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1993-110 I ' CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY- WARREN COUNTY, NEW YORK Date ULLA,Lo 10 191. p This is to certify that work requested to be done as shown by Permit No. 73- HO has been completed. This structure may be occupied as a 51 rvilP -Porn i I)/ dwpWb, A/14-ii -+NAIn r attached gclxcige. rwation 1-F,1 n(-1Pr k:r4 vP owner le_r-r t) 14n‘esik By Order Town Board -1' TOWN OF QUEENSBURY ng d 1, 0 Director of Bldg. & Code Enforcement BUILDING PERMITtZ- TOWN OF QUEENSBURY No. c 73_1►0 WARREN COUNTY, NEW YORK s PERMISSION is hereby granted to 1 ERRy 401n/k OWNER of property located at I Fill P )E1 I R'-1) l t vF Street, Road or Ave. in the Town of Queensbury,To Construct or place a 5iN('LIE FILM ILA/ DwEIL)IJc 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. X 1. OWNER'S Address is F 5 BoX <I I(o M EAposw3oo t act. eNs r�LQy my IP,,S7D4 77 2. CONTRACTOR or BUILDER'S Name B ILL 14ER LI Ny Coas uc i oh/ 3. CONTRACTOR or BUILDER'S Address FOX I-40i-Low L.,1 .UC-"eN5"E'LLk.L NiI78"041, Cl r7 4. ARCHITECT'S Name (jJ 5. ARCHITECT'S Address (f A 6. TYPE of Construction—(Please indicate by X) (4)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications ur No. �'7 62 X.Z T4V©-5T-0 ay Si NCe'I-E.- r.1.Yr71Ly LLiAi Q i NCLi.L171 ?.1Ci W -CA-Q 1-1-4;cia CzOiZ QC f4hi"J SCE P'RC SySi�l�t f}5 P£rR I)LOr- "PLAKI 8. Proposed Use SPECt i C(4-nCiv r+r u). oNt, (/J z S►NrCti.X. Fig m ► $ I3L1.U() PERMIT FEE PAID —THIS PERMIT EXPIRES ;APR IL 19 0-1 (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.) �C Dated at the Town of Queensbury this Day of —PR IL 19 q3 SIGNED BY ZO—L for the Town of Queensbury But ing and Zoningvinspector TOWN OF QUEENSBURY "711111- i�9 OF OUEEIVSI:341 REVIEWED BY: 4G EIVED FEE PAID: AN -- APR '.' 1993 PERMIT NO. : 15-li o & CODE DEFT, 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: _ �/�y )-lO(-0 _ P.O. Address: _ R714 06 j C3 ;- % ive.4),o,) a ?i5<. pi , G,c PHONE 798E jo(s Property Location: te\(,f t Tax Map No. 14/ / / (p(/ 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: Lot No. THE PERSON RESPONSIBLE FOR SUPERVISION OF WOTh AS REGARDS TO BUILDING CODES IS: NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE x. Construction of new building * CONSTRUCTION: $ 0 Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior.dimensions) * Size of Property: .'SQ3 ft. x j ) S ft. Other work (describe) * Existing Building Size: * S-0 ft. x .1 ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: 1 i) * 1st-Floor e; -22 Sq. Ft. AU * Front Yard -4 ft. Rear yard ,7�-O ft. r * Side Yards i' ft. and 4 2 ft. 2nd Floor 7 trz Sq. Ft. 3 If on corner, setback from side street- Other Floors SUA Sq. Ft. (not cellar or basement) * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: Sq. Ft. - * Primary Building - * ,A( One Family Dwelling Size of New Structure: ,/ ft. x '4' ft. * Two Family Dwelling " Foundation: (house) * Multiple Dwelling/No. of Units ' Pier/Slab/Crawl/Partial/Full (Circle One) * Business * Industrial No. of stories (Habitable space) * Other Height (grade to ridge) a'f ft. * If residential , no. of families: * If addition, what will use be? No. of rooms (excluding baths) : No. of bedrooms: No. of bathrooms: - L S * Accessory Building: Primary heating system: C9/ I77-461f4 L * Detached Garage - One/Two Car Type of fuel : --pa.C':-jam - * - 'x' Attached Garage - One/TETIP No. of fireplaces to be installed: Q-A * Private -Storage Building Will a woodstove be installed?: NY.+ * - Other Central Air Conditioning: Yes No X * (OVER) n - F • 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? k,'M- Foundation Wall Material : Cam L, 1- Thickness: k • Depth of Foundation below grade (to bottom of footing) : 'G;'Z''1 Will there be a cellar? Heated or Unheated? Floor Sq. Footage: Will there be a basement? Will any portion be used as living space? kr-6 If so, what portion? Sq. Ft. Type of Use? Type of Roof: oped%Flat/Shed/Other Material of Roof Size, wood studs " x _ " ; spacing t " o.c. ; length ft. / 4 Joists (floor beams) : 1st Floor ; " x / (b " ; spacing 16 " o.c. ; spant :? , Aft. Joists (floor beams) : 2nd Floor 3, _ " x J o "; spacing 4, " o.c. ; span 0,t412ft. Overlays (ceiling beams) : " x "; spacing " o.c. ; span ft. Roof rafters: " x " ; spacing o.c. ; span ft. Roof trusses (pre-engineered) : spacing Q y o.c. ; span v5 ft. Exterior Wall Finish: of what material ? Interior Wall Finish: If a garage is to be attached, describe materials to be used for FIRE SEPARATION: �� l iti C;cu iDiZv J n>?\L Is there to be an opening between garage and dwelling? VJ If so, will a Fire-Rated door, enclosure, self-closing device be provided? y,.o, Will a flue-lined chimne be installed? Y 1v/1-Height above roof ft. Depth of chimney foundation below grade: ft. Depth of fireplace hearth: ft. in. Water supply - Municipal or private well•: SEPTIC SYSTEM: Distance from any private well (including adjoining properties: )69-0 ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: _ •) OtMiluity x440L,u,,t4L1 PHONE •'Z�'� 3 - � 1 NAME OF PLUMBER & ADDRESS: 541-(JA Cj - ,u(74(CPHONE 79 4i37ti NAME OF MASON & ADDRESS: Y /t) - - r, b&, PHONE 7 7 3 —76 9 NAME OF ELECTRICIAN & ADDRESS: 2. 0 G (r-9 -)/_ j'Y) ,..jiJJV1 S P,Q,b PHONE-?e 3 --/9 i DECLARATION To the best of my knowledge 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. Further it is understood that I/we shall - submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN drawn to s ale, showin actu, l location of project on premises. ' Signature Owner, owner s"agent, . rchitect contractor SPECIAL CONDITIONS OF THE PERMIT: • By: Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS ,.ies OF QUEENSbL. RECEIVED Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) APR ?, 1993 ,1 & CODE DEFT. 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 - 1'372. Sq. Ft. 2. Type of Heat - Gf-S El-ec--Ba.s•e-Board Other 3. Is Building Mechanically Cooled? YES X NO 4. Percentage of Area of Windows and Doors Over 17% vc, Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D 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 e B. Exterior Walls • R 9 R.I %eiil C. Glazed Area R ►� D. Exterior Doors R Pi E. Floors over unheated spaces R J4. F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R 6; 63 H. Basement/Cellar Walls (Below Grade) R I. Heating/Cooling - Ducts - Piping in Unheated Space R Qom}: 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code X. YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140' - WILL NOT BE EXCEEDED th/L 1 ,4410:1 APPLICANT'S SIGNATURE I DATE TELEPHONE NUMBER INSPECTOR'S REMARKS : • , ' I e p � • -� '� /' t .d'1 OF QUEENSbL. " j TOWN OF QUEENSBURY RECEIVED APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Ffflai a 1993 Date: Li—PI-9s R--le'17irtvadcRIDE DEFT. LOCATION OF PROPERTY FOR INSTALLATION: -114-0PplatRI3iRD DRAM , Owner's Name: '' RR '. H o w K. Owner' s Mailing Address: pT too 5 bt.),- Lfl6 1YLP-APorto Z{'ext` P1 . G .� Installer' s Name: P/9-0 k M#9-41-01 , Phone #: 761 -07 2 Number of bedrooms (if residential ): . Total daily flow (residential-compute @ 150 gal . per bedroom): L 5 O Topography-Circle One: Rolling Steep Slope % of Slope Soil Nature-Circle One: ` . Loam Clay Other /Depth: Ground Water-At What Depth? O Feet Bedrock or Impervious Material-At What Depth? 35 Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal 4 Other If domestic water supply is a well - Separation: Water supply from any septic absorption 6 .5 feet PROPOSED SYSTEM: Septic Tank 2 CO gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 6 O feet//Total System Length feet c•w- u.'-(a Seepage Pit(s) : Number of 3 / Size each: 2 ft. x ft. Size of Stone to be used: # Depth or Thickness feet ********* , *- HOLDING = STEM IF REQUIRE No. of Tanks Size\of E Gal . Alarm system and a - ated electrical work to spected by a certified agency. ***** ******" I 'ave read the regul ati , on the reverse side of th' . e_ and agree to abide by these and all re ements of the Town of ury Sanitary Sewage Disposal Ordinance. I SIGNATURE OF RESPONSIBLE PERSON: ,�i . % / DATE: 91-3 y / 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: ( T H_ E NEW_YORK BOARD OF FIRE UNDERWRITERS- • CERTIFICATE NO. DO NOT WRITE HERE-FOR OFFICE USE ONLY v I - 1 . BUILDING PERMIT NO. '• - - TEMP.# DATE _ _ f i>: I..> i 1' I ... CITY OR VILLAGE TOWNSHIP - COUNTY STREET AND NO.OR ROAD f POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? `" SECTION BLOCK LOT OCCUPANT'S NAME - `'' BUILDING OCCUPANCY - OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER -BUILDING IS ' NEW la, . OW❑ WORK IS NEW ElADDmONAL 0 DEFECTS REMOVED la _ 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 SIGNSMMPS TOTAL WATTS CHARACTER OF WORK - 0 EXPOSED GAS TUBE SIGN/TRANSFORMERS OF • VA ❑.CONCEALED,- - . - -ONE WORK TO BE STARTED - DATE COMPLETED SIZE OF SIGN(NUMBER) - ..CAPACITY - SERVICE ENTERS BUILDING MANUFACTURER OF SIGN . . . • ❑ OVERHEAD • L UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) - DENT F CAT ON NUMBERS ► I I I I I I I - ,. AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. • PRINT NA.M AND ADDRESS - ,. i �` NAME OF APPLICANT • DATE OF APPLICATION X SIGNATURE OF APPLICANT r € • . r ; - "f . ' .i f - . r a t / . /.4f,rf,• STREET ADDRESS TELEPHONE NO. f • - CITY OR POST OFFICE ', • ZIP CODE - LICENSE NO.WHEN APPLICABLE •❑'85 John Street ❑ 41 State Street. ,"` E 570 Delaware Avenue 0 217 Lake Avenue• - ❑ 202 Arterial Road NEW YORK,NY 10038. ALBANY,-NY•12207_; -- .-BUFFALO,NY 14202 . :ROCHESTER,NY 14608 SYRACUSE,NY 13206 - (212)227-3700 "'"(518)463-2122 •r - (716)884-1155 `(716)254r0141 (315)463-8552 TI-IF- NF.W VOR _�R(IQ-Rn_CLJ FIRP. 1 II\II.IFRWRITI=RC - el•"-Se-A,!‘)..!.!..!-19. 9!-..P.9.!,.`...!•••!."--191-9?-19 .9!.-1.4.-91.•19!•-19!--19?-..!-.•?-19!".19-1.../.,•19!,-9!,"•Ae?-19?-•!..1,9!••••!-Ilt!-).1?-1.9?,zle!•••!."...II'!".1°!.".-19!.,19?-•!•!-•!•?-191-`9,,`..••,..!-!•••`..?-s.ef..),,. THE NEW YORK BOARD OF FIRE UNDERWRITERS - -.-. BUREAU OF ELECTRICITY i• I 4, 41 STATE STREET,Al7EANY:,.EVVI.rp, ,..RK 1 ?? )(s L (-RANG Date THIS CERTIFIES THAT Applicat.6n No,on file PE10:113 il.), 9... -111,' ‘., only the electrical equipment as described below and introduced by haapphcant named on the above application number in the premises of TF114-eZ 1:1C. 11`,, 1.1-'1.41.11.41)1,20-tilTh rifi,, Qt:11,1Ewi}31),Ivi, i„),''y'Y. in the following location; CEl 2nd Basement I:1 1st Fl. 2nd Fl. Section Block Lot was examined on ,)WC .1 0 I FIXTURES and found to be in compliance with the National Electrical Code. FIXTURE . RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ECEPTACLES SWITCHES ca OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. . K.W. AMT. K.W. AMT. K.W. AMT. H.P. • V 11 in DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MDSZTOILJTSLET DIMMERS NNAT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. MAT. AMP. MAT. AMPS. TRANS. AMT. H.P. No.OF FEET AMT. WATTS 7. . i SERVICE DISCONNECT NO.OF - S E _R V I C E METER AMT. AMP. TYPE [ow. 1 S 2W 1 0 3W 3.II 3W 3 ji AW NO.OFpEFiCOND. C O F Ad.1O.ND., NO.OF HI-LEG ot•ATAL NO.OF NEUTRALS OFNUAL :J...z; 1 OTHER APPARATUS:: _LAIC; F A tni- I I:- l':11 J 7 '1 N .1. LI/0 • . . ;V() rri IN .3 R ca _ 1 HOB 1 ORIIIiit; - , . . r - . • ,, . .. ) (.3 IA:11;:: -.1,711,•1_,S, .11!7:, J:-.•::r30 i BRANCH MANAGER • `.::39 !I'k: 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 credentials. i.--ia?•-ia;-i• !I Ill 51115301651nE 51011E121115110 !I MEM 11 !SO !I rl 11 !I t!1 71 tl fl nilifl ME 512572211E501M1 !I rl ..,-;•;-;:‘-'6:-ti. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME jela,S(74-r J LOCATION/- DATE (p�0/4f2 PERMIT# TYPE OF STRUCTURE RECHEC FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B .VENT/LOCATION ) PLUMBING VENT k, ROOFING l SIDING K DECK/PORCH/STEPSyRAILINGS RELIEF VALVES 4 FURNACE/HOT WATER\OPERATING BASEMENT INSULATIO/DUCTWORK .� INTERIOR TRIM/PRIVA Y.;DOORS FINISH FLOORS: �,.'' BATH/KITCHEN WATERTIGHT K OTHER FLOORS SWEE`PABLE )4, OTHER FLOORS CA tPETED, STAIR CLEARANCE/RAILINGS` HANDICAPPED ACCESS �1 SMOKE DETECTORS, BATHROOM FANS/WHOLEHOUSE FANS )(ALL PLUMBING FIXTURES OPERATING. l� GARAGE FIRE PROOFING \, 7 DOOR CLOSERS FTRF/OFMtcE W 7 -9uMP�-TfR'-'--'• $,TTG RI AN/VARTAN�F�Ff111IR $ k FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: ArEL:k. htiru -Cz.-ems CJ b{)-A .zl. ARRIVE 7- DEPART :COD ,4/�- NSP T TOWN OF QUEENSBURY• • 531 BAY ROAD QUEENSBURY, NEW YORK 12804 -�• TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED l0/7,/ NAME b 2ij LOCATION jivau ,C{ �l DATE W9/ff_g PERMIT§ 93'1/6 TYPE OF STRUCTURE „:/ RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING K SIDING e� DECK/PORCH/STEPS/RAILINGS iL RELIEF VALVES _ /s FURNACE/HOT WATER OPERA ING K BASEMENT INSULATION/DUC ORK ›St INTERIOR TRIM/PRIVACY DO S / T FINISH FLOORS: BATH/KITCHEN WATERTIGHT , X' OTHER FLOORS SWEEPABLE � / g OTHER FLOORS CARPETED \ / STAIR CLEARANCE/RAILINGS / HANDICAPPED ACCESS SMOKE DETECTORS • k • BATHROOM FANS/WHOLEHOUSE FANS I , ALL PLUMBING FIXTURES OPERATING/ A GARAGE FIRE PROOFING } X. DOOR CLOSERS OTHER FIRE SEPARATION I , FIRE/DEMISE WALLS / DUMPSTER I SITE PLAN/VARIANCE REQUIREMENTS ^, FINAL ELECTRICAL 4 ,< OK TO ISSUE C/O OR C/C j k COMMENTS:CA% i .,j • Si.2 i S 8.& ARRIVE ; ;: DEPART 4117 I SP fT ��JJ i TOM OF QUEENSBURy BUILDING Si CODE ENFORCEMENT 4/23 531 Bay Road Qt eensbury ANY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name %�'Icy 56-iurt Locationfl,/./444/J/Z� 4 Date I/ J /00 Permit # 93r/M SOIL TYPE: oam-Clay • - Results of Percolation Test- (if applicable) .Rate-Minute/Inch C--5f TYPE OF SYSTEM: ABSORPTION FIELD: Total Length -Zry) Length of each trench 5o Depth of trenches 7_ i-� Size of stone -1 Size - f t. x ,4/r//2-_______, l-�-r-t. Stone—s-i-ze PIPING: Bldg. to Tank Size T//,�� Tank to Dist. Box AIL- ��`rU Dist. Box to Field/Pit �� i, ; Openings Sealed? �' No Partial LOCATIUi /SEPARA'TIGN'.. Foundation to Tank Foundation to Absorption feet p Separation of Pits 1 feet Conforms as per Plot Plan — d No LOCATION OF SYSTEM ON PROPER (circle Front Rear ,- Left Side - ig t Side Middle Front - Middle Rea . COMMENTS: L- t--- PLOD; P2_4:5- c` ,uz +- y 7—i 1.5 D A--i L. — `,. A—Nl SYSTEM USE APPROVED: YES NO Arrived: Departed: (0 .,1 • Building nspector TOWN OF QUEENSBURY 'a'd/ BUILDING AND CODES DEPARTMENT 4/1/ 531 BAY ROAD "" ���� QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 45//%/lj3 NAME 9-e))4., ?V-eZi/`iv� LOCATION ihe{nd?'1 �}(J2d DATE 5/ '//93 PERMIT I 93,-//O TYPE OF STRUCTURE J'F cy c;? RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: ,` JACK STUDS/HEADERS BRACING/BRIDGING r JOIST HANGERS , JACK POSTS/MAIN BEAM HEATING ROUGH-IN j/INSULATION: (` FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- I, FLOORS R-, WALLS R- CEILING R-''5? DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE (0;�-� DEPART ti1z) e, /°i ,1,A.- 'INSP CTOJI TOWN OF QUEENSBURY �� BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT f REQUEST FOR INSPECTION RECEIVED J5/�%/ NAME V-Q/ (�LOCATION � UU��4t+Llexd DATE 512,,o'GJ PERMIT # .��/� TYPE OF STRUCTURE 0 C[/ , 1,/.1.(":j1- Ut et0._ II RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE' FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS. FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE \ FOUNDATION/DAMPROOFING BACKFILL APPROVAL )( ROUGH PLUMBING / PLUMBING VENT/VENTS IN PLACE \ PLUMBING UNDER SLAB FRAMING: ?` JACK STUDS/HEADERS BRACING/BRIOFGING JOIST HANGERS JACK POSTS/MAIN BEAM 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: ARRIVE f ( DEPART I I -3i) INS ECTO ,1 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 /0,74(_./ LOCATION �,UA46/>c/ , DATE r 7 l6 PERMIT I Vi24?) TYPE OF STRUCTURE SAD 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 SIT.E FOUNDATION/WALL POUR j REINFORCEMENT IN PLACE j ,/ FOUNDATION/DAMPROOFING i / BACKFILL APPROVAL / ROUGH PLUMBING y' PLUMBING VENT/VENTS IN PL'A'CE PkUMBING Ur R SLAB A FRAMING: 141—a�! �' \ , JACK STUD /HEADERS / \ X BRACING/BRIDGING ,' \ JOIST HANGERS / JACK POSTS/MAIN BEAM ;>(" HEATING ROUGH-IN / INSULATION: FOUNDATION WALLS INTERIOR FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: jL c.) v5 C/L ARRIVE t, ��� DEPART INSP CTOR 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 i}al, LOCATION dp�G2 I DATE 4%0 /q PERMIT # q3-J f() TYPE OF STRUCTURE Sii 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 QN SITE FOUNDATION/WALL POUR j REINFORCEMENT IN PLACE \FOUNDATION/DAMPROOFING XBACKFILL APPROVAL ROUGH PLUMBING �r.' PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB 11 FRAMING: / \ JACK STUDS/HEADERS BRACING/BRIDGING I JOIST HANGERS f a JACK POSTS/MAIN BEAM / „ y HEATING ROUGH-IN INSULATION: I 'g, FOUNDATION WALLS INTERIOR R- `•a, FOUNDATION WALLS E7ERIOR R- FLOORS R- WALLS / R- CEILING / R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: L( / c6v Wit- n5 ARRIVE DEPARTZ�� INS CTO 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 / N 4n4)- LOCATION / Q��c{1149 DATE $01 1 PERMIT # 9 1/O TYPE OF STRUCTURE L5�� RECHECK APPROVED xFOOTINGS/PIERS 0 N/A YES NO (" MONOLITHIC POUR FORM / REINFORCEMENT IN PLACE / / THE CONTRACTOR IS RESPONSIBLE / FOR PROVIDING PROTECTION! FROM / FREEZING FOR 48 HOURS F LLOWING THE PLACEMENT OF THE CONCRET . MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR , / REINFORCEMENT IN PLACE \ / FOUNDATION/DAMPROOFING Y BACKFILL APPROVAL yr‘ ROUGH PLUMBING / t PLUMBING VENT/VENTS IN/PLACE PLUMBING UNDER SLAB / FRAMING: / JACK STUDS/HEADERS' BRACING/BRIDGING / JOIST HANGERS / ;, JACK POSTS/MAIN BEAM HEATING ROUGH-IN / °o INSULATION: 1 FOUNDATION WALLS INTERIOR R- FOUNDATION WAL/LS EXTERIOR R- FLOORS I R- WALLS ( R- CEILING t R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARK f tY sa6 2 � r ARRIVE DEPART 7-e: i ) (vv I NSPECT(�R TOWN OF QUEENSBURY /72 BUILDING AND CODES DEPARTMENT / 531 BAY ROAD ( ' =' QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ' ,57%//,, NAME '-�4-q �77J�J LOCATION ,,��ZG/W664„4 it2- DATE c_10.5 PERMIT # 7. -/,/ TYPE OF STRUCTURE ,.SAIZ [Ai o u at,/ 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 1 PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: n' JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN '1 INSULATION: FOUNDATION WALLS INTERIOR R- ' FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS J, R- CEILING ! R- DUCT WORK OR PeIPING IN UNHEATED SPACES RE : 4!OAJo D LAB X ARRIVE_ %=De DEPART -'- (J I i INSPETOR ; _ i r r 08 . 3- ' - - - • �'` i . p. p -- ---- — ‘ti,Si. .:. '1, ., ,. \ '' \\ 1 • ' -. . ; a4 t L _ 2 0 . . . . Q , per _ _ cb'n_ L. - od_ � .. 1 d 380= 6 Ad)D!Ws`Grove 1 N 14 0-00'-00" W' 4 .00' I a 0 W <)106 SAND - DIRT DRIVEWAN 11<3) 22' d 4aa't,Drllled WON I L EGEND. 0 FOUND IRON MARKER 0 SET IRON ROD WITH CAP 0 POINT c— POWER LIM' r STONE WALL —�—�-- FENCE ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL, OR INKED STAMP SHALL BE CONSIDERED TO BE VALID TRUE COPIES. i Unauthorized Alteration to this map is a violation of Section 7209, Subdivision _� - -a:-- I __ LANDS OF THOMAS 111 d BARBARA HALL Mop Ref. N' l S 82e _ O58 M � M —2STY FRAmr UNDER COiNSTRUCTION PARCEL B 11.083,t A cues — GARAGE UNDER CONSTRUCTION 1>0 Pole On 00r Line 0 b Moco da D�/Ye J V6 20 M/ GINO 4mm I I ml o� I RAILROAD TIES FLUSH WITH AROUND —3.0' ' 0v.,North End Roil Fence 2.7' North Of Line Spilt Roil Fence LANDS OF ✓01%W d BARBARA OL IGNY ( 655-1055 ) PARCEL A 306 00' 0 0 S /9e-55'-20" 62.28' F8'-30" 30.15' S 020-06'-40" 31.66' Wz1;i:Vza _ e4 3eo 9s- 2 U N LAJ Q Q. 1 ::5 PC mw REFER€NCESs 1. Map of t ands to be conveyed to Tholyras C. Hal 1 III and Barbara A. Hall, Town 04 Gueensbury, dated September 27, 1994 OY O W.d. Rourke Associates L.L.S. 2. Warren County, Town of Guoonsbury M Tax Map No. 64-1-6.1 O Libor 655✓1PW 1055 parcel B � Q 40" 77' S 120-03'-40" 18.04' O 3 Z .Q WA w o b' I �w 4- Qc OO /��3456 7g9�O 7� M � W N MAP OF SURVEY Lo L 6 b2EZ`Z ZZ 1.Z�2 of lands to be conveyed to GERT rF I I CM! TERRY o. C ONNI E J� pro w�c t hereby curt.{fr to Trrry D. and Connie J. N TOWN OF QUEENSQURY WARREN COUNTY NEW YORK Q nk of Glans Fat l s, Q.ti OF Ro o SCALE: I" 30' APR1L 26, 1993 =any and First . i fS succrsws VW� as$1 of Now Yank CIO 3 ���� REVISED: MAY #, 1993 - to show foundation A A er i Can T i tl a I,nsurattC* Cftr't ! in accorda ncp ,It Well that 'th i�O, has been ` repract i ce for Land MAY rs, 1993 to show *1voway • YOrK .State As OC �t th th! �!x I sti n4 Code of � 49098 r►v Qrs at tsd by the t*WS — of Prov#esAlcI►i Land Sut"YeY s�° IAr�Ci s``A W. ✓. ROURKE, ASSOC/AYES • L. icoaseid Lard Surrayms eoc"" 10264 Saratoga Rood, 'P. 0. Box 1454 JOB Rourke LS 49096 WILLIAM J. gOURKE, LVENSED LAND SURVEYOR 04908 South 6Mns Falls, N. Y. 12803 93-62 8 ►24/" William 3 10