1988-036 t •
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August I 5. 19 88
1-7- -
This is to certify that work requested to be done as shown by Permit No. 88-36
has been completed.
This structure may be occupied as a One Family Dwelling
T—Sc28 Hidden Hills Drive
Location
Owner P.J. Enterprises
By Order Town Board
TOWN OF QUEENSBURY
-Z2-()e7
Building & Zoning Inspector
•
BUILDING PERMIT
TOWN OF QUEENSBURY No 88-36
WARREN COUNTY, NEW YORK 0
I
•
PERMISSION is hereby granted to
P.J. Enterprises
U,
OWNER of property located at Lot 28 Hidden Hills Dr. (St. No. 28) 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. ro
1. OWNER'S Address is P.J. Enterprises
22 Lincoln St.
0
Hudson Falls, N.Y. rt
m
2. CONTRACTOR or BUILDER'S Name
rn
Same rD
0
3. CONTRACTOR or BUILDER'S Address
Same
0
0
4. ARCHITECT'S Name
Iv
H
H
m
5. ARCHITECT'S Address 0
•
C)
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
r7
Cl] N
CO
7. PLANS and Specifications rt
x '
No. 26' x 59' as per plot plan, specifications and application ° a
including septic system and attacheed two car garage. I.,
OD
8. Proposed Use x
One Family Dwelling
H
w
d
$5.00 C/0
$ 122.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1, 19 88
0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
W
Dated at the Town of Queensbury this 18th Day of February 19 88 H.
H
SIGNED BY %/" l a- for the Town of Queensbury
Building and Zoning Inspector
N�� • m
H
H
H.
OQ
TOWN OF OU _.,
• TO BE COMPLETED BY BLDG. DEPT. �- C, • VI I~, tji'"�] Application No. Eli V
awn o f Queenilury Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 i FEB1�19�8
Bay and Haviland Road, R.D. 1 Box 98 Zoning De& e . ion
Queensbuyy, New York 12801 • • Variance ,o. BUILDING & CODE DEFT.
Site Pla Review No.��_ /0 •Al<fit7 '
0..,b APPro `bY:/ f/ 111�,aD
APPLICATION FOR ul� rr_ ..1f! �;_ ,l �� tJd
' 0 7-i
BUILDING AND ZONING PERMIT 1 I !_
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:;*
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 Per�m/it.
The owner of this property is: 1 11' l I l /`,C, , (J ,SelL14cA-100.5;e1 of 14�1S�1 �I) .ICJ
P.O. Address Q a ki✓ c,01 A s+' 4.J uvl ,dis ,t Y, • - Tel.7 7`0R 7 7b
Property Location: a 1-1U c>I;) )4, Ida rJ C, (V 16/eP �) Tax Map No. _/ /
Street number or building lot number
Subdivision name (if applicable) 14t J 1c 4 0-'1 iS
THEE PERSON RESPONSIBLE FOR SUPERVISION�- OF WORK AS REGARDS BUILDING CODES IS:
L
1 I`1 I l l p �Jc.1\e C a,c ✓"►t 4.3 .ei 4..iLi �
Name P.O. Address . Tel. No.
Name of builder SC-wAe- Address Tel.
Name of plumber c‘.,,N.e, Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * • ZONING INFORMATION:
,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 \ 0 C) ft X 1�j ft. X
* Existing buildings) Size ft X ft.
*. . . . . . . . . . . .A Ne,
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure -, (o ft X _ ft * AU vLe., '
Foundation-pier/slab/crawl/partial EPA * Proposed building, distance from property line
(circle one) *
* Front yard •�j— ft Rear yard (2 ft )(
No, of stories (habitable space) * Side yards 7 • • ft and 7 ft X
Height (grade to ridge) ft. * If on corner, setback from side street ft of
If residential, no. of families Q h ,
No. of rooms(excluding baths) �2.j5v0 • * OCCUPANCY INFORMATION
No. of bedrooms j h re c_ *
* PRIMARY BUILDING - -
No, of bathrooms iya * One family dwelling
Primary heating system c6S /4A
Type of fuels * Two family dwelling
No. of fireplaces to be installed 0 * Multiple dwelling / Number of units
Will a wood stove be installed? 0 * Permanent occupancy
Central Air conditioning? CD * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial •
*" Other ' '
Ranch Contemporary Log cabin •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/ two car/ car
( CIRCLE ONE PLEASE ) * .a Attached garage/one car/(Sio car ' car
* * * * * * * * * * * * * * * * * *' Private storage building
ESTIMATED MARKET VALUE OF *• Other
CONSTRUCTION *
$ 5c'�(7UU
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: r .
Type of-construction, wood frame, fire 'safe,etc. ' 0Ju61 ,1-s4.✓ti e
Will any second-hand or ungraded lumber be used? If so, for what? J✓l7
Foundation wall material riuAksterTC. cx-X - Thickness A) "
Depth of foundation below-grade (to bottom of footing) Cp a -7 .. k
Will there be a cellar?NkS Heated oranheated) Floor sq. footage -7a�. - sq ft •
Will there be a basement? Will any portion be used as living space? ,i✓0
• (If so, what portion? sq.ft. - - Type '-of use?
Type 'of roof - sloped/flat/shed/other • Material-of roof . .hc,.t�i45 5-AJA)/c.5
- Size, wood studs a "X spacing ji„ - "o.c length ft.
Joists(floor beams) 1st. floor '_ "X l® " spacing j(, "o.c. span_ VA ft. . ' .
Joists (floor beams) 2nd. floor _&"X 10 " spacing j, "o.c. span' PI ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing • o.c. span ft.
Roof trusses(pre-engineered) spacing ' a "o.,c. span a 7 ft.:' ' .
Exterior wall finish S,G�i,n5 ' ' Of what-material? . Ul yL
Interior wall finish . keep (\ .Ks • - - -.-. . . . - .. .... - •
If a garage is to be attached, dejcribe-materials to be used for FIRE SEPARATION: .
CAS 6. 511ec Ufa&K 1-1 et C,,Jc • . . ., . . .
Is there to be an opening between garage and dwelling? Vej If so will a Fire-rated
door, enclosure, and self-closing device be- provided? �S
Will a flue-lined chimney be installed? A/C) Height above roof ft.
Depth of chimney foundation below grade - . ft.
Depth of fireplace hearth ft. in. ,
Water supply - Municipal or private well - V - AJs'1((./( ti,1.
SEPTIC SYSTEM _ Distance from ANY private' well(includin4 adjoining properties ft.
(A separate application- is necessary for any repair or new installation of septic system)
Town of Qf 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. 141
___ _`_ _ _SWORN TO BEFORE ME THIS Signature_ - 4
• Owner, owne1's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.• -
* * * * * * * * * * * * * * * * * .* * * * * * * * * * '* * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE.PERMIT: •
•
By
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 v O
ok
2 . Type of heat G-GLJ I OCceJ RA- A <
3 . Is the building mechanically cooled? O
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 - f
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls 1C-V
3 . R value of glazed area
4 . R value of doors IjvI
5. R value of floors over unheated spaces C 2
fr
6. R value of slab edge insulation - unheated slabi_
R value of slab insulation - heated slab ` -',7- 2)
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10 . Type of insulation 1jq'�0
C. Controls J
1 . Thermostat maximum heat setting
0-14 Duct Systems
1. Is duct system installed in unheated spaces? " Nu`:,
a. If YES , R value of duct installation c,--
b. R value of duct in other areas
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe AI A
2 . R value of pipe insulatiori. '
F. Service Water Heating �%/
1 . Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only f /
1 . Maximum heating n/ aA
Telephone No. 7G1 )---g (17 (7
a li arf�ts si na ure)
( PP ' g
attfigarte
APPLICATION FOR SEPTIC DISPOSAL PERMIT
s � ,
DATE s t7
LOCATION OF PROPERTY FOR INSTALLATION . ? 11�Mel .I-�� iS 1CIC�
Owner's Name: V 1V UCH K c • Telephone: CCj / -a t 7 5'
Address: M a t o (vx .'ltv 1 u 4:1-115 AJ JOC�J 7
Installer's Name: )C .. - -Telephone:
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150'gar per`bedroom)
Topography: circle ones Flat Rollin= 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 domestic water supply is.a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank (Y t gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench r ' feet / Total system length feet
SEEPAGE PIT(S): Number of '� / Size each feet by a. feet
Size of stone to be used # p� /. Depth or Thickness /lectuiied 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 systein, 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: 5-15-e
, Town of Queensbury
Building and Code Department.
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SiTTL FED 1- . . OF " ' 4,1 r'llrlD NI ' WE
y ' er G(/// Fl
-y...,,tip...t���,...)y!,.1.i..oti 1•i,a i.�9i,�,9C??,1Xi..,�ti>s.4,— .�.c..,").a i.):9!—\9i,)"J..,�. .J.1�6.)"i.)..i„1.{....�,j_.t).. ..aP.t),9Ja.,:'5).�5i,)51.5.5i,a��,'5!,;,•1.�5i.1•!••19 cy.1,1...w 5• c_5t ,•'+_9?.1_� 4• ,,
THE NEW YORK BOARD. OF FIRE UNDERWRITERS '.
� �• BUREAU OF ELECTRICITY
: RIG 41 STATE STREET,ALBANY,NEW YORK 12207 •�-;"',
j AUGUST c Application No.on file { c r r F .:`) '41`.
1; Date r �o �. a L� r SlCl_.a3GJb� A d
!n THIS CERTIFIES THAT ::ii
Vic' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
II; PJ ENTERPRISES, HIDDEN HILLS DIVE, GLENS FALLS, N7
i;
'• in the following location; rOUTSIDE 'r a. 2 :.-
Basement 1st Fl. 2nd Fl. Section Block Lot �, 7 1 71
Fj t; was examined on 3/10/G3 and found to be in compliance with the requirements of this Board. ;: 1
1
'•` i' FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
F_R �' ECEPTACLES SWITCHES {
,� �, OUTLETS INCANDESCENT-FLUORESCENT �VAPORr
': t, •
VAPOR AMT, K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ';�
A �, '�C7 41 16 2 V 2 •
1 4.6 3 F F ''i ce
t.' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS y
SYSTEMS 'i-
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. . AMPS. TRANS. AMT. H.P. �,OF FEET AMT. WATTS
� A.
2 1 x 1 71WTC,fW irk 10 .1
�, Y n c,r,.n ' n •i
10 SERVICE DISCONNECT NO.OF "` "`S A J E R V I C E ':
METER '
AMT. AMP. TYPE EQUIP. I,B'ZW 1 B'3W 3 if 3W 3,B"4W NO.OAR ciCOND. OF CC.COND.. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
t 1 200 C i I =p/U �..a`2. , >,' ,�,U .;,
i OTHER APPARATUS: r'+Cr:;, '' i
r1: _..;:emu_�\•: - 1�
'A. 3— G CI f.. .Y`<•:
.; 1— SMOKE DETECTOR .<.;._ ` '�
..c.,#9-\t''' .,..F,
r RE AS
F i-; id: 4 172 EAST DRIVE
BRANCH MANAGER
INT
'GLENS FALLS, NY 12301 J' • 1-`;
1 , Per
14; 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. ;:%?.
p Lai•-i i'-i� Lai-i�Y'i�YY�Y-i�?7�CY�'ci�i-4,ri� ."4-ri�YY�t'i�r'ielt-ri�7Y�Y•i�i-ie s ® ® 51 5 ® II 51 CI ® el ® n in ,^_i
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i=;`
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
- FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. •
- . 'TEMP.# (DATE. 's%;, ' /7-
f: ( .- " c-
CITY OR /'^ + `' g
VILLAGE c'T K� .-1 -,, /'& // TOWNSHIP • COUNTY .1z., ti i- _✓1
STREET AND NO.OR ii ,� {{ j f;. 5� . -
ROAD AND POLE NO. I'1 1Jilt.1 e ± 7IL, r) t .- C POLE NO.
BETWEEN WHAT TWO - -
CROSS STREETS IS •
SECTION :/�` BLOCK __..2 LOT
PREMISES LOCATED?
OCCUPANT'S BUILDING ' -.�,
NAME OCCUPANCY
.OWNER'S NAME �ry g !- , -` / / TEL.#>`
AND ADDRESS If`l ill-I f,....%( .A.Cr -l}:�:�;1= /<'1 ', I.� r
/ 't/:Yg / &.t ,I , %?
' Ni� J
CURRENT r- r/
BY
,r` 1 p t,p I ) - FROM THEIR U%((-.-i j ;} -, /f) OFFICE
BUILDING / f ! ry. • WORK DEFECTS
IS NEW OLD❑ IS NEW ADDITIONAL❑ REMOVED ❑
fl,ql LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures s MOTORS HEATERS CIR NCH OFFICE USE _
NUMBER OF OUTLETS Lamp Receptacles - ``- ONLY
Loea- '
tion Side Attach't H.P. Warn 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 0 ('0 -1 ;-�1;) FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK • CONCEALED . TRANSFORMERS OF VA
WORK TO BE -1 jJ ,- „+- (NUMBER) (CAPACITY)
STARTED ok i;j' COMPLETED SIZE OF SIGN
SERVICE OVEFIHEAD UNDERGROUND MAKER
ENTERS f/�" _ OF SIGN
BUILDING •
INSPECTION REQUESTED -
ON OR AS NEAR AS '
POSSIBLE - NEW Li OLD 111
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES ., DATE OF• . q ;-/f.r
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION # - / ,1 '., '
PRINT NAM AND ADDRESS - • r/ .,
NAME OF J J !% /.' SIGNATURE ft-��'/ 7.1./ .: {' j
APPLICANT ` I %'t- x ,.../(-A-(i X OF APPLICANTS. .'"'- L`}='7` .,,,,, -"- "''
STREET ADDRESS---e C, µ..r"i i f,l J / - - I TELEPHONE# ! ,,v ', .�Y'
CITY OR # F�-! /I ,/ / ZIP /,�,s. r� LICENSE NO. .
WHEN APPLICABLE POST OFFICE ',.,A :J": s +-� CODE t1
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
z . INORMATION FOIL BUILDING DEPARTMENT
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 BOARD OF FIRE UNDERWRITERS
APPLICATION NO 6y�3�'
p-opm)
L A�ION „,
DATE IN ECTOR
P(1RNA nu)(RFV /1161 (`
flown of Queeniurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
id/
Queensbury, New York 12801
lc ,iii.xii
u BUILDING INSPECTOR ' S REPORT
NAM
� � '-1226Z.A1-e...te/
LOCATION � "�, 4 _.,./Ldzi,,,- .,,,,,i(5,
Date 8-9 at Permit No* g
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill /
Framing 7'
Roofing
Siding
Masonry Venee
Rough Plumbin•
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 ELECTRI AL INSPECTION
DRIVEWAY XAPPR�jVAL ; 1Final Building`Survey
Next scheduled inspection (call when ready)
Remarks- /ife
fl,e n o f (II' /4-'.14"IJ-6)
C 0 fig //17c
/1
Building Inspector `-
6/86 and-vl
_awn o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME tV
LOCATION
Date �� %%_ Permit No. i0" 6'
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
dation
Waterproofing L/
Backfill
F{aming
Roofing
Siding
Masonry Veneer
v.Rbugh 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
71 1SULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection// �� (call when ready)
Remarks— Ft9fi cf;f'a%t./+ pL vcafe p
41
AV "ahead
ivahy�,D ���/J/f
01-14
Buil ing Inspector
6/86 and-vl
(10/P1
` -own of Queenitury
BUILDING and ZONING DEPARTMENT
t° a nd Haviland Road, R.D. 1 Box 98
e New York 12 01
•
I IN ECTOR ' S REPORT
/.4 ' .
`�LOCATION ?.7Z ,z� yg z � �ls
Date, / /Apv Permit No. gf=,..
✓ APPROVED - YFS / NO
opting/Pier Forms ,�
Foundation
Waterproofing .,
Backfill , ' s'
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 (ca�lll when ready)
Remarks- 0
--'-------- j 7 pi
i -e iv ' -77.e-. ___
•
___
_____
. ..........._
4, 7/ ___
, , ,,,, .
, ,,,
' Building inspector
6/86 and-vl
/y1
ceri _. wn Of Queeniurty
IU yr I BUILDING and ZONING DEPARTMENT
r - Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME `
C ✓64/7/ Pr'
LOCATION L ////
Date ?tb) / Permit No. Pr-0 l
* * * * * * * * * * * * * * * * * * * * * *
V
= APPROVED -,YES / NO1 eating/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 Detector-
Chimney
INSULATION:
Foundation
Floors '
Walls
Ceiling
FINAL ELL TRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-. ,.,, )( i(_ __ __ I p
p >/ 7/7
go ?,
ii
.
,,j / K / i2 ---
/ _---
)14-----
Bui ldin"Ins rector
6/86 and-vl
�, Jown of Queenitur,
�',/VJ BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
f71411
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION /..z 7
Date V..5- / Permit No. YS-` (p
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee'
Rough Plumbin•
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi g
Door Closers
Smoke Detect. s
Chimney
INSULATION•
Foundatio
Floors
Walls
Ceiling
FINAL EL CTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey ter
Next scheduled inspection (call when ready)
Remarks-
•
Building In pector
6/86 and-vl
Jocun of Queenitur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION �_ 1
Date / 3 Permit No. --1-3J.9
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing J j' 4/1
Roofing
Siding 1�
Masonry Vene-r
Rough Plumbi .•
Relief Valves V ,
Ext. Porches
Finished Floors
Interior Trim V
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof' g
Door Closers
Smoke Detecto, s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELEC RICAL INSPECTI
DRIVEWAY APPROVAL
Final Building Survey } '
Next scheduled inspection (call when ready)
Remarks- 11, , L ��w �
0 ( VPi FP4/14if Val/11 GD".e#
‘z.,L-0,44 e-4,11 eib(44.:." 14-
Bui ,rapid i
6/86 and-vl !-�r
i\ c�
•
Jown o/ Queenihur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
�_, 11 .
Queensbury, New York 12801
., .
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 1 Ij. +J ''_) :y1.�
LOCATION . c�,2 1 ,J_ 2'--,'.: 1 , . • .l' •
DA _ / r-' PERMIT NO. 0 --d '&.J
SOIL 4YPE - Sand - Loam - Cl. -
Percol:tion Test Required? ES - NO .
Percola 'on rate - Min/Inch .
TYPE of SY.- TEM: •
Absorption ' 'eld, total le =th `I '��
Length of ea • trench •
Depth of trenc es •
Size of gravel
SEEPAGE PITS4N .per of) •
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank LI/ /{`C
Tank to dist. box j P• -"
Dist. box to field/.: }
Openings sealed? (ES •N0' Partial
LOCATION/SEPARATIO 'S:
Foundation to tank 7, ft.
Foundation to absoi ption '! Oft.
Absorption to lot line • ft.
Separation of pit. ft.
LOCATION 4sT , ON PROPERT (circle one)
Front - ear 1 Left side - Rig t side -
COMMENT :
,-- ..
fry, 0,7
I
SYSTEM USE APPROVED YES ".yO ./
e//7
Building Inspector
01/86 and vl
u
t' S
s