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1990-088 CERTIFICATE OF OCCUPANCY TOW,' OF QUEEN3BURY • WARREN COUNTY,. NEW YORK Dace A-111 k _ 5 l9"!D 30( , f 141U , _ This is to certify that worl requested to be done as shown by Permit No. 90-88 - - has been completed. This Structure may be occupied as a Single family dwelling Location Lot 55fL{€ flSJ_V7 eens Lane-Van Howe Estetes Owner Forest Wood Homes , •• By Order Town Board • TOWN.OF QUEENSBURY - Director of'Bldg. & Code Enfd.D'cement BUILDING PERMIT TOWN OF QUEENSBURY No. 90-88 z WARREN COUNTY, NEW YORK PERMISSION is hereby granted to FOREST WOOD HOMEScn OWNER of property located at Lot 55 Queens La-Van Howe Estates Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single family dwelling 0 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. 1-3 1. OWNER'S Address is 0 O HC-02 Box 286P t7 Warrensburg NY 12885 0 2. CONTRACTOR or BUILDER'S Name to same z0' 0 3. CONTRACTOR or BUILDER'S Address cn co s✓ tU 4. ARCHITECT'S Name tti w 5. ARCHITECT'S Address - O CD to 6. TYPE of Construction—(Please indicate by X) Sb (x)Wood Frame ( ) Masonry ( )Steel ( ) -- Co 7. PLANS and Specifications No. 68' x 24' Single family dwelling as per plot plans, specifications and application including sewage system and two-car attached garage. 8. Proposed Use Singel family dwelling 260.00 PERMIT FEE PAID -THIS PERMIT EXPIRES September 30 (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 30th Day of • March 19 90 - SIGNED BY v for the Town of Queensbury Building and Zoning nspector TOWN OF QUEENSBURY REVIEWED BY (� ,/ 1�i FEE PAID $ 4() -� PERMIT NO. /�11nn �t �� "!(1�"�� _wik1/41 0I= OUEENSBiJR x v:::CEIVED BUILDING PERMIT APPLICATION MAR 2 8 1990 BLDG. & CODE DEPT. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. :NO INSPECTIONS 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. • • • • • • • • • • • • • • • • • * • • * • • -• • • • • • • • • • • • • • • • • • The owner of this property is: ForP c4 kfoDd yomes P.O. Address P-l) 2 Lnx /i ill fV Y TeL ///- ,ar I J Property Location eft Que9Ms Lane - Tax Map No. 9a / /ss Has there been any split of this property since October 1, 1988? / 5 0 21 If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE 'Y a';j>.4 li o-pt e fcf 4i' LOT NO. 4-5.- . THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: /we t J Wore HM41,6 . . . • NATURE OF PROPOSED WORK: • EStiMATED MARKET;VALUE OF Construction of a new building • CONSTRUCTION: /$ ,000 Addition to a building • COMPLETE INFORM A-i -N-REQUIRED BELOW: • Size of property tic- ft x Alteration to a building a Existing Buildings(3) Size ft. x ft. (no change to exterior dimensions) • Proposed building - distance from property line: Other work (Describe) ,' Front yard 'VU ft. Rear yard )D - Th) ft. • Side yards Id ft. and .7 ft. • . GROSS AREA OF PROPOSED STRUCTURE oct,' • If on corner, setback from side street y�) ft. I e 1st Floor_Wi n sq. ft. Igo ,��e ' O ° • OCCUPANCY INFORMATION 2nd Floor �hg sq. ft. Ac G • • . Primary Building Other Floors sq. ft.� • ✓One Family Dwelling (not cellar or basement AC. • Two Family Dwelling TOTAL FLOOR AREA 176w sq.. ft. z F : • Multiple Dwelling/Number of units Size of new structure ft x ' ft../�Q"1 • Business Foundation-pier/slab/crawl,parts full • Industrial (circle one) • • Other No. of stori!g (hr.,bitable space) • • Height (grade to ridge) ,K ft. Mition, what will use be? If residential, no. of families I e No. of rooms(excluding baths) _7 • 3 • Accessory Building No. of bedrooms No. of bathrooms =, __Detached Garage ONE/TWO Car Primary heating system hm -a a/ • ✓Attached Garage ONE/TWO Car Type of fuel C,,G� ' Private storage building No. of fireplaces to be installed f. ' .• . Will a •wood stove be installed hi) • Other Central Air conditioning 0„1 • ' OVER . . BUILDING PERMIT APPLICATION CONTINUED - BUILDING 3PECtFICATIONS: Type of"construction, wood frame, fire safe. etc. SI.( k :' u 1-1- Uiand fr�rl p Will any second-hand or upgraded lumber be used? If so. for what? fin Foundation wall material /'hnrviol"P Thickness ?,• Depth of foundation below.grade (to bottom of.footing) ,-' Will there be a cellar? •y)u . ' Heated or unheated? Floor sq. footage sq ft. Will there be a basement? wPs Will any portion be used as living space? ✓/d (If-so, what portion? sq . Type of use? Type of roof - loped flat/shed/other Material of roof -F-,.he,"/if( . . Site, wood studs 2 "x (,, " spacing /,‘ " o.c. length , " ft. O Joists (floor beams) 1st floor a "x /a " spacing /4 "o.c. span /02 ft. Joist (floor beams) 2nd floor "x /6 " spacing ft "o.c. span a ft. . Overlays (ceiling beams) . "x " spacing " o.c. span ' ft. Roof rafters "x " spacing o.c. span ft. . Roof trusses (pre-engineered) spacing y " o.c. span ,2 y ft. Exterior wall finish Viiy/ sins, of what material? . Interior wall finish �sf,v.r h�� 4-jje i. J //i,4r1 d If a garage is to be attached, describe materials to be used for FIRE SEPARATION:- s/JL-ch OG)C pm vo .wa/I hP, yP.Zpi /mu a "ir?Al /.i 10,4 Is there to he an opening between garage and dwelling? ue c JIf so will a Fire-rated door,.enclosure, self-closing device be provided? yiS Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. ' in, " Water supply - Municipal or private well' SEPTIC SYSTEM Distance from ANY private weil (including adjoining properties ,,-� ft. (A' separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER Fpr.d/ M60d Akt S ADDRESS //('-Ga4ax4ftUavv idirs,TEL. NO. a3`-'21/7/ NAME OF'PLUMBER c:dr(I/04,4.'i ADDRESS ('4,, ,'/ rf*• t///v/,ue,i TEL. NO. 0.7 D/ r NAME OF MASON r �� / Lid f1rr��r�,�c� ADDRESS �P�ia �'Y1�7 �,� TEL. NO. 7,92 -00)- it/ �L�/ NAME OF ELECTRICIAN,"J �; ;�,�t.. ADDRESS /ix,,,(�"!i/"r/1, A'1•/' TEL. NO.- 77.- /f, 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 *h"=scribed premises and that all provisions of th' RTTILD.ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work s;a:: w complied w'th, whether specified or not, and that _ .such work is authorized by the owner.. Signature li A 0 ner, owner's agent architect, contractor • SPECIAL CONDITIONS OP THE PERMIT: BY • WARREN COUNTY , NEW YORK Application fox': BUILDING PERMIT IN COMPLIANCE. WITH THE NEW YORK STATE ENERGY CONSERVATION CODE • A permit must be obtained before beginn o ing "c.kM tBU tR: . - r P''E C) • ANSWER ALL of the following: 1 . , Gross floor area. ./70 MAR 28 1990 2 . Type of heat Mr a./i [31-D • & CODE DEFT° 3 : Is the building mechanically cooled? ",-, __ 4 . Percentage of area of windows and doors 7290 _ A. Over 16% . Only . • 1 . U value of gross area of .walls ,' roof/ceiling and. floors exo posed to ambient conditions • 2 . Floor over heat-. 3 spaces . YES NO . a. Are foundat on walls insulated? . YES NO 1 . If YES , what is the R value? ' 3 ._ Slab on grade YES• ' NO . a. If YES , wh .t is the R value of insulation around perimeter of floor? . 4 . Is basement heated? YES NO a. R value of insulation '5. Type of insulation B. Under 16% Only 1. R value of -roof and,__ nd floors exposed to ambient conditions r __3d • • 2. R value .of exterior walls il-/G/ . 3 . R value of glazed area 3 4 . R value of doors t • • 5 . R value of floors over unheated spaces /e-6G! 6. R value of slab edge insulation - unheated slab / • 7. R value of slab insulation - heated slab 2,'tt,,l�l 0�d) . - <1 8 . R value of .heated basement/cellar walls (above grade) 9. R. value of heated basement/cellar walls (below grade) \ 10. Type of insulation -11-40/ACGt;4 S . • C. Controls g . 0 ' 1 . Thermostat maximum heat setting e3�'�/� D. Duct Systems 1. Is duct system installed in unheated spaces? YE,S-' NO a. If YES, R value of duct installation to-Id • - b. R value of duct in other areas E. Pipina Insulation .1. Size of hot water or cooling carrying agent pipe . .._. ,_ . . 2. R value of pipe insulation F. - Service .Water Heating . 1. Performance efficiency 2. Temperature control setting maximum HO G. For Swimming Pool Only 1.. . Maximum heating • • Telephone No. 4.*N- 3 , : q . V i,(1„.. . (applicant' s signature) TOWN OF QUEENSBURY rowv APPLICATION FOR �=v SEPTIC. DISPOSAL PERMIT E3L , :DOE DEPT. DATE 4Iaa A a? IN LOCATION OF PROPERTY FOR INSTALLATION IDJ ,15- , o,1 Lame Owner's Name: (nrf,tif hinrrr! Hnn1vj Telephone: /,��-3974 Address: C 02 hnx t9g'bt� Installer's Name: hij,,/1 f/nboard Telephone: 7gd--60)), Number of bedrooms (residential only) Total daily flow (compute Cd 150 gal per bedroom) UV Topography: Circle one: la Rolling Steep Slope % of Slope Soil Nature: Circle one. and Loam Clay Other /Depth: Feet Ground Water: At what depth? d y Feet rar7f/' Bedrock or Impervious Material: At what depth? ,f Feet Percolation test: Circle one: of require. required rate min. inch. Domestic water supply: circle one: Municipal Well Other If domestic water supply is a well: Separation: Water supply from septic;absorption feet PROPOSED SYSTEM: Septic Tank /0(2 () gal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench ,s-7 feet/Total system length 't,700 feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used # /Depth or Thickness • feet ************************* I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: - DATE: r j/"l&cG f'1 d r , 1RD OVER • • 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 structures • 4.) location and distance to any water 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 installa—. tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury • BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 Remarks: . TOWN OF QUEENSBURY Bay at Haviland Roads,Queensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date 06 ,y e. 1 19 q d Permit No. 4' 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 i 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 FO r_e5 1 ' , APPLIANCE TYPE Stove Coal Wood, Address l —0 9----b 0X. D0 p Furnace Hot Air Boiler f, Zero Clearance 1_,- Circulating Unit '�'�!' A Re,art 5 Q, v N,ya Zip r� -4-7 Phone 617,=T 7, 1a I If Non-Masonry: Owner's Name . , 'Manufacturer Address_ Model Outlet Size . Zip Listed by Number Phone CHIMNEY TYPE • Masonry: Block . Brick •Stone Property location of proposed construction Flue: Tile Steel "��- r C. (67)1) . / Size. .I' , Factory Built: No ,�-sfi1t,p ti ��. , _ =3fi=�A., '. `#---, 4„A 0„,,,,,-.,z.. tu.k,A. Manufacturer 6-avid/Model Size COPY OF MANUFACTURER SPECIFICATIONS��S Height i'' Lisped By Number . REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall \-' Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated ' ACCORDING TO SPECIFICATIONS. COPY OF 0 Estimated Cot $ .� CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ 47-5 , SONRY FIREPLACES AND CHIMNEYS. . CASHIER'S DEPARTMENT - TOWN OF QUEENSBURY, NEW YORK Department: Fire Marshal Amount Collected Amount Refunded Code Number' Title 1 - A 173 3389 (190)Public Safety A233 2655 (230) Minor Sales Fee 'c I cl cted froiir Refunded to: 6'iu,,c-i- talk] 4-f fit"t t 0 Address: ( ribth-bUinOUV -'. V �f ��� J Dated: Town Clerk or Deputy - White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal &-----:\ss MIDDLE DEPARTMENT INSPECTION AGENCY, INC. R, National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 APPLICANT COMPLETES THIS SECTION Date: i; : ;1 ., City, Town or Township ; ---'bi."1=big°`` County / r"./:"'• State 1Y:4. Location/Address '/ S i. 0-4.4`; (, F% • ;A-c_ (If Located in Rural Area- Please Attach Directions) Pole # ., Owner '-- / :'l '•;f ,!'�.:-. Permit # ©-Sid Occupied+As / r c R!' �•i,t.. r r' Building: New[ Old❑ ______ Occupant Work Area in Building (Floor #,etc.): App. for: Wiring 1(),--Service d(�" or: Ready for Inspection: Fee Remitted $ 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 11/2 2 3 5 71/2 10 ' 15 20 25 30 40 50 75 100 Mark Number of Each Size • Applicant's ,' . i•r'._f0_ Signature License # Permit # • 0 1 _ s if , / i T/A Utility l�M /PM (O FICE LOCATION J Applicant's Address: ' `"'-ate - -7.- •/• /„.,s N (City) ' : 1--- - (State) •I, II. (Zip) --�- Service Request # 2 20 3 Phone # '' /�u =can j-, f(5 Electrician: MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above pi or: Red Notice Label n Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher . Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Ufa Amp. Service Conductors Pump Vent Fans i MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'12 10 15. 20 25 30 40 50 75 100 Mark Number . of Each Size • 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat I i CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID El RW Progress: Inc.❑ LKD I I Contractor El CFT Violation: Work Comp.❑ Inc. El n L/A Owner - - CASH El n L/A Due MO # Fee CHK # 1-7IPA r Municipal - INV # Date: i - • - -- - " Other Side El Utility Applicant CI Owner ❑ Cut in Card n Temp # Date Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 4/89 W prTN '-giA" '"P e MIDDLE DEPARTMENT INSPECTION AGENCY, INC. go- S-Y ) ‘.-. . 900 Haddon Avenno,-CollIngtwOod;'..KI•08108 ,,,,,-,„.':'': -.,---:-,:° NI 'I lOsii b P i:-.7 '' ',i,.---- ''''' ',•--,. C) ,,,,,,,,,-' ,.-- -i---6;1- ,____-__ -t et,„ ...\...,•,,,.:, Date August 1 , 1990 -:-,.y• ..- ,-,•% 1" ----- ---------- '10 ,,,'‘I;g*,-, C..\ Certifie5 that thp,eiebtribal,ecijipment listed has beeneXarnined-an(iis approved as being in accord ) K with the National Electrical Code, applicable governmental, utility and,Agency rOjes. .• c.) eV i? Owner Forest Wood/Homes It. , Occupancy Ekwellip Occupant Unknown . ; - c.) ., ; • ,.: ,.. ., . . CI (; Location: Lot 55 Queens ,-Lane;= 1 Ql.ileenSbitrPA-VarrelliartIli.late WE -..,....:fs theieleotricOlOquipment and installation inspected this C L ':' 1 ,-,-,: ''', \ ; Equipment: 85-Outlet s';'';': 4,0-Receptacles;,-, 25,74'1x:bur ? I Applicant: date. If additional equipment;should be introduced or alterations made to ) existing system this co,Ificap3 shall be null and void, and application for laisegion should hO subrelittod pcopptly to this Agoncy, . . c) .,,.. : •.,. ...- ,i . ?; ii ,4 -1:6:cercnitfietah:/is..certificate:77resent same to his property insurance carrier , 4-ApplianceS1 -..3-Vent Fans; 200 Amp- 'SeCtrgrivenP,P^Y) v,..., \ \:-.„\ „.„. [—Dave HOdge ..• _.--...-------- , as evidonco:o!,certification of electrical equipment approved e, '. 31 Tenth Ave.: ..;.•;.:. ---• --;';ti C''Es- 1;1113.:', ----1, ../ ''''''' : e Hudson Falls, N42-63.9.: --------,771,:rip.g--,''.3Ci' 16-034749/031 L --...r..7,:, - ,,,------ v4,,. .R.‘., 16-tftke?..,-&-A.,%*,-.A5w-,t_is.*4-Nkte2,.ktw...,%&.4,-x.-*-,?,ikg,.,?,-..,a.e..,Q•sfr*I.AFX. ,) 3110‘aiaLl?ctrtrAltrAst.*C‘4.13 TOWN OF QUEENSBURY '411 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORE 12802- TELEPHONE (518) 792 5832 BUILDING IrSPECTOR'S REPORT REQUEST FOR ASPECT 1PN RE EIVED I co Aid NAME '//��C-�I- 1 /L 1' l / L_�" LOCATION �� l(>(I / ;1-�-- /l DATE (/(fS/G v PERMIT # fI/C -68/ r APPROVED - YES NO FOOTING/PIERS MONOLITHIC POUR FORME FOUNDATION/DAMP-PROD ING / BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ' INSULATION: y FOUNDATION ' f FLOORS ' WALLS il $ CEILING FINAL INSPECTION: i CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/`TE•'S !/ , STAIRS-CLEARANCE I. '.\ LS PLUMBING FIXTURE:/REL EF VALVE L."' INTERIOR TRIM/P4 VACY DOORS , FINISHED FLOORS' 1/. GARAGE FIREPROO ING \ DOOR CLOSER(S) I SMOKE DETECTOR: \ I/ FINAL ELECTRICA (INSPECT I!N FINAL APPROVAL 4F CONSTRU'TION ' OK TO ISSUE C/O;OR C/C I X - - A SIGNED CERTI'l CATE OF OC:UPANCY MUST BE OBTAINED FROM •HE BUILDING \DEPARTMENT BEFORE THESE PREMISES'ARE OCCUPIED j REMARKS: S'-C G� ,%l OrU/1 rr�/ _ G--1) V i e /'e- '--7 / - (p/277 r ARRIVE /CJ P/iv,- ' DEPART /,/ tzc,;(---- INSPECTOR _lown of Queenibur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSALS�STEM INSPECTION NAME t4i- LOCATION <)/�� � /(p /,c_�A ) —�-- •t i DATE I ��9/ CM PERM;tT NO. 1()'— , SOIL TYPE - Sand - Loam - Clay - Percolation cest,Required? YES - NO Percolation rate ,- t Min/Inch TYPE of SYSTEM: Absorption field, `otal length 02,50 Length of each trench Depth of trenches Size of gravel SEEPAGE PITS4Nuinh1er of) • Size- ft. X I ft. Gravel size PIPING: ,Size Type Bldg. to tank • " PVC- Tank to dist. box � 'f // Dist. box to field/ it ' cf i/ Openings sealed? YE NO Partial LOCATION/SEFARP,TIONS: � Foundation to tank /=,2, ft. Foundation to Absorptioq ale, ft. Absorption to ilot line /G., ft. Separation 'of k'pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front -elf.-elf.> Left side Right side - COMMENTS: 1F • n �y SYSTEM USE APPROVED YES N ,1 Bui ing Inspector 01/86 and vl sown of Quee4i4urf BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12,801 ri SEPTIC DISPOSAL SYSTEM INSPECTION NAME I Lofi / - .'" ii LOCAT I ON/ , / /(_,f r"-- i DATE , 19]Q PERMIT N0. 9D-?�(5 SOIL TYPE - Sand _Loam+ - Clay - Percolation ''"'Required? YES - NO Percolation rate - Mid/Inch TYPE of SYSTEM f Absorption field, total length 2-so Length of each; trench Depth of trenches .fh'. Size of gravel? 13 SEEPAGE PITS4Niiinb; r of) ' h Size- ft. X i# ft. Gravel size ` PIPING: 4A'` Size Type Bldg. to tank k b Tank to dist. x Dist. box to geld/ • Openings sealed?. YES NO Partial t LOCATION/SEPARATYONS: Foundation tt tank �ft. ' Foundation to absorption ft. Absorption to loth^,line h ft. Separation lof pit* ft. LOCATIO 4, YSTEM"SON PROPER Y(circle one) Front Rear Left',` side - Right side - COMMEN i 1 I !, ii 1 L: SYSTEM USE APPROVED YE I / Building Ih ector V 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS •.- �I QUEENSBURY, NEW YORK 12804- �— • - TELEPHONE (518) 792-5832 /9 m• l ,®, BUILDING INSPECTOR'S REPORT q REQUEST FOR INSPECTION RECEIVED [Q/q0 NAME 2.I ��// LOCATION 4 p4 k�5- Of.l t4 4 e DATE 5110%O, PERMIT #'' /St) - Y _ - f S APPROVED 4 I YES NO ti FOOTING/PIERS .MONOLITHIC POUR FO4MS I ',FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ;t f ' ROUGH PLUMBING `r • P FRAMING ) 1 ELECTRICAL ROUGH—II I ' • ' INSULATION: a 1 FOUNDATION 1 a FLOORS '1 I WALLS - n CEILING 1 FINAL INSPECTION: i . I CHIMNEY HEIGHT ROOFING 1 • • / SIDING A .1 EXTERNAL PORCHES/§TEPS STAIRS—CLEARANCE & ILS PLUMBING FIXTURES/4'LIEF VALVE INTERIOR TRIM/PRIVY DOORS FINISHED FLOORS A __ GARAGE FIREPROOFIN' t DOOR CLOSER(S) • SMOKE DETECTORS J • 1 :FINAL ELECTRICAL INSPECTION ' FINAL APPROVAL OF CONSTRUCTION • OK TO ISSUE C/O OR1l-C/C k A SIGNED CERTIFIC TE OF OCCUPANCY, MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES AR OCCUPIED!— REMARKS: \ 5/ I OC . { • • • ... ; . . . . . . . . ,L_______ . . . ARRIVE DEPART 1 41 1)/(riheASt 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 5/47M NAME 10164,1 ((�(YI1T� LOCATION }/I- DATE Jf/d/�6 PERMIT # 7� � APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ' XINSULATION: FOUNDATION FLOORS WALLS .7 /__ 7 /� , r CEILINGS. 0 FINAL INSPECTION `5 CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS ' STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING *, DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION ' _FINAL APPROVAL OF CQNSTRUCTION • OK TO ISSUE C/O OR •P/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDik REMARKS: • aa 1 ' ARRIVE , DEPART v.r / . l INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED��/��'' J/4t/f') NAME chi-tee-it /i'�/7i T7/T.31.41 a1 LOCATION ehe ,1)75-- C{ 41, jM(%) / DATE J/J,Qj d PERMIT # 7(�6 - I t' APPROVED YES NO FOOTING/PIERS , MONOLITHIC POUR FORMS . FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL X ROUGH PLUMBING 2C FRAMING K ELECTRICAL ROUGH-IN ' ' ' INSULATION: FOUNDATION 1 FLOORS WALLS s ':.' CEILING FINAL INSPECTION: I CHIMNEY HEIGHT :$ ROOFING • 1 ' SIDING n` EXTERNAL PORCHES/STEPS ,, STAIRS-CLEARANCE & RA1LS PLUMBING FIXTURES/RELIEF VALVE s INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING \ I . DOOR CLOSER(S) ri SMOKE DETECTORS, FINAL ELECTRICAL INSPECTION;; / ' _FINAL APPROVAL OF CONSTRUCTION 1 - OK TO ISSUE C/O OR C/C \'); f! A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!, \ I' E . REMARKS: {w ki, fi J \,,, . L/ • ARRIVE DEPART /0a) INSP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT01;;? BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280- TELEPHONE (518) 792-5832 • BUILDING INSPECTOR'S REPORT REQUEST FOR/INSPECTION REC IVED Iq1b YYA NAME . o & 'Wth LOCATION -4-5 ( rAbut DATE 4 le\ tA 0PERMIT # I APPROVED YES NO (f _ FOOTING/PIERS (4., # " MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL 1 • • ROUGH PLUMBING • FRAMING r.4 ELECTRICAL ROUGH-IN INSULATION: , FOUNDATION FLOORS I • WALLS • a, t CEILING "' FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING ^' • EXTERNAL PORCHES/SIBS;;` STAIRS-CLEARANCE & RAILS h•' PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVAC: DOORS FINISHED FLOORS ;j' GARAGE FIREPROOFINGI' DOOR CLOSER(S) I s SMOKE DETECTORS • FINAL ELECTRICAL INSPECTION _.FINAL APPROVAL OF CONSTRUCTION • OK TO ISSUE C/0 OR =C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: P/I-ALelj—° " ariL4/L. • . ARRIVE S PC) (If Icif ( r /44 DEPART r V y/ t v=,.- (r K INPECTOR al TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS �� QUEENSBURY, NEW YORK 1280k TELEPHONE (518 792-5832c)P\ BUILDI G INSPECTOR' REPORT REQUEST FOR INSP CTION RECEIV D 11,\\fA�0 P(' NAME �f:* , ' 'Q/) LOCATION J , "� �'Z i DATE D PERMIT I# I APPROVED YES NO FOOTING/PIERS j MONOLITHIC POUR FORMS 1 • OUNDATION/DAMP-PROOFI G /� $ACKFILL APPROVAL �;✓y ROUGH PLUMBING ' FRAMING • ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS . CEILING FINAL INSPECTION: CHIMNEY HEIGHT p' ROOFING SIDING EXTERNAL PORCHES/STEP STAIRS-CLEARANCE & RA LS PLUMBING FIXTURES/RELIEF 4ALVE INTERIOR TRIM/PRIVAC DOO S FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) 1 SMOKE DETECTORS FINAL ELECTRICAL INSPECTION .'� _.FINAL APPROVAL OF CO STRUCTIO . OK TO ISSUE C/O OR JIC A SIGNED CERTIFICA i OF OCCUPA CY MUST BE OBTAINED FROM THE :BUILDING DEP RTMENT BEFORE - THESE PREMISES ARE OCCUPIED!' REMARKS: 1 . 11,1( • , ARRIVE `U ( ' ��l`) --DEPART /O ; L(a ��./'0 d INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME h u�L ';i OCX)7) )ck A4 LOCATION 4L 5 S a e DATE 4/f 3/(((j PERMIT # APPROVED :;4 a YES NO XFOOTING/PIERS ��` r, MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING 1 BACKFILL APPROVAL ROUGH PLUMBING , y' FRAMING ELECTRICAL ROUGH`-aIN ' INSULATION: t?^ FOUNDATION '} 1) FLOORS , WALLS CEILING $; FINAL INSPECTION: a CHIMNEY HEIGHT ROOFING { SIDING p • EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RRILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY\,DOORS FINISHED FLOORS A, GARAGE FIREPROOFING. DOOR CLOSER(S) SMOKE DETECTORS • FINAL ELECTRICAL INSPECTION ' . _.FINAL APPROVAL OF CONSTRUCTION • OK TO ISSUE C/O OR .C/C A SIGNED CERTIFICATE/OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!. REMARKS: ,;''A�_ [v;zAAL� 6- -tvc pc.o • F -k_44 PC,L .6 01 (3-J S r 1f ARRIVE /(7/ ) DEPART l 2'�- r j f G��� • NSPECTOR I_ l , • r� F b-ui,rJ 20 y%.,•7•,48,8fl,,P.7o e., l — — nil - _ -- - - — — — — ---`{ _, O 1 e i ;1 �+V _ 1 � - — --— s -1,......—^"' L'" I ' — —. :is : — — — off' F •, �� �� . � _ \ .. :: i tit i — — — — -- — _ t ,k 11 I • (r -- 1, . \i / 11 s"._\". _\ lb.-, c_, ,"---,�ILI li ' D ODE pEFI'a : ' 1 4- — --d - -. - - 4�® --— i .r<a. '� ce 4., ,.,..) ......) -1", ' 0-5-774-1-m I: I : 00 -j ___ k ., _ 4.,.._____ t......._ __ , , ._ :_ :-..-—- M i uE li