90-828 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 9Pira 29 19 .
This is to certify that work requested to be done as shown by Permit No. 90-828
has been completed.
This structure may be occupied as a Single Family Dwelling
Location Birch Road, Glen Lake
Owner Janet Leonel l i
By Order Town Board
TOWN OF QUEENSBURY
A.„te;/
y F
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-828 0
WARREN COUNTY, NEW YORK
tO
PERMISSION is hereby granted to Janet Leonel l i
OWNER of property located at Birch Rd, Glen Lake Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Si ngl P 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 rD
O
31 Woodcrest Drive m
South Glens Falls
2. CONTRACTOR or BUILDER'S Name
Timothy BArber
Nu-Tech Construction Co. u
c+
3. CONTRACTOR or BUILDER'S Address
PO Box 4323 Oc
Queensbury
4. ARCHITECT'S Name
O_
CD
5. ARCHITECT'S Address r—
tD
6. TYPE of Construction—(Please indicate by X)
( (Wood Frame ( ) Masonry ( )Steel ( )
tj
.* J.
7. PLANS and Specifications (CI
CD
No. 2,112 sq ft Single Family Dwelling as per plot plan specifications -„
and application
8. Proposed Use
Single Family Dwelling
CD
J.
$ 232.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 10, 19 92 `a
(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 this, l Qth Day of San ua ry 19 91
\ /
SIGNED BY �� <� �� for the Town of Queensbury
Building and Zoni Spector
roWN-OF QUEENSBURY
-N REVIEWED BY
.' 1 FEE PAID $ i)
11,1 PERMIT NO. _ ,� -N 1 OF G�UEE Sg
� RECEIVEDl1HY
BUILDING PERMIT APPLICATION
DEC 71990 '
BLDG. & CODE DEPT,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
ELL 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.
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
he owner of this property is: ` ,,o,,,c.., LOSIJDA
.O. Address 3 I 1.,),,c c cSk &-, ,C` ,C Tel.( .A.5) 71 3 2,: :i (l) %' `/3YJ'
roperty Location GLl v\ L,JILE tIk f 7) Tax Map No. 3 R / i / a.)
as there been any split of this property since October 1, 1988? / 17
yes Planning Board Review is necessary. yes no
JBDIVISION NAME, IF APPLICABLE / , )1141
LOT NO.
HE PERSON RESSPONSIBLEE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
i t-
ATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF •
�( • CONSTRUCTION: $ //� Ud0
Construction of a new buildin CA�,.,6 •
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
/7S7• Size of property 9(i• ) ft x .,V .
Alteration to a building , * //
(no change to exterior dimensions) Existing Buildings(3) Size ti - ft.
• Proposed building - distance from property line:
Other work (Describe) • Front yard SC ft. Rear yard I . ft.
• Side yards c9 f ft. and -2t ft.
•
BOSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side stye
1st Floor III-I3 sq. ft. • OCCUPANCY INFORMATION
*
2nd Floor (-1 .-) D sq. ft. /6 v • • Primary Building -
t'- 1 ' One FamilyDwelling
Other Floors sq. ft. `}� `' . •
(not cellar or basement) • Two Family Dwelling
)TAL FLOOR AREA a i_ sq. ft. • Multiple Dwelling/Number of units_
ze of new structure=ft x 38 ft. • Business
mndation-pier/slab/crawl/parts /tulle Industrial
' (circle one) • Other OK) N`. \A Crv4 _
). of stories (habitable space) n •
sight (grade to ridge) c.)( ft. • If addition, what will use be?
residential, no. of families I •
o. of rooms(excluding baths) 7 •
o. of bedrooms 9 • Accessory Building
___Data ed stage O
co. of bathrooms •
'imary heating system • Aft h G E h► Car
i+pe of fuel__ • _P t sto building
o. of fireplaces to be installed /Vol/ S
-- Other __
ill a wood stove be installed /V()
entral Air conditioning AA) - •
OV• ER
f _
BUILDING PERMIT APPLICATION CONTINUED -
r
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. ��*, cC bini✓' -
Will any second-hand or upgraded lumber be used? If so, for what?
Foundation wall material C cc Thickness W.
Depth of foundation below grade (to bottom of footing) Cj '
Will there be a cellar? e Heated 4r unheated? Floor sq. footage 1 (c.. sq ft.
Will there be a basement?nt4 VD Will any portion be used as living space?
(If so, what portion? l v sq ft. Type of use?
Type of roof slope, flat/shed/other Material of roof f ri)Ica 51.1 ,5 IC Cr(t. EaX
Size, wood studs 0 "x L' " spacing I Li " o.c. length-1 LiP ft. J
Joists (floor beams) 1st floor `9.. "x " spacing ] (.f "o.c. span ( C.) ft.
Joist (floor beams) 2nd floor "x ) " spacing i LP "o.c. span )5 ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters g- "x ) c. " spacing I (_,Q o.c. span I'D ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish C42.d:Aa2. C ( Lj> rt.b of what material? ( LA(
Interior wall finish
If a garage is to be attached, describe materials t used for FIRE SEPARATION:
fV3)1/ -
Is there to be an opening between garage and dwelling? it,611// - ' If so will a Fire-rated door, enclosure,
self-closing device be provided? foj`„t -
Will a flue-lined chimney be installed? it/WC-Height above roof 1°v ft. fV W
Depth of chimney foundationb��eLLlo grade _'at.
Depth of fireplace hearth_____ in.
Water supply - Municipal or private well LNA,ICS
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties\( w%' ' It.
(A separate application is necessary for any repair or new installation of septic system)
JAME OF BUILDER )l/�_ 1 t t (-)P'{{/ADDRESS?° ` �( 3 TEL. NO. `)54-766 DAME OF PLUMBER :9n RESS TEL. NO.
TAME OF MASON / D ESS TEL. NO.
LAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
tans and specifications submitted, are a true and complete statement of all proposed work to be done on
is described premises and that all provisions of the BUILDING CODE, T ON DINANCE, and
LI other laws pertaining to the proposed work shall be complied h w et r d or not, and that
:0 work Is authorized by the owner.
Signature
Ow er, o er's agent, architect, contractor
PECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
F. . 1 v,Z 6i.`iZ C t! /
APPLICANT'S NAME ` N � '
PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - Z` I() Sq. Ft.
2. Type of Heat - Elec. Base Board Other 1-4.,7 /a i2
3. Is Building Mechanically Cooled? YES ti NO
4. Percentage of Area of Windows and Doors Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown i Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R \ ����L'13 ,,. 33 30
B. Exterior Walls R 1 ct 25 19
C. Glazed Area R 3 2. 5 1.3
D. Exterior Doors R ' �D Z.5 2.5
E. Floors over unheated spaces R ( f) 25 19
F. Edge of Slab on Grade (Heated Building) R V,IJtv E q
___LL__ iI
3. Basement/Cellar Walls (Above Grade) R \1t) J1:` 2,5 19
H. Basement/Cellar Walls (Below Grade) R___ it __II
I. Heating/Cooling - Ducts - Piping in Unheated Space R k.. iJ 4.(0 4.40
i. Service (Domestic) Hot Water Heating Devic
I. Conforms to minimum effqciencper y code YES NO
TURF C NTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
7 '
4. )9D-26
IPPLICANT'S $"IGNA URE DA TELEPHONE NUMBER
NSPECTOR'S REMARKS:
REVIEWED BY
01111111111A TOWN OF QUttLNJtbUKY
` 1 � APPLICATIO1 FOR SEPTIC DISPOSAL PERMIT
DATE: 0 6
LOCATION OF PROPERTY FOR INSTALLATION `-%L' / \\/ .
Owner' s Name: _ ) ,4 L i _v .Iv'L 1,
Address: ,�, ,, �A, ,C;I (,.
Installer' s Name: << " �--` ` Telephone: ) )r.. )((�
Number of bedrooms (residential only) L
Total daily flow (compute @ 150 gal per bedroom) l.(%' C1 --
Topography: Circle one: Flat Rolling, Steep Slope % of, Slope
Soil Nature: Circle one: Sand Loam Clay Other (- o.,\ \ /Depth:
Ground Water: At what depth? -) t Feet
Bedrock or Impervious Material : At what depth? Viz\, F, Feet
Percolation test: Circle one: not required required
N._-
Rate - \-.yv,- Min. Per Inch
Domestic water supply: Circle one: Municipal Well Other `t- y
If domestic water supply is a well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank VO.�--) - gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench v feet/`Total system length ; „K ) feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used # /Depth or Thickness feet
*****************************
HO ING TANK SYSTEM IF REQUIRED
S
NO. of Tanks ! Si of Each Gal .
*Alarm system and associat e 4tri al r t , inspected by an approved
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 Queensbq y unitary Sewage Disposal
Ordinance. 7 r'=
SIGNATURE OF RESPONSIBLE PERSON:
% DATE: ' Li
1�� TOWN OF QUELINNJUKY
l Ira APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE: 6/ .
�^ /
LOCATION OF PROPERTY FOR INSTALLATION ` -% ° " '" ' '
Owner' s Name:
Address: 1 44'. ' ,- 1 C" (,- (- ,..
Installer' s Name: 'J, -a Telephone:
Number of bedrooms (residential only) J_-\
Total daily flow (compute @ 150 gal per bedroom) (..
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? - Feet
Bedrock or Impervious Material : At what depth? -)-0' Feet
Percolation test: Circle one: not required , required
Rate - ! . Min. Per Inch
\jam
Domestic water supply: Circle one: Municipal Well Other
If domestic water supply is a well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank j,-- gal . (minimum size: 1,000 gal )
TILE FIELD: Each Tren h� fee t/Total system length �` � feet
SEEPAGE PIT(S): Number of /Size each feet
by feet --7
Size of stone to be used # -- /Depth or Thickness feet
*****************************
HOL ING TANK SYSTEM IF REQUIRED
NO. of Tanks \ C \ Size of Each Gal .
*Alarm system and associated electrical r tinspected by an approved
agency. �`
AAAAAAkAAAA
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 RESPONS
IBLE PERSON: I / / DATE: i'
TOWN OF QUEENSBURY
531 BAY ROAD
�`cst QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED CPI yl •)-
NAME )\-\t � c1 i o�r vCL-A,Y
r �
LOCATION \ c/
DATE L' � l� 9 : PERMIT# C /)
TYPE OF STRUCTURE , c
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
zcOOTING FOUNDATION BACKFILL FRAMING
OUGH PLUMBING _FINAL ELECTRICAL fPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS 4;j' ti� ,. �1 it y� vt%)�
APPROVAL
N/A ,Y°ES NO
CHIMNEY HEIGHT/LOCATION ✓
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING ✓
DECK/PORCH/STEPS/RAILINGS •�'
RELIEF VALVES ✓.
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE '
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS r
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION ✓`
FIRE/DEMISE WALLS +�
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
444e
---
ARRIVE ) \ °°
DEPART V'ti ,
IN EeTOR
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
1
NAME /� t,F i�/''1l-l--(i.
LOCATIN A.6/
DATE , 5,47,7-- PERMIT # 90 i2
TYPE OF STRUCTURE
RECHECK �/ t C ? ROV
N/A PPYESEDNO
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 -N exlA
PLUMBING VENT/VENTS IN PLACE 1
PLUMBING UNDER SLAB
FRAMING: `PP.12--j\c - X
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTE R R-
FOUNDATION WALLS EXT I R R-
FLOORS _ / R-
WALLS R-
CEILING /� R-
DUCT WORK OR PIP G IN UN EATED
SPACES
REMARKS:
et-CL M..'4 tt.C,nn PC + ?cam r5 r i/L.
f- 6M';,vG Po sr5 1364444 1-VT r-7A,4L i
pbC,� tV s r344.:U c.; ca PLC►zc-ct't
ARRIVE `2:: /0 '
DEPART `ZL3o
I SPCTR
vz-a--, 7/4199/ t*J
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION& Rd e4-1 7&
DATE /)./ 16/c?/ PERMIT I qv .?
TYPE OF STRUCTURE .j/C)
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON ISLE
FOR PROVIDING PROTECTION° FROM
FREEZING FOR 48 HOURS FOLOWI
THE PLACEMENT OF THE CONCRET .
MATERIALS FOR THIS PURPQSE ' SITE
FOUNDATION/WALL POUR 3
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENT IN PLACE
PLUMBING UNDER S •B
FRAMING: -
JACK STUDS/. 'DERS
BRACING/B' DGING s
JOIST HA, ERS
JACK P0: S/MAIN BEAM
FIRESTOP' ING
WALL
CE ING
FIR, ALLS
H . TING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
311;II 14/41)713 091 - '1'14
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME9241A4 4717X.,111-
LOCATION 04)010 6,
DATE /29./q/ PERMIT # 96 -1
TYPE OF STRUCTURE )1/ 6 Id j1 /i dzeW
RECHECK .4e & -a h 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 PEACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
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:
ARRIVE
DEPART
N CTOR
TOWN OF QUEENSBURY (`
�y1
BUILDING AND CODES DEPARTMENT betO r t__.
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 dPI))TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT -1) ) 7/
EQUEST FOR INSPECTION RECEIVED
AME r1P.I1 i act►'1.d'
OCATION 'Ott v-cl , 61 Piv' IaK@ai
ATE ' Jr3 tp j PERMIT # 0 K9-
YPE OF STRUCTURE j;f421._
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 PURPOSE ON SITE I
OUNDATION/WALL POUR �
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
OUCH PLUMBING
LUMBING VENT/VENTS IN PLACE ,`
LUMBING UNDER SLAB
RAMING: I'
JACK STUDS/HEADERS /
%
BRACING/BRIDGING 7
JOIST HANGERS F
JACK POSTS/MAIN BEAM
IRESTOPPING
WALLS J
CEILING
IREWALLS
EATING ROUGH-IN
NSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS: I//
1vI Su r *e
9k .1nsu(c4-c2r-z, c
JS o Ft/ off/ V6eces •
3 • viz/ ciao o
RRIVE .2.'tom
EPART /
INSPECTOR
TOWN OF QUEENSBURY aot_
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RRECEI��VED
NAME A
LOCATI01 ,d/ 41/Z/Le,A__
DATE 7ili22l9q PERMIT I 9(� -6e2ZF
TYPE OF STRUCTURE Avg(' ii(nr-ibi
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 PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING '
JOIST HANGERS
JACK POSTS/MAINBEAM \
FIRESTOPPING
WALLS R'
CEILING
FIREWALLS
HEATING ROUGH-AN
INSULATION: ''
FOUNDATIO WALLS INTERIOR Rt-
FOUNDATIO WALLS EXTERIOR R
FLOORS R-
WALLS R-
CEILING R-
DUCT W K OR PIPING IN UNHEATED
SPACES
REMARKS: _ c4.)//6,r2-7 e
X,
c._,-/
ARRIVE %% ..
DEPART ,
INSPEC OR
TOWN OF QUEENSBURY —1-124, ,,. 1/
BUILDING AND CODES DEPARTM NT f/r( '
531 BAY ROAD
QUEENSBURY, NEW YORK 12 04
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT i
REQUEST FOR INSPECTION RECEIVED 1/ )_ 11
NAME e_0-1-\e\\\ ) .-,-k.T.15..V
LOCATION i.`C ) -> Glow k1 ,
DATE ri I 1s 1( PERMIT I dV -s�U
TYPE OF STRU TURF Si 2 3-VdY1� �l..t„+F' �1'0
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RE NSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOU FOLLOWING
THE PLACEMENT OF THE{CONCRETE.
MATERIALS FOR THIS PURPOSE ON SIT
FOUNDATION/WALL POUR`
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL r
ROUGH PLUMBING - — -
PLUMBING VENT/VENTS IW PLACE , -
PLUMBING UNDER SLAB
FRAMING: ,A7:-
JACK STUDS/HEADERS °.
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING ,
WALLS
CEILING `
FIREWALLS i
HEATING ROUGH—IN
INSULATION: \
FOUNDATION WALLS I TERIOR!R—
FOUNDATION WALLS TERIOR It—
FLOORS RS-
WALLS RIk
CEILING R—'
DUCT WORK OR PI ING IN UNHEALED
SPACES -j P° 17 ri
REMARKS: , �1 �A,,� �E-)• `L a `' CS
r<.s--A 4,-" _.- _
f_,..›. 1-T
ARRIVE -t—i: -,?-_
DEPART ,✓- ( . ... ,--�_
INSPEC !
awn o/ Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME C c\( �0 i n eA
LOCATION 3r \
\1c ( cieltAlatE,
DATE cj / Y; PERMIT NO. 90' sc)s,-)
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 PITS4Number of)
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank an S ya
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption _ft.
Absorption tollot line ft.
Separation of pits ft.
LOCATION OF /SYSTEM ON PROPERY(circle one)
Front - Rear - Left side - Right side -
COMMENTS: i
SYSTEM USE APPROVE. I` Nn
f
it
Bu i F'i'g Inspector
01/86 and vl
_town of Queeniturj ,,//27J
BUILDING and ZONING DEPARTMENT I
Bay and Haviland Road, R.D. 1 Box 98 /
Oueensbury, New York 12801 / 1
11 .... 4 .
\un \(-t-i->.,,c)\i x p 1,,t
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 9aALLi 4- 'JZ4C!_,
LOCATION (, Ar.Ch., 0 xlKile-_4Qii
DATE v'S//v/9/ PERMIT NO. gi-421
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Number of)
Size- ft. X _ ft.
Gravel size
PIPING: Size Tie
Bldg. to tank J
Tank to dist. box ;"
Dist. box to field/pit
Openings sealed? YES 40 Partial
LOCATION/SEPARATIONS
Foundation to tank 'y ft.
Foundation to absor ion ft.
Absorption to lot ine —ft.
Separation of pi —ft.
LOCATION OF SYSTtM ON PROPERTY(circle one)
Front - Rear -"Left side -'' Right side -
COMMENTS: y/
,t4, /24,0tA*
SYSTEM USE APPROVED YES ,/`
- /4'
Building Inspector
01/86 and vl
Jotun o f Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Mt c J I I
n
LOCATION �i g,cl) G(c-,AA i K f --
DATE 5 //c) PERMIT NO. 9 —(sc)`)
SOIL TYPE - Sand -(Loam) Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches •
Size of gravel_ _
SEEPAGE PITS{Number of)
Size- ic ft. X ft. ". 2 ' 55.E
Gravel size # 0,2
PIPING: Size > Ty e
Bldg. to tank
Tank to dist. box y SC& 441
Dist. box to field/pit ! tl
Openings sealed? 41g NO < Partial
LOCATION/SEPARATIONS:
Foundation to tank t.
Foundation to absorption ft.
Absorption to lot line f .
Separation of pits ,
LOCATION OF SYSTEM ON ROPERTY rtfc one)
Front - Rear - Left fide - fight 4ide
COMMENTS:
c4L.t✓ i crn
It, v5 .
SYSTEM USE APPROVED 0. O
1!I
3 :30 IL. A
B i •�ng Inspector
01/86 and vl
TOWN OF QUEENSBURY
1 P)
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
tEQUEST FOR INSPECTION RECEIVED 5)�I'� J
TAME . E_C 11 C:. % '�n-e /
�` ' ;� f
.00ATION ) ;(L-\ -C'} �`.cv �7`C'+t C
)ATE ���q1 Q 1 PERMIT # 0--iWf
TYPE OF STRUCTURE\._) � ,p
tECHECK < ���` `— \i``k- \?� � APPROVED
. N/A YESJ. NO
:OOTINGS/PIERS /` �'`
1ONOLITHIC POUR FORM .
REINFORCEMENT IN PLACE
'
FHE CONTRACTOR IS RESPONSWE i
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
FHE PLACEMENT OF THE CONCRETE. �`
1ATERIALS FOR THIS PURPOSE OM SITE i
=OUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
3ACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING r
JOIST HANGERS 1
s
JACK POSTS/MAIN BEAM .
HEATING ROUGH-IN '
INSULATION: `.
FOUNDATION WALLS INTERIR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS If R- N
CEILING / R- i
DUCT WORK OR PIPING/SIN UNHEATED +,
SPACES ,,
REMARKS:
S 7'
r - ,,, _ A,- .
ARRIVE /[!' '
DEPART / !G' / _
INSPE& R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
i
REQUEST FOR INSPECTION RECEIVED fir/
! !/.
NAME ---� - f`/
�/ / 7
'�/
LOCATION `Csr;F,,, Lc;:4!-(_ if�f
f
DATE /�. �.: ,, // PERMIT # '7j '—tVZ S—
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS L-"",.
r
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
e
FRAMING #`
ELECTRICAL ROUGH-IN
INSULATION: 1
FOUNDATION z
FLOORS.
WALLS
CEILING 1
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING f
EXTERNAL PORCHES/4'TEPS
STAIRS—CLEARANCE i RAILS
PLUMBING FIXTURES.;°RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS ` _
GARAGE FIREPROOFIkG
DOOR CLOSER(S) . t
SMOKE DETECTORS
FINAL ELECTRICAL IN ECTION
FINAL APPROVAL OF CO STRUCTION
OK TO ISSUE C/O OR C C
A SIGNED CERTIFICATE F OCCUPANCY MUST BE
OBTAINED FROM,, THE BUI ING DEPARTMENT BEFORE
THESE PREMISES ARE OCC PIED!
REMARKS:
k
r.
ARRIVE c"
DEPART - #�' t .
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD r�
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
:QUEST FOR INSPECTION RECEIVED 01/11
ME ix t
ICATI „..7r am_
1TE 007/ PERMIT # fJ-c F
'PE OF STRUCTURE
:CHECK APPROVED
. N/A YS NO
)OTINGS/PIERS
)NOLITHIC POUR FORM
:INFORCEMENT IN PLACE .`
IE CONTRACTOR IS RESPONSIBLE
)R PROVIDING PROTECTION FROM
tEEZING FOR 48 HOURS FOLLOWING
iE PLACEMENT OF THE CONCRETE.
kTERIALS FOR THIS PURPOSE ON SITE ,'
)UNDATION/WALL POUR
:INFORCEMENT IN PLACE
)UNDATION/DAMPROOFING
aCKFILL APPROVAL
)UGH PLUMBING
LUMBING VENT/VENTS IN PLACE ' 1
LUMBING UNDER SLAB
RAMING: 1
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS: c9I ih `Y k, l
mc 114-41-
4
iea
,l, � at bJ cell 5iu&
•4_ :Le 1 !1 a /tics.,; r
ARRIVE — J012
iEPART
INSPECT
1U
TOWN OF QUEENSBURY , -c-iS .S.A
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS ,W
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INS ECTION RECEIVED
NAME ' 4.81z4Q-L
ff /
LOCATION 0(- 1 ci) !�t� #� C.e. k
DATE I AI I 0 PERMIT # f(,' - 4 ,i
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
iOUNDATION
FLOORS t
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING t
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & LS
PLUMBING FIXTURES/REEF VALVE
INTERIOR TRIM/PRIVACY pOORS
FINISHED FLOORS _
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTI
FINAL APPROVAL OF CONSTRUC ION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCC ANCY MUST BE
OBTAINED FROM THE BUILDING D PARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
0 `1t' o i -C-1126:4
ARRIVE
DEPART
INSPECTOR
/1/6 (2.1/-e l
TOWN OF QUEENSSUR (10
RECEIVED
MAY 151991
BLDG. & CODE DEPT.
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