1986-728 } _ -
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 13 19 87
Rob
This is to certify that work requested to be done as shown by Permit No. 86-728
has been completed. `
One-Family Dwelling
This structure may be occupied as a
Lot 18 Pinion Pine Lane (St. No. 28) The Pines of
Location
true ens Dury
Owner Edward and Susan Fane
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
•
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-728
•
WARREN COUNTY, NEW YORK
H
v
ca PERMISSION is hereby granted to Edward and Susan Fane
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OWNER of property located at Lot 18 Pinion Pine Lane (St. No. 28) Street, Road or Ave.
cti The Pines of Queensbury
r.4
a) in the Town of Queensbury,To Construct or place a One—Family Dwelling
t=1
o 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.
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1. OWNER'S Address is
11 Clark St. poo
Glens Falls, New York r„
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2. CONTRACTOR or BUILDER'S Name
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cf) W
M & G General Const. CD
b •
o cd 3. CONTRACTOR or BUILDER'S Address
0
13 Notre Dame St.
a) Fort Edward, NY 12828
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p 4. ARCHITECT'S Name o
oOD
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ao
5. ARCHITECT'S Address
N.
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6. TYPE of Construction—(Please indicate by X) 0
CD
N
ca ix)Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications
r" 26'x74' per plot plan, specifications and application submitted
No.
including sewage system and two—car attached garage.
rd
ty 8. Proposed Use
One—Family Dwelling - o
d - m
w I
$5.00 C/O
H.
$ 171.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1987
(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.)
m
N
Dated at the Town of Queensbury this - 22nd Day of October 19 86
q
SIGNED BY �
�p ,v for the Town of Queensbury
Building and Zoning Inspector e„
awn of QuQcn3tury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 DATE /
LOCATION OF PROPERTY FOR INSTALLATION
OWNER'S NAME .vG6 /?c///_- 4,4,1 , iY„
ADDRESS /7
INSTALLER' S NAME
e7
Number of bedrooms (residential only)
Total daily flow(compute @ 150 gal per bedroom) %7V
Topography: Flat - Rolling - Steep slope - (circle one) % of slope
Soil nature: -Sand)- Loam - Clay - Other Depth_7 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 Munici 1 - Well - Other
•
Separation - Watersupply(if well)- from Septic absorption / /4 ft.
Proposed System: Septic tank / t2O gal. ( Minimun size, 1000 gal. )
'Tile Field - Each trench , ft. Total system legnth
� G�
.
Seepage pit (s) Number of . Size each #t X , . ft •
Size o: stone to be used n Depth or thickness A ft.
IMP*OR*TA*NT* ! ' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
On a separate piece of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure ,
• distance from property lines and from ANY DOMESTIC WATER SUPPLY or .
shore-line of ' lake, stream, pond or wet-lands/ Include all dimensions of
the system, itself.
* * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * *_ * * * *
I have read the reculation,s 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 .
Signature of responsible persoi
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 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. Na 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. :.
TO BE COMPLETED BY BLDG. DEPT. f
. f
sown
• i
Application No.
of toeueenitury Permit Issued 19 i 1s4 QF UE .LASER ';Y
BUILDING and ZONING DEPARTMENT Permit Expires 19 ;I LE (� ii \ (t r j
Bay and Haviland Road, R.D. 1 Box 98 . Zoning Designation 'l�� t {am ((�� ��},,(
Queensbury, New York 12801 Variance No. i_r ,�9
Site Plan Review No. ,,
70 - - /g Approved by: E 7/8/ P 1z4l 11a2 g)el}5
APPLICATION FOR C(i 7//G.A� • — C.•O. L
• 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.
The owner of this property is:
/s:r- �1S/�//�f�y/ ! sZj,5 - -72 j���G:
P.O. Address // �� / (,�� ,5 /, �s/ Tel.'7g_liD
Property Location:%per/'%% �/�1�4/�ye S34.; % . a�_ Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable) �iS
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
5,. J —/ i .dam//// .7,/7�- -- o .
Name P.O. Address Tel. No.
Name of builde) Z/" �1/ei/�/�/iA dgS: ,/�2o,7/i��/>-�GSV� �u 7���✓ Or
Name of plumber, /'�y02Fc2 ,,,! .�l ,Address,A ; 7�� �� 5-�-- • ems , 777��/..7 .
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
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
• * Size of property ,/,� ft X,77/ ft.
* Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE:2 (,_ 1 y * Existing building(s) Use
Size of new structure ft X /aft *
Foundation-pier/slab/crawl/partialul * Proposed building, distance from property line
(circle one) *
* Front Yard ' 7, :,Q ft Rear yard ,��/,' ft
No. of stories (habitable space) * Side yards O' ft and • �- ft
Height (grade to ridge) ft. * If on corner, setback from side streetf�. ft
If residential, no. of families ,./
No. of rooms(excluding baths) ' g * OCCUPANCY INFORMATION
No. of bedrooms -/ *
No. of bathrooms * PRIMARY BUILDING -
Primary heating system-
No. * / One family dwelling
Type of fuel .%j �� / * Two family dwelling •
No. of fireplaces to bdinstalled f * -p-Multiple dwelling / Number of units
Will a wood stove be installed? y * /` Permanent occupancy
Central Air conditioning? � Business
occupancy
*� Business
BUILDING STYLE, PRIMARY STRUCTURE * _Industrial
Ranch Contemporary Log cabin * Other 7
Raised ranch Mansion Duplex * If addition, what will use be.
Split level Old style Bungalow *
Ca e Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) *y Attached garage/one car/ two car/ ., 2 , car
* * * * * * * * * * * * * * * * * */ storage building _
ESTIMATED MARKET VALUE OF * Oth Oer� ,Y/�/ ���j C / , ,¢�u/� -r�� -
CONSTRUCTION . --
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.
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material e���G'. hickness
Depth of foundation below grad to bottom of footing)
Will there be a cellar? eat
eat or unheated? Floor sq. footage //A1/ sq ft
Will there be a basemen t? Will any portion be used as living space?
(If so, what po ? &% sq.ft. - - Type of use? / k
Type of roof sloped/ lat/shed/other Material of roof '� c � � e '
Size, wood stu - 'X .2/ " spacing "o.c. length 2 ft. l/
Joists(floor beams) 1st./floor spacing A. o.c. span `-ft.
Joists (floor beams) 2nd. floor "X/ej " spacing A',"o.c. span/v ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) sp ing Z/"o.c. span y ft.
Exterior wall finish Of what material? 2
Interior wall finish v
If a garage is to be attached describe ma erials to be used for FIRE SEPARATION:
Is the e to be an opening between garage nd dwelling? • If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? ' Height a ve roof ft.
Depth of chimney foundation below grade r G ft.
Depth of fireplace hearth ;.2. ft. in.
Water supply - Municipal or private well LL�c-Q
SEPTIC SYSTEM Distance from ANY private well(i.ncludi adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT
County of Warren STATE OF NEW YORK
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 Signatu_ _:;:r _
_ Owner owner's agent,arcnitect,contractor
day o ,011(y 19(f
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By w ri
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
1
Application for: BUILDING PERMIT IN COMPLIANCEiWITH. THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following: .
' 1. • Gross floor area
2 . Type of heat /2 /O 4/2 /44,07-4'✓f��4/~0` 6,1X
3. Is the building mechanically cooled? yl'eD !
4 . Percentage of area of windows an.d doors
A. Over 16% Only `.
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions ,
2. Floor over heated spaces YES NO
a. Are foundation walls insulated? : YES NO
1. If YES, what is the R value?
•
3 : Slab on grade YES . NO f
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 I
B. Under 16% Only
1. R value of roof _and floors exposed to ambient conditions_
3
2 . Rvalue of exterior walls RZZ .
3 . .R value of 'glazed area 2. (1,
•
4 . R value of doors ilietg-
5. , R value of floors over unheated spaces /1/••
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) F8
9. R value of heated basement/cellar walls , (below grade) Rg
10. Type of insulation .42ey4;4,5-4_.r
C. Controls C/
1 . Thermostat maximum heat setting . 7 •
D. Duct Systems
• 1. Is duct system installed in unheated spaces? YES NO
a. If YES, R 'value gf duct i:n6tallation
b. R value of duct in other areas
E. •Piping Insulation
1.. Size of hot water or coolingcarrying agent pipe 3/y
2 . R value of pipe insula-tion !I
F. Service Water. Heating
. 1 . . Performance efficiency 5-�'�
2. Temperature control setting. maximum / 4
G. For Swimming Pool Ong. ' .
1. Maximum heating.
TelephoA No. � ���/�.��
plicant signature)
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
(TEMP.# 1 DATE I %} !n -!
ty
VILLAGE/ `.-. /�6rJa" f 4 Z,, .S TOWNSHIP7 ,y./...c44J/' / COUNTY /�,!/ �Ff7��/-
STREET AND NO.OR ems/" ? •
ROAD AND POLE I ;�1 /6 ,.. �yy/«,A� i•.,�`�' POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS 6 / ,�
PREMISES LOCATED? SECTION !/ 6 BLOCK LOT
OCCUPANT'S BUILDING `
NAME OCCUPANCY / /Ljr�?,+r/l/. /
OWNER'S NAME, 1/
AND ADDRESS{j� �� .y 5 , �„,,' TEL.# �J � ��
CURRENT '� �+ / /
SUPPLIED ; J /�/. f'-��/`�M�c ,,/`¢ 5 OFFICE
BY // s/ FROM THEIR -�
BU
ILDING NEW OLD❑ IS NEW 1 ADDITIONAL❑ REMOVED ❑
•
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Lora- ONLY
tion
Ceiling Side Attech't Switch Pendant Bracket No. Type H.P. No. Watts No. AGauge INSPECTION
Wall Recep'IsEach _ -• Each Gauge
Out- •
side
Sub-
base
Base-
ment
•
1st Fl.
2nd Fl. .
3rd Fl.
RE RKS: LIST}HER ELECTRIC L EVICES OT SET FORTH ABOVE: DO NOT USE THIS SPACE.
r o,4 I /� -' 4" Sri// - rr
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 i ./,-. ELECTRIC SIGN TOTAL
MAINS - ��-• U FEEDERS LAMPS WATTS
CHARACTER E POSE` GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE �j / (yr, - , .�(VUMBER) (CAPACITY)
STARTED/e. "J - COMPLETE ,-- SIZE OF SIGN
SERVICE OVERHEAD UNDERGpOUND MAKER
ENTERS J11/
BUILDING OF SIGN
POSSIBLEINSPECTION REOUESTED � .%'�� NEW n OLD n
ON OR AS NEAR ASS• fi C�J
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AN ADD SS
NAME
APPLICANTOF / /7. Off/ __L ./`7,L .,-• DATE OFAPPLICATION ....----
STREET ADDRESS�/7 / . (27?2.5���',�/� �. 3 .' ,49,,J </ TELEPHONE# 7CITY OR
:3
POST OFFICE ��� f"' �rv�` f,-� ZIP / "' ICENA NO.
/�� CODE �•/ram "WHEN APPLICABLE
46 EL (REV.1/8S) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
y_�, ,Ik Jo
wn Of Queeniur y
Cl 1 BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
f
LOCATION r
Date /( / Permit No. 16---7
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing.
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Lxt. Porches n,K
Finished Floors
Interior Trim
L.. Lairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
jrtGor Closers i,g.K
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
vire
Building Inspector
6/86 and-vl
•
04x42 24V-0,1 fe-L, 3,Co
awn of Queenitur
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ` S REPORT
NAME
LOCATION
Date, /, /_ 7 ermit No. 2 c
✓ = APPROVED - YES ,/ NO
'Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing ,
woofing
Masonry Veneer
Rough Plumbing
°/Relief Valves °LK
Ext. Porches
Finished Floors dk
terior Trim �` _ ��
Lairs & Railings t 17e cDw.) ��`
Cellar Drain Tile �/
Concrete Floors
].bg. Fixtures OK
L6ar. Fireproofing °k r
i�H'oor Closers Lo
smoke Detectors_ K
himney eat e!,it.
INSULATION:
Foundation
Floors
Walls
Ceiling F4 a/‘
FINAL ELECTRICAL INSPECTION F t� '; /C/J7
DRIVEWAY APPROVAL o
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- f1 ,y ^„T 4„,;"
itoze 24
4‘0,244;:
G yut',c 77t41 ,
•
61/114(3
Building Inspector
6/86 and-vl
_Joiun 01 Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME fro//
LOCATION / Pj) f(or4 (3/71/
DATE OP L/ / PERMIT NO. (3
SOIL TYPE -- - Loam - .Clay -
Percolation st Required? YES - NO
Percolation rate - Min/Inch n Sn
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches . •
Size of gravel
SEEPAGE ITS4Number of) _ Z
Size- % ft. X qS,ft. •
Gravel size •
PIPING: Size Type
Bldg. to tank LI" 4D
Tank to dist. box
Dist. box to field/!
Openings sealed? NO Partial
•
LOCATION/SEPARATIONS:
Foundation to tank /0 ft.
Foundation to absorption 35-ft.
Absorption to lot line 2y ft.
Separation of pits 2 a-ft.
'W' ON OF SYSTEM ON PROPERTY(circle one)
ron - Rear - Left side - Right side -
'.'i ENTS:
•
SYSTEM USE APPROVED 4110 NO
Building Inspector
01/86 and vl
awn o/ Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, Nev/ York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME /- 4 (Vt
LOCATION G O r / / /jV Le/c( P/,1
DATE/ /7/7,9) PERMIT NO. 3 - r7`,2 8
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Numb of)
Size- g ft. X aid ft.
Gravel size
PIPING: Sizelt Type
Bldg. to tank
Tank to dist. box /_ .07 ./e-
Dist. box to f-i-e±d/pitt i
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption _ ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
on - Rear - Left side - Right side -
C•"1 EN :
/2/6 -
C16.-,- ,� 10ioviGr-(Q.s/ /;-jai
56'02 bit ('r
(445 f. —704/
C Wig 12 �
SYSTEM USE APPROVED
Building In ector
01/86 and vl
A,
0 1 'r
to'�/ _cc77_awn of Queniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
i NAME /)4/6
LOCATION Lo`- t IN i 0,0 P 1,-U 6,,
.,
DATE /7./(Z./c2p PERMIT NO. 36 - 1 y
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches '
Size of gravel
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
/V� (5i//3L(- C3• Si 6M
E6-6:6/v rCenzi A/CI- 0°Ai-6-
. , _0--
(A/ /-)49A/7- A-z.19
(i( _
SYSTEM USE APPROVED YE 0
9
i
B ilding Insrector
01/86 and vl
_town of Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
I Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME .4/-6-
LOCATION 2c9r , Pl.U(OAJ 6 u&
Date ilk / � , Permit No. L - a
* * * * * * * * * * * * * * * * * * * * * * *
t/ = 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 Q-5'-0 itr$ i 0
F],eers 15o)C Ort-A0L-n TFit
)(Walls
Veiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
.all- qi id/ 6 /'( fl o., �
Jown of Queeraury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME E g 60Z
LOCATION ,L (5' f/c op
/ J n / Vv1 `2
Date /a )3)/ Y //
Permit No. �[�-- 7a
* * * * * * * * * * * * * * * * * * * * * * *
i,/ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
X Framing
Roofing
Siding
Masonry Veneer
kRough Plumbing l�
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 t •
Next scheduled inspection (call when ready)
Remarks-
// /V& 67A cK V A, r (�
�0 Li(cL- TO t- 6 G&
/4 T b/L tut 6.,/ D ,4r&
Building Inspecto
6/86 and-vl
car/ 9� /o,J 2/) iv;; ?
J2
own o1 Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME E I I-a--?-1
LOCATION ka f
Q A �� �Date �
1/ J 6 Permit No. ,
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
)Foundation ck,, 4,) cv cc. ?,((
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-
CAm
Building I' spector
6/86 and-vl
Jou,n of Queeniturj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ` S REPORT
NAME !�
LOCATION/ /r•
Date /6) / /So Permit No. ? - J28
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - \ / NO
Footing/ ier 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 if
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-
6048
Building Inspector
6/86 and-vl
Cet6l- Jo 171/V` /0 'd')
/
_loom of Quecniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME --d, r'a h -2
LOCATION— Lor j F ;H oil A h
Date /o/1j/e4 Permit No. U .- as
✓ = APPROVED - YES / NO
Footing/Pier Forms
)!Foundation =�
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing (�1vReliVef Vallves (l
Ext. Porches
Finished Floors r*4)1LIL__
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney Ns, /
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
-77--tterzosi,./rri
Gar' )TtA
Loti
Bui ding nspect r
6/86 and-vl
yl
(O:� '
ip '. ouiii o/ Q
c��] ueenibur 1
BUILDING and Z(t)NING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME N,TCY ,y,- �-x.G
LOCATION /4/ /e' /",%_-
Date of /_� i Permit No. (� 6 -7 R(�
* * * *. * * * * * * * * * * ,1/4 * * * * *
APPROVED - NO
noting/Pier Forms YES
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 N,
Plbg. Fixtures N
Gar.. Fireproofing
Door Closers N
Smoke Detectors N\
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - C
ri Ote7 1
Building Insp ctor
6/86 and-vl
STATE OF NEW YO R K
DEPARTMENT OF HEALTH ;1. OFFICE OF PUBLIC HEALTH
DISTRICT OFFICE • 21 BAY STREET • GLENS FALLS, N.Y. 12801 • TEL. (518) 793-3893
Ian T. Loudon, M.D. ; D.P.H.
Re Health Director Brian S: Fear P.E.
ional
DAVID AXELROD, M.D. g. �-�p{g�}¢g[p�i{�6�C7�,
Commissioner Albany Region Director
TOWN OF QUEEN;;EURY
RECEIVE B
sEP101986
A
P.M.
A.M.
- September 9, 1986
Mr. Mack Dean, Building Inspector
Town of Queensbury
Town Building .
Glens Falls, Nww York 12801 Re: Pines of Queensbury Subdivision
Queensbury (T), Warren County
Dear Mr. Dean: Ld - /$ Fnu101y p/NE
With regard. to the subsurface disposal systems for Lot 18 in
the above noted subdivision, the substitution of seepage pit systems for
tile fields appears acceptable.
Very truly yours,
BSF/mh Brian S. Fear, P.E.
District Health Director
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