1988-535 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 30 19 89
This is to certify that work requested to be done as shown by Permit No. 88-535
has been completed.
1 unit of 4-unit dwelling
This structure may be occupied as a
Luzerne Road
Location
Owner Charles Diehl
By Order Town Board
TOWN OF QUEENSBURY
/ ... /,i
Building & Zoning Inspector
• • •
444MMEM.
•
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN .COUNTY, NEW YORK
January 30 89
Date 19
This is to certify that work requested to be done as shown by Permit No. 88-535
•
has been completed.
f
This structure may be occupied as a 1 unit o 4-unit dwelling
•
LUzerne Road
Locadon:
•
Charles Di?aiel
•Owner
By Order Town Board
TOWN_OF QUEENSBURY
//
•• v' ,
•
Building & Zoning Inspector
•
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date dannary 30 19 89
This is to certify that work requested to be done as shown by Permit No. 88-53.5
has been completed.
This structure may be occupied as a J- unit of 4—unit dwelling
Luzerne Road
Location
Owner Charles Diehl
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
-i.7 Lw. i� 'l -,'it...r.'- - '(it:' .. �,.•4,5,- ,i, , r• • .ti',. (,r'- :i:(i'C4; •ak{=r, �rN-.,p' r'
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 30 19 89
This is to certify that work requested to be done as shown by Permit No. 88-535
has been completed.
1 unit of 4—unit dwelling
This structure may be occupied as a
Location Luzerne Road
Owner Charles Diehl
By Order Town Board
• TOWN OF QUEENSBURY
, 44.1:7-76P:T5
Building N Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-535
WARREN COUNTY, NEW YORK .
PERMISSION is hereby granted to Charles Diehl
OWNER of property located at Luzerne Road Street, Road or Ave.
co
in the Town of Queensbury,To Construct or place a 4—Unit 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.
1. OWNER'S Address is
Box 174
Bolton Landing, NY
to
ry
2. CONTRACTOR or BUI LDER'S Name H.
John Heath Jr.
3. CONTRACTOR or BUILDER'S Address
RD 1 — Box 1219
Whitehall, NY 12887
4. ARCHITECT'S Name N
m
ri
m
7y
tft
5. ARCHITECT'S Address W
a
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
.
0
7. PLANS and Specifications rr
• No. 64' X 27' as per plot plan, specifications and application
including septic system. 1-4
}—'
8. Proposed Use
OQ
4—unit dwelling
R 20.00 C/o's
304.00 89
PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19
(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 27th Day of July 19 88
SIGNED BY c�,�%l�!' for the Town of Queensbury
Building and Zoning nspector
" ."`TO'BE COMPLETED BY BLDG. DEPT: ' '
// Application No. - I. c':'•.,. .
/own ol Queenibur� Permit Issued 19 D . "IP V.,';:.
BUILDING and ZONING DEPARTMENT ' . Permit Expires 19 `�p
Bay and Haviland Road, R.D. 1 Box 98 :,' Zoning Designation y� JVL°: '.&.1988 "
Queensbury, New York 12801 . "Variance No. . ` . /1Cfi` fit`/
Site Plan Review No, /c''81Y . 'e. a1�IL.D14�a `0c:.c: p�'1E
P .
• ::. Approved b U.. . , • . - -6(
APPLICATION FOR •- 9i1 �' 0 .
firt
BUILDING AND 'ZONING PERMIT '' '''"
* * * *. * * * * .* * * * * :* * * *- * * * * * * * * * * * * * .* * * * # * :*-
A PERMIT MUST. BE OBTAINED. BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies' for°a 'Building Permit to do the following work which will. .. ..':.
be done in accordance with the description,' plans and specifications submitted, and such, .i
special conditions as may be indicated;on the' Permit.
:: : . — ,
The owner of this property is: /' I ( nk...LI r i i=41 L // !_
P.O. Address A(')› / 7 y .9 G•% <-,/ �L�^.✓/77 Tel.b�'7. .-� b-/' .
Property Location: L-iaT8 Tax Map No.J32 / 3 /.
. Street number",or .building _lot number .
Subdivision name (if applicable) ` ' :' . , •
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : ' '
JOA cv �.�A'7-) V/Z, gv i bqox ' /Z i q .(67.5.3 2
Name P.O. Address Tel. No. .
Name of builder 706,-✓ L/ 7/-7. .' Address / vx /y, 7 Tel. 6 32r-- z3
Name of plumber . i/ / / - Address '//' /' .' Tel. /,
Name of mason 4,e, , i/�ory/.95- •"• Address/ pfv 67 /`;2"-,-/,J Tel. (6Y2_ -/%/a., :,
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of 'a new building-•:' ':..',' . * "A' PLOT PLAN MUST BE PREPARED AND SUBMITTED,.. :-
Addition to a building * :drawn reasonably to scale and attached hereto, -,.:. : .;
Alteration to a' building` '`''.' * showing clearly and distinctly all buildings, . ..
(no change to exterior dimensions) "` '*'whether existing or proposed and indicate all .
Other work (describe) " " *:set-back dimensions from property lines. Give. .
- * street and number or lot number and indicate . '- `:'
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. • of water supply and location and configuration ': 4
of septic disposal area.
*
' * COMPLETE INFORMATION REQUIRED BELOW. "
* Size of property vie / ft X-332/39bft.
*. Existing building(s) Size ft X . ft. ..- ,
* .. . . . . . . . . . . . .
PROPOSED BUILDING AND USE:
. * Existing building(s) Use -
Size of new structure by ft X Z7 ft *
Foundation-pier/slab/crawl/partial/ ul *' Proposed building, distance from property line
(circle one) * G)
*-.Front yard ; 0 ft Rear yard ./- O ' • ft. .
No. of stories (habitable space) ' Z-' ' : • .
* Side yards / ft and ?Sr ft.
Height (grade to ridge) '2 • • *. Tf on corner, setback from side .street ft., . :::;..:;,'
If residential, no. of families .
No. of rooms(excluding baths) ' zp : • ' * OCCUPANCY INFORMATION ` '
No. of bedrooms g • *
No, of bathrooms * PRIMARY BUILDING -
Primary heating system p-�c.j,yi&,,YL * One family dwelling
Type of fuel `4e6/2�/0-� * Two family dwelling
.4"/. -- ':. :..:-. '':'-'',;:,
'�ultiple dwelling / Number of units
No. of fireplaces to be installed' ,v . *: •
Will a wood stove be installed? ,yo *. Permanent occupancy .
* Transient occupancy
Central Air conditioning? jv27 • ' .
* Business
BUILDING ,STYLE, PRIMARY STRUCTURE ., Industrial
Ranch Contemporary Log cabin'' * other '
*. If .addition, what will use be?
Raised ranch Mansion Duplex '
Split level , Old style Bungalow . * . .
Ca e Cottage Other .. ' * ACCESSORY BUILDING- .
of Vr1 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 ,p0 . *
$..1--5.A_Pam) .
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. •NA/Z(72) /%rig/�`‘2.
Will any second-hand or ungraded lumber be used? If so, for what? iy a
Foundation wall material ,o i2.pt l vcje7e Thickness g (�
Depth of foundation below grade (to bottom of footing) %'
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft .
Will there be a basement? �(..e 5 Will any portion be used as living space? `✓'p
(If so, what portion? sq.ft. - - Type of use?
• Type of roof - l to edkflat/shed/other Material. of roof Oi, ' c02,2/✓/ F/ 9J '
Size, wood studs 2, "X 61 " spacing is "o.c. length ft. ,
Joists(floor beams) 1st. floor . "X /0 " spacing /b" "o.c. span Z ft.
Joists (floor beams)' 2nd. floor ?
� "X l� " spacing /(d "o.c. span_ ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing 2 3 "o.c. span 2? ft. •
Exterior wall finish (/,.may L Of what material? ' • • .
Interior wall finish ,7p,"4cLG
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 4/0� ' •
Is there to be an opening between garage and dwelling? If so will a Fire-rated .
door, enclosure, and self-closing device beprovided?
Will a flue-lined chimney be installed? ' Height above roof ft.
Depth of chimney foundation below grade ft. '
Depth of fireplace hearth ft. in.
Water supply - IMunicipal or private well '
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft. •
(A separate application is necessary for any repair or new installation of septic system).
Town of Queensbury - A F F :I D A V 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 '.
complete Statement of all proposed work to be doneion the described premises and that all ,
provisions of the BUILDING CODE, THE ZONING O .DINANCE, 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 BEFORE ME THIS .Signature___ y_./
O er, owner's agent,arch.xect,contractor._,_ : • .
day of 19 '
•
•
Notary Public, Warren County, N.Y.
—
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * *
SPECIAL CONDITIONS OF THE PERMIT: ' .
i
.
•
•
. By .
TOWN OF QUEENSBURY
IU
)
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 3 3- y • •
2 . Type of heat /Iejec//2/ G
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors /Y•3- y.�
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? YES 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? YES NO
a. R value of insulation
• 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 g Z�
3 . R value of glazed area Q . 2 , (p
• 4 . R value of doors g
5. R value of floors over unheated spaces ,e
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) ,4///¢ .
9 . R value of heated basement/cellar walls (below grade) /7"7/;"
10 . Type of insulation O/ri/F�(S /���c'/✓//t" /�//� L,�`S
C. Controls
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated spaces? 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 !,//7
2 . R value of pipe insulation **
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum ./5‘0
G . For Swimming Pool Only
1 . Maximum heating . ////jj"-7
Telephone No . 4,59,575 2.3
applicant ' s signature)
TOWN OUEENSEURY
1(k ' APPLICATION FOR
kik
"j -," ,; SEPTIC DISPOSAL PERMIT
DATE 7 g
LOCATION OF PROPERTY FOR INSTALLATION / .-7 • 7� C,"
Owner's Name: '� T
��, L�����i�� J/��eA/ Telephone:. � r�� -.7�4-7Address: c f��, /7 7 \, / ,-,.,,,c4 ,-"e/
Installer's Name: 2 "2 GA.ozh aV-e/z Telephone: c?Y 3 — 2/ Gi'
Number of bedrooms (residential only)
Total daily flow (compute (d 150 gal per bedroom) / c2 v D
Topography: Circle one: Flat Rolling Steep Slope % of Slope lA. f
Soil Nature: Circle on : San�Loam Clay Other /Depth: Feet
Ground Water: At what depth? 7/7" Feet
Bedrock or Impervious Material: At what depth? ,4/ Feet
Percolation test: Circle on : not require required rate min. inch.
Domestic water supply: circle oneLuni_c_ipg, Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption
� feet
PROPOSED SYSTEM: Septic Tank o, P/off gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 60 feet/Total system length, - ,-/c( feet
SEEPAGE PIT(S): Number of — / Size each - feet by feet
Size of stone to be used # v�/Depth or Thickness / feet
*************************
I have read the regulation on the reverse side of this sheet and agree to abide by'these
and all requirements of the Town of Rueensb ry S nitar Sewpge Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: .G/52
DATE: Ve./F-Y)
OVER
. 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 installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
.Town of Queensbury
BUILDING and CODES DEPARTMENT
• Bay and Haviland Roads •
Queensbury, New York 12804
•
Remarks : -
"1
BLDG. PERMIT NO. 88-535
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; Luzerne Road
for the following uses: 4 Unit Dwelling
1/13/89 111 %!�✓ — .
DATE /SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED
( )DISAPPROVED
with the following conditions:
TEMPORARY CERTIFICATE OF OCCUPANCY FEE: ( )$10.00 DEPOSIT: ( )$100.00
received on / /, - 5-q /(_%CGtCi'
Date of Issuance Di ror—rector of Bldg. & Code Enforcement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
•
F - •` •
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
ITEMP.# IDATE •
1 ? -- T "t .,.
}
- CITY OR
VILLAGE '...- ,:' , f ._ i•' TOWNSHIP _ - COUNTY '
STREET AND NO.OR r
ROAD AND POLE NO. j ... '; I, l , j POLE NO. `,I'1 r' -
BETWEEN WHAT TWO ' " , - r---
CROSS STREETS IS — '
PREMISES LOCATED? 7 %? •' - .„2 � J'i
,. - - : SECTION i ; C.i BLOCK .. LOT (-)
OCCUPANT'S BUILDING
NAME OCCUPANCY
OWNER'S NAME - •
AND ADDRESS fj-.fir //, i ! // TEL.#. � . ,` •
•
CURRENT - 0.?-'( i, r� '--. - 4' i'
SUPPLIED r i• f
BY ;/, r, , /i /J :')/ --1 ri„' `-FROM THEIR'1;.:-_- OFFICE
BUILDING ' WORK ;_ ❑
f DEFECTS
IS NEW ill .... (
OLD❑ IS NEW ❑ ADDITIONAL❑ REMOVED
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
• No,of Fixtures& BRANCH- OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS
Lam- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Reach;: Switch Pendant Bracket No. Type Each No. Eaeh NO• Gauge INSPECTION
Out-
side
Sub-
base
Base •
-
ment
1st Fl.
•
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/. ., ., /r ':// ELECTRIC SIGN TOTAL
/ yr
MAINS .frfit'.'-=•- •, - - FEEDERS LAMPS WATTS
CHARACTER - EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE - (NUMBER) (CAPACITY) •
STARTED COMPLETED SIZE OF SIGN -
SERVICE OVERHEAD UNDERGROUND MAKER '
ENTERS . ' \ OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF r -
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION /.' .1`- 'r
PRINT NAME.AND ADDRESS _ , //
NAME OF .J ,!G? '• j 1.. .'i `�!-f' -1.,- V SIGNATURE • , _ N-f=
APPLICANT OF APPLICANT ; , ,, ,
•
STREET ADDRESS` ',r TELEPHONE#.. _'i `, / -. =
CITY OR -'/.:f _ i S 'P/; ZIP i! !;.':.' - LICENSE NO.
POST OFFICE -t-?.'--- CODE/ -. WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED'FOR cACH_SEPARATE BUILDING -
•
!(„,y,! ,.?„")../Jt{1.?„1..! , ..,\•mei„1.,.,,,t_C.,.•.!,•" ,at(„ .).i.,..i.".1t6".J_•!„1..!.!..!„1.iJ „!,..!., „sip,!!•4ab.J..i..1,.V,,..m.,,i.,tt.,c,',,,.;,,, , ,b.,,, ,.., ,.,..•i.,,,,,.ti.?•i.:•i.,•i,•,.,•i.,,r.,�� .
THE NEW YORK BOARD' OF FIRE UNDERWRITERS ' �- }
BUREAU OF ELECTRICITY r,'
ei t: P . t 41 STATE.STREET,ALBANY.NEW YORK-,122O7'. '
•
i:; Date Application No.on file 4
< THIS CERTIFIES THAT ,
: only the electrical equipment as described below and introduced by the applicant named on the.above application number in the premises of
i' p):1.rifi7'-e:. NUL .;'lCERN [i41 .!M1 i.MENr, FALL;:,, N.� .
�, r g1` l a4:r 3
.� in the following location;.,.i.❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot
^; was examined on acid found to be in compliance with the requirements of this Board. `�
1 •
:; FIXTURE ,, FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. MAT. K.W. AMT. H.P. r4 w
�: DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ��
•- MAT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. MAP. AMT. MAPS. TRANS.® H.P. NO.OF FEET AMT. WATTS SYSTEMS `s
, 1
6, SERVICE DISCONNECT- NO.OF . - - - -
-. S = E �R 'V I C... - E =. ;
✓ AMP. TYPE EMOEU��, 1,e'2W 1,0 3W 3 p'3W 3,e'SW NO.OFAR .COND. OF CC.COND. NO.OF HI-LEG OF'HI•lEG NO. NEUTRALS OF EUGAAL ''�
72
• OTHER APPARATUS:
it
e,} :, o i� lE r. r r. K •
i
i '.r'. 7: . 1r, .''. . -,
•
1 `i
i
N' 'i
�' Ft,;}., ,II. L �
�' ii. 'T r T' '.1.Z,r NY, I. ei ri ;r , BRANCH MANAGER__
Per ....i/ ;•
.
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.(-i•i Y•i Y•i'i•i'i•i-lis i•Y-4 i•i i•i;i i is?-i•t Y•f'i•YY•(7•Ytex—ra,ecre rs,"re'i•l"fe'r• 7•YY•l.'i•ci•i'i•c'i•Y'i•ci• -i•t'i•Y7•i'i•i;•i iei-4i'i•i • 'i•i%ei-i•'ci•i7•i •i'i•i'i•i'i•i • • •i.1:'i•i
COPY FOR BUILDING DEPARTMENT,THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ✓~ 7
NAME C22/'['-6- J /652.(.e 4/
LOCATION
DATE / /7 PERMIT #
—�+-� APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING •
ELECTRICAL ROUGH-IN
INSULATION: \ /"
FOUNDATION
FLOORS
WALLS
CEILING ;r
FINAL INSPECTION:
CHIMNEY HEIGHT +i, r
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS ✓
FINISHED FLOORS „'
GARAGE FIREPROOF17NG • —
DOOR CLOSER(S) ,�'' \
SMOKE DETECTORS/ ✓
FINAL ELECTRICAL/INSPECTION
FINAL APPROVAL OF CONSTRUCTION
1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT'',BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
i ° 0 776
g1I r,eg4 Uv�i� 77 �r
INS ECP TOR
_awn of Queepitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTICC DISPOSAL SYSTEM INSPE TION
NAME
LOCATION f—�'U� ,'1
DATE 7%' / PERMIT NO. 4"6 3c5
SOIL TYPE �$an) Loam - Clay -
Percolation Test Required? YES
Percolation rate - Min/Inch `
TYPE of SYSTEM: • i
Absorption field, total length uz:
Length of each trench 60'
Depth of trenches " / -L2' •
Size of gravel 1
SEEPAGE PITS{Number of)
Size- ft. X =eft.
Gravel size
1'-P-IPING: / Size Type
Bldg 1, to tank if Li
Tank to'.dist. box `Y it
Dist. box'-to ,field/pit /I
Openings sealed? YES NO Partial
LOCATION/SEPARATI')NS:
Foundation to tank // ft.
Foundation to absorption „2'3 ft.
Absorption to lot line ��2b ft.
Separation of pits • it.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front/- ear - Left side - Right side -
COMMENT
(7 G-cc(
L
SYSTEM USE APPROVE1 NO
• Building Inspector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /' ?
NAME
LOCATION ��j�� ! (
DATE / - PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
CTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS t LL
WALLS �-{q' 1` d HI
CEILING -me-
FINAL INSPECTION: y`
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS,
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
!
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
Vag ftOJ2 MJ 'iA-r oA/
Oou/��—
NSPE OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Cc2(4 0(01,I
LOCATION , o Z ®2I
DATE la al
PERMIT # j1 �"-
8 APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING � ^
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & .:RAILS
PLUMBING FIXTURES/RELIEF VALVE ''
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS ''
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL' INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
awn of Queendbury
BUILDING and ZONING DEPARTMENT
1 Bay and Haviland Road, R.D. 1 Box 98
1 Queensbury, New York 128011
I •
BUILDING INSPECTOR ' S REPORT
NAME in
�
LOCATION / ��e
Date /lV) f / Permit No. gl---S.js •
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/P er Forms //
L/Foundation
v,Waterproofin
iAackfill
Framing
Roofing
d
Siding /
Masonry Veneer /
Rough Plumbing
Relief Valves
Ext. Porches I
Finished Floors I
Interior Trim •
Stairs & Railings
Cellar Drain Tile
Concrete Floor ,-
Plbg. Fixture.:i
Gar. Fireproo. ing
Door Closer;'
Smoke Det-,.`tors
Chimney
INSULAT•ON:
Found. ion
Floo s
WaT s
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
•
ilj/I V /f
tJ' -'1
Building Inspec r
6/86 and-vl
•
• Down of Queeniur ,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
�d
BUILDING INSPECTOR ' S REPORT
/•�
NAME /',( , c2 U ,�.
LOCATION )✓
Date /201 / Permit No. 54-5i53
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing k^,, •
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 I
INSULATION: - t
Foundation
Floors
Walls
Ceiling
• FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection all when ready)
Remarks- 7 .2P/'
•
•
•
Building In ector
V86 and-vl