1986-801 c�
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 2 1987
930\ 1/\
This is to certify that work requested to be done as shown by Permit No. R6-801
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Lot 12 Lambert Drive (St. No. 30)
Owner Laura and Frank Cousart
By Order Town Board
TOWN OF QUEENSBURY
CBuilding & Zoning Inspectoor r•
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-801 •
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Laura and Frank Cousart
OWNER of property located at Lot 12 Lambert Drive (St. No. 30) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling ta•
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 0
Regency Park Apts.
a
Queensbury, NY 12801
0
2. CONTRACTOR or BUILDER'S Name ci
0
AJS Enterprises, Inc.
w-
n
rt
3. CONTRACTOR or BUILDER'S Address
4 Amy Lane
Queensbury, NY 12801
4. ARCHITECT'S Name O
0
rt
o
O tv
w
5. ARCHITECT'S Address
0
a. n
�• rt
6. TYPE of Construction—(Please indicate by X) COf
H. N-
O
Wood Frame ( ) Masonry ( )Steel ( )
cn
7. PLANS and Specifications ;t
No. 32'x50' per plot plan, specifications and application submitted o
including sewage system and two—car attached garage.
8. Proposed Use
One—Family Dwelling
CD
•
$5.00 C/O
115.00 w
$ PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 �g87
(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.)
t7
Dated at the Town of Queensbury this 13th Day of November 19 86
SIGNED BY 1U � for the Town of Queensbury erg
Q�7 n� Building and oning Insp�
* TO BE COMPLETED BY BLDG. DEPT.
.Jouin oi Queen. 44ure� Application No. TCFQUEENSpIJRY
Permit Ixure 19 ,E �r1
BUILDING'arld ZONING DEPARTMENT 'permit Expires 19 Re 1@rt B
Bay and Haviland Road, R.D. 1 Box 98 • , ' Zoning Designation - 1 ,
Queensbury,.New York 12801 . Variance No. • • NOVA �( 1985 7
. site •P1 view No 1 0� P.lY
• Approv by. e 1it #",J tiui -�--11218)f al
ill
• . '• APPLICATION FOR /I,/U4!
s
BUILDING AND ZONING PERMIT, •- � -
* * * * * * ,_*._* *,-* * .* * * ;* * b.. * *.,* -a ..* * * it * l* .* * * * * * a * * * * .* .
. 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: 'L
� a /V V �C�,,L/ _s -/ CbuSawi
P.O. Address Q c • AQYX 4 '. '
. Tel. /7 3-.1 7 Z
.
Pro f
party Location: Jt a .1a4yy‘-edli t . - 451- n36 Tax Map No. /,) / / /3. 3
Street number or building lot.number.,.
' Subdivision name (if applicable)..: ()Q 0.A Q 0S^
THE. PERSON RESPONSIBLE FOR SUPERVISIQN.OF WORK.•AS .REGARDS BUILDING CODES IS:
r �s �.. _ •
-
.. Name' p.0: Address _ - Tel No.
Name of builder "j' 1 e' .. ' .' Address • Tel.
Name•of •plumber 107.-7rv_ qr ' Address . p/Srh',Fr./4 Tel. 7 V7 -aY'7GName ofmason Liolo 7d,hQ,l : Address q.�, d //G. Tel. (, '2 - /yG(e
" NATURE .OF PROPOSED WORK: . - * ZONING: INFORMATION:
•
X Construction, of a new building ,* A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
_'Addition to a building * drawn• reasonably to scale and attached hereto,
Alteration to a building • * showing clearly and distinctly all buildings, .
(no change to exterior dimensions)` * .whether existing or'proposed and indicate all
Other .work (describe) * set-back dimensions from property lines. Give.
* street and number or lot number and indicate
FOR.DEMOLITION PERMIT, 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 • /1'O ft X c3,c-ft.
* Existing building(s) Size : • ft X ft.
PROPOSED. BUILDING AND.USE: . .
* Existing building(s) Use . .
Size of new structure .13- ft X 5-Oft ' * ' '
Foundation-pier/slab/crawl/partiallel * Proposed building, distance from property line
(circle one) *
- No. of •stories (habitable space) '' Z * Front yard s� ft Rear yard /�3 ft
Height . (grade to ridge) 7 ft. .*. Side yards . ' � ft and 5'-" ft
If residential,. no, of families J * If on corner,- setback from side street ft
: No. of rooms(excluding baths) .(a' _ * . OCCUPANCY INFORMATION
. No. . of bedrooms -3 • * '
No. of bathrooms / * PRIMARY, BUILDING
. Primary heating system c%G 1. * )� One family dwelling.
Type of fuel * Two family dwelling
No. of fireplaces to be installed Q * •• Multiple dwelling /Number of' units
Will a wood stove be installed? d/d. *. Permmanent occupancy
--Central Air conditioning? ' * Transient occupancy
* 'Business. '
BUILDING STYLE, PRIMARY STRUCTURE ' . • * Industrial .
Ranch Contemporary Log cabin •
* Other
Raised ranch Mansion Duplex * If addition, .what will use be?
. ., Split level Old style Bungalow. * '
. Ca a Cod Cottage ' Other * ACCESSORY. BUILDING- '
Colonial Row Town House ' * - Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) *" )(Attached ,garage/one car/ two ear/ . car
* * * * * * * * * .R * * * * * * * * Private storage building '
ESTIMATED MARKET VALUE OF -- * Other '
CONSTRUCTION *
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 fram fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? �fQ
Foundation wall material //GJ-e s . Thickness '�
"
,/Depth of foundation below grade (to botto n footing) 4 y4'
Will there be a cellar? W.5 Heated o unheated
Will there be a basemen? Floor sq. footage /f� sq ft
Will any portion be used as living space?(If so, what portion? sq.ft. - - Type of use?
Type of roof - - oped flat/shed/other Material.•of roof ., J �s
Size, wood stud- length cP ft. V�� �c s�r
X �v spacing . /(o o.c. g
Joists(floor beams) 1st. floor
o.c. span /Joists (floor beams) 2nd. floor � "XX �� ". spacing /6 a ft.
Overlays(ceiling beams) X � " �n spacing /�„ o.c. span /2 ft.
• " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span " ft.
Roof trusses(pre-engineered) "pacingd Y "o.c: span, ),, ft.
. Exterior wall finish ��Ql� q Of what material? �/�it
Interior wall ,finish S'�r,, , e
•
If a garage is to be attached, de�`sc ,ibe mate ials to be used for FIRE SEPARATION:,
Is there to be an opening between ara e a e
9 9 nd dwelling? 9P5 If so will a Fire-rated.
door, enclosure, and.self-closing. device be provided? . /C/cA'S '
Will a flue-lined -chimney be. installed? " . Height abdve roof
/j/D - ft.
Depth of chimney foundation below grade ft.
Depth of fireplac- . - . th ft. in. :
Water supply - Municipa or private well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties Ad--6 ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury '
County of Warren A F F I' D 'A V I 1- • 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 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 • ---. ,�,L'�S
Signature -� `j�;"�s" . ,
�Jf/�U� 19 n� ''Owne owner's agen ,.a c altect,contractor
day of /!/ j
. . OF .
•
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * it * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
By
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application fors 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 � � ' .
2. Type of heat E�to�'? +'/L J42f G :7 ;.<1
3. Is the building mechanically cooled?
4. Percentage of area of windows and doors T/ 3
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 of floors?
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 tloors exposed to ambient conditions
2. . R value of exterior walls ' //9
3. R value of glazed area / �
4. . R value of doors / 5;./
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). fP'-GP .
9. R value of heated basement/cellar. walls (below grade) d
10. Type of insulation /A,--(e¢515' ai/Q\ Q-h-►
C. Controls
6
1. Thermostat maximum heat setting V
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If YES, R value of duct , installation
b. R value of duct in other. areas
E. Piping Insulation l(
1. Size of hot water or cooling carrying agent pipe 3//-
2. R value of pipe insulation
F. Service Water Heating
1. Performance efficiency -
2. Temperature control setting maximum - / /11
G. For Swimming Pool Only . .
1. Maximutp heating
Telephone No. 2911 75 l S' ,-,1�S .rd
(a licant 's si ature)
awn of Queen3iuru
eull QING and ZONING DEPARTMENT APPLICATION FOR SEPTIC. DISPOSAL PERMIT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
DATE // /
LOCATION OF PROPERTY ROR INSTALLATION /17Z /2 /' A
OWNER'S NAME G` �� ' _cWi/T/L
ADDRESS gto
•.
F,,,, - T E L 273 G'1
INSTALLER' S NAME
,1)}..5-,
YUQ/Jzc TEL 'y7- 975r
Number of bedrooms(residential only) 3
Total daily flow(compute @ 150 gal per bedroom)
Topography: GP Rolling Steep slope - (circle one) % of slope
Soil nature: Loam Clay - Other Depth ft.
Ground water -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 /6--d ft.
Proposed System: . Septic tank /5 -0 gal. ( Minimun size, 1000 gal. )
' Tile Field -' Each trenbh i- ofsystemlegnth�= yp ft.: Total l ft.
Seepage pit(s) Number of . Size each ft X ft
Size of stone to be used '# 3 Depth or thickness. ft.
IMPORTANT i i * * '* * * * * * * * * * * * * * * * . * * * * * * * * * * * * * ..
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..ldnes and from ANY DOMESTIC WATER SUPPLY or
shore-line of lake,'stream,pond or wet-lands. Include 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 a Z Z requirements of. The Town of .Queensbury
Sanitary Sewage Disposal Ordinance.
0--Signature of responsible person 75
Date ��,?/tr�
05/86 and/vl ��
a.
—
ti.AtA,Yt!",A' )'�)tJ•.co,".!tL Vie,." m4.‘Rk)P{)PI IkA'A".)w."J_AkA4 '.0{A'k.ok"-m!-W.".".AR6.".A.A9 "."-)_Al,ati W.)_ti. �W!'"..j°t lv!!'r"- ! EE
4001534 THE NEW YORK BOARD OF FIRE UNDERWRITERS
— 1 BUREAU OF ELECTRICITY O ;v
t; � � � � I
�, 41 STATE STREET.ALBANY, NEW Y0�2K(12207
.4, Date b March 11, 1987Application No.on file i 3 �� ` .)
tc. THIS CERTIFIES THAT �� is
'' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
i;
i' '•
Laura & Frank,, Dousant, Lambe': Drive, Queensbury, New York Pole # 13.3
a outside 12.'•
_ in the following location; 0' Basement ❑list Ft. ❑2nd Fl. Section 121Block 1 Lot •%1
- was examined on • � 1 J2 f 37 and found to be in compliance with the requirements of this Board. ' _
'' =
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ':
ECEPTACLES SWITCHES mENtullr
OUTLETS INCANDESCENT p FLUORESCENT yAK AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.. !
2C, 49 31 22 4 J `LL =
—
IS _
DRYERS „ FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET • DIMMERS ..ii _
SYSTEMS =
AMT. K.W. .OIL H.P. GAS H.P. AMT. NOS,f.-A.W.'.G:C '; MAT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS -P —_
•
= IJ �' 1 eal�LE r 3�f 1 ) :':
1 rl t t*t�X it 1) .4 =
SERVICE DISCONNECT' NO.OF S E R V I C E :
METER NO.Of CC.COND. A.W.G. A.W.G. A.W.G. i
MAT. AMP. TYPE EQUIP. 1,B'2W 1�'3W 3 b'3W 3,B'4W PER.B OF CC.COND. NO.OF HI-LEG OF W.HI-G. NO.OF NEUTRALS Of NEUTRAL —
' 1 4/0 1 2J+J '
, 1 20C eb , 1 x ..
ie OTHER APPARATUS: i'
-1. / •
� 1—g f c i - :....4
1.
.; 1-smoicd detector .
2.0 -
_ �. electric heaters 0i kw i
_ •'�• 7j 44 1.5 kw
EE ! ,r 22 1.0 lrir =
i' 7; ',
.X. I 2 ' —
i'
= -te L'T'3 Lnterflrlseb Inc. 7
1, 4 .Aany Lane G' �J-' L
Ir�
ic Glens Falls, New York 12301
BRANCH MANAGER
IA; I i ':
Per
— ; 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. `:
Y'iif-ie 4i'ir♦ CletiliNIMI rireSNIMEtilEtiliffiliftint 0 ninilifin1050310 MEMO 0 0 0 0 ! !I WI 0 M 0 5ilifilESINIM r w'-- •i . .. _
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
P
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
- ITEMP.# IDATE
CITY OR -"-ii F
VILLAGE (if f T%,,/J11 J /j-r/�-( TOWNSHIP COUNTY t � //i c:�,�
STREET AND NO(OR/' / r ��`
ROAD AND POLE NO. ,'O `' I ) /.: -'b1. -%f 'r^ %f • 0_. i/.9Jlf 1r11�[rOLE NO.
WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION i / BLOCK 1 LOT '7
OCCUPANT'S �• J BUILDING _/' • /7 I
NAME /%firii�1 /j �� `/7�.,,r, '`';1� i/ 'ill if 1 OCCUPANCY '. ♦ T. /"/� r` "'.^rryj ,4
OWNER'S NAME _ V
AND ADDRESS3.1 (' TEL.# /../-) /i�`�
on
CURRENT
SUPPLIED 41 - f 1 ;
BY •'/.% i /.�1," ti.ice- /! FROM THEIR ( li /- / OFFICE
IS BUILDING NEW Kr OLD❑ WORK NEW I ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loco- ONLY
tion Side Attaeh'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.
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 cf,: FEEDERS LAMPS WATTS
CHARACTER .f o EXPOSED GAS TUBE SIGN
OF WORK rnnlCc.ill Fn TRANSFORMERS OF VA
, WORK TO BE I f i (NUMBER) (CAPACITY)
STARTED : %/r, ? COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS X BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS 1 i
POSSIBLE !-%j1 f f , i�i-/� NEW 111 OLD Ej
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND?ADDRESS / ----
NAME OF r J/ Cam ' ���• -f ���
APPLICANT <° I 1 J--7 Y/ /•� -.� "�%�r/ APPLICATION ��� i/ 1 rn
STREET ADDRESS :�+'- ! �%'r ,_r r/4 TELEPHONE# j%�1)
�� / ) /
CITY
OR /;, f✓ CODI�r/l/�/ WHEN APPLICABLE
POSTLICENSE NO.
OFFICE I /rir ' �' > ///
46 EL (REV.1/85) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
Jown o/ Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION hAMriT- pit( LJL
Date 3/2/ �J 7 Permit No. 0 (.0-
* * * * * * * * * * * * * * * * * * * * * * *
I/ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves Ext. Porches aG l4&S9-Pi4.1`f0 1900re
Finished Floors
Interior Trim ,r
Stairs & Railings/ (M CLt/1 dv46- k
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing �a
Door Closers
Smoke Detectors
Chimney /
INSULATION: `
Foundation Z fom411 Iil i61z-Z'f
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
�nv.roTG�rn. c v %r Por/f-'u-%
Pitrl 25 —Q v ()L /6
Bui ding Inspecto
6/86 and-vl
c� ``• a
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 1-
r2 Z6.6ni..l JZi tiE
Date ✓✓JJJJ Z�Z7/ 757 Permit No. [q - (-5)(-)
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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
Door Closers
Smoke Detectors
Chimney
INSULATION:
Nvi
Foundation
Floors
Walls / \
Ceiling
FINAL ELECTRICAL INSPECTION l�
DRIVEWAY APPROVAL
Final Building Survey 1Zja-e,f4 c.
Remarks- Oblow -ycr (j fe rro..{) T v
2124 11' Gv 6-
ae- 5t -205/4 v3 i 6 A-i/-6P-S j'
(,US cT i t G e-r 4 /w C , A,vc f
&(M, L 6,6 6 I( if
15G
Bui ding In pect r
6/86 and-vl
dm11
Jown o f Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
; n7,.
Goo
BUILDING INSPECTOR ' S REPORT
NAME a/A- 1 F�GLn /� COGI.5.4,7-
LOCATION /2_ L.Ci-4�
Yl(Ar5
a13f/,1(, / Y'7 Permit No. (f - °
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
LRoofing or
ding at.
Masonry Veneer
Rough Plumbing
lief Valves n
kt. Porches W.,(677r+_ipee ./y r
finished Floors
jTirfEerior Trim OI`
Stairs & Railings ,y-0 (. 69(9
Cellar Drain Tile
Concrete Floors
Ibg. Fixtures 1 ok
1. r. Fireproofing \ / OJ
moor Closers , .<` (9
lS1noke Detectors 4 0.
Chimney , >
LINSULATI ON:
inundation /yz,(4 �,��`'•-.,
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION Yolk
DRIVEWAY APPROVAL
Final Building Survey 1,I
Next scheduled inspection (call when ready')
Remarks-
44- cetrerZ,
gLee -
//e. dhanyv /4rt-- OAA*4.
ivntruri
Building Inspector
6/86 and-vl
�] Y" 3 SCznn..
Jocan 01 Quecniurty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Chu-.SCe..!'T /j V si G
LOCATION—
Date / / Permit
No. � -PO/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
).Framing
Roofing
Siding
Masonry Veneer
}dough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile f
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing f
Door Closers f
Smoke Detectors
Chimney
INSULATION:
///
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
IN Ur/4c11t 440 CLiti -t �-
0-6vir-
/ s- 6A 2
Buil ing Inspe to
6/86 and-vl
P /asi J'6 // / -?
own of Queenitur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME )
aLtra. C0U SGtL r
LOCATION 2_v7-- , z L a hi /)).-, 44-e
Date /I/AC /gs- Permit No. 0 G--80/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES/.j NO
"O Footing/Pier Forms �oi- q c q K �/
Foundation 0
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 ''•, r
Gar. Fireproofing J/
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—
PwiP miciro IT)
4
Bu ldin Ins ec r
6/86 and-vl
el l/ a ///(9,74x- /O .' J /9711
own of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
RLz,.,t A LIA )1l° Y(Y6
BUILDING INSPECTOR ' S REPORT
NAME a L SG1,t--T
LOCATION /-0 r /) L `-7i/2
Date /// ,G /M, Permit No. (r(_ (rd./
* * * * * * * * * * * * ** * * * * * * * * *
i� = APPROVED - YES / NO
rooting/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;K:
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 _FS (3_,oh Thc4'6)-- felfz_<
/44,72, 1/44%,e-ei—e
.
6///14t5
Building Inspector
6/86 and-vl
W
cc�� A-cT a,v0}AA Ccj.Jr C.
awn o/ QueenJitury
•
BUILDING and ZONING DEPARTMENT
/ rf� Bay and Haviland Road, RD. 1 Box 98
07 Gueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
• E A-1-5 C(5W 5 a4-
LOCATION 12 2.//-M d3 i1-t yL, .
DATE / /3/ SIP PERMIT NO. ' Co ` S ° I
SOIL TYPE San) Loam - Clay -
Percolation Test Required? YES - CIO)
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches '
ze . - .vel
SEEPAGE PIT Number of)
_ - t. X Crit.
Gravel size . `7
PIPING: Size ' ype
Bldg. to tank itPt-�Tank to dist. box ;.4
Dist. box to field/fit 4;
4-1
Openings sealed? �E NO Partial
LOCATION/SEPARATIONS:)
Foundation to tank 0/fit.
Foundation to absorption 0 &f t.
Absorption to lot line ak_ t.
Separation of pits J S ft.
LOCATION OF SYSTEM ONE OPERTY(circle one)
roni - Rear - eft side - Right side -
• ENTS:
000 A� -6- 6).,(11
€uoSC
•
Z— --k C-
SYSTEM USE APPROVED NO
0
'WAIF' ilti.
Bu Y ding Inspector
01/86 and vl
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