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1987-362 } MMMMM +CER.TIFI+C, Now �TE OF OCCUPANCY C TOWN OF Q'UEENSBURY WARREN COUNTY, NEW YORK Date February 796 19 3n This is to certify that work retluested to be done as shown by permit No. 37- 362 has been completed. This structure may be occupied sia a C)tte—xamil Dwe 11. jrx I-ovation LuL 31 'Hidden H4118 Drive Hidelert Hills " tUbalvisjujl Owner David Burt By Order Town Board 'rOWN OF QUEENSBURY Building & Zoning Inspector z BUILDING PERMIT TOWN OF +QUEENSBURY No. $ 7-362 . WARREN COUNTY, NEW YORK PERMISSION is hereby granted to David Burt J„ . OWNER of property located at Dot 31 Hidden Hills Drive ( St . No . 31) Street, (toad or Ave. w 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. t. OWNER'S Address is W 20 Platt St . I1-4 r� Glens Falls , New York � 2. CONTRACTOR or BUl LDER'S Name same 3. CONTRACTOR or BUILDER 'S Address x r H. p r. r 4_ ARCHITECT'S Name CD w C7 x x N• I+ I� CIA r a. S. ARCHITECT°$ Address [r� tir x a' F'• C a7 6. TYPE of Construction — (Please indicate by X) m C1 W F't D Y• ( X) Wood Frames I ) Masonry { I Steel 7. PLANS and Specifications r7 No. 40 ' x26 ' dwelling , 24 ' x26 ' two-car attached garage per plot plan , . o specifications and applicatiin including sewage system . -• • S. Proposed Use I V One-Family Dwelling 0 a ro $5 . 00 C /O l ~n 164 . 00 0 $ PERMIT FEE PAID - THIS PERMIT EXPIRES January 1 19 $$ � lIf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N town of Queensbury before the expiration date.) CD E Dated at the Town of Queensbury this 18th Day of June 19 87 r SIGNED BY ; / k °} far the Town of Queensbury Building and Zoning Inspector To BE COMPLETED BY BLDG . DEPT . � � �] r Application No . L �JOWn o/ Que4vn3[� Gtry Permit Issued l� ��� V %7 BUILDING and ZONING DEPARTMENT Permit Expires 19 t I Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation BUILDING & CODE EF11 Queensbury, New York 12801 Variance No . Site Plan Review No i �� f` _ _ 31 ! Approved `� 4 e2 C{+G� C.r/I, r fJrJ PI S APPLICATION FOR BUILDING AND ZONING PERMIT 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 _____ --- ____ ...........,r P . O . Address ( ) /St je Tel . -� Tax Map No . Property Location : Street number or building lot number�� Subdivision name (if applicable) 2 i2 t1 I// - THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING 'CODES IS : eti r t� r L�� �f 5 G `~ pqpqpqpqpqp 8 -8 d ` Name P . O. Address Tel . No . Name of builder_ R1 t �1.5 Address -jiL14/Jt7 h1f! Tel ]�� 13 Name of plumber ��- Addressc � nrw. Tel . ? � 5 `� ! I~_ L & �eenJT Tel . ? JOF Name of mason L j°d.v -t Address NATURE OF PROPOSED WORK : * ZONING INFORMATION : nstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , X'Co _Addition to a building drawn reasonably to scale and attached hereto , Alteration to a building showing clearly and distinctly all buildings , whether existing or proposed and indicate all � (no change to exterior dimensions) *Other work (describe) set-back dimensions from property lines . Give -- * street and number or lot number and indicate * whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . * Size of property 00 ft x � ft . Existing building ( s) Size ft X £t . PROPOSED BUILDING AND USE : m1 ( y rj4yqrL5q-dKe Existing building ( s ) Use Size of new structure b ft x 24 ft � Proposed building , distance from property line Foundation-pier/ slab/crawl/partial u 1 * p f ( circle one ) * Front yard !] ft Rear yard `q ft Now of stories (habitable space) .�- * Side yards _i ^ft and / ft Height ( grade to ridge ) C;2 � � ft ' if on corner , setback from side street ft If residential , no . of families L * OCCUPANCY INFORMATION No . of rooms ( excludi.ng aths )_ ` No. of bedrooms — * PRIMARY BUILDING - No . of bathrooms 3 * One family dwelling Primary heating system 44S ,d1bZ: WH Two family dwelling Type of fuel �i /' $ * Multiple dwelling / Number of units No . of fireplaces to be installed Permanent occupancy Will a wood stove be installed? *, Transient occupancy Central Air conditioning? ,I^I/ C? Business BUILDING STYLE, PRIMARY STRUCTURE * industrial * Other Ranch Contemporary Log cabin If addition , what will use be? Raised ranch Mansion Duplex split level Old style Bungalow C Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ fir/ car CIRCLE ONE PLEASE ) * Attached garage/one car two ca car * * * * * * x * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * 'Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETEDI Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , od frame fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material P67vo ..e-r-1 Thickness _ Depth of foundation below grade (to bottom of footing ) Will there be a cellar? Heated or unheated? Floor sq. footage s £t Will there be a basement? _�e� Will any portion be used as living space ? q gN cs { If so , what por n? sq . ft . - - Type of use? - Type of roof slope flat/shed/other Material of roof Size , wood stu s "X spacing�"'a . c . lengthft . joists ( £lacer beams ) 1st . floor '? „X_�,r spacing o . c . span^ ft . 301sts ( floor beams) 2nd . floor _._ �'"X ( O '" spacingfa "c , c . span rr(�"ft _ rOverlays { ceiling beams ) "X '" spacing "o . c . span J 3 �46ft . - Roof rafters "X " spacing a . c . span ft . Roo£ trusses (pre-engineered) spacing Zq" " a . c . span Z7 ft . Exterior wall finish S or I AJ 4, Of what material? ,/ � � yr,� Interior wall finish If a garage is to be attached , describe materials to be used .for FIRE SEPARATION : 5 r+ colc> C7 OC Is there to be an opening between garage and dwellings s?.S If so will a Fire-rated door , enclosure , and self- closing device be ,provided? as Will a flue-lined chimney be installed? A/0 Height above roof Depth of chimney foundation below grade ft . ft . Depth of fircpr 1 r P_ a _ft . in . Water supplyMunicipal r private well SEPTIC SYSTEM Dy ce from ANY private well ( including adjoining properties roams ft . (A separate application is necessary for anpy lrlepair or new installation of septic system) Town of f Warren A F F I D A V I T STATE OF NEW YORIC 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 specified or not , and that such work, is authorized by the owner . SWORN TO BEFORE ME THIS Signature _�'_T �_— c _- (� ! �,e t day of ��- Owner;. owner ' s agent , arcniLect, contractor 19 ._ Notary Public , Warren County, N . Y . SPECIAL CONDITIONS OF THE PERMIT : By- ....... 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 2 . Type of heat ]/ 5Ft3 3 , is the building mechanically cooled ? NO 4 * percentage of area of windows and doors 14Z A . Over 16 % Only 1 . 'U � value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over 'heated spaces YES S . �-- „ a . Are foundation walls insulated YE NO 1 . if YES , what is the R value ? _ 3 . Slab on grade YES NO a , If YES , what is the value of insulation around perimeter of floor ? q , Is basement heated ? YE NO a . R value Of insulationf 5 . Type of insulation r� r F „lac !' r7S B . Under 16 � Only 1 . R value of roof and floorp /posed 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. 111111 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 ) ! L .- 10 . Type of insulation C . Controls 1 . Thermostat maximum 'heat setting �7 D _ Duct Systems NO 1 . Is duct system Installed in unheated spaces ? YES a , If YES , R value of duct installation b . R value of duct in other areas E , pipiIng Insulation rr 1 _Size of hot water or cooling carrying agent Pipe . 7 � 2 . R value of pipe insulation F . Service Water cleating 1 . Performance efficiency 2 , Temperature control setting max mum G . For Swimming Pool Only 1 . Maximum heating / Telephone No u/ ( 11Gti1} tL' CT4iystuturc) { af p APPLICATION F•OR SEPTIC DISPOSAL PERMIT IRATE I LOCATION OF PROPERTY FOR. INSTALLATION � IL Owner's Name: /�"E/-f �G fS V/� Telephone: _ 2 f a rZ> 6 " Address: Installer's Name: w7 C 1 _LrJ �� ,nt Telephone: f :7 % ' 40 4; a Number of bedrooms (residential only) _ 4 Total daily* flow (compute @ 150 gal per bedroom) �V Topography. circle one• at Rolling Steep Slope rb of slope Soil Nature: circle one* Sand Loam Clay Other / Depth* feet I Ground Water: At what depth? do feet Bedrock or Impervious Materialt At what depth? 56 feet pco]a{ion {es{� circle one: not required required / rate min. inch. Domestic water supplT: circle one Municipal Well Other IF domestic water supply is a Well* Separation: 'Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Ta k / �� gal. (minimum size* 1 ,000E gal.) TILE FIELD: Each Trent �j eet / Total system length feet SEEPAGE PIT(S) * Number of _ '�" / Size each feet by feet / G�— 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 $2 So.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 Queeasbury Sanitary Sewage Disposal finance. Signature of responsible person: Date: --'7 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 E NEW YC] RK BOARD OF FIRE UNDERWRITERS TH _ BUREAU OF ELECTRICITY 41 STATE STREET. ALBANY, NEW YORK 12207 ..1 1 3 ` 95 � ,4ppucation i'Vo. on file (' 16,5,56. 87 A �(j� $_ Date April 19 . 198E clan number in thalareresiaes of THIS CERTIFIES THAT only the electrical egesiprraent as descrif+ed base end introduced by the applicarat named on the wboee applica David E . Burt , Bidden 'Rills ♦ Glens Falls . NeW York IeL Fl. � and Ft- Qtstside Section Block Lot 31 ® BaserraenL uirernenta of this Hoard. 5 in the,rollvwing locution, t and found to be in cor.spliance with the req Y was examined on 2 f 19 /88 RANGES coo KtNG DECKS OVENS {115i'1 WASHERS EkMAUST �FA i FXTURES FIXTURE ACL" SVAVCHES AMT. ' . W. ' GUTMTS INCANDESCtNT FlIK}MESGENT v APAT 18 6 21 17 i Rs srEcaA4 REC�PT nME CtOCtts BEu ut�11r ttEATERS MLII.Tt•OUtt,RT pIMMERS pJTURE AM11ARtCE � f'FSTRIiltS wMT. wAl"fS DRYERS FURNACE MOTORS ,MT. AMPS. rttAN#. AMT. ++. ■. NO. TSF MEET AMT- K- W. OR H. P. I vrya 1D C E S E R V 1 ►u jn G. $EKVICE DIET �T A. w. r.. No or wEunrAls ar Nt13n1�T NO. 6F CC. CC 04U A. w. G. NO. # HbLEG CIF HI-LEG AMT- AMP. TYPE RTffm 1 0 7W 1 .IF 3W 3 X 3W 3 1 Itlr TER d 17F CC. COND. 4 /Q 1 200 'CB 1 x 1 L OTnM APPARATUS: " F - GFCI 1 1- Stmake Detector David E . Burt ' BRANCH MANAGER 20 Platt "street 239 Glens 'E"alis , New 12fi01 , per identified I:ty This certificate must rwt be altered in any rrwnnerr Tet+urn to the office of the eoord if incarrvdct. SOT F3E ALTERED � ANY ��tER credentials- return GQPY FOR BL11L1?I'NG 'pEPAi2TMENT. THlS GQPY QF CERTIFICAT'E MISS __ f - - - _--_ _. � _-_ . --_ ._. • y AR BUILDING and ZONING o ,V). A Box '98 Bay and Haviland Road, 0 , QueensburY. New York 12801 CiUl L[? t tSG I N5F' ECT 'OR r S REPORT 31 LOCAT I ON vv Permit NO • �* #/* * "PPROVED Faotin�3/F er Forms Foundation WateYproof ine! gacXfill Framing Roof ing r" Siding Masonry Vanee Rough plumbing - R.elief Valves Ext . Porches Pinished Floors Traterfor Trim stairs Fe Railings Cellar Drain Titre Concrete � C}4 plbg yi[tf3ies Gar . Fi. reproofin Detector --- _--- Smok e ----- Chilmle '_-- - - 114 SU I.Py7 T O' Foundation Ploor. s_ Wa37. s Ca it in�3 INSPECTIC)Y3_��-- - _--- F' T41F+I r: IC tRICAL 12oV AL 1]RIVE4JAY pPP Sur", Final Tduiiding ecz3on { gall w hen ready ) S3ext scheduled insPoe Remarks` .54 .iiw ply a iSS � � G:? eetor _ F3uildin9 nsp S E./#3E' mc3-vl ue►'ef l o w►: u �u ¢errs 13UILDING and ZONING DEPARTMENT Bay Que � ensbu Y, New York 126 1 98 l � BUILDING INSPECTOR ' S REPORT NAME L OCAT I ONe:� eg r7 permit NO . APPROVED - YES NO FooY. inyfF' 1er Forms Foundation Waterproofing BackfiII Framing Roof ing f/ Siding Masonry Veneer Rough Plumbing Rel ief Vales. Ext . Porches Flnished Floors interior Trim Stairs , Railings Cellar I]rain 'rile Concrete Floors Plbg - Fixtures Gar .. F i reproo f in �---- DoaY Closers --- _-- Smoke Detector Chimney IN5UI,A'T'T Or1 Fo un<ia t i on Floors Wa 1l-s Ce 3- l in<I INSPECTION � _..�_�_. FI'NAI- E C'TRICA� IVEWAy APPROVAL �l B�sildin�; survey Next scheduled inspection ( 'When hen ready ) Remarks- ere Fiuildin9 Inspecto G/B6 rnci-vi ''� ' � I Queen 3 "ry I +� own v � " /� o�BUILDING and ZONING MPARTMENT 10 - Bay and Haviland Road, R.D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCAT I DN�r D /'r�" �`,ra--L- Fe rmit Now Date _,rtr m APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Back£ i l l }[Framing Roofing Siding Masonry Veneer— �- — L.p4t!5�ugh Plumbing�I111c Relief Va ves Ext . Porch s Finished F1 ors Interior Tri Stairs & Rail gs Cellar Drain Tx e Concrete Floors �- Plbg . Fixtures �..... - Gar . Fireproofing Door Closers Smoke Detectors Chimney I N sU LAT I ON : ti Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- i� d SarJtSY jfi� Ups V C c,t 12i� I r-S 14 J JTA4 2 A dCf Cif f't arc A V�L Sui ding InsP cto b/SEi and-vl �' fi — (Y { [ � flown+ o ' {weeny urs� G ! BUILDING anti ZONING E)EPARTNSENT r Bay and Haviland Road, R .D. i Box 9a r Queensbury, New York 12801 BUILDING INSPECTOR ' S REpO-RT NAME LOCATION Permit No . Date 4/ APPROVED - YES NC? FoO ting/Pier Forms Foundation waterproofing Backf ill ,'Framing Roofing siding Masonry veneer CR6ugh Plumbing [ Relief Va ves Ext. . Parch s Finished F1 ors interior Tri Stairs 6 Rail Cgs Cellar Drain T3. e -----' Concrete Floors --------- Plbg . Fixtures -- --- Gar . Fireproofing Door Closers Smoke Detectors Chimney IN SU 11AT I ON Foundation Floors Walls Ceiling FINAL k.LECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled insp ection (call when ready ) Remarks- Q Se3tST' )N % A.I �c %�zp C eJ f ; e ESui ding Insp at 6/S6 and-vl d` 10113 Icy: 5 .5 � �'► ,7p4V17 of " e4t2►7yGTttrE� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R_D, 1 Box 98 Oueensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION / ( DATE ��` —�c— PERMIT NO. '� L� SOIL TYPE - and - Loam - Clay Percolation Required? YES - N Percolation rate - Min/Inch - TYPE of SYSTEM: total length Al�gorption field , Length of each trench Depth of trenches Size of gran SEEPAGE PITS E umber of) Size- �'ft. X ft. Gravel size PIPING : S ze Type d � IF Bldg . to tank. � Tank to dirt . Ibo ♦ 1/ C.r Dist. box to fief NO r Partial openings sealed? S LOCATIONJSEPARATI ft. Foundation to t ti n 3 $ ft. Foundation to ab orP � o ft.k Absorption to 1 t Sineft. Separation of its Y TEM ON PR RTY (circle one) I,CATION Izt side - Front - ear Left side - igI COMMENT 7 f ,5 SYSTEM USE APPROVED ES NO Building Inspector 01/86 and V 1 �D I Town of Queer� sliure f C 1BUILDING and 70NING DEPARTMENT 1 df U Bay and Hauiiand Road. R.D . i Box 98 j toueensbury, New York 12801 19EPT C DISPOSAL SYSTEM INSPECTION LOCAT I ON , �+ ,r DATE /��' I PERMIT NOW r�(� ! �rd �;f SOIL TYPE - Sand - Loam - Clay - �---- Percolation Test Required? YES - NO Percolation rate - Min/inch TYPE of TEM'leldp total length Absorption f ch trench_ --- Y„ength of _ r�_ Depth of tr nches Size of grav 1 SEEPAGE PITS umber of) ft. X ft . Size- -- Gravel size Siz Type PIPING : .Bldg . to tank Tank to dist _ bo Dist . box to f iel Pi NO Partial openings sealed? Y LOCATI014/SEpApikTI f t. Foundation to tan f t . Foundation to abs rpt on ft . Absorption to to line ft Separation of P is ON pR PERTY (circle one) LOCATION OF SY Right side - Front - Rear Left side CCMMENTSO. BYSTEIh USE APPROVED YES NO Building Inspector 01/86 and v1 i � D� r� eensbur `` DIWI7 SUYLD�NG and ZONING DEPARTME1dT Say and Haviland Road. R.D. 1 Box 98 f oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTIO N LOCATION / 7 PERMIT DATE San - Loam - clay u �Req - SCIL TYPE Bred? YES NO eSt percolation to w Min/inch percolation TypE of SYSTEM: total leng h "Sorption f iel , ench Length of each Depth of tr+enche size of gravel a of] SiEpAGE 'l ft'�Nvmb ft. —� .�..�-�..�—. Size Gravel size ize Type p IP LING Bldg . to tank TanX to a'st _ box Dist _ box to fiel pit Na partial Openings sealed? YES LOCATzoIa /sEL"I aoNs : fto Foundation to ft . k Founds sorption Faunr]atian to ft. Absorption to lot line ft. Separation of its aisle one) STEM PROVER [ o LOCATx.ON OF _ Rig side - Front - hear Left side CyCIMMENTS : F SYSTEM uraE APPROVED YES �s� gnspector auilding 01/86 and vl _ +'nW" of Qe.4eer+ sbury f3UfLDf1VG and Zpf filVG D6PARTBMox T Bay and Haviland Road , R.O aueensburY. New York 12801 BUILDING INSPECTO'R ' S REPORT NAME LoCAT I ON NO * * * * * * * PIPFROVED - YES N0 Footing/pier forms Pour,dation �uJaterproOfing Kf ilI Framing Roof ing siding KasonrY Veneer b ing Rcrugl-� plum Relief Valves �� ---- Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbg . Fixtures Gar , Fireproofing_ poor Closers_____ Swo'ke f>etectors Chimney INSUTATION Foundation Floors Walls Ceiling INSPECTION__ �-- FINAL ki �ECTRICAL l7KIV 'WAY APPROVAL Final Building Survey when ready) inspection email Next scheduled Lh �`y Remarks- / / / l 'f G i 'S. F3uildin9 Inspector and-vl i X40Pf .,gown of 'WCueen36cer±�F we6tjiLDkNG and ZONING DEp4WITM x T Say and Mawiland Ftoad, R.D. 98 oueensbury. OeNP4 York 12801 YTEM IPSSPECTION SEPTIC DI/�SAL Sy . 7 ► - r!/ f TI I PERMIT ' v Loam - Clay - NOsC3IL TYPE - saner YES Percolation Test Required? Percolation rate Min/Inch - _ TYPE of SYSTEM= total lengt Le "Sorption fi.ela , th of each trench ,Depth of tr nches �-- Size of gra 11 rn'ber of) SEEPAGE PITt . X ft size- Gravel size Size Type P IP IN{G : ---� Bldg * to tank Tank to disc . bo ----'� V . box to fi.e PES NQ Partial openings sealed" LOCP.TIDN/S'P'PA IONS * ft. anic -f t . Foundation to absorption Foundation �ft . Absorption t lot line ft. ,a pits .y� (circle one) Separation ,ySTEM PRppER IACA'TIC 4 air _ Left side - Ri ht side Front ^ Pi8a C4W4SNTS 7r S aS SYSTEM USE APP11(W YES 0j3u i ja in n ector Ol/SE and vl own o/ Q"ee" 3"ry - 93UILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. I BOX 98 . Queensbury. New York 12801 BU LO ING INSPECTOR ' S REPORT A LOCATION I ON a r7 r Date �7 '� /� Permit No APPROVED - YE .. NO Ming/Pier Forms FoundatlOn Waterproofing Backfill Framing Roofing siding Veneer ,I Mason ry ... �.. .. Rough Plumping Relief valves_�J— _.� .... Exte Porches Finished Floors Interior Trim Stairs & Railings cellar Ilrain Tile. concrete Floors Plbg . Fixtures Gar , Fireproof ' 3 Door Closers Smoke Detects chimney INSULATION Foundation Floors Walls ceiling FINAL ELECTRICAL INSPECTION -� DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection {call when ready) s � Remarks- Bualdin Inspector r,/86 and-vl of f _ ,/o 3 � ure e BUILDING and ZONING DEPARTMENT f say and Mai+land Road, R-D. 1 Box 98 ()ueensbury, New York 12B©l I BUILDING INSPECTOR ' S REPORT NAME LOCATION Datef - Y hermit No . APPROVED - YVS No Footing/pier Forms Foundation waterproofing �}cf ill 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 . Fireproofin -- Door closers Smoke Detectors chimney N SU i naat ion ,e I.AT I ON v� rrMp IF Walls Ceiling FINAL ELECITRICAL IN" ECTION_` _ IIRIVEWAY APPROV _ Final Building Survey -- NexC scheduled insp action (call when ready ) s Remarks- i I I I 1 1 Building I sP ctor 6/86 and-vl 70ty" 0 ueen36ur BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.U. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR " S REPORT NAME LOCATIION, Date c 9 ,+3 /_ Permit Ncr . ✓ = APPROVED - YES NO noting/Pier Forms Foundation Waterproofing Backfi. l l Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches of Finished Floors Interior Trim Stairs & Railings Cellar brain 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- Buil ing inspector 6/86 and-vl _nwr. l .s� L J11Ne S XC� �,n '� C3 r I I k r I t 4 e f P'!FM Sce FD Prtl i c• . C-,Hlu s z ' Coe i 11 ' 13 �Gf�Rti 6 HO us to=IT r J0 f DogU1T h0ff 7 � �} "r .3 i