2001-590 TOWN OF QUEENSBURY
IFOis742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010590 Date.Issued: Wednesday, January 02, 2002
This is to certify that work requested to be done as shown by Permit Number P20010590
has been completed.
Tax Map Number: 523400-301-014-0002-003-000-0000
Location: 22 MC ECHRON Ln
•
Owner: VASILIOU MICHAEL J INC
Applicant: VASILIOU MICHAEL J INC
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Fireplace
Director of Building Cod nforcement
1
TOWN OF QUEENSBURY
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P2001059 ---Application Number: A20010590
' Tax Map No: 523400-301-014-0002-003-000-0000 LT(,Z
Permission is hereby granted to: VASILIOU MICHAEL J INC
For property located at: 22 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: VASILIOU MICHAEL J INC Single Family Dwelling 160,000.00
23 SUNNY WEST Ln Garage-2 Cars Attached
LAKE GEORGE,NY 12845 Fireplace
Total Value 160,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
VASILIOU MICHAEL J INC
23 SUNNY WEST Ln
LAKE GEORGE,NY 12845
Plans &Specifications
2001-590 LOT#3 HSE#22 MC ECHRON LANE
2253 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$314.36 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday,August 06,2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at thelTo f Quee bury; M nday,August 06,2001
SIGNED BY for the Town of Queensbury.
Director of Building: Co Enforcement
Application for Permit— Septic Disposal System
.Town c f Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION: •
�Qfvi.pp--„,
- Location of installation: 47-/ -`3 ,ISX---, Rl', r.
Fite Permit No. (-�)`` - . 0
Tax Map No. / ,/ Y/ / /,3 • AUG 0.2 20 l
�A . �/6/ Arc t•
Foe Paid
Owner's Name: 1 �! tv T ;1`WN-OF-QUEE611SBURv
Address: AP ! _
r
•
2. INSTALLER'S NAME �PI ZONE NO. 7 7 K 2Z
.� •
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate if bedroom(s) and multiply if of
bedrooms with applicable gallons her bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older • x 150 gnl/bdrm =
1980— 1991 x 130 gal/bdrm =
1991 —present 5 x 110 gal/bdrm = 556
6
Garbage Grinder Installed yes / no
Spa or Whirlpool Installed yes / no
4. PARCEL INFORMATION: (circle applicable information & indicate measurements) •
.gu hY .' Italia . .Q.tQ1l nd Vanier_ _I3vti.!wk..vr_ai»po1A9.11.$ 0.44ri311_ ' W__at.er. rpi'ly
ISO at who/depth (rt who( depth nrrorlcapur
Rolling :' m Ave fret /�` n_-trir Meet we
Sleep slope clay /f if well; water supply
__%slope other PVIIND from any.septic-system
depth: ' absorption is fi.
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 it licensed
professional engineer or architect (unless installed in a Planning Board approved sutxlivision). Add 25(1 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whit Ipool Tub. .
Septic Tank: tbO.gallon (mitt. size 1,000 al)
Tile Field: each trench-� JP. Tot. System Length: ,0 ft.
Seepage Pit(s): number of size of each: fl. by fl.
•
Size of Stone to be used: ll `___•___ / depth or thickness,__•__,_,_...._.._./i'L't
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 Suction 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 rend the regulations with respect to this application end agree to abide by those and all
roqui'roinonts of the Town of Quecnsbury Sanitary Sewage Disposal Ordinance.
Signature espons eraon ate
i
Building Permit Application .
'i owtl of Quccnsbwry-Dept of Community Development, 742 Bay Road, Queensbury, NY
(s l g) 76178256 6)—
59,0
A permit must be obtained before beginning construction. Permit File No. 3/9 - /cfU'
No inspection will be made until applicant has received a J
p l P Fee Paid $ r.. .. . a Tom / 3�
valid building permit. All applicants' spaces on this Rec. Fee Paid 7
application must be completed and must appear on the '�'/ 3 ` /
pp p l p Reviewed By: a O �`-�
application form. ,- /�
Applicant: .' '' d, ' .. e .Owner: _ �.IAddress: • ;� �., ldress:
Phone# (_ _ • Phone#O - i
) i — /— /•3
Property Location: Lot Number:- / House NumbeCRoC- /.' M.e,, L-�e_. r Kz
Subdivision Namc: e- C/am.-cA,_e____ Tax Map Number:
X New Building resid /lommcrcial i:stimated Market Value of Constru ion: •
U Addition: rests ease/ commercial if an Addition, what will use anew ad
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'i
❑ Other work(describe )
RECEIVED
Cheek OccuIJancyilrformation t'' Floor 2,,,,i;IR?.G c 2, (20{��Boor Total
Below sq. II. sq. sq. fl. Square Feel o lam- 1
EENSBURY X
4 Single family dwelling f G AND xge 53 ,,ll
❑ Two family dwelling g7O 3i
o Townhouse
o Multifamily dwelling
#of units
o Office
❑ Mercantile _
o Manufacturing .
o 1 car detached garage
o 2 car detached garage
o 3 car detached garage
/ ❑ 1 car attached garage I ,
v = 2 car attached garage a-� I �,p `
o 3 car attached garage J
u Storage building- -
commercial
__
o Storage building- - ---
residential
❑ Other
,Will any second-hand or ungraded lumber be used? If so, for what'? /41(yr 7
47-
Type of Heating System: electric/ oil /gp wood forced hot airs' baseboard/other:
Number of Fireplaces to be installed / Number of II'oodslot'es to be installed
List below the person(s) responsible icy supervision of work as regards to building codes:
Name Address Phone Number
Builder f1. ® ''
Plumber w' _ ` a, -
� ��
Mason ,
•
Electrician tia e � i Az
3-7.-eitio
Declaration: please sign below aticr you have carefully rend the statement:
To the best of my knowledge the statements contained in this application, together with the plans_and specifications
submitted,arc a true and complete statement of all proposed work to be clone 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 eoniplied
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() •upancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of 13ui1 ing andLtc its s an its Ilrrill Surtsey by a licensed surveyor;drawn to scale,showing actual
location of all ne v •c true' m
Signature: / owner,owner's agent,architect,contractor
Fire Marshal's Office Town of Queensbury,742 Bay RECELV,FD
(518)761-8205
•
• Application for Fuel Burning Appliances & ChimnM 0 2 2001
applicable to solid fuel & vented gas appliances TOWN OF QUEENSBURY
•
BUILDING AND CODE.
•
Date , 20 CS ( Permit No. (2 l l no
Appli anon is hereby made to the Building& Codes Office 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 laws, ordinances, regulations, and all conditions that are part of
•
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Infor ation Fuel Burning Appliance Information
(circle appropriate words)
Name: 14C,ke4 �J
J. ea U' t c_, Stove: wood coal pellet gas
Fires lace I -
Address: Fi ce, factor -b_ • wood ga. •
Fireplace,masonry: wood gas
Furnace: wood gas oil
•
Phone: _ W
If non-masonary applicance,please provide
/7 /
Owner: Manufacturer Name: � a 1
Address: .Model Number: 52— /S 6
•
�' >< Information :e5
Phone: circle appropriate words) ApaP4a
asonry block brick stone
��� Flue tile steel size: inches
Exact Address:
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction I Installation must
• conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting
Chimney Liner
G1 hier'ier Departuzezzt—Tosr,rrzz of Qizeext erbzzry, w 3/E'or7i
Fire Marshal Code# $Collected $Refunded Received from (refunded to):
address:
A 173 3389 (190) Public Safety
• A 233 2655 (230)Al' or ales
•
• DATE: v d-n) / �6
a.i.pwaiuu— o2
White Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
266/ 4)V
. i= ENERGY CODE COMPLIANCE APPLICATION AUG
tpA TOWN OF QUEENSBURY, WARREN COUNTY 0 2 2001
�re-4,',
9000 HEATING DEGREE DAYS 'OWN®F
SUQ- ND CODE y
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
APPLI ANT'S N E: PROPERTY LOCATION:
fee 6d-i 4
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE �t
1 . Gross Floor Area - 21,,( square feet
2 . Type of Heat - Electric Oil _as Other
. 3. " Is building mechanically cooled? Yes io
4 . Percentage of area of windows and doors Over 17% Under 17%
er"--
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof
30
b. Exterior walls R
c. Glazed areas
d. Exterior doors RR �.
e. Floors over unheated spaces R `
f. Edge of slab on grade (heated building) R ___if
g. abasement/cellar walls (above grade) R /
h. Basement/cellar walls (below grade) R /1
i. Heating/cooling-ducts-piping in unheated space R
6. Service (domestic) hot water heating device
'
Conforms to minimum 'efficiency per code Yes No
TEMPERATU E CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Applir f it ature - Dat Phoneumbe
/7)////
INSPECTOR S REMARKS:
2 7) 121
s=ECF
� o
.1 .. ENERGY CODE COMPLIANCE APPLICATION AUG 0 2 2001
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS TOWN OFQU ENSBURY
BUILDING AND CODE.
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires ,submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
Ate-ib/415-1_, Vie
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - square feet
2. Type of Heat - Electric Oil Gas Other
'• 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 �
b. Exterior walls
c. Glazed areas R ,r;
d. Exterior doors R
e. Floors over unheated spaces R
___27?-
f. Edge of slab ongrade (heated,.:, ( ted building) R d
g. basement/cellar walls (above grade) R
h. Basement/cellar walls (below grade) R
I. Heating/cooling-ducts-piping in unheated space R --�1
6. Service (domestic) hot water heating device �• �
Conforms to minimum 'efficiency per code sc Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
App . ' ca,t' . ignat % Date Phone Number
INSP-4 O• 'S REMARKS : ag I I°Se a
N
TOWN OF QUEENSBURY .
- BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804 •
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 1 t_ltl 6
Location 3 ,-1 c'.14Ro \, LUF
Date — -—0 Pe it # Z x.)l-5k
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-M nute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD To al Length
Length of each t -,ch
Depth of trA •.
Size of stone
SEEPAGE PITS: Numner-
Size - ft. ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/P t
Openings Sealed? es No Partial
LOCATION/SEPARATIONS
Foundation to Tank feet
Foundation to Absorp ion feet
Separation of Pits _ feet
Conforms as per Pl o' Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
•
—
SYSTEM USE APPRO YES CNO
Arrived-
Depar-ed: i.
i6. L
:wilding � , ctor
aan 02 02 04: 14p Michael J. Vasi1iou 518-783-1920. p. 2
JINTAah
429
ovr �
RE \' ;
JAN 0 2 20'2
a - =TOWN OF QUEENSBURY
r BUILDING AND CODE
Nsi
.
• t �1
Q1
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W
209 Warren Street P.O. Box 530 Glens Falls, NY 12801-0530
(518) 792-5029 FAX: (518) 792-5230
PRIllko, itziviii.O.1e . 6,4se
1314),,,A.
RESIDENTIAL FINAL INSPECTION REPORT
i
Office No.(518)761-8256 Date inspection request received: ,,
Building&Code Enforcement
Dept.of Community Development ArriveF O a I ,epa v i v" ),
Town of Queensbury Inspector's Inn. c
742 Bay Road
Queensbury,Ne York 12804
�i / �a
NAME / 01-- PERMIT#
LOCATION -'="1 /_--;"c,�,,r„rk- DATE l
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Heigh 'B"VT/Direct Vent Location ..1/ .
Fresh Air Intak' ,,,f
Plumb Vent thri ugh roof\ J
Roof Complete J
Exterior Finish•.mplete ,//
Interior/Exterior k ailings 3 "to 36" V!
Exterior Handrails,balconie ,landing 18 in.or more f
Interior Handrails s:irs botl sides 3 or more risers /
Grade 2%away fro four ion �//
8"clearance to sill pla e /
Gas Valve shut-off e ..se regulator 18"above grade /
Gas Furnace shut-off wi .7 30 feet or within line of site
Oil Furnace shut-off ate i,ance to furnace area tin
Furnace/Hot Water He ter. erating ;/`
Relief Valve(s)ins ed ,/f
Headroom,6 ft.6 in.on stairs �//
Basement stairs,6 ft.4 in. J•
Handrail exterior stairs both side more than 3 risers J
Interior privacy/trim/doors/main trance 36"
Floor Finish
Bathroom/Kitchen watertight I
Interior Handrails Balconies/Landin 18 in.or more / J
Railing across window in stairwells J
Smoke Detectors: V
every level .4
every bedroom i/
outside every bedroom `,�
niter connected J Bathroom fans /
Plumbing fixtures f
Foundation insulation
3/4 hour fire door/door closer /
Garage fireproofing
Garage penetrations sealed / -s./Furnace in separate room protected(in garage)
Light ventilation per room li Safety glazing 18"or less from floor
Final Electrical f
Site Plan/Variance required
Final Survey Plot Plan \
/ i
As Built Septic System layout required
Okay to issue C/C(Calif of Compliance)
Okay to issue temp.C/O(Certif. of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
lipo
,LQ 4 L - `H !J'�t4
40t 4 (11 U
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement .
Dept. of Community Development Arrive1,91 an pp ).--, epart a
Town of Queensbury Inspector's Initials!
742Bay Road Queensbury,
��
yt New York` a� 12804
NAME `-1'rY)• V• (.411-4 PERMIT# C 5 g 0
LOCATION N R-LC.d,_�g) J -J' - m 4 c(i•1i )A-_, : DATE , /
TYPE OF STRUCTURE
N/A YES NO COMMENTS
/
Chimney Height/"B"Vent/Direct Vent Location `1
Fresh Air Intake j./
Plumb Vent through roof Roof Complete J
Exterior Finish Complete ✓ v=' V°I.`� �vc :L t , ii4E.P -'--
Interior/Exterior Raiuigs30"to 36" ./ C a-�� -
Exterior Handr��ls,balconies,landing 18 in.or more ./ •
Interior Handrails stairs bgth sides 3 or more risers / -' 1 C21.6 C ALX._. p.. C Ote�Z ,e
Grade 2%awayl`from foundation ro t6� vl'�� a� t"�t`�
8"clearance to sill plate I1 `i�Li_ t �C4x `�
Gas Valve shut-off expo bd/regulator 18"above grade 1/Gas Furnace shut-off wit hin 30 feet or within line of site V
Oil Furnace shut-off at entrance to furnace area •.j
Furnace/Hot Water 174ter operating +,/70P jrX)P12)i ti 6 `�Cet-Q ,C,E
Relief Valve(s)installed \/
Headroom,6 ft.6 in.or\stairs -- 1 t u_ 7 Dr; j e i �Basement stairs/6 m. ti s E� � QBb3�
Handrail_extenor stairs
bath sides more than 3 risers ,/ /
•
Interior privacy/trim/doors)main entrance 36" V %;�--c-' '- K.,„s.:.% 1-3‘ta -) ta
Floor Finish \ ,✓ 1
Bathroom/Kitchen watertight\ t✓ •
• Interior Handrails Balconies/Landing 18 in.or more f ;r \ - t Fr`'l L� tr ' '�`a A'�V?yk �
Railing across window in stairwells
Smoke Detectors: \ ;/ , 4 'k'2 e. U-i✓>v 'E-- (--3,-:-ii--W
every level \ ✓ •
every bedroom \ ✓'
outside every bedroom \
inter connected 1 1./
Bathroom fans
Plumbing fixtures ./ 1
Foundation insulationkL 1 1 JVL t, � 1
'A hour fire door/door closer /j E L �\1,'��. jT(�� ,J p E_O 0)-1 � �v)EL
Garage fireproofing /-1—?-tt--\Garage penetrations sealed '1/4-Y 1 V-,cP
Furnace in separate room protected(in garage)
Light ventilation per room / E-Ak... '�'� Cc JTE2 L LOL,
Safety glazing 18"or less from floor • r
Finalt�� =' �Electrical �
Site Plan/Variance required
Final Survey Plot Plan rIC\�'��k - b`�=- -L �'a
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance) �� �`Okay to issue temp.C/O(Certif.of Occupancy)_ I J�
Okay to issue permanent C/O(Certif.of Occupancy) i t•611`p=�-� ,-\,t;�t ' 1 ()f�
r-Nt i.._• A IJ SDi 1u Lb
-CS 9 /4A
TOWN OF QUEENSBURY � � cr
BUILDING & CODE ENFORCEM T
,--/----
742 Bay Road
Queensbury NY 1280 4 ok—
(518) 761-8256 ATS '
SEPTIC DISPOSAL SYSTEM INSPECTION
Name M 46,a.___
f.�L o c a ti on,� 7/... (��Z-�
/
n,
U�Date/ 0/ Permit # pf--S 9v
SOIL PE. Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each t :nch
Depth of trenche•
Size of stone
SEEPAGE PITS: N her-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field Pit
Openings Sealed?/ Yes No Partial
LOCATION/SEPARATION.:
Foundation to Tank feet
Foundation to Absorp ion _ feet . .
Separation of Pits feet
Conforms as per Plot 'lan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
• D - t CJ\----t
- iJ --- .Zs v\i� a \C
O ,J t"NCc'S vp
- J
SYSTEM USE APPROVED: YES NO
Arrive - f
Depar V i
Bu/Iding ns ec or
Dec 27 01 02: 51p Michael J. Vasi1iCu 518-793-1920 p. 2
DEC 27 2001. 10:32AM HP LASERJET 3200 p- 1
NACE ENC;TNE_ERINCH, P.C.
169 Haviland Road,Queensbury,NY 12804
Phone-51&-745-4400. Fax -518-792-85n
December 7.7,2001
Job#46143
Mr.Glen Bruso
New York State Dept.of Health
77 Mohican Street
Glens Falls,NY 12801
RE: Lot#3--Tom&Gina Osika,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#3
in the Emerald Grove Subdivision on December 27, 2001. The house being constructed on this
lot is a 5 bedroom house with no expansion attic,no garbage grinder and no hot tub/spa.
The septic system as installed consists of a 1,500 gallon septic tank and 275 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.
Sincerely,
tx
Thomas W.Nacc,P.E.
cc: Dave Hatin,Town of Queensbury
Michael Vasiliou fax 668-5656
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256 c)(71.
SEPTIC DISPOSAL SYSTEM INSPECTIONo ,
Name Wdees( [� / .
Locati oral
Date l,}-a�/v/ Permit # a2/-j
SOIL TYPE: Sa j oam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELt: 'etal Length '1_73
Length of each ren h r� —7 i crr Jkk
Depth of trenc es t
Size of stone
SEEPAGE PITS: umb r-
Size - t. c ft.
Stone size _
PIPING: / Size Type
Bldg. to Tank / L4 / c{" yT
Tank to Dist. Bo Li " p\C
Dist. Box to Fiels/Pit Lill PUc- \ 113F1a
Openings Seal d? es No Partial
LOCATION/SEPARRATIi •
Foundation to Tank \p feet
Foundation to Abso ption feet . .
Separation of Pits _ feet
Conforms as per Put Plan Yel9o-)
LOCATION OF SYSTEM IN PROPERTY:
(circle o
Front Rear - of . • - i_ght Side
Middle Front - Midd e Rear 2-33
COMMENTS: . 33
1
91-110
AGE 0 tJ
SYSTEM USE APPROVED: ES
Arrived: L'
Departed: —
ldin Inspect
„,., TOWN OF QUEENSBURY
.�' r 'lt,., BUILDING & CODE ENFORCEMENT
rA 742 BAY ROAD
1,R, QUEENSBURY NY 12804
`r.r"`”'k,"4. (518) 761-8256
ARRIVE: DEPART: INSP: "10
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INS ECTION REQUEST RECEIVED:
NAME :y1;-
�40� 1Altd<-e_._LOCATION ,3 V c_Eci' {'o
DATE 1�,—)"N- 0 / PERMIT # `9 - 5 7
• TYPE OF STRUCTURE S
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 INSULAT ON
INTERIOR STAIRS/RA LINGS
STOCKROOM ENCLOSUR
FIRE/DEMISE WALLS P NETRATION
FIRE DAMPERS
CEILING FIRE STOPPI G
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS f
PLATFORM/ELEVATOR •
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKIN
i'l .
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
NAL SURVEY PLOT PLAN, IF REQ 0$
OK TO ISSUE C/O OR C/C
VO-6)(.\
TOWN OF QUEENSBURY
BUILDING_._&..CODE ENFORCEMENT
742 Bay Road
Queens bury NY 12804
(518)761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name \r,s, t_ c_, , `
ikt,
Location 3 I\ çQ 021)7\
Date l �- I .(, Permi t #0I-510
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate Mi ;e/Inc,//h/
TYPE OF SYSTEM:
ABSORPTION FIELD: To sal Length ; �'TO i". `I
Length of each trench 1
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - t. x Pr ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PR PERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Re r
COMMENTS: 5� sf3 .
SYSTEM USE APPROVED: YES NO
Arrived:
Departed: (/-
l
Building In ctor
•
6-Dv) 24)91
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 Y�
NAME: ,U PERMIT# " SQO
LOCATION: ) DATE : 0
TYPE OF STRUC • �X)
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for I
providing protection from freezin
for 48 hours following the placenient I
of the concrete. / t
Materials for this purpose on site / { _
Foundation/Wallpour / f
Reinforcement in Place
Foundation/Dampproofing / /
Backfill Approval
Plumbing Under Slab.. /
Plumbing Vent/Vents in�lat
Rough Plumbing J
H ing RotWn
sulation V R0b9 ‘,/ /iv , C41c /C'undatonlls InteriR- � Of /l`,
Foundation Walls Exte 'or R- �'� �tGJ�
Floors R- 1 /06:-
Walls R-
Ceiling R-
Duct work or pipin in
unheated spaces R-
Proper Vent,Attic V nt
Framing /f�G�
Jack Studs/Hea ers L jrr/
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Deparp' •, a
Inspector's Initials
NAME: 41E/Od PERMIT# 5-70
LOCATION: L! _5 14 (-Ep e ) DATE : i Z 0)
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi le for
providing protection from eezin
for 48 hours following the p aceme t
of the concrete.
Materials for this purpose on sit
Foundation/Wallpour
Reinforcement in Place'.
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab / _
Plum ing Vent/Vents i Place 1
Ro Plumbing 1
ting Rough-
nsulation _
Foundation Walls I rior R-
Foundation Walls Exterior R-
Floors R- /(67 ✓
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 . C
742 Bay Road ,
Queensbury,NY 12804 Arrive am/pm Depart a am/
Inspector's Initials .v
NAME: V AFC 1 L( Ov PERMIT# a( V0
LOCATION: Lc; \,\k :C k,2o.J LA) DATE : le Z6./01
TYPE OF STRUjQTURE: I
RECHECK ,/
N/A YES NO COMMENTS
Footings/Piers 1 I I
Monolithic Pour Form
Reinforcement in Place _
The contractor is re .nsible for
providing protection om f eezing
for 48 hours followin_the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place I
Foundation/Dampproofing /
Backfill Approval \ /
Plumbing Under Slab /
Plumbing Vent/Vents in Place
Rough Plumbing / _ )
Hating Rough-In / 1 f5( � Z itd`l 6/D I--U 4-titi\ p ,
nsulation / �
Foundation Walls\fifterior R-\--- /�
-.
Foundation Walls Exterior R- Cr - I e6 U i A)S
Floors R- 9 l
Ceiling R- / 4)57- L �—/ Lit/ , d'�l . J�(5
Duct work or piping in
unheated spaces R- 1 0 -&. t T 1-V /0 0 R A: v
Proper Vent,Attic Vent I
Framing /
Jack Studs/Headers / CAL 5 to v 4(,A c /
Bracing/Bridging / W k L C-
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3,hour 1
Penetration Sealed (�Gr O tJ 6. I�/f'4'I J_ 1A lJO b
Fire Wall 2, 3,4 hour 10-1 /� r%
Fire Wall ng
2, j+6C- 1 G& / 6�/A 0 /d 6
C L -, 6,e _6CP(7a
' V 7 vlirrAft " -I -741p.- -
_ _
Ck-
GENES INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement O
742 Bay Road !D 3
Queensbury,NY 12804 Arrive am/pm Depart am/pm
1 Inspector's Initials 3C2-�'
NAME:\ICA,3\ dam\Q\,ti.J lsC Al `rk.v� PERMIT# �' ' 9 ,, �5��
LOCATION: A 3 5)C ,i\c'.0y� DATE : I,, C�(
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers —I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo sible for
providing protection fro freezin
for 48 hours following t e placeme •
of the concrete.
Materials for this purpose or site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab_ _ _
Plumbing Vent/Vents in Place
Rough Plumbing i
H ting Rough-In 1 '
• sulation A,)o� --Re ;
Foundation Walls Interior R-
Foundation Walls Exterior R- _
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour _
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road ;VD
Queensbury,NY 12804 Arrive am/pm Depart �am!pm
/ Inspector's Initials (���✓
NAME: UP( /L I 0 J PERMIT# O\ - 5 .
LOCATION: Lo S c-C-C SL.I+,f DATE, : I I /Z I/ O
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers ^ I F I
Monolithic Pour Form
Reinforcement in Place
The contractor is resporsible� for
providing protection from freezing
for 48 hours following t e placemen
of the concrete.
Materials for this purpose qn site
Foundation/Wallpour I
Reinforcement in-Place_
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough PIumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- 6d2D�4 l/U AA-VA 436 — ®K_
Ceiling R-
Duct work or piping in
unheated spaces R-
oper Vent,Attic Vent
raining
J l Studs/Headers
vBracing/Bridging V( P(6-1F See I)C, /Ai G
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
/ 66
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road I Z-�
Queensbury,NY 12804 Arrive am/pm Depart t `` v AlIpm.........,,,,v
Inspector's Initials V
NAME: v i t IOU i PERMIT# 0
LOCATION: La; - VV.C--6,ci.t R C ,DATE : Z-/
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers —1-1— I
Monolithic Pour Form
Reinforcement in Place
The contractor is res..nsi ile for
providing protection I,om reezing
for 48 hours followin_the .placement
of the concrete.
Materials for this purpos4 on site -_
Foundation/Wallpour
Reinforcement in Place
Foundatio 11. :: :is n g _
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pt:ce
Rough PIumbing
Heating Rough-In
Insulation
Foundation Walls Interio R-
Foundation Walls Exterio' R-
Floors R
Walls R
Ceiling R
Duct work or piping in
.c.______
unheated spaces R-' /
oper Vent, Attic Vent I �(��) j ov�j
v
Framing
J Studs/Headers
racingBridging( - (oA - 1
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier.
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,.3,4 hour
Firestopping
e
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road205
Queensbury,NY 12804 Arrive am/pm Depart U j •am/p i
Inspector's Initials
NAME: Vidl(-1 di) PERMIT# ' \ 6 0
LOCATION: (- y" �e) 1 3 , 4(2OA) DATE : /( / 6
TYPE OF STRUCTURE: LA) ,
RECHECK
N/A YES NO COMMENTS
Footings/Piers I T I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo, ••le for
providing protection frl m fr--zing
for 48 hours following ' e pla ;ment
of the concrete.
Materials for this purpose . site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla -
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
/Duct work or piping in
unheated spaces R-
o r Vent Attic Vent
h� ,/ Cp >i - c�R l,L) c� 7 �
k Studs%13eaders A-' Pam. C %/lo&) 5
Bracing/Bridging 1
Joist Hangers
Jack Posts/Main Beam MOUIP&
fAir Infiltration Barrier 61g1) . ) v/ 11'4L/G/Ar
Fire Separation 1,2,3,hour /ii
netration Sealed
it) _D -
re Wall 2, 3, hour
r�s o n 4 A 1V2(- QC l"S
Jot 673
,;c5 - -,j Cj 0 A-u- rdR R,- -w6,6-i<
GENERAL INSPECTION REPORT tnir)
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement ,.
742 Bay Road 0
Queensbury,NY 12804 Arrive am/pm Depart/6 % a lane
Inspector's Initials /"
NAME: '\i\ c)tt �-t()1—_ PERMIT# 0/-(5q0
LOCATION: ���'�'1 3 S•c\Q.,C-.C' ki DATE : // ) 9 -Oa)I
TYPE OF STRUCTURE: �7-
RECHECK
N/A YES NO COMMENTS
Footings/Piers I 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.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac.
Ro Plumbing
V/7-
sting Rough-In
... nsulation �y EeOre.&
1.., oun:.tion Walls Interior "-
Foundation Walls Exterior R ,
Floors R-
Walls -
Ceiling R-
Duct Duct work or piping in Jat-4y thre.� ��fie - `'�
heated spaces R-
Pro
Pro r Vent,Atti Vent
F ack S � �1t efs. ..� �GR �p
Bracinu :ridging f Cork eS ,2 V. r!4G< 6/:106 /,.,1 6 �` ., 4
Joist Hanger ]
Jack Posts/Main Beam_ v O i %5
Air Infiltration Barrier
Fire Separation 1,2, 3,hour/
Penetration Sealed
ire Wa11:2;3;_4 hour / PRO( 72 VO 6k4a/0& 4./F0
` Fires oppinii
�1
��- t() (R& IdC&S soe-pR
•
GENERAL INSPECTION REPORT r _`� ► �^�
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 1 [_(1 6(0(,
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart J 'i(pyn
Inspector's Initials . j r".
NAME: V .4 ) k I oU PERMIT# f— C?°
LOCATION: L cT DATE : l Lri(/`G( rid
TYPE OF STRUCTURE:
RECHECK Lf
N/A YES NO COMMENTS
Footings/Piers I—T— I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protectit •om freezing
for 48 hours folio 'ng a placement
of the concrete.
Materials for this -iurpose of site
Foundation/Wall.our
Reinforcement in i'lace
Foundation/D m.l.roofing
Backfill Appro
Plumbing Under ao
Plumbing Vent/Vw is in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Wa i s Interior R-
Foundation Wa I s Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated s .ces R-
Proper Vent,A c Vent
Framing
Jack Studs aders
Bracing/Brid 'ng
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping ✓
f::,E,,,, ,. lac NI+^.t, 1dSJ[:
N
cissapi 6,-,
GENERAL INSPECTION REPORT Air
�J
( 518 ) 761-8256
Town of Queensbury /
Dept. of Community Development Date inspection request received: it /(D/
Building& Code Enforcement
742 Bay Road • (AJ\
Queensbury,NY 12804 Arrive am/pm Depart(( Iamlp
Inspector's Initials�! 9
NAME: Ci/ - PERMIT# /` /6)
LOCATION: hrls()A1----
--,3 ,/11la_ rL' � :
TYPE OF STRUCTURE: 2f12
RECHECK !G---� 6G-O
N/A YES NO COMMENTS
Footings/Piers I 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours folio ' g the placement
of the concrete.
Materials for thi purpos on site
Foundation/Wal pour
Reinforcement i Place
Foundation/Da •proo ng
Backfill Approv. f
Plu bing Under .la /
P mbin Venal s in Place e/ _ -V-
pug.0 umt�ng�'' •,/ e6- 1,d tie— kR-1 r' I 1"- (11>°
Keating Roughjln 1n)y j/{-/-L— / 7 i s
`'Insul ,ionr-b /
1 Tound n Wall Interior R-
Foundation Walls xterior R- /��1' �,(
Floors R- 6-1',T( � O,S .� /-, 6 I C' I
Walls R-
Ceiling R-
Duct work or piping•n
unheated spaces R-
Pr,•.- Vent, attic Vent7 _
� 5
ra un`7 V Xi/ F1-4- [ la(CPA C. �
Jack Stu• -.ders
BracingBri•icing j ti/ li�)7 j'G� g�'2 I D6,1!�(9 , , ,
joist Hangers ) �,r-15�ff'% , �d G6.- 12 / I C 5 '�/
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
i ills t-4b - LAD lug& 40e_6 5 < C> /e.
�O25
0t12i61.0 11?0. NALiA)6 — 0. c. y-)G;_ 61:_to1? I)
p-00 f
/ (? it,Ph, .C- It \'k,
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Quecnsbury,NY 12804 Arrive I2{b i/p Depart 7,%3?an e.
pector's Initials
NAME: VIM 1I<.��^..l) PERMIT# ZJp t — C)
LOCATION: t-E- e`ic_./F-C-W-otj DATE : 11—�'4 UI
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi le or
providing protection from fre zing
for 48 hours following th p cement
of the concrete.Materials for this purpose ofi, ite
Foundation/Wallpour 1/
Reinforcement in Place ,t
Foundation/Dampproofing
Backfill Approval ,/
Plumbing Under Slab/
Plumbing VentNent's in P ace
Rough Plumbing/
�Ileatin�g Rough in
a/Insulation tZECM C.iL511/
Foundation Walls Int nor R-
Foundation Walls Ex erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pipin_ in
unheated spaces R-
Proper Vent, Attic Ve i t
Framing
Jack Studs/Header.
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
v Firestopping h'EC 1-iE Cif f.
A 1 1)/\ 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 am/pm Depai T 1 al p
Inspector's Initials ,
NAME: PERMIT#
LOCATIO : cs nrr DATE:
TYPE OF STRUCTURE:
RECHECK
°N/A NO COMMENTS
ootings/Pie • • . �� 1
Monolithic Pour Fo
Reinforcement in Pla•- !i .).1-
The contractor is r- nsible or
providing protection a om - zing
for 48 hours followin:the placement
of the concrete.
Materials for this purpos on : to
Foundation/Wallpour
Reinforcement•• ' •--
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac-
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling 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 � c
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 7414 am/pm Depart am/pm
Inspector's Initials !A�.,Y-
NAME: 1/t'1-5�� (i U) PERMIT# 7c0
LOCATION: t_O—c- ins c DATE : 5'/ /o
TYPE OF STRUCTURE: r
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Fo
Reinforcement in Pl.
The contractor is - •• sible for
providing protec • om freezing
for 48 hours folio the placement
of the concrete.
Materials for this p ++v•se on site
Foundation/Wallpo
Reinforcement • 1.ce
Foundation/D`amppr•ofing
,Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents C Place ;C
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls I r-rior R- ..
Foundation Walls E erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping i
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Tnfiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
--a
GENERAL INSPECTION REPORT era)
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 16( am/pm Depart anj/pm
Inspector's Initials l/
If r D/J�
NAME:�l f n �11 51 L,` PERMIT#� 5-90
LOCATION: . 3 T y\sAjo R1 L� DATE:
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi• e for
providing protection fro -; ing
for 48 hours following th.pl..-ment
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Fou tion/Dampproofing
/71/
ackfill Approval
Plumbing Under S ••
Plumbing Vent/Vents in Plk e
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling
Duct work or piping in
unheated spaces 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
a ;36-,0r
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: l d I. -eZ)(
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive ;� am/.I Depart, 0,1, • j1•
if •pector's initi s �--
NAME: ,P G / U'l�� PERMIT# G '(---.4/, ZI L�
' 'Cr-
LOCATION: jf,5 ,(1P_(ck,l DATE : 1. '�r., Mb, re
TYPE OF STRUCTURE: e.---.<-�
RECHECK • Z�
/44Je 0.F.
�: �� >N/A YE O COMMENTS
ootings/P ee
Monolic Pour Form /
t ii
Reinforcement in P .�e -- Y
The contractor,s responsible for
providing prot;ction from ezing
for 48 liours fo lowing th placement
of the concrete. ':
Materials for this t urpose n site F
Foundation/Wall.c ur -s.,Reinforcement in " e
Foundation/Dampp ..offing ` \
-1r1 (
Backfill Approval
Plumbing Under Sla.
Plumbing Vent/Vents'n Place 41-5 : � "
Rough Plumbing
Heating Rough-In 'J R
Insulation V sp
Foundation Walls Inte 'or R-
Foundation Walls Exte or R-
Floors C.1)
�
'-
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
MAP REFERENCE:
THE GROVE SUBDIVISION
DATED NOVEMBER 6, 2000
LAST REVISED MARCH 3, 2001
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
I
LAND 0PINES SUBDIVISION
164 163 I 162
4
ate. D us e
Steves
Land Surveyors, LLC
169 Naviland Road Queenebury, New York 12804
'518) 792-8474 New York Lie. No. 50135
N06'38'00"E.
161
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NCI VON{ SWAT! EDUCAMM LAW
'ONLY COMM MIA TM MGM or ma %Vtvey
ax ,MALL EK CCNSDE7/7? ID K VALID iRUE COPCIL'
'CDtWlrA=M "DICAIED LDAEON SIDHIPY WAY
IM MOVEY V" PREPAFEO ,/ AC1aC110AHM VM 1HE
Extirn" CODE +X PRACIIz M VAD SUWAYCLIS ADCPIED
BY 11E NEW VCRK STALE AINCMI CN Or FROFEStCNAI
LAM SUR%%YOFSL SAD C"XAVM SHALL- RUN ONLY
10 1HE PERSON FOR Oft 1NE 910E1' IS PREPARED, AND
OH WS EENALr 10 THE'PILE CCYF•ANY, QOVERWNMTAL.
AMOK AND LANDW 116111UMON USIED 1 OUK AID
TO TM AMG1125 Writ LINDILIG 1g1n1111OLt•
47.72'
�..1 Al
HOUSE41
.. .........
137.50'
aI. Lnmm
McECHRON________ LANE
~1:
1
R
DEC 21 2001
eU LOINS pNENSBURY
CODE
I HEREBY GERTNrY THAT THS MAP WAS PREPARED
FROM AN ACTUAL FELD SURVEY.
1"S GERTrf'IGATION SHALL RUN ONLY TO THE PERSONS
FOR WItOM THE Wr&Y WAS PWARED. AND ON THER
MIALF TO THE TITLE COMPANY. GOVERr MAL AGENCY
AND LENDNG NSTiTUTION LISTED HEREON.
OER MATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTMJTIONS OR SUBSEQUENT OWNERS.
M"FED TOa Thomas S. Oeika
Gina 5careno Osrka
Hudson KNer Bank ♦ Trust Company. its successors
end/or assigns
L tted General Title Inswar" Company
/ GERTIFED BY---------
MATTHEW G. STEVES. LLS NYS 501W
DATED+ Dec:embw 1q. 2001
.jDaLtel DECEMBER 19,
Map of a Survey made for Scole 1'=40'
THOMAS S. oSIKA S--1
GINA S CARANo O SIKA
BiW 1 OF t
Town of Queensbury, Warren County, New York
O5KQ,
N'0. DATE DESCRIPTION DWG. NO. 8.'5418--3