86-418 Y
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 86-418
has been completed.
This structure may be occupied as a One-Family Dwelling
Location Assembly Point Road and on Lake George
Owner Frederick M. Boenau
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
-.711 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-418
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Frederick M. Boenau
OWNER of property located at Assembly Point Road and on Lake George 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 ftJ
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
a,
1. OWNER'S Address is 460 Henley Ave.
New Milford, NJ 07646
2. CONTRACTOR or BUILDER'S Name O
m
same
3. CONTRACTOR or BUILDER'S Address
same
4. ARCHITECT'S Name
a
cn
S
5. ARCHITECT'S Address Q,
ro
0
r•
6. TYPE of Construction—(Please indicate by X) rt
( x)Wood Frame ( 1 Masonry ( 1 Steel ( ) p
w
a,
7. PLANS and Specifications
No. 32'x36' per plot plan, specifications and application submitted a'
including sewage system.
8. Proposed Use ,
CD
One-Family Dwelling 0 m
m o
$5.00 C/O Paid Ex r. 7 YL w
$ 84.00 PERMIT FEE PAID-THIS PERMIT EXPIRES Feb. 1 19 87
(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 this 23rd Day of July 19 86 ►~-
r
SIGNED BY -7/1,Ca a. N for the Town of Queensbury
Building and Zoning Inspector C
TO BE COMPLETED BY BLDG. DEPT. 1
e e-y.,l
// Application No. TO' N OF QUEENSBUc,.
sown of Queenihurc� Permit EIssued 19rr~1 1{E 0 � 1
BUILDING and ZONING DEPARTMENT Permit Expires 19
1.
Bay and H; viiand Road, R.D. 1 Box 98 Zoning Designation 4/Z-j,y : r� l! 4��.,,
Queen:Amy, New York 12801 Variance No.
G �
I l/ Site P a Review No. I' / -- r-e L�P.M®
I �° ppA r ed b 71? I )i°6lafi 7L f 2 111 M1
APPLICATION FOR • re
,. .
BUILDING AND ZONING PERMIT • GIP
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: FAO) 6/Z i C_ ✓�I.t 5NAc/
O€
P.O. Address ' '1Z). 1JI,vLa)' Ark A/ i AlilF[iiJ NO-- 'O?b f(-- Te1. 2O/-2.6Z-373)
Property Location: Ass61.460' `J oinT —KoAtij Tax Map No. 7 / i / /6y3
Street number or building lot number
Subdivision name (if applicable) A --
THE PERSON RESPONSIBLE FOR SUPERVIISION OF WORK AS REGARDS BUILDING CODES IS:
rgebEkib< /►'l oENM.0 JP►�
Name P.O. Address Tel. No.
Name of builder FREDVRi cK o£e[A J Address $pm t Tel.
Name of plumber Address Tel.
Name of mason U C c, U C c,uD-r-_ Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
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
*
FOR DEMOLITION PERMIT, S�TE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCT AFFECTED, of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
- * Size of property /00 ft X 1-00 ft.
* Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE: * /A5A/7�
* Existing building(s) Use Afo,vl_'.
Size of new struc re 32 ft X '34) ft *
Foundation-pier -lab crawl/partial/full * Proposed building, distance from property line
*
(circle one) * Front yard 2 0 ft Rear yard /Z.O ft
No. of stories (habitable space) * Side yards ft and ltii ft
Height (grade to ridge) 30 ft. * If on corner, setback from side street _ ft
If residential, no. of families
No. of rooms(excluding baths) 4 * OCCUPANCY INFORMATION
No. of bedrooms Z. *
s �bathrooms * PRIMARY BUILDING -
No. of * One family dwelling
Primary heating system JVo
Type of fuel * Two family dwelling
No. of fireplaces to be installed D * Multiple dwelling / Number of units
Will a wood stove be installed? YES * Permanent occupancy
Central Air conditioning? Jj * . Pransient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* XOther SEE NoTE
Ranch �Contemporary)Log cabin
Raised ranch anPl� sion Duplex * I MINIIIIM wil��l/ruse be
Split level Old style Bungalow * AAA 1toit.A � W-L. -8E usEb A:, fbm/LA-ia€Y"Ka/
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
* * * * * * * * * * * * * * * * * * XPrivate storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ a 5 OO O *
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, wood frame, fire safe,etc. W rni T m`E
Will any second-hand or ungraded lumber be used? If so, for what? /1A0
Foundation wall material $r1 C4616 78Lo`i< Thickness g ►i
Depth of foundation below grade (to bottom of footing) 5'
Will there be a cellar? No Heated or unheated? Floor sq. footage sq ft
Will there be a basement? AS Will any portion be used as living space? NO
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other SLoPii Material of roof CQhi,Fos r1IN
Size, wood studs 2 "X 4 " spacing /(o "o.c. length MO ft.
Joists(floor beams) 1st. floor "X -- " spacing "o.c. span -0' ft. 6o.1cg (E 1' g
Joists (floor beams) 2nd. floor 2. "X /0 " spacing j(p "o.c. span /( ft.
Overlays(ceiling beams) 2 "X " spacing /(o "o.c. span1t%Oft. .xii ftT iA5 onr 98 C zi
Roof rafters 2. "X 6 " spacing /6 o.c. span / , ft.
Roof trusses (pre-engineered) spacing "o.c. span ft. Le
Exterior wall finish rti'YL 511,41 c Of what material? Thi/
Interior wall finish 1/IIS Rod.K a�tN
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
1
Is there to be an opening between garage and dwelling? 1'i4S If so will a Fire-rated
door, enclosure, and self-closing device be provided? YEs
Will a flue-lined chimney be installed? NO Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. min.
Water supply - Municipal or private well LAi<
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ,Jot 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 :UILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the propose. work i .11 be complied with, whether specified or not, and that such work is
authorized by he o ner.
SWORN TO BEFORE HIS Signature__
Owner, owner's agent,architect,contractor
day of 16, 19
Notary Public, Warren County . N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:\
By
. .
byg,,,,,,...11.) v
...._
,,. .
A
TOWN OF QUEENSBURY
�' 531 BAY ROAD, QUEENSBURY, N.Y. 12804-9725
4"-t
`` BUILDING AND CODES DEPARTMENT ( 518) 745 4447 . / .- -p )
friNOTICE :- : 4.6. 4,•: -. .. .'.,4;•,•; A 6 t ',' 1
)
ACCORDING TO OUR RECORDS THERE IS AN UNRESOLVED BUILDING PERMIT.
AS DESCRIBED BELOW. WE WOULD APPRECIATE YOUR ASSISTANCE IN BRINGING
IT TO A SUCCESSFUL CONCLUSION.
Frederick Boena Single Family Dwelling Assembly Point Rd
PERMIT ISSUED TO FOR LOCATION
BUILDING PERMIT' # 86-418 DATE ISSUED 7/23/86 DATE EXPIRES 11/8/94
REQUIRED INSPECTIONS Date inspected COMMENTS
1. Foundation footings Footing•& Piers 7/1/86
before pouring concrete
2. Inspection of foundation and Backfill 7/21/86 VL
damp proofing (if required)
Framing Partial.
3. Framing and plumbing before and Rough
any work is covered. Plumbing 8/25/87 MD
Walls R-19 7/2/92 WR
4. Insulation of walls, ceilings Partial Garage
and foundations, area
"a'(Roughin electrical inspection)
5. Septic system-installed per Septic 7/2/87 MD
approved plans.
6. FINAL INSPECTION-Including:
mElectrical final
•
Building final
Fire Marshal (if required)
THIS BUILDING PERMIT IS STILL OPEN, EVEN IF EXPIRED.
WE CANNOT CLOSE OUT THE PERMIT UNTIL ALL REQUIRED
INSPECTIONS HAVE BEEN MADE.
THERE CAN BE NO CERTIFICATE OF OCCUPANCY OR COMPLIANCE
ISSUED UNTIL ALL INSPECTIONS HAVE BEEN MADE.
"* These inspections to be made by Electrical Inspector.
REMARKS:
This Permit expired 11/8/94 . Please contact this Department or send
$25 . 00 to Renew Permit. If you have any questions please don' t hesitate
to call us at 745-4447 .
Sandra Eggleston
Building & Codes Dept.
1/94v1
awn of Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
Owner' s Name 1''R6-b60,CK {V„ Tel. -26Z-3739
Address 4-64 geArteY /4VE New /"t; f;d1. NJ 07 16
AaeN 7i/ne Zate,i+re4 o r
Person/Firm installing systerr 5;;fe 05/i) BY Co f1R 7-flt.(6xMpcK G, F.
Number of bedrooms(residential only) J 5
Total daily flow: (compute @ 150 aal.per bedroom per day)_ 750
Topography: flat — rolling - steep - (circle one) Degree of slope
Sa
Nature of soils: sand-loam-clay- other- Depth A1Rp ft.
Ground water-- at what depth? NO ft.
Bedrock or impervious material--at what depth? --i ft.
Percolation Test - Not required / Required -Rate . 51,4 min/inch.
Domestic Water Supply - Municipal - Well - Other LAkt
IMPORTANT !
On a separate piece of paper, submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from any domestic water
supply or shore-line of lake, stream, pond or wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size MZ50 gal.
Tile field- Length of each trench f60 ft. Total field 360 ft.
Size of stone #
Seepage Pit (s) Number Q / Size ftX_ ft. Size of stone#
Any contractor, corporation, individual ,Etc. , engaged in the
construction of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the approved application, will be subject to a Penalty of $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
«.f 5/ /goo
Signature of Applicant Date
01/86 and/vl
Septic System inspections:
A. All applications for septic system installation,
alteration or repair, as revuired 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 he
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 Buildings
Department before further construction.
TOWN OF QUEENSBURY S.0 1/1...°
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 I 9 8
2 . Type of heat WoaphaCrgic
3 . Is the building mechanically cooled? rY d
4 . Percentage of area of windows and doors
A. over 16% Onl
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. YES, what is the R value?
3 . Slab on gra. e YES NO
a. If YES, ' at is the R value of insulation around
perimeter .f floor?
4. Is basement heate• ? YES NO
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1 . R value of roof and floo exposed to ambient conditions
`R-1 c)
2 . R value of exterior walls _.i
3 . R value of glazed area IZ`21
4 . R value of doors IL r I
5. R value of floors over unheated spaces ��'
6. R value of slab edge insulation - unheated slab WM
7 . R value of slab insulation - heated slab ./1//i4
8. R value of heated basement/cellar walls (above grade) —R-1_,
9. R value of heated basement/cellar walls (below grade) ,y/
10 . Type of insulation Min414P"L ,Bea � .kVA,44) fioA;,, Aim.1 ..fi��✓/)b:J•
C. Controls
1 . Thermostat maximum heat setting 7i
D. Duct Systems
1 . Is duct system 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 j
1. Size of hot water or cooling carrying agent pipe �e 0 /Z
2 . R value of pipe insulation /07/¢
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum /y�41'
G. For Swimming Pool Only , `�
1 . Maximum heating /ur , '
i
Telephone No. (i/01)Z6Z- -'373 G � _,J�'
(op icant ' s signa ure)
V
TOWN OF QUEENSBURY
ft BUILDING & CODE ENFORCEMENT
0742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: 10'4-45 DEPART: \9 -QC INSP,4 '
FINAL INSPECTION REPORT - RESIDENT
DATE INSPECTION REQUEST RECEIVED::
NAME r l 130F 1\At
LOCATION pk,�_1)EI' \t ,\ Po PD
DATE 17-9(Q PERMIT N %-1-111C
TYPE OF STRUCTURE .6 D
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YE NO
CHIMNEY HEIGHT/B VENT HEIGHT
PLUMBING VENT
ROOFING _
EXTERIOR FINISH
DECK/PORCH/STEPS/RA LING.
RELIEF VALVES
FURNACE/HOT WATER OPE"TI G
INTERIOR TRIM/PRIVACY ""O'S
FINISH FLOORS: ✓/�
--
BATH/KITCHEN WATERTIGHT r! T
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE RAILINGS
SMOKE DETECTORS 1 ////.////42
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION y
GARAGE FIRE PROOFING
DOOR CLOSERS 6
FINAL ELECTRICAL y
SITE PLAN/VARIANCE REQ. //�
FINAL SURVEY PLOT PLAN V ,/
OK TO ISSUE C/O OR C/C `�
TOWN OF QUEFNSDURY
+ 1�7M BUILDING & CODE ENFORCEMENT
�Wam 742 RAYROAD
QUEENSDIJNY NY 121104 ,
(518)745-4447
40° ,//
ARRIVE: a COL) DEPART: tco
�5-- INSF: „C-
FINAL INSPECTION REPORT - RESIDENLIA
DATE INSPECTION REQUEST RECEIVED:
NAME FR� \ --i F) E-IvI
LOCATION € 4 `+ C
DATE PERMIT # - 1 ,
TYPE OF ST UCTURE '7c
FOOTINGS FOUNDA ION BACKFILL F•AMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREP ACE
N/ YES NO
CHIMNEY HEIGHT/B VE T/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH V
DEC LPORCH/STEPS/RAILIN S -._-- . (j Y
FURNACEJHOT WATER OPERATING _ H��
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
HQ �('�` -
BATH/KITCHEN WATERTI 1 _. \ _ f
OTHER FLOORS SW g LE 4 I
IJ
OTHER FLOORS ETED h to,
STAIR CLEARANCE/RAILIN S ',I f
SMOKE D ORS • •i i
ENT —
BATHROOM FANS •A A _ __ _ f _____
PLUMBING FIRE
FOUNDATION INSULAT,J A.
GARAGE FIRE PROOFING 411_______
DOOR CLOSERS _ _____ __
FINAL ELECTRICAL
-, 'r
SITE_PLAN/VARIANCE REQ. _ i_-____- i
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
' \-- 6C- ►3-___ -Tc) \3 CAD , P TES
DvE_9 -'TO -i VD F-LDO?- E ..
' RMu tZG v L5 -\-c ' Dv-
t ti t DV_ fl?I F-? r'1 - VSECtegiEW
- Ft 1: 4\L- ELEc ?A L c
c-oNFLEVV.-- ►V- -MV b►- ,1 z Na -P b
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
411) QUEENSBURY NY 12804
(518)745-4447
ARRIVE: \ '- 6- DEPART: (Z:C6T-INS
FINAL INSPECTION REPORT - RESID L
DATE INSPECTION REQUEST RECEIVED:
NAME •,:)" ri__‘. ?I( in• L!'iri"-t a
LOCATION aZ,..ci.zi utlri
/
DATE J/5,-/gV PERMIT #
TYPE OF STRUCTURE %::),/11)
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPAgLE
OTHER FLOORS CARPET+
STAIR CLEARANCE/RAILINS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION \
GARAGE FIRE PROOFING i
DOOR CLOSERS
FINAL ELECTRICAL )1
SITE PLAN/VARIANCE
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O ORIC/C
7-14-NiZ° 1/4)./ tjk ?)61.1.g
ts4. 0 71:1) k-k l3J\At.7 vkie
P‘CthR‘A016A
\-\\6 CO
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 Abf
LOCATION d -11-(/
DATE 0/%2 PERMIT # - 4/if
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 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- A
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
n •
‘Vtkirai , q
Ij
( F
ARRIVE
TNSOCT(1R
Jown of Queen 3lur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME G�evv-441
LOCATION/S&f9G Y Pr D
DATE '/ Z. III PERMIT NO. f j'L1 I l�
SOIL TYPE - Sand - oam - Clay;
Percolation Test Re.. red? Y S - NO
Percolation rate - Min/Inch
TYPE of SYSEM:
Absorption Feld, total: ength _512
Length of ea h trench
Depth of tre hes ,; " -- 1
•
Size of grave '
SEEPAGE PITS{ .er of)
Size- ft. _ ft.
Gravel size -
PIPING: Size Type
Bldg. to tank
Tank to dist. ..x Z 4c.eu
Dist. box to • eld/ i // '.
Openings seal d? NO Partial
LOCATION/SEP RATIONS:
Foundation • tank 1 Zft.+
Foundation F. absorption .1-ft.'1'
Absorption , • lot line .o ft.f-
Separation .1 pits j; ft.
• -s ION OF .YSTEM ON PROPERT circle one)
Front Rear - Left side - Righ. side -
8,'I NTS:
L l
DPt4
6.L/K-e-ar-11-44 /
SYSTEM USE APPROVED YES NO
Building Inspector
01/86 and vl
awn of Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 80-61.14.A.A._
LOCATION Pi- ,2,
DATE //87 PERMIT 0. 04l"
SOIL TYPE - Sand - Loam - Cia -
Percolation Test Required? S - NO
Percolation rate - Min/Inc•
TYPE of SYSTEM:
Absorption field, tota length
Length of - .oh trenc
Depth of tre ches
Size of grave
SEEPAGE PITS{ sr of)
Size- ft. ft.
Gravel size
BIdI S y�
Bldg. to tank
Tank to dist box
Dist. box t' field •it
Openings s::led? S NO Partial
LOCATION/SEPARATIONS:
Foundati- to tank aOf ft.
Foundat' .n to absorption ft.
Absorpt on to lot line ft.
Separa on of pits ft.
LOCATIOi OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
ci.}Tre-ycr te-)A-4 GeD
ere)
U
At:4/r
SYSTEM USE APPROVED 4010 NO
/&2e&4J
Buildi g Inspector
01/86 and vl
_3( a l Jown of Queeni1ury
u �' BUILDING and ZONING DEPARTMENT
.,44Bay and Haviland Road, R.D. 1 Box 98
1 d Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Fk-ed e/-i e./c rip a friQ((
LOCATION 4-5S b.1 P61 r+t flo 0-90
Date b/23/rJ Permit No. ? ' -_�f9
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
; Framing
Roofing
Siding
Masonry Veneer
(Rough Plumbing witenG 4,,-
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 I .PECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building In pector
6/86 and-vl
awn o/ Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 'O&A/AUr
LOCATION nos O'
Date 7/2-/ / bta Permit No. 8 (v
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
"Backf it l
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
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
Building Inspe or
6/86 and-vl
TOWN OF QUEENSBURY
Building Department
Inspectors React Date 7/? /e4
Name
Location
Permit No. - ey Weather
Remarks
Excaa tion
Footing Forms
Footing & Piers ✓ �� ,
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board \
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
y 1� , /
C-z t 73 L [-�C
n
j b / ?f!YL t4J--
C!
O rNI/e4' .4 4A/DJ O,c A/i✓0•C
R iv e' Mom14)
331
.,. ) . / ,
� .7�6'F `uerc,l�1�P{S
0144.
►,
• _y ?�n/4Sta 5T0PA4E-
L.Iu.J1 •.r*r sss
4.
•
11 • t rrodse a _�__---a 4 e
r .i / Se K TNIJK
%
,v/� Ai/ir
N4�QQ1-t/F T .r 1 •
F
ice,
571/*7 _ _ _ __�� LZG�/Q95
i _F ILLS ^, * �• TE.f7 NOL 61 tVO4 4-27498S
a is 36 Yew•✓ sl.vv -Mso.6t•
2L'= 4e t ., invF .e.
-7L4i" F'/sLv .t$ JWaw.4/ 14014
to Pam•rs r. 3!/ =
/V,• i,.vD 4,4Toe
(-CO 1f )ATe .../ ¢ a.AP.f{•..,ti ,4'4) i P4re.°44T/ TEST A /8 '.
• 4vOie4,7mi i.fJ.roPeTie.✓
.1 1 \ \ 0 'PA7! iF / G,,,,, G 4 ',mi.
il°isMwr
_-
s.
E Jere,.s'K LiV_ F
•
•
7%' _ Q�boil'.�.-
AV.j4117.44ra
y _ •ii -�
1
—..r �,, ,�, 12
wlra f EL E v44 rioN' OW's//85= .!/1.Do
pctct I0EFa-ZiAic E
v,4 JL le K rrr
T.
.LE4/4/&7N 4• JoJ4A/ V077
y4 44•ofes 45.S7/a4
1
I'
c
I
___m p I
SURVEY g MAP BY
OF L.4Na3 QoNV1 SG-iy , •
/C ENAJE TN C Livf,4, V D O TT COULTER & McCOkMA CK
LICENSED LAND SURVEYORS
FeEDEeIck 8a EWAv
92 BAY STHEE"i,GLENS FALLS, N.Y. 12'10
TN.:61C-?92-6146
TOWN: 4vEEA/f8O1ey COUNTY: /.144QIez / N.Y. Rev-Nee 27,, ' 15 .
I,SCAIA: '"= .50 T EC
�' AX MAP STM N V L.OcV I PARCEL/6.31 DATE: May t,', 1985 t.
Ifi+lsw- 4,• - -