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1990-220 t I, T \l% I , 1. 44kt AAMOINIMINIIP Ii‘.1 I .‘v ' r- I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY 1 ‘ WARREN COUNTY, NEW YORK Date aLta. 31 19 gi v- i This is to certify that work requested to be done as shown by Permit No. 90-220 has been completed. This structure may be occupied as a Pi elditinn to dwAllinsr - p I Location . 106 Pickle Hill Road Owner ° Kathleen Martinez 1 By Order Town Board TOWN OF QUEENSBURY a 1 Director of Bldg. 6c Code Enforcement I BUILDING PERM TOWN OF QUEENSBURY No. 90-220 WARREN COUNTY,NEW YORK p PERMISSION is hereby granted to KATHLEEN MARTINEZ If i OWNER of property located at 106 Pickle Hill Road Street,Road or Ave. '—` in the Town of Queensbury,To Construct or place a Addition to 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 same 1 tt 2. CONTRACTOR or BUILDER'S Name N Sawdust Construction x David McAvinney r,. 3. CONTRACTOR or BUILDER'S Address CCD PO Box 771 Lake George NY 12845 4. ARCHITECT'S Name w ro • 5. ARCHITECT'S Address r-• r-+ 0 • 6. TYPE of Construction—(Please indicate by X) ( Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications C' No. 161x24t Two Story Addition as per plot plans, specifications and application. o, • S. Proposed Use ¢ Addition to dwelling for living/family and bedrooms. o • aq $ 81.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 30 19 90 (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 thi ' h Da ,of April 1990 SIGNED BY. 9 • �' for the Town of Queensbury -Bui .ing and Zotil g Inspector TOWN OF QUEENSBURY REVIEWED BY ,.. / FEE PAID $ 3-4t 4,756404 M- OM, PERMIT NO. )0-22-b , f, USEN\: . . LiUI:5 BUILDING PERMIT APPLICATION juL. L APR 271990 BUILDING & 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. a • a a a a a a a * * * * * * * * * * * a a * * a * a * * * a * * * * * * * * a * The owner of this property is: koj\'L (.�.e y) )41 a r---I-g et ez . P.O. Address 16 (.� Pc:kte. it; L( act r Tel. 7 e9-- 6537 Property Location eorn,er- Pick(E. (- L( I a 4-e feo . Tax Map No.7 // ?,/ Has there been any split of this property since. October 1, 1988? / If yes Planning Board Review is necessary. yes no _e`a SUBDIVISION NAME, IF APPLICABLEsA. LOT NO. ,` THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: C ci,c.Pc B ley►kes / SQ,wcpust ev,s1V. NATURE OF PROPOSED WORK: * ESI'IMATED MARKET VALUE OF Construction of a new building * CONSTRUCTION: $ Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: * Size of property `'SZiv3. ft x 7 'ft. Alteration to a building , * Existing Buildings(3) Size - ft. x r ' .° ft. (no change to exterior dimensions) • Proposed building - distance from property line: Other work (Describe) * Front yard 70.' ft. Rear yard s' ft. * Side yards IIc' ft. and ,., 1 ft. * If on corner, setback from side street '' z f t. GROSS AREA OF PROPOSED STRUCTURE 3li * 1st Floor ` sq' ft. o'* OCCUPANCY INFORMATION *) 2nd Floor sq. a ,, 'ft. � ;'-‘primary.-Biiiding - Other Floors sq. ft. 0/ * ,c, One Family Dwelling (not cellar or basement) X *` Two Family Dwelling TOTAL FLOOR AREA( �'Z.. sq. ft. * Multiple Dwelling/Number of units a Business Size of new structure ft x 9� ft. Foundation-pier/slab/crawl/partial ' Industrial (circle one) * Other w No. of stories (habitable space) Height (grade to ridge) 7.54 ft. # If addition, what will use be? A r-ii`' A:r);J --, If residential, no. of families 1 * / �' a Vi �i. - ,m .1 a e -, a,, Ai 42.7E 0., No. of rooms(excluding baths) Z.. • 0 Accessory Building No. of bedrooms I ' _Detached Garage ONE/TWO Car No. of bathrooms Primary heating system L..., e.„• ;ia,,, * ._Attached Garage ONE/TWO Car Type of fuel ' __Private storage building • No. of fireplaces to be installed e, Other Will a wood stove be installed "o ' * Central Air conditioning „_' ,_' •* ' OV' ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: , Type of construction, wood frame, fire safe, etc. Wilf:any second-hand or upgraded lumber be used? If so. for what? Foundation wall material dx. Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft. Will there be a basement? >/FWill any portion be used as living space? ` C:? (If so, what portion? sq ft. Type of use? Type of roof sloe /flat/shed/other Material of roof l ., ,,Y;.05 �°j kci\j/ r Size, wood studs 2 "x C> " spacing 6" o.c. length ft. Joists (floor beams) 1st floor 2 "x i D " spacing t "o.c. span \ 1 ft. Joist (floor beams) 2nd floor ' "x 'Q " spacing t 1"o.c. span E7,I ft. Overlays (ceiling beams) y "x " spacing 167" o.c. span F?) ft. Roof rafters x spacing I (rno.c. span 12, ft. Roof trusses (pre-engineered) spacing " o.c. span ft. Exterior wall finish ✓ . xt `<'oo of what material? \ Ck=:› Interior wall finish E,/,?m • If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? WA If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? 4,2 Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. Water supply - Municipal or R ie well SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) / �awd(43 d'an51, I-v c, NAME OF BUILDER Da* /110/7vf rn•ec1 ADDRESS yc`�©,edx 77/ Ago TEL. NO. (�S - 97od NAME OF PLUMBERc4 rnac TIe a ADDRESS 5-ce cedv TEL. NO. %94/- v/33 NAME OF MASON 4 of erd e.5 ADDRESS 2.0±e C•eor e. TEL. NO. 666 -- _. NAME OF ELECTRICIAN 5404-e lc 5 ADDRESS TEL. NO. r DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the )lans 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 Ill other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. X Signature �u'1�-� 6 g-51(35 Owne wner's agen arch tact, ntractor- PiA SPECIAL CONDITIONS OF THE PERMIT: BY TOWN OF'Q UEENSB URY Bay at Haviland Roads,Queensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date i' — 01 4- 19 9'd Permit No. 91 aU . APPLICATION IS HEREBY MADE to the Building Department 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 for the required inspections. 11 APPLIANCE TYPE . ' 1 ,. Applicant's Name tir etr-tinC'7 1 Stove Coal Wood Address faP, J$ 1j , @, Furnace Hot Air Boiler Zero Clearance Circulating Unit Qt. t14)6dt`C.4 ,. a Alt Zip ic9.804 Phone I '9 1 Z53-7 If Non-Masonry: Owner's Name `tit ,,,,-- Manufacturer Address i Model Outlet Size • I Zip Listed by Number Phone CHIMNEY TYPE Masonry: Block Brick Stone Property location of proposed construction �g Flue: Tile Steel orri'er ol- Pflek ' . �t i� trite Size: adS Factory Built: I t � � Manufacturer Model Size _ , COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall 'ti `` AND CHIMNEYS. MUST BE INSTALLED Insulated ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ ,7 3 SONRY FIREPLACES AND CHIMNEYS. i CASHIERS DEPARTMENT ' TOWN OF QUEENSBURY, NEW YORK Department:• Fire Marshal Amount Collected Amount Refunded Code Number Title _ w A173 3389 (190)Public Safety . A233 2655 (230)Minor Sales Fee ollected from or efunded to: iT fi/ 7!`,,,lt.i /if//1. �???/fi. / Address: Dated: ',476Town Clerk or Deputy r ` ,t -�° ',t,, , f 7 f Pik- ( e-'�' G C:' If 11 While:Ansk_C,a1.1_____Yellow and_Pink:Cashier_'s_Denactment___Goldenrod:F_ir_e_larshat__-__—— ____—_______ ___ _! WARREN COUNTY , NEW YCRK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE -NEW YORK STATE ENERGY CONSERVATION CODE i OVVtV A permit must be obtained before beg ' n• ANSWER ALL of the following: n0 .� ��) _1' 1 . Gross floor area .. APR 271990 2.. Type of heat EL__.12:eLT1 __ BUILDING & CODE DEPT. 3 . Is the building mechanically cooled? • f� • 4 . Percentage of area of windows and doors " • 2.. C/0 A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2. Floor over heat 3. spaces YES NO a. Are foundat on walls insulated? YES NO 1. If YES , • what is the R value? • 3 . Slab on grade YES NO a. If YES, wh .t is the R value of insulation iround perimeter of floor? • • 4. Is basement heated? YES NO a. R value of insulation . • 5. Type of insulation • • H. Under 16% Only 1. R value of roof and floors exposed to ambient conditions• 2. R value of exterior walls , 3 . R value of glazed area R I2.. 4 . R value of doors 5. R value of floors over unheated spaces f19 . 6. R value of slab edge insulation ' - unheated slab '- -- 7. R value of slab insulation - heated slab -" 8.' R value of heated basement/cellar walls (above grade) 9. R value of: heated basement/cellar walls (below grade) 10. Type of insulation c.122_ F r"'31/4.. C: Controls I. Thermostat maximum heat setting • D. Duct Systems 1. Is duct system installed in unheated spaces? YES • • a. ' If. YES, R value of duct installation ' b. - R value of duct in other areas E. Piaina Insulation . 1. Size of hot water or cooling. carrying agent pipe 2. R value of pipe insult"'" .P. Service Water Heatinq 1. Performance efficiency • • 2. Temperature control setting maximum __ G. ?Or Swimming Pool Only 1. Maximum heating • 7-Tel.phaneo. (S?8) 644- 35 4 �3 �-�— tappz3icant 's sin ure) t APPLICATION FOR .e` SEPTIC DISPOSAL PERMIT 171 tf_ IMP � APR 2 1990 DATE `"! Q BUILDING & CODE DEPT. LOCATION OF PROPERTY FOR INSTALLATION coal r C3 Lkk [(I if if 5-e gads 'f Owner's Name: k44,f! lee Mar ir» Telephone: 7 4,—6 ss7 >4. Address: f 66 Pt C!e l€. 1-(— 1 I Ieoad 1 1(A P,QYI Sextrq !° . Va 1 gjd`( Installer's Name: S JE • j" Telephone: 'F c' ' '`� ? Number of bedrooms (residential only) Total daily flow (compute Cd 150 gal per bedroom) `f 5d Topography: Circle one: Flat o1 in teep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet Ground Water: At what depth? /(/f k Feet Bedrock or Impervious Material: At what depth? klitr— Feet Percolation test: Circle o e: not requireduired rate min. inch. Domestic water supply: circle one: Municipal GP Other If domestic water supply is a well: Separation: Water supply from septic absorption feet t PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) MOtitti G1h lhs14 --reA a 1 -c<) TILE FIELD: Each Trench feet/Total system length • feet un ct.. t SEEPAGE PIT(S): Number of / Size each feet by feet -- ls dUa" Size of stone to be used # /Depth or Thickness feet ************************* 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: ., ct' J 7 f o OVER 1 tqs �z,,, , t Septic' Inspections: � :S Ystem A. ATIN40pt11carions:Jor: 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: ' I .) 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 shail_ 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 installa— ' tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further coils t ruc c ion. Town of Queensbury BUILDING and CODES DEPARTMENT - - Bay and Haviland Roads Queensbury, New York 12804 • • Remarks: TOWN OF QUEENSBURY 531 BAY ROAD ` QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST CFOR INSPECTION, f RECEIVED l NAME tS (2 j- ,Qhl, ,t✓Yj P � v D LOCATION f O(® i'j iA kb. g Pd DATE 7/2 /Cl/ PERMIT# q ^2Zd n�1 TYPE OF STRUCTURE acid 6 d uI RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) dsF00TING IiFOUNDATION d-BACKFILL I4RAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS /p/e? 1 A. ivvica,-die., APPROVAL N/At YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS ' RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY1DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED / STAIR CLEARANCE/RAILINGS'•, HANDICAPPED ACCESS SMOKE DETECTORS \,/ BATHROOM FANS/WHOLEHOUSE P NS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING ' , DOOR CLOSERS r' OTHER FIRE SEPARATION,/ FIRE/DEMISE WALLS P DUMPSTER l' i /^ SITE PLAN/VARIANCE REQUIREMENTS\ FINAL ELECTRICAL �✓ OK TO ISSUE C/O OR/C/C COMMENTS: / fi r(, G (2 5 65i6/ ARRIVE DEPART INSP TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT,,,,� REQUEST FOR INSPECTION RECEIVED `/7,4) NAME A LOCATION 19.c- `'/{ ��rp0 (7, DATE PERMIT # -#0° APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING; BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN „ INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE 4 RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/P IVACY DOORS FINISHED FLOOR GARAGE FIREPROOFING DOOR CLOSERO SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNEDICERTIFICATE OF OCCUPANCY MUST BE OBTAINED' FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 4.„, A Vt �� 6Y c (2),,466` 2� 4 7.9 W 0 W6i4P-,4,5-4' INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS n QUEENSBURY, NEW YORK 1280- //'J TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /,4f/ .) NAME /Vl(Jj 4'J A LOCATION Rain cd.f1/ DATE evll(flg a PERMIT # 9! C dGf i APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN et;INSULATION: FOUNDATION FLOORS „?. WALLS 4 3 CEILING ,Q- S FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEFaVALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING I DOOR CLOSER(S) SMOKE DETECTORS J '\ FINAL ELECTRICAL INSPECJAION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C -' A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ARRIVE ja d �� DEPART /°2' rnrcnnn n TOWN OF QUEENSBURY • BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 • TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /1:0/9/9C) NAME /ZC.��./�./7 / //2(�%'L LOCATION `/)6 4fifje> -I/ DATE /th/91) PERMIT # y-22L APPROVED YES NO FOOTING/BIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL AFPP OVAL ROUGH PLUMBI G FRAMING 9_72; (Ea v.) ELECTRICAL RObIGH—IN INSULATION: h FOUNDATION FLOORS • WALLS • CEILING FINAL INSPECTION: CHIMNEY HEIGHT '; ROOFING SIDING j EXTERNAL PORCHES/STEPS • STAIRS—CLEARANCE &\ RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION' _FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE/C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' . REMARKS: yf FA,� 0, flawi- Up. ter gau, (914 d L) f t Ca -1-4,5 ARRIVE /le(1� DEPART ALA ( ' INSPECTOR phy/1--- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YO2K 12805- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REP RT REQUES FOR IN PECTION RECEIVED 12.-11q6 NAME _..a.,. eV I LOCATION x l C.. , I I . DATE 7 2Z I �U PERMIT '# 9O'-2_2 APPROVED II YES NO FOOTING/PIERS I MONOLITHIC POUR FO S v FOUNDATION/DAMP-PR OFING NBACKFILL APPROVAL OUGH PLUMBING FRAMING J ' ' ELECTRICAL ROUGH-I #1 INSULATION: FOUNDATION I ' ' ' FLOORS WALLS CEILING 1 ' FINAL INSPECTION: '. CHIMNEY HEIGHT ROOFING SIDING . EXTERNAL PORCHES/ST:PS STAIRS-CLEARANCE & '4•ILS PLUMBING FIXTURES/`E IEF VALVE INTERIOR TRIM/PRI i1C; DOORS FINISHED FLOORS . GARAGE FIREPROOF G " DOOR CLOSER(S) . SMOKE DETECTORS FINAL ELECTRICAL NSPECT.'ON- FINAL APPROVAL OF CONSTRCTION ' OK TO ISSUE C/O.?R C/C "- I A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM T E BUILDING\DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!" ' REMARKS: ARRIVE / ' 'lc DEPART NSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR__ INSPECTION RECEIVED .7 /& NAME 7 iz� ', ) LOCATION A . Vei ,1 , _ - DATE ,70? PERMIT # �Q%,��y%,,,� APPROVED YESS /1V0 X( FOOTING/PIERS 1/ MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ' ROUG PLUMBING FRAMI ELECTRIc_AL ROUGH-IN INSULATIo k : FOUNDAT oN FLOORS WALLS CEILING FINAL INSPECTIO ' CHIMNEY HEIGHT i ROOFING SIDING EXTERNAL PORCHES/1:,EPS STAIRS-CLEARANCE • \AILS PLUMBING FIXTURE;/RE IEF VALVE INTERIOR TRIM/PR VACY OORS FINISHED FLOORS! GARAGE FIREPROO ING DOOR CLOSER(S) , SMOKE DETECTOR. FINAL ELECTRICA INSPECTION _FINAL APPROVAL IF CONSTRUCTION OK TO ISSUE C/o OR C/C A SIGNED CERTIFICATE OF OCCUPANCY ST BE OBTAINED FROM THE BUILDING DEPARTME BEFORE THESE PREMIS S ARE OCCUPIED! REMARKS: it ( I Pi posuu i ARRIVE / ; t.)- DEPART 1; 56. i,,, 41 INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAV LAND ROADS QUEENSBUR , NEW YORK 12804- TELEPHONE (518) 792-5832 UILDING INSPECTOR'S REP I REQUEST FOR' INSPECTION RECEIVED NAME 4-7-z. ftA/ -�_._ LOCATION pi {Ct /4 ce......ok 21 o k,r DATE 1 I( 1C11) PERMIT # /� l.:12 d ' 6 APPROVED YES NO FOOTING/PIERS /419017T0 Al. ' MONOLITHIC POU FORMS I FOUNDATION/DAMP PROOFING I BACKFILL APPROV L . l ROUGH PLUMBING I" FRAMING I ' ELECTRICAL ROUGH . N ' I INSULATION: FOUNDATION FLOORS ' 1 I WALLS I CEILING I FINAL INSPECTION: ; I CHIMNEY HEIGHT • ROOFING I SIDING I EXTERNAL PORCHES/S , S ' STAIRS-CLEARANCE & ILS PLUMBING FIXTURES/R ; IEF VALVE INTERIOR TRIM/PRIVA • DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL I SPECT�ON FINAL APPROVAL OF ONSTR VTION ' OK TO ISSUE C/0 O C/C A SIGNED CERTIFIITE OF OCCUPANCY MUST BE OBTAINED FROM TH BUILDING bbEPARTMENT BEFORE THESE PREMISES 4RE OCCUPIED.- REMARKS: , 6� filJap/lie '' ram. GE/14a, -7....7) , 1( ,..--. ., kRRIVE3 i _ )EPART ,1 5