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1986-412 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY • WARREN COUNTY, NEW YORK Date January 9 19 87 This is to certify that work requested to be done as shown by Permit No. 86-41.2 has been completed. This structure may be occupied as a One-Family Dwelling Lot 52 Lyndon Road (Rolling Ridge) Location Owner Dr, Philip Gara By Order Town Board TOWN OF QUEENSBURY f /„..7,1," • --///,;" Building & Zoning Inspector . • , , . , BUILDING PERMIT TOWN OF QUEENSBURY No. 86-412 WARREN COUNTY, NEW YORK • • PERMISSION is hereby granted to Dr. Philip Gara OWNER of property located at Lot 52 Lyndon Road (Rolling Ridge) Street, Road or Ave. 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 'd 7240 Upper Broadway Ft. Edward, New York 12828 2. CONTRACTOR or BUI LDER'S Name Howland Const. 3. CONTRACTOR or BUILDER'S Address Star Route rt Glens Falls, New York Iv 4. ARCHITECT'S Name a. 0 0 5. ARCHITECT'S Address 0 6. TYPE of Construction—(Please indicate by X) QQ (x1 Wood Frame ( 1 Masonry 1 1 Steel ( ) qy a., 7. PLANS and Specifications CD 68'x78' per plot plan, specifications and application submitted No. including two—car attached garage and sewage system. rD 8. Proposed Use One—Family Dwelling N• $5.00 C/O Paid d $ 241.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19 87 (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.) pq Dated at the Town of Queensbury this 17th Day of July 1986 SIGNED BY 'Math a for the Town of Queensbury Building and Zoning Inspector Ce TO BE COMPLETED BY BLDG. DEPT. Application No. own of Queenitury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF UBE'NSBURY Bay and Haviland Road, R.D. 1 Boa .• Zoning Designation 0 W E D Queensbury, New York 12801 Variance No. Rii E ° Site Plan Revie JUL _7 I986 d Approved by: ayGo� ro 1 APPLICATION FOR A.M.1 1 t1.1)111.121s)41516 :, R _, r r ' e a s a a. BUILDING AND ZONING PERMIT ' L1� iwL * * * * * * * * * * * * * * * * * * * * "* * * * * * • * * * * * * * * * *::* 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: 'en, 1-ni1',? 409e4, P.O. Address '® p Tel. Property Location: ,ot' 52 POOL6 kiii e' L..j„d�►+ !! ®arl/ Tax Map No.,�,r/ / Street number or building lot-number/ Subdivision name (if applicable) ti,),®/4„j3 E L . v THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: I lR s4n) AL.z)L.44A.Aci JQ. Box //0 574,E ,P"•.)T_'i 4-F 4 574-f2/e) Name P.O. Address Tel. No. Name of builder /�Ou)/ vd 6iasc/. Address s 111 Tel. .54- Name of plumber Address Tel. Name of mason Address Tel. NATURE OF PROPOSED WIRK: * ZONING INFORMATION: Construction of a new building "* A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines. Give • *'• street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property 203 •-1 - ft X 2SO-f- ft. * Existing building(s) Size ft X ft. * . . . . . . . . . . . . PROPOSED BUILDING AND USE: ' * Existing building(s) fUse ' Size of new structure 68 ft X213 ft * . . Foundation-pier/slab/crawlepartia17iuJ * Proposed building, distance from property line (circle one) *• r No, of stories (habitable space) 2 * Front yard / /,� ft Rear yard B0 ft Height (grade to ridge) 27 ft. * Side yardsP)� ft and /�' f t * If on corner, setback from side street ft If residential, no. of families / No. of rooms(excluding baths) AR * OCCUPANCY INFORMATION No. of bedrooms • 4 * No, of bathrooms ,r� * PRIMARY BUILDING - Primary heating system * )(One family dwelling ��� ®� * Two family dwelling Type of fuel game, S® �s , No. of fireplaces to be installed 2. * Multiple dwelling / Number of units Will a wood stove be installed? WO * Permanent occupancy Central Air conditioning? i * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch ntem rar >o * Other ' po y g 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 ) * Attached garage/one car two ca car * * * * * * * * * * . * * * * * * * * ' Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $. 2� * • INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BF1 4/8r. ma-v1 IJU LDII'i., PLRA.f APPLXCAT'IOU CONTINUED - • BUILDING SPECIFICATIONS: Type of construction, wood frame, •fire safe,etc. . 1,4)® 0Amut, Will any second-hand or ungraded lumber be used? If so, for what? jJ® • • Foundation wall material e-dn,Ve.40/jr,P . Thickness e d Qov rZ t o Depth of foundation below grade (to bottom of footings a ' Will there be a cellar?cots Heated or unheated?,044 ,/ Floor sq. footage 2'R7 sq ft Will there be a basemen uti.t, Will any portion be used as living space?, (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/others ,gam" Material.• of roof 735,0 4$4, g Size, wood studs 2, "X e, " spacing ? "o.c. length A?. ft. Joists(floor beams) lst. floor ,7 "X it, " spacing ®!tea "o.c. span/ti/ ft. Joists (floor beams) 2nd. floor 2, "X /i., " spacing p "o.c. span °eft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing 24 "o.c. span 20, ftV 2H g.Ze Exterior wall finish 61..)e)Cia Of what material? eRc/4 , Interior wall finish fotijgy� If a garage is to be attache , describe materials to be used for FIRE SEPARATION: VP.,"404 God* dorde041.t. Is there to be an opening between garage and dwelling? ' . If so will a Fire-rated door, enclosure, and self-closing device be provided? c,AL Will a flue-lined chimney be installed? tcm,,ts Height aboe roof J ft. Depth of chimney foundation below grade ', ft. Depth of fireplace hearth ® ft. in. 2.4.40 diotole-of "ct Water supply - Municipal or private well ,a� �� SEPTIC SYSTEM Distance from ANY private well(including adjoining properties / to ' ft. (A separate application is necessary for any repair or new installation of septic system) Town 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 true and complete eta - ent of all proposed work to be done on the described premises and that all provisions o the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed ork shall •e complied with, whether specified or not, and that such work is authorized by the ow •r. • / SWORN TO BEFORE . THIS Signature_ / ,� aii Owner, owner's agent,architec contractor da of 19 No .. y Public, Warr-d County, N.Y. * * * * * * * * * * • * * * * * * * * * * * *, * * * * .* * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF + HE 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 3 2 2 2 . Type of heat A6719 3 . Is the building mechanically cooled? 401L S Lr 4 . Percentage 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 16% Only 1. R value of roof and floors exposed to ambient conditions_ ROOF a 45r) 2 . R value of exterior walls ,4Q,30 3 . R value of glazed area /Q 3. 2 4 . R value of doors • 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab se22) 7 . R value of slab insulation - heated slab /Q ®e 8. R value of heated basement/cellar walls (above grade) / 9. R value of heated basement/cellar walls (below grade) e/r 10 . Type of insulation R S egret v/Jat 0 ioexefSTh'Egoat v I3Cow.e.' C. Controls G4eeva�e 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 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 2. Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating Telephone N o. C5 92/' (applicant ' s signature) awn o/ Quranibury APPLICATION FOR, SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 DATEAtie /¢9C • LOCATION OF PROPERTY FOR INSTALLATION 1. 5. 2 /200 Rdeie OWNER' S NAME e20. /)/L , 4;4.24 ADDRESS' 7 2-170 ��y ,#62,0/99�' %.)�j i ig27jAf. / T{=L7-1/7"3/ate INSTALLER' S NAME e cjwidui Ltr TEL793'2363 Number of bedrooms (residential only) 'Y Total daily flow(compute @ 150 gal per bedroom) 4;06) TopographydeP Rolling .- Steep slope -(circle one) % of slope Soil nature, Sand . Loam -Clay Other Depth ft. 11 . Ground' water -At. what depth? ,'#' Jft. Bed-rock or impervious material - At what depth? .$00AJL ft. Percolation test - of require - Required - -Rate min-inch. . Domestic water supply - Municipal .4011 • Other Separation - Watersupply(if well) from Septic absorption ADO ft. Proposed System: Septic tank /WO gal. ( Minimun size, 1000 gal. ) e ' Tile Field - Each trench SO ft. Total system legnth ft. Seepage pit (s) Number of . Size each ft X ft , Size of stone to be used # . 2 Depth or thickness Zogs' . ft. IMP* *ORTA*NT* ! '. * * * * * * * * * * * * * * * * * . * * * * * * * * * * * * * * * . 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, streazn,pond or wet-lands. Include all dimensions of .. 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. /:4::? Signature of responsible person ut,fitUogole /l411 r ti _4 4 05/86 and/vl a ,r • . Section II Septic System Inspections: A. All applicationd for septic system installation, alteration or repair, as reauired 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 he 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. a7/gym i/ /�7 Town of 2uQeniur, BUILDING Und ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 Cv ���15 �nr��h BUILDING INSPECTOR ' S REPORT NAME p . Yq LOCAT LOCATION L 07- 5 L- �/l1 cJ o f fi a / cn ` Date p /i /in Permit No. 0 ,_992_ * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roo f ing L- ding 90 07t Masonry Veneer Rough Plumbing Relief Valves i..-E<L Porches n k Finished Floors In rior Trim t,Rfairs & Railings cq4C Cellar Drain Tile Concrete Floors Plpg. Fixtures ar. Fireproofing I.1-240S ?A Sit hi6- Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Cling L'fINAL ELECTRICAL INSPECTION p.✓ DRIVEWAY APPROVAL kFinal Building Survey Next scheduled inspection (call when ready) Remarks- a 7/7/X'7 G4/91/C Building Inspector 6/86 and-vl ll-ed /578 r� a ` y S dry7 70wn : 'Queen3bur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 GfQ I rr15 p e t- a BUILDING INSPECTOR ' S REPORT NAME Dr. I r' I I 7 � I-• c LOCATION is_a S? Date / //G / S (� Permit No. 3 b - ( Z * A. * * * * * * * * * A. * ✓ = APPROVED - YES / NO Footing/Pier Forms • Foundation Waterproofing Backfill Framing Roofing � l� ��• Siding Masonry Veneer Rough -Plumbing Relief Valves Ext. Porches C Finished Floors R; Interior Trim ✓ -r Stairs & Railings ( / Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: \r\i Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 0 P&AI C�6crr [CA-L OoXd-,S1f-U/ t S iFno,v Looi -- �f 5 0 v(a 1 Prio6 t2G sS n �j A-2�G 1 i- I•c 'ILO okl i,v(t ,/U(b.* Pi -7-G g /2 3 crtG PA-'Ito lOomeLS ifflp S -i S_ 1)/4 i /3 Local Building Inspector 6/86 and-vl . 1 (0. ,$2114 C ; ` own of .�ueenA'OPP '} BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 17.144-t O2--- (,c16'6-erf cV BUILDING INSPECTOR ' S REPORT NAMEg\-- ' LOCATION v Date t/ / Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 lr Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers .;)('\ Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- /2 f(/i-; Ail; f .u5 6- 3 ./l!©�7`JA--✓� 1 o.ram. F(A/A--C, /.c /96-c--7- (0.,(1' Building Insp ct 6/86 and-vl a I0/ D--7 /t' - Jotun of Queen.ilur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME l� r CVN/-CA LOCATION L r a L J - go- Date la (Y6 Permit No. yC -- /2_. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing A G nSfc' ff,ri yi — i o 13 1 rzn 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 Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- i /() Building Inspecto " „ 6/86 and-vl awn of Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME G--)A,r _A- LOCAT I ON `)t_L( Date /%Z7 / Permit No. 0 (0 , 4 1 2- * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer K Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing t / Door Closers \ Smoke Detectors ' Chimney INSULATION: i Foundation / Floors I( Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- // J tx B ildingl, n�specto� 6/86 and-vl r% 4(1 p el 42.5 tie"1 c� // _town o� Queeniburcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME u r r q n doll I n� /li as fL O C a T I ON y_o L d OH e 0a.q/ Sc Permit No. (0 If/Z * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors !N\ Interior Trim Stairs & Railings Cellar Drain Tile / Concrete Floors I Plbg. Fixtures 4 Gar. Fireproofing l Door Closers Smoke Detectors Chimney ,( INSULATION: Foundation Floors 5Lt Lry P!7 f5,6 045 Walls (} " Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 6.IMA Building Inspector 6/86 and-vl c ( f 1o / a/Y r /5- Ar actin of Qu 'enitar, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Lot 50,2 L\, ct Date /0/3`1./ 8'1Q Permit No. 0 - * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing ' (9!1'N Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- �� a fTf j�j� -yt'''�� /1il^-1 c,046 Building Inspector 6/86 and-vl 514Y( awn of Queen.itur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME DY LOCATION LT 6), L‘/ ,-,c1 a Ii DATE 9 I5 / �/ PERMIT NO. 11, 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: Size Type 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 PR ERTY(circle one) Front - Rear - Left side - ight side - COMMENTS: -� \ C em err SYSTEM USE APPROVED ( Y NO r ✓ Buil ,ing I pe for 01/86 and vl C c 1/' (I i/t/d 6 WILL Gill' awn of Queenatur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road,'R.D. 1 Box 98 Queensbury, Neiry York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 14- Nil, ,-) G'R.- 1 AlLOCATION )--0 r ,S Z k>/1i d dP d DATE 9 /3 / 3'6 PERMIT NO./ U , - 1/1 Z SOIL TYPE San - Loam - Cl.. - Percolation st Required? fp - NO Percolation rate - Min/Inch _ D -j TYPE of SYSTEM: Absorption field, total length 320 Length of each trench, i/A-1,(OLL3 l- (ve Depth of trenches Size of gravel SEEPAGE PITS{Number 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: 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: _ ((1/ Ac SYSTEM USE APPROVED Y S/>`:^\. i6 1 r 4.4,4.4 1 Building I , pector 01/86 and vl /own o f Q ee pi i uref BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME CAR LOCATIONS t2 DATE 1/2 / PERMIT NO. a -BIZ SOIL TYPE - ' and Loam- C _ Percolation t Required? ES - NO Percolation rate - Min/Inch - ' TYPE of SYSTEM: Absorption field, total length 3 3 Length of each trench Coos 4ds Depth of trenches Size of gravel e- L SEEPAGE PITS{Nuinber of) Size- ft. X ft. Gravel size • PIPING: Size Type Bldg. to tank 4/0 Tank to dist. box Dist. box to field/ it Openings sealed? ES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorp ion ,D ft.. Absorption to' lot line 2, ft.e Separation of pits -- ft. LOCATION OF SYSTEM Nam' OPERTY(circle one) Front - Rear - eft sid - Right side - COMMENTS: PO-a- faxpL4-( 01- 414-1-L-' SYSTEM USE APPROVED YES NO e/MCDAA- Building Inspector 01/86 and vl awn o/ Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date 5-../2.7// qt,C Permit No. n— i? * * * * * * * * * * * * * * * * * * * * * * * 10/ = 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 Gar.. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Rema s- - i S1 (..di � ( O Po-dzio Ir • B g Inspector 6/86 and-vl Jown of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Da- Ci- + a A LOCATION LTS 2-4ti.11o4.) Qom, Date Flat/ s-(o Permit No "14/Z— * * * * * *. * * * * * * * * * * * * * * * * * = 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 `L Concrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation E Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey . Next scheduled Inspection(call when ready) Remarks- - 5c4+ Q 140 f )iAtS). " Co0vC-12 ��, fito UI J Prw r&cr(cW i= h AJCILfra— ,4 LL VA A) a 2 D D Com PACT- 6E (a r Povrz(,0c, Building Inspec or 6/86 and-vl awn of Qur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING' INSPECTOR ' S REPORT NAME v LOCATION c'n �h�1r1Le � GL Date ; �/ / Permit No. St, _yn APPROVED - YES / NO 1.400ting/Pier Forms t/ 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 Gar.. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- -p e-61` k C4Zel,t_ Gam. �-Le r r�► 12 s Ic Wtf & 1 Building I pector 6/86 and-vl _Down of Quecniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME b . .,PK t i t 1 G LOCATIONLod` g Ro [ (l n �} t?tc Date 7// S /A, Permit No. 8y -Ali * * * * * * * * * * * * * * * * * * * * * * * �� ✓ - APPR VE - Y S / NO "Footing/Pier Forms Pp 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 Gar.. Fireproofing j Door Closers Smoke Detectors / Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey • . 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