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86-860
CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK December 24 87 Date 19 (.1 .3--. 1 -1-fiq • • This is to certify that work requested to be done as shown by Permit No. 86-860 has been completed. This structure may be occupied as a One—Family Dwelling 1 Wildwood Place (Grant Acres Subdivision) Location Owner Dr. Richard Hughes • By Order Town Board TOWN OF QUEENSBURY ( Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-860 WARREN COUNTY, NEW YORK n PERMISSION is hereby granted to Dr. Richard Hughes H. OWNER of property located at Lot 19 Wildwood Place (Grant Acres) Street, Road or Ave. 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 °R approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 31 Twicwood Lane Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Howland Const.Inc. 0 3. CONTRACTOR or BUILDER'S Address r* Box 140 Star Route Glens falls, New York 1/40 w 11 4. ARCHITECT'S Name 0 0 P. rd 5. ARCHITECT'S Address co Gi ri 6. TYPE of Construction—(Please indicate by X) !i rt (x)Wood Frame ( ) Masonry ( )Steel ( ) n rD ri cn 7. PLANS and Specifications 106'x52' per plot plan, specifications and application submitted trY No. including sewage system and three-car attached garage. 0- C 8. Proposed Use One-Family Dwelling c $5.00 C/O $ 351.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 1987 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 18th Day of December 19 86 ro SIGNED BY 447 /0 for the Town of Queensbury H. Building and Zoning Inspector �.J. TO BE COMPLETED BY BLDG. DEPT. R acc77 Application No. 5- wn of Queenitury 'POW r3 ,. :r ,-St-MY Permit Issued 19 `z +i rti ,} 5�n r� BUILDING and ZONING DEPARTMENT Permit Expires 19 `L1%�� 1, ` Bay and Haviland Road, R.D. 1 Box 98 Zoning DesignationAI • �. , Queensbury, New York 12801 Variance No. p•�4 L '2 ci, Site P1 Review No. 7 Appro e • fit 18)9)1p `� �•1�,'213)415)6 APPLICATION FOR Ll U I BUILDING AND ZONING PERMIT s, — _ ._ * # * * * * * * * * * * * * * * * * * * * * * .* * * * * * * * * * * 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: //i)0, gavn-yld 1�„ �/,,'5 •P.O. Address 31 %cviclvt-c,,,Z 2.r). ‘4, FA-GGs . •v,q. /zs6/ Tel. 798-h/785- Property Location: lc.i /g £ ,,,,,,,,i 4,,, ; /cY w o?S?/CcTax Map No. / / Street number or buildingd� lot number L. Subdivision name (if applicable) !`ht.d-- /YG44,S THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: 140 / 1-044-70/k/r. (BOX i".1D :S 4-4 Zi.,T)77;. (;)4 -, r- 5-�,y21,6 Name P.O. Address 1 Tel. No. Name of builder gi&d% y;,Af. Address 4 Tel. 6-dni< Name of plumber ',, Address P Tel. 1' Name of mason " Address Tel. " NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of'a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, IS Addition to a building * drawn reasonably to scale and attached hereto, �3 Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and -indicate all 31 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 33 Z of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. of septic disposal area. Z * 3/b * COMPLETE INFORMATION REQUIRED BELOW. ;z * Size of property 3 3 7 ft X 3/6 ft. z5 0 * Existing building(s) .Size ft X ft. 3 3 5' * rlo G "PROPOSED BUILDING AND USE: * Existing building(s) Use 2 2`l Size of new structure /04.p. ft X gf ft * Foundation-pier/slab/crawl/partial1� * Proposed building, distance from property line (circle one) * Front yard ( L ft Rear yard ft • No. of stories (habitable space) 2. * Side yards /pb ft and /21 ft Height (grade to ridge) 30, ft. If residential, no. of families /r * If on corner, setback from side street ft . No. of rooms(excluding baths) r3. . * OCCUPANCY INFORMATION No. of bedrooms J * PRIMARY BUILDING - No. of bathrooms i-/ * Primary heating system ,f,4c/,, YJ . x x One family dwelling * Two family dwelling Type of fuel ¢zbe z.YL` * Multiple dwelling / Number of units to No. of fireplaces to be installed . Will a wood stove be installed? �U * Permanent occupancy Central Air conditioning? * Transient occupancy* Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch 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 car/ car ( CIRCLE ONE PLEASE ) * y Attached garage/one car/ two car/ 3 car * * * * * * * * * * * * * * * * * * • Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION * $-- © o6z) INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: n Type of. construction, wood frame, fire safe,etc. LC)0�=, 1'�472 Will any second-hand or ungraded lumber be used? If so, for what? /v0 i/ Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) ' 7-U Will there be a cellar? X Heated or unheated? X Floor sq. footage 1/ 73 j sq ft Will there be a basement? i4,Lg Will any portion be used as living space? ram,; (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other s3Lo.,,/ Material,•of roof I<14 .^,Z�/5`5 2,/.�,,.v� s Size, wood studs �"X 6" spacing //w "o.c. length/ ' ft.&!iy�° Joists(floor beams) 1st. floor Z, "X /b " spacing / , "o.c. span / ft. Joists (floor beams) 2nd. floor Z "X /p " spacing /4 "o.c. span ft. Overlays(ceiling beams) Z "X " spacing 2/f? "o.c. spanA4 ft. Roof rafters 7 "X /7 " spacing Z5f` o.c. span /3 ft. Roof trusses (pre-engineered) spacing "o.c. span ft. Exterior wall finish eA-6 Of what material? e.ht,��v Li�jo ���'✓ Interior wall finish l���;p�t If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 6 e/ Viet'doi4 dvv W rs-t/t Is there to be an opening between garage and dwelling? ; s If so will a Fire-rated door, enclosure, and self-closing device be"provided? JA Will a flue-lined chimney be installed? /Vp Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth / ft/it in. Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well(indluding adjoining properties /6.0 4- ft. (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 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 THIS Signatur---/ -7 --- er, owner's agent,arc rect ontracto day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By .7 wn ei Qua 4 APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE '2'- /Z / 0-6- LOCATION OF PROPERTY FOR INSTALLATION /6 ( /9 CAN / , z,s Owner's Name: iohffrJ J j 4c Telephone: 79p-42E5-- Address: LS /9 a;r,f-An 4 o Installer's Name: 4jzjLirt,I TA),_--, Telephone: 6c5-1`10/G ,l Number of bedrooms (residential only) _ �j Total daily flow (compute @ 150 gal per bedroom) 7 b Topography: circle one:. Rolling Steep Slope % of slope Soil Nature: circle one: San Loam Clay Other / Depth: _ feet Ground Water: At what depth? /-)Ovvn feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle one: not required required / rate - min. inch. Domestic water supply: circle one: Municipal 11 Other IF domestic water supply is a Well: F Separation: Watersupply from Septic absorption __/6.6) feet PROPOSED SYSTEM: Septic Tank /25O gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench U feet / Total system length .,'/2 feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # 24Z / Depth or Thickness _ / feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (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: ice Date: /2//2-46 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 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 66 2 . Type of heat /4vL -r•� 3. Is the building mechanically cooled? 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? 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 "-0 ci- ie to L) 2,. R value of exterior walls 3. R value of glazed area ' . 4. R value of doors 5. R value of floors over unheated spaces /.'lid-4236 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade) 10 . Type of insulation Ri92%/ j 2D4-iv1 I Pivt.LvLl C. Controls 1 . Thermostat maximum heat setting D. Duct Systems . 1. Is duct systOM 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 yy 7�Telephone No. �f?��-gr2U ( aplicant s signatu e) BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. (TEMP.# I DATE . /J I CITY OR VILLAGE TOWNSHIP ;. COUNTY ,;1 STREET AND NO.OR ROAD AND POLE NO. i,%:_.• ;'r::.:. ,.i ii_,:. ' POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S BUILDING NAME ,� ! '- OCCUPANCY OWNER'S NAME TEL.# AND ADDRESS CURRENT SUPPLIED , 1r/ .: BY FROM THEIR OFFICE BUILDING - DEFECTS I NEW.❑ OLD IS NEW ❑ ADDITIONAL REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED o. Fixtures& BRANCH - NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUITS OFFICE USE Loca- ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- ' side Sub- base Base- ment 1st Fl. • 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. / / y 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 OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS �( POSSIBLE • NEW I I OLD 111 AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF //, MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLIC/j.T ON / _`=-/' .....,„/-,:. e -, PRINT NAME AND ADDRESS / �r NAME OF • 1 ./ /' ' SIGNATURE. / / /l,) • �,�" ..V y'. X OF APPLICANTr',l :�-f 7:.. --:- i STREET ADDRESS '--j�'f''. r,'_i 1/ f V .I' ./ --J-•'" '' TELEPHONE# r�'.,' ,-. • ;r` `i��- P S OR CIPO ,.-/ WHEN APPLICABLE CENSE NO. POST OFFICE CODE.• •_. - 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING JR a k. 4003422 THE NEW YORK BOARD OF FIRE, UNDERWRITERS No 1 BUREAU OF ELECTRICITY c, . 41 STATE STREET,ALBANY,NEW YORK 12207 i; Date January 8 , 1983 Application No.on file .006j898/87 A ' t$;` r so s �: THIS CERTIFIES THAT " ^; 13., only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of w Dr . R1 chard Hughes s Grant Acres , Oueo:lsbu , •Net-. York w • A. i, in the following location; Ql:Basement El 1st FL El 2nd Fl. Outs s Section Block Lot =c, �; was examined,on ? 2/2 2 7 �7 . and found to be in compliance with the requirements of this Board. r. IA, FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS is OUTLETS ECEPTACLESI SWITCHES MERCURY �, INCANDESCENT-FLUORESCENT �Aro� AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. MAT. H.P. 1: 4CJ 89 63 41 7 4Y,Il 1 N v DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL • UNIT HEATERS MULTI-OUTLET DIMMERS .. SYSTEMS ILJ 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 aD 7. :74. ►; SERVICE DISCONNECT NO.OF .1. Dryer t 10 S E R V I C E METER — �: AMT. AMP. TYPE EQUIP 1,B'2W 1 if 3W 3/B'3W 3,B'IW NO.OFF CC.COND. OF CC.COND.. NO.OF HI-LEG OF•HI-LEG NO.OF NEUTRALS Of N UTRAL �' 2 20( cb 1 1 2 4/0 2 2i0 h "4c �+ OTHER APPARATUS: c' c, . J4. . G.F .1r.' .I . - 4no 3 - Smoke Detector u 7-7 0 {,�, o 1 Ei -4,-, _,, a_,3 . ; 13 Notre Dame. Suet Fort o ' BRANCH;MANAGER -. Fort Edward, ,Net York 12828 o : o :' Per • o 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. it-ii?43-i.?-ii? -rIai iiC i.ie-?AY'iAf74i-lAfYA?'iai.:4?-AY'ii?-;:eieY�Y'ie-iiYYA CtiliMITME r1 ® ® ® sf isi-iik 'i:6 4 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 1/(1167 It i /flown o/ Queeniury Ig`� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 00 BUILDING INSPECTOR ' S REPORT NAME ./.7 - Y- i�./J 2l LOCATION (I/�C /9 l Date /Vg5/17 Permit No. O Z. -e-p 0 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofin / 13ackfill // Framing • / Roofing /)(a Siding / Masonry Veneer / Rough Plumbing Relief Valves / Ext. Porches Finished Floors Interior Trim Stairs & RailingsIN Cellar Drain Tile Concrete Floors Plbg. Fixtures A Gar. Fireproof ng Door Closers Smoke Detec ors Chimney INSULATIO : Foundati., Floors Walls Ceiling FINAL ELECTRICAL INSPECTION RIVEWAY APPROVAL ' F al Building SurveyPc /(\j". Next scheduled inspection (call when ready) Remarks-<4:21g,e!4 A i l/ glipritt l Building Inspector 6/86 and-vl 4(7)12 1°' rilA own o� toeueenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECT`OR' S REPORT NAME , L�CY46 //71, LOCATION �vcyn T 4n„,i. Date et-,1// �7 Permit No. * * * * * * * * * * * * * * * * * * * * * * '* ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding f Masonry y‘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 ELECTRICAL INSPECTION DRIVEWAY APPRgVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- �� Pdc_ r1 As U rtac� I - PIt • Building Inspec Fr 6/86 and-vl cc77 I�� _own o f Queeniurff y r 16° BUILDING and ZONING DEPARTMENT I II p�Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 3i BUILDING INSPECTOR ' S REPORT NAME X. ����� LOCATION X/L /7 Date 9/// / (F7 Permit No. FL Cal) * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill c.„-Klaming Roofing Siding Masonry Veneer / Rough Plumbing Relief Valves ifif Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofi Door Closers Smoke Detector Chimney INSULATION: Foundation Flo rs s ( ", /r//'rtl, ✓o i3 Ceiling'•/ F/ 8� 'S FINAL ELECT CAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 1c Building InspectcIr 6/86 and-vl �0 11, gown of Qeurcy UI �� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION J / NAME i1Y/J G G�%?�i �`=�/ d�GO • LOCAT I Ot / ,' ��_24Ad�, �C� DATE2V_ _2_,/ 7 PERMIT NO. S 0` r'c9 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM. Absorption fie •, total lengt• 5 Length of each ench Depth of trenches' • -- Li, FT Size of gravel SEEPAGE PITS-ENumber .f) Size- _Lt.. . vG`2 el size • PIPING: -,ize Type Bldg. to tank Tank to dist. box u c. Dist. box to fiel./.it pvL— Openings sealed? 4' '. NO Partial LOCATION/SEPA•.I IONS: Foundation to ank `!, ft:I— Foundation to absorption ft.- -- Absorption to lot line ft. Separation c#f pits ft LOCATION e, A YSTEM ON PROPERT (circle one) Front - 11 - Left side - Rig'.t side - COMMENTS:' CALL )R /A) 't T-r d. C) R •IPL (Afro 4 US To co V� 1 fe_ SYSTEM USE APPROVED YE NO • Bui ding I spec r 01/86 and vl 1,w1 0CzPIOsJ _loom of Qt4enilury ' BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION,, • NAME Ln, .Jai`l 1`ta.,'4D/1 . LOCATION X01 �,/�9) ��U/J. 44<— � PERMIT N�(,; _ � • DATE VAIN- SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM I/ Absorption field, tota ength Length-"of each tre ,. Dep6 of trench --Size of gra • /-- i _ SEEPAGE TS4 umbe of) Size- ft. 40. . ft. AIIIIIIIIPPIPP- G vel size ' PIPING: - ype Bldg o tank T. to dis . box $ist. bo o field F Openings sealed? NO Partial LOCATION/SEP I{i Foundatio to taj f . Foun ion to a; orption _d'ft. A orption . :.t line r; f Separat.o of ..its t. LOCAT ON OF S .S rm ON PROP TY(circle one) Front - Left side - Right side - CCMMENTS: /i3 )k-G ( ( o,� 1-CO I�I Ft a...(9/11 1460-5 re k 0 TA A./j( 0 Ai t_Lif • SYSTEM USE APPROVE NO 7;(0k3 • Building Inspector 01/86 and vl LCti1-e-c( i ly7 n 1 :3cpMI- J // ocu of Queenibury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Dv, /4 F cla.,_.l HA C5 LOCATION L or Jc, k)l lci WQcrd/ Date /// /��_ Permit No. , a6, - (p b * * * * * * * * * * * * * * * * * * * * * * * V = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing 7/2O5e-SIG 1/ - Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings _ `j�Cellar Drain Tile L------_ Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- ----" Buildin Inspect-- 6/86 and-vl J J_4a l h % 9 : - /t ( ] _/own Queenibur# BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME J.�J /1, Ghc,rd /f�i9l? eJ LOCATION Ck¢/7-t /acres a';i d eo cArI Date Ja //d//_8(o Permit No. SG _ P‘o * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - Y / NO ).Footing/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. Fireproofing Door Closers Smoke Detectors ear Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 1 foorwcs Building In pec or 6/86 and-vl it i a � L 337 2 Lof#1 ! 1 S1 'hJ c • �D/ ZrO 4vW „k • Muo