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92-151 3 1 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date ditei .5 19 This is to certify that work requested to be done as shown by Permit No. 92-151 has been completed. This structure may be occupied as a Single Fami l y Dwel l i nq Location Lot #2 Hall Road Owner Barbara Barber By Order Town Board TOWN OF QUEENSBURY . Director of Bldg. do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY • No. 92-151 WARREN COUNTY, NEW YORK , « w PERMISSION is hereby granted to Barbara L. Barber ' • OWNER of property located at Hall Road Lot #2 Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single 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. Cr -s 1. OWNER'S Address is RD5 Box 119 a Queensbury, NY 12804 c 2. CONTRACTOR or BUILDER'S Name Same Daniel Barber 3. CONTRACTOR or BUILDER'S Address O. 4. ARCHITECT'S Name 412 -I. CD 5. ARCHITECT'S Address -19 4.c 6. TYPE of ConstructionY —(Please indicate by X) ( hood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 1040 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use Single Family Dwelling 155.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 5, 19 93 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury t ' ay May 19 92 SIGNED BY for the Town of Queensbury Building and Zoni Inspector TOWN OP QUEENSBURY REVIEWED BY: 41111%1 OF QU DU EENSh. Idlard, FEE PAID: C O RECEIVED PERMIT NO. : q j j l> / APR 15 1992 BLDG. & CODE DEPT BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this appli ation. * * * * * * * * * * * * * *,0 * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property: a L g P.O. Address: — �� r) 5^ 1. i 9 Q y ra.%'o y PHONE A / ' L,5a Property Location: { i e Tax Map No. / X -, i- Has there been any split of this property since October 1, 1988? Yes No u y�`3 If yes, Planning Board Review is necessary. `��`'��3 Subdivision Name, if applicable: K1 Lot No.,_, A__ _______ THE PERSON RESPONSIBL R SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: Vo______.„ E:7,4..K' teE-g NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION: $ d/ 0 0 d Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: ft. x / 25ft. Other work (describe) * Existing Building ize: * ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: * 1st Floor /0 24- v Sq. Ft. * Front Yard ft. Rear_yard - ft. * Side Yards 5"-Ls ft. and :Z.,>t. 2nd Floor Sq. Ft. * If on corner, setback from side street- * ft. Other Floors Sq. Ft. * (not cellar or basement) * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: /0 Y O Sq. Ft. * Primary Building - �j� * One Family Dwelling Size of New Structure: ft. x �f5 ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partia /Ful (Circle One) * Business ( * Industrial /' No. of stories (Habitable space) * Other Height (grade to ridge) i/of ' ft. * If residential , no. of families: ,g-1-..9* If addition, what will use be? No. of rooms (excluding baths) : 5 No. of bedrooms: 'Z * No. of bathrooms: r * Accessory Building: Primary heating system: * Detached Garage - One/Two Car Type of fuel : * K Attached Garage - One/Two Car No. of fireplaces to be installed: — * Private Storage Building ' Will a woodstove be installed?: C7 * Other Central Air Conditioning: Yes No * (OVER) BUILDING PERMIT APPLICATION CONTINUEp: ( - BUILDING SPECIFICATIONS: - 40',, Type of construction: wood frame, fire safe, etc. Will any second-hand or ungra ed lumber be used? If so, for what? ' v Foundation Wall Material : i ckness: 2 i i Depth of Foundation below grade (to bottom of footing) : / Will there be a cellar? �...2L_ eated or Unheated? /O ,7 ' Floor Sq. Footage: Will there be a basement? Will any portion be used as living space? A,) so If so, what portio ? Sq. Ft. Type of Use? Type of Roof: lope / lat/Shed/Other Material of Roof .a,<,, a&V_SI., Size, wood studs " x e;"; spacing Jed o.c.; length ;ft. Joists (floor beams) : 1st Floor " x /6 " ; spacing f L " o.c. ; span jft. Joists (floor beams) : 2nd Floor _ " " ; spacing " o.c. ; span ft. Overlays (ceiling beams) : o. " x , " ; spacing " c. ; span 1 '3 ft. Roof rafters: a " x " ; spacing o.c. ; span / ft. Roof trusses (pre-engineered : spacing 9 " o.c. ; span a rat. Exterior Wall Finish: of at material ? (► Interior Wall Finish: /02 /( If a garage is to be attached, describe mat • be used for FIRE SEPARATION: _ Xr& 5; r Is there to be an opening between garage and dwelling? I'f so, will a Fire-Rated do enclosure, self-closing device be provided`? , � 1 }/.� Will a flue-lined chimney be installed? N aleight above roof ft. Depth of chimney foundation below grade: It. Depth of fireplace hearth: ft.- in. Water supply - Municipal or privatecell) + SEPTIC SYSTEM: Distance from any private well (including adjoining properties: / O eV (A separate application is necessary for any repair or new installation of septic system. 4 NAME OF BUILDER & ADDRESS: s ,,. ,—,-�� i-c., ::\ PHONE NAME OF PLUMBER & ADDRESS: l i PHONE—A' 5r NAME OF MASON & ADDRESS: / / PHONE NAME OF ELECTRICIAN & ADDRESS: / ! PHONE DECLARATION 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 c 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 p- a' sing to 4e pr.po 1 ork be complied with, whether specified or not, and that such work aut • zes b h: owner Signature .-4 Owner, owner s agent, archi contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family Dwellings (3 Stories or Less) PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets L.. APPLICANT S PRO E LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - / 0 5/Cf, Sq. Ft. 2. Type of Heat - Elec. Base Board Other 3. Is Building Mechanically Cooled? YES )4 NO 4. Percentage of Area of Windows and Doors Over 17% '\( Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED • THE R-VALUES SHORN ON PLANS SUBMIT! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures 11.__22r .11.714: B. Exterior Walls R C. Glazed Area D. Exterior Doors R / 0 /0 E. Floors over unheated spaces R �` F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R / 9 / f H. Basement/Cellar Walls (Below Grade) R / __1.22 I. Heating/Cooling - Ducts - Piping in Unheated Space R 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code ?<- YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140• - WILL NOT BE EXCEEDED APPLNT' SIG R T DATE / ? T N NUM R INSPECTOR'S REMARKS: ,,J5t� Ste PIPS M Ity r ArICIrt(5144". • If D 6T ;AIRY TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: O-iQ /3/ g�' Reviewed By LOCATION OF PROPERTY FO INSTALLATION: 4 Owner's Name: L Owner' s Mailing Address: [ 4 //q l�` l� �D Installer's Name: (T Phone #: 7 eas Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom) : 7 G Topography-Circle One:411111i Rolling Steep Slope % • Slope Soil Nature-Circle One: Sand Loam Clay Other arat,_____ /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At Wh Depth? Feet Percolation Test-Circle One: Not Required equired/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /0 o Ogal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length feet Seepage Pit(s) : Number of 9. / Size each: 4/ ft. x T5/ t. I Size of Stone to be used: # / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size\of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Que sbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: � DATE: l �a AL Ar - PL TOWN OF QUEENSBURY ^ � BUILDING AND CODES DEPARTMENT � ' 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME Atith2ALA, LOCATION / i1/ DATE 409 PERMIT /, '/ TYPE OF STRUCTURE Sf w 'e C eity9e RECHECK APPROVED N/A YES NO FOOTINGS/PIERS • MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM / HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR 1Q )( FOUNDATION WALLS EXTERIOR FLOORS H o 'R- WALLS G -2-I -4/ FF/ (/ R- �( CEILING 0 R- 3 73' Jc DUCT WORK OR PIPING IN/UNHEATED SPACES / REMARKS: ARRIVE 7 -: DEPART c"- IN PEC OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 1/27 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /e NAMESektu, ��� LOCATIONAl;-- 7/Z DATE ,1/�/ . PERMIT # fj' >/� f TYPE OF STRUCTURE ) al/ Ae?,/t RECHECK APPROVED FOOTINGS/PIERS N/A YES NO MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PUCE /� PLUMBING UNDER SLAB ; / FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING s JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS I ERIOR R- FOUNDATION WALLS TERIOR R- FLOORS 7 R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: AAki.7 V26)\-\--34— frioiv , ARRIVE Id, p DEPART /Cr, 1 INSPE OR TOWN OF QUEENSBURY id BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 46,43 NAME Oat/WA, LOCATION L/ DATE *4? PERMIT # 907/, `-/ TYPE OF STRUCTURE ,5r (.4 22L d Aye-- RECHECK APPROVED FOOTINGS/PIERS N/A YES NO MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE4TION FROM I FREEZING FOR 48 HOU S FOLLOWING THE PLACEMENT OF T CONCRET . MATERIALS FOR THIS URPOSE 0 SITE FOUNDATION/WALL POU ' REINFORCEMENT IN PL E FOUNDATION/DAMPROOFIG BACKFILL APPROVAL ROUGH PLUMBING Ac PLUMBING VENT/VENTS IN ACE PLUMBING UNDER SLAB X FRAMING: lc JACK STUDS/HEADERS ic BRACING/BRIDGING K' JOIST HANGERS K. JACK POSTS/MAIN B AM HEATING ROUGH-IN INSULATION: FOUNDATION WALL INTERIOR R- FOUNDATION WALL. EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: / ARRIVE (, y j DEPART 2.© c, /Lfi INSPEC OR TOWN OF QUEENSBURY Lill 531 BAY ROAD G Yet NOW QUEENSBURY, NEW YORK 12804 ! (� TELEPHONE (518) 745-4447 ��� jBUILDIN6 INSPECTOR'S ,REPORT FINAL INSPECTION Af-c:41 REQUEST FOR INSPECTION RECEIVED i NAME '%1 c' ,� ; 4en,^'j 2 LOCATION /14 DATE =- j ;,, li_PERMIT# TYPE OF STRUCTURE L--'' RECHECK, FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING FINAL ELECTRICAL SEPTIC - INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A 'YES�410 CHIMNEY HEIGHT/LOCATION B VENT/LOCATION v/,/-; PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS ✓ RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK � INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: > BATH/KITCHEN WATERTIGHT ✓ OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ✓ ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING - DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS ✓ DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS V FINAL ELECTRI ' - .1.-.1`..� -93 Mc OK TO ISSU �i:R C/C COMMENTS: ARRIVE \C - 1_i..-) DEPART \r" ,t- t-� INS T ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. Owner " "kAl7'CZ J2/2/3 e-72 Occupant Location Aiht-e C.- /;26 0111-e--k-Al (Y. tate Installation as itemized on reverse side has been visually inspected pursuant _)applicable codes. Installed by 73,Ai 14/2'THAI zyN QO Date 9'14(413 MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 1111111111111111111111111111.111111111111.11. / ROUGH WIRING OUTLETS H.P.AIR CON D�?"FONER. 6, &`— I'!' �-��' WIRING &CONTROLS FOR BURNER 7 I, / RECEPTACLES H.P. PUMP • FIXTURES K.W.OVEN C7 AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT / AMP.SERVICE CONDUCTORS / K.W. DISHWASHER K.W.SURFACE UNIT K.W. DRYER / K.W. RANGE AMP. RECEPTACLE J K.W. WATER HEATER -3 FRAC. H.P. VENT FANS — MOTORS H.P. 1/20 1/12 1/10 '/e I/s Ih / '/a 33i 1 11/ 2 3 5 7/ 10 15 20 25 30 40 50 75 1( MARK NUMBER OF EACH SIZE . APPARATUS TONN OF QUEENSBURY BUILDIMG & CODE ENFORCEMENT,9%7 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name )./AV,v ,/,(4_ Location ,g6-‘,7 da.11.. ,eI2-- Date -_ 0 Permit # e?—/S/ SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box / Dist. Box to Field/Pit Openings Sealed? Yfis No Partial LOCATION/SEPARATION f Foundation to Tank/ feet Foundation to Absorption feet Separation of Pits feet Conforms as per 'P1 of Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: rkAk-; `i�~tt:).4-I I A,J� 1 -- t Li SYSTEM USE APPROVED: ( YES' NO Arrived: ;11 °- , Departed: 1 ,_G.+9} ,--- _ ,/ / Building Ifecto A-/A1 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ! q / A NAME 01---t`-- p LOCATIONt ' DATE. [ 13A b3 PERMIT I •-/S TYPE OF STRUCTURE — RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR /'_ REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ---ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SL B RAMING: SG-as--- JACK STUDS/HEADERS BRACING/BRIDGING e' . JOIST HANGERS JACK POSTS/MAIN BEAM f. HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- N WALLS R- CEILING DUCT WORK OR PIPIIG IN UNHEATED \, SPACES R u'RKS: /6- OH Ajf VC° ,/\/ tfl 0 , Ls witL- 1361L- 1/V f( 1ct6AJ/OA1I '/+2d b1 /i,v ktr, -7E)- c/31-11-t-c) IPA-/-- TLIL- -- ARRIVE 10 /`)- / // DEPART /0: 3 5 - *rate F INSPE ' Of awn of Queen.sturj BUILDING and ZONING DEPARTMENT A__ Bay and Haviland Road, R.D. 1 Box, Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 44112zz--;464,11-e/f LOCATION V Zi ,(�' — DATE 4/ 9 PERMIT NO. 9 -/-5 SOIL TYPE - Sand Loa ' - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches ' Size of gravel_ _ SEEPAGE PITS4Number of) _a, $k et` Size- cL., ft. X ft. , V Gravel size 14 y PIPING: Size Type Bldg. to tank _ C'C k i49 Tank to dist. box b II Dist. box to field/• ''_ 9 1b Openings sealed? 410, NO Partial LOCATION/SEPARATIONS:; Foundation to tank /AD ft. Foundation to absortiop ph ft. Absorption to lot line to ft. Separation of pits fag ft. LOCATION OF SYSTEM ON PROPERTY(circle one) :,fir.- Rear - Left side - Right side - COMMENTS: rict// d SYSTEM USE APPROVED YES O 50 Buildi g Ispector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /9 1) 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ��� 0 h NAME \‘.41.,ii ,' -rf LOCATION ,:l' k4k DATE C// it `1_ PERMIT itj �/ TYPE OF STRUCTURE RECHECK APPROVED , N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLAOt '•NT OF THE :CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR ,. REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING_ )((BACKFILL APPROVAL TROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R--, FOUNDATION WALLS EXTERIOR R- `- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPIING IN UNHEATED SPACES REMARKS: ARRIVE DEPART INSPECT(1R .own of Queenihur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 N NAME 2 l LOCATION 20, 4402 /141, '/3 J DATE "4 / }02 PERMIT NO. SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YE NO Percolation rate -=Min/Inch TYPE of SYST 3 Absorption "ield, total -ngth Length of each trench Depth o' trenches V Size 'f gravel SEE:-GE PITS4Number •f) _ ;r S' e- ft. X ft. e avel size •IPING: S ze Type Bldg. to tank Tank to dist. •ox Dist. box to , ield/pi• Openings se. ed? YES NO Partial LOCATION/' PARATION:: Foundation to tan ft. Founda on to a. orption f Absorption to of line t. Sep. ation o' pits ft. LO' .TION Or SYSTEM ON PROPERTY(circle one) ont - rear - Left side - Right side - COMMENTS: 6-aft-or 11-60 r S Q Odic SY PROVE v NO - Builcing Inspector 01/86 and vl - - TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 4 fit TELEPHONE (518) 745-4447 / BUILDING INSPECTWS REPORT REQUEST HY . . PECTIOA RECEIVED NAME LOCATION DATE PERMIT # TYPE OF STRUCTURE St RECHECK APPROVED Oki/A YES ATMS/PIERS MONOLITHIC POUR FORM 1 REINFORCEMENT IN PLACE THE CONTCTOR IS RESPONSIBLE FOR PROVIDING Pik*TECTION FRO FREEZING FOR 48 HOURSOLLONING THE PLACEMENT OF THE C . CRETE. MATERIALS FOR THIS PURPO ON SITE FOUNDATION/WALL POUR / REINFORCEMENT IN PLACE - FOUNDATION/DAMPROOFING_L-1 BACKFILL APPROVAL_ - ROUGH PLUMBING ---- PLUMBING VENT/VEN S IN PLACE \ PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 60.4gL 67A.ca,otaa4- ° • /olds,/ to ARRIVE DEPART N PECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT' 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME ,t30 1't LOCATION ; i, P DATE 9 {l/.f; PERMIT # 9 2-1 j TYPE OF STRUCTURE N5/ i,�J ?1_4_10.14/( RECHECK APPROVED N/A YES,�hCO )(FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: ,` JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN .' INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING 'R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: t l' !Y!pt C. ear-a s " ARRIVE4/(7 ' DEPART iNSPFCTf P V f 1 i 9ARBARR E. 7'OOMEY ro y ,ONN/EL Ap AgARBER. (GG9/3zi) a .S OY r �33 1.,ts w, a 49 L A�tlOS 0 f CH,9�L E.S' � BAR 8 E� ,r•l'�• I• Q / r•Rd. �q�CQ�� p oZ/' �.t.S. oAN/6L {G'�'�'�) rr 53 ' F,a,•,N� NA GN o Ftl3�R Or �, �G, 7�/ 4 t' tsy = , r— `s• 7�i°- Z°.4�I'zZ R B,p�QBA (VK'�5� ---------------------- f,• 7V T F �► .� '� /f;o° w�Q � Bq�gER,,,`) p�+� 3 D�8 : /,P S60L QIVoto Or'aa c3�at�gr.e,� L. BAaeB tz T. JA►'��5 O. QA ►s K.�LIITNOf:P V Ito sa �T� 1•<" •� �3 34/ s�. F7..) ^' �} flaecN. 3 1q 3 - - (.Sz'I�83 23, �!D ' c mgµ,, 0 � 1 246 70 ap �-secs= - � Ne•S. .44WAiD /0-7-W �9 ?5 .S' 2 � •� -- o - - � /IM4i � o� r�e i✓�// ��0.00 ' ir�cfin. o� Q s Z srey O4.a' -- �,r/ u-81 /7- 48" 93a•83" �>+ sSl.3' x.t• D Z z r LANDS of L IF Dp�ct/S E` 35,723 JO. FT I s 30, &45 SQ. FT. c - /fo.o I:Tl*YO�C70K� io-)•!i PU,�lELL .S. OC .JAAIE R. L.O TE LAND.!' O/J. X AF7,1/UR P//y'L.L /S W�>,e TO.-J Of Iano(j f TD 8/9`/572 337 //O propw¢d '/o be contleyed 16 T.4X MAP PE'FE,eENC.E im u� L. 13 p� .Wrli BLOCZ. LOT. R OAS 4$ 3 2 7.22 T // Tow.*? ©f Quee ns &.1/-, , WO.P-,,re/7 Cure fy, k w Yarl •n�T.E • sewAr : "- .50 'ncd y /6, ! Z /.e$, DENOTES 10OW MD SET orCK. ✓u/v4r rr /Pl►Z s•U�►f e�/ /yQ n 6y REV/JED MAeCA' 12, r D C:o rVOW ORWOOJ--AD COU l lQr -fK [ ��"j� cCDrmcC� o-AaoM rooxIEP TO 64WER ,Mo r4o. OCTi01 7 //j1 i9r 1.s rJ LOT glC� 7s