1988-447 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 15 1988
This is to certify that work requested to be done as shown by Permit No. 88-447
has been completed.
This structure may be occupied as a One Fumii t1 Dwell ina
3�Location Ir` B Nunnyside North
Owner Craig & Debra Bar•din
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY 88-447
No.
WARREN COUNTY, NEW YORK 0
PERMISSION is hereby granted to Craig & Debra Bardinko
ti
OWNER of property located at Lot 139B Sunnyside North Street, Road or Ave.
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 ,rt
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0
1. OWNER'S Address is
fD
15 Clark St.
Hudson Falls, N.Y. 12839 f.
2. CONTRACTOR or BUILDER'S Name rt
Di
Fred Champagne
m
3. CONTRACTOR or BUILDER'S Address
Box 343 Juniper Dr.
Glens Falls, N.Y. 12801 a
4. ARCHITECT'S Name R'
(D
tr'
h
Iv
5. ARCHITECT'S Address
Fl
6. TYPE of Construction—(Please indicate by X)
_ O
rl
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 32' X 32' as per plot plan, specifications and application
including septic system
8. Proposed Use
One Family Dwelling p
0
5.00 C/O
$ 119.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 89
(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.) N•
ti
Dated at the Town of Queensbury this 30th Day of June 19 88
•
CD
SIGNED BY. / ' /}T for the Town of Queensbury
Buil I r u�
•
., ''J''TO' BE`COMPLETED BY BLDG. DEPT. a . � '''=�L' ;! a;`1>: „,
Application No. J
.Jou/n o/ Queeniurij Permit Issued 19 : '�.
BUILDING and ZONING DEPARTMENT Permit Expires 19 UN 1.Q 988.-,-
Bay and Haviland Road, R.D. 1 Box 98 zoning Designation �f2. '-`3C, . �` .:
Queensbury, New York 12801 . Variance No. /I/f,�. BUILDINp,:&,cpog•DEPT
LA
.:,.A.,..: ',,....Site oPlan Review No. �(0 . . 4 . ..
a13\ `- ' Apprved by: //,
6P '
AP LIGATION FOR
BUILDING AND ZONING PERMIT:'`. • ' ' ' • 291 ..
* * * *. * * * * * * * * * 'i6' * it ',it. it * * it * * * * * * if'. * * * * *. jF * it'•* * ;'r
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: . C/"''/ / 6i' /3eLY`Ct i,
P.O. Address 4<e&i i Sl- d e lad Tel. 7
Property Location: �4jj1i1G/S".O ' -4,61P dPLteanch y- Tax Map No. • / • /•
k3C`.b Street nz(mber...or building lot number . . •• .. •
Subdivision name (if applicable) " . .
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: : . •
-f free) NI / �0 F 3-gl 3 . :1' t p.g `fir- • . 7f -//7s • . . •
Name P.O. Address Tel. No.
Name of builder /re€/ C I
1 : AddressAW 4.3 1j GI eret.. A!' Tel. -7f��//7s
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, 1 , : '
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) Give'
* 'set-back dimensions from property lines. .
* 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 /5 Q ft X vg.S23 ft.
* Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE: * Existing building(s) Use .
Size of new structure 3 Z ft X32-,f ; ' * ' ' ' ' . • . ' . . . • •
Foundation-pier/slab/crawl/partial/ ul '. * Proposed building, distance from property 'line
(circle one) * '
No. of stories (habitable spac ) �. • * Front yard C� ft Rear yard /30 : ft...,
��' ft. * Side yards' ft and „23 ft'
Height (grade to ridge) ' If on corner, setback from side street ft..- ,
If residential, no. of families ' 1 ' • * i.
No. of rooms(excluding aths) '; •'gyp' : -, • ' * • • OCCUPANCY INFOPJVATION :
No. of bedrooms • 3 • • . * '
No. of bathrooms j 7/� * PRIMARY BUILDING -
,[ / / *' ' X One family dwelling ..
Primary heating system O f�A//'K' * • Two family dwelling
Type of fuel ®i . . •
No. of fireplaces to be installed ' *. Multiple dwelling / Number of units '
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * Transient occupancy
. * Business
BUILDING STYLE, PRIMARY STRUCTURE *' ' Industrial •
Ranch Contemporary Log cabin' * Other '
Raised ranch Mansion Duplex ' • * If addition, what will use be?
Split level Old style Bungalow'- ...
Ca Cod Cottage Other * ACCESSORY BUILDING- .
olo Row Town House *• Detached garage/one car/ two car/ care : . . •
( CIRCLE ONE PLEASE ) *• Attached garage/one car/ two car/ car
* * * * * * * * * * * * * .* * * * * 'Private storage building .
ESTIMATED MARKET VALUE OF ' , ' . . * Other •
CONSTRUCTION $�-7 OvO, -.'•, * . .
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: Ivaixe,
Type `of con'struct'ion', wood frame, fire safe,etc. &Loa •
Will any second-hand or ungraded lumber be used? If so, for what? Ale -• .
" /� ,/
�
Foundation wall material 6 e ie& Thickness f�
Depth of foundation below grade (to bottom of footing) •
Will there be a cellar? _Heated or unheated? � Q, .loor sq. footage__.._. sq ft .
Will there be a basemen b ' y0 Will any portion be 'used as living space? HO
(If so, what portion? `—sq.ft. - Type of use? — /
Type of roof - slo ed/flat/shed/other �'/d Material. f pf J2/1Q�b z kri:/(G�f . •
Size, wood studs J. l"X " spacing /CA 'o.c. length .Y ft. . ` ;
Joists(floor beams) 1st. floor ;2.-- "X /D " spacing /(o "o.c. span 13 ft. • • i
Joists (floor beams) 2nd. floor "X- /D " spacing /C, "o.c, span /L3 ft. . . -
Overlays(ceiling beams) —_____X — "" spacing -- "o.c. span ^ ft. .
Roof rafters "X spacing --o.c. span -- ft.
Roof trusses(pre-engine red) spacing "o.c. span o� ft.
Exterior wall finish f2 7` 6 Of/what material? e.e4,�• . '
Interior wall finish 1 " t S!/ee OGA ' •
If a garage is to be attadhed, describe materials to be used for FIRE SEPARATION: '
Is there to be an opening between garage and dwelling? /I if so will a Fire-rated
door, enclosure, and self-closing device be provided? / 4
Will a flue-lined chimney be installed? yes Height above roof 2 dS_ ft. •
Depth of chimney foundation below grade y ft.
Depth of' firep'lace hearth — ft. -- in, .
Water supply - Municipal or private well I(
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties %Z S� ft.
(A separate application is necessary for'any' repair or new installation of septic system) ,
Town of Queensbury ASTATE OF NEW YORK '• '
County of Warren . F F :Z D A V I T
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 o 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
Owner, owner's age• , rcn}tect,contractor, .
day of 19 . '
i
Notary Public, Warren County, N.Y. .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * i-* * * * * * * * * * * *
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 16 6 4 0
2 . Type of heat I
3 . Is the building mechanically cooled? /6
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 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. R value of roof and fj..9ors exposed, to ambient conditions
2 . R value of exterior walls /9
3 . R value of glazed area /C. .3753
4 . R value of doors .
5 . R value of floors over unheated spaces d//P
6. R value of slab edge insulation - unheated slab ,dew'le.,
7. R value of slab insulation - heated slab Xlerne
8 . R value of heated basement/cellar walls (above grade) .
9 . R value of heated basement/cellar walls (below grade) ie/5 • 5/
10 . ' Type of insulation at /V/mac'
C. Controls
1 . Thermostat maximum heat setting A0 /J
D. Duct Systems
1. Is duct system installed in unheated spaces? ,YES 41,
a. If YES , R value of duct installation
b. R value of duct in other areas 41.
E . Piping Insulation
1 . Size of hot water or cooling carrying gent pipe3/q7O „.
2 . R value of pipe insulation n/fb4
F. Service Water Heating
1 . Performance efficiency $7
2 . Temperature control setting maximum /61/2 o
G. For Swimming Pool Only t
1 . • Maximum heating
i I
Telephone No. 7f3 //7-) �p
(applicant ' s s ' nat re)
-1/1
INTERIM BUILDING PERMIT
•
FILE COPY -
PERMIT APPLICANT Cal- i //�c13�2d . 12,p%
CONSTRUCTION LOCATION�7- ,�g 5 a,kt, 'YSf,2 E •
EFFECTIVE DATE • me. 21 /788 •
APPROVED BY "{,_1( /11 ,12) 14/ ' :
SPECIAL CONDITIONS :
,x/(4,;,4
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
Dur.ing the processing of the Permit, the above named
may begin construction' per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST TI-IIS INTERIM PEP.MIT IN A CONSPICUOUS LOCATION ! !
Building & Codes Department
. TOWN OF QUEENSBURY
��,�r✓ivit. of Oueauf6teni APPROVED
APPLICATION FOR SEPTIC DISPOSAL PERMIT ZONING&BLDG CODES DEL
TOWN OF QUEENSBURY
,err,
DATE:. �J/S /
LOCATION OF PROPERTY FOR INSTALLATION .3 dio 13. 5cii/4 //i) drf(
Owner's Name: Al- 91-pa,r4?.674/.7 Telephone:
747--
Address: _ /� G�CliJ� c) 7L , /y" ldier7l 7` f/ /Jr.
Installer's Name: '2c 0474/ /2 Telephone: 7, /77�--
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) _ 4.57)
Topography: circle one: Flat Rollin_ Steep Slope % of slope
Soil Nature: circle one: ;and Loam Clay Other / Depth: feet
Ground Water: At what depth? 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:
Separation: Watersupply from Septic absorption 116 feet
PROPOSED SYSTEM: Septic Tank ! d d v gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench t feet / Total system length 2a6 feet
SEEP GE T S): Nu er f / Size ea t by feet
Size f •tone o b 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 approvalby 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 per n: 1 4 day"
Date:
Town of Queensbury
Building and Code Department •
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832 •
1 BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. s
'TEMP.# IDATE I cis —L.1- 1
Cl— *STREET -. �l.(fL l/S.F�7 �� TOWNSHIP {)�r� f:l-��.:llJZ.61• COUNTY / /e...1�/
D NO.OR
ROAD AND POLE NO. 'f/ ?. I ` j }t- j� 1 L� j�j�j ,7_ -- L
�J/UG4✓/� -J ! I� r l -r ! POLE NO.
BETWEEN WHAT TWO j _ („;, f.
CROSS STREETS IS l }„� t�J 1'�q f' tt
l f f� ' �t PREMISES LOCATED? SECTION ' BLOCK LOT '
. OCCUPANT'S s BUILDING -
NAME ..:ff',? 2 > ,> (,///'1 OCCUPANCY Ge) /1"%G
OWNER'S NAME r .�/' / ,��
AND ADDRESS 1/�� t t, i �� f'/y �1,/ /"L-./.`. TEL. 7'�7 �j��J
CURRENTS / 1 (((111"' J /
BYPPLIED �/ f )�f'�� FROM THEIR :"�(�-�r,!-„! r,xl% OFFICE
BUILDING t / WORK DEFECTS
IS NEW OLD El IS NEW X ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures MOTORS HEATERS CIRCUITS OFFICE USE
NUMBER OF OUTLETS Lamp Receptacless ONLY
Loca-
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each NO. Gauge INSPECTION
Out-
side
Sub-
base -
Base- -
ment
1st Fl.
2nd Fl.
3rd Fl.
•
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS 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
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD /�/
1-1
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF f�f�f�( J0
MUST BE FILLED I OR AP LIGATION MY BE RETURNED. APPLICA ON f
PRINT NAM D A7YjpRESS 7/
j / /
NAME OF `.� dri;f!/ �C.it/._ ='v 5"�'' �(SIGNATURE -/ „r"+:.,�,�_ -r (.
APPLICANT \/ - f //'" /%OF APPLICANT -7
STREET ADDRESS -�L •"-- �L� ) � 'Ie_-� "� '- `F- '� � TELEPHONE# 75 3 -- , 2j
ITY OR /l,
POST OFFICE /�r "` ^ J: // CODE/ �-� '` WHEN APPLICABLE
46 EL (REV.1/86) A SEPARATE APPLICA'fuIION MUST BE FILED FOR EACH SEPARATE BUILDING
,.. ..
a r.
...i..„../.....s.,..,......1lri„,%.
1-
='..,.
43.34597 THE NEW YORK BOARD. OF FIRE : UNDERWRITERS kfc--4'-t7
i
k BUREAU OF ELECTRICITY . - • 0
k I- 17.k • . .
41 STATE STREET...ALBANY.NEW'YORK 12207 1
Date . November 14 , .1980 Application,No.on file 019177/88
A 7-c:' '----k'14 P_;1 - - .)
THIS CERTIFIES THAT . •
E=.7.,,.
only the electrical equipment as described below and introduced by the,applicant named on the-above application number in the premises of
........
Craiq viardln Bo% 339B SunnysIde nortn Ra. tz,lons fail , tAewl•ur-r.,
V
7777
::
in the following location; 111 Basement El 1st Fl. El 2nd Fl. Section Block Lot
•-
=',-
'....;)
R., • was examined on 1.1 _.2_8 q , and found to be in compliance with the requirements of this Board.
tf....,. ' -1.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
a; ---1-z
OUTLETS ECEPTACLESI SWITCHES mEACUKY
INCANDESCENT-FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
. 7
111.' 20 7 1 1,5 2 .1'.r
g • •
• •
g DRYERS FURNACE MOTORS RJTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS gELL UNIT HEATERS MUSL;TSI-OUTLETS
DIMMERS
MAT. K.W. OIL H.P. GAS H.P. ,AMT. „....t ft*. ,•.,!,.W.0G.:t AMT. AMP. AMT. AMPS. TRANS. .AMT. H.P. NO.OF FEET AMT. WATTS
.-- 1 50 • 10/3
•
. ,....,....J1
,....:, . •
,_•,
-' SERVICE DISCONNECT NO.OF S E R V I . C E ,...
AMT. AMP. TYPE Baum if/2w i A(3W 3,g 3w 3 0 Aw _NO.OFpE5CiCOND.
OF t&O.ND... NO.OF HI-LEG OP.a:A NO.OF NEUTRALS
.Ce OFA.N1D191iAL
N1 : 00 T,W5.1e, 1 'X ' 4/3. . 2/0
— - _.,
4.,
4 OTHER APPARATUS: ' • E-F,
...,, , . .,,
. i
1-paddle fan
6-gfci rectpracles
, 1-smoke detector'
.. . _
•
. .
. [
.,....-
• :-....:.•
_.,._..
::.•71.
..,.....
'.7291(! dit.... ..........A.12. I,z.,:-.,.,-.•,
,i7. -( Bob Murtha •
.. . ......
i•A 1 Mannis Rd. . ,,,,.. . . . .
Glens yalls,NY 12501 . • BRANCH MANAGER
: ' '.. 22.39 • ..!•••"-.7•••
Per
This certificate must not be altered in any manner;.return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ::::
1.r 11 INIIMIlif 11t liiI121 IRIMIRt lilt lilt 111t lilt Ulf UV Wit lfft Ulf iiit VIP 1St ARIL 1111/Mt Illtill Aftlwristruulitrawrigu 1111U 1St AMU artffivalanarattlat AD AMAMI vu-utnirruir, , , • ,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ii
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED .//-i/Y
NAME ,__ // l'/�/ J
LOCATION £t9 ,4%'7 iro,//JJ. / /
DATE �' / PERMIT # (H.- 4 - 7-
/J "/5 /
APPROVED
/ YES NO
FOOTING/PIERS /
MONOLIT IC POUR FORMS
FOUNDATId��/DAMP-PROOFING
BACKFILL APPROVAL /
ROUGH PLUMB}}�j11G /
FRAMING /
ELECTRICAL ROUGY -IN
INSULATION: /
FOUNDATION
FLOORS
WALLS /
�//CEILING
/INAL INSPECTION: /
CHIMNEY HEIGHT
ROOFING I \ i,,
SIDING I I//
EXTERNAL PORCHES/STEPS IV,"
STAIRS-CLEARANCC1E & RAILS
17
PLUMBING FIXTURES/RELIEF VALVE,
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOG S \\
GARAGE FIREPROOFING \ —
DOOR CLOSER( )
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION v
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
/1 : 4 S;�/� ,'5 ��/
9
id v /71,i
INSPECTOR
INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
COMPLIANCE FOR THE ELECTRICAL INSTALLATION
OF �
. . AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE. 1
! THE NEW YORK BOARD OF FIRE UNDERWRITERS
APPLICATION NO. _ .
• 3
LOC TI e-_,j _ _
I SPECTOR
AT
FORM BD(REV.1/86) �-
i':
•
Jown of Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC
DISPOSAL SYSTEM INSPECTION
NAME •(_ZGLLg-
LOCATION, 7)L ��/{ .,0A0'd 2
DATE c CG7�l/n PERMIT NO. � y
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch :
TYPE of SYSTEM: •
Absorption..field, total length 0.2o
Length of each trench mod -
Depth of trenches '% 2 7
Size of graver .
SEEPAGE PITS{Number of)
Size- ft. X\•, /ft.
Gravel size ?.
PIPING: A Size Type
Bldg. to tank / '/ri ? c
Tank to dist. box -. /
/
Dist. box to Meld/pit,. `(" ci
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank JO ft.
•
Foundation to absorption 020 ft.
Absorption to lot line /0 ft. . .
Separatli�on of pits ft.
LOCATION OF SYSTEM ON' PROPERTY(circle one) '
Fron)4 Rear - Left side - Right side -
COMMENTS:
•
SYSTEM USE APPROVED YES NO
1d g Inspe or •
01/86 and vl
_town of Queenitur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME R `r)1
LOCATION . 431
Dateq f J / t Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing •
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
•
Ext. Porches
Finished Floors
Interior Trim
•
•
Stairs & Railings
•
Cellar. Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers •
Smoke Detectors
•
. Chimney
ISULATION:
Foundation
Floors
Walls
Ceiling
• FINAL ELECTRICAL (INSPECTION
DRIVEWAY APPROVAL •
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
• Bu di Inspe for
6/86 and-vl
own Of Quecniur1i
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
/73),
BUILDING INSPECTOR ' S REPORT
NAME
(7
LOCATIONXU)/ y�J 6-x---21,(,k2Gc-
Date 9-/3/F(t Permit No. c_(�' 7'L/ 7
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
1 Framing / 4r 2_ 40/
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves •
Ext. Porches
Finished Floors
Interior Trim
•
Stairs & Railing's i'
Cellar. Drain 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- �v��c�YL T�•1)r RJF -e:j of
C Qom"�a`f
(nth tyl - 41tre1 -re►5; .Lr) CLA-s
•
atAk
Building Inspecto•
6/86 and-vl
Jouin o/ Queenikdry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME bZQ- � ! /G/CirJ
✓�
L O C A T I ON 7'4 y j7 Si�z.virrzfr . :6)/77
Date V�-/ /��— Permit No. �J j= LLl rI
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing /
Backfill /
`,,L�rami ng �✓
Roofing \
Siding /
a onry Veneer \ /
MAugh Plumbing / 7
Relief Valves /
Ext. Porches f
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 ELECTRIC L INSPECTION
• I)RIVEWAY APPRO AL ,
Final Building Survey ��
Next scheduled inspection (call when ready)
-
sad
Remarks- 7 L d� U h C,ed
t
• Buil. ng In pector
6/86 and-vl
awn of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT.
NAME Cia
LOCATION
Date 1I / Permit No. RY-64/°7
* * * * * * * * * * * * * * * * * * * * * * *
i� = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
ckfill V/
Framing
Roofing i
Siding
Masonry Venee.
Rough Plumbin•
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofino
Door Closers
Smoke Detector-
Chimney
INSULATION:
Foundation •
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPRIVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
' 1
D
tiV
Building Inspector
6/86 and-vl
Jown o/ Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
///eq Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME . 2,,
(iv-„
6 K�
LOCATION AL ‘7/Z9g
9(2
Date /-/9 /eff Permit No. 1
* * * * * * * * * * * * * * * * * * * * * * *
� ✓ = APPROVED - / NO
�boting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ven-er
Rough Plumbi g
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 APPNOVAL
Final Buildin: Survey
Next scheduled inspection (call when ready)
Remarks—
/ Gf�J/J
i
Building Inspector
6/86 and-v1
of
11
"5'.\\:9\
k 4- '0'.
�s B Ui;' 1 !ZS
75 may ! \ k 11 e A
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4/47 86 Lot. d 4-3