Loading...
1988-544 J? is V .. CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date February 13 19 90 This is to certify that work requested to be done as shown by Permit No. 88-544 • has been completed. This structure may be occupied as a _ One family Dwelling Lot 111 HOney Hollow Rd. (St. No 13) Bedford Close Location • • Owner Donald & Barbara Eckenfelder By Order Town Board TOWN OF QUEENSBURY f/ Building & Zoning Inspector • BUILDING PERMIT H w TOWN OF QUEENSBURY No 88-544 WARREN COUNTY, NEW YORK z 0 PERMISSION is hereby granted to Donald & Barbara Eckenfelder r, N Lot 111 Honey Hollow Rd. (St. No. 15) OWNER of property located at Street,Road or Ave. Bedford Close in the Town of Queensbury,To Construct or place a One Family Dwelling �o 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. d 1. OWNER'S Address is ° 0 w N a 2. CONTRACTOR or BUILDER'S Name W w ti Tony Marciano Cr n w 3. CONTRACTOR or BUILDE§oX d `4 A Glens Falls, N.Y. 12801 co t•n 4. ARCHITECT'S Name a to M 5. ARCHITECT'S Address r 0 rt N N N 6. TYPE of Construction—(Please indicate by X) x 0 (X)Wood Frame ( 1 Masonry ( )Steel ( ) x 7. PLANS and Specifications ° r No 107' X 70' as per plot plan, specifications and application. S INcludes septic system and attached 3-car garage. �y 8. Proposed Use One Family Dwelling M a �i cn w rt t� w � z 1�4 o 5.00 C/0 $ 316.00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 1 19 89 (lf 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.) F W QQ tal rfi Dated at the Town of Queensb is 29th Day July 19 88 0 a SIGNED BY for the Town of Queensbury o Building and 2 lnspecto m M 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::, 1. Gross floor area 2 . Type of heat eo0 w a-rt 'I Py 3 . Is the building mechanically cooled? �� S 4. Percentage of area of windows and doors /3, q �o A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions- - 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? YES NO 1. If YES , what is the R value? 3. Slab on grade YES NO a. If YES, . what is the R value of ,insulation around perimeter of floor? 4. Is basement heated? YES NO a. R value of insulation 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 3 . it value of glazed area �� 3.3 4. R value of doors 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab /J.9, 7. R value of slab insulation - heated slab /J•j4. 8 . R value of heated basement/cellar walls (above grade) 9. . R value of heated basement/cellar walls (below grade) 10. Type of insulation C. Controls 1 . Thermostat maximum heat setting �j d D. Duct Systems 1. Is duct system installed in unheated spaces? YES a.. . If YES , R value of duct installation b. R vale@ of Duct in othcx E p P.g..!.�0uioi.„ I. Size of hot water or cooling carrying ag@nt pipe. 2 . R value of pipe insulation -Z F. Service Water Heating gg 1. Performance efficiency /3/b -2. Temperature control setting maximum 1600 G. For Swimming Pool Only ee11 1. Maximum heating /v •i Telephon? No. (applicant ' s signature) TO BE COMPLETED BY `BLDG. DEPT. i,.° :''d :L�:-•= --- Application No. Jouln o/ Queenilury p ,' Permit Issued 19 L_.. BUILDING and ZONING DEPARTMENT. Permit Expires 19 � L Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No. BUILDINC-, &_—O DE`DEPT. MSite Plan Review No. J_ \ Approved �T' 12 v ,/ APPLICATION FOR BUILDING AND Z..ONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may- be indicated on the Permit. -------------------------------------)-------------J--------------------QQ------------------------- The owner of this property is: 'Doxio lo( 4.✓lot 'ge„f( axn Gk e v)411)e, P.O. Address Property Location: lof AlR_u ID )&IAOL 1971 S Tax Map No. Street numb or building lot number Subdivision name (if applicable) &d.46C , 0-1®9Q THE PERSON RESPONSIBLE FOR SUPERVISI/IOON OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address Tel. No. Name of builderl�n 177a����•��; Address �S I/^ � Tel. Name of lumber —T Addres sla/ "�- }Name of masonAln� r= �- Address, Tel. �C�F Goo z NATURE OF PROPOSED WORK: * ZONING INFORMATION: _Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED, _Addition to a building * drawn reasonably to scale and attached hereto, Alteration to a building showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) set-back dimensions from property lines. Give * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. - of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property //-L ft X Z?S ft_ * Existing building(s) Size = ft X ft,_ PROPOSED BUILDING AND USE: * Existing building(s) Use r.---� Size of new structure eft X O ft Foundation-pier/slab/crawl/partial fu1 * Proposed building, distance from property line (circle one) * d No. of stories (habitable space) Front an"Z. * y �S� ft Rear yard (A S ft. Height (grade to ridge) ft. * Side yards -52 t ft and (G, / ft I,f residential, no. of families______ * If on corner, setback from side street ft No. of rooms(excluding baths) /J * OCCUPANCY INFORMATION No. of bedrooms ii. * PRIMARY BUILDING - No. of bathrooms �( One family dwelling Primary heating system J * Two family dwelling Type of fuel F1ca anc7� Soj('� No. of fireplaces to be installed` * Multiple dwelling / Number of units * Permanent occupancy Will a wood stove be installed? Arc) * Transient occupancy Central Air conditioning? Y.2 s Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial * Other ' Ranch Contemporary Log cabin Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- 7Co_1onia`Tj Row Town House * Detached garage/one car/ two car/ car CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ _car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION 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? AJO Foundation wall material Cer1c(,e,-e Thickness 16 Depth of foundation below grade (to bottom of footing) . Will there be a cellar? .es Heated or unheated? A e ,-t Floor sq. footage Z ZS' sq ft Will there be a basement? &A Will any portion be used as living space? A16 (If so, what portion? sq.ft. - - Type of use? Type of roof - lope flat/shed/other Material.•of roof ,' 6 Size, wood studs Z "X ( spacing_Z_(,_"o.c. length _�ft. Joists(floor beams) 1st. floor Z "X_ spacings&"o.c. span_, -4,ft. Joists (floor beams) 2nd. floor _"X__/Z. " spacing /& "o.c. spanLZ=&ft. Overlays(ceiling beams) Z "X�" spacing 16 "o.c.span__Z& ft. Roof rafters 77__"X $ spacing_/�o.c. spanA q/ ,ft. Roof trusses(pre-engineered) spacing 2 "o.c.-- span 3 Z -ft. Exterior wall finish .01&p40#-rA 4- J ,c, Of what material? C� Interior wall finish Y1-1" be If a garage is to be attached,3 describe materials to be used for FIRE. SEPARATION: �S k Is there to be an opening between garage and.dwelling? ,eog If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? y&5 Height above roof 2 ft. Depth of chimney foundation below grade___&�ft. Depth of fireplace hearth_Lft. & in. Water supply - Municipal r private well SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ZOO'/'ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury A F F .1 D A V I T County of Warren STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, .are a true and complete statement of all proposed work to be done ,on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. SWORN TO BEFORE ME THIS Si9nature_°_��,���/� ��1���1 �"��, � ������ J Owner, owner's agent,arcnirect,contrac or day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By------------------------------------- -- �rurlt o �aceP.ftd �9 APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE •LOCATION OF PROPERTY FOR INSTALLATION l o J`1 o!oal o $ ���/pg� Owner's Name: ))Vh Telephoner Address: P.o. 3of� G�2vss �a.�� 7, -Installer's Name: - /v c�,�Jf f Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) /(oQ Topography:. circle one Flat Rolling Steep Slope % of slope Soil Nature: circle one: Sand .Loam Clay Other / Depth: . feet Ground Water: At what depth? /-Z t feet Bedrock or Impervious Material: At what depth? _ �fp` y` feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is .a Well: Separation: Watersupply from Septic,absorption _ feet PROPOSED SYSTEM: Septic Tank p DO gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench iD feet / Total system length Z.,5—Q feet SEEPAGE PIT(S): Number of / Size'each . feet by feet Size of.stone to be used # 2_ / Depth or Thickness _ �—(o 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 dimensions 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 CC'rT1 ;Zr) 1741 WMAP nC IJATIIPAI RFAIITV A r_nnn PI ArP Tn I IVF MIDDLE DEPARTMENT INSPECTION AGENCY, INC. . —^m— % National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 COMPLETESAPPLICANT , Date: City, Town or Township c/ S C County lam(-��-�j��sZ _State � Location/Address l (If Located in Rural Area-Please ttach Directio Pole # i Owner L��L�/ �� 4.��:�A/e'i� �jcJ �o'r'i� Permit # Occupied As Building: New Old❑ Occupant Work Area in Building Floor#,etc.): App. for: Wiring[]' Service or: Ready for Inspection: Fee Remitted-$ Cash❑ Check❑ M.O. ❑ Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring'and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 111121 2 3 1 5 1 71/z 1 10 1 15 120 1 25 1 30 140 1 50 1 75 1 100 Mark Number of Each Size Applicant's/� Signature License # Permit # T/A ✓ Utility: .fir ry w i� — �`ins / Applicant' Address:. (NAME) (OFFICE LOCATION (city) (State) /✓cj / o/ --T (Zip) Z� Service Request # Phone # G 2� Electrician: 7Red • DATE RECEIVED: DATE INSPECTED: Location: Same as Above❑ or: tice Label ❑ Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P, 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 14z 2 3 5 Fill 10 15 20 25 30 40 50 75 100 Mark Number of Each Size DANK WfNCHcI._ Elect. Heat 500 1 750 1000 1250 1500 1150 2000 2250 2500 2750 3000 / R.R. #1, BOX 1062 N. N.Y. 1282% .5334 V. H CERTIFICATIONS USE FOR INITIAL VISIT"ONL1C'`, CORRECT NOTIFIED DATE FEE. FEE PAID. . ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ ❑ L/A Owner CASH ❑ ❑ L/A Fee CHK # ❑ IPA Municipal Due MO # INV # Date: Other Side❑ Utility Applicant Owner . Cut in Card ❑ Temp # Date ❑ Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO. 250 EL 11/86 Jown o/ Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME t:�CI��� 1Z LOCATION CO � U) Date g�/Permit No. g� ✓ = APPROVED - YES NO Footing/Pier Forms ,• Foundation Waterproofing Backfill Framing Roofing Siding Masonry Venee 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 ELECT CAL INSPECTION DRIVEWAY AP OVAL Final Buil ng Survey Next sche ed inspection (call when ready) Remarks- :_1 A LL Building Inspector 6/86 and-vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HA VILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RE EIVED _ NAME DG1191�� LOCATION DATE '0- rj - � PERMIT # APPROVED YES NO FOOTING%PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION \ /r FLOORS ` WALLS / CEILING (,-FINAL INSPECTION:_,t. CHIMNEY HEIGHT % ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES%RELIEF VALVE r INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 1 INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12809- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED _ NAME LOCATION/ IZ 119) DATE PERMIT 'i 5� APPROVED YES INO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING BACICFILL APPROVAL ROUGH,PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS "- WALLS CEILING UxINAL INSPECTION:\ CHIMNEY HEIGHT �� •. ROOFING '� V SIDING EXTERNAL PORCHES/STEP'S l/ STAIRS-CLEARANCE `,& RAMS PLUMBING FIXTURES/RELIEF VALVE V INTERIOR TRIM/PRIVACY DO RS FINISHED FLOORS' GARAGE FIREPROOFING DOOR CLOSER(S). SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL.' OF CONSTRUCTION 0 A SIGNED CERTIFICATE OF OCCUPANCY UST BE OBTAINED FROM THE BUILDING DEPARTM NT BEFORE THESE PREMISES ARE OCCUPIED!- REMARKS: he �r cLt�c I . I SPECTOR MIDDLE DEPARTMEN7;.10!1SPECTIO[d ,,AGENCY, INC. b J 900,Hadtiori Averi%ie,s�o��(IR94wooid;'NJ;�Q810$: ` =it - Dates 19 19 8 � � .✓.,�,;,_J� __ -- �.:���, - July � Certlf lP� that the>61)ectrical:eq'uipment listed has been exari)tted'andjs approved as being in accord with the National Electrlddl,Co& applicable governmental, utility and Agency ales. C rY;� If r f -;;., . �..-� b'�'� -r:(-s',`•�;;�,r+�,.;;�A:ss ';� eit.'`�3 � tt'.'� �' CS-p C Donald & BarCis. 's''i ^-r-�. •<,,;. ba.- �• u Owner: °o�.a? Same ' Occupant: :t'• '_: Lot 111 Hone..-H lflo R d, 'iQ teem kiia y." p� `Q °•=fF Location: 'r; Ttils cetjficate cOVers Ifie elec ric2l.equipment and installation inspected this C ,. �.;i .� date. 11 additional equipment;shotild be introduced or alterations made to ' .�, existing system thig certllicale shill be null and void. and application for 130 Outlets^�'s80 �Rbce tacles' •5,0 Fix a es,' inspection should be submdtedpromPtlytothisAgency. C Equipment: �. P 444 ,E ,.<§�a.. ''• M! G P E C,�2 �`t�a,Holder of this cettificate should.pf¢sent same to his property insurance carrier 400 Amp Servic$:, \7 Appliances (agent orcomppny)asevidence'otyertificationof electrical equipment approved V- ;\ as specified.! Carol Marcian',@'".'s)._�`' Applicant: Box 2254 w = ->•:_v'_ .. -- t .,:.:; :w'NO. 15-026613 ;f 1 Glens calls, NY 12801```=�'r� n, c0 /"+r1 /"+� /�� !+ /'+�s�►i,�_ /��1� /� /"+� !� /���1�+1 /�r1J//� � r1 rl+s1� rl++ls�ti/�+1�/ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED_,�?'�L� NAME _ gfz2 LOCATION Q J DATE PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHICI,fOUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING, FRAMING ELECTRICAL ROUGH-IN ' Lam`"SULATION: FOUNDATION FLOORS WALLS R-L CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS' STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES%RELIEF'VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS;` GARAGE FIREPROOFING DOOR CLOSER(S)f SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL/OF CONSTRUCTION I A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROMI•THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: I)J S J L1-kT-6-0 13 &T-Wg g-.v J-Ld srt S A-Eav q i TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT nn REQUEST FOR INSPECTION RECEIVED NAME , t LOCATION .p. ` A 2L\, � DATE PERMIT # ,fir ail&�_ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL (/ROUGH PLUMBING (,FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING-. FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE'` & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING. DOOR CLOSER,(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION ' r A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: Li",e INSPECTOR Jown o f QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 y� Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME_ 7 /s �4CcT c��6 LOCATION � Yc DATE/VV2f 7f PERMIT NO. r� SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch _ TYPE of SYSTEM: J Absorption field, total length Length rof each trench 601 Depth of trenches ' Size of ravel SEEPAGE P=4Number of) l Size- t. X _ ft. Gravel size PIPING: Size Type Bldg. to tank L� Tank to dist. ox _ LL Dist. box to fi d/ its. Openings sealed? YES NO Partial LOCATION/SEPARATION : Foundation to tank ft. Foundation to absorpti InXLft. Absorption to lot linft. Separation of pits ) ft. LOCATION O SYSTEM O PROPER Y(circle one) Front - ear Left ide - Ri , t side - COMMENTS: SYSTEM USE APPROVED ES NO _ ii �fl •'1 Building I spector 01/86 and vl f '4 _Down of QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Clueensbury, New York 12801 �CIILDING INSPECTOR ' S REPORT NAME LOCATION S� Co�ti �G1-57 Date C/ /� Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO Footing/Pier Forms 61T-1�0-undation Waterproofing ackfill Framing Roofing Siding ` Masonry Veneer Rough Plumbing Relief Valves Ext. Porches r' Finished Floors Interior Trim / Stairs & Railings a" Cellar. Drain Tile Concrete Floors 111bg. Fixtures_ Gar. Fireproofing r \ Door Closers r` \ Smoke Detectors Chimney r INSULATION: " \� Foundation f Floors l` Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Buildi g Inspe`c -or 6/86 and-vl - . • Northern Tel. 518-798-6007 Homes 51 Glenwood Ave Glens Falls, NY 12801 w O ` axex. EG(C2 n I ate r ,o/ • 41. . .Q L? L0- - I PI i ' tl-0f , /i® aft_ .ii,....,, . . , , __ 3 Jo7* 111111 o/r; tr ' liumi Illial....., , r _..... : 1,,,t,zi a , : _ II cat ._, sa.� t.antimovil- IYI L" Iµ 1 r ...41111 IMAINTION II l rfa -to) �illf."111121rde 411111111 . . au e Le-f T I Z L; =l! , . 1,, 87, rip we 4,r W 0 I a, . e O 1 e.I Cie 5.CiL -e m I" _ 5or • i L w Lz ILA.��4.gsl..11�llf--%17, � t1 ii Value Today, Quality For A Lifetime.