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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 2 19 8 9
I px-- 1 - r2)
This is to certify that work requested'to be done as shown by Permit No. 88-846
has been completed.
This structure may be occupied as a One Family Dwelling
Location Lot 73 ivneswood ha -PI_
Owner Dick Vale
By Order Town Board
TOWN OF QUEENSBURY
•
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Building & Zoning Inspector
j- BUILDING PERMIT y
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TOWN OF QUEENSBURY , b
No. 88-846
WARREN COUNTY, NEW YORK °
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PERMISSION is hereby granted to Dick Vale 1
oo
1
OWNER of property located at Lot 70 Tyneswood Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One Family 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.
1. OWNER'S Address is
1128 Rugby Road
Schenectady, New York 12308 -
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2. CONTRACTOR or BUI LDER'S Name t=i
Bill Boulton t:J
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3. CONTRACTOR or BUILDER'S Address
2808 Troy Road
Schenectady, New York 12309
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( I Masonry ( I Steel ( ) a
7. PLANS and Specifications
No. 60' x 33' One family dwelling as per plot plan, specifications, and
application submitted, Including septic and attached two car garage.
•
8. Proposed Use -
One Family Dwelling
0
0
m
25.00 C/O 1-1
$ 299.00 PERMIT FEE PAID -THIS PERMIT EXPIRES June 1 1989 0
I-i•
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the �C
town of Queensbury before the expiration date.)
tJ
Dated at the Town of Queensbur�t 4th Day of November �g88 1-,
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SIGNED BY �����I�e��'rF' ��/ for the Town of Queensbury oQ
Building and Zonmdlnspector
_ d
TC1IVN:,OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT
# ,,
1 i
;r ,, Reviewed [3v -_• . ..
` z � `�
4 i : f Fee Paid J i
C-:U{i.DING & CODE DEBT.
BUILDING AND CODES DEPARTMENT Date Izdued ��� . G7�
BAY and t1AVILAND ROADS RD 1 Box 98 // f 'G`
Puma No. •X -- �0---/ '�v �'
PUEENSBURY,NEW YORK 12804 �,. �/ �1 `G ��D�7
Tel . (518) 732-5832 Ext •204
.. * * * * * * :'* * 1 * * * * * * * * * * * * * * * * * '1, * * * * * * * * `k *
A PERMIT MUST BI} OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicable spaces on this application must be completed and the
sic*uature of the applicant must appear on the reverse side of . this sheet .
* 'lc * * * * * * * * * * * * * * * * * * * * * * * * * * * i. * * * * * *
The owner of this property is : Dic41 1/4 l
P . O. Address // ,q R (AG-By 721� Sekenec±c.�� /UV /2 °$ TEL. -R7O/-�Iy0�?
Property location npswrrld (0), eeF-)S bu"cV1 1,0„rre_✓\ ('nuyr.)r- TAX MAP NO./ai / O / T9/
Has there been any •split of this property since October 1, 1988? /, 47n
yes no
If yes , Planning Board Review is necessary .
, �`
SUBDIVISION NAME , IF APPLICABLE ��/{ E=�` �'- ��-c� f�1/E'.lhptT"> eAl- LOT NO . '70
The person responsible for supervision of work as regards Building Codes is : /
l Il � j(A fro ---C)"8 lrny R D Sc. -UC/}V Al / c/ NO . -3�v,SV�L
NAME / �(_ J, P .O . ADDRESS
Name of builder l J C.C'Nf7'i L Address Tel
Name of Plumber . Address Tel
Name of Mason Address Tel
NATURE OF PROPOSED l.ORK: , ZONING INFORMATION (Office use only)
Construction of a new building * ZONING DESIGNATION OF PROPERTY 3/Z i. —
_Addition to a building * PERMITTED PRINCIPAL, PERMITTED ACCESSORY
Alteration to a building * '
(no change to exterior dimensions)
* REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Other work (descr.ib ) * SITE PLAN REVIEW # APPROVED DATE
kr
k VARIANCE # APPROVED DATE
a OSS AREA OF . PROPOSED, STRUCTURE '
Floortor //�/D S1 �• Jr sq 'ft . * Remarks:
•
1SI *
Floor IUD ` sq f t . 4. COMPLETE INFORMATION REQUIRED BELOW.
:Z-116(-LiON G/9/1UJ/: * S•, `-0 ft X /,,j.5 ft.
sq fL- . .3i«- of property /'j
Other Floors * Existing buildling(s) Size ft X ft.
(not cellar or basement)f� *
TOTAL FLOOR AREAq� sq ft . * Existing building (s) Use
size of new structure 60 ft X3 ,,ft *
Foundation-pier/slab/crawl/partial/ -u1 . * Proposed building, d" stance from property ine
No. of stories ((habitablebit(habitable1 Side yards
(circle one) * Front �ft Rear yard �ft
space) * yard � 1�.-
f t
� f t and •
Height (grade' to ridge) `1 �,
ft. * If on corner, se back from side street ft
if residential, no. of families 1
No. of rooms(excluding baths) * •
OCCUPANCY 1NFORMATICN
No. of bedrooms 7 - , PR�Y BUILDING -
No. of bathrooms a Ii One. family dwelling
Prirnary heating system - ,"Z0 ve Two family dwelling
Type of fuel', rr,r 0 + I . * Multiple dwelling / Number of units
No. of fireplaces •to bu installed I • * —
Permanent occupancy
Will a woos! stove be installed? /V (7 —
'Transient occupancy
Central Air cdndition:i.ng? veS _ * Business
BUILDING STYLE, PRIMARY STRUCTURE ,' Industrial
Other •
': Ranch Contemporary Lou cabin * If addition, what will use be?
- t:aised ranch Mansion Duplex
Split level Old style Bungalow *
Cape Cod Cottage Otter * ACCESSORY BUILDING-
Colonialt Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * 1/ tached.garage/one car/ two car/ _ cap'
* * * * * * * * * * * * a * * * * * ' Private' storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE "!
G�l/ OF THIS SHEET, TO R• COMPLETE'
Form BPA 10/88 vl L�� �'" �, �✓ - -, .- -, `
•
LbU1LDINC PEIu•!IT APPLICi,TION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame,
fire safe,etc. /OD / Fr l'inP.
will any second-hand or ungraded lumber be used? If so, for what? /( O
` Thickne::s � b{�-S
Foundation wall material <ok(«t� 7 e N
Depth of foundation below grade (to bottom of footing) Floor sq. $roo�'' M!MI sq ft
Will there be a cellar? XF) Heated or unheated? ea7�e ,ace? Ain
will there be a basemen-e y.g< Will any portion be used as living st
(If so, what portion? sq.ft. - - Type of use?
�e of roof - slo ed/flat/shed/other In7nl Material•.of roof Tr k55 J- Ck K /e ZP`1 7r�5 ����
'1'YI = S // "o.c. length R ft. �w -TNGN- PLY
S
P "X '� spacing /�(
Joiswood r bee s) "X /D " spacing1(2__''o•c• spanT ft. •
Joists(floor beano,) 1st. floor 2 -�-" spacing /( span�ft.
Joists (floor beams) 2nd. floor eL ��X /b "o.c. , "o.c. ft.
' Roof rafters � X Ni.„
Overlays(ceiling beams) :� X /0 spacing /(o •
" spacing Jko o.c. span ft•
"o.c, span_; ft.
Roof trusses (pre-engineered) s acing
Exterior wall finish l,300rl Sic <<ny
Of what material? U
Interior wall finish roc.
If a garage is to be attached, describe materials
to be
used6YeS f rWFIREALS SEPARATION:
EPAp I :
11y oL,,^ ,. R°''�� 5 `� c/o-''r` � If so will a Fire:-rated •
Is there to be an opening between L arage and dwelling. es
door, enclosure, and self-closing device be provided? ft.
� Height above roof ') :: -
Will a flue-lined chimney be installed? �Depth of chimney foundation below grade_ft.
• Depth of fireplace hearth 1 ft. in. Gar (
Water supply - Municipal or private well •SEPTIC SYSTEM _ Distance from ANY private well(ineluding adjoining pro artier I� (:+tt•
P .�
(A separate application is necessary for any repair or new installation of septic system)
DECLARATION
To the best of my knowledge and belief the statements contained
in thistogether with the plans and specifications submitted, are a true and
completeap statateaeion, e
emer►t of all proposed work
bORDINANCL,t)arddallescro har premises
perta�ninythat
toall
provisions of the BUILDING CODE, THE: ZONING
the proposed work shall be complied with, whether specified or not, and that such work is
authorized by the owner. •
Signature /1/..1
(1: '
o ner' agent arcn ct,contractor
C Owner fi ~ • `> G- G )
*
* „*`,,
* A *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF TIIC 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: • .
. , LiV1N &-
1 .. Gross floor area i ._4p .4, • '3ot-+ ,. Tap ��. 4
Ltt/lN �
2 . Type of heat Jr/_, ► .; a � L
3 . Is the building mechanically cooled? /ktr Cnr‘caG4-1.0nect,
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 •
B. Under 16% Only , 7 . • •
1. R value of roof and floors expbsed to ambient conditions_
2-39 . 1
2 . R value of exterior walls , i .
3 . R value of glazed area I nn —Z�
9 . R value of doors (Z,-..- •
-.A - -a: N A
5. . R value of floors over unheated spaces -.: 101
6. R value of slab .edge insulation - unheated slab j`- s .
7 . R value of slab insulation - heated. slab All /4
- . 8. R value of heated basement/cellar, walls (above grade) 2-1/
9. R value of heated basement/cellar walls (below grade) __- 11
10. , Type of insulation (>1r. •' 3• /. ': 1 &I n LS S . �� 64:1-7�
'C. Controls ` 4
1. Thermostat maximum heat' setting Z5()
D. Duct- Systems • ' -
1 .., Is duct system installed in unheated spaces? YES N0
a. If YES , R value of duct installation
•• b. R value of duct in other areas! • "�
7 ipinq' Insulation • ) •
1.- Size of hot water-'or - cooling-carrying agent_pip,
. 2 . R value of pipe insulation •
i Service Water Heating \
—?
1. Performance efficiency
2 . Temperature control setting maximum •
• •
q:.) For ' Swimming Pool Only • r •
1. Maximum heating '! +
Telephone No. 4J ) `)
7-.c -S ice/ :C /4.,,. - p, L
/S1g) -1 L1 - 1 02. (applicant ' s signature)
1 t
•
TOWN OF QUEENSBURY
APPLICATION FOR
; SEPTIC DISPOSAL PERMIT
ins >�`r
ar` ►t �para;.
DATE Vie;- 0,1-)0. - /7
LOCATION OF'PROPERTY FOR INSTALLATION *Ty e<1 4 ynod �e-Ve !h F ne-n—r
Owner's Name: ���e_ k vccIe Telephone: '7(.1— q4/o Cwe.rve4 GOuw}yr
Address: l l 26 A L1,G• (R D SQ.jue,r1.eGI��I /V. V 1 2 oq
Installer's Name: _Dr f / E ock, J-1-c ;r\ Telephone: 45/?)
Number of bedrooms (residential only) 1
Total daily flow (compute @ 150 gal per bedroom) •
Topography: circle one: Fla Rolling Steep slope % of slope
Soil Nature: circle one: San Loam Clay Other / Depth: feet
Ground Water: At what depth? ( rV feet .
Bedrock or Impervious Material: At what depth? feet
oe`� 1�
Percolation test: circle one: not required (require)//rate .cmin.inch.
Domestic water supply: circle one: unicipal Well Other
If domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank /60(S gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 1;70 ' feet / Total system length c2 3° feet
ti
SEEPAGE PIT(S).: Number of / Size each feet by feet
Size of stone to be used # /Depth or Thickness feet
I have read the regulation on the reverse side of this sheet and agree
to abide by these and all requirements of the Town of Queensbury Sanitary
Sewage Disposal Ordinance.
Signature of responsible person: /, 1,i ��//C/jv�1, �/G�y� k„�� %�,,
VL _ I
Date: /0/7 /? 9
(OVER)
{ -)
•
Septic System Inspections:
A. All 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,
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 installa-
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks: - ,'
- - YOU ARE HEREBY REQUESTED TO ' -
- INSPECT AND ISSUE CERTIFICATES ,-
' ' _ FOR THE FOLLOWING'ELECTRICAL -
- ' - - , - - - - - EQUIPMENT TO BE INSTALLED BY -
- THE UNDERSIGNED "
TEMP. _
CITY OR VILLAGE /7 ..- _-r - TOWNSHIP,- . COUNTY ) ,
'—J .f.�r »i`. •� t gr' '1 , • )re f� tjl"... ,-J
STREET AND NO.OR ROAD . . POLE NUMBER
- / 31).f.d Pi:- r\ "I ''t.h'7 ¢ . _
BETWEEN WHAT TWO fCRROS!�S STREETS IS PREMISES LOCATED?...,-,,.. .}�. - SECTION,. BLOCK • LOT -`
i f O. -f JY c+iJ rf„ 4,I' ,, v-,0' �' .;) 0 zI ', • _ . �--,
OCCUPANT'S NAME .r. ." ✓}
- '�'�"' BUILDING OCCUPANCY ...*." �
. %/ :.l,R'_ -;-;e,,,r'''¢' - j/ .i--�,g f- ,;. r .
_ HOME TELE ONE NUMBER .
OWNER'S NAME AND ADDRESS��� t,. -_ - .�A 1 _ � ,.�-: - - � J 77 ,-� �Y� I! "1 � , -
-.fji i J r • t-.,.r' 1 i 2-"/ y�:V ei,� 1_ /.. I/i i '�y`
CURRENT SUPPLIED BY FROM THEIR- r - _ OFFICE 'C • }/ f', - WORK TELEPHONE NUMBER -
rqq K 'f'(,-? ' Y -fr• Q i /` ,.
BUILDING IS _ -
- - I
NEW w - : OLD❑ - WORK IS NEW ADDITIONAL❑ - DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT.WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH OFFICE USE
Loca- Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY
tion Wall Aetech's Type Each Each Gauge INSPECTION
Ceiling Wall R tack's Switch Pendant Bracket, No. T e No. Watts ,,,
OUT-
SIDE . . . . -
SUB- . . . •
BASE _ • . -
BASE-• MENT- - .
1st - • . - . . ,
FL.
- . 2nd ..
FL. .
3rd .
FL. - - - . . . - ,
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT_SET FORTH ABOVE: - ' ,,t +.f-
- F i`#< • / ♦ ,„) . <.r•.l�,,ii.-4,-' f 4 i C t. I u•7-yi4' ..
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE-ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. .
SIZE OF MAINS i - - ppc FEEDERS.- - - ELECTRIC SIGNS/LAMPS - L TOTAL WATTS .
�.<. "'. Y i-6. 1 ':;- e' may. '-?Pk.-' -
CHARACTEROFWORK ��/ - 1J EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
_' •' ❑ CONCEALED.. '--
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) - - CAPACITY
SERVICE ENTERS BUILDING - . . - � MANUFACTURER OF SIGN - . - - - ' . , •
, ' ❑ OVERHEAD ,- • .00UNDERGROUND . . _ -.
• DATE INSPECTION REQUESTED/_,.' ON(OR ASNEAR POSSIBLE) - IDENTIFICATION NUMBERMUST ENTER S. I I I I I I
eft): / 9 ti 9 ° Fr t ,.
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS.
NAME OF APPLICANT -• - -DATE OF APPLICATION SIGNATURE OF APPLICANT -
STREET ADDRESS_ .: - _ . ^ - - TELEPHONE NO.
_ . - - -
CITY OR POST OFFICE •- _ • - ZIP CODE LICENSE NO.WHEN APPLICABLE•
c
• ❑ 85 John Street El 41 State"Street„ • ❑ 584 Delaware Avenue .❑ 217 Lake Avenue ``- ❑° 02 Arterial Road
NEW YORK,NY 10038 , ,.ALBANY,NY 12207 ' BUFFALO,NY 14202 -' . ROCHESTER;,,NY7.14608 " SYRACUSE;NY 13206
• Tul FJP W/ vnPK RnARfl nF FIRF I INnFRIVRITERS •
•
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /2 7
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280I.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ig-e t l/a-A-
LOCATION r 5 G'T 7(2 7(7714f2 L i 2l9-e52-Z-
DATE 6 - v l PE IT # (F-116
1 APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
LI-NS ULATION: \
L.FOONDATION \ X`
FLOORS \
WALLS *,
CEILING '4
�hINAL INSPECTION: 6Se '
CHIMNEY HEIGHT \
ROOFING
SIDING \
EXTERNAL PORCHES/STEPS %
STAIRS-CLEARANCE & RAILS \
PLUMBING FIXTURES/RELIEF VAZVE
INTERIOR TRIM/PRIVACY DOORS \
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) \
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION i
FINAL APPROVAL OF CONSTRUCTION \l
1
A SIGNED CERTIFICATE OF OCCUPANCY MUST\BE
OBTAINED FROM THE BUILDING DEPARTMENT B FORE
THESE PREMISES ARE OCCUPIED! \
1
REMARKS: //
V i
f /
INSPECTOR
OWNyOF 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 � 72 1--
LOCATION 4 2> ' c //jAya,a4.A.,/ e„.,
DATE (S°-/ PE MIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
)(FOUNDATION
FLOORS
WALLS
ILING
(/ INAL INSPECTION: AG _�
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS T
STAIRS-CLEARANCE & RAILS °°J
PLUMBING FIXTURES/RELIEF VALVE /'
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
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:
a PTI L PO& /4LD -dNI
IE o , &K_ - EA5L-r4
IA.)5 u ri 0,4,/ OA))T.,
(764-
4cLi
.....
INSPECT R
C ;
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
SPECTION RECEIVED
NAME ,J' `„l�C ,
LOCATION / G l 70 •/ z &2144 /149-..tc---- �
DATE ,477:__goT1 PERMIT # le-'e<7/6
• APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION: '
CHIMNEY HEIGHT
ROOFING •
SIDING --
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS \
PLUMBING FIXTURES/RELIEF VALUE
INTERIOR TRIM/PRIVACY DOORS \ �f
FINISHED FLOORS AAD ekt4 4?(--
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS . L/
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: �/' /) ����f� ' 1
t/l I'- MJcLo ® /
tS1- FIA-,1j Lin- C' s A-J,zs
Cep (4if))
L_
pro poop-AA) S 'tI S -
P cts-
5\6.A_/__5--&e2 c yl
Aar INCT/ ,
INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THE NEW YORKBOARD OF FIRE UNDERWRITERS
APPLICATION NO.f2 3/ -7
70 i}'1vrli9-wlz' '- i
LOCATION
DATE INSPECTOR
FORM IBD(REV.1'86)
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804_
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR SPECTIO RECEIVED1
NAME --- GC' 61- % n
r e
LOCATION "Yd
DATE , 3 5--(f PERMIT # ;
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—'N
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S'EPS
STAIRS—CLEARANCE ; RAIL.
PLUMBING FIXTURE./RELIE VALVE
INTERIOR TRIM/P•IVACY DO•'S
FINISHED FLOG
GARAGE FIREP'•.FING
DOOR CLOSER(.)
SMOKE DETEC ORS
FINAL ELECTR CAL INSPECTION
FINAL APPRO ,L OF CONSTRUCTION '
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801'
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIO RECEIVED 3 / f�
NAME _ s i,C _ • ,
LOCATION I D
DATE 3I /5 �Q PERMIT #/ / > APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN '
INSULATION:
FOUNDATION
FLOORS
.t,t
WALLS
CEILING ,
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING •
SIDING
EXTERNAL PORCHES/STEPS,,
STAIRS—CLEARANCEA RAILS
PLUMBING FIXTURES/RELIEFVALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DEXECTORS
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:
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INSPECTOR
TOWN OF QUEENSBURY --- T
BUILDING AND CODES DEPARTMENT � ( C
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832 •
BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED :5 41E1
NAME (_A7/O (LJ ) S� �/f
LOCATION }- / /.-�%/Lf9 C C) �l�cXC�
DATE ' Jr�) 7 PERMIT # O ill.
l APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
VROUGH PLUMBING
FRAMING 1. 1/
ELECTRICAL ROUGH-IN ' .77
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS ,
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
t
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES AAIRE OCCUPIED!
REMARKS: l -,
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INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 0,24 V�L
LOCATION ,)C0-
n
DATE l k/X L! 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
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
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
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: /�
i) Tw;i!Y�VfJ�: Ic4r 3 £ E� '
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INSFECTOR
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TOWN OF QUEENSBURY /2 •(1- %1 BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ,�/�
NAME �7, � //lam
LOCATION f4-9,/2 7o /2 ,&e. 4,,,,,T-c, ,,e
DATE , �J� PERMIT # 0-Fr- O y(�
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL /"
ROUGH PLUMBING
)(FRAMING, ;// j
ELECTRICAL ROUGH-IN
)(INSULATION:
FOUNDATION\
FLOORS `, / 1
WALLS
CEILING K_-39
FINAL INSPECTION: /
CHIMNEY HEIGHT '
ROOFING
SIDING
-," • 'EaRRNAL P_?JRCHES/STEPS
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
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE -
THESE PREMISES ARE OCCUPIED!' •
REMARKS:
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INSPECTOR
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION ..
NAME :Piz A //,_,G _,
LOCATION // ?(2 //G,f7z 1 d
DATE/CW / PERMIT NO. 4
SOIL TYPE -(Sand) - Loam - Clay/- _�
Percolation''Test Required? YES -CIiT9
Percolation rate - Min/Inch / '
TYPE of SYSTEM: / ...,..1.
Absorption field, total length 4.10
Length of\each. trench e
Depth of tenches /f /
Size of gra el j1 / •
SEEPAGE PITS{Number of)
Size- ft\ X _ ft/
Gravel size ,\
PIPING: Size Ty e
Bldg. to tank • `f" ^6/41_.
Tank to dist. b.x _L' 4r
Dist. box to fie 9/pit `l �'�'
Openings sealed? (YES j NO Partial
LOCATION/SEPA ION' :
Foundation to tank 1,(J ft.
Foundation to absorpt on #72 ft.
Absorption t lot line )",) ft.
Separation c(f pits i/ ft.
LOCATION OT�SYSTEM ON PRS-ERTY(circle one)
Front - ear - Left side - Right side -
COMMENTS, -- .
7())94/(1-ad2/M , /0'(' IZ"64-e---
li: 1044-' 1L'ilt L---))/Ld'kf,t e",:e...i 0 •
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SYSTEM USE APPROVEDv- V.,(_e_ed` ',,
t NO
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Bui d'ng Inspector •
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 FOR INS E TIO RECEIVED
NAME _ V (
LOCATION 4p'/ 7(� -Tr/P a (Y
DATE f`/ ZZ- RMIT #
I/ APPROVED'
YES NO
FOOTING/PIERS /
MONOLITHI POUR FORMS
FOUNDATION DAMP-PROOFING /
ACKFILL AP ROVAL
ROUGH PLUMBI G
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION: \
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING •
SIDING
EXTERNAL PORC S/STEPS
STAIRS-CLEARA CE & RAILS
PLUMBING FIXTURES/RELIEF VA VE
INTERIOR TR M/PRIVACY DOORS
FINISHED F'IORS
GARAGE FI'EPROOFING
DOOR CLO' R(S)
SMOKE D ECTORS
FINAL ELE TRICAL INSPECTION
FINAL AP"ROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832 II1
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /V " 2]- 7
NAME _ ,U,f-Li
LOCATION ;- 7O
DATE J/- 2 Z- Y/ PERMIT # $ 4 yro
APPROVED
YES NO
FOOTING/PIERS \
MONOLITHIC POUR FORMS
`/FOUNDATION/DAMP-PROOFING f
BACKFILL APPROVAL \
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN \
INSULATION: �\
FOUNDATION
FLOORS
WALLS
CEILING \
FINAL INSPECTION: \
CHIMNEY HEIGHT
ROOFING \
SIDING
EXTERNAL PORCHES/ST PS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES RELIEF VALVE
INTERIOR TRIM/PR VACY DOORS
FINISHED FLOORS
GARAGE FIREPR FING
DOOR CLOSER( )
SMOKE DETEC ORS
FINAL ELECTR CAL INSPECTION
FINAL APPR AL OF CONSTRUCTION
A SIGNE,ICERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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INSPECTOR
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW PORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED // If
NAME -- � /
LOCATION U)e>C /A) �e)
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d'
DATE / /Q PERMIT V 6
;APPROVED
YES _NO
£-DOTING/PIERS / v
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMB'
FRAMING
ELECTRICAL ROUG -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING / \
EXTERNAL PORCHES/STEP.
STAIRS-CLEARANCE & •AILS
PLUMBING FIXTURES/RD IEF VAL E
INTERIOR TRIM/PRIVA Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFI G
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION '`
FINAL APPROVAL OF CONSTRUCTION
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A SIGNED CERTIFI/CATE OF OCCUPANCY MUST BE
OBTAINED FROM T/iE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO INSPECTION REC IVELJ
4
NAME /
LOCATION
DATE PERMIT # y
.p
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC PO R FORMS
FOUNDATION/D P-PROOFING
BACKFILL APPRO AL
ROUGH PLUMBING
FRAMING \ '
ELECTRICAL ROUGH=IN
INSULATION:
FOUNDATION
FLOORS N
WALLS
CEILING 1t
FINAL INSPECTION: \ j'
CHIMNEY HEIGHT
ROOFING ;\
SIDING ,f\
EXTERNAL PORCHES/STEP
STAIRS-CLEARANCE &IRAIILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DO,OORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) I '1
SMOKE DETECTORS / �.
FINAL ELECTRICAL INSPECTION 'i.
FINAL APPROVAL OF CONSTRUCTION
FpF
1 .
A SIGNED CERTIFICATE OF OCCUPANCYtiMUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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INSPECTOR