1986-861 - -•- - VVVVVV1 . 1 . • '
TEMPORARY
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 7, 19 88
I /cc-
86-861
This is to certify that work requested to be done as shown by Permit No.
has been completed.
Executive Office Bldg.
This structure may be occupie as a
Bldg. 2B Dixon Rd.
Location
Owner S.D.C. Associates -
• -
TEMPORARY C/O ISSUED FOR 301 DAYS. V By Order Town Board
PENDING FINAL ELECTRICAL INSPECTION
AND HANDRAILS, & HANDICAP HAILING. TOWN OF QUEENSBURY
- ad7
Building & Zoning Inspector
1.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Sept. 24th 19 8
This is to certify that work requested to be done as shown by Permit No. 80 861
has been completed.
This structure may be occupied as a Executive Office Building
Bldg, B 626 Dixon Rd. (Family Health Care Center)
Location
S.D.C. Associates.
Owner
By Order Town'Board
TOWN OF QUEENSBURY
✓"/'�" �` _ %�'_ram-- --�-._.. .�._.:�
Building & Zoning Inspector
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 86-861
has been completed.
This structure may be occupied as a Executive Office Building
Building B 626 Dixon Road
Location
Owner S.D.C. Associates
By Order Town Board
TOWN OF.QUEENSBURY
•
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 86_861
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to S.D.C. Associates ty
626 Dixon Road — Building B
OWNER of property located at Street, Road or Ave.
Executive Office Building m
in the Town of Queensbury,To Construct or place a o
at the above location in accordance to application together with plot plans and other information hereto filed and N.
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
CD
c
1. OWNER'S Address is 11 Greenwood Lane
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Cif one Const.
3. CONTRACTOR or BUILDER'S Address 6`
11-15 Katherine St.
Glens Falls, New York
0
4. ARCHITECT'S Name 0
0
a.
5. ARCHITECT'S Address td
H.
N
a.
0
6. TYPE of Construction— (Please indicate by X) 04
td
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications 36'x112' per plot plan, specifications and application
submitted including sewage system.
No. THIS PERMIT FOR SHELL ONLY — C/O TO BE ISSUED FOR INDIVIDUAL
OCCUPANCY. NOTE: PERMITS NEEDED FOR INTERIOR WALLS AND
8. Proposed Use INDIVIDUAL OFFICES.
Executive Office Building rt
r•
$5.00 C/O co
400.00 July1 87
$
PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n'
town of Queensbury before the expiration date.)
m
Dated at the Town of Queensbury this 18th Day of December 19 86
SIGNED BY �14Cli. 2i a, for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT.
Application No.
_own of QueenJlury Permit Issued • 19 - TOWN OFOT UfaY
BUILDING and ZONING DEPARTMENT Permit Expires 19 r {P_ i
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation i & Uj i
Queensbury, New York 12801 Variance No. �,,,;
/ Site Plan Review` No. - (D a
�` / - 02 / Approved b A.M., St ' P.M.
APPLICATION FOR ' C !�Yf � E so�� � �° � •
-.
EUILDING AND ZONING PERMIT � �,�Sr. �
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 D c Associates
P.O. Address 11 Greenwood Lane , Glens Falls ,. NY Tel.
Cc r,ii
Property Location: • 626 Dixon .Road Bul (�jri D- Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable)Evergreen Professional Park - .
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS 'BUILDING CODES IS: •
Cifon.e Construction - 11-15. Katherine St . , Glens Falls 792-9242 ,
Name P.O. Address Tel. No.
Name of builder C i f o n e C o'n s t • Address Tel.
Name of` plumber r; f o n e C o n s t . - Address -. - Tel.
Name of mason Don Maynard Address Tel. 793-3532
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
-
X 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 orproposed 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' .2.. 71 act-' `X ft.
* Existing building(s) Size 36 ft X 112 ft.
PROPOSED BUILDING AND USE: * Existing building(s) Use ' office building
Size of new structure 36 ft X 112ft * ' - ' - ' - -- ' ' -- - • - -` ' - '
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
.(circle one) ** Front yard 52 -
ft Rear yard 77 ft
No. of stories (habitable space). I * Side yards ill' ft and sr ft
Height (grade to ridge) 18 ft. * If on corner, setback from side street ft
If residential, no. of families ', -
No. of .rooms(excluding baths) 2 . - ' * OCCUPANCY' INFORMATION
No. of bedrooms 0 *'PRIMARY BUILDING -
No. of bathrooms 2 * One family dwelling
Primary heating system gas hot air * Two family dwelling
Type of fuel gas * . Multiple dwelling / Number of units -
No. of fireplaces to be installed no Permanent occupancy
Will a wood stove be installed?
Central Air conditioning? yes * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE ,� Industrial
' Ranch Contemporary Log cabin * x Other. :executive 'office'
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 garage/one car/ two car/ car
* * * * * * * * * * * * . * * * * * * Private-storage building
- ESTIMATED MARKET VALUE OF * ---Other
CONSTRUCTION - * '
$ 200 , 000
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. wood frame
Will any second-hand or ungraded lumber be used? If so, for what? r,c
Foundation wall material poured concrete Thickness F3"
Depth of foundation below grade (to bottom of footing) 6 '
Will there be a cellar? yes Heated or unheated? unh e a t Floor sq. footage 4800 sq ft
Will there be a basement?yes Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other Material• of roof asphalt shingles
Size, wood studs 2 "X 6 " spacing 16 "o.c. length 8 ft.
Joists(floor beams) 1st. floor 2 "X10 " spacing 16 "o.c. span 12 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 24 "o.c. span 36 ft.
Exterior wall finish ma s o n i t e s t u c a t o Of what material?
Interior wall finish 1 /2 " s h e e t r o c_k
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be provided?
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
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties n/a ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Q Warren 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_ - _ ___ _ �
c� er, o er's a t,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
fert_ 44401 e—A./..,,r/.%—
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titaizej xri4j.",„‘„zert
4 44
By
2W3
TOWN OF QUEENSBURY
• WARREN COUNTY , NEW YORK
` Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following: •
1 . Gross floor area AR.nn Gc7„ara fPPr
2 . Type of heat natural gas
3 . Is the building mechanically cooled? yes
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 value of roof and floors exposed to ambient conditions_
Roof R-30 Floor R-19
2 . R value of exterior walls R-19
3 . R value of glazed area 2 .13
4. R value of doors 15 . 1.5
5 . R value of floors over unheated spaces R-10
6. R value of slab edge insulation - unheated slab N/A
7. R value of slab insulation - heated slab N/A
8. R value of heated basement/cellar walls (above grade) P, 11
9 . R value of heated basement/cellar walls (below grade) P .11
10 . Type of insulation fiberglass insulatiop
C. Controls
1 . Thermostat maximum heat setting Ano
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 none
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe " gallon
2. R value of pipe insulation none
F. Service Water Heating
1. Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
6A/9 Telephone No. 792-9242 A/I1 (
(applicant 's signature)
•
• Jowl; of QuQell3lurty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Cy-9-1/ Queensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
Owner ' s Name SDC' Associates Tel. ?A2_g9A9
Address 11 Greenwood Lane , Glens Fal&s , NV
Person/Firm installing system Cifone Construction •
Number of bedrooms (residential only) 0 .
Total daily flow: (compute @ 150 cal.per bedroom per day)
Topography: flat - rolling - steep - (circle one) Degree of slope
Nature of soils: sand-loam-clay- other- Depth ft.
Ground water-- at what depth? 16 ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - Not required / Required -Rate • min/inch.
Domestic Water Supply - Municipal - 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 distances from any domestic water
supply or shore-line of lake, stream, pond orfwetlands. Include all
dimensions of the system itself.
Description of proposed system:
1
Septic tank Size ' l ,24al.
Tile field- Length of each' trench ft. Total field_ ft. �,
Size of stone # 2 'r G, t ae'-"1- 4)1
Seepage Pit (s) Number 2 / Size r7 ft ametr.�r. Size of stone#3
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.
l •
na-ture of Oplicant Date
01/86 and/vl
_ BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
TEMP.# IDATE I i'CITY OR
VILLAGE TOWNSHIP 0ueensbury COUNTY varri,r
STREET AND NO.OR • .
ROAD AND POLE NO. 626 Dixon Road POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS Poplar Lane
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S BUILDING
NAME OCCUPANCY • o
OWNER'S NAME TEL.#
AND ADDRESS •
SDC AASrC1 ates
CURRENT
SUPPLIED FROM THEIR Glens falls OFFICE
BYB P�iar�ra �oftr��k:
DEFECTS
IS NEW
NEW® OLD❑ IS NEW KI ADDITIONAL ElREMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
of Fixtures& BRANCH
NUMBER OF OUTLETS
LampReceptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- • - ONLY '
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
•
Out-
side
Sub- .
base
Base- '
ment
1st Fl.
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
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
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 / ��J) �'
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION, ii�J� `
PRINT NAME AND ADDRESS • y�
NAME OF OF APPLICANT SIGNATURE , f);1 I w j�'
APPLICANT f'.1.fC11'ZP {'OZISL`•CiS.�'t�LQEi � • �,���7��'.`' •J � 1
STREET ADDRESS11 TELEPHONE
Katherine St . TELEPHONE# 7926_9742
• CITY OR ZIP LICENSE NO.
POST OFFICE Glens F a l isis,mv 1 2 8 0'1 CODE WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING .
f1— •
_ THE NEW YORK BOARD. OF FIRE UNDERWRITERS
,; 4aoo3x84 BUREAU OF ELECTRICITY
1; 41 STATE STREET,ALBANY,NEW YORK 12207
t'Date Application No.on file -
,1
. ,
r 1, February 12, 1988 023154/87!c THIS CERTIFIES THAT
`= ' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
o.
1 _T+a Ss1ZR�,gsAviation PcZ o Que>rs�sb�at~� NY ,
�� in the following location; El Basement0 1st Fl. ❑ 2nd Fl. outside Section Block Lot
�, was examined on 2-3-.88 and found to be in compliance with the requirements of this Board.
• FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
�, OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT VAICuar
!<, vAroR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT.' H.P. m
.P 665 3? 21 4 61 4 tr
zz 1 :
F � DRYERS FURNACE•MOTORS FUTURE APPLIANCE 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. NO.OF FEET AMT. WATTS ', m
1
,i
w,; SERVICE DISCONNECT NO.OF S E R V • 1 C E - .
• AMT. AMP. TYPE EMOEU�F 1.$ off2W 1.%3W 3, 3W 13,6'IW NO.OFF C�COND. OF CC. OF COND.. NO.OF HI-LEG. . H LEG ' NO.OF NEUTRALS Op NEUGRAL ,:!
tt •
t. 2 150 eb :'
if. OTHER APPARATUS: ;:
; 5-5Zhp hvac unitsis
1,: 4-,3 mese i
— .'
.
el; -Wi_lliaTn C. Carpenater ASSOC. 239
-< lig
' Pa Borg 2014 • BRANCH MANAGER
Glens NY 2u01 .
_ .a; Per
.; 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. ".
C•i�f-i. ® 0 0 8 0 ® B U ei—i.f 4—7 i�i i�=41-47 i�"4-,'-'i� ICY iyiL'ij 4l-ie'%A
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE.MUST NOT BE ALTERED IN ANY MANNER. F.
Jown of Queen.i4ury
g BUILDING and ZONING DEPARTMENT
ay . d Haviland Road, R.D. 1 Box 98
G1 eensbury, New York 12801
/%77
A DING INSPECTOR ' S REPORT
NAME �2�� ✓ l/�/G
LOCATIONa .&-
Dated /(/ ,yf Permit No. (f "0
* * * * * * * * * * * * * * * * * * * * * * *
✓ = MPROV D - YES / NO
L Footing/Pier Forms -'ti`- /✓ 1 ot-( a.
Foundation
Waterproofing
Backfill
Framing
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
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRIC.L INSPECTION
DRIVEWAY APPRI AL
Final Buildin: Survey
Next schedu ed ipspection (c9.11 when ready)
e4 / /5/ C, J- He 02 PevaS
Remarks-
UV�Y� 1=02 l ovIe.y
6Ogyi Feral Mjsi e. s slo ile_s
Avi 90o v 11,t1 Y25 etizaq c S C' 2
f'•
Building Inspector
6/86 and-vl
QI�f� _town of Queeniburty
ti4 BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
DQueensbury, New York 12801
/ BUILDING INSPECTOR ' S REPORT
NAME 7/W/l& /./X_Z(1 /44
LOCATION i1, ✓,, `l
Date�� % /f7 Permit No. rlo -e6
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO)
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee
Rough Plumbing x
Relief Valves
Ext. Porches
Finished Floors
Interior Trim X
Stairs & Railings jn ,e yi, 4
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures Y(
Gar. Fireproofing V
Door Closers
Smoke Detector
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL r,IECTRICAL INSPECTION.
DRIVEW.Y APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
t- ue =— YJ
/) Ph inj /5/1/ C4/I 7f4)
Gt// /d �.�/e. U7e / .
).)/J--/- sr71 GL-,7/ Je Y$7
,) if-twi/
Building nspector
6/86 and-vl
C111111
1 ; gown of Queeniurey
!� ,,Q BUILDING and ZONING DEPARTMENT
�' Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME 5 .
LOCATION( a,z/ A,,
Date ////3/s57' Permit No. PL 6 /
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofin••
Backfill
Framing
Roofing
Siding
Masonry Veneer
zyor5ugh 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 ELECT'ICAL INSPECTION
DRIVEWAY AP'ROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
(,142)
Building Inspector
6/86 and-vl
(11.°)41
sown of Queenur
q/a /' BUILDING and ZONING DEPARTMENT
30�I Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
/ q0
p/ 'BUILDING INSPECTOR' S REPORT ��4
sv a •
NAME, ,1. .(
LOCATION /of C , l
Date9&3/137Permit No. x____ 2514,/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing )(
Siding
Masonry Vene:r
Rough Plumbin!
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings S(
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures X'
Gar. Fireproofi' g
Door Closers rJ i
Smoke Detect. s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
0 /vim/- 71/ e4 w/ /7
`'
Buil;ing Inspector
6/86 and-vl
� C \,(1' Jown of QuQenibur/
g1'Q BUILDING and ZONING DEPARTMENT
/V\ Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM II�NSPECTION
NAME p1/ ',,_Ivy„vi _ P/c,.
LOCATION , pi,,,,, �
DATE/z/7 PERMIT NO. F4 -YIoi
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
,17.______
Absorption ield, total leng
Length of e:, h trench
Depth of tre hes
Size of gravel-
SEEPAGE 10 ITS-{N a •T „' _
Size- k/ ft. X 't. --
— `
Gravel size
PIPING: S' Type
Bldg. to tank / ' '
Tank to dist. 9ox , . /WC.
Dist. box to a ield/F,;-t-. ove.''
Openings se Wed? j(Y (NO Partial
LOCATION/S!`PARATIONS: 11
Foundation to tank 1 -( ft.
Foundati.:' to absorption 33ft.
Absorption to lot line • -j ft.
Separat'.n of pits ° ft.
LOCATIO ,• STEM ON PROPLRTY(circle one)
Front -ear Left side - Right side -
COMMENTQI
SYSTEM USE APPROVED LYES NO
ft(
Bu" Ing. Inspector
01/86 and vl
( �� down o, Queeniur[y
c BUILDING and ZONING DEPARTMENT
0 ill Bay and Haviland Road, R.D. 1 Box 98
IIi Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
• NAME S/J (2 .
LOCATION�� �'/ �� �At' -/. ,
DATE �J//P PERM //
��r�"!v � PERMIT N0. �'� '(�(j
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each t; ench
Depth of trenche.;,
Size of gravel_
SEEPAGE PITS{Numb , of) : w,
Size- Oft. X ,. ft. -- 1_
Gravel size A
PIPING: Ilr ize Type
Bldg. to tank rt./L-
Tank to dist. box Illif f've,
Dist. box to field/ /�L-C�
Openings sealed? (' \ NO Partial
LOCATION/SEPARATI S:
Foundation to to,; l T ft.
Foundation to absorption 4 ft.
Absorption to lo' line ft.
Separation of p is .- L ,ft.
LOCATION 0 EM ON PROPERTY;circle one)
Front - "ear Left side - Righ ., side -
COMMENTS.
i
C6 AI naidi —tve)/ vs-,, —f
adsf
r
SYSTEM USE APPROVED YES NO
Building spector
01/86 and vl
G/� c
j" _town of Queensbury
ii)ii /4 BUILDING and ZONING DEPARTMENT
j Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME si)
LOCATION /L
4, y i
Date '71 / tl Permit No. 6�~u -/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
4Backfill /0.
raming .J� DY2.7l l 5-6-e.7'! Ok!
Roofing
Siding
Masonry Veneer
X Rough Plumbing kjo YL1r"4 36C�T(®
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-YO(s 1-fAAj6tr2S /4( (SS I Ai& (AI
3 Al 6-42-r CUI01ervi 6cf O A))
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Bui ding Insp c or
6/86 and-vl
Jown o/ Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
�,y-�� Queensbury, New York 12801
w �' \ r
BUILDING INSPECTOR ' S REPORT
NAME S D , ;�.eG' l
tI
LOCATION
e.i./ar j_7„.._ 44
DateJ) i% / l Permit No. 7(„,_ �(9
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YE$ / NO
Footing/pier Forms n K
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-
,
A/13 .
Building Inspector
6/86 and-vl
Sown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ` S REPORT
NAME t� arc. Ar
LOCATION— J�l 5Q)Ar
Date/2/3// 'W-C Permit No. Vr2 - (6' (
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
KWaterproofing
)(Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves X
Ext. Porches /
Finished Floors
Interior Trim
Stairs & Railings /
Cellar Drain Tile
Concrete Floors
Pl-bg. 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-
Pouo U/'Cs
C®irt4-49
Buil ing Inspec r
6/86 and-vl
•
own of Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
.S s/y,
NAME
�'d cnt t Ccr� /� (/��
LOCAT ION /
Date ( / 2-3[ ermit No. 0 . — (p 1
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing ,� -
�$ackfill SouT+ f?
Framing
Roofing ll
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-
_ r "7
Pe 0)1410 1141145
B i ding s ctor
6/86 and-vl
awn of Q ee n it urcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 'ii�1� C/ L`�/1f��
LOCATION
Date/ / � , Permit No. S6- 8 bi
* * * * * * * * * * * * * * *
= APPROVED - YES / NO
L ooting/Pier Forms d
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
?K:/\
INSULATION:
Foundation \V
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl