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98-258 CERTIFICATE OF O CCUPAN C'iL TOWN OF QUEENSeURY 1 k e WARREN COUNTY, NEW YORK � E 4 t 9 __._ 99 This is to certify that work requested to be done as shown by Permit No. i has been completed. This structure may be occupied as a SINGLE FAMILY DWELLING Location LOT 19 # 98 SURREY FIELD DR , Cvttier By Order Town Board TAX 14AP NO . 4 8 . - 8 - 1 9 TOWN OF QUEENSBURY Director of Bldg. 4c Code Enforcement BUILDING PERMIT VALUE $ 130000OWN OF QUEENSBURY Nn. 98258 TAX MAP NO . 48 . —8 - 19 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to MICHAELS GROUP , THE L . L . C . OWNER of property located at LOT 19 498 SURREY FIELD DR . 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 Oueensbury Building and Zoning Ordinance, t OWN AM4tE RT . 9 , SUITE 3 LAKE GEORGE , NY 12845 2. CONTRACTOR or BUILDERS Marna MICHAELS GROUP , INC . C'NA^E " Yir �";RINT CT MGR 1810 ROUTE 9 LAKE GEORGE , NY 12845 R. /iH4i"71 S CCS.. Fame NEW YORK BOARD s. A EF€ NdW0ARD OF FIRE UNDERWRITERS 5. TYPE of construction — (Presser indicate by xi SINGLE FAMILY DWELLING i I wood Frame I I Masonry } l Stall l ) 7. PLANS and Specificatlons 1930 SQ FT SINGLE FAMILY DWELLING WITH 2 —CAR ATTACHED GARAGE AS ftR PLOT PLAN SPECIFICATIONS ^-- --- a. r'rcrFavaw SINGLE FAMILY DWELLING 255 May 28 2000 PERMIT FEE PAID — THIS PERMIT EXPIRES 19� Ill a "or period is reiquired an application for an extension must be nnade to the euildlnp and Zoning inspector of the town of Oueensbury before the expiration date.) 28 May 19 Dated at the Town of Queens fury this Day of 19 SIGNED BY �- for the Town of Gueensbury euildkV and Zon ne Inspector �3u 'idira,� Permit application 1 I f71V11 of QueC115bulil y - 1Jr7M. rf Conernrrrrrity Urrrl[alvrrrrtr, 742 Day Moral, Ofecrtsbary, lyr 128M 1741 82561 t 11UIbV11vri I,% CUUG 15INP 0 RC9AfVNT Itc[luirenletlls prior to issuance � Q s il _� Ti of 111iernlili PrildiIT 1<ll.ts NO. CJ d A lsctirtit unist be rlhlnillell 1lerrrla bcgittrliltgg coilgh IICIlulf. No iSINI a bCMrfl Htlr: f (rrrrYl /icIiO71 rrssiWir FEE r llv $ LJ will W I11ntle I+nGI nlq/liclrnt burn rc4eivecl �- 0Q vAl.lra 11tnr.r�[Na 1"l:1tt,11I'. All Alvin rue 1t9Cnr�[71vN FEE1'AI i � nlyrticnnN` e<pncca an+ I11i.a tggrlienl&rr, MUST IV cr+nllrleled nnrf 11ro nignnlure � Plarlolrlg r3[arrrvl Acllvrr ,1MVIGW7.{U DY.• of the nlgllkwit Ill[rnl npl+cnr on 1110 sl'R r 510Klivisi+ln r tnllcr ,p,+rMhyr lr.,peaor ilslllicnlitsrr furrrr- xn.rr.. ��� Iteclealirl[l Fc[s I'synte111 Applicattl: 7I<e 1IichaeP.B Ghocip, Pnc. Owner: Swne ' h[I[IrCSS: + � f � Ituufe ? l.rtfte t)e(Yrftie 1JY ! 28?[ifdress: _,+ IS &GS _ - _ 3316 Phone # ( ) ' ___._...__ ll� i't[ellelly L.uc 1liorr; £i D 71 Tax Mall Number Sins[#ivisiotr 1Jnnits: �, ' C Section Block IXA ` ltnTURC of pltopOSEU Wo" : ESTIMATED MtlftKF;'1' VALUE OF THE New Build.1.11y : CONSTRUCxxoN : •$_ I - residence / comrtlorclal r ncictit3.on #,o lillildiogc OCCUPANCY INFOILttATION : r- en3-[.lence / cormnorclal H1 Lo 11. i till l.o 1.11111Cl .I lit g t Primary Uuildtil residence / coms1lercia-t .-_Y�, S3-nq 11'aen].a . ftersitierlcr! } cummerc.ial "I'wo lamLly rY7iz� l lfinq uo clranye Co exterior piptram y Dweliilrg _ oCilCe other Work ( describe Mercantile Wky Manufacturing :rr .�--- - Other -_G nos 15 AREA of pItUPOSED STRUCTUREp: � ~�C. - - ----- -- - - - - - []. / It ADDITION . MI.i.`laC - --w#;�. �_.u6g�..-_ IsL Floor ' . . � v all . € t . /,� / of newt addition be? : 2nc1 -Floor . » . . . . . r1rl . € t . 7 � NIA OLber Floors - • » . ell It 7 I ( not urr€ i molted cellar or beBenlertt}� 14CC1'&SSORY BUILDINGS r car �.,.. _ Uetacliad Garage I , III SO4 p..r . _ Attached Garage Is 2 ar TOTAL 1 LOUlt nttEn : private Storage Bu ding S1ZT' orNGW STRUCTURE : Other Storage Building pn OCher Ir is E"1' X rCUT Will an Second-hand or ungraded routidaCion TYPO -47'ulth rr lumbar Ida uB@d? 2€ so, for what? vC Stories : ( habitable r1pace only) feet TYP- Rc OlYlyrSnTINO SZSTEiti Ileight ( grade to ridye ) t 1 NUIUber Of fireplaces r1[l/or woo stove Clectrica/roil"c Gas ' J 1'7ood to be metalled : viorced Plot- Air ! oboard / Other __—_-- - _-- Person rfisDons,ibia for su ervi ro:x work as regards t P building, codes !soc ^Tinr['It0.itrLPo f'rrn prfi limp P!r` or ]Eric Rice , 3td[Ycesae i3uii.der, : lire 1�1t<c#'1reeF,l� Gkuul. lilts I81R R�.e. 9r La.lte Geohtte P 14ni7835 518-r56$-332G ; plumber : ! rxvu I'1"�Ml fl h l ratifil Nw & T8 9 9 - Mason : y iiuttc�tPd..•.--{1ux--2�La.�r�+ r . r , uv 193a& � P8-370 - 9922 Clectriciall " fnlpoleu" '�nrlhif' =irll�fi 11 �r � 17L•"C1.ARA1101V.' Please sign below 4040- ywx love ear-<rtrlfy read lllt "agelrterit. To kite best of uty knowledge tile stnternellts coataitled in Ibis ar,plicatioa, together with die plains and Slt[:C1r1Cnllr]IA9 snbnlitted, are 0 true and complete staletticnt of all proltesed work to be dote oil the [lescribett lrrensiscs Rn[t Mat all Ixrovisious or Lire Building Cone, tale 2ordng Ordinance and an other laws IserlailAiog to the prol+ttseri work shall be contitlio[.l wit1A, whether speciflc[I or noted, r and o a tlrht stteh work is nx+titorized by Lila owner. l''urtlter, it is lxncicrstoott glint Il SVwa sSrlipLT suiliptlit s-'t7T fillrtby Certifrcale of Clcclgtsrncy'or Cell` Ica a ottlplintrco being issued, x liccrrsc[l snrvcyori drawn to l II ng nctua atiolr of project oil prcrxixses. Signature; (owner, owner s age"(, RlCllfteCt, contractor) >v3 . 1 �[.�'1 ,.� aC"" (J .� �t ► , �i` .Lf .�['�►.1YL .L .l Lacntlon cif prvperi.y Cvr 1ListatllatieII: ' . `�.'i�.�-wit, - Y� :pf�i•�P PERMIT NU NI13 Ett Owner' s Natsle' The MZchaz.?A Grtot.tn , LLC Address: 1810 R^eft 3 4 f f;„ arzo onr- eg , u t 9Rd5 -- ]� Installer' s Name: F:t,.ZL6,nan EX=Lva.'Zna I-1iI3 1'AtU Phone # : Nttniticr of lscdrocros (ir residcnt-ial ) : ` otal daily flow (residential - czm% pule al ISU gal. per bedroom) : 450 Tci}vgrarity: © mat Q I;Wilins Q Stcalt Stolle rep ur ,91olle Steil 14atura: Sand Loam CIay Other fl7ctttit: %:= round Water: at what dartlt? 3 {7 feet E3c -rnc:c or Intrervitius Materialt at what dcptis? rcct I'crcuiatiun 'lcst: Nok maquiredi " 12,edluiredIItato i ntin. rcr Inca I:)UttteStiC Water Suvriw. Well Otlicr Ir domestic wvatcr supltiy is a WVI .I .: water :supply rrom any septic attsurrticlot is rest PRO POSIk I7 SY5I-1::1m: :Sent'ic tank: __� � aII (misti[is urn si-a: 1,04](J oal. ) Tile Meld: each trcrsch N/ A rcet- ! total System Icngth __feet_ Seepage Pit(s) - ttunlllcr of N/A ! size each: ft. * ft.. Size or stoma to be usctl: # 2 Qng t depth nr thickness It0 LDING TANK SYSIM, M : (ir required) Number oC tanks: N /A -Size orench- gal. Lim .alarm system and associated electrical strork to be inspected by a certifcd agency. For your protection, please irate that pur=ant to Section I36-29 of the Cade ofthe Town of "_ �•: Queertabury, any pernsrt or appraisal grained svlrich is based upon or ISgranted in reliance aporr y ,. airy onitterial ntFsrepresentatioit a fir ilure to +:: ake a material fact or circumstance known by or on brlralf of ar: a pplicator, shaft be void. X " • -.R�. I have read the regutrruons with respect to this a p,trtrcarion and agree to abitic, by there and rrtl r<rejrrirrrrrrrrr.r o f the 7 Town of �7rrrrnshrrr3 a r ry Sewage I3isposr? t Oretinernce. / 5ienatrrre orresportsihle person: Dante � Ib TOWN OF Q UEE.i. . S.BU.RY � 742 Bay Rd., Queensbury , IVY 12804 APPLICATION FOR SOLID FUEL BURNING .APPLIANCES AND CHIMNEYS L Date I �-� -� 11�.' 1 l,1 C, 19 Permit No. i i S 3 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 Cade. 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 andlor chimney. Applicant 1 ` h (_ � '^ APPLIANCE (check appropriate boxes) Address 1` 1 r � � ❑ STOV E: o Wood o Coal o Pellet o G as ❑ FIREPLACE INSERT Lk,L ( iC_ 1 U: i t,. zip " _ _ __- �KFI REPLACE, FACTORY-BUILT: o Woad © Gas Phone (Lll ,) -' � G ❑ FIREPLACE, MASONRY: E3 Wood o Gas Owner _�f I "i �t � ' ( llCli ( , t � f :L�� ❑ FURNACE: p Wood ❑ Gas o Oil Address I^ i Lu ±l Q IF NON-MASONRY APPLIANCE: _u �..-- :a,�n� r. ,_a....a r. y� +.. e. m ..a a,w .w..n... ..¢ « >� Y,. _.y r tt�\ Y• .� r... . .. .. •. .- ...,_ __.,- ... ., .. ... ''f111'rtr5'clf'lkc i �1 ,_ ' z LA ► Zip (: Model : Phone CHIMNEY (check appropriate boxes) [* EXACT ADDRESS of proposed construction ❑ MASONRY: ❑ Block 0 Brick ❑ Stone � ` t � txaa �13 r; I_ ir.. Zl FLUE: o Tile o Steel Size: Inches CONSTRUCTION 1 INSTALLATION MUST FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & r Manufacturer: Model : BUILDING COLLIE. CONSULT AVAILABLE Listed By : . Number: TOWN OF QUE.ENSBURY HANDOUTS ❑ Double all oTriple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting o Chimney Liner Cashier' s Department Town of Queensbury, New York 13ept: Fire Marshal Amount Collected Amount Refunded Code Number Title �c A 173 3389 (190) Public Safety A 233 2655 (230) Minor Sales Fee Collected From or Refunded to: Address : 67 Dated : Town Clerk or Deputy: White: Applicant Green: Fire Marshal Yellow: Bt'ttFg ! De Pink & Goldenrod: Cashier 's Dept. PORK BOARD OF FIRE UNDERWRITERS THE NEW BUREAU OF ELECTRICITY WASHINGTON AV E., SUITE 744, ALBANY, NY 12210 A 1 . ifi 347 43585198 / 98 SEPTE!'lL3ER 11 . 1998 Ap�rlica$ion No. On le �58 Date ` p1r!MI"T NO . 7z3 THIS CERTIFIES THATby the applicant named on the above application number is in the premises of only the electrical equipment as described below and introducedD k+F:13S33L.3Ft'a' , NY Lot L`'' gl}gFtEy F'IELL eslhR Section Block THE MIcHA�ELS GROUP . ® - st Fl. 3 Fl. Basement fiance with the !National Electrical Code. in the following location; 998 and found to be in comp SEE''TEtSBER {Tj$ , 1 was examineNS d on RANGES cooKfNG DECKS ©HEN$ DISH WASHERS AXMTHAUST NAP FIXTURES qMT. K.W. AMT. K-W. AMT. K.W. AMT. K.W, FIXTURE RECEPTACLES SWITCHES InCAfIbESCE FWORESCENT OCHER 4 OUTLETS 48 46 39 UNIT HEATERS NIUYSTE S DSMIutER$ 39 SELL SYSTEMS AMi. WAns FURNACE MOTCSR$ f:U7URE APPLIANCE FEEDERS SPENIT RAMP. TIME CLOCKS TRANS. AMT. N.P. No. OF FEET DRYERS AMT, NO. A. W. G• AMT. AMP. AMT. AMPS. H.P. GAS H.P. .� AMT. K.W. OIL n -j F w - 1 V i C E.R F w. G. A, W, G. NO. OF NFUTRA LS OF NEUTRAL No. OF NO. OF CC CONO. h. W. G. NO. Of HI-LEG Of Ftt-LEG SERVICE DISCONNECT METER OF CC. COND. 1 1 TYPE EGILIIP. T 0 2W I0 3W 3 0 3W 3 0 nW PER ■ AMT. AMP. 1 2 /0 1 1 �aCd CB 1 OTHER APPARATUS: C1;I LSNG FAN-2 HOTOR'S : 1 -F " Pp - E. smoKE DPTECTOR s —EF LTGH'TTNG : - 20 GENERAL MANAGER popXVER ELEC /BOEL ELECT . WI LLIAm D . 14C PARTWN Per 2446 JAFFREY ST 6 ors may be idenlified by their credentials. scHENECTADY' , NY . 12309 This cerilflcate must not be altered in any manner, return to the ptfice of the Sward tf incorrect, in MUST NOT F3E ALTERS➢ IN ANY MA COPY FQR BUILDING ➢EPARTNIENT. THIS COPY OF CERT4FiCATE GENERAL INSPECTION .REPO".RT / ►1 ,1 Town of +Queensbury Date inspection request Wed, .kept, of Community Development Building & Code Enforcement 7t andpm 742 Bay Road ,Arrive am/pm Q� �p� [�-- ueensbury, NY 12804 juspector's InitialsQ PERMIT # NAME: DATE : LOCATIO TYPE OF STRUCTURE: RECHECK NIA YE NO CQ" S ootm ers Monah orm Reinforcement in Place The ,contractor is responsible for providing Protection from freezing for 48 hours following the prlaeeruP*rt of the concrete. Materials for this on site FoundationlW allpo Reinforcement in I'l FoundationfDamPP Badcfill Approval plumbing Under Slab plumbing VentlVents i Rough Plumbin Heating Rough-In Insulation Foundation . alls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in ,inheated spaces R- Proper Vent, Attic 'Vent Framing Jack Studsflieaekrs --- B raci n gf B r i dgin g� ----- joist Bangers lack posts0Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour penetration Sealed Fire Wall 2. 3, 4 hour Firestoppul TOWN OF QUEENSBURY AU I1,}) 111G & CRAY ROriDRf�EMENT QUEENSBURY NY 12604 (519) 761-8256 1NSP : DEPART = �-------- ARFII VE = F VIAL INSPECTION REPORT - RESIDENTIAY, DATE SNS'F'E'CTIUN REQUEST GEI V./, NAME c,oc nT ION pERMiT DATE TYPE OF STRUCTURE FRAN}ING �._ BACKFILL FooTINGS�_ FOUNDATION INSULATION _ TIC ROUGR PLUMBING SEPWOODSTOV0 OR FIREPLACE FINAL ELECTRICAL I£ur. HO NIA fiEIG 'ri!B VENTLM119 1.,____.�T— C;}ILMNL•Y�— PLUMB NG V RQt7FING -,I— IOR FINIStf c� 1L1 �EC�pORCfi STEP RA GS_ RELIEF VALVES OT WATER E _TING F RNACE.`fI._..., I ERIOA TR 14 PRI AC OOAS FINISH._ F1'OORS • BATH TCHE WAT RT GHT-----"'~- OTHER FLOO S SWEEP ABLE �4TiiER FLO RS STAIR C1-'E ItANCE RAILINGSY�---- ~~ SM'LZKE PETEC O S RA,�,S"k�ROOM FfiN 'P PLUMBI G F FOUNDAT N NSU A IC1N GARAGE FIRE PROOFING �v ___-- - DOOR C OSERS AL p NL SITE PLAN VAR ANCE RE L SURVEY E'LOT O TO ISSUE C /o OR C C MAP REFERENCE:' SURREY FIELD SUBDIVISION MODIFICATION TO AN APPROVED ;SUBDIVISION DATED: OCTOBER 27, 1998 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC LOT j �6r VIECOVED AUG 0 3 1999 TOWN OF QUL�ca ��;P0%jr N� con & Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 `ISW1111WaW ALIM710M O1 ADM= 10 A SIMIEY IMP WANDIS A I100111110 LAID SURVk1V01110 SM N A MOM710M W iC1IDN 72011. Y-OIMgI ; W 1K Ip 11JN1 SEAR MUCA1011 LW IMLY COFMS F11011 Tt OaSSMAL OF DO Sua1S:Y WNW WIN AM olOilAt W 1K WID SISIVINIVN *AL>WL` m` VALID ROBERT 'CERIFIM,aa1a �� NSIG011 fl11fY TNT '00 SISIILY SIAS RWAM M ACOgIDANIM " TIE " TE wx 1Sam ANIUM1QM w Das FMOFMINNAL I" UWI*10at SAID Ca1t10AIm OWL am ONLY 70 M M4TSOM M 11011 w &WAY ID FWAM me a MSI ww 1C TIE Ira[ aftw~. aalaMalIDlull w Map of a Survey made for G. & DELORES E. LOCKROW AGWY A,ID IaIDPIa 900MI I LISIM M IMIL AN Town of Queensbury, Warren County, New York 10. = #AOMMii W 1c IIDIDSID SI13111T01L' NO. I DR TE I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FpR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERWIIENTAL AGENCY LENDING INSTITUTION LISTED HEREON. CERTIFICAT"S ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ONA48M CERTIFIED TO: ROBERT G. do DELORES E. LOIWOW OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: AUGUST Z 1999 DESCRIPTION 1'=20' S-1 SHWr I OF 1 :LS GROUP (SURREY FIELD) DWG. NO. 97061-19 00 I OD f FIRE MARSHAL TOWN OF QUEENSBURY CIUEENSBURY, NY 12804 (518) 761 -8206 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED ' 49 NAME LOCATION LOCATION "!a ` —'� " `FRM1T # _ SCHEDULE INSPECTION ON ''�" -1 -L19"— —� C) vc PM APPROVED NIA YES NO ITS - AISLE WIDTHS ----J-� EXIT SIGNS EMERGENCY IGHTI G -- - FIREE)MNGUISH -- FIRE ALARM SYST FIRE SPRINKLER STEM __- --_ - - FIRE_ SUPPRESSI N SYSTEM - - HOOD INSTALLA ION _-- -- INTERIOR FINI ES _� ----- -- --- _ - STORAGE: _ �.- - -- --- -- -- CLEA NCE TO SPRINKLERS __-- CLEARANCE TO HEATING UNITS _ REQUIRED SIGNAGE CHIMNEY ---- - - -- - WOOD STOVE`41REP CE - SONRY ❑ FACTORY LA - - - R GH-IN INAL OK TO THIS DATE REMARKS: INSPECTOR iNSMIP.PUB / 0 : 0 ' � • RESIDENTIAL. FINAL INSPECTION REPORT I)ate inspection request received: fixJ47 f Office No. (518) 761-8256 yy, %� Building & Cade Enforcement Arrive andpm Depart/ �. Dept. of Community Development Inspector's Initials Town of Queensbury 742 Bay Road r� Queensbury, New York 12804 t NAME PERMIT DAT # .3 LOCAMN V TYPE OF STRUC CONOAF14 S N/A YE NO b 5 'e F Chimney Heightl"B" VenUDirect Vent Location Fresh Air intake Plumb Vent through roof Roof Complete Exterior Finish Complete interiorfExterior Railings 30" to 36" Exterior landrails, balconies, landi 8 in• or more interior Handrails stairs 'both sides or ore risers Grade 2% away from foundation 8" clearance to sill plate reg ator " above grade_ Gas Valve shut-off expo Gas Furnace shuts ff 30 f t or thin line of site oil Furnace shut-off` at en to cc area Furnace/liot Water Beater t — Relief Valves) installed Headroom 6 ft- 6 in. on Basement stairs, 6 ft. 4 in Handrail exterior stairs tit sides more than 3 risers Interior privacy/trimld is/main entrance 36" Floor Finish Bathroorn/Mtchen tertight 18 in. or more Interior Handrails B comesJl- artding Railing across wind w in statty�ells Smoke 1T7etectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage ftreproofin Garage penetrations sealed Furnace in separate room protected. (in garage) Light ventilation per room safety glaing 18" y e s f r Final Electrical site Plan/Variance Final Survey t'lat Plan As Built Septic System layout reyuire<1 ) — Okav to issue C/C (Certif. of Cornpliancc )__.� \je 1 Af rg o j Okay to issue temp. C:/0 (C,ertif. of C)ccupancy) Okay to issue permanent C/o (Certif, of ()ccupancy) TOWN OF QUEF.NSBURY FIRE MARSHAL QUA 518�R 61 g SC34 205 FIRE MARSHAL INSPECTION REPORT RECEIV D REQLyEST FOR 1NSPEION NAME LOCATION - �-- pATE PERMIT # APPROVED NIA YES NO EXITS AISLE W IpTNS EXIT SIGNS LIGHTIN EMERGENCY FIRE E7CTlNGLIISli -RS SYSTEM �-�-- NUTO EXTINGI-IISHIN H006 INSTALLATI P UTO. SPRINKLE SYSTEM - - ALARM SYSTEM IN.TERIOR FINISHES SToRAG'E: To SPRINKLERS �NITS CLEARANCE TO HEATING CLEARANCE REQUIRED SIGNAGE CHIMNEY W C3C)DSTC7v E FIREPLACE - MASONRY �-'--� YBULT FACTO IRP FA OK TO -THIS DATE REMARKS: ; I ' 1i35PSLVP .PVJB TOWK OF 'QUEENSBURY BUILDING b CODE NFORCEMEKT Queensbury KY 12B04 k (519) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION 4 Y I Name ,r,y Location y7 ? 7 � �- Permit ` C3 { Date SOIL TYRE - a � Results of Percolation Rat Test / Inch ( if applicable ) TYPE OF SYSTEM: X +wti�r ABSORPTIOK FIELD: Total Length Length of each tre ch Depth of trenches Size of stone SEEPAGE PITS: umb - f ---- Size ft . x Stone size �--- Size Ype PIPIN Bldg . ldg to Tank Tank to Disto Box Dist . Sax to to Field/ t +1 ►J of parti a s openings Sealed? LWATION/SEPARATI ��_ p feet Foundation to Tank ti r feet Foundation to Absorpon et Separation o�- Pits o conforms as per Plot Ilan LOCATIOK OF SYSTEM OK ( circle one Y ft. Side Fron ea lddle Rear Middle ran G[1N94'EKTS: ,�+��. .]�+i►7�-�C�� t� 4� � �' ems` i 76 SYSTEM USE APPROVED : YES Arrived: Depart = ui ding Insp t r 777 GEIVERAL INSPECTION RE.P4RT r - Town of Queensbury est receiv�e.+d: Dept, of Community Development Date inspec lion requ Building & Code Enforcement .- 742 Bay Road Arrive amlprnp /y� pm NY 12804 Queenaburry, inspector's Initials � ►' PERMIT # NAME: DATE LOCATION: `t TYPE OF STRUCTURE: RECHECK N/A 'YES NO COMJENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protectio rm freezing for 48 hours follow; a place It of the concrete. Materials for this purpose on FoundationlWallpour r----_..-.-... :.. place t'i�,.lIll[71LTlliGaat aaa Foundation/Dampproofin Backfill Approval Plumbing Under Slab lunibing, Vent/Vents in Place ugh Plumbing Pr1r- C LJ4�c d H g Rough4n elation Foundation Walls Interior R- Svcs f c7 cJc:c /fir Fc'�f / ! Foundation Walls Exterior R- Floors R- , Walls R- ceiling R- Duct work or piping in unheated spaces R- r Vent, Attic Vent Framui Jack Studs/Headers _ racing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour F1restoppin8 GENERAL INSPECTION REPDRT rn of Queensbury Date inspection request receiwed: ,�— ept. of Community Development 1? Building & Code Enforcement 742 Bay Road Arriwe�G � "` am/pm DePar� ��Queensbnry, NY 12804 Inspector's linitws PERWr # NAME: DATE : �' f LOCATION: TYPE OF STRUCTURE: RECHECK N/A YES NO COMI ONTS FootingslPiers 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 P Faundation/Dam Backfill Approval Plumbing Under Slab r ` plumbing VenUVents in r y j 4� A) 1r1i,- ough Plumbin 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- ,�mper Vent Atti Went JFramin 1't'•- Z p ``` Jack Studs/Headers�._�� -- ` c KC.HA Bracing/Bridgmg � x1 �` �AAjl ,, 5 � ti joist Hangers jack posts/Main Beam f Air Infiltration Barrier Fire SeParatian 17 21 3, hour� �� penetration Seated Fire Wall 2, 31 4 hour Firestoppin I, TONK OF QUEEMSBURY BUILDING a CODE ENFORCEM NT 74-2 Bay Road Queensbury MY 12804 (5is) 761-8256 SEPTIC DISPOSAL SYSTE" INSPECTION Name Location Lo r Date { Ct Permit # SOIL TYPE: San - La -Clay- RespPlicable) Rate of � n Test� ( if applicable) Mi note/ Inch____ TYPE OF SYSTEM= ABSORPTION FIELD : Total. Length Length of each trench Depth of trenches Size of st ne SEEPAGE PI S: fumbXr7�e Size - StPne size PIPING: B dg , to Ta kTank. to Dis BoxDist . Sox to i dIPOpenings SealLOCATIOMfSE TIFoundat' to Tank tion Foundation to Absorp — feet Separation of Pits yes No Conforms as per Plot Plan LOCATION OF SYSTEM ON PROPERTY : ( circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : SYSTEM USE APPROVED: YES N Arrived: Departed: Bui ding nspector s i ,y f;ENER�. L INSPECTION REP-Q T J Town of Queensbury ' ©ate inspection request received: Dept. of +Community Development Building, & Code Enforcement 742 Bay Road Depart to Queensbury, NY 12804 Arrive �- Inspector's In' ' PERMIT' 4 NAME: Y LOCATION: r DATE TYPE OF STRUC:'I'1.3RE: RECHECK NIA YES NO COMMENTS Footings/Piers. Monolithic Pour form - Reinforcement in Place The contractor is responsible r providing, protcaion front fr ng for 48 hours fol lowing the pla en of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place rdation/Dampproo fin fill Approval. Plumbing Cinder Slab Plumbing Vent/V 4nts in Place Rough Plumbing_ _, Healing Rough-it insulation. Foundation Walls Interior - Foundation Walls Exterior _ - Floors R- W alas R Ceiling R Duct work or piping in unheated spaces vc„f Attic Vent Framing` Jack Studs/Headers Bracing/Bridping, Joist Hangers_ Jack Posts/MO in Bea - Air Infiltration Barrier Fire Separation 1 , 2, 3. hour. Penetration Sealed Fire Wail 2, 3. 4 hour Fi restopping GENERAL INSPECTUON REPQRT Town of Queensbury Dept.. of Community Development Date inspection request receive& ,Building & Code Enforcement '742 Bay Road `' -� Queensbury, NY l2Sl14 Arrive 1 � '� a�''Pm Depart a�'I� Inspector's Initials NAME: P # 's LOCATION: Y TYPE OF STRUCTURE RECHECK. N/A YE NO COMMENTS tingslPiers � Monolithic Pour Form Reinforcement in Place The contractor is responsible fo providing protection from freezing1 I/ for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo g Backfill Approval Plumbing Under Slab Plumbing Vent/V ants in P e Rough Plumbing- Reating Rough-It rr insulation. Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R' Ceiling R- Duct work or piping in unheated spaces R.- toper-wept Attic-Vent Framing _ Jack StudsMeaders Bracing/Bridging joist Hangers_ .lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour penetration Sealed Fire Wall 2. 3. 4 hour Firestopping 2 C3' . - .,8 ~�` __ � �-� _ -�� , goo •� _� �,�;�-�=-- ' _ `� �_�--�--:_, pit '� ��-Dt_)�i..r► ,,:�`�9 � "� ,.,-�, .�.`� 41 oil "I Aserved, OW avid: all,.,,: -ses, shomi p�csonaliy r: thpt pp E-