90-571 _
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN_COUNTY, NEW YORK
Date 127/),4, /A' 19 Ql
This is to certify that work requested to be done as shown by Permit No. 90-571
has been completed.
single family dwelling
This structure may be occupied u a
‘, Location Lake Parkway. Assembly Paint
.
DR. ELIZABETIl VEEDER
Owner
By Order Town Board
TOWN OF QUEENSBURY
•
/ i
4
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-571
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to DR. ELIZABETH VEEDER 0
OWNER of property located at Lake Parkway, Assembly Point 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
16 Washington Rd
Scotia NY 12302
2. CONTRACTOR or BUILDER'S Name
d
Sunsoval Inc.
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3. CONTRACTOR or BUILDER'S Address
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Cleverdale NY
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X) �C
(K)Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications __
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No. 33'x51' Single family dwelling as per plot plan, specifications and application
to be built upon footprint of original residence. 5'
8. Proposed Use
Single family dwelling
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229.00 September 6 91
$ 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.)
aZ
Dated at the Town of Queensbury this, 6-0 Day o ' September 19 90 tD
I
SIGNED BY C /a4P ' for the Town of Queensbury
-Sul ding and Zoni Inspector
• TOWN OF QUEENSBURY
REVIEWED BY 4J
...411111111ft FEE PAID $ ,l - - G^uyi -321
PERMIT N O.qo
BUILDING PERMIT APPLICATION
.OWN OF QUEENSBir'
RECEIVED
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. r, i 1 NS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. ((
BLDG. & CODE
' All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • • • .• • • • • • • • • • • • • • • • • • • • • • • • •
The owner of this property is: Dr . Elizabeth Veeder
P.O. Address 16 Washington Rd. , Scotia, NY 12302 Tel. 393-5573
Property Location Lake Parkway, Assembly Pt. Tax Map No. 9 il:% 12
• Has there been any split of this property since October 1, 1988? / X
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
John A. Mason, Sunsoval , Inc.
•
NATURE OF PROPOSED WORK: ESr:MATED MARKET VALUE OF
•
X Construction of a new building „ CONSTRUCTION: $ 110 .000.00
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property 90 ft x 140ft.
Alteration to a building • Existing Buildings(3) Size 33 ft. x 51 ft.
(no change to exterior dimensions) 4K •
Proposed building - distance from property line:
mo
X Other work (Describe) delition Q 4j •
- y�o Front yard 50+ ft. Rear yard 38+ ft.
of existing house,_ ,:' Q • Side yards 34+ ft. and 25+ ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street - ft.
1st Floor 1683 sq. ft. •
OCCUPANCY INFORMATION
r.
2nd Floor --- sq. ft. • Primary Building -
X One Family Dwelling
Other Floors --- sq. ft.
•
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA 1_ 683 sq. ft. • Multiple Dwelling/Number of units_
•
Size of new structure_j.a.ft x_ft. • Business
• Industrial
Poundation-piers crrle ,wl/partiel/full(c • Other
NO:of-:tones (habitable spec‘) • ----------
Haig t-( dale ricer) - 2.0 ft. • If addition, What will use be!
If residential, no. of families 1 • N/A
BUILDING PE,R'IIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. wood 'frame
Will any second-hand or upgraded lumber be used? If so, for what? 4
Foundation wall material - cement blocks Thickness 8"
Depth of foundation below grade (to bottom of footing) 4 0"
Will there be a cellar? - no Heated or unheated? __- Floor sq. footage -_- sq ft.
Will there be a basement? Jno Will any portion be used as living space? ---
(If so, what portion? ---sq ft. Type of use? ---
Type of roof ,sloped flat/shed/other Material of roof asphalt
Size, wood studs 2 "x 6 " spacing 1.6 " o.c. length 8 ft.
Joists (floor beams)-1st floor "x " - " spacing • - "o.c. span - ft.
Joist (floor beams) 2nd floor - "x = " spacing - "o.c. span - ft.
Overlays (ceiling beams) "x - " spacing - - " o.c. span - - ft. I,
Roof rafters 7 "x - " spacing - o.c. span = ft.
Roof trusses (pre-engineered) spacing ,24 " o.c. span 33. , ft.
Exterior wall finish siding of what material? -"x6" ' cedar
Interior wall finish 2" sheetrock
If a garage l to be attached, describe materials to be used for FIRE SEPARATION: ___
Is there to be an opening between garage and dwelling? -- - If so will a Fire-rated door, enclosure,
self-closing device be provided? _
Will a flue-lined chimney be installed? ayes Height above roof 4 ft.
Depth of chimney foundation below grade 4 ft.
Depth of fireplace hearth . :2 ft. 0 in.
Water supply - Municipal o private ell . ' - -Lake George
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties 100 ft.
(A separation application is necessary for any repair or new installation of septic system)
NAME OF BUILDER Sunsoval, Inc . ADDRESS Cleverdale ,NY TEL. NO. 656-9956
NAME OF PLUMBERSunsoval, Inc . ADDRESS Cl.everdale ,NY TEL. NO. 656-9956
NAME OF MASON Sunsoval, Inc . ADDRESS Cleverdale ,NY TEL. NO.656-9956
'IIAME OF ELECTRICIAN Sunsoval , IncADDRESS Cleverdale ,NY TEL. NO.656-9956
DEV - •.-. _ _-,
To the hest of ay ithewiedge end- lief the tte eatts'contained In this a p with is
Awn and apecifleations stlimfitt, any a true and corneae statement of old proposed-waritto be den on
-a;*- crest d-wemis-es anc"fi iat= i prcavisi®ram f the EiZTli:�iQNG COia —iCFi� wr�i �i ®eZ,�Ii ` , �E —
other laws pertaining to the proposed work shall be complied with, whether specified or net, and that
Such work is authorized by the owner.
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods• p"Ec , :V�Bt1RY
PART 5. - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) AUG 27 Q90
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family DweeLT S
li
Multi-Family Dwellings °- DEpTm
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
Dr. Elizabeth Veeder
John A. Mason Lake Parkway, Assembly Pt. , Lake George
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - /(p $3 Sq. Ft.
2. Type of Heat - X Elec. Base Board Other
3. Is Building Mechanically Cooled? YES X NO
4. Percentage of Area of Windows and Doors Over 17% ) Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMIT!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. .Roof & Floors exposed to ambient temperatures R 3e 3,3 kg
B. Exterior Walls R oZ S 25 19
C. Glazed Area R 3,3 2, 5 IS
D. Exterior Doors R /I/ 2, 5 2_,5
E. Floors over unheated spaces R — 25 1q.
F. Edge of Slab on Grade (Heated Building) R 11 11 11
G. Basement/Cellar Walls (Above Grade) R -- . 25
H. Basement/Cellar Walls (Below Grade) R ^ I I (
I. Heating/Cooling - Ducts - Piping in Unheated Space R '--" '--. (v _ (p
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code )( YES NO .
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
R'2 7/qo J�a' 4'1✓fir .9956
TOWN OF Q UEENSB URY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date 8/27/ 19 90 Permit No. 61o � 1J
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 APPLIANCE TYPE
Pp John A, Mason
Stove Coal Wood V.,"
Address P.O. Box 86 Furnace Hot Air Boiler
Zero Clearance Circulating Unit
Cleverdale , NY Zip 12820
Phone 518-656-9956 If Non-Masonry:
Owner's Name Dr . Elizabeth Veeder
Manufacturer
Address 16 Washington Rd. Model Outlet Size
Scotia, NY Zip 12302 Listed by Number
Phone 518-393-5573
CHIMNEY TYPE
Masonry: Block Brick Stone k
Property location of proposed construction Flue: Tile 12K/2"Steel
Lake Parkway, Assembly Pt . Size:
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$ J00(}
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ 2 5 . 00
SONRY FIREPLACES AND CHIMNEYS.
CASHIERS DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
•
Department: Fire Marshal Am llected Amount Refunded
Code Number Title
A173 3389 (190)Public Safety
A233 2655 (230)Minor Sales
Fee%c�llectcd from or Refunded to: e 1�-1- ,(( �, \NALC '
Address:
Dated: /2/1 106 Town Clerk or Deputy f /�, -
While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
!EQUEST FOR INSPECTION RECEIVED 57 ,/Lf 9 l
TAME V eeAPJ
_OCATION oZ K 2 ?G;Y
)ATE 57/9/9/ PERMIT # CIS
YPE OF STRUCTURE !I
RECHECK I APPROVED
N/A;'YES NO
:00TINGS/PIERS
IONOLITHIC POUR FORM
REINFORCEMENT IN PLACE s.
[HE CONTRACTOR IS RESPONSIBLE b
=OR PROVIDING PROTECTION FROM 1
=REEZING FOR 48 HOURS FOLLOWING /
[HE PLACEMENT OF THE CONCRETE. I
IATERIALS FOR THIS PURPOSE ON ''SI1TE
=OUNDATION/WALL POUR '/
REINFORCEMENT IN PLACE ;;;�
=OUNDATION/DAMPROOFING ?/
3ACKFILL APPROVAL Al
ROUGH PLUMBING
'LUMBING VENT/VENTS IN PLACE;)
'LUMBING UNDER SLAB .1
FRAMING:
JACK STUDS/HEADERS rI
BRACING/BRIDGING
JOIST HANGERS I
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN ' ?
INSULATION: •
FOUNDATION WALLS,,,,/1INTERIORj R-
FOUNDATION WALLS EXTERIORR •
-
FLOORS Y. I R-
WALLS • i1 R-
CEILING ;: R-
DUCT WORK OUPIPING IN UNHEATED
SPACES
•1
REMARKS:
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ARRIVE ...212, ,✓ � ,
DEPART 7.)d "
INSPECTOR
TOWN OF QUEENSBURY
531 BAY ROAD
%'w " QUEENSBURY, NEW YORK 12804
OW TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED %
NAME 14 'g r /S//
LOCATION //sCew P/L
DATE 0/5/ PERMIT# 9 )- 7/ .
TYPE OF STRUCTURE IG:.e�//
RECHECK ?%/' //a�-�
i /
FIRE MARSHAL APPROVAL (COMMERICIALSTRUCTURE)/
_FOOTING FOUNDATION BACKFILL I FRAMING/
ROUGH PLUMBING FINAL ELECTRICAL/ _SEPTIC
_INSULATION WOODSTOVE/FIREPLACEi
r
REMARKS
1 /.
;APPROVAL
NYA 'YES NO
CHIMNEY HEIGHT/LOCATION 4
B VENT/LOCATION ) /
PLUMBING VENT 1/
ROOFING
SIDING il
DECK/PORCH/STEPS/RAILINGS i'll i
RELIEF VALVES / '4 17
FURNACE/HOT WATER OPERATING /
INTERIOR TRIM/PRIVACY DOORS /
FINISH FLOORS: / c
BATH/KITCHEN. WATERTIGHT r
OTHER FLOORS SWEEPABLE /
OTHER FLOORS CARPETED / 1
STAIR CLEARANCE/RAILINGS / ;{
SMOKE DETECTORS /
DOOR CLOSERS I ??
BATHROOM FANS / `a
ALL PLUMBING FIXTURES,/OPERATING .
GARAGE FIRE PROOFING/ •
DOOR CLOSERS /
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL 1OK TO ISSUE C/O OR C/C a
COMMENTS:
74,7/- Au, ,(4,4„, 107/,,,,Av7 :
litliv
ARRIVE ,,6t5
DEPART �l�Cf
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,
.
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TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED ,6- 2/ /
NAME A. f-NQ7oiA J, /,,A.
LOCATION `j a l -e AC,k_i,,a ii_ 1j1,1 "di/0-
DATE ,0A7/ PERMIT# 1,() :57/
APPROVED
iN/A YES NO
EXITS ` /
AISLE WIDTHS ? /
EXIT SIGNS j
EMERGENCY LIGHTING I
P
i
I /
!r
FIRE EXTINGUISHERS ,
AUTO. EXTINGUISHING; SYSTEM
HOOD INSTALLATION 1 .,
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
if'
INTERIOR FINISHES "1
STORAGE: ;r ,
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE/ i
CHIMNEY
WOODSTOVE I
FIREPLACE-MAS'ONRY C�
FIREPLACE-FACTORY BUILT
REMARKS: h 1 OK TO THIS DATE
4.-j
OIK/ +/I% -(),4
i
.
ARRIVE
DEPART lip) , 4i041/I J
INSPECTOR
+r' TOWN or QUEENSBURY P/ Y /
f rt•Airlib'';. 531 BAY ROAD
,`,` IN10, , . QUEENSBURY, NEW YORK 12804
•• • TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION ,
REQUEST FOR INSPECTION RECEIVED'' -1 4 q/
NAME 114. asz/4) 44Y p o cte
LOCATION aj Ct:k.e- (A ',.¢,c7//,* Q4 L/ A-
BATE I
DATE 5/3 I q i • PERMITi 6/6 —5 i/
TYPE OF STRUCTURE I V
Yam,kch-fryii -r�Q14 4[ . `
FIRE MARSHAL APPROVAL ICOMMER AL STRUCTURE)
VFOOTING FOUNDATION 4,5ACKF LL L,FRAMING
ROUGH PLUMBING FINAL ELEC RICAL_SEPTIC
yiINSULATION WOODSTOVE/FIR PLACE
SITE PLAN/VARIANCE REQUI EME TS YES _ NO
REMARKS
I
V
N/A YE$ NO
CHIMNEY HEIGHT/LOCATIO .4 V.
B VENT/LOCATION IA (/
PLUMBING VENT
ROOFING
SIDING ri
DECK/PORCH/STEPS/RA'LIN S I
RELIEF VALVES ✓I
FURNACE/HOT WATER )PERAJING r -
BASEMENT INSULATI /DUCTWORK ✓
INTERIOR TRIM/PRI ACY DOORS ✓
FINISH FLOORS:
BATH/KITCHEN ''TERTIG T ✓
OTHER FLOORS :WEEPABLE: V
OTHER FLOORS CARPETED i/ gr.
STAIR CLEARANC;/RAILING ►/
HANDICAPPED ArCESS i/
SMOKE DETECTO S EV
BATHROOM FAN•/WHOLEHOUS) FANS
ALL PLUMBING .FIXTURES O'ERATING L.,"GARAGE FIRE 'ROOFING E
DOOR CLOSER!.
OTHER FIRE EPARATION► 1 ✓
FIRE/DEMIST WALLS i ✓`
DUMPSTER ✓
FINAL ELEC RICAL
OK TO ISSUE C/O OR C/C V//'
COMMENTS:
ARRIVE 3•.Y'r
DEPART 3fSr , i ✓
-lt----'
1N5
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED .2 I
NAME j/eel�,✓ / �/
LOCATION /`ySs- ,1 7"T
DATE 1 �/ PERMIT # 20',5`71
APPROVED
YES NO
/
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING /
BACKFILL APPROVAL /
ROUGH PLUMBING
V.---FRAMING / .or", ,'
(4LECTRICAL ROUGH-IN • ( • /
/INSULATION: 1 /
FOUNDATION I •!.6)
FLOORS. . . . • . I 4>11 G
WALLS . . ,k;--23' ,i✓�
CEILING --W. / Y`
FINAL INSPECTION:
CHIMNEY HEIGHT I /
ROOFING ! 1
SIDING !
EXTERNAL PORCHES/STEPS a /
STAIRS-CLEARANCE & RAILS i /
PLUMBING FIXTURES/RELIEF VAL E
INTERIOR TRIM/PRIVACY DOORS /
FINISHED FLOORS / 1
GARAGE FIREPROOFING /
DOOR CLOSER(S) /
SMOKE DETECTORS 1
FINAL ELECTRICAL INSPECTION
.FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
/
A SIGNED CERTIFICATE OF OCCUPANCY ST BE
OBTAINED FROM THE BU LDING DEPARTMENT BEFORE
THESE PREMISES ARE CCUPIED!
REMARKS:
3d//. �ll
be ve,-.1 oc././5e.1c,
•
ARRIVE ,,713S' (
DEPART �2/5.4) A //'
'T IJcARPTnP
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
NAME l2,4'/er //��
LOCATION Lam/ /2113(JCC e,
DATE y_1/77' PEA IT IT # Pz1�Jr77
APPROVED
' YES NO
FOOTING/PIERS 1 /
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING /
BACKFILL APPROVAL Pt 1
ROUGH PLUMBING g .1
FRAMING g ' i
ELECTRICAL ROUGH-IN 1 I
INSULATION:
FOUNDATION 1 II
FLOORS a
WALLS 9 I
CEILING tl I
FINAL INSPECTION: 1 I
CHIMNEY HEIGHT
ROOFING 11
SIDING '
EXTERNAL PORCHES/ST9S
STAIRS-CLEARANCE &AILS
PLUMBING FIXTURES/IRE EF VALVE
INTERIOR TRIM/PRI ACY DOORS
FINISHED FLOORS
GARAGE FIREPROO ING t
DOOR CLOSER(S) , m
SMOKE DETECTOR, 1
FINAL ELECTRICAL INSPECT ON
FINAL APPROVAL/OF CONSTR CTION
A SIGNED CERTIFICATE OF 0 UPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED
REMARKS: t!
, ' '
4:72,71/a?‘.7
CAZ44,
7,17-41s 1
C2±(eK7gAfll:4---
INSPECTOR
•
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED_ Q
NAME b/ )C. 4 74-P cf
LOCATION ( k Or
DATE f///4, PERMI # 9 .J 7/
/ APPROVED
•
,01-02.-(A"Lf
_ %'� / YES NO
FOOTING/ IERS ryge_Plane, V
•
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL •
(ROUGH PLUMBING ,-L{.!(G� E'er
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 1.( /
GARAGE FIREPROOFING / •
DOOR CLOSER(S) d /
SMOKE DETECTORS ;` /
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE 0 OCCUPANCY MUST BE
OBTAINED FROM THE BUI ING DEPARTMENT BEFORE
THESE PREMISES ARE OC UPIED!
t
REMARKS: / j
D '�-u,-e,. ,344
a/ -044 L.7i Ga =dict iO
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ARRIVE ,C) 20 .
DEPART , D
. TNRPRrTnP
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED Gf'�
NAME 4 �P�' Ay
LOCATION
DATE J// / 0 PERMIT # 9D�7(
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING ✓
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
4INSULATION:
( 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
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ARRIVE
DEPART
rugpl2rmnp
(if 12-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT q Q
BAY & HAVILAND ROADS
hi
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT I
REQUEST FOR INSPECTION RECEIVED 1(15 I QlJ
NAME P 14/2. P aJ1LQ�� 1i1
LOCATION Aka_kQ_ 0X�/ - /
DATE f i ( (p f q U PERMIT # 90 -57/
r APPROVED
YES N
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 11
STAIRS-CLEARANCE & RAILS/
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS I
GARAGE FIREPROOFING /
DOOR CLOSER(S) /
SMOKE DETECTORS /
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ARRIVE to 15
DEPART io
INSPEC OR
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 //'/7/y(J
NAME 4
LOCATION
DATE l/77/fO PERMIT # 97D 57'/ ,
•APPROVED
O-.q �C�il rya YES NO
( FOOTING/PIE 1 ��
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 / E ARE OCCUPIED!
REMARKS: ,/J/��,L ��
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THE CONTRACTOR IS RESPONSIIBLE FOR PROVIDING
PROTECTION FROM FREEZING FOR 48 HOURS
FOLLOWING THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
ARRIVE YES NO
DEPART
10-5. :GL9ld
TN.SPPrTnP
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED , / 0/9 (
NAME \JP Pe/ DR (1 -) c,1-,F7;61)),
LOCATION r- -,P Z-)\ \(7) NA
DATE*O/ V!r^ ( PERMIT# C-k) _ 77
APPROVED:'
N/A YES /NO
EXITS
AISLE WIDTHS /
EXIT SIGNS \ /
EMERGENCY LIGHTI G • '
f
i
FIRE EXTINGUISHERS \ ./ ,
AUTO. EXTINGUISHING SYSTEM l
HOOD INSTALLATION i
AUTO. SPRINKLER SYSTEM, I
ALARM SYSTEM le
\ . /
INTERIOR FINISHES ,I
STORAGE:
CLEARANCE TO SPRINKLERS :(
CLEARANCE TO HEATING UNI S
REQUIRED SIGNAGE
I \
CHIMNEY / \ I
WOODSTOVE 1
FIREPLACE-MASONRY • R.
FIREPLACE-FACTORY BUILT +,
Gh \1� C e I
REMARKS: _ ',.
ARRIVE //- e
DEPART 1 '' rI/ e 2
INSPECTOR