1988-087 .4; .„'nt
_
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
May 26 88
Date 19
(23,0 I
This is to certify that work requested to be done as shown by Permit No. 88-87
has been completed.
This structure may be occupied as a One Family Dwelling
Location Lot 19 Pinion Pine Lane (St. No. 16) Van Howe Estates
owner Gregoire Construction
By Order Town Board
TOWN OF QUEENSBURY
•Buil,ding & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-87
WARREN COUNTY, NEW YORK
0
,•
PERMISSION is hereby granted to Gregoire Construction
Lot 19 Pinion Pine Lane l
OWNER of property located at Street, Road or Ave.
Van Howe Estates
in the Town of Queensbury,To Construct or place a
One Family Dwelling 1O
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.
1. OWNER'S Address is G�
64 Burgoine Road
Saratoga, N.Y.
N•
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2. CONTRACTOR or BUILDER'S Name
0
Same
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3. CONTRACTOR or BUILDER'S Address
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Same
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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rt
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6. TYPE of Construction—(Please indicate by X) • rd
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( X)Wood Frame ( ) Masonry ( ) Steel ( ) o N•
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174 U
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7. PLANS and Specifications
w
No.septic
x 62' as per plot plan, specifications and application includingrD
septic system and attached two car garage. r,
8. Proposed Use rD•
One Family Dwelling
0
$5.00 C/O
ro
$ 164.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1, 19 88
(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.) N
Dated at the Town of Queensbury this 22nd Day of March 19 88
co
SIGNED BY 7Ct-(ilk (2. <<(/(! ) for the Town of Queensbury
Building and Zoning Inspector "4E •
r L W'4 OF QUEE.N.--77:.i
. . . . TO BE COMPLETED BY BLDG: DEPT. . Q .2 I[-i wi 7. '-
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Application No. U
Jown oI Queensbur� permit Issued 19181988.
BUILDING and ZONING DEPARTMENT - �" '�
Permit Expires 19 -
Bay and Haviland Road, R.D._1 Box 98. Zoning Designation ' . BUILDING & CODE.bEPT
Queensbury, New York 12801 Variance No,
Site Plan v'ew'N
�1 ✓I _ Appro ed . - .
�" APPLICATION FOR
BUILDING AND ZONING PERMIT G� �.
* * * * it- * * *. * * * *• : *: * * * #. * *:.* *. * :* .:*. .* * * *. * * ..* . * * * * * *..*:.*
A PERMIT MUST BE OBTAINED BEFORE BEG,INNING' 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 maybe indicated on.the Permit. . . - . '.
The owner of this property is: .. -
P.O. Address /� / f ..¢r �0-=04,„ �a ai ' . ' Tel. .5��7�d 6/f3
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Property Location: oii `�� /ua Tax Map-No. y /'
' Street numb buil ing lot number //
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Subdivision name (if applicable). _1/4 7:-/I w F - E5' - •S'. . .
THE PERSON RE PONSISLE FOR SUPERVISION* WORK.AS REGARDS BUILDING CODES IS: • •.
911
Name .. . P . dress . - . -// . . • Tel. No. .
Name of builder �I,/7,0%.1.-� Address j i•get e o-.- ' Tel. 7 t-F/"'p 6 c{3
Name of plumberAddress ' ' �?. . . Tel. 7fg.- S'A 7 0
Name of mason 1"..0y., ,, 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 /Q ,� ft X .4Q- ft.
" * Existing building(s) Size ft X ft... . .
* .
PROPOSED BUILDING AND USE: * Existing building(s) Use, .
Size of new structure oZ(c ft 'X f'2-ft * .
Foundation-pier/slab/crawl/partial ME * Proposed building, distance from property line
(circle one) * s'D ft.
No. of stories (habitable space)
* Front yard' ' ' .&'.7 " ft Rear yard
7---• * Side yards. ' ' ft and yi ft
Height (grade to ridge) ' ft * If on corner, from side street ft
If residential; no. of families ',"•• •
No. of rooms(excluding baths) . 7 - - * OCCUPANCY INFORMATION
No. of bedrooms
No. of bathrooms * PRIMARY BUILDING
* LLOne• family dwelling
Primary heating system ,4 'Gl t *• Two family dwelling
Type of fuel ?arda Lt/J/ •* Multiple dwelling / Number of units
No. of fireplaces to 'be installed . atp ermanent occupancy
Will a wood stove be installed? *
Transient occupancy
' Central Air conditioning? •
*
- 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 * .
Cape Cod Cottage Other . * ACCESSORY BUILDING- • . •
.Co onial Row' . Town House . *' . Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE-) : - .*" Attached garage/one car/ wo car car
* * * .* * * * * * * * * * * .* * * * ' Private storage building
ESTIMATED MARKET VALUE OF *' Other .
CONSTRUCTION $ 13 y/ &6'
.7 -
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! . '
Form BPA 4/86 and-vl .
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BUILDING.PERMIT APPLICATION CONTINUED •
-BUILDING. SPECIFICATIONS:
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Type of construction, wood frame fire_safe,etc.
Will any second-hand or ungraded lumber`be used? If so, for what?ti
Foundation .wall material rek
p-�. '�� -.. ' Thickness j6 •
Depth of foundation below grade (to bottom of footing) ( "
Will there be a cellar , Heated or unheated?_. AD j ioor sq. footage �,/ '7 6 sq ft
Will there be a baseme ? Will .any portion, be used as living space? %y O
(If so, what portion') 4 sq.ft. - - Type of use?
Type of roof -Olope flat/shed/other Material••of roof %�4- t..��
Size, wood studs ,_ "X 4, " spacing / "o.c. .length ft��
Joists(floor beams) 1st. floor "X l Q " spacing / ( "o.c. span // ft.
Joists (floor beams) 2nd. floor s2- "X ip ". spacing (G "o..c. span ICI ft.
Overlays.(ceiling beams) : ucy'X ".. spacing pc."o.c. span 1_4 ft. -
Roof rafters 7r, �jy. " spacing o.c. span ft.
(Roof trusses(pre-enginee a spacing .ZY•-"o.c... span, 4 ft.
Exterior wall finish ' ..Of.what material?
• Interior wall finish
If a garage is to be attached, describe materials to.-be used for FIRE SEPARATION:S' 42,,e4
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 a ve roof L ft. •
Depth of chimney foundation below grade_ 6 ft.
Depth of fireplace hearth 1 ft.0 in.
Water supply Municipal or private well
SEPTIC SYSTEM i ance from ANY private well(including .adjoining properties /G 0 ft.
(A separate application is necessary for, any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT
County of Warren STATE OF NEW YORK
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 '
Owner, er''s agent,arcnitect, ontracto
3 day of/ ( •
19 ��
Notary Public, Warren County, N.Y. •
* * * * * * * * * * * * * .* * .* * *- *. * -* * .* * * * *. * * * * * * * * * * * * * * * * * . *
SPECIAL CONDITIONS OF THE PERMIT: .
•
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- µ • By."/Lyziley �'� O'er
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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 2 l 7 b
2 . Type of heat Gi JoY
3 . Is the building mechanically cooled? lrer
4 . Percentage of area of windows and doors J6
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
2 . R value of exterior walls
3 . R value of glazed area / 9
4 . R value of doors A < / 17
5. R value of floors over unheated spaces fi, ( /
7
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) /3
9. R value of heated basement/cellar walls (below grade) / ,
10 . Type of insulation _721:efey-4.1.„.."
C. Controls � 0
1 . Thermostat maximum heat setting ! o/
D. Duct Systems
1. Is duct system installed in unheated spaces? YES . C
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 ��C/
2 . R value of pipe insulation: 'l
F. , Service Water Heating
1. Performance efficiency X-
2 . Temperature control setting maximum /y(�
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 0 e-NL
) pplicant ' s s ature)
deft 0 Olietrideni
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE 2 / ?0
LOCATION OF PROPERTY FOR INSTALLATION)/
Owner's Name: tic, c..c2._t2 Telephone: j D 0
Address:
Installer's Name: Telephone: 793 �? F3
Number of.bedrooms (residential only) Lf
Total daily flow (compute @ 150 gal per bedroom) p o
Topography: circle one:40 Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: . feet
Ground Water: At what depth? 3/4 feet
Bedrock or Impervious Material: At what depth? _ --- feet
Percolation test: circle one: not require required /rate V(,7 min. inch.
Domestic water supply: circle one: Municipa Well Other
IF domestic water supply is a Well:
Separation: Watersupply from.Septic absorption /O. 0 feet
PROPOSED SYSTEM: Septic Tank (DGO gal. (minimum size: 1,000 gal.) ,
TILE FIELD: Each Trench ,'O . feet / Total system length y- feet
SEEPAGE PIT(S): Number of / 'Size each feet by feet
Size of stone to be used # / Depth or Thickness _ t; 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.
G. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot planat 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: 4/L _ p��2
Date: 3 /31V
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 SSI
J
CITY OR (-)
VILLAGE( ,/ % .�_ , 7 5 TOWNSHIP ice, {? �:) s /:),LL1 \/ jCOUNTY
STREET AND NO.OR !'�.r.�' J
ROAD AND POLE NO. /-j 1 / 6- POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S }�. , BUILDING
NAME V V D /'I/ i /- E U 11''P. OCCUPANCY
OWNER'S NANfg
AND ADDRESS �' TEL.# C)
l / � o ` ?-�o_ � F Sr��wG� cy s'/ ,a.-.5S� � v4 �1.3
CURRENT raL1
SUPPLIED FROM THEIR a/e,"�y7 // OFFICE
BYB r �• `� r'S�ti r1''r'�Ci �-
ISUILDING NEW, -OLD El IS
SWORK DEFECTS
NEW ❑ ADDITIONAL❑ REMOVED LI
• LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
•
No. .Fixtures&
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS BRANCH CIRCUITS OFFICE USE
Lout- ONLY
tion Side Attach't H.P. Watts A.W.G-
Ce111ng Wall Recap is Switch Pendant Bracket No. Type Each No. Eseh 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 ASEl
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
f SIGNATURE
APPLICANT, t 1f Q,C{CI I `( Q J O )i L >1 C - OF APPLICANT
STREET ADDRESS („ 7' /`?-C/.-t c,, "L: •G /T /'f TELEPHONE#
CITY OR '" �'^ ZIP << LICENSE NO,
POSTOFFICE .fU 3%Lv I O5 C T,.-p Jr' �, /.i �% CODE f•� j� WHEN APPLICABLE _
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
a96'".),••,C�RI.1t119,a•ra�! 911, Ri.19!.e!-Ai,a,!"- ,.1ti..1.•.".a.i 19.af¢.94:19-1.Pi.-1•.)_ -.9?.a9!.a"1��i.A•�a9•C.1.9?-9?-.9?. -.?.L..).•r,—a?-)",,•i;19!- •�+i.�� ". •!-1 1a t!, ,1*?1• ��'Z
tit r353 THE NEW YORK BOARD. OF FIRE UNDERWRITERS
' �� •BUREAU OF ELECTRICITY
D. 41 STATE STREET.ALBANY.NEW YORK 12207
Datei??`_G� J ay �' Application No.on file c 4 t .
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 11
Ivan 'Gregor e Lo•t;. 19 Pinion Pine GlensFai o ,• N w York so
0
in the following location; V' ft�7���( � n
��Basement � 1st Fl. ❑ 2nd Fl. Section Block Lot
was examined on Lj— °a r`5 and found to be in compliance with the requirements of this Board.rl _;t
r
w FIXTURE KEPTACLESI SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS =-
OUTLET$ INCANDESCENT.FLUORESCENT MERCURY
yApR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
m
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. . AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS :.
NO.OF FEET
n
1 dryer 410 .
SERVICE DISCONNECT NO.OF 5 E R V I C E
AMT. AMP. TYPE- METER '1�,2W 1 Jr 3W 3 2 3W 3 2 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A W G
.KILN. PER B OF CC.COND.. OF HI-lEG I OF NEUTRAL
1 200 oh 1 4/0 �/ ii ^:
OTHER APPARATUS: 3— f C i . . Z
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— cAmoke detector - _k
v.
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T . 1
5
Gai- 'tort e MY 12831 239 BRANCH MANAGER
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.
Argifl eatneszsmonweseirgortinamrarmarimeirMoon aM ® earanmesoanaMMMMa
r
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. g
Z -C\c&1 :
Ali 1 Jown of Queenitur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Gp-Ac,--Cpc, 1
LOCATION 1 9 p,,ufo, NIA--
Date 5/24/ ''� Permit No. W-61
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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. Fireproofifg
Door Closers
Smoke Detectors
Chimney
INSULATION: ?
Foundation
Floors
Walls
Ceiling 1
FINAL ELECTRICAL INSPECTIO '
RIVEWAY APPROVAL
anal Building Survey
iN
Next scheduled inspection (call when ready)
Remarks-
- e-- c 0
. °leC/
ii
Building Inspector
6/86 and-vl
otqff47,11
�� Os gown of Queenur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury New York 12801
alori>
ING INSPECTOR ' S REPORT
NAME •
�.I T Gu/S,
LOCATION yl/9 /� ' • �✓
Date 5/ 5 /fl Permit No. il
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - / S / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill 4
Framing
Roofing j/r
Siding
Masonry V=neer
Rough Plum.ing
Relief Val es
Ext. Porche • Safe " 'Pee . //
Finished Floors t•e"i
Interior Tri P/
Stairs & Raili gs
Cellar Drain Ti e
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY APP' IVAL f
Final Buildi g Survey 1.-
I
Next schedul-d inspection (calf when ready)
Remarks- ovp C/,sa,Q- ./lle•ed '/-' 8e r-5-4
ge co--e62
/jj
Building Inspector
6/86 and-vl
Cleft(
f
i;4S Down of Queen Jl ur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION ), �/ /9 /�C/�/ �✓�L e_
Date 4//c0 /1 Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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
ULATION:
Foundation
Floors
Walls f ¢U�
Ceiling 1
FINAL ELECTRIIAL NSPECTION
DRIVEWAY APPRO AL
Final Building urvey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
4- c/� Jown of Queen itu r
v BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
L O C A T I O N— iez� .�/a /47L�
Date //7// Fr Permit No. yo
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Baa fill_ �/
'`rami ng Z%
Roofing
Siding
Masonry Vene-r
26ugh Plumbi ig kf
Relief Valve
Ext. Porches
Finished Floo
Interior Trim
Stairs & Railin'-_
Cellar Drain TiA
Concrete Floor:
Plbg. Fixture•.
Gar. Firepro.fing
Door Closers
Smoke Detec,ors
Chimney
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL ELE4TRICAL INSPECTION
DRIVEWAY A'PROVAL
Final Buil. ng Survey
Next scheduled inspection (call when ready)
Remarks-
/ 11/
Buil i ,g InsOctor
6/86 and-vl
n — / _./'own of QUeCnáUrty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME z' r�-(/j�
LOCATION /9 Az,71 ion /0X-(-
DATE y-a/ PERMIT NO. /32--(f
SOIL TYPE an Loam - Clay -
Percolation Test Required? YES 'No
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorpt on field, total 1: gti 2
Length of each trench -2
Depth of trenches 02 '
Size of g avel_
SEEPAGE PI {Number •.f)
Size- ft X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank 41 a (��C
Tank to dist. b. cr"
Dist. box to f, el. pit y"" 27(/c,
Openings seal:d? 4gES NO Partial
LOCATION/SEP:RATIONS:
Foundation • tank 162 ft.
Foundation ,o absorpti. 52S ft.
Absorption ' o lot line jib ft.
Separation of pits ft.
LOCATION 0: SYSTEM ON PRO°ERTY(circle one)
�Fron Re.:r - Left side - Right side -
COMMENTS:
SYSTEM USE APPROVED YES -Ns
'/(
1ya1[L (t
/
Building I irctor
•
01/86 and vl
1501j%%,( () _l c�
own of Queeniurey
,) ,(,1 UILDING and ZONING DEPARTMENT
(1'
Ba and Haviland Road, R.D. 1 Box 98
„n ueensbury, New York 12801
fiI I LD I NG INSPECTOR ' S REPORT
NAME Qe X`/ee
LOCATION O .52-77 •..6.-/L-e--
Date/45/ / _ Permit No. [1 - 7
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - Y Si/ NO
ing/Pier Forms 0oun 1�
dation %Jl,�
Waterproofing ,% `.;••
Backfill ti
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 ELE TRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
//
"A„__
Building Inspector
6/86 and-vl
YVON GREGOIRE
RD # 6 BURGOYNE ROAD
SARATOGA SPGS., NY 12866
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