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90-747
4 } « ~ s CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date February 25 19 91 This is to certify that work requested to be done as shown by Permit No. 90-747 has been completed. This structure may be occupied as a restaurant, 99 Quaker Road Location Owner LATHAM CIRCLE ASSfC T ATFS/flwnp r THE EMBERS RESTAURANT/Tenant By Order Town Board TOWN OF QUEENSBURY c--,2-' )20];452 Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 90-747 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to THE EMBERS RESTAURANT 00 OWNER of property located at 99 Quaker Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a interior alterations 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 LATHAM CIRCLE ASSOC Latham Circle Mall Latham NY 12110 —+ 2. CONTRACTOR or BUILDER'S Name m BRIAN FITZPATRICK 3. CONTRACTOR or BUILDER'S Address m —I 4. ARCHITECT'S Name n 5. ARCHITECT'S Address • tO 6. TYPE of Construction—(Please indicate by X) 'o 3 ( )Wood Frame ( )Masonry ( )Steel ( ) BCD 7. PLANS and Specifications 0 a No. 3200 sq ft Interior alterations as per plot plan, specifications and application including septic system. 8. Proposed Use Restaurant 160.00 November 7 91 $ PERMIT FEE PAID—THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the c+ town of Queensbury before the expiration date.) O Dated at the Town of Queensbury this 7th Day of N v mber 19 90 Q, SIGNED BY e for the Town of Queensbury Building and Zoning Inspector Q' c+ O s OF QUEENSBURY REVIEWED BY m rf " FEE PAID $ )W) — 11.41rZyPERMIT NO. 9 OCT ? 1990 BUILDING PERMIT APPLICATION 0 'oral: , YDG. • A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS LL 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. • • • • • • • • • • • • • * « • • * * * « * • • * • • • * • • • • • • • * • • • • he owner of this property is: T "/77 e/,ed %j5Oc/,iTe5 "i- /174,,,,S -De'VE GY 2E /V t J,e.Gv.c4 .red .O. Address •�9TA/f7H7 ('i2cF /7/P1i Tel. 7 ,L,33 roperty Location Weillaie fop Tax Map No. =l l l j as there been any split of this property since October 1, 1988? __/+ yes Planning Board Review is necessary. yes no JBDIVISION NAME, IF APPLICABLE LOT NO. NE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: &2;n,/ Zpirri2IcK ?#7 - 'i'7 2 7 . • itTURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF • Construction of a new building • CONSTRUCTION: $ en1 • COMPLETE INFORMATION REQUIRED BELOW: Addition to a building • Size of property ft x ----ft. Alteration to a building ; * Existing Buildings(3) Size ft. x ft. (no change to exterior dimensions) a Proposed building - distance from property line: Other work (Describe) • Front yard ft. Rear yard ft. * Side yards ft. and ft. • If on corner, setback from side street ft. IOSS AREA OF PROPOSED STRUCTURE • 1st Floor 30.0 •sq. ft. 3 OCCUPANCY INFORMATION • 2nd Floor sq. ft. • • Primary Building - Other Floors sq. ft. • One Family Dwelling (not cellar or basement) • _Two Family Dwelling )TAL FLOOR AREA 32,00 sq. ft. • ___Multiple Dwelling/Number of units_,__ • %� Business me of new structure f t x ft. • _Industrial undation-pier 1r/crawl/partial/full • Other (circ a one) • i. of stories (habitable space) / • tight (grade to ridge) ft. • If addition, what will use be! residential, no. of families • k of rooms(excluding baths) 2 • AccessoryBuilding ng '' of bedrooms `' • ___Detached Garage ONE/TWO Car ). of bathrooms ------- • unary heating system • ----- Attached Garage ONE1TWO Car ►pe of fuel • _____Private storage building • ). of fireplaces to be installed ____Other Ill a wood stove be installed 77— • • antral Air conditioning 1!6 / OV• ER 10414 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, - etc. /KP4.1 57r1v5 Yg G 0.5T1it di,,ke.ea,P.o Will any second-hand or upgraded lumber be used? If so, for what? 0 Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Nill there be a cellar? WO Heated or unheated? Floor sq. footage 32X.' sq ft. NiII there be a basement? Ak Will any portion be used as living space? If so, what portion? sq ft. Type of use? "ype of roof - slope• shed/other Material of roof iize, wood studs ."x " spacing " o.c. length ft. 'oists (floor beams) 1st floor ____"x " spacing "o.c. span ft. 'oist (floor beams) 2nd floor "x " spacing "o.c. span ft. )verlays (ceiling beams) "x " spacing " o.c. span ft. roof rafters "x " spacing o.c. span ft. Loot trusses (pre-engineered) spacing" o.c. span ft. ,xterior wall finish of what material? lterior wall finish a garage is to be attached, describe materials to be used for FIRE SEPARATION: there to he an opening between garage and dwelling? If so will a Fire-rated door, enclosure, elf-closing device be provided? rill a flue-lined chimney be installed? Height above roof ft. epth of chimney foundation below grade ft. lepth of fireplace hearth ft. in..- later supply - Municipal or private well Altidie1/8146. EPTIC SYSTEM Distance from ANY private well (including adjoining properties ft. k separate application is necessary for any repair or new installation of septic system) kk lam/r A-7721a- ��; ►ME OF BUILDER - KO�rt4 / ADDRESS /6 re £ +ø4RcITEL. NO. 77e-l4960 1ME OF PLUMBER5,941t(4eak J ADDRESS 69.46 00 TEL. NO.744 - 270 ME OF MASON A4'V4- ADDRESS TEL. NO. ---- ME OF ELECTRICIAN-50/68`-4die ADDRESS 9A/3 ikarr TEL. NO. 79 527d DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the ns and specifications submitted, are a true and complete statement of all proposed work to be dote on described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and other laws pertaining to the proposed work shall be complied with, whether specified or not, and that !h work is authorized by the owner. Signature: • ne , ow `agent, architect, contractor ECIAL CONDITIONS OF THE PERMIT: BY ,�,�,,, TOWN OF QUEENSBURY `i cej APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE: /5 , �-.�' LOCATION' OF ROPERTY FOR INSTALLATION 99 29t,� i2 . Owner's Name: T ,: r\ ism Address: i Installer' s Name: L � 6x2r,e4;c7z0-›,_ _ rt ..Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: Circle one: Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Ground Water: At what depth? t ,,,llL,/ Feet Bedrock or Impervious Material : At what depth? L/ t'krrze,,c.( Feet Percolation test: Circle one: not required required Rate - l Min. Per Inch Domestic water supply: Circle one: Munici Well Other If domestic water supply is a well : Separation: Water supply from any septic absorption feet. 6e-g-d Ted/ PROPOSED SYSTEM: li1,) gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench /9 feet/Total system length feet SEEPAGE PIT(S): Number of /(i /Size each feet by feet Size of stone to be used #. di /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 an approved agency. I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Tower of 'ueensbury Sanitary Sewage Disposal Ordinance. /____-_____ SIGNATURE OF RESPONSIBLE PERSON: % ',ig DATE: d Z ELEC.1 KIUAL INbrtt;I IVN, DUPLICATE MUNICIPAL RECORD Permit No. 7�/ Owner CrK, e1`, �C.:e 5-7-- Occupant r_ Location ___(� k" JE Nor n ::::t Installation as itemized on reverse side has been visually inspected pursuant to applicabl codes. Installed by No. Date _/_ e 3 ! `P Inspecto MIDDLE DEPARTMENT INSPECTION AGENCY IN ROUGH WIRING OUTLETS H.P.AIR CONDITIONER OUTLETS WIRING &CONTROLS FOR BURNER RECEPTACLES H.P.PUMP FIXTURES K.W.OVEN AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT AMP.SERVICE CONDUCTORS K.W. DISHWASHER K.W.SURFACE UNIT K.W. DRYER K.W. RANGE AMP. RECEPTACLE K.W.WATER HEATER FRAC. H.P.VENT FANS RS H.P. 1/20 1/12 1/10'/a %a '/4 '/t '/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 1 NUMBER CH SIZE ARATUS TOWN OF QUEENSBURY 531 BAY ROAD Aft 4 QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT - FINAL INSPECTION tEQUEST FOR INSPECTION RECEIVED i 1AME gin SeS- v _OCATION 9 t)c ey CE3 )ATE ,y// 9 / PERMIT# 90 -- 2117 FYPE OF STRUCTURE tECHECK cyNe t\ / _FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING FINAL ELECTRICAL SEPTIC - INSULATION WOODSTOVE/FIREPLACE - 2EMARKS APPROVAL i N/A YES NO :HIMNEY HEIGHT/LOCATION t VENT/LOCATION 'LUMBING VENT tOOFING TIDING ` )ECK/PORCH/STEPS/RAILINGS , s tELIEF VALVES 'URNACE/HOT WATER OPERATI O ;NTERIOR TRIM/PRIVACY DOO 'INISH FLOORS: BATH/KITCHEN WATERTIGHT 1/- OTHER FLOORS SWEEPABL OTHER FLOORS CARPETED,; ;TAIR CLEARANCE/RAILINGS ;MOKE DETECTORS IOOR CLOSERS IATHROOM FANS ALL PLUMBING FIXTURES OPERATING IMAGE FIRE PROOFING IOOR CLOSERS ITHER FIRE SEPARATION 'IRE/DEMISE WALLS 'INAL ELECTRICAL IK TO ISSUE C/O OR C/C (/� OMMENTS: K 41id_ fee* cP---,7 \(oce_Y RRIVE /. -5 'EPART (9'65 ` TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION ECEIVED NAME jaki4 1 d.22 4. LOCATION % � &1./ DATE III l/Q/ PERMIT # G)-/ APP('2 /jU.�/�'ll/4� 1 /YES RONOj FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APP OVAL ROUGH PLUMBI FRAMING ELECTRICAL ROU H-IN INSULATION: FOUNDATION FLOORS / WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT j ROOFING f' SIDING � ' EXTERNAL PORC ES/STPS STAIRS-CLEA NCE & ILS PLUMBING FI TURES/RE IEF VALVE INTERIOR T IM/PRIVACj DOORS FINISHED LOORS GARAGE IREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPE ION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: _ ii A-L ZJ 144-5 Artt/rea- i ti ( '6/46 0, kRRIVE l f 0 WART TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS '� QUEENSBURY, NEW YORK 12801- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ),,y,.) " NAME L^ Q / LOCATION vC(k C v �G DATE I /J/ PERMIT # 96 -' L/7 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: { FOUNDATION r' FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANC$ & RAIZS PLUMBING FIXTURES/RELI$F VALVE INTERIOR TRIM/'PRIVACY DOORS FINISHED FLOORS v� L`"FIREPZOOFING i/ DOOR CLOSERS) i./*- SMOKE DETEC,`TORS t/" FINAL ELECTR1TCAL INSPECTION FINAL APPROVAL OF CONSTRUCTION )K TO ISSU$ C/O OR C/C 4 SIGNED 'ERTIFICATE OF OCCUPANCY MUST BE DBTAINED,`FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!• REMARKS: DRIVE Ii ' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /,, /9'' ��s 7 NAME `' _Zie4a,61_46 LOCATION Py' e DATE /,,�,,el./ r% PERMIT # ji; - 74 7 APPROVEI YES NO FOOTING/PIERS MONOLITHIC POUR, FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN �£ INSULATION: FOUNDATION FLOORS ‘•, WALLS 0 CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING r SIDING EXTERNAL PORCHES/ST S STAIRS-CLEARANCE & ILS PLUMBING FIXTURES/ ELIEF CALVE INTERIOR TRIM/PRI ACY DOO4 FINISHED FLOORS GARAGE FIREPROO NG DOOR CLOSER(S) SMOKE DETECTOR T. FINAL ELECTRICA INSPECTION FINAL APPROVAL ;OF CONSTRUCTION; 9 OK TO ISSUE vio OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ,/es,D �r AJ Row c �C -.7 URRIVE )EPART TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /rj. J Cj NAME 6 Ii1`)�1T 5 cR€ S4,!,,--.iti.. LOCATION C 9 (:p2 )kE;v DATE i s / I PERMIT # � 7 7 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING & - 4-00 FRAMING ELECTRICAL ROUGH-IN • • /: INSULATION: 1 FOUNDATION II FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT _ ROOFING SIDING EXTERNAL PORC S/:STEPS . STAIRS-CLEA' CE cc RAILS PLUMBING FI URES/tRELIEF VALVE INTERIOR T'' M/PRIVACY DOORS FINISHED *ORS GARAGE F EPROOFING DOOR C ER(S) e SMOKE DETECTORS FINAL EL CTRICAL INSPECTION . . FINAL A PROVAL OF CONSTRUCTION )K TO SUE C/O OR CPC 1 SIG ED CERTIFICATE.OF OCCUPANCY MUST BE )BTAI ED FROM THE BUILDING DEPARTMENT BEFORE F'HES PREMISES ARE OCCUPIED! 217 RKS:0 ' ©O bQN 0 -S 0 IL krr /00-1-- tRIVE 1 3 6---- )///(A-- /-- 3PART / : 14 1.--- it----6- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ,(Z QUEENSBURY, NEW YORK 1280C- L TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED / /q ) NAME G fi/)&iink,e ttc. LOCATION 7 ,C GIIAJ a_ DATE 7 /1/ 9&' PERMIT # 9'9- 77 APPROVED YES NO FO TI G/PIERS 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 & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS q GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS { FINAL ELECTRICAL INSPEC ION ?INAL APPROVAL OF CONS2UCTION )K TO ISSUE C/O OR C/C SIGNED CERTIFICATE fF OCCUPANCY MUST BB )STAINED FROM THE BUDDING DEPARTMENT BEFORE !'HESE PREMISES ARE OCCUPIED! A ZEMARKS: ezi.xseti) Lei late"'s (1/ 7irita:/ 7/:-P:211) /e. la4‘12-pl, AWEd17% ;/Y,r e/ot?,e4J/VN;'dy tRIVE ( 17 �APART 441n fr1/14744-- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED e) NAME LOCATION ,, $ , DATE ,i /i f I ii/e) PERMIT # 747 PPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING L nem& 34-to4l ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION )K TO ISSUE C/O OR C/C SIGNED CERTIFICATE OF OCCUPANCY MUST BE )BTAINED FROM THE BUILDING DEPARTMENT BEFORE i'HESE PREMISES ARE OCCUPIED! REMARKS: U P41-41641,00 (// tin-a-3 0-AIL'4 57-Act& Vi9vr 2RIVE l;5,0 3PART / 0 2O v (A/ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT „e7 BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED f.1/� U NAME A(-/(2 --�' LOCATION 79 DATE 0 /161 PERMIT # 5O 747 APPROVEI YES NO FOOTING/PIERS 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 & RAIL PLUMBING FIXTURES/RELIE VALVE INTERIOR TRIM/PRIVACY D RS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTIO FINAL APPROVAL OF CONSTRUC ION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OC PANCY MUST BE OBTAINED FROM THE BUILDING EPARTMENT BEFORE THESE PREMISES ARE OCCUPIED REMARKS: ►RRIVE CIO AL)):Al DEPART (3 6 . ocun of Queenaurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 1-4rickeko6LP-a_Lad,4--1---) r LOCATION (7/V ‘ /,�0�- A- l'a...,' DATE 1/ /4 / (A) PERMIT NO. 90 IV? 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 Size of gravel_ SEEPAGE P ITS4Number cif) _ _ Size- ft. X ft. Gravel size E PIPING: ' ,` Size Type Bldg. to tank Tank to dist. box / Dist. box to field/pit Openings sealed? YES 140 Partial D f LOCATION/SEPARATIONSv / Foundation to tank ' 1 ft. Foundation to absorptin ft. Absorption to lot lilt ft. Separation of pits ,1 ft. LOCATION OF SYSTEM N PROPERTY(circle one) Front - Rear - Lef side - Right side - COMMENTS: .I F P 1 -L. ' _ J 04\ SYSTEM USE APPROVED YES NO Build g Inspect 01/86 and vl _Town of Queenabury 413q BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION i�� ,; � � NAME �l'1 3.. 1A Vt:e.. ,L1A A'i1 ') LOCATION aim Pa.,/ DATE i q/ ` o PERMIT/NO. qO ��l F - SOIL TYPE - Sand - Loam - Clay - Percolation Test Recired? YES - O Percolation rate - Mn/Inch _ i • TYPE of SYSTEM: Absorption field, total lengti Length of each trench Depth of trenches Size of gravel J' SEEPAGE P ITS4Number of) -_/1 Size- ft. X __ ft. I Gravel size PIPING: I yl ize Type Bldg. to tank Tank to dist. box Dist. box to field . Openings sealed? ES) NO Partial LOCATION/SEFARATI : Foundation to to i ft. Foundation to ab orjtion ft. Absorption to 1 t lne ft. Separation of its 1 ft. LOCATION OF S TEM C3• PROPERTY(circle one) Front - Rear Left tide - Right side - COMMENTS: i ju -i---fi-t ibn C, ,!2_,Ns.L__.-k-1, /N-10 , ,_._ -„,, ..... ._______,........._._, kitALIPLor LAkJ Prl----Q vi 17-1 SYSTEM USE APPROVED YES NO Building ns ector L d vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED l��9 yG NAME AoLe'ti ,(. .,,xtiviz,li.,/- LOCATION 7 7 da ,- DATE /7/0e) PERMIT # 0 - 7g7 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING X FRAMING ELECTRICAL ROUGH-IN 1 INSULATION: FOUNDATION f FLOORS. // WALLS CEILING ii . FINAL INSPECTION: CHIMNEY HEIGHT I° ROOFING r SIDING T EXTERNAL PORCHES/STEP STAIRS-CLEARANCE & S PLUMBING FIXTURES/RE I7F VALVE INTERIOR TRIM/PRIVAY DOORS FINISHED FLOORS i GARAGE FIREPROOFI G DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL NSPECTIO - FINAL APPROVAL O CONSTRUCTION DK TO ISSUE C/O OR C/C A SIGNED CERTI ICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISE ARE OCCUPIED! I REMARKS: 0 AZT. ,i i U N0 L RRIVE 9,.?'3J EPART /a:(