1990-280 . 4 ;, . .!: 1. :, .
o— sS a 1 •'.
CERTI ICA7C°E OF OCCUPANCY
T TOWN OF QUEENSBURY
(1 _ f
- WARREN COUNTY, NEW YORK
-I, '� -� Date d6jjT 2'7 19 90
This is to certify that work requested to be done as shown by Permit No. 90-280
has been completed.
This structure may be occupied as a single family dwelling
Location Lot 60 Maple Drive- Hidden Hills
Owner A to Z Drywall Development Inc.
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. &:Codenforcement
Sn
BUILDING PERMIT
TOWN OF QUEENSBURY No. 90-280
, WARREN COUNTY, NEW YORK
w
PERM SION is hereby granted to A TO 9. DBYWAT,T, T)F.VF.T,lPMF.NT INC_
OWNER of property located at �f� Lo. ; 1 Maple Drive-Hidden-Hil]s Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Single family dwelling o
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
RR2 Box 528
Granville NY 12832
0
2. CONTRACTOR or BUILDER'S Name N
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
0
4
ril
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) O
e-t•
rn
(x)Wood Frame ( 1 Masonry ( I Steel ( ) ' o
7. PLANS and Specifications �s
Cb
No. 26Tx32T Single family dwelling as per plot plan, specifications and d
application including two-car attached garage and septic system.
x
8. Proposed Use
CD
Single family dwelling
E9
$ 250.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 21 19 90
cfa
(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.) r,
Sv
Dated at the Town of Queensbury this 21 st Day of May 1990
4CK'
SIGNED BY �I l ��-1\/--) for the Town of Queensbury
Building and Zoning nspector /V
Qq
TOWN OF QOEENSBURY
• REVIEWED BY
1 �Jm
FEE PAID � � /f /?�� ._-'�ri``��
1 PERMIT.NO. q(�- Z {) V
BUILDING PERMIT APPLICATION
�pY 14
A PERMrT 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:4—�.(1)15&(1„N,i)fi' 2,��f � (p
P.O. Address— , t3 �'S-�?t� )L//75 D J Tel.67e)
Property Location /,e).1- 41) 1/ ej)i- ��' fic ida,4(11 •Tax Map No. gs/ 6l6(,)
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
b
SUBDIVISION NAME, IF APPLICABLE 14, CJdo I i LOT NO. 4,
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
-Ti.(411-41-41 ‘-i111A-t_Lk
NATURE OF PROPOSED WORK: ESI':MATED MARKET VALUE OF •
•
Construction of a new building • CONSTRUCTION: $
Addition to a building • COMPLETE INFORMATION REQUIRED BELLLOW:.
• Size of property .t. '4 2 7 ft 96 ft.
Alteration to a building • Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) • Front yard J/, ,C�ft. Rear yard/g7,. 7 ft.
• Side yards/f‘,.S-"ft. and / 6 ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor sq. ft. l / • OCCUPANCY INFORMATION
2nd Floor ‘7 2 Sf sq. ft. 10 • Primary Building
A /
Other Floors � sq. ff. �5 � - • .. i/ One Family Dwelling . -
(not cellar or basement • •. Two Family Dwelling.
TOTAL FLOOR AREA 772 Osq. ft. ® • Multiple Dwelling/Number of units
Size of new structurett x 3 f S • Business
Foundation-pier/slab/crawl/partial ull ' Industrial
(circle one) • Other
. •
No. of stories (hr..bitable space) 2, •
Height (grade to ridge) `2 ft. • If addition, what will use be?
If residential, no. of families 1 ; .
No. of rooms(excluding baths) ' / • Accessory
No. of bedrooms • Building
No of bathrooms • —�—Detached Garage ONE/TWO Car
Primary heating system /4 '� i�� �' p- • a e Attached Garage F,TWO Car
Type of fuel �a- '. Private storage building
No. of fireplaces to be installed / '
Will a wood stove be installed 6. teeeL-i -e -
• _Other
Central Air conditioning . t) '
OV• ER
B[:ILDING. PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe..etc.
Will any second-hand or upgraded lumber be used? If so, for what?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? Will any portion be used as living space?
(If so, what portion? sq ft. Type of`use?
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs "x " spacing " o.c. length - ft. -
Joists (floor beams) 1st floor "x " spacing "o.c, span ft.
Joist (floor beams) 2nd floor "x =. " spacing "o.c. span ` ft.
Overlays (ceiling beams) "x • " spacing " o.c. span s ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing " o.c. span; ft ,
Exterior wall finish of what material?
Interior wail finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: '
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
Depth of chimney foundation below grade- ft-
Depth of fireplace hearth ft. ' in, 0
Water supply - Municipal or private well
SEPTIC SYSTEM' Distance. from ANY private well (including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER4 U (v A�1 r l �� � 5�e
cd,i je. ADDRESS60wodig,45/V„7I'31TEL. NO. Z74 -/t.35
NAME OF PLUMBEI at dt"P,jtyy,04/ADDRESS gj;iv,;///£1"yie1,?S.? TEL. NO. Ly,2 -/4'?d'
NAME OF MASON6")l)///4 MATril/�. ADDRESS d j/59/o;i)J/.Joy tailirEL. NO. Z.9, -//!i' - --
NAME OF ELECTRICIAI ,fff/ -/p C(0 , ADDRESS 46(,izEiyȣi y 1,Q,,r4'' TEL. NO. 69 -ifry,;7
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the '
plans end specifications submitted, are a true and complete statement of all proposed work to be done on
the described prem4,77 and that all provisions of the RtTILDING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed work snag ue complied with, whether specified or not, and that
such work is authorized by the owner.
Signature
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
FEE PAID
APPLICATION FOR
ESTIMATED VALUE .
PORCHES - DECKS
DOCKS do BOATHOUSES OF CONSTRUCTION$
A PERMIT MUST BE OBTAINED BEFORE .BEGINNING CONSTRUCTION. ANSWER ALL
OF THE FOLLOWING:
'OWN OF Cx'LIEEiiiS3(!Ri'Y
RECEIVED
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and s hh 1990
special conditions as may be indicated on the permit. IHY 4
The Owner of this property is: JAt( _zoo , .
BLDG. & CODE DEPT.
P.O. `'
Address: Wi a Ay�cxg i+100( t
Property Location: 1.1. rbo Ji/Apje 1 rw qa ;0; y-i . / ,f1D4 dip.
Street number or building lot number
Subdivision name_(if applicable) 1-a
THE PE.B.S. 1 RESPONSIBLE FOR SUPS VISION OF WORK AS REGARDS TO BUILDING
CODES [ f l\ (5
Address: C to_Al,z•rt azi a L.,>6'_ (6141_, ) Tel. Is) V2.-43S
BUILDINGS ICATIONS:
Type of work to be done: Porc Deck Dock Boathouse (circle one)
Size of structure to be built ( otage) 96
Foundation Material Widthf?„•�ve - . Thickness c y /
Depth of footing below grade
Size of posts or studs Li- x x C3 Long . .
Size of floor joist x �' x Span
Decking or flooring material Sly .. .
How will porch or deck be faste ed to building?
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW:
Size of posts or studs , x x. Long . .
Roof R x Spacing Span
Roof ussePre-Engineered spacing)
Span
Type of Roof - Sloped ' Flat - Shed Other •
Material of R.;o - - •
Type of siding (if any) . .
*************************************************** ****************************
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale
and attached hereto, showing clearly and distinctly all buildings, whether existing or
proposed and.indicate all set back dimensions from property lines. Give street and number
or lot.nu,mber and indicate whether interior or corner lot. Show location of water supply
and location and configuration of septic disposal area.
COMPLETE INFORMA.TIO REQUIRED BELOW: .
Size of property t �. x ft.
Existing buildingls) `Size' ft..x 2 ft./ 0
Existing building(s) use .
Proposed building, distance from property line.
Front yard S ft. Rear yard / Gf 7 . ft.
Side yards / ft. and ft.
If on corner setback from side street ft. .
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 al 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.
•
0 +fin r, Owner's gen , rc i ec , n rac or
TOWN OF QUEENSBURY
9 f jr cii'i atift4gBURS'
APPLICATION FOR
--_v � SEPTIC DISPOSAL PERMIT MAY 141990
m
BLDG. & CODE DEP T.
DATE . Si/4/
LOCATION OF PROPERTY FOR INSTALLATION
/J f _ c rit)f.iQoPicitC �- cs )
Owner's Name: ACI thripalr >F 4_0
- Telephone: (-)Li-a--f tas
AddressrW s,fs) r
Installer's Name:t j 1111 f F I l y O ry Telephone: i /IN
Number of bedrooms (residential only) 7
Total daily flow (compute Cd 150 gal per bedroom) 44 C
Topography: Circle one: Flat Rolling Steep Slope 96 of Slope
Soil Nature: Circle one: Sand Loam clay Other /Depth: Feet
Ground Water: At what depth? /6-0 Feet
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one: Municipal Well Other
If domestic water supply is a wel :
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank / gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of / Size each 6 feet by feet
Size of stone to be used # /Depth or Thickness 2 ' 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: S"/y/ c?)
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: •
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
•
Apermit must be obtained before beginning work .
OWN OF QUEENSBURY •
• ANSWER ALL of the following: RECEIVED
1 . Gross 'floor area / � . ,Z 0 MAY if
2 . Type of heat r4t1 1- 1'1./61_1— �
� BLDG. & CODE DEPT.
3 . Is the building mechanically cooled? f.f 0
`
4 . Percentage of area of windows and doors - �� 5 0
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 YES NO
a. Are foundat on walls ins ated?. YES NO
1 . If YES . what is th e- 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 floors exposed to ambient conditions
2 . R value of exterior walls . /
3 . R value of glazed area •
4 . R value of doors • /2_ .':3�.+
5. R value of floors over unheated spaces a .f 9
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)
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation 1ec,�
C. Controls .
•
1. Thermostat maximum heat setting . q"
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 2 , ? -0
F. Service Water Heating '
• 1. • Performance efficiency "'�
2. Temperature control setting ma mum/ , a .
G. For Swimming Pool Only
• - 1. Maximum heating - • .
Telephone No. (o F' � 7 s
-(applicant' s signature) •
TOWN OF QUEENSBURY
Bay at Haviland Roads,Queensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date - `='•' 19( 1 �i 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 a'd ,1 A ,._ /f APPLIANCE TYPE
Stove Coal Wood
Address 7) / 2 Furnace Hot Air Boiler
Zero Clearance -, Circulating Unit
_ Gl O 'j.� I Zip / 2- .72 - � .�
Phone C;•7 ( �- -5 .c If Non-Masonry:
7.
Owner's Name ,,y� 5' .11-y, � �j
Manufactures• 0 (i --e,
Address ,? 2 / ,,„ C '9 Model Outlet Size
Xz -j-J L /V c zip/ 2 72 Listed by Number
Phone / /
(�' CHIMNEY TYPE
Masonry: Block Brick Stone
Property location of proposed construction Flue: Tile Steel [ems
C O. -f/�Z--7 /- ✓ Size:
Factory Built:
•
Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall w' Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ %'.6--
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$421-
SONRY FIREPLACES AND CHIMNEYS.
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department: Fire Marshal Amount Collected Amount Refunded
Code Number, Title V�
A 173 3389 (190)Public Safety -
A233 2655 (230)Minor Sales
Fee/Collected from di•Refunded to: q-,
�U l� ( ,( �r i(II ,k' �. � CIr_ rj_ th
Address: , it= (n() I ,It4,--d ,
Dated: I I � 1Town Clerk or De Deputy 1 r{ 1 (�''ll
j p y 1 Gn Jy,_ � i i,L,. �J
While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
J4...”.4.a..,Ja vJ 'h,J i,.."'�J`Po O.,J etvJW+‘J �c./r'4, d J4EO, ' O.,,^dc."4.g ocOy A.,,�� 3"a, �� J' ,u
^i
MIDDLE DEPARTMENT 1NSPECTIQN AGENCY, INC. 1{ �'\f\ v
900 tiaddon Ati- Co0lpg„„, --- N J b9908 �j1, I
aa,i,7 .' .b" ' - ' _...._._._..-�-R. „,y`- "' nat,. Nay 26, 1990
i� Ce tt t that theFelectrica�l,equipment listed has been examined and;is approved as being in accord
t..P ,i.
...
with the National Electrical Code, applicable governmental, utility and Agency`rules. r (,1
rtos` ita7
Glens Fall How �tal..„,,I. % %� � � � `� �ccu arlc � C
.� Owner: P � � ,�' � � � P 5'`� P �
Samevir (ContlnIIe + a e�, ifri g� f } ��ila K54,P �a 1 i rA a
Occupant: �, y i a ,� to t o C
p,2 Location: Quaker Road,,Queensbury- (Warren'ilee ��-NY," 'This certificate cover the electr•cal equipment and installation inspected this C
/,;r+ p t : ' date. If additional equipmentrshoiid be introduced or alterations made to
'i, ,r ".--- �, existing system this certificate shall be null and void, and application for e
'+ "'' `y ,�u inspection should be submitted promptly to this Agency.
Equipment: 13 Receptaclec.
s \\ G G it ..c c L L+ b m e d`Holder of this certificate should present same to his property insurance carrier
(agent orcompany)asevidenceof:certiticationofelectricalequipmentapproved ea•'�.• 4. \t as specified .
" r ab'D
; F-Tim Barton c- i
�, 9 1/2 Elm Street -Et" z °___ ' - :- �a
�, Applicant: ,f �0. C
1 Hudson Falls, NY 1283'9 ' :cf:CC t t _: ''' ' 16-035209
e
n...aochr .ierti•r.nr\ouvn r\ r"R /�41 n, VW, .opal+rgc.,'hn cs,.e r+rOofr.�i",il%ern r`k ye".rkv.t. r'tcanckean ro tt-- �o-Cw6l M.o-4a6+r'{++a::;Wo. zS?
TOWN OF QUEENSBURY �/ J�
BUILDING AND CODES DEPARTMENT l
BAY & HAVILAND ROADS
QUEENSB Y, NEW YORK 1280i-
TELEPHO (518) 792-5832
BUILDING INSPECTOR' REPORT
REQUEST F INSPECTION RE EI ED l/7 , ,//q oJD)
�/ � ///// jj
NAME 1 2 L /t/.�J i .L./ r
LOCATION / Q-'( (9 0 a sG%/_�� C i
DATE 11 ? 7/�'J(j PE T , "-i 2�i ()
APPROVED
YES NO
FOOTING/PIER
MONOLITHIC PO R FORMS
FOUNDATION/D• ;'-PROOFI
BACKFILL APPRO AL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROU -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
��ii� CEILING
((FINAL INSPECTION:
�� CHIMNEY HEIGHT
ROOFING 1,------
SIDING
EXTERNAL PORCH;:S/ TEPS
STAIRS-CLEARA E . RAILS t l
PLUMBING FIXT!RES/"ELIEF VALVE
INTERIOR TRI PRIWCY DOORS FINISHED FLOI RS - („) Pfa ( Qisg t-
GARAGE FIREP'OOFING `
DOOR CLOSERS)
SMOKE DETEC+ORS v
FINAL ELECTRICAL INSPEC',ION " "
_FINAL APPROV'L OF CONST• CTION b
OK TO ISSUE /0 OR C/C 0.4y '%:974! Wi
A SIGNED CE'TIFICATE OF O':CUPANCY MUST BE
OBTAINED F'IM THE BUILDINe DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!"
4
REMARKS:
__ t)
ARRIVE I" `/
t 1�/ /
DEPART IO )o J.I
INSPE,TOR
MIDDLE DEPARTMENT INSPECTION AGENCY, INC,
Efecfricat-Building-Plumbing-Fire Inspections'
Late: 6, v (
500E a.B5 ti
s
Date_
t
çctoW
constitutes certification that the
above installation, but not the equip-
ment itself, has been visually inspected
as of this date pursuant to the applic-
'. able codes. If additional equipment
should be introduced or alterations
made to the existing system or stuc-
ture, application for inspection should
be submitted promptly .to this Agency.
TOWN OF QUEENSBURY
BUILDING AND COPES DEPARTMENT
BAY & HAVILAND TOADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518)1 792-5832
BUILD(f' G INSPECTOR'S REPORT
REQUEST FOR INS' CTION RECEIVED
NAME 1j- a
LOCATION ("►( 2
DATE b/ '`4Q lC;° PE IT # r. Q aZ y 7
! APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-P�'OOFING
BACKFILL APPROVAL•
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-I
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S
STAIRS-CLEARANCE & ,` ILS
PLUMBING FIXTURES/R a' IEF VALVE
INTERIOR TRIM/PRIVAck DOORS
FINISHED FLOORS
GARAGE FIREPROOFIN•
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL I,''SPE ?ION
FINAL APPROVAL OF 'CONST:'UCTION
A SIGNED CERTIFL ATE OF '•CCUPANCY MUST BE
OBTAINED FROM T E BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
Ege ti7
INSPECTOR
vt-
TOWN OF QUEENSBURY /�
BUILDING AND CODES DEPARTMENT //
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280g-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED , a J 1�
NAME ,/-- .L,'�::%�J,,/�✓Ci',//r%-4`-%/
LOCATION , / d ? i ,: .r' l.J /p
DATE 4,04 f/1 PERMIT # 9/ !�,(76
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR ORMS
FOUNDATION/DAMP- OOFING
BACKFILL APPROVA
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-I.
INSULATION:
FOUNDATION
FLOORS 1
WALLS lq. - -2
CEILING i`---� ' /1Y "(?I
FINAL INSPECTION: ✓'f
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STE*.
STAIRS-CLEARANCE & RA :6
PLUMBING FIXTURES/REL ;•F VALVE
INTERIOR TRIM/PRIVACY i:'OORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSP CTIO
FINAL APPROVAL OF COISTRUC`ION
OK TO ISSUE C/O OR '/C
A SIGNED CERTIFICA[ OF OCC�,'PANCY MUST BE
OBTAINED FROM THE :UILDING PARTMENT BEFORE
THESE PREMISES AR- OCCUPIED!
REMARKS:
ARRIVE 1
DEPART •Y 0
f w r +�
k r vv
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280R / 2
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR I PECTION RECEIVED / e7C)
NAME - 6 /7L / i i �?�/1L�
LOCATION _AV., FIZONEFIN ` ✓ ���
DATE `,z 7) PERMIT # Or - „ )
APPROVED
YES NO
FOOTING/PIERS _�
MONOLITHIC POUR 'ORMS
FOUNDATION/DAMP-"OOFING -_
BACKFILL APPROVAL ®_
XROUGH PLUMBING MINI.LIMMIIIMI
/FRAMI NG
ELECTRICAL ROUGH-I;
INSULATION: 1111.1■
FOUNDATION
FLOORS IMO r®_
WALLS 11111111111111111
CEILING 11111WM111111111111M
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STE'
STAIRS-CLEARANCE & RA,LS
PLUMBING FIXTURES/RE LEF VALVE
INTERIOR TRIM/PRIVAC 'OORS
FINISHED FLOORS
GARAGE FIREPROOFING MINIMINIMEM
DOOR CLOSER(S) '�-
SMOKE DETECTORS 11.11111111
FINAL ELECTRICAL INSfECTIO
FINAL APPROVAL OF CO STRUC ON
OK TO ISSUE C/O OR (/C
A SIGNED CERTIFICA E OF OCCU'ANCY MUST BE
OBTAINED FROM THE aUILDING DL ARTMENT BEFORE
THESE PREMISES AR OCCUPIED!
REMARKS:
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L. I.
INSPECTOR
'(/7
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_lo, n of Queeniu ?
BUILDI, G and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Quer nsbury, New York 12801
SEPTICC DI'•POS.ALSYSTEM INSPEC. ION
/
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iNAME / (_
J �
LOCATION 12 . / C9 ! iv),_, C {
I •
DATE / 3 /ZjO IL�PERMIT NO. —Z
, �
/
SOIL TYPE - Sand - Loam - Cl.' -
Percolation Test Required? ES - NO
Percolation rate -- Min/Inch'
TYPE of SYSTEM:
Absorption field, total 1; gth
Length of each t
Depth of - ches
Size . ' gravel' ,
SEEPAGE PITS{N ' .er of)
Size- G ft. X ¶ ft.
Gravel size 7F�L--
PIPING: .ize Ty
Bldg. to tank L./ 5-04tro VC/-L_..
Tank to dist. box _,. (i rc _
Dist. box to field/. __, (?v -
-C.
Openings sealed? OP O Partial
LOCATION/SEPARATION. : •
Foundation to tank, _ ft.
' Foundation to abso; pti.n ft. Ie
. Absorption to lotline ft. 1
Separation of pit'. ft.
LOCATION OF SYSTI ON "OPERTY(circle one)
Front - Rear - Lft sid- - Right side -
COMMENTS:
SYSTEM US APPROVED ES O
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Building 'nseector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' : REPORT
REQUEST FOR INSPECTION�f RECE VED 6/-/ .�
NAME / 2 Z ll5 Al Lt�Loa,'
LOCATION !
DATE 4/5/0 PE' IT •# !O- 269
APPROVED
YES NO
FOOTING/PIERS •
MONOLITHIC POUR FORM• •
FOUNDATION/DAMP-PROO Ni
xBACKFILL APPROVAL 6 ij Q_' X
ROUGH PLUMBING / 1. 7
FRAMING
ELECTRICAL ROUGH-IN
}INSULATION: , Pco xt a.- 6 4 wOr ati'f.F;6 •.
XFOUNDATIONF.\4 IN5ap!-SA t'rt ...5 V'
FLOORS
WALLS '
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING _"
EXTERNAL PORCHES/S EPS . . . . . .
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/'ELIEF VA VE
INTERIOR TRIM/PRIV-CY DOORS
FINISHED FLOORS
GARAGE FIREPROOFIN,
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF C'-NSTRUCTION
OK TO ISSUE C/O OR .c/C ---
A SIGNED CERTIFICATE' OF OCCUPAN I MUST BE
OBTAINED FROM THE ILDING DEPARTMENT BEFORE
THESE PREMISES ARE tCCUPIEDt
REMARKS:
ff 1
ARRIVE l �,s + r?
J •
3
DEPART y. �j -,/"''^,i1'`1 :" .-
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DE RTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YOR 12804-
TELEPHONE (518) 79 -5832
BUILDIN INSPECTOR'S REPO'
REQUEST FT INSP TION/ CEIVED O( //QQ 1 t
NAME (mil (�v[�� M i - �/
LOCATION /�'� / ,' EI g VA tor
DATE /y O PERMIT # 2 - 2,o
AP ROVED
i YS NO
F' OOTING/PIERS
MONOLITHIC POUR .ORMS
FOUNDATION/DAMP-"ROOFING
BACKFILL APPROVAi
ROUGH PLUMBING
FRAMING .
ELECTRICAL ROUGH N
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING it
FINAL INSPECTION: 1
CHIMNEY HEIGHT +�
ROOFING
SIDING wf,
EXTERNAL PORCHES/STL.'Sri
STAIRS-CLEARANCE & .LS
PLUMBING FIXTURES/RE EF VALVE
INTERIOR TRIM/PRIVAC '? DOORS
FINISHED FLOORS
GARAGE FIREPROOFING,'
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL I SPECTIO .
FINAL APPROVAL OF ' ONSTRUCT'ON
OK TO ISSUE C/O •' C/C
A SIGNED CERTI.ICATE OF OCCU•'NCY MUST BE
OBTAINED FROM THE BUILDING DE`•RTMENT BEFORE
THESE PREMISS ARE OCCUPIED!
REMARKS:
1 , t& •
•
471A1
ARRIVE .1%.4
DEPART 1
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /4Z21, -1
BAY & HAVILAND ROADS r
QUEENSBURY, NEW YORK 12804,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST F �5
INSPECTION RECEIVED O 1140 AEI
NAME
LOCATION ,did
v �3
DATE 4 c)I q
PERMIT # /O 2eO
r L/ / - APPROVED
()L i( p cuA, fer YES NO
s: d
FOOTING/PIERS ,}
MONOLITHIC POUR FORMS I
FOUNDATION/DAMP-PROOFING/ X
0ACKFILL APPROVAL 4
ROUGH PLUMBING
FRAMING 1 •
ELECTRICAL ROUGH-IN. p
INSULATION:
FOUNDATION 1 I " .
FLOORS • Al .
WALLS
CEILING ! "
FINAL INSPECTION: J
CHIMNEY HEIGHT / S "
ROOFING I '\"
SIDING I "
EXTERNAL PORCHE, /STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTU$ES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS ;y
GARAGE FIREPROOFING r,
DOOR CLOSERS) .
SMOKE DETECTdRS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL/ OF CONSTRUCTION " '
OK TO ISSUE C!O OR C/C n
1
A SIGNED CERIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!.
REMARKS: 1-r ✓OU►`� /A/0 �(/I 0. W 4 L L 3
/i(oLo dwi 9 c_TS IR)SJAkLe_J-
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ARRIVE •
DEPART "3'Z:I
IN ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /
BAY.& HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
,TELEPHONE (518) 792-5832
•
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME =7� O. ]'.f/ L C 4
LOCATION ' //-2 C_/G2�nf ,JI c
U
DATE „1 5` 9 \ PERMIT #f �'(2 ' t)
• APPROVED
h YES NO
FOOTING/PIERS "\,
MONOLITHIC POUR FORMS '% 1
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL V ' •
ROUGH PLUMBING ' ' A
FRAMING 1 '. '
ELECTRICAL ROUGH-IN ' I 1 ' • • '
INSULATION: .i
FOUNDATION k
FLOORS . . '
WALLS r�
CEILING i
FINAL INSPECTION:
CHIMNEY HEIGHT a
ROOFING I ' ' 1
SIDING 1 ' ,
EXTERNAL PORCHFIS/STEPS
STAIRS-CLEARAN&E & RAILS t{ .
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS\
FINISHED FLOORS t _
GARAGE FIREP OOFING
DOOR CLOSER( ) I
SMOKE DETEC ORS 1, .
FINAL ELECTRI AL INSPECTION ' . 1
FINAL APPROVA OF CONSTRUCTION
OK TO ISSUE /0 OR C/C
A SIGNED CERTIFICATE OF OCCUPANC MUST BE
OBTAINED FR THE BUILDING DEPART ENT BEFORE •
THESE PREMI ES ARE OCCUPIED!'
REMARKS:
. . .4,-Ifoci vi
. •
. •
, ,
., . .
, ARRIVE / 0 5 41
DEPART i a. L v -
INSPECTOR
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L07 59
f�> N E KNI hW A�v NvE
PL 0�-
TOWN Of QUEENSSURY
Zonin Administrat r
40.
A� -row Z- s-