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99-762 Certificate of Occupancy Town of Queensbury Warren County, New York June 15, 2000 Date 99762 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a SINGLE FAMILY DWELLING 147 ASSEMBLY PT. RD. Location Owner MC MILLEN, ROBERT St TAX MAP NO. 7 . -1-23 By Order Town Board TOWN OF QUEENSBURY AMR* Dir o ldin 'o Enforcement ak/I1100MINIIIII SWANIOW BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 130000 Building Permit No. 99762 TAX MAP NO. 7 . -1-23 MC MILLEN, ROBERT & Permission is hereby granted to Owner of property located at 147 ASSEMBLY PT. RD. 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Owner's Address: DOROTHEA 27 MOORWOOD DR. QUEENSBURY, NY 12804 Contractor or Builder's Name: SCHERMERHORN CONSTRUCTION Contractor or Builder's Address: 43H HUNTERBROOK LANE QUEENSBURY, NEW YORK 12804 Electrical Inspection Agency: COMMONWEALTH ELECTRICAL AGENCY PO BOX 706 HAGUE, NY 12836 Type of Construction: SINGLE FAMILY DWELLING • Plans and Specifications: 1952 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING 249 December 20 20.01 $ 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.) 20 December 1999 Dated at the f Queens this Da SIGNED B own of Queensbury Enfo ce t Officer Building Permit Application T Town of Queensbul y - Dept. c f Conunmlity Development, 742 Bay Row!, Queen bury, NY 12804 1761.82561 BUILDING 41 . CODE ENFORCEA1EN7' NOTICE Requirements prior to issuance r— \ Of this —� A permit must be obtained before permit: PERMIT NO. beginning construction. No Inspections will be made until applicant has received Ci Zoning Board Action PERMIT PEE PAID a VALID BUILDING PERMIT. All Arca /Use applicants' spaces on this application RECREATION FEE PAID$ MUST be completed and.the signature Planning Board Action (1) of the applicant must appear an We REVIEWED B},.. application form. ]A.p,... SPR / Subdivision /Other NuNJink in wow J Recreation Fee Payment Applicant:. fc,heceie.,,ELA.4i (2,ic1. 6,.il• Owner: fob 1N1c.,;//e .i . ' Address: `'3 # ie i k k LN- ,,y� Address: ;r� ///t�arec4,ocf 1j•,°,,,e- Phone ' (5/Y)7 p O tv7Y Phone # ( 5/8 ) 7fa - alr� Property Location: Ass tii b)y /21.1 7 kl. . • Subdivision Name:' fax Map Number. 7 /_ / 1 23, ,. ticxliun Illlhek I ni NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE X New B . : CONSTRUCTION: residence / commercial $ ��oi "`'`' Addit on o 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 Dwelling _ Other Work (describe below) Orrice Mercantile , ,.. _ 7999 Manufacturing /Lf Other GROSS AREA OF PROPOSED STRUCTURE: 9 • 1st Floor l• ?Q If ADDITION, what will use 2nd .Floor / !� , ..�'* fy s of new, addition be? : 734, set, 43 Other Floors sq. f . _ (not unfinished cellar or basemen • )j ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: /?5 ;2. SQ. FT. .< Attached Garage 1, car Private Storage Buil•ing SIZE OF NEW STRUCTURE: Commercial Storage building 6/ FEET X g2 FEET Other • Foundation Type: Ce4e.fe•><e_. Will any second-hand or ungraded ' Number of Stories: 1 lumber be used? If so, for what? ( habitable space only) Svc Height (grade to ridge) : 624. foot: TiPE ot�iii i►a:'INCi SYSTEM: ---' Number of fireplaces and/or wood stove (circle all which a. .lies) to be installed: / Electric / Oil /t(e�. . / Wood Mill VI It7*11t1 / Baseboard / Other Person responsible for supervision of work as regards to building codes is : Sche..r,�h ,e,r1)C•,.' 0:,5/, ce,f.". 29y - 4,-7y Nano Builder: cche:- F-i-1c,,v c:"is tn`i °3. ' Phone g--067y Plumber: Mason: 124LA. _234kiLaiAi '79.2 - 117I Electrician: ,44.iep_ ( i ;sky. 9951-.-T)03 DECLARATION: Please sign below alter 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 n11 proposed work to be done an the described premises and timt nil provisions or the Building Code, the Zoning Ordinance and all other laws pert. ' ' g to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. r'urther, it is understood that I/we shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT I'LO'I' PLAN by a licensed surveyor; dr. n to scale, showing dual location of project on premises. Signature: • ,.: g 1 (owner, owner's agent, architect, contractor) Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: / /7 2/ 444;l- File Permit No. Tax Map No. / / Owner's Name: go is /WC 10;We i9 Fee Paid Address: pZ 7 44 e 'ct1ce o c/ gr,' 2. INSTALLER'S NAME : /1/ 4 PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present 9 x 110 gal/bdrm = yyca E, Garbage Grinder Installed yes / no w Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal Rolling loam feet feet well Steep slope clay if well; water supply slope other from any septic-system depth: absorption is 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. 12 Septic Tank: gallon(min. size 1,000 gal) h l'1' 3 � Tile Field: each trench ft. Total System Length: l ft. (,/ III w't ) Seepage Pit(s): number of size of each: ft. by ft. 3 bed 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: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read 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. Signature of responsible person Date ---- ---- - - - - ' - ' ' - r--' ��SBL, RY' � TOWN OF Q UEE . , i 740 i s APPLICATION FOR PERMIT For the operation of a wastewater t A m within the Lake r_a�...ent system George Park oersuant to 6NYCR,P Subpart 646-3 SECTION 1: System Owner (please make corrections as needed) System Location 523400 7.-1-23 JB TOWN: Queensbury TAX MAP: MC MILLEN,R09ERT,,CCROTHEA 27 MCCRWCCO DRIUEE Section 7 GLENS FALLS Block NY 12aC1 . Lot # Z- 3--- PHONE# S,C 79 3 s g'f7 (home) Sii 7ya-�ii7 (work) Srj G,5-6_91 -9 (lake) SECTION 2: General Information (please fill in as much information a I. °Type of Facility: ✓ R s you can. Residence Multiple Residence °Type of Wastewater Systemotel/Mote Marina Restaurant Cesspool ichTr Septic Tank-Seepage Pit Unknown— T ✓- Ptic Tank-Tile Field ° Neighborhood Systemown Sewer Holding Tank elrsign Average Flow l Other; Describe °Septic Tank Size. �U 9aTeoL (seeu definition on reverse °Absorption Fields: Nu—be of trenches a ons; Date Last Pumped: --- °Absorption Beds:Totaal trench length .200 . Length li of ed tros s Overall field dimensions �v�i� laterals Length of each lateral Total lateral length : Overall bed dimensions °Seepage Pits: Number °Distance Between Absorption Devicee ge and Lake Geor :of iiEli- x °Distance Between Absorption Device and any other surface Type of Surface Water Body body — 2. °Date of Original System Construction:°Date of any subsequent repairs, modificat onsnor 'a terat ons: °WaS_,A Permit ever issued to you for construction or repairs of v Yes No If yes, attach a copy of permit if it is available. ° owes this fiErTty have a SPDES** permit? Yes ✓ No 3. °Directions to Property: If yes, attach copy use A �� °Color of Main Dwelling: vest /�,�� i/�„fed �1f `�dP / Siding Type Ctoeea 11oa' onstructlon ype F��tmc °Enclose a photo o main dwe ing if you happen to have one inspectors in locating property) (to assist • 601 .16:7411.1.5. 4. ' Is Dwelling Used Seaso 31 Y>or Year-round? (ci e one) If seasonal , how many months per year! 3-1- 'Total Number of Persons Using the on Average 'Maximum Number of Persons Using the Property (July 4th, etc. ) I 5. '"dumber of: Bedrooms: Bathr Garbage Disposals: O ooms : Sinks : Dishwashers: o dashing Machines : Other Waste Generating;xtjr s : 0 6. ' In the area of the leac^-n,1 dev ce: °Topography:al,'''s+ Flat a- ty °Soil Type: and — .o,� ', 'ng Steep Slope Other; 2 , Slope scam Clay Other °Depth to Bedrock: Dec=7 to Seasc- ,' High Groundwater: 7. °Water Supply: Munici,al // Lake WF. Brook Other If water supply is a well , give separation - m absorption field S. °Property Line Dimensions or Total Area of Property: /.2.S K '7'O U 9. °If possible, please provide a general description of the wastewater treatment system. Also, please draw a sketch showing property lines, buildings, other structures, driveways, septic tank(s) , distribution box(s) , pump chamber(s) , leaching device(s) , wells, streams, lakes, and any other physical features. Include all dimensions if possible. 10. °Septic system last pumped out: Date: Hauler Notice: In a written statement, any person who knowingly makes a false statement which such person does not believe to be true has committed a crime under the laws of the State of New York punishable as a Class A M' -demeanor (Pi Sec. 210.45). I certify that to the best of my knowledge the information provided is correct. Signature of Owner: g, , m `11J& Date: /0/7lV f *OAF stands for Design Average Flow which is the average daily wastewater flow from your facility. This is determined for residences by multiply the number of bedrooms by 150 gallons. **SPOES stands for State Pollutant Discharge Elimination System. If you have more than one septic system on your parcel of land, a separate application must be filed for each system. Number of systems % • PERMIT TO OPERATE A WASTEWATER TREATMENT SYSTEM 9q This permit expires five (5) years from this date: 09/ 30/ 96 Owner' s Name (permi ttee) : Robert & Dorothea McMillen Street Address: 27 Moorwood Drive City: Glens Falls State: NY Zip: 12801 Facility Address-Town of Queensbury: Assembly Point Road Tax Map Number: Section 7 Block 1 Lot 23 This permit will allow you to operate a wastewater treatment system at the above address and authorizes you to discharge from this facility into the ground- water of New York State in accordance with the conditions and requirements of this permit for theri-od stat on 'he permit. SIGNED: Zc DAVID HATIN, DIRECTOR BUILDING & CODE ENFORCEMENT DEPARTMENT TOWN OF QUEENSBURY C' k 0 a , r qq14-740a. )rdrise6Q \ 9 c-". 4 i.a 4/\. n, 1, b NI 14` ti m �"� a o N NI v Iti o I U o - dI f-- o N 0 C Ni Z a, �, f Z 1 0 . c ti Gn 1 �t f '/ i ! k k p a /- N � yb qa a k K / ; _ a s\ a ,,. ;--;-.-,.-..7-_..,,., \ _r '- r r • Z 1 r 1, Kati I \ l \IN �O 12. . • 4 3 0 C- • (14 th w . I \k / (-o,r,„ /zs' z No OL i L >L, ti ao\ �� \t NZ `f`rE,W(5',4.y w tv 'Z70//1/•T 1 Zia Z . i $\\ i _ cirof...-/wc,---- i _._____- .geowniatesfatini � TOWN OFRECEIVED ��QUEENSBURY a 9.� V� . 63 APPLICATION FOR SEPTIISPOS 1989 FEB1 •: BLDG. & CODE DEPT. DATE ,2 14 — -Tdx �1a D 7-1-�3 LOCATION OF PROPERTY FOR INSTALLATION A SS en���v Pt Owner's Name: •Rv b ir- S. cI' l Ir (tom- Telephone: `793-5`f'�/ .o rl, . : z�v�F Address: f �, Telephone 7�7- S� Installer's Name: A - Gr"u a - Number of bedrooms (residential only) 3 _ , +_ Total daily flow (compute @ 150 gal per bedroom) s� Topography: circle one: 4 Rolling Steep Slope % of slope De the �feet Soil Nature: circle one: Sand Loam Clay Other / p Ground Water: At what depth? /Von .. . feet Bedrock or Impervious Material: At what depth? 6Jo rr e feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other ��eCea g IF domestic water supply is a Well: feet Separation: Watersupply from Septic absorption __,_,____ PROPOSED SYSTEM: Septic Tank JC?C, gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench t`? feet / Total system length G Q feet SEEPAGE PIT(S): Number of / Size each feet b y feet Size of stone to be used # 2N- / Depth or Thickness / feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (over) ltur 0, , I ; ,A''a1 it„h ;(�,,!tli'RS,r.sr5, r,•,,t 4 '/. 'i -1 =E 1 ~` r t ' ! ,,, , t;h f, itv'1 'bb, j ,', , �,t / iit I ``I 1 r '— - _ i t t t , 7 wt r . t rt:{Y't j"i `"I / i, l(V 1 -I. r 41 i• •+' •t r le t t• �'r, 1�1 t tlt .. k 1, 1 rp a ' . 1 iY ,fit. --... „--�I �. `E�i ,q r •�:-,N ` '.St , TNT s� r � . w\ ; �c I r, n ���6'�raeY �'.I. B�-�4,rJ („Ft. fock ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY. 9000 HEATING DEGREE DAYS Comolia.nce Methods : PART 5 - Acceptable Practice Method - cl99 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: SCH(froie ruic!� C. ,05/- Ce.719• AS5e,44 .,1 7" /1c� PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - /25'Q2- square feet 2 . Type of Heat - Electric Oil u Gas Other 3 . Is building mechanidally cooled? 3e Yes No 4 . ver centage of area of windows and doors it Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS S H O WN ON PLANS SUBMITTED: a . Roof R ;3a b . Exterior walls R / 9 c . Glazed areas R /.8 d . Exterior doors R a,5 e . Floors over unheated spaces R i i . Edge of slab on grade (heated building) R // c. Basement/cellar walls (above grade) R /) h . Basement/cellar walls (below grade) R / i . Heating/cooling-ducts-piping in unheated space R y.i 6 . Service (domestic) hot water heating device Confortts to minim' : efficiency per code st Yes No - TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Aop'_y-c_14- S i at _e Date Phone Number /01- /3 - 99 99Y - c4, 151 INSPE C..CR' S REMARKS: TOWN OF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 , APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date Ia " / ,19 7 7 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 0 7 t ,,� r �,�,,� �x� �{�;., APPLIANCE (check appropriate boxes). Address ,Ya.3 hi biti/ k> ci ,L,V, CISTOVE: ❑Wood o Coal in Pellet ❑Gas INSERT ae- A)c1 ,t 4/0Y0 Zip / g ?oy Keno1 FIREPLACE, FACTORY-BUILT: polIVood ❑ Gas Phone 7 Y 7 P 0 4 7 V ❑ FIREPLACE, MASONRY: x ❑ Wood ❑ Gas Owner 0 � ,++' G peliii€r+ , FURNACE: ❑ Wood peGas ❑ Oil Address A7 #190rtiaoc O °IF NON-MASONRY APPLIANCE: Manufacturer: • , Zip 10 Model: Phone - v i i 2 CHIMNEY (check appropriate boxes) *EXACT ADDRESS of prop,pseAconstruction i 0 MASONRY: 0 Block 0 Brick ❑ Stone 5S Y ' t., I, c FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTION I INSTALLATION MUST 0 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall 0 Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting ❑ Chimney Liner =- Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title 9.5 CU A 173 3389 (190) Public Safety r.' A 233 26.55 (230) Minor Sales C (. Fee Collected From or Refunded to: � ,\,- .i i I i ' `t .,� Address: Dated: if, - i ti if Town Clerk or Deputy: ,. y White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road i 5 Queensbury,NY 12804 Arrive am/pm Depart am/p Inspector's Initials c) C NAME: ` tk&t.a &) /PERMIT# --7� LOCATION: DATE : .Ar©e 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 f m freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab , Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interiot 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 enetration Sealed f ire Wall 2, 3, 4 hour f Firestopping TOWN OF QUEENSBURY �� BUILDING & CODE ENFORCEMENT 742 BAY ROAD r' QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: a FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: NAME tk CIA‘j A LOCATION RthEP-�Q2l.._`( RT -- DATE _ - 1�j-C C) PERMIT # `f'"7-7(0 -- TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODS OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT _H_____ ROOFING EXTERIOR FINISH \ DECK/PORCH/STEPS/RA INGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS • FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS _ BATHROOM FANS PLUMBING FIXTURES ;1/1 FOUNDATION INSULATION _,.. GARAGE FIRE PROOFING DOOR CLOSERS _ 1NAL ELECTRICAL SITE LAN/VARIANCE REO. NAL SURVEY PLOT PLAN 0) OK TO ISSUE C/O OR C/C O. /4 . FIRE MARSHAL Allift TOWN OF QUEENSBURY `V- QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME A.0 “..c"GAl 1_)T. qLOCATION 4-55 t _ - PERMIT# i 76 SCHEDULE INSPECTION ON 5"/25/4t) AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS `' EXIT SIGNS kI EMERGENCY LIGHTING — I FIRE EXTINGUISHERS ,I FIRE ALARM SYSTEM ` "_ FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM _ HOOD INSTALLATION I INTERIOR FINISHES I STORAGE I CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING/UNITS R UIRED SIGNAGE j __ CHIMNEY -Q Ct-konr , Oki 910D STOVE (REPLACE ASONRY FACTORY BLT. ❑R GH-IN INAL REMARKS: OK TO THIS DATE INSPSUP.PUB INSPECTOR COMMONWEALTH ELECTRICAL INSPECTION SER ,INC.. Main Office 176 Doe Run Road-Manheim,PA 1754 79—/6 — MUNICIPAL CERTIFICATE - ELECTRICAL A OVAL 'anel Board No Cert. N4 6 7 6 7 6 Cut-in Card No. )wner 6 /0 /N 1 e-4,.e7u �( t .ocation / 3 7 —5 se , / c ' /0 ' L- 1�' nstallation Consisting of T( t"/ it 42 sy-Recce 3/ P L) 7 'S . Y...1eE.,C Qiu.) ,�Z14-Iu 6 6/ C 4 i1�/P15 n' 6 - i ,� zy F,-,u5 /CG= nstalled By S /iQ C.A iq�.� Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is :ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the ntroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its ules are violated,the Company shall have the right to re oke his ificate. )ate ZS--,vU INSPECTOR. ` Member N.F.P.A.,I.A E.I. .. . Q.'/Ijkl/ C9 PP RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depa . Town of Queensbury Inspector's Initial L C.,.7 742Bay Road Queensbury, in 11l e eensbury,New York 12804 NAME ,_ e % PERMIT# 7L9 LOCATION Lr irk y DATE_ - G TYPE OF S it '' N/A YES/ NO COMMENTS Chimney Height/'B"Vent/Direct Vent Location 11/ Fresh Air Intake ✓ Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" fi> Exterior Handrails,balconies,landing 18' .or more ' Interior Handrails stairs both sides 3 or m e risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off expbsed/regulator 18'above I.ade Gas Furnace shut-off within 3E3,feet or al me of site /V,/,. Oil Furnace shut-off at entrance to furna - area Furnace/Hot Water Heater operating Relief Valves)installed (//1( 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" f Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 13 in.or more Railing across window in stairwells 4 f Smoke Detectors: V�every level every bedroom J' i outside every bedroom inter connected Bathroom fans / Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer /7 Garage fireproofing Garage penetrations sealed ,/ Furnace in separate room protected(in garage) Light ventilation per rt!// Safety glazing 18"or le fr floor Final Electrical 'I 2- / t�s (') Site PlanNariance r u' / Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) L Okay to issue temp.C/O(Certif.of Occupancy)_ * M. li& feM.f 64 Okay to issue permanent C/O(Certif.of Occupancy) t&-i - GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: ' S c9 Building&Code Enforcement 742 Bay Road 1 � L Queensbury,NY 12804 Arrive am/pm DepaN p}n Inspector's Initials NAME: A46./�+�/Izov� t W PERMIT# 7 LOCATION: ! 7 ! rh ��DATE : ") TYPE OF STRUCTURE: 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 placement of the concrete. ( Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval ,. Plumbing Under Stab 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- poper Vent,Attic Vent Jack Studs/Headers B cing/Bridging ',foist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Sealed ran 2 3,4 hour �~ i ypingL-1 `�c� ��r- t 2 Y ` , FIRE MARSHAL Ala TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME (j(iµ i<c6,✓ i LOCATION _ • �T. __ PERMIT# SCHEDULE INSPECTION ON IFfat) AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS _ EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM _ FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY rSTOVE ❑MASONRY ACTORY BLT. ROUGH-IN C "Oi(Z ❑FINAL REMARKS: - ❑ OK TO THIS DATE A( 4034 09 ogat) 6-kktp u ,(- I RL) ��1A INSPSUIP.PUB INSPECTOR V) 1S - , 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/1' 7C� -pm Inspector's Initials (( NAME: PERMIT# ' ---1 o LOCATION: \ ., � ' ' DATE : ' �r C2) we TYPE OF STRU �.u� . RECHECK N/A YES NO COMMENTS Footings/Piers 1, I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providin protection fro ing for 48 hogs following e pl.cement of the con ete. Materials for 's purpo on Si - Foundation/W 1pour Reinforcement V. 1. - Foundation/Dampp .$ g Backfill Approval ,�- � Plumbing Under Si.' 614 1 o '`; �' T.. RK Plumbing Vent/Ven in Place Rough Plumbing Hea $1 Rough-In -�f ,aon . Foundation W.i s Interior R- Foundation W= s Exterior R- / Floors R- Walls R- 1 ✓/ Ceiling R- j0 Il Duct work or piping in unheated spaces R- / r Vent, Attic Vent ,.• r11,3c Studs/Headers Viit • racm n Joist Hangers gg A5 46 c- /1,4 o6 C RS e 2-�{-'c. . cat vi lL g • Jack Posts/Main Beam / -eA4 i r t'. A4 - ;ir Infiltration Barrier v A/9W it ii i e Kiev r Et,rrn/a-o vr t Fire Separation 1,2,3,hour RGA-g- CORA.i : Penetration Sealed re Wa112. 3,4 hour .E- “, a$•i _l$„Ueuf -Pt 11t-( .Ser f Jc. Cd . 6- j\RE-VEY ,4Cc. K, i, I F`TS /U i CO FF t 1 a/C C ltkrIt c-r'&f 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 / q Arrive 1 .fi1;,am/ -') Depart • p ' (C s�1 i��,� pector's Init' NAME: --ram ' T# LOCATION: TYPE OF STRUCTURE: erY t < . , RECHECK E ; N/A YES NO CO NTS T/ ' Footings/Piers I. Monolithic Pour Form - -- _-- Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the . : ent of the concrete. Materials for this purpose o site Foundation/Walipour Reinforcement in Place FoundatiON9ampproofi i Backfill Approval Plumbing Under Slab Plumbing Vent/Vent• in Place Stough Plumbing (Heating Rough- Insulation Foundation • alls Interior R- Foundatio Walls Exterior R- Floors R- Walls R- Cei g R- t work or piping in Jjt unheated spaces R- Proper Vent,Attic Vent yeraming A ./ Jack Studs/Headers Bracin rid O is W*\ Ek sv L ac C 6CL. Joist Hangers / Jack Posts/Main Beam ;/ RV7 Air Infiltration Barrier 11,, I L•-i Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour (Pirestopping � `J f.�\ C � / U ►' 5 () TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 1 �P.11�� Location Date a- ermit # SOIL TYPE: Sand-Loa ► . ay- Results of Percola ion est- (if applicable) Rae-Mi ute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: ota Length Length of each tr- ch Depth of trenches Size of Ste e , SEEPAGE PITS. mier- Size - ft. x ft. Stone size PIPING: Size ype Bldg. to Tank Tank to Dist. Box Dist. Box to Field/P't Openings Sealed? es No Partial LOCATION/SEPARATIONS Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot elan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: cow,-GG IJ- 1c c Xis/l) ys ,� C,rp s'� - SYSTEM USE APPROVED: Edi-) NO Arrived: ld`3f Departed: Building Inspector cQ; )$3J� GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Quccnsbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart 1 t• m/pm Inspector's Initials P NAME: W C\ Plid PERMIT# tp DATE : - cL LOCATION: ` — �"1 rj��C' _ -)C.2) TYPE OF STRU TURE: RECHECK N/A YES NO COMMENTS Footings/Piers I l I Monolithic Pour Form_ Reinforcement in Place The contractor is responsible for providing protection from king for 48 hours following the . • ent of the concrete. Materials for this purpose oI 4 Foundation/ allpour Reinforcement Place__ Fo ion/Damp. o• • ✓ _ ckfill Approval - Plumbing Under Slab Plumbing Vent/Vents in PI'cc Rough Plumbing Heating Rough-In _ Insulation Foundation Walls Intel or R- Foundation Walls Extf 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 I, 2, 3, hour Penetration Scaled Fire Wall 2. 3,4 hour Firestopping_ I GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Quecnsbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Quecnsbury,NY 12804 Arrive_ am/pm Depart i • is Inspector's Initials -,A NAME: �'}ClieWi eK jlen /PERMIT# ! 7' LOCATION: C—i"- . r J. DATE : 1 1 --it?& TYPE OF STRUCTURE: RECHECK N/A YE N COMMENTS ootings/Piers ...-1 I Monolithic Pour Form Reinforcement in Place t ' O1- The contractor is respon ibl for \ � ` eAl"O TI-0 flix&-, Vftoviding protection from f 4 zing for 48 hours following the p accmcnt of the concre Materials for this se on s c Foundation/Wal 1pour_ Reinforcement in Place__ Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pia. _ Rough Plumbing Heating Rough-In _ Insulation Foundation Walls Intuit R- Foundation Walls Exteri.r 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 I, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping _ — r0:/v,7 /1';'o-4.7t/a.72/ (r2// c_) --'� '^ p S�6�r G'l FA6/j'�%c/ o h - - ,.., , 1 d'odb'o'dd r' Noli/ // 1 97/ , ro rl Xo/ � ;�d� ' .999 5- Z.. �e / !YN 27C{1 ID (`� S t t 796/ p4- `�4- r..On n0� od f - vT1I' �'c�'cr ^'�i I oirnr? 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