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98-050 CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSSURY WARREN COUNTY, NEW YORK Date octgber 5 19 T99 This is to certify that work requested to be done as shown by Permit No* has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a 14 MARTELL RD . Location Owner CLUTE , LARRY TAX MAP NO . 5 4 . - 5 - 6 . 4 3 3 By Order Town Board TOWN OF QUEENSSURY s j ,rL Director of Bldg* do Code Enforcement BUILDING PERMIT VALUE $ 75000TOWN OF QUEENSBURY No. 98050 1111.. TAX MAP NO . 54 . — 5 - 6 . 433 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CLUTE , LARRY OWNER of property located at MARTELL RD . Street. Road or Ave. in the Town of OueensburI 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 Oueensbury Building and 'Zoning Ordinance_ G+t. nEFa Y tc)AD QUEENSHURYr NY 12804 2. CONTRACTOR or SUILMRS Name CLUTE ENTERPRISES , INC . 3. C!l5TPrKW to&L,pE R 5 Address QUEENSEURY , NY 12804 4, ARCHITEECTIIS Name COMMONWEALTH ELECTRICAL AGENCY s. ,gpKgltlgg�r5-fig::: HAI NY 12836 6. TYPE of Construction — (Please indicat■ by Xl SINGLE FAMILY DWELLING } wood Frame I l Masonry ( l Steel ( } 7. PLANS end SiMclfiotians 1196 SQ FIT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS P tq PLOT PLAN SPECIFICATIONS a. Propasad Use SINGLE FAMILY DWELLING 155 February 27 2000 S PERMIT FEE PAID - THIS PERMIT EXPIRES 19 (if a longer periad is required an application for an extension must be made to the Building and Zoning inspector of the town of aueensburY befam the expiration date.1 27 February 19 Dated at the Town of Queensbury this Oay of 19 d Zoning -- for the Town of QueensburY SIGNED SY _ and Irupedar Building Permit Application 7*0t Wj of QdEL't'llsbul.y UePt. 40fC011311eeuefry Derelolonew, 742 Rriy Rueecl, Queens beery, NY 12804 1761-82.561 99 r BUILDING & . CODE ENFORCEMENT �Ll � i �Ll� Requirements prior to issuance rAponnit must be obtained before of this permit: PERMITFILENO.ning construction. No inspectionsPERMIT FEE PAID $ be made until applicant has received [� Zorrlreg Board Action a VALID BUILDING PERMIT. All Area / Use applicants' spaces on this application RECREA"ON FE MUST be completed and, the signature 0 Plarrrelrrg Board Action 1+E VIE WED 8 .or the applicant must appear on the SPR f Subdivision I other 6nlldfirt: !nt nor application Perrin. »«..R e,,., Recreation lee Payment Applicant: Owner: Address: kr!n2ocks . Je-•. _ Address: I'ltone # ) "# - -7 Z Z n Phone # ( ) 1'rnlicrty Imctltinn , T +�._.,� ,.J,�[ ;ltl��Il vNltiull Nltulal Tnx Malt Nimilltir .y...J' liuullun ItltK�k I tH NATU of PROPOSED WORKt ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION ; $ �� Cxpf'3 residence / commercial Addition to Building : residence / commercial OCCUPAMCY INFORMATION : Alteration to Building : Pr ' ary Building residence / commercial Single Family lbyelling Residence / Commercial Two Family Dw itr�..•r+ �'''+ no change to exterior size Family 1�weg l��J./ EI V� /ImoC © Office Other Work ( describe below ) Mercantile FEB 26 IM r Manufacturing Other '` TOWN Cif �;UEENSBURY GROSS AREA OF PROPOSED STRUCTURE : 1 OU I LD}N G AND CODE 1st Floor . . L „ . 1f ADDITION , what will use . . . . . , k9ko sq + ft of new addition be ? . 2nd .Floor . . . . . . . . sq . ft . I Other Floors . . . . . aq . ft .l! ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAI, FL0C7A AREA : . . SQ . FT" . Attached Garage 1 , 2 car Private Storage Building SIZE OF NEW STRUCTURC ; Commercial Storage Building cr�Cc� FEET X c {lG FEET other Foundation Type: C)C 4-fc''�/ ct Will an second- hand or ungraded Number of Stories * ^ 4t lumber k>e used? If so , for what ? ( habitable space only ) lieight ( grade to ridge ) . Z feet TYPE OF HEATING SYSTEM : Number of ..fireplaces a d/ or woodstave ( circle all which appligg8 ) to be installed ; � E / Gas / ,rood Forced Hot lr Baseboard / Other ' Person responsible for super�v iono��ork as regards to building codes is : Builder : Na me � Addresss Phone - Plumber : Mason : r Electrician : PECI.r1RA770m Please sign be1mv after you have carefully read the statentent. 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 on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such =7' a owner. further, it is understood that Uwe shall submit prior to a CertificatCerti Cate of Com licence being issued, an AS BUILT PLAT PLAN by a licensed se sltowi lace ation of project on premises. Signature r's agent, architect, contractor) Application for SEPTIC DISPOSAL PERMIT Town of QueA=sbury Permit No. ' 0 !::Z Dept. of Cbmaxua7.ty 'Development Building &c Codes office "742 Bay Road Fee Paid S Qaeeasbury, NFY 12804 Location of property for installation: Property Owner's Name: RECEIVED _ Property Owner's Mailing Address: FEB 2.+6 1998 �1 �a installer's Name: � __ r . v �. Phone ,#` _ �# r� t l AIN Number of bedrooms (if residential): � Total dairy flow: ` (residezdal. - compute r0 150 galAdrrn.) Tcpo7aphy: ilat, rcll%ng, stems slope % of slope Soil 'Nature: sand, �Ioam, cl.av, crk ! derotz: Ground water: at what deprh? feet I Bedrock or L=merrc s Material: at what dendi? fee: Percciz=on test: act recui�ed, ' recuired ire m;ri- perc'n90 ] Domestic water supp v: municipal, we:.I, c•�_ If domestic water sun IV is a WELL,L wa'.err� sL guiv ana a=v " _ _c absorOL'CII is i�t. PROPOS= SYSTEM Septic tank a Loa (minirniz . siza: I ,GCO gar.'+_) Tile ffe?d: each trench SC. ' feet f Tcta1 s..=em. '1e*h %9%24!:5 fe:r Seepage pit(s) : number of ! S e ft_ by M Size or stone to be used: # , ! depth or dziics s feet H OLD O G SYST=M: (if required) iurnbe. of in" Saxe of wc� galans h��1arm system and aaacciatc t eiea-#nca.1 work to be . bw a certified a9en=.7- For your gmtecw,4^ . please mote tbju pursuant to Sec-til= 136-29 of the Code of ::be Tosm of Queensbuxy. asr permit or ap.-royal g.-aateri whic.b is laesed upon or is graate in re Li-tee lax.-u zap' =zxe= misrepreeenbLdo or bLaure to maTca a ma: -r_at fah: or es�.stauce kmown by or on behalf of an aa7plicszx. .r sn bs . I have mad tha regulations with rA,, pli and asy x a.b la b+ u5so and all requis+ra� of tiro Towu of g m ry Sage DisSi Y u^ e or" :espvnsible per Date: f 5 ! z R Fire 17 :trSll.tl 'ti Office •1'osvet 40 QtmC11Nh(21-sl. 742l13rz koarl, [7titetr5fttir \ t' Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date — 2(1 Permit No . rIpplic'oItoli rs hc^reb7 made Irr the 13rrilrfirt� cC C'Crtic.s' CJJ/rt't .Jr.r- t1tcy !-l',l'IIett7C e nl rr 13rI Idirl, u11d C -) Pertrril plil-S turrt to the New Sturc Fire Pre vc'rrliewe and r3rrilelr`rr_ Code. The upplicaw or vitvrcv, :+ s rcc s to corrr!)ly tt'ith Ctll CeppjiCuhlt� 1rrlt .s, nr CratirrttGe.� , rux;rtl wioli.s, .tr:rl crll cnrr<litirrus tlrttt are Part of tfle.ce requiremews rain' al o it sill (Wu it, all itispeejors to eater }) 'emi'sey ro perform required irr-vlt4Ct tit)rr.s- NOTE to applicants Rough - In and Final 111SI) ections are regUired. Applicant Information Fuel Burning Appliance Inf'ornlatioil ( cl cle alit nopriate \cords) Name:— r ,r- sto"•c . wood cord pellet �e'ts Fire lace insert liddress: 4—A0�A" �� R 1re7Woodas , factory-bLlilt : wor�cl grts (,yAty ,� 11' 177i11S437i"V: �Yv 'Vl Furnace: Wood gsrrs nil Phone : !717ww If non-lntasotlary appiicallce, please provide Illf (Jwner: ���.`� r"�f'It -� 1\•1akzUfacturer Name: - — ` � Address: Model Number- Chimney Chimney Infoi-mation Phone: (C 1rC IC appropriate s. girds) Masomw block brick .stone Flue rile steel size: — irrc'lles 4 Exact Address: { of cotistritction or ixsre'tltatitrtr Factory-B ui It ` iMa11L1faCtUZ-er riarrie: i Model Number: ,Vote. Listed Bt : I�'�1111I�er: Construction 1 hist€rllation must con oral to NY:S Fire Pr•eventiort & Building Indicate (circle) chimney material - Cocle. Consult available Tow-n of Qeeeensbw Hoo7d(. ws regarding i-eg1trr ed inspections. £J0toble wall Tril)le mill / Insulated L717 cbc I entilig Chiorrre s Lirrc'r 37� ri+ xait -- o�vsrsri csf .P - Q"traC��.�at,E;,�auxy, 3V'�Scrsr• �'vz-.fir Irt� lite, Five Alarshol Corse # S Collc>e1 rl S Re_lrrrrrfed Re( oh-ed f -om OvIl r deel rer): Caleb A 1 73 3389 (190) PrcGlic Snfern' 1 _ 3 ?taSJ {33(}} it lrrii)r' Sales f— -- — � — - — — t75 d� White (Appolicaw) ('Kell { [ irr 'sfarslt:zl ) 1•eII(1) { E31tf LDept. y 1'itlk 4': Gc7lctc»rs>tf (Cas)tier's [3rltt. i J ENERGY CODE COMPLIANCE APPLICATION R Ei,.,j E IVIE D TOWN OF iQUEENSBURYv WARREN COUNTY 9000 HEATING DEGREE DAYS FEB 2.6 1998 TC)WN Co=31!ance Methods ; PART 5 - Acceptable Practice MethedluDiNG AND_CODE 1 & 2 Family Dwellings ( c,n :j)" - 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 - 1 1 94tgo square feet 2 . Type of Heat - Electric d oil Gas Other 3 * is building mechanically 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-VALUES AS SHOWN ON PLANS SUBMITTED : a . Roof R 3 � b . Exterior walls R lce c , Glazed areas R y . d . Exterior doors R -Zia e . Floors over unheated spaces R -- f , Edge of slab on grade ( heated building ) R -- g , Basement / cellar walls ( above grade ) R l9 h , Basement / cellar walls ( below grade ) R ► 1 i . Heating/ cooling-ducts -piping in unheated space R 6 , Service ( domestic ) hot water heating device Conforms to minimum efficiency per code Yes No TE URE CONTROL MAXIMUM SETTING 1400 -- WILL NOT BE EXCEEDED App c n �S ' na e at Phone Number SP - CTO ` S REMARKS : TOWN OF QUEENSBURY BUILDING 7 & CODE BAy RDADRrEMENT QUEKNSOURY NY 12804 (518) 761-8256 ARRIVE : DEPART : FINAL INSPECTION RLPOR.T - RESIDENTIAL DATE INSP ,CTION REQUEST C ' ISfED : NAME y~ un'r'E PERMIT M TYPE OF STRUCTURE SACKFILL 'FRAMING SEPTIC FOOTINGS FOUNDATIONINSULATION M ROUGri PLUMBING OR �_ WpODSTDVE OR FIREPLACE FINAL ELECTRICAL H/A .. ZEg NO Crklr'kNEY HEIGHT B VENT HEIGHT PLUMS NG V NT ROUFII NG E%'1'ERIOR Ll_f^:CK,! PORCIi!STEPS !RAILINGS RELIEF VA S FURNACE H T WA E , PERATING INTERIOR RI PRIV" CY Q S FINISH N I s�C1R•-S ;—,-•------ BATHIKITCHEN WATER'L"IGH OTHEIrt LOORS SWE PRBL OTHER FL RS C R ETED STAIR, CLEARANC.URAI IN - SMOKE D TE TO S BATkiR�n PLUMBING FI T RES F UN AT ON NSUL ION GARAGE FIR P OOFING DOOR C SERS FINAL LE T CA SITE ZVARIANCE RE N L SUR EY P PLAN -- � OK o ISS E o OR C ��pL G RunALLOS IT" rq�nh n'�� AP'PTCO AL �� Cp ALC1N atn Office 176 poe R I _ cutC S P+ICA TlF1CA C C PAL CER Ns 6 4 89 Cut-in Card t lo. ..-'`... .- LE3 panel 'Board tyo.......... ...................Ceri Location . ............ of ........._......... onsisting InstaUa on C �' �JY .. �' .w.... .......u. ",G, ..... ?............... ........... , �.ic. Ti1o. .......�... CeviousYy issued is � D6 and any certifscate p ..... // ..... ...... , '_......... .......... jt_.._..,.�.ifte.__ of date... ut this cen+ficate� te. Upon the jnstalled Ary.-.• ........ ov.erned the issuance conditions as for inspection. cnt and installation tompivy to time. and if its The conditons Following ll be p only the ele tfical tion P pplication sha pections at anY cancelled: ` iFticate covers a of X-- This ceri - ment or the privilevs e- af additional equip ht to re oke any shall ha*.•e - introduction this '�on'p ,'hall have the rag Inspectors of any = violated, the ComP .. ........................ rules are 1hiSYECTCY{i ..... member N.F.p.A.. ►. Date.. .................. RESMELUAL FI2V_AL MYEEM12YREPOR Office No. (518) 761-8256 Building & Code Enforcment Arrive: � Iris Dept. of Cornmuniry Development Town of Queernsbury Date Inspection Request eceived: 742 Bay Road Queensbury. NY 12804 NAME L. P► El c:l PERMIT NO. LOCATION M IF! DATE TYPE OF STRUCTURE NO CombamqTs Chimney Height/"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent Through Roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, Balconie 18 in. or more Interior Handrails Stairs B Sides 3 r More Risers Grade 2% Away From F tion 8" Clearance To Sill Pla Gas Valve Sh -Off Ex gulator 18" Above Grade Gas Furnace Shut "thin 30 Feet or within Line of Site Oil Furnace Shut-Off t Entrance to Furnace Area- Furnace/Hot Water ter Operating Relief Valve(s) Instal Headroom 6 ft. 6 in. Stairs Basement Stairs 6 ft. 4 in. Handrail Exterior S Both Sides More Than. 3 Risers Interior Privacy/Tri rs/Main Entrance 36" Floor Finish Bathroom/Kitchen atertight Interior Handrails Balconies/banding I8 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 Fire Door/Door Closer Garage Fireproofing Garage Penetrations Sealed Furnace In Separate Room Protected (In Garage) jr Light Ventilation Per Room Safety Glazing 18" or Less From Floor Final Electrical Site Plan/variance, Required Final Survey Plot Plan As Built Septic System Layout Req. Okay to Issue ' CIO RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building &. Code Enforcement Dept. of Community Development Arrive lbw rt Depart Town of Queensbury Inspector's Iru 742 Bay Road Queensbury, New York 12WM `y am NAME PERMIT #f�„ y c _LOCATION DATE ` / L TYPE OF STRU TURF. NIA YES NO COMMENTS Chimney Heightr'W" Vent/ erect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Intcrior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing91in. =incrlreInterior Handrails stairs both sides 3 Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off expo regulat e gradeGas Furnace shut-off within ute of site Oil Furnace shut-off at entrance to fia riace area Furnace/Hot Water Heater operating . Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both si more than 3 risers Interior privacy/trim/doorslmam trance 36" Floor Finish Batin-oorn/Kitchen wateriighi Interior Handrails Balcomeso4,,kiding 18 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 fire door/door closer - Garage freproofmg Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room "' 7 Safety glazing l 8" or less from noor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic Svstem layout required Okav to issue C/C (Certif. of Compliance)_ __ Okav to issue temp. CIO (Certif. of Occupancy) Okay. to issue permanent CIO (Certif. of Occupancy) TOWN OF QUEENSBURY BUILDING A CODE ENFORCEWNT 742 Say Road Queensbury NY 12804 isxsr '761-82s6 SEPTIC D+�ISPOSAL SYSTEM INSPECTION Name - ~ Location Date Permit # ��.�L./ SOIL TYPE: Sand Doamm� lay- Results of Percolation st- ( if applicable ) Rate- in to/ Inch��* TYPE OF SYSTEM: ABSORPTION FIELD: otal gng' h Length of a enc �G) Depth of trenc s ?. Size of stone ?,. -- -- SEEPAGE PITS : f3umber- ft Size _ ft . x Stone size PIPING : ze Type kp Bldg . to Tank Tank to 'Dist . Box Dist . Box to Field/P u + openings Sealed ? N es No artial LOCATION/SEPARATION . � feet Foundation to Tank feet Foundation to Absorption eet Separation of Pits Conforms as per P1 of P1 an es No LOCATION OF SYSTEM ON PROPERT ( Ci rcl a one ) Front - Rear Left S ' - Right Side Middle Front - e Rear COMMENTS: SYSTEM USE APPROVED : E N0 Arrived : Departed : Building Inspector Z' MIN, TO HIGHEST GROUNOWATER 4" MN . T 0 ROCK N TS Based on a percolation rate of 2D minutes . the required length of absorption field for a 3 bed ' room lines at1541neal feet . feet each e house 324 feet . GENERAL %OTES_MD SPtCIFIChTIOES SENCHWARK USCS ELEVATION TOP OF DRILLED HELL CASING AT NORTHWEST CORNER OF LOT I 303 . 48 - pIIIISR FLOOR ELEVATION! ELEVATION OF HOUSE FLOOR ON LOT 2 SHOULD 13E BOT LESS THAN 301 • 04 USG$ DATUH - GRIM)I na A11 D . DRAIN AGE THE SITE DRAItIS VATURALLY RAISES THEEAST . LEVELIIAS SHOWN ONNTEA PLAN . NATURAL RUNOFF REOIHE , SEP?_IC_ TANK AND DISTRIBUTION BOX RETE UNITS AS X SHNUL PRECAST THE SEPT IC TANK AND UTION MANUFACTURED BY FORT HILLERB NEW FORK • COHPIINY .OGREENHICHE C THE D STA. TION Box HhLL BE TY OF t113 AMD ALLOIISE SEPTIC TANK SHALL BE SEAMLESS WITH A LIQUID CAP ABSORPTION SYSTEli REHO'THE ABS OF ALL SYST ORGANIC SHALL M BE CONSTRUCTEO ATERIAL AND TOPSOIL . ABOVE EXISTING GRADE AFTER TVIICKD FIEDIUMJFItiE SANDY -LOAH SH AN ALL BE PLACED IN EHBAtl CLEAN1(HEtIT THO FEET BETWEEri TS AHD 20D . EHI UTES PER ITCH SHALL BE ABSORPTtOt' RATE FOR TiIE C01iPACTED FILL SOIL STRUCTED TED THEFILLDBOILS uT FIIIIsH ORAAESSTEM BH&LLHBELINE CollACCORII WITH TiIRvCOTiTQUR8HOI4CTHR PI,XN " DRILLED HATER WELL WATERHitIIHUSUPPLY SjjhL BE H DIAHETERLCASED T4nROCK TNnED By SSEALEDOi�OAINS7N OF A RTH1:EnNPiLTRALION WELL OF N OF GROUNDWATER, !iO WATER WELL SHALL HE DEVELOPED WITHIN IQO FEES 0£ ANY ABSORPTION SYSTEM . THE WATER HELL SHALL Be CONSTRUCTED UPG RPTION SYSTEM SHALL RADE FROM Alit SEWAGE ABSORPTION gFSTvWIt1IHUFIRDIS TIIESOFA20UI££ETON ISTANCE FROM ANY ABSO 1^ CAP \/ EX ST, WELL-303.98 296 ir.6 .S 85 07' E Q. T.= 4Eft�e�acl,a -resT serr _ "Cr LANDS OF oc.c. �1 1504 (I Aaca INV. 299.02 Q ( 1 6t 7 —T77a BOWEN AZE 2d M 30' iJ. So lei EXIST S4 5 C.43z b 12" CMP 302 n ! \ CULVERT o 5's86 sq. ft �.27 acres --------------------------- L r BlACK70a INV. 298.85 ~ �J 9' f ' 294 �) J VttY ---- �s VACANT LOT I Ili, i.2s• �J 0 8S• ' _ PROPOSED % y_ p� q� E 3 h 300 '2 2• IRS. 12�� CMP CULVERT . Air _„r 1211 as � � � � �ya�i j � I^ ( ' �1� � i� 292 TEST }\a�c 9T.TA �' .E 8'1 SA,KA-c Oec.�\� t9'(5 ' (O �/; •, $X.. {`1 54,237 sp, 1 1.24 resn �4- h DRILLED WELL f 29g l L' 1 j� J ` °�' LANDLONIVG OF 30' _ ,a' j ' 290 "I have seen or observed,or bdeve f savr evidence of, III objects such as kam wek'bees. etc., 29 N 85 7' Hr x.F shown o it►is f afso that Fha4e per ally red d on th diagram." ' DF1-``4 - (L C^+ i I - (- _ WELL SIGNATURi DATE /( 290 •,� have seen or o6Mwrrird, or believe 1 saw evidence of, Ishown ll objects s him feNlpcers. etc,, his d l slsa represoM that I have er pally seas on ees set tenth on tthee diagram.* DATE agn R � v,�C FEB 1998 �i TOWN :_J1. , d 4=NE8t7HY C_.--� o "�"�'.//� s^�S +,� ",�,�Iwe-H.- ate' •�• '�-{ ' ID]Joe SO ' e� C7 Q .��� t TOWN OF QUEENSBVRY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY I2804 (518) 761 -8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name _ f N 7 ( C,�u 7Z) Location ,r�'Gr Date a / ;ation mi t #2e -� 5 SOIL TYPE : San - LoamClay- Results of Perco Test. ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD : To Length Length of each tren h Depth of trenches Size of stone SEEPAGE PITS : Numb r- Size - ft . ft . Stone size PIPING : Size Type Sidg . to Tank Tank to Dist . Box Dist . Box to Field it Openings Sealed ? Yes Na Partia LOCATION/SEPARATI Foundation to Tank feet Foundation to Abso tion feet Separation of Pits _ feet Conforms as per Pl o Plan Yes No LOCATION OF SYSTEM PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : SYSTEM USE APPROVED : YES Arrived: Departed : Building Inspector TOWN OF QUEEMSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury MY 12804 (518) 761 -8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Cc- L) �LG Location q Date Permit # SOIL PE : Sand- Loam- Clay- Results of Percolation Test- ( if applicable ) R e Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIEL To al Length Len ' h of each ren h Depth trenc s Size of s SEEPAGE PITS : Number- Size - ft . x ft . Stone size 'PIPING : Size Type Bldg . to Ta k Tank to 'Dist , Box Dist . Sox t Field/Pit Openings Sealed ? Yes Na ar�tial L.00ATIQM/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Mi ddl a Rear COMMENTS : P / tk 4- S % SYSTEM USE APPROVED : YES MO Dute: Departed : ` Building Inspector TOWN OF QUEENSBURY G A CODE ENFORCEMENT 742 Bay Roar! Queensbury NY 12804 (518) 761 -8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name . G�Location Date Permit #_ SOIL TYPE: Sand- Loam- Clay. Results of Percolation Test. ( if applicable ) Rate- Minute/Inch TYPE OF SYSTEM: ABSORPTION FIE Total 'Length Length of eac trench Depth of tren hes Size of stone SEEPAGE PITS : hum r- Size - x ft . Stone size PIPING . Size ype Bldg , to Tank Tank to Dist . ox Dist . Box to Fi ld/Pit Openings Sealed Yes No Partial LOCATION/SEPARA IONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS dLuc A, -Fl 0 SYSTEM USE APPROVED : YES N Departed : j6 ,2,� Building Irises,o,r TOWN OF QUEENSBURY ' ` c BUILDING ai CODE ENFORCEMENT �J 742 Bay Road �f Queensbury MY 12804 (518) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION Name OL 164 XL rna-_-,� Location bates . Permit # - SOIL TYPE : Sand- oam- Clay- Results of P co ion Test- ( if applicab e ) Ra - Minute/ Inch TYPE OF SYST 1 ABSORPTION F ELD : Total Length Length of ea h trench Depth of tre hes Size of s,tQ e SEEPAGE PITS : Number- Size - ft . x ft . Stone size PIPING: Size Type Bldg . to Tanis 4Ltr Se Tank to Dist . Ba Dist . Box Fie fP Openings Sea ea led ? Yes No Partial LOCATION/SEPARATI Foundation to Tank ; feet FoundationFoundation to Absorption �.� feet Separation oi` Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Stun A�(41r e Rear COMMENTS . �--- z `T"C �G,i2.K '-� �� G c.. p [a � s �►�.��i"t can..} R q SYSTEM USE APPROVED : YES N Detd Departed : � {� tom- - Building Inspector p GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept, of Community Development Date inspection request received: Building; & Code Enforcement 742 Bay Road f .7 Queensbury, NY 12804 Arrive am/pm Depart ,r" �,� Inspector's Initials ' NAME- `�---C- C.Y� PERMIT # qS -7 LOC ATION: 'h�1L A.eiL TGr Lt� DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers�_� -- -� Monolithic Pour Fo Reinforcement in Pl• _ The contractor is sponsi le far providing protec on from zing for 48 hours foil wing the lacement of the cover ic. Materials for l is rpsasc on Foundation/W i r Reinforcement ace _ Foundation/Damp frog T Backfill Approval- -- Plumbing Under Sla _ Plumbing Vent/Vent 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 - Jaek Studs/Headers Bracing/Bridging _ Joist Hangers / Jack PosWtvlain Beam Air Infiltration Barrier Fire Separation I , 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppi ng C:ENERAL JN.VPECTIQN REPORT ( 51. 8 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Say Road 1 Queensbury, NV 12H04 Arrive am/pm Depart } " pm {� Inspector's Initials r NAME: s `. xJl PERMIT # 'C r LOCATION: � `� _ DATE : TYPE OF ST'RUC'1'URE: 1 RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Pia _ The contractor is r pon ible for providing protecii fro frecaing for 48 hours folio ing t e placement oft concrekC. Materials r this pu qn sikc Foundation/ Reinforcement in PI cc Foundation/Dampp oofing_-- - - Backfi l l Approval Plumbing Under SI b Plumbing Vent/Vc is in Place_ r h Plumbingng gh.bangation 1 W -- Foundation Wallk Anterior R- Foundation Walls 'xterior R- Floors R- Walls R- . Ceiling. R- —?�2_ Duct work or piping in unheated spaces R- Proper Vent, Attic Vcnl Framing _. Jack Studs/Headers Bracing/Bridging. Joist Hangers,_ -- ---__--.- --_ _— -- Jack Posts/Main Beam Air Infiltration Hrarrier, Fire Separation i , 2, 3. hour__ Penetration Scaled ,_ _ _— Fire Wait 2. 3, 4 hour C:ENERAI_ IN:S'PEC710N REPORT . �---- ( 518 ) 761 - 8256 Town of Queensbury Dept, of Community Development Date inspection request received: 4j Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive arn/prn Depart '"rtr/pin Inspector's Initials NAME: T PERMIT # %� C� LOCATION - � _ DATE : 7 LJ�" � �� / ► ` TYPE OF STRUCTURE- � < RECHECK N/A YES NO COMMENTS Footings/Piers� f Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours following the place nl of the concrete, Materials for [his purpose on site Foundalion/Wallpour.__ _ Reinforcement in•,Place --- Foundation/Damp ring Backfill Approval . — Plumbing; Under Slab Plumbing Vcnt/Vents in Place_ t ugh Plumbing _ j �eating Rough-In____ Insulation Foundation Walls Interio R- _ Foundation Walls Exteri r R- Floors - Walls R Ceiling R- Duct work or piping in unhealed spaces R- Proper Vent, Attic Vent _ �- mingfL - C Jack Studs/Headers Bracing/Bridging �- Joist Hangers__,__ - -_ Ot . ....._ Jack Posts/Main Beam / _ J Air Infiltration BarrierFire Separation Separation L 2, I.-hour Penetration Sealed_ Fire Wall 2, 3. 4 hour _ F Fines[opping .__ C;ENERAL INSpEC'TION REPORT ( 518 ) 761- - 8256 Town of Queensbury C� Dept. of Community Development Date i»t�}►crtitan request received: / Building & Code Enforcement 742 Say Road .E°S Qucensbury. NY 128414 Arrive -- am/pm Depa am/pm !� lnspector'% Initials NAME: � }_s �- PERMIT LOCATI DATE : .3 TYPE OF STRUCTUR RECHECK _ N/A YES NO COMMENTS Footi nWPiers — -� Monolithic Pour Form Reinforcement in Place The contractor is responsible providing protection from frccri for 49 hours following the placcm t of the concrete. Materials for this purpose on site_ Foundation/Wal]pour____ _.---_ --_ Reinforcement in Place—__-.-- -- F ou ndat i o n/f3a m pproofi n g_,_,--_- 1)e� ackfill Approval__-.--- - Plumbing Under Slab------_ --- -___-- - _ -- -- Plumbing Vent/Vcnts in Place__� Rough Plumbing �_�___-_•--_-- [leating Rough-In --_— I nsulalion Foundation Walls Interior R- Foundation Walls Exterior R. Floors R- Walls R- _ -- Ceiling R- - l7uct work or piping in unheated spaces R- Proper Vent, Attic Vent.. Framing_ _--- lack Studs/l-Icaders-__ - Bracing/Bridgin - Joist Hangers__ .�--- Jack Posts/Main Beam ----. --__-_-- -- _-- _ Air Infiltration BarrierFire Separation 1 . 2, 3- hour _ Penetration Scaled__ __— Fire Wall 2, 3. 4 hour Fi restoppi ng f;ENE14t4L LNS"PEC'TIO"1N REPfMT - r- ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NV 12804 ArrivZgc') ar Qm_� Depart r Inspec or s Init' NAME: PERMIT # q' cS l -r' LOCATION: DA I E . TYPE OF STRUCTURE: REC14ECK NIA YES# NO COMMENTS ootings/Piers _ Monolithic Pour Form Reinforcement in Place The contractor is responsi a for providing protection fro reeving for 48 hours following th placemc t of Ihc`Voncrctc. Materials for this purpose n site Foundation/ Ilpour___ Reinforccment Piacc Foundation/Damp r Backfill Approval _ Plumbing Under Slab_ _ Plumbing Vcnt/Vents i Placc �- Rough Plumbing Healing Rough-In Insulation Foundation Walls I lerior R- _ Foundation Wails xterior R- Floors R_ Walls R- Ceiling R Duct work or p ping in unhealed s ces R- _ Proper Vent, Attic Vent _ Frann Jack Studs/1-leaders Bracing/Bridging.... Joist Hangers _ _ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 31 hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppi ng r