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93-545 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 1 19 ±: This is to certify that work requested to be done as shown by Permit No. 3—5 4 5 has been completed. This structure may be occupied as a single family dwelling Ridge Road Location Mr. & Mrs. Kenneth Sheldon Owner 51-1-21 .1 By Order Town Board TOWN OF QUEENSBURY rizst Director of Bldg. & Code Enforcement _ BUILDING PERMIT TOWN OF QUEENSBURY No 93-545 WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to M/M KENNETH SHELDON u� OWNER of property located at Ridge Road Street,Road or Ave. N l--' 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. 1. OWNER'S Address is 6 Mechanic St x Hudson Falls NY 12839 t-1 r 0 2. CONTRACTOR or BUILDER'S Name Z Maks Petar 3. CONTRACTOR or BUILDER'S Address RD4 Greenwich NY 12834 (D rt 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) IZ ( Wood Frame ( 1 Masonry ( I Steel ( ) 7. PLANS and Specifications O 56 ' x30 ' Two story Single Family Dwelling as per plot No. plan, specifications and application including septic system. 8. Proposed Use Single Family Dwelling rn N• $ 272 .00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 14 19 94 `Q (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 14 th ay of September 19 9 3 H. SIGNED BY for the Town of Queensbury Building and ing spector (D F�• TOWN OF QUEENSBURY REVIEWED BY: - COMMUNITY DEVELOPMENT DEPARTMENT ,fl1!! �� I*____ BUILDING & CODE ENFORCEMENT FEE PAID: 531 BAY ROAD QUEENSBURY, NEW YORK 12804 PERMIT NO. $91G, . J 545 (518 ) 745-4447 1, AP BUILDING PERMIT APPLICATION Nb `r� l�ggC�V� 0 A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCT . N PI�idS'P CTgn S WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID AUILI2IT.pp All applicants ' spaces on this application MUST be plet4a*4nand thl signature of the applicant MUST appear on the applic on O J ,, 6 idg. ept. A' C� 8� ,il OWNER OF PROPERTY: kl1 / 2f. J?E4'E71 /YE4 )C/V (e.9Z' tv.- Mailing Address : ' /''I ,#MLivie .5Ti2. ftcl, S c it /-4L4 1'' ';. Telephone Number( s ) : Work Home 7 7-4.( 7/ Other PROPERTY LOCATION: 2/l�66-�c0/9 i �i Tax Map Number: Section c , Block 7 Lot , ,/- Subdivision Name: ,�-"- 9, &64ccizA X-4,-- _____,YA0• NATURE OF PROPOSED WORK: ESTIMATED MAR T VALUE OF THE CONSTRUCTION: $ 1. NEW BUILDING: '' RESIDENCE/COMMERCIAL OCCUPANCY IN jUXUVr ADDITION TO BUILDING: PRIMARY BUILDING - RESIDENCE/COMMERCIAL G/ Single Family Dwelling ALTERATION TO BUILDING: Two Family Dwelling RESIDENCE/COMMERCIAL Family Dwelling (NO CHANGE TO EXTERIOR SIZE) Office OTHER WORK (DESCRIBE BELOW) Mercantile Warehouse . Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: ?/ 1ST FLOOR /600 SQ. FT. I r IF ADDITION, USE OF NEW ADDITION: 2ND FLOOR 4'Q J SQ, FT. si OTHER FLOORS — SQ, FT. (not unfinished cellar 9r basement) ACCESSORY BUILDINGS: ���11 etached Garage - One/Two Car 2 TOTAL FLOOR AREA: 'j 9O SQ. FT. Attached Garage - One/Two Car Private Storage Building SIZE OF NEW STRUCTURE: c. Commercial Storage Building Other S6 FEET X 10 FEET Foundation Type: C ncei2i=T& 43/iL S' Will any second-hand or ungraded Number of Stories : `,,.. lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : feet Type of Heating System: Number of fireplaces and/or woodstove (circle all which applies) to be installed: AY Electric Oil / Gas / Wood (Forced Hot Ai / Baseboard / Other PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : Ai, PF%71Z. eo/YTa c%//YG' /4,'C. NAME OF BUILDER/ADDRESS/PHONE: //NgT 2 Z912 Z/ g/24-2-fraye11 /)4.'f.. NAME OF PLUMBER/ADDRESS/PHONE: s''-i'i _ 69s-S S'i' NAME OF MASON/ADDRESS/PHONE: Diek Ca,9/Y?/9L 5 I4-fie) ' f'32 d°d'J-t96i•J— NAME OF ELECTRICAN/ADDRESS/PHONE : Al4a_5- Per/ 694=3-.5-49 DECLARATION To the best of my knowledge the statements contained in this appli- cation, 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 noted, and that such work is authorized by the owner. Further it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, n AS BUILT PLOT PLAN drawn to scale, showing actual location of project .4;y r1J rem)ee Signature (Owner, owner's a4 -n , architect, contractor) FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE: &fun of (Vueenoburg fiiglifung Deportment Bay at Havlland Roads Office Phone 518-793-7771 Oueensbury, New York 12801 PAUL H. NAYLOR � �� �.�� RICHARD A. MISSITA Superintendent Highways Deputy Superinten bye' 7772 DRIVEWAY PERMIT �sS�l, R �3,5`Z j � ReCP 1993 �, /,q D �, tow fed DATE: l� l 7 l tensbUry APPLICANT NAME: /efjY i2,P. /1.264 —7'J f f 1)O/1/ c &Dept oAi TELEPHONE NO. : ! 4l T - ?l ADDRESS TO BE INSPECTED: Z,D 6'G 0 ie Vi' 5 Gf e)f RETURN ADDRESS: ,6 A '1f, /V/C f 4j. ,.1./ f0 Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways, Town of Queensbury, has reviewed the application of the above named resident to connect a driveway to the Town road. The following action has been taken: STEP 1: ( ) Preliminary Approval NEED: ( ) Slight Swail ( ) Level With The Road ( ) Deep Swail Size Pipe to be used (if necessary) ( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36" Preliminary inspection by DATE Approval by Highway Supt! Depty. Supt. After receiving the Preliminary Approval , submit the permit to the Town of Queensbury, Highway Department upon completion for a Final Approval . STEP 2: ( ) Final Approval ( ) Rejected DATE: c://d1/ 3 PAUL H. NAYLOR Superintendent of Highways Town of Queensbury �Olyv18910>>72 k Al ENERGY CODE COMPLIANCE APPLICATION W Ar � AO �'; TOWN OF QUEENSBURY, WARREN COUNTY / 1 c s 9000 HEATING DEGREE DAYS I AV � M tV* / Compliance Methods : PART 5 - Acceptable Practice Method s $ 1&2 Family Dwellings (only) �? 0L� PART 6* - Thermal Rating - Component Tr 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less ) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: /1,A 9e7,9,Q D6E `21/9/ EL flor2 tie)' PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floc); Area - pe !]0 square feet 2 . Type of Heat - Electric )C Oil Gas Other 3 . Is building mechanically cooled? Yes X. No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 3� b. Exterior walls R /f c. Glazed areas R a.S t d. Exterior doors R ;},r) e. Floors over unheated spaces R 3, f . Edge of slab on grade (heated building) R --- g. Basement/cellar walls (above grade) i ,Q_ R it h. Basement/cellar walls (below grade), R it i. Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code p Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Applic t,' s S ' ure Date Phone Number INSPECTOR' S REMARKS: tibws. 4 $910>>' ��\ TOWN OF QUEENSBURY �.ry \ APPLICATION FOR SEPTIC DISPOSAL PERMIT / e� m ' Town off Date: //�?/ 3 � v�e� -: .y LOCATION OF PROPERTY FOR INSTALLATION: 9Zyzatt Owner's Name: M. e 12S'. lie/J'EiH C9N' Owner' s Mailing Address: 6' �CC1t/Mr/6 �i"� /A/)SOik Installer' s Name: /400 /9 2 C'04/2 2j '4' S //Ye , Phone #: Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom): o7C90 Topography-Circle One: Flat (Rollin Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? 3s0 r Feet Bedrock or Impervious Material-At What Depth? Nit; Feet Percolation Test-Circle One: Not Require Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal (Wei]) Other _ If domestic water supply is a well - i Separation: Water supply from any septic absorption /VO feet PROPOSED SYSTEM: Septic Tank 42S-0 gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench , 601 feet//Total System Length 2-90 feet Seepage Pit(s) : Number of % / Size each: ft. x be) ft. Size of Stone to be used: # ,L / Depth or Thickness / feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks -/ Size\of Each /2J O Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** 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 Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: J) DATE: r"/§7.S A TOWN OF QUEENSBURY 11) �. L 531 BAY ROAD F® QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME Ca r _ 1 LOCATION ; DATE // .9 PERMIT# r� 3 C TYPE OF STRUCTURE RECHECK, FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS TN ____ APPROVAL N/A 'YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING )(DECK/PORCH/STEPS/RAILINGS S RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK' INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIG+IT OTHER FLOORS SWEEPAALE OTHER FLOORS CARPETED 2fSTAIR CLEARANCE/RAILINGS "\ HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: G^c-_\; c2c-.- -C:r1 c3> PV 7C) (-VC ^ ARRIVE DEPART I P Lf ` LtV rL z ► n A 4 c2 (2C'(4..'- -� TOWN OF QUEENSBURY dat► 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED `///f`f NAME ) J / it) 0) r LOCATION R i c Cf. 4 ) DATE /% i ( Q 9 PERMIT# P.-,5771 rj' TYPE OF STRUCTURE j_, I RECHECK4r4ai-----fry, FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) ✓FOOTING FOUNDATION vBACKFILL *itf(MING vROUGH PLUMBING FINAL-ELECTRICAL-I.-SEPTIC /INSULATION _WOODSTOVE/FIREPLACE REMARKS A ROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION 1C B VENT/LOCATION y� PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPSYRAILI____§S= RELIEF VALVES FURNACE/HOT WATER OPERATING X BASEMENT INSULATION/DUCTWORK ( , INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT X OTHER FLOORS SWEEPABLE ,/ . OTHER FLOORS CARP��ETED. k �` h STAIR CLEARANC A7I M 1#f#id@I"6�4R ` SMOKE DETECTORS \ BATHROOM FANS! ALL PLUMBING FIXTURES PERATING \ X GARAGE-F. - 0DOR-CLASERS 033iER_ F -00MPSfiER`- �. S VFtTptfANCf FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: f - - - ARRIVE ' I > + • d DEPART (z= vl ` N E�.. f V AdT TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT EQUEST FOR INSPECTION RECEIVED AME 5 L 0 oN OCATION j \O G( 2`p f ATE J Z/f 3 f V3 PERMIT i 23 -53'5 YPE OF STRUCTURE ECHECK APPROVED N/A YES NO OOTINGS/PIERS ONOLITHIC POUR FORM EINFORCEMENT IN PLACE HE CONTRACTOR IS RESPONSIBLE OR PROVIDING PROTECTION FROM REEZING FOR 48 HOURS FOLLOWING HE PLACEMENT OF THE CONCRETE. ATERIALS FOR THIS PUROSE ON SITE OUNDATION/WALL POUR ' EINFORCEMENT IN PLAC OUNDATION/DAMPROOFIN ACKFILL APPROVAL OUGH PLUMBING LUMBING VENT/VENTS,I PLACE LUMBING UNDER SLAB RAMING: i JACK STUDS/HE' 'ERS BRACING/BRI'.ING I JOIST HANG 'S JACK POST:/MAIN BEAU EATING ROtGH-IN NSULATION: 1 FOUNDATION WALLS INTERIOR R- 4 4 FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES EMARKS: 'RRIVE EPART !ti tL IN TOWN OF QUEENSBURY LU BUILDING AND CODES DEPARTMENT [at' / 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT QUEST FOR INSPECTION RECEIVED / 3//'9J ME f/777f,1'4 ' LJ \I (CATION hiffi ,TE !7/I,�4_ PERMIT # ,���� PE OF STRUCTURE ,�D CHECK APPROVED N/A YES NO OTINGS/PIERS • NOLITHIC POUR FORM INFORCEMENT IN PLACE IE CONTRACTOR IS RESPONSIBLE R PROVIDING PROTECTION FROM EEZING FOR 48 HOURS FOLLOWING IE PLACEMENT OF THE CONCRETE. TERIALS FOR THIS PURPOSE ON SITE UNDATION/WALL POUR INFORCEMENT IN PLACE UNDATION/DAMPROOFING CKFILL APPROVAL UGH PLUMBING UMBING VENT/VENTS IN PLACE UMBING UNDER SLAB AMING: JACK STUDS/HEADERS 4 BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM .;`V ATING ROUGH-IN ISULATION: FOUNDATION WALLS .INTERIOR R- FOUNDATION WALLS:EXTERIOR R- FLOORS ' , R- WALLS Rai 44 I-1 l 2 - R- # X CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES :MARKS: 1 RIVE q" -- _ / PART /G/..Z6 VAC- INSP CT TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT EQUEST FOR INSPECTION RECEIVED�� //f 4f;�g3 7 AME /2l ��' j ;mil? tGGG'YI °CATION t/9e IT, RTE /// f) l 0 PERMIT # 9 —5 1 YPE OF STRUCTURE 65,C ECHECK APPROVED N/A YES NO )OTINGS/PIERS )NOLITHIC POUR FORM EINFORCEMENT IN PLACE HE CONTRACTOR IS RESPONSIBLE DR PROVIDING PROTECTION FROM REEZING FOR 48 HOURS FOLLOWING NE PLACEMENT OF THE CONCRETE. UERIALS FOR THIS PURPOSE ON SITE )UNDATION/WALL POUR EINFORCEMENT IN PLACE )UNDATION/DAMPROOFING kCKFILL APPROVAL )UGH PLUMBING l: t5tF;LL) 1` _UMBING VENT/VENTS IN PLACE _UMBING UNDER SLAB LAMING: hke d. l --- K JACK STUDS/HEADERS r BRACING/BRIDGING JOIST HANGERS JACK POSTS/MATN BEAM EATING ROUGH—Its , VSULATION: FOUNDATION WALLS INTERIO R— 1 FOUNDATION WALLS EXTERI R— FLOORS R— WALLS R— CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES EMARKS: AAIPO ` ,r I RRIVE < . / EPART ',j0 � �'� INS ECT R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD / QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED Q/? /93 NAME ,7il /46 LOCATION d yc;., /s DATE .�.�/% PERMIT # TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PACE;` PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS / BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM '� HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 1 A E Cf 30 I �-i J INS ECTOR TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 r TELEPHONE (518) 745-4447 BUILD INSPECTOR'S REPORT FI SPECTION REQUEST FOR INSPE RECEIVED NAME LOCATION ,e- (a: DATE 14',/9 3 PERMIT# J,j - 51<c TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLLMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATIO / B VENT/LOCATION if PLUMBING VENT ; ROOFING SIDING DECK/PORCH/STEPS/RAIYIN RELIEF VALVES ,/ FURNACE/HOT WATER Ai/ NG INTERIOR TRIM/PRACY DO S FINISH FLOORS: BATH/KITCHEN WATERTIGHT +`. OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: 6,124,„*. 4./3.2 y P ARRIVE o;-tic DEPART /ply IN P TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE 1‘2Z. PERMIT # 53 TYPE OF STRUCTURE RECHECK APPROVED , N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION'FROM FREEZING FOR 48 HOURS FQJLOWING THE PLACEMENT OF THE COPPRETE. MATERIALS FOR THIS PURPOSE ON S 'fE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING / BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN P CE PLUMBING UNDER SLAB / FRAMING: ✓ JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN B AM HEATING ROUGH-IN INSULATION: FOUNDATION WAL INTERIOR R- FOUNDATION WA S EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE /0 . ; DEPART 30 '+V INSPECTOR TOWN OF QUEENSBURY BUILDIING & CODE ENFORCEMENT fr112(-'' 4 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name 4/4 )62/ JJJdLocation .9 Date /,/ Permit # y3 _, - SOIL TYPE: 673:tbam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length 2 nn Length of each trench S2 Depth of trenches apt/ Size of stone , p, SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Y go, Tank to Dist. Box ' aDist. Box to Field/Pit s 416 Openings Sealed? s No Partial LOCATION/SEPARATIONS: Foundation to Tank i 3 feet Foundation to AbsorptA/( ( n feet Separation of Pits \ _ feet Conforms as per Pl o Pl ate Yes No LOCATION OF SYSTEM PROPERTY: (circle one) fniI- Rear - Le Side - Right Side Middle Front - Middle Rear COMMENTS: iele 6/V < 1 f _ SYSTEM USE APPROVED: NO Arrived: /o /e, , Departed: a-a / Building n ect r %p N v. ,� ` �1 `I/if \`O\ •O • C O.4 '\ ‘,./ "1 / ' \ : • \I 6b// ' --,.„, . , p, \ ".......4:--...., dij°`-',-ft.? -. , - . -. _ _ ----- "- .:- - / ymac,\ f'o ' p 90 , +I1..7 2 tp_ g'lc l\ A O p,�• O f ?�• ,r d • p E \ � 4 1 , \ . ti:- .. .A7, „ O • • a I 1•55 ACRES I ! A I I1 . I . I I I IPf I POLE 1 ' 0 IPE ilk I111 l *PVTOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FO INSPECTIONS� RECE ED (D 93 ..5- / NAME vl e(L( - LOCATION dj DATE /6./&/11,3 PERMIT # 93- $ S TYPE OF STRUCTURE 51 ,.)--- RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR PEINFORCEMENT IN PLACE 7 OUNDATION/DAMPROOFING ,// BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADEtS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION;: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: Ij/ / ARRIVE (0: 11/ DEPART /V INSPECTOR �,� WOODED OQ E`er fir co y� A� ul - - f W or CEO LAWN Lu LL WOODED �d/Dl.��✓ O 0 • t___ - - - - STEEP SLOPEilljPROPOSED 24 x 24 GARAGE & 7i 12' x 2�4' ATTACHED DRIVE-THROUGH SHOP "` � � • W'Jos Lu uj WOODED . WOOD FRAME COTTAGEI ' d 2-STORY FRAME HOUSE (TO BE RAZED) '' ......•.... . . TURN & PARK f LLJ 00 Io2' ... .., .. z SUBSURFAC AST9WAT j~ -� , WOODED V W Q 1 I �, ..�• � rL' •' I NEW GRAVEL DRIVE U LLJ 20 I •� W NEW 2-STY FRA�14E USE I I I ?.; 'a i z co C) FINISHED 1*T FLOOR EL V. 106.6 `- z 1 r '' •; LLJ Foz t 1� D. B� 1000-GAL., IC TANK 6" DIAM. DRILLED & CASED WELL UNDER UND WATE SERVICE WOODAGf 1T0 BE`RAZED) I 200 AMP UNDERGROUND ELEC RIC- I k SERVICE 30" 36" BELOW GR DE I - - t �_\ LLJ METER \'� •� ;\\ A�'PROXIMATE LOCATION - (2) 2" Q >: cc "DERGROUND TELEPHONE CA ES LL 103 SMALL WOOD BARNI� / � uj IoZ APPAOXIf FATE LOCATION d LLJ ' " \ tXISTING OVERHEAD ELE RIC LIN • ."` w APPROXIMATE TOP OF BAN WOAD E3AEiAt✓ �� con tr SHED �■■� Lu LLJ a k� _ V Q W O OP UJI .F 1�3456 7,99UL ui L6 �n W W > m © O p Z '� .' 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