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2001-124 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 518 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010124 Date Issued: Monday, December 03, 2001 This is to certify that work requested to be done as shown by Permit Number P20010124 has been completed. Tax Map Number: 523400-290-018-0001-023-000-0000 Location: 388 HAVILAND Rd Owner: HOWARD & MARY LOU CRANNELL Applicant: HOWARD CRANNELL This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling Director of Building& Code nforcement \ TOWN OF QUEENSBURY ` 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 r44y Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010124 Application Number: A20010124 Tax Map No: 523400-054-000-0005-008-000-0000 Permission is hereby granted to: HOWARD CRANNELL For property located at: RIDGE Rd 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: HOWARD CRANNELL Single Family Dwelling 115,000.00 388 HAVILAND Rd Garage-2 Cars Attached QUEENSBURY,NY 12804 Fireplace Total Value 115,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency HOWARD CRANNELL COMMONWEALTH ELECTRICAL A( 388 HAVILAND Rd OUEENSBURY,NY 12804 PO BOX 706 HAGUE,NY Plans &Specifications 2001-124 2716 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $365.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday,May 04,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town I. •nsbu ida, , , 04,2001 for the Town of Queensbury. BY _ �,, � Q urY• Director of Building&Code Enforcement ____ :_ ,- Building Permit Application ceX) 1- Town ofQueensbu y - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-82561 NOTICE _ BUILDING & CODE ENFORCEMENT • Requirements prior to issuance ( 1 , A permit must be obtained before of this permit: PERMIT FILE NO. �`�7 'X1► a I"'v beginning construction. No inspections PERMIT FEE PAID$` will be made until applicant has received • 0 Zoning Board Action a VALID BUILDING PERMIT. All Area . /Use RECREATION FEE PAID$ applicants' spaces on this application J�� MUST bo completed and,the signature 0 Planning Board Action REVIEWED BY: ( (/'� of the applicant must appear on the _SPR / Subdivision /Other Building Inspector lication form. n p Recreation Fee Payment Applicant:) G;' ' Owner: atiGt�l( /f. 6)6.4✓ r.� . ' Address: /67 /7/d% !6i ' a y /UC/` /92;00 y Address: /,5 44 7 : My tux ` V Phone # (5/s )253 - L(pg �j Phone # ( ) 3 - /0 Property Location: �(/ih'rn' io Tax Map Number J— / l Subdivision Name: /Jdn"� .--- Section Block I,ot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE X. New Buil. ' ._. : CONSTRUCTION: $ //,7 2/)o, residence / commercial Addition o Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial . jai Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling • Office Other Work (describe below) Mercantile Manufacturing ''`` Other GROSS AREA OF PROPOSED STRUCTURE: 3v11c • 1st Floor R .7/ sq. ft. If ADDITION, what will use 2nd ,F1'ogr. . ., /2j/4- • sq. 5 of new addition be? : Other Flouts /7/ - sq. ft,� ` (not unfinished cellar or basement • ••• ACCESSORY BUILDINGS: ' Detached Garage 1, 2 car TOTAL FLOOR AREA: p2.-MfP SQ. FT. >C, Attached Garage 1, Private Storage Buil•ing SIZEr OF NEW STRUCTURE: Commercial Storage Building (l��r�l //FEET Other X �� FEET Foundation Type: MASocV fk2y Will any second-hand or ungraded • Number of Stories : . I lumber be u ed? If so, for what? (habitable space oily) / ,4- Height (grade to ridge) : r O, feet TYPE OF HEATING SYSTEM: Number of fireplacep and/or woo stove (circle all -Bich applies) ' to be installed:.. / Electric Oil / Gas / Wood Forced( Hot 'ir / Baseboard / Othr-er-) Person responsible for suupervision of work as�r/egards to building codes is : ,4 ,—zc/ f� l;2A4r�d/ />/i,k,/ 57`= , y4/ •!'/ '- x -�6,3A, Name Addresss Phone Builder: ;4 �-?zo/ ,e, LL 4,A'&1, • Plumber: ie-e,1/ C/- s1 - 9 7 3 OD)9 /?/✓ . Mason: -, 'f-e(1 A�, 9. l 941 Electrician: it/etz2" �-, eethib'ei/ cG / sr,a/ e6-c) 79fSl„1,1f' DECLARATION: Please sign below ale 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 I/we shall submit prior to a Certificate of Occupancy.or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location� of project on premises. Signature: �ilL //✓�,, ' I cf- / (owner, owner's agent, architect, contractor)' • Application for Permit—Septic Disposal System Town-.of Queeiisbuly 742.BayRoad Queensbury,NY 12804 (518) 761-8256 • 1. OWNER INFORMATION /--- __--. • Location of installation/ Office Use V . • Tax Map No,c� 2`/ / ,� File Penult No.���x'�y' �� Owner a Name //vL'6l ald oer ) ..471/e/4/1/ - Fee Paid Address: /, 4/h/,zi i' ,5' 04- ,1 4,2- 'rJY 2. • INSTALLER'S NAME Kr<< e4nele I—P Jn(:-- PHONE 41 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate i/bedroom(s)and multiply II 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/bdrnt = 1980— 1991 . x 130 ga1/bdrm 1991 —present 3 x :110 gal/bdrm = 3))0 Garbage Grinder Installed yes / no . - Spa or Whirlpool Installed yes 'c, / no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) _ ' • Qi1.li{ttdl_r9 Qxcul1St Watgr. .34aroFk.or�inpot.Y 9.4!4. Mplgri ti__Do.mpstic Wator_Supj)ly 1' t at what depth at wlr tl depth n clpa! Rolling loan 2 - feet . vA—feet well • Steep slope • c ay . well; Water supply _%slope other from any septic-system d • epth: absorptive is /l other Percolation Test: (To be completed by licensed professional engineer or architect) Rate; &M,� sS.�, 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. . Septic Tank: 1 i6fY) gallon (min. size.1,000 gal.) . 1 Tile Field:, each trench t Jr6 fl. Total System Length: !U47 f, • • Seepage Pit(s): number of 14 IR , size of each: fl. by fl. i Size of Stone to be used: ii / depth or thickness_L -___fret Bed System Size: NIA'' x Alternative System: . NI A' length and/or size - 6, ' HOLDING TANK SYSTEM: (if required) . ' Number of tanks: . / Size of each: gallons /TOTAL Capacity: - gallons t- '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 Quoonsbury, 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 die Town of Queensbury Sanitary Sewage Disposal Ordinance. rg, i -I S-.' r\—uL-- ' . C)') . Skit u -e o responsible person ' . .0 to - 7"..6 1C7t-'4.',' M:.'ill.: '.r , WARREN COUNTY DEPARTMENT OF PUBS✓✓LI���C///WORKS '..t '.►\ r, PERMIT TO WORK IN COUNTY RIGHT-OF-WAY k 0, . ••' ; (Under Article 6,Section 136 ET.AL.of Highway Law) William Remington,P.E Warrensburg Offices Superintendent of Public Works 261 Main Street P.O.Box 10 Roger Gebo Warrensburg,N.Y. 12885 Deputy Superintendent of Public Works • 518 761-6556 or 518 623-4141 fax 518 623-2772 Insurance Policy#: ScS' cl#G(( =id County Road#: P.,? 77 Expiration Date: Permit#: ©a-0.-3 Exp.Date: /Z/374o WHEREAS,A County Road# f 7 known as j-/Oi/f/c�i I ,eC i is part of the County Road System and WHEREAS, //(.'i e �,/ //4./ CL whose address is r �(✓1veie 'lac/ - 6/p 11 S Fit 1/. lie.- lie. !, A9-80/ ,whose telephone number is (57g) 7/09'6 �1 requests permission to .2. 1,,Q/iie_& /c / �' tjv NOW,THEREFORE;permission is granted to the applicant to do said work subject to the following conditions::, , A Certified:Ch (Bond)m the sum of S•-,it wpayable to the Coun Treasurer of;Warren Coun is(On ( � Ovt:�e fir.,.. .r, ty . File) (To,Be,Deposited).as security that the highway will,be restored to�original condition where disturbed;at:the expense of the;applicant; as ••• soon as the work has been•completed,',and•the said,County Superintendent of Public Works is,hereby authorized to expend allc as o much of : , such deposit as maybe necessary forithat purpose,should the said applicant neglect or refuse to perform the worfc '; , ;, SPECIAL CONDPITONS ' ;• " . p 1 _4cr P ____4_2Dize_4 (___ Er)a 6 c,45. L'_HP eL AEI &)a// / 4c& LI fi 114 i 'l g ( .f -aj Alar yr-fr u.e-r s, -r • ;s± 6.7 kle y .-Fa-f-r, . r pucue: ,-f ' In nsideration of nting this permit the undersigned accepts it subject to'conditions described. ��J . G'fl+ Applicant County Superintendent of Public Works . ,a5/�.pa'� 1-e-,4 z.s, zcco Date Date IMPORTANT NOTICE: Carefully read and fully comply with the following conditions. No work affecting the roots or tops of trees is authorized by this permit,excepting those permits issued for this purpose.Guying to trees requires written permission.To avoid damage to power and communication lines and cables, gas mains, water mains, etc., permittee shall contact the owners thereof and obtain their permission before starting work, It is mandatory to notify the person or municipality distributing gas in that area at least 72 hours in advance before discharging explosives.Conduct operations safely.Prevent accidents.See conditions on reverse side of this permit. . s • • 1. The privilege granted by the permit does not authorize any Infringement of Federal, State , or local laws or regulations, and is limited to the extent of the authority of this Department in the premises. Such permit shall ndt be assigned or transferred without the written consent of the Superintendent of Public Works. 2. The work authorized by the permit shall be performed under the supervision and to the satisfaction of the Superintendent of Public Works or his representatives. 3. The Superintendent of Public Works shall be given one week's notice by the permittee of the date when he intends to begin the work authorized by the permit, and prompt notice of its completion. 4. The permittee shall be responsible for all damages resulting in bodily injury, including death, and/or property damage liability due to the installation, maintenance, use or existence of any facility of the permittee or which arises out of the activities of the permittee, its contractors sub-contractors of either or both, agents or employees in connection with any act or,omission hereunder, and does hereby expressly agree to.indemnify and save harmless the County and/or the Department of Public Works and/or the Superintendent of Public Works and his representatives and employees from claims, suits, actions, damages and costs of every name and description, arising out of or resulting from any act or omission hereunder, and does hereby further expressly agree to pay any damages because of Injury to or destruction of part or all of any bridge, or other structure owned by the County of Warren, and caused directly or Indirectly by any occurrence and arising out of the existence, maintenance,or use of any facility or the matter and contents thereof as such facility, matter and contents are authorized for installation, connection, maintenance, transportation, or transmission on and across any such bridge, or other structure, pursuant to the terms of the permit. 5. Unless expressly waived by the Superintendent of Public Works, the permittee shall furnish with the application policy of protective liability insurance issued to and covering the liability of The People of the County of Warren and/or the Superintendent of Public Works of the County of Warren,with respect to all operations under the permit by the permittee or by anyone acting by, through or for the permittee, including omissions and supervisory acts of the County. The limit of liability in such policy shall be not less than $1,000,000.00 for all damages arising out of bodily injury,.Including death.at any time•resulting therefrom, sustained by one_persnn in.anyone_accident_and. subject to that limit for each person, not.less_ than $3,000,000.00 for all damages arising out of bodily injury, including death at any time resulting therefrom, sustained by two or more persons in any one accident , and subject to that limit per accident,not less than $3,000,000:00 for all damages arising out of injury to or destruction of property during the policy period. Such policy shall state that it;will not be changed or canceled until ten days' written notice has been given to said Superintendent of Public Works and acknowledged. 6. The enumeration in the permit of the kind and amount of insurance shall not abridge, diminish, or affect the permittee't legal responsibiiitiesfor the.consequences of accident arising-out of or resulting from the-operations of the permittee under the permit. 7. Any undertaking, bond or certified check required by and deposited with the Department of Public Works before or at the time of. the issuance'of the permit by the Superintendent of Public.Works shall be deemed to include and be used as security that the highway or any part thereof will be restored to its original condition where disturbed,at the expense of the permittee, as soon as • the work has been completed and the said Superintendent:of Public Works is hereby authorized to expend all or as much of such deposit as may be necessary for that purpose, Should the said permittee neglect or refuse to.perform the work 8. It shall be deemed the responsibility of the permittee.for.the:payment oft,any,and all.claims for the damages arising out of operations by this permit which may.result because of any,dangerous conditions',created iby=the existence of any debris or obstruction left on the pavement or.roadside during the progress of the work which'marbe either within the highway right-of-way 'Or on adjacent property 'Should.the Superintendent,I.or.his representative, discover any hazardous.condition-so,created;he-may. j issue verbal.instructions_or`written•notice to-the permittee to eliminate the cause j•In the-event theipermittee-fails,to=take A immediate action to remove.such hazardous.conditions, the,Department reserves the.right to take such action as it may deem necessary to safeguard-the public.All costs resulting therefrom shall be paid by the permittee to be deducted from deposit on file or Surety given by the permittee. In the event the expenses exceed the'amount of.the-Surety.Bond on deposit;the perniittee shall promptly pay the balance due. 9. The Superintendent of Public Works reserves the right to revoke Or annul the permit at any time and at his discretion without a hearing or the necessity of showing cause. 10. The applicant agrees to pay all necessary expenses incident to supervision and Inspection by reason of the granting of a.permit as certified by the Superintendent of Public Works, such payment to be made within ten days from the rendering of the certified amount. 11. Works authorized by the permit shall be commenced within 30'days from the date of permit and performed:in a workmanlike and expeditious manner without unreasonable delay or interference with the public.travel. The permittee shall provide suitable safeguards sous to reduce to an absolute minimum any dangerous conditions hazardous to life, limb or property. 12. Traffic shall be maintained by`the permittee on the highway while the work is in progress and until its final completion. 13. The applicant hereby certifies that he has secured compensation for the benefit of, and will keep insured during the performance of the above described work, such employees as are required to be insured,.by the provisions of the Workmen' Compensation Law, and acts amendatory thereto.. 14. If necessity arises in the future because of highway maintenance, reconstruction or new construction, requiring the relocation, replacement or removal of the installation authorized by the permit, said work shall be done and all expenses borne by the permittee, his grantees, successors or assigns. • • -�i ENERGY CODE COMPLIANCE APPLICATION TOWN OF U' �'= Q EENSB���:- URY, WARREN COUNTY 9000 HEATING- DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - • 1&2 Family Dwellings (only) • PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* = Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission ,of worksheets APPLIC?NT' S NA_'4^c: PROPERTY LOCATION: • PART 5 1 TEOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 20+5 square feet (1{EATi=1) 2 . -1-pe of Heat .- E'„- -ic X Oil Gas 0t-e,- 3 . Is building mechanidal 7 cooled? X Yes No . 4 . - e=c e ntace of area of windows and doors Over 17% X Under 17 % 5 . FOR INSULATION GIVEN BELOW i'ruST CORRESPOND TO R-VALUES AS SF OWN ON PLANS N:T'TED: a . Roof R 38 b . Exterior walls R z 1 c . Glazed areas R 3 d . Exterior dccrs R 5 e . Floors over unheated spaces R Edge of slab on trade (heated building) R 10 c . 3as ernent/cell.._ wails (above c=ade) R -- . 3asenent/c= wails (below c=ade) R I. . ._eati nc/cCC__?c-du ts-p' pint in unheated suace R - 6 Service (domestic) hot water heard__c device Cc'--=o_as to minimum efficiency per code X Yes No 17"--2-1=TEMPERATURE CO'EROL M_XIIII'M SETTING 140c - WILL NC= BE EXCEEDED ,f7,,27/0y, INS S R.=N RK:. w r; \ w' FLOOD DAMAGE PREVENTION �/ BUILDING PERMIT # 6 60 -/Z / Floodplain Development Permit Application Town of Queensbury, New York This form is to be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICANT to read and sign) : 1 . No work may start until a permit is issued. 2 . The permit may be revoked if any false statements are made herein. 3 . If revoked, all work must cease until permit is re-issued. 4 . Development shall not be used or occupied until a Certificate of Compliance is issued. 5 . The permit will expire if no work is commenced within six . months of issuance. 6 . Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements . 7 . Applicant hereby gives consent to the local administrator or his/her representative to make reasonable inspections required to verify compliance. 8 . I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACC (APPLICANT'S SIGNATURE) , / aLri,•G' DATE SECTION 2 : PROPOSED DEVELOPMENT (To be completed by APPLICANT) /-/,4gir.�'died NAME ,�/, i6 , . � /,s/�,� ADDRESS (,( ,J�/, 4lz jy TELEPHONE*9)793/6 APP CANT oft B ILDER ENGINEER PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful . p_A,opuL7 Is Loc cc? o,„) mkp [ Ste- s- 0 p,_opc c/ Sly (s pco 'F(4 ,J,1-ems `cw c>— �,dTe -- t .0,1 A-Na zo e . DESCRIPTION OF WORK (Circle applicable activity and structural type) : • A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE c--ggW Structure-) CRe_side_ it ial (1-4 Fam'.�y0-) Addition Residential (More than 4 Family) Alteration Non-residential (Floodproofing?) yes) Relocation Combined Use (Residential & Commercial) Demolition Manufactured (Mobile) Home • (In Manufactured Home Park? Yes No ESTIMATED COST OF PROJECT $ B. OTHER DEVELOPMENT ACTIVITIES: (Check Appropriate Activities) '7411 Fill Mining Drilling Grading • Excavation (Except for Structural Development Checked Above) Watercourse Alteration (Including Dredging and Channel Modifications) Drainage Improvements (Including Culvert Work) Road, Street or Bridge Construction Subdivision (New or Expansion) Individual Water or Sewer System Other (Please specify) After completing SECTION 2, APPLICANT should submit form to local administrator. SECTION 3 : FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed/de elopment is located on FIRM Panel No. 3 60Q79OO /W Dated 77//s, y The Proposed Development : Is NOT located in a Special Flood Hazard Area (Notify the applicant that the applicant review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED) . Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is : FT. NGVD (MSL) Unavailable The proposed development is located in a f odway. FBFM Panel No. 360O7560/S/3 Dated 7/4/eiy See Section r addi ' oval instructions . SIGNED C/ DATE .3 0/ SECTION 4 : ADDITIONAL INFORMATION REQUIRED (To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development . • Development plans, drawn to scale, and specifications, including where applicable: details for anchoring structures, proposed elevation of lowest floor (including basement) , types of water resistant materials used below the first floor, details of floodproofing of utilities located below the first floor and details of enclosures below the first floor. Also, • f • Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available) . Plans showing the extent of watercourse relocation and/or landform alterations .Top of new fill elevation oC '�c 7'(/ , ! Ft . NGVD (MSL) . Floodproofing protection level (nonresidential only) Ft . NGVD (MSL) . For floodproofed structures, applicant must attach certification from registered engineer or architect . Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. Other: SECTION 5: PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) - . I have determined that the property activity: A. X Is B . Is not in conformance with provisions of Local Law #2 , 1996 . The permit is issued subject to the conditions attached to and made part of thisr it . SIGNED VIA,0719 , DATE 7 U� If BOX A is checked, the Local Administrator may issue a Development Permit . If BOX B is checked, the Local Administrator will provide a written summary of deficiencies . Applicant may revise and resubmit an application to the Administrator or may request a hearing from the Board of Appeals . APPEALS : Appealed to Board of Appeals? Yes No Hearing date : Appeals Board Decision Approved? Yes No • Conditions SECTION 6 : AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) The following information must be provided for project structures . This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application) . Complete 1 or 2 below. 1 . A) Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns ) is : FT. NGVD (MSL) . • • 1. B) Licensed Engineer or Surveyor signature and seal . c *, ,4 W C.S4 °Q,f.'• 4r . 1 - • • 2 . Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSL) . NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant . SECTION 7 : COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community' s local law for flood damage prevention. INSPECTION : DATE r7 BY 1� DEFICIENCIES? YES 00 DATE BY DEFICIENCIES? YES NO DATE BY DEFICIENCIES? YES NO SECTION 8: CERTIFICATE OF COMPLIANCE (To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE BY: M FLOOD DAMAGE PREVENTION Appendix B CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA Town of Queensbury, New York (Owner Must Retain This Certificate) Premises located at : Ste-s-6 Wig vj 47,e,,ed ,/: Owner: %,/he/ 4 -444 mil✓! Address: /J 4;14k[•e7 ►Ali° 1' -7q -,(e;f Permit No. .260/- /ZV Permit Date: S 7/1 Check One: x' New Building Existing Building . Fill Other: 4//c. 454,e4.4 The Local Floodplain Administrator is to complete a. or b. below: a. Compliance is hereby certified with the requirements of Local Law N . , 1996 . Signed: DATED: ��A0 r b. Compliance is hereby certified with the requirements of Local Law No. 2, 1996, as modified by variance no. , dated . . Signed: Dated: Van Dustin Stever Land Surveyors, LLC 169 Havland Road`: Queensbur NY 12804 May 3,.'20Q1.,. Town of Queensbury ; Attention::Dave Hatir . Dear Dave: Subject Howard Crannell Property Haviland Road ': The flood elevation at the proposed:house location is 293`5', the elevation on top of the ,. ' fill in place is'294,4'. Sincerely,. Matthew.C, Steves, LLS • • • 'Phone:. (518) 792 .8474 Fax: (518),.792-8511 Web:www.l-survey.com (dP / /cEV, . .-. • - � • • linterpriers, 1nx. -M _ ► , = j'` r _ 32 Terrace Lane Queensbury, NY 12804 (518)793-9376 September 13, 2000 Howard R. Crannell 15 Heinrich Street Queensbury, NY 12804 Re: Crannell Property, Haviland Road, Town of Queensbury, Warren County, New York. On September 8, 2000 I examind 2 soil test pits and performed a soils perculation test at the above site. Listed below are • my observations: TP# 1 (West) 0 - 9 Inches, topsoil 9 -19 Inches, loamy very fine sand, Mottling at 15 inches 19-44 Inches, very fine sand TP , 2 (East) 0 - 7 Inches, topsoil 7 -16 Inches, _ loamy very fine sand,„_•-mottling_=at 1 3 inches 16-44 Inches, very fine sand - - --_- Percolation rate 2 minutes and 55 seconds per inch. Test performed near TP# 1 . Soils are identical in both pits. Soils observed at this site is derived from deep, fine sands. Depth to seasonl high ground water table is noted by the depth to mottling in the test pit descriptions. If you have any questions about the above soil information, please feel free to contact me. / 5;6')"(4 Charles H. Maine Soil Scientist ��� � \<✓ \ t�*'� !!'��=''/see 'Maui.. linterprises, JYic, 32 Terrace Lane Queensbury, NY 12804 (518)793-9376 September 13, 2000 Howard R. Crannell 15 Heinrich Street Queensbury, NY 12804 Re: Crannell Property, Ridge Road, Town of Queensbury, Warren County, New York. On September 5, 2000 I examined the soils and performed a soils perculation test at the above site: Listed below are my obser- vations. 0 -11 Inches, gravel fill 11 -27 Inches, gravelly soil textures 27-38 Inches, fine sand, mottling at 29 inches Perculation rate is 3 minutes and 35 seconds per inch Soils observed on this site consist of gravelly- soil textures over fine sandy soils. Depth to seasonal high ground water table is noted by the depth to mottling in the test pit descriptions,which is 29 inches. If you have any questions about the above soil information, please feel to contact me. >/;Ar-gt-e-v-Ge_., Charles H. Maine Soil Scientist Inspector's No Date 20 COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC. (Consulting and Fire Inspection Services) (Incorporated in the states of Maryland,New York,Pennsylvania,Delaware and West Virginia) Desiring Certification of Approval, application is made for inspection of electrical installation in the premises described below.On demand,applicant agrees to pay for inspection service in accord with schedule of charges. PLEASE PRINT Owner , ,' r '. Type Bldg. ❑DWG ❑ Other Occupant ' ;' . Building Permit No., Job Location City State •' , County Twp. M/C# Swimming Pool—New Old❑ Directions to Job Site Application For Rough Wiring El Fixtures El Service El or Work—New ❑ Additional El Bldg.—New❑ Old❑ Ready for Inspection APPLICANT'S SIGNATURE LICENSE b PERMIT# PLEASE PHONEa PRINT NAME - - APPLICANT'S NAME OF ADDRESS UTILITY OFFICE TO CITY STATE ZIP CODE BE NOTIFIED ROUGH WIRING SPACE BELOW FOR USE OF INSPECTORS ONLY OUTLETS AMP SERVICE PUMP EQUIPMENT • SWITCHES HEAT OVEN PUMP RECEPTACLES SURFACE GARBAGE UNIT DISPOSAL UNIT MEDIUM BASE RANGE DISHWASHER FIXTURES MOGUL BASE WATER DRYER FIXTURES HEATER FLUORESCENT AIR AMP. RECEPTACLES FIXTURES CONDITIONER MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER FRAC.H.P. QUARTZ FIXTURESVENT FANS MOTORS:'H.P 1/20 1/12 1/10 1/8 1/6 174 1/3 1/2 3/4 1 1-1/2 2 3 5 7-1/2 10 1.5 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE Inspector's Comments: OFFICE USE ONLY WORK INSPECTED REPOR- o NOTIFIED TED Q o FEE PAID U SERVICE DATE CON- TOTAL $ Date Received: TRACTOR R.W.DATE OWNER CHECK NO. FINAL DATE OCCUPANT CHARGE Certificate No.: CERTIFICATE NEEDED AGENT CASH Date Sent: DYES ❑DUP ELEC. LT.CO. INSPECTOR Progress ❑ THIS APPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES PAYABLE TO C.E.I.S.INC. WHITE/OFFICE PINK/INSPECTOR YELLOW/OFFICER GOLD/CUSTOMER hire Marshal's Office Town of Qucc:istiury. 742 13av Road,Quec:isho,y, NV • (518) 761-8205 Application for Fuel Burning Appliances & Chimney applicable to solid u &vente appli• nces : c,, Date '' 20 C> d )1/-4, _____ , .1 Application is hereby made to the Building& Codes Office JOr time issuance of a i rt 'and Use - Permit pursuant to the Nei'York State Fire,Preveniion and Building Code. The applicant or owner agrees to comply with all applicable luivs`Ordinances-; regulations, and all conditibns that law,- of ' . these requirements and also will allow all inspectors to enter preutises to perform required impec for '. l NOTE to applicant: Rough-in and-Final Inspections are required. • Applicant Information Fuel Burning Appliance Information � (circle appropriate words) • Name: r`�,,�(16;/ , •, 4oe.44/Weil Stove: wood coal pellet gas Fireplace insert Address: / r r44 /iC Fireplace, factory-built: wood 6cts A iiM /011 e1 Fireplace, masonry: wood gas Furnace: gas wood �o Phone: 5/`r . . "ito - . If non-masonary applicance, please provide, Owner: • ;Viitraf le..: '°' ,{. 'e.d ' Manufacturer Name: Address: j `lit.fnd:c,1' 9/Zeal Model Number: • tc 4 is ./UV, I a" _ -• Chimney Information Phone: `57 -Y"",: 3--�' ;� a (circle appropriate words) . Masonry block brick stone �� Flue tile steel size: inches Exact Address: ave .r,., 4�^' &4 :, . f" , of construction or installation Factory-Built Manufacturer name:: Model Number:• Note: . Listed By: ' : .Number: Construction IInstallation must conform to NYS•Fire Prevention &Building . Indicate (circle) chimney material: Code. Consult available Town of Queensburv„. . Handouts regarding required inspections. Double wall :c Triple wall / Insulated / Direct venting - • Chin:Der Line,• j Ca.,shier'i pa.z t ntiexzt— Towxz col'Qzzeexz,srbiwy: NexIsr YorJ j j Fire Marshal Code# S Collected 4 Refirr:ded Received from (rcfin:ded to): i' II,.s:. J `� l t '`,;`1 1 173 3389 (190) Public Safety • .4 233 6 (230)Minor SalesS,` H CiZ • 2`2 9 White(Applicant) Green(Fire Marshal) / Yellow(Bldg. Dept.) • Pink&Goldenrod(Cashier's Dept.) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.'L . • ^ Main Office 176 Doe Run Road-Manheim,PA 17545 lC-17 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No Cert. N2 7 0 4 4 0 Cut-in Card No M 013 70 Owner ,HoWI AD Ci A4i ReG Cd Location 3$$' HACJI $1 .0 cst u ecn,a.. .k Installation Consisting of aOO4 q - AulG0) "3,,,,ReC,,,,,,61 S✓✓1 6'0 -(St Lei as„ i.q9 e,, DR.LQR..1.....I.U.r..r)..p....,..w....h...)1(1.4.-P004) S rroixe A.g:1 f Scr%c A-- Installed By f7/:....C&//..19./r4.- Lie.No. • The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction 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 rules are violated,the Company shall have the right to revoke this certificate. Date I ` 3—.O/ INSPECTO 4-114 p,X(2...\ e.------RESIDENTIAL PENAL INSPECTION REPORT / /'1 1�v� Office No.(518)761-8256 Date inspection request received: f Building&Code Enforcement Dept.of Community Development Arrive ► CI / Depart Town of Queensbury spector's Initi _:-..-----; 742 Bay Road Queensbury,New York 1280 . 0/1AL-f ? NAME ere/L.1-f PERMIT# /' LOCATION c361 1-"1e. 5407DATE / tigi TYPE OF STRUCTURE l N/A YES/ NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location �/` Fresh Air Intake Plumb Vent through roof V/Roof Complete Exterior Finish Complete / Interior/Exterior Railings 30" . . J Exterior Handrails,balconies,landing 1 in.or more I/ Interior Handrails stairs boil sides 3 or ms e risers 4 / Grade 2%away from fount 'on J 8"clearance to sill plate / Gas Valve shut-off exposed/ •gulator 18" ..ove grade if Gas Furnace shut-off within 31 feet or wi I line of site s ,r Oil Furnace shut-off at entranc• to fuma : area J Furnace/Hot Water Heater opera' g // Relief Valve(s)installed �/ Headroom,6 ft.6 in.on tairs ,/f Basement stairs,6 ft.4 in. • �/j Handrail exterior stairs both sides me e than 3 risers ✓ / Interior privacy/trim/doors/main entran e 36" I Floor Finish Bathroom/Kitchen watertight f, Interior Handrails Balconies/Landing 18" .or more Railing across window in stairwells f Smoke Detectors: I/ every level .,,,,/ every bedroom outside every bedroom �/� inter connected / Bathroom fans/ Plumbing fixtures / Foundation insulation �/� . 3/4 hour fire door/door closer 1 Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) ././j/ V/ Light ventilation per room I Safety glazing 18"or less from floor Final Electrical / ii 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) 1010k TOWN OF QUEENSBURY gIAA BUILDING & CODE ENFORCEMENT • 'Ar3 742 BAY ROAD �=�, QUEENSBURY NY 12804 (! (518) 761-8256 ' ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION� REQUEST RECEIVED: NAME0 vf)c Q 01R0 . L CA'1 0 ft. k-<NJ! c �lJ DATE I/ -ax7 ) PERMIT N OF j LJ TYPE OF STRUCTURE Z .-.F-1:` 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/ ILI S RELIEF VALVES FURNACE/HOT WATER O_ERA ING INTERIOR TRIM/PRIVAC D ORS FINISH FLOORS: BATH/KITCHEN WATE I HT OTHER FLOORS SWEEPABL OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES _ FOUNDATION INSULATION I GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. NAL SURVEY PLOT PLAN J OK TO ISSUE C/O OR C/C 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 h ai Depart 6 Inspector's Initials NAME: PERMIT# —, A LOCATION: < ,�. . DATE: TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers —� I Monolithic Pour Fo in \ Reinforcement in Pl. e \t The contractor is r�.ponsible\for providing protection from free ing for 48 hours followin, the pla ment of the concrete. Materials for this purpos on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Plac- Rough Plumbing eating Rough-In nsulation ''—c .' 'e1, Foundation Walls Interior R Foundation Walls Exterior R • - Floors R- Walls R- Z.� 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 -7c13 i 103 CP 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 Arrive7'Ib p� partZ1 a spector's Initial NAME: t ,l\,�� �J� \ Q PERMIT# LOCATION: sz „Ni; DATE: c TYPE OF STRUCTURE: �c RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place 1. The contractor is responsible for 1 providing protection from\freezing for 48 hours following the\ lacennent of the concrete. Materials for this purpose on 'te Foundation/Wallpour Reinforcement in Place J Foundation/Dampproofing !� Backfill Approval Plumbing Under Slab' Plumb' g Vent/Vents in Place \ Ro Plumbing H ring Rough-In sulation 10 Foundation Walls Interior R- Foundation Walls Exterior R- • Floors R- C- C- {\ Walls R- ` \ Ceiling R- Duct work or piping in L 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 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name \ f\-\0CA\(— X�( ;;42krl;?()� �Yl�Location Date 4, - ,-w / Permit # OO SOIL TYPE: San•-Loam-' lay- Resul is of Percolation jest- (if applicable) Rate Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tot.l L: gth / 0 Z / Length of each trench 0 O Depth of trehche Size of stone\.. SEEPAGE PITS: \ Number-1W Size - ft. x 'V ft. Stone size _ PIPING: f S 're Type Bldg. to Tank - 5 Tank to Dist. Box I' 0 Dist. Box to Field/P t Openings Sealed? Yes No ,Partial LOCATION/SE.PARATION`• 9 Foundation to Tank feet Foundation to Absorpt on feet Separation of Pits t Conforms as per Plot l an Yes o LOCATION OF SYSTEM O PROPERT . ,..` -. a one) Fran - Rear - Left ide - Right Side • e Front - Middle Rear COMMENTS: 1,-cE ' P.. CA< • (lee • SYSTEM USE APPROVED: YES NO Arrived: Departed: 46V-/ Building Inspector 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 Inspector's Initials NAME: 140,0„,) Y1,11 PERMIT# LOCATION: DATE : TYPE OF STRU : c,s0 RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this 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 Interio R- Foundation Walls Exte 'a r R- Floors R- Walls R- Ceiling R- } Duct ork or piping in eated spaces R- Pro r Ve Attic Ven aming( E 0,YQC Jack Studs/Headers BracingBri Joist Hauge .cIRO Jack Posts/Mani-Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 1 l AN1^ 3 \ i := w. _ Dio__ C''' -"C. ./)* GENERAL INSPECTI T PORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 1. Arrives si Depart (� Inspector's Initi NAME: k`(-- (I aeu 11!M PERMIT LOCATIO : \11 L_u. ) F DATE: TYPE OF STRUC • • K RECHECK N/A YES-NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place 1 The contractor is responsible for providing protection f om freezi-ig for 48 hours followin the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place _ -_ Foundation/Dampproofing--- - - Backflll Approval Plum ' g Under Slab Pl bing Vent/Vents in Place ./ ough Plumbing •< ‘)'° Heating Rough-In Insulation Foundation Walls Interior R- Foundation Foundation Walls Exterior R- • Floors R- , Walls R- I Ceiling R- O\V Duct work or piping in I: unheated spaces R- Pr r Vent,Attic Vent ming Jack Studs/Headers i/Bracing/Bridging / Joist Hangers it E71,3 t"--' --VV',5 ItA,ilx 6�i-c4.._. 1\___� Jack Posts/Main Beam Air Infiltration Barrier Ti✓ � 4 ���—y ��� Fire Separation 1,2,3,hour Penet tion Sealed Fi a112,3,4 hour , irestopping we,,.__ ,r;-? ill i? ->ii" /) .- s y ' GENERAL INSPECTION REPORT =--, ., ga.0;, :,-:.-- ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement / 742 Bay Road Z� Queensbury,NY 12804 Arrive am/pm Depar m Inspector's Initials ci `� NAME: PERMIT#J — I V° LOCATION: 3 ,L, _ DATE: l.Pi BOO) TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS r Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. o-, Materials for this purpose on site Foundation/Wallpour 5• 1 Reinforcement in Place f Foundation/Dampproofing I Backfill Approval C Plumbing Under Slab , ' Plumbing Vent/Vents in Place ,, � Tit ugJ� uiui•ing i ./(/0 I 4500 Hearing Rough-In 1 Insulation ? Foundation Walls Interim% R- Foundation Walls Exterio R • - Floors R- ° Walls RA R-„ Duct work or piping in ti heated spaces R- N<R�L 0�� �j('2t�C Pro r Vent,Attic Vent attun 7/. /- ac S�iids/Headers / c�L�� /�ES l Z,BracingBridging N� l )e 6ffg- e Joist Hangers Vl� 6D R5 .� Jack Posts/Main Beam V •C� ,, Infiltration Barrier / ire Separation 1,2,3,hour (idyv-e&& Ik.,J6&R / 1 A l L(/)C, Penetration Sealed Fire Wall 2,3,4 hour res�o ing �/ Fi "lay P]'T 1/'40 / (AIC• ,(z/�'� 1i i yvc—/< e (it) . S, Y GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: CO/ Building& Code Enforcement 742 Bay Road Lj Queensbury,NY 12804 Arrive am/pm Depart e." a m Inspector's Initi PERMIT# ^` LOCATION: 8 Fl Zvi L 1 -e- ' DATE : I /dL' TYPE OF STRUCTURE: RECHECK ,.N/A YES NO COMMENTS Footings/Piers r 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. 40yr Materials this uurnose on site Foundation/Wallpour J Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rougk Plumbing Insulation Foundation Walls Interior R- / ✓Foundation Walls Exterior R- /0 t/ 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 �.',ed Queensbury,NY 12804 Arrive am/pm Depart a� m Inspector's Initials NAME: �j; (�1�1'1��(� 1 �� PERMIT#c �'U — LOCATIO : - \ c 4 • DATE : I TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respons. le for providing protection fro freezing for 48 hours following th placement of the concrete. Materials for this purpose o 1 site Foundation/Wallpbuu Reinforcement in Place Foundation/Dampproofing kfili A royal ''Pluanbiysg Under-Slab +�. �DP VC f Plumbmg Vent/Vents in Pla Rough Pluming Heai_g R filth-I `sulatio i A.A_T'\'=t Fo "dation Walls Interior R- oundation Walls Exterior R- Floors R- f O V ()AJ IW—R_ S 416 Walls R- Ceiling R- C)c%6-10 0 64i, v.A,ty. j) To P v t Duct work or piping in unheated spaces R- )i_f4• 13 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 .m " ! 1p Queensbury,NY 12804 ArriveL� • epart • ti -l actor's Ini p � NAME: •► PERMIT V f JlLOCATVI` ),_1(c.k-AIVN \fk11 ' Y DATE : —5 1 TYPE OF STRUC �� RECHECK • N/A YES-NO COMMENTS Footings/Piers [ Monolithic Pour Form r�l 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 i Foundation/Wallpour 1 Reinforcement in Place Foundation/Dampproofing V Pkfill ppl s f lumbingac A Under Slab Plumbing Vent/Vents in Place ;!•(gh Plumbing eating Rough-In Insulation \-,'P \P Foundation Walls Interior R- Foundation Walls Exterior R- 1p �i `rd PrA \� � Zl-� �vjati\ Floors R- Walls R- i N \5? 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 i GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury q Dept.of Community Development Date inspection request received: _ .-Q/ Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart J . an m Inspector's Initials NAME: OtekAfJ tt-1 PERMIT# LOCATION: DATE: 5 C.9I TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS ootings/Piers Monolithic Pour Form Reinforcement in Place / The contractor is respo sib for providing protection fr.m free zing for 48 hours following e pia.•ment of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Un er ab Plumbing VentNents in P11 ce Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi.r R- Foundation Walls Exteri'r R- Floors '- Walls '- Ceiling R- Duct work or piping in unheated spaces 11.- Proper Vent,Attic Vent Framing I Jack Studs/Headers I 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 /4-1A , . COMMERCIAL FINAL INSPECTION REPORT , Building ea Code Enforcement Date inspection request received: S ) 5D / Office No. (518)761-8256 / Dept. of Community Development C. Town of Queensbury Arrive 77J am/pm Depart _Anrn 742 Bay Road Inspector's Initials Queensbury,NY 12804 L.4J 101 i NAME �/, ••6— l� 1 PERMIT# /az., ' LOCATION C"f N a'! �• DATE . TYPE OF STRUCTURE N/A YES NO COMMENTS i Chinineyf'B"Vent/Direct Vent location o/, Plumbing Vent Roof Complete Exterior finish grade complete Interior/exterior guardrails 42 in. • .1.orm/decks ✓r Interior/exterior balladeers 4 in.sp platform/decks Stair handrail 34 in.-38 in. / Step risers 7 3/4 in. ✓� Main door 44 in. All others 36 in. •:: 1 Lever handles ✓ 1..Eats at grade or platform Canopy to cover req.exit doors J Gas valve shut-off exposed&r-: or(18 in.)above grade / / _. Floor bathrdezwatertight IX/ �/ Other floors okay V/ Hot water relief valve ✓✓ Boiler/furnace enclosure <250.000 BTU N/R 250.000 BTU to 1,000,000 B 's(1 hour) ✓ >1,000,000 BTU's(2 hour) ✓ Gas furnace shut off within 30 ft_or :ithin line of site ' • Oil furnace shut off at entrance to fit ace area / / Stockroom enclosure(1 hour),'/4 hou door , ✓ 1/ Storage/receiving/shipping room(2 h:ur), 1 '/ doors 1 '4 hour doors and closers or / 4 hour corridor doors and closers r ✓ FirewallsJfire separation,2 hour,3 hour complete / Fire dampers,2 hour fire walUseparation or greater Fire door/shutters 1 '/2 hour,3 hour I ✓Ceiling fire stopping 3,000/5,000 sq!ft. ✓/ Fan shutdown,smoke vents or fan Exit door/panic bars assembly hardware / Elevators t Elevator signage Handicapped bathroom grab bars/sinks/toilets ✓/ Handicapped bath/parking lot signage ✓ t (Po' /a CJ 1 tiir Handicapped service counters 34 in.,checkout 36 in. Handicapped ramp/handrails continuous/12 in.beyond .Active listening system and signage assembly space /- Final Electrical ✓ VSite PlanNariance required Final Survey,new structures ✓` As-built septic system layout required :. Okay to issue temp.C/O(Certif.of Occupancy) /� Okay to issue permanent C/O(Certif.of Occupancy) f/ Okay to issue C/C(Certif.of Compliance) LEGEND: O IRF = IRON ROD FOUND cu, = UTILITY POLE HAVIIAND DAT" EY N i�. z 0� 0 W <Q J0 0 Z Q: U 'a� 0 W 0 m OW 0 1.0 O 1� 0 2 WETLANDS OUTSIDE PROJECT AREA NOT FLAGGED. LOT 1 331,813 sq.ft. 7.62 acres LANDS OF SIDNEY KANOFSKY BOOK 410 PAGE 580 a�cl. D u s �, Ste-ves Land Surveyors, LLC 169 Haviland Road Queenebury, New York 12804 %"BOOM ALMTON ER Imm 0 1 TO A WAY JW RAMq A UC 1 LAM 1AMIY[1M IM O A MOAT M o1 Itlw r'" tu"mom % or wK IRM VM IWAX 8XMIM LW �Y�w9 ww.� lMeC MA11 Aw OROML Or M {MO 1rRK'fOR! !K qw" wL amI m a V" =a COW 'CtllA"=" Mdimll =on waT " wU W IM AO MOM " W h w+c OM lowt s►AR AeooawoM a' rwot000ui fffUOM`""' WAMMINWPNW � Lm 00YOM win cmtw yAm l"L rm OLY TO wE A1p01 M wMdi W *0W 0 PMPAM AM OI m ww 10 *a ww! O rm". wowm 1TAL "° lw Al `o"° lw Um"""®"m "° ro to ANOQS o► w[ Loan iswiunaL• (518) 792-8474 New York Lie. No. 50135 FLOOD ZONE INFORAMTION AS PER NATIONAL FLOOD INSURANCE PROGRAM FLOOD INSURANCE RATE MAP COMMUNITY PANEL NUMBER 3608790019E EFFECTIVE DATE: JULY 16, 1984 64247- S85'44'00 E 832.23 pi DEED REFERENCE: COUNTY OF WARREN TO ROBERT ERNEST CRANNELL DATED OCTOBER 14, 1998 IN BOOK 1086 PAGE 64 O I.R.F. X 294.83 AL AL IT AL ik JL AL AL Map of a Survey made for HOWARD CRANNEU Town of Queensbury, WwTen County, New York A I AL AL f I I I AL MAP REFERENCE: MAP OF A PROPOSED SUBDIVISION OF LANDS OF CURTIS MADISON, JR., ELAINE A. MADISON LLOYD DIAMANTIS do RENE DIAMANTIS DATED JULY 24, 1990 LAST REVISED OCTOBER 26, 1990 FILED IN THE WARREN COUNTY CLERK'S OFFICE ON JUNE 18, 1991 BY COULTER do McCORMACK LICENSED LAND SURVEYORS X 295.08 295.79' X 40.27' Lr r.wM4W ljl�Lwoop Houk AL AL W AL ]WL. ,1, AL� AL N.Y.S.D.E. WETLANDS AL AL A. AL AL Ilk AL AL AL . ' pF NEpy • • ND NO. I DATE DESCRIPTION AL S-1 84EET 10F 1 atmmeu 1 DWG. NO. 00009-1 PART OF 54-5-8 D-187