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1993-696 (2) \Y CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 0c i o1;e:c 27 19 This is to certify that work requested to be done as shown by Permit No. :16 9 i; has been completed. This structure may be occupied u a ^� 1.N i:;1.,; F A I t:I L`r DWELLING W 21(: A T T 'A R A G E V11; 'i' Rt) . ,ufF Location Owner t 1 N i.: , 1 . t 4 By Order Town Board L< r I , -_ TOWN OF QUEENSBURY dl t"�' so- Director of Bldg. & Code Enforcement �ssa BUILDING PERMIT y TOWN OF QUEENSBURY No 93-696 WARREN COUNTY, NEW YORK hd z 0 PERMISSION is hereby granted to General Construction Service Inc. rn OWNER of property located at Lot 9 Hickory Acres Subdivision Street,Road or Ave. 'p Single Family Dwellinn in the Town of Queensbury,To Constructor place a �1 Y g � 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. I' 1. OWNER'S Address is n t�J 130 Main St z Cohoes NY 12047 r 2. CONTRACTOR or BUILDERS Name O z En y 3. GQW((RACTOR or BUILDER'S Address Q_ n H H O z 4. ARCHITECT'S Name C n 5. ARCHITECT'S Address H z n 6. TYPE of Construction—(Please indicate by X) r O 1 Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications x 50 ' Y:34 ' Two story Single Family Dwelling as per plot plan No. specifications and application including two car attached o garacre andseptic system. 8. Proposed Use Single Family Dwelling m In 233 . 00 November 19 94 a $ PERMIT FEE PAID—THIS PERMIT EXPIRES 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.) h Dated at the Town of Queensbury this 19th November 93 Day of r 19 a l SIGNED BY � ' for the Town of Queensbury Building and Zonorg spector t N F F F' '�V 4 TOWN OF QUEENSBURY M NOV 1993 REVIEWED BY: COMMUNITY DEVELOPME D BUILDING & CODE ENF CEE,W FEE PAID: : 531 BAY ROAD QQ�noU QUEENSBURY, NEW YOR �28(Htl9. , PERMIT NO. (518) 745-4447 � � G PERMIT APPLICATION 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 application form. OWNER OF PROPERTY: G awa-P4e- C v Al s- Rue---rt6'V S L 2 lJI C'tr --7 i C-, Mailing Address: 130 MAI,c, sr. r.,g14.04-s �tl�S/ �Z© N'7 Telephone Number(s) : Work Z37 -0, n7Wq Home �sa,�� Other PROPERTY LOCATION: d'C'C Sw j 9 7- lam, Tax Map Number: Section Block Lot ., Subdivision Name: HI c ko ic Y /q C Pr,� Lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE CONSTRUCTION: $ f7_ ' p pa NEW BUILDING: RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION: M` ADDITION TO BUILDING: PRIMARY BUILDING - RJ RESIDENCE/COMMERCIAL _ Single Family Dwellin yid ALTERATION TO BUILDING: Two Family Dwelling `�Ar`/��b RESIDENCE/COMMERCIAL Family Dwelling INT. (NO CHANGE TO EXTERIOR SIZE) Office OTHER WORK (DESCRIBE BELOW) Mercantile Warehouse Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: 1ST FLOOR SQ. FT. -k IF ADDITION, USE OF NEW ADDITION: 2ND FLOOR 00 SQ.. FT. OTHER FLOORS SQ. FT. (not unfinished cellar or baseme t)';�41f ACCESSORY BUILDINGS: Detached Garage - One/Two Car TOTAL FLOOR AREA: / ?0 O SQ.` F% _ Attached Garage - Awe/Two Car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building y FEET X 3411 FEET Other Foundation Type: 'jP�0L)K6Q CoNCPCr� Will any second-hand or ungraded Number of Stories : `e_ lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : feet Type of Heating System: Number of fireplaces and/or woodstove (circle all which ap plies) to be installed: � Electric / Oil / a / Wood Forced Hot Air / aseboard / Other PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NAME OF BUILDER/ADDRESS/PHONE: 27�/�,Qr 5 -� Nr . NAME OF PLUMBER/ADDRESS/PHONE: �'� rr [r NAME OF MASON/ADDRESS/PHONE: NAME OF ELECTRICAN/ADDRESS/PHONE: DECLARATION To the best of my knowledge the statements contained in this appli- cation, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN drawn to scale, showing actual location of pro .ec on re ises . Signature ( contractor) FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE: J1 TOWN OF QUEENSBURY o � APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # "� Fee Paid Reviewed B Date: � Y — LOCATION OF PROPERTY FOR INSTALLATION: Ac p- S Owner's Name: 6cN4%2ac_ Gc,NSTRut -r),,*a SL`KIIIGv LNa . Owner' s Mailing Address: _'� a f0 .4;AJ S�� o a104-F-S A) /Z O '.(•`j Installer' s Name: S A* c' Phone #: Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom) : 6 0 D Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other — If domestic water supply is a we - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank ,�,� gal . (Minimum size: 1,000 gal . ) , f✓ Tile Field: Each Trench .PJ' feet//Total System Length JJ0` feet v�sio Seepage Pit(s): Number of / Size each: ft. x ft. Size of Stone to be used: # / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRE No. of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. I have read the regulation on the reverse side of 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: // /z 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 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 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. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: TOWN OF QUEENSBURY 531 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date i 17- ,19 gam_ 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 it more then one appliance and/or chimney. Applicant 6oN,Q4L. CoA;s R ucrtoa Srevr�APPLIANCE (check appropriate boxes) Ad d ress 1:3o M q,N S j ❑ STOVE: ❑ Wood ❑ Coal ❑ Pellet ❑ FI EPLACE INSERT r v H o c s lJ Zip 1 2 Q J4 I )FIREPLACE, FACTORY-BUILT: Wood b Gas Phone 2- 3 17 - D r1 it q FREPLACE, MASONRY: ❑ Wood ❑ Gas Owner / FURNACE: ❑Wood X Gas ❑ Oil Address IF NON-MASONRY: Manufacturer: Spa-✓ Zip Model: Hi-!'f SSCOutiet: 12- " inches Listed By: t L,. Number: TFg Phone CHIMNEY (check appropriate boxes) Exact address of proposed construction .Cf e�y ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTIONANSTALLATION MUST ❑ FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: 5vpmoiz Model: BUILDING CODE. CONSULT TOWN OF Listed By: 0U . Number: QUEENSBURY HANDOUTS PROVIDED ❑ Double Wall /b(Trlple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Received Code Number Title A 173 3389 (190)Public SafetyS A 233 2655 (230)Minor Sales Fee -Fr r Refunded to: G e-Na/?AL- r�sfnt,e_,T#aN z4ktz izz2:��j J3!� Aptw .w•. s r_ Cost t:S ti - I -.�y7 Dated: Town Clerk or Deputy: White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink& Goldenrod: Cashier's Dept. q. m� TOWN OF QIIFF,FISBl1RY BUILDING & CODE ENFORCEMENT 74?_ HAY ROAD QUEENSPUPY NY 12804 (5)R) 145 4441 ARRIVE: 9'`Cell DEPART: INSP: FINAL INSPECTION REPORT - RESIDENT DATE INSPECTION REQUEST RECEIVED: I�'o2Lr""gJ NAME yTI.CA LOCATION y Id * /� DATE ID '" - PERMIT 1 �/ TYPE OF STRUCTURE FOOTINGS_ FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _ N/A YES NO t CHIMNEY HEIGHT B VE T HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK[PORCEf STEPEL/RhILIN S RELIEF VALVES FURNACE/HOT WATER OPERA IVG INTERIOR TRIM PRIVAC DOORiS FINISH FLOORS: VY BATH/ U—M EN WERTIGHT OTHER FLOORS` SWEEPABLE OTHER FLOORS CARPETED _ STAIR_CLEARANCELRAILINGS SMOKE DETECTORS BAT FHR-QOM FANS -- PLUMBING FIXTURES FOUNDATION _INSULATION_ GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN1VARIANCE_REQ._ FINAL SURVEY PLOT PLAN OK TO ISSUE C O OR CJC TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: Z-,&b DEPART: I N S P FINAL INSPECTION REPORT - RESID AL DATE INSPECTION REQUEST RECEIVED: NAME 1-1 M LOCATION IA t DATE I PERMIT N TYPE OF ST UCTURE FOOTINGS_ FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING SEPTIC INSULA ON FINAL ELECTRICAL WOODSTOVE OR F EPLACE NIA YES NO CHIMNEY HEIGHT B V NT HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK PORCH STEPS RAILI GS RELIEF VALVES FURNACE HOT WATER OPERA NG INTERIOR TRIM PRIVACY 0 S FINISH FLOORS: BATH ITCHEN WATER IGHT OTHER FLOORS SWEE ABLE OTHER FLOORS CARP TED STAIR CLEARANCE RA LINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFI DOOR CLOSERS FINAL ELECTRICAL SITE PLAN VARIANCE RE . FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C C N`(\Y 1 ! i LPG'9 -�590 TOWFIRE MARSHAI OF URY 1 Cj�lj QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT jJ R qEQUEST FOR INSPECTION RECEIVED �' !�` l 5 NAME 77 LOCATIOON krvLA DATE SAT95, PERMIT# APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTI FIRE EXTINGUISHERS AUTO. EXTINGUISHING SY TEM HOOD INSTALLATION AUTO. SPRINKLER SYST ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRIN LER CLEARANCE TO HEATI G UN TS REQUIRLO SIGNAGE CHIMNEY WOODSTOVE FIREPLACE_MASONRY FIREPLACE-FACTORY BU LT 1 REMARKS: OK TO THIS DATE 2/015 INSPECTOR TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518)745 4447 ARRIVE: DEPART: /. � INSP: FINAL INSPECTION REPORT - RESIDENTIAAL (j DATE INSPECTION REQUEST RECEIVED: NAME LOCATION S DATE - ` S PE IT N TYPE OF STRUCTU E FOOTINGS_ FOUN ATION _JISCKFILL _ FRAMINGROUGH PLUMBING SEPTICINSULATIONFINAL ELECTRICAL WOODS OR FIREPLACE N A 2 NO CHIMNEY HEIGHT B ANT/HEIGIT PLUMBING VENT ROOFING EXTERIOR FINISH DECK PORCH STEPS RAIL G RELIEF VALVES FURNACE HOT WATER OPE ING INTERIOR TRIM PRIVACY ZIRS FINISH FLOORS BATH KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED t STAIR CLEARANCE RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN VARIANCE RE . FINAL SURVEY PLOT PLAN OK TO ISSUE OR C C VT J�. TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Z�ffa;b - Locati on /4 k= axk Date 1 6 •Q Permit # 4g SOIL TYPE: Sand-Loam-6)- Results of Perco tion Tes - (if applicable) R to-Minu a/Inch TYPE OF SYSTEM: ABSORPTION FIELD: otal engt _ Length of each tren h Depth of trenches ' Size of stone SEEPAGE PITS: Numbe - Size - ft. ft. Stone size PIPING: S titeype Bldg. to Tank Tank to Dist. Bo f' Dist. Box to Fi d/P' , Openings Seale ? Yes o Partial LOCATION/SEPA TION . Foundation to,, ank feet Foundation to Absorption _ feet Separation o' Pits / feet Conforms as Per Plot P1 an a No LOCATION OF SYSTEM ON PRO ER ( e one ron - Re r - Left Side -' Right Side dle Fro t - Middle an COMMENTS: ,% , r 0 Co L)e5 SYSTEM USE APPROVED: YES NO Arrived: Departed: p�/ Building Inspector �4'rJ TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Q 77�f 7- Location A G�Cb(L --`� Date '5 Permit # SOIL TYPE: Sand- o - - Results of Percol tion est- (if applicable) Ra e-Minute/ nch TYPE OF SYSTEM: ABSORPTION FIELD: T tal Le gth Length of each trenc Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: ze Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/P't Openings Sealed? es No Partial LOCATION/SEPARATION . Foundation to Tank feet Foundation to Abso tion feet Separation of Pits _ feet Conforms as per Pl o Plan Yes No LOCATION OF SYSTEM PROPERTY: (circle one) Front - Rear - Lef Side - Right Si e Middle Front - Middle Rear COMMENTS: r ® �w L� &5 I�G hl cl� PIT-e-41 4 .moo c ����✓�- SYSTEM USE APPROVED: YES Arrived: f 0. Departed. V Building Inspector 1q1-1 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date 6 -29' IS Perm # SOIL TYPE: Sand- oam lay Results of Perc ation Te t- (if applicable) Rate-Min to/Inch TYPE OF SYSTEM: ABSORPTION FIE To Leag tp Length of each trench .130 Depth of trenc es ` Size of stoneM SEEPAGE PITS: Num r- Size - ft. x ft. Stone size PIPING: Size ype Bldg. to Tank 1GA, Tank to Dist. x Di 4t. Box to i l d/P' 0 enings Seal s No Partial .ATION/SEPA T ONS: oundation t Ta k feet oundation t Ab orption feet Separation Pit feet Conforms a er P of Plan Yes No LOCATION YST ON PROPERTY: e e ran - ea - Lef Side - Right Side Middle ron - Midd a Rear COM MEN P c-Q SYSTEM USE APPROVED: YES CN Arriv d: `� Depa ed.- Myoing Inspector TOWN OF QUEENSBURY BUILDING 6 CODE ENFORCE T 531 Bay Road ueen;bury NY 12804 518-745-4447 SEPTIC DI POSAL SYSTEM INS ECTION Name L o c a t i on Date y Perm' SOIL TYPE: Sand-L a -Cl' Results of Percol a i on est- (if applicable) Rat -Mi ute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: To a Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Numbe Size - ft. x ft. Stone size T# PIPING: ize Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? fes N Partial LOCATION/SEPARATION : Foundation to Tank feet Foundation to Absorp ion feet Separation of Pits _ eet- Conformss as per Plot Plan Ye No LOCATION OF SYSTEM PROPERTY: (circle one) Front - R - Left 3ide - Right S de Middle ront - Middl Rear COMMEN f D o--V 712,/�s�' SYSTEM USE APPROVED: YES Arrived: /0 Depart ui d" g Inspectorr TOWN OF QUEENSBURY ^� BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR (}}DEPART �I REQUEST FOR INSPECTION RECEIVED: NAME LOCATION -�icnR'� DATE PERMIT N TYPE OF STRUCTURE: RECHECK - APPROVED N A YES NO FOOTINGS/PI RS MONOLITHIC POUR FORM REINFORCEME T IN PLACE THE CONTRAC R IS RESPONSIBLE FO PROVIDING PR TE TION FROM FREEZI a FOR 48 HOURS OLLOWING THE PLAC - MENT OF THE C CRETE. MATERIALS FOR T IS PURPOSE ON LTE FOUNDATION WALLP UR REINFORCEMENT IN P ACE FOUNDATION DAMPPROO ING BACKFILL APPROVAL PLUMBING VENT VENTS INTACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS ADERS BRACING/BRIDGING JOIST HANGlYRS JACK POST MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH- : INSULATION FOUNDATIO WALLS INTERIOR R- ___KOUNDATI0i4 WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- i5c)X btt.la. oK ua �� TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD. , QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARRlDEPART1 S I T REQUEST FOR INSPECTION RECEIVED: NAME /� LOCATION \�K[�Q� kc eE6 l�llJ 1 DATE PERMIT N TYPE OF STRUCTURE:,_ RECHECK APPROVED NfA YES NO FOOTINGS PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLA THE CONTRACTOR IS RES ONSI LE FOR PROVIDING PROTE TION ROM REEZING FOR 48 HOURS FOLLOWIN TH PLACE- MENT OF THE CONCRETE. . MATERIALS FOR THIS PUR' SE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PL E FOUNDATION DAMPPR PING DACKFILL APPROV PLUMBING VE _/VENTS IN LACE_ ROUGH PL MBING PLUMBI G UNDER SLAB FRAM NG: JACK STUDS/HEA BRACING/BRIDGING _ JOIST HANGERS JACK POSTS MAI BEAM AIR INFILTRATION BARRI R HEATING ROUGH-IN INSULATION: _ FOUNDATION WALLS INT RIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS _ R- CEILING- DUCT WORK OR PIPING IN UNHEATED SPACES R- !A L6o 'H�L F TOWN OF QUEENSBURY t BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARRV-4DDEPART �i REQUEST FOR INSPECTION RECEIVED: NAME c LOCATION K_Xplg- i`i_ DATE PERMIT # =LQAp TYPE OF STRUCTURE: RECHECK APPROVED N A YES NO FOOTINGS PIERS r MONOLITHIC POUR FORM REINFORCEMENT IN PLACE {{{{{{ THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION 'FROM FREEZIN FOR 48 HOURS FOLLONIN0,1TNE PLACE-/ MENT OF THE CONCRETE. MATERIALS FOR THIS PURPO E ON SItE FOUNDATION WALLPOUR REINFORCEMENT IN PLACE FOUNDATION DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT VENTS IN PLACE/ ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING BRIDGING ' JOIST HANGERS JACK POSTS MAIN EAM AIR INFILTRATION BARRIE 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 R- Spa o , TOWN OF QUEENSBURY < BUILDING & CODE ENFORCEMENT 531 BAY RD. , QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR��DEPART_���I REQUEST FOR INSPECTION RECEIVED: NAME CL LOCATION V, ! _ DATE PE MIT # �y3-�qlo TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS PIEjC0NCRETE. -. MONOLITHIC P REINFORCEMENE THE CONTRACTPO S BLE FOR PROVIDING PRFR M REEZING FOR 48 HOURSG HE PLACE- MENT OF THE MATERIALS FO OSE SITE FOUNDATION/WALLPOUR REINFORCEMENJRN FOUNDATION DJE DACKFILL APPPLUMBING VEN ROUGH PLUMB PLUMBING UN FRAMING: JACK STUD HEADERS _ BRACING B IDGING JOIST HAN ERS _ JACK POST MAIN BEAM IR INFILTRATION ARRIER HEATING ROUGH-IN _ *NSULATION __RQ,4a FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- ___ FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- f_ TOWN OF QUEENSBURY x- BUILDING & CODE ENFORCEMENT 531 BAY RD. , QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR� DEPARTII'S(OIN REQUEST FOR INSPECTION RECEIVED: NAME ��1 LOCATION DATE PERMIT # TYPE OF STRUCTUR RECHECK /APPROVED A YES NO FOOTINGS PIERS MONOLITHIC POUR FO REINFORCEMENT IN PLA THE CONTRACTOR IS RES NSIBLE R PROVIDING PROTE TION F OM FRE ING FOR 48 HOURS FOLLOWING HE PL CE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPO N SITE FOUNDATION WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING DACKFILL APPROVAL ;�I,UMBING VENT1VENTS IN PLAC_E- ROUGH PLUMBING PLUMBING UNDER SLAB RAMING: JACK STUDSADERS BRACING _ JOIS JACKIN BEAM AIR INFILTRAIER HEATING ROUGH-IN INSULATION: FOUNDATION WA S INTERIOR R- �FOUNDATION WAIILS EXTERIOR R- FLOORS R- WALLS CEILING DUCT WORK OR PIPING IN UNHEATED SPA ES R- TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name G Location Js-7�+ C �C Date tj)-+-f ` ermi t 99 G-) SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/ nch TYPE OF SYSTEM: ABSORPTION FIELD: Total ngt Length of each trench AA Depth of trenches �J Size of stone SEEPAGE PITS: Number- Size - ft. x Stone size PIPING: Siz Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed. Yys No Pa tial LOCATION/SEPARATIOR?: `rr- Foundation to Tank ( f et Foundation to Absorptio f Separation of Pits fe t Conforms as per Plot P1 n Yes LOCATION OF SYSTEM ON P OPERTY: (circle one) Front - Rear - Left Si e - Right Side id e r Middle ear dt� �o �RCI��mot✓ ��� '�Sg..- SYSTEM USE APPROVED: YE N Arrived: ' Dep a Building pector 1 TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED CQ-'I --"nn l S NAME LOCATION DATE PE MIT# _ 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 SPRINKLE S CLEARANCE TO HEATING NITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY --fqREPLACCE-FACTORY BUIL REMARKS• OK TO THIS ATE r 2/015 INSPECTOR TOWN OF QUEENSBURY -' BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARZ__�b DEPAR REQUEST FOR INSPECTION RECEIVED: NAME LOCATION cl DATE PERMIT N 9C� TYPE OF STRUCTURE: QY 441 RECHECK APPROV N A YES NO FOOTINGS PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL LUMHING VENT/VENTS IN PL C ROUGH PLUMBING � � PLUMBING UNDER SLAB RAMING: _tz JACK STUDS[HEADERS BRACING ANGERS NG JOIST HANGERS !:W,C�t JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FL_OORS R- WAL_LS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- d C�u55E i F �oCZ 'T� 5 3 41t 2 Q�� �w �� t- t1 aG Si ,P OIL" TOWN OF QUEENSBURY ` BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: AR�=R) DEPARjZ» IN REQUEST FOR INSPECTIIONN RECEIVED: NAME G1�J.-af� LOCATION DATE PERMIT TYPE OF STRUCTURE: RECHECK APPROVE NIA YES NO FOOTINGS PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIHL FOR PROVIDING PROTE TION FROM FR EZING FOR 48 HOURS FOLLOWING THE P ACE- MENT OF THE CO BETE. _ MATERIALS FOR TAS PURPOSE ON SITE FOUNDATION WALLPOU REINFORCEMENT IN PL E FOUNDATION DAMPPROOFI G iACKFILL APPROVAL PLUMBING VENTfVENTS IN P_ CE __.___ ROUGH PLUMBING PLUMBING UNDER SLAB lkFRAMING• JACKqSTUDSADERS _BRACINGJOISJACKIN BEAM AIR INFILTRAIER _ HEATING ROUGH-IN INSULATION• FOUNDATION ALLS ITERIOR R- FOUNDA_TIO WALLS EXTERIOR R- _ FLOORS R- WALLS R- I CEILING _ R- _ ___ DUCT WO)AK OR PIPING IN UNHEATED SPACES R- - 0�sy R t.UVA-) Mt WEA KV-am t F�� BPAM\� 1 TOWN OF QUEENSBURY Azt- ILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT / REQUEST FOR INSPECTION RECEIVED 711,zJf S NAME LOCATI DATE 7 2 PERMIT # TYPE OF STRUCTURE /.11}a.1L .o RECHECK APPROVED N/A YES - NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING i BACKFILL APPROVAL R ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE r PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE 6 DEPART i INSPECTOR a 4- OWN 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" LOCATIONf-/ (� DATE ff PERNIT # TYPE OF STRUCTURE RECHECK APPROVED (+" N/A IYES1 NO FOOTINGS RS _ ONOLITHIC OUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADER BRACING/BRIDGING JOIST HANGERS JACK POSTS/MATN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION W L S INTERIOR R- FOUNDATION WALLS EXTERIOR R- ; FLOORS R- , WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART ; INS ECT TOM OF QUEENSSURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME ` � n LOCATI DATE t,11,z3 PERMIT f TYPE OF STRUCTURE RECHECK APPROVED N/A YESI NO /TOOT I GS/ _ _ MONOLITHIC POUR FOR REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONS E FOR PROVIDING PROTECTION FRON FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PL E PLUMBING UNDER SLAB FRAMING: JACK tTUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MATN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTER OR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R= CEILING DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: �j 6Z AA Y3 Gt1/Z i C" At C i-o 0 iAJN�7-lcA) 0,(— ARRIVE DEPART IN EC R ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS NOV 1103 1� '" REcei,ud Town of Compliance Methods : PART 5 - Acceptable Practice Met - Queensbury 1&2 Family Dwellings (on Mg.Dept PART 6* - Thermal Rating - Componen de O 1&2 Family Dwellings; Multi- Dwellings (3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: ��t'N�R/�L Co�►s7-Rycr[o.✓ Sa gJicc s^✓c, Ll,ckoeti /-}C 9 S PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - / $o D square feet 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes X No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 30 b. Exterior walls R 15 c. Glazed areas R .580- U Sea, d. Exterior doors R . 772-U e. Floors over unheated spaces R 2,f _ f . Edge of slab on grade (heated building) R 10 g. Basement/cellar walls (above grade) R 11 h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Applicant's Signature Date Phone Number a2w 13 7— D -8' C,61 "5�0 INSPECTOR' S REMARKS : - ------ ------ 401o,.�,28 THE NEW YORK/ BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY F 111 WASHINGTON AVENUE,SUITE 704,ALBANY,NY 12210 :')EPTE11BER I Date ` Application No.on file 1 ) 5 4'1 -rk III(— PERNIT Nt'�, '4-i-69t, THIS CERTIFIES THAT only the electrical equipment=described below and introduced by the applicant named on the above application number in the prembee of in the fallowing location; E] Basement l.tFj. 2.d Fl. GAI�, Section Block Lot was examined on SEFTBAMEP' 0�i, I 9crj and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS I DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT I FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. I K.W. I AMT. I K.W. AMT. , H.P. 4'� 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE P111114115 SPECIAL RWPT, TUM CLOCKS 11111. UNIT TERS MULTI-OUTLET DIIMM1RS REC'" SYSTEMS AMT. K.W. OIL P. a" H.P. MT. NO. A.W.G. AMT. I ANUS. TRANS. AMT. H.F. No.OF FEET AMT. WATTS lit, 7. SERVICE DISCONNECT NO.OF S I R V I C I AMT. AMP. TYPE gQW. 1 X 2W I 3W 3 AV 2W 13 0 AW I NO-OF CC,COND. OF C-W-&40 .- OF I OF HIAEG A WWL. "'W M mu ms A-C.C NO 01A-" AT -AL OTHER APPARATUS: -J if s1:E' D E T P�X`A)k I ARE.ET 11IM(ITHO INC L?'7 tt-HNOK AVE SC 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS CEFUIF"TENO. DO NOT WRITE HERE FOR OFFICE USE ONLY BUILDING PERMIT NO. TEMP.# DATE CITY OR VILLAGE T I ZIP CODE I TOWNSHIP COUNTY STREET AND NO.OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS R CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER d` P BUILDING IS NEW OLD❑ WORK IS NEW ADDITIONAL❑ DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& BRANCH OFFICE USE Luca' Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY tion Side Attach't H.P Watts A.W.G. Ceiling Wall Recep'ls Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION OUT- SIDE SUB- BASE BASE- MENT tst FL. 2nd FL. 3 FL_ REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. t 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 APPLICANTS f + IDENTIFICATION NUMBER AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. P PIN! NAM,,f .N.-I ADORFS NAME OF APPLICANT 7 DATE OF APPLICATION ySONATUIM OF APPL T STREET ADDRESS TELEPHONE NO. { "? r A,l 's I CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE 85 John Street 41 State Street 570 Delaware Avenue 217 Lake Avenue 202 Arterial Road NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 I SYRACUSE,NY 13206 (212)227-3700 (518)463-2122 (716)884-1155 - (716)254-0141 (315)463-8552 TUC KIMA/ VnDW MnAQn nC CIQC 11K1nCQ\A1D1T[=QC )NNNIN PL DESIGN C Eff S 946 ROUTE 146• C 0 ,,ARKsK 12065 371-3826 SUMMARY OF TOTAL THERMAL i H the total thermal rating below is zero or eater, the envelope portion of the building is in compliance with the energy chide. 1 4 :TALE THERMAL A. WALL ASSEMBLY � • AREA U-VALUE USED RATING , Al.- Net Walls Aw1'7eq- Uw •048 •6`-2 r +180 Aw L6 + A2 Glazing Ag 266.3 Ua •SBQ::<> <>> o-2 . -f 30 Ag A3. Doors Ad30 Ad ::<::>> >:>: .. Subtotal Thermal Rating for Section A.(A1 +A2+A3): +52 B. ROOF/CEILING.......AS...S.........EMRLY .. ........ ........... B1. Roof/Ceifitg „'`>' <; >'' Ar 1005 Ur.04.3 6-4- . -5 Ar Ur •. 2. V NIA Subtotat.Thermal Rating for Section B ( 81 +B2 C. ENTER DATA AS APPLICABLE (Either C1, C2, or C3) Cl. Floor lk .039 C2 Foundation WajtE€ Wall Perimeter ;: Above Grade F)q=r�'.:>>`>2 ft. 6-7 ktsul2 on Depth lh 083 -6-6 . 0 84 • lPboting Perimemr R-Value C3. Slab Edge Insulationb;:<<'<>;;'": 6-8 . N A. Subtotal Thermal Rating for Section C (C1 +C2+C3 D.TOTAL THERMAL RATING (A+B+C)........................................... f ¢8 even THE " TAHOE" - Drawingg 003010 F02 GC61 HICKOiZY A�'izeS INC. / WAEeEN COUNT-( NEW YOF-K, C �; 'N 06. iM C` CC O ILI O p, rAC.ATlvO To rA f4i c.Ko Ry PC4CO 49' 0 S e prta TANK 12S6 rl 01%oa z '(60 za`