1990-578 ... ..r .l u`. `.,.7y .. :,._ .. ,:Ki .i s ..J^•�—f:r`�., .,. -•,. .. '• .., :.r .. —_. . —,. .. .t .:Z.• _
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•
• CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 2fi. 19 90
3 o
This is to certify that work requested to be done as shown by Permit No. 90-578
has been completed.
This structure may be occupied as a cinglp fs,mily rlw ]ling
Location �,� Lot 27 Timmons Lane,'Oakwoods
BILL SHELDON
Owner
By Order Town Board
' TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 90-578
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Bill Sheldon
O
OWNER of property located at Lot 27 Timmons Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Single family dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and w
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t"
cn
1. OWNER'S Address is
202 Fifth St Ext
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
AJS Enterprises
t7
0
3. CONTRACTOR or BUILDER'S Address Z
6 Highland Av
Queensbury
4. ARCHITECT'S Name
0
5. ARCHITECT'S Address `Y
6. TYPE of Construction—(Please indicate by X)
O
(x)Wood Frame ( ) Masonry ( )Steel ( ) _
7. PLANS and Specifications
No. 26'x50' Single family dwelling as per plot plan, specifications and application
including two—car attached garage and septic system.
8. Proposed Use cm
Single family dwelling
sv
225.00 September 6 91
$ 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.)
Oq
Dated at the Town of Queensbury this Day of September 19 90
SIGNED BY 7/11),(1-:-2 for the Town of Queensbury
Building and Zoning spector
-TOWN OF QUEENSBURY ...
REVIEWED BY
FEE PAID $
i � PERMIT NO. 04 �s , - =1.�
� � �
BUILDING PERMIT APPLICATION L-J L•
.AUG 291990
- an1 CODE DEP-.
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:_(//
P.O. Address 02 F/79 5/. AX%� ç)tj �17,1'0 C/ / Tel. ..7PO 3d S7
Property Location /r07.z g2 7 / /4) 1 $ /Q Tax Map No./2// ri/
Has there been any split of this property since October 1, 1988? / )('
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE Qk(,{J O d 1S LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF
a
Construction of a new building • CONSTRUCTION: S �l, 4/(,o L.
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* Size of property ft x ft.
Alteration to a building , - ,
(no change to exterior dimensions) Existing Buildings(3) Size ft. x ft.
~ Proposed building - distance from property line:
Other work (Describe) • Front yard z() ft. Rear yard ft.
•
Side yards ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street it.
1st Floor 992- ) " •
/ sq. ft. �M OCCUPANCY INFORMATION
2nd Floor ?�d sq. ft. l b Primary Building -
Other Floors sQ. ft.
_-``�• One Family Dwelling
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA/2 O sq. ft. • Multiple Dwelling/Number of units
Size of new structure ft x 5 6 ft. • Business
Foundation-pier/slab/crawl/partial/�l ' Industrial
(circle one) - • Other
•
No. of stories (habitable space) • ___• ---
Height (grade to ridge) -„1 7 ft. • If addition, what will use be? . •
If residential, no. of families / •
No. of rooms(excluding baths) - 7 • Accessory Building
No. of bedrooms 2 ' ___Detached Garage ONE/TWO Car
No. of bathrooms / •
Primary heating system giede,C /3arelea`�• Attached Garage ON W C
Type of fuel ie r� ' ___Private storage building
No. of fireplaces to be installed a_ •
_Other
Will a wood stove be installed •
Central Air conditioning p •
OV• ER �/0 firse-p(aec—,
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, oodfram)fire safe. etc.
Will any second-hand or upgraded lumber be used? If so. for what?
Foundation wall material _PCZ) �f/ C4(16 Thickness eP 1i
Depth of foundation below grade (to bottom of footing) 2 /
Will there be a cellar? 5' Heated o unheate Floor sq. footage/2.2•-o sq ft.
Will there be a basement Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof sloped at/shed/other Material of roof -74.1-cd4CS' cr>/i�,("�/ -"
Size, wood studs _a "x (',, " spacing/6 " o.c. length f ft. �/
Joists (floor beams) 1st floor ) "x /6 " spacing/H "o.c. span /1 ft. /c/-
Joist (floor beams) 2nd floor "x /(� " spacing/ 4, "o.c. span /... ft.I< /9-1
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing c" o.c. span ) ft. �"
Exterior wall finish i /c2p 4 O ra' of what material? Zl/ ci •
Interior wall finish /2( ' o A /
If a garage is to be attached, descriAf(
e materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? L/TJ If so will a Fire-rated door, enclosure,
self-closing device be provided? y�S' /
Will a flue-lined chimney be installed? AA) Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft._ in,
Water supply l_Iunicipaj)r private well. ,
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties 1//,- ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER 6JS 64 J ADDRESg�p //' /1/Q�rO'/52/fPTEL. NO. 29J-7 6
NAME OF PLUMBER 7 /��hy [-�V1 l/ ,fin ADDRESS 9U�er�vyljoe.(7a-, TEL. NO. 7/l'�; 5 /
NAME OF MASON )�1i1 / 16f/Qj' ADDRESS TEL. NO. 7902- c i 5
a
NAME OF ELECTRICIAN�r54 2fl.'$ ADDRESS �'C��� TEL. NO. 5� �
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.r:^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 ic �l J ---cr r/1'tfs
O er, n ent architect contractor
SPECIAL CONDITIONS OF THE PERMIT: l
BY
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE! NkWI;YOKJ V t,
STATE ENERGY CONSERVATION CODE c� zI.
A permit must be obtained before beginninZg.1990
ANSWER ALL of the following: R. CODE DER
1 . Gross floor area f?� �/ E
2 . Type of heat t�t. C //
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors / 9,
A. Over 16% Only
1 . 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 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 oof and floors exposed to ambient conditions
2 . R value of exterior walls . 2 5, is p&TAr3T/c-H-1-y1
3 . R value of glazed area /, 72_
4 . R value of doors
5. R value of floors over unheated spaces / /d
6. R value of slab edge insulation - unheated slab ;FM, 2.
7 . R value of slab insulation - heated slab `v�
8. R value of heated basement/cellar walls (above grade) /,�
9. R value of heated basement/cellar walls (below grade) GP/b. L
10 . Type of insulation ,Y/ pd/ y- 1J�'�'/�S`Sy4A°,09r"
C. Controls
1. Thermostat maximum heat setting �"U
D. Duct Systems
1. Is duct system installed in unheated spaces? YES C NO
a. If YES , R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency er-/p
2. Temperature control setting maximum /7 O
G. For Swimming Pool Only
1. Maximum heating
Telephone No. 9$L 7J C0 f -U J ��/'S,5
(a licant ' 2 icYnature)
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TOWN OF QUEENSBURY
����_ APPLICATION FOR
i��_
-<;7t
w > SEPTIC DISPOSAL PERMIT ? H ' [ WL '. II
AUG 291990
DATE /d ‘77 .
LOCATION OF PROPERTY FOR INSTALLATION A/• ) 7 7-/-Gl'i /i1J 11-'l,5.' A`�'C,6
Owner's Name: / // j4/4 Telephone: ,�/�✓ 7
1
Address: 5kz4.2/
Installer's Name: ie '.55 4)---a /G`4t Telephone: 7f7-"j
Number of bedrooms (residential only)
Total daily flow (compute (d 150 gal per bedroom) Z- 0
Topography: Circle one: 0 Rolling Steep Slope % of Slope
Soil Nature: Circle on(and Loam Clay Other /Depth: Feet
Ground Water: At what depth? 1�/(/ Feet
Bedrock or Impervious Material: At what depth? /f/ff Feet
Percolation test: Circle one: not requ e) required rate min. inch.
Domestic water supply: circle one MwC--- T:saii, Well Other
If domestic water supply is a well: -
Separation: Water supply from septic absorption /v7lfr feet.
PROPOSED SYSTEM: Septic Tank /'( gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench ,/7 feet/Total system length 427 feet
SEEPAGE PIT(S): Number of 0// / 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 Sanitary Sewage Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: �V P�/ 6"- l�1c->4ZjG(
DATE: 1/0)9/ 76 ...--2) L
/"Ik:gy
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: •
• TOWN OF QUEENSBLIRY
Bay at Haviland Roads,Glueensbury,N.Y.12801-9725
'o; APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Permit No. 1� 5 /�
Date ,f�/ -, . /9 199/5
APPLICATION IS HEREBY MADE to the Building Department'for the issuance ol: a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all
applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all
inspectors to enter premises for the required inspections.
Applicant's Name ,, g .4/ APPLIANCE TYPE
— /� �� - (' A.J Stove Coal X Wood X
Address (:),_7 ,S— ,C* /7' Furnace x' Hot Air X Boiler
/' Zero Clearance Circulating Unit
Cam'it+��0, .n.i_4 he-0 r'L/ Zip /<P cc�'d •
Phone -� q -�- n s-- / If Non-Masonry:
Owner's Name �,0 nit -r
Manufacturer /u X ..r". P
Address Model 5-3 lJ Outlet Size ''7 '
Zip Listed by Number
Phone
CHIMNEY TYPE
• Masonry: Block Brick ) ' Stone
Property location of proposed construction Flue: Tile x' Steel
//r)f , 7 77i'MiiAt),,, 44,0-e__.. • Size: a' ' '
Factory Built:
�� / Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type:'Double Wall Triple Wail
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ ? 90
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$
SONRY FIREPLACES AND CHIMNEYS. ,
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department: Fire Marshal Amount Collected Amount Refunded
Code Number Title ` r9', t
A 173 3389 (190)Public Safety —
A233 2655 (230) Minor Sales .
•
•
Gee Collected fro .or Refunded to: a,‘% 1 ` c k Pi r..) C)Y\
Address: /�
Datcd:`�1�9� Town Clerk or Deputy(-----,-)e----7,,. ___ A c ( } (�, �__�' I
White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES •
FOR THE FOLLOWING ELECTRICAL -
• EQUIPMENT TO.:BE INSTALLED BY
THE UNDERSIGNED 2.1 7
• • TEMP.N ' DATE C. '✓
CITY OR VILLAGE r Li �-}/).'i -. / TOWNSHIP / COUNTY
!!/ r.- t
:: � `
fi %/`/'�!/�'�
STREET AND NO.OR ROAD f r POLE NUMBER
// r. 27 0-'I -)7. . ';�`. '%,i►`` i�1 C"/..
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT •
! /
OCCUPANT'S NAME,‘ / (e f BUILDING.00CUPANCY )
rZ-"''r// ( . • ,/"f (7 f17 , )f it rIli At---411/f ,4-- .
OWNER'S NAME AND ADDRESS ! r j'70ME TELEPHONE NUMBER
CURRENT SUPPLIED BY FROM THEIR OFFICE WORKSEL€P13HQNEMUMBER,,-�_
At
BUILDING IS ,�/
NEW LA\ OLD❑ WORK IS NEW, ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS 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,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS �. 7 FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK (_f/ XPOSED 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 NDERGROUND
DATE INSPECTION REQUESTED
ON(/. c. o1sle}E) MUST ENTER IDENTIFICATION NUMBERS I =� I I/� I_� I -2
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 AP LlC/�Nx' 1: '"1�~ DATE• FAPPLI ATLON IGNATURE,OFARP,LIC,ANT."
STREE CDDRESS /. f %f f / '�! "- TELEPHONENO. / / .
CITY OR"POST OFFICE l•' / . ZIP CODE LICENSE-NO.WHEN APPLICABLE"
l,3 1 /l f J •J f/
❑ 85 John Street ❑ 41 State Streer Iii 570 Delaware Avenue 0 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 1320E -
THE NEW YORK BOARD QF FIRE UNDERWRITERS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT d %%
.217
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPE TION RECEIVED �,��JA/e9
NAME e,.6 e/d )
q t
LOCATION )j1,7C �Y j7 Z lnrrnG6.7 ��
DATE `p?/pV/9G) PERMIT # 97 ;LiE7a
IAPPROVED
H YES NO
FOOTING/PIERS !
MONOLITHIC POUR FORMS i _
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL j ;%
ROUGH PLUMBING I • /
FRAMING rl
ELECTRICAL ROUGH-IN d
INSULATION: y r
FOUNDATION
FLOORS i • .y
Y
WALLS i f
CEILING
FINAL INSPECTION: i P
CHIMNEY HEIGHT 1
ROOFING { . .
-- -SI-DING- PAN-r-W( IN P Cc R. 9
EXTERNAL PORCHES/STEPS — .
STAIRS-CLEARANCE & RAqTLS x
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVAC4DOORS X
FINISHED FLOORS Ax
GARAGE FIREPROOFING 1 • iS
DOOR CLOSER(S) I p<
SMOKE DETECTORS { X
FINAL ELECTRICAL INSPECTI-ttON
_FINAL APPROVAL OF CONSTR 4CTION " x
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:f,A( ( d, 4C:/L k 7i/ /o
g&L-o n A144_ ELL--e- I CAL 1 AJSPeCrI Ar..
p /5SC)/lArC6 ®�- a 0
ARRIVE I10.(7
DEPART l)%I S
INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
��
QUEENSBURY, NEW YORK 12804 •
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT j
REQUEST FOR INSPECTION RECEIVED //f�j/iO
NAME �1 e, ` 1 e eal/pt/
LOCATION t- .,/ �jyy��� L4 ,
DATE //�5 9G / PERMIT # 0 1571
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS ,/ •
FOUNDATION/DAMP-PROOFING • /
BACKFILL APPROVAL J 1
. ROUGH PLUMBING '! ,1
FRAMING C; -4- 7 L C Cam' .
ELECTRICAL ROUGH-IN /.
XINSULATION: ;/
FOUNDATION �j"
FLOORS. • 1. • .y/,i .
WALLS f?.- -1 9 44- •-" 1.-la 1Z , • G,:
CEILING 1? _ .. ,! 1.✓
FINAL INSPECTION:A f
CHIMNEY HEIGHT .1 .n
ROOFING 1 It
SIDING Ar
EXTERNAL PORCHE /STEPS
vt
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLObRSI
GARAGE FIREPROOFING
DOOR CLOSER9(S) ;j
SMOKE DETETORS!
FINAL ELECT ICAL INSPECTION
FINAL APPRO� AL OFd 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:
r/�rJ 9 Eft) L. .L A-C-d L tl C>. U u-'
173 E.nAit Li) ii--1i LP C S ,.
J'
ARRIVE j 0 Li 1.:.1
l;
DEPART 1 L 1.� c i-- /.,
I SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT yy,
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12809.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED //�/��
NAME ,l��u/
LOCATION jj� 7
DATE ,/f�/9- PERMIT # 9Q ;57/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
X ROUGH PLUMBING6:///
X FRAMING
ELECTRICAL ROUGH-IN "
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
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:
14
ARRIVE
DEPART/ /
INSPECTOR
Jown o/ Queeniurj
ByLDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 >"/
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION 4-://�J .J, M „4 �
DATE/D//9/ PERMIT NO. Q/1 � 7/
SOIL TYPE _ and '- Loam - Clay -
Percolation Test Required? YES - 6•
Percolation rate -\ in/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench \.20(�
Depth of trenches ' \
Size of gravel_
SEEPAGE PITS-fNumber of) -\
Size- ft. X ft.
Gravel size ,
PIPING: S ep '
Bldg.. to tank !i/t
Tank to dist. box C/
Dist. bo): to field/pit 1,1 's" WPS/
Openings sealed? YES NO •artial
i
LOCATION/SEPARATIONS:
Foundation to tank /6 ft.
Foundation to absorption ft.
Absorption to lot line /0 ft.
Separation of pits ft.
LOCATI SYSTEM ON PROPERTY(circl- one)
Front s - Left side - Right side -
COMMENTS:
SYSTEM USE APPROVED ES NO
Bui ng Inspecto
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR NSPECTION RECEIVED > /d-j 1 (j
NAME //Z (// 1/ G/di X
LOCATION -
DATE /di& /06 PERMIT # Q-5 /r/
F
i APPROVED
YES NO
ti
FOOTING/PIERS f •
MONOLITHIC POUR FORMS j
xFOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL I if
ROUGH PLUMBING . a�
FRAMING • a ' • • S3'
ELECTRICAL ROUGH-IN j if
INSULATION: 4 s'
• "FOUNDATION
FLOORS ? I
WALLS f •
CEILING /
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS'
STAIRS-CLEARANCE & RATLS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS •
FINISHED FLOORS . /
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 OFjOCCUPANCY MUST.BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
di
REMARKS: l�(�`1.43 r � N A k g )cio
.j �C). 1 2:1 a� j r xi 'i� c �� j �1 i.1 .h � o Cr 4./
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ARRIVE- "3: i' �/
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INS
✓
DEPA ECTOR
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
NAME 31 f2O JT
LOCATION ! Z 7 77 'tQ,e r—s //,,
DATE / 90 PERMIT it9 57 f
APPROVED
YES NO
FOOTING/PIERS X
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
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: / R_Ptit6 - z C' jJ(
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ARRIVE I
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