1988-254 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 1 19 8&
11)0i k I4?)\
This is to certify that work requested to be done as shown by Permit No. 83-254
has been completed.
This structure may be occupied as a One Family Dwelling — Modular
Location Pinewood Rd.
Owner Jeffrey & Rhonda Washburn
By Order Town Board
TOWN OF QUEENSBURY
'2 //
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 88-254
zr
WARREN COUNTY, NEW YORK •
PERMISSION is hereby granted to Jeffrey & Rhonda Washburn
OWNER of property located at Pinewood Rd. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One Family - Modular
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. cnr,
rt
1. OWNER'S Address is
21 Woodland Path
Glens Falls, N.Y. 12801 a.
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2. CONTRACTOR or BUILDER'S Name
American Homes
a
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3. CONTRACTOR or BUILDER'S Address
1647 Rte 9
Clifton Park, N.Y. i
4. ARCHITECT'S Name o
a
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5. ARCHITECT'S Address p-•
�S
6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
F'•
ro
7. PLANS and Specifications
No. 28' x 48' as per plot plan, specifications and application a)
including septic system a
8. Proposed Use
THE ATTACHMENT OF THE TWO PARTS MUST BE APPROVED BY A
LICENSED PROFESSIONAL ENGINEER.
c
One Family Dwelling
$5.00 C/O
98.00 December 1 88
$ PERMIT FEE PAID -THIS PERMIT EXPIRES 19 N.
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the �C
town of Queensbury before the expiration date.)
0
a
Dated at the Town of Queensbury this 20th Day of May 1988 N
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SIGNED BY %- 0, Z-1-/Y/le) for the Town of Queensbury
Building and Zoning Inspector Aie
TO-W
TO BE COMPLETED BY BLDG. DEPT. _may _ _
�] // Application No. tyli Jr J �,;+ u t/own o� Queensbure� Permit Issued 19 _:j
BUILDING and ZONING DEPARTMENT Permit Expires • 19 APR 81DD
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No -` - BUILDING a CODE D
Site Plan .evict /No.
�� ter-;; "-- / /I PCe /03 ' p
Approved lb' /' 'f'/�l .i C .0
APPLICATION FOR ��; L' Cif -11 ,,- .- ---_
•
BUILDING AND ZONING PERMIT if
* * * * * * * * * * * * * * * * * * * * * * * •* * * * *• * * * * * .# * * * # #
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: ` e_t \`, , Aevt. i '�� - p�_ c�41v;Z\�
P.O. Address ;!\ , � 'i�;wc\. ,,� \�k2s1, �"\C \ \\)CUSN. Tel. \ A�--\-1LX
Property Location: axsl { •\ WL.k ..tivev�.11;1 , \, .�� \»t ax Map No:\a ,/ a /
Street number, or building lot number
Subdivision name (if applicable) .
THE �PE ERRSON RESPONSIBLE FOR SUPERVISION `OF WORK AS REGARDS BUILDING CODE 1V-®S IS: �}
may.' ,e_�" k_,` =3\aA""i-�v. e� \\,pc..: \�"��\eN� e 1 •e��V W\�S . AQ\- L of
Name ‘ P.O. Address . - ` Tel. No.
Name of builderWor�e.c_v��. \\c,x...� Addressu,U'li vl,C� �c43�ac `d, <i(- Tel. l\ - S'S c\
Name of plumbs ��\� Address ,�/ Tel. .
Name of mason \- _ C•a-1,) Addressx� �u,A,aQ- C:o�c., s MY \ACc4.1Tel. a�\--, -n�,,--7\
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,
Ai *
Alteration to a buildingshowing 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 -C�of property 1( ft X N'�' ft.
* Existing building(s) Size ft X ft.
* . .
•
PROPOSED BUILDING AND USE:
Existing building(s) Use
Size of new structure ,O,S ft X %ft
Foundation-pier/slab/crawl/partial/El * Proposed building, distance from property line
(circle one) *
ft Rear yard
* Front yard Z{
No. of stories (habitable space)
ft
Height (grade to ridge) 1ci ft. * Side yards ft and Z{C1 ft
If residential, no. of families * If on corner, setback 'from side street ft
� '
No. of rooms(excluding baths) I, * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING - ,
No. of bathrooms J
Primary heating system V1.e_� ; �_ * One family dwelling
Type of fuel * Two family dwelling
No. of fireplaces to be installed •
* Multiple dwelling / Number of units
Will a wood stove be installed? ` ,� * '1,--"Permanent occupancy
Central Air conditioning? cs * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
nc Contemporary Log cabin * Other.
Raised 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 ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * _Other
CONSTRUCTION $ bd���0 *
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. 1 ocQavh,-
Wil`1 any second-hand:or ungraded 'lumber be used? If so, for what? c.
Foundation wall materiaM,„,a,ASA,„- 44ahickness C t,
Depth of foundation below grade (to bot ooting) '1 '
Will there be a cellar? �S Heated o unheated? Floor sq. footage \ sq ft
Will there be a basement? _' � �D Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
• Type of roof = lope /flat/shed/other • Material.'of roof A%,0K..A� �,,�.o- _
Size, wood studs "X. " spacing "o.c. length ft. •
Joists(floor beams) 1st. floor ;` "X 1(N " spacing \L "o.c. span al, ft:
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. .
Overlays.(ceiling beams). a, "X h " .spacing V.., "o.c. span g ft.
Roof rafters "X " spacing 1t., o.c. span ft.
Roof .trusses(pre-engine, red) spacing 'yc`-% "o.c. span OS 'ft. .
Exterior wall finish o v ` --Of what .material? .•��,,
Interior wall finish , '�€ ,-,e_r.r) . :T '
If a garage is to be attached, describe materials to be used for="'FIRE SEPARATION: •
�., ..,ems, •
Is there to be an opening between garage and dwelli ?- ' If so will #Be-rated
• door, enclosure, and self�-c-los`ing device be ded?
Will a flue-lined ' nrit'ey be installecr Height above ro-f ft. ,,o.1"-
Depth of. ch' y foundation, belo..g ade 'It. •
Depth fireplace hearth ,®'ft. in.
Wa er supply - Municipal or private-well ,'\, .ru' - ‘;\\
SEPTIC SYSTEM _ Distance from ANY private well(including djoining properties \OO -4r- ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury A F F :7 D A V I T .
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 doneLLon 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..
SWORN TO BE , RE THIS Signature C __
• Owner, er agent,arcnitect,contractor .
day o . 19
Notary Pub ic, W rren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * *' * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT: '
•
•
By
•
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:
X �'
1 . Gross floor area
2 . Type of heat )L\ec,ejk •
•
3 . Is the building mechanically cooled? \\\,) (
4 . . Percentage of area of windows and doors
A. Over 16% Only
1 . \ Uo value of gross area of walls , roof/ceiling and floors
posed to ambient conditions
2 . Floor over ated spaces YES �,dAP
a. Are founds n walls ins®ated? YES NO
1. If YES , why is the,-"R value?
3 . Slab on grade YES
a. If YES , what ' s the R value of insulation around
perimeter f floor?
4 . Is base nt heated? YES NO •
a. value of insulation •
5:„../Type of insulation
B. Under 16% Only
1. 121;.....yaklalf oi,g, rocf and floo s exposed to ambient conditions
2 . R value of exterior walls R -\ \,
3 . R value of glazed area c, c:XecV(
4 . R value of doors S ��� ,p%
•
•
5. R value of floors over unheated spaces -
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/cellar walls (below grade)
10 . Type of insulation
C. Controls
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 y�
1. Size of hot water or cooling carrying agent pipe 4v
2 . R value of pipe insulation.
F. . Service Water Heating C>
•
1 . Performance efficiency
2. Temperature control setting maximum :1CSTCj'b •
G. For Swimming Pool Only
1. Maximum heating
Telephone No. \� 1 (;a_n
'(appl nt signature)
•
own QueenJititiv �. :: �:.,.:.'�:.., ..;, . ; :'�. �.• ':��.::��,
,i,` I•I•,
QUEE URY TOWN •��..,: --= �.r '�1 lv. ��
�� ----- NSB OFFICE BUILDING
� � •,��'.�
• BAY AT HAVILAND ROAD
HIGHWAY DEPARTMENT QUEENSBURY, NEW YORK, 12801,
• TELEPHONE: (518) 792-5832
Application for Driveway Permit .
(Submit completed application to Highway Department)
•
Name of Applicant
Mailing Address A\ 0���� � ` vo OcIA, •
ADDRESS TO BE INSPECTED c x \-)c
•
The Superintendant of Highways, Town of Queensbury, has reviewed
the application of the above named resident to connect a driveway
to the Town Road. The following action has been taken:
( ) Premininary Approval (to be followed by "Final Approval") •
• ( ) FINAL APPROVAL •GRANTED
•
( ) REJECTED
Culvert pipe -size. to be used •(if necessary)
( ) 6 " - ( ) 8" - ( ) 10" • - ( ) 12" - ( ) 24" - ( ) 36-"
Date:
Paul H. Naylor
Superintendant of Highways
Town of Queensbury
•
••
•
•
•
•
•
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A COOS PLACE TO LIVE
arm of Vie ''
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE Li '" <
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: v�� \ � ° ��„���� , Telephone: dl d L y
Address: 3
Installer's Name: Telephone:
Number of bedrooms (residential only) _
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: lat Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: feet
Ground Water: At what depth? - feet •
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle on . not required required / rate min. inch.
Domestic water supply: circle one:�Municipaly ell Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank MO, o gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length '10.0 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 distanceto.lot lines
3.) location and distance to structures
4.) location and distance to any water supply
5.) si , , `d 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 responsibleperson: C o�
N\\
Date: LI\ — � \
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New' York 12801
(518) 792-5832
' r 53 . , . Hr r GC 'yE
INTERIM BUILDING PERMIT
PERMIT APPLICANT `?uczA
CONSTRUCTION LOCATION
r4A7 wdv0 S-20NriD.
EFFECTIVE DATE A65,9 )21 (... 4'16 .
APPROVED BY `
SPECIAL CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONSPICUO -': OCATION ! !
7 ,
Building & Codes Department
. TOWN OF QUEENSBURY
SELECT BUSINESS FORMS (609) 848-5203
APPLICATION FOR ELECTRICAL INSPECTION
PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES
,e,-- ''� MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
i® *' National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
t,AP )C.ANT CQJIAP7LETES T_HISI SECTIQ( -g Date:2.\ n
City, Town or Township C ,� .�-` "S\- \-.5.e-•—.N County v�a'A''��=�-`cv State `Lv
Location/Address ,�cx ) 1 � L\ 1 -C�c�cC� R�
(Ifck Lo ated in Rural Are - Please Attach Directions) Pole #
�� ��Owner -� :� ci u� �� .��., Permit #
Occupied As`, c mow\ Building: New Old❑
Occupant `�`Ar 4. —
Work Area in Building (Floor #,etc.):
App. for: Wiring❑ Service n or: Ready for Inspection:
Fee Remitted -$ Cash Ti Check n M.O. ❑ _ Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches L200 Am
Lighting p. Service Surface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
• Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's. . s
Signature —� \ ' License # Permit #
T/A f� Utility:
Applic ,t's Address: ,;c \ �r-�C�' .\�, \?� (NAME) (OFFICE LOCATION)
(City) - =-4-; `S • \\S (State) .. (Zip)\ \ Service Request #
Phone #./S \ 1 Lr , i Electrician:
.P.0 u11E.,orv!X4r DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above(1 or:
Red Notice Label I I • .
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
I - 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
l'l kitimoiscc7 Patrick J Dashnau
%t:;T < :-.. PO Box 321
Hudson Fal Is, NV 12839
518/798-3473
ELECTRICAL INSPECTOR
CORRECT .
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE FEE FEE PAID
Ti •
RW Progress: Inc.❑ LKD❑ Contractor •
I CFT Violation: Work Comp.Ti Inc. Ti
I L/A Owner CASH I I
❑ L/A Fee CHK #
Due MO #
n IPA Municipal
• Applic
INV #
ant ❑
Date: Other Side❑ Utility ❑
. Owner
Cut in Card Ti Temp # Date
A.
P7V t14.N.,JhdV v+.Vi144V c1h�V J OuJac°v 'lit, tt*V N., N.., V J \,JMV cI41. .. .v,
( MIDDLE DEPARTMENT INSPECTION AGENCY, INC. M 4o 7
900 Haddon Avenue,Collingswood,N.J.08108 C
C - . gswoo Data June 30, 1988 ,
C
' Certlf ley that the electrical equipment listed has been examined and is approved as being in accord t
with the National Electrical Code, applicable governmental, utility and Agency rules. S
Ce
1 Owner: Jeff Washburn , ., o cupancy' :Dwelling
c
'F Occupant: Same
'J Location: Box #79 R.D.#4 Pin:ewood-=Rd -, Queensbury(WarreL�oe�,lficate covers the electrical;equipment and installation inspected this
t ate. I additional equipment should be introduced or alterations made to
` existing system this certificate shall be null and void, and application for
-y - ` inspection should be submitted promptly to this Agency.
Equipment: 1-G.F.C.I . , 2 0.0'-Amp.Service, 4-Ap p;l%:�an c e'S Holder of this certificate should present same to his property insurance carrier i
"
(agentorcompany)asevidenceofcertificationofelectricalequipmentapproved
't- as specified. ' `
is
C
Jeff Washburn �'
Applicant' Box #79,R.D.#4 Pinewootd._.Rd.--_M1-�- - -_ ,. a;..;>.y ,' No• 15-022254 C
4 Glens Falls , New York 12801
awn of Quecniurf/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
n Queensbury, New York 12801
A U1
BUILDING INSPECTOR ' S REPORT
NAME occid,„„„
LOCAT ION'
Date ! -/ / g Permit No. ��Ci
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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 Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL I 'SPECTION
DRIVEWAY APPROVAL
Final Building Sur ey
ablitirgt 0 2 kr-I-Lc l S Ut D D oAJ.
ead )
Remarks-
pipvitheptovA-eit- 0 "2 17 g — o r�
�o P [AA AlatN
Building I spec or
6/86 and-vl
awn of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
/471/07 at
(jEl<TIC DISPOSAL SYSTEM INSPECTION
NAME l VC 'l�f��� jfv
LOCATION l//2 , 4 (7�a� 7 512 \
DATE Q? // 4ar7PERMIT NO. £f- 5
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - N0
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total lengr J p
Length of each tre ch '';9-6.0
Depth of trenches /I
Size of gravel ,
SEEPAGE PITS{Number o )
Size- ft. X _ f g
Gravel size
PIPING: , 'ze Type
Bldg. to tank , Li /7vt__
Tank to dist. box ,l7 ii
Dist. box to fiel:/pit '' t)
Openings sealed? NO Partial
LOCATION/SEPA• IONS:
• Foundation to ank ,`. ft.
Foundation to absorption Q...- ft.
Absorption tfi lot line Go ft.
Separation . pits Lt.
LOCATION OF SYSTEM ON PROPERTY( 'rcle one)
Front - Amp Left side - Right side -
COMMENT .
SYSTEM USE APPROVED � N
Build ' Inspect r
01/86 and vl
•
_awn o/ Queenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCAT ION— wezed®Dl/
Date 6",w/ty Permit No. � �5
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Mas my Ven: e
ugh Plumbing /T e—d, 'cp/Z/
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi g
Door Closers
Smoke Detector.
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT 'ICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
r
Bu ld ngV pector
6/86 and-vl
, Jown of Queen urcy
11
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME ,
LOCATION �U!
Date / Permit No. t "o cs
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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 Tile
Concrete-Floors - __ - - . "'
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors •
Walls •
Ceiling •
FINAL ELECTRICAOINSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- aticturrirtafras
AS p( -r DA-4P Prz..a- ,v(, .6-4r1 /6-7--
roernA/6/4-2.6k_/J r2 RE-r x mo-noi
•
Bui ding In-'.ec Lr
6/86 and-vl
_ wn of Queenitur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
(ii,),,,,
BUILDING INSPECTOR ' S REPORT
NAME �,.2a," 2e�1/4)
LOCATION i1&16
1*���y�
Date l0 f / f Permit No. trit_ ,��f'
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
W erproofing
ackfill
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-
.cIL' 1°'IU... 81 a<z,` //'JJ416Crrr i./
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Building Inspector
6/86 and-vl
_town o f Queenitar,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME (7 %j —�
LOCATIONz4rlizlJ��c j�
Date, ' / Permit No.2 s
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - / NO
C-Fling/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene-r
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railing•.
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi- g
Door Closers
Smoke Detecto•
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELEC RICAL INSPECTION
DRIVEWAY A:PROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
[:1(
Building ector
6/86 and-vl
_ MORSE ENGINEERING
/ ,....---------
_ GL9 E S FALLSX Y 2801
July 1, 1988
Mr. Vic LeFebvre
Town of Queensbury
Bay at Haviland Road
Glens Falls, NY 12801
RE: American Home Inspection
79 Pinewood Road -
Glens Falls, NY 12801
Dear Mr. LeFebvre:
Upon request by American Homes, Inc. for an inspection at the above address, we
offer the following.
The residence is a 28' x 48' modular home -known as the Saratoga and is bolted
together with 5/8" threaded rod through the main stringer. The bolt spacing ranges
from 16" to 30" for the entire length of the residence.
Home manufacturer:
Modern Housing Technologies, Inc.
Box 1459
Richfield Springs, NY 13439
New York State Division of Housing and Community Renewal No. 0779, dated
December 8, 1987.
Very truly yours, -
MO SE ENGIN RI1NG
4/1 /
ohn R. Huntington
Inspector
JRH:lag _
CC: Jeffrey Washburn
American Homes, Inc.
RICHARD S. MORSE, P.E. Phone:(518) 792- 5382
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