1988-442 - ,i �., ., �'•1�•_ . - r "��.J r r -, t, -. , �cr s.r l'a•._ - _ i 4: i-• .,r-i, n .. ... _•l
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 24 19 88
(bb\
This is to certify that work requested to be done as shown by Permit No. 88-442
has been completed.
One Family Dwelling
This structure may be occupied as a
Lot 16 Walton Court (st. n ',� - Queensbury Forest Sbd.
Location
Owner Masu17,o Brothers Builders, inc.
By Order Town Board
TOWN OF QUEENSBURY
Building 6/Zoning Inspector
BUILDING PERMIT 1-3
TOWN OF QUEENSBURY No. 88-442 tti
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MASULLO BROTHERS BUILDERS, INC.
OWNER of property located at Lot 16 Walton Ct. (St. No. 4) Street, Road or Ave. ti
rn
Queensbury Forest Subd.
in the Town of Queensbury,To Construct or place a nno Fame l y Dwelling
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. tra
ti
ti
1. OWNER'S Address is
3049 Broadway
Schenectady, N.Y. o
rr
m
2. CONTRACTOR or BUILDER'S Name
Same
C
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3. CONTRACTOR or BUILDER'S Address N
Same to
n
4. ARCHITECT'S Name
O
ri-
5. ARCHITECT'S Address ti
al
ti
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6. TYPE of Construction—(Please indicate by X)
kx)Wood Frame ( ) Masonry ( )Steel ( ► rt.
7. PLANS and Specifications
No. 56' X 32' as per plot plan, specifications and application o
including septic system and attached two car garage -
8. Proposed Use O
ID IC)
One family dwelling Eli m
w CD
I-'. 0
ti
5.00 C/O z
$ 80.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January I 19 89
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the , O
town of Queensbury before the expiration date.) �, y
I-•. (D
b in
Dated at the Town of Queensbury this 30th Day of June 19 88
cr)
SIGNED BY - 7 for the Town of Queensbury
Building n 'Zoning Inspector
/C appi.lcacion No.
own ot Queendd ur y . •Permit Issued 19 .
BUILDING and ZONING DEPARTMENT Permit. Expires • 19 -.
Bay and Haviland Road, R.D. 1 Box 98 . • Zoning Designation �'O'.":'N OF �UEs:. :'5t;�:
. Queensbury, Now York 12801 • . •Variance. No. �1.! S L' •
1 1 Site Plan Review No.
J\ \�`�• JUN
Jl. Approved- JUN 1' 1988
` ,APPLICATION FOR BUILDING et CUut. fr.,44 to.
� ' � , �'BILDING AND 7QNINGPERMIT -
* * * * * • * * * * * * •* * * * * * * .* .* * * * * .* * * * * * * * * * * * •* ::.*
4% PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING-
The undersigned hereby *ppliea for-a 'Buiiding 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 iss Mapullo Brothers builders. Inc.
P.O. Address •n49 Rrajwayi. .ichruert"4j., IN"P" veld, • .- Tel•176-165R
/6
Property Locations !Jot. p �i lgz--1(WQ2.71/Y� . _ . ' .. Tax Map No. /' /
Street -number Or building lot number . • '
Subdivision name (if applicable) Quepnsbury Forest
THE PERSON RESPONSIBLE FOR. SUPERVISIONOF WORK AS REGARDS BUILDING.CODES IS:
. iimmull0 BrotheiCs..BUILdeX . .Ijic• 3Q49 0 .padvay. .,;ithenectedy, .NW York 518-370-1058
_Name P.O. Address , Tel. NO:
- Nam* af builder Same- - . . • ,Address Same as .Abobe Tel. Sams
Name"of plumbertgB PLnbirR Address 88 Newton Stree. Albantr,N.Y.
Tel.459-5811
Name- of mason 5 llo gross >4 _Address3 .Same . . . Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
•a Construction of a new building * A .PLOT PLAN MUST BE PREPARED AND SUBMITTED,
TAWdition to a building; • * drawn reasonably to scale and attached hereto, ,
Alteration•_to a building • * showing clearly and, distinctly all buildings,
(no;changerto 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 SIZB '?ND . w whether interior or corner lot. Show location
'.00ATION OF STRUCTURES .AFFECTED. of water supply and location .and configuration
* of septic disposal area. . ' '. .
* .
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /DD. ft X M.. ft. ..
•
. . . * Existing. building(s) Size . ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use . . . .
Size of new structure f ft X #8- ft. ... • ,
• Foundation-pier/slab/crawl/partials • * 'Proposed builld Attached dinng, distance from property line
(circle one) *4. Front yard plan • - ft Rear yard . .ft
No. of 'stories (habitable space) 2
Height (grade to ridge) 23' ft. * Side yards 'ft and ft
If residential, no. of families ' . .1 * If on corner, setback from side street ft
No. of rooms(excluding-baths) • • ' g ., * . :. : OCCUPANCY INFORMATION
40. of bedrooms : -4.3 2 P ; 2{7tAW * . . .
No, 'of bathrooms. l4C * .PRIMARY .BUILDING
" . -
Primary heating system m ;e ilear A� * ;, One family dwelling
type of fuel g1,�.rr_ *, . Two• family dwelling .
:lo. of fireplaces to be installed' 1 * _Multiple dwelling ./ Number of units
Gill a wood stove be installed? K, * Permanent occupancy
'antral Air conditioning? *its * Transient occupancy _ ,
r Business '
}-- -3UILDING .STYLE, PRIMARY STRICTURE * --Industrial ial _ .
Ranch . Contemporary Log cabin .. . * Other
Raised ranch Mansion ' Duplex *_ If addition, what will use be?
Split level Old style Bungalow • * ..
3M—Cp• • Cottage . .Other • * ACCESSORY BUILDING-
' . Obit Town House' * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) • '* X Attached. garage/one car/ two car/__scar .
.* *He * * * * * * * * * * * * * * • Private storage.building
ESTIMATED MARKET VALUE OF * !Other
CONSTRUCTIO * .
$ -�• at .
• INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
2iU.LU.Ni. VBRM11 t+rkLAt,:M111x+ MvaaLa,b.... •
•
BUILDING SPECIFICATIONS:. : .
Type of construction,' wood frame, fire safe,etc. 1bed'Frame
Will any second-hand ,or ungraded.lumber be used?. If so, for what? . Zb
•
Foundation wall material Ibumi Concrete. Thickness 8" & 10"
Depth of foundation below grade (to bottom, of_footing) ' 70"
Will there be a cellar? 125 Heated or unheated? Floor sq. footage 1,755 sq ft
Will there be a basement? Will any portion be. used as living space?
(If so, what portion? sq.ft.. - - Type of use? ..
•
Type of.roof - sloped/flat/shed/other . . ' Material.•of roof Aksrhalt Shingles
Site, wood studs 2 ."X 6 " spacing 24 "o.c. length' R ft.
Joi`tsts(floor beams)' 'lst. floor 2 "X . in " spacing' 16 "o.c. span 14. f t.
Joists (floor beams) 2nd. floor .2 "X ' 10 " spacing . 162O.c. span iy ft. ,
Overlays(ceiling beams) . "X " spacing_ : - "o.c. span . ft. ,
Roof rafters "X - '" spacing 'o.c. span . .ft. • .
Roof trusses(pre-engineered) spacing 24 ,"o.c: span _eft. . •
Exterior wall finish Aluninu Of what material?
Interior wall finish IF" sheetrvth- painted
If• a garage is to be attached, describe materials to be •used for FIRE SEPARATION:
3"Yirei7ode - . . ..
Is there to be an opening between garage and dwelling? . Yes If so will a Fire-rated
door, enclosure, and self-closing device be,provided? Yes .
Will a flue-lined chimney:be installed? ,Tes Height above roof 2 ft.
Depth of chimney foundation below grade 70" Hft. •
Depth offireplace hearth ' ft. 8 in.. . . .
Water supply -.4Municipal or private well Roach* ,
SEPTIC SYSTEM _ Distance from AANNY: private well(includirig adjoining properties ft.
.(A separate• application is necessary for any, repair or new installation of septic system)
Town of Queensbury A F F 1 D AV I T
STATE OF NEW YORK
County of 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
omplete_statement of.ail proposed work to be donefon• the described premises and that all
A•::visions•.of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
`41i proposed work shall, be complied with, whether specified or not, and that such, work is
authorized, by the owner. .
SWORN:TO BEFORE ME THIS • . -'Signature F W4 .
.Owner, owner's agent,archicect,contractor .
/� day of -()///Yr 19.06
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * a '* * * a' * * a .* .* * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OP THE PERMIT: . •
OA/R ls& P/Ogkg �J7Me.-gai09/Jv6 /?c/11J%PG2-T,6: /cQ 2 Pi) /(1,/k)FQ t 11 5 A/PO—
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• y• By ,
i
I
TOWN OF QUEENSBORY"
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 Sq. Ft. •
2 . Type of heat Electric Heat PW p
3 . Is the building mechanically cooled? YES
4 . Percentage of area of windows and doors 1470
A. Over 16% Only
1. Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions See Attached
• 2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES, what is the R value? R-13
3. Slab on grade YES 4010
a. If YES, what is the value of insulation around
perimeter of floor?
•
4. Is basement heated? YES
a. R value of insulation
•
5. Type of insulation Fiberglass
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 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 >...90°
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 -i" & 3/4-Copper
2 . R -value of pipe -insulation
F. Service Water Heating
1. Performance efficiency
2. Temperature control setting maximum
G. Fpr Swimming Pool Only
1. Maximum heating _
•
Telephone No. 370-1058
_Jtb
(applicant 's signature)
anot 1 C ue itri tuf
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE / gt3
LOCATION OF PROPERTY FOR INSTALLATION11//%7a/CT:
Owner's Name: MOM TOS- Ted-ZR file' Telephone: ,70-/416
Address: Ye`4 MVO 4y.. /2 6
Installer's Name: J/so2zo, £ V2 /4/C- Telephone: ✓7G-/DES
Number of bedrooms (residential only) . _ '•
Total daily flow (compute @ 150 gal per bedroom) _ . (7Z s
Topography: circle one: Rolling Steep Slope % of slope
Soil Nature: circle one: Loam Clay .Other . . / Depth: _ feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required equired /rate min. .inch.
Domestic water supply: circle one: Munic?? Well Other
IF domestic water supply Is a Well: ' .
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank /c' gal. (minimum size: 1,000 gal.).
TILE FIELD: Each Trench trO feet / Total system length d feet
SEEPAGE PIT(S): Number of ' '/ Size each feet by feet
Size of stone to be used # 2 / 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 $250.00. •
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result •
in an immediate work stoppage.
•
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an.approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person:
A
Date; b /;:ee - -
Town of Queensbury
Building and Code Department
Bay at Haviland Road •
Queensbury, New York 12801 .
(518) 792-5832
INTERIM BUILDING PERMIT
PERMIT APPLICANT 7X$ v//D (F29s;
CONSTRUCTION LOCATION L/ /4 / DL
EFFECTIVE DATE 6 r,? � ?
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 CON PICU L TION ! !
Buildi & Codes Department •
TOWN OF QUEENSBURY
�z?RM 46EL APPLICATIC'+' (REV. I/P0
•
THE NEW YORK BOARD OF FIRE UNDERWRITERS 41 STATE STREET I CERTIFICATE NO.
ALBANY,N.Y. 12207
YOU ARE HEREBY REQUESTED TO -
INSPECTAND ISSUECERTIFIGATES
FOR THE FOLLOWING ELECTRICAL •
• EQUIPMENT TO BE INSTALLED BY BUILDING PERMIT NO.
(TEMPTHE UNDERSIGNED. �r� ^�,C l
.* DA�(�y GC/7a. "--
CITY OR •
VILLAGE QGt�IVS.C�j�. TOWNSHIP COUNTY ‘.}//�r /y
STREET AND NO.OR 94&i/ )//4L//i J/
ROAD AND POLE NO. ��"-'-'' r L/� POLE NO.
BETWEEN WHAT TWO yyy�
CROSS STREETS IS Orr /`CW L AY I a-')
/I O
PREMISES LOCATED? �//v SECTIONS / BLOCK II LOT / VJ
OCCUPANTS 1L/I/n�/i i� j7nG! r� _ . BUILDING
OCCUPANCY .6 r 9,,- tk.v'�.�L.s CI 7..�CC\t,, .8'
/ Q%LG (aI J c'
OWNER'S NAME Jital �Z,- ,L & .,7/ /? j
AND ADDRESS /-/ TEL.#
CURRENT J
CUPPLIED /1.�` O
BY /t �(/ • FROM THEIR -J57y/,SS'_ OFFICE
(BUILDING NEW DI OLD❑ WORK NEW LJ ADDITIONAL 0 REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loco-
titanONLY
Ceiling wall Attach' Switch Pendant Bracket No. Type H.P. No. Watts No. A.W.G. INSPECTIONwall Rersp'is h Each Each Gauge
out.
aids
Sub- .
her
Beer
mant
let FI.
•
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 2u/ /Y/7,(�,� 4119 ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS .
CHARACTER ,){�\ _ /t�•I�����. / EXPOSED TUBE SIGN
CONCEALED GAS TRANSFORMERS OF VA
OF WORK IV YY (1(� (/
WORK TO BE (NUMBER) (CAPACITY) .
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUN1/ MAKER ENTERS D
BUILDING OF SIGN .
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEWII] OLD LI
• AVOID DELAY BY.GIVING FULL AND ACCURATE INFORMATION.ALL SPACES /
OF
?
DATEGi��
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. RATEPPL TIO
PRINT NAME AND// ADDRESS�� �( y�/ //�
APPLNAME CANT G'U,r ,D/ �(-- � �`OF APPLICANT :G "S'q .
1.//`� �/ j�/'I��
STREET ADDRESS I�y �rat D �" PC TELEPHONE# fier0
r'" 'Y-OF �� �0� X CODE ZIP / J LICENSE WHEN APPLICABLEO
OFFICE
(REV. I/B6) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
e:
I \t/..\%Ltd/.Ati, (_�/,"„1�/.1�t Ai,AP),111/.��„kikl..��/..(t/ (t/„\,I.)t/_,\i'/.\�/.Le1.AI Ai„\•i AlP)„/"/J.R.L �/\"/„LIP/_AP.L.A.A9),aI�?�.1.",L,1 0/!..A•404,11h.\P/.lR/.1�/. /.)R/\tl..[/..1e/,i9/„M_Rl.1I/.1�/_Ai •
s 4�00 057 THE NEW YORK BOARD. OF FIRE "UNDERWRITERS ,�" " - ® ,�
1 BUREAU OF ELECTRICITY o
p to 41 STATE STREET,ALBANY,NEW YORK'12207s71p
November 1 e k ` Application No.onfile 1.1 J Li 2 5 0 P 8 8 E
Date 3Cl�T(r2Y} 3F' J PP A 7 3 o ,7 3• -..1THIS CERTIFIES THAT s
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
1
Ma u.; i0 B tro ers B�.i1ders *4 `i+3a:ton C a Queef! )tr„ i, Netia 'ro�.ii,.
1. P v garage outside 121 11 16
' in the following location; L] Basement El 1st Fl. ❑ 2nd Fl. Section Block Lot
-c. a.LI"4 t"U0
-774 1 was examined on and found to be in compliance with the requirements of this Board. i
.
FIXTURE I FIXTURES • RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :
1 -, ECEPTACLES SWITCHES NiRcuxr
zOUTLETS INCANDESCENT-FLUORESCENT VAPOR AMT. K.W. AMT: K.W. AMT. K.W. AMT. , K.W. AMT. H.P.
1 r i 30 18 `I 8 `3 .q. L. e
-i 1 f r
- DRYERS •� FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .P=r..
EMS
AMT. K.W. OIL H.P. GAS H.P. AMT. _, .NO. A.W.G. AMT. AMP. MAT. AMPS. TRANS. AMT. H.P. NO O AMT. WATTS
SERVICE DISCONNECT - NO.OF S E R "V` • I C - E ':
1 AMT. AMP. TYPE EMQUiP 1,B'2W 1/B•3W 3 2 3W 3,Br AW NO.OF CC CCOND. OF CC.COND.. NO.OF HI-LEG OF HI••L G NO.OF NEUTRALS OF NEUTRAL I.
1.-.
1 1 200 pane:ne:. 1 4/0 0 µ
1 •
TT 1
t.1 1 OTHER APPARATUS: �
K 1• . 47-gfci receptacles tacles -
r -.,' 1—smoke detector o
PA
\,
..y
• 1 ?
1
1
1 •
74 1 '
57.42..Awm..4,4.4L....../17.,
i.
1, cuzzaral E1.ectr .c • �i� BRANCH MANAGER
: Schenectady, bT •
•
_ Per ..
a This certificate must not be altered in any manner;return to the office of the Board if. incorrect. Inspectors may be identified by their credentials. ':
• -i-tliC_ •minim'Alt Art%Nui1'LlfLlf[1V lYt lltllitf Air Art Isu vet land ltLlet lift'Wit]fft Awls/urtWV M[1*L ltf!]tlV1Ll'L V!MtIMIL IVINC1IVWIN/]I<I1.1/11]ft111[Ill Aar Aar AM 1nt um Sit.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
(7t1
Ir 111 (�
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS 64-7q6L
QUEENSBURY, NEW YORK 12801 ,at2111 TELEPHONE (518) 792-5832 .
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /�/�71f�
•
NAME _ i �(,L��L/�(/��G:v ''
LOCATION
DATE /G2&//P1 PERMIT # �2-
`r'
APPROVED
/ YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APP OVAL rr>
ROUGH PLUMBIN
FRAMING l�
ELECTRICAL ROUGH-
INSULATION:
FOUNDATION �r
FLOORS V, •
WALLS \
CEILING
FINAL INSPECTION: !'
CHIMNEY HEIGHT ��
ROOFING • of
SIDING 411 �t 1 /
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS �'v �/ \
PLUMBING FIXT 7RES/RELIEF VALVE `°\,
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOPS
GARAGE FIRE4ROOFING
DOOR CLOSERf(S)
SMOKE DETEqTORS
FINAL ELECTRICAL INSPECTION
7'INAL APPROV' L OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
i --
i
..=INFORMATION FOR BUILDING DEPARTMENT
•
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THE NE�WYORK BOARD OF FIRE UNDERWRITERS
APPLICATION NO. /// ! .rr,Z.
LOCH N
• DAT
P R
�_FDRM IBD(REV.1/8�
it
•
awn oI QueenAurty
( ) _ BUILDING and ZONING DEPARTMENT
...._1(y)
� Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME -i' /G?.42,... 6— G — .
LOCATION 4/ buc ..,6 62,,,- c-c-
DATE /61/OW PERMIT NO. 91 7 yZi
i
SOIL TYPE Sand - Loam - Clary -
Pe/colation st Required? ES - NO
Percolation ra'-,- - Min/Inch
TYPE of SYSTEM: •
Absorption field, total l hgth '242?
Length of each trench, if e)
Depth of trenches '
Size of gravel_ ' 3 •
SEEPAGE PITS*Number of)4 '
Size- ft. X _ ftag
Gravel size 1-
PIPING: ti Sze e
Bldg. to tank
Tank to dist. box 61 — LL.
Dist. box to field/, A „ (7(JC'
Openings sealed? / NO artial
I
LOCATION/SEPARATLbNS: CNN.
Foundation to t.,Y k _ALft.
Foundation to absorption eft.
Absorption to lit line 1(ti-ft.
Separation of ,.its _ft.
LOCATION 7/ STEM ON PROPERTY(circle one)
Front - e. - Left side - Right side -
COMMENT ••
. 0SYSTEM USE APPROVED •
111
Buil.ing Ins'. 'tor
91/86 and vl
awn of Qaeeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
Mf(jbL
4/ 7.7
ING INSPECTOR ' S REPORT
NAME
LOCATION y;/ GC_,jez%.
Date C,_ /k/,yr Permit No.gf•g ,
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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
Car. . Fireproofing
Door Closers
Smoke Detectors
Chimne •
y
LATION:
Foundation
Floors i
Walls ! f
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
• B ild g Insp ctor
6/86 and-vl
•
Jown o/ QUCfl4Urcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
)/ Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT •
NAME
LOCATION 7 G�/'74_Y7
Date / /6fs Permit No. J ` 1J
•
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
(/Framing ✓f
Roofing
Siding \ _
Masonry Veneer
IX-Ugh Plumbing /
Relief Valves\. /
Ext. Porches \ - /
Finished Floors \ /
Interior Trim
Stairs & Railings \ /
Cellar. Drain Tile \`
Concrete Floors r\
Plbg. Fixtures / `\
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION: ,l
Foundation J
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
yd .ate 5h A W e'`///)
Build g Inspector
6/86 and-vl
own oilQueendbur/
BUILDING and ZONING DEPARTMENT
Bay and Havil:nd Road, R.D. 1 Box 98
Queensb ry, New York 12801
BUILDING IN. PECTOR ' S REPORT
NAME 1?? ' /
LOCATION �/GL�'7
Date ✓ Permit No a._L/LjZ
* * * * * * * * *; * * * * * * * * * * * * *
✓ = APPRO ED - YES / NO /
Footing/Pier Fo
L,Foundation
Waterproofing
Backfill 1
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. Fireproof'ng I
Door Closers I
Smoke Detecto, s I_
Chimney
INSULATION: I
Foundation
Floors
Walls
Ceiling
FINAL EL:CTRICAL INSPECTIO
DRIVEWAY APPROVAL —�
Final B ilding Survey
Next scheduled inspection (call when ready)
Remarks-
04N6
Buil ing Insp tor
6/86 and-vl
au n o/ Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
,ap e Queensbury, New York 12801
� f
BUILDING INSPECTOR ' S REPORT
NAME r4 G> 1 G�
LOCATION Alzz_60n/ P- iV)
Date kg0/,‘K" Permit
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / N/0
oting/Pier Forms ✓ ,-
Foundation /
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing .
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation •
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
•
Next scheduled inspection (call when ready)
Remarks-
i. ing -nspector
and-vl
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