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'WIMP
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 9 19 89
';q
This is to certify that work requested to be done as shown by Permit No. 88-736
has been completed.
This structure may be occupied as a Two Family Duelling
Location 2 Queen Mary Drive
Owner Guyer Builders
By Order Town Board
TOWN OF QUEENSBURY
-" /
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY 3
No. 88-736 zo
WARREN COUNTY, NEW YOR K
I
PERMISSION is hereby granted to QUEEN Victorias GRANT
OWNER of property located at 2 Queen Mary Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a ' Two 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
Guyer Builders, Inc.
119 Dunning Street
Ballston Spa, New York 12020
2. CONTRACTOR or BUILDER'S Name
t=7
L.7
Guyer Builders
3. CONTRACTOR or BUILDER'S Address y
0
H
cn
4. ARCHITECT'S Name
H
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
N
)001 Wood Frame ( ) Masonry ( )Steel ( )
trl
td
7. PLANS and Specifications Z
No. 28'x50' Two Family Dwelling as per plot plan, specifications, and
application,including septic and attached one car garage. Model-D ty
8. Proposed Use .W
H
z Two Family Dwelling
5.00 C/O
$ 68.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 1 19 89 H
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
0
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 17th Day of October 19 88
SIGNED BY G2.t,e--W„,c4--Z[-(.t�.T_ for the Town of Queensbury
Building and Zoning Inspector
H
__________� TO BE COMPLETED BY BLDG. DEPT.
// Application No.
JOwn of Queenibur4 Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF QUEE NBBURY
- Bay and Haviland Road, R.D. 1 Box.98 . - Zoning.Designation D 7 i ,1 I [ F T•
Queensbury, New;York 12801 Variance No.. .1 i
Site Plan Review . SEP 2' 19Q8
f
d2 -��� •
Approved" b
BUILDING a. w�� Lit1�.I'.
APPLICATION FOR ///
BUILDING AND ZONING- PERMIT coNc-/v ; ,
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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: Guyer Builders, Inc.
P.O. Address 119 Dunning Street Ballston Spa, New York 12020 Tel. (518) 899-9161
Property Location: , 2 QUEEN MARY DRIVE - Tax Map No. 121 /11 99-
Street number or building lot number
Subdivision name (if applicable) Queen Victoria's Grant
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Richard H. Guyer III (518) 899-9161
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Name P.O. Address . Tel. No.
Name of builder Guyer Builders, Inc-Address 119 Dunning Street Tel. (518) 899-9161
Name of plumber Guyer Builders; Inc-Address 119 Dunning Street Tel. (515) .899-9161
Name of mason Guyer Builders, inc.Address 119 Dunning Street Tel. (518) 899-9161
NATURE OF PROPOSED WORK: • * ZONING INFORMATION:
X Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings, •
(no change 'to exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
* whether interior or corner lot. Show location
• ' 'FOR DEMOLITION PERMIT,. STATE SIZE :AND •
, * of, water supply and location and configuration
.• LOCATION OF STRUCTURES -AFFECTED. ., ' •,* of septic disposal area.
*
„-*.COMPLETE_INFORMATION REQUIRED BELOW. •
>; a. :: see plot
• • . ;,: z, 100± plan f t x 120 ft: -
t.
Size.. of• . roperty
s.:..:....*. -.' N/A N/A ft'..
, Existing building(s) Size ft X
Model...' I *.. .. :;..;;:_, . .
PROPOSED BUILDING AND USE: of D * Existing building(s) Use N/A
Size of new struc re 28 ft X 50 ft *
Foundation-pier slab crawl/partial/full * Proposed building, distance rom property line
* see plot plan
circle one) * Front yard 30+ ft Rear yard 30+ ft .
No. of stories (habitable space) 1 * Side yards 15+ ft and 15+, ft
Height (grade to ridge) 17-0 ft. * If on corner, setback from side street 30+ ft
If residential, no. of families 1 of 2
No. of rooms(excluding baths) 2 * OCCUPANCY INFORMATION _,;,�.,
No. of bedrooms 2 * PRIMARY BUILDING -
,1No. of bathrooms 1 One family dwelling' onessid permit 6ui�Ciingr` _
(Primary heating system Baseboard electric* This
family dwelling
Type of fuel Electricity * Multiple dwelling / Number of units
No. of fireplaces to be installed OPT. Permanent occupancy
Will a wood stove be installed? No * Transient occupancy
Central Air conditioning? No
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other
Ranch Contemporary Los cabin * If addition, what will use be?
Raised 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 ) * x Attached garage/one car/ two car/ one car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ / *
INFORMATION ON .BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
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Form BPA 4/86 and-vl
F
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc.
wood frame
Will any second-hand or ungraded lumber be used? If so, for what? no
Foundation wall material concrete block Thickness 8"
Depth of foundation below grade (to bottom of footing) 48" minimum
Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft
Will there be a basement? no Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof -(slopec9flat/shed/other Material of roof Fiberglass shingles TYPE A
Size, wood studs 2 "x 6 " spacing 24 "o.c. length 8 ft. exterior walls
Joists(floor beams) 1st. floor N/A "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor N/ , "X 10 " spacing 1.6 "o.c. span ft.
Overlays(ceiling beams) 2 "X 6 " spacing 24 "o.c. span 72 ft.
Roof rafters 2 "x 8 " spacing 24 o.c. span 12 ft.
Roof trusses(pre-engineered) spacing 24 "o.c. span 34 ft.
Exterior wall finish stained of what material? 5/8" x 4' x 8' texture 111
Interior wall finish paint 1/2" sheetrock
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
1/2" type "X" sheetrock
Is there to be an opening between garage )and dwelling? yes If so will a Fire-rated
door, enclosure, and self-closing device be provided? yes
Will a flue-lined chimney be installed? No Height above roof N/A ft.
Depth of chimney foundation below grade N/A ft.
Depth of fireplace hearth N/A ft. in.
Water supply - Municipal or private well municipal
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties /A ft.
(A separate application is necessary for any repair or new installation of septic system)
See S.P.E.D.S. permit // 0202525
Town of Queensbury AFFIDAVIT
County of Warren STATE OF NEW YORK
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 specified or not, and that such work is
authorized by the owner.
6
SWORN TO BEFORE ME THIS Signature �_ __
Owner, owner's ag ,arcnitect,contractor
o_d day of , P.Zl9 A►DRIENNE J.FINDER
Notary Public,State of New lb k
����i?j ��1�,� Qualified in Saratoga County
Notary Public, raieri Countj. , N.Y. No.4907692
Commission Expires Oct. 13,182?
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
9Oo Square feet living
4 r 252 Square foot garage - one stall
/ S2 @ $7,00/100"or part of
` 57�° One stall garage
C/O permit
Total
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 SEE PLAN
2 . Type of heat Baseboard electric
3 . Is the building mechanically cooled? No
4 . Percentage of area of windows and doors SEE PART 6
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions Srr PARS' 6
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? OYES) NO
1 . If YES , what is the R value?
3 . Slab on grade 4110 NO
a. If YES , what is the R value of insulation around
perimeter of floor? SEE PART 6
4 . Is basement heated? YES NO
a. R value of insulation N/n
5. Type of insulation SEE PLAN
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
R-38
2 . R value of exterior walls R-20
3 . R value of glazed area LOW E GLASS
4 . R value of doors R-14.9
5. R value of floors over unheated spaces R=1g
6. R value of slab edge insulation - unheated slab N/A
7 . R value of slab insulation - heated slab 12.5
8 . R value of heated basement/cellar walls (above grade) N/A
9 . R value of heated basement/cellar walls (below grade) N/A
10 . Type of insulation Fiberglass
C. Controls
1 . Thermostat maximum heat setting N/A
D. Duct Systems N/A
1 . Is duct system installed in unheated spaces? YES
a. If YES , R value of duct installation
b. R value of duct in other areas
E . Piping Insulation N/A
1 . Size of hot water or cooling carrying agent pipe
2 . ':' R value of pipe insulation
F. Service Water Heating,
1 . Performance efficiency N/A
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2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating N/A
Telephone No. (518) 899-9161 'cvrif2e#7;
(applica ' signature)
%TOM, Of Oiteaki4
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S.
DATE 10-20-87- / permit #
New York.- 0202525'
MODEL D Ili. of *A. DVC)
LOCATION OF PROPERTY FOR INSTALLATION 2 Queen Mary Drive
Owner's Name: Guyer Builders, .Inc. •.' Telephone: (518) 899-9161
Address: 119 Dunning Street, Ballston Spa, New York 12020
• Guyer Builders, Inc Telephone: (518) 899-9161
Installer's Name: y
2 A, C, E, I, J, K, L, M .
Number of bedrooms (residential only) 2 3 F, G, H
Total daily flow (compute @ 150 gal per bedroom) 300
Topography: circle one: 02311Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8' feet +
Ground Water: At what depth? unknown 8 feet +
Bedrock or Impervious Material: At what depth? unknown feet .
Percolation test: circle one: not require required / rate min. inch.
Domestic water supply: circle one: Municip)Well Other
•
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ N/A feet
* PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) • V
TILE FIELD: Each Trench N/A • feet'/ Total system length N/A feet . .
* SEEPAGE PIT(S): Number of / Size each feet by feet'
* Size of stone to be used # / Depth or Thickness feet
* * * * * * * * * * * * * * *.* * * * * * * s,* * s * * * *,* * * * * * * *,* s *
IMPORTANT * See S.P.E.D.S.
...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached
* * * * * * * * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * map.
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(over)
•
1
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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 stru5tures
4.) location and distance to anrirater 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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation, _
alteration or repair of an approved system, a new proposal must:be submitted
to the Queensbury Building Department before further construction.
•
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of.responsible person: . r/
Date: . 9- D"FPS
•
Town of Queensbury ..
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801 •
(518) 792-5832
•
•
• •
• SETTLED 1763 . • . HQMe OF NATURAL. BEAUTY . . . A 1100D.PLACE Tb
"' "'`4 MIDDLE DEPARTMENT:INSPECTION AGENCY, INC.
�°
.... �. J National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108 .
APPLICANT COMPLETES THIS SECTION i Date: 9-20-88
¢ 1�` Town or 1< • i Queensh ry CountWarren State NY
Location/Address 2 Queen Mary Drive
(If Located in Rural Area - Please Attach Directions) Pole #
Owner BUILDERS, INC. Permit # p 3 - c c.
Occupied As '^ cj (2 - 1/2", I �� Building: _ New® Old❑
Occupant ./ .
Work Area in Building (Floor #,etc.):
App. for: Wiring ® Service n or: Ready for Inspection:
Fee Remitted-$ V Cash n • Check•n�=_..- M.O. n Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000,
Number of Rough Wiring Outlets Elect. Heat * _
Switches -
Lighting Amp. Service Surface Unit -Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
• Other Equipment: '
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 P/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's •
. Signature License #/�/ !(Permit #
T/A CUTER BUILDERS, INC. Utility: IMARlI () C- , "(OFFICE LOCATION)
Applicant's,Address:119 rimming attep4 M
(City) B 11s7'farl .Rim (State) .N w York (Zip) 1?07,{7 Service Request #
Phone # 39--9161 r I!Electrician: ( I-TR Hnt -FRS, Th'C_
MDIA USE ONLY DATE RECEIVED: / - 9- d DATE INSPECTED: I
Correct Location: Same as Above PI or: /
Red Notice Label n •
Rough Wiring Outlets Surface Unit /"(AeP-
witches / Range ( Garbage Disposal
1-/v Receptacles / Water Heater 1 Dishwasher
/ ;;,-.-Fixtures t Air Conditioner - / Dryer
/ --�j Amp. Service Equipment Burner,Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump / Vent Fans
MOTORS H.P. .1/20 1712-1710 1 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 • 5 71/2 10 15 20 25 30 40- '50 75 100
Mark Number ' - . '
of Each Size ,,. .
C:'=ti`4'- - - - � �"k,.t+ 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
,, Elect. Heat
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µ ,
CORRECT
CERTIFICATIONS ; USE F,OOR,INITIALl VISIT ONLY NOTIFIED DATE FEE FEE PAID
RW Progress: Inc.L" LKD❑ _ ' Contractor �Q--: G ' C3
❑ CFT= Violation: Work Comp.❑ Inc. ❑ . G�
n' L/A Owner CASH CI
:_.:n L/A . - Fee _ CH K #_ _
. Due MO,#
-Ir I IPA . Municipal,
? .'KDate: ❑Other Side Utility 6.)
Applicant I I ,
Owner I—I - s
Cut in Card N, n Temp # Date
Final # �F(' 7 F Date' /(---` •-• 0 0 -- INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 11/86
TOWN OF QUEENSBURY &7_14/6I-
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS ��/
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION a
DATE 6 - 9 PERMIT # 02- 14 4
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS-
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \'
FRAMING y .
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS • J
WALLS 1,I'
CEILING !;
'FINAL INSPECTION: I `\
CHIMNEY HEIGHT
ROOFING
SIDING / • g
EXTERNAL PORCHES/STEPS\ ✓
STAIRS-CLEARANCE & RAInS
PLUMBING FIXTURES/RELIEF VALVE �✓
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING \ �/
DOOR CLOSER(s)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION \ �j
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
INSPECTOR
DOLE DEPARTMENT It1SPECTI'GN AGENCY, INC.
-- 20 Electr'cai-Building Plumbing-Fire Inspections
i
Date
I lector
Ti - constitutes certification that the
above installation, but not the equip-
ment itself, has been visually inspected
as of this date pursuant to the applic-
able codes. If additional equipment
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should
O be submitted promptly to this Agency.
. z
y
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280g.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME , � 2.)
LOCATION
DATE `� 'W PERMIT #
APPROVED
YES NO
FOOTING/PIERS "
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING /
BACKFILL APPROVAL /
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUt -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
j/INAL INSPECTION:je2,,#,L6 k
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS r�
STAIRS-CLEARANC & RAILS (j
PLUMBING FIXTU'ES/RELIEF ,ALVE
INTERIOR TRIM PRIVACY DOOR. #-
FINISHED FLOORS
GARAGE FIRE,•ROOFING
DOOR CLOS •(S)
SMOKE DE CTORS f/
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:
CI?
e C 61/
SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /*/;
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804•
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE 17 47 7 PERMIT # ,(
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING 7
FRAMING 7
ELECTRICAL ROUGH-IN 7
INSULATION:
FOUNDATION
FLOORS
WALLS
EILING
INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ TE'
STAIRS-CLEARANC & RA S ilk -
PLUMBING FIXTU' S/RELIL VALVE
INTERIOR TRIM/'RIVACY D ORS
FINISHED FLOORS
GARAGE FIREP'OOFING °-k- -
DOOR CLOSER'S) /jo D o K.
SMOKE DETE.TORS
FINAL ELECTRICAL INSPECTION
FINAL APPRO AL OF CONSTRUCTION
A SIGNED CIRTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTM NT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSP CTOR
Jown o� QueenJ‘ury ,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 ,
P-dam,
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME (�
LOCATION aQ l�4Sm \ccc .,� '�i)1?A A )-
DATE I*I / PERMIT NO.
SOIL TYPE San - Loam -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch ,
TYPE of SYSTEM: r
Absorption field, total length
Length of each trench
Depth of trenches /
Size of gravel\ _
SEEPAGE PITS4Number of) _�yL
Size- gift. X ft.
Gravel size. 5 \
PIPING: \I Size Type ,
Bldg. to tank �`\ j, /"
Tank to dist. boxy /'C'c
Dist. box to field/•it\
Openings sealed?' Oilfg, NO Partial
LOCATION/SEPARATIONS:
Foundation to tank
Foundation tos'absorptio
Absorption toilot line ' \ft.
Separation of/pits
LOCATION OF SYSTEM ON P R ('cir e one)
Front - Rear —Left side - Right sid -
COMMENTS:
SYSTEM USE APPROVED (ONO
Building Inspector
01/86 and vl
Down of Queeni4ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME l v -e/0
/ •. I
LOCATION o? ,/a D /0 /A.
DATE / // g PERMIT NO. n' rl�1#
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 ' fi
Size of gravel f v _
SEEPAGE PITS{Number of) /
Size- ft. X
Gravel size /
PIPING: / Size Type
Bldg. to tank /
s y r/ �G�L
Tank to dist. box /
Dist. box to field/pit
Openings sealed?/ YES . NOS)Partial
r
LOCATION/SEPARrIONS:
Foundation to ,/Lank ft.
Foundation to/absorption ft.
Absorption tol lot line ft.
Separation oif pits '% ft.
LOCATION OF/SYSTEM ON PROPERTY(circle one)
Front - Reac - Left side - Right side -
COMMENTS:
�
/re. 4/4C-0 o I , J�u,7 el j`,
o-6),PL
SYSTEM USE APPROVED YES NO
BuilBing 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 //49
NAME
LOCATION a a.GQ,0../1?J t / z4
DATE ,//-/// PERMIT # fJ (1 - / 6
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL /
ROUGH PLUMBING /
FRAMING /'
ELECTRICAL ROUGH-IN /
1 N ULATION: �'\ /
FOUNDATION
FLOORS
WALLS ` / yC / Cl 1--
CEILING \ I Ill - 1 k7 2'
FINAL INSPECTION: \
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S EP
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIE\ VALVE
INTERIOR TRIM/PRI ACY DOOgS
FINISHED FLOORS
GARAGE FIREPROOF NG \
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL NSPECTION
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 & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /� 9
NAME _LOCATION(? ).Y.LI.../-2-4'i
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DATE -(V PERMIT # F( 7(17
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
PLUMBING V/
RAMING /
ELECTRICAL ROUG,—IN
INSULATION:
FOUNDATION
FLOORS
WALLS I
CEILING
FINAL INSPECTION /
CHIMNEY HEIGHT
ROOFING 1
SIDING
EXTERNAL PORCHES/S EPS
STAIRS—CLEARANC & ''ILS
PLUMBING FIXTU S/R LIEF VALVE
INTERIOR TRIM/ RIVAa\Y DOORS
FINISHED FLOG S
GARAGE FIREPROOFING
DOOR CLOSER S)
SMOKE DETEC ORS
FINAL ELECTR CAL INSPEC ON
FINAL APPROV L OF CONSTR CTION
A SIGNED CERTIFICATE OF O.CUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
A\
1
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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�INSPECTI)ON RECEIVED /29-/7
NAME / �LL/ eA/ _,
LOCATION 4 / `/,r_
DATE /D-/"/ PERMIT # , - 7 3 C.,
-' APPROVED
YES NO
P m DzER ,...,-
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING ✓'
BACKFILL APPROVAL ,riy
'/ROUGH PLUMBING 1 J ,1 E3 45 (�
FRAMING • Z°
/
ELECTRICAL R. GH-IN ' stay
&NSULATION:
FOUNDATION < v
FLOORS g,` •
WALLS l
CEILING j£4' •
FINAL INSPECTION: \
CHIMNEY HEIGHT
ROOFING
SIDING 8
EXTERNAL PORCHES/S EPS '%,
STAIRS-CLEARANCE RAILS '
PLUMBING FIXTUR S/RELIEF VA E
INTERIOR TRIM/ RIVACY DOORS
FINISHED FLOO S
GARAGE FIREP OOFING
DOOR CLOSER )
SMOKE DETEC ORS 1
FINAL ELECTRI AL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
•
REMARKS: pl
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_Down of Queenaur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUI DING INSPECTOR' S REPORT
NAME aype- gtag
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•
LOCATION j.C/ Pu- I1' 44
Date r41/.5*-- / Oa Permit No. •i !
* * * * * * * * * * * * * * * * * * * ' * * 1
07 = APPROVED - YES / NO
Footing/Pier Forms
POundation TN),
Waterproofing
Backfill
Framing . `,, y
Roofing Y
Siding 'E, ' 'r
Masonry Veneer\. ✓"
Rough Plumbing /
Relief Valves /
Ext. Porches " ,i
Finished Floors 'k
Interior Trim `. z
Stairs & Railings 'tit, i
Cellar Drain Tile \ _/ •
Concrete Floors ' X
Plbg. Fixtures / ,,
Gar. Fireproofing I N,i,
Door Closers /
Smoke Detectors / \I,
Chimney 8
LATION: /�
oundation 1/
Floors
Walls
Ceiling -
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
DV__DlL TO e-ie_pI
0. .9.,
Buil ing in ctor
6/F46 and-vl
.5own of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
Cjel
LOCATION _ e77 i_eze��
rC�-eta
2�.Z7.3.60
Date cfa„1// Permit No. -735
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES 'I NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION •
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
/
BuilcA ng Inspector
6/86 and-vl
Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR' S REPORT
NAME
•
LOCATION (7p/ rn A
Date / Permit No. -""
* * * * * * * * * * * * * * *� D
✓ = APPROVED - / NO
oting/Pier Forms
Foundation •
Waterproofing
Backfill
Framing
Roofing 7
Siding y'
Masonry Veneer 1
Rough Plumbing t
Relief Valves
Ext. Porches •
x +
Finished Floors i /
Interior Trim •
f
Stairs & Railings
Cellar. Drain Tile V
•
Concrete Floors A •
Plbg. Fixtures r1
Gar. Fireproofing
Door Closers ,/' 4€.
Smoke Detectors11
•
Chimney ;;�° a-
INSULATION/
Foundatiop
Floors_
Walls
Ceiling
FINAL ELECTRICAL INSPECTIfJN
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- •
•
• • •
B nspector
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