1999-606 tilicate of Occupancy
Town of Queensbury
Warren. County, New York
•
Date January 28 2000
—I ®� 99606
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a SINGLE FAMILY DWELLING
Location 26 CHESTNUT ROAD
Owner CORD IGAN THOFI..AS_
TAX MAP NO" 3 9 . 1-61 . 2 By Order Town Board
OF QUEE T 'B RY
Director of Buil ing& Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 58000 99606
TAX MAP NO. 3 9 . -1-61 . 2 Building Permit No.
CORRIGAN, THOMAS
Permission is hereby granted to
CHESTNUT ROAD
Owner of property located at
SINGLE FAMILY DWELLING
in the Town of Queensbury,to construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the NYS Uniform Building Codes and the Queensbuty Zoning Ordinance.
PPlidiE5511114DT RD.
LAKE GEORGE, NY 12845
•
1 YnVI stout iefA lddress:
QUEENSBURY, NY 12804
Electrical Inspection Agency:
COMMONWEALTH ELECTRICAL AGENCY
PO BOX 706
HAGUE, NY 12836
Type of Construction: SINGLE FAMILY DWELLING
gig ag2Sp ,ficgt LE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
Proposed E Use:
SINGL FAMILY DWELLING
143 September 28 2001
$ PERMIT FEE PAID-THIS PERMIT EXPIRES
(If a longer period is required,an application for an extension must be made to the Code Enforcement
Officer of the Town of Queensbu iefore the exPiratic§16tamber 19 9 9
Dated at the Town of Queensbury this Day of
SIGNED BY 1► 3�CV-e-- �t A for the Town of Queensbury
• Code Enforcement Officer
•
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
• PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
•
PART 5 METHOD OF COMPLIANCE�, BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 0, (f t square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanidally cooled? ! Yes No -
4 . Percentage of. area of windows and doors Over 17% I Under 17%
5 . R-V P L'J ES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 3
b . Exterior. walls R /9
c . Glazed areas R
d . Exterior doors R
e . Floors over unheated spaces R 30
. Edge of slab on grade (heated building) R /y
'c. Basement/cellar walls (above grade) - R /o
3asement/cellar walls (below grade) R
i . 'Heating/cooling-ducts-piping in unheated space R
• 6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code p( Yes No
- TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
. Aoc i s s Signature Date Phone Number
m , 3):/z1-1 y 7
INS?=C=CR' S REMARKS:
. .
Application for SEPTIC DISPOSAL PERMIT.
,irt.
Town of Queensbury "lbDept. of.Community Development Permit N .
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
J
Location of property for installation: / i' 41 V-- (4'e3'I7 c Pc Rohr,/
Property Owner's Name: 14 /„�-S Cd i`?/ 4 v)
Property Owner's Mailing Address: /
Installer's Name: S f21I Fri /�//`{�l/ Phone # 71 '3 o'Z -Z
. Number of bedrooms (if residential): Total daily flow: 3OQ
(residential - compute @ 150 gal.fbdrm.)
Topography: )< flat, rolling, steep slope % of slope
• Soil Nature: sand, Ioam, clay, other /depth:
Ground water: at what depth? /4 feet / Bedrock or Impervious Material: at what depth? _ feet
Percolation test: not required, required [rate min. per inch]
Domestic water supply: municipal, TA well, other
If domestic water supply is a WELL, water supply from any septic absorption is /So• feet.
PROPOSED SYSTEM
Septic tank gallon (minimum size: 1,000 sal.)
Tile field: each trench 4.2..50 feet / Total system length: o O. feet
Seepage pit(s): number of / size each: . ft. by ft.
Size of stone to be used: # / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: 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 Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or allure to make a
material fact or circumstance(mown by or on behelf of an.applicant, shell be void.
I have read the regulations with respect to this a lication and agree to abide by these and all requirements of the Town of
Queensberry Sanitary Sewage Disposal
Signature of responsible person: /,p, _ Date: /c%G
.wilding Per,'hit A
on
Town of Quee isb itil y - Apt. (fa)n►nruniry Development, 742 Bay Ilucrrl;` Qi:Cc�n.rbrrr'' NI' 12 , .,:..,.-
fl BUILDING LF . CODE_ENI''ORCLd�GN7'
�' 804 1701-32561
• • - -
Requirements prior to issuance
A pormit must bo obtained before of this permit: PERMIT FILE NO.
bogimdag construction. No Inspections
- -- will bo dodo wail applicant bns receivedO
I-1 Zonb:g Board .tcrlv,: PERMIT FEE PAID$ 0.
a VI\t,ID BUILD1Na PNItM1T. All Accn /Uru
applicants' spaces on this application RECREATION FEE 1' lU MUST bo completed at]d,Wo signature
EDof the applicant Deist appear cal Lim
Planning 1Turu71 r9cllo,l
SI'It / Subdivide.. /Other REVIEWED Dr:form. )11..�1�,,,� MindingJnyrrrrrw
-, Recreation Fee Payment
Applicant:' uP7t t,ki ' 2 e/,;
r� Owner: ifoiA, • Coe,/'S 4
. , ' Address; ��l, c t �n<s cScr�,,
Address: Cy /4 /e7"/ •-0/1,P Po% 6ce'-<
•
Phone # (Sid ) 7
Wiz• ?-2
•
Property Location:�CV es/�c{ 1 4c/a�
Subdivision Nlinles' �1 Tax Map Number. a—,/ J . % 2"
., tieetion Illrnk IN
NATURE OF PROPOSED WORK:
New Buildings ESTIMATED MARKET VALUE OF THE
residenceCONSTItUCTION: $ ,Sg-, 0,0 •
Addition to Bui/Ldt=lercial
ing
residence / commercial 'OCCUPANCY INFOIIMATION:
Alteration to Building: Primary Building
residence / commercial Single Family Dwelling '
Residence / Commercial Two Family Dwell no change to exterior size `- , Family dig- NEED
Other Work (describe below) Office F/
Mercantile SEP 2 0 1999
Manufacturing
GROSS AREA OF PROPOSED STRUCTURE: �U8 Other TOWN OF AND CODE
//�� ~-• BUILDING AND CC DE
lot Floor -S If ADDITION, what will use
� ,,;sq. ftsq. ,f� of be? :
2nd ,Floornow, addition
Other Floors — eq. ft,
(not unfinished cellar or basement)
•
ACCESSORY BUILDINGS: -.o+
Detached Garage I `1
TOTAL FLOOR AREA: //kp SQ. 1''1'. g '
�/httached. Garage l,- " ,�
SIZE OF NEW STRUCTURE: Private Storage Uul� '-
(� p Commercial Storage Building
D FEET X 020 FEET OL.her L4 c-R array , .cc/?12-- _2 -
•
Foundation Type: S/1• -. Will any second-hand or ungraded
' Number of Stories : ,.--- lumber be used742If so, for what?
(habitable space only)
Height (grade to ridge) : 2- foot '1'X['Is OI"' 111.•:A'J,'INl3 SYSTEM:Number of fireplaces and/or woodstovo (circle all which a . .lies)
to be installed: A/a Electric / oil / Wood
•
Forced Hot Air / laseboard / Other
Person responsible for Supervision of work as regards to building
codes is :
Naive Address • Phone .
Builder: ,S/''aye' 4 M � /r
//y // � -4., �c�./ 7 ��•-&a ��
Plumber: ,, , ,, A. e, ey /e
Mason: S' e.
Electrician: tS Q_ -
DDCLARATION: Please sign below g/ler you have carefully read the stalenretit.
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, wlccllccr specified or noted, and
that such work is audio ed by the owner. Further, it is understood Thal I/wc shall submit prior to a
Cerlilicalc of Occupan or Certificate of 'onaplincice being issued, an AS BUILT PLO.:' ['LAN by
a licensed surveyor; < . n I scale, silo 11 actual location of project on premises.
Signature:
(owl , owner's gent, - ;peep, contractor)
.
.- .7__________
, Q11,4\ebkiz...._,
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart am/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury, New York 2004
NAME ��� PERMIT# 9 — \�)' l J (fl
LOCATION Tossiy.,,,2,
cv, 4%'( DATE I --�•-9.(. — �C'.�U U
TYPE OF STRUC
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location V
Fresh Air Intake
!V
Plumb Vent through roof V`
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" y%/7/
Exterior Handrails,balcom�es landin; 18 in. . more
Interior Handrails stairs both Sides 3 or more risers
Grade 2%away from foundation V/
8"clearance to sill plateT‘y
�
Gas Valve shut-off exposed/regul;for 18"above grade
Gas Furnace shut-off within 30 f:,t or within line of site I
Oil Furnace shut-off at entrance th furnace area
Furnace/Hot Water Heater operaing ✓✓✓/
Relief Valve(s)installed ✓
Headroom,6 ft. 6 in. on stairs �-
Basement stairs,6 ft.4 in. �//
Handrail exterior stairs both sides ore than 3 risers t/
Interior privacy/trim/doors/main trance 36" >Floor Finish /
Bathroom/Kitchen watertight �fInterior Handrails Balconies/Landing 18 in. or more 1.7
Railing across window in stairwells
Smoke Detectors:
every level ✓� 1 1 A)i �� AZ`r, . TU J ----
every bedroom /
outside every bedroom
inter connected �,�
Bathroom fans N,(t l �o T 5'
Plumbing fixtures a/ i DC S [ak�`
Foundation insulation /
3/4 hour fire door/door closer r
Garage fireproofing tip
Garage penetrations sealed / A Ac— f I dJ e Cc-v 5G i
Furnace in separate room protected(in garage) - 7Light ventilation per room /
Safety glazing 18"o less om floor
,/
Final Electrical / Z� et C 1 S
/ /
Site Plan/Varian req - ed ✓'�c4O Y/N,- 6e'k(rei
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance) /
Okay to issue temp. C/O(Certif. of Occupancy) `j/
Okay to issue permanent C/O(Certif. of Occupancy)
TOWN OF QUEENSBURY
igr BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
•
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME C'-e \'
LOCATION_
DATE I --r� - 72—C-'O L, PERMIT k
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 OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPA
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.
AL SURVEY PLOT PLAN et
OK TO ISSUE C/O OR C/C
tn' S ✓1v( ectti a((cl(!(
463' , -CO ; Pn� .,.
0
L�l�s
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.f�
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No Cert. N2 6 4 3 3 4 et--in Card No.Al 9 q 9 O
Owner
Location cp_a hesl.1 cr..T./..../.? v e v2�/
Installation Consisting of ?.O Ch F? lac/--,,,};C/2V IC,el . -a f�e c-i. /Ja2 ,w
g .fSy..... f=76. .s.a 3----S-?nog p e2 /.I✓e%C/. ,..1..t4?Sz hee4
D.(S.h.was.h.en1 A./.G..,, .2110 cenc/? XA
Installed By J<c L L y r L c(-1.i2 J C Lic.No. •
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date Ila.4/../Q,55 INSPECTOR_,.. 1.. .... . ... .. ...
3 d V
GENERAL, INSPECTION REPORT
( 518 ) 761-8256 •
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ��p
Queensbury,NY 12804 Arriv �°` -J am » Depa : ) il.
Inspector's Initia
s�.
NAME: `fY"\ S PC3-11't p PERMIT# �— �J v
_ •
LOCATION: �P 'ht.� ; .�jc~h�'J
DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers —1 1 I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from fre zin
for 48 hours following the pla nent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampprool i ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing �� C r'`{�1 � CL)\-- ?— i A
Heatin gh-In �, 6o CPE-W-. t-` x
I ation
Foundation Walls'Interior R-
Foundation Walls Exterior R-
Floors R-
Walls GAVvtb R-
Ceiling R-
Duct work or piping in 1
unheated spaces R- ✓ 6 c V?i)� C_AAIN6 '&• b Peep
Proper Vent, Attic Vent �r 1 CALL
Framing FOP.— i t jQE-C1 ‘CiV
Jack Studs/Headers
Bracing/Bridging �-��` C � CIA 1-2j
JoistHangers � ��
Jackk Posts/Main Beam '
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 07202/6P-Ail
Location Gee A .
Date /216 /79 Permit # —6J6
SOIL TYPE: Sand-Loam-Clay-
Results of Pei elation Test-
(if applicabl -) ' .te-Minute/Inch
TYPE OF SYSTE` :
ABSORPTION FI:LD: otal Length
Length of each tr- ch . .
Depth of trenc .-s
Size _of stone
SEEPAG PITS: .mber-
Size - f x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/P't
Openings Sealed? -s No Partial
LOCATION/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 - Middle Rear
COMMENTS: " i a 0 S SL I l)
(A)&a._ toA-g4-1/O 4-)
SYSTEM USE APPROVED: 0 NO
Arrived:
Departed:
Building Inspector
"roe)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road )
—:?---
Quecnsbury,NY 12804 Arrive am/pm Departt ' a pm
Inspector's Initials JP"
Co(
NAME: (C,4ik-) PERMIT# — (6 0
LOCATION: f6�7;-,ia r RD . DATE : lZ G °�
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form _
Reinforcement in Place
The contractor is res s s nsible fo
providing protection rom freezi g
for 48 hours followin_ the place vent
oT the concrete.
Materials''for this purpo'e on sit•
Foundation77 Vallpour_
Reinforcement in Place
Foundation/Dampproofin_
•
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in ''lace_
ough Plumbing
Heating Rough-ly
Insulation 9rl/O .g�'`J
Foundation Walls Irate 'or R-
Foundation Walls Exteior R-
Floors R-
Walls
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 Queensbury
Dept.of Community I evelopment Date inspection request received:
Building& Code Enforcement
742 Bay Road /
Queensbury,NY 12804 Arrive am/pm Depar[ m/pm
/ 66
Inspector's Initials
NAME: K C-��,j �oR��6 PERMIT# -6 06
LOCATION: DATE : 1 a. j 1a
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo si Ie for
providing protection fr m freezing
for 48 hours followin the placement
of the concrete.
Materials for this purpo e oil site
Foundation/Wallpour /"•
Reinforcement in Place /
Foundation/Dzi`mpprod ing
Backfill Approval
Plumbing Under Slab
Pluming Vent/Vents n Place_
Rs igh Plumbing
'eating Rough-In
Insulation "%� ALr Ul (k 7 QP 6p3
Foundation Walls Ii terior R-
Foundation Walls E, terior R-
Floors R-
Walls R- 14
Ceiling R- 145 •
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 Scaled
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 f a
Inspector's Initials
NAME: c: (.C. PERMIT# VCe
LOCATION: DATE : 12 c.
TYPE OF STRUCTURE:
RECHECK •
(�
/ N/A YE NO COMMENTS
F otings icr 0e-cl< f I
Monolithic our Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours followin laccment
of the concrete.
Materialfor this p sc on site
Foundation ur_
Reinforcement ii Place
Foundation/Da pproofing
Backfill Appro al
Plumbing Un r Slab •
Plumbing Ve t/Vents in Place__
Rou rh Plumb ng
ating Rou i-
ili
nsulation-: Al2.7-( , L
Foundatio Walls Interior R-
Foundatio Walls Exterior R-
Floors R-
Xalls R j �'� ,/,rdd( AIR_ 44 v 6 -D6-1.
Ceiling R- 'j 6 1/ t���
Duct w,- k 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
enctration.Sealed
Wall 2, 3,4go ur /
fire
irestopping,.. ,'2TlA-e— 1/j�//J VP6P ! — Ole -� ),u S uL .
, . ptil3 1 ;
•
-/L,
._
4...s.L.„,,,,,,,,,...- ,_7 ...,:7,7,
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury Wa/q9
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quccnsbury,NY 128 D4 ; // Arrive am/pm Depar rpm
(�( Inspector's Initials
NAME:( ► t�0� 1gel-- PERMIT# Q2—( �1�
LOCATION: ue.I -f L,, ,K 2 L: J/ DATE : 679
TYPE OF STRUCTURE: .�1
RECHECK /
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo sible for
providing protection fr m freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour / ,
Reinforcement in Place
Foundation Dampprod ng
Backfill Appi val / / ,
Plumbing Unde lab/ //�
Plumbing Vent/Vents in Place 1,
e-
ough-Plumbing _ / 7
I�eating Roug -In 1 7...
Vlnsulation it `SA-(— -
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors � R-
Walls ( R-
Ceiling R-
Duct wor)c or piping in
unheated spaces R-
Proper Vent, Attic Vent
aming• _.
Jack Studs/Headers V
Bracing/Bridging ✓./
Joist Hangers '/..-
"Jack Posts/Main Beam ✓
Air-Infiltration Barrier_
Fire Separation I, 2, 3, hour
Penetration Sealed
Eire Wall 2, 3,4 hour
.✓Firestopping . - 17� ac k& 51t e A5 rD rbc 0566)
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
. Queensbury NY 12804
(518)761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 1(6-0:-Y
Location
Date l 2!l i Permit # l v6C)
SOIL TYPE: Sand-L am-Clay-
Results of Percolation Test-
(if applicable) ate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each tr nch .
Depth of°:,trenches /
Size of stone I/
SEEPAGE PITS j u" be r-_
Size - . ft x ft.
Stone size
PIPING: - Size Type
Bldg. to Tank
Tank to Dist. Bo .
Dist. Box to Fie d/Pit .
Openings Sealed Yes No . ,Partial
. LOCATION/SEPARA IONS:
Foundation to T nk . .feet--
Foundation to 'A sorption 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:
Aka- 16m/e4-r/d...,2 -7....0
SYSTEM.USE APPROVED: YES NO
Arrived:
Departed: dtge
Building Inspector
�Maz"?
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury /
Dept.of Community Development Date inspection request received: 1 v L6 (. 4 5
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive am/pm Depart''"" pm
Inspector's Initials
NAME: L----00V1 'L' 1 �IYY1� PERMIT# J Q
LOCATION: z��,�� DATE : vs C (q 9 l
TYPE OF STRUCTURE:
RECHECK `J
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is res.tnsi)le for
providing protection rom freezing
for 48 hours followi g th placement
of theiconcrete.
Material's for this pu G Ise on site
Foundatio'n/Wal 1pour
Reinforcement-in-P c •
Foundation/Damppro of i ng
Backfill Approval
r5lumbing Under SI•b CA 6 r ,1Ii3 I/3 V
Plumbing VenUVerts in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation W lls Interior R-
Foundation W..11s Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unlieated 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
r__ i
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Cor2J;*ii,1i
Location
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11 �SI'NU j ,
Date 1r161151 Permit # 71`6.0(e
SOIL TYPE: Sand Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total ►eng-0 10n
Length\of each tr: ch - t o.'DS
Depth o \trenche 2
Size of stone 4-2_-
SEEPAGE PIT umber-
Size - ft.
Stone size
PIPING: Si7e Type
Bldg. to Tan 'f Scn D
Tank. to Dis . Box w a
Dist. Box o Field/Pi ,R ,
Openings S•aled? e No Partial
LOCATION/:EPARATIONS.
Foundati n to Tank feet
Foundati n to Absorption feet
Separat'on of Pits feet
Conformili as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circlet one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS: 2
SC-G -45` 6°11-T d AJ r1 GG
FAA)4-L A-v0/1 -0 v14-c_
SYSTEM USE APPROVED: YES NO
Arrived: _
Departed: '; '- f)
Building Inspector
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location dlaA ?E')
Date I1, ----g` 1Permit #iCk-62O@
SOIL TYPE: Sand-Loam-Clay-
Results II
of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total eng h
Length of k.each trench
Depth of trenches /
Size of stop
SEEPAGE PITS: Nu dier-
Size - f . x ft.
Stone size
PIPING: Size Type
Bldg. to Ta
Tank to Di t. Box
Dist. Bo to Field/Pit
Opening, Sealed? Yes No Partial
LOCAJ O!i/SEPARATIONS:
Four ation to Tank feet
Foundation to Absorption feet
eparation of Pits feet
C/ /
onforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
' (circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
5(TC C1 _ l v 5 L(5�L-t t-nc' i e d
-( )SYSTEM USE APPROVED: YES NO
Arrived:
Departed: /
Building Inspector
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GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 10 a- 9 •
Building& Code Enforcement
• 742 Bay Road
Queensbury,NY 12804 Arrived an Depa i
Inspector's Ihiti •
/
NAME: n PERMIT#
LOCATION: (Alc)--e, DATE : (9?
TYPE OF STRUCTURE:
RECHECK 39— /_&/s
N/A YE NO COMMENTS
• 1otings/Piers — I I
Monolithic Pour Form
Reinforcement in Place %--Nc% ,/
The contractor is responsible r
providing protection from fr ezing
for 48 hours following the laceme t
of the coneietc
Materials for this purpose site
Foundation/Wal 1pour_ •
Reinforcement in Place
Foundation/Dampproofi g
Backfill Approval
Plumbing Under Slab •
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Wal Interior R-
Foundation Wall ''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 Scaled
Fire Wall 2, 3,4 hour
Firestopping
eurZ4/Ybhr1 b4:5i 51B-3B1-3834 TRUSTCO-CLOSING DEPT PAGE 02
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MARKEDWITHAN ORIGINAL OF THE CARD SURVEYOR'S i-.__
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CONSIDERED TO BE VALID TRUE COPIES.
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!!AP REFERENCE
1.,- NAP OF A PORTION OF LANDS OF ALICE CORRIGAN, TOWN OF cn
- QUEENSSURY DATER MAY 3, 1982 BY. U.J. ROURKE ASSOCIATES, _ _ - m
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. WARREN COUNTY, TOWN OF Ql1EEN5JEURY
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sn.d 1 hereby certify td ThomasJ. Corrigan.
Trustco Rank, N.A, its .successors and/or SI
assigns and United General Title 1nS rand ~
- Company_ that this map has beentJ
prepared in
accordance with'the existing code of practice
for Land Surveyors adapted by the New Yorkin
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0 - State Asso• c: of Professaonal Land Surveyors. - 1! f1i o
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Qtv 11/11/59 William .1. Rourke LS 49498 - u,
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TOWN OF QUEENSSURY,= - WARREN COUNTY, NEW YORK
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UPDATED: NOVEMBER ft,i999 - to show foundation 0 iri
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e iritit�lw Axovexe, tl ,v LAND seivvxraav N 49 9 South Guns-Fails, N. Y. I2Bt73 JOB N2
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ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S
EMBOSSED SEAL OR INKED STAMP SHALL BE
CONSIDERED TO BE VALID TRUE COPIES.
Unauthorized Alteration to this map is a
violation of Section 7209, Subdivision
2 of the New York State Education Law.
1.. MAP OF A PORTION OF LANDS OF ALICE CORRIGAN, TOWN OF
QUEENSBURY DATED MAY 3, 1982 BY W.J. ROURKE ASSOCIATES;
L.L.S.
2. WARREN COUNTY, TOWN OF QUEENSBURY
TAX MAP # 39-1-61.2; LIBER 646 PAGE 913.
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MAP OF SURVEY
of lands of-
THOMAS CORRIGAN
TO WN OF QUEENSBUR Y,
SCALE: I" = 20'
WILL/AN J. ROURXE, LACE'N LA ON SURVEYOR A#49098
WARREN COUNTY, NEW YORK
SEPT. 10, 1999
W. ✓. ROURKE,, ASSOCIATES
Licensed Land Surveyors
10264 Saratoga Rood, P. 0. Box 1434
'South S/ens Falls, N. Y. 12803
JOB N4
99-154
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