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1989-392 Ylplp.� -RIP70 4W ?v , --0 TMTFV'V 4t ��%k Tr PANICYLCERTIFICATE %�J AV C�[.,� TOWN OF QUEENSFOURY WARREN COUNTY, NEW YORK Date, Eebruary 2 19 9© aLobl TA TIM& is to certify that work requested to be done as shown by Permit No. 139-392 has been completed. This structure may be occupied as a Single Family Dwelling Location Pickle Hil ] Rnad Owner John Howe By Order Town Board TOVVN OF QUEENSSURY Director of Bldg. do Code Enforcement 1W BUILDING PERMIT �. TOWN OF QUEENSBURY No. ^ 89-392 WARREN COUNTY, NEW YORK � r IV 1 PERMISSION is hereby granted to John H,_—__n__wre � .F+ OWNER of property located at pickle Hill Road Street, Read or Ave_ in the Town of Queensbury, To Construct or place a �lo� ly Dwel l i_ngg 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 9 Hoorwiood Drive Queensbury, H . Y . 12804 �^ 2- CONTRACTOR or BUILDERS Name R. Ruggles 3. CONTRACTOR or BUILDERS Address 5 Wincrest Drive Queensbury, N * Y . 12804 4. ARCHITECT'S Name ro Ps 5. ARCHITECT'S Address S ..r 6, TYPE of Construction — (Please indicate by X) Q XX ) Wood Frame i ) Masonry i } Steel { I 7, PLANS and Specifications No_ 86 ' x 51 ' Single Family Dwelling as per plot plan , specifications , and application , including septic , attached two car garage , and driveway. S. Proposed Use t1^i Single family dwelling fo $ 377 00_ PERMIT FEE PAID — THIS PERMIT EXPIRES _ January 1 (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 axpiration date_) ..r Dated at the Town of Queensbury this th Day of SIGNED BY for the Town of Queensbury Building and Zoning I nspa TOWN OF QUEENSBURY APPLICATTON FOR BUILDING AND ZONINt, PI: n'N11T tla t c - =qS;q 10OWN 0or 4U F'. ec..%ev eat 2ry rR ev r ewe d 1 l��+R�!$Q�l�B(JR'Y - x `SUN 2 �9 Fee Paid ',589 BUILDING AND CODES L)i PARDIENr Date Io.dued� j 7��� � CQp�c DEpr UAY and ffAVILAND ROADS RD 1 Box 98 PUEENSBURY, NEW YOAK 12804 PeAn. it NU . Tel . ( 518 ) 792-5832 Ext 204 ■ * * ■ * * •t * [ * * * * * * * * * * ■ ak * * ■ * ■ ■ ■ � ■ w * ■ w ■ x s A PERHIT NIUS`r Ell OW11.AINED BEFORE BEGINNING CONSTRUCTIONv NO INSPECTIONS VILL I3L MADE UNTIL AP1' LICA1`?T HAS RECEIVED A VALID BUILDINC PERMIT . All applicable: spaces on this application must be completed and the tiinllature of the applicant must appear on the reverse side of this sheet . The owner of this property is : John C . Howe P . O . Address 9 Moorwood Drive , Queensbury , N . Y . 12804 TEI. . 792 - 3308 1roperty location Pickle Hill Road TAX MAP No . 26 l 2 / 18 . 4 lfas there been any split of this property since October 1 , 1988 ? / No yes no If yes , Planning Board Review is necessary . SUBDIVISION NAME , IF APPLICABLE LOT NO . 111he person responsible for supervision of work as regards Building Codes is ; Robert E . Ruggles 5 Wincrest Dr . Queensbury 7 3 - 0 6S NAME P . G . ADDRESS TEL . NO . [Jame of builder R . Ruggles Address 5 Wincrest Dr . Te1793 - 0566 l [Jumo of Plumber S _ Cnrhn„ cr+ JT.ddress Gansevoort Te Z92 - 527_0 Name of KiILSan Sulzer /Unit . Cor�drass 323 Ridge - -Ted - ~0 3 14ATURE OF PROPOSCO 6ORK: „ FREVIEW 1N1 'CIFLDlA111ON ( office us +e only ) XXCon:; cruccior& of a now building ZONING DESIGNATION OF PROPERTY to a lsuil .aing + PRINCIPAL PERMITTED ACCESSORY �Altur.:.Lion to is building � ( no ch.4nqu to .:xc � rior dimensions ) * QUIRED - PLANNING BOARD ZONING BOARD_ 006er work ( aA2=cr .Lovj SITE PLAN REVIEW # APPROVED DATE e. kOSS AREA OV PROPOSLD, f frl'tUCTUftt " VARIANCE # APPROVED DATE 1st floor 2075 sq ft * Remarks : view nd floor 875 sq ft . CC44P [..ETE I;NVQf;M!►TION lel.QUIULD UCL.Cnl6 sizo of props rty ft x ft Other Floors sq ft . . :: ! i -v rt x ( not cellar or basQmentl Laciatir �cl I: uit.liii ] { S - TOTAL FLOOR AREA 295Q sq ft " Lxi : ti�lg buil.lirrFl (:: ) Ulu - - _' i u of new structuro 86 ft x 51 ft ' L'u:x„dation pier/ �laL/cr;awl/L]ar[ i;al/ cull " Yrolao :rcl building , diseanCu from propurty lino (circl. one ) + front yurd � 7Z !g ` 1 t Rear yard 1 2 eft Now of stories ( W%;Abit:Lble i 1pace ) 1 ;7�i —.. ■ Side yards iI .eS�Tko NOW ft and 1 2S Wj� 0 L t H�:ighc ( yradu to ridges ) 23 ft . If on corner , :,4JCLlaCk Crofa side ; [ root rC 1 f rusidaxncial , no . of famiiiea 1 ' Now of rocintilexcLudinq b"ths ) 8 '" OCCUPANCY INFOr4*1AT1CN flow of bedrooms 3 awo Now of baclfroouw 2 PRIMARY LUILDINC: vrimcAry hu*ALia,of ::ysst ,.r11i air to air heat 'pimT O fanu`ly dwelling w Tyl�u of Fuu1 oil or11ro r:autily dwaalliny No . of firwixlaCw;: Liul3u irt :t :allud��_ ; Multipika Uwc:iling / Number of units r 1jerwA4nOe%t occup:uiCy Will :a wuu.1 tiLOVe kr*wr in!.! Lallwd?� yes Trun::iwnt occuia;aru y +L.antr.al Air coetsAitioning:'y es _. U"sinuss ■ BUILDING STYLE, PRIMARY STRUCTURE „ Industrial l"Itch Cont.:Jakp: r"ry Lr n cabin Ochar [+..a .i :awd raaclf M.4nsi4n Dupl . x . if .addition , wi,ut will uuu b.:1 !;pllc lwvu:l Old scy ].Q LJu, ly.. low } C" u Cc Coct"gL Otl&,ar " ACCESSORY LUILDINC- cQion .L"l 1160W Towek douse ' lJc tacha.l g :ari,ge/one cur/ two car/ czar { CIRCLE ONE PLEASE ) r l�CtiaCll�:si [�:ar<►�JL/oriw' car/ L o twit Ciao' ■ ■ • r r ■ r r r * 1'riV:atS: ZLOX"ge >7uilding LSTIMATKO MARKET VALUE OF �orh{: r CON :;osw KuC•r10w } 150 , 000 . I NFORNXTTON ON BUTL,DIN+C SPfECIFICATTONS , ON nEVERSE SIDE" OF THIS SHOLT, TO Be COMPLCTa0l Form BPA 10/88 v1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Cedar Sidiucr Will any second--hand or ungraded lumber be used? If so , for what ? No Foundation wall material poured concrete Thickness 8 " Depth of foundation below grade ( to bottom of footing ) 70 will there be a cellar? no heated or unhazated? no Floor sq , footage i364 sq ft will there he a basement? yes Will any portion be used as living space ? nm ( If so , what portion2 sq . ft . - - Type of use ? Type of roof - sloped/ flat/shed/otherM Material of roof ask3rJ . Size , wood stuff " X 6 spacing 16 " o . c . length 8 ft . , Jalsts ( floor beams ) lst . floor 2 " x 12 spacing_16 " o . c . spank-ft . .joists ( floor beams ) 2nd . floor 2"X 12 spacing 16 "O - c . sPan_,,l S ft . overlays ( ceiling beams ) 2 "X 6 "' spacing 16 " o . c . span..EL ,, __ft . Roof rafters 2 " X spacing_. J'6.o . c . span l g ft . Roof trusses (pre-engineered) spacing " o . cl span ft . Exterior wall finish •tiK -,w�-r , 1kf_Qf what material ? - oc:::: r r3 J6 *%Vr Interior wall finish ctyusum wall board If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 5 / 8 " gypsum board Is there to be an opening between garage and dwelling? NM& 4 if so will a Fire-rated door , enclosure , and self-closing device he provided? will a flue -lined chimney be installed? yes Height above ro f 2 ft . Depth of chimney foundation below grade 7ft . Depth of fireplace hearth i ft . min . Water supply - Municipal or private well private well _ SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties 134 , ft . (A separate application is necessary for any repair or new installation of septic system) DEC LA RATION 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 Ownet, bwner's Rgent , arc ' te , contractor, k' • • * * * * * X rk * * '"k 4c X 4r #r tk yr * * * * rt � : s rt # rk W k rt t * * * * rt R sr * ak �k ! 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 LODE A permit must be obtained before beginning work . ANSWER ALL of the following ! 11 Gross floor area 2950 square feet 2 , Type of heat Oil hot air 3 , Is the building mechanically cooled ? yes 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 J 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 s , Under 16 % Only 1 , R value of roof and floors exposed to ambient conditions R- 40 2 . R value of exterior walls R- 26 3 . R value of glazed area R- 25 4 , R value of doors R- 8 5 . R value of floors over unheated spaces R- 19 6 . R value of slab edge insulation - unheated slab X 7 . R value of slab insulation - heated slab X 8 . R value of heated basement / cellar walls ( above grade ) R- 13 91 R value of heated basement / cellar walls ( below grade ) R- 13 10 , Type of insulation Fibreglass Co Controls 1 . Thermostat maximum heat setting 70 D . Duct Systems I . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation R-6 b , R value of duct in other areas E . Pi ]2i. ng Insulation 1 . Size of hot water or cooling carrying agent pipe 1 /2 " 2 , R value of pipe insulation - 12 F . Service Water Hearin E. Performance efficiency 80 % 2 . Temperature control setting maximum 160 � G , For Swimming Pool Only 1 . Maximum heating Telephone No . 792 - 3308 V Z�- ( applicant ' s signature ) TOWN OF QUEENSDURY APPLICATION FOR K' J SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION Pickle Hill Road owner's Name: John C . Howe Telephone: 792 - 3308 Address: 9 Moorwood Drive Queensbury , N . Y . 12804 Installer's Name: y*r I, JET Telephone : V C}' 3 Z 3 4-�3 Number of bedrooms (residential only) 3 Total daily flow (compute (a 150 gal per bedroom) 450 Topography: Circle one: Flat Rolling Steep Slope 06 of Slope 5 slope Soil Nature: Circle one: Sand Loam Clay Other mix -till /Depth ; Peet Ground Water : At what depth ? Feet Bedrock or Impervious !1laterial: At what depth ? Feet Percolation test: Circle one: not required required rate rnin . inch. Domestic water supply: circle one: Municipal el other If domestic water supply is a well: Separation: Water supply from septic absorption i feet I �;L S"a PROPOSED SYSTEM : Septic Tank InQQnO gal. ( minimum size : 1 . 000 gal.) TILE FIELD: Each Trench 50 feet/Total system length 250 feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # 2 /Depth or Thickness 2 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 Sanitaryw9ewage Di5Qosakollrdiinanoe. SIGNATURE OF RESPONSIBLE PERSON: DATE : G^s ,•�j OVER Septic Syscem Inspections : A * '111 applications for septic system installation , alteration or repair , as required by the Town of Queensbury Sanitary Sewage Ordinance , shall bL submit-ted to the Building Department at least 24 hours before start of construction and shall include a plat plan showing : 1 . ) the proposed location of the system 2 . } location and distance to lot lines 3 . ) location and distance to srructures 4 . ) location and distance to any water supply 5 . ) size and dimensions of all tanks , distribution boxes , rile fields and / or drywells L . No system shall be covCred before inspection and approval by the 1; uildiiig Inspector . Failure to comply with this requirement may r45ult in the uncoverint; of the system by the installer and a fine of up to ' 50 . 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 kie submittud to the Queensbury Building Department before further L: o :Ywtruction . Town of Queensbury BUILDJNC and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 ke nia r k5 ASORIbe CERTIFICATE OF INSURANCE ISSUE DATE *M,DD(YY, o6 / 02 / 89 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Cool Insuring Agency Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. PC) Box 2153 Quaker Road EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Glens Falls , NY 12801 COMPANIES AFFORDING COVERAGE COM PA N CODE SUB-CODE V LETTER A Aetna Insurance Company COMPANY B INSURED LETTER Ruggles Construction Corp . COMPANY C 5 Winc rest Drive LETTER Queensbury , New York 12804 COMPANY D LETTER COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOID I NOICATED, 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 TR DATE (MMA)DIYY) DATE (MMIDDIYY) GENERAL LIABILITY BINDER7920 05 / 10 / 89 05 / 10 / 90 GENERAL AGGREGATE S 500 A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPS AGGREGATE S 500 CLAIMS MADE X OCCUR. PERSONAL & ADVERTISING INJURY S 500 OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE S 500 FIRE DAMAGE (Any one fire) S 50 MEDICAL EXPENSE (Any one person) S 5 AUTOMOBILE LIABILITY COMBINED A X ANY AUTO BINDER7922 05 / 10 / 89 05 / 10 / 90 SINGLE s 500 , OOO LIMIT ALL OWNED AUTOS BODILY SCHEDULED AUTOS INJURY ,S (Per person) X. HIRED AUTOS BODILY NON-OWNED AUTOS INJURY S (Per etltlitl entY GARAGE LIABILITY PROPERTY $ DAMAGE EXCESS LIABILITY EACH AGGREGATE OCCURRENCE 3 S OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY A AND BINDER7921 S 100 (EACH ACCIDENT) $ 500 (DISEASE—POLICY LIMIT) EMPLOYERS' LIABILITY $ Z 'D C) (DISEASE—EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS7LOCAT1ONSIVEHICLESIRESTRICTIONWSPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION Town of Queensbury SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town Office Building EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Bay & Haviland Roads MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Queensbury , NY 12804 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE , ACORD 25-6 (3/89) CIACORD CORPORATION 1988 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY� NEW YORK 128046 TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED _ NAME LOCATION 0 DATE PERMIT # n ' F Z APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO S FOUNDATION/DAMP-PR FING --- - BACKFILL APPROVAL ROUGH PLUMBING t FRAMING ELECTRICAL ROUGH--IN INSULATION: FOUNDATION FLOORS WALLS CEILING INAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS • PLUMBING FrXTURES/RELTEF VALVE INTERIOR TRIMfPRI�UACY DOO S_ FINISHED FLOORS L GARAGE FIREPROOFrNG i DOOR CLOSERS) SMOKE DETECTORS t t FINAL ELECTRICAL 4NSPECTXON _ FINAL APPROVAL OF 'CONSTRUCTIO h A SIGNED CERTIFXC}tTE OF OCCUPA Y MUST BE OBTAINED FROM THE BUILDING DEPA TMENT BEFORE THESE PREMISES AltE OCCUPIED!' t REMARKSljqAIO u /fl +c+F IN ECTOR TOWN OF Q BUILDING ANDD CODES DEPARTMENT I3AY & HAVILAND ROADS ^7 CwEENSBURY, NEW YORK I2809- f� f TELEPHONE (538) 792-5832 �/ f BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE / I d PERMIT # =.7� APPROVER YES INO FOOTING/PIER MONOLITHIC POUR ORMS FOUNDATION/DAMP- OOFING BACKFILL .APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN- INSULATION: 1 FOUNDATION ? FLOORS WALLS CEILING xFINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL, PORCHE /STEPS STAIRS-CLEARANC & I PLUMBING FIXTU ESIRELIEF VALVE_ INTERIOR TRIM/ RIVACY DOO FINISHED FLOG S a-O & S ' GARAGE FIREPR FING DOOR CLOSER ( ) PT - 13 lv s SMOKE DETEC RS X FINAL ELECTRI AL INSPECTIO P � FINAL APPROVA OF CONSTRUCTION CALL +� s [aC-:!fTcs A SIGNED CE TIFICATE OF OCCUPANCY MUST BE OBTAINED F M THE BUILDING DEPARTMENTN\BEFORE THESE PREM SES ARE OCCUPIED: A At/ REMARKS: af, &C, �3 C,of 1W rf A1s4- 1 �',►' I�L�-cam pp - 'yy� 1 MIDDLE DEPARTMghU6jUffAKCjj2N AGENCYs INC. !, a nr�M . q — G January 1 1990 4l�frtifle� that )e , yrequipment listed has been exaQt� a� approved as being in accord with the National Elect Ct applicable governmental, utility ar►[l- gl s. r er: Tack Howe f { p ctrai g upant: Same [ # :3 .. Location: i ctcl e Hi 11 f, Qi}eeNbuA�W ceryhcasa t "ale rlc ufp TBnI and installation inspected this dale. If addition s4 ui ns ■h he introduced or altetahons rnada to .4 salst Ong royalism shi is be null and void and application for pment: 95 Outlets ; 4ecep.tacles ; �� w�spac[Ion should l�6aJbmltt p toy to in is Agency. ,r i17. �ry aidar of this ce[ti'llcate a 1d ant same to his property insurance carrier 200 O U Aulp S ery i *F :�PP'� i anc e s s � (aganf ortompahyl as evi tlricstion of electrical equipmenA approved as specitied.: /• Appricant: 8129 Myron Road ___._-..- d . 15 030082 S Glens Falls , NBC 12 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURI'. Np WTyORK 1280!E. TELEPHONE f5 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED - NAME LOCATION PERMIT # DATE APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR ORMS R�PING FOUNDATIONIDAMP- BACKFILL APPROVA v iUGH PLUMBING JFRAMING ELECTRICAL ROUGH IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE STE ILS S TA IRS-CLEARANCE ---�-� PLUMBING FIXTURES eyIEF DOORSLVE� INTERIOR TRIMIPR --- FINISHED FLOOR __— GARAGE FIREPR FING -- DOOR CLOSER ( ) SMOKE DETE RS FINAL ELECT CAL INSPEC ON_.^ FINAL APPRQ(IAL OF CONSTR TION A SIGNED CERTIFICATE OF OCC pANCyRTMVNT OBTAINED FROM THE BUILDING THESE PREMISES ARE OCCUPIED!' REMARKS : � `i INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS 128D4- QUEENSBURY. NEW ORK 5 81 792-5832 TELEPHONE BU-LLDINC, INSPECTOR' S REP()RT REQUEST FOR INSPECTION RECEIVED �___-------- NAME LOCATION / PERMIT # DATE �_©.� � APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS a FOUNDATION/DAMP-PROOFING BACKFILL APPROVA ROUGH PLUMBING FRAMING FLECTRICAL ROUGH UL.ATION : FOUNDATION FLOORS a WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S RAID STAIRS—CLEARANCE PLUMBING FSX'TURE VACYRELI DOSLV E INTERIOR TRIM, r' FINISHED FLOOR GARAGE FIREPR FIND DOOR CLOSER ( SMOKE DETEC L INSPECTION_ FINAL ELECTRI AL FINAL APPROV L OF CONSTRUCTION_ A SIGNED C TIFICATE OF OCCUPANCY MUST BE OBTAINED FR THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED " REMARKS : 1 y L}k To I G 'rut Cad'' vt+ Aj` 15 i V4rJPG' ��� IN WPEC TOR of QUEEN SBURY � ,B{JILDING AND CODES DEPARTMENT BAY & HAVILANE ROADSYORK QUEENSBURY * 538 ) 792-5832 TELEPHONE � pC1RT BUILD-ING INSPECTOR' S RE RESiUEST FOR INSPECTION RECEIVED NAME LOCATION G} PERMIT DATE APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORKS FOUNDATIONIDAMP_PROOFING__�_� �--� RACKFILL APPROVAL OUGH PLUMBING �RAMING ELECTRICAL ROLTGH�IN INSULATION: FOUNDATION —� FLOORS S WALLS CEILING TION : FINAL INSPEC CHIMNEY HEIGHT ROOFING Sj-DxN'G TEPS — EXTERNAL PORCH NCE � RAILS —� STAIRS—CLEARA ;LIEF VALVE PLUMBING TR M p IV Cy DD<>C)RS__----- INTERIOR FINISHED FLOOR FING G ARAGE FIRE PR DOOR CLOSER (S) SMC)KE DETECTO S CA INSPE ION_ FINAL ELECTRI ��_--- FINAL APPROVAL F CONST UCTION _--- CER`r FICATE OF CUPAIVCY MUST BE ASIGNED THE BUILDINDEPARTMENT BEFORE OBTAINED FRO OCCUPIE r THESE PREMIS S ARE V REMARKS : v c 04,,, lade S INSPECTOR a 0 u - BUILDING ar<d xp�.ylldG i]EPARTME 98 gay and Haviland ple �ueensbury. New Yorrkk 12801 SEPTIC DISp0SAL SYSTEM INSPECTION NAWME I-oCAT I f]hY vAT ��� f�ERMIT NO . J 'E Clay ---- -� TYPE and YES -- NO SOIL _ sicRe,guiYed? Percolation rate - Min/Inch'► PeroolativY► n th TYPE of EM SXS . eld , t0tal/len9 oe AbsorPt2-0" ea h r of trench Lengthhes I)epth of tren Size of grave of) SEEPAGE PITS�4N e ft. f Type sizegive PIPING : y� to tar► bo Bldg � dis el Tank to c f i / l Dist . YES O Partial Openings alac7? ` � SRpARATI So l IJ f t- LOCpTSONon Co lank r�"�' ft . F ounda't ion {- f t . Founda on to absar 5/J AbsorP ion to lot li e "ft. Separa ' on of pits 0-PE�RTY (ciXnle one) LOCATI F STEN! _ Right side Front Rear Left side CC.MM'EN SY STEM USE APPR�RD YES I NQ puil8i 9 Pector 01/86 and vl TO��I3 OF QUEENSBURY ry7 BUILDING AND CODES DEPARTMENT . y/ BAY & HAVI NEW ORK 12SOS ,�/ TE LO SBUR'�'r 5I8 ) 792- 5832 PE PHONE t REPORTWILDING, Ii3SPEGTOR' S REQUEST FOR INSPECTION RECvJVED NAME 1 r f } LOCATION F PERMIT # DATE �t'_.--- ,APPROVED YES ,r"'FOO'TSNG1v O TERS ( MONOLITHIC POUR pRM5 FOUNDATION/DAMP-PROOFINGu BACICFI'L'L APPROVAL ROUGH PLUMBING FRAMING ROUGJI-IN ELECTRICAL IN.SSULATTO � F'OUNDA TI QAr 1r rLOORS WALLS CET LING FINAL CRT NEY HEIGHT��� ROOFING SIDING P[IRCHES/SCIEPS���----_^- EXI ERNA L RAILS ----� STAIRS-CLEARANCERELIEF VALVE PLUMBING FIXTURRTVACY DOORS INTEROR TRIM /P INTER- TOP FLOORS :' GARAGE F"IR EPROt7F"I NG� DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL IZ�THPE 1_�--�-�- FINAL APPROVAL OF CONSTRUCTION RUC OF OCCUPANgy MUST BE ASIGNED CERTIFICATE EPAR`1' MENT BEFORE OBTAINED FROM THE BUILD EDi THESE PREMISES ARE REMARKS : ---4N F TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ORK I2$09E- QUEENSBURYrNEW TELEPHONE (5� ) 79 12S 832 BUILDING INSPECTOR' S REPORT, -( REQUEST FOR INSPECT ON RECET�JEg L/7 NAME LOCATION ! K i PERMIT #__-- �- DA TE =F_�.- APPROVED YES I NO FOOTINGIPTERS MONOLITHIC POUR FORMS (,/'FOUNDATIONI DAMP-PROOFING VtAC KFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION -- FOUNDATION" FLOORS WALLS CEILING , FINAL INSPEC TX CHIMNEY HEIGH ROOFING .SIDING EXTERNAL PORCHES T rL-S_ -�- STATRS-CLEARANCE ELI VALVE_^ pWMBING FIXTURES/ INTERIOR TRIMIPR A Y DOORS FINISHED FL41ORS GARAGE FIREPROO ING DOOR CLOSER (S) SMOKE DETECTO INSPECT-TO - FINAL ELEcTRICA FINAL APPROVAL F CONSTRUCT CERTI ICATE OF OCCUPANCY MUST BE A SIGNED ILDING DEPARTMENT BEFORE' OBTAINED FROmCERT E BU THESE PREMISES ARE OCCUPIED! REMARKS : INSPECTOR TOWN OF QUEENSBURYi '7/4 BUILDING AND CODES DEPARTMENT • BAY & HAVILAND ROADS407 ' QUEENSBURY, NEW YORK I2804. TELEPHONE (51 8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INS TION RECEIVEr NAME LOCATION t ! DA TE PERMIT #+ ~3 Z APPROVED YES t.*+40OTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ° ELECTRICAL ROUGH—IN s INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE STAIRS—CLEARANCE & LS PLUMBING FIXTURES/ EF VALVE INTERIOR TRIM/PRIVAeY DOORS FINISHED FLOORS F GARAGE FIREPROOFXjIG DOOR CLOSER (S) SMOKE DETECTORSr FINAL ELECTRICAL NSPEGTION FINAL APPROVAL Ot CONSTRUCTION a' A SIGNED CERT ICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMIS S ARE OCCUPIED! REMARKS * Of L C60 Y) CCU ,v k ' IF2z IN ECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE THE UNDERSIGNED INSTALLED BY �IrL- 7� ye3/ �� TEMP pq/ X rt I / a� p 4 y} /^A )i 1G = A/ CITY OR VILI. E TOWNSHIP E 1l i.7l,irc' STREET aNDNNQD GR IiGROADQ u �y I^ 4/ 1 POLE NUMBER BETWEEN WHAT fTWO CROSS STREETS IS PREMISES LOCATEW SECUION aYMK - LOT , OCCU!'AN. -T'S NAME BUILDING OMUPAN:Y OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED SV FROM THEIR OFFICE WOW-TELEPHONE NUMBER BUILDING IS NEW99 OLD ❑ WORN IS AODFHONAL DEFECTS REMOVED . .j LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED I mA NUMBER OF OUTLETS r No. of Fixtures S MOTORS HEATERS BRANCH OFFICE USE tian Lamp Receptacies CIRCUITS ONLY Celli Side A sch't Wall Recep`Ls Switch Pendant Bracket No. Type F ch No. h Na Gauge INSPECTION CUT- SIDE StJ9- BA..+E BASE. MENT 1st FL. 2nd FL- 30 EL. REMgTtKS: LIST STOVER ELECTRICAL DEVICES NOT SET FORTH 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 NC IT 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 ++ ' PEEOERS ELECTRIC SIGNSn AMPS TOTAL AAA �V C1-IARACfER OF WORK kPOSED GAS TUBE SIGWTRANSFORMERS OF \A Li CONCEALED DOVE WORK 70 BE SyAATED�'"� p 04WE �Y 0 3312E OF SIGN(NUMBER) ,4 / l Ir f�.'V'NCiTY SERVICE ENTERS BUILDI f / MANUFACTURER OF SIGN UNDERGROUNO 11 y! DOVE WSPECTION REQUESTED ON MR AS NEAR AS POSSELEI �� INVOIDys BlY GMPIG FULL AND ACXMRATE INFOWATIOALL SPACIES MUST BE FILLED IN OR T1UM N^V be PRINT NAME AND ADDRESS p� NAME F+. % E�F �} ION �31Ar STREET ADORES$ 4�+ 41C> e.�' I TELEPHONE NCL CITY OR WkST OFFICE N ZI CODE LICENSE NO. WHEN APPLICABLE L� 85 John Street O 4 State Street El 870 Delaware Avenue 217 Lake Avenue E 202 Arterial Road NEW YORK, NY 10038 ALBANY, NY 12207 [ L�BUFFALO, NY 14202 ROCHESTER, NY t46U8 SYRACUSE, NY 13206 THE NEW YORK BOARD OF FIRE UNDERWRITERS i' .Q y � _ 1 Z1 a J� Cx �j Lr l � , 76 6-" t,.' 71 03 4�4 V1 ?) 00 LU