97-200 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
July 10 98
Date 19 _
IA 1/
This i to certify that work requested to be done as shown by Permit No. 97200
. has been completed.
SINGLE FAMILY DWELLING
• This structure may be occupied as a
LOT 64#104 HUDSON POINTE BLVD.
Location
MICHAELS GROUP
Owner
TAX MAP NO. 148 —3—6 4 By Order Town Board
TOWN OF QUEENSBURY
-3&/iff,"4
Director of Bldg. at Code Enforcement
BUILDING ''`,PERMIT
TOWN OF QUEENSBURY
VALUE $ 133000 • No.
TAX MAP:NO.... 148.—3-64 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MICHAELS GROUP
OWNER of property located at TOT 64 �old tl UDSON POINTE B •��,— Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a SINGLE FAMILY DWELLING__'r:.:
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 ii
1810=ROUTE 9r
GEORGE - NY 1.2845
2. CONTRACTOR or BUILDER'S Name
: IICHAELS:',.GROUP
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
NEW YORK. BOARD. •
5. ARCHITECT'S Address
_YORKa; BOARD. OF FIRE-- UNDERWRITERS.
6. TYPE of Construction—(Please indicate by X)
SINGLE. FAMILY,'DWELLING. :
1 1 Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
_ ::186� SQL FT: SINGLE FAMILY DWELLING WITH• 2.-,CAR...ATTACHE_Dr,:GARAGE� i
F; PLAN: SPECIFICATIONS .
8. Proposed Use
SINGLE_,FAl1ILY DWELLING
a , ziv.1 .4.2.4 r1:2� 9 94w��,�
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 9 i
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.) '
12� December-
Dated at the Town of Queensbury this Day of i 19
SIGNED BY _ for the Town of Queensbury
Building and Zoning Inspector .
, .
TOWN OF Q UEENSEURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
_.-) Q ,- .0, n„,-
7'
Date ,19 Permit No. c -
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 lawsoidinance , regulation's, and all conditions that are part of these requirements and also will allow
all inspectors to ei te'r premises to•perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
-Gap APPLIANCE (check appropriate boxes)
Applicant 1 c� �,`,-t ;� �,
_ d
Address \, }) Q) 4 0 STOVE: ❑Wood o Coal o Pellet o Gas
(- 0 FIREPLACE INSERT
)-,,_C -4 '' « n: . Zip j 6 .,:.) o FIREPLACE, FACTORY-BUILT:
C _ . ❑ Wood . O Gas
Phone \ — 0 FIREPLACE, MASON '1�'
❑ Wood ❑ Gas
Owner nib-AD 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address '~ IF NON-MASONRY APPLIANCE:
Manufacturer:
--- -- - _— Zip —_ — Model.
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
❑ MASONRY: 0 Block ❑ Brick 0 Stone
)--0-' 6U `" )O td (Sr) if 0'.'v FLUE: 0 Tile 0 Steel
w . .a. : ....,,. ... �....
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 0 Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
L ❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title t. L....- 0.
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales _
mot`-. "0 r I,' 'T ,t , (-`�---J(' f
Fee Collected From or Refunded to: I I e, \' '.,, _e211, /tom..% d L LA--- F.:1
Address: ( ',, ,' it) C 1 ) i t
Dated: — S -- ? Town, Clerk or Deputy: ( ) V.,( ' -! t"/(: \
TY
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
07/03/95 13: 27 5187454423 TOWN OF QUEENSBUR'Y PAGE 01 •
' " TOWN OF QUEENSBURY Fee Paid
'' BUILDING & CODES DEPARTMENT-41lj Permit #
APPLICATION FOR: PORCHES-DECKS-
, �` ``' , ;,' DOCKS A BOATHOUSES Est. Cost
4 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 SHALL BE SUIIMITTEI
WITH THIS APPLICATION.
Owner of Property: The Michaels Group, LLC .
P.O. Address 1810 Rte9, Lake George, NV r4. Phone # 668-3376
% Property Location lj- (6.4_ , . Qg Ui-t .wi,'�t�l'4Tax Map #
Name applicable i cabl e Hudson Pointe ..__c��ar
Subdivision (Ifpp -
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
----,,
Name: Jim Chandlery Address Same Phone#Eric Rice .__,_.—._
BUILDING SPECIFICATIONS:
`
Type of work to be done: Porch ( Deck ) Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : 0,0,
Foundation Material : Width 8" Concrete Pi1l}zlckrtess
Depth of Footing, below grade: To frost line per code
Size of Posts or Studs: 4" x 4" x per gradbong
Size of Floor Joists: 2" x 8" • x 10 ' , Span
Decking or Flooring Material : 5/4 x 6 pressure treated
Flow will Porch or Deck be fastened to building? Lag Bolted
. . ---
•
If Roof Will Be Installed, Answer Fol lowing 'Questi.ons;,
Size of Posts or-Studs: x _ -- x Long
Roof Rafters: ,x -•Spacing Span
Roof Trusses (pre-engineered---spacing) :
Span
Type of Roof: Sloped- 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, showiny clearly and distinctly allbuildings, 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.
- DECLARATION
To the best of my knowledge and belief the statements contained in this' applica.tion,
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 a 1 provisions of the
Building Code, the Zoning Ordinance, and all other laws pertaining t ' the proposed work
shall be complied with, whether specified or not, and that such work is authorized by the
owner. 1....-----
)ATE: - 0 \1� SIGNATURE 40 ----
'Tier, �wner s Agency hi Contract 1
1EVIEWEI) BY CODE. ENFORCEMENT OFFICER, DATE 41 S NATURE--—
Building Permit` Application., -
To►vri of Qtceeiisbu.l y - Dept. ,fCommunity Development, 742 Bay Road, Queensbuty, NY 12804 [761-8256J
---0 BUILDING c.F CODE ENFORCEMENT •
!NOTICE Requirements prior to issuance •
r" of this permit: PERMIT FILE Na 7
A permit must be obtained before 2 ct_
beginning construction. No inspections PERMIT FEE PAID$ 3,
will be made until applicant has received . n Zoning Board Action
a VALID BUILDING PERMIT. All Atca l USe RECREA7%ON F $
applicants' spaces on this application
MUST be completed and•the signature fl Planning Bond Action [ REVIEwEDBu.
of lire applicant must appear on the Sint / Subdivision /Other Building Inspector
pplicatiou form. 7 .�t,r,. J Recreation Fee Payment
Tire M�.chae.P�S Glcoup, Inc. Owner: Sante --• •
Applicant: .
Address: 1810 Route 9, Lake Geo1cge, NV 128A5dress:
Phone # ( 518 ) 668 - 3376 Phone # ( ) -
II ,�, i-- Y ate RAti- -- . :: ' -4 4 Luton Po I n .
Property Location: l_43 �Q a el
.Tax Map Number ----/ /
Subdivision Nanr tut son Po i n272 Cedar Count Section Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
. x New Building: CONSTRUCTION: -$ i ,Q()O
residence / commercial
Addition to Building:
residence / conunercial OCCUPANCY INFORMATION:
•
Alteration Ito Building: Primary Building -
residence / commercial X Single Family. Dwelling
Residence / Commercial Two Family yDwe :], nrg;a� 1, -
no change to exterior size . Family Dwe,ling P. t;,,
Office
Other Work (describe below) Mercantile DEC 01 1997
Manufacturing
,` Other TOE,.;';, v, ,' _::. : ,..;i,, e•�y
GROSS AREA OF PROPOSED STRUCTURE: BOO --
0 If ADDITION, what will use
1st Floor tl� sq. ft• c3S of new addition be? :
2nd .Floor " WO% sq.
ft. ),,
, N/A •
Other Floors sq. ft. ,3,
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
jj Attached Garage 1,• 2 car .
TOTAL FLOOR AREA: � w� SQ. FT. ,x_ private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other •
SC) FEET X 5rl 1 1.1 I FEET .
Foundation Type: Poured Will any second-hand or ungraded
' Number of Stories : 2. _. lumber be used? If so, for what?
(habitable space only) I No
feet TYPE OF HEATING SYSTEM:
Height (grade to ridge) : 2� circle all wlnic 1' es)
Number of fireplaces and/or woodstove Elircrec / Oil Ga 51, Wood
1es)
to be installed: Forced Hot Air / trboard / Other
Person respons' for supervision of work as regards to building
codes is : Jim Chard!'/;., Pno1oot Mra.vti 't --. p one
or Eric Rice, Project •
Names resss Lake George, h 12845 518-668-3376 :
Builder: The M.LcltacL Group, IN.c. 1810 Rte 9, •
•
Plumber: Java Ptum6Lna, 16A Park Road, G.!'erv5 Fa.La. NY 12801 518-798-4399 .
Mason: _]) l3ora.c'.hek, lion. 268, G)can.v-i.fJP., NV g 518-371-9922
•
Electrician: FantPuPh Ffcetnio, 2446�'Jaf{,n0y St. , Schenee,tad- 518 Ny
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 1/we shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed survey• raven to scale, showing actual location of project on premises.
oi
.Signature:
\i . ner, owner's agent, architect, contractor)
.,-- . . i. . uildng Permit Application.
•Town of Queensbuiy - Dept. of Community Development, 742 Bay Road, Queens.bury, IVY 12804 [761-8256]
N ^ - BUILDING & -.CODE ENFORCEMENT
'NOTICE . Requirements prior to issuance
of this permit: PERMIT FILE NO. C
. A permit must be obtained before ^ C
beginning construction. No inspections • PERMIT FEE PAID$ ��
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All • • . Area /Use -RECREATION FEE PAID$
• applicants' spaces On this application .
MUST be completed =s01gnttim n Planning.Boa7d Action REVIEWED BY::the •
SPR / Subdivision /Other Building Inspector
Opplication form. Thank y+ou. J Recreation Fee Payment •
Applicant: The MichaeL Gnaup, Inc. Owner: Same
• .Address: 1810 Route 9, Latze Geokge, NY 1284Sdress:
Phone # ( 518 ) 668 - 3376 Phone # ( . ) -
• . Property Location: .�1 " 4q— luY- 1� ,acit"�1.., tin /SI l
Tax Map umber_ �--�
Subdivision Nam : NurIAon 1)a.i.nt1 Ces(l aunt Section Block Lot
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALU OFnTH
x New Building: COP1STRUCTION: /Co,q
residence / commercial { �.(.5f
Addition to Building: . c
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 r amity Dwelling
Other Work' (describe below) Merca'n
// Aiie' T9971ng
GROSS AREA OF PROPOSED STRUCTURE: l3 TO • • w- —.
n • �d I ,,B�i cou t ' will use
1411st Floor J sq• of new ad i i
2nd .Floor - sq• ft• N/A
Other .Floors •
sq. ft.•
(not unfinished cellar or ba emen ACCESSORY BUILDINGS:
S Detached Garage 1, 2 ca
TOTAL FLOOR AREA: 0( 11 L1 SQ. FT. x Attached Garaged, 4g0100 .
Private Storage Bui 1;ing
SIZE OF NEW STRUCTURE: 3Se • Commercial Storage Building
`1 c FEET X �1 FEET Other • • • • -.•.
Foundation Type: Pau Will any second-hand or ungraded
' Number of Stories: •- lumber be used? If so, lot what?
(habitable space only) Na
Height (grade to ridge) : feet TYPE OF: HEATING SYSTEM:
Number of fireplaces and/or woodstove - (circle all whie 1'es)
to be installed: Electric / Oil Gas) Wood
I- Forced Hot Air / - Joboard / Other
• Person responsible for supervision of work as regards to building'
codes is : Jim Chand2vh_, Phojont. Mahagen
Name Addresss • Phone •
Builder: The. Michae.t Gnaup, IYte: 1810 Rte 9, Lake George, NY 12845 518-668-3376
-:-------2--. - --Plumber ---=-Favor-Humbing• 16A-Ra,tFz--Raad,-_G.fe►vs--fa.tos,Nh-1-2-801.518-.79_&-4399_ -
Mason: JV &Lichen, Baz 268, Gnanvitee, NY •
Electrician: FOhPVPtr FPPo.irir, 2446'loOrey 8t. , SP.hv.nescadj., NY 12308 ;18-371-9922
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 I/we shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed survey •'drawn to scale, showing actual location of project on premises.
}
..Signature: /" .
r, owner's agent, architect, contractor)
-ASEPTIC EPTIC DISPOSAL PERMIT STA •MP RECEIVED
Location of property for installation: j�((�)1i ,, ( I� '�i1 I
(�3IY`1— 71�::�,L1;� tk PERMIT NUMI3EA
Owner's Name: The Michae?.s Gnoup. LLC .
Address: • 1810 Rowto 9, La.17o Goonno,NV 19845 c2J2/ (=
InstaIler's Naiue: Fk-i-adrnan Excavcu:ing FEE PAID
.Phone #: ( ) 518-639-4035
Number of bedrooms (if residential): FO
600
Total daily flow (residential -compute ri (50 gal. per bedroom):
Topography: X Fiat Rolling Steep Slope % of Slope
Soil Nature: I '' Sand Loam Clay Other '/Depth:
Ground Water: at what depth? 30 feet .
Bedrock or Impervious Material: at what depth? feet i
Percolation Test: l Not Required I^ ( Required/Rate 1 nPg es-"((��itfc
��
1t1997 •
• 1 TOW;' L':;� .... _ .CRY
' Domestic Water Supply: Municipal (-1 Well, 1---1 Other rwac,r:: ccztr,r';r14 iP
If domestic water supply is a WEi.l.: water supply from any septic absorption is feet .
PROPOSED SYSTEM:
Septic lank: 1250 gal. (minimum size: •1.000 gal.)
Iile Field: each trench 54 feet. / total system length 216 . -feet.
Seepage Pil(s): number of NSA / , size cacti: ft. x rt.
•
Size of stone to be used: # 2 Shone I depth or thickness feel. •
HOi..DING TANK SYSTEM: (if required)
Number of tanks: N/A Size of each: gal.
11 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
Queenshury, any permit or approval granted which is based upon or is granted in reliance upon ..:.
any material misrepresentation or failure to make a Material fact or circumstance known by or on ' '
behalf of an applicant, shall be void.
•
I have read the regulations with respect to this application and agree to abide by these and all
requirements o f the Town of Qneensbury S nary Sewage Disposal Ordinance. '
Sienature of responsible person: _ I.)ate: 12—I (h
, . - 4 bed home
12-1 1—'I 997 S:Sl:P•1 FROM STEVES/N4CE/I.1 I LLER 51 S 792 SE'I 1 P. 1
� I
�i K -z 4 ? � �� {t5{��1_ t�by F ?.�'P� �-,�t,+E'ER �r.x
37 Chester Street, Glens Falls,NY 12801
Phone-518-745-4400 Fax -518-7 92-85I 1 !
December 11, 1997
Mr.Jim Chandler VIA FAX 668-4523
The Michaels Group
1810 State Route 9
Lake George,NY 12345
RE: Hudson Pointe PUD - Phase III
Construction Services
File#46109
Dear Jim,
On December 11, 1997, I performed percolation tests on lots #64, 65, 66, 76, & 7 in Hudson
Pointe PUD. These tests were performed in the approximate location of the proposed septic
systems. All tests were performed between 24" and 30"below existing grade.
On all lots I encountered 6 to 10"of topsoil over fine loamy sands and medium fine sands.
Stabilized percolation rates were:
4-Lo1= 5 -tom s= 1'minutes;-.00 seconds
Lot#65 1 minutes, 02 seconds
Lot#66 1 minutes, 08 seconds
Lot#76 1 minutes, 04 seconds
Lot#77 1 minutes, 00 seconds
Please call me if you have any questions. This comp1 =s the percolation tests for all of the lots
in Phase III of Hudson Pointe.
Sincerely,
_�--
i
Thomas Vv%_Nace,P.E.
•
•
a i.)•tix:.,• a2.x• .r�a�,�a.,pa,.i...tgA..x,....p.�.a,!,x, s... a....1.t .),.xa..,,...tykavt.,,,aip....�,",,,,y.Q._:a.ca,I,e .,.. oy.1,)..1:,,,Ar.,.z...«..,4:a a to ,,,z...5.,s4: :J.s..m: ta,.p,s s....,�a, r• "4.
THE NEW YORK BOARD OF FIRE UNDERWRITERS I.INc..,, 1
j; LI.G 287 11t BUREAU OF ELECTRICITY
-c; I 111 WASHINGTON AVE., SUIT , LBANY, NY 12210 •
•
• Date MAIL. 07 , 9'.)8 Application No on file l jY 0409 j :9./ P. I Q.c;D-it
4.k: THIS CERTIFIES THAT F I-4111.T N . 97--.20 ._
!i only the electrical equipment as described below and introduced by t !leant med on the above application number in the premises of
i !.E{1t; 'I il'.r.°HF9,-,1s!,, ,,.14,ROkil:, 10.a: 1-Ikl»S011 Mx, 111,0; 3.,IYP i34r QUEENS'3011-Sr t•n' ,-
s<' in the following location; .1:1 Basement .. 1st Fl. 0 2nd Fl. CAR Section Block Lot ,_;4
was examined on rtr.Ft 1 1, •i 3, 1 s•;;8 and found to be in compliance with the National Electrical Code. ;.
• FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
� OUTLETS RECEPTACLES SWITCHES
� INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. Y"
y ,)
tl; �;v; I .
.L. 12 27 .. 1' j•
-A' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
1•
.,-Y 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
i;
1 F 3 ? 1.2 1 . @ I
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER 1,9 2W 1,B 3W 3 0 3W 3,B'4W NO.OPER irCOND. OF CC.COND. NO.OF HI-LEG OF'HI-LEG NO.OF NEUTRALS OF NEUTRAL '4!
;It:
• I 1.50 C-li 1 X .i :.:f0 1. .l f0
• OTHER APPARATUS:
?; r sT L;IC;-U--1
' LitliAl ICE`fl "-,,L'OR;--
.....t
:;
'4 tea. '< ,.:x;: -
•
....,•,, , car • l_ .wz
Jt l { i , 9 . 1 J t ' T- y;t ;.91 7 1. .r. 71 1 ,
.�i^}� Pd V.�41 .�.A l.tl�e� 7 Il`1i.:1S..1 S:D�i94'l l.-J. . t.l..Y.�...�¢2P D'. 1 > 11�
t:l[E:t�:l_?�Jd D. [,:..'IJ L4`.`S'LU4l '. ' = '--(.,,y.
i I a*y�+ -$...zei GENERAL MANAGER
't•:t ., Et : .
-
k: st' I-,k317/.71.'u , try', 1:?•l{,,l. - , . _ - k .:,:r
i - 75Per,,
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
"i• vt vat vt lih lrPt W tiu vit vir tat 1M>iit lit lkt vt vit lft 11E1 Tit lft>ferist Idt tilt mullet lat vit vet ler.el)*t it try t*t Tett]N lot lanai.1®rmirdu at .YYY Y:..TYYY YY Y,Y'1 Y'%YY YY Y9'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
..F _. •,t BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL`7
DATE INSPECTION REQUEST •CEIVED: / (j7
NAME \cAk. /h,(_O
LOCATION (r61 ti'(.k_ JP1\ !V# 1 j )
DATE '7 `I CO ( g PERMIT X)lf/
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
PECK/PORCH/STEPS RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OP .TING
INTERIOR TRIM/PRIVACY DIRS
EINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABL
OTHER FLOORS CARPE D
STAIR CLEARANCE/• • LINGS
SMOKE DETECTORS
PATHROOM FANS
.LUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
POOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO. (�
AL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY
FIRE MARSHAL
• �,,,; . QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT •
REQUEST FOR INSPECTION RECEIVED Ti -_RT1 q
NAME d4, 4S
LOCATION )vq. qt(4/1(1/4ZAleCI� -
DATE PERMIT # -/-(0 C("
e•-2--f, APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUIS ING SYSTE
HOOD INSTALLATI
AUTO. SPRINKLER SY TEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SP INKLERS
CLEARANCE TO H ATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT r/
REMARKS: ( OK TO THIS DATE
/6 •
INSPSLIP.PUB INSPECTOR
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: 7—1 "C(d' JO 3( ) &-n-,
Building& Code Enforcement /P;•
Dept of Community Development Arrive am/pm Depart Pm
Town of Queensbury Inspector's InitialTTP
742 Bay Road
Queensbury,New York 12804 G�1
NAME 0 /, Pp , ERMff# ! 7
LOCATION pDATE "'—I D
TYPE OF STRUCTURE
N/A YE NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location (/' ,
Fresh Air Intake
Plumb Vent through roof (:/// •
Roof Complete ' 1;
Exterior Finish Complete J
Interior/Exterior Railings 30"to 3 "
Exterior Handrails,balconies,Ian g 18 in. or re ✓ `. —
Interior Handrails stairs both sides 3 r more • s
Grade 2%away from foundation
/i
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18' a
Gas Furnace shut-off within 30 feet or thin line of site
Oil Furnace shut-off at entrance to ce area /
Furnace/Hot Water Heater operating' y
Relief Valve(s)installed r /�
•
Headroom,6 ft. 6 in.on stairs 1, �
Basement stairs,6 ft.4 in. y/�/
Handrail exterior stairs both sides more than 3 risers i�L� �G2 `�,�d��
Interior privacy/trim/doors/main entrance 36"
i( /Floor Finish
Bathroom/Kitchen watertight e
Interior Handrails Balconies/Landing 18 in. or more Y f
Railing across window in stairwells tlI
Smoke Detectors:
every level �V//
every bedroom CV i lP G 1 �- ebsy
outside every bedroom
inter connected ai
Bathroom fans V
Plumbing fixtures �� �" �C �� L!/i�c- ,'�
Foundation insulation /„. I
3/4 hour fire door/door closer
tZ
fireproofing t/
Garage firep g V
Garage penetrations sealed
Furnace in separate room protected(in garage) /
Light ventilation per room :7(
Safety glazing 18"7Iesi from floor .7 Final Electrical 2) f6 ,l/
/V
Site Plananance re q ed
Final Survey Plot Plan I�/� 12—. �G!-����
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)
RESIDENITAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 /.--; C f
Building & Code Enforcment Arrive: .� 7 Insp: •"�
Dept. of Community Development
Town of Queensbury Date Inspection Request Received:
742 Bay Road
Queensbury, NY 12804
NAME k�.kG� t,S -P�P l PERMIT N a. (7' ?-dOO
LOCATION •i D L IL��. �7-. 6 c 0 . DATE 7 1;11
TYPE OF STRUCT E •
N/A YES NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location 4/
Fresh Air Intakev
Plumb Vent Through Roof V g,
Roof Complete
Exterior Finish Complete L
Interior/Exterior Railings 30" to 36" ill
Exterior Handrails, Balconies, Landing 18 in. or more Vi,
Interior Handrails Stairs Both Sides 3 or More Risers UY.
Grade 2% Away From Foundation ;�
8" Clearance To Sill Plate J f/i/fr
Valve Shut-Off Exposed/Regulator 18" Above Grade VI
Gas Furnace Shut-Off within 30 Feet or within Line of Site / .J
Oil Furnace Shut-Off at Entranc5e to Furnace Area V
Furnace/Hot Water Heater Operating '+r i
Relief Valve(s) Installed
Headroom 6 ft.. 6,in. On Stairs
Basement Stairs 6:ft. 4 in. if
Handrail Exterior`Stairs Both Sid More n 3 Risers Vr/,
Interior Privacy/Tritn/Doors/ in Entrance 36" V •
Floor Finish '17 •
Bathroom/Kitchen Wate
Interior Handrails Balc es/Landing 18 in. or more / t• )'
Railing Across Wind ' in Stairwells V
Smoke Detectors: V /1
every level 47
every bedroom '
outside every bedroom ii
inter connected 11/
Bathroom Fans .4i
Plumbing Fixtures �1
Foundation Insulation 7
3/4 Hour Fire Door/Door Closer v/
Garage Fireproofing V/"
Garage Penetrations Sealed I
Furnace In Separate Room Protected (In Garage) . / t f _
Light Ventilation Per Room V �t� t`�f�J C,) <
�
Safety Glazing 18" or Less From Floor f /
Final Electrical
Site Plan/Variance Required
Final Survey Plot Plan / 1 b(' (0 /`J5 Ue, c/1 F;4�
As Built Septic System Layout Req. J IJ'r�U�q eV_..... r
Okay to Issue Temp C/O (
rs IP j\
GENERAL INSPECTION REPORT
Town of Queensbury r/
Dept. of Community Development Date inspection request received: .j e�� /?9i X
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive T2&tam Depart ` i =
Inspector's Initi: _
&frit 1 ...A0-0 -
NAME: Jr4 b t 0 L APERMIT#
LOCATION: //S f�� C/W. E DATE : ,J/ :-Qk31 / 2"9 2
TYPE OF STRUCTURE: '-L c.IC opK evv (.—
RECHECK
N/A YESAVO COMMENTS
tings/Piers llci' I
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/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
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
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
n_
- r
} .TOWN OF QUEENSBURY
"='� ' A FIRE MARSHAL.
r, ,,,: QUEENSBURY, NY 12804
:' s ... Vi?. .f. :
(518) 761-8205
(PO -FIRE MARSHAL INSPECTION REPORT/ /�
REQUEST FOR INSPECTION RECEIVED `f'—q "/ V
• NAME t-ee CS
( . - iit-t-1--(3
LOCATION 1 (/ I ��(Y� �D - P)11i GC
. , 61 , , LtD TE PERMIT # /�C` A7000
—f!U4
9/(161;
APPROVED
N/A YES NO
i ITS
AISLE WIDTHS'
EXIT SIGNS .:
EMERGENCY\LIGHTING
V'
I, !'I
Vi
FIRE EXTINGUIS, ERS 1
AUTO. EXTINGU;SHING SYSTEM
HOOD INSTALLA ION
AUTO. SPRINKLER\ YSTEM ''
ALARM SYSTEM '�. r,
INTERIOR FINISHES k ,1/,
STORAGE: �A
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE 1 A
CHIMNEY '
WOODSTOVE /
FJREPLACE—MASONRY /
✓FIREPLACE— FACTORY BUILT •;
REMARKS:. / ❑'OK TO THIS DATE
r
r'
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, / . ,,
INSPSLIP.PUB P CT
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256 •
SEPTIC DISPOSAL SYSTEM INSPECTION
Name W,,\G (_S `per.
Location 1/64 kO , Pi . LVi,
Date 3 Ae . Permit # CO-VD
SOIL TYPE: San•-Loam-Clay-
Resul is of •ercol 'No'n Test- ,
(if applicab -) R.te-Minute/Inch
TYPE OF SYSTEM. /
ABSORPTION FIELD, HotJ1 Length;
Length of each tre+.chi 5-
Depth of trench•s
Size of stone %tr.A11470
SEEPAGE PITS: Number
Size - ft. I ft.
Stone size •
PIPING: Si e Type
Bldg. ' to Tank 1�`7 ' 1_
Tank. to Dist. Box 7n :=s
Dist. Box to Field/RA4
Openings Sealed? 7;<=(Yes No Partial
LOCATION/SEPARATION••-'
Foundation to Tank __JX.feet
Foundation to Absorption feet
Separation of Pits _ f �0
Conforms as -per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle • 9
Front - near - 'Left Side - Right Side
Middle F - Middle Rear
COMMENTS:
A'�
C c_K 8— f ,i
SYSTEM USE APPROVED: YES ( 0
Arrived: %0 2_5
Departed: %1
Building Inspector
,7,.....5.
42
TOWN OF QUEENSBURY Ux'
BUILDING A CODE ENFORCEMENT p70i_
742 Bay Road 1; d
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 4'C S /_:
Location //4./- /4 a2 1i/ />/4W
T
Date ` ` // Q' Permit # q ,)17
-p_ir
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/In
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Len t
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. .x ft.
Stone size
PIPING: Siz Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits eet
Conforms as per Plot Plan No
(:( LOCATION OF SYSTEM ON PROPER
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
-7 45 _ 6 olLT g.4A) (3/0 66
•
SYSTEM USE APPROVED: 41111 NO
Arrived: r3
Departed: /:35 ie
Building Inspector
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 5 ✓�
Queensbury,NY 12804 Arrive - am/pm Depart ✓ m
Inspector's Initials -
NAME: pf ic,:k l;? PERMIT# q(1) --AOD
LOCATION: I p lI- (isn, t�� �IJ DATE : —•� "�lj
TYPE OF STRUCTURED
RECHECK _L-iug4
N/A YES NO COMMENTS
Footings/Piers
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/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
iegisulation
Found.at ion 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
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
'CM
GENERAL INSPECTION REPORT
Town of Queensbury • R)
Dept. of Community Development Date inspection request receive -9 Y
Building& Code Enforcement
742 Bay Road /
Queensbury,NY 12804 Arrive7(2)am/pm Depa e, am/pm
Inspector's Initial/ �C✓
/� rC1
NAME: f PERMIT# -
9"
LOCATION: !D ' l JdZ. DATE : • r� 5/T
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
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/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing VenUVents in Place
Rough Plumbing
Heating Rough-In
9thsulation_ 41‘7� L 4511, UU k iV 6 .
Foundation Walls Interior R-
Foundation Walls Exterior R- G L _
Floors R-
Walls R- � �
Ceiling R-
Duct work or piping in ('
unheated spaces R- �— ` &i-eG-c \
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 .
Town of Queensbury
Dept. of Community Development Date inspection request received: �(7 C(
Building& Code Enforcement
742 Bay Road r
Queensbury,NY 12804 Arrive/ �.dinipni--- Depa t,v, a s pm
Initials
NAME: ' S PERMIT#
LOCATION: I U ,��- -v4 ,Dn,�, f6/1---Inspector's
J,(1, DATE : dif . (.,(0-f"
TYPE OF STRUCTURE: ,/,� /
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I ,
Monolithic Pour Form t
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/Dampproofing '
Backfill Approval
Plumbing Under Slab ./.
Plumbing Vent/Vents in Place /
Rough Plumbing /
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- l
Walls R- l .iAC-e-— J C--W\e, 1C-�
Ceiling R-
Duct work or piping in L A
C /Aunheated ces R- • J /
Proper Vent ' Vey _
ming L/ �t_� (7/
Jack Studs/Headers 1/
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
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road
Queensbury,NY 12804 Arrive am/pm DepartTOR, pm
Inspector's Initials
NAME: `C It—lr,S__ l`��/ `J� PERMIT# I t4LOCATION: b Z ITN,Pr- t�LV o / DATE : } � a S
TYPE OF STRUCTU : i 'r 9
RECHECK G
,r
+, N/A YES NO COMMENTS
Footings/Piers '�, 1 I
Monolithic Pour Form \
Reinforcement in Place `, r.
The contractor is responsible,for r
providing protection from freezing
for 48 hours following the placement r
of the concrete. ,, r.'
Materials for this purpose on site
Foundation/Wallpour ',, r' '
Reinforcement in Place ''`,.
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab e i'l
plumbing Vent/Vents in Place 1'
ough Plumbing
Heating Rough-In /
Insulation /
Foundation Walls Interior R='
Foundation Walls Exterior R-
Floors R/
Walls R=
Ceiling F;R- ,
Duct work or piping ins,'
unheated spaces ' R-
Proper Vent, Attic Ven,
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
>fi°°a=:, TOWN OF QUEENSBUR
:'00;iii. FIRE MARSHAL.
,'; QUEENSBURY, NY 12804
(518) 761-8205 ,
FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED c,2 _fQ gr/
NAMEd4
LOCATION )61. 447-k(P/ . ll)G
•
DA PERMIT # 9197‘ AV -` 6)-/e/
,L-.. T(1Gfii2---1 APPROVED
N/A YES NO
EXIT
AISLE WIDTHS j ,
EXIT SIGNS
EMERGENCY LIGHT! 'G
FIRE EXTINGUISHERS \,
AUTO. EXTINGUISHING,SYSTEM I ,
HOOD INSTALLATION , I
AUTO. SPRINKLER SYSTEI 1
ALARM SYSTEM \ I
,r
INTERIOR FINISHES ,
STORAGE:
CLEARANCE TO SPRINALEI‘S
CLEARANCE TO HEATING 1 NITS
REQUIRED SIGNAGE
CHIMNEY / \
WOODSTOVE / ‘ •
FIREPLACE-MONRY �l,
FIREPLACE- F TORY BUILT •
REMARKS: . ,K TO THIS DATE
/1;-/-"l",-1 a( \
77/1- .}(71, --if b 24/01-
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Lt� (01"—X-lane
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INSPSLIP.PUB INS ECTOR
csge,
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT :`
742 BAY RD., QUEENSBURY NY/12804 041
INSPECTOR'S REPORT: ARE' JDEPAI - i)I '
REQUEST FOg INSPECTION CEIVED:
NAME 1_ (` Q !! -51Ltl
LOCATION ) I L\ `�t ��� � -C-t do j IC
DATE C-a ^ (n `9 Q PERMIT A 9-7- V
�� D-O
TYPE OF STRUCTURE: c('
RECHECK _ APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POU• FORM
REINFORCEMENT I PLACE
THE CONTRACTOR iS RESPONSI: E FOR
PROVIDING PROTE TION FROM REEZING
FOR 48 HOURS FOILONING TN: PLACE-
MENT OF THE CON•" TE.
MATERIALS FOR TH.S PURE', E ON SITE
FOUNDATION/WALLPOWN
REINFORCEMENT IN P __
FOUNDATION/DAMPPRoo G
V -
BACKFILL APPROVAL
PLUMBING VENT/VENT' I PLACE
ROUGH PLUMBING
PLUMBING UNDER Sy AB
FRAMING:
JACK STUDS/HEADER' _
BRACIZSG/BRIDGING
JOIS HANGERS
JACK/POSTS MAIN BE.
AINFILT. TION BARRIER
HEATING RO/GH-IN
INSULATIO. :
FOUND. ION WALLS INTERIOR R-
FOUND•TION WALLS EXTERIOR R-
FLOC R-
WALL R- \
CEI NG R--�
DUC WORK OR PIPING IN
UNHATED SPACES R- o -
(518) 761-8256
TOWN OF QUEENSBURY .-
BUILDING & CODE ENFORCEMENT ','r I/",.
742 BAY RD., QUEENSBURY NY 12804 ° r._ ,2 :,,,i
AirY
INSPECTOR'S REPORT: ARR`C)i6DEPARTir) 0I,T—,
REQUEST FOR INSPECTIONC9 LRECEI/VEDD: Air
NAME V\‘CORF-L-b 6`,,,•v , (� `
LOCATION \D 1-�- +\ 11'7l�4L, CL`it,V ,17.�r1_1��
DATE 1 - rj-cal, PERMIT I -'z is
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO.
FOOTINGS/PIERS d
MONOLITHIC POUR FORM /
/
REINFORCEMENT IN PLACE /
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONING THE PL7ACE-
MENT OF THE CONCRETE. /
MATERIALS FOR THIS: PURPOSE ON SITE
FOUNDATION/WALLPOUR\, %!I
REINFORCEMENT IN PLACE J _ • b /
I/
J1FOUNDATION/DANPPRooFINdJ
BACKFILL APPROVAL "' . .
Ic
PLUMBING VENT/VENTS IN PLACE
r
ROUGH PLUMBING I(
•
PLUMBING UNDER SLAB *
FRAMING: '.,
JACK STUDS/HEADERS
BRACING/BRIDGING ,
JOIST HANGERS
JACK POSTS/MAIN BEAM
•
AIR INFILTRATION BARRIER V+
/
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 •
-
fV( 5'r (518) 761=8256
TOWN OF QUEENSBURY &`e * �'
BUILDING & CODE ENFORCEMENT wf..
742 BAY RD., QUEENSBURY NY .12804 Viz$, j11'' Z4.4p
INSPECTOR'S REPORT: ARF1��DEPART `. I 4e-
REQUEST FOR INSPECTION RECEil- ED:
NAME r\9 _ \" , 17 f 1 I.1
LOCATION 1 1' Ve• ✓ • 00 ,
DATE 1 '-) 9- -671V . PERMIT A [ 7- .029
TYPE OF STRUCTURE: 0
RECH CK APPROVED
N/A YES NO
* OTINGS/PIERS
MONOLITHIC POUR FORM }}
REINFORCEMENT IN PLACE/J^'4 /
THE CONTRACTOR IS RESPONSIBLE 1
R
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR TH S..PURP0.E 0 SITE
FOUNDATION/WALLPOU' _.
REINFORCEMENT IN PLAC4' _ __
FOUNDATION/DAMPPROOF G
BACKFILL APPROVAL
PLUMBING VENT/VENT 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-
/9? 0,.,05 Fer-37-06 (-01-5 4,,,„,606-10
a& A„,, ,ecc, l -ram 4)
( Icti
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 • w�- ,�
INSPECTOR'S REPORT:, ARRI(` DEPAR7l,I..1 INT N
REQUEST FOR INSPECTIONDt`L RECEI}IED: - -�
NAME J`-[/ (i �J—
i'ee 5 ? `e_
LOCATION JcI
1 � j .. • / ;1 V(-
DATE ( '- (/ (� PERMIT A C17-01-66
TYPE OF STRUCTURE:
RECHECK APPROVE
. N/A YES NO
i OOTINGS/PIERS
Z' MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _ (,//
THE CONTRACTOR IS RESPONSIBL FOR
PROVIDING PROTE TION FROM R•EZING
FOR 48 HOURS FOL�kOWING TH P •CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS 'URPO•E 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 •
-
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MAP REFERENCE:
HUDSON POINTE P.U.D. PHASE II
BY VAN DUSEN do STEVES
DATED MAY 1994
LAST REVISED MARCH 7, 1996
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON APRIL 16, 1996
AS INSTRUMENT NO. 44
PLAT CABINET B SLIDE 64
an D us e
& Steve s
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
(518) 792-8474 New York Lfc. No. 50135
�7.12
IV z
39 96.
OJ�
J O 10,3
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LOT 64
24,965 sq. ft.
LOT 65
'UNAUTRODRD ALT@MTION CR ADDUDN To A SURVEY
WRP W-4MM A UCENSED LAND 7UNVENORS SEAL n A
MCLA11M CP SEC" 7M &*—WftV N % OF THE
NEW YO K STATE ERM1X I LAW
'ONLY COPES FRURN TE ODNNAL OF MRS SURVEY
NARKED wTH AN ORONAL OF TE LAND SURVEYORS
SEK SHALL NE CONSWERED 10 SE YMD TRUE CONES•
'ClIt1MICU7ONS NWAIM HMM OWT THAT
TNS SURVEY WAS MRPARED INACCORDANCE" THECOMM OWE OF PRACTICE FOR LAND SURIEVORS AOOPT®
BY THE NEW YOIN STALE MISOCIATON OF PROFE MNNA.
LAND S RVEY= SAD CERTFICATIUNS SHALL RUN ONLY
TO THE PERSON FOR Oft 1 E SIURVEY IS PREPARED. AND
ON HIS BEHALF TO TIE WILE MWANY. WMI ENTAL
ADNCY AND MOM NSTTURON LIS= N OVON, AND
TO THE AS G EES OF THE UMM OWTUMC
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At63y-16
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12•,,
Map of a Survey made for
TIMOTHY J. & ANTONETTE H. WEAVER
Town of Queensbury, Marren County, New York
JUL 15 Ift
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: TIMOTHY J. do ANTONETTE H. WEAVER
TRUSTCO BANK. NATIONAL ASSOCIATION.
IT'S SUCCESSORS AND\OR ASSIGNS
CHICAGO TITLE INSURANCE COMPANY
CERTIFIED BY
MATTHEW C. STEVES, LLS NYS 50135
DATED: JULY 9. 1998
NO. I DATE
DESCRIPTION
,ow Rv a,i-ra
Uate: JULT Y, IYYtS
Scale 1 "=30'
S-1
SH r1OF1
HUDSON POINTE
HP-64
M