Loading...
1989-254 CERTIFI C TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 20 19 89 wo This is to certify that rk requested to be dome as shown by Permit No. 89-254 has been completed. I This structure may be occupied as a Single Family Dwetiing R Location GosmYcSw C131f? Road f Bryan do Laurie Durant Owner f By Order Town Board TOWN OF QUEEMIRURY s / Director of Bldg. do Code Enforcement k I _ BUILDING PERMIT TOWN OF QUEENSBURY X9 89-254 P0 QNo, WARREN COUNTY, NEW YORIK o> r PERMISSION is hereby granted to Bryan & Laurie Durant t� OWNER of property located at country Club Road Street, Road or Ave. in the Town of Oueensbury, To Construct or place a Single Family Dwc11ftW 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 Oueensbury Building and Zoning Ordinance. t. OWNER'S Address is 49 Country Club Road Rrueensbury, N.Y. 12804 W 2. CONTRACTOR or BUI LDERZ Name �^Y :Reif � a CONTRACTOR or BUILDER'S Address �;3W SAME A. 1~ 4, ARCHITECT'S Name > 6_ ARCHITECT'S Address 6_ TYPE of Construction — {Please indicate by X) a RXV(ood Frame ( I Masonry I I Steel i I z 7. PLANS and Specifications No- 5 8' X 44' single family dwelling as per plot plan, specifications, and application. r" Q Including attached two car garage, septic and driveway t+y 8_ Proposed Use Q Single Family DweU W C� 25. 00 c/o $ 239.QU PERMIT FEE PAID — THIS PERMIT EXPIRES December 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 Ciueensbury before the axpi rat ion date.) h! Dated at the Town of Oueensbury this Day of Maq - 1989 Gp SIGNED BY for the Town of Oueensbury Budding and Zoning 114pector I= • x T�C7LvN OF � UEENSI3UPY APPLICATION FOR BUILDING AND ZONINC: PEM6( IT u I'u.rc- �4'�f r'pjv� 6Paid .� � C/O �,}4Fy Fee 84% ct � ''9!9 BUILDING MID CODES ul 'l'AUt'1'P+ *MF Date Idaued 4 �+� g DAY and HAVILANO ROADS RD l BOX 9a P(JEENSBURY, NEW YO,R1: 12`SO4 ?eluli( � No . Tel . ( 518) 792-5832 Ext -204 * * * * * •* * 1 * * * * * * a a * * R * * a r w * w a ■ s ■ ■ ■ s ■ s r A 1' 1~ RTIIT MUST Do OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPi:C'rIONS - WILL BE, MADE uNTIL APPLICAmT HAS RECEIVED A VALID UU- ILDINC PERMIT . All applicable spaces on this application Lnust be completed and the -; •ionature of the applicant must appear • on the reverse side of this sheeto x k A is is * * * * A -a * k * '�* A * * * * Y* * * * * * A * k .YF iK 7k k 7i Y: The ownqner of this ,property is : _ 1L cr , r l� Ql1I lAdd�ress { �C7[J►J [�J�? - G� _ TEL . ��{ property location mJ0610TAX MAP NO . &L ,l leas there been any split of this property since October 1 , 198B ? yes no if yes , Planning Board. Review is necessary . SUBDIVISION NAME , If APPLICABLE LOT NO . The person responsible far suNervision of work as regards nuilding Codes is : NRML» P . O . DURESS TIc: L . NCI . Name of builder r a. o t +O, Address CA cou 'C(00 Jlr' Tel 7(fri " krf 3 t/ Name of Plumber raaa_ � l.ddress `Pei Name of Metson �v Q TC61 7 �4 � ,Address V1} '�� I,IATURE Or PROPOSED 6ORK. : + ZONING I Ni ; OR>` ATION ( ortic & use only ) ron:4tructiors of a nuw building ZONING DESICNATION OF PROPERTY Ad.xition to U builslirtg ` PERMITTED PRINCIPAL. PERMITTED ACCESSORY �Alcur;acian to a 1.uilding tIta to exc � rioc rl )mrnan:: ions) * REVIEW REQUIRED - PLANNING 50ARD TONING aOARD� Oclser wort: (4a :.criUa } ` SITE PLAN REVIEW # APPROVED DATE 1 If GROSS AFtLh OL' L' ROPOSCfl, : 'PItU4''i" UFt1: " VARIANCE # APPROVED RATE 1st Floor � '?bC7 s+q ft . Remarks : r _ 2 n d Floor s q f t . „ COl•1P i.4'1'r I fJl'Oi:[M"P1C3a,1 ^�itl r�u ILcL D usL Lf. �1 . Si.sw' Cif �]Col�urCy s� �C7 fC X �,Z�fC . Other Floors sq ft . Lxi::tiil�j buil.linil ( :s ) ti re . ( noc Cellar or basement ) „ TOTAL FLOOR AREA 1 7C> 0 st1 ft . ` Lxi : ciilg ouilalinsJ ( :: 3 U_.0 �' ix.: ur' new structur.: 8 f t X f t. ` l�cu,l�dacian-pier/ :;131i/erawi/iyaxtial fui ' k'r:ai�a:.�cd builuing , cti::.t:.►ncc from i.c'aljertY line (eirclu one ) 1 i Front yard 7 o f't Rear yard �- ft N+.lw of stories 0"44ic�abla3 s},�wcc} I * Side yard : c c and sic Iluighc (Urada: to ridqu ) C24/ ft . If on cc+rna r , t:ucl�aa fC froasti side scrur:c rc It rcriduntial , nob of families Qhj -r- Noo of roomn ( excluding b:.ths ) Cv ' aCCUf'AN�:Y 1NF01'.I.1ATlQN lice, of badrooFny � w � PUT14ARY riUILDINC No. of b"Chroouka wo One faMily dwelling I'riuniary huatirt(I Uy:sc..us W -; Irwo f"ULLIV dwuliinal Typw of [uui © I I.- Multiplas alwullinq / Humber of units. No . of fircljlaccs Lr> b:: i:i::tµllud I 1}cr►a:4ncsrr OCCUP;uw,cy Will i. wous.I ::Lov.: L+s_ iIIUL alla:sl? lJ � # 'L't;ansl.a:nt tsti:C�lj�:arrt:!f Contr"l Air car�aLitl4riing:� ---- Business (3UILDINC+ STYtXC PRIMARY STRUCTUj2C „ lnclustrial # Dthcr luttclx UnL. Rsl;ar:sry Lc+n1 cabin If .addition , wlaiat .rill uu: bu? 1wi:;ud ranch Mansl[+n OUL+lssx !Jplic IQV41 Old atyle 4iu11l.alow C';&'Vu Cod CoLt4qu Och.:r '" ACCESSORY 131JILDING- Craloni:al L:ow rows Ilause " W qocachad gari6g0/ono Car/ two Carl c"r ( CIRCLE: Cat+Il PL>:AS.E ] Acrachs:d uaraqu/one cur/ wo cat cua' R a a a a * R • . ■ . a s a a * priv ata: sto Ci. go building %: TIMATED MARXET VALUE OF � Other CON ::'1' liUcdrION (, rdVOR mATTON ON 13UII-DINC: SPrCIFICATTONS , ON RrVUnSE SIC]r: OF `PHIS CHUET, TO BE COMPLCTEDI Form BPA 10/89 va BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . C1� 11�t¢.1 ( bR1�1 \AO006 _kkAA_f, Will any second-hand or ungraded lumber be used? If so , for what ? Foundation 'wall material Cf AATN i ('- CCIC..(s Thickness Depth. of foundation below grade ( to bottom of footing ) /)JP'" JnrvL_ . c tO yt 'Will there be a cellar? X €seated or unheated? V� 5 Floor sq . footage Sq y Will there be a basement? Will any portion be used as living space ? /Vey ( if so , what portion? sq. ft . - - Type of use? Type of roof - flat/shed/other Material of roof T Size , wood studs 2- " X . spacing rr,, �"o . c , length ,-ft , Joists ( floor beams ) lst , floor `"X _ fl ^ spacing 1�, ,"o . c . span z, r ft . Joists ( floor beams ) 2nd . floor �- lox " spacing --- "o . c , span_ ----ft . C3verlays ( ceiiing teams ) 2, "Xolspacing 16 "o , c , span /t? ft . Roof rafters - �'•x _" spacing span Roof trusses (pre- engineered) spacing "o . c . span -- ft . Exterior wall finish ,5 -4e5 r Of what material ? !- Interior wall finish DRV��t � Sze {` �2uc c� If a gaXa e is to be attached , describe materials to he used for FIRE SEPARATION : S � � bctC 1< Is there to be an opening between garage and dwelling? - If so will a Fire-rated door , enclosure , and self-closing device he provided? Will a flue-lined chimney be installed? �� Height above roof ft . Depth of chimney foundation below grade eft . Zero Gtev�ro.rr� Preo , • irr�/act Depth of fireplace heartkz �r ft . �in . ^ Water supply - Municipal or private well U M IC t A-( SEPTIC SYSTEM _ Distance from ANY private well ( includirg adjoining properties Zec>o ft . (A separate application is necessary for any repair or new installation of septic system) D E C L A R A T I O N 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. I r f� ,r' Signature � owIv � d�frV �r4� Owner, owner's gent , architect, contractor SPECIAL CONDITIONS OF THE PERMIT : By a 1 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 % ! 2 . Type of heat- 3 w Is the building mechanically cooled ? qq 4 . Percentage of area of windows and doors �/r / !e5 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_ - 3 2 . R value of exterior walls oe " I 3 . R value of glazed area 7 4 _ R value of doors _ + /� � 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 4AJ1j0q _ 7 . R value of slab insulation - heated slab ie /z 8 . R value of heated basement / cellar walls ( above grad +e ) ,C? /3 9 . R value of heated basement / cellar walls ( below grade ) / 10 . Type of insulation 1' , aeirtfe 4- '15� 15P rttoj#Lr+ `-- C . Controls o 1 . Thermostat maximum heat setting, �Q D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation r rr 1 . Size of hot water or cooling carrying gent pipe / 2 . R value of pipe insulation F . Service Water Heating q 1 . Performance efficiency 2 . Temperature control setting maximums G . For Swimming Pool Only 1 . Maximum heating Telephone No . � f � � ( a i nt ' s signature ) TOWN OF QUEEENSBURY ,r-^�-. APPLICATION FOR } SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION CW, OQ6 Qo&f . Owner's Name: � ►'`� I YCA Telephone: �"f i �? [ r� ,r Address: [ W� hl C ( y �„� 7� Installer's Name: ��j1)Aj '! `A l uo(, .Telephone: Number of bedrooms (residential only) 3 Total daily flow {compute (d 150 gal per bedroom) Topography: Circle o e: Fiat ' Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet Ground Water: At what depth? /Q Feet Bedrock or Impervious Material: At what depth? 67Z7 Feet Percolation test: Circle one: not re uired required rate min. inch. Domestic water supply: circle one ,Municipal ell Other. If domestic water supply is a we Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank 1600 _gal. ( minimum size: 1 , 000 gal.) TILE FIELD: Each Trench 5'0 feet/Total system length �Z e:)41�1 feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used Alt' 'f/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 Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE : # OVER Septic System Inspections : A • All applications for septic system installation , alteration or repair , as required by the Town of Queonsbury 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 , the 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 , Do Should unforeseen problems during construction prevent proper installa— tion , alteration or repair of an approved system , a new proposal must be submitted to the Queonsbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queonsbury , New York 12804 KCHLarks : TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVSLAND ROADS QUEENSBURYr NEW YORK 2280g& TELEPHONE (518) 792-5832 J I3UILDIN INSPECTOR ' S REPORT REQUEST F SNSPEC I RECEIVED NAME LOCATION DATE r PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORM FOUNDATION/DAMP-PROD ING_ BACKFILL APPROVAL I ROUGH PLUMBING FRAMING ELECTRICAL ROUGH^SN INSULATION: FOUNDATION FLOORS WALLS / CEILING ✓FINAL INSPECTION: CH-TNNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST S STAIRS-CLEARANCE & LS PLUMBING FIXTURES/R SEF VALVE INTFERIOR TRIM/PRIV DOORS FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLO.SER (Sf SMOKE DETECTO FINAL ELECTRIC L INSPECT'. N FINAL APPROVA OF CONSTRU `TION A SIGNED C RTIFIC'ATE OF CJC PANCY MUST BE OBTAINED ROM THE BUILDING EPARTMENT BEFORE THESE PR MISES ARE OCCUPIED! REMARKS f INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY. NEW YORK 1280&L TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED ` NAME LOCATION DATE `S ?S / PE IT # APPROVED YES NO FOOTING/P.IXRS MONOLITHIC 1�OUR FORMS FOUNDATION/D)WP-PROOFING BACKFILL APPR�?VAL ROUGH PLUMBING FRAMING ELECTRICAL ROUG IN INSULATION: FOUNDATION FLOURS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ EP STAIRS-CLEARANCE & RA PLUMBING FIXTUR S/RELI F :VALVE__INTERIOR TRIMf RIVACY FINISHED F S GARAGE FIRE OUFING DOOR CLOSE (S) SMOKE DET TORS FINAL ELEC ICAL INSPECTION FINAL APPR AL OF CONSTRU'CTI N A SIGNED ,ERTIFXCATE OF OCCUPA Y MUST BE OBTAINED FROM THE BUILDING DEFA �MENT BEFORE THESE PREMISES ARE OCCUP,TEDI REMARKS: )FhSPwCTo!R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS 4 ~ QUEENSBURY, NEW YORK I280+I TELEPHONE (518 ) 792-5032 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVEDC� NAME -RN ' .• l .-,�- LOCATION DATE � `]-_PERMIT } `�� o{ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING .BACKFILL APPROVAL t.- R'OUGH PLUMBING L...F AMI NG r ELECTRICAL ROUGH-IN .INSULATION: FOUNDATION FLOORS WALLS CEILING ' FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ TEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTUR S/RELIZF VALVE INTERIOR TRIMf RIVACY DOORS FINISHED FLOG S GARAGE FIRE P FIND - DOOR CLOSER ( ) .SMOKE DETEC RS .FINAL ELSCTR-#CAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT ,BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 1JKSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEENSBURY, NEW YORK 1280g TELEPHONE (51 8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR I PECTION R EXVED 9A l� NAME ]� '7 LOCATION DATE /' PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHXC PQUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APP06VAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: Ab FOUNDATION FLOORS WALLS CEILING FINAL XNSPECTION: CHXMNEY HEIGHT ROOFXNG 4 SIDING EXTERNAL PORCHES STEPS STAIRS-CLEARANC & RAT PLUMBING FIXTU S/RELIEF VALVE_ INTERIOR TRIM/ IVACY DOO FXNTSHED FLOG GARAGE FIREPR FING DOOR CLOSER { SMOKE DEr C S FINAL RZEC$ C" L INSPECTION FINAL APPROVAL OF CONSTRUCTXON A7. A SIGNED CERTISCATE OF OCCUPANCY MUST BE OBTAXNED FROM ME .BUILDING DEPARTMENT BEFORE THESE PREMISES`- ARE OCCUPIEDt REMARKS.: XNSPECTOR - National Headquarters 9 addo ve:. o113nzgswi3od, NJ 09 108 ri"Y ,r Date• . ;City. Tovrii .or Township + in ► County �•.•�' eb verr+r yIiA State Location/Address "# of 4 (If Located in Rilral Area - Pli�ase Attach Directions) Pole * Owner Occupied As --r- - 4 "+i t3Sliildir ; Sin aldQ Occupant r WorV-Area in Build( Floor #, etc.) : Apm for: Wiring Service or: FWady for Ins e&ia&. Fee Rernitcec - - . Cush ED Check Q" M.O: IW mi" irbNY4:61 M.L J;A: 60a-y 750 Y lS91 S'aa0 175a 20eEY rasa 2600 2750 3000 Number of Rough U6ri'hg'outlets ' Elect, Heat Switches ` : : Amp. Serf[iDe ' eiSzfaoe Unit Dishwasher -• 1Range Lighting Water Heater Air Conditioner Dryer -: =` PumpF . Receptacles 11 Nu �' of �* Win.' `4` rk -sf1Jh " ` age DispgBal Wiring and Controls for . d �I>t ot"Ism _ Fractional H.P. Vent Faris Other Equipment: MOTORSH_P_ ls' �1 ill kfa 2f8 l/4 1/3 112 314 1 11Fi 2 3 5 71fz 10 15 20 25 30 40 50 79 iqa Mark NunvAmr1 . of Each Sian .. • '_ Appl icant.'s Signature. Licehse ri'lit° #_: -y TIA linty: i AppliEarWs Address:' (City) (State) (ZIP) Service Request.4a -� Phone '# x A�TT RECEIVED: ; DATE 111Y5PECTEd: Correct Location : Same as Above Q or: - Red Notice Labe! RoughWiring Outlets Surface Unit Oren Switches Ran +' :Ga1134 fJisllos Receptacles Water Heater yam^ *� f4stl±prasher ` Fixtures Air Cnnditiianer "' Amp. Service Equipment Burner, Wiring '&` trchd for ."Amp:' cl4i AMP. Service Conductors LPUrn Vent Fan MOTORS H.P. I/,M V12 1/l0 1/e 116 1/4 1/3 1/2 3/4 i 1 10 15 H2O25 S Mark Nuinbar ?' of Eat:N Elect Heat . sao 7ae looa l2aa 13W l7so soon 2seao ease xao zaoo . RW Progress: Inc. LkD C� ' Contracwr 0 CFT Violation : Work Comp. CD lno.. , 0 + Q L/A Owner CASH _ � .: Fes CHK 4� L/A __ .. .. _ _.._ .. _ ..DNo MO . IPA MunlCiprd l , . 1 Date: . x ,r y Other. $ida':� k7lli�ilJ , " >. r + 3 AQw11.4�e `a rram-c.�,, , ' Cut in Card u Temp :*' -- emp ,- ' w. Data - i Final # Date K ws ^r . •. APPL_LCF4T401V FORM MO.. 2ZogL ;/96"' ;••: ..• -+ - " - -c . . .+. BUILDING and ZONING i]EPARTK4ENT Bay and Haviiand Road. R,D. 1 Sox 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME- A LOCATIONN — I J4 -/ �`� PERMIT NO . DATE sC1IL TYPE - sand - Loam Percolation Test Required? YES - HQ Percolation rate - Min/Inch - TYPE of SYSTEM total 1 ngth Absor Lion field , Ong of each trench Depth o trenches Size of g avel SEEPAGE PI 4Number ff . Size- f - Gravel size Size Type PIPING * Bldgo t0 tank _ Tank to d1st. 'bo Dist. box to fiel O partial Openings sealed? ES e LOCATION/SEPARA IONS : x-ft. Foundation to ank t . Foundation to bsoxpti �ft. ,Absorption to lot line ft. separation O pitsb R.I+y {circle one) LOCATION OFF YS ideT - Right side Front - l`.__a J - !/ C{ MEI3TS SYSTEM USE APPROVED ES N g nspectori ins i 01/86 and vl TOWN OF QUEENSBURY BUILD AND CODES ,DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I2804%' TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME L.00AT IO c DATE �� PERMIT l APPROVED y YES LAO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUM ING FRAMING ELECTRICAL UGH—IN INSULATION: FOUNDATION --- FLOORS WALLS CEILING FINAL. INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEP ���-- STAIRS—CLEARANCE & RAID PLUMBING FIXTURES/RVLIEF ACNE INFERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING —" DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION 5 -- FINAL APPROVAL OF CONSTRUCTION A .SIGNED CERTIFICATE OF OCCUPANCY MUST Be- OBTAINED FROM THE ,BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS : 'i lr__►►'Y�__I l r� .0.1,r r-E�'G�C�'"=t--�-_ INSPECTOR TOWN OF QUEENSBURY ' ! BUILDING AND CODES DSPARfiMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I2801- TELEPHONE (5I8 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVFD NAME LOCATION _ DATE !c _ P IT # APPROVED YES NO FOOTING/PIERS MON THIC POUR FORMS 7NDATTONfDAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ZZECTRICAL ROUGH—IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS1V �- STAIRS—CLEARANCE & RA2`LS PLUMBSNG FIXTURES/RELaXEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIRFyPROOFIN DOOR CLOSER (S) — SMOKE DETECTORS _ FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF ONSTRUCTION A SIGNED CERTIFI TE OF OCCUPANCY MUST BE OBTAINED FROM THE` BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: A INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYe NEW YORK 12809E ��—�— TELEPHONE (518) 792--5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION -y DATE L P RMIT #_ APPROVED YES NO L 06TINGjPIERS 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 •' J STAIRS—CLEARANCE & RAXLS PLUMBING FIXTURES/RE2pfEF VALVE INTERIOR TRIM/PRIVAC ' DOORS FINISHED FLOORS GARAGE FIREPROOFIN DOOR CLOSER (S) ! SMOKE DETECTORS FINAL ELECTRICAL SPECTION FINAL APPROVAL OF CONSTRUCTION Y A SIGNED CERTIF,o'CATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: M * f :INSPECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL ECQUIPIL4ENT TO BE INSTALLED BY THE UNDERSIGNED TEMP. CITY OR M l AGE R']{w�15HIP L STREET AND NO d# R( AD Ps L �Aj YVI0 w/q POLE NUMBER BETWEEN WHAT TNIO CROSS STREETS IS PREMISES LOCAFED? SECTION BLOCK LOT OCCUPANT'S NAME BUJLOING OCCt,YPANCY OWNER'S NAME AND ADDRFSS y+j _ *Pj 1. i . DOC OWNT �� (.Wwq HOME TEy�PJ-�E Num-PER CURRENT SUPPLIED BY 1i/!�!�'1` 111'� FFOM T-f } � � _ TELEPHONE �.1/Fwr OFFICE YN7fiK TELEPHONE BUILDING IS r ` NEW OLD El WORK IS NEW ADDITIONAL ❑ DEFECTS REMO VS0 ❑ LEST BELOW ALL EQUIPMENT WHICH Y{7U INSTALLED Loca- NUMBER OF OUTLETS No. of Fixtures & MOTORS HEATERS BRANCH OFFICE USE bon Lamp Receptacles CIRCUITS ONLY Ceiling Side AI[acYl't H-P- W:Itls A G. wall Rewp•1s SWiMh Pendant Bracket Na Type Erich No. Each No. Gauge f IIVSPECi'IC11V OUT- SIDE Sus- 7 C. BASE MIENT MENT M REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FO RTIH ABOVE. I A THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF Ai' 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. V5CFFN 44 FEEDERS ELECTRIC SIGNSIL.AMpS TOTAL"WrTS F WORK � } ❑ E%PO.aEO GAS TUBE SIGN1TggN 3FCiRMERS OF IVA CQ CONCEALED BE STARTED DATE COUPLETED SIZE OF SIGN INUMBERI CAPACm RS BUILDINOMANUFACTURER OF SIGN OVERHEAD UNDEROR�UND ON REOOESTED ON{OR AS NEAR AS POSSIBLE) 1 ,IT �r► I I i I ALIADW LAYS JLLANDACCURATE Nil -ORMA ION. ALL SPACES MUST BE FILLED MLQR APPLI MAY tt RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT{ IM�E F A I.IC0.TrON pp STREET ADDRESS + I /-. / f � , c t ub A, . .I.E � ? CITY OR PAST OFFICE fi# u �4rJ4+"N Mrou �F,i-`G,+t� 4 �� LICENSE NO WHEN AP I ICABLE ❑ 65 John Street ❑ 41 State Street ❑ Q ❑570 Delaware Avenue 217 Lake Avenue 202 Arterial Road NEW YORK, NY 10038 ALBANY, NY 12207 1 BUFFALO, NY 142021 ROCHESTER, NY 14608 SYRACUSE, NY 13206 THE NEW YORK BOARD OF FIRE UNDERWRITERS R 1 "fromm, N n ' �Y h �t c ,- / � 7 / O Iron pi pe -riot 6und 8185 Q� _ q.01 q / / i i Dote �\ a Iron Plpc fwd 2 .Q �.. ON Aped iron rod f6x-id a 1a 2G - 4o- W 49.?5 Lands now or formerkq of'Florence 6.4 uirom D. Mohler (a70 AL LANp'WI l = Z �. : v < W O 9 O 7 • 4, 1 � •93_ 40 Tax Mop Reference "Town of ©ueenz bury Secf i'on C. I 610CK I Parcel 13 ced IR e f e rence 5idneL4 I +mmS 10 George a Gcroldltne -Dbleq SooK Z74 / Ptzge- 584 hate: I M arch (04n Map tie F(=rences Map of lands of 4-4enrL4 C. Vir)oblauch by: Meyers, r 4t Ash leQ doled: 30 Jcnuorc4 1033 ({prom the Oi ice of Cculier t Mcc:brmocf 4 } h(ap of o survey for Stanleq d aeonefie SetIecK b4: D L . D icKi n,5on , Assoc10ics chic'. I-7 novemb(=, (!_�63 Map Oi a 5urveL4 t<�r Clifford t Cbr'c,-I•l�-q Robi l lard dot e 1-7 n ovember i?63 ,::4.. D. L_ Dlci"�lnson. Map of a Sur-yet4 Gr Stephen M orr i seta date- 15 October 1 �:)63 by : D. L . D I C-K) nSOr), AssocAate5 �VkPLJ z I,( " Du Sr'fume In - Town of Queeneburq Cocx,iq of Worren = hereby Cerfif+o Q Cc�-rn-znr4r> -� `IOrKy 'hof fh-Is Pla- �s ecin Frr-ed ka. !I le .50 fe^t Dufc. lJ Auqu5f 1�355 ct cf ( fh rr-)u nd su r-vey pc r-6 l dE'SC l' I pf IQn s. 4 OCT 1985 �nn�5 �.. CiCKinson PE.,I L.S. �acfe 5urve4(t Mop bil i A550C I ATE. &"v,4ors TErigineem L-AAF- GcORG E , t' EW Zoning Adminisyat r Ir