90-692 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Dace £.ebruary 1 1996
This is to certify that.work requested to be done as shown by Permit No. 90692
j
i
i
has been completed.
COMMERCIAL BLDG.
This structure may be occupied as a
DlI AVE.
Location
Owner I UFOUR. RONALD P .
TAX IIAP NO. 111 . -1-7 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY X
90-692
No. �
WARREN COUNTY, NEW YORK
z
c
PERMISSION is hereby granted to RONALD P. DUFOUR
OWNER of property located at Dix Avenue Street, Road or Ave.
i
in the Town of Queensbury,To Construct or place a Commercial Building
at the above location in accordance to application together with plot plans and other information hereto filed and m
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
c
1. OWNER'S Address is
14 Lynn Avenue
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
self
c
0
c
3. CONTRACTOR or BUILDER'S Address
V
0
J
4. ARCHITECT'S Name
v
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
J•
X
( )Wood Frame ( )(Masonry ( )Steel ( ) <
fD
c
7. PLANS and Specifications (D
No. 2500 sq ft Commercial building as per plot plan, specifications and
applicaiton and in compliance with Use Variance 76-1990 (9/26/90) .
8. Proposed Use
Garage with office. r)
0
m
375.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 11 91 19
$
J.
ly
(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.) W
J.
Dated at the Town of Queensbury thi th Day f October 19 90 Q
J.
SIGNED BY for the Town of Queensbury
Building andZoni Inspector
BLDG. PERMIT NO.
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; —Ly Avenue-
for the following uses: j'r��ip�iv 607&. ttf r�rra� Div?N���rr%sDr�r/( any
J
r rf.7in r)
r
"9/ ',
DATE f SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (AKPPROVED
( )DISAPPROVED
with the following conditions: 0l(-,/-,,),,, r;
H/r)YfC i rn rt�(,4 T rr ri 64 or, ,I f)i(,h,) a7
0 0 y fnY^r t�l�/CO / , Gil`I/r?r�t'lrJ
t
TEMPORARY CERTIFICATE OF OCCUPANCY FEE:,(-)$10.00 DEPOSIT: O$100.00
received on
Date of Issuance r.'�'
Director of Bldg. Code Enforcement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 70 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 QUEENSBURY
REVIEWED BY �, r
FEE PAID _ �JT
PERMIT NO. 90-A� OCT - 5 1990
BUILDING PERMIT APPLICATION
BLDG. & 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.
! • t • • ! • ! ! ! ! • t # t # t # # # # # t t # t ! t ! ! ! ! f ! ! t t • t ! t
The owner of this property is: p �� �, �r
P.O. Address A/ �U�ti �,!�G Tel. 79 R Z4�- /f/
Property Location Tax Map No.. /// /Z
Has there been any split of this property since October 1, 1988? /--Z
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:
NATURE OF PROPOSED WORK: * ESf�MATED MARKET VALUE OF
Construction of a new building » CONSTRUCTION: $ QQ�
Addition to a building ' COMPLETE INFORMATION REQUIRED BELOW:
" Size of property Q/4 ft X. la 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 yard 7 ft. Rear yard ) ft.
Side yards T ft. and ft.
GROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from side street ft.
1st Floor L02 sq. ft. '
OCCUPANCY INFORMATION
2nd Floor sq. ft. Primary Building -
Other Floors sq. ft. • One Family7Dwelling =-
(not cellar c basement) Two Family�Dwelling
TOTAL FLOOR AREA ` F00 sq. ft. ' Multiple Dwelling/Number of units
Size of new structure ft x�ft.��X/K ' Business
Foundation-pier/vione)
crawl/partial/full ' Industrial
(cir ' Other
•
No. of stories (habitable space)_
•
Height (grade to ridge)_j° W/ ft. , If addition, what will use be?
If residential, no. of families
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING 3PF.CIFICATIONS:
Type of construction, wood frame, fire safe, etc.
Will any second-hand or upgraded lumberbe used? If so, for what? �//y
Foundation wall material ��
�G�o ��6 Thickness
Depth of foundation below grade (to bottom of footing)
,
Will there be a cellar? ff/i7 Heated or unheated? Floor sq. footagesq ft.
Will there be a basement?Will any portion be used as living space? ,f/d
(If so, what portion? J' sq ft. Type of use? �~
Type of roof - sloped flat/shed/other !Material of roof T�.-�ce-j 11f, rj
Size, wood studs "x " spacing " o.c. length ft.
Joists (floor beams) lst floor "x if spacing "o.c. span ft.
Joist (floor beams) 2nd floor If ft" spacing if span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters _"x b its pacing o.c. span ft.
anz
Roof trusses (pre-engineered) spacing it o.c. span ft.
Exterior wall finish ,/Y of what material?
Interior wall finish rt
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? eJ� If so will a Fire-rated door, enclosure,
self-closing device be provided? tf�f
Will a flue-lined chimney be installed? ,Ycf Height above roof ft.
Depth of chimney foundation below grade-4/ ft.
Depth of fireplace hearth ft. in...
Water supply Qunii�r
vate well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties k,41 /Z./Ot.
(A separate application is necessary for any repair or new. installation of septic system)
!LAME OF BUILDER ADDRESS TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON- ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
clans and specifications submitted, are a true and complete statement of all proposed work to be done on
he described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
ill other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
uch work is authorized by the owner. .
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)OCT -
7990
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family DweM nMODIp Q�I'T
(3 Stories or Less)
PART 4, - Design By -Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
✓L
APPLICANT'S NA PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - p 00 Sq. Ft.
2. Type of Hea rAS Elec. Base Board Other
3. Is Building Mechanically Cooled? YES ClYO
4. Percentage of Area of Windows and Doors Over 17% Under 1.7%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND. TO l R E Q. 0 I R E D
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R kgo _
B. Exterior Walls 0*1 S� R 15 19
C. Glazed Area �,. G R 2, 5
D. Exterior Doors R 2,5 9 _5
E. Floors over unheated 436
of R Iq
F. Edge of Slab on Grade (Heated Building)
G. Basement/Cellar Walls (Above Grade) R cs
H. Basement/C.ellar Walls (Below Grade) R II I (
I. Heating/Cooling - Ducts - Piping in Unheated Space- R 4-, Co
6. Service (Domestic) Hot Water. Heating Device
A. Conforms to minimum efficiency per code YES NO
TEMPERATURE CONTROL MIXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE:_G
LOCATION OF PROPERTY FOR INSTA/LLATIO/N/ Xr,- tee- it, ;iv?i'r • ,�,.e ;ve
Owner' s Name: 4
/ yr .
Address: A/-Z X OCT a 1950
Installer' s/Name: �,� .//v Tel epho-PPE, ,y
Number of • Pwms (nestdeatl:�-q only)
Total daily flow (compute @ 150 gal per bedroom)
Topography: Circle one: Flat Rolling ' Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? /rro li,lc,;4cl' Feet //��
Bedrock or Impervious Material : At what depth? ` T u Fe tfcaG`
Percolation test: Circle one: not required required
Rate - Min.. Per Inch
Domestic water supply: Circle one: Municipa Well Other
If domestic water supply is a, wel :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank led f7 _gal . (minimum size: 1,000 gal )
TILE FIELD: Each Tre feet/Total system length feet
SEEPAGE PIT(S): Number of /Size each (9 feet
by_- feet
Size of stone to be used _ /Depth or Thickness feet
HOLDING TAN SY IE14 IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electric 'work to be inspected by an approved
agency.
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: /19 DATE: 4� o
Sdptic 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,
Gild fields and/or drywells
B. No system shall be covered before inspection and approval by the
Building Inspuctor. Failure to comply with this requirement may
rusult 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 cc produce said plot plan at time of inspection may -
result in" an immddiaee work stoppage.
D. Should unforeseen problems during construction prevent proper installs.
cion, alteration or repair of an approved system, a new proposal must
be submitted to the Quwunsbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
k��m;►rks: :,
TOWN OF Q UEElTSB URY
Bay at Haviland Roads,Oueensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date 19 Permit No.
APPIA(:ATION IS HEREBY MADE to the Building Department for the issuance of it Building and Usc Per11111
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 /Cal Z::�Ce /z i�7`�t„� APPLIANCE TYPE Stove
v
Stove Coal «ood
Address Z� 4,,e Furnace _Hot Air _A Boiler
Zero Clearance Circulating; Unit
Al e-C A-,S 6-le,-le,V Zip 1y1jr-1
Phone 2 k k--& L/y If Non-Masonry:
Owner's Name
Manufacturer
Address �� �_ Model Outlet Size
Zip Listed by Number
1'hc►nc
CHIMNEY TYPE
Masonry: Block Brick Stone
Property location of proposed construction Flue: Tile X Steel
Size: f rr 'r,_
Factory Built:
Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height__ Listed By Number
IZEOUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ J—®OOD
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ r
SONRY FIREPLACES AND CHIMNEYS.
CASHIERS DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Duartrnent: 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:
Address:
test: Town Clerk or Deputy
White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
ZONING & BUILDING PERMIT CHECK LIST
1. TYPE OF PERMIT REQUESTED
A. ANEW BUILDING ADDITION/ALTERATION
B. RESIDENTIAL - COMMERCIAL
C. SEWAGE DISPOSAL
D. DECK/PORCH DOCK
E. OTHER r
2. BUILDING PERMIT APPLICATION �GOMPLETED & SIGNED YES NO
A. VPLOT PLAN (2 COPIES) E. ELECTRICAL INSPECTION
B. ' BUILDING PLANS (2 COPIES) F. DRIVEWAY PERMIT
C. J SEWAGE DISPOSAL G. FEE PAID
D. "ENERGY CODE
3. PROPERTY INFORMATION
1. IN APPROVED SUBDIVISION
V-"*'2. MEETS DEPTH, WIDTH & SQ.- FT. REQUIREMENTS
3. PRE-EXISTING, NON-CONFORMING LOT, WITH PROPER SET BACKS
4. REQUIRED FRONTAGE ON PUBLIC ROAD
5. HAS REQUIRED OFF STREET PARKING
6. PERMEABLE AREA IS ADEQUATE
7. BUILDING DOES NOT EXCEED MAXIMUM HEIGHHT
IS LOT CONFORMING-TO CURRENT ZONING? YES � "NO
4. PROPERTY ZONED AS -l� TAX MAP N0. /// " 7' 7� p,to
A. IS USE SPECIFICALLY ALLOWED IN ZONE? YES NO
1. PERMITTED PRINCIPAL? ✓ PERMITTED ACCESSORY?
a. SITE PLAN REVIEW TYPE I TYPE II INDICATED
STATE REASON (QUOTE SECTION
b. ZONING BOARD REVIEW 7� _�lf�
USE AREA SIGN INTERPRETATION (CIRCLE ONE)
DATE 12-a
REVIEWED BY
DATE
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: DEPART: C ZG INSP:
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
DATE INSPECTION UEST RECEIVED:
i
NAME C lc
h�
LOCATION
DATE / f PERMIT # 20
TYPE OF STRUCTURE
FOOTINGS _ . BACKFILL_ FRAMING PLUMBING
INSULATION
N A YES I NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS RAILINGS t
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION 1
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS /
EXI`P DOOR HARDWARE
EXIT STAIRS RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN VARIANCE RE .
FINAL SURVEY PLOT PLAN IF RE f�
OK TO ISSUE C OR C C
77—IsI
��ti/sL �Gf7✓!«���
TOWN OF QUEENSBURY
BUILDim
ING & CODE ENFORCEMENT j
531 BAY ROAD
QUEENSBURY NY 12804
// (518)745-4447
ARRIVE: / f�� DEPART: INSP:
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
DATE INSPECTION EST EIVED:
NAME I / 0 p—
LOCATION
DATE o2 / "/ PERMIT #
TYPE OF STRUCTURE-
FOOTINGS __BACKFILL_ FRAMING PLUMBING
INSULATION
N A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION JA
FIRE DAMPERS
CEILING FIRE STOPPING }
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN VARIANCE RE
FINAL SURVEY PLOT PLAN IF RE
OK- TO ISSU C O OR C C
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: r U DEPART: INSP: �
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
DATE INSPECTIOIL-gEQUES RECEIVED:
� f
NAME
LOCATION
DATE / ` PERMIT # /6 /9 1•o�
TYPE OF STRUCTURE
FOOTINGS _ (BACKFILL_ FRAMING PLUMBING
INSULATION
N/A YES NO
CHIMNEY "B" VEN HEIGHT
r
PLUMBING VENT FIXT ES
ROOFING
EXTERIOR FIN ISli
HEATING HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS RAILINGS
STOCKROOM ENCLOSURE
FIRE DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS CLOSERS
t
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL "
SITE PLAN VARIANCE REO.
FINAL SURVEY PLOT PLAN IF RE
OK- TO ISSUE C 0 OR C C /
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742; BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: �/� DEPART: INSP:
FINAL INSPECTION REPORT
COMMERCIAL --- - MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED:
NAME Q
LOCATION
DATE / PERMIT # Cin -
TYPE OF STRUCTURE /L 'e
FOOTINGS BACKFILL_ FRAMING_ PLUMBING_ �J
INSULATION
_\�V_
NIA YES NO
CHIMNEY "B" VEN HEIGHT
i
PLUMBING VENT FIX URES /
�j
ROOFING
EXTERIOR FINISH
HEATING HOT WATER 4
RELIEF VALVES
FLOORS !9
FOUNDATION INSULATION //
INTERIOR STAIRS RAIL NIS
STOCKROOM ENCLOSURE/ 1
F PE IRE DEMISE WALLS NETRATION
FIRE DAMPERS !
CEILING FIRE STO PI G
FIRE DOORS CLOS RS
EXIT DOOR HARDWARE
EXIT STAIRS RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN VARIANCE RE
FINAL SURVEY PLOT PLAN IF RE
OK TO ISSUE C/O OR C C
/ Yv 0A,-
s15-1r 0�
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE /e PERMIT#
TYPE OF STRUCTURE z
,t
RECHECK 2
4
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL _FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
_INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/Al YES NO
CHIMNEY HEIGHT/L AT
ON
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/ST S/ AILINGS
RELIEF VALVE
FURNACE/HOT WATER OPERATING
BASEMENT I SULATI N/DUCTWORK
INTERIOR RIM/PRI ACY DOORS
FINISH FLOORS:
BATH/KITCHEN WA ERTIGHT
OTHEf FLOORS SWIEPABLE
OTH R FLOORS CA PETED
STAIfCLEARANCE/R. ILINGS
HANgICAPPED ACCE
SM[�10E DETECTORS
B/tTHROOM FANS/WH LEHOUSE FANS
LL PLUMBING FI�, URES OPERATING
)DOOR
ARAGE FIRE PROOFING
CLOSERS
THER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
sx,/V J��_
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD _...
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATIO
DATE PERMIT #
TYPE OF STRUCTURE—
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSEAN SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS $ r
JACK POSTS/MAIN BEAM ff
FIRESTOPPING !
WALLS a�
CEILING
FIREWALLS j
HEATING ROUGH-IN } `
INSULATION:
FOUNDATION WALLS INTE dO R-
FOUNDATION WALLS EXTERIO R-
FLOORS R-
WALLS / R- 7
`74-
CEILING ; R-3--&— x
DUCT WORK OR PIPIN� IN UNH TED
SPACES
REMARKS:
ARRIVE
DEPART
IN PEC R
_locun o/ QqeenJ1uj
BUILDING and CONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Qu�ee"n�sbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME �
LOCAT I ON
DATE 4 PERMIT NO.
SOIL TYPE - Sand am Clay -
Percolation Test\Required? YES - NO
Percolation rate Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench-, f
Depth of trenches ' \
Size of gravel'_ f
SEEPAGE PITS{Nuinber of) \ /
Size- ft. X -oft. d a �'p
Gravel size :;2� 3 a
PIPING: Size's Type
Bldg. to tank i
Tank to dist. box G'X
Dist. box to field/pit
Openings sealed? YES NO •. Partial
LOCATION/SEPARATIONS: '' �1
Foundation to tank ft!.
Foundation to absorption !9 ft.,,
Absorption to lot line ft. :;
Separation of pits ft.
LO ION OF SYSTEM ON PROFERTY(circle one)
ront Rear - Left side Right side -
ENTS:
i�
elec
SYSTEM USE APPROVED �YE NO
Bui ing Inspector
01/86 and vl
t
j
A (• t ,. �, \ t � //JAB^._ _ _ s\ t, .r�--. 'd. '- �.i'�'
Av
St x.ts Y 1 4 1 Yt ( t°, 7 a .,1 5 �t ..'1-•.•s'a.s'r r`� k .�...�,' s. FT R 1./��,. 4.- _.- i'
,". st `1 .t• 1 1 ;:r 1 G �t� + \ •� �, 5 y tsi. r.•
'T� tq'•y�r4 .i' °J J{�i�dr�ri� -�. c ( t .. `•��< y�'l��tl� 'f , ~t '} .`'i � 1 tea:
i{•a` s�e;'7'ni, 3.• .� Yal ,'s f gig. ?-r KI p•yy :'1' .. .. �•.:.^.•A�: t i-.+�,�.'•Cay:Y
fK L•a t. t eJ. ;'YJ tca,"k
S z .ay� ;:=V:w-+". 's. � t:'x. ''�..•l C?` k (+. r x Ls✓�Syp i ` 'S � �v' r�. �� � .it
-� !Yi ;:'''�T ;➢ :PtG 1' i•E"i ::1..1 .L i ..4-e. r �'rY t. 'C..� 1 ����'�!a...'• ti b i%"V.!'!r Y !F 7f�.�'airy
-" "ya`'1o.. -� ,;iti�r" .y.. t� +�•, 1 f ,. ,•�. :; ,.., a. ., - s" rht 1 �.I,. ur
r-7
.'rsx r tea. 5,`1s. �'• of
` `"h` t. t vexrt - 1 x' -t `jr4., ;..
F,
_ '1;. �'7,.1.a �,'1�,''lt„• F r .i % +.f�� � .,1 n .a r ',� `:t�•�'l
;gym.-•{ s{y`5 � .1 F �1., Yr,„..
h - •.� -,•�s�'"... c'?+' a i�.L••:, J:.4 �i..•..LQ .r.r x, sa e:-r �:b..s r .�_ �.. >;....:' 'L:• a' .�v
''£ my+-' ;t 7.�. `. .wr,S'•„+v.• &r,yt.. .,} "s 'rja ti., ,s•.. :4 ss x,.• Via: ( s 1, M "i• ->�
V<' ,
Y
•
v�
.a�. "a���"Y•e�i3;'if!'�'S�, z� ,t•�:. y .t, ..t 7,•• C• r' S y- �.z,- P 'S 'y..! k�'i(k- 1��i i�"s'(:h,.w.. jr WN-.�.°y
a+•� �.tri_,, ."`•r;-v ,t fo. }r•" + •x `•i .:,>A�a A• r.M o b 7• i" i:Y� ` _<.t...,• ..,,,:,,._ ,e;,a,-f,.. n�.:.,�.. _.•'�' A.,.. s %-�1."E.LFY. .1?w.....� :. .'�3
`r n-s. xr `+�,t' t .wr. f '44'+:� ,5;1's{�,`•- 'Y ct. .i ,r ^z "d' f �Y y- •yr4. - ..c, _r.>�`, h. - Y+::; •,r'r
, 7s
,, w,.y4 ..•�x•.. s's p. •'k J "%.a, T�- J f ..�... •.�,w;..a-h. ••��,.�.�_' -.. .�...
: - G „ i;>�. *?gt. 1. 7.- .�` i 4�' ..0' ->.'.. ",d .t�i. .:}. t....:4, •.r'.2'r.t_.4•..'tv.- @@....�, f, ....+.r.}' q '. r. v�*,••.A h .> > V.t .7 '� _ _ ",a a z �yf., Sri'
r..,.:t� mayf':hj . 1 :�+.+y 5 -i +� .f `tt �.� f1 -�.;�- rq. „�1rE•;..d. }°',;
q,.r +>w. � i r .�.-+�1���Q�'�•� t } .�- 1 - .sp. v,.
jw
e<yi5. t 673. ,�. .yn ,- .,El q d 1 �,; s-:il•. "'d s ! '-Y. s .5F ,�
!y t�t.a.. r �.�'.. ;�� xa �.�• .1 .�.. t f-; r � ��'g S
jlj""'�� :., '6v� 1 }.. ,1•.: :.! S' .i t S ! t e is e.� _ ,&+'. n F_�....�ri5
S."�:. r,t'{.'l�',. .1 ;7c�s '1 (� ! ;��`r �\ a •�. }y 7, 1' sf,� r � � .! p � ,p ,.L. _i
'�*P••.yy'}r�32 �:•.. 'J .�. _,.,s, s .-.e. a :r •t, 1,. ?' c ..,s ,'+ z �. ;:s'
'�.Y.9...� lL u A.: bJ v.:{i t. \ '1. ,a J 1. 4✓..
Arx M1. 7✓''^ -15 7, der C .�+y•,'a°.;�• .... -, 4r.. ,.C•" x-,�c,: i �{ ''S `.f. e ,+ ht' r•�`..
!� • ;'r. -,u- + :H r ,r ,x, r is n-w . ...�.�� f-,:��� -J' ;4-' x ..�! art•
t,s•.'a,. b �_ "'f'♦ s s „-•'x�_
° .... _.:�` .._. !� .a r•5:.'w. r�r 1. r1 -,...+w.:•.. t a•:.. i . .. ..1. .. ... .. -...,..,. .. .. _. ... S" .'�": .-,„f r':ff c.Y4rFvci��l'4Tw"y_y�, �•' ,��t
TOWN OF QUEENSBURY r, 0
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED ^ � F-
NAME
LOCATION KD
DATE PERMIT# I ° "
APPROVED
- -� N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEMS !
HOOD INSTALLATION i
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE: ,
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
I
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY.
FIREPLACE-FACTORY BUILT
REMARKS:
J
ARRIVE
DEPART �5 -
INSPEtTOR
_town o f QueenAury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME � �L -�
LOCATION
DATE JI 7�/ PERMIT NO.
SOIL TYPE - Sand - Loam - Clay
Percolation Test Required? YES - NO
Percolation rate - Min/Inch -
',.
TYPE of SYSTEM: `
Absorption field; total length
Length of each trepch
Depth of trenches '
Size of gravel_ ' j
SEEPAGE PITS{Number'1of)
Size- ft. X _ ft.
Gravel size '
PIPING: 'Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit iP
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS: t'
Foundation to tank I ft.
Foundation to absorption, ; ft.
P
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PRO ERTY(circle one)
Front - Rear - Left side' - Right side -
COMMENTS:
i
9 n a z 610 �GLu
SYSTEM USE APPROVED YES / O
Building Inspector
01/86 and vl
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
LOCATION `
DATE PERMIT #
APPROVED
YES
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING yl
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN ' j
INSULATION:
FOUNDATION '
FLOORS j
WALLS
CEILING �r
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING J
SIDING f
EXTERNAL PORCHES/STEPS . . f
STAIRS—CLEARANCE & RAILS I
PLUMBING FIXTURES/RELIEF VALf7E
INTERIOR TRIM/PRIVACY DOORS?
FINISHED FLOORS j
GARAGE FIREPROOFING y'
DOOR CLOSER(S)
SMOKE DETECTORS s
FINAL ELECTRICAL INSPECTION '
FINAL APPROVAL OF CONSTRI TION
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'
r an nr..r+m�r
A m,
TOWN OF QUEENSBURY �J��is51i3LL---
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280&
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME �ZC7
LOCATION b f 1• LC �S
DATE PERMIT # a)-4
1 APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POlR FORMS
FOUNDATION/DAMP-PROOFING f
BACKFILL APPRAAL
ROUGH PLUMBING
FRAMING "
ELECTRICAL ROUGHAIN "
INSULATION:
(FOUNDATION
,I. FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT 9
ROOFING w "
SIDING VA
EXTERNAL PORCHES/STEPS "
STAIRS-CLEARANCE & RAIL"
PLUMBING FIXTURES/RELIEF "VIALVE
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:
ARRIVED
DEPART 3
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280.Q-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED _,It
NAME 2 f l7 j
LOCATION 1�1 /
DATE PERMIT #
APPROVED
YES NO
FOOTING/PIERS j
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFIIVG
BACKFILL APPROVAL
X ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN . .
INSULATION: V,
FOUNDATION ;
FLOORS . ' . .
WALLS
CEILING .
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING �}
SIDING
EXTERNAL PORCHES/STEPS . • . . I
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE '
INTERIOR TRIM/PRIVACY DOORS I
FINISHED FLOORS ,
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS 4l•
FINAL ELECTRICAL INSPECTION,
FINAL APPROVAL OF CONSTRUCTTO
OK TO ISSUE C/O OR C/C is
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING EPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
1
REMARKS:
'd
'1
ARRIVE J J
9
DEPART 140
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280&
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
i --
REQUEST FOR INSPECTION RECEIVED
NAME
C/
LOCATION
DATE PERMIT
APPROVED
YES NO
FOOTING/PIERS ry
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS j >"
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING 1 '
EXTERNAL PORCHES/STEPS .
STAIRS—CLEARANCE & RAILS � s
PLUMBING FIXTURES/RELIEF �VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS t
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION'
FINAL APPROVAL OF CONSTRbCTION ' `,
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF1OCCUPANCY`MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!-
. / . . .
REMARKS:
ARRIVE
DEPAR v
T AT C D?Pfl On D