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1999-429 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 21 19 99 onci 15 - 1 -34, 60, This is to certify that work requested to be done as shown by Permit No. 99429 i has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a i LOT 6 #44 SURREY FIELD DR. Location - p 1 MICHAELS GROUP,THE L.L.C. Owner 1 TAIk MAP NO. 48 . —8-6 By Order Town Board - 1 TOWN OF QUEENSBURY. ,,.<, -7#6.''--- " Director of Bldg. & Code Enforcement I BUILDING PERMIT VALUE $ 132500 TOWN OF QUEENSBURY No. 99429 TAX MAP NO. 48 . —8-6 WARREN COUNTY, NEW YORK i 1 PERMISSION is hereby granted to MICHAELS GROUP.THE L.L.C. i OWNER ofl property located at LOT 6 #44 SURREY FIELD DR. Street,Road or Ave. in the Tory of Queensbury,To Construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is . 1810 STATE RT. 9 , SUITE 3 LAKE' GEORGE, NY 12845 2. CONTRACTOR or BUILDER'S Name MICHAELS GROUP, INC. 1 3. CONTRACTOR or BUILDERS Address JIM CHANDLER, PROJECT MGR 1810 ROUTE 9 LAKE GEORGE, NY 12845 4. ARCHITECT'S Name NEWI.YORK BOARD I 5. ARCHITECT'S Address NEWIYORK BOARD OF FIRE UNDERWRITERS ,1 1 6. TYPE of Construction—(Please indicate by X) i SINGLE FAMILY DWELLING I ( )Wood Frame ( ) Masonry ( )Steel ( 1 I 7. PLANS and Specifications 1 1417 -r Q. FT SINGLE FAMILY . DWELLING .WITH 2—CAR ATTACHED GARAGE: AS ;PER PLOT PLAN SPECIFICATIONS 8. Prorsed Use SINGLE FAMILY DWELLING.. i July 20 2001 $ I PERMIT FEE PAID —THIS PERMIT EXPIRES 19 I(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I town of Oueensbury before the expiration date.) ,1 20. July- 19 1999 Dated iat the Tow u—,sbury this Day of I SIGNED BY for the Town of Queensbury ui ing and Zoning Inspector Application for Jtr 1 IL 1J1J1'l/JAL t'�l�1Vll 1 To of Queensburyqg `j 6i Dept. of Community Development Permit No. �- Buil9tiing &Codes Office 742.Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: l c* W "A"A"' Property Owner's Name: Ifft—r iCkaaS ( nwp I Property Owner's Mailing Address: I?)I O QCu.k 4-- talce twit( _ Installer's Name: &I U&t o_ 6,0o I? .Phone I# ifid3 oa I n`7 Number of bedrooms (if residential): _S Total daily flow: 4SZ) (residential -compute @ 150 gal./bdrm.) Topography: ✓ flat, rolling, 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, 1/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 l� gallon (minimum size: 1,000 .. Tile field: each trench Le I feet / Total system length: 11t'a feet Seepage pit(s): number of ./ size each: ft.by ft. • Size of stone to be used: #981MC. / depth or thickness feet • HOLDING TANK SYSTEM: (if required) Number of tanks: Ai IA- Size of each: gallons (Alarm system and associated electrical nark to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of the Town. of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a Material fact or circumstance]mown by or on behalf of an applicant, shall be void. Ilhave 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 Oudmance. lr Sio ature of responsible person: • Date: 7/t zI l f • Build/iiig Perinit AppliCation �,. , (I .�!1(?(.'11Sb111:)r - 0r'1,r. ri/'(:.irnrn►rurill' Development,lnlrrtrrnr, 742 Boy Wad, Qrrccn.tGu►y, NY 12804 1761-9�G f o--.- IJUILIJING • (Q COD ENFORCEMENTNUTZ ,_ Requirements prior' to issuance p�;li'A�1'1'FILE NO. ______9A-___ _ 1 - — -- -- a (his permit: GCS A IX:Intil rtntsl he obtained Iselino �_� l�c)rrirrl; LkNrizl �lclirJrl yl;'1�111'LGL PAW $ beginning cansltuclion• No inspections C ' . will he nmdti until nl+ldicnnt lots moved ���,,� /Use rIE '1' 1' ' 7.-:' n VALID !MILI)IN° I'NRMI I'. All �`� nrq+liCnntn' rlrr1Ccn on This nly,Iientitnt . -_ Icd nncl rho to unlwc 1'(a,,nilrg Doan/ Aellvri 4�' V11slVGU 111: r . TrIUS•I'I>v contplc g U UuIlJing lrul>tcro of the applicant Hurst appear on the SI'It / Subdivision /Other �I+plicnliou linnt. 7>•,,:,1r' _) Ilcctcntion Fee Payment . • I he Iliel elute f.h l;it.uttl.r, .1ltc. Owner: Sctme /�plilic:ut I: . /lddtess: 1810 Rvu (v 9, take Geu)IcJe, NV 128g1d[ess: , I'ltu'no,1/• ( 518 ) 668 - 3316 I'hoito # ( - _.. . _. ... ..• Property J,uc;tlictn; - �t2\ ' -- ,� I'rol y crit Tax Map Number • Suidivision Nnntc: _L S ►G ( frrl Section Block Lot LU 1l11TU11I's or PROPOSED WORK: o. 3 (• ../ ESTIMATE!) MMARKET 1t E OF THE How Bu.i.J.d,i.ny: .j1:' `-' residence / commercial Addition to Building: UCCUE'nIICY r>!Iroll�tn'rxocl: t:r.tt.l.clCnc;c� / commercial Primary hull.ding - ' n.l,l:ct:rtl: i, to nn icli.ncl: x Single Family Dwelling residence ettce / Cvnnncrcittl Two Family Dwelling • Residence / Commercial __ Family uwelli[ty q no chtinyc to exterior size U1 Tice Other Work (describe below) Mercantile ' — • Other • GItUSS AREA OF E'1lOE'OSEU STRUCTURE: 4) ' • � IL' ADDITION, what will UBQ 1.sL ' 1J.00r An eq. IL. of new addiction be? : end i.Cloor ' ---- sq. it . � N/A Other F loor. •—s eq. ft. r- • ACCESSORY BUXLDINGS:. (not: unfinished cellar or base z t:-a „ • UeLaclted Garage 1, 2 Attached Garage 1, 2 Car __x Attache ' Sarage 13u1 y '1'U'1'11t, FLOOR AREA: 14"11 5 Conunvrclttl Storage 13u3.1ding l : 6 .v� SIZE OF HEW STRUCTURE: Other . AIL_ FEET X 65_ FEET '• . . Will any second-hand or ungraded Num6eaii.vn Typo I___ lumber be used? If so, foi what? ' Munthcr. of Stories : _� (habitable space only) ,�� sect TYPE o�' HEATING' sxs'l ct1: 11eiijltt (gLe(JO to r.l.c circle all wl[i RPI es) Oil Gas), Wood Humber beet ns alled 'es and J. wooclsLove Electric / whir oaoo / Other to installed Forced Hot Air / ---- parson responsiblei work to building ilding coJes is : _L{1—(htll2?.r- 11lEC�ztt �t or Eric "Willie lcitiresst y �nr8 6 • IluuJ.der. _1ite tiILc,1.1.eg G)Luilp, 1 ilC, 18I0 Rte 9,_Lthe Ge ale 4 5 68-337G 'J.utober : yct I'Aun ng,__16A !Witt Rgac(, G_Pr� 1=cCC4 NY 1280 518-198-4399 14a Il oil: _U��tlr >ey,_B�X_21L8 _GacuJdCCe..� ' I!lecLrictan I _5 18-31I-992 _ C11! i7UN: Please sign below Oa you have ccrrcfrrlly read the statement. h he ns j '['v the best of my knowledge the statements cotttslntentanl nflall proposed work to11boUdot Gaon . 'utd specifications submitted, pre a true and complete the 'kilo desciIbcd pic,idscs and that all provisions of the shall.be complied willtc,wltctl Zoning.Ordinorance alai all rioted, and critics laws Act lainittg to the proposed' work s that such work is authorized by the owner. Irtttttliancct is l ciunderstood nn`tA5 I3U5I1�I'IkLOI'IhL ANr IbYo t ' Cctli(icnlc of Uccupnncy''ur Cctlificalc of (-,o:t I ;t licensed surveyor; drat care, slowing nctual location of project on premises. Signature: . e ..,,mrr'' ot'ent, architect, contractor Y4l� /, "' , TOWN OF QUEENSBURY Fee Paid °:� � BUILDING & CODES DEPARTMENT �;: APPLICATION FOR: PORCHES-DECKS- Permit # ctCf-L6.� ., 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: AN ,& G2 P.O. Address • igZ vS\--0_,v S P-c-SEN_�.. Phone # Property Location \C:5* (p - Ss:421.. ,c1,c �v .. Tax Mall # Subdivision Name (If applicable) PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: Name: ' ilVa C�\s..sf 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 : Howl will Porch or Deck be fastened to building? 1 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 (Circle 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 grid 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. I ' DECLARATION To' the best of my knowledge and belief 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 not, and that such work is authorized by the owner. DATE: . 1 (( LlCcl SIGNATURE wil:). • 0 Owner' s Agenc A hite t Contractor REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE _.__ u.. Calrr4 ;zi.1La�11-Z.g =Ei:Zii ..2:Z . allitand tRc 3 af;ip Phc*h* 51E-791-T7 71 QurensrucY, Nrw 'fork 123II1 VAYLCR RICl-+A'RC A 4I1cr17A nprtt Nigt:vtn . Gecutj$4,4 4rtn:enCent Fits-nway,. DRIVEWAY PERMIT I qq_.;... ATE: .► /{c)._ v1`\ 8i �GJc'J� ?PLICANT NAME: The Michaels Group . 8 • =LEP HONE NO.: 516-�63-3576 JDRESS TO SE INSPECTED: \CA-(p— .4k K , E URN ADDRESS=I 1 s'i O St;Itz Pouta 9, !:za Gecrtne, NY 12345 pplicant must show exact location and width of driveway(s) to be connected o the tighway!by placinc stakes at the specified location. • the Superintendent of Hichways, Town of Queensbury, has reviewed the application f the above named resident to connect a driveway to the Town road. 'the- =ollowina action has been taken: STEP1 I: ( ) Preliminary Approval NEED;: ( ) Slicht Swail ( ) Level With The Road . • ( ) 'Deep Swail . .3i.ze Pipe to be used (if necessary) • . ) 12" ( ) 1." ( ) 15" ( ) 24" ( ) 36" . • •Preliminary inspection by - , DATE . • Approval by Highway Supt. . Depty. Supt. - - After receiving the Preliminary Approval , submit the permit to the Town of Queensbury, Highway Department upon.completion for a Final Approval . - STEP• 2: ( ) Final Approval • = ( ) Rejected - - _` • . DATE: .. ; ;: . - . . • . • t: PAUL H. NAYLOR . Superintendent of Highways . _ - Town of Queensbury • • Sia4.l;I,,,,p:11I.,•,!:J!.l' •.l,.t(:'A :Al:)l•:l' •,Q�•.l'',IA): •.lJ! •A!Al:JSlI.IN::Mk S,1ISAQ;IAA!IAQ'At! !l'J.•.l' .•.l"T.CJ.•.lJ.10.l' •.t,�•.0,0X'•,:J.tl' 1.1s•� °;1' •.CJ• J..l.SPl.J_• J,•_l�•SJ,.IVI,: THEWI N E J �=_FIRE Ir W YORK BOARD OF UNDERWRITERS,. ?>�I-E i BUREAU OF ELECTRICITY Ir K, 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 r4 OCSOBER 1.i q+ r)c7 741899..'9r4 A 1458'0i5 Date '"'"` Application No. n file • zA THIS CERTIFIES THAT PERMIT ADO' _ 2 �5_=. CI only the electrical equipment as described below and introduced by the applicant r the above application number is in the premises of i I iV' W THE hfICHAELS GROUP,, 44 SURVEY FIELD .DR. QU.U.ENSB1URY, NY IA in the following location; ® Basement �L 1st FL ❑ 2nd FL G Section Block Lot 6 k I OCTOBER O 1999 ;r ,t, was examined on and found to be in compliance with the National Electrical Code., , '=' )' iVii FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. Y ' 26 C u 29 24 -. I ' I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS ;, BELL SYSTEMS ri AMT. K.W. OIL M.P. GAS H.P.t9 AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. H.P. NO.OF FEET AMT. WATTS 71 iy�, CI■■■■ 1 I� �i �� 2 2 ®■ .■-■ 1 l SERVICE DISCONNECT NO.OF S E R V - I C E r ,16 METER !>i -`i AMT. AMP. TYPE EQUIP. 1 0 2W 3 0 3W 3 0 4W NO.OF CC COND. A.W.G.. NO.OF HI-LEG A.W.G' NO.OF NEUTRALS A.W.G. I), (Y1 PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL oi., I OTHER APPARATUS: Ir. _i '? "(I i r ,K1 G.F.C.lL-4 ,, '-c+ ,SHC)K'E DETECTOR:--. l IR, I• ill • iyi qi .74^ . 1 WI • FOREVER ELEC/BO'EL E.I. 'Cr' �4x{, ` f1 w, Ad Y� l_ &w� �' { Y '' � .d!C' i ewe' : (?! J ii°T �,Idl1? J, � LI'1� cz��C)l� ' r ,�,� GENERAL MANAGER I�'' ti! 24 4 6 JAI TREY S�. tea? • %)2.a# ,� it a. aT r ,."lilt.~. 4�- ys;i r SCrlERTEI~tl➢�, NY 123�99 „ € ` 3 1 .. ....: Per anyoffice of the Board if incorrect. Inspectors may be identified by their credentials. V jt This certificate must not be altered In manner;,return to the_ __.__ _,, __ _ -__ _._ _ _ __ _ 4476,Y•Y 4-6 Y�Y�'•`6,-1:4 j`f,Y�Y:iVi. Y4bY476'.4l'Mo',YeY Y�Y 4 Y•,Y•Y Y•Y,7•Y YlY Y�Y 4-,,Y•Y4Y•Y C(47. •Y,Y•�Y".Y •X iYi:i7ei lidaY e.;:FO ETIZTIT Y• Yam`TIVrfi•YY•Y;VAIWtg cnPY FOR RIJII f)INf DEPARTMENT_ THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. fp TOWN OF QUEENSBURY ; f;. fwwil BUILDING & CODE ENFORCEMENT ' 742 BAY ROAD W QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE IN PECTIO REQUE RECEIVED: NAME �n�is�Y� - MNIO ) ) DATE A (:)^2\^-99 PERMIT H /( O 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/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERAT NG INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTGHT OTHER FLOORS SWEEPALE OTHER FLOORS CARPETED • I STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING - DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. L SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C RESIDENTIAL.FINAL INSPECTION REPORT -.-ii----PG Office No. (518)761-8256 Date inspection request received/ICY 92 r Building& Code Enforcement '2 / Dept. oftommunity Development Arrive am/pm Depam am/pm Town of Queensbury Inspector's Initials P�--- 742 Bay Road Queensbury,New York 12804 q9-422"? NAME i / // J�r Y' PERMIT# LOCATION iv 7--v DATE /0—mil—q�j' TYPE OF STRUC /A YES NO COMMENTS Chimney Height/"B"Vent/Direct V t tion if 4 Fresh Air IntakePlumb Vent through roof Roof Complete V/ Exterior Finish Complete V/ Interior/Extem pr Railings 30"t 36" / %.7 Exterior Handr ' s balconies . 18 in. or more Interior Handrails s des 3 or more risers r/ Grade 2%away from founda ' n j 8"clearance to sill plate J Gas Valve shut-off expos regulator 18"above grade Gas Fun mace shut-off within 30 feet or within line of site Oil Furnace shut-off at en ce to furnace area / Furnace/Hot Water Heater pperating ✓ Relief Valve(s)installed 1 //:// Headroom,6 ft. 6 in. on rs Basement stairs,6 ft. 4 in. z Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/rain entrance 36" Floor Finish t/ Bathroom/Kitchen watertig mt Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells V Smoke Detectors: ti/ every level every bedroom / outside every bedroom 'v/j inter connected /1� Bathroom fans vl' Plumbing fixtures ` Foundation insulation v 3/4 hour fire door/door closer ✓ , Garage fireproofing Garage penetrations sealed Y Furnace in separate room protected(in garage) 1.1 Light ventilation per room / ✓ Safety'glazing 18"or le-s fr m floor y! 7 Final Electrical /(� ( /fl , 7 Ste Plan/Variance re wire ./1"mal Survey Plot Plan /V q I As Built Septic System layou requ ed 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) I GENERAL INSPECTION REPORT 1( 518 ) 761-8256 Town of Quecnsbury Dept.of Community Development Date inspection request received: 4 Building& Code Enforcement 742 t:ay Road Queensbury, NY 12804 Arrive am/pm Depart am/ m Inspector's Initials I NAME: Ri l0G5 6* PERMIT# / 719 LOCATION: / �U,4 DATE : TYPE OF STRUC RECHECK 1 I N/A Y S NO ' COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing \ . • j for 48 hours following the placement rJ of the concrete. Materials for this purpose on site f Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing /\1\\\____ eating Rough-In Insulat�oi /. - -:-r Foundation Walls Interior R • - Foundation Walls Exterior R- Floors R / /7/ - Walls R- Ici Ceiling R- Duct work or piping in unheated spaces R- 1Proper Vent, Attic Vent 4/ / yF„rdiiing. ✓/- 1 Jack Studs/Headers q,z ,.,,, fi racing/Bridging ii i-k0Ph Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour 'Penetration Sealed Fire Wall 2, 3,4 hour Firestopping : _� a � _ - _ i GENERAL INSPECTION REPORT 0518 ) 761-8256 Town of Quecnsbury Dept.of Community Development Date inspection request received: gla��1�/ Building& Code Enforcement 742 Bay Road Quecnsbury, NY 12804 Arrive am/pm Depart`//I �n<p� i Inspector's Initials v w r i``�AP� S PERMIT# '� �C� NAME: G� LO+CATI dd. ,-,, � / DATE : c1/-V 1 5 TYPE OF STRUCTURE: I/ e RECHECK , r-4 d N/A YES NO , COMMENTS Footings/Piers Monolithic Pour Form - Reinforcement in Place gThe contractor is responsible for providing protection from freezing i for 48 hours followi _ the placement of the concrete. Materials for this purpose .n site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backlit' Approval Plumbing Under Slab __ et Plumbing Vent/Vents in Place 14. )4ough_Plumbing. _ Heating Rough-In 1 Insulation Foundation Walls Interior R- d Foundation Walls Exterior R- I Floors R- i Walls R- \ Ceiling R- I Duct work or piping in unheated spaces R- Proper Vent, Attic Vent j -thing t/Vc10 ' �c.fl , . / • ,! a Jack Studs/Headers (/�� ^ I Bracing/Bridging ,/ V ( ,4-_ - I RU0 /SRA-c?P�,�� Joist Hangers_ Jack Posts/Main Beam PRVU 1I�� 7 if-Weiler (Sy04S)e -5C :_ ,Air l�nfiltrationBarrier `_ _ > V'/�-�� Fire Separation 1: 2, 3, hour Penetration Sealed ______ /ire-Wall 2: 3,4 hour N , irestopping • 1 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name i C 7 (-51n3V/E) Locationci ' ' &)inrielji,,(Aas-kLie Date P474/--#29 SOIL TYPE: Sand- oam Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Lengtty /70 Length of each tren' Depth of trenches, L` Size of stone ,4 r IL'r -- SEEPAGE PITS: N ber- Size - _ ft. Stone s '_e PIPING: Size Type Bldg. to Tank )L STQR 3s' Tank to Dist Box 0 Dist. Box t• Field/PAgiuu, it `J,40 DO Openings Se:led? NOW No Partial LOCATION/S'.PARATIONS: Foundation to Tank l ' - feet Foundatio ; to Absorption feet Separatio of Pits eet Conforms as per Plot Plan 4 No LOCATION OF SYSTEM ON PROPERT. (circle o..__, _ Front - Rear ,' Left - Right Side Middle • • t - 'ladle Rear COMMENTS: SYSTEM USE APPROVED: YES NO Arrived: rTo Departed: A41////' _ Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name M�,,,,� //'':��(lGl-CgeGS (17 0, Location Li 6, ✓e x/26v /-724: S Date 009 P- it # -- 1" 7 SOIL TYPE: Sand-Loa -Clay- Results of Percolat'on Test- (if applicable) Rat--Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each tren4h Depth of trenches Size of stone ' SEEPAGE PITS: Numbe - Size - ft. x ft. Stone size , PIPING: S .ze Type J Bldg. to Tank Tank to Dist. Box Dist. Box to Field/1'9114 ' Openings Sealed? 11P No Parti al LOCATION/SEPARATIi' Foundation to Tank feet Foundation to Absorp -ion feet Separation of Pits feet Conforms as per Pitt Plan Yes No LOCATION OF SYSTE- ON PROP','TY: II (circle one) ' Front - Rear - eft Side - R'ght Side Middle Front - iddle Rear COMMENTS: 40 r A .T A'G- 11-; K ©rt,le_.-y i I II d SYSTEM SE APPROVED: YES oNO Arrived: i Departed: —� �f{� \fge Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPS.1: u INSPECTION Name /l �Q�/1Si` i e Location 7'40 Date i' J/ /..7 Permit # SOIL E: San -Loa -Clay- Results of Percolation Test- (if applicable) Rate-Minute Inch TYPE OF `YSTEM: ABSORPTIO' FIELD: Total L- Length of :ach trench Depth of tr-nches Size of ston- SEEPAGE PITS: Number- Size - _ ft. x ft. Stone size PIPING: Size Type Bldg. to Tank $ 1' Sba_ 3� Tank to Dist. Box Dist. Box to Field Pit Openings Sealed? Yes a Partial LOCATION/SEPARATIONS Foundation to Ta k l0 feet Foundation to A.sorpti on feet Separation of P is feet Conforms as pe Plot P1 a Yes No LOCATION OF SYSTEM ON PRO' ' RTY: (circle one) Front - Rear Left Side - R. .ht Side Middle Front - Middle Rear COMMENTS: 0 L 5644-- P(P6 ( l ovr43ATLa6--) SYSTEM USE APPROVED: YES Arrived: Departed: Building Inspector 1 C • iii% C1iLi� /W 244 I 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 Depaf` at pm j / Inspector's Initials 1� NAME: /16 e-ti Ui0 IT# C T/ LOCATION: ��r, �� DA C�. TYPE OF STRUCTURE: / RECHECK N/A YES NO COMIVIE TS Footings/Piers 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 . /LBacktill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In lnsulation • 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 seam Aii-Infiltration B' 'er Fire Separatio, 1, 2, 3, hour Penetratio ealed Fire Wall 2, 3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury • Dept.of Community Development Date inspection request received: 361 Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive ► pm Depart is i�'�1 Inspector's Initials r t+ NAME: � PERMIT# w LOCATION: Of( veACLS DATE : -7—30—9 , TYPE OF STRUCTURE: S F VJ RECHECK N/A YE NO COMMENTS F tings/Piers onolithic Pour Fonn Reinforcement in Place 'Z-141 ` The contractor is responsible for v� 'providing protection from freezing for 48 hours following the placement lof the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Damppro• n! Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P•cc Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterio R- Floors R- Walls R- 'Ceiling R- puct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging tfoist Hangers Jack Posts/Main Beam Airy Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping / ,- :N • • . • • 4,- \* ' • .. " -C 7 //ill/C0/7 - 52- • • 9 kk\,. _ • �/ ,fir , - - - \ecz..\- c7 -' - • x "I rThq.— J—/-. .7 :/. , ._ . . ./.• . . . , _.. .... \ .1 .;.4. e4 .‘,. . . . ., • , \ .\ . • _ • • • . \ • ., . . ..\ . . have seen or observed, or believe I saw evl'dence • - • . - all objects such as houses, wells, trees, fences, etc - - • shown on this dodcument. 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"ONLY W40 FRW 1NE =W& OF USi liWKEY YARNED MTN AR 000KAL OF 1W LAND SI♦1KEYMS W L 9MLL K CON0000 TO E YALD TRUE CELL• 'mhWAIMS.NDICAIM M MN OWT THAT TM %WgY WM FAOW ED N ACOMAMCE WIN 1NE DO:W 000E a PRACM FM WD UNWYORS ADOPIFD MY THE NEW V= :FATE ANDCMIWM OF PRO UU MAL LAND XURWYUM SAD C0r*VAW4 24ALL RUN ONLY 10 THE PO M FOR -ANON NIE UMVET IS PREPMM AND OM WS MY" TO WE VM MrAW. OOVDMSMUL AODWY AND LBOM VWTLMROM LMW NOOK AND 10 1NE,A19== OF AE U MRN0 IMSINILIUOIL' Map of a Survey made for RUTH H. KNOBLOCK Town of Queensbury, Warren County, New York EI OCT 2 0 1999 kyt--- br-� L'j I qj� I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: RUTH H. KNOBLOCK CHICAGO TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEWS. LLS NYS 50135 DATED: OCTOBER 13, 1999 YV � YLV�\ 3V. 1J I I 1'=20' S-1 SHWr t OF 1 > GROUP (SURREY FIELD) DWG. NO. 97061 NO. I DATE DESCRIPTION