2001-125 TOWN OF QUEENSBURY
w 4y742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010125 Date Issued: Friday, November 09, 2001
This is to certify that work requested to be done as shown by Permit Number P20010125
has been completed.
Tax Map Number: 523400-301-014-0002-007-000-0000
Location: 42 MC ECHRON Ln
Owner: VASILIOU MICHAEL J INC
Applicant: MICHAEL J. VASILIOU, INC.
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling / i
Director of Building& Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes. (518) 761-8256
BUILDING PERMIT
Permit Number: P20010125 Application Number: A20010125
Tax Map No: 523400-121-000-0001-002-000-0000 j J ) i f x ,MA-10 (UO'
Permission is hereby granted to: MICHAEL J. VASILIOU, INC. . °
1. 19
For property located at: PEGGY ANN RD.,OFF
in the Town of Queensbury, to construct or place
at the above location in accordance with 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. Type of Construction Value
Owner Address: MICHAEL J. VASILIOU,INC. Single Family Dwelling 246,975.00
23 SUNNY WEST LANE Garage-2 Cars Attached
LAKE GEORGE,NY 12845 Fireplace
Total Value 246,975.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
VASILIOU,MICHAEL,INC. COMMONWEALTH ELECTRICAL A(
23 SUNNY WEST LANE
LAKE GEORGE,NY 12845
PO BOX 706
HAGUE,NY
Plans &.Specifications
2001-125 THE GROVE LOT 7
2934.4 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT
PLAN SPECIFICATIONS
$724.00 PERMIT FEE PAID-- THIS PERMIT EXPIRES: Sunday,April 27,2003
(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.)
Dated at the Town of Queensbury; Friday,April 27,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
. Butlding Permit Application
. Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, .NY 12804 1761-8256J
N
'° BUILDING & .-C,ODi ENFORCEMENT
NOTICE Requirements prior to issuance r .
of this permit: PERMIT FILE NO. 1/ i. ®/A permit must be obtained before
beginning construction. No inspections �^1 r� S_
will be.made until applicant has received n Zoning Board Action PERMIT FEE PAID: '
a VALID BUILDING PERMIT. All • Area /Use $
applicants' spaces on this application RECREATION FEEQhD
MUST be completed and•the signature n Planning Board Action 31.
. of the applicant-must appear on the REVIEWED DY. no
SPR / Subdivision /Other Building Inspector
epplication form. 2x,a,. .} Recreation Fee Payment •
Applicant: AileAtAtez .T�,llsIL/De{, .r/ye. Owner: S/zPM
. ' Address: %57,01 lfY /1-4-S7 4 4n'E' Address: 1/45.40/gr
„MKEgEDAISW; n.Y. /ergs •
Phone # (5/r. ) 66e - owe . Phone # ( ) -
Property Location: LD( *7 Mee h'#PD/9 Ligrt- • -- - r ? I i
Subdivision Name: THE gf,p y . Tax Map Number_ -- ,---,
Section Block i.M ,
NATURE. / OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
V New B ' 1. ' n. : CONSTRUCTION: $ 296, 9767 �D
esidence / commercial
Addition to :uilding:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial . ✓. Single Family Dwellin
Residence / Commercial Two Family Dwell It:
no change to exterior size . Family Dwellfil
Office
Other Work (describe below) Mercantile ��R• ManufacturingIO4 QFQ/ Other BUILDINGGROSS AREA OF PROPOSED STRUCTURE: /15 '
1st Floor /30 7. 7 sq. ft . j If ADDITION, what will use
Q of new addition be? :
2nd .Floor • /6x6, 7 sq. ft.
Other Floors sq. ft. .5
(not unfinished cellar or ba - tent ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: g goof.y S , , Attached Garage 1,a? car
41" a-S Private Storage 'Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
(OO. 6FEET X .(i.6FEET Other \
Foundation Type: Will any second-hand or ungraded
' Number of Stories: lumber be used?. If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all whic . .plies)
to be installed: / Electric / Oil / a / Wood
orced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building .
codes is : 40A4/ Derof/C. (e/8)SS7- 977.3
Name Addresss Phone
Builder: frieL'/ Arzz YASitro'4 (Sir)G' e- SPSB
Plumber: rAdR foYol ( ./8 79f- 40399
Mason: 7F0r/4‹,esl6'xiP (5/e) 793- .t7a7
Electrician:pgr Din6'4 44, / (Sin) 7q - 7G 24
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 Uwe shall submit prior to a
Certificate of Occupancy''or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surve r; drawn to scale, showin actual location of project on premises.
Signature: e �t,iTj��
(owner, owner's agent, architect, contractor)
Application for Permit—Septic Disposal System
Town of QueensInn y 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Office Use
Location of installation:LOr#'7N_I deigJyt h/ e
File Permit No.
Tax Map No. / /
Fee Paid
Owner's Name:/I!CN/PSL T`Aryk k e, ZIJG'.
Address: .?3 S'4t,1lY Meer LAwe-
LA7KE l'E'oRo'E, il/l' / ?swe
2. INSTALLER'S NAME : 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 - x 110 gal/bdrm = CVO , S Szb4,)
Garbage Grinder Installed yes / no 1"
Spa or Whirlpool Installed yes —7/ no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
To o ra h Soil Nature Ground Water Bedrock or Im ervious Material Domestic Water Su 1
lat an at what depth at what depth Tunicipa
Rolling loam g feet feet we
Steep slope clay ,,/d,//g if well; water supply
_%slope other �f from any septic-system
depth: absorption is ft.
other
Percolation Te : (To be completed by licensed professional engineer or architect)
• Rate: /1,/,4 minute per inch 0 •QE7)er 'niri6D
$Y sa8aows.ort o4P0 0yr44.
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.
/Sri
Septic Tank:.. gallon (min. size 1,000 gal)
2 7 U 7)6-
Tile Field: each trench SW ft. Total System Length: ft
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # .� / depth or thickness / '" 541.64
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: C / 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.
&rise‘ i-te:jer.
Signature of responsib a person Date
•
/__ ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Comol fiance 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:
0/ ?NAEc 1,77ysiliau,s'•1C. L614 7"if°EC/twee Z,q,-
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 9344 4/ square feet
•
- -2 . -,roe of Heat - Electric_ Oil Gas Other
3 . Is building mechanically, cooled? Yes ' No .
4 . Percentage of area of windows and doors Over 17% VUnder 17%
5 . R-VALUES FOR INSULATION. GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R kgd
b . Exterior walls R /of
c . Glazed areas R �-
d . Exterior doors R ?.
e . Floors over unheated spaces R /g
. Edge of slab on grade (heated building) R //
c. Basement/cellar walls (above grade) R /9
. Basement/cellar walls (below grade) R
_ . Heating/cooling-ducts-piping in unheated space
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code ✓ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
ign Lire Date Phone Number
6/ (S/49 GG e-srse
INSP=C=OR' S REMARKS:
Tire Marshal's Office Town of Quecnsbury, 742 Bay Road,Qtieensburv, NY
(518)761-8205
— Application for Fuel Burning Appliances & Chimneys: '
applicable to solid fuel & vented gas appliances `
•
Date °- ,20 '' ® Permit No.
Application is hereby made to the Building& Codes O//ire/nr the issuance of'a Building and Use .
Permit pursuant to the New York State Fire Prevention and l3uildinsr Code. The applicant or owner
agrees to comply with all applicable lws, ordinances;.regulations, and all conditions that are part of
.these requirements and also will allow all inspectors,to eater;premises to perform required inspections.
Ozo
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name:, liCrr ,r , v lick. ,, ..l, l�. Stove: wood coal pellet gas
' ' Fireplace insert
Address: •m6 : .i9,r v g',., ;,z r Z A Fireplace, factory-built: wood
, ,, , , -'" 61 o' r /X Fireplace, masonry: wood gas
Furnace: wood gas oil _
Phone: ( ) ssr‘?....irecr
If non-masonary applicance, please provide
Owner: Manufacturer SE-4.0e/Oedc
Address: • Model Number: ,,, a) �' �" . .
•
- - Chimney Information
'., . Phone: ' (circle appropriate words)
Masonry block brick stone
�+- Flue tile steel size: inches
-,' Exact Address: r, . - ',,---- r�. i
of construction or installation Factory-Built
Manufacturer name:
Model Number:
• Note: Listed By: Number:
Construction /Installation must
conform to NYS Fire Prevention &Building Indicate (circle) chimney material: '
Code. Consult available Town of Queensbw.lr
Handouts regarding required inspections. Double wall / Triple wall. / Insulated / Direct venting
Chimney Liner
C.ar ar er',r l *epn tmezt— T4o,ydsr-xx cur 4cov ee:n ErbzZZ-3r, Are wirr Y"oz'1 j
•Fire rflarshrrl Code # �` 1. t:
S Collected S Re/irnded Received fromIrc./irnded to): i r (_ ' Ct t,', " /Gi I r,_. K 1 0
r C address:
.4 173,3389 (190) Public Safety r -)• ,,,.- — —
.4 233 2655 (230)Minor Sales —
lel• i„ ' t
l �r 0 ,,, ..� _ T Get oz .v7,ux3.W 4.__...,,,:'14'", LA. A.' ,1".
- •
White(Applicant) Green(Fire Marshal) ! Yellow(Bldg. Dept.) Pink&Goldenrod(Cashier's.Dept.)
li]PrJ �E.PEPLTrJ dEPLPLIMP Pr.PLIEPLEOPEEPEDEEPLOP r_PLPPrJPPr Pr.Pr�E.PrJ�rJP Lin
5 THISCERTIFICATE OF COMPLIANCE THE 5
BY CERT C E
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 5
5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038 C�
CERTIFIES THAT 5
��� 5
5 Upon the application of upon premises owned b 5
55 5
5 FOREVER ELEC/BOEL ELECT. *VASILIOU BUILDERS
5
5 2446 JAFFREY STREET 7 MCECHRON LANE 5
5 SCENECTADY, N.Y. 12309, QUEENSBURY, NY 12804
5 Located at 7 MCECHRON LANE QUEENSBURY, NY 1280 5
5
Application Number: 1018919 Certificate Number: 1018919 5
5 5
Section: Block: Lot: Building Permit: BDC: A239 5
5 5
Described as a Commercial occupancy,wherein the premises electrical system consisting of q
electrical devices and wiring,described below, located in/on the premises at: 5
Basement,First Floor,Second Floor,Attached Garage,Outside,
5
5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was
found to be in compliance therewith on the 9th Day of November,2001. 5
5 Name QTY Rate Rating Circuit Type 5
Paddle Fan 3 0 C5,
5 Service
1 Phase 3W Service Rating 150 Amperes 5
5 Service Disconnect: 1 150 cb 5
_ 5.Meters: 1 _ 5
5
5
5
5 5
5 5
5 5
a N
.. 5
5 seal 5
5 5
5 2 of 2 5
5
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
OP cJc_Pc_ PEPL EPLP�E. PE1EJ�rP EMPEEJPLr�r�c_Pc_PJ�EP r�r�rrPE_Pr�E DLit
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447 \�
i
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT _
L MUI - -
DATE INSPECTION REQUEST RECEIVED:
NAME VI�`
LOCATION L)C /��(?\\ !/1� 0 � L�
DATE 1 1 `Ck^aW /PERMMIT # 1 J J� J
TYPE OF STRUCTURE
FOOTINGS _BACKFILL FRAMING PLUMBING
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE P NIVARIANCE REQ.
NAL SURVEY PLOT PLAN, IF REQ \r
OK TO ISSUE C/O OR C/C
Oft.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
�` � 742 BAY ROAD
QUEENSBURY NY 12804 •
(518) 761-8256
ARRIVE: ICJ DEPART: INS
FINAL INSPECTION REPORT - RESIDENTI
DATE INSPECTION REQUEST RECEIVED:
NAME 1,) �'�
LOCATION l-,v� C
, � C� C
DATE 1 t - (-4-0 ` PERMIT #
TYPE OF STRUCTURE 6F)
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/RA i lEG`
RELIEF VALVES
FURNACE/HOT WATER OPE, •T'NG
INTERIOR TRIM/PRIVACY "ORS
• FINISH FLOORS:
BATH/KITCHEN WATERTIG
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING _
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ. _
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT11
NAME \IN4)I Lr`00
LOCATION ( 1 C C C,k iZO
SCHEDULE INSPECTION ON Lt (46
AM PM ANYTIME
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING 10
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTE
FIRE SUPPRESSION SYS M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO S"RINKLERS
CLEARANCE TO H:ATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT ft I1CL
REMARKS: V0K TO THIS DATE
INSPSLIP.PUB INSPECTOR
l
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart� \ n/pm ,
Town of Queensbury Inspector's Initials (�
742 Bay Road
Queensbury,New York 12804
NAME i:/45 i L L.O(0 PERMIT# 0 — 0 5
LOCATION La- 7 ut,,z-e-- i_tflzti:U C_-4) .+ DATE 6
TYPE OF STRUCTURE •
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location T
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30" o 36"`;
Exterior Handrails,balconies, anding 18 in.or more
Interior Handrails stairs both des 3 o more risers
Grade 2%away from foundati•
8"clearance to sill plate
Gas Valve shut-off exposed/re ato 18"above grade
Gas Furnace shut-off within 30 l•et r within line of site
Oil Furnace shu-off at entrance • ' .ce area
Furnace/Hot Wate --.t- • a ing
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both side'more than 3 risers
Interior privacy/trim/doors/main -,trance 36" .
Floor Finish
Bathroom/Kitchen watertight .
Interior Handrails Balconies/Lan.'1 g 18 in.or more
Railing across window in stairwell:
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
oom fans jVij
nbing fixtures, oundation insulation
e
34 ur fire door/door closer
•,� age fireproofing
3arag penetrations sealed ���///
.
Furnace in separate room protected(in garage)
Li ventilation per room
ety glazing 18"or less from floor / L �LC-t .
final Electrical ��'�G r� �
5ife Plan/Variance required
einal Survey Plot Plan �7 vt , .i j ;Vie VC II'
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)
FIRE MARSHAL
0111.14k TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUESTRECEIV D /1 /, 8L)/ PERMIT#o?O)/-/
NAME ��--
LOCATION t 41:1=h 4"h ,-2
SCHED LE INSPECTION ON /1 7/lev
Ai \ AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS j
EXIT SIGNS l
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
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
/(,fc 1 1(A
iNsa��P.Pus INSPECTOR
Fi 1
•
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: l/ 7 a-w I
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depar�a 1 ai Bm
Town of Queensbury Inspector's Initials 0ele-v
742 Bay Road
Queensbury,New York 12804 /,I /
NAME ll " G"�'t'"'v� PERMIT# ,�J -• �
LOCATION `�.° / 4. ( �[ A n.,Y� iW�,, DATE
TYPE OF STRU TURE In
,_e5D-'c ' "/ N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location F
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete Interior/Exterior Railings 30"to 36"Exterior Handrails,balconies,landin! 18 in.or moInterior Handrails stairs both sides 3 •r more risersGrade 2%away from foundation •
8"clearance to sill plate
Gas Valve shut-off expose• regulator 1:"abs•a grade •/./
Gas Furnace shut-off within c -•_o- .>': n line of site
Oil Furnace shut-off at entrance to furna • area /1;
/
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 sides more th. 3 risers /
Interior privacy/trim/doors/main entrance 36' V
Floor Finish ✓/
Bathroom/Kitchen watertight , `/
Interior Handrails Balconies/Landing 18 in. • more / /o
Railing across window in stairwells ✓ `'
Smoke Detectors:
every level • ✓,
every bedroom �,✓
outside every bedroom inter connected `' //
Bathroom fans / � ) ,1-�f� JUT- R,)!t},U i•,v G
Plumbing fixtures ,/ �n
Foundation insulation r�C-- I G0(1- VAR A-F V \="fiC(Ai�
3/a hour fire door/door closer y
Garage fireproofing /
Garage penetrations sealed ' « W c- tie lAL'Z4- 5
Furnace in separate room protected(in garage) f
Light ventilation per room L/
Safety glazing 18"or less from floor
Final Electrical 1; /
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)
TOWN OF QUEENSBURY Qp�
BUILDING b CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name . 1�v i kC1
Location 7 Old' !4xcu 7 —
DateAD g3-,. 6f Permit #O/"/C
SOIL TYPE: Sand-Loam-Clay-
Results of Per.ol :tion Test-
(if applicable) R.te-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELI: Total Length
Length of each french
Depth of trenche
Size of stone
SEEPAGE PITS: Nu 'Fer-_
Size - ft x ft.
Stone size
PIPING: rp Type `)
Bldg. to Tank _ 760
Tank to Dist. Box
Dist. Box to Field/Pi
Openings Sealed? Ye No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption _ feet
Separation of Pits __ •. •et
Conforms as per Plot Plan o
LOCATION OF SYSTEM ON PRO' R
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS: 4_ 1i 4D. o �
•
0( 6
SYSTEM USE APPROVED: YES NO
Arrived: •
Departed: I4
e'L
Building Inspector
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•
209 Warren Street. P.O. Box 536 Glens Falls, NY 1280-1-0536.
• (518) 792-502g FAX: (518) 792-5230 - .
33 (:)TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ��\ e `)GAS I dam,� �-1
Location J4c7
\ E0. \W())--
Date ) D- l t \Permit # () )
SOIL TkP : Sand=L m-Cl ay-
Results of Perco •n Test-
(if applicable) Rate Minute/Inch
TYPE OF SYSTEM
ABSORPTION FIE D: Total Length 7j (0-1-
Length of each trenc
Depth of trenc es Zp - '
Size of stone } i3E.a_}-c m g1
SEEPAGE PITS: mber-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank 3c3T 10-51 k..EE
Tank to Dist. B x \-A
Dist. Box to Fie d/Pit Lk ti
Openings Sealed? Yes .Partfa1
LOCATI Oft/SEPARAT NS:
Foundation to Tan 10-1r feet
Foundation to Abs rption , feet .
Separation of Pit feet
Conforms as per P1 t Plan Yes No
LOCATION OF SYSTE ON PROPERTY:
(circle one)
Fr nt---Rea-r_z Let Side - Right Side
ont— Middle Rear
COMMENTS:
lib-Be t t_1 3��>v 1 C
bJ)T#�i_L l_ 11��— t=` tiM 4—`Mi ►,E--
Ta fl
SYSTEM USE APPROVED: YES
Arrived: _
Depaarr
Cam"
B ng In e r
OO 4 AI
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road s
Queensbury,NY 12804 Arrive am/pm Depart n/s
Inspector's Initials 3/'�
NAME: f (—V_'u _ PERMIT# 2 -7o� se
LOCATION: gtn-2/
TYPE OF STRUCTURE: I
RECHECK 46,
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is re-••nsib for
providing protection from fr ing
for 48 hours folio .1 g the acement
of the concrete.
Materials for this p .•se o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dauib g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in lace
Rough Plumbing
Heati Rn -In
nsulation
un tion 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
/R e0j /
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road r
4
Queensbury,NY 12804 ';Arrive am/pm Depart aij E�
Inspector's Initials f`�
NAME: (,S J i /n� w PERMIT#ak_ /
LOCATIO : ) e. —? ,'�Y1c , Q,Mgy\ ATE : --1 --cASC,
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 ' .ing
for 48 hours following the ent
of the concrete.
Materials for this purpose on
Foundation/Wallpour
Reinforcement in Place tet)�14,[, liv 5v i. . e `5C F�,e- ,/ ',`Foundation/Dampproofing
Backfill Approval / 'a7' R .T`""' 41
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Hea g Rough-In j/
ation lA)5%4-Le-- 12Z) A644/Joi) 1/
Vi
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- /Ai g13-1'�' I/0'5,01—/ A�c..f ' "- .}-(,i ft)p R j 1`
Walls R- 1 OAD t� el110(e
Ceiling �� . 1!
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
i J
to ( ''fe w;4
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 DeparE �47 an pm
c Inspector's Initials
NAME: \j\ d 1-(n() Q y PERMIT# 4/,' / 3
LOCATION: `G i 7 Il\� (.C k Ong nl DATE : C 7 C /
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Fonr
Reinforcement in Plate
The contractor is responsible f
providing protectio from freez ng
for 48 hours followi g the plac ment
of the concrete.
Materials for this pu •0 se on si
Foundation/Wal •
Reinforcement in Place
Foundation/Dampproofi
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla•
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
roper Vent, Attic Vent
Framing ;. {{//
Jac -Studs/Headers
acing/Bridging _
Joist Hangers- 1'4 C 20 LA-DvN.
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 honk
ir9sMopping
9-
GENERAL INSPECTION REPORT (•t/ -_
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 7
Queensbury,NY 12804 Arrive am/pm Depart` rt...."
`� t 1 Inspector's Initials
NAME: V 4'~A L I 60 PERMIT# 0 " 7./�
LOCATION: 1js'�-C' '1 C-'j DATE: D r
TYPE OF STRUCTURE:
RECHECK •
N/A YES NO COMMENTS
,
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f r
providing protection from freezing
for 48 hours following the pia•-ment
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 Pla -
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
P etration Sealed / ''
pi
re Wall 2,3,pour
irestopping /-co?. 46-PFr T 5
GENERAL INSPECTION REPORT ,T ` `` �7
( 518 ) 761-8256 A
Town of Queensbury ��^^�� /
Dept.of Community Development Date inspection request received: lsl' U.
/
Building& Code Enforcement
(((
742 Bay Road C . '
Queensbury,NY 12804 Arrive am/pm Depart- a p
Inspector's Initials
NAME: U 1- S I o, , PERMIT# ,-CX.�( — a-S
LOCATION: ,"j` v (., Fa,r L�9tDATE : Vt G/ jiyt,--
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protectio • •.. freezing
for 48 hours folio• :ng the pia ment
of the concrete.
Materials for this pu •.se on si
Foundation/Wallpou
Reinforcement in Pla•-
Foundation/D. -,• :..ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents• 'lace
Rough Plumbin•
Heating Rough-In
Insulation
Foundation Walls Interio R-
Foundation Walls Exteri.= R-
Floors '4
Walls R:-
Ceiling R.
IDuct work or piping in
unheated spaces R•
Proper Vent ttic Vent
.5 `Jack Studs/Headers
Bracing/Bridging
Joist Hangers `V ci QEA)?
J ck Posts/Main Beam
Air ltration Barrier
Fi Separation 1,2,3,hour
P netration Sealed
ire Wall 3 4lour
rest • -`.�,,--
•
, ,
r9
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 �pmy
Inspector's Initials�Y Lam/
NAME: VIL. I6U PERMIT#
LOCATION: 1..-zrr 7 1,4.._C-C'e.hka DATE : O'
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 fr:ezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on si -
Foundation/Wallpour
Reinforcement in Pike
Foundation/Dampprooing
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-
Pr per Vent, A#tic Vent
17/ •
ramilxg V YG '/i �� 1 C�0
� Jack e l� -Studs/Headers l,V��R'(!�
(-NA-
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire W 112 3<4Thour /D // /'J
�ies$Op r Lng� � /1) .r11—&C �� /( // /// �„
i)
� v
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road %4
Queensbury,NY 12804 Arrive am/pm Depart a
Inspector's Initials
NAME: O \L\b V PERMIT# O 1 )1.5
LOCATION: 1_0 j Vy,e-- 6rC,Kai! i
o DATE : 0
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ib for
providing protection fro fr zing
for 48 hours following t e pla ement
of the concrete.
Materials for this purpose o site
Foundation/Wallpour ,
Reinforcement in Place
Foundation/Da proofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R
Ceiling
Duct work or piping in
unheated spaces Rf-
t),Attic Vent /J
st
?lag Jack Studs/Headers
Bracing/Bridging /'�� 1�
.,/foist Hangers �v, 'k's_I e-& & (AA- - f\ JA)srei-cc
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wajil.23 )hour /44:5-4-& 64-e 0 ,vim
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 ArliveCi m Depart
Inspector's Initi
NAME: 46fUôO PERMIT# Za
LOCATION: (d 7 lit c-e-ed.aecAJ Ct DATE : d
TYPE OF STRUCTURE: S l=
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place i C/u`
The contractor is re •.nsi e for
providing protection I om -ezing
for 48 hours followin::the p :cement
of the concrete.
Materials for this purpose on si -
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing t?i Ahr ,ij5OL -
Bacicfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P $ -
Rough Plumbing
Heating Rough-In
Insulation L
Foundation Walls Interior R- 0 kC tI 1Foundation Walls Exterio R-
Floors R I C-T 03 E�� 1 P
Walls R to
Ceiling
Duct work or piping in \135)-C-_Cn U3 L L P a b e LE
unheated spaces
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
� QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
yy/
REQUEST RECE,IV�1ED PERMIT#� 0 I' /11)
NAME V� � 100C) I
LOCATION La< 1 . L&44°
SCHEDULE INSPECTION ON 'f(
Ajo °
PM ANYTIME
APPROVED
NIA 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 �C-�-� VC-7A) I
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
EArT RAJ— &L c,
REMARKS: 6 0'3 ["OK TO THIS DATE
INSPSUP.PUB .INSPECTOR
�.�,���.
1 �.y� Syli*
11
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: -7 3/ 3/
Building& Code Enforcement
742 Bay Road 0 t V
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials 0i l���
NAME: '�J"�—r PERNIIT#
OP
LOCATION: ' Air_eC tv- DATE : 1 a_o D
TYPE OF STR CTURE: J
RECHECK 5/L
N/A YES NO COMMENTS
Footings/Piers I, I _1____Monolithic Pour Form -N`q
Reinforcement in Place U T-- ?' (2 r
The contractor is respon ble for
providing protection fro 1 freezin: le.____________----------...„,
for 48 hours following the placem:, t
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval /
Plumbing Under Slab /
lambing Vent en'ts in Pl •- ///R4 � f �)/� � '(4),C9-71"le--
Heating 'ough-In" . ite'r) 4/(0 CO C!�
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- ,.
Walls R-
Ceiling R-
Duct work or piping in unheated spaces R- /A)1,J.7 -Le--- Li ; � C (
✓ k,•4- 1_
Proper.Vent;Attic Vent
w Framing=s /S I�Fc, . C L 0-5 1 0/C1 I(
Jack Studs/Headers
Bracing/Bridging 1 a' t Aat,r5 1
1�Joist Hangerse 3F t. Kt e ea
Jack Postsam Beam ✓, 4A-7- �2����
TAl ltrat7'o BIrner.
Fire Separation 1,2,3,hour p
Penetration Sealed ie
Fire Wall 2,3,4 hour G -
f n- eFpnng : �. �� � ���F 4 ��vc�-5 T5
60(4<, 6./1/4666-
CIA 4c y A ,,,.;A
~ r 7v J/ r
4t1
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: -7d-e-/c,Levi
Building&Code Enforcement
742 Bay Road 1 l ' ix.,
Queensbury,NY 12804 Arrive am/pm Depart I l p
l Inspector's Initials``' � ,
Uc l.�• I.-/ 2
NAME: �;, PERMIT#
LOCATION: /- ./(4!""_ I 4-7,- DATE: 3 / /�J
TYPE OF STRUCTURE: ?�� ! `��
RECHECK 57T
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo Bible\for �e 1)C� �` Ark tC---I A)
‘''' '()
providing protection fro free 'ng
for 48 hours following s e place ent l IJ 5 r',�4.— IP.p LU o__ �U 6
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
ti/j/
Plumbing Under
Plumbin .Vent/Vents in Place
y !out .11urnbml2 !�
'e•ting Rough-In Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- 2 16 '`�5/
Walls R-
� VL� � �` �-� ��
Ceiling R-
un
Duct work or piping in `'v % /,��.c�(�G�l� 1/{ C/� IA
Pr. spaces R- Z� �`✓�
Pr.pi. ,Vent,-Attic Vent �
F a `ng) + v
`„ Jack Studs/Headers / ;:,
Bracing/Bridging V 'PLL-`1E— ► 21 bOl t• & LIJ4CLT5 1A-A''
Joist Hangers
Jack Posts/Mains Beam / , / g&A,10,e
J Istfilti ii Barrier of -
\Ettre Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
. ing, I✓ / 0 4-,e0((
Qpir)
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 ' i m
Inspector's Initials
NAME: %Ne---' PERMIT#01—
LOCATION: _�- DATE : 7—>
TYPE OF STRUt RE:
RECHECK
•N/A YE/ FO COMMENTS
\.F"otin ogs/Pie I
Monolithic Pour Form
Reinforcement in Place 1—•.4.
The contractor is respons..le for A A
providing protection fro i freezing
for 48 hours following ' placem-. t
of the concrete.
Materials for thi purpose o site
Foundation/Wall...ur
Reinforcement in ' .• -
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior "-
Foundation Walls Exterior
"-
Floors R-
Wallls 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
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY .12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Vwi�dJ
Location iof- 7 ,fr�4-crerd L....-
Date YO/ Permit # ?�„6,�- i1C
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Le gth
Length of each trench
Depth of trenches
Size of stone /
SEEPAGE PITS: Number- V
Size - -__f , 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 Absorpti .n _ . feet
Separation of Pits feet
Conforms as per Plot P an • Yes No
LOCATION OF SYSTEM ON 1ROPERTY:.
(circle one)
Front - Rear .- Left Side - Right Side.
Middle Front - Middle Rear ,
COMMENTS: .
4cLjei ca /A< t.L/a z
1 ii /5 Ci c /9-e G���), no/AK-
J ?/ 1170J J_ Zse / �': / ,,
GA-f .27O/ j /e c( Au
SYSTEM USE APPROVED: . YES NO
Arrived: l/j-4)
Departed:
Building Inspector
Gc 14r\
GENERAL INSPECTION REPORT
( 518 ) 761-8256 pi-i- / .
Town of Queensbury
Dept.off Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive /' am/pm Depart am/pm
Inspector's Initials . -
NAME: .�1 �t°J C�;; ; PERMIT# _J f =d
LOCATION: 7 lac_.& 1 DATE : — O
TYPE OF STRUCTURE: 5 S
RECHECK
N/A YES NO COMMENTS
Footings/Piers —� I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection fron freezi
for 48 hours following the place cent
of the concrete.
Materials for this purpose on site
Foundation/Wall.our
Reinforcement in • ace Iry
Foi darion/Dampproo / /, / J ,
acld`ill Approval / ''
Plumbing Under Slab / : ,
Plumbing Vent/Vents in Place -
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interi r R-
Foundation Walls Exteri r R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces -
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 1:7_, em part
1� 1-1r
Inspector'sV ) /I Jk�NAME. �� PERMIT ���/
LOCATION: — DATE : glgark—P--eU
TYPE OF STRUCTURE:
RECHECK
N/A—YE ,NO COMMENTS
tings/Piers V
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
Backflll 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
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 a i/pm
Inspector's Initials
NAME: .4 j a ► , PERMIT O/—/35
LOCATION: • 7 (N\r ,r-[sr, , DATE :
TYPE OF STRUCTURE:
RECHECK
N/A \ S NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for //�� fJ
providing protection from freezing ac-ieud 1�2�'lf i�r GJLI Z
for 48 hours following the placement
of the concrete. / 3Zw e � 'T ICU p/4+J
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 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
1. or 7 McCcowR0s 1412C
cS'eAte / " S-44
! 1
7"I have seen or observed, or believe I saw
evidence of,all objects such as houses,
wells,trees,fences,etc. as shown on this
. • doi;
document. I also represent that I have
personally measured the distances as set
forth on this document."
i
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•
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•
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1
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1,
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I
_.\ / j06 1 - i 05
5 'i' EC �VD
•
MAR 28 001
TOWN OF QUEENSSURY
• N. / BUILDING AND :ODE
J
2 SroieY •. ;� r`
'f
� __ 1
� ; i.�__ - iJ P%d/b� a see or observed, or believe I saw evidence
!� = » .cts .uch as houses, wells, trees, fences, etc. of,
1,4
; 6-('- sho in on. his document. I also represent that I have
i� per Hall me, ed the distances set forth on the diagram.'
---y r I GNATURE, �� DATE
MAP REFERENCE:
THE GROVE SUBDIVISION
DATED NOVEMBER 6, 2000
LAST REVISED MARCH 3, 2001
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
lLi
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0
204.0'
W
7
71,618 sq. ft.
1.64 acres
2g4 S).
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4 40 hW
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No f s2s
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Du S e vxAun�oRltED uTERAT1011 OR ADDf1iON TO SURVEY
�I YM KAWM A UCDpED LAND 3URVEYM KAL IS A Map of a Survey made for
VDLADON W =TION 7M% SUD-OM9d1 9. OF DIE
i;�l►arlc
5 1 4
McECHRON LANE
boo /- /as
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: PETER J. do JACQUELINE M. BOLTON
• ° ' r CHASE MANHATTAN BANK,
• 1OF NEW "I IT'S SUCCESSORS AND/OR ASSIGNS
b� OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
c sr��
TIFIED BY:
y S0135 MATTHEW C. STEVES, LLS NYS 50135
DATED: OCTOBER 24, 2001
NO "M STAY[ EDLICADON LAW.'
'ONLY OMM FROM DE OMWIL W DNS SURVEY
NARNED WIN AN ORDINAL OF DE LAND ARMORS
Stoves � W'fWW~M NE =VALND�°Dp`><' PETER J. & JAC UELINE M. BOLTON
4R FICADONS W"1ED NE M SM" INAT
ll/S SIRVEY WAS PREPARED N ACCQDANCE WIN 'RE
MOSDNY OWE OF PRAC'RIZ FOR LAND SURY -fM ADO/IED
Land Surveyors, LLC Err DE M W STATE A990CNDDN DF DOLL
RM9OWY
LANq 811RVE7DRE SAD CERli1GD0N5 OIML RlN OiY
TO 1NE PE1 M FOR *M THE SURVEY R PREPARED. AID
W HIS MAW ro DE WU OOIPANY, DC1E MMIAL
169 Haviland Road Queensbury, New York 12804 AWCY wD DN E'
MMUMer Me Town of Queensbury, Warren County, New York
ro THE ASOIIE6 DF DE mom NISfi im-
(518) 792-8474 New York Lie. No. 50135
NO. I DA TE
DESCRIPTION
el Ul. I UbLK d4,
Le 1'=40'
S-1
SHWT 1 OF I
BOLTON
DWG. NO. 85418-7
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RECEVED
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