1986-710 ii
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN .COUNTY, NEW YORK
Date June 27 . 19.88
This is to certify that work requested to be done as shown by Permit No. 86-710
has been completed..
This structure may be occupied as a One—Family Dwelling,
COa C� :�r Wincrest Drive
Location
Owner Thomas Lawson
By Order Town Board
TOWN OF QUEENSBURY
Building& Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-710
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thomas Lawson
OWNER of property located at Wincrest Drive and Country Club Road 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
0
0
1. OWNER'S Address is 16 Harlem St. lap
Glens Falls, New York t
0
2. CONTRACTOR or BUILDER'S Name
Ruggles Construction
3. CONTRACTOR or BUILDER'S Address
5 Wincrest Drive o
Glens Falls, New york
PM 11
4. ARCHITECT'S Name G
0 H.
rt 0
n n
� rt
CD
c 0
5. ARCHITECT'S Address G 'rt
a' d
n
7 H'
O
O m
a
6. TYPE of Construction—(Please indicate by X) p
w
( $Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications -
No. 96'x41' per plot plan, specifications and application submitted
including sewage system and two-car attached garage - also
15'x20' attached guest room
8. Proposed Use
0
One-Family Dwelling
m
m
$5.00 C/O N.
$ 227.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 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 d
town of Queensbury before the expiration date.) fo
Dated at the Town of Queensbury this loth Day of October 19 86 IQ
SIGNED BY )n`l a N "'J for the Town of Queensbury
Building and Zoning Inspector� �
TO BE COMPLETED BY BLDG. DEPT.
c� / Application No. d Q EtIMi au Y
_ wn of beueenil ur0 Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 ll n p
Bay and Haviland Road, R.D. 1 Box 98. Zoning Designation . _ ,
Queensbury, New York 12801 Variance No. OCT 3 . 1986
p / Site Plan Review No. pD j� a3�
Approved by: INIMCM1313/415K
APPLICATION FOR 44,i7 -5./t e_,�'t�- ! "
•
BUILDING. AND ZONING PERMIT I / / /14 •
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: 7F41Z VI,e - -rip p, LA,AL I. -
P.O. Address 4 r-S VIM. W. Tel.` 2
Property Location: Lar.Z J ., 1Air%A/CP? 4. 4,.C1c S Tax Map No. ' / /
Street number or building lot number
Subdivision name (if applicable) (T R C 4 j) • K 4
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
F9D '/-' . r''I is t Es,
Name P.O. Address Tel. No.
Name of builder gj k,g CD.LIS*1 Address - Tel 7 , 0 x 6 (,
• Name of plumber /_1«.S�1 . Address / ,/Y /v`i' (y Tel. :> 9 z3 L c.,- A
Name of mason la-)4( I,6./a.1/,4.1e17 . Address `//) Lam,✓ flr =Tel.
NATURE OF PROPOSED WORK: * b ZONING INFORMATION:
v 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 '4 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, STATE SIZE AND whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location' and configuration
•
* of septic disposal area.
*
' * COMPLETE INFORMATION REQUIRED BELOW.
. . . . * Size of property • ' '2 6 4 ft X .0L ft.
. * Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE: 0 'V
*'Existing building(s) Use '
Size of new structure a ft 'X f *
Foundation-pier/slab/c wl/partia /full * Proposed building, distance from property line
(circle one) *
* Front yard ri C, ft Rear yard aC' ft-
• No. of stories (habitable space)' / -
Height (grade to ridge) �lq' l ft. * Side yards ) I ft and j�-' ft
if residential, no. of families ' %' '
* If on corner, setback from side' streetit
• No. of rooms(excluding baths) ' " ../.' * OCCUPANCY INFORMATION •
No. of bedrooms '
No. of bathrooms r ' '�/. * PRIMARY BUILDING -
/ ' * . family dwelling
Primary heating system , "
Type of fuel
4,41-5
- •/' * '---Two family dwelling
* Multiple dwelling / Number of units
No, of fireplaces .to be installed renanent gccu��ancy . _ .
' Will a wood Stove be installed? .. _:f
Central Air conditionings n * I' �r!5iesiN. i�acurja!7cy .
,. (�� - * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other
ised ranch Mansion Duplex
* If addition, what will use be? '
' 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 ) * 'ttached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other 4=d 9C, j ' ,: '
CONSTRUCTION n *
$ .12k _bz Da---
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. We,C p riei
. Will any second-hand or ungraded lumber be used? If so, for what? • • •
• ,/b
c.
Foundation wall material (.� 4 Thickness
Depth of foundation below grade (to bottom of footing)•
Will there be a cellar?/ s Heated or unheated? 0,-/tAr541-loor sq. footage Z��, ,� . sq ft
Will there be a basemenekie3 Will any portion be used as living space? /Vt.,
(If so, what portion? • sq.ft. - - Type of use?
Type of roof -- ope_ tat/shed/other Material.•of roof :gip (A . f G
Size, wood stu " spacing it "o.c. length 47. ft. •
Joists(floor beams) 1st. floor "X /2 " spacing 14, "o.c. span/7 ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) ` 2. "X ten spacing /4 "o.c. span /7 ft.
Roof rafters '2 "X _ spacing /4. o.c. span 7 ft.
Roof trusses(.pre-engineered) spacing +f "o.c.span ,/7
t3-4_.
Exterior wall finish j/;.,47-/- j' 6, Of what material? a.•.1344z
Interior wall finish /lam�. it � . � A042�
If a garage is to be ateached, describe materials to be used for FIRE SEPARATION:
Is there to be ari o eni gbetween garage and' dwellin
g? . 4 If so will a Fire-rated .
door, enclosure, and self-closing device be..'provided? //04
Will a flue-lined chimney be installed? / Height above r6of Z J ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth
Water supply - Municipal or private well j `; y
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties 0,-/A 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, area .true and
complete statement of all proposed work to be donel'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 Signature___ •
Own , owner's agent,arc itect,contractor
'day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
• By
•
. • O L'0 - ikg ir
TOWN OF QUEENSBURY prr e-/
WARREN COUNTY, NEW YORK .
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE „
A permit must be obtaine e- _ • ng work,
ANSWER ALL of the following: .
'; 1. Gross floor area (�G /v ?L4 I
2 . Type of heat ` /A �/ U,. - L. •. ' . 4 J- f
3 . Is the building mechanically c. Q ed? "
•
• 4 . Percentage of area of windows and doors
' A. Over 16% Only
' . 1,' . Ua value of gross area of walls , roof/ceiling and floors
' e*posed 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 of floor?
4 . Is basement heated? YES NO
• a. R value of insulation
5, Type of insulation
B. Under 16% Only
• 1. R value of roof and floor x osed to ambient conditions_
• 2 . R value of exterior walls T -j A,,
3 . R value of glazed area . •R- 3,3
•
• 4 . R value of doors , 2 -1 ' - - '
5 . R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade) 2-5
•
•
9. R value of heated basement/cellar walls (below grade) . 12--5
10. Type of insulation / //3'2 &/4_53 //Clair/ a
C. Controls
- 1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? 0
a. If YES , R value of duct installation
. b. R val,u€ Qf duct in other areas .
, pl,..in9 Insulation
. i'. si76 of hot whet or cooling carrying" gent pipe.... 25, . .r".
• 2 . R value of pipe insulation
F. Service Water Heating
•
. 1 . Performance efficiency.' V7-70
2. Temperature control setting maximum ILfps •
G. For Swimming Pool Only
1. Maximum heating
•
Telephone No. 7f.bi`
( pplicant ' s signa u e) ,
•
•
sown of Queen31ury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and.ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 t 6UILptkl(o RbOCIT (0 — 7 (0
Queensbury, New York 12801
;A�"E
LOCATION OF PROPERTY FOR INSTALLATION //).4 t47/1/1 flee �`_ CL u g
•
OWNER'S NAME /
ADDRESS /0- 10fri
•f ' •0 0 f 'TEL- 2? ��J
INSTALLER' S NAME I C - L F TEL '7f S2,3
Number of bedrooms (residential only)
Total daily flow(compute @ 150 gal Ter bedroom) L4 5
Topography: Fla - Rolling - Steep slope - (circle one) % of .slope
Soil nature: Sand - Lo -. Clay - Other Depth . ft.
Groundwater -At what depth? ft.
Bed-rock or impervious material - At what depth? ft.
Percolation test - Not required - Required - -Rate min-inch.
Domestic water supply Municipal } Well - Other
Separation - Watersupply(if well) from Septic .absorption , ft.
Proposed System: Septic tank /686 gal. ( Minimun size,_ 1000 gal. )
Tile Field - Each trench 4 ) ft. Total system legnth '1 S ft.
Seepage pit (s) Number of _Xi) Size each ft X ft
Size of stone to .be used # `2. Depth or thickness — ft.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * '* * * *
IMPORTANT ! !
On a separate piece of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure ,
distance from property lines and from ANY DOMESTIC WATER_ SUPPLY or
shore-line of lake, stream,pond or wet-lands. Ipclude .all dimensions of
the system, itself .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * . * * * * * * * * *
I have read the regulations on the reverse side of this sheet and agree
to abide by these and all requirements of The Town of Queensbury
Sanitary Sewage Di.sposaZ Ordinance.
Signature of responsible person / '
•
05/86 and/vl
•
=7)
Section II Septic System Inspections:
• A. All applications for septic system installation,
alteration or repair, as reauired by the Town of
Queensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina :Depar•tment 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 beavailable on the construction site. Failure
to produce said plot plan at time of inspection
may result in an immediate work stoppage.
D.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..
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
I .. ,,
CITY OR '
VILLAGE -X--( •- •/ ' !' k TOWNSHIP r l-1 fi i:,1•1( i 1.1F f COUNTY 1,r� ,,r
/.� / J/ � 1/ / ,/
STREET AND NO.OR
ROAD AND POLE NO. POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS i,r �.
PREMISES LOCATED? - ' & I 1_ 12: ,< I} -:4%/4L/'/) 1�4• SECTION J- BLOCK LOT -, .
OCCUPANT'S y-� p ) 1 _ BUILDING �-
NAME l J_// rk1/.J( /� (J-:1-t• 7�i-�f OCCUPANCY �/.-1) /;- J 1. /'! '
OWNER'S NAME / '7 AND ADDRESS 1/ // 11:,1f1)r-;'L1;; !--I ( %. /-, .r TEL.# // i -"� l
CURRENT -
BYPPLIED l ! ) =-3 (-7 FROM THEIR /., i OFFICE
BUILDING NEW� OLD fill IS
NEW V, ADDITIONAL El REMOVED ❑
IS
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures& BRANCH
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUITS OFFICE USE
Lou- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
/1
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
•
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
•
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS L�� •
� OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW ❑ OLD 1-1
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF „.. _ r•. .
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICAT ON' "�)1T
PRINT NAME AND ADDRESS _ G
NAME OF t r 11 / T C l �(SIGNATURE ./ �- //.�J�]/�J,
APPLICANT I1) I J' . 1`=/6C-S �•0 -/ ` 'a OF APPLICANT /yam fJ{7 / 1,- -/--
Z 7
STREET; .�/7f-rt 1-'L,e�S-'1-C',.,/-'� ,i i , 7,-)- TELEPHONE# 2 ;: �• , f f
!a
CITY OR /f '� • / , - r ZIP /—; LICENSE NO.
POST OFFICE i / r i.� ./. _ �f CODE / Y r)/ WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
awn of Queeniur,
n/ D BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME -; 7 77
LOCAT I ON eb-ei
Date /- /p / Fr Permit No. (f - 7(6"
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Ba,ckfill
raming
Roofing
Siding
Masonry Vene-
L.W5ligh Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi g
Door Closers
Smoke Detecto
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT-UCAL INSPECTION
DRIVEWAY APPtOVAL
Final Buildi�i}}g Survey
Next scheduled inspection (call when ready)
Remarks- j /k Ilfc4y -O 3:02 enc45-eoe
Ce // e-c-e
olg.bev(
uilding nspector
6/86 and-vl
i ce` e7 //
a _town o f Queeni urey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
0/0
BUILDING INSPECTOR ' S REPORT
NAME f'-73-7 z CC
LOCATION l (_ ..C/� , cy_ C
Date, 7,7y Permit No. i4 ;/O
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footihc/Pier Forms
Foundat'on
Waterproofing
Backfill
xFraming et / t/f4' s''1 t/e0.e' /-
Roofing
Siding A
Masonry Vene-
Rough Plumbin•
Relief Valves l�(
Ext. Porches j(
Finished Floors j(
Interior Trim )(
Stairs & Railings
Cellar Drain Til'
Concrete Floors
Plbg. Fixtures j(
Gar. Fireproo, ing
Door Closers
Smoke Detec ors
Chimney
INSULATIO ,:
Foundati.
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL �f
Final Building Survey /�(\
Next scheduled inspection (call when ready)
Remarks-
%as? i 4/c sr/ C/fl 7
r / e(Inc a de
•
/t- /L-
ui(�di g, Insp c..or/
6/86 m �% !1/ %nr///g? Me. 724F-e%
Jown of Queeni4ur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME i 4//' lrf
LOCATION vv i 1C/ / Aflja'
Date l Z r o 7 Permit No. Z'VO
* * * * * * * * * * * * * * * * * * * * * * *
i/ = APPROVED - YES / NO
Footing/Pier Forms
ou ,),/,‘?ndation ? •
aterproofinga i'l -.;
Backfill II,
Framing
Roofing
Siding
Masonry Veneer f t. , i,..
Rough Plumbing T4 (,vn 1
Relief Valves l
Ext. Porches
Finished Floo s
Interior Trim
Stairs & Raili •s
Cellar Drain Ti e
Concrete Floors
Plbg. Fixtures
Gar. Fireproof' g
Door Closers
Smoke Detecto s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- '/4
(
0 lk 4 '''''''- yi71(... 34'c
C--h,
Building ilspector
6/86 and-vl
Jown of Queen3tury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDI G INSPECTOR' S REPORT
NAMEfr
./716i
I /�
LOCATION / /G/i4Cfria ✓ ', XV° 19,cJe '
Dat W? Permit No. 61jj - 170
* * * * * * * * * * * * * * * * * * * * * *
/ ✓ = APPROVED - YE / NO
)toting/Pier Forms-
Foundation \
Waterproofing /
Backfill
Framing ,f
Roofing /
Siding
Masonry Veneer
Rough Plumbing f"
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofinn`
Door Closers
Smoke Detector:
Chimney
INSULATION: ►
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
•
Next scheduled inspection (call when ready)
Remarks-
'
Buildin Inspector
6/86 and-vl
r)// awn of Queenaur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME i.- QiLti..C. I
LOCATION Li ‘ '
Date S 7 11 F7 Permit No. 16 - 7/ 0
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
/Framing a IICR
Roofing
Siding
Masonry Veneer
tough Plumbing O‘f"�
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings if
Cellar Drain Tile
Concrete Floors
7.
Plbg. Fixtures ' ``
Gar. Fireproofing i
Door Closers
Smoke Detectors /
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- 667,
.� fr fa-C(8e
�
C.-GctIVL '&1--ge-d.1_, fr., ,/, '6,194,
6(4
Building Inspector
6/86 and-vl
awn o/ Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME YLU G 6 L,&-S
LOCATION (AA,VC 17,6 r-i-- C, C LAYS )?-0
DATE /Z 3/ PERMIT NO. 86, — rho
SOIL TYPE - .� •. - Loam - Clay -
Percolation est Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length -$0
Length of each trench 5-0
Depth of trenches T(
Size of gravel
SEEPAGE PITS4Number of)
Size- ft. X ft.
Gravel size
PIPING: Size / Type
Bldg. to tank V( 40
Tank to dist. box
Dist. box to field/
Openings sealed? (ES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank g) ft.
Foundation to absorption 0,;d ft.
Absorption to lot line 50 fti-
Separation of pits ft.
L N OF SYSTEM ON PROPERTY(c' e one)
onEN�S - Left side - 'ght sid -
k.
0," jii,4 ,---
SYSTEM USE APPROVEDIP
NO
Building Inspector
01/86 and vl
_Down of Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME / /721,9,‘
LOCATION
j , y�f�G✓�
Date /` 6 Permit No. .36, — 71d
✓ APPROVED - YES / NO
6ting/Pier Forms ,,L,
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
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
_loom of Queeni6urcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME L-rz". /fv,,',/�
�" � /��i/1 ce
LOCATION oinz c/ l�C4
Date ///�3 /___ Permit No. L, •-7/ (�
* * * * * * * * * * * * * * * * * * * * * * *
L/R $ �� 'APPROVED - YES / NO
/Pier 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
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION: ✓''r
Foundation
Floors /
Walls /
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
/
iLa 0-C
Bu 1 ing Inspector
6/86 and-vl
Jown of Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME L/-tJsc9,tI
LOCATION b /vca ej__v8
Date /0 3 y (0Permit No. Co - j 10
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms f
(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
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- 6 0 et D Li,;•LCS cti
i 72,,,e----4 „,- - /L.__
Building Inspector
6/86 and-vl
c��] //
Jocun o/ Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDINGB -6r
INSPECTOR ' S REPORT NAME Ace4 LA WSdy1
LOCATION— l
J 7
Date/ /[i / �j Permit No. ? -r/ /O
* * * * **. * * * * * * * * * * * * * * * * *
� ✓ = ROVED - YES / NO
Footing/Pier Forms
Foundation S4UL -u7
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves /'
Ext. Porches
Finished Floors
Interior Trim /
Stairs & Railings /
Cellar Drain Tile I
Concrete Floors /
Plbg. Fixtures
Gar. Fireproofing r�
Door Closers
Smoke Detectors
Chimney /1
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
C g,)t
ferz-(
Building Inspector
6/86 and-vl
•
ZS9
.
I � ,
a✓sV„v!
I (' ----1---
1 • ,L •
' • i F-i a'r-1 z I ,1y
•
C 1 i �
G.7.-v 6,'7d i i''''Ill'I-
0 F/ v/ --r--- .f.._p y
• 1 ! ! I N
� I c 4
1 I qo •
.I. 1 ,I ;
U I
•
p - v,A I.
.
. 1
•
' I q �' V/. . •
_�Y \ \ I - — — C� <y _i>&- ?v n1 E1'I
5 91- ry 511 '' s_1 �� �2�7
7;1I r�
r \
1 •�� �w�'tnsS9rY1n'b'uCi �`-7�
1 I ��1 i�l i�l
i
�• ,$1/LZ/L ..9r r)J rot-> 07 I-?z‘� a) r(to-1 og . ,,, !
' id 8 z •�� i `+/ - — 's6 ' G �T.._. _ohs 'G C,✓ c'_✓
,.Ja ..,1ZAg 1� �H�'; /I�61 ' M��r�i SDI