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98-251 CERTIFICATE C►F OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK July 27 98 Date 19 �Dl• '� � L.. - f d 9 $ 251 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 12 WILLOW RD . Location CLUTE , LARRY Comer TAX MAP NO . 90 . - 8 - 56 BY Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE S 100000 TOWN OF QUEENSSURY No. 98251 TAX MAP NO . 90 . - 8 - 56 WAR REN COUNTY. NEW PORK PERMISSION is hereby granted to CLUTE r LARRY OWNER of property located at 12 WILLOW RD . Street. Road or Ave. in the Town of Oueensbury, To Construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t. OWNER"S Address is 13 DAWN RD . QUEENSBURY , NY 12804 2. CONTRACTOR or BUILDER'S Narna CLUTE ENTERPRISESr INC . 3. CONTRACTOR or BUILDER'S Address 13 DAWN ROAD QUEENSBURYe NY 12804 4. ARCHMCT'S Name COMMONWEALTH ELECTRICAL AGENCY 5P&9 imcT dress HAGUEr NY 12836 6. TYPE of Construction — (Please ittdicata by X) SINGLE FAMILY DWELLING 1 } WCH20d Frame I I Masonry R I Steel f 1 7. PLANS and Specifications 1791tr§Q FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS S. Proposed Use SINGLE FAMILY DWELLING 251 May 20 2000 PERMIT FEE PAID — THIS PERMIT EXPIRES 19 ill a longer period is required an application for an ertenslon mum be evade to the Building and Zoning inspector of the town or Oueensbury bafone the *rpiration date.1 20 May 19 Dated at the Town of Queensbury this Day of do _...... 19 SIGNED 8Y for the Town of 4ueensbury Building end Z ning I Budd! tg Pernut Application �7o - 'own of QueeI soul y w Dept. of Cortruitttrlty Detrelolmie►u, 742 Day Road, Qtteettrbiny, NY 12804 1761-82561 BUILDING & . CODE ENFORCEMENT T _ Requirements prior to issuance A hermit rnust be obtained berore of this permit: PERMIT FILE NO. beginning construction. No inspections will be made until applicant has received 0 Zo►rl►sg Berard Action PERAUT FEE PAID F a VALID >BUILDIN G PE RM1T. All Area ! Vac RRCRE�t7TQN FE rt npplicanls spaces on this application o UST pp scan letedmust app appear signature �] Plaluting Board Actlou REVIEWED or ttre applicant must appear art the st>R ! Sirbdivisiaxr f officelicntion terra. r� .ar ,rrfdlrr r ! or Recreation Fee payment Applicant: _ ( _ e -� 1 �'�---a - l � Ow lie - - Address: \ c +-✓_ QJ Address: MAY 14 1998 � r w w.n a.ti.wrnr wwww.www '" ......+Yww� wwwr.lr+w wwwwwr.y ltrt►llurly l .tlurti�tlnl T �-•.._.3' _.�.---- - - - _ _ _— �7____ Subdivision Nainc: __ . .r• 'o Tax Mint Numbor " Section Illirck Int NATU E OF PROPOSED WORK : � ! [,, ESTIMIITEL) MARKET Vl►I.UB OF THE suilding0 3S CONISTRUCTXOH $ ,ca residence / commercial Addition to iluildirtge `tee.. �+ U residence / commercial r, OCCUPANCY INFORMATIONS Alteration to Building * Cr ry Building - residence / commere / Single Family Dwelling Residence / Commercial b C6 Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile ManufacEuring Other GROSS AREA Or PROPOSED STRUCTURII lot floor . . . . . . . . If ADD ITIONt what will use 2nd ,floor . . . . . . . . sq . ft . of new addition be7s Outer Floors . . . . . _ sq . ft , ( not unfinished cellar or basement) ACCESSORY tstrx >;DFNas t Detached Garage 1 , 2 car TOTAL FLOOR AREA .+ a: CT � SQ . F T F . Attached Garage 1 , �c Private Storage Su1.116c SIZE ^Or NEW STRUCTURE *: Commercial Storage Building ca' FEET X . t +► FEET other Foundation Type : Will any second-- hand or ungraded Number of stories: 1 lumber be used ? If not for what ? � ( habitable space only ) , Height ( grade to ridge ) : feet "TYPE OF HEATING SYSTEMf Number of fireplaces and/or woo stave ( circle all which a llea ) to be Installed : /E Aood l+'orced liot "A / Badleboard / Other Person reisponsible for supervIelon of work aregards to bullding . codes is : sm'> S 36mr Nettle 1yd lre6BB Phone Builder : Plumbers Maocino Electriciall s DECLARAT1Tt7N.• Please sign below gf}er' you !rave carefully read Ilse statement, To the best of my knowledge the statements contained in this application, logedier with lite plans and specifications submitted, arc a true and complete statement of all proposed work to be clone on flte described preiniscs and brat all provisions of lire Building Code, the Zoning Ordinance and all other laws pertaining to the posed work: shall be coniplied with, witeflrer specified or noted, and ttr.rt such work is antic ' eci tt the owner. Flo-flier, it is ruiderslood dial I/we shall subnrit prior to a Certificate of Qccc rtcy yr Certificate o tnpliance being issued, an AS BUILT PLt7I' PLAT I by a licensed strry or; drawn to scale, Dwin act location of project oft premises. Signature: X: (ovGner, oer's agent, arclti t, contractor) TOWN OF QV E NSBURY 742 Bay Rd., Queensbury , NY 12804 + I APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date _ Li , 19 Permit Nov yY kk Z APPLICATION IS HEREBY MADE to the Building }Dept. for the issgance 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 andfor chimney. Applicant APPLIANCE (check appropriate boxes) Address �71 CN%Y>� , 1,:` 1 o STOV : ❑ Wood car Coal o Pellet ❑ Gas ❑ FIRW4PLACE INSERT Zip EPLACE, FACTO RY-BV LT: Wood wooGas Phone ❑ FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner ❑ FURNACE: ❑ Wood ❑ Gas p Oil Address IF NON-MASONRY APPLIANCE : Manufacturer: Zip Model : . Phone CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction © MASONRY : ❑ Block ❑ Brick ❑ Stone �- FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTION I INSTALLATION MUST ❑ FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Waff ❑ Triple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190) Public Safety A 233 2655 (230) Minor Sales Fee Collected From or Refunded Address: lei Dated : — Town Clerk or Deputy: f r White: Applicant Green: Fire Marshal Yellow: Bldg. D Pink A Goldenrod: Cashier's Dept. ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURYr WARREN COUNTY 9000 HEATING DEGREE DAYS MAY 14 Compliance Methods : PART 5 - Acceptable Practice Method *,r 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 : ti PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - l �� I square feet 2 . Type of Heat - Electric Oil G as Other 3 . Is building mechanically cooled * Yes No 4 . Percentage of area of windows and doors Over 17 % Under 17 % 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a . Roof R b . Exterior walls R co Glazed areas R d . Exterior doors R - e . Floors over unheated spaces R 119 . f . Edge of slab on grade ( heated building ) R -- g . Basement / cellar walls ( above grade ) R --• h . Basement/cellar walls ( below grade ) R i_ . Heating/ cooling-ducts -piping in unheated space R 6 . Service ( domestic ) hot water heating device Con o to minimum efficiency per code _�C _ yes No TEMPERA URE C O IMUM SETTING 1401 - WILL NOT BE EXCEEDED :INSPEC pplic s i na r D tr Phone Number R ' S REMARKS : Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Dept. of Community Development Permit No. Building & Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: L. %A� 4,.ti Property Owner's Name: �� ---► Iti' C _ c Property Owner's Mailing Address: 4._" ``ac� . _a,. '4'a- A �- Installer's Name: Phone # `" 7 17 7 Number of bedrooms (if residential) : 2 Total daily flow: `- (residential - compute Qa 150 gal.Ibdrm.) Topography: �fflat, rolling, steep slope % of slope Soil Nature: >`, sand, loarn, clay, other I depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: not required, required j rate min. per inch ] Domestic water supply: municipal, well, ocher If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank: A+7O gallon (minimurn size: 1 ,000 gal.) Tile field: each trench feet I Total system length: ;ZZ) v feet Seepage pit(s): number of / size each: ft. by ft. Size of stone to be used: # Z� / 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 failure to make a material fact or circumstatnce known. � arx applicant, shall be void. niationa // I have read the reg respect to thus application agree abide by bse all requirements of the Town of Queembury Sanitary Se Disposal Ordinance. / Signature of res nsib ers Date: TOWN OF QUEENSBURY BUILDING 6 CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 { (518) 761-8256 ARRIVE : DEPART : INSP ; FINAL INSPECTION REPORT - RESXDnp4R'AL DATE INSP CT ION REQUEST REC IVEpe ftNqNAME LOCATION DATE I r " PERMIT TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUIiBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N YES NO CHZMEY HEjGfijC/8VEN GHT PLUMBING ROOFING EXTERIORN S CK O STEPS LINGs VALVES NA WRT OPERAT d I RIVAL RS FINISH F S • WATER HT OTHER FLOORS gWEEPABLE OTHER FLOORS C PETE STA EARANC LING OKE DETECTORS S PILUM ING XTU S FouNVATIoN INSULATION RAGE FIRZ PROOFING R FINAL EC CA N VA RNCE N.ejeVA SU VEY dT AN TO ISS C O R C C TOWN OF QUEENSBURY BUILDING & CODE BAY ENFORCEMENT QUEENSBURY NY 12804 ARRIVE : DEPART : ,=. RASP : r l"^1 . INSPECTION REPORT - RESIDENTIAL DATE INSPEFq1ON REQUEST RECEIVED : NAMEPip Jill 11,11C LOCATION DATE ! T RM I T TYPE OF STRUCTURE FOOTINGS FOUN ATION T CIN$ULATION FINAL ELECTRICA LL FRAMING ROUGE ELECTING SEPTIC INSULATION E 1;a FIREPLACE i ^.__. H A IABfi HO CHIMNjFY ki I ii'P V NT it HT - - P U B G VE T Boo N LX TER I0 FIN Ski DECKI CHJS'1SP_S 1 GS ! LIEF ES R C I10'I' W T P I NT fl T I P IV C Rs g�NISH �. ___DpAT /KI'TCIi N W E TI H T E FLOORS SWE A E 0 HER FL{YUSt .CARPS' D STAIR CLEARANCE ) NGS vlcE E EC fl S NS U S N I S ON ON E F R 00 G p NSE c Ic T N V R A F L S R PI'A AJ f . 7gEcmEr�rrr,a�. >�r�vwlr, i►N.�'PF.t'r'1101�7 �Pl3RT' Office No. (s I8) 761-8256 �..--- Insp. Bui �&lding Code Enforcrnent Anrtve• Dept. of Community L1cVelopment Town of Queensbury Date inspection Request Received: 742 Say Road Queensbury, NY 12804 NAME C L,U- PERMIT _, [ LOCATIONS is �7 DATE �- TYPE OF STRUCTURE NO 0 Chimney Height/"B" Vent/Direct Vent Location I J/ � Fresh Air Intakevolf Plumb Vent Through Roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" 36" Exterior Handrails, Ba1c g 1Lin-,o rInterior Handrails Stair oth Si r Rise Grade 2% Away Fro Foundation 8" Clearance To Plate Gas Valve Sh Exposed/Regulator 18" Above Grade Gas Furnac hut-Off within 30 Feet or within Line of Site Oil Furnace Shut-Off at Entrance to Furnace Area Furnace/Hot Water Heater Operating Relief Valve(s) hvstalled Headroom 6 ft. 6 in. On Stairs Basement Stairs 6 ft. 4 in. Handrail Exterior Stairs Both Sides More Than 3 Risers Interior Privacy/Trim/Doors/Main Entrance 36" Floor Finish Bathroom/Kitchen Watertight Interior Handrails Balconies/Landing 18 in. or more Railing Across Window in Stairwells Smoke Detectors: every level L every bedroom outside every bedroom V inter connected Bathroom Fans Plumbing Fixtures oundation Insulation 3/4 How Fire Door/Door Closer 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 Sete PlanfVariance Required nal Survey Plot Plan +9s Built S@p&ie 8gaZ@1rrLayoii1 Rey. u +- 1 / r Okay to Issue 'FAPrnp C/O ta RESIDENTIAL FINAL INSPECTION REPORT pate inspection request received: Ofi'xce No. [518) 7(►1$2S6 _ Building & Code Enforcement Arrive 01 �'�+pm DePart'n- + Dept. of Community Development thspector's thitials �, Q ' Town of Queensbury 742 Bay Itaad Queensbury, New York 12804 PERMIT 1! �j NAME DATE � LOCATION TYPE OF STRUCTURE NIA YE NO C S Chimney I4eigbtl"B" Ventll3irect Vent Location Fresh Air lntake Plumb Vent through roof Roof Complete Exterior Finish Complete lnterior/E or Railings 30" to 36" Exterior drails, balcom m lan 18 in or more Interior thin iIs stairs 'both s 3 more risers Grade 2% a from to on $" clearance to s late � l Gas Valve shut-off sed/re or 18" above grade_ Gas Furnace shut-o wit iT3lTfeei or withinline of site oil Furnace shu ff at entrance to furnace area Furnacell lot stet Hester opera V Relief V s) installed , H m, 6 ft. 6 in. on stairs ent stairs, 6 ft. 4 in. iI exterior stairs both sides more than 3 risers lnt,�nor privacy/trizn/doors/uMin entrance 36" v Floor Finish Bathroom/Kitchen watertight 18 in. or more Interior Handrails Balconiesli. awding Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures +e`, t� C/ 67 Foundation insulation 3/4 hour fire door/door closer (iarage fireproofing Garage penetrations leaded Furnace in separate room protected (in garage) Light ventilation pc-r r m Safety glaring 18'T �sus o "1 i+6 WET tA� C �►2u 1 Final Electrical �5 Site P1anlVariance req ed Final Survey Plot Plan i�3rw{ .{ ✓¢A5 - A!qpc lit +7G'c:5K c /,r As Built SOPMc *000 u+ layout required Okay to issue C/C Wei'& of Compliance} Okav to issue temp. C/O (Certif. of ()ccupancy) 0kav to issue permanent C/O (Certif. of Occupancy) AM TOWN OF QUEENSBURY FIRE MARSHAL �= QUEENSBURY, NY 12804 (518) 751 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME k LOCATION DATE PERMIT # APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTIN SHERS AUTO. EXTING IN SY HOOD INSTALLATIO AUTO. SPRINKLER S STEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE �--- i CHIMNEY W OODSTOV E FIREPLACE - MASONRY /FIREPLACE - F RY Uf T REMARKS: OK TO THIS DATE IPlSPSLIP.PLIB EC COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main. Office 357 Ehvyn Terrace — Manheim, PA 17545 Q 1?. � MUNICIPAL CERTIFICATE - CELECTRICAL APPROVAL Panel Board Nr}}o. . . .. . . . ......... . rrC� ert. 5 `[�7 17 `-" Cut-in Card No. .. .. . . . .......... .. . . . .- Owner , e�012" V,,,,c .GAG T� .. . ... ..-.--I.... .....----..• . .. ... . .. . . .. .. . . . . . . . . . . . . .. .. Occupant . . . . . . ... .. .. .... . ..................... ........- . . . . . . ......--.........e � � /. . . . . Location _..... ... . .. .......... . .. . ... ..... . ._....,.. ...- Installation Consistj n4 o led �.. _ . .}. . . _ ----- ............. . .. . . .. Installed $y _ ..c. A 1 © . ....L7s........ Lic. # . .. . . . . . . . . . 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 ul' date- Lip the introduction of additional equipment or alterations, application shall be. promptly made for inspection, Inspectors of this Company shall have the privilege of mak• g inspe • o S at any time, and if its rulesarre-7 viola Led 4 the CCo[mypany shall have the right to revoke t s,cer ' Date . ".f Z 3 "l tj ---..... ... INSPECTOR4. f � . Member N.F..P.A_, I_A,E,I. GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement {; 742 Bay Road Qhueensbury, NY 12804 Arrive Depaurt Ins is Initials" e NAME: r t � t l ; R PERMIT # ✓ 1 LOCATION: r _ DATE TYPE OF STRUCTURE: RECHECK NfA 'YES NO CONEV ENTS Footings/ners Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from for 48 hours follpwing the cement of the concrete_ v tM Materials for this purpose n site Foundationf'Waltpour Reinforcement in P Foundation/i)atnppr ling. Backfill Approval �_ 2 C` c Plumbing Under lab Plumbing VentfVents in Place Rough Plumbing Hea 0 g Rough-In On Foundation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- l ceiling R- __.... Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers BracmgfBridging Joist Hangers Jack Posts/Main Beans Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Walt 2. 3, 4 hour Firestoppm GENE L INSPECTIpN REPORT Town of Queensbury Dept. of Community Development Date inspection requestreceived*. Building & Code Enforcement 742 Bay Road Queens6ury, NY 12804 Aririve&�a Depana ( tViector'ls Initials NAME: _r t, ( j PERMIT # LOCATION, L� °� 1 r \ ti r� G \ DATE : TYPE OF STRUCTURE: RECI iECK NIA YES NO COMMENTS Footings/Piers F Monolithic Pour Form Reinforcement in Place The contractor is respo ible r providing protection fro for 48 }sours following the nt of the concrete. Materials for this purpose site Foundation/Wallpour Reinforcement in Flace Foundation/i)ampprooSn BackCll Approval _ Plumbing Under Slab 1`119mbing Vent/Vents in Place oughgh Rough-In Heating Rough-In Insulation Foundation Wails Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in reheated spauees R- Prrmir Veni, Attic Vent ,. Tram�ng� Jack Studs/Headers BracinglBridging (ate` C.L, Ff BUE f't� Joist I dangers Jack Posts/Main Beam ► ►E Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping s Tcwrr OF QUEENsBURY WILDING 'S CODE ERFORCENErT 742 Bay Road Queensbury My I2804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name t Locatia C:3C' I Cate Permit # 1 f SOIL TYPE: Sand foam- Cl y_ 1 Results of ercolation est- ? ( if applicable ) Rate- Mj ute/In { TYPE OF SYSTEM: ABSORPTION FIELO; Total ,v�� i Length of each trench t fi Depth of trenches Size of stone SEEPAGE PITS : Number- Size - ft . x Stone size' ft , PIPING ; Bldg . to Tank Si e 'tank to Dist . Box -,�����t � Dist . Box to Field/Pit Openings Sealed ? Yes `r LOCATION/SEPARATIONS : o art7a Foundation to Tank Foundation to Absorptio 'ev feet Separation of Pits ---�� feet Conforms as per Plot P an LOCATION OF SYSTEM ON Ye ( circle one ) ROPERTY' { Front - Rear - Left S de j Middle Front - Middl Rear Right ide COMMENTS : i SYSTEM USE APPRO E YE Na Arrived:. Departed : i { Buz +dingBuz +ding nsp� KRUGER CONCRETE, INC. 'Page No. Of Aro4)� S H i8 ROAD PROPOSAL QUEENSSURYSSURY, MY NY 12I304-1244 PH. 518-703-5701 sAc sfmfvarrEa ro F*fOW 12ATEE s�tEEr .roe NAME' CITY, STATE AND ZAA CODE JOB iC/C2477f7JU ARC,M7TEDT A4TE OF PLANS Jun AVCN EE Nk' hereby .SubnNt spa^,if�aflnnns end esduki is � 31 L * xt ' -- - - - . e..S,Ala„ �Qc► K49� PrOPOSie hereby to fumish materiai and labc r — complete in acc'("arrCe with abOvae sfaecificatiorxs, for the sum of. F"ayrner# to be made as AVO%": obfiars AN nlaftriat is azavarrteed to be ae stlecAled- All work to be conV*Wd ins &L4WW#& wCdvrxAnd'ke rraY w accprd3lg 07 4'GHAca'OM Submlflud Per'stexAard rArd^.Yk:.rePG Any a7tereti ear devlatkx) frr ALW)crwgd adxcwYi. VeeAkaat cm h,yrr MV Eexba cOsts wW be eoewled Bray upon written omyvs, &r d we an exV& rhae3, 9 OVW end above hhO OBU7 te. AN agreernerds con&rjolem L4 o Shakes, accJdefft a de+avS bey[ + cu*04 OK"&r aaa y Wmada aid mqw nec&s rr mwwwwr a 0A wowkers r+lty ered "Dote: This proposal may be are + cov by YLUriom�xr's C wfthrlrc'nw7 by us if nog aCe pled wfrf'eirt da}s. Acceptarxce of Proposarl . The abomprioes, spec;r arfd cork"O 9s ere Sattfiory And are hOeby accepted You are ^•-u--;wd to do the work as speCif Ki, Payramw Ke be +made as oubVrmd above . sv7ahwe Date of ACctp0w7c& 032001 T061N OF BUILDING & CODE ENFORCEMENT 742 Bay Road i Queensberry My I 4 (518) 761-8256 SEPTIC DISPOSAL SYST INSPECTION Name ,� Location Date /n ermit # SOIL TYPE: Sant- foam-Clay- Results of Perc anon Test. ( if applicable ) ate-Minute/Inch TYPE OF SYSTEM: ABSORPTIONI FIE D: Total Length Length of each tre ch Depth of trenc es Size of stone SEEPAGE PITS : Numb r- Size - ft . x ft , Stone size -- ? PIPING : Size ype 1# Bldg , to Wank Tank to Dist . Box --------- Dist . Box toField/Pit Openings Sealed? Yes LOCATIONI/SEPA TIONIS : ° a rt i a Foundation to ante ? Foundation to bsorption feet Separation of F its feet Conforms as LOCATIONS OF per SYS P7 at plan Ye ONE PROPER ( circle one ) 1. + Front - Rear - Left Side - Righ Side Middle Front - Micidle Rear COMMENTS : K SYSTEM USE APPROVED: YES Arrived: ' Departed : 3 / Bui ding ns#ectar GENERAL INSPECTION REPORT A Town of Queensbury / Dept. of Community Development hate inspection request received: Building & Code Enforcement 742 Hay Road �- Queensbury, NY 12804 Arrive lam, v' pm Depa & ( 0 rrd f-- Inspector's Initials NAME: �1 ^�...... PERMIT # LOCATION: DATE TYPE OFSTRUC RECHECK FootiingslPiers N/A YES No COMMENTS � Monolithic Pour Fs�m Reinforcement in Plate` The contractor is respan " le for providing protection freezing, for 48 boars followin the placement of the concrete. Materials for this purpose on site oun tion/Wallpour Reinforcement in Place_ - Foun q.0ation/Dampproofing Fkill Approval - Plumbing Under Slab_ Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Insulation_ Foundation Walls Interior R- Foundation Walls Exterior R- Floors R_ Walls R � Ceiling R- Duct work or piping in unheatcd spaces R- Proper Vent, Attic 'dent Framing lack 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 Fi restopping GENERAL INSPECTION REPORT Town of Qaeensbury Dept. of Community Development Date Inspection request received: f Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive,~ am/pni Depart Inspector's Initials �^ NAME: PERA41T # d ` 5 r� LOCATION: 14Q Z, e DATE : b 1 TYPE OF STRUCTURE: RECHECK N/A YES O CONIMENTS ootings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the place t of the concrete. Materials for this purpose o s' Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi Backfill Approval Plumbing; Under S Plumbing V ents 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 BracingMndgin Joist Hangers Jack Posts/Main Beam Air Infiltration Harrier_ Fire Separation 1 , 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping Ir j 7 c'�-4L3' ... MAY "F have seen or observed or begWO pl� � f all objects suc bad . shown o is doc meat I tow y� �C] o AerSar�aliy mess ed 71' c) '