IT,
OTHER FLOORS SWEEPA E \ L.--
OTHER FLOORS CARPET D \ 1/
STAIR CLEARANCE/RAIL NGS \ ve-
HANDICAPPED ACCESS , \
SMOKE DETECTORS \
BATHROOM FANS/WHOL HOUSE FANS\
ALL PLUMBING FIXTUR ✓
ES OPERATING :/
GARAGE FIRE PROOF NG i t/
DOOR CLOSERS
4,e;.. \
OTHER FIRE SEPA ATION �a/`
FIRE/DEMISE WALLS
DUMPSTER ✓.
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTR . ' ,/'
OK TO ISSU a sR C/C '7e79 ,/
COMMENTS:
'_J/ /l /ri, ar4 U ee//oa..,a,s
gs.cP f e_
- fili,X, ::__S-51/7L
-- c i;ect.
Jp4/i1
bi70 urn PlA-
ARRIVE /
DEPART (IA' .
INS ECTOR
<-�'?-7 k/v /..I,._7
TOWN OF QUEENSBURY
FIRE MARSHAL �U
QUEENSBURY, NEW YORK 12804
iA TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME tiLJJ Le£eL
LOCATION�j� 3fQ®� j�
DATE t * PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM /
HOOD INSTALLATION,
AUTO. SPRINKLER SYSTEM fI
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINK ERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE I
CHIMNEY
WOODSTOVE ,
TIREPLACE-MASONRY
REPLACE-FACTORY,' BUILT
REMARKS: OK TO THIS DATE
2/015 NSP CTO
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
SAME .
LOCATION (9J2.AIf,t/j_A- -
SATE Z PERMIT #
TYPE OF STRUCTURE S w 3c i-, a/Lr I by
ZECHECK APPROVED
,N/A YES NO
=OOTINGS/PIERS •
IONOLITHIC POUR FORM
2EINFORCEMENT IN PLACE
FHE CONTRACTOR IS RESPONSIBLE
:OR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
FHE PLACEMENT OF THE CONCRETE.
4ATERIALS FOR THIS PURPOSE ON SITE
=OUNDATION/WALL POUR
ZEINFORCEMENT IN PLACE
'OUNDATION/DAMPROOFING
3ACKFILL APPROVAL
ZOUGH PLUMBING
'LUMBING VENT/VENTS IN PLACE,
'LUMBING UNDER SLAB
=RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING a�
JOIST HANGERS I
JACK POSTS/MAIN BEAM /
SEATING ROUGH—IN
[NSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN UNHEATED
SPACES
ZEMARKS:
76C T k i7-a2-c —fl/r,- 6—
}a 2 T k 9 C ,
1RRIVE
1EPART � /,
PELT
id 04.,E - .\C� 44.INMATION FOR BUILDING EPARTMENT '
LENDING AGENCY
Atlantic-Inland, Inc. is in the process of issuing a Certificate of . - '
Occupancy/Compliance for the electrical installation/
construction project as covered in an application filed with
our main office.
3 —rf- - cif - ,444--- -,__________ .
Date Ins ctor
i - NEW YORK ATLANTIC-INLAND,-INC.-
TOWN OF QUEENSBURY
1 =#j ,.- 531 Bay Rd. , Queensbury NY 12804
�„.. .518-745-4447
Building & Code Enforcement
I;SPECTOR'S REPORT , �' •
725)6of
°C V / 0,o/ft
(21/171:9 f 0 it:',0,/,ch.v 6.--
/L .
Pr'tiperty Location
IP cirro ` _ I -
1 Owner or Tenant
Building Sewage Sign Other
Remarks:
/4, Act-c---ro rkA7--L( Ah , 11/7 //Ufa_
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CONTACT THIS"OFFICE WITHIN - / II / / 17,1
/ P/ 1-4/ /// : - -
' Building Ir pedtort'
TOWN OF QUEENSBURY
?,:=o 531 Bay Rd. , Queensbury NY 12804
518-745-4447
Building & Code Enforcement
INSPECTOR'S REPORT
AR_T 19 l-
93-' 7i
oLoW653-1-- V2-
Property Location
Owner or Tenant
Building Sewage Sign Other
Remarks: .
a)a` ® �L%0 5IVOG/e)
)S9
j II TO .fl+ F?o.(/,uT1 fit L- C -
(-0- iae q)u(z.L ,((l5 016-e%T- IoAJTS
•
f
CONTACT THIS OFFICE Ni -,/. 36,7„,
pt(-061--tPar
IN �� B ilding nsp ctor
TOWN OF QUEENSBURY /:),"2,/
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED -/,0A4 4
NAME )1e4 4. 4 j
LOCATION O4? Li ,/j
9
DATE 7/ /93 PERMIT # • 95-01 7
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS .
MONOLITHIC POUR FORM :r'
REINFORCEMENT IN PLACE ,/
THE CONTRACTOR IS RESPONSIBLE '
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWINGll
THE PLACEMENT OF THE CONCRETE. ,
MATERIALS FOR THIS PURPOSp ON SITE
FOUNDATION/WALL POUR '
REINFORCEMENT IN PLACE 1 ,
FOUNDATION/DAMPROOFING h
BACKFILL APPROVAL 1 ,J
ROUGH PLUMBING ,, . _
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB ,
FRAMING: 's"
JACK STUDS/HEADERS I a,
BRACING/BRIDGING ,/
JOIST HANGERS i
JACK POSTS/MAIN BEAM / N.
HEATING ROUGH-IN
)(INSULATION: I ‘
FOUNDATION WALLS INTiERIOR R- Alor`(67- -
FOUNDATION WALLS EXTERIOR R- • q,
FLOORS , / R-
WALLS 2-Z-I t I'd! -- R- ti, X
CEILING I R-3' - \.. X.
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
7 r
ARRIVE /�� >'
DEPART 2' ,s-
I S EC OR
TOM OF QUEENSBURY
BUILDING & CODE 3nFORCER1ENT 4___.
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
((nailda)
Name >d8..4 _
Location , �zk a L t
Date 7/7/9.� . Permit # 9, 9T7 -
SOIL TYPE: Sand- o' -Clay- ,,f
i 1,
Results of Percolgtion Tes%t-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: ,�
ABSORPTION FIELD:f Total length , -f-
Length of each trench
Depth of trenche '1 /
Size of stone tl /
SEEPAGE PITS: Nimberr
Size -
S ze
PIPING: Size Type
Bldg. to Tank am- / c�
)jTank to' Dist._ B•xj_ _ ____ ,_�_ _
" _Di St: ,BoX to Fi. d/P,——_ i e=-
Openings Seal eel ��
LOCATI O?/SEPA, r' , ' N o P/a r/tJ i a//l/
A I'14YU 1 S/ _/ ' 1 6.e Y
Foundation to <n k //�1V//(///yn'AVJ//�
Foundation to A `sorption feet
Separation o P 'ts _ feet
Conforms as/per Plot Plan Yes le
LOCATION 0 SYS O1 PROPERTY:
(circle o e)
Front - Wear - L:ft Side - Right Side
Middle F lint - Middle Rear
COMMEN :
P[20,U I 0 6, ,NS_ ;cil 4 LT--S 4O0, Ai
A-L. L our+ 41A rs i0J CV-
,
-1, '1.6,0- As61"-"\--:
.tl;
SYSTEM USE APPROVED: 0 /ez t
Arrived: /2Z0
Departed: j`-�
/ c
Buildingr i,�+' i d
pector /
w^
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ,/1414-1
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT.
REQUEST FOR INSPECTION RECEIVED 4%c
NAME J4 /u
LOCATION / V vL
i.,4
DATE 7/.//93 PERMIT # g3-d77
TYPE OF STRUCTURE .5'2' w 3 2 ' L Ylo
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/DAMPROOF'ING
BACKFILL APPROVAL
)(ROUGH PLUMBING \
PLUMBING VENT/VENTS I` PLACE
PLUMBING UNDER SLAB
)(FRAMING: I
JACK STUDS/HEADERS 9
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM 1 \
HEATING ROUGH-IN I
INSULATION: ' 6,
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR Rh •
FLOORS I R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE (pi"y'j „.„
DEPART /aro
IN PEC R
/, iIc%2 TOWN OF QUEENSBURY )4,
------ FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 0A/ff
NAME ,/, ,G/ ..41 V /% ' x2
,46
LOCITIO09 � /
� La---,' iW /,7J
�a -
DATE /��' PERMIT# �3-077
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SY TEM I!
HOOD INSTALLATION N`
AUTO. SPRINKLER SYSTEM \ '-
ALARM SYSTEM \ ,'
v
INTERIOR FINISHES IN
STORAGE: /
CLEARANCE TO SPRINKLERS \
CLEARANCE TO HEATING' UNITS \
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY _
✓XIREPLACE-FACTORY BUILT 6>''
REMARKS: I✓l OK TO THIS DATE
l
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2/015 1NS PE CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT A531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT .
REQUEST FOR INSPECTION RECEIVED 7//,5/93
NAME 011/2K-1 1 C L th
LOCATION ;e:€ 4 , �/N L .
DATE 7i/,7/C/�j PERMIT✓ # f -aV I
TYPE OF STRUCTURE t5/) GJ 3C CiLtf p . 4 61
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 FO OWING
THE PLACEMENT OF THE CON RETE. ..1
•MATERIALS FOR THIS PURPq E ON SITE •
FOUNDATION/WALL POUR 1 i
REINFORCEMENT IN PLACE 1 y "
FOUNDATION/DAMPROOFING 1 �{9
BACKFILL APPROVAL 9 I
ROUGH PLUMBING i /
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB ;(
)(FRAMING: PnRTML- C ej4OOn,E:
JACK STUDS/HEADERS I a
BRACING/BRIDGING I us
JOIST HANGERS / q .
JACK POSTS/MAIN EAM '\ •
HEATING ROUGH-IN � A.
INSULATION:
FOUNDATION WAILS INTERIOR R
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
4-- ]r722ui-)-y (l (nra -0 CJL
Co veg.-
ARRIVE ,=-2,i0
DEPART : !U
IN E TOR
TOWN OF QUEENSBURY ��0��'/
(P.b9
BUILDING AND CODES DEPARTMENT -- 47
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 li?340
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 1;4*
NAME 3 y A/ �/
LOCATION /,Q.L ,�Iar v ., it.f--did `r/(/a/ &At
DATE 7i { !((g4�i PERMIT I 93'077
•
TYPE OFt. C T�JR �F I� IA) gG.a -
RECHECK APPROVED
N/A YES,,NO
)(FOOTINGS/PIERS
/ MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTIONIFROM
FREEZING FOR 48 HOURS FO LOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPO? E ON SITE t
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE I`
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL •
ROUGH PLUMBING !J
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB f'
FRAMING: 1
JACK STUDS/HEADERS f]
BRACING/BRIDGING
JOIST HANGERS 1 I
JACK POSTS/MAIN BEAM 1 I
HEATING ROUGH-IN `\ I
INSULATION: A 1
FOUNDATION WALLS .INTERIOR. Rf
FOUNDATION WALLS EXTERIOR\R-
FLOORS
WALLS IR-
CEILING 'R`-
DUCT WORK OR PIPING IN U NHEAJED
SPACES \\
REMARKS:
?"--;e1.4> 6)1:-
/0 x'a o vt.)- z 44 V ,8��
ARRIVE /V;r_C-
DE PART vl".S
INSPECTOR
TOWN OF QUEENSBURY C
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4403
NAME_ .(i
LOCATION £2 -( &once...* /i ¢ Aid Ript//
DATE 4/24/93 PERMIT # e45 6r/7
TYPE OF STRUCTURE ,57K2) w Oda t ti.
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTIONFROM
FREEZING FOR 48 HOURS FOLLOWING r'
THE PLACEMENT OF THE CONORETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR It
REINFORCEMENT IN PLACE ',
FOUNDATION/DAMPROOFING °� X
k BACKFILL APPROVAL x
ROUGH PLUMBING l:
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB �,..
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS ;J
JACK POSTS/MAIN BEAM 'y
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-1
FOUNDATION WALLS EXTERIOR R-7/6
FLOORS R;
WALLS R,'j
CEILING
DUCT WORK OR PIPING IN UNHEATED
SPACES 4
REMARKS:
cJ abb Wa z-S
truil
/7'7
ARRIVE
DEPART ;469
' INSPECTOR
TOWN OF QUEENSBURY //4_/.
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4,0i
NAME 1 Z/ L &'4
LOCATION en--/ 11/0/) .L f Z .- &id 7/) &k W
DATE r6/6 PERMIT # qg--' 017
TYPE OF STRUCTURE 0'F -a d 3 d gti i QQJ
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM I .
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM/
FREEZING FOR 48 HOURS FO LOWING
THE PLACEMENT OF THE CON RETE.
MATERIALS FOR THIS PURPOS /ON SITE
FOUNDATION/WALL POUR d
REINFORCEMENT INELACE
(FOUNDATION AMPROOFI ,q- -Ti/q_c - A
/ BACKFILL APPROVAL I A
ROUGH PLUMBING /
PLUMBING VENT/VENTS/ IN PLAC
PLUMBING UNDER SL 8
FRAMING:
JACK STUDS/HEA$ERS t
BRACING/BRIDG NG I
JOIST HANGER V
JACK POSTS/ IN BEAM t.
HEATING ROUGH IN k.
INSULATION: "y
FOUNDATIO WALLS INTERIOR R- 11
FOUNDATIO WALLS EXTERIOR R- '4.
FLOORS R-
WALLS R- ‘ _
CEILIN R- 1
DUCT W RK OR PIPING IN UNHEATED
SPACES
REMARKS:
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ARRIVE 1/;00
DEPART ,[:j 5'- -
INSP TOR /'
TOWN OF QUEENSBURY I
BUILDING AND CODES DEPARTMENT faj
/��
531 BAY ROAD /
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED lljl
NAME 4/i �\
LOCATION/ Ay Am/x.eLt4 24, ledV12/6 1 L
DATE !9/2th PERMIT I 91/5-,0
TYPE OF STRUCTURE S//) /4/ 36 a,to,J f 7
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLI t.H-I-C POtJf O
R FORCEMENT IN PLACE.
HE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTIO FROM
FREEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
TE
FOUNDATION/WALL POUR j'
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFINGtin '
BACKFILL APPROVAL ; {'
ROUGH PLUMBING
PLUMBING VENT/VENTS IN P4:LACE I
PLUMBING UNDER SLAB ;� I
FRAMING: ' 1
JACK STUDS/HEADERS V,
BRACING/BRIDGING U! /
JOIST HANGERS I
JACK POSTS/MAIN BEAM 'A I'
HEATING ROUGH-IN
INSULATION: ),
FOUNDATION WALLS INTERIOR' R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS I ;} R-
CEILING ,lj R-
DUCT WORK OR PIPING INN UNHEATED
SPACES
E
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14:17) POU
ARRIVE ":), ,�
DEPART C�
IN PE OR
TOWN OF QUEENSBURY
-f'_ 531 BAY ROAD
•. QUEENSBURY, NEW YORK 12804
�= TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME _ '..:fc,
LOCATION . (L.,7 Z
DATE 3 2y / PERMIT# `�77
TYPE OF STR CTURE
RECHECK,
_FIRE MARSHAL APPROVAL (COMMERCIAL 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 )
SIDING l
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES / /
FURNACE/HOT WATER OPE ATING/
BASEMENT INSULATION/D CTWOR"K
INTERIOR TRIM/PRIVACY DOOdS
FINISH FLOORS: /
BATH/KITCHEN WATERTjj��HT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED,
STAIR CLEARANCE/R,A'{LING`5
HANDICAPPED ACC ASS �A
SMOKE DETECTO a
FAX
BATHROOM FAN /WHOLEHOUSE FA
ALL PLUMBI FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS '
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECT(
OK TO ISSUER C/C -7k7)
COMMENTS: �_ .
50/0
,N,51,d
V (, eZr 7mJ
ff
04,./ ha, Gc, F.,c ri—ar-J
ARRIVE Z I ` 3)
DEPART /7'.,,,, 4
I EC TOR
WILLIAM E. MONTGOMERY JR.
NEW YORK STATE PROFESSIONAL ENGINEER
RD#2 BOX 395, GLENS FALLS, NEW YORK 12801 ��, Q`l
(518)-792-4262
Industrial Engineering Energy Conservation
Structural,New and Renovation Pumps,Piping and Hydraulics
Environmental Compliance. HVAC and Ventilation
April 22, 1993
Mr. Harry Williams
679 Glen Street
Queensbury, New York 12804
Dear Harry:
This letter should serve as confirmation of my approval for the
following several changes to Plan No . 4475 for Spectrum
Enterprises : •
1. The substitution of 28 ft . floor trusses (by Lumbermate dwg.
of 4-1-1993) for the original floor joists and laminated beam
over garage is acceptable for 40 PSF live load in storage area
section as outlined in Section B, Sheet No. 6 . Blocking should
be installed between ends of trusses to carry roof loads.
2. The elimination of the brick facing on the rear wall and the
use of an 8" poured concrete foundation wall along this wall is
acceptable as shown in Detail E-E, Sheet No. 2 revised 4-2-93.
3 . The elimination of the 3 gas fireplaces originally shown on
first and second floor plans and the addition of 1 2-sided
(see-thru) gas fireplace between family room and living room is
acceptable .
Please give a copy of this letter to Mr . Dave Hatin of the
Queensbury Code Enforcement Office (as he has requested) and a
copy to Mr. Sam Butto of Spectrum Enterprises.
Sincerely yours, oVE.SSIg5
},,q!
IPONTQp
William E . Mont mery Jr. PE aj. =` '
po
A` 37479 V
0t1;ES1tov .
•
Memo to file :
B.P. #93 077
Sam BUTTO
Date q 3
This Per it is issued with the following stipulations :
There will be submitted, approval by the engineer of record
of the proposed change to the rear foundation wall thickness
and the deletion and or change of location of the fireplaces .
also, in that the configuration of the septic system shown on
the plot plan is incorrect; Mr.Butto has agreed to supply an
as built drawing of the system upon completion.
Vic Lefe vre C .E.O.
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