1994-352 +
c �+
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date April 12 , 19 95
This is to certify that work requested to be done as shown by Permit No.
94-352SP
has been completed.
This structure may be occupied as a single family dwelling
LocationLake Parkway
C.B. Leeser and M. Susan Leeser
Owner
9-1-7 By Order Town Board
TOWN OF QUEENS URY
r !j
Director of Bldg. & Code Enforcement
4 /
46,
BUILDING PERMIT 1-3
TOWN OF QUEENSBURY
No. 94-352SP 'b
WARREN COUNTY, NEW YORK
0
.
PERMISSION is hereby granted to C.B. LEESER AND M_ SUSAN LEESER
OWNER of property located at Lake Parkway 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. tri
1. OWNER'S Address is
RD#1 Box 1289
Lake George NY 12845
2. CONTRACTOR or BUILDER'S Name W
Valente Builders
•
3. CONTRACTOR or BUILDER'S Address
cn
En
3
4. ARCHITECT'S Name
rr
(D
5. ARCHITECT'S Address
It
ly
PC
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
41. 7 ' x 52 ' Two story Single Family Dwelling as per plot
No. plan, specifications and application.
U
8. Proposed Use
Single Family Dwelling
a
324 .00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 7 19 95
(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.)
a
Dated at the Town of Queensbury this 7th f ' July 19 94
Qyay
SIGNED BY for the Town of Queensbury
Building a In o
TOWN OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING & CODE ENFORCEMENT ( ' FEE PAID: r -'
531 BAY ROAD /'
QUEENSBURY, NEW YORK 12804 ... PERMIT NO.
(518) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. 4NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be corn j 4 and the
signature of the applicant MUST appear on the applica eel' .„form.
uee��v .ry
OWNER OF PROPERTY: kdg. [if
Mailing Address : i�?Qa 1 tJ c U� c4Ga2 /' '' ff cP4/j
Telephone Number s : Wo
rk( ) Home �.. Other.
PROPERTY LOCATION:
Tax Map Number: Section Block __,f Lot __27
Subdivision Name: 1c� ��z (‘.4- . Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ A i d-t o
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
v ADDITION TO BUILDING: PRIIX Y BUILDING -
•ESIDENC g
.' COMMERCIAL �� Single FamilyDwelling
'V ALT w •N 0 BUILDING: Two Family Dwelling
RE IDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF ,PR POSED STRUCTURE;,
1ST FLOOR SQ. FT. / - '
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR WC? SQ. FT. :
OTHER FLOORS a SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One 00 Car
TOTAL FLOOR AREA: SQ. FS. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
�L/ 7 FEET X 52 Other FEET
(_1 Y7,7 ,
Foundation Type: Will any second-hand or ungraded
Number of Stories : Z-- lumber be us d? If so, for what?
(habitable space only) O
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all ch applies)
to be installed: / Elect / / Gas / Wood
S,a 6e9' orced Hot r / Baseboard / Other
PERSON RESP SIBLE--_.FOR SUPS VI ION F WORK AS REGARDS TO BUILDING CODES IS:
/ �W_
NAME OF BUILDER/ADDRESS/PHONE:
Ut-14-1.7,--"06:7-7-a #7 76 hr)-v-73
NAME OF PLUMBER/ADDRESS/PHONE: Lk. It
NAME OF MASON/ADDRESS/PHONE: tc It
NAME OF ELECTRIC /ADDRE S/PHO_NFra: -* 6 cfg iJ
l
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 issu- an AS : , ILTLOT PLAN
drawn to scale, showing actual location of proj - , •n pre- =s .
Signature / a,(Owner, owner' _ agent, architect, contrac or)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
(4---ruy
, _
71,,At.eiazt,64)
TOWN OE QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date _ $ 94i- 52
i,19 Permit No.
�'�
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 etimney.,,
�J' .
Applicant -c APPLIANCE (check a'propriate boxes)
Address 6 -69 ❑ STOVE: ❑Wood ❑ Coal ❑ Pellet ❑ Gas
0 FIEPLACE INSERT
d1/1 /f Zip lePe-*/ ❑ FIREPLACE, FACTORY-BUILT:
Phone c -- - ❑ Wood ❑ Gas
EPLACE,n-Kood ❑ Gas
Owner c2L L, � • 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address4 t B 1 2/c IF NON-MASONRY APPLIANCE:
1*i4Q / Manufacturer:
/� o Zip /&PrVi Model:
Phone /3517 35/51
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block 0 Brick 0 Stone
FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated ❑ Direct Venting
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collet d Amount Received
Code Number Title
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to:
Address:
Dated: Town Clerk or Deputy:
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
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THE NEW YORK BOARD OF FIRE UNDERWRITERS 1-p,(;F: 1
BUREAU OF ELECTRICITY
.,,,,,p,..,IL L„ t,,..4!1111 WASHINGTON AVENUE, -0 •', A BANY,NY 12210
it i ,-'31.894/94 A
of: Date Applicati,n No.on file
PERHT T .1.. C44-.732
1-tc: THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the .• mad on the above application number in the premises of
IV [EMIT, PR 1 1-1.OE 1 289 1...41:F, PARKWAY, 1;AKE GEORC;11, 11.V.
i: 01:Pr
„,'. in the following location- ease nt 0 let Fl. 2nd Fl. Section Block Lot
it
_.., Ai LiI.M El Is 01:,,, 5
was examined on and found to be in compliance with the National Electrical Code.
*c:
i 1 FIXTURE FIXTURES RANGES COOKING DICKS OVENS DISH WASHERS EXHAUST FANS
RECEPTACLES SWITCHES
' OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. . H.P.
I!
!. DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS mom.REC'PT. TIME CLOCKS Nu UNIT HEATERS MULTI-OUTLET DIMMERS
:'• - SYSTEMS
AMT. KW. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. No oF FliF AMT. WATTS
i '--,'
: SERVICE DISCONNECT NO.OF _S E R V I C E
METER W.G. W.G.
AMT. AMP. TYPE mom 1 0 2W 1 if 3W 3#3w 3 A 4W NO.OffsiCarCOND. of tea... . NO.OF HI-LEG
OFA. No.OF NEUTRALS A.HI-LEG Of NEUTRAL
!!,
1 7:,00 1.ICH I Y. 1 4.,0 1
' .
OTHER APPARATUS: •
1!,,
il:
i',.:
i:,:
.:.:::
_
FIDWARD LACkY
TROUT LAKE ROAD IIIIIIIT)t"...„." . (.
P}ourori 1..,AND1NCI, HY, 1 23 1 4 BRANCH MANAGER
Per
.if.; 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.
6:- ..- 6- 6.- •- • • .. ease- ., •- cease sees- •• ..--•-4- 6- s ceases -es' •' • AI • • • • • • • • • • • • • • • • •
"neat rein 01 III niRi"rtris A VIOPRIIIILIT •ruuto.....ras.an.,Pir.rik•PIPMA A Tr.It•I 1067.•MOW 0 Al.1.011.1Crl iRl A R1,1/RR A Airdrie!
•
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE :!
31 '1.`3"
BUREAU OF ELECTRICITY
111/WASHINGTON AVENUE,SUITE 704,ALBANY,NY 12210
APRIL 19+ 19ci Application o.on file ; O6.1 .1`ar: P144 A IOC,"
Date
THIS CERTIFIES THAT
only the electrical equipment es described below end introduced by the - - - on the above application number in the premises of
�. CifY( "� (,��1�3 �1( �Q]j''�"x'j4�R r t [ j't y E q (' t ( �,yTt�'y y
.I ESE PIS EHRLY l;"h 1 N r.; 1 t)l b.�:d #1`{. Lit-F i�l f L�1 m'1 L� .v
OUT
.': in the folloieindi'location• n Basement n 1st Fl. [n 2nd Fl. Section Block Lot
• was examined on and found to be in compliance with the National Electrical Code.
FIXTUREt FIXTURES RANGES COOKING DICKS OVENS DISH WASHERS EXHAUST FANS
• OUTLETS ACLRS SWIT INCANDESCENT PWORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
• aRYERS "FURNACE MOTORS FUTURE APPLIANCE MOORS • REC'PT TIME CLOCKS Nil UNIT HEATERS DTI-OUTLET DIMMERS
• AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. T. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS
AMT. WATTS
r
SERVICE DISCONNECT NO.OF S E R VMIR
I C E
I. NO.OF CC.COND. tee- A.W.G. A W.G.
AMT. AMP. TYPE soup. 1 X!W 1 l 3W 3 3W 3 4W PER i! co NO.OF HI-LEG OF�.• NO.OF NEUTRALS OF NEUTRAL
.--' OTHER APPARATUS1y}1ippiii::: {F�O
• SHU
� I
EDWARD LAMY
crtoe
OOLs`1 ;'N LAM+Il3.T 11 >, HY 12814 BRANCH MANAGER
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.
• •_• • ,• • • • • .. • •. • a • • a • •_• • • a • • •. • • • • . • • •
fnnv IS 131111 rum:"nrniAnr6Arm-r TLien AAfI\/Ar•Arrvir.,"ATr•RAI![i,r maw flip! Al inrnr••Iota AAw AAAAIA.,•l
p.t<, .9 9 •, 0 9. 9, 9, ,9. ,9 n9• 9. , 111 .• 9 9 9 ,9 • :9 9 AV .• %9 9 9 9 .•. 9 • • • 9 • • •r* 9 •
4!:
THE NEW YORK BOARD OF FIRE UNDERWRITERS I
BUREAU OF ELECTRICITY
,„3„,111 WASHINGTON AVENUE,SUITE 704,ILVII,..,NoyilRAO
• AP PT 11. 19
. Date Application No.on file
—"
E;RIIIT NO,. 94--
THIS CERTIFIES THAT
1"-, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
1 -3}117181111 14, i HJ . POLE; #B.), CFiSiIl1V. N.
• in the following locatimirA8asspt Li 1st Fl. 11 2nd Fl. Section Block Lot
was examined on and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
• OUTLETS
RECEPTACLES SWITCHES
INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. M.P.
1 5,E. I ¶ i I
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RIK'PT. TIME CLOCKS Bei UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
- AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. MAP. AMT. AMPS. TRANS. AMT. H.P. No.of NET AMT. WATTS
1 1
SERVICE DISCONNECT NO.OF E R V I C E
MITER
AMT. AMP. TYPE gawp. it 2W 1 3W 3 II 3W 3 4W NO.OFJCa.COND. Ae&G. NO.OF HI-LEG op.ale NO.OF NEUTRALS 0FAZAAL
.•
• OTHER APPARATUS:
P11/21)0i 4'7\N3-8
1.01.N PIMP ALAP.147-
?:.
1-1111 RI.IP(X)1, POD-1
1.trir R ICEPATOIR t
• 11(.1.10VIAVE er-
VIMHER-7
• 440111( 1S
EI,1.14-„e. WATER ItillkTKRS I-4,5
"I: < i-
t iii,it d rt Page, 2 2vore
BRANCH MANAGER
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.
• • • • • • • • • • • .4 • • • .• • • • • • • • • • • • • • • • a • • • • • • • • • • • a • • • • • • • • •
PrtDV Cf112 1211111 utun riCDADTRACKIT TI-110"raw ONE neerrieinAve RAI IOT RIPer DO Al"-rimer.IPA A RIU'RA ARIRICE§
Cublx-tA I rfri
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 24 -'C9 "�(S
VAM E j_ es&o,„ 1 ic__,Q 4—
OCATION c)-q ,k e cLi kwc
)ATE 21- 7 -cf5 PERMIT# °l "3 5-0) Sf
APPROVED
N/A YES NO
:XITS
IISLE WIDTHS
:XIT SIGNS
:MERGENCY LIGHTING
z /
1 /
'IRE EXTINGUISHER
IUTO. EXTINGUISHI SYSTEM
100D INSTALLATION
IUTO. SPRINKLER ' TEM
HARM SYSTEM
:NTERIOR NISHES
;TORAGE:/
CLE ANCE TO S'RINKLERS _
C ARANCE TO ATING UNITS
tEQ. RED SIGNAGE
;HIMNEY
100DSTOVE
IREPLACE-MASO RY
IREPLACE-FACT RY BUILT
I
;EMARKS: U OK TO THIS DATE
1,71,-,/* ;'../4,,, ,//;.,7%/,e 1 1-i
42,,, ,f,,.&?twt'ee ,
- 4 , /.)
t
fps
!/015 INSPEC R
TOWN 531 OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
BAY ROAD ��
QUEENSBURY NY 1280� I
,. (518)745-4447
ARRIVE: ihir DEPART: /`yd INSP:
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPE TION REQUEST RECEIVED: L/ 'lid _9 5
NAME <<.
LOCATION „, (}kr [� C
DATE i!7—` , PERMIT # ! -3JC)
TYPE OF STRU T RE ��
FOOTINGS FOU DA SON BA FILL v G
ROUGH PLUMBING � EPTI INSULATION
FINAL ELECTRICA WOOaSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY IIEIGHT/B\VEN r/HEIGHT
PLUMBING VENT
ROOFING V7
EXTERIOR FINISH
DECK/PORCH/ST •S/' FILINGS
RELIEF VALVE.
FURNACE/HO WATER DPERATING
INTERIO' TRIM/PRIV CY DOORS
FINIS. FLOORS:
B TH/KITCHEN WAT RTIGHT
/ OTHER FLOORS SW EPABLE
OTHER FLOORS CA PETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
47C-
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
V
OK TO ISSUE C/O OR C/C
j /Le' / / 7/GY,/L4
— iv )Z4/ S
Cr
.15.5j-e. Co kale- &/( A;etie
6,-/
TOWN OF QUEENSBURY o;; 17
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR I SPECTION RECEIVED 13 )2
NAME !4
LOCATION e v
DATE / ' PERMI # 94-35>
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/P RS
MONOLITHIC PIUR FORM
REINFORCEMEN IN PLACE
THE CONTRACTO' IS RESPONSIBLE
FOR PROVIDING "OTECTION FROM
FREEZING FOR 48 ,OURS FOLLOWING
THE PLACEMENT OF ' HE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POU''
REINFORCEMENT IN PLA►
FOUNDATION/DAMPROOFINe
BACKFILL APPROVAL
5bUGH PLUMBING <,5-ziSi
PLUMBING VENT/VENTS IN PLAC-
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BE,
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR P 'ING IN UNHEATED
SPACES
REMARKS:
) CIL
131)\‘ F'LATE4
ARRIVE `t
DEPART fGe 77/
I PE 0
1F7
TOWN (R4
OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR NSPECTION RECEIVED
NAME
LOCATION
DATE l67 /9 PERMI I qV---2S470)--
TYPE OF STRU TURE
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 CONCRF,TE.
MATERIALS FOR THIS PURPOSE 'ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
P.j,UMBING UNDER SLAB
AMING:
JACK STUDS/HEADERS Ne/,5//
BRACING/BRIDGING
JOIST HANGERS hE ti]) %
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION: t►``�
FOUNDATION WALLS INTO,• R R-
FOUNDATION WALLS E IO R
FLOORS �►�`
WALLS c---\)c-,
CEILING R-
DUCT WORI(`'OR PIPING I, UNHEATED
SPACES
REMARKS:
NCB 61—A4 ►.°0F
-i _C V_ 0 t., - fit?
rZ-Y-%�q i oc g.. o 5i ‘t mac\
ACC.- .. twzoiJ,5 4
ARRIVE - 1C
DEPART � � 50
INSP CT
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
2UEENSBURY, NEW YORK 12804-
PELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
?EQUEST FOR INSPECTION RECEIVED
VAME E 6 Ee_
LOCATION LA F P K iSEN eI P
)ATE (or/ PERMIT # cry 3J5'
APPROVED
YES NO
'DOTING/PIERS
TONOLITHIC POUR FORMS
'OUNDATION/DAMP-PROOFING
IACKFILL APPROVAL
'OUGH PLUMBING
'RAMING
'LECTRICAL ROUGH-IN
'NSULATION:
FOUNDATION 1
FLOORS
WALLS
CEILING
INAL INSPECTIO :
CHIMNEY HEIGH
ROOFING
SIDING
EXTERNAL P CHES/STEPS
STAIRS-CLE A RANCE & RAILS
PLUMBING :IXTURES/RELIEF VALVE
INTERIOR I RIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE F'REPROOFING
DOOR C ISER(S)
SMOKE D TECTORS
INAL EL D TRICAL INSPECTION
INAL AP'ROYAL OF CONSTRUCTION
SIGN DD CERTIFICATE OF OCCUPANCY MUST BE
3TAIN D FROM THE BUILDING DEPARTMENT BEFORE
?ESE PREMISES ARE OCCUPIED!
;MARKS:
F2F4ANO 0 L- \ ►U
/f INS T R
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 ,fiAly�L
NAME '� �
LOCATION
DATE dA 4/W PERMIT if r4---���S
TYPE OF STRUCTURESCZ)
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 PLA
FOUNDATION/DAMPROOF NG
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/V• TS IN PLACE 4
PLUMBING UNDER SLAB
FRAMING: /
JACK STUDS HEADERS �>
BRACING/B'IDGING r`
JOIST HA GERS j
JACK POTS/MAIN BEAM '
HEATING 'OUGH-IN
INSULAT IN:
FOUNDATION WALLS INTERIOR R-
FOUN iATION WALLS EXTERIOR R-
FLOI'S ' R-
WAL S R-
CEI ING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: 'a freze,
Coi T -4
c )VC)\(A14
ARRIVE 7, ob �.
DEPART -27,..` 2(3 _
I PELT R
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 /esec
LOCATION c-]
47
DATE 3 Z( y PERMIT # 7 �5 �
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 SIE
FOUNDATION/WALL POUR •
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING <<
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE ry
PLUMBING UNDER SLAB /7
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:
it- I? kJ c5/1/ Acee
1
&AP,- Cardd-'1;t- (;--44/f 44t
ARRIVE c2=Vd
DEPART .2f V,Y.-- t:ZW
INSPECTOR
---f,z,„-,41ir l-1 7 J ? 0°`'-'-
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 g
NAME \JCL&\ 4l'-i,t.:L. I e .s
LOCATION 44k er
: -
DATE g) c( PERMI1 q4-1-5; ..
TYPE OF STRUCTURE Sig)
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 I
FOUNDATION/DAMPROOFING
4OCKFILL APPROVAL 1)( !if/
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN P ACE `
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS r
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTE IOR
FOUNDATION WALLS EXTE IOR R-,
FLOORS R- '�,
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
,--rA / ic -----, 4-,
/ Cr', Ce74.tee( 4-a.,-,-;/fr4.--
ARRIVE //I' ) .
DEPART `,� 4_.
INSPECTOR
Ajett_. v
TOWN OF QUEENSBURY 0
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED ",//y/4fG
NAME re r-
LOCATION ?7faiee , a4
DATE 4/LA,/ PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO RINKEERS
CLEARANCE TO IEATING`.UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: LI OK TO THIS DATE
4
a -
2/015 INSPECTOR
/ =z'U° y V- '/ ,1/4-13o,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
tEQUEST FOR INSPECTION RECEIVED g// 7/?cl
TAME S 410_.-,/,‘
r �
.00ATION Tod -5I o t"--e-
ATE :Tit PERMIT # `9 e- 3c
J y
YPE OiF STRUCT RE
ECN;ECK APPROVED
N/A YES/NO
D)TINGS/PIERS
'ON OLITHIC POUR FORM
EINFORCEMENT IN PLACE
'HE CONTRACTOR IS RESPONSIBLE
'OR PROVIDING PROTECTION FROM
'REEZING FOR 48 HOURS FOLLOWING
'HE PLACEMENT OF THE CONCRETE.
V TERIALS FOR THIS PURPOSE ON SIII E
'OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
.OUGH PLUMBING
'LUMBING VENT/VENTS IN PL E
'LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS .
BRACING/BRIDGING y
JOIST HANGERS ;• x
JACK POSTS/MAIN BeAM
(EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
/12,;,-/-40 57-4
RRIVE ' U
1
EPART 1) .7 �
INS EVTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT //9/9/97
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED oPik/f1
NAME (9$17)4 dA41t,e.4 -/
LOCATION OF / . I
DATE JAW PERMIT I 60.0 q4-155.12
TYPE OF STRUCTURE 51,I7 teat
et,
RECHECK U P'ROVED
N/A
grOOTINGS/PIERS 4 ;;; itjy>s;i7-
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 PLA
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN B
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALL INT RIOR R-
FOUNDATION WALLS EXT RIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE 001), C)A,'
DEPART / jAei
dooOk NSPECTS?r
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
eF
Name C P
Locations k 1
V�
is t
r
Date cat Permit # 4 ��
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) 'ate-Minute/ ch
TYPE OF SYSTEM:
ABSORPTION FIELD. Total L: gth
Length of each t -nch
Depth of trenches
Size of stone
SEEPAGE PITS: Nu .e--
Size - ft. ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. B.
Dist. Box to Fi •l d/'i t
Openings Seale,? es No Partial
LOCATION/SEPA' TIONS
Foundation to Tank feet
Foundation t Absorption , feet
Separation • = Pits feet
Conforms as per Plot elan Yes No
LOCATION Of SYSTEM ON PROPERTY:
(circle o -)
Front - R•ar - Left S•de - Right Side
Middle F ont - Middle Rear
COMMENTS
S 1eirphi
04 .1,, (6 er
SYSTEM USE APPROVED: NO
Arrived: /i5O
Departed: /bra)
3
Building I Spector