1990-040 FI•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 16 19 90
j S
This is to certify that work requested to be done as shown by Permit No. • 90-40
•
has been completed.
•
•
This structure may be occupied as a Single Family Dwelling
Location - Hi dcic^ Hi 11 S Oak —* e C
w ' `
Owner William Herlihy
By Order Town Board •
TOWN OF QUEENSBURY
•
(Th
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
-No. 90-40
o
WARREN COUNTY, NEW YORK •
. _
•
co.)
PERMISSION is hereby granted to WILLIAM HERLIHY I
OWNER of property located at Lot #133 Hidden Hills Street,Road or Ave. cd.)
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 QueensburyV Building and Zoning Ordinance.
=
1. OWNER'S Address is ,
I-
24 Fox Hollow Lane
• 2. CONTRACTOR or BUILDER'S Name
r—
V I-
5:71.
. ,
3C
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECTS Name
•
5. ARCHITECT'S Address
CA)
(A)
6. TYPE of Constriction—(Please indicate by X) V VV
(X)Wood Frame ( ) Masonry ( )Steel ( ) _
• •
r-
7. PLANS and Specifications
No. 32' x 48' single family dwelling with fireplace, driveway, two-
car garage and septic system as per application,s pecifirations and plot.
8. Proposed Use plan.
Single Family Dwelling.
1•••1
$ 225.00 PERMIT FEE PAID—THIS PERMIT EXPIRES September 6 19 90
r-
V
• (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.) -n
• • 1-4
Dated at the Town of Queensbury this 6th Day of March 19 90 -c
tzi
SIGNED BY for the Town of Queensbury
Building and and Zoning Inspector
TOWN OF QUEENSBURY `R�� e
4� �Vl / , `
—air % 'R
1 @ 'u1 U YiEWED BY
fP Q�O FEE PAID =% -} `�1 l�,l��,
i� MA J �_p�RMTT NO. go-y C�� � t .� �CQDE:fl`
vit105 BUILDING PERMIT APPLICATION 3)b)1 t) '
9)1/}q 1)
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 * a * * a a * * a a * a a a a a a a a a a * * *. a a * * a * * *
The owner of this property.is: Lk) ) III 4 rr1 geR01y
P.O. Address . .--if Flo 44oLf...04.t1 L 15- Tel. 7 9; - .z 6//
Property Location t 6, / d i°;s Tax Map No.
Has there been any split of this property since October 1, 1988? / , z V A j
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE 44iy ILL LOT NO. 10.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF •
•
y Construction of a new building • CONSTRUCTION: $ /b��®moo
Addition to a building a COMPLETE INFORMATION REQUIRED BELOW:
* Size of property ) ?-S. ft x eft.
Alteration to a building * ExistingBuildings(3) Size
(no change to exterior dimensions) g 19�ft. x ft:
" Proposed building - distance from property. line:
Other work (Describe) * Front yard 3 8 ft. Rear yard ,-,O ft.
•
Side yards 3 Z. ft. and /7. ft.
* If on corner, setback from side street 3 S ft.
GROSS AREA OF PROPOSED STRUCTURE`S •
•
1st Floor 9 6 Asq..ft. ) ?-0(Av •
OCCUPANCY INFORMATION
2nd Floor 7 2 P sq. ft. * Primary Building -
Other Floors 5)4• One Family Dwelling
sq. ft. ___
(not cellar or basement • Two Family Dwelling
• _Multiple Dwellin
TOTAL FLOOR AREA sq. ft. vq/ (�, P g/Number of units
.
Size of new structure 3 ft x=ft. y Business
Foundation-pier/slab/crawl/partial/full Industrial
(circle one) �� Other
No. of storie• (hm..bitable space) 2.. •
•
Height (grade to ridge) a c ft. • If addition, what will use be?
If residential, no. of families 1 ��� .
No. of rooms(excluding baths) 7 "/�^•
1 �, ��'I Accessory Building
(�
No. of bedrooms 8
Detached
• Garage ONE/TWO Car
No. of bathrooms S/24,_
Primary heating system }15'1 wer ' rP JA. • _D(Attached Garage ON WHO C/
Type of fuel egS Y •
__Private storage building -
No. of fireplaces to be installed I
Other
W i11 a wood stove be installed 0,)6
Central Air conditioning itTh *
OVER
E r .APPLIC.ATIOv'CO`1T,[,NUED -
6 !CATIONS:
T )n, wood framed, fire safe, etc.
w id or upgraded lumber be used? If so, for what? tj
h /I
Fc .terial }7�oc Cb00,V , Thickness 1 6
D t below grade.(to bottom of footing) G/ 6e
W ar? ves1 Heated or unheated? Floor sq. footage sq ft.
W, .ment? r, Will any portion be used as living space? ,
(If ' sq ft. Type of use?
Ty flat/shed/other , Material of roof Aszh '
Sit "x ".spacing /( " o.c. length g ft.
Joi 1st floor ,2. "x ./C) " spacing OG "o.c. span J '1 ' ft.
Joi 2nd floor Z "x /b " spacing )(' "o,c, span-12'g"ft.
Ov, ams) "x („ " spacing /eg " o.c. span I�.� ft.
Roc "x -8 " spacing /6, o.c. span / 1 ft.
Roo igineered) spacing yr " o.c. span k 4 ft.
Exter \,) 1 N�/L, S c cc/ 0,41 of what material? V 1 ky L `
Interim ,
If a garag oe attached, describe materials to be used for FIRE SEPARATION: fig PI0_22 e,;,,
Is there to be it, .ng between garage and dwelling? Toe If so will a Fire-rated door, enclosure,
self-closing devic, provided? � eS
Will a flue-lined chip ay be installed? y' Height above roof 2 ft.
Depth of chimney foul. Jation below gra6e a,' ft.
Depth of fireplace hearth 2 ft. in.
Water supply -(AMunicipa'l)or private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties I,J4 ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER (,()s 11i 4-411 )`)J` 'A'/ADDRESS 24-/ P®>eh��LLO /,, TEL. NO. 773- 4/1'
NAME OF PLUMBER ';604.. 7" ;,I0 ADDRESS AIR � .i a t ink__ TEL. NO. ' '9 •9
NAME OF MASON t),01,r T3/14.0to& ADDRESS 5„T1n�/4,LL, PZ1LL TEL. NO. 792 ®/3 Z/1
NAME OF ELECTRICIANflo )L t 4- ADDRESS' Tj i✓ici®a . TEL. NO. 793- 19'efe
DECLARATION
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 th. RTTILDING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed work sna:: Lie complied with, whether/ispecified or not, and that
such work is authorized by the owner. A 1 '
Signature /Aj,, i/ i '
?4
� t�
Owner, owner's agent, erchl ect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
WARREN COUNTY', 'NEW YORK -
.
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE. ENERGY CONSERVATION CODE TOWN Off' QUEENSBURY
A permit must be obtained before beg
J L.6l►f
• ANSWER ALL of the following: GQ�?4
• MAR G 1 1990
1 . Gross floor area -G `I'
BUILDIN 6EPT.
2 . Type of heat -G A- .1,1?t`e— ..
3 . Is the building mechanically cooled? M (�
4 . Percentage of area of windows and doors /-O
A. Over 16V Only
1 . Uo value of gross area. of walls , roof/ceiling-and floors
exposed ' to ambient conditions
•
2 . Floor over heat. spaces Mrk NO �
a. Are foundat on walls insu ,
lated? £af NO
1 . If YES , what is the R value? -R 13
3 . Slab on grade YES t0 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 R1`l
5. Type of insulation
B. Under .16. Only
1. R value of roof and floors exposed to ambient conditions •
R ®o Fes- .R 313
•
2 . R value of exterior walls R 1 �/
3 . R value of glazed area IR 4
4 . R value of doors R J O •
5. R value of floors over unheated spaces 00 A. • •
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
S . R value of heated basement/cellar walls (above grade) (n3
9. R value of heated basement/cellar walls (below grade) R
10. Type of insulation ► Halt- nI S
C. Controls
1 . Thermostat maximum heat setting 90
D. Duct Systems
1. Is duct system installed in unheated spaces? YES 00
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 3J/ L
2. R value of pipe insulation `Z? -5
F. Service Water Heating _
1. Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only
•
1. Maximum heating f
Telephone No. • ("A)/ 001/1,1444f
�'' °��'
(applicant ' s signat fe)
•
•
1
OF QUEENSPURY
APPLICATION FOR
=�\ SEPTIC DISPOSAL PERMIT
; � TOWN OF QUE.C-°S�SBL!R'r
way
Pi] [1 :LIOWL111
MAR 011990
DATE ) - ,)_/ - 90 BUILDING & CODE DEPT.
s /
LOCATION OF PROPERTY FOR INSTALLATION L 7vlj: C 3
Telephone:I 7 9 -�. r Owner's Name:
1 i r i am �,(t.,�c �,r' �' � I
Address: Q / •,F-ate- go L L.eej -1 -c E
Installer's Name: -C) ' P - ��cAU 4-- ail.) Telephone: 7919- So77
Number of bedrooms (residential only) dr10 3
Total daily flow (compute-(. 150 gal per bedroom) 9,5 0
Topography: Circle one: Rolling Rolling Steep Slope % of Slope
Soil Nature: Circle one Sand Loam clay Other /Depth: Feet
Ground Water: At what depth? 1.5 Feet
Bedrock or Impervious Material: At what depth? J5' ep Feet .
Percolation test: Circle one: not requir-4i required rate min. inch.
Domestic water supply: circle one: ' unici } Well Other X
If domestic water supply is a well: A ' ® ZZ
(.
Separation: Water supply from septic absorption feet `
5 .
WO PROPOSED SYSTEM: Septic Tank )Oc 'C) gal. (minimum size: 1,000 gal.) r ` qg Sf-
TILE FIELD: Each Trench feet/Total system length • feet p •
2 CO
SEEPAGE PIT(S): Number of ..® / Size each E. feet by 9 feet �b t4
i?er5 Psiori7"
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 San tary.Sew ,e Dispasal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: ,�i Jiirk(4/P// !1 ,9..A ' ;(�.
DATE: ) — E2q-C/D , .
OVER
IB
w TOWN OF QLIEENSBICRY . MAR 011990
Bay at Haviland Roads,Queensbury,N.Y.12801-9725 .
BUILDING & CODE DEPT.
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date I — $ r"f 19 (y��;0 Permit NO. _ / 0-4
�>,. '
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all
applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all
inspectors to enter premises for the required inspections.
Applicant's Name (,,.0.1 i i 11q- %s t`4 i •L i ; ,, ;: APPLIANCE TYPE
Stove Coal Wood
Address LI J>- ,,, /1 cs,L.L ii,.3 , . :- :...)4:::, Furnace Hot Air Boiler
. Zero Clearance Circulating Unit
( :., ._`L:. ., ti C,a:.w_„a Zip 1:5. 0.,041'
Phone Ci Z2 G l If Non-Masonry:
Owner's Name ! a) ,:d. . " - ;_
Manufacturer
Address • ,;-:':
�: ' t""':'�' '�'`�''�= i--41'`,° `' Model Outlet Size
__, 1-,. 1,_. 1,,, .-" Zip le' 'q Listed by Number
Phone 7 '- .a 1
};.5 6 CHIMNEY TYPE
Masonry: Block ,Brick X, Stone
Property location of proposed construction Flue: Tile " Steel
L n' / S Z 11 t d era irtLd:.w, Size: d S' 1-
Factory Built:
Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
-.REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ ";'3 9 00
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ 1..'�
,.- SONRY FIREPLACES AND CHIMNEYS.
CASHIERS DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
•
Department: Fire Marshal Amount Collected Amount Refunded
Code Number Title a---5
A173 3389 (190)Public Safety
A233 2655 (230)Minor Sales
1
l .
Fee Collected from or Refunded to: 1 I)1 4 1 A ank, 11-0, ,1 i kJ,
,
Address: 1'�'1- rase__ PV l9 tkir- , I
Dated: . ill lei n Town Clerk or Deputy n' L� QQ,16)
While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
MIDDLE DEPARTMENT INSPECTION AGENCY, INC. '
National Headquarters �
� 9UOHaddunAve, Collingswood, NJ. 08108
-
_
APPLICANT COMPLETES THIS SECTION /' I A /4� ' � � Dmo�
w)�
City, Town orTownship County /'/�'�� /s^_� State
~ � ��
LLocation/Address � � 7- / �� yy/��� ��/ �� �r_
(if Located in Rural Area Please Attach Directions) Pole # " ^
Owner Prrmit # /4/\ ' ��»
r
Occupied,As / Building: Now 0d |
Occupant
Work Area in Building (Floor #,oto }:
App. for: VNhnn Service or: Ready�nInspection:
Fee Remitted $ ' Cash F-1 Check F-] M.O. 7 Make Payable To: K8.D1A.
' am 750 1000125015001750 200022502500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches
Amp. Service Surface Unit Dishwasher Range
Lighting
Water Heater Air Conditioner Dryer Pump
Hncmptam|o,
Oven Garbage Disposal Wiring and Controls for Burner
Number of Fixtures
Amp. Roomptao\oo Fractional H.P. Vent Fans
Other Equipment:
MOTORS . uzoz/zevm z/u zm 1/4 z/a z/e a/m z zm e o 5 ,* zo zx eo e, ao ^v xo ro mu
Mark Number
of Each Size
Applicant'sSignature
License # ' Permit #
T/A 9 Utility:
(mmws) (OFFICE LOCATION)
Applicant's Address:
(city) ' (State) 11%) .
(Zip) Service Request #
Phono # 0
Electrician:
N1O|A USE ONLY
DATE RECEIVED: DATE INSPECTED:
Correct Location: Same aoAbove or:
Red Notice Label F-1
Rough Wiring Outlets Surface Unit, _ Oven � `
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
-
Amp. Somiov Equipment 8v,nv,'wNhno �Con�,o|s �x Amp. Receptacle�
Amp. Somioo Conductors Pump Vent FansMOTORS '
H.P. z�vzooz� 3/4o z/u z/o z/o z/o z/c � z z� e o o r* m zs uv e5 oo 40 so 75 um '
�.rk�ch�ize Number /
B� �� � � 1� � 1� o� � � � � �
'
CERTIFICATIONS USE FOR INITIAL vm cmmnsor/r�mc/ mor/p/sm ow�s FEE PAID
pss
RVV Pmom, : Inc. LKD Contractor
E-] CFT Violation: Work Comp.�� |nu �� ����
-- -- CASH
| | L/A Ommo,
roo CHK **
F-1 L/A , Duo
K8O # -
| | IPA Municipal
|NV #
' 'Dmei : ' �- ` - 0thorSido� � utility Applicant
L�
Owner L�
Cut inCard F-1 Tomp # Date
� � Fina| �� Dam- INSPECTORS SIGNATURE
'
*ppL/c^r/Om FORM NO.25vEL*my �
/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT i,
BAY & HAVILAND ROADS 1�1—�
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 392-5832 4014,11Le
�Q,-t�BUILDING INSPECTORRT
REQUEST FOR INSPECTION RECEIVED S115 q()
NAME Lt/i2/Jh 0)7, ",i7lAk_fi-d�17 /�
LOCATION. / -i Dat jp1,Q. /�'/�'111 J
DATE s_.//6,,/ . . PERMIT•# n/o-4Q
1 APPROVED
0 . YES NO
f
FOOTING/PIERS ‘
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING ;
BACKFILL APPROVAL °
ROUGH PLUMBING a
FRAMING Q
ELECTRICAL ROUGH IIN 1 •
INSULATION: €
FOUNDATION d
FLOORS d • f /
WALLS R 1
CEILING t •
t`. . .
FINAL INSPECTION: k /
CHIMNEY HEIGHT 11 .
ROOFING
SIDING f • • ' ' •
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE 4 RAILS
PLUMBING FIXTUfRESXRELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
• FINISHED FLOOR'tS 1
GARAGE FIREPROOFING
DOOR CLOSER O 1
SMOKE DETECT RS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR •C/Ck --
A SIGNED CERTIFICATE OFOCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
.
REMARKS: 1,i.,
\ ,....... 1:31 — _____________,..7'C',/)-) . . .
ARRIVE '1)11 �/
DEPART
V r r^ tb J,
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK •12804.
TELEPHONE (518) 79215832
C
BUILDING INSPECTOR'S REPORT
i
/
REQUEST FOR INSPECTION RECEIVED ?7)4.�i/e)
NAME �&4%,1 ��rL/�.,-,g1
LOCATION � ,/ k3 /2;t G• /Zec. /ff 2i1-7ae-�
•
DATE ,3//6A//d PERMIT •# I 9 ,/
I
s • APPROVED
) * ; YES NO
FOOTING/PIERS q
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING • 5"
BACKFILL APPROVAL . '
ROUGH PLUMBING g . . . `
FRAMING
ELECTRICAL ROUGH-I* yY' . . . .
INSULATION: ''
FOUNDATION i. "
FLOORS
WALLS '"
`/ CEILING .
Y.FY(FINAL INSPECTION: ; ;'?
r' CHIMNEY HEIGHT ;? "
ROOFING
SIDING bd '' iV-
EXTERNAL PORCHESMTEPS t/
STAIRS-CLEARANCE &TRAILS G'
PLUMBING FIXTURES/5Rh{LIEF VALVE I/
INTERIOR TRIM/PRIVACY 1•CY DOORS I/
FINISHED FLOORS t L/,
GARAGE FIREPROOFINd 1.
DOOR CLOSER(S)
SMOKE DETECTORS ;1 '1 `" ----
FINAL ELECTRICAL INSPECTION /
FINAL APPROV F CONSTRUCT/ /94L _.
Ali
OK TO ISSU C/O OR C/C
A SIGNED CERTIFICATE dF OCCUPANCY MUST BE
OBTAINED FROM THE/ BUILDING DEPARTMENT BEFORE
THESE PREMISES A E OCC IEDl
REMARKS: 1
\\\ .
I
ARRIVE i 7 •
DEPART / f/ : c! 1 , /��y
INSPECTOR
MIDDLE iD:EPARTMENT INSPECTION ,AGENCY, INC. 1
Electrical-Builthng-Plumbing-Fire Inspections ,
Le) T- /3.3 /� l ; ( •
Date .� 11 L::lk
I ; .•-cto:, iVilt7 11 I .1 a. 'S - ,
�...`' 1•I
T' - constitutes certification that the =`4
above installation, but not the equip- •
ment itself, has been visually inspected ; ,;,
as of this date pursuant to the applic- =' '
able codes. If additional equipment '
should be introduced or alterations
made to the existing system or.struc-
.- ture, application for inspection should , , •
be submitted promptly to this Agency.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS J��
QUEENSBURY, NEW YORK 1280k /
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FORU INSPECTION//// RECEIVED J// fg t/'o
NAME l,/(jkljh W,t?l /411/ly
LOCATION{ /f (Qa y_, ,/ 42_, 4 jzi J
DATE %lJ I/qQ PERMIT # 90 440
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING '
FRAMING .
ELECTRICAL ROUGH-IN
)(INSULATION: - BAIe me . /
FOUNDATION i6-t+ / !/
FLOORS %'i
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
- OK TO ISSUE C/O OR .C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS.: •
{
•
. ARRIVE /•.`S-9
DEPART �
( *A
• INSPECTOR
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 4t/&/9.
NAME )/t/i
v/avyf �TP"y�fjy �1
LOCATION lre Cc�G��
DATE t�//p PERMIT # � /10
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING!
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
X INSULATION:
FOUNDATION
FLOORS ,� _ .� �.
WALLS . �y .
CEILING
FINAL INSPECTION: E
CHIMNEY HEIGHT ,
ROOFING 1 ;
SIDING , /
EXTERNAL PORCHES/STEPS 1 /
STAIRS-CLEARANCE & RAILS % I
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS ,`��
FINISHED FLOORS / 1
GARAGE FIREPROOFING
DOOR CLOSER(S) / u
SMOKE DETECTORS { t
FINAL ELECTRICAL INSPECTION '4
_FINAL APPROVAL OF CONSTRUCTION ,
- OK TO ISSUE C/O OR C/C / \
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ARRIVE / /
I
DEPART /
� " G
INSPECTOR
Jown ®/ Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
''
NAME 1 1 l 1 0 VYl 4eiV I I II.t
LOCATION Is+ 0 3- Dal( 1 ALL Cut.CiL,
DATE 614)063, ZG PERMIT NO.. CID-IFo
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption fie , otal length
Length o ch trench
Dept of trenches
ze of graver
SEEPAGE PITS{Number' of) g
Size- °7 ft. X C? ft.
Gravel size ,
PIPING: r Size Type
Bldg. to tank . 1 ti 504 40 Pc)C-
T ank to dist. box ! Lf pVf._
Dist. boy: to field/pit LE i'JC--
Openings sealed? 1 ES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to abscrpton _ ft (J�
Absorption to lot line`.. ft.
Separation of pits ; ft
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front ea - Left` side '' Right side -
COMMEN
_4`
�a 6,,,
• Ar[4ik
i
SYSTEM USE APPROVED 0
Buil ing Inspect r %
01/86 and vl
. 1
TOWN OF QUEENSBURY 1)t4
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR NSPECT N R
ECEIVED /2/G11 1,1
OaC &
NAME /LLC/9 JJl
LOCATION r /t ...1 1 ( /� ./ .4_Je
DATE 4. ,f 7(j PERMIT # )o—
• APPROVED
"s YES NO
FOOTING/PIERS iN
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
(ROUGH PLUMBING % ./
FRAMING [; /
ELECTRICAL ROUGH-IN .
INSULATION: I
FOUNDATION
FLOORS "a
WALLS . .
CEILING . . . .
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING • ' I
SIDING .1,
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS{
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS A
GARAGE FIREPROOFING 1
DOOR CLOSER(S) I '1
SMOKE DETECTORS o \ .
FINAL ELECTRICAL INSPECTION\
FINAL APPROVAL OF CONSyRUCTION '
- OK TO ISSUE C/O OR .C/C
A SIGNED CERTIFICATE/OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!• t
i . .
l
REMARKS: J/ \;
i_s Pis
p14- �55 ... \ (
1, 0 p
, .
ii____ c
ARRIVE & -2/) r
DEPART t il�v 1 1\
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ' `
BAY & HAVILAND ROADS ji4v
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST
1 FOR INSPECTION��// RECEIVED �S�/9U
NAME'- /J,Y.I MO.V. . //// //,e
LOCATIO 6V /�8- Q /),�,e_ L >-,Ll il/x,..4 Z
DATE 4 ..9d4'C PERMIT # ;'9fJ--6Ll)
'II f APPROVED
YES NO
FOOTING%PIERS
MONOLITHIC POUR FORMS P
FOUNDATION/DAMP-PROOFING /
BACKFILLjAPPROVAL '
ROUGH PLUMBING €`
)(FRAMING i I` '
/" ELECTRICAL ROUGH-IN a
INSULATION: t'
FOUNDATION
FLOORS
' WALLS . I
CEILING '"', t
FINAL INSPECdTION: .
CHIMNEY HEIGHT
ROOFING
SIDING r; I
EXTERNAL PORFHES/STEPS
.STAIRS-CLEARANCE & RAILS
PLUMBING FIX2URES/RELIEF VALVE
INTERIOR TRIM%PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER'S) t;
SMOKE DETEc/TORS
FINAL ELECTRICAL INSPECTION
FINAL APPROlGAL OF CQNSTRUCTION '
d `
/ 1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED `F/ROM THE BUILD,ING DEPARTMENT BEFORE
THESE PREIyIISES ARE OCCUPIED!-
1 t
J
REMARKS: \ .
BSc
(a,)
INS CTOR
TOWN OF QUEENSBURY LA'S
BUILDING AND CODES DEPARTMENT 3
BAY & HAVILAND ROADS pir)1.-12
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME4- LI
LOCATION / /33 c 7-
DATE �''1 (,,---ca PERMIT # go -To
/APPROVED
j YES NO
4.-17106TING/PIERS ��s7a ` 6 �
y � -
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING /
FRAMING /•
ELECTRICAL ROUGH=IN
INSULATION: i
FOUNDATION r'i
FLOORS. /
r
WALLS
CEILING '
FINAL INSPECTION:
r
CHIMNEY HEIGHT s _ _
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS _
GARAGE FIREPROOFING
DOOR CLOSERS) t,
SMOKE DETECTORS 'c'i
FINAL ELECTRICAL INSPECTION
i
FINAL APPROVAL OF CONSTRUCTION
OK TO ,ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
/ I
REMARKS: \
'•1
ARRIVE 3,"1 3 5
DEPART e 'V f i
INSPECTOR
TOWN OF QUEENSBURY Pvl
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUESTL-(r
y.�2 INSPECTION RECEIVED�J/J �i c Pr
J J }, 111111 1 V
NAME ALL x'c�.CJ 1 �
LOCATION 4 I � �`�`i-� a IL. `: 1,�`--S
,(}' �
DATE I"!"" 0;,4, PERMIT # qb✓A-0
o- r
APPROVED
;, YES NO
1
/
FOOTING/PIERS ! i
MONOLITHIC POUR$ FORMS ,/ ' L./
FOUNDATION/DAMP-PROOFING .g
0(BACKFILL APPROVAL I '
'`ROUGH PLUMBING
FRAMING t
ELECTRICAL ROUGH-IN 1
INSULATION: �'
FOUNDATION P�
FLOORS. . . • 1 .
WALLS 1. ' ,11 .
CEILING ,A ;1
FINAL INSPECTION:, r
CHIMNEY HEIGHT1 1
ROOFING 0
SIDING V
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE& RAILS
PLUMBING FIXTURES?/RELIEF VALVE
INTERIOR TRIM/, RIVACY DOORS
FINISHED FLOORS 5,
GARAGE FIREPROOFING
DOOR CLOSER(S) x
SMOKE DETECT5RS ,
FINAL ELECTRICAL INSPECTION ' '
FINAL APPROVAL OF CONSTRUCTION
- OK TO ISSUE CPO OR C/C i,
A SIGNED CER1frFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: 0
C:bj1 -77:764 -'(/
•
ARRIVE 7)5° , _./(// .
DEPART/i, v ;�
INSPECTOR
.A..T.31.2
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS �9
QUEENSBURY, NEW YORK 12801 ` 1
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST-FOR INSPECTION REC IVED 3 Y1� )9c
NAME, -J Ck ,Uk-Ai/
nd n.
LOCATION + ( LLI( k. p
DATE G 4 PERMIT # �� -
APPROVED
YES NO
MFOOTING/PIERS ;;/
ONOLITHIC POUR FOR&
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL d .
ROUGH PLUMBING j ;I ' ' -
FRAMING I 1 .
ELECTRICAL ROUGH-IN ;, " • • '
INSULATION:
FOUNDATION
FLOORS . I . . ' . . . . . .
WALLS . . . . . . .
CEILING E - '
FINAL INSPECTION:1
CHIMNEY HEIGHT ,I, '
ROOFING
SIDING • u • • ' '
4
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM%PRIVACY DOORS
FINISHED FLOOfS •
V GARAGE FIREPROOFING
DOOR CLOSER(.
SMOKE DETECTORS 'ii
t,
FINAL ELECTRICAL INSPECTION; " -
FINAL APPROVAL4OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES?,ARE OCCUPIED!
REMARKS: 1,)" 1:41( -12o .
.
THE CONTRACTOR `'IS RESPONSIBLE FOR PROVIDING
PROTECTION FROM'\FREEZING FOR 48 HOURS
FOLLOWING THE PLACEMENT OF THE CONCRETE. .
. MATERIALS FOR THIS\PURPOSE ON SITE
ARRIVE 3:I ;-, YES NO
-
DEPART 7 •
n).
•
INSP CTOR
1"QINN OF QUE2NSBURY
tOili [.h 1 ki 1 i_Ili
MAR u 11990
BUILDING & CODE DEPT.
t`, AZ r. 1} EE.
js--
r .
o
Z + A
W , piw " . Z
`1..;
I iI
E t I I
,S
n o'
f
j '
x " 1 _ �,
0 I i ��
0
r
I .
j T#WN OF QUEE SBURY 1, ,
Zonanci Admi istr o