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1991-451 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Almost 23,19 91 This is to certify that work requested to be done as shown by Permit No. 91-451 has been completed. This structure may be occupied as a Single Family Dwelling Lot 69 Mohawk Trail Location Owner 11 tam Herlihy • By Order Town Board • TOWN OF QUEENSBURY &- Director of Bldg. & Code Enforcement , , BUILDING PERMIT -� TOWN OF QUEENSBURY No. 91-451 WARREN COUNTY, NEW YORK tV PERMISSION is hereby granted to Wi l l i am Herlihy CO OWNER of property located at Lot 69 Mohawk Trail Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single Family DWel l i ng 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. a' 9 1. OWNER'S Address is CI) 24 Fox Hollow Lane Queensbury, NY 12804 2. CONTRACTOR or BUILDER'S Name O t+ SAme 0 3. CONTRACTOR or BUILDER'S Address C1 O 4. ARCHITECT'S Name a. --� 5. ARCHITECT'S Address fD 6. TYPE of Construction—(Please indicate by X) Cu (X)Wood Frame ( ) Masonry ( )Steel ( ) a teC 7. PLANS and Specifications ID No. 2,408 sq ft Single family dwelling as per plot plan specifications wma and application tea• 8. Proposed Use Single Family Dwelling $ 299.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 27, 1992 (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 27th Day o June 19 91 SIGNED BY it.f' / for the Town of Queensbury Building and Zoni I Spector f TOWN OF QUEENSBURY .4� _ REVIEWED BY: RECOVED % TN FEE PAID: `',7(D JUN 251991 PERMIT NO. : //7:.-7 BLDG. & CODE DEPT BUILDING PERMIT APPLICATION 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: (O 1 f/,j4s a /7Q L h)6 P.O. Address: _ ra Li P°? tf itMe) LIIL,IS nueei fOgsr t/ PHONE 7q3 SL / Property Location: pl,,,S. 4.001 0910L. CLitisdtgi- 6 ply" .) Tax Map No. / / Has there been any split of this property since October 1, 1988? Yes No X If yes, Planning Board Review is necessary. • Subdivision Name, if applicable: irA7. g/,r!" &e1ot No 4;9 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION: $ / 4/0 1 Addition to building * Alteration to, building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: /50 ft. x /56 ft. Other work (describe) * Existing Building Size: • * ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: 1st Floor I Z® 4 Sq. Ft. / f I * Front Yard 6() ft. Rear yard to ft. * Side Yards a 7 ft. and ti5 ft. 2nd Floor l Z v i Sq. Ft. / 2 d * If on corner, setback from side street- * ft. -- Other Floors Sq. Ft. —"— * (not cellar or basement) _•r7 * OCCUPANCY INFORMATION: * TOTAL 'FLOOR AREA: p ti o s Sq. Ft. * Primary Building - * x One Family Dwelling Size of New Structure: ‘?}' ft. x 60 ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partial/Full (Circle One) * Business * Industrial No. of stories (Habitable space) 2 * Other Height (grade to ridge) P-11 ft. * If residential , no. of families: i * If addition, what will use be? No. of rooms (excluding baths) : g * No. of bedrooms: V _ * • No. of bathrooms: * Accessory Building: Primary heating system: 1407`404: �/2.. * Detached Garage - One/Two Car Type of fuel : 1- p 5,4.k * ,k ilt2shed G - One/Two Car No. of fireplaces to be installed: * Private Storage Building Will a woodstove be installed?: t.?r? * Other Central Air Conditioning: Yes No x * (OVER) i BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. Will any second-hand or ungraded lumber be used? If so, for what? Op Thickness: // Foundation Wall Material : �.t, �,��, ,�1"' �'' Depth of Foundation below grade (to bottom of footing) : 6 Will there be a cellar? ye- Heated or Unhee tm d? 12 a fl Floor Sq. Footage: Will there be a basement? "-'` Will any portion be used as living space? If so, what portion? Sq. Ft. Type of Use? Type of Roof: Sl o ed Fl at/Shed/Other Material of Roof -q ,h ,"" Size, wood studs ).. " x (,; spacing /(, " o.c. ; length A' ''' ft. Joists (floor beams) : 1st Floor -,2 " x / el " ; spacing / 4 " o.c. ; span 12 ,V ft. Joists (floor beams) : 2nd Floor ,z " x / 0 " ; spacing / , " o.c. ; span /a.Y ft. Overlays (ceiling beams) : j` vS„S,N " ; spacing py " o.c. ; span i2 ' ft. Roof rafters: )`? " x " ; spacing o-.c. ; span ft. Roof trusses (pre-engineered) : spacing ,. y " o.c. ; span 41 6 ft. Exterior Wall Finish:• ti L p j e. A) of what material ? S rr/tNu P p Interior Wall Finish: I/2 odZ;y 1.4.1 s-1. L I If a garage is to be attached, describe materials to be used for FIRE SEPARATION: a5/B F.t e Car) `To R14-fT°7"_f +Red / Is there to be an opening between garage and dwelling? vet If so, will a Fire-Rated door, enclosure, self-closing device be provided? �4? / 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 supply - Mu,�r Lcjaal or private well : SEPTIC SYSTEM: Distance from any private well (including adjoining properties: JJ , ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: L./it 0, A-P , F L,i) Vi PHONE 7 • 526f NAME OF PLUMBER & ADDRESS: sa-e61,a,, F , -' I PHONE_75 8-1 NAME OF MASON & ADDRESS: 'lap PHONE a '" NAME OF ELECTRICIAN & ADDRESS: 13,1 1 f? i(,, PHONE ' J'3-/F4e 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 au rized byre Ovn r. Signature Lam` . .��t.. t1140 ,. . Owner,-owner's-agent, ar/ itect contractor �" SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer ' ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DE6 SDAYS,_ Compliance Methods: JUN 2 51991 PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) t3LDa & CODE L� g� 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 APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - Sq. Ft. 2. Type of Heat - Elec. Base Board Other 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 3 g B. Exterior Walls R iy' C. Glazed Area R 3.2: D. Exterior Doors R 4,7. E. Floors over unheated spaces R �✓/ F. Edge of Slab on Grade (Heated Building) - R pj G. Basement/Cellar Walls (Above Grade) R is H. Basement/Cellar Walls (Below Grade) R R I. Heating/Cooling - Ducts - Piping in Unheated Space R. tJ 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED 77,3""$247‘ xi/4 * CANT S IGNATURE V DATE TELEPHONE NUMBER INSPECTOR'S REMARKS: Pti REV I D BY TOWN OF QUEENSBURY TO N OF CRIEENSBUHy APPLICATION FOR SEPTIC DISPOSAL PERMIT PergCVIED Fee Paid JUN 2 51991 Date: — 2,5 4) g i We % � - LOCATION OF PROPERTY FOR INSTALLATION: 61 MO Al --rat AiL Owner's Name: Lt, l l I p4 i+EtZLA h Owner' s Mailing Address: a.'./ FmAte 001.4496V LAM& Installer' s Name: T> f . , o Phone #: 7 ¢ ) Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom): Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One: S` and Loam Clay Other /Depth: Ground Water-At What Depth? ) Feet ti Bedrock or Impervious Material-At What Depth? 4,5 Feet Percolation Test-Circle One: of Requi-reyd Required/Rate Min. Per Inch Domestic Water Supply-Circle One.nini. i.p.a Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption 'feet PROPOSED SYSTEM: Septic Tank / D gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench c O feet//Total System Length Z S() feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # / 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. nffi = 4 j" SIGNATURE OF RESPONSIBLE PERSON: ,e,: . 4 r,: DATE: ‘1 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: - YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES ' ' FOR THE FOLLOWING ELECTRICAL EQUIPMENT-TO BE INSTALLED BY THE UNDERSIGNED TEMP.# DATE I �� I ! CITY OR VILLAGE _ • .TOWNSHIP COUNTY " • STREET AND NO.OR ROAD , V.. POLE NUMBER l r s) n ~,i .r,;rJA ('7::s-,<Y1- �"'kI�=.I!_ BETWEEN WHAT TWO CROSS STREETS IS PREMISS LOCATED?ti SECTION BLOCK LOT , OCCUPANTS NAME _ BUILDING OCCUPANCY I) , i I 1 - 1#_ ` . OWNER'S NAME AND ADDRESS v ' ' ' ,i HOME TELEPHONE NUMBER . , ,! . t CURRENT SUPPLIED BY FROM THEIR - OFFICE { ,F WORK TELEPHONE NUMBER f AVI') 14.+ ,•- .If,`, d BUILDING IS .'� ' NEW-[ OLD❑ WORK IS NEW Q ADDRIONAL❑ DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles CIRCUITS ONLY ' tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No.' Type Each No. • Each No. Gauge INSPECTION OUT- . SIDE SUB- BASE BASE- . . MENT 1st 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 - DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS IDENTIFICATION NUMBER AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS • NAME AP PLICA JT i r + DATE OF APPLICATION SIGNA UR4QF APPLIcA T / ' /QF/ / // J1 X % r i t fil/F f r F: %'"'?- J/t"1-.1:f?f. Lit t f .o, hi.l�erf_'..�-�fiT r,`,s_lr`r,.r. STREET ADDDRESS - ( • - - -. TELEPHONE`NO. /( ^Y 1Tr' ( _I)rt) Ls <aI 7-1-3 -5 l CITY OR POST OFFICE _ ZIP CODE LICENSE NO.WHEN APPLICABLE 85 John Street r , q State Street 570 Delaware Avenue 217 Lake Avenue 202 Arterial Road �41€W YORK,NY �1 10038 ❑ ALBANY,NY 12207 ❑ BUFFALO,NY 14202 ❑'ROCHESTER,NY 14608 ❑ SYRACUSE,NY 13206 /2)227-3700 (518)463-2122 (716)884-1155 _ (716)254-0141 (315)463-8552 l . THE NFW Yf1RK ROARD -CIF FIRE UNDERWRITERS • P. .1-9,1.l•(."."—x_01." Im-I l,.\• •.!,"-1,9").-- a i.1•!•-•¢"-•1•!.1•,1la•I-9.!?9-",-0.4,•!,a•[J%a i,a -.9!-1•4Ca.lt!, (.a•,C?•,,.."..a i,A•�-a•iay.T•,:",.•/,"- •,,,•.1•,_1•,_A.,•?,"-"-",•.,-1.9,:+• •tl: THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 q. -C: 19172 - BUREAU OF ELECTRICITY o iii I" �, 41 STATE STREET,ALBAN�NEW YORK 12207 i; Date SEPTEMBER 05,1991 . Application, o.o, fil�7308791/91 H 413144 .i; THIS CERTIFIES THAT PERMIT NO. 91-451 --c. only the electrical equipment as described below and introduced by t apple t named on the above application number in the premises of WILLIAM HERLIHY, 69 MOHAW'K TRAIL, QUEENSBURY, N.�N.Y. in the following location; [1 Basement El 1st Fl. S� 2nd Fl. GAR Section Block Lot o ek' was examined on AUGUST 21,1991 and found to be in compliance,with the requirements of this Board. 1..(; FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS -< OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT OTHER • AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. i; 49 64 40 45 ? 1 5 1 1.5 4 F �' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P.F. 11 - AMT. NO. A.W.G., -AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS • .t 5. j _ 1 . 3 1 F 1 3 600 SERVICE DISCONNECT NO.OF S ,_.._1 . R - V_- . 1 . . .C ._ .E. ... • . AMT. AMP. METER TYPE EQUIP. 111 2W 1 3W 3,9 3W 3,i1 4W NO.OAR$COND. OF CC.COND.. NO.OF HI-LEG OF NVe NO.OF NEUTRALS OF NEUTRAL ,i .4, 1 300 CB 1 X 1 . 4/0 1 2/0 • OTHER APPARATUS: PADDLE FAN-1 . o • �, G.F• .C.I:-10 SMOKE DETECTOR:-1 0 . , '\-).„, ' • P 1 ,.:: ,, wiLLIA?'1 HERLIHI' - - - - - _ U> � � 24 FOX HOLLOW LANE BRANCH MANAGER �; QUEENSBURY, NY, 12804 o -, 239 cp ,; Per J •X; 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. T it-!i a ,..1-4,YAYYAY'iLYY•i YA,'•ieci•Y•i•7-i•('i f rey,s •i•Y-i•?-i•Y-ia(ream•\faY-i r•i•?'i j'i•Y 41 i•erso-ia i•Y'ia(•i '-ia i•o'ia •i•C-i•i(a' a,-i•-raCr• ,ai 7•Z.a, q -i• •iai a (a •. •,"rave -.i COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY �- " z,/4 "' 531 BAY ROAD jam' `� QUEENSBURY, NEW YORK 12804 "# TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S /REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME_Zelit( 07 ay LOCATION/A6 %�Ji [)ATE_ ' PERMIT# '/'1�3 TYPE OF STRUCTURE/ z%9f rill €r- f RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) .-FOOTING PrOUNDATION BACKFILL z-fIRAMING y$OUGH PLUMBING L-INAL ELECTRICAL /-EPTIC " ?ELATION WOODSTOVE/FIREPLACE REMARKS , APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION ► // B VENT/LOCATION r // PLUMBING VENT Pi ROOFING SIDING DECK/PORCH/STEPS/RAILINGS i // RELIEF VALVES \ ✓// FURNACE/HOT WATER OPERATING I d BASEMENT INSULATI N/DUCTWORK r/ INTERIOR TRIM/PRI ACY DOORS ,/ FINISH FLOORS: BATH/KITCHEN WA ERTIGHT ✓ ' OTHER FLOORS SW PABLE OTHER FLOORS CAR ETED ,/ STAIR CLEARANCE/RAI , ING HANDICAPPED ACCESS SMOKE DETECTORS 1, ✓ BATHROOM FANS/WHOLEHOi E FANS ALL PLUMBING FIXTURE OPERATING ✓/ GARAGE FIRE PROOFING V DOOR CLOSERS ✓ OTHER FIRE SEPARAT.ON FIRE/DEMISE WALLS DUMPSTER k SITE PLAN/VARIAN"E REQUIREMENTS / FINAL ELECTRICAL v, ✓/ OK TO ISSUE C/O OR C/C ✓ COMMENTS: jL// 45 ARRIVE/> DEPART/ s f / � INSPECTS' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 L I(\ TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION 2# 67 9' DATE 77,��/9/ PERMIT # 9/-0r/ TYPE OF STRUCTURE„4f��e, 4f//iecjr RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL I; ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB d: FRAMING: JACK STUDS/HEADERS N' BRACING/BRIDGING A JOIST HANGERS \ C JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS I \ HEATING ROUGH—IN / XINSULATION: I FOUNDATION WALLS INTERIOR R' / FOUNDATION WALLS ETERIOR R-\f;( t./ FLOORS R- WALLS r R- 1?) CEILING ¢ R- ?,cg DUCT WORK OR PIPING IN UNHEATED \ SPACES REMARKS: „ ARRIVE ;:'645 • DEPART , 66 ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME 4 / ,$(/"ri/ LOCATION 40te7 /eolea44 : / DATE Y/OZ PERMIT # 9/-"lei 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 • v 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 HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES UN, REMARKS: • ARRIVE DEPART INSPECT ' • Z u n o f Queenitur, BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME )-)e.)\-1, ,//loryy LOCATION , L(i c\1(:)‘Y1(>i I< 1 vCi j L DATE / / ) PERMIT NO. 9 / 6/ SOIL TYPE may,- Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: f Absorption field, total length Length of each trench Depth .of trenches Size of gravel'_ _ SEEPAGE PITS{Numberof) Size- ft. X ft. • y Gravel size , PIPING: zeJ-, Ty e Bldg. to tank hf Tank to dist. box / r' " Dist. box to field/pit 9- " Openings sealed? ..: ,AYES NO Partial • LOCATION/SEPARATION,{S: Foundation to: tank /5 ft. Foundation to absorption ft. Absorption ,to lot Trine it) ft. Separation%`of pits ft. LOCATION, OF SYSTEM ION PROPER'Y(circle one) Ero -Rear - Left side - Right side - COMMENTS: rr • r!' ,d • • • SYSTEM USE APPROVED Of NO • B i ding Insp ctor • 01/86 and vl TOWN OF QUEENSBURY r` Ai BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME ?// y/'y�/1T LOCATION , ",•r7/ tVea' / A-"/ DATE 77' i/ PERMIT # J/- 'T( i / / TYPE OF STRUCTURE S/"�) Az./S vi 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; / P,LUMBING UNDER SLAB e/FRAMING: , 4' /, JACK STUDS/HEADERS BRACING/BRIDGING e.// JOIST HANGERS / JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH—IN INSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R— FLOORS ,'I R— WALLS „ R— CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 13/ ARRIVE �, DEPART `/ /S INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD go-kJ QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 (---(c)/ -4 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME (/bd/th LOCATION ,41-/•C 9 y//4w , DATE �'519 PERMIT # 9/- 1.5/ TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO X FOOTINGS/PIERS M )fiz X: MONOLITHIC POUR FO j'r REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTIONFROII 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 I PLUMBING VENT/VENTS IN PLACE PLUMBING UNDERSLAB FRAMING: / JACK STUDS/HEADERS BRACING/BRIDGING `;. JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS: CEILING FIREWALLS HEAPING ROUGH-IN INSULATION: ;,FOUNDATION WALLS INTERIOR `R- /FOUNDATION WALLS EXTERIOR / FLOORS R-\ /✓ WALLS R- \ CEILING R- DUCT WORK OR PIPING IN UNHEATED \ SPACES REMARKS: p Vi j ARRIVE I6C,)cl /(--\ DEPART I /�{ r J�•(!C� " INSPECTO,,J b o e NO0 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTIONRECEIVED i ]L�! 11 NAME ' ,Y J-A t y 1 Vt) I\1 ctYY-N 4 LOCATION �F \ 1 \Lem} G, ALA �Y�1 L DATE 1I \9 } PERMIT # ) `- `IS/ TYPE OF STRUCTURE Sinc(�Q ��.e C' I 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 }a BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE (! PLUMBING UNDER SLAB i FRAMING: JACK STUDS/HEADERS _.BRACING/BRIDGI-NG------ -- — — JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR/R- FOUNDATION WALLS EXTERIOR R- FLOORS ;! R- WALLS R- CEILING /- R- DUCT WORK OR PIPING IN UNHEATED'' SPACES / REMARKS: '` iSG t'��L aj lV LL_ 1i /ARRIVE /1-3 0 ✓ DEPART / I: '/C� �� � ` ' INSPECTOR 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 7 / �/ NAME /-7 // / LOCATION - 4, /j/ / , DATE .i / %/ PERMIT # 47/ / TYPE OF STRUCTURE / RECHECK APPROVED N/A YES NO A4TINGS/PIERS LM'ONOLITHIC POUR FORM ✓y REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING -FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. r' MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR F' REINFORCEMENT IN PLACE 1" FOUNDATION/DAMPROOFING i / BACKFILL APPROVAL I ROUGH PLUMBING .I I PLUMBING VENT/VENTS IN PLACE ,i / PLUMBING UNDER SLAB 1 I FRAMING: / JACK STUDS/HEADERS 1/ BRACING/BRIDGING A JOIST HANGERS fl JACK POSTS/MAIN BEAM f FIRESTOPPING WALLS CEILING /" 1 FIREWALLS HEATING ROUGH-IN / 1 INSULATION: / 1 FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIIOR R- !. FLOORS R- 1 WALLS 1 R- CEILING ? R- I. DUCT WORK OR PIPING IN UNHEATED `� . SPACES REMARKS: ARRIVE / DEPART -2T3d - INSPEO'TOR , . - - , . . , . I.OWN OF OUEENSBUff4 • RECEIVED . . . . , . JUN 2 5 1991 , .. . 1..DG. & CODE DEPT. 155' \ \ . (.4 . ' • , . \ / L CT) I co . \ \ tiousp- ,-- N4-1\y___.. ,- - --'• if5- • 4.!,„ / 17' i .......0 • ‘0 .i ''. ID 20 )000 1- I k E 50- I \ W • Zi \ 1. 1,-- --I- i t It 1 , . . 0 .,1 . . • PIC•PAWK . . • TOWN OF QUEENSBURY 'll . Zoning Administ at,,r f) tn_ . . .. _ . . . , .