97-107 •
4orisammlnimmemmir
♦--..> -
CERTIFICATE OF. OCCUPANCY
TOWN OF 'QUEENSBURY
WARREN COUNTY, NEW YORK
July 17 ,. 97
Date 19
Gi
This is to certify that work requested to be done as shown by Permit No. 171.
has been completed.
SINGLE FAMILY DWELLING W/3-CAR. GARAGE
This'-structure may be occupied as a
LOT 9G#163 HUDSON POINTED BLVD ,
Location
•
Owner MICHAELS GROUP
TAX HAP NO. 14 . --3-96 By Order Town Board
WN OF QUEENSBURY
Director of Bldg. & Code Enforcement.
BUILDING PERMIT
VALUE $ 161900TOWN OF QUEENSBURY No 97107
TAX MAP NO. 148. -3-96 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
MICHAELS GROUP
OWNER of property located at LOT 96#163 HUDSON POINTE BLVD. Street, Road or Ave.
SINGLE FAMILY DWELLING W/3—CAR GARAGE
in the Town of Queensbury,To Construct or place a
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
1810 ROUTE 9
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDER'S Name
MICHAELS GROUP
3. CONTRACTOR or BUILDER'S Address
1810 RTE 9
LAKE GEORGE, NY 12845
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING
( )Wood Frame ( I Masonry ( I Steel ( )
7. PLANS and Specifications
2436o.SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING W/3-CAR GARAGE
312 April 9 99
$ 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 Queensbury before the expiration date.)
9 April 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
�J7/F_�3/95 13:27 5187454423 •
TOWN OF OUEENSBUR'Y PAGE 01
D17 1 97
TOWN OF QUEENSBURY
Alliik Fee Paid _
V i BUILDING & CODES DEPARTMENT Permit #
L= APPLICATION FOR: PORCHES-DECKS-
4 a t<, DOCKS & BOATHOUSES Est. Cost
1 PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL. OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description , plans and specifications submitted , and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SIIALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: The Miehae! amp, LLC
P.O. Address 1810 to 4, Lake George, NY 12845 Phone # 668-3376
Property Location -4- Cka /(n, U C7� 0 �3) t Tax Map # _
Subdivision Name (If applicable) Hud4on Pointe .
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name; Jim Chand2en ____Address Same Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Dock ' Boathouse (Circle one)
Size of Structure to be built (square .00tage) : ' Jc X la
Foundation Material : Width 8" ConcAe.te P.ie{ ickness
Depth of Footing, below grade: To Onort tine pelt, code
Size of Posts or Studs: 4" x 4" x pex gnadeLong
Size of Floor Joists: 2" x 8" — x 10' Span
Decking or Flooring Material : 5/4 x 6. pneZ4une tteated _.- _ ,--T-7�
How will Porch or Deck be fastened to building? to bo.Ptect^,'.':7 '" ') I
If Roof. Will Be Ins al led, nswer I'ol lowing Questions: iv`AR 2 8 1997
Size of Posts or S tuc s _ x x Ilo r'g ,..;-. . .„
Roof Rafters: x Spacing Span -7
Roof Trusses (pre-el in Bred spacing) : Span
Type of Roof: oped Flat Shed Other (Circle one)
Material of Roof.
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, slowing clearly and distinctly 0 T -buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: �_ ft. x ft.
Existing building(s) : Size ft, x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ._ ft, and ft.
If on corner, setback from side street: ft.
u
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
together with the plans and specifications submitted, area true and complete statement
rf all proposed work to be done on the described premises and that all provisions of the
Wilding Code, the Zoning`Ordinance, and all other laws pertaining to the proposed work
;hall be complied with, whether specified or not, and th.t s _.h work is authorized by the
owner,
rATE;
a')_&(f
� -) SIGNATURE __ ��
er rher s AgentiV , '� Contractor
EVIEWED BY CODE ENFORCEMENT OFFICER, DATE 1f7SIt NATUR �'
Building Permit Application
Town of Queensbury - Dept. of Commnurity Development, 742 Bay Road, Queensbuty, NY 12804 [761-8256]
BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance
r 1 of this permit: PERMIT FILE NO.
. A permit must be obtained before j ��
beginning construction. No inspections • PERMIT FEE PAID$ 31 �,
will be made until applicant has received . n Zoning Board Action Mao o $��\�
t`- t' a'<
a VALID BUILDING PERMIT. All • Area /Use RECREATION FEE P $
applicants' spaces on this application
MUST be completed and.the signature nl Plamaing Board Action REVIEWED BY:
of the applicant must appear on the SPR / Subdivision /Other • Building Inspector
4pplication form. Thank you. J Recreation Fee Payment
. . . .
Applicant: The Michaels amp,, Inc. Owner: • Same. . Address: 1810 Route 9, Lake Geonge, NY 128A idress:
• Phone # (• 518 ) 668 - 3- 76 Phone # ( _ ) - ._ -
Property Location: ,.! G )03 —`'� 1 .- is ) l✓ . . .__o.__._ /
Tax Map Number
Subdivision Name: Nr.td/.Son Poin0 Cep /\ouh Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUEnOF THE
x New Building: CONSTRUCT,4ON• $ /(D/ /"W
residence / commercial Cia�t
Addition to Building: U
--
residence. / commercial OCCUPANCY INFORMATION:
Alteration to Building: , Primary Building -
residence / commercial X Single Family Dwelling
Residence / Commercial Two Family Dwelling -.____
no change to exterior size . Family Dwellings ;;:' m 1
Office 5_> :._ 1; .
Other Work (describe below) Mercantile ��R 2 g 1997
Manufacturing
Other
• �� s Fray',::;;.; :::`': : .:: :•....: ��r
� v
GROSS AREA OF PROPOSED STRUCTURE:
3 CD If ADDITION, what —Witt -use-
1st Floor G _ sq. of new addition be? :
2nd .Floor • fn3 c sq. ft 3� N/A ••
Other Floors 0sq. ft. Z
•
(not unfinished cellar or base ACCESSORY BUILDINGS:
3 • Detached Garage 1, 2 car
TOTAL FLOOR AREA: a 3� SQ. FT. K Attached Garage_ 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building •
3� r FEET X .S. .. t FEET Other
Foundation Type: Rouged
d Will any second-hand or ungraded
' Number of Stories : lumber be used? If so, for what?
(habitable space only) id No
Height (grade to ridge) : feet TYPE OF. HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all whit 1' es)
to be installed: 0 Electric / Oil Gas Wood
Forced Hot Air / eboard / Other
Person responsible for supervision of work as regards to building
codes is : J.i.m Chandfen, Pnoject Maviapen
Naive Addresss Phone •
Builder: The MichaeU Gnoup, IRc. 1810 Rte. 9, Lake Geonge, NY 12845 518-668-3376 •
Plumber: Fava P.eumb.Lvlg. 16A Pa h. Road. Rutz Fate's, NY 12801 518-798-4399 .
• Mason: • JV 13ouchen, Bak 268, GItavwi Je, NY
Electrician: Fonevolr Epee 'nJc, 2446'J040e y St. , Schenectady, NY 12308 518-371-9922
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 Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed sury yor; awn to scale, showing actual location of project on premises.
> ) J
.Signature:
• ner, owner's agent, architect, contractor)
ST
i1P TIC DISPOSAL PERMIT AMP RECEIVED
. Location of property for installation: )03 ,,j(A.d,s0),Ipta_:..g.td
• PERMIT NUMBER
Owner's Name: The M.iehae!A amp, LLC �1
Cr? (-/
Address: • 1810 Route 9, I afzo Gering(',NV 19845
Friedman Fxcavai.nMEM
Installers Name: 9 FEE PAID
Phone #: ( ) 518-639-4035
Number of bedrooms (if residential): FOWL
600
Total daily flow (residential -compute 150 gal. per bedroom):
Topography: I X1 Flat rl Rolling Steep Slope % of Slope
•
Soil Nature: I X) Sand I—I Loam I—I Clay n Other /Depth:
Ground Water: at what depth? 30 feet
Bedrock or impervious Material: at what depth? - feet
Percolation Test: 1• •Not Required IX I Required/Rate 1 ruin per igial4r, '--•,
• Domestic Water Supply: I— �
� Municipal [—� Well 1 Other 8 '9J/
If domestic water supply is a WEl.1: water supply from any septic absorption is feet'
PROPOSED SYSTEM:
Septic tank: 1 250 gal. (minimum size: 1.000 gal.)
Zile Field: each trench 54 feet. / total system length 216 - •feet.
Seepage Pit(s): number of N/A / . size each: ft. x ft.
Size of stone to be used: # 2 Sane I depth or thickness feet.
•
HOLDING TANK SYSTEM: (if required)
Number of tanks: N/A Size of each: gal.
Alarm system and associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of
Queens.bury, any permit or a p protlal 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 ofan applicant, shall be void.
•
I have read the regulations with respect to this a pplication and agree to abide by these and all
requirements of the Town o f Queensbur Sanitary Sewage Disposal Ordinance. 'Sienature o(responsible person: _ Date: /l) 2
- 4 bed home
' - HAANEN ENGINEERING
Egg
JOHN L , HAANEN , P.E.
•
G. THQMAS HUTCHINS, P.E.
•
•
April 9, 1997
•
Mr. Jim Chandler
The Michaels Group
6 Century Hill Drive •
Latham,NY 12110
Via Fax-668-4523
. RE: Hudson Pointe PUD-Phase 2
Soil Percolation Tests
Dear Jim;
On 4/8/97 we performed a soil percolation test- : . o -#9.6 Hudson Pointe Blvd., in the area
• where the septic system is to be located. The stabilized percolation rate is 1 minute 20 seconds.
Should you have any questions,please call.
Sincerely,
4 Ctlit -
G.Thomas Hutchins,P.E,
•
•
•
EATRACYWN461)29T,(,TR
IIIM254 BAY ROAD,QUEENSBURY. N,Y-12844
TEL;(618)793.7444 FAX: (518)793.7061
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
�^, j
Date - ,19 Permit No. / ^.
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 , , /9,9d`s (a/-mt) APPLIANCE (check appropriate boxes)
Address /A/4 Z4. 9 STOVE: ❑Wood o Coal o Pellet ❑ Gas
❑ FIREPLACE INSERT
Zip -r?0C`/a`' ®(FIREPLACE, FACTORY-BUILT:
❑ Wood ;g Gas
Phone 5-/ 76, 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner fay 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed constructions
� - ' # / 0 MASONRY: 0 Block 0 Brick 0 Stone
, vc 6 � ww FLUE: ❑ Tile 0 Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0 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
0 Chimney 'Liner
Cashier's Department Town of Queensbury, New York
Dept:Fire Marshal Amount Collected Amount Received
Code Number Title .
;
A 173 3389 (190) Public Safety :.
A 233 2655 (230) Minor Sales ,
•
•
•Fee Collected From or Refunded to: 1.1: ",., , f,A, l k ; -.fv�
:Add-ress:
Dated: � w
- ; ` < ( -7 Town Clerk or Deputy: `\ t,, ' %°=, 7 .J2 r
✓r �
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
x�/.a•A K!la•/:a.La4:)., 4*,,,:x••,1:s...c).tc.1n' !:??x),)_=)..,i,e4.a•,?.na•.:a,,PAL:"PYPP..:)_n•:.ka�.la•.CaVa..,Ce.e,1:',,,,.c-1,1-5_,,,I:e,.,,l iCs.•nayla•As•A•knJ.,.;. :. ,1:),71lJ.gs .*-1 Et.1_n),•.Cav
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THE NEW YORK BOARD OF FIRE UNDERWRITERS 1` 1t,E 1
• 4c?��€3`i 3ti:$ a
•
- r BUREAU OF ELECTRICITY
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 y
I1'i ,f 1. , �%"9'1 rh I,'�ep`•;��c��,:i;i: � :1:' c�i%i�i :
Date Application No L e
• THIS CERTIFIES THAT PE(`w T N'I. , .r 10;
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only the electrical equipment as described below and introduced by the ap{cant named on the above application number in the premises of qr
• t
Ttlli I :C-TIAE.LS GROUP, 163 HC3:iDSO I‘T BLVD. LOT 96, CiilEPi,l SBiin'y'. f-s:`t. Ir
Yr
in the following location; El Basement 1st Fl. El 2nd Fl. 1•rri4: Section Block Lot d-1
,
was examined on '-+I IL 1'l 719 r t and found to be in compliance with the National Electrical Code. ;
,:
!<, FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;A
�'i, OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 04
13-
.�1' .+b Udi 56 31 r, 1� .
,T
•-<' DRYERS,' . FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Ir
_ SYSTEMS .r
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1:
iY
•- .. . 1 7.. .1. ¶* I • �r'.
IX SERVICE DISCONNECT NO.OF S E R V I C E r
i AMT. AMP. TYPE EOU P 1.t 2W 1,if 3W 3 0 3W 3,0'/W NO.OFPECR Co.COND. OF CC.CONO. NO.OF HI-LEG OF.HI-LEG NO.OF NEUTRALS OF N W.
'!
j OTHER APPARATUS:
,r
i
ifi.'L'T' 1,1.+�E17.'-1 '
ei �, BC _ 4...t.
f'r LJ1ilt,P,o 13?IK; 1. ,.. i'".I R. "3r.:1 ! 1€' t.;I.h, 10k,:; • .
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St rwi+; i;11�,''`L"FIC'i' i'c;:-.-'
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a<-.-`,g,ri ayy '(z7 y1 i.t1[! •( �v,{ ri 3.! .{1•.-�A } • ri:t' t •T, ".� l GENE :
.( t�.'.11 I�1 t.�D3! L39-U'S l.a% .t£J�3 l..lill-1 i.�� �.4_l. -. f.:•�..•1 1; ,��. ... ,n ., >-
1Jii.LL.1i1 Il- i4 1'J'kTI ON `as i`i1` ,s;,, GENERAL MANAGER ,:
(, ^)/l(! ,,fE'1Ti'��.1T�li3 3Si.` . i t{i R� y �'��• 1
•' ,-ici.) ,1°d1�31°'t'f?i1St i`14C . 7.23gll ii . F- ' IS Per ._ :-
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. a
1-7 Y. .. T ?,r", f Y A", N...'/N...'/ i."i �7 i"'i Y'i?i "/?'i Y'i i- -i Y YY ?Y i"(,ci?,Y('i i:'i'?7?9'"f•'"r i"i?1?Y i-F YY fY?;%?Y YY i:Y Y7 YY 4.Y i i.'Y?./..:1\:Y YS\p YYY F7 YY T'i Y.(Y.Y'?Y!)-
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
07/16/97 15:54 FAX 5184596673 INTERNATIONAL SY 02
INTERNATIONAL rBUN T SYSTEMS INC.
2 OAKWOOD DRIVE W., ALBANY, NEW YORK 12205
Phone (51 B) 459-3993 Protecting Area
Fax (518) 459-6673 7_ / Homes & Businesses
(/ 1��/// for over 20 Veers
July 16, 1997
•
ATTN: Queensbury Building Department
RE: Michaels Group
163 Hudson Pointe Blvd.
TO WHOM IT MY CONCERN:
This is to advise you that a security/fire system has been
installed at the above address. Is has been fully tested and found
to be fully operational .
Thank you,
Nelson Kenney
INSTALLATION SPECIALIST IN SECURITY SYSTEMS • CCTV • FIRE/HEAT/SMOKE/BURGLARY
RESIDENTIAL • COMMERCIAL • INDUSTRIAL
TOWN OF QUEENSBURY
:,. BUILDING & CODE ENFORCEMENT
742 BAY ROAD�' ", QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART:. INSP:
FINAL INSPECTION REPORT - RESIDENTIALLJ
DATE INSPEC REQU T RECE ED:
NAME 1 1+ V`).Q1 J A
LOCATION _C \ Y
DATE 1 7 97 PERMIT M 1-
TYPE OF STRUCTURE
FOOTINGS OUNDATION BACKFILL FRAMING
ROUGH PLUMBI _ SEPTIC _ INSULATION
FINAL ELECTRI• L WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VE../HEIGHT
PLUMBING VENT •
ROOFING
EXTER : FINISH
DECK/PORCH/STEPS/RA INGS •
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS •SWEEPABLE
•
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL E CTRICAL
SIT PLAN VARIANCE REO. --
INAL SURVEY PLOT PLAN /�"�-�
OK TO ISSUE C/O OR C/C
... ,5 TOWN OF QUEENSBURY
A
; V,1 FIRE MARSHAL.
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION
REPORT
REQUEST FOR INSP CTION RECEIVED
NAME 1)/\12- ' 1 auv -
LOCATION CO 0
� \
DATE PERMIT # q 7 97- /0(
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISH! YSTEM
HOOD INST-At ON
AUTO. SPRINKLER.SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT Gi��
REMARKS: OK TO THIS DATE
INSPSLIP.PUB SPECTO
TOWN OF QUEENSBURY
��� BUILDING & CODE ENFORCEMENT
742 BAY ROAD
i_�14Ui , QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: 72.3(2). DEPART:. ?ter INS •
FINAL. INSPECTION REPORT - RESIDEN AL'
DATE INSPE•TION R QUEST ECEIVED (�(J
NAME '/+ � `� __,
LOCATION //
q i
DATE ( t.rjr\
PERMIT 1 /
TYPE OF STRUCTURE C3c;f__4--�
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION
FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT N(
PLUMBING VENT
ROOFING
EXTERIOR FINISH `
DECK/PORCH/STEPS/RAILI S :17
RELIEF VALVES
FURNACE/HOT WATER OPERATING j
INTERIOR TRIM/PRIVACY DOORS _ _ _• I
FINISH FLOORS: //
BATH/KITCHEN WATERTIGHT py
OTHER FLOORS 'SWEEPABLE !
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS _ f
SMOKE DETECTORS a ` " ` C
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING \l/v/;/'
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO. /71
FINAL SURVEY PLOT PLAN1 ://///
OK TO ISSUE C/O OR C/C
rv\._ t,„2,0
--2. ,c 7 .
TOWN OF QUEENSBURY
.� 5�,„" FIRE MARSHAL /,
',;W ,,.,, QUEENSBURY, NY 12804
G (518) 761-8205
�. FIRE MARSHAL INSPECTION REP pf'RT-
REQUEST FOR INSPECTION RECEIVED
? #" -? 7
NAME \ ili TAXLPO C
f etkze
LOCATION l L 3 1-1-UE'l , V )
DATE PERMIT #7/,6 9 7 / —J O 7
APPROVED
e+, • N/A YES NO
EXITS `i. r
AISLE WIDTHS;
EXIT SIGNS /
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM ti
INTERIOR FINISHES ,, \-
STORAGE: '\
CLEARANCE TO SPRINKLERS
CLEARANCE Tb HEATING UNITS
REQUIRED SIGNAGE s
CHIMNEY $.
WOODSTOVE/ i
FIREPLACE-MASONRY '
FIREPLACE FACTORY BUILT 1
REMARKS:/ ❑ OK TO THIS DATE
a . P 5< ./(1 (
ei ALC-- .-,,& kC4?'-;el<
\y0
INSPSLIP.PUB INSPECTOR
„,___..-?_. ikke0
TOWN OF QUEENSBURY
tf�i1 BUILDING & CODE ENFORCEMENT
Sp 742 BAY ROAD
;T . Ma QUEENSBURY NY 12604
(518) 761-8256
14)ARRIVE: DEPART:. ( INSP:C`c�
FINAL .INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQV•ST REC•IVED: 4"--1
4
NAME I�
2 �t `
LOCATION . J ���� -1 ��'7 , V` i
DATE l PERMIT / 97 O7
t ((((
TYPE OF STRUCTURE S'
FOOTINGS_tWOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC _ INNSULATION
FINAL ELECT*CAL _ WOODSTOVE OR FIREPLACE
I 1
- r ji N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT ) /-
PLUMBING VENT. /'
77` 1
ROOFING
f
EXTERIOR FINISH bJ
i 4DECK/PORCH/STEPSlE2AILINGS r 1//,/
RELIEF VALVES ', "I
FURNACE/HOT WATER OPERATING j
ty INTERIOR TRIM/PRIVACY DIORS `� 1
FINISH FLO
ORS:: / �/
BATH/KITCHEN WATERT GHT
.l
OTHER FLOORS SWEEPABLE
OTHER FLOORA CARPETED
imnt C ARAN /RAAI+LING ` & 1
L• emu ' I
SMOKE DETECTORS 2 ()i,��
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 1fiAQ7CT)ftQ -k9
Location 1 (".— g)(),S4Pratarat04
Date•7� �ermi # "\ I -"/ D7
SOIL TYP SPLoam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTE-• d
ABS . PTION F. LD: Total Le `�-2-�
Leng ' if ea h tre h i
Depth of tre - ?�
Size of ston•
SEEPAGE PITS Number-
Size - _ ft. x ft.
Stone size _
PIPING: Size Type
Bldg. to T,nk 54 fL
Tank to D'st. Box 5,o DD
Dist. Box to Field/P. 0 �1
Openings Sealed? 400 No Partial
LOCATION/SEPARATION .
Foundation to Tank /5 feet
Foundation to Absorption f 5 feet
Separation of Pits eet
Conforms as per Plot P1 an i Yes No
LOCATION OF SYSTEM ON PROPER :
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rea
COMMENTS:
SYSTEM USE APPROVED: 111 NO
Arrived: 9. '- 1
Departed: ° d
F
Building Inspector
. 6- nppi (518) 761-8256
J lj ,
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 rr
INSPECTOR'S REPORT: ARRX5 DEPART1/ INT
REQUEST
yyFOR
} INSPECTION Soap_RECEIVED: (0I//I 6
NAME LI f�l /httli y�1 J
"LOCATION
/_ llf.3 )-luc�at9 `el- u/I YQ
DATE j i 2/Q 1 PERMIT t 7 '107
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
''
FOOTINGS/PIERS
MONOLITHIC POUR FORM \/ )
-
REINFORCEMENT IN PLACE °.il\ J
THE CONTRACTOR IS RESPO SIDLE FOR
PROVIDING PROTE TION F M FREEZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING: _
JACK STUDS/HEADERS _
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
771
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R- y _
FOUNDATION WALLS EXTERIOR R-
FLOORS R- _
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R •
-
3 (518)761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
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INSPECTOR'S REPORT: AR�`�5 DEPAR °' IN'!" ---�j 7REQUEST FOR INSPEC ION R EIVED: ( D ~
NAMEPr\ C -614-LOCATION /( 3 c)cc (c1(-'c:
DATE ` S7 � ^ l / PERMIT # C\--1`J� 7
TYPE OF STRUCTURE: 'c' -D
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURP'SE ON S TE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-INi.
INSULATION: 7.c V
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY.
BUILDING & CODE ENFORCEMENT.
742 BAY RD., QUEENSBURY NY 12804 �/ 4- ,
INSPECTOR'S REPORT:" ARR DEPART//-1.4NT. .
REQUEST FOR INSPECTION RECEIVED:
NAME UU`!C c//�.i��•/ 6h//��
6" F
LOCATION 0 /Y/!/ 0// I44."/i�/t U�•DATE f�f1 PERMIT A 77;07
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A _ YES.. NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTO IS SPONSIBLE FOR
PROVIDING,.PRO, E TI N FROM FREEZING
FOR 48 HOB F L ING THE PLACE-
MENT OF THE C RETE.
by
MATERIALS FORsT S PURPOSE ON SITE
FOUNDATION WALLP UR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROQFING ,
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
EUMBING UNDER SLAB _
/FRAMING: f%-V /91
JACK STUDS/HEADERS ,
B: •CING/BRIDGING
iNEENIMOIST HANGERS _
JACK POSTS/MAIN BEAM .
AIR INFILTRATION BARRIER
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
2 - -r '&
` � ` T. 10 644, lUttom.- Y �t�
(518) 761=8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
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INSPECTOR'S REPORT: ARR�` u�DEPART ( IN
REQUEST FOR INSPE ION RE IVED&/( - 9
In [�'-" / 7
NAME N c1 c <-
LOCATION i Lp 3 d 6' y�
DATE P•RM A - to
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT\IN PLA
THE CONTRACTOR IS ESP NSIBLE FOR
PROVIDING PROTE T ON FROM FREEZING
FOR 48 HOURS FO NINO!THE PLACE-
MENT OF THE CON TE.�I _
MATERIALS FOR P.[9RPOSE ON _SITE
FOUNDATION/WA LPOUR
REINFORCEMENT/ IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HHEATING ROUGH-IN _
✓INSULATION:
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS R- ///
CELLS R- _
DUITIWO
DUCT WORK OR PIPING IN
UN SATED SPAC.S R-
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(1�L. (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT •, d:
742 BAY RD., QUEENSBURY NY 12804
r
c.
INSPECTOR'S REPORT: ARR114a DEPART .4 r I �y '
REQUEST FOR INSPECTION RECEIVED: S i-;/ (V)
NAME rc..,_e.e..,n (_l'� ,��JLOCATION 3 tAt., . i 3`iI
DATE ' { C i PERMIT $ / 0 7
TYPE OF STRUCTURE: `t;.
n
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS c
MONOLITHIC POUR XRMI—
REINFORCEMENT IN P ACE _ .
THE CONTRACTOR IS ESP NSI LE FOR
PROVIDING PROTE TI N FR FREEZING
FOR 48 HOURS FOLLO ING THE PLACE-
MENT OF THE CONCRE E.
MATERIALS FOR THIS PURPOSE ON SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PJLUMBING VENT/VENTS IN PLACE \S/j/;/
_
VOUGH PLUMBING PcFill` t_ It _
PLUMBING UNDER SLAB
FRAMING:
Y
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
ieAliv'
-;,,. TOWN OF QUEENSBURY
Jk-c FIRE MARSHAL
' , w-. ` QUEENSBURY, NY 12804
(518) 761-8205 .
FIRE MARSHAL INSPECTION REPORT
i '
REQUEST FOR INSPECTION RECEIVED (fr)
NAME 1i G-P-e' S C.L,z"
LOCATION / - RE.
DATE PERMIT # 5 ?j0 ql C(7 16 7
, CGZ APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS s
EMERGENCY LIGHTING. '
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING/SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
/REPLACE -MASONRY
✓ FIREPLACE - FACTORY BUILT
REMARKS: ii OK TO THIS DATE
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(518) 761-8256
TOWN OF QUEENSBURY k
BUILDING & CODE ENFORCEMENT °t ,b
742 BAY RD., QUEENSBURY NY 12804 10,•-
WV
INSPECTOR'S REPORT: ARR v DEPART ' •
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REQUEST FOR aIN_SPECT^ION RECEIVED: / I I
NAME i �:L_1--4-2•CS/ �l�' 1-''-1_c
LOCATION ffI (� lXl Lld .pi-. 'JL� / 7
DATE J ' 0 I� 1 PERMIT fl 97- c?
TYPE OF ST UCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
-'(:::::ki.\)------.
REINFORCEM I
THE CONTRA 0 SPONSIBLE FOR
PROVIDING P OTE TION FROM FREEZING .7 0,1 s'9
FOR 48 HOURS FOLLO ING,TH• !�1 MENT OF THE CONC T R T_
MATERIALS FOR THI P POSE ON SITE,_ 0
FOUNDATION/WALLPOUR _- -
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT VENTS LA \ ..
ROUGH PLUMBING '� _
PLUMBINGJ UNDER SLAB _ r
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JACK STUDS/HEADERS
BRACING/BRIDGING ft
JOIST HANGERS e_
JACK POSTS/MAIN B 1 cs .01
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AIR INFILTRATION BARRIER _
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INSULATION: 00 .11-eR ,W i� CV54'
FOUNDATION WALLS INTERIOR R-� ` ,CL-
FOUNDATION WALLS EXTERIOR R- J
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WALLS R- 1-0
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(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT .
742 BAY RD., QUEENSBURY NY 12804
f 1
INSPECTOR'S REPORT: ARR(: DEPAR I'•t�
REQUEST FOR INSPPECTION RECEIVED:RE
NAME /i c, /L D S `SW- ,
LOCATION . l�C 11`v 0/1/ // / . t`��/PO t
Z DATE .( �f PERMIT C�'
A / 7 —1 C77
TYPE OF ST UCT E:
RECHECK APPROVED
N/A YES NO
•
FOOTINGS/PIERS
MONOLITHIC 'OUR FORM
REINFORCEMENT IN PLACE /
THE CONTRACTQ" IS RESPO SIDLE FOR
PROVIDING PRO'E TION FR M FREEZING
FOR 48 HOURS OLLOWING,-THE PLACE-
MENT OF THE CO' CRETE.
MATERIALS FOR IBIS PU POSE ON SITE _
FOUNDATION/WALL OUR _
REINFORCEMENT IMP CE v//
• 1
FOUNDATION/DAMPPR\'.FING -
'-0SACKFILL APPROVAL •
PLUMBING VENT/VEoT \IN PLACE
ROUGH PLUMBING 1
PLUMBING UNDERSLAB \.
FRAMING: `.
JACK 'TUDS/HEACiERS
BRACI G/BRIDGING _
JOIST HANGERS
JACK/ POSTS/MAIN REAM
AIR INFILTTION BARRIER
r \
•
HEATING ROU H-IN
INSULATION'.
-
FOUNDA ION WALLS INTERIOR R '
FOUNDA ION WALLS EXTERIOR R
FLOOR R-
WALLS/ R-
CEILI G R-
DUCT ' ORK OR PIPING IN
UNHE TED SPACES R- •
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.\c-3 -r„,\ (518) 761-8256
TOWN OF QUEENSBURY
BUILDING 5 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 x;�. r 3,
INSPECTOR'S REPORT: ARR(• /v DEPART`I1 O INTsg
.5 REQUEST FOR INSPECTION RECE ED: LE — r Ci I
NAME Oka c
LOCATION 9 ` e 1'i �'SCE,+q 1.11-f 6
DATE Al — 1 S --9. 7 PERMIT # c\-7-,n
TYPE OF STRUCTURE: G �-
) -`�
RECHEC APPROVE
N A YE NO
OTINGS/PIERS
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE - ,V/
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM '
AIR INFILTRATION BARRIER
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-
MAP REFERENCE:
HUDSON POINTS P.U.D.
BY VAN DUSEN & STEVES
DATED MAY 1994
LAST REVISED MARCH 0, 1995
FILED IN THE WARREN COUNTY
CLIOWS OFFICE ON APRIL 5. 1995
AS INSTRUMENT NO. 4A
PLAT CABINET B SLIDE
CONSERVATION LAND
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: RONALD E. & DORIS E. BLACHUT
STANDARD FEDERAL BANK,
A FEDERAL SAVINGS BANK,
IT'S SUCCESSORS AND\OR ASSIGNS
CHICAGO TITLE INSURANCE COMPANY
CERTIFIED BY
MATTHEW C. STEVES. LLS NYS 50135
JERATION OR ADOITION TO A SURVEY
?ISED LAND SURVEYORS SEAL IS A
IN 72DO, SUB -DIVISION Z OF THE
P"TION LAW.'
'ONLY COPIES FROM THE ORMAL OF THNS SURVEY
MARKED WIN AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES'
'CERTIFICA71ONS INDICATED HEREON SKOWY THAT
THIS SURVEY WAS PREPARED N ACCORDANCE 11I1H THE
E)NSTNO CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY 1HE NEW YOM STATE ASSWAIM OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR * M THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE OOWANY. OOVERWAXTAL
AGENCY AND LENDING NSTITUITION LISTED HEREON. AND
TO THE ASSIGNEES OF THE LENDING NSTITUTION.'
DATED: JULY 16, 1997