1988-681 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 22. 19 88
3). 231
This is to certify that work requested to be done as shown by Permit No. 8 8-6 81
has been completed.
This structure may be occupied as a nh,A FRm1li7 Diragaillincr
Location can C-7- rn_- rat _v_ 77a 7...., L7"7..
Owner Rich Schermerhorn
By Order Town Board
TOWN OF QUEENSBURY
-
JJ /C-7• s-..
Building & Zoning Inspector
'( . BUILDING PERMIT
TOWN OF QUEENSBURY No 88-681
ro
WARREN COUNTY, NEW YORK
0,
PERMISSION is hereby granted to Rich Schermerhorn c°
(xi
OWNER of property located at Lot 127 Oak,Tree Circle Hidden Hills Street, Road or Ave. co
co
St. No. 7
.in the Town of Queensbury,To Construct or place a One Family 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
112 2 Crandall St.
Glens Falls, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name
Same fD
o .
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address •
7
0
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
tD
7. PLANS and Specifications - a
n
No. 28' x 36' as per plot plan, specifications and application including septic m,
system and attached two car garage.
8. Proposed Use
0
One Family Dwelling co
ro
$5/00 C/O .
$. 115.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 89
(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.) CD
Dated at the Town of Queensbury this 3 Day of. Oct 19 88
r
SIGNED BY • I // for the Town ofQueensbury
Building and Zoning Ins ector
'C.") /
_/ow, of QNNC'11.1UNrY -
(3uit_DING and ZONING DEPARTMENT • ��
Day and Flaviland Road, R.O. 1 Box 98 C),
(Calr
Oueensbury, New York 12801 .
� 1
/ 40 gI S ` p f I APPro id. isX: j l / &.PM lu PCs"
APPLICATION FOR / W—
BUILDING AND ZONING PERMIT Ifictilair
* * * * * * * * * . • * * ' * * * * * * * * * * * * * * *• * * * * * * * * * *::•*
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: Rik SGl,er nne,r V,,,r:N
P.O. Address' 11 Z.'JL Cec,_•nA c,,\\ S� 'Bel. 79 3 -0'6 79
•Property Location:' /07 /27 D, I< -ire.e- l i r"c-I e- Tax Map No. f 3 /_ / 77
Street number or building lot number
Subdivision name (if applicable) tlicid6.✓ /i;L'S
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
R,•ch .ScJ!e r,t► e, .C'ko(. //Z/,/7 rya nda. // S f- .7 S•-0 6711 . .
N:aa,u P.O. Address Tel. No. .
Name of builder V . S lte.v'w t_-srl,p�.✓ Address Cr'avAcl0,1\ Sf- Tel. 77.6 - 0 67 y
Name of plumber 4. ]<,•vc„._ Address . S ufte..•(s v u+' j-],'LL Tel. 7 7 $ - $0 6 y
Name of mason axle- Sal j J;J Address • F-f Ann Tel. 7 7 Z - '/3 71
NATURE OF. PROPOSED WORK: * • ZONING INFORMATION: •
X Construction of a new building . . .)4- 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
POR UEi•IOLI`1'ION PERMIT, S'1'J N 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 of property 10•c- ft X /33* ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building (s) Use
Size of. new structure AS ft X 36. ft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
. (circle one) . • *
• * Front yard yS ft Rear yard 6_? ft
No, of stories (habitable space) /i�Z * Side yards iC ft and � ,� ft
Haight (grade to ridge) asp ft. ' If on corner setback from side street ft
.,
If residential, no of families / * ' p
No. of rooms(excluding baths) / * . . OCCUPANCY INFORMATION
No, of bedrooms 3 * PRIMARY BUILDING -
No. of bathrooms n a ,....x.Lpne. family dwelling
Primary heating system c q5
Type of fuel Q,S * Two' family dwelling
�_ 9 c * Multiple dwelling ./ Number of units
No. of fireplaces to be installed i y/Permanent occupancy
Will a wood stove .be installed? o *
N'
Central Air conditioning? yf,5 * `Transient occupancy
* business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
• • Other '*
Ranch Contemporary Log cabin -If addition, what will use be?
Raised ranch Mansion *
Duplex -
Split level Old style 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/ Ct-wo ca5 . car
* * * * * * *. * * * * a a * * * * • * Private storage building
!
ESTIMATED• MARKET VALUE OF . * Other • "
CONSTRUCTION *
$ Jl ZL0a75---- •
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form 13PA 4/86 and-vl
LUILDINC PElUtIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
• Type of construction,rood fraiae fire safe,etc. '`
Will any second-hand or ungraded lumber be •used? If so, for what?
Foundation wall material Cy,nc-C—QA-� Thickness /d ,
Depth of foundation below grade (to bottom of footing) `
Will there be a cellar? yes Heated or(1_1!-,heated1) . Floor sq. footage sq ft
Will there be a basement? Will any portion be used as living space?
(If so, what por • sq.ft. - - Type of use?
Type of roof - slope flat/shed/other Material.-of roof 0...50No. H- / 'h_ P )y ) c c),
Size, wood studs d "X �; " spacing /4 "o.c. length 5. ft.
Joists(floor beams) 1st. floor . "Xio " spacing /e, "o.c. spun /6 ft:
Joists (floor beams) 2nd. floor 2 "X ,a " .spacing "o.c. span /6 ft.
Overlays(ceiling beams) •,j "X " spacing /6 "o.c. span /,.. . ft.
Roof rafters - "X " spacing o.c. span ft.
Roof trusses(pre-engineered) .spacing "o.c. span ' ft.
Exterior wall finish G1o�•,pI boa.S'c� Of what material? V' n yl 5 i,211'i y
Interior wall finish S)tie e.1-'r k '
•
If a garage is to be attached, describe materials to be used for F_IRI:: SEPARAPION:
' ' 5Jg ' f: e-c.oc1 e- S hN;t.- {-6(4
Is there to be an opening between garage and dwelling? Ye,5 If so will a Fire-raced
door, enclosure, and self-closing device 'be provided? )1(=.5.
Will a flue-lined chimney be installed? Height above roof _I • ' ft.
Depth of chimney foundation below grade_ y ft. : . .
Depth of fireplace hearth d ft. in.
Water supply - -Municipal or private well in LI"c1)0 a% '
SEPTIC SYSTEM ' Distance from ANY private .well(including adjoining properties 4//,4 ft.
(A separate .application. is necessary for any repair or new installation of septic system)
Town of nueensbury • STATE OFNEW YORK .
County or Warren - A F F :I D ' V.. I T
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: 20NING 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 BEFORE ME THIS • Signature 0, /n --y/��1-----j----
Owner, owner's agc-nt,arcnitect,contractor .
. day of 19
Notary Public, Warren County, N.Y.
w w * *. * * * * A * A * w w * A * * * * * * * * * * * * * A ,* .* * * * * is A A It * A it .* * *
SPECIAL CONDITIONS OF THE PERMIT:
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By
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• TOWN OF QUEENSBURY , •
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- ' -. . WARREN COUNTY, NEW. YORK . • • .
' Application, for: . BUILDING PERMIT INCOMPLIANC WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
i - •. ' A permit must be obtained before beginning work.
. .
ANSWER ALL of the following: . .
1 ., Gross floor area • /, 4/60 ' . •
• • .
. • 2 . Type of' heat • Fe).(•(- d Hot
3 . - Is the building mechanically cooled? Yes
4 . Percentage of area of windows and doors /V % • .
• A. Over 16% Only . .
- • 1 . U value of gross area of walls , roof/ceiling and floors •
o
exposed to ambient conditions
•
. • ' .
2 . Floor over, heated spaces an" NO
• a. Are foundation walls insulated? YES NO
•.- 1. If YES , what is ' the R value?
3 . Slab on 'grade CO) (NO)
. . - a. If YES , what is the R value of insulation around
perimeter of floor? . •
, . .
. .
• 4 . . Is basement heated? • YES ' NO ' . .
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a. R value of Insulation
• • •
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5. Type of insulation
- ..-. .
, . . .
. B. " Under 16% Only
' 1. R value' of roof and floors exposed to ambient conditions .
roc)c - R 3 % . / li • 1... //A -
. ' 2 . • R value of exterior walls ,Q - Z .5 • .
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. ' .
.3 . • R value of glazed area h'. 5 . . •
. .
- . 4 . ' " R value of doors•
. .
. ' 5 . R value of floors over unheated spaces /•? - ZS •
' *-- •
6.. R value of slab edge insulation - unheated slab
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' . 7 : R value of slab Insulation - heated slab •/k_j 2 A-
8. R value of heated basement/cellar walls (above grade)
- •
... . . . ..-- .
., ;. 9 . R value of heated basement/cellar walls ' (below grade) ,,,.//4- •
19H Type of. insulation . A'kerl. ) 6( 5.5 . ' . • '
C. Controls . . . ' : - - . . • • •
.
1,.;- Thermostat maximum heat setting • •
. .
. . . ..„ D.',.. Duct Systems ,, .. ... .::: . ..: . .- : •
. . . i ,.--, 1-,..,:, Is ductsystem_ installed in unheated spaces? air .• . NO, .
. .
-.. ,.:•. . ..a. . If YES , R :Value, of :duct installation g - i3
,,- b. .R value of duct in other areas -
E .. Piping Insulation- -':' . - . ' • '
. .'. 1 . , ,Size of hot water 'or cooling carrying agent pipe 3,/g
. . 2 . R .value of pipe insulation '
..
r F. Service Water Heating . :
.
• 1 : Performance efficiency' . 56°4 . • _ , .
- -: .• 2. ' Temperature" control setting maximum Ho ' : •
. .
G.L For Swimming Pool Only . • . • , •
1. Maximum heating A ).: /
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Telephone No. 7 F- 0 6 7 9
(applicant ' s signature) •
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APPROVED •
• %J -W'1i. c ( 'Uarmt,itr D
APPLICATION FOR SEPTIC DISPOSAL PERMIT. ZDIHIliU&um CODES DU'I.
10WN OF DOEEIrellUILY
•
DATE •
,
•
LOCATION OFPROPERTY FOR INSTALLATION ZO JZ 7 OAK - Ci rG e-�
Owner's Name: R . e lac)(Xi Telephone: — 7 9 S — OI'o 1 y
Address: _J)Z.-tJz . C�`aInclGl, kl • 5 - G •
Installer's Name: ,D 0.1 Dre_. o S Telephone:
Number of bedrooms (residential only) _3 • _
•
• Total daily flow (compute. @ 150 gal per bedroom) _ ys D
• Topography: circle one. Flat Rolling Steep Slope % of slope •
Soil Nature: circle one• Sand oam Clay Other / Depth: feet
Ground Water: •At what depth? ^//if feet
Bedrock or Impervious Material: At what depth? tti/A- feet •
Percolation test: circle of • not requirequ- required / rate min. inch.
Domestic water supply: circle once' Municipal Well Other .
IF domestic water supply is.a Well: •
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank love' gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S): Number of 3 / Size each ( feet 15y $ feet
Size of stone to Lie used II _3 / Depth or Thickness "feet
4 * * * * * * * * * * * * * * 4 4 * 4 4 4 * * * * * 4 * * 4 * * 4.* * * * * * * *
IMPORTANT
...PIease...LIST NEW EQUU MEN•1"1'O BE INSTALLED
•
* * * * * t * * * 4 * 4 4 * 4 4 * * * * 4 4 4 4 4 * * s * + s + * * ? * s * * *
•
(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 Depau•tment at least 24 hours before start
of carstruction 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
•l.) 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.
•
•
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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: fitj
Date: • 9 /FY
Town of Queensbury
Building and Code..Department
Bay at Haviland Road
Queensbury, New York 12801
•
(518) 792-5832
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1 5 I T' I':I - I. .
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INTERIM BUILDING PERMIT
PERMIT APPLICANT fct4 C , iM4 rt. lAorzxr
CONSTRUCTION LOCATION Ljy- 1'2 7 Opt is T 7 j. 6 C 12GL &
EFFECTIVE DATE l ICINV
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 4INSP CUO LO'' TION ! !
J
. . 411F.OF .
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FILE COPY
Building & •odes Department
. TOWN OF QUEENSBURY
REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!!
1. Foundations Footings, before pouring concrete.
2. Foundations Inspections and Waterproofing, before Backfill.
3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework.
4. Insulation - Foundation, Floors, Walls, Ceiling.
5. Inspection of Electrical Installations before covering (rough in) and on completion
of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF
OCCUPANCY.
6. All new septic systems or repairs before covering any work.
7. Final Inspections before Certificate of Occupancy is issued.
THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT APPROVAL
OF THE BUILDING DEPARTMENT.
E
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
(TEMP.# !DATE I
CITY OR r ! !f
VILLAGE rj..(;} 7- ) 7 TOWNSHIP COUNTY'
STREET AND NO.OR 11 r— j.. • •"''....
ROAD AND POLE NO. (D it i i,,ti I („ �� - POLE NO.
BETWEEN WHAT TWO 'CROSS STETS IS ., ,;
PREMISES LOCATED? • SECTION .- --✓ BLOCK "' LOT r ,
OCCUPANT'S ;71 BUILDING
NAME /-) , 5v s (';.. ♦'�14,1 C_ ( J 6� is.�f OCCUPANCY
OWNER'S NAME ] f / �7 7
AND ADDRESS r/� , =/ d^VI v __F J t., ✓`/ C1 (A/ TEL.# J /9 ? "_ 6 / / '/
CURRENT '`�/J� j 1 ,; 0 S�
SUPPLIED /ij,Cl C f� G+... r' r U i s ice... k FROM THEIR ..,-7.- —=:•:Lam; �_ - ,.yi./ OFFICE
BY /� �A '
B
SUILDING WNEW X OLD El ISORK NEW [ ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE.
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS- CIRCUITS
Loca- ONLY
lion Side Attach't H.P. Watts A.W.G.
Coiling Wall ' Recep'Is „Switch Pendant Bracket No. Type Each No. Each No• Gauge INSPECTION
Out-
side -
Sub •
-
base •
- Base- •
ment
1st Fl. .
2nd Fl.
- r '
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 ELECTRIC SIGN • ' TOTAL
MAINS FEEDERS LAMPS WATTS
<
CHARACTER EXPOSED GAS TUBE SIGN Jf
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 0 OLD El
•
.i AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF LL
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION
PRINT NAME AND ADDRESS . .. 7
NAME OF ` i ` /7 X SIGNATURE �r -- — 4/. ,,
APPLICANT -' "OF APPLICANT /f�
_ + -' TELEPHONE# 7 7 (— 6 7
CITY OR - / C ^\` : f ZIP r : �i,j LICENSE NO.
POST OFFICE -? 1.l 1: -^' \ CODE ! `—• �'�• WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
• !(.. r to t, to ., ,. ••-5
THE NEW YORK BOARDeip . OF FIRE UNDERWRITERS ��'b�(
! BUREAU OF ELECTRICITY � ;� Y
�; aDecember 58, 41 STATE STREET.ALBANY,NEW YORK 12207. .
; Date , Application No.on file 0 w 9.1 7 9 i 8 A 7 3
f? 3 0
} pZ
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'-c THIS CERTIFIES THAT .
1, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of -,.
:,1- -, Richard SchrFs1_horr 127 Oak Tree Hidden Hill;3 }ueensburlr, New York l'''
97
`ri • in the following location; 9 ,P T a r aae outside'❑ Basement Li 1st Fl. ❑ 2nd Fl. Section Block Lot .
!ei was examined on a ., and found to be in compliance with the requirements of this Board.
FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT mEIlcuRr -- rt
VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
-
�, DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS`
1SYSTEMS
: AMT. K.W. OIL H.P. GAS H.P. AMT. ,S t10. iA.tW 1G.7, AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. FEET AMT. WATTS
A. 1 fr 1 50 6/3 . y:
c:; 1, SERVICE DISCONNECT NO.OF S . E R • V I C E
!�. AMT. AMP. TYPE EMQEU�P 7,6'2W 1�'3W 3,B'3W 3 Jr 4W NO.OF�RC.gCOND. OF CC.COND.. NO.OF HI-LEG OF•HI-LEG NO.OF NEUTRALS OF NEUTRAL 1"'-:"t
43(,' OTHER APPARATUS: a
c
�; lslec,. water Heater: 1-4' ; 5 ®-
4gfci receptacles
' x smke detector�, 7Z't:Lt)po a1 i. 1-'ift ..
1,
if.
�, Ken L�Ci�'-JNY!Vt Electric ��
-, �, RR5 Box 155 „3 9 • �
�, �; Glens '1 1 l S NY 12801 BRANCH MANAGER 2
Per _
; 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. ''
1 •
if Y•?'ieYiYYAi'ie-4I 7Ar'iAY'i.s—iic;Wria;-41-YAYYiii yaf'iAi"iAY'iei-iei iii-ie'isi'lei'iAf'ia CI II 0 0 0 0 ® 0 0 0 ® M ® 0 ® 5115221101M5 ® 6, '6:.:3-
.
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 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUE T R IN CTION RECEIVED
NAME -1 ' M1L
LOCATION
r L9'r f Z'1
DATE \ 1 1 �51 •'J PERMIT # -6 V/
111 APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUG IN
INSULATION:
FOUNDATION
FLOORS 114, ,4f
WALLS
CEILING AV
FINAL INSPECTION: �*
CHIMNEY HEIGHT #;:r
ROOFING G
SIDING AfrA
EXTERNAL PORCHES/STEPS3
cr
STAIRS-CLEARANCE &!'t��RAILS
PLUMBING FIXTURES/RELIEF\ALVE
INTERIOR TRIM/PRIWACY DOORS
FINISHED FLOORS I,
GARAGE FIREPROOE'INGIt
DOOR CLOSER(S) 1'
SMOKE DETECTORS
FINAL ELECTRICAL%INSPECTION
FINAL APPROVAL OF CONSTRUCTION \\
l7
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARK OrWcsififiC idf
Uµo
t5A,LV) (1)404)-Le_ 0
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS ///� �^
QUEENSBURY, NEW YORK 12801 ,/ e`/J
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 7/- /6
NAME --_ _ ��✓�✓�� 2c'�Z��'�//(�
LOCATION / /47' ( 7aJ 7
DATE /1 1K PERMIT # (/ O -/4/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \
FRAMING •
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING A
EXTERNAL PORCHES/STEPS/ \
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF V VE LV
INTERIOR TRIM/PRIVA,CY DOORS
FINISHED FLOORS /'
GARAGE FIREPROOF' G
DOOR CLOSER(S) \
SMOKE DETECTOR 1.7
FINAL ELECTRIC INSPECTION \ 1 �
FINAL APPROVAL OF CONSTRUCTION j//
\
A SIGNED CERTIFICATE OF OCCUPANCY MUST\E
OBTAINED FROM THE BUILDING DEPARTMENT BEF RE
THESE PREMISES ARE OCCUPIED!
REMARKS:atAl ILA UnT '
D6,5
312-
IN PECTOR
i Jown of Queeniburcy
/ . BUILDING and ZONING DEPARTMENT
•
Bay and Haviland Road, R.D. 1 Box 98
0 Queensbury, New York 12801
1
SEPTIC DISPOSAL�I SYSTEM INSPEECTION
NAME . .1c,�h 9,,c_�C Pfp:,,,7_P.P_CAz„,,
LOCATION % 7 #:,eig.,,-, idh
DATE_ ?ha PERMIT NO. ,�--6i -/
SOIL TYPE - Sand - Loam - Clay
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: •
Absorption field, total length I-
Length of each trench S-7.
Depth of trenches ' '
Size of gravel t_-m :
SEEPAGE PITS*Numb'er of)
Size- ft. X 1, ft. s'
Gravel size /
PIPING: Siz° Ty e
Bldg. to tank \ ' / __
Tank to dist. box \/r rt7
Dist. box to field/. ' ' d;° -
Openings sealed? NO P rtial
iiii)
LOCATION/SEPARATIONS:
Foundation to tank �\ ft.
Foundation to absorption i, ft.
Absorption to lot line ft..
Separation of pits \ ft.
LOCATION TEM ON PROPERTY(circle one)
Front - ar - Left side - Right side -
COMMENT : ` \,i'l) /
SYSTEM USE APPROV I. YES NO'''' 44---/ .
Building Inspector •
01/86 and vl
•
_lown of Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME
G %r`�- �_- CAN-a-C�>,�2..-LZ
LOCATION �� ��
•
Date/W/U/ Permit No. � /60
-
* * * * * * * * * * * * * * * * * * * * * * *
V. = APPROVED - YES //NO
Footing/Pier Forms ✓
Foundation
x>
Waterproofing
Backfill
"�raming t //
Roofing •
Siding
At .
Masonry Veneer /
[.---Rough Plumbing
Relief Valves .;
Ext. Porches /
Finished Floors
Interior Trim /
Stairs & Railings \<
Cellar Drain Tile 1 ,
Concrete Floors
Plbg. Fixtures '
Gar. Fireproofing
Door Closers ,/
Smoke Detectors
Chimney I -
INSULATION: Np
Foundation !
Floors • • \
Walls
Ceiling
FINAL ELECTRIC L INSPECTION
DRIVEWAY APPRO AL'
Final Buildin Survey
r �
Next scheduled inspection (call when ready)
Remarks-
•
•
Building Inspector •
6/86 and-vl
awn of Queeniturj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 1280T
•
BUILDING INSPECTOR ' S REPORT
NAME
•
LOCATION / ' 7 (////
Date T sae, / Permit No. 91 `' � ��
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
+cWaterproofing
)cBackfill •
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing \ •
Relief Valves
Ext. Porches
•
Finished Floors
Interior Trim ro
Stairs & Railings '
Cellar Drain Tile ;,f'*,
Concrete Floors
a ,
Plbg. Fixtures `
Gar. Fireproofing /
Door Closers / {x
Smoke Detectors /
Chimney
INSULATION• ° •
Foundation
Floors
Walls '
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey k
•
Next scheduled inspection (call when ready)
Remarks-
•
•
B '1 g Ins ector
6/86 and-vl
Jown of Queeniury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION �fj � � tev
DateC7- 90 /Ir Permit No. l •-6,0
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE$ / NO
c,Fo ing/Pier Forms /
oundation I
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 i�
Smoke Detectors
Chimney
INSULATION•'
Foundation'
Floors
Walls
Ceiling
• FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
)(364rja
Building inspec'tdr
6/86 and-vl
•
awn o/ Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATIONS j iJ/ - � ?�� //
Date q•/4 g-e Permit No. /i--eblo/
* * * * * * * * * * * * * * * * * * * * * *,-"*
= APPROVED - YEAS ,NO
ting/Pier Forms �/
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding '�
Masonry Veneer
Rough Plumbing \ a
Relief Valves \ /
Ext. Porches \ 1
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- W\A"\lak-e.,
Cc\e-T-N2ci ,2z1W1 Pooezb
Sties iL
• Bu ding Insp c or
6/86 and-vl
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