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1990-095 s 'r'- .•t, 9:: h'.,-«i 4,. �':'1-'ji-. •��`:•!"t! ,. -,-Iy'tT i"ri `\i.-.--,.2.._^`—`-_-. . Fir CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 19 19 90 3 oc)-6 ( 0 ( This is to certify that work requested to be done as shown by Permit No. 90-095 has been completed. This structure may be occupied as a single fami 1.y dwelling 1 /) Loca tion {i (oe-II'e rlot eed Sgueet V Owner r,uhaO PASSARF14_.I .. ' . By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement • BUILDING PERMIT1-3 TOWN OF QUEENSBURY No. 90 - 95 73 WARREN COUNTY, NEW YORK z 0 PERMISSION is hereby granted to ROBERT & BEVERLY WHITMORE co OWNER of property located at Lot 30 Herald Dr, Herald SepagteRoad or Ave. in the Town of Queensbury,To Construct or place a Singel family dwelling at the above location in accordance to application together with plot plans and other information hereto filed and r !— approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is cr' 14 Arbutus Drive Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name Passaerelli/Ceroone 3. CONTRACTOR or BUILDER'S Address i G Lake Luzerne NY 4. ARCHITECT'S Name 0 fr c, 5. ARCHITECT'S Address ro n 6. TYPE of Construction—(Please indicate by X) (x/xWood Frame ( ) Masonry ( ) Steel ( ) n Ll. 7. PLANS and Specifications , CA No. 54' x 24' Single family dwelling as per plot plan, specifications and application including one-car attached garage and septic system. 8. Proposed Use Single family dwelling rn z $ 208.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 3 19 90 (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.) - !2 Dated at the Town of Queensbury this 3rd Day of April 19 90 ro z SIGNED BY C for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY IOWN CV ClU!CENSBUR',' REVIEWED BY En_ RECEIVFn . 1�,� FEE PAID $ J -- °/E5 MAR ii.plv PERMIT NO. 13 0 1990 � � Z� hI(� , ail BUILDING PERMIT. APPLICATION BLDG, & C:Ouc 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: K)ipe,e,f it- LFZUezIi . Whir llMOP..<,_. P.O. Address /y( _ • \ r/�P�lrhi�, r� Tel. �- 711. ��' io A 3U Tax MapNo. Property Location �e �t� /y75/// ,Y? c. ,�i / Has there been any split of this property nce October 1, 1988? _/ S / If yes Planning. Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE ,4 € /L c. 41-47_4.2--- LOT NO. .e' THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: A ,e.fesdilir-� 79eF-4206 • NAT/URE OF PROPOSED WORK: • ESI'IMATED MARKET VALUE-O • ✓ Construction • of a new building - • CONSTRUCTION: �� ' �) Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: • Size of property J/9 0 ft x "7' y9ft. 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_ 90 ft. Rear yard N7 ft. • Side yards 37. 5 ft. and g2•C ft. • GROSS AREA OF PROPOSED STRUCTURE �•. If on corner, setback from side street it. 1st Floor 9/Z sq..ft. 10@ id-i p• 5 • OCCUPANCY INFORMATION 2nd Floor yief6 sq. ft. t,G • Primary Building - Other Floors sq. ft. • /One Family Dwelling .�. (not cellar or basement) /f) / 4, • Two Family Dwelling i� TOTAL FLOOR AREA/39 • Multiple Dwelling/Number of units sq. ft. n � Size of new structure 5.- ft x Z •ft. • Business Foundatio ier • _Industrial n-p /slab/crawl/partial/full (circle one) • Other No. of stories (habitable s '-' �� • Height (grade to ridge) 2 S et. • If addition, what will use be! If residential,•no. of families, / - • • No. of rooms(excluding baths) 6 • Accessory Building. No. of bedrooms , 3 • Detached Garage ONE/TWO Car No. of bathrooms, • Primary heating system ot t?m p • = ,, Attached Garage ON WO Car Type of fuel-.... _Private stora ge building _No. of fireplaces to be installed / • ood stove be installed • _Other w ' conditioning :yy r- • / 7 • OV• ER BUILDING PERMIT .APPLICATION CON'TINtED - BUILDING 5PEC[FICATIONS: Tape of construction, wood frame, fire safe. etc. 1004 , Will any second-hand or upgraded lumber be used? If so. for what? 4/0 Foundation wall material o ) Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? VeS , Heated or unheated? a✓APi Floor sq. footage sq ft. Will there be a basement. e, ' Will any portion be used as living space? WO (If so, what portion? sq ft. Type of use? Type of roof - sloped/flat/shed/otherS7 Material of roof 73„;,v0,�l l' Size, wood studs Z "x 6 " spacing / s " o.c. length k ft. Joists (floor beams) 1st floor 2 "x J0 " spacing /6 "o.c. span /Y ft. Joist (floor beams) 2nd floor 7 "x " spacing /6. "o.c. span /3 ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x " spacing /, o.c. span /7/ft. Roof trusses (pre-engineered) spacing " o.c. span ft. Exterior wall finish SG�r'x/e of what material? (/!s✓yi Interior wall finish // `' 67 B , If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 5-/8 X g-V Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? 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 well (including adjoining properties u/h' ft. (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER ct-- ' DRESS efiZe__. C�jzeieive. TEL. NO. - 3677 NAME OF PLUMBER%I. &e,eI)44.. _ ADDRESS ?Llg?.,a1 . TEL. NO. 792 92,d4 NAME OF MASON Zee 1�/Otaw ADDRESS L�rax,c.'1�`� / TEL. NO. NAME OF ELECTRICIAN/ /j;, , 4/4- ADDRESS qL/O, 0�6/7 TEL. NO. X"-^0591 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 ^-:' '. ._,f the BUILDING CODE, THE ZONINr. ^ItDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that euch work is authorized by the owner. Signature Owner�wner's agar architect, contractor SPECIAL CONDITIONS OP THE PERMIT: BY 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: -"IN OF C)UEENSB1JR`1 �iVBD 1 . Gross floor area 159F � MAR 3 0 1990 • 2 . Type of heat //U F1 3 . Is the building_ mechanically cooled? (�f?� BLuu. LODE DEPT - ll _ j G 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. 1 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 8. Under 16% Only 1. R value of roof and floors exposed to ambient conditions 2 . - R value of exterior walls 3 .. R value of glazed area 3- 1(i 4 . R value of doors • 5. R value of floors over unheated spaces ait PLAN 6. R value of slab edge insulation - unheated slab /V A/ 7. R value of slab insulation - heated slab /U/X 8 . R value of heated basement/cellar walls (above grade) , ,% 9. R value of heated basement/cellar walls (below grade) /3 10. Type of insulation C. Controls ® 0 1. Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO a. If YES, R value of duct installation b. R value of duct in other areas E. Piping Insulation 1. Size of hot water or cooling carrying agent pipe . 2 . R value of pipe insulation, /1/40,0;2,,- • F. Service Water Heating 1. Performance efficiency 2. Temperature control setting maximum, - /h6 G. For Swimming Pool Only 1. Maximum heating • - .Telephone �6 .-y 2 No. � (applicant ' s signature) TOWN OF QUEENSPUPY IF f APPLICATION FOR s OWtN' OF QUEENS.uFFri REECEiVED _v > SEPTIC DISPOSAL PERMIT MAR 3 0 1990 BLDG. &.CODE DEPT. DATE � eL 27 /796 LOCATION OF PROPERTY FOR INSTALLATION /4,6( . ,,ei?• Z 3o Owner's Name /'k S-1" !f'd ///'Yi x Telephone:_7 3— /7/l_ Address: /9 %RAC /.r • a/ee/lisfAlev' . . . Installer's Name: .=�11/ Telephone: 79, 0,/)i Number of bedrooms (residential only) 3 Total daily flow (compute (d 150 gal per bedroom) '.S(2) Cam• Topography: Circle one:deo Rolling Steep Slope % of Slope Soil Nature: Circle one.. Sand Loam Clay Other /Depth: Feet Ground Water: At what depth? fy Feet Bedrock or Impervious Material: At what depth? 4J//= Feet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one: unic Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank IOC 0 gal. (minimum size: 1,000 gal.) TILE FIELD: Each-Trench S 2 feet/Total system length -ZOO feet SEEPAGE PIT(S): Number-- i=ze-each — -€eet by-- feet Size of stone to be used # Zi/Depth or Thickness 2 /[/, /'j2 e,p 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 Sa • ry Sewa Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: "eel 77 /996 - - 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 • ke.marks: . TOWN OF Q UEENSB LYRY Bay at Haviland Roads,Queensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date lead- 27 /99ô 19 Permit No. 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 "Z. APPLIANCE TYPE / - l Stove Coal Wood Address *://- 3L/A/T '/ /tea/J Furnace Hot Air Boiler ,�� / Zero Clearance l/ Circulating Unit aie_hytak.exA," /[/,/`/ Zip , ( V Phone 9e- ze If Non-Masonry: Owner's Name ' et '1 ile /w 17 1-Zg1 t°_ . /� Manufacturer Address ,/� /j.�,�11 ha— Model Outlet Size (94/ Ji Zip /Z�jV Listed by Number j , Phone 7Q5 - i-/ 2,-- . CHIMNEY TYPE Masonry: Block Brick Stone Property loc9,tion of proposed construction Flue: Tile Steel 1e4,,k- Size: ilepc&o Tfe, /V/fr. 6 C l L,tb:fi Factory Built: Manufacturer Model Size COPY OF MANUFACTURER SPECIFICATIONS ISM N REQUIRED FOR FACTORY-BUILT APPLIANCESHeight Listed By AND CHIMNEYS. MUST BE INSTALLED Type:n Double Wall Triple Walll Insulated ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ 25 SONRY FIREPLACES AND CHIMNEYS. CASHIER'S DEPARTMENT TOWN OF QUEENSBURY, NEW YORK Department: Fire Marshal Amount Collected ' AriimOunf'Refunded Code Number Title A 173 3389 (190)Public Safety f. A233 2655 (230) Minor Sales Fee `Ilecl_ ed from or Refunded to: i1� LIiCJ �� Sl C/�7.E✓(i � Address: jjtka Town Clerk or Deputy While:Applicant Yellow and Pink:Cashier's Department`"Goldenrod:Fire Marshal ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. Uq5 Owner � \ ev � C;5 cc();rP, fl, ,Occupant II q /- r Location�J ��� 3 / G vJ e i No. S reel LuvYUT V n or City" State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by No. Date O Inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER OUTLETS - WIRING &CONTROLS FOR BURNER RECEPTACLES H.P.PUMP FIXTURES - K.W.OVEN AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOE►1L UNIT AMP.SERVICE CONDUCTORS K.W. DISHWASHER - K.W.SURFACE UNIT K.W. DRYER K.W.RANGE - AMP. RECEPTACLE K.W.WATER HEATER FRAC. H.P.VENT FANS MOTORS H.P. 1/20 1/12 I/10 V. 1 % % y N 1 IN. 2 3 5 7h 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE • - - APPARATUS -- TOWN OF QUEENSBURY t'; BUILDING AND CODES DEPARTMENT • BAY & HAVILAND ROADS r)� QUEENSBURY, NEW YORK 1280l� / TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED LQVW9r) NAME A.dJh_e.igrJ LOCATION 4,---/,ge) /1 id /2 /> DATE /o f f 1 9, PERMIT # APPROVED ' YES NO FOOTING/PIERS MONOLITHIC POUR Fe' S FOUNDATION/DAMP-PR.•FING BACKFILL APPROVAL 4 ROUGH PLUMBING ;j FRAMING ELECTRICAL ROUGH-IN ' INSULATION: H FOUNDATION FLOORS . . . . . . .. WALLS CEILING '7 FINAL INSPECTION: kr CHIMNEY HEIGHT . • ROOFING J SIDING • EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS 4 PLUMBING FIXTURES/RELIEFA' VE INTERIOR TRIM/PRIVACY DOORS : t/ FINISHED FLOORS . l C/ GARAGE FIREPROOFING ,/ DOOR CLOSER(S) ;Y' SMOKE DETECTORS xf . ' _•oZ L/ FINAL ELECTRICAL INSPECTION .. ` . ,. . . . . . ' . . FINAL APPROVAL OF CONSTRUCTION A t/ OK TO ISSUE C/O OR .C%C A SIGNED CERTIFICATE OF OCCUPANCY ST BE OBTAINED FROM THESBUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: / LeXLsL/ •,Q��C' �� • ARRIVE ,arm DEPART ` ("° INSPECTOR TOWN OF QU ENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAN D ROADS i")1)1 QUEENSBURY, ,W YORK 1280g. �✓�� TELEPHONE (5 .8) 792-5832 BUIDING INSPECTOR": REPORT REQUEST FOR IASPECTION RECEITED NAME kJ ,' ,_// / _ U LOCATION ,� Ay( I A i i //: DATE 1 1 PERMIT # 7 d- 96-- APPROVED _, 4 _ YES NO FOiTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP ROOFING BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- N • INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING _ SIDING EXTERNAL PORCHES/Sf;EPS STAIRS-CLEARANCE AILS PLUMBING FIXTURES:R.LIEF VALVE INTERIOR TRIM/PRI;TAC\ DOORS FINISHED FLOORS GARAGE FIREPROOF3NG DOOR CLOSER(S) SMOKE DETECTORS 1 FINAL ELECTRICAL IVSPEC 1}ON FINAL APPROVAL OF CONSTR CTION OK TO ISSUE C/O O1'. c/c A SIGNED CERTIFIC.TE OF 04,CUPANCY MUST BE OBTAINED FROM THE BUILDINt DEPARTMENT BEFORE THESE PREMISES A',E OCCUPI vs! REMARKS: 6k- I ' Lc' ::: . )1/6-rD4^ Y C4( INSPECTOR TOWN OF QUEENSBURY )1(`-- BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT 16764m REQUE FOR INSPECT-ION RECEIVED � // n / • NAME 1/,� I C /, :"6-a -E;L(.( LOCATIe'= ,�� ��0 �. 'h �,c j (J : 1 (.�bL� DATE `�� I '1 0 'ERMIT # )- `I s APPROVED YES NO FOOTING/P;ERS MONOLITHI POUR FORMS" FOUNDATION'DAMP-PROD ,ING BACKFILL A•,•ROVAL ROUGH PLUMBING FRAMING ELECTRICAL ••UGH-IN ' INSULATION: FOUNDATION } `"J • gl j FLOORS WALLS k/ 1/ CEILING f'SQ4 .,4: "h i 1" 3v " FINAL INSPECTI' : 1 pAA4 CHIMNEY HEIG ROOFING SIDING EXTERNAL PORCH /STEPS STAIRS-CLEARANC"� & RAILS PLUMBING FIXTUR ;./RELIEF VALVE INTERIOR TRIM/•,i. i.VACY DOORS FINISHED FLOOR•. GARAGE FIREPR.tFI DOOR CLOSER(S) SMOKE DETECTOR'. FINAL ELECTRICA INSPE, TION " " • FINAL APPROVAL 4F CONS •UCTION ' ' OK TO ISSUE C/O OR C/C A SIGNED CERTIF: CATE OF 0 CUPANCY MUST BE OBTAINED FROM . E BUILDINE DEPARTMENT BEFORE THESE PREMISES , RE OCCUPIEW REMARKS: 40.J10 , ��v o `J/ /�.r f;.4 " 7; i1 -. i5 -- ARRIVE" DEPART INS• CTOR TOWN OF QUEENSBURY �� BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280g. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUES . ' INSPECTION E IVED Z NAMEtti/L6 .� 1/4afiA LOCATI e I �/ � - DATE r • c1 CCU PE IT •# c76-9s APPROVED YES NO FOOTING/P..ERS • MONOLITHI ` POUR FORMS FOUNDATION'DAMP-PROOFI:G BACKFILL APROVAL ROUGH PLUM: NG FRAMING ELECTRICAL "OUGH-IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTI' N: CHIMNEY HEIG T ' ROOFING SIDING t . EXTERNAL PORC ` STEPS STAIRS-CLEARAN & RAILS PLUMBING FIXTU' S/RELIEF VALVE INTERIOR TRIM/P'''IVACY DOORS FINISHED FLOOR'" GARAGE FIREPRa4FiNG • DOOR CLOSER(S) . SMOKE DETECTOR: FINAL ELECTRICA IN ''ECTION FINAL APPROVAL tF COISTRUCTION OK TO ISSUE C/O OR C A SIGNED CERTIFICATE WI OCCUPANCY MUST BE OBTAINED FROM E BUI 'PING DEPARTMENT BEFORE THESE PREMISES;ARE OCC REMARKS: t )(1,) ' eL161 • .6 0,1A, 6-ifj • ARRIVE DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT / BAY & HAVILAND ROADS QUEENSBUR , NEW YORK 1280� /✓� • TELEPHONE (518) 792-5832 BUILDING INSPECTO' 'S REPORT REQUEST FOR INSPECTION RECEIVED 0 1�� NAME \ 4.i�d ,&J LOCATION, 5 / /, Z l , )0//tailk DATE PE'1 IT # 92-9, APPROVED . YES NO FOOTING/PIER. MONOLITHIC P$UR FORMS FOUNDATION/D. P-PROOFI G ' BACKFILL APPRuVAL ROUGH PLUMBINL . . • X /AfFRAMING 9C ELECTRICAL ROUi.H-IN ' , \ INSULATION: FOUNDATION FLOORS . . . ' . . . . . WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING • • SIDING 11 • EXTERNAL PORCHE`/ TEPS ' • STAIRS-CLEARANC: 4 RAILS PLUMBING FIXTUR S ELIEF VALVE INTERIOR TRIM/P-IV CY DOORS FINISHED FLOOR GARAGE FIREPROSFING • DOOR CLOSER(S) SMOKE DETECTOR. FINAL ELECTRICAL INSPE c'ION ' ' . . ' _FINAL APPROVAL 0 CONST UCTION ' - OK TO ISSUE C/O OR C/C A SIGNED CERTIF CATE OF OiCUPANCY MUST BE OBTAINED FROM T E BUILDIN DEPARTMENT BEFORE THESE PREMISES 'RE OCCUPIEb'! REMARKS: I I N `►� 5 F\c n Pt # ,IJA-1 L I '(hT -65 • LeAL---tak ii,Pp 0 Riti3 ( Prz_o(0,a&s-?) ARRIVE DEPART 2�'( NSPECTOR sown o/ Queeniur ' y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, • .D. 1 Box 98 LL y Queensbury, New Y(,rk 12801 ,e SEPTI DISPOSALSYST, INSPECTION NAME ✓ IJl /9 .d • e LOCAT I ON W ., 2 t 9/' :is d At , U DATE �/3 /Cp PERMIT NO. 90 a‘9 3- SOIL TYPE - Sal. - Lo m - Clay - Percolation Tes' Requlired? YES - NO Percolation rat:, - M__JJIn/Inch TYPE of SYSTEM: Absorption field,'• t tal length '20b Length of each tr'- 'ch L/tj - 5 !-A Depth of trenches ":, Z-.3 j Size of gravel As. 7i- SEEPAGE PITS{Numb ' • ._ . Size- • AL ft. Gra - size , PIPING: / , Size Type Bldg. to tank l (I pi/(—ScN c(& Tank to dist. bo 1. c- i2 Dist. box to field/•'=: .ger Openings sealed: (E ) 0 ' Partial / L- LOCATION/SEPA•' IONS: ' �/ Foundation to tank I`t ft. Foundation to Absorption 1 4ft. Absorption to /Lot line \ ft. Separation of ,,pits --+ ft. LOCATION�OF�SSTEM ON P OPERTY(circle one) Front - ear �1 Left sid Right side - COMMENT � _ /- 8 4)-7 6i7 v_ hl L i ri1: j A ij C-' �c� t 1 i`�j1te•0 _ / SYSTEM USA .APPROVED (1� O / AJ: Buildin• I •.pee.tor • O1/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS `- QUEENSBURY, NEW YORK 12801- TELEPHONE (518) 792-5832 M BUILDING INSPECTOR'S REPORT REQUEST FOR 4aL6 INSPECTIONR //�NAME C.f) 4 itt `/LOCATION /S $ /t X/- . a'/44L DATE n G PERMIT # 90 5b APPROVED YES NO X7 FOOTING/PIERS :i�,Q + MONOLITHIC POUR ORM�_ FOUNDATION/DAMP- OOFING BACKFILL APPROVAL ROUGH PLUMBING , FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION y FLOORS WALLS CEILING 1 FINAL INSPECTION: CHIMNEY HEIGHT ROOFING k SIDING F, EXTERNAL PORCHES/STEPiS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELhEF V'LVE_ INTERIOR TRIM/PRIVACY 'DOO•S FINISHED FLOORS GARAGE FIREPROOFING ?, DOOR CLOSER(S) 1 SMOKE DETECTORS FINAL ELECTRICAL INSPECTIO `; FINAL APPROVAL OF CONSTRUrT1i'ON - OK TO ISSUE C/O OR C/C , A SIGNED CERTIFICATE OF ' CCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCU:IED! ! REMARKS: V • If / \\ f ARRIVE � 111/: DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS 411 QUEENSBURY, NEW YORK 12801. T LEPHONE (518) 792-5832 BUILDING INSPECTIR'S REPORT REQUE FOR/R INSPECTION RE EIVED NAME )kty...1 <l'G (- LOCATIO 4�- J d)6 1 ,., �✓t 9 DATE /rjs/d P RMIT # �jrf'-9,j APPROVED YES NO FOOTING/PIA'S MONOLITHIC OUR FORM' x'FOUNDATION/s A P-PROD ING X BACKFILL APP"OVAL ROUGH PLUMBI FRAMING ELECTRICAL ROU4-H-In INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORalES/'TEPS STAIRS-CLEA• NCE & RAILS PLUMBING FIXTURES/' LIEF VALVE INTERIOR TR!M/PRIVA. Y DOORS FINISHED F "ORS GARAGE FIRE'ROOFING DOOR CLOSE'(S) SMOKE DETE4 TORS FINAL ELECTR CAL INSPEC ON _FINAL APPRO 'L OF CONSTR, CTION - OK TO ISSUE k./O OR C/C A SIGNED CE!'TIFICATE OF 04 UPANCY MUST BE OBTAINED FR'►M THE BUILDING DEPARTMENT BEFORE THESE PREMI.ES ARE OCCUPIED' REMARKS: () /I( \11) ARRIVE 110 DEPART 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 RECEIV:)* 70'/4 NAME a.��Lr/ LOCATION DATE 7 € /'u PERMI;' # 47 ��„j Q APPROVED YES NO FOOTING/PIE'' MONOLITHIC ',UR FORMS FOUNDATION/Dr P-PROOFING BACKFILL APPROVAL ROUGH PLUMBI G FRAMING ELECTRICAL ROi`GH-IN INSULATION: FOUNDATION FLOORS . WALLS CEILING FINAL INSPECTIO CHIMNEY HEIGH ROOFING • • SIDING EXTERNAL PORCHE';/S EEPS STAIRS-CLEARANC &'RAILS PLUMBING FIXTUR 1,./! 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