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1991-300 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date .July 12, 19 91 This is to certify that work requested to be done as shown by Permit No. 91-300 • has been completed. This structure may be occupied as a Single t°am7 l Y Dwelling I.ration Lot 0122 Chippewa Circle Owner Michael Vasi l i ou Inc. By Order Town Board TOWN OF QUEENSBURY 1 56 Director of Bldg. & Code Enforcement . .." M v L. 4 BUILDING PERMIT TOWN OF QUEENSBURY 91-300 , No. WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Michael Vasi l i ou Inc. r� OWNER of property located at Lot #122 Chippewa Circle Street,Road or Ave. Ge 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 r= approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is �. 14 Stone Pine Lane. 00 Queensbury, NY 12804 2. CONTRACTOR or BUILDER'S Name w Same I- 0 3. CONTRACTOR or BUILDER'S Address e+ �!N I-� fV C9 4. ARCHITECT'S Name 5. ARCHITECT'S Address C") fD 6. TYPE of Construction—(Please indicate by X) t/1 d. ( (Wood Frame ( ) Masonry ( )Steel ( ) fD 7. PLANS and Specifications No. 2,296 sq ft Single Family Dwelling as per plot plan specifications 4.4 and application c� 8. Proposed Use fgD Single Family Dwelling w/2-Car Attached Garage c0 $ 304 no PERMIT FEE PAID —THIS PERMIT EXPIRES May 15, 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.) Dated at the Town of Queensbury this _15th Day of. j' May 19 91 SIGNED BY for the Town of Queensbury Building and Zonir(g'l nspector TOWN OF QUEENSBURY REVIEWED - .yr ,/ 1�,� FEE PAID $ '?GTI -,�' �S s 30/-1, O o s � PERMIT NO. 9 i t1. � � e'd..i�41",i p04" QUEENSBURY BUILDING PERMIT APPLICATION °=n/FD MAY14 1991 A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO 1114111%1ltg D,EPFs '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 • • • * * * * • a The owner of this property is: /4 fti.q.�{ L// /` /Oc1 /AC. P.O. Address. Ai ,ST�A ,ve• .h am Tel. 79$—7.3 S-3 Property Location 47' /2Z 7A. �ec1c.øo €s/ZCGd Tax Map / /O /A'V Has there been any split of this property since October 1, 1988? / /1/6) If yes Planning Board Review is necessary. yes. no SUBDIVISION NAME, IF APPLICABLE _ LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: • NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF • • o ]� Construction of anew building • CONSTRUCTION: $ r �(� �' Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: • Size of property /O Q ft x Oft. Alteration to a building • (no change to exterior dimensions) Existing Buildings(3) Size _ ft. x ft. • Proposed building - distance from property line: Other work (Describe) ' Front yard SO ft. Rear yard 6-0 ft. • Side yards MO ft. and ft. • -GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft. 1st Floor ' 6 y sq. ft. ) ' * OCCUPANCY INFORMATION • • 2nd Floor /6 5, sq. ft. ! • - Primary Building - Other Floors sq. ft. • One Family Dwelling (not cellar.or:-basement •• •. Two Family Dwelling-• TOTAL FLOOR AREA22P sq. ft. • Multiple Dwelling/Number of units Size of new structure_ft x '73 ft. • Business Foundation-pier/slab/crawl/partia * Industrial en (circle one) • Other • No. of stories (habitable space) • Height (grade to ridge) 2.( ft. • If addition, what will use be? If residential, no. of families, f • No. of rooms(excluding baths) F Accessory Building No. of bedrooms • Detached Garage ONE/TWO Car No. of bathrooms Z/� • Primary heating system O'er //{L, _ • • X Attached Garage ONE 0 Car • Type of fuel 0/ Private storage building • No. of fireplaces to be installed �1�� • __Other Will a wood stove be installed ' • Central Air conditioning YES OVER nt _ 1 111 If BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of constructio , wood fram , fire safe, etc. Will any second-hand or upgraded lumber be used? If so, for what? Foundation wall material � �7��C Thickness �_ I Depth of foundation below grade (to bottom of footing) Will, there be a cellar? 02$ Heated o unheated. Floor sq. footage sq ft. Will there be a basement? yeA Will any portion be used as living space? /0D (If so, what portion? • sq ft. Type of use? Type of roof - sl•pe• flat/shed/other Material of roof Size, wood studs "x " spacing " o.c. length ft. Joists (floor beams) 1st floor "x lb " spacing g/4 "o.c. span ft. Joist (floor beams) 2nd floor "x /0 "spacing A "o.c. span /.3 ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x " spacing- o.c. span ft. Z - _ Roof trusse (pre-engineere spacing " o.c. span .2C ft. Exterior wall finish t if-6 of what material? Interior wall finish ?4-,,t,- �-�% �"Z. , 7 , -7 r eC If a garager is to be attached, describe materials to be used for FIRE SEPARATION: �, , eir P/,e- cr P �C�C 'Is there to be an opening between garage and dwelling? /, If so will a Fire-rated door, enclosure, self-closing device be provided? .P,' Will a flue-lined chimney be installed?1 e' Height above roof ' y � ft. Depth of chimney foundation below grade C ft. Depth of fireplace hearth e. ft.' in. Water supply Municipal-Pr private well SEPTIC SYSTEM Distance from ANY private well (including adjoining properties r21) ft. -� (A separate application is necessary for any repair or new installation of septic system) LAME OF BUILDER J4I«, Y,44iL frvj ADDRESS /5/ Us� - 4. TEL. NO. .7f3 /d .LAME OF PLUMBER FA/A- ' ADDRESS /:I.rlr�r Nr/T TEL. NO. Tyr LAME OF MASON7AJeklil-740 ADDRESS Pe/7/40,6 TEL. NO. 792.Ozz Z. (AME OF ELECTRICIAN Ae4-, ADDRESS Melitelzs TEL. NO. / f 4Viefe DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the Mans and specifications submitted, are a true and complete statement of all proposed work to be done on le described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and III other laws pertaining to the proposed work shall be complied with, whether specified or not, and that 14eh work is authorized by the owner. _ Signature 0 er, owner's age t, architect, contractor IPECIAL CONDITIONS OF THE PERMIT: BY 1. - . ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family Dwellings (3 Stories or Less) PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets C/WL /60 Ae /631-4 'oc/-67trel A L CAN S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - (722, 3 4. Sq. Ft. 2. Type of Heat - 0/C- Elec. Base Board Other 3. Is Building Mechanically Cooled? NO 4. Percentage of Area of Windows and Doors Over 17% 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 /9 l C. Glazed Area R 9,3 D. Exterior Doors R y% E. Floors over unheated spaces R F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R T/9 Piy H. Basement/Cellar Walls (Below Grade) I. Heating/Cooling - Ducts - Piping in Unheated Space R 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code X YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED 7/ APPLI T S I N TU DA ? ! TELEPHONE NUMBER /� INSPECTOR'S REMARKS : RE D BY fcci,„....1...3 MIDDLE DEPARTMENT INSPECTION AGENCY, INC.National Headquarters 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION //,,// Date: ?��r • City, Town or Township/ ti</ 5 fJ I�y County /"/4%7/'(: State '/ Location/Address L ©r 12� / .iC [^JC)Q/ ./(If Located in Rural Area -Please Attach Directions) Pole # Owner 10/C/-{l(F 7 t c r i n U / IC . Permit # Occupied As 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. I I 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 Water Heater Air Conditioner Dryer Pump Receptacles 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 1'/2 2 3 5 7,/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size , , • Applicant's Signature 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 1'/z 2 3 5 742 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 ^M ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. I 1 1 L/A Owner CASH ❑ Fee CHK # ❑ L/A Due MO # n IPA Municipal INV # Date: • Other Side CI • Utility Applicant ❑❑ Owner r--. Temp # Date _ -. _ INSPECTORS SIGNATURE _ Date TOWN Y1 V OF Q UE NS B L YJt Bay at Haviland Roads,Queensbury,N.Y.12801-9725 • • APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date ,�// Y �3 a /9 9/ 19 • Permit No. 9I "`. 1bu / 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 /////�j r� APPLIANCE TYPE . C,if�L��- ,{/ii^S/�/Cal) ��/C . Stove Coal Wood Address .o7'i2?_ �,/AX Sw P?,_r, Furnace Hot Air Boiler Zero Clearance Circulating Unit . �v .-C t3 c.fiey A/ / Zip /2 y ' l, Phone 2 9 _ )3 s3 ,1 . If Non-Masonry: i Owner's Name Altr(-f -C- .. 141- c i 4... i a jive, Address Manufacturer 5/ �0"'F ^-E 2, .C- Model Outlet Size • 0 i; r et— Zip /ZOO y Listed by Number U I Phone 79.g 5. CHIMNEY TYPE • • Masonry.; Block ' Brick A Stone • 'Property location of proposed construction Flue: Tile V. Steel Size: )l X 12- • d4( PEA (4e�r= _ 207- /2-Z Factory'Built: Manufacturer Model Size COPY 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 $ 1-/b(JO CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ SONRY FIREPLACES AND CHIMNEYS. • • • CASHIER'S DEPARTMENT • TOWN OF QUEENSBURY, NEW YORK Department; Fire Marshal . Amount Collected Amount Refunded Code Number Title ig S Q A 173 3389 (190)Public Safety A233 2655 (230) Minor Sales hcc Collecteded frc Refunded to: \ y�P Vcis J f1(l Address: Dated: - J//1.fil"1 i Town Clerk'or Deputy , • ' f L- rl `0 • ' While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal TOWN OF QUE NSBU1,Y , 4s�— APPLICATION FOR TOW"' OF QU ENSB.URlr SEPTIC DISPOSAL PERMIT MAY 141991 . BLDG. & CODE DEPT. DATE MfiV579/ LOCATION OF PROPERTY FOR INSTALLATION i % Owner's Name: " MS/C/OC),Afralle--, Telephone: 793 — Sea Address: /7 729/Vr / ,,,i 4.1;4,4 Installer's Name: dt, � Telephone:292 0 2.2 4----- Number of bedrooms (residential only) 1 Total daily flow (compute O. 150 gal per bedroom) Coc Topography: Circle one: Flat Rolling Steep Slope % of Slope ��4-7- Soil Nature: Circle one: Sand. Loam Clay Other .5sAA).Th . /Depth: Feet Ground Water: At what depth? MAR A ER)6ale 11lr Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle one: not required .required rate A min. inch. Domestic water supply: circle one: unicipa Well Other If domestic water supply is a wel . Separation: Water supply from septic absorption feet PROPOSED"SYSTEM: Septic Tank /000 gal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench feet/Total system length feet . SEEPAGE PIT(S): Number of ? / Size each 45P feet. by 7 feet Size of stone to be used # . /Depth or Thickness S feet ************************* 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: la DATE: , 9/ OVER • 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 installa— tion, 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 and CODES DEPARTMENT. Bay and Haviland Roads Queensbury, New York 12804 • • Remarks: , ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. q —307) Owner e (4-/9-6-c_ 144-5 ce 0£ r C 4—etf Occupant Location 4-0 r (2- 2- ! i1 (11,6--zd 4C a .627-77c/N 8 te.Ry Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable " codes. Installed by .,151-11/%< Di xi"ajoi At/ Date 7-72 — !Aimee-dikaa...9k.i.tor MIDDLE DEPARTMENT INSPECTION AGENCY,INC. FORM NO.18 EL 1337 West Chester Pike,West Chester,PA 19380 ROUGH WIRING OUTLETS � H.P.AIR CONDITIONER 5-6 catrmwS re AIL WIRING &CONTROLS FOR O/ BURNER g2.— RECEPTACLES H.P.PUMP cc 2- FIXTURES K.W.OVEN ,0 C:AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT I/VAMP.SERVICE CONDUCTORS ✓/K.W. DISHWASHER K.W.SURFACE UNIT / K.W. DRYER Z/ K/yV.RANGE AMP. RECEPTACLE , (/K.W.WATER HEATER 3 FRAC. H.P.VENT FANS MOTORS M.P. 1/20 1/12 I/10 '/g '/a '/. h 14 '/. 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS . iV.I.f44?,*.t.t IF''''*'. . ' " ',/1/ ':. ; of QUEENISBIJRY A. `.:Q k IA'531 IlAY.ROAD .`� j QUEENSBURY,'.NEW PORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME ih1()014z. e/ 1/ _111. -tL LOCATION :V- / 9.{ 9 er.t ezb U (1j DATE i J/Z J9 i • PERMIT# 1 /c3dG _ ' TYPE OF STRUCTURE A Iv;(lie I MI. dil P, !G(..) RECHECK/Iiil_ ItIpe) , L'i ffiA ‘461-544 C u FIRE MARSHAL APPROVAL,(CQMMERCIAL STRUCTURE) ' FOOTING FOUNDATION 4,-6ACKFILL ,'FRAMING ROUGH PLU—MBING FINAL ELECTRICALS tEPTIC INSULATION 1 WOODSTOVE/F;IREPLACE,% SITE PLAN/VARIANCE REQUIREMENTS .;YES _ NO REMARKS li rd ) APPROVAL i!t , N/A YE . NO _ CHIMNEY HEIGHT/LOCATION B VENT/LOCATION r �/l PLUMBING VENT ?€`.d ,/i ROOFING ty SIDING ,�, /./DECK/PORCH/STEPS/RAILINGS ;� ';','• RELIEF VALVES {{ .FURNACE/HOT WATER OPERATINGO +. BASEMENT INSULATION/DUCTWORK 1 07 INTERIOR TRIM/PRIVACY DOORS d FINISH FLOORS: t / BATH/KITCHEN WATERTIGHT /ti OTHER FLOORS SWEEPABLE 6` t // OTHER FLOORS CARPETED t ;1 1 // STAIR CLEARANCE/RAILINGSF 1/ HANDICAPPED ACCESS / SMOKE DETECTORS /, " ,� BATHROOM FANS/WHOLEHOUSE FANS , ALL PLUMBING .FIXTURES OPERATING ✓/ GARAGE FIRE PROOFING l' DOOR CLOSERS r' "',cf OTHER FIRE SEPARATION'' FIRE/DEMISE WALLS DUMPSTER l FINAL ELECTRICAL ✓/ OK TO ISSUE C/O OR C/C COMMENTS: ,,4 s��°O' ''' . 7 ` , - Q7 ARRIVE 7 J DEPART l O / i \1sf-V-, qc ' QUEENSBNY "! / 531 BAY ROAD r'1 �, $ QUEENSBURY, NEW YORK 12804 - - TELEPHONE (518) 792-5832 BUILDING-INCTOR'S REPORT FINAL INSPECTION .._.7 1 REQUEST FOR)I'NSP -- ED )9) ,` NAME A\�� ( c. '1(.J ,` (n a LOCATION Alc1N- )a a- cf -,p,,A e DATE • PERMIT# , " 9 ` -",fx--t/ TYPE OF STRUCTURE " : osr.,. Q,:- � , } RECHECK ;i' i FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) --FOOTING FOUNDATION vBACKILL VFRAMING TROUGH PLUMBING 1FINAL ELECTRICAL.1=&EPTIC • INSULATION WOOOSTOVE/FIREPLACE SITE PLAN/VARIANCE REQUIREMENTS _YES _ NO REMARKS } if / APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION./ B VENT/LOCATION / PLUMBING VENT / ROOFING I SIDING / 1 DECK/PORCH/STEPS/RAILINGS RELIEF VALVES I FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWO K INTERIOR TRIM/PRI ,ACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT 1\ OTHER FLOORS SIEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS \ SMOKE DETECTORS • BATHROOM FANS%WHOLEHOUSE FANS ALL PLUMBING/FIXTURES OPERATING ; GARAGE FIREPROOFING `,. DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER _ FINAL ELECTRICAL _ OK TO ISSUE C/O OR C/C Z.:e.,A-17 di.<JVt -Y;tA(/-5:A'"1" L Q� �� . F.. , /4 e ARRIVE (� DEPART LU / INSPOTOR c.,(\o") �1~1' 31c�c�z� -foe,s b-irl -0 M TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 2/V r NAME Sic\N.. k -2. \b k ck LOCATION 0- l- /,-9, - e 1\ v v-eA- , DATE PERMIT# CI l-.;DO APPROVED ___ .�/�J YES NO EXITS / AISLE WIDTHS EXIT SIGNS y EMERGENCY LIGHTING I FIRE EXTINGUISHERS ;� 4' AUTO. EXTINGUISHING 'SYSTEM, HOOD INSTALLATION I AUTO. SPRINKLER SYSTEM / ALARM SYSTEM 4 V iii INTERIOR FINISHES STORAGE: Y 't CLEARANCE TO SPRINKLERS �". CLEARANCE TO HEA1TING UNITS, REQUIRED SIGNAGE / A ,\;cY ! , CHIMNEY `; V , WOODSTOVE / �,v FIREPLACE-MASONRY FIREPLACE-FA `TORY BUILT REMARKS: J I I OK TO THIS DATE g (12' / (:,(2)9 ARRIVE DEPART //14. INSPECTOR P -e3PTh Down of Q ee n.i urcy BUILDING and ZONING DEPARTMENT Bay and Haviland-Road, R.D. 1 Box 98 Queensbury, New York 12801 • • SEPTIC DISPOSAL SYSTEM INSPECTION . NAME 1 n LOCATION �O1 1 �-- 11 Ili kr' --- 2 I- -,f),;�v G� DATE ( /� L PERMIT NO. II1JD U P i SOIL TYPE Sand - Loam - Clay - Percolation Test Required? Y S - NO Percolation rate - Min/Inch 1 f TYPE of SYSTEM: Absorption field, toial le th Length of each trench ' Depth of trenches ' 1 / ' Size of gravel I SEEPAGE PITS{Number of) ' Size- t. x 7 fti. Gravel size . -50 PIPING: ize Type Bldg. to tank '� /'z/ ' Tank to dist. box -- /9(fg ' Dist. box to field/pi!t 4)/ AC Openings sealed? Y S \ NO Partial k LOCATION/SEPARATION : 4 Foundation to tank f el ft. Foundation to abso ption _6_ft. Absorption to lot ine 1 ft. Separation of pit /" ft. LOCATION OF SYSTET4 ON PROPERTY(circle one) ron - Rear - Le�f`�t side - Right side - COMMENTS: i L. - 4 N SYSTEM USE APPROVED 4/10, NO . 'L / A /0fNl/ Bui .ing Inspe.tor • 01/86 and vl TOWN OF QUEENSBURY "hi FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 6/r�'9/ NAME l�,1//%l LOCATION DATE �//.c(ljj PERMIT# 47;11e e--eM4Lys APPROVED 4 N/A YES NO EXITS j AISLE WIDTHS f EXIT SIGNS + 7 EMERGENCY LIGHTING a d` Jl FIRE EXTINGUISHERS; AUTO. EXTINGUISHING SYSTEM/ HOOD INSTALLATION!" AUTO. SPRINKLER VSTEM / ALARM SYSTEM / if i d INTERIOR FINISHES. / STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNA/GEE ,• i, CHIMNEY ; WOODSTOVE / / FIREPLACE-MASONRY! Y FIREPLACE/FACTORY; BUILT 1 I REMARKS: i VI OK TO THIS DATE I i I ARRIVE DEPART • 1160`4/( '. INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 7 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT .REQUEST FOR INSPECTION RECEIVED lit!/, q ZCJ NAME Vc 1`L I� LOCATION --�? r l, I , tit �) DATE ob/i/y( PERMIT # 7-, '3 07) TYPE OF STRUCTURE // 1(J 1-4144L/ii1 RECHECK APPROVE N/A YE NO f'OO I_NGS (1j2/`� MONOLITHIC-POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE\CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING ` . PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R= FOUNDATION WALLS ,EXTERIOR FLOORS R- WALLS R- CEILING R- DUCT WORK OR ;PIPING IN UNHEATED/ SPACES REMARKS: ARRIVE DEPART C3d � INSPE TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /}') 531 BAY ROAD f�� QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME `Aix°I ) <xXZC.( 1 LOCATION f-- 0 4//revit di -t DATE Z f•6—k/ PERMIT # TYPE OF STRUCTURE 44/de / �cy4./f,0 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 f REINFORCEMENT IN PLACE', FOUNDATION/DAMPROOFING . BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN RLACE PLUMBING UNDER SLAB 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 Pr- FLOORS R' WALLS CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE < $S DEPART 1 1r".• /I NS PEC TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD (2 QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RE�CEEIVED NAME 271.6h/71./ /L'l I'il_ fi LOCATIONS DATE (WVQ/ PERMIT # f/, -7g6 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. 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NAME ;Y`/�tA e Z/� / LOCATION ( ri m+ (- a,,/p DATE 5/2-Z, 9/ PERMIT if q/- 362) 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 IN PLACE PLUMBING UNDER SLAB FRAMING: \, JACK STUDS/HEADERS , BRACING/BRIDGING \ , JOIST HANGERS \ JACK POSTS/MAIN BEA ! FIRESTOPPING WALLS CEILING , \ - FIREWALLS k' \ HEATING ROUGH-IN " \ - INSULATION: h' \ FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR\R- FLOORS R- WALLS R-F CEILING R- \, DUCT WORK OR PIPING IN UNHEATED„ SPACES REMARKS: ' • t ARRIVE ,f DEPART 2 )s J I NS PER TOWN OF QUEENSBURY �iU BUILDING AND CODES DEPARTMENT 531 BAY ROAD ` QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT / REQUEST FOR INSPECTION RECEIVED _�*/4?'/ NAME �l�%i1�P_� l ✓',�:�/. i� LOCATION /ie- t�Irt.r� DATE 5/,//J/ PERMIT # 91-r g-61 TYPE OF STRUCTURE d 77 f�Y� /7WL-C,Zy 6/.,/.1e/ 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 PN SITE / FOUNDATION/WALL POUR / / REINFORCEMENT IN PLACE iJ FOUNDATION/DAMPROOFING 4 ` BACKFILL APPROVAL t� ROUGH PLUMBING PLUMBING VENT/VENTS IN PL CE ,./ PLUMBING UNDER SLAB FRAMING: I JACK STUDS/HEADERS q 3 BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM / FIRESTOPPING WALLS CEILING / if FIREWALLS t HEATING ROUGH-IN „" �i INSULATION: / G FOUNDATION WALLS INTERIOR R- FOUNDATION WA'LLS EXTERIOR R- FLOORS / R- WALLS R- CEILING / R- DUCT WORK OR PIPING IN. UNHEATED SPACES /. REMARKS: Y6 ARRIVE --� DEPART 7 INSPECTOR TOWN OF QUEENSBURY P /02" �4 BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW 0 TELEPHONE (518) 792-5834 2 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED .//6/ 9( NAME \k-) L i ck>1 !l\\C P LOCATION �C0+ 1 �C� cl,\; ov_e po, C(r-rJ� J DATE Sp</ 1 / PERMIT # C1 TYPE OF STRUCTURE RECHECK / APPROVED r N/A YES 0 FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROMq FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETEt! 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