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1988-813 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 3 19 89 This is to certify that work requested to be done as shown by Permit No. 88-813 has been completed. This structure may be occupied as a Single Family Duelling Location Lot 51 Hidden Hills Owner John Bolles By Order Town Board TOWN OF QUEENSBURY (7), //74. Building & Zoning Inspector BUILDING PERMIT H TOWN OF QUEENSBURY hd hd No. 88-813 z WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to John Bolles 1 OWNER of property located at Lot 51 Hidden Hills Street, Road or Ave. I— in the Town of Queensbury,To Construct or place a Single 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 121 Grant Avenue Glens FAlls, New York 12801 0 2. CONTRACTOR or BUILDER'S Name tri Paul Cordes m 0 3. CONTRACTOR or BUILDER'S Address 0-' 0 37 Hidden Hills Drive Queensbury, New York 12804 4. ARCHITECT'S Name 0 rt 5. ARCHITECT'S Address -- Lri I-r H. a. a, 6. TYPE of Construction— (Please indicate by X) n) 0 XX1KINood Frame ( ) Masonry ( )Steel ( ) W N N cn 7. PLANS and Specifications No. 26' x 40' Single Family Dwelling as per plot plan,specifications, and application, including septic and attached two car garage. 8. Proposed Use A, Single Family Dwelling rrm H. 25.00 C/O o�Q $ 277.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 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 ny town of Queensbury before the expiration date.) H. Dated at the Town of Queensbury is 24th Day of October 19 88 ,•c ,� �; �, SIGNED BY \ - t e - for the Town of Queensbury 1—, Building and Zoning Inspector µ d QQ • TO BE COMPLETED BY BLDG. DEPT. . ` y Application No. • -u[un o/ Queenilury Permit Issued 19' TOWN or, QU :1.7A x;E::,;,-:,, BUILDING and ZONING DEPARTMENT Permit Expires 19 '� (-' �- Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation u _ ` i Queensbury, New York 12801 Variance No. LI� ��f�,r Site Plan Review No. OCT 1 198 ,.g -') Appr ed by: I 6U DING & C DE ©E : APPLICATION FOR I & MC�.A,4 L -P c9O BUILDING AND ZONING PERMIT 0 * * * * * * * * * * * * *. * * * * * * it. .. * -* * * * * * * * * *. * * * * * * ;;* A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL .OF THE FOLLOWING. The undersigned hereby applies fora 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: Jdb , 0a//ef • P.O. Address /2 / �p-gr,f IV, /e45 ��//,//J Al; Tel. 7 j�� /95 Property Location: Lo7f' 3'/ /T77.�tXdIi '/7//1/1 Tax Map No, 93 / •$ /5 1 Street number or building lot number. Subdivision name (if applicable) /71776(4in //74/lf' ' THE PERSON RESPONSIBLE FOR SUPERVISION.,OF WORK AS REGARDS BUILDING CODES IS : , j w/ 6 v-i6r 3. .7 /,4''ei, /0WI A 71 7 /.5- z Name �t // P.O. Address Tel. No. . Name of builder /4o, t �o.�oi .1' - Address?? ih+'` r., „em- J_, _ C, Tel. 75.7 3 7 . 3 '- Name of plumber ,,,7 ee/ex¢ Address ,2.fr lor7/f Aol, "g.. Tel. 7 y Z 3G a 7 Name of mas�otn ,,4t,, /7ti,,� , ,�e, Address i�vr4 7;,,v /i . /- Tel. 7 9 7- ea z L � ., 61,ib-'t6ciK1 : 5icvL ,k' /A NATURE OF PROPOSED -I.ORK: d� * 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 dimensionsY : * whether existing- or proposed and indicate all _Other work (describe) * set-back dimensions from property lines. Give * street and number or lot -number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. • * Size of property /o D ft X Z.>a ft. * Existing building(s) Size ft X ft. . * PROPOSED BUILDING AND USE: * Existing building (s) Use • Size of new structure 26 ft X raft . * ' ' ' - , Foundation-pier/slab/crawl/partial ul * Proposed building, distance from property line (circle one) *• Front yard JAG ft Rear yard / 7 ft No, of stories (habitable space) ��Z • * Side yards aft and / ft Height (grade to ridge) 14 ft. * If on corner, setback from side street — ft If residential, no. of families / . No. of rooms(excluding baths) ' • * OCCUPANCY INFORMATION No. of bedrooms • 9 ' , * PRIMARY BUILDING - No. of bathrooms / * One family dwelling Primary heating system �4,5- , - , _- * Two familydwelling - Type of fuel j1/ / #" S • ' Multiple dwelling ./ Number of units No. of fireplacess too be ifst * stalled / Permanent occupancy Will a wood stove be installed? /I a * • * Transient occupancy Central Air conditioning? it/o Business . * BUILDING STYLE, PRIMARY STRUCTURE - *' Industrial *' Other ' Ranch Contemporary Log cabin If addition, what will use be? Raised ranch Mansion Duplex * Split level Old style Bungalow • * Ca e r Cottage Other * ACCESSORY BUILDING- onia - Row Town House * ' Detached garage/one car/ two cart car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ t'o car car * * * * * * * * * * * * * * * * * .*: _Private storage building — ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ /z 0 .06 INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. 1--- e/ Will any second-hand or ungraded lumber be used? If so, for what? 0 Foundation wall material C--''ll'" % 5000 ,,.,( Thickness Depth of foundation below grade (to bottom of 'n footg 7' Will there be a cellar? yz5 Heated or unheated?a6/ Floor sq. footage //) 'VV0 sq ft Will there be a basement. v 4 Will any portion be used as living space? Aft) (If so, what portion? — sq.ft. - - Type of use? — Type of roof slop 7flat/shed/other MateriaL'of roof /j's0/w"/ t�'ALe-�' Size, wood studs L "X (/� " spacing // "o.c. ,length J7 ' ft. Joists(floor beams) • 1st. floor 7i "X /G " spacing 4 "o.c. span /3 ft. . Joists (floor beams) 2nd. floor 2- "X /o " spacing /G "o.c. span /' ft. Overlays(ceiling beams) --"fit " spacing "o.c. span ft. Roof rafters 14t " spacing o.c. span ' ft. • Roof trusses(pre-engineer,d) spaci g Z y "o.c. span."7 ft. . . Exterior wall finish C(u va Of what material? ec"e Interior wall finish wife- roc-C J 7'a rd g/�7 If a garage is to be attached, des ribe ma e� to'e used fc�r FIRE •EPPI.RATION: S;, !1 'r•G f a . • ,c' . r-/�- l 'r* / �✓ Is there to be an opening between gara e and dwelling? yp-3 If so will a Fire-rated door, enclosure, and salf-closing device be'provided? ✓ Will a flue-lined chimney be installed? /-3 • Height above roof 3 ft. Depth of chimney foundation below grade it/.4ft. 2 Ceo c%avm e-c e(inaj.e;)6� 4' . Depth of fireplace hearth Z- ft./O in. ' Water supply - Municipal or private well iylcco / ✓` • SEPTIC SYSTEM _ Distance from ANY private well(inc uding adjoining properties/D0 ' ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be donelon the described premises and that all . provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with,. whether specified or not, and that such work is authorized by the owner. SWORN TO BEFORE ME THIS Signature ��%�� Owner, owner's agent,arcnitect,contractor day of 19 , Notary Public, Warren County, N.Y. • * * * *. * * * * * * * * * * * .* * * * .* * * * * *• * * * *V * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • • • • • By , A-PM-111E7p • . 0:urn of OtiansitzitTy DAT , D Pa ,, , WLOMT APPLICATION FOR SEPTIC DISPOSAL PERMIT 2/Iilli' IILDO CODCs DU'r. 10 '1 40W1:14UUIIY • DATE 91, e / /fe6P LOCATION OF PROPERTY FOR INSTALLATION 4,74 57 / l' / Owner's Name: . ;4 So//es Telephone: 7 e /7,5-- Address: /2- / (r V-Gs rl I / V a k i J' /�f+ o -X Installer's Name: 9/9!%C M»a ��( v� ` lephone: 7 f z- a 2- 2- Z /.9c4/`704 2--?i a( ��fr--, p O 93 7 5-7- Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) 6 0 0 Topography: circle one: Flat Rolling Steep Slope, % of slope • 3 Soil Nature: circle one: an ' Loam Clay `Other / Depth: feet Ground Water: At what depth? j,5"---- feet Bedrock or Impervious Material: At what depth? / 0 feet Percolation test: circle on • not required equired / rate min. inch. /1/4- 1t Dllo/,e_ Domestic water supply: circle one(Municipai Well Other IF domestic water supply is.a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank /6' G U gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench ‘-, 0 feet / Total system length Z yG feet SEEPAGE PIT(S): Number of / Size each feet liy feet ~ Size of stone to be used 11 / Depth or Tliicicness feet i 4 4 4 4 4 4 4 4 44 4 4 4 * 4 4 4 . 434, 4 * * 4 4 4 4 * 4' 4 4 4 4 * 4 4 * 4 * * IMPORTANT - ...Please...LIST Nr.w l QUIPMEN•1•TOBE INSTALLED • 4 * 4 4 4 4 4 4 + * 4 4 4 4 4 * 4 4 * 4 4 * 4 4 * 4 44 4 4 4 * 44 . 4444 i • (over) f , • • • . . 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 7..) -location and distance to lot lines • . . 3.) location and distance to structures ' • , . . . 1ocation and distance to any water supply • 5.) .si•he and dimensions of•all tanks, distribution ,,.I.Kixes, tile fields and/or dryv.!ells -- • ',,,,,,,-, . • , , -, 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 $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. '-.• .1 ..,...: . ' . - ,,,,•;:': • • . . • . , , • .. • , _ . 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: , . ' Date: .:73,6",/-,2•- • €5-- ., . . ' . •,. , Town of Queensbury • • Building and Code Department ' • . .,.. Bay at Haviland llo:id- Queensbury. New York 12801 •->: ''",7. . • (518) 792-5832 •••, 2,., :1.,:- • , ., . I. • 8 -813 1'3 INTERIM BUILDING PERMIT PERMIT APPLICANT NI0W 1 $ IBtille.S • CONSTRUCTION LOCATION La SI MIPbEU EFFECTIVE DATE 1012 0 APPROVED BY i • SPECIAL CONDITIONS : This will certify that all submittals for a Building Permit have been received and fee has been paid . During 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 THIS INTERIM PERMIT IN r. ONSPICIeUS LOC '. ION ! ! Building lodes Department . TOWN CT ,. I EENSBURY REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!! 1. Foundations Footings, before pouring concrete. . 2. Foundations Inspections and Waterproofing, before Backfill. 3. Rough Plumbing, Heating and Frame Inspections before Closing in, the Framework. 4. Insulation - Foundation, Floors, Walls, Ceiling. 5. Inspection of Electrical Installations before covering (rough in) and on completion of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF OCCUPANCY. 6. All new septic systems or repairs before covering any work. 7. Final Inspections before Certificate of Occupancy is issued. THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT .APPROVAL OF THE BUILDING DEPARTMENT. '- " YOU ARE HEREBY REQUESTED. TO - . ' INSPECT AND ISSUE CERTIFICATES _ _ • , . FOR THE FOLLOWING ELECTRICAL - , ••• • - - EQUIPMENT TO BE INSTALLED BY.. • • - _ . THE UNDERSIGNED - - . • TEMP.k DATE _ CITY OR VILL° E / (TOWNSHIP • • COUNTY -- (yJ(A GE s-).. .621,17-y • _ 'j`lti sis-C tJ= STREET AND N0.O�R1 ROAD / [/�f //.dde _ L/ /r ' _ f 5- .. P,OLENUMBER .' BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCAT//ED? / . ' SECTION BLOCK . LOT' OCCUPANT'S NAME .-- - . . BUILDING OCCUPANCY--• . ) . i OWNER'S NAME AND 9DDRES ,'�; .J[ f//j HOME TELEPHONE NUMBER /U/ :i; - L/trs /2 / (7 V/i"" / / I - fn Cr�`S4k.f ' i/ U / 95-� .. CURRENT SUPPLIED BY FR THEIR 1 OFFICE r..- i I WORK TELEPHONE NUMBER - /t/l.4, ..- w1..,.-k • • . /, .) / .//) BUILDING IS _ _ NEW 0 - OLD❑ - WORK IS NEW I .' ADDITIONAL❑ - „ DEFECTS REMOVED❑ - LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS - No.of Rktures& MOTORS- HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles • CIRCUITS ONLY ' 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- - - �'' . _ h.- /Zi SIDE SUB- . . . BASE . . �' / - BASE l"" '- / /7i- - • MENT // Y 1st J. C9 • / FL. r' •- 2nd L/. ' •Ci //.. .. V . fz. - . FL. G 3rd FL. ' REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: z. ' 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 J. ., - i.❑ EXPOSED ' GAS TUBE SIGN/TRANSFORMERS OF _ - ' - 'VA, /YeW O:-A S-� -' L--❑zoNCEALEDi - • - . DATE WORK TO BE STARTED /Dq_TE//CcOMPLETED!�� SIZE OF SIGN(NUMBER). _ - CAPACITY • SERVICE ENTERS BUILDING , MANUFACTURER. .. - OF SIGN . .''. ., ❑ OVERHEAD I/�UNDERGROUND .:... . - . - DATE INSPECTION REOUEST D ON OR AS N POSSIBJ.E) - r, - MUST ENTER APPLICANTS ► I I I • A A — // d—G —ae. /- +�, ./-�S —6`J IDENTIFICATION NUMBER ,f AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE'FILLED-IN`OR APPLTCATION'MAY`BE RETURNED. PRINT NAME AND ADDRESS • - 6. - ' NAME PPLICA T I 7 // ATEOF APPLICATON XSIGN,.E PP� `C ANT e +Z", / u%' _ .PV_ /C. � ..L. K M-:/g�k. . `tee t "'Y STREETAR - - • - TELEPHONE NJJ.- ' •.- / m% J , , • ; O L , • WWWHHH/ CITY OR p OFFICE . . - ZIP CODE LICENSE NO. EN APPLICABLE - V-, ✓I ! `."..l� /s- ,4/ " ./)'_ �/ . . - . / 2-- -U ! - - ' ❑ 85•JJohn Street ❑ 41 SYate Street. ' :❑ 584 Delaware Avenue' ❑ 217 Lake Avenuel ❑ 202 Arterial Road NEW YORK;NY 10038 ALBANY,NY 12207. BUFFALO,NY,1.4202 ROCHESTER,NY 14608 .. SYRACUSE,NY 13206 . rN 'NPW'V(RK-t nAPninF FIRE UNDERWRITERS k �`VJ•. J VV VJ V eJ�1V�\V/-• ,— Jp Ve^V/7� , /71V/7\V/7�VJ��`VJM �`�MV / �"\•f. r4 MIDDLE DEPARTMEN.T,INSPECTION AGENCY, INC. 900 Haddon Avenue Collingswood J t 08108 C ' S �' ,t.„0 _________;''N r Date: February 16, 1989 C Cetrtlf teb that the electrical,equipment listed has been examined and is approved as being in accord C) with the National Electrical Code, applicable governmental, utility and Agency rules. C �O// S , iaj r 5, yam, .. � _j 9• •Di-) .•.n� C) 4 Owner: Belles , „-# / 1 F , , I :Occupancy ,, g' D r ; tip, ' sf >yr IL , a f \ 1C'; Occupant: Same I i„ Lt 51 Hidden Hi11s, IQueensbury r(Warren Co) NY � C Location: 1 °Ths'ceryficate covers the-electncal.equipment and installation•inspected this �.m t date. If additional egwpmenttshoUld be introduced or alterations made to J\ s , existing system this certificate shall be null and void, and application for C ; Equipment: 100 Outlets, 60 `Receptacles; 20 Fixtures, inspectionshouldbesubrnittedpromptlytothisAgency. ` ; � ° • "5 a FFolder o1 this certificate should resent same to his property insurance carrier 1 200 Amp Service,`,.7 Appliances-..�,� . .e v !c"� p.� p p y J ti h ''(agent orcompany)asevidenceofcertiticationotelectricelequipmentapproved .,\ as specified ,; C 2-.----- Kelly Electric � ,>= C ' Applicant: 15 Willow Road _; --_ NO• 15-028626 �Queensbury, NY 1280I'' „- wsT,,,, x` _ C` .n,...01,-....a.l-.-1 r n7 /-“1*.c. !1 !Ork, A A n. onk 1sr1.e r ark*.on. on. nck clew leeo. an lank blle . . is, F=Nt.703 1-83 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804 deg!"," -_-,-- ) TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 3-/ NAME LOCATIO 7>L,�� ,V // a2 b - DATE _&? - PERMIT ## APPROVED YES NO FOOTING/PIERS MONOLITHIC\POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: ;y FOUNDATION FLOORS WALLS CEILING /NAL INSPECTION: `(1 .� CHIMNEY HEIGHT � ROOFING f SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE, INTERIOR T1 IM/PRIVACY DOORSLZ- FINISHED FLOORS \ GARAGE FIREPROOFING i DOOR CLOSERS) 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: INSPECTOR 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 o�X) NAME --- 0l14, 21/4" • LOCATION Z/ 67 4,/4 47,&) DATE o2//7/// PERMIT # S.:'R—6Y/3 ,/ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS • FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN / INSULATION: \, FOUNDATION \ I FLOORS / WALLS / CEILING >> j V FINAL INSPECTION: CHIMNEY HEIGHT ROOFING •/ SIDING EXTERNAL PORCHES/OEPS STAIRS-CLEARANCE:'& RAILS Lof PLUMBING FIXTURES/RELIEF VALVE V INTERIOR TRIM/PRIVACY DOORS 11_ FINISHED FLOORS GARAGE FIREPROOFINGLdr DOOR CLOSER/(S) ' • SMOKE DETECTORS FINAL ELECTRICAL INSPECTION R,,.'s" FINAL APPROVAL OF CONSTRUCTION A SIGNED" CERTIFICATE OF OCCUPANCY MUST BE OBTAINF FROM THE BUILDING DEPARTMENT BEFORE THESE/PREMISES ARE OCCUPIED! REMARKS! tt4v�^UF S.s(i'. ''/=lam, �0_� L•i.lr_yt C .A ZI iv d t3IA 1.4.1-14mil{ d( 6.)Ofilsr avr< - 6 IN5 ECTOR �! 'MIDDLE DEPARTMENT INSPECTION AGENCY, INC. Electrical-Building-Plumbing-Fire Inspections VDate *a"AI% ` . ' DNS COis. liValliAlw WI neap A ; I I ectorWW T - constitutes certification that the I`° above installation, but not the equip- Q= ment itself, has been visually inspected CO as of this date pursuant to the applic- O 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 - — • .awn o� Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION 1 o he NAME II, LOCATION E I 13 IOi& 1(—Lc DATE , \ i Ycj PERMIT NO. 7/3 SOIL TYPE ((�and - Loam - Clay - Percolation'Test Required? YES - NO . Percolation rate - Min/Inch s : TYPE of SYSTEM: ; Absorption field, total length' 7LdO Length of each trench' 6..0/ Depth of trenche .s ,)y` Size of gravel ' 3 / SEEPAGE PITS4Number of) 1� Size- ft. X ft./ Gravel size , PIPING: Ty pp Bldg. to tank �, / C. Tank to dist. box `�,_ `, `g_�/ Dist. box to field/pit \, " ,n'Z/C Openings sealed? I ES NO Partial / LOCATION/SEPARATIONS: • Foundation to „tank /43 ft. Foundation to'`'absorption Absorption to lot line f r . Separation/Of pits LOCATION OF SYSTEM ON. PROPERTY(circle one) Front - ;fear - Left side - Right side - COMMEN.TS. • 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 . fO /Lt• 14- Rawly-- LOCATION y- jt[w '1fr '- Datef2 '9/ Permit No. /3 ✓ = APPROVED -I YES / NO Footing/Pier Forms ,1' Foundation • Waterproofing •�4 Backfill Framing ' Roofing / Siding • Masonry_;Veneer s` Rough Plumbing ' Relief Valves I Ext. Porche's • Finished Floors r Interior Trirn\ Stairs & Railings t' • Cellar Drain Tire, t' Concrete Floors 4; / Plbg. Fixtures Gar. Fireproofing . ". Door Closers `` \ Smoke Detectors / "4 Chimney • INSULATION: N \, • Foundation ,/ Floors � \ Walls /]Z Ceiling 1Z.- 3 Fr • • • FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) • Remarks (s-yo kg - (� n , A jo. uilding Inspect _ 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 /a '(- NAME __ ,/ LOCATION CJ7'( 5? 1:r2,- Xl . DATE /R- q i 3 w APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BAQ-KFILL APPROVAL i H PLUMBING y \/! RAMING 1(i(1-// o'/ % X ELECTRICAL ROUGH-IN / INSULATION: \\ FOUNDATION FLOORS WALLS CEILING \\ FINAL INSPECTION: \ CHIMNEY HEIGHT \, ;; ROOFING ,g SIDING \ EXTERNAL PORCHES/STEPS \ . . STAIRS-CLEARANCE & RAILS \ PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS 0 FINISHED FLOORS 1 GARAGE FIREPROOFING DOOR CLOSER(S).! „ SMOKE DETECTORS ',. FINAL ELECTRICAL INSPECTION FINAL APPROVAL/OF CONSTRUCTION � • I A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROJ THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 7 . ,,,,,/,,, 7 ) /k5/, TOWN OF QUEENSBURY \! "'BUILDING AND CODES DEPARTMENT 1.‘X' BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /,// • NAME ----.-.�'/U LSd//, --/ / LOCATION ,�o �/ S/ /4144;X DATE %/A/ PERMIT # ;Pk-Y/3 APPROVED YES NO FOOTING/PIERS \ I MONOLITHIC POUR'FORMS FfOUNDATION/DAMP PROOFING I !/BACKFILL APPROVAL, / (` ROUGH PLUMBING \ FRAMING ELECTRICAL ROUGH-IN}, INSULATION: \ / FOUNDATION FLOORS \ I WALLS \ / CEILING FINAL INSPECTION: CHIMNEY HEIGHT `" ROOFING \ SIDING \ EXTERNAL PORCHES/S PS\ STAIRS-CLEARANCE RAILS PLUMBING FIXTURE /RELIEF\ VALVE INTERIOR TRIM/P VACY DOORS FINISHED FLOORS \ GARAGE FIREPR FING. \ DOOR CLOSER(S \• SMOKE DETECT di FINAL ELECTRI AL INSPECTION • \ FINAL APPROV /L OF CONSTRUCTION\` A SIGNED C TIFICATE OF OCCUPANCY MUST BE OBTAINED F OM THE BUILDING DEPARTMENT BEFORE THESE PRF1 ISES ARE OCCUPIED! • REMARKS: \K T1) dn-C-( (); �-/�� a:2'6 SPECTOR 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 / T / '� NAME LOCATION O (5 ,/ f4,,GG ,/e- ///S DATE 7/-,q PERMIT # AT (T43 , APPROVED / YES NO FOOTING/PIERS / MONOLITHIC POUR RMS FOUNDATION/DAMP-P OFING BACKFILL APPROVAL / ROUGH PLUMBING // FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION / FLOORS WALLS CEILING FINAL INSPECTION: / CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FI URES/RELIEF VALVE\ INTERIOR T' M/PRIVACY DOORS FINISHED F •ORS GARAGE FI'EPROOFING DOOR CLO.ER(S) SMOKE D TECTORS FINAL EL;CTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 7Ud cv I i s INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 128010 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT . REQUEST FO. .I f(� SPECTION RECEIVED —(2� .—� K NAME —_— _ _ 1---64, ., LOCATIOl v 61 /t-t� � DATE j©•_(416 PERMIT # d ,• / 3 APPROVED • YES, NO_ fr/FOOTING/PIERS1/ , -, , a _ MONOLITHIC POUR FORMS ( �Rf " FOUND: ION/DAMP—PROOFING 0 , BACKF?L h APPROVAL _. ROUGH PL '.,BING / . FRAMING li ELECTRICAL ',OUCH—IN f „ INSULATION: ' `, FOUNDATION .J,'v' . FLOORS , • y WALLS u CEILING FINAL INSPECTION:A _ CHIMNEY HEIGHT - ROOFING , SIDING if \ EXTERNAL POHES/STS . . . . STAIRS—CLEA NCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TIM/PRIVACY DOORS FINISHED LOORS GARAGE F EPROOFING . DOOR CLO ER(S) SMOKE D ECTORS " FINAL ELE TRICAL INSPECTION . . . : . : : . ' FINAL APP OVAL OF CONSTRUCTION A SIGNED ERTIFICATE OF OCCUPANCY ST BE OBTAINED FROM THE BUILDING DEPARTM NT BEFORE THESE PREMISES ARE OCCUPIED! - REMARKS: .; I . ' fry— . b• a li V). prfigo OW QUEENSBURY � % , BiJI NG AND 'CODES DEPARTMENT !� & HAVILAND ROADS /" 1't' �� �� QUEENSBURY, NEW YORK 12801 a�'!�,l r �!.. � ' TELEPHONE (518) 792-5832 ���� BUILDING INSPECTOR'S RE',' REQUEST FOR INSPECTION RECEIVED /C�' /� NAME -- ?a� /: /��Qi LOCATION yC L 5/ z ,h Q-,��y/��5 DATE /9 - PERMIT # es--gyp/ 2 p APPROVED YES NO FOOTING/PIERS LZ MONOLI HIC POUR FORMS FOUNDAT N/DAMP-PROOFING BACKFILL PPROVAL 7 ROUGH PLUM ING FRAMING ELECTRICAL ROUGH-IN H-IN INSULATION: FOUNDATION FLOORS WALLS \ CEILING \ FINAL INSPECTION: CHIMNEY HEIGHT I ROOFING X SIDING EXTERNAL PORCHES/STEEPS STAIRS-CLEARANCE & RAILS \ PLUMBING FIXTURES/1ELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFI 7G \ DOOR CLOSER(S) / SMOKE DETECTORS 1 FINAL ELECTRICAL SPECTION FINAL APPROVAL OF CONSTRUCTION \ \ A SIGNED CERTIFI ++AN TE OF OCCUPANCY MUST BE OBTAINED FROM TH.B BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS:/ °a ,p`& --3 1) P1 !0/Z7 Alb 0/44-P J i/J-/<L S - 4 /Co I INSPECTOR QQ __. _ - 1 �O W ! _ [ y�</v'JA�1 0/poi s fn>,. f. d µ`" >roao/r".•-+., -'-- 9 i"'�`�, 1 I a t�