1988-660 CERTIFICATE, OF -OCCUPANCY "
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date May 8 19 89
Al 01 ...- I --1 D._.,
This is to certify that work requested to be done as shown by Permit No. 88--660
has been completed.
This structure may be occupied as a One Family Dwelling
1 cation Chestnut Ridge
Owner David Schryer
By Order Town Board
TOWN OF QUEENSBURY
i � �'/ /.,,k,-<-
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-660
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to David Schryer
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OWNER of property located at Chestnut Ridge Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One 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.
1. OWNER'S Address is
Box 553A RD 1 t�
Glens Falls, N.Y. 12801
a _
2. CONTRACTOR or BUILDER'S Name Cn
Hilltop Construction
3. CONTRACTOR or BUILDER'S Address
Husdon Falls, N.Y.
4. ARCHITECT'S Name
.r.
a2
crq
5. ARCHITECT'S Address CD
6. TYPE of Construction—(Please indicate by X)
(X) Nood Frame ( 1 Masonry ( )Steel ( ) 0
CD
7. PLANS and Specifications
No. 28' x 32',as per plot plan, specifications and application including septic �c
system and attached 2 car garage. d
8. Proposed Use
CD
One Family Dwelling aq
$5.00 C/O 89
$ 171.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1, 19
(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 Queens ry this 16th ay of ..Se t. 19 88
SIGNED BY (r for the Town of Queensbury
Building and Zoning Inspector
TO. BE COMPLETED 13`l BLDC.-'DEPT.
�] / Application No. TOWN OF QI_IP7.7 .,;;-:,,-,-.,.
_/U[vIJ UI 'ueeiiTGur f Permit Issued 19
BUILDING and ZONING DEPARTMENT • Permit Expires 19 J
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation I.
Queensbury, New York 12801 Variance o� AUG O
•Site Pla Review N
�' BUILDING & CODL 'DEPT.
Approvt: /6/
5./
APPLICATION' FOR /D feMe#t_
FUILDING AND ZONING PERMIT ; '/—�y' jam,% ° �/
* * * * it it * * it * * * * * * * * * * * * * * * it *. * it * * /* �* 41F *r *• * * * *
A PERMIT MUST BE OBTAINED. BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will,
be done in accordance with the description, plans and specifications submitted, and such
• special conditions as may be indicated on the Permit.
The owner of this property is; _fi h?V► ► . F e. 11 ivI< Sc /4KYE-R
P.O. Address C/ft`:c-rin,7 e Ioc,E RnX cs-3 fl- a G I &CEIVS t'yILLS Tel. 990 -337g
Property Location: CUS-rrvvr 2 IVC 6osic tS3 !4- COI 6•EES PA[CS, Tax Map No. '
street number- or building lot number `s a-- (o.s
Subdivision name (if applicable) 52,30
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
7 M . 4i-Z P�clf7` ill H/IoP (6ivSTRacrioiv T/L PoL/ I?0, /fv.DsOiv FAtu,i✓V
Name P.O.TCGil iRncro Address Tel. No. Q'
Name of• builder /nth 4/t}ech IAddress dill -/o L '1STr Tel. 9 q )� •0 033
Name of plumber Address -re i 150L-1 rw'90 Tel.
!Jame of mason Address /f14),56 rU r 4L.CS )it)I Tel.
NATURE OF PROPOSED 1,lRK: * ZONING INFORMATION:
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. (. onstruction of a now building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
_Addition to a building * drawn reasonably to scale and attached hereto,
_Alteration to a building * showing clearly and distinctly all buildings,•
(no change to exterior dimensions) * whether existing or proposed and indicate all
_Other work (describe) ' * set-back dimensions from property lines. Give . .
* street and number or "lot number and indicate
FOR DLt•if 'IOIJ PERI.1I'1', STATE SIZE AND * whether interior or corner lot. Show location
LOCATION-OF S' TURES AFFECTED. of water supply and location and configuration
— of septic disposal area.
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____.-->` * COMPLETE INFORMATION REQUIRED BELOW.
\ i,3 4.cKGs
�� * Size of property ft X ft.
\Existing buildings) Size — ft X— ft.
PROPOSED BUILDING AND USE:
`� * Existing building(s) Us-a—
Size of new structure as) ft X 3 o<ft *
•I'onndation-pier/slab/crawl/partial/Ei) * Proposed building, distance from property line
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(circle one) * Front yard w ft Rear ,yard /.Od 1— ft
No. of stories (habitable space) a/ * Side yards �,7 ft and ' too 1'1 ft
Height (grade to ridge) 36 ,,,f4 �',de ft.
If residential, no. of families * If on corner, -setback from side street Aflp f--t
No. of rooms(excluding baths) // * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms -• .
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Primary heating system PII&S1VE SOU} /ekel * ✓Two family dwelling
wo family dwelling
Type of fuel L�L�c it j>!Ci/T pc',n P * T* ' Multiple dwelling / Number of units
No. of fireplaces to be installed '
Will a wood stove be installed? gyp ermanent _occuh�ir�cy_ _
Central Air conditioning? At$ y/p5 * _ `transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE_ * Industrial
Ranch • Contemporary Log cabin * other
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bun alow * •
Cape Cod Cottage Other civile--/ * ACCESSORY BUILDING-
Colonial Row Town House * _Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) • * yAttached garage/one car/ two car/ oZ cr-
. * * * * A A * A A * A * * A * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other
1 CONSTRUCTION *
$ igoLaaa
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
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Form BPA 4/86 and-vl
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(BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: 11����/
Type of.construction, wood frame fire safe,etc. �o S r 7L 6 6Ic �vl
. Will any ,second-hand' or ungraded lumber be used? If so, for what? '
• Foundation wall material A// ///61-77f6f woo° Thickness ,X &
Depth of foundation below grade (to bottom of footing) j( CeiliG/tr S L1{Q t f i ck-vs/1eD Back
Will there be a cellar? yes Heated or unheated? AQ4.4 Floor sq. footage . ?Zt sq ft
,Will there be a basement? y P s Will any portion be used as living space? /y )
(If so, what portion? . sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other ale Material. of roof
Size, wood studs `/`( "X /err " spacing - I "o.c. length ft. •
3oists(floor beams) 1st. floor g " "X /6" " spacing 16n "o.c. span /V ft.
Joists (floor beams) 2nd. floor i/'' "X /L!' 1'. spacing "o.c. span /f ft.
Overlays(ceiling beams) y�' "X Of( " spacing he "o.c. span La ft.
Roof rafters f i'"X " spacing y( o.c. span zo ft.
Roof trusses(pre-engineered) spacing "o.c. span — ft. /
Exterior wall finish C'e cl a.^ /�t j Of what material? Cedes Yam'
Interior wall finish cie e- o c.k
If .a garage. is to be attached, describe materials to be used for FIRE SEPARATION:
sLer o-
Is there to be an opening between garage and dwelling? wC) If so will a Fire-raced
door, enclosure, and self-closing device be- provided? .
Will a flue-lined chimney be installed? At/O Height above roof r ft. — •
Depth of chimney foundation below grade ft..
Depth of fireplace hearth —ft. —in. /
Water supply - Municipal or private well �f`if� G�//
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties 2 5 ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury A F F 'I D A V IT STATE OF NEW YORK
County of Warren
I swear that to •the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done on the described premises and that all .
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied_ with, whether specified or not,' and that such work is
authorized by the owner. /////� %/�
SWORNTO BEFOREU? THIS Si nature 1�' �L , !�--
A g ���l_l/��
�p � .e , owner's agent,arcni ct,contractor . •
day of 19 - �
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Notary Public, Warren County, N.Y.
* * * * * * * * * x * * * * * Ar * * * * * * * * * * * * * * * * * .* * * * * * * * * * * * *
SPECIAL CONDITIONS OF TIME PERMIT:
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/ TOWN OF QUEENSBURY
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/ WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE ,
A permit must be obtained before beginning work.
ANSWER ALL of the following:
1 . Gross floor area /___71
2 . Type of heat f/�/'�/�_,--z--'-4,'P r,/,rA ff6 ��:�- / ���/,d7 ,r�7�
3 . Is the building mechanically cooled? �� r�
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES NO //eiJkat9 oF
a. Are foundation walls insulated? YE NO CECOr-
1 . If YES , what is the R value? ? 6
3 . Slab on grade YES NO
a. If YES , what is the R value of insulation around
perimeter of floor? �_.?
4 . Is basement heated? (YE,S> NO
a. R value of insulation S P
/(
• 5. Type of insulation (� t-O 7—r x e 16 / 0 Fe/ mc_e
B. Under 16% Only '
. R value of roof and floors exposed to ambient conditions_
2 . R value of exterior walls
3 . R value of glazed area
• 4 . R value of door s (Z)
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5. R val ,.e •f fl�oors:a-)er unheated p, ce
6. R valu: • slab edge insulati - - eated slab
7 . R value, of slab insu )atk n / eated slab
n cellar walls (above grade)
-� 8 . R value of hea d ase e
9 . R value of hea edibasement/cellar walls (below grade)
10 . Type of insulation c c-LO TC K 1610 rb /4 GUI ( f)
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C. Controls
1 . Thermostat maximum heat setting .
D. Duct Systems
1. Is duct system installed in unheated spaces? illitNO
a. If YES , R _value of duct installation
b. R value of duct in other areas
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. S �S 7 /��.�
Te1e ��-,_ ��/ if-�`--
P 7 /
(applicant ' s 'signat�aIe)
APPROVED
DATICD�.�.
of OtlaWtral
APPLICATION FOR SEPTIC DISPOSAL PERMIT Ikt1Ilia d. DIM CODES UG'r.
• luwn Of 4UEE►iSlltlitY
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. DATE dja , rt
LOCATION OF PROPERTY FOR INSTALLATION ('ff�STf1/UT SSGX S5— 4 RD 1
Owner's Name: _Di-U10 FX1-1-1(K cc-Th YCe Telephone: _ ? 1
Address: C f CS F/fiv7 l O G 6 LSe)-( S- _3 /7" /US F/�-LLS / L
Installer's Name: /U- /,(S�r-C // 7` Telephone: 79 g - 0 3 3
$-fi-Uc 74(d 41
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Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) _ / e,� � •
G"
Topography: circle one: Flat Rollin Steep Slope % of slope
Soil Nature: circle one: Sand CLoatn Clay Other / Depth: feet
Ground Water: At what depth? / feet
Bedrock or Impervious Material: At what depth? 5O' - feet
Percolation test: circle one: not required required / rate / min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption oZDU feet
PROPOSED SYSTEM: Septic Tank l(IVC.) gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench . '57'l'eet / Total system length .P-,j+C1 feet
Size of stone to be used 11 — / Depth or ' I u ys n feet
4 * + * * 1 * 4 4 s - + * 4 * * * 4, * * * * 4, 4, * * 4 4 * * * * * s * 4
I M P O R T A N T
...Please....LIST NEW EQUIPM N'1' TO BE INSTALLED
4 + * * 444 * 4, a. * 4 * + 4444 * 4434 •1r4 4 4 + 44 * s * *
f IL"
FILE G PY
s d
1� �IL /112- I ef (over) L: t%' z ; " ✓t ~ •
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Section II 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
•l.) 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.
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I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of res onsible person: ' . , /
.361/6?/
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Town of Queensbury
Building and Code..Department • •
• Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
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INTERIM BUILDING PE ' _- r 4 c- rig,:---... _.:-t,
1 j
1988
BUILDING & CODE OEPT.
PERMIT APPLICANT Drn`ti t 0. S'bt4 rz %/6"11-4..
CONSTRUCTION LOCATION C i4 j/V b Gsi L—
EFFECTIVE . DATE Cli6V%"
APPROVED BY
SPECIAL CONDITIONS : .
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit,, the above named
may begin construction per plans submitted. It is the
responsibility of the applicant to ain the Permit -
from the Building Department, fol win_ . proc sing .
POST THIS INTERIM PERMIT IN A C SPI OUS L N ! !
Building & C des Department
TOWN OF QUEENSBURY
. - ' • YOU ARE HEREBY REQUESTED-TO
INSPECT AND ISSUE CERTIFICATES
- -- FOR THE FOLLOWING ELECTRICAL - - •
: . EQUIPMENT TO BE."INSTALLED BY • . .
• ' • . ' THE UNDERSIGNED
i:: ;
TEMP.N . . DATE- f is ,
'CITY OR VILLAGE' l - TOWNSHIP - ' COUNTY. -• -
- . (--+ ( ('. it I `y •,t-' -1-1.L ( ".5 - !'3 i>r+c; r J 'j:„. i>f •0—Jo?k.,,' i•i-.. (0,
STREET AND.NO.OR ROAD 'POLE NUMBER
• (/` /:�(`i 7 J!J!i i • l�. I !)�-,C•. • . •
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED?- SECTION,' BLOCK LOr _
OCCUPANTS NAME - BUILDING OCCUPANCY •
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OWNER'S NAME AND ADDRESS . ' _ - - - .HOME TELEPHONE NUMBER /
7 r. /.
I 1t %i1L1 c"H (2 \//- 14 - . •
'CURRENT SUPPLIED BY _ FROM THEIR _ • OFFICE - .. WORK TELEPHONE NUMBER •
/ /.11. . -• _. ../
BUILDING IS -
, _ - �J _ '
NEW LW ' OLD❑ WORK IS - . NEW LJ` ADDITIONAL❑ - DEFECTS REMOVED❑ --
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• LIST BELOW ALL EQUIPMENT WHICH YOU.INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH OFFICE USE
Loca- Lamp Receptacles MOTORS HEATERS CIRCUITS "•ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling' Wall Recep'Is -Switch Pendant Bracket No. Type Each No. Each No."
o. Gauge INSPECTION •
OUT-
SIDE '
SUB- 4.
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
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) - MUST ENTER DENT F CATION NUMBERLICS ► 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 - - • .
NAME OF APPLICANT - - - - DATEOF APPLICATION SIGNATURE OF APPLICANT
AlI/2 1" ,, C. 1 l7�E . x '
STRE ADD ES - - - - .yry •
- TELEPHONE NO. •
CITY OR P s'f OFFICE. . ZIP CODE / LICENSE NO.WHEN APPLICABLE
( `/-4, S r/jl ( s ' 1 • l/ . / Z.X0( /�r/"
❑ 85 John Street '' ❑ 41 State Street. ❑ 584 Delaware Avenue ❑ 217 Lake Avenue `'!] 202 Arterl )Road •
NEW YORK,NY 10038 ALBANY,NY 12207. BUFFALO, NY 14202 ROCHESTER,NY 1 608 YRACUSE,NY 13206
THE NEW-YORK BOARD OF FIRE UNDERWRITERS
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-i. THE NEW YORK BOARD. OF FIRE UNDERWRITERS
, ,1-\.\.- .:', , 1, ' BUREAU OF ELECTRICITY
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41 STATE STREET,ALBANY,NEW YORK 12207
Date - J ';'.I.',
Application No.on file()-_,:.!(),I ;;::5::!: - oi..C.10 .\
CI
7-I ......0 THIS CERTIFIES THAT 113
--4.
IIA. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ou
. • .
fll 1)-.1,-‘,..I o :•: 11F,:''.:-17.:11,. (.111::.:TNIYI: f‘:I 1).;:;E !..'',2,1), c.:.',1.-21.::E11.11.:4-, 10. . .: .
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b in the following location; D.:Basement De 1st Fl. CI 2nd Fl. Section Block Lot
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1-5. ill was examined on '1 1:' '''''?' ' 1 .. 't'''9 and found to be in compliance with the requirements of this Board.
FIXTURE ECEPTA CLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
I
i<,, OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
M .4:
,. ,•:, F.)r..' 1,-, ...,5 .5 5 j
, ...
. /....
1 '1: DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BEU 4
UNIT HEATERS MULTI-OUTLET DIMMERS .,-
II6 SYSTEMS •:.4
.4. AMT. K.W. OIL H.P. GAS H.P. MT. NO. A.W.G. AMT. AMP. MT. AMPS. TRANS. AMT. H.P. NO.OF FEETMT. WAITS
1- I
I-11: :11
$1..,: SERVICE DISCONNECT NO.OF S E .R V I C E
-.:. METER
IA. AMT. AMP. TYPE EQUIP. 1 0 2W 1 if 3W 3 0 3W 3 0 4W NO.OF CC.COND.
OF t CW.bg.ND. NO.OF HI-LEG Ot'az NO.OF NEUTRALS OFA.NUAL
I: 1
1 •-1/'T.i .1
--c• .1!1
ip OTHER APPARATUS:
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. - BRANCH MANAGER____,
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Per
: This certificate must not be altered in any manner;'return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
el itlecre,"rev-rw"teriev-recre MI ! niVIE5lifillnilifl ttiliflign 5110 II II rl E Mir NM el In mit n tl !I Fl CE/1 MEI II ! MO NV El II ME 11 •••;•;':1
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
i
TOWN OF QUEENSBURY A/-[ r
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST F R SPECTIONN`RECEIVED
NAME S, 6 /04/(-
LOCATION (..� r 2�' f.�(Jij S L-ju�
DATE c ! JX PERMIT # (7-(u 0 /,e2
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
t./FOUNDATION/DAMP-P OOFING V
�ACKFILL APPROVAL ., 4
ROUGH PLUMBING \
FRAMING \ '
ELECTRICAL ROUGH-IN',, ,/. ' '
INSULATION: f'
VOUNDATION /
`
FLOORS " " X..
WALLS \ /
CEILING ` /
FINAL INSPECTION: ` -
CHIMNEY HEIGHT
ROOFING `
SIDING 1
EXTERNAL PORCHES/STEPS\
STAIRS-CLEARANCE.& RAIL'$
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
ORS
FINISHED FLO
GARAGE FIREPROOFING ‘
DOOR CLOSERS)
SMOKE DETECTORS \,
FINAL ELECTRICAL INSPECTION ' ',
FINAL APPROVAL OF CONSTRUCTION ' '
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
air__ ,*, .,
9
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fri;.
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS ,� •
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT 1/47
REQUEST FOR INSPECTION RECEIVED
NAME ,e}Z,1
LOCATION
DATE ,S—LT-gf PERMIT # (g(r( � tiC7
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: y� p
CHIMNEY HEIGHT /
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE &' RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPRD'OFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
1
1�1 INSPECTOR
TOWN OF QUEENSBURY "/�
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS e �
QUEENSBURY, NEW YORK 1280
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED J
NAME /2/I'GG/.K/-C//CiL(Le/v
LOCATION ("P� �tiC� �/! 1 -/
DATE ( 5 = 7 `f -YL PERMIT # clif---lOA%)
APPROVED
YES NO
FOOTING/PIERS _
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING ,
FRAMING
ELECTRICAL ROUGH-IN ' ? '
INSULATION:
FOUNDATION i"
FLOORS
WALLS
17EILING .1
LItNAL INSPECTION:
CHIMNEY HEIGHT --
ROOFING "''
SIDING ,
EXTERNAL PORCHES/STEPS ', .
STAIRS-CLEARANCE ,& RAILS\
PLUMBING FIXTURES/RELIEF VALVE 1./
INTERIOR TRIM/P/RIVACY DOORS
FINISHED FLOORS L •
GARAGE FIREPROOFING �/
DOOR CLOSER(S) 1/
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION -
FINAL APPROV L OF CONSTRUCTION •
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE •
THESE PREMISES ARE OCCUPIED!' .
REMARKS: g/
Ci 6914 1 --;.-4--r.,•4 I
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INSPECTOR
INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THE NEW-YYORK BOARD OF FIRE UNDERWRITERS
APPLICATION NO. 03 C. j L
LOTION
t_
DA INSPECTOR
' FORM IBD(REV.1/86)
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 /4
f4C2vf —���
NAME , /L/,L , J
LOCATION (? I I J r
DATE — PERMITC
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BAQKFILL APPROVAL
OjGH PLUMBING �• 7 `v'
FRAMING v'
ELECTRICAL ROUGH-IN
INSULATION:
fi
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING i ;
SIDING
EXTERNAL PORCHES/STEPS ',
STAIRS—CLEARANCE& RAILS,,
PLUMBING FIXTURES/RELIEF1,VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION •
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
' s
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
/7f/11.QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST F R INSPECTION RECEIVED/0/;2 7/-r
NAME
LOCATION ( � d i
DATE / 2/ d PERMIT # 1, g()
APPROVED
YES NO
FOOTING/PIERS
MONOLI !IC POUR FORMS
FOUNDATION/DAMP—PROOFING 0
BACKFILL APPROVAL ✓ � � /
(....."ROUGH PLUMBING) '/ !N
FRAMING
ELECTRICAL ROUGH—IN
INSULATION: '\ /
FOUNDATION f/
FLOORS
WALLS \
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING \`
SIDING /
EXTERNAL PORCHES/STEPS \
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTUR S/RELIEF VALVE
INTERIOR TRIM/P IVACY DOORS',
FINISHED FLOOR
GARAGE FIREPR FING l
DOOR CLOSER(S)
SMOKE DETECT RS `�
FINAL ELECTRI AL INSPECTION
FINAL APPROVA OF CONSTRUCTION "
A SIGNED CERTIFICATE OF OCCUPANCY MST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
'1
I(/
INSPECTOR
•
awn of Queenibur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 �j,�
Queensbury, New York 12801 ��f
•
SEPTIC DISPOSAL SYSTEMM INSPECTION
NAME
LOCATIONp
DATE /�//=??/V PERMIT NO. �`�-6/ 7
SOIL TYPE/ - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch /
TYPE of STEM:
Absorption feld, total length
Length of eack trench
Depth of trenches '
Size of gravel \ •
SEEPAGE PITS4Number of)
Size- ft. X ft.
Gravel size
PIPING: Siz Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit \
Openings sealed? YES NO\ Partial
LOCATION/SEPARATIONS: /
Foundation to tank f `' f t.
Foundation to absorotion ft.
Absorption to lot ine ft.
Separation of pits ft. \\
LOCATION OF SYST ON PROPERTY(circle one)
Front - Rear - L:ft side - Right side\-
COMMENTS: ',
•
/7 " /.?S ��/
L /rtd /i/
J
SYSTEM USE APPROVED r AYES N r !✓;
Building Inspector
01/86 and vl
!
Queenjry�.�� �"�
. BUILDING and ZONING DEPARTMENT
Bay and Havi|und Road, R.D. 1 Box 08
Oueenubury, New York 12881
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 14,414 "j
LOCATION Ile
DATE PERMIT NO.
SOIL TYP 7 Sand - Loam - Clay
Percolat' n Test Required? YE NO
TYPE of SY EM:
Absorption eld, total lenth
o
nd
st
te
eld
Re
dN-
to
Length of eac trench ' ,.
Depth of trenc es
Size of gravel
Size- ft. X ftJ—
PIPING: Is',
r.e Type
Dist. box to field it
Openings sealed? YES ' NO ) Partial
Absorption to 1 line ft.
Separation of ft
(�F'ront�',�- Rear Left side Right s`l�,de. -
ENTS-
SYSTEM USE APPROVED YES NO'/.
01/86 md vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
1/11
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /71/7/,�,7
/
NAME
LOCATION L� /C L4e-e_,
DATE 1///i421 PERMIT # f-6 6t 6
APPROVED
YES NO
1/FOOTING/PI
MONOLITHIC P.`•R FORMS
FOUNDATION/DAM"-PROOFING
BACKFILL APPROV1
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION \\14, /
FLOORS '
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT ,
ROOFING
SIDING
EXTERNAL PORCHE'/STEPS
STAIRS-CLEARAN• & RAILS
PLUMBING FIXTU'ES/RELIEF VALVE
INTERIOR TRIM 'PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREP?••k'ING �
DOOR CLOSER(.)
SMOKE DETE .i ORS
FINAL ELECT, CAL INSPECTION
FINAL APP'.VAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
, .1) ' , )
I
6/,/
INSPECTOR
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FILE COPY
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MAP 0r A SURVEY MADE FOR
r
DA VID & MA UREEN SCHR YER
TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK
SCALE 1" = 50' DATE : SEPTEMBER 30 1987
VanDusen & Steves
LAND SURVEYORS,GLENS FALLS,NEW YORK
N.Y.STATE LIC.NO.356!7 1•P.F /Lou Pi?a u o
I 2�f4rccr, Jvnli 13, IG88 '