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1988-557 y ,e CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Tlann rnhnr. 91 19 RR ke( This is to certify that work requested to be done as shown by Permit No. 8 8-5 57 has been completed. This structure may be occupied as a One Fnmilv Tlwellins Location 28 Fox Hollow Lane Owner Mary Jane Canale By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 88-557 ro WARREN COUNTY, NEW YORK h • PERMISSION is hereby granted to Mary Jane Canale -�;- i OWNER of property located at $ 28 Fox Hollow Lane Street, Road or Ave. :1 in the Town of Queensbury,To Construct or place a One 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. 4 1. OWNER'S Address is 20 Jerome Ave Glens Falls, N.Y. 12801 CD 2. CONTRACTOR or BUILDER'S Name Mark Fitzpatrick 3. CONTRACTOR or BUILDER'S Address 16 Feeder Dam Rd. o S. Glens Falls, N.Y. 12801 1-11 4. ARCHITECT'S Name 0 O 5. ARCHITECT'S Address t" CD 6. TYPE of Construction—(Please indicate by X) ( XWood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications CD , No. 98' x 44' as per plot plan, specifications and application including septic system and attached two car garage. 8. Proposed Use �C One Family Dwelling I $5.00 C/O $ 227.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 89 (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 Queensbur is 9th Day of August 19 88 SIGNED BY j for the Town of Queensbury Building and Zon ng Inspector AP• 1! 12O 1 1' • 0.1711/11. Of alaildElfetl DAT .,�, . 2 s_ .1+ APPLICATION FOR SEPTIC DISPOSAL PERMIT 2UIIG 8. GUM COD • oij'f. 1UWl; 01(UELIQUltY DATE — 9 LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: _ C\ �ea�.r� CAN.s Telephone: '} cj — Address: _ a v �-e_S"c, Installer's Name: S\(\ C �� � � -� 0/•..) Telephone: Number of bedrooms (residential only) _ 3 _ Total daily flow (compute @ 150 gal per bedroom) _ ‘ASZD Topography: circle one Flat Rolling Steep Slope % of slope Soil Nature: circle one: Sand)Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one Munici • , Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption . feet PROPOSED SYSTEM: Septic Tank � 000 gal. (minimum size: 1,000 gal.) AIN% APIA ■r n T..,.., 1 I �1 LE fry -gip feet per ift. SEEPAGE PIT(S): Number of / Size each 5 ,0� �, feet tiy8 feet �� Size of stone to be used •d �-- / Depth or Thickness \ feet 74441 , 1ullat '�1+�Adrs * 4 * * * * * * * * * * * * 4 * * * * * * * * * * * 4 * * * 4 * 4 4- * * * * * * *• '�{ IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED 4 * * * * * * * * * * 4 * 4 4 * * ! 4 4 44 ♦ * * * * * * * * * * 4 4 * * * • (over) • • Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: • 1.) the proposed location of the system 2.) location and distance to lot lines 3.) location and distance to structures •l.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. • • I have read the regulations above and agree to abide by these'and all requirements of the Town of Queen::bury Sanitary Sewage Disposal Ordinance. .Signature o,f responsible person: \.\ ,-(\ig Date: Town of Queensbury • Building and Cpde_Department • Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 • • r'•. . n, / TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. ANSWER ALL of the following: 1 . Gross floor area. ' ' ' v/eyo 1. r 2 . Type of heat M7 k Atte-- 3 . Is the building mechanically cooled? t-, 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 a. If YES , what is the R value of insulation around perimeter of floor? 4 . Is basement heated? s 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 !YU Lu L. C l- 2 . R value of exterior walls )►� �'� (•�"IU ) -I-��¢u1C ' /ILk'l,1J 3 . R value of glazed area RL - Ze*° 4 . R value of doors �- •� 2, , (p 5. R value of floors over unheated spaces (O Id�JL�,Io �, ✓I �� 6. R value of slab edge insulation - unheated slab NA- 7 . R value of slab insulation - heated slab O+Q- 8 . R value of heated basement/cellar walls (above grade) ,. 9. R value of heated basement/cellar walls (below grade) /J4. • 10 . Type of insulation /4.06,./f-(4 1,-15 .96 7!a c/OPIt t2.6 4zi,5l P ,,,A)6 4L C. Controls 1 . Thermostat maximum heat setting • D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct installation b. R. value of duct in other areas E . Piping Insulation 1. Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating ' 1. Performance efficiency 2 . Temperature control setting maximum G. For Swimming Pool Only 1. Maximum heating Telephone No. MA3-3Sc9 (ap icc nt s signature) • bUILDIIIC PEIMIT APPLICATION COJJTINUED - • • BUILDING SPECIFICATION: Type of construction, wood frame, fire safe,etc. \,3oo11- �M-�— Will any second-hand or ungraded lumber be used? If so, for what? Svc, Foundation wall material C( c cep Thickness �S Depth of foundation below grade (to bottom of footin`ng)\\ -7 ' • Will there be a cellar? " Heated or unheated? \-e4, Floor sq. footage a �cc sq ft Will' there be a basement? `,e5 Will any portion be used as living space? N O (If so, what par sq.ft. - - Type of use? S Vc,c a- Type of roof slope /flat/shed/other Material..of root ()-s 9\,(-\2\-- Size, wood studs "X U, " spacing \lam "o.c. length c{, ft. Joiscs(floor beams) 1st. floor 9_ "X \b " spacing \S, "o.c. span 12- ft. Joist, (floor beams) 2nd. floor "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 DLk "o.c. span ft. Exterior wall finish Of wha.,t material? Interior wall finish — If a garage is to be attached, describe materials :to be used for FIRE SEPARATION: 5 `o 15,• ��rc 5 Pr� S��e� c� Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and s";lf-closing device be provided? v.e Will a flue-lined chimney be installed? Nc-, Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well Gs o a� SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties NY kR- ft. (A separate application is necessary for any repair or new installation of septic system) Town of nueensbury • AFFIDAVIT STATE OF NEW YORK County of Warren I swear that 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. SWORN TO BEFORE ME TIRE: Signature_-a � •r Owner, owner's _g nt,arcnitect,contractor day of 19 _. Notary Public, Warren County, N.Y. SPECIAL CONDITIONS OF TILEPERMIT: • • • • By ' .J • • i 7`. : :a l._. :._ . -L OWII Of Quer:Ili/lurid I% BUILDING and ZONING DEPARTMENT 1 r ! J J . I���i Bay and Haviland Road, R.D. 1 Box 98 • • JUL 1908 • .Oueensbury, New York 12801 . BUILDING & CODE DEPT. milAi Appr v by: (49 APPLICATION FOR 1 r a 3 Peil BUILDING AND ZONING PERMIT • A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications. submitted, and such special conditions as may be indicated on the Permit. The owner of this property is: c\AG sr-� AS>NJ' ' _ - _- P.O. � - P.O. Address o �1zs c�r�•2: v e v-� Tel. Z q 3-57s R Property Location: ' 05 (=0 x \,oj _)q,._t-e_ Tax Map No. -1-7/ \ / , Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGGARDS BUILDING CODES IS: ( IO Name P.O. Address Tel. No. Name of builder `.(\A.s'\/- T A-2.— - r\c\LAddress \ <, CQ ;- \. SC‘c(\N Tel. 7 6\g- c o Name of plumber?),,c-A,N (\ . p(\e\,i-e, Address Co\... \-..,.,� \10 Tel. '-Zq —Lk D o Name of mason Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building 'atTWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, _Addition to a building * drawn reasonably to scale and attached hereto, _Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines. Give * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCPURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property :a-bT ft X Sc1c ft. * Existing building(s) Size ft X ft'. ' • PROPOSED BUILDING AND USE: A *'Existing building (s) Use Size of new structure . q9S ft X ►f ft Foundation-pier/slab/crawl/partial full * Proposed building, distance from property line * (circle one) * Front yard 60 - ft Rear yard yl ft No. of stories (habitable space) 1 * Side yards \�o "( ft ft and Height (grade to ridge) a- a- ft. If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) -7 * OCCUPANCY INFORMATION No. of bedrooms 3 * PRIMARY BUILDING - No. of bathrooms .a V> *'IC One family dwelling Primary heating system c' \s,-(a • * Two family dwelling • Type of fuel C.,,A S * ' Multiple dwelling / Number of units No. of fireplaces to be installed New Will a wood stove be installed? N * Permanent occupancy Central Air conditioning? ' K-c 5 * Transient occupancy . * Business BUILDING STYLE, PRIMARY STRUCTURE *' Industrial Ran , Contemporary Log cabin * _ Other ' Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two r/ car . ( CIRCLE ONE PLEASE ) * �c Attached garage/one car/ wo ca %_ car * * * * * * * * * * * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF . * Other • CONSTRUCTION * $ a`-.\ 0 0 0 ,- too INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl YOU:ARE HEREBY REQUESTED TO - - - - ,INSPECT_AND ISSUE CERTIFICATES - FOR THE FOLLOWING ELECTRICAL , , - - EQUIPMENT TO BE INSTALLED BY - THE•UNDERSIGNED -fr •^ TEMP.N DATE - jj ;11i �) CITY OR VILLAGE ---- --- - TOWNSHIP - - : - --. - - COUNTY C7 C.'e-',-:.i'''�V.s k " . . \..�sa C.Ce,- STR AND NO OR ROAD JJJJ • ' POLE NUMBER \\ BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? - - SECTION •^� ^<-� BLOCK - LOT . OCCUPANTS NAME .- - - = . BUILDING OCCUPANCY . " f' _ OWNER'S NAME AND ADDF�ESS 1 HOME TELEPHONE NUMBER, j'_ CURRENT CURRENT SUPPLIED BY - FROM THEIR -'`. OF ICE - WORK TELEPHONE NUMBER , ` \ // BUILDING IS' - __ - - - - _ NEW • .- • OLD❑ - WORK IS NEW OS ADDITIONAL❑ - DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS -. No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles - CIRCUITS ONLY tion • Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep-ls• Switch Pendant Bracket • No. Type Each N . , Each No. Gauge INSPECTION OUT- - . - SIDE- . " SUB- BASE - MENT . - V . .1st FL. ' - 2nd - - FL. . . 3rd - - - FL. V . REMARKS:LIST OTHER 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 NOT 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. - FEEDERS- • ELECTRIC SIGNS/LAMPS - - - .TOTAL WATTS CHARACTER OF WORK - ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF • ' VA •- -. ❑.CONCEALED DATE WORK TO BE STARTED _ DATE COMPLETED SIZE OF SIGN(NUMBER) _ _ - CAPACITY°' SERVICE ENTERS BUILDING MANUFACTURER OF SIGN , .❑ OVERHEAD - .❑ UNDERGROUND - DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) - MUST ENTER DENT F CATION NUMBERS ► I I I I I I .I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT ' : : r - DATE OF APPLICATION S GNATURE OF APPLICANT STREET ADDRESS - - - ELEP;ZONE NO. . _ - ` : _ -, ; -7 Ct 3—'S ':)��} - " CITY OR POST OFFICE_ ZIP CODE : LICENSE.NO:WHEN APPLICABLE- ) \'.' '>c^. ❑ 85 John Street - ❑ 41 State Street D 584 Delaware Avenue ❑"217 Lake Avenue ❑ 202:Arterial Road NEW YORK,NY 10038 - ALBANY,NY 12207 BUFFALO,NY 14202 - ROCHESTER,ROCHESTER,NY 14608 SYRACUSE,NY 13206 T -.,�11 KIC'A► '/ QV OnAQn"ng lIQj I IninpRWiPITFRq S b �: THE NEW YORK BOARD OF FIRE UNDERWRITERS I e. 1, 4 1 i 1 .1 BUREAU OF ELECTRICITY jCl'-SS 7 i 1 -_-; 41 STATE STREET,ALBANY.NEW YORK 12207 "; 16I1 4' Date .J V'T1it I , '1_';1P?') Application No.on filela�.)i0688/ 88 : , A' Il00576 r �; �. THIS CERTIFIES THAT 1. only the electrical equipment as described below and„introduced by the applicant named on the above application number in the premises of -i:F,TI_L, CAN?I IF, 28 FON HOLLOW PD., C;. EN:-. FAL.I, N.Y. in the following location; ❑ Basement ❑ 1st�• Fl. ❑ 2nd Fl. !1NP!Orr Section Block Lot � ' was examined on I)L E E. 1};r T: I'`i:1'";t and found to be in compliance with the requirements of this Board. gl 1 Fg -4' FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SWITCHES ,<• OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. j KEPTACLES DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS El AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS 1 SYSTEMS NO. FEET - T ._. 'I 'II 1 .5 : SERVICE DISCONNECT NO.OF S E R V I• C ' E �• � AMT. AMP. TYPE METER 1,B'2%, 1 A.3W 3 B'3W 3 JB'IW NO.ORC�COND. OF CC.COND.. NO.OF HI-LEG OF•HI LEG NO.OF NEUTRALS OF NEUGRAL 1. a 1, 1 ,'1I( .1 ' rr) .T ., f E 4: OTHER APPARATUS: '10-1(-)U.l. 1, . I Tc FLDO:AR : I (.7 T i: . 400 E. -c. . • N 1; {,L,J-. ) 11 I.:. 1. .T (,:.;:. 1; ,F.I'. T . -11.! • 1 1 ', .rr1F1�' n4.-TI_C-`iO1;: . MO 1; I)i;tf: T; . '1F1?J;S TNC. � 4 --1 t I,1'i''.. 1 L:112 NV 1 280 • • BRANCH MANAGER go -c r1 1' CD'.. Per ._ .�; This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. c i Lft Lit lilt L!C sat Lill silt sit LTr[Lft LSt vat vat tartar vat slit silt Awls'sit sit sat slit tat soft sat au 3 rtansAflmtl sit sit vat tanat i9rrualar trauTUtvrt Satswtslfitwrutt sgtssit sa 574 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. = , 1`_c_ r LAL Al TOWN OF QUEENSBURY Wfb BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED / MIME '' - ---- QQi�/-i - LOCATION /-/o� V. f�c ( Qua DATE i i � r PERMIT # t 551 l APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFI.,L APPROVAL 1 ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS . WALLS ArCEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING ',. k EXTERNAL PORCHES/STEPS i' ''" STAIRS-CLEARANCE; & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS/ GARAGE FIREPROOFING'., . X,DOOR CLOSER(S<) �- SMOKE DETECTORS fic;FINAL ELECTRICAL INSPECTIO j j Am/ ¢jam tr FINAL APPROVAL OF CONSTRUCTION ' A SIGNEDCERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!. REMA S: VtcAL uP Clo Ai- IButcogi4) 06771 -- d (al" • INSPEC OR 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 RECEIVED NAME —- L • LOCATION if oxia �� DATE 0 7/9 PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING • BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN a; INSULATION: " FOUNDATION j FLOORS •� WA u . ILING /4.R / INAL INSPECTION1: fi CHIMNEY HEIGHT 54, „r ROOFING 'a SIDING EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & `RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TSIM/PRIVACY`DOORS FINISHED FLOORS GARAGE FIR1EPROOFING \ DOOR CLOSERS) SMOKE DETECTORS FINAL ELECFRICAL INSPECTION . FINAL APPROVAL OF CONSTRUCTION . A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: A ,� (, S U L/4-1<0/f ej--`10 DO©2s HA-'v 0 ( �✓Lo,vrS � )2 /716 A- /2'AT 5 la C M PL6- t- Qf+-Tif i2OOM Na C'�,11PLG-t`C--_ INS ECTOR INFORMATION FOR BUILDING DEPARTMENT , WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE , OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION . AS COVERED IN' AN APPLICATION FILED WITH OUR DISTRICT OFFICE. THE NEW YORRK BOARD OF FIRE UNDERWRITERS APPLICATION NO. (27 l 0 0 - ro)( a4,._ a LOCA`TIO DATE NSP CTOR , FORM IBD(REV.1/86) i Down of Queeniurj '$ .7- BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME L. -44W � LOCATION 4,24/ r /7v4-- , / DATE // a�/ PERMIT NO. g-x.2 S 7 SOIL TYPE - Sand - Loam - Clay - / Percolation Test Required? YES t NO Percolation rate - Min/Inch / : TYPE of SYST : Absorption fi ld, total lengt Length of each trench Depth of trench s ' Size of gravel_ _ SEEPAGE PITS4N e Vof) ' / ,,�, Size- ,.1/ ft. X _�>�� ft. .;- 2--"' ' Gravel size PIPING: S ze/ Type Bldg. to tank PJf Tank to dist. box y., 'fri„(/ Dist. box to field/p t tJ G'tU Openings sealed? ES 1-NO Partial LOCATION/SEPARATI S: % Foundation to to ft. Foundation to "sorption ft. Absorption to t line 1),,( t. Separation of its._.._, J t. LOCATION OF S STEM"ON�PR-PERTY(circle one) Front - Rear -(Left side Right\side - COMMENTS: \�� i', 7i / / „ /:;-� ,i SYSTEM USE APPROVED (YES ENO I 9 ,."---1 Building Inspector 01/86 and vl TOWN OF QUEENSBURY /7,, - BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS lel>l, QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /0?.%-S/�f NAME _ L tGe- //n Gl .�_ -LOCATION .%cam 4 rz -,,,^-,/- DATE /7%2 /' PERMIT # ,`1�g- 5J 7 APPROVED YES NO FOOTING/PEERS MONOLITHIC\POUR FORMS / FOUNDATION/DAMP-PROOFING ' BACKFILL APPROVAL / ROUGH PLUMBING / )(FRAMING re-6; (JIg 06417(G,J ELECTRICAL ROUGH-IN / vINSULATION: \ / FOUNDATION \ FLOORS \ / 12_,.-1 9, - WALLS R-t of (,-h —re__ CEILING RAI 9 -I14-� _ v+�- FINAL INSPECTION: CHIMNEY HEIGHT/ ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLE RANCE & RAILS PLUMBING F XTURES/RELIEF VALVE INTERIOR RIM/PRIVACY DOOR FINISHED FLOORS \ GARAGE F REPROOFING \ DOOR CLOSER(S) SMOKE DETECTORS \ FINAL ELECTRICAL INSPECTION \ FINAL APPROVAL OF CONSTRUCTION \ A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT r/ REQUEST FOR INSPECTION RECEIVED 6/ //ems? 1 / /�j�J NAME ( /YI/2."t'� 1 /' l� i _ C LOCATION d ���G iT i �4 'Lri.f-Et_,C) DATE /0/9C//Vk PERMIT # c„ -Ss--7 r/ APPROVED YES N FOOTING/PIERS MONOLITHIC POUR FORMS ,ar FOUNDATION/DAMP-PROOFING / BACKFILL APPROVAL 141 ROUGH PLUMBING �� //FRAMING �,, �P� ir. (� ELECTRICAL ROUGH-IN ' INSULATION: 1TL r, FOUNDATION FLOORS 1 WALLS 1 CEILING i FINAL INSP ION: CHIMNEY HE HT ROOFING —- - ---TT- ' /;. SIDING EXTERNAL PORCHES EPS '� STAIRS-CLEARANCE & I'LS PLUMBING FIXTURES/RE13 'EF VALVE INTERIOR TRIM/PRIVACYy XOORS FINISHED FLOORS 1 GARAGE FIREPROOFINf DOOR CLOSER(S) I \ SMOKE DETECTORS I \ FINAL ELECTRICAL INSPECTION • \ ' ' FINAL APPROVAL OFONSTRUCTION A SIGNED CERTIFIaATE OF OCCUPANCY MUSBE OBTAINED FROM THE' BUILDING DEPARTMENT BEFORE THESE PREMISES 4RE OCCUPIED! REMARKS: c� -- �Ajv I-ems /' V13 r I py5 gL ci&Luotg Spep — P - s -7-0 tS- 5 v PPo c 1.440 /14 L ®d //14-01" i - . y ,_ INSPE OR _loran of Queeniurcy BUILDING and ZONING DEPARTMENT . Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT • NAME� j��� LOCATION x 1,431 00c / Date (Oj / Permit No.GS��5'-/ * * * * * * * * * * * * * * * * * * * * * f''* ✓ = APPROVED - YES / )O Footi,g/Pier Forms Found tion 4,/ Waterp oofing Backfil r`� Framing �fi" Roofing \ xy Siding \ • �d c Masonry VCneer J' tough Plumbing/2t r r j4- 4_ 1 Relief Valves 5 A(L i Ext. Porches ` .! Finished Floors if Interior Interior Trim Ems. Stairs & Railings " Cellar Drain Tile Concrete Floor Plbg. Fixture/ Gar. Fireproing �� Door Closer ` . Smoke Detectors iN Chimney / N., . INSULATIOI: \ Foundation Floors Walls Ceilin FINAL LECTRICAL INSPECTION DRIVE Y APPROVAL I Final Building Survey Nex scheduled inspection (call when ready) Remarks- RLuit46 AJG' - 0 ( . 4�x C A/Q-�� J-f.LJ/S 114-7 AO C) tS HAtiC24--it-_ -tvi,W__6-- JA)6 t-4-7-' . Bu ding Inspe or 6/86 and-vl • . .acun of Qaeeniur5j BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 fifi777 /UILDING INSPECTOR ' S REPORT NAME (71 C Cu �%� 6dc�/ '-- LOCATION— f2c � -,- t.�-, _ Date 91 (// q- Permit No. Fed-, 7 * * * * * * * * * * * * * * * * * * * * * * ✓ �/fAPPROVED - YE / NO �dting/Pier Forms 4% 0/11tC--- • Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer i Rough Plumbing Relief Valves Ext. Porches Finished Floors i Interior Trim . • Stairs & Railings Cellar. Drain Tile S Concrete Floors ,>'`•; Plbg. Fixtures I , Gar_. Fireproofing p' Door Closers / Smoke Detectors I Chimney !' INSULATION: s Foundation / Floors Walls Ceiling I FINAL ELECTRICAL (INSPECTION DRIVEWAY APPROVAL., Final Building Survey Next scheduled inspection (call when ready) Remarks- �{' _ *e° • Building Inspector 6/86 and-vl _Down o/ Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /GZ)j(4, (11,6v �L✓mil( r ° J LOCATION .±-7 /"ixa eX Date y_7 /210 Permit No. -r) I * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation V� Waterproofing Framing Roof ing / Siding Masonry Veneer Rough Plumbing • Relief Valves Ext. Porches Finished Floors \ / Interior Trim / Stairs & Railings - Cellar. Drain Tile / Concrete Floors Plbg. Fixtures / Gar_. Fireproofing/ Door Closers / Smoke Detectors/ Chimney / INSULATION: \ Foundation Floors Walls Ceiling 1 FINAL ELE TRICAL INSPECTION DRIVEWAY PPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- la 11rt9Ut`.(;D� C�` • 4-14 /trf .• Building Ins 6/86 and-vl cP-IVI r/2-12-L(-(----___V:1-C r r�� Jown of Queeniburcy V ( i BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 EiL (ems P� -`r7D/� BUILDING INSPECTOR ' S REPORT NAME j// / , 6-I,,,6_. LOCATION 7 ^ ,, !ill//'/, G�i'�-`_ Date O - /5/5 Permit No._ kc -5LS- * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YE / NO noting/Pier Forms Foundation Waterproofing Backfill Framing Roofing ,Siding Masonry Veneer Rough Plumbing / `--Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. 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