1988-156 •
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date September 22 19 88
88-156
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be-occupied as a One Family Dwelling
Lot 141 Honey Hollow Rd. Bedford Close
Location
Owner Thomas Geyer
By Order Town Board
TOWN OF QUEENSBURY
rfi'�SAr��` 7�
Building & Zoning Inspector
BUILDING PERMIT H
TOWN OF QUEENSBURY No. 88-156
WARREN COUNTY, NEW YORK ,z
0
PERMISSION is hereby granted to Thomas Geyer
N
Ui
Lot 141 Honey Hollow Rd. (St. No. 24) I
OWNER of property located at Street, Road or Ave.
Bedford Close I
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.
H
1. OWNER'S Address is 9283 Ridge St.
Glens Falls, N.Y. 12801 5
2. CONTRACTOR or BUI LDER'S Name CD
n
Dean Howland Jr.
0
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3. CONTRACTOR or BUILDER'S Address
Box 140 Star Route
Glens Falls, N.Y. 12801 CD x
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4. ARCHITECT'S Name 0 ca
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CA o
5. ARCHITECT'S Address (o •
$
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6. TYPE of Construction— (Please indicate by X) rt
(X4 Wood Frame ( ) Masonry ( )Steel ( 1 0
0
7. PLANS and Specifications
No.50' x 76' as per plot plan, specification and application including
septic system and attached two car garage.
8. Proposed Use
One Family Dwelling
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$5.00 C/O
$ 199.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1, 1988
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the r-J
town of Queensbury before the expiration date.)
(D
I✓
Dated at the Town of Queensbury this 19th Day of April 1g 88
SIGNED BY a,, /9�,e_Z -e2 for the Town of Queensbury
Building and Zoning Inspector ogle
TO BE COMPLETED BY BLDG. DEPT.
•
�] Application No. TOWN OF QUEENS�-.s'UFY
_/D[vn Dt Queenilury Permit Issued 19 '� (�
EN .
BUILDING and ZONING DEPARTMENT Permit Expires 19 IIINtl �'' U
Bay and Havilandyh APR Road, R.D. 1 Box 98 Zoning Designation ����
Queensbur New York 12801 11 Variance No.
60 + ?>. Site Plan Review No.
.6 v &9..��P1-*
0-5 Approved OLiii-ig9
j D Cox� .
APPLICATION FOR !� � , Gc)'
BUILDING AND ZONING PERMIT a°q aii-
* * * * * * * •IE * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *::*
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: /�ip"y, 4 4ti
P.O. Address 4W 26? ,. ,e/. e c7 �OL,�ir> �. GLS `�y- Tel.
Property Location: / / /gt,V 4ZA0)�/ - ,2/ Tax Map No. / /
Street number or building lot number ($44/0
c?ye
Subdivision name (if applicable) •5i�d ZxS,
TH7/'
RSON SPONSIBLE /FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
/9a7)l` i.) // is /Jz• d 50>ui. -5- Azi / ��fi,�s "tea /U `,*• 793- 1�1�7
Name P.O. Address Tel. No.
i.
Name of builder da.)/".ed.06X,274,k_Address fl Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
)(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
* 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 /75 ft X /75J ft.
* Existing building(s) Size ft X ft.
* .
PROPOSED BUILDING AND USE:� * Existing building(s) Use
3 Size of new structure 0 ft X 7 ft *
Foundation-pier/slab/crawl/partia /full.)* Proposed building, distance from property line
*
(circle one)
* Front yard 5-6 ft Rear yard 3--d ft
No. of stories (habitable space) 0 * Side yards ' l 0-/. ft and 4; ,r' ft
Height (grade to ridge) 26 ft. * If on corner, setback from side street ft
If residential, no. of families /
No. of rooms(excluding baths) 6 * OCCUPANCY INFORMATION
No. of bedrooms -3 *
* PRIMARY BUILDING -
No. of bathrooms * x One family dwelling
Primary heating system /A h1/z * / ' Two family dwelling
Type of fuel GiG •'
* Multiple dwelling / Number of units
No. of fireplaces to be installed
* Permanent occupancy
Will a wood stove be installed? /00
* Transient occupancy
Central Air conditioning? /110 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 *
Ca e od • Cottage Other * ACCESSORY BUILDING •
-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * x Attached garage/one car,(two caY car
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $--- /94 600
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING-PERMIT APPLICATION APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction,wood frame fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? A)(j
Foundation wall material ( .Dn0G2�71_ Thickness //
Depth of foundation below rade (to bott of footing) -7 /-�
Will there be a cellar? ( Heated or unheated? Floor sq. footage /79 sq ft
Will there be a basement? Will an portion be used as living space? ,V,'a
(If so, what portion? sq.ft. - - Type of use?
Type of roof -6lopej/flat/shed/other Material, of roof 4/A,4,V0- r,ji,� ei;
Size, wood studs. 2 "X 6-4 " spacing / "o.c. length g ft. / ,, l/
Joists(floor beams) 1st. floor 7 "X /7 " spacing' //'"o.c. span/3-6 ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. sean ft.
Overlays(ceiling beams) 7 "X gp!) " spacing /, "o.c. span />�ft.
Roof rafters Z "X /7_ " spacing /6 o.c. span /O, ft.
Roof trusses(pre-engineered) spacing ---"o.c. span ft.
Exterior wall finish e r2S Of what material? 2XkV7
Interior wall finish 07 y0 (-_
If a garage is to/be attached, describe materials to be used for FIRE SEPARATION:
`�/�1' /0/2/.eac
Is there to be an opening between garage and dwelling? g If so will a Fire-rated
door, enclosure, and self-closing device be provided? c/ S
Will a flue-lined chimney be installed? �/�S Height above roof 2- ' ft.
Depth of chimney foundation below grade V7/ ft.
Depth of firepl. - - th / ft. /71 in.
Water supply Municipa or private well
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties /04 ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done on the described premises and that all
provisions of the.BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether s ified or not, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signatur __ _ ,e1j_,,2/7 GJ ' ____ _
er, owner's agent, rcnitec ,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
%Mir& g Quandritni
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE �7"D/iG/7 /
LOCATION OF PROPERTY FOR INSTALLATION /-77 g.-G/L./ (2/0st
Owner's Name: //,�,V/5 4/,ei i� Telephone:
U
Address: Ze3 . 6y,
Installer's Name: / le.)//17r>,/2 067/ ) /e), , Telephone: 793- 1/17
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) JO
Topography: circle ones Rolling Steep Slope % of slope _ __
Soil Nature: circle one Sand Loam Clay Other / Depth: feet
Ground Water: At wliat depth? ? feet
Bedrock or Impervious Materi. • • . at depth? /'w. feet
Percolation test: circle on-: not require. required /rate min. inch.
.......--
Domestic water supply: circle one Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank /06),( al. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 50 feet / Total system length feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # _ '2 / Depth or Thickness 0 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: �� , _) �,�,,
Date: 44049
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 0�/„,, j' -
•
2 . Type of heat ,71./V/01, • •
3 . Is the building mechanically .cooled?
4. Percentage of area of windows and doors
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 NOS
•
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_
2 . R value of exterior walls • 2/q •
3. R value of glazed area ,e 3- 0
•
• 4 . •R value of doors /`� . • •
5. R value of floors over unheated spaces' AV/4_
•
6. R value of slab edge insulation - unheated slab A-5`F
7. R value of slab insulation - heated
8. R value of heated- basement/cellar walls (above grade) /ib
• 9. R value of heated basement/cellar walls (below grade)/6/1
10. Type 'of insulation 134-T151 F6r n R/x7gua4/3 ,O/ 6 "Ti4-)2
C. Controls
1. Thermostat maximum heat setting
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 •
Fro Service Water Heating •
. 1. Performance efficiency
2. Temperature control setting maximum •
G. For Swimming Pool Only •
1. Maximum heating . •
•
Telephone N o. •
• (applicant ' s si ature)
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
8U0 Haddon Axo, Collingswood, NJ. OD1UD
APPLICANT /~ /° / / --- Dma�� -' / -� � Y � / >�`'� '� ���
City, Town or Township County
State
Location/Address '!':/ //+�/
(|f Located in Rural Area Please Attach Directions) po|r #
Owner Ponnit #
Occupied As r ' Building: 0ov,D Old El
Occupant
Work Area in BuiNinv (Floor #\»tc.):
App. for: YNhnU Service or: Ready for Inspection:
Fee Remitted * Cash F-1 ChookF-1 M.O. 7 Make Payable To: M.D.iA`
Number of RoughYNhnO0ut|°m Elect. Hoot ,� ,so m"o z'� a� om �� �"o emm 2,m xmm
�
Switches Amp. Service Surface Unit X Dishwasher Range
Lighting ~ /\ Water Heater Air Conditioner !( Dryer p«mP
R»«»ptau|»' �Number of FixturesOvon Garbage Disposal Wiring and Controls for k Burner
— Amp. R000ptudoo Fractional H.P. Vent Fans
Other Equipment:
Muronsn.p. i/uuz/ze z/u, z/o- z/o z/^ za z/z a/^ 1 z* u 3 s 71/2 10 zn eo 25 ao 40 yv rn mo
wa,x mumm,,
uf Each Size
Applicant's
�
Signature�vm /~���~ '/�� �� License # PormPermit #
_ - ~—�
T/A � Utility:' ~�/-, , ,! � /- (NAME) (oFp/os LonArmm)
A� Address:
(City) ��x/'/» �/�� /��/'/ ��/-(St�e) '�/ |/ (Zip) Service Request **
Phono # �/� � /���1-7 Electrician:
MCMA USE ONLY
oArs nsosmeo. DATE /mupsoTso.
Correct Location: Same as Above or:
Red Notice Label I {
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Rmmptao|oo VVnte, Heater Dishwasher
Fixtures Air Conditioner onmr
Amp. Service Equipment Burner, Wiring &Controls for Amp. R000pmo|o
Amp. Service Conductors Pump Vent Fans
MOTonu H.P. �/e 1^21/10 z/u zm 1/4 z/a z/e np` 1 11/2 c a o ,a m z, cn 25 av ^o 50 /n zvo
~a= '="""'
m Each Size
Elect. Heat 50" /,o /mm 1250 1500 1750 2000 2250 2500e750 3000
CERTIFICATIONS mn cmnnsor
c�rmo uos pon /m /��v om�� mor/p/so ow�s pss pss PAID
Q RVV' Progress: Inc. LKD 1 | Contractor
[-] CFT Violation:� Work Comp | � Inc. �� |
�' CASH '
| L/A Owner
F«» CHK #
� � L/� Duo' ' MO #
� I IPA Municipal
|NV #
Applicant
|
Dma�� Other Utility ~App'p �7
� Owner . .
Cut inCard | | Tomp # ' Date
Final � DateINSPECTORS SIGNATURE
A,puo^rmm ronm NO. 250 ELomo
V(f.. iJ�VJ Vc1�`I�JhZVJN'VJ FI., Ai vJoRV N.., cf.!. yr V N...."N...." VJMBvJ •
f
C4 MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
900 Haddon Avenue,Collingswood,N.J.08108
C.
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Data Septer,-1 13, 1su• C
C.
etrtif leg that the electrical equipment listed has been examined and is approved as being in accord 41,
with the National Electrical Code, applicable governmental, utility and Agency rules. C
C
Thomas Gcvcr,` ' / Occu anc ll aF'liint
Owner: :` P y
5 eit
I, Owner:
Location:
Occupant: Lot: 1�:1, Bcdfo � Close, •Que.ensbi2ly. (Wai' e C� ))• i7' 11 i
p Location: uTffs certificate covers the electrical equipment and installation inspected this,, `` .S date. If additional equipment should be introduced or alterations made to
existing system this certificate shall be null and void, and application for C' l.. I LJileiS,•'., 7�1'�,1'i::.uieS, 20L) t:i?1'`? JP_i.�V_CC; inspection should be submitted promptly to this Agency.Equipment: r 'Holder of this certificate should present same to his property insurance carrier7 i''=7Y-- - CCU >> `(agent orcompany)asevidehceofcertificationofelectricalequipmentapproved as specified. .'
(2 C
:( I Howland Const1UCt1o'� -n - • `
Applicant: Bo_. l�f0, Star l�o'atC ...._. NO. 15-u225o2 C
Gl CPS alis, 1':Y . . C.
L
rt. �.t.n rket n�.a.n Jal1 Jala rlaial� WWI-) n V e.�� n�.;.�.e. wwr),\• ea/ n�8n naRan rk�ta0 R.011 r ler, Ai"
Form No.703 EL 1-3
Jown of Quecniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ,
LOCATION y� crI/ �� 2te-/, yoD//c�
Date 9-,4A7/�- Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding rS'J
Masonry Venee" /
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
\
Interior Trim
Stairs & Railings \,`
Cellar. Drain Tile
Concrete Floors J' \
Plbg. Fixtures ,/ `'�
Gar. Fireproofing /
Door1osers
�S o1ke Detectors / ` , V
Chimney
INSULATION:
Foundation
Floors
Walls '
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
1)1)
,11
' J i
,
Building Inspector
6/86 and-vl
Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 j-JP-7).
0•
,1Z5:U1 LID IN G INSPECTOR ' S REPORT
NAME /4-72?CG0 eZLe,_?/`r�
LOCAT I ON / /7/ �,a/ ff j;42
Date / /___ Permit No. OGr7cs/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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 f
Car. . Fireproofing' •
Door losers (,/
e Detectors,/
' Chimney
INSULATION: )
Foundation i
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
\ Buildin Inspector
,6 and-vl
Cc� //
flown of Queeniur,
_ BUILDING and ZONING DEPARTMENT
0" Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
.11�.
BUILDING INSPECTOR ' S REPORT
NAME C . fi r
LOCATION j (
`�JC1Ll1 t
Date 611 WI S
/ _ Permit No. `� 4!
A. * * * * A. * * * * * * * * * * * * * * A. * A.
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing ,
Roofing l7J
Siding 1/
Masonry Veneer
Rough Plumbing
Relief Valves ', if
Ext. Porches /
Finished Floors .r'
Interior Trim
Stairs & Railings 17
Cellar. Drain Tile
Concrete Floors ,`'
Plbg. Fixtures ✓
.,
Gar. Fireproofing: 1 ,
Door Closers 17
Smoke Detectors/ c /
Chimney a.
INSULATION: /
Foundation /
/
Floors / •
Walls i
Ceiling 1 /
FINAL ELECTRICAL INSPECTION 1/
DRIVEWAY APPROVAL /
Final Building Survey ,
Next scheduled inspection (call when ready)
Remarks-cmv_ Do\-a -67 , g,_
(� ,,,A9 C�1 ,�-cr cam- L0,
•
Laili\ri•til .
Building II pector
6/86 and-vl
- \
•
- -
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
Electrical-Builciing-Plunribing-Fire Inspections
- )4( gg&4r4 C1651)1
Date 6 SCA IL
111 10111.-
- - Witial I I a
‘•
o flip
,ectrlitrp
T constitutes,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 struc-
ture, application for inspection should
be submitted promptly to this Agency.
. -
, . _
Jown of Queenitur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
LOCATION 1/J
c /Ue CAjf
Date 9-/3 /,g? Permit No ,--/, 5 I„
* * * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing 1",
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 V�
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls •
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- N � 4:41 o� �P,eJC
_
iambi
Building Inspe for
6/86 and-vl
fi ;tll _
MIDDLE DEPARTMENT INSPECTION AGENCY., INC.
Electrical-Building-Plumbing-Fire Inspections
!✓o'�lcz��
Date s:
PA&
çctt .
111,
constitutes 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 struc-
ture, application for inspection should
be submitted promptly to this Agency.
•
- ,
\. \
v'
_town of Queeniurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
•
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /6"711
LOCATION XI
Date 4R_ Permit No. p�/��
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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 & Railin•
Cellar. Drain T. e
Concrete Floor-
P.lbg. Fixture-
Gar. Firepro'.fing
Door Closer-
Smoke Detec ors
Chia ey
SULATION:
Foundatio
Floors
Walls
Ceiling V
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
11)
Bui.�.Jdi iad Insprector
6/86 and-vl ��
Jown o/ QueenaLry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAM E4697 46 -u-ti e12.
LOCAT ION /
Date 6/30/ g- 'Permit No. N",(51.,
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ven=er
Rough Plumbin'
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof in%
Door Closers
Smoke Detectors
Chimney
, INSULATION:
Foundation
Floors 'l
Walls ` �'.,..44'Ad/ \ /!
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVA
Final Building S vey
Next scheduled inspection (call when ready)
Remarks-
Bui in spector
6/86 and-vl
Jown of Queeni4uri,
BUILDING d DEPARTMENT
'Bay and H an avilandZONING Road, RD. 1 Box 98
Queensbury, New York 12801
fP .
BUILDING INSPECTOR ' S REPORT
NAME ,� ,,, 2 N)
LOCATION j o / / ` 07`,, , D//
Date/ -3 //i Permit N• . zd-)X .
APPR4VED - .YES / NO
Footing/Pier Forms
Foundation
Waterproofing . Z.-
Bac ill
aming
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
•
Ext. Porches
Finished Floors
Interior Trim k
Stairs & Railings �+
Cellar Drain Tile G
Concrete Floors �I
Plbg. Fixtures `^
Gar. Fireproofing
Door Closers
Smo a Detectors ,
INSULATION:
Foundation i
Floors • • • p
Walls
Ceiling ¢ '
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL:• v
Final Building Survey . ,
Next scheduled inspection (call when ready)
. i`
Remarks- /
•
i I ,gaili LIA .
Bur ld'ng nsNN. for
6/86 and-vl
_/ocvn o/ Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
/712 Queensbury, New York 12801
IA
9
• SEPTIC DISPOSAL SYSTEM INSPECTION
NAME / 4`--;27 2 ;t / iz2
LOCATION /C7 f 6 � 0,42()
DATES c�;/di PERMIT NO. -/3-1_
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
. Percolation rate - Min/Inch
TYPE of SYSTE :
Absorption fi_ld, total length �
Length of each trench /
Depth of trench-s /
Size of gravel '/ /
SEEPAGE PITS{N .,er of) / •
Size- ft. X _ ft. /
Gravel size /
PIPING: Size
Bldg. to tank 171
Tank to dist. box ' Cam,
Dist. box to field,.: \ V '
Openings sealed? I NO P rtial
LOCATION/SEPARATIONS: /,,,
Foundation to tank (, t.
Foundation to absorpt. .n,3 n--ft.
Absorption to lot lin:- gal ft.
Separation of pits '. ft.
LOCATION OF SYSTEM •ia- "OPERT (circle one)
Front - Rear - Left side - Rig t side -
COMMENTS: \ )
Of/ ' i ,
l /
•
SYSTEM USE APPROVED YES N
/ ,.
Buil ing Inspector
01/86 and vl
eitope
rl' Jowl' o� Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ///f�����
LOCAT I ON Af,{ „/4,� p7%
Date�,(� Permit No. de5r-45-4
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
L/Plbndation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumb ng
Relief Valv:•s
Ext. Porches
Finished Floo' s
Interior Trim
Stairs & Railincs
Cellar Drain Tilt.
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi .g
Door Closers
Smoke Detector
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Buil.ing Survey
1
Next scheduled inspection (call when ready)
Remarks-
u IX
Buil.ing Inspector
6/86 and-vl
awn of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME -ac ‘4 / /1 I
LOCATION f'd /471 ye ,/`/fir-, I
Date ./A/ ' Permit No. -- ,---
✓ = APPROVED - YES d 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:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY APPRIVAL
Final Buildin: Survey
Next scheduled inspection (call w n ready)
Remarks-
Building Inspector
6/86 and-vl
APPR VED
DATED y /S
ZONING & LDG CODES DEPT.
TOWN OF QUEENSBURY
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