1990-045 -�--.: ""}• ';T- . _ .a3'.-+t '_J`._ ,r v"i:,. ,-�f. r.r d: —'C,' ,'vu y-:,. ;1.�,..:<t% .d, eni;_'.,.:' . .i. ,
•
v CERTIFICATE OF OCCUPANCY
TOWN
WARREN COUNTYOF , NEWQUEENSBURY YORK
Date AUGUST 31 iq 90
D)179, J
This is to certify that work requested to be done as shown by Permit No. cM-45
has been completed.
This structure may be occupied as a Si ne_l e Family Dwel l i na
Location 33 Sullivan Drive & Sullivan Place / Glen Lake
Owner Lori Dickinson
By Order Town Board
TOWN OF QUEENSBURY
1 /
Director of Bldg. & Code Enforcement
BUILDING PERMIT
x
TOWN OF QUEENSBURY
No. 90-45
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to LORI L. DICKINSON co
.tv
OWNER of property located at Sullivan Drive & Sullivan Place/Glen Lak€Street, Road or Ave.
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 t7
263 Bay Street
PC
Queensbury, NY
CM
0
2. CONTRACTOR or BUILDER'S Name
Y
K & D Construction
3. CONTRACTOR or BUILDER'S Address
app I; cant 4. ARCHITECT'S Name
a d v Isec8
py CDnfraC ✓ c
5. ARCHITECT'S Address -3 COn pyt.
yY)e5 �.
?Da fl Q Rack Rd
6. TYPE of Construction-(Please i u
L,c K� Ceo ate-
Wood Frame ( ) )a � �15 ,..a
Cu
7. PLANS and Specifications a
No. 28' x 37' s th septic system, as per appli-
cation, speciricatTons --ana--plot pi-a'n. 0
8. Proposed Use G7
rD
Single Family Dwelling
I-
w
$ 175.00 PERMIT FEE PAID -THIS PERMIT EXPIRES September 13 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.)
Dated at the Town of Queensbury this nth Day of March 19 90
'� to
SIGNED BY for the Town of Queensbury
Building and Zonin Inspector -n
62)
TOWN OF QUEEtiSBURY ' . Ann!.I`.1TO; roR 5UIL I C ANn ZO ITN(' pr.RmIT
„' —� . Revs ewcd ; Mr �� ;OWN C)F � ;�11 .,
�"s • PAY Jr / G� • RECENSI
*Ni.• Fee,F• =r ,yw . I� qp •
GUILDING AND CODES ut:PART?+EA�' Date Issued- 3 I ) MAR 0 5 1990
JAY and fAVIL4ND ROADS RD 1 Dox 93 BLDG. & CpDE Dl` f
nUEENSBURY;NEW YORK ' 1280-1 - PC/unit No. 9O-q5 - - _
Tel . (518) 792-58.32 Ext 0.4 i
A PERMIT MUST DO OBTAINEU -B'EFORE BEGINNING _CONSTRUCTION .. NO INSPECTIONS
VI.LL BE MADG _UNTIL APPLICANT HAS RECEIVED A VALID BL'ILDINC PERMIT.
All appl'icable . spaces on this application must be completed and the '
ti'1rnature of the -applicant must appear on the reverse side -of. this sheet .
* * * * * * *- * .* *, *. k k * * * * * * * ** X. * * * * * -* - * * * X * * * *
The .owner of this property is :' L.L. I/ lcedAiso'nl
t' ..0 . Address . J6,3 &y ST. . Q/i*A/Sjla/V, n/t/ 1f/4 TEL . /93 9895
•
I roperty .1ocationae,V. $uuiVtYAI )i IVe 7 SuGuv414 Pc , (s( E `rAX MAP N0. ' /. - / ,- .
has there been any split of -this property since October-I , 1988? /. ✓
Yes no •
if yes , Planning Board Review is necessary.. •
SUBDIVISION NAME , .IF APPLICABLE - A/ , - LOT NO . ,
The person responsible for supervision of work as regards Building Codes is :
•
k t, D [ ,07-#2 104 • 70 en 1?it /Y)i b tt ei✓it.t ,,V ' 12349 6.0,E -;0 r
NAME • P .O ., ADDRESS ' TEL. NO. .
Address%Pd 60 /3F pl ik„ 64AwviLt.E Tel I2 'NU-
Name of builder ��� (LimTel 9� h�•7D
Name of Plumbers 6/06musc ' l.ddress. II /Qen . 0p, CATISF.1ooitTr NY
Name of Mason . Address Tel.
rl,1TuRE OF PROPOSEDWJ12K: ,' 'ZONING INFORMI.T1ON (Office use. only)
i
v/Con::truccion of a new building • ZONING; DESIGNATION OF PROPERTY - -
Adeicion co, :, building- - • PERMITTED PRINCIPAL PERMITTED ACCESSORY
.17
A1turat.ion to :a ).wilding •
(no change to exterior dimensions) -
• REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Ocher work (describe:) � �' SITE PLAN REVIEW # APPROVED - DATE '
•
•
�ItOSS AREA 01•' 1'ROPOS:CD. ::TCcUCTU-RE.\C • VARIANCE # APPROVED DATE
1st Floor - f M. sq f t . 12.0 • Remarks:
M\• / •-
2nd Floor - .3aq - sq ft . Li6 CO1•tPLETE IN1'O(�t TION 1u:QUI1cL•'D uL'1d.lw..
•
hropurty /0/ ft X. �00 �� . ft. -
Other Floors - N� - sq� ft . � Situ of
(not ccll:►r or basement) f Existing builUin9(L) Si::u -NA. - ►E X . ec.
TOTAL FLOOR AREA_r 0 sq ft . • Existing Duiluiny (::) Use - ALA -
:.:iLte of-new structure oig ft x 3� ft
l'uutud:acion-pier/siabicrawl/par“.:a tVP• • hropo::u:d building, discancu: from property lino
•
(circle: one) • ft
, Front yard ,30 f t Rear yard_ a_____
Na. of stories (habitable space) / 11 • Side yards �3o rc and a7 tt
Iluighc_ (grade to ridge) as ft' • It on corner, setback from sick: street
l residuntial, no. of families_
No. of rooms(excludinul baths) 4 - , • - OCCUPANLY INFORMATION •
no. of bedrooms 3 . PRIMARY LUILOINC -
No. of bathrooms • 7 One family-dwelling
►aritaary heating system Live Two family' dwelliny -
'1'ypu of fuel .- : Multiple: dwelling / Number of units_
NO. of fireplaces to bQ installed / petcuwnetc cc.y . cy
will :a t,+uekl st.ove3 Y.a: inst:alled? A/o . __Transient OCculuahcy •
- Cuncr:al Air cotulitiun.i.W ilo
• business
WILDING STYLE, PR1MARY- STRUCTURE • - Industrial
lunch Contempory Lag cabin • Ocher
Contemporary
Raised ranch mansion . Duplex • • it addition, what will use bu:T....----.
S J1 .eel Old style bungalow . • -
CoctagII Ocher • ACCESSORY BUILDING- • -
Goiania Row Town House ' L cached garage/on ciar/ two Car/ car.
( CIRCLE ONE PLEASE ) - • - • . LActached garage one car/ two car/ cur
• • a a -. • ■ t. a . a a ■ a a . • • • Privacu stor:►ga building - . -
ESTIMATI:D MARKC•.'I' VALUE OF JI • �Ocheer -
' INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDC OF TUIS SHEET, TO BE COMPLETED!
Form DPA 10/88 v1 - -
T _
•
•
BUILDING PERMIT APPLICATION c: TINUED -
BUILDING SPECIFICATIONS:
Type df!.:construction, wood frame, fire safe,etc. /,{Jeo)) mE
Will any second-hand or ungraded lumber be used? -If so, for what? Alb
Foundation wall material a,,,R60 rDNCRG Thickness 8 `f
Depth of foundation below grade (to bottom of footing) e�.' /y� �m4.1,rm
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
Will there be a basement? y6$ Wi11 any portion be used as living space? r/o
(If so, what portion? sq. ft. - - Type of use?
Type of roof s oped flat/shed/other Material of roof ✓Jt-yulo0»- ASPI/'RZ: S►NnIGGES
Size, wood studs � "X .G spacing "o.c. length ,' ft.
Joists(floor beams) 1st. floor ,I- "X JO- " spacing 4, "o.c. span /r{ ft.
Joists (floor beams) 2nd. floor a- "X /O. " spacing "o.c. span /4 ft.
Overlays(ceiling beams) ,y "X N " spacing /6 "o.c. span /,)- ft.
Roof rafters d "X /0 " spacing o.c. span /4 ft.
Roof trusses (pre-engineered) spacing "o.c. span . ft.
Exterior wall finish C./A-PM Of what material? (60,4A
Interior wall finish So6raaci<
If a garage is to be attached, des ribe. materialIs to be used for FIRE SEPARATION:
/8 " (xYPSNir 1A)R14... 6o 7)oDR L/ f t71z G2AmE
Is there to' be an opening between garage and dwelling? y� If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? 16 Height above roof ,Z ft.
Depth of chimney foundation below grade 5I ft.
Depth' of fireplace hearth / ft. ( in. -
Water supply - Municipal or private well U
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties 8/ ft.
(A separate application is necessary for any repair or new in tallation of septic system)
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 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 (,i-.. 1V�i
Ow , ow is agent, architect, contractor
•
* * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
•
By
TOWN OF QUEENSBURY
TOWN OF Q
WARREN COUNTY, NEW YORK RECERN
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW Y R O 5 996'
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginningB •k4 CODE DEPT
•
ANSWER ALL of the following: . •
.
1 . Gross floor area . /3 o 91.
2 . Type of heat M-rc 64'5E30472.0
3 . Is the building mechanically cooled? //o -
4 . Percentage. of area of windows and doors 57 • .
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
• exposed to ambient conditions
2 . Floor over heated spaces YES NO
a. Are foundation. walls insulated? YES NO •
1. If YES , what is the R value?
•
• 3 . . Slab. on grade YES NO.. •
a. If YES , what is the R value of insulation around
perimeter of floor?
•
4 . ' Is basement heated? YES NO
a. R value . of insulation
5. Type of insulation
B. Under 16% Only
. 1. R value of roof and floors exposed to ambient conditions
2 . . R. value of exterior walls d.'5
•
3 : R value of glazed area 815"
•
4 . R value of doors a. •
5 . R value of floors over unheated spaces _ A9
6. R value of slab edge insulation - unheated slab /0
7 . R value of slab insulation - heated slab" / D
8. R value of heated basement/cellar walls (above grade) //. 1
. 9 . R value of heated basement/cellar walls (below grade) /1. I
10 . Type of insulation ri:662.61A5$ /901.45Ty2EA1g" . •
C. Controls . .
1 . Thermostat maximum heat setting
D. Duct Systems
1. Is :duct system installed in unheated spaces? YES 4000
a. I-f YES , R value of duct installation ' . '
b. R value of duct in other areas _
E . Piping Insulation /. ,,
1 . Size of hot water or =cooling carrying agent pipe Z
2 . R value of pipe insulation .2,61- ,.
F. Service- Water Heating
1 . . Performance efficiency * S ii4w i)
2 . Temperature control setting maximum .
G. For Swimming .Pool Only
1. Maximum heating
Telephone N o: ( i ) q3 8'9s U li liLJf �(�/
app ca is signature)
TOWN OF QUEENSBURY
T OWN OF QUEENSBURN
RECEIVED
r;' � APPLICATION FOR
` MAR 0 5
SEPTIC DISPOSAL PERMIT 1990-��
BLDG. & CODE DEPT.
DATE
LOCATION OF PROPERTY FOR INSTALLATION 6644 SUl imi /l2 i vei-A iLk- Gl / (Ali
Owner's Name: Lpgi L 1 1 Q(i A sonE Telephone: 93 / tic
Address: (o3 610, S%, / 6 '60 AI y /Q1?r'
Installer's Name: f t" 7) aNST2uGn J Telephone: 04,17- - ,k fje.i.—
Number of bedrooms (residential only) 3
Total daily flow (compute la. 150 gal per bedroom) 41 O
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one. Loam Clay Other /Depth: Feet
Ground Water: At what depth? — Feet
Bedrock or Impervious Material: At what depth? — Feet
in Percolation test: Circle one: not require required ate3►^;' Stn. inch.
Domestic water supply: circle one: Municipal 4 Other
If domestic water supply is a well: A< Viq-r1-mce AAPP2ov�
Separation: Water supply from septic absorption * F/ feet
PROPOSED SYSTEM: Septic Tank 1000 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 10 feet/Total system length • / , ,5j 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 s 40
d agree to abide by these
and all requirements of the Town of Quee .:ii fzr :ge Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON i //( t .. .
DATE:
OVER
(€„,.. A MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION Date:
City, Town or Township (1.i rep/v.!i.1;;',1 County L'Ciiir,%'I:r•1 State A)'/
Location/Address ('WAIft2 )(I IlIAAl !///i _ -.i/i 2\I InI 1 1)(r IIr/ 1 Ale r
(If Located in Rural Area- Please Attach Directions) Pole #
1 r iL
Owner ! -rr/i / / kiev,/,/ -,A/ Permit #. '-f(..'- r_.;
Occupied As Building:` Newn Old
Occupant
• Work Area in Building (Floor #,etc.):
App. for: Wiring❑ Service n or: Ready for Inspection:
Fee Remitted-$ Cash n 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 1 11/2 2 3 5 742 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size ,+ A T\ "—'—
Applicant's "-ii .-.--',// : ; /Signature � = `'•' License # Permit #
T/A ✓ t_/ Utility:
rr (NAME) (OFFICE LOCATION)
Applicants Address: - > ;Jo,/ -.r,;„p r'
(City) lf Or r,+r�i'i';:'/ (State) 10'1' (Zip) Ic(CLI Service Request #
Phone # I 1, a) 1fi1-I `i'?!dC-- Electrician: '
•
MDIA USE ONLY DATE RECEIVED: •
DATE INSPECTED:
Correct Location: Same as Aboven 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 r
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 CORRECTFEE FEE PAID
❑ RW Progress: Inc.❑ LKD❑ Contractor
I CFT Violation: Work Comp.❑ Inc. ❑
n L/A Owner CASH ❑
n L/A Fee CHK #
Due MO #
n IPA Municipal
INV #
•Date: Other Side❑ Utility Applicant n
Owner
Cut in Card Temp # V Date .
1-7 Final # Date INSPECTORS SIGNATURE
V
APPLICATION FORM NO.250 EL 4/89
TOWN OF QUEENSBLIRY
. Bay at Haviland Roads,Queensbury,N.Y.12801-9725
•
• APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date 1A0 19g0 Permit NO. qD--4.5-
.7 .
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 pr mises for h• required inspections. AL� )\l '/1�Sp ��,„, I
Applicant's Name/ &U._ . )(4.r',lc ``APPnANCE TYP
ti_ Stove Coal Wood
�CJ(
Add ress(ciiat ; b&t//Y Furnace Hot Air Boiler
Zero Clearance N Circulating Unit •
1 y(/
/ViaL,�� ��_. Zip / e
Phone If Non-Masonry:
•
Owner's Name
Manufacturer
Address • Model Outlet Size
Zip Listed by Number •
Phone
CHIMNEY TYPE
Masonry: Block Brick Stone
Property location ofproposed construction Flue: Tile Steel -
Size: •
.r�-ei _ ,e---- Factory Built:
Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wail
AND CHIMNEYS. MUST BE INSTALLED • Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimate Cost$
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ Y_ s
SONRY FIREPLACES AND CHIMNEYS.
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
•
Department: Fire Marshal Amount Collected Amount Refunded
Code Number Title 6
A173 3389 (190)Public Safety -
A233 2655 (230)Minor Sales
Fee illected fr In Refunded to: / -�
Address: ( — 1 m y l 23 - ,-/ ___ i A. __
Im Igo ITown Clerk or Deputy rML,) f\ ( D r I (; i-Th
While:Applicant Yellow and Pink:Cashier's Department 1Go ertrod:;i: ::ai
TOWN OF QUEENSBURY v2 -
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND 'OADS
QUEENSBURY, NEW YORK 1280i.
TELEPHONE (518) 792-5832 hi7
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPLCTION RECEIVE, ��/0
NAME 4'f i / 1- f57y ,/�
LOCATION f:./ PK44 ,' �.O,.Oib„&-a/�,�1J 4 _
DATE O! ` 9' PERMIT # 9 4X
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FO' S
FOUNDATION/DAMP-PR..FING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
/FINAL INSPECTION: ila ici,t_
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S E1'S
STAIRS-CLEARANCE & MILS
PLUMBING FIXTURES/', LIEF VALVE
INTERIOR TRIM/PRIV. Y DOORS
FINISHED FLOORS __
GARAGE FIREPROOFI
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL I SPEaTION /1
FINAL APPROVAL OF ONS 'UCTI Ic.J1
OK TO ISSUE C/O O C/C * -
A SIGNED CERTIFI TE OF mCCUPANCY MUST BE
OBTAINED FROM TH BUILDI G DEPARTMENT BEFORE
THESE PREMISES A E OCCUPI D!
REMARKS:
( rto s A IN0Q- .V )0ul,
-- 1
ARRIVE
DEPART 1.50
INS CTOR
TOWN OF QUEENSBURY �L,
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS c —,
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 392-5832
BUILDIN' INSPECTOR'S REPORT
,/ •
REQUEST FOR INSP TION RECE: ED -(.11`,/ /4
NAME 101:./ it 1../.f�, .i/Ji ...1I;iCJ
LOCATION /-I.I1J�+. :.;Z 1 ,C-G{_ • , �L.l.{�6.,O=s, i- "
DATE "` PE' IT # 90—4IS
APPROVED
�:�/I ✓ �; /�,s(.Yti(.(t �A�1[/P ',It/4YES NO
FOOTING/PIERS
MONOLITHIC POUR FO'• S
FOUNDATION/DAMP—PR JOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—I
INSULATION:
FOUNDATION
FLOORS .
WALLS '
CEILING
J(FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES S EPS
STAIRS—CLEARANC: & RAILS
PLUMBING FIXTUR S/ ELIEF VALVE
INTERIOR TRIM/ IV'CY DOORS
FINISHED FLOOR'
GARAGE FIREPR.uFIN
DOOR CLOSER(S)
SMOKE DETECTO•S
FINAL ELECTRICA INSPECTION . . . . .
_FINAL APPROVAL IF CON`.TRUCTION
OK TO ISSUE C/t OR C/A
A SIGNED CERTI! ICATE 0 OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISE. ARE OCC ''PIED!
REMARKS:
1
•
111
y 1,
N4 , __
ARRIVE 011/165(44—e/ C
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /
QUEENSBURY, NEW PORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPE OR'S REPORT
REQUEST FOR INSP TION R CEIVED 4214 td u=D
NAME i,
r ' / II
LOCATION ��..( (/i/// %1,,:: )<
DATE / ,-'?j;/9(2 P r RMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FO VS
FOUNDATION/DAMP—PRO F G
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN •
INSULATION:
FOUNDATION
FLOORS ld I 1 l.L y••i�f i' u'j Q )t 4-- • X
WALLS
X• CEILING
PINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING •
x
EXTERNAL PORCHES STEP. x
STAIRS—CLEARANC & RAiLS
PLUMBING FIXTUR:S/REL F VALVE �(
INTERIOR TRIM/P'IVACY •OORS
FINISHED FLOORS
GARAGE FIREPR.IFING
DOOR CLOSER(S) x -
SMOKE DETECTOR. X
FINAL ELECTRICAs INSPECTION J`
Ae
_FINAL APPROVAL t'F CONSTRU TION
OK TO ISSUE C/• OR C/C
A SIGNED CERTI:ICATE OF OCIUPANCY MUST BE
OBTAINED FROM THE BUILDING 'EPARTMENT BEFORE •
THESE PREMISE' ARE OCCUPIED .
REMARKS: a AR_ i,vS tl 'TD•cf
p . , 42-xfos
•
ARRIVE
(///:
DEPART Lam` /v1/
• IN'PECTOR
• '. • . MIDDLE DEPARTMENT INSPECTION AGENCY,INC,P;'•
Etectricat--Buitdtig•Pl•umb•ng�re Ia•specttofs1'- ,::..
i
Labe
SOOF 3/25
r96C
Datef?Ac- —
r. \ r i
1
lsector� o - -
I
T ' constitutes certification that the .,
above installation, but not the equip- I.
ment itself, has been visually inspected •
as of this date pursuant to the applic-
able codes. If additional equipment 1 '
should be introduced or alterations
made to the existing system or stuc- I
ture, application for inspection should
.. bey ysubmitted promptly to ,this Agency. :
•
TOWN OF QUEENSBURY •
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
t2
TELEPHONE (518) 792-5832 / J
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPEC ION RECEIVED
NAME ,W.'I.0 /
LOCATION%e&Czo,�� � a < C-o✓✓,T
DATE 2/96 PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORM'
FOUNDATION/DAMP-PROO ING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
x INSULATION:
FOUNDATION // e/
FLOORS ; �.a ,,.fd
WALLS •
i ✓ /
CEILING ,' r jq L/
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING f
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & �r•IL
PLUMBING FIXTURES/R?LIEF VALVE
INTERIOR TRIM/PRIV A Y DO4'RS
FINISHED FLOORS
GARAGE FIREPROOFIN
DOOR CLOSER(S)
SMOKE DETECTORS I
FINAL ELECTRICAL INSSPECTION
_FINAL APPROVAL OF ''ONSTRUCTI'`N
OK TO ISSUE C/O O': C/C
A SIGNED CERTIFIC'TE OF OCCUP•NCY MUST BE
OBTAINED FROM TH%' BUILDING DE RTMENT BEFORE
THESE PREMISES A'E OCCUPIED!
REMARKS: / r / .—
� Uoo,._ �' ve� —feu c%.---s--ECG
•
-
ARRIVE /a, .1. 3 0
DEPART 419
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS D
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INS::"ECTION RECEIVE/► 0/f/).
NAME ,Z'U�G "' Aa '
LOCATION J ' /, w ,1 ki //
DATE )/`4/97, PERMII # 05 -.f(
APPROVED
/)4 4 YES NO
FOOTIN PIERS
MONOLITHIC POUR ORMS
FOUNDATION/DAMP ','ROOFING;
yy BACKFILL APPROVA!
/i ROUGH PLUMBING
)( FRAMING � �t� /
ELECTRICAL OUGH;IN
INSULATION:
FOUNDATION /
I
FLOORS
WALLS
CEILING
FINAL INSPECTION: 1
CHIMNEY HEIGHT t
ROOFING .'
SIDING
EXTERNAL PORCHE'. STEPS
STAIRS-CLEARANC.; & RAILS
PLUMBING FIXTURE ;/RELIEF VALVE
INTERIOR TRIM/:;R VACY DOORS
FINISHED FLOOR.
GARAGE FIREPR.;.F !. G
DOOR CLOSERS,
SMOKE DETECTO'S
FINAL ELECTRIC'l IN`'(•ECTION
FINAL APPROVAL OF COi STRUCTION •
OK TO ISSUE C 4 OR C 'C
A SIGNED CER 'FICATE ',,F OCCUPANCY MUST BE
OBTAINED FRO THE BUI+DING DEPARTMENT BEFORE
THESE PREMIS.S ARE OC'UPIED!
REMARKS:
•
ARRIVE L- fJ:S
DEPART 1 .I,S
INSPECTOR
fri, TOWN OF QUEENSBURY i4
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1 2804,
TELEPHONE (518) 79 -5832
BUILDING INSPECTOR'S REPORT
•
REQUEST 19PR INSPE ON RECEIVED � / Q/J0 `9jVJ
NAME /%' I(9 r J_02/A,,di-;.' -�
LOCATIONN I/J(J l'a _/L� l//' . 4// .///,ild_A-, j
DATE 6// / ( PERMIT '# q�"/n`•4
I
' APPROVED ...
YES NO
FOOTING/PIERS
MONOLITHIC POUR FO S
FOUNDATION/DAMP-PR PING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING ' '
ELECTRICAL ROUGH-IN, I\,„
INSULATION:
FOUNDATION .
FLOORS . . .
'
WALLS .
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING '
SIDING
EXTERNAL PORCHES/STEM"S
STAIRS-CLEARANCE & ',"^ILS
PLUMBING FIXTURES/RP IEF VALVE
INTERIOR TRIM/PRIVA; DOORS
FINISHED FLOORS '
GARAGE FIREPROOFINt
DOOR CLOSER(S)
SMOKE DETECTORS I' '
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF .ONSTR , TION "
OK TO ISSUE C/O OR(C/C _____
A SIGNED CERTIFIC.•TE OF 0 , UPANCY MUST BE .
OBTAINED FROM THE,BUILDING DEPARTMENT BEFORE
THESE PREMISES A'.i OCCUPIE14
' REMARKS: �� A d . s d .f dee'/Cs.
w 41: col -1 Atdh<py- 0/1siii- 1jr//((yr leut) :
C ) 1I/16eWi ( /ems / Ghvi
zd /14 e/-j, I, s'.../- /an y,7/...f /-- / --,171.
LIVE) °illi C(14*?//edfj -9%-(:///el://.//7/(7 7
DEPART ) q • �'/1
INSPECTOR
1 01
_town o/ Queeniburt,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEP C DI,SPOSAL SYSTEM INSPECTION
NAME `i.. .- d1,C-i k--'
LOCAT ION(JI . gLD40-k-ilii.4 Oile-4,-----
DATE i5J/O/(JD, PERMIT NO./i q - 46-
SOIL TYPE - Sand - Loam /Clay -
Percolation Teist Required? YES - NO
Percolation rate - Min/I/nch _ •
TYPE of SYSTEM. 1
Absorption field, totalzllength 2D
Length of eachltrench / SCE
Depth of trenches
j ., 1-*
Size of gravel 3
SEEPAGE PITS4N umber of) '
Size- ft. XM f .
Gravel size 1 /
PIPING: 1 il Size Type
Bldg. to tank
1=1/itEll
Tank to dist. box
Dist. box to field/ it
Openings sealed?, YES NO Partial
LOCATION/SEPARATIO S:
Foundation to tank I2t.
Foundation to abso rption O ft.
Absorption to l0 1 line i,t)ft.
Separation of pits • (eft.
LOCATION OF-SYSTEM ON PROPERTY(circle one)
Front - ear `- eft side - Right side -
COMMENT
1
• A •
\\\\\ ,
SYSTEM USE APPROVED YE ISO
�I
aP
r Bui ding spector
01/86 and vl
TOWN OF QUEENSBURY J1-1`/
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS 611100
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSP CTOR'S REPORT /
REQUEST F INSP TION fRECEIVEDr 47(q J/d bi
NAME 1"j-u, /✓C IC' .c& `
LOCATION , / 1,2:14, j�,�GL
DATE 41l� 6 P' RMIT # q 0-4
APPROVED
YES NO
FOOTING/PIER
MONOLITHIC POI ' FORMS
FOUNDATION/D' PROOFING,
7&BACKFILL APPRO' JL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUG IN
INSULATION: ,
FOUNDATION ;
FLOORS
WALLS
CEILING i
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/':TE:S
STAIRS-CLEARANCE 4 •..ILS
PLUMBING FIXTURES 'Er IEF VALVE
INTERIOR TRIM/PRIV'.h DOORS
FINISHED FLOORS __
GARAGE FIREPROOFING,
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INS 'EATION
_FINAL APPROVAL OF CO S ,'UCTION
OK TO ISSUE C/O OR /C
A SIGNED CERTIFICA OF 4CCUPANCY MUST BE
OBTAINED FROM THE UILDI'G DEPARTMENT BEFORE
THESE PREMISES ARE OCCUP ' D!
REMARKS: /j /
/...-..-----/ ,
6
/c---
, .,
ARRIVE
`DEPART \/
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS (�
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832 - \RV
BUILDING INSPECTOR'S REPORT ,^
REQUEST FOR INSPECTION RECEIVED A`\t�V9
NAME '10),0 q.kC J_y;(`(>.121\ 1, ,
LOCATION J U1 Lk (ttf1 fly c-N )Y, \(h\V
DATE `1 PERMIT # `\ 't
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING'
BACKFILL APPROVAL
ROUGH PLUMBING • •
FRAMING
) ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS i' •
WALLS
CEILING k'
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING I
SIDING
EXTERNAL PORCHES/STEPS I
STAIRS-CLEARANCE & RAILS k
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY .DOQRS
•
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:
•1i.. �
•
ARRIVE //; S /1• ,
DEPART / (
• INSPECTOR
i
Lcinds noavor fcx-rnerk
Roberf J. Su I (. van
k� 5G3/ 4-7 4�
&XI ca n i- )
House
Lands now or- Pormcrly OP
Henry I. and Hi Idc9ord Pratf
(G 20 / 10 2 °J)
5uIIlvC2n \
ScdliWr\ J
.
prive
� QiCLL-EQl
\fion
vef k�acKs
1~ronf - 30 �f
'Rcar - 20
SAC - Side yor-d fofct l = 50A
n--)i n i mu m or 2O Ff ,
lrcn
- TES
A,l A(3
Iron pi pe Cou nd�
R
O �
0
t
�fil'�c(1 1e `�"� TOWN OF QUEENSBURY
& r-PT.:
a.M.r.11riwr
REVIEWED BY
i
DATEAziiq
Lo nd s now or- Por-Me-Hy o-P
W614er K . and n a nc-/ 5. Qu i l (i n on
�'G. Pv� / d A,0--) 1
Q cx.c nd
Tax Mop
Reference.
Town oF Gk.reensbury
Secfion 3�
3locK 2
I�rce 1 3
%mod Reference
Mc c Mc Coj-thy a IIivon
Execuf rix o�)
Freder i cK G. 5u f rvon
Io
Frede r- i c K G. Sul livczn, Sr.
and Mary Ednq 5u III,von
doled(' 22 Sep¢ernber 1 aJ82
bcoK G48 , +%ge 10 t I
Tesf p� f r�c�fa
,
fcDpso(
G'(- 2`G" Fine soraLc Ic om (ye((owtsh)
Zlr -8`�`' nc fo medium sondy (oczm
no moffli► , na bedre�cK
L
.J
,s M fiH
tEN,' FAL. S G�lSr ►�A; a; f lG
\I for.
w�tA Lcat tkuk lot'
a 5uml-"q oP lends (or A oy.
�/✓-yofV.y a P
sealth
iOf1
/Lori Dichin!!O"
>)c(( be v1 fuafe i'n
and mina' �To�rn c� C�c�eensb��� Counfy orW rrer)
• c K"
5fdc ne vV Yor-K
Safe: I<( = to rct4 �e Orn ppi I ��c usf IaJB�
OF QUEENSBURY
g Administrat r
Date
FILE COPY
FILE COPY
FILE COPY
ki
S�rvegor5 /jtngglneer5
LAKE 6EOReE! T)EW v
TOWN OF QUEENSBURY
RECEIVED
MAR 0 5 1990
bLDG. & CODE Daer.
DATE OF PRINTING 5 MAR 190