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1989-231
_ t 1 CERTIFICATE OE COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 19 19 89 This is to certify that work requested to be done as shown by Permit No.89-231 has been completed. This structure may be occupied as a Attached one car garage Location Cloverdale Road Owner Jean Taylor By Order Town Board TOWN OF QUEENSBURY ‘,7)? Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY ' 3 No. 89-231 T WARREN COUNTY, NEW YORK c PERMISSION is hereby granted to JEAN TAYLOR 4 OWNER of property located at CLEVERDALE ROAD Street, Road or Ave. in the Town of Queensbury,To Construct or place a ATTACHED ONE CAR GARAGE 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 BOX 218 CLEVERDALE ROAD QUEENSBURY, N.Y. 12804 2. CONTRACTOR or BUILDER'S Name • V DENNIS DAVIS c. rr 3. CONTRACTOR or BUILDER'S Address 7 ALGONQUIN DRIVE QUEENSBURY, N.Y. 12804 4. ARCHITECT'S Name r 5. ARCHITECT'S Address R r R 6. TYPE of Construction—(Please indicate by X) X ( 1 Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 16' x 23' 4" attached one car garage as per plot plan, specification, and application. 8. Proposed Use 431 ATTACHED ONE CAR GARAGE C $ 25.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 1 19 89 R (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C' town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 27t Day of A ri 1 19 89 I SIGNED BY L 2'% for the Town of Queensbury Building and Zoning Inspe APPLICATION FOR BUILDING AND ZONING PERMIT "1'O� 'N OF QUEENS}3URY -------- Pate- _ r • Rec i.eved C✓4/67C n - --- Reviewed / y.�, TOWN OF CUES lSBN3RY 3 Fy . -17ir RECEIVED ;, /004 Fee Paid $-Qc3 d ` 1 APR 2 r, �-�''.� BUILDING AND CODES U1:)'AIMIENT Date Iaaued I- L Y and IIAVILAND ROADS RD 1 Box 93 / PUEENSBURY,NEW YORK 12804 Penmit No.. 17 Z ?( BLDG. & CODE DEPT. Tel . (518) 792-5832 Ext -204 _ y • A PERMIT MUST B4 OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS • )FILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT. All applicable spaces on this application must be completed and the sinuature of the applicant must appear on the reverse side of this sheet . A * A A A * * * * * * * A * * * A * * * * * A A * A A * "A * A * A * A A A 'he owner of this property is : (i y\,C41)). O. Address b��X �_\? •C,\Q�\�c \G\C '0- � ' .1 TEL. �0JCC `�r�^t l \ 1. A 'roperty location ( \COGCAa\fit VIC'�.. TAX MAP NO. i, L1 /41 / 1(-) las there been any split of this property since October 1, 1988? /, yes no 1f yes , Planning Board Review is necessary. ;UBDIVISION NAME , IF APPLICABLE LOT NO. Phe person responsible for supervision of work as regards Building Codes is : NAME P .V. ADDRESS TEL. NO. ' lame of builderas'(\ CjGAddress Tel —"" lame of Plumber P.ddress . - lame of Mason fli(tl �-nc\c-kc 1(4 Address Tel \TURF OF PROPOSED hORK: • ZONING INFORMATION (Office use only) Construction of a new building • ZONING DESIGNATION OF PROPERTY Addition to a building • PERMITTED PRINCIPAL PERMITTED ACCESSORY Alteration to a building ' (no change to exterior dimensions) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD I Other work WescriU.r) ' SITE PLAN REVIEW # APPROVED DATE VARIANCE 1(/y5;(1 APPROVED V DATE/ji--2-/17c'f ROSS AREA OF PROPOSED, STRUCTURE ' st Floor .36 4 Remarks:sq ft . • --. nd Floor '-- sq f t . •. C01•iPi.L••'i'L Ipll'OIJMTLON REQUIRED u1:LU6l. • Size of property C ) ft X�20 ft. ether Floors sq ft . • Existing building(s) Size 2?, ft X • . Cc. :not cellar or basement) • 'OTAL FLOOR AREA L; 4 sq ft . • L'xi>cii�g puildincl (::) Wit: ``�\11C1�1 1-C1(l 1��V— :ize of new structu \ 4 ft X23dit * rt>~6 `Nkh J 'oandation-pier ;-lai, 'crawl/partial/full ' Proposed but ding, distance from property line -� �'tt I (circle one) * Front yard , --( ft Rear yard ID— ft 1o. of stories (habitable space), — tt and - ft „ Side yards l Lo f res (grade to o. of) � , ft. ; It on corner, setback from side str.eeerc If residential, no. families -- lo. of rooms(excluding baths) • OCCUPANCY INFORMATION • Jo. of bedrooms tIIMARY BUILDING - Vo. of bathrooms • !Lac family dwelling Primary uacing :.y:.t.m Two family dwelling rype of fuel • Multiple dwelling / Number of units lo. of fireplaces to be installed ' __permanent occupancy null a wood stove be installed? __� , 'transient occupancy Cencr:al Air conditioning? • business BUILDING STYLE, PRIMARY STRUCTURE Industrial - b Ocher91911 Contemporary Log can raised ranch Mansion Duplex it addition,, what will use be? C V) CC it R *lit level Old style bungalow (" Vty-ckCI C;.pu Cod Cottage Other • ACCESSORY BUILDINC- Colonial ItOw Town House • Detached garage two car/ car ( CIRCLE: ONE PLEASE ) • Attached garage one car/ two car/ . cur a a a a a : a a ' Private storage building .."1'IMATED MARKF9' VALUE OF • Ocher CONSTRUCTION 4, 7 • 1NVOrMATION ON BUILDING SPECIFICATIC1S, ON REVERSE SIDE OF 'PHIS SHEET, TO BE COMPLETED! .rm I3PA 10/88 vi _ r BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, \wood frame fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? c\t-s) Foundation wall material GI;\ K-(t VAC A,__ Thickness ` Ve Depth of foundation below grade (to bottom of footing) 4 Will there be a cellar? (V1Heated or unheated? e-- Floor sq. footage `s , sq ft Will there be a basement? C\C) Will any portion be used as living space? n(-) (If so, what portion? --- sq.ft. - - Type of use:.: Type of roof - slo ed flat/shed/other Material of roof t f7`' L )c l'((\N cc '&c. cis Size, wood stu s "X 4 " spacing q(c "o.c. length ft. Joists(floor beams) 1st. floor ---"X spacing -- "o.c. span -4 ft. Joists (floor beams) 2nd. �}poor 9---- "X �- " spacing ---- "o.c.n span ft. Overlays(ceilin beams) ' L "X " spacing k(0 "o.c. span ,L , ft.. 4ai Roof rafters IL "X 5 " spacing K o o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. spa: ft. Exterior wall finish C�cr\ \ \U(1 Of what material?( lA\'L lAvNg 'YG�c6 .. W S S'x 4anS Interior wall finish r��i; �("(� Cos-VA 1�d��C k ` ('�m Vc\ (Inc'2 If a garage is to be attached,, describe materials to be use for TIRE SEPARATION: • 5/ ncl Ccc\ct a& c c\c Is there to be an opening between garage and dwelling? \VI< If so will a Fire-rated door, enclosure, and self-closing device be provided? N("i Will a flue-lined chimney be installed? _ Height above roof >- ft. —Depth of chimney foundation below grade ft. Depth of fireplace hearth --. ft. --in. Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well(including adjoining properties -- ft. (A separate application is necessary for any repair or new installation of septic system) e DECLARATION To the best of my knowledge and belief thr statements contained in this application, together with the plans and specifics 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 not, and that such work is authorized by the owner. Signature ` ( t�) Owner, owner's agent,\architect,",contractorL * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By . .. ,i2. 'l,UWN OF Qv�•EfsM VKY ;: .'�r Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 �''- ' rakvax ZONING BOARD OF APPEALS rr et* Theodore Turner, Chairman Susan Goetz, Secretary R.D. #1, 139 Meadowbrook Road, Box 409 19 Wincrest Drive Queensbury, New York 12804 Queensbury, New York 12804 TO: Jean C. Taylor RE: Area Variance No. 1452 P.O. Box 218, Cleverdale Road Jean C. Taylor Cleverdale, New York 12820 east side of Cleverdale Road ATTN: Jean C. Taylor DATE: December 21, 1988 Meeting Date We have reviewed the request for: X Area Variance Use Variance Sign Variance Other and have the following recommendations: X APPROVED DENIED TABLED RESOLVED: Mr. Turner moved APPROVAL of Area Variance No. 1452, Jean C. Taylor for one relief of the front setback. The new proposal will be a one-car garage, 16 feet wide: the relief granted is 12 feet. All other setbacks will be maintained that are existing and required. The practical diffi- culty is that the house exists at its present location. The applicant is entitled to a garage. The Short EAF was reviewed and shows no negative impacts. Seconded by Mr. Sicard. Passed Unanimously Sincerely,(24,/5/Z� IC-'IixjC Theodore Turner, Chairman Queensbury Zoning Board of Appeals TT/sed cc: Dennis Davis APPROVAL OF THIS APPLICATION MEANS THAT THE APPLICANT CAN NOW APPLY FOR A BUILDING PERMIT. "HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE" SETTLED 1763 • TOWN OF Q UEENSB UR Y {;»_ V Bay at Haviland Road Queensbury, NY 12804-9725-518-792-5832 PLANNING BOARD: Site Plan Review Richard Roberts, Chairman Hildagarde E. Mann, Secretary R.D. #5 Haviland Road, Box 477 R.R. #1, Bay Road, Box 230 C Queensbury, New York 12804 Queensbury, New York 12804 TO: Jean C. Taylor RE: Site Plan Review No. 2-89 P.O. Box 218, Cleverdale Road Jean C. Taylor Cleverdale, New York 12820 east side of Cleverdale Road ATTN: Jean C. Taylor DATE: January 17. 1989 Meeting Date We have reviewed the request for Site Plan Review (Type I-Type II) and have the following recommendation: X APPROVED DENIED TABLED RESOLVED: Mr. Cartier moved APPROVAL of Site Plan No. 2-89, Jean C. Taylor. The application is a Type II action and does not require a SEQR review. Recom- mendations from Staff will be complied with regarding prevention of silta- tion of the lake. The Town Planning Board reviewed the Town Zoning Ordinance, Section 5.070, A - E. Seconded by Mr. DeSantis. Passed Unanimously Sincerely, / (JD- /' Richard Roberts, Chairman Queensbury Town Planning Board RR/sed , cc: Dennis Davis APPROVAL OF THIS APPLICATION MEANS THAT THE APPLICANT CAN NOW APPLY FOR A BUILDING PERMIT. "HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE" SETTLED 1763 • 100 Baoadway State Office Building State Office Building Mnnands Hawley Street 1110 Livingston Street 125 Main Stroet 175 Fulton Avenue 155 Main Street W. East WaStale sftington St.ce t. ALEIANY 12241 BINGHAMTON 13901 BRCOKLYN 11248 BUFFALO 14203 HEMPSTEAD 11550 ROCHESTER 14614 astSY Was SE 13202 STATE OF NEW YORK WORKERS' COMPENSATION BOARD i `'e1 ' I�,f THIS AGENCY EMPLOYS AND SERVES THE HANDICAPPED •� ,� WITHOUT DISCRIMINATION. J: - .1' '�actLsins Z et. OFFICE AT. BARBANA PAITON CHAIRWOMAN STATEMENT THAT APPLICANT DOES NOT REQUIRE WORKERS' COMPENSATION OR DISABILITY BENEFITS COVERAGE (Ref: Sec. ) 57, WC Law; Sec. 220, Subd. 8, DB Law) Applicant 's Name -_ 'Y(( �\ t\!_� t� E.R.j . 1j.� No. Address I A\�\i�" \r\k 1 1 ,>i. ��'. • '-i�� Office At l �,t, ' r;!`,`X i) J, • `` \ v\ \ 1,• i. t•A <,. \: l,' VU t - Business or Trade Name, if Different From Above The above named applicant for permit subject to restriction under Section 57 of the Workers' Compensation Law, and Section 220, Subd. 8, of the Disability Benefits Law, makes the following statement for the purpose of establishing that he/she does not require coverage under these laws. 1. Location of work `� A 2. Exact work to he performed 1. %\��,_l\�,t;mo•t iy r _--1 i_,-. 3. number of workers 4 . Date work is to be `(a) commenced 4- Q ( t (b) completed ! )- ❑ I have workers' compensation insurance (certificate attached) . ❑ I do not need workers' compensation insurance because status is Individual owner ur partner with no employees and not a corporation. p 1 d,, uut need workers' compensation iurcurance because: i ' ',,\1% \1` y\;_\\ ❑ I have disability benefits insurance (certificate attached) . owner or partner with no employees ancl- nor-a' e0L:P0r.cx.e.. f I do not need disability benefits insurance because: y r-,- � . �- l ( -.,' , L � I hereby affirm, under the penalties of perjury, that I am the above named applicant for permit subject to restriction under ,ection 57 of the Workers' Compensation Law and Section 220, Subd. 8, of the Disability Benefits Law and that the foregoing statements are true. f � Date Signed kkp \\ 19 J`1 J f t\,.. li _ Signature of Applicant Telephone No. i) c;- lq'Z U -1'Z-" Title TO STATE OR MUNICIPAL DEPARTMENT, BOARD, COMMISSION OR OFFICE REQUIRING CERTIFICATE OF WORKERS' COMPENSATION INSURANCE. UNDER SECTION 57 OF THE WORKERS' COMPENSATION IAW AND UNDER SECTION 220, SURD. 8, OF THE DISABILITY BENEFITS LAW Based on the foregoing statements made by the above applicant: 0 The Board has no . gtions, at this time, to the issuance of the permit requested. , V..) 0 fhe a tpl.rsaii will be required to have a Disability Benefits insurance policy effective not later than Iot - (4) weeks after the employment of one or more employees on each of at. least 30 days in any calendar year. It is to be understood, however, that the Board reserves the right to request revoca- tion of the permit if, after investigation, it is found that the applicant is required to have workers' compensation and/or disability benefits coverage for the work referred to in the above application. WORKERS f,. ,.0f1PEN46ATIO BOARD 59 Ii i ,---1._.....' • - .. By ,., Date: (District Administrator or Supervisor of W.C. Enforcement) C-105. 21 (2-88) AC;1/I:mm. CERTIFICATE OF INSURANCE ISSUE DATE(MM/DD/YY) 04/19/89 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Cool Insuring Agency Inc NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, PO Box 2153 Quaker Road EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Glens Falls, NY 12801 COMPANIES AFFORDING COVERAGE COMPANY A LETTER Aetna Ins. Co. CODE SUB-CODE COMPANY INSURED LETTER B Hartford Ins. Co. Richard A. Smaldone DBA CO Smaldone Specialties LETTERNY C 42 Northwinds Queensbury, NY 12804 LETTER D COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 300 A X COMMERCIAL GENERAL LIABILITY Binder 04/11/89 04/11/90 PRODUCTS-COMP/OPS AGGREGATE $ 300 CLAIMS MADE X OCCUR. PERSONAL&ADVERTISING INJURY $ 300 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 300 FIRE DAMAGE(Any one tire) $ 50 MEDICAL EXPENSE(Any one person) $ 5 AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH AGGREGATE OCCURRENCE $ $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION 9 STATUTORY Binder A 04/11/89 04/11/ 0 $ 100 (EACH ACCIDENT) AND $ 500 (DISEASE—POLICY LIMIT) EMPLOYERS'LIABILITY $ 100 (DISEASE—EACH EMPLOYEE) OTHER B N.Y. Disability Binder 04/11/89 04/11/90 Statutory Limits DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Queensbury EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Queensbury, New York 12804 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 2$4 L3/881__ _. .. ©ACORD CORPORATION 1988 St LtL:I CUSIINtSS bU KMS (bO ) C4d- ZUJ APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES ;,;ilia,..;.:,, *1131A,x MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters '""" 900 Haddon Ave., Collingswood, N.J. 08108 APPLICANT COMPLETES THIS SECTION Date: A A.$Ct City, Town or Township C\CLUC(CCO\Lj County C cQn State 1 1 •A• Location/Address Ckci,IQ cckcA4 QA . (If Located in Rural Area - Please Attach Directions) Pole # Owner 11\ C. 7 \oC. Permit # 5.--q— 3 Occupied As • Building: NewC Old Occupant 3—CLCLt,1 C. Ta Work Area in Building (Floor #,etc.): App. for: Wiring Service❑ or: Ready for Inspection: Fee Remitted -$ Cash 7 Check 7 M.O. ❑ Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rq,u,gh Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles 2, Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's (, Signature ' _/..:-''r1;Y`,ti3- - ' i_ -ti—.) License # Permit # T/A Utility: _\' 1 ►() Applicant's Address: ( A ��- C' \ �{-.V..� (NA E) (OFFICE LOCATION) (City) QUrf >Os ?'.: (State) �,�- (Zip) • _ (SF.rviceA�equest # Phone # .3Lc1 _ 1 'lAll Electrician: CI TA' f—likt 0. MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above 7 or: Red Notice Label 7 Rough Wiring Outlets ` Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 " 1 dr ct. Heat .� ... _ Patrick J Dashnaw Pn Sex 321_ Hudson falls, X 12339 4,.... CF 1 ;A 3 1;. J2��,• t JJJ YIU ELECTRICAL INSPECTOR CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID n RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ ElL/A Owner CASH n ❑ L/A Fee , CHK # Due MO # ❑ IPA Municipal INV # Date: Other Side❑ Utility Applicant ❑❑ Owner Cut in Card n Temp # Date INSPFCT(1RS SI( NATURE 01/1 TOWN OF QUEENSBURY BUILDING INSPECTOR' S REPORT ITE INFORMATION BUILDING PERMIT NO. 89231 FIRST NAME . :EAN LAST NAME TAYLOR ADDRESS #GLEVEWRDALE ROAD CONTRACTOR ATE6/16/89 INSPECTIONS APPROVED (Y) FAILED (N) DATE INSPECTOR FOOTINGS Y 05/08/89 VL MONOLITHIC POUR FORMS / / FOUNDATION/DAMP-PROOF Y 05/15/89 WR BACKFILL APPROVAL / / ROUGH PLUMBING / / FRAMING : PARTIAL / / WR COMPLETE Y 05/24/89 ELECTRICAL R-IN " / / AGENCY NSULATION : FOUNDATION R- FLOORS R- WALLS R CEILINGS R- 'I . MkN.PECTION : ,!�/al? CG�'fh'" OFING IDING O!� EXTERNAL PORCHES/STEPS STAIR CLEARANCE/RAILS PLUMBING FIXT/R VALVE INTERIOR TRIM/DOORS FINISHEI FLOORS ✓GARAGE FIREPROOFING 0/4 DOOR CLOSER (S) a7�CG �^1,-% IU/ SMOKE DETECTORSHake 3eG/eJ FINAL ELECTRICAL INSPECTION 0,( / / AGENCY INAL APPROVAL OF CONSTRUCTION og / / ERTIFICATE OF OCCUPANCY ISSUED / / EMARKS TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- a . , TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR I SPECTION RECEIVED�j �-� 3 -� NAME f) syZ_�C„�lif LOCATIONCer2, -C-{"Ceelt «-C° DATE 5;, y- 9' PERMIT # 7-a 3 J APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING 17.FRAMING ELECTRICAL ROUGH-IN INSULATION: 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 I SIGNED CERTIFICATE OF OCCUPANCY MUST BE )BTAINED FROM THE BUILDING DEPARTMENT BEFORE t'HESE PREMISES ARE OCCUPIED! ZEMARKS: k INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT -/ " ' BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 5---/A'--j 7 NAME j_10-/Z2-7 LOCATION 0✓ DATE _7 -/ij`- Sr' PERMIT # - I APPROVED "" ',, YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ; ROOFING SIDING EXTERNAL PORQ1!ES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING F2ifTURES/RELIEF VALVE INTERIOR TkIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION • SIGNED CERTIFICATE OF OCCUPANCY MUST BE )BTAINED FROM THE BUILDING DEPARTMENT BEFORE PHESE PREMISES ARE OCCUPIED! 2EMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUESTSFOR INSPECTION RECEIVED __EAla_____ NAME !�� . LOCATION D6 DATE 5-\\% 2 1 PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: 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: g oc/ W �� GUI r0©i IA W t LC 6 6- (T ( S 0oU12/16 I SPE TOR