1991-204 t
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date IOU l 19 q 1
l/
This is to certify that work requested to be done as shown by Permit No. Q 1-2fl4
has been completed.
This structure may be occupied as a _ si nal a family modular home
Location Upper Sherman Avenue
Owner Robert & Wendy Schill
By Order Town Board
TOWN OF QUEENSBURY
f
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-204
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ROBERT & WENDY SCHILL w
OWNER of property located at Upper Sherman Av Street,Road or Ave. i'
in the Town of Queensbury,To Construct or place a Single family Modular Home o>
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 to
RD#4 Northwinds Trailer Park
Queensbury NY 12804
I-
2. CONTRACTOR or BUILDER'S Name O0
0-
Lamplighter Homes
3. CONTRACTOR or BUILDER'S Address
CD
RD#2 Saratoga Rd
Fort Edward NY 12828
4. ARCHITECT'S Name
5. ARCHITECT'S Address
a0
-5
(-D
6. TYPE of Construction—(Please indicate by X) N
CD
-5
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications n
No. 26'x52' Modular Home as per plot plan, specifications and application
including septic system.
8. Proposed Use
Single family modular home
eL
$ 168.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 19 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.)
0
rD
Dated at the Town of Queensbury this 19th Day of April 19 91
SIGNED BY i for the Town of Queensbury
Building and Zoning({spector
TOWN OF QUEENSBURY A , -
T- REVIEWED BY ' . - "
/ , :.. �1 F OUEENE$
I - - FEE PAID $ l RECEIVED URY
PERMIT NO. '/— 61/
APR 16199
BUILDING PERMIT APPLICATION 1
BLDG. 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. .
• • • • • S. • • •' • • • • • • • •- '• • '• • • • • • • • • • • • • •• • •- • • • * • •
The owner of this property is: El,J . �5 .
//((�� -fit, �
P.O. Address �T �`��%�-t�-N� . ,//Z�z e/0, Tel.(VI- W. y/y
Property Location 14 I G4 7449.1 ,41-7 Ai Tax Map No. '2� // c. .6/
Has there been anysplit of thisproperty'since October 1 198
� /
If yes Planning Board Review is necessary. - yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISI F WORK AS REGARDS TO BUILDING CODES ISi
•
NATUR ;OF PROPOSED WOR • ESrIMATED MARKET VALUE OF
Construction of a new building • CONSTRUCTION: S �/ ljv .
Addition to a buildin_• • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property -
P _P Y_ -��`Il --- -- ff x ft.
Alteration to a buil ing __ - ---_, - *
_Existing Buildings(3) Size ft. x ft.
- (no-change to exterior dimensions) •
•,--
- Proposed building distance from pro
po - property line: .
Other work (Descri ) * Front yard lc" ft. Rear yard /-9 9 ft.
• Side yards`,,Lg0 ft. and Z ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor /3,coe sq. ft. '
• / OCCUPANCY INFORMATION
2nd Floor .. '. sq. ft. . •. Primar Building
• Other Floors • One Family Dwelling
sq. ft.
(not cellar or basement • Two Family Dwelling
TOTAL FLOOR AREA � 5d sq. ft. • Multiple Dwelling/Number of units
Size of new structure 4, ft x_,_ft. • Business
Foundation-pier/slab/crawl/partial * Industrial
(circle one) • Other
No. of stories (habitable space) ' / •
•
Height (grade to ridge) /y` ft.- • If addition, what will use be?
If residential, no. of families / : . - •
No. of rooms(excluding baths) 6 • Accessory Building
No. of bedrooms _Detached Garage ONE/TWO Car
'No. of bathrooms. off. ;� •
=.�
Primary heating system � , i- :.4 • , Attached Garage ONE/TWO Car
Type of fuel • Private storage building
No. of fireplaces to be installed 11 fi •
• ___Other
Will a wood stove be installed . 4)0
Central Air conditioning ti n : • '
OV• ER'
I
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Tape of construction,cood frame, ire safe, etc. j^p-j.
Will any second-hand or upgraded lumber be used? [f so, for what?ci Al 0 •
Foundation wall material (?-rt, .,c ,.cam Thickness g
Depth of foundation below grade (to bottom of footing) (p
Will there be a cellar?= _ _ Heated or unheated? _"} :_ Floor sq. footage sq ft.
Will there be a basement? Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof - ope /flat/shed/other Material of roof
,___,4,14,/..A0
Size, wood studs 62 "x " spacing/6 " o.c. length g ft.
Joists (floor beams) 1st floor 2 "x / " spacing / , "o.c. span/3 ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) A "x (o_" spacing JG, " o.c. span /3 ft.
Roof rafters "x spacing o.c. span ft.
Roof trusses (pre-engineered) spacing /to " o.c. span /3 ft.
Exterior wall finish 4;e---ii -mot of what material? �q,,�.,Q
Interior wall finish -- 4..' (/
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? If so will a Fire-rated door, enclosure,
-self-closing-device_be_provided?
Will a flue-lined chimney be installed? )tp Height above eoof -_----- - - _- -- _ __ft._ _ ___
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in,
Water supply Ounicipalpor private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties itiA . ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER A ' ADDRESS �J' 119- ,.EL. NO. S/F- 3- 3
NAME OF PLUMBER f` �` ADDRESS �� ry �`
TEL. NO. .
NAME OF MASON /r f` " �� <<
_ADDRESS TEL. NO.
(� re rc it C t. .c.
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.
Signature - ' /4-71'
Owner, o er's agent archit t,.contractor
SPECIAL CONDITIONS OF THE PERMIT: .
BY .
TOWN OF QUEENSBURY y)��, d
(ZiWARREN . COUNTY , NEW YORKh/t��
Application for : BUILDING PERMIT IN COMPLIANCE W TH THE NEW YORKQ%
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following: C�p/�f 1rL/ j?�fa
/�1. Gross floor area J6-o` v/ TowN OF QUEENSBURN''
�— RECEIVED
2 . Type of heat 69.4.2 ,
3 . Is the building mechanically cooled? ' APR 1 61991
4 . Percentage of area of windows and doors BLDG. & CODE DE T
A. Over 16% Only .
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES NO.
a. Are foundation walls insulated? YES NO
1. If YES , what is the R value?
3 . Slab on grade YES NO
a. If YES , what is the R value of insulation around
perimeter of floor?
4. Is basement heated? YES NO
a. R value of insulation
5. Type of insulation.
B. Under 16% Only
1. R xalue f roof and floors exposed to ambient conditions
2 . Rvalue of exterior walls / r /9
3 . R value of glazed area .
4 . R value of doors • .
5. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10 . Type of insulation
C. Controls
1. Thermostat maximum heat setting . l v
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas
E . Piping Insulation' h._
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating-
_ 1 . Performance . efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. /j�' � ---`� 'e —/ A
(apr• , ica)11 t '.s./Jsignatur�.
V
�i m. o otcemidevi
TOWN OF QUEENSBUKY
APPLICATION FOR SEPTIC DISPOSAL PERMIT RECEIVED
APR 161991
DATE
/ BLDG. CODEDEPT.
LOCATION OF PROPERTY FOR INSTALLATION G,% 14Wf. k G ' 1Q r/
Owner's Name: etriviz-A,� Telephone: Sit-7c / -V/V7
Address: ./7
Installer's Name: Telephone: „/f t '7. 9,),
Number of bedrooms (residential only) c
Total daily flow (compute @ 150 gal per bedroom) 7(1�
Topography: circle one Flat Rolling Steep Slope % of slope
Soil Nature: circle one: Said Loam Clay Other / Depth: _ feet
Ground Water: At what depth? /U/ feet
Bedrock or Impervious Material: At what depth? _AO feet
Percolation test: circle one not required required / rate min. inch.
Domestic water supply: circle oneunicipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank /Q-rd gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 4e,) feet / Total system length 2 0(') _ feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # / Depth or Thickness feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person: g4,---/
Date: 9 / /7/
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD,PLACE TO LIVE
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED / , :/
TEMP.it DATE ��/ j (-./i ,); ) /-.
`!//f/(. / J /
/ /'
CITY OR VILLAGE a TOWNSHIP COUNTY
STREET AND NO:OR ROAD JJ POLE NUMBER
V
(�.?J-�' �/;) 1:%:�Z.i ter_.-yt� t�.2�c_F,1,,-r..`_ _e
BETVy!EEFI W/IAT TWO CROSS-STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
r./II?i. - -a.-,name_✓
OCcL'I,PAryt'S NAME y , X BUILDING OCCUPANCY �+ AL?'
I
' r( ` t 7 G:-a..--.1y- �.1 d.' ....;J fi 4--H,i(iC� /�?G---AL- -/ A�tj.!!t-L,I'.t"�'_ * /J
A i� t-�/� -_ �J HOME TELEPHONE NUMD —
IiWNER'S NAME AND ADDRESS ,j J ' - ir. /� V / r.. jf/f/ `//,;.
,P`ii {T AA: i' 2/72,4_,,,' C --1/--✓ , C/y / //Y /
CUR\RENT SUPPLIED BY c• } 5 FROM THEIR ��; .�OFFICE WORK TELEPHONE NUMBER -
!r .. I J /fin , '1 j �.-.7 .. /.'/ -- 1/ (,�' 2Z/ /Y`.
f i,i ,Fri mil./ F'I i -- .eA/i f/� .-- -V"—' l.�1 U�^� J
BUILDING IS EE��J r'I u - - --
NEC OLD❑ WORK IS NEW Q--'lam ' ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
Loca- NUMBER OF OUTLETS Lamp Reo.of lceptacles xtures&
MOTORS HEATERS CIRCUITSBRANCH OFFICE
ONLY USE
tion Side Attach't H.P. Watts AW.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
BASE /
BASE- fj :h f•'--'
MENT , .
1st ! ?�!_��"
FL. i I i I I : e
2nd \f d i..,' i'. i . IY I `i,' -
FL. g I
{ ` 'I . 1
3rd ? ' I FL. ' i
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 DENT F CAT ENTER NUMBERS 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 / f
NAME OF APPLICANT / % I DATE OF PPLICATION SIGNATURE OF AP,LICANT
;� -f'!'1`--;1__;.---.: h.— .// �f+. ,/,�-t.L�-''y,/f ✓7 r.t t.^'i�;,._ `i / (2/s / X -L A/ ', t LA`-,f -
STF�SET ADDRESS./i / / p 1 ,/^ / TEIrEPHONE Nb• �c�
CITY OR POST,OFFICE" ZIP CODE „ LICENSE NO.WHEN APPLICABLE
0 85 John Street 0 41 Stat Street El570 Delaware Avenue o 217 Lake Avenue 0 202 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
TI—IF NJPVJ V()RK R(IARfl (,F FIRF I INDER/VRITERS
•
F a-S-e.4 9,kJ.f-In"!•!-I-n l..a,!.S.i:)_"1-- .a9-1. --19,,19,),•!•a7( n-In•In !.-l.i.a.9!.a-91,-1-9t("ia-.tia i.a-.4,A94 .9!- i--1-94-ai.An" M.4-" ,r_-'9,;M-";""-"•,k.' ., J-st;a:v
It THE NEW YORK BOARD. OF FIRE UNDERWRITERS SAGE
3.
r ':
a.l.°'E.
BUREAU OF ELECTRICITY" n
41 STATE STREET,ALBANY,NEW YORK 12207 ' o4,
if Date
UNE 114 1.091 Application No. 7-1091 91 A 053972 CI( 7�
77 THIS CERTIFIES THAT PERMIT NC. . . _ } o 14
only the electrical equipment as described below and introduced by applicant named on the above application number in the premises of p
iO3r2i & tit DY 5 CtCLL . !J Tn R SHERMAN AVENUE, Q1PLt .?tCRV, N. �. No
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section- Block Lot N
Fwas examined onJUNE and found to be in compliance with the requirements of this Board.
FIXTURE ECEPTACLESI SWITCHES FIXTURES RANGES COOKING DECKS" OVENS DISH WASHERS EXHAUST FANS e
OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT: K.W. AMT. H.P.
1 .
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. " AMT. AMP- MAT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
E
SERVICE DISCONNECT NO.OF - . S " " E' R 'V I C E .
AMT. AMP. - TYPE METER 1 .02W 1 0 3W 3 0 3W�3 J 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G.
EQUIP• PER B OF CC.COND.. OF HIdEG OF NEUTRAL
:T L
3
�
OTHER APPARATUS:
ELEC. WATER r.EATER . .1 -4 .r, K-. i,
11
',13 . . N i
•
DOR�I`1'jl`i' MURRAY • � - _ UuTeo
1, 1F; BRANCH MANAGER
FORT EDUARD i•,4' 12828 " . 239
•
Per
_ 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. N
® ® ® ® 0 D O O M ® ® ® 0
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
: ---.\-- ; -0)k) m_i_,,,
TOWN OF QUEE4SBURY d
531
` , j 'QUEENSBURY,BAY NEWRYAD YORK 12804
.- TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION C '
REQUEST FOR_ �INSPECTION RECEIVED
NAME S C�' ,�'\ `
► 1 1 1 ? b -
LOCATION I AY
DATE Coil 7,0/ . PERMIT/ 9 / 0 Li
TYPE OF STRUCTURE Na ,
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
2FOOTING FOUNDATION VIACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL ASEPTIC
INSULATION WOONSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUUIREMENTS , YES NO
—
REMARKS G Aet_.-c,
N/APPYESALNO
CHIMNEY HEIGHT/LOCATION Ii
B VENT/LOCATION it
PLUMBING VENT I ✓/
ROOFING f�as ►�
SIDING / if
DECK/PORCH/STEPS/RAILINGS / ii
RELIEF VALVES 7 //
FURNACE/HOT WATER OPERAT -NG i
BASEMENT INSULATION/DUCTWORK f
INTERIOR TRIM/PRIVACY DOORS 1 . /
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT I :•
OTHER FLOORS SWEEPABLE }
OTHER FLOORS CARPETED i 1/
STAIR CLEARANCE/RAILINGS_
HANDICAPPED ACCESS t
SMOKE DETECTORS/ u�%
BATHROOM FANS/WHOLEHOUSE FANS ✓ALL PLUMBING.F,IXTURES OPERATING
GARAGE FIRE PROOFING i
DOOR CLOSERS i
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER ; • ./
FINAL ELECTRICAL Y
OK TO ISSUE C/O OR C/C Li
COMMENTS:
-72,,,r,y,,,,f6r.,.., ,6, .-7,5- .
ARRIVE - �U
DEPART S �/= / i
NSPECTOR •
_Jouin o/ Queenibury
BUILDING and ZONING DEPARTMENT •, 1��/
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME P=; %-�!'-;, /r%P,/.'Cf/�:2(1 ;Ar'ZA
LOCATION 4
DATE J/A// / 1/ PERMIT NO. �� -
SOIL TYPE -fS d;- Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch _
TYPE of SYSTEM:
Absorption field, total length
Length of each trench <-,)
Depth of trenches • 1 -
Size of gravel .f`
SEEPAGE PITS{Nuinber of)
Size- ft. X ft.
Gravel size
PIPING: Size Type„
Bldg. to tank -11.1wC'''
Tank to dist. box
Dist. box to field/wit,
Openings sealed? /YE$ NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /p ft.
Foundation to absorption j-7 ft.
•
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON.:PROPERTY(circle one)
(Front- Rear - Left side - Right side -
TOWN OF QUELINED�IFIY COMMENTS:
RECEIVED
,•
fi
MAY 28 , ✓�e �t/ / Y
i991
BLDG. & CODE DEPT,
SYSTEM USE APPROVED ; Y,ES1 ,NO
oji41)
Bu ^1)ding Inspector
01/86 and vl
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am b Ie jrh e2
onzea
Sp.cializing in Modular Hom.t and Manufuctur.d Housing
Route 9
RD2 Fort Edward , NY 12828
(518)793-7392
May 23, 1991
Town of Queensbury
Building and Zoning Department
Bay and Haviland Road
RD1 Box 98
Queensbury, NY 12801
Re: Schill - Upper Sherman Avenue, Queensbury, NY
Septic Disposal. System Inspection of 5/21/91
Dear Inspector:
Enclosed, per your request, please find the new plot
plan regarding above matter.
If you have any questions, please do not hesitate to
contact me.
Sincerely,
•,��� U Wt-,v
Dorothy Murr y
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 TELEPHONE (518) 792-5834 2
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED S7 li
NAME OC� /
LOCATION k ).c)
DATE 5 g ( PERMIT # / O L/
TYPE OF STR CTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE '
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTIONFROM
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
HEATING ROUGH-IN r'
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 A ` 1447
INSPEC R
9:_5 —&,=,—.:-2 c,1.,(fi / c—e-Of/t4e-
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 /
NAME /}C�t -a V 2'i P�f (L V d' /2.',(7J
LOCATION`I44oG�. �h7P�S/1i9a
DATE a PERMIT ! 9/- el
TYPE OF STRUC URE n /i/,--f /
RECHECK APPROVED
N/A YES . NO
X FOOTINGS/PIERS 1
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE w
THE CONTRACTOR IS RESPONSIBLE s"
FOR PROVIDING PROTECTION FROM +'
FREEZING FOR 48 HOURS FOLLOWING ,^'
THE PLACEMENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON;SITE .,
FOUNDATION/WALL POUR 1
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING f
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB 4
FRAMING: r j
JACK STUDS/HEADERS i,
BRACING/BRIDGING .
JOIST HANGERS j,
JACK POSTS/MAIN BEAM i ,
FIRESTOPPING j'
WALLS
CEILING .7 a
FIREWALLS
HEATING ROUGH-IN ,,
INSULATION: 4
FOUNDATION WALLS INTERIOR R-I
FOUNDATION WALLS EXTERIOR R-
FLOORS R- I
WALLS R- ',
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: j'
P .
li
,
ARRIVE
DEPART 1
1-iii
INSPECT