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1992-264 + ER�TIFICA.TE +CJF +C CI-J�"AN"�Y TOWN OF +QUEENSSURY WARREN COUNTY, NEW YO'RK Date_ 5eptEembe' r J _19 ^ 92- 264 This is to Certify that work requested to be done as shown by Permit Now has been completed. single family dwelling 7111is structure may be upied as a Glens Falls Area Habitat for Humanity Inc . By Order Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement BUILDING PERMIT w TOWN OF +QUEENSBURY w - � No. 92- 264 z1 WARREN COUNTY, NEW YORK x O PERMISSION is hereby granted to Glens Falls Area Habitat for Humwnity ►t`o+ fV OWNER of property located at 4 Cottage Hill Road Street, Road or Ave_ r-Y 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_ Vr t. OWNER'S Address is `n w J •r� N A 2. CONTRACTOR or BUILDERS Name w Same s fir Cr P1' 3. CONTRACTOR or BUILDERS Address w V+ O S 4. ARCHITECTS Name 5 9 xC 5_ ARCHITECT'S Address 4rh C7 6. TYPE of Construction — (Please indicate by Xi e+ ( )0 Wood Frame f l Masonry ( 1 Steer ( I tip ffl S 7. PLANS and Specifications �• rl No. 1008 Sq Ft Single Family Dwelling as per plot plan specifications and application 8. Proposed use Single Family Dwelling -n $ 120A0 PERMIT FEE PAID — THIS PERMIT EXPIRES May 26e 79 93 (If a longer period is required an application for an extension must be made to the 8uirding and Zoning inspector of the town of oueensbury before the expiration date.) Dated at the Town of Queensbu 6tb DVV f May 19 92 tst SIGNED By -- for the Town of Oueensbury Building and Zbqnq Inspector TOWN OF QUlEENSBURY REVIEWED BY : FEE PAID : — OWN OF QUEENSBuh RECEIVED PERMIT NQ .<Elw : MAY 92 BUILDING PERMIT APPLICATION E3LO C. S COE)e E)EPT; 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 . Owner of Property : L LLs fl fzj,� A 61 i+4 1 1-(p 14 LA. VY) A A..1 I P . O . Address : _� ._-�t?_�T1�+�i.� LL� __.i`?�? ►�?fl� -- ._PHONE_2.�.3��� Property Location . Tax Map No . /�/� Has there been any split of this property since October 1 , 1988 ? Yes 147 --_ If yes , Planning Board Review is necessary . J IL Subdivision Name , if applicable : jr� IV �j 1 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING C Y`', / • /lvlr9 R-) &4 . � 4h NATURE OF PROPOSED WORK : * ESTIMATED MARKET VA � f *J Construction of new building * CONSTRUCTION : $ Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : I 'RL? ft . x / 4s . ft . Other work ( describe ) * Existing Building Size : * ft . x ft . Proposed building distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : * 1st Floor ! taCaf 5q . Ft . `�'� 'i * Front Yard ft . Rear yards ft . * Side Yards ft . and LL ft . 2nd Floor ` " Sq . Ft . * If on corner , setback from side street- * W , ft . Other Floors Sq . Ft . ( not cellar or basement ) * OCCUPANCY INFORMATION : TOTAL FLOOR AREA : J Do8 Sq . Ft . * Prirrlarylding 0nei Family Dwelling Size of New Structure : ft . x ? _ ft . * ✓✓ Two Family Dwelling Foundation : * Multiple Dwelling/No . of Units Pier/Slab/Crawl /Partial FuT ( Circle One ) * Business * Industrial No . of stories ( Habitable space ) I * Other Height ( grade to ridge ) 1 `/ ft . If residential , no . of families : ! * If addition , what will use be ? No . of rooms ( excluding baths ) : No . of bedrooms : 3 No . of bathrooms : i * Accessory Building : Primary heating system : G7T Ho d Detached Garage - One/Two Car Type of fuel : C�r4 S * Attached Garage - One/Two Car No . of fireplaces to be installed : AJOA ) 4 * Private Storage 'Building Will a woodstove be installed ? : jub * Other Central Air Cond i tiury iog : YGS IN V ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construction : wood frame , fire safe , etc . W4)40Z �AA a Will any second - hand or ungraded lumber be used ? If so , for what ? ol�Q Foundation Wal l Materi al P 0,C) � fsLLOaj< Thickness : 10 " G , " OAklz� Depth of Foundation below grade ( to bottom of footing ) : Cc ! - (� '-. Will there be a cellar ? Heated or Unheated ? Floor Sq . Footage : / N0a & Will there be a basement ? VLE�5._ Will any portion be used as living space ? I� U If so , what portion ? Sq . Ft . Type of Use ? Type of Roof : 7 ope Flat/Shed/Other Material l of Roof S 10 id Jq ; 1 C� Size , wood 'studs �k '" x �i " ; spacing / (0 " o . c . ; length p ft . Joists ( floor beams ) : Ist Floor _ " x 10 '" ; spacing / b o . c . ; span ) .2 ft . Joists ( floor beams ) : 2nd Floor - x — " ; spacing '" o . c . ; span ft . Overlays ( ceiling beams ) : - - '" x --- '" ; spacing — o . c . ; span ft . ±tour rafters : x - " ; spacing o . c . ; span — ft . Roof trusses ( pre-engineered ) : spacing ;24 " o . c . ; span AV ft . Exterior Wall Finish : C.LAPp, c, q ,rZ U ,L7 Yi , LLD � r rf what material ? t1 uJv L Interior Wall Finish : ►fir " 2� 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? --- If so , will a Fire- Rated door , enclosure , self- closing device be provided ?Will a flue- lined chimney be installed ? Height above roof ft . Depth of chimney foundation below grade : ft . Depth of fireplace hearth : -- ft . — in . Water _ apply - Municipal or private well : ry7 " f-2) I tI ,P A t , SEPTIC SYSTEM : Distance from AEX private well ( including adjoining properties : eft . (A separate application is necessary for any repair or new installation of septic system . ) '111 iZy 9R t x3 L C ii. t , i"� [ C� 1 i - NAME OF BUILDER & ADDRESS : GLL:'jS p 7 y PHONE ok NAME OF PLUMBER & ADDRESS : c' 'GAILy rn AJ 6iC '�-x � � PHONE NAME OF MASON & ADDRESS : 1 pLk< t] A61 Gn d"Z, . d!;Jeo',K ) Y ?-fir PHONE 5 �, NAME OF ELECTRICIAN & ADDRESS : 61ws " 7 A 0 I I 1 ►w f r .- oj , PHONE 14;� 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 wner , wner s agent , architect contractor SPECIAL CONDITIONS Or THE By : Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOMI OF QMENSBURY , BARREN COUNTY - 9000 HEATING DEGREE GAYS +7 mliarice Methodss 3" RECEIVED ENSB OF CE 6J - REiVED CART 5 - Acceptable Practice Method - 1 b 2 Family Dwellings ( ONLY ) HAY 21 1992 'ART 6 - Thermal Rating - Component Trade Offs - 1 S 2 Family Dwellings ; Multi - Family Dwellings G B, CODE INEPT. ( 3 Stories or Less ) "ART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential CART 4 & 6 - Compliance Methods Require Submission of Worksheets 4PPLICANTPs NAME PROPERTYL N FART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : t . Gross. Floor Area - 1 OL`� Sq . Ft . ? . Type of Heat - E1ec . Base Board Other � A� {-(p ; A y k 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 R E iI U I R E D THE R-VALUES SH01iI ON PLANS SUBMITMI Baseboard 5 . Insulation Values : Actual Shown Elec . Heat Other A . Roof & Floors exposed to ambient temperatures R 3 . Exterior Walls R1 9 . C . Glazed Area R� — -- D . Exterior Doors R . 7 a • � E . Floors over unheated spaces R.L . _i1 F . Edge of Slab on Grade ( Heated Building ) R G . Basement/Cellar Walls (Above Grade ) R H . Basement/Cellar Walls ( Below Grade ) R 2 - ► 3 1b T . Heating/Cooling - Ducts - Piping in Unheated Space R 4 K A Go Service ( Dowstic ) Hot Water Heating Device A . Conforms to ml nian efficiency per code 'YES NO TEMPERATURE CONTROL MKXlNUN SETTING 140" - WILL NOT BE EXCEEDED . ' INSPECTOR ' S REMMRKS TOWN OF QUEENSBURY "W APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Pa i bNN or EENSE3L! HEGEIVFn Date : Reviewed By MAY 1992 LOCATION OF PROPERTY FOR INSTALLATION : q i rfj T 6 � e, ( / c ( kD iar 0013E DEPT . Owner ' s Name : c_ �S l= ,9 L.• s !� 2ram! 1A A i i 1�1 i r2 l4u v'►') A K2) 1 T"1 Owner ' s Mailing Address . Gt .. Ve,) 5 AJZ tf-NA L- Aj� , A i I-JUM ►9 A 1 Installer ' s Name : Phone # : Number of bedrooms ( if residential ) : 2) Total daily flow ( residential - compute @ 150 gal , per bedroom ) : L1 6C5 Topography- Circle One : Fl a Rolling Steep Slope % of Slope r � Pq i Soil Nature-Circle One : San Loam Clay Other /Depth . Ground Water-At What Depth ? ) 0 A- Feet Bedrock or Impervious Material -At What Depth ? 5C) Feet Percolation Test-Circle One : Not Require Required/ Rate Min . Per Inch Domestic Water Supply-Circle One : Munici a Well Other If domestic water supply is a we Separation : Water supply from any septic absorption 1 OC:) feet PROPOSED SYSTEM: Septic Tank LCxo n gal . ( Minimum size : 1 , 000 gal . ) Tile Field : Each Trench ::S © feet//Total System Length ;L00 feet Seepage Pit ( s ) : Number of / Size each : ft . x ft . Size of Stone to be used : # vim. / Depth or Thickness I C� feet HOLDING TANK SYSTEM IF REQUIRED No . of Tanks Sizelof Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. ak yk ak lk at iF irlF it IF ak yk ak Ik ik IF 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 : ,..a - DATE : A7/S y Z J ck 531 BAY ROADBRlRY QUEENSBURY , NEW YORK 12804 TELEPHONE (518) 745�4447 rR�►��SPECTOR S REPORT REQUEST FQR Fri- 1NISPECT qq CEIVED lei RAMS e oCarrar IN�c� r l DATE p�R!llTrr TYPE OF S RECHECK FIRE MARSH L ppROVAL NOATION? OMMERICIAL STRUCTURE) FOOTING � NDATIQN, ROUGH PL B NGWOFbNA BACKFILL '/FRAMING INSULATION QVE/FIREPLACEELECTRICAL SEPTIC REMARKS ROV CHIMNEY HEIGHT/ OC A YES B VENT/LOCATI ON N/A YES NO PLUMBING VENT -----~ ROOFING SIDING DECK/P H/ PS/ L NG ~- RE F VAL ES UR AC I WA R o NG RIM/PRIVACY DOORS FINISH F QORS . BATH/KITCHEN WATERTIGHT OTHEO FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BAT11I ALL PLUMBING ,ES LNG � -- FINAL ELECTRICAL OK TO ISSUE C/0 ~ EN S : e q� i2AJG I! LI +a N f Y6-r ARRIVE DEPART, ` I ---------------- THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE j (IxE: i '!M 1. BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY. NEW YOlRK 12207 a A[HY[]:T : '? , 1 9:d " Application Date T141S CERTIFIES THAT k'F:T3it1`1' only the electrical equipment as daecribad behvw and introthscwd by the arsad an thewiwva aPPLscat3ar► r►umber in Cho P r+rmiaes of in the following locati n; r�I�enti d Iet FY. ❑ Tnd FT. � Section Block Lot yeas examined on " and found to be in compliance with the requiremsents of this Board. RItTtIRE RXTUREs RA 60ft Ccxwwa OECKs OVENS DISH WILSMERS EXHAUST FANS �T�T3• PTACLES >:WITCMES LNG EN {+N0G5CENT FLUORESCENT OTHER AM T. K. W. AMT. K. W- AMT. K.W. AMT. DRYERS FURNACE MOTORS MUTUM AVnA^WCE MEEDERS SPECIAL RECPT TIME CROCKS , UIMt flATEEs MI 'i LET DIMINERS 'i 1RAN'S. AMI. H. 'F. AMT. WATTS AMT. K. W. OIL H_ P. GAS H. P. AMT. N W.O. A. G. AMT. AMP. AMT. AMPS. MtO. OF MEET 4 SERVICE DISCONNECT NO. OF S E R V I C E METER Na. OF CC. ccR I Hblee ti w. G. Na. OrF NEUTRALS OF F H1fIiAt AMT. AMP. TTFf i X ZW 1 X SW 7 X Jw S X •W !'Fad ; Oi CC. CQNU. OF FK-lEG 46 OMSK APPARATUS: CmttINA;i P?§w! in,4 � BRANCH MANAGER (0014"Misht"* *fir Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their erode Is_ Copy FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _./'nurn o/ Q"eer1s6ur I W BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 C)ueensbury, New York 128()l S�jEPyTIC DISPO�S�A/L SYSTEM INSPECTION NAME LOCATION DATE �/ PERMIT NO . S[ IL TYPE - (Sand Loam - Clay Percolation Tes Required? YES NCi Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total length_ ,200 /may Length of each trench. Depth of trenches Size of gra°gel SEEPAGE PITS*jWUMber of ) . Size- £t. `,X �- Gravel size V - ' PIPING, : Size ype Bldg . to tank 44 46r- lA ,t� D 4PVLI Tank to dist. box'% '�� cif xis Dist . box to .field ' � � � Openings sealed? ES ! No Partial LOCATION/SEPARATIONS : Foundation to tank ?5� -- Foundation to absorpti Absorption ' to lot Line gt. Separation of p3.ts1 �, t. LOCATION OF SYSTEM[ ON PR ERTY (circle one) Front - ear - Left side Right side - COMMENTS : - c iC To res v6rt�- A SYSTEM SE APPROVED YES NO �-y $41ding 43:nstor 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED 4 AC LOCATION ' 4 DATE PERMIT # _ 2 TYPE OF STRU TU RE RECHECK APPROVED FOO' INGS/ IERS- N/A YES NO MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RES SIB E 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/VEN S IN ACE PLUMBING UNDER SLAB FRAMING : JACK S DS HEAD BRACING/BRIDGING JOIST HANGERS JACK POSTS/MA N B A HEATING ROUGH- IN INSULATION : FOUNDATION L N IOR R- r i FOUNDATION WALLS EX T RIOR R- 4✓ FLOORS R_ WALLS R- 17 CEILING R_ DUCT WORK QR I G IN UNHEA ED SPACES REMARKS : 7T6 ARRIVE DEPART ANSPFr TOM OF QUEENSSURY BUILDING AND CODES DEPARTMENT 531 SAY ROAD QTELEPHONE � NEW 4 ( 518 } 745- 44 7 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED LOCATION — DATEPERMIT f &!t TYPE OF STRUCTURE �] s� A !1 h �I j 4 J111✓�' APFROVED RECHECK N/A YESI NO F OT NG /PI RS MONOLITHIC POUR ORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPQNSIBLE 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 PLAC FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT N S IN LACE PLUMBING UNDER SLAB FRAMING : .TACK S HEAD BRACING/BRIDGING JOIST HANGERS -- JACK POSTS/MAI HEATING ROUGH— IN INSULATION : FOUNDATION W N E FOUNDATION W LLS EXTERIOR R— FLOORS R— WALLS R` CEILIN . R— DUCT WORK I NG IN UN E SPACES R EPWRKS : [ i! ao -c Ls4cs ARRI V E DEPART t� T S C nR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 q TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVEDLj_ " ��a LOCATION rs y DATE PE IT # � TYPE 40FSTR CTURE 7 RECHECK. APPROVED N/A YES NO FOOTINGS/ TERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBL — FOR 'PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRET MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL, POUR REINFORCEMENT IN PLAC FOUNDATION/DAMP OOFING BACKFILL APPROV DUW PLUMBIN PLUMBING VENT VE S IN A E PLUMBING UNDER S FRAMING : JACK S /HEADE BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN B AM HEATING ROUGH- IN INSULATION : FOUNDATION E I - FOUNDATION LLS EXTERIOR R- FLOORS R- WALLS R- CEILING DUCT WORKI R PI ING IN UNHE TE SPACES R e l� .til �V 1'a7Ke Y' s ARRIVE � _�, r� r DEPART " # `ti.'S P Tnp TOIM OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745-4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED! �- NAME �" LOCATION }� �� //,,, DATE PERMIT # r�+ ^�_' �` TYPE OF STRUCTURE c K RECHECK APPROVED N/A YES1 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 %TROUGH PLUMBING PLUMBING VENT/VENTS IN LAC5f - PLUMBING UNDER SLAB 'FRAMING : JACK S HEADE BRAC %NG/BRIDGING JOIST HANGERS JACK POSTS/MAIN B HEATING ROUGH- I N INSULATION : FOUNDATIONL I - FOUNDATION WA S EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK R I ING IN UNHE ED SPACES R EMA K huc +T4*lzo •-tom ARRIVE DEPARTT4AF T % P . [kR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745- 4447 BUILDING INSPECTOR' S 'REPORT REQUEST FOR INSPECTION RECEIVED NAME c LOCATION DATE. J L'.- PERMIT TYPE OF STRUCTURE RECHECK APPROVED N A YESI NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACT[1 IS RESPONSIBLE FOR PROVIDING OTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT 0 THE CONCRETE_ MATERIALS FOR TH S PURPOSE ON SITE FOUNDATION/WALL UR REINFORCEMENT IN LACE `} FOUNDATION/DAMPRO ING YBACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENT IN PLACE PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADER _ BRACING/BRIDGING --- JOIST HANGERS JACK POSTS/MAIN BE HEATING ROUGH- IN INSULATION : FOUNDATION WALLS IN OR R- FOUNDATION WALLS EXT IOR R- FLOORS R_ WALLS R- CEILING R- DUCT WORK OR PIPI G IN HEATED SPACES REMARKS : �- ARRIVE ` 'Z-.C� _ _ DEPART 2 ��`] TOrjff TOWN OF Q UEENSBURY oc� �L BUILDING AM BAYS ROADPARTMENT QUEENSBURY $ NEW YORK 12804 TELEPHONE ( 5113) 745- 4447 BUILDIgc, INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED l /il NAME LOCATION GATE PERMIT # TYPE OF STRUCTURE APPROVED RECHECK NIA YES NO FIII III OOTINGS/PIER MONOLITHIC POUR FdRM REINFORCEMENT IN PLACE SIBS-� THE TRACTOR IS RESPON FOR PROVIDING PROTECTIONLFOWING FREEZING FOR 48 THE CONC ETE . THE PLACEMENT MATERIALS FOR THIS PURPOSE ON SIT FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING_ BACKFILL APPROVAL���� ROUGH PLUMBING PLUMBING V It PLUMBING UNDERVSLAB IN PL E FRAMING : HEAVE �... JACK S / BRACING BRIDGING JOIST "ANGERS JACK POSTS/MAIN BEAM HEATING ROUGH- IN INSULATION : LL FOUNDATION WALLS EX ERIOR - FLOORS R WALLS R- CEILING R PIP G IN UNHEA D DUCT WOR SPACES REMAR a i ARRIVE I. DEPART 4110 flown a/ uegri36ur� BOILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensaury, New York 12801 CtI SEPTIC DISPOSAL SYSTEM INSPECTION LOCATION 14 -fir La �- o �11 C) -- da",/DATE PERMIT NO . SOIL TYPE - Sand - Loam - ClaY - _ �---- percolation Test Required' YES - HO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total length Length of each trench Depth of trenches size of gravel, SEEPAGE PITS4-23i3mber off) ^�y�^ Size- ft. X _ Gravel size PIPING : Size Type Bldg . to tank Tank. to list . 'box Dist* box to fiel /Pit NG Partial Openings sealed? YE I,pCATj0N/SEFARA'TI f t. Foundation to tan tion ft. Foundation to abs ft. Absorption to to ine f t. Separation of p t8 ICATION OF SYSTEM gpt4 PROPERTY {circle one) A Front - Rear Ieft '' side - Right side - CCMmENTS : { PLO SYSTEM USE APPRS]'VE D YES NO Bu 18ing I spector 01/86 and vl to 9 G' � L 4 J�- f2 rt/ IMa00 ur S 00 ,2 6 ' !4 AO( Lam+ a s -. - - --- ' Bo x al or r�I r' 3� '' ./fOk . ,rJ Q iI ,J` f✓ I' Q JK fC7 I y qo� , 2 & 4 !7heemae c dlsvcictte�s SPECIALISTS IN HEAT PUMP APPLICATIONS 21 THOMSON AVENUE GLENS FALLS, NEW YORK 12801 RECEIVEDEIVED . iifdN ©E ENSBLw. (518) 798-5500 AUG � 1992 BI..DG_ & CODE L)EPTa Aug . 6 , 19921 Mr . Victor Lefebvre Quees.nbury Town Offices Building Dept Bay RR Dad 12ueensbu.ry , NY 12804 Pe : Habitat House Crot t ag a Hill P-oa d Dear Mr . Lefebvre : This is to attest that the chimney has been cleared of contact with combustible materials to a distance of at least one inch _ yr1m1t ]f3L ilYslL(/��� 37ii t , owner cc Habitat % Ralph Nic MAP REFERENCE: COTTAGE HILL SUBDIVISION OF 1950 ( #) = LOTS AS PER MAP REFERENCE • +GN POSTS Holt �'• SIGN S S'2 00 >9B 59 , O ♦ O AREA 0.6 2 ACRES k 7` 1V �9,69,00 9,OO 4, 0 V � ROAD U o � Z ♦ ; o a o co o♦♦ L_ � r�V! 0 J O W� h= �l W U LANDS OF ST. MARY' S R.C. CHURCH OF GLENS FALLS ''OWN OF QUEENSBUh . RECEIVED TOM OF QUEENSBURY MAY 21 1992 Zoning inistr for DG. &CODE DEPT. Date q2. zb4 MAP OF A SURVEY MADE FOR HABITAT FOR HUMANITY, INC. TOWN OF QUEENSBURY COUNTY OF WARREN N.Y, SCALE, 1 "=30' DATE i JANUARY 20, 1992 VanDusen Al eyes LAND SURVEYORS,GLENS FALLS,NEW YORK N,Y, STATE LIC, NO, 35617 97'2—� iqp 91311