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1988-017 -7$ •- • - • - - • • CERTIFICATE OF OCCUPANCY • TOWN. OF QUEENSBURY WARREN. COUNTY, NEW YORK • • . Date Narch 29, 19 91 93 88-17 This is to certify that work requested to be done as shown by Permit No. has been completed. One Family Dwelling This structure may be occupied as a Lot #32 Hidden Hills Dr. Hidden Hills Location Harold Raben Owner By Order Town Board TOWN OF QUEENSBURY • " Building & Zoning Inspector •. . BUILDING PERMIT yy TOWN OF QUEENSBURY No. 88-17 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Herold Raven Lot #32 Hidden Hills I OWNER of property located at Street,Road or Ave. "' in the Town of Queensbury,To Construct or place a One Family Dwelling n' 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 58 McCormack Dr. Lake George, N.Y. 12845 w n 0 H 2. CONTRACTOR or BUILDER'S Name a Same m 0 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 0 rr w N 5. ARCHITECT'S Address x H a. a. CD 6. TYPE of Construction—(Please indicate by X) I� co H (N Wood Frame ( I Masonry ( )Steel ( 1 7. PLANS and Specifications No. 30' x 50' as per plot plan, specifications and application including septic system and attached two car garage. 0 8. Proposed Use p CD One Family Dwelling 0 I—' N $5.00 C/O $ 143.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 1, 19 88 at, (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ~' F town of Queensbury before the expiration date.) 0 QQ Dated at the Town of Queensbury this 22nd Day of January 19 88 SIGNED BY v7a_ a .2 for the Town of Queensbury Building and Zoning Inspector • TO BE COMPLETED BY BLDG. DEPT. TOW QF Q' '+.V4Zat►:K' R- 0.01. ..awn o� Q Application No. 9 ® N. P 0 .�' Permit Issued • 19 • BUILDING and ZONING DEPARTMENT Permit Expires ' 19 JAN221959 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No. • BUILDING & CODE Ia ; 0 Site Plan Review No. - � • Approve b • . /5 l 35 ,s,o APPLICATION FOR . • • Cd1.e O __ FI' G . S BUILDING AND ZONING PERMIT • Wp iy $ _' * * * * *• * * # _ # * * * * * * * # •# * # # * # .# * * * # # '* # * * * * * * #Ir# A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER .ALL OF THE FOLLOWING• . The underi,gned 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: �T•4X�1� • / r?-",-e----- P.O. Address rj U - Ccr•.--0„ , Z ��i Tel. �l�-z 'cam' Property Location: 46 3 Z .—/�� • ./Ti — Tax Map No. / / • Street number or buihdi7 lot umber �, Subdivision name (if applicable) % �u ' �� �y 'THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: • Name . . P.O. Address Tel. o. .• rt ame of builder / _ ����/ ddress `? r 7 y,�, G�/ 'z c,- [Name of plumber $ /fj7�_ Address . ' S' _.. Tel. - . Mame of mason .. �� Address , � ' / Tel 7y — e7e>� NATURE OF PROPOSED WJRK: * ' • ZONING 'INFORMATION: -_ Construction of a new building * A PLOT PLAN MUST 'BE PREPARED .AND SUBMITTED, _Addition to a building * drawn reasonably to scale and attached hereto, ___Alteration to a building '', snowing ^learly 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 . . ?OR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location !' of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. /'* of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property. / ' ft X ,i $ ft. * Existing building(s) Size \ ft X ft. 'ROPOSED BUILDING PND USE: __ _ - .��� * Existing building(s) Use . \' _--- Size of new structure .?C/ ft X, ft * . ' Foundation-pier/slab/crawl/partial ul * Proposed building, distance from proper y line (circle one) * *• Front yard " lc''' ' ' ft Rear yard !. ::_. ft. Io. of stories (habitable space) * •Side yards ' ' ft and ` �j • ft (eight (grade to .ridge) S ft. •- * If on corner, setback from side street ft .If residential, no. of families . To. of rooms(excluding baths) * OCCUPANCY INFORMATION lo. of bedrooms * P�:IMAF3Y BUILDING primary heating system - ;.• --ik - * . Two family •dwelling ('ype of fuel DTI Multi le dwelling ]o. of fireplaces to be installed * p / Number of units • *"errmanent occupancy dill a wood stove be installed? *.. Transient occupancy ventral Air conditioning? ,,/f/'/ business *• • 3UILDING STYLE, PRIMARY STRUCTURE *' Industrial Other ' danch Contemporary Log cabin * If addition, what will use be? * Jaised ranch Mansion Duplex . . . . . . . . . . . . . • • • Iplit level rd styJ.,- Bungalow * :ape Cod Cottage Other * ACCESSORY BUILDING- _: onla Row Town House *' Detached garage one ar/ two car/ car ( CIRCLE ONE PLEASE ) *' Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * ' Private storage building ESTIMATED MARKET VALUE OF *• Other CONSTRUCTION $ ya 7 p.� •. . •. * • . KNFQRMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! .. Form BPA 4/86 and-vl 1 BUILDING PERMIT APPLICATION CONTINUED - • BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. p�=-2 rr- _c Will-any second-hand or ungraded lumber be used? If so, for what? Foundation wall material 1..Q0(... Thickness :/, " - Depth of foundation below grade (to bottom of footing) , Will there be a cellar? / c Heated or unheated? c44 ? Floor sq. footage 9'sid sq ft Will there be a baseme ? Will any portion be used as living space? (If so, what portion?� --sq.ft. - - Type of use? - Type of roof - g flat//shed/other Material.•of roof ��l/.G� �- s . - h Size, wood studs G'"X " spacing A` "o.c. length , ft. Joists(floor beams) 1st. floor `Z."X /e7 " spacing //, "o.c. span f eft. Joists (floor beams) 2nd. floor 'Z"X tyl " spacing ,4' "o.c. span,/ Z ft. Overlays(ceiling beams) Tke. g.s ' " spacing "o.c. span ft. I�eaf�a texS "��"spaying c� e�span ft. Roof trusses(pre-engineered) acing a_ "o.c. span 'Gd 'ft. Y Z�/ • Exterior wall finish ��Sf� _ Of what material? _ . 51�� �— c"Z- e7e44--- Interior wall finish �' iri .-_. L���e - i9;a: If a garage is o be attached, des ribe taterials to:be used for FIRE SE15ARA'TION: Is there to be an opening between garage and• dwelling? (/ If so will a Fire-rated door, enclosure, and self-closing device be 'provided? Will a flue-lined chimneybe installed? ,f''�� Height aboveroof Z—� ft. Depth of chimney foundation below grade '6 ft. Depth of fireplace hearth ft. in. Water supply - ici a or private well � SEPTIC SYSTEM _ Distance from ANY private well(including .adjoining properties/le?'" (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury 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 specification 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 THIS Signature74: a �`'�?C Own , owner's agent,arcnicect,contractor -2 2- day of ( c>/.- 19 Notary Public, Warren County, N.Y. * * * * * * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • By • • • • TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning .work. ANSWER ALL of the following: . 1 . Gross floor area . / a' • 2 . Type of heat ��s , //4"*- • 3 . Is the building mechanically cooled?• 4 . Percentage of area of windows and doors �° Ca 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 • 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_ 3 8' • • 2 . R value of exterior walls Z� 3 . R value of glazed area �`� �! �•- /`'o�✓�- 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) e! 10. Type of insulation c "A.- o C. Controls �- Gf 1 . Thermostat maximum heat setting ' • D. Duct Systems 1. Is duct system installed in unheated spaces? - 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 pi` ' 2 . R value of pipe insulation: ,/ i� /7-; F. . Service Water Heating 1 . Performance efficiency A • 2 . Temperature control setting maximum • . G. For Swimming Pool Only 1. Maximum heating Telephone No. applicant ' s signature) Yo of 01letrAtry APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE C) 4di• /3/ LOCATION OF PROPERTY FOR INSTALLATION Zvi #I Z 4C i Owner's Name: /f' P''2 ,d/��L-�� Telephone: v 9V` Address: /7? % Installer's Name: Telephone: 7 z_ 2_ Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) �✓� Topography: circle one: 'oiling Steep Slope % of slope — �— Soil Nature: circle one. and Loam Clay Other / Depth: . %,1-eleet Ground Water: At what depth? 5 feet Bedrock or Impervious Material: At what depth? .i'G! l//7e.feet Percolation test: circle one: not required required / rate A min. inch. Domestic water supply: circle one: aglirb Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption PROPOSED SYSTEM: Septic Tank /ONO gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench 506 feet / Total system length feet SEEPAGE PIT(S): Number of Size of stone to be used # 1,1yr*./ Depth or Thickness ec/feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 5064' C(`I c,J(I,4ep,zo u -c 3q 06er:®� (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 4.) 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 Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD,PLACE TO LIVE • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. ^sii FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. ITEMP.# IDri E-4 j l ,l4 i r, CITY OR rrf VILLAGE TOWNSHIP c i '.•:-' ::.;i,,.p.,.- COUNTY (Ay'�j/-{%.�,„L_ . STREET AND NO.OR / �_ ` 9/F 1/ ,, / ROAD AND POLE NO. ! - �` r;TY.//,,.-.> ,.,i S =_W_,/ - .i .% - POLE NO. BETWEEN WHAT TWO ' ! t CROSS STREETS IS /;•,,'.;:;-//:., .�';,T/-' r_,_, f ,r7 :G� , PREMISES LOCATED? ' ' ' ' =` 4�/ / SECTION BLOCK LOT OCCUPANT'S �..4,,.. . _ BUILDING NAME ' ( 0T;iTrj�[_ 2 - OCCUPANCY ::i-- c.-- ,�—F,,.. _ / OWNER'S NAME _ AND ADDRESS/<,:'( -..::�>/12..-;.--..i' -^ Ga' f.;i� _ :.--.:.;;,: 'f o.,, !, TEL C rr EL.# /{.�//1 _ <•- "-- 'r." CURRENT SUPPLIED / By ::':; ... /,:' ';';-;! tt_—.,,t FROM THEIR OFFICE ISILDING NEYY OLD❑ SWORK DEFECTS NEyW.,."�ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& BRANCH Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE Loca- • ONLY tion 'Coiling Side Attach't Switch Pendant Bracket No. Type H.P. No. Watts No. '4•W'r'' INSPECTION Wall Reeep'ls Each Each Gauge Out- side Sub- • . base Bass mant 1st Fl. 2nd Fl. . • 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. 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 ELECTRIC SIGN TOTAL MAINS • FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) . STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE • NEW El OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL•SPACES DATE OF ,✓ // -. MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. �./f�T PRINT NAME AND ADDRESS APPLICATION _ NAME OF �./ -: /� /�j�J SIGNATURE APPLICANT /,T" �,'t/ '' T /%J7'."// .�'""_ X �-•,/ ram - "OF APPLICANT ��i ^ram" 7.1 f:; f� ' STREET ADDRESS "' � /ter ��/�'''°'`="' l/ ' '' -�'=";"=f' TELEPHONE$k �� .'ll ?-?,.. PITY OR /..,',..^-!'�C i ,/ CODE ZIP /f F �•'.y—YLICENSE NO. WHEN APPLICABLE POST OFFICE •----- 46 EL (REV.t/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING ¢.,..&\.l)/.).c' !.a!... ,..\._l.�/.J_(..1.i.,,,•.C.1.. ...i.a tia dj,.)9,.111/.J_•i.a./:,.,.a•/..1,11,4C 15'.5.. !.a,.,,.[.•,i R.ca_U..(.J_•.C„!,../J11/,,1.,?h:a.J".0.9/?•,..Cj 5,.,.,J.,.,.,.,.,.d,. .•,., ;.}b„ktr,t,., r_ 1, 1 1 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 8017092 BUREAU OF ELECTRICITY 1 F 41.STATE STREET,ALBANY.NEW YORK 12207 . , o Date APRIL 01,199:1 Application N .eO3270388/88 H 410758 0 T THIS CERTIFIES THAT PERMIT NO. 88-17 only the electrical equipment as described below and introduced by t applican med on the above application number in the premises of o .. HAL RAVEN, HIDDEN HILLS SUBDIVISION, GUEENSEURY, N.Y. • ILI o _ : in the following location; El Basement 0 1st FL 0 2nd Fl. G a Section 3 Block5 Lot 3 Rol was examined on NARCH 27 r 1991 and found to be in compliance with the requirements of this Board. 1 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS o 1 OUTLETS ECEPTACLESI SWITCHES INCANDESCENT-'FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. r K.W. AMT. H.P. 43 50 39 • 43 1 I� 1 1.5 3 F NI DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI OUTLET DIMMERS o SYSTEMS C 1 AMT. K.W. OIL H.P. GAS H.P. AMT. NO. -A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO,OF FEET AMT. WATTS i . 3 1 F 1 5 G40 § SERVICE DISCONNECT NO.OF S '-E R V I C E. g 1 AMT. AMP. TYPE wimp. 1 t 2W 1 3W 3,9 3W 3.0 4W. NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G. PER$ OF CC.COND. OF HI-LEG OF NEUTRAL 1 200 CH 1 N. - - .! ' 4/0` 1 2/0 1 OTHER APPARATUS: - o .. 1 G.F.C.I:-5 4 SMOKE DETECTOR:-1 . C S O i Si 1 •i . 'i a -4 HAROLD T. RAVEN - , c 58 MCCORMICK RP. _ CrT�'e S I LAKE GEORGE, NY. 12845 I . BRANCH MANAGER ' = 2 3 J ,* • ..` Per .1 1 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. • g i,,,,, (,,,,,'4(74('i,, ,,,,,,,Y'AYY.,,,-4r71�•4Y'i,,,,, i1Y i4r`i4Y-iA{-iA?14Y-,.(,,,-,,Y'i41-iA(74i-i4(i4f'i4Y'i4 'iAY';A\"i4p•i4Y'i51'i5Y'ie'rre'ral'4 ® 8 0 ll 0 . ray COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEEMSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED '/;Q 7 tt 9 / NAME 9 %)' /1.`1 LOCATION ) {i '1- .;7 - #,?-2)e/v Ha/ DATE310 7/ c( 1 PERMIT# O ) 7 l ' TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE). +2FOOTING VFOUNDATION V-BACKFILL FRAMING TROUGH PLUMBING// FINAL ELECTRICAL 4GSEPTIC ✓INSULATION VW00DSTOVE/FIREPLACE SITE PLAN/VARIANCE REQUIREMENTS YES NO REMARKS APPROVAL N/A YE/ NO CHIMNEY HEIGHT/LOCATION ✓✓ B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS , RELIEF VALVES FURNACE/HOT WATER OPERATI P IL Vi BASEMENT INSULATION/DUCTW1RK \ INTERIOR TRIM/PRIVACY DO4'S FINISH FLOORS: / BATH/KITCHEN WATERTI T \ OTHER FLOORS SWEEPABL: \^ I OTHER FLOORS CARPET,II r/ STAIR CLEARANCE/RAIL-GS HANDICAPPED ACCESS SMOKE DETECTORS , BATHROOM FANS/WHOL'' OUSE PANS ALL PLUMBINGFIXTAES OPERATING GARAGE FIRE PROOFHG ✓✓ DOOR CLOSERS OTHER FIRE SEPA`PTION FIRE/DEMISE WA ' S DUMPSTER FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: de,iLD-4, 741Y V0/ ARRIVE DEPART 4,44 IN 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 VI NAME </-CJ&/LJ / hr,pf/� /2 w( S LOCATION L{j I 3 2 /t1 r,0 1 L4,/ lq'LLs DATE �127/g? PERMIT # 7 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING f BACKFILL APPROVAL ROUGH PLUMB' G FRAMING ELECTRICAL RO GH-IN ' xINSULATION: FOUNDATION ` FLOORS /A/O am' P�-�1 WALLS f� CEILING V- FINAL INSPECTION: ' CHIMNEY HEIGHT ROOFING SIDING ' EXTERNAL PORCHES/STEPS\ STAIRS-CLEARANCE &, RAILS PLUMBING FIXTURES/RELIEF\VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS, 1., GARAGE FIREPROOFING 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: p,r I/16_ © #ULL-r- NS ECTOR Jown o/ Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 dr'? Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME cl �,G'!(L6'n- LOCAT I ON ,6, 3� /1.Q=ds2V ,/o DATE1/g / - PERMIT NO. (>5g 11 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - iNO Percolation rate - Min/Inch / TYPE • SYSTEM: • Absorption field, total lengt Length of -ach trench Depth of tr-nches ' Size of gray-1 SEEPAGE PITS4 umber of) Size- ft. ft. • Gravel size PIPING: ze Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? E . NO Partial LOCATION/SEPARATI• S: Foundation to to ft. Foundation to absorption \ ft. Absorption to lit line \ ft. Separation of p is \ft. LOCATION OF SY:TEM ON PROPERTY('circle one) Front - Rear Left side - Righ\\\side - COMMENTS: ,/f.„4„7",._. • 7(71 I ' 122 I-4 t---re-ic--\ - 6L \ . , . . SYSTEM USE APPROVED YE NO • Bui din Inspector • 01/86 and vl _lown o/ Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DIS OSAL SYSTEM INSPECTION NAME • . / 1 LOCATION jriliffir' DATE / 47PERMIT NO. s--/ - SOIL TYPE - Sand - Loam - Clay 7r Percolation st Required? YES+ - NO Percolation ra e - Min/Inch _ TYPE of SYSTEM: (0 Off/ V O ` Absorption field, otal leig h , Length of each tren a Depth of trenches Size of gravel _ SEEPAGE PITS4Number of) k Size- ft. X ft. 1 Gravel size I° PIPING: Vi.zeP Bldg. to tank i Tank to dist. box Dist. box to field/. < v` , Openings sealed? de NO artial LOCATION/SEPARATIONS: Foundation to tans: t. Foundation to absorption t. Absorption to lo'a line 4aft. Separation of pis -ft. LOCATIO S r; ON PROPERTY(circle one) Front eft side - Right side - COMMEN ' a//11? -17141 • A inr-„ . 7, , SYSTEM USE APPROVED S NO • Building ector • 01/86 and vl ed721(lArtd,,ii_7' Queeniurrti BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAMEiteAtif L0CATIO N_/ g /. �� �/ Date 2/D /ea \Permit No. Re/ f -, APPROVED - YE// NO / P6oting/Pier Forms V Foundation i 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. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECT•ICAL INSPECTION DRIVEWAY APPROVAL Final Build Ang Survey Next scheduled inspection (call when ready) Remarks- Bui ing Inspector 6/86 and-v.l (5‘4.(/ -S 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 2/fl.A!e--41 LOCATION r%,77:/ " �/ / DATE /(-5,?_// PERMIT # -/7 APPROVED YES :'NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING \. FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE i& RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(5) 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: imeC S /e4; O s '1 ;_ /p /. , .(;0" /0/ e �',s INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280- TELEPHONE (518) 792-5832 • BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIO RECEIVED NAME LOCATION 671 c9 //�` f DATE /(.2 PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP,-PROOFING BACKFILL APPROVAL • $ROUGH PLUMBING (/FRAMING �5 ELECTRICAL ROUGH-'IN f' INSULATION: FOUNDATION „` - FLOORS WALLS / CEILING • FINAL INSPECTION: ,i' • CHIMNEY HEIGHT ROOFING • SIDING y. EXTERNAL PORCHES/STEPS • STAIRS-CLEARANCE;& RAILS PLUMBING FIXTURES/RELIEF VALVE . INTERIOR TRIM/PRIVACY DOORS ', FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS d FINAL ELECTRICAL INSPECTION FINAL APPROVAL'' OF CONSTRUCTION • A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE • THESE PREMISES ARE n OCCUPIED! REMARKS:po/27-- A/Q � �f�/� awct*L6D. 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'� \\ rr1 ,V c._- —,:; - cf, • 5` -0 .3 1. cs \ ' • ) ce \ � E ‘id '-\. - \'' . \ � o:N. 1 n- 2-'7' 4 34 Y 0.3 3o C, APPROV0 v FOR SBIAGGE DISMAL 0 Ste PE?.$1 YORK STATE DEPARVAENT OF HEAL H 3 P.E. 7Z SANITARY 5 1989 35611 OF MAP OF A SURVEY MADE FOR N\j en \-n Du-: tZk v--, VanDusen Steves -55'/ LAND SURVEYORS,GLENS FALLS,NEW YORK Z 5- N.Y. STATE LIC. NO. 35617 -4