1986-773 ,
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 20 19 87
This is to certify that work requested to be done as shown by Permit No. S6-773
has been completed.
This structure may be occupied as a One-Family Dwelling
Location 3,q Sherman avenue
Owner, Randy and Suzanne Washburn
By Order Town Board
TOWN,."OF QUEENSBURY
r i A f
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No R1;-77 i
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Randy and Suzanne Washburn
OWNER of property located at Sherman avenue 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. cn
1. OWNER'S Address is Feeder St.
Hudson Falls, New York ro
w
2. CONTRACTOR or BUILDER'S Name Robert Borgersen
rf
3. CONTRACTOR or BUILDER'S Address
16 King Road
Saratoga Springs, NY 12866
4. ARCHITECT'S Name
rj
5. ARCHITECT'S Address
fD
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
66'x26' per plot plan, specifications and application submitted O
No. including two—car attached garage and sewage system.
8. Proposed Use 5
1-4
One—Family Dwelling
t7
$5.00 C/0
$ 150.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 87 H.
(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 6th Day of November 19 86
SIGNED BY Vi for the Town of Queensbury
fier(0), Building and alining Inspecto
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. TO BE COMPLETED BY BLDG. DEPT.
CI / Application No.
_town of Queenur, Permit Issued 19 •
r W �p
O u.n._6-�Ff N %F tang LIE.' ay4SBU R'i
BUILDING and ZONING DEPARTMENT Permit Expires 19 111
� IE f' �l�Ba and Haviland Road, R.D. 1 Box 98 Zonin Desi nation k ' lal 1CW► J11
Y g g 5�12 /Q Queensbury, New York 12801 Variance :No. r nj/
G� �- Site Plan Review No. 'f OCT 2
/ - 02 ^ e Approved by: k�.ail. /�J� ps&
APPLICATION FOR + 001 ju (y //,3/X� ' 1 //r��" 414 �1'3��1 '
9• //tej
BUILDING AND ZONING PERMIT 16` `---
* * * *' * * * * * * * * * * * * * * * * * * * * * * * * * * * * .* * * * * *•%.*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL Or THE FOLLOWING,
The undersigned hereby applies for a Building Permit to do the follo'lhq 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: ;j .t; ,,iy d- -Cu ,:,,,, p,e_ Lv,,, AI do u%''o
. P.O. Address -, J, , ✓� 5-1' -l—i s 0 v, FQ t i, Tel. 7 (-/ q
7- ‘
Property Location: l 5 6-e-v` v)1 t' t Al,t6-1 ti , i 1 15 Tax Map No. .`_ /2/,,2 ,/
Street number or building lot number
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• Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES1S:
f?o6 ,,,t- l36. }.ci k-Sen /C /rr ,,.:c, A. �I 5i'e ` 6p ,"� 5/6c•,rr lU t4 j 7 �) VJ.,6A.,K
•
Name 'I P.O. i{ddress ✓ ! Tel. No.
j Address /(/�/ /2 ( 5 , ,;, . Tel. 0 •'d.-T 6 , . C'
Name of builder / (3 ,fi r , < c� Sk,+a ,,c
Name of plumber Address Tel.
Name of mason /?,,`em -/3.,,,, :-y-5 Address Tel. .
v
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NATURE OF PROPOSED 1lRK: * ZONING INFORMATION:
1/Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
_Ali building *
_ teraton to a 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 /4.3 ft X 4•/3-3— ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: * •
Existing building(s) Use "
Size of new structure /6 ft X „Z( ft *
Foundation-pier/slab/crawl/partial/ ull * Proposed building, distance from property line
. (circle one) *
* Front yard ' ' // ' ' ft Rear yard 333 ft
No. of stories (habitable space) . * Side yards . ft and ; /, ft
Height (grade to ridge) f ft. * If on corner, setback from side street ft
If residential, no. of families /
No. of rooms(excluding baths) 7 * OCCUPANCY INFORMATION
No. of bedrooms ' 3 *
No. of bathrooms ? * PRIMARY BUILDING -
Primary heating system 11..L.t;<i /�--s�b+o.ra * One family dwelling •
Type of fuel' /-e,;,71�+c * Two family dwelling
No. of fireplaces to be installed / * Multiple dwelling / Number of units
Will a wood stove be installed? ;v,:z..5 * Permanent occupancy
Transient occupancy •
Central Air conditioning? no 1 * 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 ) * 2Attached garage/one car/ two car/ ,2. car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET :VALUE OF * Other
• CONSTRUCTION i�QL�*�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, woo�me, fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? /if,'
•
Foundation wall material .o k ,/•-e f h/c c(( Thickness , `(
Depth of foundation below grade (to bottom of footing) y;fI"
Will there be a cellar? 11p Heated or unheated? . Floor sq. footage sq ft
Will there be a basement? Apo Will any portion be used as living space?
(If so, what portion? sq.ft. - Type of use?
Type of roof - sl, oped/flat/shed/other Material, of roof Q4 6t� /r 1+-
Size, wood studs "X ( _" spacing '/ "o.c. length 77"ft.
Joists(floor beams) 1st. floor ,) "X , n " spacing /6 "o.c. span / ft. .
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft'. •
_
Roof trusses (pre-engineered) spacing .2 y "o.c. span.2 C . ft.
Exterior wall finish h «vi o- Acc¢j-,, ,., Of what material?
Interior wall finish. L�y .h e f v'o c_ -( /•
If a garage is o be attached, describe materials to be used for, FIRE SEPARATION:
• O -e 17 �> c
Is there to be an opening between garage and dwelling? ac If so will a Fire-rated
door, enclosure, and self-closing device be provided? '-es
Will a flue-lined chimney'be installed? 1 -.-> Height above roof 7 ft.
Depth of chimney foundation below grade L' _( ft. •
Depth of fireplace hearth / ft. V in.
•
Water supply - Municip l or private well
SEPTIC SYSTEM _Distance from ANY private well(including adjoining properties /ce0t ft.
(A separate application is necessary for any repair or. new installation. of septic system)
Town of Queensbury .
County of Warren AFFIDAVIT STATE OF NEW YORK
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 -CO
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 1 ..,4- � :r{� � •
Owner, owner's (agent,arcnitect,contractor
day of 19 •
Notary Public, Warren County, N.Y. •
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ,* * * * * * *' * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
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By
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TOWN OF QUEENSBURY .
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE w
A permit must be obtained before beginning work. •
ANSWER ALL of the following:
.1. Gross floor area -9d o 0 ✓„f I/d
2 , Type of heat � � �� �-c
3 . Is the building mechanically cooled? /jimmy) •
•
• 4. Percentage of area of windows and doors /0%
A. Over 16% Only •
1 . Do 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 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_
1730
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2 . R value of exterior walls R / y
3 . R value of glazed area 4- 7
4 . R value of doors 13 •
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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) /? ( 7
9. R value of heated basement/cellar walls (below grade) (?g
• 10, Type of insulation Fa 10,,nf(d, 5 , (5;,� t(; , •
•
C. Controls
1. ' Thermostat maximum heat setting 7
s°
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D. Duct Systems
1. ' Is 'duct system installed in unheated spaces? YES NO
a. If YES , R value of duct. installat.a an �/c.w .�
b. R value of duct in other areas
E. Piping .Insulation
l.' Size of hot water or cooling carrying agent pipe �jnclt N
2. R .value of pipe insulation
F. Service Water Heating •
1. Performance. efficiency o.
2. Temperature control setting maximum J 1/4D `
G. For •Swimming Pool Only
1. -Maximum heating
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Telephonle No. 11) iJ`f - 1 ?L /fir k,01
(applicant '( signature) •
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Juan of Qucnitury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay end Haviland Road. R.D. 1 Box 9B
Oueensbury, Nev York 12801 •DATE 7 0 /• 3/$
LOCA1 ] ON OF PROPERTY FOR I NSTF•.LLATI ON 5 C s jlf
OWNER'S NAME
R d VI.Pt Li 4- J u :Z_a.�l i-.�'. ✓(/"tC.i '•L P(' 1,1
ADDRESS E��
h .r 5 /10 GI s a oL F—v1(5 TEL 7 6 y'n
•
INSTALLER'S NAME R «! TEL7Q J PZ3 6 3
Number of bedrooms(residential only) 3
Total daily flow(compute @ 150 gal per bedroom). O •
Topography: la/- Rolling - Steep slope -(circle one) % of slope
Soil nature: and - Loam -. Clay . - Other Depth ft.
Ground water -At what depth? /5 ft. •
Bed-rock or impervious material - At what depth? ; 0 ? ft.
Percolation test 7Not required = Required - -Rate • min-inch.
Domestic water supply --Nlun ici pal - Well - Other
Separation - Watersupply(if well) from Septic absorption ft.
• vJ
Proposed System: Septic tank gal. ( Minimun size, 1000 gal. )
Tire Field - Each trench ft . Total system legnth ft.
Seepage pit (s) Number of Z . Size each k-ft X ft
Size of stone to be used * Depth or thickness 2 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 D01ESTIC WATER SUPPLY or
shore-line of lake, stream,pond or wet-lands.rInclude all dimensions of
the system, itself.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
1 j:a i ]'G ^,: Z ;:(" ] F:: ice . , ^).F o,: the rr i crs ('id Of this El cc . c,::.: agree
to aLicc- LL these and c71 recuirerrer•t- cf The Tot'n of Queensbury
SanitarR Se ace L spcsc"[ Ordinance.
Si onct✓rc. of rr nonr Lle rF•rro': • /✓�` -"'11 / ' f/� -
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05/86 and/v3
Section II Septic System Inspections:
A. All applications' for septid system installation,
alteration or repair, as reauired 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 inspecticn 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 installation, alteration or
• repair of an approved system, •,a new proposal
• must be submitted to the Queensbury Buildina
Department before further construction.
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BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
(TEMP.# •(DATE . I '
CITY OR i I i/
VILLAGE `,.,:"( ?-„ S 1 ;_ 1 l TOWNSHIP r ,i .r> ;'-_;ri , Li Y/ COUNTY br -t It!' - ,
e
ROAD AND POLE NO. C 1' --E, it ✓1' q 0. /4. v--°, POLE NO.
BETWEEN WHAT TWO _,41 o. • 'i''S! ! l.r.
CROSS STREETS IS � ") '
PREMISES LOCATED? ' �` r� •} i // )• G1'" t U{'-y 1 Yt�- SECTION BLOCK J
OCCUPANT'S f / BUILDING 1') /
NAME n- - I. 42 V v.i OCCUPANCY (( .' � i f--.- ,i C- C
t re `f-r
OWNER'S NAME -, J/ / J /
AND ADDRESS !..C,,,, -, _f ,, �v,:_,: 4 9 v Al TEL.# '7 t 7 6 !7 Kai
CURRENT '1
SUPPLIED iV _
+ i�i'� ,) FROM THEIR •--/ „ /- //r, OFFICE
BSUILDING NEW E OLD❑ IS
NEW ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL.EQUIPMENT WHICH YOU INSTALLED
Fixtures& r. BRANCH
NUMBER OF OUTLETS -- LampfReceptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- ONLY
lion 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.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
•
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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 ,
`1
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 OF SIGN •
BUILDING
INSPECTION REQUESTE '
ON OR AS NEAR AS
POSSIBLE NEW ri OLD 1-1
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION /'j/2 ),/%`,-
PRINT NAM fAND ADDRESS
NAME OF >) .p 1� r SIGNATURE a i7
�J Y i X
APPLICANT '`�O ��'( �� �>e °7 "OF APPLICANT ! ,�-� -tier rl�-r'�J`l-2.--4----)r-� �,.
STREET ADDRESS r�(� l,+ •1 ""J rJ\,1 TELEPHONE# i) LI-'2-G t- '
CITY OR - If/{/ ZIP , LICENSE NO. ..
POST OFFICE l F Y''( 0') U. -,�7 I--i i-,I(1 j ' / CODE l d'. `, h t, WHEN APPLICABLE
..
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
• f. .0..C..._ A)/.J 1 !-A.(..,l_!.a.,..,.,....,. !.,.,1.. ka 1- ,.)., (.J.. .ap,,/-a•!..\4, {,./.?/.a.(.,?... ,,)¢a. A,{.a./?_C?.C.,.(,.!..".J,?...1".!..):,-,.,.l.,.i.,.,b., ,.,.i...(??-,1,. ,.,i.,/_; f
1(, 4027950 THE NEW YORK BOARD. OF FIRE UNDERWRITERS
ip
BUREAU OF ELECTRICITY
1'4
�r
l 41 STATE STREET,ALBANY,NEW YORK 12207
Date March 31 , 1987 Application No.on file 030934-86 �
I.
a
THIS CERTIFIES THAT Fq o _
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of =
-l'
Randy Wabkburn , Sherman Ave . , Glens Falls , New York L
• . in the following location; ® Basement E 1st Fl. ❑ 2nd Fl. outside Section Block 2 LoC 2 -4 1=
_
t
was examined on 31 13 8 7 and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT u ylrgjY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
'j 18 47 16 17 1 2 :7r
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MUOUTLET DIMMERS
• MULTI-AMT. K.K.W.W. OIL H.H.P.P. GAS H.H.P.P. AMT. NO. A.W.A.W.G.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.H.P.P. NO.OF FEET AMT. WATTS
1 range 3#6
1 dryer 3i60 _
• t —
SERVICE DISCONNECT NO.OF S E R V I C E —
AMT. AMP. TYPE EMQUED 1$2W 1 fi 3W 3 0 3W 3,B'4W NO.OFF CR.COND. OF A.
COND.. NO.OF HI-LEG OfA.W..LG. NO.OF NEUTRALS OF W.G. —
1 1 200 eb 1 x 1 4/0 1 2/0 �=_
iOTHER APPARATUS: 1
=
1— gfci
1
', 1— smoke set
1 Elec . Heaters o 3— 2 .0 kw •
4— 1 .5 kw
= 2— 1 .0 kw.. ,.., _
�, (- Jpli
NI
Robert Borgersen 1574r.,-4 •11-1.--- -,./' '_
!e King E R a° BRANCH MANAGER
i, Saratoga Springs, NY 12866
Per ? II .
i; 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. •`:
ii4r-,•r;•rei• 0 II ® M CatiliNE MEMO II ® ® 0 511210 ____ 0 0 ____ II •r•,•r•;. .
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANN-R.
ry Jown of Queeniburcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
(lo /I ec <2.c/G
BUILDING INSPECTOR ' S REPORT
NAME iiar.:I
LOCATION CC yy}}"
J � •e r W Q-5-i /T/J -'2 -
Date 3 A:, /-7 Permit No. `'(, `7'JJ
* * * * * * * * * * * * * * * * * * * * * * *
= 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
Concrete Floors
Plbg. Fixtures //
Gar. Fireproofing p v
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- it �J / / / h(/�j/�/
j7 (7/
Building Inspector
6/86 and-vl
el/
Iy _Jocun of b
BUILDING and ZOiithiury
PARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
ID I
BUILDING INSPECTOR'S REPORT
NAME c_f Su 2 a r,.he (�C/A 44rtii
LOCATION � j VI ev- `mac •
Date 31 3 /y7 Permit No. - 773
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
L-Roofing d ��
-Siding 90 `71) ��,
Masonry Veneer
Rough Plumbing
lelief Valves o.k
Lxt. Porches a �, i t ij2�,,
tTlnished Floors - Ott
tenor Trim 0r
airs & Railings 1J.,at,,,,,� a 4.FAJ) 0.-1�_
Cellar Drain Tile •
Concrete Floors
- ibg. Fixtures 0, �C
7-<;ar. Fireproofing/y07- 7.4P .)
(.or Closers (:),/(
Lmoke Detectors (9,k
.,Chimney /110f eo4 G/ '
INSULATION:
foundation / o.k
Floors
1 Wa11.s O•t�
Ceiling
'�P1 AL ELECTRICAL SPECT ON 0lc 4.
DRIVEWAY APPROVAL
Final Building Survey •
Next scheduled inspection (call when ready)
Remarks-
. Iy--e El,
Building Inspector
6/86 and-vl
Jown of Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /,6 -G/ J'l?
LOCAT ION C evh2a--y, Jf Lg_
Date / /yi Permit No. ,'6, — 7 ��
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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
Concrete Floors 7
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
JJown of Queenit ur j
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME RCth. C! Li C/iCCshLUt,
LOCATION S/der PyLct,i `4-
Date lca3o /26 _ Permit No. O ( — '773
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing pctr r i 60 (7i
Relief Valves If
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing1////
Door Closers
Smoke Detectors
Chimney
I/INSULATION:
Foundation 1! 1\ JI
,Floors d ��
Walls p
r
iCeiling p
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
(r0/243
Building Inspector
6/86 and-vl
down of Queens ur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING
INSPECTOR ' S
IN SPECTOR ' S REPORT T
NAME Liâ4v ga_.„,66_____,l
LOCATION StLa.t.4
1"--&-.---,„.
Date / J > Permit No. -7 7.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
,.4Praming v( K,
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-
624e-3/4.,
( xiv3
Building Inspector
6/86 and-vl
i 434- 10.L •04All
Yi awn of QueenJbur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIIC DISPOSAL, SYSTEM INSPECTION
NAME 1CNi
4-U-P \, I. iiii-5/:(r3vi?
LOCATION f ikyLAA-,Jii--vg
DATE 11fr{/ n PERMIT NO. (,,- 171,3 •
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length ZOO
Length of each trench ';
Depth of trenches R3 -c./. i=d
Size of gravel -
SEEPAGE PITS{Number of) •
Size- ft. X ft.
Gravel size :
PIPING: " Size P Type
Bldg. to tank ;a ,/if;a' itk rpom t
Tank to dist. b1 xq. le p;iF<.
Dist. box to f'/el /pit � ,p VI:
Openings seale ? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank r 7ft.
Foundation to absorption 21;ft. (---
Absorption to lot line 6 p-ft.
Separation of pits - - :--ft,-
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
0i Va CO�'L� I I-F S + OiS . ck.
C C.L I t�rr.. 6-or 0 t= Li kVL
Fvrtn-M . ire re (40 cf.›-
14J ALL 0 LW
SYSTEM USE APPROVED YES NO
)(- Ckl."1 //
Building Inspectzror
01/86 and vl
cat 1(/ 1Y4 /i
Jown -ti-,of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
!J/ '//
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAMEfia ,,, !'' /
ako
LOCATION L rip Qv, er 411
Ai-e
Date /l/'' / Permit No. S6 ^ 773
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
(Foundation
Waterproofing
yBackfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile /
Concrete Floors f
Plbg. Fixtures w
Gar. Fireproofing \ /
Door Closers
Smoke Detectors I
Chimney
INSULATION:
Foundation
Floors
\Walls ,at CJ lJ
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
6641/6
Building Inspector
6/86 and-vl
/Z— r'c fix - //
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 () )- 4
LOCATION f g6444- /1
Date ('D / 3�1f Permit No. g(o� 77 3
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer p P/�
r/Rough Plumbing 'A Z-TA L
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tide
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-
Bui ding Insp tor
6/86 and-vl
AL-rjd /o/ 3 /c2.
awn of Queen3lury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME O/1 chbOrn
LOCATION rs/ „ r(a Lut
Date G / Permit No.(737
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES/I NO
'1—Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding \\\\\
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches /
Finished Floor
Interior Tr
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-
e e
Building I spector
\6/86 and-vl
/0/2 /
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