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1986-607 CERTIFICATE OF OCCUPANCY • TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 8 Date June19 _37 - - This is to certify that work requested to be done as shown by Permit No. 86-607 has been completed. This structure may be occupied as a One—Family Dwelling Lot 72 Willow Road (St, No. 44) The Pines of •Queensbury Location • Owner Joseph Murin • By Order Town Board TOWN OF QUEENSBURY ) Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-607 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Joseph Murin OWNER of property located at Lot 72 Willow Road (St.. No. 44) 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 Star Route Glens Falls, New York 2. CONTRACTOR or BUI LDER'S Name same 0 3. CONTRACTOR or BUILDER'S Address H same CD Iv ro p H. o 4. ARCHITECT'S Name cn o ri, ,o o (D a. ro 5. ARCHITECT'S Address .. to m_ o' rt_• G • 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications p No. 36'x56' per plot plan, specifications and application submitted including sewage system and two car attached garage. 8. Proposed Use One—FamilyDwelling $5.00 C/O Paid 171.00IQ $ PERMIT FEE PAID—THIS PERMIT EXPIRES April 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.) Dated at the Town of Queensbury this 19th Day of September 19 86 SIGNED BY ' Q- /9,042401 for the Town of Queensbury Building and Zoning Inspector I . , TO BE COMPLETED BY BLDG. DEPT. 1 • C7 // Application No. j Jo[vn Ol Quceniur1 Permit Issued 19 1 TOWN OF QUEE SBURY BUILDING and ZONING DEPARTMENT Permit Expires 19 , REGEITE Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Eti Queensbury, New York 12801 Variance No. Site Plan Re-view No. i Sh P 1 6 1�6 q 0 - �' -- 7 Z l (J Approve by: / i �o �/`1W �,. 046kfilide APPLICATION FOR �' 4 a 1© 0 a �v: ' .'.�121�/��i��8� BUILDING AND ZONING PERMIT _.. i �i * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ::* 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. A. The owner of this propertyI� is: ,J OSLP(7k I r l tket-i tq J t� P.O. Address�� �I�1G �� f1 A • i r• a'� O Ltd 1 l� (e(/15 1-C s Tel. --798---4 S (3 Property Location: ,I bt U- '7 1 lj).' l in good d yy° -K2 A(p'S Tax Map No. 10 / A / 7 Z. tti Street nuer or building lot nfimber z7•N-a- (.f`r( W ' (I 4'A) R °1. Subdivision name (if applicable) �•p P� of ( (�Le,2Vir�)G( r THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODE IS : . g-RSp oh Oi IA rl n Star --L , , a(-e r1 s ( aa,(.ts 7 JS /SI 3 N me P.O. Address Tel. No. Name of builder Da4- Nu) kip Address 90 ra_ e'« Tel. y 9 - S 15 `f Name of plumber Address <I') Tel. Name of mason-1 (may,\ (Wi ll/041 Address .j ro w Tel. S-Li-.�9 3 ((, NATURE OF PROPOSED t4JRK: * ZONING INFORMATION: IConstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, Aliildi * —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 15 aZ- ft X 1-7 -7 ft. * Existing building(s) Size-tIr6 ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure3(p. ft X574 ft * ' Foundation-pier/slab/crawl/partial fulp * Proposed building, distance from property line (circle one) * Front yard 5-5-0 ft Rear yard -8.5 ft . No. of stories (habitable space) Height (grade to ridge) ( ft. * Side yards �jy, ft and O ft If residential, no. of families * If on corner, setback. from side street 5'-/ ft No. of rooms(excluding baths) ,3 * .00CUPANCY INFORMATION No. of bedrooms 1f ** PRIMARY BUILDING - No. of bathrooms .3 Primary heating system (ec..jY ; *. i/ One family dwelling Type of fuel OI G a L * Two family dwelling e * Multiple dwelling / Number of units No. of fireplaces to be installed Will a wood stove be installed? * Permanent occupancy (�P S * Transient occupancy Central Air conditioning? 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 * Cane Cod Cottage Other * ACCESSORY BUILDING- oloniar Row Town House * ' Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * V Attached garage/one car/ o car3 car * * * * * * * * * * * * * * * * * * Private storage building_ ESTIMATED MARKET VALUE OF * Other • . - CONSTRUCTION --1 0 ,_006 INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl ' BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: ______- Type of construction, `mod fram , fire safe,etc._ Will any second-hand or�1i graded lumber be used? If so, for what? 7no Foundation wall material �� �urP,� ���1/YL�V� Thickness g 'Depth of foundation below grade (to bottom of footing) '7 ' Will there be 'a cellar? V Heated or unheated? WAWA Floor sq. footage /2_4Tq sq ft Will there be a basement? Will any portion be used as living space? no (If so, what portion? sq.ft. - - Type of use? Type of roof - flat/shed/other Material. of roof A5nh ,-E- , n Size, wood studs „2."X Ce " spacing Up "o.c. length ft. Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. 'e Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineere ) spacing "o.c. span ft. Exterior wall finish 1� CIo Pbaa -d. Of what material? j n e) D c Ceci.Q r Interior wall finish (�nc, . " P If a garage is to be attached, describe materials to be used for FIRE SEPARATION: .3 r' rcl. Is there to be an opening between garage and dwelling?4Q If so will a Fire-rated door, enclosure, and self-closing device be provided? S Will a flue-lined chimney be installed? y 5 Height above roof5tarfa rd ft. Depth of chimney foundation below grade 0 ft. ----(n 5icle Ck i m e above. eea I'- Depth of fireplace hearth ft. in. — -r nq ivy basea-erd- Water supply - (unicipal5r private well OO 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) 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 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 ; / OG =��' 2 Own owner's agent,arcnitect,contractor day of 19 Notary-Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By : Juu-n o` Queenitury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT - Bay and Haviland Road. R.D. 1 Box 98 Oueensbury, Nev► York 12801 • DATE ./ LOCAT i ON OF PROPERTY FOR 'INSTALLATION )o f 72/ Piid t) Voadi llie l"ttn P OWNER'S NAME V v fl/� 1 V lu.ri!� • ADDRESS /7 4,f/s ( , SfccrRoute al.e/4s / -(//5 • TEL /l -ysP3 INSTALLER' S NAME Wall-• t/ '1 TEL Number of bedrooms'(residential only) 4" Total daily flow(compute @ 150 gal per bedroom) G Q o Topography. - Rolling - Steep slope - (circle one) % of slope Soil nature.: Sand) Loam - Clay - Other Depth ft. . Ground water -At what depth? ft. Bed-rock or impervious material - At what depth? fio ft. Percolation test - Not required - Required - -Rate min-inch. Domestic water supply Municipal - Weil - Other Separation -- Watersupply(if well) from Septic absorption ft. Proposed System: Septic tank (0D6 gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench SO ft. Total system legnth oZco ft.. Seepage pit (s) Number of . Size each ft X ' ft Size of stone to be used * 2_ 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 DO? ESTIC WATER SUPPLY or shore-line of lake, stream,pond or wet-lands.' Include all dimensions of the system, itself. ' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * 1' hay, read tke reguloi . ons on tIle r-i'er'se £"iaE of tj.is shec . and agree to abide by these and all requirements cf The Town of Queenshury Sanitary Sewage D sposa7 Ordinance. Signature of responsible person 05/86 and/vl • • Section II Septic System Inspections: • A. All applicationd for septid 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 efore 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. 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 (;) 0O 2 . Type of heat I-cci 3. Is the building mechanically cooled? VO 4. Percentage of area of windows and doors A. Over 16% Only ` . 1 . U value of gross area of walls , roof/ceili g and floor s exposed to ambient conditions IC- Z7 / 6 imci i) 2 . Floor over heated spaces , YE NO a. Are foundation walls insulated? YE NO 1. If YES, what is the R value? k • 3 .1 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 r l IDS A- '?00L111 B. Under 16% Only 1. R value- of roof and floors exposed to ambient conditions_ 2 . R value of exterior walls 12-1 q 3. R value of glazed area /2- I .< k 4. R value of doors a- 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab 7. R value of slab insulation - heated slab 8. R value of heated basement/cellar walls (above grade) • 9. R. value of heated basement/cellar walls (below grade) 10. Type of insulation C. Controls 1 . Thermostat maximum heat setting 9 0d D. Duct Systems 1. Is duct system installed in unheated spaces? YES 11 11 a. If YES , Revalue of duct installation b. R value of duct in other areas E. Piping Insulation 1. Size of hot water or cooling carrying agent pipe l6Y0_, 2. R value of pipe insulation F. Service Water Heating 1. Performance efficiency Q(. '• //tIgrLl 6�%/edI/`!v . �Cc•v1 C- 2. Temperature control setting Viaximum . G. For._.Savimmi.ng._Pool...PnlY 1. Maximum heating Tel.ephon No. • . ' (aI licant ' s signature) '4Av[,A-1g)%1}t}•i.at 19i.,�•� "!.-1 ..� -I_P[..•!.1."..".-.�•..1�!- ti-a .".. �i.J.•(.".,..i.j..C..",,,t...??A..n...,".1..�i.",".la�r.".".".atr.",..•,1t�.�ti..,..! , .._t�.,t " I•..!. ,.• ,•i.,r,�? 4UOI.S70 THE NEW YORK BOARD. OF FIRE UNDERWRITERS it' BUREAU OF ELECTRICITY oT ., • • 41 STATE STREET,ALBANY.NEW YORK 12207 i' Date - Application No.on file _ T .,. THIS CERTIFIES THAT Ga t397 `ri 0 7 _ june , only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of to 15, 1i Joe Murin Lot 72 , Pin-ton P1rie, Queei sbury, New York ® ® in the following location; El Basement 0 1st Fl. ar1 2nd Fl. outsi Section Block Lot _. ^ was examined on 6/4/8 7 and found to be in compliance with the requirements of this Board. ►, FIXTURE FIXTURES - RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS J. OUTLETS ECEPTACLES SWITCHES �nE�tuRr • INCANDESCENT-FLUORESCENT gtuR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. OR • 43 76 30 82 1 . 1 1 .5 4 fr - DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.H.P. SYSTEMS NO.OF FEET AMT. WATTS - 55 1 range 366 1 I-1rc ''.;.t1il E. •, SERVICE DISCONNECT NO.OF v r,75 n ;1 rE R V I C E • :;▪ l.k. AMT. AMP. TYPE EQUIP. 2W 1,B'3W 3 B'3W 3,•'4W NO.OAR 1COND. OF CG COND.. NO.OF HI-LEG OF HI LEG NO.OF NEUTRALS OF ANEUTRAL `� Zc 4/0 2/0 • OTHER APPARATUS: r� ' 'i 1-gfcj electric heater 2 2 .5 kw 3 . 75 kw ' 1-smoke detector 1 2.0 hr s_ 3 1 . 5 kw c 1 1 . 25 kw o - ®® — 1 . 0 kw _ ;75 i -7-..,=..- . "77e o � • �; David I•L7:acek - o 21: g..3(71. c, 3 Parkwo©d Avenue BRANCH MANAGER to k; Hudson Falls,, New York 12839 i Per y Y^ 4; 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. : Li c.-4r;.;v0 MIENIONESE1 ® MintitESSE Min ® 000 ® Mlinilniniliniiin ® 0 ® ® 05 COMM ® 00 •;>,r'>• -} COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. gap CJ f // _ aeon of Qiee,iiir1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1!Box 98 Queensbury, New York 12,801 YQ ?ei n)j.&c T/ BUILDING INSPECTOR ' S REPORT NAME 'I �I LOCATION 1,6r "7.4_ L-c' cirT Date &/,: /�� _ Permit No. r _G07 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES I NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves LZxt. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Fireproofing h Door Closers Smoke Detectors Lecimney rO K INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION P6 7' DRIVEWAY APPROVAL , Final Building Survey Next scheduled inspection (call when ready) Remarks- , Building Inspector nd-vl sown of oQueenibur y BUILDING and CLONING DEPARTMENT Bay and Havilgnd Road, R.D. 1; Box 98 Queensbury, New York 12,801 BUILDING INSPECTOR ' S REPORT NAME LOCAT I N ry cox, /% Date /_ ? Permit No. g6 -(a of * * * * * * * * * * * * * * *' * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill L,Voofing >(ding 1( Masonry Veneer R gh Plumbing 0.elief Valves 0 •tz<t. Porches flea '}'nished Floors p , /Interior Trim -tairs & Railings Cellar Drain Tile Concrete Floors 10lbg. Fixtures tr. Fireproofing , � ,a 1 1.' or Closers • I' !,. , 4moke Detectors Vhimney A/..e 4 _ ✓INSULATION: Foundation 1' —ioo rs ©.K Walls Ceiling ' . FINAL ELECTRICAL INSPECTION P DRIVEWAY APPROVAL Linal Building Survey Next scheduled inspection (calll, when ready) �- Remarks- /1 Jr,t66.64 ./,1'l(LC�1. D 3 6 BuLec tor 6/86 and-vl 1 II awn of QUPUL BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801. SEPTIC DISPOSAL SYSTEM IiNSPECTION NAME 41tOrittlif`i LOCAT I 0 �- ix, . a• v W, DATE 7 / I "/ PERMIT NO. 1 d (a -- e d'I SOIL YPE Sand - Loam - Clay - Percolation est Required? YES NO Percolation rate - Min/Inch ' 0-- TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS4Number of) Size- ft. X ft. ' Gravel size // PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO ; Partial LOCATION/SEPARATIONS: Foundation to tank ', ft. Foundation to absorption ;; ft. Absorption to lot line ;'' ft. Separation of pits ft. LOCATIOpF YSTEM ON PROPERT,Y(circle one) Front Rear - Left side - Right side - COMMEN • 4A- ,.,40..„.4__Q__ h =6-4 ci-ge-6- , . fro-n„ _6(( .... (7/4 tt_ , liffx- SYSTEM USE APPROVED YES NOI' Building Inspector 01/86 and vl gown of Queen iurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 11 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME yp LOCATI0 i , 1dea Date y� / qq-- Permit No.' vs (p 07 * * * * * * * * * * * * * * * * * * * * * * * le/ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer l'Iough Plumbing Or(( Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings � a Cellar Drain Tile \ Concrete Floors \,; Plbg. Fixtures Gar. Fireproofing Door Closers jR , Smoke Detectors • 1 yhimney � t�i tti , - v�rl INSULATION: Q Foundation ,Ioors clalls FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call- when ready) Remarks- • • Building Inspector 6/86 and-vl _town of Queenir, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCH ION Date. ? / ea-Permit No. (9 -IP b1 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill gaming A, ' D. ( 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 A Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call. when ready) oo Remarks- frizse- ,6„}- ffi.742- _ le= Building Inspector 6/86 and-vl 11 Jowl: of Queeniiir, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATI cC 7-2 CO, ;tCe,-4,c) V Q Date r / Permit No. (OOP * * * � * * * * * * * * * * * * * * * * * * * ✓ = APPROVED' - YES / NO Footing/Pier Forms Foundation I Waterproofing Backfill UFraming -, / 1 Roofing • �� Siding Masonry Veneer 1 Lough Plumbing �� �,-Yj c, & 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/ ,uti,44 4 17,//L 1,,vn4,7 u4/1/6 Building Inspector 6/86 and-vl _'own of Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 if )"///// . (�ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT 1 NAME v 0 AK-Or LOCATION 7Z WILCO , ) D. Date di y / ?7 Permit No. W -6 d 7 * * * * * * * * * * * * * * * * ,* * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill XFraming ' , A , a/y/) Roofing L�� C/ 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 Det �to j(ChimneyL"'�G) ak INSULATION: Foundation I Floors / , Walls I \ L Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey 1 ' Next scheduled inspection (call when ready) Remarks- 0 p ,,,,,,,,„y -o / 4 2' gof24.c) ,,,,,„2. ,-,..._,e,„/„4...„- (i. N„....,(2_,,,,r42-- .4-3-7„:„ 1-1^--' /7-- -t_l 0 af)--t-a i„,74.e-yzi- „....6„e ,n".....„ -efes.„ ,,,-, _44, - Building Inspector 6/86 and-vl 0) I1/3 . 9'a) A4` _locun o� Qdeensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 w Queensbury, Ne York�12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME /, LOCATION L f 774 al f.t £CY . DATE l /S/ h0 PERMIT NO. zr(G - (00 7 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch • TYPE of SYSTEM: Absorption field, total length Length of each trenchi. Depth of trenches Size of gravel SEEPAGE PITS4Number of) Size- ft. X ft. Gravel size • PIPING: Size Type Bldg. to tank Tank to dist. box iTM— Dist. box to field/pit k, Opepings sealed? ES 0;'�Parial e o c-nu wcl 0714d, 4/0 LOCATION/SEPARATIO Foundation to tank 1.!ft. Foundation to absorpti ft. Absorption to lot line 'ft. Separation of pits LOCATION OF SYSTEM 0' PROPERT circle one) Front - Rear - Left side - Right side - COMMENTS: pia --p4ec,_l, 1r� �� � � � 0 .8�x o n l - f 64* AD U,z-e- UJ sec-1 Lv Ci I be 11,6 >le-/k y p Ux�t -er a �- . �� 04_ Plea c nee. , SYSTEM USE APPROVED YES 1N� • AL-C) • Building Inspector 01/86 and vl n_ (/)..U-!',- 4 Jown of Queenitur , BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME J b e &Ler i 7yl LOCATION /,7T 7, („ux. - %1 1 JG DATE / /-C, ' PERMIT NO. R.4,- -(0 7 SOIL TYPE - Sand Loam - Clay - Percolation est Required? YES NO Percolation rate - Min/Inch 2 TYPE of SYSTEM: Absorption field, total length ;t3V Length of each trench C?!. Depth of trenches ; ' Size of gravel . r".2 SEEPAGE PITS4Number of) _ Size- __-ft. X - ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box -- i' Dist. box to field/pit 4//' ,, Openings sealed? ES NO Partial D 14 i6/ LOCATION/SEPARATIONS: Foundation to tank �Q , ft. Foundation to absorption AU ' ft. Absorption to lot line ,q0!ft. Separation of pits (,, ft. LOCATION P YSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: v tfil) . 'lU C14cf pis" ,5_, 2_ 4-- \ita_o : lG .%o 1) ja,_,-)/ SYSTEM USE APPROVED YES (7;_i_D /11;), ,..„1,77.4...4 Building Inspec or 01/86 and vl kaki/ awn of Queens ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME 104 U LOCATION 7z . ilielayt. Rylvo trviG r Date j0/6.r/ r Permit No cG, * * * * * J* * * * * * * * * * * * * * * * * * V = 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(ca,11 when ready) Remarks- - W( C /1-1- iArc;)u'rV Po aAs'T C 0 rin.V(0/6,Vdta--- Building Inspector 6/86 and-vl 7 /a /Y- iim1 own o f Queenildry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME 63ef mcp--1 /1 LOCATION �e)1 7•2, 0, 11(W f a Date Cj Jay /v. Permit No. 8 - 6 7 * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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) Remarks- - ANN--Nt C x(G ��)00 T(A J5 zusp Building Inspect 6/86 and-vl ' - ,N4-4-P-.) • , 1-11"2: PT ne-s . . St , //`• YLf ti; II ("4" 1 W1 ((OLO eCXICI:- l< Q .-0s- sC\ c9< / 1 l i?i -1 561 _.1 __, l.'s- '"" ..k•-• - ,C ii \ \ ' N, ›- - // // i C • . / ij \ \ .--S '_.,7.._ • / 1 • I 1 i \ ‘ 43 (7 1-, 0,5 i .