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1989-323 7 fi CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK IDate :.fit 17, 1990 1 9 y ` - t7" This is to certify that work requested to be clone as shown by Permit No. 89-323 j has been completed. This structure may be occupied as a Office Bu 7 1 d 7 n Location O ner Wesley Veysey i By Order Town Board TOWN OF QUEENSSURY Director of Bldg. & Code inforcement I --�_. .- .... .. x . BUILDING PERMIT TOWN OF QUEENSBURY No. 89-373 WARREN COUNTY, NEW YORK F ' t PERMISSION is hereby granted to Wesley Veyseyr OWNER of property located at Street, Road or Ave. in the Town of Queensbury, To Construct or place a Off i Ce B i ' 1 di 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. m -e 1. OWNER'S Address is m -c 61 I4acArthur Drive Glens Falls , N _ Y_ 12801 2. CONTRACTOR or BUILDER'S Name rfS rt Self 3. CONTRACTOR or BUILDER'S Address Same C7 4. ARCHITECT'S Narne ^1 O 5. ARCHITECT'S Address it 6. TYPE of Construction — [Please indicate by Xi fy (XX wood Frame l l Masonry l } Steel l 1 Vr 7m 7. PLANS and Specifications O C No, 24 ' x 40 ' (960 sq . ft . ) Office Building as per plot plan , M specifications , and application , including septic and driveway. 8_ Proposed Use Office Building 0 50. 00 c/o $ MAW PERMIT FEE PAID — THIS PERMIT EXPIRES December I 19 82 _. (If a lo"er period is required an application for an extension must be made to the Bu lid ing and Zoning inspector of the co town of Queensbury before the expiration dete.l �. A. Dated at the Town of Queensbury this h Day of 19.09 SIGNED BY for the Town of Queensbury Building and Zoning In ctor �Juui,ri u� �uc v.r s fi ri r� QUEENSBUI�Y BUILDING ano ZONING DEPART&IENT TOWN C"!F FUERECEIVED Biw and Fl:aviland Road, RA), 1 Box 9B QW-40nSbury, New York 12aDl MAY 16 1989 Rppr c3• �! � APPLICATION Poll L9E!� o BUILDING AND ZONING PERMIT I �A A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . AINSfrER ALL OF TVIF FOLLOWING , The undersigned hereby applies for a Building Permit to do the following work which will bu done in 4ccordance with the description , plans and spucil:ications ;:ubrnitted , and such :.Pe c i.rl conditions :atl may be indicated on the Permir . 1'Yra o+Nr ,er of this property is : Wesley C . Veysey r• . O. Addre:;s 61 MacArthur Drive , Glens Falls , NY 12901 _ Tele 793 - 8307 I'raperry Location : CRS : Lower Dix & Park Avenue Tax Map rao . 111/ 4 / 1 :' er.:et nw,wc:r or building lot number _ :wLLdivi :;ion naruw: (if applicable:) N . A . Mil. PLJIL:.3UN RESPONSIBLE FOR SUPERVISION Or WORK AS RUCARDS WILDING CODES IS ; ( 518 ) 793 - 5183 Cual i ncr . T Y,]2yds Assoc Arch F a Q y m 2 74 Bay Road Town o;t Oj3QQJ3 &h13 '1<vMY 1%1"Ajtu Pi Qa Address Tul . Nu . •�• Naf,is of builder wrr+ cl P� C ynyg, YAddress Same Tel , 12qame r4aw .! of plwaber Address •Pal . I7,au,t: of irr«fe3on Address Tol . HAS rURt OF I"ROPOSED VVGRK : ZONING 1 hG [ NFORINAT 1 ON %Canatruction of a new building + TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED , !Addition to a building " drawn reasonably to scale land attached hereto , .Addition to a building showing clraarly and distinctly all Luildings , (no Change to exterior cii€nensions )' '" whether existing or proposed and indicate all 9ther work (describe ) set-}sack dimensions from property lines . Give * street and nurrdaer or lot number and indica Le POIZ ULrlr]l.i•1" ION P1;iZ41"140 5'rJifE'F. SI'.GL•' AND * whether interior or corner lot . Show location LC.CA'L'1CrrJ OF8'1"1tL1Ci'ultk S Ai'i'LC'PL^'D. of water supply and location and con fiolu ra Lion of septic disposal area . * ,. COMPLETE INFOLZMA'TION REQUIRED I3CLOW0 " Sizc of properrLy 50 ft X 153 ft . " Existing buildir€g ( s ) SiZPe +TLA�ft X ft . s PROPOSED BUILDING AND USE : OFFICE • Lxi sting 3auilclincl ( s ) use N/A 1' i4e of new stru _24_ft x 4QFt ' Pou€ rdation-pier slab crawl/partial/full Prolaosed building , dr ; Lance horn L.raalaua ty lino (circle one ) ft * 43 ft Rear too . Of stories (habitable space) One * Front yard yard 70 ft II. ighC ( grads to ridge ) 16 gt• * side yards 8 ft and 18 ft If residential , no . of families * If on coiner . cutback from side street 18 ft No . of roorms ( excluding baths ) * OCCUPANCY INFOR ATION Noo of bedrooms N/A * PItIIfAFtY BUILDING - No , or kaheating u * One family dwelling Primary heating sy.at[ ru Hot Air * .TWO family dwelling Type of ruA i Gasd Multiple dwelling./ Number of units No . of fireplaces to be installed N A * Permanent occupancy Will a wood stove be installed^_ _ * Transicrrt nccui.€nc Central Air conditioning'; Yes ; 13usinuss I y * BUILDING STYLE, PRIMARY STRUCTURE ,. ' industrial M * Dthc r Of f i ce . Ranch Contemporary Log cabin * If addition , what will � u=re be? 1:.:, ised ranch Mansion Duplex , Split level Old style Bungalow Gape Cod Cottage Other * ACCESSORY BUILDING-- N/A Colonial Raw Town House • ' Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car Private storage building ESTIMATED MARKET VALUE OF " Other CON ST KUCT I ON ] NPOnMATTON ON BUILDING SPECIFICATIONS * ON REVERSE SIDE: OF •TIIIS SIICF '3`. TO BE COMPL.ETEDI Perm 13PA 4/86 mid-vl LUILDI11C PEIQ41T APPL1CJ%TI017 COtITItIUM • Wlt_DING SPECIFICATION : Typo of construction , wood iralue , fire safc, etC . Wood Frame Will ally second-hand or ungr:adLod lulaLber be - used? If so , for wh:ac? No Foundation wall material Conc . Blk . Thickne::r. $ " Depth of foundation below grade. ( co bottom of iaoting ) 4 ' - 8 " will cheru ba u cellar? No Haatud or unheated? .Floor ::q. footage zq ft Will ttLere .a be a bsen►wn-c'?^� _'will any portion bo uaud as ltvin51 :L;P aca? { If so , what portio sq . fte - - Type of use? Type of roof s o tlatJshed/other Material• of roof Asphalt Shingles size , wood studs " X 6 " spacing "o . c . length in tt . Joists ( floor be"mis ) 15t . floor "]i spacing '•o . c . span Et . ; Joiscaj ( floor baaasl 2nd . floor "X spacing _"o . c . sp4n ft . Ovcrlays (ceilin beanxs } "X� "' spacing..1,._"'o . c . span,�.��= = - icoof rafters � "X spacing 16 o . c . span 11 ft . FIELD " TRUSSED" fe.�ar CrusSes (prr-.artgi:�4�rad) s,Yaaaing •'a . c . s,pata ft . Extu. rior wall finish of What material? T1 - 11 Plywood Sa i a Interior wall finish Gypsum Boar= Yf a garage is to be ;Lttuchod , describe n►aterials to be uu%ad for FX1 . SEPARATIOH *:� -,A- Is th+.:aa'u to bu an opening butwaen garage and dwrjlling? N A If so will a Firu-rat#=d door , enclosure , and t;.:lf-closing devise ba3 provided? will u flue- lined chi.aruuey be installed? N/•A 1leight abov.> roof f t . o"pth of chiuuis:y foundation below grads ft . Depth of firaplwcn hearth ft . in . Water supply - Municipal or pr .ivata well Municipal SCPTIC SYSTL` M _ Distance from ANY private well ( including adjoiising propartleu tt . (A separate application is nucussary for any repair or nuw im; c"llation of t;ujjtic %;Yt;tcan} Town of nuesunsbury i' F F D J r i T STATE OF NEW YORK County of Warren I swear that to the best of fly knowledge and belief the statement. contained in this: unplication , together with the plans and spucifications ::ub:aitted , arc a true and cniuplute scaveureart of all proposed work to be dona ' on the d4., criboud premises .and that all rrowlalons of the DUILD114C COOL , '11M 'ZONING ORDINANCE , and all other laws Purtaininq to the proposed wort: shall bt,:: Complic--d with, whether specified or not , and that 4"lk work is .auchori •Pad by the ownLr . • •.:W011?LN To rIEFORC ME THIS signature } -- � Owner, owns .aC� 4-llt , iar I►lace tJ, contractor d ay [s f 19 llocary loublic , W"rrefi Cq..iUrficy , N . Y . Yk ■ • ■ * * * lU ♦ * w : x * w a a * •' * } Y * * * # * * w rC Y4 * * * Yr k s f iI * w ■ SPECIAL CONDITIONS OF T112 PCIaMYT : %y----------------...._ 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 960 Sq . Ft . 2 . Type of heat Gas Fired Hot Air 3 . is the building mechanically cooled ? 4 . Percentage of area of windows and doors 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 8 . Under 16 % only 1 . R value of roof and floors exposed to ambient conditions. 38 2 . R value of exterior walls 14 3 . R value - of glazed area ? (] 4 . R value of doors ,-, 1 a Ci ---- 5 . dR value of floors over unheated spaces 6 . • R value of slab edge insulation - unheated slab to / A 7 . R value of slab insulation - heated slab 10 s . R value of treated basement/ cellar walls ( above grade ) NZa 9 . R value of heated basement /cellar walls ( below grade ) NIA 10 . 'Type of insulation Ra t anel ui gift c . Controls 1 . Thermostat maximum heat setting 85QF' DO Duct Systems 1 . . Is duct system installed in unheated spaces ? YE5 NO a . if YES $ R value of duct installation 1i b . R value of duct in other areas 3 . 5 E . Piping Insulation 1 . Size of hot watev ' or cooling carrying agent pipe ^ N / A 2 , R value of pipe insulation F . _Service Water Heating 1 . 'Performance efficiency Per Coda 2 . Temperature control setting maximum, QPr cr5asm G . For Swimming Pool Only 1 . Maximum heating N/ A Telephone No . ( 5i1 8 ) 793 - R 307 X LgLr ( applica t ' slsig tur ) +.._.�.r�Y1►L O tL''il�L/b.��1Cr� L]ATL�T'R. -,---- . APPUCA'ITON FOn SEP17C 131SIPO:`AL PER&UT 2011MG L DLW COOLS DU`f. Milt of UuEuiz 3d1[T DA41'1Z May 8 ; J 89 LOCATION OP PROPERTY F'Ofi INSTALLATION CRS : Dix and Park Avenues Owner'a Nameo Wesley Co Veysey T. lepl�otic: ( 518 ) 793 - 8307 Adalrr�s; 61 Mac Arthur Drive , Glens Falls , NY 12801 1n l :allur`y Name : 'Tclel}1Lon�: Number of bedrooms (residential only) Total daily flaw (compute Lm 150 Cal per bedroom ) � 50 Gal . Toya r;alxlxyc circle one Flat Rollin; Steep Slope °L of slope . 'Svil Natura¢: circle one ai:an ' Loam Clay Other / Dcptla: feet Crouaul W:aterc At what depth? ( Deep ) f4=0t 13ealrock or Iuapurvious tbl atarial: At what depth? ` 5+ feet T'urcuLatioaa te:a: circle otie: not required required rain � tnin. inch. + S3uu,estic water :;Upply: circle onc Municipal Well Other 11' domestic w;, ta•r supply is a Well: Scrp:u :atiat�: W;ater::upply from Suptic :absoa•ption feet PROI'C)"C'E'D SY %Tl- h3 : gorztic Tank 1 Epp Lal. (minimum siee: 1 . 040 C:al.) TII_i_ FIELD: Each Trench 2r, feet J Total system lenLth 75 feet SEFPACE PITH : Number of NIA / Size each fuct by feet `_:i :c� or atone to Lt.: u,ed Y Depth or "11ricicnaaxs feat i i # • i i • # i i • • 4 i s t Y 9i i i i ; 7F # * • i * i i • fi # i �I • # # 'f i I1.tI� DROfANT ,._l'1a:asc...LIST Nk:W L`QU114trLl-:N"l4 *140 Ulm: INVrALI r- • # i • • F �. • i i • ! # i i i i a +► # � • t i i ♦ • i i # * i • i i :F • 4 * i (over) Section lI Sa•ptic sy5tolyi lneriections: A. All alal+lir.�ations for weptic system installation, .►lturation or repair, as ;. retluira:al by tlaa: 'Town of (�ucuns6ury Sait► terry S.: wu};+� aralir►ancc, >It:►11 t.►a4 saabaaa ► Lied to Ll►aa Building lUu1>:a.►•inaaetat at la:aat Z-1 hours bef(jrae %Lart aC cunsl►•urLion :and sl►a!! includr a l.lot filala ::he�wi:nk,;: 1 .) the proposed locations of the system Z.) location and distance to lot linos 3 . ) location ;and distance to strucLureu 61. 1 location and di.;tiance to :any water supply 5.) Nile and disn+t:nsions of all tanku, distribution boxes, tilt fields and/or drywcIja 8. No system shall be covered before inspection and approval by the building Inspector. F:aiiurc to consply with this ra:cluiresnunt ►nay ra,%ult iu the una:uv&!rieag of thc: syst►:m by the installur and a fine of up to $2.50.00. c. An approved copy of the plot plan shall be available on the construction, site. t ailUra: to proaiuce %:aiai plot plan at time of i►►spr:ction may result in an inansadiatae work stapp:al,+e. D. Should unforeseen problems during construction prevent proper installation, alLrratioi► or rup"ir of an approved systusn , a new proposal tttwt be submitted to the Qua ens'bury Building Department before furth4!r construction. I have reaal the relp.&I"tions above and agrce to abide by these and all requirements Of tlau 'fawn of Qaauutu.l.ury S:u►itar/y_ Saewage L]u:Iro:: 3:aOral=n Lace. tie Si,gn:ature of responuible person: i` L�' L' '�� Ll:arc; jf �5J Y � Town of Queensbury Building and Code. Dep;trtment fi:ay :at H:avil:and Road Queensbury, New York 12901 • i51R} ? 42-583w . 7i: BLDG. PERMIT NO. sJ C { D APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY �fr A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; for the following uses: 7G67 Co�.►s s�C .c i,�►_rr'n�ss G' Y G� f D 'E SIGNATURE OtkPPLICANif TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED ( )DISAPPROVED with the following conditions: TEMPORARY CERTIFICATE OF OCCUPANCY FEE: lO.00 DEP SIT: $1 0.00 received on Date of Issuance Director of .Bldg. & Code Enfor ent THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES DAYS FROM THE DATE OF ISSUANCE, NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Cade Enforcement or his designee. TOWN OF QUEENSBURY { y BUILDING AND CODES .DEpARTMENT BAY & HAVILAND ROADS S?UEENSBURY, NEW YORK 2280& TELEPHONE (5I8) 792-5832 BUILDING INSPECTORIS REPORT REQUEST FOR INSPEC ION RECEIVED NAME ZOCATION DATE PERMIT # AP VED Y. S NO FOOTING/PIERS MONOLITHIC POUR FO FOUNDATXON/ZL4Np-pR PING BACKFIZZ APPROVAL ROUGH PLUMBING i - — FRAMING ELECTRICAL ROUGH-I INSULATION: { FOUNDATION FLOORS WALLS CEILING 444X;N;AL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE STEPS STAIRS-CLEARANC & RAILS PLUMBING FIX E�/RELIEF VALVE INTERIOR TRIM PR VACY ,DOORS FINISHED FLO RS GARAGE FIRE RO�F :NG .DOOR CLOSE (S) SMOKE DE T ToR,5_1, - FINAL ELEC ICAL IN PECTION � FINAZ APP VAL OF C NSTRUCTION oIC TO xSs C/O OR fC A SIGNED CERTIFICAT : OF OCCUPANCY MUST BE OBTAINED FROM THE BU LDXNG DEPARTMENT BEFORE THESE PREMISES ARE CUPXE'D!- REMARKS: cT ARRIVE =t3D DEPART GO INSPECTOR TOWN OF UEENSBURY BUFLDXNG ND CODES DEPARfiME T GG�/ BAY S HAV LAND ROADS QUEENSBUR NEW YORK I28O / Q .000>7 TELEPHONE (51 8) 792-5832 ILDING INSPE R' S REPORT REQUEST INSPECTION ECEIVED NAME LOCATION DATE PERMST # APPROVED YES NO FOOTSNGfPXE MONOLITHIC R F S FOUNDATXON/D - OOFXNG BACAPTLIL APP A ROUGH PLUMBING FRAMING ELECTRICAL ROUG IN A XNSULTSON: FOUNDATION FLOORS WALLS CEXLSNG FINAL INSPECTS N: CHIMNEY HEX T ROOFING SIDING EXTERNAL HES/ EPS STAIRS-CLE NCE & RAILS j PLUMBING F XTURESf LIEF VALVE INTERIOR IM/PRIVA Y UOORS FXNXSHED RS GARAGE FI EPROOFING DOOR CLOS R (S) SMOKE DET TORS FFNAL ELEC XCAL XNSPEC ON F NAL APPR AL OF CONS T CTXf7N OIC TO I SS C/O OR C/C A SIGNED ERTIFICAPH OF UPANCY MUST BE OBTAINED ROM THE BUILDING DEPARTMENT BEFORE THESE PR ISES ARE OCCUPXE REMARKS: / r ARRIVE r t DEPART INSPECTOR TOWN jOF QUEENSBURY - ^ ' BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBUFtY. NEW YORK -.280k TELEPHONS (528) 792-5832 BUILDING INSPEC'MR' S REPORT it, EQUEST FOR INSPECTION RECEIVED NAME Awe LOCATION ems` PERMIT ## DATE: APPRC?VE]7 YES NO FOt?TINGI P-TERS mONOLITHIC FORMS FOUNDATION/DAMP OO+FING BACKFILL APPROVA ROUGH PLUMBING FRAMING ,ELECTRICAL ROUGH-I INSULATION. FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE 6 RAI _ PLUMBING FIXTURES/RELIEF ALVE INTERIOR TRIM/PRIVACY FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPEC SON �- FINAL APPROVAL OF CONS UCTION OK TO ISSUE C/o OR C/ � �----- A SIGNED CERTIFICATE F OCCUPANCY ST BE OBTAINED FROM THE BUI ING DEPARTM T BEFORE THESE PREMISES ARE O UPIED1 REMARKS: y / .l ARRIVE_, / IDEPARR` INSPECTOR TOW14 OE QUEENS WRY BUILDING AND COD DEPARTMENT BAY & HAVILAND R 280� QUEENSBURY, W ORK RK 1 32 TELEPHONE f BWILDI INSPEC ' S REPORT �t REQUEST R INSP CTION RE EIVED NAME LOCATION `Z Cam- RMIfi # DATE APPROVED YES NO FOOTINGIPXERS RMS MONOLITHIC POUR FOUNDATXON/DAMP� OO NG BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROVGH� N XNSULA ION. FOUNDATION FLOORS WALLS / CEILING �j rMAL I`NSPE7CTIOIN s ✓ CHIMNEY HEIGHT ,ROOFING SIDING TEPS EXTERNAL PORCH / RAILS STAIRS�CLEARAN PLUMBING FIX TtJ ES LIEF VALVE INTERIOR TRIM/ RXV CY DOORS_-�--�-� FINISHED FLOOR �- GARAC79 FIREPR IN � — DOOR CLOSERS SMOKE DETECTO SINSP TXON FINAL ELECTRXCA F CO RUCTION X N p NAL APPROVAL OROK TO ISSUE C/ BE A SIGNED CER'7TI HEA E LD NGCDEFARTMENT T BEFORE OBTAINED FROM THESE PREMISE ARE OCCLJ EDd .,, C. rx nE� T - INSPECTOR nwn o/ Queen36ury B LDING and ZONING DEPARTMENT Bay nd Haviland Road, -ID- I Box 98 ueensbury, New Y rk 12801 SEPTIC ISPOSAL SYS INSPECTION NAME LOCATION V DATE ` 2 / PERMIT 0w I -' 3�� SOIL TYPE - San - - Clay - Percolation Tes Requ ' ed? YES Percolation rat - Mi /Inch TYPE of SYSTEM : Absorption field , to al length Length of each tr n Depth of trenches Size of gravel SEEPAGE P ITS4Numbe of) Size- ft. X ft . Gravel size - PIPING : size Type Bldgo to tank Tank to list . box Dist. box to f iel /p ' Openings sealed? YE NO Partial LOCATION/SEPARAT ONS Foundation to to k ft. Foundation to a orpti fte Absorption to 1 line ft. Separation of p is ft. LOCATioN of SYS EM ON P PERTY (circle one) Front - Rear - ft side - Right side - CObU4UNTS LZ SYSTEM USE AP ROVED YES B it ing Ins ctor 01/86 and V1 ��p /I �frrwn o� �ieeens� urc� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R.D. 1 Box 98 Queensbury, New Yor 12801 SEPT DISPOSAL SYST INSPECTION NAME LOCATION DATE Ks / PERMIT rSLIT, TYPE - and - LoamPercoiatian est RequirPercolation to - Min/TYPE of SYST Absorption f! lde total Length of eac trench Depth of tren es ' Size of gravel e . SEEPAGE PITS4N er o Size- ft_ _ f Gravel size PIPING : Size Type Bldg . to tank /� Tank to dist_ � z Lost . box to fie d t _iZV 007y'r , Openings sealed? S o Partial ryolct LOCATION/SEPARATI Foundation to tan 'e�ft. Foundation to abso tion a Haft . Absorption to lot ne jAO ft . Separation of pits ft. LOCATION OF SYSTEM PROPERTY (circle one ) nt Rear - Lef ide - Right side - C ENTS : J r ow SYSTEM USE AP ROVED YES Buii ing in actor 01/86 and v1 MIDDLE DEPARTMENT ,,US)PECTIQN AGENCY, INC. July 16 , 1990 Y1. trt f CO that 1e0 flaquipment listed has been examined a approved as being in accord with the National Electrigol Code, applicable governmental, utility and Agency IiI 10 owner: Wesley C . Veysey accupanor: Retax Occupant: S ame Location., 101 Lower � L�,x� � .�,ve . Queensbutt"FIF lWa.rreas�arl,D�e erxrtra ins electrical oqulpmenf and Inslalfahon ins vac ley ln1: date It additional equipment Should be IMroduged or alterations made to y�-� .s. ,/,. /� [y } eMlslmg system Ihla L�tlrlcaNl &I be ou51 ono wood. and app4kcallcn for EQ1..flpnTiBnt_ 70 Ou Yle 4tf ;` 0 R&Oft. t+'�.I�l0* a 30 '�. p�t"3114pn shouldltesubm,uetlprq�]nt CO1hlb hIs . p i l of Ines ca ryficab shquW praitanf "me to ties electrical y I su merol ae earner 2 b Banc Gars Burner WirlUg � iegertl o.com pony)as evirNrrcegRtertillcation Of electric#1 aquipt enl eo Pro ad ��1 e 1 as epentiltd11" Controls ; 2 'Kent Pans � F Sob Murtha Applicant: 91 Mannix R.d� .r, , _ � � 'No. LQueensbury , NY 1280 - 16-436212/0 1 Poem No, 7W R1. 1 i1 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ,SAY & HAVxLAND ROADS QUEENSBURY, NEW YORK 12809, TELEPHONE (510 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME 5 �' LOCATION DATE 62< PERMIT # Q T ✓ \ APPROVED I YES NO FOOTING/PIERS`. MONOLITHIC POU1'� FORMS FOUNDATION/DAMP�PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ' PINSULATION: FOUNDATION FLOORS WALLS ,�£EZLING FINAL INSPECTZON: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST S _........... STAIRS-CLEARANCE & ILS PLUMBING FIXTURES/ LIEF VALVE_ INTERIOR TRIM/PRIV CY DOORS FINISHED FLOORS GARAGE FIREPROOF G DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL USPECTICYN FINAL APPROVAL O CONSTRUCTION OK TO ISSUE C/O R C/C� A SIGNED CERTI ICATE OF OCCUPANCY MUST BE OBTAINED FROM HE BUILDING DEPARTMENT BEFOR THESE PREMISE ARE OCCUPIEDL r REMARKS: ARRIVE f r LII DEPARM' l i INSPECTOR TOWN OF QUEENSBUR'Y BUILDING AND CODES DEPARTMENT BAY 6 HAVILAND RyORK DS 1280l�- QUEENSBURY. NEW S 8 ) 792-5$32 TELEPHONE C BU I ING INSPECTOR' S REPORT /� REQUEST FOR I PECTI N RECEIVED ! �-" NAME LCAOTION 2 PERMIT #� DATE APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR RMS FOUNDATION/DAMP- OOFING �-- BACKFILL APPROVAL - ROUGH PLUMBING 3 ,FRAMING ELECTRICAL ROUGH-I INSULATION: FOUNDATION FLOORS / WALLS CEILING FINAL INSPECTION: CH.rMNEY HEIGHT ROOFING sIDING --- EXTERNAL PORCHESIST S,--� STAIRS-CLEARANCE & ILS IEF VAL PLUMBING FIXTURESI INTERIOR TRIMIPRIV DOORS ,FINISHED FLOORS GARAGE FIREPROOFI G DOOR CLOSER (S) SMOKE DETECTORS _ FINAL. ELECTRICAL NSPEC IONS--� _FINAL APPROVAL O NS CTION . C3K TO ISSUE cIa R C/C �— A L'ZJTPANCY MUST BE A SIGNED CERTIF CATE TE OF DEPARTMENT BEFORE OBTAINED FROM THESE PREMISES ARE OCCUP DF REMARKS : paRRIVE -- DEPAR INSPECTOR TOWN OF Q UEENSBURY BUILDING AND CODES DEPARTMENT ,SAY & HAVILAND ROADS QUEENSBURY, NEW YORK 3280!& TELEPHONE ( 518) 792-58.32 BUILDING INSPECTOR' S REPORT REQUEST FO INSPECTION RECEIV NAME Y -- LOCATION DATE 0 FERMI #Y X APPROVED YES NO FOOTING/PIERS MONOLITHIC PO FORMS FOUNDATION,I D -PROOFING BACKFILL APF AL ROUGH PLUMBING A&FRAMING ELECTRICAL ROU -IN INSULATION. FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES FPS STAIRS-CLEARANCE RAILS PLUMBING FIXTURES RELIEF VALVE INTERIOR TRIM/P CY DOORS FINISHED FLOORS GARAGE FIREPROO DOOR CLOSERfS) SMOKE DETECTORS FINAL ELECTRICAL NSP CTION FINAL APPROVAL O CON RUCTION OK TO ISSUE C/O C/ A SIGNED CERTIF TE O OCCUPANCY MUST BE OBTAINED FROM T E BUILD NG DEPARTMENT BEFORE THESE PREMISES RE OCCPoet U' ED, ( { REMARKS , 4r dd`S �` ¢/� d t ,• �/ r , c PI ►� a ARRIVE i .INSPECTOR TOWN OF QUEENSBURY .BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804� TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR I PECTION RECEXVED� NAME LOCATION �r DA TE PERM # r!_ : 93- - APPROVED YES I NO FOOTING/PIERS MONOLITHIC POUR ORMS FOUNDATION/DAMP- OOFING BACKFILL APPROVA XROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ T PS STAIRS-CLEARANCE ILS PLUMBING FIXTURE R IEF VALVE INTERIOR TRIM/PR VAC DOORS FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSERS) SMOKE DETECTOR FINAL ELECTRICAL INSPEC ON FINAL APPROVAL O CONS? CT ION _ OK TO ISSUE C/O R C/C A SIGNED CERTI CATE OF CUPANCY MUST BE OBTAINED FROM HE BUT= DEPARTMENT BEFORE THESE PREMISE ARE OCCUPI Dt REMARKS: )ot ARRIVE DEPAR INSPECTOR TOWN OF QUEENSBURY ,�" BUILDING AND CODES DEPARTMENT BAY & HAVI AND ROADS QUEENSBURY, NEW YORK 128014 TELEPHONE 518) 792-5832 ILDING INSPECTOR' S REPORT REQUEST FOW NSPECTION RECEIVSD NAME we e c C ,LOCATION DATE PERMIT # { C — APPROVED YES I NO FOOTING/PIER MONOLITHIC PO R FORMS_ FOUNDAT.ION/D -PROOFING BACKFTLL APPRO AL ROUGH PLUMBING FRAMING ELECTRICAL ROUG -IN TNSULATTON: FOUNDATION F oOOR S WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORC S/ EPS STAIRS-CLEARA CE & RAILS _ PLUMBING FIX REST LIEF VALVE INTERIOR TRI /PRTVA Y DOORS FINISHED F RS GARAGE FIR ROOFING DOOR CLOSE (S) SMOKE DET TORS FINAL ELEC TCAL INSPEC ON FINAL APPR AL OF CONSTR CTTON w OK TO ISSU C/O OR C/C A SIGNED ERTIFICATE OF UPANCY MUST BE OBTAINED ROM THE BUILDIN DEPARTMENT BEFORE THESE P MISES ARE OCCUPY !' REMARK p,FtRIVE +�.. SPECTOR TOWN OF QUEENSBURY BUILDXNG AND CODE'S DEPARTMENT / BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 79.2-5832 BUILDING INSPECTOR' S REPORT REOUEST FOR t,NSPECTXON FIECEIVED NAME Vd S L[aCATXON '. r' DATE 5 ' jl PERMIT #_ APPROVED YES �h?TING/PXERS MONOLITHIC POUR FORMS FOUNDATXON/DAMP—PROOFING BACKFXLL APPROVAL ROUGH PLUMBING, FRAMING ELECTRICAL ROUGH—IN XNSULATXON: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHXMNEY HEIGHT ROOFXNG SIDXNG EXTERNAL PORCHES/ TEPS STAXRS—CLEARANCE R.AXLS PLUMBING FXXTURRELIEF VALVE INTERXOR TWXMIPP4VACY DOORS FINISHED FLOORS GARAGE FXREPROOFXNG DOOR CLOSERS) .SM(7KE DETECT'URS � _ ..� ..." FINAL SLECTRXCAL NSPECTION _FINAL APPROVAL O CC7NSTRUCTXON OK TO ISSUE: C/O R C/C A SXGNED CERTTFtRE TE OF OC UPANCY MUST BE OBTAXNED FROM TBUXLDING EPARTMENT BEFORE THESE PREMISES OCCUPIED REMARKS: 1 1 1 ARRIVE •r�. DEPAEiT �!'�� XNSPEICTOR •• • • �f s • • Y • 1 • v • % Y W r Y • • • • ' • • 4 • • 1V• � V • a q IV PLEASr- BEAR DOWN YOU ARE MAKING (4) PIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. --- National Headquarters 900 Haddon Ave„ Collingswood, N.J. 08108 APPLICANT­COMPLETES THIS SECTION / Date: ; City or Township a �r7-t'�✓ � �' County /+- state Location/Address �1 �/ 4n 0 / ( If Located in Rural Area - Please Attach Directions) Pole # Owner ' F Permit # Occupied As Building : Nev Old Occupant ] rFh +?f dr Work Area in Building Floor #, etc. ) : App. for: iringlE Service or : Ready for Inspection : Fee Remitted - S Cash [] Check Q M-O. Q Make Payable To : M-D- I.A- 50a 750- 100o S250 Y500 ir5n 2a00 .225a 2400 2750 300a Number of Rough Wiring Outlets Elect- Heat Switches Lighting Amp- Seance Surface Unit Dishwasher Flange 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, 1/2 1/12 1/10 1/8 1 1/6 1 1/4 1/3 1/2 3/41 2 1'+'x 2 1 3 5 1 7Yz 1 10 1 15 1 211 1 25 30 40 50 75 100 Mark Number of Each Size App I i cam's Signature License # Permit # T/A Utility : Appficant's Address: (NAME) OFFICE LOCATION (City) (State) (Zip) Service Request # Phone # Electrician : 6 a DATE RECEIVED: DATE INSPECTED : Correct Location : Same as Above © or: Red Notice Label Rough Wiring Outiets 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 1/8 1 1/6 1 1/4 1 1/3 112 3/4 11 1 1 1'/z 1 2 3 5 744 1Ck 15 2fl 25 3o a0 Sa 7S 100 Mark Number of Each Size Elect. Heal 5o0 750 l000 1250 1500 1 ]50 2000 2250 250a 2150 300a CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTir-jeo BATE CORRECT FEE PAID Q RW Progress : Inc. LKD Contractor 0 CFT Violation : Work Comp. Q Inc. Q CASH Q L/A Owner LD LIA Fee CH K # 0 Due Q IPA Municipal MO # INVApp # Date : Other Side Q Utility Applicant 0 Owner Cut in Card Q Temp 4' Date I`� Final # Date INSPECTORS SIGNATURE