1988-481 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 14, 19 88
This is certify hat work requested to be done as shown by Permit No. 88-481
has been completed.
This structure may be occupied as a
`One Family Dwelling
Location Lot 3 Pinion Pine Rd. (St. No. 5) -- Van Howe Estates
Gregoire Construction
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN. OF QUEENSBURY113
No. 88-481
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Gregoire Construction
w
OWNER of property located at Lot 3 Pinion Pine Rd. (St. No. 5) Street, Road or Ave.
Van Howe Estates Sbd.
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 �q
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0,
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1. OWNER'S Address is n
64 Burgoyne Rd.
Saratoga, N.Y. 12866 m
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2. CONTRACTOR or BUILDER'S Name r
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Same - U
3. CONTRACTOR or BUILDER'S Address
rt-
Same
4. ARCHITECT'S Name
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5. ARCHITECT'S Address O
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6. TYPE of Construction—(Please indicate by X) - ;*
.QC )Wood Frame ( ) Masonry ( )Steel ( ) O
7. PLANS and Specifications
No. 26' X 74' as per plot plan, specifications and application.
including septic system and attached two-car garage. o
8. Proposed Use O
One Family Dwelling
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ti o 5.00 C/O �
$ 171.00 PERMIT FEE PAID -THIS PERMIT EXPIRES February 1 19 89
b
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D
town of Queensbury before the expiration date.) ti
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N.
Dated at the Town of Queensbury this 18th Day of July 19 88 - �4
SIGNED BY c/I a,/g for the Town of Queensbury
Building and Zoning I s ector
TO BE COMPLETED BY BLDC. DEPT.
OF Ca?+L;_".. , ,
Application No.
a1
wn 4 Quteiitury N L� J
Permit Issued 19 d
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BUILDING and ZONING DEPARTMENT Permit Expires ' 10
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation J A/(- zo JUL 1 1988
Queensbury, New York 12801 Variance No. •
DEBT
'� -Site Plan Review No. BUILDING &•COD
) Approved b : ��.
��/ d �°
� . • APPLICATION FOR Gam' / fI J. ,./
. 0
FUILDING AND ZONING PERMIT l 1
it * it it iF it it it -it . it it iF it it it it it * it it it it it it * * it it it it it it- it it • it it it ::.*
•
A PERMIT MUST BE OBTAINED. BEFORE pEGINNING 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: ��e ,. � - 07„4-k,/�/io�-•
P.0. Address k L /57 „/Le. _g Gl� .li/U�LG- Gam, Tel. ,�j��/�d 6 q3
Property Location: jd'e>L `� =�'�,t vy‘, i°,4-4,.e: / __ Tax Map No. / /
Street number or building lot number S
Subdivision name (if applicable) / f/wci—e- ��iL� �.a.�
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES fIS :
7/e/r\--•
ame v P.O. Add - sx . • '1'el!'No.
Name of builder /1�9z,e4l,0 Address !v y,B^� 4 _*,Tel.. 6 7 0 6 6/5
Name of plumber � Address �i --Tel. 7 , . 31;t,/7re�.
t-Name of mason een, Address Tel. 7l ?-- 6 c› 6 7
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
•
•
)( Construction of a ni w 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
FORDEMOLITIONPERMIT, 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. Q
*
* COMPLETE INFORMATION REQUIRED BELOW.- V)Y'•-
* Size of property �/i( Ott'/ ft X ram- ft.
* Existing building(s) Size j,c-r-t-f t X ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure ;Lc ft X ? 'ft *
Foundation-pier/slab/crawl/partial/� * Proposed building, distance from property line
(circle one)
*• Front yard G,9 ft Rear yard /0? ft
No. of stories (habitable space) i
Height (grade to ridge) /J-- ft. * Side yards 3 S ft and ft
if residential, no. of families / * If on corner, setback from side street :),dp ft
No. of rooms(excluding baths) ri * OCCUPANCY INFORMATION •
No. of bedrooms 11 *
* PRIMARY BUILDING -
No. of bathrooms *• One family dwelling
. Primary heating system �iL
C
Type of fuel �� * Two family dwelling
No. of fireplaces to'be installed • / Multiple dwelling / Number of units
Will a wood stove be installed? a�U * Permanent occupancy
Central Air conditioning? �y a * Transient occupancy
* Business
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-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) • * Attached garage/one car/ two c / car
* * * * .* * * * * * * * * * A * * * Private storage building
_
ESTIMATED MARKET VALUE OF * Other y
CONSTRUCTION .$ � 3G.G � � * '"
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form TPA 4/86 and-vl
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BUILDINNG PERMIT APPLICATION CONTINUED -
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BUILDING SPECIFICATIONS:
Type' of construction, ood frame, fire safe,etc. •
Will any second-hand o a ed lumber be used? If so, for what? ?j ,
Foundation wall material �„ti ,/LEA Thickness %Q
Depth of foundation below grade (to bottom or footing) e5 '(
Will there be a cellar Heated Heated or unheated?.unheated? 01,TFloor sq. footage • ti a2 V'6 sq ft
Will there be a basemeri? -eip-, Will any portion be used as living space? 6 • .
(If so, what portion?, ft. - - Type of use?
Type of roof -Clope'flat/shed/other Material. of roof _
Size, wood studs "X 4 " spacing /4 "o.c. length q f .
Joists(floor beams) 1st. floor , "X //} " spacing /y "o.c. span /'-/ ft. •
Joists (floor beams) 2nd. floor 'Z "X /, " spacing fa "o.c. span Jg ft.
Overlays(ceiling beams), .. 'X ' " spacing . ,,2y"o.c. span 3_6 ft.
Roof rafters "X " spacing o.c. span ft. .
Roof trusses re-engineered spacing ,2. "o.c. span d1.,4 ft.
Exterior wall finis Lam✓ Of what material? /,LC;G
Interior wall finish _/..e.-,/,.12
If a garage is to be attached, describe materials to be used for FIRE SEPARATION 4LiALco .
2 T/i'.ffX /=7AEe- er
Is there to be'an opening between garage and dwelling?../J., If so will a Fire-raced
door, enclosure, and self-closing device be. provided? ter •
Will a flue-lined chimney be installed? w,✓ Height above roof. co2f ft. •
Depth of chimney foundation below grade /lei 'rft.
Depth of fireplace_ e_4.rth / ft. G in.
Water supply - i uncipal or private well •
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties /O G 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 __.�� . /tom O �'
Ownez`, owner's agent, - nitect,contractor
L� _day of 3 v 19 6
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * A * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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 °2 YQ
2 . Type of heat
3 . Is the building mechanically cooled? ��• ®®Z
4 . Percentage of area of windows and doors /C ;7‘
A. Over 16% Only
1 . U value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1 . If YES , what is the R value?
3 . Slab on grade YES NO
a. If YES, what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1 . R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area /7 9
4 . R value of doors /g ' ' Vp
5 . R value of floors over unheated spaces /)
6. R value of slab edge insulation unheated slab —�
7 . R value of slab insulation - heated slab
8 . R value of heated basement/cellar walls (above grade) 2J
9 . R value of heated basement/cellar walls (below grade) l3
10 . Type of insulation
C. Controls
1 . Thermostat maximum heat setting /e'5 7
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
2 . R value of pipe insulation 7
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum / 4/e
G . For Swimming Pool Only
1 . Maximum heating
Telephone No. 7- O
(/ plicant ' s sig a'ture)
APPROVED .
. , al-ii.m. er
Ouei,4414.1
DATIfl
• APPL•1CA"IION FOR SEPTIC DISPOSAL PERMIT. 2OtlIHQ dL 11L00 CODES DU'L
' .100 Of COEEDSUUkY .
,Lxrup-
8
LOCATION OF PROPERTY FOR INSTALLATION .....Z-Z2
11(7/.,11-4.--0lti
� .
Owner'sName: /v0A., ,/LGq�dtitrQ� Telephone: _ /j �� �/„3
Address: � ,(g�rt/L . /1 ;y, ./ -�t�i ec�
In:taper's Name: C „y.do�-4, Telephone: �j c�7 G
Number of bedrooms (residential only) _
Total daily flow (compute et150 gal per bedroom) T 10' •
Topography: circle one: Flat ' Rolling Steep Slope 9i; of slope
Soil Nature: circle one:' et Loam Clay -Other / Depth: feet
Ground Water: At what depth? A/ , feet
Bedrock or Impervious Material: At hat depth? feet
Percolation test: circle one: of require required / rate Wc:Train. inch.
Dozuestic water supply: circle one: Well Other
IF domestic water supply is a Well:`
• Separation: Watersupply from Septic absorption /O 0 feet
PROPOSED SYSTEM: Septic Tank /000 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench ldi�
Jt feet / Total system length `02 5 feet
SEEPAGE PIT(S): Number of - / Size each feet by feet
Size of stone to be used It _ cl. . / Depth or Thickness ol feet
4 4 * 4 4 4 4 4 4 4 4 * 4 4: 4 4 4 4 4 4 4 44 4 * 4 4 4 4 4 4 4 4 4 4 * 4 4 4 *
IMPORTANT
...Pleasc:...LIST NEW EQUIPMENT TO BE INSTALLED
* * * 4 4 4,4 4 4 4 4 4 * 4 4 * 4 4 4 4 4 4 4 4 44 4 4 4 * 4, * 4 4 4 * 4'* * 4
•
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(over) •
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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: /3 0/
•
•
Town of Queensbury , .
Building and Code_Department
Bay at flaviland Road
•
Queensbury, New York 12801
• (518) 792-5832 •
. YOU ARE HEREBY REQUESTED TO- - - '
- . - INSPECT AND ISSUE CERTIFICATES" '
•
-- - - -FOR THE FOLLOWING ELECTRICAL - .
_ - ..EQUIPMENT TO BE INSTALLED'BY - . • - --- _
• THE UNDERSIGNED.: -. - --
-- TEMP..# - DATE - - 7 1-
.CITY OR VII I G(� _i Fa)l !J • .. - t e Ny -5 , _ .Y`/NTY
STREET AND Nu.OR ROAD _ - I - POLE NUMBER
I
• -q ' Jp f "'2 / . O Tt P "7-7 Q. . .
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED?. SECTION • BLOCK LOT
OCCUPANTS NAME •
- - - BUILDING OCCUPANCY
�r�"1l ( (I )
�.PfS\9.. iGtlWLf.Y �1.1�2 _�nt'�
OWNER'S NAME AND ADDRESS n ( - - - i, OME TELEPHONE NUMBER _.,)
ftJ6N - { GF•-' �',90CI'- C- t 8ov-ooy 'u, (R,'vc.i., ic . / c&)--:i�Yi-O 4/ 3
CURRE SUPPLIED BY - - FROMI THEIR r' J i_ `-'' .OF)CE .yam r �.�' WORK TELEPHONE NUMBER
4/IGJ O 1r' - '0 7 ! u .V�' - r� f :� i �'i -/'l ...5 1 coC l _ s.. r-_, ")'y"T_- .
BUILDING IS - - . - -
NEW Ix. - _ OLD❑ WORK IS - NEW IL ADDITIONAL❑ DEFECTS REMOVED❑
. LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH. ' OFFICE USE
Inca- - . - Lamp Receptacles MOTORS HEATERS CIRCUITS ' ONLY
• tion- Side • Attach't H.P. Watts A.W.G. ..
Ceiling Wall Recep'Is Switch Pendant. Bracket No. Type Each' No. Each_ No. Gauge INSPECTION
OUT- ••
-
SIDE - .
SUB- - - - '
BASE
BASE- '
MENT •
1st- - • . .
FL. .
end - - . .
- FL. . . - -
3rd - . .. -
FL. ' - - -
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: - - . •
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 MAINS - FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS '
-
CHARACTER OF-WORK - - ' ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF .- - VA
❑ CONCEALED -
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) • CAPACITY
SERVICE ENTERS BUILDING - - •- . MANUFACTURER OF SIGN - .
❑ OVERHEAD ❑.UNDERGROUND - - •
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) - DENT F CATION NUMBERS ►
- I I I I I II
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS -
.NAME OF APPLICANT; _f/ :.-, • r -DATE'OF APPLICATION SIGNATURE OF APPLICANT
�I i/ 0 `4- t-..emu,/• C.. -.1. t' , :.( • (i -I `?.•? ,6 X..4 ,,rA,(1-' &.r r �!;r•'$'l
STREET ADDRESS - r - - - TELEPHONENO.'
t"' `/ 41 I.) I'' Cl:.O ,4, 11'(:r ,. - "' - - ,�>`)i'- ,j'r?7 - 06.ci
CITY OR POST OFFIC ' r - - - ZIP CODE LICENSE NO.WHEN APPLICABLE •
-
- • r c l - -
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-,❑ 85 John Street-• . ❑ 41 State Street ❑ 584 Delaware Avenue ❑ 217 Lake Avenue - ❑ 202 Arterial Road
NEW YORK,NY 10038. ALBANY;NY 12207-- -BUFFALO,NY 14202 - ROCHESTER,NY 14608 SYRACUSE,NY 13206
THE NEW YORK BOARD OF FIRE.IJNQERWRITERS -
+1-4-1 4... ti-1.,.-.!-1!.a ca"?..r(..,.a �x•.�t-,1.. "ati,1•:i �.�.;s a�a• .,.1.,, •.a•,..j. .. ��.�•,�. ,...* "-, . .1,9,"...r-.1•�a tia•!.. �t�a.,
a•� .a".! .a.,.a,1.,..1 ...,., . .,. .s.,:,.,.,..,.,.;.,.,,,•).,• ; ,:, ,• t
A, THE NEW YORK BOARD. OF FIRE UNDERWRITERS k _`(Sl(
,; �, ,°�
1• BUREAU OF ELECTRICITY �a _
i 1: Fta 41 STATE STREET,ALBANY.NEW YORK 12207 -
sF Application No.on file - t 8" _, _
�; Date OCto ��'r 26, 1988 PP f" A . .!. i 0 b
�: THIS CERTIFIES THAT L
It., only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
i; lo
i; Lwin Grego'r?o Pinion Pine Glens.`L'cti�_l S, Yor4 0
•• tr s Rp °i 'Crag' outside o
,,c. in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot o
Ffi
y �i was examined on Z 0"'1 3"8 8 and found to be in compliance with the requirements of this Board. V
•• FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES
l J, ,aE11CUAr
ii, INCANDESCENT-FLUORESCENT yArOq _ AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. _
p 2.ty 36 28 7C.�1 1.a5 1 fr
4.
'A, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS E
SYSTEMS
." ' AMT. K.W. OIL H.P. GAS H.P. AMT. 4 NR.0 A. /Gy AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO,OF FEET AMT. WATTS J
4; t ; fr 3 30 10/ 3 1
-c .
_.
►; SERVICE DISCONNECT NO.OF .3 E R V I C E '
�: AMT. AMP. TYPE EMQEU�P 1,B'2W 1�-3W 3,B'3W 3,e'4W NO.OFF C�COND. OF CC.COND.. NO.OF HI-LEG OF.HI-LEG NO.OF NEUTRALS OF W.NEUTRAL
i• g At `
> 1. 1 '00 `e`-3 ane]. 3. at `�k f . d`�
Ti:iM7 �� ill 17
ti OTHER APPARATUS: o
�i 2-gi ci • o
1--sraoke detector
_ . i::
r- �,
Y .k• y 4 a4
A2 ii. J n1.L I/J o Cox house . , '1•
w �i
�' Gansevoort, Ny 17831BRANCH MANAGERNo
tit'-S, CI
1
�, Per - = so
�; 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. ..
,a �CY•(7.i(&(fei c.,e rav 4--iai-4-i-i•-riel•7Y•i'fa isi'i•Y-i i-i• 0 0 mar0 ® •i'i•f-i i'i•3 a. ;.--;. } .
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. t
,i_ V /2
r own of Queenàur,
��%('r ' BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
,4�� Queensbury, New York 12801
4
BUILDING INSPECTOR ' S REPORT
NAME /60-CtLI.)7.J 6i?4AtZ,e
,"LOCATION 1` /
Date / -/.:/11� Permit No. -�;�/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing t./' /
Siding ,..<
Masonry Veneer /
Rough Plumbing v'
a
Relief Valves z y 1/
Ext. Porches ell .it. /
Finished Floors / , 1...,,,,Interior Trim �✓
Stairs & Railings /
Cellar Drain Tile
Concrete Floors \
Plbg. Fixtures
Gar. Fireproofing A/X‘ 1/
Door Closers 1
Smoke Detectors l
Chimney A
INSULATION:
Foundation 0
Floors lk
Walls
Ceiling 4,
4.
FINAL ELECT:, CAL INSPECTION p
DRIVEWAY AP' 'OVAL 1.
Final Building Survey 1 .
Next scheduled inspe tion (call when ready)
Remarks-
1,4 ' ' .
calall
•
JO .
B i ding ns ctor
6/86 and-vl
Jown o f Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
•
NAME .
LOCATION ;?1/7.
Date / -� /2?I Permit No. t/ -
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/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 °;'i
Plbg. Fixtures / \
Gar. Fireproofing
Door Closers >�
Smoke Detector
Chimn-ey
•
�-INSULATION: /
Foundation /
Floors / - •
Walls f
Ceiling f
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks— 1� N
bi 4u j .
r"
•
•
Buil ing In• tor
6/86 and-vl
Jown of Queentur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
•
SEPTIC DISPOSAL SYSTEM INSPECTION
•
NAME
LOCATION 1107 7 / //�7
DATE R 6 / drF PERMIT NO. ;pf `4-7
SOIL TYPE - an - I6aml Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length /r.
Length each trench Q /
Depth of enches .
Size of gra el - 3
SEEPAGE PITS umber of) " ,
Size- ft. ft. /
Gravel size
PIPING: Siz/ T e
Bldg. to tank i� e%
Tank to dist. box ' L�" !f!i
Dist. box to field/pit L " A/6-
Openings sealed? 43111 NO Partial
LOCATION/SEPARATIONS: \
Foundation to to/k /Oft.
Foundation to absorption \n9 ft.
Absorption to ,lot line )0 7-ft.
Separation of/pits ft.
LOCA ON OF STEM ON PROPERT (circle one) •
ont - Rea - Left side - Rig t side -
C ENTS:
SYSTEM USE APPROVED NO
004)1
Buildi g Inspe for
01/86 and vl
• _town of Quecniturj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
/07
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION ��2
Date vi /it Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Bagkfill
(. raming j
Roofing •
Siding
Masonry Veneer
)6ugh Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim /
Stairs & Railings \
Cellar. Drain Tile
Concrete Floors •
Plbg. Fixtures
Car. Fireproofing
Door Closers
Smoke Detectors I
Chimney
INSULATION:
Foundation
Floors •
Walls
Ceiling (//
FINAL ELECTRICAL IN PECTION
DRIVEWAY APPROVAL
Final Building Sury y
Next scheduled inspection (call when ready)
Remarks- ( Sv� vPI
• Bu ing Insp for
6/86 and-vl
_Jocun of Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
pr)
Queensbury, New York 12801
BUILDING INSPECTOOR ' S REPORT
NAME A i P eB%�%�%�Gu�io�"�
LOCATION( LFp��j�7
Date - q / at Permit No. -4F/
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES 'NO
Footing/Pier Forms
L 6uundation
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 Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION ,
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Bui ding n pector
6/86 and-vl
• _Down of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
UILDING INSPECTOR ' S REPORT
NAME _Ar A-04
LOCAT I ONU
Date- / t_ Permit No. SP- '/ /
* * * * * * * * * * * * * * * * * * * * * * *
✓.APPROVED - YE / NO
L Footing/Pier Forms
Foundation er-4ye---
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee,
Rough Plumbin•
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing- /
Cellar. Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling •
FINAL ELECTICAL INSPECTION
• I)RIVEWAY AP'ROVAL
Final Build ng Survey
Next scheduled inspection (call when ready)
Remarks-
•
Buil Inspector
6/86 and-vl
//Pieoeun of Queen36urty
ILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
•
NAME
LOCATION � `,�,;�_�(J v- I
// /
Date / # Permit No. �
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
/noting/Pier Forms V' ,
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 Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT' CAL INSPECTION
DRIVEWAY AP"OVAL
Final Build; ng Survey
Next scheduled inspection (ca-rZ when ready)
Remarks-
Bui 1�V
i Insp ctor
6/86 and-vl
YVON GREGOIRE
RD # 6 BURGOYNE ROAD
SARATOGA SPGS., NY 12866
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