1986-401 •
CERTIFICATE OF OCCUPANCY •
•
TOWN OF QUEENSBURY .
WARREN COUNTY, NEW YORK
Jo
Date October 14 .19 86 :
This is to certify that work requested to be done as shown by Permit No. 86-401
has been completed. • •
This structure may be occupied as a
One-family dwelling
Location Lot 17 Pinion Pine Lane (St. No. A)
The Pines of Queenshury
Bill and Florence Seibert
Owner
By Order Town Board
TOWN OF QUEE SBU 'Y
Building Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-401
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Bill and Florence Seibert tz
H.
Lot 17 Pinion Pine Lane (St. No. 1
OWNER of property located at Street, Road or Ave.
The Pines of Queensbury
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. r°;
(D
1. OWNER'S Address is n
Box 493 �
Bolton Landing, New York
a'
0
2. CONTRACTOR or BUILDER'S Name
rt
Hilltop Const.
3. CONTRACTOR or BUILDER'S Address
RD #1 PO Box 308A
Hudson Falls, New York o rt
4. ARCHITECT'S Name hi I—,
(D• 1-d
Cr) H.
O H.
rn o
5. ARCHITECT'S Address 0
O b
(D H.
m p ,
O a)
6. TYPE of Construction—(Please indicate by X)
�C N
)Wood Frame ( ) Masonry ( 1 Steel ( 1
rt
7. PLANS and Specifications Z
No.
661x44' per plot plan, specifications and application submitted •
including sewage system and two-car attached garage.
8. Proposed Use
0
0
One-Family Dwelling 0
$5.00 C/0 Paid H
$ 136.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 1 19 87
t7
(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.) to
F-`
F-'
Dated at the Town of Queensbury this 14th Day of July 19 86 oa
SIGNED BY • C a. p_.6 for the Town of Queensbury
Building and Zoning Inspector
• `Jouin of QUCtU APPLICATION FOR, SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Oueensbury, New York 12801 DATE / / ,3
LOCATION OF PROPERTY FOR 'INSTALLATION
Hof /,7 /1,,v,onl Ave ,Curve
OWNER' S NAME i( I lO, e_nc °, S1e6eat- .
,
ADDRESS IDox 1-/93 BoI+on kcLndi b`) 9 TEL
INSTALLER' S NAME t-10LUarG1S XCX VQ-r I IlCy TEL % '7'"02.37/
Number of bedrooms (residential only) .:
Total daily flow (compute @ 150 gal per bedroom) 1/S0
Topography• - Rolling .- Steep slope - (circle one) % of slope •
Soil nature: nd - Loam - Clay - Other Depth ft.
Groundwater -At what depth? ft.
Bed-rock or impervious material - At what depth? ft.
Percolation test - Not required - Required - -Rate , min-inch.
Domestic water supply - (Municip4)- Well - Other -
Separation - Watersupply(if well) from Septic absorption ft.
Proposed System: Septic tank /006 gal. ( Minimun size, 1000 gal. )
Tile Field - Each trench 66 ft. Total system legnth 4, -D ft.
Seepage pit (s) Number of . Size each ft X ft `.
Size of stone to be used # ' ..3' Depth or thickness • • - ft.
IMPORTANT! '.
On a separate piece of paper, submit a diagram of the proposed system .
with all dimensions shown ; including distance from any structure ,
distance from property lines and from ANY DOMESTIC WATER SUPPLY or
shore-line of lake, strea-m,pond or wet-lands. Include all dimensions of
I.
the system, itself .
• * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
I have read the regulations on the reverse side of this sheet and agree
to abide by these and all requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance .
Signature of responsible person61411J621.4.`✓LP� `
r, . 7/3/n
05/86 and/vl
Section II Septic System Inspections:
A. All applicationd for septic system installation,
alteration or repair, as required by the Town of
Queensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina 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.
TU BE COMPLETED BY BLDG. DEPT.
,` �] Application No.
✓Otu/t Ol QuerniZury Permit Issued 19 TOWN OF QUEENSBURY
BUILDING and ZONING DEPARTMENT Permit Expires 19 �.. EGE7
Bay and Haviland Road, R.D. 1 Box .• , Zoning Designation `(
.E 'E)
Queensbury, New York 12801 Variance No. R
Site Plan Review No JUL 8 19D6
20 - / 7 Appr d by• A.M. 1 L �� �1 t"�1;
7l8J9�tO11.�12j1.)eJ3)1 , g
APPLICATION FOR j,/�.m ,(C1 ,lie._-� . • • et i . c
J" &��D (NGG.
BUILDING AND ZONING 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.
The owner of this property is: 01 L( \ 1' Ik1renCe. JeI tyert
P.O. Address 6CA l'i 93 O[-Q k, L.c and I Ir c1 I) Tel.
Property Location: Lot .pl'(\) )pM riNe, !`onJZ sn iffrac . Tax Map No. / /
Street number or building lot number
_T. P[;
Subdivision name (if applicable) h, ; K}e5
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
1 homC5 1[pre ek-L R,0 •11 Pc 60K_ 0go ' H F 7 1? -0338
Name LL P.O. Address /, • Tel. No.
Name of builder r i I I lop �ro5 Address P,j VD/i fCY //F Tel. riC(Sj-Q332
Name of plumber 1 C Y I g 1 ci L i i r1 n F_ Address i I(J/.1/1W/ Ave g F Tel. 33-
Name Name of mason 1 i L(-l-np Cc v H- Address-ill nj/, Rd I-1 F Tel. '`(9 -C 33$
'
NATURE OF PROPOSED WORK:
* ZONING INFORMATION: •
X 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. ,
� 99/•3V
* Size of property /;1. ,,5Y ft X ��'-G / ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: ',,C
* Existing building(s) 'Use
Size of new structure 3 c'ft X 4441-ft *
Foundation-pier/slab/crawl/partial full) * Proposed building, distance from property line
(circle one) * Front yard
No. of stories (habitable space) , ft Rear yard ft
Height (grade to ridge) /(� ft. * Side yards / ft and 17 ft
If residential, no. of families / * If on corner, setback from side street ft
No. of rooms(excluding baths) `j * OCCUPANCY INFORMATION
No. of bedrooms `3 ' *
No, of bathrooms * PRIMARY BUILDING -
Primary heating system efee_lR1L * One family dwelling
Type of fuel. * Two family dwelling
No. of fireplaces to be installed / * Multiple dwelling / Number of units
Will a wood stove be installed? /V * Permanent occupancy
Central Air conditioning? /C) * `transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch j Contemporary Log cabin * If addition, what will use be?
Raised ranch Mansion Duplex .
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * ' Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * 77,CAttached garage/one car/ ‘wo �,/ car
* * * * * * * * * * • * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION
$ /L/rZe S)?,U() - .
•
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BFA /tl&. ma-v.l
-.
BUILDING SPECIFICATIONS: •
Type of construction, wood frame, . fire safe,etc. �(,)(...64/4/datf
Will any second-hand or ungraded lumber be used? If so, for what? No
•
Foundation wall material CoriOx-ebe__ Thickness 8"
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? .5 Heated or unheated? AI/CY Floor sq. footage/77}/ sq ft
Will there be a basement NO Will any portion be used as living space? A/C
(If so, what portion? sq.ft. - - Type of use?
Type of roof - s`lopedVflat/shed/other Material. of roof 41, /er-67)0gs ,ch/i067/es
Size, wood studs X (p " spacing �' le
ngth/(, o,c, len th g' ft.
Joists(floor beams) 1st. floor , "X Ji-) " spacing 1 tp "o.c, span //ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters E'%"X 4 " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing , vq /A/ "o.c. span ft.
Exterior wall finish VI'N 7 i 5 0,.,,9 Of what material?
Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
�b " R)2eccd SVe�rt�oclZ ,
Is there to be an opening between garage and dwelling? N/L 5 If so will a Fire-rated
door, enclosure, and self-closing device beprovided? ' ije
Will a flue-lined chimney be installed? .j e n Height abode roof ft.
Depth of chimney foundation below grade ' ' ft.
Depth of fireplace hearth ft, ,21/in.
Water supply - Municipal or private well municipal., •
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
'rows of Queensbury AFFIDAVIT STATE OF NEW YORK
County 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. •
•SWORN• TO BEFORE ME THIS Signature ,
'2/�L -
Owner, owner,7s agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * *• * * * * * * * * * * * * * * * * *. * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By
MARREN COUNTY , NEW YORK
Application fors BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY .CON$ERVA,' ION CODE
A permit must be ;.obta,ined before beginning work.
ANSWER ALL of the following
1. Gross floor ...Area / 7 //
2 . 'Type of heat ✓1--� 1c � �.
a •
3. Is the building mechanically cooled? , _ Q
4. Percentage of area of windows and doors
A. Over 16.1 Only
1. U value of gross area of walls , roof/ceiling and floors
exxpo,sed to ambient conditions
2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YCS 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 ro�of�and floors exposed to ambient conditions
• 2 . ' R value of exterior walls
3 . . R value of glazed area ✓' --
4 . R value of doors •
5.. R value of floors over hosted spaces
6. R value. of slab edge insulation - unheated slab
7. R value of slab Insulation - heated slab
6. R value. of heated basement/cellar walls (above grade),
9. R value of heated basement/cellar walls (below grade) Z
10. Typ u of insulation d)fro vf- lOe- ir/z-
C. ' Controls ` ;.;. _...
1 . Thermostat maximum heat autt1g
D. Duct :Systems''
hi.//;Is duct sys_tltm installed in un) eat3d spacem? YES , NO
� � .
If,,•; YESt R value . oi� duct installation . . .
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
2. Temperature control setting maximum
G. For Swimming Pool Onlyb• , ',2.
1 . Maximum' heating •.e
e ephonp.. No. / 7d o3 d "N. 1. • (/t/1�c- ' J.
` N �. ( pplig'ant ' s signature )
'{,:Y.1.t..{.at e!..1..a9,19!..�,t .1.". ."!.a�i."..).,•.�aPLa�.-"..1. .?!.4.P!:a"i.....),•-•?.4 ti."-1.9.,1,i...i.1.ta".�a,i..104ta,.toy?.a��.���".a•i.",. 9',�"!..19';,.',).'.`9/.`91."--1.1.���..�•'.;•'.,9).`_•,.�,!
t, 4000490 THE NEW YORK BOARD. OF FIRE UNDERWRITERS .
2, CJ
BUREAU OF ELECTRICITY
Il T(r
�, 41 STATE STREET,ALBANY,NEW YORK 12207 IN
Date October :, 1926 Application No.on file 020069--26 A _
® Y�a . +�. o—
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
a
William Sieb2Z±r Pinion Pine 1.( a, C,;'Leensbu r, New York _
— in the following location; ® Basement ® 1st Fl. El 2nd Fl. outside Section Block Lot 17
was examined on 9/26�"0 and found to be in compliance with the requirements of this Board. riz
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS -
OUTLETS INCANDESCENT FLUORESCENT MERCURY
EN VAPOR AMT. K.W. MAT. K.W. AMT. K.W. MAT. K.W. AMT. H.P. ���]]]
RI 23 6 20 21 3 fr ID=
=II CD t7
CI DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
is SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. ..f.MT. NO. G.Xi.G. MAT. MAP. MAT. AMPS. TRANS. AMT. H.P. �,OF FEET AMT. WATTS
��YiTI. Jlf{ CD
SERVICE DISCONNECT NO.OF 1 S E R V 1
I C E o
MAT. AMP. TYPE METER Kw.
�,2W 1.0 3W 3„Et 3W 3,R'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. p
EQUIP. PER B" OF CC.COND.- Of HI-LEG OF NEUTRAL
1
OTHER APPARATUS:
•-v 1— r fci
' 1^- smoke C'l,,,t
1i Elec. Heaters: 3— 2.0 kw 2—.75 kw
ICI
•
El s1-, 1.5 kw 2— <5 3.7a =
►, 3- 1.0 kw 'i
ti.
p — ''=
Mike Col-Risky 233
,A, U i'o t �i a_I�. Lw BRANCH MANAGER
c,
°� Gansevoo��-,, NY 12031
Per `
. -
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. '
ccisr-7.:9ai'ia0 51251Einifitinnlitlitin CiliffillEMIESEI 0 ® ® rso0000 ® MHO 0017M0 ® ® 00e;-;‘ '}
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
C, a /Ir4 to /gl8(o aZ ://3o Phi .
Down of Queensbur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
nn 1
BUILDING INSPECTOR ` S REPORT
NAME Bill Sci b el-T
LOCATION L at /7 T;n%a n Pin e
Date 1O /l° / g,_ Permit No. so(o- 14 o/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings ,
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
\\N\NN:::\x:
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( all when ready)
Remarks- et
i-- k
6 e/4
Building pector
6/86 and-vl
1 � // 6 /a./ ad ,/ h7,
Jouin o/ Quenihurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
nS� ect I i Gla
BUILDING INSPECTOR' S REPORT
NAME i 11 S-2j :v
LOCAT I ON ioT /7 ill n� (h A n
Date /6/ / 76, Permit No. 6 - 'fG/
APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
fr ugh Plumbing cap,I�,,,�
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
LGar. Fireproofing
Door Closers
Smoke Detectors
Chimney
'INSULATION:
Foundation I, 64
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
•
Next scheduled Inspection(call when ready)
Remarks- -
a/< iC/z/c):(
CertA-4- -44 �
Building Inspector
6/86 and-vl
c4. i/ I/awn /o :as .tea
awn of Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
CIO i hr®-
BUILDING INSPECTOR ' S REPORT
NAME 5i 11 Ad R04..eh ee se.,
4ei.
LOCATION Lor 17 P,n j on Pfh e
ri
Date C /_?(D Permit No. G —s/o/
* * * * * *. * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
raming j„„-v AT'-
offing 0`K
iding 0 K
Masonry Veneer
lough Plumbing £/""/./ .,tLA,t, rc .,('y�v,l
UR lief Valves ,�
t. Porches 0,K
trF�" ished Floors Q�('
! Rterior Trim O1 t
(((fr"Stairs & Railings 00(
Cellar Drain Tile
Concrete Floors
4Jbg. Fixtures 0,t
!G,fa r. Fireproofing St h�(a ate 1.iee05 r i' y/C
W or Closers Of
tLmoke Detectors D,K
'Chimney to tat Ai 2 P,F�7V2
'INSULATION:
k oundation 2—g W'-efo c.,,,, .4,4,„,
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
O .
CA4r1/3/tX;)
Building Inspector
6/86 and-vl
Jown of Queen3ur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME �� , 2 — iti ill Cif
LOCATION G,oT 1? pi. h dZti 114
DATE Or) / (t PERMIT NO. A -- b f
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Number of)
Size- ft. X _ ft.
Gravel size
PIPING: Si Ty
Bldg. to tank
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
�7
f.)1 3/) \R 4_174 - 4-414-
b 6-k
SYSTEM USE APPROV YES NO
II - (i
Buil in 'Inspeq or
01/86 and vl
Oiun Of Q
_ ueeniburey ,
BUILDING and ZONING DEPARTMENT ,
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSALIS- SYSTEM INSPECTION
NE /$ / 6- 41/11- I.
AM
LOCATION /�, h, � z
DATE of
/ 14 PERMIT NO. 7 6 -y d/
SOIL TYPE Sand - Loam - Clay -
Percolati•• . - t Required? YES NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS-fNumbe�r/ of)
Size- `-c ft. X 'b
ft.
Gravel size : 3
PIPING: Size Type
Bldg. to tank Vg / KO
Tank to dist. bo
Dist. box to fiel Id,
Openings sealed? .-YES NO Partial
LOCATION/SEPA$A'TIONS:
Foundation to/tank t) ft.
Foundation to absorption '3 f ft.
Absorption to lot line 30 ft.F
Separation of pits 9.4 ft.
LT N OF SYSTEM ON PROPERTY(circle one)
cFront - Rear - Left side - Right side -
ENTS:
Da.4,-e_ t ,),,,,-0 t
tp 6
76 d.,a_ 1-7,t call. 4-gn -
r 4•11-e
0-4e r.x -Q-Pei .faz)
SYSTEM USE APPROVED YES ilip
e/(1)///e)/
Building Inspector
01/86 and vl
Ltl(1ec(� 81111PG //.' 3°1 //
awn o1 Queenatur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 13; U-evT — 11 fup r�
LOCATION LUfi /7 O, J fc)L. / / 4-C'.
Date ' 1L /S-6 Permit No. 8(0-- 1-/-0/
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
!/Framing
Roofing
Siding
Masonry Veneer
VRough Plumbing VtakwJe 04f:
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures d
Gar. Fireproofing d
Door Closers
Smoke Detectors /'
Chimney 3
V INSULATION:
Foundation / \
Floors
�r1a 11 s e9I
Ceiling at:
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - Pe
ivta2 f-607,,K
It4-t-4- L7-
COh 7D 10
6,-te tut- ..t .-Hee,-f-p;r4, to
Building Inspector
6/86 and-vl
• awn of Queenihury
. - BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME (iade-1,1 •
LOCATION (7_ gf P, „
Date ,a Ke Permit No. Ols -Lk)`
* * A. * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
''pt.undation
{ aterproofing ✓�
✓Backfill L�
Framing
Roofing
Siding •
Masonry Veneer •
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior\Trim /
Stairs & Railings /
Cellar Drain',Tile
Concrete Floors,
Plbg. Fixtures
Gar.. Fireproofing y''i,_
Door Closers •
Smoke Detectors / �N,
Chimney i N\
INSULATION:
Foundation /
Floors /
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey .
•
Next'scheduled Inspection(call when ready)
Remarks- -
Qs/S1
•
1/0
Building Ins ector
6/86 and-vl
cj)g)-,,ko liG/'s, ' ".M.
own of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME !
LOCATION Lo 'T
` 17 171nt62-, e-
L etre 41 t"e•-c, chi y
Date 7// 7 / 3.4, Permit No. c?6 - U
* * * * * .* * '*. * * * *. *. * * * * * * * * *, *
APD - :YES / NO
I-Tooting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding •
Masonry Veneer
Rough Plumbing
Relief Va es
Ext. Porches
Finished Floor s
Interior Trim
Stairs & Railings
Cellar Drain Tile
•
Concrete Floors J
J
Plbg. Fixtures /
Gar.. Fireproofing / `
Door Closers / N.
Smoke Detectors /
Chimney /
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey .
•
Next scheduled Inspection(call when ready)
Remarks- -
, J
Building LCnspector
6/86 and-vl
- STATE OF NEW YORK 1e fi,,
DEPARTMENT OF HEALTH. ' , ,OFFICE OF PUBLIC HEALTH
DISTRICT OFFICE • 21 BAY STREET • GLENS FALLS, N.Y. 12801 • (518) 793-3893
DAVID AXELROD, M.D. LINDA RANDOLPH, M.D., M.P.H.
Commissioner Director, OPH
36` 0 / OWN OF R BRIAN S. FEAR, RE.
R Uiot
Stw29 1986
September 25, 1 .(;: t.l) 11 3 4
a a as o;e1 ,111® l et l
Mr .Mack Dean, Building Inspector
Towm of Queensbury
Town Building
Glens Falls, New York 12801
RE: Pines of Queensbury
Queensbury (T) , Waren County
Dear Mr . Dean:
With regard to the subsurfacedisposal system for Lot 17 in
the above noted subdivision, the substitution of seepage pit systems
tile fields appears acceptable.
Very Truly Yours,
BSF/bsf Brian S.Fear , P.E.
District Director
cc : Mr . Tom Albrecht
3