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1986-649 = I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date March 3 19 87 This is to certify that work requested to be done as shown by Permit No. 86-649 has been completed. This structure may be occupied as a One-Family Dwelling Lot 15 Queen Diana Lane Location Briarwood Close Subdivision D.E.C. Development Co. Owner By Order Town Board TOWN OF QUEENSBURY - Building & Zoning Inspector ilir • BUILDING PERMIT t TOWN OF QUEENSBURY No. 86-649 /�/J�/)1� WARREN COUNTY, NEW YORK -�' (-)., � .. 3 PERMISSION is hereby granted to D�E. C. Development Co. OWNER of property located at Lot 15 Queen Diana Lane Street, Road or Ave. Briarwood Close Subdivision 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n 1. OWNER'S Address is 184 Dunsbach Rd. Box 451 d m Cohoes, New York 12047 C no 0_ 0 2. CONTRACTOR or BUI LDER'S Name 0 same rt n 0 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name tdr rt 0 H. rt 5. ARCHITECT'S Address rip,rt rt I—' a U, O• ,0 0. C P.: CD CD 6. TYPE of Construction—(Please indicate by X) n-' C F 0 to N• ( A Wood Frame ( 1 Masonry ( )Steel ( ) 0 P3 cn 0 G 7. PLANS and Specifications ai+ r aw r• C No 26'x48' per plot plan, specifications and application submitted H. including sewage system and two-car attached garage. H. 0 8. Proposed Use C One-Family Dwelling o 0 m Ft $5.00 C/O H. $ 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES May 1 1987 k (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C1 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 2nd Day of October 1g 86 H 00 SIGNED BY aJ a, D,a,;,,, for the Town of Queensbury Building and Zoning Inspector t•: 1 TO BE COMPLETED BY BLDG. DEPT. ' c7 // Application No. MINNOF�EiN3BUFRY Jown of Queeniur, Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 rECE11VED Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation '. S � 9 �� Queensbury, New York 12801 Variance No. Site Plan eview No. j F--e-v' , ? 3 - /- ) i / ,�1 APProv 1 1 t`.. 1 8 it l 4I51 A APPLICATION FOR /`:, f 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.. A. The owner of this property is: T) •Z-. C: O -i '1-6 ( , P.O. Address /97 &)/V5h 9C-// i0. r3o 5Z -)/ o( 5, N- y /a647 Tel. p7?5' 06 Property Location: IiVEL—A/ D/,',v4 I / A16 L-d7 •/5 Tax Map No.(�3f/ I / Ip , / Street number or building lot number Subdivision name (if applicable) & i4T'W OOD dC) ' THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : bAUIh E. CN0E-7.ff?-1) 184/ Duosback, 7z6, c61-0A5 t7/ /aalt7 752S-6&.32 Name P.O. Address Tel. No. Name of builder 8,g.0, b6 caPn tLz)(.c8,ijdress / (-/ 6602562d- /:?.6 Q7/045 /2V Tel. r7,1--6--D4239 Name of plumberGfr& ,A'in j Address /30 C2(. 2. / 57- , ,4i/bk,„vy//(, Tel. 94 5- a 5/O5/ Name of mason if)11 &))1C2c Address /Jt /l`cokkP ,A) y Tel. 3 -4/ i/ NATURE OF PROPOSED WORK: * ZONING INFORMATION!(: ,/Construction 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. ,c/4 * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property ///7 ft X o7158 ft. * Existing building(s) Size kg ft X ft. PROPOSED BUILDING AND USE;b * Existing building(s) Use /0-A Size of new structure ft X (Aft * Foundation-pier/slab/crawl/partial/ O' * Proposed building, distance from property line (circle one) *• Front yard ' 5() ft Rear yard ill ft No. of stories (habitable space) �- Height (grade to ridge) O ft. * Side yards 3C7 ft and ,30 . _ ft If residential, no. of families J * If on corner, setback from side street ft No. of rooms(excluding baths) J' S) * OCCUPANCY INFORMATION No. of bedrooms * No. of bathrooms Y * PRIMARY BUILDING - * //One family dwelling Primary heating system /ed:I-i[, * Two family dwelling Type of fuel N JA No. of fireplaces to be installed 0 * Multiple dwelling / Number of units Will a wood stove be installed? A/C, * Permanent occupancy Central Air conditioning? O * Transient occupancy AD * 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 * Cape Cod Cottage Other * ACCESSORY BUILDING- (,--ColoniaT) Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * 6/Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION ad * $,�_ D00, 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, woo me, fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? An Foundation wall material looreo C?Yy 1J2 Thickness g iviCjuu6 Depth of foundation below grade (to bottom of footing 6 7/ . Will there be a cellar? \jQS Heated or unheated? Un loor sq. footag -y, sq ft '!mill there be a basement. Will any portion be used as living space? No (If so, what portion? sq.ft. - - Type of use? Type of roof -,sloped/flat/shed/other Material of roof S1(1,11p6 Size, wood studs a "X L) " spacing 7G length ft. Joists(floor beams) 1st. floor "X " spacing I(" "o.c. span a 6 ft. Joists (floor beams) 2nd. floor oD "X ' spacing )(e, "o.c. span a(, ft. Overlays(ceilingbeams) "X " spacing "o.c. span ft. Roof rafters N (-\ "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing c2y- "o.c. span a(a ft. Exterior wall finish Sioj Of what material? v1N yI Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION: .4{,ems, 7C Is there to be an opening betwdn garage and dwelling? \gyp If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? K1 Height above roof ft. Depth of chimney foundation below grade ri ft. Depth of fireplace hearth I'sJ/J ft. in.Water supply - Municipal or private well M J(llic,( SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties 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 atrue._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. SWORN TO BEFORE ME THIS Signature Owner, owner's agent,arcnitect,contractor day of 19 Notary Public, Warrnii County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: _ to 'l5 TOWN OF QUEENSBURY /NO2JOC7 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 o)C)DO 2 . Type of heatG�� �G 3 . Is the building mechanically cooled? i\L° 4. . Percentage of area of windows and doors 070 A. Over 16% Only., : 1 . U 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 exposed to ambient conditions 2 . R value of exterior walls 3 . R value of glazed area a '6L4 4. R value of doors V Z. 5. R value of floors over unheated spaces la . h, 6. R value of slab edge insulation - unheated slab 5' S 7. R value of slab insulation - heated slab )U— 8.. R value of heated basement/cellar walls (above grade) A)-I4 9. R value of heated basement/cellar walls (below grade) -4 10. Type of insulation J ),-4, y 1 - piDde© C. Controls 1 . Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO a. If YBS,. RovalUe of , duct inPtallation /Q b. R value of duct in other areas E. Piping Insulation 1. Size of hot water or cooling carrying agent pipe iv-4 2 . Rvalue of pipe insulation . /V- F. Service Water Heating 1. Performance efficiency G /b 2. Temperature control setting maximum a09 G. For Swimming Pool Only 1. Maximum heating Telephonb No, Mq5"Ola3 j (applicant ' s signa re) ' awn of Queen3lury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 • Dueensbury, New York 12801 DATE9 / /9 LOCAT ION OF PROPERTY FOR INSTALLATION PDP-Ahupcon el060 fit# 15 OWNER'S NAME ,c_ o &g t Ca , ADDRESS ' L` �DN5 ., L DY 4 J �D�-�je5 N,() , l a-o( -7 TEL`I85-O INSTALLER'S NAME IIUUICh?IQ(��S TEL . 1/' sS�7 Number' of bedrooms_(residential only) Total daily flow(compute @ 150 gal per bedroom) (oO Q Topography: - Rolling - Steep slope -(circle one) % of slope Soil nature: an Loam - Clay — Other - . . Depth /02 ft. Ground' water -At what depth? ,/i1d,C ft. Bed-rock or impervious material - At what depth? 1(44 ft. Percolation test - Not required — Required - -Rate / min-inch. Domestic water supply - Municipal - Well - Other 1,10 (fA f Separation - Watersupply(if well) from Septic absorption .4u1/44 ft. Proposed System:_' Septic tank /bob gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench 3 7 ft. Total system legnth c23b - ft., Seepage pit (s) Number of . Size each ! ft X ft Size of stone to be used f Depth or thickness "j�-b" • •* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, * * 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 DO? ESTIC WATER SUPPLY or shore-line of lake, stream,pond or wet-lands:' Include all dimensions of the system, itself. * * * * * * * * * * * * * * * * * * * . * * * * * *. * * * * * * * *. * * * * 1' hCL'c read the 1''eguiat Ons O7 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 05/86 and/vl • ROOMO Section II 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) locatiorf .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. BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. (TEMP.# I DATES I y)';? - `,. '-7L / CITY OR /��(1 J, /`J-/0 VILLAGE TOWNSHIP L���i� �, -, ;�.�(fi-,t; 1-%' COUNTY (. � � i STREET AND NO.OR ( . /c.: -� f - _ ROAD AND POLE NO. f t}(j r_-(_,: , .--I--' /it' ?..,j::/ :`L) ,,/ 1:'-_:is L.",a,+C POLE NO. BETWEEN WHAT TWO CROSS STREETS IS /_- /_( -`-"�--. ; +. r -- - PREMISES LOCATED? 1_-/-05 �`• l,'7(- in ._ . //71IJ //(-SECTION BLOCK f LOT OCCUPANTS BUILDING - -- •, NAME OCCUPANCY '..�'i '- r':: . . './ /�:,.✓ OWNER'S NAME- _ /`11 .ri�11:-i./:',- /` /Ci' :)— �> AND ADDRESS 7- ` i- - - i TEL.# i CURRENT SUPPLIED _if/ / U FROM THEIR (-) 1 +'i4j,45 i- /�c OFFICE BUILDING / WORK DEFECTS IS NEW❑ OLD❑ IS NEW Q, ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED • No.of Fixtures MOTORS HEATERS CIRCUITS OFFICE USE NUMBER OF OUTLETS Lamp Receptacless ONLY Loca- 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: DO NOT USE THIS SPACE. 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 ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) • STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW El OLD El AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME-AND ADDRESS NAN1 `` - r / y SIGNATURE • APPLE ANT -OF I f_/V• 4" : r •`:,/%" •/!_' �J.-� "OF APPLICANT ' • j r` f , STREET ADDRESS / (/ lJ(�/(1 "���G %' r`L1 TELEPHONE# f 3 ` '- CITY OR /1 _ /,% ZIP J )f -2LICENSE NO. POST OFFICE I. i /'.C_-_ CODE mac: •Uf! WHENAPPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING . .4"-..,_"?..1 ""„Iwp,..) ,i...,.....".?!„�i.a�. "3„.,0, ..1w(.0,.!."..1. ".w,a� .;ln.e. "......i".1 0,".. ,, ,-,. at 1; 4002343 THE NEW YORK BOARD OF FIRE UNDERWRITERS ,, -, BUREAU OF ELECTRICITY !, r 41 STATE STREET.ALBANY,NEW ORK 2207 I fApplication No.on file G Date 1,ray 15 , 1967 A 850 .5 = ElTHIS CERTIFIES THAT _ v only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of . __ 1 DEC Development , Lot 15 , 1 Queen Dian. Lane , Qucenshury, New York in the following location; E Basement 0:1st Fl. D'2nd Fl. outside Section Block Lot ,ij was examined on 5/6/8 7 and found to be in compliance with the requirements of this Board. F, ® FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :ii BJ OUTLETS ECEPTACLES SWITCHES INCANDESCENT-FLUORESCENT MERCURY vA►A AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 'i ' R 2 7 47 28 25 1 3 fr ® DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .! E. AMT. K.W. OIL H.P. GAS H.P. AMT , NO. A.W.G. g AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. OF FEET AMT. WATTS •R E--- ... ....:,..G'.. .J., LD_ • 1 dryer 3# !0 Lo= 1 1_,,.. ✓;41.) K3 SERVICE DISCONNECT NO.OF S " _"E R V I C E AMT. AMP. TYPE METER mu,. 2W ,lr 3W 3,9 3W 3,BI 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG F W.E NO.OF NEUTRALS A.W.G. ®^, EQUIP. PER B OF CC.COND.. OF HI-LEG OF NEUTRAL — 1 200 cb 1 x 4 2 1E: OTHER APPARATUS: o la 1.-gf ci ID 1-smoke detector o— electric heater 3 2. 0 kwK= Ei ® 4 " 1 e 5 kw3 1 .0 kw P_ — 2 . 75 kw Richard jit7ul'tt3 �3 (�� ®_ /+2 3 New ::arncz P.d a IL ':' Albany, New YOrk 12205 BRANCH MANAGER r3. to i; • Per 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. _ it -4,"( -r Y�Y•i� la\--� fe\:.i�f•ie're'w-iieiecie-im-i�Y-iAY faici.eie-iA 'iiciecie\•ie-isvie7., ,.,--�f.i4,.i�C.iA :iA?Yi,rw Yi,Y�1"Ni -ie-A, A, A •,,,,",A,4,",e,4,i�C:A 4,rA. yy f• Y, E..- EE COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. — c / .own of Quc?en3turcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Dfs- LOCATION La/ /3*-- Q � Date2f7— / Permit No. 8 6 -6 y 9 * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing L4R ief Valves i/ . Porches G �r�afG �s 1,-7 ' Z� K 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 I SPECTION\ DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- t(445 Building Inspector 6/86 and-vl _town of QueenAury BUILDING and ZONING DEPARTMENT Bay.and Haviland Road, R.D. 1 Box 98 -Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 0 -c, D T LOp,,64A- LOCATION s-- r £t co CAL Date 067 $7 Permit No. `- ✓ = APPROVED - YES / NO Footing/Pien. Forms Foundation Waterproofing Backfill Framing Roofing Siding d k Masonry Veneer Rough Plumbing Relief Valves Ext. Porches <:ve__ `\,r 1 Finished Floors (94- Interior Trim ©,k Stairs & Railings 0,k Cellar Drain Tile Concrete Floors Plbg. Fixtures (' Gar. Fireproofing Door Closers / Smoke Detectors I \ Chimney i"\. '/INSULATION: LPoundation ).t Floors Walls Ceiling ,` FINAL ELECTRICAL INSPECTION Dag-r,/41 I� DRIVEWAY APPROVAL f/iJ Final Building Survey Next scheduled inspection (call when ready) Remarks- iyl(j4L' 4-(y1,_ge,aX/01- w Building Inspector 6/86 and-vl TOWN OF Q. EENSBURY Building Department Inapectere otepertDate /�l(�/ 4Name Cc. D g-tr6 zd/44A j Location Lo r 6 5 = (pert-GA.l 1) 0.vA- . Permit No. $6 - 6111 Weather Remarks Excat)a ton Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill jFanal Survey raming P`) [i_, Sheathing Roof Felt Roofing Siding ..Masonry Veneer i1 Rough Plbg. /-_ Relief Valves Wall Board Ext. Porches Finished. Floor Interior Trim Stairs & Railings 1///// 1)C(/ Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. 1_�S Septic Approval 6 e_ Floors Insulation Foundation ' Walls 'Ceiling Bu ' ding Inspector REMARKS iil). MC, awn o/ QueenJtury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 1)- - C . Pe() JLLQCAT ION L o 7- /`xi c)(/ e2 P/ 4 P DApa L TE I.7�/1 /1V.9 PERMIT NO. - G `f ci 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 PITS-Number of) Size- ft. X _ ft. Gravel size PIPING: Si Type Bldg. to tank Tank to dist. box _ Dist. box to field/pit Openings sealed? YES --rO artial LOCATION/SEPARATIONS: Foundation to tank Foundation to absorption /Qfts, G O1 Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: -( P/qc d nQ o S /Vl(J5i d o.d[0 'wi4 WM £uJ LL(xi& - 0 13ox1M 88& /rt- SA-M I/,A-T cc9/[ SYSTEM USE APPROVED YES Building Inspe or LEA if r Pe r(0-,U/JO 1-6rs fr-S- 01/86 and vl Q16,(J Art._�r(JSe(-cT7o}f 4 /kd ill) / 'C Ai. q; p ►� Jown of Quen.5ur , BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME E C LOCATION ) Date HI I / 6 Permit No. g * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms Wyoundation i 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 //1 Door Closers Smoke Detectors Chimney INSULATION: / Foundation Floors ,d Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- O'/- oo e4110( Building Inspector 6/86 and-vl oV-1 Jouin o/ Queeraury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME D V U&64/ D 1 A AM )AAA& LOCATION � ) ,(Jxc-wOQ b C o I q� Date / 0,47/�� Permit No. ?�e - �a * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - Y�O Footin /Pier Forms 'oundation 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- Building`Inspector 4 6/86 and-vl • QUEEN D/AWA LANE G" WA rE.CMA,,l — 309.85' TD gPEE //T• o"' ,QV/Ar/OA//ZoA.O sa - 1 ReoPOSED - I. sEiv,466" 'c• (1) caeca-NI 1-/A,ee/NGToN,J.e. , l41 ' OL _ I. s=SPDSA a• 11) ysrFM' E/_/ZA�ET,%i(/•.'A,Q,e/NCTOA. i (5Jc/3 ) L_ - - -- M'M , PRo PO J'E'O 4 fEDRooM • /LEAP ,&EFE,EAICE - 1?0 ry0 OAP OF P,ed ooJ 6 ) J v43- O•i C,Z9�,385 s4•FT ) I D/V/1/OA/F Ll OR )/L G/AM Xasrs-T--cl/,C0 /eNONJN AI ° D3 5R/A,P14V0OD.`Ct o.rE." I° ,D,are-o MA,ZC// .31 /ye/ 9°3F/L EO: JUL y. 7, /9 8/ 'ao41 C - c. /83. 38' _- "WOODLAWA/ p, g,"\ SECT/O.0 • ND: I 3 (DA'EO'9/4/i9c/• 35 I 3G 37 PLOT Pif OF LOT /1IO. 1.5 OF /2 14V OOD C'L.OJI TWI✓OF QUEE/ Bu12y, I•1)r4R,e -Al COOi✓Ty, /UE•w Yo/e SCALE : /" = SO' P7 Mi R 24, /986 JU,eVey .& /14AP- /.Qy CO,eJLr e ReCO,2MACie L/CEA/seD LAA/O st eyEyo,2S cL ENS L L— Am-w y J es F- /9.3/