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94-180 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 16 1995 This is to certify that work requested to be done as shown by Permit No. 94180 has been completed. This structure may be occupied as a SINGLE FAMILY DWELLING l C;E ROAD Location Owner .HAHSLER . Ri3i3ERT TAX UM' NO, ,' t I . 1 By Order Town Board TOWN OF QUEENSBURY 7:544ff2s) - Director of Bldg. &tCode Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 94-180 ro WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to ROBERT HAUSLER OWNER of property located at Route 9L 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. 1. OWNER'S Address is 11 Twilight Drive Clifton Park NY 12065 r� 2. CONTRACTOR or BUILDER'S Name Hamilton Homes 0 1-1 3. CONTRACTOR or BUILDER'S Address HCO1 Box 1T Long Lake NY 12847 4. ARCHITECT'S Name 0 rt 5. ARCHITECT'S Address N r 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications 26 ' x40 ' Two story Single Family Dwelling as per plot No. plan, specifications and application. 8. Proposed Use Single Family Dwelling U' m $ 148 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 13 19 95 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N. town of Queensbury before the expiration date.) Dated at the Town of Queensbury this y of 19 9 4 E SIGNED BY for the Town of Queensbury ~' Building and Zoning Inspect rows OF QUEENSBURY REVIEWED BY: --L-N4 n3 5r7a 51114011, FEE PAID: ' ' PERMIT NO. : 9V /f 9 z :: ueensbury Bldg. Dept BUILDING PERMIT APPLICATION t `''~ a PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL \PPLICANT HAS RECEIVED A VALID BUILDING PERMIT. kll applicants spaces on this application MUST be completed and the signature of the ►pplicant MUST appear on the reverse side of this application. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * )wner of Property: Robert Hausler '.0. Address: 11 Twilight Drive, Clifton Park, N.Y. 12065 PHONE 383-1328 'roperty Location: From Rt. 149, North on Rt. 9L about 3 miles Tax Map No. 22 / 1 / 1 . 1 site is on the left, Hausler sign in tree. las there been any split of this property since October 1, 1988? Yes No X f yes, Planning Board Review is necessary. ,ubdivision Name, if applicable: Lot No. 'HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: Hamilton Homes ( cocnrete, framing, windows, roof, plumbing, heating ) Robert Hausler other. ATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE X Construction of new building * CONSTRUCTION: $ 130,000. Addition to building * Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: 280' ft. x 180' ft. Other work (describe) * Existing Building Size: * ft. x ft. NONE * Proposed building - distance from ROSS AREA OF PROPOSED STRUCTURE: * property line: 50+' st Floor 925 Sq. Ft. _ * Front Yard 1sn, ft. Rear yard Inn► ft. Side Yards 50' ft. and 100' ft. nd Floor 380 Sq. Ft. , * If on corner, setback from side street- ,3„., ft. ther Floors 0 Sq. Ft. * not cellar or basement) * OCCUPANCY INFORMATION: * OTAL FLOOR AREA: 1305 Sq. Ft. * Primary Building - * 1 One Family Dwelling ize of New Structure: 26 ft. x 40 ft. * Two Family Dwelling oundation: * Multiple Dwelling/No. of Units ier/Slab/Crawl/Partial/Full (Circle One) * Business * Industrial o. of stories (Habitable space) 2 * Other eight (grade to ridge) ft. * f residential , no. of families: 1 * If addition, what will use be? o. of rooms (excluding baths) : 6 * o. of bedrooms: 2 * 0. of bathrooms: 1 1/2 * Accessory Building: rlmary heating system: nas/hnt water * Detached Garage - One/Two Car ype of fuel : raq * Attached Garage - One/Two Car o. of fireplaces to be installed: 1 * Private Storage Building ill a woodstove be installed?: * _ Other entral Air Conditioning: Yes No x * (bvu) ,., �L..1 rci ii T APPLICATION CONTINUED: • BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. WOOD FRAME Will any second-hand or ungraded lumber be used? If so, for what? NONE, ALL GRADED LUMBER Foundation Wall Material : POURED CONCRETE Thickness: 8" Depth of Foundation below grade (to bottom of footing) : 7'10" Will there be a cellar? NO Heated or Unheated? UNHEATED Floor Sq. Footage: 925 dill there be a basement? YES Will any portion be used as living space? NO If so, what portion? Sq. Ft. Type of Use? Type of Roof: Sloped/Flat/Shed/Other RT.nPFD Material of Roof Fiberglass, Asphalt shin; Size, wood studs 2 " x 6 "; spacing 16 " o.c. ; length 8 ft. Joists (floor beams) : 1st Floor 2 " x 10 "-; spacing 16 " o.c. ; span 12 ft. Joists (floor beams) : 2nd Floor 2 " x 10 "; spacing 16 o.c. ; span 12 ft. )verlays (ceiling beams) : 2 " x 8 "; spacing 24 " o.c. ; span 6 ft. Zoof rafters: 2 " x 12 "; spacing 24 o.c. ; span 21.5 ft. Zoof trusses (pre-engineered) : spacing " o.c. ; span ft. :xterior Wall Finish: 1 X 6" Beveled cedar clapboarf what material ? Cedar :nterior Wall Finish: 1/2" drywall :f a garage is to be attached, describe materials to be used for FIRE SEPARATION: :s there to be an opening between garage and dwelling? If so, will a. Fire-Rated door, enclosure, self-closing device be provided? lill a flue-lined chimney be installed? YES Height above roof 8.5'• above cricWOL lepth of chimney foundation below grade: ft. ►epth of fireplace hearth: ft. in. later supply- Municipal or private well : Private well SEPTIC SYSTEM: Distance from any private well (including adjoining properties: mot ft. A separate application is necessary for any repair or new installation of septic system. ) AME OF BUILDER & ADDRESS: Hamilton Homes, HCO1 Box 1T, Long Lake, N.Y. PHONE 624-4444 AME OF PLUMBER & ADDRESS: Same IT If12847 PHONE n !AME OF MASON & ADDRESS: PHONE AME OF ELECTRICIAN & ADDRESS: Same PHONE DECLARATION To the best of my knowledge and belief the statements contained in this application, ogether with the plans and specifications submitted, are a true and complete statement of 11 proposed work to be done on the described premises and that all provisions of the UILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall e complied with, whether specified or not, and that such work is auth ized by the owner. Signature �1 Owne , o'iner s agent,architect Contractor .. .__ By: Code Enforcement Officer sPj TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # — Fee Paid 4 Date: May 6 , 1 QQL Reviewed By NAY 19,04 LOCATION OF PROPERTY FOR INSTALLATION: Ridge Road , 22-1-1 . 1 Owner' s Name: Robert & Shirley Hausler Owner' s Mailing Address: 11 Twilight Drive , Clifton Park, N .Y. 1'2065 Installer' s Name: Chris Crandall ( Excavating ) Phone #: 518-793-0431 Number of bedrooms (if residential ): ( 2 ) Total daily flow (residential-compute @ 150 gal . per bedroom) : 300 gal . Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: 3 ft . Ground Water-At What Depth? Unknown Feet Bedrock or Impervious Material-At What Depth? 5 Feet Percolation Test-Circle One: Not Required Required/Rate 10 Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption 135 feet PROPOSED SYSTEM: Septic Tank 1000 gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 50 ' feet//Total System Length 250 ' feet Seepage Pit(s): Number of / Size each: ft. x ft. Size of Stone to be used: # 2 / Depth or Thickness 1 feet ************** HOLDING TANK SYSTEM IF REQUIRED 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 Queen b ry Sanitary Sewage Disposal Ordinance. %1 ?/ UL__ SIGNATURE OF RESPONSIBLE PERSON: DATE: AtV1.14S‘' TOWN OF QUEENSBURY 531 Bay Rd., Quesnsbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date (co ,19 ckk 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 chimney. Applicant � ;,,, s APPLIANCE (check appropriate boxes) Address n - j 0 STOVE: o Wood o Coal o Pellet 0 FIEPLACE INSERT Zip ❑ FIREPLACE, FACTORY-BUILT: Phone 0 FIREPLACE, MASONRY:Gas 0 Wood ❑ Gas Owner . , , . , 0 FURNACE: ❑Wood ❑ Gas Oil v Add ress V, �� .� .�-:"�cia,- _. IF NON-MASONRY: Manufacturer heiegt TeC !a� Zip \ f �Model: Z Outlet: i4 inches Listed By: (it.. Number /0 3 Phone CHIMNEY (check appropriate boxes) Exact address of proposed construction ❑ MASONRY: 0 Block 0 Brick 0 Stone FLUE: 0 Tile 0 Steel Size: inches CONSTRUCTION/INSTALLATION MUST 0 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer mA n' Model:vile AA(I BUILDING CODE. CONSULT TOWN OF Listed By: Number: QUEENSBURY HANDOUTS PROVIDED 0 Double Wall Jariple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected` Amount Received Code Number Title A 173 3389 (190)Public Safety 441 A 233 2655 (230)Minor Sales Fee-Collected From ovRefunded to: . ,'.1 /: ,%fie JILL, Address: Dated: t ,,, 4 Town Clerk or Deputy: �/ I r p ty: White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink& Goldenrod Cashier's Dept. • TOWN OF QUEENSBUKY 3 u Bay at Haviland Roads,Oueensbury,N.Y.12801-9725 • APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date ' Nay19 �� Permit No. Yd./ J APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all inspectors to enter premises for the required inspections. Applicant's Name Nar=tilton £rnae�s APPLIANCE TYPE Stove Coal Wood Address liC01 Box IT. Long Take, N.Y. 12847 urnace Hot Air Boiler Lero Clearance X Circulating Unit Zip Phone (513) 624-4444 If Non-Masonry: Owner's Name Robert HenslerNOT CNOS t AS OF Z13/94 Address 11 Twilight Drive Manufacturer Model Outlet Size Clifton Park, N.Y. Zip 12065 Listed by Number Phone CHIMNEY TYPE Masonry: Block . Brick - Stone Property location of proposed construction Flue: Tile Steel X From it. 149. North an 'fit. 9L about 3 miles. Size: S" Site is,on the leftttHausler sign in tree. Factory Built: Manufacturer Model Size COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES . Type: Double Wall Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ SONRY FIREPLACES AND CHIMNEYS. CASHIERS DEPARTMENT TOWN OF QUEENSBURY, NEW YORK Department: Fire Marshal Amount Collected Amount Refunded Code Number Title :r ,-- A173 3389 (190)Public Safety A233 2655 (230)Minor Sales (Fee Collected from o Refunded to: Z2,Piti,_/77:1' ??fr I c�° Le Address: Dated: Q it/f� Town Clerk or Deputy While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal ENERGY COOS{ COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS opl i ance Methods: iRT 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) I.' . Mi)Y 1,tyy dIT 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family Dwellings (3 Stories or Less) tY IRT 4 - Design By Component Performance - Commercial Buildings - Hi-Rise � e.ntial IRT 4 & 6 - Compliance Methods Require Submission of Worksheets Robert Hausler From Rt 149 North nn ur o� ab t 3 mile 'PLICANT'S NAME PROPERTY LOCATION site on left, Hausler sign in trees. PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: Gross Floor Area - 1300 Sq. Ft. . Type of Heat - Elec. Base Board Other Gas fired hnr water . Is Building Mechanically Cooled? YES X NO . Percentage of Area of Windows and Doors Over 17% X Under 17% HE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED HE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard . Insulation Values: Actual Shown Elec. Heat Other . Roof & F}oors exposed to ambient temperatures R 46 . Exterior Walls R 30 . Glazed Area R — • Exterior Doors R 14 Floors over unheated spaces R 30 • Edge of Slab on Grade (Heated Building) R • Basement/Cellar Walls (Above Grade) R L Basement/Cellar Walls (Below Grade) R Heating/Cooling - Ducts - Piping in Unheated Space R i. Service (Domestic) Hot Water Heating Device k. Conforms to minimum efficiency per code X YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED 2. — �y A PP 5IGN DATE N B INSPECTOR'S REMARKS : i ENE R G Y C__0--1'i_e-L x-• A-N-C E _E T F�_C_A___T_i Q--N BUILDING _ DATE : aji ny ADDRESS: / ,, ..„(47 v xI-Ji-, , AA./yo�/<- COUNTY: _ .42 Aii ENGINEER:Akf��. .ow ,0.-.4elf 4. P� f�HuNl; �i�� 2 7 Z-�'.Z6� PERMIT APPLICANT .2, yi/��,- .s/ 1! �f- PHONE : THE UNDERSIGNED HEREBY CERTIFIES 'I'HAT HE HAS REVIEWED THE- PLANS FOR THE ABOVE-REFERENCED STRUCTURE AND CERTIFIES THAT THIS STRUCTURE COMPLIES WITH THE REWU1REMENTS OF THE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE WITH AMENDMENTS EFFECTIVE MARCH 1 , 1991 . This is a frame residence by Hamilton County Lumber t:ompany ,wit.h insulation , as shown on plans , in conformance with that required by Energy Compliance Form , Part 5 , Bui.lding Design by Acceptable Practice . for heating with either gas or oil heat . Windows and dn'irs to be supplied by manufacturer with minimum " tt" values , weatherst:r:ipping , and infiltration rates as listed in Compliance Form . If basement is to be conditioned , the exterior walls should be insulated with R10 rigid foam from top of walls to footing . ��oQ�1F ESSIONq��e4, .* SEAL & SIGNATURE OF L . P .E . St To sivS" DATED : — 7- %y NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE PART 5 COMPLIANCE FORM Building Design by Acceptable Practice BUILDING ADDRESS: DATE: f/f t •,,.r b., r- o COUNTY: //''J ARCHITECT,ENGI NUR,OR CONTRACTOR: /,!y 1,�(..„ E/ 4.144-b.Vie/ .L_ PI IONE0 e) 7J" 92-yA.6 ?� PERMIT APPLICANT: /; � �" "�� F. fe 7�us � PHONE: �QQ�fESSlO4e. I. HEATING DEGREE DAYS (Table 2-1) w�S� Mo"Teo. v 5000-6000 Nj 7000- 9000 a qift)07:: 37419 (4<c II. BUILDING DESCRIPTION (Pre-qualifying Conditions) �FTIE sje If the building does not meet all of the following pre-qualifying conditions, Part 5 of the Energy Code may not be used. Building is residential with one or two dwelling units. 71 Building is less than 5,000 gloss square feet. pi Building is three stories or less in height. Ratio of glazing area to gross wall area is equal to or less than 17%. III. PROJECT TYPE VI New construction • I-1 Substantial renovation of existing building ❑ Addition to existing building ( 1 Exempt (7810.6c) IV. HEATING SYSTEM TYPE Vi Gas-fired O,Q El Oil-fired U Heat pump riElectric 5 V. BUILDING ENVELOPE DATA: 7814.2 Envelope Component Minimtrrn Provided Plan/Spec. Required Reference Exterior wall R= ( 7 R= 2_,c--/— g.., ci....r.s.fe,/;;;,.. Roof/ceiling R= 02_ y R= l t--Floor R= i ' R= 3� �es.,...si:,-eare ' ei , Foundation wall R= , R= MA, g.. 11-aJ.f l ,emsSlab edge insulation R=- 1 cR_ N, 4, Glazing R= / 7 R= / -f- � t '" *os G/. S-f ,,. Entrance door R= 2, R= 2 S + Insulated depth below grade D= ll= 61.. ,," 4 e+ ~ Skylight It= /. 7R= /, 7 C Skylight % of total roof area 1% Maximum %= ly /� Vapor Retarder: 7814.2(c) Location Location Type Plan/Spec. Required Provided Provided Reference Walls / ' . . l� J ✓ A .- f-' 1, g.-,---14-.././ Je:7o, Ceiling s.a l Floor ,t"7�o / G f l /-L, P/... � Other /t O0P4�6�-4✓ :)Pl 57--Drr.l es�TOk Infiltration Rate: 7814.2(h) Element Maximum Rates Rates Specified Plan/Spec. Reference Windows 0.37 cfrrr/lin. ft. Doors 0.50 cfm/sq. ft. (� 5-2 Joint Sealing: 7814.10(i) Joint Location Sealant Tylie Specified Plan/Spec. Reference Windows ikajteAr y' Doors frames ctlT /L_/ �n /J Walls at roof/ceiling C �l/ Wails at floors/found. JJ Wall panels (A Utility entrance u 7k w Penetrations rca J / ( 5 i Other , �V Other Air Infiltration Barrier: 7814.10(j) • Location Required? Specified Plan/Spec. Reference Walls (Kyes no �y i�— J AV" Cis--v.r.r /i o 1-kr Other yes/ no !(! ) • Fireplace: 7814.10(k), (rn) Required Specified Plan/Spec. Reference Outside combustion air duct with damper ✓ A 47,Z.- Flue damper with max. 20 cfm, or damper and non-combustible doors �J / I Fe)h _- Gas fireplace ignition `� 1// VI. HVAC PERFORMANCE: 7814.11 (Table 5-3) Equipment Minimum Performance Specified Performance • Plan/Spec. Reference Furnace Boiler Po �� E iC_ Y.kGG Y 4 IIeat pump Central air conditioner � w • -3 • VII. HVAC CONTROL: 7814.12 Temperature Control Required Specified Plan/Spec. Reference Thermostat each (--e_ -- ,--:) .,/z4......t_ c... dwelling unit J ---45)----4. 1..,_. Shut off at each terminal unit rck /4 ti. 7C--( ac.4. r:1--- 4A--k. Thermostat Required Specified Plan/Spec. Reference Minimum range ,_ 45°F-85°F � C 47( < Deadband range z 5° cry`- Automatic capability 7cs VIII. DUCT SYSTEMS: 7814.13 Category Required Provided Plan/Spec. Reference Duct z 1" thick insulation li/ 4, ____.____ Transverse Sealed joints ps 4, ._________ IX. VENTILATION SYSTEMS: 7014.14 System a Required �� Y Type l Specified Plan/Spec. Reference Supply Damper at envelope Exhaust Damper at envelope - , ,�,/ . , Supply' on/off switch N 0 , A. Exhaust on/off switch /l 5-4 �. .. •' X. PIPING INSULATION: 7814.15 Piping Type Insulation Provided Plan/Spec. • Required Reference Heating distribution' z 1v2' • Service hot water** 'Does not apply to runouts. "Does not apply to piping with a diameter less than or equal to vi' inch. XI. SERVICE WATER HEATING: 7814.21 (Table 5-4) Performance Requirements Water Heaters Minimum Specified Plan/Spec. Performance Performance Reference Storage rrF rF 73 D oo.rz V - —�.� • /`-1 Instantaneous Pool --- • • Controls Category Required Control Control Provided Plan/Spec. Reference ' System automatic control System temp. setting range 7Pool heater I I D ems ' � ".Ae/6}, "17:1 Pool heater on/off switch Electric water heater separate switch Gas/Oil water heater separate valve 1`/ , • XII. ELECTRICAL POWER: 7814.31 • Category Required Specified flan/Spec. Reference Electric meters Ea. dwelling unit • J -3 J O kI- TOWN OF Of)EENSBURY di.""--. 10 BUILDING & CODE ENFORCEMENT 742 RAY ROAD QUEENS©URY Ni 12RG4 (518)745-4447 ARRIVE: 05DEFA : 1 RT' `/ INSP: C'�' I " 42 - /� ,�I jL (FIN INSPECTION REP RT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: 4/ J _i - NAME I LOCATION � G, • / -e DATE 'JPERMIT # 9'( 1;(;f TYPE OF S UCT RE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC INSULATION _ FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH ----V VDECK/PORCH/STEPS/RAILINGS; V/ _:L,i,iL ViwVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE / OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGSNo/ SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS _ __104 _ FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. __- _ FINAL SURVEY PLOT PLAN OK TO ISSU SI . OR C/C | TOWN OF u"cE:snoxx aozLuImo a covc soronc�wcwT 742 ox/ '"»u onsoncuv,r v` /mo^ (518)7*5 ^4^/ ^ x� ) ^ ARRIVE: oopxxr. zwnr. ��'�^--- FINAL pocrzow aoronr aomzoomr AL NAME LOCATION DATE E TYPE OF STRUCTURE ronrzmoo___ ronwouzzom ' yxcnrILL Fnxm/wu aouox eLnmezmo ooprTc IunoLuzzom -- rzmuL oLucznzcuI noodoTj—Vn OR rInnpLxco � N/A r _mp__[ cozumor uozoxz/a vomr/1111zsxr pLouuzmG vEmr / �^ 000rzmo / w^ , - � -_--_- EXTERIOR_Ezmxax B -�'-- -- �oocn/poncx/ozupo/nazL nn '�iuVgxV. roumxcuPmr wAzo `V -- ---- -' zmcoxzoo ruza/euz nm FIN ISH rLooxo' eArx/nzrcxmm naro`rzGx' or xEn nLoonn_SWE 4uoLo nzxon %%Ooao cuu ron \ ~� ----\ ---- '--- ��uzn CLEARANCE/RAIPINGS \ ^� uMoxn ooroczono aAn/uoom FANS pLnMazmo rzxroxoo / roonoxrzom zmooLxTzom Gxoxuo rzxo pxoorzmo ono V/______ �" LJ8�8�4� �� / �~ rzmaL ��oo�nzc�� ��k����~^� �~^`"` �Iro pLum/VAuzxwco uon. �~ rzmuL oonvur OT pLxm --v� OK TO Isouo , LY L- AL-� ` TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED ( C 1/ 1 /cS NAME 62.A,,,-1- 4:4G,c�1 e%1� )_ `2d LOCATION � DATE I() C�- PERM T#/� -/Oci APPROVED G N/A YES NO EXI S AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINIS ES STORAGE: CLEARANCE TO . RI LERS CLEARANCE TO HA NG UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: "OK TO THIS DATE ') Ij K�� � - OK, KC-- 2/015 INSPECTOR COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 357 Elwyn Terrace — Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 4 5 I 2 0 Panel Board No. Cert. Cut-in Card No. Owner ..evfra s Occupant /216/66- X a t2.;-7v Location Installation Consisting of 3 L'1/ 3 7 e-ra - Parn 5-FX-X13 5-77/46-5- Installed By 5 # The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:— This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspe9kts at any time, and if its rules are violated,the Company_shall have the right to revoke h. ertifi a . Date 6 -(6 INSPECTOR ember N.F.P.A.,I.A.E.I. TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED /j 67,5/95 NAME A , . aiAzit4) LOCATION 2) J DATE 5 0s PERMIT# 94- 0 APPROVED /A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYS M HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRIN ERS CLEARANCE TO HEATIG UNIT` REQUIRED SIGNAGE CHIMNEY WOODSTOVE 'FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: OK TO THIS DATE ..-.6e1.17721:-/TAdr7 � s 2/015 NSPECTOR TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME f%&,‘JA LOCATION ( tG DATE �-� 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 SPRINKL RS CLEARANCE TO HEATINe' UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE F,I-REPLACE-MASONRY /FIREPLACE-FACTORY BIILT REMARKS: LTOK TO THIS DATE 7/Y4 )3/..4-4;4, /47y .a1-7j1 //4/1; /1k,/94d297 \'1 / 2/015 INSPEC 0 1 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 la Wq(7/ NAME pr,b7,-/ LOCATION fR i( ,..e. Lpps27 DATE 1 1,0)1 qc( PERMIT ; 9— I C1 TYPE OF, STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/P ERS MONOLITHIC OUR FORM REINFORCEME IN PLACE THE CONTRACT IS RESPONSIBLE FOR PROVIDING ROTECTION FROM FREEZING FOR HOURS FOLLOWING THE PLACEMENT 0 ; THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE, FOUNDATION/WALL P)UR REINFORCEMENT IN P ACE FOUNDATION/DAMPROOTG BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE 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 EXTERIORR- l FLOORS S ESE )07" R- 300 V' WALLS R-2A.r CEILING DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: / 30 '�5�u�'o,J E FuwR- c� V\PAW- VPa i \C�� �o v°Frz-5� q ARRIVE DEPART A LA INSPE TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION C‘wV Cnas►dLi1 co f Name 1RObvx-+ 40o if _.e.... Location Q_-to G L ) B ci ' , 'd. Date G I Q Permit # ' - - ),63D SOIL PE: Sand-Loam-Clay- Results of Percolation Tes - (if appl 'cable) Rate-Minuve/Inch TYPE OF SYSTEM: ABSORPTII FIELD: Total ength Length of each trench -,t u - .\`-� Depth of t enches •7 1 ` LVtV Size of st. e SEEPAGE PIT : Number- - Size - ft. x - ft. Stone size PIPING: Size Type Bldg. to Tank L_ ' 7C_ -\ 1.AC3 Tank to Dist. ;lox t_� _% \7\ ( Dist. Box to Fi -1 ./Pi t ," Y.\C_ Openings Sealed. (Yes, _ No Partial LOCATION/SEPARA • MST -- Foundation to T.'k 1 Z. feet Foundation to g •s,rption -351-feet Separation of hit• feet Conforms as p' r Pitt Plan Yes No LOCATION OF 'YSTEM ON PROPERTY: ""—,`` (circle one _ :. ?,.F1 Front -� -(Left Side.. Right Side TS, Middle Front - Mi ddl - Rear COMMENTS: ` II ,4i-c,! I\W SYSTEM USE APPROVED: (ili;k40 Arrived: ">C j f' Departed: 1-: (--ci l 1 Building Inspectdr / (1, /1/ {� TOWN OF QUEENSBURY 'r UILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE' (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSP/ECTION RECEIVED j , `1 ` NAME, „ LOCATION DATE T 3( t l PERMIT I Q /WD TYPE OF STRUCTURE SG2 I A p RECHECK PROVED 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 PURRtSE ON" SITE FOUNDATION/WALL POUR t REINFORCEMENT IN PLACE' FOUNDATION/DAMPROOFINGt BACKFILL APPROVAL x ROUGH PLUMBING PLUMBING VENT/V NE TS IN` LACE PLUMBING UNDER SLAB )(FRAMING: /L,i_. SEE jj62 JACK STUDS/HEADE BRACING/BRIDGI �j JOIST HANGERS ✓ JACK POSTS/ IN BEAM hF i-6_ 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: C-OW M ►�cEt, To ZOT) VLooi?._ 4/ F3Rtty 1->Crt - P bZw'1/4•IN ARRIVE L 5 CIF-A�� � °J N\cu• 6 i DEPART I SPECTO 3i_. /2d l�q — -fGuurr.���yy'424f 'cl D Ci?t " - TO OF Q EiENSBUR ''"� BUILDING AND CODES DEPARTMENT 531 BAY ROAD �� QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED Jh rii ,-¢ NAME 4r,4ir.A ,&4.4.v LOCATION 4c,r 47, lL DATE t/!q/97/ PERMIT I TYPE OF STRUCTURE S/-,) 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 FO LOWING THE PLACEMENT OF THE CO'CRETE. MATERIALS FOR THIS PURP SE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL )(ROUGH PLUMBING PLUMBING VENT/VENTS I N PL E PLUMBING UNDER SLAB )(FRAMING: t JACK STUDS/HEADERS BRACING/BRIDGING l JOIST HANGERS 4 .' (1) f JACK POSTS/MAIN BE .M %ottriE -4 HEATING ROUGH-IN INSULATION: FOUNDATION WALL INTERIOR R- FOUNDATION WAL . EXTERIOR R- FLOORS R- WALLS R- CEILING DUCT WORK 0' PIPING IN UNHEATED Q, '' V �Y3� SPACES , , � ' CSC REMARKS: i` aF�C..% t r O'EE"v3 'Pv-VcA, U ►J V T tJE p v114 5 60uerj L 60L 5 11S 'S EIc C_ol uM. ARRIVE \w�!)'CALL F�-Ot��? 7-6%S1 oeficC DEPART (../21 I') lbAAcf'? b9- )! TOWN OF QUEENSBURY T ILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT QUEST FOR INSPECTION RECEIVED 62/J S -) ME / (CATION TE PERMI # 4t"! ra PE OF STR CTURE CHECK APPROVED - N/A YES NO OTINGS/PIERS NOLITHIC POUR FORM INFORCEMENT IN PLACE IE CONTRACTOR IS RESPONSIBLE PR PROVIDING PROTECTION FROM EEZING FOR 48 HOURS FOLLOWING IE PLACEMENT OF THE CONCRETE. TERIALS FOR THIS PURPOSE ON SITE' UNDATION/WALL POUR INFORCEMENT IN PLACE UNDATION/DAMPROOFING CKFILL APPROVAL UGH PLUMBING ,UMBING VENT/VENTS IN PLACE ,UMBING UNDER SLAB AMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MATN BEAM ATING ROUGH-IN ISULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES NARKS: ;RIVE u;S :PART Q f`, I)/ INSPE C70R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT IEQUESQ FOR INSPECTION RECEIVED IAME bE �f�v_4l i .00ATION R 1 E 91 -- )ATE 5123 ray PERMIT # —tcZeD 'YPE OF STRUCTURE '5FIC) ECHECK APPROVED N/A YES NO 'OOTINGS/PIERS • %. lONOLITHiC POUR FORM ;EINFORCEMENT IN PLACE 'HE CONTRACTOR IS RESPONSIBLE 'OR PROVIDING PROTECTION FROM 'REEZING FOR 48 HOURS FOLLOWING 'HE PLACEMENT OF THE CONCRETE. !ATERIALS FOR THIS PURPOSE ON SITE 'OUNDATION/'WALL POUR ;EINFORCEMENT IN PLACE 'OUNDATION/DAMPROOFING ACKFILL APPROVAL TOUGH PLUMBING 'LUMBING VENT/VENTS IN PLACE 'LUMBING UNDER SLAB 'RAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS / \ JACK POSTS;MAiN REAM I (EATING ROUGH-IN / SULATION: -N 1 FOUNDATION WALLS INT,�RIOR R- FOUNDATION WALLS EXVERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES ;EMARKS: iRRIVE DEPART SPELT lv TOWN OF QUEENSBURY PI BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT :QUEST F,01, INSPECTION RECEIVED 1ME c au / ►� }CATION fT (l(i"I c ITE 5 AZV PERMIT # 9 /& (PE OF STRUCTURE ,SAD 4) 6 :CHECK APPROVED N/A YES NO )OTINGS/PIERS )NOLITHIC POUR FORM :INFORCEMENT IN PLACE iE CONTRACTOR IS RESPONSIBLE IR PROVIDING PROTECTION FROM tEEZING FOR 48 HOURS FOLLOWING IE PLACEMENT OF THE CONCRETE. ITERIALS FOR THIS PURPOSE ON SITE )UNDATION/WALL POUR :INFORCEMENT IN PLACE )UNDATION/DAMPROOFING l ICKFILL APPROVAL )UGH PLUMBING 1 _UMBING VENT/VENTS IN PLACE .UMBING UNDER SLAB tAM I NG: JACK STUDS/HEADERS rat BRACING/BRIDGING �/ 4 JOIST HANGERS JACK POSTS/MAIN BEAM / _ EATING ROUGH-INS JSULATION: /j FOUNDATION WALLS INTERrIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES :MARKS: aL4/ , „. „i.c..... tRIVE /61% yf :PART /QJ INSPE TOR EMMA E. GREGORY i 2::> TO S� • H. PETER GREGORY MAY 31 , 1983 653 / 839 10 - �r , 1L o 6lcY /O Yfe it1v 9 ?.l\ O`' -C� G, . _ \•S• id .Q,O \:.., _N. 225 ' << /'8: , we11 . 113 ' ,Sti b4,. tit' -b V 2.66 A CREST • • , 102 ' , I 10 ' . . �' 20 ' septi1000 gc tank N ' 222r 50 ' 1 1 DRAWING NOT TO SCALE PROVED �ti Application ��c.c� Receivedb IreI 119a a94 y . � � _ Town of Queensbury in Bidg. Dept t \ MAP OF A SURVEY MADE FCR iC, ` ROBERT L. d SHIRLEY C. HAUSLER i _-t".rC a' k.:J, 1oCC TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK SC4LE r • 50' CATE . JUL' 6 . 1988 VonDusen & Sieves l...^.ND SURvEYGRS,GLE!.S "`L_S, _.6 '074K STATE L!C NO 35617 I r .c " . .Jr .q .42.6.