1988-674 %.• t •.‘‘, tqr t rI v
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREWCOUNTY NEW YORK
Date INTevartNrr!117,c,00 1 g 19 aq
?96)‘ 1 \1)
This is to certify that work requested to be done as shown by Permit No. RR-4;7A
has been completed.
This structure may be occupied as a One Family Dwelling
Location T,nt' 9 RiririPn Wills
Owner Wflhi5m 14rlThy Ar AcqnoiPtPq
By Order Town Board
TOWN OF QUEENSBURY
(7;
Building/& Zoning Inspector
' -
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88 674
WARREN COUNTY, NEW YORK
O
.
PERMISSION is hereby granted to William Herlihy & Associates
OWNER of property located at T,ot #2 HTddPn Hills Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a orlP 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
1 Dartmore Drive
Glens Falls, N.Y. 12801
CD
2. CONTRACTOR or BUILDER'S Name 5
Same
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3. CONTRACTOR or BUILDER'S Address O
n
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4. ARCHITECT'S Name
xo
CI ND
5. ARCHITECT'S Address
x n.
6. TYPE of Construction—(Please indicate by X)
cn
(x)Wood Frame ( 1 Masonry ( )Steel ( ) d
7. PLANS and Specifications •
0
No. 24' x 64' as per plot plan, specifications and application including septic system z
and attached two car garage.
8. Proposed Use
One Family Dwelling
$5.00 C/O
$ 150.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 89
crq
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 22nd Day of , Sept. 19 88]
SIGNED BY �/�c� i'�jrU for the Town of Queensbury
Building and Zoning Inspector
N
l F � • 1laSlQ IR7Rlfl7R ml�7RJR 7.,17;,[7R7ill1l 7 C7ilJal 7al 7itJil7il A/,l7 R mIR7lEllIR 7R7R 7R7Le17�17RJR lal 7R nit 751)i17R 121 7ilm lilm 7Rm7R
`10P&189 THE NEW YORK BOARD• OF FIRE UNDERWRITERS --_ � 7 -
�, �,,,� BUREAU OF ELECTRICITY' �3
3 ti' p "`" 41 STATE STREET,ALBANY,NEW YORK•12207
• Date November 11 , 1985 Application No.on file 2 v C y 8 a j (' �r� r f 9
• THIS CERTIFIES THAT A
4.
I-, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of o
Michael chael C'�ey�s estF Lot 2T Hidden Hills lS Drive Glen :'al 1.5,. New York
Cu:dP �& � 4
. �' in the following location; "� Basement LJ 1st Fl. E• 2nd Fl. Section -7 Block 5 Lot
iiik, was examined on 1 1„1—8 8 and found to be in compliance with the requirements of this Board.
i FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
',-- <,' ' OUTLETS RECEPTACLES SWITCHES INCANDESCEN; ME�CUw
LFLUORESCENTvAroa AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
.Fii �' mil ~ J
'A' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET ANT. WATTS
5x
;, �: SERVICE DISCONNECT NO.OF S E R V I C E
-11
AMT. AMP. TYPE EUIP MUM 1,e'4W 1 if 3W 3.e 3W 3,B'4W NO.OFpfR$COND. OF CG COND.- NO.OF HI-LEG OF FiVI IEG NO.OF NEUTRALS Op JAL
-1, 1 .4`t F a ri. X ,,t
if' OTHER APPARATUS: N-4
, .
.13
is
.1.6;
i,
i'
p !
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1`: Glens falls, New York 3.220? 239 •. -,.
�' BRANCH MANAGER
:- Per J
iili t,; 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. •. j
r,('l�?-i�i'i�Y'i��'4i—i.''i�Y'i�?'i�s-4i-i�i-4:ri�f?.i'l.YY(('i�YY�Y-i�C 4i-4Y'i�Y'i� 0 ri n ® 0 0 0 0 ® 0 ® El ® II ® ® 0 ® ® 0 0 0 0 1�'t� . 7T.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. c-ti,
TO• AE COMPLETED BY BLDG, DEPT. TO :.
Application No. p Ic .0 ,-
Jouin o/ Quet'ni1urY . :Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 SEP 7 1
Bay and Hlaviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 . .. Var• nce No. G & CODE DEPT' I
. ( -Si Plan Review No.
DUD r ' v !�_
._ 2 A rod b ccc,SSS���. y� . J /.... .. ,
•
GAY (S,��9
S APPLICATION FOR 4
- -.% V. . 0 -,d ./;.//
BUILDING AND ZONING PERMIT • /rj `
* * * * * * * * * * * * ;t at * * at .* * * * * * * * at * it. * * * * •w * *- * *t., * ::•fit
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; (N,p -_-Lint 4--/e ,
P.O. Address ) lD4-rZi-1 o R th; (7(QI V Tel.
Property Location: L.CT- -AZ ,t t4A-ecu gs LL S ' Tax Map No. e. i7/192/
Street number or building lot number 5,410
Subdivision name (if applicable) )4ap&t j fi/L/,5' .._
THE PERSON RESPONSIBLE FOR SUPERVISION.OF WORK AS REGARDS BUILDING CODES IS:
•
NI i f? >�ii ep t,,It .
Name / P.O. Address • Tel. No.
Name of builder 50y471- P-e tfi(1 Address is �-11-?0 ,¢ Tel. .
Name of plumber jgrJ -19-(11- Address Rf AA, ALL Tel.
Name of mason `7eC=F- 1/>14,J/1 Address R1dl,o L7-= Tel.
NAT# OF PROPOSED WORK: * ' ZONING INFORMATION:
...1/Construction of a now 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
* of septic disposal area.
• * .
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 410-0' ft X )3 B ft.
* Existing building(s) Size ft X ft. .
*
PROPOSED BUILDING AND USE: * Existing building(s) Use •
Size of new structure „P� ft X ft * •
•
Foundation-pier/slab/crawl/partia /full * Proposed building, distance from property line
(circle one)
No. of stories (habitable space) 2 * Front yard So ft Rear yard 'r ft
Height (grade to ridge) `f ft. * Side yards �0 ft and �p� ft
If residential, no, of families j * If on corner, setback from side street ft
No. of rooms(excluding baths) $' - *. OCCUPANCY INFORMATION
No. of bedrooms `¢ - * PRIMARY BUILDING -
No. of bathrooms . 2 '7_-
Primary heating system `T'I/-4 4F-2, * X One family dwelling
Type of. fuel • •6r� * Two family dwelling •
No. of fireplaces to be installed - Poi'.e- * • Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
7-9-0 * Transient occupancy. •
Central Air conditioning? •
. * 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 ) * )LAttached garage/one car/ t o ga2/_ car .
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OFl * Other
•
CONSTRUCTION $ ;SD° * t
INFORMATION ON BUILDING S ECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
•
BUILDING SPECIFICATIONS:
Type of construction wood fra e fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? gj O
C>
Foundation wall material �N �.1� G R��� Thickness /
Depth of foundation below grade (to bottom of footing) S-H /I
•
Will there be a cellar? yeJ Heated or u_nhP .?-. 4P.S0 Floor sq. footage sq ft .
Will there be a basement? AJJ Will any portion be used as living space? N 0 .
(If so, what portion? sq.ft. - - Type of use? •
Type of roof - sloped/flat/shed/other S//7_ Material. of roof ,Lk rh41:7-- •
Size, wood studs .2 "X 6 " spacing /4 "o.c. length 2 ft. 1
Joists(floor beams) 1st. floor ...• "X / b " spacing )(5, "o.c. span / 3 ft. .
Joists (floor beams) 2nd. floor 2 "X / O " .spacing / (� "o.c. span ) 3 ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses pre-engineered) spacing ,Z Y "o.c. span 2 7ft.
Exterior wall finish Ulv v.. e Of what material? •
Interior wall finish • ra..y L-/4-t-(
If a garage is to be attached,' describe materials to be used for FIRE SEPARATION: • .
S./P11 )=f R. f CI 12
Is there to be an opening between garage and dwelling? veo.1 If so will a Fire-rated
door, enclosure, and self-closing device .be. provided? cieZ
Will a flue-lined chimney be installed? ►J C Height ab6ve roof ft.
Depth of chimney foundation below grade ft.
Depth of ' fireplace hearth ft. in. . •
Water supply -,<Marittilal)or 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 septic system)
Town of Queensbury AFFIDAVIT 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. /� )1 /f�/
THIS S i nature t��.�° 4.;)"'t'f,�
SWORN TO BEFORE ME g
Owner, owner's agent,arcnite ,contractor .
day of 19 .
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ' * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
•
ti '
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'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 J 73O
•
2 . Type of heatn �
3 . Is the building mechanically cooled? 0 a
4 . Percentage of area of windows and doors 15
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 YE NO
a. Are foundation walls insu ated? , YE_S NO
1 . If YES , what is the R value? II
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 00
a. R value of insulation
• 5. Type of insulation
B. Under 16% Only
. 1. •R value of roof and floors exposed to ambient conditions
14-38
2 . R value of exterior walls R----)?
3 . R value of glazed area R- 3, 2
4 . R value of doors R- )O •
5 . R value of floors over unheated-spaces ►7t�-
6 . R value of slab edge insulation - unheated slab j -
7 . R value of slab insulation - heated slab pi 41--
8 . R value of heated basement/cellar walls .(above grade) ' -I(
9 . R value of heated basement/cellar walls (below grade) r‹- ii
10 . Type of 'insulation 01.4 •
$ C
C. Controls 0
1 . Thermostat maximum heat setting g v.
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 3/4/
2 . R value of pipe insulation R-5
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum 4-9 S �
G. For Swimming Pool Only
1 . Maximum heating 4
Telephone No. 4,,fid;
(applicant ' satur
.
c� 11.EY1- OM
irrit. of Quart.dgiti-
•
Dq
APPLICATION FOR SEPTIC DISPOSAL PERMIT ' 0 ((l DL.DQ CUMS DEJ'I .
• sOY f QUEERSIJURY
4 .DATE h .) . /
. .
. . .
•
LOCATION OF PROPERTY FOR INSTALLATION )4.4 E1,t) /LC,S Lc 2_
Owner's Name: . Win g, .2LL/( ` , Telephone: ?q”-5-26 f
Address: _ 1 Dic,7`!2( ✓nOR 1DR.-1 U 7:7-'
Installer's Name: 7P. Imo_ Rh,4_ .e`.' Telephone:
Number of bedrooms (residential only) _7 _
Total daily flow (compute @ 150 gal per bedroom) _ 4O"b .
Topography: circle one:fitti Rolling Steep Slope % of slope
Soil Nature: circle one:CP Loam Clay Other / Depth: feet
Ground Water: At what depth? / Z r feet
Bedrock or Impervious Material: At what depth? V5 feet
Percolation test: circle one�no�equirr l required / rate ruin. inch. ,ki
.1 ffi-j, 1
Domestic water supply: circle one Municipa Well Other e
1-:f
IF domestic water supply is a Well: /r)Separation: Watersupply from Septic absorption feet G/
PROPOSED SYSTEM: Septic Tank [10:6 gal. (minimum size: 1,000 gal.) v i mi .
TILE FIELD: Each Trench 6 0 feet / Total system. length - feetfiji
SEEPAGE PIT(S): Number of E / Size each _ feet by feetSize of stone to be used �II / Depth or Thickness . feet
' 4 * * * 4 4 4 * 4 4 * * * 4 4 * * * * * 4 4 4 4 4 4 * * 4 4 * * 4 * * 4 * 4 4 4 4
IMPORTANT
...Please...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 4 4 4 4 4 4 * 4 4 4.* 4 4
i •
(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.
•
•
•
1 have read the regulations above and agree to abide by these'and all requirements
of the Town of Queensbury Sanitary Sewage Disposal rif - ce.
Signature of responsible person: ;,✓
Date:
•
Town of Queensbury •
Building and Code_Department
Bay at Haviland Road
Queensbury, New York 12801
• (518) 792-5832 •
•
•
• - • T' r
INTERIM BUILDING PERMIT
PERMIT APPLICANT 14. LI vrty
• goof a
CONSTRUCTION 'LOCATION lip tpiltakAirouL 113
EFFECTIVE DATE 6‘1 tar°
APPROVED BY , •�
SPECIAL CONDITIONS :
'This ,will . certify that all : submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted. It is the
responsibility of the applicant to obtain the Permit -
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A ` tNSPICUO S LOCATION ! !
•
Bu lding & 4es Department
TOWN OF QUEENSBURY .
.. -- --'/
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 - fr '
•
CITY OR(
VILLAGf�S ��1;3'- ibUt, TOWNSHIP COUNTY L.%l.lif,,;:;;irr}
STREET AND NO.OR { 1 - •
ROAD AND POLE NO. F�t•I C.\ '�• 1 L.Lea U\ Q. Z POLE NO.
BETWEEN WHAT TWO • _
CROSSSTREETSIS j
' PREMISES LOCATED? SECTION ! BLOCK . i' LOT
OCCUPANT'S iF _ BUILDING ',\ 1 rel
NAME �'J>>',�\J\C.. OCCUPANCY v 1 1�'-'e�t--Q. .71 .' I� J '
OWNER'S NAME j 1 J �d L(� I ` -
AND ADDRESS i'I fr !l a(.rd i'7;--,`�1.i Ai` TEL # / /_ _ '::F
CURRENT
SUPPLIED 7 ) r�_ _ - `»,., r..,,fP;V_.___. •
__ FROM THEIR r '''i,,:- f i -/ OFFICE
BY
ISU1LDING NEW K. OLD❑ is NEW Ill ADDITIONAL❑ REMOVED WORK DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
•
NUMBER OF OUTLETS LampfReceptacles MOTORS - HEATERS Fixtures& BRANCH
IR ITS OFFICE USE
Loea- ONLY
lion 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
Bass
ment
1st FI.
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 adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ..-, ,�+fs ELECTRIC SIGN TOTAL
MAINS - • .-, r%;:,, ;*J•. 7 f."` FEEDERS r J:_j LAMPS WATTS
FARAEXPOSED O CTER CONCEALED GAS TRANSFORMERS OF VA
OF WORK .; -)C.) t•:; i
WORK TO BE .- - (NUMBER) (CAPACITY)
STARTED )--4'-.'A'F-' COMPLETED SIZE OF SIGN
SERVICE OVERHEAD \ UNDERGROUND MAKER
ENTERS \ 9' OF SIGN
BUILDING
INSPECTION REQUESTED \ -
POSSIBLEON OR AS ! r ! 111
NEAR AS I. )r rf f rjr:_ `NEW - OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION / 7- /-,-,'`''
PRINT NAME AND ADDRESS j -
SIGNATURE
NAME OF APPLICANT --- / t .. - h. " /;f , - — '-. ?_ , ;- '1,,y/ 'OF APPLICANT
S i r
STREET ADDRESS 1�,, i '. - - f!- TELEPHONE# / i _, — _.: ,./
CITY OR ,! • ZIP f- LICENSE NO.
POST OFFICE - •. - L'C. CODE ' t WHEN APPLICABLE 1) ;:�
i
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
/,' .3 e.)
_/trot'4 ? 33e-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /y y��" ���
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801 �(
TELEPHONE (518) 792-5832 1
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ry4,
NAME /' r�
i &i,'7"'li
LOCATION t / 7S.
DATE ///9 PERMIT # a ",E7r°
r'
APPROVED
YES' NO
FOOTING/PIERS '15/
MONOLITHIC POUR FORMS /2
FOUNDATION/DAMP-PROOFING /,1
BACKFILL APPROVAL ./
ROUGH PLUMBING /./
FRAMING '/7
ELECTRICAL ROUGH-IN '
INSULATION: F
FOUNDATION 7 i1 (/r'/
FLOORS \ ta�!'
WALLS \ ,,
CEILING f
FINAL INSPECTION:
CHIMNEY HEIGHT P-
ROOFING /
SIDING isi AJ'1st{-,1,;,fv 666�7- h i E cG—s C�
EXTERNAL PORC�GS/STEPS X
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF\VALVE X
INTERIOR TRIM/PRIVACY DOO
FINISHED/FLOORS 1 A f (PE06,/[ s
GARAGE IREPROOFING . \DOOR C OSER(S)
SMOKE /DETECTORS \ , /--
FINAL ELECTRICAL INSPECTION 5- I yCE,'' !/
FINAL APPROVAL OF CONSTRUCTION ' \ X
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: OfL P S►&P3i.,4Pig-TO
GUILD Wt Die-X-.
SPECTOR
awn of Queenitur, -
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D."1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL �SYSTEM� INSPECTION
NAME 6/1/ C4
LOCATION Z-o P" p7 hi 7./5""
DATE14 I ' PERMIT NO. 9-S - 6-7 (/
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch _ ,o
TYPE of SYSTEM: .
Absorption field, total length ,,I,
Length of each trench /
Depth trenches id
Size of avel_
SEEPAGE PI :, {Number of) p
Size- ____ft X ft. it
Gravel size _ I
PIPING: pIze Type
Bldg. to tank f
Tank to dist. box
Dist. box to field/A' t
Openings sealed? s YE NO Partial
LOCATION/SEFARA SONS:
Foundation to t nk i' ft.
Foundation to Oosorption '',, ft.
Absorption to ,` of line j , ft.
Separation off pits `eft.
LOCATION OF ;YSTEM ON PROPERTY(circle one)
Front - Rea/ - Left side - Right side -
COMMENTS: ;t
!1/ % ��?
SYSTEM USE APPROVED 0
Bu'1d Inspector
01/86 and vl
.own of Quecnihur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /.mot'// led/
L�LOCATION ke; �/
Date / /7 / elPermit No. V --6,7C(
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproof g
Backfill
Framing 1
Roofing I
Siding
Masonry Veneer `k.
Rough Plumbing
Relief Valves \ i
Ext. Porches
Finished Floors \ if . .
Interior Trim ,
Stairs & Railings V
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures .
Gar. Fireproofing N,
Door Closers f.
t
Smoke Detector 11.
Chimney ''\
)i INSULA ''4N
Foundation
Floors f
Walls l9 /
Ceiling 3iir V
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Buil in s torJ
6/86 and-vl
_awn o� Queenilury
BUILDING and ZONING DEPARTMENT
•
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S . REPORT •
•
! � 1
NAME fI 1.� � J' �
- ,r-4 .�� _
LOCATION . * \ �()
Date 1 / 1 Permit No. k�-v 7z-i
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation _
Waterpro., ing
Backfill
Framing
Roofing
Siding
Masonry Veneer
(Rough Plumbing
1Relief Valves
Ext. Porches ff
Finished Floors
Interior Trim
Stairs & Railings , '
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers • / °'-
Smoke Detectors
Chimney
INSULATION:
Foundation • A\sk
Floors
Walls
Ceiling •
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
•
Next scheduled inspection (call when ready)
Remarks-
•
•
Buil4 Igj Insptid'tor
6/86 and-vl
own of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME //e - ,s�-g-' GIB � L—,--
�a-mil ,LOCATION X6-- -,./ zz /9--t_
DATE /0/7/ PERMIT NO. ,Z — 7 L/
SOIL TYPE -(:::Sand". Loam - Clay
Percolation Test Required? Y - NO
Percolation rate - Min/Inch
TYPE o YSTEM:
Absorptio field, total t ngth 02 4/6
Length of e h trench • E'o
Depth of tren' hes (-9''_'
Size of gravel'; _i 3 ,-`
SEEPAGE PITS{N toer of)
Size- ft. X ' ft.
Gravel size ,`
PIPING: Size _ Type
Bldg. to tank . 'r (pi
Tank to dist. I ox -7V�
Dist. box to ield/pit ' '''?V
Openings sea C led? TXES170 Partial
LOCATION/S PARATIONS:
Foundatio to tank / 7 t.
Foundati to absorption , j f '
i/-Absorpt`�n to lot line A ft.
7 Separa on of pits ft.
i LOCAT ON OF SYSTEM ON PROPERTY(circle one)
', �Front% Rear - Left side - Right side -
y COMMENTS:
4. a 7
i",...-- '; L 7
1--,; z p
i
SYSTEM USE APPROVED YES (-NOT)
�F
�,s
/: `fir• J
BuilAfig Inspector
01/86 and vl
_own o/ Queeraury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S// REPORT
NAME /7"0/2,01 v /Ce/erg'
/---
/ /
LOCATION 44 -- 14. � , /(
Date /-V. / % Permit No. '- 7/
* * * * * * * * * * * * * * * * * * * * * * *
80/ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
. Waterproofing
Backfill
raYning ,
Roofing
Siding
Masonry Venee
Rough Plumbing •
Relief Valves
Ext. Porches
Finished Floors '\ i
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures )1
. Gar. Fireproofing i
Door Closers Y •
Smoke Detectors /
Chimney 1 •
INSULATION:
Foundation
If
Floors • s
Walls I'
Ceiling I
FINAL ELECTRI@AL INSPECTION
,v
DRIVEWAY APPROVAL
Final Building Survey .
Next scheduled inspection (call when ready)
Remarks-
./i
/ ;:
Buildi 1/7
I-10® tor
6/86 and-vl
•
• Jown o/ Qucenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
J
B 1LDING INSPECTOR ' S REPORT
•
NAME ,,{/ / 4e/
LOCATION
Date 9_/�/,--- Permit No. O i•-1 7
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Foot'-rig/Pier Forms
L •-Fndation j~
aterproofing Backfill �:
Framing - .rf
Roofing
Siding .
Masonry Veneer . /
Rough Plumbing
Relief Valves ,f
Ext. Porches '' /
Finished Floors 4t /
Interior Trim "`;. // AI
Stairs & Railings A
Cellar. Drain Tile ai \
Concrete Floors / \
Plbg. Fixtures /
Car. 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-
•
Building Inspector
\•/86 and-vl
y\•
_/own of Q ce n i ursy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUIL ING INSPECTOR ' S REPORT
NAME 441
j r
LOCATION LfJr41 ' ` J 4r
Date6 , / Permit No. S. -LA 1 -
* * * * * * * * * * * * * * * * * * * * * * *
, � ✓ = APPROVED - YES/ NO
l 'noting/Pier Forms f \
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing •
Relief Valves
Ext. Porches f
Finished Floors `/
Interior Trim \ /
Stairs & Railings
Cellar. Drain Tile f \
Concrete Floors
Plbg. Fixtures 2 N,.
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
le $
shi
Ai/c✓/II /'' •
or
��! Building I Spector
i6 and-vl
•
•
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--
•
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