1986-862 N .-
S
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY.
WARREN -COUNTY, NEW YORK
June V 7
Jun5 17
Date 19
o •
This is to certify that work requested to be done as shown by Permit No.
•
has been Completed.
° PiAA,v1 1\ Dk.v.e.I‘t v)
This structure may be occupied as a On e.-F Dwefljc
• • aq ?)
Lot. ' Pin-lud Pine Lan,f, No 25) (,-ictioa I :rAn Kowa Es'::a,':et-2,
Location •
PGUAlg..n CO' Ca.
11.7'auj.:1.):1 t ruc t. Co.
Owner
•
•
• • By Order Town Board
• TOWN OF QUEENSBURY
,
r •
-
* / Building & Zoning Inspector
•-
CREATIVE "INSTA- PRINTING, GLENS FALLS, N Y 12150 1510)793-S655 -
{
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-862
WARREN COUNTY, NEW YORK
b
PERMISSION is hereby granted to Paulin Construction Co. Inc.
H•
Lot 13 Pinion Pine Lane (St. No. 25)
OWNER of property located at Street, Road or Ave.
Section 1 Van Howe Estates o
One-Family Dwelling
a)
in the Town of Queensbury,To Construct or place a ,ter
at the above location in accordance to application together with plot plans and other information hereto filed and 1-1
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n
H•
Q
1. OWNER'S Address is 22 Sugar Pine Road 0
Queensbury, NY 12801
2. CONTRACTOR or BUILDER'S Name n
same
to
3. CONTRACTOR or BUILDER'S Address t Cl) 0
same n rt rt
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4. ARCHITECT'S Name N.) D
C In H•
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d d
x ro
o H.
5. ARCHITECT'S Address • m
ra t- a
c
rt
m rD
rt
co
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6. TYPE of Construction-(Please indicate by X)
C
(x)Wood Frame ( ) Masonry ( )Steel ( ) _-
I
W
7. PLANS and Specifications 0
H•
No. 60'x38' per plot plan, specifications and application submitted
including sewage system and two-car attached garage.
rD
8. Proposed Use N
One-Family Dwelling
00
$5.00
$ 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES July 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.)
Dated at the Town of Queensbury this 19th Day of December 1g 86
SIGNED BY �-( �. -�i_ for the Town of Queensbury
Building and Zoning Inspector Qj ,)
TO BE COMPLETED BY BLDG. DEPT. i
Application No.
awn of Qucenihur, Permit Issued 19 t _'•-) b=F-N 0 14_w. . 7i1 = I.,)i';-•
BUILDING and ZONING DEPARTMENT Permit Expires 19 E.1a~� + r I ii V,II a 1
• Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation . l ,
Queensbury, York 12801 Variance No. 1,- _ ,
y Site Plan Review No. 1 �� �1 7i � (,l
9 0 _' U /3 Approved by: ,- f '1? .�','�i'.Tii iSi �`1) gt
APPLICATION FOR ////n7 E%4 � i ,I
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: e`fit_"_.n e c5 ' Qc -1'-f\DC_; ' ----
P.O. Address 'Z:z L ��. C1�C\SLJO `4Th Tel. 'rt b-(D Z--
Property Location: I o*' V?, Q \OSC, Yk,,12_ �ajNK' .57 #05 Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable) /Al ii Wou/e F,.STG/ -01 5 i o;,I
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder C) A__O-vN(, Address ¶ ' ,, Q_ Tel. S`L),I->_e__,
Name of plumber » h7t12. . Address ' Tel.
Name of mason Qfi -$ ❑ V Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
k/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
*FOR DEMOLITION PERM T, STATE SIZE AND * whether interior or corner lot. Show location
LOCATE OF STRUC RES AFFECTED. of water supply and location and configuration
\ * of septic disposal area.
*
�� * COMPLETE INFORMATION REQUIRED BELOW.
\ * Size of property ' VI) . ft X 114 ft.
* Existing-build' g(s) Size ft X ft.
PROPOSED BUILDING AND USE: q
A * Existing uilding(s) Use
Size of new strut ure (0 O ft X ft '�
•
Foundation-pie ab rawl/partial/full * Proposed building, distance from propetty line
*
circle one) ,F Front yard C O ft Rear yard tO -96 ft
No. of stories (habitable space) 2
Height (grade to ridge) °7_6-- ft. Side yards ? IIft and '�L` ft
If residential, no. of families . . * If on co etback from side street ft
No. of rooms(excluding baths) c * OCCUPANCY INFORMATION
No. of bedrooms IA
No. of bathrooms PRIMARY BUILDING -
Primar heatingsystem c * One family dwelling
y y �� �' " * Two family dwelling
Type of fueld
No. of fireplaces to be installed ' I x rMultiple dwelling / Number of units
Will a wood stove be installed? * N Permanent occupancy
Central Air conditioning? N1`.:tz, Transient occupancy
.
* Business
BUILDING STYLE, PRIMARY STRUCTURE -. . Industrial
Ranch Contemporary Log cabin Otherj
Raised ranch Mansion Duplex If addition, what will use be.
Split level Old style Bungalow *
p7-G Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ car/ car
( CIRCLE ONE PLEASE ) * '/Attached garage/one car two car �, car
* * * * * * * * * * * * * * * * * * - - "Private storage building .
ESTIMATED MARKET VALUE OF * Other •
CONSTRUCTION $ *
_:_1_1 o o vcD
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 frame, fire safeitc.
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material Thickness I b
Depth of foundation below grade (to bottnm of footing)
Will there be a cellar? Heated o heated Floor sq. footage sq ft
W' er-e-b Will any ion be used as living space?
(I sQ,whams•. . `on? sq.ft. - - Type-o-f-'se? •
Type of roof 'slope. flat/shed/other 4 Material, of roof OX �,�¢d&Fjv 6 1D 9 ;
Size, wood studs -2. "X (47 " spacing"o.c. length 9 ft. ,�JI
Joists(floor beams) 1st. floor `2 "X /p" spacing lb "o.c. span ``l ft. .
Joists (floor beams) 2nd. floor Z_ "X '0 " spacing ` "o.c. span \ LA ft.
-Over-l-ay-t eil-i-ng-beams-) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusse pre-engineered spacing'- "o.c. span-7 ( ft.
Exterior wall finish nc 17 W004 i „. Of what material?
Interior wall finish ()v_Itt Ex12Qst� )< LL Piv..- Gp.,P.?o- En
If a garage is to b -ttache , describe materia s to be used for FIRE SEPARATION:
• 2
Is ther to be an opening be ween garage and dwelling? NJ() If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a- flue-lined chimney be installed? -e4 Height above roof4g4FErFg
vf ft.
• Depth of chimney foundation below grade b--' ft. n �
Depth of fireplace rth / ft. '?j in. oC
Water supply Municipal r private well1� T 1
SEPTIC SYSTEM from ANY private well(indludinc adjoining properties - ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
• I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true and
. complete statement of all proposed work to be done !on the described premises and that all
provisions. of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether specified or not, and that such work is
authorized by the owner. ��r�r^`
SWORN TO BEFORE ME THIS Signature l ' \
` c�� Owner, owner's agent,architec(contractor
1 day of 19 t�
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Ap lication 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 l O ?
2 . Type of heat ' 30...ae, 8b airci
3 . Is the building mechanically cooled? /U)
4. Pe centage of area of windows and doors
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
K - �0 -
2 . R value of exterior walls- v
0
3 . R value of glazed area �• / e5 b� ( - i
4 . R value of doors r... . •___
5 . R value of floors over unheated spaces - /3 en IbiL
6. R value of slab edge insulation — unheated slab P R-
7. R value of slab insulation - heated slab 5 ` 5
8 . R value of heated basement/cellar walls (above grade) '`) 9
9 . R value of heated basement/cellar walls (below grade) R E 5".
10 . Type of insulation K 6 /( / 0
C. Controls
1 . Thermostat maximum heat setting r ( L-6� 2- 75 J
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 '75 c
1. Size of hot water or cooling carrying agent pips._. .. .. . . .
2 . R value of pipe insulation ,
F. Service Water Heating
1. Performance efficiency q, 6 7
2. Temperature control setting maximum /Y,S a
7-,N For Swimming Pool Only
1. Maximum heating
Q. / / } _E' \
Telephone No. �� � C) '� lD�o� `4
(applicant ' signature)
t.Yedieft of aelik/Affy
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE 12, / 1 /
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: liqi_ t.;yy t.-Itr-r•)St QQ IN elephone: rig g (do 32
Address: _Z2 e L'LQ I
Installer's Name: S Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) (p®0 ea.-1
Topography: circle one. Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: unicipal Well Other
IF o er l is a -ell:
Separation: er y rom tic absorption _ feet
PROPOSED SYSTEM: Septic Tank MO p gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench SC) feet / Total system length -a_ 50 feet
SEEPAGE PIT(S): Number of. / Size each dr feet by 50 feet
1
Size of stone to be used # � / Depth or Thickness -1- feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start,
of construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance to lot lines
-.3.) --location and distance to structures -
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person:
a I
Date: 1Z
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD,PLACE TO LIVE
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. ..
!TEMP.* !DATE I
• CITY OR
VILLAGE • ?.',r,.-';l_-i-, - -' '-_� TOWNSHIP`L V. i.: t,,,,n_..'1. 1 COUNTY i:� 1 .� _ --`1"-
STREETANDNO.OR , . a • ;.'-- r+
ROAD AND POLE NO. i',k,•4._r %I N...c tr`i- -,,'<_'t,rs1 ;Y`._ POLE NO.
BETWEEN WHAT TWO '
CROSS STREETS IS ' - , - ,- '
PREMISES LOCATED? �`t '. ?`i `� .'a \ -_3„` '• =`,-'" - ' z...PC,.,7SECTION BLOCK LOT j �1
OCCUPANT'S,' BUILDING r L
NAME \ "�. , ?'_.,s•-•',--� .00CUPANCY t``-,,_ !,=--- _
OWNER'S NAME - --
AND -
ADDRESS .. r r-:"_, �" • TEL # ):_+ / (,_ ,� .
,
CURRENT •. i-
SUPPLIED - +ii.l;_2 .'•. -_ �.,c,b ._: , OFFICE
BY - FROM THEIR -
BUILDING ��,f •-WORK- � DEFECTS
IS NEW L<LI OLD❑ IS. NEW LSJ ADDITIONAL❑ REMOVED ❑
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.P. ' Watts A.W.G.
Ceiling Wall Recep'Is 'Switch Pendant Bracket Nov PType Each No. Each No. Gauge INSPECTION
Out- / -
side
Sub-
base
Base-
ment
1st Fl. ',.,
2nd Fl. - -. --
3rd Fl.
j 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., , -i ''-"" .
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS'TUBESIGN `
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 111 OLD ,; _ • -.
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION -
PRINT NAME AND ADDRESS t
NAME OF I.i -"` `-'"- �(SIGNATURE •-t ` r j ` (�.�_ r-•�
APPLICANT +-i 1 I t 1\'1 i\}`� 1 �, C^t ..t..r c 0%OF APPLICANT f ' ! ' .%-' :� 0 I.•' I \1 `., z�,'4_t-,t
_ r
STREET ADDRESS i-..(. -' \` �.'• F t'-~, TELEPHONE# 1 t c
CITY OR ZIP LICENSE NO.
POST OFFICE CODE' . WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
4,
.�•�.. ,,P..a.�,.�,.!,r.,1.,... ,1a,,•,.,•!-1"1., 9,!,,,,,!— �,"1.• ,,.1•i.1.9-1,• l..a.a•!..�.�1*--1,,,"4.•,.!,."--11&a•1ta•,,a•�J:•4-1"?r•,..1•,,"-,?:•,.1..,.;.a,"..,.,.�•,.—,.,...9!,.,,.,.,.r,.,.1•,,,., .
r THE NEW YORK BOARD OF FIRE UNDERWRITERS
4057381 BUREAU OF ELECTRICITY
�, F 41 STATE STREET,ALBANY• NEW YORK 12207 IN u
i' DateJuly 2 rT ApplicationJi
No.on file { A 6 b. 3 4
!b l rv7033110—:3G S" =
P. 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
Paulin Construction, Lot 13 Pinion. 1 ine P.. g&n s Falls, NY o
/4 n
in the following location; =❑ Basement 0 1st Fl. ❑ 2nd Fl. outside Section Block Lot
M 1
was examined on o/1i7/87 and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
J. OUTLETS ECEPTACLES SWITCHES MERCURY
�, )//,�� rry�9 INCANDEESCENT.FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. Ki
1, 23 43 21 22 • 3 fr 11 ,
-k' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI OUTLET DIMMERS o
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO... "}A2W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
lic, 1 dryer 3t1J •
1
it: SERVICE DISCONNECT NO.OF S E R V I - C E
Q
!t, AMT. AMP. TYPE EMEUEP 1,.'2W 1,B'3W 3,9'3W 3 p 4W NO.OFF CCirCOND. OF CC.COND.. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF W.G.
1. C
1• I nvft .vy 1 1 1, df: ' /tl
S .,
tri �' OTHER APPARATUS: '''''' L - ,
1r i1'
_. i• 4-gCc1 17.15
•
�; 1-smoke detector
electric heater 1 2.5 low •
3 2,0 kw
4 1.5 kW
I; 3 1.0 , ______________k
2 .75 , kw r :!:5 Eltc, BRA rEle`r ic Co, V-0 �/>
E' s; 7 Birch Lane BRANCH MANAGER
r , Glens Fells, NY 12001 •
z~ Per r.,^
`,_. i6 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.
Jown of Queeni4ur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
/3 P-t--4 a ,
Date %/ '7/ `6V- Permit No. (r,lp "z
* * * * * * * * * * * * * * * * * * * * .* * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves 1, l^
Ext. Porches
Finished Floors X\
Interior Trim S(
Stairs & Railings K
Cellar Drain Tile.
Concrete Floors
Plbg. Fixtures x
Gar. Fireproofing 'v/
Door Closers \
Smoke Detectors X
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL I
Lliinal Building Survey +f
Next scheduled`'inspection (call when ready)
Remarks- f("�' ,47 / 4 %
J/k4
Building Inspector
6/86 and-vl
awn 0, Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME T614,1 1 h
LOCATION v7 1. "3 P' r1 l 6 - r
`- in e•
DATE (oh/ /S7 PERMIT NO. 26 - 6 6 Z-
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/.
Openings sealed? 0 Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorptio ft.
Absorption to lot line 't.
Separation of pits ft.
LOCATION OF SYSTEM ON P'OPERTY(circle one)
Front - Rear - Left side - Right side -
CCMMENTS:
I N l45p �c: idh
SYSTEM USE APPROVED NO
Building Inspector
01/86 and vl
awn of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ;Fa u i r fri C 6)).5 /,
LOCATION L6D /3 PIA ",i 614 ?j l e 45
3 r"
DATE a9 /rf7 PERMIT NO. e)76 V Z
SOIL TYPE • - Loam - Clay -
Percolatio st Required? YES
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total len th 26
Length of each trench 5U�
Depth of trenches d n
Size of gravel
SEEPAGE PITS{Nuinber of)
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank Li(r 02
Tank to dist. box �° ,���
Dist. box to field it
Openings sealed? E NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /O ft.
Foundation to absorption 7C.)ft.
Absorption to lot line /0 ft.'
Separation of pits ft.
LOCATION e_YSTEON PROPERTY(circle one)
Front11,
Left side - fight side -
COMMEN '_
SYSTEM USE APPROVED NO
il27/3/1 e---44---
Building Inspector
01/86 and vl
(.141/ (' 31d• 1477 7 /c Allsi
Down of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Havilarid Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME Pew,I•
LOCATION L, !3 P-,n;b, pine
"Date 31 /xi Permit No. o 6 tY26,Z-
* * * * * * * * * * * * * * * * * * * * * * *
i� = ' APPROVED - YES / NO
Footing/Pier Forms 1
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding •
Masonry Veneer
r Rough Plumbing 1),y=--I Ai_ • t./
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors •
Plbg. Fixtures
Gar. Fireproofing f
Door Closers
Smoke Detectors \/
Chimney �Z"°y
INSULATION:
Foundation ,s
Floors • / • \ •
Walls /
Ceiling \
FINAL ELECTRICAL I'SPECTION
Final Building Survey -
Next scheduled Inspection(call when ready)
Remarks- -
/VD 1-3 s A16>i7rPLu (L
}�L ✓f&i O1�`
•
•
y-/
/ ,
. • Building Inspeccbor •.
6/86 and-vl
_locum 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 /3
ifi /20-A_LC7
Date P/¢ / $'?-Permit No.
* * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
ootin ?Pier Forms Q ru - OrIC
Foundation J S ,ot
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 I SPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
own f Qa ?cniur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 7)Cuitiv e COvr S�i2r c7 '
LOCATION / 3 17/
_ j MA I
Date 17i /_3417u Permit No. R6 �b
* * * * * * * A. * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
tooting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding r-
Masonry Veneer
Rough Plumbing
Relief Valves /
Ext. Porches X
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- / '"
Ct.VI,I7 )J A� /kt P GLp1r ram/'I a7s�
irvi /273/ Q
71-17O-67;4 717//./2AY2,
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I/40,A23
Building Inspector
6/86 and-vl
c_ alf /a / / /• 6Pm
Down of Queensl urty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Pam/r h
LOCATION Lo T
l3 79nte� X.h .Q
ILL
Date f /a 9/AC Permit No. 0 - �oZ
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
XFoundation U,•K
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-
04/11/1/,( )
Building Inspector
6/86 and-vl
awn of ç . burcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME l7oral) n CGhs /.
LOCATION Lo r /3 on
� �� ��r9—3 .
Date
/1;j /�c, Permit No. /42,4 .44:
* * * * * * * * * * * * * * * * * * * * * * *
y ✓ = 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
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
(3
Building Inspector
6/86 and-vl
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