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1991-342 s 111" 'V CERTIFICATE OF OCCUPANCY - TOWN OF QUEENSBURY WARREN COUNTY,. NEW YORK Date �P/)3 fl1'�il P1t. q 19 r � This is to certify that work requested to be done as shown by Permit No. 91-342 has been completed. This structure may be occupied as a Sl ngl Family Dwelling Location Lot #17 Herald Square . Guido Passarelli Owner By Order Town Board " TOWN OF QUEENSBURY/ ; a Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No 91_342 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to HERALD SQUARE OWNER of property located at LOT #17 Herald Square Street, Road or Ave. a ro in the Town of Queensbury,To Construct or place a Single FAmi l y Dwelling ra 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. c{ 1. OWNER'S Address is CD 45 Herald Drive I- 0 2. CONTRACTOR or BUILDER'S Name V PASSARELLI/CERRONE 3. CONTRACTOR or BUILDER'S Address rD 4. ARCHITECT'S Name A r. 5. ARCHITECT'S Address CD J. 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 1,550 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use Single Family Dwelling $ 250.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 23, 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 23rd Day of May 19 91 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY REVIEWED Y 0.4211WI FEE PAID $ --1® 0_.5 @ D-50 i *� PERMIT NO. cj l 5LLI �_ TOWN OF C.UEGNSI URY BUILDING PERMIT APPLICATION RECEIVED . MAY 2 31991 A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO SIMACariffiThE DEPT. 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 a a • a • • • • • * a a The owner of this property is: ILZ ,e P.O. Address Ti �� Tel. 7r--'.� ?/ Property Location 6/ /7 /fry , 9 Tax Map No./ 5/9/ / 7 / 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 ) ,,e, Si. ad,v_____ LOT NO. /7 ` 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: $ 1 ?1 Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: * Size of property ZS / ft x /-°_!J ft. Alteration to a building a Existing Buildings(3) Size ft. x ff. (no change to exterior dimensions) * Proposed building - distance from property line: Other work (Describe) • Front yard ci3 ft. Rear yard 5-0 ft. * Side yards 3S ft. and ,3 5 ft. * GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. 1st Floor 2''d sq. ft. 35 OCCUPANCY INFORMATION 2nd Floor ' sq. ft. ` * Primary Building - Other Floors sq. ft. •'- • One Family Dwelling (not cellar or base:-:ent Two Family Dwelling TOTAL FLOOR AREA/'JO sq. ft. • Multiple Dwelling/Number of units Size of new structure 'OA, ft x g37 ft. * Business Foundation-pier/slab/crawl/partial/full • Industrial (circle one) • Other 47 a llo. of stories (habitable space) / • Height (grade to ridge) Z ft. • If addition, what will use be? If residential, no. of families 1 a No. of rooms(excluding baths) - a Accessory Building No. of bedrooms v a __Detached Garage ONE/TWO Car No. of bathrooms * .,---)ar Primary heating system l P • _Attached Garage ON WO C Type of fuel • __Private storage building No. of fireplaces to be installed / ' • Other Will a wood stove be installed Central Air conditioning ycj ' ' OV• ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, Will any second-hand or upgraded lumber be used? If so, for what? /vQ , „ Foundation wall material aU (rf Thickness Depth of foundation below grade (to bottom of footing) L. l 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? Ve) (If so, what portion? sq ft. Type of use? Type of roof sloped flat/shed/other Material of roof Size, wood studs 7j "x 6 " spacingJ' " o.c. length ft. Joists (floor beams) 1st floor "v'x /6) " spacing /6 "o.c. span /3 ft. Joist (floor beams) 2nd floor )_ "x / ? " spacing "o.c. span /,3 ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters 2/ "x /Q " spacing /6 o.c. span Zo ft. // fv .6Yee Roof trusses (pre-engineered)' spacing " o.c. span ft. Exterior wall finish �/.�.}%y/ �/� of what material? Interior wall finish /Z " ieci crc1L_ If a garage is to be attached, describe materials to be used for FIRE SEPARATION: -7—i/ge., Is there to he an opening between garage and dwelling? /1yf If so will a Fire-rated door, enclosure, self-closing device be provided? VeLf / Will a flue-lined chimney be installed? j✓C✓ Height above roof 2 - ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well jilariCd 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 BUILDER/ iA9r- ADDRESS ‘/ /7 TEL. NO. .7f/J--:Lf?/.2,7 NAME OF PLUMBER I%h /5 ".. 1.-- ADDRESSZ.47‘44...c... TEL. NO. 6 3797 NAME OF MASON C ee 7Z20a44 ADDRESS gic f//��`� TEL. NO. a'Z J/{`qe NAME OF ELECTRICIAN, / L ADDRESS / . �Q�,✓/,�� TEL. NO. 7f/7 9 ' 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 �ll 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 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 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 o/‘ APPLICANT'S NAME PROPERTY LOCA ION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - j‘,.(e) Sq. Ft. 2. Type of Heat - Elec. Base Board Other J F gpxy0 3. Is Building Mechanically Cooled? YES 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 C. Glazed Area R D. Exterior Doors R /1 E. Floors over unheated spaces R F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar. Walls (Above Grade) R3 H. Basement/Cellar Walls (Below Grade) R /3 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 TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED �� 7�� fi�( A PLICANT'S SIGNATURE p TE TELEPHONE NUMB INSPECTOR'S REMARKS : REVIEWED BY IOU TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: // l/ Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: L=D/ /7 *EWA/ (/ Owner's Name: [(C�&r A -Zir7I /,/71 Owner's Mailing Address: xf #,:zzede___ 4?;,,e_ • Installer' s Name: L.0 ,e/l' yi Phone #: 7x. -f-- z./ Number of bedrooms (if residential ) : 3 Total daily flow (residential-compute @ 150 gal . per bedroom) : 'ejj.,-0 Topography-Circle One:41011P 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 A gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench J C) feet//Total System Length 2 feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # 7/ / 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: p./7; ) Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1) the proposed location of the system 2) location and distance to lot lines 3) location and distance to structures 4) location and distance to any water supply 5) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: MIDDLE DEPARTMENT INSPECTION AGENCY, INC. . National Headquarters 1337 West Chester Pike,West Chester, PA 19380 ICANT COMPLETES THIS SECTION Date: / 4/ r y ,// City, Town or Township /���'_.�'t�/ `!�i�j 9Q,1-...." County 1f State �''�/`Location/Address l f �Y�'F� / -� .. _.(If Located iinnj�Rural Area - Please Attach Directions) Pole # Owner �9'/�i// ' / "//� ,-.k�f %� Permit # Occupied As 7j'-- /e- ,./y Building: New Old 1 Occupant Work Area in Building (Floor #,etc.): App. for: Wiring Ti Service Ti or: Ready for Inspection: Fee Remitted-$ Cash Ti 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 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 71/2 10 15 20 25 30 40 50 75 100 Mark Number • of Each Size // r� i Applicant's j ' Signature ��LLtt License # Permit # T/A Utility: (NAME) (OFFICE LOCATION) Applicant's Address: (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,/2 2 3 5 7'/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 Ti RW Progress: Inc.Ti LKD I I Contractor ❑ CFT Violation: Work Comp.Ti Inc. ❑ n L/A Owner CASH ❑ Fee CHK # (n L/A Due MO # Ti IPA Municipal • INV # • Date: - Other Side E Utility Applicant . Owner EEll Cut in Card n Temp # Date • INSPECTORS SIGNATURE n Final # Date , .� ; APPLICATION FORM NO.250 EL 11/89 TOWN OF Q LTEENSB LIRY Bay at Haviland Roads,Quoensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date 7�'// 7--f 199/ Permit No. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use fermi pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with al 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 Nan �f-r- APPLIANCE TYPE L._ Stove Coal Wood Addresa /�� /27/-- ' Furnace Hot Air Boiler y� `�''� Zero Clearance Circulating Unit c /eLO��( /(/�y Zip�� 7 Phone 7 j/J-- s" d2. / If Non-Masonry: , Owner's Name - ' Manufacturer A/0.,/, ,,. Address ... Model Outlet Size _ Zip Listed by Number Phone • CHIMNEY TYPE Masonry: Block Brick Stone Property location of proposed construction Flue: Tile Steel Size: Factory Built: Manufacturer Model Size ('(WY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall b."'°, 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. CASHIER'S DEPARTMENT TOWN OF QUEENSBURY, NEW YORK Department; Fire Marshal Amount Collected Amount Refunded Code Number Title C °b A173 3389 090)PublicSafety A233 2655 (230) Minor Sales l_ee Collected from or Refunded to: /'f—e1/t i Id Sq,0G 1--<.____— Address: • Dated: Town Clerk or Deputy t) c 7 f A C , - • White:Applicant Yellow and Pink:Cashier's Depdriment Goldenrod:Fire Marshal TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 04/4 NAME ' /]e 4 Ld LOCATION //s-- /7 //fj� l�(J,�� DATE 0 /c// 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 INTERIOR FINISHES.. STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE / s/ F d CHIMNEY �/ WOODSTOVE�,ft./�L1,�- /�/714.1A FIREPLACE-MASONRY FIREPLACE-'pFACTORY BUILT, REMARKS: L OK TO THIS DATE f71 ARRIVE DEPART 's=s INSPECTOR TOO OF (IEENSBURY 531 ;ri j QUEENSBURY96AY NEWROAD YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTTION RECEIVED KANE .frszi. , ' i LOCATION I 7 DATE PERMITI q(- o� TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) NFOOTING VFOUNDATI,ON ✓BACKFILL "F MING TROUGH PLUMBING\ ✓FINAL ELECTRICALEPTIC //INSULATION'\ ✓WOO5STOVE/FIREPLACE SITE PLAN/VARIANCE REQUIREMENTS YES NO REMARKS APPROVAL N/A YES/ NO CHIMNEY HEIGHT/LOCA ION .,"1 c� B VENT/LOCATION PLUMBING VENT ROOFING e f/ SIDING /,r ram/ DECK/PORCH/STEPS/RAILINGS ,J RELIEF VALVES iI� LI FURNACE/HOT WATER OPERATtING BASEMENT INSULATION/,DUCTWORK V INTERIOR TRIM/PRIVAc Y DOORS FINISH FLOORS: / BATH/KITCHEN WAT pRTIGHT\ t// OTHER FLOORS SWEEPABLE \ J OTHER FLOORS CARPETED — /1 STAIR CLEARANCE/RAILINGS V HANDICAPPED ACCESS / SMOKE DETECTORS �/ BATHROOM FANS/W P ALL PLUMBING.FIXTURES OPERATING c/ GARAGE FIRE PROOFING ‘/ DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER FINAL ELECTRICAL / OK TO ISSUE C/O OR C/C i/ COMMENTS: ')v/L44gr AlaY - 9- C -F/ ARRIVE 7 zv DEPART /D �N5 ,: • ELECTRICAL INSPECTIONS -- DUPLICATE MUNICIPAL RECORD Permit Nor. '/___7_�� 4( Owner -#/�2�ZC�1 Occupant Location/ rtStreet -7)71 ('*".J Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. n /� Installed by /mod g Date j°-'Ce / f 46 �..._ _...... nspector MIDDLE DEPARTMENT INSPECTION AGENCY,INC. FORM NO.18 EL. . 1337 West Chester Plke,.West Chester,PA 19380 16 7 ROUGH WIRING OUTLETSy� H.P.AIR CONDITIONER .1 l / c-�t' WIRING &CONTROLS FOR hG'p 'DUCUCaa� 7' 5 RECEPTACLES H.P.PUMP FIXTURES K.W.OVEN 6443AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT I//CAMP.SERVICE CONDUCTORS ]y. DISHWASHER 1 7 K.W.SURFACE UNIT K.W. DRYER RANGE AMP. RECEPTACLE K.W.WATER HEATER FRAC. H.P.VENT FANS MOTORS N.P. 1/20 1/12 1710 I/t % % I% '4 '% 1 11% 2 3 'S 71 10 15 20 25 30. 40 50 75 100 MARK NUMBER • OF EACH SIZE APPARATUS TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280� TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR CTIO INS ) N RECEIVED NAME N-Zt C S ` _ LOCATION -) \A)ZI Ct-i CZCCL if- DATE .:?7,�f - �� ' #PERMIT l L [[[ 1 APPROVED a YES NO FOOTING/PIERS ; /(_ MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING ,11 BACKFILL APPROVAL 1 ROUGH PLUMBING t, / FRAMING \ I ELECTRICAL ROUGH-INN INSULATION: \ FOUNDATION FLOORS .\ I WALLS I CEILING I\ FINAL INSPECTION: i .\ —CHIMNEY HEIGHT \ -"ROOFING I \ _SIDING I \ ---EXTERNAL PORCHEJ/STEPS --:STAIRS-CLEARANCE & RAILS \ PLUMBING FIXTU ES/RELIEF VALVE INTERIOR TRIM/ RIVACY DOORS \ FINISHED FLOGS \ ---GARAGE FIREP :OOFING1. DOOR CLOSER(. ) \SMOKE DETEC ORS -.FINAL ELECTRICAL INSPECTION \ FINAL APPROV OF CONSTRUCTION jve A SIGNED CE TIFICATE OF OCCUPANCY MUST BE OBTAINED FR M THE BUILDING DEPARTMENT BEFORE THESE PREMI ES ARE OCCUPIED! REMARKS: L DSm C2h-6 6A- t-A CJiu D%6-7(.__ )2 xcs z-c riv ) 0-cI-f Cc os& 1 Ai CLost ©Cil P LEI ( S vu ,L� ( OMA-c�� INSPEC OR TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED IR pi qt. NAME 1-i C���V' 'I�SL, LOCATION 2 ) '-� "1 . DATE l 11� J l I PERMIT# 91 _3 10. APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES I STORAGE: �f CLEARANCE TO SPRINKLERS; ,r° CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY /1 WOODSTOVE FIREPLACE-MASONRY / FIREPLACE-FACTORY BUILT REMARKS: I I OK TO THIS DATE 6 tg_/.'/110,/72g1)--z/A _2(,/ip "--1 / ! _,;'2j ARRIVE j/ 2- 6 DEPART /� 'S "INSPECTOR TOWN OF QUEENSBURYON\ BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT (�, REQUEST FOR INSPECTION RECEIVED b//d/-! ( NAME 1-1- .yr1C'J \Lr LOCATION } f) (J DATE 21 1 1 PERMIT # CI J 3/1 TYPE OF STRUCTURES A �U No e_ },ma*e clei. 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 BEAM,.. FIRESTOPPING WALLS < CEILING FIREWALLS r" HEATING ROUGH-IN ,! .(INSULATION: � . FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- I? CEILING R- Sb DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART )71 NSPECTOR TOWN OF QUEENSBURV BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED MAME l..Q4 Si.(Arn� -1 LOCATION l? JJJJJJ / )f2. DATE 7/ 0 PERMIT # 9/ 3 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 I'N PLACE / FOUNDATION/DAMPROOFING / BACKFILL APPROVAL,, / ROUGH PLUMBING \ / PLUMBING VENT/VENTShINf PLACE PLUMBING UNDER SLAB\ FRAMING: \1 JACK STUDS/HEADERS J\ BRACING/BRIDGING 1 \ JOIST HANGERS \ JACK POSTS/MAIN BEAM \ FIRESTOPP ING WALLS CEILING FIREWALLS 1 HEATING ROUGH-IN INSULATION: ( \ FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS 1 R- CEILING 11 R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 10 ARRIVE /l DE PART/I 20 INSPECT R awn o, Q ,.,, BUILING and ZONING DEPARTMENT tiay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYJSSTEM INSPECTION NAME Li-,_11 0 LOCATION X/'—/1 ig v id.1 __ `L..," DATE //d / 9/ PERMIT NO. -f��--24-2, SOIL TYPE - Cam- Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench O Depth of trenches Size of gravel 1 ' SEEPAGE PITS{Nuinber of) Size- ft. X ft. Gravel size PIPING: Size T pe Bldg. to tank (1 /✓ UC Tank to dist. bo 11 Dist. box to fiel /pit t/') fs't Openings sealed? YE NO Partial LOCATION/SEPARATIO : Foundation to tan /' f t. Foundation to abs rption _ jft. Absorption to lot line eft. Separation of pits (p ft. LOCATION OF SY TEM +N PROPERTY(circle one) Front 40 Left side - Right side - COMMENTS: SYSTEM USE APPROVED # NO elfrti Du' ing Ins ector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECT' !-- RECEIVED NAME 0/24'ri E{f-r . , LOCATION 41 l 7 DATE 4//( 7/ PERMIT # 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 FOL OWING THE PLACEMENT OF THE CONC ETE. MATERIALS FOR THIS PURPOS ON SI , FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING / BACKFILL APPROVAL ROUGH PLUMBING ;/ PLUMBING VENT/VENTS IN PLA,(E PLUMBING UNDER SLAB / '. FRAMING: JACK STUDS/HEADERS !// BRACING/BRIDGING / /JOIST HANGERS JACK POSTS/MAIN BEY FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-I,' INSULATION: FOUNDATION MALLS INTERIOR FOUNDATION MALLS EXTERIOR R- FLOORS WALLS CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE ,� DEPART S l6,!-// / INSPE,5'OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW 0 TELEPHONE (518) 792-5834 2 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 0/5f-it NAME )- xk LOCATION ( / -Ieva\t) �'f DATE 6/.319I PERMIT # a �-,3 14- TYPE OF STRUCTURE S,(\c,-„e_e c)eiV, RECHECK APPROVEp _ N/A Y NO eFOOTINGS/PIERS- ' �//EV MONOLITHIC POUR FORM REINFORCEMENT IN PEACE / THE CONTRACTOR IS RESPONSIBLE ' FOR PROVIDING PROTEOTION FROM / FREEZING FOR 48 HOUR FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PU POSE,ON SITE FOUNDATION/WALL POUR \ / REINFORCEMENT IN PLACE 'S FOUNDATION/DAMPROOFING \ BACKFILL'APPROVAL \ ROUGH PLUMBING I PLUMBING VENT/VENTS I PLAICE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS \ BRACING/BRIDGING JOIST HANGERS \ JACK POSTS/MAIN B AM \ HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALL EXTERIOR R- FLOORS R- WALLS / R- CEILING / R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: / e=9 ARRIVE / DEPART / - `7' 4 - G INSPECTOR . ., .. ,,....„ ... . ... -.,, .r,:.. " r7-.. . -1,:-.:....'::. •-• • .:.:. :,:.., . . , . . . .. .. ... .- -.- ••• ' .• .... ... ...• . •, .••••• . • . ' rt: r ,-..,.. . .. , .:. . . . . . ,... . . .. - . •-• -- ' • , i:t • • Nli • . • . ... • . -.-... .. . ., . •• Ai? . . . ,.. ...: v-- • . , . ._ , /....;--,:.. -•- — li 77, .-' .• .._..... : • / • - -._.. 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