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1990-440 • i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 1 19 90 31111 This is to certify that work requested to be done as shown by Permit No. 90-440 has been completed. This structure may be upied as a one-half of two-family dwel1inf Location Minnesota Avenue - LOWER LEVEL ONLY BOB NORTHGARD Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement • I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 31 1990 This is to certify that work requested to be done as shown by Permit No. aO-4RI has been completed. This structure may be occupied as a one-half of two-family dwallincr Minnesota Avenue-UPPER LEVEL ONLY Location BOB NORTHGARD Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement BUILDING PERMIT 1-3 TOWN OF QUEENSBURY • No. 90-440 WARREN COUNTY, NEW YORK z 0 PERMISSION is hereby granted to BOB NORTHGARD OWNER of property located at Minnesota Avenue Street, Road or Ave. cc in the Town of Queensbury,To Construct or place a Twn-family dwelling 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 o RD#4 Box 415 Division Rd y Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name A.D. Tellier t7 Sterling Quality Homes 3. CONTRACTOR or BUILDER'S Address 2 Bronk Drive Queensbury NY 12804 4. ARCHITECT'S Name z 5. ARCHITECT'S Address N 0 Sv 6. TYPE of Construction—(Please indicate by X) t,0 X ( x1 Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 1056 sq Ft Lower Level (contractor built) and 1056 sq Ft Upper Level (Modular) two-family dwelling as per plot plan, specifications and application including septic system; y 8. Pro and pos in ed Use accordance with Site Plan Review # 64 90 (8/28/90) �-h Two-family dwelling $ 242.00 PERMIT FEE PAID—THIS PERMIT EXPIRES September 4 19 91 ,CDC (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 4th Day of September 19 90 SIGNED BY k /f % for the Town of Queensbury 6—aiding and Zoiihig Inspector TOWN OF QUEENSBURY lik• 0 , REVIEWED BY la Mr elliiiiillikkbaillFEE PAID $ -41 (OWN OF OUEENSBURY • RECEIVED 11,Pirel PERMIT NO. �[('\ _ 4- V BUILDING PERMIT APPLICATION JUL 0 31990 - BLDG. & CODE DEPT.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: c, cc '. P.O. Address (�(As - \S �Z.» \o\.c. Tel. � -S(-C8S- 0 Property Location n,..mr_ s�sa ... — �� Ayj// Tax Map No_ / g'/ I /clP'' Has there been any split of this property since October 1, 1988? /_ ,/ ` `Q9, ��3�i If yes Planning Board Review is necessary., yes no gC SJe✓ - SUBDIVISION NAME, IF APPLICABLE ) y �� ,-� LOT NO.42._- 41� C�»� s THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: itl `ei). l CL L I b.: P — 97kWL M - 9 tt - of- r AtoM65. NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF Construction of a new building • CONSTRUCTION: $ '?„. 000 Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: • Size of property ft x 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 ft. Rear yard ft. • Side yards ft. and ft. • GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft. 1st Floor /0 6,6 sq. ft. kS 2_, • • OCCUPANCY INFORMATION 2nd Floor /0 (Ij,6 sq. ft. I I D • Primary Building - Other Floors sq. ft. • One Family Dwelling (not cellar or basement • jg.Two Family Dwelling TOTAL FLOOR AREA al i/a sq. ft. •• Multiple Dwelling/Number of units Size of new structure ?.-t ft x �%.i ft. • Business Foundation-pier/slab/crawl/partia ` �Industcial (circle one) • Other No. of stories (habitable space) • • Height (grade to ridge) /8'i— d ► ft. , If addition, what will use be? If residential, no. of families • No. of rooms(excluding baths) /0 • Accessory Building No. of bedrooms G • No. of bathrooms R. + ___Detached Garage ONE/TWO Car Primary heating system 2L(e_ • _Attached Garage ONE/TWO Car Type of fuel LIT' • __Private storage building No. of fireplaces to be installed — ' • _Other Will a wood stove be installed -- Central Air conditioning -- • OV• ER BUILDING PERMIT APPLICATION CONTINUED - • BUILDING 3PE'C.IFLCATIONS: Type of cons'truction,'wood frame, fire safe, etc. eD. • Will any second-hand or upgraded lumber be used? If so, for what? Foundation wall material (, L.Thickness C f Depth of foundation below grade (to bottom of footing) it4-8' Cr Will there be a cellar? X.;p Heated or unheated? Floor sq. footage sq ft. Will there be a basement? x.,90 Will any portion be used as living space? (If so, what portion? sq ft. Type of use? LOc.A..)eV" C lull. or-- mi tef_l Type of roo - slo.e'//flat/shed/other Material of roof kS /ELT' Size, wood studs .9. "x 6 " spacing ) , " o.c. length ,c3 ft. Joists (floor beams) 1st,floor "x " spacing /6 "o.c. span t9,' ft. Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. Overlays (ceiling beams) 9 "x 6 " spacing jb " o.c. span ON ft. Roof rafters. ? "x , " spacing /1 o.c. span /a_ ft. Roof trusses (pre-engineered) spacing " o.c. span ft. Exterior wall finish / ,et, of what material? C)/l..lrL S(J)j376- Interior wall finish 1b.1( 2 P r'r*tL' TowJ-2 f3EbpW _ ' 4.),D6 P4 6(-)178.,A0 If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 1t!c.3 Q Is there to he 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 f—ft. _ in. . Water supply - Municipal or private well (�1.4_y g; grifzcf SEPTIC SYSTEM Distance from ANY private well (including adjoining properties )CO -f ft. (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER L/a06-400 i ADDRESS L . TEL. NO. 3-80 ?3 NAME OF PLUMBER / l ADDRESS / r TEL. NO. r NAME OF MASON ADDRESS TEL. NO. ' NAME OF ELECTRICIAN / ( ADDRESS / TEL. NO. DECLARATION To the best of my knowledge and belief the statem contained in this application, together with the plans and specifications submitted, are a true and cormple atement - proposed work to be done on • the described premises and that all provisions of the BUIL CODE, THE 6 ' NG ORDINANCE, and all other laws pertaining to the proposed work shall be co L'e with, whether spec led or not, and that such work is authorized by the owner. • Signatur t, • Owner, owner's ag n , architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY 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: SOWN OF QUEENSBURY RECEIVED 1. Gross floor area a l la a y 4 y x JUL o 3 1990 2. Type of heat ea__s 75_,e,r BLDG. & CODE-DEPT. 3. Is the building mechanically cooled? 4. Percentage of area of windows and doors ® 1/4 6 A. Over 16% Only 1. U 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 YES 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 B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions es - 2. R value of exterior walls -- at,5 3. R value of glazed area R - 3„ — 1) , 5-a 4. R value of doors o ?O -- Q .49 5. R value of floors over unheated spaces — O 7l1 eo.� 6. R value of slab edge insulation - unheated slab 1 e 7. R value of slab insulation - heated slab , -c� e. 8. R value of heated basement/cellar walls (above grade) 02 -- a ,S. -LowerdiretV. 9. R value of heated basement/cellar walls (below grade) I2 - -! 1 — LooDey-mg44 . 10. Type of insulation p L L F OI;R6-L,9- S e 7/ - I( )// / C. Controls 1. Thermostat maximum heat setting 95 ° D. Duct Systems 1. Is duct system installed in unheated spaces? YES 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 te, — RMoLk R-c1 Pgr iucg) F. Service Water Heating 1. Performance efficiency E L g c 7`Yq I C - F-Aec S F-1 TIT E - `► o -� • 2. Temperature control setting maximum lfo G. For Swimming Pools ONLY 1. Maximum heating jbb TELEPHONE NO. APPLICA SIGNATURE t 1 #`�� TOWN OF QUEENSBURY dj APPLICATIOf FOR SEPTIC DISPOSAL PERMIT DATE: JU Ni - --k= , lcao LOCATION OF PROPERTY FOR INSTALLATION ` ,cam 5r Owner' s Name: 2 ,.._r:_ircNI_Jey �sS - , 'A- - �1p Address: 46p)4, LA\s .-. >„ C •, �'NX N: S-2,s621( Installer s Name: ..ir RLlv_,G.-qurd- _rt —#{Ozc -, Telephone: 7i3-8 73 TOWN OF QUEENSBURY Number of bedrooms (residential only) 6 RECEIVED Total daily flow (compute @ 150 gal per bedroom) Qd® JUL 0 91990 Topography: Circle one F— Rolling Steep Slope % of Slope BLDG. & CODE DEPT. Soil Nature: Circle ones • . Loam Clay Other /Depth: Ground Water: At what depth? tor-- L¢c / Feet Bedrock or Impervious Material : At what depth? ram® IL9C. . Feet Percolation test: Circle one: not required-' required Rate - Min. Per Inch Domestic water supply: Circle one: . Municip Well Other If domestic water supply is a. wel : Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank iec.) gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench lair feet/Total system length feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used #f. /Depth or Thickness 4/ feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alarm system and associated electrical Mork to be inspected by an approved agency. I have read the regulation on - erse---' : - .f this sheet and agree to abide by these and all requirements of - Town of Queen , ry Sanitary Sewage Disposal Ordinance. 111mSIGNATURE OF RESPONSIBLE PER ON l kZ�.t,.. �. DATE: / � 0 6: • • 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:_ . 14. ,the proposed location of the system 2.) location and distance co 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, .cile)fields and/or drywells B. Nu 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 chit plot plan shall be available on the construction site. Failure co produce said plot plan at time of inspection nay result in an .immediate work stoppage. D. Should unforeseen problems during construction prevent proper installa— tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT • • Bay and Haviland Roads Queensbury, New York 12804 Remarks: • • • • • • • TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ' QUEENSBURY, NEW YORK 12804. / TELEPHONE (518) 792-5832 41t BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /Q,�f/PG) NAME AL- i/l9 , �c ✓ LOCATION 'Aj/f/�I(r,e/ r i DATE d. PERMIT '# 90 6`476) 1` //I/i APPROVED S,a,e,,,. \,/,e-P,e:-- YES NO FOOTING/PIERS, j MONOLITHIC POUR FORMS i FOUNDATION/DAMPPROOFING . 1 BACKFILL APPROVAL ROUGH PLUMBING ', 1 FRAMING %. '"'' ELECTRICAL ROUGH-IN 1 INSULATION: L FOUNDATION °� P FLOORS . . . .\ J. . . . . WALLS % .. . . . . . . .I • CEILING V I x FINAL INSPECTION: 1 /` CHIMNEY HEIGHT I ROOFING • • ‘ ' SIDING • •\i, ' • ✓e EXTERNAL PORCHES/STEPS ; :, STAIRS-CLEARANCE & RAILA ✓/ PLUMBING FIXTURES/RELIEF\VALVE £ INTERIOR TRIM/PRIVACY!DOO S /� FINISHED FLOORS ✓ GARAGE FIREPROOFING it DOOR CLOSER(S) if N SMOKE DETECTORS jj ‘ .• o/' FINAL ELECTRICAL INSPECTION PI � • �J FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/G v/ A SIGNED CERTIFICATE IF OCCUPANC MUST BE OBTAINED FROM THE BUILDING DEPART ENT BEFORE THESE PREMISES ARE OCCUPIED!. \REMARKS: ram " r I 1--/e7-D /1.4 4 4, /._„. .C..... ,a8:1;1.,1,4.24:44 /4 AF4'- . rl i C) (///2 ' ARRIVE l� • DEPART INSP CTOR • ELECTRICAL INSPECTIONS . DUPLICATE MUNICIPAL RECORD Permit No. D 1 .A j Owner r Occupant Location � l G VI (41 5 0�`CQ ,QU No.'t -�,�J ` Ct_rkr Street i I Town or City 1CJ Stateee // Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by • J3/ N . Date v Inspector MID LEDEPARTMENTINSPECTIONAGENCYINC. 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 M.P. I/20 1/12 1/10 % Ih % Ih 'h 1 1 11/2 2 3 5 7/ 10 15 20 25 30 40 50 75 100 MARK NUMBER 'OF EACH SIZE APPARATUS TOWN OF QUEENSBURY / �j� BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT • REQUEST FOR INSPECTION RECEIVED /0/y/,G NAME y/rt11/4-- ,/ pI ‘e_/ LOCATION ?Zj/1Y%/ J e -V DATE //7 PERMIT*it • %1) '4'f _/ I. I // APPROVED •C//,/,1 / h,/hZ.-- YES NO FOOTING/PIERS ;; MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFINCs • . BACKFILL APPROVAL ' ROUGH PLUMBING 3 .1 FRAMING L ',' ELECTRICAL ROUGH-IN 4 1 INSULATION: 1 FOUNDATION rfi tt FLOORS • 1 f WALLS 'd f . . . . . . • CEILING ' ' Ai FINAL INSPECTION: X CHIMNEY HEIGHT ROOFING S} V/ SIDING ' I 'A ' • li EXTERNAL PORCHES/STE S1 ✓ STAIRS-CLEARANCE & 4ILS y// PLUMBING FIXTURES/RELIEF VALVE ✓' INTERIOR TRIM/PRIVACY DOORS / FINISHED FLOORS 9 A r/ GARAGE FIREPROOFING A. DOOR CLOSER(S) / % . SMOKE DETECTORS 1 ;/ FINAL ELECTRICAL INSPECTION' FINAL APPROVAL OF (CONSTRUCTION . .V' OK TO ISSUE C/O OR C/0 _ _ 1 A SIGNED CERTIFICATE OF OCCUPA' CY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES IRE OCCUPIED! REMARKS: 4 j�-( }i ?' / V - -- G 1\) 3° ARRIVE /e) S6- / DEPART /O Ire " INS' CTOR • TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280S.. . TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /D7 7f9(1„ NAME / LOCATION , DATE `�}�;�' ' ) PERMIT # .09 `� / / APPROVED jel-0,.(/.Qif YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING .1 . . BACKFILL APPROVAL +. . A ROUGH PLUMBING FRAMING , , " ELECTRICAL ROUGH-IN ' . INSULATION: �} f FOUNDATION ' �J € I/ 1/ FLOORS WALLS '� Q `q !/ CEILING FINAL INSPECTION: , CHIMNEY HEIGHT A ROOFING a SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE,;& RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS \ GARAGE FIREPROOFING '1 DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRU TION " OK TO ISSUE,'C/O OR .C/C A SIGNED CERTIFICATE OF OCCiTANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS;: \\. • ARRIVE ! 55' / DEPART /U 45 •�� �� / IN .'.F'CTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �/� BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 128O . TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED, NAME jV LOCATION fi P,L ,1) / DATE ////9 PERMIT # J`) --CAL 4L6 APPROVED "' YES NO (' FOOTING/PIERS /96Yeh-01C'To Po'o r& ,/ MONOLITHIC POUR FORMS .l FOUNDATION/DAMP-PROOFING 1' BACKFILL APPROVAL ,o ROUGH PLUMBING FRAMING 0 t To 1).J S�/:(/} / J� /` ELECTRICAL ROUGH-IN INSULATION: FOUNDATION 1 FLOORS I WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING ' EXTERNAL PORCHES/STEPS . ,1,. . . Si STAIRS-CLEARANCE & RAILS �' PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING • DOOR CLOSER(S) I I • SMOKE DETECTORS 11; FINAL ELECTRICAL INSPECTION ] FINAL APPROVAL OF CONSTRUCTION-- OK TO ISSUE C/O OR •C/CJ if / I A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDlI REMARKS: W.F. I j , l uS I14LL4l7 - Lill"- BI-: AAJ-2APP6-0w/ 1 ►+yL,ShKsifrr lap yc_ PYLbUI O Z= G,v-Ga C-&- r(Fr CAr(oA) 011 3"c I k/ l u G o F 2 Po 2r(o,vs o g /►'t o A JL-A ARRIVE / .3 ri DEPART l/ A NSP_CTOR ;town oI Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road;R.D. 1 Box 98 Queensburj, New York 12801 ' • ? Lzec„.6,,, ,14/'. SEPTIC DISPOSAL SYSTEM INSPECTION" NAME LW,81 . , LOCATION 1f/ fit. DATE f(244? /0) PERMIT NO. f � (.) SOIL TYPE - Sand - ?Dam - Clay Percolation Test Required? YES - NO Percolation rate - Nlin/Inch E, TYPE of SYSTEM: 1 ; Absorption field, total length Length of each trend Depth of trenches '%4 ,; . Size of gravel -.- ;- I SEEPAGE P umber ' x Siz f At. _ rave ze , PIPING: / l Size Type / Bldg. to tank 3e/4 � I V� Tank to dist. box r P UCr Dist. box to fieldV/p't1 ' P V(— Openings sealed? MON. NO Partial il LOCATION/SEFARATyONS: \ Foundation to tank 11 / (ft.-i- I Foundation to absorption\ ZP>ft..4_ Absorption to lot line ‘ ft. • Separation of pits /W ft. LOCATION S STEM ON PROPERTY(circle one) Front la -44:15110V - bight side - COMMENT . 9Lo PAJk/ \\\.\ , SYSTEM USE APPROVED S N Building In ector 01/86 and vl . • J ..: :; . . . .,• . . . . ••••••—,.---:.---i4 .. . . • \_ , Q 6—be—s, -9-:i I:,.t."01 x.J.. c, 1- L 1 in ./ . . • - CO 01-4—<1,0-1 'DI.442.-3.5 —PI 0 iS//V.4"0. . .. .. . . . . . . . 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'.'''. •. . . _ . , . . . Ao/i. awn of Queen t urn -111 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME_ 9 t7'L6 LOCATION Af/'f 4"(/b DATE gyi. / PERMIT NO. �' �D SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch r TYPE of SYSTEM: Absorption field, total length Length of each trench',;'/0-COS 76 Depth of trenches -' f-r- ' Size of gravel r' SEEPAGE PITS{Number of) • Size- ft. ft. Grave ' e PIPING: Si2e1( Type Bldg. to tank Tank to dist. box Dist. box to field/pit • 'VI:- Openings sealed? YES / 0 Partial LOCATION/SEPARATIONS: ) �' Foundation to tank _ , ft. Foundation to absorption ' \t ft. Absorption to lot line 'eft. Separation of pits LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left/ side - Rig1 t side' - COMMENTS: - /t41- TR-1:1 tic/5 St 6/s-r 130>c 6\v-9 g C • O a D SYSTEM USE APPROVED YES (1;) Building`Inspector • 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801. TELEPHONE (518) 792-5832 BUILDING IN PECTOR'S REPORT REQUEST FOR INSPECTIO RECEIVED 7 NAME _ rs'� I d., dL �, LOCATION t/ . i Ai ! .ram - DATE /D /6 PERMIT # 9Q 4116 APPROVED 1 YES NO FOOTING/PIERS jl MONOLITHIC POUR FOi2MS FOUNDATION/DAMP-PROOFING 1- BACKFILL APPROVAL ROUGH PLUMBING a FRAMING 3 ' ELECTRICAL ROUGH-I, r INSULATION: I FOUNDATION FLOORS . 5 ,. WALLS . i CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING- - ; - SIDING EXTERNAL PORCHES/J', E STAIRS-CLEARANCE & "ILS PLUMBING FIXTURES/.. 'LIEF VALVE INTERIOR TRIM/PRIV TY DOORS FINISHED FLOORS GARAGE FIREPROOFI, G ‘ DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL ;'NSPEC\' ION ' . . FINAL APPROVAL O " CONST UCTION- ' OK TO ISSUE C/O •R C/C A SIGNED CERTI ICATE OF CUPANCY MUST BE OBTAINED FROM HE BUILDIN DEPARTMENT BEFORE THESE PREMISE ARE OCCUPI !• RE RKS: ii2o cJ I Q L EN G f A/6-G-12_ 5 5-1-71-A4 PZ-10 0 ems► c9 ©P. PI-( Ti vi/11&TT40 D v i 5'v Po rtr( rz O� 4-1-4-6r 4- � Po .i ,._ ,r-e,6- PMiA!G goivil--- oA Thv,JOA4-►/©1V ARRIVE i/ -:e-‘ DEPART /ti Z. INSPE TOR ? A)04.Tti Gbk a ID ..e. Auwc I. S of- Ai. . . 136 tA% 5 too , S PAU o A l2 4 31 FRO�t , xTai: Io Iw4 - L. et , - C. h =, isrs - . 6"; t r-- . - Wii Pet . • .. ! imAt. AJDJI tvr -IA). r : 'To. IA./14104 , i i wt' c 4cTL( ,tisr �v v �w w . ; �3v S �ow� 17 9 ' /0.9 f w• &MT. (A)/44.1,- 1 / q L5A ' 1�V 1_1;K/1).B4 6-� +►1Jt- E C I0 � tl T!2 c ei,_ ,.r. _ - �-/4. 4,Y5/9 ' lie • 9/26 -A6-1- w A cia-os'-' ! - /t: o A..K • D? ,A.!w(os CL s6• 126q 'itz6 51-6u,!, i(o B6-AM �� N looT-► AJC0J 3 ---A rz,,vG Lvc 1 • D 2AWiAJ 3� c / .� TO1\N OF QUEENSBURY TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BUILDING AND CODES DEPARTMENT i BAY & HAVILANL, ROJfDS BAY & HAVILAND ROADS i QUEENSBURY, Ng0 YORK 1280k QUEENSBURY, NEW YORK 12804• i TELEPHONE (5 8) 792-5832 TELEPHONE (518) 792-5832 ! BUIIIING. INSPECTOR S REPORT BUILDING IN PECTOR'S REPORT • REQUEST FOR I SPECTION-RECE VED • • REQUEST FOR INSPECTI• RECEIVED ,//91) NAME fG NAME L' I .r/ a_�._. • LOCATION A , , -,.�d ` i LOCATION // . .. A. if —..a .. ! h DATE q)1-) PE' `IT # �D - 1 i ii DATE '/D '6PERMIT # 9Q-41T`U APPROVED APPROVED YES NO YES NO FOOTING/PIERS FOOTING/PIERS MONOLITHIC POUR ' ORMS MONOLITHIC POUR FOSS FOUNDATION/DAMP-•ROOFINe. FOUNDATIO)J/DAMP-PRWOFING BACKFILL APPROVAL • ( BACKFI L APPROVAL V ROUGH PLUMBING ROUE PLUMBING FRAMING i . . ' /i//t FRAAMIN ELECTRICAL ROUGH-I • / (d j LECTRICAL ROUGH-IN • • INSULATION: INSULATION: l • FOUNDATION I 0A,/,/ FOUN TION FLOORS • 1 �� FLOORS i • I WALLS ,r WALLS t I CEILING g� /CEILING - • INSPECTION: FINAL FINAL r I CHIMNEY HEIGHT j \ 6/ �f CHIMNEY HEIGHT ROOFING + / ' / ROOFING t, SIDING ; • ' j SIDING EXTERNAL PORCHES/7TE• EXTERNAL PORCHES/S 'E•. STAIRS-CLEARANCE • RA LS if STAIRS-CLEARANCE & '.'ILS PLUMBING FIXTURES REL EF VALVE Cad' PLUMBING FIXTURES/' LIEF VALVE INTERIOR TRIM/PR« ACY DOORS INTERIOR TRIM/PRIV' Y DOORS FINISHED FLOORS i __ FINISHED FLOORS GARAGE FIREPROOF'NG GARAGE FIREPROOFI DOOR CLOSER(S) I DOOR CLOSER(S) SMOKE DETECTORS! SMOKE DETECTORS FINAL ELECTRICAL NSPECTI• FINAL ELECTRICAL NSPE 'ION _FINAL APPROVAL OFCONSTRUC'ION • • • FINAL APPROVAL 0: CONST'UCTION OK TO ISSUE C/O ' 'C/C .. • OK TO ISSUE C/O •R C/C 1 A SIGNED CERTIFI••TE OF OCC.PANCY MUST BE A SIGNED CERTI"ICATE OF •, CUPANCY MUST BE OBTAINED FROM TH:. BUILDING A PARTMENT BEFORE OBTAINED FROM IHE BUILDIN DEPARTMENT BEFORE THESE PREMISES A' OCCUPIED! • THESE PREMISE' ARE OCCUPIa.,'! REMARKS:Akio j�f(L s�/}1j A-1441/25-AV) . RE RKS:M �YLov i o G- �v�rN�G-,2.s� �'-r.�.H p� (it) P�2 l Pr+� I ooT-►NG S_ - ' p 2/�t�Jl fo ©(�' �G r `rl V�/�'($T[�vl� G PTfoNM-L [1 rL� Fo fa. 5 0' - 14 A/4 z- Po v - 0 5 36_v 'Po K. rcD rz. O� r� Po 5r . • ,IG w Ulre� g6'o� �� Ply-l�' ,er-e_4- PMaril6 NFL- O A/ o g MA--n.iG 13 __ t ARRIVE Alp 1/, `d. ARRIVE DEPART c I.::: DEPART al 50 I,1. ?� INSPEC OR INSPE TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILANp ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (5 8) 792-5832 BUMPING INSPECTOR S REPORT REQUEST FOR INSPECTION RECE VED NAME Aloe_ ;4.-Gps-2-o LOCATION J , . DATE I I PE' SIT # q) - 44--6 j APPROVED YES NO FOOTING/PIERS I MONOLITHIC POUR ORMS FOUNDATION/DAMP-•ROOFIN BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I INSULATION: FOUNDATION FLOORS WALLS 1 CEILING FINAL INSPECTION: CHIMNEY HEIGHT i ROOFING I SIDING EXTERNAL PORCHES/ TE' STAIRS-CLEARANCE RAILS PLUMBING FIXTURES: RELIEF VALVE INTERIOR TRIM/PRIVACY ,90ORS FINISHED FLOORS 1 GARAGE FIREPROOFiiNG DOOR CLOSER(S) SMOKE DETECTORS' FINAL ELECTRICAL INSPECTI' FINAL APPROVAL OFJCONSTRUC+ION OK TO ISSUE C/O •' C/C A SIGNED CERTIFI•'TE OF OCCIPANCY MUST BE OBTAINED FROM TH: BUILDING r. PARTMENT BEFORE . THESE PREMISES A'E OCCUPIED! REMARKS:A/o 1 P&p.( Pf+A-L I-007-W6 S_ G erfONA-L ferz_ --N L,vi3 ,Vo roc)i - • r4/6 p g M,4-n,7G 4-�2M2-g . ARRIVE DEPART u i 1. _ 1-! � • INSPEC OR S.61PIrm Dcve?� 0.0 3r. P. P. J-. - ZO CrL.F. GPD 1-2 (0-5 K11t.) 750 Sq. Ft. Required 2.104 x 37V - 750 Sq. Ft. Provi4ed li lu cc z SOO w "Tr PkOOD -TE e -.^—To MEANEST FlOW Wfl*WT 102 WISCONSIN AVENUE 6.157 L A*D Of -0 1 C"ft DA 1*0 A-4*00W oil, -, PERC-04BT),ON TE5-r RE 614 L rs 1.183 ACPKS T#W 54,400 SO. FT.* APARTPK-*T DWELLING *000 FRA14E f."STRUCTION 0 41,44 SQ. F T. . EAC# "OT&A42 LIVE " V:, - - 3 nP 40W 290, 0#4 X X U) LA 4D OF EDWA*D A" CL 01D I C..+L I I kz s-volk -4- i- -t - -T J Job-, t UG 29 199 J-51 T A ff Dr' r 0 f � 6'— S, Ix `4 NOTE., Wire parcel surrovs4t" too -.oWw*rA, , ctlep shall I be graded and sami" *116 •01" 4*rt Vfta� PoO fw� 1" W., artx, firt I It sod and s0* lobtfoo,owti to wtl$* a" "0 *Dtt on oftm Co n+ - C- gob" OW factag qwk tag TE TOWN OF QUEENSBURY T I -t ton 4 Te Zoning AdMinistrator x - - - LO L TO WM ST F OW WW T 3% PIT.- 259.25 1 4i MINNESOTA AVENUE T, -T- P 00, — TO YORIAN 1-0#1#6 -AR5 TA W Sh7'8-1"L110 567 P W., FUTmt 2 FANILY *Atl I Fot Jk"E#T POAT"A*4 Jft-