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2001-455 001. TOWN OF QUEENSBURY 742 Bay18�� Road,Queensbury,NY 12804-5902 (5 ) 761-8201 Community Development 1 Building & Codes (518) 761-8256 CERTIFICATE ? F OCCUPANCY •Permit Number: P20010455 ;' Date Issued: Friday, November 09, 2001 This is to certify that work requested to be done as shown by Permit Number P20010455 has been completed. li Tax Map Number: 523400-290-000-0OO;,1l-05 8-000-0000 Location: 14 BROOKFIELD ,Run Owner: BRIAN &DAWN ROSS Applicant:PP BRIAN &DAWN BOSS This structure may be occupied as a: By Order of Town Board Garage - 2 Cars Attached - TOWN OF QUEENSBURY Single Family Dwelling (--- adwP 4 Director of Building&Code Enforcement I 1 TOWN OF QUEENSBURY vx/.41 742 Bay Road,Queensbury,NI'12804-5902 (518) 761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010455 Application Number: A20010455 Tax Map No: 523400-290-000-0001-058-000-0000 Permission is hereby granted to: BRIAN &DAWN ROSS For property located at: 14 BROOKFIELD Run 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: BRIAN&DAWN ROSS Single Family Dwelling 150,000.00. 3 CASTLEWOOD Dr Garage-2 Cars Attached SARATOGA SPRINGS,NY 12866 Total Value 150,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency SCHERMERHORN CONSTRUCTION COMMONWEALTH ELECTRICAL A( 43H HUNTERBROOK LANE PO BOX 706 OUEENSBURY,NY HAGUE,NY Plans &Specifications . 2001-455 2281 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFCATIONS $350.52 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,July 02,2003 (If a longer period is requited,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; Monday,July 02,20.01 SIGNED BY / for the Town of Queensbury. hector of- •' t de Enforcement " Application for Permit—Septic Disposal System Town of Queensbul y 742 Bay Road Queensburyy,NY'12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: e 4- Ill Bvoo( 4Jd le Permit No. Tax Map No. / / Fee Paid Owner's Name: 8je1 , leb .S Address: 2. INSTALLER'S NAME : SC/41.ei ` 4%0 litge b% `c.,l-14^/c4l PHONE NO. —7ea—o674 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/bdnn" = 1980— 1991 x 130 gal/bdrm = 1991 —present 4 x 110 gal/bdrm = ,4140 Garbage Grinder Installed yes— / no X Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) ! T oQgraphy Soil Nature Ground Water Bedrock.or Impervious Material Domestic Water Supply plat san at wijat depth at wha depth municipal Iling oam �(f//� feet �!/�g-feet Z1 Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5., PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: /2.c0 gallon (min. size 1,000 gal) Tile Field: each trench yLength: 4( ft(�O ft. Total System 3Oe Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: it / depth or thickness feet Bed System Size: x Alternative System: length and/or size - 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: , gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) . For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Z,___1_ I OziZoeit Signature of responsible person te Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518) 761-8256 • A permit must be obtained before beginning construction. Permit File No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on This Rec. Fee Paid application must be completed and must appear on the Reviewed By: .. application form. (( f 4 Applicant: S-C t cV "� . 0466 ce4-10vc41:0wner: "1��, tQO ss Address: /yam' F 61( 1 N t�I, ( •)W 1�1i.� Address: 3 C.4. 44.a.�F'11-. f.tJ VGsTLW ) y ! 5 G \U ;r 3) Phone# ( )7q ' - 047y Phone# ( 512 ) 5-i l3 (tz) 7`lfo-p 57 Z( Property Location: Lot Number: I if / House Number I`� / 0Pded$2 Subdivision Name: don,v4( -4 Tax Map Number: c7 4-3✓�t_3 - New Building: esidence commercial Estimated Market Value of Construction: $ 1 �"0�Oou ❑ Addition: residence/ commercial if an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'1 ❑ Other work(describe Check Occupancylnformation I" Floor 21'd Floor Other floor Total Below sq. ft. sq. ft. sq.ft. Square Feet = )S., Single family dwelling /1 $-Z it I o Two family dwelling o Townhouse o Multifamily dwelling #of units o Office o Mercantile o Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage sk 2 car attached garage " 7 6 S' ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other Will any second-hand or ungraded lumber be used? If so, for what? /Ua Type of I-Ieating System:,electric/ oil / gas/wood /'forced hot air baseboard/other: • Number of Fireplaces to be installed Number of Woodstoves to be installed • List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number • Builder SG� tt/wcv oto.ok, Cm f4a•i4tD' (440$f4,14' • 7 jr- 0471 Plumber CA46sfc. For/.fr /4�hr1 Z�7s"3007 Mason trh ti -tr i}" 6"'i Ptak z 0—e f4 4 Electrician (4+ N +„ram C�Uc.c i 40, 2.4.O•!`f' 3 L 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 i/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new nstru•tio . Signature: owner, owner's agent,architect,contractor /�� ENERGY CODE COMPLIANCE APPLICATION 66 l-Li S =.`' 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 • *Recruires submission of worksheets APPLICANT'S NAME: PROPERTY LOCATION: • Sc � cv w-w Love.. �oc.a +r uc,flch Lo-- /1 at-°a .( 144(ti L-L.---. PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - ZZ iJ scruare feet • 2 . Type of Heat - Electric Oil ( Gas Other 3 . Is building mecaanidally cooled? Yes X-No . 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-V=LUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS S-OW ON PLANS SUBMITTED: a . Roof R 38 b . Exterior walls R )1 c . Glazed areas - R z d . Exterior doors R / , e . Floors over unheated spaces. R __ Edge of slap on grade (heated building) R _ ____ c. Basement/cellar walls (above grade) R /o h . Basement/cellar walls (below. grade) R /o 1 . Heating/cooling-ducts-piping in unheated space R 0/4, 6 . Service (domestic) hot water heat?nc device Conforms to minimum efficiency per code )! Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Appl_c`j.tnat' _e pate Pnor� NLti�e= G/ [ v Zoo/ �',-067€}' INSPECTOR' S REMARKS: / - nnr, Lo .i Inspector's No. a:Ictr1Cal I m_P^..r.t P.O.EC..I_ Date '-I.6.GU=r N'( ,. . (513) "2 . 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 X✓ I��. R� S S Type Bldg. kr-DWG ❑ Other .. Occupant r t-1 6,0 S Building Permit No . /.. /4`.6 Job Locations, #A 14 C kLe.L DE...City i 5 12.7 State NY Vv County Ar t''"G'',, Twp. M/C# Swimming Pool-New❑ Old El Directions to Job Site Application For Rough Wiring❑ Fixtures❑ Service❑ or Work-New ❑ Additional New❑ Old❑ Ready for Inspection APPLICANT'S SIGNATURE LICENSE# PERMIT M PLEASE PRINT NAME tJl 1 G C-(� C L,,,th �c 4 eL-h .01-i --i.3 - � -y i - /Q PHONE» let/I` O6-71 NA APPLICANTS / F �C� yam✓ UTIL IY T ADDRESS j OFFICE TO CITY �(JGefri J b0-Y STATE AJ ZIP CODE/22o 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 FIXTURES MOGUL BASE WATER DRYER FIXTURES HEATER FLUORESCENT AIR AMP. RECEPTACLES FIXTURES CONDITIONER MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER FRAC.H.P. QUARTZ FIXTURES VENT FANS MOTORS:H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1-1/2 2 3 5 7-1/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE Inspector's Comments: OFFICE USE ONLY WORK INSPECTED REPOR- a o NOTIFIED TED ¢ JO 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: ❑ YES ❑DUP ELEC. LT.CO. INSPECTOR Progress El THIS APPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES PAYABLE TO C.E.I.S.INC. WHITE/OFFICE PINK/INSPECTOR CANERY/OFFICER GOLD/CUSTOMER TOWN OF QUEENSBURY 111111111.641 l 'n 0- ' BUILDING & CODE ENFORCEMENT �r. 531 BAY ROAD QUEENSBURY NY 12804 (518045-4447 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT DATE INZ TION REQUEST RECEIVED: NAME /ir\ SSLOCATION /q 6rOdiVid /1 DATE ! l -7S-3O)PERMIT # 0/ - 75c 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 RAILING: STOCKROOM ENCLO .UR/ FIRE/DEMISE WALLS PENET•,TION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SIT PLAN/VARIANCE REQ. INAL SURVEY PLOT PLAN, IF REQ OK TO ISSUE C/O OR C/C 1I a •rn • 2,01/4--/.,,,ou RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 11 i a Building&Code Enforcement I: 5-- dier Dept.of Community Development Arrive - a pm Depart , v,-al�� Town of Queensbury spector's Initials' 742 Bay Road Queensbury,New York 12804 "Iv NAME 9 \ 0u1_. Q1/..1(S____ICPERMIT# er I `—�55-LOCATION 1—e+ 14ill p d DATE — — TYPE OF STRUCTURE Sf N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake V/ Plumb Vent through roof -/I Roof Complete / Exterior Finish Complete •/ Interior/Exterior Railings 30"to 36" •I Exterior Handrails,balconies,I ding 8 in.or more Interior Handrails stairs both si s 3 or ore risers Vi Grade 2%away from foundation ,// 8"clearance to sill plate, Gas Valve shut-off exposed/regu ator 1 'above grade J/ Gas Furnace shut-off within 30 fe t or thin line of site ..J Oil Furnace shut-off at entrance to ce area `/Furnace/Hot Water Heater operat' 1 Relief Valve(s)installe& .// • Headroom,6 ft.6 in.on stairs- ,/ Basement stairs,6 ft.4 in. I/ Handrail exterior stairs both sides m re than 3 risers �� Interior privacy/trim/doors/main entrance 36" Floor Finish I// Bathroom/Kitchen watertight *, / Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: ,f every level every bedroom I outside every bedroom V/ inter connected Bathroom fans Lii Plumbing fixtures ii/ Foundation insulation V 3/4 hour fire door/door closer V/ Garage fireproofing � Garage penetrations sealed / Furnace in separate room protected(in garage) �/ / il Light ventilation per room ✓ Safety glazing 18"or less from floor / Final Electrical ti/ Site Plan/Variance required Final Survey Plot Plan // As Built Septic System layout required f 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) -^isri^r#.SSc"C GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road 65 Queensbury,NY 12804 Arrive am/pm Depar pm Inspector's Initial NAME: k ��fkt'dlb PERMIT# C' LOCATION: £g044r,Ere.j Ili UA/ DATE: 6 TYPE OF STRUCTURE: RECHECK N/A YES NO COIvI ENTS Footings/Piers \ Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from frezing for 48 hours following the p acement of the concrete. Materials for this purpose o site Foundation/Wallpour ! Reinforcement in Per Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents iii Place R I satin i; VVV Insulation l Foundation Walls Interior R- Foundation Walls)exterior R- Floors I R- Walls R- Ceiling R Duct work or piping in unheated spaces /I R- Proper Vent,Attic Ve (t Framing ////// Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed ire.Wall 3;1r�hou'�r ">- restopping ( ,,,4, f j pr) 1 , GENERAL INSPECTION REPORT ( 518 ) 761-8256 ,ram- � "� ,;r ,�� Town of Queensbury --� y..... Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ` Z. Queensbury,NY 12804 Arrive am/pm Depar�. m/pm Inspector's Initials `\ ` NAME; PERMIT# — �Jv LOCATION: V DATE : — 0 j TYPE OF STR CTURE: ‘C--7 RECHECK c•,_ N/A YES NO COMMENTS Footings/Piers \ 1. 1 Monolithic Pour Form `,. Reinforcement in Place N 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 1 Foundation/Dampproofing`. I Backfill Approval \ I Plumbing Under Slab j Plumbing Vent/Vents inPrade Rough Plumbing / Hee ii ig 2.ough-In i, .rliltl[STL `s 1 Milloundation Walls Interior \R- Foundation Walls Exterior '.- Floors R-' / ,. Walls R- i✓� Ceiling R- -� Duct work or piping in unheated spaces R- Proper Vent,Attic Vent ,/ Framing Jack Studs/Headers Bracing/Bridging Joist Hangers 1)0 / v J ` 0(JL Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Wall 2, 3,4 hour F resiopping,..—.. �Llf'L. %/t-T\^'L & - ci,_Cl1'6� fj,'-CUY2,- V-1 ea6 &` iC-A`TT 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 Depa m Inspector's Initials NAME: PERMIT it0 — 3 6 LOCATION: 7`/ -( f cQ /�)JDATE: / G" TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re .e• ible for providing protectio: from -ezing for 48 hours followi g the p►:cement of the concrete. Materials for this purpo.e on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Plac Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exterior '- D l` 7 l b (Ai 5 U 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 Pen tion Seale • F' Wall 2,3, our ff_ I � irestopping Ale l/�L- C_e Al&T E ` V e 7i r -5e .........„,„:__ __,._ _... . ,... GENERAL INSPECTION REPORT 671CA i ( 518 ) 761-8256 • Town of Queensbury U Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road 3 ' du Queensbury,NY 12804 Arrive am/pm Depart 1 ...._eu Inspector's Initials NAME: °Thc\VQ1152iVOli)1(10 yi ..,„ PERMIT# CO/--- 1155 LOCATION: ai...,c )Z--/ 4-")r-DO stI•el(nA.)Y\ DATE: TYPE OF STRUCTURE: s5E10 RECHECK N/A YES NO COMMENTS Footings/Piers , I Monolithic Pour Form Reinforcement in P1.-z The contractor is espo• ible for providing prote on fro -ezing for 48 hours folio, • g the . .cement of the concrete. Materials for this pu •.se on Si - 47 lk) -6 Foundation/Wallpour ' 466- VED fV4 Li Reinforcement in Piac- Fotmdation/Dampproo• 1 g )<-z( 16 A-i.-Backfill Approval PlumPlumJ31g Under Slab P mg Vent/Vents i if Pl.ce avi•-:j. 111 . / - ittatin ough-Inus Insulation Foundation Walls Inte ;or R- Foundation Walls Exte or R- Floors R- Walls R- Ceiling I'- Duct work or piping in unheated spaces '- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Bea s Air Tnfi Itration Barrier Fire Separation 1,2,3,hour Penetration Sealed Firy,Vall 2,3,4 hour • 64f, 6,A- tw-c--- 066 0-Trestoi , /1,05fAi-6--. Fte70' e, ne.4 .6 ....z 6 —V6At-r- ik Idtt...5— ID u ., z,-- ,.....„, . GENERAL INSPECTION REPORT ( 518 ) 761-8256 9Town of Queensbury a. Dept.of Community Development Date inspection request received: �v'j��0 Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart a pm Inspector's Initials c\ NAME: � l nrw'V, Y f PERMIT# LOCATION: I L 3;Yn(C P I c n�� DATE: - TYPE OF STRUCTURE: c� RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re •i nsible .r providing protection f •m free 'ng for 48 hours following a e place' ent of the concrete. Materials for this purpose i n site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab 121mbing VentNe„ is i, ' . e tedughPu ngi i le 1' '1 V ° eating Rough-In Insulation Foundation Walls Interior "- Foundation Walls Exterior ' Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent SFr p d 11> C "N Jack Studs/Headers Bracing/Bridging Joist Hangers Ja k Posts/Main Beam 1niitration Barrier ° `J Fire Separation 1,2,3,hour Penetration Sealed F' all2* 3, :hour iaesto Icing '�, TOWN OF QUEENSBURY . BUILDING &_CODE ENFORCEMENT 12)Ail 742 Bay Road Queensbury NY 12804 (518) 761-8256 • SEPTIC DISPOSAL SYSTEM INSPECTION Name � Iter-v►,‘e7-G ol'v1 Location 1/-07-fq 1'' iiii2K /_,--' Date ! cloy Permit # l,Y��- 5 -> SOIL T oam- lay- Results of Percolation Test- (if applicable) Rat- Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each tren h lam, Depth of trenches _ — Size of stone . 4P.4 SEEPAGE PITS: Numbe Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank /-J <<i)C Lin Tank to Dist. Bo H it VW._ Dist. Box to Field/P� . t� . c_� Openings Sealed? Ye : Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption 4 feet Separation of Pits _ feet Conforms as per Plot Plan es o LOCATION OF SYSTEM ON PROP R . (circle one) Front - Rear - Left ? 'ght Side Middle Front meddle Rear J COMMENTS: SYSTEM USE APPROVES - (IS:-2,NO Arrived- )'--4t4 Depa ed: 2,417:2-) . /,.r, 4/ 11ding s. •ctor -T /A L- 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 '' pm. Inspector's Initials C C• NAME: � Q, Q PERMIT#cO l r q6S LOCATION:.,Le 1 LI .L yr )K l cid'� DATE: 7—�23 X) TYPE OF STRUCTURE: g RECHECK N/A YES-NO COMMENTS o `ngs/Piers yy-�� ~-1 I /1,4 1 ,e&pe / Monolithic Pour Form Reinforcement in Place The contractor is r: .. ible for providing protecti.1 from --zing for 48 hours folio, ng the .lacement of the concrete. Materials for this pu . se on •.ite Foundation/Wallpour Reinforcement in Place Foun•• •on/Dampproo. :g :.''a I ApprovalLj';. Plumbing Under Slab Plumbing Vent/Vents in 'lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte or R- Foundation Walls Exte or R- Floors R- Walls '- Ceiling Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour _ Penetration Sealed Fire Wall 2,3,4 hour Firestopping \ LAT-6-1M fJ ,V• 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 .'.0 gm Inspector's Initials NAME: C PERMIT# ( � l LOCATION:„l I Ll YCY)Yr DATE: 7- 3--„YXS TYPE OF STRUCAT RECHECK N/A YES NO COMMENTS o ngs/Piers Y-a cxr? �, I A4 ie 4.,o • • Monolithic Pour Form Reinforcement in Place The contractor is r• •• ible for providing protecti•1 from •ezing for 48 hours folio' ng the il lacement of the concrete. Materials for this pu • se on •ite Foundation/Wallpour Reinforcement in Place Foun •on/Dampproo• 'g ��hhyy J' _ -k'�'f'J: 'roii al- Plumbing Under Slab Plumbing Vent/Vents in 'lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Jute:or R- Foundation Walls Exte or R- Floors R Walls ' Ceiling ••- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping p 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 - Ito Inspector's Initials l I NAME:< - i\5`CY\QA( PERMIT# CJ) LOCATION: \y ')( �C) DATE: 07--/3- Ck'> J TYPE OF STRUCTURE: RECHECK N/A NO COMMENTS ootings/Piers �, I Monolithic Pour Form Reinforcement in Place 5-/ The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this pu ••se • site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi i g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P.c- Rough Plumbing Heating Rough i 4 Insulation Foundation Walls Interio 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 N%