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1993-149 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 219 `d 3 J 9 This is to certify that work requested to be done as shown by Permit No. 9.5-149 has been completed. ��ng2e 4am-it clwe-Pi.i.ng with t vo can This structure may be occupied as a a it acrLeu btu-cage Location Lot 13 Lanceisiuce V1c,Lve, GUoodme'te Subdt,vi -Lon (S.tnee t t 9) M-chae2 7. Vass-LLou Inc.. Owner f 119-(-.13 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement �? X BUILDING PERMIT TOWN OF QUEENSBURY 93-149 No. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michae,2 J. V azitiouJt , `N OWNER of property located at Lot 13 Lanceistike Ditive, St. #9 Street, Road or Ave. CUoodmene Subd v -on in the Town of Queensbury,To Construct or place a S-.ngfe 6ami._y dwe,2f_LvLg 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 r— �-a C 14 Stone Pine Lane Queevi6 bony 2. CONTRACTOR or BUILDER'S Name tame 3. CONTRACTOR or BUILDER'S Address p 4. ARCHITECT'S Name t- 0 c'b 5. ARCHITECT'S Address w r— p 6. TYPE of Construction—(Please indicate by X) ()<,) Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications • 62' x28' Singte 6am%ey dw et ng incfudting two can attached gatcage and No.zept%c 4y4tem az pen plot p.2an, 4pec%6-catLon4 and appti.catf:on. 8. Proposed Use Sing.2e 6am,i,2y diueLting $ 156.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 5 19 94 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ci town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 5h Day of May 19 93 SIGNED BY ��/�� ,�'/ sj for the Town of Queensbury Build) a oni Inspector C.o TOWN OF QUEENSBURY REVIEWED BY: COMMUNITY DEVELOPMENT DEPARTMENT ,,, 1 BUILDING & CODE ENFORCEMENT 11 FEE PAID: x' M /$ 531 BAY ROAD =r r QUEENSBURY, NEW YORK 12804 PERMIT NO. /©3/7/ (518) 745-4447 BUILDING PERMIT APPLICATION = OF 01,14411? A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION`.`�n�rd_Vz JECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILD't1d4RMIT. All applicants ' spaces on this application MUST be completed and the signature of the applicant MUST appear on the applicatg for93 OWNER OF PROPERTY: ///t ii??51/ O[, A/C , & CODE fFp,- Mailin Address : / Q ' ' ,g—�� Telephone Number(s ) : r 79,p73 - Home l� Other PROPERTY LOCATION: - c!!�/ 0 x-C cE- 7 ,L� �Q/t/E (t_ r /,5 Ta 'Map Number: Section Block ✓ Lot 4? Subdivision Name: ko- ice, ,24,--e _, Lot No. /3 NATURE OF PROPOSED WORK: ESTIMATED MAR ALUE OF THE CONSTRUCTION $ NEW BUILDING: RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION: ADDITION TO BUILDING: PR MARY BUILDING - RESIDENCE/COMMERCIAL /1 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 0 P OSED STRUCTURE: 1ST FLOOR SQ. FT. . I . IF ADDITION, USE OF NEW ADDITION: 2ND FLOOR SQ. FT. i.d OTHER FLOORS SQ. FT. (not unfinished cellar or basement) ACCESSORY BUILDINGS : Detached Garage - One/Two ar TOTAL FLOOR AREA: hi �) SQ. FT. Attached Garage - On: wo Car Private Storage Buildi - e SIZE OF NEW STRUCTURE: Commercial Storage Building Other FEET X A FEET Foundation Type: Willtap any second-hand or ungraded Number of Stories : / lumber be used f so, for what? (habitable space only) /�-P� Height (grade to ridge) : /4j> feet Type of Heating System: Number of fireplaces and/or woodstove (circle all whic - - .lies) to be installed: . -- Electr' Oi i�'-� Wood orce of Air Baseboard / Other PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NAME OF BUILDER/ADDRESS/PHONE : V C) g 73 3 3 NAME OF PLUMBER/ADDRESS/PHONE: NAME OF MASON/ADDRESS/PHONE: -2--- 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 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 project on premises . Signature (Owner, owner' s agent, architect, contractor) FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE: ,,4 OF QUEENSbL. RECEIVED ilek ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY � � 9000 HEATING DEGREE DAYS APR 1993 - & CODE DEPT. 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: ACO-C--ZV, ._ 4" /L/6() /1('C. . P -le SE #:- PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - Oat) square feet 2 . Type of Heat - Electric A, A Gas Other 3. Is building mechanically cooled Yes No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VAL ES AS SHOWN ON PLANS SUBMITTED: � l -a•---Roof R `q 1 Lb. Exterior walls r-c:--Glazed a`reas�,,g_ R 111114(- 4472 d. Exterior doors i R ,- y3 e. Floors over unheated spaces R f. Edge of slab on grade (heated building) R 1-1-E- g. Basement/cellar walls (above grade) - R h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating devic- Conforms to minimum efficiency per code ; - - No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Allir Sick turei) D Phono N mbe 7ff--e- INSPE TOR'S REMARKS: TOWN OF QUEENSBURY 01 OF QUEENSL APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit EC:EIVEEF Fee Paid Li PR 1993 Date: Rev iewedaB15( CODE DtPT LOCATION PROP RTY FOR INSTALLATION: Zr7 /63 J/ eES7Y 7V4 r/E Owner's Name: At. Gh � .; 1/4-c( . [c,j Owner's Mailing Address: 1V Installer' s Name: i IZ D Phone #: — Number of bedrooms (if residential ): �3 ' / Total daily flow (residential-compute @ 150 gal . per bedroom) : f lSt Topography-Circle One: Rolling Steep Slope % of Slope` Soil Nature-Circle One: ha d Loam Clay Other /Depth: Ground Water-At What Depth? � Feet Bedrock or Impervious Material-At What Depth? /tlr .P Feet Percolation Test-Circle One: k.ot Required 'equired/Rate Min. Per Inch Domestic Water Supply-Circle One Municipal Well Other _ If domestic water supply is a w- - — Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /0 0 C) gal . (Minimum size: 1,OOO- gal . ) Tile Field: Each Trenc64:411.j%Ftfeet//Total System LengthO '9 feet Seepage Pit(s): Number of /fir 4/ / Size each: ft. x ft. f ze 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 th's sheet and agree to abide by these and all requirements of the wn of Queens ry Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: TE: ro'PN `4�4. �VIDIA;* MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters . . • 1337 West Chester Pike,West Chester, PA 19380 - APPLICANT COMPLETES THIS SSSECTION Date: City, Town or Township �,1. lit'r=/.f5 fii6ems` County 4 ,�%F~ State A., Alr Location/Address --•-1 - r j ( -S7 t ` ' f� (If.Located in Rural Area - Please Attach Directions) Pole # Owner f f�/7�44fi=E �r . 'c-,/� 'r G/' f C -. Permit # .'. ' 1 .'l Occupied As /,/F 1.ii ife)6.7 - Building: Newt I Old Occupant ' - Work Area in Building (Floor #, etc.): • App. for: Wiring I Service or: Ready for Inspection: Fee Remitted-$ Cash n Check❑ M.O. n . c,. -. 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 11h 2 3 5 71/2 10 15 20 ,25 30 40 50 75 100 Mark Number of Each Size l / ~)/111 ' f Applicant's Signature License # Per'mit # . T/A ` ----, Utility: _)/GPI`tom //7 J 7,� (NAME) (OFFICE LOCATION) • Applicant's Address` /C (City) 6 (State) (Zip) / g' Service Request # Phone # f Electrician: ` ' MDIA USE ONLY DATE RECEIVED: G 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 1/6 1/4 1/3 1/2 3/4 1 1,/2 2 3 5 71h 10 15 20 25 30 40 50 75 100 Mark Number - ' of Each Size . II- 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 II Elect. Heat • CORRECT CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED ' DATE FEE FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ CASH El ❑ L/A Owner Fee CHK # I I L/A Due MO # n IPA • Municipal INV # Date: ' . Other.Side❑ Utility Applicant H Owner Cut in Card ❑ Temp # Date - INSPECTORS SIGNATURE n Final # Date - -- 'APPLICATION FORM NO.250 EL 11/59 . r 1 THE NEW YORK BOARD OF FIRE - UNDERWRITERS PAGE 1 pi 815 BUREAU OF ELECTRICITY 1 I' 111 WASHINGTON AVENUE,SUITE 704,ALBANY, NY 12210 • I a0 No �' JUNE 02,.1995 Application No.on file 1443279`15/95 1-1 43>34 3S 01 5 Date PERMIT tat). '�s5-1 2 r '; THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of iic BR1:AN & SUSAN GREENWOOD. 11 WOSODCPEST OR. , QUE1aNSBURY, N,r. ,• in the following location; ElBasement OUT ❑ 1st Fl. ❑ 2►ed Fl. Section Block Lot „ MAY 30,1995 ►. was examined on and found to be in compliance with the National Electrical Code. %' FIXTURE ECEPTACLES• SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;`: • �; OUTLETSINCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT.. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ►S 7 'i �: ., ; i. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS ma UNIT HEATERS MULTI-OUTLET DIMMERS ' 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 `' i' i %' SERVICE DISCONNECT NO.OF S S. E R V I. - .. .C_ .. .__E --- . - - - `"a METER !• AMT. - -AMP. - -TYPE EQUIP. 1,e 2W 1 R 3W 3-0 3W 3,B IW NO.O CCC COND. OF CC C&.ID.:. NO.OF HI•LEG A. • . NO.OF NEUTRALS aF E 1 FAL 'i `i R ' OTHER APPARATUS: MOTORS: :1—F 1-f.P, . G -S. — • t'� . SUSAN & BRIAN GREENWOOD i 1.3. Ir;OODCRE.DT DR, ' QUEEN 7BUR , NY,, 1.2804 • BRANCH MANAGER '-`t: 239 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. pC-4,'•i•Y-i.(l• • -i•f,& •,i•, ,e';•;-i•' ' ' ,.•;e 4P-4;re ',e' 7•C-i•'"e' 4,-rer re ,.,i•7-i•?Per-i•; • • • • • • •. ,•t•;$r1 r • •C-q, • •,'(•Z • • • ,e';.f'%$ -•.•`.y., 'a. .`.Q. COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOM OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR RECEIVED /- . _ NAME � c..e INSPECTION( e , LOCATION 4-6 13 i C i� DATE //?//3 PERMIT 93 _/ 7 TYPE OF TRUCCTTURE RECHECK 1/ 7 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 X PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB, FRAMING: JACK STUDS/HEADERS';. BRACING/BRIDGING ' 'a. JOIST HANGERS JACK POSTS/MAIN;'BEAM�'\ HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERPOR R- FOUNDATION VA'LLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 50...__frT ARRIVE DEPART i L , �1, I SPE OR ELECTRICAL INSPECTIONS DUP ICATE MUNICIPAL RECORD Permit No. ` ,g—(V�+ Ow Pr r . V/b J /L./U Occipant/ �,T ,.-� n'J✓ Location l/ /3 it ei 5Tile /7 Street Town of Gtv/�J++/ state Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. `�O Installed by ( " Pt�/fC/1.OL �/" x '�j No. ��"6 Date __.�r u 9 _ Inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. /0 S� ROUGH WIRING OUTLETSy7 / H.P.AIR CONDITIONER 3/ U r f L,.* WIRING &CONTROLS FOR BURNER S7�-6 RECEPTACLES H.P.PUMP _ �'1y�1'V FIXTURES K.W.OVEN MP.SERVICE EQUIPMENT H.P.GARBAGE DI5POS1L UNIT L l v. AMP.SERVICE CONDUCTORS / K.W. DISHWASHER / K.W.SURFACE UNIT K.W. DRYER / K.W. RANGE AMP. ) RECEPTACLE I_ K.W.WATER HEATER ,FRAG. H.P.VENT FANS f �'[a� , 02..... te' MOTORS N.P. 1/20 1/12'1/10 %a '/s % % % 'A 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS . TOWN OF QUEENSBURY 14,7 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED 7///,9 NAME z ,pl „l�,ZC LOCATION DATE /4/U PERMIT# ✓%-1 f TYPE OF STRUCTURE 5/4. 6U v7C - RECHECK f o2de-c/ � // ,a/a o/GG�� ,QL a477e�✓� FIRE MARSL APP VAL (COMI%ERCIAL STRUCTURE) KF OTING L.FOUNDAT_ION £—BAACKFILL _FRAMING J—t UGH PLUMBING FINAL ELECTRICAL v_SEPTIC /INSULATION _WOODSTOVE/FIREPLACE REMARKS ��,A� ,F / aedA, APPROVAL CHIMNEY HEIGHT/LOCATION N/A YES NO B .VENT/LOCATION \ PLUMBING VENT \ • y` ROOFING \ K SIDING \ DECK/PORCH/STEPS/RAILINGS X RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERT. GHT OTHER FLOORS SWEEPABLE, OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS I `� SMOKE DETECTORS • K • BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERArI�NG GARAGE FIRE PROOFING y4 DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS' . DUMPSTER ' SITE PLAN/VARIANCE REQUIREMENTS"t 7, FINAL ELECTRICAL SDI tOco cz� OK TO ISSUE C/0 OR C/C V, COMMENTS: , . Co C �,bgrc v W/ z.J,pro i MA-01, StA./(ar.L Ooue, 3,1) 1��vtoLL s f T arc-t"361,vrS of 61, -r 5 /1-TSTA-f(21,5 S i P A r 'F2. itir.. 2c t4 [1v s- 5 o F P)v,v si MA-IL L PL/1-i G-s N T ArS pCST60, ARRIVE � ty • DEPART NSP T _Down o/ Qentur . . BUILDING and ZONING DEPARTMENT . • Bay and Haviland Road, R.D. 1 Box 98 • Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME ]v4 \ L.ECO- LOCATION LPD.0 t LP,Jl1Z'-k Z( (z, DATE _ /2-/ PERMIT NO. - ! t( SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length C Length of each trench 114: '-ko- Depth of trenches 7j-'� Size of gravel_ 1� SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank '% Tank to dist. box f j Dist. box to field/ Openings sealed? 6 Partial LOCATION/SEPARATIONS: �r Foundation to tank _ ft.' )6/ Foundation to absorption ft. plA_V- Absorption to lot ne \ ft. ft. LOCATIO YS EM ON PRERTY(circle one) Front - Rear) 'Left side Right side - COMMENTS: 1 • • • 4 • 1 • • SYSTEM USE APPROVED OYE NO Iv' Building Inspe tor 01/86 and vl 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 2f 1/0 NAME 7./(g.D)_,/.t,i,1).f LOCATION / — t 3 l,l4e, ALz. DATE ,�/ yl/3 PERMIT I —//71y TYPE OF STRUCTURE .W:.) 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: / 1 JACK STUDS/HEADE BRACING/BRIDGING/ JOIST HANGERS JACK POSTS/MAI /BEAM HEATING ROUGH—IN/ )(INSULATION: /FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R— FLOORS / R— , WALLS ! R— CEILING R—?6 DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE /©/ci U • DEPART o✓ NSPECTOR 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 h ,(4_,/424 LOCATION DATES / _;7 PERMIT # 4.3 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 7,ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB • fFRAMING: JACK STUDS/HEADERS BRACING/BRIDGING !� JOIST HANGERS 7 }' it JACK POSTS/MAIN BEAM n HEATING ROUGH-IN INSULATION: ,r'"s FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXT'ERIO.R R- FLOORS I R- WALLS R- CEILING R- DUCT WORK OR F.'IPING IN UNHEATED SPACES I REMARKS: / AiA-o t p PL11� OWN,- Aft- ALP ARRIVE_ rst DEPART V SP'CTOR 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 ,5f///_3 NAME 7/G2 GI' -19-1( LOCATION of¢ 79 DATE 61 / 1 Q3 PERMIT TYPE OF STRUCTURE SID 6v ;?el RECHECK APPROVED N/A YES NO x FOOTINGS/PIERSLAOrZJ 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 PL/ACE PLUMBING UNDER SLAB / FRAMING: / 9, JACK STUDS/HEADERS - - / BRACING/BRIDGING JOIST HANGERS ' JACK POSTS/MAIN BERM HEATING ROUGH—IN J / INSULATION: FOUNDATION WALLS IVTER,FOR R— FOUNDATION WALLS EXTE1 IOR R— FLOORS R- WALLS R- CEILING / R— DUCT WORK OR PIING IN UNHEATED SPACES // , REMARKS: ) 6 2:1•4/ K8p PrAbu&p rxt5 i poL uvor o-rd,L); x-1-6.)\rD ,v 6 $ — /JiUr6cDi t ./6S IOU eo`flC' ��'l�U cos 1N ) Of.J6 5, ARRIVE I& O DEPART Jf,Q 0 IN PETR TOWN OF QUEENSBURY 'QLlay BUILDING AND CODES DEPARTMENT /907 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ,S7/D/93 , NAME yi L6, LOCATION f /J DATE 41/i/q PERMIT # 9 3 - /49 TYPE OF STRUCTURE 5fJ !f/ c,?C attgOvo, 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 t` FOUNDATION/WALL POUR REINFORCEMENT IN PLACE ' (FOUNDATION/DAMPROOFING ,d ./BACKFILL APPROVAL \, r ROUGH PLUMBING C PLUMBING VENT/VENTS IN PLACE''./ PLUMBING UNDER SLAB A FRAMING: / JACK STUDS/HEADERS / \ BRACING/BRIDGING / o, JOIST HANGERS JACK POSTS/MAIN BEAM / �•} HEATING ROUGH-IN f INSULATION: ! FOUNDATION WALLS INVERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS 1 R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: RUOGb‘A-fj;--C)' 010\4:37-UD071-1JVCO ARRIVE 91'( j DEPART 1i 5 IN ECTOR fil TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ' 531 BAY ROAD /6& QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ,/)f f? t ' NAME /21,Ge i?a,f> LOCATION Ay`-- /3 �I41„r, DATE S���O PERMIT # TYPE OF STRUCTURE RECHECK APPROVED . N/A YES NO / OOTING IER �L�PLn.c15— TVUL THIC 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 PURPOSEkON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE 1 FOUNDATION/DAMPROOFING BACKFILL APPROVAL 1, ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB 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 R- DUCT WORK OR PIPING IN UNHEATED SPACES - REMARKS: rA(1-114 IC)F''`'.E�" 61// � S✓t���5 l 6 �' ul (t)& - 1v0 fz&-1,v(orzCr,,(� eve NAPS ARRIVE 7_,`,f O DEPART 7,,1,2- IN PE TOR 0o CRANESIIILLE BLOCKI& ( ; 6,1 RT. 5S • AMSTERDAM, NY 12010 , 1 . III 887-5560 • 346-1251 �� ���� • e/. MASON SUPPLIES READY MIXED CONCRETE AMSTERDAM 887-5560 AMSTERDAM 842-7270 JOHNSTOWN 762-3318 SCHENECTADY . . . .346-5063 V - - - _... _ , a./7 a_ ---- j IL n t.\ q S 1. . .T Qs 1-....., U \ \: 1 Iff /26 / S --> , � ` J �,-� 1� o /�s • 2r- s � -- Off . , u / /4 ,"it r V / \ ~ r 7—�i��7r i;�^N33f•D AO NMr.;. —,, nl e� OF CtJEEo�9 aks \\°:,‘ I `} BECEWED c.c 1 kr :°_1 • , 1 1 APR1993 �6i IrAVIAA‘k p:11,/ V� I rril 71 ‘,,c 8:. tfu,0%.,::.c..._;_:rid..7"—jd.o.„vr, •• \ ,11 i:,, \ .'4 \ \ —'',._ ODE 71 PT • ,\ [), %. . V o /v&•:.- ..-,, .4 : ,, -./ -..- .i,A---• i3 1. ‘.::,,,:,., 0 7 ....,_,.!.... 0 i ,, 06,0 ,.. L , f.„‘i c§/ / J �, .? 3/ ; n N 1 (14 ( / . 1 I ' .\::V"rr v . \I: s.. ,f V_____L___, Al* •ft t i� \, I $411 tS•.(1 r‘r) )1 \ \ \ I// - I' : \- ‘4 dI) - I kr- , \\. \ \\ \ 17 ::•;' / I 43- .7.a 0-------., ' 4‘"?.- \111,,,,_,<::\.,-,'\:.)..:.:, .:. .; • - --: -1‘i \ )\ .- ,,,, • -, :4...$3 MAGI Wo09 rAg4g SJBOt%/Isr•P3 B Y CpJ V rco- 4 ck L-a-f- X 9 p•TNV 4eR.I L_ II 19 8 7 b�$y10111Z� 471 JUL 198 r M- I HEREBY CERTIFY TO BERNARD R. & JOAN I. COUNTER GLENS FALLS NATIONAL BANK & TRUST COMPANY, ITS SUCCESSORS AND/OR ASSIGNS TRW TITLE INSURANCE OF NEW YORK. INC. THAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON THE GROUND ACCORDING TO RECORD DESCRIPTIONS AND SHOWS LOCATIONS OF BOUNDARIES AND IMPROVEMENTS ON THE PREMISES AND THERE ARE NO ENCHROACHMENTS OTHER THAN SHOWN I LEON M. STEVES DATE: JvL.' 12= 1i93 �j •.•S�8 �AH� S�jA` • z • • �zs 35fi1i 9 'UNAU7HORlZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB —DIVISION 2. OF THE NEW YORK STATE EDUCATION LAW.' 'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED VNTH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES' 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE E)OSTNG CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS SAID CERTIFICAMO NS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS71TIA71ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.' MAP OF A SURVEY MADE FOR �E2ttatZ,v ?�, . 4 JoA.-n I, Cou-nTsz TOWN OF vCEu56vRY WArto-00 COUNTY, N.Y. SCALE I / 3 0' DATE I Jv -Y 9. / 9 93 +' VanDusen t Steves I I LAND SURVEYORS, GLENS FALLS, NEW YORK I N.Y. STATE LIC. NO. 35617 i v?- (, -13