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1987-022 CERTIMCA► TE OF CJCCIJPIANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 3m 13 This is to CCMfT that wore $ - b 22. =+equest�ed to be done as shown by Permit Na. h" been aot per, Th" &"UCnxm may be occupied as A r Lkn l+ -Wm A rt Ckraw Sv Order Town Hoard 7%OV N OF QUEENSBURY Building & Zoning inspector CMl R7lV< "ly]fTA'- P1111MTgy 6. GL CNy F:i L,Li N Y ItiPt !# iJpy] yi#■ i u , i I +CER.TIFIC`.,A►.TE OF CvCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW Yp iC M S� a.� �� 19 This is to wry that work requested to be dons as shown b,. Per.nic No. ThU structure mr.y bey ,,. Y► � 1.� E [ l � � BY Order Town Board T�OVVN olT QUEEMSBUltx Building & Zoning Inspector C et�a TIVE ••IM�Za,- I'allMfM6 GLENS /KILLS. M Y iaal isael�+zaaae CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Daft 19 This is to ;y that work " 9 requested to be dome as shown by Permit No. h.s bee.. cconpicted. I � [ � � � Tiffs structure may be pied �. � o. mar BY Order Town Board `I'OVNN OF QUEEWSBUR Y Building & Zoning lnmpoetor CWW^TIVC "IMSTA d FRINTIMR GL4N3 //ILLS. N Y ft�pl ISL�TT]-'ji3• CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK ,* Daft- This is to cer[ih that work requested to be done as shown by Permit No* hr been eompleft& f5A This stru wre . y be � tea �,!� Y1 �1 - ►l [ �� I �� ( t • ' J l Locmmim By Order Taws Board 70 WN OF 'QUEENSBURY Building Zoning tnepeckw t 1lt4TIVC ••IM#Tn-- rI�IMTING, OL CNi rKLL! N Y 1200+ 1S li ar3-iili BUILDING PERMIT TOWN OF QUEENSBURY No. 87-22 WARREN COUNTY, NEW YORK ey O J PERM(SSIQN is hereby granted to Don Maynard .� m OWNER of property located at Evergreen Wands — Dixon Road p, Street, Road or Ave. n a. in the Town of QueensburV. To Construct or place a Four Unit Apartment Building 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. I . OWNER'S Address is 63 Helen Drive Queensbury , New York 12801 2. CONTRACTOR or BUI LDE R•S Name t=f C same m K a4 ri ro 3. CONTRACTOR or $UILOER S Address (D same o 0 rs. 4. ARCHITECT•$ Name oa i b t7 5. ARCHITECT'S Address a In cL 6. TYPE of Construction — (Please indicate by X) { >¢ Wood Frame [ } Masonry [ ! Steel [ } 7. PLANS and Specifications No. 72 ' x28 ' per plot plan , specifications and application submitted including sewage system. n 8. Proposed Use r• Four Unit Apartment Building for w $ 20 . 00 4 CIOs �^ tj $ 350 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES August 1 19 87 ** (If a longer period is required an application for an extension must be made to the Building and town of Qu6ansbury before the expiration date.) Zoning inspector of the t3 m r• a Dated at the Town of Oueensbury this 29th Day of _ January 19 87 0' y�,� ,�q ono SIGNED BY / //e2G , for the Town of Oueensbury Building and Zoning Inspector c�r TO BE COMPLETED BY BLDG _ DEPT . _Journ crueens6url�t Application No .Permit Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation 6M d Lx Queensbury, New York 128071 Variance No . '�� {*r cii ' j 1 �j Site Plan Review No . ]* e� CUM n `[( WL F IIR. !1 Approved ■ • * 12 i '"• � �8 • ' APPLICATION FOR BUILDING AND ZONING PERMIT x.."d 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 : �� 2,�J4Na /#r-�r� - __________ P . O . Address__ /Zp, l lye� L, 1 1- Tel . /"�'' 2.3 3s 3F Property Location , / Joe Tax Map No . Street number or building lot number Subdivision name (if applicable) 0- THE PERSON RESPONSIBLE FOR SUPERVISION OF 'WORK AS REGARDS BUILDING CODES IS : fy 400074!!:::4 _ Name F. O . Address - Tel . No . -� Name of builder _ Address Tel . Name of plumber 1 � r Address Tel ' Name of mason fir" �� - - Address Tel NATURE OF PROPOSED WORK : * 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 ft X ft . * Existing buildings) Size_ l&� e ft X �ft . PROPOSED BUILDING AND USE : " Existing building ( s ) Use Sine of new structure „ _ft X ft Foundation-pier/slab/crawl artia full Proposed building, distance from property line ( circle one ) No . of stories * Front yard Q ft Rear yard en . ft (habitable space ) ,_ � __ Height ( grade to ridge ) Side-- ��` ' ft . * yards /SV ft and ft I£ residential , no . of families * If an corner , setback from side street ft No , of rooms ( excluding baths ) /(„ * OCCUPANCY INFORMATION No . of bedrooms * No , of bathrooms_ - * PRIMARY BUILDING - Primary heating system * One family dwelling Type of fuel * Two family dwelling No . of fireplaces to be installed * ` Multiple dwelling / Number of units. C/ Will a wood stove be installed?_,2p * Permanent occupancy T� Central Air conditioning?_ 11f} * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other ' Raised ranch Mansion Duplex If addition , what will use be? Split level Old. style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row �Towtt��ious * Detached garage/one Car/ two car/ car ( CIRCLE ONE PLEASE } * Attached garage/one car/ two car( car _Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . �iL1QC7 _r�"� 1 Will any second-hand or ungraded lumber be used? if so , for what ? / 0 Foundation wall material r'1GR` 2o,0 ?Si Thickness r Depth of foundation below grade. (to bottom of footing ) Will there be a cellar?_M�_Heated or heated? Floor sq. footage sq ft Will there be a basement? A!4Will any portion be used as living space ? Ne> ( if so , what portion? sq. ft , - - Type of use? Type of roof - Q�lo e flat/shed/other Material of roof , e F! s 5 1 �rrc C5 Size , wood studs " x fs.,_," spacing '"o . c . length _ '" ft . .Ioists ( floor beams) 1st . floor ,"}C ! �,' ^ Spacing "o . c . span.�ft . ,joists ( floor beams) 2nd _ floor spacing "o . c , span_/,!'x�..ft . Overlays ( ceiling beams ) "x "' spacing "o . c , span ft . Roof rafters "' x it spacing O . C . span ft . Roof trusses (pre-engineered} spacing_" o . c , span 3Z7 ft . Exterior wall finish / Jc. S „ ' of what material? _-_ _ Interior wall finishis. ' 2 5 rr. ___„ If a garage z to be attached , describe materials to be used for FIRE SEPARATION : ZVZW is there to be an opening between garage and dwelling? JV144 If so will a Fire-rated door , enclosure , and self-closing device be provided? _ � ?i,)/& will a flue-lined chimney be installed? A02 Height above roof ft - Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in . Water supply - unicipa� or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of sept ' c system) Town of Queensbury A F F I D A V I T 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 €7RDINANCE , 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 rcnxrec day of 19 Notary Public , Warren County, N . Y . SPECIAL CONDITIONS OF THE PERMIT : TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN CpMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work , ANSWER ALL of the following : 10 Gross floor area A('�'� �,7 2 , Type of heat 3 , Is the building mechanically cooled ?_�J�7 4 , percentage of area of windows and doors �j , ',r A . Over 16sb only IVfr 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 YESf 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 8 , Under 16 % only 10 R value of roof 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 unheated spaces 6 . R value of slab edge insulation - unheated slab /VU ' 7 . R value of slab insulation - heated slab /V 8 . R value of heated basement/ cellar walls ( above +grade ) ./,� 9 , R value of heated baseme nt/cellar walls ( below grade ) 10 M Type of insulat.ion�__��k��� C . Controls 1 , Thermostat maximum heat setting o . Duct Systems �1%.1 // 14 Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation be R values of duct in other areas Be EiPinq insulation I1r/t'{ 1 , Size of hot water or Cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 , Performance efficiency (.U.4q- 5 A66 / Yr 2 . Temperature control setting maximum G . For Swimming Pool Only NIA 1 . Maximum heating Telephon+F No , 2/ 2 . -3S30Z , L r APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: E)p,ry 12,717 Telephone: � Address: Installer's Name: ,� H'L�� dGcA Telephone: ?' Gy�� Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) ti QfJ Topography: circle one K_Fl Rolling Steep Slope 9Ii of slope Soil Nature: circle one Sa oam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ 3 /� feet Percolation test: circle one: of requ� it required /?rate in in. inch. Domestic water supply: circle on Municilaal ..--''Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM : Septic Tank452 0�Jr ) ,gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet // Total system length feet SEEPAGE PIT(S) : Number of — G_ / Size each J feet by feet Size of stone to be used # / Depth or Thickness �/ feet IMPORTANT _..Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1 .) the proposed location of the system 2.) location and distance to lot lines 3 .) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further constructionm l have read the regulations above and agree to abide: by these and all requirements . of the Town of Queensbury Sanitary Sewage Disposal CW%Iinauce. Signature of responsible person: " , •/� Date: Z- Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New "York 12801 (518) 792-5832 SETTLED 1763 . . HOME OF NATURAL BEAUTY . . A GOOD- PLACE TO LIVE r 4104828 THE NEW YORK BOARD OF FIRE UNDERWRITERS � � . Y BUREAU OF ELECTRICITY � 1 STATE STREET, ALBANY, NEW YORK 12,207 December 28 , 19847 003316 / 87 tJ'} ��++yy 9 Date Application No. on file � �J � Y � � T r r a! THIS CERTIFIES THAT s only the electrical equipment as described beloav and introckw d by she applicant named an the above application number in she premises of Don Maynaud , Evergreen Woods —Dixon Road ( 431 ) , Glens Palls . New York = in the following location; ❑ Basement ❑ Inc Ff. ❑ 2nd Ft. Section 9 0 black 4 Lot 1 35 o l was examined on 12 / ? / 8 7 amd found to be in compliance with she requirements of this Board. RXTURE lICSnA,CLA SWITCHES RXTURES I RANGES cOOKtme DECKS I OVENS I DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT . fluO11E5CENT y AMT. K. W, AMT, K. W- AMT. K.W. AMT. K. W. AMT. H. R 12 24 16 1 6 . 1 3 FR ax s DRYERS FURNACE MOTORS PLETURE APMAHCE fEEDERS SPECIAL RECOPY TIME CLOCKS I =LI t"T HEATERS MU LTI.OUTLET DIMMERS AMT. K. W- OL H. P. GAS H. P. ANM NO. A. W- G- AMT. ,MAP. AMT. AAa'S_ TRAWS. AMT. pF AMT. WATTS SERV A DISCONNECT No. of S E R V I C E AMT. AIM. rE M, 1 X RW 1 ,a' 3W 3 0 3W 3 -0 AW �' PER OF ���� GF CC CC D. ND. OF HI.IEC. Oi HF�IEG NSS. Oi NEUTRALS OF NWF� 4 lCI(] cb 4 X 500 500 OTHER APPARATUS: Electric 'Room .beaters - 3 - 2 , 0 KW 1 - Smoke Detector � 2 - I a S KW � 3 - 1 . 0 KW 1 - _ 5 KW Panels - 1 - 20 circuits - 100 amps G . F . c610 - 2 Richard Jones , Architect I J ? ..-■—="�119 Avlation Road Glens Falls , Now York 12801 8RANCN MANAGER Per ` This certificate most not be altered in any manner return to the office of the Board if incorrect. Inspectors may be identified by their credentials- COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, 4104828 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �AlY ' 41 STATE STREET. ALBANY, NEW YORK 12207 Date December 2 8 s 1987 Application No- on file 0 0 3 3 1 8 / 8 7 ,A, 7 u 2 8 8 4 THIS CERTIFIES THAT only the electrical equonsent as described below and introduced by the applicant named on the above application number in the promises of Don Maynaud , Evergreeln�� Woods -Dixon Road ( # 32 ) . Glens Falls , New York in thefollotning tocotion; Q Basement l_..I lag Pl. ❑ Snd Fl. Section 9 0 Block 4 Lot 1351 was examined ors. 1 2 / 7 / 8 7 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKIN4 DECKS OVEflS DISH WASHERS E7fHAUST FANS AtfTLETS FTACU@S SWITCHES NCANOEscENr FUIpaSCEPa AMT. K. W. AMT. C W. wMT. K.W. AMT. K. W. AMT- DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SV&aALR=rPTj TIMA CLOCKS I RLtL UNIT HEATERS MV01T OUTLET DVA MERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AWL AMP. A AT. AMPS. TRANS. AMT• H. P_ STSTEMS AMT. WAFTS PSOvywv . OP Ft4T 1 ltan 4e # 61 SERVICE DISCONNECT MO. OP Vo As fe A VE R V I C E METER AMT. AMP. TYPE EQWP. 1 X 4W 1 X 1W 9 X ,W 3 X 4W �' PEaP R dC+Or'16. OF Cc CQ14D. NQ. aP HI-" Of XI LEG NO. OP NEUT"L$ Op I U AA. OTHER APPARATUS: a . Electric Room Heaters - 3 - 2 . 0 KW 2 - 1 . 5 XW 3 - 1 * 0 KW 1 - . 5 KW Panels - 1 - 20 circuits - ioo amps G . F . C . 1 . - 2 3 - Smoke Detector Richard .ones P Architect I 119 Aviation Road 1BRANr' MANAGE m Glens Falls . New York 12801 Per This certificate must not be altered in any manner; reivrn to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 4104828 THE NEW YORK BOARD OF FIRE UNDERWRITERS �A . Y BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY. NEW YORK 12207 QQ Q '"Date December 28 , 1987 Application :'Yo. on file 0 0 3 3 1 7 / 8 7 A rt V 2 V 8 6 THIS CERTIFIES THAT only the electrical equipnsent as described below snd introckwed by the eppUcant nsased on the rboee eppticwesan number in the premises of Rocs. Maynaud , Evergreen Woods -Dixon Road ( 934 ) . Glens Falls , New York in the following location, ❑ Basement ❑ Ise FY. ❑ 2nd F'l. Section 9 O Block 4 Lot 135 e 1 ,cress examined on 1 2 I7 I8 7 and jaund to be in compliance with the requirements of this Board. FIXTURE I FIXTURES RANGES COOKING DECKS 4VMS DISH WASHERS EXHAUST FANS OUnETS PTACLES SWITCHES INCANDESCENT RUONMENr y ANT. K. w. ANT. K- w, ANT. K.W. ANT, K, w. AMT. H, P. i2 24 16 1 601 3 FR DRYERS FURNACE MOTORS lUTURE AFMIANCE F9E'lDERS SPECIAL REC'tt rIME C1pCXs /ELL tlNlT HEATERS Al SystemT TLET DYMIMERS pL H. P. 4AS H. P. AM7- Na. A_ w. Cs. ANT, AAlp, ANT- µcps. TRANS, ANT. H. P, Hey. RET ANT, wArrs 1 Ran e # 6 SERVICE DISCONNECT NO. Of S E R V I C E ANT. AMP. TYPE mTRR EOWF. 1 Ar 2w 1 X 3w 3 Ar' 3W 31 AW Nb- 0PERCeGON0. OP ACC-lcOP+D. Nil. Or H►I.ECs Of M. G. N NO. Of EUT1tAI3 or i W 7Gu . OTHER APPARATUS: Electric Room Heaters - 3 - 2 . 0 KW 2 - l , 5 KW 3 - 1 . 0 KW at 1 - . 5 xW Panels - 1 - 20 circults - 100 amps G . F . C . la - 2 1 - Smoke Detector Richard Jones . Architect 119 Avlatlon 'Road Glens Falls . New York 12801 � BRANCH i11IANA7 3 ' 4 per s 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. - COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 4104828 THE NEW YORK BOARD OF FIRE UNDERWRITERS � x A . Y . BUREAU OF ELECTRICITY di STATE STREET. ALBANY, NEW YORK 12207 l71ete December 28 , 1987 IPPliration ,vo. on file THIS CERTIFIES THAT U 4 3 3 1 9 /8 7 /► � ��s al s Only the electric e4ruipment as deeeribed w � � � � belo and foot M mralrsced b3 the al+Jdlicaaa[ non Ora the abowr gpplication number in the premiftm of Dan AM07nauds Evergreen Wands -Dixon Road in the following location; ( ' 5 3 r Glens palls , bf E:w York ❑ Basement ❑ tat FI. ❑ end Fl. seas examined on Section Block 4 L.otl 3 s . 1 1 2 / 7 / 8 7 and found to be in compliance with the re9uirelong ta 0 of thiw B.rard. OUPIXTLETS TACLRS SWITCHES FIXTUreES ag OUTLETS INCANOtsceW FutOKtSCFNT Il` COOKING t K- W-DECKS GYEhfS DISH WASHERS EXHAUST PANS ,+uwr_ K. W. AAWa. K_ w- Aµr. K.w. AMa. K. W. AMT. 12 24 18 DRYERS FURNACE MOTORS tiITURE "MANGE FEEDERS SPECIAL REC►T TIME CLOCKS � 61 3 .�'R �. µ+T- K, W. a� M. P, GAS H. P. AMT_ SELL UNIT HEATERS MULTI-OUTLET p} E Na. n W. G, AAVT. AMP_ AMT. ^mn. TRANS. AAIa. H- P. SYSTEMS � $ 1 R a A 8 fi No. OF MI AAv. WArFS Hwrj # 101 SERVICE DISCONNECT NO, AMT. AW. rrrt S E R V l tamp. r x 2W 1 X 3w a Ar aw 30 ♦w P40 OF cc. coNO. C E PER / OF CC CDNU. NO. OF HIAEG A. W_ G. OF M-JEGG No, OF NEUTIFAiS OP. W- G. AL OTHER APPARATUS: Electric Room I;eaters _ 3 - 2 . 0 KW 1 --2 Smoke Detector - 1 . 5 KW 3 - 1 . © KW Panels - 1 - 2p circuits 1 4 1 . 5 KW 2 100 amps Richard Joneso A.rchit.ect � 119 Aviation Road Glens Falls New York 12801 M �77This certificate must not be aPer- ltered in any manner; return to the office Of the Board if incorrect. Inspectors may be identified by their creden ials. „� COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MIDST NOT BE ALTERED IN ANY MARINER. 1 � �+yP � BUILDING and ZONING �°Y JL�f gay and Havi+and oEPAFfTMENT 0 Queensbur Road, R. D. 7 Box 98 , Y. New York I Sol jBUILDING INSPECTOR ' S NSPEC r ray sEPc1RT NAm TI N� Permit N. . tin9/Pier Forms A1GPRWED unda t w YES NO water prooring Sa c-klcri.l l Praming Roofing Siding MasonR.... P-,-, Veneer Ve Vebing Relief Valves Ext . Porches Finished Floors Interiox. Trim stairs & Railing' . --�-� Cellar nrairx Tile -� lbg.Cono to Floors Gar, , Fixtures ~~_ Firelproofin Door Closers 9 SM01Ce De't$Ct,,, Chimney INsr1LA;x0r4 F01in'dation Floors Wal'1 s Ceiling FIWA' .ELECT AL INSPECTI DRIVEWAY ApP ON Final Build R -- -� in8 S Suurvey Next scheduled inspectia,n Remarks �carl when ready leoo t £+/Bs $ulding nspector md-'sJl i. BUILDING anCt ZONING D urn gaY and Haviland ePARTINENT C3ueensbur Road, R. D. T Box 98 Y, New York 12,8(), SEPTIC DISPOSAL~ SYST NAME LM IfVSPECTIpN LOCATTON DATE f P><RM I T NO. d scrr, Y� Percolatio San I-I Clay rat t Rec�iired ? Percolation YES e ~ Min/inch N 1'f'PE of SYS Absorpti TEM: on STEM: Length of each flel Iota length Depth of trenches nch Size of gravel SEEPAGE PlTs4ml size- ft. K Q Gravel size F'TP.TNG : Bldg , to tank SY xYpe Tank to disc. boys Dist , box to field/ it CPenin gs sealed? _ S NO LOCATICHV Partial �' 1"ound /sEPARAT2 ation to tank PO'undation to absorption ft- Absorption 1f G? ft . Separation to lot line of pits �-f t.f ON OF SYSTEM -�f t. r- ront - Rear Left �JN PROPERTY c e ircl 1VTS : side one) Right side -_ A j J SYSTEM USS APPROVE, NO Huilc3 ' /"�-- �-n9 rnspect4r,------�_ 01/86 Md vl ' ��� +✓LAW / BUILDING and �teeen.s6�i.� ZONING DEPARTMENT Bay and Havifand Fioad, R.D. 1 Box 98 Queensbury, New "York 12801 BUILDING INSpECTOR ' S REPORT NAME LOCATION Date Permit No . mooting/Pier Fps ✓ APPRpVE;T) * * " undation YES NO Waterproofing Backfii .i x'raming Roofing Siding Masonry Veneer Y Rough Plumbing Relief Valves Ext . Porches Finished Flcsors Interior Trim stairs & Railing�-s�—_ Cellar Drain Tile Concrete Floors Pl+bg. 1°'ixture s 0ax . Pi-re-proofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors wails Ceiling FINAL, ELECTRXCAL INSPECTION DRIVEWAY APPROVAL Final. Bulldi"9 Survey Next scheduled inspection (call Remarks- when ready + /7� 6/86 and-vl Building Inspector 134JOL ING and zo tsr rvlrv� oePaRrMCnlr Bay and Haviland Road, R. D. 1 Box 98 C?ueensburY, New York 12801 B '(JILDING INSPECTOR ' S REPORT NAME LOCATION Date 7c�� S�a Permit No . Footing/Pier Forms ✓ APPROVED YES* * No* '� Foundation )Waterproofing *ackfiI Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Values Ext , porches Floors Interior brim Stairs & Railings Cellar Drain Tile Concrete Floors Pl. bg . Fixtures "`- Car , Fireproofing-�— Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL�y -'-~- Final Building Survey -~ Next scheduled inspection Resnarks- {ca]. 1 when ready) r 6/E36 Building Inspec or and-vi ..Jr�tun o� �+teen .shurr�f SUILC)FNG and ZONING DEPARTMENT Bay and Haviland Road, R. D. i Box 9s Queensbury, New York 12801 BUILDING INSPECTORtS REPORT NAME lee LOCATION Date �f ". Permit IVo . �� �/ ✓ = APPROVED * LP6 ting/Pier Forte - YES NO Foundation Waterproofing ~ Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Parches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg - Fixtures Gar . Fireproofing Door Closers Smoke Detractors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (ca]. ] when ready) Remarks~ 15 Bu31r3ing InsPeCtor ------- 6f86 and-vl