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historical information 3�� J RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart run/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME�I92d' F\S\f ��1 PERMIT>k�0 )73 LOCH ('�Rt. 1f) �, n,n DATE 7— 1 7— O TYPE OF STRU f U • N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete f Interior/Exterior Railings 30"to 36" : • Exterior Handrails,balconies,landing 18 in.or re _ Interior Handrails stairs both sides 3 or a riser Grade 2%away from thundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18' above ade Gas Furnace shut-off wi • 30 feet or wi ' lin of site /f V Oil Furnace shut-off at en o furna Furnace/Hot Water Heater operating Relief Valve(s)installed } Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more 3 risers Interior privacy/trim/doors/main entrance Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells 1 Smoke Detectors. ✓ 'Jo h+i+t7 N EgTiFi6 QV every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation ✓ 3/4 hour fire door/door closer Garage fin-proofing d/ Garage penetrations sealed r/ Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical - 7/(l j)( Site PlanNariance required ,{��``� final Survey Plot Plan �0�iw71..— As Built Septic System layout required M-+VK L.AY-OU / Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy). Okay to issue permanent C/O(Certif.of Occupancy) 743- lc2 � CALL 79w- S I re' b--4 ,—.9.- A-1L1 t014k ` 6/ '36 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 1 i • \1 Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart i m Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME / 1) /PERMIT# ��va }� ,� LOCATION O( .Z 1"`}d/ Pi ,RA--DATE_ f -9 TYPE OF STRUCTIIRE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location ✓/ Fresh Air Intake Plumb Vent through roof Roof Complete f/ Exterior Finish Complete / ✓ - / Interior/Exterior Railings 3 t"to 36" Exterior Handrails,balconi•• 111114', . 18 in. or more ✓✓✓ • Interior Handrails stairs both 'des . or more risers ✓ Grade 2%away from foundati 8"clearance to sill plate V Gas Valve shut-off expos-. -: ator 18"above grade . , Gas Furnace shut-off .. 30 c-t or within line of site Oil Furnace shut-off at entrance ,. furnace area Furnace/Hot Water Heater operat g , Relief Valve(s)installed , Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides m* e than 3 risers Interior privacy/trim/doors/main en' • ce 36"_ Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing I: in.or more Railing across window in stairwells ' +. Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures . Foundation insulation 3/4 hour fire door/door closer 14 Garage futpioofing ✓,- Garage penetrations sealed V Furnace in separate room protected(in garage) Light ventilation per Safety glazing 18" les from fl / F' l Electrical'J / D/ �I L - 1'1.'� c" �/ ite Plan/Varian req fired /final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy). / Okay to issue permanent C/O(Certif.of Occupancy) Cf-k e) 4E6-- la,'r- t 1 " , f ..... I-) \ 1,-re- fl.Prit) e., (gc7- mu 1 � Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Dept. of Community Development Permit No. • Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: Property Owner's Name: /7//" ;/./�i Property Owner's Mailing Address: 17i'i J/'6� B�e i'< , Installer's Name: Phone # Number of bedrooms (if residential): Total daily flow: ;' (residential - compute (di 150 gal./bdrm.) Topography: flat, rolling, steep slope % of slope Soil Nature: sand, k, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: not required, required [rate min. per inch] `~' Domestic water supply: municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank: gallon (minimum size: 1,000 gal.) Tile field: each trench ", feet / Total system length: % feet Seepage pit(s): number of / size each: ft. by ft. Size of stone to be used: # / depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons CA15nn system and associated electrical work to be inspected by a certified agency.J For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted is reliance upon any material misrepresentation or failure to make a material fact or circumstance lmown by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: Date: " go.it . Z.B.S.Septic e' DrainService, Inc. DBA CONDON'S SEPTIC SERVICE ;.' _ . 2 Lower Warren Street • Queensbury, NY 12804 ' tom'` ,' Phone: 518-798-8194 • Phone: 518-798-8542 • Fax: 518-798-3213 We take pride in everything we do! NAME DATE CALLED DATE COMPLETED STREET PHONE HOME:,, PHONE WORK: Li s i TOWN / CONTACT PERSON: t Y DIRECTIONS JOB WORK ORDER AMOUNT • / . I HAVE READ AND UNDERSTAND THE CHARGES LISTED ABOVE. SIGNED BILL AMOUNT tit 5,` AUTHORIZED SIGNATURE SUB TOTAL TERMS: A Late payment charge of 2%per mo. PROCESSING FEE shall be payable upon all unpaid balances over 30 days. Collection Costs,including reasonable Attorney Fees,will be charged to the Customer. There will be a$50.00 charge for all returned checks. TAX Method of Payment: 77 CASH O CREDIT CARD 7 CHECK TOTAL '-) Please charge to my: 7 MasterCard 7 Visa Exp.Date Card No. Signature: DRAIN IBS-2 Rev.6/11 W-Office Y-Customer TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT /c 742 Bay Road 'v " Queensbury NY 12804 Aib- (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION.-12�s ' Z/ Name ( (A i 6/1/ Locatione./ 4seit-di),,ge-7° Date'• ( �9/24)01 Permit # '-/7.3 SOIL TYPE: Sand-Loam-Clay- 'jC;c 6L1' • Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ,/ � ABSORPTION FIELD: Total Length 1OT Length of each trench Depth of trenches 1, Size of stone SEEPAGE PITS: Number Size - ft. x ft. Stone size PIPING: I, Size Type Bldg. to Tank Tank to Dist. Box ' `j"r' `P,) iNt)Gi-s-.. Box to Field/Pit Openings Sealed? No Partial LOCATION/SEPARATI e(r- i�sf feet Foundation to Ta Foundation to Absorpti n feet Separation of Pits feet Conforms as per Plot R an s) No LOCATION OF SYSTEM ON PROPER . (circle one) Front - Rear - Left S de - Right Side Middle Front - Middle Rear COMMENTS: 0K - b ( SYSTEM USE APPROVED: "/ NO Arrived: , Departed: Building Inspector TOWN OF QUEENSBURY 1 ✓V BUILDING & CODE ENFORCEMENT 742 Bay Road A C . Queensbury NY 12804 'O (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name L„- - >h-- •(. Location -3t 0/ 1) VIS ,A,,,, (,/y ()%,)Ci Date I -0/V6 Permit # 2 u7Jv' 1-S SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: / ABSORPTION FIELD: Total Len th Length of each trench Depth of trenches _ Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: ize ype Bldg. to Tank 5lu,,,(p 4" -,:i-0 'to Tank to Di-st. Box- Dist. Box to Field/A �� " �. Openings Sealed? Ye No Partial LOCATION/SEPARATI Foundation to Tarok feet Foundation to Ab orption feet Separation of P is __ feat Conforms as per; Plot Plan Yes No LOCATION OF SY ON PROPERTY: (circle one) Front - Rear Left Side - Right Side Middle Front - Middle Rear COMMENTS: `')vr3Gk� ka - (v0«'r ( SYSTEM USE APPROVED: YES 'NO Arrived: _i_ii:3_ Departed: 4 -1 Building nspector TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT' 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name '��-Location Date 2;T6? x: Permit # () '/10 SOIL TYPE: Sand-Loam ay- Results of Percolation test- (if applicable) Rath-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Size - ft. !x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption _ feet Separation of Pius feet Conforms as per/Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: /'J / OJPI 4w#i.#w 4 4 New 5-1'14" / 47, 4sfi� e c lj.1r S ,�vt� SYSTEM USE APPROVED: YES NO Arrived: jd•:3" Departed: Building I •ector