1990-657 f
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date "IkA�in7ae4 l 19 9/
301i
to be done as shown
This is to certify that workrequestedby Permit No. 90-657
has been completed.
This structure may be occupied as a dining, living room, master bedroom & bath
>g9 West Mountain Rd
Location
LIESL H. FLEMING
Owner
f.
By Order Town Board
•
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY X
No. 9D-657
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to LIESL H. FLEMING
CO
169 West Mountain Rd Street, Road or Ave.
OWNER of property located at
in the Town of Queensbury,To Construct or place a Addition to dwelling V
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
T
same
rn
2. CONTRACTOR or BUILDER'S Name
I—
J.
CD
N
3. CONTRACTOR or BUILDER'S Address =
4. ARCHITECT'S Name
rn
5. ARCHITECT'S Address ftD
to
c+
0
6. TYPE of Construction— (Please indicate by X)
c+
I1
(X)Wood Frame ( 1 Masonry ( ) Steel ( )
a
7. PLANS and Specifications
No. 17'x32' Two story addition to dwelling as per plot plan,
specifications and application.
8. Proposed Use
Dining/living/master bedroom and bath.
0
$ 64.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 27 19 91
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.) a
z
rD
Dated at the Town of Queensbury this 27th Day of September 19 90
SIGNED BY for the Town of Queensbury
Building and Zoni Inspector
' d
TOWN OF QUEENSBURY
REVIEWED BY
FEE PAID $ // c vbtl��! o^ flf
PERMIT NO. 7 ffo= �f= ,. cUR
BUILDING/PERMIT APPLICATION SEP 2 6 1990
BLDG. & CODE DEpr
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: • L./'E S[.. t/,av/LAND fLoAt/NG
P.O. Address / ? GOEST A.roctiuris/N /ZD Tel. 77 2 • o' 70 g
Property Location G2,u gem sr3 u/e-'? _ Tax Map No. 87/
Has there been any split of this property since October 1, 1988? / ci
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION-_OF WOR_ K AS REGARDS TO BUILDIN-G--CODES_IS:
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF •
Construction of a new building „ CONSTRUCTION: $ 30,000
( Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property 72.8 x 312.9'x.2119.5.'ft x o? 6•/ ft.
Alteration to a building • Existing Buildings(3) Size o?y ft. x y8 ft.
(no change to exterior dimensions)
• Proposed building - distance from property line:
Other work (Describe) . • Front yard ft. Rear yard //0 ft.
•
Side yards o?D ft. and ..Z2, ft.
•
GROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from side street ft.
•
1st Floor S/21- sq. ft-. • •,
• OCCUPANCY INFORMATION
2nd Floor d 7,z. sq. ft. • ' Primary Building -
Other Floors sq. ft. , • -The Family Dwelling
(not cellar or basement • Two Family Dwelling
TOTAL FLOOR AREA 78 / sq. ft. • Multiple Dwelling/Number of units
Size of new structure or ft x 3.Z. ft. • Business
Foundation-pier/slab?. .rtial/full • Industrial
(circle one • Other
•
No. of stories (habitable space)_ •
Height (grade to ridge) .23 - 5 72. 4 ft. • If addition, what will use be? Dimm611-rv/NG/S a
If residential, no. of families • /y p,Sre2 (3e D/Zoom / ,B/ST!-,/
No.-of rooms(excluding baths) 3 4-
No. of bedrooms / Accessory Building
•
No. of bathrooms /. S •
Detached'Garage ONE/TWO Car
Primary heating system fo,eceD HorA/2 • _Attached Garage ONE/TWO Car
Type of fuel on. •
Private storage building
No. of fireplaces to be installed •
Willa wood stove be installed /J • _Other
_
Central Air conditioning •
OV* ER
BUILDING PERMIT .APPLICATION CONTINUED -
BUILDING 3PECIFICATIONS:•
Type of construction, wood frame, fire safe, etc. Woo() fiehatiE
Will any second-hand or upgraded lumber be used? If so, for what? No
Foundation wall material /5/.40cle, Thickness S `'
Depth of foundation below grade (to bottom of footing) ca "
Will there be a cellar? it-90 Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? No Will any portion be used as living space?
(If so, what portion? • sq ft. Type of use?
Type of roof - oped flat/shed/other Material of roof 4Spyi cr/F/8 2; Sb/uu tz.5
Size, wood studs "x " spacing // " o.c. 7%length 7- ft
g .
Joists (floor beams) 1st floor •
02 "x �' " ;pacing /� "o.c. span/0-29 ft.
Joist (floor beams) 2nd floor a "x /a spacing /,S "o.c. span 8 ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters ,Z "x /a " spacing ay o.c. span 8 ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish 80/1/2.0 8Arr6N of what material? P/Ng
Interior wall finish 5I,EET RoctL
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
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? PO Height above roof ft.
Depth of chimney foundation.below:gr.ade ft.
Depth of fireplace hearth ft. in..
Water supply unicipal 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 1I/CH/sec.. iv& ADDRESS /6" ,sr,-cr.20 TEL. NO. 77 020?708
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON /1&u ,(j/Lowhieu_ ADDRESS )y P/n Sr, mioso J t VEL. 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 provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner.
•
✓ Signaturq� e-e,7
Owner, owner's agentitichltect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
9
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEG
t�%��DAYS
UEENSBURY
REE
r e_•CEIVFD
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) SEP 2 6 1990
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwel FRS.;& CODE DEFT.
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
Lee, 4aul. e,rm,e / es):147ren _
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 7 "7 Sq. Ft.
2. Type of Heat - Elec. Base Board Other rot/0.J cue—tk (�`"14-C-I 0 ► I
3. Is Building Mechanically Cooled? YES )( NO
4. Percentage of Area of Windows and Doors Over 17% X Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R
B. Exterior Walls R/g 25 Iq
C. Glazed Area R 1. 2, 5
D. Exterior Doors R . S 2..5 2 5
E. Floors over unheated spaces R 1 25 iq
F. Edge of Slab on Grade (Heated Building) R 1/ II I
G. Basement/Cellar Walls (Above Grade) R 25
H. Basement/Cellar Walls (Below Grade)
I. Heating/Cooling - Ducts - Piping in Unheated Space R Luc, 4-. (o 4. Co
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code \ YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
/?s re, 7,c ?- a 708
APPLICANT S SIGNA l DATE TELEPHONE NUMBER:
INSPECTOR'S REMARKS:
REVIEWED BY
'9
TOWN OF QUEENSBURY �S 1
`� a APPLICATION) FOR SEPTIC DISPOSAL PERMI(TV
DATE: 9,�5 q0
LOCATION OF PROPERTY FOR INSTALLATION 1( 1 J f1�}-�i�I. 1� d'. SEP 2 6 1990
Owner' s Name:
& CODE DEPT.
Address: f j
Installer' s Name: A D EXcn v,ri,u& Telephone: 79.3 -- 3.27/
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) '4f O
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one: ,,Sand Loam Clay Other /Depth:
Ground Water: At what depth? Feet
Bedrock or Impervious Material : At what depth? Feet
Percolation test: Circle one: not required required
Rate - Min. Per Inch
Domestic water supply: Circle one. Municipal, Well Other
If domestic water supply is a,
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank / 060 gal . (minimum size: 1,000 gal )
TILE-FIELD: Each Trench ,..!SL feet/Total system length -_'?���{ feet
SEEPAGE PIT(S): Number of : /Size each 5 feet
by r feet
Size of stone to be used #•. /Depth or Thickness feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical work to be inspected by an approved
agency.
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 a,W/ DATE: ?// //ro
•
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 co any water supply .
5.) size and dimensions of all tanks, distribution boxes,
tile fields anal/or drywalls
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 ,che 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:
!(,". ..,!Aiti,e,,)tl 1ti,",19i..\t..1"1 atl.,,iri.J.,,C.ln"C.e,./.C,sirp.vi!... jt�,".",J,•i..%,•,C te[,1,•,!,," 1"l,tij,tt.?itk;‘,./;,C",".a•/.".,‘,/,),L),;.,ti,,p APB.,m,"...i._}i.‘.h4ti,}9.,"> •:.b„"!,jr!
•
ji
THE NEW YORK BOARD. OF FIRE UNDERWRITERS PA GF. 1 : u
Is 018320 BUREAU OF ELECTRICITY
_ 1; 41 STATE STREET;ALBANY,NEW YORK 12207
i; Date DE ^ r Application No.on file 1 ; r.
CL�IBE.c 03.. 1991 J70pU79313g.1 II .}157 s44
z �i THIS CERTIFIES THAT �D��j�1 ,•
' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
-e `:r
'>'1.LKE FI.,EMII�'G, 169 Z'�FST NOU)NT'Jr ROA1) O1TEENSBI?RY, N.Y, ' r
? tc. in the following location; ❑ Basement ❑ 1st Fl. 0 2nd Fl. Section Block Lot
i' was examined on 2�i L '
�, NOV EMBER �_;19-}1 and found to be in compliance with'the requirements of this Board. '�
i4i ':
:; FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ':
OUTLETS ECEPTACLES SWITCHES
.4, INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ,7,
1, .4 14 rJ
t. •
, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS 'BELL UNIT HEATERS MULTI-OUTLET DIMMERS s!
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 ,i
�,
1,
SERVICE DISCONNECT NO.OF 5 E R V I ' C E
z. : AMT. AMP. TYPE EQUIP. 1,B'2W 1�'3W 3/B'3W 3 A 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G• NO.OF NEUTRALS A.W.G.
.{, PER B OF CC.COND.. - OF HI-LEG OF NEUTRAL
if/ .
1k. 'i
ip OTHER APPARATUS:
-i,
PAD
DLE ADDLE FAi1
E i; PANELBO.1RDS:1-G CIR. 60
G.F.C.T: 1.
1,
SMOKE DETECTOR:-1 . . .
!!('; TRACK L1GI-IT'ING:-18
lf, • • ,
H '..9-- '.
i?f,' NIKE FLEMING .
. 1------. (......-- cu.2:--e:',.4
?LiEE JuBIJR ; _\'` r BRANCH MANAGER
ol, -. 239 :
Per •
IA, This certificate must not be altered in any manner;return to the office of the Board ifincorrect: Inspectors .may be identified by their credentials. '`
COPY FOR BUILDING DEPARTMENT. THIS COPY DE CER1 IFIECATE MUST NOT BE ALTERED IN ANY MANNER.
! ° Q1'\(TOWN OF Q
U\E'
ENSBURY
; . 531 BAY ROAD
<'' QUEENSBURY, NEW YORK 12804
�' TELEPHONE (518) 745-4447
BUILDING-INSPECTOR'S REPORT
FINAL -1rTI-ON-_,) , �/
REQUEST FOR I CTION—RI.CURDn I`��h 1 5 l
NAME .-\e 1.c�. 1;. �` �``I ��)�'G%SL.
LOCATION 1( }9 k)1GA- f\ 11 (,J
DATE c PERMITS C —6 5 7
TYPE OF TRUCTURE d/1'G1d 177i t(ve%((t il.
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL TRUCTURE)
' FOOTING XFOUNDATION BACKFILLFRAMING
ROUGH PLUMBING BING FINAL ELECTRICAL � SEPTIC
INSULATION WO DSTOVE/FIREPLACE'
REMARKS
,r`/
\ 4 APPROVAL
;/N/AI YES NO
CHIMNEY HEIGHT/LOCATION `k
B VENT/LOCATION \ j,
✓PLUMBING VENT ,
ROOFING ;' //
SIDING
DECK/PORCH/STEPS/RAILINGS \ ii
RELIEF VALVES ;
FURNACE/HOT WATER OPERATING „' : J
BASEMENT INSULATION/DUCTWORK ;.
INTERIOR TRIM/PRIVACY DOORS' '
FINISH FLOORS: ,,•
BATH/KITCHEN WATERTIGHT' ✓
OTHER FLOORS SWEEPABLE ;:` '' //-
OTHER FLOORS CARPETED .r' '�, ,/
STAIR CLEARANCE/RAILINGS;'
HANDICAPPED ACCESS
SMOKE DETECTORS J ' ,�
BATHROOM FANS/WHOLEHOUSE FANS v
ALL PLUMBING FIXTURES ,OPERATING ✓
GARAGE FIRE PROOFING
DOOR CLOSERS N.
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
06-de,n/041 CirJ ,
ARRIVE
DEPART —'
INSP,L' TOR
�‘e, TOWN OF QUEENS I RY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION /
REQUEST FOR INSPECTION RECEIVED
NAME I C1}Th 1 ( 1 1 (' SI H
LOCATION f(1? azfrap ifs),
DATE )1,40;40/ PERMIT// Q°' 4757
TYPE OF STRUCTURE �, Gk'
RECHECK
FIRE MARSHAL APPROVAL (CQ MERCIAL STR CTURE)
�/�90TING FOUNDATION A'CKFILL_ ,IRAv1ING
AUGH PLUMBING FINAL ELECTRICAL _'SEPTIC
SULATION WOODSTOVE/FI(REPLACE�
REMARKS
APPROVAL
1 /AI YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS "
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK:
INTERIOR TRIM/PRIVACY DOORS /'
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT `f
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS,`
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURESnOPERATING
GARAGE FIRE PROOFING /
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS /;
DUMPSTER .1
SITE PLAN/VARIANCE'sREQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
CJ" ,
ARRIVE
DEPART '�//
INSPEC ��
TOWN OF QUEENSBURY 0/1
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED J2Ji�1
NAME \\ \ S \ PIS vL*✓v. 1
LOCATION '.(nc U,2S ) fl1 -/U i
DATE 1 9-PERMIT # C7� 675
TYPE OF STRUC URE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROI4
FREEZING .FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE1111
FOUNDATION/WALL POUR 1
REINFORCEMENT IN PLACE I �'
FOUNDATION/DAMPROOFING i f
BACKFILL APPROVAL d '
ROUGH PLUMBING r"
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB f
FRAMING: "s /
JACK STUDS/HEADERS /
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM ;R
FIRESTOPPING
WALLS
CEILING
FIREWALLS /
HEATING ROUGH—IN /7 A
1d NSULATION: {
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR
FLOORS . v
WALLS
CEILING
DUCT WORK OR PIPI G IN UNHEATED
SPACES
REMARKS:
•
ARRIVE 1 i
DEPART I S
INSPECTO
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT friti531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME //1>)(/
LOCATION ,(ivq 7,d Pd
DATE ,1)1 3I ) ?i PERMIT # /76 :571
TYPE OF STRUCTURE add d t6 (.i.(10.""/.M?
RECHECK APPROVED
N/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 f
ROUGH PLUMBING b/
PLUMBING VENT/VENTS IN PLACE '; J
PLUMBING UNDER SLAB
FRAMING: f
JACK STUDS/HEADERS f
BRACING/BRIDGING !
JOIST HANGERS
JACK POSTS/MAIN BEAM �..
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN 1
•
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- 1
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
. SPACES 1
REMARKS:
•
ARRIVE //
DEPART / --
INSPECT
TOWN OF QUEENSBURY elz-
l�
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
•
NAME � 4/, , ,,.//ezy�e./4777
LOCATION 4,/ ,72)t
DATE , / r /2/ PERMIT I
TYPE OF STRUCTURE ��-L7 Tli
RECHECK APPROVED
N/A YES NO
J FOOTINGS/PIERS Gam- /0�/ i/ ►/L
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE /
FOR PROVIDING PROTECTION FROM
FREEZINGtiFOR 48 HOURS FOLLOWING
THE PLACENT OF THE CONCRETE.
MATERIALSsFOR THIS PURPOSE 9N SITE
'FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE /
gOUNDATIOt/DAMPROOFING '%(04A/'L
BACKFILL APPROVAL /
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN/PLACE
PLUMBING UNDER SLAB
FRAMING: \ /
JACK STUDS/HEADERS/
BRACING/BRI`,DGING /
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING "
WALLS \ I
CEILING na`'
FIREWALLS A
HEATING ROUGH-IN'i;
INSULATION: I
FOUNDATION WA'LLSINTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS I ,, R-
WALLS R-
CEILING I R-
DUCT WORK OR PIPINGe;IN UNHEATED
. SPACES / 'o,
REMARKS: AQG L�
b
I •
•
ARRIVE
$4) , / C)
DEPART 3
INSPEC 'IR
Jown o/ Queen 3tu r j .
UILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 �0
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ,f iJj 9JX 7?
•
LOCAT I Ol1lV/`�,(/.f',d i 22K art e
DATE n.)/ C/ / "�4 PERMIT NO. D - .57
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required?; YES - NO
Percolation rate - Min/Inch
\ r ,
TYPE of SYSTEM.$
Absorption field, total 1
Length of each tr .
Depth of tr es '
,
Size of'gravel" \
SEEPAGE PITS4Num4r of) ' ,1
Size- S ft. X ' ft.
Gravel size , •,
PIPING: Size Type
Bldg. to tank -
Tank to dist. box
Dist. box to field/pi'''.
Openings sealed? YES ,I NO Partial
LOCATION/SEPARATIONS:
Foundation to tank 4� $4 10 ft.�--
Foundation to absorption �; '-.0 ft.1-
Absorption to lot lineh �} (-oft.
Separation of pits Y \OJ .
L• ,TION OF SYSTEM ON PROP4TY(circle one)
Fron - Rear - eft side Right side -
COMMENTS: Qf
�v I LT � U ®1 ?LA
,I -
1
�•i
SYSTEM USE APPROVED 40 NO
L - 2,---
Building Inspe for
01/86 and vl
Jown o/ Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 b.,„
Queensbury, New York 12801
1
SEPTIC
DISPOSAL SYSTEM INSPECTION
AM NE A4- if2,,,44 i i1CJ
LOCATION
DATE ��. //l�1 PERMIT NO. �4 7
SOIL TYPE _ Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length Z 53 1
Length of each trench
Depth of trenches
Size of gravel_
SEEPAGE PITS-+NuMbbexof)
Size-
G ,veT size �'-
PIPING: Size-- Type
Bldg. to tank 4 Sc_ir -c P L'
Tank to dist. box 4 y LJ.0
Dist. boa: to field/pit ‘-t pi) C.
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank 7..0 ft.+ -
Foundation to abscrptiony,,-ftg_
Absorption to lot line ft.pe-k Pie r 0,44✓
Separation of pits
LOCATION OF SYSTEM ON PROPRT.Y4circle one)
Front - Rear - Left side Right side)
COMMENTS: /�A
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LtuL- i iOs Ls oP
SYSTEM USE APPROVED YES NO .�
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71 . (+Yr
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k-.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED r%�
NAME Yn ) - Q,M
LOCATION ((pFi COL )' 1
DATE //D/�, PERMIT # .$9 - 7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
,FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-INS
INSULATION: •
FOUNDATION
FLOORS . . . . . .
WALLS . 4 . . . . . . . . .;;
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT li
ROOFING f
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS /
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY $OORS
a
FINISHED FLOORS
GARAGE FIREPROOFING ,('
DOOR CLOSER(S) ,i ,!
SMOKE DETECTORS •V
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION- .
al -
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: POU
f
•
I
1 ,
ARRIVE /o :ci e
DEPART ! 0- f O
di1/1_
I ¢PFCTOR
TOWN OF QUEENSBURY /.
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- b/( 7
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /D//7/ 1
NAME '_ ,��,4��Q� l/./411✓�.0
(� .
LOCATION / d��'"/li
DATE ///7/f7 PERMIT # -A,-7
APPROVED
?//d 4 :( YES NO
Gr
XFOOTING/PIERS • " .)(
MONOLITHIC POUR FORMS V 1
FOUNDATION/DAMP-PROOFING ,I .
BACKFILL APPROVAL • ?" • "
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN "
INSULATION: d
FOUNDATION t •
FLOORS g
WALLS . . " " . . .
CEILING " " ' •1"
FINAL INSPECTION:
CHIMNEY HEIGHT • ;I "
---ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF' VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS V
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION' '
OK TO ISSUE C/O OR C/G'/
A SIGNED CERTIFICATE;OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE ,OCCUPIED!/
• REMARKS: i 6 A j 0/\ (1(Ito/ 1 e -
I f„• /-o c&4
S'.
lye
ARRIVE ?
DEPART / . 7 ► 1 /�" `
I SPECTOR
G
SEPTIC NOTES
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