1988-161 ,'�'y,:,.`!�.^J.u,,-...•�i.r �:x'. s-l�r°.i r,y,,,:�y:i.sY —,-(':_ `tom. r� K`3?�t: . •c3ris•; ).. S' 1%.•�z,r i il:.=,•••• •-
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• CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 12 19 89
vlO a�
This is to certify that work requested to be done as shown by Permit No. 88-161
has been completed.
This structure may be occupied as a One Family Dwelling
Lac r = ,ids o Shy 4,03
Location
Owner Dick & Helen Cutting
By Order Town Board
•
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-161
WARREN COUNTY, NEW YORK
Dick & Helen Cutting u,
PERMISSION is hereby granted to 0
Lake Sunnyside
OWNER of property located at Street, Road or Ave. 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
RD 1 Box 283
Glens Falls, N.Y. 12801
ty
H.
CD
2. CONTRACTOR or BUILDER'S Name
Same
CD
rn
3. CONTRACTOR or BUILDER'S Address 0
Same r t
rt
r•
0
4. ARCHITECT'S Name
w
5. ARCHITECT'S Address cD
Co
0
0
w
6. TYPE of Construction—(Please indicate by X) H.
rD
( `X t Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
0
No. 41' x 64' as per plot plan, specifications and application including
septic system and attached two car garage. ,y
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8. Proposed Use
N•
One Family Dwelling `4
m
$5.00 C/O
129.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1, 19aa
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.)
Dated at the Town of Queensbury this 20th Day of April 19 88
SIGNED BY 7Z id . (16,1 for the Town of Queensbury
Building and Zoning Inspector id(le
,
TO BE COMPLETED BY BLDG. DEPT.
TOWN OF C)UEENG; .s
�] / Application No. 11-id
tI { ,
_Jo[un of Queeniarf Permit Issued 19 I.I 1�`( !� 1 L i
;--. ,
BUILDING and ZONING DEPARTMENT Permit Expires 19 __i
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation SR -3O APR 151988
Queensbury, New York 12801 Variance No. R , - /7- 9, I
Site Plan Review No. Al l4 BUILDING &.CODE D .
Approved by:
5/ cle/3 ,:eL,6,eg,,Ecc
APPLICATION FOR
L 'l i
G PERMIT � ✓` '610
BUILDING AND ZONING
# # # # # # # # # # * # # # # # # # # # # # # # # # # # # # # # # # # # # # #
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. 77;, j ,1 pco — / — 65 qj� -
The owner of this property is: jejcX v- //z.i4r,6, 71,1--i/yG
/?" _%
P.O. Address / �U//pX 767)..7 Tel. 77-7-v77‘
Property Location: /.07,:. /d,A///ylxp/e- Tax Map No.J G7/ / / 04A-
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
/'ir />/ /'.:, 7/4/6- flo/ `�a ifr3 . at:4WDu/rY/r,/%.7d"(/-6/7s7 777-v?76
Name P.O. Address Tel. No.
Name of builder Ac/{/7u;>„,,,L Address Tel.
Name of plumber/ck/,/ (y->,,,dZ, Address Tel.
Name of mason p;c,,( /i /',i/"i-,/G Address Tel.
..
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
_Construction ofa 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.
of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property PI ft X /e `/ ft.
* Existing building(s) Size via ft X =/e ft.
* . .
PROPOSED BUILDING AND USE:
Existing building(s) Use /i/isidiT,,./ce
Size of new structure % ft 49r ft * "�� 6/ 7. PAY", 'iii,
Foundation-pier/slab/crawl/partial/ ul * Proposed building, distance from property line
(circle one)
* Front yard 2e' ft Rear yard 3Y ft
No. of stories (habitable space) / * Side yards , ft and / .,— ft
Height (grade to ridge) Zia ft. * If on corner, setback from side street - ft
If residential, no. of families
No. of rooms(excluding baths) 1/ * OCCUPANCY INFORMATION
No. of bedrooms z - *
* PRIMARY BUILDING -
No. of bathrooms / /One family dwelling
Primary heating system //Di 7,✓/-7i?�Z * Two family dwelling
Type of fuel L P kXG * Multiple dwelling / Number of units
No. of fireplaces to be installed /
Will a wood stove be installed? j + * Permanent occupancy
Central Air conditioning? We * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary (Lo abin; * Other
=�c�- * If addition, what will use be?
Raised ranch Mansion Duplex
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * f/Attached garage/one car/ wo c car
* * * * * * * * * * * * * * * * * * Private storage building
_
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ le rei,9 *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. Z /Ao/-1e
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material (pvr/r/;r Thickness e /i
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
Will there be a basement? )(,f Will any portion be used as living space? yo
(If so, what portion? sq.ft. - - Type of use?
Type of roof sloped flat/shed/other Material. of roof -K2(t24' ii//A,/ /e
Size, wood studs 2 "X .c " spacing A "o.c. length fi ft.
Joists(floor beams) 1st. floor —v1f "X " spacing // "o.c. span 7/ ft.
Joists (floor beams) 2nd. floor. "X"X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing 2 "o.c. span y';1.. ft.
Exterior wall finish leA Of what material? io oI7
Interior wall finish ////%4 /4- /X G
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
%Y i yP‘ X. 6 ,e9
Is there to be an opening between garage and dwelling? 5%/zJ If so will a Fire-rated
door, enclosure, and self-closing device be- provided? /gS
Will a flue-lined chimney be installed? }dpj Height above roof ,Z ft.
Depth of chimney foundation below grade 7 ft. •
Depth of fireplace hearth ft. 7 in.
Water supply - Municipal or private well Z✓ e/,/
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.
SWORN TO BEFORE ME THIS Signature_^_
Owner, owner's agent, rcnizect,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: 0
1. Gross floor area /Gf° 76' 8
2 . Type of heat AXd7 Z/ 77K •
3 . Is the building mechanically cooled? ///;
4 . Percentage of area of windows and doors I2
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 oof and floors exposed to ambient conditions
"fe c•/'-' 3 7 rlop/z /f 3 6
2. R value of exterior walls ' , ,
3. R value of glazed area° c 30
4. R value of doors y/.
5. .R value of floors oSer unheated spaces ' ,R so
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - Cheated slab- - .
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10 . Type of insulation "/w.//e ,4 jJ
C. Controls
1. Thermostat maximum heat setting J,9
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NA
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
2 . R value of pipe insulation 1/
F. Service Water Heating
1. Performance efficiency 90
2. Temperature control setting maximum _,yil•//
G. For Swimming Pool Only •
1. Maximum heating
Telephone No. e776
/ ff
(applicant ' s signature)
.g urn of Qualtd‘eni
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE J 'y /
LOCATION OF PROPERTY FOR INSTALLATION /„y, 1�/, ',/f/ /L
Owner's Name: /fir/� , /%/F ' C vTT%AL- Telephone: 7 - °?7C
Address: ✓PPj "0 2 e...? .yr /A P,:/- 7 7
Installer's Name: 641; Ao"pjleife Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) 3�,
Topography: circle on : Flat Rolling Steep Slope % of slope
Soil Nature: circle ono: San 7 Loam Clays Other / Depth: feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? U feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: Municipal W Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ Yo' feet
PROPOSED SYSTEM: Septic Tank j‘r gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length • 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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction. .
•
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person:
Date:
Town of Queensbury
Building and Code Department
Bay at Haviland Road , '
Queensbury, New York 12801 •
(518) 792-5832
SETTLED 17:;1 . . . HOME '°- 9FAIITY . , . '•. I '-OE TO ! IVr
MAIN OFFICE ATLANTIC-INLAND,INC. i
997 McLean Road NEW YORK
Cortland,New York 13045
Phone:(607)753-7118 MEMBER OF N.F.P.A.AND I.A.E.I.
(607)753-7809 FIRE UNDERWRITERS { ,
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service) ',C=%',-`t'Y 10
(Incorporated in the State of New York)
Desiring Certificate of Approval,application Is made for inspection of electrical Installation in the premises described below.On demand applicant agrees to pay for Inspection service
In accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION 4 ;r:1�
CITY,TOWN,VILLAGE ''/'L// /1"%/// %:4P 6`, `/ COUNTY 1 /<if!'`'it 7''/ STATE ,/./: /:"
ADDRESS !J? •1l/ /2 p X ' J✓ 3 BUILDG.NO.
D RECTIONS //7///a, ':' -/ Y•�f i r „' �', 1/. 7• ,4.4 / V ///'p /
�� l T�T"c.. �.. :%j.f .,.'/.4' n .t.�r�i di r �� POLE NO.
r
NAMEOWNERS l /( J, %�/ 1 ,_, r'r.-.,.. L— OCCUPIED AS // —;i-?r... /.�. .....
•
OCCUPANT it,'' ,,� �' j • s___
w �!�'e: BUILDING—NewOOld❑ WORK—New0 Additional❑
OWNRESS H .- O ��TER'S P.O. ,9_ ,r. . e
ADD
APP. FOR—ROUGH WIRING 0 FIXTURES 0 OR READY FOR INSPECTION 19 ' ''1,
sr
FEE REMITTED—$ BY CHECK 0 CASH 0 MONEY ORDER 0 MAKE PAYABLE TO ATLANTIC-INLAND,INC.—NEW YORK 1,
Number of Rough Wiring Outlets Fixtures Add installation . ‘' •
Swtch LI'tng Recep. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750. 2000 2250 2500 2750 3000
Heat Base Base
Elect.Heat -
-4
Amp.Service Water Htr. Burner Air Cond.
Surface Unit Oven Range Gr.Disp. Dish W.
Dryer H.P.Pump Ex.Fan Hood
OTHER EQUIPMENT(Specify Type&Capacities)
• TYPE OF SIZE OF SUB- BRANCHES NO.OF
WIRING OPEN 0 CONCEALED 0 OTHER MAIN MAIN CIRCUITS
lirAPPLICANT'S
SIGNATURE LICENSE# PERMIT#
APPLICANT'S NAME OF
ADDRESS UTILITY
OFFICE TO
CITY STATE ZIP CODE BE NOTIFIED
SPACE BELOW
FOR USE OF INSPECTORS ONL
Y............................................. .... .. .................................
ROUGH WIRING AMP SERVICE K.W.SURFACE
OUTLETS EQUIPMENT UNIT
SWITCHES AMP SERVICE K.W.OVEN
' CONDUCTORS
• H.P.GARBAGE
RECEPTACLES H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K.W.
FIXTURES K W.DRYER DISHWASHER
MOGUL BASE K.W.WATER
FIXTURES HEATER K.W.RANGE
FLUORESCENT H.P.AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS VENT FANS
MOTORS,H.P. '1120 1/12 1/10 118 116 1/4 1/3 1/2 314 1 11/2 2 3 5 71h 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
APPARATUS Elect.Heat
MISC.INFO. Received Inspected FEE PAID
❑PROGRESS TOTAL$
❑DEFECTIVE
❑Rough Wiring Certificate Check No.
❑Temporary Service Money Order
0 FINAL CERTIFICATE
Cash
;� 0 Dup.Cert.Req.
❑MUNICIPAL Charge
As
MUN.ADDRESS
ATTN:
Temp.Cut-in Card No.- Final Cut-in Card No.
fnspecfor
Member lJ.F.P.A.&I.A. Electrical- CertificateFf 16/
-ATLANTIC- INLAND, INC. - NEW YORK
Electrical and Fire Inspection-Enforcing&Consulting Service
997 McLean Road,Cortland,NY 13045 r.}2(I C--1 C-',60
DATE: CERTIFICATE NO.:
Dick H. ClAting
OWNER: AS APPROVED FOR:
North Su ny ide R':va.d
ADDRESS: �.1'�_3:=ens] ->1":j, N.Y, Residence:
fi-z /1-drye •, 1-dishwasher/1--, an-ran --�.r
ELECTRICIAN: Dick Cutting snp ( FCI �.r_.,,%2 mitts.}tie lac. .�? .en brans/
Ri') 41 , Box 283, 9.rnyside Rd 1.5KW elect:.. h .X
heat `�,.`�'�.,�:r_
ADDRESS: 2uee'n5LiJY/ iT v' ,_ i3804_9757
'lF
'r The conditions following governed the issuance of this certificate,and any certificate previously issw
z. j 2 s;.' is cancelled:
J. ,- r,
' ':',
' = This certificate only covers the electrical equipment listed and installation conditions as of date.U
uFy
the introduction of additional equipment or alterations,application shall be promptly made for inspectir
Inspectors of this Company shall have the privilege of making inspections at any time,and if its
_ are violated,the Company shall have the right to revoke this certificate.
•
Al-27 v _
"Ct t.ihcat" is not for the approval al of the t U e alarm protective system. -
TOWN OF QUEENSBURY f)/17'
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804 •
-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR SP TION R EIVED
NAME _ c
WCATION 1/�✓f 75-1DATE 1 a -1/-y , PERMIT # f>�- 4/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \
FRAMING
ELECTRICAL ROUGH-�IN •
INSULATION: \.
FOUNDATION
FLOORS \
WALLS
9NEILING
AL INSPECTION: F"
CHIMNEY HEIGHT "I
ROOFING
r'
SIDING '
:i
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & ,RAILS N. L/
PLUMBING FIXTURES/RELIEF VALVE �J
INTERIOR TRIM/PRI7ACY DOORS
FINISHED FLOORS / N.
GARAGE FIREPROOFING N. LV
DOOR CLOSER(S),! N L�
SMOKE DETECTORS
FINAL ELECTRIC//IAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
/2)
•
4 ,04
ECTOR
I INFORMAT OR BUILDING DEPARTMENT
INFORMATION FOR BU
ILDING LDING DEPARTMENT LENDING AGENCY
LENDING AGENCY
Atlantic-Inland, Inc. is in the process of issuing a Certificate of
Atlantic-Inland, Inc. is in the process of issuing a Certificate of Occupancy/Compliance for the electrical installation/
Occupancy/Compliance for the electrical installation/
construction project as covered in an application filed with construction project as covered in an application filed with
our main office.
our main office.
Date Inspector
Date Inspector
NEW YORK ATLANTIC-INLAND, INC. NEW YORK ATLANTIC-INLAND, INC.
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 RE EIVED
NAME 'J7 / C J ( 1 7
LOCATION ✓ u vt/t ,,5 /q301-/
DATE ?„//Y//-S-9. PERMIT # OT-1
APPROVED
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:
CHIMNEY HEI (/(;-C./ea,e2A;c.c__
N
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
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
3 aot,Akaii,ivc4_
Jv k 1
lily -,
/;/))///
i
/ ��
INSPECTOR
•
Jown o/ Queen3Lry
• BUILDING and ZONING DEPARTMENT �//f 7
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME /`/ L
•
LOCATION dP4,6
DATE / PERMIT N0
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_ 1 _
SEEPAGE PITS4Numb r Of) _
Size- � ft. rr�ft.
Gravel size
'� ��_s� �-
PIPING: ff Size Type
Bldg. to tank / n
Tank to dist. box _ '/U
Dist. box to field/pat)
Openings sealed? YES 'NO Partial
LOCATION/SEPARATIONS:
Foundation t,V tank ft.
Foundation to absorption /I t.
Absorption ho lot line frt.
Separation o�-ff��pits f�'' ft.
LOCATION OF, SYSTEM ON PROPERTY(circle one)
Front Redr - Left side - Right side -
• COMMENT •
kaej kfeil
Ul f/CJ
OCLIA/611/L6L
SYSTEM USE APPROVED Y S NO
( � "IA
Bui ding nspector
01/86 and vl
_bean o/ Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 40.2.-1
LOCAT I ON
DATES-y /�J PERMIT NO. a '-/6/
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO/
Percolation rate - Min/Inch : d
TYPE of SYSTEM: /
Absorption field, '(total length /I
Length of each trench '
Depth of trenches
Size of gravel_ , .r
SEEPAGE PITS{Numbei of)
Size- ft. X. ft.
Gravel size
PIPING: Sit Type
Bldg. to tank
C;
Tank to dist. box t 9
Dist. box to field/pity'
Openings sealed? YES. NO Partial
S
1
LOCATION/SEPARATIONS
Foundation to tank e ft.
Foundation to abso ption\ ft.
Absorption to lot /line \ ft.
Separation of pits \ ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - teft side -\Right side -
COMMENTS: l 050(T _
7oxvve ke a k /0 Co- —L
•
SYSTEM USE APPROVED YES NO,
Bill- din Inspector
01/86 and vl •
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT Ain
BAY & HAVILAND ROADS -
QUEENSBURY, NEW YORK 12804- jb
TELEPHONE (518) 792-583245L0_,
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTI9p RECEIVED 7-3 1 -S--1
NAME _ oa(i
LOCATION cV t�� `
DATE �_ 1- c) PERMIT # F-"g--/6
APPROVED
_. YES NO
G'OOTING/'PIERS ,,,TZ,,
MONOLITHIC POUR FORMS r
v.
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL 1
ROUGH PLUMBING f
FRAMING
ELECTRICAL ROUGH-IN h'
INSULATION: /
FOUNDATION , .
FLOORS \
WALLS \ i
CEILING \ /
FINAL INSPECTION: I
CHIMNEY HEIGHT ;
ROOFING ' f''
SIDING \ ii
EXTERNAL PORCHES/STEP /
STAIRS-CLEARANCE & RALVS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY'DOORS
FINISHED FLOORS
GARAGE FIREPROOFING,
DOOR CLOSER(S) I
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFIC TE OF OCCUPANCY UST BE
OBTAINED FROM THE, BUILDING DEPARTME BEFORE
THESE PREMISES AR OCCUPIED!
REMAR(K/S:
3 /-. 7--)/c)ies. &-7/' ''z
4.,,Q fee , )0.,,„„,_)
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS kiln .
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPEC ION RECEIVED ‘=p2/ 7
NAME it)2, ���f
LOCATIO
DATE ,(r- 310— PERMIT # Cr--- ----"4
APPROVED
YES NO
FOOTING/PIERS /
.
MONOLITHIC POUR FORMS I
FOUNDATION/D P—PROOFING Y,'
BACKFILL APPRO AL /
.BOUGH PLUMBING\\ n
FRAMING 1
ELECTRICAL ROUGH—IN I
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING ,'
SIDING IA
EXTERNAL PORCHES/`STEPS
STAIRS—CLEARANCE & RA•I LS
PLUMBING FIXTURE /RELI VALVE
INTERIOR TRIM/PR VACY DOERS
FINISHED FLOORS
GARAGE FIREPROO ING
DOOR CLOSER(S) N.
SMOKE DETECTORS
FINAL ELECTRICAL SPECTION
FINAL APPROVAL OF CONSTRUCTION \
A SIGNED CERTIFICATE OF OCCUPANCY MUS BE
OBTAINED FROM THE BU LDING DEPARTMENT BEFORE
THESE PREMISES ARE O CUPIED!
REMARKS:
•
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 41-c
NAME _ 1; ry
LOCATION ��-.-°-
DATE''� PERMIT # (9-6C-/'/
APPROVED
YES NO
•
FOOTING/PIERS
MONOLITHIC POUR- FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING\ . ,
FRAMING >' (..//
ELECTRICAL"ROUGHLIN •
INSULATION:
FOUNDATION J`4
FLOORS
WALLS
CEILING . • .• .`A
FINAL INSPECTION: 1\\
CHIMNEY HEIGHT s'
ROOFING Y . .
SIDING •
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS \
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSERS)
SMOKE DETECTORS N,
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:
TOWN OF QUEENSBURY / 7/
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /Q
NAME
LOCATION er,V,
DATE ! /f-,c7 PERI& # /6/
APPROV F D
YES i0
/SOOTING/PIERS
MONOLITHIC POUR" FORMS
FOUNDATION/DAMP-P OOFING
BACKFILL APPROVAL S ' i .v
ROUGH PLUMBING
FRAMING
ELECTRICAL ROU N
INSULATION:
FOUNDATION
FLOORS •
WALLS
CEILING •
FINAL INSPECTION
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS kk
STAIRS-CLEARANCE,& RAILS
PLUMBING FIXTURES/RELIEF ALVEI
INTERIOR TRIM/PRIVACY DOOR
FINISHED FLOORS'
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
INED FROM THE BUILDING DEPARTMENT BEFORE
ES ARE OCCUPIED!
Ii
•
_Down of Queeniur,
BUILDING and ZONING DEPARTMENT •
<� - Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR' S- REPORT
NAME
•
LOCATION „\ / G� �r 0
Date q / 'PeriDtt No. -k
* . * * *
✓ = APPROVED - YES NO
,j<ooting/Pies Forms �„/
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding , /
•
Masonry Veneer
Rough Plumbing \,
Relief Valves
Ext. Porches
Finished Floors /{ .
Interior Trim \ /
Stairs & Railings
Cellar Drain Tile ft'
Concrete Floors I
E'lbg. Fixtures • / -
Gar. Fireproofing /
Door Closers / •
Smoke Detectors J
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
• FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call whenn ready)
Remarks- 0062 �►ojs '/ )_ Jg..e'G
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 17177
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED_ �0 '", �j NAME _
LOCATION dfG t1Cf' ..Ll �
DATE /0 •455?7 PERMIT # FE.---/6
APPROVED
.
YES; NO
FOOTING/PIERS/ /
MONOLITHIC POUR FORMS /.
�+-66:111DATION/DAMP-PROOFING
BACKFILL APPROVAL /
ROUGH PLUMBING\ /
FRAMING E '
�
ELECTRICAL ROUGH-IN / .
INSULATION: 1' /
FOUNDATION \'`
FLOORS / •
WALLS /
CEILING `\ / •
FINAL INSPECTION: /
CHIMNEY HEIGHT /
ROOFING . .\ /
SIDING V
EXTERNAL PORCHES/STEPS''
.
STAIRS-CLEARANCE & RAIDS - ,
PLUMBING FIXTURES/RELIEF`VALVE •
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS / \
GARAGE FIREPROOFING \
DOOR CLOSER(S) /
SMOKE DETECTORS/ \\••
FINAL ELECTRICAL/INSPECTION ' \
FINAL APPROVAL Off' CONSTRUCTION \\
i
IGNED CERTIFICATE OF OCCUPANCY ST BE
OM THE BUILDING DEPARTMENT BEFORE
/
OCCUPIED!
-q
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 4% i ( z2--2
ti. J '
LOCATION .xd«/yL•DATE 1-1 -��� PE IT # � /(
r
APPROVED
•
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \
FRAMING ` '
ELF,�CTRICAL ROUGH-IN
SULATION:
FOUNDATION Y •
FLOORS •
WALLS /`% �J
CEILING
FINAL INSPECTION: \;/
CHIMNEY HEIGHT fit, •
ROOFING •
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS \
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIMORIVACY DOORS\
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER/S)
SMOKE DETECTORS
FINAL ELECT'ICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION \
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
//
/01 i/ -/ /'
INSPECTOR