1988-285 r a` a ,r p. �+•'- `�`- ..�.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 29 19 88
3o1H
This is to certify that work requested to be done as shown by Permit No. 88-285
has been completed.
This structure may be occupied as a One Famil u .Dwell ibcr
Location Lot 6 Hidden Hills Dr. (St. No. 6) - Hidden Hills
Brad Burgess
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-285
WARREN COUNTY, NEW YORK
J
PERMISSION is hereby granted to Brad Burgess
OWNER of property located at Lot 6 Hidden Hills Dr. (St. No. 6) Street, Road or Ave.
Hidden Hills Subd.
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 to
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
Iz
1. OWNER'S Address is b
356 Lamplighter Acres 1-1
Same Fort Edward, N.Y. 12828
m
2. CONTRACTOR or BUILDER'S Name
Same
rr
3. CONTRACTOR or BUILDER'S Address
k.
N.
Same
0
4. ARCHITECT'S Name
N.
ti
ti
Ca
5. ARCHITECT'S Address .�
0n
rF
6. TYPE of Construction—(Please indicate by X) p
-ffX Wood Frame ( ) Masonry ( ) Steel ( ) 0\
0)
7. PLANS and Specifications
f1,
No. 68' X 24' as per plot plan, specifications and application
including septic system and attached two car garage
8. Proposed Use �U
CO
One Family Dwelling
5.00 C/O
$ 7 36.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 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.)
Dated at the Town of Queensbury this 27th Day of May 19 88
ti
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT. Tows OF QUE'iNS,3U ..'
c� Application No. AD
' _/own of QueenJburc� Permit Issued 19 lb �' _. ,
BUILDING and ZONING DEPARTMENT Permit Expires 19 ��-+ f
Bay and Haviland Road, R.D. 1 Box 98 . Zoning Designation •!i' 19I •
• Queerbury, New York 12801 Variance No. BUILDING &.CODE DEFT.
- ��"�� Site Plan Review No, �y.
� L� Approved by: Cg 6
APPLICATION FOR
gym ,
BUILDING AND ZONING PERMIT
* * . * * * * * * * as * * •14 * * * * * * * * * * * # * * * as * •* * * * * * *::•*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTlON. ANSWER ALL OF THE FOLLOWING. •
The undersigned hereby applies for a uilding Permit to do the.' fol
B lowing ;work. which will
`", be done in accordance with the description, plans;and specifications ;submitted, and such
special conditions as may be indicated on the Permit;.
• .
. The owner of this property is: 7°SU/� 1Jc i` ud /�� '
P P Y 6,67-,..z. ',/ � ��.. u� � ir� l
G i • Tel: •7,?,3':a .,7
P.O. Address / /� _ I G
Property Location. 6 1 7 brL4 S\-' Tax Map •No,. ? / S / T 997
Street number or building lot number
•
•
Subdivision name (if applicable) :..//i d
_THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
6, j7r&< ' 3. 7 -s , , , a ' 15'i = 4 •
Name P.O. Addr' e Tel No.
' Name of builder /�%4.c ri.L Address 356 6 7Lf'Tel". f.;, "a-95-7 '
Address Q .JJn Q4Z rel•. 79.3 -a 1-S.
Name of plumber ��, a����L /��� �� -e
' Nanie of mason w7c,_ A-U,e2i.or._, Address Tel. 0 742 _0AA2
NATURE OF PROPOSED WORK: * ZONING INFORMATION: _
X Constructionof 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 ,
D ' *,whether-'-', in or corner..-lotShow location
FOR DEMOLITION PERMIT, STATE SIZE-AN
of water supply and location and 'configuration
LOCATION OF STRUCTURES AFFECTED. . * of septic disposal area.
. *
* COMPLETE INFORMATION REQUIRED BELOW.
I
* Size of property /5 �U ft X 10/ ft.
* Existing building(s) Size ft X ft.
* _ .
PROPOSED-BUILDING AND USE: * Existing building(s) Use •
Size of new..structure a- ft X024Kt *
• 1:oundation-pier/slab/crawl/partial/full * Proposed building, dLt nce from property: line
•- 'r'
(circle one) * Front ' RI . ft Rear yard ft
No. of stories (habitable space) * yard `�y 7�
* Side yards ' / - ft and /6 s ft
Height (grade to ridge) ft. * If on corner, setback from side street - ft
If residential, no. of families f
No. of rooms(excluding baths) 4 * OCCUPANCY INFORMATION
No. of bedrooms 3 * PRIMARY BUILDING -
No. of bathrooms a.b, * �( One family dwelling •
Primary heating •system 14 L(/G ./ Two family dwelling
Type of fuel C704 * Multiple dwelling / Number of units
No. of fireplaces to be installed * Permanent occupancy
. Will a wood stove be installed? 0 * Transient occupancy
Central Air conditioning? Q
* 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 *
-/V-e C� Cottage Other - * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
CCTRCLE ONE PLEASE ) * ('Attached garage/one car/ two car/ 7 car
` * * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * < Other
CONSTRUCTION o� * \\
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form• EPA 4/86 and-vl
•
BUILDING PERMIT APPLICATION CONTINUED -
BUILD;ING.SPECIFLCATIONS: .
. .Type of construction, -wood frame, fire safe,etc. a k' elerc-eb . .
Will any-second-hand or ungraded lumber be used?. If so, for what? 92O .
Foundation wall material razz,t r 6an...7.,zi o� Thickness 2/1 '
Depth of foundation below grade (to bottom of footin ) • d'
Will there be a cellar?X4 Heated or unheated? ?I Floor sq.. footage /Q0 F sq ft
Will there be a basement? y« Will any portion be used as living space? /P)a
(If so, what portion? sq.ft. - Type of use?
• Type of roof - sloped/flat/sped/other 4 ,( Material,•of roof S/w,-.5, (Aokit)
Size, wood studs "X " spacing /6 "o.c. length .2 ft. . ,.
Joists(floor beams) 1st. floor "X /61 " spacing /6 "o.c. span /a ft. .
-4----
Joists (floor beams) 2nd. floor "X /Q " spacing /6 "o.c. span /a' ft. .
' Overlays(ceiling beams) "X " spacing "o.c. span ft. . . .
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engin eyed) .spacing a4 "o.c. span 19 ft. .
Exterior wall finish �� :LX Of what material? /“' S2icia ' C'4(I0J,6e4cs/
Interior wall finish . .. . ' . . ' •
If. garage is- to be attar ed, describe materials to be used for FIRE SEPARATION:
r �,
Is there to be an opeifing between garage and dwelling? (2 If so will a Fire-rated
door, enclosure, and self-closing device -be 'provided? y. •
Will a flue-lined chimney be installed? Pp ' Height above roof ft.
Depth of chimney foundation below grade ft. .
Depth of fireplace hearth ft. in. �
Water supply-Municipal or private well ��j ``,
SEPTIC SYSTEM _ Distance from ANY private well(inctuding adjoining properties ft.
(A separate application is .necessary.for any repair or new installation of septic system)
Town of Queensbury A F F 'I D A--V I T 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 ' _I 7
' Owner, owner's agent arcn}tect,contractor .
day of 19
Notary Public, Warren County, N.Y.
. •
* * * * * * * * * * * * * * * * * * * * * * .* * * * * * * * * * * .* * * * * * * * * * * * * .
SPECIAL CONDITIONS OF THE PERMIT: '
•
•
•
By
f.e
.J&Jun OfOua4at,
APPLICATION FOR SEPTIC DISPOSAL PERMIT
RAT: t_'r
DATA'. ;� t
DATE c
zt`'m & BLDG P JEP7.
EC,,;; C, ut;ENSBNY
LOCATION OF PROPERTY FOR INSTALLATION ‘ .G c j_A j•CC,t,e C64-j j/j
Owner's Name: 7,k �� Telephone: 7?3--a 5 7
Address: 3 S 6 / L Ji 'l I drrur.,U' l9 ' /21-2-�
Installer's Name: /-)ewe Telephone: 79 -Z —G,2,4
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) q5 Q
Topography: circle one: �I Rolling Steep Slope % of slope
Soil Nature: circle one: an Loam Clay Other / Depth: feet
Ground Water: At what depth? 6 feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one not required equired / rate min. inch.
Domestic water supply: circle one: ipa Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank /000 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 50 feet / Total system length Q 00 feet
SEEPAGE PIT(S): Number of Q / Size each J feet by --"" feet
nnr i
Size of stone to be used # a, / Depth or Thickness doe x� 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: /
446"31----2—
Date: •51;c2.--1 k-e
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
•
SF FT. '763 . HMV 4.11TY '"?0D PL_A LIVE
INTERIM BUILDING PERMIT
PERMIT APPLICANT \ ) e- y. ,S
v,
CONSTRUCTION LOCATION L 6 , 1 .,
EFFECTIVE DATE 0,4=9e
APPROVED BY 6/ .._, . '
SPECIAL CONDITIONS :
��
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building . Department, following processing .
POST THIS INTERIM PERMIT IN A CO ' UOU LOCATION ! !
. . . . ,
Building & Codts Department •
. TOWN OF QUEENSBURY
•
• 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 . Cross floor area 1?GQ1;1 • •
•
2 . Type of heat Wa
3 . Is the building mechanically cooled? /7p
4 . Percentage of area of windows and doors •12, 1a
•
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 . RilvaldF of roof and floors exposed to ambient conditions
2 . R value of exterior walls P —11
3 . R value of glazed area
4 . R value of doors •
•
5 . R value of floors over unheated spaces
• G. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - .heated slab' • -
0 . R value of heated basement/cellar walls (above grale) lr�-= ,.'�.�
9 . R value of heated basement/cellar walls (below grade)12214
10 . Type of insulation {ac / 4c2
C. Controls
1 . Thermostat maximum heat setting 7,5-
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas •
E. Piping Insulation /(
1 . Size of hot water or cooling carrying agent pipe /-"/ ...
�t�
2 . it value of pipe insulation
F. Sekrvice Water Heating {v�b
• 1 .'•. Performance efficiency �j
2 . .Temperature control setting maximum (tn.
G . For Swimming Pool Only •
1 . Maximum heating)
•
Telephone No. 713-ajs7 • 6,60_,17& •
(applicant ' s .sig azure)
•
tt �
Jown QiiteertJlar
r 4 1 I .. 4 p5(�;1
QUEENSBURY TOWN OFFICE BUILDING
�c rrn
BAY AT HAVILAND ROAD
HIGHWAY DEPARTMENT QUEENSBURY, NEW YORK, 12801.
TELEPHONE: (518) 792-5832
•
Application for Driveway Permit.
(Submit completed application to Highway Department)
Name of Applicant /,, S(Oro c-s s
A/c-
Mailing Address Ssw Ac ,�, ,,�J; )-J& az-e/ 74/i /2,-J
ADDRESS TO BE INSPECTEDz �.
6a/.e '. .
•
The Superintendant of Highways, Town of Queensbury, has reviewed
the application of the above named resident to connect a driveway
to the Town Road. The following action has been taken:
( ) Premininary Approval (to be followed by "Final Approval")
( ) FINAL APPROVAL GRANTED
( ) REJECTED
Culvert pipe size. to be used (if necessary)
( ) 6" - ( ) 8" - ( ) 10" - ( ) 12" - ( ) 24" - ( ) 36"
Date:
Paul H. Naylor
Superintendant of Highways
Town of Queensbury
L.
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.# IDATE I �} —
CITY OR ,- I __
VILLAGE L-roV'%`:+. , /
.' - r'. .._: -TOWNSHIP "} 1(' -j. /i,.;: COUNTY !,%.1..:., , ,
STREET AND NO.OR / .I / -
ROAD AND POLE NO. ( 1 .hi !. /• ; 1! (! '. /I. '. . POLE NO.
BETWEEN WHAT TWO `, `.
�.\C
CROSS STREETS IS / J J',' `:` ,�
PREMISES LOCATED? .' '.- - ..'� !r:%•-�: �. .- �'(='• SECTION BLOCK � LOT
OCCUPANT'S P _ BUILDING _ t `
NAME I ..;:I :' �,t'• J _ OCCUPANCY -j11"4. " `C1_."r'r'_.,.t� ti-r ...,"��.\1-\::=l..-�r'-.Q
„
OWNER'S NAME % " - TEL.# / /
AND ADDRESS • / :._ .. ., - / _ - /
SUPPLIED -'')`_.5,\,1 J _ N\rsNh• ,Ji ,S-, FROM THEIR J • OFFICE
BUILDING / WORK DEFECTS
IS NEW L,Q OLD❑ ., IS NEW L 1 ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures& BRANCH
' NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUITS OFFICE USE'
Loca- ONLY
tion
Ceiling Side Attach't - SwitchEach Pendant Bracket No. Type H.P. No. Each Watts No. A.W.G. INSPECTION
•
Wall Reeep'IsGauge
- •;r;„
`Out .
side' •
-
•
_Sub-b .
Base- '
. ment "
• 1st Fl. - i-
• 2nd Fl.
.._._.:—;11 .F1. •
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 T. VA
—- WORK TO BE - (NUMBER) ' _ (CAPACITY)
_s'_STARTED COMPLETED SIZE OF SIGN-..
SERVICE OVERHEAD UNDERGROUND MAKER
• ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS n
POSSIBLE - • NEW I I OLD 111
AVOID DELAY BY GIVING FULL.AND ACCURATE INFORMATION.ALL SPACES
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF �'�' ;/. i.,r
APPLICATION
PRINT_ NAME AND ADDRESS
- NAME OF t e,,,, / _ h (SIGNATURE t:: 1 f/:,.''`
I. APPLICANT -•- r• '-%'-r" ) --- - ✓ OF APPLICANT --t/„�"11. (,.,-(-✓l
•
STREET ADDRESS - '-' - • ' TELEPHONE#' ✓'f•--' .",',:''
•
POST OFFICE ITY OR I_.. fi CODE : •• WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE-FILED FOR EACH SEPARATE BUILDING
."."4•�1_Ti.a.E ., .ao.A..�a�•Lai..1,.,.,,•ti,.aa.J.....c,. ,.-.?.".1..�.a•�.". ..a•,... _ ,. ..1. •.)..!.ai.,.�. •tia•�Ca•.a•.t •�C,...?.af.,•!. .,xft., . ..,.,,"•.1,., ,, .,.,• •,. i...,.A...1.�,.;.,. . .-�-,,-, ,.R,c`.�
_F • THE NEW YORK BOARD. OF FIRE UNDERWRITERS -
BUREAU OF ELECTRICITY
r: �� 41 STATE STREET,ALBANY,NEW YORK 12207 c-1
Date Application No.on file " ^ r== r- r
:3Ei TI'• SBb� :: 1, 1938 t�1ti355/cs8 A t? ; x ..., ��,:
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
Bf.A» i.ivagESs, 6 HIDDEN HILLS DR, GLENS PALLS, My
in the following location; x0 Basement :,Q 1st Fl. Q.2nd Fl. OUTSIDE Section 93 Block 5 Lot 99& ®,
was examined on• /; and found to be in compliance with the requirements of this Board. o
FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ' ,
OUTLETS ECEPTACLES SWITCHES MERCURY •
INCANDESCENT-FLUORESCENT yApR AMT. K.W. AMT. K.W. AMT. K.W. MAT. K.W. MAT. H.P. •'ii,
23 t;3 a1 23
7:4_„' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS •.!c-j.
`-j AMT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. • AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS MAT. WATTS •- ;
_ NO.OF FEET
L )RYER r 10 1 ••:
SERVICE DISCONNECT NO.OF S E R V AN/ C E `:
AMT. AMP. TYPE METER 1�•2W 1.83W 3 0 3W 30 4W NO.OF CC.COND. A.W.G. NO.Of'HI•LEG A.W G. NO.OF NEUTRALS A.W.G. 'i
EQUIP• PER B OF CC.COND.. �V; - OF HI-LEG OF NEUTRAL
1 2U0 Cb 1 x 1 4/0 {'✓ 1 2/0
OTHER APPARATUS:
3 ti°'' •
�
2— S SMOKE DETECTOR �.
F .
\, •
_ Y
4 Bl<AD bIIP(ESS
3t;.-6 fi,.. 1'LE Lu C ACRES
BRANCH MANAGER
q 142/kE !0141 1i,, NY 112b28 239 7
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.
-2dEtiliEWEEFIEMCSOMCSIIIME21512§10E ® ® ® 0 ® 0 0 0 0 ® 0 0 0 0 0 0 0
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
%\'s
7 Jown of Queenjbur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME V\iL1L�
LOCATION-�� LLVAVv �
Date b falo Permit No. gl —onL
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Fo '.'
Foundation
Waterproofing
Backfill
Framing
Roofing ✓
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches r//
Finished Floors ✓
Interior Trim V Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures ✓1
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRIC INSPECTION
DRIVEWAY APPROV
Final Building Survey t/
Next scheduled inspection (call when ready)
Remarks-
•
•
Buil I s c or
6/86 and-vl
INFORMATION FOR 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
AP,PLICATION NO./ ! �"✓�
•
LO L2
ION Lefft,,,
DATE INSPE TOR
• F()RM IRI)airy 1/RA)
•.7own //
o/ Queeniburty
BU LDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box :8
Queensbury, New York 12801
•
SEPTIC D SPOSAL SYSTEM INSP CTION
NAME s, ' f r , c
LOCATION ` � � ` -)
DATE_ S 23 PERMIT NO. ".." 8 ' S
SOIL TYPE Sand - Loam - *lay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYST :
Absorption field, total length ',9,-;) `
Length of eac • trench •
Depth of trenches .
Size of graver •
SEEPAGE PITS{N .er of •
Size- ft. X , fl .
Gravel size
PIPING: Size Type_
Bldg. to tank
Tank to dist. box _ lr/ /'/
Dist. box to field
Openings sealed? (ES ' NO Partial
LOCATION/SEPARATIO S.
Foundation to tank ( `1 ft.
Foundation to absoi pti.n I. t-ft.
Absorption to lot line -i ' ft.
Separation of pit. T/ 1'ft.
LOCATION-OF-SYST ON P•OPERTY(circle one)
Front �- Rear e L:ft side - Right. side -
COMMENT'? )
is
•
S STEM USE APPROVED •AYES "-/
(c)ikY /✓�"
Building Inspector
01/86 and vl •
Jown of Queen iur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION /
rXS 6 7(Z&7 24✓/7,4
Date 7•-(5 /Az Permit No. kf- l/I/r�
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / N
Footing/Pier Forms
Foundation /
Waterproofing
Backfill
Framing
Roofing
Siding •
£M onry Veneer
gh 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
(/ NSULATION:
Foundation
Floors
Walls 1/°
Ceiling ✓
FINAL ELECTRIC L INSPECTION
DRIVEWAY APPRO AL
Final Building Survey
Next scheduled inspection (call wh_n ready)
Remarks-
Bu i ector •
6/86 and-vl
•
•
Jown of Queenaur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
- BUI.L.DING INSPECTOR 'S REPORT
NAME 4..e s r%e
•
LOCATION oT //e )4&5 )5..
Date Cj 0e/ T Permit No. ff 7j—
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill f
raming s t� /Ir�ny�'•e Q/
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 (call when ready)
Remarks- 6i0 k-. G e 1d �yc P/1.
�d• l.Lt402.7
•
Building ctor
6/86 and-vl
awn o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Lr Queensbury, New York 12801
4 /
BUILDING INSPECTOR' S REPORT
NAME �GG/ / S/
L O C A T I O NJ . (� )` 'ZG2 ,‘' /n.-( ,22
Date 1p - g'/ek- Permit No. �'(�",77v
* * * * * * * * * * * * * * * * * * * * * * *
� ✓ — APPROVED - YE / NO
C-Footing/Pier Forms /aA/g, ,
Foundation
Waterproofing / j
LvErgckfill /
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 ELECTRIIAL INSPECTION
DRIVEWAY APPROVAL
Final Buildin. Survey
Next scheduled inspection (call when ready)
Remarks-
Bui + ' nspector
6/86 and-vl
Jown 01 Queenitur,
BUILDING and ZONING DEPARTMENT
:•y and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
UILDING INSPECTOR ' S REPORT
NAME ,gT� 6 Al
--d--t1i
•
LOCATION / / gdzi/dij A .
o„ r__,_
Date 5/37 / Permit No. rJ / `, (
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YEAS / NO
ooting/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 ED CTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
ANN.
•
s
f efl
a
o
z
,
I"
• V l .e .
+C4
.
'
r
<
r
a V
�
_
is
Ox
if
r
`
r
r
�
rA'
FILE COPY
"PR
DA D
} ZONING & B G CODES DEFT.
TOM OF QUEENSBURY
s
}