1990-029 CERTIFICATE OF OCCUPANCY
•
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date I 19 90
g ! %
This is to certi
fy that woror7 requested to be done as shown by Permit No. qfl-09
has been completed.
This structure may be occupied as a Single Family Dwelling
--7
Location # .98 Tynec'.:oud CVO ( Uf , I r-
�C VJ (�
Owner Randy Lockhart / Michael Vasiliou
By Order Town Board
TOWN OF QUEENSBURY
.(A 4-LA. { I ice'
Director of Bldg. do Code Enforcement
-.1, sy BUILDING PERMIT
A
TOWN OF QUEENSBURY
No. 90-29
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to RANDY LOCKHART / MICHAEL VASILIOU
Lot #128 Tyneswood CO
OWNER of property located at Y Street, Road or Ave.
1-1
00
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
32 Willow Road
•
2. CONTRACTOR or BUILDER'S Name
Michael Vailiou
I-
3. CONTRACTOR or BUILDER'S Address
(-)
R
4. ARCHITECT'S Name
r-1
rn
r
5. ARCHITECT'S Address
H
I—
r1
C
6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 1714 sq. ft. (1st floor) and 1442 sq. ft. (2nd floor) single family Co
dwellling with attached two car garage, driveway and septic system. , a
8. Proposed Use fD
I',
Single family dwelling -to
$25 fireplace
$ $379 PERMIT FEE PAID —THIS PERMIT EXPIRES August 23 19 90
(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.)
23rd February90 t°
Dated at the Town of Queensbury this Day of 19 0
T
SIGNED BY �XuMcL. J for the Town of Queensbury
B ilding and Zo i Inspector ...i
t
X
co
TOWN OF QUEENSBURY
--or- REVIEWED BY '•';I -nA1 S,
1 FEE PAID $L TIM / + / + !. J.gii;PITI
g it • PERMIT NO. qO•-2 ci
BUILDING PERMIT APPLICATION
DWG. t CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
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: Ectvp./ L bCK KA/ 7' iGLfAL !/''/ S/G ic.�U/•'nc.
II � /JU.c_DCW/ ."
P.O. Address 32 W' Lcx,o _oA-O Tel. 793 -73 53
At-Property Location .L.v7 /28 Tax Map No. % _/2//ate
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessar yes no
yJ/r1
(' �(�
SUBDIVISION NAME, IF APPLICABLE LOT NO. .
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
• -
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF •
X Construction of a new building • CONSTRUCTION: $ / C, 000 2.
Addition to a building • COMPLETE.INFORMATION REQUIRED BELOW:
• Size of property . Z 50 ft x °17r ft.
Alteration to a building , •
(no change to exterior dimensions) Existing Buildings(3) Size ft. x — ft.
' Proposed building - distance from property line:
Other work (Describe) ' Front yard7$ ft. Rear yard /5-0 ft.
* Side yards 33 ft. and <3"V ft.
•
GROSS AREA OF PROPOSED STRUCTURE . • If on corner, setback from side street 30 eft.
1st Floor 171 V sq. ft. W4- '
OCCUPANCY INFORMATION
2nd Floor I y1z sq. ft. (40 • Primary Building -
Other Floors sq. ft. 35 . • • One Family Dwelling
(not cellar or basement) M • Two.Family Dwelling
TOTAL FLOOR AREA s . ft. 1 le Multiple Dwelling/Number of units
Size of new structure2,ft x ' ft. • Business
Foundation-pier/slab/crawl/partial/full ' industrial
(circle one) • Other
•
No. of stories (habitable space) Z •
Height (grade to ridge) 2.3 . ft. • If addition, what will use be?
If residential, no. of families / • .
No. of rooms(excludingbaths) 9 •
No. of bedrooms, 4 • Accessory Building
__Detached Garage ONE/SWO Car
No. of bathrooms 2.1Z •
Primary heating system I►-eAr POMP_ • Attached Garage ONE,, WO
-7F--).,:,
Type of fuel tip ' _Private storage building
No. of fireplaces to be installed 1 •
Will a wood stove be installed • __Other
Central Air conditioning tie
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. kiocDi3 F, p L
Will any second-hand or upgraded lumber be used? If so, for what? No
Foundation wall material eindo e ie-rC Thickness 8
Depth of foundation below grade (to bottom of footing) /►7iw g"
Will there be a cellar? ye s Heated or unheated? / r i Floor sq. footage sq ft.
Will there be a basement? — Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof slope flat/shed/other Material of roof A5 pH/3 LC-
Size, wood studs 2. "x " spacing A," o.c. length cS ft.
Joists (floor beams) 1st floor Z "x /O " spacing /4. "o.c. span /y ft..
Joist (floor beams) 2nd floor 0 "x /O " spacing /G "o.c. span /y ft.
Overlays (ceiling beams) "x " spacing o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing 2lz " o.c. span 30 ft.
Exterior wall finish CE-0/4-A_ 0,.ver ov�L 2uFDceVf-tetf S ,-4,�
Interior wa11 finish *fC&i R -€- - r7q--60 7;
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 7� S'r
`Y5/ 1t2 f?irr. t,-
Is there to be an opening between garage and dwelling? /Uo. If so will a Fire-rated door, enclosure,
self-closing device be provided? c1�S .s P&, Coo
Will a flue-lined chimney• be installed? yes Height above roof Z ft.
Depth of chimney foundation below grade c ft.
Depth of fireplace hearth Z, ft. 6 in,.
Water supply - unicipal r private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /0c ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER Mcc-tfl -C-2. VA- -roLd ADDRESS 32 W'Lc.ok) !Zc TEL. NO. 793 73 ,S" ?
NAME OF PLUMBER Jpic_i< J-/}TA - ADDRESS /3v7-7 5'A/UT TEL. NO.77,E- 3iJ
NAME OF MASON epjt,.,,D 1- I404) ADDRESS Peg y / - J Pv TEL. NO. 79 2 -6Z 2 2.
NAME OF ELECTRICIAN (=/2.44 ADDRESS 76/eCi-dnAl 6 TEL. NO.
DECLARATION
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 i-.7,..13ie'r".of the BUILDING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed work shall be complied with, whether spe ified or not, and that
such work is authorized by the owner. �' �.
Signature47,(cititileafi1 :1
ner, owner's � hitect,contractor
SPECIAL CONDITIONS OF THE PERMIT: -
BY
TOWN OF QUE . NSBUR.
•
WARREN COUNTY , NEW YORK
Application for :- BUILDING PERMIT I.N COMPLIANCE WITH • TH) 9Jr1CW QUgRNSEBUFIV
STATE ENERGY CONSERVATION CODE RECEIVED
• A permit must be obtained before begin two r 90,
•
ANSWER ALL of the following: •
'BLDG. &CCODE DEPT.
1 . Gross floor area 275 4 r7
2 . Type of heat_ ' Scouezilc /Il--)4? P( 11 ,i'
•
3 . Is the building mechanically cooled?
•
4 . Percentage of area- of windows and doors
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heat=.d spaces YES NO
a. Are foundat on walls insulated? YES NO
1 . If YES , what is the R value?
•
3 . Slab on grade YES NO `
• a. If YES , wh .t 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 •
•
B. Under 16% Only •
1. R value of roof and floors exposed to ambient conditions
3e3
•
2 . R value of exterior walls . /9
3 . ' R value of glazed area 41,3
4 . R value of doors y• 3
5. R value of floors over unheated spaces /Uo.tiL
6. R value' of slab edge insulation - unheated slab ti o&vC
7 . R value of slab insulation - heated slab /VowE
8 . R value of heated basement/cellar walls (above grade) -/I .
9. R value of heated basement/cellar walls (below grade)
10. Type of insulation F036-2 64-104-S3
C. Controls o.
1 . Thermostat maximum. heat setting c5.5
D. Duct Systems. •
1 . Is duct system installed in unheated -spaces? YES NO
- a. If YES , R value of duct installation •
b. R. value of . duct in- other areas
•
• E. Piping Insulation
• 1. Size of hot water or cooling carrying agent pipe
2. R value .of pipe insulation •
• F. Service Water Heating
1. '. Performance efficiency ht'Cf-i •
2. Temperature control setting maximum ,30`
G. For Swimming Pool Only
1. Maximum heating •
Telephone .No. 7353
(applican • ' s signature)
TOWN OF QUEENSfURY
;S�_, APPLICATION FOR i®��R C? E A/S�
ti _. �C�/igsD " -
-=vf�> SEPTIC DISPOSAL PERMITFEB 1
B1_DO• Ft POEDEFT
DATE F i- 5/ /y 90
LOCATION OF PROPERTY FOR INSTALLATION L o7 "/2' y4/CSG0010,n
Ai, lfl4S/c-t60 /?rc»c.oe/L
Owner's Name: �,?,�,0y Gtc_pF,g7T Telephone: 7 9 3 -7 353
Address: /7 '316/tIl /SitcHi}cc-LA 7---42i✓t
Installer's Name: Pyr/► o ,1-4,v412040 Telephone: 751 Z —C., 2 2 .
Number of bedrooms (residential only) .1
Total daily flow (compute O. 150 gal per bedroom) COO G4Z.-.
Topography: Circle one: 0Rolling Steep Slope % of Slope
Soil Nature: Circle one: an Loam clay Other _ /Depth: 3o} Feet
Ground Water: At what depth? dot Feet
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one:�ot required)required rate min. inch.
Domestic water supply: circle one: 4 unicipal Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank •/MO gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet/Total system length • • feet
SEEPAGE PIT(S): Number of 3 / Size each 8 feet by 7 feet
/
Size of stone to be used # 3 /Depth or Thickness 2 feet
*************************
I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: )/,,:e/1„24 1/
DATE:
OVER
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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
•
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks: •
MIDDL ?DEPARTMENT INSPECTION AGENCY; INC.
\ j National Headquarters
"'� 900 Haddon Ave., Collingswood, N.J. 08108 _
APPLICANT COMPLETES THIS SECTION e. Date_��/
City, Town or Townshiphi Il 4 -- V� y
/ All County ! 4I7
C'�"�' State 11
Location/Address ,.f f_:77` /2, '
(If Located in Rural Area - Please Attach Directions)- Pole #
Owner s^�i"7L,Z /(,) - Permit # 6-4)-2
Cir
Occupied As ./ ii tt~( i�JS`rp7/4 . AlZ:5/ir a`- C Building: New►li Old El
Occupant -- ` ___
Work Area in.Building (Floor #,etc.):
App. for: Wiring l'21 Service or: Ready for Inspection:
Fee Remitted-$ - Cash❑ Check n M.O. n Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 •
Number of Rough Wiring Outlets Elect. Heat -
Switches 3 0
Lighting _Iv() p. Service - Surface Unit A Dishwasher ,. Range _
Receptacles t ater Heatej x Air Conditioner A Dryer Pump
Number of Fixtures
5 -`Oven • Garbage Disposal Wiring an Controls for Burner
- •- 2..-- O Amp. Receptacles Fractional H.P. Veniile ans
Other Equipment: - - -
MOTORS H.P. - 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2, 3/4 1 lP/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 .100 -
Mark Number
of Each Size - -
Applicant's
Signature /11/ 1-4-7'^-* License #+� _•J YPermit #
T/A Utility: '' d e5 Z ��
Applicant's Address: (NAME) ' OFFICE LOCATION)
(City) - (State) (Zip) Service Request #
Phone'#1 Electrician: .+' ,./2 �~
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above n or: .
Red Notice Label n -
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 1i/2 2 , 3 5 71k 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 Elect. Heat
I
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID
II RW Progress: Inc.❑ LKD❑ - Contractor
❑ CFT Violation: Work Comp.❑ Inc. ❑ -
I I L/A Owner CASH ❑
n L/A 1 - _ Fee-_ CH K #
Due `` - MO #
n IPA - - .Municipal - . -
INV #
Date: - - - "Other Side I I-- -•- Utility Owner Applicant H
Cut in Card n Temp # Date -
n -
Final # Date INSPECTORS SIGNATURE
APPLICATION FORM NO. EL4/89 - -
•
•
TOWN OF Q UEENSB URY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date 19 igd Permit No.
•
•
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 1/ APPLIANCE TYPE
45-Ajoij tut-,
Stove Coal Wood
Address 32 404-LCt-<) Furnace Hot Air Boiler
f� Zero Clearance Circulating Unit
1Vi)!_=r�T.1�r't12i./ Zip / 0�
Phone / If Non-Masonry:
- /IOwner's Name //��c► l AA joy Jle.,e'0,= -.t�r
Manufacturer
Address ✓9 AtCf j r ,r �� Model Outlet Size
11.6---_, \JS.A70/2-‘7 Zip /2<Fe) GI- Listed by Number
Phone - � �
" - CHIMNEY TYPE
Masonry: Block X Brick V Stone
Property location of proposed construction Flue: Tile Vf Steel
Size: `7 X/
22c A.re- e<Actio / Factory Built:
s - 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 $ 100a ng
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ 251\/
SONRY FIREPLACES AND CHIMNEYS.
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
•
Department; Fire Marshal Amount Collected Amount Refunded
Code Number Title
A173 3389 (190)Public Safety
A233 2655 (230)Minor Sales
Fee Collected from or Refunded to: eked r ��L��
Address: � .//O Ll, , (,f \ `l 1 l' r
•
Dated: /!5/ TownClerkorDeputy ' � ()
While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
.”J eisf J J VJ v v cf� v J VeoeCh„J"7"v/1 �\•e
t MIDDLE DEPARTMENT INSPECTION AGENCY, INC. )
v 900 Haddon Avenue Collingswood NJ 08108 9.0 _2_0( `
;,''- \. _ __ "� • t c;, '.. Date August 1 , 1990
ertif leg that the electrical_equipment listed has been examined and is approved as being in accord y'
>p with the National Electrical Code applicable governmental, utility and,;Agencyrules. C\
lE 2''
•
>9 Owner: Mike Vasilio,r� 9 { r Occupancy Dwelgli 'ig C
:II Occupant: Same V I
Location: Lot 128 Chipewa ,Ci'r•e1e, Que en s-bu-r-y (trir cct e cSv ?sJ he �irical equipment and installation inspected this date. It additional equipment'should be introduced or alterations made to
il. ,', 1 t� + existing system this certtficate shall be null and void, and application forV Equipment: 100-Outlets; p 35-Fixtl lfg°nshoutdbesubmittedpromptlytothisAgency.
40-Rece tacles;. �• �,• ,,y,�� o der of this certificate should present same to his property insurance carrier1g200 Amp Ser`vic e; 3.-Appli'antes';'`'3=Ven`tt�geEar spany)asevid nceotcertificationofelectricalequipmentapprovedas specified..
9� \ /' JY C
'•\ - — `'y
I—ERA Electric ~�
Candleberry Lane ``'' lit,,“..-')"'_----
>b Applicant: `NO.
v 1 Queensbury, NY 1228.0 ,f �„ " 16-033496/031 C`
�)
��nn n,-.. nN. inc. n nhn01, 0 1 n i Z
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW PORK I280k c/16��
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RE:EIVV 4p41 r/
NAME L[„�
LOCATION /al
DATE WA711'.0or -
�s
•
APPR`VED
YES NO
FOOTING/PIERS
•
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFI' G
BACKFILL APPROVAL
ROUGH PLUMBING '
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS . . . . .
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT Y.
ROOFING ' .
SIDING
EXTERNAL PORCHES/STE . '
STAIRS-CLEARANCE & sLS
PLUMBING FIXTURES/R L iEF VALVE
INTERIOR TRIM/PRIVA'Y DOORS
FINISHED FLOORS - , ,� ►1(1146- C.05"3,
GARAGE FIREPROOFIN!.
DOOR CLOSER(S)
SMOKE DETECTORS K
FINAL ELECTRICAL I SPECT ON ' '
_FINAL APPROVAL OF 'ONSTR j'TION r
. OK TO ISSUE C/O O•r' .C/C •
A SIGNED CERTIFICATE OF O CUPANCY MUST BE
OBTAINED FROM TH.7 BUILDIN DEPARTMENT BEFORE •
THESE PREMISES A 'E OCCUPI !•
•
REMARKS: , `L 6/0 l�� N rid"�- ,L� .
155'v ,
•
•
, ARRIVE
DEPART G L1s
I SPECTOR
, .
, . " ';',' ,.• I:1 •
- -: ' • ' C
.. . a,Et 0 Asettctf itiqe',
Iitf. tVettirt,!.,,,
- -...;;:;::!.11, 1.;.;f ;r.l.rly,t•, i.,...,...,,,,,p,a „4:1.--;,;,,,.-:;nws
r, ...,. -
'
,4
l gl)t.. 4 0 7._ 2
500V 6.65
x„ C-ItC-
. . .
. '
. )0 - - - - „..„„„cii•
' TI . constitutes certificationotnthe that the
but
above installation,
‘ , men
. ' t itself, has been visually inspected
as of this date Pu rsuant to the
apPc-
47 -able codes. Ifadditional equipment •
should be introduced or alterations ;
.Ingsystem or stuc-
made .to the exIst • Von should
tore, application for li nspoecthlis il,gencv.
be submitted prompt y
.3. ' , • •
' ' ••,,.. ‘.
, .
v..,`A, •tit'.'''AS.Liit;43f,i.r 14...Iiii;"..k'i.t'i'. . , 3 •- ,-,,
TOWN OF QUEENSBURY
BUILDING :ND CODES DEPARTMENT
BAY & HAV LAND ROADS QUEENSBUR:, NEW YORK 1280A. C� ✓ -4 J
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST F!)R INSPECTION RECEIVED
RECEIVED 6 ‘A)‘A).�'.
NAME Mlle, kii.d.L,14WJ
LOCATION,) ,f (��v1 �
ti/
DATE w ! 96 PERMIT # 942 /
APPROVED
YES NO
FOOTING/PIE'S
MONOLITHIC OUR FORMS
FOUNDATION/"AMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBiNG
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/`, t PS
STAIRS-CLEARANCE .',RAILS
PLUMBING FIXTURES/.' LIEF VALVE
INTERIOR TRIM/PRI ''‘Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFIfG
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL it SPECTIoN
FINAL APPROVAL OF CONSTRU 'ION
OK TO ISSUE C/O 0' C/C
A SIGNED CERTIFIt`ATE OF OCCU'ANCY MUST BE
OBTAINED FROM TH, BUILDING D "ARTMENT BEFORE
THESE PREMISES '.! E OCCUPIED!
REMARKS:
II(
ARRIVE
DEPART k
INSPECTOR
awn of Queenihur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Queensbury, New York 12801
•
i .
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME /&'l G .L t, /
LOCATION S /d; �f L W .V '
_ l � ;teci a
DATE D�. .�/1�� PERMIT NO. --ij 0
SOIL TYPE - Sand - Iloam - Clay -
Percolation Test Required? YES -
Percolation rate - in/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench ' /
Depth of trenches ii i
Size of gravel R _, /
SEEPAGE PITS-fNumbej of) . '-J
Size- 14 ft. X 'S At. ri- Li—
Gravel size , I I
PIPING: iSizp/ T e,
Bldg. to tank .
Tank to dist. box a 0 t//L
Dist. box to field/pitt V
Openings sealed? YES , NO Partial
LOCATION/SEPARATIONS: . /1
Foundation to tank J, il ft.
Foundation to absorption t``- ft.
Absor tion to lot lin o-- ft.
Se•arat..on of pits / \ `-7 7 ft.
TION F SYSTEM ON/ PROPERTY(circle one)
rout - Rear - Left side k Right side -
-NTS:
I \ '
II
\ '
i It t
i
i
f
f .
SYSTEM USE APPROVED YES NO/
Building 'Inspector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS `77
QUEENSBURY, NEW YORK 1280� ���
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED, (�
NAME Aral a/f Ida ,66,0-
LOCATION h/„1 �jlu _ �ij"�*C/ �G/f�«2//1T17171
DATE Ya PERMIT # - 'I
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-'ROOFING
BACKFILL APPROVA
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH- N
XINSULATION:
FOUNDATION �.
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STE,S
STAIRS-CLEARANCE & R 'Yw,LS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVA Y hOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INS ECTIO
FINAL APPROVAL OF C STRUCT ;ON
A SIGNED CERTIFICAT' OF OCCUPANCY MUST BE
OBTAINED FROM THE WILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
SPECTOR
TOWN OF QUEENSBURY PN
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION R EIVED 4-hd/10441
NAME //?
LOCATION /2 13 ��f�l/ .ata 6h
DATE R2-13/q0 PERMIT # (10 Z I
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL . F
K`(ROUGH PLUMBING ,! f'. '
/(FRAMING n f
ELECTRICAL ROUGH-IN ;1 ' ' ,
INSULATION: li
FOUNDATION
FLOORS . . . . . j
WALLS y(
CEILING ;, . 1 '
FINAL INSPECTION:
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SIDING ' (\ . I
EXTERNAL PORCHES/STEPS . l
STAIRS-CLEARANCE & RAInS I
PLUMBING FIXTURES/RELIEFE VAVE
INTERIOR TRIM/PRIVACY DOOR
FINISHED FLOORS 1
GARAGE FIREPROOFING %,
DOOR CLOSER(S) Y .
SMOKE DETECTORS 11
FINAL ELECTRICAL INSPECTION\ '
_FINAL APPROVAL OF CONSTR CTI'ON
OK TO ISSUE C/O OR C/C1
A SIGNED CERTIFICATE O/ OCCUPANCY MUST BE
OBTAINED FROM THE BUI DING DEPARTMENT BEFORE
THESE PREMISES ARE O CUPIED!
REMARKS: \
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ARRIVE ! ,�-;' . 7--
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DEPART J 6"'_+
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDINC' INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED__.
NAME r; - 11; '4():
LOCATION
DATE ? PERMIT #
i V S v 0 b of YESRONOD
7 l
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMS-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION y, y,f'`.
FLOORS 1
- WALLS
CEILING }? •
FINAL INSPECTION
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ROOFING
SIDING
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INTERIOR TRIM/PRIVACY''DOORS
FINISHED FLOORS =,
GARAGE FIREPROOFIkG,.1
DOOR CLOSER(S) ;5
SMOKE DETECTORS '`
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
•
A SIGNED CERTIFICATEOF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: •
.L.j\--1//24/74 1 :73 f'42
•
! -a
INSPECTOR
1011)1
TOWN OF QUEENSBURY
AIV
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- _ f
TELEPHONE (518) 792-5832
ILDING INSPECTOI S REPORT
REQUEST FOR .NSPEC ION RECEIVED"�3/ 6 I g Q
Q
NAME nt i I, II ,
LOCATIONAL /90 Lei. / CI)— •,
DATE ( C , PERNay
I�IIT #
6
9 d APPROVED
r
YES NO
DOTING/PIERS t. L
M OLITHIC POUR FORMS 0
FOUNDATION/DAMP-PROOFING •
)ACKFILL APPROVAL
OUGH PLUMBING { f.
FRAMING 1. !' .
ELECTRICAL ROUGH-IN A
INSULATION: . s{, yk
FOUNDATION ti!.
FLOORS i . . . . .
• WALLS . . '1 . . . . . . . .
CEILING • PI . . . .
FINAL INSPECTION: j
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INTERIOR TRIM/PRIVAY DOORS
FINISHED FLOORS '.
GARAGE FIREPROOFING; K
DOOR CLOSER(S) h' 1'
SMOKE DETECTORS i ,. .
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CO4STRUCTIO4. •
'
A SIGNED CERTIFICATE pF OCCUPANCY MUST BE
A.
OBTAINED FROM THE BUILLDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: - .
THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING
PROTECTION FROM FREE4ING FOR 48 HOURS
FOLLOWING THE PLACEMENT OF THE CONCRETE.
/
MATERIALS FOR THIS PURPOSE ON SITE
W.
' ARRIVE '' S NO
DEPART "
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INSPECTOR
TOWN OF QUEENSBURY \�
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST �OR� f±NSPEG ION RECEIVED 3 1 �kl 1M
NAME I L L /! / 7_ 1
LOCATION ' V ,7V N av4`i
DATE L_ /f/OA M;1/ PERMI # 610 -02-C1
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS f J FOUNDATION/DAMP-ROOFING 1
UOACKFILL APPROVAL
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FRAMING
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INSULATION: f
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FLOORS. I
WALLS ,� I
CEILING r
FINAL INSPECTION:
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INTERIOR TRIM/PRIVA Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFING ,
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INS ECTION
.FINAL APPROVAL OF CO STRUCTION
OK TO ISSUE C/O OR /C \.,
j C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING\DEPARTMENT BEFORE
THESE PREMISES ARE CCUPIEDh!''
REMARKS: �
I J�O U 4/1-aS
4-5694,1-- 7- OA- P eari-00"i+
•
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DEPART
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TOWN OF QUEENSBURY LATE)
BUILDING AND CODES DEPARTMENT
f
BAY & HAVILAND ROADS
1 .
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 2-1 1\,ft
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NAME ILA 1/C-1-
•ts,1A..),�t
LOCATION` � l is(1_.�-66 -1
DATE '2 12-8 1— C j PERM # Gr{�,/ -
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APPROVED
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ONOLITHIC POUR FORMS f
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FRAMING
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INSULATION: A •
FOUNDATION
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FLOORS
WALLS # • ':, .
CEILING 1' • '
FINAL INSPECTION:
CHIMNEY HEIGHT 1. .
ROOFING • A
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES%RELIEF VALVE
INTERIOR .TRIM/PRTACY DOORS
FINISHED FLOORS '1
GARAGE FIREPROOFING . A •
DOOR CLOSER(S)
SMOKE DETECTORS ,
FINAL ELECTRICAL INSPECTION — - - ' •
FINAL APPROVAL OF CONSTRUCTIONI, '
4 A
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!.
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REMARKS: 1
THE CONTRACTOR ISRESPONSIBLE FOR\ PROVIDING
PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. 1,
MATERIALS FOR THIS PURPOSE ON SITE
YES NO
ARRIVE c3 ✓ f 1
DEPART
INSPECTOR
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