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1993-677 .. — ,. - ,.iL`.r,''_�Y,,1:r:�.-..1 i'.l_ ,>:"i;\.�w"4fc":ri. f. . i� 'i_�-.,r__tiP: �'�^7' 1'1 ..t 1t rY.'t�'�vr.,��/P y' r:Lv. V+-j.'.:.r til Lti.-.:. CERTIFICATES 'OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 24 19..9 J This is to certify that work requested to be done.as shown by Permit No. cl-1 r 7' has been completed. This "structure may'be;occupied a.-a' a1NGLEVJTOE 1IOBTLE 'I-IOPIE 133 INDIANA AVE.. Location Owner HC KTNNt ZT rT-ii;T:1T CIF)H111i3 'Lti TlJ;RR By'.Order Town Board TAX HAP NU. 127 . -1:1-13.. TOWN.OF QUEENSBURY Director of Bldg. & Code Enforcement CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 _ This is to certify that work requested to be done as shown by Permit No. 9 3-F 7 7 has been completed. sing-Le family singlewide mobile home This structure may be occupied as a Location Indiana Avenue Owner Christopher and Deborah McKinney 127-11-13 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement Id_ _ \ y BUILDING PERMIT ro TOWN OF QUEENSBURY 93-677 No. • WARREN COUNTY, NEW YORK N PERMISSION is hereby granted to CHRISTOPHER AND DEBBIE McKINNEY OWNER of property located at Indiana Avenue Street, Road or Ave. in the Town of Queensbury,To Construct or place a Singlewide Mobile Home 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. Z n 1. OWNER'S Address is H same I-< 2. CONTRACTOR or BUILDER'S Name Smith' s Excavating n rf. 3. CONTRACTOR or BUILDER'S Address Q fD ri 4. ARCHITECT'S Name CJ (D 0 H- 5. ARCHITECT'S Address H 6. TYPE of Construction—(Please indicate by X) H- W ( )Wood Frame ( I Masonry ( )Steel ( ) P 7. PLANS and Specifications 14 ' x70 ' Singlewide Mobile Home moved from other town No.location as per plot plan, specifications and application. 8. Proposed Use Single family, singlewide m bile home N- $ 60 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 10 19 94 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) H- H Dated at the Town of Queensbury this 10 th Day of November 19 9 3 N SIGNED BY //gift-di /'; u�r for the Town of Queensbury CD {jfi LOT and Zoning Inspector z;, ; , �i TOWN OFQUEENSBURY t.:;. , au: . ,, REVIEWED BY: FEE PAID: $ --1234 PERMIT NO. . ----/ 4 SS>0 to APPLICATION FOR PERMIT NOV 1993 0 'MOBILE HOME 'OR MODULAR Recni Town Vepl A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOB HI `!,r ,-nsa j ; NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS �N �.�'' ,Ai.' �"` (1_, 0-.. _ ���Z6L 81���'c�� The owner of thi s p opert. i s: 1 ��1 Re / 4P.O. Address: (J126P /mo Phone Number •gJ 7 Wsi' �d Y Property Location .ik1r{Y1 a (//(7.. Tax Map No. / /.75�� NAME OF APPLICANT: ��/e/S / 60/ AX-1/2/) ()-,7, „�}-GJy"� - Address of Applicant: 4V/ Ofl . ed All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES: MOBILE HOME INFORMATION APPROXIMATE VALUE OF HOME: $ /5O(JU • New Home 04 ) No `� ZONING INFORMATION: Replacement Home Yes-t0 Size of Property: 106 ft x 1,0 ) ft Size of mo ile home ./ ftxft Existing Buildings: Sing]ewide Doublewide Proposed building-distance from property line: No. of rooms (exclude baths) A. Front Yard ft Rear Yard ft. No. bedrooms Side Yards ft and ft. No. of bathrooms Occupancy Informat�i_oi • Primary dwelling: ' No Fireplace 2( Woodstove F Accessory Building(s): Detached garage (one car /two car car) Foundation st�le and size: =Attached garage (one car /two car car) Storage building Piers-No Size/) ft x / ft —Other ___- - Depth-below grade- =ft -'- _ _- - - =- - _ - * * * * * * * * * * * * * * * * * Foundation-Footing size " x/ " Prop red date of placement: Wall material j 1 1 20) <13, Wall thickness Height Water Supply: Well Municipal Total depth below�g ft. Septic permit required? Grade to home floor. level ft>-• FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET NAME OF INSTALLER/MOBILE HOME DEALER: �t`� ji *�7� ADDRESS/PHONE NUMBER /JU/ vC,U Vf 6J ��� /79g/g j-G � $ c ,c,,o. S bit OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL ' INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE FVT 1:, , ,I�ras`� a s yi al number P rs 073 W ( , . jttlir 2. � i, •a M4facturer • 3 9 .Plan, c wl'oval Number 046,/:, % i G �ii i 4. Model or Component Designation - 5. Date of Manufacture J991 All the above information is to be found on a plate or sticker which should be affixed to the Mobile Home. Complete above with that information. Town of Queensbury State of New York County of Warren AFFIDAVIT I swear that 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 a don on the described premises and that all. provisions of the BUILDING -DE, ZONING ORDINANCE, and all other laws pertaining to the proposed wor all com lied with, whether specified or not, and that such work is authori d by t own . Signature Owner, owner' s agent, architect, contractor SPECIAL CONDITIONS OF PERMIT: By Code Enforcement Officer / k �`wak {� TOWN OF QUEENSBURY i— APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # 02 3 4 56 8 Fee Pai '7;6 Date: !/.3 1 Reviewed gy �� wed W R '6awn°� V. LOCATION OF PROPERT FOR INSTALLAT N: �!� /e�/'1d �U� ueensbu'� . (VS' I9ePti gOwner's Name: ne4imei scie, 1QY„ ���V., Owner's Mailing Address: ,wc"//orj M . Installer's Name: (591!-!-/)S FA-rau/r, Phone #:3 f - g �� Number of bedrooms (if residential ): / Total daily flow (residential-compute @ 150gal . 7 � p per bedroom) Topography-Circle One: ollo Rolling Steep Slope % of Slope Soil Nature-Circle One: < Loam Clay Other /Depth: Ground Water-At What Depth? Few Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Required/Rate Min. Per Inch Domestic Water Supply-Circle One: 4111111110 Well Other If domestic water supply is a we - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank hZ() gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 50 feet//Total System Length da) 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 'de of this sheet and agree to abide by these and all requirements of the Town ensb ry Sanitary Sewage Di posal Ordinance. J SIGNATURE OF RESPONSIBLE PERSON: DATE: /1 2/01 • THE E NEW YORK BOARD.OF FIRE UNDERWRITERS CERTIFICATE NO. DO NOT WRITE HERE FOR OFFICE USE ONLY I BUILDING PERMIT NO. t 1TEMP.N DATE ' '_') -i.'-' •fir/ CITY OR VILLAGE ZIP CODE- i I TOWNSHIP COUNTY _ STREET AND NO.OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STI1EETS IS-PREMISES LOCATED? SECTION BLOCK LOT OCCUPANTS NAME BUILDING OCCUPANCY -' } ir. Iti / OWNER'S NAME AND ADDRESS / HOME TELEPHONE NUMBER. -- I CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER BUILDING IS NEW❑ OLD❑- WORK IS NEW-El ADDITIONAL❑ 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 I _ 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,MAIN FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS o , . CHARACTER OF WORK t E EXPOSED GAS TUBE SIGN/TRANSFORMERS OF , VA ❑ CONCEALED DATE.WORIQTO BE STARTED ( , ,\ DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFACTURER OF SIGN ❑ OVERHEAD )UNDERGROUND ME INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS • ! f 1 r•;') . IDENTIFICATION NUMBER f AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. • PRINT NAME AND ADDRESS • r:;% t NAME-OF APPLICANT • , DAT��OF APPLICATION SIGIyATURE OF APPLICANT STREET 1 ET ADDRESS (J • ` / r' / / ` `-�" TELEPHONE Na/ 6'- I f . P.,,'} I/4-i d .Rn,1 Ii_ t L'j7 f, J - _:)-6- CITY'OR,PO3('OFFICE' -ate' f' - i ZIP CODE, } /LICENSE NO.P WHEN APPLICABLE , D 85 John Street 0 41 State Street ❑570 Delaware Avenue '0 217 Lake Avenue 0 202 Arterial Road NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206 (212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 ,-(315)463-8552 • THE NEW YORK BOARD OF.FJJR•E .UNDERWRITERS • r. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE I BUREAU OF ELECTRICITY o t�I�dt II 41 STATE STREET.ALBANY E- YO]RK 12207 t l' I)jii_�LFP'11i I', .l. ,, �.,)�� � L� 144093 :, H. ]•<'UG1i.O Date Application o.on fife N 0 THIS CERTIFIES THAT _:-• only the electrical equipment as described below and introduced the ap • ant named on the above application number in the premises of CHR3:S l-1CKIidNEY, 7:Iu)IANk AVE, GLEHE FALLS, N.Y.. * in the followinglocation,. ❑ Basement ti {J'.I' LSE�C.'l;il IE�i1;,P �}b• 1��9'0 lst Fl. ❑ 2nd Fl. Section Block Lot was examined on and found to be in compliance with the National Electrical Code. • FIXTURE - FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER 1 AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 0, 0• DRYERS FURNACE MOTORS FUTURE APFUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS k MAT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. MAT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS No.of FEET SERVICE DISCONNECT_ NO.OF S E R V. I_, C•_ . E CIAMT. AMP. TYPE Bow. 1,B'2W 1 F 3W 3 A'9W 3/B'4W NO.OARCirCOND. OF CC.CGOND.. NO.OF HI-LEG OF HI-•LEG NO.OF NEUTRALS OF NEUGRAL 0 0 i 100 c:'t I 7, :I. -._ .1. '1 0 E 0 OTHER APPARATUS: o * .lfl EOHRE 1-4 T 4 BASEMENT TO BASEMENT o 4 `i.F.C..t:-1. 0 * i+1 T SMITH ( ED • • BOX 300 VE,I?t'1ON'.2 AVER _. ' - I _ (JuT 1 GLENS FhLL,', NY,. 12804 BRANCH MANAGER • * Per soThis certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. . COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. „..� TOWN OF�,.,.. QUEENSBURY s.•.dill »'•, BUILDING & CODE ENFORCEMENT A =� � a 742 BAY ROAD �`' W” QUEENSBURY NY 12804 All (518)745-4447 ARRIVE: ICYFA- DEPART: VilbE INS• FINAL INSPECTION REPORT - RESIDjL DATE INSPECTION REQUEST RECEIVED: NAME 0EPA.;tF - IA04t-IJt.. E.`4� LOCATION 1 23 1 t3Dt ck`43 1 P\V DATE / ?/ IJ PERMIT A 4:1?j^61 7 TYPE OF STRUCTURE ML a\LE w\AE FOOTINGS FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING SEPTIC INSULATION • FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT 7 PLUMBING VENT V ROOFING EXTERIOR FINISH (DEC!/PORCH T ILINGS --- RELIEF VALVES Y FURNACE/HOT WATER O ERATING V INTERIOR TRIM/PRIVA DOORS V FINISH FLOORS: ✓ BATH/KITCHEN WATER 'IG OTHER FLOORS SWEEPA' E OTHER FLOORS CARP aff, V STAIR CLEARANCE/ ILINGaS ./ • SMOKE DETECTTOO I ' . BATHROOM FANS I V/, PLUMBING FIXTURES I I FOUNDATION INSULATION GARAGE FIRE PROOFING If DOOR CLOSERS FINAL ELECTRICAL 3'41 \7.\2\CP) \' SITE PLAN/VARIANCE REQ. li FINAL SURVEY PLOT PLAN • OK TO ISSUE C/O OR C/C ✓ -�f TOWN OF QUEENSBURY 531 Bay Rd. , Queensbury NY 12804 3; .NE` 518-745-4447 Building & Code Enforcement INSPECTOR'S REPORT e1I15 19 ( 6-- Property Location Owner or Tenant uildiiE > Sewage Sign Other Remarks: PL-E R/-3 P.)F_ %f DOk c=D ARE_ Qc� L>P "D T \lh -\t>r-ikF 1(Th C' C t �c ( - (>CccPAv> . c7,t> Co__ v)pt oc_c_ASt0►.>)-) `\c>-k3 uJEEF- ePcmF • t.)U k‘l-mJ �-\c i A- Pc ot A 5 -T-© O t!--)C)1/4Y-)4, 11�►-\A ACC t Ll�Js . f;F � - �� o CONTACT THIS OFFICE WITHIN u' ding n c or .----.\ ' ;'...t--Ir•-j\'--61 ('S: • .. ' , w.. TOWN OF QIJEENSBURY �.1iY�� ; BUILDING & CODE ENFORCEMENT °� 7C�� 742 BAY ROAD '' , ' QUEENSBURY NY 121104 (5.10)745-4447 ARRIVE: DEPART: -. INSP: f ' FINAL INSPECTION REPORT - RESIDE AL DATE INMC°_, PECTION REQUEST RECEIVEiD+�:t- �_ // 1 r L1 5 NAME . A \.Cl'' 1 Ci� v'tW - LOCATION V ,\^ !� .. 1 DATES— i 4''1 _--lri 5 PERMIT , k r 7TYPE OF STRUCTURE `\\(��\ ..\ C 1 M om_ FOOTINGS FOUNDATION BACKFILL ��, ��' FRAMING _ ROUGH PLUMBING SEPTIC INSULATION __ FINAL ELECTRICAL WOODSTOVE OR FIREPLACE \\ N/A YES_ NO_ CHIMNEY HEIGHT/B VE�7T/HEIGHT \ PLUMBING VENT \\\ ,' ROOFING • EXTERIOR FINISH DECK/PORCH/STEPS/RAILING _ - i,i,ii 1' V:ILVES -- - - �/ FURNACE/HOT WATER OPERATING J - INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT q//; - " _ OTHER FLOORS SWEEPABLE _ _ OTHER FLOORS CARPETED V STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS _ _ ___ PLUMBING FIXTURES (_____ _. __ __ FOUNDATION INSULATION __ __ _ __ _ GARAGE FIRE PROOFING __ V DOOR CLOSERS _ __ _ FINAL ELECTRICAL I:MD k2\Z� . _ _ __ . SITE PLAN/VARIANCE REI. ` -1-- - __ ____ FINAL SURVEY PLOT PLAN V ___,_,________ OK TO ISSUE C/O OR C/C • __ _ .,__ .__.- - PLeaS r ��fl 9,R1 LA `0 ,: 'QR .4, `ECG 6 ' 5 (3 MTh V $o6 . \kb'01. -- 40 çp- r�,)t it�►n°Gl'��I 01 LA_ ate-.. TOWN OF QUEENSBURY ,• 531 BAY ROAD i� s QUEENSBURY, NEW YORK 12804 • TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED S Tr\-1—:I NAME/1/ci-e,,,,,r6_,- c- r4,7_is 4-- s.- &---,E), LOCATION /AJ/' i ip AI/1 4— DATE 1 Z 1 y PERMIT# I S--(p 7 TYPE OF STRUCTURE RECHECK/ //JC0 C S -- FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) 7,FOOTING FOUNDATION BACKFILL FRAMING _ROUGH PLUMBING XFINAL ELECTRICAL _SEPTIC _INSULATION __INSULATION REMARKS i // /APPROVAL %A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION ! PLUMBING VENT / ROOFING r DICl/G ii DECK/PORCH/STEPS/RAILINGS // RELIEF VALVES y, I• FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTy!ORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: / BATH/KITCHEN WATERTIiGHT OTHER FLOORS SWEEP LE ‘ OTHER FLOORS CARPS ED 1, STAIR CLEARANCE/RAI INGS HANDICAPPED ACCESS \ SMOKE DETECTORS \ BATHROOM FANS/WHO EHOUSE FANS, ALL PLUMBING FIX JRES OPERATINp GARAGE FIRE PROD ING \ DOOR CLOSERS \ OTHER FIRE SEPA ATION FIRE/DEMISE WAL S DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: ..STEPS 6T\U E-E-D To '3E ARRIVE \\°\O / ( ` DEPART \\ ;\}j � lit0/ J INSP T11'/ / l(/, Vi 6> TOWN OF QUEENSBURY _t�► 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 C� FI.BUILDING INSPECTOR'S REPORT NAL INSPECTION REQUEST FOR INSPECTION RECEIVEDrD- I 0 3 NAME ()- bn,--� / _- •0 --f'`4,- LOCATION )0 I '-:>`- ( ,k_ i DATE I I D-1 'Y 3 PERMIT/ V.3-_1 '7'' TYPE OF STRUCTURE ,,S,F rIU- LJ --,,4.J RECHECK : _FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _FOOTINGDATION BACKFILL FRAMING _ROUGH PLUMBING FINAL ELECTRICAL--SEPTIC _INSULATION _WOODSTOVE/FIREPLACE REMARKS ---f � L�, a �6 � , APPROVAL CHIMNEY HEIGHT/LOCATION N/A YES NO B VENT/LOCATION j PLUMBING VENT f ROOFING r SIDING (-I EC 7__?O.RCH/STEPS/RAILINGS> tr .� RELIEF VALVES i FURNACE/HOT WATER OPERATING / BASEMENT INSULATION/DUCTWORK / INTERIOR TRIM/PRIVACY DOORS / FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE t 0 . OTHER FLOORS CARPETED I STAIR CLEARANCE/RAILINGS / HANDICARP-ED-AC�CCESS 't,! f„SMOKF_DETECIQRS' BATHROOM FANS/WHOLEHOUSE FS BI ES PRATIN I \/ GARA E PROOFING ‘, DOOR CLOSERS / OTHER FIRE SEPARATION! FIRE/DEMISE WALLS :` DUMPS TER ,, SITE PLAN/VARIANCE EQUIREMENTS .=' FINAL ELECTRICAL OK TO ISSUE C/O OR C/C • COMMENTS: `. ' b-N- v ti p--� iN,5--Qvi, ARRIVE / DEPART 4,�6�� ,, z �,p / INSP T TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT l� 1 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 7'(;e(4,4 �JJ,2 ! NAME 1/'4.14 1- i)(.lA-W fLI �%�c K/(4,4'V?(7_�) LOCATION .,fi1vi c/t��►'2(t DATE 1// )3 1 3 PERMIT I ' 17 TYPE OF ,STRUCTURE ciA/i'/,G.`t t, Y.�-/'t,2//J ? RECHECK APPROVED - N/A YES NO 'FOOTINGS/PIERS • ONOLITHIC POUR FORM `k REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING i THE PLACEMENT OF THE CONCRETE. j MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE i 4• FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE;,' PLUMBING UNDER SLAB FRAMING: • JACK STUDS/HEADERS BRACING/BRIDGING +., JOIST HANGERS JACK POSTS/MAIN BEAM.' HEATING ROUGH-IN :I•NSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED • SPACES REMARKS: r �� IZ S . 1�7 t'U F rt,u(, ARRIVE ' DEPART /0f41V INSPECT R TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT "7 531 Bay Road f Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name (kkr, Y `/ t �1i c Location Date IJI/V 3 Permit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) .Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length L.z) Length of each trench Sc Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft/ Stone size PIPING: � Size T pe Bldg. to Tank / AI , Tank to Dist. &ox `f' ��i "- Dist.Dist. Box to F?el-d/P ' Openings Sealedr?" Yes No Partial LOCATION/SEPARATIONS: Foundation -to Tank AID a'(,'feet Foundati of(to Absorption o $' _f—' Separation of ftit-s -et Con,po'rms as per\ Plot Plan _ No LOCATION OF SYSTEM ON PROPERTY: ('circle one) Fr - r - Left Side - Right Side fiddle Front_9 Middle Rear CO SI- SYSTEM USE APPROVED: YES) NO Arrived: Departed: 5-; v / Building rnspector / TOWN OF QUEENSBURY 531 Bay Rd. , Queensbury NY 12804 518-745-4447 Building b Code Enforcement ems. INSPECTOR'S REPORT fi-‘17 ) )Du 19 CP3 MoJ N i!a / l cP3(cl )19. i4- / I� )\Qh-l-te&L4. Property Location 1?“--) i.4 M L \<� Owner or Tenant Building Sewage Sign Othe g g/LOLJ Remarks: NsR-t o ALI •Zt 1'3 - 714( . vAA S c 14_ 1 L/ -c:-- .n + +1 i2 - LAST 1 _e,6A32S c- g. CD0Gvioi / r� Wit c jZ A-( ()ccUPVc,G I (rt A/r-u l S - . - CONTACT THIS OFFICE WITHIN uilding In ec or r___ TEI.76- CL,v i--,L R-6-0 UFOG-r_ Skjeeog-1— .e.• \ ,..... !1 le 420 (Fs . . . ,... ., ......, E ro cd /�,27z8.2e /i ' � __ <;s Q- 0obV TO % ,' '1 OF co_l 9 c,r :.` U im. BUILDING , C C6 2, ;41 Pl;.:. TOWN OF QUEENSBURY BUILDING DEPARTMENT REi69El�V�� �� ��/ Based on our limited examination, + _ t, compliance with owcomments shall _. . ._ ti not be construed as indicating the I)AT�. O plans and specific attars are in full compliance w tt,I.'; :fie. 0 hA/9 S FILE COPY ..----- , 0 1 . f'...--..' \ v ' c. , .‘"-- 6-Y r /9 C. ..1 i' '......L.., .. .-, (........,‘,: ' .-- '.... 0 , . , .....• - (.1. ...i i 1 i 9 )1 1 e:, t." i G. I . • ,.. .. .— i /7 . / I g (..- _____ AppR ov E II Application ns2627282.----N\\ NOV I 0 1993 6 go tg g cD pow P., Co c.,3 cv en=--• 1_._,. el cD g 0< cos 44 Zerlift9 . inistniece Ce V ..t Cb QUEENSBURY z91 EL ZVII, C°