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98-504 CERTIFICATE CDF OCCUPANCY TOWN OF QUEENSBURY WA►RREN COUNTY, NEW YORK December 1 98 31 l L3ate 19 98504 Thee is to certify that work requested to be done as shows~ by Permit No. i has been completed, SINGLE FAMILY DWELLING This structure may be occupied as a LOT 39 # 81 SURREY FIELD DR . Location MICHAELS GROUP , THE L . L . C , Llwncr TAX MAP NO . 4 8 . - 8 - 39 By Carder Town Board vi: cruE�rr Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 153901OWN OF OUEENSBURY No 9 85441 TAX MAP NO . 48 . - 8 - 39 WARREN COUNTY* NEW YORK PERMISSION is hereby granted to OWNER of property located at LOT 39 #81 Bill ETELD DIR Streets Road or Ave. 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 Oueensbury Building and Zoning Ordinance. t. OWNER'S Address is 1810 STATE RT . 9r SUITE 3 LAKE GEORGEr NY 12845 2. CONTRACTOR or BUILDER'S Name MICHAELS GROUPr INC . 3. CONTRACTOR or BUILDERS Address JIM CHANDLER , PROJECT MGR 1810 ROUTE 9 LAKE GEORGE , NY 12845 4. ARCHITECT'S Name NEW YORK HOARD S' PRNTIVERMIARD OF FIRE UNDERWRITERS 6, TYPE of Construction — (Please indicate by XI SINGLE FAMILY DWELLING I I W'aod Frame I I Masonry i t steel I F 7. PLANS and 'Speeificetions 193: ,_sq ft SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS 1t PLOT PLAN SPECIFICATIONS B. Proposed Use SINGLE FAMILY DWELLING 255 August 21 2000 S PERMIT FEE PAID - THIS PERMIT EXPIRES 19 IIf x longer wn per�von„i Paixpitic" lot On dace extension rtwst be a to tfw Building and Zoning ingsectar of the 21 August 1998 Dated at the Town of Oueensbury this Day of 19 SIGNED By for the Town of Ousionsbury ind s Zoning intinaer Building Permit Application �U1Vlf t1,f �ffCL'IfS'L1J"flfla° - Ue�>F, t�'CfrEl�r+rurrr`ry lJevrfulHrri"lrt, �d2lJrt�' Rotrd, �rreensLt+ry, NY IZSOd Jt7G1-S'2SG] .o----. BUILDING & COVE ENFORCEMENT ltettuiretltcnts prior to issuance - - of this perini1: PERMIT FLLS NO. � , r � � ] Livrillitlil 11111st be obinirzctl lWfi+re --- — ug colzstruction. No ;rstf�etrionsrrl► Idvrsrtl eEctiuls1'CIiMI7" FEIs PA1Di"iI»nda u»lil nl}ll;;cnn! F+rss rece;vccl 5' II] 11i111 UlhlCi 1'lil;>4tr'r A!IA'ca t�$C rzECltEitTlQN Ff;lsr $tra" slTne:c bo comtrlctcd ni+d• 01C signnit+rcJrxsltd elCttOls J2LYIEWEIIY.• 171rlicaut mull nf)lrcnr tart fire St'It 1 S„lxlivisiun ! Ulltcrioll fsrrm. Recien(ion Fee l'nynle'll Atrl+l;carst: 111e Iltt:chnv P_ t G)tvapt 7rtc , owner: at 56mie, Address: 1810 Route9 , Lake lie ii.t1P_ r NY 128A+ dross: I'llone #f _51 _8 668 3316 1'lsatle # ['raj+crty l.t�cniirrn: � — 3 "# Map Number + _ Suits3ivisistu [ l.srttc : scat;on Block LI MATURE or PROi'QSE1] WHO ESTIMATED MARKET Vl►�+ OF TITly -- - New 13ui. l.clitlg : CONSTRUCTIONS $ �rG resicletsce / c:ominerGi.al f Addit:. Ioll to 111111ciing : residence f coisrinerc: lal OCCUPANCY INF'QS,i'-tATIQIrts I► .l tcr +:;tt: i.cill t:ca LtI+ L .L[.1 .1. 11g : Prlrnr:try Building -- residence f counncrciai X Single FtrznilY Uwes111ng _ Etesicleltcc / Cortimercial Two Fasn.f. lY 1.D`"'ell * ng nc chance Lo exterior. a3. Ze Family Dwelling . UrCice t7uher Work ( describe below ) Mercantile AUG 1 Manufacturing Other GROSS AREA OF PROPOSED Sx'ttUCTUif � ��� l x f ADDITION r what will use 16t L' l.00r . . . . . . . : � aq . YL of new addition be ? : grid .Floor . . . , . . . sq . ft / N/A Other , _Floors . . . s9 • ft • `� ( not utlf illisklecl r cellar or basement )} 14CCESSOIiX BUILDINGS *: 2 4� Detached Garage Ir > l Ss F7* . _�(� Attached Garage It coat TOTAL FLOOR AREA Private Storage Building SIZE or NEW S'k'1tUC'1'URC : Commercial Storage Building Other t FEET fauizciatiozi 'Type ' flouted i11 any second-- hand or ungraded Nstustaer of SL tJI 1E? is : If ` lUFnber be used ? If sot fair what ? ( habitable space only ) l feet TYPE OF HEA'TINGI SYSTEM : III ''"� � Height: ( grade to ridge ) : circle all whic 1 " es } Number of firerrlIIIIIIIIIIII�aces /°1 sl / or woo stove E1ecL-.ric / Oil Gas ,/Wood to be inst:aII d l 1 rorced Hot~ All: / Ei�oard / Cltlaer Person responsible for superviBion Of worcrraEricg 1Z ds rear e: t P building codes ! as _ .[11L1� [tQrx l Naitte Addreass pr,}i�°e 2845 5 r 8 - 668 - 3376 r3ull.dec : I he MiCltaeLs Glr.c+ur� 1llc r 8 r U Rate 4 , Lake Gears e plumber : Vava r'Cc�mLti ic3 . _!&+� 1'�' �'� � G -e"A Va b NY r28Rj SjB - ►" 98 -�r394 !Marlon : _J1L. s1.tsC11 !t . r► " 26 --------_ . ylr l I lectriciatl : I 518- 37 ? - 9422 � f' - ,UECLAR 170M 1'Tease stg+s below ttl"?e'r yens !save carefrdly read the atatellselst. 'i'u the 'best of illy knowledge the staterttents contaitted in this application, together wilh the plans gird strcciticatiolls stillsss'ittcd, are a true and complete statelncilt of all proposed work to be scone on Urc described lrrem;ses a+sct gtat all provisions of the Bui}ding Code, the Zoning Ordinance and all other laws taerlaittit+g to the proposed work sltatl be ecttnplied with, wltetller specified or Hated, and that suet+ work is attrhttrired by the owr+ar. [Aurther, it is understood that Ifwe shalt submit prior to a Cortiftcate of C)ccvinuc]+ or C:ertificalc of Ccssupl'snnce being issued, all AS BUILT PLOT PLAN by r; licensed surveyor;, drawls to scale, showing actual location or project oil premises, Signature: (owsler, owner's agent, architect, contractor) • f TOWN OF ...��AIV"IYYIV' UEENSBURY 749 Bay rid., Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date ` } i i `.. 119 Permit Ni 4 ,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 � _. ' APPLIANCE (check appropriate boxes) 13 STOVE: o Wood ❑ Coal ❑ Pellet [7 Gas Address t}. i � FIREPLACE INSERT Zip rt `'� FI REPLACE., FACTORY $U1 LT; t lb 4 rr ` , r p Wood � Gas Phone 0 FIREPLACE, MASONRY : ❑ Wood ❑ Gas Owner [IFURNACE: ❑ Wood ❑ Gas ❑ Oil Address -` - - IF NON-MASONRY APPLIANCE: Manufacturer: Zip Model : Phone CHIMNEY (check . appropriate boxes) * EXACT ADDRESS of proposed construction O MASONRY : ❑ Black ❑ Brick ❑ Stone FLUE: c3 Tile ❑ Steel r: Size : inches FUILDING UCTION 1 INSTALLATION MUST 0- FACTORY-BUILT: Model : RM TO NYS FIRE PREVENTION & Manufacturer: Nurrlber: CODE. CONSULT AVAILABLE Listed o Double Wall ❑ Triple Wall F 'QUEENSBURY HANDOUTSDING REQUIRED INSPECTIONS • ❑ Insulated Liner Direct Venting o Chimney L,i Cashier' s Department Town of Queensbury, New York AmountC llected Amount Refunded Dept: Fire Marsha! Code Number Title A 173 3389 (190) Public Safety i A233 2655 (230 ) Miner Sales , a Fee Collecte�ro Refunded to : _ Address: Dated : STown Clerk or Deputy: While: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. ? + fo r c yrsr �rr RE LTTTC Tl ] OS1E PERMIT Locatloii of property for installatlow The Michapls GpLouta , LLC 1�tiM1'1' N1J �913T 1L Owner' s Nauuc: _ /yddress : Installer' s Natue: F)tZedman Fxcattra.t',t,ng FE . PAID I'Itone # : ( ) 518- 639 - 4035 Number of bedroottis (if residential ): ThAe ' - _ -_- •- •- Total daily now (residential - conipute tiz) 150 gal. per bedrootiv ): 450 'I'olxigral7hy: ® Flat [_] Rolling Stcep Slope m;, of Slope Soil Nature: F--Xl Sand ] T .oaIII Q K.:lay Q [][tier /Dctilli: 30 Ground Water: at what dcptll'J feet De:lrnck or Impervious Material : at what depth ? feet Percolation Test- 0 Not 1Zcquired L J Required/Ratc r inin. per inch Domestic Water Supply: Q Municipal Q Well © Other If domestic water supply is a WELL. water supj,yIy from any septic absorptiriti is fact VROPOST:D SYS:l'I3M - Septic tank; 1 too0 gal . (tui Ili Inum size : 1,00(1�12ah_ } 'life field: each trend[ ' feet. I total systctit length feet. Seepage Pits}: ttumhar of N/A / size each: ft. x ft. Siac of Slone lit lie used: # 2 dtone / depth or thickness feel. I1 OLD 1NCx '£ANK SYSTEM .* (if requiFall) Muni tier of InnkS_ N/A 'Size of each: gal_ 1llarnr systetri aitd associated electrical Mork to be inspected by a certified agency. For yotrr protection, please :tote that pttrsuarrt to 5e. ctiott 136- 29 of lire Conde of the Town of (Queensberry, arty perwit or a p pro vaI grein led which is Cased it pan a is granted in reliance Ft pan arty material misrepresentation or frteltire to make a material fact or circuiristauce knower by or art belralfofan applicirrrt, shall be void. f have remit the regulations n•ielt respect trip [iris a pprlicirtion and agree to :: bide lit), these lull rill 1-VgItiretr ews of the Towit of Qrrrr. iisbrtry .Sanitary ,Selvage Dispinsarl Ordinative, ' F .Siertantre o ,fresnorr,sihfe Person. 1)rtte; 3 bed home THE NEW YORK BOARD OF FIRE UNDERWRITERS AGl s BUREAU OF ELECTRICITY 111 WASHINGTON AVE., SUITE 744, ALBANY, NY 12210 Date I !E:C_:.t,i"ff3� F? 07, 9'4_R Application No_ on fire 44 ei tJ ," 8 ; k4hy THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number ix in the premises of lftC_ffAt;,(.�` t.;i;"rJUI ', t' "iIFc12F'}" I'It[I"1.75 LOP _. !I 4yUtEx, B1 kY , Ji IL ❑ Basement ❑ -1st Fl. ❑ 2nd FL Section Block lot '`a in the following location; �, � - - was examined on �lif-"F�11F1l R (? ,', 1 :`�`_ 8 and found to ne InannjcZiartce h the National Electrical Lode. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECK$ OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEN FLUORESCENT OTNER AMT, K.W. AMT. K.W. AMT. K.W. AMT, N.W. AMT. H.P. DRYERS FURNACE MOTORS 'FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO. OF FEET AMT. WATTS 1T' 1 ._-) .1 <' .: 3E .F SERVICE DISCONNECT NO. OF S E R V I C E METER NO. OF GG GOND. A. W. C+. A. W. G. A. W. 0- MT, AMP.AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 4 3W J 0 4W PER • Or CC. COND. NO. OF HI-LEG OF XI-iEC NO- OF NEUTRALS OF NEUTRAL OTHER APPARATUS: FL .ti771 G 7GI f I L:_ % t. . T , — 5 170REVER IAXCIDO)i ELECT, L L WL JLI.vr G. 11C PAR': ON 2446 t7AF11REY �IT. GENERAL MANAGER per This cerliticate must no!�Ibe"altjered in any manner: return to the office of the Board It Incorrect. inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BOILDING & CODE ENFORCEMENT 742 BAY ROAD j QUEENSBURY NY 12004 ( 510 ) 745 - 4447 FINAL INSPECTION REPORT — RESXDENTIAL „J DATE INSPECTI N REO EST RECEIVED : NAME AO n 1 CATION II DATE _ '� PBRMIT TYPE OF STRUCTUREY } i FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE A IRS two CHIMNEY HEIGHT VENT/HE&GHT PLUMBING VENT ROOFING i EXTERIOR DEC PORCH TEPS RAI NGS RE IEF VALVES FURNACE HOT WAS" INTERIOR TR M WISH FLOORS • BATH ItITCHRNT T OTHER FLOORSWEEPABLE OTHER FLA R CAR T D I STAIR CLEARANCE RAILING'S SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL 'E CTRICAL SIT LAN yARIANCE RE4 . X h3AL SURob VEY PLAT PLAN OK TO ISS_tJE C O OR C C i s. n r 4 RESIDEN"I'IAI. FINAL INSPECTION REPORT 1 Office No. (518) 7b1-825G Date inspection request received: CI��'' Building & Code Enforcement Dept. of Community Development Arrive am/pm DepFawo Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New York 12804 NA.>+,tt . -Ty e 0 PERA 411' # � LOCATION DATE TYPE OF STRUCTUTT N/A YES NO `� CCI.MMEN:CS Chimney Height/"B" Vent/Direct Vent Location ' / J Fresh Air Intake ti ./ Plumb Vent through roof Roof Complete VOOX Exterior Finish Complete Intenor/Exterior Railings 3 to 3 ' Exterior Han s, bai ding 18 in. or more VZ Interior Handrails th sides 3 or more risers_ Grade 2% away from fo dation 8 clearance to sill plat Gas Valve shut ofl' a regulator 18" above grade Gas Furnace or thin 34 feet or within line of site Oil Furnace shut--off at trance to furnace area Furnace/Ilot Water Heater opera Relief Valve(s) installed Headroom, 6 f3. 6 in- on stairs Basement stairs, 6 fl. a irr. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish 13athroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/a hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate roam protected (in garage) Light ventilation per room Safety glazing 18" or less Gam floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue CIC (Certif of Compliance) Okay to issue temp. C/o (Certif. of ()c:cupancy) Okav to issue permanent CK) (Certif of ()ccupancy) RESIDENTIAL FINAL INSPECTION REPORT ,�Office No. (518) 761,8256 Date inspection request received: ` L :() Building & Code Enforcement ��. Dept of Community Development Arrive am/pm Depart .6 am/pm Town of Queensbury Inspector's Initials .., .. 742 Bay Road Queensbury, New York 12904 NAME PERMIT' # LOCAT709 qpq: �{ ]]ATE rr TYPE OF STAIXIIJIth NIA YES NO COMMENTS Chimney HeighL"'B" Vent/Direct gent Location 75 �-- --- / . Fresh Air Intake 1 " / - '/ 4J Plumb Vent through roof Roof Complete Exterior Finish Complete 1C ' Intenor/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in or more Interior Handrails stairs both sides 3 or more risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposedireguiator 0 8" above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to $urrr area Furxraee/Hot Water Heater operating Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, G fl. 4 in_ Handrail exterior stairs both sides more than 3 risers Interior privacy/trirn/doors/mam entrance 365" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/landing 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/a hiour fine door/door closer Garage fff-eproofing. Garage penetrations scaled �� �� � �{�p� �, t a � a� A-4) Furnace in separate room protected (in garage) Light ventilation per room. Safety glazing 1871 of le s 1' in ❑oor Final Electrical Al 11 Site Plan/Variance eqiAred Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) Okay to issue temp. C/O (Certif. of 0ccupancy) Okay to issue permanent C/O (Certif of C)ccupancv) f TOWN OF QUEENSBURY � BUILDING A CODE ENFORCEMENT � •'� 742 Bay Road Queensb+ury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION! Dame ' Location Date Permi t SOIL TYPE: Sand- Loam- Clay- Results of Percolation Tes ( if applicable ) Rate-Minut / Inch TYPE OF SYSTEM. ��jj ABSORPTION FIELD * Totpa o nig Length of each trench Depth of tr ches Size of stun SEEPAGE PITS Num5ber- Size - ft . x ft , Stone size PIPING : Size e Bldg . to Tanis t Tank to 'Dist . B +yc$ Dist , Sox to Field/Pit %% C�-7ft� t - Openings Sealed ? �Ye= Partza LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption r , � feet Separation of Pits feet Conforms as per Plot Plan c Tiro n LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Fron = {C,�� eft � � de - Right Side Mi ddl e�f- ro" t Middle Rear CONS SYSTEM USE APPROVED - AYES NO Arrived : Depa � t 9U di n§ Arn Wkkttor i (518) 761-8256 TOWN OF QUEt•:NSBURY BUILDING 6 CODE ENFORCEMENT 742 BAY RD . , QUEENSBURY NY 12804 INSPECTOR ' S REPORT : ARR.)Kw_QD DEPART REQUEST FOR INSPECTION RECEIVED : �} NAMEjNrP1�L'h�'2y "� F LOCATION DATE �' � PERMIT I � 1^-{ TYPE OF STRUCTURE : RECHECK APPROVE N/A S NO LQQTINGaLPIERS MONOLITHIC FOUR FOBM RE.114FORCEMENT IN P E THE CONTRACTOR IS RBSPOHSIHLE FOR PROVIDING PROTE TIOM FROM PREEXING FOR 48 HOURS FOLLOWING THE PLACE- kmmw OF THE CONCRETE * MATERIA&S FOR THISSE ON 311TE OUN A ON WAL O RE NFORCEM T IN P FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBINGV N V ^ PLACE UGH PLUMBING PLUMBLNG U DER S F I JACK U H ER5 -- _$RACIYG R C�„a, GIST N GERS JACK TS MA AM AIR INFILT N BAR R A NG R UGH-- SU ION : FOU{+1QATIOR-WALLS 1UTERIOR FOUNDATIOJV WALLS E3LTERIOR R- FLOOR,$, _ R -- - -L11LI�r�S R EI G .,.... _ DUCT WORK OR PIPING IN U T S ES R- r FIRE MARSHAL V �-� TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECT N PORT � REQUEST RECEIVED - - PE I - ! NAME 4WU 11 LOCATION SCHEDULE INSPECTION ON - ( - - `• TIME APPROVED N/A YES NO EXITS _-- AISLE WIDTHS EXIT SIGNS - - - -- _ - ---_ - - EMERGENCY LIGHTING f FIRE EXTINGUISHERS ! FIRE ALARM SYSTEM --- --- - FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: - --- - -- r - ---- - - CLEARANCE TO SP INKLERS CLEARANCE TO H ATING UNITS _ REQUIRED SIGNAGE -- - CHIMNEY WOOD STOVE FIREPLACE - MASONR FIREPLACE - FACTORY BUILT REMARKS: - ---- - -- - --- - K TO HIS DATE a.. INSPECTOR i SPSuRPUB GENERAL MEEMON REPd7RT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 128" Arrive Dep� In' NAME: PERMIT # LUCATICIN: ri' DATE : -� TYPE C1F STRU RECHECK N/A YES 10 ONt1VIENTS 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 FoundationJWallpour Reinforcement in Place Foundation/Dampproofing. Backfill Appmvail Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In an Foundation Walls Interior R- Foundation Walls Exterior R- r �j � vrCar,�Gt�1 Floors R_ �'11 - i '�� ► t�ti �r� \ ' `b.)11r�: Wails R. �rtj �DF Ceiling R- — r' f�1�C>� Pt ��Elt' - 9N\1NV'-V G Duct work or piping in G E- '-- UAWT 9'R?ii l�` � F\Lb unheated spaces R- Proper Vent, Attic Vent � ��' l Framing Jack Studs/Headers. BracingJBridgin Joist Hangers Jack PostslMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL IN.SPEf7'It7ff REPORT it /ICJ <-�. Town of Queensbnry Dept, of Community Development Date inspection request receirved: � Building do Code Enforcement 742 Bay Read Queensbury, NY 12804 Arrive am/pm Depart am/pm Inspector's initial ewe NAME: /G S PERMIT # ! U 4>0 LOCATION: / f DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footingsl!'iers ! Monolithic Four 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 a site Foundation/Wallpour _ - Reinfaraernent in Place FoundationlDampprooTi.ug Backf'11 Approval Plumbing Under Slab Plumbing VentlVeats in P ugh Plumbi�t 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, Atty Vent gaming Ae ;Z +k s Jack Studs/Headers Bracing/Bridging Joist Hangers f Jack Posts/Main Beath Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin � - TOI�I�EENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 22804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION 0006* Name � -C �,� J1 Lam-► ' Location &L 3 Z � Date .cn� rm i t 1 SOIL TYPE: an Loam- lay- Results of Perco atioon Test- ( if applicable ) Ra - in a/ Inch TYPE OF SYS ABSORPTION FI Total L ngth Length of eac Depth of tr ches Size of st e SEEPAGE P : �b e r- Size - fte x ft . Stone size PIPING: Size Type Bldg . to Tank ! ' 45o Tank to Dist . Box Dist . Box to Field/Pit openings Sealed ? Yes or,,J Partial LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption fee Separation of Pits fe Conforms as per Plot Plan Yes LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : SYSTEM USE APPROVED : YES CN Arrived : Departed : Building Inspector u� 11i11, ltiI j} Ilit.Itj,lI} !, 1{ III 'i 1 ' fill } ,, `tom N I 'Iti! xfl,llll \ � }, �+ ti r, 41 , at , . `• ,,I,III , .f{�iltl. lit! • It'� Ill, it f flf}l ri1+,111111+ }tlI'ij1 �. . .r• •. .. � .. s Ill fit y`�? . �`•'-- � ` � ,, p5 tip, � i ;r`' � gyp, �''' ! � �� �1. � � i .# i -}t I i i `L•� f''. t. ` t 54 5, ,,,�{{, I-. j� ]� 5 I �1 '. ( # + f : l II I1I II,it It IIII ! , t k 1ddd4\ ` L° i ♦V♦V {.V ,I I V 't ! II ' � 'i.��ll,.yli1''! I!+1 •' ` I ��- -1�r'� 1 f t` rt - I I' 7 - 11f �\ r..� ', ti{ , f ��'.'• \\t��; 1 � f' 4 I j) �. `t t Its Fl ; �. I , ! � r,}}iSf , ', Sf _ \` `'C,1 '•��y` .ti 7I l' } } 'S'•• 1 r+ iIi i�' !„ ,; I f Y IlkI ! I V t'' •,il ryry '..� pti 't ti i ( y 4+ I j !t irll lZ;, � 1 yl I y}i � •t Z �\ 5'l It }t ''^5 '� ` i >. J }� I ' { {� ,'III _ �k+ i i •._ -5 i., ,� •�'s •tit .. tIttr It 4 kk t {J '� iu .� u. a? �.�.+ 4 s , f + ,J t}' f�F �Gt�l } tt.: f �nf r f t!! I 11 { •y 41 'iI r-". 1�� • c;, i{ f'' ' r tit l I'. . � . ` I i I• ' s !' • I ( '� ,'t ,S1` J# ! r, ` �� yy I` +11 VZS I ,: l I V r 5 ` µ t I } II II } I It 1 I I It rl I I, N jl r ',Ito OD � Lp .�. PbPbPb ff( I K. • E "1 have seen or o all objects such as h o � on this documesoft art 1 also re `ftw alp © Y measured the distances 40 J�o o �w 9 F aM 38 K 0 7,325.32 sq. ft/ CT / 87 H.O.A. C -- �-27 � � �s� ' . .~f s,�� GREEN � BUG 1998 L=3c). , ``x O 40 2 (� l,,,j C� 7,323.72 sq. ft. 5 �°coo, / /� ii1 \ _ 1�' '�' \ �'6 / ROPOSER C� MONUMENT �% 7�123.72 sq. ft.