1993-117 . • .c,
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
August 13
Date 19 _94—
This is to certify that work requested to be done as shown by Permit No. 93-117
has been completed.
single family dwelling with
This structure may be occupied as a i- re-) C'h (I a-a r a f?
Lot 35 Amethyst Drive, Ambershire Subdivision
Location
Forest Wood Homes, Inc.
Owner
125-7-35
By Order Town Board
TOWN OF QUEENSBURY
/1)Atvryi -7Va g
f
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY TF
No. �i3"11
WARREN COUNTY, NEW YORK
VI/ µoMES lntc.
PERMISSION is hereby granted to pRgS i
Ui
OWNER of property located at AME kysi- ArnaEo5 ,RE Street, Road or Ave.
in the Town of Queensbury,To Construct or place a iNC'LE__ 1-114 1_y WELL INV
at the above location in accordance to application together with plot plans and other information hereto filed and 7u
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. m
1. OWNER'S Address is
t4CC2- J3X . 1QP
WA RR€MS L Q
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
r
4. ARCHITECT'S Name 1
5. ARCHITECT'S Address
R'1
(n
6. TYPE of Construction—(Please indicate by X) ,1
(4 Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
5y'x 35 ` -1 7/1/0 5Toay SIN r;LE FI IV L_.y 'DwELLrNQ , 6 PE -PLOT-
No. 17L.RN1, SPEC1 (`,CRT'sOld' AArD A-P.PL(CI3T1OW Ill'(CLLID 1AfG IWO MR
ft1TAct-1-E'M CrrR'nCiE /gnr2) Si✓P i is 5y5Ti=M.
8. Proposed Use
SIMCtL� I^�m►L'/ LLI nrq
r �
r-
$ 35,OD PERMIT FEE PAID -THIS PERMIT EXPIRES APP1L, 2L, 19 94 -71
(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 210 Day of R IL 19
SIGNED BY / i for the Town of Queensbury N'
Building and Zoning In or
N 1
/, K ENERGY CODE COMPLIANCE APPLICATION
�i0 TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS F1�� a. 1=3
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
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:
44 11000/ to / s/ AtALe
PART 5 METHOD OF COMPLIANCEG� BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - iU I square feet
2 . Type of Heat - Electric / Oil Gas Other
3 . Is building mechanically cooled? Yes fr/IN/TO
4 . Percentage of area of windows and doors Over 17% Xnder 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED: R 3�
a. Roof
b. Exterior walls R 0
c. Glazed areas R 3•�
d. Exterior doors R / /
e. Floors over unheated spaces R if
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 U)
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code a/ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Ap ' i t' Signature O Date Phone Number
IN PECTOR'S REMARKS :
/ . )LI ;4P.L\ -
TOWN OF QUEENSBURY trvt
REVIEWED BY: i ;
COMMUNITY DEVELOPMENT DEPARTMENT . , 3 �3� 5 J ��
ef
BUILDING & CODE ENFORCEMENT r' a FEE PAID: P r,2 !
531 BAY ROAD .-#� (U�
QUEENSBURY, NEW YORK 12804 PERMIT NO. 6/3- 11
(518) 745-4447 C7 QUEENS s...
BUILDING PERMIT APPLICATION :DECEIVED
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID B41fitINGUWMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the applicgAianC�.oLnbEpT
OWNER OF PROPERTY: jres7' 100ad ms
Mailing Address : )l(>-0,? b0), A$9f Wavvee sour N y- am
-
Telephone Number(s) : Work k/5-3979 •Home Other
PROPERTY LOCATION: Tax Map Sect
Maum ion S Block 7 Lot 3 5
Subdivision Name: !.1m 4,YShfve Lot No. Ar
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
/ CONSTRUCTION: $ 'IS-11 D
j/ 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 /94 SQ. FT. / 2
0f0 IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR a,j SQ. FT.
OTHER FLOORS tl'!a4, SQ. FT. ,j
(not unfinished cellar or basement)"' 7 , ACCESSORY BUILDINGS :
-/- , Detached Garage - One/T, o Car
TOTAL FLOOR AREA: ]�an SQ. FT.'P" a/ Attached Garage - One/ wo Car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
59 FEET X �33- FEET
Foundation Type: IDnere7G Will any second-hand .or ungraded
Number of Stories : ,g lumber be used? If so, for what?
(habitable space only) h O
Height (grade to ridge) : o?S" feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all , uich a.. ies)
to be installed: I Electric / Oi ` / r "/ Wood
Forced Hot Air / :aseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NAME OF BUILDER/ADDRESS/PHONE : d P - o - 75
NAME OF PLUMBER/ADDRESS/PHONE : lU
NAME OF MASON/ADDRESS/PHONE : - , . '3'
NAME OF ELECTRICAN/ADDRESS/PHONE:
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 su it prior to a Certificate of
Occupancy or Certificate of Compliance bein 91ss ed, an AS illIT PLOT PLAN
drawn to scale, showing actual location of ro t n raises .
Signature
(Owner, own r s agent, architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE I E:
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date L,�.i,g, / t'Af ,19 Permit No.- '.-,/ ;7
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 ,;l a�;�,)t,;� �frrt;�.s APPLIANCE (check appropriate boxes)
Address /,� r 4` /J':'' ' ' t ;r '-',Sr!, '' ❑ STOVE: o Wood o Coal o Pellet
•❑ FIEPLACE INSERT
Zip i'2 ,r;P; Et-FIREPLACE, FACTORY-BUILT:
.. ' o Wood o Gas
Phone Ifi , !'`,� 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner thir' 0 FURNACE: ❑Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY:
Manufacturer: , .
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
; _: ;' .';''^,,E,/ /— FLUE: 0 Tile o 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 p Double Wall ❑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-CO-fleeted_ _ .From_or Refunded to:
Addre"ss: _
Dated: /12.0:%%3 Town Clerk or Deputy: --" r" ;.
White: Applicant Green: Fire Marshal Yellow:Bldg. Dept. Pink& Goldenrod: Cashier's Dept.
TOWN OF QUEENSBURY � ► �Ut:; ; rl,
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # I'IeIIV IJ
Fee Paid
APR 2) �' 93
Date: 4prrifU /ff! Reviewed By
CUT.
LOCATION OF PROPERTY FOR INSTALLATION: '0T ,55 (�pe,I Si
Owner's Name: rwsj V14 440
Owner's Mailing Address: jf. 007 ;II'
/lV /)1
Installer' s Name: s ij ,y /I4omy Phone #: /,ag �3979
Number of bedrooms (if residential ) : 3
Total daily flow (residential-compute @ 150 gal . per bedroom) : 1457
Topography-Circle One: Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand \ Loam Clay Other /Depth:
realCv Ground Water-At What .Depth? f o Feet
op - ,1
Bedrock or Impervious Material-At What Depth? �' Feet
Percolation Test-Circle One: of Require Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Municipa Well Other
If domestic water supply is a we -
Separation: Water supply from any septic absorption feet
u
PROPOSED SYSTEM: Septic Tank /000 gal . (Minimum size: 1,000 gal . ) �,�� ;i �r�
Tile Field: Each Trench feet//Total System Length e7 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 of Q eensbury_Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: DATE: ' 07 5
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 YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
BUILDING PERMIT NO.
TEMP.H DATE {� , I `t
' . • i . i ,
CITY OR VILLAGE - I ZIP CODE I TOWNSHIP 4 COUNTY -
R i
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 -_. .
- NEW•❑^•"''+;/ OLD"❑ - -- -. WORK IS .. NEW❑ ADDITIONAL D DEFECTS REMOVED❑
'LIST BELOW.ALLEQUIPMENT 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 -Ceiling Wall Recep'Is .Switch Pendant Bracket . No, Type ,_Each NO•' Each " NO. Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE- .
" MENT '
• 1st
FL-
2nd
FL. -
3rd '
FL.
•
• REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
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 WATTS .a.
• 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) APPLICANTSMUST ENTER DENT E CATION NUMBER ► I I
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
,
DATE OF APPLICATION -/ Sl NAT,URE OF,APPLICANT
NAMEOFAPPLICANT � � v�S.' r
STREET ADDRESS ` ' ._ •- I 1 1/ --= TELEPHONE NO.
:K: .✓T ` . {3 /'r:-J rrr•
CITY OR POST OFFICE' ' - - . ZIP CODE ;LICENSE NO.WHEN APPLICABLE
85 John Street 41 State Street 0.570 Delaware Avenue 217 Lake-Avenue- 202 Arterial Road.
LJ
- --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
THE"NFW YORK•BOARD OF FIRES.=UNDERWRITERS
-,.
P AGE
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1CI
et.
' t' il)1(3638 1:71
et
BUREAU OF ELECTRICITY
41 STATE STREET.ALBANY:NEW YORK 12207 ILI
1397 2929 i'-:}3 !‘ 0261 1.":'
..e. Date Application NOR file .o.
Hill4is'i‘ tio, .).2:i.J.7
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by twjpplicant named on the above application number in the premises of l''
• _• I?(.) t...1`.-3TV,1001:1, ;Y..; 13:311....1T1.-.1 Y S 1',,.. (,)31 ii1ENS B NW?. , N
--t.
,,, III (:.1.1\33
, in the following location; E Basement 1st Fl. E 2nd Fl. Section Block Lot
--t, 31.1,Y "‘", .. 19 c.).?.:
, was examined on and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :4:9
OUTLETS •ECEPTACLES SWITCHES
INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. '.:.40 2.7 22 1 1 5
.'ir.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
--';' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
IR: •
--.
-c. 3 'If 2 -- -1.. .
- X: _ __ _ •
: SERVICE DISCONNECT 1410.0F- - — — • -------- -.S___,. .E ____ R V I C E
•,4: AMT. AMP. TYPE NIETER Eouip. 1,11 2W 1,18.3W 3 if 3W 3.0 AW NO.OFpEiCirCOND.
OF ACZ.logi4D.. HOOF HI-LEG . EitZigo----- NO.OF NEUTRALS .
IV.
-c,
-.r. 4 1 ;.!00 CI-3 I. i< 1. <I/0 3. 2/0
..,,
11,
.1: OTHER APPARATUS:
_.-i.
!.,.
-2r. 1.74401:T., DE1TEC1IA:1..•-3.
t..
.,,. .
!..,. .
..e.
ts.
...,,
...„ _ •
..,.
44
A.,,°,5Gia
q.
I7TT 1!-.11..8C".PRIC RIC'., ')1°.,Z;.:1_1':1.1• 1.31_i.• -'°'454 9;
--1'
..
--,: .1 2 1-1011A131: AVE .
-4,
1-t(• 300TIii,. NY, 1 2302 BRANCH MANAGER
ill.1, 2:39 MO
-<'
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.--i• IlitIrinilitlffiEl !IIII151121ffiliftifillESEEEMN/IMIIIIMIIII ! MCIffiTt151011ftiliNESIESIMII ! MtItIMIIIIIIMII15111 .
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD /11)
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED X.3/93
/rt 71
NAME �7(j��,dj J4 7z A2'
LOCATION k ,3Jr ( inu,d lJ DATE �//3/yam PERMIT #
TYPE OF STRUCTURE _5> ) w a (7 C, 4_ jj
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS/FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
)(FOUNDATION/DAMPROOFING
)(BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN' PLACE
PLUMBING UNDER SLAB;/
FRAMING: 4
JACK STUDS/HEADERS 4
BRACING/BRIDGLNG
JOIST HANGERS'
JACK POSTS/AIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATI WALLS INTERIOR R-
FOUNDATI N WALLS EXTERIOR R-
FLOORS ;
WALLS N
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE d%5 r
DEPART /t:0 j �•.Pc
INSPECTOR
sec
TOWN OF QUEENSBURY /0:6a /91V
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED :117)9LS
NAME (r J4 //�("177-T,1 ° C )
LOCATION 35 &Pf,4_
DATE ,7)j(0.7 PERMIT # ?-6//7
TYPE OF STRUCTURE 6)rD
RECHECK APPROVED
N/A YES NO
y FOOTINGS/-3 5 y
MONOLITHIC POUR FORM;' f
REINFORCEMENT IN PLACE /
THE CONTRACTOR IS RES,PONSIB E
FOR PROVIDING PROTECTION FR M
FREEZING FOR 48 HOURS 'FOLL 4ING
THE PLACEMENT OF THE CO CR TE.
MATERIALS FOR THIS PURP SE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL ;\
ROUGH PLUMBING j \
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB / \,
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING j
JOIST HANGERS
JACK POSTS/MAIN BEAM/
HEATING ROUGH-IN
INSULATION:_
FOUNDATION WALLS IN1ERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
EVC i PG S 0 wL i
-) '11 =
ARRIVE fO,(1
\E PART
INS EC/TOR
TOWN OF QUEENSBURY
531 BAY ROAD /¢//t
�� • QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
/ jl g%)
NAME .9t: 1,A //.I(-zL �lr9-j-x aiai
LOCATION 'Xi- � ) I,MLLAk �,: A 2 , .
DATE ,('// l 6j 3 PERMIT§ 9 3-//7
TYPE OF STRUCTURE .Sf-7 ,.; (' r7•f7'0/4 V-f)
RECHECK il G 2.6ti/.,
FIRE MARSHAL APPROVAL (,COMMERCIAL STRUCTURE)
;FOOTING FOUNDATION !/gACKFILL IiFRAMING
ROUGH PLUMBING —FINAL ELECTRICAL vSEPTIC
_INSULATION _WOODSTOVE/FIREPLACE
REMARKS t r L'z !i �JI,. r,'a! 44 i.4.4,.
��
f2 1 euzi _ GLLa' k '-�.- APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATI'ON p`
B VENT/LOCATION K
PLUMBING VENT p,,,
ROOFING
SIDING 't
DECK/PORCH/STEPS/RAILINGS,,' >(
RELIEF VALVES h / K,
FURNACE/HOT WATER OPERATING x
BASEMENT INSULATION/DUCTWORK_ IV
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: 'y
BATH/KITCHEN WATERTIGHT Dc,
OTHER FLOORS SWEEPIBLE 1.111
OTHER FLOORS CARPETED ', x
STAIR CLEARANCE/RAILINGS , ",
SS ''
SMOKE DETECTORS p� ,
BATHROOM FANS/WENS oc_
ALL PLUMBING FIXTURES OPERATING pe„
GARAGE FIRE PROOFING
DOOR CLOSERS
A N
FIRF/RFMTSF WAILS •
aMRS TER .
SITE o oNJ �A4 1MaCF REQUIR&nAr��TS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C ` &�,___
COMMENTS:
I U G 1 V w e 2— .1-ticC-L//—
�'.=r'' 1c3 v(2�
O c eMUL _ tat IL 14/4-VE m po,v8
41 �'A4eZ-41(2--r-rvAi92ocfe�—
DEPART ` 45--
TOWN OF QUEENSBURY /4-4
FIRE MARSHAL
41/1)-1-)
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED O'�/�%I
NAME
LOCATION A'', 31- (24/2 /-1' , (-
DATE f://3/9 PERMIT# f_ -//
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM ,;-
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
1 J,
1
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE a
• �f
CHIMNEY v'' /-
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: 1 1 OK TO THIS DATE
f-d4v2 l/aa/1/�Z4
2/015 INSPECTOR
te
TOM OF QUEEOSBURY - �7)
BUILDING & CODE ENFORCEMENTi7�
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name \9iri , /21Ci-e-d 14-71 D
Location Y} 9.(a L / �a
Date 003 Permit # Cog-//7
SOIL TYPE: andrLoam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEP:
ABSORPTIW FIED: Total Length `— b
Length of each trench 4;
Depth of trenches
Size of stone
SEEPAGE PITS: Nu be.r-
Size -
Stone size
PIPING: t ; __ Size Type
Bldg. to Tank r¢c-f0 t1'
Tank to Dist. Box i
Dist. Box to Field/PM1i
Openings Sealed? jes') No Partial
LOCATION/SEpARATIGZS
Foundation to Tank 1 feet
Foundation to Absorpti'ioh feet
Separation of Pits
Conforms as per Plot �Plan ((7-yet
No
LOCATIth OF SYSTEM 31.1i PROPERTP:—
(circle one)
Front - Rear - Lef____ Si�Je _ Right Side
Middle Front -cNjddle Re p'
COMMENTS:
SYSTEM USE APPROVED: YE NO
Arrived: /
Departed:
Building I;spect r /
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVEDI /D/21/( j
'�
NAME iOUA-? LL)U-��� S�k y
LOCATION ,`i F,9 , (I✓��P Jr'G�_U,�f'�
DATE 6&5; 9-5 PERMIT# 6/2'3-j !7
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM t+
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM /
ALARM SYSTEM
k3, ,.
INTERIOR FINISHES A
STORAGE: 0
CLEARANCE .TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE /
CHIMNEY C1 a_ c Y, X
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
• k
REMARKS: 4� OK'=,TO THIS DATE
g J C
/ 1ao
'
it�=%'� � �
2/015 +
INSPECTO
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 '14:5 4j;�,
NAME 4)` ,44. ,.
LOCATION -t/
DATE /,,b4ti 93 PERMIT # �l%
TYPE OF STRUCTURE S/',i) 4./i
J 6,
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 I
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL /
ROUGH PLUMBING 1 /
PLUMBING VENT/VENTS IN PLACE /
PLUMBING UNDER SLAB A /
FRAMING: l /
JACK STUDS/HEADERS i
BRACING/BRIDGING t/
JOIST HANGERS tl k'
JACK POSTS/MAIN BEAM / '% ;e
HEATING ROUGH-IN /
/INSULATION: /
FOUNDATION WALLS INTE`IOR
FOUNDATION WALLS EXTERIOR R-%,
FLOORS / R- '
WALLS / R- /\ 5(
CEILING I R {gip
DUCT WORK OR PIPING' IN UNHEATED'
SPACES j \.
REMARKS: ' }
- • F 11)\ / = 1,
(tom 1j,) w i ,J1. , 001
�vrn 6 1 ,r 1
ARRIVE 4 ''„-(4)
DEPART ���---
' INS ECT
„:j:3 D
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSSPECTION RECEIVED ��
NAME \_ - {7/ r .1/r /a-7 it eid
LOCATION '/ 0 6/-v /-i//w ALLL
DATE 4._',0/3 PERMIT i 93-//'
TYPE OF STRUCTURE ,Si-',
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
i
THE PLACEMENT OF THE CONCRETE. /
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE I
FOUNDATION/DAMPROOFING i'.BACKFILL APPROVAL„ '�; .J.
u ROUGH PLUMBING IA%t-f'' ,11--�''
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB / `'a
FRAMING: P/41T—p-Tj .
JACK STUDS/HEADERS
BRACING/BRIDGING I ,
JOIST HANGERS �” N
JACK POSTS/MAIN BEAM \ X,
HEATING ROUGH-IN / \
INSULATION: I \
FOUNDATION WALLS. INTERIOR R- \
FOUNDATION WALL EXTERIOR R-
FLOORS h' R- �,
WALLS R- _
CEILING I R- °
DUCT WORK OR PIPING IN UNHEATED
SPACES
IlREMARKS: (V(...- .
opto,b1,6iL
____% .
.„
-131 V r. q
.A/4�'i2,-.z:-S -•y -e LLy"+r_ 7 y.
rri; ��s
ARRIVE : / 5 ��
DEPART L�0. ' cat, -- - �,A�s�
f I INSPECTO
TOWN OF QUEENSBURY /'itV
BUILDING AND CODES DEPARTMENT ,49
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /0/g)c-13
NAME %LQ�J- Itieftrd Ayl(Qz)
LOCATION k 3.5 67/ Jf,-.
DATE (p/ J kL8 PERMIT # qg- //7
TYPE OF STRUCTURE 5fZ 1)
RECHECK APPROVED
N/A YES NO
V. FOOTINGS/PIERS
r
I' MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING`"
THE PLACEMENT OF THE CQNCRETE.'
MATERIALS FOR THIS PURPOSE ONSITE
FOUNDATION/WALL POUR 1 /
REINFORCEMENT IN PLACE 1'
FOUNDATION/DAMPROOFING ', '
BACKFILL APPROVAL /
ROUGH PLUMBING `
PLUMBING VENT/VENTS IN/PLACE
PLUMBING UNDER SLAB /
FRAMING: \
JACK STUDS/HEADERS _ \
BRACING/BRIDGIN
JOIST HANGERS
JACK POSTS/MAI BEAM
HEATING ROUGH-I
INSULATION:
FOUNDATION W LLS INTERIOR R-
FOUNDATION ALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WOR OR PIPING IN UNHEATED
SPACES
REMARKS:
pm„. t
F �� (. JSRcrIo/i
ARRIVE
DEPART ( 3l / __Y
INS ECT R
�b AD A •Mal kt1001.9sif,0 L ,: i -q 1� :
k�.
J.
if:
. •I.)
ai t !' 7
0
iv I . , ,
/ - . -. '' Piehe
.44 0 2.--i. ,_
•
I -+vI
�
• .- ...:. 'I ilibap
I i h� � 199� 1 '�i �tI
I t
"iv/ sitri/spe,
i'�' f
•
/L • �►F/
,1, II .C' `/ a�-
. . , , / y .r. 10
A.
d•
Q
/ • h /
1\ r
111 �, r/ \
g�tN6s I- \
a Lout E�GNle, /:/
" 1611:4, 1 / _ . i •
.....--11/4 _L.:‘,, ...,,...--rez.- —,...4, 4,/,...------,...i L-•tir,----------) 4,, t.-N
sZ I x
v
2�'.t - 3 9 �[ �'tk APB; 2 31993 ` , .
1< PnwoSE-1 20 • Q
'II gel .. , ._ _ '�'` s y�
• ` Z a
\
I. 0 ' - . . - ' - I. ( finning �� iistrator
� ���LNSBUPY a ar
6
....
,.. ..,,
, e,I 4 k_e#, ( . ,,
. ,.-.-.:-.:,,L.:.:.,.,- , ,ovirr , i _ . 1 .r____ • : 74r/
.......„„.41,4sis
, ,N 4, -, .
.:. . • .\/-H. :. . .' .. '' .'. .. . . . -
wrigirjRZil• or -40-roo, ,4°.-
- -
„h. _ ,.::,:,:,:,, ,.. •:•-.: .. ,• ., go, .•
IF: 57/ , _
d.:,: ... •
N si+,
• �4�1 k+i`ri rN j 1e X '�.
#}ttom.1 .4. Ily 0., f-1 +1 S '1 f!
� /f J S�yfv gv d t3 ,� 9 `0 1
.i. ''.;:-.it•-4•.' '.• : - , ,• • ; • -Ei
\\S\ ,:
S 3L 4' r� tar
W •
• \ _ _ I 1 I.1111.,1
I cal'