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1991-311 ,01 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK - Date ( V az.,/.r 4199 This is to certify that work requested to be done as shown by Permit No. 4)1-311 has been completed. This 'structure may be occupied as a SINGLE FAMILY MELLING LocationLOT 22 HERALD SQUARE GUIDO PASSARELLI Owner By Order Town Board TOWN OF QUEENSBURY /0741// 'Wail-7; /n .'Yc_— Director of Bldg. & Code Enforcement i 107 BUILDING PERMIT x a TOWN OF QUEENSBURY No. 91-311 0 WARREN COUNTY, NEW YORK . ' r N PERMISSION is hereby granted to Guido Passarel l i v' I 1 OWNER of property located at Lot 22 Herald Square Street, Road or Ave. N in the Town of Queensbury,To Construct or place a Single 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 w 1. OWNER'S Address is p' Same N .a C w 2. CONTRACTOR or BUILDER'S Name fD C Passarelli/Cerrone a <a 3. CONTRACTOR or BUILDER'S Address fD 45 Herald Drive Queensbury, NY :' 4. ARCHITECT'S Name to 1n w CD 5. ARCHITECT'S Address . .... I- 0 6. TYPE of Construction—(Please indicate by X) c-+ �( iry v ( '}Wood Frame ( I Masonry ( )Steel ( 1 = fD 7. PLANS and Specifications a 0. No. 1,496 sq ft Single Family Dwelling as per plot plan specifications o and application • 8. Proposed Use CD Single Family Dwelling v) :o $ 22t 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 15, 19 g? a (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the a, town of Queensbury before the expiration date.) 0. Dated at the Town of Queensbury this 15th Day of May 19 c31 x ZI SIGNED BY �` gR — ) o\crzi,.,.„. o for the Town of Queensbury c i, Building an oningInor TOWN OF QUEENSBURY REVIEWED BY ..I 111% FEE PAID $ .�7� 07 �O �O ll' QF QUEENSBidfi'Y of ECEIVED � � PERMIT NO. 9/, 3 BUILDING PERMIT APPLICATION MAY 151991 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. a a a a a a s * a a a a a a a #�,a * • ** * a a a a a a a * * a , a * * a a * * The owner of this property is: C •//G6 / �4rga,�t ii MR a P%.* -tka�� • �v �;.a.L P.O. Address j �/2 . Tel. 7 [- 1 / Property Location / 0Z- 44-1-rel" ' l///4s%G7 Map �G /ax Map No.��S/1/o2 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 7ge Ze �QzGzl,f_d___ LOT NO. 7-fi THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: * NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF • -/ Construction of a new building * CONSTRUCTION: $ /2/ff-1) Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: * Size of property / 17) ft x eft. Alteration to a building * Existing Buildings(3) Size ft. x ft. (no change to exterior dimensions) ' Proposed building - distance from property line: Other work (Describe) * Front and y Xr ft. Rear yard Xi) ft. * Side yards Zc) ft. and /7 ft. a GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. 1st Floor 97/Z� sq. ft. 1 $ ' OCCUPANCY INFORMATION s��. ��' 2nd Floor sq. ft.�t/t� Primary Building - Other Floors �j * One Family Dwelling sq. ft. - (not cellar or basen:ert -�'7--�, a. Two Family Dwelling. r/G�j • Multiple Dwelling/Number of units____ TOTAL FLOOR ARE 9,6 sq. ft. to Size of new structure ft x 7 ft.1' ' • Business Foundation-pier/slab/crawl/partial/full ' Industrial (circle one) * Other No. of stories (habitable space) v • Height (grade to ridge) ft. • If addition, what will use be? If residential, no. of families / a No. of rooms(excluding baths) w Accessory Building No. of bedrooms 3 • Detached Garage ONE/TWO Car No. of bathrooms ?/ • _ Primary heating system /417/Par • Attached Garage ON f WO C Type of fuel • __Private storage building No. of fireplaces to be installed / * • -Other Will a wood stove be installed_ Central Air conditioning ' OV• ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIQNS: Type of construction, wood frame, fire safe, etc. eR911 Will any second-hand or upgraded lumber be used? If so, for what? NV Foundation wall material ,�' Thickness d' V/ Depth of foundation below grade (to bottom of footing) lj f 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? /1/c) (If so, what portion? sq ft. Type of use? Type of roof sloped flat/shed/other Material of roof .5;0;',Ur/,( • Size, wood studs ?j"x 6 " spacing /6 " o.c. length d ft. Joists (floor beams) 1st floor ' —"x /7 " spacing /L2 "o.c. span /Z/ ft. Joist (floor beams) 2nd floor 7— "x '" spacing /6 "o.c. span / t. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x ' " spacing /b o.c. span TV-ft. Roof trusses (pre-engineered) spacing " o.c. span ft. _ Exterior wall finish //jty/ S-;///e of what material? Interior wall finish ec74/206i---- 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? ife.!` If so will a Fire-rated door, enclosure, self-closing device be provided? LJC'J' Will a flue-lined chimney be installed? t'J Height above roof Zj ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or 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) NAME OF BUILDSIX/e442712--ADDRESS ✓- /�fC� =�C- �/� •TEL. NO. 7yf—r // NAME OF PLUMBERZ'';/ ti, 4 - ADDRESS 7 � f�f d TEL. NO.4 '— � 7 NAME OF MASON y,J ADDRESS TEL. NO. /� Z- '"/P ' NAME OF ELECTRICIAN���,QP..e7 / /J)//.ADDRESS E TEL. NO. 7( r9Y c / 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 72 Owner, owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: • BY ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS TOWN OF QUEENSSUR.. Compliance Methods: RECEIVED PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) MAY 1 5 • 7gg, PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwelliabk 8 CODE DEFT 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 27e.ee&-- APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - �� Sq. Ft. 2. Type of Heat - Elec. Base Board Other ,gi/ )� 3. Is Building Mechanically Cooled? 4 YES NO 4. Percentage of Area of Windows and Doors Over 17% J 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 C. Glazed Area R � �J D. Exterior Doors R // E. Floors over unheated spaces R F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R f 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 V YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED 7xf -1/4r-c/2-/ APPLICANT'S SIGNATURE DAT/ TELEPHONE NUMBER INSPECTOR'S REMARKS : RE 410011. v4sj TOWN OF QUEENSBURY _�Ucr APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid MAY 1991 Date: c/0/ Revi e► 4diey& CODE DEPT, LOCATION OF PROPERTY FOR INSTALLATION: '/ Z-- vela_.- c - Owner' s Name: t5"U,•l�� f ��s,C���� Owner' s Mailing Address: W /,' , / /:?._ Installer' s Name: "/ � �'��,� c Phone #: Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom) : (v Topography-Circle One: Fla 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? Feet Percolation Test-Circle One: Not Required. Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other If domestic water supply is a well - Separation.: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /I-22 gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 50 feet//Total System Length 1D O feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # Z7// Depth or Thickness . feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified 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: /f. • f,`,r, ,, MIDDLE DEPARTMENT INSPECTION AGENCY, INC. cao National Headquarters • , 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION /, Date: / City, Town or Township C�i� / (4. County it/ F -/� State /(. , Location/Address /f '..20. / f7ZZ s?>)/ —a.� `' (If Locatteed in Rural Area - Please/Attach Directions) Pole # Owner :l9/ , r Z—//' Permit # I // Occupied As S��lV/ .��>/7 Building: New❑ Old❑ Occupant • Work Area in Building (Floor #,etc.): App. for: Wiring❑ Service n or: Ready for Inspection: Fee Remitted-$ Cash n Check n 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 11/2 2 3 5 7,/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size / Applicant's /7 / Signature / -•�'� ti ''� License # Permit # T/A Utility: Applicant's Address: (NAME) (OFFICE LOCATION) (City) (State) (Zip) Service Request # Phone # Electrician: MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above or: Red Notice Label n Rough Wiring Outlets Surface Unit 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 11/2 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 USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID ❑ RW Progress: Inc.❑ LKD I I Contractor I I CFT Violation: Work Comp.❑ Inc. ❑ n L/A Owner CASH I I Fee • CHK # ❑ L/A Due MO # n IPA Municipal INV # Date: Other Side CI • utility Applicant 0 Owner Cut in Card n Temp # Date n Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 TOWN OF Q UEENSB LIRY Bay at Haviland Roads,Queensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date "/ /1 • 19 9/ Permit No. 9/:3/./ 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 Ae APPLIANCE TYPE �� Stove Coal Wood //� s''Y� Address Y Furnace Hot Air Boiler ��, Zero Clearance t� Circulating Unit /Ya,-f�i14 /t/� 1 . Zip /z�t U / Phone 79'f-- .('��� If Non-Masonry: Owner's Name L /` Manufacturer �7���/�/Z/ Address Model Outlet Size �a �/ Zip Listed by Number Phone . CHIMNEY TYPE Masonry: Block Brick Stone —Property location of proposed construction Flue: Tile Steel �/� a/ Size: � x/ 7;e: sq Factory Built: • Manufacturer Model Size ('(WY OF MANUFACTURER SPECIFICATIONS IS Height Listed By I Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated - - ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ • SONRY FIREPLACES AND CHIMNEYS. • CASHIERS DEPARTMENT TOWN OF QUEENSBURY, NEW YORK Depar•ltnenl: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190)Public Safety A233 2655 (230) Minor Sales Fee Collected from or Refunded to: Address: Dated: Town Clerk or Deputy(.ttiP_ c, White:Applicant Yellow and Pink:Cashier's Department Goldenr ':Fire Marshal MIL ip � S 4., ; TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee PainT 15 1991 Date: J I0/1 RevieWdc)Oyd CODE DEFT. LOCATION OF PROPERTY FOR INSTALLATION: LIJ/ M2 Owner' s Name: 4,Zd l tOrf,,e,ed7 Owner' s Mailing Address: ".r )14e7d%/2 !j2. Installer' s Name: 1 (/'2.e47,f - Phone #: 7J'- S 2 f Number of bedrooms (if residential ) : 5 Total daily flow (residential-compute @ 150 gal . per bedroom) : Topography-Circle One: Flat 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? Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank 4'0 gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 50 feet//Total System Length ID° feet Seepage Pit(s) : Number of ^^�� / Size each: ft. x ft. Size of Stone to be used: # L// Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified 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: KZ- DATE: �f 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 befog-._ 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: TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 1/1�* NAME ,zrZy!r'' r ! LOCATION�a't/YG%I /� r DATE j745,47,/ PERMIT# APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING'';SYSTEM . HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM I INTERIOR FINISHES STORAGE: CLEARANCE TO: SPRINKLERS: CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: 1 1 OK TO THIS DATE 7-` f ARRIVE DEPART 149 , • INSPECTOR TORN Of QUEENSBURY 1 1' 531 BAY ROAD * j , QUEEHSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED _8_J3 NAME OL12ti• LOCATION_Pt Z1 DATE 1/?f q/ PERMIT# TYPE OF STRUCTUBc Si n e RECHECK U FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION \BAC)FILL ✓FRAMING 1UGH PLUMBING FINAL ELECTRICAL--ASEPTIC INSULATION WOO STAVE/F1 REPLACE SITE PLAN/VARIANCEiREQUIREMENTS YES — NO REMARKS &S�Lit4,4 - �%/� APPROVAL N/A YES NO. CHIMNEY HEIGHT/LOCATION ✓ B VENT/LOCATION PLUMBING VENT ROOFING ►// SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES ✓ FURNACE/HOT WATER OPERATING i✓ BASEMENT INSULATION/DUCTWORK ✓ INTERIOR TRIM/PRIVACY DOORS v/ FINISH FLOORS: BATH/KITCHEN WATERTIGHT t�/ OTHER FLOORS SWEEPABLE ,/ OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS 1/ BATHROOM FANS/WHOLEHOUSE FANS ✓ ALL PLUMBING.FIXTURES OPERATING ✓ - GARAGE FIRE PROOFING _ ✓ DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: V,*: "9/ /s ARRIVE 'U DEPART ELECTRICAL INSPECTIONS g /UPILICATE MUNICIPAL RECORD Permit No. (( ! / ' Owner 6a(12_6 P- 2, /1 • Occupant Locatioy. t-4�' 2"2- /'�-/�r� cS Street Town or City �'_'GJ 1� State - Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. .Installed by A .=/2 1-- ijo Aieo i No. 6-� f" Date _ '� d7 kaeaM2 .....--erre-- spector MIDDLE DEPARTMENT INSPECTION AGENCY,INC. FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380 0 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER � 6yJ QJJT.L-ET6 L(S/ r �t WIRING &CONTROLS FOR �' y-91 1 tt yy RECEPTACLES H.P.PUMP 7 FIXTURES K.W.OVEN , r 9/2 �/��'7,MP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT /23AMP.SERVICE CONDUCTORS K.W.DISHWASHER K.W.SURFACE UNIT V K,W, DRYER 1r� K.W. RANGE AMP. • RECEPTACL5 /K.W.WATER HEATER / FRAC. H.P.VENT F4S MOTORS H.P. 1/20 1/12 1/10 % ' '/ 'h % '% 1 1% 2 3 5 7h 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS , uji, 41/Lu.8, „A(4. , , awn 01 Queensbur 1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 ..eg- c,,,Q.ck • SEPTIC DISPOSAL SYSTEM INSPECTION .,)42. NAME JV- SC-6S-W ��� J f LOCATION (gel- i� �e ((/ '(JA,- �/ DATE r7 / / PERMIT NO. � I —_ f , SOIL TYPE - :and Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch _ ' /' TYPE of SYSTEM: ;.' Absorption f eld, total length o615. . Length of eac trench sm I Depth of tren hes . d 3 Size of gravel /' SEEPAGE PITS{Number of) Size- ft. X \ ft. I Gravel size , \ PIPING: Size Type Bldg. to tank �`\ Y . V-6• Tank to dist. box \ y Dist. box to field/pith, S"oecZ) Openings sealed? �/ NO Partial LOCATION/SEPARATIONS: / Foundation to tank / . `o ft. Foundation to absorption ft. Absorption to lot lirelire ft. Separation of pits ‘ ft. LOCATION OF SYSTEM N PROPERTY(circle one) Front - in- Lef side - Right side - COMMENTS .14 1 • SYSTEM USE APPROVED YES 0 Bui d ng p tor 01/86 and vl TOWN OF QUEENSBURV BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORTA/17./ I REQUEST FOR INSPECTION RECEIVED NAME tiS44-4, Er-(- �/ LOCATION c/P'/y DATE 7/7/7/ PERMIT # 9/- TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING ' THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING, BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS INIPLACE PLUMBING UNDER SLAB I FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS /' HEATING ROUGH-IN #INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- 1/ FLOORS R- WALLS R- lei' v CEILING J DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART NSPEC R • • , .7(a- -.awn of Queensbury ' ' BUILDING and ZONING DEPARTMENT / Bay and Haviland Road, R.D. 1 Box 98 . Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME , elect//?`' aze1 — ,_�- LOCATION a� )? i _, A . DATE 7f.--� /9/ PERMIT NO. ' 9-r %/ SOIL TYPE and Loam - Clay - Percolation Test Required? YES - NO -\ Percolation rate - Min/Inch 1 TYPE of SYSTEM: Absorption field, total length , QJ--p + Length of each trench; $ i 4' Depth of trenches " 'a- y Size of graveiii-.Z / SEEPAGE PITS{Numberof) Size- ft. X ft. :1 • Gravel size . ,',1 PIPING: .3 Size Type Bldg. to tank t Lr �x.:, Tank to dist. box '' ' si Dist. box to field/pit 11 isa-) Openings sealed? YES r��NO Partial LOCATION/SEPARATIONS: /j Foundation to tank ' A' /' ft. ' Foundation to absorpt3I n ale ft. • . Absorption to lot line CS ft. Separation of pits I ft. LOCATION OF SYSTEM OIJ PROPERTY(circle one) Front - Left''side - Right side - . COMMENT . 4�1 I. /l`e.ed i $ � e74 ?4u-vG. 02' Lem ch,cs 1, as-IL - /frt. ci C. / 1 f 3 - al/ .4: iQsrr i✓©?`-. .iks; Qc 7. 00 444 C_o d'Cf2 SYSTEM USE APPROVED YES }D E1 /j OL/1e Building Inctor 7/ 01/86 and vl TOWN OF QUEENSBURY f'Lb ( -1 BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW 0 12804 TELEPHONE (518) 792-58 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED Sp 1 1 cj NAME 1,1fayEM �uQx!'tc, LOCATION 440 � Aey Syotoe DATE 5// j/9 I PERMIT I I TYPE OFSTRUCTURE(7,c c c. RECHECK APPROVED,/ • N/A YES/NO *FOOTINGS/PIERS // MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM i FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE J FOUNDATION/WALL POUR 1 REINFORCEMENT IN PLACE '1 FOUNDATION/DAMPROOFING , ;1 BACKFILL APPROVAL i • ROUGH PLUMBING Ii i• PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: : 1 JACK STUDS/HEADERS 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: 1 ARRIVE DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT • , J/I 531 BAY ROAD y' QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ���; ��� /.� NAME..,,i/gAcp/ , jay fah -24-e°9aw bi LOCATION ,{e �' �l�JiJ /6 DATE L,0�;414 / PERMIT # TYPE OF STRUCTURE p/ RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING , THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING # / PLUMBING VENT/VENTS IN PLACE q / PLUMBING UNDER SLAB 4 ✓' FRAMING: I / JACK STUDS/HEADERS I BRACING/BRIDGING ii / JOIST HANGERS / JACK POSTS/MAIN BEAM f/ FIRESTOPPING WALLS ? CEILING FIREWALLS s HEATING ROUGH-IN / INSULATION: / FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS ES(TERIO R- FLOORS / R- WALLS / R- CEILING / R- DUCT WORK OR PIPING IN UNHEATED SPACES / REMARKS: % 21 ARRIVE DEPART — N P 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 .51/7/ NAME '-YdV(>1 C� �[)Q Y -C LOCATION0 DATE cj://?/qi PERMIT # f' J/I TYPE OF STRUCTURE r RECHECK APPROVED N/A'' Y" 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 ONISITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL !' ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB 1. FRAMING: t. 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