1988-690 CERTIFICATE OF. OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
J
Date mLl LLaa_y 10 1909
(30( 5.- 1, 4,s--
This is to certify that work requested to be done as shown by Permit No. 00_n n n
has been completed.
This structure may berctig as a One Family Dwelling
Location Lot 61 Maple Dr. (St. No. 44) Hidden Wills
Owner David Bowen
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
t.: BUILDING PERMIT
TOWN OF QUEENSBURY •No. 88-690
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to David Bowen
OWNER of property located at Lot 61 Maple Dr. Hidden Hills (St_ Nn_ 44)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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
P.O. Box 4781
Glens Falls, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
5. ARCHITECT'S Address
•
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 32' x 67' as per plot plan, specifications and application including septic system
and attached two car garage.
8. Proposed Use
One Family Dwelling
$5.00 C/O
$ 108.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1, 1g 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.)
Dated at the Town of Queensbury this 16th Day of Sept. 19 88
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
. ...JO.Wii 0/ Queensitiry. • ff- 490 - - .,- . ., ! .1j , : .
BUILDING and ZONING DEPARTMENT 1=.d
Bay and Haviland Road, R.D. 1 Box 98 SEP 12 is83
Queensbury, New York 12801
BUILDING & CODE DEPT. :
CO f D • Ap e r ' d b�: G'��
✓ _. .
APPLICATION FOR COV id UV
BUILDING AND -ZONING PERMIT v�d 10
* * * * * * # * * * ii * # * *. * * # * * * * * * * * * * * it * * * * * * it• 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: TWkb A. gOtAJW.
P.O. Address .'PO 6x 411 c)--V ' „`L.�_ IU 'i ' I2%o i - Tel. hi .9-34,f
Property Location: LA O' I MAQ�k QQ-\V- . IA WOK (a(i5,,j irg14 59Tax Map No. (3 / 1 /�t, '
Street number or building lot number cFW°10
Subdivision name (if applicable) WiWKAI WrI,JS '
TIlE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDIN CODES IS:
ltM 6) N‘& Po x 4fi�I S l,�,s Yq 1 Zoo►
N:ame '_ • P.O. Address Tel. No. r
Name of builder N O W HIVI C Address J`PK-- PS A`n o VE �Tel. A t + IU�0 I
Name of plumber c. S Address QA.bV411AS Tel.
Name of mason . ' Address SA1.A 0A-A • Tel.
NATURE OF PROPOSED WORK:. * - . ZONING INFORMATION:
Construction of a new building '..** - TWO PLOT PLANS 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, S'1'1TE 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 A cb ft XC86jNb ft.
•
A. Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE: * ��
-1 * Existing building (s). Use 1\
Size of new structure �2 ft X '/ ft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one)
No. of. stories (habitable space) * Front yard cj� ft Rear yard lt�� (l1q ft
Side yards \,j` ft and 1 1' ft
Iteight' (grade to ridge) *ft. If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) - D ' * OCCUPANCY INFORMATION
No. of bedrooms 3
* PRIMARY BUILDING-
No. of bathrooms c z-- *� One family dwelling
Primary heating system c- S 17)lyy Two familydwelling
Type of fuel G, � S * ' Multiple dwelling ./ Number of units
No. of fireplaces to be installed' 0
Will a wood stove .be installed? CD * Permanent occupancy
'Central Air conditioning? V * Transient occupancy
Z-fj
• * Business
BUILDING STYLE; PRIMARY STRUCTURE . . *' Industrial •
• Other '
F:anc Contemporary Log cabin * If addition, what will use be?
*
P ' d ranch Mansion Duplex .
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 car/ wo car f car
* * * ' * •* .-*.. * .. * * .* * * '* * ,*. * *...- - Private storage building
!
ESTIMATED MARKET VALUE OF . * Other
CONSTRUCTION $ L062 00� * .
• f .
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 'md-v1
BUILDING PERMIT,:APPLICA'2ION CONTINUED -
BUILDING SPECIFICATIONS: •
Type of construction,' wood. frame, fire safe,etc. • JOCD'YD
Will any second-hand or ungraded lumber be•used? If so,• for what? \/'
Foundation wall material CO vl c-'(LL5(.7 Thickness • '
Depth of foundation below grade (to bottom of footing) 7 '-( '/2
Will there: be a cellar?�n, Heated or unheated? Floor sq. footage sq ft
Will there be a. basement? `A�� Will any portion be used as living space? `'
(If so, what portion? sq.ft. = - Type of use? ' '
Type of roof - .s op d� flat/shed/other ' Material..Of roof wo Db ) 1�SV1 ��
Size, wood stu s 2_ "X L " spacing 0-0 "o..c. length (K ' ft.
Joists(floor beaus) ...lst. .,floor Z "X l o " spacing l,-, "o.c. span f t 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 f .
Roof trusses(pre-engineered) spacing 2`1 "o.c. span"Zy� zft. '
Exterior wall finish V' -i \ • Of what material? O`o`D
Interior wall finish 515-7 11-0 C4L
If a gara a is'to be attached, describe materials to be used for FIRE SEPARATION:, cieS
l'.j Z. -1.:'Q l--- L c�"�1? ly `3`0-
Is there to bean opening between garage and dwelling?�L If so will a Fire-rated
door, enclosure,.and self-closing device be 'provided? . L�
Will a flue-lined chimney be installed?, Height.above roof • • ft.
Depth of chimney foundation below grade ft.
Depth of fireplaee .he- €ti-n:
Water supply--' unic. r private well ..:. . '. - '
SEPTIC'SYSTEM . Distance from ANY private well('including adjoining properties `db` ft.
(A separate application is necessary for any repair or new installation of septic system) .
Town of Queensbury A F F :I D A V I .T STATE OF NEW YORK
County or 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 pecified or not, and that such work is
authorized by the owner. . I .
SWORN TO BEFORE ME TI'IIS Signature__ __
Owner,. owner's agent,arcnUtect,contractor ' .
day of 19 .
Notary Public, Warren County, N.Y. •
* * * A. * At * * *- * * * * * * * * * * * * *'-* * * * '7t• * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS'.'OF THE PERMIT: ,• . . ... .. . .
•
•
•
' - ; ny
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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 (C)
2 . Type of heat t� 16 DT Q' •
3 . Is the building mechanically cooled? N 0
c'Il
4 . Percentage of area of windows and doors \A ? -0
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 0
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 V-- n
3 . R value of glazed area k
4 . R value of doors 2 - ` f
5 . R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8 . R value of heated basement/cellar walls (above grade) \ D
9 ., R value of heated basement/cellar walls (below grade) 01)
10 . Type of insulation
C. Controls ) �,
1. Thermostat maximum heat setting ) l
D., Duct Systems
1 . ., Is duct system installed in unheated spa es? YES
a. If YES , R value of duct installation 0'9 -
b. R value of duct in other areas
E . Piping Insulation
1 . Size of hot water 'or cooling1, arrying agent pipe
2 ." R value of pipe insulation .
F. Service Water .,Heating
1 . Performance efficiency �� o
2 . Temperature control setting maximum \`kn o
G. For Swimming Pool Only
1. Maximum heating
Telephone No. CN ret(d.
( 11 ant ' s signature)
ti
,TUrft. Q cliazza.4tre.tr gi •
APPLICATION FOR SEPTIC DISPOSAL PrRM1T 2I„IIia .1 COOLS Mat,
10r Y
-
LC1�atult
D A'1'L'
1
2 SCE / 88
LOCATION. OF PROPERTY FOR INSTALLATION
Owner's Name: ] (�l Ib A. QtW Telephone: _ « L11o,
Address: 0 0 Q
Installer's Name: TbA‘J (b �ol� �� Telephone: j' ' S0 l2
Number of bedrooms (residential only) _
Total daily flow (compute @ 150 gal per bedroom) 1-KO .
Topography: circle one: Rolling Steep'Slope 9 of slope:1311
Soil Nature: circle one: a 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.
.
Douaestic.water supply: circle one: . Municipal . Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank (i0�0 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet"/ Total system length feet
SEEPAGE PIT(S): Number of — / Size each feet liji feet
Size of stone to be used U / Depth or Thickness feet
4 4 4 * * 4 * 4 4 4 * * * * * * * * * * * * * * * * * * * ** * * * 4 * * *'* * * *
IMPORTANT
...Please...LIST NEW ] QU1PMLNT TO BE INSTALLED
* * * * * * af. *.* * * 444 * s * 4444 * 44 * 444444* 4. 4 * i * ** *
•
(over)
Section II ; Septic System Inspections:
'A. All applications for septic system installation, alteration or repair, as
1 . required by the own of Queensbury S.mitary Sewage Ordinance, shall
I.; 'l&be:.submitted to the. Building Department at least 24 hours before start
' of construction and sh:,11 include a plot plan showing: . .
c „•. 1.).1,the proposed location of the system. ,
2.) 'llocation and distance to lot lines •
, = .i.) location and distance to structures
i a ) 'location and distance to :rny water supply
• s 5.) 'size and diniensions'of all tanks, distribution._
r
;`boxes, tilt fields and/or drywells
o- 13 No system shall•be covered before inspection and approval by the building ,
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $2.50.00.
C. An approved copy of the plot plan shall be available on the construction
j site'. Failure to produce said plot plan at time-of inspection may result
in . n 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. .,
n
I have read the regulations above and agree to abide by these•and all requirements
of the Town of.Queensbury Sanitary Sew- ge Disposal Ordinance.
Signature of responsible person: U� •
Date: II-- SE91. 1T2
Town of Queensbury
f: Building and Code.Department
' Bay at Haviland Road
-', Queensbury, New York` 12801
(518) 792-5832
r
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES .
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.k DATE `f a ?'1,, ',
CITY OR VILLAGE -, TOWNSHIP COUNTY
f;,.
STREET AND NO.OR ROAD ,5 , . _ POLE NUMBER
.li E.
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
may' _'\I kiN, Ii\ •7lj;,.., ; \`.J / . --
OCCUPANT'S NAME BUILDING OCCUPANCY /
( (° ,.I j ` i
t. •
OWNER'S NAME AND(¢DRESS i-, ,-I HOME TELEPHONE NUMBER
-- ��: i '1 ,'-' 1 11,1 I ,y,(3( r`N.. )i i
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
.. -3 h. - Li-}�. I
BUILDING IS
NEW❑ OLD❑ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
lion Side Attach'( 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:
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 MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS .
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS '
NAME OF APPLICANT —1--„f,, - // DATE OF-APPLIICATION SI)'}rATURE OF Al3PLICANT
I_-1`61 1 \l 4' i 4 �,C.:I - I'4 it -, X •.{i 'F -, ---.'i\
STREET ADDRESS V`•: •— - ,TELEPHONE NO.
(' \jv P L-1 1 J I
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
\7:\,..:,:,‘,;C, 1r tJt\ S 1� Al •
` ,t:1
- ' I
❑ 85 John Street ❑ 41 State Street ❑ 584 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE, NY 13206
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TUG NIMA1 VC PV Pn4Rn nF FIRF I INnFRWRITERS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT �)
BAY & HAVILAND ROADS (- ,
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED / -4-�
NAME CA-L ---ZO2 1-EJ--(-•
LOCATION � ' )r/c ,,,, 1l p
DATE ) PERMIT # -6 90.
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING.
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION: ' G
CHIMNEY HEIGHT .\• ,;`
ROOFING 114
SIDING
EXTERNAL PORCHES/STEPSA
STAIRS-CLEARANCE & RAIL'S
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS' \
GARAGE FIREPROOFING
DOOR CLOSER(S) t,
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:
OK ID
INS CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 722
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801--
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED / V IN
NAME (/ i0 �y'`/'� -4Z�./ .r
LOCATION (l�/' I?/ ' �c 4---14/i is
DATE / J, Ti PERMIT # k lQ 9Q
��� ` APPROVED
\ / YES NO
FOOTING2PIERS \ r(,
MONOLITHIC POUR FORMS I .
FOUNDATION/DAMP-PROOFING 1
BACKFILL APPROVAL \ ;`
ROUGH PLUMBING
FRAMING \ i '
ELECTRICAL ROUGH-IN
INSULATION: \
FOUNDATION ; ,
FLOORS b . . .
WALLS \
CEILING
\
lipfiviu INSPECTION: /;/' \
CHIMNEY HEIGHT 4
ROOFING /
SIDING 1Y
/ /
EXTERNAL PORCHES/. ET: i�af ✓
STAIRS-CLEARANCE & RAILS \
PLUMBING FZkTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS \ .L./
FINISHE/FLOORS
GARAGE/FIREPROOFING 1,
DOOR ,CLOSER(S) \ V
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION `y L........'
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:�\�) __� 0.00,....4, os
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-D , 0.00N n't, � Ve V A-e' V
TYe &I- 1--i(1)4/.1-a*, ,- 0-6--11 /64-
a91-(- et°11 531/1111)1- 1
67- '6.)
INSPECTOR
, ...
. ,
- _
---- - .
--c. MIDDLE DEPARTMENT INSPECTION AGENCY, 1NC.
• _ ,
2-
Plumbing Fie Inspections
- -
. .
., ,.- viktggliPlli
ytientLe • ill _
..
T - constitutes certification that the
above installation, but not the equip-
ment itself; has been visually inspected
?' 00 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 - 1
,
, 0 be submitted promptly to this Agency..
Z
, ,, ,
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. I
/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
•
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4/-277
NAME _ GZ.{i-GCF� Areal'YA✓
LOCATION „1 4 jZj
DATE %g- J 1 PERMIT ## -
I APPROVED
1 YES NO
FOOTING/PIERS ,
MONOLITHIC POUR\FORMS
FOUNDATION/DAMP,\ROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \ I
FRAMING
ELECTRICAL ROUGH-IN
(..--INSULATION: �.
FOUNDATION ')
FLOORS \ 17
WALLS I
CEILING \ j
FINAL INSPECTION: \/
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORSS\
FINISHED FLOORS /
GARAGE FIREPROOF NG
DOOR CLOSER(S)
SMOKE DETECTORS!
FINAL ELECTRICAL/INSPECTION .
FINar _z2PROEAL OF CONSTRUCTION
ASE
OB! /67-)
EFORE
TH;
RE.
. "•
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 INSPECTION RECEIVED /�7
NAME e i-8 ?/
LOCATION lee cs�,��� � //5��( /DATE 11f�? PERMIT # ''L�d
APPROVED
YES NO
FOOTING/PIERS /
MONOLITHIC POUR`,FORMS ;A/
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \,
FRAMING 1
ELECTRICAL ROUGH-IN\' /
INSULATION:
FOUNDATION /
FLOORS \: / % -
WALLS —
CEILING W_ k' Ste• ,
FINAL INSPECTION: 4
CHIMNEY HEIGHT ,�
ROOFING 1 \
SIDING
EXTERNAL PORCHES/STEPS'
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE,,
INTERIOR TRIM/PRIVACY DOORS \
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
1
SMOKE DETECTORS r`
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OFF CONSTRUCTION _
_ /
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
,
Apk.IIIJJJ.
INSP CTOR
.awn of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 C
Queensbury, New York 12801
SEPTIC DI
OCUird
SPOSAL SYSTEM INSPECTION
NAME u?
LOCATION //, � e✓
DATE_��W2/ PERMIT NO. S 9c
SOIL TYPE - and Loam - Clay -
Percolation es Required? YES -jMO
Percolation rate - Min/Inch /:
` `
TYPE of SYSTEM: /
Absorption field, total length
Length of eachs trench Ir
Depth of trenches ' /
Size of gravel \ /
SEEPAGE ITS of) 7f
Size- 0 {N�r ft. X not. /
Gravel size
PIPING: t.ize T e
Bldg. to tank
Tank to dist. box \ U
Dist. box to field/ CU
Openings sealed? YES N Partial
LOCATION/SEPARATIOIS:
Foundation to tank/ Id
Foundation to absorption 77ft.
Absorption to lot/line /6 ft.\,
Separation of pits /(0 ft. '1
LO ON OF SYSTEM ON PROPERTY(circ•le one)
ront - Rear - Left side - Right side -
:1 ENTS: / \�
•
•
SYSTEM USE APPROVED ES NO
atjb.
�, /� Building s ector
/ZL:�S kw -`
01/86 and vl
•
awn of Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME brG� 494-Pei?
1 i
LOCATION /-�7 / ,/11:,We ,1,
DATE lr % '/ PERMIT NO. 6 r'r -6,5v
SOIL TYPE Sarid.73- Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
1 - '
TYPE of ' YSTEM:
Absorptiooi field, total length
Length of `each trench /
Depth of trenches ' /
Size of gravel.
SEEPAGE PITS,{Number of)
Size- ft`X ft.
Gravel size
PIPING: S. e Type
Bldg. to tank
Tank to dist. bo
Dist. box to fiela/p'
Openings sealed? Y, S NO Partial
LOCATION/SEPARATIO'S.
Foundation to to k ft.
Foundation to ab-orptio, J ft.
Absorption to l.t line j p ft.
Separation of .its ft.
TION OF S STEM ON PROPE'TY(circle one)
(Front Rear - Left side - R ht side -
COMMENTS:
Tt:// c fe- (JO 'Ai
, or dc.,,
•
SYSTEM USE APPROVED YES NO
/
Bui3i'1'g Inspector
91/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS ��/-
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED liM /
NAME —��/(ivZ1��1, u-( '7./�G�'j
LOCATION\ oZ 0 L/2i -
DATE /,//<r/Q5/ PERMIT # S4--(o 9().
\ APPROVED
YES NO
FOOTING/PIER
MONOLITHIC PO)R FORMS
FOUNDATION/DAM —PROOFING
BACKFILL APPROV L
/ROUGH PLUMBING
FRAMING /
ELECTRICAL ROUGH-1N 1
INSULATION:
FOUNDATION \ I
FLOORS
WALLS IN\\\
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHE /STEPS
STAIRS—CLEARAN & RAILS
PLUMBING FIXTU ES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED F RS
GARAGE FIREPROOFING
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:
Etirst,ti (CI
I
INSPECTOR
awn o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME /62a.;6d
LOCATION ,Ip71'
DATE_7/�'4/(Vr PERMIT NO. Oe'6 57e7
SOIL TYPE - aannd) Loam - Clay -
Percolation T€st 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 PITS{Number of) - ' ov yie&
Size- ' ft. X g ft.
Gravel size ,
PIPING: Size Type
Bldg. to tank 124
Tank to dist. box Y t-(
Dist. box to field/pit cl
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation to tank / ft.
Foundation to absorption 2,c2ft.
Absorption to lot line '( ft.
Separation of pits /6 ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Fro.. - Rear - Left side - Right side -
COMMENTS:
"%e Jete-h/7 72r
SYSTEM USE APPROVED YES NO
Buil ng Inspector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION 4i//
DATE /7::q PERMIT # -6,09
APPROVED
YES NO
FOOTING/PIERS j
MONOLITHIC .OUR FORMS f
FOUNDATION/RAMP-PROOFING
BACKFILL AP"OVAL
ROUGH PLUMBIJ
�Fl2AMING Q �� / v sre/ f.,
ELECTRICAL ROU .-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING \
SIDING
EXTERNAL PORCHES STEPS
STAIRS-CLEARANCD & RAILS
PLUMBING FIXTUR, S/RELIEF VA VE
INTERIOR TRIM/'RIVACY DOORS
FINISHED FLOORS
GARAGE FIREP'•9FING
DOOR CLOSER(.)
SMOKE DETEC ORS
FINAL ELECTRICAL INSPECTION
FINAL APPROV'L OF CONSTRUCTION
A SIGNED VERTIFICATE OF OCCUPANCY MUST BE
OBTAINED ROM THE BUILDING DEPARTMENT BEFORE
THESE P:EMISES ARE OCCUPIED!
REMARKS:S ej
I PECTOR
4 /A--(_
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /biaVb5
NAME L?i //J I&%'J f
LOCATION 63 j ;/ Adea,t 466
DATE 0//i/gf PERMIT # 9'
APPROVED
YES NO
FOOTING/PI S
MONOLITHIC QUR FORMS
FOUNDATION/D P-PROOFING 1
BACKFILL APPROVAL f
ROUGH PLUMBING 1
1„/P4.RAMING \ / v
ELECTRICAL ROUGHN
INSULATION: �� 1
FOUNDATION I
FLOORS •
WALLS
CEILING /
FINAL INSPECTION: I
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTUR S/RELIEF VANE
INTERIOR TRIM/ RIVACY DOORS
FINISHED FLOG, S \
GARAGE FIREP FING \
DOOR CLOSER( )
SMOKE DETE ORS \
FINAL ELECT CAL INSPECTION \
FINAL APPRC� AL OF CONSTRUCTION
/// \
A SIGNEII CERTIFICATE OF OCCUPANCY MUST BE\
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: ,s ue tS r 4,4_1 e r-S 021
62r!k,..5
PT,,e_le__ i2st- e-L-
dote./ A..
h 4,,,'n--1'_,,,..., FAY
re-it,
GUci�
. ,
041A--- /1-- 6--lit'sme'L
__N.,.
t ,,,
,, .._
apP 0,,,A.R1,6
INSPECTOR
'own o/ Queenitury
BUILDING and ZONING DEPARTMENT •
iP/6 Bay and Haviland Road, R.D. 1 Box 98
7 Queensbury, New York 12801 •
/37
BUILDING INSPECTOR ' S REPORT . .
NAME0�� ,� _% .:5 o�j�
LOCATION / CG e�C�/�L //
Date/ /J7 Permit No. W-t.. 6/L?
* * * * * * * * * * * * * * * * * * * * * * *
✓ - APPROVED - YES / NO
-Footing/Pier Forms /Z a c�-(1/- -!
Foundation //
Waterproofing
Backfill •
Framing
Roofing • ,,,:-'
Siding i`
Masonry Venee
Rough Plumbing ,�"`
Relief Valves F�,.
Ext. Porches y'
Finished Floors
Interior Trim ,aye
Stairs & Railings f
Cellar Drain Tile X/ •
Concrete Floors A
Plbg. Fixtures X
Gar. Fireproofin . X
Door Closers X
Smoke Detector X
Chimney ‘
INSULATION: ' \Foundation '
FloorsNi
Walls N.
Ceiling \
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL N
Final Building Survey i •
Next scheduled inspection (call when ready)
•
Remarks-
tObLita)
Buil ing Ins etor
6/86 and-vl '
awn of Queenitury
BUILDING and ZONING DEPARTMENT
f) - Bay and Haviland Road, R.D. 1 Box 98
�� 1 Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT •
NAME d)6U N _,.0 1)UZ,0'-e�-�
LOCATION / ti-C,a
-, ///Z
flC_eQ. 10
Date 241-/ Permit No. T—s--604
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
(...„--Foundation1 L/
(,Waterproofing j ,f` ly.
Backfill ) 1''�
Framing a ,"
Roofing 0.7
Siding 'k 4
Masonry Veneer ,i ./
Rough Plumbing '
Relief Valves 4 '
Ext. Porches
Finished Floors V
Interior Trim
Stairs & Railings /41
Cellar Drain Ti1 ,,'
Concrete Floors, A
Plbg. Fixtures 1
Gar. Fireprtifing
Door Close's
Smoke De r-ctors \\4
Chimney
INSULA ri ON:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
i . IQ 0444) . _
Building Inspect r •
6/86 and-vl •
•
_Down of Quecniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /j f� M
•
LOCATIONje ,b/M/�.4ftA�C��.L(�£
Date 913 , / Permit No. ?()
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YE NO
I/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 j ,
Door Closers ✓,,
Smoke Detectors
Chimney ;i`
INSULATION: y%
Foundation
Floors
Walls
Ceiling r� •
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
r'
Next scheduled inspection (call when ready)
Remarks-
g
•
/! ,r
•
Built ing Inspector
6/86 and-vl
V l-,
AA A P L, � )� C, \ V E
4E- A V
a
AA A F L-
I
1-1 cx- C-- D"L - Vj F >
N
oil
APPROVED
FOR SEWAGE DISPOSAL
t'f E�q Y P.E.
� � l/'Zl8 � -_
DATE
\AJ 4' IT !F-
Ll
SCALIE REVIS10"s ev *Are
m >\/E: 45 E- ;zp—ud
7;'M 4& ICOID
AP
TOT" MC-
14,
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