1986-580 CERTIFICATE OF OCCUPANCY
TOWN-OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date' — Jane 8, 19 88
This is.to, certify that work requested to 'be'done as shown by Permit No. 8 6—5 8O
has been completed. •
This structure m be occupied as a ` One—Family Dwelling
3 Fitzgerald Road, Glen Lake
Location
David John Moon
Owner /
(E) �f � By. Order Town Board
TOWN OF QUEENSBURY
�. ., Building & Zoning Inspector
BUILDING PERMIT
•
TOWN OF QUEENSBURY
No. 86-580
.WARREN COUNTY, NEW YORK =r.
PERMISSION is hereby granted to David John Moon
OWNER of property located at FitzgeraldRoad, Glen Lake Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One-Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and p;
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. c-,
_ o
1. OWNER'S Address is Fitzgerald Road
Glens Falls, NY
2. CONTRACTOR or BUILDER'S Name
Paul Hannah Jr.
3. CONTRACTOR or BUILDER'S Address
323 Ridge St.
Glens Falls, New York }1-4
N
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4. ARCHITECT'S Name -
ri
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a.
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5. ARCHITECT'S Address
a,
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6. TYPE of Construction—(Please indicate by X) r
(x)Wood Frame ( ) Masonry ( )Steel ( 1 •- ro
7. PLANS and Specifications r
No. 26'x64' per plot plan, specifications and application submitted
including sewage system and two-car attached garage o
8. Proposed Use
One-Family Dwelling g
$5.00 C/O )`�- y-° l/
$ 164.00 PERMIT FEE PAID -THIS PERMIT EXPIRES _ April 1 19 7
(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.) Ora
Dated at the Town of Queensbury this 17th Day of September 19 86
-Mad- . . •
SIGNED BY C for the Town of Queensbury
Building and Zoning Inspector / -
�� TO BE COMPLETED BY BLDG. DEPT.
•
Application No.own of Queenilury TOWN ��
Permit Issued 19 p QUEEN.E•BURY
BUILDING and ZONING DEPARTMENT Permit Expires 19 ' ) 0 il V E
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 128Q1 . Variance No. '' Shp 101986
Site Plan Review No. /C� 9 -
/ ,Q,
�/ v /_ A.M. P.M.Approved by: `?I81 1 412)1I2f314t5I6
APPLICATION FOR (4/4"6 L/O JLC
BUILDING AND ZONING PERMIT ,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: Nc (. 1� m \--',sm n0 f
P.O. Address + • Tel. 7�0-�L�
1
Property Location: `I--Fz� 6'ccQk'•� Yna . C \end I1 -5 CV-� Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVIISION OF WORK AS REGARDS BUILDING CODES S
�nV1C\ Y- �Uor"� 2' -F-zcecGlc� Ct, • ferm5 CL//S 6tl-�V 79 LodacY
��5 k(-n r r--) W a 3 R kri P 5-f':,- r I erNs \c�.113 60•V 9 9'.--.4 73
Name P.O. Address ' _ ' Tel. �N7o.•
/ ,
Name of builder l ,y\, «car _�_� Address���� 9♦r�C�t 4. Tel. 19a �7(
Name of plumber Address t Tel.
Name of mason7ct 1 1ar� -,-,,.,-A-,.• _re . Address (3, 3 ' Qtc\Crr , m , C.J.. Tel. 7(i,Q-L/1 rl_
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
XConstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
' Addition to a building * drawn reasonably to scale and attached hereto,
—Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
_Other work (describe) * set-back dimensions from property lines. Give
' * street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. ' * of water supply and location and configuration
* of septic disposal area. .
*
* COMPLETE INFORMATION REQUIRED BELOW. .DL
* Size of property ft X ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: Cat/- * Existing building(s) Use Ne NE 9(
Size of new structure 2(9 ft Xit) f *
Foundation-pier/slab/crawl/partial/41000 * Proposed building, distance from property line
(circle one) * Front yard - 300 + ft Rear yard /o o ft
No, of stories (habitable space) Z * Side yards ta' ft and la-- ft
Height (grade to ridge) 2(�> ft. * If on corner, setback from .side street ft
If residential, no. of families I. .
No. of rooms(excluding baths) . * OCCUPANCY INFORMATION
No. of bedrooms • G� *
No, of bathrooms * PRIMARY BUILDING -
_E`C�I( * X. One family dwelling
1l Primary heating system
A, Type of fuel rep
Two family dwelling
No, of fireplaces to be installed b
* Multiple dwelling / Number of units
Will a wood stove be installed? C) * Permanent occupancy
* Transient occupancy
Central Air conditioning? Business
*
BUILDING STYLE, PRIMARY STRUCTURE *" Industrial
Ranch Contemporary Log cabin * Other.
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow *
Ca e Cod_ Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * tached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ 2 • car
* * * * * * * * * * * * * * * * * * . . -Private storage building
ESTIMATED MARKET VALUE OF * +Other
CONSTRUCTION $'-�;� ( QED
-
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type, of construction, wood frame, fire safe,etc. 'n) CA7 f
Will any second-hand or ungraded lumber be used? If so, for what? V
Foundation wall material C- V LOC Thickness k.
Depth of foundation below grade (to bottom of footing) (-,) .Will there be a cellar?' \C.S Heated or unheated? Floor sq. footage sq ft -
Will there be a basement..} /S- Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped lat/shed/other Material of roof W DoYD t o5vt- ALT'
Size, wood studs "X Co " spacing U,"o.c. length ft.
Joists(floor beams) 1st. floor 2 "X “U" spacing \ lam "o.c. span 1'j ft.
Joists (floor beams) 2nd. floor l "X LC)" spacing V L "o.c. span l3 ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing 'L`{ "o.c. span L') - ft.
Exterior wall finish V \,nl� Of what material?
Interior wall finish ' Srn , cALL. -
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
c5/ Q> C-'l tint—ze��L �1�1�'—(ILCD�L '
Is there to be an opening between garage and dwelling?-v_S If so will a Fire-rated
door, enclosure, and self-closing device be provided? `11,L
Will a flue-lined chimney be installed? V) Height above roof ft.
Depth of chimney foundation below grade - - ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well \-i-42-12--
SEPTIC SYSTEM Distance from ANY private well(including adjoining propertiesWO-t ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
,-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 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 specif'ed or not, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature '61.0
Owner, own 's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By rti
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following:
1. Gross floor area
2 . Type of heat LLL-T ,
3 . Is the building mechanically cooled? p
4 . Percentage of area of windows and doors 1 ..2-
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES , what is the R value?
3. Slab on grade YES NO
a. If YES , what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors expo ed to ambient conditions
2 . R value of exterior walls -` , 1
3 . R value of glazed area 2- 1
4 . R value of doors 1.5 . 1
5. R value of floors over unheated spaces h P
6. R value of slab edge insulation - unheated slab
a
7. R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10. Type of insulation /Mer)4.55
C. Controls
1 . Thermostat maximum heat setting O
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe Si
2 . R value of pipe insulation
F. Service Water Heating
1. Performance efficiency V�v
2. Temperature control setting maximum 1 `-k_(Y
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 66 .2�
applic t ' s signature)
TJown of Queenilury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801 DATE / / y
A6
LOCATION OF PROPERTY FOR INSTALLATION
OWNER' S NAME.----
1// I) k I l V)//1i /1r�o/0
ADDRESS A.f� q'.G-=./c',n ki Ali. C//-:7,):,, /z� TEL �G�'4 lacy-'
INSTALLER' S NAME (3+ '// rir-e-w TEL
Number of bedrooms(residential only) !i
Total daily flow(compute @ 150 gal per bedroom) 6,0 n
VTopography. - Rolling - Steep slope - (circle one) % of slope
Soil nature: Sand - Loam - Clay - Other Depth ft.
round water -At what depth? NI� ft.
l
Bed-rock or impervious material - At what depth? ft.
4ercolation test of required Required - -Rate min-inch.
JP omestic water supply - Municipal -QS - Other
Separation Watersupply(if well) from Septic absorption ft. 6....;,^-,/
Proposed System: Septic tank /C c96 gal. ( Minimun size, 1000 gal. ) "(�
Tile Field - Each trench ft. Total system legnth ft.
✓/Seepage pit(s) Number of 3 . Size each ( -, ft X 6 ft (3i rc5
I)
✓Size of stone to be used # 3 Depth or thickness . 7,,IL ft. ei.-
IMPORTANT! !
On a separate piece of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure,
distance from property lines and from ANY DOMESTIC WATER SUPPLY or
shore-line of lake, stream,pond or wet-lands . Include all dimensions of
the system, itself .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
I .have read the regulations on the reverse side of this sheet and agree
to abide by these and aZZ requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance.
9 . -
Si nature of responsible person _ /
9 P
res on ,-, f_,
Date
05/86 and/vl
•
•
Section II Septic System Inspections:
A. All applicationd for septid .system installation,
alteration or repair,' as required by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina 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 $250.00.
•
•
• C. An approved copy of the plot plan shall he
• available on the construction site. Failure
to produce said plot plan at time of inspection
may result in an immediate work stoppage.
D. Should unforeseen problems-during construction
• prevent proper installation, alteration or •
repair of an approved system, a new, proposal
• must be submitted to the Oueensbury Building
Department before further construction.
MAIN VFICE ATLANTIC-INLAND, INC.
997 McLean Rd. NEW YORK
Cortland,New York 13045
MEMBER OF N.F.P.A.AND LA.E.I.
Phone: (607)753-7 • FIRE UNDERWRITERS 31723
(607)753-7809 809 r
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service) V
(Incorporated in the State of New York)
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below. On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE
THIS SECTION TO B,E}COMPLETED BY APPLICANT DATE OF APPLICATION 7/Of/�f /�/)
CITY,TOWN,VILLAGE 41 v QtA re COUNTY �[Jf PA/ STATE •v •
STREET V/ 4•' ho -sr �
ADDRESS / BUILDG.NO.
RURAL .
DIRECTIONS POLE NO.
OWNER'S AV19V/9 t,`O I
NAME �/� /7/1-�'(/(J/�V// OCCUPIED AS
OCCUPANT �,Z"�� "0Q•" /f BUILDING—Ne/w,,❑Old 0 WORKJI—New A❑lAAddi�tional 0
OWNER'ADDRESS P.O. 5' J ���(- � t��E'Nf � //,�t rl-/ADDRESS ,y, : ,/ /
APP.FOR—ROUGH WIRINGIN 0 FIXTURES IN OR[ r r,I4 AO/ READY FOR INSPECTION 19
FEE REMITTED—$ ,5J i/ii BY CHECK f ASH 0 MONEY ORDER 0 MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
Number of Rough Wiring Outlets Fixtures Add Installation
Swtch Li'tng Recep. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Heat Base Base
Fled Heat/
� ,,.�(
Amp.Service!Z Water HE. Burner Air Cond.
Surface Unit Oven Range Gr.Disp. Dish W.
I Dryer H.P.Pump Ex.Fan Hood
OTHER EQUIPMENT(Specify Type 8 Capacities)
TYPE OF SIZE OF SUB- BRANCHES NO.OF '
WIRING OPEN 0 CONCEALED 0 OTHER MAIN MAIN CIRCUITS
APPLICANTS
SIGNATURE LICENSE# PERMIT#
APPLICANT'S NAME OF
ADDRESS UTILITY
OFFICE TO
CITY STATE ZIP COD BE NOTIFIED
,.=•% ..'' 7 7.` `' . 4•'1#' : 'ISPAC01BELLOW'FQRxUSE OF INSPECTORS ONa-'F °�;t„; r , G ',f;?'' . is-.t ;raw`_•'r
ROUGH WIRING AMP SERVICE K.W.SURFACE
OUTLETS EQUIPMENT UNIT
- SWITCHES (.1 (/ AMP SERVICE •K.W.OVEN
CONDUCTORS
� rr..,_, H.P.GARBAGE
RECEPTACLES. •i D�� H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K.W.
FIXTURES 4 C K.W.DRYER DISHWASHER
MOGUL BASE K.W.WATER
FIXTURES HEATER K.W.RANGE
FLUORESCENT H.P.AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS 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 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE I
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000'
APPARATUS. Elect.Heat �/
MISC.INFO. tanle,�r /A/ratyka Received Inspected ?�/J�- FEE PAID
• 1?D. sti (Y,� ❑PROGRESS TOTAL 3� `?
R.D. Box 60 **DEFECTIVE
Greenwich, 1V.Y, l `7
12834 ❑Rough Wiring Certificate Check No.
1
- ❑Temporary Service Money Order
• ❑FINAL CERTIFICATE • Cash
Mon. -l'ri. 6 - 7:30 A.AI ❑Dup.Cert.Req.
518-692-9295 0 MUNICIPAL
I Charge
MUN.ADDRESS -._, .. -
• .(518) 638-6339. ATTN: %////
44474.‘-)
Temp.Cut-in Card No. Final Cut-in Card No. ,// `'/
Inspector
• AI-01
. .
• . .
' .
•
ATLANTIC-INLAND, INC. - NEW YORK DATE APPLICATION NO.
P.O. Box 701, -,7- / c,./__
Groton Avenue Avenue Plaza, LOCATION—.
Cortland, New York 13045 .,-1-f -
, -,-.:,„,____,....../.-.,:_.....,..........._/-
I Phone (607) 753-7118
CONTRACTOR
OWNER
/ .,ci r".1-
•
TO i/..4.-J.,..7...,., . ...// C6-14-7. , - (—el.-•:.;.--,,.-___
PRESENT AT SITE
•
THE FOLLOWING DEFECTS WERE NOTED:
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COPIES TO APPLICANT ONLY . • •
FIELD REPORT . .
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SIGNED -, z,,-... ,,.. --'.„,,-- -..-1-:.. ,
,.; .---,,____ •
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16 THE NEW YORK BOARD. OF FIRE UNDERWRITERS =r„,
�. BUREAU OF ELECTRICITY o
-4 41 STATE STREET.ALBANY.NEW YORK 12207
June }, 1933 02S5S5���i
i' Pate Application No.on file P
; THIS CERTIFIES THAT A '�' t0I r
I only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
R David Menu Fitzgerald Road, Queen9bury, New York .0-.o
in the following location; :❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot •`y
•; was examined on .r]Ff and found to be in compliance with the requirements of this Board.
is -7 fc>- 'i
t; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '
K I EPTACLES SWITCHES .,
OUTLETS INCANDESCENT.FLUORESCENT "VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
' IN
• ,,A. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
-(' AMT. K.W. Oft H.P. GAS H.P. MAT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS ,.
30
i.nye. :Ii; 1O 2 �a
0 ; SERVICE DISCONNECT NO.OF I hWI S I(I IJ E . R V \rW C E
1., AMT. AMP. TYPE EQUIP. 1,2 2W 1 5 3W 3,i3'3W 3,9'4W NO.OFF C CCOND. OF CC.COND.. NO.OQ1I-- G OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 10
Ft iiC:
1 >C10 CB 7 ... I 4/0 Y 1 2/0
- v OTHER APPARATUS: ,s1�f so
® ?- Sauna E1 tL:ic Roo: I-Ieatc a 2- 2,0 Izw .
I Hot Tub • ,C 3- 1 .25 kw . 1
4- CFCI
7-7
04 i . .C1';:, / .
E-77:. CI , 71( 5P°4 -4.1-•••.• 12..-.7I[.. '
, FI 'ZGFE J D ROAD
P; O1i iN Bti73Y -N r 1.2801 33 BRANCH MANAGER
Z: e<' I:1
MO 4.
Per .t - '' . sor
F �; 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. o
=< i-ie-c 4i Y4?Yifti4Y-i4YY•Y iii-lii'-i4Y-i4Y-i4C-iele-i4Ylei--i4i-iwci Y isi-Isi-iii-iti-i4Y'iii.4-ciai-,SYY4Y-iii aiY-i4Y-i•i-i4Y-ieiTh -iari•Y-i ri4Y*,e-i•eref- ,-ioc,ocr•" 4f7•,-Yenfei'le•i4 dv'e'Ai..
f, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. g
_. r
Jouin o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay a d Haviland Road, R.D. 1 Box 98
/J� O eensbury, New York 12801
�Iv / LDING INSPECTOR ' S REPORT
NAME aU/V-LtJ
LOCATION �Orlitzt /r2d
Date S/3 /' Permit No. c�lo
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing 1
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches I/
Finished Floors
Interior Trim
Stairs & Railings 1�
Cellar Drain Til:
Concrete Floors
Plbg. Fixtures
Gar. Fireprooring
Door Closers
Smoke Detectors 1/
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELEC RICAL INSPECTION ON
DRIVEWAY AP° 'OVAL
Final Buildin: Survey
Next scheduled inspection (call when r6ady)
Remarks- (9t f�� '.: ;-tc.e/e/mac.
//V '
1
BuYldin4\ C rit"dtor
6/86 and-vl
Jown of Queen.ibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ve //lc ��A
LOCATION /
G 6 £t f t/L!SIC
Date 0/ 8 7 Permit No. ig 6 560
* * * * * * * * * * * * * * * * * * * * * * *
✓ APPROVED d S / NO
f1Rooting/Pier Forms 9RA/1- - 6,�
oundation
Waterproofing
Backfill • i
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing,
Cellar Drain Tire
Concrete Floor .
Plbg. Fixture,:
Gar. Fireprofing
Door Closer;
Smoke .Detec.,ors
Chimney
INSULATION
Foundation •
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
B i ding Inspector
6/86 and-vl
)114
Yelk 1-0 sown of Queeniturcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
61 Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Dcto j h10 ti
LOCATION
Date /r2_5-/ Permit No. (p - -8G
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing (l e', !. o P Cl a i 01 .43; /I U•
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings d
Cellar Drain Tile 1,
Concrete Floors jj
Plbg. Fixtures
Gar. Fireproofing /
Door Closers
Smoke Detectors
q Ch'mney
IION:
Foundation
F)oors
a 11 s f 637:tryL [9,p.
t-eeiling ✓ /k
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
t9' awn of Queeniur ,
in- BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION F; �-� arct/ et Nu
IN id. Pim
Date Permit No. Vn
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer `
)(Rough Plumbing Cl to,
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
\\\,/\ 1\
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTIO
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
��� - exiot
,e,
rfe
(J04!)
Building Inspector
6/86 and-vl
` ,`L`` e.�( 2, (1L-ed (?(aj �2-. Ti4,,
awn o/ Q ec n a t ur f,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York'12801
SEPTIC DISPOSAL SYSTEM INSPECTION
• /
NAME �C (X M All
LOCATION fn ZA <3 d 01 / / ,-
DATE f l/�3 PERMIT NO. ?1,"c5�9 /
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption 'eld, total le •th
Length of eaci trench
Depth of trenc es •
-
Size of gravel •
SEEPAGE S4N ' .er of
Size- .5 ft. X _A 4-` ,_
Gravel size
PIPING: Si Type .
Bldg. to tank e ,{"
Tank to dist. bo
Dist. box to fi= d/•: r •®'
Openings seale.. NO Partial
LOCATION/SEPA' ,TIONS:
fi
Foundation to tank 'J ft.
Foundation . absorption' V Jft.
Absorption o lot line ft. _
Separation of pits ! ft.
:a►,TII •, SYSTEM ON PROPERT`, (circle one)
Front R••ar - Left side R .
74.1-/
gg t side -
oirri
0
1
SYSTEM USE APPROVED ES,
e
Buildi g Inspector
01/86 and vl
awn of QuQen3tur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME I ci A e I41,01 ,
LOCATION n,,/,:ktece„„ext Al
Date /( ,, / go Permit No. d 6- 6-86
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Gpackfill 6trL p,r
►gaming (?,
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors \, /4
Interior Trim
Stairs & Railings /
Cellar Drain Tile /
Concrete Floors �/
Plbg. Fixtures i`
Gar. Fireproofing
Door Closers /
Smoke Detectors /
Chimney
INSULATION:
Foundation /
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
W116
Building Inspector
6/86 and-vl
Down o/ Queen iur4
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPE TORS REPORT
NAME I49i ) ioe aibLY
L O C A T ION i l t e/f� ) px�
Date J /_ /0/ emit No. l��i
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation f eq,
Waterproofing '\
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- E7rOst 4-b( cctJ'L 6e,Q 06
e/4))076
Building Inspector
6/86 and-vl
_Jown of Queens&4ur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION fl;/,,,0`,
Dateq / tCe Permit No. 26
* * * * * *. * * * * * * * * * * * * * * * * *
✓�= APPROVED - YES NO
,oting/Pier Forms / MA42 . 5Q
Foundation
Waterproofing •
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing °.
Relief Valves
Ext. Porches
Finished Floors •
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - _ _ 0 z'
ea
fiv
r
6011/43
Building Inspector
6/86 and-vl
A4
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