1986-785 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-785
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Michael Johnson
OWNER of property located at Corner Little and Baker Roads-- Street, Road or Ave.
One-Family Dwelling
in the Town of Queensbury,To Construct or place a c?
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance withthe Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
7 Sycamore Drivecn
Queensbury, NY 12801 p
2. CONTRACTOR or BUILDER'S Name
Joe Roulier
3. CONTRACTOR or BUILDER'S Address Box 301
Cleverdale, NY 12820
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4. ARCHITECT'S Name p
m
rt
ri
5. ARCHITECT'S Address I�
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6. TYPE of Construction—(Please indicate by X) , w
CD
(x)Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
to
No. 48'x26' per plot plan, specifications and application submitted
including sewage system and one-car attached garage.
8. Proposed Use
One-Family :Dwelling
0
CD
$5.00 C/O
$ 68.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 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.) tj
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Dated at the Town of Queensbury this 10th Day of November 19 86
cna
SIGNED BY vi for the Town of Queensbury
j l fly Building and Zonin(4 nspector
J°wn °/ Quenâ1ury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
IBay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801 DATE /
LOCATION OF PROPERTY FOR INSTALLATIONff /�� �J�� � J ��
`Orv*'r ` i //G�'l /,i ?i
OWNER' S NAME /2://e. C.
ADDRESS , �S l TEL � ,'y
INSTALLER' S NAME - //
orf/ ./ .9N4.J S �i � ��r.4 3 TEL
Number of bedrooms (residential only).
Total daily flow(compute @ 150 gal per bedroom) 3 6--zr---
Topography Rolling - Steep slope - (circle one) % of slope
dEP
Soil natur- . Sand - Loam .- Clay - Other Depth - . ft.
Groundwater -At what depth? Ni( ft.
Bed-rock or impervious material - At what depth? ft.
Percolation. test - Not required = Required - -Rate min-inch.
Domestic water suppl - Municipa l Well - Other
Separation - Watersupply(if well) from Septid absorption ft.
Proposed System: Septic tank ' ' - --- gal. ( Minimun size, 1000 gal. )
Tile Field - Each trench Ste° ft. Total system legnth /6 o ft.
Seepage pit(s) Number of . Size each ft X ' ft
Size of stone to be used 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 DOMESTIC WATER SUPPLY or
shore-line of lake, stream,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.
:::
nature of responsible person
e i .5 %.
d5/86 and/vl
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Section II Septic System Inspections: .
A. All application for septic system installation,
alteration or repair, as r-eauired 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 .theanstaller and a
• fine of up to $250. 00. - .
C. An approved copy of the' plot plan shall he
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.
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3� I
TOWN OF QUEENSBURY / ' y
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 acPy
2 . Type of heat c� %
yP c�� � � a ate✓
3 . . Is the building mechanically cooled? Aea
4 . Percentage of area of windows and 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
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
B. Under 16% Only
1. R valuepf roof, and floors exposed to ambient conditions
2 . R value of exterior walls ')
3 . R value of glazed area .�
•
4 . R value of doors ' /e—
5. R value of floors over unheated spaces
•
6. R value of slab edge insulation - unheated slab L4.3
7 . R value of slab insulation - heated slab
8 . Rvalue of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade) ''d
10 . Type of insulation i44,5 • �; (��c!C� ••�
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 ca'
2 . R value of pipe insulation
F. Service Water Heating /
1. Performance efficiency ql� 7O _®
2 . Temperature control setting maximum /y6
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 5 " .3 s'—yy
(applica s signa e)
i
TO BE COMPLETED BY BLDG. DEPT. -'
// Application No.
awn of Queenitury Permit Issued 19, /(y 6 [ q q_ _ _
•,v0A N ciC' Q , E.a`9.4e"'.rv�L aSY
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation �AI<o2Q ',;( 74
Queensbury, New York 12801 Variance No. ,[ ; €
Site Plan Review No. r •a fie+
9G- 3 - Approved by: Qb
E?a. 3. 0 a `;
APPLICATION FOR • / .. � / ' 0 71 '19 )"42/314.15i�-�.
7 : A n n s. aa e s a obn
BUILDING AND ZONING PERMIT i`� `
* * * * * * * .* * * * * *. * .* * * * * * * * * * if. * *
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: / Sipe e ,. ... .
P.O. Address #' 7 X✓2,4•1,7e.` 10„1,t / 4:2-�.,44:j Tel.
Property Location: <o_....r, Z; -," 4 e. �.o.e., me•►... 4,4 Tax Map No. / /
Street number or building lot number .
Subdivision name ('if .applicable)
THE PERSON RRESPONSIBLEE FOR SUPERVISION OF WORK AS REGARDS BUILDING /CODES IS:
/
6 /\• L, A ✓ e�r •3e/ �`-"'i `.� /✓ `. /2V La
r
Na a P.O. Address Tel. No.
.Name of builder .0 ,,Ce Address ,g,y,,,., Tel. G.fC- 3.y y
Name of plumber / 4(4.0 Address /��,,, ,�l4s • Tel.
Name of mason e , : ,S e,LG Address G„_je ,.,J Tel.
NAT E OF PROPOSED WORK:' * ZONING INFORMATION:
Construction of a new building . 'F 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
of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED.
of septic disposal area.
* • ,
* COMPLETE INFORMATION REQUIRED BELOW.
. . . * Size of property' ' /GD,�y ft X/93,sizft.
* Existing building(s) Size ft •X ft.
PROrPOSED' BUILDING AND USE:
Existing building(s) Use
Size of new structure y7 ft X.ZC ft * .
Foundation-pie.I slab i rawl/partial/full * Proposed building, distance from propetty line
(circle one) * Front yard '^' Ye �' ft Rear yard '~ Y ft
No. of stories (habitable space)' /
i * Side yards .si 'o ft and -- CO ft
Height (grade to ridge) /S " ft. * If on corner, setback from side streetA.,-o ft
If residential, no. of families ' /
No. of rooms(excluding baths) • y' . . * OCCUPANCY INFORMATION
No. of bedrooms * PRIMARY BUILDING -
' No. of bathrooms " /
Primary heating system • *' '/One family dwelling
� . Two family dwelling •
Type of fuel
* Multiple dwelling / Number of units
No. of fireplaces to be installed - permanent occupancy
Will a wood, stove be installed? *
*. Transient occupancy
Central Air conditioning? ' — Business ness
BUILDING STYLE, PRIMARY STRUCTURE -' _ Industrial
4101111110 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 ) * ' /Attached gara. one c. / two car/ car
* * * * * * * * *. *, .* * * * * * * 'Private storage building
ESTIMATED MARKET .VALUE OF *'+Other •
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, od fram fire safe,etc.
Will any second-hand or ungraded lumber be used; if so, for what? .ve
Foundation wall materi4„5r i co",r.e a/r i e l-'c.i e -. 07 .o...c,..,--;:-T' i3.c-
i Depth of foundation below grade (to bottom of footing) w ,s�� '
Will there' be a cellar? „/. Heated or unheated? Floor sq. footage sq ft
Will there be a bas':ment? -- Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof (ioped/ at/shed/other Material, of roof ,4.740.4 e .s�.s lr
Size, wood studs "X " spacing all/"o.c. length 7 ft. I /
Joists(floor beams) 1s -r t. flee "X ft. .sl 4
Joists (floor beams) 2nd. floor "X spacing "o.c. span ft.
Overlays(ceiling beams) "X / " spacing .ey"o.c. spanr3 ft.
Roof rafters oZ ".X y " spacing o.c. span Aft.
Roof trusses(pre-engineered) spacing,,,ey "o.c. span.ze ft.
Exterior wall finish*�,.,1-y„,64 'Of wh t material?
Interior wall finishL- �
2 ... -,a.c..� 1r J�'ra,.�s e
If a garage is to e attached, describe materials to/be uoed for FIRE SEPARATION:
scr x s �-C
Is there to be an opening between garage and dwelling? c If so will a Fire-rated
door, enclosure, -and self-closing device be•'provided? ra S
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in. .
Water supply - Municipal or private well di/f', e • C
SEPTIC SYSTEM _ Distance from ANY private well(includ 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
.T 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 Signatur —
.
. Owner, owner's a ,archirect,con ctor
day of e*/ L 19 ,C
{
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * *- * * * * ,* * * . * * * * * * * * * * * * * * * * *
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SPECIAL CONDITIONS OF THE PERMIT:
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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 '
CITY OR .,; j
VILLAGE TOWNSHIP / f / _ COUNTY , s./.-.,. _ ,"�
STREET AND NO.OR _ /
ROAD AND POLE NO. #_ l POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS _ -- —
PREMISES LOCATED? ' �" _: •. - .—f` SECTION BLOCK LOT
OCCUPANT'S f ', BUILDING
NAME /% OCCUPANCY
OWNER'S NAME �fj j :=y
AND ADDRESS 7-/ !. , ( �.,._-'- !� '� _- _
dF 3 < f,��-. ,� TEL #k
CURRENT > - - j;... --^,
SUPPLIED � ,, /- �' �'
BY /,::-�, .i , FROM THEIR --_ ,�r: (_r OFFICE
BSUILDING WNEW a OLD CI IS
NEW D ' ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS
Loco- ONLY
lion Side Attach'- H.P. Watts A.W.G.
Ceiling Wall Reams% 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.
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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 OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS •
POSSIBLE . NEW El OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION __ -/ 2
PRINT NAME AI1�D-.ADPRESS. --i !-: (�
NAME OF -�` V SIGNATURE _�'.-. \ \�
APPLICANT,- �''" OF APPLICANT----
STREET ADDRESS �---= —... �,:'/ TELEPHONE$k_ ; .'' "' ' `--- ,:
CITY OR ,.��, �� / ZIP ',, -, LICENSE NO.
OFFICE '�' , •'�� f • CODE / ``" WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
!{...n.9sr-„a ,k,t�l��� !.,10�..�t P�, .s�t, ",,I _?.a "aw4..,Pti ")�,; ..�,. qh _.r
d
405738 - THE NEW YORK BOARD• OF FIRE UNDERWRITERS
- �. BUREAU OF ELECTRICITY
"El �, f41 STATE STREET,ALBANY,NEW YORK 12207
!_
►; Date A?r'31 2 4 , 19 8 7 Application No.on file C 0 2 4 C 5 rn 7 il ram-1,8 . _
_ .. THIS CERTIFIES THAT m, •' `
EF
'A' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
i =
FE :; kouli.er Construction Coe , Corner Little & Sawoy Rd. , Glens Falls , New YorkE
<: in the following location; ❑ Basement El 1st Fl. ❑ 2nd Fl. Outside Section Block Lot
4; was examined on 3/2 3/ 8 7 and found to be in compliance with the requirements of this Board.
tk; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
if. OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT ME11CUw L
!�• v11rat AMT. K.W. AMT. K.W. MAT. K.W. AMT. K.W. MAT. H.P. No
•. 11 27 6 2 f• r
1.
_ "3: DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
.' MAT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. • AMT. MAP. MAT.- MAPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS iu
= i' NO.OF FEET
�• 1 ran ;e 3;�C
i=
1 h/> 10
SERVICE DISCONNECT NO.OF _ 1 dryers_ 31,111 R V I C E _
_ �. AMT. MAP. TYPE EMOEU�P 1,Ey 2W 1 Id 3W 3,R'3W 3.0 4W NO.OFpRC2COND. OF CC.COND.. NO.OF HI-LEG OF.HI LEG NO.OF NEUTRALS OF NEUTRAL
J.
' I 20(I cb 1 x 1 4/0 1 Ki
48/0
: OTHER APPARATUS:
— -c
,,. 1-8fci
i; _
g. • 1--smoke detector -
-t; electric heater 3 1 . 5 kw __
i' 22 2 . 0 kw •
_
11 . 75 kw .
li
't' Era Electric Co r
-t6 0
' 7 Birch Lane
' BRANCH MANAGER
Glens Falls , New York 12801
�. • o=
Per
; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identifiedww by their credentials.
4C'i'�?-4 -4:ri•SY�i�'C'%� 7•Y'i• ! MEW MD ® MI ® L! ® El M ® ! ® *,qr.4' -
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
-01 1 _ own of Queensbury
✓� BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date 3 2 3 /17 Permit No. a 5
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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 I' '\
Gar. Fireproofing 1
Door Closers /r \
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors /
Walls
Ceiling
FINAL ELECTRICAL INSPECTION CJ,k
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- Rouli cr. cow11-4,ex
, iG
e/c
/a/9
Building Inspector
6/86 and-vl
_ OLun of Queenitury
BUILDING and ZONING DEPARTMENT
•
Bay and Flaviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME c
LOCATION slilt \-36
Ljaa...t_
Date 3' / / ' ' -Permit No. $ig- 1c)
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED -' YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
LRoo f ing ,it
1,5iding ' ,�,_ i �Q-� �/
Masonry Veneer
Rough Plumbing
Lgalief Valves /)tft
LE'xt. Porches
(-Finished Floors (31,24;,, ( (,�Y Gt/
terior Trim U 0c1:-
airs & Railings -}O '-in«
Cellar Drain Tile
Concrete Floors
'> Sbg. Fixtures CA2c2 t,
Gar. Fireproofing 4"� i."
LeSor Closers p
LSmoke Detectors Q, �
1-"Chimney \fcn( ,�
INSULATION:Foundation e1,1 Sez,_,Z
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION ,R4Aea..1
DRIVEWAY APPROVAL
'inal Building Survey
Next scheduled inspection (call when ready)
Remarks- l/ / ,, / E^ __p
Da.
v / 6,„ sL.
rs:-3),„.,_ /„.,e,____,,,,,,,, 4t." .pr).r.e7g--
",42$ a = 7.
ree e-o-L-
„,,,_.6 ,,, ,,i
0 7,,d,7(-) -,Lageep-J?g,;(.,,, 0.7.27..e&-P-
z„,._
/Ct/7W
Building Inspector
6/86 and-vl
//
_Down of Qe, iur y
BUILDING and ZONING DEPARTMEIV.T
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 '
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ,u,
LOCATION pJc-`1- /�� -c2) , �y.
DATE 3./3 I V —PERMIT NO.
SOIL TYPE - and - Loam - Clay
Percolation • t Required? YES, ' NO
Percolation rate - Min/Inch _
TYPE of SYSTEM:
Absorption field, total length ;40
Length of each trench 'roQ S C7 �V 2,L7 __.
Depth of trenches gr )
Size of gravel i -
SEEPAGE PITS4Number of)
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank cd4 �Q
Tank to dist. box
Dist. box to field/ i I!
Openings sealed? S NO Partial
LOCATION/SEPARATIONS:
Foundation to tank in ft.
Foundation to absorption /00ft.
Absorption to lot line ;/1 ft.
Separation of pits ft.
LOCATION 0 SYSTEM ON PROPERTY circle one)
Front - ear - Left side - Right side -
COMMENT
ti^ �.
tea` l
/
�r
SYSTEM USE APPROVED ES NO
Lai()
Building Inspector
01/86 and vl
_Jown o Queensbu,ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
E �01l,4 Sbiri
LOCAT II �0,14.41.__ M.
DATE 3//7) / (CO--PERMIT NO. ? ( — ') . 5
SOIL TYPE - Sand - Loam - Clay - /
Percolation Test Required? YES -07
Percolation rate - Min/Inch ,a - ,5
TYPE of SYSTEM:
Absorption field, total length 2 DU
Length of each trench (e() ,gd) Y 30 3 D
Depth of trenches a
Size of gravel f 2
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size •
PIPING: Size y e
Bldg. to tank 3'r 0
Tank to dist. box
Dist. box to field/ •
Openings sealed? ES 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 CO Left side - Right side -
COMMENT .
pia,c4 crt.4,,,q-711'1) fige4,1A
yiv.).., QvalS C6-,--9-€ 1.),...taa
/ .e tOA:-.-ca WZ,e,cal'eP
IL
PIL /3414-'6-261,-- -414-6
SYSTEM USE APPROVED YES 'NO
46/413 '
Building Inspector
01/86 and vl
04 //-e49 a/(,/c7 /1n/
_awn of 2ueenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME �G ^"(J/`jse127
LOCATION la��� ,L.% /1/e gct,1< CV Roet/f
Date A/67 /I/ Permit No. 36
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms •
Foundation
Waterproofing
Backfill
VFraming (r) f`
Roofing
Siding
Masonry Veneer
j/Rough Plumbing 0
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 INSPEC ON
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
�Gc // cu7J ,/.3o/e2
awn of Queenilurey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
ill I C i c€/ —1"o h f San
LOCATION COrh 1t7e
Date Jl 3 o /11 Permit No. (y_115-
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill n O
?(.Framing'&PJ.49-- G;'
Roofing
Siding
Masonry Veneer
(Rough Plumbing '- L
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
\\\/1\1\\
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-�-xve• /aufier Q
NYC kw. 5
/Sze
Le/4K?
Building Inspector
6/86 and-vl
/ 3ki . own of Queeniur,
y k-1- BUILDING and ZONING DEPARTMENT
(� , od Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
�LI
LOCATION / i; q- vi-f : i:.
Date / III h/ 1�/q Permit No. `735
* * * * * * * * * * * * *
✓ = APPROVED - YES / NO
(Footing/Pier Forms
'Foundation 561-63
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 t
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
0R-o0 a i V\A uJ C-0
&i!i Lc 6,6 LIS 1,0v5 147� A-nr tiz,t rt
Po t2_- % " (41Ci&
Bui ing Inspect
6/86 and-vl
flown of Qu 'eniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
ge.j.z,,,,z,
Date /2//) / Permit No. a(p — rf 25-
* * * *`* * * * * * * * * * * * * * * * * * *
✓ = 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: N\,\/:$\
Foundation
�rloors S!/
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call
++when ready)
(1�Remarks- 5(� Z O�✓) I.0 U' C'_,'�A _
S),,Pekti �—
® 01- POOP
Buil ing Inspector
6/86 and-vl
AD: Z
.
Jowl' of Queen i6ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 '
•
BUILDING INSPECTOR ' S REPORT
NAME
l2Gc �L�v`��1 .1 (FA
LOCATION (ark,-Le -e 7 cr---kh-
Date / Z /41 / Permit No. 0 6_7crL3
* * * * * * * * (* * * * * * * * * * * * * * *
10/ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
'Rough Plumbing j j
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
LFTo r s
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
) c C2/1
•
/4/1-• 471A/77
•
Uv/7/413
Building Inspector
6/86 and-vl
TOWN OF'QUEENSBURY
Building Department
Inspectors Report Date /2-//G7 ?G
Name r.CJ LJ L I L I _
Location L GA►Cr iL,.
Permit No. r G - y k Weather
Remarks
•
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
V Rough Plbg. _ t1lV0&'Z. SLA- — JC.
Relief Valves
Wall Board •
Ext. Porches
Finished Floor 4 •
Interior Trim ,
Stairs & Railings
Cellar Dr. Tile \ r`
Concrete Floors
Plbg. Fixtures v
Gar. Fireproofing \
Door Closers `\
Chimney
Water Meter Inst.
Septic Approval
Floors '
Insulation Foundation
Walls '
'Ceiliri
Build ng Inspector
REMARKS
531
Down' of Queenitur,'
BUILDING and ZONING DEPARTMENT •
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUI DING I SPECTOR ' S REPORT
NAME 64143GNA
3
LOCATION 56.t./cep- --to Lr ele
Date / / ermit No. 36 - 17, 5�
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofinc
1 3Backfill k. j y -J 4 e
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-
•
te22113
Building Inspector
6/86 and-vl
i14737
Jown o� Quen4ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME 71 C1(J fe�
LOCATION 6_,LtuA.
ett
(-/
Date >/ 2-1 jP( Permit No. (0 7 85-
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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 f�
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-
(///00)
Building Inspector
6/86 and-vl
•
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