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1986-863 • -• •-•- • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • July 2, Date 19 • 30i This is to certify that work requested to be done as shown by Permit No.86-'2.63 • has been completed. This structure may be occupied as a One-Family Dwelling Lot 11 Plnion Pine Lane (St. No. 21) Location Section I Van Howe Estates Owner , Paulin Construction Co. ,. Inc. By Order Town Board • TOWN OF QUEENSBURY • _ • 1 Building-et Zoning Inspector • CREATIVE 1.111STA- PRINTING. GLENS FALLS. N V 12801 15181793-5838 '. BUILDING PERMIT TOWN OF QUEENSBURY No 86-863 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Paulin Construction Co. Inc. hd Lot 11 Pinion Pine Road (St. No. 211 ) OWNER of property located at Street, Road or Ave. iG H. One—Family Dwelling in the Town of Queensbury,To Construct or place a i 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. rt C 1. OWNER'S Address is 22 Sugar Pine Road rnt Queensbury, NY 12801 0 2. CONTRACTOR or BUILDER'S Name same CD 3. CONTRACTOR or BUILDER'S Address same rn CD 0 f� rt 4. ARCHITECT'S Name o• H H H. ' H 5. ARCHITECT'S Address tu• 0 xb o N• • 0 (D 6. TYPE of Construction—(Please indicate by X) t=I • o rt w O a. (X)Wood Frame ( 1 Masonry ( )Steel ( 1 r+ CD rt 7. PLANS and Specifications 68'x37' per plot plan, specifications and application submitted No. including sewage system and two—car attached garage. _ H 8. Proposed Use One—Family Dwelling 0 $5.00 C/O $ 136.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 1987 H.H. (If a longer period is required an application for an extension must be made to,the Building and Zoning inspector of the ry town of Queensbury before the expiration date.) rD Dated at the Town of Queensbury this 19th Day of December 19 86H. SIGNED BY 4,_ i`'-o` for the Town of Queensbury Building and Zoning Inspector (��" BUILDING PERMIT TOWN OF QUEENSBURY No. 86-863 WARREN COUNTY, NEW YORK REVISED PERMIT H C PERMISSION is hereby granted to Paulin Construction Co. Inc. c� Lot 11 Pinion Pine Road (St. No. 21) OWNER of property located at Street, Road or Ave. rt . n in the Town of Queensbury,To Construct or place a One—Family Dwelling rt at the above location in accordance to application together with plot plans and other information hereto filed and o / approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. C n 0 1. OWNER'S Address is 22 Sugar Pine Road \ Queensbury, New York 12801 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address rt same r• 4. ARCHITECT'S Name 0 N• 0 0 )-d 0 5. ARCHITECT'S Address 0 w a. 6. TYPE of Construction—(Please indicate by X) rt • (X)Wood Frame ( ) Masonry ( )Steel ( ) 0 7. PLANS and Specifications N 68'x47' per plot plan, specifications and application submitted No. including sewage system and two—car attached garage. 0 8. Proposed Use One—Family Dwelling w H $5.00 C/0 $ 157_00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 87 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Fes, town of Queensbury before the expiration date.) 0CT Q Dated at the Town of Queensbury this 23rd Day of March 19 87 SIGNED BY e'ter for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. 1 cc�� Application No. _Ioeun of Queenatur, Permit Issued 19 `!OWN I,.;?'=q v.vc 'D— 1.` ' BUILDING and ZONING DEPARTMENT Permit Expires 19b „ [ Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ; T� oV E Queensbury, New York 12801 Variance No. _ Site Plan Review No. Qzc. 1 " Approved b s. if,_, V;,.tr:6,1 1211_12.13141.5)(``' 1g F r • v P L € C We 4 APPLICATION FOR �',�W i - + ! (J.td I h.c- BUILDING AND ZONING PERMIT _ _ i * * * * * * * * * * * * * * * * * * * * * * * # * * * # *. * * * # * * * * #::# A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for 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:V .._„.1;:)-NS-+ C.-O N P.O. Address '---L;TZ� ,)•,, Q 1 .Q qkJ Tel. 99s - (o(p Property Location: 1:,6-t1 i 1 P;ly,crt",\ P QY 1—'�yteL c Tax Map No. / / Street number or building lot number Subdivision name (if applicable)—�- .L_ k,z Se_ c.n..j: Vco, //- �STirm THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: `-)ei — Cc7(r 3? Name P.O. Address Tel. No. Name of builder Q � 1 t'Le-QPdress S 2j r&. Tel. 177 Cl g--hoc'3 Z., Name of plumber Q 5 _,-, Address Tel. Name of mason V S' _A' Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: VConstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, Ai * --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 ERMIT, STATE SIZE AND * whether interior or corner lot. Show location * LOCATJON OF RUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * \_ * COMPLETE INFORMATION REQUIRED BELOW. -` * Size_.-.per property ft X ft. * Existing�buildi grf (s) Size ft X ft. PROPOSED BUILDING AND USE: * . . . �0 37 ( * Existin uilding(s Use Size of new structure '3') ft X ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * * Front yard 111 ft Rear yard i g ft 1 No. of stories (habitable space) I Height (grade to ridge) 'Z� — ft. * Side yards "Z ft and �� ft If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) Le * OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - No. of bathrooms 2____ Primaryheatingsystem *, lone family dwelling y �CQ�p — * Two family dwelling Type of fuel No. of eplaces be installed * Multiple dwelling / Number of units Will a woo to be installed? * Permanent occupancy Central Air n 'tioning? * Transient occupancy * Business t BUILD- G STYLE, PRIMA Y STRUCTURE * Industria] Other ' f. Contemporary Log cabin * If addition, what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ ar/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ wo car "7 car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ O .CD ine ,-41" * 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. Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material � ) c_Q__,\ Thickness © 11 Depth of foundation below grade (to bottom of footing) 7 ' 1 Will there be a cellar? l-2SHeated or unheated? u,,,1,,, c'loor sq. footage \7 z0 sq ft Will there) e-a-ba ent?' Will any po Sian be used as living space? (If so, cvhaL portion? -sue . --- -T e of use? -sl Type of roof ope . flat/shed/other Ma-teria1 of oof Size, wood studs -? "X Sp " spacing`Z4 "o.c. length � ft. Joists(floor beams) 1st. floor Z "X )0 " spacing l (r "o.c. spanlO ft. . Joists (T31"›.beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceil ni g beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses�re-engineered) spacing7t "o.c. span`3 ft. Exterior wall finish os iz 6+034, Sia.a.,nw;Of what material? Interior wall finish (3Ntsy� t�d1I �`� -t X �C ls.? z C �*Q If a garage is to be attache , describe materials to e ,used for FIRE EPARATION: Fob Is there to be opening between garage and dwelling? N If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a £Lue-lined chi y be installed? \\)Q Height above roof ft. Depth of chimney f —dation..below grade I� ft. Depth of f-=: n- a e .-_ th ft. in. Water supply Municipal or private well iNf\ VYV_,e_A �_ SEPTIC SYSTEM _ D. _ ce 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 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. l/X� SWORN TO BEFORE ME THIS Signature r --s v r� Owner, owner's agent,architec acto,contrr day of �� 19 O �p Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • By o awd,f.ini APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE VZ l / %cO _ . _. LOCATION OF PROPERTY FOR INSTALLATION I( �I Lry �} ©11Yi2, Lam_ Owner's Name: Telephone: (4C (p(e `32 Address: —LT- (KO Installer's Name: S' Telephone: O — Lp(p T 7 Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) 4 bO Topography: circle-one Flat Rolling Steep Slope % of slope Soil Nature: circle one:Q;dD Loam Clay Other / Depth: jab feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic ter su y is a Well: Separation: ly from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank 000 gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench 90 feet / Total system length QC feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # � / Depth or Thickness �t feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (over) 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.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dirpensions 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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: liqc-a_s\izz_p 6), Date: lZ ! I / '( O Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD,PLACE TO LIVE 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: 2/1 . Gross floor area ! 74 6 2 . Type of heat u _ - 6 -,..a., g oar() 3 . Is the building mechanically cooled? I i n 4 . Percentage of area of windows and doors A. Over 16% Only 1 . U value of gross area of j?a1ls roof/ceiling and floors exposed to ambient conditins .. 2 . Floor over seated spa YES NO a. Are foun• . tion walls insulated? YES NO 1., If YE what is the R value? 3 . Slab on grade .S NO a. If YES, w)Yat i the R value of insulation around perimeter of flo z+? 4 . Is basement heated? ES - NO a. R value of insulatio • • \ 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 R - /9 3 . R value of glazed area I ".:5- a E .'i1 A. 4 . R value of doors Q — 2 e ` - 5 . R value of floors over unheated spaces 01 fU , 6. R value of slab edge insulation - unheated slab R. I2 7. R value of slab insulation - heated slab R ! v6,5 8. R value of heated basement/cellar walls (above grade)R / 9. R value of heated basement/cellar walls (below grade )\ _ /J e-l5 10. Type' of insulation - _ ' `� /) /J C. Controls \- ,) 1. Thermostat maximum heat setting �IJ �u `e�J [ 5 0 D. Duct Systems X 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 f V 2 . R value of pipe insulation fr F. Service Water Heating.) c�-� 1 . Performance efficiency 9 e f�I 2. Temperature control setting maximum Pic° ' For Swimming Pool Only _ 1 . Maximum heating Telephone No. 1-7i9 `- ((-)(() -E...- (r ra}le-94L-P< U,61'1:\ (applicant ' s signature) BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD.OF-FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. • (TEMP.# 'DATE I CITY OR VILLAGE 1,�, — " ... .; \.:f. -' TOWNSHIP(. CIe. COUNTY `,-� STREET AND NO.OR •Th - L ROAD AND POLE NO. `\, 1 -,.--i 1 :')F-.`•. Vt-'..'; �.-.._ _:Y'',,G • r. POLE NO. BETWEEN WHAT TWO - I CROSS STREETS IS ( k r i.: �~�, V:,,r,-!L - 1 PREMISES LOCATED? ` C-\ `s'�'1 _'._•1'•.L-L--. SECTION BLOCK LOT I OCCUPANT'S ) ` i^ ,r ` BUILDING - NAME :x,•._+.�:_,..- •^ '�.:-'C'i.`.j �J i t'. c CCUPANCY . - - OWNER'S NAME AND ADDRESS t TEL.# �( a r t(/: - t�.L I _i CURRENT , `` SUPPLIED `` BY ( 1}:-, r.. - ��//--�� 1 FROM THEIR 7 (/0 ..N'.,) \'. -\ 1} OFFICE BUILDING NEW ELI OLD Els;ISORK NEW `V ADDITIONAL❑�� REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT 1111HICH YOU INSTALLED /NUMBER.OF OUTLETS LampN of Fixtures s MOTORS 1 HEATERS BRANCH OFFICE USE • Receptacles ;. CIRCUITS Loca- t ONLY tion Ceiling Side • Attaeh't Switch Pendant Bracket Type H.P. No'•. Watts No. AA.W.G. INSPECTION g W No. yp all Recep'IsEach Each Gauge Out- side Sub- \., base i • Base- -• ment 1st Fl. - •• • 2nd FL I 3rd Fl. - REMARKS: LIST OTHER ELECTRICAL DEVICES.NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. 1 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, _ . OF WORK CONCEALED TRANSFORMERSOF - VA 1, - I, - WORK TO BE (NUMBER) (CAPACITY) STARTED •- COMPLETED SIZE OF SIGN ' SERVICE OVERHEAD UNDERGROUND MAKER • . ENTERS BUILDING OF SIGN - INSPECTION REQUESTED ' ON OR AS NEAR AS ( - _- POSSIBLE NEW OLD 1-1 • 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 NAME OF (.1 -' SIGNATURE I` r' ( �� APPLICANT G. �-1\.\ \'.' �.C1`aJ`; , �..-,Cv I'-i C_ X OF APPLICANT N " /. <°i*.5_7�� 0 `7- `.\ y :-t 11_`• STREET ADDRESS ! l _ t 1..c` �c.. V `- t \C. `. \ �\ TELEPHONE# �� �I I -)�/ ts. CITY OR - ZIP LICENSE NO. , - POST OFFICE CODE - WHEN APPLICABLE 46 EL (REV. 1/66) A SEPARATE APPLICATIONMUST BE FILED FOR EACH SEPARATE BUILDING -- - _1__ �: THE NEW YORK BOARD. OF FIRE UNDERWRITERS U� -- <' BUREAU OF ELECTRICITY p�+� IA. F7" 41 STATE STREET.ALBANY,NEW YORK 12207. , 27 Date a- {'>-:' '' ., .7 : - Application No.on file V4 w { i;s �' THIS CERTIFIES THAT i`' ° i;.l��` ` only the electrical equipment as described below and introduced by the applicant named on the,above application number in the premises of g. - �' T'..T1.1--iil q.,C'L2 �.:is 1:iGn , nP'. .. ; Lrfi �.f siil:l� '. F:,_- C}CIP:,:'r::s i:,_!'t;�T , '�i�:i YoL'�' in the following location; Basement 1st Fl. 0 2nd FL Q`+"- E id - Section Block Lot 11. was examined on /2 9 1 t3.1 and found to be in compliance with the requirements of this Board. ii;: FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS o OUTLETS ECEPTACLES SWITCHES MERCURY ' �, INCANDESCENT.FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. i, _ -< q 1 ? ' o -e o LE r �� DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 1' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. ,AMT. H.P. SYSTEMS AMT. WATTS It NO.OF FEET Ei �i l _ FE �; SERVICE DISCONNECT HO..OF "" S • `9 E R .V I C E *.k. AMT. AMP. TYPE EQUIP. 1 Ar 2W 1 Jr 3W 3 0 3W 30 4w NO.OFPE R B CC.COND. Of C A.C. O W C.G.ND.. NO.OF HI-LEG A.W.G. OF HI-LEG NO.OF NEUTRALS A.W.G. - it NEUTRAL it. OTHER APPARATUS: • • C.lec:t:.._.. hoid o .L:e:s` ' ., , • '' 1 ,5 K -. — { ii( .TSPA Elcak! Cor, ' .2'Ic!574‘2-4--...4-12.---..../ --- EA � Gi =.TAU .t 4 LZNev.? `.C' .._ 1 • .. !�rr0J BRANCH MANAGER so -Q�, Per 1; 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. 0 ix-re 74,-ra 0 NintriffiliMinitiMESIMMLI MEESMEMEMEI 0 0 M 0 MEMSEGEM Mil El ® 0 - COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Jown of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAMET7 0t-/ ( °10S LOCATION 47.' 72) Date#Aj Permit No.8 a7,3 6- • ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves 1xt. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors lbg. Fixtures \ Gar. Fireproofing • KDoor Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION RIVEWAY APPROVAL inal Building Survey Next scheduled inspection (call when ready) Remarks- (-V/62 7e7///:;-42 /69 • Building inspector 6/86 and-vl • (1/ Jown of Queniurcy 'ilIO 3 BUILDING and ZONING DEPARTMENT l n i" Bay and Haviland Road, R.D. 1 Box 98 J i Queensbury, New York 12801 VI j? �r '/r1_ 4�/'BI LDING INSPECTOR' S REPORT 6 IC NAME d ,a LOCATION ; // ��,�. • � Date 7/ / 7 Permit No: f77 77Z0 * * * * * * * * * * * * * * * * * * * * .* * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding X Masonry Veneer Rough Plumbing Relief Valves' Ext. Porches Finished Floors �{ Interior Trim x Stairs & Railings Cellar Drain Tile • Concrete Floors Plbg. Fixtures A Gar. Fireproofing Door Closers I. /( Smoke Detectors i Chimney INSULATION: Foundation Floors Walls • Ceiling • FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey • Next scheduled inspection (call when ready) Remarks • - I • sc 0. � CAGr / C�/ 1 � • Building Inspector 6/86 and-vl Crdi! gl�1 _Down o Queendbur nn BUILDING and ZONING DEPARTMENT /12;des Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL�� SYSTEM • NAME ,C.//C/k , (✓ - 51.LC 1`/9 77 LOCATION4 /f / 'ic/1) ,%J/'E DATE 41423/r/ PERMIT NO. c/fZ -8lr 3 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO . Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length r. z: Length of each trench' b 4 Depth of trenches ' j ? Size of gravel_ SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size " PIPING: Size Type Bldg. to tank L( eYe Tank to dist. box c/ /&fG Dist. box to - ield/ II.. / ,C. Openings seale.?? YES -;', Partial LOCATION/SEPARA'. ONS: c Foundation to ta /�ft. Foundation to abs '.r.tion lent. ft. Absorption to lone /3�f t. Separation of p;'(i s ----ft. LOCATIO rTEM 0 PROPERTY(circle one) Front Rear, Left s`..e - Right side - COMMEN i SYSTEM USE APPROVED/ YES NO `f /i) Building Inspector 01/86 and vl auin o/ QueenJhury BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAMEC� LOCATION ..-. -- (/ P b l U r) P! DATE 071 PERMIT NO. 763- 863 • 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 PITSfNumber of) Size- ft. X ft. Gravel size • —' PIPING: Size f' _ype Bldg. to tank • C_f r jib Tank to dist. box Dist. box to field/pit Openings sealed? YES NO rtial LOCATION/SEPARATIONS: Foundation to tank }� Zft. Foundation to absorc ion ft. Absorption to lot ne .ft. Separation of pit. ft. LOCATION--OF—SYSTEM ON PROPERTY(circle one) Front t Rear - Left side - Right side - COMMENTS__--- • PCvt)&-a 3161-c-,-de 4 mtulb t �f/// • SYSTEM USE APPROVED YES ( NO, Building-Inspector 01/86 and vl (>11J) own of Queeniur, BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME C oh Si LOCATION 1 h LOCATION I Di- Ii bin IUh ? l V► Date i/ c /j.7 Permit No. Vo Y1C9.3 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill X Framing t/ Roofing Siding Masonry Veneer (} `eRough Plumbing Pe, .. 0 Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings 7\1/4\ 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- 2Q /2.4. JL -6-)17tL64'..7- ; • (64"\Y42) Building Inspector 6/86 and-vl .own of Queeni4ur, BUILDING and ZONING DEPARTMENT �.< Bay and Haviland Road, R.D. 1 Box 98 �'►a` � Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME L Al LOCATION S i( p(ilf od AAA-- Date 3 lZ0/ �5 1? Permit No. g� y6,3 * * * * /* * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES,,,/- NO Footing/Pier FormsAppi-nOti� L 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- ]�-zt- G- a ve ') roD v T O / ✓-i�+ W/k i L- 14-----"OL)11-f Building Inspector iff 6/86 and-vl -Jown of Queenilur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 1/ Date1a / 7 -Permit No. g6- y(� :? * * * * * * * * * * * * * * * * * * * * * Re4; . ✓ = APPROVED - YE / NO %ooting/Pier Forms Odc 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 a// 6( 7 a.-/3(/)6 _loom of Queen36ur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Par// n LOCATION Ldr l/ P;n` L�/ h Dated--h / /,Y(9 Permit No. 86_ 5(i * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms v 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- oer7t)(://_ Building Inspector 6/86 and-vl (_u (/- c�7]/D2 /. Z/f6 Jown of Queensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 4teitlin Cor, 7 %, LOCATION La- /, 0%4Date /7 ;L� /E„ Permit No. 0 6 _ 5 L 3 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms )(Foundation � t.�( 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- 4fik6 Building Inspector 6/86 and-vl i z-1// 9�] / awn of Queeni ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Pat( h Coh5r- LOCATION Lo r // r/r)/jh Date 0// /jc Permit No.,, _ * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO }( Footing/Pier Forms 0.K Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing / Relief Valves J Ext. Porches Finished Floors j Interior Trim Stairs & Railings 7\\, (/:\\\\ 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 t14,55,- 71 4"* c't ftPoRA7 D -�1 04E.i Pvc f-.a3Ttc pig 1 �RiliFy TtRLa � � CgS�► E�, c awC:g...�. o rsTR. 8t: fit► . �. fwpolc PIPE .SWflTfGTAF.ikc. ID t 1 — M c,AR�►c,C arv.PORCH -AMP 00 Is i uj � 2 Q� Y W Qco I i cc U. Y0, L w I �� f 1 1 AM _ � �t►� � .. { t