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2001-911 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010911 Date Issued: Thursday, May 16, 2002 This is to certify that work requested to be done as shown by Permit Number P20010911 has been completed. Tax Map Number: 523400-279-013-0001-019-000-0000 Location: 22 DREAM LAKE Rd Owner: CHRISTOPHER BLAISE Applicant: CHRISTOPHER BLAISE This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY (DJ,/ Director of Building&Code Enforcement TOWN OF QUEENSBURY Voia 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010911 Application Number: A20010911 Tax Map No: 523400-279-013-0001-019-000-0000 Permission is hereby granted to: CHRISTOPHER BLAISE For property located at: DREAM LAKE Rd in the Town of Queensbury, to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: CHRISTOPHER BLAISE Single Family Dwelling 60,000.00 1384 ROUTE 9 SOUTH. Total Value 60,000.00 KEESEVILLE,NY 12944-0000 Contractor or Builder's Name/ Address Electrical Inspection Agency • Plans &Specifications 2001-911 CHRISTOPHER M. BLAISE 1560 SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS $187.20 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,January 22,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tow Queens Ty; Tue da ,January 22,2002 SIGNED BY for the Town of Queensbury. Director of Building Code nforcement ',/ ' ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY �/^ / - 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1&2 Family Dwellings .(only) PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLTC?NT' S NA`E: PROPERTY LOCATION: • C.h r iS the r m► 1S L cDtA-ee rparn Lake, RoaA p Vee nc d ur PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - scuare feet 2 . ripe of Heat - Electric / Oil Gas Other 3 . Is building mec anid-aliy cooled? Yes No 4 . Pe_centace of area of windows and doors Over 17% n 1796 Under 5 . .R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-G_%LuES AS SHOWN ON PLAINTS SUBMITTED: a . Roof R b . Exterior wails R c . Glazed areas R d . Exterior doors R e . Floors over unheated spaces R _ . Edge of sl. . on grade (heated building) R c. Basement/cA' 1-• walls (above grade) R . Basement/cellar walls (below grade) R - . eat i ng/cooling-duct_-p i c i n g in unheated space R 6 . Service (domestic) hot water heati nc device Co forms to m_ raum efficiency per code Yes No T E M E RATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED c=_•- ' S� G. -poi ' ,a_.. Dates Phone , . ;o: t i3670I s se341=74131 _NS?E =. S REMARKS: 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 Nos- / ' - No inspection will be made until applicant has received a Fee Paid $ / 5'7 2-6 valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed By: )fl, application form. Applicant: C.-hr.;S-1Zl \\tr 6 I ease, Owner: Address: 3R R4 e 9 ,501.714) Address: 1 .e ..0 Pit`I{ e Ie? 8 94/9 Phone#(6(3) ,. L1 - 70/9 Phone# ( ) RECEIVED C/ DEC I82001 Property Location: Lot Number: 5 / / House Number 02 / 02, T Subdivision Name: Tax Map Number:. OWN OF QtlEt �15BURY BUILDING ND CODE ❑ New Building: esidenc'/commercial Estimated Market Value'of.Construction: $ , OCb o Addition: residence/ commercial If an Addition,what will use of new addition be. o Alteration: residence/ commercial O No change to exterior size: residence/com'l ❑ Other work(describe ) Check Occupancylnformation 1st Floor , 2"d Floor Other floor •Total Below sq.ft. sq.ft. sq.ft. Square Feet ❑ Single family dwelling /56.0 o Two family dwelling • o Townhouse o Multifamily dwelling #of units ❑ Office o Mercantile ❑ Manufacturing o 1 car detached garage ❑ 2 car detached garage o 3 car detached garage ❑ 1 car attached garage o 2 car attached garage o 3 car attached garage ❑ Storage building- commercial o Storage building- residential o Other What is the proposed height of the structure /5 feet 0 inches Will any second-hand or ungraded lumber be used? If so, for what? N.)0 Type of Heating System: electric/got/ 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 Plumber 7 9 3 70 7 7 Mason (1 Li-I Er-riLg r • Electrician . Declaration: please sign below:after you have carefully read the statement: To`the• tbest of my knowledge'the statements contained in this application,together with the plans and specifications submitted,are a true and-domplete 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,` hether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall I su t,,.prior to`a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning A'rdmirustrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual locationof all new construction. --Signature:• j4� owner,owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Oueensbury 742 Bay Road Oueensburyy,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation:1)QOSfl LAre. 12 d e d Ur �n^ File Permit No. r�U 1-6/j Tax Map No. 5 ) / a, / a. 9 / / Fee Paid Owner's Name: (i 1'1 R,IS-p , M 1 \a1 Se- Address: 3'3 124-‘ KeecevibeNi4 2M11 2. INSTALLER'S NAME LoRey Cwu-ra PHONE NO. 79Z—.22' 7 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/bdrrn 1980—1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = WO Garbage Grinder Installed yes_ / no r,\J' 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 n oam ID feet , /'i feet eep slope c ay ' � I 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: /—S'r 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: /00 U gallon (min. size 1,000 gal) Tile Field: each trench SO ft. Total System Length: ow f Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # ,2 / 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. Oelai Signature of responsi a person 3 --7O LE FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART: 6 INSP: �\ DATE INSPECTION QUEST RECEIVED: 1 NAME: f L. LOCATION: DATE: 3 f ( 102--- PERMIT# 0 ( � CI 1 MOBILE HOME . MODULAR HOME FOOTINGS _ FOUNDATION _ BACICFILL_ FRAMING N/A YES NO 1. foundation s ppo pier spacing per man '. — — — 2. anchoring pe ma f. — — 3. water line shu, off — — 4. sewer line sup.• t @ 4 feet — — — 5. heating crossov: (dblewide) off grd. — — — 6. dryer vented ou - 7. skirting ventila •. — — — 8. hot water relk. va ve piping outside — — — 9. deck, porches, step railing — — — 10. furnace/hot water o •rating — — 11. garage fire proofing 12. door closers _ — 13. plumbing fixture _ _ — 14. foundation insulation (n appl.) — — — 15. smoke detectors — — 16. final electrical — — 17. variance required , — — — 18. data plate okay — — — 19. mobile HUD seal okay — — — Model # Serial # Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES NO �O Comments: C.G✓ C✓lJ l 0 0 $ 6-I/ FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART)22, 26 INSP: — DATE INSPECTION REQUEST RECEIVED: NAME: � C4-f LOCATION: =✓�C�'�'� 1LL �� ' DATE: I IC) I PERMIT#C —C f L Jj MOBILE HOME MODULAR HOME _/ FOOTINGS FOUN►ATION BACKFILL FRAMING N/A . YES NO 1. foundation support, p ier spa ing per manuf. 2. anchoring per manuf. z` — -1.7; 3. water line shut off 4. sewer line support et 4 eet 5. heating crossover (dble 'de) off grd. _ 6. dryer vented outside ..w... .. ........... _ 7. skirting ventilated _ 8. hot water relief valve...pip.' a outside f 9. deck, porches, steps, railin . _ Y 10. furnace/hot water operating or - 11. garage fire proofing 12. door closers 13. plumbing fixture 14. foundation insulation (if appl.).. 15. smoke detectors i _ �/ 16. final electrical .` l ... . 17. variance required _ 18. data plate okay 19. mobile HUD seal okay _ _ _ . jr--1 0 2v UC- Model # ` A j A 2 Serial # I )S3% 3 Manufacturer CRa 46 Date of Manufacturer 1 (1 Z(U'Z OKAY TO ISSUE C/O YES ENO 0 ANcIaet CoLvk `T' Comments. NCu-{of DiA\ - •-O S!LL Q3 hui;ArL-L /R0-P&Yt F/Z0nrT dipC"o. - 'ram F N. .cam M VOi RUA) 0311 e_ l� ST D 196vr 4 ,¢ to € f:e4.rt,w. TOWN OF QUEENSBURY Ai BUILDING & CODE ENFORCEMENT Nif; t x 742 BAY ROAD QUEENSBURY NY 12804 ' f 4' (518) 761-8256 ARRIVE: DEPART: INSP: Z/' FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, t. complex) DATE INSJOLQ NNREQUUESST REC I ED(:: , /� NAME . 1 f\L✓ 1 • LOCATION c'Dcg- cJd elm\ J DATE 5--� 7 - 0(. PERMIT H IV � 7 / / 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 Ill ____. FLOORS • V FOUNDATION INSULATION I i INTERIOR STAIRS%RAIL1NVS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION I FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS 1 PLATFORM/ELEVATOR • HANDICAPPED ACCESS , HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL I J SITE PLAN/VARIANCE REQ. AL SURVEY PLOT PLAN, IF REQ . OK TO ISSUE C/O OR C/C • Office Use GENERAL INSPECTION REPORT Inspector: j Ready at time: Town of Queensbury ofCommunity Development Dept. eve ment Request received: V C 6`L pP q � � Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, IVY 12804 ARRIVE am/pm: DEPART! ` ILL/pm Notes: (518) 761-8256 Inspector's Initials NAME: /4 PERMIT# t �`'1 — 911 LOCATION: Fx—INSPECT ON(date): !,g TYPE OF STRUCTURE: ?rd,\ RECHEC �.! a' N/A YE NO COMMENTS • ootin /Piers Monoli ►'c Po Form Reinforcement in Place The contractor is resp,a sible for providing protection ro .freezing for 48 hours follow' g the 'lacement of the concrete. Materials for this purp*se on s' e Foundation/Wallpour Reinforcement in Place Foundation/D ampproofi Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Play e_ Rough Plumbing Heating 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 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 TOWN OF QUEENSBURY BUILDING. & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ( ii-t S Location U -A LA-V-6- /Pj Date D7� Permit # et —qv ( —4SOIL TYPE: Sand-Loam-Clay- Results of Percol ion Test- (if applicable) R to Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: ;To al Length Length of each tr`nc Depth of trenches Size of stone J SEEPAGE PITS: NurpbAr-_ Size - ft /x ft. Stone size ,f PIPING: Size Type Bldg. to Tank _ Tank to Dist. Box • Dist» Box to Fielc Pit Openings Sealed? Yes No ,Parti a LOCATION/SEPARATIO ,S: Foundation to Tank feet Foundation to Abso ption _ .feet Separation of Pits feet Conforms as per Put Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear -...Left Side - Right Side Middle Front - Middle Rear COMMENTS: . . • SYSTEM.USE APPROVED: YES NO Arrived: _% /, ,k • Departed: c 7 . Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ,g6/9/5 • Location ac,,,, 1 G- Z . Date //(7/OPermit # 61 — 9f i SOIL TYPE: Sa d- am-Clay- Results of Per olat'on Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD• Tot 1 Length Length of each t ench Depth of trenches Size of stone SEEPAGE PITS: Nu •e - Size - ft. ; - ft. Stone size , PIPING: - N IP'. Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Li Openings Sealed? Yes No ,Partial LOCATION/SEPARATIO e : Foundation to Tank feet • Foundation to Absorption . _ .feet . Separation of Pits feet Conforms as per Pl o i P1 an Yes �o LOCATION OF SYSTEM -A PROPERTY: (circle•one) ' • / Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: �6 17— 45 .- U!Lir • iky Coe . ✓4•10,0 o Ube_-- • .. . • b &cc, 66P, - 0(/ . SYSTEM.USE APPROVED: YES (,;(. Arrived: i� Departed: ',.' Building nspector dk TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ("? rc4)i, Location � �1.-4� r � Date — -l/ rmit 06�-q Ifi SOIL TYPE• Sand-Loam f Perco tion Test- (if appli Rate-Minute/Inch TYPE OF SYSTEM: / ABSORPTION FIELD: Total Length Z-o Length of each tre , h / Depth of trenc es Size of stone A SEEPAGE PITS: Num.- _ Size - ft. ft. Stone size „ / PIPING: IF Size Type Bldg. to Tank Y i" 070 Tank to Dist. B.x u zd Dist. Box to Fie d/Pi l �� Openings Sealed? Y s o Partial LOCATION/SEPARATIONS: Foundation to Tank / 2'feet Foundation to Absorpti n Separation of Pits feet Conforms as per Plot P an ' Yes ; o LOCATION OF SYSTEM ON ROPERTY: (circle one) Front - Rear - Left Si e - (iEE!! ) de Middle Front - Middle R ar COMMENTS: . 60-623.&v1 U /&7 • 4-P/9/fo0(1,/-- 'tO J /L 1 G ABa de S &-c L �C-v�• 5e4 �P6 �ov,JD i SYSTEM USE APPROVED: YES NO Arrived: / Departed: L, /� Building Inspector 1: ilk 1 \oM TOWN OF QUEENSBURY , BUILDING &.CODE ENFORCEMENT '4 'I 742 Bay Road Queensbury NY 12804 (518) 761-8256 'Y SEPTIC DISPOSAL SYSTEM INSPECTION J Name V;;W=A 1 5E_ Location `D-5-,3A-V- --fl1.1 L F Date — _ Permit # Z 0c11 -91 1 SOIL TYPE: Sand-Loam-Clay- Results of Perco ation T st- (if applicable) °ate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each t -nch Depth of trenches Size of stone SEEPAGE PITS: Nu ber- 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/SEPARATI I ,S: Foundation to Tank feet Foundation to Absorition feet Separation of Pits _ feet Conforms as per Plo Plan . Yes No LOCATION OF SYSTEM PH PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: cPP1C t__ft`lo0\ L6ILt_ 1FE Pie\ E- SYSTEM USE APPROVED: YES 4101° Arrive • V:- Depa ---7L. Building Inspec or TOWN OF QUEENSBURY DRE BUILDING 8_CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name �L_441,bE Location (...131 3 ve€ g Date 3- 7 OZ_ Perm' # zcjo\-41t1 . SOIL TYPE: Sand-Loam-ila - Results of Percolatio Te.t- (if applicable) Rate-. inu 'e/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trenc Depth of trenches Size of stone . - SEEPAGE PITS: Numbe -// Size - ft. x,i ft. Stone size PIPING: ,,.___,, Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pi Openings Sealed? Y:s No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits _ feet Conforms as per Plot P .an . Yes No LOCATION OF SYSTEM ON 'ROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: - S —co P- w E 4a • Dof -h ‘Et_._ \ a ,6)e-c c 1c Off- 6W -hEst't bCAN t 1\CI SYSTEM USE APP.'OVED- YES NO k� Arri •d: ` , tAiri.;_. .lP ping Insp- or. « j Office Use GENERAL INSPECTION REPORT /DA, Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road j Queensbufy, NY 12804 ARRIVk`-7, m : DE a Notes: (518) 761-8256 Inspector's Initia • NAME: PERMIT# C7"). / — / , LOCATION:. a� { ������ .P_ INSPECT ON(date): 3- g TYPE OF STRUCTURE: RECHECK • N/A YES NO COMMENTS Footings/Piers • Monolithic Pour Form Reinforcement in Place The contractor is responsibl• fo providing protection from fr ezi i g for 48 hours following the p1.ce ent of the concrete. i Materials for this purpo.e on sit: Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill� Approval jiLoing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe Office Use GENERAL INSPECTION REPORT . /O 8 " rl Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE 16 1►j�z: P RT am Notes: (518) 761-8256 Inspector's Initi e 1 .' NAME: el .Z. LQ PERMIT# 1,I I LOCATION: (� � R_ INSPECT ON(date): 3— TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers �\ Monolithic Pour Form Reinforcement in Place The contractor is responsibl• for providing protection from fr:ezing for 48 hours following the pla ement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/D amp proofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heati Rough-In undation Walls Interior R- `j7 Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- N 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 coy ► 0 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 I i3i f Depart ki� tf a 1' Inspector's Initia sl /i s- 1 NAME: CI PERMIT If 4 1 j / LOCATION: - DATE : Ca"----' TYPE OF S C : REC CK N/A YE NO COMMENTS otings/Piers ^� I onolithic Pour Form � Reinforcement in Place 51j� The contractor is res nsi a for providing protection om fr zing for 48 hours followin the pla ement of the concrete. Materials for this purpos on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval \•--- Plumbing Under Slab Plumbing Vent/Vents in Plac Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exterior RI Floors R- Walls R- h Ceiling R- I Duct work or piping in i 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 Zo0i -0‘\ � NACE ENGINEERING, P.C. 169 Haviliand Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 April 14, 2002 Job#49087 Mr. John O'Brien Queensbury Building& Codes Dept. Town of Queensbury 745 Bay Road Queensbury,NY 12804 RE: Chris Blais Septic System Dream.Lake Road, Queensbury Dear John: At the request of Mr. Jeff Threw of Bill Threw Excavating, I performed a percolation test for the new septic system at the Blais residence presently being constructed on Dream Lake Road. This test was performed in the fill which Jeff Threw has placed on the site of the proposed septic system. It is my understanding that additional fill is to be placed and that the top of the existing fill will be at the level of the bottom of trenches. Therefore, I conducted the percolation test at a depth of 6 inches in a 12 inch deep hole. The stabilized percolation rate of the fill was 11 minutes,25 seconds. Based upon this percolation rate and a three bedroom house, 207 lineal feet of absorption trench will be required. I have instructed Jeff to install 4— 55 foot long laterals. I have also instructed him to form a relatively deep diversion swale along the uphill side of the absorption field to divert surface runoff and groundwater away from the field. Please call me if you have any questions. Sincerely; Thomas W.Nace, P.E. cc: Jeff Threw NACE ENGINEERING, P.C. 1 s: l ' 169 Haviliand Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 April 19,2002 Job#49087 Mr. John O'Brien Queensbury Building& Codes Dept. Town of Queensbury 745 Bay Road Queensbury,NY 12804 RE: Chris Blais Septic System Dream Lake Road, Queensbury Dear John: This is to inform you that on April 17, 2002, I inspected the completed septic system for the home being built on Dream Lake Road for Chris Blais. Based upon that inspection, I believe that the septic system is installed in accordance applicable codes. Enclosed is an enlarged portion of the building permit site plan on which I have recorded the as-built conditions. I suggested to Jeff Threw that he inform Mr. Blais that the drainage swale on the uphill side of the absorption system should be deepened by about two feet after the area dries out sufficiently to allow further excavation. Please call me if you have any questions. Si rely, Thomas W.Nace, P.E. AS BUILT cc: Jeff Threw RECEIVED APR 1 9 2002 TOWN OF QUEENSBURY BUILDING AND CODE