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1990-432 zEsisnimimor C RTIFICATE OF OCCUPANCY \. TOWN OF QUEENSBURY } WARREN COUNTY,. NEW YORK Date "i7, oirn.b-.°l(. /419 '3 0 This is to certify that work requested to be done as shown by Permit No. 90-432 has been completed. This structure may be occupied as a single family dwelling Location 3L) Herald Drive-Herald Square GUIDO PASSARELLI Owner By Order Town Board TOWN OF QUEENSBURY ° Director of Bldg. & Code Enforcement BUILDING PERMIT y TOWN OF QUEENSBURY 4 No. 90-432 WARREN COUNTY, NEW YORK b O PERMISSION is hereby granted to GUIDO PASSARELLI OWNER of property located at Lot 14 Herald Dr—Herald Sq Street, Road or Ave. ' o in the Town of Queensbury,To Construct or place a Single family dwelling io 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 rty 45 Herald Drive Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name til same 3. CONTRACTOR or BUILDER'S Address O 4. ARCHITECT'S Name 0 5. ARCHITECT'S Address ty 6. TYPE of Construction— (Please indicate by X) 1 � (X)Wood Frame ( ) Masonry ( ) Steel ( ) 'J cn 7. PLANS and Specifications No. 241x62' Single family dwelling as per plot plan, specificaitons and application including two—car attadhed garage and septic system. 8. Proposed Use Oq Single family dwelling 228.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 10 19 91 (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.) 1-4 011 Dated at the Town of Queensbury this 10th Day of ,, July 19 90 SIGNED BY G11u for the Town of Queensbury Building and Zoning nspector TOWN OF QUEENSBURY REVIEWED : L. Y rOWN OF QUEENSBURY Alb% FEE PAID ' RECEIVED w fr ty PERMIT NO. qo -432 JUL 0 2 1990 BUILDING PERMIT APPLICATION • BLDG. & CODE DEPT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. 1l7 i 0 All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. • •- • • • • • • S. • • • • • • • • • • • • • • •�.•5 • • • • • • • • • • • • • • • • The owner of this property is: 2/.//la2/.//la �rG's-1--A �'� �► . P.O. Address 0- ' -rl/. )�2 • Owe Tel. L u ,,c-- ,7 Property Location }� Pe Y - 15� ,P�t?� //.G s Tax Map No.7-?5 %j v'D a Has there been any split of this property since October 1, 1988? / 1, Se If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE A d./ /./, .I. _ LOT NO. 7#Y : THE PERSON RESPOONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: • NATURE/Con OF PROPOSED WORK: ESI'IMATED MARKET VALUE OF • • �/ CONSTRUCTION: S struction of a new building • „ Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: • Size of property ,f%/ ft x 2/0 ft. Alteration to a building • Existing Buildings(3) Size ft. x ft. (no change to exterior dimensions) •• Proposed building - distance from property liner Other work (Describe) ' Front yard_ft. Rear yard 1L7J ft. * Side yards Zf ft. and . Z( ft. • GROSS AREA OF PROPOSED STRUCTURE(� • If on corner, setback from side street ft. 1st Floor 97 w d sq. ft. I O • OCCUPANCY INFORMATION 2nd Floor ' 5-6 2---- . sq. tt. (0° • Pri ary Building - Other Floors s g5 . . One Family Dwelling �, •ft. (not cellar or basement) Zp • Two Family Dwelling TOTAL FLOOR AREA /5/7/sq. ft.• ✓p kj ' Multiple Dwelling/Number of units_ Size of new structuri� ft x,42—ft. I 22� • Business Foundation-pier/slab/crawl/partial/full • _Industrial (circle one) • Other _ Ho. of storieR (h-""- 'e space) ?/ • • Height (grade to ridge) 2 ft. :-� If addition, what will use b�! Id residential, no. of families`_ • Ho. of rooms(excluding baths) 4 . - . ' • No. of bedrooms _ Accessory Building __• Detached Garage ONE/TWO Car No. of bathrooms 7i Primary heating system � ,„ • V Attached Garage ONE WO Car Type of fuel_ .• Private storage building Ho. of fireplaces to be installed / . • Will a wood stove be installed • .__Other `antral Air conditioning • yr�r ;OV• ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING 3PEcIFICAT1ONS: Tpe ortephstriiction, wood frame, fire safe. etc. //add- ' Will any second-hand or upgraded lumber be used? If so. for what? Foundation wall material Xvi,e4eZ &fjcireile Thickness Depth of foundation below,grade (to bottom of footing)Wil• l there there be a cellar? Heated or unheated? Floor sq„footage sq ft. Will there be a basement? 9e,s Will any portion be used as living space? A/v (If so, what portion? sq ft. Type of use? Type of roof - slciped/f1at/shed/otherayx4Material of roof S-hj,t5h,‘ •- Size, wood studs Z "x " spacing 47 " o.c. length ft. • Joists (floor beams) 1st floor . 2 "x /0 " spacing A "0.c. span /3 ft. Joist (floor beams) 2nd floor 2, "x " pacing "o.c..span /2.--ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters 2- r " spacing JC o.c. span 10 ft. Roof trusses (pre-engineered) spacing " o.c. span ft. a 7 Exterior wall finish .5-204;f19 ' of what material? Interior wall finish ,471/2/3 If a garage is to be attached, describe materials to be used for FIRE SEPARATION: rAlr 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? IPz-,r Height above roof ft. 0 " Depth of chimney foundation below, grade ft. Depth of fireplace hearth "ft. in. Water supply - Municipal or private well Al./vieyfrr....-- 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 BUILDER1344 FkgrilLez ADDRESS0,1,Zaki Pie TEL. NO. /1 NAME OF PLUMBE0/4..e.d.WA-<..:.--- ADDRESS TEL. NO. NAME OF MASON zlie DDRESS TEL. NO. eVi166 NAME OF ELECTRICIA - ADDRESS TEL. NO. WA",Oefr 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 provisiPr:-.of the BUILDING CODE, THE ZONINrtid 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: BY WARREN COUNTY., NEW- YCRK ' 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: �1 1 . Gross floor area ' jT 7 ► WN OF Qt1 cEf�BSDRY �+ RECEIVED 2 . Type of heat / R \ - ' 1990 3 . Is the. building mechanically cooled? - 9c f 4 . Percentage of . area of windows and doors /l• ..f BLDG. .. CODE DEPT. ' A. - Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to -ambient conditions . • • 2. Floor over heat. i 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 oof 3and floors exposed to ambient conditions_ 1a - 2 : R value of exterior walls d /9 3 . R value of glazed area 3. 2,-. • . 4 . R value of doors /./ 5. R value of floors over unheated spaces 6.. R value of slab edge insulation - unheated slab • - 7. R value of slab insulation heated slab - 8. R value of heated basement/cellar walls (above grade) iFil 9. R .value of heated basement/cellar walls (below grade) ?fl -. 10. Type of insulation / J -4 C. Controls �� ' 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. Ii241151! Insulation . . 1. Size of hot. water or cooling carrying agent pipe_r �, . 2. R -- . . : .., pipe insulation ' F. - Service Water Heating - 1. Performance efficiency • - 2. '- Temperature control setting maximum__/2, . . G. For Swimming Pool Only - 1. Maximum heating - 2 ;? 7/ Telephone No. i - . • • - `(applicant ' s signature) TOWN OF QUEENSnURY APPLICATION FOR r SEPTIC DISPOSAL PERMIT OWN? OF QUEEt\JSBURY RECEIVED JUL 0 2 1990 DATE .'�� Z /9f L) BLDG. & CODE DEPT. LOCATION OF PROPERTY FOR INSTALLATION ,g Hai / e 4 GOi/ Owner's Name:a; AT1Z4i& , Telephone: 7 ld 2- Address: )`U i ,€4%L 772 to ,/J-zdA ?,!�' Installer's Name: „a/ C�1���/ � Telephone: %f 1/4.196 Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) Aro Topography: Circle one: Flat Rolling Steep Slope % of Slope Soil Nature: Circle one Sand Loam Clay Other /Depth: Feet Ground Water: At what depth? // Feet Bedrock or Impervious Material: At what depth? /7//fr— Feet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one: Municipa.' Well -Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank /) 1d() gal. (minimum size: 1,000 gal.) TILE.FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of 2- / Size each e feet by 0 feet Size of stone to be used # Z.-/Depth or Thickness /2 r/ 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 Sege Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: (7.--/-4, 2' //9() 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 . ..ofconSti,uction 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 Q UEENSB URY Bay at Haviland Roads,Queensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date \T i,/. 2-- 19 �o Permit NoMO-4.3z- / . 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 thee required inspections. Applicant's Named 1/✓U /. ./ �/J `e_,I,V®, • APPLIANCE TYPE / Stove Coal Wood Address 9f i?/12"i✓z2 •P? • Furnace • Hot'Air._ Boiler Zero Clearance ', , Circulating Unit a,..,,,,,,,,,4,,,,4,,,, ,,,,,,y ` Zip „ /20, v Phone / 7l1S -. �yZ/ ' " If Non-Masonry: Owner's Name j,(2�yj-e F,: �/ Man.u'facturer /f�('i2TO/ Address Model -�4'Outlet Size _ `Listed by 7 N Zip ' `Li umber Phone 79 C- 3j 2,/ CHIMNEY TYPE ",,,,,,,,,.„- ,-`" .:. - Masonry: Block Brick Stone Property location of proposed construction Flue: Tile Steel ,t'./;:.) Size: Factory Built: Manufacturer Model Size COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type:/Double Wall Triple Wall AND CHIMNEYS. MUST BE INSTALLED' - f Insulated ACCORDING TO SPECIEICATIONS._COPY OF Estimated Cost $ CONSTRUCTION DETAIL°.R'EQUIREDC FOR MA- Fee$ SONRY FIREPLACES AND CHIMNEYS. . CASHIER'S DEPARTMENT ' ' -, TOWN OF QUEENSEURY,'NEW YORK Department' Fire Marshal Amount Collected Amount Refunded Code Number Title �+ 3 A173 3389 (190)Public Safety �- A233 2655 (230)Minor Sales Pee ollu.ted from or Refunded to: ! / i i �,{� p Z �0 A 11,1 Lc_ Address: 45de Aca 1.,1 l � i Dated: I2 f GjQ Town Clerk or Deputy 1�tw.4_� , ,C--__t, ic' rl 1 i :•- White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. Owner Occupant Location C.SC? No. Street y Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. . Installed by Date / 1-9 • PO / No 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 DISPOSAL 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 1/10 %6 3/6 % %3 Ih 32 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS TOWN OF QUEENSBURY , 1 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME 1 � S') i L L LOCATION Li: h' 1 1-j i'4 L,G_' C-0 DATE 11/71 %V PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING XFINAL INSPECTION: 1 CHIMNEY HEIGHT ROOFING SIDING !/ EXTERNAL PORCHES/STEPS // STAIRS-CLEARANCE & RAILS '.PLUMBING FIXTURES/RELIEF VALVE dfv INTERIOR TRIM/PRIVACY DOORS / FINISHED FLOORS /J 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':/ /t/E • f)0/e'/ • • . ARRIVE /6 DEPART L` 05 // • INS' CTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 • BUILDING INSPECT.OR'S REPORT REQUEST FOR IN PECTION R C ED g/ii/'iô /4A1 NAME L{,E LOCATION It ',��- ' DATE g �/ O PEt.RMIT # �U`4 APPROVED P YES NO FOOTING/PIERS MONOLITHIC POUR FORMSE,. FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLU �BING 4, 7'' FRAMING 1� `: X )6) >c ELECTRICAL ROUGHIN ";; D ` <FOUNDAT f ION la- I f ¢ -h-t i ) FLOORS ?,1 t' )('WALLS -1 Cr . . . XcarLiNG a__?,6 ' K FINAL INSPECTION:t; CHIMNEY HEIGHT , ' ROOFING If . SIDING it', EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS.,; GARAGE FIREPROOFING DOOR CLOSER(S) r r" ' SMOKE DETECTORS FINAL ELECTRICATY INSPECTION " " . " " • - _FINAL APPROVAL OF CONSTRUCTION . ' V. 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. Da4 L,,,,,,,,joy&-(2.. A 1"-- . 0 ��toCO WL tUS; t [Ill i . ARRIVE 11.- f Q / DEPART )1 9ZCi CL\ IN PEC OR ' TOWN OF Q EENSBURY BUILDING AN CODES DEPARTMENT BAY & HAVI ND ROADS �� QUEENSBURY, cNEW YORK 1280. TELEPHONE (\518) 792-5832 k BUILDING INSPECTORS REPORT REQUEST FOR INSPECTION RECEIVED 94/9D NAME { adage, LOCATION DATE G,//' 94 PE MIT # ���`� t APPROVED • i YES NO • FOOTING/PIERS '% I MONOLITHIC POUR FORMS? FOUNDATION/DAMP-PROOFrNG • BACKFILL APPROVAL I • . ROUGH PLUMBING FRAMING 5.,-r�-.66.4 ELECTRICAL ROUGH-INI INSULATION: zi FOUNDATION j FLOORS '„ y WALLS ¢ CEILING ` • • ' ' FINAL INSPECTION:1 j CHIMNEY HEIGHT "Q ROOFING W SIDING . EXTERNAL PORCHE$'STEPS STAIRS-CLEARANCp& RAILS PLUMBING FIXTU &' /RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOOR. GARAGE FIREPRO!FIP�G • DOOR CLOSER(S)S • SMOKE DETECTOR* '13 FINAL ELECTRICAD4INSPECTION . . FINAL APPROVAL OF CONSTRUCTION . . .OK TO ISSUE C/O ;OR C/d, _ i A SIGNED CERTIFICATE OF, OCCUPANCY MUST BE OBTAINED FROM TIE BUILDING DEPARTMENT BEFORE THESE PREMISES qRE OCCUPrED!• . . . . . . 7 REMARKS: Q/ t cal s�cl� e &c ped Rove r5;1 is-si oe,v4--'n A,-.4 i I 1.()cri/ . 4-- `'" 70 �vc5'vC /_,_— . .14 \I ARRIVE , R ,'p-73 DEPAR L.pL. J5 T "SPECTOR 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 A/ NAME rJd) !I LOCATION • / I 9�} DATE PERMIT # APPROVED ! ( YES NO FOOTING/PIERS MONOLITHIC POUR FORMS J FOUNDATION/DAMP-PROOFIN,�G BACKFILL APPROV_A.t E) ROUGH PLUMBING ' FRAMING 1 ELECTRICAL ROUGH-tN . INSULATION: FOUNDATION \ FLOORS 9 • WALLS ki i CEILING I FINAL INSPECTION: 1 CHIMNEY HEIGHT ROOFING a $ SIDING ' EXTERNAL PORCHES/S PS STAIRS-CLEARANCE & ILS PLUMBING FIXTURES/IELIEF VALVE INTERIOR TRIM/PRIV 'Y DOORS FINISHED FLOORS GARAGE FIREPROOFINb' DOOR CLOSER(S) I a SMOKE DETECTORS 9 't FINAL ELECTRICAL INSPECTION . " FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR p/C A SIGNED CERTIFICATE OF 'OCCUPANCY MUST BE OBTAINED FROM THE ?UILDING DEPARTMENT BEFORE THESE PREMISES AR' OCCUPT•EDt REMARKS: ) r l ARRIVE 0/ DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CIDES DEPARTMENT l/ ` BAY & HAVILAND 'GADS QUEENSBURY, NE YORK 12804. 12_1-) TELEPHONE (518 792-5832 / BUILD NG INSPE TOR'S REPORT /l REQUEST INSPECTION ' CEIVED(V2#9^v NAME � C� ��JJ � LOCATIO/ I /4-- S //7-(t'�`� a�.J'c DATE 1 2 d/q b •I RMIT # I0 (if a_, 1 6c, YESRONOD FOOTING/PIERS MONOLITHIC POUR F.' S FOUNDATION/DAMP-PR4.FI NG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE'/STEP. STAIRS-CLEARANC & RALLS PLUMBING FIXTU 4 S/REL ' F VALVE INTERIOR TRIM/'RIVACY i'OORS FINISHED FLOOR' GARAGE FIREPR•?FING DOOR CLOSER(S) SMOKE DETECTO'S FINAL ELECTRICAL INSPECTIc FINAL APPROVAL 4F CONSTRUC ION OK TO ISSUE C/O OR C/C A SIGNED CERTI(ICATE OF OCCA'PANCY MUST BE OBTAINED FROM 'HE BUILDING ' PARTMENT BEFORE THESE PREMISE'' ARE OCCUPIED!' REMARKS: Ci ARRIVE 141)(6P/64,1 DEPART 110 INSPECTOR i .7own o/ Queenibury. . ' BUILIDING and ONING DEPARTMENT Bay qnd Havila d Road, R.D. 1 Box 98 'eL-�/ 0 ueensbu , New York 12801 , /-' SEPTIi' DISPOS L SYSTEM INSPECTION NAME I 'Q .1 clj oI , LOCATION / J j44(,V 4 DATE ?A, / : ' PE IT NO. f ,7 2 Q ... ' • SOIL TYPE - Sand - Loam - Clay - Percolation , est 1equired? YES - NO Percolation • ate J Min/Inch _ TYPE of SYST : Absorption f'eld, total length Length of eac trench Depth of tren,,hesi' Size of grave \ 1 SEEPAGE PITS-N', . r of) Size- ft. ft. Gravel size , \ PIPING: Size Type Bldg. to tank \ Li Lr c_,-1 40 p(Jc • — Tank to dist. bo•' Dist. box to fie qd Openings Ital NO Partial , LOCATION/SEPARATTO S: Foundation to tank ft. Foundation to absorptiion ft. Absorption to lot li ft. Separation of p'ts ft. LOCATION OF SYS EM ON •ROPERTY(circle one) Front - Rear - eft si.e - Right side - COMMENTS: P1/61l2 '114 \ gk� `\ \ SYSTEM USE AP ROVED S NO C. c a ve ,( Building In ect r 01/86 and vl Joan of Q . Q, eenatur cy BUILDING and ZONIN DEPARTMENT Bay and Haviland Ro d, R.D. 1 Box 98/9 Queensbury, New York 12801 �� • • SEPTIC DISPOSAL SY TEM INSPECTION NAME 1 . J / , LOCATION r g7 �,i' ii DATE cS / 90 PERMIT ' O. 6k4g SOIL TYPE - - Loa - Clay /,, Percolation -st Required? YES N-0) ' Percolation rate - Min nch . TYPE of SYSTEM: Absorption field, to engt1l' Length of e ench ' t Dept trenches ' ize of gravel_ // _ SEEPAGE PITS{Number of) ' / Size- 'ft. X 'ft. I/ Gravel size fr i PIPING: Si Type Bldg. to tank 5'cq 40 PVC_ • Tank to dist. box p ve____ . Dist. box to field/pit ft/C— Openings sealed? YES 1 \ NO Partial LOCATION/SEPARATIONS: Foundation to tank / /j�ft.1--- Foundation to absorption Zjft.-7-- ' Absorption to lot li e 1' ft 0 r Separation of pits ft. LOCATION OF SYSTEM 9N PROP RTY(circle one) Front'.- Rear - Lefty/. side. - ight• side - ' COMMENTS: % '„ ©[C. T6 Co UC PIT-5 13 o K CALL G a2 1 5 , -t od o PA PI— A,v1 f • \ ' SYSTEM USE PPROVED YES42) : / . Ai r � . Bui1•in• I' pector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT id- a BAY & HAVILAND ROADS /( QUEENSBURY, NEW YORK 12804. / �J TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT /, REQUEST FO' INSPECTION RECEIVED /2� ' U NAME / B LOCATION/ zip _ / 's /- DATE 7//i/4?? PERMIT • 9a_ APPROVED YES NO 2 FOOTING/PIER 1_,i({� ( MONOLITHIC PI' R FORMS') FOUNDATION/DA 'P-PROOFING BACKFILL APPROVAL ROUGH PLUMBING. FRAMING ELECTRICAL ROUe -IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION:. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESSTE• STAIRS-CLEARANCE 'AILS PLUMBING FIXTURES'RE IEF VALVE INTERIOR TRIM/PRI ; i DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INS•E 'ION _FINAL APPROVAL OF C"NST• CTION - OK TO ISSUE C/O OR C/C A SIGNED CERTIFICI E OF O'CUPANCY MUST BE OBTAINED FROM THE BUILDIN "1DEPARTMENT BEFORE THESE PREMISES A• OCCUPIED REMARKS: ARRIVE DEPART 1 -1 -117 INSPECTOR TOWN OF QUEENSBURY • BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801- TELEPHONE (518) 792-5832 ABUILD G INSPECTOR'S 'PORT` REQUEST FOR��J�i INS I:ECTION RECEIVED �4 ) NAME }t%t,,c/ �,4/_/G✓1,-�, ,e_. LOCATION , ;¢/ /� a/,L /,_ a/d DATE �f�p/ (0 PERMIT # 'Q'-/�,6;2 111 APPROVED YES NO FOOTING/PIERS i MONOLITHIC POU' FORMS /,FOUNDATION/DA ' "-PROOFING y BACKFILL APPROTAL / ROUGH PLUMBIN FRAMING ELECTRICAL ROU.H-IN ' _ _ _ INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTI• : CHIMNEY HEIGBM ROOFING SIDING EXTERNAL PORC',ES/ST PS ' STAIRS-CLEARA E & '•ILS PLUMBING FIXTU ES/"ELIEF VALVE INTERIOR TRIM/'RI •CY DOORS FINISHED FLOOR GARAGE FIREPROO. NG DOOR CLOSER(S) \ SMOKE DETECTORS FINAL ELECTRICAL SPECTION • _FINAL APPROVAL 01 0 ONSTRUCTION - OK TO ISSUE C/O ►RtC/C A SIGNED CERTIF CATA OF OCCUPANCY MUST BE OBTAINED FROM T' E B LDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ARRIVE DEPART / 0' INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND. 'OADS QUEENSBURY, NEW YORK 12804- jJ,�� TELEPHONE (518) 792-5832 11� BUILDI INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIV, D NAME 1/ -P al0 at LOCATION j,/� 4- / ' ?%'l} �fl�L N-ol sLl DATE 7i,,,/q 1 PERM # 90 -43 2— f APPROVED �- YES NO /t/FOOTING/PIERS MONOLITHIC POUR FO S { f FOUNDATION/DAMP-PR..FIN BACKFILL APPROVAL ROUGH PLUMBING {{ FRAMING 1{ ELECTRICAL ROUGH-IN ', f{ INSULATION: I FOUNDATION FLOORS {{ WALLS . . . S CEILING FINAL INSPECTION: I CHIMNEY HEIGHT ROOFING {t SIDING 1TE 1 - EXTERNAL PORCHES "S STAIRS-CLEARANCE & RA LS PLUMBING FIXTURE/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECT •N FINAL APPROVAL 01 CONSTRUE TION OK TO ISSUE C/O 7R C/C A SIGNED CERTIFIlATE OF OC UPANCY MUST BE OBTAINED FROM TH; BUILDING DEPARTMENT BEFORE THESE PREMISES A•E OCCUPIE'! REMARKS: • ) u of RI , ARRIVE DEPART INSPECTOR ,OWN• OF QUEENS9U /N. . ''. 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