87-841 J �
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 24 19 89
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a of two amity dwelling
Location 48 Queen Anne Court, Queen Victoria's Grant, Model E
Owner Guyer Builders, Inc,
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
911,17BUILDING
PERMIT
TOWN OF QUEENSBURY ro
No. 87-841 0
WARREN COUNTY, NEW YORK
PERMISSION is herebyQueen Victoria's Grant
granted to I
OWNER of property located at 48 Queen Anne Court Street, Road or Ave.
in the Town of Queensbury,To Construct or place a of two family dwelling
eo
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. CD
1. OWNER'S Address is
Guyer Builders Inc. H.
119 Dunning St. �+
Ballston Spa, N.Y. 12020
H.
2. CONTRACTOR or BUILDER'S Name
Same
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rt
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
co
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CD
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5. ARCHITECT'S Address
0
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m
6. TYPE of Construction—(Please indicate by X) p
Q� )Wood Frame ( ) Masonry ( ) Steel ( ) rti
7. PLANS and Specifications
No. 32' x 37' as per plot plan, specifications and application including
septic system and attached one car garage. MODEL E N�
8. Proposed Use c
of two family
0
$5.00 C/O 5
$ 96.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1, 19 88
1-6
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t7
town of Queensbury before the expiration date.)
tD
I—'
Dated at the Town of Queensbury this 9th Day of December 19 87
SIGNED BY %/ L.C, /tY��zJ for the Town of Queensbury
Building and Zoning Inspector
r`° A lication No. '.e_ +d..�..ti..
✓own of geueenilur y PP , S ��
Permit Issued 19 I
�J J � U � CI
BUILDING and ZONING DEPARTMENT Permit Expires 19 JJ
Bay and Haviland Road, R.D. 1 Box 98 • Zoning Designati
• Queensbury, New York 12801 - Variance No. OCT 2 �J�
Site Plan Revi . E UILD!NG &.C DE-DEPT,
Approved by. ac'�, uO
qd� - v�1
•
• • APPLICATION FOR • 9•
C/O _ r,d0
•
EUILDING. AND ZONING PERMIT H - • ,
* it. * 4 'iv.* '4 * * * * it * * it * it:* * it * * 4- * * •* * .*• *. * * . * * * * * * *N.1F
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: . Guyer Builders, Inc. " .
P.O. Address . 119 Dunning Street Ballston Spa, New York 12020 Tel. (518) 899-9161
Property Location: 48 Queen Anne Court Tax Map No.121 /2L/ 2
' Street number or building lot number .
Subdivision name (if applicable) Queen Victoria's Grant
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Richard H. Guyer III .(518) 899-9161
Name - P.O. Address . Tel•. No.
Name of builder Guyer Builders, Inc.Address 119 Dunning Street Tel. (518) 899-9161
Name of plumber Guyer Builders, 1nc.Address 119 Dunning Street , .Tel. . (516) 899-91b1
Name of mason Guyer Builders, Inc.
Address 119 Dunning Street Tel. (5113) 899-9161
NATURE OF PROPOSED WORK: * . ZONING INFORMATION:
X Construction of a new 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 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 pBELQW.
*• Size of property• • 100± plan ft X 120 ft.
E' * Existing buildings) - Size N/A ft X NSA ft.
PROPOSED BUILDING AND USE: Model E/L
of * Existing building(s) Use N/A
Size of new struc e 32 ft 'X 37 ft " * . . • • • ' • • • •
Foundation-pier slab crawl/partial/full - * Proposed building, distance from property line
circle one) * see plot plan
Front yard
No. of stories (habitable space) 2 • * 30+ ft Rear yard 30+ ft.
Height (grade to ridge) 21' - 6" ft. * Side yards 15+ ft and 15t ft •
If residential, no. of families 1' of 2 * If on corner, setback from side street 30+ ft
No. of rooms(excluding baths) ' 6 • • * OCCUPANCY INFORMATION
No. of bedrooms - • '2 • - *
No. of;.bathrooms - 2 * PRIMARY BUILDING -
Prima - heatin s stem Baseboard electric* one family dwelling This rmit },ei for U
g y * Two family dwelling one sum of oullaing.
Type fuel Electricity * "'Multiple dwelling / Number of units • '
No. ob fireplaces to be installed * Permanent occupancy
Will a wood stove be installed? No * Transient occupancy
Central Air conditioning? No * Business
BUILDING. STYLE, PRIMARY STRUCTURE * Industrial
•Ranch Contemporary Los cabin * Other
•
Raised ranch Mansion Duplex If addition, what will use be?
Slit 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/ one- car -
+r * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF eleer * Other -
CONSTRUCTION $�Il fd * .
INFORMATION ON .BUILDING SPECIFICATIONS, .ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! .
Form EPA 4/86 and-vl .• . • .-
•
' WILDING PERMIT 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? no
Foundation wall material concrete block - Thickness 8"
Depth of foundation below grade (to bottom of footing) 481' minimum .
' Will. there be a 'cellar? nO Heated or unheated? Floor sq. footage sq ft
Will there be a basement? no Will any portion be used as living space?
(If so, what portion?. sq.ft. - - Type of use?
Type of roof -Cloped)flat/shed/other Material .of roof Fiberglass shingles •
Size, wood studs 2 "X 6 " spacing 24 "o.c. length 8 ft. exterior walls .
Joists(floor beams) 1st. floor N/A-"x " ,-spacing "o.c. span N/A ft.
Joists (floor beams) 2nd. floor — "x 10 " spacing t6 "o.c. span 13'-6 't.
Overlays(ceiling beams) 2 "X " spacing 24 "o.c. span 16 ft. •
Roof rafters 2 "x 1 " spacing 24 o.c. spanl4'-311t.
,Roof trusses(pre-engineered) - spacing. 24 "o.c. span N/A ft.
Exterior wall finish • stained Of what material? 5/8" x 4' x 8' texture 111
Interior wall finish paint 1/2" sheetrock • .
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
1/2" type "X" sheetrock
Is there to be an opening between garage}and dwelling? yes If so will a Fire-rated
door, enclosure, and self-closing device be provided? • yes
Will a flue-lined chimney be installed? 'No - Height above .roof N/A ft.
Depth of chimney foundation below grade N/A ft.'
Depth of fireplace hearth N/A ft. in.
Water supply - Municipal or private well municipal
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties N/A ft.
(A separate application is necessary for any repair or new installation of septic system) '
See S.P.E.D.S. permit # 0202525 •
Town of Queensbury AFFIDAVIT
County of Warren STATE OF NEW YORK •
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 s cified or not, and that such work is
authorized by the 'owner. / ,
e,--A .orf ,..)-2?, ..
SWORN TO BEFORE ME THIS Signature .•
//�� - er, owner's agen' ,ar itect,contractor
Jet day of (Y6 19r a
PATRICIA E. FURPHY /
'' Notary Public, Mate of New York ,•
p
�1 r Qualified in Schenectady County
Notary Public, W o : ty, N.Y. 4717043
* * * * * * * * *. * * * * * * * * *C9inTis iorttExpir%s apt.SP, T/* * * * * .* * * * * * * * * * * * .
SPECMI, CONDITIONS OF THE PERMIT:
1270 Square feet living ._ --
288 Square foot garage - one stall
r'
r 1558 @ $7.00/100'or part of . . 1\
1 .
$5.00 One stall garage
$5.00 C/O permit
Total
By
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.
£N8WR ALL of the following: •
•
'1270 S.F.
. `. ••„�,, Gross floor area •
}•
a.. Type of heat Baseboard electric
3. Is the building mechanically cooled? No
•
4. percentage of area of windows and doors 13.3%
A. Over 16% Only
1. No value of gross area of walls, roof/ceiling and floors
exposed to ambient conditions
2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES, what is the R value?
3. Slab on grade YES NQ
a.. If YES,• what is the R value of insulation around.
•
perimeter of floor?
• 4. Is basement heated? YES NO
a. R value of insulation
5. Type of insulation •
0. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
R-38 (U.�.026)
2. : R value of exterior walls agQ0C R-23.5 U.0.04 •
3. R value of glazed area U.=0.30 •
4. R value of doors R-14.9 (U...0.06)
5. R value of floors over unheated spaces N/A
6. R value of slab edge insulation - unheated slab N/A
7. R value of slab insulation - heated slab 12.5
6. . R value of heated basement/cellar walls (above grade) -N/A
. 9. R value of heated basement/cellar walls (below grade) N/A
10. Type of insulation Fiberglass
C. Controls
1. Thermostat maximum heat setting
• D. Duct Systems N/A
1. Is duct system installed in unheated spaces? YES NO
a. • If YES, R value of duct installation
b. K value of duct in other. areas
E. Piping Insulation N/A
1. Size of hot water or cooling carrying agent pipe
2. R value of pipe insulation •
F. Service Water Heating • 4; •:
•
1. Performance efficiency N/A
2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximum heating N/A
Telephone No. (518) 899-9161
(applicant's sigrfature)
.f
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S. •
DATE September 29 87 permit #
New York - 0202525
MODEL E of E/L
LOCATION OF PROPERTY FOR INSTALLATION 48 Queen Anne Court
Owner's Name: Guyer Builders, Inc. Telephone: (518) 899-9161
•
Address: 119 Dunning Street, Ballston Spa, New York 12020
Installer's Name: Guyer Builders, Inc Telephone: (518) 899-9161
2 A, C, E, I, J, K, L, M
Number of bedrooms (residential only) 2 • 3 F, G, 11
, .
• Total daily flow (compute @ 150 gal per bedroom) 300
Topography: circle one:( la )Rolling Steep.Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: 8' feet +
Ground Water: At what depth? unknown 8 feet +
Bedrock or Impervious Material: At what depth? unknown feet
Percolation test: circle one: (n-ot require required / rate min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well: .
Separation: Watersupply from Septic absorption N/A feet
* PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) •
TILE FIELD: Each Trench N/A feet / Total system length N/A feet
* SEEPAGE PIT(S): Number of / Size each feet by feet 1*
* Size of stone to be used # / Depth or Thickness feet
* * * * * * * * * * * * * * * * a * * * * * * * * * * * * * *.* * * * * * * *
- — - - IMPORTANT See S.P.E.D.S.
...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached
• * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * map.
(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 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.
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:responsible person:
Date:
-- -- _— Tow n of_Queensbury
Building and Code Department - -•
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
•
e YTTI eel \7l a uA\le At• Al A TI In AI nr AI1TV .A newt Ell Are TA I I\fr
_ wn of Queeni/)ur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME C,),1G�!
LOCATION 16--FK0 �r
Date illy /-7_ Permit No. F'i -f(�/
APPROVED - YES NO
noting/Pier Forms
.oundation
Waterproofing
Backfill
Framing /
Roofing //
Siding
Masonry Veneer
Rough Plumbing •
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar. Drain Tile
Concrete Floors
F'TTbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney ' ,
INSULATION:
Foundation
Floors
Walls •
Ceiling
FINAL ELECT•ICAL INSPECTION
DRIVEWAY APP'OVAL
Final Buildi .g Survey
Next scheduled inspection (call when ready)
Remarks-
art AJG e,-)90 lnpg,12- Vtr —ioi✓
Buildin nspector
6/86 and-vl
•
.own of Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
C/ -
SAME `� f/t• wr • �fG- (r//
�
LOCATION���n� C� �
oft
Date /c7• "/ 7 Permit No. ( "4 -! f
✓ = APPROVED - YES /
Footing/Pier Forms
F undation
Waterproofing .
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext, Porches
Finished Floor-
Interior Trim
Stairs & Railing.
Cellar Drain Tile •
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:.
Foundation
Floors .
"Walls
Ceiling
FINAL EI•ECTR CAL INSPECTION
, DRIVEWAY APP'OVAL
Final Building Survey
•
INJ3 PL-C iOAf
Next scheduled inspection (call when ready)
Remarl ,
•
5°1-1A/CoS CA-1.1M 8/: Rw G-6
r & pus rP "toti•/emso . •
C,Ro vo-r- 3 Po(424.110 i,v Lnw P,�r2 S 12.&-412 A 'TT) pd a la r Pbv /
Building Inspect
6/86 and-vl
NMO
.own o f Queeniurj
A afi
BUILDING and ZONING DEPARTMENT
4' Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Jzv,e}-(9
LOCAT ION f�J v ( �
,(2/'
Date /_ Permit No. (-7- r// ' Li iI
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation 6'
Waterproofing
Backfi 1
Framin.
Roofing
Siding
Masonry V+ neer
Rough Pluming
Relief Val -s
Ext. Porche
Finished Flo. s
Interior Trim
Stairs & Railin;s
Cellar Drain Tit-
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi g
Door Closers •
Smoke Detecto.s
� Chimney
►v`IN SU LAT I ON:t0OUndation
Floors
Walls
Ceiling
FINAL ELEC RICAL INSPECTION
DRIVEWAY A" ' i' ,
Final Building Survey
Next scheduled inspection (call when ready)
Remarks—
.
f
•
'Funding ns�hector
F,/f1F, mrl- ,1 j/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- 114162
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 5--4'-S-J
NAME /L 4^J
LOCATION Z/ ,N jam{ a !
DATE 5--5 - PERMIT # E-7---c?g/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMPSPROOFING
BACKFILL APPROVAL
----ROUGH PLUMBING Ik
FRAMING f \
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING ,
FINAL INSPECTION: '
CHIMNEY HEIGHT /
ROOFING `
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARAJ,CE & RAILS
PLUMBING FIXTURES/RELIEF 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:
/
Tt1 PFrmnD
TOWN OF QUEENSBURY `�-
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /7
QUEENSBURY, NEW YORK 12804. 7 /y
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED -s -
NAME ��
LOCATION �� LplpMc
DATE S-%D - 9 PERMIT # D 7 -0 1/
APPROVED
YES NO
TOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: I
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 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:
T T1(+T Tlm�r
•
•
•
awn oI Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ,ftc��/ _P-C_-
LOCAT I ON /; rL�a�G
DATE '/ PERMIT NO. Y�"( 14)
SOIL TYPE//` and Loam. - Clay -
Percolati. est Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: •
Absorption field, total length
Length of each trench
Depth of trenches '
Size of gravel
SEEPAGE PITS{Number of) _ 9
Size- 'ft. X 5V ft.
Gravel size 4/ ,
PIPING: Size Type
Bldg. to tank 6 a 6
Tank to dist. box ry 026
Dist. box to field/ ' �rc>
Openings sealed? ES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank
9�
Foundation to absorption ' ft.
Absorption to jlot lie ft.
Separation of/pits .
LOCATION OF SYSTEM ON ••••ERTY(circle one)
Front -4ivair Left side - Right side -
COMMENT :
•
SYSTEM USE APPROVE YES NO
•
Buil ing Inspector
01/86 and vl
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 Ic-5-k 9
NAME
LOCATION G a 4( 0041 61
DATE �j - A. r�Y PERMIT # S>7 V (
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
-OUGH PLUMBING //////'-
.FRAMING f -/
ELECTRICAL ROUGH-IN C'f
INSULATION:
FOUNDATION
FLOORS
WALLS .\
CEILING \
FINAL INSPECTION: ;
CHIMNEY HEIGHT
ROOFING }\ /
SIDING \a
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE &:RA_LS
PLUMBING FIXTURES%RELIEF\ VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS/ `\
GARAGE FIREPROOFING
DOOR CLOSER(S)/ \
SMOKE DETECTORS \
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL/OF CONSTRUCTION
N
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
A14/
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832 (r(..
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 11 -1p�lJ •
LOCATION
DATE (O -'9 PERMIT # ��7 - ' /
• APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
Lp ULATION:
FOUNDATION
FLOORS
WALLS . - /(
CEILING
FINAL INSPECTION: 1
CHIMNEY HEIGHT
ROOFING '
SIDING
EXTERNAL PORCHES/STEPS•,
STAIRS-CLEARANCE &/RAIL$
PLUMBING FIXTURES/RELIEF`:VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS }!
GARAGE FIREPROOFING
DOOR CLOSER(S) f
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL pF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 1-67)
BAY & HAVILAND ROADS fa
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) -792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR N PECTION F ECEIVED
NAME ��7/J
•
LOCATION 4 CCR.,021.41_1 CL(Y C'(-ihIL
DATE • `r G� PERMIT #
j r
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING .
ELECTRICAL ROUGH-IN '
INSULATION: N
FOUNDATION `'�e. •
FLOORS •
WALLS_LLS .
/CEILING
NAL INSPECTION:
JJJJJJ CHIMNEY HEIGHT ,r' •
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS / ✓
GARAGE FIREPROOFING
DOOR CLOSER(S) ✓ 7
SMOKE DETECTO1 S
FINAL ELECTRICA2 INSPECTION' • • �
FINAL APPROVAL OF CONSTRUCTION —
.
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
1111
II
ULA,INSPECTOR
•
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.-
Electrical-Building-Plumbing-Fire Inspections
Labe, (4/ .�
500F 5,85 (i ((//
•
- '�l' ,.� a-teVi Vaa- 1
.-- Date -
yuk
17 �
t ecto T ',�a�0
T cons itutes certification that the
i '. above installation, but not,the equip-
ment itself, has been visually inspected
as of this date pursuant to, the apmt
able codes. If additional= equipment
_ should be introduced or alterations
made to the existing system or stuc-...
ture, application for.inspection should
be submitted promptly to this Agency.