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1990-286 CERTIFICATE OIOCCUPAN CY TOWN OF QUEENSBURY. WARREN COUNTY, NEW YORK Date August 29 19 9O I I -a� , certify that work requested to 1 e done as shown by Permit No. 90-286 This is to ce fy q has been completed. This structure may be occupied as I a single family dwelling n Oak Tree Circle-Hidden Hills Location - Richard P Schermerhorn Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT . TOWN OF QUEENSBURY No. 90-286 WARREN COUNTY, NEW YORK a, 0 PERMISSION is hereby granted to RICHARD P SCHERMERHORN eo OWNER of property located at Lot 148-Oak Tree Circle Hidden Hills Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single family dwellinggta ee at the above location in accordance to application together with pot plans and other inf6rmation hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 33 Harrison Av Glens Falls NY 12801 2. CONTRACTOR or BUILDER'S Name t 3. CONTRACTOR or BUILDER'S Address f) 4. ARCHITECT'S Name 5. ARCHITECT'S Address t' 0 F-I 00 6. TYPE of Construction—(Please indicate by X) O (IS Wood Frame ( ) Masonry ( ) Steel ( ) fD CD 7. PLANS and Specifications (� o+. No. 46tx28T Single family dwelling as per plot plan, specifications and application including attached two-car garage and septic system CD 8. Proposed Use - Single family dwelling 04, $ 191.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Wovember 22 19 90 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the OBI town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 2nd Day of Iny 19 90 SIGNED BY U`tkj\J for the Town of Queensbury 4.4 Building and Zoning Inspector 0 5. U9 _ /TOWk OF QUEENSBURY ,r REVIEWED BY j' .. 1 .1111h FEE PAID ; vrvv, OF QUEEivS . 4s 's illifrelllir iIG.At PERMIT NO. — D MOW/ q0 Rb� g� BUILDING PERMIT APPLICATION ,.., MAY 151990 BUILDING & CODE DEPI. 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 completedand the signature of the applicant MUST appear on the reverse side of this application. • • • • • • • •- • • • * • • • • • S'Nksirkah • • • • • • • • • s • • • • • * • • • • • • • • The owner of this property is: RICj Iord P. (rr i J Y ' P:O.. Address 3/) -tr)rYl;ni LVe .Gjn Pa I ,6. Tel. 1 q r-o Lp, G 4 Property Location L11 (( C,a u.�r�`�I�� . I Yl Tr i rou_____ Tax Map No. ;)LT /5//0? Has there been any split of this property since October 1, 1988? / V If yes Planning Board Review is necessar . yes no SUBDIVISION NAME, IF APPLICABLE I(I4Li,i ,US 5 0661 I V icITIIl, LOT NO. 14 THE P SON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: k'tcd P cc/Rm./A(10 _m J r , . , _ . NATURE OF PROPOSED WORK: * ESf1MATED MARKET VALUE OF • Construction of a new building • CONSTRUCTION:,. $ 7$;00 0 Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: * Size of property , )n o- . - - - ft x I35-ft. Alteration to a building • Existing Buildings(3) Size- ft. x ft. (no change to exterior dimensions) * . Proposed building -.distance from property line: Other work (Describe) - . * Front-yard 3 D ft. Rear yard 7 7 ft. Side yards IC ft. and i S• ft. GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. 1st Floor I�g 8 sq. ft. I.-PA- 1IP* OCCUPANCY INFORMATION 2nd Floor X sq. ft. 01 i Primary Building. - Other Floors �( s . ft �4 \4 ✓One Family Dwelling (not cellar or bas ement 9 • Two Family Dwelling • Multiple Dwelling/Number of units TOTAL FLOOR AREA I .S_sq. ft. Size of new structure I6ft •x a$ ft: ' Business Foundation-pier/slab/crawl/partial •" Industrial (circle one) • • Other • No. of stories (habitable space) • Height (grade to ridge) pi . ft. • If addition, what will use be? If residential, no. of families No. of rooms(excluding baths) S • No. • of bedrooms 3:: . • Accessory Building. Detached Garage ONE/TWO Car No. of bathrooms ..: • / Primary heating system os \.o-t PCX • =Attached Garage ONE Ti1WO Car Type of fuel . o-S * Private storage building No. of fireplaces to be installed 0 0 • Willa wood stove be installed Ni) • __Other .i Central Air conditioning , �/d •. :%r OV• ER _ BUILDING PERMIT APPLICATION' CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. o c Will any second-hand or upgraded lumber be used? If so, for what? ^/O Foundation wall material Gone e, '131 e LS Thickness f O 1' Depth of foundation below grade (to bottom of footing) 7 Will there be a cellar? Y .i Heated or unheated Floor" sq. footage JZ g g _ sq ft. Will there be a basement? yp s Will any portion be used as living space? it/0 (If so, what portion? . sq ft. Type of use? Type of roof sloped flat/shed/other Material of. roof 'fz' QIW cod Ae/t /flsphp.11"SJ„nP/, Size, wood studs a "x (o " spacing I -" o.c. length g ft. Joists (floor beams) 1st floor .2 "x _ o " spacing 6 "o.c. span If ft. Joist (floor beams) 2nd floor )C "x ' 5C " spacing ) "o.c. span k ft. Overlays (ceiling beams) .gv` "x 14,44 " spacing m " o.c. span 6r6 ft. Roof rafters "x " spacing y o.c. span Se' ft. Roof trusses (pre-engineered) spacing y • " o.c. span , $ ft. Exterior wall finish V,•eNy I S;d of what material?' V;n y Interior wail finish 5h e ets'o c,. If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 51 A 'F;raced e_- SA& Gk Is there to be an opening between garage and dwelling? Ye.S If so will a Fire-rated door, enclosure, self-closing device be provided? yes Will a flue-lined chimney be installed? /I/a Height above roof X , ft. )( Depth of chimney foundation below grade X ft. Depth of fireplace hearth )C ft. X in, Water supply - Municipal or private well /7U1(6' p 0. 1 SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /!�/jf ft. N° ule(,IS (A separate application is necessary for any repair or new installation of septic system) ' 1. °"fie`` NAME OF BUILDER 'Rtc,� Scke,a-,nne,rhosADDRESS 33 [key.c.sell, Ju TEL. NO. 19' $.- o479 NAME OF PLUMBER Ste t)e. J ADDRESS Ft • wo..EC TEL. NO. .7'1 7-5 6 9 3 NAME OF MASON Uo1,-2. gel..\c A/ ADDRESS 'f' • .A NA) TEL. NO. 7 92-/3 7 1 NAME OF ELECTRICIAN 5 e.ve. k�11 ADDRESS a v % TEL. NO. - 93 —Jo Z DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to-be done on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that* such work is authorized by the owner. • . Signature Owner, owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: B-Y-- TOWN OF QUEENSUURY • • \ WARREN COUNTY, NEW YORK f rf Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NF,�1 }_p K �, STATE ENERGY CONSERVATION CODE. 'vyvi {yr /u5di+ 5�� .1 • A permit must be obtained before beg if�g�,c k. W -5 IJ ANSWER ALL of the following: . '{AY 151990 • 1 .. Gross floor area 12 g S BUILDING & CODE DEPT. 2 . Type of heat • 6o..5 k0* A r .3 . Is the building mechanically cooled? A}o 4 . Percentage of area of windows and doors ly °/, A. Over 16% Only 1 . U0 value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? YES NO 1 . If YES , what is the R value? 3 . Slab .on grade ciE) NO • . a. If- YES, what is the R value of insulation around . perimeter of floor? 4 . Is basement heated? YES NO a. R value of insulation • 5. Type of insulation F.i k@,Ci-0-55 B. Under 16% Only V ' 1. H value of roof and floors exposed to ambient conditions , roof R-3's , (2." u/ V. o.it • • . 2 . R value of exterior walls 'R - Z5 • - 3 . -__-- 'R value of glazed area - ---y--$ - _. - - - - - - : - - - - -- - 4 . R value of doors R -- . 5. R value' of floors over unheated spaces I•\` ' I 6. R value of slab edge insulation - unheated slab /1//A ^ 7 . R value of slab insulation - heated slab Al/A . B. R value of heated basement/cellar walls (above, grade) _ --&-S !.)/1 9. R value of heated basement/cellar walls (below grade) YW/f 10. Type of insulation f;Iii e.C'q\a55 C. Controls c 1. Thermostat maximum heat setting • BC, D. Duct Systems ' 1. . Is duct system installed in unheated spaces? OP • NO • a. If YES , R value of duct installation ,R-1.3 • b. R value of duct in other areas ' • E. Piping Insulation /1 • 1 . Size of hot water 'Or cooling carrying agent pipe DJ' 2'. n value of 'pipe insulation F. Service Water Heating ° 1. Performance efficiency 1(1 . 2. Temperature control setting maximum Pi6c • C. For 'Swimming Pool Only 1. Maximum heating X X • lephone No. TV/ a�Q /? . P. J1,1____ �/`'-�'- (applicant ' s signature), V TUWIV OF QUEENS BURY APPLICATION FOR SEPTIC DISPOSAL PERMITuvvN ( OF I E] �}� IAY 151990 DATE BUILDING & CODE DEPT. LOCATION OF PROPERTY FOR INSTALLATION LoMOOn h Fra CI�( , Owner's Name:WO nr U1 P,c��,��1T11.ah nit]Telephone: 1 I r 0 W /Li 0 .Address: F ( m Prlft S11A 'ZI I11. Iv T I20O L . Installer's Name: �1 �Y I ( S druAln_oxh (Tn. (Jr Telephone: tc O (pia( Number of bedrooms (residential only) 3 Total daily flow (compute (d 150 gal per bedroom) y Topography: Circle oneOrab Rolling Steep Slope % of Slope Soil Nature: Circle one Sand Loam Clay Other /Depth: Feet Ground Water: At what depth? jv/ • Feet Bedrock or Impervious Material: At what depth? Feet _ Percolation test: Circle one: not requir required rate min. inch. Domestic water supply: circle one: cfluni is paD Well Other f If domestic water supply is a wel '/ Separation: Water supply from septic absorption n feet PROPOSED SYSTEM: Septic Tank /0o 6 gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench (o O. feet/Total system length •,2Yo feet SEEPAGE PIT(S): Number of \'j( / Size each g feet by .' feet Size of stone to be used# 34/Depth or Thickness 115 j" 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: j�„--//�ta P .A/ . DATE: yAo2160 OVER . • • + 'Septic System Inspections: A. All appl'icat.ions(10 septic system installation, alteration or repair, . as required by the-Town of Queensbury Sanitary Sewage Ordinance, shall be submirczd.)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 : l \YOU ARE HEREBY REQUESTED TO \ INSPECT'AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY . THE UNDERSIGNED ff�� f,(f J�, TEMP.# - DATE., ,, q V�,K(j tF' f, �i ,, . •CITY OR VILLAGE 1 - TOWNSHIP j. COUNTY • c •J':"_ +"y; l i v P y . - - - • STREETAND O.OR ROAD I • POLE NUMBER i-- P-t 1`-\ % ( \ 1 Tt —..-i' , i` , . BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOTS OCCUPANTS NAME (!'l BUILDING OCCUPANCY - . i '.....`/1 \-' •• C. \'C 4 ,4 i:. 'fl 1Vl c,.—/-1 OWNER'S NAME AND ADDRESS Aj HOME TELEPHONE NUMBER �-} 0:a, r^, . _ _ .mac._ /t V} G- /C• J /" // .3 • -7' - L_ ) `� CURRENT SUPPLIED BY _ FROM THEIR OFFICE WORK TELEPHONE NUMBER. BUILDING IS - ...- NEW❑ • OLD❑ WORK IS NEW❑ ADDITIONAL El DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOIORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles 'CIRCUITS ONLY tion Side Attach't H.P. Watts A.W.G. . Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION OUT- SIDE • . SUB- . BASE , • BASE- " MENT _ 1st . FL. 2nd - FL. 3rd FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. ' • THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS - - FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,- OU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT AS PROVIDED'BY THE APPLICANT. SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA - ❑ CONCEALED -DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING , •-' MANUFACTURER OF SIGN ❑ OVERHEAD ❑ UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER IDENTIFICATION NUMANTS • AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT DATE Op APPLJCATION SIGNATURE OF AP'LICANT,A / 4 �r j•IG.1.` V . S`11z_r• vim\ i\'c /J�7(. 7v X /'---t.. 1,).:�L'—_ ' f.�.� STREET ADDRESS _ TELEP7 7HONE NO. _ CITY OR POST OFFICE V - ZIP CODE LICENSE NO.WHEN APPLICABLE 5.�v,� 1=:_`\1� N.I 1 O/ ❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenu6' ❑ 202 Arterial Road NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206 • . Tug. MMMnl Vr1RV Pfl Pl nG lIRI I IFI.IIFRWRITI=RC MIDDLE DEPARTMENT INSPECTION AGENCY, INC. i ... jl • National Headquarters 1337 West Chester Pike,West Chester,•PA •19380 APPLICANT COMPLETES THIS SECTION Date: r ' I City, Town or Township ( I_ v c -- c-. , s 1 L( d' / County• „ re ,r: 1,---, State / -i , Location/Address t•_ T- r'.// - liti r �(`'� .4 r, /I, I/(If L�aYed 'n Rurrea -Please Attach Directions) Pole # C0- • Owner k` t c (. c F i/ej c VI Permit # Occupied As .J , ., ( ` - _ ,,,_, ." (s' • Building: Newt_ Old! Occupant • •Work Area in Building (Floor #,etc.): App. for: Wiring Service I or: Ready for Inspection: Fee Remitted-$ Cash n Check n M.O. I I 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 Signature License # yermit # T/A ll, / ( ) % f - r -- r . c_ Utility: Ni '.0/ i i 6I<-„• -. ,c (/S Applicant's Address: ( .tJ V{ r ) ' c- (NAME) (OFFICE LOCATION J _ (City)_.: -(,-'ri )"`—: �-?'(`, = .! (State) �j `r� - (Zip►/3 F?'1 y Service Request # -7 7 -7 4f Y Phone # / Electrician:. MDIA USE ONLY DATE RECEIVED: / DATE INSPECTED: 7-a/'2c-, Correct Location: Same as Above❑ or: Red Notice Label Rough Wiring Outlets Surface UnitI Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner - Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11h 2• 3' 5 71/2 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 CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID FEE ❑ RW Progress: Inc.! LKD n . Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ I L/A Owner CASH ❑ Fee CH K # n L/A Due MO # 1 IPA Municipal • '- INV # - Date: .- • . Other Side I Utility • • Applicant Owner ❑ Cut in Card I Temp # Date • - INSPECTORS SIGNATURE n Final # Date APPLICATION FORM NO.250 EL 11/89 • ' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 I: ILDING INSPECTOR'S REPORT REQUEST FO' INSPECTION RECEIVED OP, 0/9d NAME I�'d,? .o�1'I./"M1 ik.� LOCATION /1 / /- �LL DATE c,,, A"/,Z7 PE V IT # f iair& APPROVED YES NO FOOTING/PIERS MONOLITHIC PO ,' FORMS FOUNDATION/DAM-•-PROOFI BACKFILL APPRO AL ROUGH PLUMBING FRAMING ELECTRICAL ROUG IN INSULATION: FOUNDATION FLOORS WALLS . . . CEILING • ' XFINAL INSPECTION: CHIMNEY HEIGHT / ROOFING SIDING EXTERNAL PORCHES/,ITEPS ✓ STAIRS-CLEARANCE . RAILS PLUMBING FIXTURE'/'ELIEF VALVE , INTERIOR TRIM/PRiVA Y DOORS V FINISHED FLOORS ✓/ GARAGE FIREPROOF;NG Vi DOOR CLOSER(S) V/ SMOKE DETECTORS t/ FINAL ELECTRICAL iNSPEdd ION _FINAL APPROVAL OF CONST'UCTION - OK TO ISSUE C/O C/C A SIGNED CERTIFIIATE OF ''CCUPANCY MUST BE OBTAINED FROM TH. BUILDI , DEPARTMENT BEFORE THESE PREMISES A'E OCCUPI:o! REMARKS: ;!/J7 U d3i 116 •ek Co/ O /w f o f/CE -- ARRIVE 0,- DEPART 3 9k4IN PECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801- TELEPHONE (518) 792-5832 . BUILDING INSPECTOR'S REPORT REQUU/S F•• INSPECTION RECE VED 0-67 h'a \iL NAME r IL- ��CJ in .(� i�IL ✓7 ./L LOCATION A ! I 4 o-��� _� , ;A j • DATE g'1 4 9 v PERM T # ?O-2 P I/J APPROVED YES NO FOOTING/PIER', MONOLITHIC Pa, R FORMS FOUNDATION/D•aP-PROOFING BACKFILL APPROVAL ROUGH PLUMBINe p..."-/ RAMING v ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION FLOORS ' WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES S EPS STAIRS-CLEARANCE RAILS PLUMBING FIXTURES 'ELIEF VALVE INTERIOR TRIM/PRI '4CY DOORS FINISHED FLOORS GARAGE FIREPROOFI DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF ON 'RUCTION. ' OK TO ISSUE C/O O• C/C A SIGNED CERTIFIC' TE OF OCCUPANCY MUST BE OBTAINED FROM THg BUILD G DEPARTMENT BEFORE THESE PREMISES A"E OCCUP ED! (:- REMARKS: , 12b :--'. ARRIVE 49fr4 DEPART INSPE.IOR .awn o/ Queeniurj BUILDING and ZONING DEPARTMENT :ay and Haviland Road, R.D. 1 nox 98 • Queensbury, New York 12:61 • SEP' IC DISPOSAL SYSTEM I .PECTION NAME • �/�-ellUUd /(11' ' /�1?l/ ✓TaJ 11�y LOCAT Oi 1/'Tr 0lt. .DATE 006 9/,..) , PERMIT NO. 2'2I SOIL TYPE - Sand - Loam - I' ay - Percolation Test Required? YES - NO • Percolation ate - Min/Inc, TYPE of SYST: : e Absorption fi-1d, total --ngth adU Length of eac'- trench d /„�(�p Depth of tren I es '3 / Size of gravel .0 2_ • SEEPAGE PITS{N •er of) • Size- ft. X ft. Gravel size PIPING: .ize, Type • Bldg. to tank .SL Tank to dist. box 4/ Dist. box to field/p' '70" Openings sealed? IS- NO Partial LOCATION/SEPARATION,?.: Foundation to tank / 1-' ft. Foundation to absor•, ion a Z f t. Absorption to lot i e '3O ft. • Separation of pits . 6 ft. • LOCATION OF SYST ON PROPERTY(circle one) Front -Teajr- Le t s .de - Right side - COMMENTS: • • Ii SYSTEM USE APPROVED GO O\ • (1/ ,%/ . Bu ling Ins ec or • 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT gViji BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- �j1 TELEPHONE (518 792-5832 f/�✓„ BUILD NG INSPECTOR' REPORT REQUEST FOR INS'ECTION RECEI ED 7/J//90 NAME t4.A a /4111,O?(7I LOCATION J 'G 1 /. `�� DATE , Milli PERM I( #I Q/O -zit - APPROVED YES NO FOOTING/PIERS s/2-5/-s/21i— 1 .M u MONOLITHIC POUR FO" S /"7 )3/l , k. FOUNDATION/DAMP-PRPOFING I' BACKFILL APPROVAL ROUGH PLUMBING FRAMING Cj err um IL-LOGO X, ELECTRICAL ROUGH-IN 1 XINSULATION: , FOUNDATION �Q 110 x FLOORS WALLS�--1 q -- 5. iI l 2, CEILING l,_ - FINAL INSPECTION: CHIMNEY HEIGHT 4' _ ROOFING \ _ SIDING EXTERNAL PORCHES/STE STAIRS-CLEARANCE & ALS PLUMBING FIXTURES/R IF VALVE INTERIOR TRIM/PRIVA Y DOORS FINISHED FLOORS 1 GARAGE FIREPROOFING DOOR CLOSER(S) `, SMOKE DETECTORS f FINAL ELECTRICAL IN.tPECTION`, FINAL APPROVAL OF C NSTRUCT +N - OK TO ISSUE C/O ORfC/C A SIGNED CERTIFICA/1'E OF OCCUPsNCY MUST BE OBTAINED FROM THE BUILDING DE"'RTMENT BEFORE THESE PREMISES AR OCCUPIED!- REMARKS: 5 Q �"�C KSr-v,� .. Co R- "� . • ----6(c-ST. 14 ' Ai G 6re-S t C - . ,:r -u ->--\--/-, I-2_s . 4 A- — ga Ai 1 LS 1 tJ MOS )bL&s ARRIVE DEPART / t I In 0 /�.1 1 INSP CTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT C/O)1(___,_ BAY & HAVI ND ROADS QUEENSBURY, NEW YORK 1280i- TELEPHONE 518) 792-5832 B1TLDING INSPECT R'S REPORT REQUES OR NSPECT ON -E EIVED 1 6) 4 i NAME 4 / A' LOCATIO /W( , DATE /q'0 P RMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POU FORMS FOUNDATION/DAM -PROD ING BACKFILL APPRO L ,FOUGH PLUMBING RAMING ELECTRICAL ROUG -II (7) INSULATION: FOUNDATION ' 'f -'&o FLOORS l WALLS �� CEILING , "'JJJ��� ©� FINAL INSPECTION CHIMNEY HEIGHT ROOFING SIDING " x EXTERNAL PORC ES/& EPS • STAIRS-CLEA NCE RAILS - i PLUMBING FIX URES/RELIEF VALVE ' % INTERIOR TRI /PRIVA&'Y DOORS FINISHED FLOORS GARAGE FIRE ROOFING '� DOOR CLOSER S) L 1 SMOKE DETEC ORS v) FINAL ELECTR CAL INSPECt ON FINAL APPROV L OF CONSTR CTION - OK TO ISSUE •,/O OR C/C A SIGNED CE"TIFICATE OF OiCUPANCY MUST BE . OBTAINED FRt1,M THE BUILDINe DEPARTMENT BEFORE THESE PREMI.ES ARE OCCUPIE!! REMARKS rl�D / w iir„:;ASf�-r_ A-tC i I ViVUT 1!ne-7' B&/06Ci i C619 ARRIVE �7 C-ifj_ _ DEPART �1 I SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. , TELEPHONE (518) 792-5832 BUILDING INS ECTOR'S REPORT�� (� Al REQUEST-)FOR INSP CTI RECEIVED 6') I,C)/-1 c /t NAME dim). L. _�f' �� U_Li�-e�F�, LOCATIO )E� 14 y,b I[ 1/ DATE /' (1 (0/ a 1 PERMIT .# q ) - 2 6 i' APPROVED -" r' • YES NO tFOOTING/PIERS . MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING ACKFILL APPROVAL l ROUGH PLUMBING T, • • 1 HI/ \ FRAMING h' fi I ELECTRICAL ROUGH-IN ' INSULATION: ��' FOUNDATION . lii,' ' FLOORS • •fr;.• / WALLS ��;,.. . • r/� . • • • . It CEILING V• • • . H FINAL INSPECTION: ti!' CHIMNEY HEIGHT f`i %; ROOFING Li' SIDING i',:. " . • . . . EXTERNAL PORCHES 'S�lT PS STAIRS-CLEARANCE �& ILS PLUMBING FIXTUREOELIEF VALVE INTERIOR TRIM/PR gV 1CY DOORS FINISHED FLOORS ,j GARAGE FIREPROOF * . DOOR CLOSER(S) 1 SMOKE DETECTORS% ' V\ FINAL ELECTRICAL INSPECTION FINAL APPROVAL 0, COAISTRUCTION OK TO ISSUE C/O OR C Vt, A SIGNED CERTI ,ICATE F OCCUPANCY MUST BE OBTAINED FROM THE BUI ,ING DEPARTMENT BEFORE THESE PREMISE. ARE OC ^'PIED! REMARKS: qi 1// /i; ! % . . . • il `1 Hr 1 ARRIVE 414 �• , e , DEPART , i NSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS //// 1111 QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST E R INSPE ION RECEIVED ( �/f l AO 4ii/J l( NAME 1'( /(� �L )LJ(C /(C .G�'<1� LOCATION ! /ig 16 � �, j�. / '��j DATE /J�51f ; PERMIT # 0-2 �j�� 1 , a+ 1 APPROVED YES NO OfOOTING/PIERS k ? ONOLITHIC POUR FORMS • , 1 l FOUNDATION/DAMP-PROOFING f BACKFILL APPROVAL A # ROUGH PLUMBING • • 1 FRAMING 4 ; ELECTRICAL ROUGH-IN • • . f INSULATION: FOUNDATION FLOORS WALLS . • J . . CEILING • FINAL INSPECTION: I CHIMNEY HEIGHT / ROOFING 8 SIDING \ P EXTERNAL PORCHES/STEPS \ ' f STAIRS-CLEARANCE & RAILS, I PLUMBING FIXTURES/RELIEF 'yALVE•J INTERIOR TRIM/PRIVACY DOORS I FINISHED FLOORS \ I GARAGE FIREPROOFING \I DOOR CLOSER(S) X SMOKE DETECTORS • • 1 \ . FINAL ELECTRICAL INSPECTION . 1 \ . . . • FINAL APPROVAL OF CONSTRUCTION ' ' • OK TO ISSUE C/O OR .C/C f• \ A SIGNED CERTIFICATE OF OCFUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPI' D! , I . . A REMARKS: i y, • I C. 7 ' -7 i ,‘ ( ,(,, ,,,,,,4.. t ,I , , , „ . • . /, ,,. ., , , , / �1 f , ARRIVE / U , DEPART I /2 ,mil 6 1171:". . . INSPECTOR TOWN OF QUEENSBURY • /4/1 . BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FO INSPECTI N R CEIVED f;•'�,i/ZZ Q NAME .L....) U/ a/ / Y./L- L, LOCATION/7_0 G �T- ,� ,P 1 L�,G'Z�e Wz Cie DATE t. !U PERMIT,/## q6-286) q /u • APPROVED 1 YES NO FOOTING/PIERS r° MONOLITHIC POUR FORMS I FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL r ROUGH PLUMBING', • • ;J FRAMINGil ELECTRICAL ROUGH-IN l INSULATION: 5 ,° FOUNDATION „ ,,` FLOORS !' . . .4.. . . . . . WALLS •i . . CEILING !i A FINAL INSPECTION:' CHIMNEY HEIGHT(' ROOFING SIDING f, EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE - INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS, GARAGE FIREPROOFING DOOR CLOSER(S) 1 SMOKE DE1ECTORS : FINAL ELECTRICAL INSPECTION " ' '_FINAL APPROVAL OF 'CONSTRUCTION _', ,OK TO I SSVE C/O ORt;C/C A SIGNED{CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE , THESE P EMISES ARE OCCUPIED! . . . C . . . c 4, REMARK 0L'1611 / E l ARRIVE f�;/ DEPART I °' �1 / INSPECTOR . 0 A V. +r e, co, Gerd e.. 1 10\INN sl; 11)LiEtNblE3URY • .. • I-- r— . coie-p...c-t eac.1,-. t...;,Ae_ ..-0 ‘.9 _ 155 • • T 2 I 7 I S s ---53--- Is' -. el" hot.,s f.... 44012.1 ;Iixi..4 ---- i t I 101 30' UWN OF ..k. t, MiMlinglrOi 1001 MAO 5 1990 BUILDING & CODE DEPT.