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88-040
r CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 30, 19 _88 This is to certify that work requested to be done as shown by Permit No. 88-40 has been completed. This structure may be occupied as a Motel Rte 9 Day e s Inn Location Owner David Kenny By Order Town Board TOWN OF QUEENSBURY / / '8fly \\� r2 Building & Zoning Inspector k • • BUILDING PERMIT H • 9 TOWN OF QUEENSBURY No. 88-40 WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Day's Inn — Dave Kenny cn Rte 9 OWNER of property located at Street, Road or Ave. Motel Addition — 88 Units in the Town of Queensbury,To Construct or place a 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 Box 3202 Hi—Way Host Motel Lake George, N.Y. 12801 v' 2. CONTRACTOR or BUILDER'S Name p Sarge 3. CONTRACTOR or BUILDER'S Address co 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address rt rD 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 6000 sq. ft. 2 story addition (88 units) as per plot plan, specifications . and application. SITE PLAN REVIEW NO. 31-87 Co 8. Proposed Use ~ Motel a. a. rt r• $5.00 C/O a $ 995.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1, 19 88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the poo town of Queensbury before the expiration date.) - 0 23rd February 88 Dated at the Town of Queensbury this Day of 19 SIGNED BY /7/747- /Ca—P.Gr/jT/ for the Town of Queensbury Building and Zoning Inspector /44f - TO BE COMPLETED BY BLDG: DEPT. . : • • // Application No. ./own ol Queenibur, Permit Issued • 19 • TUMN OF fQ'I-'E°W'''E.: ' ... BUILDING and ZONING DEPARTMENT Permit Expires 19 tJ•1 � _ \7 [ hili.1 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designatio �C'-4 • L� Queensb ry, New York 12801 Variance No. , / . ill `� . 1..,_..., 1 J/h�� Site Plan Review'No• . :3/ , R7 .r- - . '^/ ✓✓ Approved by: 51.1ILDING 8. CODE DEPT.APPLICATION FOR fl . . _ �� 22 4 _--- • • • .• • . . . . . ' BUILDING AND ZONING PERMIT - -- -.'•• • • - • �w� * * * * *' * * * * * * * * * * * * * * * * * * •* * * * # * •* .* * * * * *. 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: 0,4 (4d �� ,✓.1.,1/ P.O. Address &Di 3) 0.2 i L../ A,r ' J• . . Tel. 3--:./�‘. Property Location: T Tax Map No._ /y 55 z. Street. number or building lot number Subdivision name (if applicable) • . . THE PERSON RESPONSIBLE FOR SUPERVISION ,OF WORK AS REGARDS BUILDING CODES IS: 044.rc:/ //4 .,, SA in -ti • . .. . . Name / P.O. Address ' Tel. No. • Name of builder a4L,;•GI c-4,,,y Address .c./ -c, • . • Tel.' 7 7 7- -1/9''e • Name of plumber Address Tel. Name of mason Address ' " ' '. Tel. • NATURE OF PROPOSED WORK: * . .ZONING INFORMATION: . • Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, ,X 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 STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. . * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property 3 A r t;e ft Y. -Et. * Existing building(s) Size ft X ft. PROPOSED BUILDING AND USE: *. . / .G a.a ' .;5 ' "Fr- .. �'L"`, J�"- Existing building(s) Use. Size of new structure . .ft 'X ft * . Foundation-pier/slab/crawl/partial/full *Proposed building, distance from property line * • (circle one) rr�� * Front yard ' " " .. ft Rear yard ft, No. .of stories (habitable space) p� * Side yards' ft and ft Height (grade to ridge) ft. * If on corner, .setback from side street ft If residential, no. of families . . • No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms "' No. of bathrooms * PRIMARY BUILDING - • Primary heating system . • * One family dwelling*:---Two family dwelling Type of fuel No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * 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 ) *• Attached garage/one car/ two car/ car * * * * * * * * * * * * * * .* * * * Private storage building ESTIMATED MARKET VALUE OF *----Other CONSTRUCTION * • 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: Type of construction,Cwood fry', fire safe,etc. • Will any second-hand or ungraded lumber be used? If so, for what? /°1,,G2 Foundation wall material Cry? c; Thickness = OP/ Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? , ✓v (If so, what port sq.ft. - - Type of use? Type of roof slo e ilat/shed/other Material.•of roof ,aj4/16,/ Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. Joists (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 "o.c. span ft. Exterior wall finish Of what material? /� ,, -/1/, '-!), Interior wall finish ,(7-/e.,..1'2J� /L, If a garage is to be attached, describe materials to:be used for FIRE SEPARATION: 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 chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well(including .adjoining properties. 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 Signature _ Owner, owner' agent, rcnitect,contractor day of I4c, 19, 7 Notary Public, Warren County, N.Y. SPECIAL CONDITIONS OF THE PERMIT: • By • r.e. L' I( '•1. I NEW YORK S1A1E DEPARTMENT OI ENVIRONh1LN1Ai iU'.. ,._k,,,,: APPLICATION FORM "D" • T 2 1 . 9E-37 c' � for a State Pollutant Discharge Elimination System (SPDEj Permit ` ; (A SPDES Application When Signed by a,Permit Issuing Official Be.corries a hpeafo r t(1UN UNIT PLEASE PRINT OR TYPE REGION AI'i'I.ICAlION 1YI'L IF RENEWAL OR,MODIFICATION,GIVE PREVIOUS NUr.,IILR WAR RENSEtURG, I':,'i, ® New ❑ Renewal 0 Modification NY- OWNER'S NAME(Corporate, Partnership,Individual) TYPE OF OWNERSHIP Dat id ken in Y . ❑ Corporate ® Individual ❑ Partnership ❑ Public OWNER'S MAILING ADDRESS(Street,City,State,Zip C9qde) Rau-Le 9 3c 320OZ , Lae Cleo e, i IN 1 ( 2-P) 5 REFER ALL CORRESPONDENCE TO:(Name,Title and Address) TELEPHONE NUMBER David Kentrty ( ) FACILITY NAME FACILITY LOCATION(Street or Road) CITY,TOWN OR VILLAGE Dky5 Ivlt'1 Rcl-rfe.*n L..,ke(:)-Porr , 1J'Y 1z6'45 TN: OF OueY.1561-115/ COUNTY 1,/ GIVE EXPLICIT DIRECTIONS TO LOCATION Fast S,de of Rawfe 9 , iOOOf1,Soctl�l7 Y oxrev► of Raulp. 9 avid goods KF7 fY)4-P.irelflQ NATURE OF BUSINESS OR FACILITY POPULATION SERVED(See Instructions) MOte l 300 FREQUENCY OF DISCHARGE All Year? X Yes ❑No If No,Specify Number of Months I All Week? Yes ❑ No If No,Specify Number of Days' DOES YOUR DISCHARGE CONTAIN OR IS IT POSSIBLE FOR YOUR DISCHARGE TO CONTAIN ONE OR MORE OF THE FOLLOWING SUBSTANCES ADDED AS A RESULT OF YOUR OPERATIONS,ACTIVITIES OR PROCESSES& Please check: ❑Aluminum ❑Ammonia CI Beryllium ❑Cadmium ❑Chlorine ❑Chromium ❑Copper OCyanide rp�I • ' ❑Grease ❑Lead ❑Mercury ❑Nickel . . ❑Oil • ❑Phenols ❑Selenium ❑Zinc 1alNone of These ' DISCHARGE DATA(Use additional forms,or if necessary)(See Instructions) • ' OtITFALL NO. ❑ Picpoied �y'q�i!Replacement TYPE OF WASTE TYPE OF TREATMENT DESIGNJ FLOW • 00 1 0 Existing Expansion Sit v►I q v Septic-64 k—Seep le tpii .4900 Gal/Day SURFACE DISCHARGE If YES,Name of Receiving Waters - Classification Waters Index Number ❑Yes X No I I I SUBSURFACE DISCHARGE I(YES,Name of Nearest Surface Water • Distance SOIL TYPE Depth of Water Table . • ►:1 Yes ❑No IU' V)a(El'lr r �.retivi- 1t c G 1 e vl Lake 13Z00 Ft. 16-PA() I 40 ft, OUTFALL NO. ❑ ProposedIIK Replacement TYPE OF WASTE . • ,TYPE OF TREATMENT DESIGN FLOW 002 ❑ Existing ®Expansion ' 1/1//a ry 5?Pf/G-Lk' if —$L44j 'e 4900 Gal/Day. SURFACE DISCHARGE I If YES,Name of Receiving Waters. . , . I Classification I Waters Index Number ❑Yes No • SUBSURFACE DISCHARGE ,Iff YES,Name ofJNearest Surface Water. / J • Distance SOIL TYPE Depth of Water Table X Yes ❑No I Of?. r1Med r ectim.40 61e0 LLt ke I 32OO Ft. I GA()EL I 4O ft. OUTFALL NO. ❑ Proposed Li Replacement TYPE OF WASTE • TYPE OF TREATMENT DESIGN FLOW ❑ Existing ❑Expansion Gal/Day SURFACE DISCHARGE If YES, Name of Receiving Waters Classification Waters Index Number ❑Yes ❑No I -I, I , SUBSURFACE DISCHARGE If YES,Name of Nearest Surface Water . . Distance SOIL TYPE Depth of Water Table ❑Yes ❑No I - . • I Ft. I I I hereby affirm under penalty of perjury that information provided on this form and any attached supplemental forms is true to the best of my knowledge and - belief.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. APPLICAN S SIGNA RE(s Instructions) DATE ' • PRINTED NAME TITLE �_P RMIT VALIDATION SECTION • APPLICATION NUMBER . (Department of Environmental Conservation Use Only) NY— This SPDES permit is issued in compliance with Title 8 of Article 17 of the Environmental Conservation Law of New York State and in compliance with the provisions of the Federal Water EFFCTIVE DATE EXPIRATION DATE Pollution Control Act,as amended by the Federal Water Pollution Control Act Amendments of ' 1972, P.L. 92-500, October 18,1972 (33 U.S.C. §1251 et. seq.)(hereinafter referred to as"the ATTACHMENTS: Act"), and subject to the attached conditions. Signature of Permit Issuing Official Date CARD Type Type SIC CODE N Out Dis . CARD Region County Major Sub- Compact. CARD Latitude Longitude CARD Lim led En Own Falls Class - Basin Basin Area 1 66 68 70 73 74 76 3 72 74 .- 76 . 78 53 58 59 64 57 I I I I I I I I I I ' I V 11 1 1 I . 1 I I L I NOTIFICATION OF AVAILABILITY FOR REVIEw Please return this form to: THOMAS W HALL DEC-REG. AFFAIRS-WBG 623 - 3671 EXT 267 Application ID: 5523400081/0000;71 - Batch ,ID 08631 Permits Applied for: PD3 1 Pp A licant-Permittee-Owner: Owner ID: 12240 DAVID ;: -KENNY s. Facility-Project:: DAYS INN: Program ID: County: WARREN Town: QUEENSBURY NYTM-E: 604 .4 NYTM-N: 4802..3 Description: . DISCHARGE TOTAL OF 9800GPD TO GROUNDWATER-- FROM THE FORMER HI-WAY HOST MOTEL. ;RENOVATION WILL INCLUDE ADDITION .OF.; 88 UNITS, POOL AND SECOND STORY: Sender Comments: 11tAlw1 y3 V yv,. G�� fNt7� iA le c G..'5 0-u 9z0\s( 62_, . S.e„,,, y 9 �) \-M5 si e vuAok �)- vcc, 5 b i Distribution: Date Sent for Review 12/28/87 12/28/87 12/28/87 ° Date Due Back 02/15/88 ' 01/15/88 01/15/8.8 Sent to DOW DOH QBY Reviewer Comments 72.E-v—/9 j : 7. f.. /.: Prepared` by: � L� n / / Came). / (unit) /' (phone) (dat ) z w 4 ti..\9/.,S..�9.1•19G)}C19!. .19!"!t!."-.!"1-.%.yi.J_.l1'.-1","-19i.19..J_9?.".S.i..1'.?- )./"•1:9!•",-1,9..11i.Igt!.A•. ,AltV..ULIP!-"_-!.?, /"T.,,A.!-••,:.9(.1.!•A( 1.((9?-9!•"--j.,19 9,..9- . -000r`'' - THE NEW YORK BOARD OF FIRE • UNDERWRITERS •�- 6 T BUREAU OF ELECTRICITY r' i6 rt a41 STATE STREET,ALBANY,NEW YORK 12207 11 ® Date . JUI.y 1,s p 1988 Application No.on file 0 v d THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Davin I easy Rt. 9 Lake Ge.a.cry, New York in the following location; ❑ Basement o :� 1st FL I, 2IL Fl. Section Block Lot was examined on 6_,2 --B S and found to be in compliance with the requirements of this Board. FIXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :' OUTLETS ECEPTACLES SWITCHES MERCURY INCANDESCENT-FLUORESCENT yApR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. t O° 5 ti3 '6� :" 478 501 32 6 If:-.: . DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS La SYSTEMS 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 1 91 2C SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC.CORD. A. .G. A.W.G. A.W.G. c `j AMT. AMP. TYPE Balm. 1,B'2W 1 3W 3,B'3W 3IB'4W PER.A OF CC.CORD.. NO.OF HI-LEG OF IrL G NO.OF NEUTRALS OF NEUTRAL s-. 1 1200 eb w. 3 . .50 359 ., 500 w- OTHER APPARATUS: ry q m. Panels: 1!t/ 42 200 ®.--_ fl 2 2---emerc,enc y lights . o Zti- exit lights • 91- fci • 91-smoke detectors • ;_ ® • o= o �, (. C 2a Fa .s r NY 12001 a BRANCH MANAGER c ni ? .. I t +f. r a 4A4; 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. ' ?ei-4 NM CICIo o o o a !I o o CI !I NW CI ! NE ICI 0 CI -.`,...- COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ffeld tr „ lppmtAmmr ,;-1 • • OW/V O tteenJ u, as�{ 4 t .. p ;r • - QUEENSBURY TOWN OFFICE BOILbING 1.7 BAY AT HAVILAND ROAD QUEENSBURY, NEW YORK, 12801 TELEPHONE: (518) 792-5832 TO: The Building Department Town of Queensbury FROM: N. W. Bodenweiser, Fire Marshal DATE: ,-!r 7////, SUB: Certificate of Occupancy Name: tw ohni1-1 Address: (jj , 1 It is the opinion of this office that the above named premises has complied with all sections of the N.Y.S. Fire & Building Code regarding fire prevention ø' ' gl.4 (1-C;2- N. W. Bodenweiser Fire Marshal 026t. diam,„ ,40,4„ 41t-01 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE 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 YORK BOARD OF FIRE UNDERWRITERS PLICATION NO. f 1 l/J LQC ION TL INSP -OR M IRO IRO(REV.I/86( Ilk ;e- .Town of Queeniury BUILDING and ZONING DEPARTMENT . C15 Of Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 9(Y, :-h/ ``( LOCATION G( ��, 7. . Date O, S (Permit No. er-VO * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES- NO Footing/Pier Forms ' Foundation Waterproofing Backfill Framing / �LRoofing / XSiding / Masonry Veneer Rough Plumbing / , Relief Valves ,/xt. Porches , ' Finished Floors •./'Interior Trim /Zitairs & Railings Cellar. Drain Tile Concrete Floors )Plbg. Fixtures <,1_ Gar. Fireproofin; il;l oor Closers smoke Detectors Chimney KO INSULATION: Foundation • Floors Walls • Ceiling FINAL ELEC RICAL INSPECTION )RIVEWAY A PROVAL Final Buil ing Survey k--- Next scheduled inspection (call when ready) Remarks- . C/ )r . 71,/ ,`/ yil -\. � / / Y Building nspector 6/86 md-vl Down of Quni1ur, tI BUILDING and ZONING DEPARTMENT ') flT Bay and Haviland Road, R.D. 1 Box 98 O Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION s NAME LOCATION e DATE c_5— (r PERMIT NO. j � 7P SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of :ach trench Depth of tr-nches Size of gra -1 _ SEEPAGE PITS Number of) Size- u ft. X /R. ft. Gravel size •.,,_ ?,z41( PIPING: 'ize Type Bldg. to tank b � 4(o Pl/�� Tank to dist. b. (, Sr Dist. box to fie d/.it %-/ i Openings sealed? NO Partial LOCATION/SEPARAT O'S: Foundation to tank L 5-ft. Foundation to •:bsorp• iono7o-haft. Absorption to lot lin- /o ft. Separation of pits ft. LOCATION OF .YSTEM ON "OPERTY(circleQe) Front - Rea, - Left silo —'Rig side` COMMENTS: SYSTEM USE APPROVED(YF,S_.) + • Buildi g Inspector 01/86 and vl Jouin of Queen itur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME oLVder LOCATION //rI= q DATE t)j2L//? PERMIT NO. sll-4/22 SOIL TYPE - Sand -\dam - C$ay Percolatio , Test Required?/ Y'S - NO . Percolation rate - Min/Inch TYPE of SYST Absorption fi- . , tot- length Length of each Nor Depth of tren . Size of gr. :el SEEPAGE PITS{Numbe of t-s C Size- ft. X - t. Gravel size • PIPING: ize Type Bldg. to tank l " Pvc 5C/tCP 20 Tank to dist. .ox ?rG if y6 Dist. box to f eld/pit 1 ' PVC- " 1V0 Openings seal-d? S '0 Partial LOCATION/SE• 7RATIONS: Foundation o tank t. Foundation to absorption 0 't.t- Absorptio.• to lot line 3o f Separati. of pits /4,— ft. LOCATION O ' SYSTEM ON PROPERTY(9/ rcle one) Front - tap - Left side - Right side - COMMENT`: ?ER. 5 32e 5 I W P D63 Pfrrr SYSTEM USE APPROVED NO Bull 'ng Inspector • • 01/86 and vl Jocun of Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 p Z> l /1 1rr- SEPTIC DISPOSAL SYS/TEM I PECTION NAME sb Ay 5 I/0G4' r�,t}-!/b' f�G/4,�Y -v LOCATION N! / DATE l/ (88 PERMIT NO. w' 40 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each ench Depth of trenches Size of gravel SEEPAGE PITS{Numbe, of) Size- ft. X _ ft. Gravel size PIPING: "ze Type Bldg. to tank _ Tank to dist. box Dist. box to field/,•it Openings sealed? ES 0 Partial LOCATION/SEPARAT •NS: Foundation to t- k t. Foundation to _ .sorption f Absorption to of line ft. Separation of pits ft. LOCATION OF S STEM ON PROPERTY(circ'.e one) Front - Rear - Left side - Right side - COMMENTS: -, e. A-) .V /' b tl,_,,,,- -,- ,, r/ae4---Oate ce- te,y-"3„....,c.) % fir' I - e�-- —e- SYSTEM USE APPROVED YES> NO Building Inspector 01/86 and vl sown of Queenitur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEME INSPECTIOON NAME ,*-KA ' f' bi .s P74/4/ LOCATION AT DATE �/ ej PERMIT NO. �- `�(� SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total lengt► Length of each trench Depth of tren‘ hes Size of gravel SEEPAGE PITS*N .er of) Size- ft. X ft Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field .•it Openings sealed? Y:S NO Partial LOCATION/SEPARAT ONS: Foundation to tank ft. Foundation to absorption _ ft. Absorption to of line ft. Separation of pits ft. LOCATION OF 'YSTEM ON PROPE'TY(circle one) Front - Rear - Left side - R'.ght side - COMMENT5: Tr �` . SYSTEM USE APPROVED 4 NO Building Ins ector 01/86 and vl L C-7 1/1 J Jown of Q e n 3 Uray BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME f Gj LOCATION ,/(0 Date• /'L/ Permit No. n_c_\.0 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES 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 Xhimney ` NSULATI ;/ (i Fo dationon Floors Walls — 61 Ceiling , A: 1 FINAL ELECTR CAL •iN( PE T s C ON � , DRIVEWAY APPROVAL N, Final Buildirr Survey Next scheduled inspection (call when ready) Remarks- F Building Inspector 6/86 and-vl I/l 40 cc77 _town of Quecnitur, BUILD G and ZONING DEPARTMENT y and aviland Road, R.D. 1 Box 98 h , New York 12801 /0M jnsburY � • BUI INSPECTOR' S REPORT NAME //; LOCATION k Date '/-gyp /al- Permit No. (ff-- -/0 * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO voting/Pier Forms /pp) g 27" Foundation 1,64 idej-A 67.6./¢.,p G W4i1-l.i J I' Waterproofing r/r6 0ie /ice'©G. :a6/?0 , Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Val es • Ext. Porche- Finished Floors Interior Trim Stairs & Raili gs Cellar Drain Ti. e Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL IoSPECTION DRIVEWAY APPROVAL Final Building Su vey Next scheduled nspection (call when ready) Rek G _/,„-73T 542,,,t-7-- 5[0 Building Inspector 6/86 and-vl eawn of Queenitarcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME I ' z !x.f ,/95, /' /LOCATION Le 9 Date ��g / g' Permit No. 6t;" �In * * * * * * * * * * * * * * * * * * * * * * * so/ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill )0Framing /Leckee/e Roofing Siding Masonry Veneer Rough Plumb.ng Relief Valve Ext. Porches Finished Floo, s Interior Trim Stairs & Raili gs Cellar Drain Tike Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney XINSULATION: op 3Q,'1 qI{y Foundation / Floors in / Walls 49 ✓ Ceiling ,It.3 . ir- FINAL ELECTRICAL INSPECTION DRIVEWAY APPRO AL Final Buildin: Survey t Next schedu. ed inspection (call hen ready) Remarks- Building Inspector 6/86 and-vl own of Queenurty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME ,11, ' LOCATION / 5 Date / ' Permit No. FE-- 1V * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill I� Wraming Roofing Siding Masonry Vene r 1QRough Plumbin •14 C Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproof in Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY AP ROYAL Final Build ng Survey 10a_ck: Next scheduled inspection (ca1L- hen ready) Remarks- Scjja 5,65. /m00% 1 2Ar, ;C Sfuds sAatiL 5v// 0<2oi- A x Lto :Aawi 6& 1 Building Inspec or 6/86 and-vl ' 112 �7)71 Jown of QueeniLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Bo/98 ueensbury, New York 12801,, , ( ) �/)/ • �K ILDIN INSPECTOR ' S REPORt NAME �/ ` �/�s�,L LOCAT ION /� Date /--f Permit No. g'i--)v * * * * * * * * * * * * * * * * * * * * * * * � ✓ = APPROVED - / NO `opting/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. Fireproof' g Door Closers Smoke Detectors Chimney INSULATION Foundatio Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- d Building Inspector 6/86 and-vl (1/1 �5'V _Jown of Queeniburty I // BUILDING and ZONING DEPARTMENT ge4 /' Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME k hria / is LOCATION /- 6 / Fe `�� Date Permit No.. * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - / NO oting/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 Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey 1 Next scheduled inspection (call when ready) Remarks- a, /VA P ul (--- e ufr'l , i___ 70 fi pi- Building Inspector 6/86 and-vl awn 01 Q 'e n i urty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME t' LOCATION 12-,-.4r' , Date 1''"��////// Z9/ Permit No. y '(--I6) * * * * * * * * * * * * * ✓ = APPROVED YES / NO Footing/Pier Forms Foundation erproofing Back ill 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 Detector Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Bui g Inspector 6/86 and-vl VI,q-/ 111A 1 ) f Jown of Queeniur y BUILDING and ZONING DEPARTMENT Q/ Bay and Haviland Road, R.D. 1 Box 98 `V Queensbury, New York 12801 BUILDING, INSPECTOR ' S REPORT r NAME WI •r /14; Igri/ LOCATION 7e 71 9 Date i Z Permit No. ff-qD * * * * * * * * * * * * * * * * * * * * * * 1, ?..b ✓ = APPROVED - YE ,/ NO oting/Pier Forms Iti\i 1f Foundation Waterproofing i ` y � Backfill \ Framing Roofing Siding / Masonry Venee 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 APPRO AL .i Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl •g _Down of Queenihurcy BUILDING and ZONING DEPARTMENT 11:/7''‘Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Ail 40.04657_ (---)A4 it)kr LOCATION Date 1L� �/. Permit No. ��r- (7 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED yE / 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 Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- ► �' �,, �v 1i �l I 1. 4- )l f1192/ - We i5..1 Building Inspector 6/86 and-vl . 1)\1,1- c (/V/? // , ys .� at.„„ of Queen3burc� / BUILDING and ZONING DEPARTMENT Bay/and Haviland Road, R.D. 1 Box 98-. - - / B7 Queensbury, New York 12801 piti__MO __ L/ BUILDING INSPECTOR ' S REPORT----____ __ _ NAME /// o� LOCATION y 9 Date / 2i / n Permit No. i 7e2 ✓ = APPROVED - YES / (Oooting/Pier Forms Foundation Waterproofing j 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 EI. TRICAL INSPECTION_ DRIVEWAY APPROVAL / Final Btilding Survey Next scheduled inspection (call when ready) Remarks- �L` / 2 tm-5 xerreu A27 ,4 ..,,e,a4& _--/ Bui ing Inspector 6/86 and-vl