1999-428 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date October 25 19 — 99
ORC1
This is to certify that work requested to be done as shown by Permit No. 99428
has been completed.
SINGLE FAMILY DWELLING
• This,structure may be,occupied as a
LOT 64 #2 2 LENLAND DR..
Location
Owner MICHAELS GROUP
TAX MAP NO. 74 . 2-6 4 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
TAX MAP NO. 74 . —2-64 WARREN COUNTY, NEW PORK"
PERMISSION is hereby granted to MICHAELS GROUP
OWNER of property located at . LOT 64 #22 LEHLAND DR. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMTLY DWF'LLTNG
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 .
2569 LAKE AVE.
LAKE .LU Z ERNE, : NY;1' 12846 .. •
2. CONTRACTOR or BUILDERS Name
MICHAELS GROUP, INC.
3. CONTRACTOR or BUILDERS Address
JIM.:CHANDLER., PROJECT MGR 1810."ROUTE .9: .
LAKE. GEORGE, NY '1.2845
4. ARCHITECTS Name
NEW YORK BOARD .
5. ARCHITECTS Address
NEW YORK BOARD..OF'. FIRE.: UNDERWRITERS"
6. TYPE of Construction—(Please indicate by X)
SINGLE;--FAMILY:: DWELLING.. :
( 1 Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
SINGLEo..FAMILY:: DWELLING..WITH: 2—CAR ATTACHED GARAGE AS PER PLOT
PLAN SPECIFICATIONS
8. Proposed Use. .
SINGLE':FAMILY.,.DWELLING:
Jul.y., 20.. 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.)
2.0,E+., July` .' 19. .:. 1999,.
Dated at the Town of Queensbury this Day of .
SIGNED BY �y for the Town of Queensbury
Building and Zoning Inspector
Bottaing 1 entut Application • - •
•
r'UI i111 e'f QlleeliS'j)rll;)' - Delft. n/'C.iu►un wily Development, 742 Boy Rood, Queemb uy, NI' 12804 1761-8256J
_._..0. .... 11UIL IN(; c , COVE 1sNFOUCLMEN7'
PLICL__________-_.tKecluirentcnls prior (U issuance '— ctl Iltis Ircrntil •
..,
r11hh1.1n1
LL NO.
h Ix;unil ins( be ohlrrincd Mine ------------
beginning l
canslntciian. No inspcclicnts -- Zoning Board�idiun 1'G'1�1111'ILG 1' $�� / ,
will be made unlit ni+I+lir:nnt has tcc:civrd 1—� g R ��
n VALID Ul1ILUIN(1 1'IiltMl I'. All Awn 1 ll w • IU Cl1Gi177UN 1�1; '1' 1 ... G /�
nl,l,licnnln' spaces cm this niq,lic:ntinn . I',1� •
MUST be completednnd•lho signnlutc I 1'lr)11nillg lkxrrcl Acllvn liLVlGtYGU 11I:'
of dm applicant must nlrix:nr on the SI'It / Subdivision !'Ulhcr Building Irulxcror
rii,lrlicnlitru limn ►> + �,• —__ 1 Itcetcnliun I�cc Payment
Dl I I le .t clrrue CA (.%ftutr :r, 'Inc. Some Applicants IVwncr:
Add Icss: 1810 Route 91 I.alzc G('.Wig, NV 128gdchcss: ,
l'Ironc./l ( 'i 18 ) 668 - 3316 I'hani 1/ ( ) - . . . ...... _.. . _. ... ..
Property Lue.a(km 'd = 29.�e\NI' ,6 .\6i, '---- aAjEj L-. /Coil
Tax Map Number
Block Lot •
Subdivision Name:. � `�`. a ,Q` k-Z. 5
NATURE or rnoposcu bomb r5rtralTCl) MARKET VALUE Or THE
vc- Hew Building: CONSTRUCTION: •$, I`z.ol.
'
residence / commercial
Addition t.o Bui.t.di.n`I: oc cUE�nt':cx xlrronFln'rl<ocr:
r•crr i.clenc;r" / ccnnuir..r:c.itt'L 1'i:3•tnrary Llul3.ding -
11.1.1:c.t:rtl: l.c+n to Winding:
X Single Family Dwelling�--• t:es.i_denc:e / connriar vial � Two Family Dwelling '
Residence / Commercial. family Dwelling
no change to exterior size of.C.Lce ", . -
• Mercantile `
Other Work (describe below) Manufacturing
__--_ outer JUL 1 .2 1999
GItO55 AREA OF FROPOSEU STRUCTURE! �/(P TM ." 1� .��� HY
�� If ADDITION, wh I:JI_E 1 Id errib i=
1st Floor sq.
ft,a{� of new, addition ben
2nd .Floor ' . , eq. fL• . v�' o� NJA
Other Floors — eq. . .S
not unfinished cellar or basemen 11r:C1J5SO11X DUILUIH�S� I 2
_ Detached Gar g
�� 5U i' — ' '?r,I . attached Garage 1,
TOTAL •
FLOOR AREA: q1/41?
privt he • Storage 1ui. i g
Commercial Storage l3uildiltg
SIZE OF IILw s'rttvc'l'ultc: J Ot her .
5Z FEET X l--
FEET-- Willany second-Band or ungraded
' Mntilb
roubettl:3.utt ori : 1'___ t.Ed lumber be used? If so, for: what?
r. of SLl:orirs : l � y�
((habitable apace only) , feet TYPE UF' IIEIIINCI SY5'xCt1:
Height: (grade to ces a) : Circle all witic ppl�i.es)
Oil Gael/ Wood
Number of fireplaces and/vr wooclstove ( Circle.
/ Ge cboWoo / Other
to be insLt�.Lled: 1 Forced Hot Air /
Person r,eSponsible for superviSio11 of work ra r g Rice ards t- building '
codes i.s.: ___L��11_C.f tallrt.Ce�.►--Lt�.u-d_e.ct-Mau.afip �
Ntiiile ltddresse
p
•
iiuiJJer: the Mi.C.111.e, Giw jb i1e. 1810 te 91—LaieGe yie. G
Plumber : I' vct 1( ig,_1/A Nish. Rawl,_tams FaC_C4
NY 1280I 518-198-9399
r-1 a r)o 11: ' -.J�G ttuclk.gk,_.e X--.2_k8_,__Ga.cu ki:C.C.e..N 1_•-- �,18-3 7 I-9 9 2
'J_rilt-t vslt JLf cs�Uuc'., 9,I it a__Lctl�B e y— -i•,— ( 1 —1-23
DECLANA:liON: Please slgn below c f e)•you Hanle ccrrefidly read the statement.
To the best of my knowledge lite statements contained inhis appliof al ton, to 1eth work to the
plans
one on
. and specifications submitted, are n true and complete statement
nd
the ilesct ibcd pi cutises and that all provisions o lor
.be Building
flied ode, the tcth on ng O)frdin n ea noted,all
• nd
' other lawspcl laini)tr to the proposed work shall { t I/we that such work is authcrri,ccl by the owner. I'm ther,'tllca being is rt Jerstoo ssued,t an�rAS BUSILT PLOT PLAN byt
Cc'hh1C;tIC of UCcIIpfIhCY Ur Ottil-Kate of Co tell L
a licensed surveyor; drawn o v ale, sl log actual location of project on premises.
signature:
, ner's :tent, architect, contractor)
V�'
•� J
Y' 11104 -
. :,, TOWN OF QUEENSBURY
Fee Paid
BUILDING & CODES DEPARTMENT Permit # l �-��
.:, APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING .CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description , plans and specifications submitted, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: Tom, tc\-v sJS G2 .a
P.O. Address 9:89 us‘-evv's Phone #
Property Location \Csi" LA--- a .). \84 6'[��v Tax Map' #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES,:
Name: ...It WA .ci_ Address Phone#
BUILDING SPECIFICATIONS:
• Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) :
Foundation Material : Width Thickness
Depth of Footing, below grade:
Size of Posts or Studs: x x Long
Size of Floor Joists: x x Span
Decking or Flooring Material :
How will Porch or Deck be fastened to building?
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: — x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing) : Span
Type of Roof: Sloped Flat Shed Other (Circl.e one)
Material of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard . ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: ft.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, i
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 not, and that such work is au orized by the
owner.
12
DATE: *YTh-) SIGNATURE
Owner, OwA s Agency Architec or-tractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
X{Date ( t 19 , ) Permit No
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 j 2 ' , C, o ( (' ) `'APPLIANCE (check appropriate boxes)
Address d-t 'a ( ( ; ",,.Q.r rl (C : ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
C 0 FIREPLACE INSERT
' Zip /t Q. j ❑"FIREPLACE, FACTORY-BUILT:
o Wood D-Gas
Phone ) 0 ._. I ❑ FIREPLACE, MASONRY:
in Wood ❑ Gas
Owner , ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address
• IF NON-MASONRY APPLIANCE:
- — - -:- Manufacturer:--___
Zip Model: ^ -
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
r / ,� 0 MASONRY: 0 Block 0 Brick 0 Stone
(,r - -' ti.. �ti � p/ Y�r'. FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0-FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: i-f, Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: u Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING'.REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑VChimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title ,"'
A 173 3389 (190) Public Safety V !
A 233 2655 (230)Minor Sales
Fee Collected From or Refunded to;
Address: w i �;F
Dated: -1 - / - -`- 6i Town Clerk or Deputy:
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod:Cashier's Dept.
Application tor JLY 11C 1)111UAL, Yt11t1V111
Town of Queensbury
Dept_ of Community Development Permit No.9 --
q02g
Building &Codes Office
742 Bay Road Fee Paid $
•
• • Queensbury, NY 12804
/
Location of property for installation: ` 01 \eV1' Y") »,
Property Owner's Name: Irfe.,m Ic.J&1S EMU 4 1
i
Property Owner's Mailing Address: 1 )1 ) (2 tL-e G— tu- E �
Installer's Name: ((ZIIII -- ! Phone•# q
Number of bedrooms (if residential): 3 Total daily flow: 451.)
(residential -compute @ 150 gal./bdrm.)
Topography: ✓ flat, rolli g, steep slope % of slope
• Soil Nature: ✓sand, loam, clay, other /depth:
Ground water: at what depth? 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
•
Septic tank IECD gallon (minimum size: .1,000 gal.)
Tile field: each trench Li ( _ feet / Total system length: l Lo) feet
Seepage pit(s): number of I size each: ft. by ft.
Size of stone to be used: #cgstrx. / 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 Queensbuzy, 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 applic and agree to abide by these and all requirements of the Town of
Queensbury Sanitary Sewage Disposal /
Signature of responsible person:
Date: /4 I S 5
I\TI!AI! VIA: Q:1,_ ,QJ.XJ_I..v.MJ_!l.sitt:Jft"QAQAQ'iftJI_l AI.IMI_l ! :k!_VAII):"A 'AtQWDAY"l":J.IQMV .OIl)!I.1": 11J.I.l!),,,QJ!.l A(V !,0, ,,I/.II 'fl .
it
THE NEW YORK BOARD OF FIRE UNDERWRITERS 71GL
'-G `028789 Ir
(1 BUREAU OF ELECTRICITY 0.1
wi 111 WASHINGTON AVE., SUITE a•, • :ANY, NY 12210 1F
-�'( OCTOBER 1��i' 1`�t? < ?�:�• .2=�t q/E?_I - ''?ri-`-;i.'h ,
1 Date Ap lication No. •n file 1
1 1i 1-ER TT NO. 99-428 it
'! THIS CERTIFIES THAT Ig,
•
only the electrical equipment as described below and introduced by the app z , - , ned on the above application number is in the premises of iy
WI C TR M AET S GROUP, 22 . i�;HLND DR. , QUE'uNSBURY, NY
j in the following location; 0 Basement El 1st Fl. ❑ 2nd Fl. GAR Section Block Lot "' ri
Ilk was examined on ( vITI??E x °1�) c and found to be in compliance with the National Electrical Code.- A,
C FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS rYi
-(1 OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ,
Wi 27 38 27 22 1. .I.n_, F IY
al DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL ip REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS N
SYSTES
--C' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. ca H.P. NO.OF FEET AMT. WATTS 1
47i' SERVICE DISCONNECT NO.OF S E R V I C E 1
k: METER
tN
'-, AMT. AMP. TYPE EQUIP. 1 0 2WlirCI 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. 1}.
-41PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL 1
1)7
1t 0
1i OTHER APPARATUS:
Ci ti
vv
POST 1.;,+TE-I r
Ai LT..Ty.L...L: _1
lk' SAME DETECTOR:—5 I n}!
1
it
.7-,, it
WI q
1�
�CI , v ] :4"`1hWI ` iY
L
, FOREVER V%EP +:,LEC'r'�3OEL ELECT. -, y' ,i,e.. 7.- tr
it aU Lam?L� ,, D. .i"1GPAR=OtT�i i F d, Al•:, )1,--.' i 1
WI �: LAG �1E1'd.EI' T. ,.• ''� .'` ' r -!•• - GENERAL MANAGER 1
t Per I}
fc' 1T.
j 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. h
/)YIY riiiY IIY,YIY:i,ieY YwY,YIY,YIYYIY7IYYIY YIY Y0KYIY YipY YIY 46 YIYrY4Yiijiiii Y411iii Yiiii YiY YIY Y�Y eriTiiY Yiii;;Wa'IMITI 4 YI illieMpY4YYill Y�Y 4YY�Y Y�Y Y�Y Y.'il i ie ailN
r.nav FoR RIIII DING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER
TOWN OF QUEENSBURY
wf� BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST R CEIVE :
NAME
��i-
LOCATION (f DS
DATE IC) -a S` 1 PERMIT N
TYPE OF STRUCTURE
FOOTINGS ' FOUNDATION _ BACKFILL _ FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILI
RELIEF VALVES
FURNACE/HOT WATER OP'RAT, NG
INTERIOR TRIM/PRI. :. Y DOORS
FINISH FLOORS:
BATH KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CAR:ETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE RLAN/VARIANCE REO.
N, AL SURVEY PLOT PLAN C7
OK TO ISSUE C/O OR C/C
FIRE MARSHAL
•'/1,z. TOWN OF QUEENSBURY
;�# j QUEENSBURY, NY 12804
"t-"`�` ':,` (518) 761-8205
/
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# "Ltdookor
NAME !! C1�li( C5 Y (1.\-A--fe
LOCATION Lek Lc(ho)
SCHEDULE INSPECTION ON ,�0 -02c-9
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION YS • M
HOOD INSTALLATIO
INTERIOR FINISHES
STORAGE:
DEL ARANCE- ' SPRINKLERS
CLEARANCE T HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUIL Fine-- TJ
REMARKS: � OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
FIRE MARSHAL
TOWN OF QUEENSBURY
•
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT F"9 ( )\9as
NAME
LOCATION S c\Q - c
SCHEDULE INSPECTION ON
4/0 AMIYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
ARE ALARM SYSTEM
FIRE SPRINKLER SYSTEM_
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKL RS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY PPT :JET.- ✓
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT C-_;A'. ✓
REMARKS: ❑ OK TO THIS DATE
�Fk_FLIIFIC Z_ P 44=99L-90061
INSPSLIP.PUB / 6 !INSPECTO
RESIDENTIAL FINAL INSPECTION REPORT
ill al)
Office No. (518)761-8256 Date inspection request received: ) 641,1
Building& Code Enforcement /
Dept of Community Development Arrive am/pm Depart/ '°A/pm
Town of Queensbury Inspector's Initials -.14(j
742 Bay Road
Queensbury,New York 12804 p
NAME Q . PERMIT# —
LOCATION C'/- o,he,i1 n d DATE
TYPE OF STRUC'1 URI
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location �'
Fresh Air Intake i//
Plumb Vent through roof Vi
✓
Roof Complete
Exterior Finish Complete 1..7
Interior/Exterior Railings 30"to 36" ,/
Exterior Handrails,balconies landing 18 in. or more /
Interior Handrails stairs both sides 3,or more risers Grade 2%away from founda .on i V
;:'
8"clearance to sill plate V Gas Valve shut-off exposedireg ator 18"above grade /
Gas Furnace shut-off within feet or within line of site / vi
Oil Furnace shut-off at en ce to furnace area
Furnace/Hot Water Hea o ating ✓✓✓
Relief Valve(s)insttal ed /
Headroom,6 ft. m_ on stairs Y ;
Basement stairs,6 ft. 4 in. ,/
Handrail exterior stairs bo sides more than 3 risers ,//
Interior privacy/trim/doors/ ain entrance 36" 1//
Floor Finish i/s
Bathroom/Kitchen watertight J t/
Interior Handrails Balconies anding 18 in. or more
Railing across window in s , ells
Smoke Detectors: ►'��
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans 1,/
7/Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer 4 Garage fireproofing
Garage penetrations sealed ✓
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or/13less*or floor
Final Electrical /6 d/ orb
/
Site Plan/Variance re uied
q
final Survey Plot Plan t/
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy) /
Okay to issue permanent C/O(Certif. of Occupancy) (. 11/4 4'IRO d d 1
�
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 Arrive am/pm Depart �' g
Inspector's Initials
NAME: GP-P PERMIT# ` �'CJ
LOCATION: DATE : 3
TYPE OF STRUC URE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers \`-
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
Of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place j
Foundation/Dampproofing \
Backfill Approval I�
Plumbing Under Slab t`
Plumbing Vent/Vents in Place
Rou Plumbing
eating Rough-
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
( 1 ,2
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury ��
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road l)5
Quecnsbury,NY 12804 Arrive am/pm Depart/74, m/pm
V l Inspector's Initials
NAME: ` ( 1, 6.eJ S 12�Z� PERMIT# gq_
LOCATION: c3;- Lek(A, 6- DATE :
TYPE OF STRUCTURE: �[[�
RECHECK Di 6
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/Dampproofi ng \.
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In •
tf{sulation ETC 6 C Y C lib TV 'J
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- ,c1
Ceiling R- 31=3
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
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart��' a pm
Inspector's Initials�
NAME: ` ,�C al
ir&V) CO3�p PERMIT# 6 l -7jj
2`6
LOCATION: -2-2- Le..1{Loc4A0 O'L DATE : °f 19 jam
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 freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour_
Reinforcement in Place
Foundation/Dampprooling \---- i / •
Backlit] Approval il
•
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-
eiling R- \
uct work or piping in
unheated spaces R-
roper Vent, Attic Vent ,
Framing
Jack Studs/Headers i
Bracing/Bridging c.,e_6 ¢'}Q 1(G-�
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT ‘5l
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road �Q
Queensbury,NY 12804 Arrive am/pm Depart • pm/pm
Inspector's Initials NAME: ` PERMIT# °I—Lia_cs>
LOCATION: a Or\ r\p DATE :
TYPE OF STRUCTURE: S
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from reezing
for 48 hours following the p•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 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 nt, Attic Vent
ig V\ ) ` I/05i4 c_ AI dye fi24
-"4JackStuds/Headers eA iu2(i V
Bracing/Bridging -IR 65 a / iAi
Joist Hangers
Jack Posts/Main Beam / � �L '
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fes�' e Wall 2, 3,4 hour
✓Firestopping
FIRE MARSHAL
TOWN OF QUEENSBURY
441 QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME NI. 9\0.QQZ)
LOCATION PERMIT# qC\--"q 7
SCHEDULE INSPECTION ON
5 3D AM JO
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 t
INTERIOR FINISHES 1/
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNIT
REQUIRED SIGNAGE l
CHIMNEY �l��G� v�'++CI
WOOD STOVE
FIREPLEVEI MASONRY L!J FACTORY BLT.
ROUGH-IN
❑FINAL
REMARKS: L>j'r(L OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
-05
GENERAL INSPECTION REPORT 3
( 518 ) 761-8256
Town of Qucensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road A.437
Qucensbury,NY 12804 Arrive am/pm Depart
Inspector's Iniitials
NAME:
%ia_cl,stl tiPERMIT# I J �?
LOCATION: a �— ' �,�r►\Ie.- DATE : — I
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 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 •
Plum Ong Vent/Vents in Place_
L-1Z ugh Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
( \\u„
Duct work or piping infgeo ���e,-
unheated spaces R- ! �•.J$7A�e C°e-e kd� t i`
Proper Vent, Attic Vent
t, ing
•
"(
- Jack Studs/Headers ' r I�1���� �PP"�`� F°2 R055 e_/�
Bracing/Bridging ���54 ►QJ/Z1�6 I,�luST !� " (y�u��rV Vov5
Joist Hangers_
M /
�1Air InfiJackltratioPosts/n BaainrrierBeam
Fire Separation I, 2, 3, hour
Penetration Sealed
Wall 2, 3,4 hour
/IC'
restopping lik15-01rL4-- v1 R T-bP <`c'tC (A
„i Pe
TOWN OF QUEENSBURY 6 /v `o--5
BUILDING & CODE ENFORCEMENT °cm'
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name / 46. 4Ge15 (g; -,,r
Location 2- , „I(
Date i E-7 4' Permit # q44?-4(0??
i
SOIL TYPE: Sand Loam-Clay-
Results of Percolation Test-
(if applicable) RatelMinute/Inch
TYPE OF SYSTEM: j�
ABSORPTION FIELD: Total LengtF) 14
Length of each trench try f
Depth of tren6 es /Z
Size of stone N i=\Lrt Tod
SEEPAGE PITS: Ni( ber-
Size - — f"t x ft.
Stone size _
PIPING: Size Type
Bldg. to Tank I \ y 2y 5 35-
Tank to Dist. /Box \ H 4. j ?
Dist. Box to Field/P• _ �L k
Openings Sealled? o Partial
LOCATION/SEPARATIO'
Foundation to Tank -7,,feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan AdatNo
c-'
LOCATION OF SYSTEM ON PROPER
(circle I., ,
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
7” � ilk— Z V14.21
•
SYSTEM USE APPROVED: NO
Arrived: a `/
Departed: l . CD
i
Building Inspector
o
0
L .
I \ /
. 1 mac_ o!� S85'41 7O 'E
1i24. 260T 132, 0.
cni
it
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1
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r
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— :do'', \ if
o : 0 , q;��_ r-
2 , s It
0. 46 acres 1;
�5 �
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AUG 1. 71999 132.00 fa�:i; -'r
TOWN OF OUEENSBURY
BUILDING AND CODE 136. 67 13 6
1 0
.6 7
As, v r c, 6c=efic LA,) 4 sssl �nr
,, 0.9A1 Jr- 38
-I I eyeb-bb )
' r 67
sq. ft. cy' 21 , 178 sq. ft.
:cres -4: q
- 1 0.4-9 acres
f
GENERAL INSPECTION REPORT
Town of Queensbury •
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive Ifs am/pm Depart pm
Inspector's Initiats_)f
NAME: c �I� ., _ PERMIT#
LOCATION: ,s, (7 7 F DATE : i F
TYPE OF STRUCTU>E:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib for
providing protection from --c'g g
for 48 hours following the place o lent
of the concrete.
Materials for this purpose on.i -
Foundation/Wallpo
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P1.•-
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interio R-
Foundation Walls Exterio. 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 .
(7) /
,ENERAL IMPEL N REPORT 3Z
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Developm nt Date inspection request ceived:
Building& Code Enforcement
742 Bay Road •
Queensbury,NY 12804 Arrive am/pm De art ` - pm
Inspector's I 'fiats
NAME: \ , ♦ �1 - PERMIT#
LOCATIO , 7 '' • rQ v DATE : y C)
TYPE OF STRUC 'E:
RECHECK
NI YE NO CO I NTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill 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
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c I
. I # � s
r' , ___ _
MAP REFERENCE:
LEHLAND ESTATES SUBDIVISION
MODIFICATION PLAN —PHASE TWO
DATED: DECEMBER 22, 1998
REVISED: DECEMBER 29, 1998
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
N.aia
D u s eh
& Steves
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
IMAUTIIOMM ALTERATION OR ADI)n= TO A 9JRKY
MAP 9TAFM A UODIIED LAND 9A1 PM M•X M A
1AD<ATIOII OF M> M 72M MI9-NM901 2. OF THE
NEW TOM( WrATE 90UDATINI LAW
'ONLY OOF= FWN THE MOK44L a 9A TNM M
YMIED VON AN QNMIAL OF THE LAND SURWYOIM
KMLL K CONNOM 1C K t,YAID THE OOPMS.'
*WWO 0ATONt NMrAIM NpE'.OII 9NRY TIMT
9M 9A41EY WAS PWANFD N AOCOM)AHM VAIN TIIE
0051 M CM Or PItAC11Li FM LAND UN EV= ADOFIED
BY •IE NEW YOMI OTATE ASSMA1Mt1 OF TW TIMM&
LAID RMEML SW CDNN1pAIM M 9MLL MM ONLY
TO THE PENNON FOR OW TIIE 9MTEY M PWAFM A10
ON NM M9 A F 10 THE 911E ONlANY. ODIEMwRAL
AAMM AND LBWM WRIUMON UF= NOOK AID
TO THE ATtiM OF IM LDOMD OWNWWV
LEHLAND DRIVE
Map of a Survey made for
DONALD C. & MARY JANE DeMOUTH
Town of Queensbury, Warren County, New York
IFY THAT THIS MAP WAS PREPARED
IAL FIELD SURVEY.
TION SHALL RUN ONLY TO THE PERSONS
SURVEY WAS PREPARED. AND ON THEIR
TITLE COMPANY. GOVERNMENTAL AGENCY
Anu Lrn6NLV INSTITUTION .LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OW4ERS.
CERTIFIED TO: DONALD C. & MARY JANE DeMOUTH
CHICAGO TITLE INSURANCE COMPANY
CERTIFIED BY:
MATTHEW C. STEVES. LLS NYS 50135
DATED: OCTOBER 21, 1999
1 "=30'
S-1
SHWT 10F 1
LEHLAND
DWG. NO. 89423-64
518) 792-8474
New York Lie. No. 50135
NO. I DATE
DESCRIPTION