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1989-050 s i � j 4 CERTIFICATE OF CUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 1 DateFebruary 20 1991 -- 1 This is to certify that work requested to be done as shown by Permit No. 9T i has been completed. Bedroom/Addition to ,edraam ' 'i s l 11T1 ; l pwt,Jlino This structure may be occupied as a — ' Location i II C)wner Cliarlca dSr i'at riu �<� icuzaias By Clrrder Town Board Tow'Nl of QUEENiSBURY r , Director of Bl ct Code Enforcement i I I BUILDING PERMIT TOWN OF QUEENSBUR.Y X `� No. 89 -90 z WARREN COUNTY, NEW YORK 0 0 PERMISSION is hereby granted to Charles & Patricia Hottza l as I IJ co I OWNER of property located at Sunnyside Nor h Box- 3_L2 Street, Read or Ave. in the Town of Queensbury, To Construct or place a _6rld i f- i c,n i-rr TNWae11jXLg 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 42-25 65th Place IHHX Woodside , N . Y . 2_ CONTRACTOR or BUILDER'S Name N a+ Do Awl Construction w 3. CONTRACTOR or BUILDER 'S Address PeOeBox 930 r ' Glens Falls , N . Y . 12801 ro In 4. ARCHITECT'S Name Gr+ 00 S. ARCHITECT"S Address H Y• 0 H. sv 6. TYPE of Construction — (Please indicate by X) C!i G [ } Wood Frame ( I Masonry I } Steel I 1 7. FLANS and Specifications (A 0W No, 24 " x 26 ' addition as per plot plan , specifications , and M and application . 0 G 8, Proposed Use Single Family Dwelling w/ addition 25 . 00 c/a R $ 6 L4 OO PERMIT FEE PAID — THIS PERMIT EXPIRES Rgypt-e� lhd=Z 1 tg-4439.— � (lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O town of Queenshury before the expiration date.} „+y, 1'h Dated at the Town of Queensbury t} h Da of Eebr■,ax"Y Cl SIGNED BY for the Town of Queensbury Building and Zo King Inspector F+ r• t TO BE COMPLETED By SLDG . DEPT .G Application No . � _ uVav /Wrl Permit Issued, 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. CI. I Box 98 Zoning Designation Queensbury, New 'York 12BOI varianc Hite P Re Na . -+ Appr d b Z./"sp rkwo K Io aJ L,..N' APPLICATION rOIl C 11(9 Z S 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 :;peciul conditions as may be indicated on the Permit . ..........._......_....___-- . r--- - ----- ------ ________ _ ____ ___--_ _ ------------ -__ . �.y rnc9w � r;7t� s I'hc owner of tkxis property is : rrrnr S v� pJ' 7rY��C Ct /YLC3�f�'� A:2 P . O . Address t!o .a fk /f./ ee wet>d7 /Jo6, / r= Tel . ?147G 3 Property Location : 'dW N�k SJCi /'4' 49,K Ah _ oX # 12 _ Tax 'Map street ntu<rber or building lot number L3ubdivision name ( if apillicable) TliE' PERSON RESPONSIBLE !FOR SUPERVISION Or WORK AS REGARDS BUILDING CODES IS : Nauru P . O . Address 3'el . No . Name of buildtr�pt+ wt t . ,v57 . Address 7Ykf 31 �✓0 Name of plumber &.c tlw,Z r . ONWSi`. Address pg . ys_ e4wyxg G,r .ws FA[! . 'rc-1 Naxru of xnawnn joc s9ivt x i v¢7` Addre as Ac) 6c er `qA: p raxs c' FA1[4 i. `Sel _ 75P.4 - 'tf [} NATURE OF PROPOSED WORK : * ZONING INFORMATION : CorxStruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMI'L"rUD , x,/ Addition to a building drawn reasonably to scale and attached hereto , Alteration to a building * showing clearly and distinctly all buildings , � ( no c)-sange to extLrior dimensions ) * whether existing or proposed and indicate all other work (describe ) * set-back dimensions from property llnOs . Give * street and number or lot number and indicate - - * whether .interior or corner lot . Show location VOR ULMOLI`I' ION PERMI.1' , STATE SIZE AND w ,of water supply and location and conriyxxration LOCATION OF S`L`RUCrUICES AFFECTED . of septic disposal area . COMPLETE INPORtMIATION REQUIRED BELOW . size of property .1y 1yZY ft X / ;ZL; ft . Existing buildings ) Size 4Xg ft X 2A ft . PROPOSED BUILDING A!' ID USE : * )existing buildings ) Use l�s 6rzA- .F�w 1'' ckere "14e of new structure ft x1t ft P'ourxdation-•pier/slab/crawl/partial/ full Proposed building , distance from l) roperty line (circle curie ) * Front yard ft Rear yard 3 ft No . of stories (habitable space) C� N � * Side yards _ � £t and �„2 ft height { grade to o1 ) ft . If on corner , setback from side ;street ft III If residential , noo ,. of families �^ No . of rooms ( excluding baths ) 3 " OCCUPANCY INFORMATION No , of bedrooms 3 * PRIMARY BUILDING - No . of bathrooms l , ' One family dwelling Primary hunting sy tem ,C,re- a JF/a:t * y * Two family dwelling Type Of fuel � Multiple dwc ]. ling / Number of units No . of fireplaces to be installed G` Permanent occupancy Will a wood stove be inNtalled? ' D `rransiunt Occupancy Central Air conditionirxg ? Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Rais Ma h nte¢rrlaorary Log cabin If addition , what will us` be ? Li I �Qe rTi"75' �r- R:3ised ranch Mansiorx Dul�lc:x Split luvr� l Old style RSung" low * a A tiftc rr S" 'A« Cape Cod <ZCof ac Other " ACCESSORY BUTLDIHG- coionial Row Town House * Detack,ed garL-kqe/one car/ two car/ car ( CIRCLE ONL PLEASE ) * Attache a garage/ono car/ two car/� car * ■ w x ,r * x _ * * * * * '" Private storage building LSTIMATIiD MARKET VALUE OF * 'other CONSTRUCTION INFORMATION ON BUILDTNC SPEECIFTCATIONS , ON REVERSE SIDE OF' THIS SHEET , TO BE COMPLETED ! Nprm LIPA 4/ 86 and-vl BUILDING PErQ-IIT AIJPLICA` IOIJ CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . 11 "eo l*74E' Will airy second-hand or ungraded lumber be used? If so , for what ? Foueidation wall material Thiekneus Depth of foundation below grade (to bottom of footing ) 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? �.vv ( If so , what portion? sq . ft . - - Type of use? Type of roof - slowed/flat/shed/others Material . of Size , wood studs V, "x�_"" spacing tk "o . c . length �ft , Joists ( floor beauts ) 1st . floor $4x no spacing "o _ c , span ft . Joists ( floor beams ) 2nd . floor I-"X /0 " spaci.ng..�4, "'o . c . span�`ft . ; Overlays ( ceiling beams ) ""}( " spacing "o . c . :span ft . Roof rafters `"X spacing a . c . span ft , Roof trusses (pre-engineured) spacing a +,; "o . a , span ;,2_d_€t . Exterior wall finish _Aeve /c,d Of what material? �vrro� Interior wall finish Si/rcf�cc ' If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is them: to be an opening between garage and dwelling? If soh will a Fire-rated door , enclosure , and suit1f- closing device be provided? Will a flue-lined chimney be installed? -se 'es - Height above roof :2' ft . 0 - e�lee A. e-itid Depth of chimney foundation below grade Tto Depth of fireplace hearth ft . in . Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well {including adjoining properties ft , (A separate application is necessary for any repair or new installation of septic system) "Town of Queens bury F F I D A V T STATE OF NEW YORK Warren County off W Warrren T 1 I swear that to the best of my knowledge and belief the statements contained in this application , togither with the plans and specifications submitted , are a true and complete statement of all proposed work to be dona , on the described premises and that all provisions of the BUILDING CODE , T1iE ZONING ORDINANCE , and all other laws peru inincl to the proposed work shall be complied with, whether %peclfied or not , and that : t;"C h work is authorized by the owner . SWORN TO BEFORE Mr. THIS signature � ���w �.�__q�R_�`�=s"� ___�_- w� rxer " :.; ,::.dent , arcn�tect , contractor day of 1-9 SJ Notary Public , Warren Cuut-ity , N . Y . * * * * * * r * * * * * W * * : w * at w at * w * w w w * * * * * * * * w * SPECIAL CONDITIONS OF THE PERMIT : TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT INRCO I+T MPLANCU WITH THE NEW YORK STATE A permit must be obtained before beginning work . ANSWER ALL of the following : 1 . cross floor area 60? � 2 . Type of heat _ 1 2 yo v 3 , is the building mechanically cooled ? [? 4 . Percentage of area of windows and doors /0 /3` " �' A . Over 16 % Only 1 . Uo vmemalue of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES . 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 1636 Only 1 . R value of roof and floors exposed to ambient conditions . 2 . R value of exterior walls lF et � 4T 3 . R value of glazed area 3 - 4 . R value of doors 5 . R value of floors over unheated spaces_ /Q 6 . R value of slab edge Insulationw - unheated slab 7 . R value of slab insulation - heated slab S . R value of heated basement/ cellar walls ( above grade ) 96 R value of heated basement / cellar walls ( below grade ) 10 Type o insulation C . Controls o . P - 1 . Thermostat maximum heat setting p . putt Systems 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation be 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 I F . Service Water Heating I . Performance efficiency 3 . Temperature control setting maximum GV For Swimming Pool Only 1 . Maximum heating Telephone .No . mjk=�IL- ( apjVEIcant5s signature ) TOV011 OF QULENSBURY APPLICATION FOR =',ria-.1af SEPTIC DISPOSAL PERMIT r BATE / �9 LOCATION OF PROPERTY FOR INSTALLATION ,L ©74 / 8• S aerrN 9F s ' /%141Ath Raf Owner's Name: ChWR,LFS 1" 0U .ZA4f9 Telephone: 799 — 16 Y� Address: Installer's Name: CQB ,No"/9f&JO.T Telephone: 79.3 3 �83 Number of bedrooms (residential only) -- Total daily flow (compute (d 150 gal per bedroom} ff Topography: Circle one: Flat Rolling t�S eeD �S11o:: 6 % of Slope a Soil Nature: Circle one: an 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: Water supply from septic absorption N f feet PROPOSED SYSTEM : ._Sop-it4c Tank. t7 © O gal. ( minimum size: 1 , 000 gal.) TILE FIELD : Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # /Depth or Thickness feet I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the "Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON : s--- DATE AS OVER Septic System Inspections : - 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 , the fields and /or drywells 13 , No system shall be covered before inspection and approval by the Budding, 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 [luring construction prevent proper installa~ cian , alteration or ropalr of an approved system , a new proposal must be submitted CO the: Queensbury Building Department before further construction . Town of Queensbury BUIL.DI.NG and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New 'Stork 12804 Remarks : MAIN OFFICE ATLANTIC4NLAND, INC. 997 McLean Rd. NEW YC}RK Cortland, New York 13045 MEMBER OF N.F.P.A- AND LA,E.r (607) 753-7809 Phone: (607y 753-709 FIRE UNDERWRITERS(607) 753-t396 (Electrical and Fire InspeDtion-Enforcing and Consulting Service) � 5 3 6 8(] 3 (Incorporated in the State of New York) Desiring Certificate of Approval, application is made for inspection of eiectricai installation in the premises described below. On demand applicant agrees to pay lot inspection service in accord with schedule of charges. APPLICATION FOR ELECTRICAL INSPECTION — PLEASE PRINT OR TYPE Q! f -/- THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION OA - _ g CITY, TOWN. VILLAGE COUNTY L(J STATE A. ) STREET ADDRESS 1 ,r - RURAL BUiLOG. ND 40 . DlRECTiONS ,7 !0614-, ,y' /:` "t' / POLE NO. OWNER'S NAME72� OCCUPIED AS OCCUPANT BUILDING — New 40 Ole C7 WORK.— New Adddlonal O OWNER'S P.O- [ ADDRESS23 r'� ✓`..' f v /►,t �Y APP. FOR — ROUGH WIRING ❑ FIXTURES El OR READY FOR INSPECTION 1g FEE REMITTED — S BY CHECK O CASH O MONEY ORDER M MAKE PAYABLE TO ATLANTIC-INLAND, INC — NEW YORK N umber of Rough Wi nng Outlets FixtUreg Add Inatatiation Swlch Lp Ing Recep. Heal ease Base Mogul Fluor. s«7 75O 1OW 1250 15d0 1750 2400 2250 2504 2750 3gW7 Elea. Hear Amp. Service Water Hu. Burner Air Cond, Surface Unit Oven Range Gr. Disp. Dish W. Dryer H.P. Pump -- Ex- Fan hood OTHER EQUIPMENT (Specity Type A Capeciliea) TYPE OF SIZE OF SUB- WIRING OPEN ❑ CONCEALEO O OTHER MAIN MAIN BRANCHES NO.CIRCUITS APP '5 SIGNATURE LICENSE a PERMIT • APPLICANT'S NAME OF ADDRESS UTILITY CITY STATE ZIP CODE OFFICE TO BE NOTIFIED BELOWSPACE a w USE OF • - ONLY ROUGH WIRING AMP SERVICE K.W. SURFACE OUTLETS EQUIPMENT UNIT SWITCHES AMP SERVICE M.W. OVEN CONDUCTORS RECEPTACLES H.P.GARBAGE H.P. PUMP DISPOSAL UNIT MEDIUM BASE K yr FIXTURES KW. DRYER DISHWASHER MOGUL BASE K_W, WATER FIXTURES HEATER K.W. RANGE FLUORESCENT H.P. AIR AMP. RECEPTACLES FIXTURES CONDITIONER MERCURY VAPOR OR WIRING 6 CONTROLS FOR BURNER SMOKE FRAC. H P. QUARTZ FIXTURES DETECTORS VENT FANS MOTORS, H.P. 1120 1112 171U 1/8 1f6 114 1l3 112 3/,a1 1L} 2 3 5 7ya 10 15 20 25 30 AC 50 75 100 MARK NUMBER OF EACH SIZE 5OO 750 11X10 1250 1500 175g 2 ' 2250 25D0 2750 30M APPARATUS Elect. Heat MISC. INFO. Received PEE PAID Inspected PROGR ' 0 DEFECStanley Matyka� 0 DEFEC VE TOTAL S TIVE { Rr Lw #2I Box 60 � Rough Wiring CerlihceiB Check No- Oreen ViCh. ? . Y. 12834 fl Temporary Service Money Order 7s 0M ! T - 6 w +�:30 A M C1 FINAL CERTIFICATE Cash lY.t .Z'5i1rl+8 �n�-�^�tc?�1 LL. Q Dup. Gem Req. O" .7 f ;J 0 MUNICIPAL Charge ( 518) 638-6 - - MUN. ADDRESS j MAIN OFFICE ATLANTIC-INLAND, 1NC. 997 McLean Road NEW Y4RK I Cortland, New York 13045 Phone. (607) 753-7118 MEMBER OF N.F.P.A. AND LA.E.I. (607) 753-7809 FIRE UNDERWRITERS � 15356 � (607) 753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service) {Incorporated in the State of New YO rk> f DeslFlnq CenYtiGate Of Approval, application Is made For Inspection of electrical Installatlon in the promisee deechbod below. On demand applicant agrafie 10 pay for InSPac60n ServlCIr I In aCOOrd with schedule of Charges_ APPLICATION FOR ELECTRICAL INSPECTION — PLEASE PRINT OR TYPE 1 THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION { CITY, TOWN, VILLAGE 0 4AC C"S /3 COUNTY W /},ICj9 e'4-/ STATE Ci+v j/c'fG � STREET ��yy ADDRESS D 4F& }e3 22 rCN.S" BUiLDG. NO. RURAL I DIRECTIONS JV40,9 r I OH 5 4W.It,II•/ A C �y1 Js+s/t d. + N�y^ FflLE NO, 415 S OWNER'S p �r NAME L you /'- �r .Tj%V%0 " zAdeSOCCUPIED AS / OCCUPANT ,� *7� .s BUILDING — New:=l Old Ld'WO RK— New dI Uonal0 A DRESS P.O. 4J2' .[ !'�'"CC ►-i' f�! i APP. FOR — ROUGH WIRING fi3'rFIXTURES 0 OR READY FOR INSPECTION cI" jr, .:R' 7h 19 b'3 FEE REMITTED — S BY CHECK ❑ CASH E7 MONEY ORDER ❑ MAKE PAYABLE TO ATLANTIC-INLAND. INC. — NEW YORK Number of Rough Wiring Outlets FiitllFas Add Installation Swich LI'tng Recap, KW Mad. Mogul Fluor. 500 750 1000 1250 15DO 115& 20M 2250 2500 2750 3WO Heat ease Base ",� Elect. Heat f 73 Amp. Sam lce 'X Wator .Htr. Burnet Air Cond, Surface Unit Oren Ran go Gr. Disp. Dish W. Dryer H.P. Pump ______ Er. Fen Hood I OTHER EOUFPMENT(Spec Ily Type & CapaciIIs5) „7' /1,5 A.F1P&/L TYPE G {,"C- 512E OF SUB- BRANCHES CIRCUITS WIRING OPEN � ONCEALED :if OTHER MAIN MAIN CIRCUITS APPLICANT'S -"�— WwF SIGNATURE LICENSE If PERMIT 0 APPLICANT'S NAM£ OF ADDRESS C -� UTILITY %'ll ti OFFICE TO CITY STATE ZIP CODE BE NOTIFIED ;.::•:. :�:�;:� : �; �:; :� ; �::� :�:�: . . . . .. . . SPACE BELOW FOR USE OF INSPECTORS ONLY •. . .. . . . .. . . . . . ... . . .. . . . .... ROUGH WIRING AMP SERVICE SURFACE UNIT J OUTLETS EQUIPMENT UNIT SWITCHES AMPSERVICE K.W. OVEN CONDUCTORS H.P. GARBAGE RECEPTACLES H.P. PUMP DI S POSAL U NIT MEDIUM BASE K-W. FIXTURES K W. DRYER DISHWASHER MOGUL BASE K.W. WATER FIXTURES HEATER K.W. RANGE FLUORESCENT H P. AIR AMP. RECEPTACLES FIXTURES CONDITIONER I MERCURY VAPOR OR Wl R1N0 &CONTROLS FOR BURNER SMOKE FRAC, H-P, OUARTZ FIXTURES DETECTORS VENTFANS MOTORS, H.P. fl20 i112 1 1110 118 1fE 114 10 172 314 i 1 +h 2 3 5 71,x 10 15 20 25 30 40 50 75 700 MARK NUMBER OF EACH SIZE 500 750 1000 1250 1500 17w 2" 2250 2500 2750 3WO APPARATUS Elect. Heat l MYSC. INFO, Received Inspected FEE PAID GF PROGRESS TOTALS Q DEFECTIVE Cneck Ha.St} GLey LctykkL O Rough W lrl nq Cart locate Ta T� I l l. .D. ;Ed. r}� Box 60 ClTemporary Service Money Order 7� 1 f Greenwich, ,ty • � 1 `2834 C3 FINALCERTIFICATE Cash � 6 Dup. Cart. Raq. .(518). 538_6339_ 0MUNICIPAL Charge T�+ +ry +7,r� 'fit,,/' on ^ ,tT rZ. � -` # .Ju A.+r+r MUN. ADDRESS 1 ATTN: Temp. Cut-in Card No. Final Cut-in Card No. Inape� I uM Ur lAntcwarruK l 531 BAY ROAD 2804 4ELEPHONEY � ( 518)NEW0RK 792� 5832 BUILDING INSPECTOR ' S REPORT FINAIL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME fn CCU ~c CA LOCATION 50 rr A)o 1' DATE PERMS I�T# � ~L TYPE OF STRUCTUREj{ L�L s= r RECHECK_ FIRE MARSHAL APPROVAL . ( COMMERICIAL STRUCT E ) —FOOTING FOUNDATION %. BACKFILL FRAM G ROUGH PLUMBING FINA ELECTRICAL�S TIC `INSULATION W0�STOV FIREPLACE REMARKS R VAL N/ YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/P CH S/ INGS RELIEF VALVES FURNACE/HOT WA 4` Ri�iT I N INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS : BATH/KITCHEN WATERTIGHT r OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILING SMOKE DETECTORS DOOR CLOSERS BATHROOM FAN ALL PLUMBING FI TU OP IN GARAGE FIRE PROOFI'1A DOOR CLOSERS OTHER FIRE S PAI�ti� FIRE/DEMISE WAL. FINAL ELECTRICAL OK TO ISSUE C/0 f ARRIVE DEPART� R -- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAN ROADS ,/r���p� QUEENSBURY,. NEW �Z- /W YORK 12$0 / TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE '7 "Z5 PERMIT ff _,K� r ,APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL R H-IN INSULATION_ FOUNDATION FLOORS WALLS � CEILING INA L INSPECTION: CHIMNEY HEIGHT ROOFING ,SIDING EXTERNAL PORCHESISTE STAIRS-CLEARANCE & RA PLUMBING FIXTURES/RE I VALVE INTERIOR TRIM/PRIVAeY D ORS FINISHED FLOORS GARAGE FIREPROOF G DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTS A SIGNED CERTIFICATE OF OCCUPAN MUST BE OBTAINED FROM THE BUILDING DEPAR ENT BEFORE THESE PREMISES ARE OCCUPIED! REICSz t� 1 ' &t*j ,/"5 ,110 INSPECTOR awn o/ 'Queenj Urry �i y� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEP,rT� IC DISPOSAL SYSTEM INSPECTION NAME /feyQ-i-! , yp LOCATION )� 1✓. /c DATE �/ PERMIT NO. e:f79-SC7 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES ,- NO Percolation rate - Min/Inch TYPE of SYSTEM : Absorption field , total length Length of each ,trench Depth of trenchies - ; size of gravel:_ SEEPAGE P ITs4m r of)g�'. Size- ft . X - ft �' Gravel size PIPING : ' s ze T ve Bldg . to tank Tank to disc . box s Dist . box to field Openings sealed? NO Partial s LOCATION/SEFARATtONS2 / C Foundation to k Foundation to sorption ftde* Absorption to t line 't . Separation of its ►-� t . LOCATION OF SY TEM ON PROPERTY (oircle one) Front - Rear - Left side - Right side - CCMM]ENTS a er Cy+', to ly SYSTEM USE APPROVED s NO BuiZ in I Spector 01/86 and v1 own of Queenjl ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-D. 1 Box 98 aueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME v� C? LOCAT I ON, DATE ;7�Ir�� PERMIT NO.� s� SOIL TYPE - Sand - Loam Clay'�-r NO Percolation Test Required? Perc lation rate - Min/Inch TYPE SYSTEM: Absorp on field , total ength + Length each trench - Depth of enches " Size of g vel, SEEPAG ENvrnber Size- Gravel size e PIPING : Size 0 �crF i-it) Bldg . to tank [ Tank to disto bo i Dist. box to f i d Openings seale S © Partial LOCATION/SE.PA TION S : Foundation to tank ft. Foundation t absorption �- Absorption lot line Q Kt- Separation f pits LOCATION YSTEM ON PROP EtTY {circle one} Front - e r - Left side - ,Right side - CCMMENTS ;. SYSTEM USE APPROVED NO Building Inspe or 01/86 and vl Iotvn 0/ o�i eeeeri �hurah BUILDING and ZONING DEPARTMENT Bay and Fiaviland Road. R.D. 1 Box 98 C)ueensbury, New York 12801 SEPTIC DI SPOSAL /YiSTEM INSPECTION NAME t' LOCAT I O1q mI Nd. l�Q SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total length Length of each trench _— Depth of trenches Size of gravel_ SEEPAGE PITS4Nuinber f) _ Size- ft- X _ to Gravelsize PIPING : Size Type Bldg - to tank Tank to dist - box Dist_ box to field/pi Openings sealed? Y NO Partial LOCATION/SEPARATI - Foundation to tan ft. Foundation to a orptio ft- Ak�sorption to t line ft- Separation of its f - LOCATION OF STEM CN PR ERTY (circle one) Front - Rea -- Left side Right side - CC HMENTS SYSTEM USE APPROVED YES NO Suildin nspector 01/66 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ,BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (51.8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT # APPROVED YES INO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFSLL APPROVAL ROUGH PLUMBXNG FRAMING ELECTRICAL R GH-IN �NSULATSON: FOUNDATION FLOORS ++ WALLS CETLING . FINAL INSPECTION, CHIMNEY HEIGHT fM ROOFING SIDING EXTERNAL PORCHES/S P STAIRS-CLEARANCE S¢fRAILS PLUMBING FIXTURESIRELXEF : VALVE INTERIOR TRTM/PRtVACY DOORS FINISHED FLOORS ! _ GARAGE FTREPR ING DOOR CLOSER (S) .' SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL ;OF CONSTRUCTION P A SIGNED CERT ICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280+4- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT # 3 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS &�'FOUNDATSON/DAMP-PROOFING Z.. ACKFSLL APPROVAL ROUGH PLUMBING f; FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION- f^ CHIMNEY HEIGHT ROOFING SIDING EXTERNAL POR+CHES/STE A^, STAIRS-CLEARANCE & �iA-r PLUMBING FIXTURES/ LIEA,. VALVE INTERIOR TRIM/PRS ACY DOORS FINISHED FLADORS ° GARAGE FIREPROO ING DOOR CLOSER (S) SMOKE DETECT O FINAL ELECTRICA INSPECTION FINAL APPROVAL F CONSTRUCTION A SIGNED CERTI ICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS. INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 32809- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT f REQUEST FOR IJVSPECTION RECEIVED) NAME LOCATION „ n DATE PERMIT # - -S Q APPROVED Y YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING BACKFILL APPROVAL` ROUGH PLUMBING k- �PRAMI NG ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS ' WALLS CEILING r FINAL INSPECTION: +'' CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE /STEPS STAIRS-CLEARAN E & RAILS_ PLUMBING FIX RES/RELIEF VALVE INTERIOR TR /PRIVACY DOORS FINISHED F ORS GARAGE FI PROOFING DOOR CLOS R (S) SMOKE DE ECTORS FINAL ELEC ICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEENSBURY, NEW YORK 1280lk- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FQR .T4VSPECTXON RECEIVED LOCATION DATE - G! PERMTT ! APPROVED YES p FOOTIN4G7'PXERS MONOLITHIC POUR FORMS FOUNDA TTON/ AMP-PROOFING BACKFILL APPpVAL ROUGH PLUMBS FRAMING 'd ELECTRICAL ROU H-IN TNSULAVXON: \ FOUNDATION ' FLOORS , WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFTNG SID.TNG EXTERNAL PORCHES/ EPS '; STAIRS-CLEARANCE PLUMBING F'TXTUR /RELIEF ;VALVE INTERIOR TRIM/ IVACY DOOs FTNI.SHED FLOG t GARAGE FTREP FING DOOR CLOSER ( J SMOKE DETEC ORS FINAL ELFCTR AL INSPECTION FINAL APPROV L OF CONSTRUC2'TON A SIGNED RTIFICATE OF OCCUPANCY MUST BE OBTAINED ROM THE BUILDING DEPARTMENT BEFORE THESE PRJMISES ARE OCCUPIED! REMARKS: Si dd TNSPECTO.R LOT 1 Ga { 1 � i l � w w V w L7 ry t f4N 15Cc lc r Q : o1 Ott �G 3� Ir n � stye✓' C � } 1 °rh7sly lr _ r 07- r L �T z, Lof � 9 440 cfiti + e S 41 , ' i i-+ + f-�fi f u. . • . � I Try nJ' !',! 0/� EL ak.__ ,+'�M � looA - -- +�iettN'i . l n!7ARJ ' 4 PAT CI-` 7A !` 1- :t f NePrslRf<.: ��.i!_�-U^.h-!;✓!- l: Vnry .YYA L7.�-R V✓" �_..- �--�- �`�` "' �, ���'�� �---- � J Y% 51"SIo r Coos 74f ,44cer J L000, Y t' I � f oI ode , f If RrOw ' r rId lo _ ! .y► IG "" �� is "ems' fe *� J/ t+ ,r d try N. 8co• fs ' NI cis, � s l .p v1 C j G N g, Ao A Gy %l f 0 /L /. P / l ear r • q `�] J`- A �I " G #oo� s: JL ser 'covre OSU G„ABGYE aA1'"a d e04lj tA1 LET ~ -+ FVLL TA�IIK J� y N AG/iRM 3tJJfG/Ir (>J"�,=qq �`� � CEUEL AGR.CM.3f✓/TGbI ��G ro Yjr 4� 3 NOTES: -•'€�`��c. u SEWAGE HOLDING TANK SHALL BE A WATERTIGHT PRECAST CONCRETE W 2000 GALLON CAPACITY TANK EQUIPPED WITH A TWO LEVEL ALARM SYSTEM. J�jf 8f�E THE ALARM SYSTEM SHALL LIGHT AN YELLOW INDICATOR LIGHT (MOUNTED IN THE HOUSE) WHEN THE TANK CONTAINS 1200 GALLONS OF SEWAGE. WHEN THE TANK IS FULL A RED INDICATOR LIGHT AND A HORN WILL 'r,F, y► ENERGIZED. THE HIGH LEVEL ALARM SHALL ALSO SHUT DOWN `'HE WATER I c vY/�QLES J"/mUZAG<j5 ���/�Eh�CLr SUPPLY TO THE BUILDING. IF THERE IS EVIDENCE OF HIGH GROUNDIiATER WHERE THE TANK IS ( /Up. ,SUAJIJyS/OE Ie4HD Tdw/A1OF Q�tEA19B//� INSTALLED BALLAST CONCRETE'WILL BE ;lECESSARY OVER THE TANK TO � PREVENT FLOTATION. GRADE TANK_ AREA TC DIVERT SURFACE WATER AWAY SCALE APPROVED BY DRAWN BYJE„[j 8 FROM TANK ACCESS COVER. A GOULD MODI.L' WS1012B PUMP SHALL BE INSTALLED IN A SEWAGE DATE �Z g co REVISED RECIEVER T(, PUMP RAW SEWAGE TO TI1E HOLDING TANK. A HIGH LEVEL ! o�uT z ALAIi. SYSTEM IN THE RECIEVER WILL SHUT OFF THE WATER SUPPLY I:N _ _ -;.. " y THE EVENT A PUMP FAILURE. DRAWING NUMBER SfOCKDRAFTIN6 FORM NO.101•i