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1991-220 ter/ rt ;• _.6 -- CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date ,D,/09.iP 'A#L 1 19 92 This is to certify that work requested to be done as shown by Permit No. 91-220 has been completed. ' y This structure may be occupied as a single family dwelling Lot 7 Equinox Drive, Courthouse Est: Location RICHARD.AND MARCIA TRZASKA Owner By Order Town Board TOWN OF QUEENSBURY Director of.Bldg & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-220 1. WARREN COUNTY, NEW YORK F PERMISSION is hereby granted to Richard & Marcia Trzaska OWNER of property located at Lot 7 Equinox Drive Street, Road or Ave. in the Town of Queensbury,To Construct or place a Si ngl P family dwel l i ng 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 3169 Nelson Rd Lake George NY 12845 2. CONTRACTOR or BUILDER'S Name McCormack Industries 3. CONTRACTOR or BUILDER'S Address 7 Sarella Street 0 Glens Falls NY 12801 >2 4. ARCHITECT'S Name Rio n 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) U()Wood Frame ( ) Masonry ( ) Steel ( I cr- 7. PLANS and Specifications • m No- 68'x74' Single family dwelling as per plot plan, specifications and application including two-car attached garage and septic system. X 8. Proposed Use Single family dwelling CD $ 360.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 23 92 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the CD town of Queensbury before the expiration date.) —h Dated at the Town of Queensbury this 23r-(ice Day of / r April 19 91 c� a SIGNED BY for the Town of QueensburyrD Building and Zoning Inspector � J. ��► TOWN OF QUEENSBURY 1 41 ny APPLICATIct1 FOR SEPTIC DISPOSAL PERMIT DATE: 4-1-7- `�\ TOWN OF QUEENSBURY RECEIVED LOCATION OF PROPERTY FOR INSTALLATION LOT ? ak L �. R 191991 Owner's Name: 1 t-Z1 i/>A Address: -?(Co `� �a5� 4- -L_•& • BLDG. C�Ofl Installer' s Name: /(/(,c_,CO3A.N, -\ Jj1 -- Telephone: ^713--7 -cY7 Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) j Topography: Circle one: 42110 Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Ground Water: At what depth? — Feet Bedrock or Impervious Material : At what depth? -54t/)\J Feet Percolation test: Circle one: cot requir-sg required Rate - Min. Per Inch j(3-5- APPga��D AAA (.5dC,-_LLL o T7t 3 `Y7b Domestic water supply: Circle one: qiunicipal) Well Other If domestic water supply is a well : Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank (Oo© gal. (minimum size: 1,000 gal ) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of Z. /Size each FS feet by feet Size of stone to be used #.. :j /Depth or Thickness 3 x j ' feet ***************************** HOLDING TANK IF REQUIRED NO. of Tanks Size of Gal . *Alan. system associated electrica to be inspected by an ved agenc I have read the regulation on th r e side of this sheet and agree to abide by these and all requirements of t e Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: / 7-Q1 i • pc`ic System Inspections,: A. All applications.-for. sap tic system installation, alteration or repair, as required'br chi 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 ploc 'plan 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 S.) size and dimensions of all tanks, distribution boxes, - tile fields anal/or drywalls B. No system shall be covered before inspection and approval by the luilding Inspector. Failure to comply with this requirement may rusulc 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 rusulc"in-an-'-immeed-iace-work`scoppage. D. Should unforeseen problams during construction prevent proper installa- tion, alteration or rupuir of an approved system, a new proposal must bu submitted to the Queensbury Building Department before further construction. Town of Queensbury _ BUILDING and CODES DEPARTMENT _ Bay and Haviland Roads Queensbury, New York 12804 kunrarks: • • • • • • m TOWN OF QUEENSBURY REVIEWED BY .4111111111kFEE PAID $ . ' 5 ��IJ` -Jr omi Z F EEi sBuRy ECQEUIVED PERMIT NO. 9/-,224 APR 191991 BUILDING PERMIT APPLICATION BLDG. & CODE :DEpj 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. « « « « • « « « « « •* « * • • * * * • * * * * • * * « I * * * « * * • * * * * * * The owner of this property is: )-1 AkitikcAps T LA..5tv T ZA-Sk f-- P.O. Address -. 1(Qc'I MEL,6o40 O L (4i<E ( ''Q, Tel. -193-!]Z-.5 z Property Location L.01 -7 EQJ,/OK TYP-,- 1-. 6a A9\ Tax Map No. o. / i / 2I,4a 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 C_:COTi 0C; E: "77ATE _ LOT NO. _ 7 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: 1 - kk bunv5 rr`l 1c3 NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF • *. Construction of a new building * CONSTRUCTION: $ t(Q�j,per ' Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: * Size of property Zoo ft x zz3 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 r' yarde ft. Rear yard 75 ft. * Side yards zep ft. and (QO ft. * GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. 1st Floor 7 rip sq. ft. 3 ' * OCCUPANCY INFORMATION 2nd Floor sq. ft. * ' Primary Building - 9�� One Family Other Floors sq. ft!�r,� * -� Dwelling (net cedar or basement) f ,j' - ': Two Family Dwelling ' TOTAL FLOOR AREA_ ZaDO sq. ft. • Multiple Dwelling/Number of units Size of new structure 64 ft x 77L4 ft. • Business Foundation-pier/slab/c2. rtia • Industrial (circle C+rYw; Other * No. of stories (habitable space) Height (grade to ridge) 20 ft. * If addition, what will use be? If residential, no. of families / * No. of rooms(excluding baths) -7 • Accessory of bedrooms 3 * Building No. of bathrooms 2-1/1, * Detached Garage ONE/TWO Car Primary heating system 6A5-- 17. • ?< Attached Garage ONE/TWO C) Type of fuel rskf0 * Private storage building No. of fireplaces to be installed -r` * * Other Will a wood stove be installed • Central Air conditioning •'/o5 OV* ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction,-wood frame, fire safe. etc. (xc�.• Will any second-hand or upgraded lumber be used? If so, for what? /u0 Foundation wall material 5L X Thickness /O 'A Depth of foundation below grade (to bottom of footing) Will there be a cellar? yeb Heated or unheated? ,Uj ) Floor sq. footage Z sq ft. Will there be a basement? Will any portion be used as living space? A.)O (If so, what portion? sq ft. Type of use? Type of roof sloped flat/shed/other Material of roof -4,W kr Size, wood studs 2_ "x L-{ " spacing 1c" o.c. length ft. Joists (floor beams) 1st floor "x ld " spacing ?c "o.c. span 1.4 ft. Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x " spacing o.c. span ft. Roof trusses (pre-engineered) spacing Zt• " o.c. span 32 ft. Exterior wall finish `I(Zx(p ')/NE of what material? "P/d,C� Interior wall finish If a garage is to be attached, describe materials too be used for FIRE SEPARATION: C[I 1&ME ) rl`l��. �� G �/�X)\_ WLJ /J L`'C��Cs'�YJC'' (�1'�Y W,�LJ•- 1 ' Q1� vZJ' Is there to he an opening between garage and dwelling? Y If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? tiz) Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply Munal or private well SEPTIC SYSTEM Distance from ANY private well (including adjoining properties O ft. (A separate application is necessary for any repair or new installation of septic system) McCORMACK INDUSTRIES NAME OF BUILDER 7 Sarella Street ADDRESS TEL. NO. GLENS rALLS, NEW YORK tz1:101 - NAME OF PLUMBER ADDRESS TEL. NO. NAME OF MASON �j/ ADDRESS TEL. NO. NAME OF ELECTRICIAN 61iv 7,70\ ADDRESS - 0?,e R TEL. NO. 7g?j-"is3Z3 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 BUILDIN CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be corn ie with, whether speci ' or not, and that such work is authorized by the owner. Signature ( \k' wne , owner's agent chitect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY '. ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: TOWNOF QUEENSBURYPART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) RECEIVED PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family DwelAJsl 9 1991 Multi-Family Dwellings (3 Stories orRLess) CODE DEPT, PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets Mc-CAM ram/\ I ki0 u Loy 7 EG10ccuzx 6,)1.. t Cam. APPLICANT'S NAME PROPERTY, LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - 2.5 Sq. Ft. 2. Type of Heat- - cgA5 Elec. Base Board Other 3. Is Building Mechanically Cooled? YES NO 4. Percentage of Area of Windows and Doors Over 17% ic 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 Z2 C. Glazed Area R ,3 D. Exterior Doors R a 3 E. Floors over unheated spaces R t 't F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R H. Basement/Cellar Walls (Below Grade) R I. Heating/Cooling - Ducts - Piping in Unheated Space R C9.5- 6. Service (Domestic) Hot Water Heating Device (It A. Conforms to minimum efficiency per code NO TEMPERATURE C TROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED O�c 4 17—T\ PP ICANT'S SIGN E DATE TELEPHONE NUMBER. INSPECTOR'S REMARKS : I � � TOWN OF Q UEENSB LIRY Bay at Haviland Roads,Oueensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date illat.lL, II 1971. Permit No. 9/-,V 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 Name'tc,“Aft,.) -11,zI Ic, . !-01AsKR APPLIANCE TYPE Stove Coal Wood K Address 31C.0 'I iUci,4 j /-e-,'6 • Furnace I-lot Air Boiler Zero Clearance Circulating Unit Lr�l cX430 tV Zip 1Z'C�41.`� Phone ` , If Non-Masonry: o, Air"7 �i 3""lZf� Z � c;it3 Owner's Name l�l:C,l.-FPc 'p') t�Z1s2i 1'� Jik�1'� Manufacturer Address li--r -7 Ea.) 1 x. /1 Model Outlet Size i_ Lam, c3.00-V.Q1L Zip t2.o4IS Listed by .. Number Phone --j 1 3-"1 Z 8 Z CHIMNEY TYPE iA-" Masonry: Block Brick Stone Property location of proposed construction Flue: Tile Steel 1 "l e3v IaJ3k 6 A LS.s, Size: Factory Built: Manufacturer Model Size ('OPY 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$ 41-_ - SONRY FIREPLACES AND CHIMNEYS. CASHIER'S DEPARTMENT TOWN OF QUEENSBURY, NEW YORK Department; Fire Marshal Amount Collected Amount Refunded Code Number Title rj� A 173 3389 (190)Public Safety A233 2655 (230) Minor Sales pee Collected from o efunded to: LAVA-V4r/'J/ , ,o,i Address: Dated:' 999/ : Town Clerk or Deputy Ka. p,h (0 5�.�-.-Y i (--A-� While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal • �..��---0, MIDDLE DEPARTMENT INSPECTION-AGENCY,:INC. • National Headquarters •� 1337 West Chester Pike,West Chester, PA 19380 . APPLICANT COMPLETES THIS SECTION Date: ti_) _ ql City, Town or Township j i1,4.L: / ,Q1Z � County t•,3 AR ^`e J State +. Location/Address L-. 7 -01 ,k:.-C D (If Located in Rural Area-Please Attach Directions) - Pole # • Owner 11.1--.f 13 i F ?A NA Permit # • Occupied As AIA.K:,L 1-I aWf if Building: New( Old❑ Occupant ) , a, 1 Work Area in Building (Floor#,etc.): App. for: Wiring L J Service E. or: Ready for Inspection: Fee Remitted -$ - Cash n Check El M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 - Number of Rough Wiring Outlets Elect. Heat • Switches Lighting Amp. Service Surface Unit Dishwasher - - Range Receptacles Water Heater Air Conditioner Dryer 'Pump Number of Fixtures _ Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans '. Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 P/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size - Applicant's J Signature- ' IC )t 9% '^?i 4` / M t r t Y. t 1l1License # Permit # T/A Utility: r;) ,,G.:-_,.k?'. )j,eP-g uA— ' . /--14.)5Y7.,74=� Applicant's Address: A �-`_ -i.;) r J (NAME) (OFFICE LOCATION) (City) /P,R;. �`,-, ,-. (State) ,j..i (Zip) "1'?,...3 `5 Service Request # Phone # Electrician: .)Ac 1A f-/4J7 IC\ MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above or: Red Notice Label n Rough Wiring Outlets Surface Unit I Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner,Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4- 1 P/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size - . 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CERTIFICATIONS I USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor CFT • Violation: Work Comp.❑ Inc. ❑ n L/A Owner CASH CI Fee CHK # L/A Due MO # n IPA • Municipal . - INV # Date: Other Side I I Utility Applicant Owner ❑ Cut in Card n Temp # Date . - Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 wo TOWN OF QUEENSBUIZY Bay at Havi!nd Road, Queensbury,NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT 19 Le..-- rNo\ PROPERTY LOCATION OWNER OR T NANT ,( BUILDING /'� SEWAGE SIGN OTHER . ,`e REMARKS: /TNmt....6 ).A-RA46. Prize¢( o ra VA Ai ST60-- s icitha- Gli5S1 UL D d---I-0317 a P/ T fSSuc - o1-2- 0/0 CONTACT THIS OFFICE WITHIN L d if/ pLbp-36-- INSPECTOR "HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE" SETTLED 1763 TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 1280, TELEPHONE (518) 745-444% BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED • NAME �j,{9p20. tf?' °C /t/1!'/, Ct', T �1„LCC h a LOCATION � '� �(,�'/,r�/y/�i�;" � DATE A. 9 PERMIT# 9/- rl TYPE OF STRUCTURE v RECHECK,�ej)2 O,,D 6 ) did G yl ., C ' FIRE MARSHAL APPROVAL 1COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS /l .l jt1 7//62/ 2 APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION / PLUMBING VENT 'e ROOFING SIDING \ 7/ DECK/PORCH/STEPS/RAILINGS \✓" RELIEF VALVES r FURNACE/HOT WATER OPERATING / \ BASEMENT INSULATION/DUCTWORK `; INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: -•r' \ BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS / 4 BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS • OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: ARRIVE DEPART INSPECTOR ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. Owner je/e,-M- � eC z iq--S jr14 Occupant Location 7. -C/N'No. OX Q ��-/LJf �z / 1/ street Town or City State Installation as''temized on reverse side has been visually inspected pursuant to applicable codes. L'� Installed by 7 A:/ G , / 9 �� N Qua /� Date / r 6 r / Z� Yct�''J( u nspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 / (Z ROUGH WIRING OUTLETS . H.P.AIR CONDITIONZR 3 S c i/ r-e fie-� WIRING &CONTROLS FOR a/ BURNER _ c/ RECEPTACLES H.P.PUMP - 3 6 FIXTURES K.W.OVEN _-.1c9CXMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT Cl )AMP.SERVICE CONDUCTORS K.W. DISHWASHER ,?)AMP. K.W.SURFACE UNIT K.W. DRYER K.W.RANGE AMP. RECEPTACLE K.W.WATER HEATER c0, ` FRAC.H.P.VENT FANS , C ') 2S2.,_____. I (Li(4(/?GAse) L - MOTORS H.P. I/20 1/12 WO %u 11/6 2/ 15 %2 M 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS �.r TOWN OF QUEENSBURY • 4-S• ,d0 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INNSPECTION / REQUEST FOR INSPECTION RECEIVED /o /�44/ NAME k6 >t. / IQ Za-Ski¢ LOCATION DATE /2A? PERMIT# 9/ -07020 TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILI °' RELIEF VALVES FURNACE/HOT WATER PERATFNG BASEMENT INSULATI,D' /DUCTL ORK INTERIOR TRIM/P,R'IVACY DOORS FINISH FLOORV BATH/KITCHEN WATERTIGH OTHER FL'6ORS SWEEPABL OTH "FLOORS CARPETED STA CLEARANCE/RAILING`, DICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: , W.ezel /6ttiaz ,doe--)Y4/11411' ARRIVE DEPART INSP CTOR Jown of Queenitur ' cy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME`ZZ Si4( 4- — • LOCATION T rl Q vr,v© k DATE 7f / of PERMIT NO. 9/-z2-0 SOIL TYPE - Sand 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 , Size of gravel / / SEEPAGE PITS4Number f) Size- ft. X g' t. 141�f Fr 3s'r ith6- Gravel size , 2 I / PIPING: I Size Type Bldg. to tank q` Safk9 Art Tank to dist. box Al -,k:';' P(/'L- Dist. box to field/ 't ,9 vie__ Openings sealed? ESi NO Partial f ;LOCATION/SEPARATIONS Foundation to tank 4 /0-7+-ft. Foundation to absorption 7-01 ft. �� Absorption to lot/, lick 201-ft. CyfC-_, Separation of pi/Es \ ZA ft. LI_ '_ON OF SYSTEM ON 'PROPERTY(circle one) Fron - Rear //Left side - Right side - gr ENTS: \` SYSTEM USE APPROVED N. Building I pector 01/86 and vl /!/-7// TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 72 ,3/4,7,/ NAME W(,('.. ak1`' f(cae-e J LOCATION 7 eiza-, 2pZ/ % DAT //o1.4 q/� PERMIT# q/- 20 APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATIbR ; AUTO. SPRINKLER STEM I ALARM SYSTEM A' R INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKL RS CLEARANCE TO HEATIN4G KNITS REQUIRED SIGNAGE / yY CHIMNEY WOODSTOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: I Li OK TO THIS DATE _ ARRIVE ff.-7U 4. DEPART/d r- � 71/3g7 L-INSPE`CTOR 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 ' Q,CYm►c, cc gt1 /i'/ T LOCATION ; 4 ) r Y DATE , q/JA I PERMIT f ��,--De) j , TYPE OF STRUCTURE 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 .;y"" PLUMBING VENT/VENTS ;IN PLACE PLUMBING UNDER SLAB .,, FRAMING: E' JACK STUDS/HEADERS / ✓ BRACING/BRIDGING, / ✓ JOIST HANGERS / ✓ JACK POSTS/MAIN;BEAM / FIRESTOPPING WALLS L I CEILING ;t / FIREWALLS J / HEATING ROUGH—IN': , ?<INSULATION: Qth r“--V ..z, () J / FOUNDATION WALLS -IJJTERIOR R— FOUNDATION WALLS EXTERIOR R— FLOORS i / R— WALLS Pr-lie /1 R—.,z CEILING ? R— DUCT WORK OR PIPING IN UNHEATED SPACES /f! REMARKS: 1 a \.. Q � D ARRIVE / / DEPART S" / � INSPECTOR 5.f:' 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 4JZ '( .a 6/ T/sAc e 4i'a . LOCATION k z- ez..e4t.ex /2 DATE .5, 4// / PERMIT # 9/2 TYPE OF STRUCTURE ,�,���17// / f,�/?(a G�f//�11a RECHECK • I APPROVED F_- N/A YES NO FOOTINGS/PIERS I MONOLITHIC POUR FORM! REINFORCEMENT IN PLACE I THE CONTRACTOR IS RESPONSIBLE f` FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING • THE PLACEMENT OF THEE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE f' FOUNDATION/DAMPROOFING I • / BACKFILL APPROVAL ` jf ROUGH PLUMBING ;'I / PLUMBING VENT/VENTS I11 PEACE PLUMBING UNDER SLAB a FRAMING: JACK STUDS/HEADERS A BRACING/BRIDGING / I JOIST HANGERS / JACK POSTS/MAIN ,,BEAM. FIRESTOPPING / WALLS , CEILING FIREWALLS �' 1 HEATING ROUGH,,-IN 1 INSULATION: / FOUNDATION WALLS INTERIOR R- FOUNDATI,ON WALLS EXTERdIOR R- FLOORS / 1 R- WALLS j R- CEILING 1 R- DUCT FORK OR PIPING IN\UNHEATED SPACES 1 _ REMARKS: ARRIVE DEPART �ii kRO INSPECTOR TOWN OF QUEENSBURY jap, BUILDING AND CODES DEPARTMENT 531 BAY ROAD rn� QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME ( V/Itt- 1 Jt4 211 ko,.-) LOCATIONF- 7 FCtum, _ DATE , Lj/C/ ( PERMIT # 1 I-z wo TYPE OF STRUCTURE ,d,1,41irvohl d)i ttla i RECHECK APPROVED Qb N/A YE/ NO FOOTINGS/PIERS rr�� MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RER �'ONSIBLE FOR PROVIDING PROTEION FROM FREEZING FOR 48 HOU FOLLOWING THE PLACEMENT OF THE ONCRETE. � MATERIALS FOR THIS PURPOSE ON SITE / FOUNDATION/WALL POUR REINFORCEMENT IN PLACE`., I FOUNDATION/DAMPROOFING I BACKFILL APPROVAL ROUGH PLUMBING n �r PLUMBING VENT/VENTS IN POCE / PLUMBING UNDER SLAB / FRAMING: J JACK STUDS/HEADERS ./ BRACING/BRIDGING JOIST HANGERS \,r� JACK POSTS/MAIN BEAM A FIRESTOPPING / ' WALLS CEILING a' 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 / �`(7 / — INSPECT1• TOWN OF QUEENSBURY BUILDIPG AND CODES DEPARTMENT 531 BAY ROAD 1 QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED �/7��/ NAME 4 G-0�2/L(I , /. if.�_G� LOCATION ,1- '� f�r� i 1 ,{ DATE _ 1,r// PERMIT # 9/-l,`7�� TYPE OF STRUCTURE A.II de, gyncjiid./.b).a-, RECHECK i APPROV ti N/A YE NO '/FOOTINGS/PIERS l i) - -+ -�- - • ONOLITHIC POUR F RM .,i r— REINFORCEMENT IN PLACE,,, ;' THE CONTRACTOR IS RESPONSIBLE / FOR PROVIDING PROTECTION FROM ,7 FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON Si E FOUNDATION/WALL POUR . REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING / BACKFILL APPROVAL t a ROUGH PLUMBING N 1 PLUMBING VENT/VENTS IN PACE/ PLUMBING UNDER SLAB , FRAMING: 1 JACK STUDS/HEADERS BRACING/BRIDGING '; JOIST HANGERS JACK POSTS/MAIN BEAM / FIRESTOPPING WALLS > CEILING 1 C{ FIREWALLS ./ HEATING ROUGH-IN f INSULATION: i 1. FOUNDATION WALLS INTERIOR' R- FOUNDATION WALLS XTERIORR- FLOORS 'R- WALLS / 'R- CEILING / a- DUCT WORK OR PIPING IN UNHEATED SPACES ,� 1 / REMARKS: �. II y/ �y� v i 1 K 1,, ✓ \,\ ARRIVE . ' SJ � Q'a_.4g1_Ap ------____DEPART 4/ �� INSPECTO TOWN OF QUEENSBURY / r'` BUILDING AND CODES DEPARTMEN,../W5) T 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED NAME re._A 4' L1 ,7/2 6(.,, LOCATION Al-- '� it .Lr, ,_,(i /,e,,. DATE 5/7 /9/ PERMIT f j ,/-,2,2,L) - TYPE OF STRUCTURE )4" , �` 4/4 7 r r,Ghie&7 RECHECK I• APPROV N/A YE : NO FOOTINGS/PIERS y., MONOLITHIC POUR FORM . ' REINFORCEMENT IN PLACE w r' THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM 1 FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE ;''r FOUNDATION/WALL POUR t REINFORCEMENT IN PLACE 7 FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE / PLUMBING UNDER SLAB I FRAMING: �' JACK STUDS/HEADERS ,' BRACING/BRIDGING ' ,i/ JOIST HANGERS JACK POSTS/MAIN BEAM :1;;r FIRESTOPPING ' WALLS CEILING ,hi FIREWALLS HEATING ROUGH-IN ;/ 1 INSULATION: ./ 4 FOUNDATION WALLS ,INTERIOR R- FOUNDATION WALLS/EXTERIOR R- FLOORS i R- WALLS w ;1 R- CEILING I R- DUCT WORK OR PIIPING IN,UNHEATED SPACES / i' / REMARKS: tom. j /°141 s ARRIVE are2.) DEPART ,� c L 4 6 i/,,,,,-,- INSPECTO 19 � S3,2g �v y i o / d O F. , <S ,7 �0 CG Sti h v TOWN OF QUEENSBURY RECEIVED APR 191991 BLM & CODE DEP% '��"� ;sn x? •� r � � serf=,�, .. a; N, �4: 0 n- J r ti� LA- ••••A.0rr•r r