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1989-306 . t' per„"'. . "o-^u�-•,,.e ..., , :i4; .y*:. ._ .. t } i CERTIFICATE . OF OCCUPANCY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK Date August 23 1990 Vu This is to certify that work requested to be done as shown by Permit No. BQ- 30fi has been completed. This structure may be 6pied as a S3lir}7 p framilY cwe11 i np with +s.; ...s floor Attic/Storage Space Only. Location '-"'�`° - f1a k Valley way CNvn,rr Piernand Charl eboi S By Order Town Board TOWN OF QUEENSBURY w Director of Bldg. & Code Enforcement BUILDING PERMIT } V3 TOWN OF QUEENSBURY WARREN COUNTY, NEW Y©RK No. 9-306 - r. n PERMISSION is hereby granted to Bernard Charl eboi s 0 OWNER of property located at Lot #8 Oak Valley way Street, Road or Ave. in the Town of Queensbury, To Construct or place a Single Family ©1wel l i ng 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. t_ OWNER'S Address is 6 Davis STreet Glens FAlls , N . Y . 12801 2. CONTRACTOR or BUILDER 'S Name m Ri 2 tr 3. CONTRACTOR or BUILDER'S Address CA Sc:am41k— MIS D a fa. 4. ARCHITECT'S Name 5. ARCHITECT'S Address O rrr W 6. TYPE of Construction — (Please indicate by X) XXX Wood Frame { I Masonry { ) Steel to 7, PLANS and Specifications First & Second Floor Only: No. 50 , x 80 ' Single Family Dwelling As per plot plan , specifications , and application , includingseptic ,and 51111KH attached three � 8. Proposed Use O Single Family Dwelling z Q c/o incl . 's $ —49f�nn _ 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 y town of Queensbury before the expiration date,) .,., to Dated at the Town of Queensbury this 17th Day of May 19 89 to SIGNED BY Y/ s _ for the Town of Queensbury • Building and zoning fnspactor /�'�— cia TOWN OF QUEENSBURY APPL CATTON FOR BUlLfirNG ANn ZONING PERMIT Va.tc: - J$)#N OF OUEENSBURY rcc-ieu ed RECEIVED ;fcA Rev.iewed� 00 1 f / MAY 12 1989 Fee 'Paid BLDG. !: GQE3E DEFT. BUILDING AND CODES DI .PARTt4arT` Fate. IA45ued r 13AY and HAVILANU ROAD& RP I BOX 93 p�'�rn ( t Na . s OU,EENS.BURY, NEW YORK 12804 Tel o [ 5I81 792-5832 E'xt 204 ! * Y . ■ ! •t 'I 4 * • • ♦ ♦ 11 !' • f ■ ■ ff ■ ■ ■ ■' ■ ■ ■ i ■ . ■ ■ 1R ■ ■ A A PI~ RF1IT Ntus'r Bn OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS )'' ILL BL HADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT . All applicable spaces on this application must be completed and the ti .1r7junture of the applicant must ap car on the reverse side of this sheet . * V* * * A * * * is 'A A A * * * k * * ie�/* * * A * * * * * * * 7k 7Ye 7c * it 7k !C The owner of this property is : 'd �'ri3 Q ,,r�-�.�`.CLC�?Ze57 1' . O . A d d r C 5 5 d!!;;, /S �.�`G G y T .I�.r�.�, li 009= •Oyz.r'S 1c % 04 �`£ E L . a.e�. 1 ' roperCy location/,c lt�+� S✓ r' .0 //.eve/ GJ_-9v ee-WdCgfi ?A 'rAx MAP NO . e2� / g / 11as there been any split of this property since October 1 , 1988 ? yes no if yes , Planning Board Review is necessary . - LOT NO , SUIIDIVISION NAME , IF APPLICABLE TRH - AQ 0- �_ 41' hc parson responsible for supervision of work as regards Building Codes is : NAME � P . G . ADDRESS DDRES TEL . NO . �. /"7'■f ate / I to ame of builder a!■//G 1` S Address S Tel .3 /•*f.5 .3 __ J" r•1Nme of Flambe / T.ddress Tel � J� - 4 T. Name or Mas�� ddress Tel r4ATURE OF PROrOcCD 6ORK : 7- N l NCB I Ni ; ORr` ATION ( Office use only ) tooc47natruccior+ of a tttw building '" ZONING 02SICNATION OF PROPERTY Addition to a L)uilaittg # PERMITTED PRINCIPAL PERMITTED ACCESSORY �Altur;.tion to a Yuilding ' � ( , ko cj %.anrjv to oxcurioc c1 %Anan4; ioaa) } REVIEW REQUIRED - PLANNING BOARD ZONING BOARD. Ut1 « r work (t7a.crust: ) * SITE PLAN REVIEW # APPROVED DATE �_ r VARIANCE # APPROVED DATE CROSS ARLA O1-' PROPOSCLX STRUCTURE rr - lst Floor .2 71 sq ft .c'��4� Remarks : a . 2 nd Floor / ZAL *7" sq f t GT./7 w Cor1PI.L'"1 t; zNll'[3r1n11'i'ioN )c1 r1UL7cL0 ur WcJ . Other Floors {'� sq ft . Sires of prop, rty_ �f' ft X. ft . " Lxisti�ty 1�uildi� �.7 ( :: ) ai : a ct X r t . ( not cellar or bast2ment ) „ TOTAL FLOOR AREA� �sq ft Lxi : cing rauildiny ( c: ] Una :. 1Gi Ui new �truCtura _ft 3i.Jfwft Fuua,d:acion-pier/ :;laL+/crawl/parci :alf ul Nrol�oncd .building , rti:: cartice irou� L,rul�urcy line ( circles one ) # Front yard / Q- rt Rear yard j6ge:> ft s,Now of storie ()t;a)sit:a !;p ace )pace ) �' ' y Sides y.ard:: _C t a "i P3 1.` t ndC 16.: ig�ht ( Uradc to ridges ) �1 _A . � If on Crrrn .._ _ , .,trb"ek from side ::tra:Lc eC '0s0&'*r If reuidantial , no , of fcamillu5 No , of roomn(QxcludintJ baths ) fTi OCCUPANCY lAkriJf2f' TIpV No , of bQdroosn5 t � .-..—,� PRIMARY 4LS3LL?INC: •Loe of barhroom:; It 600w 'ohe faauily dwelling im:ary )ut.acintl :;y :;tuu s� �� * 'Ikwo f� Mlly dwollLny *an go CA ' ' :�"-�"?�-1�� '�'�� „ ttuitiYjla .)welling / Number of units Of firalalacu:; to Lr� inst allead / Perin,anClIt OCaupartcy _ 11 :a wuutl ::c4v�3 b� inst.. 11a:ci? " '1`ranai�:rtc QccujU&(1c:y uantr"I Air coaa� litiuning:' '" # 1)�usinc:5s BUILDING STYLC, PROvARY STRUCTURE . Industrial sane)► Con t%,Mij:.c,.rury 1140? cabin • O¢har !wi :url ranch M:an�Tica�t OuL,lax . 1f .addition , whtat will "Q ba? :Jplic lavtal Old .scyla 1S4aty.alaw L«. Cod Cott"Qo Otl �.:r " ACCESSORY UUILDINGC rrsoni:+ Barr 'rowli House yar4.4gC/ants cury two c:ar/ car ( CIRCLL OHL PLEASE ) ✓ Attacriad cq:araga./oaia car/ Lao car/ cu ►• w . ■ a ■ s ! ■ ■ ■ ■ r * a r< Priv:ata storage building L + '1• IMAZ' 1: !] MAIRxr`r VA1. 00 OF ' !^othc: t CON :: `r' FcUC'1` IU1+i + ` INFOr41xTTON ON 13UTLDINC sPrCIFICATTONS , ON REVERSE SIDE OF Tilts CHL.E`r, TO be COMPLC- TC-01 Form DPA I0/88 V1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIf= ICATIONS * Type of construction. , wood frame , fire s a f e , etc . Will any second-hand or ungraded lumber be used? If so , for what ? • o#0 .� Foundation wall material �" �. r► �r �.edrJtl J��'"�"�r� Thickness ,/�S dp;''i Depth of foundation below 'r p grade ( to bottom a£ footing } Will there be a cellar? A!� 2,Heated or unheated? Floor sq . footage sq ft Will there be a basement? vdiflc Wi11 any portion be used as living space ? V,C fi r ( If so , what portion? f sq . ft . - - Type of use ? r/ � — Type of roof - flat/shed/other Material of roof r Size , woad studs " x / -" spacing rP "o . c . length -eft . 7oists ( floar beams ) lst . floor'" }{ " spacing"�y+�,'o . c . span_ /��ft . Joists ( floor beams ) 2nd . floor Z. `"x t "' spacing / 00/ o . c , span-ft . Overlays ( ceiling beams ) .-7.0 ."x-.__jEt'" spacing_,,Z4 " o . c . span / t ft . .Roof rafters "J "X �/ 't� spacing , c , span ft . Roof trusses (pre- engineered) spacing " o . c . span ft .A/,0 Exterior wall finish �. ., �t �what material ? Interior wall finish �r��►�,yy� � r ._.J If agra�rrage is to be ache .�d r , describe materials / to be tie used for FIRE _SEPARATION : Z .�I3�• .�.G� / 0- G.r 9< �I"'�.. !y� 'ems' 0 ttl z 1'W''J-I� ww q r' .+I"' Tie %Al ._, ._.Yl7q!'rr1'n'�`fC._. Is there to be an opening between garage and dwellilrg?�.� i If so wy lr a Fir�" rated door , enclosure , and self-closing device be provided? �i will a flue -lined chimney be installed? Height ab vd e�roar frr ft . Depth of chimney foundation below grade r!r ft . Depth of fireplace hearth.�ft . g::2 in . Water supply - Municipal or private well 40hall SEPTIC SYSTEM _ Distance from ANY private well { including adjoining properties_ � gM ft . (A separate application is necessary for any repair or new installation of septic system) DECLAMATION 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. Signature Caner, owner's agent , architect, contractor Or SPECIAL CONDITIONS OF THE PERMIT : ' Ei TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK SPATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work , ANSWER ALL of the following :1 , Gross floor area 0"A"* 1672i07" I?IAL#� -S 20 Type of heat ,, " Sam" tiff M . 3 . Is the building mechanically cooled ?^ Ary r� ,r,, 4 , Percentage of area of windows and doors W 0 A . over 16 % Only 10 U value of gross area of walls , roof/ceilx* nq and floors exposed to ambient "conditions IAA@&Idfi s ds —_ 2 . Floor over heated spaces YES No a . Are foundation walls in aced ? 04V ES rb NO 14 If YES , what is the R value ? Rr ' • 3 * slab on grade Y_ NO a , If YES , what is the R value of insulation around perimeter of floor ? „ 4 . Is basement heated ? ES NO r a . R value of insulat on 5 . Type of insulation ,�6i1Yi M1 .�I �. �� F�' �► ewss [ ; ' B , Under 16 % Only 11 , it value of roof and floors exposed to ambient conditions. 2 , R value of exterior walls 31 R value of glazed area 4 , R value of doors r 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 63 R value of heated basement/collar walls ( above grade ) 9 , R value of heated basement/cellar walls ( below grade ) 10 , Type of insulation C • Controls ' a.. 1 , Thermostat maximum heat setting D , Duct _Systems 1 . Is duct system installed in unheated spaces ? YES a . .if YES , R value of duct installation W b . R value of duct in other areas E , Piping Insulation_ A 1 . Size of hot water or cooling carrying gent pipe 2 * it value of pipe insulation * 7jre F , Service Water ]Heating � 1 , Performance efficiency_ 0 2 . Temperature control setting maximum G , For Swimming Pool only 1 , Mtaximum heating. Telephone elephone No . '?'l3 � r-- +► ( anplicantla atina ture ) ,arwtc. 0 11u,�al,�c-r'r APPLICATION FOR SEPTIC DISPOSAL PrnWT 201ING L Dwo CODES Dripre lu" or c►u[I'1ir1lUltr LOCATION OF Pnoin2wry FOR INSTALLATION QA�r. 1�lIA�.�rL� 'r ' ►V.A'� Y Owner's Name: '" r ,r " iR!tL..jJ►a10 . ' +ta" TeleptYoiYc: _ ln :tr.11ex 's N;aene : "iPA+►+01gtr. �xC/!~✓rl~77r0&1 C Telephone: 2i3 j! "" +0 t/ 3 Numb4a r or bedrooms (residential only) Total daily flow (compLite: G I50 g;al per bedroom) C.�tx� �,, /�►µ+yl TopoL:rapLy: circle one: Fla Rolling Steep Slope 9u of Slope `S40A Nature:: circlr otee. San Loam Clay Other / Depth: _ feet Ground Water&. At whaat deptlt? fc�Yt 14 A 13.:drock. or Iwpervious N14tearia,I: At what 4epth? feet N PercOLt ticn teat: circle osse: not required required / rate fp. min. inch. I]oxa,estic water supply: circle one: Municipal [WeT1 ,� Other ! 1 domestic water :supply is a Well& " St:par.atieue: WatcrsAuplrly from Septic absorption Ise feet PftCYI%£lSI !] S1"5'T>;h1 : Septic Tank dal. (minimum size: 1 ,O00 TILE: Flr.LD* Cacl, Trench _ 450 feet / Total system length M*Awft '1 rent SM S1~L'PAC1; PIT(S) : HuiYrbct• of f Size each feet G'y feet NlaA Sit` of Stone to Lu use.l V Ti00 pep,th or 'Micknesa feet s + a s � W W * « rsfsas * a Asa * * ss * * * arara �► * * asp rss IMP0I{ TANT ...Plc.ase...LIST Tll .w L-aQ I.1.NMIiN'1• '1.O IAE* INSTALT-M • s ar a s � �; s a � � � * ; s s s a► ; � i s �► �. as ♦ s :r � � s i� a► # ai :► i s � * � (over) Section 11 Septic System Inspections: A. All alrl,iicutions for septic system installation , alteration or repair, .ts recluired by tl►e Town of Qucensbury Sanitary Sow "ge Ordinance , slItAll Ue staULikitted tO tlWe Building Uel)aa•tntent :at least G-i hours t ufure sta.a•t of cuatstruction and :Jl all include a lalot Plata :;hawing: 1 .1 the proposed location of the system 2.) location :and distunce to lot lines 3 .) location and distance to structures •l ,) location and distance to -any water supply 5.) 5ixar and diniensior►s of all t "nks, dist!'ibution boxesa the fields .tndIsar drywells B. No system shall be covered before inspection :tnd :►pproval by the Building lnspuctor. Fuilure to contply with this requi►•eniont may result it► the urlcuvering of the syst4tn by tilt: inst "ller and a fine of up to $2. 50. 00. C. An ;approved copy of the plot plan shall be available on the construction site. l zailure to prodtace said plot plan at tinic of itaspc:ction may result in un in► na4diate work stoppage. Do Should tinforescen problerns during construction prevent proper installation, alteration or t•epala• of an apjaraved systL:m. a new proposal moat Lie ::ubsnitted to the Quet=nslbury Building Department before further construction, I have reaaj tUe regulations :above and spree to abide try these 'and all requirements of the 'Town of Queenz:,Lury S:utitary Sc ►.rapc ili::po: :al Qniixa asacc. Sigri;aturr of reespo�nwiblle person* ' Town of Queensbury Building and Code, Dep.artment fia+y at Haviland Road Queenstaury. New Yol-k 12901 (518) 792-5832 A r�/�_� CERTIFICATE OF INSURANCE ISSUE DATE {M 05/24/89 Y} /89 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EDWARD C - HUGHES AGENCY , INC . EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 152 Main Street COMPANIES AFFORDING COVERAGE Hudson Falls , NY 12839 LETTPR COMPANY A General Accident CODE SUB-CODE COMPANY g INSURED LETTER Daniel Poole LETTERNY C 1 Maple Avenue COMPANY LETTER D So . Glens Falls , NY 12803 COMPANY LETTER r COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED !NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE (MM1D01YY} DATE (MW001VY} GENERAL LIABILITY GENERAL AGGREGATE 91 , 500 A X COMMERCIAL GENERAL LIABILITY I� /��j�y ) ry y 7 q PRODUCTS-COMPIOPS AGGREGATE 11 , 000 !1 CLAIMS MADE OCCUR. MCP 0892163 01/ 21/89 01/ 21/ 90 PERSONAL & ADVERTISING INJURY S N/A OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 300 FIRE DAMAGE (Any one tire) S 50 MEDICAL EXPENSE (Any one person) S 5 AUTOMOBILE LIABILITY COMBINED ANY AUTO SINGLE $ LIMIT ALL OWNED AUTOS BODILY SCHEDULED AUTOS INJURY S IPer parson) HIRED AUTOS BODILY NON-OWNED AUTOS INJURY $ (Per aCcldenl) 13ARAGE LIABILITY PROPERTY $ DAMAGE EXCESS LIABILITY EACH AGGREGATE OCCURRENCE S $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY A AND WC 0133274 07/ 28/ 88 07/28/ 89 $ 100 EACH ACC!DEN T) EMPLOYERS' LIABILITY $ 500 (DIS£A&E—POLICY LIMIT) $ 100 (DISEASE—EACH EMPLOYEE OTHER kf4 DESCRIPTION OF OPERATIONSILOCATIONSAVEHICLES!RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER TM _ CANCELLATION _ j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town Of QUeensbury EXPIFiADON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Bay Road MAIL Ju DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Queensbury , NY 12804 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR NTATIVE ATTENTION ; Nancy ACORD 2S-5 (3/88) C D CORP. A' 1$88 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYr NEW YORK 2280&L TELEPHONS (516) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST' FOR INSPECTION RECEIVED _ I NAME LOCATION ' PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS _.......... FOUNDATION/DAMP-PROOFXNG B.ACKFILL APPROVAL -� ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PCJRCHE.SISTEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS - GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION _ FINAL APPROVAL OF CONSTRUCTION OK TO I ssuz C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED1 REMARKS: f� ARRIVE / DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLA D ROADS QUEENSBURY. YORK 12806- alk, TELEPHONE { 8) 792-5832 BUI ING INSPECTOR' S REPORT REQUES FOR I SPECTION CEIVED Zt I lqo NAM _ ip I Lac T D PERMIT # C� .DATE �� - APPROVED YES NO FOOTING/PIERS MONOLITHIC PO U F RMS FOUNDATIONIDAMP P OOFING BACKFILL APPROV L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH IN INSULATION: FOUNDATION FLOORS WALLS CEILING INAL INSPECTIO CHIMNEY HEIGH ' ROOFING SIDING EXTERNAL POR ES/ TEPS STAIRS-CLEA NCE & RAILS PLUMBING FIX RES/ LIEF VALVE INTERIOR TRI /PRIVA Y DOORS FINISHED F RS GARAGE FIR EP OOFING DOOR CLOSER (5) .SMOKE DETECIDRS FINAL ELECTRICAL INSPE ION_ FINAL AppzzOVAl OF CONS T UCTION _ OK TO ISSUE C OR C/C A SIGNED CERT FICATE OF CUPANCY MUST BE OBTAINED FROM THE BUILDS DEPARTMENT BEFORE THESE PREMISES ARE OCCUPT D1 REMARKS: 1 t i 4 ARRIVE DEPART /o 3A I SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME _ LOCATION DATE E3 . PERMITif # s y APPROVED YES NO FOOTING/PIERS `• MONOLITHIC POU)Y FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ,XENSULATION: FOUNDATION FLOORS WALLS Lodoor CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE STAIRS-CLEARANCE & ILS PLUMBING FIXTURES/R LIEF VALVE INTERIOR TRIM/PRIVAY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) w SMOKE DETECTORS FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM TRFjBUILDING DEPARTMENT BEFORE THESE PREMISES A E OCCUPIED! REMARKS: 4 f 1 i i 3 i 1 r T INSP CTDR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYy NEW YORK I280+.& !--- TELEPHONE ( 518) 792-5032 —r BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME - LOCATION ce DATE ----�� PERMIT # _ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO S FOUNDATIONIDAMP-PR ING R KFILL APPROVAL OUGH PLUMBING , lP AMING [/ ELECTRICAL ROUGH-TN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS _ STAIRS-CLEARANCE & LS _ PLUMBING FIXTURESIR IEF ALVE INTERIOR TRIM/PRIV Y bOO' FINISHED FLOORS GARAGE FIREPROOF G DOOR CLOSER (S) SMOKE DETECTOR FINAL ELECTRICAL INSPECTION FINAL APPROVAL F CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANC MUST BE OBTAINED FROM THE BUILDING DEPART ENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS : � A r NSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVILAND ROADS QUEENSBURY, NEW YORK I28O4- TELEPHONE ( 5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED f NAME LOCATION LL/ DATE PERMIT # [:14G7 APPROVED YES INO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONfDAMP-PROOE'ING BACKFILL APPROVA ROUGH PLUMBING FRAMING rr ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT l ROOFING SIDING EXTERNAL PORCHESISTEPS STAIRS-CLEARANC & RAILS PLUMBING FIKTU ES/RELIEF '•VALVE INTERIOR TRIM,, PRIVACY DOORS FINISHED FLOORS GARAGE FIREPPOOFINGT DOOR CLOSERS) 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 : ' V INSPECTOR �.lown a� �ueen36ur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Glueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME1 ..�./3 ?-.,s. .ir LCJCAT IOII 0 A DATE / PERMIT NO . yrr - 31J�'� SOIL TYPE - Sand< Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption fief , total length_�cJ Length of each nch 45jD Depth of trenches Size of gravel gy rQ y SEEPAGE FITS- Number off) Size- ft. X ft . Gravel size PIPING : Size Type Bldg . to tank Y£ Tank to dist . box Dist . box to fiela/'pit Y `I Openings seal+�d? v:• NO Partial LOCATXON/SEPARATIONS : Foundation to tank e, ft. Foundation to absorption g_ft . Absorption to lot line — ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY (circle one) Front< ^�� � - Left side - Right side - COVIMENTS • : SYSTEM USE APPROVED YES WO Building inspector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY Se HAVILAND ROADS QUEENSBURYt NEW YORK 12809- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED = 9 NAME LOCATION ( Li — Gre DATE - - ., �] PERMIT ## _ (� APPROVED _ YES NO L,,el�OOTING/P RS le1K MONOLITHIC kouR FORMS FOUNDATION/ P-PROOFING �,/BACKFILL APP VAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGHN .f x INSULATION: FOUNDATION FLOORS WALLS CEILING r FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES' STEPS STAIRS-CLEARANC & RAILS _ PLUMBING FIXTU ES/RELIEF VALVE INTERIOR TRXMIPRIVACY DOORS - PINISHED FLQORS GARAGE FIRE ROOFING DOOR CLOSE (S) SMOKE DET9CTORS 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: tj � l 1- 0 Ci Af x:> �c�t © N LA-:�r rlti�t7 ir INSP .. +OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS (2UEENSBURY, NEW YORK 1280k- TELEPHONE (518) 792-5832 13U I LDI NG INSPECTOR ' S S REPORT REQUEST FOR INSPECTION/]RECEIVE NAME LOCATION V DATE PERMIT # J APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS ' FS1fJND.ATIO N/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUG ;IN INSULATION FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: f of CHIMNEY HEIGHT i ROOFING SIDING EXTERNAL PORCH S/STEP STAIRS;-CLEARA CE & RAI PLUMBING FIX RES/RELIE VALVE INTERIOR TRI /PRIVACY RS FINISHED F ORS GARAGE FIR ROOFING DOOR CLOSE (S) SMOKE DETIfC'TORS FINAL ELECTfi°ICAL INSPECTION_ _ FINAL APPROVAL OF CONSTRUCTION_ } 3 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED ! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYo NEW YORK 2280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEX NAME c� rAJ v LOCATION v DATE �/ �,� — ` PERMIT {) ?� i APPROVED YE NO OOTING/PIERS ONOLITHIC 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/ EPS spA-rRs—CLEARANCE ,A RAILS ' . PLUMBING FIXTURE /RELIEF VALVE INTERIOR TRIM/PIXVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S)l SMOKE DETECT04S - FINAL ELECTRICAL INSPECTION FINAL APPROVAL ,r4OF CONSTRUCTION A SIGNED CERTXPXCATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: / c� let SPECTOR TOW RY BOIL OF QD CODES DE BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME .t,_.-r}9 .r r LOCATION + DATE --�C = PERMIT APPROVED YES NO �OOT.ING/PIERS MONOLITHIC POUR FORMS FOUNDAfiSON/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION; CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS STAIRS-CLEARANC & RAILS PLUMBING FIKTU S/RELIEF VALVE INTERIOR TRIM/ RIVACY DOORS FINISHED F S , GARAGE FIREP OOFING DOOR CLOSER S) SMOKE DETEC RS FINAL ELECTR CAL INSPECTION FINAL APPROV L OF CONSTRUCTION y . A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: 60 R-1 CC A /:4 i -0 > INSPEC R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVXLAND ROADS QUEENSBURY NEW YORK I280it- TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT i Q REQUEST FOR ,r �I/NSPECTIO RECEIVED NAME +[..- h GrR k Azq /�S LOCATION zz6�7 +U7 G7 DATE !�!S PERMIT - UG7 APPROVED YES NO 'FOOTING/PIERS v 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 EXTERNALrA ES/STEP STAIRS-CCE & RAI S. PLUMBINGRES/RELI VALVE INTERIORPRSVACY DC3QRS -- FINISHEDS _ GARAGE FOFING _ .. DOOR CLO SMOKE DES FINAL ELEC INSPECTION FINAL APPRF CONSTRUCTION A SIGNED C TIFICATE OF OCCUPANCY MUST BE OBTAINED PR M THE ,BUILDING DEPARTMENT BEFORE THESE PREMI ES ARE OCCUPIEDI REMARKS: INSPECTOR NH=p�'3� . ARTMENT iA1'�PECTfON AGENCY?;�H+�. National Headquarters :,A tI P tlddrll;'Rve:, Collingswy000 £N�j 0810aI It ell 9 .. . �^ } Date: VIP 7 CI ;'Ttsi�lx'twr l rs>�ihip ' w, x Ir . [ y � • C6unty Sr 70A Vt k. T{CJ C Ie- prate AP ' S C•c5/!� ;n iiurM . Ple Attach Directions) gLd' g .{� c - d W . :isms Occupied As` " � 'x I Alder Occupant Work Area in BuildincLIFloor #, etc.) : for: Winn .Winnim service or: needy for Ins ion : Fee Remitted - $ Cash 0 Check M'O' Make Payable To: IM.D. I.A. !Number of Rough Wiring Outlets Elect. Heat 500 7aa 1000 12s0 41s0o 1750 2000 2250 2a00 27so a000 Switches f: [ Light"sng �r.. Amp* Service,. Surface..4kpit- ,. : �. 4iglwwosher - _� wale..,. Receptacles Water Heater Air Conditioner Dryer • Pump m r of Fix u 'Oven Garbage Disposal Wiring and Controls for Burner A?np. Receptacles. Fractional H.P. Vent Fens Other Equipment: MOTORS H.P. 1t I/1 1/ Ile 1/6 114 1/3 112 3/4 I 14x "2 5 7Y& I!1 IS M 20 25 S6 44 Sp ,79 .1W 1 . Mark Number = c'. .. ' . x "� - . of Each Size SA�}ip11carn�t s 6. . ) Itlllty # aLicense c . ' - s . sea i'a Add! ' Wtate) Y (ZIA1 Service .Renuest.- # U ` t DATE.RECEIVED: DATE INSPECTED: "_ -...:. - ct L iorW Some as Above L bra' _ . . iVotioe Bough Wiring flatlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Ameir 5e`riilce Equipment Burner, Wiring & Controls for Amp. Reoeptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. V4 -113 1/.$. .3d s . .qua:. - � s. 5T7v�. , Ia 1R� -2G� . 25 as so ' 7s 1*0 Marx Number ._,..:. . 1 -1 . ' `. :� ..�. � ,.:`% . .Of Each Size - y f Elect Heat sa0 1 750 100d 12" 1roM 1750 2000 22so 2500 2750 3000 rd W Progress: Inc. - " LKD '" Contractor CFT Violation : Work Comp. rIM 1 . L/A Owner CASH Due A '. CHK # )PA AAurilpgFY ;�` MO # INV # • . . Agplu�ant Y .� Date: '' Ci$lser Side [] Yllity Cut in Card Temp # Date El�orinal # Date f 7 -zE; INSPECTORS SIGNAT RE APPLICATION FORM NO" 250 EL 11/06 '" NolobLtUEPARTMJENT` liSPE'CTIDIY AGENOV, INC: llIU4TIONAL HFADOU,ARTERS:. ., 900-Haddon Ave:, Collingswood;'N.J. 68108 (609) 858-4 � sOk DELAWARE NEW JERSEY 1815 Nerivport Gap Pike 1030 Kings Highway North 1525 Cedar Cliff Dr. Marshallton, Del. 198DB Su ite 31-0 Camp HIM, Pa: 17011 • (302) 999-0243 Cherry Hill, N .J . 08034 (717) .761 -5340 (609) 667-9200 203 N . E . Front Street - 1542 Bristol Pike _ Suite 10.5 Rear-Entrance 3PO ;Grove Street U.S. Route 13 P.0_ Box 306 Grove.XXI ] Cciriner - - Berisalem.. Pa. 19020 Milford, Del - 19963 � Bridgewater, N:,l. 08807 (215) 244-Y919 (302) 422-5729 „ (201 ) 526-0880 (302) 856 2218 y Route 19, North 26. S. State Street P,O. Box - 136- H N.J. 07602, Wexford, Pa. 15090 MARYLAND ( 201) 487-5373 (412) 931 -3028 (412) 935-1558 Milford Professional Bldg, Route 9 3610 Milford Mill Road-. Marmora, N.J. 08223_ Baltimore, Md. 21207 (609) 390-1940 VIRGfNIA (301 ) 922- 1122 NEW YORK 3076 Shawnee Drive 1 .Burch tail Co. Bldg. P_O. Box 1626 E/S Route 5 706 Erie Boulevard West Winchester, Va. 22601 Charlotte Hall, Md. 20622 P.Q. -Box' 85 . (703) 6+67-8484 (301 ) 645-2219 Rome, N .Y . 13440 (301 ) 884-4547 (315) 736-0477 - (315) 337-3480 Washington Co. Office. Bldg. 460 State Street 33 W. WashingtomAve, Suite 308 Hagerstown, Md. 21740 Rochester, N.Y. 14608 (301 ) 7911 -3190 (7"16) 454-5191 Hitch .Bldg: Hoom .203 . 243 Margaret-Street 636 S. S41 istiury Blvd. Plattsburgh, N _:Y. 12901 Salisbury, Md. 21801 . (518) 563-2835 (301 ) 749-0641 Room 301 Main Street PENNSYLVANIA Court House 121 W. Tenth Street Elkton, Md. 21921 Erie, Pa, 16501 ( 301 ) '398-5200 (814) 452-4604 318 Commerce Drive 18 N . Wyoming Ave. Easton, Md. 21601 Room 204 (301 ) 822-8300 Kingston, Pa. 18104 `(717) 2158-4906 NOTICE -TO APPLICANTS: Final inspection and apptoval may be required by law before electrical current may he energized for use of occupants. The Agency undertakes to provide inspections until final certification is granted if such requests are made within 120 days from date of the last inspection. Upon expiration of 120 days from thei date of the most recent inspection, all ,duties and obligations owed by 'the Agency shall be deemed completed, and all fees paid by applicant shall be deemed consideration for services performed. No further inspections shall be undertaken by the Agency without filing of a new application, and the payment of relevant inspection fees. No final certification shall be implied or interred without issuance- of a duly executed certificate, The Agency in accepting application for inspection cannot assume responsibility for unavoidable delays in inspection- "100 -YEARS" PROTECTING THE CONTRACTOR AND THE CONSUMER. SELECT BUSINESS FORMS (509) 848-5203 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 APPLICANT COMPLETES THIS SECTIONDate : .. City, Town or Townshipf�aySlIIJS �dll� rl/ County State + Location/Address ( if Located in ural Area - ease Attach Directions) Pole # Owner �I �I .+ �.1��` �d rl_• S Permit # ^" Occupied As iG Building: NewO Old Occupant f Work Area in Building Floor #, etc. ) : App. for: Wiring 'Service 0 or: Ready for Inspection : Fee Remitted - $ Cash F-I Check 0 M,O. = Make Payable To : M.D. I .A. Number of Rough Wiring Outlets Elect. Heat 500 750 1°°° 1250 1500 17s0 2000 2250 2500 2750 3000 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, 112 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 142 2 3 5 7112 10 15 20 25 30 40 50 1 75 1400 Mark Number of Each Size Applicant's �,.- "'� Signatl License # Permit �, # T/A Utility : Applicant's Address : INAMEI (OFFICE LOCATION) (City+ (State) oA& j& . (Zip) ,oeZoees*0 Service Request # Phone # R " Electricianor OF P a 1 DATE RECEIVED: DATE INSPECTED; Correct Location : Same as Above I - or: Red Notice Label [�j Rough Wiring Outlets Surface Unit Oven Swi tches 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 11/2011/12 1 1110 1 1/9 1 1/6 1/4 1 1/3 1/2 3/4 1 1 14a 2 3 5 17L/z [10 15 20 25 30 [T7 75 1100 Mark Number of Each Size Heat Soo 750 1000 12s0 1500 1750 2000 225° 25°° 27'5° 3°°0 Patrpick J 'ba.Shnkw 14li Lslm Fa1150 W 12$39 ELE€Fi UAT INSPECT-P CORRECT CE 'i UGE FOR INITIAL V184T4)NL.Y �+n NOTIFIED DATE FEE FEE FAIR R C] RW Progress : Inc. LKD Contractor 0 CFT Violation : Work Comp. Inc. L/A Owner CASH Fee C}{K # C] L/A Due 0 IPA Municipal I # Nv 0 Date : Other Side LJ UtilityApplicantOwner Cut in Card 0 Temp # Date RICHARD E. JONES ASSOCIATES ARCHITECTS e INTERIOR DESIGNERS 119 AVIATION ROAD QUEENSBURY, NY 12804 (518) 793-10 15 May 22 , 1989 Town of Queensbury Building and Codes Department Bay at Haviland Road Queensbury , NY 12804 Att : David Hatin Re : Charlebois Residence Dear Dave : As we had discussed , the third level of the residence is strictly a storage attic and the finished ceiling height will be 7 ' -5 " so that the space is not deemed as habitable space . The dimensions as shown on the cross section are rough stud dimensions . Should you have any questions please do not hesitate to contact me . Very truly yours , Richard E . Jones , AIA cc : Bernie Charlebois BERNARD E. CHARLEBOIS 6 Davis street Glens Falls , NY 12801 May 19 , 1989 Mr . David Hatin Town of Queensbury Building and Codes Department Bay at Haviland Roads RD 1 , Box 98 Queensbury . NY 12804 Dear Mr. Hatin : This is to inform you that the third level of my personal residence to be constructed at 8 Oak Valley Way is to be used only as an attic for storage and not for living space . If you need any other information, please call . Very truly +Iyours . / Bernard E . Charlebois BEC : dc