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88-9154 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 29 19 89 This is to certify that work requested to be done as shown by Permit-No. 8 8-915 has been completed. This structure may be occupied as a ONP. FAmily DWelliny Location Q.•A-0.r rn 17.2 R. Q,rAlaaraar. Mne'n Owner Cary Holtz By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY 7 No. 88-915 WARREN COUNTY, NEW YORK b z O PERMISSION is hereby granted to Clary Holtz w OWNER of property located at Sullivan R.A. & Sullivan Place Street, Road or Ave. in the Town of Queensbury,To Construct or place a QNe Family Dwelliniz 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 21 Pinion Pine Lane Queensbury, N.Y. 12804 s 2. CONTRACTOR or BUILDER'S Name cC x 0 r+ N 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name Cn C C W 5. ARCHITECT'S Address C 6. TYPE of Construction—(Please indicate by X) PD Wood Frame ( ) Masonry ( ) Steel ( 1 b Iv C) 7. PLANS and Specifications No. 22' x,30' as per plot plan, specifications and application (septic to be determin d by variance. 8. Proposed Use m One Family Dwelling a 25.00 C/O 124.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 89 d 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.) aq Dated at the Town of Queensbury this 30th Day of December 19 88 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY APPI•ICATT.ON FOR BUILDING AND ZONING PERMIT l'a•tc- R ec.i-ev ed o/ s Reviewed Y s.,73 FIV Fee UUILDING AND CODES 'DEPARDIENT Date Laoued CIO and HAVILAND ROADS RD I Box 98 as/ nUEENSBURY,NEW YOJRK 12804. ehm•i• P t N0. a0 Y Tel . (518) 792-5832 Ext .204 , t * t s * t .:* * * t * * * * * * * * * * . rr x x * * s • * a. *: * W w * s A PERMIT MUST. B4 OBTAINED BEFORE EEGINNINC CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID MUILDINC PERMIT. All applicable spaces on this application .Must be- completed and the. i *DAterk of*t*e*applicant*mksk ' p ear*°* the reverse side ° this sheet . 111he owner of this property is : P . O. Address O"''v' U"^ L.o-N J TEL. 797- 1v07f property location ee,& N4'4 -Ce -/1,u, le,, f v,a AIAVC£ TAX MAP NO; A- Lz-/ Ilas there been any split of this property. since October_ yes no If yes, Planning Board Review is necessary. SUBDIVISION NAME, IF APPLICABLE LOT- NO. ' The person responsible for supervision o•f work - as regards Building Codes is : NAME P .O. ADDRESS TEL. NO;. Name of builder Address Tel Name of Plumber Address Tel Name of Mason Address Tel r4,TURk or Pronosl.D h0rr:: ZONING . IN1 ORrIP')'ION. (office. use only) j— :on::tructior, of a new building ZONING DESIGNATION OF PROPERTY . Addition to a building PERMITTED PRINCIPAL PERMITTED ACCESSORY Alcur:,tion to u' building no chtuigu to exterior dimensions) * REVIEW REQUIRED - PLANNING BOARD ZONING BOARD Other. work (describe:) r SITE .PLAN REVIEW # APPROVED DATE GROSS AREA OF PROPOSED, STRUCTURE • VARIANCE # APPROVED DATE r Remarks:1st Floor PCn0 sq. ft . 2nd Floor 332- sq• f t . COI•tPLUT ,IP1!'OIQIA1'ION 101 QUIRPD UELOW. Other Floors X sq ft . size of property 1 6 ft .X /,Pa ft. not cellar or basement) i:;ting building(:;) yi::a 1°e X fc. TOTAL FLOOR AREA_?? 9 sq f t . L•'xiscing building(a) Use izu of new struet:uro aft X D ft ' i ow,dation-pier/slab/crawl/partial/ all ' Nropo:;ed building, discaacu irow firol-erty lieu circlo one) Front yard .3 ft Ream yard 3/ - ft No, of stories (habitable space) /Z- Iluighc (yradc. to ridge)4 ft. • Side yards /S ft and a 3 fc f residential, no. of -families / If on corner, c:rback !`rotn side e;cricc a 3 tt No... of..'rooms(excluding baths)5` OCCUPANCY ANFORMATION No. of bcdrooins No. of .bachroouis PRIMARY..BUILDING - X Onc family dwelling Primary huacintj :;yI:tu R F_'Z C. /3Zi3 Tyhu of fuel IEZCC• Two, family. dwelling No. of fireplaces .Co be ir scall d_^ Y Multiple dwelling /.-Number of units_ Will :a wood' stove,bv- installud? Permanent occupancy Transiunc.occupancy Cuntr:al Air conditioning?BUD BusinessY fAUILDING -STYLC, PRIMARY Sl-RUCTURE lndusLxial - lQ11ch Coatumporury Log cabin. Ocher If bi:'laddition, ,what .will u::c pp"- BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. A-coo Will any second-hand or ungraded lumber be used? If so, for what? iv o Foundation wall material Thickness o 01 Depth of foundation below grade (to bottom of footing) Will there be a cellar? ES Heated or unheated? Floor sq. footage 0 v sq ft Will there be a basement? Will any portion be used as living space?10t7 If 'so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other,J m cc/ material,-of roof Size, wood studs_"X(_" spacing o.c. length ft. Joists(floor beams) 1st. floor X__Io " spacing 16 Ilo.c. span Zy ft. Joists (floor beams) 2nd. floor X /0 " spacing /6 "o.c. span 2-2- ft. Overlays(ceiling beams) X 7" spacing o.c. span zz- ft. Roof rafters Z "X /2 spacing o.c. span ft. Roof trusses(pre-engineered) spacing o.c. span ft. Exterior wall finish Z,,g,/ C'xJ v,e Of what material? es-li ,e Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties -7 O ft. A separate application is necessary for any repair or new installation of septic system) DECLARATION 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. Signature Owner, o er's agent, architect, contractor ESPECIAL CONDITIONS OF THE PERMIT: 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 ob.taine.d .bafore .beginning work. ANSWER ALL of the following: 1 .. Gross floor area 2 . Type of heat Zlz_43 11 C_ 3 . Is the building mechanically ,.cooled? Yy 4 . Peree,ntage of area of windows and, doors 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 1GI Only 1 . it v of and floors exposed to ambient conditions_ 2 . ._ R .value of .exterior walls dL " 3 . "R ,value. of glazed. area 4 . R .value of doors 5. R value of floors, . over ,unheated spaces 6. R value of slab edge insulation -_ unheated slab l 7 . R value .of slab insulation heated slab R value of heated basement/cellar walls (above _grade),z L Z2 9 . R value of heated.. basement/ce.11ar walls (below- grude) -•-1 10. Type of insulation C. Controls 1. - 'Thermostat maximum heat .settin,g D. Duct Systems 1 . , Is duce system installed in unheated ° spaces? YES N0 a.. If YES , R value -of duct installation b. it value of, duct in other =areas ' E. PipinR Insulation 1.. Size of . hor water 'o;r. cooling' carrying agent pipe 2. R value of pipe .insulation F. Service Water Heating TOWN OF QUEENSDURY i APPLICATION FOR zh 'vim SEPTIC DISPOSAL PERMIT DATE d J, Z _ /a' LOCATION OF PROPERTY FOR INSTALLATION Jc j ji u}? A000 I i 0,?r i or/ Owner's Name:Name: `j-0 t•,n L, ( _ 6) Telephone: 79 Address: LIB r+ 9 N L-rr nA o r t 111,V /Z-6=g Installer's Name: S j/o Jf U7.' s y,` Telephone: 7 a Number of bedrooms (residential only) 7- Total daily flow (compute @ 150 gal per bedroom) QU Topography: Circle one: Flat ollinSteep Slope % of Slope Soil Nature: Circle one: an Loam Clay Other Depth:4- Feet Ground Water: At what depth?Feet. Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle one: not required required rate 2.1; min. inch. Domestic water supply: circle one: Municipal Well Other 0",,lf' W, 7Ifdomesticwatersupplyisawell: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank jO7() gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench `6 feet/Total system length j 3 J feet SEEPAGE_PIT(S): Number of Size each feet by feet Size of stone to be used # /Depth or Thickness feet 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 Rueensbury Sanitary ewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: N R1, DATE: 1(z $ ER c 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 installa— tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 Remarks: x Y'"— He t Jd'Y WJv.: Jrb.a:d.I ' o:J.Fd7' j . I S':( D is T Disq33buti' p, Hi Box ftib f y f k } r v_I 7 c I 8U/l,Dl• I Dt p l f Yc 4 I1 r0 z•' iPE s:sd Ssr7 7a fell 0Llymw s 3 a v-9 .,J C`t.° '•=r Yl' J.. tz:r:vo're.a, f J Z j s RESOLUTION APPROVING VARIANCE REQUEST OF GARY HOLTZ RESOLUTION NO. 5 1989 INTRODUCED BY: Mrs. Betty Monahan WHO MOVED ITS ADOPTION SECONDED BY: Mr. Ronald Mon tesi WHEREAS, Mr. Gary Holtz previously filed a request for a variance from certain provisions of the Sanitary Sewage Disposal ordinance of the Town of Queensbury, such provisions being more specifically, those requiring that sewage disposal systems located of necessity upgrade in the general path of drainage to a well shall be spaced 100 feet or more away, and WHEREAS, a notice of public hearing was given in the official newspaper of the Town of Queensbury and a public hearing was held in connection with the variance request, and WHEREAS, the Town Clerk advises that property owners within 500 feet of the subject property have been duly notified, and WHEREAS, C. T. Male Associates, P. C. , has rendered a written opinion concerning the application for variance and the same is presented at this meeting, NOW, THEREFORE, BE IT RESOLVED, that the Town of Queensbury Local Board of Health grants the variance to Mr. Gary Holtz allowing the 70' separation between the well and the absorption field, and finds as follows: a. that there are special circumstances or conditions which justify allowing the 70' separation between the well and the absorption field in that the lot size is too small to accommodate the 100' distance required and this issue was addressed when the area variance was approved on April 20, 1988; R` b. 'that*3ue to the nature of the variance, it is felt that the varia- tion will not be materially detrimental to the purposes and objec- tives of this ordinance or to other adjoining properties or other- wise conflict with the purpose and objectives of any plan or policy of the Town of Queensbury, C. that the Local Board of Health finds that the granting of the variance is necessary for the reasonable use of the land and that the variance is granted as the minimum variance which would alleviate the specific unnecessary hardship, and d. that the Local Board of Health imposes a condition upon the appli- cant that he must also secure the approval of the New York State Department of Health. e. that this variance is granted subject to the applicant's complying with suggestions made by C. T. Males Associates, P. C. in their letter dated January 9, 1989t attached hereto and made a part hereof. Duly adopted this 10th day of January, 1989 by the following vote: AYES Mr. Montesi, Mrs. Monahan, Mr. Borgos NOES None ABSENT Mrs. Potenzo, Mr. Kurosaka i it II 1, Darleen Al. Dougher, Town Clerk of the Town of Queensbury, Warren County, New York do hereby certify that. I have compared the foregoing with the original resolution as listed above adopted on 1--10-1989 meeting of the Queensbury Board of Health of the Town of Queensbury at which a quorum was present and that the same is a correct transcript therefrom and of the whole original thereof to date. IN WITNESS THEREOF, I have hereto set my hand and the SEAL of said Town of Queensbury, this 11 day of January 19119. S E SIGNED: A Darleen M. Dougher L Town Clerk Town of Queensbury C.T. MALE ASSOCIATES, P.C. Engineering Surveying 65 Bay Street Architecture P.O. Box 533 Landscape Architecture Laboratory Services Glens Falls, New York 12801 Computer Services jZ 518)793-7802 January 9 , -1989 Supervisor Stephen J. Borgos Town of Queensbury Bay @ Haviland Road Queensbury, NY 12801 Re: Lot 29 Sullivan Road Septic System Dear Supervisor Borgos : On January 4 , 1989 I .made a site inspection of the referenced property and reviewed the file on the proposed septic system. It is my understanding that the Town Board was concerned about the construction of the system, as designed and approved , on the three adjacent wells . According to New York State Department of Health Regulations the following criteria apply to residential septic systems and wells . 1 ) Wells are , to be located a minimum of 15 feet from property lines . 2) Septic tanks are to be located a minimum of 10 feet from a dwelling and property line , and a ' minimum of 50 feet from a well . 3 ) Di-stribution boxes are to be located a minimum of 10 feet from a dwelling , a minimum of 20 feet from a property line and a minimum of 100 feet from a well. 4 ) Absorption fields to be located a minimum of 10 feet from the property line, a minimum of 20 feet from a dwelling and a minimum of 100 feet from a well . From the plan approved by -the Health Department , the proposed plan calls for an absorption field located ten feet from the Northerly property line , 14 feet from the proposed dwelling and 75 feet from the proposed well location. Offices in Latham,NY•Greenfield,MA•Littleton,NH • Brattleboro,VT• Ipswich,MA• Keene,NH C.T. MALE ASSOCIATES, P.C. Stephen Borgos 2 - January 9 , 1989 According to field measurments by Dave Hatin and myself there are three wells located less than 100 feet from the proposed septic system. The first well is located on a lot across from Lot 29 on Sullivan Place . The second well is located on Lot 28 within the residence as is the third well located on the lot Westerly of Lot 28 . ` The distances from the three existing wells to the proposed system are 75+ feet, 63+ feet and 75+ feet respectively.. In my opinion, . the separations between the wells and septic systems are less . than desirable, however all of the residences in the area have similar separations . If there are no documented problems with water quality from existing septic systems , I would recommend approval of the system, as designed, -with a grading plan to show how the system can be installed as shown and graded to meet existing grades on the adjoining lots . The system must be installed and graded to prevent effluent from leaching onto the lot to the North. Please call me if you have any questions or require any additional information. Very truly yours , C.T. MALE ASSOCIATES , P.C. Paul K. Male, P.E . Regional Manager i PKM:cp cc : -D. Hatin Date T e s ector T ' constitutes certification that the above installation, but not the equip- ment itself, has been visually inspected as of this date pursuant to the applic- able codes. If additional equipment should be introduced or alterations made to the existing system or stuc- ture, application for inspection should be submitted promptly to this Agency. TOWN OF QUEENSBURY z4wzej BUILDING AND CODES DEPARTMENT fA_ BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804, TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME C LOCATION DATE 2`! PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION FLOORS 1/ ,, WALLS ILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE,i& RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOO1 S GARAGE FIREPROOFING DOOR CLOSER(i) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION " FINAL APPROVAL OF CONSTRUCTION Jr A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: INSPIOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR I PECTION RECEIVED NAME LOCATION Gj/1 G /, DATE 1 ` - 1 PERMIT # y,U APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS d WALLS ILING INAL INSPECTION: 1 f CHIMNEY HEIGHT ROOFING SIDING A EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/REL±EF VALVE INTERIOR TRIM/PRIVACY 'DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) I t SMOKE DETECTORSI t FINAL ELECTRICAL(INSPECTION FINAL APPROVAL OF CONSTRUCTION,' A SIGNED CERT,XFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED'' REMARKS:/ fleaA41Ll INSPECTOR 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 NAME LOCATION DATE p i20- PERMIT # f APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING FfNAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING A 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 4 I A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: el, cA C INSPECTOR 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 NAME I AQ L. -e-- LOCATION r) u LL (,JAh,) L— DATE j 1 PERMIT ##Tt— l? 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 F` EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE ,,& RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(fS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION . FINAL APPROVAL OF CONSTRUCTION a 1 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 61tt-il INSPECTOR Jown o/ Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT ION DATE PERMIT NO. SOIL TYPE r-Cand - L am ClayPercolationstRequired? YES .,- NO Percolation rate - Min/Inch t TYPE of SYSTEM: Absorption field, total length 20 -/E6' Length of each trench Depth of trend, es Size of gravel SEEPAGE PITS xber of) Size- t. X ft. Grav size PIPING: Size Type Bldg. to tank i 0 Tank to dist. box A.,. Dist. box to field/ Y -- Openings sealed? ESQ NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROP RTY(circle one) Front - Rear -Left side - ight side - COMMENTS: 1 C) SYSTEM USE APPROVED ES NO w Building Insp ctor 01/86 and vl Own of QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT ION C/AV Eo A-0 DATE /PERMIT NO. I 1 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 Tank to dist. box Dist. box to field/pit Openings sealed? .YES NO Partial LOCATION/SEPARATIONS: 11 Foundation to tank ft. Foundation to absorption ft. Absorption to lost line ft. Separation of pits ft.•; LOCATION OF SYSTEM ON PROPERTY(circle one) s Front - Rear -.)Left side - Right side - COMMENTS: H 6tA) Y3 SYSTEM USE APPROVED NO 1 Building Insp tor 01/86 and vl Jown oQ Quee'nj1uryft'6' BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION if d'ra 1 AC DATE i'' /02 PERMIT NO. SOIL TYPE Sand - Loam - Clay Percolation" Test Required? YES -4 NO Percolation rate - Min/Inch _ ! 1 TYPE of SYSTEM j Absorption fie d, total length / 17 Length of each ',trench 4f0- 410,-- 3'7 Depth of I 5LSTf&1.1-L 4-10oy 5,G ooP A Size of gravel SEEPAGE PI umber of Size-ft. X _', ft. ' G el size PIPING: Size Type Bldg. to tank Tank to dist. box V L Dist. box to field/ it p yc- Openings sealed. \ t 1 NO Partial LOCATION/SEPARATIONS,: , Foundation to tank .'.ank ' ',ft. Foundation to absorption ft. Absorption to lot:line , ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: k Cur''PLO 6-5 (AJ5 I6,L- D 3 0 k S c S NOT-TO I i12GC i`1 L Ur L(1 v67-s PIPS F36--e- f=o YL d20 62&L FL0 c,V. PL Ld cv I-yz f iV 0 S 0 Id l I N © R C°o VAI-r-e-r- r---0 re- A- G oS SYSTEM USE APPROVED YES NO Building Insp ctor 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280!& TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 51--G NAME LOCATION:1- DATE S PERMIT #D APPROVED YES INO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING- f FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING V SIDING r'\ EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE/& RigLS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER('S) SMOKE DETEG'TORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION t A SIGNED' f CERTIFICATE OF OCCUPANCY MUST`BE, OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: Z INSPICTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR SPECTION RECEIVED NAME r LOCATION DATE PERMIT #9ly APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR,FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN I SULATION: d FOUNDATION u`" FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURESIRELIEF, VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF,`CONSTRUCTION f i A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 7 1 y TN.4PF.la9'np 4 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 NAME LOCATION DATE PERMIT # 00 9iS T APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING y" R MING ELECTRICAL ROUGH-IN INSULATION: f} FOUNDATION FLOORS WALLS l . UN04?L5(®fd-% 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 i A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS:Avl3o 06-fAI(41 4'100 1-S r 7_4,e Co Z_C,,W,o A!5 960,f `VA) 4;; )"IAI& a TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12809-- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FORI INSPECTION RECEIVED NAME LOCATION DATE v l " {PERMIT #r APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR Q If"OUNDATIONIDAgP-,15ROOFINd) APPROVA-L--- 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 i r A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: P INSPECTOR OWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 128041-- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED i i'NAME i`4 1 o L IECZ_ LOCATION /J [( VAV RQA-Q DATE A PERMIT # APPROVED YES JNO ONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING' FRAMING ELECTRICAL ROUGH-IN INSULATION: 4 FOUNDATION r FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING f SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE &,-RAILS PLUMBING FIXTURES/,RELIEF VALVE INTERIOR TRIM/PRLVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVALIF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR