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99-474 Y CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date i 19 gv d iiii.J�s.� Z 4 —9 9 rgIc'1 This is to certify that work requested to be clone as shown by Permit No. 99474 has been completed. • This structure may be occupied as a sTmcmr VAMTLV flT;T&'TT.Tt.Ta Location LOT 56 #5 9 LEHLAND DR. • Owner ..n ..,. EL .,T,... .as vL sn .L sJ Usla., e By Order Town Board TAX MAP NO. 74 . -2-56 TOWN OF QU E N URY (-2d Director of Bldg. & Code Enforcement I , TOWN IF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date —1,-Att‘ a5 19 53 -tit if244 e..\ Permit No. APPLICATION IS HEREZY MADE to the Building Deplior 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 lrra VekA\7,4eVs, Covt0%.,0 APPLIANCE (check appropriate boxes) Address ac6p... 044,04.S liZoecc) 0 STOVE: °Wood o Coal o Pellet o Gas 0 FIREPLACE INSERT C C* Zip 12 F 14EPLACE FACTORYBUIL-In -e 0 Wood,.)0)Gas Phone men, ° - 0 FIREPLACE, MASONRY: / Wood ip(Ges Owner 0 FURNACE: ci Wood oGs COil Address IF NON-MASONRY APPLIANCE: Zip Model: Phone CHIMNEY (check appropriate boxes). *EXACT ADDRESS of proposed construction 0 MASONRY: 0 Block 0 Brick 0'Stone 164' CVANNh NNYLAQVi:' FLUE: 0 Tile El Steel Size: inches CONSTRUCTION / INSTALLATION MUST t3CFACTORY-BUI LT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall 0 Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting 0 Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title ,e4 A 173 3389 (190) Public Safety A 233 2655 (230) Minor Sales t . f Fee Collected From or Refunded to: Address: (Th tA Dated: 1 -3C -citj' Town Clerk or Deputy: ( 'A, ,g/4/ . ) White: Applicant Green Fire Marshal Yellow: Blag. Dept. Pink & Goldenrod: Cashier's Dept. Al X2:1AQ !1 I.01W 1 � 00.0Al':l�sTATA l Q01. �l 11_l'.l_l'WIWAl Mw!MW"m0 0kolt lmAo._l' WNOW!ok.Q__lA AQ,)ft0 ,Q,AQWDAVA lJ�_l4 P '}- Wi THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE .1 f<', • 4©2d789 BUREAU OF ELECTRICITY' 91 i 111 WASHINGTON AVE., SUI , BANY, NY 12210 {% Date �IOVEMBEER 23,1999 Application No on file 45 y r9099/99 A 146906 ij + THIS CERTIFIES THAT PERMIT iVC . 99-474 ij I only the electrical equipment as described below and introduced by the licant name on the above application number is in the premises of i-41 t WI I} •I I lki THE MICHAELS GROUP, 59 LE1iL4IJD DR. LOT 56, QLJEENSEURRr® "V r in the following location; Basement n_u 1st Fl. 0 2nd FL Section Block Lot 56 i I was examined on NOVEMBER 19 F,1999 and found to be in compliance with the National Electrical Code. P IY �<I q! i FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS =4 OUTLETS `` INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. Ir :Xi ih ' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 'h. {I AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. CI H.P. NO.OFSYSTEEFEET AMT. WATTS ' ,■■■■ Z ® 2 12 1 3 ' II Ir )- 11 SERVICE DISCONNECT NO.OF - -' S E - R V - I C E - �y �Q METER NO.OF CC COND. A.W.G. A.W.G. - A.W.G. I " AMT. AMP. TYPE EQUIP. 1 0 2W ma 3 0 3W 3 0 4W pC 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL Ir 7-XI 1 150 CB ■ h' ■■ 1 2/01 7/0 r OTHER APPARATUS: ij !<I I POST LIGHT-1 1} G.F.C.r:-4 ' SMOKE DETECTOR:-7 ,r P I; (I � Ir iT KI — -. 1/2 -11 n�: wi._ r • i FOREVER ELEC/BOEL ELECT. .1�„'X✓: ,e t ,`y! 1.. �-�L i W1LLIAM D. HCPARTLG-N 'y;.. d ,�' , v i' I 2446 JA. '.LRfU ST. I. `..:.- le •( ,'sis. GENERAL MANAGER SCHENEC ADY. NY, .12309 , . ,�`,��}a '�1"-i , : 3� I P - r - - ti Per l i _(I IA ji 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. lip '/,4Y4Y4Y476Y•YYiY Y4Y Y-Y 4Y 4-i-A YAY r.lr,474 Y•Y YiY Y,T YiY YiY,iiY.T.Y.Y Y•YYWr.Y•Y 4Y Y.Y 4Y 4WrY•Y Y.Y YeY liY.%Y 4YYeY Y•Y YiYYiYYWY4Y Y�Y Yii"-.476 nnPv FnR RI NI DIN[; DEPARTMENT THIS COPY nF CFRTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING PERMIT : I TOWN OF QUEENSBUR . .. VALUE $ 172900. No:. 99474 TAX MAP NO. 74 ..-2-56 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to, ' MICHAELS GROUP OWNER of property located at LOT- -5 6 #5 9' LEHLAND DR Street,Road or Ave. in the Town of Queensbury,To Construct or place.a SINGLE FAMTLY nWF.T.T.TNG. 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 LOT 56 #59 LEHLAND DRIVE QUEENSBURY,.. NY. 12804 2. CONTRACTOR or BUILDERS Name MICHAELS GROUP, INC. 3. CONTRACTOR or BUILDERS Address ' JIM .CHANDLER, PROJECT MGR 1810 ROUTE 9.. . LAKE. GEORGE, :NY• ' .12845 4. ARCHITECT'S.Name NEW YORK BOARD 5. ARCHITECT'S Address NEW. YORK BOARD .OF' FIRE . UNDERWRITERS 6. TYPE of Construction—(Please indicate by X1 SINGLE.;FAMILY. DWELLING: .. ( 1 Wood Frame I I Masonry. I I Steel I. 1 7. PLANS and,Specifications 2514,10SQ FT SINGLE FAMILY DWELLING:WITH 2-CAR..ATTACHED GARAGE AS PER PLOT PLAN. SPECIFICATIONS 8. Proposed:Use , SINGLE;. FAMILY DWELLING 313;.. : ..- :.. -;`:. _ August 2 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 Oueensbury before the expiration date.) 2 August' 1999 Dated at the Town of Queensbury,this. Day of 19 SIGNED BY -kkkt for the Town of Queensbury Building and Zoning Inspector, . . . . ulld iii •1eriii,it Application • • • • yd11//l •_. l')f Qlleeilsbul y - Lk,t. of C'mvn,tunif' D'rcln/,ment, 742 Bay Road, Quecn.rbtny, NY 12804 1761-8256j - " lit/ILU! NU • & C:GUIs ENFORCE:M N?' NOritil____________±.._, Requirements prior. to issuance • trl• this permit: PERMIT FILE NO. 99-1171_i ctft,,-IIl be nbbtined Mine -•.-----•----- 2�c Inieming cun•shacliun. Nu iwpectitnts I'G7U111T FEE PAID $-7 Os 01, " will be nmck unlit applicant Ims.received , rl zoning Board Action r, VA(,Il.11lllll.l)INtI I�IillAtl I. All lt,cn /lieu I11sCIt ANON FEs 1' IU$50U 0 ,� nlgllicnnln� rlv,era on Il,i:, ti ' lirnli,m . I MUST IA completed mol-tito sigtinhuc 1'ktnnin 1)txntl Ac•Ilolr g IiLVIIsIVGU II1:' 111 of the applicant inns(nil war on lho , SI'R / Subtlivi.si,in /OilierBuilding Inspector ,ilq,licnliun limn. ,a„,;1),• +_ ____— liectcnliun Ice Payment Apl,iicnnI: Ilse blt•clime-f.d (Awl l.r, In.e• Owner: . Scone •...•. • /ltlthess: 1810 fZuu.(.i 9? take C;culrye, NV128Arlthoss: Phone./! ( 518 )-- 668 - 3316 I'Imo # ( ) - . • •Properly Location:, iOt S ,_ 5 lC�tirlkr ' e ---- . . J. c /`-'sue Subdivision Name:. -..E lla l't,i use E(:icut CaU/C' ' ex Mop Nuwbcr� � s Section Block Lot 1e-Ni t tt 1111'1•URE OF PROPOSED WORK:, ESTIMATED MARKET VALUE OF 'T1IL New Uu.i.ld iuy: CONSTRUCTION: •$ I^r2. !dj®O • residence / commercial Addition to Building: • residence / commercial OCCUPANCY Itfi"ont•l11TION: • ______ n.l,t:e.rn( Lon t:r, Building: Primary Building - residence / commercial X Single Family Dwelling _^ Residence / Commercial Two Family Dwelling • no change to exterior size • Family Dwelling ULJice Other Work (describe below) Mercantile • - Manufacturing GROSS AREA OF PROPOSED STRUCTURE: ) , b • ' 1st Floor 11%1- sq. ft•,• . 3� if ADDITION, what will use 2nd .floorof new addition bet : 113! sq. ft .� N/A Other Floors sq. ft. (not: unfinished cellar or basem4 L • ••• �_, I►CC1:,55011Y BUILDINGS: • _ Detached Garage 1, 2 car '1'U'1'/1L FLOOR AREA: ASV. SQ. Ili 1 _X_-, Attached Garage 1, Private - Storage Bui • SIZE OF NEW STRUCTURE: Commercial Storage Building Other . • 1�MAX 9 FEET . . Foundation Type: I'uulted Will any second-hand or ungraded • Number.' of Stories : - 2: lumber be used? If so, Sot what? (habitable space only) ---_hfh . Height (grade to ridge) : feet TYPE OF NG SySTEM: Number of f.i.replacee. and/or woodstove ( circle all whit Rpl' es) to be installed: I ' Electric.Lectric / Oil Gae).�Wood Forced (lot Air / J}a c oard / Other Person re ponsible for supervision of work an regards to buildings codes is ! Jai:.1tcunc.L1'.e/t.," I'/w pc: Mattatin or Eric Rice, Pro-i e• t ; . Willie Addrenerr Pe • Builder: " late Mc:c.ltaef�s G/tuulr_, Iile. 1810 R.te 9,Lctlte Geolule, NY 12845 518-668-3316 Plumber: lava I'tullbing,__16A Pattiz Road, G•Celtb ra.Ca, NV I280j 518-198-4379 . Mason: _.U1_W.Leligi1.,_kJ.L 1L8, .G1i.atid e..,_NY • 13lec1:ric.i.nn:-..-I_aht'vs..1,_ ,ftc''U1,.Lc, 2446 ' t_a! 0c41 'S.f:. , &ieftecLady, NY 123.28-518-311-992 DECLARABON.• - 1'lccsc Alga below filler you Ilat'c carefully read the stolen:cut. .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 bo done on the ilcsctibed premises and that all provisions or the "wilding Code, the Zoning-Ordinance and all t,ttrc'r laws pet tainirtg to the pro1nised work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Fur(her, it is understood that I/we shall submit prior to a Cctlilicalc of Occul,ancyor Cetlilicate of Compliance being issued, an AS BUILT PLOT PLAN by tt licensed surveyor; drawn to scale, showing actual location of project on premises. r ,rr.r owner's aacm, architect, contractor) • Application for SEPTIC:DISPOSAL PERMIT' Town of QueensburyC2? �d Dept_ of Community Development Permit No. Building&Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 • [ Location of property for installation: 4 C) 'J(O 59 r\ t U Property Owner's Name: 'f fl ii O jts two Property Owner's Mailing Address: 1010 it_ q —(G�,[(1� Itrlyit_LAN____10)2)8 %— Installer's Name: ,t LL air.A..rAIThj Phone # LOsa3 a I oq . Number of bedrooms (if residential): LI Total daily flow: (residential -compute @ 150 gal./bdrm.) Topography: V 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, 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 Iasv gallon (minimum size: 1,000 gal.) • Tile field: each trench st7 feet / Total system length: 24(o • feet Seepage pit(s): number of / size each: • ft by ft. Size of stone to be used: #1S / depth or thickness feet HOLDING TANK SYSTEM: (if required) • Number of tanks: i I A— Size of each: gallons . . (Alarm system and associated electrical work to be inspected by a certified agaxy) For your protection, please mte that pusuant to.SectionJ36.29-oftheSodevftheEownof.Qaeeunbacy.sx p6®ifcr * :- r'" O approval granted which is based ioaor.is:granied u:relis iliotip-o mabaselnt*.failure to msakist woo +k? material fact or circumstance known by or cub of anvapplicaat,-shall be oid: s l::.K -va- ._:o�..-4.._ . µ . '� ''== I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of .:. . Queensbury Sanitary Sewage Disposal Ordinance. • Signature of responsible person: - Date: • i .:V/r'1 ,'`1� TOWN OF QUEENSBURY Fee Paid FM BUILDING & CODES DEPARTMENT Permit # qq-iirN , 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: 1-' k. MM:Nr ZtS ...*) P.O. Address 2b2 S =0aa Phone # Property Location \ck 'Sto- 59 1-rAN6,~) 1-..)12 .NE. Tax Map' # Subdivision Name (If applicable) PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: Name: y 11Ylt1Gh'64"C !-- Address Phone# BUILDING SPECIFICATIONS: Type of work to be done: Porch Deck Dock Boathouse (Circle one) Size of Structure to be built (square oo age) : (44S.c. 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 (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 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, 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: SIGNATURE Owner, Owner's Agency, Architect, Contractor REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE is . • RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building&'Code Enforcement Dept.of Community Development Arrive am/pm Depart I. ' ;.Town of Queensbury ,_:. Inspector's Initials . ,)742 Bay Road .-.ram Queensbury,New York 12804 pt.'' " NAME v'\.cm 4-6-x.S VF1zNP• ' . DA�T# i� LOCATION A TYPE OF STRUCTURE . { . g ti N/ ' . YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location r'` Fresh Air Intake tk • I ...ey ',.....---)k.,.:7 Plumb Vent through roof 1, Y y Roof Complete n, 6-9 Exterior Finish Complete - 'I, • 1 '" Interior/Exterior Railings 30"to 36"\ I" Exterior Handrails,balconies,landing:38 in. or more/ Interior Handrails stairs both sides 3 or.more risers i • Grade 2%away from foundation lti /e4,....:12,1\-.6:2,-(2.— 8"clearance to sill plate 1\ ..t� Gas Valve shut-off exposed/regulator 18"above grade 4., Gas Furnace shut-off within 30 feet or within fine of site Vl Oil Furnace shut-off at entrance to furnace aiC� Furnace/Hot Water Heater operating :s 'i, Relief Valve(s)installed .:7 r Headroom,6 ft. 6 in.on stairs .I . Basement stairs,6 ft.4 in. / ‘ Handrail exterior stairs both sides m• re than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish I Bathroom/Kitchen watertight I I Interior Handrails Balconies/Landing 18 in. or more 1 Railing across window in staji Frwells A, Smoke Detectors: / i A every level I i every bedroom / T, outside every bedroom A. inter connected / / Bathroom fans / / Plumbing fixtures / / �I� R/4�K�-r� — / OK Foundation insula°on / •• �). 3/4 hour fire doo /doors loser Garage firepr fmg Garage pene tions sealed M Furnace in syparateloom protected(in garage) 'y, Light ventilafon per room Safety glazing 18"or less from floor 'k Final Electrical Site Plan/Variance required ial Survey Plot Plan f . As Built Septic System layout required "✓ Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/O(Certif. of OccupancyP ) / � �✓6� L I �P��( Okay to issue ermanent C/O(Certif. of Qccu ancy ✓ 1 . .40*. //a.11-------) RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: /// QJ Building& Code Enforcement -_ --"` - Dept of Community Development Arrive am/pm Depart ;' am/pm , Town of Queensbury ;. Inspector's Initials, 6,--- 742 Bay Road •' Queensbury,New York 12804 'c, /� 9Q '7 NAME el�S6‘---0-1-e-.---P• PERiyIIT# ` f . '. C LOCATIONpCOi�5� � �cJ�P�1�,r �_Si DA1; TYPE OF STRUCTURE i` r N/A 7 NO COMMENTS Chimney Height/"B"Vent/Diect Vent Location 1 / / - Fresh Air Intake f: tj Plumb Vent through roof / I,.4 f Roof Complete i ✓ �✓ ill.,3 Exterior Finish Complete 1�'.n° >, Interior/Exterior Railings 30"to 36 Exterior Handrails,balconies,landing 18 in. or more cy Interior Handrails stairs both sides 3,or more risers t// Grade 2%away from foundation `` / I 8"clearance to sill plate I Gas Valve shut-off exposed/regulator 18",above grade i Gas Furnace shut-off within 30 feet or within.line of sit Oil Furnace shut-offat entrance to furnace area', Furnace/Hot Water Heater operating `; / iRelief Valve(s)installed A Headroom,6 ft. 6 in. on stairs \ Basement stairs,6 ft.4 in. / _ Handrail exterior stairs both sides more th risers ` .. 1 Interior privacy/trim/doors/main entrance 3 ' Floor Finish ', �, , Bathroom/Kitchen watertight / 5 V Interior Handrails Balconies/Landing in. or more Railing across window in stairwells V Smoke Detectors: every level every bedroom :,...X /\k► outside every bedroom///inter connected V 1 e y'� Ll co S6�1}G.iee—'i Bathroom fans 5`%1' I Plumbing fixtures -Si'if.-a\i 1cif,- A C- oo Foundation insulation 3/4 hour fire door/door cl er /�r f\)- 11N,R Fv g elJ AkC 6 Garage fireproofing ✓/ Garage penetrations sead-= f Furnace in separate room protected(in garage) v Light ventilation per room ✓ Safety glazing 18"/V qr les;from floor �/ Final Electrical IL`141 /0i Air i' /7 \ Site Planariance required �, Final Survey Plot Plan it/ Ar/Z�O ����� 45- L VAs Built Septic System layout required V 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) ;•.., FIRE MARSHAL , , TOWN OF QUEENSBURY 4j:'' QUEENSBURY, NY 12804 r > (518) 761-8205 FIRE MARSHA PECTION REPORT REQUEST RECEIV D ___/Ayr, /4'71,9 NAME LOCATION . "3 /& D IT# q 7 77j/ SCHEDULE I SPECTION I ON - �7 -aI7999 - 1/:4d -M ' ' J APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS 4 EMERGENCY LIGHTIe G FIRE EXTINGUISHERS ' FIRE ALARM SYSTEM . FIRE SPRINKLER SYSTEM s, FIRE SUPPRESSION SYS M\ HOOD INSTALLATION \ INTERIOR FINISHES STORAGE: CLEARAN 7 E TO SPRINKLERS, CLEARA 'CE TO HEATING UNIT§ REQUIRED SIGN GE \ CHIMNEY . W OD STOV +.. v1IREPLAC ❑MASONRY FACTORY BLT. ❑ UGH—IN INAL1/ REMAR -5' E OK TO THIS DATE \Y-e--------- INSPSLIP.PUB INSPECTOR Pljhr GENERAL INSPECTION REPORT (518 ) 7.61-8256 Town of Qucensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement / 742 Bay Road / / Queensbury, NY 12804 Arrive am/pm Depart I Zia pm Inspector's Initials � NAME: l PERMIT# i Q LOCATION: P 1 DATE : l , TYPE OF STRUCTURE: \(Th RECHECK ., N/A YES NO COMMENTS oting Piers —� [ I Monolith r Form Reinforcement in Place The contractor is responsi lc fo providing protection from freeri for 48 hours following th placcn ent of the concrete. Materials for this pu sc o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproof ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in PI cc Rough Plumbing Heating Rough-In Insulation Foundation Walls Inter' r R- Foundation Walls Exte or 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 'ry':M TOWN OF QUEENSBURY n�! � . BUILDING & CODE ENFORCEMENT ,"ili� 742 BAY ROAD 10 • QUEENSBURY NY 12804 • (518) 761µ8256- =7 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION EQUEST/ RECEIVED: // 3 --” 114C:TION C/4 V/i1 SCjy VVV V G/ �j� lSATE /' -?l PERMIT H TYPE OF STRUCTURE �4-.` .12,IV-2 FOOTINGS FOUNDATION BACKFIL FRAMING _ ROUGH PLUMBING SEPTIC INSU ION FINAL ELECTRICAL WOODSTOVE�OR REPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGH 1 PLUMBING VENT I I ROOFING l EXTERIOR FINISH T DECK/PORCH/STEPS/RAILING RELIEF VALVES FURNACE/HOT WATER OPERATI G INTERIOR TRIM/PRIVACY DOO S FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ./ eI INAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C '111 .:1-,-.;-:.... OF QUEENSBURY ING M & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 ,y747 SEPTIC DISPOSAL SYSTEM INSPECTION G Name 2 S ,`' Location " �9 /44_14,,,t '7-) . qg Date /U 9 Permit # �'7 SOIL TYP . Sand oam- - Results of PercolatioT t- (if applicable) Rate, Minut /Inch TYPE OF SYSTEM: .Z �:swCi ABSORPTION FIELD: Taal L ngth .y --1 u,lc.1, Length of each tre ch Depth of trenches -7 i Size of stone .-- .0J11...-i1' 3:4.--� SEEPAGE PITS: N mber- Size - f,,. x ft. Stone size PIPING: Size Type Bldg. to Tank 1-1"yC u(,L io}pE,3 Tank to Dist. dox t.._1 is pJC Dist. Box to `i el d/Pit " :)C_-C� l u, Openings Seal :d? es - No Partial LOCATION/SEPA�' 1TIO . - Foundation to Tank ‘b+- feet Foundation to Absorption . 2b-t—feet Separation of Pits fee Conforms as per Plot Plan s No LOCATION OF SYSTEM ON PROPERTY: -- (circle one) Front - Rear - Left • - Right Side Middle Front - fiddle Rear COMMENTS: 1 - - — 16C&frLt SYSTEM USE APPROVED: YE NO Arrived: I Depart . - c Building In pe or • • id •• 1)c ..- El.A., 't, C.d. •A - . • J . z . • ----- �- f Y� I. 11, r ( ! r199 I i fE I i 10• A/ ! i ; x I Q: ( f L. e • 41 • ,A r• ; i� ; iI t a 1 • • • It ft? 'i , • • • • "I have seen or .ob served,or btleve. I saw ems` ece at, •• all objects such as boos es, ef1l ,, ;�f,; 1trrTc - , i I shown on this document I ago;, utt have, � • # -- - - ._. - - -_- personal!. easur= hy:"-t anymit kith am the dii;agialim • - . //:Op SIGNATURE DATE . P/11• GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury Dept.of Community Development Date inspection request received: in Building& Code Enforcement 742 Bay Road $() Quecnsbury,NY 12804 Arrive am/pm Depart 1. - ply f��/� y �� Inspector's Initials NAME: HC�`� "-`"`S " ""�- PERMIT# �J 7 LOCATION: 5 C�o�— DATE : • TYPE OF STRUCTURREE RECHECK N/A YES NO COMMENTS Footings/Piers 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 • Foundation/Wallpour_ Reinforcement in Place_ Foundation/Dampproo ng Backfill Approval Plumbing Under Sla► Plumbing Vent/Ven,s in ' ace Rough Plumbing_ Healing Rough-In "),�Asu anion„., JJ// ° Foundation ails Interior R- Foundation ails Exterior R- l Floors R- 4 Walls R- Ceiling R- Duct wo,k or piping in unhe ted spaces R- roper V t, Attic Vent Vi Fro nilirgt , • 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 2 z-Y P/ij FIRE MARSHAL :/, ,- TOWN OF QUEENSBURY ` j r' QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED JO`/9-99 NAME if idOeCS �7LOCATION 6Z3 , lC ERMIT# 99-4/fr SCHEDULE INSPECTION ON /D)- 3 9' ,� l AM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYST M FIRE SPRINKLER SY! f FIRE SUPPRESSIO SYSTEM HOOD INSTALLATIIN INTERIOR FINISH:S STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE _ CHIMNEY t£R& T 1PC,A3 I WOOD STOVE FIREPLACE ❑MASONRY 2IFACTORY BLT. _ L l'flOUGH-IN ❑FINAL REMARKS: vkA-3c..6 j(L tUQ 3 ]aOK)TO THIS DATE ,iiik.....7 INSPSLIP.PUB INSPECTOR CAA)' 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 am/pm Inspector's Initials NAME: --dJn PERMIT# (A LOCATION: LEA c�)r c) DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS • Footings/Piers ~� I I Monolithic Pour Form Reinforcement in Place The contractor is esponsible for providing protecti from 'reezing for 48 hours follows g the olacemen of the concrete. Materials for this purpos on Ow 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 12, 3,4 hour ^ restopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 ii.ay Road rS✓ Queensbury, NY 12804 Arrive am/pm Depart J am/pm Inspector's Initials fl NAME: Cj c c? r 0 PERMIT# 7 H LOCATION: S� c V DATE : 9 TYPE OF STRUCTURE: SQ kfp_ RECHECK , N/A YES NO COMMENTS Footings/Piers Monolithic Pour Fonn Reinforcement in Place The contractor is resrnsibl for providing protection rom f eering for 48 hours followin_ th placement of the concrete._______ Materials for this purpo c on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo ng Backlill Approval Plumbing Under Slab Plumbing Vent/Vents 'n Place 6011 Plumbing , /Heating Rough-In >/ DO lvd \ Insulation Foundation Walls Interior R- V P L 1 s D6' Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- ProperVent, Atti zypt _ t Ertm _g o j>Y Jack Studs/Headers Bracing/Bridging Joist Hangers / >/ Jack.Posts/Main Beam �CAir Infilttiation'Barner,. s/ Fire Separation-1, 2,3 hour Penetration Sealed ire Wa11 2, 3,4 hour Firestopping 4A4r Raitoc) . - Arlb7'. 1-N -e--4-1---- GENERAL INSPECTION REPORT ( 518 ) 761-8256 Pill Town of Queensbury sbury f Dept.of Community Development Date inspection request received: q 1�5 q1 Building& Code Enforcement II 742 Bay Road r Queensbury,NY 12804 Arrive // am/pm Depart am/pm / Inspector's Initials �-V- NAME: fI5 6) t-1° PERMIT# rLOCATIOrj- ft- 99i „cei„k ` , _ DATE : //� 451 TYPE 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 • 'il/ a,J 2- rr t-i > - for 48 hours followi g,the placement . of the concrete. • Materials for this pu s on site S o" vc (' Foundation/Wallpour ' Reinforcement in Place Foundation/Dampprciof i ng ackfill Approval I /Plumbing Under Slab V Plumbing Vent/Vents in Place Rough Plumbing Healing Rough-I Insulation Foundation fills 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 711 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 Depar ( pm Inspector's Initials , / NAME: "!/Je.s PERMIT# `�" 7q LOCATION: .itT R' TYPE OF STRUCTURE: /YD RECHECK N/A YES NO COMMENTS Footings/Piers � I Monolithic Pour Form Reinforcement in Place The contractor is respons..le for providing protection from cuing for 48 hours following the p .ceme of the concrete. Materials for this purpose on site Foundation/Wal 1pour_ Reinforcement in Place • Foundation/Dampproofing $B3ckfill 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- Cei ling R- Duct work or piping in unheated spaces - Proper Vent, Attic Vent Framing Jack Studs/Head _ Bracing/Bri ging 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 t I ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road r� s 1 Queensbury,NY 12804 Arrive am/pm Depart= • a m Inspector's Initials 402 NAME: PERMIT# LOCATION: ATE : —36 TYPE OF STRUCTURE: RECHECK N/A Y NO COMMENTS Monolithic Pour Form Reinforcement in Place Q.---- The contractor is responsible for providing protection from freezin: for 48 hours following the plac • of the concrete. Materials for this plkirpose on sit Foundation/Wallpo Reinforcement in Place Foundation/Dampproof ng Backfill Approval Plumbing Under Slab • Plumbing Vent/Vents in PI,et Rough Plumbing Heating Rough-In Insulation / Foundation Walls Inte/ior R • - Foundation Walls Ex 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 I, 2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping y amp-- GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury 9 Dept.of Community Development Date inspection request received: 01 9 Building& Code Enforcement 742 Bay Road Qucensbury,NY 12804 Arrive am/pm DeparC`__am/ m Inspector's Initials NAME: // // RMIT# LOCATION: �, [ /..e4 4ATE : qQ / TYPE OF STRUC TRE: / RECHECK N/A YES NO COMMENTS Footings/Piers �, � Monolithic Pour Form Reinforcement in Place The contractor is re•ponsible for providing protectio from free.. ng for 48' ours follow.' g the accment of the c cretc. Materials for t us pu •+se on site Foundation/Wallpou Reinforcement in PI cc .undation/Dampp oof•g i' ackfill Approval ' umbing Under SI ib • Plumbing Vent/Veits 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 I, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping • GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Quccnsbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart! Ap1/pm Inspector's Initialls\r1 NAME: ‘c,kk,A-6L5 G` PERMIT# 79— 1/7T LOCATION: Lam; S`Za &LA,Jt0 DATE : f 2Cla !79 TYPE OF STRUCTURE: / RECHECK • N/A YES Z/97 COMMENTS ootings/Piers • 1 GaW��LC—1 G D� ;��e1. Monolithic Pour Form onn Reinforcement in Place X The contractor is res..nsible for f JA) V C05%1,JGa IA) providing protection from freezin: for 48 hours folio,,ing the plac tent of the concrete. Materials for th rr ..•@.• on site Foundation/Wall o.ur_ Reinforcement i Place Foundation/Da ipproofing Backlll Appro al Plumbing Unger Slab • Plumbing Vi t/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 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NV 12804 Arrive am/pm Departg Z�� pm Inspector's Initials NAME: W .‘c_.A -C-t 5 (c ' PERMIT# -717 LOCATION: DATE : Z TYPE OF STRUCTURE: RECHECK YES O COMMENTS ootings/Piers \ % I Monolithic Pour Fork Reinforcement in Place\ ���/// The contractor is responsible for providing protection from\f eezing • for 48 hours following the pi*cemen of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing ng 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- 1 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 F ;-30 d0 � GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Quecnsbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road : Queensbury, NY 12804 Arrive am/pPDep rN (� Inspector's Initials ��p NAME: I GG PERMIT# c - LOCATION: - L , ,10-1-5(0 DATE TYPE OF STRUCTURE: FC RECHECK N/A YES O COMMENTS tings/Piers \ —1 Monolithic Pour Form \ C lal ' �¢.tJ c� /-"*dk Reinforcement in Place The contractor is responsible for \ providing protection from freezing \ for 48 hours following the placement4\ of the concrete. ,y 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 d 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 . A 1 9 5. -•••4.1--) . , -'011 51e1Vti 3113141 .3dV3S3 1V380 FiECE7V&/d1 AO Sa\IV1 = , Jut 8 0 u io ,-,,:(,„. ...., ;- , z_o•ift• n .. •, ; Pi-tiave 5een-or observed,','or believe I saw evi e ........ 0, . . (-,•.`'&9z f_lakotliect such as houses, wells, trees, fences, etc., 4..71,.,ze ........ 1::sPi9in on this document. I also represent that I have , , u, --• -.•--...::94.;• ....... ;• ersonal easured e distan es ejorth on the diagra . ' 1..... ...... T ,, ,,,._ i // • 6 i , I--it& die . ...0... - 1 1 \ - , .,---- - -14 ebLk 1 ,?.N.... ,f,. SIGNATURE DATE t - 1 i".• -----------7-! _I . • \ 1 1...... r" 1-1 I••••b.a-TAI .......f__ GS'00 1 1-r) o -V:. e 0 '• 0 „7 ri 1\ ...". 3, ) N. : „..) 0) r ...... 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No. 50135 55 30 FT NO CLEAR ZONE ALONG REAR LOT LINES N88.31 43"E 203.30' f —� o N 'UNAUTHORIM A.TE7UTLON OR A DRION TO A SURVEY NAP SEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLADON OF SECDON 790B.-SUB-DIVISION X OF DIE NEW YO K STATE EDUCATION LAW 'ONLY COPIES FROM iNE 0I1211AL OF M SURVEY YANVD UVI AN ORN IAL OF THE LAND SURVEYORS WEAL SHALL BE CONSI EKED TO BE VALID INUE COPIES• •1S:RTN1CA an NOQAIED HEIR= awy TNUT YNIS SURVEY MS PREPARED N ACCORDANCE 07H THE EOOSINIS OWE OF FRADNCE FOR LAD SURVEYORS ADOPTED BY 1HE NEW VOILA STATE ASSOOATION OF PROFESSIONAL LAND SIRVEYOUL SAD CERVI AIRM SIiA1 RUN ONLY TO THE PERSON FOR ISM THE SURVEY N PREPARED. AND ON NO BEHALF TD 1HE TITLE COPANY. OOYFANIDITAL AGENCY AND LENDING NSTIIU TMN USIED HEREON. AND TO DE ASNO EES OF 1NE LDDND INSMUK' 54.79' 57 �n 004 4 Map of a Survey made for REECEIVEFD NOV 2 3 1999 THE MICHAELS GROUP,,' 4 4 Town of Queensbury, Warren County, New York NO. I DATE DESCRIPTION ;ale 1"=30' S-1 8tET I OF 1 MICHAELS GROUP (LEHLAND) DWG. NO. 89423-56 y�� FILE COPY ='5:t LX N«,p K