1988-910 / � y
i .� F
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
June 16 89
Date 19
( 06\
This is to certify that work requested to be done as shown by Permit No. 88-910
has been completed.
This structure may be occupied as a Single Family Dwelling
Location Lot 59 Maple Drive St.No,40
Owner • Forest Wood Homes Inc.
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY b
No. 88-910
WARREN COUNTY, NEW YORK
Ui
PERMISSION is hereby granted to Forest Wood Homes, Inc. •
OWNER of property located at Lot 59 Maple Drive St.No.40 Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Single 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
13 Thunder Run
Gansevoort, New York 12831
t1
m
H
2. CONTRACTOR or BUILDER'S Name
O
O
NXXX SAME d
M
3. CONTRACTOR or BUILDER'S Address 0
rn
SAME
4. ARCHITECT'S Name
5. ARCHITECT'S Address - o
Ui
6. TYPE of Construction— (Please indicate by X) 'd
- N
X)XWood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specificationsro
•
No. 26' x 52' Single Family Dwelling as per plot plan, specifications, vn
rt
and application,including septic,driveway, and attached two car garage.
8. Proposed Use
Single Family Dwelling
25.00 C/O
$ 211.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1989
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 11)
town of Queensbury before.the expiration date.) •
Dated at the Town of Queensbury this 22nd Day of November 1988 ry
SIGNED BY aZ for the Town of Queensbury N,
Building and oning Inspector
TOWN Or QUEENSBUPY
APPLICATION FOR BUILDING AND ZONING PERMIT
f_ .,• . hate
>?eai.ev ed i/ TOWN OF ®l1EENSBURY
-�'^�' • RECEIVED
R Y-. ! Fy
G
Fee Paid S G7,3C = NOV 171988
BUILDING AND CODES DEPARTMENT Date I4.eued BLDG. & CODE DEPT.
BAY and BAVILAND ROADS RD 1 Box 98 l�
pUEENSI3URY,NEW YO/K 12804 Puun ,t Nu. !/ _
. Tel . (518) 792-5832 Ext •209 . -
.. •* * * * * * ''IN * 1 * * * * *. * * * * * * * * * * * * ~A' * * * * * * * *
A PERMIT MUST B1l OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
. WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT.
All applicable spaces 'on this application must be completed and the
sir7uature of the applicant must appear on the reverse side of this sheet .
* ** * * * * * * * * * * * * * * * * * ]* * * * * * * * * * * * * * * * * *
The owner of this property-��__ �� is : 101,1.gr/ //V thhtlS -,.�KC -
1' . O. Address 6•j -r ,,qt 'UM C +r,,voot'C7 / A/V / 1 '/ TEL. c f-Lv 9
Property location T c! . k hoe S'-L/l)0 6 TAX MAP NO. �4 _
1 ri
Has there been any split of this property since October 1, 1988? yes no
] f yes , Planning Board Review is necessary.
SUBDIVISION NAME, IF APPLICABLE _ LOT NO.
The person responsible for supervision of work as regards Building Codes is :
W o J vl&eJ /3 -77i.44 u4-0 1 c/A 6-14.I iSe-va N -`f"3S-d�
P .O . ADDRESS TEL. NO.
NAME fTel ay-3S�9
Name of builder�drtS G/i1dJ tJ Address 134�' ' ► ,✓iltY4r
Name of Plumber 0_4- C if vnc b r Address � Tel tf R —�1 4 ,Q �� -2W1
Name of Mason P p,,v /-1 GrGWd Address Pefofc)y Ih tic! �a �,:1i.btcbtirel 71 A -0
NATURE OF PROPOSED WORK: ,,, ZONING INi:012MATION (Office use only) y
•
( Construction of a new building. * ZONING DESIGNATION OF PROPERTY
_addition to cr building r PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to a building * '
(no change to exterior dimensions) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Other work (describe) SITE PLAN REVIEW # APPROVED DATE
.
GROSS AREA OPPROPOSED, STRUCTURE * VARIANCE # APPROVED DATE
1st Floor 7aR • sq f t . * Remarks: -
2nd Floor 7s' sq f t . COt4PI.1:'1'1: IN1`O1 4A1'ION REQUIRED 111 LUW• r
S �Y/,`{ 6 N
* aIt.
of property 13°I ref ft X .
Other Floors sq ft . » Existing building(.::) Size _ ft X ft.
( not cellar or basement) *
TOTAL FLOOR AREA sq f t . • Existing building(1) Use
: ize of new structure aG ft X S'd-ft '
Vour+dation-pier/slab/crawl/partial E� ' Proposed building, distance from property line
(circle one) kr
A Front yard qo ft Rear yard NO ft
Na. of stories (habitable space) ;I
• Side yards a. 6 ft and ./.b ft
Height (grade to ridge) A/ 3 I ft. A If on corner, setback from side street ft
if residential, no. of families /
No. of rooms(excluding3baths) (v ' OCCUPANCY INFORMATION
No. of bedrooms r• PRIMARY BUILDING -
No, of bathrooms / Y-)-- * /One family dwelling
i riuwry heating system Aaf 61 1/ Two family dwelling
no. offfuel �jq,S , Multiple dwelling / Number of units
No. of fireplacu,sAu be installed u04,4 Permanent occupancy
Will a wood stove be installed? w o ~ Transient occupancy
Central Air conditioning? '
A Business
BUILDING STYLE, PRIMARY STRUCTURE ,r" Industrial
Other
lynch Contemporary Lon cabin R if addition, what will use be?
Raised ranch Mansion Duplex
split level Old Style bungalow '
r a • Cottage Other r ACCESSORY BUILDING-
Colonial Row 'Town house • --,•Detached garage/one car/ t o r car
. ( CIRCLE ONE PLEASE ) A V Attached garage/one car/ two caC car . car
* * * * * * * * * '* * * ■ * * * * * _Private storage building
ESTIMATED MARKET VALUE OF ' Other •
CONSTRUCTION '
]NporM TION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED:
Form DPA 10/88 vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. 4006�
Will any second-hand or ungraded lumber be used? If so, for what? G7o
Foundation wall material Ceji4Ov•e-le Thickness `
Depth of foundation below grade (to bottom of footing)
i
Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft
Will there be a basement? i1e5 Will any portion be used as living space? tr.b
(If so, what portion? fsq.ft. - - Type of use?
,
Type of roof - o e at/shed/other Material. of roof Ei i,-iif a cs sJ-i4i 4.d
Size, wood studs 'X 6 " spacing l (, "o.c. length i- 7 ft. �� ((�J
Joists(floor beams) 1st. floor o. "X /6 " spacing / "o.c. span /3 ft.
Joists (floor beams) 2nd. floor d, "X /6 " spacing /, "o.c. span IV ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing a'-( "o.c. span -2 ft.
Exterior wall finish j1)41 r Of what material?
Interior wall finish S1,4Lop rL(C
If a garage is to be attached, describe materials to be used for FIRE N:
SEPARATI
5 c e k re vs� (( -fi,,v e�� h(51A-s-t. ..�i ��' a-dt c-e� �rn 01'61wd-011-%"le
Is there to be an openingbetween garage and dwelling? P S I so will a Fire r ted
door, enclosure, and self-closing
closing device be provided? e S
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 - lunicipal private well yvv,—/ iC ilo ct
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties /ao ft.
(A separate application is necessary for any repair or new installation of septic system)
DECLARATION
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.
i b
Signature
Owner, wne 's agent, architect, contractor
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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 ) CJ •
�s— ,� �'
2 . Type of heat � 'jl1 - E(.L�� 1
3 . Is the building mechanically cooled? \ t)
a1 •
4 . Percentage of area of windows and doors 12
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?
•
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 L`) ✓
. 3 . R value of glazed area .2 .O
4 . R value of doors • L
5 . R value of floors over unheated spaces ' lc
• 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
C. Controls I
1. Thermostat maximum heat setting tj c
D. Duct Systems
1 . Is duct system installed, in unheated spaces? YES NO !
a. If YES , R value of duct installation ^ LO
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
F. Service Water Heating / „
1 . Performance efficiency �3 2b
2. Temperature control setting maximum l `tDc)
G . For Swimming Pool Only • •
1. Maximum heating •
Telephone No. � , �JU `�cU I / �U 11
(ap • ican) ' s signature)
TO'yN OF QIJEENSJ3UPY
4 . 'fh,
r
1 ;'t'Al. ;�`,`, APPLICATION FOR
i'!1. M i'��'.
Y , � .. SEPTIC DISPOSAL PERMIT
DATE Wm/, ids e /od i
_ t r
LOCATION OF PROPERTY FOR INSTALLATION fi,'r< <c° Y?If1�,;,,�!,('' 1F i'v- " ',;`,-(1,...;- 1L-)
a
Owner's Name: Fb r9,57 WSW o n ri l)tl tp.; _jr.I, Telephone: q a1?-3 ci, )
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G
Address: ` r�lit,t,t,m1V,I2 (\-:- ,,,,\ (.&f, ,,) (,'t„1 ),%-x Ai. tr, 8
Installer's Name: 1)00;101 ! w 67,v cJ Telephone:
Number of bedrooms (residential only) 3
Total daily flow (compute @. 150 gal per bedroom) -El
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one:*ndT Loam Clay Other /Depth: Feet
Ground Water: At what depth? R' Feet
/11
Bedrock or Impervious Material: At what depth? ✓) ,T Feet
Percolation test: Circle one: r(ot required required rate min. inch.
Domestic water supply: circle cone:(Municipal)Well Other
If domestic water supply is a well: /
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank /000 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet/Total system length • ) feet
li
SEEPAGE PIT(S): Number of , 1 / Size each ' feet by l? feet
Size of stone to be used # /Depth or Thickness feet
********: ****************
I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbu Sanitary S age Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: /
DATE: Nov , I g , Iss
OVER
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 installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and laviland Roads •
Queensbury, New York 12804
Remarks :
\.
•
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.-
'TEMP.* I DATE
CITY OR ^ 1 F-
•
`
VILLAGE fr.fri. it./.i I TOWNSHIP i'r . ')t f r :/ COUNTY in' ja K j'(Ill
STREET AND NO.OR v f ),• -r- E } t/: S POLE NO.
qt dt! rt FF}}r ,r, r �rr0r i.,' :
ROAD AND POLE NO. �{- j U' +` �• � � �' �-
BETWEEN WHAT TWO t- e ,, : l{ r
CROSS STREETS IS `" _1' 7 LS D 7�
PREMISES LOCATED? fY I it c1I °1 h . it 1 ajC--. SECTION BLOCK LOT
OCCUPANT'S BUILDING -
NAME - OCCUPANCY
OWNER'S NAME 11 .. `.i i NO ! ti,(2.Yt{.) ? ..-_ t
7 II: r' t r0P1 _ ' 'L'c-,i( Al,`, ' ,"9'.- -- TEL:# , r'
AND ADDRESS ++ �'- � 3 f -']�„I f '- ..)�%I
CURRENT
SUPPLIED BY • FROM THEIR OFFICE
B . DEFECTS
SUILDING NEW OJ OLD❑ IS
NEW L1 ADDITIONAL❑ REMOVED ❑ '
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
& BRANCH
NUMBER OF OUTLETS LLampfxtures R receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- ONLY
Lon Side raft: H.P. Watts A.W.G.
Calling Wall Switch Pendant Bracket No. Type Eech No: Each No. Geuge INSPECTION
Out-
side
Sub-
base
Base
meet
1st Fl. •
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 _ ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING OF SIGN -
INSPECTION REQUESTED
ON OR AS NEAR AS ' EI POSSIBLE NEW . OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE O 3 i/
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLIO TION 1 p'• `f / r
PRINT NAME_AND ADDRESS 11(1J # f —
APPLI ANT rNAME OF ''"'''F_) Wood 13�7'"+�:' I ;''� 'OF APPLICANT ''' (
��1� ( 7 �r
ET ADDRESS /"? I ti c,,`•i�;'j-' !try i^ . TELEPHONE#F, '� )�' �,���
,fy � � ,
ICE 6 41 n: `e-k ()j�lr ( : (ir I�y/ ZIP ice}} f/,"LICENSE NO.
1 + CODE ?�11 WHEN APPLICABLE
i
EV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
. . . .
r$ t.l.VM.fue lu t144‘.1eig9sNo t.fht•Nu 'la LOPmi" e.r.revt.0',\.3 -. tl..... Cr.r.N., - X-' ' -• 11.10.
1
r
MIDDLE DEPARTMENT.INSRECTWN AGENCY, INC. g,--R-- 9 /6 )
, .,,-„,,,,_.
900 H,edg,p0.AvenueCollIngewooditN;JA90108
1.:.i:•,,,::„., ......______.------------...____:-'< •;:.
! • .,-;.V..1.-•‘."-.....--- ., •,.r 1 iii, cr,R.7,p:::1,'.4.n. "......., 4r4,"..1 •
er'' ';;S•....„,---. ,It'N'a t '''''')'t .11 4 #.7 ''..., '''A's - /.1)
\ :''.'kV ••-• 00).' ------* 4' yi i,,, ,. . o,,,, Date March 24, 1989
-------- —.--- .—.4*' ,:, ''\''''''W,
li ,..t,,, , ...,•,.. ---
Cern efS that Ibirelettribal eq-Uipment listed has been exaltkned-aildlls approved as being in accord C'e)
,,,,,,,,, - ,..." ,... ,
rt; with the National Electri,cal Code applicable governmental, utility anb,Agency r‘ales.
It. :,:,=// 'Nr ;c \ v
vb -- \ \
.,,''F.',,i)
44 4' , V•Q';','5, •''.'ir-,;,j lz i,,,:d,i24.\''ii,.'VA ,,•.-;:,, 46,-.,;,'!1,. . \ - 0 • -4,,,.. CI
1; 0 . Forest Wood libm7s , , ,,:::3
(.. Owner / t,.,'.:11 V.',.?,
at.
Occupant:
Single Familr C.1 1 i;', ..V-s..4,) 1;;;; Fq ,..„,,,;,:v4, ;,.;,i 4:;1 ,,,,vg.v.,,?A?,,„
,
IP
( Location: Lot 59 Maple,A.,:Draii.e, (Qu. _ nstiiiry (Wairen4b) Li\TX.(1,.',-*"'"-'-'\,:::‘!..
- , - ---•---'-,,,,,- '--. -niscertificate coYers telectricaliequipment and installation inspected this c,)
, .
dale. If additional equipinent,sheluld be introduced or alterations made to i
,,
1 '-;"»''f \ • existing system thig cgitificale halt be null and void, and application for cl
P 120 Outlets; §,0\Re'ceptacles; 30 Fixtures; inspection shotild be sUbMitted pfOrn:ptly to this Agency.
(P Equiptnent: . \ \ Iti .. 6-6 g 0 ., it,older of this ceflificate sh061d present same to his property insurance carrier ,C:1)
'ti."—P' 'A,
ILI 200 Amp Service; \•,6 Appliances.
'' • \
N''',‘ `• "..
',agent or company)as evi./dfincipertification of electrical equipment approved
as specified/
7
1
c,.•,,,,k., ‘„,, , .---
" ......._ ,.--
le Applicant:
E Richard Spoesit):::',.. ---- ------' -- 4--7,,,,-
_...- „, ;.,
---‘---.., b lief "rit .0-41C4,,q, „--- . --"
3 Meadowbrook Roact;p:,,, -- L-L --- ,..-.1' ',..--No.
' 15-029118 C.
e .
(..f L Glens Falls, NY 1280t ! . , -
.
4
, n....e..F.-.1.4,,,nleoc‘ on.lf.0,-., in r•turin c.4tgrAr"Noter"" e pr,r t i. ZV,, eg ;)..41.40,4Z;g/t5t P
Form No.703 EL 1-83
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION_ RECEIVED
p J/
NAME �t6�0o T %(/�`-016(" //U-y7�a-o
LOCATION OT 4_57fy J3 ,
DATE / PE IT # /Z7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION 4 +'
FLOORS >n
WALLS
CEILING
LEEN-AL INSPECTION:
CHIMNEY HEIGHT ' ��
ROOFING V
SIDING
EXTERNAL PORCHES/STEPS 1 ✓
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE ✓
INTERIOR TRIM/PRIVACY DOORS, ✓l
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
own of Queeniktry
. BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL
�SYSTE INSPECTION
1`,7Eff &O'e' , 4, 7-
NAME , /, /��
LOCATION tb &7 4/C./1-"p
DATE l / / f PERMIT NO. fliio
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption. field, total length
r
Length of each trench
Depth of trenches j
Size of gravel /
SEEPAGE PITS{Nuinber of) •
Size- ft. X/ ft.
Gravel size /.
PIPING: i Size ape
;
Bldg. to tanks' \ � 1
Tank to dist/ box L
Dist. box tV field/ 'ty
Openings sealed? /YES' NO Partial
LOCATION/EPARATIONS: ';
Foundation to tank / ft. •
Foundation to absorption , ft.
Absorption to lot line ft.
Separation of pits ', ft. '
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMEN S:II( /
if
Al4.'d •
/ . ,
(,(;4/,-;1,7 447 .
SYSTEM USE APPROVED YES NO dji_/::
LL
Buildi rg'Inspector •
01/86 and vl
Jown o/ Queensbury /1111 -
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 1; '
r
LOCAT I ON OK/ 7/z761 42( /w e
DATE_ ,A$ /J / PERMIT NO. 2'�--_we
/
SOIL TYPE S - oam-- Clay -
Percolation Test Required? YES- NO
Percolation rate .- Min/Inch
TYPE of SYSTEM:
Absorption fie d, total le gth
Length of each rench
Depth of trenche_ "
Size of gravel t 3
SEEPAGE PITS4Numb:r of oe
Size- 4' ft. X _ f . ?'
Gravel size
PIPING: Size Type
Bldg. to tank y _ /497/C.
Tank to dist. box rr /(
Dist. box to fie d/.i '1
Openings sealed? 'ES NO Partial
LOCATION/SEPA-kTIONS:
Foundation to ' ank /0 ft.
Foundation to absorption , ft.
Absorption t. lot line ft.
Separation o pits ft.
LOCATION OF S. STEM ON PROPER.Y(circle one)
Front - -'ea Left side - Right side -
COMMENT . ,
/
II i '
?, 1
SYSTEM USE APPROVED YES O
Bui din ' nspector
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 3/ 7/ 2/ 2
NAME - L l kf)11 ,' `J '2
LOCATION v
DATE , ,24 i��' PERMIT # - 9/
�n APPROVED
7 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/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:
&km (fAtcr-ri _deAA.,- -rvi
21,h a edeut.,,,,
L •
INSPECTOR
as MIDDLE DEPARTME' INSPECTION AGENCY, lttia
' ' lectrical Buitclin! Plumbing-Aire Inspections .~
) fiki
Date t�`Q: h:
fctor^ _ _ __.y4L _
th
tor -%%onstittftss certification that the
above installat on, but not the equip-
ment itself, has been visually inspected .
as of this date pursuant to the applic-
able codes. If additional equipment
should he inthoduced or alterations .,
made to the -.fisting system or struc-
ture. application for inspection should
be submitted prc'r-aptly to this Agency.
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 y7i/ee4y
NAME
LOCATION ,5 2/4Y )
!J
DATE ;j/7 /1 PERMIT # 7/O
/ J ( 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%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 '1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ti
9./VJA
e !
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST F jOR INSPE TIJON REC�E2 VED
NAME --- ��CT lX0 Ox)
LOCATION 6? 1fV) p
DATE - - C/� PERMIT#"
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
•
ELECTRICAL ROUGH-IN
vINSULATION: \
FOUNDATION
FLOORS V
WALLS r"
CEILING 'kr'
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 CLOSERS)
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:
�FY 1'1 al 1,
' INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /J
VIL BAY & HAAND ROADS ,r
QUEENSBURY, NEW YORK 12804.-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECE VED I - -"SO-SS-9
NAME
LOCATION S % inc-
DATE I -3 J, PE IT # ? ' l 1)
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
(,ROUGH PLUMBING rf
[-FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
kn
FOUNDATION
FLOORS
WALLS
CEILING \, .
FINAL INSPECTION:
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CHIMNEY HEIGHT
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STAIRS-CLEARANCE & RAILS`)
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING ,
DOOR CLOSER(S) 6�
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED C. RTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
1
1 PA
INSPECTOR
TOWN OF QUEENSBURY �f��BUILDING AND CODES DEPARTMENTi/��v
BAY & HAVILAND ROADS 1 t
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /2
NAMED`Z.C.? GI . 7-�t1/ ///i'7�l Q �
LOCATION -1`5'�/)'ic Z7Z0t(-_1/./t ,
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APPROVED
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CEILING \/
FINAL INSPECTION: ,t
CHIMNEY HEIGHT ,i
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INTERIOR TRIM/1PRIVACY DOORS?:,
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPRIVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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/ (pg D AAP P z ec
INSPECTOR
/.23-;.4
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 // A
NAME (3 G ff/'/71 G/'G :/� /Oitof/ 42f
LOCATION C/ `j7 doig
DATE //// PERMIT # 7/()
APPROVED
YES ,NO
'� FOOTING/PIERS V
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/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER )
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:
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INSPECTOR
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