1990-231 •:,
CERTIFICATE OF OCCUPANCY
•
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 4 19 90
s -
This is to certify that work requested to be done as shown by Permit No. 90-231
has been completed.
This structure may be occupied as a single family dwelling
18 Fox Hollow Lane
Location
Mibhael D. Wild
Owner
• By Order Town Board
• TOWN OF QUEENSBURY
(---
)
Director of Bldg. 6c Code Enforcement
BUILDING PERMIT
120
TOWN OF QUEENSBURY - +
No. 90 231 = ry
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to MICHAEL D. WILD —a
OWNER of property located at 18 Fox Hollow Lane Street, Road or Ave. !. -•
_ w
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 "G
16 Fox Hollow La
Queensbury Ny 12804 -
2. CONTRACTOR or BUILDER'S Name n
CD
_ !v
same
•
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
O
5. ARCHITECT'S Address . 0
O
6. TYPE of Construction—(Please indicate by X)
CD
( Wood Frame ( ) Masonry ( I Steel ( ) _
7. PLANS and Specifications
No. 60'x73' Single family dwelling as per plot plan, speciaa.tions and application,
including attached two-car garage and septic system.
8. Proposed Use
Single family dwelling
$ 348.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 3 . - 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.) - - -
Dated at the Town of Queensbury this 3rd Day of May 19 90
SIGNED BY • for the Town of Queensbury
Building and Zoning Ins or • -
TOWN OF QUEENSBURY
REVIEWED BY i�DTl
01114k FEE PAID $ 18 301,3 -a5 FP
g � PERMIT NO. el) - Z 3 ` .
BUILDING PERMIT APPLICATION ;UWN OF QUE k'v -
'iglMlnikili -
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. '1+P0`II<fSPnONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PEIfMIIIDING & CODE DEPT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear -on the reverse side of this application.
* * * * a * * * * * * * * * a * a a a a * a a, * * a * * * a a a a a * • * * * a a
The owner of this property is: /72/e_h&Q/ 3, 1a/
P.O. Address 6 Kox //o1�c.j 14,10 Tel. 7 3 9/344
Property.Location 69(/Pp,O i? t` /t'l/ S /ai7d') if Cax 74//,)Tax Map No. / /
Has there been any split of this prope ty since. October 1, 1988? / '✓
If yes Planning Board Review is necessary. yes no
SUBDIVISION, NAME, IF APPLICABLE' a /and (&a4f? /5) LOT NO. 5--8',
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF •
Construction of a new building * CONSTRUCTION: $ 90)coo. 'J
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* Size of property /05 ft xa.900 ft.
Alteration to a building • * Existing Buildings(3) Size -- ft-Jx ft.
(no change to exterior dimensions) - •
Proposed building - distance from property line:
Other work (Describe) • Front yard ft. Rear yard ft.
•
Side yards - - ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft.
1st Floor sq. ft. I 1 b
' JJ �� D * ,v OCCUPANCY INFORMATION
2nd Floor 7�f� sq. ft. u • ?P it mmary Building -
\
Other-Floors `7�� 7n� • ✓ One Family Dwelling
sq. ft.
(not cellar or basement 2=1. 3/• Two Family Dwelling
TOTAL FLOOR AREA �� sq. ft. L % Multiple Dwelling/Number of units
Size of new structure (gip ft x 73 ft.
2'* Business
Foundation-pier/slab/crawl/partia '( • Industrial
(circle one) * Other
w .
No. of stories (habitable space)2- • - -
Height (grade to ridge) fig' ft. * If addition, what will use be?
If residential, no. of families • -
No. of rooms(excluding baths) 9 ' Accessory Building
No. of bedrooms ` _Detached Garage ONE/TWO Car
No. of bathrooms 03 //z -•
4.5 �io� 4�l` • Attached Garage ONE • Car
Primary heating system j
Type of fuel 743 ` _Private storage building
No. of fireplaces to be installed / `
• Other -
Will a wood stove be installed po
Central Air conditioning 'E5 -•
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. 'v/oo --«rne.
Will any second-hand_or''upgraded lumber be used? If so, for what? 6Jo •
r!
Foundation wall',material(oy)(re b/oes- Thickness 70
Depth of.fo.undation, belowgrade (to bottom of footing) "7
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? \/65 Will any portion be used as living space? /lJc
(If so, what portion? • sq ft. Type of use? -
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs o,2 "x (, " spacing /4 " o.c. length A- ft.
Joists (floor beams) 1st floor 07 "x (Z_ " spacing /c "o.c. span 15114 ft.
Joist (floor beams) 2nd floor ) "x /o " spacing "o.c. span1S1 4 ft.
Overlays (ceiling beams) "x /t " spacing /(p " o.c. span n`9 ft.
Roof rafters ,t "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish 0/4/.0&„ord of what material? Cedar
Interior wall finish S)-iee7Lioek
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Ire r4-ka ghee/rock
Is there to he an opening between garage and dwelling? AS If so will a Fire-rated door, enclosure,
self-closing device be provided? -YES
Will a flue-lined chimney be installed? /lc) Height above roof ft.
Depth of chimney foundation below grade -ft. --�
Depth of fireplace hearth ft. in. -
Water supply - Municipal or private well Mc_tn, c ip4
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)
NAME OF BUILDER/7i,4Q.e/ l,�i4( ADDRESS /Z ,/4,i L TEL. NO. 793- .,V
NAME OF PLUMBER -Jack Fa L./ex ADDRESS Qby TEL. NO. 71T- V39
NAME OF MASO 4(e ADDRESS (1..1 TEL. NO. 7g2'137/
NAME OF ELECTRICIAN , 7 ->'A0. ADDRESS Qb1 TEL. NO. 793-/9�.3
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 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 �/.
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
•
BY
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit.it must be obtained before beginri-3±tYi�+ ���►J,EC'I�" ,.v
ANSWER ALL of the following: A H., - . i~
' 1. Gross floor aria_ _G,�Co�f 1[ 3;01990
2 Type of heat.QS 17.0Z- air' BUILDING & CODE DEPT,
3 . Is the building mechanically cooled? yes
4 Percentage of area of windows and doors g i
A Over 16% Only
1. Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2. Floor over heat i spaces YES NO
a. Are foundat . on walls insulated? YES NO
1. If YES what is the R value?
3 .: Slab on grade YES N0'
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.
8. Under 16% Only
1. R value `of roof and floors exposed to ambient conditions
2. R value of exterior walls `q
3 . R value of glazed area 31
4 . R value of doors a '1 .9.
5. R value of floors over unheated spaces AO
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation heated slab
8. R value of heated basement/cellar walls (above grade) If
9. R value of heated basement/cellar walls (below grade) R
10. Type of, insulation +bQc1) 1sc
C. Controls 1. Thermostat maximum heat setting 90
D. Duct Systems
1. Is duct system installed in unheated spaces?. YES NO
a. If YES, It value of duct installation
b. R value of duct in other areas
E. j na ' insulation
1. Sise of hot water or cooling carrying agent pipe ..
2. R value of pipe insulpt+
r Service Water Heating
1. Performance efficiency v A
2. Temperature control setting maximum
G. !or Swimming' Pool Only
1. Maximum heating
Telephone No. '161b -934 `
X21
' (applicant' s signature)
rr • o va �v JUL'll r
APPLICATION FOR
4=1/.\ SEPTIC DISPOSAL PERMIT
alb til(•j ,E:1`.:.:.
Jb
•
DATE,4 /7l 30, /vrJ APR 301990
BUILDING & CODE. OEP'
LOCATION OF PROPERTY FOR INSTALLATION /J X i/a//01.J L4/7Z,
Owner's Name: M h, ,e/ w /d Telephone: 793-93/4/
Address: /6 �X Nra 0a L.4 A.e_,
Installer's Name: 2,4vT kt/iehei3 Telephone: 792-OZZZ
Number of bedrooms (residential onl ) `7
Y
Total daily flow (compute Cd 150 gal per bedroom) 600
Topography: Circle one: Flat ollin Steep Slope % of Slope
Soil Nature: Circle one, Loam Clay Other /Depth: Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle on- Municipa Well Other
If domestic water supply is a wel :
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank /,o0c •gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench feet/Total system length • • feet
SEEPAGE PIT(S): Number of 7 / Size each feet by 7 feet d'
Size of stone to be used # /Depth or Thickness feet
*************************
I have read the regulation on the reverse e of this sheet and agree to abide by these
and all requirements of the Town of Q eensb ry Sanitary Sewage Disposal Ordinance.
SIGNATURE OF RESPONSIBLE.PE SON: -7L,OD
DATE:
OVER
•
I Septic '-System Inspections:
A. AWapplic"scions for septic system installation, alteration or repair, •
as required`by the Town of Queensbury Sanitary Sewage Ordinance, shall
• br?s'ubmi;ttad; 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. Nu 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 co $250.00. .
C. An approved copy of the plot plan shall be available on the construction
site. Failure co 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
BLDG. PERMIT NO. 9 0-2 31
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; 18 Fox Hollow Lane
for the following uses: single family dwelling
is
&&, /97o
DATE SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (APPROVED
( )DISAPPROVED
with the following conditions: (1) Steps and railings on front; (2) Railings on rear
porch a4nair{r�rlres�a�xry�} rrsnrmm n rxl�ma�r
TEMPORARY CERTIFICATE OF OCCUPANCY FEE: (4$10.00. DEPOSIT: ($$100.00
received on July 23, 1990 il) ,��(.l� �/ ,!
Date of Issuance Director of Bldg. & Cod Enforcement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 30 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
•
TOWN OF Q UEENSB LIRY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
,
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date
1 ,
So 19 V Permit No. 90 -? i
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit
pursuant td 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 Pt l chn e I T, `n/I. i d APPLIANCE TYPE
Stove Coal Wood
Address i g Rox 4n 10, ,/ n P Furnace Hot Air Boiler
Zero Clearance k Circulating Unit
Phone l9 b'? Zip
'7 q 3 - g1. !i If Non-Masonry:
r Owner's Name S q vy 7e
Manufacturer i'( 0� J�' L
Address I lo Fox Ito I' I r) 1_ r;tee_ Model 0C.�3(L Outlet Size
Zip Listed by Number
Phone
CHIMNEY TYPE
-- Masonry: Block Brick Stone
Property location of proposed construction Flue: Tile ' Steel ,K
i W [-.70 l4-v 0DIA) Lnr, 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 X
AND CHIMNEYS. MUST BE INSTALLED Insulated
•
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ ,45—
SONRY FIREPLACES AND CHIMNEYS.
• CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department: Fire Marshal Amount Collected Amount Refunded
Code Number Title
Al 73 3389 (190)Public Safety A. 9�-- __
(,}Y
A233 2655 (230)Minor ''1 Sales �� L.
),,----Pee Collected from or*efunded to: `!��1�1 �,�)�a_e,P ,(�d
. Address:
Dated: 4-' f�1, qd Town Clerk or Deputy
While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
•
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL •
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.N DATE
CITY OR VILLAGE TOWNSHIP`7 r 1 COUNTY
STREET AND NO.OR ROAd/- ../� fo/4) c74e POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED?` / SECTION BLOCK LOT
OCCUPANT'S NAME.y�/( r//f2-- BUILDING OCCUPANCY
OWNER'S NAME AND ADDRF,$S HOME TELEPHONE NUMBER
�U i—oA � //0
, c.r 2012 f 2 e(2/7.S,46v e y
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS �{ �,/
NEW-t�J OLD❑ WORK IS NEW l ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
' SUB-
BASE
BASE-
MENT
1st
FL.
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. '
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
•
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING \�,1�� MANUFACTURER OF SIGN
El OVERHEAD -? UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICAf��1/(7/L. r,�/`� DATE OF APPLICATION BSI fJ� O APPLf;C;T
I C 1 G �uYy _/•L •
STREETADDRES,,ss/� TELFHO�+IENQ,
/[r' r cy /c Z.Z.OA/ 1 Ake—. !7
CITY OR P9357 OFFICE IP C-DE LICENSE NO.WHEN APPLICABLE
(f/(64S ��r rvK • fi%.,P
❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
THE NEW YORK BOARD OF FIRE UNDERWRITERS
MIDDLE DEPARTMENT INSPECTION AGENCY, INC. 9o- ---81
> 900 Haddon'iAvenue Co1lingswot>d N J 08108 �
r C
> ,;,.,..
'` , `ti °C{ L ,J Date August 3 , 1990
C.
Qertlf leg that the:electr,.ical.equipment listed has been examined•and,-is approved as being in accord
9 with the National Electrical .Code,applicable governmental, utility and.Agency''ru_les. C
!� 3 J ` ti `' `L
>2 Owner: Mike Wild i . , ' , Occupancy •Dwelling; C
Occupant: Same c _ i •
C
9 Location: 18 Fox Hollow Lane Q'ueensbury...(_Warr. ,gee rRa `cd Xthe,electncal equipment and installation inspected this C
+ ; date. If additional equipment,should be introduced or alterations made to
,It 'i-' '�t •`1;. l existing system this certificate shall be null and void, and application for
▪ Equipment: 116-Outlets', 50-Receptacles, hould be submitted promptly to this Agency. C
3:6,.-.Fixti���f
'Holdgc of this certificate should present same to his property insurance carrier
�� 200 Amp Service; -Applia'nces';'` `3°=Venters['c i$any)asevid'nceofpertificationofelectricalequipmentapproved
�: -\ as specified. h> C
t `y � /
>7 EBob Murtha - �- t
91 Mannis Rd. - 'J s,;, ,Applicant: ENO.
>? LQueensbury, NY 12�804 16-035540/031 C
r.r.,.►fin 7M F, 1 42 -
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 1/7/,o
NAME ?____�,� �
LOCATION
DATE f9g PERMIT # 90.?a
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING 0 /
BACKFILL APPROVAL
ROUGH PLUMBING ' J
FRAMING \ /
ELECTRICAL ROUGH-IN /
INSULATION: /
FOUNDATION
FLOORS
WALLS /. . . .
CEILING I
'( FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING / ..
SIDING ,X
EXTERNAL PORCHES/STEPS I \ (
STAIRS-CLEARANCE & RAIL'S \ t,./
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY/DOORS
FINISHED FLOORS \ ,
GARAGE FIREPROOFING /
DOOR CLOSER(S) /
SMOKE DETECTORS
FINAL ELECTRICAL INSf�ECTION .-
FINAL APPROVAL OF CONSTRUCTION i./'
OK TO ISSUE C/0 OR I/C
A SIGNED CERTIFICA E OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
'. \
REMARKS: J4q 4 0 to p'' \`
ARRIVE 6 /5 7//: /
DEPART vc. 7
IN$PFCTQR
TOWN OF. QUEENSBURY
BUILDING AND• CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280SL
TELEPHONE N(518) 792-5832
B IIDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION R CEIVED
NAME `(,4, ` Jl/1 L.O
ik LOCATION / \` , 1 i 5._
DATE 4 Z�? 2} PERMIT # Cr) Z c�'j,
I.
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR' FORMS.
FOUNDATION/DAMPIIPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \ ,r
FRAMING .,
ELECTRICAL ROUGH-IN;`
INSULATION: . I`
FOUNDATION
FLOORS ,( "` . " "
•
WALLS I I • . . .
CEILING I j
FINAL INSPECTION:
CHIMNEY HEIGHT '
ROOFING I
• SIDING I
X EXTERNAL PORCHES/STEPS . . . - Nc
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES�RELIEF VALVE
INTERIOR TRIM%PRIV CY DOORS
FINISHED FLOORS
GARAGE FIREPROOFIN
DOOR CLOSER(S) 1,
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION " " . . . . . .
FINAL APPROVAL OF CON TRUCTION " "
1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPED!'
REMARKS 7/ P CO, f.�(0 l 1L 60
Fk Acr - I t I�Sees PT fPa / -LMA�T
-7� M,fo rc srb�s 1I M��I A-1 -L6-io_
'Pam oU6,2 l$ iw CrtndL-. 1 L(AI&
G 4fc& rr oot- st 1�-�RN� �.e--
INSPECT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT Ad:L/2/.7
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801. /, l •
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 04/9C)
NAME -1)/Itelklit_P) id xi d J
LOCATION 1 £) pa 1Giy��
DATE 7 ;j Q Q PERMIT # 96'b.&
/ APPROVED
YES NO
FOOTING/PIERS 1
MONOLITHIC POUR FORMS I
FOUNDATION/DAMP-PROOFING/
BACKFILL APPROVAL II
ROUGH PLUMBING
FRAMING it
ELECTRICAL ROUGH-IN ' jf
INSULATION:
FOUNDATION
FLOORS 1
WALLS I
CEILING • 1
K FINAL INSPECTION: /Le 9i t€ 4i) �� / (�
CHIMNEY HEIGHT / ;`
ROOFING • / •
SIDING • • /
EXTERNAL PORCHES/STEPS', j
STAIRS-CLEARANCE & RAMS /
PLUMBING FIXTURES/RELI F VALVE
INTERIOR TRIM/PRIVACY biO ORS
FINISHED FLOORS / _
GARAGE FIREPROOFIIjG A
XDOOR CLOSER(S) 40_11 G5J
SMOKE DETECTORS 1 NO
FINAL ELECTRICAL INSPE16TIO.�V ' '\ _/
_FINAL APPROVAL OF CON65TRUCTION IX
- OK TO ISSUE C/O OR -I/C V " -
A SIGNED CERTIFICA E OF OCCi;PANCY MUST BE
OBTAINED FROM THE/ UILDING DEPARTMENT BEFORE
THESE PREMISES / OCCUPIED!
/
REMARKS: / / /
• --/-..r/
q �G;01 C /-( f 7' /;. '�-
•
•
ARRIVE ' ; ;
r ;
DEPAR ;/'/)
INSPECTOR
MIDDLE DEPARTMENT INSPECTION e IAt3 AGENCY, INC-
Electrical-Building-Plumbing-Fire
F'is f-fio((oer.
1 Date • - -ice •' 1&Intl I Kb: WI 1
r
*.Y .:
T constitutes certification that the.
above installation, but not the equip-
ment itself,has been visually inspected
as of this date pursuant to thep
' able codes; If: additional, .-equipment.
should be: introduces or alter stt uc
i I' ,made to.the existing ys inspection should
-tore, application-for
' be submitted promptly to this Agency.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVI 'ND ROADS / C.(.(�J
QUEENSBURY NEW YORK 12801. //�
TELEPHONE (518) 792-5832
hUILDING INSPECTOR'S REPORT
REQUEST FO', INSPECTION RECEIV D ///�90
NAME 1/ �1 . 12//j / V i,l,F'd
LOCATION f �TG`..(G 4/- /rnt 4::,/dn,(A
DATE i// .' I G6 PERMIT gio,23%
APPROVED
YES NO
FOOTING/PIER.
MONOLITHIC PwUR FORMS
FOUNDATION/D , IP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBI
FRAMING I
ELECTRICAL ROtGH-IN '
INSULATION: I
FOUNDATION k.-
FLOORS
WALLS . . .
CEILING
FINAL INSPECTI :/u1 -P.i31clojCGz 9 y ! U
CHIMNEY HEIG E' D�
ROOFING
SIDING
EXTERNAL PORC S/ST?PS
A q
STAIRS-CLEARANt E & •ILS P
PLUMBING FIXTU'ES/iILIEF VALVE
INTERIOR TRIM/'"IV.CY DOORS
(V
FINISHED FLOORS`,
GARAGE FIREPROO
DOOR CLOSER(S) - ,;(' r
SMOKE DETECTORS T
FINAL ELECTRICAL I!' PECTION V
FINAL APPROVAL OF / ONSTRUCTION
- OK TO ISSUE C/O 0' 0/C
A SIGNED CERTIFII 'TE OF OCCUPANCY MUST BE
OBTAINED FROM TH: BU DING DEPARTMENT BEFORE
THESE PREMISES "'E OCtUPIED!
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DEPART / 151. 7
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INSPECTOR
awn o/ Queenitury
eUILDING and ZONING DEPARTMENT
B:y and Haviland Road, R.D. 1 Box 98
Queensbury, New York 2801
SEPT.0 'ISPOSAL SYST NSPECTION
NAME , 7 9/iLOCATION / K J A
DATE 7 / ! PERMIT NO. �)s--7 .7, l
/i
SOIL TYPE - !Sand - Loam '- Clay -
Percolation lest Requir-d? YES - NO
. Percolation :ate - Min Inch
TYPE of SYST a-
Absorption f1 ld, tot l length
Length of each, trench:
Depth of trencres '
Size of gravel
SEEPAGE PITS{N •er,af) _ ;gr--
y
Size- I•, ft. X ' �.
v� 6 i
Gravel size
PIPING: Size T pe
Bldg. to tank . � .
Tank to dist. box ' "`
Dist. box to field' j/
Openings sealed? :YES ' (-NO Partial
LOCATION/SEPARATI ON :
Foundation to tan / ' ft.
Foundation to abs.rp'ion ✓f �f
Absorption to low lin- ` jft.
Separation of pits ft.
Ls, ION OF SYST, ON '•ROPER(circle one)
:.0 ' - Rear - -ft si.e - Right side -
COMMENTS: 71
i
9,/ --4'1/F-'7/) 7 ,
SYSTEM USE 'PPROVED ; YE • . .
A7- . ,.
Building Inspec or
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT n
BAY & HAVILAND ROADS /�l
QUEENSBURY, • W YORK 12801-
TELEPHONE (5.8) 792-5832
BUI PING INSPECTOR'S ' PORT
REQUEST FOR
I OfINS.'ECTION �RECEIVE,
,
NAME f�/(�C,"' F� 1 ifi d
LOCATION (/Jp TI�-I�!Ni) 411s _
DATE 41 0 f 0. PERMIT
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR'FORMS
FOUNDATION/DAMP PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING .
ELECTRICAL ROUGH N
INSULATION:
/' FOUNDATION
FLOORS .
WALLS
CEILING 00r t!+ ��-fZ .. .•. -
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/.T, PS
STAIRS-CLEARANCE r•ILS
PLUMBING FIXTURES LELIEF VALVE
INTERIOR TRIM/PRI 1+CY DOORS
FINISHED FLOORS
GARAGE FIREPROOFI r
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL I SP TION . .
FINAL APPROVAL OF 'ONS•RUCTION
OK TO ISSUE C/0 OR C/C -
A SIGNED CERTIFIC 'TE OF •CCUPANCY MUST BE
OBTAINED FROM THE BUILDI G DEPARTMENT BEFORE
THESE PREMISES A'. OCCUP D!
REMARKS:
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ARRIVE
DEPART 1 /,%-'J•
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CORES DEPARTMENT I I
BAY & HAVILAND OADS
QUEENSBURY, NE I YORK 12804. Q
TELEPHONE (518 792-5832 Fl
BUI NG INSPECTOR'S REPORT
REQUEST FOR IN ECTION RECEIVED ,h Jqô
NAME I icy; eu.1 W. X.d
LOCATION 1 8 )-0 W ,)1) ,4 ,
DATE Le ; - a PERMIT # %0 -2.3
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP PROOFING
BACKFILL APPROVAL
)(ROUGH PLUMBING = id-->'‘
FRAMING
ELECTRICAL ROUG IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES .TEP:
STAIRS—CLEARANCE • 'LS
PLUMBING FIXTURES "EFIEF VALVE
INTERIOR TRIM/PRIV'Ca DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL IN'•PEC'ION
FINAL APPROVAL OF •ONST•UCTION
OK TO ISSUE C/O O' C/C
A SIGNED CERTIFIIIPTE OF • CUPANCY MUST BE
OBTAINED FROM TH BUILDINt DEPARTMENT BEFORE
THESE PREMISES 'RE OCCUPI 0!
REMARKS:
4-f- l'-.
ARRIVE • S )
DEPART '�
IN FTOR
TOWN OF QUEENSBURY PO
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832 .
BUILDING INSP:CTOR'S REPORT
REQUEST FOR INSPECTION 'ECEIVED IS1 / k A,j
NAME `/ U(Lk-e- AL& / 1
LOCATION /c3 Fox
LOCATION J �L
---, __
DATE ,("//q Q 'ERMIT '# (4n-
l APPROVED
YES NO
•
FOOTING/PIERS
MONOLITHIC POUR FORMS !
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
(FRAMING
ROUGH PLUMBING I /
j . 1
ELECTRICAL ROUGH-IN !
INSULATION: 1
FOUNDATION ,
FLOORS 1 . . l. . . . .
WALLS 1 I. . .
CEILING ' 1 I.. .
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING • • ;j • /. . . . -
SIDING ' t -)1/ ' '
EXTERNAL PORCHES/STEPS l
STAIRS-CLEARANCE & RAILSf
PLUMBING FIXTURES/RELT�Eq VALVE
INTERIOR TRIM/PRIVACY + ORS
FINISHED FLOORS
GARAGE FIREPROOFING 3
DOOR CLOSER(S) 1
SMOKE DETECTORS
FINAL ELECTRICAL INSP CTION
FINAL APPROVAL OF CON TRUCTION "
OK TO ISSUE C/O OR •C C 1
A SIGNED CERTIFICA E OF OCCUPANCY MUST BE
i
OBTAINED FROM THE UILDINGI DEPARTMENT BEFORE
THESE PREMISES AR OCCUPIEDt
REMARKS:
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ARRIVE
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DEPART -,
INSPECTOR
41 //- -
TOWN OF QUEENSBURY ��
BUILDING AND CODES DEPARTMENT fi
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK: 1280k
TELEPHONE (518) 7925832
BUILDING 'INSPECTOR'S REPORT/1
REQUEST FOR INSPECTION RECEIVED
NAME f,�,�<L ft) .,,
LOCATION _1 C I DX LL t�'` , /LC__
DAT -f-}' I 1 PERMIT # "10— 2 -,3I
for
ti' APPROVED
YES NO
FOOTING/PIERS
`� l
MONOLITHIC POURIFORMS / •
OUNDATION/DAMP.]PROOFING i
BACKFILL APPROVAL .f
ROUGH PLUMBING .j •`` •
FRAMING / ' •
ELECTRICAL ROUGH-IN 1 ' . •
INSULATION: ;
FOUNDATION q I
FLOORS 4 . .
WALLS y' '
CEILING �z I
FINAL INSPECTION: I
CHIMNEY HEIGHT r,
ROOFING s''
SIDING 1 •I
EXTERNAL PORCHESSTEPS
STAIRS-CLEARANCE,"& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
I
FINISHED FLOORS _
GARAGE FIREPROOFING
vi
DOOR CLOSER(S,t
SMOKE DETECTtS '
FINAL ELECTRICAL INSPECTION
FINAL APPROVALOF 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: / V
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, ARRIVEd.• /
i.._ i
DEPART I0' i'
a
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS v�/�
QUEENSBURY, NEW YORK 1280k 6 ,
TELEPHONE (518) 792—5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED Wy,,e)
NAME 1CJ7(L ,
LOCATION 1/ �.(` / ec) i/nn
DATE , 0-/*/1 PERMIT # 9O p1,3/
APPROVED
YES NO
�J .
/t FOOTING/PIERS '* '
MONOLITHIC POUR FORMS ; I
FOUNDATION/DAMP—PROOFING i
BACKFILL APPROVAL
ti
ROUGH PLUMBING • i
FRAMING •
ELECTRICAL ROUGH—IN • • • I
INSULATION: c
FOUNDATION
FLOORS
WALLS
CEILING '•
FINAL INSPECTION: (, 1
CHIMNEY HEIGHT • fir. l
ROOFING • • 7 •I •
SIDING •
EXTERNAL PORCHES/STEPS . 1
STAIRS—CLEARANCE & RAILS}, I
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOO 2
FINISHED FLOORS
GARAGE FIREPROOFING It
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: tr
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ARRIVE 1 ', d4,5 �s
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DEPART !OR 33 Ji v
• INSPECTOR
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