1988-003'' -'•'''-' : '','i''' li '-,-- /'''i'ir',"',,':. :.-4',-,,, .,:q';,';::e.-:;'-':: :c:,,,,.::44;•:::-,;:-i,, ,?::ec;-.:,';,: 4,,f;:,.,..-- :-'..i,..,,,:!, :,'4:-; ,,L,';','i.'',,:, •:-:::, ;-,-...,; ';':';,"---;:‘;',::c.' '''.;,::',:l.'.-.:1:- '!'.'" -"'
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,
,
' CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
D June 8, 88
ate 19 _
This is to certify that work requested to be done as shown by Permit No. 88-03
has been completed.
This structure may Acupied as a
R U\
bc One Family Dwelling
Location 4 Honey Hollow Rd. (St. No. 21) Bedford Close
Owner Morgan Kelly
Thirty Days (30) to get second By Order Town Board
means of egress from basement.
Until that time basement is not TOWN OF QUEENSBURY
approved as habitable space.
Building & Zoning Inspector
BUILDING PERMIT
Hyy
TOWN OF QUEENSBURY No. 88_03
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Morgan Kelly
OWNER of property located at 114 Honey Hollow Road (St. No. 21) Street, Road or Ave.
U.
Bedford Close l
in the Town of Queensbury,To Construct or place a One Fami 1 y T)we 1 1 i n g
at the above location in accordance to application together with plot plans and other information hereto filed and r;
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1
1. OWNER'S Address is
2. CONTRACTOR or BUILDER'S Name
Norman Ouellette
0
r;
3. CONTRACTOR or BUILDER'S Address 0
26 Elm St.
Hudson Falls, N.Y. 12839
4. ARCHITECT'S Name
5. ARCHITECT'S Address
I
td �
CD
1-r, 0
6. TYPE of Construction—(Please indicate by X) 0 0
II0
akc
(X)Wood Frame ( ► Masonry ( )Steel ( ) c� x
6 N
� N
7. PLANS and Specifications CD 0
No. 78' x 30' as per plot plan, specifications and application including a
septic system and attached two car garage.
di
8. Proposed Use Ct
One Family Dwelling
-c
Ni•
$5.00 C/0
199.00 Auguat 1, 19 88
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
co
15th January 19 88
Dated at the Town of Queensbury this Day of
�/,a,, a_
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector /L4€
IJ TO BE COMPLETED BY BLDG. DEPT. ( .
ccl�. Application No. _
/ _/own ol Queeniiurua Permit Issued 19 TOWN CCF fQUnnE i:�S `'
BUILDING and ZONING DEPARTMENT Permit Expires 19 ir V I] rl Iul I n
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation -` j U L.5 1 1`J L, ++��
U �
Queensbury, New York 12801 Variance No.
JA 1 Site Plan Review No. v
Approved by: BUILDING & CODE D
APPLICATION FORz''"7� ��
BUILDING AND ZONING PERMIT � = old
::.*
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: ) 396 _6-y N '!Fje-L Y •
P.O. Address Tel.
Property Location: // p,,/,t y //Q - -O ' RW-2) Tax Map No. / /
Str et number or building lot number /$, itjv (0) .
Subdivision name (if applicable). f �j7 a49 ,LO 5 A
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
,VDI2V7-) ,— 0 v 6--Z.- T' 2& tZ-1 s`7"--, 4L,I. 77I. d-)--/°
Name P.O. Address Tel. No.
Name of builder � ,47) .6 Address Tel.
Name of plumber f„.91 pE Address Tel.
Name of mason s,97-.n. Address Tel.
NATURE OF PROPOSED DARK: * • 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 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 7 si ft X c2/ ) ft.
* Existing building(s) Size ft X ft.
*. . . . . . . . . . . . . . . .
PROPOSED BUILDING AND USE:
,,� * Existing building(s) Use
Size of new structure ,2X ft X,ry ft '* .
Foundation-pier/slab/crawl/partia * Proposed building, distance from property line
(circle one)
* Front yard ft Rear yard //O ft
No. of stories (habitable space)
Height (grade to ridge) al / / ft. * Side yards /` 'f o ft and $— ft
If residential, no, of families * If on corner, setback from side street -----ft
No. of rooms(excluding baths) 17 * OCCUPANCY INFORMATION
No. of bedrooms Y *
Vck * PRIMARY BUILDING
No. of bathrooms * X One family dwelling
Primary heating system *' Two family dwelling
Type of fuel ,
* Multiple dwelling / Number of units
No. of fireplaces to be installed /Will a wood stove be installed? -a * Permanent occupancy
Central Air conditioning? y, , 5 *. . Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch Contemporary Log cabin * Other '
•If addition, what will use be?
*
Raised ranch Mansion Duplex . .
Split level Old style Bungalow
Ca e Cod Cottage Other * ACCESSORY BUILDING- •
Colonial Row Town House * Detached garage/one car/ r car
( CIRCLE ONE PLEASE ) * )( Attached garage/one car wo ca car
* * * * * * * * * * * * * * * . * * *' Private storage building
ESTIMATED' MARKET VALUE OF * Other '
CONSTRUCTION *
$ c)- Q t90,Go• .
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
.,
Form RPA 4/86 and-vl .
BUILDING PERMIT APPLICATION CONTINUED - •
•
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire• safe,etc. op
Will any second-hand or ungraded-.lumber be used? If so, for what? /" 0
Foundation wall material Ci0,/vGf<74C'r Thickness
Depth of foundation below 9rade (to bottom of footing) -7 /. '
Will there be a cellar? /. eated r unheated? Floor sq. footage /3c • sq ft
Will there be a basemen ? Will any portion be used as living, space?
• (If so, what portion? sq.ft. - - Type of use?
Type of roofçoP /flat/shed/other Material, of roof ;k ireo-L 5 S,4C,S✓.6-K.cJSize, wood sts 2 "X 6 " spacing 4, "o.c. length ft. >
Joists(floor beams) 1st. floor p "X /p " spacing ' "o.c. span /iv ft. . •
Joists (floor beams) 2nd. floor .p "X to " spacing //, "o.c. span / / ft.
Overlays(ceiling beams) "X " spacing ."o.c. span ft.
Roof rafters c'X 4 " spacing o.c. spank ft.
Roof trusses(pre-engineered) spacing_Q)/ "o.c. span SD ft.
Exterior wall finish .�19-/> /719-qi Of what material? Gd�ie
Interior wall finish %,'( .5 /Y -;_,T2oc,ie P.,9i;✓i e/2 • •
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
%i( 4r4� CA0,6 5yy,6T/ocK
Is there to be an opening between garage and dwelling? y`4',5 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 '7 ft.
Depth of firepl th / ft. in.
Water supply Municip or private well
SEPTIC SYSTEM _ Distance from ANY private well(including 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. 77
SWORN TO BEFORE ME THIS Signature w�✓..^_
Owner, owner's agent,architect,contractor
day of • 19
Notary Public, Warren County, N.Y. •.
* * * * * * * * * * *• * * * * * * .* * * * * * * * * * •* * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT: •
• µ
By
. t
�iurn e oftemadevoy
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE / /
LOCATION OF PROPERTY FOR INSTALLATION AP 7-0 D4a"" Oeak'9�
Owner's Name: o52 - 6 / Telephone:
Address:
Installer's Name: /7/29,,Z"22,4/, ® //4GzE77eTelephone: 7yer—
vS/12
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) ��v
Topography: circle one Rolling Steep Slope % of slope
Soil Nature: circle oneone•datirA 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 on Munal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ r— feet
PROPOSED SYSTEM: Septic Tank #O(' gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 5C' feet / Total system length (957.9 feet
SEEPAGE PIT(S): Number of / Size each ----- feet by feet
Size of stone to be used # / Depth or Thickness /� � 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:
Date:
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
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 27i. Sf / 7
2 . Type of heat 2 v') (.�O d7Gi.d /fir / vr",
3 . Is the building mechanically cooled? Y.S
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
7 E a/e- - i — 7
2 . R value of exterior walls i! -- /
3 . R value of glazed area �r
4 . R value of doors _/
5. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8 . R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade) /C-)/
10 . Type of insulation r<����/./*S5
C. Controls
1 . Thermostat maximum heat setting 70
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 5/
2 . R value of pipe insulation:
F. . Service Water Heating /
1 . Performance efficiency 7D/D
2 . Temperature control setting maximum /fe9 "
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. l 9—&5 (
(applicant ' s signature)
1
TOWN 01° QUELN:;11URY
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 3/0p?
2 . Type of heat 6eout.A1 Sowrce. /lea.* e✓ e
- 3. Is the building mechanically cooled? Ye s
4. Percentage of , area ,of windows and doors /c2 , 7 !a
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
$,. Under 16% Only.
a 4 value of roof and floors exposed to ambient conditions_
iC -38
2, R value of exterior walls ,e-/ 9
3, R- value 'of glazed area K - 3►3
4, R value of doors
5. R. value of floors over unheated spaces ze>
6. .R value of;`slab. edge insulation unheated slab /1O
•
7. R value of slab insulation heated slab /V /1
8. Rvalue of heated 'basement/cellar walls (above grade) 1e i/
9, R value of heated basement/cellar walls (below ,grade). R-//
10. Type of insulation eicaeg [ 5S d- coa.ra
C. Controls
1.' Thermostat maximum heat setting 06° .
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 �T
2.. R value of pipe. insulation A,t/q
F. Service Water Heating
1. Performance. efficiency 9.5A5
2. Temperature control' setting Maximum.)
G. For Swimming Pool Only
1, Maximum heating
Telephonfe No, �A! 1
(appl'ic'a s ignature)
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 .__
CITY 9,111 r/
►L r ;
VLAGE...�1 ' ! ./ ,-,i TOWNSHIP ep/!r/:!(�`-1/?4::'F�S" COUNTY /i r�{,/J7✓', ry
STREET AND NO.OR
ROAD AND POLE NO. .�. (; ,1/'cl/ ,r7():^„,r'. j; - ? ✓ - ',._, ,.,:f9' POLE NO.
BETWEEN WHAT TWO ✓y /J �
CROSS ETS
PREMISESSTRE LOCATEIS D? f.r`' - -',:'7-- SECTION BLOCK LOT
OCCUPANT'S ' / BUILDING
NAME fti 7,,: /j ,-!..,;i /" , /:- U G r - OCCUPANCY &Lf- //
,,, .'r( .
OWNER'S NAME ( %
/ TEL.#
AND ADDRESS %'lil7at s ^r ,.c_: ,.r !.• t //f
CURRENT •
' SUPPLIED .7 , /� 3 ,.� s ! f , _ , C OFFICE
BY ,.`7.!, .44:7 F_i ,4:;l'�'7fi,`6^s'J . FROM THEIR /: / /- --i , -.4.::.r
SBUILDING NEW V. OLD II IWS
NEW ® ADDITIONAL❑ REMOVED DEFECTS ❑
• LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS • Lamp Receptacles MOTORS HEATERS CIRCUITS
Lam- ONLY
tion Side Attaeh't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Eaeh No. Gauge INSPECTION
Out-
side
Sub-
base
Base-
ment - .
let 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 ;-!O!i7 ,,=t7 ;.,.f! FEEDERS LAMPS - WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE %f (NUMBER) (CAPACITY)
STARTED / f/' •1 COMPLETED SIZE OF SIGN
SERVICE OVERHEAD ' UNDERGROUND MAKER
ENTERS X OF SIGN
BUILDING
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. APPLICATION
PRINT NAME AND ADDRESS // -
NAME OF //� -' X SIGNATURE li' J/
APPLICANT Jrfl✓ 4%;.,.. :i - ,,'; r l''f / /- 7.lid .� //r4- ..��.
OF APPLICANT / .r
STREET ADDRESS:7: (,- / L. d%'i f . "i TELEPHONE# /i.''4�')
CITY OR r.,r'�, it ) <r f: ZIP LICENSE NO.
POST OFFICE ��'-'�-s '2/-' 1% ' '�-''' r' ✓.ai, �, CODE WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
c �1--)9,1,A.ARA, J}l:0e,i�ti,a9i_aa.kR1,M,Ah...1,94 t..L.RLA.1,a,4.,LL," 11 11.13,/L.[j,!i,.A114 0t,!."..19), „LIRi..Ltt.1114tia./.,. .e,!.at!.at(.afi,"„tel,"..1•!.‘11,„19,,ARi,AIRJ, .."jel:nRJ N,s•i.:•f.,!
tt; THE NEW YORK BOARD. OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITYF.
�; 41 STATE STREET,ALBANY,NEW YORK 12207
Date Juno 16 , 1986 Application No.on file 004564/3.8 A 7 1 q�_^7 9
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 r3
Non man O're11 ette Honey Hollow .de Cl e Falls,' New York re '?_den e:e P�
1 in the fallowing location; '�" OQ? S ��� �"f_ g El ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot
was examined on 6-E.:-8?•'?, and found to be in compliance with the requirements of this Board.
'c,,, FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ECEPTACLES SWITCHESI�culr
Ly OUTLETS INCANDESCENT-FLUORESCENT ICU AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. .
'� il 31 61 26 26 5 4 '5
' cx DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
MAT. K.W. OIL H.P. GAS H.P. T. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT, H P. - SYSTEMS AMT. WATTS
•a r� rn :: t•I NO.OF FEET
.� (tc or Yt.r�,.�Iy� y
v SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER 10 2W 1 A 3W 3,B•3W 3 A 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A:W.G.
EQUIP. PER B OF CC.COND.. OF we a OF NEUTRAL A-.
E 1 2t10 en 1 .. �; 4/0 2/0 ®k,
`r�sal 2
OTHER APPARATUS: Elec. Room Featers: .3/2.0 , r a o� � ` g-
P Panels:u; 1/20 100
7.i
:;v 2-smoke dry ector s '
p
✓ I 5 F01: 155 o
Glens �. ! r Y 3 239 BRANCH MANAGER
Per _
e x X, 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. .:
it 4-er• ® ® 0 0 5 ® ® ® ® ® 0 EGO ® 0 0 8 I7 0 5329 ® 0 ® 0 0 min ® ® mew min 0 . -,. %.'%.;•r ,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
c� k21// yr, <<
.Town o f Queen:iury
/in BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
afyi)Queensbury, New York 128014, 6Alt:/a
1` ILDING INSPECTOR ' S REPORT
NAME
LOCATION / A/ 7 D/i6`�-�
Date 41 ' / ( Permit No. - U 3
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing /
Backfill
Framing
Roofing
Siding
Masonry Venee.
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi g
Door Closers
Smoke Detector_
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling L////
FINAL ELEC''RICAL INSPECTION
DRIVEWAY AP ROVAL
Final Build ng Survey
Next scheduled inspection (call when ready)
Remarks012.6. /Ca 41/0/
Bui di ,g Inspector
6/86 and-vl
1 , INFORMATION FOR BUILDING DEPARTMENT
1
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THE NEW YORK 1 if. ' % •F FIRE UNDERWRITERS
APPLICATION NO. Lr.
°7 ,/ .
LOC/ �/�j� rI A
DATE NSPECTOR j
.__I_ FORM IBD(REV.1/86) - - - - --
Jown of Quecniur1
B ,ILDING and ZONING DEPARTMENT
a and Haviland Road, R.D. 1 Box 98
,iiiejAA:Apfilid
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME y-m_yi&oti
/�
L O CAT I ON//4 o/�� Jam/ �`e�le-gee i ,&-
/v
Date 6 �.J /F? Permit .No. g
* * * * * * * * * * * * * * * * * * * * * * *
se, = APPROVED - YES / NO
Footing/Pier Forms
Foundatio
Waterproo' 'ng
Backfill
Framing
Roofing /
Siding ✓
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches v
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors /
Plbg. Fixtures 4/
Gar. Fireproofi g ✓ /
Door Closers �✓'
Smoke Detector-.
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT CAL INSPECTION ✓"
DRIVEWAY AP:ROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- A/v 1_(�e'_
:tck
r\ /
ter`
i‘Jk#
Bui ding Insp tor
6/86 and-vl
•
SS� Jo o/ Queenurey
(� BUILDING and ZONING DEPARTMENT
,
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ��
LOCAT ION 774 47 11 / ,j) ar
Date 3/ / Fe- Permit No-rA
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES,/ NO
noting/Pier Forms p_,de4;/j -7, 1./'_
Foundation
Waterproofing
Backf i 1.1 f
Framing
Roofing
Siding
Masonry Ven,.er
Rough Plumb ng
Relief Valy •
-
Ext. Porches
Finished Flo. s
Interior Trim
Stairs & Raili gs
Cellar Drain Ti e
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELEC RICAL INSPECTION
DRIVEWAY A'PROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
h1
' \i
•
r `
Building nspector 6/86 and-vl
/� c� //
�r` _town o f Queenibur y
k l BUILDING and ZONING DEPARTMENT
1°‘ Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S p� , REPORT
NAME , f'/ '
LOCATION ZM/// W Z.Z7 //„p6
Date 3- f/A Permit No. ig--0
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Ba5kfill
�E`raming I
Roofing
Siding
Masonry Venee
, ugh Plumbin•
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofin•,
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling /
FINAL ELECTRICA INSPECTION
DRIVEWAY APPROVAL;
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- J /
I
Buil ing, nspe o
6/86 and-vl
9r awn of Queenitury
BUILDING and ZONING DEPARTMENT
l Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
MLh-
LOCATION k 1 Jq /t AiG--y' /,0 Lob 1(2,0
Date J/ R/ RR Permit No. Fe--a3
* * * * * * * *. * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms C /A-6&
)(Foundation (/
'(Waterproofing 5/
)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 CICsers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL EL;CTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
e
N 7'D °o"/Dt/, 1
APA.A.,/lia
agl
Bui ding Inspect./
6/86 and-vl /.
•
.777wi6; ,974 :',23cp
awn o/ Q 'e n urcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME / YoR64/i KFay p/�'Ri4OVi �l ETl
LOCATION O fi ) 1)
Date i/ /rY_ Permit No. /
✓ = APPROVED - YES / NO
looting/Pier Forms 1//
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vender
Rough Plumbi g
Relief Valve•.
Ext. Porches
Finished Floo s
Interior Trim
Stairs & Raili gs
Cellar Drain Tile
Concrete' Floors
Plbg. Fixtures
Gar. Fireproof in•
Door Closers
• Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls •
Ceiling
FINAL EIEC RICAL INSPEC'I ON
DRIVEWAY A"PROVAL
Final Builsing Survey
Next scheduled inspection (call when ready)
Remarks- 4„„11Ov/e O,S1 4 (;2e p/<e
•SC g{/
uilding Inspector
6/86 and-vl
_loran o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION� �
NAME ; J v /l...22 /i ,
LOCATION /i 4-7 di/U t6I
DATE ---- PERMIT NO. ,?-r-c.), „1:5
SOIL TYPE - and , Loam - Clay -
Percolation est Required? YES - NO
. Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total le •th '�
Length of each trench . ,
Depth of trenches 02
Size of gravel_ , ,: _
SEEPAGE PITS4Number .f)
Size- ft. X _ ft.
Gravel s'ze
PIPING: Size Type
Bldg. to -talk PV .-
Tank to dist. box i/
Dist. box to Feld/•' C1
Openings sea e• CD ' NO Partial
LOCATION/S 'ARATI• S:
Foundation to tank LC ft.
Foundatio to absorption aSft.
Absorptio to lot lin_ tD ft.
Separati• of pits r- ft.
LC� '-SON OF SYSTEM ON P'sPERTY(circle one)
on. - ear - ...kg_ft side Right side -
COMMENTS.
•
g('
SYSTEM USE APPROVED N ik,/,
I
Buil ing Inspector
•
01/86 and vl