Loading...
1991-839 -ell4411 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK - 4 Date March 23, 19 92 111 S_- • This is to certify that work requesteds to be done shown by Permit No. 91-83g has been completed. Thi structure may be occupied as a ST,Ingle Family Dv el l i Ong Location Lod 37 litarimold Drive -� owner ken C011 ett By Order Town Board TOWN OF QUEENSBURY S2)..st A3-4-APAAA; Director of Bldg. & Code Enforcement BUILDING PERMIT a X TOWN OF QUEENSBURY No. 91-839 WARREN COUNTY, NEW YORK o ~Ken Collette PERMISSION is hereby granted to ~, OWNER of property located at Lot 37 Marigold Drive Street,Road or Ave. 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. 1. OWNER'S Address is O e+ 9 Collette Lane Hudson Falls, HY 12839 2. CONTRACTOR or BUILDER'S Name Same I— 0 r 3. CONTRACTOR or BUILDER'S Address W 3. 4. ARCHITECT'S Name O 0 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) N (X)Wood Frame ( ) Masonry ( )Steel ( ) 1.0 ro 7. PLANS and Specifications Cu No. 1,540 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use O Single Family Dwelling $ 240.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 4, 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 4th Day of December 19 91 SIGNED BY for the Town of Queensbury ilding and Zoning Inspector TOWN OF QUEENSBURY REVIEWED B 4111111111A FEE PAID $ o�/ g F/ - 4 N OF QUELiN&.< PERMIT NO. ,Q.3 r"ECE1VED BUILDING PERMIT APPLICATION n ° u & CODE DEPT. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS fILL 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. • • • • • • • • • • • • • • • • •- • • • • • • • • • • • • • • • • • • • • • • • • The owner of this property is: k AJ Ci/e if t P.O. Address (ie t 1,4)• 4c& u / i'/ i ) Y• Tel. 71(7 -,57 'roperty Location. L,,t 3 7 #?/v? ,5/D l)R• Tax Map No. has there been any split of this property since October 1, 1988? /_ f yes Planning Board Review is necessary. y tc).4 UBDIVISION NAME, IF APPLICABLE cleacvoe 5 'e LOT NO. 3 7 'HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: k'p ((s//h_6 • rATUURE OF PROPOSED WORK: ESr;MATED MARKET VALUE OF • • !/ Construction of a new building • CONSTRUCTION: $ 9O OZO _Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: • Size of property /Do ft x as ft. Alteration to a building • (no change to exterior dimensions) Existing Buildings(3) Size ft. x=ft. ' Proposed building - distance from property line: _Other work (Describe) • Front yard S_ft. Rear yard /XS- ft. • Side yards / ft. and ft. • ROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft. 1st Floor /0/6 sq. ft. /5e1�- moo• OCCUPANCY INFORMATION 2nd Floor — sq. ft. a Primary Building - Other Floor: — sQ. it. • One Family Dwelling (not cellar or asement • Two Family Dwelling OTAL FLOOR AREA /5'4/6 sq. ft. • _Multiple Dwelling/Number of units_ inof new structure_e_caft x 3ft. • Business oundation-pier/slab/crawl/partial/ ; • _Industrial (circle one) • _Other • '0. of soM Iawitable space) / • eight (grade'io rie) / -6 - it. • If addition, what will use be? ' residential, no. of families I • ro. of rooms(escluding baths) C • Accessory Building ro. of bedrooms 3 • Detached G WO Car ro. of bathrooms " • �� ONE/T 'Mowry heating system, /t- .a,2 • , IV Attached Garage O WO C 'ype of fuel o, / ' __Private storage building re. of fireplaces to be installed / • •fill a wood stove be installed 't/ • Other :antral Air conditioning 'V • OVER BLILD[NC PERMIT .APPLIC kTtOv CONT'NTED - BUILDING 'PECIFICATIONS: Type of construction, wood fram fire safe. etc. Will any second-hand or upgraded lumber be used? If so. for what? /Uv Foundation wall material Fede �p,i,c�iY� Thickness 6- Depth of foundation below grade (to bottom of footing) A ' Will there be a cellar? r e-3 Heated or g heate Floor sq. footage /s'r-- sq ft. Will there be a basement? , es Will any portion be used as living space? ,uo (If so, what portion? sq ft. Type of use? Type of roof -•,flat/shed/other Material of roof fl Size, wood studs "x C " spacing /4 " o.c. length ft. Joists(floor beams) 1st floor a "x /a " spacing /6 "o.c. span /4/ ft. Joist (floor beams) 2nd floor — "x " spacing "o.c. span — ft. - Overlays (ceiling beams) "x6 Nig" spacing /4 " o.c. span fit ft. Roof rafters v "x " spacing /6 o.c. span /zf ft. Roof trusses (pre-engineered) spacing o- V " o.c. span 3; ft. Exterior wall finish C,699Arv2.0 of what material? C Interior wall finish > O tip If a garage is to be attached, describe materials to be used for FIRE SEPARATION: ri s . Is there to be an opening between garage and dwelling? Q If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? Height above roof y ft. Depth of chimney foundation below grade ft.« Depth of fireplace hearth V • ft.Q-in. Water supply Municipal pr private well SEPTIC SYSTEM Distance from ANY private well (includingadjoining ] g properties j42) ft. (A separate application is necessary for any repair or new installation of septic system) FAME OF BUILDER 643.A c f ADDRESS S 6:47 J . TEL. NO. ) - TAME OF PLUMBER ;,/,q P/urrldi.- ADDRESS elder- ss60// TEL. NO. 798 -- Y329 'AME OF MASON Ce //e. ADDRESS /' . �, TEL. NO. 'AME OF ELECTRICIAN .64 4,t, Ar, ADDRESS S. d� �, TEL. NO. 793 070-v/ DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the lens and specifications submitted, are a true and complete statement of all proposed work to be done on to described premises and that all provisim:-.of the BUILDING CODE, THE ZONING ^u!..":::':':7CE, and other laws pertaining to the proposed work shall be complied with, whether specified or not,.and that ich work is authorized by the owner. Signature Owner, owner's agent, architect, contractor PECIAL CONDITIONS OP THE PERMIT: BY ENERGY CODE COMPLIANCE APPLICATION • TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: OWN OF PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) r ``z'1` PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;[) (; Multi-Family Dwellings (3 Stories or Less) 7,_0 6t u,,u,, 7 PART 4 - Design By Component. Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets G//Q/ L �iae 1 3 )2ald9 APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - / SY O Sq. Ft. 2. Type of. Heat. - Elec. Base Board Other of / /A( a0'e 3. Is Building Mechanically Cooled.? YES l,/- NO 4. Percentage of Area of Windows and Doors Over 17% kUnder 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 2. 3 r' 7 D. Exterior Doors R a• 7 2. S— E. Floors over unheated spaces R oLf F. Edge of Slab on Grade (Heated Building) R N/R G. Basement/Cellar Walls (Above Grade) R // - H. Basement/Cellar Walls (Below Grade) R 7?- // /D I. Heating/Cooling - Ducts - Piping in Unheated Space R. A//A T� 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code 1/ YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED ereeeic ///a-s/9/ 7 V 7 - sr 3 3 APPLICANTS SIGNATURE DATE TELEPHONE NUMBER INSPECTOR'S REMARKS: • REVIEWED BY 1 OWN OF QUEENSBURY OF APPLICATION FOR - , s,tti SEPTIC DISPOSAL PERMIT 'ie9fix DATE />'/2./ /9 f LOCATION OF PROPERTY FOR INSTALLATION 37 ,l/qg i s h/e9 0g, Owner's Name: /\e,J CA 7/l t� Telephone: 7 c/ S'l 3 3 Address: 1 ( //p/ /- •• Installer's Name: e„", gyp,/4 14 Telephone: S'Arr7f, Number of bedrooms (residential only) 3 Total daily flow (compute (d 150 gal per bedroom) C/cj Topography:. Circle one: Flat Rollin Steep Slope % of Slope Soil Nature: Circle one: nd Loam clay Other /Depth: Feet Ground Water: At what depth? -.36 Feet Bedrock or Impervious Material: At what depth? -- Feet Percolation test: Circle one: Cot requirurequired rate min. inch. Domestic water supply: circle one: unic Well Other If domestic water supply is a well: — Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank /6T0 gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench ,Sb feet/Total system length 6- feet SEEPAGE PIT(S): Number of • / Size each feet by feet Size of stone to be used # 02" /Depth or Thickness / feet ************************* I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: /// -/9 OVER I • • 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. includea plot plan showing: . 1.) the proposed location pf 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 $250.00. . • C. An approved copy of the plot plan shall be available on the construction - site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. • D. _ Should unforeseen problems during construction .preventproper installa— tion, alteration or repair of an approved system, a new proposal must . be submitted to the Queensbury Building Department before further • construction. Town of Queensbury BUILDING and CODES DEPARTMENT • Bay and Haviland Roads. Queensbury, New. York 12804 • Remarks: - TOWN OF Q UEENSB URY Bay at Haviland Roads,©ueensbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date 19 Permit No. APPl,1CATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code.The applicant or owner agrees to comply with all applicable laws,ordinances,regulations and all conditions that are part of these requirements and also will allow all inspectors to enter premises for the required inspections. Applicant's Name APPLIANCE TYPE Wood Coal V�ood Address Furnace Hot Air Boiler Zero Clearance Circulating Unit Zip Phone , ' If Non-Masonry: Owner's Name Manufacturer rtia,4 e r_ Address e' Model t� Outlet Site Zip Listed byJU (, `/i)ik. Number Phone CHIMNEY TYPE Masonry: Block Brick Stone Properly location of proposed construction Flue: Tile Steel Size: Factory Built: Manufacturer Model Size COPY OF MANUFACTURER SPECIFICATIONS IS Height___.-_. Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type:Double Wall Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated - ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ SONRY FIREPLACES AND CHIMNEYS. CASHIERS DEPARTMENT TOWN OF QUEENSBURY, NEW YORK !)cpartment: Fire Marshal Amount Collected Amount Refunded Code Number Title A173 3389 (190)Public Safety A233 2655 (230)Minor Sales Fee Collected from or Refunded to:. Address: Dated: Town Clerk or Deputy- - u't.:te. t,...:: r-r V.11,.>...,1 Pi.,6.!'wrhior's norsnrin,.rl l:nldenrnd!FireMnrshnl (,..,..e_ `* ".MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 1337 West Chester Pike,West Chester, PA 19380 LICANT COMPLETES THIS SECTION Date:/ ,/ Town or Township Pr-' County 1 , State i ion/Address , i • (If Located in Rural Area- Please Attach Directions) Pole # .r Permit # /i /' ._I ied As Building: New❑ Old❑ ant - - Work Area in Building (Floor #,etc.): or: Wiring E Service El or: Ready for Inspection: emitted $ Cash(� Check n M.O. 1-1 Ready Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 er of Rough Wiring Outlets Elect. Heat es Amp. Service Surface Unit _ Dishwasher Range ng • Water Heater Air Conditioner Dryer Pump tacles Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: 'S H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 mber Size is e (4 License # Permit # Utility: (NAME) (OFFICE LOCATION) ;nt's Address: (State) (Zip) Service Request ## Electrician: A USE ONLY DATE RECEIVED: DATE INSPECTED: Location: Same as Above n or: tice Label Ti Rough Wiring Outlets Surface Unit Oven Switches I 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 KID. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 rnber size I 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat • • TIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFfE FEE PAID Progress: Inc.Ti LKD Ti Contractor T Violation: Work Comp.❑ Inc. Ti A Owner CASH ❑ • - Fee CHK # Due MO # Municipal INV # Other Side❑ UtilityApplicant Ti❑ Owner Card 1-7Temp # Date - - Ti Final # f y Date INSPECTORS SIGNATURE, ATION FORM NO.250 EL 11/89 TOWN OF QUEENSBURY 531 BAY ROAD �` QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED 3/4-3/qa NAME CO ttP e. Keiv• LOCATION �„, f 37 Max; �j� DATE 2j G� PERMIT/ 9/^ p J ci TYPE 0 STRUCTURE S F . RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOUDSTOVE/FIREEPPLACE REMARKS T - U t a-1-yJovl. e-ckfirJ APPROVAL N/A I YES/ NO CHIMNEY HEIGHT/LOC ION r/� B VENT/LOCATION / r/) PLUMBING VENT / J ROOFING J f SIDING A ✓ DECK/PORCH/STRPS}/RAILINGS RELIEF VALVES tt,, FURNACE/HOT WATER OPERATING BASEMENT IN ULATION/DW' aRK J INTERIOR TAIM/PRIVACY DOORS FINISH F OORS: BATH/ ITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE V OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/W„W,-ru �icr ra�clS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING c // DOOR CLOSERS ✓ OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS �j FINAL ELECTRICAL OK TO ISSUE C/O OR C/C c� COMMENTS: ARRIVE 5!D /I DEPART/4 :� INSPE OR ajcil ' •- TOWN OF QUEENSBURY L't FIRE MARSHAL ,�n'l QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED ' NAME /72 4L1 % LOCATION c DATE. / D/% PERM iT# Qfi/11 APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING • FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM i t �/ INTERIOR FINISHES 1 STORAGE: CLEARANCE TO SPRIN LERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE / �, / \ \N CHIMNEY N WOODSTOVE / ,, FIREPLACE-MASONRY \ /" c�FIREPLACE-FACTORY BUILT ,. ` REMARKS: - . 4 LiOK TO THIS DATE zW7/1,a,e 3/(-1/ • t:S ' . 2/015 INSPECTOR ELECTRICAL INSPECTIONS �] cc DUPLICATE MUNICIPAL RECORD Permit No. t:. .!zz q Owner L� e - e rr -- Occupant Location n a&—7 m4 21 co,/f' /V 3 , 6, �y Street Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by 2t9-74J 9 L=Z—e r,_ Date J..w.- Y , �1��� n No �O Q�� !. n"gector MIDDLE DEPARTMENT INSPECTION AGENCY,INC. FORM NO.16 EL. 1337 West Chester Pike,West Chester,PA 19380 /lfG.'ROUGH WIRING OUTLETS H.P.AIR CONDITIONER VD 9H.*1•£'T^ ;i'74./(]-e /'{` WIRING &CONTROLS FOR 6e� -- BURNER eif 7 RECEPTACLES H.P.PUMP V FIXTURES K.W.OVEN P. MP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT y /j1MP.SERVICE CONDUCTORS /` K.W. DISHWASHER K.W.SURFACE UNIT / K.W. DRYER K.W.RANGE AMP. RECEPTACLE K.W.WATER HEATER s''FRAC. H.P.VENT FANS f c444042C" MOTORS H.P. l/20 1/12 I/10 Ye y % IA Yz % 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS �GZ�= TOWN OF QUEENSBURY �Q ;./ 531 BAY ROAD !� QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 • BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPEECTION RECEIVED NAJIE :/Y! (/�-P✓�,7�1 P LOCATION 4-- ,%3', -4)142)61(9i6/ DATE , /a�/q,? PERMIT# 9-f 9 TYPE OF STRUCTURE ,47,4y7me,c,707 C RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION XBACKFILL FRAMING J( ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC AINSULATION WOODSTOVE/FIREPLACE REMARKS I cy , ,66 APPROVAL / N/A YES- NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING f / DECK/PORCH/STEPS/'AIINGS '/ RELIEF VALVES if FURNACE/HOT WAT' R OP RATING ►/ BASEMENT INSU//iTION/IUCTWORK ✓)/ INTERIOR TRI /PRIVAC DOORS FINISH FLOO'S: BATH/KID/HEN WATER IGHT ✓ OTHER / OORS SWEEP)BLE OTHER/ LOORS CARPEJED ✓ STAIR , EARANCE/RAILINGS HAND "APPED ACCESS SMO DETECTORS 1f BATHROOM FANS/ 'I 'O EA.NS ALL PLUMBING FIXTURES OPERATING ✓/ GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS Y DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS ` FINAL ELECTRICAL ,J OK TO ISSUE C/O OR C/C COMMENTS: c„4044vil. A7/#71/64- #/- eee ARRIVE DEPART C}.5' � •ii_ / eigt", if INSP -',; V Jocun of Queeni7 BUILDING and ZONING DEPARTMENT �SO�'J Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION ' NAME 4 I €i `e_, KArN, LOCATION 'owl. - 3? air ) zpia 'bri, DATE 3 // A PERMIT NO. 9 J - R-) 9 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 ` - 1 Size of gravel � ,/ SEEPAGE PITS4Nuinber. of) 1 Size- ft. X 1 .ft. if Gravel size - ,/ PIPING: Size/r Type Bldg. to tank Tank to dist. box', I Dist. box to fiel a/pit Openings sealed? ' YES), NO .Partial LOCATION/SEPARATION : Foundation to tank. ft. Foundation to absorp �ion ft. Absorption to lot line ft. . . Separation of pits ft. LOCATION OF SYSTEIONROPERTY(circle one) Front - Rear - Let side Right side - COMMENTS: ' v / g ‘j ' . - 4V 2 x- Ac'e 04644•%J 41114• 1 SYSTEM' USE APPROVEDCYE� NO Dui ing Insp ctor O1/86 and vl , c ^ ' 71 ..actin o f Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME MA gria LOCATION g7gc,2rQDY' DATE a// // 9 2'ERMIT NO. Q!J 13g SOIL TYPE - +�iiiii - Loam - Clay - ;// Percolation Test Required? YES7/NO Percolation rate - Nin/Inch , ' TYPE of SYSTEM: Absorption field, totai length 320 Length of each trench' :&. Depth of trenches "fr. ' Size of gravel f / • SEEPAGE PITS{Nuinberrof) "\ Size- ft. X / ft. Gravel size , / PIPING: Bldg. to tank Tank to dist. ox. /I Dist. box to fi ld/pit lit/l Openings sealed? YES NO Partial LOCATION/SEPARATIONS: �\ Foundation to tank • -Lift. Foundation to absorption _'kj ft. Absorption to lot line /1 ft. Separation of pits G ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front -(ea)- Left side - Right side - COMMENTS: 'd;-C47 642 - AAA- SYSTEM USE APPROVED 411 NO Bu ding Ins ector 01/86 and vl TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED792 NAME (6i/43/4 LOCATION (. f7 fry/Id DATE 2120// /2 FERMIT# 9/42_4 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 \ err STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE / CHIMNEY WOODSTOVE FIREPLACE-MASONRY ✓FIREPLACE-FACTORY BUILT i, REMARKS: ,/ OK TO THIS DATE /01W7 7so RP ' r � /1174 - ARRIVE �� DEPART Z-.N / /�� TN• PECTO TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /�� 531 BAY ROAD r QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 ' BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED �(,//Q/e? NAME :i/ l "/t&g.717> LOCATION,LOCATION 214 .3? 7 a (/;-e_" flU,c DATE Z,0/9z PERMIT # Q/-4P39 TYPE OF STRUCTURE t-,5;472) LcJ A2 c Q.b'` lA�Gff , RECHECK APPROVED f N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE ✓` FOUNDATION/WALL POUR ✓" REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING sr / BACKFILL APPROVAL ROUGH PLUMBING ? PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB_ FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING_ r' I JOIST HANGERS / 1 JACK POSTS/MAIN BEAM/ I HEATING ROUGH-IN (INSULATION: / /` FOUNDATION WALLS'INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- 'a. I, WALLS R- jy' V/ _ CEILING rc 3O I_ R- ', Y DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS:Aiela/ AI; \•. U0' ,.,4-2>-2/77,4-6'ef_44 ARRIVE iU DEPART /40 - dr'INSP(19<1494/2"// R i/rp(N\ 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 nRECEIVED •.9// 1Cj (' _NAME ) \\E7 IQ. �,eJ LOCATION9t 3 '7 'S S \RY 1 6--71 lr 1 1 ` DATE /? I /q J PERMIT 1# 9 ) —3 39 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 ONSITE1 FOUNDATION/WALL POUR "e . REINFORCEMENT IN PLACE 1 FOUNDATION/DAMPROOFING t BACKEILL. APPROVAL \; ,/ *ROUGH PLUMBING. , --PLUMBING-VENT/VENTS IN PLACE '1,;. PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS I '!\ BRACING/BRIDGING 7 JOIST HANGERS JACK POSTS/MAIN BEAM / HEATING ROUGH-IN ' / INSULATION: J '6. FOUNDATION WALLS INThERIOR R- FOUNDATION WALLS EXTERIOR R- V FLOORS / R- ' WALLS I R- CEILING f R- \, DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: \ • 15' ARRIVE 3d DEPART `' ` e144./ INSPECTOR 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 Il�3 - NAME .erg r.P) I l P\4 LOCATION `13.y- cIQQ jx,19.- 7 DATE I a PERMIT 0 9 / -----23 7 TYPE 0 STRUCTURE R _C h 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 SI� E FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING l , BACKFILL APPROVAL l f ROUGH PLUMBING l / PLUMBING VENT/VENTS IN PLACE l PLUMBING UNDER SLAB I/ / AMING: A I. JACK STUDS/HEADERS / 't ✓ BRACING/BRIDGING `' 4 JOIST HANGERS / JACK POSTS/MAIN BEAM i t HEATING ROUGH-IN INSULATION: '+ FOUNDATION WALLS INTERIOR R- e, FOUNDATION WALLS EXTERIOR R- 1 • FLOORS I R- 1 WALLS R- 1 _ CEILING R- ? DUCT WORK OR PIPING IN UNHEATED ', SPACES !( `� 1S REMARKS: - ei,z4r)/4414 840,44.44YAW ARRIVE /� 3J • DEPART /0 .=." - • INSPE OR • / -./.)) 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 121/(p// NAME "jPly\ @_fjLtPA P LOCATION )-3 7 fG-v- j 1A ;1�Q g- `� DATE / �1 PERMIT g 91 - ZS TYPE OF STRUCTURE RECHECK APPROVED • N/A YES NO FOOTINGS/_PI.ERS-J .• MONOLITHIC POUR FORM REINFORCEMENT IN PLAC THE CONTRACTOR IS .RESP NSIB E FOR PROVIDING PROTECTIIN F OM FREEZING FOR 48 HOURS 1 OWING THE PLACEMENT OF THE CO' RETE. ' MATERIALS FOR THIS PUR'0 E ON SITE FOUNDATION/WALL POUR • REINFORCEMENT IN PL' E FOUNDATION/DAMPROOrING BACKFILL APPROVA ; 1 ROUGH PLUMBING 1- - PLUMBING VENT/., NTS IN PLA E PLUMBING UNDE' SLAB FRAMING: JACK STUD /HEADERS BRACING/;.'IDGING_ JOIST HA GERS 1 JACK PITS/MAIN BEAM 1 HEATING SOUGH-IN INSULAT ON: 1 FOUNDATION WALLS INTERIOR (t- FOUNDATION WALLS EXTERIOR R- • FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE I, DEPART 1 / v INSP CTO TOWN OF QUEENSBURY 3 Vi BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED / /�.9/ NAME l(fAA CO I II 4 A- - LOCATION 01 5r7 IIkw anfr DATE PERMIT # - I -d3( TYPE OF STR CTURE g V RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLA THE CONTRACTOR IS RES' INSIBLE FOR PROVIDING PROTECTI1N FROM FREEZING FOR 48 HOURS .OLLOWIre THE PLACEMENT OF THE ChNCRETE MATERIALS FOR THIS PUR'ISE 0 SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE r, FOUNDATION/DAMPROOFING -4 BACKFILL APPROVAL --ROUGH- PLUMBING- PLUMBING VENT/VENTS IN PUCE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADE S BRACING/BRIDGI i JOIST HANGERS / JACK POSTS/ IN BEAM / FIRESTOPPING / WALLS CEILING FIREWALL,B' 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:„ ARRIVE 2 DEPART INSPEC R T0WN 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 /a ///2j NAME `I7 C7/ 2#e LOCATION ,ei� G9�� (7,3‹ DATE 4.?/�0/ PERMIT # _5?/ _ TYPE OF STRUCTURE ' RECHECK APPROVEp N/A YES/ NO }'FOOTINGS/PIERS 1/ MONOLITHIC POUR FORM REINFORCEMENT IN PLACE . THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FR0I I FREEZING FOR 48 HOURS FOLLOWING,' THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE /' FOUNDATION/DAMPROOFING 0 BACKFILL APPROVAL A •e ROUGH PLUMBING Ef' PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB_ A FRAMING: /I JACK STUDS/HEADERS / \ BRACING/BRIDGING / JOIST HANGERS , JACK POSTS/MAIN BEAM HEATING ROUGH-IN / 1 INSULATION: FOUNDATION WALLS/INTERIOR R- FOUNDATION WALLS EXTERIOR R- •h • FLOORS R- WALLS R- 1 CEILING / R- 1 DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 1 ARRIVE 7 -- DEPART q-/ ( 4,t_. INSPE OR Jown .o/ Quee , 1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME \t (c)AN ) ek4- LOCATION 0L-O-4 -37 Mxylaz(1)4, DATEI 4t)( PERMIT NO. SOIL TYPE - , 77 Loam - Clay - - Percolation Tes Required? YES - NO Percolation- rate - Min/Inch • TYPE of SYSTEM: • Absorption field, total length Length of each trench Depth of trenches • Size of gravel: i • SEEPAGE PITS4Numbek of) Size- - ft. X ft. 1 Gravel size , PIPING: - Size( Type Bldg. to tank 4 Tank to dist. box 14 Dist. box to field/pit/ Openings sealed? YE S NO Partial \\ \ LOCATION/SEPARATIONS: • Foundation to tank, 4-11t. Foundation to absorption ft. Absorption to to line ft. Separation of pits \ ft. LOCATION OF SYSTEM ON PROPERTY.(circle one) Front - Rear 4/Left side - Right side .- COMMENTS: k 6&° \ eg24 "' 1 u Eb ,f1-Tg4W-APPROVED -'n53 NO 411. i/ Birding,4c7pector 01/86 md vl o N OF QUEENSbL RECEIVED DEC 4 1991 • t- r'S_OO. & CODE DEPT. 043 ° 0 1 a °D 1Q.,k , . , a�a IU 1 +, 4yx3b aI' 297'jai _!S_ TOMOF QUE'aiz J .....Z.,-.177,..=,.., ' . Zoning-A ' in�� tra or . DatP- S3 c,- • 0y✓7VV ' 1- 37 PAa .i70/ 4 . „ , i -.... (2-6- /_ i iC t nl Co//e ire`e r