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2000-773 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 7b1-8201 Community Development - Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY Permit Number: P20000773 Date Issued: Friday, February 15, 2002 This is to certify that work requested to be done as shown by Permit Number P20000773 has been completed. Tax Map Number. 523400-308=008-0002-026-000-0000 Location. 15 DAWN Rd {honer. VENDEE MORTGAGE TRUST Applicant: LARRY CLUTE This structure may be occupied as a. By ©rdet o£Town Board Single Family Dwelling TOWN of QUEENSBURY (0s'ss a I Ags 11iWPOW Director if Building & Cod nfor ment TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 1 2 804-5 902 (518) 761 -8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000773 Application Number* A20000773 Tax Map No : 523400- 120-000-0001 -061 -022-0000 Permission is hereby granted to: LARRY CLUTE For property located at: 15 DAWN Rd in the "Town of Queensbury, to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and 'in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: SECRETARY OF VETERANS AFFA Single Family Dwelling 60 000,00 245 W HOUSTON St NEW YORK, NY 10014-4805 Total Value 60,000600 Contractor or Builder's Name 1 Address Electrical Inspection Agency Plans & Specifications 2000-773 832 SO' SINGLE )FAMILY DWELLING $96.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, October 18, 2002 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer o£ the Town of Queensbury before the expiration date.) Dated at the Tow ueens ry; IN es ay, October 18, 2000 SIGNED BY for the Town of Queensbury. Director of ,Building & Code nforcement Building Permit Application Town f3,f QllL'E'i'Gi sbui'y - Dept, of co piiksupiiTy Developpient, 742 Bnv Rcwd, Queenybury, NY 12804 1761-82561 BUILDING ,& CODE ENFORCEMENT NOTICE Requirements prior to issuance A permit must be obtained before of this permit: - PERMIT FILE NO. �G'� beginning construction. No inspections PERMIT FEE PAID $ `f will be made until applicant his received L ����,' B+O�AG►d Action a 'VAIJD BUILDING PERMIT. All Area / Usc a._ ., � Applicants, apaaes on this application r RECREATION FETE P a $ MUST be co=p&*d and- the signature Q Planning Board ,Ac 20 G REVIEWED BY. - -- of the applicant nsust appear an the 5PR ! Subdivision ! Other 8reikting l+is,nednr k.application form. vuah Recreation Fee Payment Applicant: _ �._.0 - l�`�-y f�' ( �( - Owner: Address: l � �x ■ yam y�� ` / 60 yAddress: 4 y � Phone # ( } �9! - -��,? 7 r Phone # ( ----- ----- ----- Property Location: f S L'`7�-� �t 4C -- Subdivision Name: Tart Map Number ,� ► 1 Cgi Z? � Section Block t ,nt HAT RE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Pri ary Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling office Other Work ( describe below ) Mercantile _ Manufacturing Other GROSS AREA OF PROPOSED ST�UCTURI� �- X If ADDITION , what will use let Floor . . . . a �� _ arq . fta of new addition be ? : 2nd -F ]:oor . . .,.9. w W W sq . ft . Other Ffouts . . . . . sq . ft . ( not unfinished cellar or basement ) ACCESSORY UILDINGlS : Detach Gara , ! 2Y cart TOTAL, FLOOR AREA : j SQ . FT . Attached e 1 , 2 car f Privat torage lding SIZE OF NEW STRUCTURE : Co cial Storage Bux g v. FEET X FEET of er Foundation Type : Oc, ,—a '6 c Will any second-hand or ungraded Number of Stories : i lumber a used? if so , for what 's ( habitable space o2ly) Height ( grade to r . dg'e ) : feet TYPE 00 HEATiNG SYSTEM : Number of fireplaCet; a or woo stove ( circle all which lies ) to be installed :, Electr ` / 1 Wood rced Hat Air Baseboard / Other Person responsible for supervision of work as regards to building codes ism r- r - C! z., -z J 7 7 Name JAddresss Phone Builder : Plumber : Mason : Electrician : DECZ A.RA77ON. Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, arc 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 2,oning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorize a wner. Further, it is un s that Vwe shall submit prior to a Certificate of Occupa or Certifi of Compliance bei is ed, an AS BUILT PLOT PLAN by a licensed survey drawn to sc , owing actual loc on project on premises. Signature: er, owner's age , rchitect, contractor) Application for Permit - Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, )vy 12804 (518) 761-8256 1 . OWNER INFORMATION: ...............................,.............._........... ._... �....... +_... .........,.,--.- ,..... Pile Pat7xiit [?[lice use l Lxrcatton of installation: - l'J7 t� ,� ? r W P i Tax Map No. )Q f �_ I (01 . � -3 r Fee Paid Owner's Name: Iw -..-.. Address: 2. INSTALLER'S NAME : PHONE NO- 3, RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroom(s) and multiply # of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = _Total Daily Flow 1980 or older x 150 gal/bdrtn = 1980 - 1991 -- - x 130 gab%drm = 77.11P17 O 1991 - present x 110 gallbdrm = Garbage Grinder Installed yes I no Spa or Whirlpool installed yes f no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Soil Natum Ground Water Be roc or Impervious Material at r 5upply at what depth at what depth !u2moictir ng feet feet weTT" Steep slope clay if well, water supply slope other from any septic-system depth. absorption is f?. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5 . PROPOSED SYSTEM: For New Con ruction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision), Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: VZc Q� gallon ('min. size 1, 000 gal.) Tile Field: each trench '5'0 {l. Total System Length: .] fl. „ Seepage Pit(s): number of size of each; ft by ft. 4 ✓ \��� Size of Stone to be used: # . / depth or thickness - - --feet Bed System Size: x 1 Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: I Size of each: gallons 1 TOTAL Capacity: gallons Note. Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read) For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read th ulations with respect to this application and agree to abide by these and all ;;j;R,SlgnatUy irs offt the �Town of Queensbury Sa Sewage .Disposal Ordinance. of re- sponslb a person bats -I - _ . IIJ t1t ,P GJ tV N N to 1t1 t� 0 OR 0 y) ' ! I r 0 f} Jo If :1: LU #Ji #[1 �j .1 0 t} @ +n j 1 0 SD +11 N p 1a. p, I� rti F �V 0 { Ci' 0 Gt I {} m cD Ill In to in 0 jiD ci 0 O ry1 tr p I It ,� tD [n rr tD tD 1p 0 at N a 1-1, t4 toth +�. 0 :1 11 r1 ID I-1 I'1 t rt 0. ;} (D N 0 In p, R, 1 b n# to p +D + j 0 N 0 0 {q ti 0 1-h 0 0 ' O d 4 N I 0 tD r1 N ri { H 1» C� m n �. [n r; rh 0 �1 l to a [7 S} I " [D tl. [D �^ U1 Fi ID ID D I t n pa PI , I t 1 .. t.l „ I ,. I 1 . I y O Ill I j [n trj Pi �. iD n 0 r: 1I p.. (A t {D fitt" f� f ' !� " ,:1 M P, 0 1-1 u1 In +�� �i� lu ;a 1 H , I on z,. I t4 a ro ro O x I @ O a1 P) P) 0 rn 19 to it, LIJ i-' I-' of N H l�i 'f 7r: r SD 4 ' t r IM N fall ,, , , 1 u a. A Q W n PY [4 , tut [D G) 1� I r rl * a, In o R! tD [D +{! �#o t I (L 0 Y1 O I 010 0 41! + +a• 17 N tr 1b I 0 0 G C! tO m U tD n n t� t7 Ci t7 N H 1-+ hm]Cs1 t f7 14• 1--0 0 PitD G 0 @ Rs k} U r i tN ili [ N tD ill IN nj P no utW} H , 11i It a" ° �, a , ntoll 174 n O I4 0 144 fD W H #-� ~ C N N 0 y tD 1a. y 0 W 0 w d F' C7 td I ' l" t tI G 5 t~ �! £ h y 0 a 0 0 +a I FJ 1fi tol t1 N• m rs a � PV 0 0r4 � nn Don in P° t� P' k" spa m ran W 0 to N u p ,+ �' M ro i ro :: b N yy H I� "1, [ N 41 [D 0 0 ►. @ 1Q � OF do ll !a 0 1�. ' li RV 11 0 rr x r. 1.1 `"} H a in-4 p 1- p m r rr►C p, ,,; t*17 '� A ' r'� in Fi ID pi iA 0 I H I + Ld t� f rf mt. rfiI I'Y\ rY n � � N 41 , - V1 CL 14 0 t=i v0 LLc N• w 3 it 14 r:J to 1 At � w TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSDURY NY 12804 (518) 761-8256 ARRIVE : DEPART : INSP . FINAL INSPECTION RUpORT COMMERCIAL -- MULTIPLE DWXLXXHfi hotel. m DATE INSP TION REQUEST RECEIVEt7toEe)• D ?I e7t) NAME / LOCATION ,/ 4....7`Z.," . DATE I PERMIT - TYP OF TRUCTURE F TINGE BACKFILL PRAFING P MBING I SULATION N A T ieS NO CHIM Y " g ^^ VENT }iEIGEET f i PLUMBI VENT FIXTURES ROOFING EXTERIOR FISH t HEATING HO W ER ELIEF VALVES FLOORS OU DAT ON INS LAT N ,INTERIOR STAIRS /RA LI S STOCKROOM EN LOS RE FIRE/DEMIS11 WALLS ENET T10N FIRE DAMPERS CEILING FIRE TOP ING FIRE DOORS CLOSERS E7CIR' BOOR } ARDWA E j EXIT STAIRS/RAILS PLATFORM[ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PLAN/VARIANCE REO - �..I FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C .mm MAP REFERENCE: MAP OF A SURVEY MADE FOR ROGER & JOHN FACTO DATED SEPTEMBER 13, 1985 BY VAN DUSEN & STEVES LAND SURVEYORS 0 0 GRAVEL DRIVE R % IVE 152002 TOIL: = BLQUEENSBURY AND CODE U W 0 S84"ft'Tr-w-Z 200.23' GARAGE 200.14' N84'19'40`W AREA 0.46 Acres i OL D u s e �1l .( J Q A ` `/.�%/V� S Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lie. No. 50135 'UNAUTHORIZED ALTERATION OR ADoma+ TO A SURVEY NAP BEARING A USED LAND SURVEYORS SEAL 19 A MOLA11ON OF SECTION 720% SUB -DIVISION$ OF THE NEW YM STATE EDUCATION LAW 'ONLY COPIES FROM THE ORIGINAL of THIS SURVEY SMARKEDEJL S NIL AN d�GINAL OF THE LAND SURVEYORS SEAL SHALL Bt CONSIDERED TO BE VALID TRUE CORES.• CERTREY WAS INDICATED H� SONiCE ,NAT "S IN. CO WAS PREPARED N LAND SURE MITI THE ELOSTNO CODE OF PRACTICE FOR IAHD SURVEYORS ADOPTED NEW LAND SURVEYORS SAID CERTIFICATIONS SHALL RUN ONLY TO13Y ,HEPER YDRN STATE THE SURVEY � PROFESSIONAL TO THE PERSON FOR WHOM THE SURVETC IS PREPARED, A1D ON MIS BEHALF TO THE TITLE COMPANY, GOVEREMHENTAL AGENCY AND LENDING INSTOURION LISTED HEREON. AND TO THE ASSCNEES OF THE LENDING INSTITUTION.* Map of a Survey made for C l u t e Enterprises Town of Queensbury, Warren County, New York NO. llatel h ebruary ij, euue Scale 1 • = 20' � —. �T 10P1 cLUTE DWG. NO. 95038 DATE DESCRIPTION C-622 RESIDENTIAL MAL INSPECTION REPORT �• � �Nt building g Cod Enforcement Date urspcciron request received: 6t,1 Building &. Cade Enforcement Dept, Of COmmunity Development ArriveCj.-*2§,;;?dp� Depart Town of Queensbury 742 Bay Road Inspector's initial Queensbury, New York 12SO4 � 7 NAME PFR31tL1F #fit 1 L OCATION TYPE I'" OF STRUCTURE N/.h YES Nd DATE COMMENTS Chun ey HeightJ'-13" Vent/1]irect Vent L oestion Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete lidenor/Exteriar Railings 3 3F Exterior Handrails, ,andraiI Dal - - � s, 1$ in- Or more Interior Handrails stairs sid or more risers _ Grade 2% away from faun lioesn 8" clearance to sill plate Gas Valve shut-off t 18" above grade Gas Furnace shut-Off wi 34 feet r within line of site Oil Furnace shut-Off at on cc to area FurnacwUot Water Heater Relief V s) installed Headroom, 6 sta{m Basement stairs, 6 $. 4 in. Handrail exterior stairs bout si more than. 3 risers Interior privacy/trim/doors/maiu trance 36" Floor Finish Bathroom/Yitchen watertight Interior Handrails F3aleoni 1$ in- or more Railing across window in s Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroorn fans Plumbing fixtures Foundation insulation 3/4 hour frre door/door closes Garage ftreproofm Garage penetrations scaled Furnace in separate room protected (in garage) Light ventilation per room Safety glazing I8" or Iess from floor Final Electrical Site Plan/Variance required Final Survey Plot flan As Built Septic System layout required Okay to issue C/C (Certif of Compliance) Okay to issue temp. C./d (Certif. of Occupancy) Okay to issue permanent C/O (Certif. of Occupancy) R S1DXNTIAL FINAL INSPECTION REPORT Otftee NM (518) 761-8256 Date inspection r Building & Cade. Enforcement request received: Of Community Development Amine Town s Town of Queebsbury 742 Bay Road rspector' Lri Queensbury, .New York 12804 NAW LOCATI ] �i i 4_ " r `1� DATE # S �TYPE of TRCTC7`LTft.E HATE � NIA YES No COMMENTS Chimney H=ghY B" Vent(Direct Vent Location Fresh Air intake Plumb Vent through roof Roof Complete Exterior Finnish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, barlconies, landing 18 " , or ore Interior Handrails stairs bath sides 3 as ri Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposedfregulator 18" v grade 'Gas Furnace shut-off within 34 feet or wi h of site Oil Furnace shut-off`at entrance to furnace FurnacelHot Water Heater opera Relief Valve(s) installed Headruem, 6 ft. 6 in. on stairs Basement stairs, 6 ft, 4 in. Handrail exterior stairs both sides more than 3 risers interior privacy/trim/doors/main entrance 36 Floor Finish BathroornlKitchen watertight interior Handrails g 1$ in. c more Railing across window in stair%reils Smoke I cux,tcns_ every level every bedroom outside every bedroom vginter connected atlu aoaax fans Plumbing fixtures Foundation insulation '/4 hour fire door/door closer C=stage fireproof Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical to Plan/Vanance required final Survey Plot Plan As Built Septic System layout required Okay to issue Cie (Certif of Compliance) &ay to issue temp. C/o (Certi£ of C)ccupancy) Okay to issue permanent C/O (Certif. of oc�paattcy) C0mmo1+rwEAUrly 11 iiT Maim Qfice 176 poe IUCAL [I1ISPLCT FNICIFAL Run Road _ 10111 5EIt1111 [.M1IC. CERTIFICATE N"Anhe"n, PA 17-945 Panel Board EI.ECTR'CAi No.-. APPROVAL Owner- Na sg29 Cut-in Location ... C ••�•ar..7' Cara No. Installation !7 Consisting Of.... x -............. ............ .... . ............. .............+......,....,........... ... r . ..3.,?..,.._.+4..7..'. - i • chi ..$..,?�,�"...!�-.:I...... y....11, - , . . €........ . ...... h=. ft.�tl 5.� .........Y..,.,SS7,0 ... . Installed By.., Acre -uQ . . .. fi �.h�,G................ ............ . . . ... .- . ..t+r /... tJC3.G.1. ,y -- mow' '�7 •t�. ...... / .... . d goe . The co ............... trditions following/ 4tS1�'�,-................. Lie.cancelled: _ 8 governed the 1�''0. ..e issaance of` ...............................�.......... This cer[ifiCale nnl this certificate, and an ..introduction Ofa y covers the elcctrica 3' cenif;care previousl ddiris ca equipment or I enttipnle I and rules ins Y issued is pectnrs o#' this C^tltn alterariarrs, a ins#illation conditions as of Late, ar[e�violated, the Cornpal y shall ihalvve rf�cave hright I to aCn rnakition ngin, pecti ns Promptly at ade Fi r�inspectpion.rhe .. cd:..,y� .� v,uka thin certif7�ate. any time. and if its. hreh.n GENERAL INSPECTIQN REPORT ( 518 ) 751 - 8256 Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road �' Queensbury, NY 12804 Arrive am/pm De Inspector's Initials U �� N LOCATION: 63 DATE : TYPE OF STRUCTURE; RECHECK N/A NO COMMENTS 00 1V1 Po F in lace The contractor respo le for providing pro "on fireezing for 48 hours fo ng th placement of the concrete. Materials for this site Foundation/Wall Reinforcement in Pl Foundation/Dam Bac.kfill Plumbing Under Slab Plumbing Vent/Vents i Place Rough Plumbi Heating Rough-In Insulation Foundation 'Walls or R- _ Foundation Walls E or R- Floors R Walls R- Ceiling R.- Duct wvork or piping i unheated spaces R- _ Proper Vent, Attic Vent F Jack Studs/Headers ndg/Bridging Joist Hangers Jack Fasts'Main Beare lu itratson Barrier Fire Separation L 2, 35 hour Ptnetration Sealed Fire wall 2, 3, 4 hour Fireslonpin GENERAL .INSPECTION REPORT ( 518 ) 761 - 8256 Torun of Queensbury Dept! of Community Development Date inspection request received*. Building & Code Enforcement sax away Load f' Queensbury, NY I2844 Arrive A2 a*'". Fart Inspector's Initial NAME: PERNir r # 3 LOCATION: DATE TYPE OF SI'RUC"'TURE: RECHECK. N/A YES NO COMMENTS Footings/Piers Monolithic Pour Fa Reirtfamrmpnr in The eantractor for Iri ding 1 0 on freezing for 48 hours fall placement of the concrete. Materials for this n Site Foundation/Wall Reinforcement in P Foundatio Backfill Plumbing Under S Plumbing Vent/V in Ptam Rough Plurnbi Heating Rough-In Foundation Wal Interior R- Foundation W Exterior R- Floors R- Walls R- Ceiling. R- p Duct work or piping in ,�^-�-- unheated spaoes fit, i,�Verit.,,�ti1C 'Vent rami Jack StudslHeaders Bracing/Bridgin Joist Hangers Jack Posts/'Main Beane Air Infiltration Barrier _ Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GEATRAL EVSPEC7'IO NREP©RT ( 518 ) 761 - 8256 _. Town of Queensbury Dept, of Community Development Date inspection request reeeived: Building & Code Enforcement 742 Bay Road Queensbury, N7i' 12804 Arriveviw'I Depart ,i tnSpect+nr's Initial NAME: -- �. �► PERMIT # - % 7� LOCATION: DATE : f TYPE OF STRUC`17URE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Your Form Reinforcement in Place The contractor is 4bte for Providing protection m freezi g for 48 hours followi the at of the concrete. Materials for this on si FoundatinnlWallpour Reinforcement in PIa Foundation/Dam BackftH Approval Plumbing Under Slab Plumbing VcuVVen in place Rough Plurnhi OP Heating Rough-In Insulation Foundation Wall.1 Interior R- Foundation. WallA Exterior R- Floors R- T Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Franti Jack Studs/Headc.rs Bracing/Bridging, Joist Hangers Jack PostslMain. Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire-'Wall 2, 3, 4 hour u+estoppin GENERAL AMPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept- of Community Development Date inspection request received: �7 I Building & Code Enforcement 742 Bay 3toad ,r Queensbury, NY 12804 Arrive am/pm Depart' { In ,,,,�� 11 spesctor's InitialsNAME: (� /i.d � _ PERMTr # " � LOCATION: / �i - DATE : ��/ TYPE OF STRUCTURE: RECIIECrr N/A YES NO COMMENTS Footings/Ners Monolithic Pour Form Rein€orcement in Place The contractor is responsible for providing protection froth ng for 48 hours following the p t of the concrete. Materials for this purpose on Foundation/Wallpour Reinforcement in Place Foundatio Barkiill Approval Plumbing Under Slab ents in p . C Rough-In ! fs�b{3 �i,� tc C '� ` Insulation Foundation Walls Interior Foundation Walls Exterior _ -- Floors R- Walls Ceiling R- Duuct work or piping in unheated spaces R- Proper Vent, Attic Vent Studs/Headers BracingMridging Joist i3angcrs , ,sJC k6 se rG �r er 17N G �1� f�i�tl t'( � V AF1x.T45� ��C� . Fire Separation 1, 2, 3, hour Penetration Sealed Yire Wall 2, 3, 4 hour TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name __ .�C '^ t� Location c'o Date Permit #C � SOIL PE, an am- C1ay- Results of Percolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length -' Length of each trench Depth of trenches -- Size of stone t-' -�— SEEPAGE PITS : umber- 3 Size - ft . x ft ; Stone size PIPING: ,fie St Bldg . to Tank s Tank to D p Openings Sealer! ? Ye a artfa LOCATION/SEPARATI Foundation to Tank \ CO feet Foundation to A tion feet Separation o ' i t net Conforms as of Plan a No LOCATION OF SYSTEM ON PROPE ( circle one ) Fron-t—ai - Left Side - Ri ht Side 'A�fiddl a Fr iddl a Rear 2 Z_ SYSTEM USE APPROYEDO YE NO Arrived: _ Departed .� ding In p or u Y - -- - �` �18U2 SEBn 4( obie iirk .__._. �q}11 h (py(['�}}(` 1] p [�(}( ram` U1l :DVl4UiJ _.. aJ�QUSE�, �V.,tS9. Ftfrb3i_Ld :1-.-'i t -- rtat I p,l ? F 1 � n L p �}y�rn IS fug _ ... .. . ._ 1 it mu d'sta VYT .0... ;.._.. -- GENERAL 11VSPETIl�'N.REPlORT ( 518 ) 761 - 8256 Town of Queenshury Dept. of Community Development Date inspection request received: � / ane% 3�! Building & +Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive Depart m spector's Inrti s T -- NAME: C4 . L� w` � T C -- - PERMIT # �! / LOCATION: < ✓+,n DATE : : fr TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing, protection from freezing for 48 hours following the in of the concrete. Materials for this pry on si Foundation/Wallpour Reinforcement in Place Faundation/Amnppraofing Backtill Approval _ Plumbing Under Slab. -- Plumbing Vent/VenIS ' Placed Rough Piumbi Heating Rough-In on Foundation 'Walls Interior R Foundation Walls Exterior R Floors R- Walls R_ ceiling R_ Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers BracingBridgm - Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier - Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin �"5e fw M-� GENERAL INSPEG'T'IC1N REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept, of Community Development Date inspection request received: I {� Building ,& Code Enforcement 742 Bay Road Queensbury, NV 12804 Arrive �i l -'',. tart s C7 Ins es Inh NAME: c" LA PERMIT # a 6 LOCATION: 1 � � +�.� DATE TYPE OF STRUCTLME: RECHECK Fcwtirigs/Piers N/A YES NO COMMENTS � Monolithic Pour Form - Reinforcement in Place The contractor is respo a for providing protection fro freezing for 48 hours following p t of the concrete_ Materials for this purpose a site Foundation/Walipour _ Reinforcement in Place L_Foundation/Dampproofi ng `�acicfill ApgrrOvaI� — Plumbing Under Slab Plumbing VentLVe` nts�n c Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior - _ Foundation Walls Exterior Floors R- - Walls R- Ceiling R_ Duct work or piping in unheated spaces R- Proper Vent, Attic 'Went Franking ..._..... .. Jack Studs/Headers_ Bracing/Bridg3ing Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Seated Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12MM A rriXe Depart is In -ry N�Y Y w r ,c PERMIT # LA)CATION; DATE , ` TYPE OF STRUCTURE: RECHECK NIA NO COA0404 i'S tings/Piers:ForZ i Monolithic PoReinforcemene The contracsponsible for providing pn from freezing far 48 houring the placementof the concrMaterials for tpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofirn Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R" Foundation Walls Exterior R- Floors R- Walls R- Ceiling R.- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack. Studs/Headers Bracing/Bridging. Joist Hangers Jack Posts/Main Beam. Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fine Wall 2, 3 t 4 hour Firestoppin