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2001-845 QUE#1111W OF TOWNENSBURY ri,7 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 � rY 1 Community Development- Building &Codes (518) 761-8256 CERTIFICATE CIF OCCUPANCY Permit Number. P20010845 Date Issued: Wednesday, June 19, 2002 This is to certify that work requested to be done as shown by Permit Number P20010845 has been completed. Tax Map Number. 523400-266-001-0001-014-010-0000 Location: 17 OAK VALLEY Way Owner KURT & LYNN JAEGER Applicant: KURT &LYNN JAEGER This structure may be occupied as a: By Order of Town Board Garage - 3 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Director o uil ing&Co e E, t'`"•4 t • TOWN OF QUEENSB URY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 FA: 4, Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010845 Application Number: A20010845 Tax Map No: 523400-266-001-0001-014-010-0000 Permission is hereby granted to: KURT &LYNN JAEGER For property located at: OAK VALLEY Way 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: JOAN M. KUBRICKY Single Family Dwelling 200,000.00 1011 RIDGE Rd Garage-3 Cars Attached QUEENSBURY,NY 12804 Total Value 200,000.00 • Contractor or Builder's Name /Address Electrical Inspection Agency MILES CUSTOM HOMES, INC. 6 COTTAGE HILL Rd GLENS FALLS,NY 12801 Plans &Specifications 2001-845 KURT &LYNN JAEGER Lot 14, Oak Valley Way,North Forty Subdivision 3088 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $601.76 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,November 16,2002 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer Dated at the Town o Que: .bu )/ da ottuber 16, 2001 SIGNED BY 14. for the Town of Queensbury. Director of Building&Code Enforcement • Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road,Queensbury,NY (518)761-8256 • A permit must be obtained before beginning construction. Permit File No /' i/5 No inspection will be made until applicant has received a Fee Paid $ 11466,/(, ' valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed By: application form. Applicant: s-I-e.t _5 n Owner: /�ia �.f',t- (,,,.fir fut. Tcs eel Address: 6 Co ��. *If 1201 Address: in D e.1( Varney pp/V ., Phone#( 7 ) 73I9 "76 V Phone#(,s 18) 6.48- Da f 7 Property Location: Lot Number: / House Number X Subdivision Name: lV a rttFrfiy Tax Map Number: (P( � 2 -I 1v, gt/New Building: residence /,ommercial Estimated Market Value of Construction: $ pZ b b, t e-b ❑ Addition: rest.-ice/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial O No change to exterior size: residence/com'l ❑ Other work(describe ) L er y- 36SY Check Occupancvinforration 1st Floor 2nd Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet --- � - Single family dwelling a l 3 '41 `icdf7't 3 d Sg ❑ Two family dwelling o Townhouse ❑ Multifamily dwelling #of units o Office o Mercantile o Manufacturing o 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage ( �O ❑ 2 car attached garage .� 3 car attached garage 8 76 l o Storage building- commercial ❑ Storage building- • • residential ❑ Other What is the proposed height of the structure 8 feet 6 inches Will any second-hand or ungraded lumber be used? If so, for what? /.` 6. / , Type of Heating System: electric/ oil gas/ wood / .rced hot air/ saseboard/other: f 2•" Number of Fireplaces to be installed I Number of Woodstoves to be installed 0 List below the person(s)responsible for supervision of work as regards to building codes: Name Addresssn Phone Number Builder M:Yes (�,�/a ,e .el /�'Jl. 7 'V-- '7 Plumber S{.cv e� R:ve..r u..$a rde 74'7-41 p3 Mason T,w. 6,:14art' i+JL: (,,n 6314_,/ /e Electrician -3,k„ R .. g, Ma n.nzs' '793—/Y' 3 Declaration: 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,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 noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature: .i��^� • owner,owner's agent,architec contractor Application for Permit—Septic Disposal System Town of Oueensbury 742 Bay Road Oueensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: �± 1 � � Office Use Location of installation: o.� /"°NY ) File Permit No.C� ( ` 5 Tax Map No. Fee Paid Owner's Name: v,,r-±- 4— Address: lib od V Jey ))oc`i dam., e-Geciv ?,.. 2. INSTALLER'S NAME : l?ru.y 0j( PHONE NO. 7/3 . 5 7O 7 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/bdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present 3 x 110 gal/bdrm = 33 d Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes xi / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) �raphv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply at sand at what depth at w depth municipal Rolling loam ,� feet feet Steep slope lay ell, water supply slope o er from any septic-system depth: absorption isJ7®ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: 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: pa gallon (min. size 1,000 gal.) Tile Field: each trench Lc.--0 ft. Total System Length: , 31) ft. 336 mid, Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: _ / / Size of each: /p2J gallons /TOTAL Capacity: J 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 the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. "?. /11;t1440 h , Signature of responsible person Date Fire Marshal's Office "town of Qucensbury, 742 Bay Road,Queensburv, NV (518) 761-8205 Application for Fuel Burning Appliances`& Chimneys: • applicable to solid fuel & vented as appliances ��^•y� j . Date ith i ..),- .', 2 1 Permit No. tt,f ( 35 Application is hereby made to the Building c Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Lode. llie ap/Meant or owner agrees to comply with all applicable laws, ordinances-, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. • - r NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: 4c, „: I' . ; ., .,�, , le", d,,A-' -=r_- Stove: wood coal pellet (gas t l Fireplace insert ' .f t: Fireplace, factor built: wood t Uas Address: �'l t. :' ._� r" r' c' ~` p J .,.r Fireplace, masonry: _ wood g t� ,-,, —, • f `t f-) Furnace: Wood gas oil Phone: 4 .g-- 06 ; ` If non-masonary applicance, please provide Owner: r .` "' 4ky �» Manufacturer Name: i Address: ) o...▪ e VA. 114z E � t` , Model Number: • . CI Y Chimney Information • Phone: #4 - 0 C V (circle appropriate words) - .- Masonry block brick stone " r Flue„ the , steel . size: - inches Exact Address:.:7L• i tl' ' voc ''-`- . • of construction o f ins rllation Factory-Built , e; r'' 1/ . Manufacturer name: Model Number: ;Vote, ,.. Listed By: Number: • Const action 1.lristallatiori Must conform to NYS' ` Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbur_v ,;_..•w Handouts regarding required inspections.. `Double unit / Triple wall / Insulated / Direct venting Chimney Liner • 004Et., xxcar' 7p >~ e.z arIcVwxi. c.1>41P ae ,0b ,exmr V-ci z4 r V i - 7 K., 1 e v .., .:u'' ' E'. ...'. . 9 tr' e,:-: -Fitt , " I Fire Marshal Code# S Collected S Refiuided ,-'Rcceii•ed fi-oni`ire hided to): A r 1 ;/�= *`' f << - . (:-. .. —-_- A. ,. ,, list e - `;'-A, .ca, ir' . .0 ' ,�e,e,< address: '�,—�. - -„i' ti� , '•:,�ji:-� -e_.�_.?'-:-.-? '�,",_ \1� 173 3359 (190) Public Safety ,._--- h l�;11 ,r,` �.1 'i .4 233 2655 (230)Minor Saks _ "� 'f'rl�r .h`� ', c' nrfl j11 [V '77-' /Ow.f n�.atwLe.ts - Y= >9, OWNL 02 ':cu . White(Applicant) ; Green(Fire Marshal) Yellow(Bldg. Dept.) I Pink&Goldenrod(Cashier's Dept.) , , p;i-,..,•':7.s.'1 `,.:'.:.1 •. ..:,.. ...,.:-:.-T:03.iv:.;,:;-i. .:,f,,;:,,:-. :••.:-'.:•._.`,..-.5;.,), I.1-::>'. 1 co 1419 tl.) ....1 0 1,468 . 2131 A 0c, co I : 2 46 Al , \ 4 A \ LA e5° 304.5/ . 2„..(.0 \VAL \141 Cs‘\( e5 , , . AC)' Soc I • L. E.. \.„.. , N; 0 IAA . Ns eak vs 04 . th) ------ -,„ -- Ifi ' 4.10 , ....., . _ t.A x ‘ .4,at IlAkk- /of 1.4 15 10A 11! 'a' _......_. _i ,v,u v."vma 1 Iva -7-0,..t7w 711, ''ANPtCVlc, .71C:'1 i 1 ,), 0 Cy . \ - IHF.I'Aqiri PC1", 11C: k33,1111k leS 5_,,,xiuT:w N::.,,. pelosratNilruosToul -,,,on qtr, p,,, e.,r,C,uf,;! ',,,'Ac-ic:p1 .J,. „,,„ n f,r,‘ T, °,sas, N i' us spElq, , _,,4 , RECEIVED o enapiA.-2 mes i GAGV,,q )0 TR,,i' 1Kik: , L.• ' c' i Ae2S. a,tt-''O I. TOWr:08r:QUEEN2f:31:1-5RY 1424"4: Cr) lit 664 PI :AN1131 V.) riNs __----c----1 4 ce) A __--- ____ _----------------— _____-------— ' CI PralEIRPEPED cial PrJ LiffiaiJalEIR�r.PrJEP LUMP crdl JEPLIEP LIMPED Pa Cl ,S BY THIS CERTIFICATE OF COMPLIANCE THE ' 5, 5 ' NEW YORK BOARD OF FIRE UNDERWRITERS . E BUREAU OF ELECTRICITY 5 ' 40 FULTON STREET — NEW YORK, NY 10038 1 5 CERTIFIES THAT 5 ; S Upon the application of upon premises owned by ,5 MURTHA, BOB STEVE MILES Ec.,` C5 91 MANNIS RD 14 OAK VALLEY WAY . CC GLENS FALLS, NY 12804-1306, QUEENSBURY, NY 12804 5 • C5 5 Located at 14 OAK VALLEY WAY QUEENSBURY,NY 12804 _ _ 5 5g 5 Application Number: 1034110 Certificate Number: 1034110 Ea 5L.1 Section: Block: Lot: Building P•fmi 01 -845 BBC: A239 5 5 ;C5 Described as a Residential occupancy,wherein the pre• ises electrical stem consisting of �5* 5 electrical devices and wiring,described below, located in/on the premises at: ' ; 5 5 Ed Basement,First Floor, Second Floor,Attached Garage, Outside, i 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was found to be in compliance therewith on the 14th Day of June,2002. ; . 5 Name QTY Rate Rating Circuit Type , ; Alarm and Emergency Equipment 5 Sensor 8 0 Smoke 5 r Appliances and Accessories 5 !; Bell Transformer 1 0 KW 5 Air Conditioner 1 0 40 Amps 5 Dish Washer 1 0 1.5 KW 5 Disposal 1 0 F.H.P. Exhaust Fan 3 0 F.H.P. Furnace 1 0 Gas rCj Future Appliance Feeder 1 0 KW , 1.I C5 Oven 2 0 7.5 KW 5 Hydro Massage Tub,Residential 1 0 H.P. 5 5 Pump/Motor 1 0 H.P. 5, Panels ES 5 1 100 16 5 Wiring and Devices 5 Fixture 81 0 Incandescent seat 5 5 Receptacle 88 0 General Purpose ql Continued on Next Page 1 of 2 ' , This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 I Praidl PEPr n�n� [MEP�PrJ nr_PLE PEP LEM PrJ�OMPLIEP PLPESOOPr LOOP E PL P�Pr�'El 1 ❑° JrrrCPararCn crawl Pr PLIP�rPLPECDEDE_�c EPC. nC-PL JPC [PLOP CnCJCPC-PC1SOPCPCC- PC CPC-PCP [Man 5 " 5 5 cc ' Sj BY THIS CERTIFICATE OF COMPLIANCE THE ' 5 NEW YORK BOARD OF FIRE UNDERWRITERS : : 5 gBUREAU OF ELECTRICITY 5 5 40 FULTON STREET - NEW YORK, NY 10038 5 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by Ii Sr,5 MURTHA, BOB STEVE MILES j I 5 c� 91 MANNIS RD 14 OAK VALLEY WAY ' GLENS FALLS, NY 12804-1306, QUEENSBURY, NY 12804 1, 5 Located at 14 OAK VALLEY WAY QUEENSBURY, NY 12804 _ _ 5 C5 Application Number: 1034110 Certificate Number: 1034110 5 Section: Block: Lot: Building Permit2001 -845 BDC: A239 ,5 5 ' Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5electrical devices and wiring,described below, located in/on the premises at: 5 Basement,First Floor, Second Floor,Attached Garage,Outside, 5 5 5 5 5 Was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was Dj found to be in compliance therewith on the 14th Day of June,2002. ; ' 5 5 Name QTY Rate Rating Circuit Type 5 Switch 75 0 General Purpose ;j 1C L�, Outlet 4 0 Fixture , .5 Receptacle 9 0 GFCI ' ' 55 Receptacle 1 0 Dryer 1 ' Fixture 9 0 Fluorescent Outlet 10 0 CATV 1 5 Outlet 8 0 Telephone Dimmers 7 0 General Purpose Arc Fault Circuit Interrupter 6 0 General Purpose Lighting track 4 0 Residential , ? ! 5r Lighting track(head) 4 0 Incandescent 5 Service 1 Phase 3W Service Rating 200 Amperes E Cj , Service Disconnect: 1 200 cb g j Meters: 1 5 seal , 5 , Si 2 of 2 1 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. : 1 j ; El5 IMPP�P�PCPCnCnCPC LPCPCPCPcIEMPL�CPC nc PLOPCnrJ�C 1 El fettlailimer r rr� �Town of Queensbury r'y zeIrAir Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report t Request y� SCHEDULE Received: Permit# r)00(I'd 81 K- q INSPECTION ON: ! C:9-o Name: K•UL14 1IA A,/ e7 AM PM ANYTIME Location: ( 7 V K \)4 AL A , l APPROVE N!A YES NO i COMMENTS EXITS / AISLE WIDTHS / EXIT SIGNS-NORMAL / BATTERY / -14)24A+/1 e3ClekteP iO4 i,o5-fal d, It5 EMERGENCY LIGHTING / FIRE EXTINGUISHERS / �,/I��� /� A FIRE ALARM SYSTEM a f °N-� FIRE SPRINKLER SYSTEM i FIRE SUPPRESSION SYSTEM/ HOOD INSTALLATION � INTERIOR FINISHES STORAGE \ �l, f�.,�� '� It 4e" COMPRESSED GAS�� bf CLEARANCE TO F,RI KLERS CLEARANCETOHNG (O 4 ( �ie ) I q 0 UNITS , CLEARANCE TO .LECT {CAL REQUIRED REQUIRED SIGN GE 44 t 41 9 — o (exce Q�OCUPANCV SIGN ,3, ii rV Y` tAist.Q) MASONRY / ROUGH IN FINAL CHIMNEY OK ' FACTORY BUILT ROUGH INri(e- i ate, FINAL r WOOD , STOVE ROUGH IN , FINAL A VENTED GAS ' -,-(titocz �/" ,, APPLIANCE ROUGH IN v FINAL FIREPLACE • MASONRY ROUGH IN OK THIS DA E I-O° FOR CO NOT OK FINAL FIREPLACE ' FACTORY BUILT ROUGH IN X NiNSPEC ED BY FINAL , COMDEVICHRISJIWORD/LETTERS2001/FIREMARSHALINSPECTIONREPOR 11022001 YELLOW-OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY f)(4\-- • RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: a;631:0,..„7, Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initial 742 Bay Road Queensbury,New York 12804 NAME t `I C—C-f> C J `J`) • PERMIT# A 1-1 LOCATION ('`.4.y, V A-I-C.-6--1 1 J/ DATE 02_ TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" xterior Handrails,balconies,landing 18 in.or more •(Interior Handrails stairs both sides 3 or more risers ✓ Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above gr. Gas Furnace shut-off within 30 feet or within line of Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,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 Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level • every bedroom outside every bedroom P.a6f tit d inter connected Bathroom fans Plumbing fixtures Foundation insulation 4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required f/ Final Survey Plot Plan • As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) :MEW ATOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: C6 FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: NAME A_AEGE_a LOCATION 0 iciA'--\Fl ii_E___ ii-WR DATE 1_415( 0/..-. PERMIT 0 -2.470i-5515 TYPE OF SAUCTLE , ,. FOOTINGS FOUNDA4N BACKFILL \ FRAMING ROUGH PLUMBING SEPTIC INSULAT ON FINAL ELECTRICAL \WOODSTOVE OR FIRE LACE .--• ‘ N/A YES HO. 1 CHIMNEY HEIGHT/B VENTrHEIGHT PLUMBING VENT \ I ' • , ROOFING \ / • EXTERIOR FINISH k / .DECK/PORCH/STEPS/RAILINGS RELIEF VALVES .A /' 1 FURNACE/HOT WATER OPERATING / k INTERIOR TRIM/PRIVACY DOOR / / k - FINISH FLOORS: ‘ / BATH/KITCHEN WATERTIGHT V OTHER FLOORS 'SWEEPABLE /(1 • /OTHER FLOORS CARPETED / \ , STAIR CLEARANCE RAILING‘ li SMOKE DETECTORS // i 1 BATHROOM FANS // f Si PLUMBING FIXTURES! / FOUNDATION INSULATION / 11 GARAGE FIRE PROOFING / DOOR CLOSERS/ FINAL ELECTRICAL / SITE FL/Ili/VARIANCE REQ. 1 i t --- 14:ELTAL;;SURVEY PLOT PLAN 1 OK TO ISSUE C/O OR C/C \ I 11\' I i i I • ------... - RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: ' Building&Code Enforcement Dept.of Community Development Arriv o Dnr DepaOle,Town of Queensbury Inspector's Initi. ,__ _, 742 Bay Road Queensbury,New York 12$04 NAME 'T - `� PERMIT# 2- Z LOCATION �� `A f;LL.�`t uJ N, DATE (0 - 1 —evE- TYPE OF STRUCTURE i N/A YES NO COMMENTS Chimney Height!"B"Vent/Direct Vent Location Fresh Air Intake Yi Plumb Vent through roof / Roof Complete °✓ / Exterior Finish Complete .*'+' R/ /� �.v MPS.. i-e: c*c','1J(_, 47 I_R i IA Interior/Exterior Railings 30"to 36" ,' \ �,.%� a/ Exterior Handrails,balconies,landing 18 in.or more S /'' �G� _ .... ,6:--) tit _- e Interior Handrails stairs both sides 3 or more risers G ° 1 �-'a�R`-. -�E- .'�' Grade 2%away from foundation V y , kr—UP IA� 0_ �i ��c 8"clearance to,sill plate / Gas Valve shut-off exposed/regulator 18"above grade ,/ , Gas Furnace shut-off within 30 feet or within line of site C Oil Furnace shut-off at entrance to furnace area L Furnace/Hot Water Heater operating \/Li/ Relief Valve(s)installed -% Headroom,6 ft.6 in.on stairs Ai ' �/ e- D"- vp I�fi 4, Basement stairs,6 ft.4 in. +���.�`�Handrail exterior stairs both sides more than 3 risers \� JU � Interior privacy/trim/doors/main entrance 36" Floor Finish ®� Cc )/ Bathroom/Kitchen watertight ° 6, ti �C6 '-Interior Handrails Balconies/Landing 18 in.or more / �� Railing across window in stairwells �J ,�1Ii---Vsc Vj c,- lj l'"l. 1>F- Smoke Detectors: ',/1 every level ✓/ b;et W-- every bedroom outside every bedroom //: inter connected Bathroom fans_ Plumbing fixtures Foundation insulation .,1/4,17 s/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed C' n � — f.\ C•- Furnace in separate room protected(in garage) �` Light ventilation per room Safety glazing 18"or less from floor a // Final Electrical Site Plan/Variance required Final Survey Plot Plan 'CZ a N3 F_D t3FF-- , -lb DE_ As Built Septic System layout required Okay to issue C/C(Certi£of Compliance) -'3 1 F 'i C,RRICV Okay to issue temp.C/O(Certif.of Occupancy)_ aD ,^w,0 Okay to issue permanent C/O(Certif.of Occupancy) 1�1I./ A11%.-11 - Town of Queensbury Fire Marshal's Office Alurr-4- 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report 1 Request SCHEDULE Received: ( iq q-- _Permit# ik0/-- gi/.( INSPECTION ON: 6- iii.-00- Name: 4,(4- , pie5e{ ot.), AM( PIC9 ANYTIME Location: iLtle81 tkitt r 1 . APPROVE N IA 1 YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BA'TTERY '" AAArre a. d,(5-1Fteditka 46 Cc/26a_ EMERGENCY UGHTING 1,--1 ii „,, i, FIRE EXTINGUIsHERS quiti vie, co(e_A.( 4i/16411 1 4- C.2/ _ FIRE ALARM SYSTEM ../ ii FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM o • HOOD INSTALLATION -\----x5A -17 5-rcip e5eC.Aect -INTERIOR FINISHES \ STORAGE ‘,, \ ed COMPRESSED GAS \ Rcqti , ok CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING 1 \\, UNITS • CLEARANCE TO ELECTRICAL k.u.,, a_ (6 ve..Atifv\ -cc/ ,tpAirak '.P REQUIRED SIGNAGE _ , EMERGENCY PLAN — MAXIMUM OCCUPANCY SIGN oc.4e ' ,‘, 11 ‘. bkiitc-1- ,t)e CHIMNEY MASONRY ROUGH IN igiAlit p AeLvdvl, 4-0 FINAL / CHIMNEY FINAL 1\tqaMlta,1 p 010,9 rafil q 0-11 FACTORY BUILT ' ROUGH IN • WOOD \)tlyt Pi co4a TI)lick, (2,4. STOVE • ROUGH IN i • VENTED GAS , FINAL -\iiit 4 -M Ile M/Ali 140611 1/64- APPLIANCE ROUGH IN FIREPLACE FINAL 0-Ci I 1 0 CI 0 (L9 RA-A-e r: -_, MASONRY ROUGH IN _ _ - OK THIS DATE OK FOR 0 leICII-OK FIREPLACE FACTORY BUILT ROUGH IN FINAL )(- NS P BY COMDEV/CHRISJANORDILETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY 3 -�-r-lU \- iNt-\ RESIDENTIAL FINAL INSPECTION REPORT - Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart ‘.4 Town of Queensbury Inspector's Initi . iV 742 Bay Road Or Queensbury,New York 12804 NAME k E PERMIT II l"-©` I.:.7 LOCATION S 00 \4� � DATE (o_�"�Q—C3Z— TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vefest Vent Location Fresh Air Intake Plumb Vent through ro Roof Complete Exterior Finish Comple e i Interior/Exterior Railin s 30"to 36' Exterior Handrails,bal Hies,fan g 18 in.or more Interior Handrails stairs oth side 3 or more risers Grade 2%away from fo dationI 8"clearance to sill plate II Gas Valve shut-off expos d/Zgulator 18"above grade Gas Furnac shut-off wi ' 30 feet or within line of site Oil Furnace ut-e• entr ce to furnace area Furnace/Hot Water Heater o ating Relief Valve(s)installed \ Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. \ . Handrail exterior stairs both sidles more than 3 risers A `� Interior privacy/trim/doors/main trance 36" ` R,-' Floor Finish v Bathroom/Kitchen watertight I - Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) Ma- • RESIDENTIAL FINAL INSPECTION REPORT =- Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive I .1 1 •part • Town of Queensbury Inspector's Ini' s 742 Bay Road Queensbury,New York 12894 NAME . �,0, to'.4. [I i PERMIT 4 01 L/. LOCATION \ ifermi V rk l DATE t,—�� TYPE OF STR I TURE 4% N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location ,/ `�[—p s r..k t)iJ�-- F 1 2 p�- v>� ®0 Fresh Air Intake V// Plumb Vent through roof J f GA �� c2..1 6\ Roof Complete Exterior Finish Complete f j Interior/Exterior Railings 30"to 36" / FRO 131-- ®ve-C-A-k e--Pi t L%tO I Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers ,� r �� Grade 2%away from foundation Y/ 1' © 4)Q V ®tom 0 j \z:- 8"clearance to sill plate ,// b� ���� Gas Valve shut-off exposed/regulator 18"above grade ;\ �O Gas Furnace shut-off within 30 feet or within line of site r p G — hOil Furnace shut-off at entrance to f iniace area \)y/1/ i GS- �C__P Q— �1-€-9-3\ Furnace/Hot Water Heater operating Relief Valve(s)installed \ ��/ Headroom,6 ft.6 in.on stairs ; /f Basement stairs,6 ft.4 in. �Y . Handrail exterior stairs both sides more than 3 risers ti i Interior privacy/trim/doors/main entrance 36" �. Floor Finish �� Bathroom/Kitchen watertight J(f. Interior Handrails Balconies/Landing 18 in.or more 1 /1 Railing across window in stairwells Smoke Detectors: e every level 1,5 V every bedroom N,f outside every bedroom V, inter connected 1-r -c Bathroom fans _ Plumbing fixtures �(ii� Q 1 A � �lj`-c Foundation insulation i '0F �sn 3/4 hour fire door/door closer j � Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor / i Final Electrical / Yr ,r c\ U Site Plan/Variance required Final Survey Plot PlanI / As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy). Okay to issue permanent C/O(Certif.of Occupancy) Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: IC* Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road f !7, Queensbury, NY 12804 ARRIVE am/pm: DEPART cam/pm Notes: (518) 761-8256 Inspector's Initials -Y2(/ NAME: pL ) } PERMIT# LOCATION: 1-1 \)O INSPECT ON(date): L/ / e„ -D__ TYPE OF STRUCTURE: RECHECK Ci'Z N/A YES NO COMMENTS Footings/Piers Monolithic Pour oith 5s2x„,,\:, Reinforcement in lace The contractor i resonsibie for providing prote ion m freezing C7\)\kiy. 41IP \ for 48 hours foil a wing he placement of the concrete. Materials for this p rpose n site • Foundation/Wall o r Reinforcement in ce Foundation/Damppr offing Backfill Approval Plumbing Under S1a Plumbing Vent/Vent in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls nterior R- Foundation Walls xterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\Suellerningway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION]REPORT.doc . t\OLki - FIRE MARSHAL i : ' TOWN OF QUEENSBURY i. QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL IN PECTION REPORT REQUEST RECEIVED '-/ f 6 PERMIT# 2w1- 615 NAME KA VE_&el LOCATION '3 OlAt IA Ul4) Way SCHEDULE INSPECTION ON 1-/--1 J'�rCe ,qQ A PM`'NYTIME APPROVED N/A YES I NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING ,-, FIRE EXTINGUISHERS ;, FIRE ALARM SYSTEM i FIRE SPRINKLER SYSTEF ; FIRE SUPPRESSION SYST M HOOD INSTALLATION /� INTERIOR FINISH-f STORAGE: I CLEARANCE TO S4AINKLERS CLEARANCE TO HEXING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY k I CE-FACTORYBUILT X 'l P A�51I Mcdt( j'/2 REMARKS: 00,1614-1„1 tin ❑ OK TO THIS DATE C(gla e w� 4 ohJ 'U ti ?tarok-0 e,,La ,?e,r✓Pk a - 0'' bo#oN1/iuA IA0 9 Ilzil 5ide.4/40,u,AL= /dYz" ;11.04, - aktvi4NVILtA 4b .14,41V11 biAM abliAlt\t/6 246) Fikccj°R- -itZ,�-( ,5 CAS INSP9LIP.Pim 5 pr1 rep INFECT,R eA1 t$ 0.44 it 1 O I Ot Z W` ILAa Moxte, , 5A tiIf(if Office Use GENERAL INSPECTION REPORT Inspector: ;-ec, Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Rnforcement At time: 742 Bay Road �/ Queensbury, NY 12804 ARRIVE\:.L1Da( iI, RTV,L}5a KAM Notes: (518) 761-8256 Inspector's Initial! NAME: L/ r eG PERMIT# 001 LOCATION: C>9.` V4`ler t4A h( INSPECT ON(date): L TYPE OF STRUCTURE: RECHECK :b Ai N/A YE NO COMMENTS ootings/Piers Monolithic Pour Form Reinforcement in Place The contractor is res ible for providing protectio fro freezing for 48 hours follow ig th .-placement of the concrete. Materials for this purp se on ite • Foundation/Wallpour Reinforcement in Plac Foundation/Dampproo n Backfill Approval Plumbing Unde Plumbing Vent/Vents i Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte 'or R- Foundation Walls Exte ior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed .. Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERALL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: C�4i Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT#, car) CLIS LOCATION: INSPECT ON(date): 3 ate- d -- • TYPE OF STRUCTURE: RECHECK • N/A YES NO S COMMENTS Footings/Piers__ Monolithic Pour "inn Reinforcement in 'lace The contractor i• respo ible for providing protec 'on fr.m freezing for 48 hours folio ing,he placement of the concrete. Materials for this pulp. on site Foundation/Wallpour Reinforcement in Pla - Foundation/Dampp ofmg e61".Pe_Er& /AAoL.z ',c'z .c'1i.1 Backfill Approv Plumbing Under Slab e- Plumbing Vent/Vents in Place • Rough' umbing Hea ;ig Rough-In (G it..(.sLf. Ir lation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- — V Duct work or piping in unheated spaces R- / t yoper Vent,Attic Vent V a'" Framing o1Z�,G e ✓� -Jack Studs/Headers Lacing/Bridging oist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:1SueHemingway\Buiiding.Codes Inspection.FORMS\GENERAL INSPECTION REPORT.doc 0 Office Use GENERAL INSPECTION REPORT 0) Inspector: • Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road c.--2... --, Queensbury, NY 12804 ARRIVE am/pm: DEPART ' kpm Notes: ----- Abf-- (518) 761-8256 Inspector's Initials.\\62-1--7/ NAME: L___)01/4.0.....rs,g,") ,1)\A PERMIT# c--200) — s? 26 u , LOCATION \.."1 WCA)Cf i Q...L.,\WriN INSPECT ON(date): 3---12,----0a...,.._ TYPE OF STRUCTURE: 5 \O o , k.) RECHECK N/A YES I NO COMMENTS . Footings/Piers Monolithic Pour Form Reinforcement in Place • The contractor is respdasible-fd, providing protection frolv.freeze g for 48 hours following tli,placeiaent of the concrete. % Materials for this purpose on site Foundation/Wallpour Reinforcement in Place /\,,/ Foundation/Dampproofing Backfill Approval 0 1 k- lk b I/ S U Plumbing Under S a irtimP bing Vent/Vents in Place 1:/// A'' ouglaPliniabing ' 1 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- \ _Pro _r ye a ttic ticIseys4 ' vz —Tack Studs/Headers c . 7 • . Bracing/Bridging Joist Hangers /l 4,5 411-- tCti- -/Ger 6,e) .likke 577-ii0 5 ° Jack Posts/Main Beam . . . Air Infiltration Barrier Fire Separation 1,2,3,hour P netration Sealed ire Wall 2,3,4 hour FifekOWing/ --- 1 - L:\SueHemingway\Building.Codes.Jnspection.FORMS\GENERAL INSPECTION REPORT.doc c .-..Q, .3 (Q —LI �-v Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury • Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road /! Queensbury, NY 12804 ARRIVE am/pm: DEPART I, �� am/pm Notes: "`_`/ n (518) 761-8256 Inspector's Initials _A NAME: :3 CA.,-62 1. PERMIT# 0 8 l$ LOCATION: �� ���` ����K INSPECT ON(date): 3- 1 )- O Q TYPE OF STRUCTURE: Sc-D RECHECK N/A YES NO COMMENTS • Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo tie for providing protection om -ezing for 48 hours followin:the pl.cement of the concrete. Materials for this purpo e on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproof i•_ Backfill Approval Plumbing Under Slab / Plumbing Vent/Ven• 'n Pl:ce . Plumbing ‘Keating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior Floors R- Walls R- Ceiling R- of6 eri , 46 be- Duct work or piping in to5r4-4 �13L : 16C0GjC� sated spaces R- Pr per Vent,-Attic Vent t ' anvng V a'`''4/57/ff-tc-- Ozgc. 'v- 9 Jack Studs/Headers ✓f ' Bracing,/Bridging /✓)c r FkL Joist Hangers ,,� .� Jack Posts/Main-Beam ��" %4 C.6.. )j _, A,r &R�j ba'kC`I. 1-46-4-v ' Air Infiltration Barrier Fire Separation 1,2,3,hour CG'7Ajt((e '6 vec=166,D Penetration Sealed Dire Wall 2,3,4 hour �� / S ktG Wires-toppingWires-toppingfG�? � /7LG Age- G l/ rl 4-� T P2 j 4,t— 1 R t oci6- 6 LASueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPEC N PORT.doc • \•"7&-c& � 5U on TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road • Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ��- Locati on CD0AQ.,('- ., �� J I Date [ 3-0 a Permit #0/ -8LkS SOIL TYPE: Sand-Loam-Clay- - Results of Percolation Test- (if applicable) Fate-Minute/Inch TYPE OF SYSTE ABSORPTION FIa D: Total Length "DL.) Length of each trenc' . Depth of trenc' es \ Size of stone SEEPAGE PITS: Number Size - ft. x ft. Stone size PIPING: IF Size Type Bldg. to Tank Tank to Dis' . •• Dist. Box to Fie d/Pit Openings Sealed? Yes No . ..Partial LOCATIOW/SEPARATI$NS: Foundation to Tan • feet • Foundation to .Abs•rpti on . feet . . Separation of 'Pits • __ feet Conforms as per P1 ,t Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Froptcr Middle ear COMMENTS: OS, .i AL, . 40• C� SYSTEM.USE APPROVED: YES NO Arrived:. 7 Departed: . Building Inspector eea t,,6 _.0.4. 'Sk TOWN OF QUEENSBURY 36/ 67 BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name V/ C. Location 17 -1rI V# 'l e- % / Date ) rmit # o/ -- SOIL TYPE: San -Loam Clay- Results of Perco tion, Test- (if applicable) R te-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: otal Length ' 5 Length of each tre ch (I • f. Depth of trenches 'Z, Size of stone SEEPAGE PITS: Numb - Size - ft x ft. Stone size -- PIPING: ____ Size T pe Bldg. to Tank ___t'_' er) 9' Tank to Dist. Box ( n 0 Dist. Box to Field/Pit q 4 Openings Sealed? Y-1 No Partial LOCATION/SEPARATIO Foundation to Tank ) --feet Foundation to Absorpti n . feet . . Separation of Pits feet4ae Conforms as per Plot P an de No Q Ia.' LOCATION OF SYSTEM ON ;°ROPER 64- dici,- one) rbnt - Rear - Left Si e - Rig; Side Middle Front - Middle ear COMMENTS: Ck)G z e: •. P — k ep - L 6r& Ace ti os (c) C 'F J . 1 �e._ /z SYSTEM USE APPROVED: YES NO Arrived: 1 Departed: 72:E56) . ,,Y2 E._ Building Inspector 5 . os .i. • . A 3a°a°I----.---/i-7.------`)Nicniti_no.sNaartodo, nigoei C.0 . . .. 0 " /°°? C T A0A1 • . . • IV . t 9 9 . a3A130a8 • • "I have seeriiit wed, or believe I saw evidence of, . -all objects suth Vidinses, wells,trees,fences, etc.. . . . . Cfit . 1 otot::: . . stheorswonnoni tinhis,.,..dsoucruedmethnet.dlisatisaonc f represent that I have t forth on the diagram." . *41 • • - / ' . • - Allitt..... .. .41( , 0 1 si - RE. DATE • .r-4 sifiyzan ‘-liwi ........• - . T.0 G sop,. • p _ ..,. . A . ' • ' • . vir v - . . . 622 ni* • N. --00 -911.1 • . . o • ' - • tfl '''''''''''''''-4 -.'• Cittt II • • . • • . .-.r•-• - - '.1- Usit? . via , .- . . • -0 •• - V 01 -• [:- . - aueioak r--. - • mr4 . oGg 10 rA.P --73,iipi; ---_-:. , - • .... . 0 . . . . 95:c . ------------17.2. .• - . .. „. . .... .. - -• . . . „• " .... . OGZ -• , "`"/Li A 1 - • i• ' •- . 1 Vi\* /..', 14 .., . _. . • . A 3..7 - ,.. . . ..,.. .A0 .b.v.,.. .. - 1*()e --- • . - . . . : . .a- c,-8 •--- --- . ‘,..- • • , im v-1\n' , ' • • . . \ - ''. V 7) '0,607- 7 . .. • . . , . - , ' • Ict 9i712 , ., A . : . . . to I-- c)• • - \ . : ' I tae-nyguic•• bWtl GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: �v a Building&Code Enforcement 742 Bay Road ! ID Queensbury,NY 12804 Arrive am/pm Departt ' a' }I J spector's Initials 1E NAME: cte ' — j 'ERMIT# 02. Cr 3 LOCATION: I . _ / , DATE: eL L TYPE OF STRUCTURE.:.------ RECHECK N/A YES NO COMMENTS Footings/Piers_ T I Monolithic Pour Form Reinforcement in Place The contractor is res • sible l u r providing protection from freezi.g for 48 hours following ere places n ent of the concrete. Materials for this purpose•n site Foundation/Wallpour Reinforcement in Place / Foundati•n/Dai1.proofing Bac I 1 A..rov. 1 Plumbing Under Slab Plumbing Vent/Vents in Pla e Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio R- Foundation Walls Exteri R- Floors - Walls Ceiling Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping G� /7 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 12804 Arrive\ Depart Ylv,g, s ector's lniti NAME: P T# ° �S )71 �.d,�Y , LOCATION: T l41 TYPE OF STRUCTURE: v� RECHECK --A6tg'447 N/A YES ® COMMENTS Cootings/Pier �� I I Monolithic Pour Forms /� Reinforcement in Place )��r ��/ The contractor is responsible\for s providing protection from frezin4 for 48 hours following the pla m4nt of the concrete. Materials for this purpose on sites crZ Foundation/Wallpour �� r jf?‘ 574 Reinforcement in Place I I Foundation/Dampproofing1<r":‘ QBackfill Approval \ Plumbing Under Slab �� Plumbing Vent/Vents in\ ace I Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- 1 Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging it Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping .� DEED REFERENCE: 10 RIDGE ROAD JOAN M. KUBRICKY TO �Z9 I.R.F. KURT W. & LYNN JAEGER DATED OCTOBER 9, 2001 0 _ IN THE WD IN ARREN OOK 1235 OF COUNTY CLERK'S DS AT OFFICE PAGE 192 OFF CE I LR.F. Ra9SQ00, L4�207.70' I.R.F. ctv. olectric tole. p MAP REFERENCE: ,-4. �M - r O MAP ENTITLED "MAP OF THE NORTH FORTY' A PROPOSED SUBDIVISION OF LANDS OF JOAN KUBRICKY PREPARED BY COULTER & McCORMACK L.L.S. DATED MAY 27, 1987 FILED IN PLAT CABINET A SLIDE 74 ''•. PORCH IN THE WARREN COUNTY CLERK'S OFFICE ��i UNDERGROUND 2 LP GAS TANK ov �s- % HOUSE '~ t 90.5' O v GARAGE / N DECK y �i/// Pit LOT 15 t 37.2' - LANDS N/F OF z THOMAS L. do BARBARA L McDERMOTT LOT 14 BOOK 999 PAGE 176 AREA 0 3.14*i ACRES l ' �- 2D0.00 S78.59130"W 1.R.F. LOT 13 LANDS N/Ir OF JOAN M. KUBRICKY BOOK 627 PAGE 777 LEGENDNOTES: -� 1) THIS SURVEY WAS PREPARED WITHOUT THE MAP OF A SURVEY OF LOT 14 THE NORTH FORTY BENEFIT OF AN ABSTRACT OF TITLE AND IS .., 0 I.R.F. IRON ROD FOUND THEREFORE SUBJECT TO ANY EASEMENTS, L15 MADE FOR COVENANTS OR RESTRICTIONS OF RECORD �,��""""""' ,,, � I.P.F. IRON PIPE FOUND VANp S �. I.R.S. IRON ROD SET ANY STATEMENT OF FACTS SUCH DOCUMENT `���5�� UR` AVR T . & L CNN JAEGER 0 CONCRETE MONUMENT FOUND WOULD DISCLOSE. `v��P\Q�• BOLST�FYp�;i rp, UTILITY POLE 2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY f i L E ooc� STONE WALL MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A BARBED WIRE FENCE VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF THE = ! i TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK e POINT NEW YORK STATE EDUCATION LAW. W.F.P. WOOD FENCE POST No. 4953A .�04�`� DAYID J. 1OLSTER CATCH BASIN �F N� `` ® 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY 'qT£ LICI�NSEA LAND SURVfiYOR ® WELL MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS �''��,, lil„"N�` SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. 5n 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 DAVID J. BOLSTER, LL.S DATE: NOVEMBER 27, 2001 SCALE: 1"= 50' N.Y.S. UC. NO. 49534 DATE SEALED ��/Z-�� REVISED JUNE 12 2002 DWG. NO. 01179 C TO SHOW IMPROVEMENTS QUEENSBUIW 26-2-14.17