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1988-757 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No. 88-757 has been completed. This structure may be occupied as a Attached Two Car Garage/Bedroom Addition Location R.O\ Fitzgerald Road Owner Gary Lavoy By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector . BUILDING PERMIT ro TOWN OF QUEENSBURY No. 88-757 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Gary Lavoy OWNER of property located at Fitzgerald Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Attached Two Car Garage 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 Nottingham Drive Glens Falls,N.Y. 12801 0 2. CONTRACTOR or BUI LDER'S Name BYRON RIST 0 3. CONTRACTOR or BUILDER'S Address RR#1 BOX 1469 Lake George,N.Y. 12845 4. ARCHITECT'S Name 5. ARCHITECT'S Address H G) t=i 6. TYPE of Construction—(Please indicate by X) F ( )Wood Frame ( ) Masonry ( ) Steel ( ) 0 7. PLANS and Specifications t7 No.24'x56' Attached Two Car Garage,as per plot plan,specifications, and application. Including bedroom addition,including septic 1000 gal. 8. Proposed Use existing tank with proposed 12'x10' seepage pit. Attached Two Car Garage,bedroom addition, 5.00 C/0 $ 50.00 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.) n Dated at the Town of Queensbury t 'c 13th Day of . OCTOBER 19 88 i 0 o SIGNED BY for the Town of Queensbury Building and Zoning nspector 7y 9 t�i i_Joiv u), Qicli'!I i riV O '?0E` ,, BUILDING and ZONING DEPARTMENT 1 ' , I,'A Bay and Haviland Road, R.D. 1 Box 98 L u j t Queensbury, New York 12801 �+EP , 1DE8 L� I v Approve by: BUILDING & CODE DEPT. 'yAPPLICATION IO2 BUILDING AND ZONING PERMIT � '� %, ` c/f `i i i * * i i * * * * * k * * * * * * * * i * * * * * * i i * * i * * t u 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: . G- A-iz L, L_-/f TO Y • P.O. Address )4 o TT 11\1 G 14/?.44 • I)Ri vl- , .4,_5f-h1k Imo%-i-cS ,/✓• `t'_ Tel. 9'7 3462 3l Property Location: 1` 1 TZ. G-tr 2.{k-0.. PA,- , , -LI i'S /`/f U_5 Tax Map No.4 ( / / / q Street number or building lot number Subdivision name (if applicable) . 'i'IIE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: X Y PADA 11, Rl}T 2 .\ 2 (), 14 ( , I_I �� il �-�� • ri 9 - ftM NaInu P.O. Address Tel. No. Name of builder R'-? u JJ elS(- Address • Tel. Name of plumber R,>,,J P1 ' Address - Tel. Name of mason $YR_,,v,) RAS"t- Address Tel. NATURE OF PROPOSED WORK: * 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. _Ocher work (describe) * set-back dimensions from property lines. Give * street and number or lot number and indicate FOR DEMOLITION PL'RMI'i', S'1'TSPF. 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. * Size of property kS ft X 2z ft. • * Existing building(s) Size zG ft X _?/f ft. * PROPOSED BUILDING AND USE: * Existing building(S) Use .S(/+/'4Gc g/cAi1/Gv Size of new structure Zi/ ft X S(o ft • * RLf-s 1 b E14./Ce- Fow,dation-pier/sla cr�►w /partial/full * Proposed building, distance from property line (circle one) * * *.s ti u,l c,Front yard f.t Rear yard SS ft No. of stories (habitable space) / ft Height (grade to ridge) I ft. * Side yards )D ft and 1?..(,:.? • If residential, no. of families * If on corner, setback from side street ft 'No. of rooms(excluding faaths) / * OCCUPANCY INFORMATION No. of bedrooms * PRIMARY BUILDING - No. of bathrooms / Primary heating ystem s * ✓One family dwelling L «21 c �' '� Two family dwelling • Type of fuel y_Arrr- . v-,,r * ' Multiple dwelling ./ Number of units No. a fireplaces to be installed Permanent occupancy Will a wood stove be installed? ND * Transient occupancy Central Air conditioning? i1/6 * 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 !louse * ' - Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * JZ.Attached garage/one car/ two ca./ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF . * Other ' CONSTRUCTION * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - • BUILDING SPECIFICATIONS: .. Type of construction, Cood frame fire safe,etc. • Will any second-hand 'or: ungrad-ed lumber be used? If so, for what? 0 Foundation wall material ('`o AJME-MC Thickness r4 Depth of foundation below grade (to bot om of footing) 4 g " Will there be a cellar?�P, -,Heated or r►heate ? Floor sq. footage 577, sq ft Will there be a basement? ,JJ7 Will any portion be used as living space? ,✓ OI (If so, what portion? sq.ft. - - Type of use? Type of roof - p 'flat/shed/other Material• of roof ivs P1A-L'r S wr l.(ca, Size, wood studs Z "X G, "' spacing j "o.c. length $` ft. Joists(floor beams) 1st. floor )�. "X 10 spacing 1G "o.c. span '11 ft. Joists (floor beams) 2nd. floor "X " spacing "o.c.' span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c.: span ft. Roof trusses(pre-engineered) spacing z 4 "o.c. span 22'ft. { • Exterior wall finish i12 x 6 S+ L,B-Q la,Nei Of what material? C �r j Interior wall finish • 0' - If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 51 't T YPcr - X F�.g �� rr� P�cL�,i T v - Is there to be an opening between garage and dwelling? yas If so will a Fire-rated door, enclosure, and self-closing device be provided? y -c Will a flue-lined chimney be installed? AJ Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or crivate well SEPTIC SYSTEM _ Distance from ANT-private well(including adjoining properties /3r)' ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren I swear that to the best of my knowledge and 'belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be 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. SWORN TO BEFORE ME THIS Signature -0,owner s agent,arcnite•t,contr.actor day of 19 Notary Public, Warren County, N.Y. * * * * * * !r * * * *' * * * * x rc * * * * * * * * * * * * * * * * * * * * * * * * * * * * * • SPECIAL CONDITIONS OF THE PERMIT: • • By TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Applic.at'ion; for : `BUILDING 'PERMIT . IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE • A permit must be obtained before beginning work. ANSWER ALL Hof the following: 1 .. . Cross floor/area Sis' ?.640�- -. r i d't) (9JU L-v , 5—'2a s`ii/J 7 2 .... Type of heat 1 1- .7tLe ! i i i.oio-Ab 3 . '. Is the building mechanically cooled? 4 O 4 . Percentage of area of windows and doors tO . A. Over 16% Only .; . 1 . Uo value of gross area of walls, roof/ce'iling and floors . exposed to ambient conditions . 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? .. Y:ES 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 exosed to ambient conditions_ R-9-OF /c[�i/rnrt Z -3 2 . R value of exterior walls ;' "/2 - ZS 3 3 . R value of glazed area _ Z 4 . R value of doors =Z- 6/ 5 . R value of floors over unheated spaces 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) l 9 :, R -value of.-heated basement/cellar walls (below grade) 10 . Typfe',Of insulation C. Controls 1 . Thermostat maximum heat setting gSv D. Duct Systems 1 . Is duct system installed in unheated spaces? YES NO' ' a. If YES , R value of duct installation b. R value of duct in other areas E. Piping Insulation ,- . H 1 . Size of hot water or cooling carrying agent pipe '�2 2 . R value of pipe insulation 2�-4-(, F. Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum 1404 G . For Swimming Pool Only 1 . Maximum heating c Telephone ,No. 4A, 4ic' n ' s signature) . 0Pi� Er / /sr APPROVED % J�cvtL o Ouan,d&-al • APPLICATION FOR SEPTIC DISPOSAL PERMIT. ZOIiu G J, LILDG CODES OEP1. lOY�RI OF QUEEIMUILY I.1 f� DA �� / • LOCATION OF PROPERTY FOR INSTALLATION frr - r4- 6_Le:el tGftte Owner's Name: 5-061 '�y 'f • Telephone: Address: a`rT//4 /4 M . - GLL2,cC -Z 1T �,o;► Y' Installer's Name: 2Y p� ,�, �(S✓ Telephone: imp--/(-i` Number of bedrooms (residential only) 3 Total daily flow (compute @ 150 gal per bedroom) 4 5Z API • Topography: circle one: Flat Rolling Steep Slope % of slope , Soil Nature;: circle one. Sand Loam Clay Other / Depth: feet Ground Water: At what depth? 3. 17 feet Bedrock or Impervious Material: At what depth? _ `�'G7 feet Percolation test: circle o e�not required required / rate min. inch. Domestic water supply: circle one: Municipal Wel Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption 0,0 feet 1Gvo PROPOSED SYSTEM: Septic Tank L�51.\s•rUJ gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S): Number oflti 10 PJ2�rcoc�`ram / / Size each . feet by _ ,feet Vz-► P Size of stone to L i used II 3 / Depth or Thickness f feet 4 4 4 * * * * 4 * 4 4 4 * * * 4 * * * * * * * * * * * * 4 * 4 * * 4 * * * * * * IMPORTANT ...Please...LIST NEW i QUlPMI:N'1 TO BE INSTALLED • lz.`+lot ` ) mil. ) L-o CA-T— • ,(over) • • •• • Section II Septic System Inspections: A. MI applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building lJepartmeiit at least 2d 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. • D. - Should unforeseen problems during construction prevent proper installation, • alteration or repair of an approved system, a new proposal must be submitted . to the Queensbury Building Department before further construction. • • • • I have read the regulations above and agree to abide by these'and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: /// / Date: 9/7e " c�r}' • Town of Queensbury Building and Code_Department • Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 • • • • • • • r i t% r n GLCI.I o. II't. a r,nivi. lolly/ 0'#0'3 U. - i P I. APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. j. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 'APPLICANT COMPLETES THIS SECTION , Date: c}/Z6--7 City, Town or Township Q a6.' .c.4 2 County L./, L2(/ State //L Y Location/Address ic/Fa G=L- ,-.1 j 4,a (re-r (If Located in Rural Area-Please Attach Directions) Pole # Owner avl-R', L (/U y Permit # -�75 7 Occupied As S •r, jZ-S it...), Q- Building: Newly Old❑ Occupant GA-XY 1.-A-VOY A-b-0..'cwtJ . Work Area in Building (Floor #,etc.): I Z.c/? App. for: WiringIVI Service or:C144-.NCAL Lai 1t,,,✓t‘= .ncp -R to). Ready for Inspection: Fee Remitted-$ Cash n Check n •M.O. IT Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750'3000 Number of Rough Wiring Outlets ' Elect. Heat 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.P. Vent Fans Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant'sf Signature /��% ,4-r —0'(! License # Permit # T/A y: Applicant's Address: ��( go2C 1 4 (y Utilit (c O (OFFICE LOCATION) (City) -f r4.- GE-o4Gc� (State)( .4/_ K. (Zip) /Zzi-t/ Service Request # Phone # 51>�' Electrician: ,ZS Y,f',,q/ RlSr :;MQIA.VSE,QNLY,.,' DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above F-7 or: Red Notice Label Ii 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 H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 142 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size IIElect. Heat 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 CERTIFICATIONS - USE FOR INITIAL VISIT ONLY NOTIFIED DATE COFEECT FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ I I L/A - Owner CASH ❑ I-7 L/A Fee CHK # n IPA Due MO # Municipal INV # Other Side El Utilit Applicant ❑ Date: y Owner Cut in Card Li Temp # Date I NSP1 CTfR:S'I(;NATI IfF , INTERIM BUILDING PERMIT PERMIT APPLICANT C-iol c ( LA V 0 CONSTRUCTION LOCATION t7rz G gALn :) . EFFECTIVE DATE 2/G /DSv . udeyAPPROVED 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, fol • n ' ng processing . POST TI-IIS INTERIM PERMIT IN A CoNSP CUOUS LO• YTION I ! - 10/ / '7411E - CO r • , ....„........4 ' ' ' ' B ....it... .., . . uildin g & Cades Department . TOWN OF QUEENSBURY REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!! 1. Foundations Footings, before pouring concrete. Tit F jrA 2. Foundations Inspections and Waterproofing, before Backfill. 3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framewo 1 I 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. TOWN OF QUEENSBURY 531 BAY ROAD ' QUEENSBURY, NEW YORK 12804 y' ;� TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME 60) (-4 6'7 LOCATION o2 r/r"Z ct'IF/7/ DATE .S'7r6 PERMITO TYPE OF STRUCTURE 41,,'L RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING E, BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS / FINISH FLOORS: 1 BATH/KITCHEN WATERTIGHT a''`'i OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED I STAIR CLEARANCE/RAILINGS;' HANDICAPPED ACCESS / SMOKE DETECTORS I BATHROOM FANS/WHOLEHOU rE FANS ALL PLUMBING FIXTURES dOPERATING GARAGE FIRE PROOFING / DOOR CLOSERS / OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER I . SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL P/ OK TO ISSUE C/O OR C/C COMMENTS: /- � C/7s- ysa5 ra)/_, e ARRIVE f / DEPART --)d IN EC TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 7/5 1/ NAME %l i / 77 LOCATION LJ113 7l4 ,44(_. DATE 7//(f / PERMIT # ?".-757 TYPE OF STRUCTURE /4 ,7—f'C U ��— RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE.; MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR / REINFORCEMENT IN PLACE I FOUNDATION/DAMPROOFING I BACKFILL APPROVAL . I / ROUGH PLUMBING k / PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB q FRAMING: , / JACK STUDS/HEADERS d/ BRACING/BRIDGING ip JOIST HANGERS \ JACK POSTS/MAIN BEA ', FIRESTOPPING WALLS CEILING / �u FIREWALLS / l HEATING ROUGH-IN / v INSULATION: A FOUNDATION WALLS INTERIOR R'- FOUNDATION WALLS EXTERIOR R\ FLOORS R- WALLS R-p l< CEILING R- ; DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: r t � it J - 9- vS V F �-., . ARRIVE DEPART ;c� ,' 0- INSPECTOR " 6/11 G1 TOWN OF QUEENSBURY `eAt BUILDING AND CODES DEPARTMENT Atryi 531 BAY ROAD QUEENSBURY, NEW YORK 12804 9/.G1--0 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT `_ REQUEST FOR INSPECTION RECEIVED U/ d/// NAME tla to f iti V9 LOCATION AV I,.6 C &/L ,i DATE 1, '6/41/ PERMIT f ,F-'1',7 7 TYPE OF STRUCTURE /1-f hQJLapf,,F, RECHECK (APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR 1 REINFORCEMENT IN PLACE 1 I-FOUNDATION/DAMPROOFING 1 VgACKFILL APPROVAL )(ROU)(ROUGH PLUMBING Pi -r- i - -- K GH VENT/VENTS IN PLACE / X PLUMBING UNDER SLAB A / 'FRAMING: \ / JACK STUDS/HEADERS \/ BRACING/BRIDGING A JOIST HANGERS / ,1 JACK POSTS/MAIN BEAM / FIRESTOPPING WALLS K CEILING / p` FIREWALLS / u HEATING ROUGH-IN / INSULATION: ,/ 'j FOUNDATION WALLS INTERIOR R2 FOUNDATION WALL EXTERIOR R4 FLOORS R-\ WALLS f/ R- 'l q CEILING / R--3 o G� DUCT WORK OR PIPING IN UNHEATED SPACES LREMARKS: o • /[6-G-01Zr '69A-2 t Ong 6lt42A-F-- /w'..C-1 LJ/ AJo us &©F'6'Atz_A-ea 6 C6,PLJ-7&-,6 ARRIVE DEPART oar- __ I NS PEC R ' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT, 7/ REQUEST FOR INSPECTION RECEIVED NAME U ) LOCATION '- � �0.1( '1 DATE(7 J ?/6) / vPERMIT # --i j 2 TYPE OF STRUCTURE 7/,VC, C�.v- �T ✓ RECHECK APPROVED N/A YES NO • FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM/ FREEZING -FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR 'a REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL g ,r ROUGH PLUMBING :J PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB JACK STUDS/HEADERS k�'v BRACING/BRIDGING 4/1 JOIST HANGERS JACK POSTS/MAIN BEAM"q FIRESTOPPING r ,I WALLS t CEILING ¢ ;� FIREWALLS / ¢ HEATING ROUGH-IN / INSULATION: FOUNDATION WALLS/ INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS 1t R- WALLS R- CEILING ! R- DUCT WORK OR ;PIPING IN UNHEATED SPACES REMARKS: l s ARRIVE /` DEPART,/ INSPECT _loran o/ Q ,.,, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAMES -q UG �• 1 LOCATION ;":1 j /` DATE 0/';// (6 PERMIT NO. (ff J 7 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO . Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches ' Size of gravel SEEPAGE PITS{Number of) Size- t ft3' U/v ft. Gravel size PIPING: Size Type Bldg. to tank !' Tank to dist. box Dist. box to field/pit Openings sealed? ;AYES NO Partial LOCATION/SEPARATI'ONS: Foundation to tank ft. Foundation to absorption _ ft. Absorption to/lot line /0 ft. Separation of pits ft. LOCATION OF/SYS .EMM4 PERTY(circle one) Front - Rear Left sid - Right side - COMMENTS: / off'e` der yft Q brLUJe • • 03)SYSTEM USE APPROVED NO Building I spector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST F INSPECTION RECEIVED /R- I NAME LOCATION TT DATE _ ( (� PERMIT # (fe' APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING,� L. CKFILL APPROVAL df,/ ROUGH PLUMBING FRAMING /' ELECTRICAL ROUGH-IN INSULATION:., FOUNDATION.. FLOORS r' WALLS • CEILING / FINAL INSPECTION: `:. ;' CHIMNEY HEIGHT 7. ROOFING /' SIDING EXTERNAL PORCHES/STEPS., STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF ''VALVE INTERIOR TAM/PRIVACY DOORS FINISHED F ORS 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: / J.L�e .iCY'1,�L. • INSPECTOR TOWN OF QUEENSBURY /' ' , BUILDING AND CODES DEPARTMENT 4-_ BAY & HAVILAND ROADS i ram' QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /j %7//)/ NAME �v LOCATION -;--- 5,„, ;7-cr DATE /i4? / /___ ddd PERMIT # ` 7-57 � �. APPROVED :E/S/NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIOI/DAMP-PROOFING I BACKFILL APPROVAL I ROUGH PLUMBING FRAMING '\ ELECTRICAL ROUGH-IN ' INSULATION: \ FOUNDATION \ FLOORS WALLS CEILING \ FINAL INSPECTION: CHIMNEY HEIGHT ROOFING \/ SIDING \ EXTERNAL PORCHES/S EPS STAIRS-CLEARANCE RAI;S PLUMBING FIXTURE /RELIEF VALVE INTERIOR TRIM/P VACY DOORS FINISHED FLOOR GARAGE FIREPR FING DOOR CLOSER(5/ SMOKE DETECT RS '\ FINAL ELECTRICAL INSPECTION '\ FINAL APPROVAL OF CONSTRUCTION \. / . A SIGNED C RTIFICATE OF OCCUPANCY MUST`.BE OBTAINED F OM THE BUILDING DEPARTMENT BEFORE THESE PRE ill ARE OCCUPIED! REMARKS: 1( INSPECTOR 1k 1- , - BYRON B. RTST GENERAL CONTRACTOR ��� L VoY TEL : 518/798- 1881 Jos DATE -aet- . • / '- Al—I.-1 • .. • S C4-4-G' — I. "=s v' aua.r. S &ztp/J-G.c f=i 1 f-L` L- 0 C-(4-9--co mot/ •. 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