1999-708 p ' .
• CO "10
fi
Certicate of Occupancy
Town of Queensbury •.
Warren County, New York
February 8 , 2000 •
•
Date
j - --z (
99708
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 LOT 22 #31 BERRY DR.
Owner CRRRODIP Puivam TN('
TAX MAP NO. 48 . -7-22 By Order Town Board
TOWN OF QUEENSBURY
Direc or of Bui ing Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 130000 No. 99708 '
TAX MAP NO. 48 . —7-22 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to CERRONE BUILDERS, INC.
OWNER of property located at LOT 22 BERRY DR. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SINCLE FAMIL-Y DWELLINC
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
66 SUNSET TRAIL
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
CERRONE BUILDERS
3. CONTRACTOR or BUILDER'S Address
66 SUNSET TRAIL :
QUEENSBURY:, NEW YORK, 12804..:
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY. ::
6. ARCHITECT'S Address
PO BOX 706
HAGUE, NY 12836 .
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
1 Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
1536Nosq ft . SINGLE FAMILY DWELLING:. WITH 2—CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
211 . ,. November 17 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.)
17• .. November .- 1999
Dated at the Town of Queensbury this Day.of _ 19
SIGNED BY kX.1 Mc for the Town of Queensbury
Building and Zoning Inspector _ -
Building Permit Application
Town of
Queensbury - Dept. of Community Development, 742 Bay Road, Queensbu,y, NY 12804 1761-8256]
BUILDING & . CODE ENFORCEMENT
NOTICE Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE Na J.
beginning cde until n. No inspections PERMIT FEE PAID$ 1 �'ltf ..S
will be made until applicant has received 0 ZoningBoard Action
a VALID BUILDING PERMIT. All Area /Use 33J
applicants` spaces on this application RECREATION FEE PAID$ 33N
MUST be completed and.the signature n Planning Board Action (4--
of the applicant•must appear on the REVIEWED.BY:
SPR / Subdivision /Other lication form. Building Inspector
n, r„, Recreation Fee Payment
Applicant: ,C' Owner:
/
. ' Address: �b % c / , I Address:
Phone # (VT ) 7 - Phone # ( �/G l
Property Location: 6/ #a7--2- // )4sj 7 / ��
/ /WeiAil./�' Tax Map Number d/
Subdivision Name: i?,/c-� — Section Block T.ot
NAT RE OF PROPOSED WORK: ESTIMATED MARKET VA WE OF THE
New Building: CONSTRUCTION: $ 6-0-
residence / commercial /
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial .•// Single Family Dwelling
Residence / Commercial Two Family Dwelling _
no change to exterior size Family D-' rT'n `�Office s _. e _ ' ' "�
Other Work (describe below) Mercantile NOV 1 2 1999
Manufacturing
�� Other TO'WL1t•i OF OU�EENSDU Y
GROSS AREA OF PROPOSED STRUCTURE: 7 P[fir f;EN1 ti E D CODE
6 If ADDITION, what will use
1st Floor 76e sq. ft.
2nd .Floor .76K sq. ft.
S of new addition be? :
Other Floors sq. ft.Q
(not unfinished cellar or ba- -men / ACCESSORY BUILDINGS:
\~ Detached Garage 1, c r
TOTAL FLOOR AREA: /5 - SQ' (..../- Attached Garage 1, 2 ca)
Private Storage Bui cling
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
5/47 FEET X 2-1 FEET
Foundation Type: .DM'eeZ ( ire -G., Will any second-hand or ungraded
' Number of Stories : Z.- lumber be used? If so, for what?
(habitable space only) ///0
Height (grade to ridge) : 2 feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or wodstove (circle all whic lies)
to be installed: / tom-' it / Gas / Wood
Forced Hot Ai / seboard / Other
Person responsi orpervision of work as regards to build ng
codes is : ��-,‘ Øc 7�,F--V7„,
/2_Name Address hone
Builder: C�GPrl�� .�7///11.A • b,ei f� �q,/ Ace.,. 7� $1Zd 6
Plumber: ��i yy te..„— ( *� J 7 %S.3s-
. Mason: /�,ir l�l — �'� '�!'diV/i& 6--/7/
Electrician: ',;?, _ 6 • 7Xf• L,.
DECLARATION: Please sign below after you have carefully read the statement.
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, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor arawn to scale, showing actual location of project on premises.
Signature: 41001!!/ 47.--- --
owner, owner's agent, architect, contractor)
Application for SEPTIC DISPOSAL PERMIT
•
Town of Queensbury
Dept. of Community Development Permit No. 9 q-7d
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: Zef- � y,t
cgP
Property Owner's Name: �� v�/ 'l4 -� -
Property Owner's Mailing Address: h' J U/i/ //eiti/ Of'' /f//
Instaaller's Name: j' // i CCU/ e • Phone # 9, -/ Y—
Number of bedrooms (if residential): 9 Total daily flow: Xl l�
(residential -compute @ 150 gal./bdrm.)
Topography: flat, rolling, steep slope % of slope
- Soil Nature: sand, loam, clay, other /depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: not required, required [rate min. per inch]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is /a-j feet.
PROPOSED SYSTEM
•
Septic tank: gallon (minimum size: 1,000 gal.)
Tile field: each trench 2) feet / Total system length: Zo-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
f
Alarm system and associated electrical 'mark to be inspected by a certified agellg.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void.
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 •
Signature of responsible person: Date: J/ f l /f
•
qq:-76
/ _ ENERGY CODE COMPLIANCE APPLICATION k__,{1.=n ‘'
���_ ` TOWN OF QUEENSBURY, WARREN COUNTY
-= ___ 9000 HEATING DEGREE DAYS NOV 12 1999
-- =:?,i;3ii 4Y
1. W•;ad
Compliance Methods: PART 5 - Acceptable Practice Method -as_16i_D1i3.itF+I1�
1&2 Family Dwellings (only) s,
• 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:
a .--72-092. 7--?Mil'Aft.4 ., Zd 4.R-7 - /234// y_Nealia./.r
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - /5.7956 scruare feet
2 . Type of. Heat - Electric pi 1 LP 4as Other
3 . Is building mechanidally cooled? Yes -- -No -
4 . Percentage of area of windows and doors Over 17% J Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
S=OWN ON PLANS SUBMITTED:
a . Roof R 1C.)
b . Exterior walls R /
c . Glazed areas R o2.Y-
d . Exterior doors R //
e . Floors over unheated spaces R
. Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R 1/
h . Basement/cellar walls (below grade) R i >
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device /
Conforms to minimum efficiency per code _ -/ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Apo t ' nature `Daly c� Phone
/ /�
C �/
INSPECTOR' S REMARKS:
TOWN OF QUEEN U '`Y
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
C11 20/S7
Date ,19 Permit No.
APPLICATION IS HERE'c'Y 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 )4/i le," r APPLIANCE (check appropriate boxes)
Address (r 4lpi/ / ❑ STOVE: ❑Wood o Coal in Pellet o Gas
❑ FIREPLACE INSERT
• /; / Zip ,/ .. 1/ Er FIREPLACE, FACTORY-BUILT:
X Wood ❑ Gas
Phone, 9r"- 9211 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address F. IF NON-MASONRY APPLIANCE:
•_ _,,�. r. _ -Manufacturer- 1j_`�'resr4c-- -- -----
-- ------- --_- ---- __���`�'.' _ - _- ---- ---_ - ------ Model: "
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed onstruction
�} 0 MASONRY: 0 Block ❑ rick 0 Stone
4.2-e ' „ ' FLUE: ❑ Tile .®Steel
Size:. inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT::�
CONFORM TO NYS FIRE PREVENTION & Manufacturer%/h'r& Mod el:Mi.3 94
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title4 '
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Q -
Fee Collected From or Refunded to: f `1 { °5
Address:
Dated: / / ` /_9 4---/q Town Clerk or Deputy:if , ''4
White: Applicant Green: Fire Marshal Yellow:Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
TOUN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name C'E c S�t��E��
Location 8EI7 DRIB
Date a--q—c Permit # 99 =7e(?
SOIL-TYPE:-Sand-, oam C.-lay
Results of Percolati. est-
(if applicable) Rate Minu a/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Le gth
Length of each tren h
Depth of.,trenches
Size of s ,one
SEEPAGE PI . . er-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Fiel %Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIc S:
Foundation to Tan , feet
Foundation to Abso ption 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:
ELD
• 100
SYSTEM USE APPROVED: 41101110 0
Arrived: t___
Depart
f G
ding n for
/o -se_liA, -11-- 6 ___ 7 .-
,, --- SIDENTIAL&'INAL INSPECTION REPORT \ e L
Office No. (518)761-8256 Date inspection request received:
- r 6"
:39 o
Building fir. Code Enforcement l �b�
Dept. of Community Development Arrive am/pm Depart- pin
Town of Queensbury Inspector's Initials C t -
742 Bay Road /�
Queensbury,New York 12804 j)1 ` `---
-/ ,...).---R.
NAME (leh le_ ' /GY'�,,J `'I , PERMIT# ! ' (�
LOCATION i_,;-TkE
‘ e 1 jDATE /4I7"r� 6 /c `�"TYPE OF STRr
N/A YEES/ NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location i /
Fresh Air Intake
Plumb Vent through roof
Roof Complete y
Exterior Finish Complete r,/ // LL�2
Interior/Exterior Railings 30"to 36" /tic-/ice � �XT
Exterior Handrails,balconies,1.•... g 18 in. or more *41 k
Interior Handrails stairs both s'i es or more risers f
Grade 2%away from foundation ✓�
8"clearance to sill plate j
Gas Valve shutioff exposed/egulator 18"above gradeGas Furnace sh t-off within c0 feet o within line of site
Oil Furnace shut\•ff at eno • ce to ace area
Furnace/Hot Water - • ter �rperatint _ L�
Relief Valve(s)installed �///
Headroom,6 ft. 6 in. on s rs
Basement stairs,6 ft. 4 in
Handrail exterior stairs •-'th sides more than 3 risers / '
Interior privacy/trim/door:main entrance 36"
Floor Finish J
Bathroom/Kitchen wat light
s�
Interior Handrails Balco 'es/Landing 18 in. or more
y '
Railing across window' stairwells
/Z.
Smoke Detectors:
every level
every bedroom a�/
outside every bedroom �/�
inter connected ,//�/
Bathroom fans
Plumbing fixtures �
Foundation insulation / CDL�PI �U0 rvl0: to5vL r .
%hour fire door/door closer '�//
Garage fireproofing 9/
Garage penetrations sealed / j6 �eA)G�R14-r/(9/LDS
Furnace in separate room protected(in garage)
Light ventilation per room / /
Safety glazing 18"or ess m floor ds/ /
Final Electrical f) G6/', «<JJJ /
Site Plan/Variance eq red / r �V��
Final Survey Plot Plan ���/// Oti rI L��/ .� �5 'Q�
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. CIO(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy) /
k TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
• %iI 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
/
\ik''
ARRIVE: DEPART: - 5- INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPEECC IONN REQUEST RECEIVED:
j/\/G..NAME �J0Aid—
LOCATION
DATE _ ,-./8/OD PERMIT H WL 70g
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/RAILI S
RELIEF VALVES
FURNACE/HOT WATER OPE• TI.
INTERIOR TRIM/PRIVAC ,;'ORS
i
FINISH FLOORS:
BATH/KITCHEN WATE:TIGHT
OTHER FLOORS 'SWEE•ABLE
OTHER FLOORS CAR:ETED
STAIR_CLEARANCE/RA LINGS -
SMOKE DETECTORS
BATHROOM FANS -
PLUMBING FIXTURrS
FOUNDATION INS : ATION
GARAGE FIRE PRIOFING
DOOR..CLOSERS -
FINAL ELECTRICAL _
SJR> PLAN/VARIANCE REQ.
ve/
FINAL SURVEY PLOT PLAN
OK_TO ISSUE _C/O OR C/C _
RESIDENTIAL FINAL INSPECTION REPORT i
•
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement '
Dept. of Community Development Arrive am/pm Depart/ pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 p�
NAME C , "tic; PERMIT# 6 l ' 2°e
LOCATION DATE z-(S Jc
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location ' a6V0.0Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
error Handrails,balconies,landing 18 in. or more
erior Handrails stairs both sides 3 •r more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regul.tor 18'above grade
Gas Furnace shut-off within 30 f:,t or wi • line of site
Oil Furnace shut-off at entrance t! furnac area
Furnace/Hot Water eater opera g %
Relief Valve(s)instal
Headroom,6 ft. 6 in. on • - —
Basement stairs,6 ft.4 in.
Handrail exterior stairs both s'.es more than 3 risers
Interior privacy/trim/doors/m.. entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies anding 18 in. or more
Railing across window in s .' ells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
P,lumbing fixtures
VPoundation insulation
%hour fire door/door closer
image fireproofing
,/Garage penetrations sealed t/
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
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)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 el 6p`7o
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No Cert. NQ 66740 Cut-in Card No
Owner C e 2 Air eye,0 s
Location 0T b e& ,e4 M i? r �,V
Installation Consisting of 3
2_Szv I �6�!(O 2OC q z--( 7 r5
...cu► Ili-,u6s- P P3 3 t— S�,
d o R 5.6720 i e
Installed By g ( l ef u D• 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 oke40•rtific te.
Date..-/— INSPECTOR S
I��.....�...-At CD A TACI
FIRE MARSHAL
„ , , TOWN OF QUEENSBURY
t�= j, QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME C BRO�—
LOCATION Z2_ t3E( f)( PERMIT#
SCHEDULE INSPECTION ON I---13-c.-0
OPM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTI G
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYST:
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARAN TO SPRINKLERS
CLEARAN(E TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY _L_GC)i--O Tf=. �(
WOOD STOVE
FIREPLACE ❑ [1 F MASONRY ACTORY BLT. _
f✓1 ROUGH-IN ✓
❑FINAL
REMARKS: ❑ OK TO THIS DATE
G1-1N 13E Amu 2
INSPSLIP.PUB INSPECTO
FIRE MARSHAL
, TOWN OF QUEENSBURY
j QUEENSBURY, NY 12804
_ - ' (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME ___ Th__ "„
LOCATION . 4 RMIT#9 CI —7 L�
SCHEDULE INSPECTION ON
3-ice A .�
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS l.
EMERGENCY LIGHTING •
FIRE EXTINGUISHERS \
FIRE ALARM SYSTEM i 5
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SP"INKLERS
CLEARANCE TO H TING UNITS
REQUIRED SIGNAGE
CHIMNEY V
WOOD STOVE
FIREPLACE ji MASONRY ❑FACTORY BLT.
UGH-IN
❑FINAL _
REMARKS: ❑ OK TO THIS DATE
F1,CE5 1 e:V ZEIDAn�
N=r CJS 'F���� L_E) L— & cEI LU (
b)co9 Fip_e1&i) 01111
- EtO TA C 1 t�_
6Ecfea
I>SLIP.PUB INSPECTO
Psi'- `0' L iv
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement /
742 Bay Road 7
�• 7
5
Queensbury,NY 12804 Arrive am/pm Depart • m
Inspector's Initials k`
NAME: rile oA)6— PERMIT# __`___
• LOCATION: DATE
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respoi ible for
providing protection fr m freezing
for 48 hours followin the placemen
of the concrete.
Materials for this purpo a on site
Foundation/Wal ur
Reinforcement in Plac
Foundation/Dampproo ing
Backfill Approval
Plumbing Under Slab_
Plumbing Vent/Vents n Place
Rough Plumbing
Heating Rough-In_
Insulation
Foundation Walls li terior R-
Foundation Walls E.•tcrior R- .
Floors R- .
Walls R-
Ceiling R- I�
Duct work or piping in b t�C- [ T O F1/26- 4?..
unheated spaces R-
Proper Vent, Attic Vent IC2 v“Vo f4 S'
Framing •
Jack Studs/Headers
Bracing/Bridging •
J ist Hangers
Jack Posts/Main Beam
it Infiltration a rier
Fire Separatioi I. , 3, hour
Penetration Sea ed
Fire Wall 2, 3,4 hour
Firestopping
. c 7 2 A
:"--"Rill
J ,„
GENERAL INSPECTION REPORT _ l'AP"- - - '''
( 518 ) 761-8256
Town of Qucensbury
Dept. of Community Development ' Date inspection request received: i 5'7
Building& Code Enforcement
742 Bay Road .168t...7
742 Ba bury,NY 12804 Arrive am/pm Depart�'
/ Inspector's Initials
NAME: 7 (Gt PERMIT# 7 9`7---ii?
LOCATION: , DATE : 9
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place l
The contractor is respons'.le for i R d Q-LkX R k'I ! ' L t6N14,,D(N is
providing protection fro frcezi
for 48 hotirs following e p• cment Tr) 1 6 F -`-(f12 1Tik—U0
of the concrete._
Materials for this purpo'c on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo ing
Backfill Approval
Plumbing Under Slab 7
Plumbing Vent/Vents n Place
.enough Plumbing
Heating Rough-In
Insulation
Foundation Wal . Interior R- _
Foundation Wal s Exterior R-
Floors R-
Walls R •
-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, enl.
aming -1, 7-'� z-r� ��
Jack Studs/Headers V/ I N i j iL 4- t7(3L. 7 j V D e_ trADIZ ,
Bracing/Bridging \/
Joist Hangers / �/ Dt�C�� fzA oColr��&
Jack Posts/Main Beam ✓ _
Air Infiltration Barrier_ tf
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour _
Firestopping /6CkL )v EL T r`L,4-(3 G&--
4Ppr
GENERAL INSPECTION REPORT
( 518 ) 761-8256 .
Town of Qucensbury
Dept. of Community Development ' Date inspection request received:
Building& Code Enforcement I�
742 Bay Road
Qucensbury,NY 12804 Arrive am/pm Depart am/pm
Inspector's Initials�(r0
NAME: PERMIT# CA91— 7 12
LOCATION: �\-% DATE : ( 0 R 1
TYPE OF STRUCTURE: Sc-
RECHECK
N/A YES NO COMMENTS
Footings/Piers f
Monolithic Pour Form
Reinforcement in Place
The contractor is respon ble for
providing protection fro, freezing
for 48 hourl following e placemc t
of the concrete.
Materials for this purpos on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampprooti g_
Backfill Approval
nbing Under Slab 6C.,0 u P(IL / �L Lc
Plumbing Vent/Vents i Place
Rough Plumbing
Heating Rough-In
Insulation •
Foundation Walls I terior R-
Foundation Walls :xtcrior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pipi in
unheated space 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
Li.
,7
9
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building!& Code Enforcement ,-----
742 Bay Road ,'
Qucensbury,NY 12804 Arrive am/pm Depart it I
, l Inspector's Initials
NAME: `JI d �� ,_ PERMIT# 9- 70
LOCATION: 1' DATE : — 9
TYPE OF STRUCTURE: �
RECHECK ��
N/A NO/ COMMENTS
ngs/Piers .di— —1yl
Monolithic Pour�`Form
Reinforcement in Place a---AV _
The contractor is responsible for
providing protection from freezing
for 48 hours following th plac ment ,
of the concrete.
Materials f r this purpose n site '
Foundation/ allpour
Reinforcemen m Place .
i Foundation/Dar ppro sfg .
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls terior 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
ctkr //
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: ICJ // 9 7
Building& Code Enforcement
742 Bay Road '
Queensbury,NY 12804 Arrive am/pm Depart t a pm
Inspector's Initials^�
NAME: C 1L . J-OiL PERMIT# '7 _-/4
LOCATION: �o- c22 %4' 2 ni
DATE :
TYPE OF STRUCTURE: 6..,
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from Ire .i
for 48 hours following the p acci lent
of the cone tc.
Materials for thi purpose o site
Foundation/Wall r
Reinforcement in Pia, _
Foundation/Dampproof g
ackfill Approval i . --:///'
Plumbing Under Slab
Plumbing Vent/Vcnt• in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation W .Is 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 Scaled
Fire Wall 2,3,4 hour
Firestopping
i _ d,,,e,i,
. : .,.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
1
Locati re
Dateildh.Abe , Permit 4 DI-
SOIL TYPE: San - oam Glay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: 'otal Length 71_
Length of each tr:nch 11 CL501
Depth of trenches
Size of stone
SEEPAGE PITS: ,mber-
Size - f . x ft.
Stone size
PIPING: Size Type
Bldg. to Tank r , J " H yD _
Tank to Dist •ox
Dist. Box to F eld/Pit " Ivi(' F
Openings Seale ? Yes No Partial
LOCATION/SEPA`-TIONS:
Foundation to Tank i feet
Foundation to Absorption ,
_ �'-+ feet
Separation of Pits feet
Conforms as p:r Plot Plan Mal No
LOCATION OF S"STEM ON PROPER- .
(circle one)_
Front - Rear - L ' e - Right Side
Middle Front - Middle Rear
COMMENTS:
►J EED 7-o rg-tF`(- 1 ov' 6c�oebT %1 of-
, 0 F LEACNew TO uJ�1._
Nl RU- io 1 1-1N .i A1E
O SD KY USE APPROVED: YES NO)
Arrived:
Depar-- s.41,-, i- e
/.....41e iii./.1
: , d ng ns! or
• — ,/0-t #",3?_, ?e,2_,7:- : _- .Th '
•
•
n �f have seen or observed, or believe I saw evidence of, .7 all objects such'as houses, wells, trees, fences, etc.,
shown on this document. I also represent that I have
'_ `7 0 personally eisured distances set forth on the di gram."
' . , /z if
SIGNATURE DATE
NOV 1 2 1999
T `p�/ }
9%%,r..,,i Ur OUEENSEUR1 •
EAU EING AND CODE .
l b
0o
. x
101
N.
IN -22-
.. 1.,, \ \
Cam"` 94«---
1
to
s'
\.)
Z /ds f 0 ''I:
I-1
---30
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury ,
Dept. of Community Development atD a in •tion request received:
Building& Code Enforcement
742 Bay Road 11l' 3 A)
Queensbury, NY 12804 Arrive am/pm Departt " am/ m
Inspector's Initial
P •
NAME: -p ,r ' \ PERMIT#__ __.79_
LOCATION: DATE : (31
TYPE OF STRUCT
RECHECK k
4,
N/A YE O COMMENTS
otings/Piers \ i ' I
Monolithic Pour Form ,� /
Reinforcement in Place a— \ / •
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement 1/4
of the concrete. /
Materials for this purpose on site / a _
Foundation/Wallpour .N.,Reinforcement in Place / `;
Foundation/Dampproofing / k‘
Backfill Approval / `0
Plumbing Under Slab_ / \
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation ,
Foundation Walls Interi r R-
Foundation Walls Exte,or R-
Floors R-
Walls R-
Ceiling R-
Duct work or pipi g in ,
unheated space R-
Proper Vent, Attic Veil
Framing_
Jack Studs/Headers__
Bracing/Bridging
Joist Hangers \ G .
Jack Posts/Main Beam =
Air Infiltration Barrier `,`
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
(09P,
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: Qe,\r'toy' j. �L�%P��(?ti O PERMIT# J /�]D8
LOCATION: -. DATE : 0/ —OLt-9 9
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respon '.le for
providing protection fr'm fr.ezing
for 48 hours followin?, the placement
of the concrete.
Materials for this pu ..se on site
Foundatie\n/Wal 1pour
Reinforcement in Pla e
Foundalion)pamppr•offing
Backfill App?owl
Plumbing Under Slap
Plumbing VenUVen s in Place
Rough Plumbing
Heating Rough-In
I0 atibt
Foundation W lls Interior R- _
Foundation W Its Exterior R-
Floors R-
Walls R- 1.9
Ceiling R- 5v ddd
Duct work .r piping in
unheateq spaces R- 7:-
Proper Vent,'Attic Vent
-iLring_ c kg c_1(
4Jack Studs/Headers
Vacing/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
)114 - 0 i
FIRE MARSHAL
TOWN OF QUEENSBURY
•` 1:j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQU T RECEIVED
NAME J �,LiP_
LOCATIO PERMIT 0NMI Mr II.Nr
SCHEDULE INSPECTION ON
AM PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO ••RINKLERS
CLEARANCE TO EATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY VI FACTORY BLT.
El iw
❑FINAL
REMARKS: ❑ OK TO THIS DATE
--2013.3\1 or`1 ��r �r 01/
INSPSLIP.PUB INSPEC R
I #c71?_, ?e; -This ___---
wave seen or observed, or believe I saw evidence of, .7
' ` all objects such as houses, wells, trees, fences, etc.,
shown on this document. I also represent that I have
`7 Qg personally • •l sured x". distances set forth on the di gram."
p.r-71.—Nr-INTE.D .....1.------...._ ,e /2 if
SIGNATURE DATE
NOV 1 2 1999
�i
PO
x
Q.
20Im'&) y \J
7 \
59 /
--C.,: .4/,
_ ..i
/i �
1 \ i
uv .44`'
\l/ is' 0
ti
5 ' o
MAP REFERENCE:
CERRONE BUILDERS, INC.
BAYBERRY MEADOWS
PHASE 1 &1A
LAST REVISED: JULY 23, 1997
BY: VANDUSEN & STEVES, LAND SURVEYORS
1S PER M" JWFZP =
LOT 23
REMAINING LANDS OF
.; .. .A ,.:.II... , SHIRLEY 1,,. HA,RRIS; ,
593/997
om
N 1 D 55 8
�.
174.86'
I%"!
j
3 O
4:4_
0
V ;' W '
LOT 22 W
4 N
q� ft 21, 862. s. O N
37 74•
0.50 acres N O
rn
z
Q
W d
w
N
174.94,
S
1p51'4
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
�-•J MAP 9EARN0 A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION IM, SUB -DIVISION ]. OF THE
NEW YORR STATE EDUCATION LAW.'
�C S t e V e S 'ONLY VATHA ORIGINAL
THE OF THE
OF THIS SURVEY
MANNED WTH AN ORIGINAL OF lilE IAND SINTM£YORS
SEAL SHALL RE CONSIDERED TO BE VAUD TRUE COPIES.'
*CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED N ACCORDANCE WTH THE
EXILand Surveyors , L L C BY THE CODE DF PRACTICE FOR LAND OF PROFES ADOPTED
By THE NEW PORN STATE ASSOCIARON OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND
ON HIS BEHALF TO THE 7171E COWANY, GOVERNMENTAL
37 Chester Street Glens Falls, New York 12801 TO
SSIAND LENDING THE LIENDI LISTED HEREON. AND
TO THE AS90NEES OF THE LFNpNO INSTIlU110N.'
(518) 792-8474 New York Lie. No. 50135
LOT 21
Map of a Survey made for
CERRONE BUILDERS
Town of Queensbury, Warren County, New York
O o 0
0
C.
WE
v— ..
NO. I DATE
DESCRIPTION
FEB 0 8 2000
99- 70e
Scale 1"=30'
S-1
SHEET 1 OF 1
CERRONE
DWG. NO. 96081-zz