1999-717 • .
Certificate of Occu • ancy
Town of Queensbury
•
Warren County, New York
•;Date March 16, 2000
•
01.'"c‘ ,--
99717
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 98 ff 44 SARA-L-5EN DR.
Owner
Irciii-TElts GROUP-
• TAX MAP NO. 74 . -2-98 By Order Town Board
TOWN OF QUEENSBURY
Director of Building Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 174000 Building Permit No. 99717
TAX MAP NO. 74 . -2-98
Permission is hereby granted to MICHAELS GROUP
Owner of property located at LOT 98 #4 4 SARA-JEN DR.
in the Town of Queensbury,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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
LOT 98 $44 SARA JEN DRIVE
QUEENSBURY, NY 12804
Contractor or Builder's Name:
MICHAELS GROUP, INC.
Contractor or Builder's Address:
JIM CHANDLER, PROJECT MGR 10 BALCKSMITH DR
MALTA, NY 12020
Electrical Inspection Agency:
NEW YORK BOARD
NEW YORK BOARD OF FIRE UNDERWRITERS
Type of Construction:
SINGLE FAMILY DWELLING
Plans and Specifications:
2713 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SINGLE FAMILY DWELLING
335 - . November 29 20.01. -
$ PERMIT J±E 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 Queensbury before the expiration date.)
29 November 1999
Dated at the To o Queensbury this Day of
SIGNED B for the Town of Queensbury
Code Enfo cerne" c
Application for SEPTIC'DISPOSAL PERMIT
Town of Qne nsbury ��
Dept_ of Community Development • Permit No.
Building &Codes Office '
•
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: LC* 9$_ `1"1 a)
Property Owner's Name: 'rQ f'i i ttS
Property Owner's Mailing Address: 1010 t2)Ltk q --tato tiJ
Installer's Name: 4A LLc}\ af((1 Phone # —aa log
. Number of bedrooms (if residential): Total daily flow:
(residential -compute @ 150 gal./bdnn.)
Topography: ✓ flat, rolling, steep slope % of slope
- Soil Nature: / sand, loam, clay, other /depth:
Ground water: at what depth? O feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: not required, required [rate I min. per inch]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
•
Septic tank: Ip gallon (minimum size: 1,000 sal.)
Tile field: each trench Sit feet / Total system length: 2(D . 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: � 19— Size of each: gallons
(larm eyst u and associated electrical work to be inspected by a certified agency
Fo Your Protection,please note.that to-SectionJ36-29;of •Code of.thccown ofQuee'oab ny,zaioor:P ,.• z+P
- :approval granted whichiis based-upon or is grantedmdielia e. snysmaterial:nisiepresentation or-fadare to mil a n ';
material fact or circumstance known by or on behalf•of an:applicant;'shall be void: x .� �n t -
I have read the regulations with respect to this -= to : • •= by these and all requirements of the Town of .:. .
Queensbury sanitary Sewage Disposal
Signaturez
of responsible person: i / , Date: �/ I .
• o . •
Buticitiig -Per/nil' Application •
T 11/il ofQ11 ee'Ilsbur)t - !kp(. of Community city Urrrlulu:rrr,r, 742 Bay Road, Quccntbur)', NI' 12804 1761-8256]
1iI111,LI1Nc; • c& CODIs IsNF01tCEM N1'MAU _ RClillll'CIIICIIIS 1117U1' IU IS5UaLICE p,(;)i1i IT EILL NO. . 3:21,..:,7.
__ .
A pewit alas! be()bilked Wine ------------
beginning1'L"RMII'P PAID$33
conslrclioa• No inspections L) 7anrinl; lk><trd ilclivlt ����
will he outdo until nppliennt furs rcccivcd lILC!
Alen / the IL�t7 '{'L/s Al
•n VALID 11111ee5 On 1'lil Illig ippliCil . All ��
r4.
MUS life completed :unlike srignnlure ,L, ( � Planning llcxrrd Action ILis"V11ilY1sU l31' ` tlrrrlding Iru!>ecror•
of Ilse npplicnnl must nppenr on the SI'It / Subdivision I Other
•gl,lienlin flora. o„.: ,,,,,. —..—w-1 Itecrention Ice Pnymcnl
1 It( itl(.cllrtef.6 (Pump, f tt.c: Owner:
SameApplic;ut I: .
1810 Route 9r Luke ()erring., NV I28,tithcss:
• nddta:;.;: .
668 3316 1'Itunc 1r' ( )
Properly Location: `67 S' 1-L-/InrMn Nuubcr
•
rr, C-�� _-. ' — Section Block i,ot
Subdivision Nnnte: .�( #1tt n„�-�f
s
NATURE Or PROPOSED YlOfiK: . . ESTIMATED Anitxc'$ VALUE
OF THE
,- New Bui.ld.ing: cOHSTRUCT'xo1J:
residence / commercial
Addition to. l.lul.tding: �ccuL'ntTCY ITTi"UltT111'PIUET:
r:ctr.i.cicuc,c) / commercial r.r:;.m;.try Minding -
t:c
A.Lt:c.u;,. ecrn o Liu i.l i.nd: X Single L"dngy Dwelling
�t.i_dr,tttcc / ronani)rcial Two Family
Residence / Commercial _ lttlly U Dwellingitl.i�tt$ t'_
-- uo change to extet:iot: size office ' =m� �
Mercantile
Other Work (describe below) Manufacturing 1999
GROSS AREA OF L'tttil'ost;u sTnuc'rultc: f(!iO whtit `'`sv3."iVl'/•'.`Uke'OCDE
� x O 1 f AUDIT
1st Floor i543 s i• Li� of new addition ben
end .rloor 11___-10 o . xrt .�3 N A
Other Floors - 3 ft'
•
ACCESSORY DUILUIHOS:. 2 car
(not unfinished cellar or baseutetal: Detached Garage 1,
`� Attached Garage 1, '
'iv'1'nt, FLOOR Olt AREA: �� SQ. 1�G \ private • SL-orage 13u1
Commercial Storage BuildingSIZEOr NEW STRUCTURE: _ Other .
gp FEET X AS FEET
Will any second-hand or ungraded
Muuber Foundation Stories :
1'vuln lumber be used? . If .so, fo1: what?
' Number v C 51;vrlcs : _ -�
(hab.itab.le apace only) 3o feet TYPE UE' 11E11TItla SY5'1~Ctd:
Number (grade to cesa) : circle all w1tic Rpl es)
111rLec-tr- OI1 Gas), Wood Other\
Number o1. fireplaces and/or wooclstovv 1}a � oard /
Lu be installed: _�_____ �fo.rced !lot 1! /
•
responsible . for for supervision of work as reg r e t p building
codes
r. : p or Eric ,
c o d e u 3.s : LulL( h Oit.(CPj.► i'8 U -�k a�� �t
Udine . ' nddr,essct POi�11128d5 518-668-331•
11re tit Q.l�ae Glcvup_, i ite. 1810 Rte. 9 I_Lulte Geu/t c e
iiui.J.caer_ : — � Nall Rgacl U..L�e=it�5 I'u.CC�S. NY 12801 518-798-4394
6
Plumber ^Nod. 1�.Cl h g,__1�i ttA`
Mason:
a . 1 rl.02L21�8 AcMare —Ny _�I8-31I-442
t t t.�n o t! 1J1 li_cit�r.l�e�.-. 2�= t cct �e t .- (tr��.ssJ -2 3
?,l e e L-r.i.c a.a n :_1_al�r'vs1t._LC.ct�tllc:c., 1� �
�7',yy
DEC;1.r11MPON: Please slat beloxafier you have corefitlly read the stnlement.
•
ry%r
'['o the best of my knowlctlge Utc statements cUt�cletslalernoul ofis 1aU prol)osed1 work tollba dot c1on
and specifications sttbn�i`tell, arc a true and coral)
the ilcsct ibcd pi endolt tat that all provisions unite ril hint) odng e, theith, whethert specifiedc Urdin or noted, and
other laws pcilai�' ilo Um proposed work shall con {
that such wot i authorized by the owner, Fut(her"`! is beingrd understood
I!thatn 1S I e shal'l submit
I'prior
to a
by
Certificate v{ ccupattcy or C ctl�i�aslwwing tactual location of project oil premises.
a hewn 8l CVCyUC� Am l/J
Signature: t
'...,,,a,,.c rlwnr.r's nitelit, Hilted, contractor)
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date 1\64m\rke r 9, ,19 � Permit No 1 ' -7 /
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 t( siS Q:440 00 APPLIANCE (check appropriate boxes)
Address ,� \ ch y Tim ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
❑ FIREPLACE INSERT
etk
Zip laci2.01 `FIREPLACE, FACTORY-BUILT:
❑ Wood "g Gas
Phone FiC), — (_0 `t 0 FIREPLACE, MASONRY:
❑ Wood ❑ ;Gas
Owner 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:- =Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block 0 Brick 0 Stone
1d* CY6 - 'C' i FLUE: ❑ Tile 0 Steel
Size: inches
CONSTRUCTION /"INSTALLATION MUST FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & " Manufacturer: Model:
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 Title -- �
A 173 3389 (190) Public.Safety �a
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: \ "'. ,,=>. ° _-' .,
Address: /` �`.� � F(.4'` 1 1 is
Dated: - l .. rl C-.) Town Clerk or Deputy: 1, I
'� 9 Pr
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
),..Q 5,11_:l 1. ,.1.1.._l''.R1le '.l%AQ":":'A..l":ale :ttl °J M._C'l.'Al,_l'A!l':l0.C'.10�')_49:'!l J.!l J_t::k!l J II,Q'At_l ... 'J_.._l'.II-L!"!'),PA!J.l ;')....,5,.): t:":AR:k41. J_.A"lM Al"Al',/,
it
j THE NEW YORK BOARD OF FIRE UNDERWRITERS 1L':c:,T, 1 }
'' BUREAU OF ELECTRICITY ;•
I- 111 WASHINGTON AVE., -• 04, ALBANY, NY 12210
:; 1:+/4.RC'.H .L5,201ti0) 4€:28.L899/99 Al494t* ,>
(1 Date Application o. on file - 1)•
THIS CERTIFIES THAT P LHM.i'i' NO, 99-717 •
i only the electrical equipment as described below and introduced by t • , . licant na ed on the above application number is in the premises of A
=i
jl It
'-_1cl`rHI IlI.CHAc!IL8 GROIDr', � 4 >ARAt. ti MI'I 1),R I.,U7.' 98, f<W:if- JHi`, NY ,r
i in the following location; 0 Basement 1st FL p 2nd FL LIAR Section Block Lot �8 r,
was examined on I,LARCH .0',20l00 and found to be in compliance with the National Electrical Code.• 1
j; FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. '}•
IV'
1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
., BELL ,14
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. EN H.P. NO.OF FEET AMT. WAITS 'Y
fro
SERVICE DISCONNECT NO.OF -- S E R V I C E 1=
1 ,Y
- AMT. AMP. TYPE METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. !!};
j' EAUIP. 1 0 2W 3 0 3W 3®4W pER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL i s
'; 1 200 C.13 I. X I 4/0 I '/0, A.
,•
ec
' OTHER APPARATUS: y!
• C x.G1Nru FAN--1 r
• G.J'.t . r.:—
:AO K.1a t)ETEC`TOR;—8
C. I)4
WIrr
r+ 1T!
s VA
'W, �. 0 y
PI
^�I 'lc ,/ it -, j 4i 1 1ST
, • FOREVER l''.3L.O.!/WEI, ELECT )....,..1,3.:,t,l }I����.qt�`-11. •� L.. et.,1.. ?!
n 7 ,,j WIL,Lo LAM I.). MC" ' ,Id` EON "j' 1! rr h, : ly!1 2446 JAE'FREY 8`i'. "s �� ; F f.; GENERAL MANAGER IA
'_-ca CHENEC'.'ti�l)Y; 1 Y, 1 i::ii �a a '. ;'.:`i q!
�I >„r° ,p..ym _�`.`- Per NI
_CI 1,
j1 This certificate must not be altered In any manner; return to the office of the Board If incorrect. Inspectors may be identified by their credentials. N
%YiY,Y.•Y Y�Y Y•Y;YiY,7�Y Y�Y 4�Y Y�YY�YYiY Y�Y Y'•Y I'�Y S4,Y Y�Y Y�Y,4',4�5,Y r,Y�Y Y�Y YsY;5'4 Y�Y Y1Y,Y�Y ihiY,Y�Y Yam" -e,5;�Y 4T,Yi, •-YYiYi�YY�YY�YY:Y Y�YY�YY�Y YiY YiY Y�YY�Y.S
_ � Y ,. Y
(a}PY Eon R1111 DIN(; 17FPARTMFNT. THIS COPY OF CFRTIFICATF AAI!ST ninT RF AI TFRFn IN AMY MANNER.
/� TOWN OF QUEEJISBURY
, ,. BUILDING &CODE ENFORCEMENT
742 BAY ROAD
" - QUEENSBURY NY 12804
( (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:Tr
NAME l ef,__ - -
LOCATION
DATE 3 (eL0 PERMIT kW 7/7
TYPE OF TRUC ORE
FOOTINGS FOUNDATION B CKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOOD OVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK PORCH STEPS RAILINGS
RELIEF VALVES I
FURNACE/HOT WATER OPERATING /
INTERIOR TRIM/PRIVACY-DOO S----//
FINISH FLOORS:
BATH/KITCHEN WATERTIG T
OTHER FLOORS SWEEPAB E
OTHER FLOORS CARPETS
STAIR CLEARANCE/RAILI GS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN OP
OK TO ISSUE C/O OR C/C
RESIDENTIAL FINAL INSPECTION REPORT 6 )
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement q
Dept. of Community Development Arrive am/pm Depart 1 ` am/pm
Town of Queensbury Inspector's Initials UeL7
742 Bay Road
Queensbury,New York 12804
NAME �� c,!441 L �o f'. PERMIT# l t —z(7
LOCATION i v&A --1-6-!J DATE /I J ch)
TYPE OF STRUCTURE l
N/A. YES NO COMMENTS
Chimney Height/"B"Vent/Direct Ven yo ation ---1—
Fresh Air Intake 'h
Plumb Vent through roof ,
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,blconies,landing 18 ' . or more
Interior Handrails stairr�both sides 3 o re risers
Grade 2%away from fouldation •
8"clearance to sill plate i
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
ement stairs,'- 4- in.
s .
drail exterit.S . .•th sides m re than 3 risers i ,
Interior privacy/ doors/main en ce 36"
Floor Finish
B(hroom/Kitchen watertight Ni
Handrails Balconie(/Landing in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected i
Bathroom fans I
Plumbing fixtures /
Vfoundation insulation
3 hour 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
• e 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. CIO(Certif. of Occupancy) p / / ,
Okay to issue permanent C/O(Certif. of Occupancy) 1 u`\t J '" R6 vi is
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart/ /pm
Town of Queensbury Inspector's Initials J/C.e----'
742 Bay Road
Queensbury,New York
\12804
NAME \ 1\( -\. C-Trak-A PERMIT# s \C\—•-1 \-
LOCATION ��' # L YTA DATE 3 -I S- D. 00 0
TYPE OF STRUCTURE ,G X_
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location 111
Fresh Air Intake
Plumb Vent through roof ✓/
Roof Complete i/
Exterior Finish Complete /
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.(-2e ✓Interior Handrails stairs both sides 3 or mor�riser / /uc f/t�L r/l N j. J�C 6"
Grade 2%away from foundation //
8"clearance to silhplate i ✓�
Gas Valve shut-off ex op`sed/regulator 18" ove grade /Gas Furnace shut-off within fee or within line of site i
Oil Furnace shut-off at entrance to furnacdarea
Furnace/Hot Water Heater operating I 1.4
Relief Valve(s)installed / I//
Headroom,6 ft.6 in.on stairs 1 V //,‘..)497
s uoJR / �,,�,�t�(aUBasement 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 / V
every bedroom / �/
outside every bedroom/ /
inter connected / !r-
Bathroom fans ''
Plumbing fixtures ,1 L�''u Foundation insulation �' /---
�� '�i` 9 6j�G lAJ e� �yh
3 hour fire door/door closer �i
Garage fireproofing ✓
Garage penetrations sealed /
Furnace in separate room protected(in garage) V
Light ventilation per room /
Safety glazing 18"or les fro floor t/
Final Electrical (0 iA t� /
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)
M r FIRE MARSHAL
TOWN OF QUEENSBURY
s` j QUEENSBURY, NY 12804
. ., . (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME \ G�aPIpCSY ,O
LOCATION 4 Q.ay- `�"� PERMIT# !7 0 7
SCHEDULE INSPECTION ON 3_--r s—200 e)
AM fa
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHER .-
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SIIRINKLERS
CLEARANCE TO HE TING UNITS
REQUIRED SIGNAGE •
i
CHIMNEY W
FOOD STOVE
`/FIREPLACE I MASONRY FACTORY BLT.
❑ ''UGH-IN
C FINAL
REMARKS: 01<TO THIS DATE
INSPSLIP.PUB INSPECTOR
) Atn
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queenshury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive a4_pm Depart O�
Inspector's Initial;
NAME: PERMIT# 17
LOCATION: \cti•‘ DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Fon
Reinforcement in Pl.cc
The contractor is espon ible for
providing protect"•n fro freezing
for 48 hours roll. ing th placement
of the concrete.
Materials for this • irpose •n site
Foundati•n/Wall•',ur
Reinforccmc ° cc
Foundation/Dam••roofing
Backfill Approva
Plumbing Under .lab
Pmbing Vent/ ents in Place
✓Rough Plumbi U8 Ppe.4LrJ
Heati Rougl In `/
F I lation '� 'Z_.1J[� _ JC,P► FL>� kF--1t6p�AiO0 OF �E�L\ (
Foundation Wall Interior R-
f (. WI3V) 000(2,� �1 v3 1 L)DOlJ
0L DE
Foundatio Walls Exterior R-
Floors
Floors R- 4�Ikt�,rlam DO `�
Walls R- �q �// '
Ceiling R- (30 o ��
Duct work or piping in 6 k-ka--‘ Rod-)
unheated spaces R-
per Ven , Attic Vent
ram�ig_ //��
✓Jack Studs/Headers (J Rb6-/CZ
Bracing/Bridging CoM2
Joist Hangers_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
lFlire Wall 2, 3,4 hour
irestopping Sfl Fi ck •Ti�� ORiNit.
1�
a
��
GENERAL INSPECTION REPORT /
( 518 ) 761-8256
Town of Quccnsbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 0 d
Quccnsbury,NY 12804 Arrive am/pm Depar ' am/pm
c? OUç
Inspector's Inittiials fPERMIT# —LOCATION- F C� �� Jam\ DATE . 30
TYPE OF STRUCTURE: �cr)
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the plarc'Ciient
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement it Place
Foundation/Dampproofing
Backfill Approval.
Plumbing Under Slab_
>-':j., - lumbi. g Vent/Vents in Place f f / dn� �RAI rJ
-.btr Plumbit�' 1/ C MI�Re. -rC 1 il
Heating oug 1- n
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..,
itnb ill— (-) z a:-} k«25 1/ -
ack `tuds/Headers V!✓U 51'LC_ 128(_- - j V l '3 U,u oC►2 �:4'K
Bracing/Bridging_
Joist Hangers ,/�/ r' i►�bC f� `�r'`�e,�ci
Jack Posts/Main e• ✓ f�'
"L = IIII�ration�Barric�n__ J
Fire S paratlon I, 2, 3, hour
Penetration Sealed
F�' c� • 2, 3, 4 hour _, vJ//� r� /� _ l'7
tn'�p►n V r�.�s/r'�L ea 11 (U:5. V,Ri4
KE0dC.\
FIRE MARSHAL
TOWN OF QUEENSBURY
j QUEENSBURY, NY 12804
{ (518) 761-8205
•
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME qikt
LOCATI(II IrrLI .rg' ERMIT#
SCHEDULE INSPECTION ON _ - • _r
AM PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING _
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINT LER SYSTEM
FIRE SUPPRESS •► - :M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE • HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE /
FIREPLA E ❑MASONRY FACTORY BLT.
[ROUGH-IN
INAL J
REM KS: ❑ OK TO THIS DATE
09rA-tc, rte.6-,7-6P k(A)6
�c-uLc_
INSPSLIP.PUB INSPECTOR
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 Depart JrO as pm
Inspector's Initials
NAME: tak.0 { t 6te, PERMIT# //— 7/7
LOCATION: DATE : Wff
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers � I
Monolithic Pour For-
Reinforcement in P1ac
The contractor is res nsible for
providing protection rom freezing
for 48 hours followin the lacement
of the concrete.
Materials foi\his purpose - site
Foundation!Wall a
Reinforcement in Place
Foundation/Dampproof ing
lekfill Approval PVC-- i� P �
lumbing Under Slab 5e.D d
Plumbing Vent/Vents in Pla e_
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interio R-
Foundation Walls Exteri r R-
Floors -
Walls -
Ceiling -
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
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 Depart r am/pm
Inspector's Initials
NAME: \►.�,,( RAr&C 1 ' PERMIT#
LOCATION: DATE : i—2— `/r C
TYPE OF STRUCTURE: l ll
RECHE K
N/A Y S NO COMMENTS
Footin,.s/Piers —� I
Monoli a'c ': it Form
Reinforcement in Place
The contractor is re sit ble for
providing protecti n from reeling
for 48 hours folio ing the .lacement
of the concrete.
Materials for this p ..sc o site
Foundation/Wallpo r
Reinfo. went in PI c
Foundation it .i oofing
Backfill Approval
Plumbing Under S b •
Plumbing Vent/V its in Place_
Rough Plumbing
Heating Rough-In
Insulation
Foundation W lls Interior R-
Foundation ails Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work o piping in
unheated paces 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
Fircstopping
'30-
TOWN OF'QUEENSBURY 011
BUILDING & CODE ENFORCEMENT l 742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name \ b GY .
Loon - \cc VC\. r /v-\_
Date la- 7'1 emit #c 7 17
SOIL TYPE(Sand)oam-Cl ay-
Results of Percolatio T- t-
(if applicable) Rate- inut_ Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: To al Length
Length of each trenc _-. ' 1; - c
Depth of trenches ° ta^.
Size of stone IITWOMMEPT.... utz
SEEPAGE PITS: Number- 2-e-(
Size - ft. x ft. 0
Stone size
PIPING: Size Type
Bldg. to Tank A 'thCs4 '-10 M 6043c
Tank to Dist. Boy i-) t P--
Di st. Box to Fie d/Pit L P(GT 4,11P►urgav
Openings Sealed?(Yes No Partial
LOCATION/SEPARAIJIONS:
Foundation to Tank. in .feet
Foundation to Absorption feet
Separation of P1i is _ fee
Conforms as per Plot P1 an Y No
LOCATION OF SYSTEM ON PROPERTY:
(circle one) /
Front - Rear <Left Side? Right Side
Middle Front - Middle Rear
COMMENTS:
P; , ter" a: �=T ie._
SYSTEM.USE APPROVE) NO
Arr' ed: ',1L
..,.../ 4/Li
D- .art is
Ail
/ Buil ng n ' :ctor
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: L 3
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart' a n/pm
Inspector's Initials
NAME: A414
PERMIT#
LOCATION: DATE :
TYPE OF STR CTURE: 41FP
RECHECK
N/A YES NO COMMENTS
Footings/Piers I r I
Monolithic Pour Form
Reinforcement in Plac
The contractor is re ponsib a for
providing protectio from fry ezing
for 48 hours folio ng the pl cement
of the concrete.
Materials for i pu sc on s'tc
;10. Qua) po r
rein orcement in P ace
Foundations ampqo g_
' Backfill Approval
Plumbing Under ab
Plumbing Vent/V nts in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation W Its Interior R-
Foundation W lls 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
(-2(, - 7 1 7 ,.: . .,_........\i...:2
• 6Z" I.9 Z - • -
Nov .i. c,; 1999 el
• •
•
"I have seen oi observed, or believe I saw evidence of,
(
all oblects such as houses, wells, trees, fences, etc., ,
shown on tin4d 4.' iment. I also represent that I have .i.
?A-vs fel-16411y mt-a ;fed th ,dis ances set forth on the diagram."
/
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el
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart S am/pm
Inspector's Initials
NAME: PERMIT#
LOCATI N: ,DATE : ) —
TYPE OF STRUC URE: c�c
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is respons'.le for
providing protection fro freezing
for 48 hours following t r e placement
of the concrete.
Materials for this purpose in site
Foundation/Wallpour
ReinforcemenI'in Place
Foundation/Damppcoofin&, / n
-1.:.Jitclt1i1l Approval v' Ar c-) V/\6 lu
Plumbing Under Slab
Plumbing Vent/Vents in Pla e
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Extcrio R-
Floors R
• Walls R-
Ceiling R •
-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: //b4 q 7
Building& Code Enforcement
742 Bay Road _---'' -— `` „,
Qucensbury,NY 12804 Arrive am/pm Depart11 .-- ``a pm
'� Inspector's Initials V
•
! //
NAME: J
/ 6tu2e1 PERMIT# , l 7/7,1
LOCATIO DATE : /1
TYPE OF ST CTURE:
RECHECK
I
l N/A YES O COMMENTS
ootings/Piers / 1
Monolithic Pour Form
Reinforcement in Place -4.---- >�"
The contractor is responsible for at;
providing protection from freezing ,y
for 48 hours'following the placement r.
of the concrete, /
Materials for this purpose on site
Foundation/Wallpour
•
Reinforcement in Place ,;''
Foundation/Dampproofing .1
Backfill Approval \ .1
Plumbing Under Slab \ /
Plumbing Vent/Vents in Place I
Rough Plumbing \ /
Heating Rough-In
Insulation / Nt.
Foundation Walls Interior R-\
Foundation Walls Exterior R- \
Floors / R- '`,.
/
Walls R- �',,,.
Ceiling R- ?
Duct work or piping in
unheated spaces R-
Proper Vent, A`itic 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 Qucensbury
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive am/pm Depa �' m
Inspector's Initials
NAME: MtQ_i('IiG'Lç2j PERMIT# ` ?/7
/I
LOCATION: L ,`jR,,t-c,JeAV\ _ DATE : —
TYPE OF STRUCTURE:
RECHECK
N/A YE$r`Nr0 COMMENTS
n s/Piers i —I V
Monolit ur orm
Reinforcement in Place
The contractor is responsible fc r
providing protection from freea ing
for 48 hours foil ing the plac. t
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior It-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
FIRE MARSHAL
r/, h� TOWN OF QUEENSBURY
s - j �' QUEENSBURY, NY 12804
,:Y. (518) 761-8205
FIRE MARSHAL INSPECTION REPORT 7REQUEST RECEIVED PERMIT# 'j I/
NAME ,LUI�G-
-� C.S GR
LOCATION 4 I- 'k I- �0,eJ
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM 4
FIRE SPRINKLER SY'. EM
FIRE SUPPRESSIO SYSTE t
HOOD INSTALLATI'a N •
INTERIOR FINIS,'ES __._.
STORAGE:
CL l•,NCE TO SPRINKLERS
CL:ARANCE TO HEATING UNITS
REQUIRED .IGNAGE
CHIMNEY
iOOD STOVE
(REPLACE-MASONRY
FIREPLACE-FACTORY BUILT RCM, (Ai
REMARKS: t,p. OK TO THIS DATE
riA .-5-re)r — C):ki
q',4 \--_-. )(2e-7
INSPSLIP.PUB INSPECTOR
FIRE MARSHAL
TOWN OF,QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVE
D PERMIT# f `7
M NAME (GH-� - c Re.
LOCATION ' 4 -JE
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTE
HOOD INSTALLATION
INTERIOR FINISHES _
STORAGE:
CLEARANCE TO SP"INKLERS
CLEARANCE TO HEA ING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
lr4 - F1 Rc 7 /° r�lc-r 1UC9
INSPSUP.PUB INSPECTOR
FIRE MARSHAL
/ 41 ,,,1; TOWN OF QUEENSBURY
'y ' ., QUEENSBURY, NY 12804
f ` .,' (518) 761-8205
FIRE.MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# f 1 '7/7
NAME 1M►rc f‘
LOCATION W `/16+ ed
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS' /
FIRE ALARM SYSTEM •
FIRE SPRINKLER SYSTE
FIRE SUPPRESSION SY' EM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANC 0 SPRINKLERS
CLEARANC' TO HEATING UNITS
RE UIRED SIGNA
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY 9 /
FIR PLACE-FACTORY BUI KR►{, 1'v /
REMARKS: urOK TO THIS DATE
c A-,; 61"Z gc c t-V--(I< A-FT 9,0-1 .
1A) 15 F0c6-i6:-
INSPSLIP.PUB INSPECTOR
•
z/e,
^� I
ziCol '-•-�
DELL
- L
. 9(/i-ii -2
6Z L9Z , .
NOV 1 9 1999
.... \.
T r,
e?�Ei_r?if�`�r',:`d ; _i,y_7y "I have seen orl observed, or believe I saw evidence of,
all objects such as houses, wells,trees,fences, etc.,
shown on thid invent. I also represent that I have
L.g tiLAAAINES i ii .S pPFtsIly 71 fed the dis ances set forth on the diagram."
1 °T`- .. - DATE `'1"% #)
;.., 9iGNATURE �, S
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MAR 1 6 2000
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•
MAP REFERENCE:
LEHLAND ESTATES SUBDIVISION
FINAL LAYOUT PLAN — PHASE 3
DATED: APRIL 27, 1999
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
c
v an D u s en
8c Steves
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
(518) 792-8474 New York Lic. No. 50135
'URAUTHMZM ALIM&TION OR ADM= TO A AJRWY
MAP INEAR10 A LICENSED LAND SURVEYOR>f SEAL S A
VIOLATION W SEC" 72M aS-UPAM 2. OF THE
NEVI VORN STATE LTAJCATION LAW'
'ONLY COMF7 FRW THE ORMOAL OF IM SURVEY
YARIED WTH AN ORMAL OF THE LAND SUR SYMS
SEAL SMALL BE cmdo n TO K VALID =A cww
'CO MMATOW NNCAIED NON SOWY THAT
MS SUfiEY VMS PINEPANED N AOCOIDANCE WIN THE
MOM OWE OF FWA6NICE FOR LAND SURWOM ADWW
BY THE NEW VDRX STAR A38MA10N OF FROFESWOIUL
LAID SLONEYORL SAID CFRTMAIMM WALL NIN ONLY
M THE ARSON FOR WDM THE SAWY IS PEPAPAU AND
ON HIS IEMMALF TO THE 717LE COMPAIM WARN DITAL
AOETVCY AND LENONO MWXIION LISTED HUM AND
TO TINE ASIIONNEES OF TNIE UMM MIIALWL*
Map of a Survey made for
ROGER H. & LORRAINE V. PHINNEY
Town of Queensbury, Warren County, New York
NEAR 16 2000
T.`. ,
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: ROGER H. do LORRAINE V. PHINNEY
GLENS FALLS NATIONAL BANK AND TRUST COMPANY,
IT'S SUCCESSORS AND\OR ASSIGNS
UNITED GENERAL TITLE INSURANCE COMPANY
c
CERTIFIED BY:
MATTHEW C. STEVES, LLS NYS 50135
DATED: MARCH 3, 2000
e 1"=30'
S --1
MICHAELS GROUP
DWG. NO. 89423-98
RomW7M01
DESCRIPTION