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1989-354 f CERTIFICATE 01 OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK i i i We April 27 19 90 f This is to csrti fy that work requested to be dons as shown by Permit No. 89-354 i has been completed. i TIM* structure =nay be occupied as a single Fam-i l Y Dwe I l iing Location L nt 29 Pinion Pine address of 6 Pinion Pine l f By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement fI I I —_ ... - - . .. . _._ �_..... ..... .-. .. .........- --- . - .. - -- - - _..-- ........__... .... - - - .. . Y s BUILDING PERMIT TOWN OF +QUEENSBURY 3 No. _ $+g- 354 WARREN COUNTY, NEW YORK l PERMISSION is hereby granted to Bryan Brownyard OWNER of property located at 29 Pinion Pine Street, Road or Ave. in the Town of Queensbury, To Construct or place a Single Family Duel l i ng at the above location in accordance to application together with plot plans and other information hereto filed and qc approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t_ OWNER'S Address is 29 Windsor Avenue � Bright Water , N. Y . 11718 2. CONTRACTOR or BUILDER 'S Name Paul Potvin 3. CONTRACTOR or BUILDER 'S Address. 219 Scotch Bush Road Burnt Hills , N . Y . 12027 4. ARCHITECT'S Name r.l. 5. ARCHITECT'S Address CD 1'D B. TYPE of Construction — (Please Indicate by X) ( ) Wood Frame ( ) Masonry ( ) steel ( } 7. PLANS and Specifications No. 2+6 ' x 50 ' Single Family Two story dwelling as per plot plan , specifications . and application , including septic ,attached two car garage , sn 8. Proposed Use t� Single Family Dwelling o 1 c/o Incl . $ 225. Oo PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 19 89 164 (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.) �.r Dated at the Town of Queensbury this 30i'h Daffy of _- May i9 89 t�ZF7� � SIGNED BY for the Town of Queensbury uilding and Zoning Inspector TOWN OF � CJEENSBL7PY APPLICATION FOR BUILDING AND ZONING PER141T Pate- Pc V Leued r'rra i7 Rev-Lewed OP Fee Po id j2- 2 BUILDING AND CODES u1 :1 'N2IP+Ft�.i BAY Date 7bdued �/ 1999 nUEENSBVRYI, O N % Y D 0jR.K 12804 9a CQ peAm-i t No . r� I � Tel , (518) 792-5832 Exr -2U4 It w A PE-I MIT tgtUS'{' 114 OBTAINED UEFORE BEGINNING CONSTRUCTION * NO 1NSPFCT16NS - WILL BE MADE UNTIL APPLICAMT TLAS RECEIVED A VALID BUILDINC PERMIT . All applicable spaces on this application must be cipmpleted and the s i vUa tune of the applicant Plust appear on the reverse sick of this sheet . x is is 91 * lk k '� .tic ak * * k '7k yc Yc nt is yc 1' ite owner of this property is : 7� "7 ,f J� ' vv' /L'' '� P . O . Address t1 f° roperty location TAX MAP Ilas there been any split or this property since October le 198f3 ? yes Oslo if yes , Planning Board review is necessary . t uL3DIVISION WAMC , IF APPLICABLE LOT NO . 411he person responsible for r. u�vlirv } sion of worLL as regards Building Codes is NAKE F . CI . ADDRESS I'VEL . NCI . [Jame of builder %%Sc 4 :i' ,% v i"r-..• Address > �wTo 1 �r °! `I "{ 09 1Jalrio o f P l umber /YI G*"s'° ra C:. Am T•dd r c S s� J'�7 7- � �°'` T+E:I� '7 Name of Mason = 1 Al NATURE OF PROPQ!]I:p L.]l.F. : ZONING INFORMATION ( Urtico use an19 ) con :icructiorl of a new kluildi177 ' GfiNI11G DFSIClJA'fION OF P1tOI7>rRTY Addition to a builditic) ; PERMITTED PRINCIPAL. PERMITTED ACCESSORY Alteration to :a 1:uilding + ' � ( ,to c11an1) e to excL� rior climon :sionsl ' REVIEW REQUIRED - PL?%NNING BOARD ZONING OOARp Ocllar work: {ele crila�e ) " SITE PLAN REVIEW # APPROVED DATE c.liO : S AREA OF YROPOSrO, STRUCTURE '" VARIANCE kf APPROVED DATE 1st floor ,. '' sq ft . * Remarks . 2 n d Floor �/ ' sq f t . COl1i'1.1 'i'l: IFdI'Df.MA'!'i4N jouQU I1cb:D UL-'LULJ . 3iza of prokae rty i f t x Other ,Floors — -- � sq ft . "iitinq builJillc) ( Jl 5i_4m ( not cellar or bclsQuienr ) TOTAL FLOOR AR CA�/- Lia 0 sq f t . 1 xiat inq Davila i.nci tt.0 U ±e _ - - :.` i4e or nQw ::truCtur. r ft v f t ' Y•oul.daclon• pier/slat/crawl parc !" / full 1'rapo::cd building , di.:: canca from prolaurty line (circle one ) ; ft Na . of stories (k1:alaic"- ble space) + Fide yards Z v� ft and yard ,y S � re Il.:i 17C ( c radu Co ri.dc .. ) � fc , �. Side y:1rd:: _r� �_ � tt 9 1 1 + - # If on cornar, :�e: tbuck from side: I t ra: :WartLiale no . car 1 :i11Y111C `i No , of roomai ( excluding 1):. tha1 " QCCL3PRNI:Y IfJFD[J�4A73QN lto . of bedrooms 3 + PRIMARY LsUILDINC No4 of b:atftroomt; - I pno faluily dwelling l•riuury 1leatiauJ Sy cunt � ,+ _ .�3 : ' `,W + Irwo falaLly dwul. l. i.ng Typ4j of fuel f - • � � Multiple dwcallincj / Number of units Id+7 . a£ fireplace;: to iaa i.n;:talll:cl r 1'Crsnan+c:l7t occ:upaslcy will :+ wuucl :4ove be ir1 bG;. 11ud? .f*..1 m + •1'rarlx iur1C CYI:CuLaarlcry C:.:ncrul Air CO1& -Ltic,nin9:'�-- .^ '-yl Y auslnuus r BU1LD1NC STYLC, P12ImARY STRUCTUIZE ] ndustrial Othar 1: 111ai7 Cont. nlaor .ry LC,n cal3in + It uddirrion , wllut will uue b.:? swi �ud ranch ra.:ansicll Duls�. .::x "' :llalit level old style isullclalow C"p4j Cod. C:ottarle C1t k4� r ' I.CC:L SSCIItY i3UTLi3I1lG- Cr.�lrani:iT�"7 uow► •t'ow11 House " _Lletachad y ►rzrr]G�'Dnc car/ t ca c;,acf car -- L CIRCLL•: ONE PLEA E f '" ,sue* _#ltta.:hecl e�:ariugl /oela2 c irf tw r arf�� Ctes' ♦ • a a ■ w w * ■ a a ■ a A w w w '► iarivat+: .i°itorage 11uil4ing k: STTMATEA MAR1CP411 VALUE O1" • �Otklar_ C0N :;• KUC'1• ION S 1. INr-6orI.3A•TToN on ourL DINC SPf:cxprcA`1`TONs . ON REVERSE Slot: OF TUTS mLmTo To 5C COAt]PLCTCD1 Form DPA 10/88 v1 BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand o-r---'rnT9ry'� lumber be used? If so , for what? Foundation wall material r ° / L e ) C ] Thickness Depth of foundation below grade (to bottom o, footing ) �," ^ . will there be a cellar ? : Heated or unheated?. Floor sq. footage ^z ,3 sq ft Will there be a basement? Will any portion be used as living space? fps {y ( If so , what portion? sq . ft . - - Type of use? Type of roof - 3ope flat/shed/other Material of roof . Size , wood stud " X� _ " spacings "o . c . length y ft . Joists ( floor beams ) Ist . floor �T' "X�T" spacing f , "o . c . span t t t ft yL-f Joists ( floor beams ) 2nd . floorM „ 7{ r , " 7 spacing� � "o _ c , span--- Overlays ( ceiling beams ) . spa ncpa g " ._---- o . c , span ft . Roof wafters - - "X " spacing o , c , span ft . Rif ' . uss� s ILDre-engineered) spacing " o . c . span ft . _-Exterior-ta�all finish s' J f r"� ,i` Of what material? I t J" f "' Interior wall finish t c m If a garage is to be attached , describe materials to be used for FIRE SEPARATION : ' r� �. �. Is there t6y be an opening between garage and dwelling?%- If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? 1r. Freight above Of ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in . Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of sep ' c s stern) D E C L A R A T I O N To the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. Signature Owner , owner's agent, arch ect, contractor ok SPECIAL CONDITIONS OF THE PERMIT : By---------------------------------- ---- TOWN OF QUEENSBURY WARREN COUNTY . NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following : 14 Gross floor area Z l 2 , Type of heat. s_ 7/00-"� ,tea � ` . G r 3 . Is the building mechanically cooled ? co 4 . Percentage of area of windows and doors A , Over 16 % Only 3 1 , Uo value of gross area of wails , roof / ceiling and floors exposed to ambient conditions 2 , Floor over heated spaces YES NO a _ Are foundation walls insulated ? YES CN[�Y 19 If YES , what is the R value ? 3 , Slab on grade YES a , If YES , what is the R value of insulation around perimeter of floor ? 4 , Is basement heated ? YES a . R value of insulation 5 . Type of insulation B , Under 16 % Only 1 , R value of roof and floors exposed to ambient conditions_ 97 2 , R value of exterior walls E�/ �/ 3 . R value of glazed area CE r a 4 . R value of doors 5 . R value of floors over unheated spaces `l� 60 R value of slab edge insulation - unheated slab 7 , R value of slab insulation - heated slab 80 R value of heated basement / cellar walls ( above grade ) 90 R value of heated basement / cellar walls ( below grade ) 100 Type of insulation C , Controls 1 . Thermostat maximum heat setting 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 ,._ ., , ,, , f 4 E . Piping Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 10 Performance efficiency 2 , Temperature control setting maximum - G , For Swimming Pool Only 1 , Maximum heating Telephone No . / 0 6 '— ( applicant s sign ture ) 7"C7WN OF QUEENSBUPY c.fi c APPLICATI©N FOR "ty ~` SEPTIC DISPOSAL PERMIT DATE.,: J LOCATION OF PROPERTY FOR INSTALLATION"'� ` f � L / © � a J�i is Z Owner's Name: � �Tele hone: i �^ Address: �--� ;/ &L^_..c...�__.. '•a-.c -,_. �U--t---i /-��'--"�--�';`'•': '"`_i�' -�- ---ter` lt. / � %./ ` ,/- Installer's Name: c �' -�`� / / T_Telephone :_ ,�'`- Number of 'bedrooms (residential only) j Total daily flow (compute (a 150 gal per bedroom) �' •� � ' Topography: Circle one: Flat Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth : Feet Ground Water: At what depth ? /' . Feet Bedrock or Impervious Material: At what depth ? Feet Percolation test : Circle one: not required required rate min. inch. Domestic water supply: circle one: 3unicipal Well Other If domestic water supply is a well:'--.,__ _ - Separation: Water supply from septic absorption feet PROPOSED SYSTEIM : Septic Tank / gal. ( minimum size: 1 , 000 gal.) TILE FIELD: Each Trench feet/Total system length cr z feet 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 Rueensbur�ary Sewage Disposal Ordinance. t SIGNATURE OF RESPONSIBLE PERSON: DATE: 5� ,/ Ga �_.,. �, [ � OVER Se tic System Inspections : A . rill applications for septic system installation , alteration or repair , as required by the flown of Queensbury Sanitary Sewage Or-d-inance , shall b� 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 21 ) 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 Luilding 1jispuctor . Failure to comply with this requirement may r " sult in the uncovering of the system by the installer and a fine ut 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 immediote work stoppage . D . Should unforeseen problems during construction prevent proper installa— tion , alteration or repair of an approved system , a new Proposal must hu submitted to the Quuunsbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland loads Queensbury , New York 12804 Kti I]LA r k s ; -lft.,..,0 x . 'tom.. .v. ....^a . .. x ... yy k 1O/r�� R� ...y�.r�, , 1 Y 1.11. . 1 '^ ♦ _d 1 f y:+F ' ••� 1 / /..,�I�r y}I✓ F .-.U . +..:., -- 5 1 IF J— . air r x unl 5 / 24/89 Trfe�l.][�re L� Vi na I1/�'en�. Inc , Y: • +-t 5, l ,r cAr I .. .Ut �, I.,., f . [ :,.:1' .1r5.n ,... :..:I .LY .. .. ��.f,+ a.rl - xr.,3i •Th �.r e St Agency ,l n `�. 2 No . Ma in SL . PO Box 70 i 'cA i a_E.0 6A :.L I Lit I I-4L C.:C...r4il,w[.,i .,rr:,.: ,i,,[.:i uY i HlL t'ULJC;Ls ILL)I'd y, y 9 Mechancivil le , NY 12178 C�:rr.rf�Jt+INk�S .=.F1= ui7L71 [�+iG CC7Vi<:�,=. C� ( 518 ) 664 -7367 -- - ::r :r.kr•,r. r s. Hartford Ca s . Ins . Co . +t+ k_ I r1_: , A'!t-,.. , � INS URCL) — . - ----- --- - - - I_L ! it Hartford Acc . & Ind . Co . Louis Morocco nM1 N,{ 1 ^;a dba Mor Lou Plumbing LLlli , l Zurich Ins . Co . q 87 Wineberry Lane - - _ _. - - - -- - -- - �• I.UM1ii'a. r Ballston Spa . , NY 12020 LL r Ir-.I This certificate represents current policy +:l.1M l•r.r. r LE- { I : rI status and is subject to changes by endorserl,Lnt . - 4'` THIS IS TO CL_IO IVY T1{Ar Y - � . ,, Ok 1C,EC 1[.L4W Y!AVA [.4r �II : UCJ 1Cl 1r . •:.:1 t. , .,: 4ni .', Yl:iri 7 r. r'L.LICY i•c l.ic::, :ii•,.. 4 ! ! J. ., T ". Iy71 THST 1 00 r,C, s:fiY Hr LL :1,r Mi. I . 1 1 :. , + t-- ..... r,l .rl .•-. r r+ I . :.. ,} 1 - . . . + . of I ' Ir 5 _ r : 1' Li. NS LiLYi C.,rr4 ♦ P a,.,..,.,.•ra.�.. ... . .,,, +u:l_I.. 4 1 r r.�. ruc+..lca ucaa.nl[acu ncn C4lV .� �uwLL. I I l.r ALL i HC 1 eHMS, EXCLU SIGNJ, ANU C::NUI- x.•. r{oNs crl� sucl, Notrcies.•,. - — - -� , LiAl3.0 r I r I ., lry YHo,3 .;,ar.L , -, Lrri rY�E OF ,risu aA wcs L r r.Ur,s lr:l t YI - r- - GENERAL LJA1JJLXrY A f— � f 01 UEC VJ5129 2118/89 2I18/90 j ' 1C 7I_y(-1+ CLMAPREHENS1Vr. ICedfo1 f �II PRE MI SE S:UPL RA T IU,6 r" UN1if Hi;H(LJNJ Ex!`LU41UN 5 CULLAPSL. 'HAiZA rf) ! I ."'I.,". .: il) . • - 'J( PkOOUC IS;f,Ul.91'L;1E[} 611EIc:I10NS ^, • x� curaNwcrunr 750 1000 11yor HE Mat_Nr Co N?:v;l:Fe ti:i �+u: r BHUAU FORM f'i{i3YE it t I),0,1n131 ,h" F'IailiUhv i. Ir :VHY r r I ': R ' ' r x Med i c a l_ Ex�ven ,e_f_i lit - $ 10 �000 ! & FAd girt i s irng 750.r.._ _.- . _. _ _ - - - . - f AUCOMOBiLE UAWLITY - I Ak AN ( W` , 01 UEC VJ5129 2/ 18/89 2/ 18/90 " • ___ _ _ ALL UJ: i s} AIJFO frl iiy f ,7SS , t Yx y ALL 0jP 6Nti'. aUiUi ,'IIIJf;f .L,il �� I HIRkD AU TUS f ll OW A0 AU Ti}:; ..`1;r.- It ! "' —_ _—_--_ _.. # EvAkAU . LlAdU rY w x 1Com,prehensi. ve_Form Owned and_. Scheduled_ Vehicles k 3;:~i l 3C}0 k CXCLsa LIAMUTY - . --- - i1'.t1xlila�il 9;;k!,{ .. . .. UVW N T"AN {.1M1344ELLA VUHM ° 'W'OR1fEHS.' COMPENSATION IAI +. II,Jr AND 01 WE CVT6776 2 18/89 ja_ 100 —t+__Lrl ,_4_ / i2/ 18/90 1 - EUPLOYEPiS' LIABILITY .j loo - '— --� -- - - ! -_ -oo--- -' �CITHER — sC NY5 DBL 1937229-01 continuous NY Statutory - - -, ---- - - - -PE`;.C:NIF rIOr( Or OP fIO 'J;ilL+.7l;AT1[)t{U'V L:FII+�L r":;.:,='I �� I!-L . . : f.,;, �di'A2ly- 7}'"a r'. � '. I . . � : rdA Paul Potvin - c I hrGVL❑ A1.Y Gr , IL Acrp� L Ot.C:fi etl U Ni7a_I:,..l t:,,. tlt L ' ;.CCLLi O L9tl-i..r ..� i I.c L.( A. 219 Scotchbush Road 7 YIHr. 11ON UAT E TIiL UF.- r4L T41L I` UAN,,. COMr 7 Y WILL. k-N &LAVG.i rtil k Burnt 1 rS NY 12027 MAIL 1 Ui.Y . Jf T T LN N+`1. riCL CC- rU r,e- ril if ICArL HI LULR r,A/.+L!? Tu TriL l } LLr I, fi L:l rAiLLlli I r) wi,Z rL `,VCN NUJ fIL.L ,`;HALL Ir.:lNiij l= NC, t]J.ILIi,:A T1l,IN l,)#1 Lle%4.+ILIr'/ { Or .:NY K,,AU JV -J Ir CP 5 hiNANY . Ir Ar'.LF (,JJJ F9f_Y11F E N T'i+.Tllrr_ �. '.1 - A:J I : rt,:r.:t �l Er. ',•a r[ `vi __ _ _ _ - . . . -_ i 7TZ VIE; TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY Sr HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (538) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED _ NAME LOCATION DATE _ _: f /� PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ' ROUGH PLUMBS G FRAMING ELE TRICAL ROUGH--IN t,211SULATTON- FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ TEP STAIRS-CLEARANCE & RAIILS PLUMBING FIXTU S/RELIfi ' VALVE INTERIOR TRIM/ RIVACY D019RS FINISHED FLO S GARAGE FIRED OOFING DOOR CLOSER S) SMOKE DETE TORS FINAL ELECT101CAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE TfIESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 228D&- TELEPHONE (528 ) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED 1 NAME LOCATION G p[� �/ DATE /Q PERMIT # O T 3•Tfo APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING B4CKFIljL APPROVAL LoeOUGH PLUMBING j000PRAMTNG ELECTRICAL ROUGH—IN INSULATION: FOUNDATION r: FLOORS WALLS CEILING FINAL INSPECTION_ CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESlm!iTEPS .STAIRS—CLEARANCE 6 RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PPXVACY DOORS FINISHED FLOOR46 GARAGE FIREPROOFING DOOR CLOSER01) SMOKE DETECTORS FINAL ELECTR.TdAL INSPECTION FINAL APPROVAtt OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! ,REMARKS : &SPECLTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE ( 518) 792- 5832 BUILDING INSPECTOR ' S 'REPORT REQUEST FOR INSPECTION RECEIVED _� oll NAME LOCATION DATE '/ —/ p —� �j PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: Er FOUNDATION FLOQRS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTEPS STAIRS—CLEARANCV & RAILS PLUMBING FIXTURaLS/RELIPF VALVE INTERIOR TRIMIPRIVACY DOORS FINISHED FLOG S — GARAGE FIRED FING DOOR CLOSER ( ) SMOKE DETEC RS FINAL ELECTRI AL INSPECTION FINAL APPROV L OF CONSTRUCTION A SIGNED CER IFICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: it 0 BVIA L_p INSPECTOR . /awn o/ aQi ueenil"rry 131JILEDING and ZONING DEPARTMENT Bay and Haviiand Road, R.D. 1 BOX 98 Queensbury, New York 12801 SE�P�TIC DISPOSAL SYSTEM INSPECTION NAME LOCATION__ " DATE 7 f PERMIT NO .��'r-' I SAIL TYPE - and Loam - lay Percolation Test Require 'YES---��^ Percolation rate - Min/ ch - TYPE of SYSTEM: Absorption field , to lengt Length. of each tren ���-- Depth of trenches Size of gravel. SEEPAGE PITS{Numb o ) Size- ftv x f . Gravel size PIPlNat ize Type Bldg , to tank. Tank to dlst. x ��,•� — — Dist. box to f eld/ t _...� openings seale ? YES NO Partial Ik CATXON/SEPA TIONS x Foundation to tank Foundation to absorption Absorption to I lot line Separation of pits . f�� . ft. { ,, OF SYSTEM ON PROP TY (circle one ) Front - dear - Left side - ight side - SYSTEM USE APPROVED E NO i S pectorBuil n 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYBURYo NEW YDRK I2$0k TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR I SPECTION RECEIVED NAME LOCATION {{�� (} DATE _Q PERMIT _eill APR APPROVED YES I NO FOOTINGI ERS MONOLITHI POUR FORMS ,-*fqOUNDATIO ,DAMP--PROOFING Le46CxF XLL PROVAL ROUGH PLUM NG FRAMING ELECTRICAL UGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECT N: CHIMNEY HEIG T ROOFING SIDING EXTERNAL FOR S/STEPS_ _ STAIRS-CLEA N & RAILS PLUMBING FI TUR /RELIEF VALVEr INTERIOR T M/P VACY DOORS FINISHED F ORS GARAGE FI FROOFIN DOOR CLOS R (S) SMOKE DE TORS FINAL ELEC ICAL INSPEC ON FINAL APP VAL OF CONSTR kTION A SIGNS CERTIFICATE OF OCCUPANCY MUST BE OBTAINS FROM THE BUILDING DEPARTMENT BEFORE THESE FMXSEs ARE OCCUPIED! REMARKSz INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280 - TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME r _ LOCATION _G - DATE PERMIT # APPROVED YES NO �TING/PIERS MONOLITHIC POUR FORMS FOUNDAT'SON/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEP STAIRS-CLEARANCE & RA LS L PUMBING FIXTURES/RE IEF VALVE ~ INTERIOR TRIM/PRIVA DOORS -- FINISHED FLOORS GARAGE FIREPROOFIN DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL IN PECTXON FINAL APPROVAL OF NSTRUCTION A SIGNED CERTIFICA OF OCCUPANCY MUST BE OBTAINED FROM THE B ILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED1 REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 1)12 BAY & HAVILAND ROADS QUEENSBURY EW YORK 32$p� TELEPHONE ( 18 ) 792-5832 BU LDING INSPECTOR ' S REPORT REQUEST FOR SPECTION RECEIVED -- NAME LOCATION DATE PERMIT #i APPROVED 4 YES N FOOTING/PIERS MONOLITHIC POUR RMS FOUNDATION/DAMP-P OOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING �. SIDING EXTERNAL PORCHES/STEPS V ` STAIRS-CLEARANCE & RAIL PLUMBING FIXTURESIRELIE ALVE INTERIOR TRIM/PRIVACY D RS G' FINISHED FLOORS F/ GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSP CTION FINAL APPROVAL OF CO STRUCTION go A SIGNED CERTIFIC TE OF OCCUPANCMUST BE OBTAINED FROM THr BUILDING DEPART ENT BEFORE THESE PREMISES 16RE OCCUPIED! REMARK id pr/ 97 00 71 INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12805E TELEPHONE (518) 792-5932 ILDING INSPECTOR ' S REPORT REQUEST FO INSPECTION RECEIVED NAME LOCATION p DATE PERMIT # p APPROVED YES NO FOOTING/PIERS MONOLITHIC POU FORMS FOUNDATION/DAM PROOFING_ BACKF.ILL APPROV L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- N INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S72'E S STAIRS-CLEARANCE RA LS PLUMBING FIXTURE IRE EF VALVE INTERIOR TRIM/PR. vACY RS FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSERS) SMOKE DETECTOR FINAL ELECTRICAL INSPECTIO FINAL APPROVAL O CONSTRUCT ON A SIGNED CERTIF CATE OF OCCU ANCY MUST BE OBTAINED FROM HE BUILDING D ARTMENT BEFORE TffESE PREMISES ARE OCCUPIED!' REMARKS: INSPECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP Ca47 y+- xz" . CITY VIE SHIP *� COUNTY POLE NUMBER STREET IOR ROAD AIR i6k BETWEE HAT TWO CROSS SUBLETS IS PREMISES U.N:J D7 ==ww SECRON - K LOT I:lix T'S NAME BUILDING OOCU OW R'S NAME AND ABoArSS ♦ �, , " CPA N0 E N 9 � �p RENT SUf�PILIED Dti' FROM THE7R OFFIOE '/7 uWR UM'K�E R /l/ /A +r hwr a ,wv +r BUILDING IS NEW OLD ❑ WORK IS NEW ADDITIONAL ❑ Cr&REMOULD ❑ LIST BE ALL EQUIPMENT WHICH YOU INSTALLED w NUMBER OF OUTLETS Lamp Receptacles MC7t(3R5 HEATERS BRANCH OFFICE USE CIRCUITS ONLY IIOR Sltlll AnBch'I SWIIGh Perltllarlt Brackal No Tly Each No- Each NO. Gaaugge INSPECTIO14 Carling Wall Reoeh't 4UT- I ryr SIDE I SUB- BASE BASE- MIENT FL. enD 2ntl WAA FL, 3rd FL. R E MA R KB: UST OTHER ELECTRICAL DEVICES NOT SET FO krH ABOVE. THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT F40T ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. SEE OF MAINS FEE DE ELECTRIC rAGNSf AMPS TOTAL WATTS / t7r so ro CHARACTER OF WORX ❑ EXPOSED OAF'.TDBE SIC3W I'RIAN�F'ORMERS OF DATE WORK TU SEXED ^O�FE,�QyPI.E 512E OF SKAN MUMBERI CRPACD"w SERVICE ENTERS BUILDING MANUFAorURER OF SIGN ❑ OVERHEAD UNDERGROUND +# DATE ION IN REQU =ONM1.4NIJVi AS Bl.6i o. IFMITMO� �IIL • .I' " QE YS sav7 AMDQ■■! R&� T ALL S F91 OR A TMOM BE HET ED. PRINT NAME AND ADDRESS �,I r DATE AP IGATION CiTy.J7O�R`}lV � Fru • + � � r F �rI ! T' � '"lam ZI C1L3E L�ENfiE_N© WHEN :G PPL{CABLE ,�„ ❑ B5 John Street ❑ 41 State Street ❑ 574 Dela+Ivare Avenue ❑ 217 Lake fiMBnue I' �❑+ Z02 A�n[erJ/Ia^"I�R"oad NEW PORK, NY 10036 I ALBANY, NY 12�A7 � BUFFALO, NY 142D2 j ROCHESTER, NY 14608 SYRACUSEr NY 13206 THE NEW YORK BOARD OF FIRE UNDERWRITERS MINE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET. ALBANY, NEW YORK 12207 �� ' ✓ " 1 Date Appliratiore Na. as file THIS CERTIFIES THAT only the electrical equipment as described below and inter by the applicomt nonved on Lha above opplicatsors number in the pransisas of irs}sa'se j'ol owin,� focatson; O. Basemen! Pat . Pad Fl. - i. Seniors Block Los was examined on f x l and fossnd to be in consplionce with the regssirementa of this Board. FIXTURE E/�7'AClEs SWITCHES FACTURES RANGES COCKING PECKS OVENS 04SH WASHERS EXHAUST FANSCUTUITS GUTIETS INCANDESCENT I. FLumIesceNT OTHER AMT- K- W. AMT. C W. AMT. K.W. AMT. IC. W, AMT- N. P. E/RY6A'S FURNACE MOTORS FUTURE APPUAWE MUNKS ISMI MCIPTJ TIME CLOCKS REIL UNIT HEATERS MULTHDUTLET DUAMEMSi AMgr- K. W. Olt K P, *AI H. P, AMT, NO. A. W. 0. AMT. AMI. AMfi. AMPS. TRANS- AMT. H. P, 600.YOF�T AMT. WATM SERVICE OMMNNECT ND. OF S E R v 1 C E AMT- AAV. TYPE 1 11 ,0` 2WI 1 A/ 9W 9 X mil/ $10 4W NK7• PECC. �COIJh• OF kwo.CC. Ca1ND. NO. OF NI-LEU •H•�G. ND. OF NEI/'1eAt5 CO E-0. TRI ©THEE APPARATUS, 1 f : l I- i: ! iT :` fi { (:" I IWANC.H MANAGER - 'r f 1 -I' l D This certificate must not be altered in any manner, return to the office of the Board if incorrect. inspectors may be idemifiad by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT SE ALTERED I ANY MANNER. ujooc,.Ib... 0 MS Y - C Rp PIO RA�PH,' the building store May 18 , 1989 Queensbury Building Dept , Bay Rd . Queensbury , N . Y . 12804 Sir ; Attached find house plans for Paul Potvin . These plans were submitted in 1988 by Ken Collette for permit issued for Hidden Hills Sub - division lot 151 . i Sincerely , I� Woodburys , Total Homes Dept . I 1 • GLEN$ FALLS UPPER GLEN ST. OUEENSBU RY N.Y. 1280d * TICONOEROOA NAGUE RO.. TICONOEROGA. NY 72BB3 W1LL18TON 2 HARVEST LANE, WILLISTON, VT 05495 * RUTLA NO FOREST 6 WEST ST. ROTLANO, W 0570T * MOXICO 5518 SCENIC AVE WZO. NV 13114 JOHNSTi7WN N. COMRIE AV E., dORNSTOVY'N, NY 12095 • SARANAC LAK£ LAKE COLBY PR SARA NAG LAKE, NY 12983 * CLIFTON PARK FIRE RU . CLIFTON PARK. NY 12065 • SARATOGA RP B, ROUTE Sq, SARATpI'v4 SPRINGS, NY 12866 a 4A i i a 1 ' Y i } . 'rt } 1 ,......�..-.�..,+_,. ...�... ......n.�. ...__. ,. . .;'r X, k, .a....r.w,� rn.w.,r.m.T....wia.-r.�:w`rran.rrw. Ytw..u........wr.......i....w a