1990-674 .0.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY,. NEW YORK
Date a 1m Q_ I/v 19 91
V
This is to certify thIt work requested to be done as shown by Permit No. 9O 674
has been completed.
This structure may be occupied as a single family dwelling
Woodcrest Drive
Location
PAUL & LORRAINE ABESS
Owner
By Order Town Board
TOWN OF QUEENSBURY
C-Q, ///'
/ ..
Director of Bldg. & Code Enforcement
N
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-67 4
WARREN COUNTY, NEW YORK
cc
PERMISSION is hereby granted to PAUI A I ORRAINE A$FSS
OWNER of property located at tloodcrest Drive 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
20 Sunset Av
m
Warrensburg NY 12885 N
2. CONTRACTOR or BUILDER'S Name -p
0
R.L. Chase Builder
3. CONTRACTOR or BUILDER'S Address
0
-5
RD#1 Box 258 -s
Queensbury NY 12804
rD
4. ARCHITECT'S Name
5. ARCHITECT'S Address
0
0
0_
-5
6. TYPE of Construction-(Please indicate by X) N
( ?'Wood Frame ( ) Masonry ( I Steel ( ) C7
7. PLANS and Specifications •
rD
No. 341)(27' Single family dwleling as per plot plan, specifications and
application to include a two-car attached garage and septic system.
8. Proposed Use
Single family dwelling
m
312.00 October 4 91
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 2
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the c�
town of Queensbury before the expiration date.)
0_
z
CD
Dated at the Town of Queensbury this Day of October 19 90
SIGNED BY , ` for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY :OWN OF QUEENSBURY
REVIEWED BY . RECEIVED
� `
,' 1� FEE PAID $ $' ,, ®CT -
1990
!wive, PERMIT NO. 74 -472,/
l
BLDG. & CODE DEPT.
BUILDING PERMIT APPLICATION
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:_Pi9LL /4/111) LOi /1q)/M/F 191 ______________
��55
P.O. Address c9n LS-' . f / VP. wl Yl�i�415 hi�.crn , AJI1 Tel. - 2
5 2 3 '/o gS; --/-- 7-6 7
Property Location 611Oc9 drv,e_s li' Qria.�, Tax Map No.. / /
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 3. -U+�� C►� tv`1r-* LOT NO.
THE PERSON RESPONSIBLE F SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
V� .� _ R L 0,C,,,,,_5-e of C kc.
a
NATURE OF PROPOSED WORK: a ESI'IMATED MARKET VALUE OF
Construction of a new building • CONSTRUCTION: $
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property 14 0 ft x o I 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 •I/L ft.
• Side yards ft. and 60 ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street '75 ft.
1st Floor /1 G� sq. ft. 13 •
OCCUPANCY INFORMATION
*
2nd Floor /i 0 U sq. ft. / • • Prima y Building -
Other Floors '" I 36 •• One Family Dwelling
sq. ft.
(not cellar or basements •• Two Family Dwelling
TOTAL FLOOR AREA20_sq. ft. • Multiple Dwelling/Number of units
Size of new structure_ft xft. • Business
Foundation-pier/slab/crawl/partial/40 Industrial
(circle one) • Other
•
No. of stories (habitable space)= •
Height (grade to ridge) 3 2 ft. • If addition, what will use be?
If residential, no. of families I •
_
No,of rooms(excluding baths) q • Accessory Building
No. of bedrooms Li • __Detached Garage ONE/TWO Car
No. of bathrooms i l •
Primary heating system a 4% 11-GJ�/'1 • =Attached Garage ONE WO C
Type of fuel G /9'5 •
Private storage building
No. of fireplaces to be installed , •
Willa wood stove be installed • Other
Central Air conditioning 1 e5 •
OV• ER
BUILDING PERMIT .APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. l.v 0 0Will any any second-hand or upgraded lumber be used? If so. for what? /LI 0
Foundation wall material niG t1v �'�� Thickness g
Depth of foundation below grade (to bottom of footing) Arc
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? y-es Will any portion be used as living space? 11-'0
(If so, what portion? sq ft. Type of use?
Type of roof - slope jflat/shed/other Material of roof in-s p4„q./j`- 5A, ,��
Size, wood studs "x 6 " spacing A " o.c. length S' ft. I
Joists (floor beams) 1st floor "x /6) " spacing /L "o.c. span / �% ft.
Joist (floor beams) 2nd floor .2 "x /O " spacing /(, "o.c. span /4/` ft.
Overlays (ceiling beams) 2- "x " spacing ) J' o.c. span Aft.
Roof rafters "x " spacing /6 o.c. span /a ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish C ( p of what material?
Interior wall finish '/0-- s1\ . c.ce
If a.garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? \,/.65 If so will a Fire-rated door, enclosure,
self-closing device be provided? c\j` S
Will a flue-lined chimney be installed? ,A-/c) Height above roof ft.
Depth of chimney foundation below grade ^ ft. I
Depth of fireplace hearth aft. in... - C`e i96r-A c-{ (A-oT r3Q-c-A Pss-t-/k r�4
Water supply - Municipal or private well 'yr til C.- k p/)-
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)
t / ):3 Gx 0.-51 _ r)
NAME OF BUILDER RI CI—.0 -e a J. t-- ADDRESS �e e��s��� TEL. NO. -7 k I S G 7
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 provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed work shall be complied with, whether spe ed or not, and that
such work is authorized by the owner.
Signature
Owner, owner's agent, archit , contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods: r.tv1A.,. 97"1
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
OCT - 11990
PART 6 - Thermal Rating - Component Trade Offs 1 & 2 Family Dwellings;
Multi-Family Dwelling!
(3 Stories or Less) LDG. & CODE DEPI'.
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
1 1-0 I 5 ibc, 6(.„& Q„. (SiJoL.e c4-d 0
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - .. " U v Sq. Ft.
2. Type of Heat - Elec. Base Board Other G r -, /j4 ,L 19 r t,-
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% 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 3 L3.3 k30
B. Exterior Walls R I I 25 19
C. Glazed Area R
D. Exterior Doors R 2.5 2_05
E. Floors over unheated spaces R " 25 lq
F. Edge of Slab on Grade (Heated Building) R . I __LI___
•
G. Basement/Cellar Walls (Above Grade) R ) 1 25 11
H. Basement/Cellar Walls (Below Grade) R "14i
I. Heating/Cooling - Ducts - Piping in Unheated Space R 4. (a 4-.
6. Service (Domestic) Hot Water Heating Device •
A. Conforms to minimum efficiency per code i YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
101
A LICANT'S IGNATURE DATE TELEPHONE NUMBER:
INSPECTOR'S REMARKS:
REVIEWED BY
TOWN OF QUEENSBURY
41111
APPLICATIOXI FOR SEPTIC DISPOSAL PERMIT
DATE: J O) / / 9 p n OWN OF OUEEWSBURY
RECE1Vcn
LOCATION OF PROPERTY`'Cc.v FOR INSTALLATION Wool C w-C $� w ��� ( 5 .CIC � G�
` ° Le)k r A r /� o' e 5 S T - 19�
Owner's Name: / i � �
Address: .10 So A, -e/4- 4 -Z LA, 1 - -- --Y-t1/4-s 1 BLDG. & CODE DEP r,
Installer' s Name: R .. I ( 41( Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom)
Topography: Circle one: Flat Rolling Steep Slope % of Sly
Soil Nature: Circle one: San 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 well .
Separation: Water supply from any septic absorption - feet.
PROPOSED SYSTEM: Septic Tank / 67-210 gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench 3 0 feet/Total system length 6-0 feet
SEEPAGE PIT(S): Number of /Size each feet
by 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: DATE:
1
•
lotto Syite• Inspections,:
.A. all applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
bye submiccsd co 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 linen
3.) location and distance co structures •
4.) location and, distance co any water supply
5.) size and dimensions of all tanks, distribution boxes,
cild fields and/or drywalls
B. No system shall be covered before inspection and approval by the
Building Inspuctor. 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 co produce said plot plan at tins of inspection may result in in an immddiace work stoppage.
D. Should unforeseen problems during construction prevent proper installa-
tion, alteration or rupuir- of an approved system, a new proposal musc
be submitted co the Queensbury Building Department before further
construction.
•
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Folds
Queensbury, New York 12804
•
Remarks: f.
. . , .. _.. .....�, -'S;.1' +,t .. ,. ,. ,. -.it ., ... -'� .• - . ... 7UVSLY�'�,. . ..yT 'qLI
'�.+•
TOWN OF QLIERY +"J' .
Bay at Haviland Roads,Queensbury;N'.Y.12801-9725'
APPLICATION FOR.SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
•
Date /a �U 19 • Permit No. 90-�7 -
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all
. applicable laws; ordinances, regulations and all conditions that are part of these requirements and also will allow all
inspectors to enter premises for the required inspections.
Applicant's Name PO..v ) i Grr0//t. {' p-1�-e SS APPLIANCE TYPE
1. Stove Coal .Wood
Address U `.Q ak., S,•,.--1 19 ' R .- /,�4 rrQtish.., Furnace Hot Air Boiler
Zero Clearance . Circulating Unit
Zip ,
Phone 6 ) 9 5 3 If Non-Masonry:
Owner's Name • (1�,ICevdu�ti 0-1R e s�,,`� �r n��
Manufacturer
Address Model Outlet Size
. Zip Listed by Number
' Phone •
CHIMNEY TYPE
Masonry: Block Brick Stone
Property location of proposed construction
Flue: Tile Steel r'.
• ,v oOd cf^e-s7 [Dr. . Size:
- 'j6 e cro-f.r Factory Built:
. `t Manufacturer Model Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By . Number •
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ S
SONRY FIREPLACES AND CHIMNEYS.
CASHIERS DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department; Fire Marshal . ; .. Amount Collected Amount Refunded
Code Number Title
A 173 3389 (190)Public Safety
A233 2655 (230) Minor Sales ,>
Vice Col" Iccted from o Refunded to: /61,h/,//f /.// ii( (�d'—i .P
Ai dross
U:Ited: �, �__ J
/V/ /7d Town Clerk or Deputy "-// ,� , i' 1 i.' „� ''
While:Applicant Yellow and Pink:Cashier's Deparlmerti ajoHldenrod:Fire Afarsha!
YOU ARE.HEREBY REQUESTED TO -
- INSPECT AND ISSUE CERTIFICATES .
FOR THE FOLLOWING ELECTRICAL •
. EQUIPMENT TO BE INSTALLED. BY
• THE UNDERSIGNED /
TEMP.N DATE Ii^f)
CITY •
OR VILLAGE
'� ,_ J J I 1 TOWNSHIP COUNTY
(% / /
STREETANDN0.05!1) L 5 - CT}V/-5t 1 V 5 3L)R y • 0/l),/c kyr.FiV
POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES‘LOCATED? SECTION i BLOCK LOT
JJ `
•
OCCUPANTS NAME ( BUILDING OCCUPANCY .
i
OWNER'SNAME AND ADDRESS HOME TELEPHONE NUMBER
/I I I-\ ` C
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER •
i e ,..`3. • .
BUILDING IS ^ � •
NEW L"" 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
lion 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 FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED 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 ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTEFi DENT F CATION PUMBNTS ► I I I. I I I I
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 APPLICANT DATE OF APPLICATION SIGNATURE OF APPLICANT •
X
STREET ADDRESS TELEPHONE NO.
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE'
0.85'Johrr Street E 41 State Street 0 570 Delaware Avenue 0 217 Lake Avenue 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 'BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
// ,(212)227-3700 (518)463-2I22 (716)884-1155 . •(716)254-0141 (315),463-8552 i
.A THE NFWIYORK BOARD OF FIRE ]UNDERWRITERS
7/6e.„6‘ cDx7'/Z, ,,/7 G 7—7 9'
?GGI�.- Z 2U "fit-'
y#. TOWN OF QUEENSBURY /I/22
• r" 531 BAY ROAD
_,f, j4.. QUEENSBURY, NEW YORK 12
,,- TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIr,,
REQUEST FOR INSPECTION RECEIVED 6//// 9/
NA2E /Q 1/L1 E ?ef ' _I/1Z1) &i/i tI4)
LOCATION ,, j - /( fit/ / Al /A/
i
DATE kl/a/%/ PERMIT# 9e/-- -7
TYPE OF STRUCTURE,&144?6 .dint-( � i/i,//p/G4
RECHECK
r
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
kL-FOOTING FOUNDATION BACKFILL; FRAMING
j ROUGH PLUMBING FINAL ELECTRICAL SEPTIC ;,
-INSULATION W000STOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS I YES NO
REMARKS,A) //.y/i401 4APAi//, !. 4X-?/9/a4
G' ; ,>APPROVAL
;N/A YES NO
CHIMNEY HEIGHT/LOCATION ;( :-
B VENT/LOCATION / L-----
PLUMBING VENT ,/?
ROOFING / v
SIDING / L-----
DECK/PORCH/STEPS/RAILINGS / i v
RELIEF VALVES / f L----
FURNACE/HOT WATER OPERATING r i,
BASEMENT INSULATION/DUGTIOR(-..
INTERIOR TRIM/PRIVACY DOORS ; E---
FINISH FLOORS: , x
BATH/KITCHEN WATERTIGHT ; L.--
OTHER FLOORS SWEEPABLE /-
OTHER FLOORS CARPETED 1 1.-___
STAIR CLEARANCE/RAILINGS i L....
HANDICAPPED ACCESS / f
SMOKE DETECTORS /
BATHROOM FANS/WHOLEHOUSE FANS �---
ALL PLUMBING .FIXTURES OPERATING + .----
GARAGE FIRE PROOFING L.--:
DOOR CLOSERS / ; i
OTHER FIRE SEP4RATION
FIRE/DEMISE WALLS
DUMPSTER ;
FINAL ELECTRICAL L
OK TO ISSUE /0 OR C/C I
COMMENTS:
ARRIVE 9:
DEPART 9' 9i-9
INSPECTOR
TOWN OF QUEENSBURY U�
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804 ,Q4�
TELEPHONE (518) 792-5832 /'
FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED a/I,A7/
All,/All,/NAME .�' 4 1(4,44
LOCATION j L /�i -2r7/ (`/)Ojj
DATE /it/ i PERMIT# 9Q l74L
j APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
}
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES ;-
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY v
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT 4/4
A
REMARKS: ' 11;.OK TO THIS DATE
�' 11
.6L)
ui4/VV
ARRIVE /
DEPART
INSPECTOR
ELECTRICAL INSPECTIONS
,DUPLICATE MUNICIPAL 0� RECORD
7i .c —
Permit No. /j..�' '
Owner e• /// :.7 e
Occupant Location 16 G[10 O ) 6 2e. r
7,--5 LL LAN S �
Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursu na t to applicable
codes.
Installed by E7 Al 2/ 67-C.
o. Q-
Date 6 la -9/
MIDDLE DEPARTMENT INSPECTION AGENCY,IN c;
FORM NO.18 EL. 1337 West Chester Plke,West Chester,PtAi938. ` •
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
5 / s9.4/7 I ./-f, WIRING &CONTROLS FOR G /� BURNER
6 7 RECEPTACLES - . H.P.PUMP
4/ FIXTURES K.W.OVEN
( AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
if 0 AMP.SERVICE CONDUCTORS / K.W.DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W.RANGE AMP. RECEPTACLE
K.W.WATER HEATER 3 FRAC. H.P.VENT FANS
MOTORS H.P. I/20 1/12 1/10 % % % 'h h % 1 1% 2 3 5 7% 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE J j%�Z
1// PERMIT #
l I • '
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR•\FORMS
FOUNDATION/DAMP}PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS A r
WALLS \ •
CEILING '‘s ,f
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING +,"
SIDING ,,
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS'+
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS / k?.
GARAGE FIREPROOFING;?
DOOR CLOSER(S)
SMOKE DETECTORS r•'
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF COISSTRUCTION 4�
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED! \
REMARKS:
0iat •
141
), •
INSPECTOR
TOWN OF QUEENSBURY 1
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED j/,2
NAMEP1\134 ) C-)'
C17 9 111
LOCATION kljncna d-- Z 1-u/
DATE 1/ 5/ C PERMIT # 9 0 _ ( 7 L
C\ • APPROVED
i1fewln1 w�M t4,9 -eaJI C']zan YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL r
$ROUGH PLUMBING
}FRAMING
ELECTRICAL ROUGH-IN ;a
INSULATION
FOUNDATION t
FLOORS
WALLS l,Ac
CEILING ;,;'' A_161, ,/
FINAL INSPECTION: • 4
CHIMNEY HEIGHT ? j
ROOFING °' •
•
9:
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & TRAILS
PLUMBING FIXTURES/RELIEF VALVE
nR
INTERIOR TRIM/PRI,V2CY DOORS
FINISHED FLOORS I' '
GARAGE FIREPROOFIZO
DOOR CLOSER(S)
SMOKE DETECTORS V
FINAL ELECTRICAF,! 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: 1 •
N
,•
ARRIVE ,/
DEPART
- 1,
• INSPECTOR
•
Jown of Queenitur,
BUILDING and ZONING DEPARTMENT
• Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAMEI_� ` g Ul .
LOCATION it4W_49.,z G- A .
DATE*? /0) PERMIT NO. 0- N
SOIL TYPE Sand Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
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TYPE of SYSTEM:
Absorption field, total length 3e:
Length of each. trench;; C�%
Depth of trenches •
Size of gravel ?
SEEPAGE PITS*Number of) •
Size- ft. X ft. • •
Gravel size ,
PIPING: ;Size ;,Type •
Bldg. to tank • + i
Tank to dist. box
Dist. box to field/pit f' u
Openings sealed? YE NO' Partial
LOCATION/SEPARATIONS:
Foundation to tank /'I/c ft.
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Foundation to absorption / _AC, ft.
Absorption to lot line /1 f,r ft.
Separation of pits • ft.
LOGAION OF SYSTEM ON• PROPERTY(circle one)
Frontt •-� Rear - Left side Right side -
'COMMENTS:
01/
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�
SYSTEM USE APPROVED 1 E NO
\I,A\ • •
BuilJng hnspector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
/c
QUEENSBURY, NEW YORK 1280i-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED AV /9Q
NAME ���G �!C,�.d.4_
LOCATION (/�/ e 5,
DATE /�/ /9Q r PERMIT •# 9,j 74L
APPROVED
ill • / YES NO
FOOTING/PIERS ; /
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING j�
BACKFILL APPROVAL /
ROUGH PLUMBING . /
FRAMING
ELECTRICAL ROUGH-IN '. /
INSULATION:
FOUNDATION
FLOORS
WALLS 1 . . .
CEILING 'fl. f
FINAL INSPECTION: ' f
CHIMNEY HEIGHT /� .
ROOFING !/'
SIDING
EXTERNAL PORCHES/, TEPS
STAIRS-CLEARANCE '&']RAILS
PLUMBING FIXTUR S/RELIEF VALVE
INTERIOR TRIM/P IVA'CY DOORS
FINISHED FLOOR/
GARAGE FIREPR FING'J .
DOOR CLOSER( ) ,
SMOKE DETEC RS
FINAL ELECTRI AL INSPECTION
ii
FINAL APPROV L OF CONSTRUCTION . . .
OK TO ISSUE C/O OR .C/C'
A SIGNED ERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE P EMISES ARE OCCUPIED!'
REMRKS: t
O&M 6-,UT-i DVS -DA,M✓' Palo o f/iI G
•
ARRIVE f O-
DEPART /O; /a
IN _ ECTQR
f=t4- W-itua:. frofl.." PI 1'f-Dr i p 0, a - �y
TOWN OF QUEENSBURY c���J
BUILDING AND CODES DEPARTMENT �J
BAY & HAVILAND ROADS ///
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
fa=/— 76 7
REQUEST FOR INSPECTION RECEIVED lerh/ )
NAME Ad Ir7��ja, all e‘,..AD
LOCATION *e/LE,,/4 ,(04„.
DATE JQ //,� 9/J PER)M IT #i 90 `- C. 74'
JAPPROVED
%411 41� `1 ,y I YES NO
AFOOTING IE I 1 )(
MONOLITHIC POUR FORMSD/
FOUNDA ION/D -PROOFING
BACKFILL APPR VAL I '
ROUGH PLUMBIN C
FRAMING I.
ELECTRICAL ROUGH-IN 'I
INSULATION: \ I
FOUNDATION
FLOORS �. .
WALLS
CEILING iv 1
FINAL INSPECTION:�
CHIMNEY HEIGHT 9'�
ROOFING l 1
SIDING-" - i
EXTERNAL PORC ESASTEPS '
STAIRS-CLEARA CE & RAILS '
PLUMBING FIXIURES)RELIEF VALVE
INTERIOR TRIIM/PRIVA4CY DOORS
FINISHED FLOOORS ,,
GARAGE FIREPROOFING,
DOOR CLOSER(S) �,
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
_FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR CM
A SIGNED CERTIFICATE OF\OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE P EMISES ARE OCCUPIED!
1 / f
REMARK : / o//o r✓f2- NJV//�ri S 11
v+. 2 r-LV - ,ROO
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ARRIVEl1i6,--
DEPART I� I ' � ��/ ,A �v' .INSPkCTOR