1988-551 '� ' , D v f.. ' P i��.{. f.: t. ,i'y'.: f.. (.� il' r� �-r-�:� � • �)�o-;?f 1I t t-.
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C ' '1C OCCUPANCY
TOWN oF .QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 29 19 89
This is to certify that work requested to be done as shown by. Permit No. 88-551
has been completed.
This structure may be occupied as a One Family Dwelling
Lot 28 Timmons Lane (Oakwoods Bubd.)
Location
Anthony LoCascio .
Owner
By Order Town Board
TOWN OF QUEENSBURY
• 1 ,
Building & Zoningfinspector
BUILDING PERMIT w
TOWN OF QUEENSBURY b
No. 88-551
WARREN COUNTY, NEW YORK °
()A I ;/ ' )-C/k
AnthonyoCascio PERMISSION is herZby granted to y
OWNER of property located at Lot 28 Timmons Lane (Oakwood s .Subd.) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One FAmily Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
6 Highland Ave.
Glens Falls, N.Y. 12801
0
0
2. CONTRACTOR or BUILDER'S Name
A.J.S. Enterprises, INc.
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3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name o
rt
N
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H.
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) - 0
fD
Irj
Wood Frame ( ) Masonry ( 1 Steel ( )
7. PLANS and Specifications 0
p,
W
No. 52' X 32' as per plot plan, specifications and application.
including septic system and attached two—car garage.
o-
8. Proposed Use
One Family Dwelling
0
5.00 C/O (D
$ 136.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 89
w
(If a longer period is requireci an application for an extension must be made to the Building and Zoning inspector of the - N.
town of Queensbury before the expiration date.)
a.
Dated at the Town of Queensb is 18th Day of August 19 "88
SIGNED BY for the Town of Queensbury
GQ
Building and o ing Inspector
~` TO BE COMPLETED BY BLDG DEPT.'
.Jo[vn oi Queen�bury :Application.No. Tc7 ; C -- ,r.__ . -
Permit Issued 19
BUILDING and ZONING DEPARTMENT • • Permit .Expires 19 �I'. ', ..�
!Flay and Haviland Road, `' 1.
YR.D. 1 Box 98 Zoning Designation _ t,�:
Queensbury, New
York 12801 Variance No.., JUL •�
lJ Site 'Plan Review No.
r \J\ Approved UIL'DING r
J & .CL iL2�,PT.
APPLICATION FOR2 / -
BUILDING AND ZONING PERMIT. L5 i�Io
* * * * * * _* * * * * * * * * *.
A PERMIT MUST BE OBTAINED BEFORE BEGIIf4ING 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, andsuch..
special conditions' as may be indicated•on -the Permit: ' - ,
The owner of this property is:. Aim t!.. e4l,/' 4, Lo cftse,JD_
P.O.. Address 4 . H i.,, n A: I<..9a''bA t :.. a 1.® iP 'I kTel• 141 647 net/
��.GG
Property Location: i �. 22TI.I,tiro,vr..yi J,,,-; Tax Map No ',_.:f
Street number or building lot number
Subdivision name (if applicable) 6e o • _
THE PERSON RESPONSIBLE FOR SUPERVISION Op,WORK AS REGARDS BUILDING CODES IS:
.g ata ktf., / Ion L A . & _ k • . *06 q II ag-7r(a)I
Name P.O. Address Tel. No.
Name of builder ocif401.4, Address.:..- . .:. '„.s ue Tel. - e.
Name of plumber t ' -ruejegn, Address vmv lave:, n Tel. 79 E - 41'
Name of mason geipeM gipArgt,410r3 Address . Tel. s ?,
iv
NATURE OF PROPOSED WORK: * : ., ZONING INFORMATION:
,Construction of 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
FOR DEMOLITION PERMIT, STATE SIZE AND * whether'interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. * of water supply,and location and configuration.
Pi..yift ' ' --' ..;Of septic .disposal area.;•
* ;..
* COMPLETE INFORMATION ;REQUIRED 'BELOW.
,
I
*. Size-ofproperty .70cs ft X 1 ' .ft.
* Existingbuilding(s) Size : ft X ft..
PROPOSED BUILDING AND USE:
* Existing building(s) Use .
Size of new structure `�f t X t * • .
Foundation-pier/slab/crawl/partial/ *'.Proposed building, distance' from property line
(circle one) *..,
* Front ard.
No. of stories (habitable space) z; Y.., ft Rear yard. ft
Height (grade to. ridge) 'LIB fee ft. *. •Side yards.-' ® ft and b ft
If residential, no. of families * If on:-corner, :setback from side street 64 ft
No. of rooms(excluding baths) 7 , 't , OCCUPANCY INFORMATION
No. of bedrooms
No. of bathrooms %g4' *. PRIMARY BUILDING -
• Primary" heating system 9)m * . One .family dwelling
'Type of fuel cp�4 * Two family dwelling s
N' *. Multiple dwelling. / Number of units j,.o. of 'fireplaces to be 1
•Will a wood stove be installed? ,� *: 'Permanent occupancy
Central Air conditioning? Transient-occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary * . Other
Log cabin *.If `addition", what will use 'be?Raised ranch Mansion Duplex
Split level Old style Bungalow * -
Cape Cod Cottage Other ' . . * ACCESSORY BUILDING-
41`11oC, Row Town House * Detached garage/one car/ two car/ car
C CIRCLE ONE PLEASE ) *• ',o Attached garage/one car/ a- / car
* * * * * * * * * •* * * * * * * * ' ' Private storage building '
ESTIMATED MARKET VALUE OF * —Other '
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!,
Form BPA 4/86 and-vi
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, o } , fire safe,etc. ,
Will any second-hand or, ungraded,-lumber -be "used? If so, for what? (Wei
Foundation wall material C®N4
3 ��.��. Thickness `�' ,
Depth of foundation below grade (to bottom of footing) 7 b
Will there be a cellar? Heated or unheated? Floor'sq:`sfootage sq ft
Will there be a basement? y portion be used as living space? 4P��
—� Will-an ..
(If so, what portion? "vsq.ft.' -. -.Type of use? ;r7VitiAttrwtr
Type of roof - • flat/shed/other 'Material-:sof roof 14 &
Size, wood studs "X .to " spacing_-11,4 "o.c. length D ft
Joists(floor beams) 1st. floor ® •• %
oe "X @:a " spacing rg t� "o.c span ft. i
Joists (floor beams) 2nd." floor' ' g
'�,..--"X `1,�9 " "spacing ® �, "c.c. span ft. I% ®/11 � •
Overlays(ceiling beams) , "X " spacing "o.c: span ft..
Roof rafters "X " spacing o.c. span; ft.
Roof trusses( r -engineered) spacing! "o.c.' span ft. WW.'%V
Exterior wall finish f, Wisio Of what material? efflipevatitAr C..104"P
Interior wall finish gag mbeAL, lit -
If a garage is to be attached, describe materials to be used for , IRE SEPARATION:
Is there to be an opening between garage and dwelling? %ttc If so will a Fire-rated. '• .
door, enclosure, and self-closing device he provided?
Will a flue-lined chimney be installed? :' Height above 'roof s'b ea ft.'
Depth of chimney foundation below grade " ft
Depth of fireplace hearth ! ft. L;•, in.
Water supply - xgl or private 'well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties leli ft
(A separate application is necessary .for .any repair or new installation of septic- system)
Town of Queensbury
County of Warren AFFIDAVIT STATE OF NEW.YORK
I swear that to the best of. my'" knowledge and belief the stater ents' 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
0.:
Owne ,: owner's agent,arcti ct,contractor
day of 19
Notary Public, Warren County, N.Y;
* * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * * * * .*. * * * * .* * *. * *,,*_ * .._
SPECIAL CONDITIONS OF THE PERMIT:
By
fig
TOW" R81u$NURY
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT 'lS COMPLIANCE WITH THE NEW YORK
STATE ENERGY COMSIRVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following:
1. Gross floor area svel cP
2. Type of heat t,if f h r - k tvA ' •‘ 4,1„D
3. Is the building mechanically cooled? ' tES
4. Percentage of area of windows and doors '1 ®1.0e 4
A. Over 16% Only
1. Uo value of gross area of walls, roof/oeiling and floors
exposed to ambient conditions
2. Floor o _ heated 'w paces . S NO
a. Are ou dationall in ated? YES NO
1. f Sr rha is th ) value?
3. Slab on I� rade YES , NO
a. If r S, wha ,is it R alue f insulation around
peri eter
4. Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1. R value of roof tad floors, exposed to ambient conditions
2. R value of exterior walls L6A P lq P)
3. R value of glazed area k—., t 1 o •7
_ 4. R value of doors F, o
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 o9 ;:,;?li l N
8. R value of heated ba;ement/cellar walls (above grade4 ,0i1
9. R value of heated basement/cellar walls (below grade)r`'O ,(
10. Type of insulation 0.` 1,4 ,° `; Fill) �+1
C. Controls
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? YES & P
a. If YES, R viiui;of duct installation 7 1
b. R value of 4u0t in *thin areas � {.,
E. Piping Insulation '
1. Size of hot water or cooling c rrying agent pipe
2. R value of Dips l .l.
;ha atyion 44
F. Service Water Heating
1. Performance efficiency ram'
2. Temperature control setting maximum ' ft\ L
G. For Swimming Pool Only
1. Maximu:p heatingt e„,„
„ h
. ,
tit
Telephone No. 4,,1.E A6 , (
( pplicant s signatROD)
e
:14/4 of OWIA/
•
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE
/
LOCATION OF PROPERTY FOR INSTALLATION Leir , m of °'042,5
Owner's Name: , . WNatergreaffiPaggS (ao Telephone: 3 -
� �
Address: (el ttiv 1 ,Area i2 q g 109,
Installer's Name: -
A ek.,„,t4e5 Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) 14
Topography: circle one: G.t Rolling Steep Slope . % of slope
Soil Nature: circle one: and Loam Clay 'Other / Depth: feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? bra feet
Percolation test: circle one: Ctot� equired required / rate min. inch.
Domestic water supply: circle one: blui44tmircroll Well Other
IF domestic water supply is a Well: .
Separation:' Watersupply from Septic,absorption feet
PROPOSED SYSTEM: Septic Tank t 6igal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 9 feet / Total system length k feet
SEEPAGE PIT(S): Number of 416.. / Size each /4,, feet byakia feet
9
®8
Size of stone to be used # _ , / Depth or Thickness 1, feet
* * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * *'* ** * * * * * *
(over) .
•
,17:10111 of atettlAne
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE /
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: Telephone:
Address:
Installer's Name: Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 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: 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 feet
PROPOSED SYSTEM: Septic Tank =gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench - feet / Total system length feet
SEEPAGE PIT(S): Number of I. Size each feet by feet
Size of stone to be used # / Depth or Thickness feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT i
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * *'..* * * * * * * * * * * * *
(over)
. , •• : : ,
-YOU ARE HEREBY REQUESTED TO - •
'
. .. INSPECT AND ISSUE CERTIFICATES _
_ g FOR THE FOLLOWING ELECTRICAL
i , r•• EQUIPMENT TO BE INSTALLED BY . - •
• •� THE UNDERSIGNED Q. `)
TEMP H' • DATE }' 0
CITY OR VILLAGE FA-
"" TOWNSHIP • f � � .91OUNTY
P 1..C"N ' --A-L_t j !' (c 0 P �2 0 0- -' (Ai S4 Z.12t.ly
STREET AND NO.OR ROAD - , + - • POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS P MI S CATED7 SECTION BLOCK LOT -
OC UPANT'S NAME '-' - - _ r -
_ �� 1-�^` �7 �}1 { _ `/J BUILDING OCCUPANCY-, • _
t �„V-�I� �aS '1'I�./`. ..j .- - - :_` �j! ��. 1..� �'"s�V�r'l t L.�`�9'
OWNER'S NAME AND ADDRESS - HOME TELEPHONE NUMBER ..
/1-e,- .�5 . .. ��� ,7�Cif
CURB NT SUPPLIED BY FROM THEIR OFFICE WO K TELEPHONE NUMBER
BUILDING IS ^�
_ _ ,
NEW, OLD❑ , •. WORK IS NEW ADDITIONAL❑ ' . DEFECTS REMOVED❑-
. LIST BELOW ALL EQUIPMENT WHICH.YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't H.P. Watts ' AW.G.
Ceiling Wall : "Recep'Is Switch Pendant Bracket No. Type Each NO• Each No. Gauge INSPECTION
OUT- . r--
SIDE • -
SUB- .
BASE - _. •
-
BASE- '
MENT . . . .
1st .. . '
FL. _
2nd . - ,
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 s / FEEDERS - ELECTRIC SIGNS/LAMPS TOTAL WATTS
if 0
CHARACTER OF WORK , ' ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF - VA
1�yf �� -- ❑ CONCEALED
DIVE WVO-RK TO B SrT�ARTTEED` - . JWISE OMPLETEED SIZE OF SIGN(NUMBER) - CAPACITY
SERVICE ENTER BUILDING' { : MANUFACTURER OF SIGN' . ' -
.JUNDERGROUND '
.\ ❑ OVERHEAD . . .. .
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS ►i...! I f.,.,11} I \ I I••�_ I L\
l l' 1`' '` �` '-'t.�t.-.-- . IDENTIFICATION NUMBER ti 1
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. •
PRINT NAME AND ADDRESS" / . • '
• NAMA OF APPLICANT DATE F APPLIC ION_ SIG1 UtR OF APPI NT! .I
STREET ADDRESS , F ELEpS'HONE NO. . .
jii
A.
CI OR POST QFEICE ZIP CODE LICENSE NO.-WHEN APPLICABLE-
- P c•-4,-I:r~S. ; K L GO. `— (0II;i ` / __- 0/
❑ 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
• TI—P NFWIVC RK RC)ARf fF FIRE UNDERWRITERS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS �/�
QUEENSBURY, NEW YORK 1280� /
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIO�,(RECEIVED 4
NAME �1 J .�C/ 1 �C/, C ;i6 1
LOCATION�D-(J ti , k I .
DATE �vvl/� 7 PERMIT # )
/ /
APPROVED
YES NO
FOOTING/.IERS ';%`
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING /
BACKFILL APPROVAL
ROUGH PLUMBING f
FRAMING
ELECTRICAL ROUGH—IN /
INSULATION: /
FOUNDATION \ i
FLOORS
WALLS \ `/
3 '
/ CEILING \
V'INAL INSPECTION: ,y'
CHIMNEY HEIGHT 1'
ROOFING 1 \ v
SIDING /
EXTERNAL PORCjIES/STEPS • •
STAIRS—CLEARANCE & RAILS j/
o
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS —
FINISHED FLOORS r/,,
GARAGE FIR PROOFING i/
DOOR CLOS R(S)
SMOKE DETECTORS V'
FINAL ELECT ICAL INSPECTIONAZT 16.
FINAL APPRO AL OF CONSTRUCTION
A SIGNED CER IFICATE OF OCCUPANCY MUST BE
OBTAINED FRO THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
Curci CU(,tA o)CL(Gs 1 J UP bL-o Vow,'
( ,Uit5 C/J L\ZJ ►7
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, INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280$
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR R INSPECTION RECEIVED
NAME v/Tit:
fJ
•
LOCATION
J ;22 y -,-,,o
k,0
DATE 1411 fly
PERMIT # � I
'J '`1 APPROVED
• YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: '
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/SPEPS
STAIRS-CLEARANCE;& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER,(S) •
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: 9a, Xre(c...A.uuutr+0
La
14K
r,
1/ ) 16_6_c6/.,
•
9)0 I/0
INSPECTOR
TOWN OF QUEENSBURYic)4K1((
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED/� n
NAME An 1L/L/21( -s
LOCATION 7- 2 l74,6/ /_
DATE 9� i / PERMIT # 15-
f f _5-SJ APPROVED
YES NO
FOOTING/PIERS ,
MONOLITHIC POUR\FORMS
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
(6UGH PLUMBING
£b1AMING
ELECTRICAL ROUGH-IN '
SULATION: ,
FOUNDATION \�
FLOORS A .`
WALLS , �ti�,f `
CEILING \. '
FINAL INSPECTION: i
CHIMNEY HEIGHT
ROOFING /
SIDING •1
EXTERNAL PORCHES/STEPS �,
STAIRS-CLEARANCE & RAILS <<
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOODS
GARAGE FIREPR6OFING
DOOR CLOSER(S/)
SMOKE DETECT
FINAL ELECTRIC L INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
It
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ��
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /Lh ��
LOCATION �O
DATE e' 4-8,% PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
RO17GH PLUMBING /
MING
ELECTRICAL ROUGH-IN
INSULATION: f"
r
FOUNDATION r'r
FLOORS ,r
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE ,& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS'
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL' OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
•
awn 0)9 Queen Jt ur,
• BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME f • -�f
L
LOCATION .. ! =�� "i/ �%1/'7c}✓� �/"`7 •
C'/l t -' ' ' iS
•
DATE-?J i 7 PERMIT NO. . f-\) J
SOIL TYPE ! ands=- Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length ,
Length of each 'trench .
Depth of trenches ' / .
Size of gravel \ •
SEEPAGE PITS-ENumber of) '
Size- ft. X ft.
Gravel size
PIPING: q Size Type
Bldg. to tank �� �/ /J//CJ
Tank to distbox �'\ 5/ /j
Dist. box to field/pit
Openings sealed? 5• NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption / 7ft.
Absorption to lot, line /2ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY.(circle one)
Front - r - Left side - Right side -
COMMENTS:
r,A
f
lJ
SYSTEM USE APPROVED YES/, N
Buil'din ri4s ector
•
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 71/2i/Z)/ , r
LOCATION cZ 9 / %"
DATE 7-,2q PERMIT if — � I
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
!//FOUNDATION/DAMP—PROOFING
i"-SACKFILL APPROVAL ,i` ✓°
ROUGH PLUMBING ! ' •
FRAMING '
ELECTRICAL ROUGH—IN
(./fNSULATION:
L — OUNDATION L d l 1 .- l 0.
FLOORS
WALLS `
CEILING :f'
FINAL INSPECTION: Yf'
CHIMNEY HEIGHT I
ROOFING
SIDING
EXTERNAL PORCHES/STEPS',
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS •
FINISHED FORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETCTORS • _
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT J-0CA-:/tL
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE -/i/=Sli PERMIT # 6 - f
APPROVED
YES /NO
I/FOOTING/PIERS 6160,vpztreg, .11.,/
MONOLITHIC POUR FORMS fi
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION 1
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS'
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY 'DOORS
FINISHED FLOORS
GARAGE FIREPROOFING '
DOOR CLOSER(S) t
SMOKE DETECTORS , I
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM Tf!E BUILDING DEPARTMENT BEFORE
THESE PREMISES RRE OCCUPIED!
REMARKS:
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INS CTOR
TOWN OF QUEENSBURY � ,�,n
BUILDING AND CODES DEPARTMENT /19 /
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST/FOR INSPECTION/ RECEIVED
NAME W/15�/O / /O C c 5'C/'o
LOCATION
0,17 /Y7 7? , 7 �j Q�
'/DATE / & �'y PERMIT # / 'L_537/7
APPROVED
ii YES NO
l?UOTING/PIERS ``
y
MONOLITHIC+POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING \
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION \ '
FLOORS h I
WALLS
CEILING \
FINAL INSPECTION:
CHIMNEY HEIGHT '
ROOFING ii,
SIDING 1
EXTERNAL PORCHE4/STEP;,
STAIRS-CLEARANCE & RAIL`S
PLUMBING FIXTUREES/RELIEF`'V°�ALVE
INTERIOR TRIM/LSRIVACY DOORS,,,
FINISHED FLOOR \
GARAGE FIREPROOFING \
DOOR CLOSER(S1 \
SMOKE DETECTO(R�S
FINAL ELECTRIC ARL INSPECTION \�
FINAL APPROVAL/1OF CONSTRUCTION \
L
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: // tt
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