1986-721 i ti r
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 23 19 87
ck..1,
This is to ce 'fy that work requested to be done as shown by Permit No. g6-721
has been completed.
This structure may be occupied as a One—Family Dwelling
2 Algonquin Drive Ctsbt 23 Mountain View Subdivision)
Location corner Upper Sherman Ave.
Owner LAWRENCE FREDELLA
By Order Town Board
TOWN OF QUEENSBURY
. Building & Zoning Inspector y
1
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-721
WARREN COUNTY, NEW YORK T
w
PERMISSION is hereby granted to Lawrence J. Fredella.
Mountain View Subdivision
OWNER of property located at Lot 23 Corner Upper Sherman ave. and Street, Road or Ave.
Algonquin Drive (St. No. 2 Algonquin Drive)
in the Town of Queensbury,To Construct or place a One-Family Dwelling c_'
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.
a.
rD
1. OWNER'S Address is 4 Cherry St.
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
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3. CONTRACTOR or BUILDER'S Address N
o w
same '
N 0
9 0
4. ARCHITECT'S Name
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0
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I-a• li
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5. ARCHITECT'S Address d
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• 0
m a.
6. TYPE of Construction—(Please indicate by X) -'
O
(X)Wood Frame ( ) Masonry ( )Steel ( ) G
7. PLANS and Specifications C7
62Tx24' per plot plan, specifications and application submitted N.
No. including sewage system and two-car attached garage.
8. Proposed Use
One-Family Dwelling
0
0
$5.00 C/O
$ 80.00 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
town of Queensbury before the expiration date.) �C
• t7
Dated at the Town of Queensbury this 21st Day of October 19 86 co
7i a, 1-6SIGNED BY for the Town of Queensbury
Building and Zoning Inspector �8'
"tea
TO BE COMPLETED 3Y BLDG. DEPT.
cc77
// Application No.
awn of Queeniur1 Permit Issued 19 TOWN OF CAJF-E g '`!R•v
BUILDING and ZONING DEPARTMENT Permit Expires 19 0 E 11 1 L
Bay and Haviland Road,.R.D. 1 Box 98 Zoning Designation iii
Queensbury, New York.12801 Variance No.
Site Plan Review No. �f qZ S`e=a(.0 r� Qi
v
/ -( Approved by: z 7 8L' 3 1J213)4I5
, �� all A 6. ,;, a id e e 6
APPLICATION FOR �iL-i '�._J il, 6e-- �'�" 2,
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * # * #
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
L
The owner of this property is: 444,1 pQ4,vC ` gd4'L -iy L -
P.O. Address (/ eTJ p2 n /,/�,c,� ��/1c-/h t-p /01/ 5 - - Tel. 7?.2-c?�/C.
Property Location: ( 2 Fjl/4.44/}� J— 4�,6c,,u9v,iur/ L, b7 Z� Tax Map No. / /
Street number or building lot number 5 fi a /34jC7wqui n 1),---,t!�
Subdivision name (if applicable) Mr- V 1 e Go S(.(_ . 0
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
6/,;,,/, A 5 Advr
Name P.O. Address Tel. No.
Name of builder y/ ' Address Tel.
Name of plumber_cif 0 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 andtindicate 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
of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /0-e ft X c2-rfO ft.
* Existing building(s) Size ft X ft.
* . .
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure r* ft X 4(�ft * " . . .
Foundation-pier/slab/crarwwl/partial/n * Proposed building, distance from property line
(circle one)
* Front yard /� ft Rear yard _%j . ft
No. of stories (habitable space) /, * Side yards" ft and S ft
Height (grade to ridge) /e� . . ft.
If residential, no. of families % * If on corner, setback from side street ?� ft
"
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms *
Z PR RY BUILDING -
No. of bathrooms /' "
Primary heating system kr/1,c r, * _ One family dwelling
_
- -Type of fuel . * Two family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
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 Town House * �Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) *" " i.4 tacked garage/one car/ two car/ '�,_ car
* * * * * * * * * * * * * * * * * * " Private storage building
ESTIMATED MARKET VALUE OF *" Other
CONSTRUCTION $''_L5Y ?f---C) *
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; wood frame, fire safe,etc. C.e. (j o.f2
Will any second-hand or ungraded lumber be used? If so, for what? x.2O
Foundation wall material O 4.1 G, Thickness 8
Depth of foundation below grade (to bottom of footing) fin--O
Will there be a cellar? y
Heated or unheated?.( , rFloor sq. footage 9'/'Z sq ft
Will there be a basement Will any portion be used as living space? !('n
(If so, 'what portion? qq.ft. - - Type of use?
Type of roof - s�opeOflat/shed/other Material. of roof _ /(1 � -S/{f,4 ,'-f
Size, wood studs , "X " spacing !(„, "o.c. length f ft.
Joists(floor beams) 1st. floor "X f" spacing/k "o.c. span /Z ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing O-. "o.c. spana4L ft.
Exterior wall finish ___c/(//(j Of what material? .�/�
Interior wall finish f�4,C-4- 0 y�v/0iL,
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
/^ 26: Cam-v4_,e 0 3ffig6 T f oe K -TYPE
Is there to be an opening between garage and dwelling? kzs If so will a Fire-rated
door, enclosure, and self-closing device be rovided? / �FS
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of firepl rP h .irtJ ft. in.
Water supply Munic�ipal r private well
SEPTIC SYSTEM _ istance 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 liertaining 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-_ _
O , owner's agen arc itect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
• TOWN OF QUEENSBURY
WARREN CQUNTY, NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW .YORK
STATE ENERGY CONSERVATION CODE .
A. permit must be obtained before beginnin4: work.
ANSWER ALL of the following: •
1. Gross floor area /ix
2 . Type of heat
3.. Is the building mechanically cooled? / / :7
4. Percentage of area of windows and doors
. . -
Over 16% Only
1 1.10 value of gross area of walls , roof/ceiling-and floors
. . ' exposed to ambient conditions
. . .
2 , Floor over heated spaces YES IC.,•102
a, Are foundation walls insulated? YES NO
1. If YES, what is the R value?
3', Slab on grade YES -
4, 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 floorsj exposed to ambient conditions
g - 3D I2 -/(
2 . R value of exterior walls I?
3 . R value of glazed area .
4 . R value of doors /V. 61
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 1-i/M.. /#6,..1
C. Controls
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 6-1576
2. Temperature control setting maximum
G. _ For-Swimming Pool Only
1. Maximum heating
Tplephonte No.
4IPteplicant ' s signature)
..awn of Queensbury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801 DATE 7 / o?9 8T
LOCATION. OF PROPERTY FOR INSTALLATION �;'
._174,) d-A64.1/t9 c)(
OWNER' S NAME /, 4I(A-J 2 ric-C - J . �'d L L%
ADDRESS TEL
y fr TEL "293 atZ/�
INSTALLER' S NAME i / 47, fLLr TEL 799o)^ UOg
Number of bedrooms (residential only) "2_-
Total daily flow(compute @ 150 gal per bedroom) 3 0 C)
Topography- - Rolling - Steep slope - (circle one) % of slope_
Soil nature: San. - Loam - Clay - Other Depth ft.
Ground water -At what depth? ft.
Bed-rock or impervious material - At what depth? ft.
Percolation test - Not requi -d - Required -Rate min-inch.
Domestic water supply Municipal Well - Other
. Separation - Watersupply(if well) from Septic absorption ft. .
Proposed System: Septic tank. /i z) gala( Minimun size, 1000 gal. )
Tile Field. - Each trench ft. Total system legnth ft.
Seepage pit(s) Number of Z, . Size each ft X ft
Size of stone to be used # ' 3 ' Depth or thickness 160 ft.
IMPORTANT ! '.
On a separate piece of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure ,
distance from property lines and from ANY DOMESTIC WATER SUPPLY or
shore-line of lake, stream,pond or wet-lands. Include all dimensions of
r
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.
3
Signature of responsible person C,�{�iaJ1.Q.uCva2
la-
Date
05/86 and/vl
•
•
• Section II Septic System Inspections:
• A. All applicationd for septid 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 Oueensbury 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.
CITY OR -
VILLAGE TOWNSHIP a- /-.:, 7/__ ) COUNTY J /.•'
STREET AND NO.OR /; . � /
ROAD AND POLE NO. ( ,/.- ' a l /`/!'-`//r.!/L„r ' ' I., "., y ,.J i 4J POLE NO. /-,,,e)/ ! '
BETWEEN WHAT TWO / '
CROSS STREETS IS ,/ �—
PREMISES LOCATED? //� t I(.: . r ,r j .,' / // / •' SECTION BLOCK LOT
OCCUPANT'S ' !' BUILDING
NAME - OCCUPANCY '
OWNER'S NAME / - -AND ADDRESS / - _ L- -
CURRENT r`_,;n, 1 f1 1: ,e/i b-. _, , -;_ ,�i_
SUPPLIED ! .' J /G �/ ``
BY 1// /1/7 FROM THEIR /j./Vi 7L LJ OFFICE
•
BUILDING NEW I/OLD❑ REMODELED ❑ .IS NEW REFECTS MOVE
LET L�1�DDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED .
No.of Fixtures& . BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMPS
Loca-
tion Side Attach't H.P. Watts A W.G. WATTS
Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each No. Each No. Gauge NO. EACH
Out-
side . - .
•
Sub-
base
Base-
- �'
ment ,
1st Fl.
•
2nd Fl.
3rd FI.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: - DO NOT USE THIS SPACE.
•
•
This application is 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 '
MAINS FEEDERS LAMPS • WATTS
CHARACTER EXPOSED GAS TUBE SIGN -
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE MAKER
ENTERS
_ BUILDING OF SIGN ..
INSPECTION REQUESTED •
ON OR AS NEAR AS
POSSIBLE NEW ri OLD LI
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
• / ` '
NAME OF _ / l _ )�� ` — DATE OF 9 1 f
APPLICANT III 1 i/ r I i2l�.fi s _( / .4 I—'I) /` / .1 APPLICATION '�,! <'
STREET ADDRESS �1 r ! /1�/ —)- /
•
CITY OR /— j(. / LICENSE NO.
POST OFFICE I /-%- 4c /y-' L i- ( CODE { / WHEN APPLICABLE
•
A SEPARATEAPPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
'.k I, I k)ffiAIIMMSaliAMal,�ti�MS/WMiSWSMKInMIS ��W—MVII �[nSn5nSn51f S 3MIZigMIPSWS nSW n�cv-1=/immaLm ms[c � n /rm �
� ' THE NEW YORK BOARD. OF FIRE UNDERWRITERS _
`' BUREAU OF ELECTRICITY 0—
�. _. 41 STATE STREET,ALBANY,NEW YORK 12207 • O
f' Date May 14 1987 Application No.on file 028538/36A dui 495.9
-: THIS CERTIFIES THAT ®_
-r only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of o
;-4 Lawrence J FredelLa Corner Sherman & Algonqin Queensbury5 N Yu . _
!• in the following location; E1 Basement p 1st Fl. ❑ 2nd Fl. Outside Section?21 Block 1 Lot 23
4; was examined on 2/27/87 • and found to be in compliance with the requirements of this Board. '
..; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
--4 OUTLETS ECEPTACL ES SWITCHES INCANDESCENT-FLUORESCENT tAEICURr
VAra1 • AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 'i
"4'
-; 13 2 7 14 13 2 FR =
-Q DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
j' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. • AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
_
_ 4, 1 Range ;i 6 0
-t: 1 'OW #1 0 r
SERVICE DISCONNECT NO.OF 1 Drvcsr S1 1() E R V I C E o
AMT. AMP. TYPE EMQEU�P 1,B'2W 1,e'3W 3,B'3W 3,B'IW NO.OFF C COND. OF CC.COi4D.. NO.OF HI-LEG A.OF HI•.IG. NO.OF NEUTRALS pp NEUTRAL
_
1.
1 200 cb 1 x 1 4/0 1 2/0 0
n
4. OTHER APPARATUS: ICI
�; 1 — Smoke Detector Electric Room Theaters — 2-2.0
�.
--i. PI
3--1.5 —
1 — 15 amp C.F.I. Breaker ` .. -
�, J �;s 5
_ -1,
4..
Lawrence J. Fredella p=
�, 4 Cherry Street
--c; Glens l�alls, New York 12301 K�. BRANCH MANAGER
-,; Per _
-4, This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified byr their credentials. PE
f•J Aims,mkt%ttirrvV matt vat 1st mitt Int1itVt11,liitift>i< 1111tv[lirliltiWia*tVI/Wi lilltUrtINL Mat lane'ant vat 1St MI/1W lidi A la liar wr isuvuurturt mat lit Alf isti Uri intuit Int ia.,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
eititp4 down
t� 1 of Queenibury
3 P3 BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
b 1141
d
BUILDING INSPECTOR ' S REPORT
NAME i- ctwr.e c 2 Fr,ale //q/
LOCATION La!` a 3 mj o Ltd ti
Date 30 L 3 / y`7 Permit No. 0— jai
* * * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves A.
Ext. Porches X
Finished Floors }!
Interior Trim \ I
Stairs & Railings
Cellar Drain Tile /
Concrete Floors }f
Plbg. Fixtures A
Gar. Fireproofing ;` A
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-
11X c/K Cl/&
B ildin In ector
6/86 and-vl
own of Quecniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
“0-7-21e/A.,
Date ( 2,( / 4( Permit No. J Cp 2- i
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
ele Plumbing Ci a ,
Relief
Valves
Vallves
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 INSPECT ON
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call- when ready)
Remarks-
Building Inspector
6/86 and-vl
e(�9 ] / /i«47 //
Jown of 9ueenibur j
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
4 aGtJr
LOCATION L,T 023 4l031Nlti �f sAe�-r'c •
tI
2 J
Date /l a d / ff Permit No. �(y 7
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
j( Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing f
Door Closers /
Smoke Detectors /
Chimney /
INSULATION:
Foundation
Floors /
Walls
Ceiling %
FINAL ELECTRICAL INSPtCTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
U/446
Building Inspector
6/86 and-vl
// /1:u5 dye
own of Queen iur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Cl Lt1 re/V1 C, FeC(p ac__)
LOCATION bt j •
_ri'l(Jn e, c/ielf6Yl/Ll'1 fro-(2,o-11�(/'!
Date / J/ Permit No. 6 6 +ir
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
.Framing v
Roofing
Siding
Masonry Veneer
.Rough Plumbing O(Lig(Afcr(f (5 O))Lj'
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings \ 4
Cellar Drain Tile \ 1I
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-
Building-Inspector
6/86 and-vl •
Pze,(d
Jown of Queeniilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME / / j
LOCATION dbjuLa
1 pLA_cYdit/A4/0/ .__
Date /j l �p / f� Permit No. g6 -7a
* * * * /* * * * * * * * * * * * * * * * *--
= APPROVED - YE NO
Footing/Pier Forms pay-, 1
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-
&<
71)/11
Building Inspector
6/86 and-vl
/z 3O971-1
_awn o/ Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
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LOCATION , , c)--J /'✓ Pl
DATE // / q- PERMIT NO. —7, -/
SOIL TYPE - Sand Loam - Clay - �—
Percolation Required? YES
Percolation rate - Min/Inch - (`) --
TYPE of SYSTEM:
Absorption field, total length cai(Tr
Length of each trench L/ O,_c/, , T
Depth of trenches �L`- '
Size of gravel ---------- -j
SEEPAGE I'TS{Numb Af) 1
Size- , ' ft. X ft.
Gravel size • E.'' 'l
PIPING: Size T pe
Bldg. to tank 7 L
Tank to dist. box LI"
Dist. box to field/pit '/"'
Openings sealed? . '_,YE;---"---,)' NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /(: ft.
Foundation to absorption c c-1'ft.
Absorption to lot line Lt' ft.
Separation of pits 7' „4, -rft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
SYSTEM USE APPROVE( YE ) NO
4 1 ftnti\J-d
Building Inspector
01/86 and vl
5oWn o/ Queenalury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME2.6,6,s/e, e_c
LOCATION '� - 7 a(
Date / ) // 7/Per mit No
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier. Forms
Foundation •
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches f
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-
(*)14;)
Building Inspector
6/86 and-vl
• _Joeun of Queeni ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S/J� REPORT
NAME
. (��//�,
LOCATION 2
eit4._
Date/D /4, / Ct Permit No. 36 -
� ✓.= A RO ED - YES / NO
• 1 ' ting/Pier Forms ')eri
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 /71;K\\
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- - _La,C� 4
�iYYt 2 Cie-C.f'/1
•
•
t(fike
• Building Inspector
6/86 md-vl
� ) O 11c1 r6 /I :: /5/ j
_loran of Queenibur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME I r-red e e1 c1
LOCATION kat 23
SV V%t
Date id / IS ( Permit No.
* * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
1 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 /A
Gar. Fireproofing
Door Closers / `
Smoke Detectors
\\
Chimney
INSULATION: N\
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- n�
fL f
5-4-6 s�►�n�
Building Inspector
6/86 and-vl
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