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2001-901 TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 ��_ Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF. OCCUPANCY Permit Number: P20010901 Date Issued: Wednesday, June 26, 2002 This is to certify that work requested to be done as shown by Permit Number P20010901 has been completed. Tax Map Number: 523400-290-000-0001-082-004-0000 Location:. STONEHURST Dr Owner: DANIEL & CATHY PERRY Applicant: DANIEL & CATHY PERRY This structure may be occupied as a: By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Director of Buil•'s g&Code Enforde nt 41" TOWN OF QUEENSBURY I 0_,r0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development—Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010901 Application Number: A20010901 Tax Map No: 523400-290-000-0001-082-004-0000 Permission is hereby granted to: DANIEL & CATHY PERRY For property located at: STONEHURST Dr 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: DANIEL & CATHY PERRY Single Family Dwelling 130,000.00 105 ROBERT GARDENS SO APT 7 Garage-2 Cars Attached QUEENSBURY,NY 12804-0000 Total Value 130,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency KELLY CONSTRUCTION COMMONWEALTH ELECTRICAL A( 11 WILLOW ROAD PO BOX 706 OUEENSBURY,NY HAGUE,NY Plans & Specifications 2001-901: Lot No. 53, House No. 25 Stonehurst Drive 2168 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $312.96 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,December 12,2002 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at th o of Q e ; nsday,December 12,2001 J.i SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement _ -+�_ �== ENERGY CODE COMPLIANCE APPLICATION - �_ - TOWN OF QUEENSBLTRY, WARREN COUNTY C,' lVF® 9000 HEATING DEGREE DAYS __ DEC 0 6 2001 Compliance Methods: PART 5 - Acceptable Practice Met$@e4OFQUEENSBURY 1&2 Family Dwellings (onry L.DlNG AND CODE - 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: IT 4 shod/al AWL-7QC• ,4a.1 ,S-, (SYeai el eftc I PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - our square feet 2 . T-srpe of Heat - E1 ate-r c Oil V° Gas Other 3 . Ts building mechanidal i v cooled? Yes V No . A . Percentage of area of windows and doors Over 17% D(Under 17% 5 . R-V SUES FOR INSULATIONBELOW MUST CORRESPOND AS GIVENR_R�S Oti7 TO R-VALUES SHOWN ON PLANS SUBMITTED: a . Roof R 3 b . Exterior wails R / q c . Glazed areas R .7 d . Exterior doors R .7 S e . Floors over unheated spaces R . Idce of slab on grade (heated buildinc) R c. Basement/cellar wails (above grade) R 3asement/ce i:._ walls (below grade) R // Eeati ng/coc _ng-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Co i :z=ors to minimum e= _ciency per code �°` Yes No TEMPERATURECONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED A p-- ' • D _e P o'e Number A ..---- A976, a/ 7?, - zo..2- 2-- _NSPEC=OR' S REMAR: S: / 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.0 No inspection will be made until applicant has received a Fee Paid $ 3/ (W r, valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed By: application form. r. Applicant: � l/y CoaS/ vl L%c% Owner: , /7i p/4 h A.2&' CAI `t'#14 Address: // 4,,//© 4, ge O d Address: Phone#( S'A) •d 3-Z Phone# O - Property Location: Lot Number: ,�3 / House Number 5-1/ / 7 Subdivision Name: cS to Q e 4 ang ¢ Tax Map Number: c4 —7 — 3 Y.New Building: residence/commercial Estimated Market Value of Construction: $ /3elienre o Addition: residence/ commercial If an Addition,what will use of new addition be? o Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) Check Occupancylnformation 1s`Floor 2"d Floor Other floor . Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling /Lt 01 M 4 a?/6Y o Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office o Mercantile �`. �� o Manufacturing o 1 car detached garage ®E� C O s Z001 ❑ 2 car detached garage F ❑ 3 car detached garage TowN OF OD �MSBUR uIIDINr-si AND CQ E,. ❑ 1 car attached garage - d 2 car attached garage S76 o 3 car attached garage o Storage building- commercial ❑ Storage building- residential o Other What is the proposed height of the structure feet� inches Will any second-hand or ungraded lumber be used? If so, for what? A'O Type of Heating System: electric/ gas/wood /forced hot air/ aseboard/ er: Number of Fireplaces to be installed n///0-- 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 ,?/h 1i Oil sic A/1 J /PG Plumber // / // If Mason i i // / Electrician // // / / • 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 r noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall submit,prior to a Certif./,ate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Direct,r of Building and Code , n As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new co do . Signature: " h' j` owner,owner's agent,architect;contractor Application for Permit-Septic Disposal System :97--- 7- Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: -- -- -- — S� /�� . Office Use Location of installation: Id , 5 '� 1 (�/� File Permit No. )o fr`l Tax Map No. / / / [' f J Fee Paid Owner's Name: / /7/�// �rl�/ c / t/ / Address: /.�1 � cc/�`i Q ACr/.Y %2. INSTALLER'S NAME : ,�C�G 4 A A 0 ti PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present LAx 110 gal/bdrm = L/N Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal Rolling loam feet feet well Steep slope clay ifwell;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: /z,�d gallon (min. size 1,000 gal) Tile Field: each trench 12 ft. Total System Length: c7 S—J ft Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / 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 regulatio with respect to this application and agree to abide by these and all requirements of the To of Queensbury itary Sewage Disposal Ordinan e. /)--6. ( A ( ate Signatu a of res bnsi a person /b TOWN OF QUEENSBURY 3 BUILDING & CODE ENFORCEMENT .., �" 742 BAY ROAD ... QUEENSBURY NY 12804 (518) 761-8256 ePc ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt. omp ex) DATE ECTION REQUEST RECEIVED: NAME r rr LOCATION S 3 1 chrheActrV DATE ERMIT A • TYPE OF ST CTU E FOOTINGS BACKFILL FRAMING PLUMBING_ INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTU• ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE _ EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PLAN/VARIANCE REQ.- FINAL SURVEY PLOT PLAN, IF REO $ OK TO ISSUE C/O OR C/C RECEIVED JUN 2 6 2002 TOWN OF QUEENSBURY BUILDIN0.A�4D CODE _______ J-D r .,,8,,,,„ `- cl.„ti, RESIDENTIAL FINAL INSPECTION REPORT j /? _ Office No.(518)761-8256 Date inspection request recei ed: , b L)2 be„/k C Building&Code Enforcement �-U Dept.of Community Development Arrive Depart ' 2- Town of Queensbury spector's Initi s . 742 Bay Road Queensbury,NeD Q York•12804 NAME 8 K. I ,_ P 4. — LOCATION t- T N 5 0 - p�� 02.-Ij TE ' 5 TYPE OF STRUCTURE ,ISt,;�1 2_ CAR (cj� N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location J ' r Fresh Air Intake Plumb Vent through roof d 1 9 3—*O • Roof Complete V 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 operating �/� Relief Valve(s)installed Headroom,6 ft.6 in.on stairs IA Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risersInterior 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 Ainter connected J Bathroom fans Plumbing fixtures ✓/ Foundation insulation 3/4 hour fire door/door closer J f Garage fireproofing i// Garage penetrations sealed / V Furnace in separate room protected(in garage) ,/ Light ventilation per room J/ Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan N4 As Built Septic System layout required J 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) 1111. 4/61 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: U> d- ,), -- Building&Code Enforcement Dept.of Community Development Arrive • epart a Town of Queensbury ctor's Initi 742 Bay Road Queensbury,New York 12804 qt/(- ( p .,,,,r- . 44 LOCATION i% , . ,lJ� DATE TYPE, F STRUCTURE -7 C L� � 1,6- /JJ • 00 ),el_r-Sk i. YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location ' - , /G ���A� Fresh Air Intake / �'�/ Plumb Vent through roof J Roof Complete ,jff Exterior Finish Complete f t- �} C � Gi��� F '� Interior/Exterior Railings 30"to 36"g I g Exterior Handrails,balconies,Iandin 18 in.or more I C�t,-ka�i 5 FO\)6� , Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation ✓ l 1bkA 1 C.V i;23.D K• IN 8"clearance sill plate ,/_/ l�� VA'P10\3F \W_ • Gas Valve shut-off exposed/re ator 8"above grade/ Gas Furnace shut-off within 30 fe or 'thin line of site Oil Furnace shut-off at entrance to ce area / — RAi-6 E 6 e_ F9 D0\ Furnace/Hot Water Heater operating Relief Valve(s)installed I i V PT> "--t , c_EC�C�NI ``e.t Headroom,6 ft.6 in.on stairs f 1 C� Basement stairs,6 ft.4 in. — \�yJ.`11-1' ®®� � — Handrail exterior stairs both sides more than 3 n rs �� Interior privacy/trim/doors/main entrance 36" j F-v�1 I\c _ '-\AZ --�-. � Floor Finish Bathroom/Kitchen watertight / Interior Handrails Balconies/Landing 18 in.or more / . R iJ J 4--AV; Railing across window in stairwells f �� � Smoke Detectors: ✓pILD a()) t tla)t_ (b 0 every level ✓• • every bedroom i//i 1;V:--b ,N3-'--3 - 1'00 tr1" 2 outside every bedroom i' 2DD)C_ e1 inter connected / Bathroom fans \\E: �� ,✓ —Plumbing fixtures t lJ-c--CL.-L t•t<J Foundation insulation / J i 3/4hour fire door/door closer a/ ��` o ` ej���&) 0 ti� Garage fireproofing : Garage penetrations sealed F-`aE >C10S2__ Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor '-' tom\W E- V\P‘t\V VVeNY Final Electrical Site Plan/Variance required flv____ sz:,c, Cr V Final Survey Plot Plan if / Lib AE t� ` As Built Septic System layout required ,/ Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ �` b., Okay to issue permanent C/O(Certif.of Occupancy) v` -` tvjA S3 PC_N D E_C_ 61-E. R Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time Dept. of Community Development Request received: /6 d. Meet: Building& Code Enforcement At time: 742 Bay Road . 9. Queensbury, NY 12804 ARRIVE am/pm: DEPAR7O, am/pm Notes: J lr (518) 761-8256 Inspector's Initials N PERMIT# /- !Q I LOCATION: �j?��i e INSPECT ON(date): (( /46 TYPE OF STRUCTU' G RECHECK - el- i N/A YES NO COMMENTS Footings/Piers \ Monolithic Pour Form Reinforcement in Place The contractor is resp n.sible for providing protection fr►m freezing for 48 hours following he place ent of the concrete. Materials for this purpose 4n site Foundation/Wallpour Reinforcement in Place Foundation/Da- pp mg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Plac- Rough Plumbing Heai_r 4, la 'inV y r lt/'l. !Q a`. 'oundation Walls Interior '- Foundation Walls Exterior k- Floors R Walls R= Ceiling R- Duct work or piping in unheated spaces - Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fir . . u irestoppr3r ►j. �nFF i f L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc c��®�� Office Use GENERAL INSPECTION REPORT , 9 s,, _ Inspector: Town of Queensbury ; Ready at time: rn, Dept. of Community Development Request received: y )�'/0Z" Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE �aam/a RT7,�(as m Jotes: f (518) 761-8256 Inspector's Initia s NAME: I '7,V . e.I 'd- C4`l'yI p r PERMIT# •0° 9G LOCATION: L U T c5 �j S �ti� �S% INSPECT ON(date): VA TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS • Footings/Piers Monolithic Pour Form Reinforcement in Plac The contractor is res onsib for providing protection rom freezing for 48 hours followin the p*ement of the concrete. Materials for this purpo e on sit- Foundation/Wallpour Reinforcement in Place ` Foundation/Dampproof g j �,./ Backfill Approval v Plumbing Under Slab Plumbing Vent/Vents in lace Rough Plumbing Heating Rough-In Insulation \ l FLoc P V Foundation Walls Inter or R- Foundation Walls Exte or R- Floors cj p - l V ` `a j�\A-Pc\\O 1\ \x7/\% (, \t 13a VF WallsCeiling R• �'� Duct work or piping in — \ T - \c Q_4— O -r-a O unheated spaces R- C>Z79-t ��cc- 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 • frF' e Wall 2,3,4 hour , ��� �}� �„ estopping �'�`�%I' �l7 \P OQ \t�Ll�h� L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use - GENERAL INSPECTION REPORT Inspector: Ready at timW'�-C�1 LI I Town of Queensbury \ Dept. of Community Development Request received: Meet: v Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIV 'AR '1, 1a ,m Notes: (518) 761-8256 Inspector's Initia • NAME: c7Q t PERMIT# ZOO I 0 1 LOCATION Y INSPECT ON(date): 3-4 oa TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS • Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respons ble +r providing protection fro :free.'ng for 48 hours following the placement of the concrete. Materials for this purpose on i - Foundation/Wallpour Reinforcement in P .ce Foundation/Dampproo •g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Roush Plumbing He• 'i g Rough-In - I'..ulation 2.— V y ) f . Foundation Walls Interior R • Foundation Walls Exterior R Floors R- Walls R- A 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc ..._____„ 3 k' 67\)1E- ---\---i- 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\j i-lO epart ,76 s ector's Initi P NAME: P (... Rq PERMIT# — ` LOCATION: =D►JC4A13 1' OR1\le_ DATE : — —()7 TYPE OF STRUCTURE: v n uJi Z CSA ( Pt R RECHECK N/A YES NO COMMENTS Footings/Piers —1—1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for ` h\S providing protection fro' •r--zing �/ for 48 hours following th pla•-ment Vc........„42 of the concrete. Materials for this purpose o site Foundation/Wallpour f) Reinforcement in Place Foundation/Dampproofing Backfill Approval -., / umbing Under Slab / / lumbing Vent/Vents in Place ough Plumbing i i+JN,-\a c_-LoO i_ —rUF3 Qi?-1\% 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- J'roper Vent,Attic Vent i/ , Framing Jack Studs/Headers Bracing/Bridging / F-t_,D°. — C '' . C�1 i3 EPA Joist Hangers \// Jack Posts/Main Beam v/ Air Infiltration Barrier Fire Separation 1,2,3,hour V Penetration Sealed Fire Wall 2, 3,4 hour 7 V. �� E- OFF\ vJ1-\i^t\_ IFirestopping VV E C .\ \c G A Office Use GENERAL INSPECTION REPORT `�� Inspector: /\C "" 2 Ready at time: Town of Queensbury \� 4 .-y-�== Dept. ofCommunity Development Reties received: P tY P �r„ 4Meet: Building& Code Enforcement - At time: 742 Bay Road Queensbury, NY 12804 ARRIV p am na A 7g:1,6-ame, Notes: (518) 761-8256 Inspector's Initia s • NAME: \jp PERMIT# ( 0 v ) q 0 .„.., LOCATION: _ INSPECT ON(date): ) c3- 6 a TYPE OF STRUCTURE: L-DS- RECHECK N/A YES NO COMMENTS . Footings/Piers _ Monolithic Pour Form Reinforcement in Plac- The contractor is resi,onsible .'r providing protection .com freeze ig for 48 hours followin_ the places lent of the concrete. Materials for this purpose :In site Foundation/Wallpour I Reinforcement in Place Foundation/D ampproofing Backfill Approval P}}umbing Under Slab f IR umbing Plumbing Vent/Vents in Place V 1,Pt t L 'L -j' 41 J-�� ,6-TH C V, T U Rough _ V...o OF , Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- ' • Duc work or piping in Bated spaces R- P. per Vent,Attic Vent / raining \ �T 4ZiJ (L� � �/ Jack Studs/Headers Bracing/Bridging ��-�- —Rv bf F\C1 t3 G e- . %13G Joist Hangers V —0FIN, i- M‘.t� ��\ 1 � ►X A -_VP �/ �� Jack Posts/Main Beam `/ 2;F 5 - IA Air Infiltration Barrier Fire Separation 1,2,3,hour i netration Sealed eWall2,3,4hour • lk AbeT� C '`L --`-( ' ‘L0 - restopping J -�i � �� L 1 'D 2 u R l-- __) L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time. j4 Dept. of Community Development Request received: 3 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART Z' m/pm Note - M.� , (518) 761-8256 nspector's Initials J�v "{""` F #F""'' NAME: ed` PERMIT Z LOCATION: 53 v4Se INSPECT ON(date): 2 1 helre-Jj TYPE OF STRUCTURE: 1� e---- RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is resp nsib e for providing protection •om reezing for 48 hours followin the placement of the concrete. Materials for this purpos o /site ' Foundation/Wallpour Reinforcement in Place Foundati on/D amppro o fing Backfill Approval ' Plumbing Under Slab Plumbing Vent/Vents in Place. j �j,/6i ,•4-O ough umbing / V Insulai ough-In, LP l�a 7-e,L /v,0 �,�L • t Insulation �,� � 1'l ��� Foundation Walls Interior R _ l� �` Fti?<f,�C6l</it:C� �F,¢-�fZ „ & �� 5 Foundation Walls Exterior R- Floors R- l7& S f(JtO �— c•, Walls R- Ceiling R- rvi-0 Y OA-k L- c-�. �- 4A) �C-/2> Duct work or piping in 1 I tt / 4`�5 i�� , p A 126 i �/ unheated spaces R- Pro er V nt ttic Vent ra ng R 0✓ Poe v t 0 C 1 tp r cbRii-C/,t) , lac c-Studs/Headers ✓�i�0 Bracing/Bridging Joist Hangers Jack Posts/Main Beam C -WAiiiInf rMion iTgr er § Fire Separation 1,2, 3,,hot Penetration Sealed ire Wall 2,3,4 hour �+� .A`• Firestopping /1/ / ie(-AC 5 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc 1104--D TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road VGy Queensbury NY 12804 to55 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Locati on- ?6 5-0/ Date o2 c- -,1 Permit #bZCOI " -( Of SOIL TYPE: Sang o. �, ay- Results of Percola ion Test- (if applicable) Rate-M'nute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tot. Length 7,5r� Length of each trent h FAT tail Depth of trenches Size of stone SEEPAGE PITS: Nu •e - Size - x ft. Stone size PIPING: Size Type Bldg. to Tank 1-1" vk7 Tank to Dist. Box • • Dist, Box to Field/P, �•-- V - Openings Sealed? 44. s No Partial LOCATION/SEPARATIO ,w: • Foundation to Tank \p .feet Foundation to Absorption . , feet . . Separation of Pits • — f Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) • Fro. - :-.r - Left Side - Right Side Middle F •nt - Middle Rear - -• - lERRb LF-L %Do` .1'0 SYSTEM.USE APP OV VED: YES NO Arrived: Depar . wilding Ins or gp\l,c) L\ ()eV\ / GENERAL INSPECTION REPORT (51.8.) 761—'8256. Town'of Queensbury Mept.of Community Development Date inspection request received: Building& Code Enforcement \ 742 Bay Road / - Queensbury,NY 12804 Arrive am/pm Depar m Inspector's Initials NAME: PERMIT# O I LOCATION: DATE : a— — TYPE OF STRUCTURE: `C) RECHECK N/A YES NO COMMENTS Footings/Piers I l 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 purpd se on ite Foundation/Wallpour Reinforcement in Place FouLiOtion/Dampproofi ng ckfill Approval - Plumbin Unde 1.. Plumbing Vent/Vents in Place Rough Plumbing • Heating Rough-In Insulation Foundation Walls Inte 'or R- Foundation Walls Ext= 'or R- Floors R- Walls R- _ Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers l 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 7/ -r4_/ v (� GENERAL INSPECTION REPORT j ( 518 ) 761-8256 dci,_1 , Town of Queensbury Dept. of Community Development Date inspection request received: e) Building& Code Enforcement / 742 Bay Road • Queensbury,NY 12804 Arrive am/pm Depart ik:,,,3 a pm Inspector's InitialS.X. NAME: y PERMIT# 0 i LOCATION: DATE : TYPE OF STRUC • RECHECK N/A YE COMMENTS ootings/Piers —1 O I I Monolithic Pour Form 7 Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours followin the lacement of the concrete. Materials for this pu se on$ite Foundation/Wallpour f Reinforcementj Foundation/Dag / Backfill Appro / Plumbing UndPlumbing Ven ,_ Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or p.ping in unheated sp ces R- Proper Vent,Atti Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement - 742 Bay Road • • Queensbury,NY 12804 c ke i� Arrive am/pm Depart (•� Inspector's Initia s / NAME: ?eli--r-‘ ice/ 9 PERMIT# Q !�."-�9d/ LOCATION: i r--Xr DATE : �J of. -a TYPE OF STRUCT RECHECK 74 --bvS N/A YES 05 COMMENTS Footings/Piers , , _ � I/r I Monolithic Pour Form Reinforcement in Place - ,- �} v The contractor is respo sible fo providing protection torn freezi g for 48 hours followin the place ent of the concrete. Materials for this purpo.e on sit: Foundation/Wallpour Reinforcement i Place Foundation/Dam.: :: i g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi.r R- Foundation Walls Exteri+r R- Floors •- 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 J 4,4 0.04 Oh In VA VIP 7 0 ' ,OOSZZ 79 s� - e 6L 3 v � C f. � Z 1 � .y1„ �'°+ � � + � ,ram -r•- y- �� £ o ICp ��L �ii . f8� s: % �` `\ ' 2y r.p£ .76 a�79f 1,1V -lit �• •_ � �. .° �' '� � , _ too T6. o � W � n �' M.�. cn .. .� ``� ,00 o�` oL'£7 C�'hI.•h� - S%sZ� s r , oS'-��Z N o ALCD I } t OQ•0 H OW aWw Wcv VA t�• �A e� n`- Z J � 3 � e � � £ f > Q a --- — Z 00 .�P ^ W c.� t� p 3' r Ni Hl �Lots KK P . 3r 4, or �r ; U (+� M t+� M M M M ,� M �► : 2 i ? M r W +' M !A t+► ��) ► -:I tl1 d u1 t!1 £ u v i F H v dst 3r► arrV$ wMcisW • p _ tj Lr% VNi a r J�(w21 L a N W � lh 0 0 O �^ J �J ( u: in tf\ ul ul %,0 \0 \�0 \0 N 1-4a 3r� .tr�jl orw� awe ��7 /„r,�iy r H M _ : v : Ir1 u1 " . — .r J i 0.4 M M V) U) ate+ {� IA hn�7jla C1) H H �- oE E I A r1 A&I k vV AA vs 0 � 0 0 C. LOT 54 LOT 55 an- D u �` e S teve s Land Surveyors, LLC 169 HavUand Road Queensbury, New York 128 '518) 792-8474 New York Lie. No. 50135 C.I C IMAUIMOMM ALTERATION OR ADWIMI 10 A SURVEY MAP NEARNO A LICEPOM LAND SURVEVM SEAL IS A VRIAM M W SECMON IM 91-dNlM 7. OF THE NEV V= STATE MWATNN LAIC' ,OILY CllIFS FARM TIE ORNNIAL OF TMIS SURVEY MANW VA14 AN OFO MAL OF IM LANO OUEVEYORS SFx SHAM BE CONsiDEIIE 1 10 R vmm MECONES.• CM7 MhTM NUCATED MERFAN = " TMAT TM SURVEY WAS PREPARED N ACCOIDANCE VAIM IK COMM ODDS OF PRACIICE FOR IAID SJRVENM ADO►M RY 1iE NEW VW STATE AMODMATION OF PROFEMMONAL LAND SUR*'YM . SAD CERTFM.ATIOIS WALL MM OILY TO IK PMM FOR VMOY THE 901MY IS PNEPARM MD ON W SMALF to 1ME MU COWMNY. DDIFAlMMAL AGENCY AND IEMO M RBIRURQi USTED MOM, AND To THE ASSOM OF THE UAIMRMD RMIUM K* M M LOT 52 HOUSE 0 WELL LOT 53 62,533 sq.ft. 1.44 acres 30' WIDE DRAINAGE EASEMENT 154.98' SO4 24 40"W La1g73y SEPTIC SYSTEM AS PER CONTRACTOR O PROPANE TANK _e8g. LOT 50 LOT 25 RECEIVED ,JUN 2 6 2002 A� C� t.i"s:f R 'I CODE LOT 51 LOT 24 0010- O Map Aof a Survey made for DANIEL T. & CATHY PERRY Town of Queensbury, Warren County, New York 1 1 6-25-02 NO. I DATE I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: DANIEL T. PERRY TRUSTCO BALK, NATIONAL ASSOCIATION, In SUCCIi 1WtI AR ASSIGNS COMMON W 71TLE INSURANCE COMPANY CERTIFIED MA +C, STE�, LLS NYS 135 DATED: FEBRUARY 11, 200 JUNE 25, 2002 FINAL SURVEY DESCRIPTION ate, h LIfKUAKT 11, cafe 1'=50' S-1 SHWT 1 OF 1 PERRY DWG. NO. 83154-53 C-616