88-549CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 28 1988
Thu is to certify that work requested to be done as shown by Permit No. 88-549
has been completed.
This structure may be occupied as a One Family Dwelling
Location Lot 99 Oak Tree Circle (st. nc. 1) Hidden Hills Subd.
Owner Robert Sweet
By Order Town Board
TOWN OF QUEENSBURY
Building b nin` Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY. NEW YORK
PERMISSION is hereby granted to Robert Sweet
No,
88-549
OWNER of property located at Lot 99 Oak Tree Circle (St. No. XX 1) Street, Road or Ave.
Hlacien Hills Subd.
in the Town of Queensbury, To Construct or place a One 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
Wintergreen Ln.
Queensbury, N.Y. 12801
2.
CONTRACTOR or BUI LDERS Name
Ken Collette
3.
CONTRACTOR or BUILDERSAddress
9 Collette Ln.
Hudson Falls, N.Y. 12839
4.
ARCHITECT'S Name
S.
ARCHITECT'SAddress
6.
TYPE of Construction — (Please indicate by X)
(XI Wood Frame 1 ) Masonry ( 1 Steal 1 1
7.
PLANS and Specifications
No. 58' X 28' as per plot plan, specification and application
including septic system and attached two -car garage.
8.
Proposed Use
One Family Dwelling
5.00 C/O
$ 136.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 t9 89
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueansbury before the expiration date.)
Dated at the Town of
SIGNED BY
is 3rd Day of August
Building and Zonrrg Inspector
M,
for the Town of Queensbury
_lown o/ Queen96ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
APPLICATION FOR
Application No.
Permit Issued 19
Permit Expires 19
Zoning Designation
Variance No.
Site Plan Review No.
Appr ve
BUILDING, AND ZONING PERMIT I
TO jr_
JUL 2V1988
BUILDING, & CODE DEPT.
# # # # # # # # it # :>#
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.
The owner of this property is: M , ?./f7rr.c r&41y S
P.O.
Property Location
Tel.-1 9 7 '1.2.5.7
Tax Map No. / /_
Street number or building lot number
Subdivision name (if applicable) _/-/j fi/dlt
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODE'S IS:
Name
P.O. Address
Name
of
builder leq u
Address
Name
of
plumber 5,4, i
Address
Name
of
mason A.1
Address.
NATURE OF PROPOSED WORK:
Construction of a new building
_Addition to a building
_Alteration to a building
(no change to exterior dimensions)
Other work (describe)
FOR DEMOLITION PERMIT, STATESIZE AND
LOCATION OF STRUCTURES AFFECTED.
PROPOSED BUILDING AND USE:
Size of new structure S F ft X i-R' ft
Foundation-pier/slab/ raw partial/rui>
(circle one)
No. of stories (habitable space)_
Height (grade to ridge) :?- / ft.
If residential, no. of families /
No. of rooms(excluding baths)
No. of bedrooms 7
No. of bathrooms 1:2-
Primary heating systeml� <..�
Type of fuel c�.•v,o
No. of fireplaces to be installed I
Will a wood stove be installed? ,uz)
Central Air conditioning? /Vo
BUILDING STYLE, PRIMARY STRUCTURE
Ranch Contemporary Log cabin
Raised ranch Mansion Duplex
❑bevel) Old style Bungalow
Cape Cod Cottage Other
Colonial Row Town House
( CIRCLE•' ONE PLEASE )
ESTIMATED MARKET VALUE OF
CONSTRUCTION $ qp J-27r)
* ZONING INFORMATION:
Tel. No.
Tel.
Tel.
* A PLOT PLAN MUST BE PREPARED AND SUBMPTTED,
* drawn reasonably to scale and attached hereto,
* showing clearly and distinctly all buildings,
* whether existing or proposed and indicate all
* set -back dimensions from property lines. Give
* street and number or lot number and indicate
* whether interior or corner lot. Show location
* of water supply and location and configuration
* of septic disposal area.
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property / S ft X 7 Sr ft.
* Existing building(s) Size ft X ft.
*
* Existing building(s) Use
*
* Proposed building, distance from property line
* Front yard SL/ ft Rear yard lb % ft
* Side yards 4110 ft and -?'? ft
* If on corner, setback from side 'street L_^D ft
* OCCUPANCY INFORMATION
*
* PRIMARY BUILDING -
*-LOne family dwelling
* _Two family dwelling
* _Multiple dwelling / Number of units
* _Permanent occupancy
* —Transient occupancy
* _Business
* _Industrial
* _Other
* If addition, what will use be?
* ACCESSORY BUILDING -
Detached garage/one car/ two car/ car
* _Attached garage/one car/two c' __car
* _Private storage building
* Other
*
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: n _
Type of construction, wood frame, fire safe,etc. ((/r�N 5L✓LP}
Will any second-hand or ungraded lumber be used? If so, for what? P1,v
Foundation wall material_j� c.ta:7� Thickness'"
Depth of foundation below grade (to bottom of footing) 4"
Will there be a cellar?�,T eo Heated or unheated? Floor sq. footage 7 3h' sq ft
Will there be a basement? Will any portion be used as living space? o
(If so, what portion? v 1 sq.ft. - - Type of usel
Type of roof - to /flat/shed/other Material. of roof r_142r _
Size, wood studs "X spacing "o.c. length ft.
Joists(floor beams) lst. floor ;; "X /n spacing_"o.c. span /f ft.
Joists(floor beams) 2nd. floor p "X spacings"o.c. span /�/ ft.
Overlays(ceil' beams) ! spacing 2ys"o.c. span 2(f ft.
Roof rafters � spacing o.c. span ft.
Roof trusses(pre-engine ed) spacing"o.c. spanft.
Exterior wall finish �� Of what material? )
Interior wall finish
If a garage is to be atta end, describe materials to be used for FIRE SEPARATION:
C Y
Is there to bean opening between arage and dwelling?_/, If so will a Fire -rated
door, enclosure, and self -closing device be provided?
Will a flue -lined chimney be installed? f2� Height a ve roof 1ZL ft.-Z.
Depth of chimney foundation below grade {'. ft.
Depth of fireplace hearth C/_ft. o in.
Water supply - Municipal or private well
SEPTIC SYSTEM istance from ANY private well(including adjoining properties ft.
(A separate application is necessary fc.r any repair or new installation of septic system)
town of Queensbury A F F :1 D A V I T STATE OF NEW YORK
"-ounty of Warren
I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done,on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether specified or not, and that such work is
authorized by the owner. d� Imp
SWORN TO BEFORE ME THIS Signature_ _.(_�__� - -S---------------
EGner, owner's agent,arcnitect,contractor
day of 19_
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
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 I % %;L
2. Type of heat c)A AZ Ai*":,
3. Is the building mechanically cooled? tjc.
4
Percentage of area of windows and doors j ! /n
A. Over 16% Only
1. Uo value of gross area of walls, roof/ceiling and floors
exposed to ambient conditions
2
3
Floor over heated spaces YES NO
a. Are foundation walls insulated?
1. If YES, what is the R value?
YES NO
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_
f? - 3 o
2. R value of exterior walls fib-,
3. R value of glazed area Q- 33
4.
R
value
of
doors f� - 17
5.
R
value
of
floors over unheated spaces '
6.
R
value
of
slab edge insulation - unheated slab
7.
R
value
of
slab insulation - heated slab '-
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
D. Duct Systems
1. Is duct system installed in unheated spaces? (YES NO
a. If YES, R value of duct installation /Z_//
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2. R value of pipe insulation _
F. Service Water Heating
1. Performance efficiency !Zd /n
2. Temperature control setting maximum��y
G. For Swimming Pool Only
1. Maximum heating —
n
Telephone No. 7 �/ j -- '? i _`,`) <, t
(applicant's signature)
1 f;uft of QuawAty
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE 7 —� S- / U21
LOCATION OF PROPERTY FOR INSTALLATION OA pP Ci�c�w
Owner's Name: Telephone:
Address:
Installer's Name: Co{ip�c Telephone: %1 i ,re,%; 1
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) Ll- `7
Topography: circle one: Flat, ollin Steep Slope % of slope
Soil Nature: circle one: Loam Clay Other / Depth: feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth?
Percolation test: circle one: t e�required required / rate _
Domestic water supply: circle one: (Municipal Well Other
feet
min. inch.
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption = feet
PROPOSED SYSTEM: Septic Tank /G'&v gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length r feet
SEEPAGE PIT(S): Number of 3 / Size each feet by feet
Size of stone to be used # _�_ / Depth or Thickness feet
*****************************************
IMPORTANT
... Please ... LIST NEW EQUIPMENT TO BE INSTALLED
*****************************************
(over)
T
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: _ 7 /, i a
f
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
cTr; 0<I unur 1c 11 O .rV 1nr ' I WC
Jown o - Qaeendar�
QUEENSBUKY TOWN OFFICE BUILDING
HICIWAY DEPARTMENT
BAY AT HAVILAND ROAD
QUEENSBURY, NEW YORK, 12801.
TELEP11ONE: (518) 792-5832
Application for Driveway Permit. �!'2
(Submit completed application to Highway Department)
Name of Applicant �a
Mailing Address _CIO
ADDRESS TO BE INSPECTED 92 C1,ofL ;,LkI, CI e �r>
The Superintendant 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:
( ) Premininary Approval (to be followed by "Final Approval")
( ) FINAL APPROVAL GRANTED
( ) RESECTED ...................:... ................
Culvert pipe size to be used (if necessary)
( ) 6" - ( ) 8" - ( ) 10" - ( ) 12" - ( ) 24" - ( ) 36"
Date:
Paul H. Naylor
Superintendant of Highways
Town of Queensbury
SETTLED 1763 ... HOIAF OF NATURAL ❑FAUTY ... A GOOD PLACE TO LIVE
INTERIM
PERMIT APPLICANT
BUILDING
PERMIT
RE-sy'a
CONSTRUCTION LOCATION 955 eonrz K 712� rz"
EFFECTIVE DA
APPROVED BY
SPECIAL CONDITIONS:
This will certify that all submittals for a Building
Permit have been received and fee has been paid.
During the processing of the Permit, the above named
may begin construction per plans submitted. It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing.
POST THIS INTERIM PERMIT IN A CON,9VI
ilaing & Codes Department
TOWN OF QUEENSBURY
BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. }
.i DATE
CITY OR
VILLAGE TOWNSNI► i.', a COUNTY /.
STREET AND NO. OR `
ROAD AND POLE NO. r' i ; h i !. i 1 r. POLE NO.
OCCUPANT'S _ BUILDING
NAME OCCUPANCY
OWNERS NAME nn TEL. #
AND ADDRESS jt. P / ._s:..�-.�
CURRENT
SUPPLIED OFFICE
FROM THEIR
-
BY �I. 1
DEFECTS
IS TIDING NEW 4d OLD ❑ 1WS RK NEW D�ADOITIONAL ❑ REMOVED ❑
LIST RELOW ALL EQUIPMENT WHICH YOU INSTALLED
OF OUTLETS
rimellNUMBER
LOW pepq�edNA
MOTORS
HEATERS
pgdµNH
OFFICE USE
I.
ONLY
CallkN
Sib
Asti
Be"
Peadwt
Wadbt
No.
Type
X.F.
Each
No.
ppatN
EMI,
No.
AW. G.
GeIIP
I'm
INSPECTION
well
Opt-
owe
y
d-
sus
bbe
Bar
me"'
tst R.
y
N
LM FI
CI
3M Ft.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE:
DO NOT USE THIS SPACE.
The application is inbtded to c Na aboetliete l etttwo oot to be itpptett l but R et tuna of lnep A Nero a foupd additional apuipment net aboee listed,
you are 1uMnrited to make Ne bppw*m aM adjust the fr to over its addilianal apuipwant, ss ptoaibd by the applicant:
SIZE OF
ELECTRIC SIGN TOTAL
MAINS :-pt- f %- -1 FEEDERS
LAMPS WATTS
CHARACTER EXPOSED
GAS TUBE SIGN
OF WORK f('CONCEALED
TRANSFORMERS OF VA
WORK TO BE ,_r.
f
(NUMBERI ICAPACITVI
STARTED -/ - "= COkiLETED J -_
IZE OF SIGN
SERVICE
OVERHEAD
UNDER ND
MAKER
ENTERS
BUILDING
OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
❑
POSSIBLE
NEW
OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL brw l:S DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION
PRINT NAME AND ADDRESS f
NAMEOF ���71:��.dt _ .� V SIGNATURE c' F_T• /�
APPLICANT ^ OF APPLICANT
',." ...
STREET ADDRESS � �" �-� "t 6 � f�`-TELEPHONE # 7 2
CITY OR 2K LICENSE NO.
POST OFFICE CODE WHEN APPLICABLE
.. - r.-, ./..i A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
' 4(000532 .THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
Novmmber 2, 1988 41 STATE STREET. ALBANY, NEW YORK 12207
0 2 5 310 / 8 8
Date Application No. on file
A 732006
THIS CERTIFIES THAT
only the electrical equipment es described lie and in the t on tion number in the
Alberta Sweet Hidd n bills Dr ve ens irS, ew ioar�c°°"� °11 of
mot 9 o�Kir« ctOvl� s<.na.t�j
garage outside
h Yn
�
in thefolknoing location; Basement lot F(. 2nd F(. Section Block tat99
Loos "amined on 1 Q —2 0 — 8 8 and found to be in compliance with the requirements of this Board.
FXTUIN
OUTLETS
EPTAClES
SWITCHES
FIXTURES
RANGES
COOKING
DECKS
OVENS
DISH
WASHERS
EXHAUST FANS
INCANDESCENT FLUORESCENT I
"T.
K.W.
"T.
I K.W.
AMT.
I K.W.
AMT.
I K.W.
AMT. H.I.
27
55
1
.5
3
r
DRYERS
FURNACE MOTORS
FUTURE APPLIANCE FE R RES
JUMALIOC'PTI
TIME CLOCKS
SELL UNIT
TRANS.
HEATERS
FAULTI-OUTU T
MS
SYSTEMS
NSVST FEET
DIMMERS
AMT.
K. W.
OIL
H. P.
OAS
M. P.
"T.
NO.
A W. G.
AMT.
AAV.
"T.
AAVe.
AMT.
H. I.
AMT.
WATTS
1
0
0/3
1
SERVICE DISCONNECT
NO OF
S E R V 1 C E
1/tW 1/JW 3/JW JR AW �aCC. COND. AW. G. NO.a m-!E6 AW. G. NO.Of NEUTMLS -W.G.
PEa OF CC. COND. OF HNEG NENRAL
HAT.
AMP,
1WE
i
1
200
anel
1
OTHER AMARATUS:
4-gfci receptacles
1-smoke detector
1-paddle fan
-
Sam w. corbbuse �f
11 Potter Rd.�
GWnsevoort, Ny 12831 239 BRANCH MANAGER
Per
This certificate must not be altered in any manner; r4ko to the office of the Board if Incorrect. Inspecton may be identified by their credentials.
rnPY FnP Rim mir- nuPADT4CAIT Tuic r mov ru:
Jown o/ Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME Sw�
LOCATION 91 Oak Vze-e 6,` cZe
Date Permit No.
✓ - nnnn(xrvn _ vcc i win
x Footi!
Found.
Water]
Backf:
F rami i
Roofij
Sidint
Mason:
Rough
Rel ie:
Ext. ]
Finis]
Inter:
Stair:
Cellar
Concr(
Plbg.
Gar. I
Door
Smoke
Chimne
INSULF
Founde
Floor:
Walls
Ceilir
FINAL
DRIVEW
Final
ig/Pier Forms_
ition
)roofing
�_ 11
ig
ig
r
-y Veneer
Plumbing
Valves
)orches
led Floors
.or Trim
i & Railings
Drain Tile
:te Floors
Fixtures
'ireproofing
'losers
Detectors
y
NION:
.tion
g
ELECTRICAL INSPECTION
kY APPROVAL
Building Survey
Next scheduled inspection (call when ready)
Remarks-
b
Bui A�,�nIkor
6/86 and-vl �.�
Jown of QueendLrtf
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME �C
LOCATION *'99 Aa T�
Date/00 �9 Permit No.
Fo i
(iEound
ZWa r
ackf
Frami.
Roofi.
Sidin
Mason,
Rough
Relie
Ext.
Finial
Inter.
Stair:
Cella]
Concro
Plbg.
Gar. 1
Door
Smoke
Chimne
INSULT
Found<
Floor. -
Walls
Ceilir
FINAL
DRIVEW
Final
ig/Pier Forms'
3tion
goofing
Lll
Ig
rg
I
..y Venee
Plumbing
` Valves
)orches
ied Floors
or Trim
& Railings
Drain Tile
!te Floors
Fixtures
'ireproofing
'losers
Detectors
,y
.TION:
.tion
g
ELECTRICAL NSPECTION
kY APPROVAL
3uilding Sury y
IJ
Next scheduled inspection (call when ready)
Remarks -
Building Inspec or
6/86 and-vi
Jown o/ Queendturty
BUILDING and ZONING DEPARTMENT
411 Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME���
LOCATIONC,g�� /1l�
Date/ j Permit Now..
✓ — a�ounvon _ vcc, i
k Footi
Found
Water
Backf.
Frami:
Roof ii
Sidin,
Mason:
Rough
Relie,
Ext. ]
Finis]
Inter:
Stair:
Cella]
Concrf
Plbg.
Gar. I
Door
Smoke
Chimnf
INSULd
Foun &
Floor:
Walls
Ceilir
FINAL
DRIVEW
Final
ig/Pier Forms
stion
.Droofing
L11
ig
ig
I
:y Veneer
Plumbing
Val s
porch s
led Fl S
.or Trim
& Railin
Drain Til
!te Floors
Fixtures
'ireproofing
'losers
Detectors
,y
,TION:
.tion
9
ELEC RICAL INSPECTION
kY APPROVAL-
Building Survey
J
Next scheduled inspection (call when ready)
Remarks -
Building Inspector
6/86 and-vl
✓own o/ QueenAury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.O. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME
v
LOCATION
Date/ _ Permit No.
✓ - nnnnnvan vcc / vn
Footir
Founde
Waterl
Backfi
,F'ramir
Roofir
Sidinc
Ma ni
I ough
Relief
Ext. I
Fin ist
Interi
StairE
Cellar
Concre
1'lbg.
Gar. P
Door C
Smoke
Chimnc
INSUI.F
Founde
Floor=
Walls
Ceilir
FINAL
DRIVEW
Final
g/Pier Forms
tion
roofing
11
9
9
y Veneer
Plumbing
Valves
orches
ed Floors
or Trim
& Railings
Drain Tile
to Floors
Fixtures
ireproofing;
losers
Detectors
y
TION:
tion
/
9
ELECTRICAL INSPECTION
kY APPROVAL
Building Survey
Next scheduled inspectioon (call when ready)
Remarks- le'f
Buildi n pector
'6 and-vl
Jown of Queens6ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
I
BUILDING INSPECTOR'S REPORT
NAME Z'c'
LOCATION
r.:
Date yT�/ /��_ Permit No. Jry
Footir
Found<-
Waterl
Backfi
Pamir
Roof it
Sidinc
XM onr
ough
Relief
Ext. I
Finis}
Interi
Stair:
Cellar
ConcrE
P1bg.
Gar.. F
Door
Smoke
Chimnc
INSUIJ
Found<-
P}oore
tja11 s
eilir
FINAL
DRIVEW
Final
g/Pier Forms
tion
roofing
11
9
9
y Veneer
Plumbing
Valves
orches
ed Floors
or Trim
& Railings_
Drain Tile
to Floors
Fixtures
ireproofing
losers
_
_
Detectors
y
TION:
tion
9
ELECTRICAL INSPECTION
W APPROVAL
Building Survey
Next scheduled inspection (call when ready)
Remarks-
i
Buildin I ecto
6/96 and-vl
fin\ Jown of Queenil ury
\` 1 BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME R() be C + S W 'p-'t
LOCATION f19 �a�rree CiCje
Date_/�� Permit No. g �f"Sy9
✓ — avovnvrn _ voc / wrn
Footir
Founde
Waterl
Backfi
Framir
Roofi�
Sidinc
Masonr
Rough
Relief
Ext. F
Finist
Interi
Stairs
Cellar
Concre
1'lbg.
Gar. F
Door C
Smoke
Chimnc
IN SUI.P
Founda
Floors
Walls
Ceilir
FINAL
URIVEW.
Final
g/Pier Forms----
tion
-_
roofing
11
9
9
Veneer
Plus�bing
Valves
orche9
ed Floots
or Trim V,
& Raili�gs
Drain Til
to Flo,6rs
Fixtures
ireproofing
losers
Detectors
y
TION:
tion
9
ELECTRICAL INSPECTION
4Y APPROVAL
Building Survey
Next scheduled inspection (call when ready)
Remarks-
,,1
Buil
6/86 and-vl
—?Own of Queen36urey
y' BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION 2/207
DATE-/D�/ // PERMIT NO.
SOIL T E Sand - Loam - Clay -
Percolat n Test Required? YES - NO
Percolati rate - Min/Inch
TYPE of SYSTI:
Absorption fi`�l
.p
Length of each;.
Depth of trench
Size of gravel
SEEPAGE BITS{Nu
Size- -ft. X
Gravel size
PIPING: �—
Bldg. to tank
Tank to dist. b
Dist. box to fi
Openings sealed;
d, total length,
trench
of) ;_
f t,
Si"7e Tvpe
Y
�jNO
SPartial
i'
LOCATION/SEP4ATIONS:
Foundation tj tank �- ft.
Foundationo absorption LLFft.
Absorption'to lot line f ft.
Separatijar
of pits eft.
LOCATIONF SYSTEM ON PROPERTY(circle one)
Front - - Left side - Right side -
CCMMENTS f
SYSTEM USE APPROVED/ YES '.NO�
tr
i
Buil irig Inspector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST .
NAME
LOCATION
DATE /i%
PERMIT # 99"5;�147
APPROVED
YES I NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOF
BACKFILL APPROVAL_
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH —IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
%FINAL INSPECTION:
CHIMNEY HEIGHT
SIDING
EXTERNAL PORCHES/STEP
STAIRS —CLEARANCE &o RAIL
PLUMBING FIXTURE%isRELIEF
INTERIOR TRIM/P#ZVACY DOO.
FINISHED FLOORS:'
GARAGE FIREPRf�FING
DOOR CLOSER(S
SMOKE DETECT RS
FINAL ELECTRI L INSPECTION
,."INAL APPROV OF CONSTRUCT.
A SIGNED CE$TIFICATE OF OCCUPANCY MUSS' BE
OBTAINED FR M THE BUILDING DEPARTMENTtEPBEP
THESE PREMI ES ARE OCCUPIED!
REMARKS:
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Y
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