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1999-361 r fe r" ram_ ' TOWN OF QUEENSBURY .,. :,,vir Iv , ,...* 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: 99361 Date Issued: THURSDAY JANUARY 18 , 2 0 01 This is to certify that work requested to be done as shown by Permit Number 99361 has been completed. Tax Map Number: 523400-019-000-0001-063-004-0000 Location: PILOT KNOB Rd Owner: WILLIAM & BETTY WEMPLE Applicant: WEMPLE, WILLIAM & BETTY This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY CD/ avP 4 ,45t Director of Buikling& Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY 99361 VALUE $ 150000 No: TAX MAP NO. 19 . -1-63. 4 WARREN COUNTY, NEW YORK PERMISSION is hereby granted.to ' WEMPLE, , WILLIAM & BETTY OWNER of property located at 27 LAKEWOOD DRIVE 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. OWNERS Address is 735 OLD TRAIL DR. NAPLES, FL'.:. 33940 2. CONTRACTOR or BUILDERS Name MONAHAN, KEVIN 3. CONTRACTOR or BUILDERS Address 1263 PATTERSON; HILL..RD. SALEM, NY. 12865- . 4. ARCHITECTS Name , COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECT'S Address PO BOX 706: HAGUE, NY 12836 " 6. TYPE of Construction—(Please indicate by X) . SINGLE ,FAMILY DWELLING. ( )Wood Frame ( '1 Masonry ( I Steel ( 1 7. PLANS and Specifications , 1954 gQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use " SINGLE FAMILY -DWELLING $ 249•. PERMIT FEE PAID —THIS PERMIT EXPIRES June 22 19 2001 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbury before the expiration date.) ' 22 June :1999. : Dated at the Town of Queensbur this Day of 19 SIGNED BY i —____, for the Town of Queensbury Building and Zoning Inspector i ' • • --. . - --- • -. -B- ; u _ -tg'-----TP----eiiiiit App•� ii'catlott ' - __ .. _ • ___, _ _ _____ __________ ' 'OYVi Of Queensbui y - Dept. t f Community Development, 742 Bay Road, Q►ret'nrbuly, NY 12804 /761-8256/ BUILDING (Q . CODE ENFORCEMENT NOTICE Requirements prior to issuance - A permit must be obtained before of this permit: !'GRMIT FILE NO. , • beginning construction. No inspections )!'E1 h1T FEE PAID$ C' _0 • made will be until applicant has received Zoning Board Actlo/t t! ' a VALID BUILDING PERMIT. All Area /Use applicants' spaces on this application ' . RECREATION FEE D$ . MUST be completed and.the signature [l Nanning Board ACIio,i of the applicant must appear on the REVIEWED BY: , ; ' SPR / Subdivision /Other /11 dldb lL pplicntion form. n...o ,,� l,crh,r J Recreation Fee Payment Applicant:.\�V i\ h lrNA ow p, t,..kiv Owner: W\l,\.iY-vrn is 3‘.Ry EWA) LE . ' Address: \ ,.\o- P'A rt fU S. V\\LL \\0_ Address: 1 l.W1 tE o0 Sri t_E►n,N' 1wt�5 `� v��v El-.1 1C�i�slc\���tay N 3- i D'iM .Phone # (s 1S ) i54- tt'=t)� . Phone # ( ) - "lciQa- \7a•., Property Location: 'b-t a Subdivision Name: LP\( �:>n Tax Map Number• ,9 /_ 1 1 �. nq • • Section Illtick I not .\ NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New ZI,i;ding: CONSTRUCTION: $ 1So 0� residence / commercial ` Addition uil_ding: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial 1 Single Family Dwelling Residence / Commercial •• • Two Family Dwelling no change to exterior size Family Dwelling -- Office Other Work (describe below) Mercantile Manufacturing t Other GROSS AREA OF PROPOSED STRUCTURE: • • 1st Floor If ADDITION, what will use 2nd .rloor — . tslq.• f t.�,� of new addition be? : Other Floors eq, ft. 7 ? . (not unfinished cellar or b enter • �` � ACCESSORY BUILDINGS: V Detached Garage 1, 2 car TOTAL FLOOR AREA:. `\c\S \A SQ. FT. x Attached Garage" 1, Q)car �2 �, Private Storage Building SIZEE OF NEW STRUCTURE: Commercial Storage Building • '4. 0 FEET X L� -t FEET 00 Other • Foundation Type: Co.-1tt't€Tr Will any second-hand or ungraded ' Number of Stories : lumber be used? If so, for what? (habitable space only) __ Height (grade to ridge) : � feet TYPE OF IIEA`TING SYSTEM: Number of- fireplaces' and/or woodstove '(circle all which applies) to be installed: 1 Ele L•ric /TT)/ Gas / Wood • Force Hot / Baseboard / Other Person responsible for supervision of work as regards to building codes is : \ • _) coc• I Al c� .ine �=c• A dr as irl"-- ciL Phone • Builder: • Plumber: �_______ . Mason: • Electrician: DECLARATION.` Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, arc a true and complete statement of all proposed work to be done on . the described premises and that nll provisions or the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, And that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: 'C') .\.,..„m, - - (owner, owner's agent, architect, contractor) • r - TOWN OF Q UEENSB URY 742 Bay Rd., Queensbury, NY 12804 ,' APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date VS Permit No. 99-3(e _ APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant 14,,t a - �-0 oo, APPLIANCE (check appropriate boxes) Address , ,STOVE:.oWood o Coal o Pellet ❑ Gas ❑ FIREPLACE I'NSER;T �, \�°�r, Zi 'u p 1a � ,( ❑ FIREPLACE, FACTORY-BULTt{'.,.,' ❑ Wood ❑ Gas 'Phone --000 11e\-0 .1 �' u "s -� 0 FIREPLACE, MASONRY: ❑ Wood in Gas Owner � 00 1 �,k. r p, FURNACE: 0 Wood ❑ Gas ® Oil Address S_; IF NON-MASONRY APPLIANCE: Manufacturer: •*; PTA> .etA. rINt Zip \ '1 • Model: Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS o propo ed construction /.. (,(3 V 0 MASONRY: 0 Block 0 Brick 0 Stone tiNa .,1 t‘iN.1‘S FLUE: ❑ Tile Sa. Steel Size: inches CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:- CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS .❑xD.ouble 1NaIL ,o Triple REGARDING REQUIRED INSPECTIONS. ❑ 1rsuJate°d 0 Direct Venting • Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190) Public Safety A 233 2655 (230) Minor Sales Fee Collected From or Refunded to: 1's,P1� Address: Dated: ( •- c'-- ( Town Clerk or Deputy: White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. 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 L Location of property for installation:Lo 14`D, L 1« Sv)a\'1S t o� Property Owner's Name: \\LLL 1 Pon 4, 'k R'`)+ k5 E Yv Property Owner's Mailing Address: 1 LY;KE ce.nD bvLN JE , \<c� K\lL 3 V) Ny 1 .��`I Installer's Name: C lt.trAo'o`ALL t rsTN N U Phone # "1`\3-o 113\ SYSIE►r -Ps bci‘v13��r� LAw Number of bedrooms (if residential): Total daily flow: (residential -compute @ 150 galJbdrm.) Topography: flat, V rolling, steep slope % of slope - Soil Nature: sand loam, clay, other I depth:_ Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: ._not required, recuir .ed [rate min. per inch Domestic water supply: municipal, V well, other If domestic water supply is a WELL, water supply from any septic absorption is 1 feet. PROPOSED SYSTEM .1 • Septic tank gallon (minimum size: 1,000 gal.) Tile field: each trench feet / Total system Ieng : feet Seepage pit(s): number of / size each.: , ft.by ft. • Size of stone to be used: # / depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each. ;Hans (Alarm system sod associated electrical work to be iasoected by a certified agecr. For ycz,protection, please note that pursuant to Section 136-29 of the Code of the Town of Qaeemb ny, any permit or approval mad which is based upon or is granted in reliance u v any material roisrepreseda6on or failure to make a material fart or circumstance]mown 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 regcirements of the Town of Queeasbtny San;tary Sewage Disposal Ordinance. Signature of responsible person: Date: VA\S\qQ\ tti ENERGY CODE COMPLIANCE APPLICATION - := TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS ComDlian_ce 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 APPLICANT' S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - VAS scruare feet 2 . T-,rpe of Heat Electric '` Oil Gas Other 3 . Is building mechanidally cooled? Yes. No - 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-V LUE S FOR -INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R '313% b . Exterior wails R c . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R. . Edge of slab on grade (heated building) R c. Basement/cellar walls (above grade) R \\ h . Basement/cellar walls (below grade) R l' - . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code 4N Yes No - TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Vl_ca i s Signature Date Phone Number r 5?.� ��\S\.\ 1y\a- 'Zap %sA- 5a03 INSPECTOR' S REMARKS: s U / • RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 ----Date inspection-request received: I d- '-'�0 ---- Building&Code Enforcement ;,, Dept.of Community Development, Arrive/kJ am/pm Depart tq pni Town of Queensbury J' Inspectors Initials 742 Bay Road Queensbury,New ork 12804 `3 & ( NAME •a \ERMIT 4 LOCATION ,`7 (, 1, �' ATE_ RI) TYPE OF STRUCTURE ; .! N/A YES NO/ COMMENItei;>6 S Chimney HeightP'B"Vent/Direct Vent Location V /`Fresh Air Intake n ✓ /� // Plumb Vent through roof J4-- , Roof Complete 1/7tq..... 1,- (..,, a I/ Exterior Finish Complete t// Interior/Exterior Railings 30"to 36" %., t�,/ Exterior Handrails,balconies,landing 18in.or more f�'/ Interior Handrails stairs both sides 3 or more risers /�/f Grade 2%away from foundation aM 8"clearance to sill plate ,. Gas Valve shut-off exposed/regulator 18"aboye grade . V// Gas Furnace shut-off within 30 feet or within line of site ` ,/ s j Oil Furnace shut-off at entrance to furnace area\.urnace/Hot Water Heater operating % / Zrt1 Relief Valve(s)installed , ;I 1r Headroom,6 ft.6 in.on stairs A / Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more thanlrisers\ ,/ Interior privacy/trim/doors/main entrance 30' Z 1, 'Floor Finish I V/ Bathroom/Kitchen watertight J ✓ Interior Handrails Balconies/Landing44 8 in.or more 'A Railing across window in stairwell G'' f Smoke Detectors: every level / t// every bedroom / i// outside every bedroom/ iO inter connected / ✓ Bathroom fans / A i/ Plumbing fixtures / 4 �/ Foundation insulation % 3/4 hour fire door/door closer 1, Garage fireproofing t� Garage penetrations sealed ` Furnace in separate room protected(in garage) s/ j Light ventilation per room i7/ Safety glazing 18"or less from floor Y/' Final Electrical 4/ \ Site Survey Plot required r� / /V J' t / (' /t Final Survey Plot Plan 9/ Qe /`c. J 0 wy As Built Septic System layout required '" Okay to issue C/C(Certif.of Compliance) __. ." . rbkay'Ito sgueiteuiF GOY(Certif o p ncy) ' h / ('/ 13 � Okay to issue permanent C/O(Certif.of Occupancy) C�7 J 4� `�`� COMMONWEALTH ELECTRICAL INSPECTION SERVICEC � / Main Office 176 Doe Run Road-Manheim,PA 17545 77 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No Cert. N4 6 7 6 6 8 Cut-in Card No Owner (/U NI a WC7u10,Ler— LocationLO T vZ / 4l<&W G-tl D 5-ewe Pe e' 62 41-e Installation Consistingpf 1� l re At /sP_fre t. 36 Li Installed By Mr 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 making inspections at any time, and if its rules are violated,the Company shall have the right t re oke, i ificat Date 6 l ` `eV INSPECTOR... , `/� • /11/ RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement �^ Dept.of Community Development Arrive "�li 6 am/pm Depart am/pm Town of Queensbury Inspector's Initials, ',:p 742 Bay Road Queensburyew(Tork 12804 NAME 'll ' V.)-())f �' e PERMIT#� - l O , LOCATION�-? _.o,\( c (Y> C - 1 -P_.__--- DATE__5—/(-- 1)) TYPE OF STRUCTURE c:-.F.,`C) N/A YES NO COMMENTS Chimney Height/'B"Vent/Direct Vent Location ✓,i' Fresh Air Intake ✓✓/ Plumb Vent through roof 9�j Roof Complete 17 Exterior Finish Complete ✓ Interior/Exterior Railings 31.'to 36" ✓/ ASi 11 //o', i4 'Z L y� ^�f� ,''/ Exterior Handrails,balconi,s,landing "8 in.or more '✓,r — /_s d S •e 77n a Interior Handrails stairs bo 1 i sides 3 o more risers i/ 14-s��� S��r�y�, y ��wi Grade 2%away from four=.tion f/ ! " 8"clearance to sill plate Gas Valve shut-off expos;d/regulat 18"above grade Gas Furnace shut-off wi ' 30 fee or within line of site / Oil Furnace shut-off at en'ance t furnace area ✓/ Furnace/Hot Water Heat- ope Ling 1" / Relief Valve(s)installed ✓V Headroom,6 ft.6 in.ons ii irs ✓ Basement stairs,6 .4 in Handrail or stairs b• sides more than 3 risers / Interior privacy/trim/door main entrance 36" z/r Floor Finish Vf ` Bathroom/Kitchen waterti: t v / e ,f a `l S�1,�s 4r- Interior Handrails Balconi- /Landing 18 in.or more , V Jz/7 14'`�(''�' Railing across window in -tainvells V �, Smoke Detectors: 7 every level every bedroom ✓,. outside every bedroom inter connected t// / B, t�.,r/ Bathroom fans +� ,��� �� /� / !vS u C/r/ Plumbing fixtures /� /�;' t+� J Foundation insulation (/'� JAN1(Darr(OYn zJ,�� c- nsb cy. 3/a hour fire door/door clo r / Jy'leer '"," Garage fireproofing ' r- r J rile c� Garage penetrations seale / v ct�. r,/ ��1i`_°'-" -)¢ Furnace in separate room rotected(in garage) a/ , Light ventilation per roo " / �� �� Safety glazing 18"or less from floor ✓ ✓ „ ` /J / / 44 �/ 1 Final Electrical f l/�ed !/-� /' / Site Plan/Variance required , Final Survey Plot Plan �. ', /V e, "Y'� ur°tt`/ As Built Septic System layout required Okay to issue C/C((Certif.oeCompliance) ,A/i e f /J f Okay to issue temmp.C/O(Certif.of Occupancy) G`�` G /`�C� 4"r Okay to issue permanent C/O(Certif.of Occupancy) how.- . j/vae.sr /, ' /p / re /k $‘----trik .,7�u3,/' �O� Jta fryz,4 ;• ray,. FIRE MARSHAL TOWN OF QUEENSBURY okra 3 QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION Fes.Caa ERMIT#9%O1 SCHEDULE INSPECTION ON 3 L 2eoC) 1 An pn APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTE, - HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARAN? TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE LI MASONRY LIJ F CTORY BLT. U-ROSH-IN P `iir 411, ❑FINAL I REMARKS: ❑ 01<TO THIS DATE 7E- _- 3e,3 INSPSLIP.PUB INSPEtR pa , RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: / I 42,5113. 73 Building& Code Enforcement ( Dept. of Community Development Arrive J/1(4 am/pm Depart am/pm Town of Queensbury Inspector's Initials Tike 742 Bay Road Queensbury,New York 12804 NAME '' ..Li a►--� l Jj -�(e cc�� PERMIT# � ?` =J�CJIJ LOCATION (9:7 © O � . Q t, 7n) b )F- DATE 31 1?-/n2 Cock TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location ✓ ' Fresh Air Intake / Plumb Vent through roof ✓/ Roof Complete '// Exterior Finish Complete ✓ �1/�fJ Interior/Exterior Railings 30"to 36" .Xr1P:,,/ �'ra;;,_.,t� decks L. R''+=lei Exterior Handrails,balconies,landing 18 in. or ore : ' - Interior Handrails stairs both sides 3 or mor• 'sers �� 'J ��rk 4j Grade 2%away from fo dation ,� 4`�•�'�7 a•- , -1 8"clearance to sill plate ,! Gas Valve shut-off exposed/regulato• 18"above grade ✓/ ��n��� ��``r'� �'"`''�`"I Gda � Gas Furnace shut-off within 30 f= or within line of site ✓ / / � 1--e4 Oil Furnace shut-off at entrance o furnace area Furnace/Hot Water Heater o. ✓ ., ating /j // " re...e a, b/de, C`'r Relief Valve(s)installed V Headroom,6 ft. 6 in. on : .'rs / Basement stairs,6 ft. m. ,/ Handrail exterior stai s both sides more than 3 risers V 1/7 , Interior privacy/ . •oors/main entrance 36" All, F,�,4Z azy- Floor Finish Bathroom/Kitchen 'atertight ,// f ,s( /j irerms Interior Handrails 1 alconies/Landing 18 in. or more 3/ ��, Railing across : dow in stairwells ;�'� Smoke Detect. s: `� / every ley: ✓� /�r1L 5rna/�i 5 j e6-''1. every bedroom outside every bedroom inter connected t// yf Bathroom fans ., /iI�� /�epa /-``i Plumbing fixtures ✓� 5,14 'JD4se.�e." /Foundation insulation ✓/ `X/� ' �`Alef 4 hour fire door/door closer ✓ ;J J Garage fireproofing / Garage penetrations sealed / VFurnace in separate room protected(in garage) 1/ ` Light ventilation per room t/ Safety glazing 18"or less from floor V Final Electrical ./ fiK �'A""/ /4-4I -ZZp Site Plan/Variance required V / ,- / Final Survey Plot Plan �� a/ /—ice/ orve, As Built Septic System layout required l J Okay to issue C/C(Certif. of Compliance) Jv/e�j Oo/ Al 4-1 Okay to issue temp. C/O(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) 7// . . i6ay, am. GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury � `/1 9 Dept.of Community Development Date inspection request received: - t/ `1 Building& Code Enforcement 742 Bay Road Quccnsbury,NY 12804 Arrive Depart4la Inspector'sInitt NAME: PERMIT# ( " LOCATION: Z;}a !� DATE : /(-/f)-/‘)Jnj TYPE OF STRUCTURE: • RECHECK pair". N/ ' COMMENTS noting ✓� I 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 of site Foundation/Wallpour Reinforcement in Place FoundatiaQIDamp, <,• ing_ Backfill Approval Plumbing Under SI;.b Plumbing Vent/Vc•is in Place Rough Plumbing Heating Rough-In Insulation Foundation alls Interior R- Foundation ails 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 I, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping 0,"\os6 e•%-e-- '' Al ! I GENERAL INSPECTION REPORT (518 ) 761-8256 C Town of Queensbury v 22'''' Q Dept. of Community Development Date inspection request received: // — 3- ' ( 9 Building& Code Enforcement 742 Bay Road • Queensbury,NY 12804 Arrive 5`•:' y . " Depart l Inspector's Initial NAME: n) PERMIT# ,.. / LOCATION: 1'� DATE : — . ii d TYPE OF STRUCTURE: RECHECK7 N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsible f r' providing protection from fr zing for 48 hours following the a accme'1 of the concrete. Materials for this purpose of site Foundation/Wallpour Reinforcement in Place _ • Foundation/Damp' roofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in 'lace Rough Plumbing Heating Rough-In esulation Foundation Walls nterior R- Foundation Walls` rtcrior 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 0‘,11.461, GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury -----� Dept. of Community Development Date-inspection request received: Building& Code Enforcement r 742 Bay Road l Queensbury,NY 12804 Arrive 1223Di pm Depart! .m nspector'Onitaa Gi __ NAME: WPAY\, 1�IV'i o ` '1 PERMI r _ 1I i _ n LOCATION: 7G F.��R��)C)� Y'I l.k DATE . _ I TYPE OF STRUCTURE: S�� w RECHECK N/A YES NO . COMMENTS Footings/Piers \ t I Monolithic Pour Form \\ ,t/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 / N Reinforcement in Place +i Foundation/Dampproofing / \� Backfill Approval / Plumbing Under Slab / ``,\ Plumbing Vent/Vents in Place�/ Rough Plumbing Heating Rough-In / / \ - -I lation Foundation Walls Interior R- J Foundation Walls Exterior R- ; / 1t Floors R- 20 --4,-.3 -To V 1-�� ? `'1—\ �13 Walls R- _ \•Zb T\ct13 - yux. Ceiling R- i_:% i7 j, ‘ V'E,j 'I3 -�_ , )'(\\Le _ a Duct work of piping inV4'ii -1t �•TIunheated spaces R- jE i_, r per it, Attie-Vent_ — I ' ,(IND ti- ?__ ;51bv4-\ .j� • g- 11 Jack Studs/Headers 1✓ C \ 3LL--C�1 1-� Bracing/Bridging — \ 1- .b( 1 Z5 - � Joist Hangers ' f't11; g�t�� CO " `�f Q �1 Jack Posts/Main Beam `�� Air Infiltration Barrier_ \,v_'��L� �� �,�i \V c Fire Separation 1, 2, 3, hour C�\_`��z,, U 1 � ' \i Penetration Sealed ` _ Fire Wall 2, 3,4 hour C�‘�\YZL 'ET Firestopping z- 1D) 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 Arrivcj-0 an p� �r /Depart m ` nspector's Initia NAME: \� Qr U.\)f/CV� PERMIT# LOCATION: p -� r }�Q ,DATE : - TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers F I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from/ cc .ing for 48 hours following tic pla ement of the concrete. Materials for this purpo site Foundation at po rr Reinforcement in Place Foundation/Damppro ing Backfill Approval Plumbing Under Sla Plumbing Vent/Vc s in Place Rough Plumbing Heating Rough-In Insulation Foundation ails Interior R- Foundation ails Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pro Veil ttic V It- arcing 1=►f,/ Jack Studs/H adcrs Bracing/Bridging �:�EJI`���_ F - c Joist Hangers 1 17- - (� Jack Posts/Main BeaI4� Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2,3,4 hour 1,5segtopping 1 1 J i C)L i e t cJ Ji���— TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Xier/� Location & ? A✓,v, 2 Date // S/ 5 Permit # SOIL TYPE: Sand-Loam-C1 y- Results of Percolatio Test- (if applicable) Rate-rinute/ nch TYPE OF SYSTE1: ABSORPTION FIE.1: To ''al L_ gth Length of each tre' .' Depth of trenches Size of stone SEEPAGE PITS: Num'oer- Size - ft x ft. Stone size PIPING: Size Type Bldg. to Tank ya Tank to Dist. ox Dist. Box to Field/Pit Openings Seal -d? No Partial LOCATION/SEr RATIONS. Foundation t10 Tank /t) feet Foundation o Absorption feet Separation of Pits feet Conforms a, per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle o •_ Front - '''ear - Left Side - Right Side Middle F . t - Middle Rear COMMENTS: q,- A gr • (3k ( ! / /rc' r <<� fir Ji 4,_ SYSTEM USE APPROVED: /111F NO Arrived: ha Departed: Building Inspector COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. ?o,(Lk. 'Main Office 176 Doe Run Road-Manheim,PA 17545 � MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL �/ Panel Board No Cert.N2 64208 Cut-in Card No Owner W t4't (40 Location..L.0%2. LA-kcaj o c IJ 622 "'y Installation Consisting of 3 G-'7Af G 7Z Pa-441,S+ AI 7,2"---3 ©/UV' Installed By C= 0.44/2— 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 makin• •spections at any time, and if its rules are violated,the Company shall have the right to r v e th'- ' is K.- 1 Date.... / INSPECTOR M n...4.....N UP A TAVI 11 (::::;2._ ic.,-7l:dy. S 7 /1 GENERAL. INSPECTION REPORT ( 518 ) 761-8256 • Town of Qucensbury n Dept. of Community Development Date inspection request received: 1 f 3 2 ' Building& Code Enforcement 742 Bay Road Qucensbury, NY 12804 Arrive m' Depart ` 9 Inspector's Initi , NAME: lkie ( LI��C`^` I j>;C4 PERMIT# -3�1LOCATION:") LIf_04,- Wye x•,� DATE : q' ClTYPE OF STRUCTURE RECHECK N/A YES NO COMMENTS Footings/Piers I I I 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/Dampproofing Backfill Approval Plumbing Under Slab Plumbing VenUVents in Place / ough Plumbing IST 11_4,30 OV_, ik - 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 `_riming Jack Studs/Headers - `r- k- OEM p��g�_ Braci y:ndgin_ !t_al V 4i-014p Joist Hangers_ V' t. -g-I-�1.__ VcAt Plt3f F��j i c--1-E P� ` Jack Posts/Main Beam U.)1 ' e'. Air Infiltration Barrier 1Z tadt►. Fire Separation I, 2, 3, hour '\68?--2 WtE Rt-t V` NL., • Penetration Sealed Fire Wall 2. 3,4 hour L- t__ Vj� of L ---- Firestopping -112--' J� \1«7, vA 9q ° t- tab LP A` ?LA;� GENERAL INSPECTION REPORT ICOY) Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Day Road ��� Queensbury,NY 12804 Arrive am/pm Depart, 1/ am/p Inspector's Initials NAME: \`�" PERMIT# LOCATION:. °� Lam, Pc 9 c� �l DATE : — Cj TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers . I I: Monolithic Pour Form Reinforcement in P ace The contractor is spo ble for providing protecti n fr ing for 48 hours folio g e acement of the concrete. Materials for this p on site Foundation/Wallpour Reinforcement in P1 Founda u s pp oofing i n Approval Plumbing Under S1ab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior. R- Foundation Walls Exterior R- Floors R- Walls R- 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 G . - GENERAL INSPECTION REPORT p 71' ipG Town of Queensbury Dept. of Community Development Date inspection request received: o Building& Code Enforcement 742 Bay Road Queensbury,NY 12304 Arrive am/pm Depart) .5 am/ m Inspector's Initials NAME: \ \ -�•J C�`(`�`p 1�� `� PERMIT# LOCATION: L CC‘EZ ' ) e_pATE : 1.W -7 — (f-cl TYPE OF STRUCTURE: RECHECK N/A YE/IJ COMMENTS tings/Piers Monolithic Pour Form '1 Reinforcement in Place a� ` � The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose n si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval / Plumbing Under Slab, Plumbing Vent/Vents in lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Int rior R- Foundation Walls E erior 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 MAP REFERENCE: LAKEWOOD SUBDIVISION SUNSOVAL, INC., OWNER & DEVELOPER � z DATED: SEPTEMBER 1, 1981 x 0 LAST REVISED: DECEMBER 15, 1981 a 4 BY: VAN DUSEN & STEVES LAND SURVEYORS Q Eft C 04 � an D u s eh 8c Steves Land Surveyors, LLC 37 Chester Street Glenn Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 1LOA MMED AUMA110N OR ADO" TO A SURVEY NAP WAVM A LMMMM LAID DBIVEYORB DDY. IS A VIOARON OF D!Y:IIO 17M WB-OMYW 7. OF 7NE NED YODN STATE EOJCATI01 LAW 'ONLY COfMES FROM 1 E OIIDNAL OF 710 RWWY VARIED V17H AN ORONAL OF TFE LAND SLR YMM ZAAL DNLL W CONWOW 70 s VALID ALE COPW 'COrWrAT10 6 NOCA7OI MRSON DOOY ANT US SWWY INNS PRO'AND N ADOWANCE VIM 7NE OOSiMNI OOOE OP PNACIICE FBI LAND DMNIEVORS ADOM BY AIE NEM YOMC MTAN ADDOIA11014 OF PROFEBf1011AL LAID AL NVOM MAID ConFCA104 DULL RIN ONLY 70 AE pmw FOR ow AE $1Rw B pBEPAgFD, AID oN ND NOW TO RE TIRE COWAIM YOdAMBiTAL AQDW AND LOOM 002=71ON U VW HOME AND TO 7NE A21110IIIMS OF AE U DMD MBIMRI1101' Map of a Survey made for WILLIAM W. WEMPLE Town of Queensbury, Warren County, New York Town of Fort Ann, Washington County, New York 1 10/13/00 NO. DATE T/Q 19-1-63.4 HOUSE LOCATION DESCRIPTION �Q��OF NEWT CO V9 ' 17 maiet MAT 14, 1999 Scate 1'=30' S-1 smiliffr 1 OF t WIMPLE M. No SWeg C54 MAP REFERENCE: LAKEWOOD SUBDIVISION SUNSOVAL, INC., OWNER & DEVELOPER DATED: SEPTEMBER 1, 1981 LAST REVISED: DECEMBER 15, 1981 BY: VAN DUSEN & STEVES I AND SURVEY(?RS 011 D u se t� & Steves Land Surveyors, LLC 37 Cheater Street Glens Falls, New York 12801 (518) 792-8474 New York Lic. No. 50135 1MAU11NMiE1 ALYAMIOM OR AOM M TO A S WKY 1W EASMIO A LIIMM® LAID MANDW MMAL N A waAI M OF 21CYM7M 7M% R*-a % OF x MMW YQIML S1AX m110111N1 LAML' 'QILY am= FM01 1W ammoL W in BURLEY WN® UM AM =WIAI OF 1E LAW NAlYiIORM 'UMMrAMNS 09MMIM ML7l011 OWT WAY 1MIS MLMLKY MMS F1MMWMN N AOOOIINAMM SMiM 1M: E1MMIMW Om[ W F11ACIM M LAW RN 901 ML ADOrtD MY 1K MM1M YOIML O1ATI A1MM IN1 OF FROFENNOW LAW SLMWE.IYMIM. am C611MIOrY"SAL MLN LMLY 10 1E FE FOR 01= 1E SREV S FE►AIMa` AND ON MMI NWU 10 11E TM OWAMY, OOIEItlWRAL ALMMW AND LBW MMIMOMIOM UM 1WMM * M1 10 11E AMrNLMA7 a 1MC LWONM 96111O1W Map of a Survey made for WILLIAM W. WEMPLE Town of Queensbury, Warren County, New York Town of Fort Ann, Washington County, New York L Q 9 2 o � �~ a0 Qo NO. I DATE DESCRIPTION ��-36 RECEIVE JUN 2 3 1999 TOWN OF 01"JEENSBURY BUILDING AND CODE 1'=30' S--1 94M71or- 1 WEMPLE DWG. NO. 99M9 C54 M c0 I I rn T/Q 19-1-63.4 e -Ij -�vrcS1•'• Set C,. v'RotltDk SEwAGE gpl* 11 At¢ RE-La>AsE VA�IIE �e2 4�MP.N4 r UNITS Fo(L I.wTS n�g�S^�� %ioTe; Au_ i'urAes 514ALL Se Id-CEItGIt1sMGEAtjLt •%�• SPIKRE PUMPS sitAt_t- sE A1IAi 64-F AS ,Ile IA ot1T.a1.X- (q c,%,v% T5 Al r>,Fa, J s Wt�c' tLePtAc4ME►+-T v1ltTs I %X FT. M t%xx OL Co F•,eL•I Pr INFLuJ�NT J ERicoL9, ET. XL. . 4' . t:o pc ?.s r• P P•T I I /� 8 Q t_ 11 PA N o'c TnoST 6E A•t LE\ST 8.•0., / ` �� floopt.E LAVER -5'.pt13O1/�'�.141dEllz o� P�MT STATton R'lPiZ,M t4- Mooil. Su lee F%>MV W%T* OLLOILA FWAT S .MIRAFI` FD4ILIG' w�Tc111 '% Q a,ei t of �o. 4 A L S To R►6'E f G" stw.a Ii"oF Sr.NE /fy8otlta ACARM LEVGL. 1F T• ts►+ ` p•.rnl► ��4N IE�E�- ALQrtM + 6s, v¢ IrA1Yt0. 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STATEE CO":'"J:fS ;i0 ' =` E' CUZJS_rt �',�+TIN By /Z - /G - 8l L Axe. LJ DOD $vitl9tdlS�e,N -- svWSeVAt_, 1►.ac, owwEa 4yv DEvr-cLePE� TOwA •V IroRT 14au WAS�IIN4T+N vEF.Ns gvQ fWA2SLsz N Go u art N,Y, SCALE: 1 `= Sv' 'flA'�E: SEP-r 1, 198i 'VAn'Dusen te 5-ce.vE.s �1J0 SutVEY0it5, C;LEaS �AL.L•S,N.i. N. `(. S-i4•tE t-a`c.: ll-10. 35�1'T- RE�,st�: o�,•. 2, t98t t ve c_ IS, list Uc k of SwS DIY1S1 bo r. 13.391 A} 8D-98- Ir