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1989-094 MEW WIM CER.rnFICAx E OF C]XC�..+CUPA.Ni CY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date May 30 19 89 This is to certify that work requested to be clone as shown by Permit No. 4u 9 - 9 4 has been completed. KAM This structure may be occupied as a I Q 2 a ILL" , Location C.D-r\ Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF +QUEENSBURY No. Rg — �3d WARREN COUNTY, NEW YORK z ,.o w PERMISSION is hereby granted to TnArjDh Shoupncon I cn OWNER of property located at T,n# 1 d Fi r )alc mrac, r ; rr- ] Street, Road or Ave. in the Town of Queensbury, To Construct or place a Dwaillng 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 Oueensbury Building and Zoning Ordinance. 1 . OWNER'S Address is 11 Big Cross Street Glens FAlls , N . Y . 12801 v� t� 2. CONTRACTOR or BUILOER'S Name ttri W Pliney Tucker C' z 3. CONTRACTOR or BUILDERS Address CA Box 425 RD # 4 Division Road o cn Queensbury , N . Y . 12804 t b 4. ARCHITECT'S Name S. ARCHITECT'S Address t' CQ H 1►B pk 6. TYPE of Construction — (Please indicate by X) EJ XXX Wood Frame ( ) Masonry ( I Steel I ) ON 0 7. PLANS and Specifications W VW No. 471 x 70 ' Single family dwelling as per plot plan , specifi - cations , and application , including septic and attached two m 8. Proposed Use ar ga age . iD r• Single Family Dwelling F I� M 25 . 00 c/o $ 191 nn PERMIT FEE PAID - THIS PERMIT EXPIRES _ n,-zt: 0s )Qr 1 19_gr U) (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.) iD Dated at the Town of Queensbury this Oth Day o March 19 __ SIGNED BY for the Town of 0ueensbury �- Building and Zoni Inspector ~' K C7 iD r 1—� r• PERMIT TO 'VHF UEENSIIURY APPI.. ICATTON FOR BUTLDIMC AND ZONING Pec.L ev ed �~ Fee Pa.i BU I LD I NG AND CODES DJ 0.1'AftTMF.V6T Dote T.a.a ue.d BAY and lfAVILAJVD ROADS RD I BOX 98 5 pUrEN5'BURY, NEhf rORK 22804 Pe�urrct Na . Tel , (518) 792-5832 Ext �2D4 A pERMT MUST Bq OBTAINED BEFORE BEGINNING CONSTRUCTIONS NO INSPECTIONS WILL BE HADE UNTIL APPLICANT HAS R'GCEIVED A VALID BU- ILDINC PERMITS All applicable spaces an this application must be completed and the s •11n >yature of the applicant r.►ust appear on the reverse side of this sheet . Yr %a A 7k. .t i� 7C iE 71'c ii i� I: li �'i is !c 9i Q * * * * * * i* * * * * :k * * W * it * * �-1 ---" 'ritia owner of this property is : k' , o . Address Ji " � � � r_.� c0 .t� � ay fiEL . rQ7 Property locatican `, TAX MAP NO . / S Itas there been any split of this property since Oc..tober 1r 1988 ?� �� - '�� ? yes no if yes , planning Board Review is necessary . SUBDIVISION NAME , IF APPLICABLE � /7� �c�� �.% f/ c LOT NO . oche person responsible for supervision of work as regards Building Codes is : w NOS NAME p . (] ADDRESS sr 1a�✓Y4. ,a N Te1L� 5' �' � / Address Leo y2 S r frame of builder Address Name of Plumber cz l.ddress Tel Name of Mason 14ATURE OF PROPOSL'- D 6ORK4 W ZoNI ?# G INFORMATION ( Office use only ) 'L Con:: tructioft of a new building * ZONING DESIGNATION OF PROPERTY Addition to :a buildirul ; PERMITTED PRINCIPAL PERMITTED ACCESSORY �A1t4.:rraLi0n to a tuilding ` (no c)►ca�tgu to v]ccerior climension�) • REVIEW REQUIRED -- PLANNING BOARD ZONING BOARD tickler work {�] e.CYil3�. ) * SITE PLAN REVIEW #1 APPROVED DATE VARIANCE APPROVED DATE CROSS AREA OV PROPOSCD� STRUCTURE ; # 1st Floor_ � r� sq ft . „ Remarks : d WIN 2 n d Floor f�i' 4 sq f t . w COMB l.G'1'1 . Ipll•`ow4jvrION 1ak:t1U I1tCD UE:L.ULI . / ` sj4e of prop:: rty G� c ft x Other Floors /Vzz✓� sa ft , t:xistiaag buil.3i1a�j ( ::) Sixe 1' c x� rt . ( neat cellar or basement ) TOTAL FLOOR AREA e=} sq f t xi.::cing building(:; ) Usdfy� igiw.o of new structuro N�' „_,,,,._ft Ina 'loft k'ow+d:ation-pier/slat+�crawl/partial/ Full " l'rC11aO:ia:d building , dlactanca: frou1 prulaurty Im (Circle one ) Front yNrd 'e. ft Rcar yard � � � ft No . of ,toriea {habitabla: vlaaee ) f c might ( grade to ridr � ) > ft . . Side yardn � � ft :and r 2 .-�`J J 1 ' '�'' * I.ti an corna:r, �:c: Cbaa; r. .Crotn side ..t tcc:c f t If r0 aidential , no. of families it No . of rooms ( oxcluding bath:; ]_, 4 ' OCCUPANCY INFOfhM1AYIgV do of bt:drooms � * PRIM?6RY BUILDING No . of bat#aroom:; 2 Ono .fan►ily dwelling l�riuury lauatia►sx sy:.' t .:+u ! . 7- _C _ * Two family dwa:lltny Type aaf fu.: l � rLultil+ld dwelling / Number of units No. of f iropl acu:: to bQ !nZtall ed Persnanc nC occuYs:ar�Cy Will :a wood stowo c.: irasL.:allud? '1•r:ana:1ulrt ca[:cupxncy L'u,ntr:al Air cor�ditiunirag:' fJ / o r Business BUILDING STYLE, PRIMARY STRUCTURE 1'ndustrial other z:alack Canty ups r;ary Lora calain ' 2t .addition , wtsZY will u ; a: tau? IGAX..sud ranch M"nsLCjj% ouial ,:x :-Iplic luv%!4 old acylo IsaaAay...low ` C., Pu Cod Cott: q4;r* Ocka :r " ACCesSortY BUILDIWG^ Colonial k.ow fawn blouse Detaehod garage/one CiAC/ two car,/ car ( CIRCLE: ONli PLEASE ) =Attachud garaou/ogle car/ two car/ .:j _ • cua' * if * a .. • a . a W Y * • � Vr.ly atd stor"90 building L: . •1• IMATVD HARKrT VA1. IJ12 OF ' Ochec CON :: '1' ItuC'k' IUN � * ] NPOr.AkA'k'IUN ON BUILOTNC SPECIFICATIONS , OW REVERSE: SIDE OF T11TS CHLE'T, To Be COKPLV-rC01 Form BPA I0/88 v1 ""1 T BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . r` O',P c7C� ,, lV )2_ ,t�,,py Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material 7-�; at- _ Thickness _ moo, ef7� Depth of foundation below grade (to bottom of footing ) r Will there be a cellar? t eated or unheated? IA-.g7U / Floor sq. footage .12 �,`� sq ft Will there be a basement? Will any portion be as living space? ,2,+I�� - ( If so , what portion? IU`/q. sq . ft . - - Type of use? Type of roof - sloped/flat/shed/other 2Zp,4:,,, ( Material of roof ,7 jy:. , „t / F=� / 7 .c3.� .• r ` b Size , wood studs "' X spacings'"o . c . length r� f-t. .joists ( floor beams. ) 15t _ floor "X IN spacinqZ� .joists ( floor beams ) 2nd . floor '"X It spacing ""o . c . span ft . Overlays ( ceiling beams ) "Xg" spacing "o . c . span 2 8' ft . Roof rafters "' X IN spacing o . c , span ft . Roof trusses (pre-engineered) spacings" o . c . span . 1 eft . Exterior wall finish v : + y/- s/� .We +r Of what material ? Interior wall finishs'7Lde Pa�'- "`"' If a� garage yis to be a ached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? 'v r9 �, If so will a Fire-rated door , enclosure , and self-closing device be provided? t/_ c & Will a flue-lined chimney be installed? Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace t ft . in . Water supply - ci a1- br private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties�ft . (A separate application is necessary for any repair or new installation of sept c system) D E C L A R A T I O N 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. Signature �- Owner, owner's age t, architect, contractor * * IN * IN IN, * * * * * x * * * WIfir SPECIAL CONDITIONS OF THE PERMIT : By __----------------.......------------- YOR1K Application fors $uILDIwr' PVR241T INRVOTIGN ANCECOD WITH THE NEW YORK ' t 1a permit must be obtained before beginning work , NNSWZ R ALL of the followings 1 . Gross floor area 2 , Typo of heat 30 Is the building mechanically cogled ? 1 , rCentage of area of windows and doors 1 . Over 16 ! On1 1 , vo value of gross area of walls , roof /coiling and floors used to ambient conditions 2 , Floor cwos^ banted spaces YES No a , Are foun ion walls ins ated ? Yes No 1 , if YES $ t is R value ? 30 Slab on grade . tgo a , If YES * is the R' lue of insulation around perim or of floor ? �•��_ 4 , is asement heated ? YES NO R value of insulation 5 , Type Of in &ulatiOn 8 , Under 1Fa Cnl_y I * R valur of roof and flonrb ex �sa ' 41 to anrbicnt conclitiuery ^ 2 , R value of exterior walls 7= 3 , R vale of glasad area ZM4 41 R v a l u e of doors 141 -7 • -----•^--- 50 R value of floors over heated spaces 6 . R value of slab edge insulation - unheated slab_ 70 R value of slab insulation - 11cated slwb B , R value of heated basement/ cellar walls ( above grade ) 9 . R value of heatcei basement /cellar walls ( below grade ) ,� 104 Type of Insulation � 6� D C . Controls 1 , Thermostat maximum heat sottina D , [suet S stcmF 1e du yyst>rm installed inunlxe .at � d spacer ? AN If YES , R value of duct installation b , R value of duct in other areas E , Pinina Insulation 1, Size of hot water or Cooling carrying agent pipe _ 2 , R value of pipe insulation F , Serviee Water _11! atln% 1 , Peeformance effis - 2 , Temperature control setting maximum µ • G , For Swimming Pool only y " .. 10 --maximum heating_,_, a '_ Tt� l ephonp . No , - ��•,, ti ( ,iliplicant ' u si9n.3ture } TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT y� DATE , + LOCATION OF PROPERTY FOR INSTALLATION_ y+, p r / [ Owner's Name; ley lrwdr_, 'S40 ^j Telephone: Address: Z -- Installer's Name: / r Telephone: Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) Topography: Circle one: Flat Rolling Steep Slope % of Slope Soil Nature: Circle one. Sand Loam Clay Other /Depth: . Feet � Ground Water: At what depth? Feet Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle one: of required equired rate min. inch. Domestic water supply: circle one: Municipal Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD : Each Trench 75 e-feet/Total system length .' feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # :Zi' /Depth or Thickness feet I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Qlueensbury Sanitary Sewage Disposal Ordinance, SIGNAT[3RE OF RESPONSIBLE PERSON: DATE : OVER Septic System Instlections : 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 plat plan showing : l . ) 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 , file fields and /or drywells B , No system shall be covered before inspeccion and approval by the luilding 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 . co Al approved copy of the plot plan shall be available on the construction site . Failure to produce said plot plan at time of inspection may rusulc in an immediate work stoppage . D . Should unforeseen problems during construction prevent proper installa— tioc7 , alteration or re13air of an approved system , a new proposal must lye submitted to the Queensbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 Remarks : , �Gx..tx.. � pu al�v c�� rh.r rsn�3, 1pvyr ca4-r r r :a .' � APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES , MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ~ National Headquarters 900 Haddon Ave-, Collingswood, N-J, 08108 APPLICANT COMPLETES SECTION Date: City, Town or Township� ,�.�e — >& . n � � _ y �r County L4.1 e9 vA .+ z State Location/Address - — .. c= f (If Located in Rural Area - Please Attach Directions) Pole # Owner 'C�x` 6 " "6 ` tea,. � . �'� � 6._s" ..�.,+ 'C^ .�' [+� .� Permit # Occupied As Building: NewF92 Old 0 Occupant for.• WiringWork Area in Buildin Floor #, etc. ) : C] Service or: Ready for Inspection : Fee Remitted - $ Cash Check M.O- Q Make Payable To: M. D. 1.AA. Number of Rough Wiring Outlets Elect. Heat 5p4 75o xppp 1250 1500 5750 2000 2250 2500 2750 30na Switches Lighting Amp. Service Surface Unit Dishwasher Flange Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Owen Garbage Disposal Wiring and Controls for Burner Amp, Receptacles Fractional H.P. 'Went Fans Other Equipment; MOTORS H.P. 1/2 1112 1/14 1/8 1 1/6 1/4 1/3 1 1/2 1 3/4 11 1 1 1W 2 3 1 5 1 714 14 1 15 24 25 34 40 54 1 75 1 144 Mark Number of Each Size Applicant's r„ ---�., Signature f ! �� � License # Permit ,# T/A Utility: p ✓in G., _.9 -- ... v/c -2 Applicant's Address: � V t{� +� l� JC�fcf p }y/ 6Z o M1 r .cep/ (NAME} (C?FFICE LOGAT kCSN (City)--4:= a —� e, Aa,_ �r (State) A_,4 . % + ra cl Phone # —� Iip) —..y Service Request # .� C� Electrician : r e DATE RECEIVED: DATE INSPECTED: Correct Location : Same as Above [] or: Red Notice Label Q Rough Wiring Outlets Surface Unit Oven Switches Flange Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp, Receptacle Amp. Service Conductors Pump Vent Fans MOTORS Ff,P, 1/2P 1/12 1/14 1/$ 1/6 1/4 1/3 1/2 314 1 14x 2 3 5 7Yx 14 15 24 25 34 44 54 75 144 Mark Number of Each Size lect. Heat 500 750 10 x2sp typo t7sp loop x2sp 2spa 225p aopn Fatr' c J Dashnar x 3�' 12839 >:: Hudso I M19 3473 ELECTRICAL INSP£CCOR CORRECT. "'CERT1 ICl�{ IQIV� { } $.. '• p i. > USE OR INITIAL. VL51TC?IVLY NQTIFIE!? I7IAT@ FEE FEE PAID 0 RW Progress- Inc. E3 LKD 0 Contractor CFT[� L/A Violation : Work Comp. 0 Inc. © Owner CASH 0 [3 L/A tDue CH K # (� IPA Municipal MO # d . INV # Date : Other Side 0 Utility Applicant E�J Owner [] Cut in Card Q Temp # Date F1 Final # Dafe INSPECTORS SIGNATURE • - 100 B1amd"y aww on"6la0000 SLMa O.Iw1a BUI1W,.a S. 00fta suwknW Mwwxb NAwlq sk w 160 L s naatm straw 126&A I Swat 176 Fu%an Awmr 155 MW+Swat W. Ew.t W,Wunamn S1. ALAIA"Y 12241 at"GMAIIATON 13MI OROOK1.YN 11246 BOFFALO 14203 H. IPSTEAO 116W NDCLIESTER 1.614 5YFUCLL:aE. t3202 "T STATE OF NEW YORK WORKERS' COAAPENSATION BOARD THIr AGENCY fumovs AND WITHOUT VISCAIMINAT ION, A- OFFICE Ar STATEMENT THAT APPLICANT DOES NOT REQUIRE WORKERS ' COMPENSATION OR DISABILITY BENEFITS COVERAGE (Ref : Sec . 57 , WC Law; Sec . 220 . Subd . 8 , DR Law) Applicant ' s Name plixicy 'fucker , Bobby-Joe Tucker, L . Ry No . Kevin Tucker, Robert Flewelling , {Gerald �� below ) Office At c/o Plins-g nacker. Box 425 RD#4 . Division Road . Q eeensbu N . Y . 12804 Business or Trade Name , if Different From Above The above named applicant For permit subject to restriction under Section 57 of the Workers ' Compensation Law , and Section 220, Subd . 8. of the Disability Benefits Law, makes the Following statement for the purpose of establishing that he/ she does not require coverage under these laws. 1 . Location of work 2 . Exact work to be performed 3 . Number of workers 4 . Date work is co be (a) commenced (b ) completed {] I have workers ' compensation insurance ( certificate attached) . ^� I do not need workers ' compensation insurance because status is Individual owner or partner wick no employees and not a corporation. ❑ I do not need workers' compensatiun 1115%ltr:Inte because : 0 I have disability benefits insurance- (certificate attached) . I d❑ nor need disability benefits insurance because status is Individual owner or. partner with no employees alai not a corporation. I3 I do rule need disability benefits inlsuranc L because : I hereby affirm, under the penalties of 11- rjury , that I am the above named applicant for permit subject to restriction under :k ction 57 of the Workers ' Compensation Law and Sections 220 . Subd . S . of the Disability Benefits Law and that the foregoing statements are true . Date Signed 'Oct . ill 1988 19` J5� .s Si. nature of Applicant 518 ) 793-4671 Purley Tut. r ( -- Telephone No . Title ]� TO STATI: OR KUNICIPAL IIF.PARTMENT. 'BOARD, comNISSiON OR OFFICE REQUIRING CERTIFICATE OF WORKERS ' COMPENSA'TLON INSURANCE UNDER SECTION 57 of THE WORKERS ' COMPENSATION LAW AND UNDER SECTION 220 , SUED . 8 , OF THF. DISABILITY BENEFITS LAW Based on the foregoing statements made by the above applicant : 17f The Board has no objections , at this time , to the issuance of the permit �C1 requested . © The applicant will be required to have a Disability benefits insurance policy effective not later than four (4) weeks after the employment of one or more employees on each of a'- least 30 days In any calendar year . It is to be understood , however , that the 1klrlyd reserves the right to request revoca- tion of the permit if . after investigatiolt , it is found that the applicant is required to have workers ' compensation and/or disability benefits coverage for the work referred to in the above application. , WORKERS "'- OMPE,NSAT100 OARD Date : >•+' Ll 9 By (Distrri'cc A'dmi IV rator ar Supervisor of W . C . Enforcement) C-105 . 21 (2-88) TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 32804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST" FOR INSPECTION RECEIVED NAME r� �r-� LOCATION /YG fix. [��',1IV; ee DATE Y PERMIT N / - 4 T fir"` e APPROVED YES NO FOOTING/PIERS MpNOL.£THIC POUR FORMS FO NDA TTON/DAMP-P1OOFING erSACKFILL APPROVAL ;. ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN / INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: Er CHIMNEY HEIGHT ROOFING SIDING EXTERNAL POICHEPS STAIRS-CLEAA LSPLUMBING F XIEF VA VE�:INTERIOR TRY DOORSFINISHED FLGARAGE FIREDOOR CLOSERSMOKE DET£CFINAL ELECTRIECTION FINAL APPROVASTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED .FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: or7 4 INSPECTOR NIIQDLE DEPARTM T lNSPCTI+DN AGENCY, INC, { saa,fisaaar+r' �� .rs� cart: May 27 , 1989 Certif iez that thjB'iblectrical equipment listed has been exarris ec `a approved as being in accord with the Nations! ElectriGsl Cade, applicable governmental, utility anti .Agency les. w ` t`` Owner: Joseph Stevenson x ,,. , 1� � � • � ' ,.. £7C�upanay LweGsin S ,. r q ,�: 1 Occupant: .SaM6 f S e i:a9 y � ^�`��.�I i Location: Lot 146 Oak Tkee lrcllio ( Bidden Hill S ) queel* Tic �e2k�lieG ment and insimiation iospecied tnl5 date- iT ad Qi lVon&V equl Ment,l Oh be in1{oduGM Of ellarafions made la axiating ay atom th i! Carthi0a be null antl voiQ, anQ applkCeban for $0 outlets 40 ` Re ce ptacles ; 20. Fixtures ; . ,nspacl ion should ob subrninea p H. ITV to This Agency. E4ur►�ment y ? '(Molder of ThiS CSJTifiCate ahofLlld ant Same to his properly insurance carrier 200 Amp 5ervicse ; 6 Appliance 8 (agent or cc m pony l ea evi enification oT a eClrlcal equiPmen l approved r as specified„ P 1 iney Tuckerz . .. ` Ad - Applicant: Box 425 , RW, 4 , Div3;ston Rd x NCr . 15 -022213 Queens bury , NY 12$d4 `• _ ' -:a Foam No. 7W EL 14.7 QOF UEENSBUR.Y TOWN BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS GGG QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDANG INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME , LOCATION DATE -� PERM2T APPROVED YES NO t FOOTING. PIERS MONOI.ITA(IC POUR FORMS FOUNDA TIVN/DAMP-PROOFING BACKFILL 'APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: f FOUNDATION FLOORS WALLS C C t ING 5.� "A L INSPECTSOIV CHIMNEY HEIGHT ROOFING SIDING EXTERNAL POP ES/STZPS STAIRS-CLEA NCE & RAILS PLUMBING F TURES/RELIEF VALVE INTERIOR IM/PRIVACY DOORS FINISHED FLOORS GARAGE IREPROOFING DOOR C SER (S) SMOKE ETECTORS FINAL E ECTRICAL INSPECTION FINAL. APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: " jc INSPECTOR BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sox 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME._ , ^ / LOCAT ION f�1 I'� s •F /,�e4e Clnc lc DATE � f �/ PERMIT NO . - � SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM. Absorption field , total lenath� Length of each trench ham' Depth of trenches IT size of gra el SEEPAGE PIT Number of) Size- ft Y X _ ft. Gravel size - -/ y PIPING : SXz T 4L L Bldg , to tank t'., Tank to dist . x I Dist. box to fie' d/ Openings sealed? ES NO Partial LOCATION/SEPA 6 -��// Foundation to t k '� L-^ ft. Foundation to sorpti$n t. Absorption to of line separation of pits LOCATION OF YS+TEM ON PRO RTY (circle one) Front - Rea - Left side - Right side - +COMMENTS : 1(1 ' )4 SYSTEM USE APPROVED uildi g Inspector 01/86 and vl TOWN OF QUEEA{ SBURY BUILDING AND CODES DEPARTMENT ! r l .HAY & HAVILAND ROADS QUEENSBURY, NEW YORK 2280kr- TELEPHONE (51.8 ) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION _ �7 DATE y af�3 PERMIT # i- APP.Rf7"; YES O FOOTINGIPIERS MONOLITHIC POUR ORMS FOUNDATION1DAMP- ROOFING BACKFIIL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH--I �SULATION* FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION* CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESIS SPS STAIRS-CLEARANCE PAX PLUMBING FIXTURE IRELIE VALVE INTERIOR TRIMIP IVACY D RS FINISHED FLOOR GARAGE FIREPR FING DOOR CLOSER ( SMOKE DETECT RS FINAL ELECTRI AL INSPECTION FINAL APPROV L OF CONSTRUCTION A SIGNED CERT ATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : INSPECTOR OWN '` OF C}UEENSBURY 3UILDING AND CODES DEPARTMENT ,BAY Cr HAVILAND ROADS QUEENSBURY, NEW YORK 1280k / TELEPHONE (528) 792- 5832 BUILDING INSPECTOR' S REPORT REpUEST FOR INSPECTION RECEIVED NAME La:a tLr ' L 19 �"Z LOCATION ��� DATE 7 -c I PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS _ FOrUNDATXON/DAMP-PROD . ING - .......... Bi KFILL APPROVAL LRQUGH PLUMBING RAMI NG ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS f WALLS CEILING FINAL INSPECTIONr CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ EPS STAIRS-CLEARANCE RAILS _. PLUMBING FIXTUR /RBLIEF VALVE_ INTERIOR TRIM/ VACY DOORS FINISHED FLOC? GARAGE FIREP! 7DFING DOOR CLOSER (A) SMOKE DETECtORS FINAL ELECTR CAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS t) Y7 INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY C HAVILAND ROADS '04: QUEENSBURY, NEW YORK I28O& TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED / NAME LOCATION DATE PERMIT # nnnnn - APPROVED . j YES I NO FOO2ING/PIERS ozyv q e,4- MONOLITHIC POUR PO S -- FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL. ROUIqH-IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING �. FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL POR RES/'STEPS STAIRS-CLEA NCE & RAILS PLUMBING FI TURES/RELIEF VALVE INTERIOR T IM/PRIVACY DOORS FINISHED ORS GARAGE FI EPROOFING DOOR CLO R (S) SMOKE DE ECTORS FINAL ELEC ICAL INSPECTION FINAL APPR VAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: .INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENTC �' BAY & HAVILAND ROADS QU,EEN,SBURY, NEW YORK 1280¢- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECE_TVED NAME LOCH TI N DATE ` - � PERMIT # f `f Ay APPROVED YES NO L,FOeOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL i ROUGH PLUMB NG FRAMING ELECTRICAL R —IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL SNSPECTION.: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE /STEPS STAIRS—CLEARAN & RAILS PLUMBING FIX RIVRELIEF VA 'VE INTERIOR TRI PRIVACY DOORS FINISHED F RS GARAGE FIRE ROOFING +� DOOR CLOSEO(S) SMOKE DETE&TORS FINAL ELECTRICAL INSPECTION FINAL .APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: E 1 i 1 i is l INSPECTOR i 1 � TOWN OF QUEENSBURY Zoning Administrator Date - ' ti � ..'� � of f � I 4 4 r