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1987-468 } CERTIFICATE OF 0C'( L7I'A NCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK prays 19 Timis is to certify that work requested to be done as shown by Permit No. 87-468 has been completed. This structure may be occupied as a One-Family Dwelling tyx No . Church Lane. Lcocation Dauld & Suzanne Barnes Owner By Order Town Board OrOV N OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT N TOWN OF QUEENSBURY � No. $7-46$ WARREN COUNTY, NEW YORK. z 0 PERMISSION is hereby granted to David & Suzanne Barnes OWNER of property located at No • Church Lane Street, Road or Ave. in the Town of Queensbury, To Construct or place a Addition to One—Family a0 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 . OVVNEA'S Address is P . O . Box 2328 glens Falls , N . Y . m I4 c. 2. CONTRACTOR or BUILDERS Name tr Dale Baldwin (Mason) cn a N W 3_ CONTRACTOR or BUILDERS Address (D ca iv 4. ARCHITECT`S Name w 5. ARCHITECT'S Address 4 G. TYPE of Construction — (Please indicate by X} G 1 30 wood Frame i ) Masonry I I Steel 11 n C 7. PLANS and Specifications ro No. 26 ' x 36 ' per plot plan addition including septic . B. Proposed Use PLANS IN DRAWER Addition to One—Family 9 Gt. F� $5 . 00 C/O88 N• 50 . 00 February 1 , $ PERMIT FEE PAID — THIS PERMIT EXPIRES 19 0 {If a longer period is required an application for an extension must be made to t h a Building and Zoning inspector of the err town of llusensbury before the expiration date-) Dated at the Town of Queensbury this 22nd Day of July 19 $7 SIGNED BY ! / 4C � ��� _ for the Town of Queensbury � w r� Building and Zoning inspector TOWN OF QUEENSBURY 3Space inside block Ito lx• filled iit b. WARREN COUNTY* NEW YORK Building Insrx"f"•) Application for �I1,11IC it ICN1 No. BUILDING AND AIMING PERMIT 1'1 •rrl, i, f i - \ ;111I1• + ,1 1.1f rrl. „� �,rt�lll } J ' THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale AN WV 1 ('d by showing the actual dimensions of the lot +o be built Iic mai K9r upon, The exact sire, and location on +he lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TO1NiV O x al c ivrc� i DATE I) lJ N A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING, JUN 111987 The undersigned hereby applies for a permit to do the following work which will be done in accordance with the description, plans and specifi- BUILDING tic CODE DEPT, ca+ions, and such special cotadi+ions as may be indicated on the permit. The owner of th's pro rty is; . . 4.,►-.'�r:�11."04gr B � E�'3. . . P..p , �3a'rc 23 �$ �� �+Ets s �A�-4t.y. W*`w'.-. ! ''�-$�sl _ wA•. . 1 I p. AooAEss) The person responsibiv for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: C9WNER. sAM� . . . . . . . . . . . . . . . . . . . . . . . (NAME) ' - IP D ADOPESSI Name of Sunder . . . . . . .. A.M . . , . . . . , Address . . . . . . . . . . . . . . . . . Name of Plumber d d d - - - . . _ . . . - - - Address "�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason . . . L.I' VN 1k4- . . . . . Address - , , . - - - - - . . . . $•atr �7 •i Lot Number . . . 3 . . . . . Unit "DF Ct,,6_ ftQb . . . t.stimated value of proposed work S , _ , _}. 00 ^ . . . . . . • . . . . . . . . . . . . �- . . . Name of Village . . . . . . 40s Qe4c 4;,15 Hv M*4 Name of Street . . . . . -D _ ��- � . .�" ,�' t' . . . . . . . Side of street: north ❑ , east © , south '�. west Q Nearest Cross Street . . .k4.pzv :E ow , kf3ktCs . . , . . . . . . . . . . . . Distance from this cross street Ft. Property is north ❑ , south IN , east :i , west ❑ from Cross Street If on Corner, which corner, northeast U . northwest [ • southeast Lam . southwest (Designate by marking with an "X" in the correct space.l NATURE OF PROPOSED WORK OCCUPANCY 0 Construction of a new building. Main BuAding 19 Addition to a building. One-family dwelling C1 Alteration to a building. Two-family dwelling C] Demolition of a building. -family apartment house E3 Store building 0 . . _ . . . -car attached garage � Other: . . . . . . . . . Accessory Building oV E 1 V One-car detached garage _1 Other work. Describe: . k'E f (+. . . , , . . . . . PSTpI s• • , . Two-car detached garage O [3 T pa/nq Tt�4V tr f Ir� o ,N6W , Ja �! 1�1 1 b}w/ Private chicken house 0 Private storage building Q Other: . . . _ - . - . 4 . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in far new building, or addition to existing building, or a change of occupancy. Indicate on the plot plan stzeet names, the location and size of the property. the Iosastion, size and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property . . . . rJ. . . . . . . ft. x . . mod a. . . . . ft. Size and use of existing buildings, if any , 2-7 5T41gy. s atSa.ClIEZs N . lR Silalc 6*.X , W RE. PLpf�1}S liZ � m to Size of proposed building . . ' ft. x 3 (6 . . . . ft. Height (from grade t c . . . . . �'� �. ��' . . . . . . . ft. Front yard 4? K ,'rs .-. ft. Side yards . . . 'E .IS�Gt35`• ft. and . . c'St1ST GG- � t ft_ Rear yard . . . . . . . . . . . . . . . . . . . . . . . ft, souTN If on corner, setback from side street . . . . - • . . . . . . . . , ft. Note : All distances are net, as measured from street side line to nearest fart of building. (OVER) 7-73—?l 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 13 '3 � S�+ -FT . 1517A1�t�+Nl Z � ti-R r� AbDI'1I (4 �� 2 . Type of heat T:j h 4 4L,- F 1 RE b F�J f3.T.l AGE �c 35 4STc�, . S 5 f�a - E'�4T'ENA b O CTS 1 4-t f4 3 . is the building mechanically cooled ? D 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 ,R ST44T A wL%-< Lr.* lrgp4's% Q 2 / 46' � "Y, k %J = .d4S galar jfte STT* '; R U .�711 2 , Floor over heated spaces ES NO 'ANIi1 rr�-R a . Are foundation walls insu aced ? / NO 10 If YES , what is the R value ? a; 'F�ojLoJL 'ae E ICT ' 3 . Slab on grade YES NO a , If YES , what is the R value of insulation around perimeter of floor ? � 4 . Is basement.basement. heated ? YES NO �! ft$CR.4.LASS 4�lp"Ti[S $ _ 4ST 'F►.R �STS N 1{ a , R value of insulation ti3x1at4XV� "TjAj%> to SAFE ti%4 4-*:tL i- 4Z. $ 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 3 , R value of glazed area 4 . R value of doors 5 , R value of floors over heated spaces 60 R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab $ . R value of heated basement / cellar walls ( above grade ) 9 , R value of heated basement /cellar walls ( below grade ) 100 Type of insulation C . Controls 1 . Thermostat maximum heat setting `+�14Gr , D , Duct Systems_ 1 . Is duct system installed in unheated spaces ? YE5 NO a , if YES , R value of +duct installation h , R value of duct in other areas 14&w %LVV 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 2 . Temperature control setting maximum. - -� G , For Swimming Pool only 1 . Maximum heating �~ Telephone No . -�92 — rSD � � . 3 . � PP4c1� (4�+ "bx%} l!:� A(LWS ( applicant ' s signature ) TOWN OF QUFFNSSURY BUILDING i ZONING DEPARTMENT SFrAGF DISPOSAL PERMIT APPLICATION ] . Owners Name T) ia+J � D � 7V � ANN� � k►R4�1rc � Address P . O _ (9a , 2`32$ Gl ,i,15 T la.�t S Wyv Telephone No . riFo�a �e►SC �uOD 1Stof1 ,© LA<N-VC%J1; 2 . Property location , 3 . Name of person or firm. responsible for installing system 0 W #4<V _ Telephone No . Address 4L 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow z� 1 AJ4 b%S PaS g1,,, $ `[S of+"1 gallons/day 6 . Septic tank capacity gallon 7 . Topography : flat , rolling , steep $ of slope s . Nature of soil and depth Lac:30A � \) "KN,awVA 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ft - lo . Percolation test : A is required _ g �wwis not required c if required what is the rate minutes/inch ll . Water supply : municipal , well , other MvNjc.% PpL 12 . Type of system proposed : drywell , the field , other ~ Any contractor ,. corporation , individual , etc . engaged in the construction of a sanitary sewage disposal system who covers - the same before inspection , does - not have an approved permit , or varies from the approved application will be subject to a penalty of $ 250 as provided for in Section 6 . 010 .of the Queensbury Sanitary Sewage ordinance . Date ".'� Q *#4� 8 , » B1 Caw+.an 3- cPP1 1, r-�+a b hyM+4 signature of applicant on separate sheet of paper submit ad___ f i__a_ aram of the proposed septic system with all dimensions , including distance rom any structure , distance frc property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3 -82 i THE NEW YORK BOARD OF FIRE UNDERWRITERS iJ'049. E `44 BUREAU OF ELECTRICITY F 111 WASHINGTON AVENUE, SUITE 704, ALBANY, NY 12210 Date N+.2VEIIE3F U Application No. on fle I .i ,,44i6'4 1 ,144 11 .1, i't ' 141 THIS CERTIFIES THAT only the electrical egsFiprrsent we described BKrfarse a+ssl introduced by the applicant nansedoft the hove number in the prowsi+tae a¢ NOW111i (.510pcki 14ANF . gjf'11 '**1+1�MAill . N . Y . in thejolfesalnss location; Basewsent � lei F!. 0 2nd Ff. Section Block Lot sans examined on :"rs "I'! 'tiER :'. .3 ; I <:1":s` and found to be in conspliance with the National Electrical Code. AGRS fY1/1TCtttiti PlIXTUMBS RANGES COOKIHI60RCMti 5 DISH WASHERS W MAUST DAMS OUTUITS IMCANDt$c6N► FLUORESCENT OTHER AMT. K.w. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N- P- DRYERS ILRIMACE MOTORS R/TNM AMUAmm s"="RtICTT "Mti Cu*"$ WL UlRT tMATtRi$ A txwounu 0011" S AMT. K. W. OIL H. F. OAS H. F.. AMT. NO. A. W. A".a. AMT. A . AMT. AMM. TRANS. AMT, It- P. No.0� AMT. WATTS s1M11v ECT No. or s E R v I C �?y� p� E . ppL� AMT, AW. T#M � t 0 2W I A' 3W 3 X 3W :10 AW .NC7. OMR�COND. OF �. D. NO. OF HI AEG OF re•I,EG NO.OF NEVTR+ALS OF AIwEUTRAL OTHM APPARATttf: f' '1NCt VI.c. UAI, I)Ei'!aK TS- w. " Art r_ l+�c^t Tr1e ct1. CZ111-uey i' a hc,en m 3sifa of the e-,por�txvl e it=r i_!: .i r'c1I f clu i I Inent. i i3 t.fic, l I=rc�mi. :-e.s i.nellirat:.#�(i . ,. " No ot)vioL3t• rin , Li: i 1: is '1 .0 t' V r'C.irr?:Ti i i tCrtifrrl . I*AV Tl F1F1FdNMl j PO ERANCH AIANA"ll raT-.I .N:S Fes This cartIflcat* must not be altered in any manner; Tatum to the office of the board if incorrect. Inspectors rnoy be identified by their crodentials. COPY FOR BUILDING DEPARTMENT THIS COPY OF CERT#FICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY ROAD QUEENSBURY NY 12804 ( 518 ) 749!7-4447 ARRIVE : ci/` '� DEPART : INSP : FINAT, IIQSPECTIOIR REPORT - RBSIUEffiTIAL G7 DATE INSPECTION REQUEST RECEIVED `. LOCATION �y , ♦ DATE 1 PERMIT TYPE OF STRUCTURE FOOTINGS. FOUNDATION BACKFILL _ FRAMING ROUGH PLUMBIPIC NG SET INSULATION FINAL ELECTRICAL� 'I^1'OOS7STOVE OR FIREPLACE�. ti A YEs no HIMNEY HEIGHT VENT/'HEIGHT LUMB NG VEN ROOFING EXTERIOR FINIS" DECK PORCH STEPS RAIL N LIEF VALVES FURNACE HOT WATER OPERA IN INTERIOR TRIM PRIVACY S F NISH FLOORS • BATH IT HEN WATE T G OTHER FLOOR'S SWEE BL OTHER FLOORS CA ET D STAIR CLEARANCEIR'AILI"GS SMOKE DETECTORS THR OM ANS PLUMB N I]CTURES FOUNDAT ON NSU A ION GARAGE FIRE PRO FING O CLOSERS I AL EL CTRICAL SITE PLAN VARIANCE RE . FINA SURVEY PLOT LAN OK TO ISSUE C O OR C C /" , 11S e i 1 t7 �SC.k+tE-F' TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY , HEIg 745-4447 TELEPHONE BUILDING INSPECTOR' S FINAL INSPECTION ` REQUEST FOR INSPECTION R£C£IY£4 .ti 3� NAME LOCATION z,, , �r�, p14TE�__!jS: P£RMIT# TYPE OF STRUCTURE.- RECHECK�: F RE MARSHAL APPROVAL (COMMERCIAL STRUCTURE ) DOTING 410UNDATION v'�ACKFILL . �SULATIONBINGW60D TOVE/FIREPLACERICAL SEPTIC REMARKS APPROVAL N/A IYES INO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VE14T ROOFING SIDING D£CK; o CH/ST PS/RAI INGS RELIEF VALVES FURNACE/HOT WA ER PE _ BASEMENT INSULATION/O TWO K INTERIOR TRIM/ PRIVA DOOR FINISH FLOORS : ' BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOURS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WH LEHOUSE FANS ALL PLUMBING FIXT GARAGE FIRE PROOFING 5 OPERATI G DOOR CLOSERS OTHEER FIRE SEPARA % ION DEMISE WALLS DUMPST£R SITE PLAN/VAR AN £ REQUL EN S FINAL ELECTRICAL�� OK TO ISSUE C/O OR C/C COMMENTS : c:)o Y 'DEPART__-� I S ! TOMI OF QUEENSBURY BUILDING 5 AY ROAD N 31 S DEPARTMENT 12804 RK QTELEPHONE� ( 518)O7 45 4447 BUILDING IKSPECTOR" S REPORT REQUEST FOR INSPECTION RECEIVED NAME f Ll. OCAT ION o r�f c DATE 1rd � PERMIT - TYPE OF STRUCTURE APPROVED RECHECK N/A YES NO OO NGS/PTE ----� MOMOLITHIC POUR____ —� — REINFORCEMENT IN PLACE THE CONTRACTS IS RCTION ROM FOR, PR "DING PRO � FO OWING FREEZING FOR OF E Co RETE . THE P1ACE74M MATERIALS FOR THI PURP E ON SITE FOUNDATION/WALL PO R REINFORCEMENT IN PAC FOUNDATIOM/ DAMPROO IN �C SACKFILL APPROVAL ROUGH PLUMBING LACE PLUMBING V ENT/V N ISN pLUMSING UNDER SLA - -- ---� FRAMING :JACK S EAD SIR ACING/BRIDGI JOIST HANGERS JACK POSTS/ B y{Fp,TING ROUGH- I INSULATION : E - FOUNDATION LL FOUNDATION ALLS EXTERIOR RRr FLOORS WALLS R- CEILIN DUCT WORD pI ING IN UNHE E SPACES 06 'fin_ 'A �To . ARRIVE DEPART.. -- INSPEC R i kf*wA4e&jIrAA*vpZW TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT f BAY & HAY.TLAND ROADS {� QUEENSBURY, NEW YORK 128Q-+ ] TELEPHONE (518) 792-5832 1 BUILDING INSPECTOR " S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION e j� DATE C� ) PERMIT # - P APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORM FOUNDAT XONIDAMP--PROOF (, BACAFILL APPROVAL f ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-XN ! -INSULATION: FOUNDATION FLOORS- WALLS CEILING FINAL XNSPECTxoN: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE S SfiAIR,S"-CLEARANCE & ILS PLUMBING FIXTURES/ EF VALVE INTERIOR TR-rN1PRIVACY DOORS FINISHED FLOORS GARAGE F.TREPROOFING r - DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION PXNAL APPROVAL OF CON$TRUCTION OK TO ISSUE C/o OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFFOR THESE PREMISES ARE OCCUPIED! REMARKS: � ] ---LL 1 t JAI T'o ARRIVE DEPART � I �-- INS ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSSURY. NEW YORK 2280& TELEPHONE (518) 792-5832 I WI NG INSPECTOR ' S REPORT REQUEST FOR NSPECTION RECEIVED �?22 NAME �! LOCATION DATE APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING .iBACKFILL 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/PRIV CY RS FINISHED FLIDORS } GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTA _ FINAL ELECT7F] NSPECTION FINAL APPROVALCONSTRUCT N OK TO ISSUE C/O OR C/C i A SIGNED CERT FICATE OF OCCUP , CY MUST BE OBTAINED PROD THE BUILDING DEP TMENT ,BEFORE THESE PREMISkS ARE OCCUPIEDY REMARKS: /50 co If ARRIVE DEPART INSPECTOR gUtLp1NG and ZONING 0jipARTM'ENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, Ne`N �(ork 12801 81} I G N INSFECTORfS REPORT NAME L+DCAT ION '- I `i / p' vni t iota . I pate �1 �� �-- * * k * * * * * * 140 * * * * * k +t * * * i/ �. APP'ROVBD YES Footing/Fier Forms Foundation waterproofing Back.fill Framing Roofing Siding Masonry veneer ��- ---- -�- gpugh PlumbIng_y--�- -- Rellef valves_'. —� r Ext . Porches i Finished Floor's Interior ''trim Stairs & Ra3.lings � ---- Cellar Drain Tile �-- concrete Floors Plbg . Fixtures Gar , Fir'ePro['fin Door Closers Smoke Detector Chimney SULATlON Foundation Floors walls Ceiling CAL I13SpEC'TION FJNPAL BLEAF C 4&L Lk DRI.VEW Fsuilding� Survey ��-- Final Next scheduled 1nsPecCion call w hen ready ) Remarks- ABuilding In ector 6/gS and-VI TOWN QF QUEENSBURY rye BUIILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS I280� QUEENSBURY , NEW YORK TELEPHONE ( 518 ) 792-5832 BUILDING INSPECerOR' S FEPORT ,REQUEST F,L�R INSPE TION NAME _OCA TION 1SJ 74 ,PERMIT # DATE py'PPROVED Es NO FOOTING/PIERS Pods ~~ MONOLITHIC FOURFItTG, FOUNDATION ID+ P- BACKFILL APPROVAL C,,�OUGH PLUMBING 10, XRAMING ELECTRICAL ROUGH"IN INSEILATXON: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION = CHIMNEY HEIGHT" ROOFING SIDING EXTERNAL PORCHES &TE IL �-- STAIRS-CLBIX LIEF VA VE�- PLUMBING FIXTURESI INTERIOR TRXM /PRIV CY DOORS FINISHE FLOORS GAP-ACE FIREPROOFX G DOOR CLOSER (S) SMOKE DETECTORS SPECTION FINAL ELECTRICALOF CONSTRUCTION FINAL APPROVAL CU 1111 T BE E BUILDING DEPARTMENT BEFORE A SIGNED CERTIFI ATE OF OC OBTAINED FROM F RE OCCUPIED!' THESE PREMISES REMARKS : 4 1 . i 4 I INSPECTOR TDtidN OF QUEENSBURY BUILDING AND CODES DEPARTMENT Y & HAVILAND ROADS I28ok BA QUsENSBURY, NEW YORK ( SIB ) 792- 5832 TELEPHONE BUILDING IIySPEC.TOR' S REPORT REQUEST FO INSPE CTION RECEIVED --� L� NAME q xOCATION PERMIT #DATE APPROVED YES NO L c ' v FOOTING PIERS UR FORMS MONOLITHIC PO p�PROOFING FOUNDATIONIDAM ,BACXFX PL APPROVAL ROUGH FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING TION = FINAL INSPEC CHIMNEY HEIGHT ROOFING SIDING pORCHESISTEPS EXTERNAL NCE & RAILS^ A STAIRS-CLEARA VALVE ALVE pLUMBING F:rxTvRES/RELIEF INTERIOR TRTM/PRIVACY DOORS FINISHED FLOdR5 GARAGE FIREPROOFING DOOR CLOSER (S) — SMOKE DETECTORS ECTxON FINAL ELECTRICAL INSP �-- FINAL APPROVAL OF CONSTRUCTION OCCUPANCY MUST BE A SIGNED FROM E BUI� = NG DEPARTMENT BEFORE 1 OBTAINED FROM OCCUPIED! i 'THESE PREMISES ARE i ,y REMARKS INSPECTOR flown 4 Qu.eenjb"ry BUILDING and ZONING DEPARTMENT Bay oueesbury. New York 128 ox 98 SEPTIC DISPOSAL SYSTEM INSPECTION 1*IAME /y . LOCAT IC3NN�— c _ ey cl DATE _ i t ` PERMIT NO - TYPE and Loam - clay SC3IL _ r-� --- OI-L percolation Test Required? "YES - 13C1 min/inch Percolation rate - TYPE of SYSTEM= total lengt'k' ,^ � "Sorption fie, d Length of each trench Depth of trenches Size of gravel of) . SErPAGE PITS4NU 'ber It X ft. Size_ Gravel, size Size '�Ype PIP TNG : Bldg - to 4 tan1cyaG' Tank to G box ist - --�- - J Dist. box to field/pitNO Par Openings sea tial led? V gCATION/SEPARAT3:CNS : j5W yc41;;t ft. Foundation to tanit ft. Foundation to absorption J�ft . Absorption to lot line ft_ Separation of pits PROPERTY (circle one) IX)CATION C SYSTEM _ Right side Front ea - Left side COrSME13TS ° J2 �r so p, t SYSTEM LIST APPROVED YES NO guil8ing Inspector 6aeg cy- t vsSGf/ r'�c -5�33 01/86 and v1 rCCUpaTnt. MIDDLE DEPARTMENT INSPECTION AGENCY, INC.g00 Haddam Avenue. Calltngswood, N.J. 08108 r� Date December 3 , l9 88CertlfLP$ that the electrical equipment listed has been examined and is approved as being in accord with the National Electrical Code, applicable governmental , utility and Agency rules. er. ave Barnes Occupancy: T)WOPIling SaYpe Location., Borth Church Lane . Queensbury (Warren Co) "' This ceryricate covers the &Vectrical equipment and insiaalal1on inspected this dale. It additional equipmenl Should be inlroducad of ailerat,dns made to erueting System thls certlficaie shall be null and void, and application ldr $3 Outlets ; 30 Receptacles ; 30 Fixtures , nspectlon snoulo be Subm Hted promptly to this Agency. Equipment: Hoiden el Mrs certificate shoold present Same to nil property insurance carrier 100 Amp Service Conductor Sub , 4 Electric (agentoir coo ley r I dar+ce of cerlification glelectr I calequip men t Approved Heat ; 2 Paddle Fans ; 1 Burner ; 2 Protective as Signaling Devices Charlie ltawitz Pike Brook Road M0 15-027030 Clemens , NY 12819 �ueer+ sbkr'� SUkLDING and ZONING DEPARTox AS Bay and Haviland Road. F - D. pueensbury. New York 12SW REPORT BUILDING INSPECTC}R ' S NAME. LOCATION ' fermi t t3�' ,Date (yc�t* ''*`�*•—'� *�* -�i NO �tingJ'pier Forms Foundation wa'C.erpr�f in9 p,�,c2cf ill F raining goof in�3 Siding veneer Mason xY Plumbing Rough Relief Valves Ext . Porches ,,inished Floors -Interior Trim Stairs & gailings Cellar Drain Tile Concrete Flours gl]og - F fixture s Gar . F'reproof i-nq Door Glosers�-� Syke De+ceotors� Chimne'Y' INISULATIC'N FpU,ndat�-on Floors walls Ceiling ItaSPEC'Tl[�3�� --�— ~-- - FINAL EL .T�cAL IIRIVEWAY disks r I Survey '• Final Ruidin8 1 ready (ca when Next scheduled insp action ll Rema-r : ,r g ding vector r 6,/86 md' vl Toads OF QUEENSBURY �/ f SUILDING AND CODES DEPARTMENT SAY 6 HAVILAND ROADS I280� QUEENSSURY , NEW YORK TELEPHONE (5I8 ) 792-5831 WILDING INSPECT' P" S nPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION PERMIT ##-41 f DATE �� APPROVED YES NO FOOTING/PIERS FORMS MONOLITHIC PROOFING �� �- -- FOUNDATIONAI PROVAL B,ACKF'IL L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS fiEILING NAL INSPECTION: L� CHIMNEY HEIGHT ,ROOFING SIDING EXTERNAL PORCHESISTEPS STAIRS-CLEARANCE & RASE VALVE FIXTUREsIREL INTERIOR OR PLUMBING TRIM/PRIVACY DOORS FINISHED FLOORS c.ARAGE FIREPROOFING DOOR CLOSER (5) SMOKE DETEC TORS INSPECTION FINAL ELECTRICAL FINAL APPROVAL OF CONSTRUCTION CERTIFICATE O F OCCUPANCY MUST BE A SIGNED 0IC�P'IED DEPARTMENT SEFOR OBTAINED FROM THE B THESE PREMISES ARE REMARKS:L_/k '(� f"3 { f i INSPE TOR l TOWN OF QUEENSBURY �y BUILDING AND CODES DEPARTMENT W BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 2280&7 f TELEPHONE (.518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED 41 NAME LOCATION G ��22 — DATE 7 ~ loll PERMIT # APPROVED YES INO FOOTING/PIERS MONOLITHIC POUR FORMS FQ&WDATSO N/DAMP--PROOFING CKFILL APPROVAL ROUGH PLUMBING, FRAMING ELECTRICAL ROUGH—IN INSULATIONe FOUNDATION FLOORS WALLS ' CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/.STEPS STAIRS—CLEARANCE & RAILS_ PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIMJPRIVACY DOORS FINISHED FLOORS GARAGE FXREPROOFING DOOR CLOSERS) 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: .INSPECTOR BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDINGS DEPT, WHEN REQUIRED. r TEMP. s DATE / f 4 CITY OR VILLAGE � �� } y S �,V oL%mv, TOWNSHIP COUNTY /�. 1, k44. D NO OR ROAD ANDREET PoLi Mo. � O . C I�1.� �.GW L ll,, BETWEEN WHAT TWO POLE N CROSS STREETS IS t 71�. ,}� � �r F�.� 17 �� SECTION LDT PREMISES LOCATEd7 'V F� YS. 'i • 'E'C �...-�f�� BLOCK OCCUPANT'S BUILDING NAME mg, XV ) b 950kkfAt4i; OCCUPANCY U � OWNER'S NAME p �ry ,. 'y { .yAND ADDRESS L) AV1b V SVzo14 "* R � � f ' 0. 8wa32i TELL. # ! ;D.02 . . f"'1 '� BYll PPLIED 1Y 1'r µJ FROM THEIR Lc t.'L OFFICE BUILDING Is T>N� �I NEW 1_'T OLD WORK DEFECTS lS NEW ADDITIONAL K REMOVED [� LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Ne. of Flxerres $ NUMBER OF OUTLETS Lsntp Regptaslaa MOTORS BEATERS BRANCH Loan CPR ITS BFFfCE USE tiom ONLY Crilirrp Wall Rt1Kh't SwHch Pendant H.P. Watts AGM la.etaals'b Braakas No. TYpa Each N0. Each Na INSPECTION Out- ■ida haw Same- me" tst Ft. 2ral PI. 3rd Ft. REMARKS. LIST OTHER ELECTRICAL DEVICES NGT SET FORTH A$OVEn Dd NOT USE TH is SPACE. ci This aPPI icatiun is intanded to cover the abe listed egrliPment to he inspected but if at sierra of i You are aurh0rized to make the i napaction there Is found arklitiurral apuipment not abwra listed, rlapoctiaR and adjuss the fq to cover the additional equipment, w Provided by the applicant. MAINS FEEDERS SIZE ELECTRIC SIGN TOTAL LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK WORK TO BE CONCEALED TRANSFORMERS OF VA fCAPACITV) STARTED COMPLETED fSIZEMOF SIGN SERVICE OVERHEAD UNDERGROUND ButENT of MAKER HUt DI OF SIGN INSPECTION AS N ARAS REQUESTED PO OR LE HEAR AS POSSIBLE E NEW IJ OLD AVOID DELAY BY IN OR PULL AND ACCURATE INFORMATION. ALL SPACES MUST 8E NAME IN OR APPLICATION MAY 6E RETURNED. DATE OF PRINT NAME AND ADDRESS APPLICATION ,TAME GP D I . APPLICANT ] 1. Aid In1E j GFSIGNATURE APPLICANT -T J r� ( i' l s � OF APPLICANT �' "''� " STREET ADDRESS LV , �� I �11 N.1 {'l WIE (h., +s ! , d C5 +�+ !.^�, TELEPHONE * .ir.� T .J CITY OR ' L.E. I�►.0 s Y zip f 4%�'� POST OFFICE CODE WHEN SAPPLICABLE 46 EL (REV, 1/85) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING,