1988-482 V
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 619
pcfl1fl - vo
This is to certify that work requested to be_done as shown by Permit No. 88-482
has been completed.
This structure may be occu ied as a One family Dwelling
- L� Mcac t 4,6-V4 l Vr
Location Lot 29 Meadow Drive - Ridge Meadows Subd.
John and Wendy Mulligan
Owner
By Order Town Board
TOWN OF QUEENSBURY
/`/ _ --- -'f
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-482
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John & Wendy Mulligan
. o0
Lot 29 Meadow Drive - Ridge Meadows Sub
OWNER of property located at �tFeet, Road or Ave.
rn
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.
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1. OWNER'S Address is O
RD#1 - Box 1176
Lake George, N.Y. 12845
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2. CONTRACTOR or BUILDER'S Name
Harvey Specialty, Inc.
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3. CONTRACTOR or BUILDER'S Address iQ
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( I Steel ( )
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7. PLANS and Specifications �R
No. 36' X 56' as per plot plan, specifications and application m
including septic system aria o
8. Proposed Use
One Family Dwelling
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5.00C/O
$ 126.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 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
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town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 14th Day of July 19 88
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SIGNED BY v for the Town of Queensbury W
Building and Zoning I pector
•
5/0-101i. Of ouetad' !.,
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE —�G. /
LOCATION OF PROPERTY FOR INSTALLATION ,
Owner's Name:�j ere_ Z,v rt,_. Telephone: �•r Z ^ ,
AddressL�1 l/ /
Installer's Name: ¢,�e �_Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: Flat Rolling Steep Slope % of slope
Soil Nature: circle one: and Loam Clay Other / Depth: feet
Ground Water: At what depth? e) J LPL feet
Bedrock or Impervious Material: At what depth? feet
Percolation test: circle one: not required required / rate t min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tan1c gal. (minimum size: 1;000 gal.)
TILE FIELD: Each Trench 4-0 ` feet /`Total system length O 0 feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # 2 / Depth or Thickness � feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * *.* * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * *
:.F
(over)
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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.
1 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 pe son:
Date: C 2
•
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
•
J�... 3 . Ir iil�:,l_ CSE:'•UTY . . '^OD PI. , ,
TO BE COMPLETED BY BLDG. DEPT. •
i a�] Application No.
wn o Queenitury Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 TO: 'N OF OU'=.j\: -'' y+
Bay and Haviland Road, R.D. 1 Box 98 zoning Designation _���- J(J [1 , .
Queensbury, New York 12801 Variance No. I-3 %.-.) -,-, .., - tl.11
Site Plan Review No. JUN `= Q 8•
11i1�;'• i
i i s x Approved t..
�!j �� Bl) LDING & c'ODE Da' -.
' r1 ' fPPLYCATION FORe J ?,� AI�( ',id
. l�m I/ C ! alit!}PUILDING AND .ZONING PERMIT l
• * * df• * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *::•*
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:7, o�? - 1 1D p.m() L /' r >i' i• �I)6CIGP If
P.O. Address Ro I � ox y117(2 L (cl- /;.�TG►2GG /�( /Z�4� i 5Xs9 z/2-1:).
Property Location: / 3 2 i 1LA }-LO ()/211L c1602.-/ Tax Map No5-e 3• //60 / /
Street number or building lot number
Subdivision name (if applicable) /1cx:I 1/1/115.,41 Svc .
THE/ PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
IT/Midi-1 t 5L
S°/°G G��G?� L//G � 37/
Name P.O. Address Tel. No.
Name of builder,, (7/, ///9,a07 Address Tel•.''937/S Z
Name of plumber/7p7g- r tTCR1 L&L,c) Address j1. ov ,4u ,>Gr,. Tel. 7G 3g/ZSL.
Name of mason rjp8 apTcro: Address Il F Tel.- 7 c-r7crl k(,
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
K 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 * 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
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /5O ft x ZI ft.
* Existing building(s) Size 3 , ft X S& ft.
* •
PROPOSED BUILDING AND USE: * Existing building(s) Use
• Size of new structure �i ft X31 ft *
Foundation-pier/sla /craw /partial/full * Proposed building, distance from property line
(circle one) *• Front yard 9'04 ft Rear yard '75 ft
No. of stories (habitable spade) * Side yards • -3S/ ft and 7S I ft
Height (grade to ridge) f 7 ft. * If on corner, setback from side street ft
If residential, no. of families /
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms / K One family dwelling
Primary heating system G%LLGTR I C"_, * Two family dwelling
Type of fuel ,u * Multiple dwelling / Number of units
No. of fireplaces to" be installed NAPeanent occupancy
Will a wood stove be installed? * Transient occupancy
Central Air conditioning?
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial .
411110
* 7-other
Contemporar Log cabin * If addition, what will use be?
Raised ranch Mansion Duplex
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 $ /3o GOO *
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, ••o.d—fra , fire safe,etc. ?9gN6=L9Z"u
Will any second-hand • ••_ =ded lumber be used? If so, for what? ,I() •
Foundation wall material 4 Thickness /''"
Depth of foundation below. rade (to bottom of footing) ,S'1
Will there be. a cellar? / / H ated or unheated? ty,kim DFloor sq. footage /7(,,-p. sq ft
Will there be a basement? /y A Will. any portion be used as living space?GfRAw� `Pft F
(If so, what po ion sq.ft. - - Type of use?
Type of roof sloped flat/shed/other Material• of roof •
Size, wood st i "X (, " spacing /C� "o.c. length /p ft. . -
JoistsCfloor beams) 1st. floor Z ' "X 10 " spacing lb "o.c. span/I/ ft.
Joists (floor beams) 2nd. floor 'L "X • spacing i(o "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft. .
Roof rafters 'Z "X' I Z"`spacing / ' c. span Sy ft. '. - ' ' ..
Roof trusses(pre-engineered) spacing "o.c. span Z ' ft.
Exterior wall finish t/y x 4- y l° Rc p,,.,,r-Of what material? t,v-c,e c •
Interior wall finish VAi tvA-t,_
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? A�/� If so will a Fire-rated '
door, enclosure, and self-closing device be A
.provided? // N
Will a flue-lined chimney be installed? A; " Height above roof i /A ft. •
Depth of chimney foundation below grade ft. •
Depth of fireplace-hearth ft. in. - ,
Water supply - Municipal or private well MUD(//tipIL
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties /S ' ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFID A' V I T STATE OF NEW YORK
County of Warren
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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 Signa „________
ture ,;(14
ex, owner's agent;arc }ze nracor ct,cott
day of 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 . Cross floor area I') -7('® � o• UViLl/_ Nee
z.
2 . Type of heat ELECT EIC •
3 . Is the building mechanically cooled? d0
4 . Percentage of area of windows and doors
A. Over 1Gt Only
U value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor ov heated spaces YES NO
a. Are foun ation walls insulated? YES NO
1 . If YES, hat is the R val
•
3 . Slab on grade YES NO
a . It YES , what is th value of insulation around
perimeter of fl r? �,
4 . Is basement ated? YES NO
a. It va c of insulation
5. T e of insulation
B. Under 1G% Only
1 . R value of roof and floors exposed to ambient conditions
F • = e t3 P CAT1-leD24L g 3(a ATT 1 B.E. /
2 . R value of exterior walls 212.1.0
3 . R value of glazed area A-PPf2U>C . IZ_-2. ✓
4 . It value of doors 2
5 . It value of floors over unheated spaces ' fa"30
G . R value of slab edge insulation - unheated slab u/A
7 . R value of slab insulation - .heated slab 0/.A,
O . R value of heated basement/cellar walls (above grade) 4/Q
9 . R value of heated basement/cellar walls (below grade) iJ/A
10. Type of insulation c-.C.1, (NSOL 74 KA-
C. Controls /
1 . Thermostat maximum heat setting
D. Duct Sy ems /
1 . Is duct ystem installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value o uct in other areas •
E . Piping Insulation
1 . Size of hot water or c• •lin arrying agent pipe
2 . It value of pipe insulati
F. Service Water Heating
1 . Performance eff • iency
2 . Temperature ntrol setting maximum
C . For Swimmi Pool Onl
1. Max • 'um heating
Telephone No.
(applicant ' s signature)
INTERIM BUILDING PERMIT
YyA
PERMIT APPLICANT (J`l ,r//
Crcclit
CONSTRUCTION LOCATION L_0 a q Vee u j . 0/ /21
EFFECTIVE DATE • 7//aVn . . . .
APPROVED BY /Z-ajt • . . . .
SPECIAL
CONDITIONS : •
aer4 5/0a44 e, 4--/c702 —77s—p4 • . •
This will certify that all. submittals for a Building
Permit have been received and fee has been paid .
Dur.ing the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building. Department, following pro essing .
POST THIS INTERIM PERMIT IN A CO PIC 0 ION ! !
Building & Codes Department
. TOWN OF QUEENSBURY 11
MAIN OFFICE ATLANTIC-INLAND, INC.
997 McLean Rd. 3
Cortland,New York 13045 NEW YORK
MEMBER OF N.F.P.A.AND I.A.E.I.
Phone: (607)753-7118 FIRE UNDERWRITERS 2 2 5 6 9
(607)753-7809
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service)
(Incorporated in the State of New York)
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below.On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION— PLEASE PRINT OR TYPE
THIS SECTION to BE //
COMPLETED BY///B� c-APPLICANT DATE OF APPLICATION j `/
STR W9ILLAGE 0 Uj0Ly/V, ���
t)1Q. COUNTY , _5 \ rzLSM /�, R STATE ��1 '
ADDRESS /.d/ 2 Cl/
O A)Q LI l f tUGj Q()(-L iu..S 13 t)f ' /V'/ BUILDG.NO.
RURAL
DIRECTIONSitD4L Po /YORTIr of- (3.Lt4ckert 1/7 (•'MILL oi'/ Lr/=1 POLE NO.
OWNER'SY
NAME yCtI M 4- L ( Nt)y ►111ULLLC-1I-Ai OCCUPIED AS
OCCUPANT T4VALe-- BUILDING—New Old 0 WORK—Newl Additional❑
OWNER'S P.O.n �� /f
ADDRESS 1�0 1 t ,0X 1176 L IC L alT0)2 -L' A/)'
APP.FOR—ROUGH WIRII'FIXTURES 0 OR READY FOR INSPECTION CO la-- C IALL 19
FEE REMITTED—$ BY CHECK 0 CASH 0 MONEY ORDER 0 MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
Number of Rough Wiring Outlets Fixtures Add Installation.
Swtch Li'tng Recep. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 '
Heat Base Base
Elect Heat
Amp:Service Water Htr. Burner Air Cond. -
Surface Unit Oven Range Gr.Disp. Dish W.
Dryer H.P.Pump Ex.Fan Hood
OTHER EQUIPMENT(Specify Type 8 Capacities)
TYPE OF SIZE OF SUB- BRANCHES NO.OF
WIRING OPEN❑ CONCEALED❑ OTHER MAIN MAIN BRANCHES CO. UI
��/,,"/�J CIRCUITS
APPLICANT'S/ /� ilk,! •
�\
�� SIGNATURE a i9 ^� LICENSES PERMIT p
APPLICANT'S //�� NAME OF
ADDRESS �� / /JO X II7G G •
UTILITY IV/� r70
!, OFFICE TO
CITY Lt )ILL/C.*YLL.
i9j/' s ad .' STATE N ZIP CODE/��7 S BE NOTIFIED
, ... :, .,'w '.. --1 .1 ';..'SPACEBELOWIFOR-i1SEIDF 1NSP.ECTORS'ONL1f ,4 •' '- ;F ', f
ROUGH WIRING AMP SERVICE K.W.SURFACE
OUTLETS EQUIPMENT UNIT
SWITCHES AMP SERVICE -K.W.OVEN
CONDUCTORS
H.P.GARBAGE
RECEPTACLES H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K.W.
FIXTURES K.W.DRYER DISHWASHER
MOGUL BASE K.W.WATER
FIXTURES • HEATER K.W.RANGE
FLUORESCENT H.P.AIR • AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING 8 CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS VENT FANS
MOTORS.H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 7' 10 15 20 25 30. 40 50 75 100
MARK NUMBER
• OF EACH SIZE
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
APPARATUS Elect.Heat •
MISC.INFO. Received FEE PAID
• Inspected
0 PROGRESS TOTALS
❑DEFECTIVE
Check No.
/'y ❑Rough Wiring Certificate
tannley lhaty ka 0 Temporary Service Money Order
R.L. #2, Box 60 ❑FINAL CERTIFICATE Cash
Greenwich, N.Y. 12834 0 Dup.Cert.Req.
Charge
❑MUNICIPAL
(518) 638-6339
. bn -1 ri 6 - 7.3r1U A n 111f MUN.ADDRESS -
51 B-692.9295 ATTN:
Te^a Cu:-rn Card No. Fir.al Cut-is Caro No.
inspector
Al-01
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO INSPECTION RECEIVED
NAME -LU
LOCATION Q)(
DATE PERMIT # `Tffc
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS •
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING\
FRAMING
ELECTRICAL ROUGH-IN •
INSULATION: i
FOUNDATION \
FLOORS '\ /
WALLS
CEILING \ r
L F1NAL INSPECTION: / GL�
CHIMNEY HEIGHT
ROOFING •
SIDING f
EXTERNAL PORCHES/STEPS
r
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF, VALVE !//
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) 7
SMOKE DETECTORS F'
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION '
t
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THEJBUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS: 'dt
()A)
I•
OC
INSPECTOR
TOWN OF QUEENSBURY Loiai
BUILDING AND CODES DEPARTMENT v el7/1:/i„
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804� G
TELEPHONE (518) 792-5832 �, /f
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVEDp?- 2
NAME 9,g,.....gz
��i/ ,f e__Cp�L )
LOCATION , � A2� ,%/ Vp,66L/-6.)i�4e1
DATE 4- 3' -(5-q PERMIT # if-
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: .'
FOUNDATION
FLOORS
WALLS
CEILING \,
27,FINAL INSPECTION: r,'.
CHIMNEY HEIGHT
ROOFING i V
SIDING . ✓
EXTERNAL PORCHES/STEPS `/
STAIRS-CLEARANCE & RAILS u/
PLUMBING FIXTURES/RELIEF VALVE 1/-
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS ✓`
GARAGE FIREPROOFING 1-)I
DOOR CLOSER(S)
SMOKE D 'TECTORS V
FINAL ELECTRICAL INSPECTION • .1,-, /
FINAL AP�ROVAL OF CONSTRUCTION� ' i//
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS: J< ,
ECTOR
. •
E DEPARTMENT INSPECTION AGENCY, INC.
lectrical-Building-Plumbing-Fire Inspections
Date a 11:‘
1100111
• -
CC) l ector . _
- constitutes certification that the
00 above installation, but not the equip-
ment itself; has been visually inspected
00 as of this date pursuant to the applic-
able codes. If additional equipment.
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should
0 be submitted promptly to this Agency.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSP CTION RECEIVEDQ l 3"��
NAME q l�(A,J�-C,
LOCATION ( U4 c I \Qi'z,.c -Q- 12).4.AA -
DATE / PERMIT ##
APPROVED
YES NO
FOOTING/PIERS /
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING /
t;
BACKFILL APPROVAL r
ROUGH PLUMBING ,x'' .v
FRAMING • 1
ELECTRICAL ROUGH,-IN
L/INSULATION:
FOUNDATIONp,
FLOORS ?
WALLS 1� I`^f' did 1. .4 4 V
CEILING v
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING ,
SIDING ,,.>
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY +DOORS
FINISHED ,FLOORS
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:
+ r ��
INSPECTOR
J
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 /2 -I S
NAME —- -c�4.)-P�1 ? (/1� r(,n^
LOCATIO Rt
r G/ ( !-cf .40 �j. n;l.2A"regZr ,cLt ie
DATE /2-/6-c-y- PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL',
ROUGH PLUMBING \ -\\P
FRAMING
ELECTRICAL ROUGH-INS' •
INSULATION: q
FOUNDATION •
FLOORS
WALLS •/ e�� `�. �\ (✓
CEILING ��
FINAL INSPECTION:
CHIMNEY HEIGHT
. ,
ROOFING
SIDING
EXTERNAL PORCHES/ST'EPS A •
STAIRS-CLEARANCE r& RAILS \
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS \
FINISHED FLOORS
f
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:
liott 94__1 i05 OTOJ ,f)(*V1.
CCvl
itso-(e
1. INSPECTOR
•
•
Jown of QueeniLry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 (1
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME A �� a-r"�
LOCATION al 09 `u-a 86c-2�i7
DATE/ / 1W PE I NO
SOIL TYPE - Sand - Loam Clay -
Percolation Test Required? ;YES - NO
Percolation rate - Min/Inch
1
TYPE of SYSTEM:
Absorption field, total length
Length of each trench �p,10
Depth of trenchess ' /
Size of gravel" j
SEEPAGE PITS4Number of)
Size- t. X ft. •
Gravel size .
PIPING: Si Typ
Bldg. to tank\ l/
Tank to dist. box /
Dist. box to field/ •
Openings sealed? .`YE. NO Partial
LOCATION/SEPARATION :\
Foundation to tank \
\ i2pt.
Foundation to abso ption`� Oft.
Absorption to lot line ,jrp ft. . .
Separation of pi s 3 ft.
LOCATION S' M ON PROPERTY\(circle one)
Front -c:17-)
eft side - Right side -
COMMENT \\
SYSTEM USE APPROVED ES O
Buil ing In p ctor •
01/86 and vl •
//4.1,Lee ,/a/teL, &27AC4
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 �/ —' ,/Z9
NAME , ,
LOCATIO f
DATE //j 7/ PERMIT #
/ APPROVED
/ YES NO
FOOTING/PIERS /
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
,CKFILL APPROVAL\
RO PLUMBING , v/
MING \ Sft' of
ELECTRICAL ROUGH—INS
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES STEPS
STAIRS—CLEARANC & RAILS
PLUMBING FIXTUR S/RELIEF VAL E
INTERIOR TRIM/ RIVACY DOORS
FINISHED FLOG, S
GARAGE FIREP'OOFING
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: J�lST !T
PA 414Z:6-,1
INSPECTOR
down of Queeniursy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 717A fugal►
LOCATION
/ - ,Gzcr'��Cr.i�
Date /645 •/ Permit No. SI-S-J-if��
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
-Foundation �✓
(/Waterproof ing
Backfill / c"
Framing;
Roofing
Siding ,
Masonry Veneer . y.
Rough Plumbing'... /
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings .,;: ,
Cellar. Drain Tile
Concrete Floors f
Plbg. Fixtures /
Gar. Fireproofing ;
Door Closers
Smoke Detectors /
Chimney r�
INSULATION: r'
Foundation
Floors_ J
Walls j
Ceiling
• FINAL ELECTRICAL INSPECTION
r
DRIVEWAY APPRQVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
�'ti. �;' /.
to:"i,/ , 37 , C2.A
1,LI L.h >�1U1 OF" F c- ° -,i 1 `f
•
61
•
Building Inspector
6/86 and-vl
n j( .Town o/ Queeniurty
I'( •r`\ BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
•
NAME
` "Jai j /oil e i
LOCAT IONIC }�� <
Date ' /0- Permit No. r%n,
* * * * * * * * * * * * * * * * * * * * * * *
/ ✓ = APPROVED - YE / NO
14 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
Car. Fireproofing
Door Closers
Smoke Detectors
Chimney
. INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRIC• INSPECTION
DRIVEWAY APPROV.L
Final Building .urvey
Next scheduled inspection (call when ready)
Remarks-
( 791f��✓
6(7,/
Building Inspector
6/86 and-vl
, .
11 .
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