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1989-250 4�jII x I i CERTIFICATE , C�►�f € +r3CCT�..JI''AI'�T TOWN OF QUEENSBURY 1 WARREN COUNTY, NEW YORK 1 Date November 13 lq 89 �l . [ '"L 89—2 50 "This is to certify that work requested to be ,done as shown by Per Na. i i has been completed. I This structure may be occupied sas • LADcation ` Owner Chip & Debbie Collin 4 i � By Order Town Board � 'rDWlV OF GZlJEBNSBLTRY 4 I E Director of Bldg. & Code Enforcement I I 1 r BUILDING PERMIT TOWN 4F QUEENSBURY No. 89-25_0 x WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Chip Debbie Collin V OWNER of property located at Lot 4 Fox Farm Road Street, Road or Ave. - �+ �-. in the Town of Queensbury, To Construct or place a Single Fatally 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. F R'S Address is 1D Cotton Drive Queensbury , N . Y . 12804 RACTOR or BUILDER 'S Name Edward Carr Jr. n 3. CONTRACTOR or BUILDER'S Address 'O 1374 RR#1 Io Lake 1fi*1 *#K. N . Y . 12845 , ex 4. ARCHITECT'S Name C .a rD 5. ARCHITECT'S Address B_ TYPE of Construction — (Please indicate by X) r C . c1 XX) Wood Frame ( ) Masonry I l Steel I f F C 7, PLANS and Specifications '}+ No. 78 ' x 85 50 ' single family dwelling as per plot plan . specificationss e c , attached one car garage , and driveway. and application ,including septi 8_ Proposed Use C s c Single Family dwelling 25a00 c/a $ 37900 PERMIT FEE PAIL} — THIS PERMIT EXPIRES nere r , 19 89 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 1 town of Queensbury before the expiration data.) Y Dated at the Town of Queensbury "and Da of may i9 89SIGNED BY for the Town of Q.ueensburywig Inspector i 1 p TC) VN 3r �UEL�'NS}3L] 12Y APPI. ICATTON FOR BUILDING ANn Zc1NII� C rrrtrllT F.ec.ieuerf '�+' �- 0 - TOWN OF QUEENSSURy Lie. ""�' Rem. edRECEIVED Fee t Q `'� 3713 /o APR 2 8 1989 BUILDING AND CODES UITARniENT Date Ib.aued BLDG. & CODE DEPT. BAY orrnd DAVILr'ND ROADS RD I Box 98 Aft Nu . PUEENSRURYeSEW PORK 2280.1 Tot . (518 ) 792-5832 Ext -204 1k � Yr t �i � * * � ■ * R '/ ■ Y! * 'w 7t N ♦ ■ ■ ■ ■ 1 ■ ■ It / * ■ 1L Yf ■ ■ 1K w A PERMIT h)UST B4 OBTAINED BEFOlin BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT . All applicable spaces on this application 'Rust be conipleted and the i kyt tore of * t * c applicant m s � ��xe car on h reverse side of this s ysy eat 41' itie owner of this property i s T E L l' . 4 . Address l`Cc.� "� �vC Property location ik 1 -�t'i'C i�S3 TAX MAP NO leas there been any split of this property since October 1 , 1988 ? _ yes + o if yes , Planning Board Review is necessary . LOT NO , SUBDIVISION NAME•' , IV Ar' PLICABLE Ilk ha p rson re :onsible for sups rvision of work as regards Building Codes is : P . O .NAME ADDRESS Tel TEE . No . tdame of builder Address Tel NI of Plumber I.ddress Tel Name of Mason Address 14ATURE Or PROPOS4 0 60Rr. : „ ? ONING INI-holtTL&.`I' ION ( Of Fl cn' use on1 J ) X Cnnr;trucr_ i4a'4 of a rrew bui.ldinq * ZONING DESIGNATION OF PROPERTY /j^ * PERMITTED PRINCIPAL PERMITTED ACCESSORY AdJic. ion . Lo a buileiing ar �Alc4ration to �r Luilding „ REVIEW REQUIRED _ PLANNING BOARD ZONING BOARD - ( gko c)canq � 'Co oxcurior clirnonsions) ; APPROVED DATE aott: r work 14e4::crlbk' ) -- SITE PLAN REVIEW # w• CROSS ARLA OF PROPOSED S 'PreUC''' UkE * VARIANCE # APPROVED DATE f t . * Remarks : 1st Moor _ s q f t • * COi•1P I.t:'1'u JNyQfQAATI 2 n d Floor .�C� O N icL tS^U�I1tLD lst LJJ4a . ' Si<c: of propurty� � . J y �fc x � or Other Flooru sq ft . + "istincj buiILlin*] ( =%) Si =u ft }t t• c . ( not cellar or baa "mon " TOTAL FLOOR AREA sq ft * i:xi::cirYg tauildiny ( :a ) :: ize Of new struaturu fC x ft ; t'omLdacion-p jar/ slaL/crawl/0arti"l/ full " propo:;cd building , d1z;cunou rro:n Irroi�e rcy lino [circle one ) W wont yard -0� rt Rear yard ' 3 z __.f't no . of ,conies (halriz4ble: •4.1`j " rt and �� � f t ■ Silo. yard., 11" ighe (UradO to ridel.,: ) ft . * If on corner , ;,;Uth,xL k frout side scr- "t tc If rasiduntial , no . of kantxlles [)CCUfaW lL Y 1NFClfJMAT1CN Ito . of rooln:a ( oxcludini] b:.tch: I ' ' 110 . of bedrooms �e. 5^' � PTtII}At�tY LUILDING - No . of b"Chr'oolln: - * Une rani ly dwelling C' riuury 1�uaci�uj ::y=:roue r:,cr:ily dwelling rylr4 cif fuel (4cvI e.1welling / Number of no * of of fi.rLiplaevW4 to ba 9 nsicallud - CJ ' Pcrinunant occupancy Will :+ wood :a,t;ovu }emu irl=; tall d? 'Px:►ni iunL occulaar:c y CanCrr" l Air corulitioning ? w tau ous BUILDING STYLE, PRIMARY STRUCTURZ ] ncluwcrial ,� Ochar C1,:I ConterE}ix+ry LC,n aatain L [ .adelition , what will RI Li.14 d r"rtch Mans i[.,n Du1,L ux r Lipli.c luwul Old scyle: uu, :y.alow ACCESSORY riUIt.DI1lC- * Calau Cod Cor r." � a Dr lkur * cur/ two cur/ coI Culoni :l i:ou 1'[rwrt House L+etached c]:ar:rcjc /one { � h [];arac]a:/csne: Gar,/ trw4 oar/ CIRCLE: o4je PLEASE: I 1tGGw. uul w ■ • w • r ♦ w � ■ w s r w w s * _1xr.3.Viat:u' :.GAL:.4�] v 17exilelinq L " 'i' xMA`L' ': L] MAFLKI?'1' VALUE OF ' �-C1Gh�: C t aN �: '1' IZUC'l' IUN cI ■ l�N ^ V Vo O " PStIS .tL1t , ' 1E COMALE ' lDt ' rrORMATTON Gtt DUTLD SPECTVrCATTONS , ON R ~ Form BPA 10/88 V1 Ott BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , woad frame , fire safe , etc . Will any second-hand or ungraded lumber be used? If so, for what ? . Foundation wall material ( S; sti �, ,r:,L. Thickness_ 1 o 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 basemen't? will any portion be used as living space ? ( If so , what portion? I J' I�sq , ft . - - Typ,,��eQQ of use � } �> Type of roof - slopedfflatfshed/othera2p:y `.. Material . of roof jJ� ��Yrs � �r ` esLs Lx � Size , wood studs " x s acin _ 1 g "— � �.� l� g 4a "o . c , len th �� '� f-- t. .joists ( floor beams ) 1st . floor y ,"X , " spacing 1 (, - o . c . span�S t . Toists ( floor beams ) 2nd , floor "X " spacing to span ft . Overiays ( ceiling beams ) "x " spacing "o , c . span ft . Roof rafters " x spacing o . c . span ft , Roof trusses (pre-engineered) spacing 14 " o . c . span _ft , Exterior wall finish Z- - Of what material?�� Interior wall finish If . a git ara e Xs to be attached , describe materials to be used for pi SEPARATION : _— Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? L 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 - Municipal or private we11 [J'yA Q ovtii 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) 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 b the owner. Signature . ' 11 Owner, owner's agent, architect, contractor 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 2 . Type of heat ' J 3 . Is the building mechanically cooled ?. �} 4 . Percentage of area of-,windows and doors I fGS A . over 15 +kOn , — fJ -- l . U value of gross ,.,area o walls , r eiling a d Dora . exposed to amb,.Yent conditia Floc over heated ces YES foundat.ion wa insulated ? YES � - Ko 1 . YES , what is -R value ? 3 . Sla ron grade YES - NO YES , wha �. ' s the R value insulation ound pe meter of f or ? /~ is bas.e�e n heated ? S NO a . value f insu tion 5 . Ty a of insul on 8 . Under 16 % Only 1 . R value of roof and floors exppope 3t�o ambient conditions, 2 . R value of exterior walls 3 . R value of glazed area. 7 4 . R value of doors � r� % r 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 70 R value of slab insulation - heated slab oeoollI 8 . R value of heated basement /cellar walls ( above grade ) g . R value of heated basement /cellar walls ' ( below grade ) . 100 Type of insulation f' l e r"A /a io 5 � +re:? a. a"^" C . Controls c� 1 . Thermostat maximum heat setting_ G,+Q D . Duct Systems__ 1 . Is duct system installed in unheated spaces ? YES N a _ If YES , . R value of duct installation eeee- be R value of duct in other areas E . Piping Insulation If � 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 10 Performance efficiency iy 2 , Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . ( applicant ' s signature ) OWN OF QUE-'E- NSBURY APPLICATION FOR Y%L SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FORINSTALLATION Owner's Namer*LIr r1 1 ,.l Telephone : }�` 1 Address: 1 I Installer's Name: ;--.� ., c _ 1 1.=> c?c Telephone: '')C( w2 - C=' Number of bedrooms (residential only) �� Total daily flow {compute (d 150 gal per bedroom) La C Topography: Circle one: Flat Rolling Steep Slope ah of Slope :Soil Nature: Circle on S- a d� Loam Clay Other�i _ /Depth . Feet Ground Water: At what depth? K) t4- Feet Bedrock or Impervious Material: At what depth ? Feet Percolation test: Circle one: not required' required rate min. inch. Domestic water supply: circle one: lunici Well C7therNt,; ,�; t If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank JCX �( -) _ gal. ( minimum size . 1 , 000 gal.) TILE FIELD : Each Trench �23 Ofeet/Total system length feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used #,/Depth or Thickness 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 Queen Sanita a Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON : 72 DATE : OVER Septic System Inspections : A . .111 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 , the fields and /or drywalls B . Nu System shall be covered before inspection and approval by the " ildiztg llispector . Failure to comply with this requirement may rer; ult in the uncovering; of the system by the installer and a fine of up to $ 2150 . 00 . C . «n approved copy of the plot plan shall be available on the construction Site . Failure to produce said pleat 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 proposg11 must k;u submitted to the Queensbury Building Department before further cuxistruction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and liaviland roads Queensbury , New York 12804 BLDG. PERMIT NO. APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIfFICATE OF OCCUPANCY is hereby requested for the property located at; +*" for the fallowing uses: DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY /` The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( gPPROVED ( )DISAPPROVED with the following//conditions: Aleut TEMPORARY CERTIFICATE OF OCCUPANCY F 10.010 DEPOSIT: 04*r00.00 f received on xllm 7_ Date cif ISsUe(no* Director of Bldg. & Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 17+d DAYS FROM THE DATE OF ISSUANCE. MOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. �r MIDDLE DEPARTMENT INSPECTION AGENCY, INC. M."9W Mad"O Av"de7 ballingsWood.,W3 0810B b9Datu December 12 , 1989 (CC'rtif lCg that the electrical equipment fisted has been examined and is approved as being in accord with the National Electrical Cade, applicable governmental, utility and Agency, rules. C7wner: Chip & Debbie Collinr occupancy Dwelling Occupant: Same >. . } Lc Fox Farm Road , (\��y�n8}s�j �Warren Co J + e ceryficata cWaM The electric �iq�+PmeM and inataf lation inspected T to his Location. F ( date. {} add�honai equipment.slrkj*lo be introduced or aileretio ice one+o existing system this certlticate shill be null and yard, and apP inspection should tye aub"IMed p(orltptly to this Agency. Equipment: 140 outlets ; 60 'Receptacles > 40. .1�ixturea ► Holder of this Certificate should ptAent "me to his property insurance csrrior 200 Amp Service ; 6 Appliances lagent or Company) asewldMCsMcertification of electrical equipment ap¢rovad as specifisd. ^i, y Edward Carr Id Np , 15-026640 Applicant: 1374 RR#1 .41 Lake George , NY 12845 for: ' Fenea Me. 703 EL I TOWN OF QUEENSBU.RY BUILDING AND CODES DEPARTMLP l BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280!& TELEPHONE (518) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED.- NAME LOCATION DATE �' Q- Y PERMIT # d V APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL RO H-IN INSULATION: FOUNDATION Tf A-A- O AJ L FLOORS WALLS CEILING +r #'ZNAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ T PS _ STAIRS-CLEARANC & ILS PLUMBING FIXTU SIRE L EF VALVE INTERIOR TRIM/ RIVACY RS lay FINISHED F S +� GARAGE FIRE OOFING DOOR CLOSE {S) SMOKE DET TORS FINAL ELEC ICAL INSPECTION FINAL APP VAL OF CONSTRUCT-TO A SIGNED CERTIFICATE OF OCCUPAN MUST BE OBTAINED FROM THE BUILDING DEPAR ENT .BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : �� 7"t ©orb �, ► - 4v 0 ag4s NSPECT0R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYr NEW YORK 2280%L TELEPHONE (518 ) 792-5832 Bti}ILI}jNG INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION G DATE I 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 Y%., FINAL INSPECTION : CHIMNEY HEIGHT ROOFING f'. SIDING EXTERNAL PORCHES/S EPS ,STAIRS-CLEARANCE h RAIL PLUMBING FIXTURE$/RELIEM VALVE .,INTERIOR TRIMJPFCIVACY DO� , S FINISHED FLOOR$' GARAGE FIREPROt)FING DOOR CLOSER (Ill SMOKE DETEC ...- FINAL ELECTRIL RS INSPECTION KFI NAL APPROVAL OF CONSTRUCTIO' ~_ A SIGNED CERTIFICATE OF OCCUPANCY. MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED' REMARKS . Lt..r4 �- C. rL- �.. f` +�_ � 4f Ile Mito4 -. OR INSFEC Jnwn a� �uQen s ure / • 13UILO1NG and ZONING DEPARTMENT 98 Bay and Haviland Road, R.D. (]ueensbury, New York 12801 SEPTIC DISPOSAL;��y/SYSTEM INSPEC T" LOCATION DATE PERMIT NLI . SOIL TYPE - Sand Loam - Clay - NO Percolation. Test squired? YES mIn/Inch Percolation rate - .} TYPE of SYSTEM: to 1 le�th Absorption field , Length of each trench Depth of trenches Size of grave]: SEEPAGE PITS4Nu mber ) Size- ft. x _ fto �- Gravel size Sif PIPING Bldg , to tank Tank to dist. fbold/ Dist. box to ES 0 rtial Openings sealed? LOCATIONS/SEPARATION f t. Fdurydzltion to tank Lion Jt t . Foun*aation to abs P f t. Absorption to to fine ft. Separation of P6 PR ERTY (circl one) LOCATIONS OE SY Rightside - Front - Rear eft side , COMMENTS : NO v ev YSTEM USE APPROVED. YES 4 S � Bui ding Inspector 01/86 and v1 TOWN OF QUEENSBURY al' BUILDING AND CODES DEPARTMENT .BAY & HAVILAND ROADS QUEENSBURY, NEW YORK TELEPHONE (528 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR PES; 77// WEIVED NAME [ .�C�' LOCATION DATE PERMIT - APPROVED YES NO );�OOTING/VIERS4 � J MONOLITHIC POUR FO FOUNDATIONID - FING BA,CKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION = CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESI EPS STAIRS-CLEARANCE RA.ILS�_ - PLUMBING FIXTUR /RELIEF V VE INTERIOR TRIM/P SVACY DOORS FINISHED FLOOR - GARAGE FIREPR FING DOOR CLOSER ( ) SMOKE DETEC RS FINAL ELECTRI AL INSPECTION FINAL APPROV L OF CONSTRUCTION 1 A SIGNED CE TIFICATE OF OCCUPANCY MUST OBTAINED FR M THE BUILDING DEPARTMENT BEFORE THESE PR EMI ES ARE OCCUPIED: REMARKS : INSPECTOR ..•- TOWN BUILD OF QD CODES BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS OUEENSBURY, NEW YORK I2809- TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVEDD- rJ ' NAME c*-- LOCATION DATE / 4 - PERMIT # � s Cry APPROVED YE :' NO 4,FOOTXNG/PIERS f -f MONOLITHIC POUR" FORMS FOUNDATXON/DA P-PROOFTNG BACKFILL APPRCAL E' ROUGH PLUMBING FRAMXNG ELECTRXCAL ROUGHtXN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESIS EPS STAIRS-CLEARANCE RAILS PLUMBING FIXTURE /RELIEF VALVE INTERIOR TRIM/PJXVACY DOORS FINISHED Y- A GARAGE FIFXNG DOOR CLOSER ( SMOKE DETFINAL ELECTINSPECTIONFINAL APPRO CONSTRUCTION A SIGNED C RTIFXCATE OF OCCUPANCY MUST BE OBTAXNED FROM THE BUXLDXNG DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ry rg I1 V F INSPECTOR SELECT BUSINESS FORMS (609) 543-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters ~ — 900 Haddon Ave_, Collingswood, N.J. 08108 • r � Date : � City, Town or Township +e G� 'ram Countylr`w— r ✓ti- State Location/Address "' v` ( If Located in Rural Area - Please Attach Directions) Pale # Owner f" 1 L, Permit Occupied As � ti� �. �. .__.._.._l G� Building: New[ Old Occupant Work Area in Build inn Floor #, etc. ) : A , for: Wiring® Service or: Ready for Inspection : Fee Remitted - $ Cash I] Check © M.O. Q Make Payable To : M.D. I .A. Number of Rough Wiring Outlets Elect, Heat sQO 'so iaaa izsa lsaa 175o zaa0 zzsa zsa° 275o soon Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.F. Vent Fans Other Equipment: MOTORS H.P. 1/201/12 I 11 1 1/6 1/4 1/3 1/2 3/4 1 1 11£2 2 3 1 5 1 711z 10 1 15 1 20 25 1 30 1 40 1 50 1 75 1 100 Mark Number of Each Size A ppi i can is Signature ^ License # Permit # T/A 1 Utility : +�1 M 11rwS \ 5I Applic nt`s Address: `� IN AMEA OFFICE LOCATION) (City) � " 'Z&: ^— (State ) - (Zip) - 1 �`�� `�� Service Request # Phone # Electrician : DATE RECEIVED: DATE fNSPECTED : Correct Location : Same as Above Q or: Red Notice Label Q Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp- Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp_ Service Conductors Pump Vent Fans MOTORS "a,, 1/20 1/12 1/10 1/8 1/6 1 /4 1/3 1/^c 3/4 1 1L12 FT S 7�fz 10 15 20 25 30 40 50 75 100 Mark Number of Each Size act. Heat 500 1 750 1000 1 1250 1s00 1 1750 2000 2250 2500 275D 3000 Patrick J Dashrfaw PO Box 321 Htlds .n gaiij 12k39 jal - ' 3% s ELECTRICAL INSPECTOR f- A CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE COFEECT FEE PAID O R W Progress : Inc_ 0 L KD Contractor 0 CFT Violation : Work Comp, 0 Inc. 0 Q L/A Owner CASH Q L/A Fee CH K # # Q IPA Municipal Due MD INV # Date : Other Side 0 Applicant Utility Owner Cut in Card Q Temp # Date I nlcp Cr•T/"'.'�C CIA' RIhTi 1LSC TOWN OF QUEENSBUR'Y BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280� TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION CEIV D NAME LOCATION y�ir DATE - PERMIT ## APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS -- FOVNDATSON/DAMP-PROOFING BACKFILL APPROVAL _....._ ROUGH .PLUMBING FRAMXATG E TRICAL ROUGH-1N NSULATION: FOUNDATION 6 FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS STAIRS-CLEARANC & RAILS PLUMBING FIXTU S/RELIEF VALVE'T- INTERIOR TRIM/ RIVACY DOORS FINISHED PLOO GARAGE" .FIRED PING - DOOR CLOSER ( ) -� SMOKE DETEC RS FINAL SLECTRI AL INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CER IFICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPARTMENT BEFORE THESE PREMIS S ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVI NN E ROADS QUEENSBURYt NEW YORK 2280ef TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE ` PERMXT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATXOX1 DAMP--PROOFING BAgKFILL APPROVAL c"RvUGH PLUMBXNG �AMXNG ELECTRICAL ROUGH—IN ' XNSULATION: FOUNDATION FLOORS WALLS CEILING FXNAL INSPECTION: CHXMNEY HEIGHT ROOFING SIDING s EXTERNAL POR ES/STE. STAIRS--CLEA NCE & RAS PLUMBXNG F TURES/RELIE)V VALVE INTERIOR IM/PRXVACY DOd2,4 FSNSSHED LOORS GARAGE F REPROOFXNG DOOR C ER (S) SMOKE D TECTORS FINAL EL TRICAL INSPECTION FINAL AP ROVAL OF CONSTRUCTION A S.,TGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPXEDI REMARKS. INSPECTOR TOWN OF QUEENSBURYL BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (518) 792- 5832 BUILDING INSPECTOR' S REPORT REQUEST 7INSP TION R IV D f� NAME / LOCATION � y'.Z'' ol DATE PERMIT #_ 7 !J APPROVED YES NO FOOTING/PIERS [ rl t MONOLITHIC POUR ORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL OUGH-IN INSULATION: FOUNDATION ' FLOORS ✓ J WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT" !� ROOFING SIDING EXTERNAL PORCH S/STEPS STAIRS-CLEA CE & RAILS ' PLUMBING PI URES/RELIEF V LVE_ INTERIOR T MJPRIVACY DOORS FINISHED ORS GARAGE F EPROOFING - DOOR C ER (S) SMOKE TECTORS FINAL E CTRICAL INSPECTION FINAL A ROVAL 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 & HAVILANE ROADS S?UEENSBURY, NEW YORIC I2804. TELEPHONE (518) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE .�� PERMIT # � � APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING FILL APPROVAL _ UGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: + �. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST S STAIRS-CLEARANCE 6 2LS PLUMBING FIXTURES RELIEF V VE INTERIOR TRIMIP VACY DOORS FINISHED FLOOR GARAGE' FIRED PING DOOR CLOSER ) SMOKE DETE RS FINAL ELEC ICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! RHMARKS: INSPECTOR oL air" -47 � f (t } 40 NMnl 1 ;:o fr AS v 4� , s£ ' b � � 46t47h'