1988-296 ♦ w ♦
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date April13, 19 89
362 t q Yo
This is to certify that work requested to be done as shown by Permit No. 88-296
has been completed.
This structure may be occupied as a One Family Dwelling
Location Lot 22 Candl ebeerrry Dr. (St. No. 6) - Heatherbrooke Subdi 'r sion
Forest Wood Homes, Inc
Owner
By Order Town Board
TOWN OF QUEENSBURY
( n
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-296
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Forest Wood Homes, Inc.
OWNER of property located at Lot 22 Candleberry Dr., (St. No. 6) . Street, Road or Ave.
Heatherbrooke Subdivision kr)
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. by
0
1. OWNER'S Address is N
13 Thunder Run
Gansevoort, N.Y. 12831
0
O
0,
2. CONTRACTOR or BUILDER'S Name
O
Samero
3. CONTRACTOR or BUILDER'S Address
0
Same
4. ARCHITECT'S Name
r-t
N
5. ARCHITECT'S Address
0,
ti
N
ct
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( ) ii
7. PLANS and Specifications
r-t
No. 53'8" X 26' as per plot plan, specifications and application
including septic system and attached one car garage.
8. Proposed Use
One family dwelling
9
5.00 OZ C/O
$ 82.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 88 0
(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.)
R, O
Dated at the Town of Queensbury this 26th Day of May 19 88
ti
ti
SIGNED BY cat", for the Town of Queensbury
kg
Building and Zoning Inspector I�
..7011011. of ate
APPLICATION FOR SEPTIC DISPOSAL PERMIT :
DATE MAI 01 / /6' l .
LOCATION OF PROPERTY FOR INSTALLATION / 411- c2a C.„,d kb&syrv?x
Owner's Name: F0{vS ItNIt3 0 j ',a _: -1.1 . Telephone: ,S 8 -'.. °
Address: 13 I.t-y-x e..se �q c{y. �Gt tS ,v ei (t " I • J• 3-1 ,
Installer's Name: 5-r 0 C ? t')k:' 0 I) Li Telephone: 3
Number of bedrooms (residential only) 2
Total daily flow (compute @ 150 gal per bedroom) _ 1-1S-0
Topography:. circle one: Flat (Rolling Steep Slope % of slope
Soil Nature: circle one:(Sandi) Loam Clay Other / Depth: 3 feet
tick "�011 n
Ground Water: At what depth? f C3 feet
Bedrock or Impervious Material: At what depth? 9T) feet
Percolation test: circle one": not require) required / rate --min. inch.
Domestic waters 1 circle one: Munici of Well Other
supply: ��_�P
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank. 100 0_gal. (minimum size: 1,000 gal.)
TILE FIELD: .Each Trench L) -1 feet / Total system length _ 18 8 feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Id
Size of stone to be used # / Depth or Thickness q � �%s feet U. USW:6J -S'ti°r��C-e
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * %' c'i-rGz*4� �
IMPORTANT (I .
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
/.000 o�� h�z
L3
(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:
•i rr;ii I I
Date: /14 I i r.. iS ,
Town of Queensbury
Building and Code Department
Bay at Haviland Road
• Queensbury, New York 12801
(518) 792-5832
._r .. HOME OF rye . A. :. O )LACF VE
TO BE COMPLETED BY BLDG. DEPT.
t �v
_a�] / Application No. , !r j
wn of Queeniur, Permit Issued 19 _nii_� E
BUILDING and ZONING DEPARTMENT Permit Expires 19. - !
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation MAY 1;- 3 88
Queen bury, Ni; York 12801 Variance No.
'� G�'A}, c7l Site Plan Review No. BUILDING Lc CODE DEPT.
�� te `\ APPr e 77 3P
APPLICATION FOR `�f/ S 6.2.o.-
S G,e7.
BUILDING AND ZONING PERMIT 37eiv ik i zd
* * * * * * * * * * * * * * * * * * * * * * * * * * * it. * * * * * * * * * *:}*
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: Frwiq 4 Wco,) ! OMf qq. T e
P.O. Address /3 721q,/( L
,rtOI,Q,- ,4,0, Gat,sernnv;/- pi, 1"f if PA :?F Tel. y�� 3r5
°- c, 9
Property Location: LO I �,2 G?04i1Eke,p J v h rii,,2.. 6 Tax Map No. / /,/a //J,b y
Street number or building lot number
r Subdivision name (if applicable) ie6 1.Q,j brOOk
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
--- fo V e,S --IL 0OC 141:0y^tt")l /3 T�1 I1,IG,isi r'ehe PI (ref -.',` :'rlY ,I ..�-A. _l ��? G/ r-D 1
Name P.O. Address Tel. No.
l/ r /
Name of builder 1'ri-n.5+ I'l/Dire ftIn i j -7;cAddress 1,� �/ it"rm 4(t�A i 1 (r/'tr,f('(1t`r Tel. s—,."ti-,3 a
Name of plumber 1%l) 1 l', ,'c C.9 2.1 S Address e n, r6();L 1,v`?, ••\,‘) 1 } Trh t-_A Tel. :%,' i,„;_�)
Name of mason 96 ^„-3 0.5_7c=„?_?J Address Ps a s. Ai-tj1.4 11(1`A. (i \('�)l! c, i',:•_,Tel. :,), C.3.0,�..,_'_
1
NATURE OF PROPOSED 4uDRK: * ZONING INFORMATION:
_✓onstruction 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 20i' Y-f'o?r ft X a-77 r,,'J/•ft.
* Existing building(s) Size ,'j )A ft X ft.
* . . . . . . . /
PROPOSED BUILDING AND USE:
i, * Existing building(s) Use
Size of new structure c '63 ft X„..? ft_
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from ,property line
(circle one) * i ®
* Front yard a-", ft Rear yard �1 z. (J 'ft
No. of stories (habitable space) * Side yards y ` ft and tx ® ft
Height (grade to ridge) IS ft. * If on corner, setback from side street ft
If residential, no. of families I '
No. of rooms(excluding baths) / * OCCUPANCY INFORMATION
No. of bedrooms 3 *
No. of bathrooms * PRIMARY BUILDING -
* ,. One family dwelling
Primary heating system p,,(n r-}--,^;C.
* Two family dwelling
Type of fuel
No. of fireplaces to be installed �.t,nyl�7 * Multiple dwelling / Number of units
Will a wood stove be installed? MT-) * Permanent occupancy
* Transient occupancy
Central Air conditioning? 110 • Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
6anch 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-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * , Attached garage/one a two car/ car
* * * * * * * * * * * * * * * * * *_Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $` (-c{��1 1 *
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 frame, fire safe,etc. W c A etswLe,
Will any second-hand or ungraded lumber be used? If so, for what? O
Foundation wall. material ef611,¢Ft?;1e. '. Thickness ? 't
Depth of foundation,below grade (to bottom of footing) ST '
Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft
Will there be a basement? Will any portion be used as living space? q,n
(If so, what portion? / sq.ft. - - Type of use?
Type of roof - slo e lat/shed/other Material. of roof c, s �,. ,Ai c
Size, wood studs fa "X t, " spacing / (, "o.c. length ft. U {,
Joists(floor beams) 1st. floor ) "X in " spacing /b "o.c. span 13 ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing �' "o.c. span al_ ft.
Exterior wall finish ,c1 I s , d_4,�. Of what material?
Interior wall finish '; .s4,_.en r - i -d-a.o-ej d 'c 9ar. I e r1 44, h-1-,d.
If a garage is to be attached, describe materials"to be used for1FIRE SEPARATION: slgr'
4,2e.:4raariL_ € cfx'r e b'e42i- k GAS{ a$t..tl r,'f:rc c . �' r,tc o"c - f ins-, c,o'cd -frorti" rprt r ,et f fis
Is there to be an opening between garagecJand`dwelling? j-g If go will a Fire-rated
door, enclosure, and self-closing device be provided? v-e s
Will a flue-lined chimney be installed? h p Height abdve roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well yvk tv' i Cyr n I p_. -41
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties J 7(5 d 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 !Lon 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__ __
1,-3O r, errs agent,architect,contractor
day of 19rd
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 area l;: •
•
2 . Type of heat ,.��^: -�
3 . Is the building mechanically cooled?
/ C7
4 . Percentage of area of windows and doors ) ' c',
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 floor?
•
4 . Is basement heated? YES NO
a. R value of insulation
•
•
• 5. Type of insulation
B. Under 16% Only
1. alue of roof and floors exposed to ambient conditions_
g <71lue oP*— 4terior w lls
3 . R vallu e oglazed area
�- g e
s
4 . R value of doorscf)
•
5. R value of floors over u-hed s, aces
6. . R value of slab edge insulation - unheated slab/
/7
7 . R value of slab insulation - heated slab
•
8 . R value of heated basement/cellar walls (above gr':ade) _
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation
C. Controls
1 . Thermostat maximum heat setting
"''
D. Duct Systems
1. Is duct system installed in unheated spaces? YES . J10•
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 i'..i
Telephone No. S07 35'Ll 9 ;hfit cJ
( ant ' s signature)
•
•
jowls oil QtteenJ/t/tim
e,`�-Triil(I;` Bell (Ij "'t',1}n t�1I }`7j `arY'L
QUEENSBURY TOWN OFFICE BUILDING ,t ! Il itrrr �a,tr� ,���r�;,�
BAY AT HAVILAND ROAD
HIGIHVAY DEPARTMENT _ QUEENSBuRY, NEW YORK, 12801•
TELEPHONE: (518) 792-5832
•
•
Application for Driveway Permit .
(Submit completed application to Highway Department)
Name of Applicant J-p R S ) Woo D J4O /Yl
Mailing Address • f3 'f/-4.o;y.ae . .RUN C14 sevoa-
ADDRESS TO BE INSPECTED .‘a%" 67 ctiv-14`,a, vii, rr�e:
1 . . .
•
The Superintendant of Highways, Town of Queensbury, has reviewed .
the application of the above named resident to connect a driveway
to the Town Road. The following action has been taken: •
( ) Premininary Approval (to be followed by "Final Approval")
( ) FINAL APPROVAL GRANTED
( ) REJECTED
Culvert pipe -size. to be used • (if necessary)
( ) 6 " - ( ) Q" - ( ) 10 " - ( ) 12" - ( ) 24" - - ( ) 36 "
Date: . . . ' • • •
•
Paul' H. Naylor . •
Superintendant of Highways
Town of Queensbury
•
•
•
•
•
SETTLED 1763 . . . HOME OF NATURAL 11EAUTY . . . A COOD PLACE TO LIVE
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,"NEW YORK BOARD OF FIRE UNDERWRITERS. -
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
(TEMP.*. IDATE I ' - 9 V
CITY OR � ) • - J -
VILLAGE JI• !r!•'is f"/�� r},.t,"��•y15 '�:i 4' y COUNTY f/"Vr`. - `%F-1
it TOWNSHIP C J� r. if
STREET AND NO.OR %i zt{�� ' •, a
ROAD AND POLE NO. 1 r. Veil i .P;r';•g'$t y lo'd;." L-1 s'i1t. POLE NO. _,:' 3BETWEEN WHAT TWO pit 0,a 1i a r.•- �. { a a •C "I''CROSS STREETS IS
-
PREMISES LOCATED? :3 -I;_'• a'a r•'.A'; Tr 51% a,-3 c.)l--., L SECTION I BLOCK tiA LOT ! f•6.r
NAME OCCUPANCY
BUILDING ,
OCCUPANCY \�- .`-f , c
OWNER'S NAME i` of c :- he{s P �01 [`.j :a r a TEL . �it fAND ADDRESS i ' �M1 �=e cf }i.iit -•�u1;s ,'- r3f:J r �l ( ! �wa " I : a , {s -
CURRENT _ (n \
SUPPLIED BY
'\ o- f `.'3��\ ` \. d7 FROM THEIR _ OFFICE
BSUILDING NEW LO OLD❑ SORK Lam NEW " ADDITIONAL❑ DEFECTS ❑REMOVED
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED •
• No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY
Loca •-
Lm Sides Attach't H.P. Watts A.W.G.
Ceding Wall Recep•1. Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out- .
•
. side
Sub-
base
Baser
mart
1st Fl.
"2nd Fl.
3rd FI.
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 FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK -
- CONCEALED TRANSFORMERS OF VA • '
WORK TO BE • (NUMBER) (CAPACITY)
STARTED COMPLETED - SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER • -
ENTERS OF SIGN
BUILDING
INSPECTION.REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW 0 OLD ---
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES " DATE OF r,F ' r =�'
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION �' I t,� ] I CI t?
PRINT NAME tAND ADDRESS
SIGNATURE #J
NAME OF V n 1't I-i M. y1 f i�:1 X .
APPLICANT �'' �`� 1;'L s' �y •1 OF APPLICANT
STREET ADDRESS i! "$f'-'* '-�0h a' Fri' TELEPHONE# "� I r "'`'"
+
CITY OR r:\ $ „f ZIP C: 6 LICENSE NO.
r r,', $ d i
POST OFFICE �'6-1 kr?.>r i.r O“F p CODE r3.� WHEN APPLICABLE
46 EL (REV.1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
+N�,..ow..,0(i Not// N rci A.,J� +ey JW' v Mj+x,�/'e1 °�14'�,,A.,/�N�A.,0, o .A.,04A)J4+v J4lV eJ a P
MIDDLE DEPARTMENT INSPECTION AGENCY, INC. z (Jr
900 Hadd_on:Avende,Collingswood,N.J.;08108 �� C
C • pai February 12, 1989
eettlf lCfs that the electrical equipment listed has been examined and is approved as being in accord Cj
(11,P with the National Electrical,Code; applicable governmental, utility and Agency rules. C4
Forestwood Homes Dwell"iri e
P Owner Occupancy: g s ::. C
a Occupant: Single Family ` �g
Lot 22 Candeberry Lane' ueensbur /Warren C9
Location: Y .Q Y- -\- s ei licate covers the electrical equipment and installation inspected this C
date. If additional eguipmentIshoutd be introduced or alterations made to .I
t existing system this certificate shall be null and void, and application for C
81 Outlets•`.:40`.Rece tacles• 21 Fi tures• inspection should besubmittedpromptlyto this Agency.
C
a Equipment: P ; ,
- 'Holder of this certificate should,present same to his property insurance carrier
200 AmpService; 6 Appliances' '- " -" - 1
PP (agent or company) evidence of certification of electrical equipment approved
as specified e
C
C' ERA Electr•icC.
Applicant: Candeberry Lane No.'
Queensbury, NY 12804 _.
15-028533 C
ck....." -11r. ..rik.o�tala ct0�a.laf�L ✓brk. +u.n.Ra ol, ✓r,clko o rOs�a/-,4N as/�rL»oAO,\ea ,-\easil.rk.1/n,.,(\0.g;Vni0t41,rlterfl rikeep Irlme4.0 ilk_0 1
I,
Form No.703 EL 1.83 . -
TOWN 145IF QUEENSBURY
BUILDING AND CODES DEPARTMENT I
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- //4/;27-1/7
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED�, �
NAME , l�12..t � /r�7,ic.2-- •
LOCATION Xo f ��./1?
DATE Ll —Ik3-� PERMIT #
APPROVED
YES NO '
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
E TRICAL ROUGH-IN • )'
ClA'SULATION:
FOUNDATION \ ,'
FLOORS \
WALLS ° "
EILING
INAL INSPECTION:
CHIMNEY HEIGHT \ •
ROOFING ''„ •
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE V
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS f/
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICALiINSPECTION
FINAL APPROVAL OF CONSTRUCTION'`.
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE -
THESE PREMISES ARE OCCUPIED!'
REMARKS: •
- a •
•
•
INSPECTOR
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
Electrical-Building-Plumbing-Fire Inspections
{ C��c/Ce-(,oe;rrY f rr- Lo i
e
Date f _
I lector '�i ,� •
T - constit'es certification that the
above installation, but not the equip-
ment itself, has been visually inspected
cO 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
0 be submitted promptly to this Agency.
Z
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801 /9777
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /2,2-- ('
NAME _ 4
LOCATION 071 c37,-? 1P4/L CYOI�
DATE / q - 1 PERMIT # ( - 0777
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL \
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN "
LSULATION:
FOUNDATION
FLOORS 1/1.
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING r•
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
r '
FINISHED FLOORS /
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS:"
FINAL ELECTRICALINSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
dffk
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INS `�
PEECTION RECEIVED -c7
��
NAME _ ' _ ( GL�c� �YYr�P �
LOCATION /e9/i ( 4//=c2�i '2� � /a) •
DATE 1/--1 \ PERMIT # ( 6-,-7;76
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FOI4MS
FOUNDATION/DAMP-PROQFING
BACKFILL APPROVAL \
LA5UGH PLUMBING \ i (%>
( RAMING \ i �
ELECTRICAL ROUGH-IN /
INSULATION: `'
FOUNDATION /
FLOORS
WALLS
CEILING /
FINAL INSPECTION:
CHIMNEY HEIGHT / \
ROOFING /
SIDING /
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLC,/ORS
GARAGE FIRPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
\\
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE!.
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
\)\;) ilOkAl\t
INSPECTOR
•
•
•
awn o/ Queeniu91
. BUILDING and ZONING DEPARTMENT.
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
,/7" . .
SEPTIC DISPOSAL SYSTEM INSPECTION
•
NAME aC�21-1-Z�. f %'.-7jlc7--
LOCATION ✓/U1 c�� (� -/�%C��G �'�/
DATE4%9/5(f PERMIT NO. 4 �`.<%�
w
SOIL TYPE - kand)- Loam - Clay -
Percolation Test Required? YES 41/ NO
Percolation ate - Min/Inch - .1 :
;:i
TYPE of SYST ` •
Absorption fiel total leng� h V '
Length of each t nch iP
Depth of trenches /;
Size of gravel_ ' ,, _
SEEPAGE PITS.Number f) .
Size- ft. X .
Gravel size
PIPING: pl„,1
" e Tye .
Bldg. to tank f/��..Tank to dist. boxilt aL
Dist. box to field/ t '2I,riC✓
Openings sealed? ES O Partial
• LOCATION/SEPARATiIONS: •
Foundation to tSnk /, ft.
Foundation to absorption Taft.
Absorption to of line f( ft.
Separation of pits . 3 1ft.
LOCATION F YSTEM ON PROPERT (circle one)
Front - Rear Left side - Right side -
COMMENT •
SYSTEM USE APPROVEDId, .
NO
Building spector •
01/86 and vl
Jown of Queen it urti,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ' 7/G �•7(/n7/
LOCATION j P /�
Date Permit No. / )
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES' / NO
Footin• Pier Forms �jC%�t/e7(' ' /`\
Foundation
Waterproo ing r �•
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. Fireproofin•
Door Closers
Smoke Detector
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELE'TRICAL INSPECTION
DRIVEWAY •PPROVAL 1111 .
Final Bu lding Survey
Next s heduled inspection (call when ready)
Rema•ks- 1/
j
/
, t
Building Inspector
6/86 and-vl
Jown of Queeniurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
zift/ Q eensbury, New York 12801
VBUILDI ; G INSPECTOR ' S REPORT
NAME LIL 47—2 '
LOCATION 0.- oS
Date of jr Permit No. I'd.
* * * * * * . * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
-Footing/Pier , orms Foundation (,/(,/ a
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 APPR'iVAL
Final Build! g Survey \\ •
Next sched led inspection (cal`1 when ready)
Remarks-
/14/
Building Inspector
6/86 and-vl
Jown of Queenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 •
•
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
d\ a, ( 31.1-Utiv,,,,PA
•
Date /_9i3 Permit No. r
* * * * * * * * * * * * * * * * * * * * * * *
���s? '��`Q� ✓ = APPROVED YES / NQ%
Footing/Pier Form_ %�r1� d ,. /l .7`"} �,� 1/7
Foundation J
Waterproofing fir,
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 INSPECTIO •
DRIVEWAY APPRO AL -
Final Building Survey •
Next schedule. inspection (c:li when ready)
Remarks- •
•
//
• (I)
Building `Inspector
6/86 and-v1
• U
Jown of Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
i4712
BUILDING INSPECTOR ' S REPORT
NAME , 6'jizoat 76))2_i xlerme.tz,
LOCATION0'/ 7 7 L ieu „10 ,y A94
Date J/O /81 Permit No. y - 9-,
* * * * * * * * * * * * * * * * * * *,* *
APPRO D - YrS / NO
LFlooting/Pier Forms /1p � ei p^N
Foundation I \
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ve 'eer
Rough Plumbng
Relief Valve
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
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
4 2 1-- ,?
77
/
/"7 /i
j/V7 . ‘
if rrf ,
Building Inspecto'x'1/
. 6/86 and-vl
_
• . —• •
s ,t-, •
- • ,
- •--
- -
•
DA 1,}
• ,Ce"'Fir
U.. 3
3•
„Zz E
• •
• „9,F5
• ea•se.i....4
•
41.01:00001.0
-Pe
Cr"
3.0
.)‹
k •
•
-- - - - - a
56":11.6
• 11)) —FL = •
. •
• • .
• •