94-065 s t e
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Noveinber 23 , 19 94
This is to certify that work requested to be done as shown by Permit No. 9 4—0 6 5 V
has been completed.
single family dwelling with
This structure may be occupied as a at Len-hull c3 eta.agc
Location Ridge Road
Gary R. Cardinale
Owner
27-2-1 .1
By Order Town Board
TOWN OF QUEENSBUit
()it)
Director of Bldg. & Code Enforcement
-44
'•, s.
BUILDING PERMIT
TOWN OF QUEENSBURY ro
No. 94—n65V o
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to GARY R_ CARDINALE
OWNER of property located at Ridge Road Street,Road or Ave.
N
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 C7
RR6 Box 203B Upper Sherman Av z
Queensbury NY 12804
l�
2. CONTRACTOR or BUILDER'S Name
self 0
n
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
►.d
5. ARCHITECT'S Address
(D
N
6. TYPE of Construction—(Please indicate by X) O
(X)Wood Frame ( )Masonry ( I Steel ( )
7. PLANS and S ecification
45 .5 ' x24 ' Two Story Single Family Dwelling as per plot
No. plan, specifications and application including three-car
attached garage and septic system and in accordance with
B. Proposed UsALua VaLianue # 76-1993 .
w
Single Family Dwelling
328 .00 March 29 95 5
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 N
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) C7
(D
Dated at the Town of Queensbury this 2 9 Da of h 19 9 4
N•
SIGNED BY for the Town of Queensbury `C1
Building and Zoning or
TOWN OF QUEENSBURY 11110kREVIEWED BY: -'"'�'
COMMUNITY DEVELOPMENT DEPARTMENT ,, t�ap p
BUILDING & CODE ENFORCEMENT FEE PAID: Rp 3 i- S
531 BAY ROAD F //
QUEENSBURY, NEW YORK 12804 PERMIT NO. 1� O
(518) 745-4447
BUILDING PERMIT APPLICATION
cc��702.82 .
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION 't O IISPEC•TIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID B 4DING 'PERMIT.
A11 applicants ' spaces on this application MUST be co lete� the
l�
signature of the applicant MUST appear on the appcctdon
gi Deceived
u Town of
OWNER OF PROPERTY: GARY R. CARDINALE pueensbury
Bldg.Dept
Mailing Address : RR 6 BOX 203B OUEENSBURY, NY 12804
Telephone Number(s ) : Work 792-4655 Home 79?-6938 r A43 (EAx)
PROPERTY LOCATION: RIDGE ROAD
Tax Map Number: Section 27 Block 2 Lot 1 . 1
Subdivision Name: N/A Lot No. NSA
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 150 ,000
x NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL X Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR 1415 SQ. FT. / •' K
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR 1080 SQ. FT. < = ..
OTHER FLOORS N/A SQ. FT. ',,a
(not unfinished cellar or basement) ,. ACCESSORY BUILDINGS:
> Detached Garage - One/Two Car
TOTAL FLOOR AREA: 2495 SQ. FT. Attached Garage - One/Two Car
- -- Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
X Other ATTACHED 3 CAR GARAGE
45 . 5 FEET X 24 FEET
Foundation Type: 8" POURED CONCRETE Will any second-hand or ungraded
Number of Stories : 2 lumber be used? If so, for what?
(habitable space only) NO
Height (grade to ridge) : 31 feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which lies)
to be installed: 1 Electric / Oil / (Gas)/ Wood
Forced Hot Air / Baseboard / Other)
Heatway Radiant Floor
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
GARY R. CARDTNAT,F
NAME OF BUILDER/ADDRESS/PHONE: GARY R. CARDINALE
NAME OF PLUMBER/ADDRESS/PHONE: PETER WERBLOW, 26 Marion Ave .SGF 793-8124
NAME OF MASON/ADDRESS/PHONE: DALE BALDWIN, 1372 ButtermilkFalls,Fort Ann
NAME OF ELECTRICAN/ADDRESS/PHONE: PETER WERBLOW 7y2-13 /1
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of ojec . o , pre ises .
Signature i �C, IL�G%fcC�
(Owner, owner' ' agent, architect, contractor)
FOR ANY SPECIAL PROVISIONS — SEE REVERSE SIDE:
Tofvn of ( urensburg !ifigilimag 39evArtm.ent
Bay at Haviland Roads Office Phone 518-793-7771 Queensbury, New York 12801
PAUL H. NAYLOR RICHARD A MISSITA
Superintendent Highways Deputy Superintend-• s
ti� 4
DRIVEWAY PERMIT �,
av
cv MAR 1994
{, Received
DATE: Town of
�- �ueensbu (,,.
"
APPLICANT NAME: GARY R. CARDINALE rp�e 1dg Deptry
TELEPHONE NO. :
792-4655 (WK) 793-6938 CM)
9`'71inEL.1Q�\'`3\i4
ADDRESS TO BE INSPECTED: Star Route Ridge RoadX Queensbury, NY 12804
f'
RETURN ADDRESS: RR 6 Box 203B Queenbury, NY 12804
Applicant must show exact location and width of driveway(s) to be connected
to the highway by placing stakes at the spec 'fied location.
The Superintendent of Highways, Town of Queensbury, has reviewed the application
of the above named resident to connt a driveway to the Town road. The
following action has been taken: f'
STEP 1: ( ) Preliminary Approval
NEED: ( ) Sl$ht Swail
( ) Level With The Road
( ) Deep Swail
Size Pipe to be used (if necessary)
( ) 12" ( ) 15" ( ;°) 18" ( ) 24" ( ) 36"
Preliminary inspection by DATE
Approval by Highway Supt. Depty. Supt.
After receiving the Preliminary Approval , submit the permit to the Town of
Queensbury, Highway Department upon completion for a Final Approval .
STEP 2: ( ) Final Approval
( ) Rejected
DATE:
PAUL H. NAYLOR '
Superintendent of Highways
Town of Queensbury
TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Per .#
Fee laid
Date: Revie d By
LOCATION OF PROPERTY FOR INSTALLATION: Ridge Rd . (Approx. 1 1/2 lriles8 north of
Rt . 149 on right side across from Oak Valley Way.
Owner' s Name: GARY R. CARDINALE
Owner's Mailing Address: RR6 Box 203B Queensbury, NY 12804
Installer' s Name: Phone #:
Number of bedrooms (if residential ): 2
Total daily flow (residential-compute @ 150 gal . per bedroom): 300 gal .
Topography-Circle One: Flat (Rollin] Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam CCl Other /Depth:
Ground Water-At What Depth? Feet
Bedrock or Impervious Material-At What Depth? 40 Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Municipal Weld Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption 120 feet
PROPOSED SYSTEM: Septic Tank 1250 gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench 50 feet//Total System Length 250 feet
Seepage Pit(s): Number of / Size each: ft. x ft.
Size of Stone to be used: # 2 / Depth or Thickness 1 . 5 feet
**************
HOLDING TANK SYSTEM IF REQUIREp
No. of Tanks Size\of Each Gal .
Alarm system and associated electrical work to be inspected by a certified
agency.
****************
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 Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: DATE: 3
Septic System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1) the proposed location of the system
2) location and distance to lot lines
3) location and distance to structures
4) location and distance to any water supply
5) size and dimensions of all tanks, distribution boxes, tile fields
and/or drywells
B. No system shall be covered before inspection and approval by the Building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
Town of Queensbury
Building & Code Enforcement
Department
531 Bay Road
Queensbury NY 12804
Remarks:
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date ,19 9 I Permit No. 94 t2 z-h
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant 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.
Please fill out additional form if more than one appliance and/or chimney.
Applicant GARY R. CARDINALE APPLIANCE (check appropriate boxes)
Address RR6 Box 203E ❑ STOVE: ❑Wood ❑ Coal o Pellet ❑Gas
FIEPLACE INSERT
Queensbury NY Zip 12804 ❑ FIREPLACE, FACTORY-BUILT:
Wood
Phone 792 4655 (wK) 793 6938 (MM) ❑ FIREPLACE, ASONRY:Gas
SAME ❑ Wood ❑ Gas
Owner ❑ FURNACE: ❑Wood 0-Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
4.1 CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block 0 Brick 0 Stone
Star Route Ridge Road Queensbury, NY FLUE: 0 Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST „FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:.
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated ❑ Direct Venting
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee collected Froit or Refunded to: /wr
Ada e-ss`.7_ _ J�'
Dated: � 1�1��I'N= Town Clerk or Deputy: j/
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY •
9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Metho . -
1&2 Family Dwellings (only) ,.. . , _ , , ,yyL
PART 6* - Thermal Rating - Component Tra s
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME : PROPERTY LOCATION:
Ridge Road-Approx. 11/2 miles north of
Gary R. Cardinale Rt . 149 on right side of road .Across from
Oak Valley Way.
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 2495 square feet
LP
2 . Type of Heat - Electric Oil XX Gas Other
3 . Is building mechanically cooled? Yes XX No
4 . Percentage of area of windows and doors Over 17% Xx Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 38
b. Exterior walls R 19
c. Glazed areas R 11
d. Exterior doors R 15
e. Floors over unheated spaces R N/A
f. Edge of slab on grade (heated building) RN/A
g. Basement/cellar walls (above grade) R 11
h. Basement/cellar walls (below grade) R 11
i. Heating/cooling-ducts-piping in unheated space RN/A
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code xx Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App4qant' .14gmature Date Phone Number
,� `�� _2gi 792-4655(WK)
/Y3-b938 (HM)
INSPECTOR' S REMARKS :
TOWN OF QUEENSBURY
531 BAY ROAD
,{ QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPE6)04-4-/-
CTIONRECEIVED
NAME
LOCATION � � G62
DATE // ? 7 PERMIT#
TYPE OF STRUCTURE
RECHECK,
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION _WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS V
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
✓`i'cie , / /
ARRIVE 6721571-
DEPART
IN PECTOR
TOWN
BUILDING
Oro &F E CODEENFORCE)t9 '�r ,;
531 BAY ROAD
QUEENSBURY NY 1212804
(518)745-4447
ARRIV : 3 /o DEPART: 3'/S INSP• C//
1
L C INAL INSPECTION REPORT - RESID I,
DATE INSPECTION REQUEST CEIVED:- />
NAME6---o.,I { ty A t t`��
LOCATION ' / . Cl-.. g3.
DATE it ri[ 41 PERMIT N - 0'V
TYPE OF S 'RU TURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES L//
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOO'• l'/
FINISH FLOOR :
BATH/KITCHE WATER GHT
OTHER FLOORS •WEr•ABLE
OTHER FLOORS C RPETED
STAIR CLEARANC'/• ILINGS
SMOKE DETEC 'RS
BATHROOM . 'NS /
V
PLUMBINt FIXTURES
i
FOUND. ION INSULATION
GARAcE FIRE PROOFING1
DO* CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O— „,,,,,pf OR C/C
�y„,, 04, 6.,/i .T,,--, -,,_31,3.9-
-- I--e e/ f i,-4 7 siarveq
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL SPECTION REPORT
REQUEST FOR INSPECTIO RECEIVED �/
NAME '1/./4'
'+ p
LOCATION
DATE ///1/7`/ PE'MIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING S STEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLE'S
CLEARANCE TO HEATING U ITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
/fio/w77,64,-,/4,4?-f
ARRIVE
DEPART i ,,/�. ;
INSPECTOR
TOWN OF QUEENSBURY
BUILDING & CODE RODRCEME
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: 11,14 EPART: /1y0 INSP: f
?6& 4,---'FINAL INSPECTkON REPORT - RESIDENTIALL
DATEI SPECTION REQUE.T RECEIVED: ' -
NAME �'j it ("J:1
LOCATION Qom(, i / ✓ --
yG
DATE _ 1 -9 Li • PERMIT #
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEP IC INSULATION
FINAL ELECTRICAL WSSDSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT lV�
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATIN
INTERIOR TRIM/PRIVACY DOOR'
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
V
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING � YY +/
DOOR CLOSERS V
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY P OT PLAN
OK TO ISSUE ( kR C/C
Wlrid f elei ade- .\
£Lie<3
pee/ gre44/ \
A ere"
ciep-
/ �� s A' ye—__
c/" ,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSP/E�CTION RECEEIVED 1/J/�y
NAME Ill C{ r1 (3021(IGYl
LOCATION ti (' ,�g✓
DATE Pei 1 T PERMIT it 0/
TYPE OF STRUCTURE c'V ( ti 4, y 4 10
RECHECK APPROVED
N/A YES ' NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM JP.
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
ELS C R-`
CEILING
DUCT WORK OR PIPING IN UNHEATE
SPACES
REMARKS:
ARRIVE •
DEPART /0 0
dSPECTOR
TOWN OF QUEENSBURY
BUILDING AND AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ghik4
•
NAME 9VZ4/ 6W1J,rnaie_.
LOCATION i4gef
DATE fl//g../(0i PERMIT q41- 0&.57/
TYPE OF STRUCTURE jf., geov, 904. 100
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTICH FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE 1 '
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING_
BACKFILL APPROVAL ---
t --T,
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
—
FRAMING: - 1 11
JACK STUDS/HEADERS / I
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
KINSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING DUCT WORK WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE 11/4C)1. a)
DEPART \
• TOWN OF QUEENSBURY
- BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name .,,/-07 K-i-e71/4712,
Location 44 - d�
Date T/i�Mf Permit # - C ,51/
SOIL TYPE: and- oa -Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length —3r c
Length of each trench S 1,c4
Depth of trenches 2--
Size of stone
SEEPAGE PITS: Number-
Size - ft. x i— ft.
Stone size --""
PIPING: Size Type
Bldg. to Tank Lk" 4o
Tank to Dist. Box � �
Dist. Box to Field/P. " WE-
Openings Sealed?' es o artial
LOCATION/SEPARATIONS:
Foundation to Tank VS" feet
Foundation to Absorption -2,C feet
Separation of Pits f. : .
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle on
Front -, R ar) eft Si - Right Side
Middle F`ron1 - i e Rear
COMMENTS:
� -2 v‘)D .S) � r G
SYSTEM USE APPROVED: YES
Arrived: VA�
Departed: V-,'307 / [;)
4aspect 'or
f TOWN OF QUEENSBURY
w FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED //4/9y
NAME 4
LOCATION /Cafe £L-
DATE $'//q5G PERMIT# 9.4- 0 H52
S,e- Y"L" �Z APPROVED
4 N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES `
STORAGE:
CLEARANCE TO SPRI,IIKLERS
CLEARANCE TO HEtING `=UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT t�
hce s ,A at
REMARKS: ��� 7 1 J OK TO THIS DATE
,A eft /yip.
4v A /A5/4'14( A,46-&-
-(17)
2/015 INSPE OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD /7
QUEENSBURY, NEW YORK 12804 //
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPE'CTION RECEIVED 7/2,7'y
NAME
LOCATION
DATE 71/ r 57 PERMIT
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER �AB /
FRAMING: ✓
JACK STUDS/HEADERS
BRACING/BRIDGING .1::(;///
JOIST HANGERS
JACK POSTS/MAIN BAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALL INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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DEPART -7'S
INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT /
:QUEST FOR INSPECTION RECEIVED '- ( - �1`t
%ME (-6y,,,,�
)CATION4c- 1r,�=FC(
1TE 4 PERMIT # 6:)4-6
(PE OF STRUCTURE - c.. r
:CHECK APPROVED
- N/A YES NO
)OTINGS/PIERS •
)NOLITHIC POUR FORM
:INFORCEMENT IN PLACE
IE CONTRACTOR IS RESPONSIBLE
)R PROVIDING PROTECTION FROM
tEEZING FOR 48 HOURS FOLLOWING
iE PLACEMENT OF THE CONCRETE.
kTERIALS FOR THIS PURPOSE ON SITE.
)UNDATION/WALL POUR
:INFORCEMENT IN PLACE
)UNDATION/DAMPROOFING
kCKFILL APPROVAL
)UGH PLUMBING
_UMBING VENT/VENTS IN PLACE
_UMBING UNDER SLAB
tAMI NG:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
EATING ROUGH-IN
VSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
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TOWN OF QUEENS8U0Y
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
DCEEHSBURY, NEW Y0RK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
ZEQUEST FOR INSPECTION RECEIVED
IAME
'OCATION
UATE PERMIT f
'YPE OF STRUCTURE Jc
!ECHECK APPROVED
--' N/A YES NO
�O0TlNGS/PlERS
0NOLlTHIC POUR FORM
<[lNF0RCEMENT IN PLACE
'HE CQNTRIACTOR IS RESPONSIBLE
l0R PROVIDING PROTECTION FROM
-REEZDNG FOR 40 HOURS FOLLOWING
'RE PLMC��ENT OF THE CONCRETE.
|ATERlAiS FOR THIS PURPOSE ON SITE
'UUNDATI0N/WALL POUR
|[lMFORC�MENT IN PLACE
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F8UNDATI0N UALLS EXTERIOR R-
FL80R3 / R-
WALL3 R-
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SPACE5
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ()
_
LOCATION LDATE .//(
PERMIT 0 91-
TYPE OF STRUCTURE
RECHECK APPROVED
N/A l NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-*
FOUNDATION WALLS EXTERIOR
FLOORS R- '
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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DEPART
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
:QUEST FOR INSPECTION RECEIVED /GI w
►ME zd'f
)CATION / GC}.f /1,4 n4 CC•ti>s >.
ITE c7/0 4 L/ PERMIT I :2/1-( —
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:CHECK AP ROVED
- N/A YES NO
IOTINGS/PIERS •
INOLITHIC POUR FORM
:INFORCEMENT IN PLACE
IE CONTRACTOR IS RESPONSIBLE
IR PROVIDING PROTECTION FROM
tEEZING FOR 48 HOURS FOLLOWING
IE PLACEMENT OF THE CONCRETE.
JERIALS FOR THIS PURPOSE ON SITE
IUNDATION/WALL POUR
:INFORCEMENT IN PLACE
IOAPPROVALOFING
iCKFILLCKFILL APPROVAL
IUGH PLUMBING
.UMBING VENT/VENTS IN PLACE
.UMBING UNDER SLAB
LAMING:
JACK STUDS/HEADERS V'
BRACING/BRIDGING
JOIST HANGERS 1
JACK POSTS/MATN BEAM
AT I NG ROUGH-IN
ISULATION:
FOUNDATION WALLS INTERIOR. R-
FOUNDATION WALLS EXTERIOR' R-
FLOORS R-
WALLS / R- _
CEILING R-
DUCT WORK OR PIPING IN JNHEATED
SPACES
:MARKS:
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:PART 1-1105
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
EQUEST FOR INSPECTION RECEIVED
AME C-4-
4-
DCATION R/
ATE /f.� PERMIT # 9 Y 0 X
YPE OF STRUCTURE S/-v5
ECHECK APPROVED
N/A YES NO
)OTINGS/PIERS
)NOLITHIC POUR FORM
EINFORCEMENT IN PLACE
FIE CONTRACTOR IS RESPONSIBLE
OR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
UERIALS FOR THIS PURPOSE ON SITE
)UNDATION/WALL POUR
EINFORCEMENT IN PLACE
)UNDATION/DAMPROOFING
1CKFILL APPROVAL
)UGH PLUMBING
_UMBING VENT/VENTS IN PLACE
_UMBING UNDER SLAB
lAMING:
JACK STUDS/HEADERS (
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
EATING ROUGH-IN
VSULATION:
FOUNDATION WALLS INTERIOR`-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING V r R-
DUCT WORK OR PIPING IN
SPACES
EMARKS:
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PART 02:Sd
INSPECTOR
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TOWN ,f OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
EQUEST FOR INSPECTION RECEIVEDiltio/Ph4
AME earth • / '
()CATION ' etCein4
ATE PERMIT # *54--
YPE OF STRUCTURE ' ijeafifirfriorel
ECHECK APPROVED
N/A YES NO,/
6OTINGS/PIERS
DNOLITHIC POUR FORM
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
DR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
4TERIALS FOR THIS PURPOSE ON SITE
DUNDATION/WALL POUR
EINFORCEMENT IN PLACE
DUNDATION/DAMPROOFING
4CKFILL APPROVAL
DUGH PLUMBING
LUMBING VENT/VENTS IN PLACE
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM \
,
EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
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Cou.vey ox {+/.��¢�eEN , STATE of WA-w yoRK.
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DEED REFERENCE
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OF NEh,Y 7VA/vcY LEEPER SCALE "
I hereby certify to First National Bank of Glens Falls, its �,�P�IN�•�lp�,0 / 50"
successors and/or assigns, and to Lawyers Title Insurance 6E DAD DRAWN ✓. F. G.
Corporation and to Gary Cardinale and Nancy Leeper that this * * QUEENSBU.eY y
plot plan was made from an actual survey on the ground TOPOGRAPHIC SURVEYS DATE
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according to record descriptions and shows the location of
the boundaries and the improvements on the premises . s, BOUNDARY SURVEYS REV. NO.
�`A"°� -JOHN F. GRADY `I � Noy z.z , /99y
UP DA re
LICENSED LAND SURVEYOR
206 BROADWAY, WHITEHALL, N.Y.
/!�2-1
`Iy 12887
N;.Y.L.S. 49136
YT.L.P. 00516 SHEET!OF!
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