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98-153 _ .. . . _ . . . i w,rc"�r..�. .;�Y..:r 3.Ri{:..a^.. �:,. . ..,,� .,::K_-'�+,a••tre��r;..w.. ,-.. . . ri. . :. CERTIFICATE OF OCCUPANCY TOWN OF QUEENSOURY WARREN COUNTY, NEW YORK September 18 98 Date t 9 — § s153 This is to certify that work requested to be done as shown by Permit No. has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a 11 SUNNYSIDE NORTH M Location KAIN , JEFFER.Y & MICHELLE der TAX MAP N0 . 4 9 . -- 1 - A . 1 By Order Town Board TOWN OF QUEENNSIBURY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 115000TOWN OF +QUEENSBURY No 98153 TAX MAP NO . 49 . — 1 - 4 . 1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to KAJ1N r JE'taFERY & MT f iiR!TMUR OWNER of property located at JUN PER DR . Street, Road or Ave. in the Town of Oueensbury, To Construct or place a _ __ TMaT.Tr 1PPAMILY D ET.T.Tma 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. OWNERS Address is COR OF SUNNYSIDE NO . &JUNIPER QUEENSBURYr NY 12804 2. CONTRACTOR or 13UI L06R"S Name CHAMPAGNE , FRED 3. CONTRACTOR or BUILDERS Address 4. ARCHITECTS Name NEW YORK BOARD S. ARCHITECT'S Address NEW YORK BOARD OF FIRE UNDERWRITERS 6. TYPE of Construction — (Please indicate by X1 SINGLE FAMILY DWELLING i ) Wood Frame l Masonry I I Steel I I 7. PLANS and Specifications 215NO— SQ FT SINGLE FAMILY DWELLING WITH 2 —CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATION'S S, Proposed Use SINGLE FAMILY DWELLING $ 275 PERMIT FEE PAID — THIS PERMIT EXPIRES Apri 1 23 19 2000 (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 ttie expiration date.) Dated at the Town of Queensbury this 2 .3 Day of Apr i 1 19 19 SIGNED BY �S for the Town of Queensbury Building and Zoning inspector ... - Building Permit Application 701,V11 of +QI, eensllut y - Dept, r, Coutrr unity Develolvrte+tl, 742 Ilrtip Rdmd, Queerrsbrery, Nl' 128W 1761-82561 BUILDING & CODE ENFORCEAIENT NOTICE Requirelncnls prior to issuance of this permit: FPER NCO, A r�crrmil must be olatnined Uetore r� l�cginning construction. No inspeclicutis PAID I will he mnde until sppticant hag received 0 7Arrirlg Ertl Action , a VAL(D BUILDING PERMIT. All Amn ! Use I�EE PAI[Wrlicanls' spaces un this applicationMUST he completed and the signature Q Planning Board Action Y.• of the applicant must appear on the Spit I %%21xfiVi41031 I "her F++Nrrirrg lr�sr.rn++r 1pplicntion form. zrv..x >+.. Re renhorb Fee Payment Appiicarri: t ! i" Owner: %0 .►7s Address: � ,� d it G l �� Address: SA tottc # ( 'LIe0 .t^rf _ �7t`" � r 1'hctttcy#� Properly Locntion: +C �l.' .t.� rr .t. �.! " �T3 . .. r .1.....}... 1 ` fart Malt Nutlllrt+r lttavil�rtt illtx+k 1 (it ,iltl�tllvl�ll►ll � ttntt+ i - NATURE OF PROPOSED WORK t ESTIMATED MARKET VALUE F Tlin 400�tqew pudding ; CpNSTRUC'l' xON : $ 49 "e.kG7r —� r. -ids3ns,s�� commercial Addition to Building : residence / commercial C3CCUPlLNCY IUFartMllTlaN : Alteration to Dullding : Yrim y Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family no change to exterior size Family Dwell�a err7�'� r � - . office Other work ( describe below ) Mercantile Manufacturing APR . 15 Others4iY GROSS AREA OF PROPOSED STRUCTURE o2() rO4,Pvo ' If ADDITION , what r���'1: txs --•-p let Floor . . . . . . . . lsl� aq . t - of new addition be ? : 2.. nd .Floor . . . . . . . . �� sq . ft . Other Floors . . . . * sq . ft� ( not unfinished cellar or basemen ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL FLOOR AREA : _ ; ,w�! SQ • FT . y►► Attached Garage 1 r car Private Storage Huil ins SIZE OF NEW STRUCTURE : Commercial Storage Building Other 145 FEET X _ FEET Foundation Type * �Cfral�.►' Will any second- hand or ungraded Number of Storiese . . lumbebe used ? If so , for wl <aL7 ( habitable space only ) Height ( grade to ridge ) : feet TYPE or mEATING SYSTEM : Number of fireplaceses�or woo strove ( circle all icti r appli s ) to be installed : Electric / / Gas / &ood Forced Hot AI / Baseboard / other Person responsible for supervision of work as regards t building����� codes i e e :6 �` +A ' - 44nt S Naime Addresses Phone nuilder : Plumber : Maacrn : F. lectriciao DEC'LARATIGIN.• Please sign below after- you leave carefully read the staternerlt. To the best of my knowledge tJte statements contained in this application, together with the plans and specifications subrnittcd, are a true and complete statement of all proposed work to be done on the described ,premises and that all provisions or the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and Hutt such work is authoriv_ed by the owlier. Further, it is understood that t/we shall submit prior to a Ccrtilicate or Occupancy' or Cerlificatc of Compliance being issued, an AS BUUI T PLOT PLAN by a licensed surveyor; drawn/tjoscale, showing actual location of project an premises. Signature: -{� -- (owner, owner's ag nt, rchitect, cotitractor) Application for SEPTIC DISPOSAL . PERMIT Towu or t es6uri CJ Per nit No, Dept- of Co ?v-ity Devevloprnent BuiM'"=a & Codes Office 742 Say Road Fee Paid S Qi.:oe,sbt.z:7" . NY 129C4 Lccacon of property for installation.: i Praperry Q-Wmz er's Name: f 2_ ,5� 14=04al2E' l Proper- v Owner's Mailing Address : 7,2 ,3 cp u zcyae�lal inst L'er's Name: I! `:• I PbCne Number or bedrooms (1z residenrai) : _ ^ Z Tonal dawn flaw: (:esd.endal - coMiDuce t 150 Tc^c pn�r: r�ar, coiLn s:e� slcce ! C� '� of sfcue ? „ :; • w, 5011 NNav=e: Y" sand, �.a2..^I, Ct.:v, APR 15 IM GroL:.r;d warmer: at w'hnt dep&^` Feet l Be,. .-ocs cr L�^e^.-:oTLs :vlwte::a.] : at we ,Td��M,? zer F ; .... =Gtrraa tast. I SLV r. •r+r, Ln1.-.'..'.:�.��, LAwLJ�. cf'.r -�I�..�. j .. -. . . .. c.Crnesdc w2ter a `wTELL , a*w s-= 11; C.:1 54�=,c absor x ae s PR.CPOSZD SY•Si�f Tile held: each tread See=ge pitfs): umber of / sire �i 'a; ft by Sipe of s:cre :0 be L:sed: / d�c�. or, ' Emicx- r'e=: t'1CLDLN;G TANX SY{SSTF-Nf (li re Ldzed) } ?Lu-r system 3 asaocato eloutr=al cvc� to bx:� =ffcecze3 b+ a c=r Cd Fc you ec4*c. ' rleasa Dace c'aae m 9 9nr to 5acix n 136-29 o[ � Cz * of � Town a Qrrx- bu , is ba-% d upcn or ;a gr=n:tr_r? =. rr►]:� 4b cv::;a z::'> psi .�:.s� ar fig.'_^v .r. rask;:5 a oc behni..f of m g=p Lc sra.II rem,'=r c-�: svich r"pdcam to t!::A acoUca •= mac! &S=g s sL^ri5 eras scnci ail : � i. cxr o: a Tcccn ui 5aairat_+ sawago LT.Sccasl Ordbater=n. or :e5;�ars:bie �zrson : � � ENERGY CODE COMPLIANCE APPLICATION sY' TOWN OF QUEENSBURY , WARREN COUNTY s 9000 HEATING DEGREE DAYS APR 15 1M Compliance Methods : PART 5 - Acceptable Practice Methb ` , GC - 1 & 2 Family Dwellings ( on1f)'. . _._.... 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 APa � rCAivT ' S NA.ME : PROPER,TY LOCATION : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : Gross Floor Area square feet 2 . `I'-VrDe of Heat - Electric L �OiI Gas Other 3 . _ s building mechanically coaled ? r.--' yes No 4 . Percentage of area of windows and doors Over 17 % .fJnder 17 % 5 . R - 71A UiS FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-T7ALTJES AS S ,0v4N ON PLANS SUBMITTED : a . Roof R b . Exterior walls R c . Glazed areas d . Sxter : or doors R '3 e . Floors over unheated spaces R _ = Edge of slab on grade ( heated building ) R g . Basement / cellar walls ( above grade ) Basement / cellar walls ( below grade ) R i . " eating/ cooling-ducts - piping in unheated space R 6 . Serufice ( domestic ) hot water heating. device Conforms to m '_ nimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Ace c Signature Date / Phone Number �. D ` 2 75 INSPEC TOR ' S RE_7ML RKS 1 TOWN OF Q UEENSBURY 742 Bay Rd., ©ueensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date J4 Lz i -2 `"'� , 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 "'� � Pc--�J C_AN��y� Cz�._:. APPUANCE (check appropriate boxes) Address ❑ STOVE: a Wood ❑ Coal o Pellet a Gas % ❑ FIREPLACE INSERT \/ Zip C3 FIREPLACE, FACTORY-BUILT: ❑ Wood ❑ Gas Phone ❑ FIREPLACE, MASONRY : o Woad ❑ Gas Owner [I FURNACE: p Wood ❑ Gas ❑ Oil Address 1 �, IF NON-MASONRY APPLIANCE: Manufacturer: Zip Model : Phone '" -- 5 CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction © MASONRY: © Block © Brick ❑ Stone > FLUE: 0 Tile ❑ Steel Size,: inches CONSTRUCTION f NSTALLATION MUST ❑ FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS c7 Double Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated ❑ Direct Venting a Chimney Liner Cashier' s Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded 'r Code Number Title i A 173 3389 (190 ) Public Safety A 233 2655 (234) Minor Sales 1 Fee Collected Frog Refunded to: `f� 1 Dated: _, Town Clerk or Deputy. White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink A Goldenrod: Cashier's Dept. M. . i RESIDENTIAL FINAL ]INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development .Arrive � Depart Town of Queensbury InspecWr's Initials 742 Bay Road Queensbury, New York 12804 NAME PERMIT # J LOCATION DATE "TYPE OF STRUCTTJRE NIA YES NO COMME14TS Chimney HeightP'B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Root'Complete VOL Exterior Finish Complete Interior/Exterior Railings 30" tfs3 Exterior Handrails, balconies, 1g I in. or mare Interior Handrails stairs both sior ore risers Grade 2% away from foundatio 8" clearance to sill plate Gas Valve shut-o exposed/reg ator 11 above grade Gas Furnace shut within 30 t or in line of site Oil Furnace shut-o entrance ce area Furnace/Hot Water Hea Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Han stairs, 6 It. in. Ilarrdrail drail exterior stairs both sidevmore llran 3 risers Interior privacy/trirn/doors/mairr trance 36" Floor Finish Bathroom/Kitchen watertight Interior handrails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/a hour fire door/door closer Gamge fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glaring i W" or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) Okav to issue temp_ C/O (Ccibf. of Occupancy) Okay to issue permanent C/O (Certif. of Occupancy) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 41 -i459_/ BUREAU OF ELECTRICITY 111 WASHINGTON AVE., SUIT , ANY, NY 12210 ate SEPTEMBER 2 ::3 , 1998 pie 43 67498 / 98 A 136626 THIS CERTIFIES THAT � QO `enle 153 only the electrical equipment as described below and introduced by the'`e lr`lecarrt-Warned on the above application number is in the premises of JEF'F KAIN , 11 SUNNYSIDE NORTH , QUEENSBBURY , NY in the following location; ® Basement ® Ise Fl. fs 12nd FL GAR Section Bloch Lot was examined on SEPTLMBF.,R 17 , 1998 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT- K.W. AMT. K.W. AMT. H.P- 58 66 64 48 6 1 1 . 5 5 r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS M SYSTEMS UTLEI DIMMERS AMT- K.W. OIL H.P. GAS H.P. AMT. NO. A. W. G. AMT. AMP, AMT. AMPS. TRANS. AMT. H.P. NO. OF FEET AMi. WATTS 2 F 1 50 1 SERVICE DISCONNECT NO. OF S E R V I C E METER Np, OF CC COMP- A_ W. G. A, W. G- A. W. G. AMT. AMP. TYPE EQUIP. 10 2W 1 0 }W S Q SW J 0 4W pFR i OF CC. COND. NO, OF HI-LEG OF HI-LEG NO. OF NEUTRALS OF NEUTRAL 1 zee rB 1 X 1 4 /11 4 /e OTHER APPARATUS: CEILING FAN- 3 MOTORS : 1- 3 H . P . , 1 -F H . P . G . F . C , I : -9 SHOKE DETECTOR : - 6 BOB MURTHA � L 91 HANNIS RU . GLENS FALLS , NY , 12804- 1306 GENERAL MANAGER 239 per This certificate must not be altered In any manner, retum to the off Ice of the Board if incorrect. Inspectors may be Identified by their credentlals. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: ,, + Building & Code Enforcement Dept. of Community Development Arrive am/pm Deparo .�rn/ptrt / Town of Queensbury } Inspector's Initials 742 Bay Road 3i a ,� cri+ wff*vo• QueensbiVy, 14ew York 128844 1O] t.�`V1 1 NIA PERMrf # G7 r LOCATION ' C DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Extensor Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stair's both sides 3 or more risers Grade 2% away om foundation 8" clearance t st late Gas Valve shut lx reg 8" above de y Gas Furnace shu fL within. a of site Oil Furnace shut-oft' a ce to furnace area FurittaccJllot Water ter operating Relief Vaive(s) i led Headroom, 6 6 in, on stairs Basement 6 fl_ A in. Handrail exterior stairs both sides more than 3-risers. Interior privacy/trim/doors/mam entrance 36" Floor Finish BathroonvXitchen watertight Interior Handrails BalconiewLanding 18 in, or more Flailing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom J inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/a hour fire door/door closer 5L �tlN7s Garage fireproofing, Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor. Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okav to issue CIC (Certif of Compliance) _....._....... Okay to issue temp. CIO (Certif, of Occupancy)_ Okay to issue permanent C/O (Certif of Occupancy) my) OF QQUEEN`$BUR"f� FIRE MARSHAL QUEENSBURY. NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION Rj�RT --�-`y= REQUEST FOR INSPECTION RECEIVED NAME LOCATION 1 DATE PERMIT # APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTE HOOD INSTALLATION ,AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRI KLERS CLEARANCE TO HE ING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE - MASO RY FIREPLACE - FACT RY BUILT REMARKS: OK TO THIS DATE i 1NSPSUP,PUB OINSPE 4 C� TO OF QUEENSBURY FkRE MARSHAL QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR I SPECTION RECEIVED IL 7d NAME LOCATION DATE PERMIT # ,- APPROVED NIA YES NO E S 1 AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLER CLEARANCE TO HEATING NITS _ REQUIRED SIGNAGE CHIMNEY . 7 W OO DSTOV E pp 11q .1qpllqpllqp� FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: ❑ OK TO THIS DATE INSPSLIPRUB NSPECT n - - TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT q REQUEST FOR INSPECTION RECEIVED NAME LOCATION ►� u � — { DATE PERMIT # fp,.�c3 APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING i FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYST 1 HOOD INSTALLATION AUTO. SPRjNKLER SYSTEM j ALARM STEM 1 INTERIOR FINISH STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY W OODSTOV E FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: ❑ OK TO THIS DATE i i SPE INSPSLIP.PUB GENERAL INSPEt:,7'lC?N REPORT Town of Queensbury Dept. of Community Development Date inspection request received* Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive' r�Yam7,sr„ d'r`) Inspector's Ifnitis �• NAME: PERMIT # LOCATION: DATE : TYPE OF STRUCTURE: RECHECK r NIA YES NO CON04ENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respansib for providing protection from for 48 hours following the ent of the concrete. Materials for this purpose on si Foundation)Wallpour Reinforcement in Place Foundation/Dampproofin Back1511 Approval Plumbing Under Slab Plumbing VentlVents in Place Ro Plumbin H ting Rou -In ation Foundation Walls Interior R- �t Qki?pit s:5 ,g� Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frar nin Jack Studs/Headexs BracinglBridgin Joist Hangers Jack Posts/Main Beam Aix Inftltrution Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hoar Firestoppin GENERAL INAPECT N REPORT Town of Queensbury ,� U Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road u�- Queensbury, NY 12844 Arrive2 ` � "�•"'� BePs Inspector's Initial 'NA 4E: � •r- �-- ' ' PERMIT # LOCATION: �I {� A-��Urrt- DATE : TYPE OF STRUC'�URE: r-R-----• I RECHECK ''1ti NIA YES NO COMMENTS FooPes Mot I Pour Form Reinforcement in Place The contractor is responsi le for providing protection from ing for 48 hours following the he men of the concrete. Materials for this purpose on si Foundation/Wall Reinforcement in Place FoundatianlDa npproo5n Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In 'elation Foundation Wails Interior Foundation Walls Exterior R- Floors R Walls Ceiling Duct work or piping in unheated spaces - Proper Vent, Attic Vent Franumng. Jack Studs/Headers BracinglBridging Joist Hangers Jack Posts/Main Beam. Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin t TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 'Say Road Queensbury NY IM04 i (518) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION j Name AJAAZ Location 1�• t Date Permit # 8 SOIL TYPE : and oa Clay- Results Percol ati o Test- ( if applicable ) Rate-M ute/I ch. r TYPE OF SYSTEM: ABSORPTION FIELD : Total en the Length of each trench _ Depth of trenches Size of stone �zk SEEPAGE PITS: Number. Size - ft , x to Stonesize PIPING : Si a ype Bldg . to Tank Tank to Dist . Box 1 Dist . Box to Field/Pi K Openings Sealed ? No ar is LOCATION/SEPARATI Foundation to Tank fe Foundation to Absorpt on fee t Separation of Pits eet onforms as per Plot lan es No LOCATION OF SYSTEM PROPER ( circle one) Front - Rear - Left ide - i t -tide Middle Front - Mi ddl Rear COMMENTS : O't rA4 L+L'= SYSTEM USE APPROVED : YES NO Arrived : Departed : ui ding nsp ce for i 1 APR o fRF IR 5;78 JUN 2 9 l 3 CD `1+ 55. 78' Cy' CD * 1 h ve en or observed, or believe I saw erne of, - C� all bj is such as houses, welts, trees, fences, etc.`,- �` 3� 57, 250 r"7 s ow on this document 1 also represent that I have er nally measured the distances set forth on the diagram#." -c- - 2 S E AF DA Es, ss # ~ s GENERAL INSPECTlO1V REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building Ili Code Enforcement 742 Bay Road s Queensbury, NY 12804 Arrive am/pm Depa a2/p�n Inspector's indttiapls �GX NAME: ,�, PERMIT # -}---/--0- /� LOCATION: _ 3 , , +� }G DATE : *-.icy � `) TYPE OF STRUCTURE: - J RECHECK N/A YES WO COMMENTS FootingsfPiers 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/C7ampproofin Backfill Approval Plumbing Under Slab Plumbing Ventf 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 Firestoppin �~ GENERAL MPECTION REPORT Town of Quebury � Dept! of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive/0 "{ a �vpm Depart/ Q PM Inspector's Initials G•-� NAME: PERMIT # LOCATION: DATE : ' TYPE OF STRUCTURE: �`-, RECHECK _— N/A YES NO CONfNILNTS Footings/Piers i Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the p ent of the concrete. Materials for this purpose o site Foundation/Walipour Reinforcement in P1 _ Foundation/Dam fing`_ 8auckl~iU Approval Plumbing Under Slab Pl g7in is in ace + / r ugh PluA*& Heating R Insulation Foundalls Interior R- Foundals Exterior R- FloorsR- WallsR- CeilingR- Duct wping inunhees R- Proper VeVent Framin lack Studs/Headers Bracing/Bridging Joist Hangers lack Posts/Main Beam Air Infiltration Barrier. Fire Separation. I, 2, 3, hour._ Penetration Sealed _ Fire Wall 2. 35 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Roadit 742 Ba Road ury, NY 12gild Arrive am/pm Depart 1` 1� / Inspector's Initials - NAME: K •t w PERNIIT # --VW LOCATION• r = DATE : TYPE OF STRUCTURE RECHECK N/A YES NO cCLMMBNTS Footings/piers_ Monolithic Pour IF Reinforcement in Place The contractor Ls responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundationfWallpour Reinforcement in Place Foundation/Damppr ng Backfili Approval Plumbing Lander Slab Plumbing Vent/Ven n P Rough Plumbing - Heating Rough- r— 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/Bridg ing oist Hangers_ / Jack Posts/Main Seam I Air infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed..- Fire Wall 2, 3 . 4 hour Firestopping lei 1VERAL IN WEC'T'ICW RE.PQRT GE Town of Queensbury Dept. of Community Development Date inspection request received: Building, & Code Enforcement 742 Bay Road `� ` �antlpm Depart ` �� t 'Pm Queensbury: NY 128Qd Arrive ;� i . Inspector's Initials k� C ✓ PERMIT # NAME: DATE : Y LOCATION Sir 3-1 l r 1` TYPE. OF STRUCTURE: RECHECK N/A 'YES NO COMMENTS I FootingsfPiers 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 Foundationf Wallpour Reinforcement in Puce ,7 Foundation/Dampproofin t' i 1 t i Backfill Approval r' t Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin l eating, Rougp�n 4/Insulation_ / 1 , -C Foundation Walls Interior R- Foundai ion Walls Exterior R- Floors R- Wails R- Ceiling R- Duct worts ar piping in unheated spaces R- _ Proper Vent, Attic Vent Framing jack Studs/Headers BracingBridgin Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1 . 2. 3. hour Penetration Sealed Fire Wail 2. 3. 4 hour Firestoppin GENERAL, INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbur•y, NY 12804 Arrives am/pm Depart' pin Inspector's Initials -�1PIZ_.. NAME: PERMIT # _ ) 5 LOCATION- DATE : d I c Q TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers_ Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing prote:tion from freezing for 48 hours following the placement of the concrete. Materials for this purpose on si Foundation,(Wallpour Reinforcement in place Foundatio n/Da mpproofi ng Backfill Approval Plumbing Under Slab Plumbing Vent/Ven to Place Rough Plumbing __ . Heating Rough-i r Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R_ Ceiling R- _ Duct work or piping in unheated spaces R- r Vent, Attic Vent raining Jack Studs/Headers r''BracingBridg.ing Zist Hangers- Jack Posts/Mein Beam Air Infiltration Barrier Fire Separation 1 . 2. 3 . hour Penetration Sealed Fire Wall 2. 3. 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbnry Dept. of Community Development Date inspection request received: Building & Code Enforcement artb pe 1i �, . atn/ 742 Bay Road Queensbury, NY 12804 Arrive L.i am/prn p pm Inspector's Initials `'✓ NAME 22� �5 ��'1 - PERMIT #L OCAT1C7tiDATETYPE OF STRUCT RECHECK N/A YES NO CpMNIENTS 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 concre Materials for this rpose o ite Foundation/Wallpo Reinforcement in PI Foun,dation/Dampp Ping Baekfill Approval Plumbing Under S b _ Plumbing Vent/V nts in Place (tough Plumbing. HeatingRough-Ir 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 'Went n ng Jack studs/Headers Bracing/Brid€"ing Joist Hangcrs_ Qk Ar, AJ C 14 uC- VQ, jack Posts/Main Beam Air Infiltration Barrier /� � � Fire Separation 1 . 2, 3, hour A Penetration Sealed Fire Wall 2. 3. 4 hour. Fi restopping GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request reccived: Building & Code Enforcement ', '742 Bay Road Queensbury, NY 12804 Arriv Sr=vpm Depart / - a Inspector's Ynkials NAME: LLLI[ . PERMIT w LQCATION: DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is nsi a fa providing protection ing for 48 hours following a la ment of the concrete_ Materials for this purpose on site FoundationfWallpoor Reinforcement in Place FoundationlDampproofin 1,/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 .foist Hangers jack Posts/Main Beam Air Infiltration Barrier. Fire Separation 1 . 2. 3, hour Penetration Sealed Fire Wall 2. 3. 4 hour Firestopping R } GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arriv�j t J`7 anVpm Depart f Inspector's Initials NAME: Cam" 1 Gu r _ PERMIT # `�S LOCA"ON ..f /Cry .•CJ • DATE : /f TYPE OF STRUCTURE: e5ill RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible fo providing protection from g for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place�_;,__.� FoundationlDampproofin _ ,/Bacl itl Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin ' Heating Rough-In d Insulation Foundation Walls Interior/ R- Foundation Walls Exterior R- Floors - Walls Ceiling R- Duct work or piping inl unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Leaders Bracing/Bridgin Joist Hangers Jack Posts/Main Bea Air Infiltration Barrier Fire Separation 1 , 2. 3, hour _ Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping GENERAL IN.SPECTIO?N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrivi a [ put DeparE-� m/ �+ Inspector's In, iittis s NP►ME: l_ 6 PERMIT # LOCATION: v vv', 5rn �tJ DATE : TYPE OF STRUC'I`[3RE: RE HECK N/A YE O COMMENTS ootings/Piers l onolithic Pour Form u Reilrf'orcentent in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement r r of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi Backfill Approval Plumbing Under Sin Plumbing Vent/V is in Place Rough Plumbin Beating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- W alls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic `gent Framing lack Studs/Headers Bracing/Bridgi ng 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 INsPECTI©N REPORT - Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ` Queensbury, NY 12804 Arrive F3amlpm Depart s a inspector's Initials NAME: � HW1:�-. r PERMIT 4 LOCATION: . . ,r��. . , ,.{ ) DATE : s � TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footingst ers 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 purpole on s'te rr oundationf Wallpour 1 Reinforcement in Place O-e- Rf 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- W al is R- Ceiling, R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging .foist Hangers lack Posts/Main Beam Air Infiltration Barrier_ Fire Separation 1 , 2. 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping NERAL INSPECTION REP0 � � a Town of Queensbury received: Dept. of Community Development Date inspection request Building & Code Enforcement000 742 Bay Road A�rriw Wpm Depart - amlpm Queensbury, NY 12804 Inspector's lrlrtlals ( PERMIT # NAME: DATE LOCATION:TYPE ~� r TYPE OF STRUC �] RECMECK N/A 1<vo [)0h7CV1E'WN;;Stingsfpiers � �_. Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fkx= for 48 hours following the pl ment of the concrete_ Reef R&CA 1::70 Materials for this purpose rte �°undationlWallpourq V,Reinforcement in Ph d•C Fou ndation/Dampproofi Backfrll Approval Plumbing Under Sl Plumbing Vent/Vents in Place Rough Plumbins___,,_—...__. Heating Rough-In insulation Foundation Walls interior R- Foundation Walls Exterior R- Floors R- Walis R- ceiling R- Duct work or piping in unheated spaces R- proper Vent, Attic Vent Framing jack. Studs/Headers Bracing/Bridgin Joist Hangers lack posts/Main Beam Air infiltration Barrier Fire Separation 1 . 2. 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Fi restopping 1 ' FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 1 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # 1 NAME JL LOCATION SCHEDULE INSPECTION CAN -1b=1C3 AM PM ANYTIME APPROVED 4YESYES EXITS AISLE WIDTHS �_.. EXIT SIGNS 1 EMERGENCY LIGHTING FIRE EXTINGUISHERS r FIRE ALARM SYSTEM ---- _ • _—_. _- -_ FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYST _ HOOD INSTALLATION i INTERIOR FINISH S ORAGE: _ -- ' E TO SPRINKLERS CL NCE TO HEATING UNITS REQUIRED IGNAGE I CH1M W D STOVE _ FIREPLACE - MASONRY _ FIREPLACE - FACTORY BUILT { REMARKS: OK TO THIS DATE i 4 1� 3 i i ,p VNS MAP REFERENCE FREDERICK L. & BARBARA M. CHAMPAGNE MADE BY RICHARD W. BENNETT AUGUST 24,1987 REVISED: SEPT. 8,1987, MAY 1, '"q0 \ 44.92' ' S78•0 20„E 56. 88 105.21' / AREA 31,579 sq. ft 0.725 acres 54.53' RF U.1 APPROXIMATE ® WELL LOCATION To N70•51, 22Q01, p IRF ow PP W 1 r YsI� ZONING INFORMATION: 0A.0 ZONED RR-3A MINIMUM LOT SIZE 3 ACRES LEGEND: SETBACK REQUIREMENTS FRONT 50' SIDES 30' I.P.F. = IRON PIPE FOUND REAR 30' \\ I.R.F. = IRON ROD FOUND MAXIMUM BUILDING HEIGHT 35 MINIMUM X OF LOT TO BE PERMEABLE 75% Date A , IM IHMW ALAMAAOI OI AGOAOU 7D A XAIWY ' j-� w►1NNU.� A � ►" UWA-M � 0 A Map of a Survey made for Scale 1'=30' ",� VICAAGM OF SMi M T^ U1111-oAMIOM X W M " VOW SIAIE MKAIM LAW 'OILY Cam FM AE OaM& S1kY & Steves MAIM GMII AM aGGMAL OF AE LAND SU tiaa — VALID �`V"�`�`W JEFFREY & MICHELLE KAIN '09FIlIfAymn ="= mO xawf MAT Alb 7{MIEY ■AS FIIltAIl,O M LAW IIIN INIFI AM OISIMO OSfE Q' PRAR7110E F'GR WID �,IRY11016 AD07lD Land u r v e y ors, SY AE Il1P YOM STAR MICATADM @ LL am OIAL WO SAID CEt1fIGA0NS 9WL 1lMM OlY TO W PUAM FOR WN At G)wWIN b PIWARIA AND 2 5-25-98 ZONING INFORMATION ON IM GEHAIF M WE 7= OMPAMY. GOM7SYMIRAL SHEET 1 OF 1 37 Chester Street Glens Falls, New York 12801 �"�; OF ,G Am Town of Queensbury, Warren County, New York 1 5-21-98 HOUSE LOCATION KAIN (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCR1P77ON DWG. NO. 98048