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2000-574 TO" OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5402 (518) 761-8201 Community Development - Building & Codes (518) 1614256 CERTIFIrA JFOCCUANCYPwTE Permit Number. P20000574 Date Issued; Tuesday, December 05, 2000 This is to certify that work requested to be done as shown by Permit Number P20000574 has been completed. Tax Map Number. 523400-048-000-0007-013-000-0000 Location. f BERRY PATCH Dr Owner. CERRONE BUILDERS, INC This structure may be occupied as a. Garage - 2 Cars Attached Single Family Dwelling By Order of Town. Board TOWNOF QUEENSBM Director of Building & CJ& En ement TOWN OF +QUEENSBUR.Y (aw 742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000574 Application Number: A20000574 Tax N1ap No: 523400-048-000-0007-013-000 0000 Permission is hereby granted to: CERRONE BUILDERS. INC. Owner of property located at: BERRY PATCH Dr i in the Town of Queensbury, to construct or place a Single Family Dwelling 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. Owner Address: CERRONE BUILDERS, INC. 66 SUNSET TRAIL QUEENSBURY, NY 12804 Contractor or Builder's Name / .Address Electrical Inspection Agency CERRONE BUILDERS 66 SUNSET TRAIL QUEENSBURY, NY Type of Construction: Single Family Dwelling Value : $ 135,000.00 Plans & Specifications 1560 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATION $211.00 PERMIT FEE PAIL) - THIS PERMIT EXPIRES: Sunday, August 04, 2002 (Ifa longer period is required, an application for an extension must be made to the code Enforcement Officer of the 'T'own of Queeasbury before the expiration date.) Dated at the To ueens Frid y, August 04, 2000 F SIGNED BY for the Town of Queensbury. Directnr of Iiuildis,g 8c ode nfcrrcement 7 Building Permit Application Town of Queensbury - Delm. (if Cw►tlnwjiry Develuinnew, 742 Bio*v Racal, Queertcbmy, NY 12804 1761-82561 � rlAilrrl� BUILDING & CODE ENFORCEMENT Requirements prior to issuance wtg A permit must be obtained before of this permit: PERMIT FILE NO txegituting construction. No inspectioats PERMIT FEE PAll] � will be made until applicant has received �] ZcrnMg Ord Action a VAUD BUILDIN(I PERMIT. All Area / Use RECRL�AT!(7N FEE P applicants" spgr�raa core thin application .- ��a��.f� MUST be completed mod the signature Q PZambi Board Act it Of the applicant must appear art the g REVIEWED BY 3PR I Subdivision I other Re,ll.eeng IM/V4Vor �application form. T&amk �,. Recreation Fee Payment Applicant: Owner: Address: Address: Phone # Plione { ----- --_ ._ ----- -- Property Location: 13 1 {3 Subdivision Name: '1"ax Map Number �- w Section Block I tit NA "I r,�Cla OF PROPOSED WORK : ESTIMATED MARKET VAIAIE . OF THE New Bu3 lding a CONSTRUCTION , residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Pr avy Building - residence / commercial t / S !ngle Family Dwelling Residence / {Commercial Two Family Dwellin no change to exterior sizes Fam3. ly � Pit . ;v office r other Work ( describe below ) Mercantile I�IG Q ?OQQ Manufacturing / Other GROSS AREA OF PROPOSED STRUCTURE : If ADDITION , what will use 1st Floor . . . . . . . � sq . £t . of new addi on be ? : Other Ffouts . . . . . sq . ft . , ( not unfinished cellar or basement ACCESSORY SUILDIPIG5 : Detached Garage 1 , car TOTAL, FLOOR AREA * SQ • FT . ��/ Attached Garage l ,& car Private-, Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building FEET H �ooi6l FEET Other Foundation Type : e&t&t ep4 Will any second- hand or ungraded Number of Storiese lumber be used ? If sot for what ? ( habitable space dryly ) Height ( cjrade to rj:dge ) feet TYPE OF HEATING SYSTEMS Number of fi.replacet; a / or woo stove ( circle: all whitVEseboard lies ) to be installed :_ / / Wood Forced Hoar Air / / Other Person respons ' e f supervision of work as regards to building codes i s : , . .- Name Ad P e Builder : ✓ Plumber : Mason : 474 / •--� Electri ci$ n ' ^~ DRCLARA710ft• Please sign +belmv 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 can the described premises and that all provisions of the 13uilding Cmle, the Zoning Ordinance and all other laws permining to the proposed work shall be complied with , whether specified or noted , and that such work is authoriZOLl by the owner. Further, it is understcxxi that llwe shall submit prior to a Certificate of Occupancy or Certificate of Compliance tieing issued , an AS BUILT PLOT PLAN by a lice:nsexi surve:yu awn to ale. showing actual location of project on premises. Signature: owner, owner's agent, architect, c actor) Application for Permit - Septic Disposal System Town o_,t'Queensbury 742 Say Road Queensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION: office Use Location of installation.4? Tax Map No. File Permit No. Owner's Name: rJ2r l// ' �4r �� Fee Paid .................................................. ........_............................_..................._...... .................. Address: 2. INSTALLER'S NAME Zl&�lll ~� _ PHONE NO. Z� 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroom(s) and multiply # of bedrooms with applicable gallons per bedroom to equal total dailyf7ow) Y&ar of House: No. of BeIkQp s x Computation = Total Daily Flow 1980 or older x 150 gallbdrrn = 1980 — 1991 x 130 gal/bdrm 1991 — present x 110 gal/bdrm = �) T Garbage Grinder Installed yes / no _ Spa or Whirlpool Installed yes _ 1 no 4. PARCEL rNFORMATION: (circle applicable information &. indicate measurements) Soil NAyKg Kiround Water Bedrock or Impervious Material Domestic.water Su pp] I%l at what depth at what depth l ng l7;p feet feet weI Steep slope c if 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: minute per inch 5. PROPOSED SYSTEM: F r N= Qn cued a: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 2S0 gallons to the size of the septic lank and [each field for each Garbage Grinder, Spa or Whirlpool Tub, Septic Tank: I gallon (min. size 1, 000 gal.) Tile Field: each trench 5C' ft Total System Length: ' f?. Seepage Pit(s): number of size ofeach: f?. by ft. Size of Stone to be used: # P / depth or thickness feet Bed System Size: x Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons / TOTAL Capacity: gallons 1Notet Alarm System and associated electrical work must be inspected by a To" 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. As Ignature of responsible person Detre ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS Comml i ance Methods : PART 5 - Acceptable Practice Method 1 & 2 Family Dwellings ( only ) PART 6 * - Thermal Rating -- Component Trade Ox-fs 1 & 2 Fdmily Dwellings ; Multi-Family Dwellings ( 3 s t les or less ) PART a * - Design by Component Performance Commercial Buildings -Hi Rise Residential *Requires submission of worksheets APPLICANT ' S NAME : PROPERTY LOCATION : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE ; 1 . C--toss Floor Area - _ sraruare feet 2 . Type of Heat - Electric coil 4-�f Ga.s Other 3 . ; s building mechanidall_v cooled ? Yes No 4 . Percentage of area of windows and doors Over 17 $ ✓ Under 17 % 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-Vkj- UES AS S rC7TrrN ON PLANS SUBMITTED : a . Roof R � b . Exterior walls R c . Glazed areas d . Exterior doors Zo e . r loors over unheated spaces R - . midge of slab on grade ( heated building ) R g . Basement/ cellar walls ( above grade ) R jJ h . Basement / cellar walls ( below grade ) Hewing/ coaling--ducts .piping in unheated space R ( domestic) hot water heat i r_ g device Conforms to mi.ailimum ef `icienclr per code / Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1440o - WILL NOT BE EXCEEDED S i gnature D ta '-'zone NGs4; —r 1iS ? EC= CAR ' S REMAR.RS TOWN OF QUEENS$URY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUL;ENSBURY NY 12804 (518) 761-8256 -- - ARRIVEt - - DEPART : rj"AL INSPECTION REPORT — RVSTDeKTXAL DATE INSPECTION REQUEST "ECEIVED : NAME ,,// ''�� LOCATION G--y�/ �- .- I 0 DATE f �- t PERMIT TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL . WOODSTOVE OR FIREPLACE N A Y S HO CHIMNEY VENT,iH_FLQXT PLUH$ING VFsNT ROOFING EXTERIOR rINISH DgCal O C ST S LINGS FURNACEMOT WA PE T N INTERIOR T%IMZggjVACY D RS FINISEi FraaRs • — _...BAAT`HZK7LTCIL T _FLdOR 'SS4 �,'PA$ QTHER LOOKS CARPETE 5TAIR CLEARANCEZRAILIN S SMKE DET C — $]c�THROOM FANS L L., F I S _.._ OU T ON TI G F RE P F OG C 'EltS ------ r FIN ;.TPrTRI AL — p AN VAjtIAtTCE REQ FINAL 5_, U EY PLQT PLI"+Ii SU C ❑ C C MAP REFERENCE: FINAL SUBDIVISION PLAN PHASE 2 DATED: JULY 26, 1999 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC N 06-�3 'E 339.51 �. LOT 14 MAGNBrIC 1996 N06 321 1.9R a e: , ZUUU Q ,� Q(y Steves•DER,RVEY Land Surveyors, L L C 169 Haviland Road Queensbury, New York 12804 'UNAUTHORIZED ALTERATION�IR ADIATION TO A SURVEY MAP BEAFIrIG A UCIDOM LAW SURVEYORS SEAL IS A VwLATION OF SECTION rma, Sue -DIVISION Z OF THE NEV YORN STATE EDUCATION LAVE 'ONLY COPIES FROM THE ORIGINAL OF THIS SURYE:Y OF THE LAND SIAZX YORS MMKSE& S YAIH E O CONSIDONAI.ERED CW4 gAL SHALk BE CGNSDERED TO � YAIH) 1RUE COPIES.' AS PREPARED ILEREDN DANCE THAT Tws SURVEY IONS PREPARED a ACCORDANCE PATH THE EXISONG DODE OF PRACTICE FOR LAND SURVVTDRs ADOPTED YOM AL LAND SURVEYORS. SAID CERTFICATIONS SHALL RIME ONLY OF LPREPA PREPARED, BY TI E PERSON F STATE ASSOCIATION THESURVEY TO THE PERSON FOR YMWM THE SURVEY IS PRiPARED, AND ON HIS BEHALF TO THE MU COMPANY, GOVERNMENTAL AGENND CY ALENDINS INSTITUMON LISTED HEREON, AND TO THE ASMEES OF THE LENDING INBTITu,ION.- Map made for E R R O N E BUILDERS Town of Queensbury, Warren County, New York Scale 1 "=30' 1 � �+�� 1 �T 1 of 1 CERRONE. NO. DA TE DESCRIPTION (518) 792-8474 New York Lie. No. 50135 1 1 DWG. NO. 96081-13 FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 CL (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECphyED NAME LOCATION ERMI # SCHEDULE INSP CTION ON -2 - `. AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPR KLERS _ CLEARANCE TO H ING UNITS REQUIRED SIGNAGE CHIMNEY kOVE FIREPLACE Ej MASON Y fjFACTORY BLT. [] H-IN [FINAL I Al REMARKS: OK TO THIS TE INSPWPPUB INSPECTOR RESIDENTIAL FINAL ]KNS EC TION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept of Community Development ,Arrive am/pm Depart Town of Queensbury lnspr�ctor's lni s 742 Bay Road Queensbury, New York 12804 NANIE PERMIT 4 CATiO1V r' Y+C DATE IA TYPE OF STRUCTURE M/A YES NO COMMENTS Chimney Height/ 13" Vent/Direct Vest location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 3 Exterior Handrails, balconies, Iandik 18 in, or more _. Interior Handrails stairs both sides 3 orgl ore risers Oracle 2% away from foundation 8" clerance to sill plate Gas Valve shut-off exposed/regulator 18" abhiye grade Gas Furnace shut-off'within 30 feet or within liht p of site Oil Furnace shut-oft`at entrance to furnace area Furnace Tot 'Water Heater oper + Relief Valve(s) installed Headrooru, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. NL Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doorshnain entrance 36" Floor Finish BathroomlKitchen watertight Interior Handrails Balcomes4-anding 19 in. or more Railing across window in stairwells Smoke Detectors: s every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer 3 Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in c)Light ventilation per roomyCf6 Safety glazing 18" fs or less orn floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) Okay to issue temp. CIO (Certif. ofOceupancy)_ Okay to issue permanent CIO (Certif: RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8236 Date inspection request received: Building & Code Enforcement 0/ Dept. of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initials 742 Bay Road Queeuabury, New York 12804 NAME LOCATION '+ -• �. DATE TYPE OF %TRUCTORE /A YES NO CUIVIIvIFIV'I'S Chimney Heightr%W' Vent/IlLrect Vent Location — Fresh Air Intake Plumb Vent through roof Zlrj Roof Completc Extc for Finish CamplebVM Interior/Exterior Raitia36" Exterior handrails balcl8 in. or morevooe Interior Handrails stains 3 or m —F4 ore risers tirade 2% away £mm £o S" clearance to sill plate Ch s Valve shut-off explat 18" aboveGas Furnace shut{nfFwiet 'thin i' of siteAil Furnace shut-off at eo areaFurtiacefHot Water HeatRelief Valves) installed HeadsDonn b ft 6 in. caaBasement stairs„ 6 ft. 4 i I Iandrail extenor stairs both sides more 3 Interior privatry/tnnvdoors/main entnmce 6 Floor Finish Batbroom/Kitchen watertight Interior Handrails Balcomies/L anding I in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour #'ire door/door closer Garage tireproofin Garage penetrations sealed Furnace in separate room (in garage) Light veatilation per room Safety glazing 18" oor Final Electrical or Site Plan/Varianck / t Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) Okay to issue temp. C/A (Celli£ of t]ccupancy) Okay to issue permanent CIA (Cextif of 0cct43011cy) G t+je e z-6;�, f"&<,-.± "I have seen or observed, or behM 1 saw evnlence of, all objects such as hour, wells, trews6 fe mm% etc.0 shown on this document. l also represent that l have person easur distances set forth on the latLr SIGNATURE �• 1- ,�. AUG U 3 2000 IV ✓© Ire ' COMMONWEALTif ELECTRICAL INSPECTION SERVICE, INC. Main Office 176 Doe Run Road - Manheim, PA 17545 ZO P 0 " 4 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No....................._......,C:ert. HO 69504 C'ut-in Card No. ....,..,. ..................... ......... . ................ .....;..,, ..... Installation Consisting ... � ... .. .... twos A � .................... .................................... Installed B [ !1 7U 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 makm 'nspectians at any time_ and if iks rules are / violated, the Company shall have the right t r Ike k ifiCate, A' 4....�?:!.,:"�s'.:•G.+'.... IAISPECTOR ,. .. .. . '................... Date.. "'""" - Member N.F.1?A„ LA N.1. +GENERAL INSPECTIf?N REPORT - ( 518 ) 761 - 8256 Town of Queenshury Dept. of Community Development Date inspection request received: Building & Code Enforcement - 742 Say Road Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initials 1J NAME: Con PERMIT LOCATICrN: DATE : �/ n TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/PiersI Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from g for 48 hours following the nt of the concrete. Materials for this purpose o site Foundation/Wallpour. Reinforcement in Place Foundation/I7am 13ackl"ill Approval Plu.ntbing Linder Stab Plumbing Veni/Vents in Rough Plumbing Hen ' ugh-Infa �' r? f I Fndation Walls I or R- on tJ ■'� f ' r~ i r l�`� �' +mot E Foundation Wails E tenor R- Floors R.- — Walls R. i Ceiling, R- � u Duct woLorpiping nunheas R-Proper VenentFra miJack Sturs Bracing/Bndgi Joist Hangers Jack Posts/Main Ream Air Infiltration Barrier ire Separation 1, 2, 3, hour Penetration Sealed - ` Fire Vlrall 2, 3, 4 hour r Firestoppin J GENERAL INSPECTI NI REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Cade Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart '7 d Inspector gs Initialw- NAME: + rJC- ' PERMIT 4 1 LOCATION: DATE - / 0 OF d�,l TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Four Form Reinforcement in Place;, The contractor is responsible for providing protection from freezing for 48 hours following cement of the concrete. Materials for this pu.rpo on si Foundation/Walipour Reinforcement in Place FounddationlDam Backfill Approval Plumbing Linder Slab Plumbing Vent/Vents i Rough Plumbi tkifting Ro -In nsulation � `- .� Foundation Walls Inte r R- Foundation Walls Exte r R- Floors - Walls Ceiling Duct work or piping in unheated spaces R Proper Vent, Attic Vent Framing Jack Studs/Headers BracinglBridging Joist Hangers Jack Posts/Main Beam Air IuMtration Barrier_ Fire Separation 1, 2, 3, hour Pen on Sealed FFreWall 2. 37 4 hour stoppt FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION PERMIT # _ ` r7 SCHEDULE INSPECTION ON C . rl c AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLERS TEM FIRE SUPPRESSIO SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TOFGN CLEARANCE TO REQUIRED SIGNAGE CHIMNEY y� --� +OD STOVE 1REPLAC ❑ MASONR ROUGHf-IN 1 ❑ FINAL Oki KI -3 REMARKS: -. Z -r e-) 1-7 �j} OK TO THIS DATE INSPWP.PM INSPECTOR GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement , 742 Bay Road 37 } Queensbury, NY 12804 Arrive am/pm Dega In9pectorD initials NAME; 'd°' � PERMIT 4 � �( 1�_� �j r LOCATION; DATE ! TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in 'Place The contractor is responsible for providing protection from freezin for 48 hours following the p 2nt of the concrete_ Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backf'tll Approval Ptumbring Under Slab �Plan ng Venu'TVents in P Plumbin Heating Rough4n Insulation Foundation Wails Inte ' r R- Faundation Walls E or R. Floors R- Walls R- Ceiling R- Duct work or ping in unheated s R- m^Vent, Vent e 7z Jack Studs/cleaders BracingMridgin Joist clangers ,Tack Psosmgvfain Beam \Akir Infiltration Barrier Fire Separation I, 21 3, hour Penetration Scaled Fire Wall 2, 3, 4 hour t l+ oppi GENERAL, INSFECT'lary REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received; Building & Code Enforcement 742 Bay Road ,t + ! +Queensbury, NY 12804 Arrive arn/pm. Depart! Pm ]�� y� (■�'y- ,.f.{� may] (J Inspector's 1niittyis Is 'ry. //J�J-//'/ NALNIE. j {� oi- c" PE l ]1 L - . J F I L.00ATION: . . Q{ ram ' A-� DATE : u TYPE OF STRUCTURE- RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours following the place nt of the concrete. Materials for this purpose on site Foundation/Wallpour. Reinforcement in Place Foundation/l7atnpprooli Plyin Bacic6ll ,Approval Plumbing Under Slab Bing Vent/Ven in Place our Plunabin Ideating Rough-In Insulation Foundation Walls Interior f1w Foundation Walls Exterior Floors R.- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing .lack Studs/Headers Bra+cingBridging _ joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fine Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour Firestoppin —,,�� TOWN OF QUEENSBURY BUILDING_ &_ CODE ENFORCEMENT 742 Bay Road Queen_ sbury NY 12SID4 (518) 76 1-82256 S TIC DISPQSAL SY TEM INSPECTION ame Location /3 :* � Date Permit SOIL TYPE: Sa oa Results of Percolation Test- ( if applicable ) Rate- Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD : ToLtal Length Length of each trench � c� 0 Depth of trenches` Size of stone l La . nR%fif. .. � SEEPAGE PITS : N L#nber- Size - ft x t . Stone size PIPING : Size ype Y Bldg , to Tank % rib Tank to Dist . Boxy Dist . Box to Field/P n Openings Sealed7 a rtia LOCATION/SEPARATION . Foundation to Tank 3feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan es LOCATION OF SYSTEM ON PR ( circle one ) 11 , Front - Rear - Left- Sid__e__r_Right Side Middle Front addle R COMMENTS : SYSTEM USE APPROVED - YES Arrived : ` Depa T Buff didgr Iptp ctor GENERAL INSPECTION REME ( 518 ) 761 - 8256 Town of Queensbury �7 Dept, of Community Development Date inspection request received: 7 lJ� Building & Code Enforcement 742 Bay Road r Queensbury, NY 12804 Arrive am/pm Dee Inspector's Initials / NAME- Qf f " {�, s l �Zr, PA RMIT # �~ [ I.(3CATl(?N: f r ij DATE : S_... - TYPE OF STRUCTURE:: RECHECK Nia IA YE N COMMENTS Monolithic Pour Form Reinforcement in Place - - The contractor is responsible for providing Protection from freezing for 48 hours following the plaoernent - of the concrete. Materials for this purpose on site Foundation/Walipe+ur Reinforcement in Place Foundation/Danipproofing. Back ill Approval Plumbing Under Stab Plumbing Vent/Vents in Place Rough Plumbin Beating Rough In Insulation Foundation Walls Interior Foundation Walls E R Floors R- Walls R- Ceiling R.- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frami Jack St...ds/u�.�� Braci.ngBriniz Joist Hangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour _ Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GE 1VERAL LV,SPECT7aN REPORT ( 518 ) 751 - 8256 Town of Queensbury t received' S Dept. of Community Development Date inspection request Building & Cade Enforcement 742 Bay Road Arrive ana/pin. I1ep •- Queenshury, NY 12804 lrrspectoes Initialsf NAME: L.-e +^.Af- _. .. , DATE `. 4;�p LOCATION: 1' TYPE OF STRUCTURE: RECHECK 14 s k N/A O CpM+NTS ootux ers Monolithic Pour Form Reinforcement in Place The contractor is responsible for ' providing Protection from freezing for 48 hours following the placernent Of the concrete. A NUterWs for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Daropproofin€`_ Backfiill Approval Plumbing under Slab Plumbing Vent/Vents in Place Rough Plurnbi Heating Rough4n 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 Frami Jack Studs+Ileaders Bracing/Bri joist Hangertain Jack Pos�tsR Ream Air Infiltration Barrier Fire Separation 1, 2, 3, ho Penetration Sealed Fire 'Wall 2, 3, 4 hoar Firestopping T, GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code :Enforcement 742 Bay Road y�� Queensbury, PAY 12844. Arrive 2_.. am/pm Depart .. pm Inspector's Initials� � NAME: �'s 1 o r - PERMIT # a2C1`'"V LOCATION: r. ,I-" - DATE T ire TYPE OF STRUCTURE: RECHECK. NIA YES NO COAWENTS gs/Pi Foottn exs _ ..., __....� Monolithic Pour F Reinforcement in PI The contractor is ibie for providing protecti fro freezing for 48 hours folio placement of the concrete. Materials for this on site Foundati of Waiipour Re info nt in Foundatio n Backfill Approval 7.'lumbing Under S Plumbing Vent/Ve is in Place Rough Plumbin Heating Rough- Insulation Foundaii Walls Interior R- _ Foundat' n Walls Exterior R- Floo R- Wall{s R- Ceiling. R- Duct work or piping in unheated spaces R- Proper 'dent, Attic Vent Frami Jack Studs/Ileaders Bracing/Bridging, joist Hangers Jack PostslMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour, Firestoppin