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99-219 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date .1i i 1 z r a m 19 _ 9 9 • This is to certify that work requested to be done as shown by Permit No. 2 s • . has been completed. • This structure may be occupied as a RESIDENTIAL ADDITION & 1-CAR GARAGE 2 2 HONEYSUCKLE LANE Location - Owner SUPPLY, MAY TAX MAP NO. 8 . -5-11 By Order Town Board OWN OF QUE NS URY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY VALUE $ 30000 No. 99219 TAX MAP NO. 8 . —5-11 WARREN COUNTY. NEW YORK PERMISSION,is hereby granted to SUPPLY, MAY OWNER of property located at 2_2 EIONRY S UC MAW LAMP Street, Road or Ave. in the Town of Oueensbury,To Construct or place a RESIDENTIAL ADDITION & 1—CAP r-taP AGE 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. OWNER'S Address is 84 TRUNBERRY COURT POUGHKEEPSIE, NY 12603, 2. CONTRACTOR or BUILDER'S Name DUVAL CONSTRUCTION 3. CONTRACTOR or BUILDER'S Address 94 WEBSTER AVENUE GLENS FALLS, NY 12801 4. ARCHITECT'S Name ATLANTIC INLAND 5. ARCHITECT'S Address RD#2 BOX 60 GREENWICH, NY 12834 6. TYPE of Construction—(Please indicate by X) , . RESIDENTIAL ADDITION II Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications 432 rgt FT RESIDENTIAL ADDITION (2 BEDROOMS AND BATHROOM) AND 1—CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use • RESIDENTIAL ADDITION & 1—CAR GARAGE $ PERMIT FEE PAID —THIS PERMIT EXPIRES May 19 19 2001 (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.) 1999 Dated at the Town of Gueensbury this 19 ay of MaY 19 SIGNED BY for the Town of Gueensbury Building and Zoning Inspector BuildingPermit` Application Town of Queensbu,'y - Dept. of Community Development, 742 flay Row!, Qneensbwy, NI' 12804 /761-8256/ BUILDING (1 . CODE ENFORCEAIEN7' IldICE Requirements prior to issuance r of this permit: PERMIT'FILE NO. °119i—0.... ci- A permit must be obtained before beginning construction. No inspections PERMIT FEE PAID$ ��. O 0 will be made until applicant has received Zoning Board Action a VALID BUILDING PERMIT. All Area /Use applicants' spaces on this application RECREATION FEE PAID$ • MUST be completed attid•the signature [I Planning Board Action 0r of the applicant must appear on the REVIEWED BY: SPR / Subdivision /Other Building liopecior plicntion form. n n Recreation Fee Payment r J Applicant:. e7/7/I is '. 0 'k7 ,-- // /22� sGG��Owner: �� )) c� Address: �)/C2I///&' 7c✓ 91 sD_d kir Address: t? ) n e cee/s Le /-4'/1 e Phone # ( )2 5- 2 yd' Phone # ( • )�56 - 3a e hem Property Location: /-pull effS ceGK /e 2 A e � 1/ Subdivision Name: Tax Map Number. __L i — Swim block I apt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ 36 00 0 residence / commercial i X Addition to Building: residence / commercial OCCUPANCY INFORa€CelvED Alteration to Building: Primary Building - • residence / commercial • X Single Family n Residence / Commercial , Two Family Dwe ing� 9g no change to exterior size Fami3fVwJL' Office 13UILDIfVGA DrCODEY Other Work (describe below) Mercantil Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: Lie,rrv5P�ce �3a ��J`<-" a Sd �� If ADDITION, what will use • 1st floor. 63 -- sq. ft.,. ... of new addition be? : 2nd .Floor ..:: , sq. ft.Other Flool;a ` sq. ft. s 7 Cir • e a g�i-oo jarzs, D roai2 (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: ( , zS SQ. FT. 1/Attached Garage () 2 car Private Storage Building • SIZE OF NEW STRUCTURE: S/2 . Commercial Storage Building 30 FEET X 3D FE +/°�`'x/ - - Other Foundation Type: " Will any second-hand or ungraded ' Number of Stories : D. lumber be usec�7 If so, for what? (habitable space only) d Height (grade to ridge) : feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodsLove ' •le all which applies) to be installed: Q / Oil / Gas / Wood Force. Clot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is : Dc?I7/s., V2ri'a2'it / /-7' uK/.n d ,9 -e .S'o_ G irs 1 (/c Willie Addresoo Phone . yS-7.0•1 '8 . Builder: Pei7i2,-� ,r, •Ql // • Plumber: f3o6 il!` lyre . A' )Q3-3 O/ . Mason: dal/ df' ///ea L,/, ceo n /Qi 5 . �,F. Electrician: DPW/fr.c ,O, fQ// DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that h/we shall submit prior to a Certificate,of Occupancy••or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed survey • drawn to scale, showing actual location of project on premises. Signature: (ownerr4 (0""7 er's ages architect, contractor) - Application for SEPTIC DISPOSAL PERMIT Town of Queeasbury �P Dept. of Community Development Permit No. Building&Codes Office RECEIVED 742 Bay Road Fee Paid $ Queensbury, NY 12804 J U N 1 6 1939 Location of property for installation: : r. br a ) c Ac Cy Property Owner's Name: /Mel c Property Owner's Mailing Address: O� ® P Ufoc /j L Installer's Name: / 5- . )>/ c Phone # '9Y • Number of bedrooms (if residential): Total daily flow: dO (residential -compute @ 150 gallbdrm.) Topography: _Zat, rolling, steep slope % of slope • Soil Nature: /` sand, loam, clay, other /depth: Ground water: at what depthYU/F feet / Bedrock or Impervious Material: at what depth? feet Percolation test:/(/ /'►not required, required [rate min. per inch] Domestic water supply: municipal, e wee other 64 If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM • • Septic tank/2) gallon (minimum size: 1,000 I.) Tile field: each trench p feet / Total system Ieng : (� feet Seepage pit(s): number of / size each: . ft.by ft. Size of stone to be used: # / depth or t>iiclmess feet • HOLDING TANK SYSTEM: (if required) Number of tanks: : Size of each gallon (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 Qo ecsbury, 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 sad aII reTiremects of the Town of Queeasbury San4Ary Sewage Disposal • Signature of responsibleate: d4/-,D Q Person: ;•ECE1VtD _ =-- ENERGY CODE COMPLIANCE APPLICATION MAY 0 5 1999 -1= TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS TOWN OF ../UI ENSBURY - BUILDING AND CODE 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 N PROPERTY LOCATION: /22a, 514e p L y eiviefr_sot /( O : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: °q 1 . Gross Floor Area - g / sctuare feet (9 /` ��Ge �a✓'d S9T� • 2 . Type of Heat - X Electric Oil Gas Other 3 . Is building mechanidally 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 3 g b . Exterior walls R a I/ c . Glazed areas R a, d . Exterior doors R /0 e . Floors over unheated spaces R f . 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 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code X Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Ap•Alf cant)' s S '�,ature Date Phone Number /?47/S %z �/ ,�— 3 --'q1 7 �-r'S- 7&3 47`2 INSPECTOR' S REMARKS : 1 RESIDENTIAL FINAL INSPECTION REPORT \0''6t VI IA Office No.(518)761-8256 Date inspection request received: Building& Code Enforcement 9 ( Dept. of Community Development Arrive am/pm IDepaa'r—"�4•J Town of Queensbury Inspector's Initials -J 742 Bay Road Queensbury,New York 12804 NAME Ftq \s3 OV?IA PERMIT# �—net LOCATION 22 ►,.Ho ��L9‘)C)4tE LPo.. DATE .7- -cq TYPE OF STRUCTURE 9,' _ Fro p J t_R�1 F c / N/A YE NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake _ Plumb Vent through roof 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 ore risers / Grade 2%away from foundation / ✓� 8"clearance to sill plate Gas Valve shut-off exposed/regul or 18"a e grade I Gas Furnace shut-off within 30 f t or wit} line of si Oil Furnace shut-off at entrance to furade area Furnace/Hot Water Heater opera' / • Relief Valve(s)installed Headroom,6 ft. 6 in. on stair( 7( . Basement stairs,6 ft.4 Handrail exterior,st irs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight >/ Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells �/ f Smoke Detectors: V every level every bedroom outside every bedroom t� inter connected Bathroom fans J , Plumbing fixtures Foundation insulation f 3/4 hour fire door/door closer ✓/ Garage fireproofing ✓ Garage penetrations sealed Furnace in separate room protected(in garage) ���/// / Light ventilation per room ,/ Safety glazing 18"or le:s fr m fl r_ . .l Final Electrical 3 qi tt j Site Plan/Variance required / Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/O(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queeusbury, NY 12804 Arrive am/pm Depart 41p, ,- Inspector's Initial:Or_ i NAME: H P 6S P PERMIT# Cl i• • LOCATION: N 0).-1'F`Zl-)0C F - L ilkcs DATE : TYPE OF STRUCTURE: RECHECK N/A YES' NO COMMENTS Footings/Piers ‘71- Monolithic Pour Form Reinforcemen • 'lace The contra,for is r• possible for providing otection from freezing � �" for 48 hour, followi g the <' s of the concr e. —\���. v©� Materials for th pu .ise on site Foundati•n/Wal •• Reinforce - • Place Foundation/Dam a proofing Backfill Approva Plumbing Under lab Plumbing VenUV pts in Place Rough Plumbing \1 Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- 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 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 ay Road �Q Queensbury,NY 12804 Arrive am/pm Departs am/pm Inspector's Initials NAME: - -P PC ` PERMIT# et 9` i LOCATION: `a Et,,,,,, • DATE : 7 l TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection om freezing for 48 hours followin the placement of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Ro, gh Plumbing ling Roug-In viCs"ulation p j2ov . 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 Uv GENERA INSPECTION REPORT l Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement q / 742 :t ay Road la' J a�n/ m Queensbury,NY 12804 Arrive am/pm Depart p Inspector's Initials NAME: ' PERMIT# L C\ LOCATION: DATE : 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 placem,nt of the concrete. Materials for this purpose on.,ite Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab 2Timbing Vent/Vents in Plaice ou Plumbing N'k L Pc Ling Rough-In 7 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 Bather Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping L÷Bele A Al GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: b )4 5 Building& Code Enforcement 742 ,ay Road Queensbury,NY 12804 Arrive am/pm Depart if '' pm Inspector's Initials 4 r2-1-- 1 9Q9/ 7( NAME: An A-' PERMIT# 2/ S�R i v-7 LOCATION: . DATE : A Co v%9 G dI, TYPE OF STRUC ). RECHECK cP N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form _ Reinforcement in Place The contractor is responsibl for providing protection from ing for 48 hours foll'wing the lacement of the concrete. Materials for this p se n site Foundation/Wallpo Reinforcement in Place Foundation/Dampproo g Backfill Approval Plumbing Under Slab7/ Plumbing Vent/Ven in Place R ough Plumbing �,u5 i��� N �� PvA-1S5 f Heating Rough-In ;/hsulation- l Foundation Walls Interior R- Foundation W,ills Exterior R- Floors Y R- Walls R- ✓l Ceiling R- JV Duct work or piping in unheated spaces R- roper Vent, Attic Vent 'IFra_Yning Jack Studs/Headers Bracing/Bridging tiSLk eb Joist Hangers Jack Posts/Main Beam pkir Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept.off Community Development Date inspection request received: Building& Code Enforcement 742 ,ay Road Queensbury,NY 12804 Arrive 3i Depart 3 AO • lY:•��f Inspector's Initials NAME: \\IA,li `� �-' U � � PERMIT# � � LOCATION: ' � ela DATE . C\ TYPE OF STRUCTURE: (s RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible fo providing protection from = ing for 48 hours following the pla4ement of the concrete. 1 Materials for this purpo on si 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 Interdr R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Jack ea.ders racin -•dig �v= �o- F " c- Ot� -K-Qk7'71J'0 oast Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 'j v/Ver›.i - �. nn Location A . YT _ Date 4 A-----\ ( if Perrpit # if-2P/1 Iitlay- ,SOIL TYPE: SandLoam Resulis of Per,'col ati'on Test- (if applicable) Ratye-Minute/Inch TYPE OF SYSTEM: ,i ABSORPTION FILD:/Total Length Length of each trench Depth of trench s Size of stone` SEEPAGE PITS: Number- Size - ft, x ft. Stone size I? PIPING: Type Bldg. to Tank��, Size T e Tank to Dist. ,ox Dist. Box :to; Field/Pit Openings Se filed? Yes No Partial LOCATION/SEPARATIONS: Foundation ito Tank feet Foundation o Absor,ption feet Separationiof Pits \ _ feet Conforms as per Plof'Rlan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle on ',) �_ Front - Rear - Left Side - Right Side Middle Fron - Middle Rear COMMENTS: V) G 2ivu,i 81,-&-ie K K `Irr V/6G— c, A ---u ,U u S Sc e po SYSTEM USE APPROVED: 0 NO Arrived: Departed: /10 , jaa___— Building Inspector IliIlk 0 urar OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 1lA %. Location _9;._ 4x-_, I ,e DateULIIM1 Permit # 901 - ja SOIL TYPE: Sand-Loam-Clay- Results of1\Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of eachy trench Depth of treniches Size of stoner SEEPAGE PITS! Number- Size - / ft. x ft. Stone size f PIPING: Size Type Bldg. to T15k Tank to Dist. Box Dist. Box Ito Field Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundatioh to Tank feet Foundation to Absorptio ' feet Separatiin of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPE° Y: (circle one) Front - Rear - Left Side - Righ . Side Middle 'ront - Middle Rear COMMENT': /2 /J,4-c e_ 6 --` 3 Lcc-T rc,6-5 — �-c— Ic e-ti /oIs 5 <-iP Co vA c c 7 P P P to-62 K r°, iti�L .4/:°govg • SYSTEM USE APPROVED: YES NO Arrived:: ,�l Departed: \J1L- Building Inspector ►r�� 1111111 TOWN OF QUEENSBURY Sr BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Dat(i9— Permit # — (7. SOIL TYPE: Sand Loam Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Lengirh �Jv Length of each trench Depth of trenches Size of stone SEEPAGE PIT : Number- Size - ft. x 't. Stone size PIPING: S ' /e Type Bldg. to Tank Tank to Dist. Box 50e 35 Dist. Box to Field/'' i Openings Sealed? f- No Partial LOCATION/SEPARATI, , Foundation to Ta Cs, feet Foundation to Ab orption i(e) feet Separation of P 'ts _feet Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPER e one) Fro - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: Q / )v CC—C._L-i4 orJ (R4t -- b K xPe:56 (,�PLc-T t�v/I FCC SYSTEM USE APPROVED: YES (12) Arrived: � Departed: C=� Building Inspector , oap- GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: !v/1 I/9 q Building& Code Enforcement 742 ay Road z, Queensbury,NY 12804 Arrive am/pm Depart L . a am/pm Inspector's Initials d NAME: ��1, 1 PERMIT# (.-__ a� LOCATION: DATE : 5 5 TYPE OF STRUC �.n 440 / RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from • 1'1 : for 48 hours following the aceme of the concrete. Materials for this purpose oi site Foundation/Wall .u. Reinforcement in Place Foundation/Dampproofing packfill Approval J Plumbing Under Slab C-k51- RO A 1,0,j Pc_ P bing Vent/Vents in/Place ough Plumbing / Heating Rou In5eriis Lion \ l t ►/ o M �-- undation Walls Interior R- /d >� 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 11 1 Town of Queensbury tie? Dept. off Community Development Date inspection request received: (p %� /� Building& Code Enforcement 742 ss ay Road ' I`l.-a� Queensbury,NY 12804 Arrive am/pm Depart pm/pm Inspector's Initials N/ NAME: tiA �� �' PERMIT# LOCATION: a _ DATE : (v f TYPE OF STRUCTURE: i ah x1 //C4-� 3- r RECHECK / 0 N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsibl- or providing protection from 'reezing ' for 48 hours following placement of the con ete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Pl. Foundation/Damppr,.fing Backfill Approval Plumbing Under SA b Plumbing Vent/Vents in Place Rough Plumbing Heating Rough- I Clation fs Z I v-Le — n Foundation Walls Interior R- t O V I T'16-0 E-- ,�AiQ< c - 1 A) V"-4C6 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 Z) GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: 2 q Building& Code Enforcement 742 ,Lay Road Quee:sbury,NY 12804 Arrive am/pm Depart l O, p Inspector's Initials / NAME: ' I , PERMIT# / LOCATION: _ .iill&:..4 c k(o�-�r+�--HATE : (� 7 `y9 ( 1v'-) � TYPE OF STRUC K , P. 1,%' — RECHECK N/A Y) NO COMMENTS `ootings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible 'or providing protection from ::zing for 48 hours followin: the pl. -men of the concrete. Materials for this purpose I si:r- Foundation/Wallpour Reinforcement in Place Foundation/Dampproofiing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pl. e 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 lupin uF QUEENSBURY 4.1 BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 SL)/1- (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ' -t/ • : / f Location Date OA- 4g Permit # 99 2)9 SOIL T PE: Sand-Loam-Clay- Results of Percol 9tior\ Test- (if applicable) Fate-M.nute/Inch TYPE OF SYSTEM: ABSORPTION FIELD/ Total Length Length of each rench Depth of trench ;s Size of stone SEEPAGE PITS: NIumb.e"r- Size - ',�- V x ft. Stone size - PIPING: t , Size Type Bldg. to Tank Tank to Dist. Bo* Dist. Box to Field/Pit Openings Sealed? ' Yes No Partial LOCATION/SEPARATIO S: Foundation to Tank feet Foundation to Absorption feet Separation 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: • • SYSTEM USE APPROVED: YES NO Arrived: h Departed: Building Inspector ./YVTL, : do, we//s 4f,/t17to WO . of: n&,.4i I cZ&I1 !'/e2id N i have seen or observed,or Whew 1 sew .,`Q- la"li obje t s has houses we ��' howndocument !alas ► "' _.- ,rsonaliy m;a ed the dlS'`�r+etlR Ikne �, - - — `� Z --' h Field , o' I_=__.__ p..,SIGNATURE-.., . '--- t. 2,0 6' 0, c. \-- Q - itE \ cc. L. '\. O `J '16 I5 T�1T n I< /05 1 GO Se P > puSL , er 1 \ �, — .i , ... .L, 05 l Pi 0 - _ y"_--� AD 0 Iry wAY_ `\ pR(V E--" r rVrcE GO/)/)eC r ro�i heru�cel 1 P4 Eo_._ ----- 7 reer--Araze4d wee. se bas��n,enT d' lczKe ,e.o^gam i TOWN OF QUEENSBURY BUILDING DEPARTMENT r water R4Cen/ in ',_./ --3 Based on our limited examination, g a ptE' d ? ' 0 L G P compliance with our comments shall J not be construed as indicating the `S • .-. plans and specifications are'in.full • C compliance with the code. • V NOTICE . �, • SMOKE DETECTORS ARE REQUIRED IN BEDROOMS, /Ian s how rnry nV W add(Teo() c-n d s ep i T IC- 5 5 Ten' " /3 cs ADJACENT TO BEDROOMS,AND ON EACH FLOOR LEVEL /Lfary S4.pp f, l'--ho ney.c ck le Ja /,L, 1155e/n b ly P©,,i T' DE\ INCLUDING CELLAR OR BASEMENT.ALL SMOKE b, Dell er,s d, L701/7Al PC-14 'q 9 TEcTORS SHALL.BE INTERCONNECTED ON ALL LEVELS. ., FouR 8 ed room s u,r 1'!, n u.i a old r riot) i 30 '