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99-619 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 17 19 99 This is to certify that work requested to be done as shown by Permit No. 9 9 A 1 9 . has been completed. This structure may be occupied as a SINGLE FAMILY DWELLING Location 6 HALL RD. Owner r tiRr.TO, JAMES & JOANN TAX MAP NO. 4 8 . -3-2 4 . 2 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. 6c Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 80000 99619 TAX MAP NO. 48 . -3-2 4 . 2 Building Permit No. CLUTE, LARRY Permission is hereby granted to 6 HALL RD. Owner of property located at in the Town of SINGLE FAMILY DWELLING Queensbury,to construct or place a at the above location in accordance to 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. Owner's Address: 13 DAWN RD. QUEENSBURY, NY 12804 Contractor or Builder's Name: CLUTE ENTERPRISES, INC. Contractor or Builder's Address: 13 DAWN ROAD QUEENSBURY, NY 12804 Electrical Inspection Agency: COMMONWEALTH ELECTRICAL AGENCY PO BOX 706 HAGUE, NY 12836 Type of Construction: SINGLE FAMILY DWELLING Plans and Specifications: 1300 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING • 189 September 28 2001 $ PERMIT FEE PAID—THIS PERMIT EXPIRES (If a longer period is required,an application for an extension must be made to the Code Enforcement Officer of the Town of Queensbury before the expiration date.) 28 September 1999 Dated at the Town of Queensbury this Day of SIGNED BY V _1 � for the Town of Queensbury Code EZ...:;SAN rcement Officer Building Permit Application , .„.-,..i. f l eW ensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256] ; ____ BUILDING & CODE ENFORCEMENT i M r Requirements prior to issuance r C r , A permit must be obtained before of this permit: PERMIT FILE NO. -�L?I O beginning construction. No inspections PERMIT FEE PAID$ _— will be made until applicant has received n Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREATION FEE $ applicants" spaces on this application MUST be completed slid the signature [D Planning Board Action REVIEWED BY: of the applicant must appear on the SPR / Subdivision I Other Building Inspector application form. Thank,«.. J Recreation Fee Payment Applicant: r C ( Owner: -C-ttD Address: � QA-�� e_ Address: Phone # ( )®1Ct - 7a-I-7 Phone # ( ) - "T D J jp i` - 3-cP- � Property Location: C —-r : e L f.\ l 71,-.4_t- ,t .� ( - -44 Tax Map Number Subdivision Name: Section Block tot NA RE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ ":ZC,t (3=)t) residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: P;; Alary Building - residence / commercialSingle Family Dwelling Residence / Commercial Two Family Dwe.]„lnq ' ri no change to exterior size Family Dvielineg-:-,. 4 ,— — Office Other Work (describe below) Mercantile SEP 2; 4 1999 Manufacturing Other GROSS AREA OF PROPOSED STRUCTURI�.,`{1 , . 1st Floor l �` f ADDITION, what will use 2nd .Floor ( 5O sq ftl �`a 0 sq. ft.�� f new addition be? : . Other Floors sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached GarageCa___ar.., car TOTAL FLOOR AREA: (100 SQ. FT. 6- Attached Garagec Private Storage Builing SIZE OF NEW STRUCTURE: Commercial Storage Building Other 2(0 FEET X FEET Foundation Type: fS4-J Will any second-hand or ungraded ' Number of Stories : lumber be used? If so, for what? (habitable space only) t� Height (grade to ridge) : feet TYPE OF_ HEATZNG SYSTEM: Number of fireplaces d/or woodstove (circle all which . .lies) to be installed: Elec tic , Oi �'l / / Wood orced Hot A-ii. I :aseboard / Other Person responsible for supervision of work as regards to building codes is : (,.._cr r-L., C-_--(_ —74 3 7 Y-7 ) Name Addrsss Phone Builder: Plumber: ( Mason: ` ,,r'' t „:: Electrician: 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 w' a whether specified or noted, and that such work is authorized e ` wner. Further, it is -:erste.. that Uwe shall submit prior to a Certificate of Occupan or Certifi ate of Compliance • -mg iss -•, an AS BUILT PLOT PLAN by a licensed survey. , drawn to sc..e, showing actual . ation • project on premises. Signature: P. Al ...- ner, owner's a:•nt, architect, contractor) Application for SEPTIC DISPOSAL PERMIT Town of Queensbury {�C ( ,,, Dept. of Community Development Permit No. Building &Codes Office 742 Bay Road Fee Paid S Queensbury, NY 12804 Location of property for installation: I�� �`� r-;,�� %=:)r> Property Owner's Name: Property Owner's Mailing Address: Installer's Name: �� �`- � .� Phone # l ` 7 a•77 Number of bedrooms (if residential): Total daily flow: (residential - compute @ 150 gal./bdrm.) Topography: flat, rolling, steep slope % of slope Soil Nature: sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet Percolation test: not required, required [rate min. per inch] Domestic water supply: municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is 100-r feet. PROPOSED SYSTEM Septic tank \oOJ gallon (minimum size: 1,000 goal.) Tile field: each trench 0 feet / Total system length: 20,z) feet • Seepage pit(s): number of / size each: • ft.by ft. Size of stone to be used: # 2 / depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of approval winch is based or is Queensbury, any permit or apro granted upon granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on .-•• of an applicant, shall be void. I have ., read ,�the regulations with -:.- . this app cation and agree ,. :..-,- by these and all requirements of the Town of Q Queensbury Sanitary Sewage Dispo :1 • • :, Signature of responsible . Date: c//Dai5 i (11 ENERGY CODE COMPLIANCE APPLICATION �, . 3 TOWN OF QUEENSBURY, WARREN COUNTY �� " 199� 3= 9000 HEATING DEGREE DAYS Compliance Methods : PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) • PART 6* - Thermal Rating - Component Trade Offs 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 C_Ltie PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 3c) scruare feet 2 . Type of Heat - Electric Oil >e Gas Other 3 . Is building mechanically cooled? Yes >e No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R 3u b . Exterior walls R 19 c . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R 19 . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R --- h . Basement/cellar walls (below grade) R I . Heating/cooling-ducts-piping in unheated space R S 6 . Service (domestic) hot water heating device Conf or is to minimum -tficiency per code Yes No T PERAT RE CONT'OL I•XIMUM SETTING 140° - WILL NOT BE EXCEEDED Ap e•l i c a 4- 't • •na► - Da -e Phone Number ?/,?.D-R1 '7 77 L SPEC TOR S REMARKS: TOWN OF QUEENSBURY • ,ff�i� BUILDING & CODE ENFORCEMENT A � 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: NAME LOCATION L.12 \AASJA DATE 9 (---) PERMIT II (ACV- (19I Cl TYPE OF STRUCTURE 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/RAi,LINGS RELIEF VALVES - aF FURNACE/HOT WAT OPERATING INTERIOR TRIM/ RIVACY DOORS FINISH FLOOR : BATH/KITC N WATERTIGHT OTHER FL RS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL E CTRICAL SITE P AN/VARIANCE REQ. FI SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C 1 RESIDENTIAL FINAL INSPECTION REPORT 1 P IT) Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement j ;� � Dept. of Community Development Arrive am/pm Depart/ ' / Town of Queensbury Inspector's Initials LI 742 Bay Road Queensbury,New York 12804 NAME .� `,;( �Usa PERMIT#____ ,qC) LOCATION DATE /� — TYPE OF STRUCTURE < N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location i/ Fresh Air Intake _ // Plumb Vent through roof Roof Complete _ Exterior Finish Complete Y/71// Interior/Exterior Railings 30"to 36"Exterior Handrails,balconies,landing 18 in. or more . Interior Handrails stairs both . es 3 or more risers ii Grade 2%away from four tion , 8"clearance to sill plate Gas Valve shut-off expo regulaor 18"above grade Gas Furnace shut-off wi . 30 feef'or within line of site / /I/ Oil Furnace shu ff at en ce tdfurnace area Furnace/Hot Waters opeiating / • Relief Valve(s)installed Headroom,6 ft.6 in. on stairs Basement stairs,6 ft.4 if. Handrail exterior stairs th sides more than 3 risers Interior privacy/trirn/doo main entrance 36" Floor Finish Bathroom/Kitchen waterti t Interior Handrails Balconi s/Landing 18 in. or more 1 /11117 Railing across window in tairwells Smoke Detectors: kith every level ✓ every bedroom + outside every bedroom inter connected Bathroom fans Plumbing fixtures ` Foundation insulation ✓ 3/4 hour fire door/door closer Garage fireproofing ✓/ i 1,/ Garage penetrations sealed Furnace in separate room protected(in garage) / Light ventilation per room ✓/ Safety glazing 18"or 1 ss om floor Final Electrical VI- 7 �C( 5 \/ Site PlanNariance req . d /0 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) ` i� J Okay to issue permanent C/O(Certif. of Occupancy) 4)/")d 0 U fC I ArPRQV/ COMMONWEALTH ELECTRICAL INSPECTION SERVIC ,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 qQ(p/9 MUNICIPAL CERTIFICATE - ELECTRICAL APPR VAL anel Board No Cert. N2 64941 Cut-in Card No Iwner L A-ts gy e z a_ _ ocation istallation Consisting of 3 3 Sty/re, .3 /e&ce�--p r' 2 3 i /Q-A C E/ .1)/I f c 1 40.r' � Po-o,Q-&J/ca-- tstalled By 'D1 11,6 &(cS Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is incelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the itroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of mak. spections at any time, and if its Iles are violated,the Company shall have the right to r oke is late / Z-7— ` / INSPECTOR Member N.F.P.A.,I.A E.I. TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name C,L01-e? Location Ilk `(.. R,rj, Date i 4t \��1 Permit # �c-,l4 SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Jatal Length Length of each tench Depth of trenc es Size of stone / SEEPAGE PITS. Number Size - ' - ft. x ft. Stone size PIPING: i Size Type Bldg. to Ta k Tank to Di t. Box Dist. Box o Field/Pit Openings ealed? Yes No Partial LOCATION/ EPARATIONS: Foundati n to Tank feet Foundati n to Absorption feet Separat'on of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: AZ-4- C-4- - 41i A-71 D ", -- ek SYSTEM USE APPROVED: 1110 NO Arrived: y Departed: (1: 2") Building Inspector vf- 56 dolt. Retries/ TOWN OF QUEENSBURY VMILDING & CODE ENFORCEMENT / 2— 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name _11 _ E;;;;_at Location 0 //71A / Date /I,,��' C�`'�-�-'l fi Permit # SOIL TYPE an Lpam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: AL ABSORPTION FIELD; Total Le tJ Length of each trenc / 5 Depth of trenches Size of stone 2_, ' SEEPAGE PITS: NuMber- Size - ft.. x ft. Stone size 1 PIPING: F .�e Type C, Bldg. to Tank f �' Tank to Dist. Box '} ; ' Dist. Box to Field/P. 7 4 w Openings Sealed? 4 No Partial LOCATION/SEPARATION . Foundation to Tank # ' feet Foundation to Absorptal4on \ feet Separation oj= Pits / 1 eet Conforms as per Plot P1 an Yes No LOCATION OF SYSTEM .oN PROPE . (circle Front - Rear Left Side - Rigbt Side Middle - - Middle Rear '• COMMENTS: �G-& A5— 6,ti L i it . 6cCS SYSTEM USE APPROVED: YES °+NO Arrived: Departed: firr6'-- Ji 6 Building Inspector iU.j: .!( ' 1. - . ,„ __..; : � .( - (-----:_i(7' . ;,., i t ,1 —; • -- + ' i y-/�/ --i t a,6o ToTk4.-- ... f , , t34 i JD r.LV. 2 .91999 - 1 i , _: L .40 11) _ . .?� • yo< bj ALL 1 tZ. A t 1 - "' .'":-A Ck— . \ . i 1 H TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Lv Te- Location 11 A-LA_ Mp - Date 0l �`t Permit # Ciq'�D 19 I SOIL TYPE: Sand-Loam-Clay- 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 SEEPAGE PITS: Number- Size - _ ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit <, Openings Sealed? Yes''".; /No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation ot Pits feet Conforms as per Plot Plan "_: Yes No LOCATION OF SYSTEM OIV PROP RTY: (circle one) Front - Rear - Left/Side - Right Side Middle Front - Middle Rear COMMENTS: cD ©-rkJN.4-2 V- SYSTEM USE APPROVED: YES NO Arrived: Departed: Building Inspector iy/L7 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 am/pm Depart• . m /..it.-)•alAt5/� Inspector's Initials .6 71 NAME: ( e ERMIT# / LOCATION: AcL to"4/ATE : 7 467 , "' /". TYPE OF STRUCTURE: - RECHECK N/A YES NO COMMENTS Footings/Piers I I 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'•n site / Foundation/Wallpour__ Reinforceme in Plac _. Foundation/Dampproofi g Backfill Approval _ Plumbing Under Slab Plumbing Vent/Vents n Place_-_ Rough Plumbing Heating Rough-In Insulation Foundation Wall Interior R- Foundation Wall. Exterior 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 }4ir Infiltration Barrier Fire Separation I, 2, 3. hour Penetration Sealed Fire Wall 2, 3,4 hour _ Firestopping -RQ --:CT) 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?'```C am/pm Depart am/pm Inspector's Initials Ni NAME: �(-Ar\ \Q 0 -A., 7" —- PERMIT# - l LOCATION: y, \ , ` C DATE : / _ -C' TYPE OF STRUCTURE: t RECHECK N/A YES NO COMMENTS Footings/Piers 1 I Monolithic Pour Form Reinforcement in Place The contractor is res'.n '.le for providing protectio from reeling for 48 hours following th placement of the concrete. Materials for this pu,ass,on site Foundatjon/Wallpou Reinforcem- ' :cc__ _ Foundation/Dampp ..ling Backfill Approval_ Plumbing Under Sl'b Plumbing Vent/Ve s in Place Rough Plumbing _ Heating Rough-In \....22____Isulaticti v./ Foundation Walls Interior R- Foundation Walls Exterior R- 'PC4P l Floors R- _ Walls R- LL /, Ceiling R- .c vl Duct work or piping in unheated spaces R- .74 Proper Vent, Attic Vent i Framing Jack Studs/Headers Bracing/Bridging_ — Joist Hangers Jack Posts/Main Bcam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed _ Fire Wall 2, 3,4 hour Firestopping 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 . am/pm Depart-) "ai/pm Inspector's Initials \-/ NAME: L V i C` PERMIT# LOCATION: b- • DATE : v TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is res sible'for providing protection om freezing for 48 hours followi g the placQment of the concrete. Materials for this purse on site Foundation/Wallpour Reinfor ent in PI a Foundation ring Backfill Approval ` Plumbing Under S b Plumbing Vent/V is in Place Rough Plumbing Heating Rough-I Insulation Foundation ails Interior R- Foundation ails Exterior R- Floors R- Walls ! R- Ceiling R- Duct work or piping in unheated spaces R- iProper Vent, Attic Vent_ V Framing Jack Studs/Headers__ racing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour ✓Firestopping '(_`Fl/3-re �J 0,41),z., yTh / /4,,,p. GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 1 742 Bay Road (��.\� Queensbury, NY 12804 Arrive am/pm Depart'1-�y�p/3r( Inspector's Initialsls VV''��tt// NAMECkO� PERMIT# 1 LOCATION: DATE : TYPE OF STRUCT &: RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form /'\, / Reinforcement in Place l 4 ' The contractor is responsib a for I providing protection from reeling / for 48 hours following the, laceme t of the concrete. i Materials for this purpose oil sit Foundation/Wallpour �' , _ Reinforcement in Place Foundation/Dampproofi ng Backfill Approval_ Plumbing Under Slab Plu ng Vent/Vents in lace �/ m / k_R4gh Plumbing 4/ 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- _ - Pillni VenL Vent -2 fl_k_ . / �.Js� `f` — — / tJ Jack Studs/Headers Bracing/Bridging_ v_ `6t+.r.ece-t E ( a,t (p 1 i')G Ui -G t 6 k)4C4_ Joist Hangers Jack Posts/Main Beam nfiltration Barrier a _ Fire Separation I, 2, 3, hour Penetration Sealed A,it.„. Fir all 2, 3,4 hour Wll� S �,restopping GJ c0 ...., _ _ .„ 1- / iOG 'cub \r 4 GENERAL INSPECTION REPORT ( 518 ) 76.1-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building (l f)& Code Enforcement / 742 BayRoad ) Queensbury,NY 12804 Arrive___am/pm Depart 1 "--Ipm �- Inspector's IInitialsNAME: r:..- - A .� —R_' PERMIT# c\,t_\'.c LOCATION: \Q N., DATE : / 1) - ci - 0, TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS F tin;,s/Pier• r/1/n � —1 I Monoli s 'our Form Reinforcement in Place_ The contractor is responsible or providing protection from f'cering , for 48 hours following thejlaceme0 of the concrete. 1 Materials for this purpose o site Foundation/Wall pour___ Reinforcement in ace - Foundation/Da m pp roo ri n Backfill Approval Plumbing Under Slab _ Plumbing Vent/Vents in lace —_ Rough Plumbing Heating Rough-In _ Insulation Foundation Walls Intcri r R- Foundation Walls Exteri r 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 I, 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour_ Firestopping_ GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: ) o -t /G - Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart?" Il am/pm Inspector's Initials � ---� NAME: ad-e PERMIT# ( I LOCATION: (p 4T/4 I I- ciRd DATE : — g TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the lacement of the concrete. Materials for this purpose site Foundation/Wallpour Reinforcement in Place I Foundation/Dampproof iig ckfill Appro' I I l Plumbing Under Slab z` Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Wads Exterior R- _ Floors R- Walls R- Ceiling R- Duct work oI'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 I, 2, 3, hour_ Penetration Sealed Fire Wall 2, 3,4 hour Firestopping 3 if\, GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ti Queensbury, NY 12804 Arriyoy' p�.Depart-7 ctor's Initials NAME C��' PERMIT# ON LOCATION: DATE : . 0 1 j a TYPE OF STRUCTURE: SF0 , RECHECK N/A YES,NO COMMENTS otings/Piers '-- I—YI I Monolithic Pour Form Reinforcement in Pl. - 'L{° 5 / The contractor i respo sible for ` providing proteftion fro freezing 1\ for 48 hours f• lowing t placement �i of the concret . Materials for t s purpose ,n site_ r Foundation/W I Ilpour _ Reinfor Ile in P• \'\ Foundation!' ampproofing (syc,c7e Backfill Ap.roval Plumbing l nder Slab Plumbing ent/Vents in Place__ Rough Plu bing Heating ' .ugh-In _ , lnsulatio Foun a tion Walls Interior R- Fou dation Walls Exterior 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 —_-- __4 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping w V , , . ,, - P .._ . . , , ,.... ,.. r'''''N A, I . i A. . V SEP 1999 G JA,. • . . -....._.._ __,..,._ --_------- e - „,„;V f, J e ti Oi ): aria or 5,.E• -�Pa�lt�. I Sd� �:v (. .:.c. Ui� V Q 'S c ��a 1i�i s �f rtc ,e�Z�; � hi� ��5; .� -,s, :ree , r. �ic., �J urr�ent. i aiso r se;�t tr at irzve s son me gyred the di cf y et fortis UO '_c, t-4 ub..ai, ( . IG�A'�URE DATE V fi - (rf G .t. . 4 J c—""\-- e .e,-__. Lq. .\ (2..c.c ,, MAP 'REFERENCE: MAP OF A SURVEY MADE FOR JAMES R. & JO—ANN CURCIO DATED: MAY 16, 1991 BY: VAN DUSEN & STEVES LANDS N/F OF CURCIO S85'29015"E 193.44' W =N N M � N LANDS N/F OF CURCIO A O N L1 �� 1 AREA 43,560 sq.ft. N 1.00 acres 3 � • N 0OQ � to N N Z � N X M �,R� u 00 ON C d. to cD Aa-OW HOUSE ,r - ® ? `? 1999 ti N 198.r 3 6 1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED S8062 W FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS l v O A FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND NDING INSTITUTION LISTED HEREON. ....................................o........ CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL H+•'. INSTITUTIONS OR SUBSEQUENT OWNERS. . . CERTIFIED TO: LAWRENCE E. MIDDLETON II c-(�— OF �� O . . PATRICIA A. MIDDLETON �G Y AMERICAN AIRLINES EMPLOYEES FEDERAL CREDIT UNION. Cs + ITS SUCCESSORS AND\OR ASSIGNS • FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK CERTIFIED BY • 5T1135 MATTHEW C. STEVES. LLS NYS 50135 • • • . LAND DATED: NOVEMBER 16, 1999 Date: NOVEMBER 16, 1999 an D u S Map of a Survey made for 1J xiND LA a��m►M m A�T Scale 1"=30' v W1P EAMq A UCOAFL lND!NY[YOIi AIL q A MMAIM C1F XMM 7O.US-WANO%OF 1K I,Y�A=�wM ' LA� RENCE E. MIDDLETON II 8c S t e v e s 'OMM WIN 011 AE OF IML AN SU 9lR1EY rArwn w>r AM awawK a aE wo aw�now &SM I K COMM"70 K VAM IM COW 'CMWrA=W 0OU10 ISM 71W Y IMT Do SUM"in MWA M w ACCpDA M"M Land Surveyors LLC °W °°°`aSAW"M 'MATMWFaMi °& �Y 7/E IEM VCwI lTA7[AfOCMLCM K ACFE>HOIIAL "WMMMi�"M.�wmm PATRICIA A. MIDDLETON >I�, TO lE NNW 0 W AE AM,W/I�PMFD.AW am ws E►ws ro nw 7ru oorAm;oo+awMo�TAt 37 Chester Street Glens Falls, New York 12801 W W Town of Queensbury, Barren County, New York CLUTE C 194 (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 99251