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88-848 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 13, 19 89 fl - q This is to certify that work requested to/be done as shown by Permit No. 88-843 • has been completed. • This structure may be occupied as a One Family Dwelling • I.nrationOiLi-,(1173 Oak Tree Circle Owner Rich Schermerhorn By Order Town Board TOWN OF QUEENSBURY • r_T` , Building & Zoning Inspector BUILDING PERMIT H TOWN OF QUEENSBURY No. 88-848 -. b WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to. Rich Schermerhorn ;w • OWNER of property located at Lot 118 Oak Tree Circle 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 Harrison Avenue Glens Falls,New York 12801 2. CONTRACTOR or BUILDER'S Name - N SAME . m n 3. CONTRACTOR or BUILDER'S Address 0 SAME 4. ARCHITECT'S Name 5. ARCHITECT'S Address = 0 ..rt 6. TYPE of Construction—(Please indicate by X) Oo O l Wood Frame ( ) Masonry 1 1 Steel (- ) W 7. PLANS.and Specifications ret fD No.28' x 26' One family dwelling as per plot plan, specifications, and application, including septic, and attached two car garage. n 8. Proposed Use One Family Dwelling 0 25.00 C/O $ 235.00 PERMIT FEE PAID —THIS PERMIT EXPIRES . June 1 1989 _ (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) _ Dated at the Town of Queensbury this th ; Day of - November 1988 . " - - u SIGNED BY for the Town of Queensbury Building and Zonin 1 spector 0 OQ • • TO BE COMPLETED BY .BLDG. DEPT. T. Application No.cvn o f Quet',ziLr, • TOWN OF QUEENSBURY Permit Issued • 19 n n'� BUILDING and ZONING DEPARTMENT Permit Expires 19 d 'I j Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No. l'` ',� 1988 �� Site Plan Review No. �� Approved • 8UI DING Et CODE DEPT. . APPLICATION FOR / '` on 026� ,. • PUILDING AND ZONI-NG PERMIT . • * * * 3 * * * *.• -a- * * * *• * * * .* * * * * * * * . * *. * * * * * * *- * * * ::: • 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: R. 5 e.j` IAA e,r--Vs rlV P.O. Address I4n.;PS r� O A) AU aP:• .r '. . Tel. 798067/ • Property Location:. toil--` 1 C$ loch/(_ .free, C.r-/'c�/� Tax Map No. / / Street number or building lot number Subdivision name (if applicable) }4j a a e ^1 A ;//5 • THE PERSON RESPONSIBLE FOR SUPERVISION OF.WORK AS REGARDS BUILDING CODES IS: R>i cih Sci•r,i'ri&t,r'Inor" 3o ji4 rr,'s oAd A✓c, . 77 8-a 6'7V . Name P.O. Address `/ Tel. No. Name of builder R. Sc,�+e.I`w►ert%ior/0Address - ,s,,,soi✓ G4VP1 Tel. ?g 30 -e47r Name of plumber 1gaxG .fo.mct_ . , Address . Au ilex Ai 4 ,(/;// • Tel. 7 9 Y rod 7 Name of mason /t;ele. Swt uctewc. Address A/nr¢/,,,,;nJS Tel. NATURE OF PROPOSED WORK: . * ZONING INFORMATION: • 1( Construction of a new building * A PLOT PLAN MUST DE PREPARED AND SUBMI'1TED, _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 DEMOLITION PERMIT, STATE SIZE AND . * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property /OS ft X' /Lo ft. * Existing buildings) Size ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure 213' ft X Z.4 ft * . Foundation-pier/slab/crawl/partial/+ * Proposed building, distance from property line (circle one) * Front yard VS" ft Rear yard ft No. of stories (habitable space) 2, Side yards ft and ft Height (grade to ridge) a' Z$ ft. * /s If residential, no. of families * If o,n'.co`rner, setback from side street ft No. of rooms(excluding baths) 7 * OCCUPANCY INFORMATION • No. of bedrooms 3 * No. of bathrooms / /L. ,� PRIMARY BUILDING - �t}r� * lC One family dwelling Primary heating system Type of fuel El ee J'i c *• Two family dwelling No. of fireplaces to be installedf/p,,/F. * Multiple dwelling / Number of units Will a wood stove be installed? ,v * Permanent occupancy Central Air conditioning? A/0 * 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 Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- ' Colonial Row Town House * Detached garage/one car/ two car/ car • ( CIRCLE ONE PLEASE ) * X Attached garage/one car/ two car/—X,. car * * * * •* * * * * * * * * * * ' * * * Private storage building ESTIMATED MARKET VALUE OF * Other t CONSTRUCTION -LL •=Jo INFORMATION ON BUILDING SPECIFICATIONS, ON -REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form 13PA 4/86 and-vl t r BUILDING 'PERMIT APPLICATION `CONTINUED.- BUILDING..SPECIFICATIONS: . Type of construction, ,wood frame, fire safe,etc. ! ioee? ffevvr► @_ , • - Willanysecond-hand ,or ungraded lumber be used? If so, for'what? - ;t/n • _ Foundation wall material - Cmc,ee TW: - Thickness /Z " Depth- of foundation below grade (to bottom of footing) 6' V . • Will there be a cellar? ,i/O Heated or ea ed Floor sq. footage 7 Z.$ .sq ft Will there be a basement? 9t5 Will any portion be used as living space? Am (If so, what portion? sq.ft. - - Type of use? Type of roof slope, flat/shed/other Material•'of roof pfywogod , ./1S -fie-/f, PrZ5 s603tes Size, wood studs "X a " spacing /( "o.c. length $ ft. Joists(floor beams) 1st. floor Z - "X /p- " spacing /G "o.c. span /; ft. • Joists (floor beams) 2nd. floor 2. "X /0 " spacing /6 "o.c. span 1 5 ft. Overlays(ceiling beams). Z "X 9 " spacing Z "o.c. span lir ft. Roof rafters "X " spacing o.c. span - ft. Roof trusses(pre-engineered) spacing Z "o.c. span 2 I' ft. Exterior wall finish i" ej& oo.. S Of what material? ✓any i . Interior wall finish 51,e_e:{!'oG • ` ' • If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 61 1 P,r e-c 1 e s he,e-ifro j Is there to be an opening-between garage and dwelling? )l s -If so will a Fire-rated door, enclosure, and self-closing device .be. provided? ' y/e, r Will a flue-lined chimney be installed? /t/Q Height above roof ft. • - Depth of chimney foundation below grade , ft. • _ Depth of fireplace. hearth ft. in. Water supply Municipal or private well Ald 1 i�G 1 j' 4 1 - • SEPTIC SYSTEM: Distance from ANY private well(including adjoining properties /tvtr- ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury A F F .1 D A V I T • 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 doneion 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 -s ecified or not, and that such work is authorized by the owner. - . - .,I? leL/(' SWORN TO BEFORE ME THIS Signature Owner, •owner's agent,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. • * * * *• * * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • I% By /i • 1 . TOWN OF QUEENSBURY 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 followings 1. Gross floor area /6 SQ 2 . Type of heat " Ef e.e,d#/c, 4 a c ., 4o a rd 3 . Is the building mechanically cooled? AA) 4. Percentage of area of windows and doors /y % 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 GB> NO a. ' Are foundation walls insu ated? YES 41> 1. If YES , what is the R value? 3 . Slab on grade 4 NO a. If YES , wha the R value of insulation around perimeter of floor? 4 . Is basement heated? YES NO a. Revalue of insulation 5. Type of -insulation rihel5' /ass B. Under 16% Only 1 . R value of roof and floors exposed to ambient conditions rO&F -- -3 SP f / JZ i� ....�/f�. �/'a 2 . R value of- exterior walls ^ Z..7 3 . R value of glazed area y. 8 4 . R value of doors ie — 5 R value of floors over unheated spaces ,� �- ZS 6. R value of slab edge insulation - unheated slab • /(,f/,/ 7 . R value of slab insulation - heated slab /V/4 8 . R value of heated basement/cellar walls (above grade) P-ZS 9. R value of heated basement/cellar walls (below grade) 10 . ' Type of insulation f , C C is SS C. Controls `/ e 1 . Thermostat maximum heat setting 76 D. Duct Systems 1 . Is duct system installed in unheated spaces? 'YES NO a. I'f YES , R value of duct installation b. R value ,of duct in other areas E . Piping Insulation 3/9 1. Size of hot water or cooling carrying agent pipe _ 2 R value of pipe insulation Nh F. Service Water Heating / .d 1 . Performance efficiency 516 2. Temperature control setting maximum IYO . G. For. Swimming Pool Only 1. Maximum heating X X 7 P ) ' Tele hone No. 9 S- 7 e (applicant s signature) TOWN OF C'L'FFNSBURY BUILDING D£PAP.TMINT BUILDING PFRMIT RFQUIREMFNTS CHFCK LIST Where not applicable indicate by NA 1 . Type of permit requested A . Construction of new building B Construction of addition or alteration C Sewage D Sign E ; Other" ..- 2. Required documents submitted: Yes No if not check further documents required. A Plot plan is required B Building Plans C Sewage D Other 3. Required Zoning Regulations: • Zone Classification 3/=/2-/0 A. Is use specifically allowed in zone: Yes No 1 . Check applicable explanation D' a. Permitted Principal b. Requires Site Plan Review, Type I Type II c. Preexisting non-conforming use or expansion thereof. B. Is lot size. adequate? Yes No 1 . Preexisting non-conforming lot 2. Lot size meets required sq. ft. 3 . Lot meets width and depth requirements • C. Lot has required frontage on Public. Road. Yes No 1 . If not, explain. D. Required off-street parking. Yes • No E. Residence only - is there the required minimum sq. ft. Yes No ' F. Are proper setbacks met. Yes I� No If not, explain. G. Required permeable area is equate Inadequate H. Building height Does Does not exceed the maximum. • Form 8-82b . .• . : ,, •. . • O d APPROVED • • .. - crilrit Of awn-de-ill DATITfl . . - APPLICATION FOR SEPTIC DISPOSAL PERMIT 101illill S.IILDO CODES DUI: . lOW1101'LIU ELIO MY . . , . .. .. :. . . . . DATE /o—3 o Ar el / . . .. . • . . - . • • . . . LOCATION OF PROPERTY FOR INSTALLATION 4 O 1 I I 481 0.a ic ly-ce_ a erae- Owner's Name: . itic./1. gclleiPvvVt.,riew)(A) Telephone: 77 f - 0-6 7.4 Address: . 19,,,,eir 1 v 0 it.) At i t, . - G a A' • .. Installer's Name: .' .'.. . S ..,r- y Sit,r Telephone: 17 Z. - 7 Z 5 7 . . . , . . . Number Of bedrooms (residential only) 3 Total daily flow (cOMptite @ 150 gal per bedroOni) _ VS0 . • - • . • • . Topography: circle one: tigto Rolling Steep Slope 9 of slope Soil Natifiet circle One: MI - Loam Clay Other • / Depth: feet - Ground Water: At what depth? - Aipt feet . Bedrock or luipervions Material: At what depth? ji if/ feet . . Percolation test: circle olieCnot requif.e) required / rate min. inch. ' Domestic water supply: circle one: OM Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption , feet PROPOSED SYSTEM: ..Septic Tank ../00 0. gal.' '(iiiininiUm:size: 1,000 gal.) TILE FIELD: Each Trench .- feet / Total system length _ . . . feet SEEPAGE PIT(S): Number of . / Size each 6 . feet by r feet Sie. of stone to be used II .3 - / Depth or Thickness 7 . feet _ * * * * * * * * * 4 4r * * 4: 44 * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT . • ' .•. .-..... , . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED . . . . . . .. - . . . ' . • . (over) . . . • . . . • • • 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 Z4 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, tilt 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 iww proposal must be submitted to the Queensbury Building Department.before further construction. • • • I have read the regulations above and agree to abide by these'and all requirements of the Town of Queen bury Sanitary Sewage Disposal Ordinance. Signature of responsible person: • Date: /o — Io - Sr Town of Queensbury • Building and Code..Department Bay at 1-laviland (toad Queensbury, New York 12801 (518) 792-5832 • • !:1 T' I I , • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. . (TEMP.# (DATE CITY OR _ , s •r VILLAGE s - -r d,-, d f i.a �=f s .,) TOWNSHIP COUNTY STREET AND NO.OR - t .! ,f • ROAD AND POLE NO. r. ,ti POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT ,. ,', OCCUPANT'S •) ` . - _ BUILDING NAME ,1 i... . ; - , , %/, ;-q, s' OCCUPANCY OWNER'S NAME AND ADDRESS CURRENTSU BYPPLIED // , ,-1 ., ,, _ _- •/','. ,..i /7 -- FROM THEIR OFFICE BUILDING WORK DEFECTS IS • NEW OLD CI IS NEW,,Q ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED • No.of Fixtures& BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS Loos- ONLY lion Side Attach't H.P. Watts A.W.G. - Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side - Sub- base Base- ment • 1st Fl. . - 2nd Fl. 3rd FI. - - 1 , • ' REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. 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 • ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) - (CAPACITY) . STARTED COMPLETED SIZE OF SIGN • SERVICE OVERHEAD UNDERGROUND - MAKER ENTERS - OF SIGN • BUILDING - _ INSPECTION REQUESTED . ON OR AS NEAR AS - - POSSIBLE NEW OLD ri AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES • DATE OF - _ - MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION- t `'r " PRINT NAME AND ADDRESS / r ] NAME OF t V.; If SIGNATURE a,'� APPLICANT �, ,. 1 .. -_.>'7.. ,''�-o--f';_ - ,p -t,- `�. /%OFAPPLICANT -..44_ '° -`-'' _ ^f --}L- STREET ADDRESS ,,/,:, ' r" ..;L' ''- r,,•-- TELEPHONE# 1 V ""'" .! LICENSE NO. POST OFFICE / = ~- CODE r•r. ' . -'? WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING -0,4‘,./....). ' 4., lig'/in Olk IIIR-na illit AM ill,ita nik MR ThFUNk'PA nit Riv illk 4*MLR AIR Anna AMMAR Alt/IF an wok w wain an Mit nlIt MA nrk,wnscarusrinn Mt ffilit AIR .4... ..-. _ THE NEW YORK BOARD. OF FIRE UNDERWRITERS P",,-;1- - I i .-,I-• V I BUREAU OF ELECTRICITY -C— iif V ,;._... 41 STATE STREET,ALBANY,NEW YORK 12207 -c, Date I AR'T: ' ; . 1 ''':-") Application No.on file ,-'1`•1 .)".:"'n-':')9 ",, • .. .... THIS CERTIFIES THAT 5'1 I only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ., ii:.Ti: :-::-Iirl•: TIRP111:. 11 P. r,N.‘,;--F Y Tr. , r.1-1-1—:-.frIAIT,-1- —. ,',- :C .: r; 1: in the following location; 0\Basement 0 1st Fl. 0 .2nd Fl. Section Block Lot -c, P,I;cTI 3 ' 1 ''...2.ri K-_ was examined on and found to be in compliance with the requirements of this Board. ...c. ::: ....!. ': FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :: E ECEPTACLES I SWITCHES ',E.--• -4 OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. •'-- '..- t" --: I, I -I I III, . rI, -i I r 1: V. ::,.. ,-, -.A.* ik DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS • ".4-7 BELL SYSTEMS .:_. s "-- -.Q AMT. K.W. OIL H.P. GAS H.P. AMT.-C. NO. A W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS ' 1 I:.-:- = I:, W II4t: ,I -E- v SERVICE DISCONNECT No.OF S E R V I C E .._ - ...Q AMT. AMP. TYPE 1,41I 2W I,Er 3W 3 if 3W 3 if AW NO.OFpEiCirCOND. OF e .6?)ND. NO.OF HI-LEG Ot.HT-a NO.OF NEUTRALS OFAUAL :::: -‹: EQUIP. -e, , ,- I :'.'%r.1 ' 11 I. 1 .1.':. 1 1r, -.C. -4, OTHER APPARATUS: ..- ,... ,_,... ' ic!s'l Pi TT: 7 1':: 1 ::: g •<' :--• --t• — -6 ....... .1, ..-6 r<, BRANCH MANAGER -6 c;r1-,',:r I , . Is;V 1 '• ,,)1 - • - R '1 ,-0.--, .,-- Per _(4: This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their Centials. .9 1..r(7 1•T 7 1" N.7 N''t - f 1 761 r ' N liirlffrffri11/ • A/VW 11ErIllinalraildif " ': 1 g 15 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 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 YORK BOARD OF FIRE UNDERWRITERS APPLICATION NO. C) ° 3 lcS O K LOCATION/ f /VP. DATE INSPECTOR FORM IBD(REV.1/86) • TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280 " / TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME % .a—C & 77 LOCATION �j� //? ((2 ,c?/x ( �j�• � DATE 3 l j PERMIT # f fj C APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS • FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING j NAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING ✓ , EXTERNAL PORCHESTEPS STAIRS—CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS t/ 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: • C(I) INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ✓ jc QUEENSBURY, NEW YORK 12804� ///� TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 7/6 NAME — -reek//- fj�%T�/J� �/G// ��� LOCATION ,/OT// � (/�? /4-41 C.G� DATE ) PERMIT # J( (/11 APPROVED YES NO li FOOTING/PIERS ; MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: , FOUNDATION . FLOORS WALLS CEILING U INAL INSPECTION: CHIMNEY HEIGHT (/ ROOFING SIDING ✓ EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & .RAILS l.//f PLUMBING FIXTURES/RELIEF VALVE V INTERIOR TRIM/PRIVACY DOORS ' l� FINISHED FLOORS ti` GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION • FINAL APPROVAL OF CONSTRUCTION ' 1, A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMAR S: r - / r / J a t�C �i(I S1�,C�1('l l fir,., rS P ,,Gz_ .6-V°(/(2 • '+, t;, it INSPECTOR . • 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 �(p NAME /74-Gh LOCATION,/JD f /4? DATE /'/7 PERMIT # 0 r fS/(f APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL:- L 6UGH PLUMBING ( ;;-f UPIFAMING ELECTRICAL ROUGH-IN INSULATION: r/' FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS 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: IN ECTOR TOWN OF QUEENSBURY f��y BUILDING AND CODES DEPARTMENT A BAY & HAVILAND ROADS / f QUEENSBURY, NEW YORK 12801 11/4 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ( NAME _ '.�( __7�i e/Z,'�.Y -2) LOCATION UJ U I /a- / e C,-� DATE 7 07 PERMIT # gf 'd-V6.-- APPROVED 7NO CFrCfOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING r' ELECTRICAL ROUGH-IN ' • r` INSULATION: FOUNDATION FLOORS WALLS ,' . CEILING , FINAL INSPECTION: / CHIMNEY HEIGHT ROOFING SIDING / EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM,fPRIVACY 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! REMAR S: &,--it �j}�l L git)z--7( 1 ,. 11-'*, '.c-7--(9' i1/21,,d-e?-44 ., A irk )-. i a- A (27 ‘ I ,---)c.,..tk j ,k, 6_9% INSPECTOR _own of Queenitur, • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION • NAME 5 2tt,4c 1ZtC LOCATION Lo i \\S5c/ DATE 0-(z9 / 0 PERMIT NO. � ��0 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field,. total length Leo Length of each trench Depth of trenches 2.1.0 Size of gravel SEEPAGE PITS4Number of) Size- ft. X \.ft. • Gravel size , 3 PIPING: Size T pe Bldg. to tank i, 041 VL Tank to dist. box 4 tt. Dist. box to field/�. `'t�`� A ?V& Openings sealed? \(YES ) NO Partial LOCATION/SEPARATION �`S:'�' Foundation to tank \ (1- ft. Foundation to absorption '1:2 ft. Absorption to lot line Separation of pits 4;, ft. LOCATION . YSTEM ON. PROPERTY,(circle one) • Front i • - Left side - Right side - COMMENTS: • SYSTEM USE APPROVED ta NO . Building In3Z,ctor • 01/86 and vl S i TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 4111 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIO REC IVED /' ^/-2 S NAME _ 1 _ �r�j ' LOCATION ,� 0 L ix..4 DATE /2-Z-ky PERMIT # 5-g'-43r4 S--9 ' APPROVED YES NO FOOTING/PIER MONOLITHIC P UR FORMS FOUNDATION/D P-PROOFING , /BACKFILL APPR VAL (--� ROUGH PLUMBIN, j FRAMING / ELECTRICAL ROUGH-IN S INSULATION: i / FOUNDATION t FLOORS / WALLS ` / CEILING l FINAL INSPECTI N: / CHIMNEY HEIG T ROOFING SIDING / EXTERNAL PORC S/$TEPS STAIRS-CLEARAN• E/& RAILS PLUMBING FIXTU ES/RELIEF VALVE INTERIOR TRIM/Pi2IVACY DOORS FINISHED FLOORS`, GARAGE FIREPROOFING DOOR CLOSER(Sf) SMOKE DETECTORS \ FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FRGJM THE BUILDING DEPARTMENT BEFORE THESE PREM1SES ARE OCCUP`ED! REMARKS: r 1 / - '2--' .11(1-//. 4-729(j INSPECTOR 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 y-, r7,52 NAME k� /-e7 e�2/_N/ LOCATION , , (, /j`z�-._ GL�G"' DATE // -4u PERMIT # -.?(-- APPROVED // YES NO 'jOOTING/PIERS MONOLITHIC POUR FORMS I/ FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: % FOUNDATION FLOORS WALLS R CEILING \ FINAL INSPECTION CHIMNEY HEIGHT ROOFING \ , SIDING \ / EXTERNAL PORCHES/S EPS STAIRS-CLEARANCE & PAILS PLUMBING FIXTURES/RE IEF VALVE INTERIOR TRIM/PRIVACY\DOORS FINISHED FLOORS , ‘ GARAGE FIREPROOFING DOOR CLOSER(Sy ‘ SMOKE DETECTORS FINAL ELECTRICAL INSPECTION N FINAL APPROVAL!OF CONSTRUCTION\\ Ip \\ A SIGNED CERTIFICATE OF OCCUPANCY MUST BE % OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: Ikc),,ONJ INS ECTOR -4 ./o S �. 5 47(1 v • T 0 3 ` 1 r9 T 36 6a 0-3 e' ,v5 l6 r �1 � I iose 0 a k (11 1-11 ) )5"