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1988-006 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date April 27 19 €39 (").1\ This is to certify that work requested to be done as shown by Permit No. 386O6 has been completed. This structure may be occupied as a One Family Dwelling Location Lot 53 Queens Lane - a\ i Estates Owner Colonial Construction By Order Town Board TOWN OF QUEENSBURY Building"eiEii,.,$t�aector l H xr BUILDING PERMIT H TOWN OF QUEENSBURY No. 88-06 ())0\ r) WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted\ Colonial Construction Lot 53 Queens Lane— Van Howe Estates OWNER of property located at, Street, Road or Ave. 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is $} P.O. Box 242 Bolton Landing, N.Y. 12814 0 2. CONTRACTOR or BUILDER'S Name 0 0 Same0 H c-� 3. CONTRACTOR or BUILDER'S Address cn rt Same 0 rr 4. ARCHITECT'S Name p 0 0 5. ARCHITECT'S Address rt In 0 w 0 ,0 6. TYPE of Construction—(Please indicate by X) CD CD ( /Wood Frame ( ) Masonry ( )Steel ( ) C Cl) rt w r rt Pw 7. PLANS and Specifications C 0 m (D No. 28' x 52' as per plot plan, specifications and application including septic system and attached NH two car garage. 8. Proposed Use One Family Dwelling 0 $5.00 C/0 0 CD 164.00 $ PERMIT FEE PAID —THIS PERMIT EXPIRES August 1, 19 88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N. town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 15th Day of January 19 88 ro H H ��� SIGNED BY >711��— for the Town of Queensbury Building and Zoning Inspector l • / TO BE COMPLETED BY BLDG. DEPT.. c-7 // Application No...._.!own Ot Queen3burc� Permit Issued 19 _ BUILDING and ZONING DEPARTMENT Permit Expires 19 I TOWN OFC` UP-MIS_-- ,'' Bay'and Haviland Road,R.D. 1 Box 98 Zoning Designation © .1 7 �',- .Le .1- fl-- Queensbury, New York 12801 Variance No: - - - Site P n Revie Yq N 4 : eJ _I < <l - �._.....----, Appro i1d*b f�lPt a Qj o. • et CODE, IDE:F / . APPLIEA ON FOR / �,/', f 1 BUILDING AND ZONING PERMIT * #;_* * * * * * •* * * * * -* * -. * * * * * *. * * * *• * * * * * * * * * * *.. 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. ��(/IThe owner of thisn property is: C ,c.�G� / G�'"�� l , O P.O. Address / ,D- l ✓Dy cL1 $— /�1, ivtG , " c / �arf ,Tel. C y 77 Property Location: ,4:4- 5.3 Qtu2.P/y40 i _ .Tax Map No. / / Street number or building lot number . Subdivision name (if applicable) GLaYLi A THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: �Ji .- ' A Name ,geP.O. Addres 4.4G ,'33 Tel. No. Name of builder Address Tel. Name of plumber. !i� Address Tel. • Name of mason Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: // 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 * whether interior or corner lot. Show location FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * — of septic disposal area. .------ * COMPLETE INFORMATION REQUIRED BELOW. * Size of property' 12_ 0 ft X 22,6 ft. * Existing building(s) Size, -- ft-X — ft. * - PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure olg ft X. 62ft * .---- Foundation-pier/slab/crawl/partial full' * Proposed building, distance from property line (circle one) * -. L)• ft r� * Front yard • • 0. . _ ft Rear yard No. of stories (habitable space) C * Side yards �'" 5� ft and 3 5_ ft Height (grade to ridge) c {o. ft. * If on corner, setback from side street j< ft If residential, no. of families No. of rooms(excluding baths) ' - * • OCCUPANCY INFORMATION No. Of bedrooms * * PRIMARY BUILDING - ' No. of: bathrooms ' 'i *"?(One family dwelling Primary heating system CI wpm A1,Q * Two family dwelling Type of fuel lj 4j . * Multiple dwelling / Number of units . No. of fireplaces to be installed ' / , Permanent occupancy Will a wood stove be installed? ND '� Transient occupancy • Central Air conditioning? /CID * . * Business BUILDING STYLE, PRIMARY STRUCTURE *. . Industrial * "--Other. Ranch Contemporary Log cabin * If- addition, what,will'use be? . Raised ranch Mansion Duplex Split level Old style • Bungalow * - Cape Cod Cottage Other * ACCESSORY-BUILDING- - -- EF271 Row Town House * ' • Detached garage/one car/-two car/ car CIRCLE ONE PLEASE ) * Attached garage/one-Ca oca ( r/ car * * * * * * * * * * * * * * * * * * ' private storage building ESTIMATED MARKET VALUE OF * Other , CONSTRUCTION $ 412d�o�oP * • INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl - - . • BUILDING PERMIT APPLICATION CONTINUED - • BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc: • 6a0D `/f4 C Will any second-hand or ungraded lumber be used? If so, for what? /UU AJG'-. • Foundation wall material ( C CiVQ e� :;;. ' • Thickne e/r Depth of foundation below grade - (to bot;t'om'of footing) Will,.there be a, cellar? yGS Heated pr-;• unheated?.., ON Floor sq. footage sq ft ' Will there be a basement? Y65 Will any portion be used as 'living space? /(/o (If so, what portion? sq.ft: ;;-,7'A Type of use? "— // Type of roof - ope flat/shed/other ' Materials-of droof •/q4 4 7 L 5`lin/q Size, wood studs „l. "X (, " spacing o2� "o.c. length Q ft. • Joists(floor beams) 1st. floor "X /O "- spacing "o.c. span /4 ft. Joists (floor beams) 2nd. floor o2 "X /b " spacing /6 "o.c. span /4- ft. Overlays(ceiling beams) .- "X '- - " spacing -- "o.c. span — ft. Roof rafters "X —" spacing o.c. span ft. Roof trusses(pre-engineered) . spacTITT74 "o.c. span 32_ ft. �• Exterior wall finish • Of what material? anJy • Interior wall finish J/7,eidc. .If a gage is to be attached, d scr be materials to be used for FIRE SEP RATION: - b " / fide 5 e � — � — �r, I 6 - 4411 Is thereto be an opening between garage and dwelling? Yc.7S If so wil a Fire-rated door, enclosure, and self-closing device be provided? j0e3 Will a flue-lined chimney be installed? /u/C) Height above roof ft. Depth of chimney foundation below grade •--- ft. Depth of fireplace hearth ft. —in. Water supply - Municipal or private well M U,J/ crit4- 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) . 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 propo •-d work shall be complied with, whether s cified or not, and that such work is authorized by the owner. / 'k/t4/1_ SWORN TO BE IRE ME' THIS Signature Owner owner's agent,arcnitect,contractor day o 19 s Not- Public, War -n County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF ' HE PERMIT: • • • • • • • • • • By • • • • • G ' 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: a a v 1. Gross floor area r � • S • 2 . Type of heat 6/9-5 (/V444t G/a- 3 . Is the building mechanically cooled?. 4 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 heated spaces YES NO a. Are foundation walls insulated? EY" S NO 1. If YES , what is the R val e? 3 . Slab on grade YES NO a. If YES , what is tp value of insulation around • perimeter of f Or? 4 . Is basement ated? YES NO a. R val of insulation • 5. Ty of insulation B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions • • 2 . R value of exterior walls efr 3 . R value of glazed area 44- 3 • 4 . R value of doors ' • ��� 5 . R value of floors over unheated spaces ( -20 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) /e/10: 9 . R value of heated basement/cellar walls (below grade) ft"40 10. Type of insulation FA3dele-474000z3 /.6605 -- C. Controls • o 1 . Thermostat maximum heat setting CYO 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 N 2 .. R value of pipe insulation.• �� F. . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G. For Swimming Pool Only • • 1 . Maximum heating Telephone No. ' 241inature) ..7-0141. efo newstrf APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE /01 oZ A / O LOCATION OF PROPERTY FOR INSTALLATION L ( 53 Po.e.(244,,0 Owner's Name: C 1o4(A L Cj/$/je Arc9A1 Telephone: 3 36Z7 Address: _ P"��1 / 0/ ..)-402- /30 L/ J h,/ / ✓ /U11 z2a /4 Installer's Name: JA7n Telephone: S/ Z7 Number of bedrooms (residential only) 4- Total daily flow (compute @ 150 gal per bedroom) v OQ 641 Topography: circle one: ell Rolling Steep Slope % of slope Soil Nature: circle one: ;Sand Loam Clay Other / Depth: _ feet Ground Water: At what depth? /Voge, , 4 'feet Bedrock or Impervious Material: At what depth? Are nDnre,4 i.✓J feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: vlunicipal' Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank 1000 gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench 6). feet / Total system length 50 feet SEEPAGE PIT(S): Number of _ / Size each feet by feet Size of stone to be used # / Depth or Thickness feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (over) Section II 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 installation, alteration or repair of an approved system, a new proposal must be submitted, to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: t-0/14p4 `'/i/j`e" 44 Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE , a//Fc-,c-' J 16 MAIN OFFICE ATLANTIC-INLAND,INC. 997 McLean Road NEW YORK Cortland,New York 13045 Phone:(607)753-7118 MEMBER OF N.F.P.A.AND LA.E.I: • (607)753-7809 FIRE UNDERWRITERS C 16890 (607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service) (fir (incorporated In the State of New York) 4,//d/ Desiring Certificate of Approval,application is made for Inspection of electrical Installation In the premises described below.On demand applicant agrees to pay for Inspection service . In accord with schedule of charges. APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE THIS SECTION TO BE 4fCOMPLETEDBYAPPLICANT DATE OF APPLICATION a— , - ed'' ,�/�,/ CITY,TOWN,VILLAGE (/..C-CAIS-,j�-r> COUNTY (4 'ex,9 J ✓, 2! STATE /�� y. STREET V Q.T /// ADDRESS &Voi-e-J1is' L. a n e- '/ 3 BUILDG.NO. 53 RURAL DIRECTIONS POLE NO. OWNER'S r- , > �/ //'�/y` NAME NQ 2A7/l Co t..4 f."r�` 1 �( V , OCCUPIED AS !✓"••Q.ii'V 6, C/- ?3 / OCCUPANT 0-/Lr2- BUILDING—New IdO WORK-NewD Additional 0 MM OWNER'S P.0.7� � h ` ADDRESS LP l A/ D 1eu C !l 0- .0 kb., die Gv� 2QL ( lAn1 / }J y, ) QQ1,� APP. FOR—ROUGH WIRING ' IXTURES❑ OR READY FOR INSPECTION /-7 `/' 19 S›, FEE REMITTED—s ,f)146) BYCHECKXCASH 0 MONEY ORDER 0 MAKE PAYABLE TO ATLANTIC-INLAND,INC.—NEW YORK Number of Rough Wiring Outlets Fixtures Add Installation Swtch LI'tng Recap. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750. 2000 2250 2500 2750 3000 Heat Base Base 3 . 3 J Q Elect.Heat _ Amp.Service Water Htr./ Burner Air Cond. Surface Unit Oven Range / Gr.Dlsp./ Dish W.__ Dryer / H.P.Pump Ex.Fan Hood OTHER EQUIPMENT(Specify Type&Capacities) TYPE OF SIZE OF v� SUB- BRANCHES CU1 UI /7J WIRING EN PS CO ALED OTHER MAIN fed O MAIN CIRCUITS—r/ rillrAPPLICANT'S LICENSE# V PERMIT# APPLICANT'S �� NAME OF ADDRESS l/J cc�4tYep� �(�. /y?d At,6_..� UTILITY' Q ra hp Iv r P4) OFFICE ( � CITY � �S STATE ��• ZIP CODE � �d BE NOTIFIED �,/�� ���� ,� : SPACE BELOW FOR USE OF INSPECTORS ONLY _ __ ________ • (�,J ROUGH WIRING ' AMP SERVICE K W SURFACE j OUTLETS EQUIPMENT UNIT it SWITCHES ' f ' CONDUCT R K.W.OVEN � 7 L� CONDUCTORS �� L/ H.P.GARBAGE RECEPTACLES H.P.PUMP DISPOSAL UNIT MEDIUM BASE '� I •K-W- FIXTURES - t . K W.DRYER 9 DISHWASHER MOGUL BASE ,,,/// r K.W.WATER ��/ FIXTURES GJ HEATER p J /\ K.W.RANGE- FLUORESCENT / H.P.AIR AMP. RECEPTACLES •FIXTURES CONDITIONER MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER K SMOKE I FRAC.H.P. QUARTZ FIXTURES bC' DETECTORS `- VENT FANS MOTORS,H.P. 1120 1/12 1/10 1/8' 116 1/4 1/3 1/2 3/4 1 1Ih 2 3 5 71h 10 15 20 25 30 40 50 75 100 MARK NUMBER Qlr7�' / j OF EACH SIZE / i • 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 APPARATUS Elect.Heat / MISC.INFO. ecelved Inapec d a.._ FEE PAID w • GR S TOTAL s 7a �f dit, ! Z/- � ✓J ❑DEFECTIVE_19AVID GIRViN Check No. yitiV) L Y U l� r I 0 Rough Wiring Certificate BOX1631, HYSPOT RD PoraryService W ` c' Money Order . . GREENFIELD CENTER,•NY ' '12833 ❑DupACert ReIgICATE Cash 518 587-9149 Charge ❑MUNICIPAL i o MUN.ADDRES ..... zejejir s • ATTN: 1ecto Temp.Cut-in Card Nr2.j Final CutIn Card No. / /� j� r BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.- - TEMP.# DATE I /� I I • CITY OR I 9 t:r .._'`;-/,,? ! r t 1 VILLAGE ( J ark +q r� t 7 * p i 1 TOWNSHIP COUNTY d f • \✓✓✓ r'l fi�e ttJ CCCtI 3Yl •.., is �t: (• •il STREET AND,NO. R /- ROAD AND POLE NO. i � SL{ '. ) ;;,, } POLE NO. BETWEEN WHAT TWO - . /1 + . CROSS STREETS IS f �yy • PREMISES LOCATED? .r.J 1 r } I..), f'. ( I i� (l f f—" SECTION _.f ' BLOCK LOT OCCUPANT'S -- Iv..._. j - - BUILDING NAME jj OCCUPANCY OWNER'S NAME / 1 � I TEL.# /` i x f, AND ADDRESS Lin,i)t"U i k l �i.`r\{ '� :li f:'�^ T r'J'r� /+.21'1 r - /..,. / CURRENT p - - SUPPLIED +i'j / !J`f f\�1'BY FROM THEIR t2, // OFFICE BUILDING _WORK --'] DEFECTS IS ❑ S`-•'NEW OLD IS NEW ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU1'NSTALLED No.of Fixtures& "BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles- MOTORS , HEATERS CIRCUITS ONLY Lorr - tum Side Attach't H.P. Watts A.W.G. •tiling Wall Ret 'Is Switch Pendant .•Bracket No. Type Each NO• Eaeh NO• Gauge INSPECTION Out- side Sub- base • Base - mint 1st Ft. 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 A f ELECTRIC SIGN TOTAL MAINS {;t,()() T 1 lM �j1 FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN - OF WORK j.(n CONCEALED TRANSFORMERS O • VA WORK TO BE � F. - . (NUMBER) .(CAPACITY) STARTED COMPLETED SIZE OF SIGN - SERVICE OVERHEAD - UNDERGRO� MAKER ENTERS ¢+ OF SIGN BUILDING`" - • INSPECTION REQUESTED } (f ,` ON OR AS NEAR AS }� ( S r t POSSIBLE ! 1 t t L -� • NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF `., - .— ' MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. .APPLICATION /"-1 r .- / PRINT NAMEhAND ADDRESS j . - / is�'Cr -i'`/`-' / NAME OF f X SIGNATURE/� f r= ' • APPLICANT 1 :}n� j C- / ��`!✓1( ? "OF APPLICANT ' �r" "� /`I.ta f STREET ADDRESS P.A /3•'� A. • ., TE-L'EPHO jE# • 1 / j.` - • , / CITY OR ^7 ! ZIP LICENSE NO. POST OFFICE I J ell 'I ha_) i A.,)]i n.i i J. CODE % ?// 'ri"WHEN APPLICABLE . V l ' '`�` 1 / • - :�-`� il 46 EL (REV. 1/86) A SEPARATE APPLIC !U TION MUST BE FILED FOR EACH SEPARATE BUILDING /e) ./e (7)(z TOWN OF QUEENSBURY � 11//v BUILDING AND CODES DEPARTMENT l� BAY & HAVILAND ROADS / ¢ // QUEENSBURY, NEW YORK 12801- / TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME C,I- 6 i77/ eBz d LOCATION `/C 5( L53 - G��1,0 ����� DATE y- ,.4 / PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL / . ROUGH PLUMBING FRAMING ELECTRICAL RO H-IN INSULATION: / FOUNDATION ✓ FLOORS WALLS CE,PLING L.e.,PgL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH S/STEPS STAIRS-CLEARA CE & RAILS PLUMBING FIXT RES/RELIEF LVE INTERIOR TRIi/PRIVACY DOOR FINISHED FLOORS GARAGE FIRE'ROOFING DOOR CLOSER S) SMOKE DETECTORS FINAL ELECTR CAL INSPECTION V FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR 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 RECEIVEDEC���1 C� NAME 72�1 Q�l/�' C_ eI Y' . LOCATION ° .-3 4 ei G-,_-,-, :�} c!/J4. - DATE "'- 46 L�'' 1 PERMIT # ,S,' i%J APPROVED Y • YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING' / BACKFILL APPROVAL ', V . ROUGH PLUMBING • FRAMING _f rs ' ELECTRICAL ROUGH-IN INSULATION: FOUNDATION \ / • FLOORS WALLS , CEILING , C/FINAL INSPECTION:/ ,�! CHIMNEY HEIGHT • v ROOFING ' 1 SIDING , EXTERNAL PORCHR TEPS� / STAIRS-CLEARANCE & RAILS • ✓/ PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS i GARAGE FIREPROOFING • DOOR CLOSER(S) r L SMOKE DETECTORS FINAL ELECTRICAL INSPECTION • l/ FINAL APPROVAL OF CONSTRUCTION ' . ',, -1...------- • Y A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PRE/WISES ARE OCCUPIED! ' 1 REMARKS: F-kai e - .oL /6 7 --i-tvi,tve-c_ d\Y</g-vi-eto 3a- -V , 1.4 ad- , - 0.,cc,v,J4...4 " / - 4 p ' If i 1 ge-,5 Alift 1 ,, I 441114e-"" A i 4 , Ail isioji • .INSPECT.' 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 3/2 0Y NAME LOCATION 6"4,cr' j✓!1, DATE 3 'nd41 PERMIT # a APPROVED )1 ')/// ¶ YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT/ ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR/TRIM/PRIVACY DOORS. FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: Wqtl'f,C, 41"1-11rael INSPECTOR Jown of Queeniury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • BUILDING INSPECTOR ' S REPORT • NAME L O C A T ION °/ 3 Date 7,30/ Permit No. r/ -O6 * * * * * * * * * * * * * * * * * * * * * * * APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill aming S (,Les /L/ 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 ELECTRICA INSPECTION DRIVEWAY APPROVA Final Building Surve Next scheduled inspection (call when ready) Remarks- --TC I c[t' • • Building Inspector 6/86 and-vl Jocun o/ Queerhitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME r Cn Ato A) AL /�o zi 1 Cnua/iJA/ LOCATION C"- Q u e- E) 'S 1 Ak1 - Date /2 /W Permit No. Ce- ., —t) �n * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / 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 Til' Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: • A-4) -./ 12004 _ Foundation q; -. .. Floors walls - Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey, - Next scheduled inspection (call when ready) Remarks- Buil ng nspector 6/86 and-vl Jown of Queenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Q7-7,,,A C, / /9,2, LOCATION Qzzge.,4 Date 6 -pi /a' Permit No. D 1-0 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill / Framing /KCe{j Roofing Siding Masonry Vrneer Rough Plum,.ing Relief Valv-s Ext. Porche- Finished Floors Interior Trim Stairs & Rail' gs Cellar Drain Tie Concrete Floors Plbg. Fixtures Gar. Fireproof'. g Door Closers Smoke DetectoJ s Chimney INSULATION: Foundation Floors Walls 1-4.ell / �//Ceilingti( �+� G17 17 FINAL ELE TRICAL INSPECTIO DRIVEWAY :PPROVAL Final Bui ding Survey Next scheduled inspection (call when ready) Remarks- _087.4 &A / _0 Aeon()1.104- 06--t-4_, 71,J2--cz-t Ileotc&A --4.>"/ • 1) 101-e-ot czA064° (2)Am., jAitt Building Inspe or 6/86 and-vl _awn o/ Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION PT NAME /-C2a/W-4,2 S-d • LOCATION Y -5 ? /!%// // ' 'U't-_ it -' OL1 DATE ( `/&/,jff PERMIT NO. Fr fp . SOIL TYPE - a - Loam - Clay - -.-� Percolation est Required? YES r�NJ Percolation rate - Min/Inch , TYPE of SYSTEM: Absorption field, total length %^ 00 Length of -ach trench 5 Depth of t enches 7.4 /e-L; • Size of gr-vel #= .7 y- --. SEEPAGE PIT.{Number of) Size- f i. X ._ft..-- _._••___� Gravel size- ------ PIPING: .Size Type Bldg. to tank 1 jc,{L IA Ale:— Tank to dist. .ox L( 10 Dist. box to f kelr/pit• y E7(,/� Openings- sealed. YES,j NO Partial LOCATION/SEPA•JTIO S: Foundation to tank f ) ft. Foundation t. absorption 7()ftl- Absorption • lot line ft.O j C • Separation •f pits --- f-t:-- LOC�TION Or SYSTEM ON P',OPERTY(circle one) From Rear - Left side - Right side - LUMMENTS: A4rIAJ 6' 1 i ,gi p aUl -- pp_ .lio -r-c-- ' `‘-- t 2P SYSTEM USE APPROVED YES- NO /7.-- /I B ilding iifspector • 01/86 and vl XX /V 1 Jown o� Queni4ury DO BUILDING and ZONING DEPARTMENT L/✓� Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME /7 c G� -t AveioU LOCATION �3 4 ' Q_ tzi t,o, Date 3--/ /ir Permit No. _0 to * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing, Backfill Taming 4r/ ,k__ Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railing Cellar Drain Ti e Concrete Floor- Plbg. Fixture Gar. Fireproofing Door Closers Smoke Detec ors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELEITRICAL INSPECTION .\\ DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- . Building I Spector 6/86 and-vl eplizikv 5 02fl 5q7 _loam of Queentar1 1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' SREPORT NAME � � C��j•�ll�r�G� �� LOCATION '53 gezzevi Date57/ /ffc- Permit No. e(S--�l4 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Bac fill ing t/ Roofing Siding Masonry Ven=er h Plumbilg 1./ Relief Valves Ext. Porches Finished Floor- Interior Trim Stairs & Railing- Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproof.ng Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY •PPROVAL Final Building Survey Next scheduled inspection (call whe ready) Remarks- ,oN71- J u� 5}h'cIS1 72DS v . Buil ing Inspector 6/86 and-vl -) - _awn Quceniburtta o BUILDING and ZONING DEPARTMENT / Bay and Haviland Road, R.D. 1 Box 98 • Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Cr �7� (�Q���[ L O C A T I ON ,5 Date ;-` / d-( Permit No. (f * * * * * * * * * * * * * * * * * * * * * * * ✓� AP�p ROV D - YE NO toting/Pier Forms / 7� - Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railing- Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELF TRICAL INSPECT ON DRIVEWAY APPROVAL Final B ilding Survey 1.1111.11 Next -cheduled inspection (call when ready) Remarks- ' r3 TA-IL '2 - i2o-3 Ps 10 X.ISr A/(, ,o-rtv6, ice p®v tz by _ Bu 1 ing Insp or 6/86 and-vl • g •„ 1, gown of Queen 3urty 401 I§UILDING • and ZONING DEPARTMENT tBay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /7m l 74,, i/ �rl/f. ���W�� C� �c. LOCATION J���� �O .- r Dated- 7 /C_ Permit No. /e-06 * * * * * * .A. * * * * * * * * * * * * * * * * ✓ = APPROVED YE / NO Foot ying/Pier Forms ot.-- .L Foundation V 4() V 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 t Next scheduled inspection (call when ready) Remarks- 1 • B it ing Inspecto 1 6/86 and-vl • _Jown o Queen iur i / BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / G h I.O�G �I✓eel. LOCATION c5'� Dated / K Permit No. ?t-0 (' * * * * * * * * * * * * * * * * * * * * * * ✓ APPROVE - YES / N ."Q oting/Pier Forms �jJp&- r✓ Foundation Waterproofing XBackfill Framing Roofing Siding Masonry Ve eer Rough Pluming Relief Valvvs Ext. Porches Finished Floo Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: f( Foundation jZ /O LT:k i"lZrt1Y2 dr"J Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 7 / r F ,, ti; Building Inspec 'or 6/86 and-vl � LI C(fl ,�6 c7 ;YO _Amin of Queeniburey PBUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING //INSPECTOR ' SREPOR/T'� �� /� NAME AO)" (iGZetq /1S�' /Yer/ LOCAT I ONe " �� e 1- - Date-/C, /c Permit No. -(W 4.7 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - .Ur/ NO oting/Pier Forms 11��'' Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbi g Relief Valve:. • Ext. Porches Finished Floors Interior Trim Stairs & Railin;s Cellar Drain Til- Concrete Floors Plbg. Fixtures Gar. Fireproofi g Door Closers Smoke Detector•. Chimney INSULATION: Foundation Floors J Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection� (call when ready) Remarks- 4�,,,.egz J .U��"�` `et--1 747 iIt E.g. ,t l_e_ e� . 77 7 . , 7 .,/17/,1(y" 7 ,i, / , r) ve / I ' ding Inspector 6/86 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 RECEIVEDINSPECTION � _ � /_G� NAME � -)z/i,a L,--2- �1/GGt.�/Lt LOCATION l/ll7i' �-:=5 L"�-C.P�r.,,, CGA. �_ DATE /r.—/p PERMIT # f t2 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING rf FRAMING ELECTRICAL ROUGH—IN ./' INSULATION\ i FOUNDATION\ / FLOORS / WALLS CEILING I FINAL INSPECTION: ' / CHIMNEY HEIGHT ROOFING SIDING �( EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE' & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS . FINISHED FLOORS d GARAGE FIREPROOFING DOOR CLOSER(p) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: �1 ,r Lt/G'l'/C �//!e INSPECTOR Jown of Queeni4ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801' BUILDING INSPECTOR' S REPORT NAME i%U�2 LOCATION OAP; Date_/ / Permit No. Yi`0 UI * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES ,/ NO Footing/Pier Forms Woze_i / e,2 �b Foundation Waterproofing Backfill Framing Roof'.ng Sidi Masonr Veneer Rough P` umbing Relief V. ves Ext. Porch:s - Finished:Fl..rs Interior Trim Stairs & Railin's Cellar Drain Til_ Concrete Floors Plbg. Fixtures Gar. Fireproof4ng Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELESTRICAL INSPECTION DRIVEWAY A'PROVAL Final Build . g Survey Next scheduled inspection (call when ready) Remarks- • . ' ding %Inspector 6/86 and-vl A• 1p • < t NI/ fla • -/ ikk e---•• •••„ S v. • • c5' • i„