Loading...
1989-338 iy ER.TIFq+ ATF OF VtJPAN+Cw`X' TOWN Of +QUEENSBURY WARREN COUNTY, NEW YORK i r r Dante A r,g11.'5 t 1L 19 _$9 r This is to certify that work requested to be done as shown by Permit No. 89- 338 f � has been completed. This structure may be nocupied as a Single Family Dwelling Location +6 Ferris Bri ve Lot #27 i Owner Masullo Brothers fBy Order Town Board f 7MWN OF QUEEN$BURY Director of Bldg. L'c Code Enforcement i I NMI BUILDING PERMIT k Z TOWN OF CCU EENSBURY No. 89mt338 WARREN COUNTY, NEW YORK no PERMISSION is hereby granted to Ma rrl 1p Rrot sarg V OWNER of property located at 27..,,.. Fer-Fis Drive S een 6- Street, Road or Ave. „ in the Town of Queensbury, To Construct or place a �� ..r� a 1 `r �Iwel 1 i n at the above location in accordance to application together w ! plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1 , OWNE R'S Address is 3049 Broadway FA , Schenectady, N . Y . 12306 a 2. CONTRACTOR or BUI LDER'S Name Self c ert ro 3. CONTRACTOR or BUILDER'S Address Same . h3 V h 4_ ARCHITECT'S Name rra WS -s 5. ARCHITECT'S Address �- Stl Ni PF S. TYPE of Construction — {Please indicute by X) Q XX) Wood Frame { ) Masonry { I Steel { ) CM T_ PLANS and Specifications No. 36 ' 8" x 36 ' 8 " ( 1200 sq . ft. ) Single family dwelling as per plot plan , specifications , and application , including attached two car garage , septic and s. Proposed use r7 Veway. APM ua Single Family Dwelling a $ 171 - 00 PERMIT FEE PAID — THIS PERMIT EXPIRES nara,mber 1 {If a longer period is required an application for an extension musk be made to the Suilding and Zoning inspector of the VC town of Queensbury before the expiration date.) !•., Dated at the Town of Queenshury this Day of Maw 19 5??_ SIGNED BY for the Town of Queensbury Building and Zoning Inspe TC3L OF QUEEhT5I3URY APPI41CATTON FOR RUILDII`IC AND ZONINC PERMIT Va.te- I~ee E e� ed 17bWN OF QUEENSBURY Reu Z `/ y40 i FIECI�IlME+? Fy 5 MAY 7 1r. 00 Fee. Paid J IL IMI LDI NC AND CODES UI PARTP(FMI` Date 744sued BLDG, & CODE DEFT, BAY and HAVILAND ROADS RD I Box 9a r)UFENS©URY, NEW YOJRK 12804 Perunet No _ Tel * (518 ) 792-5832 Ext •204 t i1 ♦ • t t tw t l r • • 1r t r ! t r rR or w A PERMT MUST B4 OBTAINED BEFORE BECINNING CONSTRUCTION . NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT . All applicable spaces on titiis' application must ' be completed and the nipuature of the a plicant must ap ear on the reverse side of this sheet . * ** * * * * * * * ' * * * * 'I*` * * V nn*r * * 1 * �7*� * * * * * * * * * W * * * >k e owner of 't{h��iss property is .. MATLW ��sc7 W��[�+�4R+� A�' ,.sr I' . Do Address ✓G/T / 1f� r✓1�T eJ�✓Y4Jr+Q�,�'' +Z T h?IJ ©p NOW '1' L . Property location 2n77' af 7azx at 'TAy- HAP Ilas there been any split of this property Since October 1 , 1980 ? �^/V f `y is s tk o if yes , Planning Board Review is necessary . :;UBDIVISION NAHE' , IF APPLICABLE LOT NO . The person responsible for supervision of work an regards Building 'Codes Las P . D . ADDRESS TEL . NO . NAttlr Tel Dame of builder ASL►fL0 Lrl9S. ,[3l�cldress 1 It �lne of niumber� T.ddrass F�r/T2»I! Tel raalne of Mason N"1131 R Fb Fi 4TIdilAcidrass 3047 DVA! t Jr/ Tel 3 -yes � 1j.17URE OF PROPOSM 601ZK* # ZONING INFORM ATION ( UFFI ce use on .10 % / Cnal :: truction of a stew buildinn ' ZONING DESIGNATION OF PROPERTY Addition to a buildin Lg + PERMITTED PRINCIPA PERMITTED ACCESSORY .Alteration to a building r ` � " REVIEW REQUIRED - PLANNING LIOARD ZONING LIOARD ( ,,a ch:anqu to exterior dimensions) Other work (4jag:cribao1 SITE PLAN REVIEW / APPROVED DATE CROSS ARIA OV PROPOSED% S 'TRUCTUR " VARIANCE I APPROVED DATE lst Floor_ e,�o aq ft . r Remarks ! 2 n d Floor 't( d O eq f t . r Cor•IP(.L'T ig . JL)#%OjgWj`IOM lal �ruIStFD Lr1~l.ClUI . other Floors scl f t . Size of provurty l/e7 it K .2r 'R Ft . ( not cellar or basement ) Lxiutltic3 l�ulla]ina] tts) `3i::as eft x ft . `rOTAL. FLOOR ARCA�11=9ea sq f f . ; uxii;ting bwildinU (a1 Usae -' izo of ne �,w ::tructuro � =g jt X `fit " rocusd:ation-pi or/alab/crawl/Martial ul1 r propasud building, difacsncu fro"I pra�llaJrty lino (Circlu one ) , Front yard, `{8 - rt Roar yard � I z- C •a- - ft IJo w of .terries (habitable upace) '.I f t Ilui ht (grade to rick a_ j ,2U ft . Side yards 3i, IFt and ? � _ g J � ' „ IF an corner, aIn cbarCk !`rout eider uz r. a;ut z* t if rouida:ntial , no. of families j Ilo * of rool*ntexcluding baths ) 6 OCCUI'+W' cy IN omAvcm 11ov of bedrooms 3 PRIMARY !JUILDI"(1 - No0 of bachroomaOm �. * c,.-Ono family dwelling Priu,ury huatilrq uy1mcan r a Two f wLly dwelling `Typo of fuel r= 49-4 Multiple dwelling / NuIrber of units 11o . of fireplaces to il" irrstallc;d• va•► -C=l � Permanent occupatrcy Will a w004 utavu ljc illStallUd? 4✓6 Tr:anNiaarat occuluxncy cuntral Air cosoditiuning? *, llusincrss (1uILDING STYLE, PRI14ARY STRUCTURE r Industrial Ocher 1::A1%c1% Conc4ampor"ry Lan cabin . 2r aaddision, w.rlaut wily u:ia3 bo? It;air;cd ranch H"nuia+la 0uj1l (:x �Jplit luvol Old utyie Ifuny.alow e;.yu Cod Cott:aaj�% other r' JICCESSORY HUILDING— 'oLorri:al How `rows ]louse or Loatachad quriageJana cur/ __two car/ car ( CIRCLE ONE: PLEASE 1 * Attached gLar#►cjas/a�Ya! car two Car/ col' w ■ • a r r * t A w t t r r r ■ ; Privata= storage building US 'TIMATrn HAR1.F7• VALUI. of " Ocher LON ::'t` (tUC'I' IUN r INFOMIA'i`ION ON RUrLDTNG SPrCIF' ICATIONS , ON TtCVER'.aE SIDE OF 'THIS CHOCT, TO Be COMPLe"rUD1 Form DPA 10/88 v] r BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe, etc . Wf Will any second-}land or ungraded lumber be used? If - gas for what ? NCB• _ Foundation wall ma ter ialRMD ( WK Thickness Depth of foundation below rade ( to bottom of footing ) 70 Will there be a cellar ? W3 Heated or unheated? VA114 floor sq . footage sq ft Will there be a basement? Will any portion be used as living space? ( If so , what portion? _sq . ft : - ^ Type of use? Type of roof - o e flatjshedjother }laterial a£ roof Y�- 47 - i Size , wood studs " X +' spacing / "o . c . length 4; ft , Joists ( £lour beams ) 1st : floor 2 '.x 10 " spacing 10f "o . c . span ft . Joists ( floor beams) 2nd . floor "7c spacin9__/710�wr''o' . c. span . f t. overlays (ceiling gams ) r'X " spacing "p . c . span ft . Roof rafters r'x " spacing o . c . span ftr Roof trusses (pre-engineered) spacing 2 4 "o . c . span ft . Exterior wall €inish ,1,QI /b of what material?V,/A�Y� Interior wall finish 717E ,' Z a arage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? 5IFS Will a flue-lined chimney be installed? height above roof ft . Depth of chimney foundation below grade ft . . Depth of fireplace hearth ft . in . water supply = Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft - (A separate application is necessary far any ' xepair or new installation of septic system) D E C. L A R A T 1 0 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'&6 +► '' Owner, owner's agent, architect, contractor # * * * * a * * * k * * * * * * * * * Ar * t * Ar * * At * * * * * * * * * rk * * • w SPECIAL CONDITIONS OF THE PERMIT : AIU ' RI VITIOVAL t%/091r•, ) F FlIVONIV6 OF 13A& M 3 OR R►IYdT OV ► 14 I..S 60 A REA JDOE%5 nioT FA4t 0410,64' rh As vu a ►CiI,�Qs �#���,, ► arar 6MIAL APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE 1 Z• LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: �4.r Ilp ( t-dS $Us �e r C f`* Telephone: ,,ram► ' SX-7 Address: "5o !j4 Art3ad W )P <ZCAtl V ! L. 3o, ,C Installer's Name: der,,di ,Hde— _- Telephone: Number of bedrooms (residential only) 5 Total daily flow (compute 0 160 gal per bedroom) TepograpLy: circle one: Fla# Rolling Steep Slope 95 of slope Soil. Nature: circle one: Sand Loam /Clay _ Other / Depth: _ feet Ground Water+ At what depth? �. A/ ,'4 feet Bedrock or Impervious Material: At what depth? _ X116 feet Percolation test: circle one: dEot required required / rate min. inch. Domestic water supply: circle one: Munici al Well father IF domestic water supply is a 'Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank 106 a� gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trends So feet / Total system length .___ ;2cs o feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness feet IMPORTANT ...Plea se...UST NEW EQUIPMENT TO BE INSTALLED (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, a:3 required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least Z4 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system Z.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply S.) size and dimensions of all tanks, distribution boxes, the 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 $Z50.00. 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. SignF.ture of responsible persons e9 Towns of Queensbury Building and Code Department Bay at Haviland Road QUeensbury, New York 1Z801 (518) 792-583Z or FARZ ISSUE ,7ATE fMMrDCrvw-: S ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. j EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- OOL... INSURING AGENCY INC - ---- " - -- - - €3 I3GX 2074 COMPANIES AFFORDING COVERAGE LENS FALLS NY 1 2GO 1 — - - - - - - : COMPAN A AETNA LIFE A,ND CASUALTY C F^� B AETNA L & C GP LE n4SL;PE^ ASULLL"!. BRCS BUILDERS MPAN C vE E^ INC - - - - - ---- _ - - - - 049 BROADWAY ZMPA`'` D CHENECTADY , NY 12306 - rr• THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY FIEOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T'EPMS EXCLUSIONS, AND CONDI- TIONS OF SUCH POLICIES. A . IN TH4Lr=ANDS Arai -y. ar .:F I\.'•_'t;+AiJ C:E aCLIC '` N:.".59E'a , , .. . - ._ - _..__ --_ _ . .. -E _ _ . GENERAL LIABILITY iC'CJDi 52196C XH IL%4 / 03 / 88 =04 / 03 / 89 "- - - . i _ 10 000 A'J Tr)MCS ILE LIABILITY I OF •J34^ i039CXH 04 / 03 / 88 04 / 03 / 99 - .—... 7. _ ._. 500I LACESS L.ASILIIy .. . . ..^—IOXS476404WCA 04 / 03 / 98 04 / 03 / 89 - WORKERS COMPENSATION . . B INDER5937 10 / O1 / 88 10 / 01 / Q" AND EMPLOYERS' LIABILITY - _ -- "'dt)NTRACTORS BINDER4393 04 / = 3/aS 04 / 07 ao? SCHEDULE ON FILE EQUIPMENT 3ESC?1P1IC"r r,- '7nEAA IC L'S;SPECIAL ITEMS • • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- TOWN OF QUEENS13URY PIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO A-I--� SAVE f„IT -�r-AID UIRE'C -� MAIL QQ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. L7T FAILURE. TO !NAIL SUCH NOTICE SHALL IMPOSE. NO OBLIGATION OR LIABILITY TOP OF BLDG . & CODE ENF . OF ANY KIND UPON THE COMPANY . ITS AGENTS OR REPRESENTATIVES. BAY & HAV IL,_.AND ROADS AUTHORIZED R ESENTATI'.e — � GUEENSBURY , NY 12801 . _ 4�_= � , VOWN or QUESNSBURY r 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 / tea +90 2 . Type of heat eo'' w7s 3 . Is the building mechanically cooled ? '*Wa A/6 4 . Percentage of area of windows and doors 1470 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 YES NO a . Are foundation walls insulated ? YES NO 1 . If YES , what is the R value ? R-13 3 ., slab on grade YES 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 Fibergiasg Be 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 4 . _R value of doors 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 ) 9 . R value of heated basement/cellar walls ( below grade ) 10 . Type of insulation Co Controls 1 . Thermostat maximum heat setting goo D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO 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 lf" 6 _3/4 Cooper 2 . R value of pipe insulatiofi F . Service Water Heating I . Performance efficiency 2 . Temperatura control setting maximum G . Fgr Swimming Pool OnIX 1 . Maximum heating Telephone - No . 370--1058 applicant ' signature ) i 11mig " LI N COLN " SYr MASOL,L.a S9X7MERS . ` SUMMARY OF TOTAL THERMAL RATING If the Total Thermal Rating is zero ( 0 ) or greater . the proposed design for the building envelope complies with the Energy Code . THERMAL TABLE AREA U--VALUE RATING USED A . ROOF/CEILING $ 94o . [732 t + 6- 2 B. NET WALLS fiaSGG. , o5 0 0 r12 " I C . GLAZING Window r 3 .58MIN. 0 6 . 73 Window Skylights 01 . FLOORS so .0 +a 0 +fps - t D2 . BASEMENT/ CELLAR WALLS Wall Perimeter Feet Exposure Above Grade 2 Feet Wall U-Value . of 3 Depth of Wall U-Value Below Grade +4-8 Inches 0 D3 . SLAB INSULATION Slab Perimeter 'Feet Insulation R--Value NIA • E . INFILTRATION CONTROL Conditioned Floor Area Sq . Ft. _ NT F . SOUTH FACING GLAZING South Glass /Total Glass Percent Gl . Area/Gross Wall Area Percent Conditioned Floor Area Sq . Ft . NIA ' I TOTAL THERMAL RATING t _ C reat ive +concept s PLANNING & DESIGN 6 ' 4W mark s. kazmierczak 518 /371 -3826 eis3` 4' 946 Route 146 NE S; Clifton Park, New York, 12065 `,` _.J'own a�' �ateen .fhure� BUILDING and ZONING; DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NoWE LOCATION nATE,P � PERMIT NO, SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? At$YES - No Percolation rate - Min/In t TYPE of SYSTEM; Absorption . f field , tot length Length of etch trenc Depth of trenches Size of gravel_ SEEPAGE P ITS4Nttinb of) Size-PIPING : SIZe ft. X ft , Gravel Size Hidgo to tank Tank to dirt. x Dist. box to field/ Openings sea ed? ES NO Partial LOCATION/SE ARATIONS : Foundation o tank fto Foundation to absorption ft . Absorption I to lot line fto Separation/of pits ft . ICICATION SYSTEM CN PROPERTY (circle one) Front - 4� Left side - Right side - CCMMENT , n J SYSTEM 1.75E APPROVED ES )NO 8ui1 n pecto 01/86 and vl TOWN OF QUEENSBUR'Y BUILDING AND CODES DEPARTMENT r'1y BAY & HAVILAND ROADS QUEENSBURY, NEW PORK 1280+I TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT r REQUEST FOR INSPECTION REC r.VED NAME LOCATION ~ DATE _15" - k / PERMIT �# APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS r WALLS CEILING FINAL INSPECTION! CHIMNEY HEIGHT' ROOFING % G SIDING 1. EXTERNAL P CHES/STEPS L / STAIRS-CLE RANCE & RAILS PLUMBING IXTURES/RELIEF VALVE INTERIOR RIMIPRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING f - DOOR CLOSERS) SMOKE DETECTORS If` FINAL. ELECTRICAL INSPECTION FINAL APPROVAL, OF CONSTRUCTION A SIGNED C'ERTIFXCATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED ± REMARKS: • y' � 7' C INSPECTOR J?Own 0/ Queen3bury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 C]ueensbury, New York 12801 / SEPTIC DISPOSAL SYSTEM INSPECTION NAME [ r�2=� G� LOCAT I[11V � �y .�1?lu_r C DATE / tS f PERMIT NO, 3 c SOIL TYPE - Sand - Loam - Clay - Percolatio Test Required? YES - NO Percolation rate - Min/Inch TYPE of *SYST Absorption f ie ' d , total length Length of each ench Depth of trench Size of gravel:_ SEEPAGE PITS{Numb of) Size- ft. X £t Gravel size _ PIPING : Size Type Bldg . to tank Tank to dist. bo Dist , box to f i d/pit Openings seale YES NO Partial LOCATION/SEP TIONS : Foundation tank ft. Foundation o absorption ft . Absorptio to lot line £t. Separatio of pits ft. LOCATION SYSTEM ON PROPERT circle one) Front - RLar - Left side - Righ side - COMMENTS : SYSTEM USE APPROVED YE NO Building inspector 01/86 and vl THE NEW YORK BOARD OF FIRE UNDERWRITERS l ' V-' E t 1 : r ' BUREAU OF ELECTRICITY dl STATE STRE ET, ALBANY, NEW PORK 12207 Application :No. on file ,-i .� ; 4 , 1 } l ; 4) Date THIS CERTIFIES THAT F'FF.'3I T :';` f . ?': : "ii' only the electrical equipment an describ:sd before and introduced by an the aboes appiicatson number in the prernisae of I_L�i E;Ft tF: FtL TLPF F E F. F' ^• BFiT F <_7i ' F C 'I : ,: Fst '.Ft i `: . '. in thefollowins location; E1.1 Basement � lot Ft. � 2nd FY. , {,; Section Black Lot was examined on and found to be in compliance with the requirements of this Board. FIXTURE EPTACLES S'M1ITCNES FTICTURES RANGES COOKINGI DECKS OVENS DISH WASHERS EXHAUST FANS OWLLRS HCANDESCENT PUJONESCENT OTHER AMT. K. W. AMT, K- W. AMT. S.W. AM-L I K. W. AMT- DRYERS FURNACE MOTORS FUTURR APPUANCE FEEDERS ISPWAL REC"P7 TAME CLOCKS BELL tJNtT LiEATERS MULTL-OUTLER DIMMERS TRANS. AMT. N. R, SYSTEMS AMT. WATTS AMT- K. W. OIL H. V. GAS N. P. AMT. Na. A. W. O. AMT. AMP. AMT. , AMPS. NO. OF FEET ! i F F I I 1 -1 SERVICE DISCONNECT NO. of S E R Y I C E WITAMT- AMP. TYPE EO w 1 X 7W 1 X 3W 9 / 3W S X Iw ' #PER*chi o Or CC. CAO"M No. OF HLLEO of HI LEG F10. # NELITRAIS OF HWEU R�. TAJ OTHER AMA"UN: c; . F' . .. , T , ? T 1 I ,?,. 1 '.,1 . ' j '? F:r li{1riC)lw F1F T `: F iy/ t 'H F'`: F' Y-'T 3 P`r` F " ; '-I BRANCH MANAGER Per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 8UILDING and ZONING DEPARTMENT +�'! ,ere Bay and Havlland Road, R. D. 1 Box 98 C]ueensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION LOCAT I ON _ !J�" ,1#7 r � r e DATE �5f PERMIT NO.4 ' /�- � _ SOIL TYPE Sand - Loam - Clay - Percolation' Test Required? YES - NO Percolation ate - Min/Inch TYPE of SYSTE Absorption fze total lencyth Length of each tench Depth of trenche � Size of gravel ,, - -_ SEEPAGE PITS4Nume of)b Site- ft. �f_-y-�ft. . Gravel size PIPING : Side Type Bldg . to tank . Tank to dtst . box Dist . box to field/pit Openings sealed? YESY O Partial LOCATION/SEPARATIONS : > s Foundation to tank 3 ft. Foundation to abso r�plion ft . Absorption to lot ll.ne -,ft. Separation of pits, LOCATI Of�_._S TEW ON PROPERTY (rr3.rcle one) Front - Rear - Legit side - Righ-&. side - CCHMENT SYSTEM USE APPROVED YE p If Building Inspector 01/a6 and v1 90"0*n o +�ee1+ thure�r � BUILDING and ZONING DEPARTMENT Bay and Maviland Road, R. D. 1 Box 98 C]ueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION LOCAT II ONE (G' "tad G '� �7 < DATE PERWT NO .� $OIL TYPE - $and - Loam - Clay - Percolation 'pest Required ? YES - No Percolation rate - Min/Inch 9 �. TYPE of SYSTEM: . Absorption f iel total length .Length of each ench Depth of trenche Size of gravel_ SEEPAGE PITS-(Nuinb of) Size- ft. x _ ft. ? _` Gravel size PIPING : Sized' ' Type Bldg . to tank Tank to dirt . box k Dist . box to field/pit F Openings sealed? YES • NO Partial LOCATION/SEPARATIONS Foundation to tank ft. Foundation to absorption ft . Absorption to lot .Rine ft . Separation of pith ft. LOCATION OF SYSTF$ ON PROPER (circle one) Front - Rear - Laft side - Rig t side - COMMENTS : r' SYSTEM USE APPROVED YE 0 1 Building I pector 01/86 'md. vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED 2 — NAME r2 ^, LOCATION DATE ?._ Za ` "!fy PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFXLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN 4eoATNSULATXON: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: { .. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEP .STAIRS-CLEARANC$ & RAXZ5q PLUMBING FXXTUlji�S/RELIEi VALVE INTERIOR TRIM/,bRIVACY DO�RS FINISHED FLOOEPS GARAGE FIREPRIOOFING DOOR CLOSER ($) SMOKE DETECTORS FINAL ELECTR*AL INSPECTION FINAL APPROVAL OF CONSTRUCTIO J t S A SIGNED CHRTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED ' REMARKS: y' r _ XN.S'PECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAV,ILAND ROADS QUEENSBURY, NEW YORK I290k TELEPHONE (528) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR I ECTION RE VED G � NAME LOCATION �. f DATE PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATTONIDAMP-PROOFING BACKFILL APPROVAL LOUGH PLUMBING MING ELECTRICAL ROUGH IN INSULATION: FOUNDATION FLOORS r WALLS CEILING FINAL INSPECTION; CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAIL PLUMBING FIXTURESIREL-T VALVE INTERIOR TRIM/PRIVACY ; RS e FINISHED FLOORS F ti GARAGE FIREPROOFING - DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INS ECTION FINAL APPROVAL OF C STRUCTIflN A SIGNED CERTIFICAT OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR -- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVTLAND ROADS QUHENSBURY, NEW YORK 12804 TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTSO�N,!!RECEIVED NAMEt1�Cr0 LOCATION DATE I - G] PERMIT # �q ' �'1 f — APPROVED YES NO FOOTING/PIERa MOIVOLITHTC PO FORMS FOUNDATIONI DAMR-,PROOFING toeROCKPSLL APPROVAL UGH PLUMBING NAMING ELECTRICAL ROUGH-.riv TNSULATION: FOUNDA TTON FLOORS WALLS i CEILING 1 FINAL INSPECTION: CHIMNEY HEIGHT N ROOFING SIDING EXTERNAL PORCHES/ TEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTUR SIRELIEF G'4LVE TNTERTOR TRIM/ RIVACY DOORS FINISHED FLQO GARAGE FIREPR PING - DOOR CLOSER ( ) SMOKE DETEC RS FINAL ELECTRI L INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: �1 f SP OR TOWN RY fJXLD OF QU$ENES DE BUILDING ,AND CODES DEPARTMENT BAY & HAVXLAND ,ROADS QUEENSBURYp NEW YORK 128 Og TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME A LPOCATION J DATE ^_- ij - - _ _ PERMXT # APPROVED YES 1 NO FOOTING/PIERS MONOLITHXC POUR FORMS Ll!;WWDATSON1DAMP-PROOFX NG BACKFXLL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT i \ ROOFING SXDING EXTERNAL PORCHES/ EPS STAIRS-CLEARANCE ;r& RAILS PLUMBING FXXTURF41RELIEF VALVV INTERIOR TRXM/PXIVACY DOORS ; FINISHED FLOORg GARAGE F'XREPRgOPXNG - .DOOR CLOSER (SI SMOKE DETECT CPS FXNAL ELECTRIC#L INSPECTION FINAL APPROVAL OF CONSTRUCTION I A SIGNED CERTX -TCATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INS ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ] . y BAY & HAVILAND ROADS 1 QUEENSBURY, NEW YORK 1 2804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVEDO S - NAME LOCAT IOly le DATE :5 ^ ,�( PERMIT #!' APPROVED YES NO L001FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP--PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING r' ELECTRICALS,ROUGH-IN INSULATION:'N, FOUNDATION . FLOORS WALLS CEILING i FINAL INSPECTION: CHIMNEY HEIGHT ROOFING, SIDING EXTERNAL PORCHES/STEP$ STAIRS-CLEARAAj4E & RAILS PLUMBING FXXTI 7RESIRBLXEF VALVE INTERIOR TRIPRIVACY DOORS FINISHED FLOORS GARAGE FIR$PROOFING DOOR CLOSEh (S) SMOKE DETPCTORS 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: Ila INSPECTOR , Os IF r qz 10 Zr 10 lee Soo 3Art ,� t Oho ; 8. A Not 0 0 ti 40 N 10 78 N � f