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1991-345- - cr, • CERTIFICATE OF OCCUPANCY TOWN- OF QUEENSBURY _ • - - WARREN COUNTY, NEW YORK , Date ide-DIPAlth-/-4 This is to certify that work requested to be done as shown by Permit No. 91-345 has been completed. This structure may be occupied as a Single Family Dwelling Location Lot 10 Suoaroine Owner Schennerhorn By Order Town Board TOWN OF QUEENSBURY c`1:4,t/-41,1A -I 1 Director of Bldg. & Code Enforcement t'• 1i CCi X BUILDING PERMIT TOWN OF QUEENSBURY ' No. 91-345 -t WARREN COUNTY, NEW YORK oo r✓ PERMISSION is hereby granted to Rich P. Schermerhorn OWNER of property located at Lot 10 SugarPine Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single "-family Dwelling tJf 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. CD CD 1. OWNER'S Address is •S 33 Harrison Avenue r- 2. CONTRACTOR or BUILDER'S Name '•'� SAme 0 3. CONTRACTOR or BUILDER'S Address to CD 'S 4. ARCHITECT'S Name ro 5. ARCHITECT'S Address �• LC CD 'r1 C+ 6. TYPE of Construction—(Please indicate by X) X )Wood Frame ( ) Masonry ( )Steel ( ) 4.G CD 7. PLANS and Specifications -� No. 2,692 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use Single Family Dwelling $ 362.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 28, 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 28th Day of/, May 19 91 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY j/i/7 /11 /27 REVIEWED BY - �� . FEE PAW $ 337,r o° �' 'Orr k. `WN OF QU NGSIu ' s � PERMIT NO. v� � RECEIVEn BUILDING PERMIT APPLICATION MAY 2 3.1991 BLDG. & CODE DEPT. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION., NO INSPECTIONS WILL BE MADE UNTIE. 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. • • • • • • • • • • • • • • • • • • • • • • • • • • • * • • • • • • • * • • • • • The owner of this property is: jc,' ,? citAer./l✓ P.O. Address 93 )a;,r I S o ft./ t) Tel. 77 g -e}G 7 y Property Location Z.© 7 /e, 5, t- Tax Map No.. / / 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 J/,t/e 5 c -P Laie.e PS4.,tyLOT NO. /J THE PERSON RESSPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: ,44 e• f�nG rim NATURE OF PROPOSED WORK: " ESr:MATED MARKET VALUE OF Construction of a new building " CONSTRUCTION: $ Co o Addition to a building__ , _ " COMPLETE INFORMATION REQUIRED FLOW: * Size of property /3© • ft x ' ft. Alteration to a building " Existing Buildings(3) Size ft. x ft. (no change to exterior dimensions) • • Proposed building - distance from property line: Other work (Describe) " Front yard .55 ft. Rear yard is ft. • Side yards . 2 Z ft. and z a ft. • GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft. 1st Floor 35. " J-" sq. ft. " OCCUPANCY INFORMATION 2nd Floor l/2- 0 sq. ft. 1 / O • Primary Building - Other Floors g 1ig, sq. ft. 3 " .. .One Family Dwelling (not cellar or basement) -2_5 • Two Family Dwelling TOTAL FLOOR AREA_ aG7asq. ft. 6 • _ Multiple Dwelling/Number of units She of new structure8 ft x=ft. • _Business Foundation-pier/slab/crawl/partiaW • Industrial • (circle one) • Other • No. of stories (habitable space) 2 • Height (grade to rid.) 2 1 ft. • If addition, what will use be? If residential, no. of families / • Nof of rooms(excluding baths) 9 • Accessory Building No. of bedrooms, y ' Detached Garage ONE/TWO Car No. of bathrooms L. I/7 Primary heating system, +tot • �� Attached Garage ON WO Car Type of fuel Aholvred. rt,5 • _ Private storage building No. of fireplaces to be installed / • Will awood stove be installed • -Other Central Air conditioning 4/0 • OVER BUILDING PERMIT APPLICATION CONTINUED - BUILDING 3PEC[FICATIONS: Type of construction, wood frame, fire safe. etc. A/ooc/ 47^a.vi1 er Will any second-hand or upgraded limner be used? If so, for what? �o Foundation wall material , ' cloncre 4. Jacks Thickness /o '/ Depth of foundation below grade (to bottom of footing) 6' Will there be a cellar? ,e5 Heated orCu heated) Floor sq. footage /572 sq ft. Will there be a basement? Will any portion be used as living space? ,/o (If so, what portion? >( sq ft. Type of use? Type of roof -Cloped. lat/shed/other Material of roof Size, wood studs "x G " spacing /4 " o.c. length $ ft. Joists (floor beams) 1st floor p "x 70 " spacing /67 "o.c. span IV ft. Joist (floor beams) 2nd floor a_ "x /O " spacing /6 "o.c. span /I ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x "spacing o.c. span ft. 'Roof trusses (pre-engineered) spacing 9� " o.c. span 9.5 ft. ' Exterior wall finish Ce,va.0 0,10.e boa,,rcts of what material? Ce.cto.g' Interior wall finish Sh�,e,'�C`oc A . If a garage is to be attached describe materials to be used for FIRE SEPARATION: 5 �i'►ciP.Tra�.� Is there to be an opening between garage and dwelling? yes If so will a Fire-rated door, enclosure, self-closing device be provided? yo S Will a flue-lined chimney be installed? 4/0 Height above roof ___ _. ._ft.___ _ . __. __ Depth of chimney foundation below grade 6 ft. Depth of fireplace hearth P. ft. (r in.." Water supply - Municipal or private well ivt"" al SEPTIC SYSTEM Distance from ANY private well (including adjoining properties Cialipt (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER g .5c,inerrvicr4,0 r,v ADDRESS /40.(T;so,cl )Le TEL. NO. 7?8—o679 NAME OF PLUMBER Si-eoe_ A 1\t,.,v ADDRESS F=4-• (et TEL. NO. 7'17-66?3 NAME OF MASON AL I_e, 53.)c.1tV i/J ADDRESS FA • Adv TEL. NO. ?Z --/37 I NAME OF ELECTRICIAN Rcc11Spo rel.ADDRESS Quee rJSbv � TEL. NO. DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the clans 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 tall 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 Zi Gam• Owner, owner's agent, architect, contractor • 'SPECIAL CONDITIONS OF THE PERMIT: BY TOWN OF QUEENSBURY ¢s } � APPLICATIOM FOR SEPTIC DISPOSAL PERMIT DATE: 6/7 )9/ LOCATION OF PROPERTY FOR INSTALLATION 1.04 /0 50,50.rfo N (.-- Owner's Name: R:c\r, A , Sake�' ea e C' n� ('N Address: --33 aeCi s AJ A'Je_ Installer's Name: R;c1n P. Cf.,l,erytne-C 1AorN Telephone: -79 8_ O67y Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) (O p Topography: Circle one: CO, Rolling Steep Slope. % of Slope Soil Nature: Circle one: (an) Loam Clay Other /Depth: Ground Water: At what depth? X4 Feet Bedrock or Impervious Material : At what depth? /A Feet Percolation test: Circle one: Got require required Rate - r✓//F Min. Per Inch Domestic water supply: Circle one: Municipa Well Other If domestic water supply is a well Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank 100 o gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench ( d feet/Total system length 3 o-n feet SEEPAGE PIT(S): Number of SC /Size . each S( . feet by feet Size of stone to be used #. a /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 an approved 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: e/ A3 DATE: V7//4/ y �_ J Scalia System Inspections: A. All applications for septic system installation. alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall br submitted to the Building Department at lease 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 drywalls B. Nu system shall be covered before inspection and approval by the uuilding 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- cion, alteration or repair of an approved system, a new proposal must be submitted to the Queunsbury Building Department before further construction. Town of Queensbury BUILDTNC and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 h,zniarks: 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 Ic P. Sc h e (04 e r ho rN (o+ 1 d 5U cis.C1 f i'/U e- APPLICANT'S NAME PROPERTY LOCATION' PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - a 7 6- Sq. Ft. 2. Type of Heat - Elec. Base Board Other Gas )o4 A C 3. Is Building Mechanically Cooled? YES r 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 -3% B. Exterior Walls R R-as C. Glazed Area R a .5 D. Exterior Doors R °?` 5 E. Floors over unheated spaces R x . F. Edge of Slab on Grade (Heated Building) R lX G. Basement/Cellar Walls (Above Grade) H. Basement/Cellar Walls (Below Grade) R g I . Heating/Cooling - Ducts - Piping in Unheated Space R N/A- 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code •" YES NO TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED l7 Li !v 5- DA/ l TELEPHO0 NUMBER APPLICANTS SIGNATURE INSPECTOR'S REMARKS : REVIEWED BY CC, , TOWN OF QUEENSBLURY Bay at Haviland Roads,Queensbury,N.Y.12801-9725 • APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date 517 19 71 3 1 Permit No.() q5 i 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 ,Q,-c� f• jcic'i' I'._.{�"��:o('A/ APPLIANCE TYPE •,;. •� Stove „/ Coal Wood Address '3' Il ekC'1' t.S c Al A t/ e_2. Furnace Hot Air ,/ Boiler (t_• ` ',, Zero Clearance ,rr Circulating Unit Colev1 t"ct1,,1 S ) .p. Zip J8C}/ . Phone 7 9 8 o G -7 If Non-Masonry: Owner's Name ,Q. P. Sc ,_ r1-14 P,r/r"A Manufacturer Address /-/ .r( ,' Jc A.) Ali S' Model Outlet Size / " Zip / s)v 1 Listed iy- - Nu b c'-''-`- Phone 7 9 �' — 0 G 7 9 CHIMNEY TYPE Masonry: Block ,/' Brick .7 Stone . Property location of proposed construction ' Flue: . Tile Steel Lo-'- /6 Suoa.c 4(A/ L'.. Size: • U Y Factory Built: Manufacturer , 9�7zModel Size COPY OF MANUFACTURER SPECIFICATIONS IS Height--, isted._B_y_. Number REQUIRED FOR FACTORY-BUILT APPLIANCES • Ty�,Double Wall Triple Wall AND CHIMNEYS. MUST BE INSTALLED 'Insulated ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ 011100 I/., � 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 )O 0 A 173 3389 (190)Public Safety A233 2655 (230)Minor Sales ( Fee Collected.from or Re of nded to: 9 % r_• t'N, 1(1\\c7 ti m e-A P\orn • Address: / 1� • Datedj-� 4 Town Clerk or Deputy / /ll , y v ` \ While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal • YOU.ARE HEREBY REQUESTED TO • INSPECT AND ISSUE CERTIFICATES • ' FOR THE FOLLOWING-ELECTRICAL . EQUIPMENT TO BE INSTALLED BY • THE UNDERSIGNED - TEMP.H DATE CITY OR VILLAGE . •TOWNSHIP COUNTY STREET AND NO.OR ROAD a . POLE NUMBER 1: BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION , BLOCK V LOT f..;J -r"- /i- .. _ OCCUPANT'S NAME BUILDING OCCUPANCY • r it.-�? f-. A>..!',,,,, ;- ( /�i:r'n1 OWIfER'S NAME AND ADDRESS HOME TELEPHONE NUMBER ?, ; a}. r t`- : :) 1 >l ,._ a ,/ ). �i- ;:' - r <p CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER • BUILDING IS ' {r / - NEW[( OLD❑ WORK IS NEW ADDITIONAL D DEFECTS REMOVED❑ • LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& BRANCH OFFICE USE • Luca- Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recepls Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION OUT- SIDE • ' SUB- ` BASE . BASE- ' MENT "'AM . FL. • . 2nd ' FL. 3rd FL. „ • REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. • THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER ,, THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. SIZE OF MAINS . FEEDERS ELECTRIC SIGNS/LAMPS - TOTAL WATTS , CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA ❑ CONCEALED DATE WORK TO BE STARTED - DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING .. MANUFACTURER OF SIGN - ' ❑ OVERHEAD ❑ UNDERGROUND • Y DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS IDENTIFICATION NUMBER III 11 I '-f I t I(o 1010 AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT ' DATE OF APPLICATION SIGNATURE OF APPLICANT I /r • %J'-F: /9 ,.. s I f AI ,�/ V <�f X . !-' --I c:.. ,..,.---L.,-._._ STREET ADDRESS ` _ ' TELEPHONE NO. f 7/ CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE , ,1 - •; /~=� /1 ; /,t' -/ nit / ❑ 85 John Street ❑ 41 State Street ❑570 Delaware Avenue 0 217 Lake Avenue ❑ 202 Artprial Road NEW YORK,NY 10038 ALBANY,.NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY'13206 (212)227-3700 (518)46332122 • (716).884-1155 . (716)254-0141 (315)463-8552 THE NFW Y( RK RCA_Rf) OF FIRF I JNDERWRITE-RR , t{,. !J.tA?_,.V.! fiat!",\tt.�ti„fi "a_."—iy(.a9.4J, ti.lt..]ti."". {..)�!1t(.?t,.".at!"et!."."..n.t..1t.V.t.".1t.!..1,9?- t["".."..".?tilt".1.?""",!..1ti.1ti.yt.,4-! . . -,: THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1 , _ 1 19660Q ►,. BUREAU OF ELECTRICITY ;� �; I+ 41 STATE STREET,AL��NY,NEW YORK 12207 ; Date SEPTEMBER 19,1991 Application No.on file07QGQ191191 A 058II88 �; THIS CERTIFIES THAT q ':345 ':• only the electrical equipment as described below and introduced by the app wont horned on the above application number in the premises of r ;RICH P. SCHERNERHOR�T, SUGAR PINE, POTr 410, QUT� ,TSBURY, N.Y.___ _ ? in the following location; 4 Basement 4 1st Fl. f 3 J 2nd Fl. GAR R Section Block Lot p 'i el; was examined on SEPTEMBER 11,1991 and found to be in compliance with the requirements of this Board. :YD. i 1• fk; FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ' a OUTLETS RECEPTACLES SWITCHES �; INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. tiii 1, ;' G,1 62 50 63 1 5 • 1. 1• . 5 3 F --c' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS " AMT. K.W. OIL H.P. GAS H.P. ; AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS % 1, 4, 1% . F 1 G 600 :' i4; SERVICE DISCONNECT NO.OF S E -- R V I C E h METER ift+ AMT. AMP. TYPE EQUIP. 1,B'2W 1,B'3W 3 R'3W 3 JLr 4W NO.OPER$COND. OF CC.6S.ND.. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEl1GRAL 7. ; J• T_ -c: 1 200 CB 1 X 1 4/0 1 2/0 1 u, 1, �• , OTHER APPARATUS: G.F.C.I:-12 SMOKE DETECTOR:—1 �. RICHARD P. SCHERMERHORN _ : a "C,' �`' 33 HARRISON AVENUE _ Cr GLENS FALLS,igt: NY, 12801 BRANCH MANAGER 39 1 Per g 1•4; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. �',.z-;.;,.ri. 00 WiliElinitEllinilin 0 ® ® ® MIBD ISM ® OB ® ri ! aOMEMO 000 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. .�r TOWN OF QUEENSBURY v/M '►' ;0 531 BAY ROAD QUEENSBURY, NEW YORK 12804 *'" ,` TELEPHONE (518) 745-4447 fkr7itowle BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME .1-,,,, ,d,./..„yazd--i),(_____---- LOCATION 2 /Q g�i��/--�rLc�� DATE Q/13/q/ PERMIT! 9/ TYPE OF STRUCTURE ),41)410 ,a,i-vj,p,li1 (46e_eze RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS 4v49:(14 . 2/214- 441„i(_./ APPROVAL N/A ' YE;,- NO CHIMNEY HEIGHT/LOCATION : i B VENT/LOCATION v"' • PLUMBING VENT ,I / t/ ROOFING / t/, SIDING j 1,/'i ''I DECK/PORCH/STEPS/RAILNGS f RELIEF VALVES I i0 FURNACE/HOT WATER OPERATING / i/,- BASEMENT INSULATION/DU W RK ✓,,-- INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: a BATH/KITCHEN WATERTIGHT i OTHER FLOORS SWEEPABLE , / OTHER FLOORS CARPETED g' - / STAIR CLEARANCE/RAILINGS'° , `Te,✓ ✓ HANDICAPPED ACCESS Y / /- SMOKE DETECTORS • ✓°, BATHROOM FANS/WHaLE4GU&E_FNS ✓,- ALL PLUMBING FIXTURES OPERATING /,'` , GARAGE FIRE PROOFING ✓ DOOR CLOSERS r `s V OTHER FIRE SEPARATION v FIRE/DEMISE WALLS / ✓ S DUMPSTER /ITEPLAN/VARIANCE/REQUIREMENTS FINAL ELECTRICAL ( / OK TO ISSUE C/O OR C/C '� L/ COMMENTS: 4);J 67 O o I ., • , , l iv %��Ll�� `' S• Q L ARRIVE DEPART /1.) INSP T • • _loom of Queenitury • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DIDISPOSAL SY�SITEEM� INSPECTION/ NAME r:11/C/0.0. i echei+ei-fj�Ti::� LOCATION. , Zed A S� �r W. p DATE _ 9 / /( nj / PERMIT NO., Y-- .�`/� SOIL TYPE - - Loam - Clay - Percolation Test Required? YES N Percolation rate - Min/Inch - / TYPE of SYSTEM: Absorption field, total length ,O Length of each trench I, k)/ Depth of trenches (9V . Size of gravel 3t / SEEPAGE PITS{Number 'of) ` t/ �//- Size- ft. X ft. I y!% iL . Gravel size . a, ,I "I PIPING: i �/Si�ze� ' Type Bldg. to tank 17 / ///L Tank to dist. box j y"' /1f/C.- Dist. box to field/pit . Openings sealed? YES NO Partial LOCATION/SEPARATIONS: ' Foundation to tank ft. Foundation to absorp- ion ft. . . Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) F ? - Rear - Le t side; - Right side - COMMENTS: re. e '‘. ,i' illint a . 6 o, ',. Laed" SYSTEM USE APPROVED ES� NO , a / XBuil ing { spector 01/86 mdd vl iff:) " /-‘-e,-- v--z> .4--.57,56., "-C-. c.",-)1;', t_O/ 6 TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED ) 915/ NAME c--=",..),k LOCATION 1410 Ss/Jaav \L� DATE CA � I PERMIT# ) 71/5 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 CHIMNEY W,OODSTOVE 'FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT/ ry REMARKS: ," {)✓] OK TO THIS DATE WZ, )/ //(i' r ARRIVE 2, ' DEPART S , �- INSPECTOR TOWN OF QUEENSBURY 4/� BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT (/ JJ REQUEST FOR INSPECTION RECEIVED d Ilq I NAME Ji A/ 'J ,fl'w I U1&44 I �QQ l LOCATION l�S� 7 n 0_1.(OA), -,Ul( DATE 41 C/ I PERMIT # q1-345 TYPE OF STRUCTURE Our-orb 'k,YU.L/ rh4eJJ 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 ii ROUGH PLUMBING ' PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS i` BRACING/BRIDGING a JOIST HANGERS r' JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS 1 HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS WALLS i R-;o CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: r,,tliC� /ae dp;7 ARRIVE DEPART 3 3a `te' INSP OR P-T-I-eir 3 pA) 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 /m/91 NAME i n1 P k -n LOCATION--%'C) 3ocA,,o_y DATE 7p-I/91 PERMIT # 9 / -31/5 • TYPE OF STRUCTURE S;'r\ c c:Zu,r-0,1C1, V 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 OUGH PLUMBING it PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB AFRAMING: 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— FLOORS WALLS R= CEILING R DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: • r . _...),),ALT)14"c61— • ARRIVE 3 , c2-0 /Alt DEPART .5' F - ckfACTOR • _Amin of Queenihur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSSAAL SYSTEM INSPECTION NAME LOCATION e- /6 C6 P U ,/ DATE ,/,5/ 9,/ PERMIT NO. �—cd4/S SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches ' Size of gravel J SEEPAGE PITS{Number of) • / Size- ft. X - ft. 1 Gravel size / ;1 PIPING: Sizeype Bldg. to tank Tank to dist. box 1 ,t Dist. box to field/pit 3 Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption Alft. Absorption to lot line I ft. Separation of pits A ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side/ tight side - COMMENTS: di/ 4111.16-40.61 I Av SYSTEM USE APPROVED YES NO Bu 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 REPORTe _ I REQUEST FOR INSPECTION RECEIVE® NAME S ' E'J ► C ( 'Q LOCATIO • /) DATE (P J 1 ' P IT # ) 7 zi c TYPE OF STRUCTURE S j l\G �^Ovmw aL,. tIt 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 P BRACING/BRIDGING JOIST HANGERS 4' JACK POSTS/MAIN BEAM t FIRESTOPPING WALLS I CEILING ' FIREWALLS HEATING ROUGH-IN INSULATION: X. FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R\ FLOORS WALLS / R-‘ CEILING ;/ R- V; DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: I )'� ARRIVE /6 ' 3D DEPART 24P ,44 471 CTOR TOWN OF QUEENSBURY N6Y-N BUILDING AND CODES DEPARTMENT ��' `^�_ 531 BAY ROAD ' QUEENSBURY, NEW YORK 12804 ®ram inA / TELEPHONE (518) 792-5832 G'el'" BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED J� ci NAME .v\i(1 PAY)Nc5-(f ) 1 i C LOCATION 4-f—1 ri - DATE `p/ j/i / PERMIT # c1 / J 3 _c TYPE OF STRUCTURE S1 0420 carvl d ui r RECHECK APPROVED N/A YEl NO ;FOOTINGS/PIERS • i !// MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM .° FREEZING FOR 48 HOURS FOLLOWING / THE PLACEMENT OF THE CONCRETE. 1 MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR '11. 1 REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING 1 BACKFILL APPROVAL / ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB I y, FRAMING: I JACK STUDS/HEADERS I A BRACING/BRIDGING / �. JOIST HANGERS JACK POSTS/MAIN BEAM/ HEATING ROUGH-IN .I INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS /EXTERIOR R- FLOORS I R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 1 RIVE \cr QL4,50dafG- INSPECT C e. AV �, :` ;tom _ TOWN OF QUEENSBURY . r. . , " Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 July 29, 1991 Mr. Richard Schermerhorn 33 Harrison Avenue Glens Falls, New York 12801 Dear Rich: This letter is in reference to your house on Lot 10 Sugar Pine and the problems related to the septic system. At this time this Department cannot approve the septic system as installed. In order for us to approve this system the following must be met: #1. The line closest to Sugar Pine Road must be disconnected and removed and we must do a visual inspection to see that that pipe has been removed. #2. All laterals remaining shall be made 60 feet in length and looped at the ends in order to make all pipes connected. #3. Verification of the water line under the driveway by digging along the water line to verify that there is a 10 foot separation between the water line and the leach field. #4. The water line and septic line must be moved as to provide a 10 foot separation between the line coming from the house to the tank and the water line itself. Upon completion of all of these items, this system will be re-inspected and approved for its installation. If you have any further questions or comments please do not hesitate to contact me. Very truly yours, DAVID HATIN, DIRECTOR BUILDING & CODE ENFORCEMENT DH:Im CC: BP# 91-345 "HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE" SETTLED 1763 ......_- LL, _ Li VE1-9 SEP 1 3 iggi I .-LDG. CODE DEPT. 1 \ . _., Dagb . • 1 1 1 - 1 \-9 I i I I _-_------ j zi.AZ.0 Lip Y 1e i ,.........----- pt A - - 2, / I _ 4'6 0046 . i 6 0 ) .._. ,......,,,_„. ...„.„,, _______6 1$ _vs_ 1 ,0 i _ • . _ .......... _ . ISIS' ------, Lek- k0 So I as- p