1986-804 _ • „
--CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN. COUNTY, NEW YORK
Date May 15 19 87
_ —
This is to certify that work requested to be done as shown by Permit No. 86-804
has been completed.
This structure may be occupied as a One-Family Dwelling
Location Lot 49 Willow Road (St. No. 31 The Pines of oheensburi
Owner Mary Guilfoil
By Order Town Board
TOWN OF QUEENSBURY
Building--e; Zoning Inspector
_ ,
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-804
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Mary Guilfoil
OWNER of property located at Lot 49 Willow Road (St. No. 3) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling
at the above location in accordance to application together with.plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. H.
1. OWNER'S Address is H.
F-'
•
2. CONTRACTOR or BUILDER'S Name
Cifone Construction Co.
yr
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M rr
3. CONTRACTOR or BUILDER'S Address '-d .-
N• k.o
Box 684 m
Glens Falls, New York CD H.
o N
rn o
4. ARCHITECT'S Name
G 7d
m o
(o (v
p
5. ARCHITECT'S Address S• Cl)
,C •
o
6. TYPE of Construction-(Please indicate by X) • w
4
Ix)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications •
No. 40'x44'8" per plot plan, specifications and application submitted o
including sewage system and two car attached garage.
8. Proposed Use R?
H.
One-Family Dwelling
t7
$5.00 C/O
$ 136.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 87H.
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Oq
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 14th Day of November 19 86
SIGNED BY L/_( for the Town of Queensbury
kul h� Building and Zoning Ins ector G f
TO BE COMPLETED BY BLDG. DEPT.,
�] ,c Application No.
• _l wn O/ Queeiijbury Permit Issued 19 • T '
O QY
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation r E . Eila 0
Queensbury, New York 12801 Variance No.
Site Plan iew No. OV 1 .� 3•:r
�� Approviy: . r /`f(�_
APPLICATION FOR � `� Y t11:: @� �+� ,e Q C e g •
3
BUILDING AND ZONING PERMIT • 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: _m U1
Q ,, c 1 `I1
P.O. Address Tel.
-Property. Location: ill 1 (10,� o - v h\ }`S- Tax Map No. / /
Stree number or building lot number
Subdivision name (if applicable) Pint.=.3
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
(-' 14)cle CO 04M3C- -\\ °n 12-)c) .101-} 1 CD. `4- : - ).7 -? vg- • -
Name. P.O. Address ✓ .Tel. No.
Name,of builder-C ) Tv ( 6,0 - , Address ErJ Vlc / Tel. 9 -2(9 y
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
t/KConstruction 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 ' ,11r7 ft Xl3O ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: 47111! tI •
* Existing building(s) Use .
Size of new structure�_ft X ii,t *
Foundation-pier/slab/crawl/partia ' * Proposed building, distance from property line
(circle one)
* Front yard ( .ft Rear yard ;75, y ft
No. of stories (habitable space))_
* Side yards 1, ft and" ft
Height (grade to ridge) ��/ ft. * If on corner, from side street ft
If residential, no. of families J
No. of rooms(excluding baths) :14 * OCCUPANCY INFORMATION
/
No. of bedrooms • .J.
No. of bathrooms * PRIMARY BUILDING -
Primar heatings stem n�eq * /rOne family dwelling
Type of fuel y 1 f �k`���� l �� *' Two family dwelling
/t S.
No. of fireplaced to be installed l * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? MO- * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
�Ranch 6ntempora�rLog 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 PLEJSE ) * Attached garage/one car t o car car
* * * * * * * * * * */ * * * * * •* X' 'Private storage buildin•
ESTIMATED MARKBT VALUE OF * Other
CONSTRUCTION- $ 1L00 Oa) *
INFORMATION ON BUILDINNG SPECIFIICATIONS, 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. 0(2)0 \Lc X r\ `p
Will any second-hand or ungraded lumber be used? If so, . for what? f a
Foundation wall material Cr. ' ,�)/)C- l`- Thickness
Depth of foundation below gra (to bottom of footing)
Will there be a cellar?•OS Heated or unheated? Floor sq. footage sq ft
Will there be a basement? ' Will any portion be used as living space? flo
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped at/shed/other Material. of roof �p�� �1, _5.
Size, wood studs "X " spacing "o.c. length ft. •
Joists(floor beams) 1st. floor "X )('°) " spacing "o.c. span/I" ft.
Joists (floor beams) 2nd. floor "X 0 " spacing"o.c, span '19 ft.
Overlays(ceiling beams) "X ' "-spacing ik7 "o.c. span )5 . ft.
Roof rafters '1 "X )0'( 1Jpacing e-) o.c. spare")() -ft.‘ 'L
3.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish tj\� Of what material?
Interior wall finish 3I`^1e rock
If a garage .is to be attach d, describe materials to be u ed for FIRE SEPARATION:
Is there to be an opening betwee &garage and welling?/y If so will a Fire-rated
door, enclosure, and self-closing device be provided? ' e5.
Will a flue-lined chimney be installed? Height Above roof a ' ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ' ft. in.
Water supply - Municipal or private well rY\uylir'\ p
SEPTIC SYSTEM Distance from ANY private well(includin4 adjoining properties 0 , ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether specified or not, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature _ _ _ ___ _ -
O , owner's age t,arcnitect,contractor
day of 19
•
Notary Public, Warren County, N.Y. k,
* * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT: •
•
By
, -- - :!
/
CITY OU (UN; loAh ; - r
WAVAH11 COUN:(::Y , NEW lORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH TIM NEW YORK
STATE ENERGY CONSERVATXON CODE
A permit must be obtained before beginning work.
Answer all of the .follouing:
1 Gross floor area 12cQ0
1° _ -J
2. Type of 1. ce heat .w.\a-cell . e q cifris -
4
3. Is the building mechanically eooled? Po - ewe z#
I '
4. Percentage of area of windows; and doors
. * -. A. . Over 16% only ,
1. Uo value of gr,, .--s area of walls, roof/coiling and floors !
i
exposed to alibis! conditions
, .
2. Floor over heated spa - s Yea No
a. Are foundations well : ins ited Yes No
• 1. If Yes what is th, - value
3. Slab on grade Yen, Ni)
a. If Yes, what is t. e R vvlue ..f insulation around perimeter
of floor?
i
4. Is basement h— ted , Yes No
-. '
a. R va - t of-insulation .
. ... \. ,.
'' . 5. Type of insulation
•
B. Under 16% only . .
1. U value of roof an# flforgibe*posed to:tgmbientr,conditions. ..
• ' ;OA • . .r..\.--. ....?C--) i.).(4D‘r i ---161
I.
- : I
1
2 . U value of exterior walls. . . . .. . .i. ) •L . . . . . . . . . . . . • • • • •• • • 1
. 3. U value of glazed area ..j0.. .
-1
4. U value of doors ' R t 5. U value of floors over hente-dibpaces. . i,.. . . 0,. . . . . . .r.).
'' °' *)...
r ) *
6. R value of slab edge insulation-unheated elabk:on,c)e. • slia.
vd
7. R value of slab insulation - heated slab ivulf; -
t
O. U value of heated basement/cellar walls (above gtade)11),./ft. . . .
, .
i • 9. R value of heated basement/cellar walls (below grade) •
' \ -
. P\ OF(
10. Type of insulab .;
tion. . . . . . .
i
. , 0
,
C. Controls '
, . .
1. Thermostat maximuM haat setting
. ,
• • . 1
) D. Duct systems
, . 1. Is duct system installed in unheated areas Yea No :a
1 . a. If Yes, R value of duct installation
b. R value of duct in other areas
1 E. Piping Insulation '1'
1. Sire of hot water or cooling carrying agent pipe
2. R value of pipe insulation
1
't•i:-,;
F. Service water Heating. '
i .
1. Performance efficiency
2.i 2. Temperature control setting maximum
G. For swimming pool only 1. Maximum heating 1
, .
ak I , ,
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• ' :. .
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Jown of Queenihury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
f G
Owner 's Name 1'f\ o � Oe(,' \ I Tel.
Address `
Person/Firm installing system. 0 .�-f-f Ucr 7 .
Number of bedrooms (residential only) 3 - .
Total daily f low: (compute @ 150 gal.per bedroom per day) 5-a
Topography - rolling - steep - (circle one) Degree of slope %
Nature of soils: sand loam-clay- other- Depth ( Q ft.
Ground water-- at what depth? UlThnr)W1 ft.
Bedrock or impervious material--at what depth?onknokilf.t.
Percolation Test - Not required / Required -Rate min/inch.
Domestic Water Suppl - Municipa - Well - Other
IMPORTANT!
On a separate piece of paper , submit a diagram of the proposed septic
system with all dimensions; including distance from any structure, ,
distance from property lines and distancesfrom any domestic water
supply or shore-line of lake, stream, pond or, wetlands. Include all
• dimensions of the system itself. '
Description of proposed system:
Septic tank size / QU gal.
Tile field- Lengt of each. trench'50 ft. Total field6OO ft.
Size of stone #3
Seepage Pit(s) Number / Size ftX • ft. Size of stone#
Any contractor, corporation, individual,Etc. , engaged in the
construction of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the, approved application, will be subject to a Penalty of $250
as provided ,for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
An (� / / " .
S g ature of A p icant
Date
01/86 and/vl
Septic System Inspections:
• A. All applicationd .for septic system installation,
alteration or repair, as reauired by the. Town of
Queensbury 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 Df the system
2) location and distance to lot lines
3) location and distance to structures
4) location and distance to, any water. supply
5) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and '
approval by the Building Inspector. Failure to
comply with this requirement may result in the
uncovering of the system by the installer and a
fine of up to $250.00.
C. An approved copy of the plot plan shall be
available.on the construction site. Failure
to produce said plot plan at time of inspection
may result in an immediate work stoppage.
D. Should unforeseen problems during construction
prevent proper installation, alteration or
repair of an approved system, a new proposal
must be submitted to the Queensbury Building
Department before further construction .
. • .
' •
. .
• •
• .
. .
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF..FIRE UNDERWRITERS.
. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED,
. .
. .
- . 1.c.,i • -:? ,-,--/
TEMP.$e.1 ,'.'., //,.. , DATE 1 j) (?) -t*,. .
• ' , ,,,:f -- -t: '-'4,-, ,..-‘--.....--. -,./..,_-ft/.",. ,....1 I t• ''' ''- .
CITY OR . (''''' . . . 1
VILLAGE TOWNSHIP Ay\--eC ati.I )/1, ••• COUNTY 1
, . _....- ,
STREET AND NO.OR i ,----. - , .
, I --
ROAD AND 120LE NO. .
1--1 '''-- I ( 11 ' I\{ " ' 1,.( •
,... ., , ,'..._.4_: . POLE NO.
BETWEEN WHAT TWO '`., ) y\ ,_ t
"a, a
CROSS STREETS IS >1 ,-.,-L, ,--,r c, .(;)/-. f.)
PREMISES LOCATED? , ( _i 4 i- : gr",.k 1 P/4./ SECTION BLOCK r, LOT '.
OCCUPANT'S
/ BUILDING ,, 4,.:,
-NAME OCCUPANCY ) -.t Ct. It:\'y-`1. I. i/ •,, ... \\1,---1-.1:\,,-\
OWNER'S NAME Pe, '(t / Cr(--r \ t-‘ t ,.
TEL/*
. AND ADDRESS l I; ) . i .. k j k ' ;\\ . . •
CURRENT
BY
4 1. 1(-, - ......, 1'1 ,
... . .,t 1... _ ,t
SUPPLIED ` ( . 17 \ L ' , \ r ItFROM THEIR ( - ( k1 ( I
ir, ‘ ' . OFFICE
. _.._ .
BUILDING WORK , ,,,,----- DEFECTS
IS NEW t -- OLD 0 - IS .
NEW..0 ADDITIONAL 11 REMOVED LJ
.-'
' ... LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED . •
, No.of Fixtures& . ' BRANCH '
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS - OFFICE USE .
- Loca- . ONLY
' tion
. Side Attach't H. . Watts A.W.G.
Ceiling wan Receos Switch Pendant Bracket No. Type• Eac Ph No. Each No. Gauge INSPECTION
• . .
Out- -- • - ..
side -
Sub- • , t,.
base -
Base- - _ment • - ' -
• .
1st Fl.
. ,
• .
.
2nd Fl. • - t- -
- ' • .
3rd Fl. • . -
•
,
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. . • -4,, ELECTRIC SIGN, ' ',:....t :-- ,;..,. •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
ENTERS MAKER -
BUILDING OF SIGN -
• INSPECTION REQUESTED . . -
ON OR AS NEAR AS.
. POSSIBLE NEW OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES - DATE OF '
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME nD I.L‘.\D..i.76_,Si Scf._ . t, (....).N,.. ,) IT '\--Y. , APPLICATION
NAME OF //- \A„,v./I,. X SIGNATURE il 1Th 11
APPLICANT OF APPLICANT * 16 r\ ,.--Th ( o ,1r)
• , . ,,./ ) alL-I;
STREET ADDRESS '1- 1- t
.1\ !A's. •C.' 4 P`,,C.' 1: \1.\ .f.---/ \--,.\-\ TELEPHONE4 /
.._
CITY OR i • 's (-• '-'s \ :,:4:' .._ \ \\ ,.,.'
. ZIP ' ; F......(-4.\ LICENSE NO._ .
. .
POST OFFICE -,.. ' . , ,---- -{ '••—., - CODE f.'s I. .../4 WHEN APPLICABLE
._ .
46 EL (REV. 1/86) --
A SEPARATE APPLICATION MUST BE FILEO.FOR EACH-SEPARATE_BUILDING - -
. . ........ -- • -
?{."-kek Ae,!. L.,!..1,-,lei,±}1.�!"."..\•&"ll.,"i..�tt 1,!...•r,.1tr,.•!4_,I."-Ai.".".".?t(.1t(.?ti":.fit/-",),,..1,?.a9.C�••!.""","."- t!,1_.�.""..•!.".1.."„"--1,i...1 4,-1,r_,1_,i.1_,r •
y� 4035771 THE NEW PORK BOARD OF FIRE UNDERWRITERS
. f BUREAU OF ELECTRICITY
41 STATE STREET,ALBANY,NEW YORK 12207
�1 May $J 7 Application,No.on file �t 1 y��0- 3
Date 6 '1 L
s
— THIS CERTIFIES THAT -S
only the electrical equipment a o
s described below and introduced by the applicant named on the above application number in the premises of
Kli
o Mary G.ouilfoil , 49 Willow Rd. , Queensbury, New York , o
a
in the following location; E Basement til 1st Fl. x❑ 2nd Fl. outside Section( Block 3 Lot 49
giwas examined on 5/1 2/8 7 • and found to be in compliance with the requirements of this Board.
ffi FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 1
OUTLETS INCANDESCENT-FLUORESCENT IV& AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
_ I
24 51 27 23 1 1 6 . :3 f
E i =
FE DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS —
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W G • AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS _
= ro _,i_ , _, ant NO.OF FEET -
1 hw 3 /1() -_
1 1--___ -JL 9 n
SERVICE DISCONNECT NO.OF S',r ,l E R V I C E
AMT. AMP. TYPE EMEUEF Qw. 1,B'2W 1 If 3W 3 if 3W 3,3'4W NO.OFF CCirCOND. OF CC.COND.. r NO.OF HI-LEG OF HI--LEG NO.OF NEUTRALS Op NEUTGRAL
200 cif 1 ti 4 ± i 2
OTHER APPARATUS:
EE
— 1-smokeddetector
electric heater 1 2 .5 kw ®_
2 2 . 0 kw
44 1 . 5 kw
2 1 . 0 kw 4 '----
1 . 75 kw
�; Ci€one Construction �>
11-15 Kathering Street ., s I
Glens Falls , new York 12801 I BRANCH MANAGER ;; -
7) o
'
:' Per911, 11 —_
4,; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
5/3,?7
,_I2 vn of Queen iur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
0 1P.
BUILDING INSPECTOR ' S REPORT
C;fax
Coiz S .
NAME mUiIru/ G (.,/ t / --/-6/ /
LOCATION 1-.at ' l 61/l //b Gi fld
Date -N /i7 Permit No. 3 `f
* * * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing •
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves /\
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers X
Smoke Detectors
Chimney
INSULATION:
Foundation / \
Floors
Walls ?,
Ceiling
FINAL ELECTRICAL IPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- 3 1
gkr,‘ fi 3/9 7e9—
d / c 6/14
Buildin In ector
P
6/86 and-vl ,04 /
_1J/5reel /�/%y
c�7 /71--'-'-"Pt,"/11/1 �i�.�v�i f Queensburt�
BUILDING and ZONING DEPARTMENT
(/1� Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING I PECTOR ' S REPORT
NAME (1( /1G
LOCAT I ON/_/ti 4/4/7;41 A(
Datec-/Y/ 0 Permit No. - p G'Ll
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms .
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding •
Masonry Veneer
Rough Plumbing
Relief ValvesNy
XExt. Porches Finished Floors
Interior Trim /
Stairs & Railings / ?( .
•
Cellar Drain Tile I
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)
Remar . _
(e..._ et.112„ec/64,9 - ,c-/ Y.7
///
`/ U/ �r
::7;s(C___ 0/7
Building Insp ctor
6/86 and-vl
-
\gren of Queen3Aury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ��✓ f g6 of
LOCATION r �/ i�v
f 1/� 7f�
at
Date ( /_ irjPermit No. `i'
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms .
Foundation
Waterproofing
Backfill (
Framing . e l Zk 6) (/y)
Roofing ti O.(K
- iding O K.
Masonry Veneer
Rough Plumbing
Relief Valves oelK.
t. Porches ul-
7&' inished FloorsO
✓jterior Trim c ,K
/tairs & Railings � yi )�_Cellar Drain Tile\
�oncrete Floors \
P bg. Fixtures N, / 616C
"ar. Fireproofing ., 0, /
eor Closers ' Nate_aQ (gOet e/
(/Smoke• Detectors / �� 17{
iimney / /
INSULATION:
/
Foundation
moors 9 Q.(;*
Walls
Ceiling
FINAL ELECTRICAL INSPECTION ppyc,e‘l 74- ' 1
RIVEWAY APPROVAL 1,
inal Building Survey r(1�,�1�
Next scheduled inspection (call when ready)
Remarks- 0
,4 a. 00 /7,07,,e7,24- 1k
0 I4,;( 114-71G<- /itaaea--e M .'N ,LP;i4.1,iyptiri4,,41.4.-0-uvrt e)A-44.-(4...
.AA;‘\-.e.er.-e-.-1-e 'Ye---r-z..,-C-' .
(9 X orne X1.-80 . '-rZ-
Building Inspector
6/86 and-vl
1/0)-4 c�'
10 own of Quecniur y
1 61C BUILDING and ZONING DEPARTMENT
3 Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME I��r `J 6.U•• i C7t i cc i ��ti•
I
LOCATION L0-1-- Id //6GU fi I.
Date 3 / a /jrf_ Permit No. F(o - ?a
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing ,,� -,.1.)
Roofing
Siding
Masonry Veneer
y Rough Plumbing aK,
Relief Valves
Ext. Porches ,
Finished Floors I /
Interior Trim % /
Stairs & Railings
Cellar Drain Tile
Concrete Floors /
Plbg. Fixtures / `1
Gar. Fireproofing/ \
Door Closers /
Smoke Detectors 14
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey t
Next scheduled inspection (call when ready)
Remarks- - /7
1 (%4
c-
k- -
Arr-
44'11'44
I:4/1113
Building Inspector
6/86 .md-vl
CCA- 1I
161 .7w
c7 on of QLty
1 I Zj BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
kc- SEPTIC DISPOSAL SYSTEM INSPECTION
1 NAME IA ct.),, 1 G a fi-- •
C,, I
•
LOCATION L b7- T 7 CM I I 0 Ld,w &I
DATE i/5 /7 PERMIT NO. (r, ` 6" b`-f
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length (90"C7
Length of each trench D
Depth of trenches i
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/ '-tom-
Openings sealed? ,YES N Partial
LOCATION/SEPARATIONS:
Foundation to tank t.
Foundation to absorption f
Absorption to lot line ft.
Separation of pits ft.
LOCATION TEM ON PROPE Y,(e-ifE1 e on
Front - Rear - Left side -('Right side 2
COMMEN • \` --=--
r
Lie
2e-de-j -/LW 4'-irj (I
0( 1,u45z
---toe-
. SYSTEM USE APPROVED YES /[�O )
64113
Building Inspector
01/86 and vl
W -. Jown of Queen.sbur j
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME r-
LOCATION &1//0.1 i(t— /POL4�
Date 0. 3/ / T, Permit No. Q In 0 o il
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier FFor (a ri,...,,, alc)
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- pi,6_,,
•
01-"Mt-e 04,1-
(2/fin V I' J
Building Inspector
6/86 and-vl
e.a 1! -�-4 i d�
ca�/3°N�� 3 ``�o // '
_town of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME k'1 y-y C11; /j 0 1 l
G�
LOCATION 4.,:T l Y Ld, //o w y f
4-rre, ',,Pi
!! DATE /, A/ /g6 PERMIT NO. 3 (, - y OL/
SOIL TYPE - San - Loam - Clay -
Percolation st Required? YES %l•'
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total 1 gth /q 0
Length of each trench ti� J.5 ` / D '
Depth of trenches a. r _
Size of gravel J:1 3 _
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size
PIPING: Size Tyye
Bldg. to tank 2 a /(
Tank to dist. box 'C.j<< yp.z, ! D
Dist. box to field/. '
Openings sealed? 41, NO Partial
LOCATION/SEPARATIONS:
Foundation to tank 1? ft.
Foundation to abso ption - ft.N O GDa-
Absorption to lot 1•ne 10 ft -
Separation of pits ft.
LOCATION YSTEM 0 PROPERTY(circle one)
Front Rear - Lef si - Right side -
COMMENT :
C L rdn d
/3 er" •
HIN/��, ; n� r�// c,,,.uJ. ham ; ll-
0 .31-c,,Jj .gam to ,-
.1,. 0---fi 4 D-13uic 4tzY-t AQ-1*-1-e „Ii.a.,,,e4- /-zer31.-L ,
SYSTEM USE APPROVEDDYYES ' NO
44,-( 1- ,& ---2
Building Inspector
01/86 and vl
CaI1&d Lai/ )-TA in" /.
awn of Queenibury
BUILDING and ZONING DEPARTMENT •
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
cry Cat/foil
LOCATION Lot Lit/ I0)-J/J7-J lc/
Date / ./,5- / Bc Permit No. 8 6 -- '74
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
)(Foundation
Waterproofing f)ba a
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:
Foundationi:>C\\\\\\\
Floors
Walls `
Ceiling 1
FINAL ELECTRICAL INSPECT±ON
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call. when ready)
Remarks-
L' CohS1;
1,0 6
Building Inspector
6/86 and-vl
/MO (O0i
Jocun of Q _Fy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME e/,„,/1(0 �� I� d , l
(1
LOCATION!.t/i4LOGO /Po -
Date2/O rre
/ ��O Permit No. a(o --
* * * * * * * * * * * * * * * * * * * * * * *
- i/ = APPROVED S / NO
"?noting/Pier Forms q ray-
Foundation �1
Waterproofing
Backfill
Framing
Roofing
Siding I
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-
Bu ding Inspector
6/86 and-vl
//el 7 acc-77l5`l�'6 a pm
Jown of Queen.iur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
C 11-o)a Gah-D-T,
• BUILDING INSPECTOR ' S REPORT
NAME Y/1 aky �U I � f 0I
LOCATION or 1/9 i;// k gi
Date /2 5/ / eg Permit No. 0 6 - o C>4
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Fo — /
tiFoundation r �,h
Waterproofing 1`
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim \\(0//7
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/IA
Buildi4 Inspector
6/86 and-vl
CaII`e-4 tcitlark 6 / : 30 O
Jown of Quen3arcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ghLi C id/ifQl !
LOCATION -,oT Lf 9. U i MIA) ROG- e%
Date 11[7)f /,y0 Permit No. g (o _ 8 C0I
* * * * * * * * * * * * * * * * * * * *,*• * *
So/ = APPROVED YE r,/ NO
)LFooting/Pier Forms
' Foundation
Waterproofing
Backfill
Framing
Roofing
Siding )2.-kefir
Masonry Veneer I�401
Rough Plumbing /Ir'U
Relief Valves
Ext. Porches f�q�}Z �j Finished Floors 7 t'" d
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers ram_
Smoke Detectors
Chimney I .
INSULATION: “'ss
Foundation
Floors ‘`(
Walls
Ceiling
FINAL ELECTRICAL IN PECTION
DRIVEWAY APPROVAL I
Final Building Survey {I
Next scheduled inspection (call when ready)
[.(
Remarks- ( �i afl/Jic
Cd t .ti/a"�ri4 I C 1 "
60_04- S.---A-1 K03
it Fu t L
SLR O * -
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Building In:pector G
6/86 and-vl
S
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