90-057 .. . M d-!"yr4+r-.-.(•;,;f-�•:,� ..�.ir t}- r.i', ,r.r y ,.;.:J'`,,,ti.v...r:P 10,--r J.,...'!"w4..i „} - „ •..
CERTIFICATE._ OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 12. 19
i1
This is to ti tat work requested to be done as shown by Permit No. 90-57
has been completed.
• This structure may be occupied as a Single Faami l y Dwelling
5OI ration Birdsall Road
Owner . John and Susan Mnoshrue3Ele
By.Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-57 z
WARREN COUNTY,NEW YORK 9
PERMISSION is hereby granted to John& Susan Moosbrugger
OWNER of property located at Birdsall Road Street, Road or Ave. �.
in the Town of Queensbury,To Construct or place a single 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.
0
1. OWNER'S Address is 0
cn
12 Mountain .View Drive
South Glens Falls NY 12803
0
2. CONTRACTOR or BUILDER'S Name
Martin Mosher
0
3. CONTRACTOR or BUILDER'S Address
26 Sugar Pine Road
Queensbury NY 12804
110
4. ARCHITECT'S Name
td
sv
5. ARCHITECT'S Address
fl.
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
No. 28' x 44' single family dwelling as per plot plan, specifications and aq
application, including septic system and attached two car garage. CD
8. Proposed Use
single family dwelling
m
$ 7.74_(1l PERMIT FEE PAID —THIS PERMIT EXPIRES September 19 19 90
(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.)
Dated at the Town of Queensbury t I 19th Day of March 19 90
G � '
SIGNED BY. . for the Town of Queensbury
uil mg and oninglnspe or
TOWN OF QUEENSBURY
—OM- REVIEWED BY / -V'
FEE PAID $ 5- h0; d-1'i"
w itagPERMIT NO. ®-
�j `e S
OWN OF QUEEN pa+r"-
BUILDING PERMIT APPLICATION -3/�/ RECEIVED
MAR 12 1990
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED-A VALID BUILDING PERMIT. .
All applicants spaces on this application MUST be .completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • * • * • * * * * * • .* * * • * * • • * * • * * • * • • • • • • • * * * •
l
The owner of this property is: . i t t ra P
P.O. Address ' i ki--- OIL-bIZ• So._6( hvs kL LS( Lj. I Tel. -LIA S-f
Property Location 2 I vas 4 if 2i . ;Tax.Map No. 1710 /L/ 044
Has there been any split of this property_since October 1, 1988? /_ '/`\
If yes Planning Board Review is necessary. 1 ' yes no �`�/�
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE P ON RESPONSIBLE FOR SUPERVIS ON OF WORK AS REGARDS TO BUILDI G CODES IS:
- ilV V11/0 nibakt( ,(V:fili
NATURE F PROPOSED WORK: * ESE MATED MARKET`VALUE OF •
X Construction of a new building • CONSTRUCTION.: S/moo D 0
* COMPLETE I-N-FORMATION REQUIRED BELOW:
Addition to a building
- • Size.of property ? - l-Ce E S ft x . ft.
Alteration to a building *
•
(no change to exterior dimensions) Existing Buildings(3) Size ft. x ft.
Proposed building - distance from property line:
Other work (Describe) ' Front yard -1-D ft. Rear yard ft.
* Side yards D ft. and c C ft.
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
ie/
1st Floor` `= /2-3 2 sq. ft. Ii '
/6 / OCCUPANCY INFORMATION
2nd Floor `7 0 4 sq. ft. 1.1j)
O' * 'Primary Building - ' • •
dOther Floors sq. ft. �p
D 02 C ( * (One Family Dwelling
(not cellar or basement - r� 1l * Two Family Dwelling
TOTAL FLOOR AREA/ct 3 Sq` t, • Multiple Dwelling/Number of units
•- Business
Size of new structure v ft x -1'1 ft: -
Foundation-pier/slab/crawl/partial lull ' Industrial
(circle one) - • • Other
No. of stories (''bitable space) a •
Height (grade to ridge) ( rt. • If addition, what will use be?
If residential, no. of families - I •
No. of rooms(excluding baths) � '. • Accessory "
No. of bedrooms 3 Building
• _Detached Garage ONE/TWO Car
No. of bathrooms . a- •
Primary heating system 1-6-n1- (3-7Q • Attached Garage ONE WO sr
Type of fuel ALL_ ' _Private storage building
No. of fireplaces to be installed_ • ' •
* _Other
Willa wood stove be installed VA
Central Air conditioning. ri 1) '
OV* ER...
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction; wood frame, fire safe. etc. titloP 4.„t:. .
Will any second-hand or upgraded lumber be used? If so, for what? No V
Foundation wall material MD, (,_ - Thickness 1(0 c,
Depth of foundation below grade (to bottom of footing) r -Cf.
Will there be a cellar? it' s Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? /E 5 Will any portion be used as living space? No
(If so, what portion? sq ft. Type of use?
Type of roof s p.i/flat/shed/other Material of roof 4s,,1,,j/ 5 4 t�•
Size, wood studs � "x 6 " spacing (C., " o.c. length K ft.
Joists (floor beams) 1st floor A, "x /O spacing /13 "o.c. span I 9 ft.
Joist (floor beams) 2nd floor 2 "x lb ".spacing f 4 "o.c. span Ic- ft.
Overlays (ceiling beams) 2 "x 1 0 " spacing l 1., "o.c. span ) tf ft.
Roof rafters "x I b " spacing l o.c. span )4 ft. _ .
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish - C`pIJokva of what material? Ce`4T Y. `
Interior wall finish -i`' �;,.-yw ;,,J�
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 4.-:`" ,1e r,,; d
---Cti A brie .0,-, c;eiro-A ..4- 0,1,...,5, -14..,c4
Is there to be an opening betwec4 gar a and dwelling? YES If so will a Fire-rated door, enclosure,
self-closing device be provided? ,e5
Will a flue-lined chimney be installed? O Height above roof ft.
Depth of chimney foundation below grade 4 ft. P /ace, �, 4e omi./le& f re,,i .hoksi' -� r791"<�
Depth of fireplace hearth ft. g�. in. w+ wo 5.��e ��
Water supply - Municipal or private wellr,vcc ,,,J e,1(
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties tOo. ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER /j?a&&,,, Me.,A.e>^ ADDRESS Mu..tee..rsbuv TEL. NO. 72 — / c-
NAME OF PLUMBER gnA,/ Crv5 S ADDRESS .13 tAesa, KI TEL. NO. ')12- (Cp.-S-
u
NAME OF MASON ADDRESS 4.I TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION V
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 vi�.rk,sn ai ,e complied with, whether specified or not, and that
such work is authorized by the owner.
• Signature .
ej
wner, owner's ag , architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
7
TOWN OF QUE NS1URY
T
`V Vi�5_.--.......*::"Cs
• APPLICATION FOR tF, ,
Z
SEPTIC DISPOSAL PERMIT 'OWN OF QLEE''C'"`Vf
RECEIVE
MAR 12 1990
DATE 2/z BLDG. & CODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION ,RvJ ct/d /ea J
Owner's Name: 301r,r‘ SL.Qo prrl 1400Sp rlef 'elephone: `7 aa- -L(res'
Address: la. I . L w.k,L ttL• 51D, L s F-Pi1_Ls I)d , P.80,- .
Installer's Name: ,cam./u rw et, S - C Telephone: "7 q Z, - 7 2 5` "7
Number of bedrooms (residential only) '3 -
Total daily flow (compute (d 150 gal per bedroom) 46'j_
Topography: Circle one: Fla-R tee Sloe % of
7,57Z,P P Slope
Soil Nature: Circle o e: Sandoam clay Other /Depth: \;c Q Feet
Ground Water: At what depth?. ,4ik Feet
Bedrock or Impervious Material: At what depth? / () Feet
Percolation test: Circle one: not requir equired rate min. inch.
Domestic water supply: circle one: Municipal Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption /' feet
PROPOSED SYSTEM: Septic T nk /00 D gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench f�feet/Total system length AA feet
SEEPAGE PIT(S): Number of cz>2... / Size each feet by 5- feet CI:v S ef
Size of stone to be used # 4 /Depth or Thickness 2 / feet .9 .2,
************************* Fa94
I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbury S nlary Sewage Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: C -
DATE: 2/ /Z`c/a; .
G L
OVER
•
• WARREN COUNTY , • NEW YORK •
Application for : BUILDING PERMIT IN "COMPLIANCE WITH THE NEW �Y1 OF Ol)EENS)� 3 "
STATE ENERGY. CONSERVATION CODE RECEIVED
A permit must be obtained before beginning work .
MAR 12 1990
• ANSWER ALL of the following:
1 . Gross- floor -area �.9 , aA. BLDG. & CODE DEPT.
, - -
•
2 . Type of heat oi,l - _1Zo1g
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors /2 "
A. Over 16%_ .Only
• 1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
` `
'2 . Flopr .over. heat- '3 sp- ces YES NO
' a. Are foundat on a is insulated? S C
l . ' If YES , w at s th.- R value?
3 . Slab on .grade YES •
�•
a. f YES , w .t is the v= a of insulati4 n around
p rimet= of floor?
4. Is bas • - nt heated? YES
a. R value of i ulation .Y/
• 5. Type of in ation f i e✓ Lu_s5
B. _ Under 16% Only
1. R value of roof and floors exposed to ambient conditions
36
• 2 . R value of exterior walls
•
3 . R value of glazed area 4. "2-
4 . R value of doors (.
5. R value of floors over unheated spaces 3 /T
6. R value of slab edge insulation - unheated slab J// -
7. R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade) /U/11
• 9. R value of heated basement/cellar walls (below grade) /Uri-
10. Type of insulation 6-755
C. Controls •
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated . spaces? . YES N0�
a. If YES , R value of duct installation
b. R value of duct in other areas
E. Pipina Insulation
1. Si ' - ' hot water or cooling carrying agent pipe
2. R value of pipe insulation K /� •
•
P. Service Water Heating
1. Performance efficiency 1no%
2. Temperature control setting maximum /,2c,or-
. G. For Swimming Pool Only
1. Maximum heating
Telephone. No. 75 2 - HLStr •
. . (applic nt' s ignature)- '
TOWN OF Q UEENSE URY ..
Bay at Haviland Roads,Dueensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date 3 l b 19 '% c, Permit No.
F —
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all
applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all
inspectors to enter premises for the required inspections.
Applicant's Name „1 04, v- Ju s,,, .
�OOS` f S ors APPLIANCE TYPE
6/ Stove Coal Wood
Address It hi'. [/,c.., 7)v. Furnace Hot Air Boiler
v
Zero Clearance Circulating Unit
s- ��rsA/JS , ni/• Zip (zcs• 0.3 , - .
Phone 2_, - -
`j �� 5 S If.Non=lVlasonry:, -;
Owner's Name c ,J,,,-, `
Manufacturer
Address Model Outlet Size
Zip Listed by Number
Phone
. CHIMNEY TYPE
• Masonry: Block _ Brick Stone
Property location of proposed construction Flue: Tile Steel
L3 ►✓e.-i,// K (721.4...e v-r!wv y Size: .
1 / Factory Built: U/. 'T pr;�c.r 7/ Z3
Manufacturer C4-s1,.;c,t Model€ ',ca„t, Size
COPY OF MANUFACTURER SPECIFICATIONS IS Height 2-5 ti Listed By Number l t(6
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall "
AND CHIMNEYS. MUST BE INSTALLED Insulated
ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ /6 7 S
CONSTRUCTION DETAIL REQUIRED FOR MA- .,Fee$ -2 .c.
SONRY FIREPLACES AND CHIMNEYS.
e CASHIER'S DEPARTMENT
• TOWN OF QUEENSBURY, NEW YORK7
Department: Fire Marshal . Amount Collected Amount Refunded .
Code Number Title ,g: -,j
A173 3389 (190)Public Safety .
A233 2655 (230) Minor Sales
�� Mr ,cam /
Fc Iected fr om-cir'Refunded to: ()AUL— (/ , iit1h ix�-� (Ap/
t.)
Address:
_ 1 ttIL• VW) 1> (-1, 0
(.)
Dated:
/I g )
qq(! Town Clerk or Deputy ) `e .� f(Z klajl
White:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
•
YOU ARE HEREBY REQUESTED TO
-INSPECT AND ISSUE CERTIFICATES _
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
. THE UNDERSIGNED go_ , fTEMP.H DATE i
CRY OR VILLAGE - TOWNSHIP COUNT
•
STREET AND NO.,OR ROA
/D fi; 4� POLE NUMBER
i% ?', 1'L I I V V .
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANTS NAME ! 7 // BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS i/ ( .- _ ,.^' HOME TELEPHONE NUMBER
I'� Y ,�f. L4 i-„.., !/r-. e. , , —7.i ? q G \ r
CURRENT SUP LIED BY 7 FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS � -
NEW Z - OLD❑ WORK IS NEW CJ ADD/TIONAL❑°• 7 DEFECTS REMOVED❑ ,
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
. Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket NOV 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.
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 MAINS _ FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED .
• DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN '
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) _ MUST ENTER APPLICANTS
IDENTIFICATION NUMBER I I I I I I I
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS • •
SIGNATURE OF APPLICANT NAME OF APPLICANT DATE OF APPLICATION
�' .. X .
-STREET ADDRESS - �.,- (7WNf---'
CITY OR posT OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
• ❑ 85 John Street-- ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 •, ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
THE NEW YORK E3QARD QF FIRE UN,Q,RRWRITE_R�- -- --- -
!(..\tl""AltL)�lAi.aa,ln. .C.���.a�•Can,;lt!"..Iti."""lti,?n,��1 a9i".ep, e,!,".An.ky.""-,I�i.�h,ariaw,-vk" A,-mi- , kw!lw4". •
80098dP
THE NEW YORK BOARD. OF FIRE UNDERWRITERS PACE 1. ii
w, BUREAU OF ELECTRICITY ,`'
�, 41 STATE STREET,ALSANYTVFW YORK 12207 ;i
Date L E 13i�ii ali`I Cr'I I `)`i.l. Applica 'on No.on file�.3856090,•90 II .,1'1(){' I •
THIS CERTIFIES THAT PERMIT NO,
II
only the electrical equipment as described below and introduced y the applicant named on the above application number in the premises of ,
JOHN NOOSBRUGGElt. DIRDS LL RD, ; OUEEN$I3URY, 1'.
in the following location; D_ Basement H 1st Fl. El 2nd Fl. rr"Ej' Section Block Lot
J?N! R'. 29; l991.
was examined on and found to be in compliance with the requirements of this Board.
FIXTURE KEPTACLESI SWITCHES FIXTURES RANGES _COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. MAT. K.W. NAT. H.P.
=12 l 0 I v 3 i3 8 3. r F
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. MAT. . NO. A.W.G. MAT. AMP. AMT. AMPS. TRANS. Ate. H.H.P. SYSTEMS AMT WATTS
17 NO.OF FEET
a 3 1 F 1 F 1? 600
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER 1 Ar 2W 1 e 3W 3$3W 3 8 IW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A-W G- NO.OF NEUTRALS A.W.G.
EQUIP• PER.a OF CC.COND. OF HI-LEG OF NEUTRAL
]- 200 CD 1 X 1 4/0 1. 2/0
9
OTHER APPARATUS:
Et
= PADDLE FANS-
g. 2•IOTC)RS: 2-F D. P.
I r'
I ,.,:.ixELEC, WATER }.F.at..E.S', ._, :I .:> K.V.
i; 0 F C I:....7
i
D'IOEE DETECTOR:-3
t
,. .
„ ,
. , JOHN NOOSBRUGGER +
1 ' MOUNTAIN VIEW DRIVE; "-• I _ �f -e®
rl
_ S. GLENS FALL, NY, 12803 BRANCH MANAGER ®1
grs',
Per o
�; 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. to
aCisfia500 ® 00 MEMO ® 1511EMENIORMI00 ® 0 MOM ® ® MOM ® 535510SIE 00 ® ® 0
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. f
Ctc- TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
`r TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT •
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED i j// ) f
NAME mO( \O )O PAr- ) ,--)ohiVcr
LOCATION 9-,
DATE -/Ill f t PERMIT# (7 0 •-j 7
TYPE OF STRUCTURE (;n�l GU1vt p}u oQ
RECHECK
✓ FIRE MARSHAL APPROVAL (COMMERICIAL S RUCTURE)
vFOOTING �/ 0 -JATI4N �BACKFI L VFRAMING
IOUGH PLUMBING FINAL ELECT ICAL SEPTIC
NSULATION t/W00'STOVE/FIRE ACE
REMARKS
APPROVAL
' N/A YES NO
CHIMNEY HEIGHT/LOCATIO) t/
B VENT/LOCATION ✓�
PLUMBING VENT • ✓�
ROOFING t/'
SIDING / ✓
DECK/PORCH/STEPS/'AILINGS ✓
RELIEF VALVES
FURNACE/HOT WAT k OPERATING`
INTERIOR TRIM/P4°IVACY DOORS
FINISH FLOORS:
BATH/KITCHE 'WATERTIGHT k
OTHER FLOOR'' SWEEPABLE ✓`'�
OTHER FLOOR: CARPETED
STAIR CLEARA E/RAILINGS
SMOKE DETECTccRS
DOOR CLOSER ;
BATHROOM F',IS ✓�
ALL PLUMBING FIXTURES OPERATING Ir
GARAGE FIRE PROOFING
DOOR CLOSERS ✓
OTHER FIRE SEPARATION ✓
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C ✓�
COMMENTS:
ARRIVE
DEPART
i SPECTOR
_locum of Queensburcy
/ BUILDING and ZONING DEPARTMENT
1/ Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME />,;r I 00`).� �;Q:_ u(2 10 1;`rii..
LOCAT I ONd r 5/4-L ( (J ,-
DATE fi a/ ("0 PERMIT NO. 9 -v6
f
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES _ NO
Percolation rate - Miri/Inch
TYPE of SYSTEM: i
Absorption field, total length/
Length of each trench ', /
Depth of trenches ' 1, i
Size of gravel ;• /
SEEPAGE PITS{Number ofi '
Size- ft. X ft /
Gravel size /
PIPING: Sl'ze Type
Bldg. to tank e
Tank to dist. box ' V
Dist. box to field/pit f
Openings sealed? YES/ i NO Partial
LOCATION/SEPARATIONS/
Foundation to tank / ft.
' Foundation to absor tion A ft.
Absorption to lot ine ! ft.
Separation of pit V, ft.
LOCATION OF SYST ON PROPERTY(circle one)
Front - Rear - eft side - Right side -
COMMENTS: /
L rf� '. i R` U t1 '�— .JJ.
'G V �G
12_,
C'Vrt-k c AAL 1 -2-64-S (- i i t4 2 -%,L'(U,
SYSTEM USE APPROVED Y S NO 'ft
/I 0 •
I
I%I U Buflding6in� ector
01/86 and vl
f. r/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804. Al
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED �/ /////94
NAME 94/1 G%!✓'(y //%G AP)'-Zl7ar(A/,/
LOCATION ��/� �4)�r''-/,� �f
DATE j(
f,/ �i/yQ PERMIT # /D ',"-I
A /�a APPROVED'4(al, XX-6CLy (/?te/&. YES NO
FOOTING/ IERS . / �'
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING`, ,
FRAMING
ELECTRICAL ROUGE-IN
INSULATION: '
/`y FOUNDATION ,V ;:,,e- 1/
FLOORS . " /k61 'A,:.L. ✓/
WALLS t. ici. . . . Ll;
CEILING ''',ice 3U ti-X, / ✓
FINAL INSPECTION:
CHIMNEY HEIGHT '
ROOFING
SIDING
EXTERNAL PORCHES/STEPS .I . . . .
STAIRS-CLEARANCE & RAILSJ
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS I`
GARAGE FIREPROOFING N \ '
DOOR CLOSER(S) / \
SMOKE DETECTORS 1 ' .'
FINAL ELECTRICAL INSPECTION ',
FINAL APPROVAL OF CONfTRUCTION_ ' '
OK TO ISSUE C/O OR .C/C --
F
i
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE,/OCCUPIED!•
REMARKS: z7
�/, / f
�� �G��G�C��l� N�f,
/ 1.�
ARRIVE c_ 2'67-1-) 72_ ) --,, -..--\\;
i
DEPART -AT- '�
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
2/4/2
QUEENSBURY, NEW YORK 12801E
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST
9-ui
FOR INSPECTION RECEIVED
e /0/0/9
NAME _ 14 /xf_/f�'�ii/)f ij (i u, 74 J
LOCATION {mod 1i ) / UO
DATE %D�.S�i/9D PERMIT # 0 :f7
APPROVED
It -d- not YES NO
FOOTING/PIERS
MONOLITHIC POURIFORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
)(ROUGH PLUMBING \
FRAMING \ L /\
ELECTRICAL ROUGH-.N /
INSULATION: .` 1
FOUNDATION \ /
FLOORS I
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ TEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURE /RELIEF 'VALVE
INTERIOR TRIM/P IVACY DOORS
FINISHED FLOORS \
GARAGE FIREPROO ING
DOOR CLOSER(S)
SMOKE DETECTOR
FINAL ELECTRICA INSPECTION
FINAL APPROVAL F CONSTRUCTION
OK TO ISSUE C/O/OR C/C - --
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES CARE OCCUPIED!
REMARKS:
•
ARRIVE 02J-
DEPART 369
INSPEI' R
_town of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
a-,NAME ✓lam `-/✓/lJW/%!i e4
LOCATION , z <1./'.G/ `l
DATE ��J/r�'�'/ Ye PERMIT NO. 9// -,5/
SOIL TYPE� - San - Loam - Clay -
Percolation est Required? YES -
Percolation rate - Min/Inch N/9
TYPE of SYSTEM:
Absorption field, total length /1 ,
Length of each trench '
Depth of trenches
Size of gravel t3
SEEPAGE P ITS*Number of) _ oL
Size- k ft. X _ "ft. 6 fa'. Z'6/S
Gravel size , �f3
PIPING: Size Type
Bldg. to tank ROC-
Tank to dist. box y" PUS
Dist. box to field/p' tL/" PVC—
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /0 ft.
Foundation to absorption .20 ft.
Absorption to lot line /0 ft.
Separation of pits /( ft.
LOCATION OF SYSTEM ON PROPERT si one)
Front - Rear - Left sid� Right -
COMMENTS:
cx,E4 6...) erzaio
.0 1L
•
•
•
SYSTEM USE APPROVED NO
s
Building Inspector
•
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES/DEPARTMENT J
BAY & HAVILAND RO S i ' � /
QUEENSBURY, NEW Y RK 1280�
TELEPHONE (518) 92-5832
BUILDI G INSPECTOR'S REPORT
REQUEST FOR NSP CTION REC:IVED ih/-4
NAME ( 72721- 19/-/G-je /A1
LOCATION 0_�_az ,< (g
,.
DATE 9 G PE'i IT # /Q: -"6 7
• APPROVED
I"6/'r/ ./(4,1r.r i /Ai>,i i,c•s�! YES NO
FOOTING/ IERS r
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-EROOFINc
BACKFILL APPROVAL
ROUGH PLUMBING •
FRAMING
ELECTRICAL ROUGH IN '
INSULATION: f,
FOUNDATION t'
FLOORS A 1 .
WALLS I .
CEILING ,
FINAL INSPECTION:
CHIMNEY HEIGHT ‘;�
ROOFING o"
SIDING
EXTERNAL PORCHES1 TEPS
STAIRS-CLEARANC RAILS .
PLUMBING FIXTUR S ELIEF VALVE
INTERIOR TRIM/P IVCY DOORS
FINISHED FLOORS,'
GARAGE FIREPR FIN t
DOOR CLOSER(S) j
SMOKE DETECTOR.
FINAL ELECTRICA 1 INSP CTION '
..FINAL APPROVAL of CON TRUCTION
- OK TO ISSUE C/O/OR •C/a
A SIGNED CERTI ICATE 0 . 00CUPANCY MUST BE
OBTAINED FROM HE BUILD NG DEPARTMENT BEFORE
THESE PREMISES.•'ARE OCCU' ED!
1
REMARKS:
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•
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW Y•RK 12801
TELEPHONE (518) '92-5832
BUILDI INSPECTOR'S REPO'
REQUEST FOR INSPE; TION RECEIVED /.4/,‘
NAME `�:���: �:.� - -J J!" _-�
�J�
LOCATIONct.‘
DATE CP/2.'/ PERMIT #
APPROVED
YES/
t/F � NO
OOTING/PIERS rete-�- / Y
MONOLITHIC POUR FoR
VFLLOUNDATION/DAMP—P1'OOFING
V ACKFILL APPROVAL\ Z�
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH— /'(
INSULATION:
FOUNDATION
FLOORS. 1 .
WALLS
CEILING
FINAL INSPECTION: 1*r
CHIMNEY HEIGHT
ROOFING
SIDING til
EXTERNAL PORCHES/":'EPS
STAIRS—CLEARANCE :,RAILS
PLUMBING FIXTURE"/•ii LIEF VALVE
INTERIOR TRIM/P•i VA', Y DOORS
FINISHED FLOORS ;
GARAGE FIREPROO`ING'
DOOR CLOSER(S) l
SMOKE DETECTOR,.
FINAL ELECTRICAI1 INSPECTION
.FINAL APPROVAL f►F CONS 't'UCTION
OK TO ISSUE C/•; OR C/C ,
A SIGNED CERTtiICATE OF •CCUPANCY MUST BE
OBTAINED FROM THE BUILDI;G DEPARTMENT BEFORE
THESE PREMISE, ARE OCCUP ED!'
REMARKS:
•
ARRIVE
DEPART /6 0 aV ,
• INSPECTOR
tiiidji
TOWN OF QUEENSBURY i1
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK , 12804-
TELEPHONE (518) 79245832
r
BUILDING IISPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ,i 5—
NAME 1-bnS�� ll, C( � fl
LOCATION . C 7 1.V a CJ;b \\
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DATE r�� _ -5'" �;3 PERMIT •# ;% ,l.) - 5 7
1 / APPROVED
!i ,l YES NO
FOOTING/PIERS II
OLITHIC POUR FORMS • „I
OUNDATION/DAMP-PROOFING !r'
BACKFILL APPROVAL jl
ROUGH PLUMBING • / '
FRAMING 1•
ELECTRICAL ROUGH-IN • II I . . . ' . .
INSULATION:
FOUNDATION I .l
FLOORS . . . .7 . . . . . .
WALLS • Li .
CEILING A
FINAL INSPECTION:
lrl
CHIMNEY HEIGHT
ROOFING (' '
SIDING /
EXTERNAL •PORCHES//STEP
STAIRS-CLEARANCE'/& RA LS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACODOORS
FINISHED FLOORS` jI
GARAGE FIREPROOFING
DOOR CLOSER(S)' 11
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
il
FINAL APPROVAL OF CONSTRCTION
OK TO ISSUE CO OR C/C ---
,1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
1 • . ' . . . . . . . . .
REMARKS: J i Ib cm -OA i_ -0 )
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ARRIVE
DEPART : -� �. ' � //://4//
INSPECTOR
TOWN OF QUEENSBURY /1/V
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUES FOR ISPECT ,a RECEIVED i441
NAME _ I Lef -- I roti •
/,A
LOCATIO �! l
DATE - J 4 l G PERMIT # #015
/ APPROVED
I YESVV NO
DOTING/PIERS e;�(Y r ��,, i 2_ i G,
ONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING /r
BACKFILL APPROVAL i ' 1
ROUGH PLUMBING 1 /
FRAMING A ' I
ELECTRICAL ROUGH-IN • 1 • I' •
INSULATION: 1 /
FOUNDATION /
FLOORS. / ' .
WALLS i /
CEILING /
FINAL INSPECTION: .�
CHIMNEY HEIGHT ;f
ROOFING • i I
SIDING ' I
EXTERNAL PORCHES/STE S
STAIRS-CLEARANCE & FAILS
PLUMBING FIXTURES/R' LIEF VALVE
sj
INTERIOR TRIM/PRIVACX DOORS
FINISHED FLOORS 1
GARAGE FIREPROOFIING 3
DOOR CLOSER(S) I 3
SMOKE DETECTORS/ 1
FINAL ELECTRICAL/INSPECTION- .
.FINAL APPROVAL OF CONSTRUCTION
- OK TO ISSUE C/O/OR C/C s
1 r
A SIGNED CERTPFICATE OFIOCCUPANCY MUST BE
OBTAINED FROM, THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
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r
REMARKS: ! �
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