1990-551 77
:Ai \
'CERTIFI ATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 04) 0U 0 19 _al
This is to certify that work requested to be done as shown by Permit No. Q0-551
has been completed.
This structure may be occupied as a single family dwelling in 1/2 of a Duplex
Lot 9 - Unit A - Smoke Ridge Road
Location
JMC PROPERTIES
Owner
By Order Town Board
TOWN OF QUEENSBURY
/0-2,17/2
Director of Bldg. & Enforcement
BUILDING PERMIT ,
TOWN OF QUEENSBURY
No. 90-551
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to JMC PROPERTIES O
OWNER of property located at Lot 9 — Unit A Smoke Ridge Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1/2 of a Duplex
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
23 Willow Road
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name b
Cifone Construction Co. Inc. O
ro
3. CONTRACTOR or BUILDER'S Address y
PO Box 684
Glens Falls NY 12801
4. ARCHITECT'S Name
0
r-t.
5. ARCHITECT'S Address m
1
6. TYPE of Construction—(Please indicate by X)
1
(X/Wood Frame ( ) Masonry ( )Steel ( )
0
7. PLANS and Specifications
No. 1/2 of 1708 sq ft Duplex as per plot plan, specifications and application
including a one—car attached garage and septic system. Cl)
8. Proposed Use 0
Single family dwelling in 1/2 of Duplex
120.00 August 28 91 0
$ PERMIT FEE PAID—THIS PERMIT EXPIRES 19 `-+
(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--
Dated at the Town of Queensbury this 28th Day of ,. ,i Au list 19 90
SIGNED BY for the Town of Queensbury
Building and Zoning Inspects
OWN OF QUEENSBURY ///
,/1/c
REVIEWED BY ,,� �� �
�� 1�j FEE PAID $L2- ter r �BUR1C
PERMIT NO. .,g0 " ") l r ,,;',, R F CEIVED
BUILDING PERMIT APPLICATION•
AUG �994
21
0• & CODE DEPT.
BLD
A PERMIT MUST'BE OBTADIED 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: i O f ,2_
P.O: Address )�Ocrl /,�� .���{i/� �'f l�t0 Tel.
Property Location d/O7—#77 Tax Map No./-27/.
Has there been any split of this property since October 1, 1988? 1// OP
If yes Planning Board Review is necessary. yes no /
SUBDIVISION NAME, IF APPLICABLE ch2,,- / //e, LOT NO. 27.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: ESr;MATED MARKET VALUE OF •
•
Construction of a new building • CONSTRUCTION: S �n a 0
_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.
•
3ROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor. /, o or sq. ft. ' •
/,
OCCUPANCY INFORMATION
2nd. Floor 700 sq. ft. w ,• Primary Building -
Other Floors 7/,¢ sq. ft. 50 • One Family Dwelling
(not cellar or basement) n • ... Two Family Dwelling
IfOTAL FLOOR AREA J7of s ft. • _Multiple Dwelling/Number of units_
q
• Business
Biz, of new structure ft x_ft.
Foundation-pier/slab/crawl/partial/full ' _Industrial
(circle one) - • Other
•
qo. of sVitie• I"*itabin space) • 2' •
leight (grade . o ridge) ,2 ft. • If addition, what will use be? •
f residential, no. of families_ •
,fo. of rooms(excluding baths) // • -Accessory Building
rfo. of bedrooms • Detached GarageWO Car •
No. of bathrooms • ONE/TWO
(Primary heating systems/i, /.9& • —.1.—Attached a p KO Car
Oype of fuel /�-Z, .' __Private storage building
No. of fireplaces to be installed /2i_Y •
•
WEE a wood stow be Installed /fra • Other
•
Central Mr conditioning S
OV• ER
BUILDIN C PERMIT .APPL IC aT1Ov CONT: ED -
BUILDING •FPECtFICATIONS:
Type of construction, wood frame, fire safe. etc. Q0,) /ZA-y
Will any second-hand or upgraded lumber be used? If so. for what? ,ZC7
Foundation wall material (1,2;/d72 `` Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? /69 Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? //O Will any portion be used as living space?
(If so, what portio.' sq ft. Type of use? •
Type of roof slope•/flat/shed/other Material of roof
Size, wood studs .2 "x " spacing o.c. length'21,7ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x /O " spacing "o.c. span / -ft.
Overlays (ceiling beams) "x " spacing o.c. span_ ft.
Roof rafters 2. "x /d " spacing /C-o.c. span /,3 ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish yrA/„j% ,5 7 2/4z of what material?
Interior wall finish /20
If a garage is to be attached, describe/materials to be used for FIRE SEPARATION:
Is there to be an opening between gar a and dwelling? ���"• If so will a Fire-rated door, enclosure,
self-closing device be provided? 7.L
Will a flue-lined chimney be installed? A Height above roof ft.
Depth of chimney foundation below grade,.L-ft.
Depth of fireplace he ft. in.
Water suppl .- Municipal r 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 BUILDER (f0/0 G°7d�'ed ADDRESS TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS ' TEL. NO.
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 provisi.-.of the BUILDING CODE, THE ZONINII fu'i ' :n''CE, and
ell other laws pertaining to the proposed work shall be complied with th c ed not. and that
such work is authorized by the owner.
Signet
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OP THE PERMIT:
BY
TOWN OF QUEENSB.URY /
•
WARREN: COUNTY, NEW YORK
Application for:. BUILDING PERMIT IN COMPLIANCE WITH THE NEWYORK •
STATE 'ENERGY CONSERVATION CODE
A permit .must be obtained before, beginning:y::wo ,k.��/'\� j q yPeg1
.ANSWER ALL •of the. following: •
•
1. -Gross floor area ' • /70 �' ' AUG 21 1990
2 . Type of heat itEjf7 ,.!/iof, BLl c; 2, �EpT
•
• 3 . Is the building mechanically cooled•.? 74S
. 4. Percentage of _area of windows and doors' / /.7,4
A. Over 16% Only '
a . Uo 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 YE" NO .
a. If YES, wha s the R value of insulation around .
perimeter of floor? , /eV .
4. Is basement heated? YES NO
- a. R value of insulation
5. ' Type of. -insulation
,
B. Under 16% Only .
1. . R value of• r of and floors exposed to ambient conditions
2'. ,R value of exterior walls R- / y
_ . 3 : •1, R 'valu'e of glazed area - . iiiigr . O • ' •
4 . . - R value of doors - •• n- •/ � .
5. R value ,of floors over unheated spaces .
6. .• R value of; slab edge-::insulation unheated slab I7 •
' 7.. R. value of :slab insulation- 7 heated slab . / i • .
• :8. R' value of heated • basement/cellar walls (above grade) '
9.• R value of heated basement/cellar wall.s .(below grade) . .
10. Type of insulation /<//jr0` ' •
C. Controls "
1 . Thermostat maximum• heat setting - w . ' . . .
D. Duct Systems '
1. Is duct system installed in unheated spaces? YE-S . NO ,
• a. I,f YES, 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 .
F.. Service Water Heating -
1 . Performance efficiency • ' '
2 , Temperature control 'setting maximum • •
•
'-"G': • Fur Swimming Pool Only
1 . • Maximum heating . .
n
Telephone No. r� ��� .
ccc ( p.plicant ' s s., gnature) .
u WN OF QUEENSP URY
APPLICATION FOR a OWN SLr s it i' '
SEPTIC DISPOSAL PERMIT
UG 21 1990
BLDG. & CODE DEPT.
DATE O /OW /0
LOCATION OF PROPERTY FOR INSTALLATION ,Z'/ i7 (30,,Qrrfl
Owner's Name: ,j e /2a 7t// Telephone: /71�� 92- 1-2—
Address: 7 �rl//aa9
Installer's Name: ///./ GV ., 4 �.bi' Telephone:
Number of bedrooms (residential only) "/
Total daily flow (compute (d 150 gal per bedroom) 4 C
Topography: Circle on • Fla Rolling Steep Slope % of Slope
Soil Nature: Circle o 411 Loam Clay Other /Depth: Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? 4 4- Feet
Percolation test: Circle one: of required equired rate min. inch.
Domestic water supply: circle one �Niunicip9l Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank/age gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench ,3-0 feet/Total system length •.. & O feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # /Depth or Thickness feet
*************************
I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbury Sa ' Sew 's 1 rdinance.
SIGNATURE OF RESPONSIBLE.PERSON:
DATE:
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:
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. ..
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
ITEMP.# (DATE I
CITY OR ,,
i
VILLAGE 7/tc j.A ; a77.,• :6.- TOWNSHIP COUNTY �`1' Fi_ir/,s`�i
STREET AND PIo(OR / �. r �"'" /ry J �'yr
ROAD AND POLE NO. I r' %) / - f}j /7� , /(4,12f?/f {"1 ,/'f !,J'/. POLE NO.
BETWEEN WHAT TWO ,/ % 1 !!"
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S / f �� -�'� BUILDING
NAME /1 el ( ", ,/ f,0 I/'--,. /2/(OCCUPANCY
OWNER'S NAME 7 ) / / / ,/�.�,,,/y/��'/ /�1 _ s� _
AND ADDRESS GJ '1 L'�'/ .Jt-1 (..��./11 `6C / /�li,�! /;i TEL.# /�j r ✓ f/. e5
CURRENT •
SUPPLIED Ate/ ✓/,/; 7
7 FROM THEIR . OFFICE
BUILDING - -�S G WORK DEFECTS
IS NEW I OLD Ill IS NEW) ADDITIONAL ill REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.oFixtures&
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS BRANCH CIRCUITS OFFICE USE
Loca- ONLY
tion Side Attaeh'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: DO NOT USE THIS SPACE.
•
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,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF �^•,.--1 ) ELECTRIC SIGN TOTAL
MAINS �,//r�/',J / �'� FEEDERS LAMPS WATTS
CHARACTER EXPOSED ""GO TUBE SIGN
OF WORK C CONCEALED__..) TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED - SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
BUILDING ..�
INSPECTION REQUESTED , . i /J
ON AS NEAR AS e/ ®Y - `0 ,i/
POSSIBLE F.�P/f / rj' NEW T1 OLD 1-1
AVOID DELAY BY GIVING FULL AND ACCURATE1IU ORMATION.ALL SPACES DATE OF 0 u� s
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION f� ✓
PRINT NAME AND A EGRESS
NAME OF -_'-' a�.• f ! fl 'V SIGNATURE _-. �.P.• .s/ cam--/
APPLICANT . �1� 'f u' =/ -��' Al OF APPLICANT -' J
.., j/ 'L./��,' -mil -
STREET ADDRESS I (,�'_ l r�(=,`1 TELEPHONE"# / ('5 ,:c7.• 6/,"��^
l / J ! ` - /
CITY OR �// r. -"�. •, (", ,�/ j'I ZIP r+ LICENSE NO,
POST OFFICE rl �';=2� Yje i-,.J C.-� ' CODE �+''- i/ WHEN APPLICABLE rt' f1
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR.EACH SEPARATE BUILDING
/`
%,,,,I-InAoy.l.""),!"s"1 .":jn!_S.l.���Ca7�. )." ���t .lnjt�,ast"."," .���,a��. .. . _to�i..i.. .a"�.a��.:���;�.�{"���,���"� ,le!, s.,�!.a",-1,? �t 11,f-1,? 4•!q
l: ' THE NEW YORK BOARD' OF FIRE UNDERWRITERS PAGE 1 •
'i Ia3�7�s.
BUREAU 'OF ELECTRICITY • Y
' 41 STATE STREET,ALBANY,NEW YORK 122O7 . �_I
E. 1; 1 Application No.on d c 1 �J 5. :.
5. ► Date JUNE �7,199'1 PP f'`C�1:1.� =9a,/9a /l � a� 6G5
, THIS CERTIFIES THAT' v id
�; only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of i.d
�.., - 'i ?:
:,J M C PROERTIES, BURNT RIDGE, OUEENSBURV, N.Y.
v. in the following location; ❑ BasementGARa, e 0 1st Fl. 0 2nd Fl. Section Block Lot ; ,1••
01-' was examined on JUNE 18,19 91 and found to be in compliance with the requirements of this B.. d. '41
FIXTURE FIXTURES , _ RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS : 13
OUTLETS ECEPTACI.ESI SWITCHES
�; INCANDESCENT-FLUORESCENT •,.,OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. . K.W. AMT. H.P. ':',
�.
19 34 19 19 1 5 1 1.5 3 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI OUTLET DIMMERS
it; SYSTEMS ,i
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A'.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
•
1 3 1
ii.' SERVICE DISCONNECT'. NO. S E R V I C E
• �: AMT. AMP. TYPE METER 1,B'2W 1/B'3W 3 0 3W 3,B'4W NO.OF CC.COND. A.W.G. .NO.OF HI-LEG A.W G- NO.OF NEUTRALS A.W.G. '
1< PER.e- OF CC:COND.. OF HI-lEG OF NEUTRAL ,
1 200 CB 1 N •1 4/0 1 2/0
: OTHER APPARATUS: ' ' E
o >� ' r
ELEC. ROOM HEATERS:1-15. K.W. � 's;;
�: MOTORS:1-2.5 H.P. • . k
_ ELEC. WATER HEITERS.: .1-•2.5 K.W.. . .
. G.F.C.I :-5
SMOKE DETECTOR: .
t _ e�
s
ei! )
-o CIFONE CONSTRUCTIONT
_AIRPORT INDUSTRIAL DR ___- . - _ _ fir -
PO BOX 684 -
•
BRANCH MANAGER
�. GLENS FALLS, NY, 12801 " 23.9 ': Ei
1, Per `i, R
5. {
IX; This certificate must not be altered in any manner eturn to the office of the Board if incorrect. Inspectors may be identified by their credentials. -i t
7. ocYeriiYir•riC•i1'CYAY`/ir iA(YA,'Yir,Ar(ar-rAf7AYYAriAf 7AY 7er';e YAfYIY-iaY•iA'r•iAY•4(•i , , ,; ''::' •.y
E.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
PlrY)
TOMS OF QUEENSBURY
531 BAY ROAD
'QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED � cy
MANE
LOCATION )pj/ 5/ 1/ i r)r,c__�y�r
DATE --2/ 3 q( • PERMIT# _ '! v'^5
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STAUCTURE)
ROOTING FOUNDATION BACKFILL LFRAMING
/ROUGH PLUMBING rAL ELECTRICAL ,SEPTIC
LI-NSULATION WOMSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS :'YES NO
t
REMARKS ,.
{� /
APPROVAL
N/A, YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION t ./
PLUMBING VENT /
ROOFING ' ` r
SIDINGt
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES ` X
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION%DUCTWORK
INTERIOR TRIM/PRIVACY, DOORS
FINISH FLOORS: .
BATH/KITCHEN WATERTIGHT h
OTHER FLOORS, SWEEPABLE
OTHER FLOORS CARPETED
STAIR _CLEARANCE/RAILI'NGS
HANDICAPPED,/ACCESS 1K
SMOKE DETECTORS
BATHROOM .FANS/WHOLEHOUSE-FANS :
ALL PLUMBING.FIXTURES;I OPERATING
GARAGE .FIRE PROOFING 1 ; 7‹
DOOR CLOSERS N ic4f h "
OTHERR/FIRE SEPARATION v;)
FIRE/DEMISE WALLS
DUMPSTER 1 x
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
1
ARRIVE (U•I' 5
DEPART tI:{")
IN PECTOR
` TOWN Of QUEENSBUMY •
.`r j -' QUEENSBURY,
. BAY 531 ROAD
NEW YORK 12804
- TELEPHONE (518) 792-5832
BUILDING IiSPECTOR'S REPORT ;
FINAL INSPECTION
REQUEST FOR INSPECTION CEIVED � -t(
\\ r
LOCATION Cl_ e4 ,) �.
-DATE / D CD • PERMITS q ( -i5
t
TYPE OF STRUCTURE 4 , '�4'
RECHECK 9O-SS /
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
•L/FOOTING FOUNDATION BACKFILL FRAMING .
_ROUGH PLUMBING °I AU-ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS
APPROVAL
1' '
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION 1'> 1'' , ___
PLUMBING VENT ;, I ,
ROOFING F
SIDING A
DECK/PORCH/STEPS/�RA`I,LINGS
RELIEF VALVES ,-
FURNACE/HOT WATER OPERATING ,
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS/' ),
BATH/KITCHEN WATERTIGHT,
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS \
SMOKE DETECTORS uti.
BATHROOI FANS/WHOLEHOUSE FANS
ALL PLUMBING .FIXTURES OPERATING \
GARAGE/FIRE PROOFING 1A
DOOR CLOSERS ; "
OTHER/FIRE SEPARATION '''
FIRE/DEMISE WALLS \
DUMPSTER
FINAL ELECTRICAL \
OK ;TO ISSUE C/O OR C/C N
I COMMENTS: Via:.
01) o
n v____ ':- cic . -
\_. -_____
,,,,, ,---
LA-Lc._ 3 . .
ARRIVE T":'--I
7f
DEPART ;_.'� J
I NSPECTOR
c/ i A-PC-
-awn of Queen i4ur, V t L
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SSEPTIC DISPOSAL SYSTEM INSPECTION
NAME .0
LOCATION! ��� f� -'Lp r#�
DATE 6AI) "I PERMIT NO.
9& �7J
SOIL TYPE - eff, Loam - Clay -
Percolation Test Required? YES - NO)
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length S C]
Length of each trench 60
Depth of trenches •
Size of gravel 9� _
SEEPAGE PITS4Number of)
Size- ft. X ft. A/0Z-
Gravel size
PIPING: `,� size Type
Bldg. to tank t-r' tpc/r.
Tank to dist. box
Dist. box to field/. t u Y
Openings sealed? ® /NO Partial
LOCATION/SEPARATIONS\ ,'/
Foundation to tank V ' tft.
Foundation to absorption Z (?ft.
Absorption to lot line O.fe ft.
Separation of pits , '���//,'q. ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
a
Front -lip - Left side r Right side -
COMMENT .
i'
rft •
d 1j
i�
1
!�
SYSTEM USE APPROVED YES NO
Bui ing ns ector
01/86 and vl
1).) Aly)
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /x--- /n
NAME `S \-\(- C3\<-0 1' -e
LOCATION .LO-A- 9 ( i) G %a
DATE - /7/C// PERMIT # q/d_t 5S I
TYPE OF STRUCTURE G,,i'-Pc Ce;y-N
RECHECK APPROVED
fi . N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ;] /
REINFORCEMENT IN PLACEI I
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS *LOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PUR."OSE ON SITE
FOUNDATION/WALL POUR a
REINFORCEMENT IN PLACE'S
FOUNDATION/DAMPROOFING;1
BACKFILL APPROVAL / 1
ROUGH PLUMBING
PLUMBING VENT/VENTS' IN PLACE
PLUMBING UNDER SLAB 1
FRAMING: /
JACK STUDS/HEADERS 1
BRACING/BRIDGL'NG
JOIST HANGERS/
JACK POSTS/MAIN BEAM
HEATING ROUGH/IN
,--:;HEATING
FOUNDATION/WALLS INTERIOR R- '
FOUNDATION WALLS EXTERIOR R- 9
FLOORS / R-
WALLS / R- j `y
CEILING IL- 3 (Z(q R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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DEPART /(:4(6 41,
INSPE TOR
TOWN OF QUEENSBURY n
BUILDING AND CODES DEPARTMENT /24
531 BAY ROAD r
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED -141
NAME `
I
LOCATION l j/ art� _ e&-k-C
DATE -I/6/yi/ / PERMIT # G�C� ;J ,7 ,
TYPE OF STRUCTURE / G:L'� cLu(1 P/
RECHECK APPROVED
IN/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
(ROUGH PLUMBING
PLUMBING VENT/VENTS IN,. PLACE
PLUMBING UNDER SLAB
/FRAMING: }("
JACK STUDS/HEADERS
BRACING/BRIDGING `(t
JOIST HANGERS
JACK POSTS/MAIN BEAM,:'
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS :,' R-
CEILING R-
DUCT WORK(OR PIPING 0 UNHEATED
SPACES
REMARKS: !
ARRIVE )L
DEPART /rt, ��
SP CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS n
QUEENSBURY, NEW YORK 12804• /�//J
TELEPHONE (518) 792-5832
•
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ,d,� ,)
NAME 9111.C1 9._612P.9if!1,
LOCATION f(TF %n 4_ 4 _,_,, le,/X y,_ ,0/
DATE /G36Cj21 f, . PERMIT 4 " Qa -S /
APPROVED _
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL /
ROUGH PLUMBING J 017_d "i�J�„
- '
X (t i FRAMING I
ELECTRICAL ROUGH-IN " " " " ,
INSULATION: I. /
FOUNDATION ‘ "
FLOORS 'f` "
WALLS r.
CEILING /
FINAL INSPECTION: i''
CHIMNEY HEIGHT . 1
ROOFING I
SIDING r "
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAIiLS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY';DOORS
FINISHED FLOORS I ''
GARAGE FIREPROOFING, .t '
DOOR CLOSER(S) I
SMOKE DETECTORS 1 @
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION - . ' "
OK TO ISSUE C/O OR/C/C -
A SIGNED CERTIFICA+#TE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES AR- OCCUPIED!.
9 . . . . . . .
REMARKS: /( \
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•
ARRIVE
�- 41111, `��:0
DEPART/ / `
INS ECTOR
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAN!7 ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION CEIVED �//d A 0 !4
NAME K A'._6. _ / 1d 6
� ! 1 [/ l LOCATI� � U / C
DATE // f/ D PE' IT # -j. J
�����l�Jj�/' ' /�.' ' '�,'°-SA PROVED
0.ii`�� i�fL J 0� �1 L '�0 I YES i NO
,MOOTING/PIERS di V
-(MONOLITHIC POUR1FORMS R
FOUNDATION/DP-PROOFING';
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING 1 i
ELECTRICAL ROUGH 2IN '
INSULATION: 1
FOUNDATION 1
FLOORS '
WALLS 1 ' . . .
CEILING 1 I
FINAL INSPECTION: \
CHIMNEY HEIGHT i
ROOFING 1 ' 1 - __
SIDING
EXTERNAL PORCHES/STEPS '
STAIRS-CLEARANCE &\FAILS .
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVApCY DOORS
FINISHED FLOORS ( ‘
GARAGE FIREPROOFING
DOOR CLOSER(S) \ '
SMOKE DETECTORS 1 i
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION "
OK TO ISSUE C/O OR C/C at -
a
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
o
THESE PREMISES AREIOCCUPIED!.
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REMARKS: e"0�/IJ�tJ hs f �Z0
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ARRIVE 73,�- i
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DEPART `1,o o
INSPE TOR
VN OF QUEENSBURY
DING & ES DEPT.
VED BY
Mom
flri�fiM/
ftMMeeeahW as indicating the
Plans and specifications are in full
5 MOKf Kl tD G E KOA'P 116 Vie code.
TO" OF Q*&4SWjgy
GO ri 1 n
9 Administrator
OWN OF QUEENSBURY
RECEIVED
AUG 21 1990
BLDG. & CODE DEPT.
CMWE XTRUCo,
P.O. ON 684 WALIr - `
GLENS FALLS N.Y. IMI ' omm srr
PLOT PL AtA LOT q N