1986-712 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 9 19 87
, .3
This is to certify that work requested to be done as shown by Permit No. 6 7l2
has been completed.
This structure may be occupied as a Unit A — Two—Family Dwelline
5
Location
y Corinth anti Pi; c�r; Roar../
Owner Bruce Frulla
By Order Town Board
TOWN OF QUEENSBURY
4iiv p
Building Zoning lnspector
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW :YORK
Date February 9 1.9 87
This is to certify that work requested to be done as shown by Permit No." 86-712
has been completed.
This structure may be occupied as a Unit B Two Family Dwelling
Location Between Corinth and Pitcher Roads
Bruce. Frulla
Owner
By Order Town Board
{ TOWN OF QUEENSBURY
1717:St.4-76 /0-,e-- -) 1(4446
ngBuilding & Zoning
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-712 •
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Bruce A. Frulla
OWNER of property located at Btw.Corinth and Pitcher Roads Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Two—Family Dwelling
ty
at the above location in accordance to application together with plot plans and other information hereto filed and am*
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. CD
1. OWNER'S Address is 128 Library Ave. ,..1
Warrensburg, New York
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same
CD
rt
(D
4. ARCHITECT'S Name m
c-�
0
rt
N•
5. ARCHITECT'S Address
CD
Pfl
6. TYPE of Construction—(Please indicate by X) rt
lx)Wood Frame ( ) Masonry ( ) Steel ( )
rt
7. PLANS and Specifications W
50'x76' per plot plan, specifications and application submitted a
No. including two car attached garage and sewage systems and per
8. Proposed Use Variance No. 1140 and Site Plan Review No. 23-86
Two—Family Dwelling
w
$10.00 2 c/o
r•
$ 150.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 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 t7
town of Queensbury before the expiration date.)
I�
F-'
Dated at the Town of Queensbury this 20th Day of October 19 86
1-6
SIGNED BY CteL c for the Town of Queensbury
Building and Zoning InspectorBj
TO BE COMPLETED 'By _BLDG. • DEPT. •
_.'own of Queen it/urty Permit Application No. .
Issued 19 x
BUILDING and ZONING DEPARTMENT : Permit Expires 19 s ` KOFaUEF 'Ir�` lUPV
r
. EGEilVE
Bay and Haviland•Road, R.D. 1 Box 98. Zoning Designation �; t �
Queensbury, New York 12801 Variance No. // 4o I. L,'
pp - Site Plan-Review// �,3- (FC np-r. 8 `i9°5
— ^0 Approv a -� lilii. ic,o 0-7
4.fIL
APPLICATION FOR • Iti 1-A'"---17181910)1411-41121314161.6
BUILDING AND ZONING PERMIT
Inc. C `6
* ' 1 * * * * * * * * * * * * * * * -•* * * * * * * * * * *. * * * * .* * * * * *;;*
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: ,1) R u c e- A, F ,//7
l
P.O. Address ) - _ ,� ‘ / § �. m ,,,_.Sic t, /'" c Tel. - 6,P' - R/rJ614l�R V� II /J �/ / 2 N n� ll
Property Location; E-z '/L,u Y Win. O 0 , T/1 `- 1 ; `)-C�{1,F r i iG1 S Tax Map No. / /
• Street number or building to number
• . Subdivision name . (if applicable) ��
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING .CODES IS:
. . • ()U„W L-( _
Name P.O. Address Tel. Na.
• •
Name of builder r t,(;vt; Address Tel.
Name of plumber. V Address • Tel.
Name of mason � 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 building(s) Size ft X ft.
PROPOSED BUILDING AND USE: * Existing buildings Use " ' ' ' .:,
Size of new structure f t X `�(P f t *` .�. •
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) * .
* Front yard ft Rear yard ft
No. of stories (habitable space) ' * Side yards ft and ft
Height (grade to ridge) ° • ft. * If on corner, setback from side street ft
If residential, no. of families .
No. of rooms(excluding bhs) ' .q • * OCCUPANCY INFORMATION
No. of bedrooms *
•
. , * PRIMARY BUILDING -
No. of bathrooms F * One family, dwelling
. • - Primary heating system r4',/� ��i,'� * ' XTwo family dwelling •.
Type of fuel j_! r.... ./N.' * Multiple dwel li nil /. Number of units _
No. of fireplaces to be installed fL//� —
, Will n wood stove be installed?., Ir%/- * )(permanent occupancy
Centxa], lair cc�l?di ion�.nc ? Transient cu:culariry ,
. A - -- - * 0110,nc fit) .
;BUILDING STYLE, PRIMARY STROCTURg y, • in.ciurii.� ;ilii
. Qther .
Ranch 'Contemporary Log cabin s� � _
Raised ranch Mansion buplek * 1i' adaitiesTT, .r�1i�tL wi7.1 UET�? Iie?,'
, Split level Old style 'Bungalow *
Cape Cod Cottage Other * ACCESSORY ,BiIILDING-
Colonial Row ' ' Town House * .,Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * x Attaches) garage/one care ca car
* * * * * * * * * * * * * * * * * * ' Private storage building
^
ESTIMATED MARKET• _ VALUE OF ' ' * Other ._ •
CONSTRUCTION• $ TO b *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OP THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
•
BUILDING PERMIT APPLICATION CONTINUED - .
BUILDING SPECIFICATIONS: •
Type of construction, wood frame, fire safe,etc. V p ?h1
Will any second-hand or ungraded lumber be used? If so, for what? /U` U
•
Foundation wall material Thickness / ()
�
Depth of foundation below grade (to bottom of footing)
• Will' there be a cellar? ✓ Heated e —un-heat' ? Floor sq. footage 1)-666 sq ft
Will there be a basement? 'Will any portion be used as living space? /,,c;,
(If so, what portion? ./ sq.ft. - - Type of use? ✓
Type of roof - sloped/flat/shed/other Material.°of roof -f-�u0-A Y
Size, wood studs ` "X " spacing 1 ': "o.c. length ft.
Joists(floor. beams 1st. floor "X " spacing An "o.c. span /) ft
Joists (floor beams) 2nd. floor -- "X '� spacing c.--,..p4n et_t.:
O:ver_lays-(eei3-ing b ms.). "X " spacing "o.c. span ft.
Roof—a. e -jpa irr .c. span •
Roof trusses(pre-engineered) spacing 2 "o.c. span -3e ft.
Exterior wall _finish �0?1AJ('0 Of what material? (
Interior wall finish ' ; ec.n kA14�
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there -La be an opening between garage and dwelling? 4/0 If so will a Fire-rated
door, enclo ure, and self-closing device be.provided?
Will a flue- ' edrehi enm y be installed? Height above roof ft.
Depth of chimney ndation.-be7.ow ade ft.
Dept . of fireplace e. ft. in.
Water supply - unicipal . r private well •
_
SEPTIC SYSTEM Dis ance 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 •
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.
n
SWOP _a4 a _`HIS Signature_ __ _
Owner, owner's .agent,arcnitect,contractor
' day of 19
•
Notate 1��,�dareal-Ec�i1mtlr,�NN.Y. •
* * * * * * * * * * ,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
By
1
, . , •
.. . ,
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 e .?,2W • .
. .
2 Type of heat : . 'Ete cjiq, ,,.. . . . . . ..
. , • .
3. Is the building mechanically cooled? • /V/A- . . .
. .
. .
. . , .
. . _ . .: —. — 4. Percentage of area of windows and doors
A. Over 16% Only •
_1- Uo value of gross area of walls , roof/ceiling and floors 7
expose to ambient cond7ions
.. • .
. .
. 2. Floor over he -ted spaces YES NO • • .
. • - . • a. Are foundati. t. walls insulated? YES NO ' ' •
. • 1. - If .YEB, , e.,. . is theR value?
. . ,
. . .• . 3'. Slab on grad - YES • 1.0 t .
a. If YES, what is the R v .lue of insulation around
. . perim-ter of floor?
. .
. •
4 . Is bas-ment heated? YES NO.
•
. . a. - r value of insulation .
. . . _
. .-
. . 5. 1I‘ pe of insulation . ' . • ' •
• . .
. , . .
5. Under 16% Only .
•
. • • 1.:: 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
7, R value of slab insulation - heated slab . .
. .
, . .. . . . , . 8, R . value of heated basement/cellar walls (above grade) :
. _
. - .. .
. ,. . . -
9. p. valueof .heated basement/cellar walls (below grade)
•
. . ..
. .
. . 1Pf Type of insulation
. .
- ' c. controls o . .
-. . 1,— Thermostat maximum heat setting ( -.0
: .-, • ., , , -. ‘ . p, Duct Systems . .
1, Tgi 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
. •
;! . 4 value of pipe insulation
, .. .. • F* 12a119.221.q—Eiallag.
X. Performance efficiency . .
. . 2. Temperature control setting maximum
•
G. For Swimming Pool Only
, .
. • 1. Maximum heating
, •
. .
Tel No.
(applicant ' s signature)
. •
. „ .
. • .
. . •
. .. .
. . . . . • . .. . . •
. . ..
. . .
. . .
, . . . .
l.
.... .. -. .
`Down of QUQQU APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, N!ew York 12801
ACE
LOCATION OF PROPERTY FOR INSTALLATION
"4-re r-P.A., j 14) 0.1
OWNER'S NAME R u c • -
ADDRESS `/)'% /-� rl� f •IP cl / LAC_. W P' TEL ,9'3" 1/ 3I
=INSTALLER' S NAME
TEL
Number of bedrooms(residential only)_ L4 '
Total daily flow(compute @ 150 gal per bedroom) (7 Q
Topography: Flat - 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? ft. _
Percolation test - Not required. - Required- -Rate min-inch. _
Domestic water supply - Municipal -Well - Other
Separation - Watersupply(if well) from Septic absorption ft.
lCL+O
Proposed System: Septic tank }gal. ( Minimun size, 1000 gal.)
Til eld - Each c ft.✓ syst gnth
--Seepage pit(s) Number of A . Size each g' ft X /0 ft
Size of stone to be used # 25Depth or thickness 2 ft.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, * * * *
IMPORTANT ! 1.
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 aZZ requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance.
Signature of responsible ..person -� ��� . . . . �,( % , r��Y�-'
✓Q 7.e.:
05/86 and/vl
Section II Septic System Inspections.:
A. All applications for septic system installation,
alteration or repair, as required by the. Town of
Oueensbury 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) s.ize 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.
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
•
!TEMP.# 'DATE I
CITY OR 01/!e-•K
//Yr) nVILLAGE TOWNSHIP yy�� ���/j COUNTY j/ / f" ISTREET AND NO.OR / // 1J
ROAD AND POLE NO. ! /;f/ i'� f h �>"�(�(' POLE NO.
BETWEEN WHAT TWO ) I j
CROSS STREETS IS �' 1 (/ (9 c/ / ✓)f /d'if A
PREMISES LOCATED?VT ' l::+ r,,, ` 0 f i,i f): f [/�? Jiri l!."/ ''Lli V'(I J 110ii SECTION ' BLOCK int L
OCCUPANT'S BUILDING / /]]] /
NAME OCCUPANCY / 1�
OWNER'S NAME / J J I' '� �/Jl /
AND ADDRESS /2r /fr / r1`I/I 47 l t�C�J 1/, .f///Jy CI�� I/l!(x%/i<''r%V/j TEL. lJ�. %` /�
CURRENT j J ifI f
BY /I`//)(_!�9 (/J 67 4//ii 4'1Ja H. FROM THEIR OFFICE
• IS NEW
NEW El J OLD❑ IWS
DEFECTS NEW e ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS' Lamp Receptacles MOTORS HEATERS CIRCUITS
Loca- ONLY
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
side '
Sub-
base
Base-
ment
1st Fl. -
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
y
Al Jrl-, f�,f
This application intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
' you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF �/ ELECTRIC SIGN TOTAL
C./MAINS U /1(yl 1 FEEDERS LAMPS WATTS
CHARACTER • EXPOS) GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED I
ON OR AS NEAR AS �/ ! ( (/ // IIIPOSSIBLE r: r rI((( NEW OLD 111
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF /vl �/
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION--; ! �(' ' / /,/,�y"•i••
PRINT NAME AND A DRESS ;
NAME OF 5 ..I, 1 SIGNATURE f !/ ///` ,_:�r�
• APPLICANT / , Yl 1 J a✓f t� : x OF APPLICANT
STREET ADDRESS '6/ FA, F/( fj /� ��• TELEPHONE#• 1'/ Il — /l. y/- 1r2,12CA)
', POST OFFICE f CITY OR / ! ,/.1 vl I ,/l/ :). CODE / / 0 WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
Jown of Queen itur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME „Lie,
LOCATION
Date 2/6 / 7_ Permit No. - ! �2 .
,(*-
* * * g * * * * * * * * * * * * * * * * * * *
/� L✓ e� ✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
LKoofing �(�
tSiding 6/
Masonry Veneer
Rough Plumbing
t'elief Valves
text. Porches
` `in i s he d Floors S o-Lo 1,1671/5-ya
terior Trim O.�
&Fairs & Railings n,K.
Cellar Drain Tile
Concrete Floors
lbg. Fixtures 0,r
£r. Fireproofing Zj,
(for Closers 4(1-
toke Detectors
Chimney
G1TISULATION:
Foundation
4-floors k.
Walls
Ceiling
LiFINAL ELECTRICAL INSPECTION ;- ,,
DRIVEWAY APPROVAL '
Final Building Survey
Next scheduled inspection (call. when ready)
Remarks-
Building Inspector
6/86 and-vl
C_atlkc 110/
awn of Queeniury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
r Lt. ll
LOCATION A _i
._ p1 re l4 er ! o
Date 1I / / 7 Permit No. y6, `7/-
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
,ugh Plumbing O�
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 /1,9r
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- L / 4 1
4A,
Bu1146
ng Inspector
6/86 and-vl
c: I/ ems( i / 17 //
awn f cuecniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 13 htc. C Fi-u I I y
LOCATION CorlYin / ;r -
Date ) / 2 /Y1 Permit No. 6 -
Pr = 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 N\
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)-(7
CSC /Ji
Building Inspector
6/86 and-vl
Ga c7 / ./36 /� /- c2a fir?,
_own of Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME BytLc ` U //q
LOCATION
Orl h 7/1/P;7-6/4, v 645
Date cA/q /26 Permit No. O 6 - 7lz
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
)( Rough Plumbing Q .,
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-
Ct3 Hoge'
r/de
lin1761
Building Inspector
6/86 and-vl
f
Q
v awn o ueenibur
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /1-7-g61( �L
LOCATION ( et , rit /2
Date /� / Dc 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
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- S"1.4
bat - a, ik
27.E
c6/4
Building Inspector
6/86 and-vl
C_ l 9 in- /Y('
Jouin of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
a I(
LOCATION iT. e(ye;h4 P/ ek- ea
m6�al6A1
Date ja//3/ 8( Permit No. 56 - //2-
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing (
Siding
Masonry Veneer�',, (�
Rough Plumbing IL SZL 17A 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- r� fa,,„ ,
it
(g1146
Building Inspector
6/86 and-vl
lLi
ouLith 431 i!. / '
wa 'P awn of Queniurty
BUILDING and ZONING DEPARTMENT
1 V Bay and Haviland Road, R.D. 1 Box 98 .
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
. NAME i"r " c1/4---
LOCATION 0.„6-4_,L1(51—k— //?Ci
DATE /1/3 /1 ) PERMIT NO. ,Gi - 7/
- SOIL TYPE - Sand Loam - Clay -
Percolation -st Required? YES ----- ----
Percolation rate - Min/Inch Q
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches '
Size of gravel --
✓SEEPAGE PITS{Number of)
L-Size- ft. X J O ft.
✓Gravel size : 3
PIPING: Size Type
Bldg. to tank
,..----Tank to dist. box L/11 r_f,)
✓Deist. box to field/pit tp, `16
i-enings sealed? YES NO P!rtial�
1/LOCATION/SEPARATIONS: �_
'✓Foundation to tank /(f t.
Foundation to absorption 04-ft.
Absorption to lot line ft.
1/Separation of pits �"1,'-eft.
'- bCATION _OF SYSTEM ON ROPER (circle one)
Front Rea_ter - Left s de - Ri tit side -
COMMENTS
' :-'"1" J.. "l:74 - "tom_ �`,
V ) .. „fir•L{'J... .1 r
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U i� . ,�-t....,v(_.k 3r j C) if t 1 J. -
t/ SYSTEM USE APPROVED
T) ` l J'•lr/�A..L C 1
t
• Building Inspector
•
01/86 and vl •
_Down of Q ee n j 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 ( Permit No. 7(i
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
�'foundation 0.k
- erproofing 19i
-B'ackfill ��
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings A
Cellar Drain Tile l
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing \
Door Closers
Smoke Detectors
Chimney )7 '\
INSULATION: `\
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks—
ace Pia(;)/kG
Building Inspector
6/86 and-vl
Jocun o/ Queensbury Crip7/1/4
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPE TOR ' S REPORT
NAME A
LOCATION IG�N
' Date/of g / ,�'rj Permit No. lO — //2
* * * * * *. * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
tAting/Pier Forms f f f' 0Ic
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 f
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- -
Building0)113
Inspector
P ctor
6/86 and-vl
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V)9N DUMN 41 -5 TEPES
GEORGE KUROSAKA IR., P.E. LPtV SU&ITYORS 4:UEA5 APUS NY
BUILDING SYSTEMS CONSULTANT
POST OFFICE BOX NO. 660 PIC Fiff ro(INo
GLENS FALLS, NEW YORK 12801 IVY STP71 LIC - NO. 3 -%" / 7 'fs.
(518) 792-1522 ATMAWOV 5) " /V9
I AVNcA0 I�5 MR. MtXE FiN141-P