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1991-120 • CERTIFICATE OF OCCUPANCY . TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 18, 19 92 3e.) . 11—D• This is to certify that work requested to be done as shown by Permit No.91 120 has been completed. This structure may be occupied as a si nal a family rlwPl 1 i nrr Location Lot 45 Maple Driv,e Hidden Hills A to Z Drywall Development Inc. • Owner By Order Town Board I TOWN. OF QUEENSBURY Director of Bldg. do Code Enforcement i r n BUILDING PERMIT TOWN OF QUEENSBURY No. 91-120 . WARREN COUNTY, NEW YORK 0 w i PERMISSION is hereby granted to A TO Z DRYWALL DEVELOPMENT INC cm tri OWNER of property located at Lot 45, Maple Drive, Hidden Hills Street, Road or Ave. in the Town of Queensbury,To Construct or place a Singel 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 RR2 Box 528 Granville NY 12832 2. CONTRACTOR or BUILDER'S Name A e+ same o IV 3. CONTRACTOR or BUILDER'S Address v W 4. ARCHITECT'S Name G rD rD O 5. ARCHITECT'S Address fD e+ 1-a n 6. TYPE of Construction—(Please indicate by X) ( X Wood Frame ( I Masonry ( )Steel ( I 7. PLANS and Specifications r e+ No. 32'x50' Single family dwelling as per plot plan, specifications (xi and application including septic system and two car attached garage. a 8. Proposed Use tD Singel family dwelling o J. < $ 250.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 28 19 92 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the trZ town of Queensbury before the expiration date.) CD -h Dated at the Town of Queensbury this 28th Day of March 19 91 al L/ J. SIGNED BY /j�:�{U-r�%S�//'../n.i/ for the Town of Queensbury B d7ng and Zo ing Inspector X J. (C N OF QUEENSBURY TOUVI! OF Q1 ENSBUR REVIEWED BY r; zCri>>' ' 411111111114011111i FEE PAID $ rj '1— 9-5e1'e 1 iiii r.3% PERMIT NO. c/ J O MAR 2 719 91 BUILDING PERMIT APPLICATION BLDG. CODE DEPL lv` A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS 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. a s * a * a a * a a a * * * a a a a * a a a * a *fj /a a a a a a . • a a a a a a a a * • a i owner of this property is: _ _ 2 /�,/ ,q 11 E �L(y-�. � , ' , 1„r>C-- i O. Addresg--/'R �1 t/2),A L5 , Tel. (576 (� 2_/F3 /y��� idck£.t) l/s [operty Location 4 74/. /` e c/FL11E C .6 G e {I'ax Map No. /3 /S Yr as there been any split of this property since October 1, 1988? / . x if yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE adja) R //S QiigedfC,E UI LOT NO. ` y THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: * NATURE OF PROPOSED WORK: * ESI':MATED MARKET VALUE OF 00 ✓Construction of a new building CONSTRUCTION: $ 430,E O, a COMPLETE INFORMATION REQUIRED BELOW: Addition to a building * Size of property ✓p 0 ft x 4:11. 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 6 \ ft. Rear yard _$ ft3k * Side yards ,6' ft. and Q,5 ft. * GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft. 1st Floor 9 � ' sq. ft. ia°' Cl)VD ,. * OCCUPANCY INFORMATION 2nd Floor 7 e sq. ft. 36,0 D * ' Primmary Building - Other Floors sq. ft. • l� One Family Dwelling (not cellar or base::ert Two Family Dwelling TOTAL FLOOR AREA.j2. sq. ft. • Multiple Dwelling/Number of units a Business Size of new structure_aaft x 4,� ft.,i/S0 Foundation-pier/slab/c:% rti /full ' Industrial (circle urt;:; • Other • No. of stories (habitable space) • (Height (grade to ridge) `5--- ft. • If addition, what will use be? I(f residential, no. of families /.. • No. of rooms(excluding baths) 7 • Accessory Building No. of bedrooms 0 ' _Detached Garage ONE/TWO Car No. of bathrooms c.2 /,, • Primary heating system 5 • t Attached Garage ON WO Car Type of fuel Ai),64S e _Private storage building No. of fireplaces to be installed, / ,a .o-'2U-ice* ' * Other Will a wood stove be installed Central Air conditioning ' OVER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, etc._ b3 GO 17/-6t. 6_1..�y,2 Will any second-hand or upgraded lumber be used? If so, for what? /) 0 Foundation wall material 07 i �� �,- (/� £, �� ��;��Thickness to Depth of foundation below grade (to bottom of footing) /,,, K.') 4/ Will there be a cellar? - T--r - Heated or unheated? I,.,;„z __Floor sq. footage sq ft. Will there be a basement? yS Will any- portion be used as living space? �i O (If so, what portion? • / sq ft. Type of use? P Type of roof - - oped at/shed/other Material of roof d/7/L7` Size, wood studs "x , 1, spacing � o.c. length ft. Joists (floor beams) 1st floor c "x /e) " spacing /( "o.c. span Lj ft. Joist (floor beams) 2nd floor ,- "x /0 " spacing / "o.c. span /3 ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x " spacing < o.c. span _. ' ft. Roof trusses (pre-engineered) spacing 0,7 / " o.c. span ; (a ft. Exterior wall finish ///6 1 of what material? //�' je1 Interior wall finish " 'T/s,e4, _/ 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? ,,Vic If so will a Fire-rated door, enclosure, self-closing device be provided? )40 Will a flue-lined chimney be installed? /00 Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace ae rth ft. in. Water supply Municipal�r private well • SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) TAME OF BUILDE ,) ADDR (/ /�l� � t� ES StTA2 AA'S) /- TE L. NO. 4,12-/A2SJ TAME OF PLUMBERyT0_Q A ADDRESS-W,2 5171 i/eiTEL. NO. ‘V.2-/Xe6c1 TAME OF MASO ED ( ))/aA49- ADDRESS- /3/(C) , isialesee.TEL. NO. 4vo2 '%,S‘/ TAME OF ELECTRICIAN/5/r aeice, ADDRESS/0 &ekrc t/ $'cTEL. NO. 21-1-66OZ DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the Mans and specifications submitted, are a true and complete statement of all proposed work to be done on ie described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and ul other laws pertaining to the proposed work shall be complied with, whether specified or not, and that tech work is authorized by, the owner. Signatureg...e.4.-____-e.,10 „.___..,_ , Owner, owner's agent, architect, contractor PECIAL CONDITIONS OF THE PERMIT: BY - ENERGY CODE COMPLIANCE APPLICATION' TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS - 4 Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating - Component Trade Offs _- - 1 & 2 Family. Dwellings; 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 - ' /o xs--- /37/w,, e APP ICANT NA ./ PROPE TY OCATION r . PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - /7 O - . Sq. Ft. - 2. Type of Heat -/ E ` Base Board Other 3. Is Building Mechanically".Cooled?. YES i////NO 4. Percentage of Area of Windows and Doors Over 17% / 2 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 1 C. Glazed Area RR, O D. Exterior Doors R/`/ , G' E. Floors over unheated spaces R R /'/ F. Edge of Slab on Grade (Heated Building) R ' G. Basement/Cellar Walls (Above Grade.) R ' H. Basement/Cellar Walls (Below Grade) R 2/ , I. Heating/Cooling - Ducts - Piping in Unheated Spa-ce RV, 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code 1,////YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED APPLICANT'S SIGNATURE DATE TELEPHONE MJMBER` INSPECTOR'S REMARKS: Alat► TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE: c6 /l / r l 1117 LOCATION OF PROPERTY FOR INSTALLATION J 7 r ; / a2a4,,e Owner's Name: ? Art/- /Jx7// �� f/�� /�'P�1 � re Addres ?c Ay ,Zcp /mil ' / Installer's Name: , / 7� C dJ Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) �(5 d Topography: Circle one: Flat Rolling Steep Slope Cr-of Slope Soil Nature: Circle o : Sand J Loam Clay Other /Depth: Ground Water: At what depth? 00 Feet Bedrock or Impervious Material : At what depth? c!5:70 Feet Percolation test: Circle one: not required required Rate - Min. Per Inch Domestic water supply:. Circle one: unicipal- ell Other If domestic water supply' is a. wel Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank 4,-0 O gal . (minimum .size: 1,000 gal ) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of 3 /Size each (o feet by feet Size of stone to be used #.. 3 /Depth or Thickness feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks / Size of Each /0-00 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: 3! z 4;//0/ 1 • lotto System Inspections: A. All .applications for septic system installation, alteration or repair, as required by the Town of Qusensbury 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 cho system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply S.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywalls B. Nu system shall be covered before inspection and approval by the Building Inspuctor. Failure to comply with this requirement may result in the uncovering or the system by the installer and a fine of up co $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at tine of inspection may result in in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installs— cion, alteration or repair of an approved system, a new proposal must be submitted to the Qugensbury Building Department before further construction. Town of Qusenebury BUILDTN0 and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 kizmarks: :. • • • 4 . — \ ...i'..! .., TOWN OF QUEENSBLIRY Bay at Haviland Roads,Queensbury,N.Y.12801-9725 . APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date ..,L Permit No. H O 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 Nanit4 2,A/'w4)4 //✓ f_de �jfy APPLIANCE TYPE i V Stove Coal Wood Address A,4' �CS `.. Furnace Hot Air Boiler Zero Clearance Circulating Unit �/��i)?/.1-/11; `- .Zip /o-2d/ 3, P1ione( 0 ./icf 2S— If Non-Masonry: Owner's Name Manufacturer 4= `4 /44'a '— Address Model/ e 3to Z Outlet Size /;y,/"a,,. Zip Listed byCl 1—. Number Phone CHIMNEY TYPE Masonry: Block Brick Stone ' \ Flue: Tile Steel e7 Properly location of proposed construction \ , Size: Factory Built: Manufacturer Model Size (COPY OF MANUFACTURER SPECIFICATIONS IS . Height Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES Ty,pe:'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 1 S'ode Number Title 60 A173 3389 (190)Public Safety A233 2655 (230) Minor Sales A ±7 \----- (l'ee C:ullccl_�ed frc�n or Refunded to: V Lk tit_ I) V Velr-1'JMPAA- l Address: Dated: Town Clerk or Deputy C f C) • While:Applicant Yellow and.Pink:Cashier's Department Goldenrod:Fire Marshal i :- .1,%. - ,_J,,_!,-J.j! I\.I. .at -.5J J."-a.4at4at4�9....!..'1.L!<a94a.1J_.4.)941ti..1t1_..4a rat d!4'C..1"4. CJ.a..1."&..at{."..?ti,a�i.?t,.?ti-.�ti_aCi.Ci Ci:1Ci ti.:N/IC;1C. ti 1t. ;'- . 1 1 " 1 THE NEW YORK BOARD. OF FIRE : UNDERWRITERS PAGE 1 " 9017991 BUREAU OF ELECTRICITY. ;: 1 41 STATE STREET,ALBANY,NEW YORK 12207 4 Date JULY 22,1991 . Application No.on flit 686,7r 9.1/91 H 412440 .. THIS CERTIFIES THAT j -< electricalequipmentdescribed belowand introduced thebapplicant only the as escre y namedon the above application number in the premises of 1 G (, (1/0 NAXINE BIRD, MAPLF 1R. , OUEEI'I URY,' N ��. - - in the following location; C Basement LL-ii 1st Fl. 0 2nd Fl. 'GAR • Section Block Lot was examined on -r 1{� and found to be in compliance with the requirements of this Board. ITLIJI 17,1991 ; FIXTURE ECEPTACLESI SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS I" OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. . K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. " -C 34 52 40 3 3 . 1 1.5 3 F - -L' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS : . SYSTEMS . 1. 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 " 7 • '�. 1 3. 1 F . 1 - . .. . _ _ _ SERVICE DISCONNECT NO.OF 5 E R V , I C E ` F ._ AMT. � AMP. TYPE METE F 1,B'2W 1%3W 3%3W 3 If 4W NO.OFF C$COND. OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS NEUTRAL is 4 1 200 CB 1 X 1 4/0 J. 2/0 1 OTHER APPARATUS: i,- _,• PADDLE FAN-4 • : G.F.C.i :-7 . SMOKE DETECTOR:-1 1_ TRACK LIGHTING:-2 • . - ; . -C - nn A—Z BUILDERS .- 4„ (.. . Cu?' R. STI:AUB r -( •• BRANCH MANAGER { RR 2, BOX 528 . •GRIN;ILLE, NY, 12832 Per -c This certificate must not be altered in any manner;return to the office-of the Board if incorrect. Inspectors may be identified by their credentials. 'Cyif'ei-4 MOM ME NOM 0 ® ® ® Mill a 0 ® tillEillE1 ® ® ' • tz COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST.NOT BE ALTERED IN ANY MANNER. C\-2 (\C&' TOWN OF QUEENSBURY •FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED ¢7/)a/ f NAME t4o2 >. tk)c 1 LOCATION 0 ` 2/5 DATE VO.)/11) PERMIT# i/ APPROVED" I N/A YES/ NO EXITS j1 AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING i FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEMI HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM ,•f I ,; INTERIOR FINISHES +) STORAGE: 4 CLEARANCE TO SP,RINKLERSI CLEARANCE TO HATING UNITS REQUIRED SIGNAGEI 1 CHIMNEY x' WOODSTOVE r 1 FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT `, , REMARKS: LJ OK TO THIS DATE IL t ARRIVE DEPART INSPECTOR . ,t- W44,'04.'' • Pelf)(\ i , t .TOiw OF QUEENSBURY . ,, S31 MY ROAD � y , QUEENSBURY,.NEW 'YORK 12804 • TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED 721/al�'[ 1 NAME 2 AN(- WO-1 I LOCATION Li- —! 5 ma )e, Mn , DATE '7e/g/cj PERMIT! TYPE OF STRUCTURE i`(10 RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING y'FOUN 'TION BACKFILL FRAMING TROUGH PL MBING FINAL ELECTRICAL SEPTIC INSULATION ,/WOO�STOVE/FIREPLACE SITE PLAN/VARIANCE REQUIREMENTS YES NO REMARKS ` `• APPROVAL N/A 5 NO CHIMNEY HEIGHT/LOCATION r� B VENT/LOCATION 1�, ✓/ PLUMBING VENT t ROOFING 1 ✓, SIDING 1/ DECK/PORCH/STEPS/RAILIN RELIEF VALVES 1,, ✓ FURNACE/HOT WATER OPE TINGE BASEMENT INSULATION/ K V INTERIOR TRIM/PRIVAC DOORS 'a FINISH FLOORS: BATH/KITCHEN WAT RTIGHT }\ ✓ OTHER FLOORS SWBEPABLE t OTHER FLOORS C RPETED t STAIR CLEARANCE/ ILINGS t1 ✓ HANDICAPPED ACC, SS SMOKE DETECTOR$ ✓ BATHROOM FANS/WHOLEHOUSE FANS y✓ ALL PLUMBING . IXTURES OPERATIN , GARAGE FIRE PROOFING 1 ✓ DOOR CLOSERS( ✓ ' OTHER FIRE t PARATION , FIRE/DEMISE/WALLS \ DUMPSTER '. FINAL ELECTRICAL ✓ OK TO ISSUE C/O OR C/C COMMENTS: , , 77--Zed/4:4 4 e'4e- 44/218 z ARRIVE /d J YP DEPART , V NS1TOR 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 / �/(-il NAME �'UZ (( boa]) CuQQUO1610)11.014 LOCATION .14--) z-'/ flc� 2_ y)A V� )4 �eL, 111Ls DATE (/2/9 71` / PERIIIT f TYPE OF STRUCTURE / �,�� RECHECK APPROVED N/A YE,S- NO FOOTINGS/PIERS G' MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ', ROUGH PLUMBING PLUMBING VENT/VENTS,,IN PLACE PLUMBING UNDER SLAB FRAMING: f JACK STUDS/HEADERS R BRACING/BRIDGING r JOIST HANGERS r° JACK POSTS/MAIN BEAM FIRESTOPPING e WALLS CEILING J' FIREWALLS / 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 DEPART 502" INSPEC OR q\ TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED . .20 9 NAME ' r -- LOCATION 3--0 � �� p„� 1-MIS DATE 5/20/63/ PERMIT# 9/ APPROVED N/A YES,', NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM x= INTERIOR FINISHES t STORAGE: / CLEARANCE TO SPRINKLERS e CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE >x I i CHIMNEY / WOODSTOVE F _REP kC-E—MAS.QN R Y t FIREPLACE-FACTORY BUILTf t REMARKS: OK TO THIS DATE L / • 2 ARRIVE (') DEPART - �� (91 :IP< INSPECTOR , 0 13- AP , •,,, .. • s; , • •. ; , . . -44 awn o/ Queenibury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 • Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION� NAME c d 7 , `� k 1c3 X 4 �. Z7A).-'40.-e. LOCATION 0 9 5 0%i P su)J--Q DATED) / qJ PERMIT NO. 91 J I,. d SOIL TYPE - Sand - Loam - Clay - Percolation est Required? YES - ' Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length `7 Length of each trench ''/ Depth of. tren-hes % Sizavel '� j,! SEEPAGE PITS{Number of) _�°,,_' Size- '' ft. X yQ ft. ,; '' Gravel size 7 / /' PIPING: Size! r: Type Bldg.Bldg. to tank O! Yac-S . Tank to dist. box g j 2Ue- K K _ Dist. box to field/.' / 4) eve__ -__ Openings sealed? lip NO Partial LOCATION/SEPARATIONS• U Foundation to tank / 1 ft Foundation to absorption (i f . Q[� Absorption to lot re 6f . Separation of pits W ft Le "PION OF SYSTEM/ ON PROPERTY(circle one) ron - Rear - Le t side - Right side - • TENTS: Npve .D. P41--- 1-A-Al `,E3>OBA k,t pri...p — . SYSTEM USE APPROVED Y N Bu 1 ing Ins 'ec or )1'X\ l r,� 1 • Li ,,' fqH -- ui 17,1 t__: il , mi l q . . 2 . . • - - - )-9 - - -- - - - ..i, :, 1., : , , c . / ,, d . y TOWN OF QUEENSBURY ��jJ BUILDING AND CODES DEPARTMENT %% 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED NAME / //CL LOCATION 4. /,� b/ %, /l%✓ DATE „1/%1 /9/ PERMIT # f/� �� TYPE OF STRUCTURE %, / ,ram-+ ,4, J�j4 RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM / REINFORCEMENT IN PLACE t THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING? THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON S E FOUNDATION/WALL POUR 'I REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING ,( BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE/ !, PLUMBING UNDER SLAB • FRAMING: 1 JACK STUDS/HEADERS - - BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM ' f, FIRESTOPPING WALLS , CEILING +!'. FIREWALLSy HEATING ROUGH-IN r y INSULATION: ,i FOUNDATION WALLS ;INTERIOR R h FOUNDATION WALLS)EXTERIOR R-4 FLOORS AJ i' Inc` -f'7- R-4 �--• WALLS R- / '/' rs- CEILING R- 3 DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE I 0; S DEPART P DL4 g /tc I NS PECTO 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 7 ,5/ �7y? NAME 4 7L• 6,Y //'. ///ll.. �2/ LOCATION, '/L /�/� 1' , DATE -,_ PERMIT i 9/ TYPE OF STRUCTURE _ �h.� , a li /a()-7,/ ,t RECHECK % APPROVED N/A ,YES NO FOOTINGS/PIERS I MONOLITHIC POUR FORM REINFORCEMENT IN PLA-2E J THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. ,,i" MATERIALS FOR THIS PURPOSE1ON SATE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL d 4' . ROUGH PLUMBING �1 .7 •/ PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB 41 /FRAMING: j,, JACK STUDS/HEADERS 3` BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING ;i WALLS a CEILING FIREWALLS ;i HEATING ROUGH—IN INSULATION: / it FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERItOR R— FLOORS 'i\ R— WALLS R— CEILING ; <,. R— DUCT WORK.OR PIPING IN UNHEATED SPACES ! y, 'v REMARKS: a 7 ARRIVE ' DEPART 3' INSPECT TOWN OF QUEENSBURY /9/1i BUILDING AND CODES DEPARTMENT 531 BAY ROAD' QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIOPN RECEIVED -'/�/G/� NAME 4 ' 4 CM 7;/lGLa LOCATION Jet 45 —Mph, 6 , DATE 1///67/ PERMIT # 9/-t2O TYPE OF STRUCTURE d 1.).6 4L// -e.2(u, L1lll; U (1 ( / RECHECK APPROVED N/A YES NO FOOTINGS/PIERS J6-0700k. -4- fy( (Ill MONOLITHIC POUR FORM _J 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 SITES FOUNDATION/WALL POUR , REINFORCEMENT IN PLACE; FOUNDATION/DAMPROOFING.° BACKFILL APPROVAL ROUGH PLUMBING ,; f PLUMBING VENT/VENTS IN: PLACE PLUMBING UNDER SLAB s' /- FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING tY JOIST HANGERS JACK POSTS/MAIN BE.AMa FIRESTOPPING / WALLS / CEILING / FIREWALLS HEATING ROUGH-LN INSULATION: / FOUNDATION/WALLS INTERIOR R- FOUNDATION/ WALLS EXTERIOR R- FLOORS / R- WALLS / R- CEILING/ R- DDUATEWORK PIPING IN UNHA TED REMARKS: • ARRIVE DEPART /v - INSPECT 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 / P I NAME G.& acz LOCATIONS DATE 91 PERMIT # Q/ — I TYPE OF STRUCTURE S)(No,g Ox„QQ Q� b� RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR I°S RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON S E _cFOUNDATION/WALL; POUR - REINFORCEMENT IN PLAC XFOUNDATION/DAMPROOFING\ / }/ BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN P,LAC PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS !A BRACING/BRIDGING / JOIST HANGERS / JACK POSTS/MAIN BEAM HEATING ROUGH-IN ,/ INSULATION: FOUNDATION WALLS/INTERIOR' - FOUNDATION WALLS EXTERIOR - FLOORS I Rz. WALLS CEILING I R- DUCT WORK OR PIPING IN UNHEATED SPACES / r r REMARKS: ARRIVE DEPART .` INSPECTOR o �-� - Q- 0 - 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 RECEIVEDRE NAME (46 /0 -Q LOCATION � � DATE , , V r PERMIT # �/' /,d TYPE OF STRUCTURE RECHECK APPROV ``,,-- N/A YE 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 ,t� REINFORCEMENT IN PLACE / • FOUNDATION/DAMPROOFING BACKFILL APPROVAL 4 �; ROUGH PLUMBING PLUMBING VENT/VENTSIN PLACE / PLUMBING UNDER SLAB'‘., FRAMING: JACK STUDS/HEADERS) 1 BRACING/BRIDGING JOIST HANGERS s, / JACK POSTS/MAIN BEAM FIRESTOPPING WALLS }' I CEILING %it FIREWALLS ; HEATING ROUGH—IN INSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R— FLOORS / ; R— WALLS r� 1_ R— CEILING f 1 DUCT WORK OR PIPING IN UNHEATED SPACES / '` ! ti, REMARKS: , ARRIVE DEPART• �-l�P O�v INSPECT a 0 i d uj I= T -Z oi lcx:)o GAL. TANK b_i�STlFb"TION e)ox PIT (TT oF:5) UWE OF SET f�Ck- > ui > 2 L 7#4r--- __ f�PLE VE MAR 27 10 IlLoo, & 000E DEPT. TOWN OF OUEENSEIURy Zoning TOWN OF Qt*S== K4M OUNMAW ONWNWlmbdmmbdlft amobmwkbwammwdd Who, imaubdoft6o ommdwldwmwktA ayiMaWbftu -"TOWN OF QUEENSBUR Lo Fll.y Copy BUILDING C DE JEWED BY I7 I TOTL� �40rje'�� F,) I 7, MoXl�lc �IeD oaf F C