1988-064 :` L3
mismitne
CERTIFICATE OF OCCUPANCY
-TOWN 'OF QUEENSBURY.
WARREN COUNTY, NEW YORK
Date A 7,p 9 7 19 _89
&-) (Jo
This is to certify that wor requested to be done as shown by Permit No. 88-64
has been completed.
This structure may be occupied as a One Family Dwelling
I.nration L 96 Iroquois Drive - Tyneswood
Owner North Country Developers
By Order Town Board
TOWN OF QUEENSBURY
•
Building (sinning Inspector
BUILDING P T
TOWN OF QUEENSBURY 88-64
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to North Country Developers N
OWNER of property located at Lot 96 Iroquois Drive Street, Road or Ave. O0
rn
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.
1. OWNER'S Address is P.O. Box 360
Bolton Landing, N.Y. 12814
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2. CONTRACTOR or BUILDER'S Name
0
Same
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3. CONTRACTOR or BUILDER'S Address ty
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Same m
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
0
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6. TYPE of Construction—(Please indicate by X)
(yj Wood Frame ( ) Masonry ( ) Steel ( ) rt
7. PLANS and Specifications 0
60' x 40' as per plot plan, specifications and application including `n
No. septic system and attached two car garage.
8. Proposed Use
One Family Dwelling
$5.00 C/O
164.00 October 1, 88 w
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ~
town of Queensbury before the expiration date.) ‘•<
t7
Dated at the Town of Queensbury this 9th Day of March 19 88
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SIGNED BY Y7C GC - Z -- for the Town of Queensbury ova
Building and Zoning Inspector -
•
• • TO BE COMPLETED BY BLDG. DEPT. TO3WN OF QUEENSU{�;;`;'
�] Application No. pN i E
? _�.
_Down o� Que?ni1ir/ Permit Issued 19 .� �: 'y � 11.1BUILDING and ZONING DEPARTMENT ., Permit Ex ires 19 L
gDesignation
Expires-
! MAR 81988
Bay and Haviland Road, R.D. 1 Box 98 Zonin Desi nation
Oueensbury, New York 12801 :. , . .:.,Varianc- , .o. • - •
:",�n ,;; Site. ; an Review •• - . . . . .BUILDING et CODE DEPT.
ii: �J 5
� � /69h PP. "'veld, � ...
/�,V APPLICATION FOR
BUILDING AND ZONING PERMIT. • ►
* * * * * if * * * *' * * * * * ii• * •* , * * ..* * ..* * * * * * * * * * * * * * *, *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 indicatedyon.the Permit. -
The owner of this property is: ' 10 r ' `c0( 1( IA 24,apPam$
P.O. Address �2
•X= 3( O ���iv�. 1 l � I y Tel. Co (e Y—' 3 3 r♦
Property Location: ' I Q(1, 4' i(. 01 (,)c�"(' 1 VEIL ' . Tax Map No. _/ /
. • Street number or -build,ng lot number---.•- - . .-
Subdivision name (if applicable). y fir\-c%'Wb A9
THE PERSON RESPONSIBLE FOR SUPERVIISION' OF' WORK AS REGARDS BUILDING CODES IS: .
Ati 1 PA4,A.u-v. ( too) 1),(5 3 c.6 .: Bt L-1-N, L,kzr .9.c' (e cl q^ 3 33 1
Name P.O. Address ) Tel. No.
Name of builder �' Address` Tel.
Name of plumber Address ' ' ' Tel.
Name of mason " �• Address Tel.
NATURE OF PROPOSED WORK: .* • ZONING INFORMATION:
)onstruction 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
* whether interior or corner lot. Show location . ..
FOR DEMOLITION PERMIT, STATE SIZE AND *. of water supply and location and configuration
LOCATION OF STRUCTURES .AFFECTED.' r ''of septic disposal area.
* `COMPLETE •INFORMATIO REQUIRED BEL W,.` a
� x 71.4 Ar i/3 ‘ x i3�-Y� >c 1�7.3�
. . , * Size,of property' ft X ft.
. * Existing,building(s) Size - ft X -- ft.
*.. . . . . . . . . . . . . . . . .
PROPOSED BUILDING AND USE: '
. , ,, , * Existing building(s) Use ' ' --
• Size of new structure ((Oft X y0t •.
Foundation-pier/slab/crawl/partial * Proposed building, distance from property line
(circle one)
No. of stories (habitable space) 2 * Front,yard " ' ft Rear yard NO ft
Height (grade to ridge) 2-C ' ft. . * Side yards 3�' ft and �O ft
•
If residential, no. of families / * If on corner, setback from side street ft
No. of rooms(excluding baths) ' ' .. * .. . OCCUPANCY INFORMATION
No. of bedrooms , L •
T PRIMARY BUILDING -
No. of bathrooms 2 yL, ' *
Primary heating system �,aA- ,pwyv��J * One family dwelling
Type of fuel * - Two family dwelling .
* Multiple dwelling / Number of units
No. of fireplaces to be installed 'I - .
Will a wood stove be installed? o ` *, Permanent occupancy w
N
* Transient occupancy '
Central Air conditioning? p g Business.
*
BUILDING STYLE, PRIMARY• STRUCTURE ,t' Industrial
Ranch Contemporary Log cabin • •* Other ' " " " '
Raised ranch Mansion Duplex
*•If addition, what will use be?
Split level Old style Bungalow * .
Cape Cod Cottage Other .* ACCESSORY BUILDING- •
' olonial . Row . Town House -- "' ' Detached garage/one car/ .two car/ car
( CIRCLE ONE PLEASE ) *. 'X`Attached. garage/one car/ two cj / car
* * * * * •* * * * * * * * * * * *, *' Private storage building
ESTIMATED' MARKET VALUE OF , . *'_Other '
CONSTRUCTION• $�1 / *.
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form I3PA 4/86 and-vl
BUILDING PERMIT APPLICATION.CONTINUED - :
•
BUILDING SPECIFICATIONS: l .
Type of construction, od' frame"; fire safe,etc. W O p�( �'"'_ .
Will any-second-hand or ungraded lumber,be used?. If so, for what? pJ A --k_
Foundation wall material Ccrr C V'cM. Thickness . 8 "
Depth of foundation below grade (to.,bottom of footing) C, I .
Will there be a cellar? .Y.e Heated 'or unheated? i.Uln Floor sq. footage sq ft
Will there be a basement? All.% Will any portion -be used as living space? Ar t •
• (If so, what portion? sq.ft. -; Type 'of`use? •
Type of roof sloped tat/shed/other Material. of, roof A-S - VL4X.431.4
Size, wood studs "X' (0- " spacing ..2'( "o.c. length' ft.
Joists(floor beams) 1st.. floor. g. ."X )'V :'. spacing '(,p."o.c. spanl' -rift. . ' • .,
Joists (floor beams) 2nd. floor_ 2. . .1 .)c, GO " -spacing ./C-It"o.c. spanl'(- lift.
Overlays(ceiling beams) 2. "X 4 " spacing ((, "o.c. span It ft.
Roof rafters 7 "X V. "- spacing 4(, o.c. span ! 2 ft.
Roof trusses(pre-engineered) spacing "o.c.- span ft. . •
Exterior wall finish - . -_. . _.-- Of what.material? C•2.a,p,N`
Interior wall finish S a rdCV— . - .
If a, garage is to be attached, describe. materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? 'ye If so will a Fire-rated
door, enclosure, and self-closing device be•'provided?' -e -
Will a flue-lined chimney be installed? -f S - Height above roof yt./ti ft. •
Depth of chimney foundation' below grade" ft. '
Depth of fireplace hearth ft. in.
Water supply - Municipal or private'well ' ' 4ivv.t}pi . '
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 STATE OF NEW YORK of Warren A F F.. I D A V I T RK
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 - .- - - . ..'1
SWORN TO BEFORE ME THIS Signature _• _ • . .V 1�� 'w,
.. - .'' Owner, 'owner's agent,arcnitect,contractor
day of 19
Notary Public, . Warren County, N.Y. .
•* * * * * * * * * * * * ,.**' * * * •* *.'*:..* * * �r * * * '* * * * * * * * * * * * * * * * * * *`
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 2_ 2I
• 2 . Type of heat !v `.6t 'PLAJVI%.yc
3 . Is the building mechanically cooled? re/St
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
2 . R value of exterior walls k'( /
3 . R value of glazed area )-
4 . R value of doors 14J- "' )
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) V.-149
9. R value of heated basement/cellar walls (below grade) yk_10
10 . Type of insulation r6 c S S ihm s
C. Controls 3 g�
1. Thermostat maximum heat setting Ott
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES . 41:1)
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 All
2 . R value of pipe insulation.
F. . Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum 14 9°
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. (01 3331
(applicant' s signature)
�,JI t„ L 0 - 61.4,33,
APPLICATION;FOR SEPTIC DISPOSAL PERMIT
DATE t/
LOCATION OF PROPERTY FOR INSTALLATION '
R
Owner's Name: 'V V (/O V' btAleig:hotf5 Telephone: 4 t 33--)
Address: i�- I/U/ 4° to I 0, _ L tNy
Installer's Name: £ j-e.. /4A/ Telephone:
Number of bedrooms (residential only) . . _
Total daily flow (compute @ 150 gal per bedroom) (a
Topography: circle one: GP: Rolling° Steep Slope % of slope
Soil Nature: circle one: gat Loam Clay Other / Depth: ` ' feet
Ground Water: At what depth? ' `My►'{ feet
Bedrock or Impervious Material: At what depth? NDNe totw.,1 feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: vlunicipa Well Other
IF domestic water supply is a Well: :;.
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank._1.6(0J_gal. (minimum size:. 1,000 gal.)
TILE FIELD: Each Trench rG feet / Total system length 2 5✓a feet
SEEPAGE PIT(S): Number of / .Size each feet by feet
Size of stone to be used # �, , / Depth or Thickness feet
* * * * * * * * * * * * * * * * * *.** * *.* *.* * * * * * * * * * * * * * * * *
IMPOR-TANT
...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 Sewa Disposal Ordinance.
Signature of responsible person:
Date: .5-- S)-C(
Town of Queensbury
Building and. Code Department
Bay at,Haviland Road
Queensbury, New. York 12801
(518) 792-5832
'7[,) 1753 . . HOI,Ar ,1F NATURAL F'' . A C -LAN TO 1.IVF
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT / � ..,Le
& HAVILAND ROADS l� /1
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR
n A�INSPECTION RECEIVED
�J
NAME / C�':I-I/ 1 f1' &a,eJ•
LOCATION rd+ ! fV jJ
DATE 4/-21, PERMIT 1 kiir- t
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING j
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/' E"S
STAIRS-CLEARANCE & RA .LS
PLUMBING FIXTUR;S/RELI F VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREP:OOFING
DOOR CLOSER IS)
SMOKE DETE ORS
FINAL ELECTRICAL INSPECTION
FINAL APPRO AL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR
�INSPECTION RECEIVED
NAME ,�/�) / 6 ,tiy-v'
LOCATION a l u! 96 —/z- +.
DATE '/- v PERM T # 4:7-6 L1
APPROVED
YES NO
FOOTING/PIERS\
MONOLITHIC POUR\FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL\
ROUGH PLUMBING
FRAMING ‘E
ELECTRICAL ROUGH—IN
INSULATION: 12
FOUNDATION1.,/
I
FLOORS i
WALLS
CEILING
INAL INSPECTION: It 1
CHIMNEY HEIGHT
ROOFING I
SIDING
EXTERNAL PORCHES/STEPS ,
STAIRS—CLEARANCE & RAILS \
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS \
FINISHED FLOORS \
GARAGE FIREPROOFING N,
DOOR CLOSEP/(S)
SMOKE DETE TORS
FINAL ELECTR CAL INSPECTION
FINAL APPROV, L OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
0401,1 ..(fiLi
ti* \
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1 .c) bt'liCL(7/4/.
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME / `—J' Cc iYJ/ 11
LOCATION %6 6. L .2,(61-Ca
DATE �` G - '� PIL4RMIT # SP4 7_
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
EILING
INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION,
FINAL APPROVAL OF CONSTRUCTION V/
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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INSPECTOR
TOWN OF QUEENSBURY •
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION` RECEIVED
NAME /Z 4 T//
LOCATION 94(9
DATE / / T
� '�v PERMIT # [O
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING' 1
BACKFILL APPROVAL
ROUGH PLUMBING /
FRAMING 5
ELECTRICAL ROUGH-`IN
INSULATION:
FOUNDATION
FLOORS
WALLS •
EILING @ r'
CFfNAL INSPECTION:
CHIMNEY HEIGHT
ROOFING S
SIDING
EXTERNAL PORCHES/STEPS \,.
STAIRS-CLEARANCE & RAILS V
PLUMBING FIXTURES/RELIEF VALVES
INTERIOR TRIM/PRIVACY DOORS a
FINISHED FLOORS ;,
GARAGE FIREPROOEtNG \.
DOOR CLOSER(S) ;.
SMOKE DETECTORS \ 1/'
FINAL ELECTRICAL INSPECTION - \ 1/"."-
FINAL APPROVAL .OF CONSTRUCTION \ [/
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE\
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
,
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INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED/
NAME Z. 1, la
__
LOCATION
DATE 5`"gq U CI PERMIT #
APPROVED
q(.0 YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION: '.y
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS ,
STAIRS-CLEARANCE & RAILS:r'
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACYjDOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
(I1) L v62
,i)fk°14
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSP TION RECEIVED r,/ �
NAME
LOCATION
DiGU77
DATE `S//c/f11 PERMIT # 9P61
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: 'y4
FOUNDATION
FLOORS
WALLS ;y
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING . t
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & :RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIV4CY‘DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION \
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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j2t,It &A/4
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST� /FOR INSPECTION RECEIVED
NAME 4k1 Li!)_�// �, C/� � `S /�J
LOCATION �j O Tn�9�'"� d_ /�/9 'x /( 7
DATE PERMIT �(�l�=(Q
P 0 1°It IQo APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL •
ROUGH PLUMBING
FRAMING h •
ELECTRICAL ROUGH-IN n
INSULATION: \
FOUNDATION ', I
FLOORS
WALLS ;
/ CEILING YF
FINAL INSPECTION
lr
CHIMNEY HEIGHT
ROOFING •
SIDING • j ��`
EXTERNAL PORCHES/STEPS'
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/REL'IEF VALVE
INTERIOR TRIM/PRIVAcf' DOORS
FINISHED FLOORS
GARAGE FIREPROOFING tr•
DOOR CLOSER(S)
f y.
SMOKE DETECTORS /
FINAL ELECTRICAL 4NSPECTION '
FINAL APPROVAL OF% CONSTRUCTION
r
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE -
THESE PREMISES ARE OCCUPIED!
RE RKS:
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INSP CTOR
•
Jouin o� Queeniurj
. BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTII,C�DISPO�SAL SYSTEM INSPECTIION •
NAME J/��>/�
l
LOCAT I ON(f 7 z- 7 p f �`( ,-e d(S de
X
DATE_ 9 U/�( PERMIT NO.� do e
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{Numbe/r. of) _ 7,
�n
Size- f X ` ft.
Gravel size f
PIPING: Size ypee
•Bldg. to tank _ , �;.
Tank to dist. box
Dist. box to field/pit ) PIA--
Openings sealed? ' YES 'NO Partial
LOCATION/SEPARATIONS:
Foundation to tank "ft.
Foundation to absorption • L%ft.
Absorption to l'ot line /,ft.
Separation of fpits • '` Y ft.
LOCATION OF S,YSTEM_ON. PROPERTY(circle one)
Front - Rear'- Let s e Right side -
COMMENTS:
•
•
SYSTEM USE APPROVED Y::)NO
Build in Inspector
01/86 and vl
_lown o/ Queen3Lry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INNSPECTOR ' S REPORT
NAME 77i*
LOCATION ‘414-0/10/1S.
Date. / t Permit No. /-v
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - Y / 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. Fireproofin ,
Door Closers
Smoke Detectors
Chimney
�SULATION:
Foundation )
Floors „ •' /
Walls f, �/_//C—%4. /_.
Ceiling
FINAL ELECTRIIAL INSPECTION f
DRIVEWAY APPRI AL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
.
Building 'Inspector
6/86 and-vl