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98-424 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK October 20 9 t Date e 4 AC� ^' ] 98424 This is to certif that work requested to be done sr slhnwn by Permit No. has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 7 # 4 LOREN DR * Location MICHALES GROUP metier TAX MAP NO , 7 4 . -- 2 - 7 By Order Town Bo" TOWN OF QUEENSSURY Director of Bldg. do Code Enforcement BUILDING PERMIT jr1IT_IrM c l � ictool T©W N OF QUEENSBURY No. 98424 TAX MAP NO . 74 . - 2 -- 7 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to MICHAL11 ES GROUP OWNER of property located at LOT 7 44 LOREN 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 Queensbury Building and Zoning Ordinance. LAKE GEORGE , NY 12845 2. CONTRACTOR or BUILDERS Name MICHAELS GROUP , INC . 30, THZWb,E18W DC"jr+Lr MGR 1810 ROUTE 9 LAKE GEORGE , NY 12845 4, ARCHITECT'S Name NEW YORK BOARD G HVW* ')d6P .D OF FIRE UNDERWRITERS 6. TYPE or Cormruction — (Please indicate by x) SINGLE FAMILY DWELLING [ l Wood Frame ( I Masonry ( 1 Steel I F 7. PLANS and S cifkstions 2280 SO FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PDT PLAN SSPECIFICATIONS 8. Proposed Use SINGLE FAMILY DWELLING 289 July 16 2000 S PERMIT FEE PAID - THIS PERMIT EXPIRES 19 Itf a longer period is required on application for on ext*odon muse be rnede to the Building and Zoning inspector of the town of Oueensbury before the expiration date.l 16 July 1998 Dated at the Town of Queensbury this Day of 19 SIGNED BY " i — for the Town of Oueensbury Building arod Zoning Inapeetor Building Pertntot Application 7'01V11 (if Queensb ty - Deiv. x f Cnrrtrrrut+ily vevelcrlmosent, 742 Bair Rudd, Qtteerlsbuty, NY 12804 1761-82561 HIJILVING cE CoDty ENF0RCEAfE# N7" ltccluirelalealts prior to isslsattcC PE1 UIrF1LAC NO. of this permit: � r, A permit must be ol"ittctl tx.time PE IWIT FEE .PAID � beginnilig collswiclion. No inspections 7,olling 1�[1 ld Actim will lie made until als}slicnttl Ilns received hlcn t Uzc RLC1tCri77QN FIrC l3 D a 'VA1.Ila 11t111JANO i'liltMIT, All nlrl,licaxits' sl+nces xnl this 111+1,ticnlitill MUST Ile completed and- 111e sigunit'le [� 1'latrldlrtg ,Uvrtrrl Actllvlt REYtEWIsf� By: Building Lutrrc+o+` xrf lire n}ililicnuk must apl><nr xrlt tile Still I Sxilydivisilsn III rJtllx r II ip}ilicntiun fx11-111, 1h•ndl )tillRccrcninni Fee Payment t Sump_ /'�}r}riicnttl: 7 11e PQclrae f ss 011-OU �, C7iw;ter: I S 1 a Route 9 Lufee Gering e , NV 1 28,�d /1(1drCS5: dress: 1'Isvnc # 5 18 ) 668 - 3376 t'hone MmAd wo i'rctltcrty Location* _ fax NIa}t Nutnbcr. `J section Block III Sllbdivisioll N:11t1x;: NflTURE OF PROPOSED WORK : ESTIMATED HaRKET VALUE ALU �OF THE New B113_ 1di11g : CONSTRUCTION : -- ^` residence / commercial AddiL .ion t.o 13ttildi111 : OCCUPANCY 1"roftl ATIONt re1; 3.clence ! ccanunercial prili►:xry puildillig - �n,1Ler..tl. -}-t� rl Lo 1 clil -Liig : Single Fattt3. ly towelling residellc: e / commercial X Two Family Dwelling Res3.detice / Commerc l al _ FamilY Dwelling no change to exterior size OLtice describe below Mercantile g U'L 1Other FTork ( Manufactur ' other GROSS AREA or PROPOSED STRUcTURE� ,v zf AUL7i'1' laN , what will use 1sL Pinar . . . . • . . l � sy . itt00%I f new addition be ? t 2 lid Floor tk sc3 . f L , � , NIA Other Floors . . sy . Lt 'ar ( nvL ullfinished cellar or 'baselnel ACCESSORY BUILL] INGSE Detached Garage 1r - Y. ..... Attached Garage it "TOTAL FLOOR AREA , G� � � U 552 . F "7 Private S 'tro >r�6 Storage Bui Ing SIZE OF NEW STRUCTURE : commercial Storage Building Other FEET ed l�ot111daL- i. o11 'Tyite : I'auI Will any second- hand or ungraded o�rw hadt7 lumber a used ? if tar Number oE- SLQries : ---1 ( habitable space ot11y ) f et TYPE UL'' . HEATING SYSTEM : llea.ghL- ( grade to rid e ) : - circle all will c =(G;aarWood Nutilber c� L f�- ireplac ,Cog w+ao st Ye electric / oil Lo be insttailed : " Forced Hot Air / board / Other Person res v su siot>< £ work as regards to building • or 25 Codes -ISO tall p�vni zsas 518 -669 - 3376 : F3uilder : 711e M.icltcte s Ga1au �1itc. T810 Itte 9 Labe IVYaT280 5T8 - 98- �13 9 . Plumber : 1 cztict t'Ct•ltlirx 17a 1 ad C3� e1�6 Fa CCU+ Mason : 9fa 8- 371 - 9922 Ele+ctric3.an : DEC:1_..rtRAVON: please sigrt befoly afle' yoga !rave car iflly rend rile staletrrent. TO tl►e lacer of lily knowledge rite statements led ill this alapl'scation, together with the plans on al►d specifications submittedIv are a true a11d Complete staterncnt of all proposed work to e dare all ttic cleserilaccl prcllliscs anti trial. all larovisiorls of rise Build Code, tlxe Zoning iOrdinanceeornand all x�tlter taws }tertaittistl; to ttic pro}losed work stlall be cotnptied with, whether slaccifietl or noted, and till! suctt work is :xutltorirecl try the ownxsr. rurtlier, it is uttclerslotxl tl+at Vwc I-LTshal submit prior to a Ccrlificatc of Occupancy or Certificate of Csampliastce being issued, an AS $UIL'I PL<7l~ PLAN by a licensed stglvc Ir' T. to scale, showing actual location of project art prenxiscs. Signature: � , owner's agent, architect, contractor) Location of progperty for illstaIlatioll: _ r s_=.z�rl t-r t^•1 LJ �t 11 C lZ 1 ha ,MZc�'tl.' eL s G>rcc:� . LLC (� (7SYS1Cr S i`tdd1C: Atl +[,� I" CSS : T r5 •� � ^r � "v 9 f n :; 7 f=o ^;' 2? �� 7 '3 :cdS r Installer' s Name* ` 62JOUCxkCL Exc�va s�v FEE 1'1%[ D Num tic r or tic draonts 0Fresiticr.tialy : •t"at= l daily flaw (ranidc:ltial - c::mpulc ,rs+ t5O gal . par bcdre om ): Iol'� ernt7Sxy: t'Iat = lzvllitig SLccjp !ilo4:c ? , ur ,,91otic Scit N.tturc: —' � Sand Loam � � may atlier `1rat:nd Water- aL what dco[i1'7 30 feet Dc .Irctck or lmrcrviclus Material : at w11at depth? tact i'crcalatit:lt •fast: Q Nt1t Rccjuirad l;,Pealuircd/ILntc l Illin. per iuc!1 oomcstic 1Natcr Suprly i43uuicit ai U Nell Othcr trdomestic water supply is a Nv1:.1 .1 wnier supply from any septic nllsurption is feet PROPOSED SYSt'I 4S Scrtic lnnk: gal. (rat illit1tu111 si7q : - 1.000 gal.) 11 tits Field: each trenclx rcct. ( total systcm Iangtlx f��`fcct. Seepage i qs) : tlumltcr or N /A / sire each: it. s rt. Siaa or stx3nc to be used: #` Ste ! dct+th or thickucss feet. 11tJne Lt? IMG 't•ANK SY511:ht : (ir required) Number of tanks: N/A Size 'or each: gnl. Alarm systeri: csnd ctssocictted elecrrical Krork to be inspected by a certified agency. l-or your protection, please +tore that pursuant to Section I36-29 of the Code of the Town of - (2ereensbttry, any permit or approval granted xvl;iclt is based It port or is granted in reliance rr part , an)• material neisrepresentertiort or jtilure to make a ir3arerial fact or circunt 'fait cc krtosurt by or on behalf ofatt applicant, shall he cold. I bale read the regufarinrts tt'ilh respect to 111i.s cippliceitaon and agree ra abide by rlrese and all requirements rr frlte TOW" of Qtrrenslgtrry Srrrrirnry Selvage Dixposcrf Ordinance. Sienaterre olresvorl.sible Person 4 bed harr.2 yy.., ... : . . . 9 TOWN OF QU EFENSBURY 742 Say Rd. , QueensburyI NY 12804 ,..w APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS CHIMNEYS No . Date � -� �. , 19 � -�-- APPLICA'i'lON 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 aof licant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow 1red inspections. all inspectors to enter add plena! farm if more re u]Lan one appliance andfor chimney. Please fill boxes) th APPLIANCE (check appropriate Applicant It Ci STC]VE; ❑ Woad ❑ Coai ❑ Pellet a Gas i Address i`i ii ` f I t I _ ❑ FIREPLACE INSERT i Zip � ) �fW `� '53" F1 REPLACE, FACTO RY-,$UI LT: C3 Woad Gas p FIREPLACE, MASON Phone " C3 Wood ❑ Gas ❑ FURNACE: ❑ Wood ❑ Gas CI Oil owner IF NON-MASONRY APPLIANCE: r Address 'c Manufacturer: -- - - _ _— - Model : - _. - -� le boxes) Phone CHIMNEY (check appropriate �* E50MT ADDRESS of proposed construction ❑ MASONRY : C3 Block C] Brick © Sports FLUE: C3 Tile a SteelLL i~ LW n b(L% l-k' Size: �.____ inches FACTORY-BUILT: Model : CONSTRUCTION 1 INSTALLATION MUST Manufacturer: r_---Number: CONFORM 4 TO NYS FIRE PREVEENTION Listed By : BUILDING CODE. CONSULT AVAILABLE p Double Wall ❑ Triple Wall 13 OF QUEENSBURY HANDOUTS p Insulated C3 Direct Venting TOWN REGARDING REQUIRED INSPECTIONS . p Chimney Liner 1 New York Cashier' s Department Town of (zueensbury, punt Refunded Amount Collected Am Dept : Fire Marshal Title Code Number A 173 3389 ( 190) Public Safety A 233 2655 (2,,G)—MiW)r Sales c . L Fee CollectecFrom.ot`FRefunded to. Address; Town Clerk or Deputy: Dated White: Applicant Green: Fire Marshal yellow: Bldg. D t. Pink & Goldenrod.. Cashier's Dept. rr+r TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT la ?42 BAY ROAD QUEENSBURY NY 12804 ( ! (5 i 8) 761-$255 ARRIVE : DEPART : INSP : FINAL INSPECTIOR IREroWr - RESIDENTIAL DATE L ECTION R QU RE VED : NAME f it . LOCATION j i DATE U j T i TYPE OF S RUCTU FOOTINGS FOUN ATION FRAMING ROUGH PLUMBING. SEPTI5NFINAL ELECTRIChL WREPLACE _ N YES O CHIMNEY HB NT H G T PLUMBjt!G -VENT ROOFINg p SH DECKZPORCH19TEPS L NGS RELIEF VALVES FUMACE/Ho WAT R RA INTERT,OgM PR VAC FINISH FLOORS : WATE TIGH OTHEROR W EP OTHER FLQQRS C PETV 9TAIR C ARANC LIN S SMOKE QETZCTORS BATHROOM FANS PLUMBING X S r EOUNDATIO GARAqE PR i AL E C SITE PLRN/VARIAN(4R&Q - Fj.NAL SgRVEY O PL N OK TO ISSME CIO OR C C I F�'4 4 W 41d MAP REFERENCE: LEHLAND PARK BY: D.L. DICKINSON ASSOCIATES FILED: NOVEMBER 3, 1987 CABINET A SLIDE 128 0 LOT 6 DZ„ � AsE e 'URAUTHDRIffD ALTERATION LA DR SURVEYORS TO A SEAL SURVEY AMap of a Survey made for �`] MAP VIOLATION OF S LICENSED LAND SURVEYORS SEAL IS A .( �S/ VId.A710N OF SECTION 74(N, 9U8-DM9011 1 OF THE NEW YORK STATE EDUCATION LAW. 'ONLY COPIES FROCOM ER ORIGINAL OF THIS SURVEY NARKED w1H AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL SURVEY W CONSIDERED TO BE VALID TRUE FARES' p AT R I C K A. & LE S LI E A. FIRTH CERTIFICATIONS INDICATED HEREON SIONIFY THAT THIS SURVEY WAS PREPARED N ACCORDANCE WITi 'ME Land Surveyors, LL C DUSTING ° OF FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS SAID CERWICATIONS SHALL RUN ONLY TO THE PERSON FOR WFIOM THE SURVEY IS PREPARED. AND OI HIS BEHALF TO THE TITLE COMPANY; GOVERNMENTAL New York 12801 AGENCY""° UNDING NSTITUmON LISTED HEREON. AND Town of Queensbury, Warren County, New York 37 Chester Street Glens Falls, TO lHE ASSI... OF THE LENDING INSTITUTION' (518) 792-8474 New York Lic. No. 50135 74-2-7 I NO. I DA TE r if ec�i II P�Oftj? 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: Patrick A. & Leslie A. Firth Trustco Bank National, #.ssociation, its successors.on kjris Chicago , in CERTIFIED BY, ci MATThI L OYIS 50135 DATED: October 15, 19J8,`�S'_ 4` 1 ANO�w DESCRIPTION LM YC4.JV I I..IL�� av) a Scale 1'=30' S - 1 SHMr 1 OF 1 FIRTH DWG. NO. 89423-7 I N I n TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME ''� � '�yr r`ii.. •� LOCATION DATE/PERIT # � -APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO, SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINI ES STORAGE: C LE E TO S S EARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: ❑ OK TO THIS DATE r ti INSPE T IN5PSLIP.PUB � C R RESIDENTIAL FINAL INSPECTION REPORT C Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive Wpm D :I epartPm Town of Queensbury inspector's Initials 742 Bay Road Queensbury, New York 12804 NAME AL PERNITf # LOCATION DATE TYPE OF STRUCTURE NIA YES NO COMMEN'17S Chimney HeightP'B" VentMirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exteri Railings 30" to 36" Exterior Ilan Is, balconies, landing 18 in. or more Interior Handrai stairs both sides 3 ore risers Grade 2% awav rn foundatio 8" clearance to sill to Gras Valve shut-off a I8" above grade Gas Furnace shut-off 30 feet or within line of site Oil Furnace shut-off entrance to furnace area FurnacldHOt Wat eater opera Relief Valve( installed 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 every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures toe- A Foundation insulation 3/4 hour £u-e door/door closer C.3arage fireproofmg Garage penetrations sealed Furnace in separate room protected fin garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site Plarv"Variance required Final 'Survey Plot Plan As Built Septic System layout required Okav to issue C/C (Certif. of Compliance) Okav to issue temp. C/O (Certif of Occupancy) Okay to issue permanent C/O (Certif. of Occupancy) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE _` 4028769 BUREAU OF E CITY 1� Ill WASHINGTON AVE., S TE 70499 A ANY NY 1210 I OC'TOBER 2251998 a1i ,l 4 97�98/0 Date 4�13a 10"AN424 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by t applicant med on the above application number is in the premises a THE jgrCHAELS GROUrP, 4 LOREN DR . LOT 7, C)URENS N�' 7 �}�y �'�� Section block Lot in the following LoeatiQa�; 1ffn;1% A Ist Fr. � 2nd Pl. was examined on C1i4�1 0 .L and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING PECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W, AMT. K.W- AMT. 'K.W. AMT. N.W. AMT. H.P. LETS 36 45 41 34 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT_ TIME CLOCKS SELL UNIT HEATERS M LTI-OUTL M5 AMP. AMT. AMPS. TRANS. AMT. H.P. pJ ET DIMMERS AMT. K.W. OIL H.P, GAS H.P. AMT. NO. A. W. G. AMT- (7, QF FEET AMT, WATTS 3 2 14 SERVICE DISCONNECT Ha' OF S E R V 1 C E A_ W. G, METER ND. OF CC COND, A. W. G. NO. OF HI-LEG t" W' G NO- OF NtUTRALS OF NEUTRAL AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 dW PER 0 OF CO. COND. HI-LE6 1 150 CB a � OTHER APPARATUS: G. F. C. x: -4 SMOKE DETECTOR 6 FOREVE R R E 1,EC"IBOEL ELECT. l L wrLLIMf D, 14CPARTEOrr 2446 JAF`E'REY ST. GENERAL MANAGER 2.3� SCHE"NE'CTADYa Ny. 42309 Per This Certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identlfied by their credentioW MUST NOT BE ALTERED IN ANY MANNER, Cp FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE p^y GENERAL INSPECTION REPORT � 1 Town of Q►ueensbory on request received: I CPC of community Development Date inspection Building & Code Enforcement , 742 Bay Road Arrive PM Depart Pm Queensbury, NY 1z8U4Inspector's tl Initials PEPJV NAME: DATE LOCATION: TYPE OF STRUCTURE: RECHECK. N A YES NO CO NTS Footings/Piers X Monolithic Pour Form Reinfo=ment in Place The contractor is responsibl fur providing protection from freezing for 48 hours fallowing the placement of the concrete. Materials for this purpose on site Foundatian/Wallpour Reinforcement in Place FoundatiOwDampproofin Backfill, Approval Plumbing Under Slab plumbing Vent/Vents in Place Rough PiumbinLy 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- r Vent, Attic Vent naming Studs/Headers' nglBriridgi Dist Hangers nxQ .cy Jack Posts/Main Beam Air Infiltration. Barrier Fire Separation 1, 2, 34 h r Penetration Sealed — - Fire Wall 2, 37 4 hour Firestoppin GENERAL INSPECT'I(]N REPQRT ` 30 Town of Queeusbury request recei+red: Dept... of Community Development Date inspection Building & Code Enforcement 742 Bay Road Queensbury, NY 12804ar ve Dep Insp ector's InitWs q __L l e`% LwA NAME: ATE : [�1- LOCATION: TYPE OF STRUC RECHECK A YES NO CONOAENTS FootingsJl'iers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Darnppraofin Backfill ApprovaJ Plumbing Under Slab Plumbing Vent/Vents in Place Rough P1 V�5Rough-In anon Foundation Walls interior R- Foundation Walls Exterior R- Floors R- rtyalls R- Ceiling R- Duct work or piping in unheated spaces R- per Vent, Attic Vent ramin Jack Studs/Headers y� Bracing/Bridging �+t�S?'/�t� !'�^�¢'r )66W- ` Q. j Joist Hangers Jack PostslMain Beam � t ✓[s �c7T~ �[S of l ►�kh�� Air Infiltration Barrier Fire Separation 19 2, 3, hour Penetration Sealed ,( Fire Wall 2, 3, 4 hour .._ „ lG Firestoppin ' FIRE hAARS L 5(yy) kUE=,3URY T 12804 rowN Orr uc QUEENSO Ry, W (518) 7151-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT NAME LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME AppROVED NIA f YES fy NO EXITS AISLE WIDTHS EXIT SIGNS _--- 'EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYST FIRE SpRINKLERSYSTE FIRE SUPPRESSION SY TEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS REQUIRED TO HEATING UNIT QUiRED SIGNAGE .0� - CHIMNEY - 7DAB!;��C-7A- wool) STOVE FIREPLACE - MASONRY FIREPLACE OK TO THIS DATE REMARKS* INSPECTOR GENERA+G IN PE I N �' Town of Queensbury IyyrteInspection re[{u�t received= ------ Dept. of Community Develapmeat ` Building & Code Enforcement k `] am, �- 742 Bay Road atnlpra Depart Queensbury. NY 12804 `��e Inspector's Initials ��d # �`� NAME: DATE LOCATI N: TYPE OF STRUCTI�RE RECHECK NIA YES Nd CobeAOTTS I FootingSlP'i'ers Monolithic Pour Form Reinforcement in Place The Contractor is responsible for providing protection from freexin for 49 hours following the Pl ent of the concrete- on to Materials for this F oundationl W allpour Reinforcement in Place FoundationfDamPPr1 ofi Back ill A�1 Plumbing Under Slab g VentlVen in Place Pl Plttm}nn Heating Rough4n Insulation Foundation Walls Interior R- _ Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or PIP' in unheated sees R- ��� Vent, Attic w�t � ng lack StudslHeaders -pt ,� a ©1nJC� BracingMndgin Joist Hangers Jack PostslMain Beam Air infiltration Barrier___.�__�--- Fire Separation 11 29 3, hour�� t / Penetration Sealed 6 i rsu L-- Fire Wall 2, 3, 4 hour Firestoppin TOM OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (sis) rbi-szs SEPTIC DISPOSAL SYSpSTEM INSPECTION / Name ) ►' +G � L5 Locati oYi `a147, tt 44rr� V4 a•� I Date 61 &�:�� Permit # � SOIL TYP - anm=Clay- _.�- �- Results of Percolation Test- ( if applicable) Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIEL : Total Length of each t ench _ Depth of trenche 17. Size of stone --�- SEEPAGE PITS: r- Size - ft . x - ft . Stone siz PIPING: Size Type Sl d o Tank T to gist . Box 'Dist . Sox to Field/Pit .,p) � ' [Openings Sealed? Parti al LOCATION/SEPARATi Foundation to Tank 1 jr- feet Foundation to absorption_ feet Separation owl; Pits feet Conforms as per Plot P1 an No LOCATION OF SYSTEM ON PROPER ( circle one ) Front - Rear - Left Side - Right Side Middle Front COMMENTS : -' SYSTEM USE APPROVED: j��-=-is0~" Arrived: Depa ui ding Spector c { i i a i a � C O � �t 4 T CO Q CD all 0 51 00 N N amp i O y ■ GENERAL VVSPECTIQNV REppRT �' • Town of QQueensbury j�i S' Dept of Community Development Date inspection request received: Bniiding & Code Enforcement 742 Bay Road ` Queensbury, NY 12804 Arrive am/pm DeP Pm Inspector*s Xnitials� te NAME: PERMIT # � LOCATION: �. A D TYPE OF STRUCTURE: RECHECK N/A YE NO CpMMLNTS FootingslT'iers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/DamPP 'oofing� W&ckfil► Approval f Plumbing Under Slab Plumbing VentfVents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- _ Floors R- Walls R- Ceiiing R- I>uct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack StudstReaders Bracing/Bridgin Joist Hangers _ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed. Fire Wall 2, 3, 4 hour Firestoppir► � \ VM GFJVERAL M pEGrT N REPaR Town of Queensbury Dept of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road "r Queensbury, NY 12804 Arrive am/pm Depart 7a am/pm Inspector's Initi#ls NAME: PERMIT # "--I LOCATION: Y' DATE ; 1 TYPE OF STRU REC N/A YES,140 COMMENTS tings/Piers I Monolithic Pour Form Reinforcement in Place - _ The contractor is responsible fW providing Protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforeernent in Place Foundation/Danipproofin Backfill Approval Plumbing, under Slab Plumbing Vent/Vents in P 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 Framirx Jack Studs/Headers, BracingBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Harrier Fine Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Fi