1986-845 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 26 19 87
303 ,
This is to certify that work requested to be done as shown by Permit No. 86-845
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Division Road
Owner Robert Northgard, Jr.
By Order Town Board
TOWN OF QUEENSBURY
%7 .r
.7
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-845
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert Northgard, Jr.
o ,.
o.
OWNER of property located at Division Road Street, Road or Ave.
rt
in the Town of Queensbury,To Construct or place a One-Family Dwelling o '
at the above location in accordance to application together with plot plans and other information hereto filed and r+
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. GQ
1. OWNER'S Address is RD #4 a
Queensbury, NY 12801
•
2. CONTRACTOR or BUILDER'S Name
Pliney Tucker
3. CONTRACTOR or BUILDER'S Address Box 425 RD #4
Queensbury, NY 12801 d
w
_. . Ca
4. ARCHITECT'S Name
7y
O
a'
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( Wood Frame ( ) Masonry ( )Steel (
O
0
N
7. PLANS and Specifications
No. 26'x68' per plot plan, specifications and application submitted
1-6
including sewage system and two-car attached garage. l-
8. Proposed Use
One-Family Dwelling Per Variance No. 1161 granted Oct. 1986
r•
ao
$5.00 C/O
$ 87.00 PERMIT FEE PAID -THIS PERMIT EXPIRES. July 1 ,19 87
(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 10th Day of December 19 86
SIGNED BY i'/CAQ caQ-u � for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT.c7 // Application No. =' ENO
��1Jocun Of Queen�bure� Permit Issued 19 ,` }_ IP il.BUILDING and ZONING DEPARTMENT Permit Expires 19 i
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation /fie_/5_ Noy 4 b III I
Queensbury, New York 12801 Variance No. // (y ( Oa- /Fy6 ;:�1n Mgr eia 60 /C).
Site Plan Review No. t '�` I^;' l) 11213k g F
a L t g;G f e t t t r t O np e
/qf 7 ._. /_/6 Approved by:by: a
��U /4
APPLICATION FOR
BUILDING AND ZONING PERMIT _ . .._N.-. ..---.
*. * * * * .* .*- * * * * * *' .*. * * * * * # * * * * * * * *• * * * * * * * * *.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done,in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the'Permit.
I The owner of this property is: /Ye) b ` L / A)/)'z_",—h el -d j Y•
P.O. Address N), D. 7- i/ / /'d 61 ,,+_s: f=„%/s A1 y /ZS / Tel. 7 ..y _S-
Property Location: P. (7 V/t// 5•,oiv , 6,/ten; i Lls ,v,, Tax Map No. 1`1[/ ( / 1O
Street number or building lot number /
Subdivision name (if applicable) /1)///
THEIPERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
P//) e x•.mod.--r_Wt.. Y RO A/ c/„5 A.7,ph,y ,l ",(./5".o N., ei 6,/,„,,,<i=-�i/s 2,7 yC 7 /
Name P.O. Address Tel. No.
Name of builder _S. o,t-e „, S --F lov t 0Address S'-v n-, ,ems Ji e, L• e_ Tel. S ev y„ e . s .-aAa c., P
Name of plumber // Address ' // Tel. /s'
Name of mason ,i. Address // Tel. //
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
K Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
*
FOR DEMOLITION PERMIT, STATE SIZE AND whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ../‘.,5 ft X /S"- d ft.
* Existing building(s) Size•,✓/,f., ft X AX.I. ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use /1/;,
e2 '/' « *
Size of new structur � � ft X ft
Foundation-pier/slab/cfawl/partial/full * Proposed building, distance from property line
(circle one) * Front yard --5 ft Rear yard e. % ft
No. of stories (habitable space) /
Height (grade. to ridge) /„ • ft. * Side yards S- ft and / Y ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) 69 * OCCUPANCY INFORMATION
I No. of bedrooms 4 . . -3 *
No. of bathrooms , * PRIMARY BUILDING -
Primary heating system f=/ems T , 4. * X One family dwelling
Type of fuel * Two family dwelling
No. of fireplaces to be installed k',/ * Multiple dwelling / Number of units
Will a wood stove be installed? it".) * Permanent occupancy
* Transient occupancy
Central Air conditioning? 4,/ * Business
BUILDING STYLE, PRIMARY STRUCTURE x• Industrial
Ranch--
Contemporary Log cabin * Other.'
ised ranch' Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * ",Y Attached garage/one car/ two car/ 'i e) car
* *' * * * * * * * * *, * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF' * Other
CONSTRUCTION $ G� /i. �� *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 ind-vl
I
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, ood frame,► fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? /1),/./r71-
,
Foundation wall material /�,,j� Thickness 7 0 "
Depth of foundation below grade (to bottom of footing) 7'
Will there be a cellar? r/�.5 Heated or unheated? /,e ,ti to Floor sq. footage //v 6 sq ft
Will there be a basement? Will any portion be used as living space? A/fjy
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other S/pd Material, of roof /�,. F 1 v P/ye,t)e4 /�4'i=c./T
Size, wood studs "X 6 " spacing /e,"o.c. length a' ft. T'vf-b r v 5/, ss' 54 .0 f/e•--
Joits(floor beams) 1st. floor 2 "X C�; " spacing j,. "o.c. span . � ft.-
Joists (floor beams) 2nd. floor "X ',' spacing "o.c. span ft. '
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing ;) c/ "o.c. span Z./ ft.
Exterior wall finish 115cegifFWc 5 Of what material? 4L S _ - u ovY(J
Interior wall finish V-, S G, .� -, •i k 0 c./-�.
If a garage is to be attacied, describe materials to be used for FIRE SEPARATION:
3 f l •7- c_ G o.::1, S'h .,<, •v•i c2 c k-
Is there to be an opening between garage and dwelling? 5 If so will a Fire-rated
door, enclosure, and self-closing device be rovided?
Will a flue-lined chimney be installed? A7'c Height above roof AX,,,�. ft.
Depth of chimney foundation below grade N/. ft.
Depth of fireplace hearth Ajii ft. in.
Water supply - Municipal or private well /ifc;, ' 1 c./,3.- /
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ,,c) ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT
County of Warren STATE OF NEW YORK
I swear that 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.
�'•7
SWORN TO BEFORE ME THIS Signature , I ,- t� v �___4i!_ r , _�
{{{ Owner`, owner's ag,e t,architect,contrac'"�or
... ,�— 69 day of // 0 19 �l
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CAITIONS OF THE PERMIT:
`
•
II
• I
By--- -40'
A I
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW .YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work. ,
ANSWER ALL of the following:
1. Gross floor area \'\_
2 . Type of heat
L4, 1'Ll C,.
3 . ' Is the building mechanically cooled?
4 . Percentage of area of windows and doors l5
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors'
exposed to ambient conditions
2 . Floor over heated spaces . YES NO
a. Are foundation walls insulated? YES NO
1 . If YES , what is 'the R value?
3 . Slab on grade YES NO
a. If YES , what 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
2 . R value of exterior walls 2- - \ 7\•
3 . R value of glazed area � •D
4 . R value of doors V? ) 1
5 . R value of floors over unheated spaces :R
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)
9 , R value of heated basement/c,ellar walls (below grade)
10 . Type of insulation G9-J1-sqLc5 --
C. Controls �a
1 ." Thermostat maximum heat setting
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 at5 `'lu
2 . Temperature control setting maximum jLEO o
G. For Swimming Pool Only
1 . Maximum heating
ephone No. (;)
( pplicant ' signature)
•
own of Quen3tury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Oueensbury, New York 12801 , DATE /
LOCATION OF PROPERTY FOR 'INSTALLATION ,? 7 At,/ pia ) see,c-7 ,z,,Z C`r'�:' �A//s
ylZ.. �'vl
OWNER' S NAME // I
ADDRESS l2 p t`1 L/ 74 ed_
- S /'.al/s %U TEL 7%.k• 3 •/
INSTALLER' S NAME //
Number of bedrooms (residential only),
Total daily flow(compute @ 150 gal per bedroom)
Topography: j )- Rolling - Steep slope - (circle one) % of slope .
Soil nature: ancTf Loam - Clay - Other Depth ft.
Groundwater -At what depth? =1 ft.
Bed-rock or impervious material - At what depth? ft.
Percolation test - Not required - Required - -Rate d _ - min-inch.
Domestic water supply Cunici al - Well - Other
Separation - Watersupply(if well) from Septic absorption ft.
Proposed System: Septic tank /c , e, gal. ( Minimun size, 1000 gal. )
Tile Field - Each trench 5C' ft. Total system legnth /2' 7 ft.
Seepage pit(s) Number of . Size each ft X ' ft
Size of stone to be .used # Depth or thickness e ft.
IMPORTANT ! !
On a ,separate piece of paper, submit a diagram of the proposed system
'with all dimensions shown; including distance from any structure ,
distance from property lines and from ANY DOMESTIC WATER SUPPLY or ,
shore-line of lake, stream,pond or wet-lands. Include all dimensions of
the system, itself .
* * * * * * * * * * * * * * * * * * * * * * * * '* * * * * * * * * * * * *
I have read the regulations on the reverse side of this sheet and agree
to abide by these and aZZ requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance.
Signature of responsible person ( -1--
Date /f/Z •
0 5/8 6 and/vl ' �1
•
Section II Septic System Inspections:
• A. All applications' for septic system installation,
• alteration or repair, as required by the Town of
Ouee'nsbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina 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 he
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 installation, alteration or
repair of an approved 'system, a new proposal
must be submitted, to the Oueensbury Building
• Department before further construction.
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
ITEMP.# IDATE I7 .- .'�` 1;.- j_
CITY OR _
VILLAGE '- is ../J ..-r /f; <. �- .1 TOWNSHIP S. r-•.,_ %. COUNTY i ,, ..
STREET AND NO.OR •
ROAD AND POLE NO. , !; •
? -+ POLE NO.
BETWEEN WHAT TWO _ _
CROSS STREETS IS j
PREMISES LOCATED? SECTION r f BLOCK / LOT /"
OCCUPANT'S - .- BUILDING •
- ' NAME '-- r _ - ;. c; - i 7-OCCUPANCY
OWNER'S NAME _ k -
AND ADDRESS ' C - 1. . TEL.# .r '�•.r- - •-
CURRENT - "� -_. - -- -
SUPPLIED FROM THEIR
BUILDING WORK DEFECTS
IS NEW❑ OLD El] IS NEW ❑ ADDITIONAL❑ REMOVED ❑
LIST-BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures& BRANCH
NUMBER OF OUTLETS LamptReceptacles MOTORS • HEATERS CIRCUITS OFFICE USE
Loca- ONLY
tlon Side Attech'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-
merit -:--.
1st Fl.
2nd Fl. ..
3rd Fl. .
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
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 ELECTRIC SIGN TOTAL
MAINS - FEEDERS LAMPS WATTS
' CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED_ . TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
•
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
BUILDING - '
INSPECTION REQUESTED' (� (�
POSSIBLE
ON OR AS NEAR AS NEW I I OLD I I -
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. . APPLICATION
PRINT NAME AND ADDRESS v SIGNATURE /"'
NAME OF _ �-• /O 7 '
APPLICANT OF APPLICANT — -,'!�"� �`•, 1, _7,. _
STREET ADDRESS " TELEPHONE# - - -
CITY OR `•' ZIP LICENSE NO.
/
CODE - - / WHEN APPLICABLE
-1,
46 EL (REV. If86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
.S 4.\4a.A!i!, 41.!....1. �.. ..\L�:?.l i r.1tr..\!.1.9?-4 1_-...!4a 4-1,!...1 !.."-A J.),i.�.i.r.1.-.'1-‘ r..i,?.1:),?,.1[.;'4.,4.-..',4a i.a 4�94a i.,9i.�91.-<(.a.!.T.'-1 r-1?-. i.1 i..'i.`'.1.i-.'I.,'/.. .'.? I,1 i.1 r.1 !-?-
f, y 4206893 THE NEW YORK BOARD. OF FIRE UNDERWRITERS `
- f,
BUREAU OF ELECTRICITY =
— '<' r if 41 STATE STREET,ALBANY,NEW YORK 12207 ®_
April 7 1987 Application No.on file
1. Date PP ' f' 000145—b'7 r ° -
y o
= ..v THIS CERTIFIES THAT piL �� : I:•)
1, —
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of m
�' Robert Northgard., RD r'i' 4 Division. Rd. , Oueensbury, New York
— '' in the following location; 0 Basement X❑ 1st Fl. Y. 2nd Fl. outside Section 14gi Block I. Loi 10
1, 3/25/87
�' was examined on and found to be in compliance with the requirements of this Board.
1.
.,' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
-< OUTLETS ECEPTACLES SWITCHES INCANDESCENT-FLUORESCENT MEICUIIY
VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
1
j 26 39 18 25 2 fr
-< DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.6 G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO OF FEET AMT. WATTS =
1 drya7 3111C 11
SERVICE DISCONNECT NO.OF " S E R V I C E
.�( AMT. AMP. TYPE EMQU�P 1 A 2W I if 3W 3 0 3W 3%4W NO.O RcI COND. OF CC.COND.. NO.OF HI-LEG OF NI•LEG NO.OF NEUTRALS OF NEUTRAL
1 1 200 c b I li 1 4/0 . 1 2/0
4 OTHER APPARATUS:
iri
- ,.--gfci
-stroke detector
1 electric heater 3 2.0 kw =_
� A 1.5 kw
3 1ef) kw =_
22 .75 ksr •
1. a Tucker y+ no
K RD 14 Box 425 Divttion Rd. is I
--i Glens Falls, New York 12801 - BRANCH_MANAGER
-mot - 1
_ -c Per 1
_ -< =
_ 4 This certificate must not be altered in any manner;•return to the office of the Board if incorrect. Inspectors may be identified by their credentials. _
= c-rrsil[.a[HI/mrntr Alit mkt met v[wit y[v[i![Alive[A&vtmit uvilliai vet alit A& W[mat Alt vat slit ant ottonUR[Ai[larINrv[vrvr 1st imtvl[wrvr lilt vtv1L1MIRrv[v[ ru[Vat Arr$�=
COPY FOR BUILDING DEPARTMENT. TIllS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
r =r
T--"1-- Jown of Queenstur,BUILDING and ZONING DEPARTMENT /'
Bay and Haviland Road, R.D. 1 Box 98
.. Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME/7/h /V�r1, n�
LOCATION0
/
Date S j/ �7 Permit No. 5-0
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
7(Ext. Porches ,
Finished Floors
Interior Trim
tairs & Railings /2,/.6^/.
.S {k
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures \ C
Gar. Fireproofing
Door Closers
Smoke Detectors A.
Chimney
(/ \
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey ,
Next scheduled inspection (call when ready)
Remarks- /
k ifee < /0,faf (�7�Pi c1/ J /'
, 0/,/5 e/�l�
i
I
Building Inspector
6/86 and-vl
f
cQueeraury
, .l
" Jown of
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D.•T Box 98
Queensbury, New York 12801
BUILDING INSSPECTOR ' S REPORT
NAME u6+G(0• Nd1/-
rid
LOCATION 0/U6 SY- C'Vd f
Date 1 /10/ 7 Permit No. n`Y-
* * * * !/* * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding }(
Masonry Veneer
Rough Plumbing
Relief Valves .
Ext. Porches
Finished Floors �<< /� A(
Interior Trim X
Stairs & Railings
Cellar Drain Tile 1 \
Concrete Floors J
Plbg. Fixtures ! \
Gar. Fireproofing J /
Door Closers
Smoke Detectors ):
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION �/ r}/4- 3/ f
DRIVEWAY APPROVAL
$Final Building Survey
Next scheduled inspection (call when ready)
Remarks- / /
4 J� /L/ d17 /2ecX- / `f2
1,7
•
/(eBuilding Inspects"
6/86 and-vl
_loom of Queeni ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME A!, aJ
LOCATION
/ Ve --y
Date ;�� / <-v�� Permit No.
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
sonry Veneer
ough Plumbing
Relief Valves •
Ext. Porches
Finished Floors \\\
Interior Trim
Stairs & Railings
Cellar Drain Tile \
Concrete Floors
Plbg. Fixtures �
Gar. Fireproofing
Door Closers \\
Smoke Detectors \
Chimney
INSULATION: /
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
flown of Quecniurey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTO ' S REPORT
NAME , Aid-W
LOCATION
Date / / cgiZ Permit No. p (e .- p 'IS
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
trPcaming
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
.Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- / a aalz
‘ryt 0,414
Building Inspector
6/86 and-vl
li 3�
.own of Queens6ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date !,/ i,2 /_ Permit No. F6 - D "I`S
* * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE / NO
Footing/Pier Forms �+
Foundation
Waterproofing
Backfill
Framing
Roofing •
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
C//74
Building Inspector
6/86 and-vl
r 1 i it ' f&L/1c2- Get!/'d /x///4.5'6 9 ,
l Jown of Queeni ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME /C06e,�" Nord) Ctd'
LOCATION biui S i Ovi R
DATE /a/l/ / 5,4 PERMIT NO. Y6 - FPS
SOIL TYPE - 411, - Loam - Clay - /�
Percolation Test Required? YES -� /
Percolation rate - Min/Inch _ 0-
TYPE of SYSTEM: r
Absorption field, total length (93
Length of each trench 73,24 Sv f _,,,, ys"
Depth of trenches O '
Size of gravel - 2 _
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank .0.3H' pvv jf16)
Tank to dist. box _
Dist. box to fiel
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /0 ft.
Foundation to absorption 'art) ft.
Absorption to lot line /5-- ft.
Separation of pits — ft.
LOCATION SYSTEM ON PROPERTY(circle one)
Front ea - Left side - Right side -
COMMEN •
(S! )
SYSTEM USE APPROVED1111)
NO
•
Lt/a)
Building Inspector
•
01/86 and vl
Down of Queeraury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ,r/o 407. .D
LOCATION D/ fS/t,A( 7. f
Dater)/,2_ / Permit No. 86 --y�6-
i/ = APPROVED - YES / NO
t4 noting/Pier Forms abc
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
BuilaInspector
6/86 and-vl
Building Contractor
(518)793-4671
SPECIFICATIONS
CUSTOMER: Kim and P hert ATnrthgrd , Jr_
ADDRESS: R.D.#4 Corinth Road, G1 ens Fat 1 s , ATPw York 12Pnl
LOT LOCATION: R.D.#4 Division Road, Glens Falls. New York 12801
HOUSE MODEL: 24726 'x68' Custom Ranch
FOUNDATION: Poured:
Blocks: x Height: 7 '
Flooring:
FLOOR SYSTEM:
1st Floor: Joist 16_ " o/c 2x8 2x10 x 2x12
Sub-Flooring 1/2" CDX 5/8" T&G 3/4" T&G x
2nd Floor: Joist_ " o/c 2x8 2x10 2x12
Sub-Flooring 1/2" CDX_ 5/8" T&G 3/4" T&G
Deck:
EXTERIOR WALLS:
House Framing 2x4 2x6 x 16" o/c x 24" o/c
Garage Framing 2x4 xx 2x6 16" o/c x 24" o/c
Sheathing 1/2" Fiberboard 1/2" CD x Corners
1/2" CD x Plywood 7/16" Aspenite x
ROOF SYSTEM:
Trusses: @ 24" o/c x
Rafters: @ 16" o/c
Soffit Systems & Facia: Wood Aluminum -x-
ROOF MATERIALS:
Sheathing: Plywood 1/2" x 5/8"
Paper — #15 Felt x
Drip Edge: Galv. Alum. x
Asphalt Shingles x
Attic Vents: Louvers Proper Vent x •
WINDOWS:
Single glazed Insulated glass
Screens x
EXTERIOR TRIM: Brickmolding x Others:
SHUTTERS: . Front only x All windows
GRIDS: Front only x All windows
EXTERIOR DOORS:
Units x (as specified)
Sidelite(s) Yes No x
Shutters Yes No x
PATIO DOORS: Wood x
GARAGE OVERHEAD: Single Double x
INTERIOR DOORS:
6-Panel — Masonite Birch x
6-Panel — Pine
TRIM: Ranch x Colonial
INTERIOR TRIM: Ranch x . Colonial
CLOSET SHELF & ROD: Metal (1 per Closet) x
LINEN CLOSET SHELVES: Metal (4 per Closet) x Wood (4)
ATTIC ACCESS: Yes x
DRYWALL CEILING CLIPS: 2x6 Backer x
STAIRS:
Oak treads & pine risers and stringers
Painted Grade treads, risers and stringers x
INSULATION:
Ceiling • 9'6 '
Sidewalls
Floors n/a
SIDING: Vinyl (color & type) _ _ •
ROOF SHINGLES: Fiberglass (color) Brown
SEPTIC: 1000 gal. tank 187' leach field
WATER: Town Water
FIREPLACE AND/OR CHIMNEY: N/A
HEATING: Electric
ELECTRIC WIRING: x
LIGHTING FIXTURE: x Allowance
PLUMBING: x
Hot Water Heater X
Washer & Dryer Hookup x
PLUMBING FIXTURES: Tubs _1— Showers Toilets 1 Sinks
Colors: Bath 1
Bath 2
Bath 3 •
KITCHEN: (per layout)
Cabinets x
Countertops X
Sink: x Hood: X
VANITIES & COUNTERTOPS (per layout)
Vanity 1 x
Vanity 2
Vanity 3
MEDICINE CABINETS: x
MIRRORS:
PAINTING OR STAINING
Interior: x
Exterior: X
CARPETING AND/OR FLOORING X Allowance
LANDSCAPING: By Contractor x Rough Grade x Seeding
By Owner
DRIVEWAY TO PROPERTY LINE: Stone X Blacktop Concrete
APPLIANCES: X Allowance
SIDEWALK
STEPS: X
OTHER COMMENTS:
' / .5 / / Q,
103 -2/ ,A' -1 s>l b'
�� awls /( /�i h1 •c '�
r r t., y_4•A.0,nv (7e9
g 1 e/A
ice
11;4e o )bp r-l
.--A/Adt 1 I