1988-303 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 1 19 83
fac\c,\0\-"?7-itit .
This is to certify that work requested to be done as shown by Permit No. 38-303
has been completed.
This structure ma be occupied as a One Family Dwelling
,r,t 1 11 ova 1.,r1
Location CORNER FOX HOLLOW LN & FOX FARM RD. .
Owner RICH SCHERMERHORN
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 88-303
WARREN COUNTY, NEW YORK • o
i
PERMISSION is hereby granted to Rich Schermerhorn
V
1
OWNER of property located at Corner Fox Hollow Ln & Fox Farm Rd Street, Road or Ave. i
i.'''
in the Town of Queensbury,To Construct or place a One Family Dwelling u„
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
112 iZ Crandell St. qzi
Glens Falls, N.Y. 12801 n
CD
2. CONTRACTOR or BUILDER'S Name n
Same n
0
rD
n
3. CONTRACTOR or BUILDER'S Address o
rt
O
Same
4. ARCHITECT'S Name
n
0
II
5. ARCHITECT'S Address 0
CD
n
hi
0
X
6. TYPE of Construction—(Please indicate by X) o
I—'
k )Wood Frame ( I Masonry ( ) Steel ( ) I—.
0
7. PLANS and Specifications Po
No. 86'6" x 40' as per plot plan, specifications and application including CD
septic system and detached two car garage.
8. Proposed Use
One Family Dwelling
0
$5.00 C/O w
$ 192.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Max Dec. 1, 1988 r•
(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.) d
fD
31st May 88 I-'
Dated at the Town of Queensbyry this Day of 19 N
crg
SIGNED BY /G for the Town of Queensbury
Building and oning Inspector
• TOWN OF QUEENSBC1f'"t
TO BE COMPLETED BY BLDG DEPT. ,r (To 17 n Tf' r' s"-
c-i Application No.
Jown o/ y.Queen Jlur Permit Issued 19
`BUILDING and ZONING DEPARTMENT r;v q 1988
Permit Expires. 19 • � ��f•1 �1 J
Bay and Haviland Road, R.D..1 Box.98 Zoning Designatio' . • . -= x =
- Queensbury, New York 12801. ..:
Variance No °Ali
. OWE-DING & COur:- DEPT:
Site Plan Rev. / 5}•Zr (1V.
I Approved b
kll - rU �n. ;ate. � . _ .!�
APPLICATION .FOR f .. da,. o '
BUILDING AND ZONING PERMIT. - . ' ' . ' . q7 d'
.•*• * * *• * * * .* * * .*..*. •*, *•:: *• •*- *: *;:*,* * .*. * * *. * *. * * * *• .*• * _* * *. *I,*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. ;
The undersigned hereby applies for..a_ Building Permit to: do 'the following work which will _. '
be done in accordance with the description,_.plans and specifications submitted,• and such . ,: ".
special conditions as may..be_indicated on the Permit. ;,,• . , .
The owner of this property is: '�h '"`. �A e,r- -'e, -h o czt"
�`(� .
P.O. Address //Z 1/7_,,. :. . ('.;('a v-14''t (.(.., S'f''':.:.,.. g••F Tel. I73'.-66-7Y
Property Location: •
P Y �br'nZ,(�. o��. fDyc .�fo�tlo,;�...`Gj�� s .�� Farr,' rd..Tax Map No. �� / .
Street number or building lot number
Subdivision name (if applicable) .' ico k- ,..�./-ki//a� - `' _,- .
.
THE PERSON, RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: • .A • Cali e•r"14e.r'11oYno //Zi/ Cjr'a rid e.// Sf '. . 77(P -067f,
Name P.O. Address Tel. No.
Name of builder , . . Sc%,z rw,e,,r/i o r-Address ' 6/eJri s _`a r/ S Tel. 7 F y=o 6 7
Name of plumber ,-ja",rq, _. //,,.,.,b,•, Address ' ' 01,e er,shv c-y ' . Tel. ,p r $'c 6 y
Name of mason Ke,n Ba/d..,.,,-� Address i=/;':'/4;J,w Tel. 7q c - sr,-•6a--
NATURE OF PROPOSED WORK: * f. . ZONING INFORMATION:
X Construction of a new building _, *•.A SLOT..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, .
: : y
(no change,to exterior dimensions) * whether_ existing proposed and;indicate all '
Other work (describe) . * set-back:dimensions .fromproperty. 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 /l6 ft X /3f ft. •
* Existing building(s) Size rr 'G ft"X YE.) ft: '"
PROPOSED BUILDING AND USE: * Existing building(s) Use ' As ide„r, 6-4G.
Size of new structure Toe ft 'X' to ft *' .. " .. .. .. . • ' .
Foundation-pier/slab/crawl/partial,}` * Proposed building, distance from property line
(circle one)
,,. Front yard ' ' dr' ' ' ft Rear yard ''d" ft.
No. of stories (habitable space) .2 . 26.
Side yards. ft and ft
Height (grade to -ridge) ;�g ft. If on,corner
If residential, no. of families y . .. * , .setback from side street ft
No: of rooms(excluding baths)' ' /6 * OCCUPANCY INFORMATION
No. of bedrooms d/ ' • • *. pRIMARY BUILDING
No. of bathrooms .
Primary heating system G .5 • *' •X On •One family dwelling ,
Type of fuel 6.0,S *' Two family dwelling
�' . Multiple dwelling / Number of units
No. of fireplaces to. be installed i per[nanent'occu occupancy
_Will a wood stove be installed? ,// * p y
Transient occupancy
Central Air conditioning? / -f _- - -.--__
*' ' Business , v
BUILDING STYLE, PRIMARY STRUCTURE *':' 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-
() Town House *.• X. Detached garage/one ca two car X car
( CIRCLE ONE.PLEASE ) '' .` -'"`*' -Attached garage/one ca tw ar/ car
* * * * * * * * * * * * * * * * * :' * private storage building.
ESTIMATED MARKET VALUE OF , '" Other ' ' ' ' ' ' ' ' ' ' ' ' ' '
CONSTRUCTION
. $., .,/c crefo
INFORMATION ON BUILDING SPECIFICATIONS, ON'REVERSE SIDE OF THIS SHEET,, TO BE COMPLETED!
•
Form BPA 4/86 and-vl
r
•
BUILDING PERMIT APPLICATION CONTINUED- . ,
BUILDI•NG SPECIFICATIONS: ,
Type of construction, wood frame, fire safe,etc. • ��'-�^�
Will any second-hand or :ungraded lumber be used? If so, for •what? s./o-
Foundation wall material No--,A Thickness • A2 "
Depth of foundation below grade (to bottom of footing) 6'
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
Will there be a basement? cWill:any ..portion ,be used as living space? ,4./.0
(If so, what portion? sq.ft. - - Type of use?
Type of roof: - •slope /flat/shed/other • '2 ' Material.•of roof LJ5 ,L // 415/0/ //- sh-a;/ef
Size, wood studs C"X 4 spacing /6 "o.c. length e' ft. . . . .
Joists(floor beams) ' 1st. floor p.. "X /0 " spacing /6 "o.c. span .,ly ft.
Joists (floor beams) 2nd. floor ;! "X is " spacing lG "o.c. span / ft. ,
Overlays(ceiling beams) "X ". spacing ' "0.c. span ft..,. _ . _.-
Roof rafters "X " spacing o.c. span ' ft.'
Roof trusses(pre-engineered) spacing "o.c.,.,span ft.
Exterior wall finish -- .{.CIaQhtQrAf what material? O.,eAci r
Interior wall finish
If a garage is to be attached, describe materials to:be used for FIRE SEPARATION:
51 g Sii e_+duo Gk_ sr, ,v±' ori Cei),.et. , -44.10-21 aii i:'c/_ 1 ///
Is there to be an opening between garage- and dwelling? '/e$ If so will a Fire-rated
door, enclosure, and self-closing device be 'provided? /es
Will a flue-lined chimney be installed? ' _ .e. Height above roof y ft.
Depth of chimney foundation below grade ft. . . -_
Depth of fireplace hearth 4. ft. a in.
Water supply - Municipal or private well /14ii'%cci')a j.
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
A F.,:F. I D.:;A:_;V I T STATE OF NEW PORK
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__je f
•' -"Owner, owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County,...N.Y. , ..- .
* * * * * * * * *,* * * *. * * * *. * * .*. * * * ..: ;* .* * * * * * * * .* * '* * .* * * *. * * ,*, *, *, '
SPECIAL CONDITIONS OF THE PERMIT: •
•
By
TOWN OF QUEENSBURY.
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following:
1. Gross floor area ,2,SS6
2 . Type of heat = G0,5 CFa(ce;A kof a.7 )
3 . Is the building mechanically cooled? N
4 . Percentage of area of windows and doors /y%-
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 !r{� NO
a. Are foundation walls insulated? YES NO
1. If YES , what is the R value?
3 . Slab on grade 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 /-,.Ae r ht ff
B. Under 16% Only `/
1. R value of roof and floors exposed to ambient conditions
/'as -9 -38 /� ��� Peru —.
2 . R value of exterior, walls —,,2S
3 . R value of glazed area y. r
4 . R value of doors 13
5. R value of floors over unheated spaces /?- 0?,S
6. R value of slab edge insulation - unheated slab N/A
7 . R value of slab insulation heated slab Ai/A
8. R value of heated basement/cellar walls (above grade) -�f
9 . R value of heated basement/cellar walls (below grade) A-/o
10 . Type of insulation 1/i e,,/'' c/ja SS
C. Controls
1 . Thermostat maximum heat setting 76' °
D. Duct Systems
1 . Is duct system installed in unheated spaces?
YES)
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 ! y
2 . R value of pipe insulation:
F. Service Water Heating
1 . Performance efficiency 21,-
2 . Temperature control setting maximum /y40
G. For Swimming Pool Only
1. Maximum heating AAXX
Telephone No. • 7iS - • 7`� �=-�"�- 1) -1
(applicant ' s signature)
INTERIM BUILDING PERMIT
PERMIT APPLICANT PLcv-k
CONSTRUCTION LOCATION �-
r�R.�o X NcLla cv L�+ 1�X �/-1-laM Po Pro.
EFFECTIVE DATE ? /�sr
APPROVED BY if
SPECIAL CONDITIONS :
F PPL lc-Pw r- f36-60J Cw -Ru r 'a*" .
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 thR,
xesponi.bility of t11 ' cant to obtain the Permit
from the_B ildina Department, following processing .
POST THIS INTERIM PERMIT IN A C SPICUOU LO ATION ! !
Building & Codes Department
. TOWN OF QUEENSBURY
FiLE COPY
runt of aeatodeotop
•
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE ,f'/.,? /
LOCATION OF PROPERTY FOR INSTALLATION Co C'n (' Fog 1-1-r1(o w Li, • �ox lca
Owner's Name: j7ici e rr i e„- / tio0 Telephone: 7 7 S' o i%
Address: /4,2 i1.z Craf')de. // Sf
Installer's Name: al l ,. $ / Isr24 f�;"4t-Telephone: 771 —GG7/
Number of bedrooms (residential only) y
Total daily flow (compute @ 150 gal per bedroom) Cv diJ
Topography: circle one: Flat Rolling Steep Slope % of slope „id ,
Soil Nature: circle one: Sand Loam Clay Other / Depth: feet
Ground Water: At what depth? _ Ay/A- feet
Bedrock or Impervious Material: At what depth? _ �c/ �{• feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one:(Municipal) Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption ,A/A feet
PROPOSED SYSTEM: Septic Tank /F-e— gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S): Number of ;2 w. / Size each . , feet by tO feet ?►' �,
�
Size of stone to be used # 3 / Depth or Thickness _ 7 feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
1 (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 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 I
CITY OR j .
VILLAGE -i 1L.71 5 Fc-i J TOWNSHIP COUNTY
STREET AND NO.OR /
ROAD AND POLE NO. / /` X /i'r'//O rat/ G,- - POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS iiPREMISS LOCATED? U X 6C• c'''' iII /I-74' , y
,t i'r1 SECTION BLOCK LOT
OCCUPANT'S f 1 BUILDING -
NAME /{, J? �. i�.A r• ,f, L, r PIO fN OCCUPANCY , •
OWNER'S NAME /
AND ADDRESS �� i/ TEL.#! 11 F-'.- 0-/l"7V
CURRENT
SUPPLIED ,, // / ,
BY /V/c; f./'��( / >/'r. � � FROM THEIR ,-�J,, -_. , OFFICE
BUILDING 1 NEW lAI OLD❑ IWS
NEW LXI ADDITIONAL❑ REMOVED DEFECTS ❑
/ ' LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures&NUMBER OF OUTLETS LampfReceptacles MOTORS . HEATERS BRANCH CIRCUITS OFFICE USE
Lam_ • ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Reeep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out •
-
side '
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl. -
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE-
.
This application is intended to cover the above-listed equipment to be inspected„but'if,;at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjusithe 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 AS (�"�
POSSIBLE • - NEW OLD I I
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION V1 G
PRINT NAME AND ADDRESS c ( � f / �/y / jp
NAME OF !�C_i i /J• ]x'�1i e r ✓1 , j-'I r-_v X SIGNATURE + ,. --t �!
APPLICANT { *�OF APPLICANT
STREET ADDRESS CITY OR / tie- I/� -��'Ct.v.-1.j l-' I k. yc5 + TELEPHONE# / 7 '/-`'' t 7:f
POST OFFICE L 1 `.')5 FG, I I Cl /l/ /�� CODE f ��+` WHEN APPLICABLE LICENSE
46 EL (REVS/e6) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING '
.v.f .,:
$' !1.'.9A....J) J 9/..5. R1.?5!Nl..RI. ..!-149,.yIJ_R/IRA Ak(.;5 tl•IRi 5,_'51 IS)).5(<i9(.5i_.ISi.I.'..N6?Sl,4.9•).Rl.ICi.-.!l a94V.Ri.,,,_IS).. '•?I,' ..!,a"i0,9!-19! l'I. IC �C!,lRI..'S,.1/,1 .C t• s.(,s• 4•A=
E . THE NEW YORK BOARD. OF FIRE: •UNDERWRITERS y.
1 BUREAU OF ELECTRICITY ' 7
- 841 STATE STREET,ALBANY,NEW YORK 12207 . �'1'
I i I December 1�L5C?r a 198841
�^ �; Date Application No.on file + f;/f9i • q
ti THIS CERTIFIES THAT 7A _p rf ?
only the electrical equipment as..described below and introduced by the applicant named on the above application number in the premises of
�, i('�Gi`iarc Fu ocse c itcrn L'"o: tioliow bane Q`�tE'en:3'Csd9.k:y, l�t'WYork s ngl'• taIiiii i residence
ut; X .K garage 01fits'ide
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot .,,
k4; was examined on . 11-r3O--36" and found to be in compliance with the requirements of this Board.
y FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES MERCURY :t`
r.� �; INCANDESCENT.FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ! -
• 29 55 43 27 2 . •• 1 1.5 ,, fr
�' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS :t
aY•m . AMT. K.W. OIL H.P. GAS H.P. AMT. p®IyO. A.W,G^, AMT. AMP. AMT.; AMPS., TRANS. AMT. H.P. NO.OF FEET AMT. "WATTS 4-..
�, 1 it'r 1 30 10/3 .1
►; SERVICE DISCONNECT NO.
S E R . • V - I C E
2{: AMT. AMP. TYPE EMQUiP 1..t 2W 1 if 3W 3 0 3W 30 AW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS
�, PER B OF CC.COND. OF HI-LEG OF NEUTRAL r
w+ 200 Wane b. 1 c 4/0 2/0
L
OTHER APPARATUS:
4—mec'i r'eceptaci s . ?�
. • 1- moke` detecto3 •
4 c.E e n Water Heater: 1-455 . r
k •
j . .
r
of .T.\C'_T"� Sawyer Electric 7 _a
3 las Doan 1�;J =
a i' Glens Falls, NY 19SO 1 `y '9•.•
e; BRANCH MANAGER ?.
11, 7,},
• Per
g; 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.
pCYe7 41 4-vies ezr4i-ii,(-4 -47(.4'ciii-le-4Y16-i-4Y'ia MEMO ® B CtilEMME C I 0 0 MIME ® ® 5112510131 0 ® CIENEIRM 0 ® ® t
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR IN
PEC ON ECEIVED J - 0 -
NAME - - m
LOCATION 0ptm (r(� / Z/j`.tr / g
DATE /Z_/ y-Y PERMIT # _3d 3
APPROVED
YES NO
FOOTING/PIERS
MONOLITH C POUR FORMS I
FOUNDATIO /DAMP-PROOFING f
BACKFILL A ROVAL
ROUGH PLUMB G 1
FRAMING
ELECTRICAL ROU H-IN
INSULATION:
FOUNDATION
FLOORS \
WALLS
1//
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST S F/
STAIRS-CLEARANCE & ILS
PLUMBING FIXTURES/ ELIEF ALVE
INTERIOR TRIM/PRI ACY DOOR
FINISHED FLOORS
GARAGE FIREPROO ING i/
DOOR CLOSER(S) \
SMOKE DETECTOR
FINAL ELECTRICA INSPECTION
FINAL APPROVAL OF CONSTRUCTION \
5
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: 0
DV 1-D
Al_ _?
INSPECTOR
_Down of Queenitu9,
: BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
,() Queensbury, New York 12801
77)
PE TIC DISPOSAL SYSTEM INSPECTION .
NAME / 1 J je--/"C14402 4/../ ../
LOCATION a ( /64// i/ ,x 6 P1?-2
DATE_7% /fr , PERMIT NO. h"-"_Fr
SOIL TYPE - Sand - Loam - Clay - •
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM
Absorption fie d, total len'th
Length of each rench
Depth of trench- "
Size of gravel
SEEPAGE PITS4Numb6' • Z.--
Size- 9ft. X :t. -1- `t '
Gravel size
PIPING: Si�}e- Type./
Bldg. to tank r f Pi' (.-----'
Tank to dist. b,'x /,_ /' -'`-'
Dist. box to f eld/pit / /', . C:"
Openings seal,d? YES, ENO Partial
LOCATION/SE!'RATIONS: r1
Foundation ' o tank r ft.
Foundation to absorption ,20 ft. •
Absorptio to lot line •4- ft.
Separatiot of pits Ai-) ft.
LOCATION of SYSTEM ON' PROPE•TY(circle one) •
(Front)- R_ar - Left- side - -ight side -
COMMENTS: /
/� 1d/
( •
lam.
1 HL/•
��7r
•
•
SYSTEM USE APPROVED /YES) NOS r''/
ill 7
V / ,,,,,
tj;rf
Building Inspector
01/86 and vl .
•
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS fi
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED_/7__r
NAME _.1 ,y,f �%tle/L/Yl2['/z.,f d-,l/1i)
LOCATION e }(///(hJ -tf lDM e/�)( 7y»
DATE , 1/1-�Ll PERMIT # ay_ t7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING \ 1
ELECTRICAL ROUGH-IN % •
INSULATION: \
FOUNDATION
FLOORS \
WALLS ` ,l •
OILING 1
/,FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING r/
SIDING \ I t/
EXTERNAL PORCHES/Ss' PS
STAIRS-CLEARANCE & ILS
PLUMBING FIXTURES/ E IEF VALVE r/
INTERIOR TRIM/PRI ACY OORS
FINISHED FLOORS
GARAGE FIREPROO ING
DOOR CLOSER(S) •
SMOKE DETECTORS \,
FINAL ELECTRICAL INSPECTION N\
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: n Iv' {`c Li v—c15a- ---
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INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS 2� 2 J
QUEENSBURY, NEW YORK 12801 `/ /
TELEPHONE (518) 792-5832 -------
BUILDING INSPECTOR'S REPORT
REQUEST FOR -�'Yyf��/7D INSPECTION RECEIV,-ED/
NAME --A�.1� ' 2 f /
LOCATION C� 4l�ilf �' 14z// g ,-/91/(-7
DATE /7- /( PERMIT # W-z 3v�
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS I
FOUNDATION/DAMP-PROOFING I
BACKFILL APPROVAL /
ROUGH PLUMBING /
FRAMING
ELECTRICAL ROUG -IN
INSULATION:
FOUNDATION
FLOORS \
WALLS
� �CEILING
VF'INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANC & RAILS
PLUMBING FIXTU ES/RELIEF V.LVE
INTERIOR TRI /PRIVACY DOORS\
FINISHED F RS
GARAGE FIRy ROOFING
DOOR CLOSER(S)
SMOKE DE ECTORS \
FINAL ELE TRICAL INSPECTION
FINAL AP ROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
/
REMARKS: /1/ V
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INSPECTOR
Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
\O\
BUILDING INSPECTOR ' S REPORT
NAME c:Z/cilik., N Iiiar
YC r
LOCATION( v""', Lam \
Date_ �/�a�3�_ Permit No. q�� O3
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
v Backfill
V Framing
Roofing
Siding '
Masonry Ve. eer
N'VRough Plum.'ng
Relief Valvas
Ext. Porches
Finished Floo, s
Interior Trim
Stairs & Railiigs
Cellar. Drain Ti -
Concrete Floors
Plbg. Fixtures
Gar. Fireproo'in•
Door Closers
Smoke Detec ors
Chimney
INSULATIO :
Foundatio.
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECT ON
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
B ilding Inspector
6/86 and-vl
_louwn o/ Queenahur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S R ORT
NAME b`-'...,, ,� ei/(4/1-. A.4.
, . ,
LOCATION I6/ i/,�) D.
J .�
. / . . . -((Date �',i� "`. � Permit No
= APPROVED - YE / NO
oting/Pier Forms
o dation
aterproofing
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. Fireproof4ng •
Door Closers
Smoke Detect,.rs
Chimney
INSULATION-
Foundatio
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION .
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl -
fl� .own of Queenitur,
BUILDING and ZONING DEPARTMENT
ay and Haviland Road, R.D. 1 Box 98
mQueensbury, New York 12801
1 '
BUILDING INSPECTOR ' S REPORT
NAME /6ki-e.(A /5,,o7A)
LOCATION /
/ U�
Date /y/ ae. Permit No. )' y
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES ,/ N
t-4-Ooting/Pier Forms
Foundation
Waterproofing
ackfill
Framing
Roofing
Siding
Masonry Ve .eer
Rough Plumb.ng
Relief Valve•
Ext. Porches
Finished Floor
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 APPRO AL J
Final Building Survey /
Next scheduled ins.ection (call when ready)
Remarks-
(in ri
/;,/
Building Inspector
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