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2000-477 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 128045902 (518) 761-820€ Community Development - Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY Permit Number: 2000477 Date Issued: Wednesday, October 11, 2000 This is to certify that work requested to be done as shown by Permit Number 2000477 has been completed. Tax Map Number. 523400-046-000-0003-006-000-0000 Location. l LAKEVIEW Dr Owner: JOAN BOVEE This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY (: 4; W kw� Directorof Building & Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury, NY 12804 County of Warren (518) 761-8256 VALUE $ 145000 Building Permit No. 2000477 TAX MAP NO . 45 . - 3 - 6 Permission is hereby granted to BOVEE , JOAN Owner of property located at LOIT #6 . # 12 LAKEVIEW DRIVE in the Town of Oueensbury, to construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plains and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance_ Owner's Address: 12 LAKE VIEW DR . QUEENSBURY , NY 12804 Contractor or Builder's Name: CERRONE BUILDERS Contractor or Builder's Address: 66 SUNSET TRAIL QUEENSBURY , NEW YORK 12804 Electrical Insprection Agency: COMMONWEALTH ELECTRICAL AGENCY PO BOX 706 HAGUE , NY 12836 Type of Construction: SING LE . FAMILY . ©WELLING Plans and Specifications: 1592 SQ FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use, SINGLE FAMILY DWELLING . 2 2 EI M T FEE PA11 D - THIS PERMIT EXPIRES July 6 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 e To of Queensbury this 6 Day of July 2000 th SIGNED BY 4Q k-,..- for the Town of Queenoxwy Code Enforcement Officer Building Permit Application Town of Queensbuly - Dept, cfC onll ru►riry Delle1vlmneru, 242 Rif v R(xul, Qsse4fA .rllrrrv, NY 12804 1761-82561 NOT BUILDING & CODE ENFORC' E " EN` T Y i Requirements prior to issuance A permit must be obtained before Of tl'1is permit: FIRIECREAT1701V ILE No beginning construction. No inspections FEE A.!!U will be made until applicant has received Q Zoning Board Action a VAI JD BUII DINO PERMIT, All Arcs I Use applicants" spaaaa on thin application FEE PrtJli lj MUST be completed a&d the signature Manning Board Action r� ref of the applicant rnuat appear on the _ Slsri t SubdivisionxSubdivisionf other REVIEW D BY,• ltufldiniq In.rrrrr:r Lcation fb' m' r4cftk >" j Recreation Fee Payment Applicant: G - Owner: Address: tS�.''.2'. Fr�" //� Address: Pltanc # _) Phone #Property Location:^;7,0! 6 Z &s zfC . ---___Taut Map'- ) Number Subdivision Name: CIS' r T' I � Section 13icick i stl NATURE OF PROPOSED WORK *�4// New i ESTIMATED MARKETVA `OAF THE ' �t $ i�'��— Eresdenc / commercial CONSTRUCTION : Addlt wilding ; residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Pri ary Building residence / commercial Single Family Dwellin , Residence / Commercial Two Family Dwells '�',_ " : �` "' no change to ext.eri: or size Family Dwel�rl-g Office Other Work ( describe below ) mercantile JUL 0 Manufacturing t. . . , , . . Outer GROSS AREA OF PROPOSED STRUCTURE . 19 - �, s ft • k If ADDITION , what~ will use lst Fkoor • . . . . . . . 62 q . of new, additio be ? : 2nd .F1'oor . . .,.". , sq . £ t . Other Flouts . . . . . aq . ft , { not unfinished cellar or base ACCESSORY BUILDINGS . © Detached Garage 1 , car TOTAL FLOOR AREA : SQ . FT . :5z Attached Garage l . k.Z car Privates_ Storage Buxi da_ ng SIZE OF NEW STRUCTURE : Commercial Storage Building �- FEET }t 74"77 FEET Other Foundation Type : Will any second- hand or ungraded Number of Stories P lumber be used ? f Aso , .for what ? ( habitable space only ) Height ( grade to ridge ) feet TYPE OP BEATING SYSTEM . Number of fireplaCe$ ndjssr woo stove ( circle all wh .L Olt to be installed :_ / Gas Wood Forced Hot Air j seboard / Other Person respon ble or supervision wor r g s to building codes is : c' Name Add s $ e Builder : /i , Plumber : % 3 Messon 4 G Electrician : DEGZARA77ON.• Please sign be1mv after you 1mve carefully react the slafeinenl: To the best of my knowledge the statements containers in this application, together witli the plans and specifications submitted , are 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 perutinin,g, to the proposed work shall be compiled with, whether specified or noted, and that such work is authorized by the owner. Further, it is undersi(xxl that Ilwe shall submit prior to a Certificate of Occuva4wy or Certificate of Compliance being issued , an AS BUILT PLOT PLAN by a licensed survey d awn to lc, showing actual kx:ation of project on premises. Signature: (owner, owner's agent, architect, contractor) Application for Permit - Septic Disposal System Town of QUeensbury 742 Buy Road Queensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION: .................................................._........._._..................................................... _..._.. .. Location of installatiore� b ///�Gf./� �+ OfTice Uae c.4 �,,.�, Tax Map No. j File Permit No. � � I �' � Owner's Name: Fee Paid Address: / 2. INSTALLER'S NAME : 1 / /��J r= PHONE NC1. ir� 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 Bedrootlts x Computation — Total Daily Flow 1980 or older x 150 gal/bdrm = 1980 — 1991 x 130 gallbdrm = _ 1991 — present x 110 gallbdrm _ Garbage Grinder Installed yes f no ✓ Spa or 'Whirlpool Installed yes f no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Soil Nature GroundWater Bedrock or Impervious Material Domestic Water Suppl Fla san at what depth at wh,o� depth municipal offing oam ,+�(.� feet - -�A feet well Steep slope clay if well; water supply slope other from any septic-s stern depth: absorption is fi. other Percolation Test: (716 be completed by licensed professional engineer or architect) Rate: /1 IC3 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: h 69 gallon (min. size 1, 000 gal.) Tile Field: each trench 11 Total System. Length: .�i _ft. Seepage Pit(s): number of size of each; f1 by Size of Stone to be used: # / depth or thickness Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: I Sine of each: gallons / TOTAL Capacity: gallons Nole: 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. Do `` ignature of responsible person — " / Mike c2 Onk ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS Comt :� l i ance Methods : PART 5 ~ 7cceptable Practice Methad - 1 & 2 Family Dwellings ( only ) PART 5 * - Thermal Rating - Component Trade Offs 1 & 2 Family Dwellings ; Multi-Family Dwellings ( 3 stories or less ) PART 4 * - Design. by Comraonent Performance Conunercial Buildings -Hi Rise Residential *Requires submission of worksheets APPLLI. CA�iT ' S NAME : PROPERIPY LOCATION : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - _ �! .[�..---- soua= e feet 2 . T-,rpe of Heat - F. lectr is O i l Gass Other 3 . = s building mechani.dall_y cooled ? Yes ✓ �To 4 . Percentage of area of windows and doors Over 17 % ✓ Under 17 % 5 . R-V_?L,UES FOR INSUL2..'T_ ZON BELOW NMUST CORRESPOND TO R-VALUES AS s1H. OWN ON PLANS SUBMT_TTED : R �C+ a . Roof a . Exterior walls R co Glazed areas R • d . Exterior doors g el Floors over unheated spaces R Edge of slab on grade ( seated b*� ildir_g ) R g . Sa, se*nent / cellar walls ( above grade ) R �— h . Basement / cellar walls ( below g=ad.e ) R i Heat!ng/ coo lin.g-ducts -piping in unheated space R 6 . Ser,r i ce ( domestic ) hot water heat i ng device Carrforms to ILii?:iiClum ef =ioie^ cy per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE }EXCEEDED Ao 14 _ __- ' ignature =/j Paae N 2.C7rS� INS ? EC�GR ' S REP+f�RRS : I i[ } \ l :tr � ft.tf '.ti ( )Iti e I rlt. [r rr7 l3 [3< L r: kIk1f'ti . ?-I ' 5 3S;! 1{rl ;rci, ( lrretrr lrrr [ 1 , - ' 1i , Application for Fuel Burning ' Appliances & Chimneys applicable to solic' juel 'Ve te-d cia s �Dija ,nces Dr IIlfTIi[ u7rtl(, . s rt'T C,l . :.r( e,h 1,�,ti I'7rL ft'rr:r 7rrf 7ct i 1. u<< .j Ji tI .-lD 7Jr( r. r� : 1 ! e' ' 11�rlt ` f.'. . " ? - r„? ,. 7 'r? ;.(f ! era l7(14 l . . irf ,371[, tI r7! 5 J fl t1 frl 'Je / r I0 IN ! '7 Ul'fl 2ltl"f,r7Tfilllh ; r1 [!7 ( r.�[. : �^1 i1� fS , I! " 1(t :VOTE ] oi] ? ic alit : f= iF�aj I7zsp7c Ctic} 1 � 5 are rq > firc� . Applicant Information Fuel 13u1- 11ifa �� III fc, r 111 :1tic) rF :i e: l'� .L. E C.?\ 1C11-Z SS ' 3r / �! I'i':71 ;1L"t:, 1 ! 2Is � :.lC� . 4 . . a'Si7 i f}t1e . It e:Ort l ; :lor: -; rla �fl ary Ica ,7 [Ca s p; '. :ci =a[1Clk"c:.SS: .�eti''ue; .ti:iEtl'. �7�E': •` J• Inforniatimi —_ _ l4 i �"� ati ;t:71.r�Sirll':L?�:'. �.l-�!:'C'_t• l .s:017i.' n COlssrrrrcfluT( v7- i7ts7ti� trlrrx7r ,! C,to;V- 13 t'I ::I1il .aC:tIIi-�%` II Lill IC Mode] N1.[ Enbet.. . ! SIZC� }fit`- ti, t11�1�.7:w1": cG1.SlT'iICiTC771 .' rlT;�jC.'llC'rfGlt 77iY?sf � _' .-- c�rtfC.'rrlt to .'1i}S Fire F' -tn'er:tio)f ct Blifirim< t ' Chirlillev 111:1Fe:'iai : COde- C'o7:sr71r arailabI6 Tai}'r7 of'Qrrr c'TIs(r�rr� -- --- f7tc101(rs regara[irig d reallire i=TspeC 011S. _ ! DlT fl�]:t' f7r! -`�,, 7'r1f'a!:° !L'C.' r ; ��+e�lxf,�-',r3 �►c-��p�rtzxx�.a�s,� -�-- �"ca�s�rr�� off' Qx���ra.,r��s ,�- ____.--..... _. — " x3-x-�y, �wsr- Y'vr3r + d l ;rrr•sirrr! Crlc(e T ;; C,r11,'ca:•;f '� 12c'Tirurlcrc !? {/ 1 r+� -`'`'� 1 i .rr rl,rr r7 L'ilrll(ILle rrl; 1•_.. i'k I y I r 7 sl ` If90) Ptrvrie .5..,(�r!s ---•--- -^— --- ---- - ------ — -- __._. .. . - - -- . 4 _ _ _ _'(i J I2,301 "L�rlrrsri.- �Lrhitt tPF,pi: r. Fire titarsk.af ) ri [ rrr ,.,,t ? 'a�klic 'ti TOWN OF QUEENSBURY BUILDING & CODR ENFORCEMENT 7.4.2 SAY ROAD QUEENSSURY NY 12804 { (518) 761-8256 ARRIVE : -. . DEPART : FINAL InSpRCTIR7R R$PORT - R$$IpBi�TIAL DATE INSPB N REQUEST RECEIVED : LOCATION I1ATFi 0 PERMIT / TYPE O�RUCTURE FOOTINGS. FOUNDATION SACXFILL FRAMING, ROUGH PLUMING SEPTIC INSULATION FINAL ELECTRICAL WOOi?BTOVE OR FIRgPLACB ti A 9AZMNEY E T B VEN I3 G ROOFING N EC P S N S EURNACRZOOT WATER IRTERIORV Cy EinisliF RS : T g T R S PIE P —OTHER FLOG 8 C ET STAIR sTAIR CLE C RA LING -sj4oK D E O EXdUHQIN9,rIX CMRES i U I GARAGE FIRE PR9OFING DOOR CLIP9=6 L C V I C R E,XNAL afIRVEP T P N QK TO ISS C C FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME 17 U LOCATION _ PERMIT SCHEDULE INSPECTION ON / a A PM APPROVED EXITS NIA YES NO AISLE WIDTHS ; EXIT SIGNS EMERGENCY LIGHTIkIG FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: 3 CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WQOD STOVE -` IREPLACE ❑ MASONRY ACTORY BLT. f� UGH-IN _ P'FINAL � REMARKS: ❑ OK TO THIS DATE INWSL P pm INSPECTOR q c+L m RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761,S256 }late inspection request received: ItP14 1 Building & Code Enforcement Dept. of Community Development Arnve am/pm Depx To" of Queensbury inspector's Initials 742 Bay Road Queensbury, Now York 12804 NAME . +JIB -� PF..RNIIr # LOCATION St tlL1 1 , DATE 5 TYPE OF STRUCTUREw N/A YEV NO COMMENTS Chimney FIeightr'B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete hiterior/Exterior Railings W to 36" Exterior Handrails, balconies, landing 18 in. or mare Interior liandrtails stairs both sides 3 or more risers Grade 2% away from foundation ._ g" 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 Fumscle/ lot Water Neater Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in, Handrail exterior stairs both sides more than 3 risers Interior privacy/trirn/doorshnam 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. A,.Z A ` outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation '/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or i s floor Final Electrical L 4'2 Site PlanlVariance rokluirkid Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C (Certif of Compliance) Okay to issue temp. C/O (Certif. of Occupancy). Okay to issue permanent CIO (Certif. of Occupancy) t U 1 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. j Main Office 176 Doe Run Road - Manheim, PA 17545 ,,;;Zoir'r-d MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No.................. ...........Cert. Cut-in Card No. ..............««.................. O -/2t/71/C 1. Owner................................. .......,.,....,,...,,...,,..,,,,...,,...,,,..,,,....,.,.....,, C, .... 47 •!..'. .............. lnstliation Consisting of.......................................,1................................'...;.................................... r.............. ro.- 't.. ... GLr#.,_. J +�✓.''�"�f5/... a�-YZCJC�CC"�r ee� 9 r �. ... «...... «............. ....t.�...... ............ ....... . . Installed By......i „J G 7PlT'I� .......................... ...... ....... .. ... ....Lic. No. ...,,,............................................ The conditions following governed the issuance of this certificate, and any certificate previously issued is cancelled: - This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of ntaki spect tons at any time, and if its rules are violated, the Company shall have the right t r oke t ific Date,........................v .....-........,,,». INSPP,(-Yi OR ............... .,...-..a`................................ 17emher 4.F.P.A., EA E,1, GENERAL MaEECTION REPORT ( 518 ) 761 - 8256 Town or Queensbury Dept. of Community Development Date inspection nest received: Building && Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Dep Ins is Initials `a DAME_ Q PERMIT W LOCATION:ION: DATE ; C� TYPE OF STRUCTURE: RECHECK f. t N/A YES NO j COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing f for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour _ Reinforoernent in PlaceSL Foundation/Dampproofing.__ Back l Approval r Plumbing Under Slab s' //�� 1� Plumbing VenW i Place /r3/9'C G Mtnsang RoughoIn on Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- g R VOOO - Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Head as Bracing/Bridging, Joist hangers Jack Posts/Mam Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour on Sealed F. ren Wall 2, 3, 4 hour ,•�+ p ; � f?f'/�t+� ? � +w"f' " • (.-ljv►I GENERAL INSPECTION REPORT ( 518 ) 761. - 8256 Town of Queensbury Dept.. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road r Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initials r1 1z� NAME. 1S PERMIT # LOCATION: DATE TYPE OF STRU RECHECK NIA YES NO COMMENTS Footings/Piers A Monolithic Pour Form � Reinforcement in Place --� The contractor is res nsible for providing protection m fireezing for 48 hours following a placement y of the concrete. Materials for this purpose site FoundationlWallpour Reinforcement in Place Fouttdationit)ampproo Backfrli Approval x Plumbing Under Slab _ irmbing VentlVents Place , ✓Rough Plumbin -Art t. c �tang Rouoln ulation Foundation Walls Interior R jeer - Foundation Wails Exterior R- Floors R- Vhdts R- eiling R- Duct work or piping in unheated spades R- Proper Vent, Attie Vent Framinix Jack Studsrueadc BracinglBri Joist Hang Jack Po Beam Air InfUt 'on Barrier Fire Lion I, 2„ 3, hour tion Sealed re Wall 2, 3 hour Firestoppo n GE1'1�ERAL I11I.SFECTI NN R.E"T c 518 » 61 -8256 Town of Queensbury Dept, of Community Development Date inspection request received: 8 .1 Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 ` wam/pm Depart _ am/psn di r„ qy� Inspector's Initials_ NAME: `!� " PLzpdm I r IV .?o D " T �i LOCA'11ON: ' G DATE : TYPE OF STRUCTURE. �_ � r:; ~ RECHECK NIA YE NO CC+MMENTS Footings/I'iers ! Monolithic Four Form Reinforcement in Place The contractor is responsible for Providing protection from freezi for 48 hours following the p nt of the concrete. Materials for purpose on si Foundation/W ali Reinforcement in Place Foundation/Dampproofi Backfsll Approval Plumbing under slab Plumbing Vent/Vents in pla Rough Plumbing ,Ic_-alyia�ilOII oundation Walls In 'or R- Foundation Walls Exterior R- Floors R- Ceiling R- 3 Duct work or piping in unheated spaces R- Proper Vent, Attic Vent FramingJ-.�.� Jack Stud& cacLers Braoing/Bri Joist Hangers Jack P"osts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hoist Firestoppi FIRE MARSHAL + TOWN OF QUEENSBURY i QUEENSBURY, NY 12804 (518) 761-8205 41 FIRE MARSHAL INSPECTION REP REQUEST RE�1VEt] REPORT NAME LOCATION - _= - - -- PERMIT # -� SCHEDULE INSPECTION ON C5 A PM EXITS APPROVEa Y AISLE WIDTHS NfA ES NO EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM ~ FIRE SUPPRESSION SYSTEM HOOD INSTALLATION -`��-- - INTERIOR FINISHES STORAGE: CLEARANCE TO S RINKLERS - CLEARANCE TO H TING UNITS~ ~- REQUIRED SIGNAGE CHI EY W D STOv-_ ---- --- — - _ Lo IREPLAC COjjr]MASonIRY ~ - 3 ACTORY BLT. ~ Q FINAL ��A oo cci�, - - REMARKS: C� OK To THIS DATE fM115P5LlA,(a()g INSPECTOR S 1 GENERAL INSPECTION REPORT ( 518 ) 76Z - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Read Queensbury, NY 12804 Arrive am/pm, Depart � inspector's Initials r�-- � �4 -77 p�[,.ME PERMIT # LOCATION_ DATE - TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footingslla'iers v_ Monolithic Pour Form Reinforcement in Place The contractor is responsible for Providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Baclsfill Approval Plumbing Under Slab Plu z ng Ventf Vents in Place 4tQhPlumbi 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 cnt, Attic Vent Off Jack 5tud&Ueadcm %0e OF Bracing/Bridging joist Hangers I4k Postslhrlain Beam. '\pd"r Infiltration Barrier \ Fire Separation 1, 21 31 hour Penetration Sealed Fire all 2, 3, 4 hour opPini� TOWN OF�$�1RY - BUILDING ACODE ENFORCEMENT `S 742 Bay Road Queensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name �,,�- ,�-�. �.�-�._�_� ,_g () Location LQ7""ce Date ZS" ab 'Permit SOIL TYPE : Sand- LoamMClay- Results of Percolation Test- ( if applicable ) Mate- Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length Length of a ch trench Depth of trenches -� • , � Size of st e SEEPAGE PITJ : Number- �- Size - % ft . x ft . Stone size PIPING: Size Type Bldg . to Tank ' Tank to Dist . hox � ► Dist . Box to Field/Pit Openings Sealed ?`: Yes No artsa LOCATION/SEPARATI'ONS : Foundation to Tank, feet Foundation to Absorption] feet Separation of Pits feet Conforms as per Plot Plan "'Ve�LOCATION OF SYSTEM ON PROPERTY : n e ) Front - ar - Left Side�'�Right Side , 1 e Fron - Mi ddl a Re<ij; � -�� 311__ SYSTEM USE APPROY _ YEI� 0 Arrir Dep uilding I ) actor GENERAL AMSEECTION REPORT ( 518 ) 761 - 825 +6 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 128(14 A.rrive7-:qlam//o Depa is l it' NAME: PERM T # LOCATION: DATE : 7^2 f ��i~s 7� TYPE OF STRU RECHECK N/A Y ,• ONM COMMENTS Footings/Piers � � : Monolithic Pour Form Reinforcement in Place _ The contractor is responsible for providing protection from Freezing for 48 hours following the placement of the concrete_ Materials for this purpose on site it Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough. Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Extcrior R- Fioors R- Walls R- Cedmg R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs)Heaaders Bracing/Bridging, Joist Hangers Jack Posts/Main. Beam Air lnfiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestoppin INL P.ECTION IRT ( 518 ) 7fi1 — $ 256 lVERA Town of Queensbury Dept. of Community Development Bate inspection request received: Building & Code Enforcement 742 Bay Road Queeaabury, NY 32804 Arriveq;z a Depa Inspector's Initi / NAME: PERMIT LOCATION: DATE : '' TYPE OF STRI3 RECHECK. NIA YE ND COMWNTS I onolithic Pour orm Rsinfarcesssstent in The contractor is re < "b a for prorviding, protection ing for 48 hours followi the ent of the concrete. Materials for this on site III FoundationlWallpour. Reinforcement in Placel Foundation/D Backfill Approval. Plumbing Linder Slab Plumbing Vent(Vents ` Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi R- Foundation Walls Exteriot\R- - Floors R- \ Walls R- Ceiling R Duct work or piping in unheated spaces R.- Proper Vent, Attic Vent Frarning Jack StudslHrs I3racing/Bri Joist Hangers Jack Posts( ain :Beam Air Infiltration Barrier Fire Separation 1, 27 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin r 'PF "I have seen or ob5 ved, or believe I saw evidence of, all objects such houses, wells, trees, fences, etc.. `/� shown on thi ocument_ I also represent that ; have fPF 3g , personally asured the istances set forth on the diagram. " SIGNATURE TE n Zar a �cit� tk i Y 1 � (C�v , �. Cy CNV f ' JPF S55 '37 '06 ' E / 9 0. 00 PF N �v CO 0. 75 acr s -- J 'F ,r C� era PF N�) V`J — c 1�'-D CI B a i C K r=' L A r: J 104. . 65 hJSS '31 " W rpfi �� — ---