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97-659 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • • September 2 98 Date 19 ._ This is to certify that work requested to be done as shown by Permit No. 97659 • has been completed. SINGLE FAMILY DWELLING • This structure may be occupied as a LOT #6 TEE HILL ROAD Location BARBER, BARBARA Owner • TAX MAP NO. 4 8 . -5-6 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement _ _ i • BLDG. PERMIT NO. 9 7-6 5 9 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; lot #6, Tee Hill Road, Queensbury, NY 12804 for the following uses: single fami*y dwelling, 2 car attached garage and fireplace s /7 ze,w4ef„,o( xye , DA E SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ()APPROVED ( )DISAPPROVED with the following conditions: 1. complete back porch 2. complete fireplace installation TEMPORARY CERTIFICATE OF OCCUPANCY FEE: 0.00 DEPOSI $100.00 received on 6' f T q tttttt Date of Is a e Direc & rcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 3U DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code I Enforcement or his designee. 1 BUILDING PERMIT VALUE $ 120000 TOWN OF QUEENSBURY No. 765 TAX HAP NO. 48.-5-6 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to BARBER, BARBARA OWNER of property located at LOT 46 TEE HILL ROAD 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. OWNERS Address is 81 NOTTINGHAM DR. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name BARBER, DANIEL R. 3. CONTRACTOR or BUILDERS Address NOTTINGHAM DRIVE QUEENSBURY, NY 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECTS Address PO BOX 706 HAGUE, NY 12836 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLINGa 1 I Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications 2080 10Q FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED -GARAGE . M� AS PER PLOT, PLAN SPECIFICATIONS 8. Proposed Use SINGLE FAMILY DWELLING 4 $ 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.) -, , ,— 44,-'4:.:; Novesber. 07 w Dated at the Town of Queensbury this Day of 19 SIGNED BY } for the Town of Queensbury Building a oning Inspector Building Permit Application 1 Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 /761-8256J NO '° BUILDING & CODE ENFORCEMENT TICE Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections CO will be made until applicant has received Zoning Board Action PERMIT FEE PAID$ Q�;5,S a VALID BUILDING PERMIT. All Area /Use applicants' spaces on this application RECREATION FEE P MUST be completed and the signature Ej piing Board Action of the applicant must appear an the REVIEWED BY. SPR / Subdivision /Other LBuildingmspet'bor pplication form. Thank,,, ecreati n Fee Payment Applicant: Owner: g 4','1 .. • Address: is I 'Q �, 1 1 i N C: i-liq//r1 A:Alamo: c C FF iti Y Jf C.0 1 A.1 Phone # ('c/ ) 61 -E - ' _ _ c, Phone # ( ) � ) . Property Location: 1 i i. hi i /_ 1_. j()_ I) ���, ') Subdivision Name: e Cl-3 7C L. P y is ) L 7 \ Tax Map Number Section Block Tot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE /�(` New Bu ' CONSTRUCTION: $ / ly C; O 0 C residence )/ commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Pr mary Building - residence / commercial Single Family D °�- -�. Residence / Commercial Two Family Deli ,f no change to exterior size Family Dwelling Office NOV 04 1997 Other Work (describe below) Mercantile Manufacturix\g.f0W t iFIs / Other Ell1a��C i+K ��, CODE GROSS AREA OF PROPOSED STRUCTURE: :' �CD "` - v N.. 1st Floor / 2C9 If ADDITION, what will use f sq. t of new addition be? : 2nd .Floor /6 (10 sq. ft. - ) Other Floors sq. ft.� (not unfinished cellar or basementr5 ACCESSORY BUILDINGS: Detached Garage 1, car TOTAL FLOOR AREA: P. C?c G) SQ. FT. Attached Garage 1�2 'car; Private Storage Build SIZE OF NEW STRUCTURE: Commercial Storage Building r� Other L FEET X 7�) FEET Foundation Type: oc)i l- �) �'. c�R`: Will any second—hand or ungraded I _ Number of Stories: ;), lumber be used? If so, for what? r' (habitable space only) , �/ Height (grade to ridge) : T feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which applies) to be installed: ) C) Electric / Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person respon ible for suI�ervisi of work a regards to building codes is : ))Prt3 IL hff)/ $ SS) c: l i toCA '.9ji? 1) / ,D5) Nameiddr s -Rhone Builder: t� c ss ? � _ Plumber: ' SD Mason: Electrician: J .-v- 1)1 cam- /64 ni ,-.,,,:t_z) k'i:9 0 t- -oc,--- _ DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a Certificate of Occupancy'or Certi to of Com liance beino issued, an AS BUILT PLOT PLAN by a licensed surve • awn to sca , sh wing al atio f project on premises. Signature: J__-.) c- - Pk (owner, owner's agent, architect, contractor) n Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Permit No. 7 551 Dept. of Community Development Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of propertyfor installation: L ►CT ( (- c -,C7/ „,.'q c_R (.15) s (.4\ c-N\ J --P-S i H_t Property Owner's Name: I>A (' b�61. (�/A- f (') 9 ' Address: ?/ 1J Property Owner's Mailing � 0 (A.Q._,A,,,, Installer's Name: (, -/ APhone # )c-i- s-= --7 i---, ,-- c 7,7--2.1,A) >/ Number of bedrooms (if residential): Total daily flow: `71 (residential - compute @ 150 gal./bdrm.) Topography: flat, rolling, steep slope °(o of slope Soil Nature: sand, loam, clay, other /depth: Ground water: at what depth? frfeet / Bedrock or Impervious Material: at what depth? ?6feet Percolation test: ( not required, required [rate min. per inch ] Domestic water supply: municipal, X- well, other If domestic water supply is a WELL, water supply from any septic absorption is )�� feet. PROPOSED SYSTEM Septic tank: ) 1 gallon (minimum size: 1,000 gal.) Tile field: each trench ,c feet / Total system length: a e_1) d feet Seepage pit(s): number of / size each: ft. by ft. Size of stone to be used: # / depth or thickness I feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this applicatio agree to 'd by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal S . :. Signature of responsible person: .) ,_ c11 , ,, Date: kl �' 3 j 9' _._,_ 7—(e0,5 ,, ...... ______ 9 _/ W ENERGY CODE COMPLIANCE APPLICATION , , ° ` ,- T O TOWN OF QUEENSBURY, WARREN COUNTY `� 9000 HEATING DEGREE DAYS NOV 04 199i Compliance Methods : PART 5 - Acceptable Practice Method `y N » - ` 1&2 Family Dwellings (only) • PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets A T' S E : ') PROPERTY LOCATION: Of) r, 1,2 ills fi- ",1";6 (C 6-E- e -E-/ Ai 07 Ti. AI c i---)/37-ri V ((.7 c) .4...)-a__ _-.J..7-.).›, PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: v 1 . Gross Floor Area - :. 6 square feet / f 2 . Type of Heat - Electric )( Oil Gas Other 3 . Is building mechanically cooled? Yes N>( 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 c b. Exterior walls R c . Glazed areas R I. , d. Exterior doors R e. Floors over unheated spaces R /J1 f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R ) i . Heating/cooling-ducts-piping in unheated space R Ai o 6 . Service (domestic) hot water heating device / Conforms to minimum efficiency per code X Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED lic n gn ture Date 0 Phone Number __ INSPECTOR' S REMARKS : F'!d: TOWN OF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND C MNEYS Date ,19 3..t>.... 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 chip}, o u ; C I(.'E c�;U,,c''PPLI NCE (check appropriate,boxes) Address 1 / /i)v T 7 i ik.,-) G 0- `ln i.- ❑ STOVE: o Wood o Coal o Pellet a Gas 0 FIREPLACE INSERT flu tit 7, 3u 1X/ /�.)�ip / 741 5e j'FIREPLACE, FACTORY-BUILT: 1� ❑ Wood p�'Gas Phone / - ❑ FIREPLACE, MASONRY: ❑ Wood o Gas Owner - 45 0 / 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY r PP .A Manufact rer: s.�G . Zip Y`___ I1Iodel: Phone CHIMNEY (check appropriate boxes) *EXA T ADDRESS propos d c tru ti L. ep 4. '-',- • 0 MASONRY: 0 Block 0 Brick 0 Stone ,,I-1-N j—.a. .- ) /( ..) • FLUE: 0 Tile 0 Steel Size., ", inches ,� �, CONSTRUCTION / INSTALLATION MUST 1fFACTORY-BUILT:, ` F ; CONFORM TO NYS FIRE PREVENTION & Manufacturer: el: BUILDING CODE. CONkUUT AVAILABLE ,Listed By: Number: TOWN OF QUEENSBURV HANDOUTS "X Double Wall iitt _ REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting o Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded ` Code Number Title ' A 173 3389 (190) Public Safety . A 233 2655 (230) Minor Sales 1 €'. } FeeCollected From or Refunded to: C`C r Yr \ �, , A.ilr" Address: , Dated: _ � : c Town Clerk or Deputy. ( )t jf _k_ „...., .. White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod.Cashier's Dept. - TOWN OF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date ' tP; i ,19 Lf 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 - f - APPLIANCE (check appropriate boxes) • Address � '�,-, ./e r,, . .1.- % - ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas f'`' , � 0 FIREPLACE INSERT (_ -, : f t /N14,= Zip c.)( '', ' ❑ FIREPLACE, FACTORY-BUILT: t- ❑ Wood ❑ Gas Phone / 7 /( t - �,' -;'')- 0 FIREPLACE, MASONRY: ,._i I ❑ Wood ❑ Gas Owner ' ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: - , Manufacturer: Zip Model: -- Phone CHIMNEY (check appropriate boxes) '; *EXACT ADDRESS of proposed construction -- / i 0 MASONRY: 0 Block 0 Brick 0 Stone - P c_ /;` .. (w f - FLUE: ❑ Tile 0 Steel Size: inches CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall 0 Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting 0 Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title ' 2' ".c A 173 3389 (190) Public Safety e A 233 2655 (230)Minor Sales Fee Collected rrom or Refunded to: i-, ':f- Address: / i Dated: ����,�, ; � Town Clerk or Deputy: j- r i White: App icant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. FIRE MARSHAL TOWN OF QUEENSBURY `Vj QUEENSBURY, NY 12804 (518) 761-8205 •79„/ FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED/-09--42 PERMIT# NAME c- z LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME .1-Cpk APPROVED N/A YES NO ITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM _ FIRE SUPPRESSION SYSTEM _ - \ HOOD INSTALLATION \) INTERIOR FINISHES STORAGE: I CLEARANCE TO S INKLERS CLEARANCE T EATING UNITS REQUIRED SIGNAG CHIMNEY WOOD STOVE FIREPLACE-MASONRY -FIREPLACE-FACTORY BUILT REMARKS: ❑ OK TO THIS DATE INSPSLIP.PUB IN ECTO ~ ' TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name BAeRAR ' ARGEP, Location _ E, 1.4 RUA() Date — • at Permit # SOIL TYPE: Sand Loam-Clay- Results of Perc, lation Tes - (if applicable) Rate-Minut /Inch TYPE OF SYSTEM: ABSORPTION FIEL' : Total Le gth 2 Length of each t ench 145° Depth of trenche 2. Size of stone SEEPAGE PITS: Nu Size - ft. x ft. Stone size , PIPING: Size Type Bldg. to Tank !{+lia yn Tank to Dist. Box Lit Ri Dist. Box to Field/P, r rt Openings Sealed? iJ? o Partial LOCATION/SEPARATION Foundation to Tank ;r.31- feet Foundation to Absor'tiin < -feet Separation of Pits _ fee Conforms as per Plat Pl . Y-- No LOCATION OF SYS ON PROPERTY: (circle one) -R1 Front - Rear - L •ft Side - Right Side Middle Front - iddle Rear COMMENTS: W LL . t5p F c 4 x I I SYSTEM USEpPPROVED: YE Arrived: + f' 3 Depart• . - :ir.i:,„.• jr117 fir, B ' ding re TOWN OF QUEENSBURY -j BUILDING & CODE ENFORCEMENT 'j`ION REPORT \\O\ I } � 142 BAY ROAD 7C QUEENSBURY NY 12804 (' (518) 761-8256 lest received: • i o DEPART: INSP: � , ( illim j ARRIVE: Im Depart - FINAL INSPECTION REPORT - RESIDENTIAL pector's Initials DATE INSPEC ON REQUEST RECEIVED: NAME / 7/ee � Lc r 6 ' /`Z/LL- A. PERMIT# — 1_ �' (�9 LOCATION ` l DATE / i / 8 PERMIT I 17 6k- /p DATE -3 I_c1$ TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING _ S NO COMMENTS ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _ N/A YES NO .......- CH MNEY HEIGHT B VENT H IGHT PLUMBING VENT ROOFING EXTERIOR IN SH DECK •ORCH STEPS • •I INGS •ELIEF VALVES F RNA E HOT WATER .•ERATING L NTER OR TRIM PRIVAC DOORS 'l- N S FLOORS: ' IgliratigNilli- : .TH K TCHE WATER fAill.111 OTHER FLOORS SWE : a OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS $$OKE DETECTORS : • •EOM F•NS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS _________ FINAL ELECTRICAL 4SI PLAN/VARIANCE REQ. INAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C RESIDENTIAL FINAL INSPECTION REPORT ar Office No.(518)761-8256 Date inspection request received: /0 15)— J Building& Code Enforcement DepartIan /I Dept. of Community Development Arrivespector's Initials Town of Queensbury 742 Bay Road Queensbury,New York 12804 ( /1 C. NAMEQ:re\cyik_Nr(7‘.._ ` ` PERMIT# 6 -,..) 9 LOCATION Le —rb.` ) DATE TYPE OF STRUCTURE N/A YES , NO COMMENTS Chimney Height!'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof � r ; Roof Complete i! Co v.,.pcC- �_ tkcc.I Exterior Finish Complete / Interior/Exterior Railings 30"to 36" y Exterior Handrails,balconies,landing 18 in. or more Interior Handrails stairs both sides 3 or more risers v Grade 2%away from foundation 4/ 8"clearance to sill plate I t� ! (__ \e6exposed/regulator 18"above gradeGas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area / Furnace/Hot Water Heater operatlg 1/ Relief Valve(s)installed ( v �/ Headroom,6 ft.6 in. on stairs Basement stairs,6 ft.4 in. �. Handrail exterior stairs both,si more um 3 risers �j Interior privacy/trim/doors/nilentrance 36" IFloor Finish / Bathroom/Kitchen watertightI Interior Handrails Balconie ding 18 in. or more / Railing across window ins ells V 7 Smoke Detectors: V/ every level L7 every bedroom v outside every bedroom U/ inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer VA7 Garage frreproofmg / Garage penetrations sealed :k.(7, Furnace in separate room protected(in garage) vvv Light ventilation per room, Safety glazing 18", ress .roar floor Final Electrical /7/7`6, 6 Site PlanNariance required Final Survey Plot Plan ' rj 'f'j/� As Built Septic System layout required `31L 't `/ ,/' Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/O(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement De r n 1 Dept of Community Development Arrive am/pm P o Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 - nC PERMIT# '(1 9' NAME_______l ,,�� DATE 4..a9r1� LOCATION TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location f ' Fresh Air Intake Plumb Vent through roof /7 / Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" ' ./ // Exterior Handrails,balconies,landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate . Gas Valve shut-off exposed/regulator 18"above grade / Gas Furnace shut-off within 30 feet or within line of site �/ Oil Furnace shut-off at entrance to furnace area / Furnace/Hot Water Heater operating Vi Relief Valve(s)installed / � Headroom,6 ft. 6 in. on stairs V Basement stairs,6 ft.4 in. �p�G { &1-A) ©� i LC Handrail exterior stairs both sides mor e than 3 risers / Interior privacy/trim/doors/main entrance 36" V/ Floor Finish ✓J Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. morei Railing across window in stairwells Smoke Detectors: / 1� ?w G� every level ✓ CJiJ1779'u5 F�` every bedroom if✓ 2K �0 � outside every bedroom ` COOt, &C inter connected / Bathroom fans >� r�`� ��/Q �,,o ? • Plumbing fixtures '/ Found ation insulation 3/4 hour fire door/door closer / Garage fireproofmg Garage penetrations sealed l Furnace in separate room protected(in garage) V Light ventilation per room ✓ ✓ Safety glazing 18"or less from floor Final Electrical Site Plan/Variance require Final Survey Plot Plan 'S l`f `1 �� DA) to As Built Septic System lay kit quired Okay to issue C/C(Certif.of Compliance) 7 ,,,,/i �L; �Q�� C T�r�Okav to issue temp. C/O(Certif. of Occupancy) 3' `3' J f C'�` Okay to issue permanent C/O(Certif. of Occupancy) W/ ieilf, / Fefz- ( COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. (../).-) Main Office 357 Elwyn Terrace — Manheim,PA 17545 /' MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL .K. (---,. ......,,, Panel Board No. Cert. 5 9 8 1 4 Cut-in Card No. Owner 3 we-Aso-0-o-P fleez. Occupant Location / el"--lit 4-'4` iel)- 61-1.4.471,/ IJns)ta l c ation Consisting eof ;tA5a—v5e-712. r 4 4 7S/2F8Ac--Ae)SoI a.F-I5ne1w,/ rrzi-5 / w/0 , y- ) .2-49 o 14- ce724/L.ere— Installed By le-cifie Vert---- Lic.# 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 m. .ing in Ailt inns at any time, and if its rules are violated,the Company shall have the right to revo e s c,,.1007"e. Date IV:7--7-9 r' INSPECTO f Member N.F.P.A.,I.A.E.I. �rvwn v■ \(VLLI\JVV.\■ �� /- BUILDING A CODE ENFORCEMEN 742 Bay Road 3T", q \ Queensbury NY 12804 -- r C` (518) 761 8256 TION REPORT (� SEPTIC DISPOSAL SYSTEM INSPECTION 0m``�, _` i request received: Name 5C r bOre-,(FetHae--\ Location Re tc-(SLQ 2W pm De or'slniti Date1 13 '-`' Permit # 91' 6S -- 3 p . 1 # Y SOIL TYPE: and-Loam- lay- D' TE : Results of Percolation Test- (if applic ble) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION IELD: Total Length COMMENTS Length of e.ch trench Depth of treiches Size of ston- SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Fiel . Pi Openings Sealed? Y: s No Partial LOCATION/SEPARATION : Foundation to Tank feet Foundation to Absorp';on _ feet Separation of Pits feet Conforms as per Flit P an Yes No LOCATION OF SYSTE ON P'OPERTY: (circle one) Front - Rear - L -ft Side Right Side Middle Front - iddle Rea COMMENTS: 1\ 3 N S?- ) SYSTEM USE APPROVED: YES.:: Arrived: 2't{ i Adoe 41. Depart• . fir; : . lding �-'% sector GENERAL INSPECTION REPORT 0 jr)) Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive Ek3Qpin. Depart Inspector's Initi -� \�� / NAME: ,,,,� . Y N PERMIT# CA LOCATION: \ L, c2N DATE : L-I '- 1� TYPE OF STRUCTURE: N RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is -sponsible for providing protection om P-:-zing for 48 hours followi I e placemen of the concrete. Materials fo -. s purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- 1(11 C.,>t a- -\ v.)Qt\- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Prowr Vent, tticV nt ming � 1��'`U Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping ` late .1 �1, GENERAL INSPECTION REPORT p 4/ 10/..) Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road A Queensbury,NY 12804 Arrive G to Depart s 1 RT�� Inspector's Initi: . ,J - NAME: �, 0(-_ QO ,`A �3 ''�� PERMIT# 1 4 5 LOCATION: ..v Tee i 0.-. DATE : f- TYPE OF STRUCTURE: ! _..__ RECHECK N/A YES NO COMMENTS ,R -, Footings/Piers .-, Monolithic Pour Form Reinforcement in Place .,--, , The contractor is;esponsibl. or providing protection fro eezing for 48 hours followirt - placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Damppr•.fing Backfill Approval ii Plumbing Under Slab d/ Plumbing Vent/Vents in Place Y Rough Plumbing Heating Rough-In ulation Foundation Walls Interior R- V, Foundation Walls Exterior R- Floors R- Walls 'c)tgZ..\--A Al-- R- 1ck zc CIA,1 �. To Tic. t Ceiling R- 1Au. X; Duct work or piping in unheated spaces R- Pro Vent, Attic Vent mingfr ia Jack S� Headers �/ u��, Braun- . , %' 6VAusi, �- GR E2�E W- - , 4_.Joist Hangers Q t Lti is.L-'L i\\U- JE' ‘J\ \--V Jack Posts/Main Beam IPIA\ ‘ ' AAt1/4..-5 15 90% O3'5ED Air Infiltration Barrier t'1\ vc\L —. 1&4-b N.:1, E� c). \ --5`.fir Fire Separation 1, 2, 3, hour '�L�t 73--,,,i5T j v Penetration Sealed VD Fire Wall 2, 3, 4 hour Firestopping TOWN OF QUEENSBURY �� FIRE MARSHAL vir?2 QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED __14/91,_ NAME 064,,v «4f'✓ LOCATION fief/7 ,f DATE PERMIT # y//3 ?9 / 7 n J 7 APPROVED /A YES NO EXITS 'f AISLE WIDTHS EXIT SIGNS l EMERGENCY LIGHTI(IG FIRE EXTINGUISHERS AUTO. EXTINGUISHIN% SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYST: ALARM SYSTEM / INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKL -S CLEARANCE TO HEATING NITS REQUIRED SIGNAGE / CHIMNEY WOODSTOVE F}REPLACE-MASONRY FIREPLACE- FACTORY BUILT REMARKS: OK TO THIS DATE 7✓ / a 7174fer011ail "I`{-4-46a*/ 411) INSPSLIP.PUB I PE TO GENERAL INSPECTION REPORT (?)11) Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road �,� Queensbury,NY 12804 Arrive3' a '!�!1lsr Depart 5,400=„)111k ' � ispector's Init'':4!NAME: �CkY\CC^.ram r Y .J PERMIT •�' J 9 �'Y LOCATION: ^ s2 _ 1 ... .. -DATE TYPE OF STRUCTURE: RECHECK �' 1 f N/A YES NO COMMENTS Footings/Piers �\ I I 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/Wallpour \ti Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing__ Heat g Rou In I lation C:`; ,.c\ \ Yam— Foundation Walls Interior R- \ Foundation Walls Exterior R- Floors R- / , Walls R- '76 ✓ Ceiling R "0 Duct work or piping in unheated spaces R- r Proper V , Attic Vent • / n ' • \ Jack Studs/H r Bracing/Bridging , Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping TOWN OF QUEENSBURY 0- FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED �f�jt NAME is tie✓' LOCATION '7Lr / 'i 1�77 , DATE PER # '9/ '( 92 if? APPROVED N/A YES NO EXITS AISL WIDTHS EXIT IGNS EME GENCY LIGHTING i FIRE 6TINGUISHERS AUTO.' XTINGUISHING .YSTEM HOOD fISTALLATION AUTO. S INKLER SYS M ALARM SY TEM INTERIOR FINIS3HES STORAGE: \ CLEARANCE 'S SPRINKLERS CLEARANCE • HEATING UNITS REQUIRED SIGPIAG'\ i CHIMNEY 1 \ WOODSTOyE frt'§EPLACE-MASONRY FIREPLACV- ACTORY BUIL REMARKS: 0 OK TO THIS DATE fd-e , ---- ,...a 92, bp, - ....... 42.///,20 . igi INSPSLIP.PUB INS" TO'‘ 6.--4 Tf°" 7-d-47-/ GENERAL INSPECTION REPORT '� A- yc),,,/ 0 Town of Queensbury �/„C � /t1 or Dept.of CommunityDevelopment Date inspection request received: -- 0 70 Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 ArriveiSAO am1. Depart ° y (3 / �674 r Inspector's Mid' . ta- /M-C) NAME: ,4 4) �t, PERMIT# /�S 7 LOCATION: i / kiAttz, DATE : AR TYPE OF STRUCTURE: / RECHECK �i`t7 t\ N/A YES NO COMMENTS Footings/Piers I ' Monolithic Pout Form Reinforcement in Place The contrachor is responsible for /` providing prdtection from freezing for 48 hours following the placement of the concrete. \ss, { Materials for this purpos,a on site Foundation/Wallpour ' ' Reinforcement in Place ,''N. s. Foundation/Dampproofing \ Backfill Approval ,\ Plumbing Under Slab Plumbing VentNents in Place 'i-trif. 7 'CAL-1-6iw \ k.-f l6 ough Plumbing ?+ ri pt`_ �/ Heating Rough-In \ k5 a N � Insulation ,. Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- \` Duct work or piping in ° unheated spaces R- Proper Vent, Attic Vent Framing \ :L , \ Jack Studs/Headers / Bracing/Bridging ✓ ✓ C- s.� _i _`v� �`" g"�'� -cif Z a Joist Hangers / Jack Posts/Main Beam •✓ Air Infiltration Barrier Fire Separation 1. 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping 11 -0c (518) 761-8256 TOWN OF ODEEEFRY � BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARRRN`G,DEPAR t REQUEST FOR INSPECTION RECEIVED: NAME BAp3aR r LOCATION \A, t_A__ Rc D DATE 17-Z 97 PERMIT I i7'4 TYPE OF STRUCTURE: �� 1) \ .1 CAR /l p RECHECK � APPROVEDD ` NO •"_ING P ERS 1ONOLITHIC POUR FORM REINFORCEMENT rN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE T •N FROM F• EZING FOR 48 HOURS FOLLO NG THE ACE- , MENT OF THE CONCRETE •TERIALS OR THIS PUR ON TE FOUNDATION WALLPOUR • INFORCEMENT IN PLACE FOUNDATION DAMPPROOFING BACKFILL APPROVAL 4 'Q La wP�� PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS MAIN BEAM IR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION• FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT d 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARRLA DEPAR REQUEST FOR INSPECTION RECEIVED: NAME yI °` ' , LOCATION DATE .\ —7Q5— / PERMIT f 1 1661 TYPE OF STRUCTURE: ` FI RECHECK APPROVED N/A YES NO _ FOOTINGS/PIERS ` catr- MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION F:.M FREEZING FOR 48 HOURS FOLLONI• e T -PLACE- , MENT OF THE CO'. RETE MATERIALS FOR THIS • I• •. % TE FOUNDATION/WALLPOUR REINFORCEMENT IN PLATE FOUNDATION/DAMPPROOF NG - -- BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING - JOIST HANGERS JACK POSTS/MAIN BEAM ` AIR INFILTRATION BARRIER 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- (518) 761-8256 TOWN OF QUEENSBURY Si BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 \ INSPECTOR'S REPORT: AR DEPARAi` I ; �� REQUEST FOR INSPECTION RECEIVED: NAME t i T. CST LOCATION CO TEE- 1 L 1'N V)DATE k 1 --I9--91 PERMIT A 97 cc5p� I TYPE OF STRUCTURE: 6 FD Q1 `Z C t/ ,. RECHECK APPROVED N/A YES NO JOOTINGS/PIERS ONOLITHIC POUR FORM �[ REINFORCEMENT IN PLACE 7 - ` 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 N PLACE FOUNDATION DAMPPR FING , BACKFILL APPROVAL PLUMBING VENT VENTS IN PLAC ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: - Y JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATI N: FOUNDATION WALLS INTERIOR R- _ FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- , (518)761-8256 e:02- PM TOWN OF QUEENSBURY (VibBUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 •�D �. INSPECTOR'S REPORT: ARR�i. EPAR'I�-I,;y'" iir !ti REQUEST INSP CTION RECEIV 1 1 1T NAME diJ� i!� LOCATIONrl� mm-5wi . lrn DATE` `'` Al PERMIT 1 9,-1 (405c\ TYPE OF STRUCTURE: s -)Z`� RECH CK - APPROVED N/A YES N OTINGS/PIERS . 1,NOLITHIC 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 P FOUNDATION/DAMPPROOFI G BACKFILL APPROVAL PLUMBING VENT/VENTS I PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: _FOUNDATION WALLS INTERIOR R- _4 _ FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- _ CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- t 0 :saherivoort r ,5 (tCou5truttiou Corporation Builders & Developers -.- 81 o ingham Drive, Queensbury'fI.Y. 12A04 est, 1970 Daniel R. Barber,Pres. -" ' Tel. (518)798-4252 kV 1 - QX.% 1' 0 /c..9/ 6 .,-e' ao ,i ,),- % . _ _ ` i� . , .• (4,' ,. ...._ 7::_ _ "<, ,_ep ..ky\T-1.- 1 t(/ c) '76, iooc, ems• ° `b , , 4 ef...3),qck'6,S - • 1 (Z ' / 0. tea, ,. 0 s4 - e c1 , -a' ,.......,92 Z IL ti No 1997 r as ortilissaill imill -*I, tat t , . / --- , Daniel 11. Pr plums.o or t r 5 Con5truction Corporattott , Barber, / Builders & Developers 81 o ingham Drive, Queensbury N.Y. 12804 est. 1970 Tel. (518)798-4252 (---) ,- ,/ 0"-. C> --................._cx • c/ L) - \/ (e- ' 24,-- A; t , N / ) . ... k)' 1 , c) K-1 `ks' i L/7 1 q '''. '-V ( 1 X 'C 's 1 ' 0 \ - — / .-qr.), -7r (,: " _ — — L_. I/ N'1A ' . ,,76, LS L,v6 i 67C N „ ) p ..., Q •--- ,-, ci KD,Z1,5_: ; .., (---a ----- 6 I° -,, I IY c,z_la.,_tAtV) - -'... ,.. ,---"N ',.....3 -..... --- ,-...,. - : ..: , , ,, tIov 0 4 A99.1