1999-357 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date September 24 19 _ 99
•
This is to certify that work requested to be done as shown by Permit No. 9.93-57
. has been completed.
This structure may be occupied as a
SINGLE FAMILY DWELLING
8 REARDON RD.
Location
Owner MORGAN, IRENE
TAX MAP NO. 4 4 . -2-2 5 By Order Town Board
TOWN OF QUEENSBURY
as
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 120000 TOWN OF QUEENSBURY No 99357
TAX MAP NO. 44 . -2-25 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MORGAN, IRENE
OWNER of property located at 8 REARDON RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLING
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance.
1. OWNERS Address is
59E LABARGE ST.
HUDSON FALLS, NY 12839
2. CONTRACTOR or BUILDER'S Name
HERLIHY, WILLIAM
3. CONTRACTOR or BUILDERS Address
24 FOX HOLLOW LANE
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECTS Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( )Wood Frame ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications
220814Q FT SINGLE FAMILY DWELLING WITH CARPORT AS PER PLOT PLAN
SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
271 June 22 2001
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
22 June 1999
Dated at the Town of Queensbury this Day of 19
SIGNED BY -
_________ X*--- 1-51A� for the Town of Queensbury
Building and Zoning Inspector
io0-''-' Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Thy Road, Qi:eensbm y, NY 12804 1761.8256/
NOIBUILDING & . CODE ENFORCEMENT
TICS Requirements prior to issuance
A pe , of this permit: PERMIT FILE NO. 9 .-, ,)7
.5
A permit must be obtained before
beginning construction. No inspections will be made until applicant has received El Zonbrg Board Action PERMIT FEE PAID.$a-1 l, +-
a VAI,ID BUILDING PERMIT. All Arca /Use
applicants' spaces on this application RECREATION FEE I' $
MUST be completed and•the signature (—I Planning Board Action
of dm applicant must appear on the REVIEWED in
S1'1t / Subdivision /Other !landing Invornor
replication form. 71.4 put / Recreation Ice Payment J
Applicant: Ltd, 1 (1 f4 wri 0 tgLv 1 Owner: S kW? oumciow
• ' Address: ill reh, ,mod a kt1 L l4-
Address: s 9 LA imo R e.,e"' a r f�i j"`r
Phone # Liacel Phone #
Property Location:,
Subdivision Nanlci a �2 e�xa ,;. -, 31 Tax Map Number :� /c
rswim mock I art
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ i IQ0100 ra
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial . X, Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size . Family Dweg' -i `
Office h • a..F
Other Work (describe below) Mercantile 1999
Manufacturing
Other ,
GROSS AREA OF PROPOSED STRUCTURE:/`a "" "` `
(c ___
1st Floor If ADDITION, what will use
2nd .Floor i� sq. ft . L5 of new. addition be? :
93z sq. ft'. Cc . , )_,
Other Floors sq. f L ?/._.,. - V
(not unfinished cellar or basement)
• ACCESSORY BUILDINGS:
"�? C,,p Detached Garage 1, 2 car
TOTAL FLOOR AREA: 1Ct At SQ. Attached Garage 1, 2 car
---, Private Storage Building
SIZE OF NEW STRUCTURE: �3(F r - Commercial Storage Building
Ot fiyr L., FEET X J a FEET
Foundation Type: Will any second-hand or ungraded
' Number of Stories : a lumber be used? If so, for what?
(habitable space only) _
Height (grade to ridge) : feet TYPE or
_I 'r'IIEANG SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced !lot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : (fit i/,A1•$t . < `
Maine AdcIresss Phone •
Builder: • _• p, .L ;,-142 �, e A6
Plumber: . 0 .. =4 _ ' Ito "j;;��,s r
. Mason:
Z;InliniinerinaillIMMEMEINV el.
Electrician: t •
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, arc a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building C«le, 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 C nplianc..-being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; dr, wn cale, showi : actu• I ation of project on premises.
Signature: J4 1/ 1 y,1
(owner, owner's agent, architect, con ctor)
Application tor JtY 11U 1i161-JUSA T , PERMIT .
Town of Queensbury
Permit No. 3.5 r
Dept. of Community Development
Building&Codes Office
742 Bay Road Fee Paid S
Queensbury, NY 128C4
Location of property for installation: e3 -Ry
Property Owner's Name: p ' h,+e1.-- /'ge.P.C3, 4 -
Property Owner's Mailing Address: ? i..4-l3a a e S.71— l P r,
Installer's Name: f rri2.- 9 r Qv4 fc( ' Phone # Q2 f3 r S 7 o 7
. Number of bedrooms (if residential): Total daily flow: 39 0
(residential -compute @ 150 gaLibdrrn.)
Topography: gat, rolling, steep slope % of slope
- Soil Nature: sand, Ioam, clay, other I depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: not rear:red, recui.re . f rare min.per Ica]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank/000 gallon (minimum size I,000 )
0 .0 A
W Tile field: each trench feet I Total system length: feet
�`� Seepage pit(s): number of / sate each: . ft.by ft.
`�9.9 tiy Size of stone to be used: Icif/
/ depth or thickness feet
CD ct
ki 9HOLDIN G TANK SYSTEM: (if required)
Number of tanks: : Size of each: gallons
C4larm system and associated electrical works to be bzspe ted by a certified agency..‘
J
For your protection, please note that parsnaat to Section 136-29 of the Code of the Town of Qoeersbay, any permit or
appiuval grained which is based upon or is granted in reliance upon any material misrapreee on or failure to make a
mater€al 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 to • by these and ail rec e:rements of the Town of
Queensbury Sanitary Sewage Disposal ,
Signature of responsible person: Date: 's/6 — 97
5
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804 ,
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
( . c1 9 9 _ 7
Date / � ,19 Permit No.
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 APPLIANCE (check appropriate boxes)
Address STOVE: ❑Wood o Coal o Pellet ❑ Gas
FIREPLACE INSERT
Zip 0 FIREPLACE, FACTORY-BUILT:
❑ Wood ❑ Gas
Phone 9_ _ -5 5/ 0 FIREPLACE, MASONRY:
❑ Wood to Gas
Owner ,,f e.,, v,,,Q * ,-r>,,r, 1' ,h: 0 FURNACE: ❑Wood ❑ Gas ❑ Oil
\\ IF NON-MASONRY APPLIANCE:
Address v,r�b'" ,'� , __�., t }
- ___ Manufacturer: -
Zip / Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block 0 Brick 0 Stone
q ' '' Pa Ne N 1. 9 } FLUE: ❑ Tile 0 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 0 Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated I!t Direct Venting
o Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title rr� t'):_�;l
A 173 3389 (190) Public Safety ` 5
/
A 233 2655 (230) Minor Sales
cected From-6r Refunded to: i\\ \ ;-0\ \ `` `` -,- t .� , ;.,,"'
A dregs:-
Dated: tip - / ( 61 C1 Town Clerk or Deputy _ ,`
r.
White: Applicant Green: Fire Marshal Yellow: Bldg.-'Dept. Pink Go enrod: Cashier's Dept.
/i
ENERGY CODE COMPLIANCE APPLICATION
V��e-_= TOWN OF QUEENSBURY, WARREN COUNTY
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 Fancily Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* - Design by Component Performance
• Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLIC?NT' S NAME: PROPERTY LOCATION:
•
W(1/ 441 /ii 2 LtoY P 12eae--t
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - a,).tyg scuare feet
•
2 . Type of Heat - Electric Oil X Gas Other
3 . Is building mechanically cooled? Yes X No
4 . Percentage of area of windows and doors Over 17% X_ 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 f 9
c . Glazed areas R 3.
d. Exterior doors R 9
e . Floors over unheated spaces R
. Edge of slab on grade (heated building) R A.94
c. Basement/cellar walls (above grade) R 13
h . Basement/cellar walls (below grade) R i3_
i . Heating/cooling-ducts-piping in unheated space R OVA-
6 . Service (domestic) hot water heat i nc device
Conforms to minimum efficiency per code X Yes No
- TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
App__c-= S igna _ 3Da�% , Phone Number J
INSPECTOR S REMARKS :
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart c ' '
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME 4fh,E' iI PERMIT# 3` 7
LOCATION — DATE `•7. / j S'
TYPE OF STRUCTURE ! «<
N/A YES NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or mor,
Interior Handrails stairs both sides 3 or more ri -'
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator . "•• e grade
Gas Furnace shut-off within 30 feet or wi. • line of site
Oil Furnace shut-off at entrance to furn- • 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 si,: 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
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofmg
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room s �+ �•-le
Site Plan/Variance r uired
Safety glazing 18"or 1 s fro floor ..
Final Electrical 'Z i 7 CC:t S
/ /�
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) a,/
j 111,
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: q • fC l `
2,64,‘C..(--_
Building& Code Enforcement
Dept. of Community Development Arrive‘77.-9an> m _Depart ./
Town of Queensbury Inspector's Ini .:.,A.-
742 Bay Road Ak.„. •� 9 1J a ,—
Queensbury,New York 12804 � J
9 q- 3 6/7
NAME 1 e PERMIT#LOCATION r DATE g/ :49 If
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location N./
'
Fresh Air Intake
Plumb Vent through roof J Roof Complete /
Exterior Finish Complete )/
Interior/Exterior Railings 30"to 36" J/
Exterior 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 V
Gas Valve shut-off exposed/regulator 18"above grade /
Gas Furnace shut-off within 30 feet or within line of site /
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating J
Relief Valve(s)installed /
Headroom,6 ft. 6 in. on stairs �/j
Basement stairs,6 ft.4 in.
Handrail exterior stairs sides more than 3 - sers 'J`
Interior privacy/trim/doors/mam . ce 36" VI
Floor Finish IIV
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 1: m. or more J /Railing across window in stairwells
Smoke Detectors: V
every level •J,
every bedroom J`
outside every bedroom • G 3 0 1..a00 1�A) .
inter connected j
Bathroom fans UV-- 1 TILL
k
Plumbing fixtures
Foundation ins station Of E✓'
3/4 hour fire door/door closer 1 `
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 11-.7i
j
Site PlanNariance required
Final Survey Plot Plan C V
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)
604-46
TOWN OF QUEENSBURY
050
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: �X
FINAL INSPECTION REPORT - RESIDEN I``AL
DATE INSPECTION REQUEST RECEIVED: �J
NAME c ised-E
LOCATION ^ �j
DATE J `1 PERMIT A _✓
TYPE OF STRUCTUR
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
DECJPORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT W TJ OPE' ING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WA RTIGHT
OTHER FLOORS S EEPABLE
OTHER FLOORS ARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
4.21IN E PLAN/VARIANCE REO. 1-7
:/FINAL SURVEY PLOT PLA
OK TO ISSUE C/O OR C/C
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. �
Main Office 176 Doe Run Road-Manheim,PA 17545 llf
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No Cej12 64821 Cut-in Card No �
Owner ,. ni d 2 6
G
Location..p Ai /O Cx% ce /
Installation Consisting of..6./ �silt( l�� 7 !Q/t�} 8 ! tr r'GS_i•
Installed By 7 , 0 a g A Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued i
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon th
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of ma nspections at any time, and if it
rules are v�iolated,the Company shall have the right oke i ' te.
io
Date 1 9' INSPECTOR
L�p`J,� �
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 Arrivt.q"..45-g4sm Depa
Inspector's Initia
NAME: TON E M oP4 f\1 PERMIT#
LOCATION: ( RERRDon� n DATE : —
TYPE OF STRUCTURE: fj F D w c T-
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the plage7nt
of the concrete. ,
Materials for this purpose qii site_
Foundation/Wallpour_
Reinforcement in Place
Foundation/Dampproof g
Backfill Approval _
Plumbing Under Slab _
Plumbing Vent/Vent in Place
Rough Plumbing
)-leafing Rough-In
Insulation 3A
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R13
-
Ceiling R- '56
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing _I zT REA1R V
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
GENERAL INSPECTION REPORT "" pd)
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 114-0.
Arrive<<' n/ m� Depart " r •
Inspector's Initia ;
NAME: ,. .--16, PERMIT# -3�
.7
LOCATION: f DATE : "7 ^oZ/ C
TYPE OF STRUCTURE: �� 1
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in`Place
The contractor is responsibl; for
providing protect ,n from f, erin:-
for 48 hours follows : the !lace ,ent
of the concrete.
Materials for this purpose on site._
Foundation/Wallpour
-
Reinforcement in Place
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in 'lace
Rough Plumbing _
7ngRough-In
ation c) DToundation Walls Interior R- ‘
Foundation Walls Exterior R-
Floors R- , -
Walls R- G.)LC GE-Escr-
Ceiling R- % i% i t
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing— - lr 1 1T
Jack Studs/Headers �-
Bracing/Bridging d fff
Joist Hangers 3a '�} p"75
Jack Posts/Main Beam /�
Air Infiltration Barrier k'�JTRLL ..� 1 -01j1,11 0
MI
Fire Separation 1, 2, 3, hour
Penetration Sealed 1.- - _
Fire Wall 2, 3, 4 hour d�$it e --A,I ,
Firestopping
FTc-
47-3 ( Af2
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 'Z
Queensbury, NY 12804 Arrive am/pm Depart a pm
Inspector's Initials
NAME: k!s.-(‘ PERMIT# 3c7
LOCATION: ,�,� lh1 lie) DATE :
TYPE OF STRU E:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I 1 I
Monolithic Pour Form
Reinforcement in Place
The contractor is respon
providing protection om freezi g
for 48 hours folio •ng the place ent
of the concrete.
Materials for this purpose on c
Foundation(Wall.•ur_
Reinforcement ' cc
Foundation/Da pproofing
Backfill Appr,val
Plumbing U ter Slab_
Tmbing V'nUVents in Place
ough Plu .ing_
Heating Ro igh-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
ytoper Vent, Attic Vent
'Framing — / stVk -�5 r &10
Jack Studs/Headers J
it raci ng/Bridgi ng ,7 v�
49ist Hangers .i
',lack Posts/Main Beam
."Air Infiltration Barrier y/
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fir all 2, 3,4 hour
restopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive //id" am/pm Depart am/pm
Inspector's i'ti?ls
NAME: ���� _ PERMIT#
LOCATION: �.,.u�/, a DATE : 7/�f.
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers (
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this urpose o sit4
Foundation/Walipo
Reinforcement in PI
Foundation/Dampproo
Backfill Approval
Plumbing Under Slab /
Plumbing Vent/Vents in P by,i/e- cCktough Plumbingt-,',/ k " Y
Heating Rough-In
Insulation
Foundation Walls In rior R-
Foundation Walls E rior 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
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 'riam/pm Depart am/pm
Inspector's Initials
NAME: PERMIT#
7
LOCATION: fi . Lcy� DATE :
TYPE OF STRU TURF: n., S cO
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Fort'
Reinforcement in P For----
The contractor id responsible for
providing protec ion from f ezing
for 48 hours follgwing the lacement
of the cone
Materials for this p irpose on site_
Foundation/Wal 1pour__
Reinforcement in Place
Foundation/Dampproof ing
Backfill Approval
Plumbing Under S b
Plumbing Vent/VVe is in Place
Rough Plumbing
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 ent, Attic Vent
_— _— �� i
�
Hung i /i
Jack Studs/Headers J/
Bracing/Bridging t/
1
Joist Hangers ✓V x y`
Jack Posts/Main Beam__
Air Infiltration Barrier — /itR) , �4 i. 4.$a I3
r
Fire Separation I. 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
► L Q
TOWN OF QUEENSBURY 11)
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location (jam
Date-7 —Ij-1c Permit # C\CV57
SOIL TYPE: Sand-Loam-Clay-
Results of Percol . ion T- t-
• (if applicable) 'ate-Min to/Inch
TYPE OF YSTEM:
ABSORPTI' FIELI : Total Length ;,..'
Length of e. . ►renc
Depth of trenc • . „ .
Size of stone r-/2
SEEPAGE PITS: N ber-_
Size - ft x ft.
Stone size
PIPING: Size Type
Bldg. to Tank _C
Tank to Dist. Box y`
Dist. Box to Field/Pit y" ivvr-
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circlet)
Front - - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: dr, NO
Arrived: 7'/(
Departed:
Building Insctor
6 A
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Q t17,,�
1
Location ����<-�� 9Y0--)
��'✓ i
fs
Date Permit #
.4(1.(1_,:/;)
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trenchAilli
Depth of trenches
Size of stone —
SEEPAGE PITS: mber-
Size - ft. x ft.
Stone size
PIPING: ize Type
Bldg. to T. k
Tank to ii t. Box
Dist. Box . - . 'it
Openings S •aled? Yes No Partial
LOCATION/S PARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation o Pits — feet
Conforms .. per Plot Plan Yes No
LOCATION I SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
/ ;..fit"' ?/�.
SYSTEM USE APPROVED: YES NO
Arrived: c4)
Departed:
Building Inspector
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 1 Y\
Location v ` .
Date — Permit # CICA'3 57
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation s
(if applicable)pRate- inute/. nch
TYPE OF SYSTEM:
ABSORPTION FIELD. T tal Le th
Length of each tre
Depth of trenches /
Size of stone J
SEEPAGE PITS: Nu�nber-
Size - f 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 o= 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:
tQrl- O-'f's /<eer+rr L
&/J
SYSTEM USE APPROVED: YES NO
Arrived: 3f2(r
Departed:
Building Inspector
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name co-
Location e4rGi:-
Date 70 Permit # -37
SOIL TYPE: Sa 9 Loam-Clay-
Results of Percolation Tes -
(if applicable) Rate-Min, - Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Tota •, h .0 )(
Length of each trench
Depth of enches 2-
Size of ston: AN'
SEEPAGE PITS:
Size - ft. x ft.
Stone size -
PIPING: Size Type
Bldg. to Tank 5///
Tank to Dist. .,ox 41,
Dist. Box to field/Pi / Jr
Openings Seal -d? es No Partial
LOCATION/SEP.RATIONS:
Foundation t. Tank f,) feet
Foundation to Absorption ,2Gi feet
Separation of Pits fe
Conforms as per Plot Plan Yes .
LOCATION OF SYSTEM ON PROPERTY:
(circle
Front - Rear Left Side - Right Side
Middle Front - Middle Rear
COMMENTS: //
'�, -orl�-
SYSTEM USE APPROVED: YES 4E:)
Arrived: c,,3c.
Departed:
Building Inspector
72Jfr71)
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive Depart4 Z %,
Inspector's Ini
NAME: d/Af, PERMIT#
LOCATION: €3,3k. DATE : .."111111WAV.r
TYPE OF STRUCTURE: l)
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from free 'ng
for 48 hours following the p1 ent
of the concrete.
Materials for this purpose site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing 11//:
\..Bacill Approval
Plumbing Under Slab
Plumbing VentNents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
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
GENERAL INSPECTION REPORT (4)- (2qj
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive epart a m
iced--"\\
spector's Initi
NAME:
PERMIT# - 7
LOCATION: g DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES fib COMMENTS
F tings/Piers VI I
Monolithic Pour Form }, V.)‘, 1 0 VLFK,E___
Reinforcement in Place 2 -- #1-� _
The contractor is responsible for r' V: t)'T3V -
providing protection from freezin0
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place k,
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
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
FIRE MARSHAL
TOWN OF QUEENSBURY
aiva QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# Tom/-357
NAME tAkoR0 Nil
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
,.
FIRE EXTINGUISHES
FIRE ALARM SYSTE /
FIRE SPRINKLER SYST _,
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES ---
STORAGE: - -
CLEARANCE TO S••INKLERS
CLEARANCE TO ATING UNITS
REQUIRED SIGNAGE
CHIMNEY I
OODN STOVE d' S f A)A L-- ____FIREPLACE-MASONRY
FIREPLACE-FACTORY :UILT
REMARKS: �av R6- f OK TO THIS DATE
U S-0 L $ &i fk ikX 32 "
INSPSLIP.PUB INSPECTOR
C- - 7�
FIRE MARSHAL
Aft TOWN OF QUEENSBURY
kj QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# 'S 7
NAME t `" ,1iex64- ti
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTIN►.
FIRE EXTINGUI RS
FIRE ALARM STEM
FIRE SPRIN LER SYSTEM
FIRE SUP'RESSION SYSTEM
HOOD .,STALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
iIMNEY ✓
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
(0c) e.6-/AZY"
INSPSLIP.PUB INSPECTOR
i
s,
MAP REFERENCE:
MAP OF A SURVEY
OF LANDS TO BE CONVEYED TO
IRENE, MORGAN
DATED: MAY 25, 1990
BY: W.J. ROURKE, ASSOCIATES
4
LOT 22 IPF
OF REARDON PROPERTY
BY LESLIE COULTER, L.S.
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UTILITY POLE (� i
TEL = TELEPHONE PEDESTAL O
= DRILLED WELL P► PK NAIL FOUND `
LANDS N/F OF
STARK _...,.: ..
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FILE COPY
I
ate+ AUGUST 24, 1999
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