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1992-226 - Yx x Ps CERTIFICATE OF C: CUPAN Y TOWN OF +QUEENSSURY C WARREN COUNTY, NEW YORK ©ate 19 `L• • This is to certify that work requested to be done as shown by Permit No., 922 226 has been completed. This structure may be occupied as a Single family ilrral l 3ny Location -Whi sperl ng Pines Owner Forest Wood Homes By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement E I m se BUILDING PERMIT � TOWN OF QUEENSBURY No. 92-226 WARREN COUNTY, NEW YORK � tN PERMISSION is hereby granted to Forest Wood Homes 1... OWNER of property located at Lot 111 Whispering Pines Street, Road or Ave. in the Town of Oueensbury, To Construct or place a Single Family Dwel l i n+g .ry 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 Oueensbury Building and Zoning Ordinance. e+ t. OWNER'S Address is HC 02 Box 286 $ Warrensburg, MY s 2, CONTRACTOR or BUI LDERS Name Same a CONTRACTOR or BUILDERS Address r 1r 4, ARCHITECT"S Name iJ S J. V5 5. ARCHITECT'S Address �. tGk J. 6. TYPE of Construction — (Please indicate by X) to ( )D Wood Frame i I Masonry i Y Steel ( I to J. 7. PLANS and Specifications - to .J M No. 2248 sq ft Single Family Dwelling as per plot plan specifications �n and application J. 8. Proposed Use �C Single Family Dwelling rJ $ 302_00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 14. i993 � (If a longer period is recluired an application for an extension must be made to the Build'eng and Zoning inspector of the town of Oueensbury before the expiration date.) Dated at the Town of Queensbury it 14th Davor May 19 92 a SIGNED BY for the Town of Oueensbury Suilding and Z&gng i rr"ctor TOWN OF QUEENSOURY + OWN OF OUEENSBUh , ., �. REVIEWED BY : . �• RECEIVED r. FEE PAID : .afi %%y�xx'� �"' " . .{' MAY ] `Y 1992 PERMIT N0 . : �j'' ;� - � � BLDG. & CODE DEFT. BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT . Ail applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property : 1 d / ll �}/� P . O . Address : PHONE J .y . - , Property Location : a Tax Map No . .''�// - �� Has there been any split of this property since October 11 1988? Yes No If yes , Planning Board Review is necessary . Subdivision Name , if applicable : J4 0d _ Lot No . I11 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE ' Construction of new building * CONSTRUCTION : $ ff10� f7b [� Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : 1y� ft , x IL ft , Other work ( describe ) * Existing Building Size : * ft , x ft , * Proposed building distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : * 1st Floor 110 Sq . Ft . ` * Front Yard LQ ft . Rear yard "77 ft . * Side Yards 5-6 ft . and j p ft . 2nd Floor 1 jq $ Sq . Ft . ._ =-=p =- - * If on corner , setback from side street- gt.Other Floors Sq . Ft . r, ft . { not cellar or basement * OCCUPANCY INFORMATION : TOTAL FLOOR AREA : Sq . Ft . ' * PrimaryBuilding g - � , _. One Family Dwelling Size of New Structure : � '� ft , x ft . * Two Family Dwelling Foundation : * Multiple Dwelling/No . of Units Pier/Slab/Crawl /Partial /Full ( Circle One ) * Business * Industrial No . of stories ( Habitable space ) _ * Other Height ( grade to ridge ) ft . If residential , no . of families : If addition , what will us ;. "c ? No . of rooms ( excluding baths ) : No , of bedrooms : I No , of bathrooms : i * Accessory Building : Primary heating system : hot air * Detached Garage - One/Two Car Type of fuel : e; ( * �_ Attached Garage -- One Tw Co No . of fireplaces to be installed : * Private Storage 'Building Will a woodstove be installed ? : * Other Central Air Conditioning : Yes No ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS :Type of construction : wood frame , fire safe , etc . SI f u; l;. rvaad Iraw . Will any second- hand or ungraded lumber be used ? If so , for what ? nn Foundation Wall Material : tlwcylplt. Thickness . $ + Depth of Foundation below grade ( to bottom of footing ) : 1y Will there be a cellar ? A Heated or Unheated ? Floor Sq . Footage : Will there be a basement ? Will any portion be used as living space ? no If so , what portion ? Sq . Ft . Type of Use ? Type of Roof : Sloped Flat/Shed/Other Material of Roof CA-s 12 �r �f Size , wood studs _ INN? If x IN ; spacing j IN o . c . ; length ft . Joists ( floor beams ) : 1st Floor x " ; spacing 14 to o . c . ; span ; ft . Joists ( floor beams ) : 2nd Floor x ID spacing 1 " o . c . ; span ,/( ft . Overlays ( ceiling beams ) : x spacing o . c . ; span ft . Roof rafters : " x IN ; spacing o . c . ; span ft . Roof trusses ( pre-engineered ) : spacing ,; y o . c . ; span ay ft . Exterior Wall Finish : k)OOJ .514, kq of what material ? SkP Interior Wall Finish : s LL4 A ocj IA 'Peol ad;ej VA A_14 d If a garage is to be attached , describe materials to be used for FIRE SEPARATION : s 54e4. ark { Is there to be an opening between garage and dwelling ? / If so , will a Fire- Rated door , enclosure , self- closing device be provided ? y� s Will a flue- lined chimney be installed ? H Height above roof ft . Depth of chimney foundation below grade : ft . Depth of fireplace hearth : ft . in . Water supply -( Municipal or private well : SEPTIC SYSTEM : Distance from an ny private well { including adjoining properties : ft . ( A separate application is necessary for any repair or new installation of septic system . ) NAME OF BUILDER & ADDRESS : ►7°f DUaflCf 01P � r'I!" G� �•n ? , r + f PHONE NAME OF PLUMBER & ADDRESS : � � PHONE NAME OF MASON & ADDRESS : r, s WNO PHONE i ,3a �ijf'S NAME OF ELECTRICIAN & ADDRESS : 14L r^ - Fr{v v q PHONE ,�3 J /tf DECLARATION I/ 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 a proposed work shall be complied with , whether specified or not , and that such work i�,fi aut rized by the owner . Signature r , wner s agent , architect o ctor --------------_. ----------- ..........--------------- -______-.__-____ SPECIAL CON ITIONS OF THE PERMIT : By : Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOM OF OUEENSBURY , WARREN COUNTY - 9000 HEATING DEGREE DAYS Como1 iance Methods* VOWN OF QUEENSBUrj . PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( ONLY ) RECEIVEt> PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings ; MAY 12 1992 Multi - Family Dwellings ( 3 Stories or Less ) 13LDQ, ,& CODE DEPTO PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets r Y r f J S,GPi Ira Jl'4E'.� A S NAME OPERTY LOCATION-` � . . . PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : I . Gross Floor Area - i Sq . Ft . 2 . Type of Neat - Elec . Base Board Other f 3 . Is Building 'Mechanically Cooled ? YES NO 4 . Percentage of Area of Windows and Doors Over 17% �, Inder 17 % THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D THE R-VALUES SHOWN ON PLANS SIIBNIrMff! Baseboard 5 . Insulation Values : Actual Shown Elec . heat Other A . Roof & Floors exposed to ambient temperatures R � O B . Exterior 'Walls R� C . Glazed Area R� D . Exterior Doors R. ILIw E . Floors over unheated spaces R. 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 ^ 6 . Service ( Domestic ) Hot water Heating Device A . Conforms to minimum efficiency per code YES NO B04MTURE CONTROL MAXIM 01 SETTIN/G I4O0 - WILL NOT BE EXCEEDED TURE OAT E TELEPHONE INSPECTOR ' S REMIIMKS : h r TO WW OF +Q I.I-. Eh+SB URY I Bay at Haviiand Roads, Queensbury, 14.Y. 1 280 1-972 5 II APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES 19 Permit No. ; 1'1'LICA riON IS HEREBY MADE to the Building Department for the issuance of a Building unct LJ% 1'crctiit ursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to cornply with all .rplaticabte laws, ordinances, regulations and.al_lconditions that are part of these requirements and also will allow all inspectors to enter premises for the required inspections. Applicant 's Name r,' << ;; j ; , APPLIANCE TYPE y :" Stove Coal Wood,, , . ; Address '" `'# Furnace Hot Air Railer Zero Clearance Circulating Unit „ ,. tilt If Non-Masonry. `Owner's Name Address Manufacturer Model Outlet Sire 'p IAsted by Number 1'lttrnc CHIMNEY TYPE aikd try: Block Brick Slone Property locaIion of proposed construction Flue: Tile Steel Size: Factory Built-.} t Manufacturer Model ;i Size COPY OF MANUFACTURER SPECIFICATIONS IS I height Listed By Nor REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall AND CIIfIMNEYS. MUST BE INSTALLED. Insulated ACCORDING TO SPECIFICATIONS . COPY OF Estittutiated Cost $ CONSTRUCTION DETAIL REQUIRED FOR MA- Fee $ ' SONRY FIREPLACES AND (CHIMNEYS. CASHIER's DEPARTMENT TowN of IQUEENSBURY, NEW YORK k . Dje rtment• File Marshal, A AmountColiected Amount iunderd Qtdf N rxtbtE Tjtle I ` A 173 3389 (190) Public Safety A233 2655 (230) Minor Sales I' C irllected...C.tvnL. tr-.-%-funded to: lie Als v 5 tr i j r w. Dated; 00 --- r>-T—uwn Clerk or Uepu 'ri'hele: A,yrynliraMi Yella. d P*iks Caxbter"s Etep`d�Nf Galderrrarl: Fire hforshal i e L TOWN OF QUEENSBUh TOWN OF QUEENSBURYiECEiVE'J' APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # MAY 12 1992 Fee Paid _ Date * A ����2 BLDG. & CODE DEPlvi ewed By LOCATION OF PROPERTY FOR INSTALLATION : /Owner ' s Name : Owner ' s Mailing Address : Installer ' s Name : , �dn/ } i ,= r� Phone # : ; '/ Number of bedrooms ( if residential ) : Total daily flow ( residential - compute @ 150 gal . per bedroom ) : SL1 Topography- Circle One : Fla Roiling Steep Slope % of Slope Sail Nature- Circle One : nd Loam Clay Other /Depth : _ Ground Water-At What Depth ? � �- ,�f{w ._�, .,ti !R7 � Feet Bedrock or Impervious Material -At What Depth ? Gee ^ Feet Percolation Test- Circle One : of Required Required/ Rate Min . Per Inch Domestic Water Supply- Circle Une : Municiat-��Well Other If domestic water supply is a we T - g ; . . Separation : Water supply from any septic absorption , , „ feet PROPOSED SYSTEM: Septic Tank ( Minimum size : 1 , 000 gal . ) 4� Tile Field : Each Trench feet//Total System Length p es� et Seepage Pit ( s ) : Number of / Size each : ft . x ft . Size of Stone to be used : # / Depth or Thickness feet HOLDING TANK SYSTEM IF REQUIRED No . of Tanks Sizelof Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. I have read the regulation on the r verse s de of this sheet and agree to abide by these and all requirements of the Town o +Queensbury Sanitary Sewage Disposal Ordinance . SIGNATURE OF RESPONSIBLE PERSON . ' 1 '� h DATE : 'a 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 anya water supply 5 ) size and dimensions of al tnks , distribution boxes , the 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 . Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks : r � WOOD WOM�Fs 1�" �b2M eT � � � — �-�. �C �i — f�! Pf�L I C`.+'►.i rU .� ��' l"�T� � '_ XT 6 t f 00 0" PtQ & P% a &% UA ec I I y%V z cra f-C.ca� 2 1 c 'raE: LPLA S � � �� �� •�.. , T 1 - 7 C) t3' r f 7 ! c7 ►-� o ! !=+ s� ioca > LraT S' - 1 AACST Ivy T,� CCw*rr2.Pwzr a I"L UJ t L c> 14 So Fr 2..tA r& To L seso AcN T=r L— L ra 'P4 So es A4 rT 0 tAAw 6&j�) � � >LA% u . t v u o C*%C. Tr^ A.+ 14C At%%4 FU A4 At (Af _ . , t TOWN OF QUEENSBURY 531 Bay Rd., OU*Ons6ury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date r' r 1_ } I9 c Permit No. z '0 APPLICATION IS HEREBY MADE to the Building Dept. 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 pert of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form If more them one Oppllence and/or chlmney. Applicant r r A,)j`"s % 1. r1c I � , f�: � -s APPLIANCE (cheer appropriate boxes) Addt ❑ STOVE: ❑ Wood ❑ Coal ❑ Pellet ❑ Fi EPLACE INSERT 1--V r > u All'I Zip ❑ FIREPLACE, FACTORY BUILT. ❑ Wood ❑ Gas Phone ❑ Fl REPLACE, MASONRY: ❑ Wood ❑ Gas Owner ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY: Manufacturer: i],�, ; � ; � � Zip Model I�I�Itled:' Inches Phone Listed By: Number: Enact address of proposed construction CHIMNEY (check appropriate boxes) ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone ` r` F L LIE. ❑ Tile ❑ Steel Size: Inches CONSTRUCTIONANSTALLATION MUST ❑ FACTORY-BUILT: , CONFORM TO NYS FIRE PREVENTION 8c Manufacturer: ' Model: BUILDING CODE. CONSULT TOWN OF Listed By: Number: QUEENSBURY HANDOUTS PROVIDED UDouble Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated Cashier's Departnnent Town of Queensbezry, New York Dept: Fire Marshal Amount Collected Amount Received Code Number Title A 173 3389 (194) Public Safety I Id A 233 2655 (230) Minor Sales - Fee. Collected From�Refunded to: Address:'� - —�- Dated: Town Clerk or Dep tp: ,`" White: APPUcam Green: Fire marshat Yeaom Bldg, Deptt. Ptak 4& GoL arid: Depe. TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY2 NEW YORK 12804 TELEPHONE ( 518 ) 745-- 4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED Cfr2 _ NAME �a' �- ,GG` G�C'r'r ��` '�G��► ,� LOCATION,, DATE_ PERMIT# APPROVED EXITS N/A YESi NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING I t FIRE EXTINGUISHERS AUTO . EXTINGUISHING S STEM HOOD INSTALLATION AUTO . SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE : CLEARANCE TO Sp NKLE CLEARANCE TO HE TING U ITS REQUIRED SIGNAGE CHIMNEY .)OODSTOVE IREPLACE-MASONR i FIREPLACE- FACTORY BUILT I REMARKS : K TO THIS DATE 'd 2/015 INSPECTOR TOM OF AY ROAD 531 BAY ROAD QUEENSBURY , NEW YORK 1 804 TELEPHONE (518) 745"4447 BUILDING INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED LOCATION DATE ,PERMIT# TYPE OF STRUCTURE RECHEC FIRE RSHAL APPROVAL ( COMMERICIAL STRUCTURE ) EFOOTING A. FOUNDATION �ACKFILL ,6= PRAMING SOUGH PLUMBING An�FINA7L-ELECTRICAL c. &EPTIC ,LeINSULATION W00 STOVE/FIREPLACy REMARKS A PR VA NIA YES NO CHIMNEY HEIGHT/LOCATION _ B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PUR`C-H/�S /RAILI GS RELIEF VALVES FURNACE/HOT WA 0 ER ING ^ INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS : BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLEO _ OTHER FLOORS CARPETED �. STAIR CLEARANCE/RAILINGSy SMOKE DETECTORS DOOR CLOSERS BATHROOM FAN�� ALL PLUMBING ITS OPEtA ING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE S PART{ II N� FIRE/DEMISE HALLS FINAL ELECTRICAL C, OK TO ISSUE C/O OR C/C COMMENTSK ARRIVE r DEPART r N E THE NEW YORK BOARD OF FIRE UNDERWR1Ti5 BUREAU OF ELECTRICITY { �� - 41 STATE STREET. ALBANY. NEW YORK 12207 Date JULY 4 , 1419/. Application Na. on file C'f 0 THIS CERTIFIES THAT only the electrical equipaaent as deecribed bdaW and introEbsced by the apPUCOftt e►aweed an the sGoe�e appwlleation nu■Fnber in the premleea of �yl 1 11 TYWLSVI001) . C;1JKNF; FA1..1Z I W . Y _ en the fallornin,E lacer n; let Fl. PL $nd Ff. Section Block Lot uaala ezamiraed on Irma andfound to he in compliance with the requirements of thie Board. tlXTURE E,C SWITCHES RXTURES RANGES COCIEIWG DECKS OPENS DMSM WASHERS lXMAUST FANS OLITWS INCANDESCENT FLUORESCENT OTHFVR ART. w W. ART. K. W. ART. K.W. ART. K. W, AMT. 40 DRYERS FLMNACE JM0TC RS WTUt1E APPUANCE REDEE3 SPECIAL TKIC'PT TIME CLOCKS ME" LRMT HEATERS Ml1L14"OUTLET DIAIIYIERS 7RAN5. wMT. H, r. SYSTEAIIS ART. WATTS OIL N_ P. GAS If. P. AMT. NO, A. W. G, AMT. AMP, ART. ANUS. NO. Of fBT 1 ve # SERyrICEnwerYyuwWe'7 NO. Of S E R 1r I C E ART. AMP. TYPE METER .s 7W 1 .� 3W a .e' SW a 1 +rM NO- OF Cc, CaND, A. W. 103 NO. CN NI-LEG A. W. E NO. OF NEUTRALS EQLNP. PER �' OF CC. COND. CIF NI-lEG OF NEUMM OTHER APPARATUS: Cw 0"s %w � a1ro IS *MOW* S GO, Jr.+G.3 C- S`Idii7 Ai�l{ET ELECTRIC :1 NC 1 l-? 14()HAVIF, AVE e SC oTl A v HN . 12 -30 4 BRANCH MANAGER Pn This certificate must not be attered in any mannerr return to the office of the Board if incorrect. Inspectors may be identified by their credentiak. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST •� �f/n �� �u�L.DlNG o end fseens �aY anq Hawila d R aG UEpgR-rA4E T' C]t�eensburY New York I E Ux .98 SEP TIC f7 nWMk 7Sp0 SAL 5y � 0 S� INSPeCTJ'ON LOCAT I pN r '�SAM-tT sox � Nam• P excoj SYST Sand pco onVest R �.atI to eq� d? clay x'YPZ Oer "- A-b aorpt fLenqrt be pnI: �"�-----� pt 0h en ttotal le tri9t �~ size or Ches �1rave GE Gx'ave.i '�"�.-�t- �p 'zNG ; s�E,ze, ��fit• -- 2'anl;, to tank Szze best- boX �- 71yPe QPertzn9 s eea,I ed ? lc7zpf t`� YES Pound t3o s dARAtTxCdlig; NO Ab$nc3atiorh to tank Se az.ption to absorptx n �' �A7rxa-ra�on Pz s dine F, kr r� n �S R Q' SY�Z:74 pN E t- A;ffjA etrt saIITY � z lcireze or:e� 1-0 usz Na $uxzaany Aeator f �,;,�,�.n,•.:y r�':'.::?:�:X'wfiR'�-a-ayrw '.a• e'-�s��-- "-,. r.. .t'"s,. . ,. �� y�..t.,—`_� � ul u IMF Aj } uw y � w s in. a doom _ .Jotun o� �ueen36ur� BUILDING and ZONING DEPARTMENT Bay and Wawiland Road, R- D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME / - tt � LOCATION T DATE 6"7 9Z PERMIT NO. l G `ZZ- 6 _ SOIL TYPE Sande- Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total jengtl, p t-'r Length or each trench Depth of trencheq Jq For -� Size of gravel_ 4WZ. iv It SEEPAGE PSTS{Nvmber of) _ Size- ft. X ft, Gravel size PIPING : Si Ty e Bldg . to tank C I k �� Tank to diet. box Disto box to field/pit 7s,+ ; - Openings sealed? ES �No Partial �- LOCATION/SEPARATIONS.- Foundation to tank ft. Foundation to absor tion 23 ft . Absorption to lot ne I fto -4- Separatian of pits �ft. LOCATION OF SYS7`� ON PROPERTY (circle one ) ran - Rear L t side - igh�"t'si'S°e�-- NTS : SYSTEM USE APPRf. %FED YES. NO n FMil�d­ing ns actor 01/86 and vl I TOWN OF Q 'UEENSBURY FIRE MARSHAL QUEENSBURY , NEW YORK 12804 TELEPHONE ( 5I8 ) 745- 4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED __�j � NAME x- ��- - LOCATION ` aArE PERMIT#_ rb _ APPROVED EXITS N/A YES No AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO . EXTINGUISHING SYSTEM HOOD INSTALLATION - AUT+O . SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE : CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNI REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MA OhIR fiI REPLACE- FACTOR Y BUILT REMARKS : QK TO THIS UATE 2fol EMOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENS8URY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT .REQUEST FOR INSPECTION RECEIVED. NAME f]Y F'S.�_�A r --(- =- .�— l LOCATION ( ; DATE PERMIT # E' TYPE OF STRUCTURE RECHECK APPROVED w FOOTINGS/PIERS " /A YES NO MONOLITHIC POUR FORM : REINFORCEMENT IN PLA THE CONTRACTOR IS RE ISLE FOR PROVIDING PROTEC FROM FREEZING FOR 48 HOURS F LLOIIIHG THE PLACEMENT OF THE CRETE;. MATERIALS FOR THIS PU OSE ON SITE FOUNDATION/WALL POUR. REINFORCEMENT IN PL E FOUNDATION/DAMPROOF G BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/YE S IN PLA E PLUMBING UNDER AB FRAMING : Acc JACK S U S/ ADE S BRACING/BRI ING ---� JOIST HANG S JACK POST /MAIN BEAM _ HEATING RO H- IN �„ INSULATION , FOUNDAT N WAR S INTER OR R- FOUNDAT ON WALLS EXTERIOR R- FLOORS R- f WALLS R- CEILING R- DUCT WORK OR PIPING TN UNHEATED SPACES R EMARKS ARRIVE DEPART LSECT6R� i TOWN OF QIUEENSBURY � BUILDING AND CODES DEPARTMENT 532 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED__ NAME LOCATION i DATE PERMIT #_ i►/^J TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACt THE CONTRACTOR IS RES FOR PROVIDING PROTECT FREEZING FOR 48 HOURS THE PLACEMENT OF TNE; MATERIALS FOR THIS PU FOUNDATION/WALL. POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFI BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN IPLUMBING UNDER S ,XFRAMING : �` JACKS DS HE BRACING/BRIDG MG JOIST HANGER JACK POSTS/ I BERM HEATING ROUGH- N INSULATION : FOUNDATION WfkLL5 INTERIOR FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : vicoNr, WAIT-, ARRIVE DEPART 4fNspOR fJ � TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ("518 ) 745- 4447 i BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME O LOCATION DATE PERMIT if -. TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTING S/PIERSr MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIB E FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE_ MATERIALS FOR THIS PURPOSE ON SITE Atk FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFIN ; BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS I P ACE PLUMBING UNDER SLAB FRAMING : JACK STUDS/ EAQ RS BRACING/BRIDGING t JOIST HANGERS JACK POSTS/MA BE HEATING ROUGH- IN - INSULATION : t FOUNDATION W L E - FOUNDATION WALLS XTERIOR - FLOORS FALLS R CEILING R- DUCT WORKI PIPING I NHEAT SPACES REMARKS : ARRIVE DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (518) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME00„ /' r�----I� ,�' '�r /•vim.^ LOCATION -L T -a DATE Z6 5 PERMIT f 9 Z, - -2 6 TYPE OF STRUCTURE- RECHECK APPROVED N/A YESI NO FOOTINGS/PIERS MONOLITHIC POUR FORM —_ REINFORCEMENT IN PLACE THE C0NTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CON ETE_ MATERIALS FOR THIS PURPO E ON SITE FOUNDATION/WALL POUR R INFORCEMENT IN PLACE gF QJNDATION/DAMP ROOFING weACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN P CE PLUMBING UNDER SLAB FRAMING JACK S . /HEAD S BRACING/BRIDGING JOIST HANGERS JACK POSTS/MA BEAM' HEATING ROUGH- IN INSULATION : FOUNDATION WALLS FN ERIUR FOUNDATION WALLS ; XTERIOR R FLOORS r R- WALLS R- CEILING R- DUCT WORK OR jyIPING IN UNHEAT SPACES REMARKS : ARRIVE DEPART TMEC i Tc�wN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED i 1'%' ! NAME LOCATION DATET � ^� PERMIT 0 TYPE OF STRUCTURE ��'/-� Z) RECHECK APPROVE N A IYES4 NO �( FOO INGS/P ERS 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/MALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLA E PLUMBING UNDER SLAB FRAMING : JACK STUDSMEADERS 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 : dr votp- ARRIVE DEPART INSPECTOR .. IeD Aw d : UWN OF QUEENseu, _ _RECEIVED - _ .... + - l5LoGw $ CODE -DEPT, Wei ....... ... . . f qp L^ yy .r � - J3 CLA .-. -. ..- - _ _ _ _ �'y►y�y/'� {may' -. .... -._ .. _..._._..._. ...........-.-_..._._ ---�-^