1988-618 CERTIFICATE CCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 9, 19 89
•^J
O/
This is to certify that work requested to be done as shown by Permit No. 88-618
has been completed.
This structure may be occupied as a
One Family Dwelling
Location Lot 47 Laural Lane (St. No. - Clendon Ridge Subd.
Andrew & Wendy Jause
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building'(Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-618 �z
WARREN COUNTY, NEW YORK 0
Andrew & Wendy Jause ' v
PERMISSION is hereby granted to
OWNER of property located at Lot 47 Laurel Lane (St. No. 7) Street, Road or Ave. w
Clendon Ridge Subd.
in the Town of Queensbury,To Construct or place a One Family Dwelling o •
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.
0
1. OWNER'S Address is a
1 Steeple Chase West
Saratoga, N.Y. 12866
2. CONTRACTOR or BUILDER'S Name
O.K.O. Custom Homes a
w
3. CONTRACTOR or BUILDER'S Address
9 John Clendon Rd.
Glens Falls, N.Y. 12801
0
rt
4. ARCHITECT'S Name •�
• r
w
5. ARCHITECT'S Address CD
6. TYPE of Construction—(Please indicate by X)
• rt
lg)Wood Frame ( ) Masonry ( )Steel ( ) z
0
7. PLANS and Specifications
No. 50' X 34' as per plot plan, specifications and application
including septic system and attached two—car garage.
10
8. Proposed Use 0
-50
One Family Dwelling
N•
000
0 CD
- m
5.00 c/O cn
$ 129.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 89 0
(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.) - `C
Dated at the Town of Queensbury th- 5th Day of August 19 88
SIGNED BY for the Town of Queensbury a
Building and Zoning I s ector
TOWN OF C)UEE'.__._
, c) ,. /i 17_13 6-,11 7 11 4.1 rT, I-7,
_ own o (Ivens/Jury - L., Li L, 1, .. '._: , j
BUILDING and ZONING DEPARTMENT - i' • �� C t1 �� i
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801l . BUILDING & CODE DEPT.
\Ss ,--- 2.C1 / i 3 - °� r-& 62 -r 0
` � ' Approve b'y:L.- —% r ,'� Y. .
APPLICATION FOR ..j(!"A'1 �-/,-' _•1-'"'- 473 I _ -
/r
BUILDING AND ZONING PERMIT •
* * it * * it * it -* * it it it * * * * it it * it it * it * * it. * * it * * .* * it * *::•*
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:4/Qe,,' !0°14--� _' Y V-S—
P.O. Address if STZ:?�PL.e5e7405ey- Gv:•T7 S—/97ei}'7var Tell.S 7- -
—Property Location: Le 7 /,G-� C.��/VbeA/R//)�&-- �R x� Tax Map IVo.f.2/ / r /$..G/O
• Street number or building lotto�number �3 / C`-,:_._
Subdivision name (if applicable) ( jpaJ /e.,l5
'1'I, , IERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUIL G CODES IS:
(�3e//� fi/ 2x zzp / c1 & /2/lU ' w ' -z? 7
NLamu P.O. Address Tel. No.
Name of builde l/.,C.DZS-rop.VAg' Tess G 4OH/d dL7�O Jff �) � Tel. 79'L.-LO3
Name of plumber ‹Sf4v4-7 i - Address Tel. It
Name of mason , , �J Address y Tel. Y
•
NATURE OF PROPOSED WRK: * ZONING INFORMATION:
construction of a new building •
* TWO PLOT PLANS 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 .
I'OR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OP STRUCTURES AFFECTED. * of water-supply and location and configuration.
of septic "disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW. 1�
* Size Of property /00 ft x 7— 2 /ft.
* Existing building(s) Size ft X ft.
* . .
PROPOSED BUILDING AND USE:
*Existing buildings) Use
Size of new structure SO ft X.34ft *
Foundation-pier/slab/ 1/partial/IO * Proposed building, distance from property line
*(circle one) /
* Front yard 76 ft Rear yard 7 b� /- ft
c No. of stories (habitable spae) Z_ , •
Height (grade to ridge) c,� ft.
* Side yards Z� ft and 3 ft
If residential, no, of families * If on corner, setback from side street ft
No. of rooms(excluding baths) * • OCCUPANCY INFORMATION
No. of bedrooms , • * .
No. of bathrooms Z -d- /i * PRIMARY BUILDING -
*. One family dwelling
Primary heating system Cl it- AD -,,e9 * Two family dwelling •
Type of fuel et,. * ' Multiple dwelling / Number of units
No. of fireplaces to be installed / -
Will a wood stove be installed? ' * Permanent occupancy
/-
* Transient occupancy
Central Air conditioning?g' �d Business
*
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch . Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow *
C- •e . Cottage Other * ACCESSORY BUILDING-
olo ial ' Row Town House * Detached garage/one car/ tw. 7r/ car..
( CIRCLE ONE PLEASE ) * "Attached garage/one car/ , wo car, car
* * * A * * * * * * * * * * * * * * Private storage building
_
ESTIMATED MARKET VALUE OF . * Other
CONSTRUCTION $ 9&Oelt)
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
. P .. --
BUILDING PERMIT Ai PLICt T101J CONTINUED -
•
BUILDING SPECIFICATION:
Type of construction,G9od frame fire safe,etc. • ,yam
Will any second-hand or ungraded lumber be used? If so, for what? ,�N D
•
��rr y
Foundation wall material C,t9ivc.12�`T� Thickness K
Depth of foundation below grade to bottom of footing) 5' '
Will there be a collar? / or unheated? Floor sq. footage (�]Z sq ft
Will there be a basement% ill any portion be used as living space? //p
(If so, what portio ? sq.ft. - - Type of use?
Type of roof - lope.. flat/shed/other Material..of roof . —41-14 ,<te-3 (2-e..,>/iej
Si::e, wood studs "X / " spacing / "o.c. length gr ft.
Joists(floor beams) 1st'. floor 2 "X t " spacing l( "o.c. span !Z ft. ;
Joists (floor beams) 2nd. floor 2, "X to " spacing /c "o.c. span / Z ft.
Overlays(ceiling beams) "X " spacing O.C." span ft..
Roof rafters "X " spacing ` o.c. span ' ft.
(roof trusses-(pre=engineered) spacings t: "o.c. span Z 6 ft. . /
Exterior wall finish �7�FM.�S Of what material? V/,O'/L_- • '
Interior wall finish �t/Z 'Die ,: �—2-
If a garage is to �j attached, describe m erials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? Y_C.:=;5 If so will a Fire-raced
door, enclosure,_ and self-closing device 'be provided? `1
Will-a flue-lined chimney be installed? /v'o Height above roof .. ft. . •
Depth of chimney foundation below grade - ft.
Depth of -fireplac th ---ft. —in.
Water supply - or private well • '
SEPTIC SYSTEM — Distance from ANY private well(including adjoining properties /Gr'b ft.
(A separate application is necessary for any repair or new installation -of' septic system)
Town of Queensbury AFFIDAVIT STATE OP NEW YORK
County or 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. �//�
5'/;,2""-4=
SWORN TO BEFORE mE THIS ' Signatuzle < -_ ( .
Own , owner's ugun arc tect,contractor
day of 19 .
•Notary Public, Warren 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:
1 . Gross floor area /7
2 . Type of heat 0/1..- 0-7- Ale
3 . Is the building mechanically cooled? `(/S •
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . U 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 - .f insulation
B. Under 16% On_,
,slue of roof and floors exposed to ambient conditions.
2 . R value pf exterior walls
3 . R value of glazed area
4 . R value of doors •
5 . R value of floors over unheated spaces ...:350
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) /3
9 . R value of heated basement/cellar walls (below grade) /3
10 . Type of insulation
C. Controls gQ •
1 . . Thermostat maximum heat setting
•
D . Duct Systems
•
1 . Is duct system installed in u-nheated 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 irt, /y-,
2 . R value of pipe insulation At/9-
F. Service. Water Heating
1 . Performance efficiency E/trew .;5;4JG Anr
2 . Temperature control setting maximum /‘
G . For Swimming Pool Only
1 . Maximum heating
•
Telephone No . Z` Zd v
P
7� (0)2'
(applicant ' s signa re)
/9-"/&149 a; 6 � � -4, 2
...Jaurtt of OtlafLd1
DATIFD
APPLICATION FOR SEPTIC DISPOSAL PERMIT Z01iIf;G&GLDG CODES DEI'Y.
10Viti Of QUED iURY
,DATE g— J ' /
LOCATION OF PROPERTY FOR INSTALLATION fo?' 177 C,f_E--Aze) c/ e/D
Owner's Name PREZt1 - ?i JD�V ,/,Q-(/S6'Telephone: $ 7—S3'63
Address: 'Y / Sj` 0(sr. -5^L---te)E1'7— -/92e/g.-7Z)e-P9- cCe2zj# -`s . /vJ-
Installer's Name:,d 1j LG�-Z: v- S;AJS Telephone: 71')—2-36 3
•
Number of bedrooms (residential only) _ 3 _
Total daily flow (compute @ 150 gal per bedroom) 44�pr"?) .
Topography: circle one:OP Rolling Steep Slope % of slope
i
Soil Nature: circle one ,San., Loam Clay Other / Depth: feet
Ground Water: At what depth? /f/7-,1 feet
Bedrock or Impervious Material: At what depth? feet
Percolation test: circle one: not required required / rate / min. inch.
Domestic water supply: circle one Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank lbbti gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench Sp feet / Total system length 2 crti feet
SEEPAGE PIT(S): •Number of / Size each feet by , feet
Size, of stone to be used CIF Z / Depth or Thickness to 4 •f1't-
* * * * 4 4 4 4 * * 4 * * * * 4 * * * * * 4 4 * * * 4 * * * 4 * * * *.* * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * 4 4 s * 4 * * * * * * * * s 44, 4 4 4 * * * * * * * * * * * * * *
(over)
J r
Section II Septic System Inspections:
A. A11 afplications 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.
person:
Signature of responsible
Date: •
•
Town of Queensbury
Building and Code_Department
Bay at Haviland Road
Queensbury, New York 12801
•
(518) 792-5832 ••.
T I f%i r n
INTERIM BUILDING PERMIT
FiLE COP Y
PERMIT APPLICANT 3.111lan' AU
CONSTRUCTION LOCATION Lor 1417 LL iG JIVOIJ Eo
EFFECTIVE DATE 7 ZZ
AI
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 C ICUO ATION ! !
Build'ing ' & odes Department
. TOWN OF QUEENSBURY
. - YOU....
RE HEREBY-REQUESTED-TO ` '
• INSPECT AND ISSUE CERTIFICATES
- • .' 'FOR THE FOLLOWING ELECTRICAL ' • -
' `EQUIPMENT TO BE INSTALLED BY. :; ' -
THE UNDERSIGNED . _ .
TEMP.H DATE (.
•
CITY 0�-�ILLAGE - .TOWNS ..�. - • COUNTY '
L>- C &7,: S / c.- - J�_��_::v5Tire'!/ Le--1rI- n L�<
STREET AND NO.OR ROAD - -POLE NUMBER •✓
•
•
•
BETWEEN WHAT TWO CROSS STREETS IS PREMISES OCATED? - . • SECTION .. • - 'BLOCK • _ y LOT - '
• L 11 ?L.rt'!VL_ K(7 `r',/!-/�rGUL.6. !/!i'', 'f/L ,�c�� .,- I. �.' J.7 ,��. Q
OCCUPANT'S NAME - - - BUILDINGS OCCUPANCY - - - - _
il/a'/�/c'G'3u -L-be/L-7v1S`/ •-,441_5E" . IJt 4-}-671.61rt 6-- . , _ -..-- ✓ - . ;- ••', - . -
•
- OWNER'S NAME AND ADDRESS _. - ' r, f--r r 1 - '- t - ! HOME TELEPHONE NUMBER. .
/ T '-Ir FI.&s. ! - �: �_ �- - -.
C�t�3's c �ti� >T : --. : �r)'7-�-u F� �(V rf � I <S sZ�3 ,
CURRENT SUPPLIED BY•- • •_ FROM THEIR - OFFI�E - - - : WORK TELEPHONE NUMBER . ,
BUILDING IS - - _
NEW • • -, OLD❑' - • WORK IS NEW • - _ADDITIONAL❑ DEFECTS REMOVED❑
: LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED , ' • -
NUMBER OF OUTLETS - No.of Fixtures& - 'MOTORS HEATERS BRANCH , OFFICE USE
Loca- - Lamp-Receptacles CIRCUITS. ONLY
tion Side Attach't H.P.. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket- No. Type. Each No. Each No. Gauge INSPECTION
OUT- - . . .
•
---- .. . .
. ,
BASE - . - - .
• BASE- -, -- - -
MENT
. - - .
. 2nd .. .
•
•
•3rd . . - .
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT-SET FORTH ABOVE: -
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.
AND ADJUST THEFEETO'COVER
-THE ADDITIONAL EQUIPMENT AS PROVIDED BY THE APPLICANT. ,* r • ' . -- ."
SIZE OF MAINS - . _ FEEDERS- ELECTRIC SIGNS/LAMPS _ _ - . TOTAL.WATTS.
_CHARACTER OF WORK - -' • r 3-' - -- 0 EXPOSED ' GAS TUBE SIGN/TRANSFORMERS OF - - VA
.. - = - ❑ CONCEALED - '
• DATE WORK TO BE STARTED - DATE COMPLETED SIZE OF SIGN(NUMBER) _ - --• CAPACITY'
r/. -/.!--a - •- /Gn_/`5p . - -
SERVICE ENTERS BUILDING �,/ ' - MANUFACTURER OF SIGN
❑ OVERHEAD - I UNDERGROUND - '
DAT SPECTION REQUESTED (OR AS NEAR AS POSSIBLE) _- MUST ENTER APPLICANTS .
_ - L-p 0 0 IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS / J •/ �j2//
N E AP LICANT • DATE OF/e PL 7. ,X- E Off-: 7(%!/ —.-
/' TEEjEPHO_NE N�j
ST� 0`�.S/S U - • - _< ,H GU 7 Q.
CITY,oR"POST OFFICE .. - . ZIP CODE.,. LICENSE NO.WHEN APPLICABLE
� •CV• ❑ 85 John Street ❑ 41.State Street - 0 584-Delaware Avenue ❑ 217 Lake-Avent e E 202-Arterial Road
• NEW.YORK,NY 10038 _• ALBANY,NY 12207 . -BUFFALO,NY 14202 .ROCHESTER;NY 14608,-: SYRACUSE,NY 13206
.•THP NPW YORK BOARD-OF FIRE'UNQ RWRITERS --
=,7 14""",e,'".1 ". ..,,..1 ".. L,LL, 'J I 5)) 1) 1.,,p,?..?4. Ii)5),I .Ii Ii .1.'1 ,1,"),.n"py?").. ""),,",,y),,,,"-,,,,".,,,,"vtc"m,-""?
i'.' •.-.
• -,.
. IX: THE NEW YORK BOARD. OF FIRE UNDERWRITERS
. .1!- ,;,
BUREAU OF ELECTRICITY . W.--
41 STATE STREET,ALBANY,NEW YORK 12207 .
-t,
--Q Date
"fft; .
; 1 11 Application
THIS CERTIFIES THAT -:;1 ' :1'r) c;
'4. No.on file
f'U'I.L1'
:-only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .-
so ,
: . : V1.7 '; i71145E- i 7:\FTF1
el,• '
in the following location; El 'Basement El 1st Fl. as2nd Fl.
--c.
10,4:1 Section lock Lot
was examined on •'"••••' •'• : ' • ''•
.w,-.<, • ILI -
I •Lt i l'' • .' I:I 77:
and found to be in compliance with the requirements of this Board. Bo ,
1:1 •'
FIXTURE OUTLETS ECEPTACLESI SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS• EXHAUST FANS 'Zs
— -
INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. MAT. K.W. MAT. K.W. MAT. H.P. •:ii
: DRYERS FURNACE MOTORS ,
• sic: -,
-•(•
I(, ,, - .1
. r
.
FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL
AMT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. AMT. AMP. AMT. AMPS.
TRANS. ' •-.
::4 ...
U"NITT.NEATERS MULTI-OUTLET DIMMERS :..".
SYSTEMS
Ft P• ' NO.OF FEET
AMT. WATTS
CD
i'
•i' 1 ; 1'
. IX:
SERVICE DISCONNECT NO.OF S E R V I C E
METER
AMT. AMP. TYPE EQUIP. 1 if 2W 1 jir 3W 3 A'3W 3 if 4W NO.OFpEiCiCOND.
OF'. 1.4COND. NO.OF HI-LEG Ot.Ira NO.OF NEUTRALS
OFAZEICALL 1:1
'ICC:
N 1 1
.-4
APPARATUS: :1
1 ,,
lifl'ffR;--..; :i !., 1: ': .
. :
, 1 '6.:':.
OTHER APPARATUS:
*, .
.::,,
. N E
..,..,:
ks:
1. P'ITT-.:70 . t .
. „.. .
. 1 ,
. .
,
_ • . • .
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'7.. JCII CI L'.` DCY:'.i 1-,.f: ' •,-7 7.! .'‘..7a,.•-A-.-....•a....12.---,,....../1 -5
1
i._,.<
.,i I.F,:`: 1:11.! ::; '1' I '!;.;Ci I .
BRANCH MANAGER
..1 . ; / t,, S
Per
-....._,..- •a.
ED 1 7-
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.
it-i.?-4?-7.i-iai--Telele-7.-riel6i-ie-4i-4-,--7.-v-ie?.?.?wrie,riei--4?-4-rielt-eie-iai-iev-7,1s-ie-4 Mt n nittinit 51if 51EZINIE 1 M II !I !I II [II MO !I !I !I
I
COPY FOR BUILDING DEPARTMENT. -'11 IS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUES FOR INSPECTION RECEIVED
NAME �A)R0) \ 7 .
LOCATION 22 7-7 2 Ag4L1Ae f9 /g o
DATE ,3'5f PERMIT # 67 0
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
C.
ROUGH PLUMBING;
FRAMING ';
ELECTRICAL ROUGH-IN
INSULATION: pA/
FOUNDATION /'
FLOORS
WALLS '
CEILING /
FINAL INSPECTION: /
CHIMNEY HEIGHT r
•
ROOFING p'
SIDING /
EXTERNAL PORCHES/STEPS '•
STAIRS-CLEARANCE/& RAILS',
IV
PLUMBING FIXTURDb/RELIEF VALVE
INTERIOR TRIM//PRIVACY DOORS
FINISHED FLOO S
GARAGE FIREP OOFING
DOOR CLOSER S)
SMOKE DETE TORS l/
FINAL ELECTRICAL INSPECTION ' ',
FINAL APPROVAL OF CONSTRUCTION
A SIGNED ERTIFICATE OF OCCUPANCY MUST BE
OBTAINED ROM THE BUILDING DEPARTMENT BEFORE -
THESE PREfr1SES ARE OCCUPIED!
REMARKS:
•
�'(� Vieit.t.,<, (O2c'- d
—par na--(_t.
,,---,75-5,
7itz- <12)
6,(-0
•
INSPECTOR
1
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804. /71
TELEPHONE (518) 792-5832 //�
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAMErr
LOCATION 4/'/ GtOJGzi��--
DATE 5 -S" 9 PERMIT # - (0I1
CJ ge_119( , APPROVED
_ YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL f
ROUGH PLUMBING l
FRAMING l •
ELECTRICAL ROUGH-IN'
INSULATION:
FOUNDATION
FLOORS
W LLS
EILING
INAL INSPECTION:
CHIMNEY HEIGHT •
ROOFING • v,J
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE "~
INTERIOR TRIM/PRIVACY DOORS.
FINISHED FLOORS ��O!
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:
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INSPECTOR
' 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 NEW YORK BOARD OF FIRE UNDERWRITERS .
APPLICATION NO. a` Y v C —
LOC TM '
G 7 NSPECTOR
D TE
FORM IBD(REV.1/86)
TOWN OF QUEEN BURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS Q `
QUEENSBURY, NEW YORK 12804, jJ
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /-3 Q -
NAME �
LOCATION 417 ((.ul t , l .,,,,t/eil
DATE ` ^-3 I- PERMIT # ^�f
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
VROUGH PLUMBING
FRAMING 14ri'
ELECTRICAL ROUGH-IN
/INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING ✓'
FINAL INSPECTION: '.
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS ,
STAIRS-CLEARANCE & 'RAIL'S
PLUMBING FIXTURES/RELIEF\VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS tl'�
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
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
T
NAME -----. y- _
LOCATION n�lJ/c'_!/ /_, ,,�e-
DATE J j V� PERMIT # b �'/,�
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
-FRAMING r
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING /'
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING 71
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 ',
J
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: ,
�/� C Ala" ,4jet=$' ;II 861/
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INSPECTOR
•
Jown o/ Queeniurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
(//1/'
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION �7 �j'i aze.ved/
DATE// ` �� / PERMIT NO.
SOIL TY Sand Loam - Clay
Percolat'on Test Required? YES - NO'
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length v22 - v
Length of ea h trench '
Depth of tren•hes `v2 `
Size of gravel 2')2 _
SEEPAGE PITS{N_ .er of)
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank T QUA
Tank to dist. box
Dist. box to field/pit `r
Openings sealed? ( • NO Partial
LOCATION/SEPARATIONS:
Foundation to tank l ft.
Foundation to absorption , . ft. •
Absorption to lkt line -- ft.
Separation of pits • ft.
LOCATION OF SYYTEM ON PROPERTY circle one)
Front -(TRear)- Left side - Righ• side -
COMMENTS:
•
•
SYSTEM USE APPROVED ES NO
Building Inspector
01/86 and vl
iiA
VJown o f QueenilurnUILDINGG and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME T^ 056
LOCATION /7 Li - _j,q-,v&
Date Cr / cErr Permit No. —ta 1
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE NO
)(Footing/Pier Forms C cA-G,G—
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer �-
Rough Plumbipi
Relief ValvO /
Ext. Porches
Finished Floo s /
Interior Trim
Stairs & Railin /
Cellar. Drain Tile /
Concrete Floors
Plbg. Fixtures /
Gar. Fireproofing)
Door Closers /
Smoke Detectors/ \
Chimney
INSULATION: /
Foundation .
Floors
Walls
Ceiling
FINAL ELECT ICAL INSPECTION
DRIVEWAY AP ROYAL /
Final Build g Survey
Next scheduled inspection (call when ready)
Remarks- W cs_,�f'4i�A
y v G2nr
B g Inspector
6/86 and-vl
awn of Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
^�Queensbury, New York 12801
BUIILLDIING INSPECTOR' S REPORT
NAME
LOCATION //// iCd'LLL� ��ir/"p
c Sc- ram% GGr�/�--�
Date(� ( /gj /U Permit No. -4.7/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
noting/Pier Forms
1 /Foundation V1
(/Waterproofing 1/7
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 NSPECTION
DRIVEWAY APPROVAL
Final Building Sur ey
Next scheduled inspection (cal r when ready)
Remarks-
. A
Bui'ldi'g In-pector
6/86 and-vl
Jown o/ Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801.
BUILDING INSPECTOR ' S . REPORT
NAME /�
W/16.Ga;
LOCATION_ O z/�
Date(1- .j 0,0Y Permit No. , -
* * * * * * * * * * * * * * * * * * * * * * *
/ i' = APPROVED - YE$ / 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 INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- Q X 1(v Fes'''"r S
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Building Insp for
6/86 and-vl
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DATE REVISED
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