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2002-388 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 C Eft'.L'IFIC.ATE OF OCCUPANCY Permit Number: P20020388 Date Issued: Tuesday, November 12,.2002 This is to certify that work requested to be done as shown by Permit Number P20020388 has been completed. Tax Map Number: 523400-301-014-0002.014.000-0000 Location: 19 MC ECHRON Ln Owner: VASILIOU MICHAEL J INC Applicant: VASILIOU MICHAEL J INC This structure may be occupied as a: By Ordet of Town Board Fireplace TOWN OF QUEENSBURY Garage-2 Cars Attached Single Family Dwelling Director of Building& de E cement TOWN OF QUEENS$ RY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 f - BUILDING PERMIT Permit Number: P20020388 Application Number: A20020388 Tax Map No: `' 523400-301-014-0002-014-000-0000 i - Permission is hereby granted to: VASTLTOU MTCHAF,L J INC For property located at: 19 MC ECHRON Ln 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. VA.SILIOU MICHAEL J INC 23.SUNNY WEST Ln Fireplace , LAKE GEORGE,NY 12845 Garage-2 Cars Attached Single Family Dwelling 153,000.00 Total Value - 153,000.00 Contractor or Builder's.Name/Address Electrical Inspection Agency VASTLTOU MICHAEL J INC 23 SUNNY WEST Ln LAKE,GF,ORGF,.NY 12845-. Plans&Specifications . 2002-388 LOT 26 HSE#19 MC ECHRON.LN 2128'SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER.PLOT PLAN SPECIFICATIONS $308.Q0; PERMIT FEE PAID-THIS PERMIT EXPIRES:- Tuesday,May 20,2003 (If a longer period is required,an application for an�extension must be made to the code Enforcement Officer of the Town of Qucensbury before the expiration date.) Dated at th Tow f Qu s ry; t., iaday,May 20,2002 SIGNED BY for the Town of Queensbury. Director of'Building&Code Enforcement Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1-761-82561 BUILDING & CODE ENFORCEMENT OTICERequirements prior tomes 8.3 E V I E C 10:)L A permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections MAY 1 3 20 12 PERMIT FEEM $ will be made until applicant has received E-1 Zoning Board Action a VALID BUILDING PERMIT. All Area /Use TOWN OF QUEENS,BURY _3 73 J applicants' spaces on this application BU(L9ING AN _:)DFRECREA7701151T u n- C— - MUST be completed and-the signature Planning Board Action REVIEWED WE,D B of the applicant must appear on the SPR / Subdivision I Other application form. 7h-ky, Recr` n Fee Payment Applicant: Owner: Address: ope-7a xf� . e g2f Address: Phone # Phone # ----- ----- ------- Property Location: -7 Tax Map Number_- ILI I,-) Subdivision Name: Section Block Tot N4TUJkE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF HE NNew Building: CONSTRUCTION: $ residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: PrlmpLry Building residence / commercial N<'�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: if ADDITION, what will use 1st Floor. . . . . . . . sq. ft. of new, addition be? : 2nd .Floor. . . . . . . . _4 -7sq. ft. Other Floors . q. f .n.ot. unfinished c= -br/Pbas ert) ACC SSO BUILDINGS: > Cached hed Garage 1, 2 carIrS TOTAL FLOOR AREA: SQ. FT. ache Garage 1#f-_2 a r LP S SIZE OF NEW STRUCTURE: Pri ate rage Bui-Tding s4e;ei$ commerc-IM-1 orage Build FEET X EE tli 7 U �-� and Foundation Type: y second- or Number of Stories : 1 rnber Be use I so, for what? (habitable space Height (grade e) : feet TYPE OF HEATING SYSTEM: Number of f* laces and/ stove (circle all which-' appl S) to be ins ed: Electric / Oil Gas /�Zood Forced Hot Air Baseboard Other Person rT9150,6%be, for upervi-s-Lon of work as regards to building codes is ddr h Builder: 2P Plumber: Mason: Electrician: ,DECLARA72-ON Please sign below after you have carefiJ.11y read the statement. To the best of my knowledge ,e 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 Ceitificate of Compliance being issued, an AS RLTILT PLOT PLAN by a licensed surveyor; drawn to s 1 e, showi F actual location of project on premises. '10- Signature: "J�41 (owner,7 wnZer's agent, a'clfd tf'Goritractor) IFV, ! Application fnr I'crmit= Septic t)ispas-11 System 7viurt of QrteeJtsUrtJy 74Z tarry ttoad OueetLrbtrry.NY 12804 (318) 761-8255 ; 1. OWNER INFORMATION; _.:.......................:.......:... o ice Use -Location of installation: File Pen»it No. Tax Map No. / er Foe Paid 2.. ..INSTALLER'S NAME : .PHONE NO. 3. RESIDENCE INFORMATION:.(circle.year of dwelling, indicate ff bedroont(s)and multiply tl of . bedrooms.with applicable gallons per bedrooin to equal trHal daily flow) Year of House No. of Bedrooiyts x Computatioir = Total Daily.Flow- 1980 or older x 150 gWbdrin = 1980— 1991. x 130 gal/bdriil. = 1991 —present 110 gal%bdrin = _�� Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes / no . y q, gARCELsINFORMATION: .(circle-applicable information 8Z indicate measurements) tzt oilslntltco �i_couicd_Wato{_. _Doc!rock.;or�titpoc_VJ4SlS�n.4Vr:i3l _t ortroslrc W�car'.Sstlrl�ly / 9attd' till rt�Jrrrt-ctelrtlr cr!uJrcrl de/r!/r T_" etvc- Kotltng i f"'ell, water s"I'ply Steep slope 'clay slope other f1-01 a»y septic-system depth: nbsorptton is fl. other Percolation Test: - (To be completed by licensed professional engineer orarchitect) !fate:- .minute per Inch Tor Near Conetructien: Ali individual sewage disposal systctns imist be designed l syto lice s is 5, PROPOSED SYSTEM: professional eagincer,or-ircllitcct{unless installed iil:1 F'lnnning T3oard al�irovecl sulxli�ision). Add 250 g of the septic tank and leach field for c.lell Qltbage Grinder,Spa or Whhlyxcol'Tiib. _ Septic Tank: An—ggi1on ("tin. size 1;000 g(rt.) Tilt Field:':each trench ?. Totah System Length; each: fl. by ft. Seepage Pit(s): number of size n j Size of Stoma to:be.used: t! Bed System Slze x Alternative Sytrtoin: _ length and/or size 6: HOLDING}TANK SYSTEM`. (if required) } Number of tanks: f Size of eacll: 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, plesn notes that pursuant to Sec"oll 13G-29 of tiro Code gr of d i`fowl of Queonsbttry.'nny pgriuit or Opp roval'grailted which'is based upon or is granted in rolintrco upon any material it or failure to make a nu teri:rl fact or circumstance known by or on behnirofnri applicant;shall be void. I have road the rogrtlntton -With roslroct to this nj?pllcatioa and ngroo to abide by prose and all rotiuireinocrts of the Towu of Qtieensbury Sanitary Sewage Disposal Ordinance. - Date' of responslble person ENERGY CODE COMP LIANCE AFPLICATION TOWN OF QUEENSBURY, WARREN -COUNTY 9000 HEATING DEGREE DAYS Compliance Methods : PART 5 - Acceptable Practice Method '- 1&2 Family Dwellings (only). PART 6* - Thermal Rating - Component Trade Offs 1&2 .Family Dwellings; Multi-Family Dwellings -(3 stories or less) ' PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APP�LICANT'S •NAME. PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE HY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - square feet 2. Type of Heat - Electric Oil- Gas ther 3 . Is building mechanically cooled? yes No 4. Percentage of area of- windows and doors Over 17% Under 17$ 5. R-VALUES° 'FOR INSULATION GIVEN BELOW 'MUST CORRESPOND TO R-VALUES AS SHOWN •ON, PLANS SUBMITTED: a. 'Roof' R- J b. :Exterior walls R --- - c. 'Glazed areas d. Exterior doors R Z=�'— e. Floors over unheated spaces R .- - f. ,. ,Edge . of '.slab on grade (heated building) R g. 13asement/cellar walls (above grade h. Basement/cellar walls (below grade) . R i. �Heatin g } R g/cooling-,dusts-piping in unheated space. R . 6. Service (domestic) hot water heating device - Conforms .to minimum 'efficiency per code yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Appli ant' lat2 of ur ' Da e Phone Number INSPECTO 'S REMARKS.: a IA - REU'E1,VEU MAI i 3 ZOOZ TOWN OF QUEENSBURYTO OWN OF Q'I;�ENISBURY 531 Bay Rd., Queensbury, NY 12804 D111 4 ( DE� APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date- _,19 Permit No. 7 - APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant,or owner agrees to comply with ,,all applicable lawg, ordinances, regulations, and all conditions,that are part of these requirements and also will allow all inspectors to enter premises to perform required,inspections. Please fill out additional form if more, than one appliance and/or chimney. . Applicant, J f �-/�ZAC/APPLIANCE (check appropriate boxes) Address 13' STOVE:oWood oCoal i3 Pellet i3Gas A,It I ZA 0 FIEPLACE INSERT Z i p 0 FIREPLACE, FACTORY-BUILT: Phone [3 Wood [3 Gas 0 FIREPLACE, MASONRY: [3 Wood & Gas Owner 0 FURNACE: a Wood [I Gas rj Oil Address ress IF NON-MASONRY PPLIANC Manufacturer: Zip Model: Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of pro sed co� - --- nstructioq 0 MASONRY: 0, 13lock 13 Brick 11 Stone FLUE: c3 Tile a Steel Size: inches CONSTRUCTION INSTALLATION MUST FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed; By: Number: TOWN OF QUEENSBURY HANDOUTS o Double Wall o Triple Wall REGARDING,REQUIRED INSPECTIONS. 13 Insulated 11 Direct Venting Cashier's Department Town of Queensbury, New York Dept: Fire Marshal, Amount Collected Amount Received Code Number Title * 173 3389 Q.90) Public Safety *233 2655 (2?,104-Minor Sales Fee Collect((d-From o Refunded to Address: Dated: — Town Clerk or Deputy: While: A Fplican' tl Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's 1).ept. � 0 0a N N NW0 a MO H H as ww� xH �Q zl i w 0A w 0 ` OAg S0H z H H H z w 0x ' U �w H � 0 a O �N ] 00 N z 0z z a I v; I x N z w W z U HH W a W J U W z H z 0 0 a w z 4 U a w z9 0 WI A H H w a H U a H a A HH w v , H x H H a a N w N z w a A wu x � w w H a ] N a a x m a N m H UO 0 w a �! x H w a N a 0 W 4 a 0 W x x ►a ZF wz aU zw xH ] N04 HN HHUH '40 0 H w N 9 N a 4 N 0 A U U H a H U W H H 3 N z H U a w~ > w a H Z H U p H A z z W z N W U 4 N N Q A A H W W 0 U : W H H > H w W W H z x 5 N 0 a z N 0 W H N a W W W W U N > ] w 0 x 0 Z H a w a x H a a a W z N Z CO H 0 > H �' 0 0 0 9 N a a a a N z 0 z 0 0 0 H 0 0 w 0 -0 0 H N W H H 0 z4 W H z H z W N 4 H w Q Q z A Q N 0 U U U a H z N H H W Q H H H H a a 0 H w w 9 w w HA z w w H H 0 z W U w w a W H H H Q A A W 4 H H U H a ON H ] 0 H 4 a , 0 A H 0 a w H a H H z� z x Q 040H xa0xww40zpH H H HW " � � a � H Z a A H U a x w x a r� 0 r� w U w w w a x o. N RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received:—I� �Building&Code Enforcement / Dept of Community Development Arriv4,'41 am/pm Depart am/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAAE � '4l PERMIT 4 2-'40 0 t► d LOCATION DATE / ,ti 1 TYPE OF STRUCTURE X OD N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation s/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical 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). i W � Okay to issue permanent C/O(Certif.of Occupancy) plc I SUry.y t y ,t s c — RESIDENTIAL FIN CTION REPORT Office No.(518)761-8256 Date inspection request received: It Building&Code Enforcement Dept.of Community Development Arrive Ai /am/pm Depart pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York'12804 NAMEt(,. 7 014 PERMIT# LOCATION DATE ��*/� 17. TYPE OF STRU&CTME N/A YES NO COAEVIENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof + Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,Ianding 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operatin Relief Valve(s)installed 9 V- Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/t im/doors/main entrance 36" �• Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical 6Z v j Site Plan/Variance required Final Survey Plot Plan J�� As Built Septic System layout required �� 67, Okay to issue C/C(Certif.of Compliance) 0 r r Okay to issue temp.C/O(Certif.of Occupancy)_ fly► -f�L- Okay to issue permanent C/O(Certif.of Occupancy) 'S/C PROTECTION SYSTEM i NEW YORK FIRE & SIGNAL CORP. INSPECTION REPORT' 4 Glens Falls Technical'Park Glens Falls, NY 12801 DATE OF O ER C)QWORK ORDERED BY (518)798-9551 Y ORDER TAKEN� t, PHONE Fax(518)792.5199 P.O.NO. 4, ��C f.. JOB NAMEtNO. C� JOB LOCATION �A L�LF@� g76"'G '�t,�nt'c3�' 1NSI�1YT�QAA LAST[NSP"T� �_('SA m INVOICE ATE JOB PHONE INSPECTION -�� - ._.SYSTEWINFaRMATIOW , INFORMATION Q' Q^ SYSTEM EQUIPMENT MANUFACTURE SYSTEM INSTALLER f' R.O.R. ` Fixed Heat ,^ SYSTEM APPLICATION Photoelectric TYPE OF SYSTEM A a ` t i'"\ —' Ion .,� �L.. V�"'I w Duct " MAINTENANCE PROGRAM BY Flame .` o\J =+ CALL LIST UP TO DATE °Is 1 Yes No Manual r _ L={ 0- Cross Zone r 4% REMARKS y Single Zane e I t /�(} i B t y Contacts 1.��1.� ! 9 i V yyr' #V 6�� e.- 9 00Q•�' L 1dV&,.<. Motions Photobeams CONTROL PANEL , AGENT.TANK COMi1ttUNIGATIONS.DEVICES Water Flow Low air A.C.Voltage 'Weight A.C.Voltage S sprinklerramper D.C.with Load �,6 Last HyZlPo D.C.Voltage D.C.without Load I S,100 Gauge Pressure l D.C.without Load E Air Hand. Serial# t, Door Release � . Duct Damper Equipment Shutdown , A.C.Voltage ' D.C.Voltage Battery Detection Circuit , v' Audible Circuit {€: jl- -° Remote Activati0n u� Audible Devices U Visual Devices ,<'_ Pre.Discharge y`s Signs As Needed Selector Valves 4 =' a a Piping Nozzles �- Tanks INSPECTOR Gauges c Z Piston Activator f �K] SYSTEM FUNCTIONAL Solenoid , > t hereby acknowledge the satisfactory completion _ of the above described'work- i ' Manual Release ' k' . tit y ❑ SYSTEM NON-FUNCTIONAL Time Delay e Remote Station Trans., w' Digital Dialer ,r� El DISCREPANCIES Voice Dialer . {' Phone Line " Signature(Title) Date Office Use CNNERAL INSPECTION• REPORT Inspector: Town o,f Queensbury . Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement �'' At time: 742 Bay Road //,, �j Queensbury, NY 12804 ARRIVE am/pm: DEPART�l1 d am/pm Notes: (518) 761-8256' Inspector's Initials � NAME: �J`� C.C U PERMIT# G 'L ^ G�Z� LOCATION: Lo-r Z� CG� "A) ��/ INSPECT ON(date): TYPE OF STRUCTURE: " RECHECK N/A YES NO COMMENTS Footings/Piers _ Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/D ampproofing Backfrll 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 /Ze ation Sealed alt 2,3,4 hour ppmg L:\Suel4emingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc Office Use GENERAL IIeTSPECTION REPORT � Inspector: Town of Queensbury Ready at time:4 "� Dept. of Community Development Request received: �� Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12$04 ARRIVE am/pm: DEPART. am/pm Note (518) 761-8256 Inspector's Initials NAME: " ous I 0 vt- PF,RMIT#2CV2,—?ff?" LOCA1"ION: I,, z4 g- INSPECT ON(date): "Y 6-2- TYPE OF STRUCTURE: RECHECK i YES i NO COMMENTS Footings/Piers Monolithic P ur Form Reinforcemen n Place The contracto is responsible f providing prote 'on from fr zing for 48 hours folio 'ng the lacement ��I K of the concrete. (J Materials for this purpose site Foundation/W allpour Reinforcement in Place A-L L-_ C G k C C { Foundation/Dampproo g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In elation Walls Interior R- Foundation Walls Exterior R- Floors R- 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 e Wall 2 3,4 hour F res , �n1 j AC& f-I pep -Z, 1��✓� _ I �c� �'�r�- L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc 3 Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received. __J��L Meet: Building& Code Enforcement At time: 742 Bay Road y� Queensbusy, NY 12804 ARRIVE am/pm. DEPART' C , yam/pm Not .01 ®rl�c (518) 761-8256 Inspector's Initials NAME: YA S f PERMIT# 21CO 2- LOCATION: L of I 1 4d-(o 1 VVIC CC6,r-M INSPECT ON(date): �Z TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form ;— A d Reinforcement in Place '/-�o � j J C 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/W allpour Reinforcement in Place Foundation/D ampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place _. Rough Plumbing Heating ou -In Isulation �J7"v Y� (OMO5 CE 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 BracingBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour P etration Sealed -~ ire ]"all 2,3;4 hour �L✓�� #3� ��eQ . �� o$�� ! ' ��-'f 1 C5- trestcr GEC L:�SueHemingway\Building.Codes.Inspection.FORbfS\GENERAL INSPECTION REPORT.doc NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 September 3,2002 Job#46143 Mr. Glenn Brusa New York State Dept. of Health 77 Mahican Street Glens Falls,NY 12801 RE: Lot#26—Ernest&Dawn Sacco,purchasers Emerald.Grove Subdivision- Queensbury(T) Dear Glen: This letter is to inform you that I inspected the completed septic system for the house on Lot#26 in the Emerald Grove Subdivision on June 3, 2002. The house being constructed on this lot is a 3 bedroom house. The septic system as installed consists of a 1,000 gallon septic tank and 169 lineal feet of absorption trench. The installation conforms with the requirements of the approved subdivision design drawings. Please call me if you have any questions or concerns. S'ncerely, Thomas W.Nace;P.E. cc: s.ave'HatniIown of. ueens&ury Michael Vasiliou Office Use 'GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE-am/pm: DEPART am/pm Notes: (518) 761-8256 .Inspector's Initials J W 11 NAME: PERMIT# o Z - LOCATION: (-A 1.0 2L 9 Ifir 7C-/ktPL\, INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the 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 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 Y Fire Wall 2,3,4 hour 4Firestopping_ L:\SueHemin.-way\Btiilding.Codes.Inspection.FORMS\GENERAT,INSPE6TION REPORT.doe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPARTLQbamlpm Notes: (518) 761-8256 Inspector's Initials a& 11 NAME: PERMIT# 2 -3rSt LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place ugh Plumbing-_ eating Ro%n IqInsulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- pke,to, Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers lack Postst ain Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestop i pmg-- L:\SucHemingway\Btiilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc F=IF;ZE-= r%AAkFZ,<3"^.t- -rC>VV" OF C;lUaaM.SE3LJF:;Z.)r "-Y- 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUESA ECEIVED PERMIT it <0 NAME LOCATION Va SCHEDULE INSPECTION ON AM- PM ANYTIME APPROVED N/A YTES NO EXITS AISLE WI DTHS EXIT SIGNS EMERGENCY LK3HT1N(2; FIRE E-XTf NGUfS HERS Fi RE AL-ARM SYSTEM FIRE SPRINKLER, SYSTE E FIRE SUPPRESSIONS -TTEM HOOD INSTALEATIO INTERIOR FINISHES STO RAGE: CLEARANCE TO SPRINKI-EaS CLEARANCE TO HEATING UNITS REQUIRED St NA(:3E CHIMNEY WCIOD STOVE FIREPLACE - MASONRY FIREPLACE FAC ORY BUILT A6�-Ay - Al; REMARKS: TO THIS DATE INSPECTOR Office Use G12NERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: <W/-310 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE—amlpm: DEPART?' a7nlpm NoteseMW2 wc,awwrr (518) 761-8256 Inspector's Initials Qlpe—� NAME: PERMIT# C2--3�M LOCATION: 141( INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers ��ai n Iz 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/Dampproofin Backfill Approval Plumbing Under Slab Plumbing,V,ent/Ment,,,,-hi Place -)I/T ough P.113• bin 'Hea7m—g 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- PLUer Vent,Attic Vent _ Framing—'0�� . Jack Su=M�Zrs Bracing/Bridging Joist Hangers 111 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingway\Bitilding.Codes,lnspection.FORIvIS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: RM Dept. of Community Development Request received.- Meet: Building& Code Enforcement At time: 742 Bay Road 0 Queensbuty, AT 12804 ARRIVE am/pm: DEPARTI Vdmlpm Notes: (518) 761-8256 Inspector's Initials NAME: fl I 1 t p O PERMIT# 0,7- 320 LOCATION: /107- ,/. /7)cl-"cA-Z04 INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval .Plumbing Under Slab 7umbtW,-j5k0,&'0t/Veats in Place V�cu gjj4173,79-1116--+'o/C-" Hearing 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, c Vent Bracing/Bridging Joist Hangers Jack PoststMain Beam 0AL4- 14 Ta 0Barrier ire Separation hour Penetration Sealed F�e Wall 2,3,4 hour ,IF -estop Jr. Lir—-ping L:\SueHemingway\BtLilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE-am/pm: DEPART In Notes: (518) 761-8256 Inspector's Initials NAME: V PERMIT# LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab l v o Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- A,),:>T_ 6 �C_- Foundation Walls Exterior R- vo Floors R- Walls R- 0 L)k Ceiling R- Duct work or piping in Y2-5 Proper unheated spaces R- Vent,Attic Vent Framing V Jack Studs/Headers -11" 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 L:\SueHemingway\Building.Codes.Inspection.FORrvlS\GFNERAT,INSPECTION REPORT.doc Office Use GENERAL, INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. o,f'C'ommunity Development Request received: Meet: Building& Code Enforcement At time: 742 Bay.Road Queensbury, NY 12804 ARRIVE am/pm: DEPART m/pm Notes: (518) 761-8256 Inspector's Initials NAME: � (�t3'd d PERMIT# 62 -3 LOCATION: (-`` Z6 : Aik &411e, I I — INSPECT ON(date): ,(L TYPE,OF STRUCTURE: �J i� 2 C'G�✓ G�'�CL�i�n, t RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place . The contractor is responsible for providing protection from freezing for 48 hours following the placement ' of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofmg 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 —*rig Jack Studs/Headers' Bracing/Bridging Joist Hangers Jack Pos6/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour .\Firestapping ! Q L:1SueHerningway\Building.Codes.fnspection.FORNfS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: 4 Town of Queensbu7y Ready at time: -A,4 �4-1 — Dept. of Community Development Request received.- O Meet: T Building& Code Enforcement At time: 742 Bay Road I . I Queensbury, NY 12804 ARRIVE—amlpm: DEPAR�Z-0' am/pm Notes: (518) 761-8256 Inspector's Initial NAME: S PERMIT# C) V LOCATION: L—oT- P4 rYi c, Rc-c C-CA--- INSPECT ON(date): TYPE OF STRUCTURE: RECHECK 1.Z 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/Waflpour 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-L Duct work orpiping in unheated spaces R-, Proper Vent,Attic Vent raming_ 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 L.-\SueHemina.way\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doe Office Use e fc,6:,f GENERAL INSPECTION REPORT Inspector: Town of Queensbury n\—� Ready at t7lmga�]— �� Request received: Meet: Dept. of Community Development Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVEJL, R am >Qws: (518) 761-825, Inspector's Initi s- NAME: PERMIT# 0 LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES 0 COMMENTS \,F Zotgs�—Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing protection ron _ezin for 48 hours followingog,t e placem in of the concrete. Materials for this purpos on site Foundation[WaHpour— 7— Reinforcement in Place z Foundation/Damppr 4 oofm Backfill Approval Plumbing Under Slab'n I Plumbing Vent/Vents in Pla e,_ Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior Floors R- Walls R-1 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 Bearn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping, L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc tD �t 0 0 0 (D 0 0 0"0 -A 0) �+�, (t ,4, m-4, (D (D 0 4 M 0 a 0 0) N 0 nabCC ^i (DW00. 'Z0NMN -0 :3L4 .0 ► M rh 0 a *+ � ` -h W :1 3 :3 c+ TO M Z (D `q (D rRO 0 M C r' (D 0 0 m � I < rt �0 'S 0. 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Les, 0 C is lut 1SO OfS1,111aliv 'fit 110 all dip 1)u OAT I � , I I t',1h I ! � � 100'. tz LZ 9z zo LJ ORYM13H 38 01 JW&H ON11SN3 C 7 F— o Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE amlpm: DEPART /pIn Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# <9 LOCATION: -Z-(D-T INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Found ion/Danipproofing_ Kf-ill 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 Firestopp,'ng____ L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT.doe Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready attima7 D,3h Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road 7Z e�O Queensbury, NY 12804 ARRIVE am/pm: DEPART amlpm Notes: (518) 761-8256 Inspector's Initials �rz / NAME: c,,cl-x Cn PERMIT# (��j -3?E LOCAT?0-N6.A a(j INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A_YE9 N CO ENTS Vb/otingslpi C.-.;- V 4 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 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/Bridgmig- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc