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1990-008 4r-r- %," • s )." , CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date April 26 19 90 1,9q6.1 I This is to certify that work requested to be done as shown by Permit No. 90-08 has been completed. This structure may be occupied as a Sinale Family Dwellina location Mountain View Lane Owner Michael & Gwendolyn Cameron By Order Town Board TOWN OF QUEENSBURY iI . Director of Bldg. & Cods nforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 90-08 WARREN COUNTY, NEW YORK 0 O. PERMISSION is hereby granted to MICHAEL & GWENDOLYN CAMERON co N OWNER of property located at Mountain View Lane Street, Road or Ave. .n co in the Town of Queensbury,To Construct or place a Single 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 North Bolton Road Lake George, NY r, 2. CONTRACTOR or BUILDER'S Name rn O Richard Rogge • Lamplighter Homes 1-1 3. CONTRACTOR or BUILDER'S Address n rl r 4. ARCHITECT'S Name - m 0 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X1 XX)Wood Frame ( ) Masonry ( 1 Steel ( 1 7. PLANS and Specifications No. 26' x 48' single family dwelling with driveway and septic system as per application, specifications and plot plan. 8. Proposed Use t Single Family Dwelling • - m $ 144 PERMIT FEE PAID —THIS PERMIT EXPIRES July 17 19 90 (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 m Dated at the Town of Queensbury this 17th Day of January 19 90 r''I SIGNED BY `����{ for the Town of Queensbury r Building and Zoning Inspector • v m r • c, TOWN OF QUEENSBURY —11111— REVIEWED BY ram OF OUEENSBURY RECEIVED Li,I*14 FEE PAID $ f PERMIT NO. cin- co JAN 1 2 1990 BUILDING PERMIT APPLICATION BL[M, & CODE DEPT. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. • • a • • • a • • • • • • a • • • • a • • * • • • • . • • • • • • • • • • * i• • t The.owner of this property is: J )1--2 (° yw,,i,J -iyf-79 y.S P.O. Address O. Xliv 17-- f Tel. r/f- 6 9id57 Property Location i6tyz i/,dc.ii.v- Q'nie--- Tax Map No. rot /S/ /p / Has there been any split of this property since October 1, 1988? _/ If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE N/fi- LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: �/eZfil , , & NATURE OF PROPOSED WORK: ESr1MATED MARKET VALUE OF • * CONSTRUCTION: S be�' e'` construction of a new building • / Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: • Size of property //rD ft x eft. Alteration to a building , . * Existing Buildings(3) Size — ft. x ft. (no change to exterior dimensions) • Proposed building - distance from property line: Other work (Describe) * Front yard 3 0 ft. Rear yard ?. ft. * Side yards a 6 ft. and ' J ft. • GROSS AREA OF PROPOSED STRUCTURE a If on corner, setback from side street ft. 1st Floor /6:2K61 sq. ft. ., ` * OCCUPANCY INFORMATION • 2nd Floor � sq. ft. • Primary Building - Other Floors sq. ft. • _ZOne Family Dwelling (not cellar or basement • Two Family Dwelling TOTAL FLOOR AREAg ) sq. ft. • Multiple Dwelling/Number of units Size of new structure,,26 ft x ft. • Business ier/slab/crawl/ • Industrial Foundatio n'P partial (circle one) - Other • No. of stories (habitable space) / • _ __• _._ Height (grade to ridge) / ft. . • If addition, what will use be? If residential, no. of families • No. of rooms(exeluding baths) 17 • Accessory Building No. of bedrooms 3 ' =_Detached Garage ONE/TWO Car No. of bathrooms a • Primary heating stem / `� • =_Attached Garage ONE/TWO Car Type of fuel ' ®_Private storage building No. of fireplaces to be installed= • Other Will a wood stove be installed • Central Air conditioning * OVER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Th,pe of construction, wood frame, fire safe, etc. Q==LC-- . va.-/ Will any second-hand or upgraded liimber,be used? If so, for what? --71;to Foundation wall material at,-v��e Thickness g Depth of foundation below grade (to bottom of footing) 6 /('" Will there be a cellar? Heated or unheated? Floor sq. footage / '/ ) sq ft., Will there be a basement? 7 Will any portion be used as living space? ,4-r- (If so, what portion? sq ft. Type of use? - Type of roof sloped/flat/shed/other "�r� Material of roof G 4 -.. Size, wood studs �j, "x f " spacing / " o.c. length /ft. ZP Joists (floor beams) lst.floor fi "x lD " spacing lb "o.c. span/i ft. ' Joist (floor beams) 2nd floors "x — " spacing "o.c. span ft. Overlays (ceiling beams) - "x spacing o.c. span ft. Roof rafters "x -----" spacing o.c. span ft. Roof trusses (pre-engineered) spacing lh " o.c. span 3 ft. Exterior wall finish Q.. �� ' of what material? 444446 Interior wall finish v ,/ ,// , ,F If a garage is to be attached, describe materials to be used for FIRE SEPARATION: PAL Is there to he an opening between garage and dwelling? fr/A--- If so will a Fire-rated door, enclosure, self-closing device be provided? , Will a flue-lined chimney be installed? -- Height above roof 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 septic system) NAME OF BUILDER �+c� ADDRESS PAJ�Z, � TEL. NO. cckr-77 7, NAME OF PLUMBERtypaix441 ADDRESS A Ri9, '; EL. NO. :J j g 293-73 qb NAME OF M ASON /t ADDRESS417 gAZcr-ra%'1, - TEL. NO.Se4f3-2.39 NAME OF ELECTRICIA ADDRESS"S, 4)07.. CQ./.f`x.`t TEL. NO.S/F-%9-3 i 1r, DECLARATION - To the t or rmy 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 provisiPm".got the BUILDING CODE, THE ZONING ORDINAIJrF, 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 Owne r s sent; arch' t, contractor SPECIAL CONDITIONS OP THE PERMIT: BY 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: TOWN OF QUEENSBUFIY /��� RECEIVED 1 . Gross floor area 2 . Type of heat L JAN 12 1990 3 . Is the building mechanically cooled? nip BLDG. & CODE DEPT. 4 . Percentage of area of windows and doors f41(///k A. Over 16% Only 1 . U value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heat•.i spaces, YES NO a. Are foundat on walls insulated? YES . NO 1. If YES , what is the R value? 3 . Slab on grade YES NO t a. If YES , wh .t 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 1. R alue of roof and floors exposed to ambient conditions • -30/14-0 — if--,/ weivi —,e 3 e 0_4/7 /5 2 . R •value of exterior walls /� 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8 . R value of heated basement/cellar walls (above grade) 9 . R value of heated basement/cellar walls (below grade) 10. Type of insulation C. Controls O 1 . Thermostat maximum heat setting 7p D. Duct Systems 1 . Is duct system installed in unheated spaces? YES 4017) a. If YES, R value of duct installation b. R value of duct in other areas E. Pipina Insulation 1. Size of hot water or cooling carrying agent pipe /A 2 . R value of pipe insulation_ F. Service Water Heating ��j� 1. Performance efficiency g�%O 2. Temperature control setting maximum /S o6v G. For Swimming Pool Only 1. Maximum heating Telephone No. 99 3-'73Y (appl cant ' s si ature) TOWN OF QUEENSBURY o .:. APPLICATION FOR rowN OF QUEENSBURY s���; < RECEIVED SEPTIC DISPOSAL PERMIT ' - JAN121990 . , " -.. BLDG. el CODE DEPT DATE ` ,wt -y/. 6 f t) . (� LOCATION OF PROPERTY.FOR INSTALLATION , s/t -�1iw (--Zize4ale.,..y;,ji..7 -1 .- , Owner's Name: Telephone: (, j_4;0GG/ Address:7/../0'. A 'K-1 , 404Creifi Installer's Name: y��LJ J� Telephone c5a�,�/77.3---74.3gA Number of bedrooms (residential only) - Total daily flow (compute (d. 150 gal per bedroom) 17 `, ) Topography: Circle one:Fat Rolling ,Steep Slope •96:of Slope Soil Nature: Circle one Sand 'Loam.'Clay Other ' /Depth. ' '' Feet Ground Water: At what depth? %Gjr, Feet Bedrock or Impervious Material: At what depth? /j/a/Ve Feet Percolation test: Circle one: ot requIE5g, required rate min inch Domestic water supply: circle one: Zunicip Well. Other If domestic water supply is'a wells Separation: Water supply from septic:absorption • feet PROPOSED SYSTEM: Septic•Tank /o Y- gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench ' feet/Total'.system length, `,feet ' SEEPAGE PIT(S): Number of_lagirSize each a� feet by feet . ,6 to #:_/_. N144) Size of stone to be used # /Depth or Thickness . feet 5 ************************* 0,40 - - ter.. . 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. All SIGNATURE OF RESPONSIBLE PERSON: - wi' "/ DATE: //ll lqj OVER • Michael Cameron, Pe'tmit ho.2deet Kati �A, l 1 Tax Map # 82-5-18 Ja4 L,4 pbs • F/UUr"-r� 30 • • 20 Y8 • \ ,C M1/✓ r I /O , i 37 0r fo• r r - f-1ov Septic tank shown is precast, 1000 gallon, with baffles. Seepage pits shown (two) are 4 ft. diameter with 2- ft. #3 stone surrounding. . Credit is given for ift of stone, making the nit diameter 6ft. The depth of the pits is 10 ft. , measured from the inlet pipe to the pit bottom. This will provide a total of 376 sq. ft. of absorption area. 375 sa.ft. is required minimum for the 3 bedroom house proposed for this property. • Piping -- House to septic tank-- 4" sch 40 PVC Septic tank to •distribution bor and_to seepage pits may be lighter 4" PVC pipe. All pipe connections at septic tank and seepage pit to be water-tight. Any change /Prom this septic eani-.gestation cv-Lf. neoui'te submission o4 a pat pea.n showing changes and appnava.i ;o4 the Building Pept_ be4one the use a 5 the system .i s ct t wed. A.copy o 4 this plot plan is to be in the hands o 4 the b epti c iota.2eett at the time o4 inztaL&z .on . • I0V4 dF QUaEENSBURY • Building S Coders Vepan men- - / V Town a U Queens 6Wt y- ®ate!"is ° • • •i - c,2,6 - MIDDLE DEPARTMENT INSPECTION AGENCY,.INC. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 APPLICANT COMPLETES THIS SECTION Date: //t///i O Cit , Town or Township (--` - .•`e`-� 1- 1-0-1"" rJ �? {,f - y � � County State Location/Address --I. if'L,r-r 1%�.e+�,.• lw�. 7\,.. s -, Ce... -,z:= z.-4-- -3;e"l' ).r_-V---- .. (If Located in Rural Area - Please Attach Directions) / Pole # ._ ---.1„, •_i j, ,; F his - i -, 4..:./". ,�'• Owner f, 1,e-;7h:.j.r �-- ;,-,z_.:.,;=-s ..:�.,,,-' .',f.�Lr,�:.,1;.' - 'Permit # 1S J " Cf( ' Occupied As t`' -L-`^.g.4e.'--fi'----- Building: NevvI1--l- Old❑ Occupant • Work Area in Building (Floor #,etc.): App. for: Wiring❑ Service F74 -. or: Ready for Inspection: Fee Remitted-$ - Cash❑ Check n • M.O.° n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat .Switches - Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer - Pump • Number of Fixtures Oven -• :Garbage Disposal Wiring and Controls for Burner . Amp. Receptacles. Fractional H.P. Vent Fans • Other Equipment: - MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 F 1 11/z 2 3 5 .71/z 10 15 20 25 30 40 50 75 100 Mark Number - ` of Each Size Applicant's *., Signature - - 1.Y�I1,.•>a�•r-" - k...;:-...✓='—' License # Permit # T/A ill - Utility: /';> , Applicant's,Address: ,.- -.x. -; -• .---- /G:' / ` ` : (NAME) (OFFICE LOCATION) (City) '%<':1 = —1'' /t- ( y) ` -- - - � (State) £-'" ' (Zip) f4' -' `` ic Service Request # Phone # ,j {'= y -=+ f' ,- Electrician: • MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above n or: . Red Notice Label n - Rough Wiring Outlets 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 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 • Mark Number of Each Size - 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID FE ❑ RW Progress: Inc.❑ , LKD❑ . Contractor ❑ CFT Violation: Work Comp.❑ Inc. n' n L/A Owner CASH ❑ n L/A Fee CH K # Due MO # , n IPA Municipal • INV # Date: Other-Side❑ Utility Applicant Owner ❑ • • Cut in Card - n Temp # Date - . ❑ Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 4/89 ' tCV( GED: Sil/S9 GEDRGF= Kl1(20SAF:A J(1., fE. i! BUILDING TEMS CONSULTANT 13 ARBSYSUTUS DRIVE• QUEENSBURY, N.Y. 128m (51 .) 793-7190 OWN OF QUEEN:::,icJ HE::I DENCE: 1-110 13 ARBUTUS DRIVE QUEENSBURY, N.Y. 125014 PHONE SIB 792-1522 BUILDING INSPECTOR APR 241990 TOWN OF QUEENSBURY BUILDING & CODE DEP_re: Factory Manufactured Home TowN HALL — BAY ROAD Installation Certification. QUEENSBURY, NY 12564 5:ZAr Attention: DAVID HATIN Dear sir, . This is to certify that I have observed and inspected the installation of a "Factory Manufactured Home"; as defined by the New York State Uniform Fire Prevention and Building Code, Chapter D - MANUFACTURED HOUSING, Article 2 - FACTORY MANUFACTURED HOMES, as applicable to your local building regulations; there appeared to be no apparent structural damage to the units, due to or attributable to the transportation or loading/unloading of the units, herein- after described as follows: Date of Installation: Afi402c4V 2--Et /// 7O Site Location: //.f 4 '4W`'w� ` . C>7"r f< .a✓� Community: TOWN OF QUEENSBURY County: WARREN Manufacturer/Supplier: .6-;;;.zetrie � . • Address: C/Al• 0,4, A . /7t uf4 i • Insignia Serial No. 3 71 2 d Plan Approval No. ,!/y i/$' • 'Z-- Manufacturer's.Model/Compone t No.: Z‘X ize f!A-ssiL ,e- 4 Date of Manufacture: 2b ,"et, 5 0 - O/O 7.._ /D.S�0A/e Installer/Supplier: I have also examined the approved Plans & Specifications for the abovementioned "Factory Manufactured Home", and to the best of my knowledge and belief, this "Home" has been installed in accordance with these approved Plans & Specifications, and all other applicable laws codes, ordinances,standards &/or regulations. OF NE� RESPECTFULLY SUBMITTED, cs,e KURos Q";�"tt V1! irVez....."4/7/ cc: 'e. GEOE DEORGE KUROSAKA JR,, P.E. OA .15859 °PErs10Np'V • 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 RE EIVED 414 4f 9d NAME `f)iLti(JA.QI 4 tit_I)' C /ltJ £ MLU� -' !�,LOCATIO f,Q�„) � DATE /f 7s/9a PE'• IT # 90 -Q9_), APPROVED N. m C1.IJ q,k 7 7(� Cl-4A-9 YES NO FOOTING/P RS /! MONOLITHIC POUR FORMS FOUNDATION/` AMP-PROOFI BACKFILL AP OVAL ROUGH PLUMBI G . FRAMING ELECTRICAL Rd GH-IN INSULATION: FOUNDATION FLOORS \ WALLS ‘ . CEILING : ‘ .L. ` ;) FININSPECTION.` AL � CHIMNEY HEIGHT ROOFING j . SIDING ' 4 EXTERNAL PORCHES)'�STE S STAIRS-CLEARANCE 7LS PLUMBING FIXTURES RELIEF VALVE INTERIOR TRIM/PRIV C, DOORS FINISHED FLOORS _ GARAGE FIREPROOFING\ \ DOOR CLOSER(S) V '. n i SMOKE DETECTORS It; FINAL ELECTRICAL INSPECTIOIIVAf S !7-& • X ii FINAL APPROVAL OF CONST UCTION X A SIGNED CERTIFICATE OF OCCUPANCY MUST BE n '‘ OBTAINED FROM THE BUILDINq, DEPARTMENT BEFORE THESE PREMISES ARE OCEUPI D!. REMARKS: \a aA/1 J Torz_ c,JI rA5 Ale6t-c�Z Tip-eiC Pas-7— rb Ale ill G RM Coil Pr2v6 :�) • . INSP TOR • MIDDLE DEPARTMENT INSPECTION ADENCY, INC.�,' Electrical-BuiluJng-Plumbing-Fire Inspections I Date'•• ;' cto !���/•,tom®� ,: T: • - constitutes certification that=thf!above installation, but not:the;equip- ment itself,.has been visually inspected I as of,this date pursuant to the applii.- •i able :codes. If 'additional; equipmerit should-. be_ introduced or:_:alterations j made to the existing`system'`or;struc- 1ture, application for inspection:should --be submitted promptly to this Agency. ....�`�:..,•). ; ., e � i \ \__.._....:::. 4 , • _lown of Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 I SEPTIC DISPOSAL SYSTEM INSPECTION NAME Pi2V.A4 Ar— LOCATION i4tr U 116- 0 L 4 DATE L1/(9/ 1 D PERIT NO. q(�j-n8 1 , SOIL TYPE - Sand - Loam - Clay - p'' Percolation Test Rewired? YES - NO 1 Percolation rate - Min/Inch TYPE of SYSTEM: i Absorption field, total length Length of each trench / Depth of trenches ' ' / Size of gravel ) / SEEPAGE PITS{Number;lof) ' / Size- ft. X Aft. Gravel size , 1 / PIPING: ! Size / Type Bldg. to tank .i Li / .P� Tank to dist. box Lp r. Po&C_- Dist. box to field/p;it Openings sealed? YES I;IO Partial LOCATION/SEPARATIONS:c, 1�1 Foundation to tank ,, / ft. ' Foundation to absorption' _ ft. Absorption to lot lino, . ft. Separation of pits ¢ ft. LOCATION OF SYSTEM ON �ROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: i f) ON'S s Pi --/PciiAi r o 12 v izi s60 � Tc�tA-�4, t a q— CV6—P/T7/ t . Let;-u& ci/ ox : 0/1-- D P6� Fz, 'lisp n.Q Ar • \ SYSTEM USE APPROVED YES . Bui ding Ins ctor 01/86 and vl ,7ouin of Queenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME (3= A-A6:761.011f- LOCATION Alf-T LI1 & /1/1 DATE 91kQ() PERMIT NO. 9(J -& SOIL TYPE _ A. :1 - Loam - Clay Percolation est Required? YES 0 Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total Length of rench of trenches ' Size of gra SEEPAGE i?ITS4Numbi r of) Size- , ft. X ft. Gravel size • / PIPING: \ Size ,/ Type Bldg. to tank / Tank to (list. box 1� fit c— Dist. box to field '-( / Openings sealed? ES; NO Partial LOCATION/SEPARATIONS: Foundation to tank 11 ft. Foundation to abscrption Z0 ft. Absorption to lot line' '; /0 ft. Separation of pits 7 L( pft_� LOCATION OF SYSTEM ON' PRQPERTY(ci_rcle one) Front . tap- Left side 'c- Right side - COMMENTS: SYSTEM USE APPROVED Y NO Buil ing Inspect r 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADSP/27 QUEENSBURY, NEW YORK 1280i- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED/3' v NAME 12uekv-� "4kl-a/g/MIZe4tyt.) 611Lael21 LOCATION %1 /'!- /Q.I.IJ %4 4_ ,r: DATE 6/77) I PERMIT # f 9d- , • j ,;3 APPROVED :1 ! YES NO FOOTING/PIERS A i MONOLITHIC POUR FORMS . FOUNDATION/DAMP-PROOFING .1 % KBACKFILL APPROVAL I,j :" • ROUGH PLUMBING !I f L__- ' FRAMING y�i• ELECTRICAL ROUGH-IN 1 INSULATION: ;1 FOUNDATION `, ,i� FLOORS • 1J ,d WALLS 5 • CEILING j FINAL INSPECTION: ! . CHIMNEY HEIGHT g r!+ ROOFING SIDING .1 EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE &!RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRI*Y DOORS FINISHED FLOORS ' GARAGE FIREPROOFING'; DOOR CLOSER(S) j SMOKE DETECTORS' FINAL ELECTRICAL)INSPECTION • FINAL APPROVAL OF CONSTRUCTION l' h A SIGNED CERTIFICATE OF'OCCUPANCY MUST BE OBTAINED FROM/THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! 1 1 REMARKS: I t / t5jj , f1 • i d 313 1 (-1,1 ' U.6 • 3(-0 • [ , . , ,, , c 11.c.cLI,.'� L ! INLPECTOR PAA TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- • TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME U1/IC p� Xr II A a LOCATION )41, U i&i Li ,t 1 / DATE 3/ /5l C? PERMIT # ",Lb^ © b 1 APPROVED / YES NO FOOTING/PIERS, X MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING i BACKFILL APPROVAL / ROUGH PLUMBING I FRAMING ?. ELECTRICAL ROUGH-IN / INSULATION: a r' FOUNDATION FLOORS. 4, WALLS CEILING f FINAL INSPECTION: CHIMNEY HEIGHT{ ROOFING 4 s! SIDING § I EXTERNAL PORCHErS/STEPS STAIRS-CLEARANCE& RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS/ \ GARAGE FIREPROFI;NG DOOR CLOSER(S) ' SMOKE DETECTORS ` FINAL ELECTRICAL INSPECTION .FINAL APPROVAL/OF CONSTRUCTION • - d a OK TO ISSUE C40 OR C/C 7 A SIGNED CER1/IFICATE OP OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUlIED! REMARKS:A / REMARKS* Li i 1�vf(1tZ 05,m45 �� 4 k /( - Too R/G�i&e:7(opt/ • ARRIVE • DEPART 7M~ c- • INSPE TOR