1988-895s
CERTIFICATE_ OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 13 ig 90
This is to certify that work requested to be done as shown by Permit No.88-895
has been completed.
This structure may be occupied as a Maintenance Building/Addition
Location RTE 149
Owner Fi.nch,Pruyn, co.Inc.
By Order Town Board
TOWN OF QUEENSBURY
Director of-Bldg. do Code Enforcement
BUILDING PERMIT H
W
TOWN OF QUEENSBURY b
No. 88-895
WARREN COUNTY, NEW YORK o
U
PERMISSION is hereby granted to Finch,Pruyn and Co. ,Inc.
N
I
OWNER of property located at Rte 149 Street, Road or Ave. w
in the Town of Queensbury,To Construct or place a Addition to Maintenance Building
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
1 Glen Street
Glens Falls, New york 12801
2. CONTRACTOR or BUI LDER'S Name Finch Pruyn and Co. ,Inc.
x
Paul Bromley d
xxxxxxxxg RM KKK NM
3. CONTRACTOR or B U I LDER'S Address Z
Kingsbury Road Box 573A
Glnes Falls,New york 12801 0
4. ARCHITECT'S Name 7_4
n
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) rt
CD
r
Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 26' x 30' addition as per plot plan,specifications, and application. ,
including, septic.
8. Proposed Use
a.
Maintenance Building p
rt
N•
o
50.00 C/O
0
1 70.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1989 rt
0
If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F;
town of Queensbury before the expiration date.) W
rt
Dated at the Town of Queensbury this th Day of November 1988 m
tn
p
SIGNED BY for the Town of Queensbury
Building and Zoning Inspe or bi
F_
PL
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TOWN Or.QUEENSBURY APP1.I CAT T(IN POR BurLDIMG AND ZONING Pr.RmIT
I Owl! UP
Fee-Leved- 2 110 r
r Reviewed u
YL 1988
Fee Paid S / f BUILDING & CODE-DErPT,
BUILDING AND.; CODES Ula'ARTPT:hFf Date Iacued
13AY and 11AVILAND ROADS .RD' 1 Box, 93 j :a L'r L 7
1UEENSDURY,NEIJ YOJRK 1?80.1 Penm-t t No.
Q 9-0Tel (518) .79.2=5832 -Ext .204 70 0
A _PERNIT -h1US,r Ba OBTAINED BEFORE BEGINPIING CONSTRUCTION. NO INSPuCTIONS
W1.LL BE 11ADE UNTIL- APPLICANT HAS RECEIVED A VALID_ BLILDINC. PERMIT.
All applicable- spaces on .this application .must be- completed and the
sinature of the applicant must appear on the - reverse.-side of this -sheet .
is .,* * * '* A * * * * * * *
Phe. owner of .this Property - is : Finch, Pruyn and_. .Co. , Inc.
1' . 0. Address 1 G1 en tr t, Glens Falls, NY. 12801 TEL. 793-2541 ext. 322
Property- location .Route 149 TAX MAP, N•O. 2 /Z/ 18
11as - there been .any split of _this - property. .since October 1 , 1988? ' /,. No'.
yes no.
If yes , Planning Board Rev-iew is necessary.
SUBDIVISION NAME' ,. IP APPLTCABLE - N/A LOT NO.N/A
e person responsible for suh.ervision of work :as regards .Building Codes, is :
Mr. Paul Bromley Kingsbury Road Box 573A 747-9361
IJA,ML•' P .O . ADDRESS;, TEL. .NO.
Name of builder Finch, Pruyn & Cotlddress Same as above Tel 793-2541 or
Naive of Plumber_Address Tel 747-9361
Name of. Mason Address Tel
14ATURE OF PROPOSED 6011K: ZONING 1N1OI:rIA'1'ION (office, use on1"y)or
Con:;cruet ion of a. now building Jr ZONING. DESIGNATION OF PROPERTY
X Addition to a building Jr.
PERMITTED PRINCIPAL PERMITTED ACCESSORY
AltufaLion to ;i building .
no ch:uuqu to, 0xc.:r.ior d linen:.•ipns) ' REVIEW REQUIRED PLANNING BOARD ' ZONING BOARD_
Ocher work (dos:cr.iLu) SITE PLAN'REVIEW # APPROVED DATE-
VARIANCE
I, CkOSS ARL"'A 01•' vitOPOJLD, J'1'Ruc,ruliE '
VARIANCE # APPROVED DATE
l::t Ploor 780 sq, ft . RemarksAr
2 nd Floor N/A sq" f t . CQkVL.LTL.Z.IcJP ORmATION 1d:QUIRED LI.L U61.
Other Floors N/.A sg ft.. Sixo of- property 18. 1/2 ac. cc- x ft. -
not cellar or basement)
L•:xistiIlg pudding( ) izu l'L' _x t C..
Ar
TOTAL FLOOR- AREA 780 sq f t .
1:Xi::cin9 "builainy (C) Ur:u Maintenance garage
izo of -new ::tructturo .26. ft 1. 30
voLuid:Ation-pier slat, crawl/liartial/full ' Vxopo:;vd building, discancu iron property lino
rclu one)
Front .yard.- '1225 ft Rear yard 3600 f t
No, of. stories (habitable !apace) one
rd::Side
weight (grade to ridge). 13 fr. # y Inn rt Lind c
It on. cornifresidUALiul,, no: of fan ilirs
corner, .:;c;rbaa:k_ from SLdL• scr.aa:t n/a is
No. of room-;lexcluding b:th!A. 4 OCCUPMLY INFORMATION
11o. of bedrooms; None
PRIMARY IsUILDItJC -
No. of bathropim; 2
One faiuily dwellingtrimary. huar-iris' sr;Ly: ,.:m. electric
Two f:.cnily., duullinyryh of fu: i n/a dwcmultilo. llinc
No. of firuplacu: to l, in::tall.:ci none " -
1 Number of units
Perinancrrc occupwtcyWill " wuod :;L6%f: bu _insL:allud? n0 1'ransi nc occupar cy
Cuntr:il Air COnt11ClU11ineJ? no
Z1 uS1nCSS .
BUILDING STYLE, PRIMARY Sl'RUCTURE r
Industrial
lua cl Coiie,ul:or..ry Lore cabin;
1 isod rant! M nsiun Dul lux
If .,ddiciun, what will u::e b.:? Office: lunch
Jhlic luvol old scyl u. L .410w
room; dressing. room:
C.,Vu Cod Cott:,go Ocher ACCESSORY .BUILDING- n/a
Colorli"l• kola Tow II 11ouse ' rjecach::d yarugc/ono car/ two car/. car
CIRCLL•'"ONL .PLEASE. ) s Atta'chud garaqu/one .car/ two cat/ Car'
w i 1 * . • : i f /_ ; _PriVaLd SLOCUgO building -
L.STIMATED MARKET VAI_u1 ' 01F, Ochec .
INPORMA'PION ON IIUILDINC" SPPCII'ICATIONS', ON .VERSE SIDE SIDE OF. THIS -HI:ET, TO BE COMALG'1'L'A1
Form DPA I0/88 v1
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS:
Type of. construction, wood frame, fire safe,etc. wood frame
Will any second-hand or ungraded lumber be used? .If so, for what? no
Foundation wall material concrete Thickness 8"
Depth of foundation below grade (to bottom of footing) 4 feet
Will there be a cellar? no Heated or unheated? n/a Floor sq. footage 780 sq ft
Will there be a basement? n0 Will any portion be used as living space? no
If so, what portion? n/a sq.ft. - - Type of use? N/A
Type of roof - sloped flat/shed/other Material• of roof . corrugated metal
Size, wood studs X 6 spacing 24 "o.c. length 7 1/2ft.
Joists(floor beams) lst. floor n/a "X spacing o.c. span ft.
Joists (floor beams) 2nd. floor n/a "X spacing o.c. span ft.
Overlays(ceiling beams) n/a "X spacing o.c. span ft.
Roof rafters n/a "X spacing o.c. span ft.
Roof trusses (pre-engineered) spacing 24 "o.c. span 26 ft.
Exterior wall finish painted Of what material? metal
Interior wall finish sheet rock /wall paper/paneling
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Concrete block wall (existing)
Is there to be an opening between garage and dwelling? yes 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 n/a ft.
Depth of fireplace hearth n/a ft. in.
Water supply - Municipal or private well private well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties 'js"' ft.
A separate application is necessary for any repair or new installation of septic system)
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 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.
Signature
Owne P, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QULENSBURY
WARREN COUNTY NEW YORK
Application for: . BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STA12E ENERGY CONSERVATION CODE.
A permit must be obtained before beginning. wo.rk.
ANSWER ALL of the following:
1 . Gross floor area 780 sq ft
2 . Type of heat electric base board
3 . Is the building mechanically cooled? two rooms/windown units
4 . Percentage of area of windows and doors 8%
A. Over . 16% Only
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 . If YES , what is the R value?
3 . Slab on grade. YES NO
a. If YES , what is the R value ,of insulation around
perimeter o.f floor?
4 . Is basement heated? YES NO .
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1 . 12 value of roof and floors- exposed to ambient conditions_
Ra8
2 . R value of exterior walls R-1_8
3 . R value of glazed area.g7 7
4 . R value of doors 14.7-
5 . R value of floors over unheated spaces N/A
6. R value of slab edge insulation - unheated slab R-5::
7 . R value of slab insulation '- heated slab N/A
S. R value of heated basement/cellar walls (above grade) N/A
9 ., R value 'of heated basement/cellar walls (below grade) N/A
10. Type of insulation Fiberglass
C. Controls
1. Thermostat maximum heat setting 70 .
D. Duct Systems
1. Is .duct system, installed in unheated spaces? YES
a. if YES , R . value of duct installation n/a
b: -R -value of du.c_t.. in other areas n/a
E. Pipinq Insulation
1. Size of hot water 'or cooling carrying agent pipe n/a
2 . R value of pipe insulation n/a
F. Service Water Heating
1 . Performance efficiency
n/a
2. 'Pemperature . control setting maximum n/a
G. For Swimming Pool Only
1-. Maximum heating n/a
Telephone No. 793-2541
applicant ' s signature)
TOWN OF QUEENSBURY
APPLICATION FOR
SEPTIC DISPOSAL PERMIT
DATE November 2. 1988
LOCATION OF PROPERTY FOR INSTALLATION On Rte. 149 near Wash. Co. Line 52-2-18
Owner's Name: Finch, Pruyn & Co. , Inc. Telephone•793-2541 ext. 322
Address: 1: Glen Street, Glens Falls , NY 12801
Installer's Name: Same Telephone: Same
Number of bedrooms (residential only) N/A'
Total daily flow (compute @ 150 gal" per bedroom) 140 "Qa1/day
Topography: circle .one: Flat Rolling Steep slope % of slope
Soil Nature: circle one:(Sand Loam Clay Other Depth:)'000 feet .
Ground. Water: At what depth? 190 feet
Bedrock or Impervious Material: At what depth? unknown feet
Percolation test: circle one: not
requiredTWell
rate min.inch.
Domestic water supply: circle one: MunicipaOther
If domestic water supply is a Well:
Separation: Watersupply from Septic absorption 100 feet
PROPOSED SYSTEM: Septic Tank 1,000 gal. (minimum size: 1,000 gal.)
TILL' FIELD: Each Trench a feet /_ Total system length 441Q feet-
SEEPAGE PIT(S) : .Number of 2 / Size each 8 feet by 5 feet
Size of stone to be used # 3 /Depth or Thickness 4 feet
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 Queensbury Sanitary
Sewage Disposal Ordinance. .
Signature of responsible person:_ u G
Date: Agh
OVER)
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 n
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,
the 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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure_ to produce said plot plan at time of inspection may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks: .
lmwnu.r
MAIN OFFICE ATLANTIC-INLAND, INC.
997 McLean Rd.
NEW YORK
Cortland,New York 13045
MEMBER OF N.F.P.A.AND I.A.E.I.
Phone: (607)753-7118(
607)753- FIRE UNDERWRITERS
607)753-1396396 Electrical and Fire Inspection-Enforcing and Consulting Service) C 521 9
Incorporated in the State of New York)
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below.On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR.ELECTRICAL INSPECTION—PLEASE P INT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION 4z ad
CITY. OWN,VILLAGE Queensbury COUNTY -Warren STATE NY
STREET
ADDRESS BUILDG.NO.
RURAL
DIRECTIONS.On Rte. 149 just east of 9L intersection (south side) POLE NO.
OWNER'S
NAME Finch, Pruyn & Co. , Inc. OCCUPIED AS same
OCCUPANT BUILDING—New Old WORK—New Additional CR
OWNER'S P.O.
ADDRESS 1 Glen Street, GlensFalls, NY 12801
APP.FOR—ROUGH WIRING FIXTURES OR READY FOR INSPECTION 19"
FEE REMITTED—$ BY CHECK CASH MONEY ORDER MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
Number of Rough Wiring Outlets 20Fixtures Add Installation
Swtch I Lrtng Recap. KW Med. Mogul Fluor. 500 750 1000 1 1250 1500 1750 2000 2250 2500 2750 3000
Heat Base Base
6 Elect.Heat
Amp.Service Water Htr.1 500 Burner Air Cond.
Surface Unit Oven Range Gr.Disp. Dish W.
Dryer H.P.Pump Ex.Fan Hood
OTHER EQUIPMENT(Specify Type&Capacities)
TYPE
WIRING EN CONCEAL OTHER MA NOF MAIN CIRCUITSSIZEZOOA6OBRANCHESONO.OF 10
APPLICANT'S
SIGNATURE LICENSE p PERMIT N
APPLICANT'S NAME OF
ADDRESS Gl en Street UTILITY Niagara-Mohawk
L-11
OFFICENYZIPCODE12801BENOTFI Woodlands (PRBromley)CITY Glens Falls STATE BE NOTIFIED
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&CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS VENT FANS
MOTORS,H.P. 1/20 1/12 1/10 1/6 1/6 1/4 1/3 1/2 3/4 1 11A 2 3 5 71/a 10 15 20 25 30 40 50 75 100
MARK NUMBER-
OF EACH SIZE
500 1 750 11000 11250 1150011750 2000 1 2250 2500 1 2750 3000 LAPPARATUSElectHeat
MISC.INFO.Received Inspected FEE PAID
PROGRESS
TOTAL$Stanley Matylza DEFECTIVE
R it2, Box 6 Rough Whin Certificate
Check No.
Al..
D. 0p9 g g
Greenwich, 1Y.Y. 12834 TemporaryService Money Order
Mon. -Fri. 6 - 7.30 A.M.FINAL CERTIFICATE
Cash
Dup.Cent.Req.
518T 86 fi!B39, MUNICIPAL
Charge
MUN.ADDRESS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPEC ON RECEIVED
NAMEilrC
LOCAT IOWZ-
DATE 'l l PERMIT #
APPROVED
YES NO
OTING/PIERSOMONOLITHICPOUR FORMS
FOUNDATION DAMP-PROOFING
BACKFILL AP OVAL
ROUGH PLUMBIN
FRAMING i
ELECTRICAL ROUGH-
INSULATION:
FOUNDATION t
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING A
EXTERNAL PORCHESISTEP71
STAIRS-CLEARANCE & ILS
PLUMBING FIXTURES/RELIEF LVE
INTERIOR TRIM/PRI&Y DOOR
FINISHED FLOORS
GARAGE FIREPROO NG
DOOR CLOSER(S)
SMOKE DETECTOS
FINAL ELECTRICAL INSPECTION l
FINAL APPROVAL, OF CONSTRUCTION
A SIGNED &RTIFICATE OF OCCUPANCY ST BE
OBTAINE7 FROM THE BUILDING DEPART M NT BEFORE
THESEIPREMISES ARE OCCUPIED!-
REMARKS:
dg
ro
I.
In
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 ll -3 0
NAME CG-k1j
LOCATION 1,11q
G
DATE f - -51 PERMIT #
APPROVED
YES NO
FOOTING/PIE S
MONOLITHIC P UR FORMS
t FOUNDATION/D P-PROOFING
BACKFILL APPRO AL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS !
STAIRS-CLEARANCE & RAILS'
PLUMBING FIXTURES/RELI& ALVE
INTERIOR TRIM/PRIVACYDOOR
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL IYSPECTION
FINAL APPROVAL OF
I
ONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPART NT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I2809-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED__,-
NAME _
l/'
LOCATION
DATE a PERMIT # '
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
UGH PLUMBING
RAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS y,
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT..
ROOFING
SIDING
EXTERNAL PORCHES/STEPS`
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF` VALVE
INTERIOR TRIM/PRIVACY DOORS-
FINISH ED FLOORS ,
GARAGE FIREPROOFING
DOOR CLOSER(S).
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
r
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
v
cw
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804--
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME _gq- t if -/n,
LOCATION I `i 1
DATE C7 PERMIT # -
APPROVED
YES INO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING,
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS r'
WALLS
CEILING
FINAL INSPECTION:
F
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS ',.
PLUMBING FIXTURESIVELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS .
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) ,
SMOKE DETECTORS
FINAL ELECTRICALL'' INSPECTION
FINAL APPROVAL OF CONSTRUCTION
F
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
I
i
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12809-Py-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE _ PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS ;`
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIMIPRIVAC'Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS r'e
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF," CONSTRUCTION
f
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
f
THESE PREMISESIARE OCCUPIED!
REMARKS:
INSPECTOR
M
cc
Jown o1QU eenjburcy
BUILDING and ZONING DEPARTMENT
yy
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
4 `
NAME
LOCATION
r
DATE PERMIT
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES --NO
Percolation rate - Min/Inch
TYPE of SYSTEMi,
Absorption field,, total length
Length of each- trench
Depth of trenches'.,
Size of gravely
SEEPAGE PITS{Number of)
Size- eft. X
Gravel size
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit
Openings sealed'?NO Partial
LOCATION/SEPARATIONS:
Foundation to tank 70 ft.
Foundation to absorption ILL ft.
Absorption ,to lot line ft.
Separation?of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:,i
1
SYSTEM USE APPROVE YES 0
Building Inspector
01/86 and vl