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1991-850 N. 4 S N4' N. 5 ', .S e�, ' A� OF OCCUPANCY CERTIFICATE f TOWN OF QUEENSBURY - WARREN COUNTY, NEW YORK , Date �fiJJkeZ, !v 19 9 3CT - O This is to certify that';work requested to be done as shown by Permit No. 91-850 has been completed. . This structure. may be`occupiedSi n�1e Fal i1� D1lirat as a Location Lot',939 Herald Seria ro %f i l l mrr�� , 1-1Pra'1 4 mists Owner Guido Passarel l i By Order Town Board , TOWN OF QUEENSBURY r"----- / ' C � n r Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY X No. 91-850 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Herald Square Village N OWNER of property located at Lot #39 Herald Square 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 2 45 Herald Drive f° Queensbury, NY 12804 °' 2. CONTRACTOR or BUI LDER'S Name Passarelli/Cerrone 3. CONTRACTOR or BUILDER'S Address -. co CD • r 4. ARCHITECT'S Name 0 rF w kO 5. ARCHITECT'S Address N 6. TYPE of Construction—(Please indicate by X) to CD ( A Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications --' No. 1,276 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use —' Single Family Dwelling $ 216.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 11, 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 11th Day of December 19 91 SIGNED BY �� for the Town of Queensbury Building and Zoning nspector TOWN OF QUEEMSBURY ////. IOW 4114110% REVIEWED BY: 4.�, � s FEE PAID: / M3 LNO C�UEENL1 � t , /�.- [EFC-2.sic® 9/56 PERMIT NO. : - _ • ri . & CODE DEP T, 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 th reverse side of this application.* * * * * * * * * * * * �* * *G� * * * * * * * * * * Owner of Property: c � P.O. Address: 7 AL4e, 2; .. . 4Z:e4,444r,G,i if PHONE Property Location: fQ _7 Tax Map No. /?57 57 /Lj, Has there been any split of this property since October 1, 1988? Yes No If yes, Planning Board Review is necessary. Subdivision Name, if applicable: /)$ zr�� ��/� Lot No. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: PHONE NAT:E/Of PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION: $ /U' ‘0-27 Addition to building * ' Alteration to building * COMPLETE INFORMATION REQUIRED BE OW: (no change to exterior dimensions) * Size of Property: �33 ft. x/y Wit. Other work (describe) * Existing Building Size: • .• . * ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: * / 1st Floor 76 Sq. Ft.' � * Front Yard ft. Rear yard s ft. / / * Side Yards 7— ft. and ft. 2nd Floor Sq. Ft. T--* If o corner,/setback from side street- .1 * ft. Other Floors Sq. Ft. (not cellar or basement) OCCUPANCY INFORMATION: TOTAL FLOOR AREA: / ,% ;76 Sq. Ft. * Primary Building - _ * One Family Dwelling Size of New Structure: . ft. x . * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partial/Full (Circle One) * Business * Industrial No. of stories (Habitable space) / * Other Height (grade to ridge) 1 .7,- ft. If residential , no. of families: /, * If addition, what will use be? No. of rooms (excluding_toaths): b No. of bedrooms: 7 * — No. of bathrooms: / * Accessory Building: Primary heating system: A , ,/-A,y. 9 * Detached Garage - One/Two Type of fuel: K Attached Garage - One/ o Car No. of fireplaces to be installed: / * Private Storage Building Will a woodstove be installed?: * Other Central Air Conditioning: Yes No * (OYER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. 4:40!1_ Will any second-hand or ungraded lumber be used? If so, for what? / e) 5;--- Foundation Wall Material : 624,/ (-w°e _.(Z— Thickness: 0 1/ . Depth of Foundation below grade (to b of footing) : ' h Will there be a cellar? 9e:f Heat or Unheated? Floor Sq. Footage: '-Ze) Will there be a basement? Will any portion be used as living space? If so, what porti9p1 Sq. Ft. Type of Use? Type of Roof: Sloped Flat/Shed/Other Material of Roof Jj Size, wood studs " x 6 " ; spacing A " o.c. ; length V ft. Joists (floor beams) : 1st Floor 2 " x /6 spacing / " o.c. ; span /31 ft. Joists (floor beams) : 2nd Floor " x - "; spacing " o.c. ; span ft. Overlays (ceiling beams) : " x "; spacing " o.c. ; span ft. Roof rafters: " x " ; spacing o.c. ; span ft. Roof trusses (pre-engineered): spacing Z " o.c. ; span � ft. Exterior Wall Finish: ,�r/ of what material ? Interior Wall Finish: 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? 440 If so, will a Fire-Rated door, enclosure, self-closing device be provided? z+e,i Will a flue-lined chimney be installed? ye] Height above roof Z ft. Depth of chimney foundation below grade: ft. Depth of fireplace hearth: ft. in. Water supply - Municipal or private well : SEPTIC SYSTEM: Distance from a� private well (including adjoining properties: ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: 7- j#, ;I4' �,/ PHONE 7f�,�—f�J,�� NAME OF PLUMBER & ADDRESS: �a�d,�� PHONE 1W-' �9 77 NAME OF MASON & ADDRESS: ` PHONE /VZ-/f NAME OF ELECTRICIAN & ADDRESS: ,/ PHONE -i_ZF7O 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 74217--- d'i--,-------- • dwner, owner's agent, architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: :JWN OF QUEEN6L RECEIVED PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;" ` i 1991 Multi-Family Dwellings(3 Stories or Less) Da &- CODE DEPT 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 - ,�274 Sq. Ft. 2. Type of Heat - Elec. Base Board Other j _.,dePl— "i;$) 3. Is Building Mechanically' Cooled? i/ 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 CO PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R B. Exterior Walls R/ _ C. Glazed Area R .,, D. Exterior Doors R // E. Floors over unheated spaces R ',0 F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R /9 H. Basement/Cellar Walls (Below Grade) R __17f _ . I. Heating/Cooling - Ducts - Piping in Unheated Space R 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code ' YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140• - WILL NOT BE EXCEEDED (42.------_--- k 76(:—‘c(i/7/ '' LICANT'S SIGNATURE .. `DATE TELEPHONE BER INSPECTOR'S REMARKS: • REVIEWED BY 3 `r1 TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: /0' cl Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: Owner' s Name: # d1el D • & CODE DEPT. Owner' s Mailing Address: Installer' s Name: /P7 (g1 Phone #: ^��J Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom): b Topography-Circle One: Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /r3-0 gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 250. feet//Total System Length -24.0 feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # 1. / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size\of Each Gal . Alarm system and associated electrical work to be inspected by a certified . agency. **************** I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: e!/. ! (i._ DATE: 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: i . TOWN OF QUEENSBURY Ray at Haviland Roads,Queonsbury,N.Y.12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Permit No. Date 19 ,/ ;, 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 .�. f APPLIANCE TYPE Stove Coal Wood Address Furnace Hot Air Boiler Zero Clearance Circulating Unit Zip Phone If Non-Masonry: Owner's Name Manufacturer Address Model Outlet Size Zip Listed by Number Phone CHIMNEY TYPE Masonry: Block Brick Stone Property localign of,proposed construction Flue: Tile Steel Size: • Factory Built: Manufacturer Model Sire ('(WY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number REQUIRED FOR FACTORY-BUILT APPLIANCES Type:Double Wall Triple Walt AND CHIMNEYS. MUST BE INSTALLED Insulated ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ SONRY FIREPLACES AND CHIMNEYS. CASHIER'S DEPARTMENT TOWN OF QUEENSBURY, NEW YORK Department: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190)Public Safety A233 2655 (230)Minor Sales Fee Collected from or Refunded to: Address Dated: _ Town Clerk or Deputy White.Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal "�� `'`, MIDDLE DEPARTMENT INSPECTION AGENCY, INC. i µ.National Headquarters 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION . _ Date: /,%� 47/ City, Town or Township /1 {. . County /�i� Z�-- State �f `7 Location/Address 41 '` Fr, ZLZI'LA �'� (If Located in Rura Area -PleaseAttach Directions) Pole # _ -Owner / fed / � i _ Permit # </1 . '�? (J Occupied As rid/- %- , Building: New❑ Old❑ • Occupant Work Area in Building (Floor #,etc.): App. for: Wiring❑ Service] or: Ready for Inspection: Fee Remitted-$ Cash] Check n M.O. ] Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8` 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's /��/ Signature f rifr _2�s1 y^------- License # Permit # - T/A Utility: Applicant ddress: Y•, �,r. ..a• / (NAME) (OFFICE LOCATION) (City) i,t, y. .;!.+-� 7:✓i `(State) . � . (Zip) /2p.,/ Service Re uest # Phone # / r J V, f Electrician: -e MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above] or: Red Notice Label ] Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal • Receptacles Water Heater Dishwasher Fixtures Air Conditioner - -. 'Dryer - - Amp. Service Equipment _ Burner,Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump I Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4- 1 1/2 2 3 5 . 7/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ ] L/A Owner CASH II f L/A Fee CHK # IDue MO # n IPA Municipal INV # Applicant ❑ Date: Other Side Utility ❑ Owner Cut in Card n Temp # Date • • 7 Final # Date INSPECTORS SIGNATURE ELECTRICAL INSPECTIONS • p Qv l�DUPLICATE MUNICIPAL RECORD D Permit No. /9'/-OY Owner C9 e ✓ A-SS,1 REZ 4--/ Occupant • C� Location 40 �' 3 / / 24-0 No. Street a A; Town or City State Installation as itemized on verse side has been visually inspected pursuant to applicable codes. in Installed by /41021 �y7 2]/ r�� n,, do Date �`� 1 tWilla k �Vnspector • MIDDLE DEPARTMENT INSPECTION AGENCYINC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 /d 3 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER • 7 ..04JTLEY.3°S141 WIRING &CONTROLS FOR BURNER y 6. / RECEPTACLES H.P.PUMP ?3 FIXTURES K.W.OVEN 4;,70-0 AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT a AMP.SERVICE CONDUCTORS / K.W. DISHWASHER ppp K.W.SURFACE UNIT / K.W. DRYER K.W. RANGE AMP. RECEPTACLE / K.W.WATER HEATER AC. H.P.VENT FANS (� 4'id IOTORS H.P. 1/20 1/12 1/10 Ye % % '/ 1/2 '/ 1 11/ 2 3 5 71/2 10 15 20 25 30 40 50 75 11 ARK NUMBER iF EACH SIZE PA RATUS TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 4/,749� • NAME 44/11/(-( LOCATION ,39 //�,(/t 4 J DATE. /1 G/9`z PERMIT# APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING f I r b FIRE EXTINGUISHERS t AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION ' / AUTO.. SPRINKLER SYSTEM,/ ALARM SYSTEM INTERIOR FINISHES 7� STORAGE: . CLEARANCE TO. SPRINKLERS i CLEARANCE TO HATING UNITS, REQUIRED SIGNAGE a CHIMNEY WOODSTOVE t 5IREPLACE—MASONRY FIREPLACE—FACTORY BUILT REMARKS: U OK TO THIS DATE • 2/015 rNSPECTOR TOWN OF QUEENSBURY /-12 • /146. • 531 BAY ROAD ;J QUEENSBURY, NEW PORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTIONN RECEIVED �' NAME V&,Jd LOCATION „,) DATE 16i/9, PERMIT# 9/-ef,4 TYPE OF STRUCTURES-0 RECHECK ��/.6/ -A wd/t4/1 FIRE MARSHAL APPROVAL (COMMERCCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING )(ROUGH PLUMBING FINAL ELECTRICAL fSEPTIC INSULATION WOODSTOV /FIREPL CE REMARKS 4k Ce e,G�/ �., dtJ APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION ?C B VENT/LOCATION PLUMBING VENT \ K ROOFING K SIDING \ _.____ DECK/PORCH(6TEPPS/R RLING) IAtwit) x RELIEF VALVES-- - `'�� - - FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK/ INTERIOR TRIM/PRIVACY DOERS / 7, FINISH FLOORS:( BATH/KITCHEN WATERTIGHT A. K OTHER FLOORS SWEEPABLE i I OTHER FLOORS CARPETED I I, STAIR CLEARANCE/RAILINGS I X ,I AN.DTC-APPED A SS- 1 ' SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE?FANS . ALL PLUMBING FIXTURES OPERATING \ ? GARAGE FIRE PROOFING 1e k DOOR CLOSERS 'OTHER-F I-R-E-S E PARAT I ON --E.LR.E/-DEMI S-E-WA-L-LS .QUMPSIER- SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C �( COMMENTS � �._. r l�c:catL���-P� 011,' re-Lt--• ARRIVE j0` IS DEPART t()% tom, INSP T (./Jy> TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 ' BUILDING INSPECTOR°S REPORT REQUEST FOR INSPE ION RECEIVED 6? /?' NAME -EVa LOCATION �`/ Cf DATE --I l^9 a PERMIT # Y� TYPE OF STRUCTURE S' e 'Q RECHECK APPROVE I 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 i BACKFILL APPROVAL /. ROUGH PLUMBING G" PLUMBING VENT/VENTS IN PLACE i PLUMBING UNDER SLA:_ FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING ,/ JOIST HANGERS , JACK POSTS/MAIN Eiv HEATING ROUGH-IN I TION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R • - FLOORS • R- 3, WALLS R- CEILING Re) DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: AA a 0,k120 q6( /(fo Cry ARRIVE I ,2.:,_D L5 rr DEPART / Z , /Y-- V % INSPE OR TOW 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 J(-Rn-co S�rlf I2/r LOCATION I n j 5 R DATE y f(J/C{'L_ PERMIT # 9( �So l 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 . i )(ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE / PLUMBING UNDER SLAB 1 / )FRAMING: { f X JACK STUDS/HEADERS 1 / BRACING/BRIDGING E / JOIST HANGERS R, JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING / \ FIREWALLS / HEATING ROUGH-IN INSULATION: FOUNDATION WAL S INTERIOR R\ FOUNDATION WA LS EXTERIOR R " FLOORS R- •\: WALLS R- CEILING R- DUCT WORK R PIPING IN UNHEATED SPACES R EMA KS: L S� 0057 P-O-2)11 f l— Ci-ezD ) 1 losl� Nf•©,v& is /4-c//-12.19-e2-1 Af0 MiLZ ARRIVE f LSS DEPART I NS PE 0 TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME � �.� l/ 'eXt: LOCATION ! 41 i 0(" ,� f!s DATE 7 /q-z_ PRMIT# 9 , 0 APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING )( fl FIRE EXTINGUISHERS / AUTO. EXTINGUISHINGSYS EM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLE•S CLEARANCE 0 HEATING NITS REQUIRED SIG ;AGE ,IP CHIMNEY WOODSTOVE.' FIREPLACE-MASONRY IREPLACE-FACTORY BUILT REMARKS: WOK TO THI DATE /I/04/ i4 p, a/471;)Ni 0 4 ARRIVE !O,Qiy DEPART l f .4114?N PEC OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FO /INSPECTION RECEIVED NAME d� 7./31- .-0�_.J�(7(//1,+'I -(" LOCATION La j >c' (4 (it' co Dry,[ v6- DATE i'Z/f-5/ 91 PERMIT # `'(lt'-3j APPROVED YES NO FOOTING/PIERS V„. MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: ,.--- FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAI . PLUMBING FIXTURES/REL ' F VALVE INTERIOR TRIM/PRIVAC% DOOR FINISHED FLOORS GARAGE FIREPROOF 'G DOOR CLOSER(S) SMOKE DETECTOrS FINAL ELECTRI AL INSPECTION 1' FINAL APPROVAL OF CONSTRUCT ON / A SIGN�/:: CERTIFICATE OF OC UPANCY MUST BE OBTA1-NED FROM THE BUILDING DEPARTMENT BEFORE THESE`PREMISES ARE OCCUPI ! REMARKS: v ( ff vl 0 1UL , off. :zf \? - ('o0 , ,,, / , c.6,,,,,,--6-Q. ?,,,zia_ /0,,,v6..c. IC INS ECTOR F. J P-f-j_e4( /0 ` C _town o� geueen96urty • BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D: 1 Box 98- Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME \.\ \6 c,I�_____- LOCATION C 2_0-43 DATE { / ) PERMIT NO. )� ?Sc SOIL TYPE i. - Loam - Clay - - Percolation t Required? , YES '1 Percolation rate - Min/Inch : TYPE, of SYSTEM: Absorption field, total length 7 00 Length of each trench• .3 0 Depth of trenches • !2 j-T Size of gravel 11-7._ SEEPAGE PITS4Nuinber of)- • ��.-----' Size- ft. X ft. -� 4/ Gravel size ...----'�� ,1 �� PIPING: Size Type Bldg.Bldg. to tank y�. Sea aV a1 t-- Tank to dist. box L{ STi4 L(0 PIA— Dist. box to field/ 4-11 (/'e Openings sealed? YES f, NO 1.4Partial , LOCATION/SEPARATIONS: j`+\ ;' Foundation to tank ti ft. Foundation to absorption `, A f . k Absorption to lot line 1 ft Separation of pits K,,s., ft� LOCATION OF SYSTEM ON PRO ERTY(circle one) Front - ea" - eft sid r - Right side - ti COMMENT I' C1iti A/6, t y u,4-L• L0�eA-i r0L/O r s_s tJo e4 S rz_;✓ci LIi2L--- ,,i N�o poz1�'( IT- 'h ifw 1 /1.le;__ SYSTEM USE APPROVED YES NA,r‘-.7— 13 O n t------_1fi) /1 ': aCk \ / . I �1( aBuig Insp .ctor 01/86 and vl