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97-270 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Dice October. 2 i997 \VI' This is to certify that work requested to be done as shown by Permit No. 97270 has been completed. SINGLE , FAMILY DWELLING This structure may be occupied as a 9 BARBER AVE. Location Owner SCELLEN, MARK TAX MAP NO. '115. -1-9 By Order Town Board TOWN OF QUEENSBURY • Director of,Bldg. do Code Enforcement I ' BUILDING PERMIT TOWN OF QUEENSBURY No. VALUE $ 135000 97270 TAX MAP NO. 115 . -1-9 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to SCF , MARK Street,Road or Ave. OWNER of property located at 9 RARBER AVE in the Town of Queensbury,To Construct or place a S INCLE 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. OWNERS Address is 122 E. HUNTER ST GLENS FALLS , NY 12801 2. CONTRACTOR or BUILDERS Name MARTIN, TODD 3. CONTRACTOR or BUILDERS Address 28 FIFTH ST GLENS FALLS , NY 12801 4. ARCHITECTS Name COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECTS Address PO BOX 706 HAGUE , NY 12836 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING ( )Wood Frame ( ) Masonry ( )Steel 7. PLANS and Specifications 224°Z SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECTFICATTnNs 8. Proposed Use SINGLE FAMILY DWELLING $ 279 PERMIT FEE PAID —THIS PERMIT EXPIRES June 10 19 99 (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 100ay of June 19 97 ',SIGNED BY 00)'—el4/64 for the Town of Queensbury Building and Zoning Inspector Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256] -Or BUILDING & . CODE ENFORCEMENT NOTICERequirements prior to issuance of this permit: PERMIT FILE NO. ` 7°-c;270 A permit must be obtained before �]beginning construction. No inspections PERMIT FEE PAID$ (� �� will be made until applicant has received n Zoning Board Action a VALID BUILDING PERMIT. All • Area /Use [ ECREA77ON FE PAID$ applicants' spaces on this application MUST be completed and•the signature (-I Planning Board Action REVIEWED BY: of the applicant must appear on the application form. nit ,. SPR / Subdivision /Other Building Inspector J Recreation Fee Payment Applicant: Pi) tO, iM A-F2-11 l Owner: 11 A-e-K SC E u. 1 • Address: a 9 6.' 4 5� Co 'F Address: / 1'- E 1-k"a j- ST . r Phone # (5i0 ) - .-7g8 L-18Lt.! Phone # (5/ t3 ) 7q 6 - 3S'l S i. I'rllp'rly I,ntnIIoiii .,,. 11--s5—/-1--12— I`I' x Map Number Subdivision Nam: Section 131ock Ini NATURE OF PROPOSED WORK: /� ESTIMATED MARKET VALUE OF THE ✓ n�••New Build `Q CONSTRUCTION: $ (3S oao. ov re_siden_c& / commerc'al Addition to Building: S residence / commercial OCCUPANCY INFORMATION: Alteration to Building: ?g Primary Building - residence / commerc' 1 •Z ;/Single Family Dwelling Residence / Commercial s Two Family Dwelling no change to exterior siz b0. . Family Dwelling Office Other Work (describe below) Mercantile Manufacturing • Other GROSS AREA OF PROPOSED STRUCTURE: 1st Floor 2/2_ s ft. If ADDITION, what will use 2nd .Floor i o 3 o sq. ft. of new addition be? : Other Floors j sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA I a:.,), A a_ SQ. FT. ►/ Attached Garage .1, Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building 3 i " , Other S FEET X 34- -Li FEET Foundation Type: Po0Qn CdnlC R- Will any second-hand or ungraded ' Number of Stories: a- lumber be used? If so, for what? (habitable space only) N D Height (grade to ridge) : ,acf feet TYPE OF_ HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which A.li s) to be installed: Oki =(02E_,PL-Ac-E Electric / Oil /J '- od Forced Hot Air / Basebo / Other N-2-r' vo Ar'TMe Person responsible for supervision of work as regards to building codes is: `moo 1D F Nil14-e-7 a 0-8 Pt (,,. 7 qa- c[8 41 Name Addresss Phone Builder: • Plumber: S :qwt,e iq-S A 80 O F Mason: Electrician: DECLARATION Please sign below after you have carefully read the statement. To the best of my knowledge 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 noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor;ndrraawn to scale, showing actual location of project on premises. Signature: 1 V Cv "✓`t (owner, owner's went, architect, contractor) ��•�c-z' ENERGY CODE COMPLIANCE APPLICATION TOc1N OF QUEENSBURY, WARREN COUNTY • 9000 HEATING DEGREE DAYS ' Conoliance 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 • *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: �ODc`7 R t -4Kl-2-Dd a.i4g43E.12 AVE PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: I . Gross Floor Area - Z, 2 L( Z - scuare fee /t 2 . Type of Heat - Electric Oil 1/ Cas Other 3 . Is building mechanically cooled? Yes V<No - 4 . Percentage of area of windows and doors Over 17% ,/ Under 17% 5 . P.-VALUES FOR INSULATION GIVEN BELOW' MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof • _• R 3 8 b . Exterior walls R I q c . Glazed areas R y d. Exterior doors R 6 e . Floors over unheated spaces R t 9 f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h . Basement/cellar walls (below grade) R l/ 1 . Heating/cooling-ducts-piping in unheated space R 4(. 2_ 6 . Service (domestic) hot -water heating device Conforms to minimum efficiency per code iA Yes. No • TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED • Ap�li ' Signature \` Date Phone Number INSPECTOR'S REMARKS: Mark Scellen BLDG. PERMIT NO. 9 7-2 7 0 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; Barber Avenue for the following uses: Single Family Dwelling w/2-Car Garage 9 /0 9 ? . 4'a/ 7 - v DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED ( )DISAPPROVED with the following conditions: Certificate of Occupancy to be issued upon completion of: 1) Install R-19 insulation in Box Area. 2 ) Install Foundation Insulation. 3) Complete Garage Fire Proofing & Trim Fire Door. 4 ) Complete Exterior Finish. 5) Installation of Fireplace. 6 ) No use of Garage till Fire Proofing is approved by Building Department. TEMPORARY CERTIFICATE OF OCCUPANCY FEE J- 10.00 E OS • ( )$100.00 received on September 4 , 1997 C/) Date of Issuance Director of B1de & Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 60 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of 431dg. & Code Enforcement or his designee. Application for SEPTIC DISPOSAL PERMIT Town of Qi'Pillsbury Permit No. s _ < ' Dept. of Community Development Building &Codes Office 742 Bay Road Fee Paid $ Qm ensbury, NY 12804 J Location of property for installation: t3 A 4°t3 E 4 Jk\1%, Property Owner's Name: i'-A \4 2 V S(!r L t.._E,J Property Owner's Mailing Address: I a a E hk)wart ST Installer's Name: Phone # Number of bedrooms (if residential): 3 Total daily flow: L[S 0 (residential - compute @ 150 gal./bdrm.) Topography: flat, rolling, steep slope % of slope Soil Nature: sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: I not required, required [rate min. per inch] Domestic water supply: Vmunicipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. _ PROPOSED SYSTEM Septic tank: /000 gallon (minimum size: 1,000 gal.) Tile field: each trench feet / Total system Iength: feet Seepage pit(s): number of / size each: ft. by ft. tE Size of stone to be used: # "Y / depth or thickness /1L HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons CAISXm system and associated electrical work to be inspected by a certified agency. l For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant;shall be void. I ve read the regulations with respect to this application and agree to abide by these and all requirements of the Town of bury Sanitary Sewage Disposal Ordinance. Signature of responsible person: J :4413.____ W ct�] v"t Date: TOWN OF Q UEEN,SB URY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS � `. 1-7 Date k A VI 1 r,) "7 ,19 1 ? Permit No. 12 APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws,ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant .r APPLIANCE (check appropriate boxes) Address Q ❑ STOVE: in Wood o Coal o Pellet ❑ Gas 0 FIREPLACE INSERT t. f.,s , , / Zip p -2 50 I ❑,(FIREPLACE, FACTORY-BUILT: ❑ Wood ❑. Gas Phone t ., t :0 FIREPLACE, MASONRY: ❑ Wood .o Gas Owner ,,,.4 c . �.� 1\I 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil Address ci 0 . IF NON-MASONRY,APPLIANCE: Manufacturer: �' t., Zip t . b o k-I Model: r ' ti Phone 79 5'• .S , 8 CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction ❑ MASONRY: 0 Block 0 Brick 0 Stone 9 r i3:7 4 ,s _ FLUE: in Tile in Steel Size: . inches CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS l DoubleWall ❑Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated El' Direct Venting in Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Titlecoo A 173 3389 (190) Public Safety e A 233 2655 (230) Minor Sales Fee collected From_or Refunded to: or) t"� t ''C" Address: _ _ Dated:�, - -i Town Clerk or Deputy!) u i d " White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink& Goldenrod: Cashier's Dept. RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 „,,_. Building &Code Enforement Arrive: 7`,115 Insp Dept. of Community Development Town of Queensbury Date Inspection Request Rec ed: tt\\-!�742 Bay Road l Queensbury, NY 12804 NAME t,'Pi� 6 CEO PERMIT NO. Cc 1 -- �`7() LOCATION • �( j Ai) DATE I(r 7\cc( TYPE OF STRUCTURE <<7 ul ,Z.C'—i'���'--,NQNC - k N/A YES NO COMMENTS iChimney Height/"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent Through Roof Roof Complete f Exterior Finish Comple Interior/Exterior Railings 30" to 36" Exterior Handrails, Balco 'e ,tLari'dirig 18 in. or more ,, // Ji Interior Handrails Stairs Bo ides\3 or More Risers Grade 2% Away From Fo .on \ �// 8" Clearance To Sill Plate 1 Gas Valve Shut-Off Expos •eagula 'r 18" Above Grade i ji Gas Furnace Shut-Off wi 3 i Fee or within Line of Site Oil Furnace Shut-Off at E tranc o Furnace Area Furnace/Hot Water Heate Ope 'ting Relief Valve(s) Installed Headroom 6 ft. 6 in. Stairs ,� — - - - Basement Stairs 6 ft. 4 . / Handrail Exterior S a s Both Sides More Than 3 Risers Interior Privacy/Trim/Doors/Main Entrance 36" Floor Finish Bathroom/Kitchen Watertight / Interior Handrails Balconies/Landing 18 in. or more / WindowStairwells �/Ratlmg Acrossin Smoke Detectors: every level ` every bedroom •J . outside every bedroom inter connected Y Bathroom Fans V/ Plumbing Fixtures VFoundation Insulation 3/4 Hour Fire Door/Door Closer Garage Fireproofing "1:\// Garage Penetrations Sealed Furnace In Separate Room Protected (In Garage) . Light Ventilation Per Room Safety Glazing 18" or Less From Floor V Final Electrical i Site Plan/Variance Required / Final Survey Plot Plan �/ As Built Septic System Layout Req. Okay to Issue 3 C/O s TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761-8205 • FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED ////77 NAME e//eA LOCATION .�GI✓' e. 47e} DATE PERMIT-# Wq7 q 7- 27 v APPROVED N/A YES NO EXITS AISLE WIDTHS \ EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE -MASONRY FIREPLACE - FACTORY BUILT J�/�//' Gem//2-75-2/4 REMARKS: B. OK TO THIS DATE 67/17/%1-) ( o4 1 f INSPSLIP.PUB `INSPECTOR TOWN OF QUEENSBURY.. g700.1 ' BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 *a : ( (518) 761-8256 ARRIVE: `L; DEPART: I t INS : - L FINAL INSPECTION REPORT — RESIDENT L DATE INSPECTION REQUEST RECEIVED: NAME E E LOCATION BpiFI1E ` N\IE___ DATE {� 1\ '-1i I PERMIT91-21) TYPE OF STRUCTURE /�i\1 (3. 1 2— CAS2 G& FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A TES / NO CHIMNEY HEIGHT/B VENT/HE GHT \ �v// 1, `I / PLUMBING VENT ROOFING t j EXTERIOR FINIS p ' _< / PECK/PORCfi/SSTE S IgGS 1 —`'� Y RELIEF VALVES \ 1 FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS \//: FINISH FLOORS: \1 BATH/KITCHEN WATERTIGHT V OTHER FLOORS SWEEPABLE V OTHER FLOORS CARPETED ////////,:/r/ STAIR CLEARANCE/RAILINGS __ V SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES V ii FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL /I/ SITE PLAN/VARIANCE REQ. / FINAL URVEY PLAT.PLAN CD q/ OK TO SSSSUE—C70IORI C � TOWN OF QUEENSBURY .4111111 . BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: --'fj).__ DEPART: WOO INS FINAL INSPECTION REPORT - RESID TIA DATE INSPECTION REQUEST RECEIVED: NAME 1#k LOCATION P AEA `''{ DATE % � C MI�� PERT # �"���Q •' TYPE OF STRUCTURE c��� U31 -Z c16�, C9r\? FOOTINGS FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES 4 NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT \\\\0 // ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILING RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILIN' S SMOKE DETECTORS DATHROOM FANS PLUMBING FIXTURES FOUNDATION INSUL• ION GARAGE FIRE PRO0FING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN \•( OK TO ISSUE C/O OR C/C TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 / (' (518) 761-8256 ARRIVE: 2'-;y) DEPART: Zt 47 INSP ' FINAL INSPECTION REPORT - RESID TI.L DATE INSPECTION REQUEST RECEIVED: NAME 6CFLLF l MAP LOCATION -7 hhRBF A'J F DATE 9 -L�`9 7 -\PERMIT�II 97 7R C-4:7( ' fE TYPE OF STRUCTURE 1.F 1 n J (.6] 7. 0421 A FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC _ INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT :1;// ROOFING EXTERIOR FINISH PECK/PORCH/STEPS/RAILIN RELIEF VALVES FURNACE/HOT WATER OPERATI G INTERIOR TRIM/PRIVACY DOORS$INISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE v/ OTHER FLOORS CARPETED STAIR -CLEARANCE/RAILINGS ` SMOKE DETECTORS BATHROOM FANS c E uQ t w '?F1T1Wzot\ :/// PLUMBING FIXTURES k'OUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C �(/ COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 357 Elwyn Terrace — Manheim,PA 17545 '7 .7, 2,7 0 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No Cert. N° 4 9 9 7 0 Cut-in Card No. Owner in Occupant Location r.) Location 7 6/4/246-72 nub-i atte_ou cc, /refi 6 ?Re-cc-P.- s-3 4_1 ro-t- Installation Consisting of j, CO voRike. --/2 ,e)-Ais 7 5iit etke----- / i 1 e-e---' Installed By. 7: in fl-g' /iv Lic. # The conditions following governed the issuance of this certificate,and any certificate previously issued is cianeelled:— This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspec ' _ at any time, and if its rules are violated,the Company shall have the right to revoke th' centric te. Date F- 7 7 INSPECTOR . Member N.F.P.A.,I.A.E.I. 5;pr 1 ' QOflA4)') TOWN OF QUEENSBURY 4) t K BUILDING & CODE ENFORCEMENT f;`'.- 742 BAY ROAD )114 QUEENSBURY NY 12804 (518) 761-8256 liPARRIVE: I cCIND DEPART: 11c INSP• _ FINAL INSPECTION REPORT - RE D 'TIAL/ DATE INSPECTION REQUEST RECEIVED: �• v+ 701 NAME S •`/� C11. zs`,f�+ �l.!\Y",\ O/ LOCATION /\�' V7_IV DATE — y . S -A 1 PERM : I �T—a)D TYPE OF STRUCT RE YYY FOOTINGS FOU DATION BACKFIII FRAMING _ ROUGH PLUMBING SEPTIC INS LATION FINAL ELECTRICAL WOODSTOVE 0 FIREPLACE - N/A YES NO CHIMNEY HEIGHT/B ENT/IHEIGHT , PLUMBING VENT i ROOFING �/ \,rts3-A' ,btic:A/3 is EXTERIOR FINISH DECK/PORCH/STEPS/RAI INGS RELIEF VALVES FURNACE/HOT WATER OPE'oTL G L-CCX---lie-T i I INTERIOR TRIM/PRIVACY 006RS FINISH FLOORS: ifij BATH/KITCHEN WATERTIH OTHER FLOORS 'SWEEPALE OTHER FLOORS CARPE ED J STAIR CLEARANCE/RAI INGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES / !O I U f/ FOUNDATIO(N�IN�SUL T�IO�N GARAGE YIR�PRYOFING'G f DOOR CLOSERS 11 E_ %�— /f FINAL ELECTRICAL // SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN ii j OK TO ISSUE C/O OR C/C (518) 761-8256 / i TOWN OF QUEENSBURY /f` UILDING & CODE ENFORCEMENT 41 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR'`oW DEPAR �? I REQUEST FOR INSPECTIONN RECEIVEED: NAME IC E.LLE 3 VA ANA / LOCATION q \7� V�C� PA) DATE Z ( PERMIT A \91^ C) TYPE OF STR'CTURE: 6\ 0 1 ) r JWION RECHECK APP•'VED N/A YES NO FOOTINGS/PIER. MONOLITHIC •O R FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROT TION FROM FREEZING FOR 48 HOURS FO LOWING THE PLACE- MENT OF THE CON$RETE. MATERIALS FOR TH S PURPOSE ON S TE FOUNDATION/WALLPOIR • REINFORCEMENT IN PACE _ FOUNDATION/DAMPPROO MMIrt BACKFILL APPROVAL 11111, \ r PLUMBING VENT/VENTS I •C _ ROUGH PLUMBING C. • _ _ l � PLUMBING UNDER SLAB FRAMING: � JACK STUDS H:ADER` BRACING BRIDDR[H .S11141, JOIST HANCE•S JACK POSTS/ 'IN BE: K)0T CO - ' AIR INFILTRATION B,RRIER HEATING ROUGH-IN INSULATION:��}}(( h^1FOUNDATION4'LLS INTERIOR R- FOUNDATION :ALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- - DUCT WORK OR PIPING IN UNHEATED .PACES R- (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12604 INSPECTOR'S REPORT: ARR ic-DEPART ;‘ REQUEST FOR INSPECTI EIVED: NAME LOCATION DATE F/(0 -q 7 PERMIT @ L 7O TYPE OF STRUCTURE: c:,0 RECHECK APPROVED N/A YES _ NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE _ THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. _ MATERIALS FOR THIS PUR SE ON SI FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE -,__ FOUNDATION/DA-MPPROOFING _ HACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING - PLUMBING UNDER SLAB " FRAMING JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS MAIN BEAM _ AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: - :- - _FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- - � WALLS CEILING t 42 y i^.t:.t`Z R , DUCT WORK OR PIPING IN UNHEATED SPACES R- to 1J\L1-1 LY._ OF NFp'v �PQ,o KEIT/1402,91, 5 August 1997 "' k N Mr. Todd Martin °A9 °6675 28 Fifth Street oFFssioOl' Glens Falls, New York 12801 Re: Single Family Residence Garlinghouse Design #34825 Sealed 5/22/97 Dear Mr. Martin: Regarding the above referenced project, the following structural changes are acceptable: 1) On Sheet#8, eliminate the ceiling joist to create a cathedral ceiling over the master bedroom. 2) On sheet#2, a 1 1/2"x 1"x 2" notch cut out of the flush LVL beam to accommodate plumbing. Please feel free to contact me if you have any questions or comments. Sincere) Edward ' . Point, P.E. 22 Brookshire Trace Queensbury, New York 12804 518-798-3654 (518) 761-8256 TOWN OF QUEENSBURY '' BUILDING & CODE ENFORCEMENT a I 742 BAY RD., QUEENSBURY NY 12804 11111 �� 0 INSPECTOR'S REPORT: ARRIVE DEPART NC I -� ' REQUEST FOR INSPEC •N ECEIVED: ♦+, — W NAME _ P � I l.f_� LOCATION G\ `tj^c\. c DATE 13- [2 _q ? PERMIT 1 C l-I [ 0 TYPE OF STRUCTURE:I S1) RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM ' REINFORCEMENT IN PLACE - THE CONTRACTOR IS RES ONSI LE FOR PROVIDING PROTE ION ROM REEZING FOR 48 HOURS FOL WIN THE PLACE- MENT OF THE CONCRE _ MATERIALS FOR THIS PUR OSE ON SITE FOUNDATION/WALLPOUR - REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING _ BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE .. ROUGH PLUMBING - PLUM ING UNDER SLAB___--- \bT Evc - __i (; ING: JACK STUDS/HEA _ BRACING/BRIDGING _ ' JOIST HANGERS JACK POSTS/MAIN BEAM _ AIR INFILTRATION BARRIER _ 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 R- V-mot e� te` N‘' al (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 rr fly f/ INSPECTOR'S REPORT: ARR EPART REQUEST FOR INSPECTION RECEIVED: NAME 4 _ �� LOCATION cjA ,"7� AV`t [�•�-� DATE (45 ` cAl PERMIT # LA, '-� 1C) TYPE OF STRUCTURE: �' ) . 1J 7_ CAR RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE - THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. _ MATERIALS OF R THIS PURPOSE ON SITE ,FOUNDATION/WALLP06IF2 _ REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE = _ ROUGH PLUMBING L' •4/ PLUMBING UNDER SLAB FRAMING: W1 �,o�� JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R_ CELLS 77,oh CEILINGR- DUCT WORK OR PIPING IN UNHEATED SPACES R- • Ot 07)g:111cl (518) 761-8256 TOWN OF QUEENSBURY (01? BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 • - INSPECTOR'S REPORT: AR DEPAR .-" NNT �/ REQUEST FO INSPECT N CEIVED: NAME C�LOCATION ���( _C ( rV R-I,P`- J DATE lam¢ ` PERMIT A ! —cp-7 Cl TYPE OF STRUCTURE: S.0�� ��\O JJ RECHECK APPROVED N/A YES _ NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLL' G THE PLACE- MENT OF THE COHC• MATERIALS Foe THPlgkoSE ON SITE FOUNDATION/WALLPOU' REINFORCEMENT IN PLACE _ FOUNDATION/DAMPPROOFING - BACKFILL APPROVAL - PLUMBING VENT/VENTS IN�� PPLACEE� ROUGH PLUMBING � ,I \.A16-1", PLUMBING UNDER SLAB / FRAMING: ----�1--- JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM - AIR NFILTRATION BARRIER HE ING ROUGH-IN NSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- WALLSS R- 1/7 ". . WALLS L-6 R- CEILING 'Lh, R= DUCT WORK OR PIPING I UNHEATED SPACES R- • • tE ® � � /111 (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR`c1ry17DEPAR I •� • REQUEST FOR INSPE�/T�ION RECEIVE�ID: NAME kat- ' LOCATION DATE 7 q1 PERMIT i 967:-.9'7 7?) TYPE OF TRU TURE: 51 1> RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FO 4 REINFORCEMENT\N. LACE THE CONTRACTOR IS RE ISLE FOR PROVIDING PROTE T ON FROM FREEZING FOR 48 HOURS FOLLO ING THE PLACE- MENT OF THE CONCRE E. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE I ROUGH PLUMBING tl.NIV) EJ( e_ +� S PLUMBING UNDER SLAB • yaM ING: (5• _ V /[/, JACK UD 1HEADERS (9' ‘lsf BRACIN GRID JOIST HANGERS (`2) JACK POSTS/MAIN BEAM (� AIR INFILTRATION BARRIER \(/ HEATING ROUGH-IN o' ifs �� INSULATION: V L, �i' � , .1K`' _FOUNDATION WALLS INTERIOR Raj V�j �•. J s, FOUNDATION WALLS EXTERIOR R- w 410" FLOORS R- CELLS R- CEILING E j. CEILING R- / -� -� DUCT WORK OR PIPING IN CL�S=L� UNHEATED SPACES R- • 0 IONL- VLcvc , FoZ- �`L 'E2- i7, \ - \=?-t -\ v �c�) $?-1*\\ . C__Z i-.MGa.Y1J ()V i StNi *_ac-,16 P .)EizT TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location 69/&:-/e Date ,7// q7 Permit # 177` `Z76 SOIL TYPE: Sand-Loam-Clay- . Results of Percolation Test (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length . Length of each trench Depth of trenches ; Size of stone SEEPAGE PITS: Number Size - ft. x f . Stone size PIPING: 'ze Type • Bldg. to Tank - Tank to Dist. Box• _ Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear .- Left Side - Right Side Middle Front - Middle Rear COMMENTS: 14- /01-6"-T" /44)(4 eFP C SYSTEM USE APPROVED: . YES NO . Arrived: 1.��,' Departed: Is Building Inspector (518)g761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT ' 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR DEPART •`✓IIh(N'P3`Q/v REQUEST FOR.,INSPECTION RECEIVED: NAME 2C6-zz.CAJ LOCATION /� -ie6&/e x DATE 7���� PERMIT A 77- 'z I v TYPE OF STRUCTURE: RE HECK APPROVE N/A YE , NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. _ MATERIALS FOR THIS PURPOSE ON SITE _ FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE _ FOUNDATION/DAMPPROOFING BACKFILL APPROVAL _ PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING _ PLUMBING UNDER SLAB - FRAMING: • JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER _ 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 ' R- • • e. lo, d,9mte0()A OX) I-i L& OF NEB �.�P i70• f F 30 June 1997 6)c)FEss10NP Mr. Todd Martin 28 Fifth Street Glens Falls, New York 12801 Re: Single Family Residence JUL 011997 Garlinghouse Design #34825 TOWI', OF ) EE'.': URY Sealed 5/22/97 au1LDJ AID CO' Dear Mr. Martin: • Regarding the above referenced project, the following foundation change is acceptable: 1) 16" continuous concrete footings with 2 -#4 rebars. Please feel free to contact me if you have any questions or comments. Sincerely, OP iatik Edward K. La'oint, P.E. 22 Brookshire Trace Queensbury, New York 12804 518-798-3654 7") 12D8 LA)/6)10 y. TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT),} 742 Bay Road �;� Queensbury NY 12804 �� (518) 761-8256 c SEPTICDISPOSAL SYSTEM INSPECTION , k Al Name O SQS% -1.1/\ Location C2)1 _�,> ?Jy I 'V Q i Date p L -4 7 Permit #I 17 -a-)0 SOIL TYPE: kand_Loam_Cl/y_ Result of P rcolation;Test- (if applicable) Rate-Minute/Inch TYPE OF SYST.• ABSORPTION FIE-LD: Tolt l Le _gth /v�.fji/6 Length of each trench Depth of trenches Size of stone p SEEPAGE PITS: Number- Size - V x ft. Stone size PIPING: , Si- T pe Bldg. to Tank / ` rjzlO 40 Tank to Dist. Box Dist. Box to Fi(l d/P;. -. - Openings Seal ec ? No Partial LOCATION/SEPA ,TI Foundation to ,Tank \ /6 . feet Foundation to 'Absorption feet Separation of' Pits ' feet Conforms as per Plot Pit an Yes No LOCATION � .YSTEM ON PROPERTY: (circle Front ReaF - Left Sid - Right Side Middle t - Middle Re r COMMENTS: / A. -<.-t‘ r I L.--& :14-9, 1(PO l< /Ai F-- 1' /// SYSTEMLUSE APPROVED: YES N0 Arrived: /• /a , Departed: / :/ . /5 Building Inspector 67 00,411 (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT ', ;114742 BAY RD., QUEENSBURY NY 12804i,k INSPECTOR'S REPORT: ARR,( 'rfDDEPART _ s, ��• REQUEST FOR INSPECTI N RECE NAME OF ! h •. LOCATION Q✓ DATE _ PERMIT A ` TYPE OF STRUCTURE: RECHECK APPROVED N/A YES _ NO \{OOTINGS PIERS � �a� ``/ k10NOLITttIC POUR FORM ,1L REINFORCEMENT IN PLACE 7 `1 .5 THE CONTRACTOR IS RESPON_ISLE FOR PROVIDING PROTE TION F . REEZING FOR 48 HOURS FOLLOWING PLACE- MENT OF THE CONCRETE& MATERIALS FOR THIS PUR:OSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER 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 R- hirrl (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT r 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR7fp DEPA T INTV`-"L REQUEST FOR INSPECTIO RECEIVED: NAME SC` 0 Q, 0A/-. ? CkfY j( r LOCATI N -Ca CD\ �/)C DATE C7 l PERMIT A -7 ' TYPE OF STRUCTURE: S .1):2) RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMEN IN PLANK THE CONTRACTOR REPONSI:LE FOR PROVIDING PROTE TI' FRO. REEZING FOR 48 HOURS FOLLONI a THE PLACE- MENT OF THE CONCRETE., MATERIALS FOR THIS PUR.'OSE ON $ITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE _ e, FOUNDATION/DAMPPROOFING 1BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING - JOIST HANGERS JACK.POSTS/MAIN BEAM AIR INFILTRATION BARRIER 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 R- Z Z .3 0 3 (518) 761-8256 TOWN OF QUEENSBURY ' r BUILDING 6 CODE ENFORCEMENT 742 BAY RD., QUEENSSBURYYNNY 12804 �� INSPECTO R'S REPORT: ARf2'", !/ DEPART/"/// INTV�� REQUEST FOR INSPECTION RECEIVED: NAME 6C1.G6",t) � LOCATION � I2q.tI &1 . AIC- DATE r��� ( `y G �� PERMIT f 9 2" 2C) TYPE OF STRUCTURE: RECHECK APPROVED 7 - N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FG.RM - REINFORCEMENT IN PLACE ._ THE CONTRACTOR IS RESPO ISLE FOR PROVIDING PROTE TION FRO FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. - TERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR 7 _. +REINFORCEMENT IN PLACE ' -# _ FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING _ PLUMBING UNDER SLAB _ _ FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN _ INSULATION: FOUNDATION WALLS INTERIOR R- _ FOUNDATION WALLS EXTERIOR R- _ FLOORS R- WALLS R- - CEILING R- DUCT DUCT WORK OR PIPING IN UNHEATED SPACES R- • .^ (518) 761-8256 TOWN OF QUEENSBURY i ,`. BUILDING & CODE ENFORCEMENT ; : 742 BAY RD., QUEENSBURY NY 12804 s' INSPECTOR'S REPORT: ARR . 5SDEPAP/a r INT V1(2C- REQUEST FO INSPECTION RECEIVED: NAME LAC A • LOCATION j � �rz✓-� A DATE CO /e8/q? PERMIT P 9/ -7,76 TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS _ MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FRO EZING FOR 44 HOURS FOLLOWING TIE P CE- MENT OF THE CONCRETE. N TERIALS FOR THIS RPO E ON SITE FOUNDATION/WALLPOUR 0 ,-, �� REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE _ ROUGH PLUMBING _ PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING - JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER 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 R- • Clii-a. �dR Re4 l's-C, igEFow- Po ° a ' 6 OukLLS (518) 761-8256 TOWN OF QUEENSBURY 011V BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY/NY 12804 ��w•�-4 ,-�INSPECTOR'S REPORT: ARR dEPARI9 // IN'I`V REQUEST FOF�INSPECTION RECEIVED: NAME `J/ /i// � ,�/f LOCATION S ' : /y/6 � A(i, DATE ( / / PERMIT A 9/ TYPE OF STRUCTURE: RECHECK APPROVED 1 N/A YES NI,Cy \ 00TINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE / - / THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL OU _ 9 REINFORCEMENT IN P _s FOUNDATION/DAMPPROO ING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS _ BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN c - INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- • kettee--- 1ri, ., l� lit.5z -`rcv/✓ . e— V ) J/ e ij/oc 8 xis ? oo6>rL'6 .} - �1"=f% A3K 10 Pvu2 e (e072 Ocv,i) ie5(< - oui1J� c41-1.—L— CO/pi/64 d•0 i-1 L c"OF NEIv 1, ce POKEITH4d°,,i • OAP 2 to ,...l , w l s ^ Ltl fri 11 June 1997 ��� �� .;,,,,anti 0 D 066752 �L� ',OFEs sIONP Mr. Todd Martin 28 Fifth Street Glens Falls, New York 12801 Re: Single Family Residence Garlinghouse Design #34825 Sealed 5/22/97 Dear Mr. Martin: Regarding the above referenced project, the following foundation changes are acceptable: 1) Eliminate the vertical #5 rebar 4' oc shown on A/6A. 2) Replace the 4 horizontal -#5 rebar shown on A/6A with 3 horizontal #4 rebar. Please feel free to contact me if you have any questions or comments. Sincerely Ok:os Edward .Point, P.E. 22 Brookshire Trace 7, 0 Queensbury, New York 12804 Z-7 518-798-3654 RFCEIVED JUN -16 1997 TOWN OF Ott N ;:3URV BUILDING AND CODE TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Sp .p 11 QPIN rr( ' Locati ons � Date 6 Z. Permit # / 7(9-7() SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Numb Size - ft. ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist Box Dist. Box o Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per P1 of P1 an Yes No LOCATII OF SYSTEM ON PROPERTY: (circle one) Front - Rear .- Left Side - Right Side Middle Front - Middle Rear COMMENTS: . S� � S'yvvm Y' '7 /VV t. /077./0-. 3 Like 2 / /Ucv , L ORr, SYSTEM USE APPROVED: . ' . NO Arrived: 3tz Departed: . . Buildlfg Inspector I) 1 TOWN OF QUEENSBURY Pt) BUILDING &+`CODE ENFORCEMENT 742'Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION rn Name MOO/V t Locationl ej(IAP_A Date —1 —CO Permit -7 27C) SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable,) Rate-Minute/Inch TYPE OF SYSTEMS ABSORPTION FIELD '*-Total Length Length of each trench Depth of trenches Size of stone ) SEEPAGE PITS: ' Number- Size - ft. x ft. Stone size _ PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption _ feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: • Up ...i df 2 4;s exo/ ,/e //y/ &A./fte4 .camV, /o c/ r<( SYSTEM USE APPROVED: YES OP Arrived: </;_A Departed: Building Inspector ,. "ihave seen or observed or bei 1 sins evidence of, all objects such as houses,,ells,trees,beast eke shown on this document.1 abs represent that I have 4 :' personally measured the distaces set forth oei the dis am." • SIGNATURE DATE PLOT PLAN SEPTIC SYSTEM Notices The following statement must be "stamped" on your plot plan. This sheet of paper may be used for purposes of drawing your - plot plan. After drawing such plot plan, please read the statement and sign it. If you choose to use other paper for your plot plan, the office will stamp those plans for your signature. { • T . i ..a i 1 1 r 1 • - aok/1\S I s.e;tt - . O 1 1 i 10•6 i i 1 t 1• O ii I. • 01 _ A . r . �t'a -T' - - Lo , ',N.2"**4 : -iNs,' 0 . I i = • UJI 0 1 i'.f... i , . : li 1,---\ 1i .1.. 1 ' I , , . ri�, l I ir 1 1 . 1 7!'Nf'1 i '{ 1 ___ --,�------1-,' ------ _ -� - - = - - - - - - - - -I. i 1 ! I; , 1 i a �jla21/„jI. J"�' r-- --- I. =! --- - - ---- --- . -- -- --- ---- `+4LL. :1/3,1)-- vim J. .__.- I I. - -=--- - .--- -. -- . ____s1_2./1 _ _--'tom �' , lof . -1- - _ _-- i-1-fli 4s - - - --L I - , t-J,ANw,44.2 . . _ -... -- 1 oI�-mod.+ .. • -" o o 1I _ - - _ 1 -IYI L- —- ---r - r 1_, V - --- , a-- - A • 1 • I , 1 I 1 IN 0 I i '11•F 9 I- ef---1"--- i-2 , . _ I - fi. • "1 have seen or observed,or believe I saw evidence of all ob' ,.- such e:houses,well,tress,fences.sic., z ,P 7° !7 sho on this document.t also represent that I have �._. 1=a G rally measured the dis_rroes set forth on the " fq7 LR 7 JUN 91997 SF h TURF TE ,Lii‘j 7L-.-- ' , i A:r�-, i PLOT PLAN • • �. 'SEPTIC SYSTEM Notices The following statement must be "stamped" on your plot plan. This sheet of paper may be used for purposes of drawing your plot plan. After drawing such plot plan, please read the statement and sign it. If you choose to use other paper for your plot plan, the office will stamp those plans for your signature. I , , 4 -- --------- - -- z �6 i I , (6 0 F y o NI i i _i- f 1 i a s 0 P„