1991-055 _�Jp9
CERTIFICArTE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 3 19 91
This is to certify that work requested to be done as shown by Permit No. 91-055
has been completed.
This structure may be occupied as a Single Faai l y.Dwel l i ng W2-Gar Gar. & Fi reel ace
Location Lot #2 Will OW Rd
Owner Rich Scher errhorn Jr.
By Order Town Board
TOWN OF QUEENSBURY
4,///// /%7/;4; (Alf?
Director of Bldg. & Code Enforcement
BUILDING PERMIT •
X
• TOWN OF QUEENSBURY a
No. 91-055
WARREN COUNTY, NEW YORK
0
a
PERMISSION is hereby granted to Rich Schermerhorn Jr. pp
OWNER of property located at Lot #2 Willow Rd Street, Road or Ave. ro
lv
in the Town of Queensbury,To Construct or place a Single Family Dwelling ;a
at the above location in accordance to application together with plot plans and other information hereto filed and n'
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
fD
33 Harrison Ave
798-0674
0
2. CONTRACTOR or BUILDER'S Name
Same cd
-s
3. CONTRACTOR or BUILDER'S Address
I-
411,
0
R7
4. ARCHITECT'S Name
0
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) ad.
1,
to
( X Wood Frame ( ) Masonry ( )Steel ( ) fD
.71
a
7. PLANS and Specifications
No. 3,000 s4 ft Single Family Dwelling w/2-Car Gar. & Fireplace as per `e
plot plan specifications
fD
8. Proposed Use "d
Single Family Dwelling
390.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 26, 19 92
(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 Queensbur 's 26th ., Day of February 19 91
SIGNED BY for the Town of Queensbury
Building Zoning Inspector
`TOWN OP QUEENSBURY
REVIEWED B
.' J FEE PAID ; j S�Q� ��� p_
PERMIT NO. - _ „rD
BUILDING PERMIT.APPLICATION FEB 2
£i= . & CODE 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: P. 4..;1- er ✓v,e.r -‘orw "Tr •
P.O. Address 3,-Z A Tel. 798-o67y
Property Location Lb* a W,J:110- Rd C A/er✓ PI-a• s e.> Tax Map No..7d /�/42,
Has there been any split of this property since October 1, 1988? / ,t
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE P)cis e, ( A'Nes) LOT NO. a
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
RiGl•ti P. s_c,14eC ,n1e ( I+or,J
NATURE OF PROPOSED WORK: • ES MARKET VALUE OF - •
• - _-
✓ Construction of a new building • CONSTRUCTION: OQJ _ _
Addition_to a_buildina_ - _ __ - • _ COMPLETE INFORMATION REQUIRED BELOW:
• Size of property y 11- ft x
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 and
Y 5$ ft. Rear yard 195 ft.
•
Side yards All ? ft. andAYES'/67 ft.
• If on corner, setback from side street ft.
GROSS AREA OF PROPOSED STRUCTURE : •��
1st Floor 15 a sq. ft. I • ‹
q � i 60j OCCUPANCY INFORMATION
2nd Floor 1 5 o b.- sq. ft. ,' • Primary Building -
Other Floors n sq. ft. • j�jj�- -One Family Dwelling
(not cellar or basement) • ,- n Two Family g Dwellin -
TOTAL FLOOR AREA 3000 • Multiple Dwelling/Number of units
�sq. ft.
Size of new structure j . ft x 36 ft. • Business
Foundation-pier/slab/crawl/partial/full • Industrial •
(circle one) • Other
•
No. of stories (habitable space) a •
Height (grade to ridge) Za 2,1/ ft. • If addition, what will use be?
If residential, no. of families 7 •
No,of rooms(exeluding baths) 9 • Accessory Building
No. of bedrooms ' Detached Garage ONE/TWO Car
No. of bathrooms. J# ,3 J 7. •
Primary heating system, 5 Hot .;t' • _�Attachs+d Garage ON /TWO Car)
Type of fuel Gas • Private storage building
No. of fireplaces to be installed ! •
Will a wood stove be installed iV 6. • Other
Central Air conditioning n/ •
OV• ER
f
BUILDING PERMIT .APPLICATION CONTINUED -
BUILDING 3PECtFICATIONS:
Type of construction, wood frame, fire safe. etc. „✓bo cl cep..
Will any second-hand or upgraded lumber be used? If so. for what? No
Foundation wall material g" , n r C0nod`e4c. Thickness $ "
Depth of foundation below grade (to bottom of footing) (,, '
Will there be a cellar? )'e,5 Heated or unheateD Floor sq. footage /.Sao sq ft.
Will there be a basement? )r.,s Will any portion be used as living space? A/o
(If so, what portion? sq ft. Type of use?
Type of roof.- sloped) at/shed/other Material of roof '/, e x 1� .,s � 695 sc- berg (o.
Size, wood studs .2. "x Co " spacing / 4 " o.c. length S' ft. •1
Joists (floor beams).lst-floor Z "x ja " spacing /c "o.c. span Ly ft.
Joist (floor beams) 2nd floor 2 "x / o " spacing /G "o.c. span' /y ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x (b " spacing o.c. span /j ft.
Roof trusses (pre-engineered) spacing 2 y " o.c. span 34, ft.
Exterior wall finish 11(p �edac- of what material?
Interior wall finish lit 56e e�-fiau1L.
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
5/13 Ft rec,ecde., s1 e)i-c'oe.L
Is there to be an opening between garage and dwelling? Y65 If so will a Fire-rated door, enclosure,
self-closing device be provided? y'6$
Will a flue-lined chimney be installed?- yes Height above roof Y _ _ _ ft.
Depth of chimney foundation below grade,v7,,q.. ft. Zc,eo e,c4,4-Ksww.a e.
Depth of fireplace hearth ' ft. in..
Water supply - Municipal or private well /IMuyyr- cfc.„/
SEPTIC SYSTEM Distance. from ANY private well (including adjoining properties Ay A. ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER 4 . SG�a.�- r��,�,i4DDRESS 33 fiaee .✓ TEL. NO. 7 rSr067S/
NAME OF PLUMBER S-Fe.✓e- All ) ADDRESS ,-74 . TEL. NO. 7q7- S6,1
NAME OF MASON f) \p 1 vi ,j J ADDRESS r,L. A ,v im TEL. NO. 7 71.—i3 7 /
NAME OF ELECTRICIAN Mht, kowl4eskrzr ADDRESS /a h f Ga +L TEL. NO. Y9 y - 390 5
3om5w,
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
Fall other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
euch work is authorized by the owner.
Signature
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS O?.THE PERMIT:
• BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONL'Y01 G� ( l1R�CCI�I�EPJr�Utll
��
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellin.s;
Multi-Family DwellF 1991
(3 Stories or Less)
�L�f�. � �®DE®EE�T;
PART 4 - Design By Component Performance - Commercial Buildings - i-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
?. ✓v e. r\o Lot A willouu Rg.
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 3000 Sq. Ft.
2. Type of Heat - Elec. Base Board Other qas 1�0� Air
3. Is Building Mechanically Cooled? YES v./ NO
4. Percentage of Area of Windows and Doors lY% 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-&-Fi hors exposed to to ambient temperatures — R 3 3-- - -- o - —
B. Exterior Walls R 0.5 25 19
C. Glazed Area R a.5 2__ IS
D. Exterior Doors R a.5 • 2.5 205
E. Floors over unheated spaces R 19 2 5 Iq
F. Edge of Slab on Grade (Heated Building) R N A __I — _LI_
G. Basement/Cellar Walls (Above Grade) R 19 29 19)
H. Basement/Cellar Walls (Below Grade)
I. Heating/Cooling - Ducts - Piping in Unheated Space R 1J/A 4-, Co 4-, (o
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
,0,�G P. -bl J_ a qq 9 a- o
HON APPLICANTS SIGNATURE a OATt TELEPHONE NUMBER:
INSPECTOR'S REMARKS:
REVIEWED BY
/ TOWN OF QUEENSBURY
� j APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE: 9,,Ja ) /91 07 1.
LOCATION OF PROPERTY FOR INSTALLATION Le + 01. GC/;//o rcf.
Owner' s Name: R;ct P. S�,lr.o rw‘e,rho rA) FEB _' 1991
Address: 3 A gc rris o Ai Ave, G.P . ALP. /4 801/10G. &. c®r)p_jepT.
Installer' s Name: Rr0,1., P. Sj,sed'w►c:Arlo r,v Telephone: 1?8 -067 y
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) 6, 00
Topography: Circle one: M Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? A/ /A Feet
Bedrock or Impervious Material : At what depth? ,v /A Feet
Percolation test: Circle one: not require required
Rate - ,j/A Min. Per Inch
Domestic water supply: Circle one: Munal Well Other
If domestic water supply is a. well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank /o 6 o gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench (0 D feet/Total system length 2500 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #. /Depth or Thickness 1 feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal.
*Alarn 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: ),,,;,�, P DATE: A).1 f 1 )7/
•
Septic Syste■ Inspections: •
A. All applications for septic sysces installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
. be submitted 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 lines •
3.) location and distance co structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields and/or drywalls
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
ut 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 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 Quuunsbury Building Department before further
construction.
• Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
•
kumarks:
TOWN OF Q UEENSB URY
Bay at Haviland Roads,Oueensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
.Date A I 1 19 91 Permit No. 9f- 05,5
t
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 APPLIANCE TYPE
P. nt
Stove ✓ Coal Wood
Address 3 ') s .iJ A Ji Furnace • ..,/ Hot Air Boiler
Zero Clearance ✓ Circulating Unit .
r-, F,11 s Al. zip /a I
Phone 79 _ o(01 y If Non-Masonry:
Owner's Name R;c_ti. p, ,-,r,�_��,o r-N
Manufacturer } e S
Address 3 1� c' I. 5 0 /✓ A Model 1-1 5 E.V• Outlet Size
G s F0- 5 ,J • Y. Zip /. 80 l Listed by Number
Phone 7 y g _ 0 y
CHIMNEY TYPE
Masonry: Block Brick Stone
Property location of proposed construction Flue: Tile Steel
! t 2 w,// Rol . Size:
Factory`Built:
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$
SONRY FIREPLACES AND CHIMNEYS.
•
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY, NEW YORK
Department: Fire Marshal Amount Collected Amount Refunded
Code Number Title
A173 3389 (190)Public Safety
A233 2655 (230)Minor Sales
7-7 /1) 0
1,6Collected from or efunded to:( /,(2A - /��°�j i'/1�%/�i7/G/ ✓�c�
Address:
Dated: Town -.
Clerk or Deputy;, 0 C
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
TEMP.# DATE 7-,
/i , ,'_. )
I;
CITY OR VILLAGE TOWNSHIP COUNTY
STREET AND Na OR ROAD 'J POLE NUMBER
1,1) tl r .i, ,
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
1 i', 4 1 . /;.1 J. ,- , 1 ,1 n.• . '�' �, .
OCCUPANTS NAME BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY FROM THEIR ,may, OFFICE WORK TELEPHONE NUMBER
BUILDING IS j J
NEW❑' 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 FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
El 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 ENTER APPLICANTS ► I I 1
IDENTIFICATION NUMBER
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 i
) I 'I /1 X J. ,,.L." -_..-----
STREET ADDRESS TELEPHONE NO.
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
.4 . i ., f'I i 1 : 'r .. t
❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 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)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
THE NFW YORK BOARD OF FIRE UNDERWRITER$
T i N OF QUE ENSBURY
BUILDI G AND CODES DEPARTMENT C ,
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED �f (J; -
NAME --Y
LOCATION 3 l t_oo o q 1 c,c_..,2,.
DATE PERMIT # J - 3 Li
TYPE OF STRUCTURE
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
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB\,
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING ''
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING ; •
WALLS
CEILING
FIREWALLS f
HEATING ROUGH- N
)(INSULATION: VG.A.-"nk SdoYs
FOUNDATION WALLS INTERIOR R6-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS I R- ) 4
CEILING ti R-
DUCT WORK OR PIPING IN UNHEAT �
SPACES
REMARKS:
ly
ARRIVE l7
DEPART 2-5 fG�--✓
INSP CTOR
TOWN OF QUEEWSB °t".V, y y (J7j l
4 ,! 531 BAY ROAD
``} .j QUEENSBURY, NEW YORK 1280e 0/bp
- TELEPHONE (518) 792-5832 IQ®
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME / 4'fr/2'pJr'r�%r�/1�_ .
LOCATII 2- � 1 / /� �-
DATE 7A// • PERMIT! 0/----G7i,S
i�
TYPE OF STRUCTURE , ,y� ,�� �/ _ '
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION vB'ACKFILL FRAMING
TROUGH PLURBING FINAL ELECTRICAL t--SEPTIC
/,,, iSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS "lea i( �i,Cl bilLe,i- ,fact -- J
,
/ APPROVAL
;N/A YES NO
CHIMNEY HEIGHT/LOCATION 1 is'
B VENT/LOCATION ; I ' L/6
PLUMBING VENT j / r/^
ROOFING 1 I t./
SIDING I L.---
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES b r"
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK ,.../--
r
INTERIOR TRIM/PRIVACY DOORS (...----
FINISH FLOORS:
BATH/KITCHEN WATERT,IdGHT (......---
OTHER FLOORS SWEEPAt3LE ✓
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS ✓'
HANDICAPPED ACCESS I !l
SMOKE DETECTORS / \ ✓`
BATHROOM FANS/WHOLEHOUSE FANS L.
ALL PLUMBING .FIXTURES OPERATING i/-
GARAGE FIRE PROOFING \ t/--
DOOR CLOSERS I N t./
OTHER FIRE SEPARRA TION \ L.--
FIRE/DEMISE WALLIS %
DUMPSTER ' ,�
FINAL ELECTRICAL, ', ✓
OK TO ISSUE C/O OR C/C
COMMENTS:
/1 //ma`/
` i P Gr a, /4.
ifc2
�d pli2m` & ..lei x/
oz , �
ARRIVE 1p..42 /`//
DEPART ,` Sy �'4�!�//%
iv 'R
I- cc�� /I
• _Jouin o1 Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 .
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 4P.�c4 5e,1ui, ivLtz,
LOCATION 4 11 t J v Of •
DATE t/,/7// l PERMIT NO. 91 'd
'55' -
SOIL TYPE - Sand - Loam - Clay
Percolation Test Required? YES; - NO
Percolation rate - Min/Inch _ 1
J 4+
TYPE of SYSTEM: ;; t ✓
Absorption field, total length`
Length of each trench I
Depth of trenches 4j ,,3' i
Size of gravel P/Z n _
SEEPAGE PITS4Nuinb0 of) ' F
Size- ft. X ft.
Gravel size 4 I
PIPING: 1 Size 1 Type
Bldg. to tank i Zi 11 Pf/e
Tank to dist. box . 1/ `' /91'2
Dist. box to field/p t AL'
Openings sealed? YES NO Partial
LOCATION/SEFARATIONS.'4
Foundation to tank ) /y ft.
Foundation to absorption a,p ft. .
Absorption to lot line; p-D ft.
Separation of pxtsL.". lam' ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
ront - Rear - Left side'&- Right side -
COMMENTS:
t
N.
SYSTEM USE APPROVED _...ma
NO
Bui ng Inspe tor
01/86 and vl
/ .
•
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• ',
TOWN OF
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT ll
REQUEST FOR. INSPECTION RECEIVED 5� �/ QIJ
111
NAME (:-, - (--LQ,N1-\e),/\-\(-11C-IN
67
LOCATION T G&% //(1W �C)
DATE 5 //LV l PERMIT # 9 /- o) s
/
TYPE OF TRUCTURE SM fIcO1/
RECHECK APPROVED
/ N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM
REINFORCEMENT \1N PLACE .I
THE CONTRACTORIIS RESPONSIBLE j
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF RE CONCRETE:
MATERIALS FOR THIS\PURPOSE ON/SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFI
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN FL CE
PLUMBING UNDER SLAB
FRAMING: /•
JACK STUDS/HEADERS / \
BRACING/BRIDGING / \
JOIST HANGERS
JACK POSTS/MAIN BEAM/ N.
HEATING ROUGH-IN /
INSULATION: i `
FOUNDATION WALLS INTERIOR R- 1 ✓
FOUNDATION WALLS Ex, ERIOR R- ✓
FLOORS I R- 30, ✓r
WALLS R-(2.5\
CEILING / R- 3R V
DUCT WORK OR PIPING IN UNHEATED
SPACES .
/
REMARKS: L P
(lV �c f
ow( I tilwa qs c s
y
ARRIVE If; /5
DEPART 3D
NSPEC OR
TOWN OF QUEENSBURY 41V'
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPnnECTION RECEIVED
NAMEi'e-f,(1, t/I,0,/4 P)//Y)t,a/I_d'L/u---)
LOCATION I -;0 )
DATE //3-#/ PERMIT #
TYPE OF STRUCTUtR'" ', /J., /.7.t C(% G.t_L,/,,„���
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE /
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION /FRO4
FREEZING FOR 48 HOURS FOLLOWING ,
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE /
FOUNDATION/WALL POUR I r°
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING I
BACKFILL APPROVAL
ROUGH PLUMBING _
PLUMBING VENT/VENTS IN 1PLACE ^"
PLUMBING UNDER SLAB I "
A' FRAMING:
7 JACK STUDS/HEADERS t: /1
BRACING/BRIDGING t "'
JOIST HANGERS
JACK POSTS/MAIN BEAMS /
FIRESTOPPING /
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN /L
\/INSULATION: /
FOUNDATION WALLS ;INTERIOR R-
FOUNDATION WALLS/EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
,a,
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /WO O
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 1/9/167/
NAME Q;(--),(\ A1,neA n(710
LOCATION , 4 L9D'i )��(� TLC)
DATE )/C2/ 61 / PERMIT # 9 / --10575
TYPE OF STRUCTURE 1c cj/ _�'-� �(��ii_ ,
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 r :f
BACKFILL APPROVAL ; Y' /
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PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
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BRACING/BRIDGING ,</`:
JOIST HANGERS
JACK POSTS/MAIN BEAM E:
HEATING ROUGH-IN '
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS ;a E R-
CEILING / R-
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SPACES./ f'
REMARK :
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ARRIVE jj,'
DEPART r ys
INSPECTOR
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 s>/d/c2/
NAME CR; c,VA SJ 's iYNgst,\(3-1
LOCATION - # . L r t
DATE j/r()/7 / PERMIT I 1 --69-S
TYPE OF STRUCTURE
RECHECK APPROVED
• N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE rr
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWINGt
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR ,
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING ?°
BACKFILL APPROVAL
ROUGH PLUMBING i A,
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB ;i'
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS _!
JACK POSTS/MAIN BEAM;
HEATING ROUGH-IN !s'' 1
INSULATION: +.±'
FOUNDATION WALLS ,INTERIOR R-
FOUNDATION WALLS!`EXTgRIOR R •
-
FLOORS + R-
WALLS / ':i R- -
CEILING 1 R-
DUCT WORK OR PIPING.;'dIN UNHEATED
SPACES
REMARKS: j,/ii
iGAvsr 5aav�
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ARRIVE /;' 6°
DEPART 55
INSPECTOR
TOWN OF QUEENSBURY L;
BUILDING AND CODES DEPARTMENT
531 BAY ROAD 011
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME / t'./7 Ja &-gA tl•-i4 /
LOCATION ,f ;2, zk:0Q/�,v A v
DATE 4k,`/ PERMIT 0 9/-0.5
TYPE OF STRUCTURE J9, 4 4i d/ / i 4/
RECHECK l/ APPROVEEL
N/A YE V NO
xFOOTINGS/PIERS /1/ci/_ III f/
/ MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLEI
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
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED .
SPACES
REMARKS:
.t o
4,���o p2o
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ARRIVE /
DEPART
.i�, /
/ INSPECTOR
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 ../dj`/
NAME
f %/ j
��-� i/,�i �Pi �l ,k_��
LOCATIO�� .' 7�/ //r�J �
DATE A*j% PERMIT #
TYPE OF STRUCTURE,<)- ji'%, ��
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
XBACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB `
FRAMING:
JACK STUDS/HEADERS \/
BRACING/BRIDGING
JOIST HANGERS 1 \
JACK POSTS/MAIN BEAM\
HEATING ROUGH-IN I \
INSULATION: if \
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS \ R-
WALLS R-
CEILING \R-
DUCT WORK OR PIPING IN UNHEATED
SPACES 41
A
REMARKS: f,
ARRIVE
DEPART
INSPECTO
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT -q-'J 2/)
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECE(IIVVED _5/ (0 / CO
NAME �j(_Qr P \'V1 G\i'\OY n
LOCATION -'- ,2 \), ,j1( v ,C )
DATE 3/ / PERMIT I 9 -
TYPE OF STRUCTURE Sin 0� e,w‘ Duel LU/L7-CaY
re plQ G� /b-Cuvc,
RECHECK APPROVE
!`. N/A YES NO
- FOOTINGS/PIERS -�tya �q-Cvaw)) CF.?
MONOLITHIC POUR FOR
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 .1
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- '
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
rDEPART
INSPECTO.
k OD
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 , /c1 1
NAME Cl-,C'N \ \9..,l ,y\ri\s 1
// 11
LOCATION d-0-�- � [ / o LL, KC)
DATE ,;yr ,5I 6) PERMIT
TYPE OF STRUCTURE S,'ike2R,' ��
s v
RECHECK APPROVED
( N/A YES/NO
FOOTINGS/PIERS p-
MONOLITHIC POUR FORM k
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 SIV'rE
FOUNDATION/WALL POUR t
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPROOFING ! /
BACKFILL APPROVAL e /
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: t'
JACK STUDS/HEADERS J
BRACING/BRIDGING / W
JOIST HANGERS
JACK POSTS/MAIN BEAM!
HEATING ROUGH-IN
INSULATION: 6
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS r R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES ry
REMARKS:
ARRIVE `��
O
DEPART
INSPEC R
o TOWN OF QUEENSBURY
\ � Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
To: 91-055 file.
From: Fire Marshal's Office
Factory-built fireplace was installed with natural gas igniter device.
This was ordered removed as it had only an on/off valve and no safety
features. Niagara Mohawk gas dept. would also not allow gas to be
connected to this device.
Grant, 7/3/91.
"HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE"
SETTLED 1763
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