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98-508 (2) CERTIFICATE OF OCCUPAN CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK December 28 98 Date 19 98508 This is to certify that work requested to be done a+t shown by Permit No. has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 75 # 43 SARA- JEN DRIVE M Location MICHAELS GROUP Owner TAX MAP NO . 7 4 . - 2 - 7 5 By Order Town Board 0VVN OF QUEE BURY Director of Bldg. E[ Code Enforcement BUILDING PERMIT VALUE $ 162T09WN OF QUEENSBURY Na. 8 TAX MAP NO . 74 . - 2 - 75 'WARREN COUNTY, NEW YORK PERMISSION is hereby granted to 11T lip Street. Road or Ave. OWNER of property located at LO In the Town of Oueensbury, 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 Chmensbury Building and Zoning Ordinance. Will I t. 0wNER'S Address is 1810 ROUTE 9 LAKE GEORGEr NY 12845 2. CONTRACTOR or GUILDERS Nance MICHAELS +GROUPr INC . 3. CONTRACTOR or SUILOERS Address JIM CHANDLER , PROJECT MGR 1810 ROUTE 9 LAKE GEORGEr NY 12845 4, ARCHITECT'S Nartwe NEW YORK BOARD S. ARCIW^V a K s BOARD OF FIRE UNDERWRITERS B. TYPE of Construction - 1PMast indioste by xl SINGLE FAMILY DWELLING l i Wood Frame I i Masanry f I Steel l l 7. PLANS and SpeCHiotiorts 200 SQ FT SINGLE FAMILY DWELLING WITH 2 --CAR ATTACHED GARAGE AS PER PLOT SPECIFICATIONS Is. Proposed Use SINGLE FAMILY DWELLING 297 August 21t� 2000 S PERMIT FEE PAID — THIS PERMIT EXPIRES , (if a longer period is required an aPPiication for an extension rnust be made to ttwa $wilding and Zoning inl of the town or Quaensbury before the expiration date.I 21 August 1998 Dated at the Town of Queensbury this _ _ pay of 1g for the Town of Queensbury SIGNED BY Butidkgand toning (IpPeClor ti uilding Ilertuit Application 7bivil of Qfleellsbury - Ur10. rfCtmilrntrriry lJrirlrJlurrratt. 742 1111 Road. (2treensGury, NY 12804 1761-82.56j I1t7iLVIIVG cq COVE r1VrORCCAIEN7' U� � - �� ltctlttirelsscnls pl-jot' to issuance 1'ElLM1x' l1LG Na. [,r rltis hscilnit : � - A 111 uuist be olainillcil tx;linc begiltiling construcliou. No in sliec:liuns 1'LludiP rWEE PAID , Zvrrirrg 1lurrr•el Action will be ittndC until n1J11l1Cn111 117is leceivetl I�1rn 1 t1sG 1t lrl�nr rc ' LJ $ n VALID l3Ull.1]INO 1'1"71WI 1'. !\Il rtlildicnnla' S11nCC4 C111 llain n1*lelicnliinl MUST bd C011111ICICtI :I ilia sil:i,ll►lre � Planning 1lcxrrYl llCllvrr 1LtsV 131: 4llte nlrlalic llit trtust nillw"r on ilia sl'It / sultdivisinii I "tier Sulidirig 7rlrsrcclor IltlllrC:tlti)Ir fSJ1Fn. ah.ndJ. i,. OF lzecleillityti l',ec 1'tlyntant . . ... . 7 1tt: A{ �.cllrte f d iiftvu 1�, 7 t}e . Sctrlre. Qwncr: Applicant. Atithess; r 1a f2utxft 9 , 1.aky Cit',urj , NV 128A'%jdres4 : I=Irottc # ( 51 £s ) _GG 8 _ - 3376 i'htrnc # I'rollcrly h_.crcalioet: � s � '1',ax Mn1a Nurubcr IIIIIIIIIIIIII Sutadivisioll N:title: �fi� t .Q C a Sectlan 131cJck Tint 11ATURE OF PROPOSED WORK : ESTIMATED MARKET 'VALUE C?F' THE NeW ti3t1 1- l.cl .l lty : CONSTRUCTION : -��-'�`+ r" e � iClr? 1ST; e f C:Cilllii}erCial Additi-olt t.o Dui1d3- I19 : OCCUE "ay 1"ronM ►W1011 : r. eS M-leucre / cnlillnerclttl Pritnrtry Ilui .l d i n Al. f e� a, :tl . ic, 1a t:t� t11i .i -Lclt- rxcl : Bungle rnittily~Dwel, l .i.ng� residence x TWO Fatlilly Dwelling ltesa_ctcltce / C'osminercial Family Dwelling 110 Chang ", to exterlor 133. 7, c ULiice Al) G I� Ol her Work ( cie( describebelow ) tylercant: ilemanufacturing Other GROSS AREA OF FROPOSEU STRUCTURE : 1#C1L72"1" IOI! r WhSIEM WJ � l use I � l sl Pl. 00r , , ` ricl . of rserw addition be ? : . S f artcl .t' loor , . , . . . . . t N_„-- t_�I:f sc L- A Otiler r1TrQrr3 . . . . . _ srl . f: t ( [lot [lotr ultf , ll* shed cellar or bet laernei ] > ACCESSORY BUILDIN08 t 2 C�Z Detached Garage 1 , . Stl . i. � � Attached Garage I ' 2 TOTAL I''Eat7t7lZ 1tttElt : _ _ft ' , Private St orage Building 1 SIZE OF NEW STIZUC'1URE : c�c�} Commercial Storage rage BuildingTp13U Other Wi11 a second- hand or ungraded otttctt i_ ctt Type. : lulnbl e used? If sa + C tJtlrmbcr of SYorl. e9 : _ ( ltabitai� le space only ) C[ eig11C { y = feet T'.rpE of HEATING SYSTEMS eta ) raTle l o ridge ) : t - circle all w1ti� Number of fireplaces and/Or w'oo stove Llect: ric f 'ail Gas - Woad Lv ire isasL�tllect : 1 Forced ltcrl Air / aboard / 041te1c ing Person responsible for superviOivlt of wororaEri gg a� t P build1 codes is3 ► t'l rr PF9 1.1 d iite Add flu i. l.clelc l !te &i i clttzeGS Grcu[xr, . IItC . t8il� $r%ce 9 Zctt.__. keGCO)lftl2 ,Y Ynt2845 5fg - 669 - 337G t� lurtlt�er : rttitru r. 6-(Mf ,.Jjg __�..A lelylk r�aa � Q�.�rta t-ueea uv 1z � vr � r � - ass - � � � tftlnort : _ 11-_��3s�lLC�ti' ri- 'I1 2/i oornrt cL � Y 1 3tl � t � - 37i - %/ _�.C.�.._...r.,-..-e-,�- Ll-, 1JLCLrift:iT7[1N.' 1'lense sigrt bclvly rl�e'r you have cur-efrrlly read lire stalerrrcrrl. er llic I'v tl►e best or illy knowledge tits rue l t}d tcor ilplelets a ertient of fall t rotposed w work to be done Ott and SiaClans C111e.tttUlts gtlt}snilted , are a true a 1 the clescIibed [)Iclxlises anti that all provisinlls or tisc i3iiilclittt{ Ccxlc, tltc 7crrang C7rxtinance and all tJUter laws laartaisiing itr tllc IarolacSsed work shaft be cornlrtied with, whetter specified or n[alexl, and tlt:tt si+all walk is aultxori�ecl try tlsa trwner. I'urUrcr, it is Understood that l/we s1ta11 sub"lit Prior tv a Ccrtiricalc of occupalicy or tiricate of Con aliance being, issued, an AS gULL'l' FIAT PLAN by a 1it eased surveyor; ' rawtt o s ale, slut actual locatioll of project on promises. i Sigoature: (owuer, owner's agent, architect, costlractt>r) TOWN OF QU4ENSBURY Fee Paid BUILDING & CODES DEPARTMENTet Permit APPLICATION FOR : PORCHES - DECKS- APPLICATION DOCKS & BOATHOUSES Est . Cost A 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 SUBMITTED WITH THIS APPLICATION . y Owner of Property : i '•. : ' P . O , Address ; Phone # I Property Location I , ' ` .f : ; � ' ,; '_� �: Tax Ma}Y !f Subdivision dame ( If applicable ) PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES : Name : 14 i ' 1 .., t € Address Phoned BUILDING SPECIFICATIONS : Type of work to be done : Porch ,Deck Dock Boathouse ( Circle one ) Size of Structure to be built ( square footage ) : f + Foundation Material : Width Thickness "` ` Depth of Footing , below grade : Size of Posts or Studs : x x Long Size of Floor Joists : x _ x Span Decking or Flooring Material : -' - Now will Porch or Deck be fastened to building ? If Roof Will Be Installed , Answer Following Questions : 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 , showing clearly and distinctly all 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 : ftw x ft . Existing buiiding ( s ) : Size ft4 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 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 not , an that such work is authorized by the owner . r ,r DATE : � SIGNATURE Ow , Owner s Agen y , rc itect , Contractor REVIEWED BY CODE ENFORCEMENT OFFICER , DATE SIGNATURE ? i�r 1 itrC t]x a n far �r�1 +� SEPTIC DIS"POS'.AL .►€'L:+ l'll MI �I,7�1F f> �;C�sVL>] Location of property for isistaliatlou: - ` } =`3 4' t ' PIERMITNUNIBUR Owner' s Na sne: The u.Zchap is G.+tour , LLC Address: 1870 R tytr 9 ,_ € czhv Gacr,�Ypp , uy r2941; Installer' s IVamet Frc.t.edman Excaua.ti..n9 VI:I: PAID rixor>Ie # : 518- 634 - 403 . _ Num tier of bedroonts (if residential ) "I'otat daily flow (residential - ccnztltutc T' F `t0 gal. per bcdru(.1m ) : To€xzgra€ hy: © FIaI ] €tulSing Stacl7 Slope gip or :+lczlic oil Nature: L} Sand i .uan+ © ("Jay © Other /Dcgitlt: 30 Ground Water: at what depth 7 £cet Bedrock or lrttpervious Material: at what dcpth7 £act PerculnOtssi Test: Q Not lkcquired F" Rct€uircd/Rate t min. 1+cr incls Donte'stic Water Supply Municipal Well Other If domestic water supply is a WETA .: water supply from any septic absorption is feet 1, R POSED SYS'1'Is.Mr r� Septic lank: gai. {nziniznuzn sire: LOOS} gal .) 'Isle Field: each trench CCc1. 1 total system langth 1feet. Secprtga I'`st(s) ; ttunthcr of N/A ! sire each: Size or stone to be used. # 2 .6tone / depth or thickness feet. ISC?t..l} lNC's 'TANK SYSNIM : (if required) Number of tanks: N /A -Size of cacti: gal. Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pit rsucrrtt to Section 136-29 of!It e Code of the Town of Qrteensbury, an v permit or a p proval grit rtted which is bused it port or is grit+tred in relicttrcc it porn any tnateriol +erisrepresetttatio+t or failure to make a ntatericrl fact or circtt+rt wa+rce knotvn by or on behalfofair crppliccritt, shall be void. I leave read the rcgrrlatiolts Wirh revpect to this rr pplictrrion and agree to ahirle by these a+rd rrll rr. rlidrerrrent.s of tile 7'otvn of fJrrcensb ry rrri ary Sertoge Vispo.s4d Orclinrrrrce. Sietrattrre o rresnortsime persort: _ I.7itIC: M `� ( bed home. Y w TOWN OF Q U.EENSB URY 742 Bay Rd., Queenebury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Q Date } 19 L Fermat Na . �] 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 andlor chimney. Applicant ' j ile Al I L kl_Ic I I L.(.,,1 , APPLIANCE (check appropriate boxes) Address ' ,. l ( ❑ STOVE: ❑ Wood ❑ Coal ❑ Pellet ❑ Gas ❑; FIREPLACE INSERT Lrt.t [ r l Zip C f � 'FIREPLACE, FACTORY- ILT: Phone f ❑ Wood Gas �` I ; # , rr4� -7 � ❑ FIREPLACE, MASONRY: Owner Wood ❑ Gas t.� il�.- ❑ FURNACE: ❑ Wood p Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: Manufacturer: Zip Model: I 'll P Phone CHIMNEY (check appropriate boxes) F*EtXACT-ADDRESS of proposed construction � } L10MASONRY: ❑ Block ❑ Brick C] Stone A t FLUE: r3 Tile ` ra Steel Size: inches CONSTRUCTION / INSTALLATION MUST ACTO RY-BUILT: CONFORM TO NYS FIRE. PREVENTION & Manufacturer: Model : BUILDIN C015E. CONSULT AVAILABLE Listed By : Number: f TOWN,: OF QUEENSBURY HANDOUTS ❑ Double Wall ❑ Triple Wall fl REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting f ❑ Chimney Liner Id Cashier' s Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title r �Z A 173 3389 ( 190 ) Public Safety A 233 2655 (230) Minor Sales m. ._� + wed - Fro r Refunded to: Address : .Dated : Town Clerk or Deput White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink A Goldenrod: Cashier's Dept. RESIDENTIAL FINAL INSPECTION REPORT �Ir 4, Office No. (518) 761-8256 Date inspection request received: / Building & Code Enforcement ,Dept, of Community Development Arrive j• Depart Town of Queensbury Inspector's Initial 742 Buy Road Queensbury, New York 12804 NAME / PER I4II1' GI LOCATION - S DATE TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney HeightPB" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 3 " Exterior Handrails, lconies, 1 g 18 ' . or more Interior Iiarndrails is both s 3 or re risers - -- Grade 2% away from da on — 8" clearance to sill plate Gas Valve shut-off expo regulator 18" above grade -- Gas Furnace shut-off wi 30 feet or within line of site Oil Furnace shut-off at trance to furnace area Furnace/Hot Water H ter operating Relief Valve(s) instal ed Headroom, 6 t. 6 in. on stairs Basement stairs., 6 ft. 4 in, Handrail exterior stairs both sides more than 3 risers Interior pnvacy/trim/doots/main entrance 3C, 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 intcr connected Bathroom fans Plumbing fixtures Foundation insulation s/4 hour fire door/door closer Garage fireproofin Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less ftom floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue CIC (+C'.ertif of Compliance) Okay to issue temp. C/() (Certif of Occupancy) Okay to issue permanent nent CIO (Certif. of Occupancy) FIRE MARSHAL TOWN OF QUEENSBURY +QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED ,' PERMIT # ge NAME LOCATION SCHEDULE INSPECTION ON _ f� may-} 9 � M ANYTIME�. E � APPROVED S - L� _ -- NIA YES NO J AISLE WIDTFIS - -- -- --- - EXIT SIGNS _ --- - - - - - EMERGENCY LIGH G -- - -- FIRE EXTINGU HERS FIRE ALARM STEM - ---- t - FIRE SPRINKLER SYSTEM - - - - --- FIRE SUPPRESSION SYSTEM _ - - HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS -- r CLEARANCE TO HEATING UNITS - -- REQUIRED SIGNAGE _ --- - - - - - - - CHIMNEY WOOD STOVE -- - -_- -- - - - - FIREPLACE - MASONRY _- -- -- - - - -- - - FIREPLACE - FACTORY BUILT - ff -- - REMARKS: - -- --- - - - - - ---- O THIS DATE �K TO- iNSPSLIPPUS INSP OR -,,:. t- ";ro THE NEW Y 'ORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY F' 4il, ALI t)f;C c '113E�r _ a STrtWASHINGTON AVE., SUITE 704, AL ANY NY 722Yf1 Aate 1: = j{j ti VuilF THIS CERTIFIES THAT Application N&. on fsle only the electrical equipment as described below and introduced by the applicant named lfiri'F/�131t t7 ti2L)LIF , 4` 'TAB `it, a a�tion number is in the premises of f�f r:71;. 1,C77' '75, {?U.�:�'N:�1311E2:', 1Iy in the following locat�',p ui'{.Fi� t1' ecl� 1st Fl. 2nd Fl. Was examr'ned on - ' Section ,Block Lot - and found to be in compliance With the National Electrical Code. FIRE RECEPTACLES FIXTURES OUTLETS SWITCHES RANGES COOKING DECKS OVENS DlSH WASHERS EXHAUST FANS TNr:AMOESCE FLUORESCEM OTHER AMT. K W .e r l.{ 28 K.W. AMi- AMT. K.W. AMT. K.W. AMT. H.P. DRYEkS FURNACE MOTORS FUTURE APPLIANCE FEEDERS 4 T AMT, K.W, SPECIAL REC'PT. TIME CLACKS DI! H.P. GAS H-P. AMT. BELL UNIT HEATERS MULTI-OUTLET DIMMERS NO. AMT. AMP. AMT. AMPS. TRANS.. AMT. H.P. SYSTEMS NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO. OF AMT. AMP. TYPE METER S E R 1 EaLrIP. , 0 2W t 0 sW $ 8 3W g 0 4W NO, OF CC COND- A_ W. G. E PER 0 OF CC, CONB1 NO, OF HI-LEG A- W. G. OF HI-(,EG NO. OF NEUTRALS OF U'TRAL OTHER APPARATUS: G. ^. C'. .E, -4 :ilff7(tF DE E'C2OP . -6 `°C]I1 VER ; ELECT, D. IfCPARTC1 1_446 jAPFREIr L L 230c4 GENERAL MANAGER <"34 per This C00MCCIte must not be altered In any manner; return to the offiea of the Board If incorrect. inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT_ THIS COPY OF CERTIFICATE MUST NOT BE ALTE:REQ IN ANY MANNER. i TOWN OF QUEENSBURV BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 ( 5I8 ) 745- 4447 it 1?F? IVF : P INAL INSPECTION REPORT � ftES ID$i4TI11L MATE INSPECTION REQUEST RGCgIVgD: r3 NAME r f LOCATION DATE TYPE OF STRUCTURE PERMIT # FOOTINGS FOU,i"fDAT N ROUGH ,PLUMBING BACKPI P'RAHING FINAL ELECTRICAL il^EPTIC INS ATION " �T WODDSTgVE OR FIREPLACE _4 1. CUIN" Y HEIGHT S VEN HEIGHT Y B $� PLUMBING VENT - .. EXTER10R FR FINISH ...y' DECK PORCH S UPS RA I G RELIEF VALVES FURNACE HOT WA ER OP RAT IN ER10 TR M I C DO S ,FINISH r pO. Re : i BATR I T HE WATE GH I OTHER FLOORS S EEPAB E OTHER FLOORS CARPETED i i STAinCLEA NCE RA Li GS 3 SMORE ETE To S BATUR OM FANS PLUMBING F'I,7{TUw��`_ FOUNDATION INSULATION GARAGE FIRE DOOCLOSERS FINAL ELECTRICAL SITE pI„AN /VA ftklCE REQ FINAL SURVEY YLf7T PLAN D!C TO ISSUE Cf0 QR C C i G MAP REFE LEHLAND ESTATE`. PHASE DATED: MARCI REVISED: K BY: VANDUSEN LAND SURVEI an- D u s & Steve s Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAD SURVEYORS SEA, IS A VIDIATI N OF SECTION 720G. SUB-DM90N Z OF THE NEW YON STATE EDUCATION LAM.' 'ONLY CORES FROM TIE ORIGINAL OF TM SURVEY MARKED WITH AN QEONA. OF THE LAID SURVEYORS SEAL SHALL. BE CONSIDERED TO BE YALD TRUE COMM' 'CERTNCAIRM NDICA70 HEREON SONNY THAT TM SURVEY WAS PREPARED N ACCORDANCE MITI THE CNSTEN7 CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY TE NEW YM STATE ASSOCIATION OF PROFLSSOIAL LAND SURVEYORS. SAID CERWICATI NS SULL RUN ONLY 70 THE PERSON FOR UHOI TIRE SURVEY IS PREMRED. AND ON HIS BEHALF TO TE ITL£ COMPANY. GOVERNMENTAL AGENCY AND LENDM INS71=71014 LISTED IEIEON. AND TO THE ASSOEES OF THE LENDING NSTITVNOL' Map of a Survey made for JOHN E. McAULEY Town of Queensbury, Warren County, New York NO. I DA TE DESCRIPTION 1 SONS THEIR AGENCY noNAL Y 135 Scale 1 "=30' S - 1 SHEET 1 OF 1 McAULEY DWG. NO.89423-75 to r- I N I d' GENERAL mcL&2 y RLvpoRT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Rnad Queensbury, NY 12804 Arrive ana/pm Depart>2 Zosp►ectoes Initials ' NAME: �" 7/ Gdt�5 fi PIT # LOCATION: C-" DATE TYPE OF STRUCTURE: RECHECK N/A YES v COMMENTS Mo:ten i h r Form Reinforcement in Place The contractors responsible for providing pro on from freezing for 48 hours following the placaem t of the concrete. Materials for this site FoundationlWallpour Reinforcement in Place FoundationADampproo Backfill Approval Plumbing Under Slab Plumbing VentNents in lace Rough Plumbin Heating Rough4n 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 Framin lack Stud%A [eaderc 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 Firestoppin 0.6 GENERAL INSPE ItQ1V REACIRT Town of Q►ueensbury Dept. of Community Development Date inspection request received• Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive OAV ' Depart c Inspector's Initi .- NAME: , c c rL 4t L S I PEPMUT' # 4 LOCATION., C7t 7S N ? l�,cTr DATE TYPE OF STRUCTURE: .C1 RECHECK Footings/Piers NIA, YES NO COMMENTS Monolithic Pour Form Reinforcement in Place tractor is risible for lnuvi protect' n from freezing for 41 h fo wing the placem Of the eo Materials for s purpose on site Foundatio allpour Reinfo tin Place Foundat.0 5n� Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In P Aelation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- c% Walls R- Ceiling R- Duct work or piping in unheated spaces R.- Proper Vent, Attic Vent Framing Jack SOULS/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beane. ,Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GFIVERAL�PEC,T'I¢N REFQRT Town of Queenffibury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Qhueensbury, NY 12804 Arrive "l�a� D r chart J Inspector's ]inni NAME: PERMIT # C:�:t —� LOCATTON: DATE TYPE OF STRUCTURE: RECHECK. NIA YES NO COA4MENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours foil 'ng, the place t of the concrete_ Materials for this purpose on _ Foundation/Wallpour Reinforcement in Place Foundatian/DatnpProo g " Backftll Approval - Plumbing Under Slab ���``�✓' t"�, Plumbing Vent(Vents in Place Rough Plumbin Heatin Rough4n I tion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- W"alls R.- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Fran in Jack Studs/Headers BracingMridging _ Joist Hangers Jack Posts/%Uin Beam Air Infiltration Barrier _ Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour Firestoppm GENERAL INSPEC'�'�DN REF+l3RT , F Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12904 Arrive am/pin DePa>nt 7 q PM .r f LwgNmtor°s Inhiak f NAME: t G 1-p�t-', 5 _ c!7 PERMIT # C '� LOCATION. - *Z � � 4 DATE : !1—ICiv� C� TYPE OF STRUCTURE: E RECHECK --' NIA 'YES NO COMMENTS Footings/Piers _ Monolithic Pour Form Reinforcement in Place i The contractor is responsible for /+�+� r�cl� �! k:� --- pro't'iding protection from f v=tng for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour r Reinforcement in Places., _ Foundation/Da rttpproo Backrin Approval Plumbing Under S Plumbing Vent V is in Place ` ough Plumbin ! AJ`s+ c It),qAt- 1"L /� f' F�iT_ Cr1Cl�� 4�c� Heating Rough4n Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R,_ Duct work or piping in unheated spaces Proper Vent, Attic t t min Z. "'Jack Studs/Headers Bracing/Bridging Joist Hangers _ Jack PastVMain Beare /Air Infiltration Barrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin TOM OF QUEEKSBURY BUILDING & CODE ENFORCEWMTql�l 742 Bay Road Queensbury MY 12804 j (518) 761-9256 SEPTIC DISPOSAL SYSTEM INSSPECTION Name e-z�/s G4'v r7" S j ' Locate on , 81 e Permit # SOIL TYP eaS n oam- C1ay- Results of Percolation Test- ( if applicable ) Rate- Minute/ Inch TYPE OF SYSTEM: e ABSORPTION FIELD : Total Length Length of each trench ►= ` Depth of tre hes Size of stone SEEPAGE PITS : er- Size - ft , ft . Stone size PIPING : Size ype Bldg . to Tan p�Tank to Di s Box 't Dist . B o Field/Pit„ A Openings Sealed ? ..^^'' ;;!e� `>Nam Parti a LOCATION/SEPARATI6NS " Foundation to Tank IZ] feet Foundation to Absorption .:] feet Separation & Pits feet Conforms as per Plot Plan s No LOCATION OF SYSTEM ON PROPERt { c i rcl e on Front Rear ELft o Ri 9ht Side Middle r i cale eat`"` COMMENTS: SYSTEM USE APPROVED : O Arrived : Dep a , ui ding r Mal 00 ` 0 00 ' 00t `� � jf � F �� • r tr yy 2 t L 0Z i Ir t` 111 L� 0 � o I 1 6 1 o 1 1 I to ! f I-T r een or o 1 "Ono elite such a ` ant is c k4 o , mu the ces se forth on the t1' � r { tP f ` ( 00 ` 00 00 94 ' ► c � , 3flz , GENERAL INSPECfi'IfJN A&P RT Town of Queensbury Dept. of Community Development Date inspection request received; Building & Code Enforcement 742 Bay Road Queeniabury, NY 12804 Arrive am/pna Departd Inspector's Initials NAME: 1 tU ed jg PERMIT # LOCATION- DATE TYPE OF STRU c Z_ RECHECK N/A YES NO CON4MENTS Footings/Piers � Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freez' pr for 48 hours following the ent Of the concrete_ Materials for this o Foundation/Wall ponr Reinforcement in Place Foundation/Dampp n 5x�'acicfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling, R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging, Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I , 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppirr