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1986-780 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK _ • Date May 28 19 87 )1q0k , Lfr This is to certify that work requested to be done as shown by Permit No. 86-780 has been completed. This structure may be occupied as a One—Family Dwelling Location Birch Road Glen Lake Owner Roy Tonnesen By Order Town Board TOWN OF QUEENSBURY . • Building & Zoning Inspector , - - 4-- • -• • .,-: -... ., ,.. , „ . 1: A 11 ,F TEMPORARY . . li CERTIFICATE OF OCCUPANCY , • :, TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 1 , il Date Anvil R , t This1 is to, w certify that i ork requested to be done as shown by Permit No. 86-780 has been completed: This structure may be: occupied as a OneFamily Dwelling Birch Road/Glen Lake Location . Owner :i Roy Tonnesen. TEMPORARY CERTIFICATE OF OCCUPANCY 30 DAYS .; By Order Town Board . TOWN OF QUEENSBURY ! '-: , •,;.----2 ( )-- , - i...., ,. _..... Building & Zoning Inspector 1.-....4 • BUILDING PERMIT TOWN OF QUEENSBURY No 86-780 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Roy Tonnesen OWNER of property located at Birch Road/Glen Lake Street, Road or Ave. y in the Town of Queensbury,To Construct or place a One—Family Dwelling ro at the above location in acco'rdance to application together with plot plans and other information hereto filed and m approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is j RR #1 Box 1933 Lake George, New York 12845 2. CONTRACTOR or BUILDER'S Name Hilltop Construction 3. CONTRACTOR or BUILDER'S Address bd RD #1 Box 308A Hudson Falls, New_York 4. ARCHITECT'S Name 0 p I- to 5. ARCHITECT'S Address 0 w 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame .1 ) Masonry ( 1 Steel ( ) , 7. PLANS and Specifications No. 66'x40' per plot plan, specifications and application submitted including two—car attached garage and sewage system. I 8. Proposed Use One—Family Dwelling $5.00 C/O ty 262.00 $ PERMIT FEE PAID—THIS PERMIT EXPIRES June 1 19 87 1-` I- (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.) pq Dated at the Town of Queensbury this 7th Day of November 19 86 SIGNED BY U, for the Town of Queensbury cT✓I Building and Zoni g Inspector • i TO BE COMPLETED BY BLDG. DEPT. 1 Application No. + W Off`QLI E �Se Jr '' I own of Queenibury Permit Issued 19 HECE II V E - BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.O. 1 BOA .' 1 - Zoning Designation T L Oueensbury, New York 12801 Variance No. ' r�� 6 !� � C . Site Plan Review No.' . AAf. ��i M. • Approved by: APPLICATION FOR 1,t7 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/n� propertyn is: //ic.-. /�/5', �?Q/ �17OE'561/IJ P.O. Address X1J / (4 ' /91-) i��e_ ' eorc , /2a /7, ( Tel. Va? . /✓�3 Property Location: A/€cJ (OOc/ X. t.'te Ceor6e /fa Tax Map No. 3 9/ J /L8"1 Street number or buil/ding lot number / Subdivision name (if applicable) • THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: /,/t p ao/),5/-, /? / 8oX //o?/9 M dd,9 AG//, /L /;.?V f91- 932? Name P.O. Address Tel. No. Name of builder 4401 irr up Address Tel. Name of plumber H 't )Address • Tel. Name of mason H i1 +pf Address Tel. 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. * * COMPLETE INFORMATION REQUIRED BELOW. •' * Size of property L39/ ft X (2�0 ft. * Existing building(s) Size ft X , ft. • PROPOSED BUILDING AND USE: * NON E* Existing building(s) 'Use /1)O/4JE Size of new structure et4 ft X //at * . ' . . . ' Foundation-pier/slab/crawl/partial , * Proposed building, distance from property line (circle one) Front No. of stories (habitable space) a * yard / s ft Rear yard �J`�,j ft Height,. (grade to ridge) 3. ft. * Side yards //per ft and //03 ft If residential, no. of families / * If on corner, setback from side street ft No. of rooms(excluding baths)_ 9 * OCCUPANCY INFORMATION No. of bedrooms IA . * " No. of bathrooms ,2% * PRIMARY BUILDING - Primary heating system ;eb-}{�ermo ]( One family dwelling Type of fuel NalttUM,�_Two family dwelling No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? Al d * X Permanent occupancy Central Air conditioning? ' ye,5 * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporar Log cabin *" Other ' Raised ranch Mansion Duplex ;* If addition, what will use be? Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * ' Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * 1` Attached garage/one car/ ' wo c. car * * * * * * * * * * • * * * * * * * * " Private storage building ESTIMATED MARKET VALUE OF * Other " CONSTRUCTION /'a * —' $ -7 DUO, - • INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/8r, ma-v.l BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. . ja d 47)27/72E Will any second-hand or ungraded lumber be used? If so, for what? NO . ,y P 6 Foundation wall material pDU/e 601/(Te/Tl-iickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? yes Heated or unheated? heafed Floor sq. footage C3SOO sq ft `*0z- Will there be a basement? Will any portion be used as living space?p--g (If so, what portion? sq.ft. - - Type of use? • Type of roof - 1lope3/flat/shed/other Material. of r of /f-`j/) /-1'- .Sh,Nc a k5 Size, wood studs ,4 "X 4, " spacing J4 "o.c. length ' ft. JI Joists(floor beams) 1st. floor /. "X .a spacing/4.- "o.c. span/6 ft. 6 1' J Joists (floor beams) 2nd. floor „j "X /R " spacing /0 "o.c. span /(p ft. Z, '/ Overlays(ceiling beams) "X / " spacing )4 "o.c. span AV ft. Roof rafters o7 "X J spacing /' o.c. span 021 ft. • Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish dec/Op el/a /���� Of what material? Interior wall finish 0,hee -,'aock // If a garage is to be attached, describe map erials to be used for FIRE SEPARATION: F/2eco e- , 5�iy���C,GYk Is there to be an opening between garage and dwelling? y(�S If so will a Fire-rated door, enclosure, and self-closing device be provided? e S Will a flue-lined chimney be installed? )e 5 Height abd ve roof ,, ft. Depth of chimney foundation below grade 4/ ft. Depth of fireplace hearth ft. /Yin. Water supply - Municipal or private well Gve/I SEPTIC SYSTEM Distance from ANY private well(including adjoining properties /M ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren AFFIDAVIT STATE OF NEW YORK 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 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, Warren County, N.Y. SPECIAL CONDITIONS OF THE PERMIT: • By . .. .. .. i ....... _ ,YYY•, Yk1^�IOi1� +.+ua.••r.- TOWN OF QUEENSbURY eSel • • •-.[ . WARREN COUNTY , NEW YORK • Application for ; BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK ' u STATE ENERGY . CONSERVATION CODE . A permit must be obtained before beginning work. • • ANSWER ALL of the followings 1 . Gross floor area 357`/ 0.. 2 . Type of heat 6eO74 e,91,4'1— u€4.7 Pci,r7 A ... 3 . Is the building mechanically cooled? ty9_ S '' 2 4 . Percentage of area of. windows and doors • . /9 O A . Over 16t ' Only 1 . k value of gross area of walls , roof/ceiling and floors exposed to ambient conditions i,S/,4L.(Jr 2 Z 2 j%Ldi7 C1 I, si /e3• . _A yes (Q ,rl £ gv • 2 . Floor over heated spaces YES NO a. Ara foundation walls insulated? I) . NO • 1 . If YES , what is the A value? .2 / a 3 . Slab :on grade YES a. If YES, what is the R value of insulation around perimeter of floor? d • 4 . Is basement heated? 410 NO a. R value of insulation 5. Type of insulation TA-//j,4, 60 ...e--c� 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 - . 4 . R value of doors _ 5. R value of floors over heated spaces 6. R value of slab edge insulation - - unheated slab 7 . R value of slab insulation - heated slab T 8 . R value of heated' basement/cellar walls (above grade) ______ 9 . R value of heated basement/cellar walls (below grade) 10. Type. of insulation C. Controls' • • 1 . Thermostat maximum heat setting 7 c D . Duct Systems 1 . Is duct system installed in unheated spaces? YES a. If YES , R value of duct installation . b. R value of duct in other areas - E . Piping Insulation ��� yI • 1 . Size of hot wateror cooling carrying agent pipe 2 . R value of pipe insulation dt/V/9 F. Service Water Heating 1 . Perfor`mance. efficiency. . 64 _ . 2 . Temperature control setting maximum /,/p o . G . For Swimming Pool Onlys'7 '.M ' 1 . Maximum heating _;F--- , / O/�� Tr 1 cphone.. No. /79, .95 ). • 1 •� y (a,pplicant ' s signature) 1 cc�� -own of Queeniburj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner s Name fl)P. � rYl(I_�,c, Roc-1 Joni ecen Tel. 79 ,",33 � Address (r) j lox `- (933 kaI Ceof 'e J fli.y . /r?F�L5" Person/Firm installing system. ,///7bp OOY3 ?' I Number of bedrooms (residential only) 'y Total daily flow: (compute @ 150 gal.per bedroom per day)_/?00 Topography: flat -(colli)- steep - (circle one) Degree of slope /o % Nature of soils: sand-loam-clay- other- Depth ft. Ground water-- at what depth? ft. Bedrock or impervious material--at what depth? /70 ft. Percolation Test - Not required / Required -Rate min/inch. Domestic Water Supply - Municipal CP - Other IMPORTANT ! On a separate piece of paper , submit a diagram of the proposed septic system with all dimensions; including distance from any structure, distance from property lines and distances from any domestic water supply or shore-line of lake, stream, pond on wetlands. Include all dimensions of the system itself. Description of proposed system: Septic tank size /000 gal. Tile field- Length of each trench SO ft. Total field 5-0 ft. Size of stone # o:\9. Seepage Pit (s) Number / Size ftX ft. Size of stone# Any contractor, corporation, individual,Etc. , engaged in the construction of a Sanitary Sewage Disposal System, who covers the same before inspection, does not have an approved Permit, or varies from the approved application, will be subject to a Penalty of $250 as provided;far in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. Signature of Applicant Date 01/86 and/vl _ tt t BUILDING DEPT.COPY OF APPL''ICATION FORM 46—EL.NEW YORK BOARD OF FIRE UNDERWRITERS. , ' FILE THISCOPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR VILLAGE 4 TOWNSHIP ' ';l ;., ;%')/(;,-', / COUNTY ;',t,lff!I'•i-" '+rl STREET AND NO.OR 1 • I ROAD AND POLE NO. I-)1 i7, 'f'�. -;;/',.Yz,,ri POLE NO. BETWEEN WHAT TWO ' .. CROSS STREETS IS i. PREMISES LOCATED? e.:f-' ; . ) II y-.i'1 - .i .. I i ' SECTION BLOCK - LOT OCCUPANTS ;I ' BUILDING NAME ' ' OCCUPANCY - OWNER'S NAME - ' AND ADDRESS 'yrj;5 tztt.. f„,,.tl i 1` i; r' .; CURRENT :...'II SUPPLIED t` - ' i� i� i" j OFFICE BY i .11i-.. _ �i fi ",.. .i‘Y�ri 'V` '( i i I ) - _I FROM THEIR ,, , i g DEFECTS SBUILDING WNEW OLD❑ REMODELED ❑ IS NEW ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NCH NUMBER OF OUTLETS LamafRece tacles CIRCUITS pii p MOTORS HEATERS NUMBER OF LAMPS Loca- tion Side Attach't II H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge I F M.V. Out- • it side i Sub- ,I base `; Base- - el ment 1st FI. ; I ' 2ndFl. ' u 3rd Fl. • ., I 1 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 I, FEEDERS LAMPS WATTS CHARACTER •j EXPOSED GAS TUBE SIGN OF WORK ;I CONCEALED TRANSFORMERS OF _ VA WORK TO BE ;,' (NUMBER) (CAPACITY) ' STARTED .. COMPLETED SIZE OF SIGN SERVICE MAKER ENTERS 1 BUILDINGOF SIGN INSPECTION REQUESTED i1 ON OR AS NEAR AS �j POSSIBLE y NEW I I OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS f ,i . NAME OF is ,p+/- DATE OF Jib"—„',_r f APPLICANT �r ��I ; t - `F' APPLICATION STREET ADDRESS / /...i, f:'`='r/j.' � ./`- Ir >j ZIP / ' a LICENSE NO. to CITY OR r ' J�� t. �'-ai r *0"'�-K;;pOST OFFICE �.-f ?. �,r 1 t� r I I rl :? CODE t�� � WHEN APPLICABLE 4 _ / ! / 46 EL(REV. 1/82) A SEPARATE APPLICATION'MUST BE FILED FOR EACH SEPARATE BUILDING-,;,, . - THE NEW YORK BOARD. OF FIRE UNDERWRITERS r4I95484L BUREAU OF ELECTRICITY ` 41 STATE STREET.ALBANY,NEW YORK 12207 if Application No.on file 0 33 4 0 1 0.3 6 r; 5 Date April 22 , 1937 A 6833 0 o THIS CERTIFIES THAT o only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of o — Roy Tonnesen, Birch Road , alueensbury, New York - a in the following location; ® Basement ® 1st Fl. ® 2nd Fl. garage attic o tSectiik l a Block Lot was examined on 4/3`8 7 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS = OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY ' VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. VI. 87 51 , 58 3 . 4 fr DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULYSTEMSTI-OUTLET DIMMERS In S AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 ranf;e 3 `6 4 600 1 dryer #10 SERVICE DISCONNECT NO.OF 1 hQ S ''t r0 R V" I C E METER NO.OF CC.COND. A.W.G. A,W.G. A.W.G. AMT. AMP. TYPE row. 1,B'2W 1 3W 3,B'3W 3,e 4W PER B OF CC.COND.. NO.OF HI-LEG OF We NO.OF NEUTRALS OF NEUTRAL 1 200 cb 1 x 1 4/0 1 2 9 /0 OTHER APPARATUS: RI 1-15 kw heat pump lo 3—gf ci = 3—smoke detector o I:Ln Sawyer Electric ?..7> 7a.--4-4--0.-1...712*--...—.71:i RD 1 Yorkshire Drive Glens Falls , new York 12801 BRANCH MANAGER o 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ei . own of Queen iur £`x� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT 1.-do e$e NAME, LOCATION— gg,.-a/tje ,• Date 5 /<9-7 Permit No. 0 6 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing ()aiding 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- / cy -ter / Building Inspector 6/86 and-vl Q44 /4 OM Mtn // Town of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 c / Jh5nccrr �i BUILDING/ INSPECTOR ' S REPORT NAME,' p f�OY Yo vt Q .3 Q.- LOCATION !7 I J R (5 e 4 Date ! / " 7 Permit No. N(y- 78 a ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing X Siding A Masonry Veneer \;/:( Rough Plumbing Relief Valves Ext. , Porches Finished Floors Interior Trim ')( Stairs & Railings X 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) EL at Ic Jur Remarks- N, „,(1 L[ fig hi a all 6fit -„ya: 5 fit/ L Building Inspector 6/86 and-vl ca!l,d 11 1i 7 3 P' / _own of Q e 'n.j urty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ROy To h rJ e -$ h LOCATIONIr 106" £'/e;; A Date do- /.j1_ Permit No. 36 _ 'f Ed * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough :Plumbing 0,k Relief Valves I Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney y. INSU4ATION: Foundation Floors �Wa l l s p,k ceiling 0, FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next 'scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl �] 300 . ocun of Queen.i /�ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box'98 Queensbury, New York 12801 BUILDING, INSPECTOR ' S REPORT / NAME ; //4 l s,At_G_ /0—An2Scrc-1 LOCAT�I ON 4`�. (al it/6 Date ' Permit No. V6-7 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer l ough Plumbing Q,26:- 0 . Relief Valves Gk 4,,,,144 ;Li) . 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 j Walls / Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 3f A� �,� U • Building Inspector 6/86 and-vl utl— d cc77 'alCl /y( if Jotun of Quri, • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME Roy %0 n n •e S-eh LOCATION /?/ -C ((o DATE ',LP/ / Y6 PERMIT NO. , (A, — -] $ SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total len Length of each trend Depth of trenOes-- Size of gravel_ SEEPAGE PITS{Number of) 3 Size- 7i ft. X _ ft. Gravel size .PIPING: Si,ze Type Bldg. to tank PVC -5-C4 L40 Tank to dist. box _I• a� Dist. box to field/pit Openings sealed? 'E NO Partial LOCATION/SEPARATIONS: Foundation to tank ?5ft4- Foundation to absorp i n f iQ/4- -Absorption to lot link ft.OV L Separation of pits ft U/C-- LOCATION OF SYSTEM 0 PR ERTY(circle one) rout - Rear - Left side -<?..ight sid9- COMMENTS: DLJ.e. Mid a eibi Ya-c-tof— uo 0 CA LrA A.4L SYSTEM USE APPROVED YES` NO Building Inspe tor 01/86 and vl a /-z (/(//6 /0 /0',/ Jown o/'Queeni6ur, , BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ''S REPORT NAME LOCATION PC4 Pc( Date/0/ ,g/,5 , Permit No. Q V * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms )(Foundation 1/ 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 1� Smoke Detectors I Chimney ! INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspe or 6/86•md-vl own of Queendbur, BUILDING and ZONING DEPARTMENT 'Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Ray rb e e at LOCATION 3i ►-C/L �� - �' I Pam, La /( 1'ii'0 8G- Igo Date p /_5 _ Permit No. g * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YEfo / NO (Footing/Pier Forms yay , � O pjc Foundation Waterproofing Backfill Framing Roofing Siding; Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs' & Railings Cellar, Drain Til 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- -tec/ iPet s.•e-" q fre,.. {r1errni Tt,, oK� PH-1' 3 : 30 Bui ding Inspector 6/86 and-vl l01a18 : VO P // JJowls o f QP owlsueenibur, BUILDING and ZONING DEPARTMENT ,Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Ate,.,., T ��" � / D eserl LOCATION f, r R 6len LA6`e Date /opo/ P4 Permit No. -2►,di ✓ = APPROVED - YEjS / NO Footing/Pier Forms v►j\ 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl c)ouyi_tkite 1 o 4' Oa f Jown of Qu;eniburcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury., New York 12801 BUILDING INSPECTOR' S REPORT NAME 7 ,L1i.4- ©Ar LOCATION J Csrcz, Date /0/7/ VC Permit No. • ` * * * * * * * * * * * * * * * * * * * * * * * Y . =1 VPROVED1 / NO '0o in Pier Forms t/ I�nJ Q Foun ation 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. 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