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1987-509 TOWN OF QUEENSBURY 742 Bav Road, Queensburv, NY 12804.5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: V-509 Date Issued: tune 27 , 1991 This is to certify that work requested to be done as shown by Permit Number has been completed. Tax Map Number: 279 . 17 -1 -14 Location, 46 1)4eam Lake Road South Owner, Glenn 9 Loxi Bateade Applicant: Gtenn 9 Loxi Bateue This structure may be occupied as a. Siny.Le Famity 17WUng By Order of Town Board TOWN OF QUEENSBURY Director of Building & C e EnOcement BUILDING PERMIT TOWN OF QUEENSBURY No, 87-509 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Floyd Batease co Dream Lake Street, Road or Ave. OWNER of property located at in r A in the Town of Queensbury, To Construct or place a One—Family Dwelling n� at the above location in accordance to application together with plot plans and other information hereto filed and w approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t. OWNER'S Address is Box 438 � Chestertown , Nw Y , o `C tzl 2. CONTRACTOR or BUILDERS Name W rr Glenn Batease w m 3. CONTRACTOR or BUILDER'S Address RD # 1 East Sunnyside , Glens Falls , N . Y , ro 4. ARCHITECT'S Name t-' to (D m 5. ARCHITECT`S Address 6- TYPE of Construction — (Plans& indicate by X) 1 Xl Wood Frame 1 ) Masonry ( ) Steel ( ? 7. PLANS and Specifications No. 28 ' x 44 ' per plot plan , application and specific t1ons including septic system xxv1x . Zo tax S. Proposed Use One-Family Dwelling a M �c a $5 . 00 C/o $ l33 ' QO PERMIT FEE PAIL] — THIS PERMIT EXPIRES March 1 , 1g 88 r� i� (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 �7�7th nay of / August 1987 SIGNED BY 4:; for the Town of Queensbury Building and Zoning I nspector r,y+"/AV�0 TO BE COMPLETED BY BLDG . DEPT . � / Application No . �Jotvnl 0/ �uee►i iE+ ttlre� Permit Issu€:d 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 � N 6 LLff� � T Bay and Havifand Road, R. D. 1 Box 98 Zoning Designation 5� . 3{7 V Queensbury, New York 12841 Variance No . u � AUG r� 'L�� Site Plan Review No . Approved y : SUIL01MG 8tt CODE DEFr . APPLICATION FOR � /tiG �� v, / J k Ili' 0 BUILDING AND ZONING PERMIT I L 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 . The owner of this property is : Tel . P . O. Address Q C/t✓ Jar !'J{-" '�-°' +� � QQ s' �' Property Location : 17Jk'FtM/ } Tax Map No . Street Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : [J J5 s4 5 ycJ Gr w �Il/ Q Cv I�Tel , No . Name P . O. Address T Name of builder rJ EWAY 50Vj!�E./ Address / 1 nLs.r a_ i�J+ - Tel . Marne of plumber J / - ! Address Tel . Name of mason / r t Address Tel . NATURE OF PROPOSED WORK : ZONING INFORMATION : nstruction 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 . 6�ft7 COMPLETE INFORMATION REQUIRED BELOW .$ � �} opt14 Size of property ft X � ft Existing building ( s ) Size.ft ft X ft . �r PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure _%�ft X 44 ft Foundation-pier/slab/crawl/partia ul Proposed building , distance from property line ( circle one ) � Front yard �' d ft Rear yard 1 C7 ft No . of stories (habitable space ) J "� Side yards ft and ft Height ( grade to ridge) 3 *5 1 / 1 ft . If on corner , setback from side street ft If residential , no . of families / No . of rooms ( excluding baths ) r5 * OCCUPANCY INFORMATION No . of bedrooms 3 �. PRIP+ ARY BUILDING - No , of bathrooms_ �� ,//One family dwelling Primary heating system f/F/ r / Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be installed,__ Permanent occupancy Will a wood stove be installed? I Transient occupancy Central Air conditioning? Ate5 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 Bu low Cape Cod Cottage Other ACCESSORY BUILDING- Colonial Row Town House Detached garage/one car/ two car/ car car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ * * * * * * * * * * * r * * Private storage bui ding _ ESTIMATED MARKET VALUE OF � Other CONSTRUCTION $ -ems - - - - 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 . Will any second-hand or ungraded lumber be used? If see for what ? Foundation wall material 43 Thickness © ► e Depth of foundation below grade (to bottom of footing ) q Will there be a cellar 'DIM Heated or unheated? sq. footage sq £t Will there be a basement? _Will any portion be used as living space ? - ( If so , what porti ? sq. ft . - - Type of use? Type of roof slope flat/shed/other�fJ� Material . of roof Size , wood Stu S "'X � ' f,/�7�spacing. / G Ilo . c . length 4d ft . Jcists ( floor beams ) Ist . floor "X " _,� � spacing /�"o , c . span _f t . Joists ( floor beams ) 2nd . floor �* "X� " Spacing�y�"o . c . span_. ft . Overlays ( ceiling beams ) - 2 X — s�acing �i+ "o . c . span ft . Roof rafters - a "X..Z _�" spacing ..^�o . c , span j� ft . Roof trusses (pre-engineered) spacing. " o . c . span ft . Exterior wall tinish Of what material? Interior wall finish -T ,`,ra/ C E� 17,4+r� ;e �/ '� '`_ - -- Sf a garage is to be attached , describe/ materials to a used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? If So will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? 'fir- Height above roof ft , Depth of chimney foundation below grade ft . ,r�A "r/ a. Depth of fireplace hearth +i ft . � in . +� Water supply - Municipal or private well / + �y,. . �✓ -f / SEPTIC SYSTEM _ Distance from ANY private well ( includinq adjoining properties (A separate application is necessary for any repair or new installation of septic system) Town of A F F I D A V I T STATE OF NEW YORK yy Warren County off Warren 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 . .�..._r�-► - SWORN 7'O BEFORE ME THIS Signature_ iOwner, owner ' s agent , arcnrrect , contractor day of 19 Notary Public , Warren County , N . Y . * * * * * * * * * . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT ; By TOWN of QUEENSBURY WARREN COUNTY . NEW YORK w 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 AeAf 3s is the building mechanically cooled ? b ! 4 . Percentage of area of windows and doors r / 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 ? essl 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 ? (ly Ell n�l NO a . R value of InsulatlsiZn 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 e � 3 . R value of glazed area 4 , R value of doors 1410 2 ./ 5 . R value of floors over unheated spaces) 4Q W01 {"�J */g6 . R value o £ slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab ,a /Ief- 8 . R value of heated basement/ cellar walls ( above grade ) Lf �:? rs 9 . R value of heated basement/cellar walls ( below grade ) fd 10 . Type of insulation C . Controls 1 . Thermostat maximum heat setting D . Duct S stems 1s 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 ,G�- 2 . R value of pipe insulationi if F . Service Water Heating + 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only / 1 . Maximum heating, Telephone No . { applicant ' s signature ) earn of aezvw4fy APPLICATION FOR SEPTIC DISPOSAL PERMIT 13AIM �i " I _ 2, LOCATION OF PROPERTY FOR. INSTALLATION ,G�y�+'�`� Owner's Names ,J�L"1,� /.' / � r� ,� � Telephone: :9 '� Address: Y '� � e'"!" 7'".Ci' L c� E �.+.t {+c��. Installer's Name: 1 > / +� ' 'Telephone: / � OZ Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: at FZ_aili�r�g- ' Steep Slope % of slope Soil Nature: circle one: and Loam Clay Other / Depth: feet Ground Water: At what depth? t=96 pCo_ [ feet Bedrock. or Impervious Material: At what depth? --KA — €eet Percolation test: circle one: not required requir d / rate min. inch. Domestic water supply: circle one: Municipal (feTI`y Other _ IF domestic water supply is a Well:.// Separation: W atersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench $Q feet / Total system length $ O feet SEEPAGE PIT(S) s Number of { / Size each feet by feet Size of stone to be used # 1 .._ / Depth or Thickness "} feet IMPORTANT ...please...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section I1 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, the 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 $250000. 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 Queeusbury Sanitary Sewage D�ispos: +Ordinance. L n: L ~` Signature of responsible perso c'�,. 2''�r -- 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 TOM OF QUEENSBURY 531 BAY ROAD QUEENSBURY : NEW YORK 12804 TELEPHONE ( 5I8) 745-4447 BUILDING INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME LOCATION_ DATE �_t PERMIT# TYPE OF STRUCTURE RECHECK _FIRE MARSHAL APPROVAL ( COMMERICIAL STRUCTURE ) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS A VAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/S S/ LINGS RELIEF VALVES _ FURNACE/HOT WATER O NG _ INTERIOR TRIM/PRIVACY ORS FINISH FLOORS : BATH/KITCHEN YWATEGHT OTHER FLOORS LE OTHER FLOORS DSTAIR CLEARANCEGS SMOKE DETECTOR DOOR CLOSERS BATHROOM FA ALL PLUMBI FIXTURES OPERATING. . _ GARAGE FI PROOFING DOOR CjFrRE RS OTHER SEP TIONFIRE/ MIS WALLS _ FINA ELECTRICAL OK _yO ISSUE C/O O C/C COMMENTS ; ARRIVE J DEPART T I N P O L ' J - � TOWN OF QUEENSBURY V0S 531 Bay Rd . , Queensbury NY 12904 518-745-4447 " Building A Code Enforcement INSPECTOR ' S REPORT S� 19 aAA roperty Location Owner or Tenant Building Sewage Sign Other tapir:sC"t�C3 L.f Remarks : TEA '1MW —� Do tZI CONTACT THIS OFFICE WITHIN _ --- it ing Ins r a TOWN OF gUEENSBURY NY 12804 . � Queensbury 531 Bay Rd f, ye�S1r 51$-745-4447 Building & Code Enforcement INSPECTOR' S REPORT 'oc�> roperty ocattan nS �' Owner or Tenant Sign Other . ��^~ Building Sewage g Co VP A - Remarks : 5 OFFICE WITHIN CONTACT THIS __.._------- -- uil n pector TOWN OF QUEENSBURY —i ! BUILDING AND CODES DEPARTMENT + � QTE E LCA BUI REQUEST FOR 'j�VCt.%.N CAL NAME t PL J LOCATION DATE f 4PERMIT 0 TYPE OF STRUCTURE RECHECK C,pc►PPROVED N/A iYES NO FOOTINGS/PIERS _ MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWIN THE PLACEMENT OF THE CONCRETE MATERIALS FOR THIS PURPOSE 0 SIT FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING —� PLUMBING VENT/ VENTS N PLACE PLUMBING UN�R SLA _..� FRAMING : JACK STUDS /HE ERS .� BRACING/BRIDC NG JOIST HANG£ JACK POSTS) AIN BEAM HEATING ROU - IN INSULATION • FOUNDAT N WALLS INTE R FOUNDA ON WALLS E7CTERI R FLOOR R- _ MALLS R- CEIL NG R- DUC WORK OR'PIPING IN UNHEATED SPACES R EMAR r F- wa� \AAT% uali:> ARRIV DEPART"(("i'' ilt C.�L=71�-�'QL�'C'� "�, t7�.3` ta.3 R ►.-1�.-- 'Q� � ���- r7 TOWN OF iQUEENSBURY Bay of Havdand Road, Ouos7sbuq, NY 12804-9725- 51$-792-5832 Building & Codes Department TNSF£CTOR ' S REPORT Q PROPERTY IADCATION r OWNER. O 'TENANT BUILDING SEWAGE SIGN OTH REMARKS : CONTACT THIS OFFICE WITHIN SPEC' OR ?o/or "HOME OF NATURAL BEAVTY . . A GOOD PLACE TO LIVE" SETTLED 7763 TOM of QuEERSS IRV 531 SAY ROAD QUEENSBURY . NEW YORK 12804 WL TELEPHONE ( 518 ) 792- 5832 BUILDING IIlSPECTOR'S REPORT FILIAL INSPECTIONRECEIVED REQUEST FOR INSPECTION REECEIVED IfA�1E LOCATION DATE .2JJaLdf PERMITO TYPE OF STRLXTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE ) FOOTING FOUNDATION BACI¢FILL `FRAMING 'ROUGH PLURBING FINAU-ELE;TRICAL SEPTIC INSULATION WOlWSTOVE/FI PLACE // �9TTE PLAN/VARIANCE REQUIREMENTS ��YES HQ REMARKS A OVAL CHIMNEY HEIGHT/LOCATION N/A YES NO B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/P f RELIEF VALVES FURNACE/HOT NTER BASEMENT INSULATIQ DUCTWO IG� ~" INTERIOR TRIM/PRIM CY DOOR FINISH FLOORS : BATH/KITCHEN €RTIGHT OTHER FLOORS EPABLE IF OTHER FLOORS RPETED STAIR CLEARAN /RAILING HANDICAPPED A CESS SMOKE DETECT S BATHROOM FA /AfH ALL PLUMBING . FIXTURES OPERA 11iC GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE S T'I ON- "- FIRE/DEMISE WALLS DUMPSTER FINAL EL I OK TO ISSUE C/O 0 ARRIVE DEPART -�`I/ J OR 0_ JG�'r�, . TOM OF QUEENSBURT QUEENSBURY. NEW YORK 12804 at TELEPHONE ( 5I8) 792-6832 BUILDING INSPECriDR'S RE3MRT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED MAKE LOCATIOnDATE cryJf' TYPE of STRUCTURE RECHECK r� +FIRE MARSHAL APPR AL (COMMERCIAL STRUCTURE) ' d TING AwFWNDAT N yBACKFILL F GH PLUMBING INAI:ELECTRICAL PTIC YgWSULATION WO TOVE/FIREPLAC€ TE PLAN/VARIVCE R UIREMENTS no REMARKS � - 9 1 CHIMNEY HEIGHT/LOCATIO N! YE N13 8 VENT/LOCATION PLUMBING VENT ROOFING SIDING OECK/P / RELIEF VALVES FURNACE/HOT 1YG BASEMENT INSULATION/ C R INTERIOR TRIM/PRIVA DO S '- FINISH FLOORS ; BATH/KITCHEN WA T RTIGHT OTHER FLOORS S EPABLE OTHER FLOORS PETER x STAIR CLEARANCE ILING HANDICAPPED AC SS SMOKE DET€CTO BATHROOM FANfllL }� U ALL PLUMBING/FIXTURES OPERA DDOORGCLOSERE.� ROOFINGy—�--- OTHER FIRE ;"SdC'J" i "'�-- 'k FIRE/DEMISE WALLS DUMPSTER FINAL EL OK TO ISSUE C/o C/ do:fmom ARRIVE DEPART TOWN OF QUEENSBURY BUrLDrNG AND CODES DEPARTMENT .BAY & HAVXZAWD ROADS QUEENS,$ RYO NEW YORK 1280+& TELEPAONE (518) 792-5832 BUILDING INSPECTOR, ' S REPiDRT R'EOUEST FOR IN.SPEcrxom .RECEIVED NAME _ LOCATION r DATE APPROVED POOTrNGfPrERS YES NO MONOLITHIC POUR FORMS FOUNDAT20N/DAMP-P.r MS NG $ACKPrLL AppROVAL ROUG" PLUMBING PRAMXNG ELECTRICAL ROUGH-rN rNSULATrON: POU+vDATrON FLOORS_ WALLS CE-CLING FINAL rNSPECTrON: CHSMNEY HEIGHT ROCJF1rNG SIDING EX21ERNA.L PORCHES/.STEPS .STAIRS-CZZ4RANCE & RAr F'LUIMBING FIXTURESf INTERIOR TRIMfPRS VAZ E FINISHED FLOORS DRY' GARAGE PIREPR Fx DOOR CLOSERS) - SMOKE DETECTORS FINAL ELECTRrCAL I .bECTIOlV FINAL -APPROVAL Op 0 �z OK TO ISSUE NS2RUCTIN �- CffJ GR 'CfC A SIGNED CR'R2'IFICA E OF OCCUPANCY NT 2 HESE OBTAINED FROM THE 8UrLD-rNG DEPARTMENT BEpORE P1?EMrSES ARE OccupzED; REMARxs: &-Av AlMxvE _xAv TOR MIDDLE DEPARTMENT INSPECTION AGENCY, INC. 9W t•u.aaon &V nun, colpngswood, N.J. "log Date August 31 , 1988 �[7. Qrtlf lE� 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. D Owner: � Batease occupancy: Dwelling Occupant: Same O F Box# 327 A Lake. 5unnyside , Queensbury ( 'Warren Cne cart+ticate coven the alectricat equipment and 'rnstanataon mapecteo this tla a. lF addition at equipment should be irxrodaced or alterabdns made to ex+sling system this certificate shell he null and void. and apPtIcation far enspe inn oho uld be s,dOm itted promptly to this Agency. menr: 100-Outlets ; 50- Receptacles ; 26- Fixtures Holder of this certificate should punt same lO his property insurance carrier pliances ; 2 - PRotecti ve Signaling Devices IaganS hied, anyJaseviWmesOl cart iflCationnteleciricalequiRmantaPP c+ad as specified. C rGlen Batease % Box # 327- A Lake Sum ys „dye - � `s� N� 15- 024118 L.Gl ens Falls , New York 12r80ft t °; awn v/ Queens ursy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 'y . Date !! / l / Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene r Rough Plumbi Relief Valves Ext . Porches Finished Floor Interior Trim_ Stairs & Railing Cellar Drain Tile f.Concrete Floors Q Plbg . Fixtures Gar . Fire,proofin Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ETAPPOVAL INSPECTION DRIVEWA Final Burvey_ Next schedu ed inspection ( call when ready ) Remarks- Iwo Building Inspector 6/86 and-vl ._.J'own O/ Queens ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAMEft LOCATION Date �f ZS- - Permit No . �L ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing L,W6ckfi11 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 ELECTRICA INSPECTION DRIVEWAY APPROV L 'Final Building urvey Next scheduled inspection (call when ready ) Remarks- s Building Inspector 6/86 and-vi flown o/ Queenjiury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-0. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date � Permit No . APPROVED - YE N4 Ming/Pier Foxzris Foundation Waterproofing Backf i.l l Framing Roofing Siding Masonry Veneer Bough 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 IN SU LAT I ON : Foundation Floors Walls Ceiling FINAL ELECTRICAL, INSPECTION _.._. _..... DRIVEWAY APPROVAJ - Final Building S rvey _ Next scheduledJ inspection (call when ready Remarks- AA EWA, cXing Inspector 6/86 md--vl a"Oen 01 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 �IIILDING INSPECTOR ` S REPORT NAME _ � d Z - 'Ie 40 LOCATION ,-y� ,*� } Date �f- /r /� Permit No . ,�' / " 49 ✓ APPROVED YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing siding Masonry Venee Rough Plumbing Relief Valves Ext . Porches i Finished Floors Interior Trim Stairs & Railings Cellar. Drain Tile 03ncrete Floors I11bgg . Fixtures Gar . Fireproof incV Door C.Insers _ Smoke Detectors Ch ' ey Sul T I ON : V Foundation Floors Walls Ceiling FINAL ELECT 1CAL INSPECTION I)RIVEWAY AP OVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- Bu ' 1 in bfipector 6/85 and-vl awn o/ �ueen36ur� BUILDING and ZONING DEPARTMENT Bay and Waviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE Qy�lg _ PERMIT NO . �Gr `� SOIL TYPE Clay Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total length Length of ea h trench Depth of tre hes Size of grave " SEEPAGE PITS4N er of) Size- i_ft. X ft . Gravel size PIPING : Size Type Bldg . to tank ` Tank to dist . box a,,. Dist. box to field it y Openings sealed? ES NO Partial LOCATION/SEPARA IONS : Foundation to ank #f:WV FoundationtoaorptionfAbsorption to lot line Separation o pitsft. j LOCATION OF AYSTEM ON PRO ple one) Front - Rea - Left side `Rig}it side COMMENTS : SYSTEM USE APPROVE41d B Ins ector 01/86 and vl .,,Q ._.,fo wn v Qu ee n s u rt� per/ '` BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sox 98 Queensbury, New York 12801 BUI DING INSPECTOR ' S R ORT NAME ,p'iP e a ' LOCAT I O Date / d Permi No . �✓' PROVED - YES NO Footing/Pier rms Foundation Waterproofing Backfill rFram, ng Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain T11 Concrete Floors Plbg . Fixtures Gar . Fireproofi g Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION _. DRIVEWAY PROVAL Final Bui ding. Survey _ Next se eduled inspection ( call when ready ) Remarks- k j ��^ r 5T lding ns ctor 6/86 and-vl TOWN OF QUEENSBURY � W ,'BUILDING AND CODES DEPARTMENT � ADS SAY & HAVILA NEW v SSURY ORK I2801 TrZZPHONE � r . 518 ) 792-5832 ELE BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED / �--- NAME ,61ea <� LOCATION r « f PERMIT itr' DATE _ r--'-"`~ APPROVE YES FOOTINGIPIERS FORMS MONOLITHIC POUR FOUNDATION/DAMP- PROOFING BACKFILL APPRO X ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING TEPS EXTE �� -- RIVAL pORCHESj STAIRS-CLEARANCE & R�II'SF VAL PLUMBINGFIXTUR IVACY DOORS INTERIOR TRIM/ FINISHED FLOOR FIND GARAGE FIREPR DOOR CLOSER (S S SMOKE DETECT L INSPECTION FINAL ELECTRIC FINAL APPROVAL OF COiVSTRUCTION OF A SIGNED CERTIFICATE ILDING OCCUPANCY MUST BE OS PREMISESROTHE BU OCCUPIED;EPARTMENT BEFORE THESETAINED REMARKS: INSPECTOR BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 'Box 98 Queensburyt New York 12801 BUILDING INSPECTOR ' S REPORT NAME. r��' 7E4r5 LOCATION Date !- Permit APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Back€ ill Framing Roofing Siding Masonry Vene r Rough Plumbi Relief Valves Ext , Porches Finished Floors Interior Trim. Stairs & Railings Cellar. Drain Tile Concrete Floors 111bg . Fixtures_ (.ar. . Fireproofing Door Closers Smoke Detectors Chimney INSUI ATION Foundation Floors Walls Ceiling FINAL ELECT CAL Ii35PECTIDI3 t)RIVEWAY AF OVAL _ - Final Build ng Survey -� Na>xe schedul ci inspecclon (call when ready ) Remarks- Bu4dii- Iector 6/B6 and-vl BUILDING DEPT, COPY OF APPLICATION FORM 41I NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. ! �.. ITEI CITY OR .- ' VILLAGE �. /}',t /r•'• r-.. TOWNSHIP STREET AND NO_ OR L..�' f ." '"f f' COUNTY ROAD AND POLE NO. rC BETWEEN WHAT TWO POLE NO. CROSS STREETS IS PREM TED7 r OCCUPANT'S ECTION B OCK LOT NAME BUILDING ..'� - -;/ f - ?'""' •�' OCCUPANCY OWNERS NAME - ' AND ADDRESS SUPPLIED r Y +r .• -. - FROM THEIR _ OF ICE BUILDING _ IS NEW OLD ❑ WORK DEFECTS IS NEW O�AODI TIONAL 0 IREMOVEO LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUkBER OF OUTLETS II at Fiuhires A BRANCH tloar�i Lanrp Rec:ptaeys MOTORS HEATERS BRANCIRCU OFFICE USE Slde Atsrlhp[ ONLY Crillna yrr ReptsTs SwdMI P.tmr:tt Brssie:t N.,. Type E:d� Na. wwara A.W.G.E+� No G&I INSPECTION oil"wid. Sob nretx 1st Fl. 2..d FI. sra Ft. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE; DO NOT USE THIS SPACE. This wpplieatien is intwndad to carer the whore-NI epuipm a to be insp�trd but if at tuna of i you are wtheri"d to make alb: inapm"mn end adjust the III to corer the additional ui r..enx. as rrnidedaR them is ieand additional rquipmant not wbora listed, S#ZE OF P prewidsal M xhe applicant. MAINS FEEDERS ELECTRIC SIGN TOTAL CHARACTER LAMpS WATTS OF WORK EXPOSED CONCEALED GAS TUBE SIGN TIM ANSFORM E R S OF WORK TO BE VA STARTED iCx'JMPLETED INUMSERI ICAPAC{TY{ SERVICE OYERHEAd SIZE OF SIGN ENTERS UNDERGROUND MAKER ILOINO OF SIGN III TfDN REOUESTED PO SI AS NEAR AS �r, yr f, ■ POSSIBLE Vif F NEW AVOID DELAY BY G{VING FULL AND ACCURATE INFORMATION. ALL SPACES OLD MUST BE FILLED IN OR APPL{CATION MAY BE RETURNED. DATE OF PRINT NAME AND ADDRESS APPLICATION NAME OF APPLICANT ;". . .f J",f-/'. -r /" yr ;;7' �f'... r ' /.. SIGNATURE �% �7 { OF APPLICANT STREET ADDRESS) fvF- .f �/' r' :' `� 3L-..'✓E...' 4"' /! ti"r' TELEPHONE CITY OR ',_Lf l ) POST OFFICE (x-• // r. _ '? +',J„+`� 'r'', CODE +l -t'' YjC w> /�` LICENSE NO. YYFIEN APPLICABLE 46 EL (REV- {/Rd) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 1 -eel 47 ` ZON IG & $t ODES DEFT "P: TCWN CFtLIEENS9URY = 1 + ' � I , I Y • 4t5 viou i 1 i I Oct, if7G ' 1 t Zf : Ld�I� zo 11ct1 Ape 1I. 1 Y f � Hc�u J 1 � r r 1 j S ,i•-.-, Jam` �L7i7� { G� too qd �i1