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1990-058 4. • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 9 SCA' 175-- This is to certify that work requested to be done as shown by Permit No. 90-58- has been completed. This structure may be occupied as a single family dwelling Location Lot 1^ "2 y ilesv7ccfrirl Wlk n • W Owner Miohad.1 Tflrj By Order Town Board TOWN OF QUEENSBURY , Director of Bldg. & Code Enforcement BUILDING PERMIT y TOWN OF QUEENSBURY No. 90-58 WARREN COUNTY, NEW YORK r; p PERMISSION is hereby granted to MichaelVasiliou o0 OWNER of property located at Lot 110 Tyneswood Street, Road or Ave. c) 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 32 Willow Road Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name 0 same 3. CONTRACTOR or BUILDER'S Address w O same 4. ARCHITECT'S Name 0 I—+ 5. ARCHITECT'S Address o H (t c 6. TYPE of Construction—(Please indicate by X) O (x*Wood Frame ( ) Masonry ( 1 Steel ( ) 7. PLANS and Specifications No. 32' x 60'single family dwelling to/p er plot plan, specifications, application z„ including attached two car garage and septic-. system. z 8. Proposed Use fv Single family dwelling $ 294.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 19 19 90 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the aq town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 19th Day of,, March 19 90 d SIGNED BY for the Town of Queensbury Building and Zonin Inspector - TOWN OF QUEENSBURY • T • REVIEWED BY • - FEE PAID $ -zq PERMIT NO. qi7-_324 BUILDING PERMIT APPLICATION MAR 12 1990 A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO ?J EGTIORg Dai" L WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the - applicant MUST appear on the reverse side of this application. • • • • • • • • • • • • • * • * • • ♦ •/* * "• * • • • • • • • • • • • • • • • • • r.' The owner of this property is: / /rj. EL V 1-5l Z./ C�C> P.O. Address JT 2 �/c L.occ) / OA Tel. 793 -7 3 53 Property Location L o? //O Tax Map No.�c9//////O Has there been any split of this property since October 1, 1988? / X If yes Planning Board Review is necessary. yes no • SUBDIVISION NAME, IF APPLICABLE l yit/E`S i,(QO&c LOT NO. //O THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO .BUILDING CODES IS: a NATURE OF PROPOSEDWORK: * ESTIMATED MARKET-VAL EU OF • It Construction of a new building a CONSTRUCTION( $ ,6 a OOO Addition to a buildin •• COMPLETE INFOR- riON REQUIRED OW: g * Mom'• BELOW: Size of property /ST ---ft x / _60 ft. Alteration to a building , • (no change to exterior. dimensions) Existing Buildings(3) Size ft. x ft. • ,Proposed building- distance from property line: Other work(Describe) Front • yard, ft. Rear yard 10 ft. Side yards 30 ft." and 7 O ft. • GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.. 1st Floor" r/2/7 sq. ft. 1 44--P`°"1 �� OCCUPANCY INFORMATION 2nd Floor A�6P sq. ft. q 0 . , ' • Primary Building - Other Floors sq. ftk.35__- G • One Family Dwelling (not cellar or basement) Q2 ,p. . Two Family Dwelling TOTAL FLOOR AREAZO ,gc sq. ft. • Multiple Dwelling/Number of units Size of new structureft xft. _Business Foundation-pier/slab/drawl/pa{ r_tial/full - • Industrial (circle one) • • Other No. of storie.a (hr..bitable space) rt. • mink (grade to ridge) 23 ft. If addition, what will use be? - If residential, no. of families" / .; No. of rooms(excluding baths) - • Access 3' • ors► Building No: of bedrooms c No. of bathrooms, 6 • __Detached Garage ONE/TWO Car Primary heating system 'Cie-- /;U), • x Attached Garai. ON TWO Car Type of.fuel D/L. • Private storage building No. of fireplaces installed 2- • ' • _Other Will a wood stove be installed A>o Central"Air conditioning No • OVER BUILDING PERMIT APPLICATION CONTINUED BUILDING 3PECIFICaTIONS: Type of construction, wood frame, fire safe. etc. WOOD A-ni6 Will any.s,econd-hand or upgraded lumber be used? If so, for what? ^f o Foundation wall :material Thickness Depth of foundation below grade (to bottom of footing) I$" Will there be a cellar? A/c, Heated or unheated? — Floor sq. footage sq ft. Will there be a basement? yes. Will any portion be used as living space? ND (If so, what portion? sq ft. Type of use? Type of roof slopefl'at/shed/other Material of roof Size, wood studs ZZ "x " spacing /6 " o.c. length 8 ft. Joists (floor beams) 1st floor Z. "x lb " spacing /C "o.c. span /9 ft. Joist (floor beams) 2nd.floor Z "x /O " spacing ' 6 "o.c. span /f ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters 2 "x es. " spacing /G o.c. span /6 ft. Roof trusses(pre-engineered) spacing .Z y " 0.c. span. /6 ft. Exterior wall finish ,.4/�vT of what material? (e/0i92 . . Interior wall finish p,, ,A.,i OvC/L S'ie— . /2 c.o.-et-- Ifa garage is to be attached, describe materials to be used for FIRE SEPARATI N: /&S Is there to be an opening between garage and dwelling?! Aib, ',If so will a Fire-rated door, enclosure, self-closing device be provided? yas \� Will a flue-lined chimney be installed? yL� Height above roof k} ft. Depth of chimney foundation below grade /At ft. Depth of fireplace hearth a ft.$in, Water supply -CMunicipa)r private well SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /6 ft. (A separate application is necessary for any repair or new installation of septic system) - NAME OF BUILDER %I7tC qj yidt, )ADDRESS tai.-LocuP11 TEL. NO. 79,3773 NAME OF PLUMBERS/A:t ADDRESS N. riTrt-,2Wc.tii TEL. NO. 79F— NAME OF MASON D4/PD 21&D ADDRESS IeGG')//'tisiN RP TEL NO. 792-O22 Z. NAME OF ELECTRICIAN tje:-/j, ADDRESS 5-0 TEL. NO. 7/F-.S-/'Z DECLARATION 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 atTILDING CODE, THE zelr',791 ORDINANCE, and all other laws pertaining to the proposed work shall inn complied with,'whether specified or not, and that such work is authorized by the owner. Signature - gna ,�?� O ner, owner's ent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: • BY I WARREN COUNTY ,. NEW YORK Application for : - ' BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE (OWN OF QUEEN-MUT A permit must be obtained before beginning •worRECk .. F�VED • . ANSWER ALL of .the following; - MAR 121990 • 1 . Gross floor area 2085 / %.DEPT.. 2 . Type of heat //�R7- % � 3 . - Is the building mechanically cooled? • 5/ES 4 . -. Percentage of-area of windows and doors A. Over 16% Only • 1 . Uo value - of gross • area of walls , roof/ceiling and floors ' exposed to ambient conditions 2 . Floor. over heat- 3 spaces SE,S NO a. Are foundat- on wal �`i llsnsulated? ' YES NO • 1 . • If YES-, hats the R, value? 3... Slab grade YES NO If YES , wh .t is the Reva ue of insulation around • perimeter of floor"?" 4. Is basement .heated? YES NO a. R 0ue of insulation . ' ' 5. ype of insulati n B. Under 16% Only . 1. R value• of roof and floors exposed to ambient conditions_ 2. R value: of exterior walls .. — 1 9 . 3 . R value of glazed area mil . 4 . R value of doors • 3. 7 • • 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) R 13 • 9. R value of heated, basement/cellar walls (below grade) 13 \ ' 10. • Type of. insulation �I REIZC E4-S, C. Controls . 1. Thermostat maximum heat setting D. Duct Systems ' . 1. • Is duct system installed in unheated spaces? YES 0 _ • . a. . If YES, R value of. duct -installation . b. R value of duct in other areas . ' E. Pipina Insulation ' 1. Size of hot water or cooling carrying agent pipe a value of pipe insulation ' F. Service Water Heating_. /1�1 1. Performance efficiency /7/6.41 0vrPv '2. Temperature control setting maximum 1.50 . ' G. .For Swimming Pool Only 1." Maximum heating ' phone N0. 73 —73 pp -ica s -signature). • TOWN OF Q UEENSB UR Y r<r5 '. APPLICATION FOR 'TOWN OF t E ` --v SEPTIC DISPOSAL" . PERMIT BLDG. & CODE DEPT. DATE M# 9 9 b LOCATION OF PROPERTY FOR INSTALLATION JO 7 -//0 Owner's Name: V41 L I Oc) AlIc Ht<FEL. Telephone: 7.93— 735,3 Address: 32. I/I// L o J IcD.1 D — ( v EC-�✓S SUE/ Installer's Name: �A i/'j / O c j,4 2.40. Telephone: 792-022Z. Number of bedrooms (residential only) 4. Total daily flow (compute O. 150 gal per bedroom) 600 Topography: Circle one: Flat Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other SAND /Depth: 2® Feet Ground Water: At what depth? 2 0' Feet Bedrock or Impervious Material: At what depth? 1 ' ' Feet Percolation test: Circle one: of required required rate min. inch. Domestic water supply: circle one: un Micipal Well' Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank A900 gal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench feet/Total system length • feet SEEPAGE PIT(S): Number of 3 / Size each 8 feet by 7 feet Size of stone to be used # 2 /Depth or Thickness 8 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. 0 SIGNATURE OF RESPONSIBLE PERSON: , V - L DATE: " OVER „ ......, =�- `•.,' .-,i;-tutu^ .a..,�.,..,.r ., j....,�- .. TOWN OF QUEENSBURY Bay at Haviland Roads,Queensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES ' Date /1///1 t1( �% 19 r/ Permit NO. U . APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all inspectors to enter premises for the required inspections. Applicant's Name 474_,/0 d chf7¢-- APPLIANCE TYPE Stove Coal Wood Address 32 /if`),rt�L(),u J A . 0 Furnace Hot Air Boiler Zero Clearance Circulating Unit t/S RUAci Zip /z Ff a 4;0 Phone 3-/ ...7. 31? / If Non-Masonry: , Owner's Name fi,�� - _. .1,4-C I '(_ ''Manufacturer Address 12 /A / /(LJ,.rl /49/47-/7 Model Outlet Size Zip J 2,i-6 Listed by Number Phone ;3 CHIMNEY TYPE Masonry: Block ){ Brick V Stone . Property location of proposed construction Flue: Tile Steel l.Y�V5�U®O� . Size: /� //. (�-7 /At0 Factory Built: 4- Manufacturer Model Size COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated ACCORDING TO SPECIFICATIONS. COPY OF EstimateU C st$ 4110de, L7d CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ t SONRY FIREPLACES AND CHIMNEYS. • CASHIER'S DEPARTMENT • TOWN OF QUEENSBURY, NEW YORK Department•! Fire Marshal Amount Collected Amount Refunded Code Number Title &,‹ A173 3389 (190)Public Safety A233 2655 (230) Minor Sales Fee fllectcd Prom car Refunded to: /iLL ,kiZp , )/4fid-aL14 i Address: --, /' /i DDated:n c9 s\jTown Clerk or Deputy 6K-e-L--e,1%ic-- ad� -�� vI l White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal MIDDLE DEPARTMENT INSPECTION AGENCY, INC. F. National Headquarters0O0Haddon Avo, Collingswood, NJ. O81OD ' = �- ---''--'--�- -�' -� . APPLICANT`-- ' '/ ^���� /�� -' COMPLETES n-�-=` —' ' - D ��a�»^~�� /�� QtKTown nrTownship -^ 7' � County /"'~ '- State Location/Address (\f Located in Rural Area Please Attach Directions) Owner /�7� (~/ ' # ' ' - ' ' ' - -- ' .=.T" Occupied 4m f� -, ' x�- �� 8ui|u1 ^� Now � Old � Occupant . Work Area in 8ui|dinq (Floor #,otn ): App. for: Wiring Service|v� or: Roadyfor |nspootion- Fee Remitted'$ Cash F-1 ChookF-1 K8.C(F Make Payable To: k8.D1A. Number of Rough Wiring Outlets Elect.' Heat 500 75010001 250150017502000 2250250027503000 _ Switches Amp. Service ' Surface Unit Dishwasher � Range Lighting - VVa�rHeuto, Air Conditioner Dryer �Pump Receptacles �� � Oven ` -Garbage Disposal Wiring Controls for Burner Nmm�,ofFix�uns ~^ Amp. Receptacles Fractional H.P. Vent Fans ' Oth.erEquipmoru:MOTORS H. . . zm c a n r� m zs cv cu oo ou uo ry xm NumberMark ' ". Each Size Signature 000me # ' Permit # ' T/A -` Utility: Applicant's ' �� L/}c� / (mmwe) (OFFICE LOCATION) '|/` o/�� � � �7 (City) [i/G+'x�.�� " (S�t ) �� ' (Zip> / ~-u`^ �r ~~ - / - k~ -7�}/�\y Phone # ° Electrician: K8OVAU�� 0�[y DATE RECEIVED: DATE INSPECTED: ` ' Correct Location: Same ao Above F-] or: `~ Red Notice Label FT ' Rough Wiring Outlets Surface Unit Oven � Switches Range Garbage Disposal � Receptacles Water Heater Dishwasher � Fixtures Air Conditioner Dryer Amp Service Equipment Burner, VNhnD &Controls for Amp. Ronopm6lo � Amp. Service Conductors Pump Vent Fans H.P.MOTORS �u 1�u zuo z/o z/* 1/4 z/a 1/e 4 1 1* m m e y , / �o �o uv co ao ^v nn rn n Mark Number ' � � , m Each Size - am nm 1mm z2° 1mm o� m" x�o ,�" o� `�o _ Elect. Hv�� ' -CERTIFICATIONS USE FOR /mALvm conneor /rmm�� mo�/r/so �xrs FEE FEE PAID | � RVV Progress: Inc.| l iKDEl Contractor . - CFT Violation: Work Comp. Inc. Fl | � -- ' CASH C � 4 L/A Owner ' '{ Fee CHK #L/A Duo MO # �-] IPA Municipal . 1NV # Applicantiovnt Date: Other Side Utility | Owner � 7 Cu� inCand �� Tomp # Date� . . - /mapscrnnnu/smAToRs Final ** Date xp�uc*rmm FORM NO. 250sLz1m6 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROA4S QUEENSBURY, NEW YOrK 12801- TELEPHONE (518) 7'2-5832 BUILDING INSPECTOR'S REPOR . REQUEST FOR INSPECTION REFEIVED ' NAME ✓.(i-41• i LOCATION L/ /J/e � ' sW? Z - DATE 7��/ I. PERMIT # ; �Q 5/ • APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO` S FOUNDATION/DAMP-PR'OFING BACKFILL APPROVAL ROUGH PLUMBING . FRAMING ELECTRICAL ROUGH-IN • INSULATION: FOUNDATION I\� FLOORS WALLS CEILING XFINAL INSPECTION: CHIMNEY HEIGHT ROOFING \� SIDING EXTERNAL PORCHES/ST P. • STAIRS-CLEARANCE & " •ILS ,r, PLUMBING FIXTURES/R: IEF VALVE INTERIOR TRIM/PRIVAd•Y DOORS ' FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) 1 • SMOKE DETECTORS f L} • FINAL ELECTRICAL IIJSPEC1'ION • FINAL APPROVAL OF CONST 1tUCTION - OK TO ISSUE C/O OR C/C �� / I A SIGNED CERTIFICATE OF JCCUPANCY MUST BE OBTAINED FROM T E BUILDI G DEPARTMENT BEFORE THESE PREMISES ,RE OCCUPIED!. REMARKS: �I d g/v(e' / :_f Z4-4/ (iv• /(v/-Ave A , ARRIVE DEPART (� . • INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804 Lj V/✓ TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION.! RECEIVED 5///OM6 NAME 24.6h ,d / LtiJa /J i LOCATION //() \�Fj7y/ lj4 , l DATE �7// ';PERMIT # 9.0 5 ,, APPROVED s /A/} Q e C/�a4-9_-J YES NO ' v FOOTING/PIERS % MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING r, BACKFILL APPROVAL r` ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN r INSULATION: •r FOUNDATION ' FLOORS. . . . WALLS . CEILING FINAL INSPECTION: i. ' CHIMNEY HEIGHT ROOFING ti SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACYa DOORS FINISHED FLOORS {, GARAGE FIREPROOFING t, DOOR CLOSER(S) SMOKE DETECTORS 11 FINAL ELECTRICAL I SPECT ON _FINAL APPROVAL OF CONSTR4CTION - OK TO ISSUE C/O O C/C !f A SIGNED CERTIFICATE OF OCCUPANCY MUST BE t OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISESpPARE OCCUPIED!' r. REMARKS: ?' {{r 4Ca ITV \ . (gig8 ARRIVE &41,ii-e DEPART d1 A � .. INSPECTOR TOWN OF QUEENSBURY . BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS � QUEENSBURY, NEW YORK 12804. lJ" • TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST�/FOR INSPECTION RECEIVED C��/flj NAME -_%' Gh at, 1Q. J1.17/ LOCATION ///)-, dj fialerd DATE lib PERMIT#�%� - ,57 ,n I APPROVED YES NO FOOTING/PIERS I MONOLITHIC POUR FORMS! FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ,'ROUGH PLUMBING 1 / FRAMING A� 1/ U ELECTRICAL ROUGH-IN . ,INSULATION: FOUNDATION '; g FLOORS 1 . d WALLS '1 ' 1 . x CEILING 1 FINAL INSPECTION: iCHIMNEY HEIGHT ROOFING u SIDING. '. i EXTERNAL PORCHES/ TEPS STAIRS-CLEARANCE 4 RAILS PLUMBING FIXTURES%yyyy2ELIEF VALVE INTERIOR TRIM/PRI�IHCY DOORS FINISHED FLOORS ; „ _ GARAGE FIREPROOFING j DOOR CLOSER(S) SMOKE DETECTORS I , FINAL ELECTRICAL I SPECION _FINAL APPROVAL OF 4'ONSTRUCTION OK TO ISSUE C/O ORj.C/C A SIGNED CERTIFICA I'E OF O.CUPANCY MUST BE OBTAINED FROM THE 3UILDING\DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED REMARKS: /TCo S ( A) 771--e \ P ? —Gs � So (ST I-I/ //&aL1LS W J--Y1 / rD 1 Cfr-TgC- r 5:L_ s -raj (.UStJ i . O ��c� i� ARRIVE DEPART 1-1 P1).1 - ,�"f—t INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ,,O) QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 . BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 5/.7470 NAME 1'/7l7ii )2i i z//49i7. I LOCATION (i( //I) , ipplt j/i frJ -J nzee GI/JJ1 4 DATE _ i/,rfrO PERMIT # �9 '5j X APPROVED .. YES NO FOOTING/PIERS di MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING J BACKFILL APPROVAL ',' ' ROUGH PLUMBING 3 X FRAMING S' ELECTRICAL ROUGH—IN '� INSULATION: FOUNDATION a FLOORS ;i . WALLS '. CEILING FINAL INSPECTION: CHIMNEY HEIGHT .i ROOFING a . SIDING EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS ;' GARAGE FIREPROOFING; DOOR CLOSER(S) SMOKE DETECTORS F , FINAL ELECTRICAL INSPECTION _FINAL APPROVAL OF CO STRUcTION V, - OK TO ISSUE C/O OR ,/C - A SIGNED CERTIFICATE OF OCCUPANCY MUST BE A S OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE(OCCUPIED! P REMARKS: / I 1' i I 1. I i / /' Ip , ty/// , /0 I,/ ,) ... .. ..., , ":,-- 7, =-_____ ___ 7 . 7 ARRIVE / ' (t-✓ fi - DEPART / lc.. f, INSPECTOR _loran o f Queniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 • SEPTIC DISPOSAL STEM INSPECTION NAME / /te d� LOCATION f/ D / ?/../LqT DATE 'ai %' PERMIT NO. 96° SOIL TYPE - SOn�)- Loam - Clay - Percolation Test Required? YES -cNO� Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each Depth of trenches Size of gravel 1 SEEPAGE PITS{Nuinber of) : Size- _1ft. X Sj ft. Gravel size - ,3- , PIPING: 'Size ;''Type Bldg. to tank L( Scr4 LEO Pu'(-- Tank to (list. box p V Dist. bo): to field/pit Openings sealed? ESQ NO ' Partial LOCATION/SEPARATIONS: Foundation to tank Foundation to abscrption f . Absorption to lot line f ©I` Separation of pits LOCATION OF SYSTEM ON PROPERTY(circle one) Front - ear - Left side - Right side - COMMENTS: ANILSYSTEM USE APPROVED \,-NO lrlJL°s Building spector 01/86 and vl TOWN OF QUEENSBURY PN' BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPETOR'S REPORT REQUEST F INSPECTI/J�RE ,cam CEIVED Opp NAME ( )/Lay ii LOCATION d 4tip._ AZ L1� 1 DATE �.� PERMIT # qo 151 yI APPROVED YES NO FOOTING/PIERS 1 MONOLITHIC POUR FORMS II FBAOUNDATION/DAMP-PROOFING X CKFILL APPROVAL S`��Fj Lp i ( ROUGH PLUMBING FRAMING ' ELECTRICAL ROUGH-IN' INSULATION: j FOUNDATION '! FLOORS. WALLS 3 CEILINGli FINAL INSPECTION: 1, CHIMNEY HEIGHT 1 ROOFING ) f SIDING I E EXTERNAL PORCHESSTEP 1, STAIRS-CLEARANCE +& RA LS PLUMBING FIXTURES/RE EF VALVE INTERIOR TRIM/PRIVAC DOORS FINISHED FLOORS T, _ GARAGE FIREPROOFINV DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF C NSTRUCTION - OK TO ISSUE C/O OR /C, k A SIGNED CERTIFIC E OA OCCUPANCY MUST BE OBTAINED FROM THE BUILD NG DEPARTMENT BEFORE THESE PREMISES A• OCCUP'TED! REMARKS: tip A WP /� e iium_L_S .5 LL C f�-I 'lig ARRIVE 42-)3 DEPART LZr ia INS ECTOR TOWN OF QUEENSBURY rA0 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION R CEIVED NAME /ll i��U' '-!" V U(/L L 111VIk- LOCATION . /!O (J(���(��`jj c/ DATE �3-1q Q ( PERMIT # O 5 APPROVED , YES NO FOOTING/PIERS MONOLITHIC POUR ORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL • ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN I ' • INSULATION: FOUNDATION f FLOORS. • / • WALLS • f CEILING • FINAL INSPECTION: CHIMNEY HEIGHT ROOFING / SIDING } / EXTERNAL PORCHES/STEP#. STAIRS-CLEARANCE & RAILS / PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS I• I GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS f1, FINAL ELECTRICAL INSPECTION • .FINAL APPROVAL OF CONSTRUCTION . OK TO ISSUE C/O OR C/C / A SIGNED CERTIFICATE OF'OCCUPA`NCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: Gt/e c,/e '� 4,24: ARRIVE 4A2 DEPART /J3z • INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i • TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST R INSPECTION RECEIVED • NAME V� (LI0 ( LOCATION /1 UI' e 6YLlti e•i_ rovsA f • DATE Vicz_/9"D PERMIT #:` ciD- y APPROVED ,.'; Y S NO FOOTING/PIERS MONOLITHIC POUR;;FORMS P��FOUNDATION/DAM PROOFING,+ BACKFILL APPROVAL ,f ROUGH PLUMBING ' • I FRAMING 1 t • ELECTRICAL ROUGH-IN / • INSULATION: ,l, �1 FOUNDATION FLOORS. • i7 . .t . . . . WALLS ',1:, f . CEILING Ai FINAL INSPECTION:'A CHIMNEY HEIGHT A ROOFING I i, SIDING l t. EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE &.RAILS . PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS , GARAGE FIREPROOFING \1 DOOR CLOSER(S) Z; SMOKE DETECTORS FINAL ELECTRICAL INSPECTION • • _FINAL APPRdVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C t • A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED/FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ,.,,_ .4_,,, , /2, \ . ,ie -,._ --263-7_,2_,,,,,._ -ki-cp--‹._ s,„..„( • • ,___ . ARRIVE J -/IL__ . DEPART 3 ›s INSPECTOR blob / .. . ►, , , : ' • ‘0,.. i , .. . . ' . .',/ LOT i/O te�,) ; .47:: ' TOWN OF il BLIFiI rr /So. zoo L. \ 44 Nov - 0 � * /O ` �+ 9D -,r y FR' s.R. • ,pit/V£ L O'" W/DTN 1 • . • `° — 6 0 Ncosr i�� IOoo t. ..... _ /ov r7 ,vv P3• 4flLit, - -__ </c D 10 6 a , c firr. S'cc • 0 3 errs 41 �� 3 ti . . . . . . . . 1r • ToMA�A wK �Lor P��Al • • o - //p • P/oPosEb M, VAS/i io o