1988-032 r .p, `- .4
1 ,
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CERTIFICATE OF OCCUPANCY
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TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 9 19 89
This is to certify that work requested to be done as shown by Permit No. 38-32
has been completed.
This structure may beoccupied as a One Family dwelling
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Location Lot 11 Knolls is Rd. North Ridge Knolls
Dean Howland Jr.
Owner.
By Order Town Board
TOWN OF QUEENSBURY
r
Building & Zoning Inspector
{ BUILDING PERMIT
TOWN OF QUEENSBURY "
No. 88-32
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Dean Howland Jr. rn
OWNER of property located at Lot 11 Knolls Rd. North Street, Road or Ave. •
in the Town of Queensbury,To Construct or place a
REigkinifilin 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.
1. OWNER'S Address is Dean Howland
Box 140 Star Route
Glens Falls, N.Y. 12801
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2. CONTRACTOR or BUILDER'S Name
8XX Same 0
P-.
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address a
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6. TYPE of Construction—(Please indicate by X)
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(x)Wood Frame ( ) Masonry ( 1 Steel ( )
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7. PLANS and Specifications
No. 52' x 86' as per plot plan, specifications and application
including septic system and attached two car garage.
8. Proposed Use
One Family Dwelling o
co
CD
$5.00 C/O
$ 178.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1, 19 88
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C7
town of Queensbury before the expiration date.) c�D
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Dated at the Town of Queensbury this 11th Day of February 19 88
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector /ele
cc�� TO BE COMPLETED. BY BLDG: DEPT. .. ,
Down o/ Queenilssrf/ APPlication •No. •
TOWN OFC)U '
Permit Issued 19 • • E •BUILDING and ZONING.DEPARTMENT ' Permit'Expires 19 � 1 I
Bay.and Haviland Road, R.D.-1 Box 98 zoning. Designation , >. s•
Queensbu y, New York 12801 :Variance No,•
Site Plan. Review NO. � � ���
g(P"
J l� Approved }� • BUILDING & CODE DEPT..
.w
APPLICATION FOR
BUILDING AND ZONING PERMIT • _, a..
* * * * *..* * * * * * i...* *. -*.: ;* *. *.:<.*, * .*.•..4. * * *;*- .* . .•a•' *. * r* * .* * * it 4. , „•
A PERMIT MUST BE OBTAINED:BEFORE: BEGINNING CONSTRUCTION. ;ANSWERALL:OF THE FOLLOWING.
The understgned 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: JJP 14,c1/ J/i_
P.O. Address goy/<f0 3-27972 ,ece.2pc. `Cle U /<S .l.sJ,ei,/zeo/ • 'Tel. 7,3- Yd7 '
Property Location: 49 7-•// >e12.-Gs fUv `4 Tax .Map No. /_f •
Street• ,number or building lot number . ' •
Subdivision name (if applicable) ,c.i g, ,,,dCGs
THE RSON RESPONSIBLE FOR SUPERVISION] ,OF ,WORK AS REGARDS BUILDING CODES IS: _ •
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Name P.O. .Address Tel. No.
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Name of builder /, /jajLifw.i '.. Address " &‘,/9� "me),' ' . Tel. .
Name of plumber Address Tel.
Name of mason Address '' Tel
NATURE OF. PROPOSED'IrORK: * `• ..ZONING I NFORMATICN:
/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 �Ov ft X ft.
* Existing building(s) Size 'ft X ft.
* . . . . . . . . . .
PROPOSED 'BUILDING AND USE: * Existing buildings) Use
Size of new structure __ ft 'X 86 ft * '' .'' ` ' ' ' ' ' ' ' ' ' .' ' ' _
Foundation-pier/slab craw partial/full . * Proposed building, distance from property line
(circle one) Front
No. of stories (habitable spac ) * yard �'l� ft Rear yard . �`/ ft.
* Side. yards' • ',;Z)" • ft and ` 96 ft -
Height .(grade to ridge) r? ' ft. A. If on corner, .setback from side street 2.' ft '
If residential, no. of families . . . 1. •
No. of, rooms(excluding baths) ---2 ' • * . ..00CUPANCY: INFORMATION
No. of bedrooms / * PRIMARY BUILDING
No. of bathrooms 2 •
,,. One.family dwelling •
Primary heating system E/orar 4«eriic .- Two family dwelling
. Type of fuel P-t er2,c
Multiple dwelling / Number of units
No. of fireplaces *to be installed ' I * Permanent occupancy
Will a wood stove be installed?n)b ' * Transient occupancy
Central Air conditioning? 1U6 Business
*. •
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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 *
Cape Cod Cottage Other * ACCESSORY BUILDING-
- olonial Row Town House *' Detached garage/one car/ two car/ car
- ( CIRCLE ONE PLEASE ") '....._ *"Attached garage/one carCtwo ca / car
* * * * * * * * * * , * * * * * * * *' 'Private storage building '
ESTIMATED MARKET VALUE OF ' *' Other .
CONSTRUCTION *
$ ! r DO(� •
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI
Form SPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED •
BUILDING SPECIFICATIONS:
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Type of construction, wood frame, fire safe,etc. %i�Do�il firfJ -ram
Will any second-hand or ungraded lumber be used? If so, for what? A)O
Foundation wall material co.vc,e,trA A4e,cx Thickness > �i
Depth of foundation below'grade (to bottom of footing) 6/'6
Will there be a cellar? /t47 Heated or unheated? Floor sq. footage P•3f:33 sq ft •
Will there be a basement? f-t)D Will, any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof ope flat%shed/other • Material••of /roof .4,4G7/4,/a 454s,S ,5414'
Size, wood studs "X 6 " spacing /6 .'.'o.c...,length 294 9/ft.
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Joists(floor, beams) 1st.. floor 2 "X ./o " .spacing/6 "o.c. span %Z ft..
Joists (floor beams) 2nd. floor 2 "X i6 spacing /G "o.c. span /Z ft.
Overlay s(ceiling beams) 2 "X �� " spacing /6 "o.c._ span /Z- ft.. ,
Roof rafters Z "X " spacing /6�� o.c.. span 9 ' ft. v zy/2.'./4'0•e. !Z
Roof trusses(pre-engineered) spacing "o.c. span ft. .,. _ •
Exterior wall finish ah--5. . Of what material? C'.Fl�i- Grimm �i��,p�
Interior wall finish y. ., v' u0/-tG •`
If a garage is to. be.attachea, describe materials-_to:be used for. FIRE SEPARATION: .
Is there to be an opening between garage and dwelling? r„�s If so will a. Fire-rated . ,
door, enclosure, ;and-self-closing device •be 'proelded? (1,1,
Will a flue-lined chimney be installed?Zit ght 'ahove roof = .•..,7 '-• .. - 'ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth- _ % ft: "ii:
Water supply - Municipal or' private well i0,4:Lc._
SEPTIC SYSTEM._ Distance from ANY private well(including .adjoining properties /C� "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 T STATE OF NEW ,YORx • -
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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 workc:to be" done oon 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
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SWORN TO BEFORE ME THIS Signature •
Owner,. owner's• agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y. :;
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SPECIAL CONDITIONS OF THE PERMIT:
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By
® Queuk1(,vi1i
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE 1; ZG / 0.43
LOCATION OF PROPERTY FOR INSTALLATION to,/ // 2 >
(/24170
Owner's Name: /7`tv,JL9-ie-4' Telephone: 79��9a7
Address: _ /�Dx /'7(6 5773P /2 5
J '
Installer's Name: 5'em( Telephone:
Number of bedrooms (residential only) Lr/
Total daily flow (compute @ 150 gal per,bedroom) O()
Topography: circle one:6:1a_rt-) Rolling Steep Slope % of slope — --
Soil Nature: circle one: Sand Loam Cl Other / Depth: — feet
Ground Water: At what depth? G feet
Bedrock or Impervious Material: At what depth? — feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well: 0
Separation: Watersupply from Septic absorption — feet x
;5
PROPOSED SYSTEM: Septic Tank /QO(_> gal. (minimum size: 1,011 gal.)
TILE FIELD: Each Trench SO feet / Total system leng r °"
SEEPAGE PIT(S): Number of / Size each fe:t b feet
Size of stone to be used # _ / Depth or Thickness _ feet
*.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
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 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 Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person:
/v r
Date: /// 40
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD,PLACE TO LIVE
TOWN OF QUEENSBURY
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 (=7a,a3
2 . Type of heat 6,1S— /hc71 ,Qaiz
3 . Is the building mechanically cooled? /un
4 . Percentage of area of windows and doors 7 3v
A. Over 16% Only
1 . U value of gross area of wal , =o ; /ceiling and floors
exposed to ambient conditions R, 7 11
U. 03?
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? NO
1. If YES , what is the R value? gin
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_
2 . R value of exterior walls
3 . R value of glazed area
4 . R value of doors
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)
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation
C. Controls
1 . Thermostat maximum heat setting 5� ,'-atWo
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 //
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation ,0 /4-
F. Service Water Heating
1 . Performance efficiency 85` 0
2 . Temperature control setting maximum 6
G. For Swimming Pool Only
1 . Maximum heating
i
Telephone No. 79--� 607
(applicant ' s signature)
TOWN OF QUEENSBURY
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 2 3 9S
2 . Type of heat ELBc7/:!L ,e4L)//J;
3 . Is the building mechanically cooled? /00
4 . Percentage of area of windows and doors 2 3v
A. Over 16% Only
1. Uo value of gross area of wal s , rr-@: /ceiling and floors
exposed to ambient conditions \ 1/ V.Y ,-�'
O. o3? —
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? apoNO
1. If YES , what is the R value? gip
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•
2 . R value of exterior walls
3 . R valu.p of glazed area
4 . R value of doors
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)
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation
C. Controls
1. Thermostat maximum heat setting s #-,Jarwr'iJ
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
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximum heating
fit
Telephone No. -3- ( O7 / -/l,�f / 7-7/(r ^•'-/I
`79 - }�
(applicant ' s signature)
o/ l_ _ 6-6
\ %.7lerurit. o Qua-4441
1 zd'--,e0.44
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE 1,¢,, 2-G / v o
LOCATION OF PROPERTY FOR INSTALLATION 4 7z // ,� ,;�,,,o�s
Owner's Name: j X ,�Al?)(JJ/„�xY,/.C' Telephone: 79 1.9d7
ct
Address: — a)x /1-/O -777-1-P 4/7 c:t iz)6/2:6LL 5 .v-c-!'
Installer's Name: './mt / Telephone:
Number of bedrooms (residential only) —/7-
Total daily flow (compute @ 150 gal per bedroom). lo0C7
Topography: circle one: Fla Rolling Steep Slope % of,slope
Soil Nature: circle one: (Sand Loam Clay Other. / Depth: feet
i
Ground Water: At what depth? 4 feet
Bedrock or Impervious Material: At what depth? feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: Municipal Well Other
i
IF domestic water supply is a Well:Separation: Watersupply from Septic absorption feet x -60
PROPOSED SYSTEM: Septic Tank /GO ) gal. (minimum size: 1,0 gal.) I j i
l..
TILE FIELD: Each Trench S () feet / Total system leng �Gko C :)``•
t
SEEPAGE PIT(S): Number of / Size each fe t b - feet C,,t`�•t1t
Size of stone to be used # / Depth or Thickness feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO I3E INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
•
(over)
7
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
' be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
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 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 Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person:
Date:
Town of Queensbury
Building and Code.Department
Bay at Haviland Road
Queensbury, New York 1280.1
(518) 792-5832
SETTLED 1- TURAL BEAUTY . . . A GOOD Pi..`r'" TO LIVE
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
0OO Haddon Avo, Collingswood, NJ. O81U8
�
APPLICANT COMPLETES THIS SECTION /� � ' / /~ / / Dmn� .+y��� /L�f
City, Town orTownship County State
Looation/Ad
/ (If Locdted in Rural'Area Please Attach Directions) po|o #
Owner _�/x'/r~/ /�.�����v/�y `^/' Pormit #
Occupied As Building: New[ ON[�
Occupant
Work Area in Building (Floor #,*toJ:
App. fo,: VNhno Service IN or: Ready for Inspection:
Fee Remitted * Cash F7 ChookF-1 W1.{lF-] Make Payable To: M.D.iA`
Number of RoughYVihnUOu�|�� Elect. Heat
'� 1�" z,m z,m nm �oo o," es� ,,"° m"
Switches v
Amp Service Surface Unit /\ . ' Dishwasher X Range
Lighting )( Water Heater Air Conditioner /< Dryer }( Pump
Receptacles ^ �
Oven \( Garbage Disposal Wiring and Controls for /\ Burner
Number of Fixtures
Amp. Ronoptno|oo Fractional H.P. Vent Fans
Other Equipment:
MoTonn H.P. 1/201/1e 1/10 z/o 1/6 z/^ z/a 1/2 a/^ 1 z* e a 5 71/2 m� zy eo o, oo ^v xo ,, znv
Mark Number
of Each Size '--�
Annoovnt's '
Signature '' /�(��^'� License # Permit #
T/A ' Utility:
/�i <m��e> (orp/ce LOCATION)
(City) ��v��� (State) ^���� (Zip) />��L]� Somioo Request #
Phone # ��'��-x����� Electrician:
K8DIA USE ONLY
oArs neoswso. oxrs /mopscTso.
Correct Location: Same ao Above F1 or:
Red Notice Label | |
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Rmmptao|on Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. R000ptao|o
Amp. Service Conductors Pump Vent Fans
MOTORS . vc zu u
e � v 1/8 �v 1/6 1/4 z/a z/e 3/41 z* c a , 7112 zo z, eo un ao ^o ,v rs zov
NumberMark
of Each Size
Elect. Heat mo ,,o 1000 1250 /sm `,m 2000 225" 2500 om 3000
CERTIFICATIONS
USE FOR /mALvm cmnnsor
/romc/ mo�/p/so ��rs pss FEE PAID
RVV Progress: Inc.| | LKD| I Contractor
F-] CFT Violation: Work Comp.I Inc.
CASH /
� | L/A O»v»»r Fee CHK #
L/A Due
MO #
� IPA Municipal
|NV #
|
Date: Other Side Utility Owner F-1
Cut in Card Temp # Date
[l Final # Date INSPECTORS SIGNATURE
*ppuC*T/ow ronm mc,cou ELz1mo
N.J V JMV JV J
• t,�'wj V�•Vv J VJMV <�
MIDDLE DEPARTMENT�INSPECTION AGENCY,INC. d 0 ��`4
900 Haddon�Avenue uo in awood N d p8108
ay ` 0 ▪w Date June 15, 1989
ui ment listed has been e�caml�• �n"dts approved as being in accord
�Certlf leg that tte e)efutr)oral.e _
s r Applicable governmental, utility ana,AgOpcy rules.
with the National Electrical app 9
J E� ,� . welly ng§ C
•
Dean Howland a� P -1 } ,agcupancy t ,
Owner '°°� ��.
ccupant: Same r. 1, " • c.V } y "
uEenS19i2Y Warr-er�b-Ca t>7 ce ficate covers th7elec ricerequtpment and installation inspected this
Location: Lot 1 RidgeK ls, Q Y
A date. If additional equipmentishotild be introduced or alterations made to,
'. existing system this certificate stied be null and void• and application for
inspection should b6 submitted pro tly to this Agency.
150 Outletsu ec tacles; Q, i tug '
Equipment: 2 c4J��l� (J�tl�J ;yUolder o1 this certificate sh�uld•pf�,sent same to his property insurance carrier
200 Amp Sery e', 6 App, iances (agent or company)asevid nceLtcertificationof electrical equipment approved
as specified./
•
F. Dean Howland •
'
Applicant: Box 140. Star Rou ' ;� `� - � �fP
NO. 15-023947 C
Glens Falls, NY 12 -k•
. -` - .. _ .";�se��._nn: .nn, !•��\,J�LI.�r\ ,�r1rM� nr �iL. i_�� ��.�s _ -_� _. _ •
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.-
Eltactrical-Building-Plumbing-Fire Inspections
o
Late L 7
500F d 95 eQ.yl /-4-toc J
late • —�i �� � thsk
I ector All (t
T - constitu es certification that the
above installation, but not the equip-
ment itself, has been visually inspected
as of this date pursuant to the applic-
able codes. If additional equipment
should be introduced or alterations
made to the existing system or stuc-
ture, application for inspection should
be submitted promptly to this Agency.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280c.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
6 / 6 `
NAME 40-C1
'2 /J 1A1 le
LOCATION Ok---Di; I (j,, ftJCf
DATE (q-a q
PERMIT # 9r f -3 2-
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING -rI
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: c
FOUNDATION d'
FLOORS
WALLS '',
CEILING
VINAL INSPECTION: ''. 3'
CHIMNEY HEIGHT `+„ 7'ROOFING �t E , 1/f
SIDING w (/
EXTERNAL PORCHES/STEPS\ f
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF\VALVE V
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS k;,
GARAGE FIREPROOF.PNG
DOOR CLOSER(S) 1 \ IC
SMOKE DETECTORS,/
FINAL ELECTRICAL INSPECTION '';
FINAL APPROVAL 0 CONSTRUCTION
A SIGNED CERTIF/GATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
Mei «7, .
5 S 2��-rec(' GU�2,r
A(
INSPECTOR
TOWN
OF QUEENSBURY '727
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIONN RECEIVED
NAME laZa.4J
LOCATION / / e -:(
DATE G/- 7 PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS •
FOUNDATION/DAMP-PROOFING' •
BA KFILL APPROVAL /
OUGH PLUMBING I/
�F'RAMINGAz,ck
EECTRICAL ROUGH-IN .
NSULATION:
FOUNDATION
FLOORS `,
WALLS
CEILING • ,,r
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING '
i
SIDING �.
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY\DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER,t(S) •
SMOKE DETECTORS
FINAL.ELECTRICAL INSPECTION`
FINAL APPROVAL OF CONSTRUCTION
1
A SIGNED/CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED/FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS':
•
•
INSP CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832 // 7/yam
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ///1
NAME /0,.(:G'('/ia
LOCATION �J O)L
DATE /-/P F-9 PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
J J/fro
AMING (PCv:/Lv1 �� Ff0C1J' 0`9 �✓
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION ,
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT,
ROOFING
SIDING yy
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS/
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY/DOORS
FINISHED FLOORS
GARAGE FIREPROOFING/
DOOR CLOSER(S)
SMOKE DETECTORS /
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
}r
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
CPets lkddrwi X0-5 J
r
/100494,4
Caid
/
INSPECTOR
•
down oI Queeniuray
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ie,(e G9 U./(l /.CG --
LOCATION ,/ // ,12s-1-7,D/ — (4
Date 3 3 / Permit No. '�-3(
* * * * * * * * * * * * * * * * * * * * * * *
� ✓ = APPROVED - YES NO
LFo ting/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:
Foundation
Floors
Walls_
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVA
Final Building S rvey
Next scheduled inspection (call when ready)
Remarks-
•
4:17/14----r
Building Inspecto
6/86 and-vl •
Jocun o/ QueenAury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME /(' - ea -1
LOCATION �" // ,/r;;7 A--e.46 44 /L,
DATE,/, // PERMIT NO. F, = c 'o(
SOIL TYPE - Sand - Loam - Clay/
Percolation Test Required? Y,ES — NO
Percolation rate - Min/Inch,.
TYPE of SYSTEM: ,r j t
Absorption field, total/length
Length of each trench) / C)/r 4-t),) /J
Depth of trenches /
Size of gravel IF/2.-- _
SEEPAGE PITS-(Numbe°r of)
Size- ft. X /A ft.
Gravel size
PIPING: ,y V Size Type .
Bldg. to tank--
Tank to dist,/ box
Dist. box to field/pits.
Openings s aled? NO Partial
LOCATION 4SEPARATIONS: `.
Foundation to tank ft.
Foundation to absorption ft.
Absorption to lot line \\ ft.
Separat'on of pits `'i\, ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front {l Rear - Left side - Right side -
if
COMMENtS:
AO()CM L- l � a ,�—
/tl(,VYALt, hi 6,,vrt- d 2 0Ui'2L--io.
SYSTEM USE APPROVED S NO,,
•
Buildin Inspector
01/86 and vl
•
Jown o� Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98M
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPPECTION
NAME C(i✓ 7�'�W/ ��—
LOCATION // - --e( q' /r-% :) /
DATE_//- /�('') PERMIT NO.
SOIL TYPE - Sand - Loam' . M--
Percolation Test Re. ed? YES NO
Percolation rate - Min/Inch ?'
b
TYPE of\7STEM: g 4/0 /
Absorption field, total len t
Length of4vh trench 4 C)
Depth of trenches vp_ - `,
Size of gravel
SEEPAGE PITS4N of) ' .
Size- . X\ ft • /
Gra size ,
PIPING: \ Size y0
Bldg. to tank • Li Cf S'ce-{ LfCZ
Tank to dist. box 1 1.1 //U�
Dist. box to field/ Pre--
Openings sealed? E NO/ Partial
\
LOCATION/SEPARATIONS: 4%
Foundation to tank /
Foundation to absorption \\-77— at:f�
Absorption to lot
Separation of pits/. ,4f ft.
LOCATION OF SYSTEM./ON. PROPERTY(circle one)
t ron - Rear - L ft siTi)- Right side -
COMMENTS:
r _ •
&-ILM i C, t.5 ! /Z 5a
/14.I.,(1 f U/1/1 / Af SC) r S try l4-
. P-4-L 1- 0- S .
•
SYSTEM USE APPROVED YE NO
Building Inspe or •
01/86 and vl
ccritikt,
_town of Q ee nJt urcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME e_a..., A�LG
LOCATION
Date 6 30 / Permit No. Fif)--3,„
* * * * * * * * * * * * * * * * * * * * * * *
/0/ = APPROVED - YES / NO
Footing/Pier Forms
/pFoundation
Waterproofing
Backfill
Framing
Roofing
Sidi •
Mason Veneer
Rough rlumbing
Relief alves
Ext. Port es
Finished oors
Interior Tr'm
Stairs & Rai .i gs
Cellar Drain ''le
Concrete Flo'•r
Plbg. Fixtu es
Gar. Firep oofin•
Door Clos:rs
Smoke De -ctors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceili •
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
ildin nspector
6/86 and-vl
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