1986-724 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 20, 19 87
I t-a_q
This is to certify that work/requested to be done as shown by Permit No. 86-724
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Lot 34 Queens Lane (St. No. 2) Section II Van Howe Estates
Bayport Homes Ltd.
Owner 0
By Order Town Board
TOWN OF QUEENSBURY
C-----"<#1' //,
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-724
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Bayport Homes Ltd.
OWNER of property located at Lot 34Queens Lane (St. No. 2) �.
Street, Road or Ave. 1213
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.
5
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co
1. OWNER'S Address is P. 0. Box 12519
Albany, New York 12212-2519 a,
2. CONTRACTOR or BUI LDER'S Name
Solar Systems Design Inc.
3. CONTRACTOR or BUILDER'S Address
RD 1 Box 284 c, r
Voorheesville, NY CD• °
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4. ARCHITECT'S Name 0
H
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CD
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5. ARCHITECT'S Address x W
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6. TYPE of Construction— (Please indicate by X) rt •
rt Z
( Wood Frame ( ) Masonry ( )Steel ( ) oi u o
7. PLANS and Specifications
55Tx40' per plot plan, specifications and application submitted
No. including sewage system and two car attached garage.
8. Proposed Use
5
N.
H
One Family Dwelling
$5.00 C/O
143.00 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
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 21st Day
of October 19 86
SIGNED BY �G�lt- - � for the Town of Queensbury
Building and Zoning Inspector ��
J
TO BE COMPLETED BY bLDG. -,..:PT.
* c� Application No. I( t �;,
Joevn o f Queniturzj — ?uf0. 9 ELI dam_: i) t
Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19
a
� 1 _ .
Bay and Haviland Road, R.D. 1 BoA .', Zoning Designation i
!
Oueensbury, New York 12801 ' Variance 1)f.T l 7 1986
1o8 —8503 Site P an Review No.
MI /zif P.M.61 d Appr e 7 I R I9110)1 12)11213)4151:,
APPLICATION FOR
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * * * * * *_ * * it' * * * * * * * * * * :;*
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: 'ELAN("PORT 4OME5 LITD' • ,
P.O. Address FO SOK 125I 9 ALE1AK4.q , NY I ZZ IZ.- 25 19 Tel.(610)869-4600
Property Location: LOT 4- 3A (,T) Gi. v. el.‘, Lu % 3t, NO. 2Tax Map No. 90 / I / 4_ 1
Street number or building lot number
`
Subdivision name (if applicable) Am - owe ES-PA-TES
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS. REGARDS BUILDING CODES IS:
Z56-rzl- r e4Eu IZ17 I 3c3'c Za4 V002Ff =SVIU.r✓ N`I /65- 4020
Name �oeE r to/In- 4elt 50.A-2.P•O. Address ) Tel. No.
Name of builder 5-(9TOtc.S S16n! WC- Address 2D I ant Z84 ooRi-4EE>I I U.C- Tel. (Slo) 16S-4o o
• Name of plumber Address Tel.
Name of mason P` cNAEL .f._ ii/ Address 1)0Qiox l(02 at4A60-nCog.E It'( Tel. (51t) 75; -g524
NATURE OF PROPOSED WORK: * 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 * 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 dot 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 j1bp _ ft X ZOO ft.
•
* Existing building(s) Size N8- ft X ft.
*
PROPOSED BUILDING AND USE:
* Existing building (s) 'Use 0
Size of new structure 54.10(o ft X 40 ft
Foundation-pier/slab/crawl/partial4full) * Proposed building, distance from property line
(circle one) * Front yard 2 ft Rear yard ZO+ ft
No. of stories (habitable space) Z. Side 20+ ft and 2(�-+- ft
yards
Height (grade to ridge) 27.5 ft. *
If residential, no. of families 1 * If on corner, setback from side street NA ft
No. of rooms(excluding baths) I * OCCUPANCY INFORMATION
No. of bedrooms Z *
No. of bathrooms 2'�2 * PRIMARY BUILDING -
Primary heating system "Aft-SEDOR29 * �( One family dwelling
Type of fuel * Two family dwelling
1=EF.GtC'JG dwelling—Multiple
No, of fireplaces to be installed 1 * / Number of units
Will a wood stove be installed? MO * —permanent occupancy
Central Air conditioning? t(0
* • Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE ,f Industrial .
Ranch Contemporary) Log cabin . * 7—Other
Raised 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 ) * S( Attached garage/one car/ wo ca car
* * * * * * * * * * • * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION *
s . 11-51io0o
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF TIHIS SHEET, TO BE COMPLETED!
Torn BF,I 4/I . m.I-v.t '
BUILDING PERMIT APPLICATION CONTINUED - ,e55D3 •
BUILDING SPECIFICATIONS: II
Type of construction, wood frame, fire safe,etc. . \4100p 7(ZAt'(E
Will any second-hand or ungraded lumber be used? If so, for what? (,(0
Foundation wall material T31)72.677 .CONICeelE Thickness 81\
Depth of foundation below` grade (to bottom of footing r71-l0" VAN 3'-10" /1fi .SLAB
Will there be a cellar? (es Heated or unheated? O 4EATED Floor sq. footage 110.45 sq ft
Will there be a basement? `(ES Will any portion be used as living space?
(If so, what portion? aq.ft. - - Type of use?
Type of roof - (slopedyflat/shed/other Material of roof RAGS 4 -rE, Fs 1r1I ASP4A.7-541 IGI.> S
Size, wood studs 2_ "X f0 " spacing 24 "o.c. length 7=85e ft.
Joists(floor beams) 1st. floor 2 "X /0 " spacing /( "o.c. span 24 ft.
Joists (floor beams) 2nd. floor 2 "X )0 " spacing /(o "o.c. span iS ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters 2 "X 8 " spacing 24 o.c. span /,62 ft.
Roof trusses(pre-engineered) spacing 2.4 "o.c. span 30 ft.
Exterior wall finish '/2 x (o krzomTAL . Of what material? ALUALl U►.4
Interior wall finish 1/2" ( '43
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
5/6 Fi ee--24-i t o O to 5
Is there to be an opening between garage and dwelling? `IES If so will a Fire-rated
door, enclosure, and self-closing device be provided? qES
Will a flue-lined chimney be installed?Merie.%51 Height above roof 2 ft.
Depth of chimney foundation below grade gA ft.
Depth of fireplace hearth rA ft. in.
Water supply - Municipal or private well M uN\U FAL.
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties ,j/} ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queerisbury 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 BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether s•:.ci ied r n t, and at such work is
authorized by the owner.
SWORN TO L..FORE ME THIS Signature ---
Owne , owner's agent,arcnite ,co rector
day of ' 19
Notary Public, Warren County, N.Y.
SPECIAL CONDITIONS OF THE PERMIT: •
•
By
TOWN OF QUEENSBURY•
(08 -8 W3
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 Iri V3
2 . Type of heat 5A-5EB041Z7
3 . Is the building mechanically cooled? l�(O
4 . Percentage of area of windows and doors
I . Over 16% Only
Uo value of gross area of walls , roof/ceiling and floors
-xposed to ambient conditions
2 . Floor over - ated spaces YES NO
a. Are founda '-on walls insulated? YES NO
1. If YES, wh. _ is the R value?
3 . Slab on grade YES, NO
a. If YES, what is the R valu- 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 floors exposed to ambient conditions_
30
2 . R value of exterior walls Ic)
3 . R value of glazed area 1-9
4 . R value of doors /0
5. R value of floors over unheated spaces (9
6. R value of slab edge insulation - unheated slab K(A-
7. R value of slab insulation - heated slab NA-
B. R value of heated basement/cellar walls (above grade) NA
9 . R value of heated basement/cellar walls (below grade) K '
10 . Type of insulation (5E12G( f-J
C. Controls O
1. Thermostat maximum heat setting 8
D. Duct Systems
1 . Is duct system installed in unheated spaces? OP NO
a. If YES , R value of duct installation .3- 8
b. R value of duct in other areas •
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe /4
• 2. R value of pipe insulation
F. Service Water Heating �j
1. Performance efficiency ELEC nJ.LC ( c'o /o/ •
2. Temperature control setting maximum /45°
G. For Swimming Pool Only
1. Maximum heating Mbr
Telephone No. )`qh5-402.0 ac,\--1/1/1, \21,o,C
(applicant ' s signature)
(CANMeua1o,f D ( 6--0
`sown of Queeniury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT -4--
17
Bay and Haviland Road, R.D. 1 Box 98705^ 5503
Queens bury, New York 12801 DATE /0 / (3 8.6
LOCATION OF PROPERTY FOR INSTALLATION Lo-r- 34 6tI 5 -rES
OWNER'S NAMEpr. p� f0/Lt.. -5
ADDRESS I OK IZS I a1-53l4'Q`( ILLq \2.Z1Z- ZS lg TEL g6g- 4(o00
INSTALLER' S NAME a 44.2,014 TEL 7S1-215-8
Number of bedrooms (residential only) J3
Total daily flow(compute @ 150 gal per bedroom) 450
Topography: (Flat.)- Rolling - Steep slope - (circle one) % of slope Z 7c,
Soil nature: cSand)- Loam - Clay - Other Depth > 10 ft.
Ground water -At what depth? Q- ft.
Bed-rock or impervious material - At what depth? > 10 ft.
Percolation test -(Not required)- Required - -Rate < S min-inch.
Domestic water supply - (Municipal)- Well - Other
Separation - Watersupply(if well) from Septic absorption .I- ft.
Proposed System: Septic tank 1000 gal. ( Minimun size, 1000 gal. )
Tile Field - Each trench 5O ft. Total system legnth Z 50 ft.
Seepage pit(s) Number of N4A . Size each ft X ft
Size cf stone to be used .4 7- Depth or thickness ' 2 ft.
IMP* *ORTA*N*T! !* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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, strea-m,pond or wet-lands . Include all dimensions of
the system, itself .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * at :* * * * * * * *
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 Disposal Ordinance
Signature of responsible person 144 07AA;� CCo^ISIitk) kt 1 T� -1
Q(*)
Date /0 (3. /6&
0 5/8 6 and/vl •
![^A..0,ti$/el"."19 17i fit!ati. _C.��•CJ.�¢At".,jt!.jP"J.�i.aQ. .i:.��.t .�.a�!�h•���.�n.,, a9M,.'�!.".?��,MI.��i.��!.1"!.. ��1.:��,.��i.��!.M!.���.M!.�r:��
THE NEW. YORK BOARD. OF FIRE UNDERWRITERS
PI
\` BUREAU OF ELECTRICITY qb'V4
71
5r2VU 41 STATE STREET.ALBANY,NEW YORK 12207
Date Nov.2,1937 Application No.on file 0215`97/8 7 A q 8 _
THIS CERTIFIES THAT
.-4. only the electrical equipment as described below and introduced by the applicant named on the abov application number in the premises of r3 E
_ \1 E---
,.:sin Bayport t�O�.T?t?sy1.1:L3. y 34 l�rTr.C'iiE: Lane, fJ12E:ei1SDU.2"Js Nict� York�S���,
'�3.�
Sin the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. -(`Z - Section Block Lot
g` uas examined on 8/llt/ 7 and found to be in complijn�ce with the requirements of this Board.
0.
kl FIXTURE FIXTURES RANGES)d COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS: ECEPTACLES SWITCHES MERCURY
® \ INCANDESCENT-FLUORESCENT yA AMT.' :\,'K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
Z3�\, 46 21 �3 ;w.�- 1 & .8 3 FF o
L.
La DRYERS \ '\ FURNACE MOTORS FUTURE APPUANCEIEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ® F.
t, SYSTEMS
AMT. K.W. '\ OIL H.P.'' GAS H.P. AMT. NO. °F A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF ""E6'-S E R V I C E
, '-AMT. AMP. TYPE EQUIP. 1,s'2W 1,e'3W 3.0'3W 3,s 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OP NEUTRALS A.W.G. —
�; PER B OF CC.COND.. OF HIdEG OF NEUTRAL
1. : 1- ZOO CB 1 4/0 2/0 sl
it. OTHER APPARATUS:
, electric room heate=-i 3 7,0 KW 2 GFCI ® _
�, •• `\ 41,5 raJ
1 smoke detector _
2 .1.0 KW
'mac' , \` `:
�, Bayport i..oila?Es Lit i
k. z'.G.F•J,: 1.,19 I BRANCH MANAGER
°� Albany, N •r Fork 1221_�-2519
0
?‹, Per � —
l,; This,certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ': :2-2.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
BUILDING DEP1.-CQPY-OF:4PPLiCATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
4-/--- FI1.E-THIS-COPY WITH BUILDING DEPT.WHEN REQUIRED.
(TEMP.# (DATE I
CITY OR
VILLAGE I ,,`t
TOWNSHIP �\t,)c� 1i;7! _,�'y COUNTY yn_�;�+_yt;i_.
STREET AND NO.OR 1 ,i 1, • / / 4 L.
ROAD AND POLE NO. �t;t, -=j �4: 2=Q ..› Lr1.:Q 1,VA,V 1- ,.S)( a- ik i :.) POLE NO.
BETWEEN WHAT TWO !�)
CROSS STREETS IS n
�
PREMISES LOCATED? '1i:-- (('°A SECTION L�L1 BLOCK 1 LOT G"
k'• !'.
OCCUPANT'S BUILDING
NAME i\!sa OCCUPANCY i--..--�9'+','- )',.A 1.A L
OWNER'S NAME �+! — _ _
AND ADDRESS ( l;`•n,-::c-i t-0A,(<[ �:'y). !;_J .4-`t 1L?19. .1J,1 I �j 1 IrL1,'_ TEL ( jib/ ,--j`.) !— L,,„„,
CURRENT .- .w.--
SUPPLIED 1 d `` 7
BY r�[\I�(r\CF3• _•\ F iCrff-,`-(.0Y FROM THEIR (`.LL- )\.:`• fir- i;f_';> OFFICE
BUILDING WORK � DEFECTS
IS NEW Er OLD❑ IS NEW L�.� ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures& BRANCH
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- ONLY -
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recp'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
side
Sub-
base
Base- '
ment -
1st Fl.
2nd Fl.
3rd Fl.
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 .
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS n
POSSIBLE NEW i l OLD 111
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES •,
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATIONPE OF ! i �C T7,. . _.,�
1 -- y�y t (-)l^
PRINT NAME AND ADDRESS
NAME OF (-`EJ _, tC--• .''-1__ _. 1(SIGNATURE Lu -V:
APPLICANT - t.i. �i OF APPLICANT c�ll� i/I f`
( f _ ' U c_ L..,i
STREET ADDRESS t� --'� `6"-�I TELEPHONE# --i'-1 -I `--' �'' �"
CITY OR ;-)i-1.,. -ZIP j7�q-r_' /t)LICENSE NO.
POST OFFICE i -' /'.- CODE• -,-I'- c.-" /WHEN APPLICABLE
46 EL (REV. 1/66) A SEPARATE.APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
'b
(61 iii _clown o f
M BUILDING and ZONING .
•
0 Bay and Haviland Road, A.
5 Oueensbury, New York.
- SEPTIC DISPOSALL SYSTEMJ INSPE
E , 6 ." i4 24-7-lz�✓
LOCATION ,;`
DATE W/g. / i7 PERMIT NO. g " 7,,,,-7G . ,
•
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench '
Depth of trenche_
Size of gravel'_
SEEPAGE PITS{Numb<.r of)
Size- ft. X _ ft.
Gravel size
PIPING: pize Type
Bldg. to tank
Tank to dist. box iiik
Dist. box to field
Openings sealed? E. NO Partial
LOCATION/SEPARATIONS:
Foundation to tan ft.
Foundation to as orption ft.
Absorption to ; t line ft.
Separation of ,.,its ft.
LOCATION OF S aST, u -Ok •ROPERT+, (circle one)
Front - Rear Left si. - - Rig'lit side -
COMMENTS:
Pe , .,-.4"IL .
.1 '^1 --
•
•
SYSTEM USE APPROVES NO
. Cditite
• Building Inspector
01/86 and vl
Jl2.G �1 Own o Queen ibur
BUILDING and ZONING DEPARTMENT
I'' 1 4bI Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
,P/ BUILDING INSPECTOR ' S REPORT
i V ddgPil
v NAME
A.(//`/r /V652 Yid
LOCATION U, Z. -= }
, r7i �f!l�Bf?5<o n
Date .th2 / F7 Permit No. ,FZ - 've-/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill 1
Framing /
Roofing A
Siding ►C
Masonry VeneerI/
Rough Plumbing
/4
Relief Valves X/
Ext. Porches / ,yc
Finished Floors r
Interior Trim -A.
Stairs & Railing
Cellar Drain Til.'
Concrete Floors
Plbg. Fixtures V
Gar. Fireproo;ing x
Door Closers
Smoke Detec rs
Chimney
INSULATION•`
Foundation
Floors ,
Walls
Ceiling '
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
XFinal Building Survey
•
Next scheduled inspection (call when ready)
Remarks-
, ✓ ///
e/
•
Build' g nspector
.6/86 and-vl
)4! Jown o Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION �-Yl'�i/f —17
DATE 4/i/C%/ , 7 PERMIT NO. Y 6, - YI 1`f
SOIL TYPE - - Loam - Clay -
Percolation -st Required? YES -
Percolation rate - Min/Inch Q T
TYPE of SYSTEM:
Absorption field, total length p, J
Length of each trench ( 50
Depth of trenches
Size of gravel
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank d,Q2U(.4
Tank to dist. box y" PuL—
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank 1Qft.
Foundation to absorption Q O ft.
Absorption to lot line 10 ft.r
Separation of pits ft.
LOCATION OF SYST . ' ; . "OPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
L„,
V �� 4
4,4 €
g/Lee
4 /4,7_ 0_ 8t),
SYSTEM USE APPROVED YES NO
(496
Building Inspector
01/86 and vl
AO
�/t, r o i _locun of Queenitury
3 BUILDING and ZONING DEPARTMENT
' Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
sty f voro. e)
LOCATION L or 3'f QU.Qens Let Ai(
Date 3/ase) /87 Permit No. cr 6- 7 D.:76
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/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 I
Concrete Floors �'
Plbg. Fixtures r
Gar. Fireproofing /
Door Closers
Smoke Detectors lj
Chimney
)( INSULATION:
Foundation
Floors I/ ~
Walls
Ceiling V
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
OAJziz
,6 ---ci6 lJ ark A Tim j 10(i-(3)%-
Building Inspector
6/86 and-vl
awn of Queenibur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME a{y, o,7 jO LTA
LOCATION isior
Date 3//i /0)/ Permit No. £6, 7a f
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
)( Framing Q,.,, wk O_
Roofing
Siding
Masonry Veneer
Dough Plumbing V- 0 Y'
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- ty‘L„ - Q t
4-12,714C17d—
Building Inspector
6/86 and-vl
�oeun of Queen iur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Det,(1 Cues
tideko
LOCATION ;ek
Date I } / I ( Permit No. kic„ /,) V
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED YES / NO
Footing/Pier Forms c4.4 Ctt f t ) ,Yy,4„/C--
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: t
Foundation
Floors
Walls
Ceiling ,
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspec or
6/86 and-vl
Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S&./14„,
REPORT
NAME
1(
isik
LOCATION (� ffeiti s &Lae_
Date / 2/ Y Permit No. ,V6-7
* * * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YES / NO
Footing/Pier Forms
F2undation
VWaterproofing (91
e)CBackfill Y�
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-
0/76
Building Inspector
6/86 and-vl
_/own of Queendbur,
7- V\4 BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box�98
AO Queensbury, New York 12801J
i9-- BUILDING INSPECTOR ' S REPORT
NAME I AC/ 04- 1?a kvi ''s 4 rd
3
LOCATION Lo7' e t, 9 ,e- -f '�
`� �l,�-i�-
Date �T/ �(r Permit No. 0
* * *'�*''`�*`T*�* * * * * * * * * * * * * * * * *
10' = APPROVED - YES / NO
1 Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing .
Siding
Masonry Veneer
Rough Plumbing t
Relief Valves I
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-
vj <<�o t v�/C� A'o i2�t 5
/ ,,____
Bui dingILA-44---- Ins ec r
6/86 and-vl
°affe t' J//ia/B c
_town o/ Queeniktry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME ll��
I�G\/ 'pbrT el
LOCATION LOT 3y 61 t i -
Date /7/- e)( / b Permit No. O6, —12.2/4
* * * * * * * * * * * * * * * * * * * * *
ir = APPROVED - YES / NO-
Footing/Pier Forms qS /S
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-
(N-(' e-A-Q_
6Wri3
Building Inspector
6/86 and-vl
i
Lor4, 34 _ _ _ __
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