1999-231 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ?�� ^�+ �� 19 —99
This is to certify that work requested to be done as shown by Permit No. 7 3
GJ1
. has been completed.
• This structure may be occupied as a SINGLE FAMILY DWELLING
Location LOT 43#93 SURREY FIELD DR.
Owner MTM-rn1T.c raAfl4i13 mxdP 7, T. r
By Order Town Board
TAX MAP NO. 48 . -8-43
TOWN OF QUEENSBURY
.i`
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY . 99231
VALUE. $ 133900 .: No.
TAX MAP NO. 48. -8-43 WARREN COUNTY, NEW PORK
PERMISSION is hereby granted'to : . . ' MICHAELS GROUP,THE L.L.C.
OWNER of property located at LOT 43#93 SURREY FIELD DR. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLING
at the above location in accordance to application together with plot plans and other'information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
1810 STATE RT. 9, SUITE 3
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDER'S Name
MICHAELS GROUP, INC.
3. CONTRACTOR or BUILDER'S Address
JIM CHANDLER, PROJECT MGR 1810 ROUTE 9
LAKE -GEORGE, NY.. .12845
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S.Address
NEW YORK BOARD OF FIRE . . UNDERWRITERS
6. TYPE of Construction—(Please indicate by X) .
SINGLE FAMILY DWELLING
1 1 Wood Frame ( )Masonry ( 1 Steel l 1
7. PLANS and Specifications,
15181o?SQ FT SINGLE. FAMILY. DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS .
8: Proposed Use
SINGLE FAMILY .DWELLING.,
215 May 12 2001
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
12 May . .. : ...-. 1999
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building and oninglnspector
. • . , . .
• Buiidtng . Application• . .•
• GI 1t . ,
,?.-. -i .
. .
..
Town Of QUCCISbUF ) - Ilif. ftropnmiuiV vercoinnem, Ioy , ,
_.d•.._._. I1 (1ILVIN(i• tri COUP; IsNh0RCLh1EN1'
NOBLE . . 1tctlliircl11CI1I,S 1)iioi: to issuance
_.._� . .n 1'G1tM1'1'1•JL+li NO.�
A Ix:unil must Ire obtained Ixainv __ � '.•.• , pg'liillfl1'lLlf'1'AlU,tt �I
beginning couslntclion. No inspections 7.�lning 11ur)►•d Acl •iult - �'
will Iw ntnde until nptdicatnl has tccd�ivcd • 1� ItLCv
• n VALII.) IJUIU)INU I'lil(AII I% All Ann /Ilr:u r IZcsN11uN-rtrl• '
n r plienton' spleen on Illin n1�l+licittini!. -
I
MOST be completed-muffin,rignnlute U 1'annt,rg 1Jcxud.Action ILwllilvLU L1• •
DuIldGtg Jrulxdar
of the applicant must appear on the - SI'n / Subdivision I-Other
4plicnliim loot: u.;,f),.,, . J Remotion Itcc I'nyntcttl .
' 'I nc. Same
A t tlknnl: f 1te bl.iChctefd (iJz.uU i, Owner:
3 Z t ls�ie(s Rd -_C i 1 PAL._.rVI t 2 S
•
-- ---- t
• .tltlICS5' riu:ilCSS� •
•
•
•
MIMIC,II ( 518 ) ;. .��).-(D • Phone ii ( • ) " - .
. • . /jil 2 2_LLG
Iholtcrly I,ucttliun: _ Tax Mop Number
` Section Ulock ILA Subdivision Name: '' C . s —
lutTUnr Ur PIIOE'OSGU WORK: - �ESTIM1 'I'I"sU MARKET -VA E.. OF '1•'IUE
,it- Mew Uu i.J.ding: . • - CONSTRUCTION: •$
•
residence . / commercial
Addition to uuilding: . OCCUPANCY' Iellrotttln'rxoNs
t:ott J.clonuo / commercial )t•, imrtry Uul l.dlny - •
•
lt,l.l:errtl:i,ctn to11nl.tcll.ttcls •
X single !c'auli,ly Dwelling):ectidctnco / conuni)rCial Two -'omit}�� lq�d/
_ . Residence / Commercial rnil� 1 �"•'�,
no change to .exterior ni.zo . ----- pLX Office. Mercant;ilvMAY 0 7 1999
other Work (det#crlbe below) — ManuaaclL ria .
ww
Other, . N OF QUEENSBURY
BUILDING AND CQDE
'GROSS. AREA OF PROPOSED STRUCTURE: 4
0 f ADDITION, • what will, use
]L
letFloor • _ _� rtcl. f:L• . of .now, addition, be? :
Zn,d .Floor sq. ft.R7� N
Other L�loot.o
(not unfinished Cellar or basement) ACCESSORY DU.ILDIHWS:. Oar
_ Detached Garage. 1► Car
1��D SQ. 1�'1'• X _ Attached Gartxge 1, .
'1'U'1'11L FLOOR MBA: _ - private' Storage Du lding
_ Conunezi:iisl Storage. 13uiding
SIZE OF MEW STRUCTURE: Ot;her . '
—l • I'L L'1' X --.1'`
):E l;'1'
•
ton Typo:)o: � foaled - Will' any second-Band or unungral what?
i�uube: S t lumber be used? . If no,
(ha' Numbitable
of spaces : •
)
(habil:ab.le apace only) . feet .p�pN ,0�,'1tEI1�it�d 8�[S'I:C :es
Height (grade b0 ridge) : _ circle ,all whit < P )
Number of fireplaces nd/or woodvtove Cc , rail Gag' Wood Ol:lter
to be iusLa.11ed: Electric� __ Forced. hot Air / d yard / .
•
t3s Vttsi.ble for eupervielon of� ork as reg r a to building' '
Person e P or Eric ,
codes let 1�:(ta11s,LCe1L,_Ulpj - a�c� �. sus • pllgtt128d� 518-668-3376
}} iilc.. 18- 0 Rte. 9r I.ake_Ge'/s.c e
t1uJ.J.d r. : _1 i MCC.IItI 3 WLUUI���.�.- -- r
PJ.ttmber Taut I' t b�,i.Jll,_, 1lh ' thjscI - U _i- Fettf.b, NY 12801 518-198-4399
Mil 1)0 11: _.1JJ t attati ,__iai._21_8. GZ/uu .f.Le•, N y tt?)te�Latj" N- 13 r 18-3 Y 1-4 9 2 2
Electrician.
• • Vl G AUAi1UN.'. !'!case sign below r f c) you have caref)dly read the statement.
• ' ' the best of my knowledge the slatclncnts._contained in this.a1laIl a ion,s o irk to the bedo plans
To
and•SitCCIIICaliQ113 $l1I)IIt1UCd, are a true and complete statement
the proposed
Ordinance and all
the tiesetibed ptemises and that'all provisions of the Building
other laws pet tabling hi the proposed work shall becomplied
ttipti understood whether
t lJwa�shall s or.noted,
and
d a
•
that such wot k is authorized by the owner, Flit l ,
an:AS I3Ula.'1' PLOT PLAN by •.
Certificate of Uccupancy''or Gctt�luaslwwilk:,!aclual location�vf project oil 1)I�cntiscs. ;
a •licensed sutvcyor; drawn s t
Signature:
.1•• r l;wncr's agent, architect, contractor) - •
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury
Dept. of Community Development Permit No.
Building &Codes Office
742 Bay Road Fee Paid $ •
Queensbury, NY 12804 -
Location of property for installation: 1-1J1- q -- QZ(Ve
Property Owner's Name: i, m i i a EMU n Ur-
Property Owner's Mailing Address: I?)U() k( ae CI- tatte isayv
Installer's Name: (,L ! Phone-# 1/0.J a n q
. Number of bedrooms (if residential): 3 Total daily flow: 4�
(residential - compute @ 150 gal./bdrm.)
Topography: ✓ flat, rolling, steep slope % of slope
• Soil Nature: ✓sand, loam, clay, other /depth:
Ground water: at what depth? 36 feet / Bedrock or Impervious Material: at what depth? _ feet
Percolation test: not required, V required [rate I min. per inch]
Domestic water supply: municipal, well, other •
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
• L/5 Fog 2.80. -
Septic tank: 1= gallon (minimum size: 1,000 al.)
l`r Fd2 3 Q. iek
Tile field: each trench Lei feet / Total system length: 44 feet:
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: # S lT / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: MIA- Size of each: gallons
Alarm system and associated electrical work to be inspected by a certified agency.
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.
Signature of responsible person: Date:
S'."_l ,,_l' nIe ,l 1_l J_._l':l1_l'.A_l"l�l',l�l'IALVl.�l'J1_l'JA ..AU Al .0. J_41 A !"":"Q".!'"2J AI JAl'Al''A JAU' Jft lVAOP_l Al' •A:AL.Al'J!Q'At;'J_1_l'..AV;l�l'',11. l�l:'Al"O,
, THE NEW YORK BOARD OF FIRE UNDERWRITERS IVIGE 1 ,
-1�'--c 4028789 1r
4):, BUREAU OF ELECTRICITY
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210
:A AUGUST 13 1999 45361399,99 A 144338 r-
�(i Date ° Application Ninon le 1
• THIS CERTIFIES THAT 1�E°RI1E?' PJ{?° 99-231 1r
4Ai only the electrical equipment as described below and introduced by the apphc, amed on the above application number is in the premises of ij
=4 IY=
, TEB MICEAELS GROUP, 93 SURREY FIELD DR. LOT 43, QUEENSBURY, NY Ir
• in the following location; ® Basement ® 1st Fl. ❑ 2nd Fl. GAR Section Block Lot 43
tl was examined on AUGUST 03,1999 and found to be in compliance with the National Electrical Code. 1t
=(i IY
iji FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS o
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. IY
35 27 25 3 t
=AI DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS '):
BELL SYSTES ,
0 K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. EMI H.P. NO.OF r
� FEET AMT. WATTS 1 s
IA
•' SERVICE DISCONNECT NO.of — - S E� R � -1- -C E _
— 1i-
Ai
•��� AMP. TYPE EQUIP 1 0 2W 3 0 3W 3 0 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W-G. NO.OF NEUTRALS A.W.G. ,j_
_(� PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL ,�
1 150 CB 1 ■ X ■■ 1 2/0 1 1/0
OTHER APPARATUS:
, POST LIGHT-1 )'
ji G.F.C.Ir-4 li
'<' SMOKE DETECTOR:-5
�(, 1}
'AI 14
:1 IV;
_C' ':
A' — t-ae' -.- 4,`` ,i
tl ' 4 Y 4
w: FOREVER ELF;C/BOEL ELECT`° 2yt+ 1
' t JI7,T1IAM D. P�'CFART.LON �, P d b h.i� ,. . ' ',: 'r_
�1 -y r.'4 7.; ...Sa r;={:• - GENERAL MANAGER
2446 ..AFFRE'Y SST. •.• -
S CHENECTADY, NY, 12309 d': a�l��a'''' •' 239 ,
°".'° -• ---°e 0 -- Per r
K: This certificate must not be altered in any manner; return to the office of the Board if incorrect.Inspectors may be identified by their credentials.
''A476.%YYiY4YYiY;iiie.YeYY.T.Y�YYiYYiYI'iY.'74iiiYeY�YY•YYiYY•YYiYYiY4YYEY;Tit 4-ilY�YY%Y4YYeYSi?,4TYiY4YYiYz•Tiiii4YY.YY•Taffe,Y4YY•YYir.SWa-YY�YYsYiiiilS
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT .
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ,41.k 6P_
Location 1-o q,
Date43/4,, Permit # a- 4 3
SOIL TYPE: Sand-Loam-Clay-
Results_of Percolatio, - -
(if applicable) R. --Minu-e/Inch
TYPE 0 SYSTEM:
ABSORP ON FI- D: To . Length
Length o h - ch
Depth of enches
Size of :tone
SEEPAG PITS: Number-
Size - ft. x ft.
Ston: size
PIP1G: 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 fe-
Conforms as per Plot Plan Yes o
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
COAKc7 7oAS K
6K •
1-1(5(AN(. r (45 - 8 u 1L7—
SYSTEM USE APPROVED: YES NO
Arrived: ! V Z
Depparted-
:
Building Inspector
1
C i
RESIDENTIAL FINAL,INSPECTION REPORT
0)e
Office No. (518)761-8256 Date inspection request received: �1
Building& Code Enforcement 4-Li 0�R r
Dept. of Community Development Arrive am/pm Depart LVJ/3/l
Town of Queensbury Inspector's Initials U
742 Bay Road
Queensbury,New York 12804(
NAME \ v\C GIG Ifl PERMIT# -- J
LOCATION C\ 3 tz ' ' 1 p. 6 S 'Dr 11 DATE
TYPE OF STRUCTUREili
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location f
Fresh Air Intake /
Plumb Vent through roof
Roof Complete .•(7)
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 • • ore
Interior Handrails stairs both sides 3 or mere riser
Grade 2%away from foundation
8"clearance to sill plate .4111
Gas Valve shut-off exposed/regulator 8"above de ti
Gas Furnace shut-off wi'•• 30 feet •. within 1: of site
Oil Furnace shut-off at en i r, ce to ace ar
J./
Furnace/Hot Water Heater o.°,-a •
Relief Valve(s)installed / V '
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in. /
Handrail exterior stairs both :ides more than 3 risers V/
Interior privacy/trim/doors/' ain entrance 36" /
Floor Finish ,.-
Bathroom/Kitchen wat ght V
Interior Handrails Bale ni
Ves/Landing 18 in. or more
Railing across windown stairwellsV
/,/
Smoke Detectors:
every level
every bedroom
outside every bedroom �/
inter connected
Bathroom fans //
Plumbing fixtures e/
Foundation insulation
3/4 hour fire door/door closer 17
Garage fireproofing
Garage penetrations sealed L
Furnace in separate room protected(in garage) J
Light ventilation per room / tf
Safety glazing 18"o 'from tloo� /
Final Electrical f'7 XJ/�
Site Plan/Variance re uired f/
fri
Survey Plot Plan �/'�7 %uilt Septic System layaaut req rred 17l-AYK if4 , CAiL.i` Q?'O FILE,-
Okay to issue C/C(Certif. of Compliance) / S-‘, , er (JOCW-'•
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy) "V ,
lodr li
0 F QUEENSBURY s
BU LD5ING A CODE ENFORCEMENT fO
742 Bay Road TA
Queensbury NY 12804
N.
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTIONITC131
Name - - 6b,ZP
Location el- g2., theeCy_ i17141,0s
Date /2-16n Perm't # j =-(v
SOIL TYP' : San -Loam- lay-
Results if Percolation est-
(if appli able) Rate-Mi ute/Inch
TYPE OF S''STEM: / l'
ABSORPTIO' FIELD: Tota ' Length - 4 3
Length of :ach trench f 77'1
Depth of trenches
Size of sto - Iv; ILT,v e
SEEPAGE PITS. Numbe,
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank ,,„--
Tank to Dist. Bo
Dist. Box to Fiel '/Pit
Openings Sealed? Yes No 'a ' ia2
LOCATI0N/SEPARAT"0 - :
Foundation to T. k feet
Foundation to A-isorp ion feet
Separation of 'its feet
Conforms as pe Plot 'l an Yes No
LOCATION OF S STEM ON "ROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Fron ' - Middle R-.r
COMMENTS: •,1/4A114 - ' /4-4-) C /V L
SN4-0-10 ty Ler 4/ ) .
PR O 'r 0 A--,- 8 --r- ,i
• . 1---
otr _., - - .,
1,, ,.....„ -.. .7 - -
SYSTEM USE APPROVED: YES 40
Arrived:
Departed: - :'
Aec Ns.
Building Inspector
TOM OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name .,C.1, y-3 CgrOf.
Location LaT i —•
c�
Date CS//Z ' 6i7 ,it # Zu` 7
SOIL TYPE: San -Loa Cl .y-
Results o' Percolation est-
(if applicable) Rate-Min to/Inch 1/52/
TYPE OF S STEM:
ABSORPTIO FIELD: Total ',enet
Length of -ach trench / '+! y '7 -y
Depth of t enches 3
Size of s t t,n e 140w-v►Wae
SEEPAGE PI Number-_
Size - ft. x i ft.
Stone size
PIPING: Size Type
Bldg. to Tank 44"
Tank to Dist. Box • 6r 5�4-33--
Dist. Box to Feld/Pit '-q/
Openings Seale ? 40 No Partial
LOCATION/SEPARA' ON .
Foundation to Ta k feet
Foundation to Absorpti .n feet
Separation of Pits fee
Conforms as per Pl o Plan Yes No
LOCATION OF SYSTEM 17.' PROPERTY:
(circle one)
Front - Rear - Lef Si•e - Right Side
Middle Front - Mi•6le R-.r
COMMENTS: T A-6U U of Hemet&
( i-tha6b I, I--ar )
v r C a • e ii,v Lc. 4
T ,�
SYSTEM USE •PPROVED: 1p,-� NO
Arrived:
Departed: -3 '. 0L/
Building Inspector
e",?,bri6
TOWN OF QUEE�''�BURY
BUILDING & OD-Elg,gORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: "✓
FINAL INSPECTION REPORT - RESIDEN IAL
DATE INSPECTI N EQUEST RECEIVED: J
NAME
LOCATION
DATE � gMI
TYPE OF STRUCT'RE /Yt� Y )S1
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULA ON
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RA INGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRI/ACY DOORS
FINISH FLOORS: I
BATH/KITCHEN WAITERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
GENERAL INSPECTION REPORT
Town of Queensbury .
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart
d4rpe>.n
Inspector's Initials}
NAME: U c1I G4 `3 e,?( PERMIT# C — Z' 1
LOCATION: 9`3 6 u/4e0 //C c lr ' DATE : 7/2-/7-,
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcementsin Place
The contractor,is respo ible Apr
providing protection fro mg
for 48 hours following a placement
of the concrete.
Materials for this purpose nsiXe
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
P,umbing Vent/Vents in lace
ough Plumbing
eating Rough
Insulation aR .7-70 25
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
1
GENERAL INSPECTION REPORT A14) ri &-
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ' �(��
Queensbury,NY 12804 Arrive am/pm Depart ) m
Inspector's Initials,�
NAME:
p � C_Xt,46e-5 COW,, PERMIT# r _l Z 3 I
LOCATION: C 6 61;4E2-& f i DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from •-
for 48 hours following the .laceme t
of the concret
Materials for this se r.n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin _
Back:ill Approval •
I
Plumbing Under Slab
Plumbing Vent/Vents in place
Rough Plumbing
eating Rough-In L
nsulation /Y0 AfARR,o{� )TO
f v
Foundation Walls Interior R- LW-i- k),-)kpsi D oui
Foundation Walls Exterior R-
Floors - R-
Walls R- �/ CA-CZ—
Ceiling R- 31q 0 V
Duct work or piping in
unheated spaces R-
/P oper Vent, Attic Vent /
Framing Copf1- Tto S ✓
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
'yob.
li)(\
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement e
742 Bay Road `�
Queensbury,NY 12804 Arrive am/pm Depart am/ m
Inspector's Initials ��
NAME: r PERMIT# d-3
(4,
LOCATION: ti DATE :
TYPE OF STRU TURE: �C
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the p1 cement
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 Placekiz
Vsaigh Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior 1 -
Floors R- x _
Walls R- A'oYJ S eR uk-S 1-1 U i t> rZ_
Ceiling R- - IRvSS -C—c w�C Ai -Potp- ✓JC�
Duct work or piping in
unheated spaces R-
Proper _ t, Attic Vent
F ng -1p 4k cak..
Jack Studs/Headers V
Bracing/Bridging
Joist Hangers 1 J
Jack Posts/Main Beam
Infiltration-Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road
Queensbury,NY 12804 Arrive am/pm Depart'C. am/ m
Inspector's Initials
PERMIT �. ) I
NAME: t� \ \ IIT# CI_ �� \LOCATION: C�DATE : 0 "��
TYPE OF STRUC t3Q 11"
RECHECK
N/A YE NO ,COMMENTS
ootin 'ers } � %'-,
Monolith' r 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
Back ill Approval
Plumbing 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
f P-:1r
p4.4,4_Ri
TOWN OF QUEENSBURY 6,:; ,,
BUILDING & CODE ENFORCEMENT'
742 Bay Road • r
Queensbury NY 12804 -7-
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 0c�si.� t'LiAe`� 6-,,_,,,,tp
Locati on Lt4f3 0-6)3SG3'rerif
J
Date ' (3 Permit # qq( (23/
SOIL TYPE:\Sand- oam Clay-
Results of Percolation Test-
(if applicable) Rate,Mi`ntrte/Inch
TYPEN F SYSTEM:
ABSORPTION FIELD/ Total Length
Length of\ ach t`'rench f'
Depth of tren`h'ies /
Size of stone ---_T
SEEPAGE PITS: Number-
Size - / ft. x ft.
Stone size /
PIPING: f Size Type
Bldg. to Tank .7L " 5; z 35
Tank to Dist. Box
Dist. Box to Field/
Openings Sealed? Yes No Partial
LOCATION/SEPARATI •
Foundation to Tank /0 feet
Foundation to Absorption feet
Separation of Pits _ Oeet
Conforms as per Plot Plan No
LOCATION OF SYSTEM ON PROPERT
(circle o
ea �Front - r ide - Right Side
Middle Front - Middle Rear
COMMENTS: R `4,�
Rote I LotCG K4-.101-- (OfU L
I s,— .r Pia F re-6- d V"-.
•
SYSTEM USE APPROVED: YES c
Arrived: re.
Departed: _
Building Inspector
GENERAL INSPECTION REPORT
%3 o Q
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ::ay Road
Queensbury,NY 12804 Arrive epart
Inspector's Initi
NAME: CAL' PERMIT#
1�O . -1 '
LOCATION: , -r•N-i Ll k LaU C'(� ��C�a DATE : _ 0- t t
TYPE OF STRUCTURE: ����
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib e for
providing protection om ing
for 48 hours following e lacemen
of the concrete.
Materials for this purpose on to
Foundation/Wallpour
Reinfor,•ment in Place
Fo '.'. tion/Dampproofing
;f •.1 ll Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pl
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
Town of Queensbury
Dept. of Community Development Date inspection request received:Building& Code Enforcement 136-‘c
. o
742 ay Road
Queensbury,NY 12804 Arrive m Depart a.ati�_. s u m
Inspector's Initial A
NAME: %C1 �,Q PERMIT# 0 •
. . ,ei\ DATE :
LOCATION: � _ � � ��
TYPE OF STR CTURE:
RECHECK
N/A YES NO COMMENTS
ootings/Piers
Monolithic Pour Form
Reinforcement in Place 2
The contractor is responsible for
providing protection om freezing
for 48 hours following e place ent
of the concrete.
Materials for this purpose on Si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Bacic ll Approval
Plumbing 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
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart 1'-D am/pm
Inspector's Initials
NAME: GN\i(___1-kP c 5 C 5 a ` PERMIT# 1 lti Z'S
LOCATION: "3o 2-2 he.—c--4 DATE :
TYPE OF STRUCTURE:
REC CK
N/A YES Ny7 COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Pl. .. /� kl .4t0°\
The contractor is r-sponsible for
providing protect;.n from ing
for 48 ho :rs folio 'ng the kacement
of the con• -te.
Materials for t p se on sitie
Foundation/Wall.•
Reinforcement in Ph -
Foundation/Damppr••fing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls I!tenor R-
Foundation Walls I xterior 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
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RECEIVED
AUG 1 6 1999
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TOWN OF OUEENSBURY 50 o
,--
BUILDING AND CODE
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