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98-554 t E 1 Yk 1 +CER.TIFI+CATE CIF CC '' N + TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK � 1 Date 49 --g.g ; This is to certify that work requested to be dorte as shows► by Pet.. it No. i has been cotnpleted, RESIDENTIAL ALTERATION This structure may be occupied as a T 104 'TUTHILL RD . t..gcation Owner INGLEE JEFE REY By Carder Town Board TAX MAP NO * 123 . - 1 - 40 . 5 TOWN OF QUIENSHURY Director of Bl g. do Cade Enforcement BUILDING PERMIT VALUE $ 5000 TOWN OF +QUEENSBUR.Y No. 98554 TAX MAP NO . 123 . - 1 - 40 . 5WARREN COUNTY, NEW YORK PERMISSION is hereby granted to INGLEE , JEFFREY OWNER of property located at 104 TUTHILL RD . Street. Road or Ave- in the Town of Oueensbu a To Construct or place a RESIDENTIAL ALTERAT O at the above location in accordance to application together with plot plans and Other information hereto filed a nd approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t. OWN R"S Address is 104 TUTHILL ROAD QUEENSBURYr NY 12804 2. CONTRACTOR or BUILOI Name INGLEEr JEFF 3. COWRACf %or„ }j+WLAdRD� QUEENSBURY , NY 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY HAGUE , NY 12836 6. TYPE of Construction — (Please indicate by XI RESIDENTIAL ALTERATIONS t I yyo-od Frame ; I masonry l 1 Steel I I 7. PLANS and Specif ications 780NSQ� FT RESIDENTIAL ALTERATION AS PER PLOT PLAN SPECIFICATION O. B. Proposed Use RESIDENTIAL ALTERATION 57 September 16 2+000 S PERMIT FEE PAID - THIS PERMIT EXPIRES t9 ills longer period is re4uir" an application for an extension muss be mods to the Building and Zoning inspector of the town of Oueensbury before the aaplration date ll 6 September 1998 Dated at the Town of Queenstaury this Day of 1g 1 A for the Town of Oueensbury `� SIGNED BY 8uisdirg and Zoning loweeeo► _Lfultaing 1`-'ermit Appucation Town of Queensbury - Delg. of Grmununiry Devel"Imseist, 742 Bay Road, Queerfsbury, NY 12804 170I-82561 T rr BUILDING & CODE ENFORCEMENT T4fE Requirements prior to issuance of this pert PERMIT FILE NO, A permit must be obtained before beg"' In'"Is construction. No inspections PERMIT FEE PAID $ Boa will be made until applicant has received 0 ZvttinSrd Action a 'V'.AL,.ID BUILDING PERMIT, An Area / Use RECREATION FEE PAID .$ applicants' spaces on this application MUST be completed at►d• the signature Pltvurlrrg Board Action REVIEWED BY-. of the applicant must appear on the SPR / Subdivision I Other Nrrnerrvr lication form. 7%amk y� t Recreation Fee Payment Applicant: .- -jr +s < Owner: �• r Address: es ec /e3 4' �Ct Y`r //c' r3. Address: .I'•� Ve ,r'a /" { Phone # ( S''/S''W) _•"�.5�� ' s rf'"" 111110 ne # Property Location: � '+' f' ��z '/� /,� _fr,.�• S'" Tax Map Nurnbcr C Subdivision Name: _ Section Block I int NATURE OF PROPOSED WORFC : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ residence / commercial Addltlan to -Building : residence / commercial OCCUPANCY INFORMATION : ;�- Alter_,ol-04 try BB_ uilding : Primary Building - residence / commercial Ci- Single Family Dwelling. Residen ommercial Two Family Dwelling no chang -t`cr exterior siz Family Dwelling Office SEPG"PON IM Other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA. OF PROPOSED STRUCTURE;: ci D If ADDITION , what will use lst Floor . . . . . . . . 7 4W;O sq • of new addition be ? : 2nd .Floor . . . . . . . sq . t . Other Floors . . . . * sq . ft . j COP , ( not unfinished cellar or basementgo ACCESSORY BUILDINGS : Detached Garage I , 2 car TOTAL FLOOR AREA : 2 5(0 SQ . FT . Attached Garage 1 , 2 car Private Storage Building SIZE OF t+EW STRUCTURE : Commercial Storage Building Other ° FEET X � © FEEL' Foundation Type ; sol< / /s�, re/• � . u +� will any second-hand or ungraded Number of Stories : lumber be used? ' If so , for what ? ( habitable space only Ze9 - Height ( grade to ridge),-* t�/ � feet TYPE OF BEATING SYSTEM : Number of fireplaces and/ or w4o_dstove c all which appli to be installed : / lectric / Oil / Gas / ood of Air / Baseboar Other Person responsible for supervision of work as regards to building , codes is : t C -'r + {s^ Name Addresss Phone Builder . _.+;t 47 •sc11 Plumber : tit � rG �c! 5 ,� ? S sr 0 Mason : Electrician : DECLr1RATION. Please sigh behnv after you have carefully read the staterneltt. 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 Vwe shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. 04. Signature: 0 er, er's agc architect, contractor) ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBUR.Y , WARREN COUNTY .. 900 {} HEA'I'ING DEGREE DAYS y"^S Coin fiance Methods : PART 5 - Acceptable Practice Method - v` 1 & 2 Family Dwellings ( only ) PART 6 * - Thermal Rating - Component Trade offs 1 & 2 Family Dwellings ; Multi-Family Dwellings ( 3 stories or less PART 4 * - Design by Component Performance Commercial Buildings -Hi Rise Residential *Requires submission of worksheets APPLICANT ` S NAME : PROPERTY LOCATION : Gc �, k - PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PR.A,CTICE : 1 . Gross Floor Area - — 7 ci *42 square feet 2 . Type of Heat - mm%L Electric Oil Gas %' Other 4„9osc'�2 .... 3 . Is building mechanically cooled ? Yes X,^ No 4 . Percentage of area of windows and doors Over 17 % ?C Under 17 % 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a . Roof b - Exterior walls R 3 � c _ Glazed areas R k d . Exterior doors R - e _ Floors over unheated spaces R .- f . Edge of slab on grade ( heated building ) R 90 Basement /cellar walls ( above grade ) R h . Basement /cellar walls ( below grade ) R Heating/ cooling-ducts -piping in unheated space R 50 Service ( domestic ) hot water heating device ` Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING I400 .- WILL NOT BE EXCEEDED Applicant ' s Signature Date Phone Number INSPECTOR S MARKS : - ,_. ,moo• d ' I TOWN OF Q UE.EI . SB U.RY 742 Bay Rd. , Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Permit No . Date '� ° 1 � 1 APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and use' Permit j 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 it more than one appliance and/or chimney. -� .�.h - • APPLIANCE (check appropriate boxes) Applicant '( e!<! STAVE: wWood o Coal o Pellet a Gas Address Z5 foa� � ` ' '` ' � ` ' 4 ---- p FIREPLACE INSERT f J J � Zip � . d, f ❑ FIREPLACE, FACTORY-BUILT. °- . t ❑ Wood p Gas i 67 f p FIREPLACE, MASONRY : Phone s p Wood ❑ Gas I owner ; , /._ t ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil ( _.?- Address rl r/ ^ r ' .S� IF NON-MASONRY APPLIANCE: Manufacturer: zip ,r . jr" oprl Model • Phone 5 , f ~ CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone r� r pi FLUE: ❑ Tile Steel Size. inches r NSTRLTCT 11 I 111 01N IIII l INSTA.LLATION MUST ❑ FN'ICn�lfac-BUILT:IIIIIIIIIIIIIIIIIIIIIIIIA Model :NFORM TQ NYS FIRE PREVENTION & Listed B Number:--- UILDING CODE• CONSULT AVAILABLE i ©ouble Wall ® Triple Wail WN QF QUEENSBURY HANDOUTS ❑ insulated ❑ Direct Venting EGARDING REQUIRED INSPECTIONS, a Chimney Liner Cashier' s Department Town of Queensburew York Amount Collected Amount Refunded Dept : Fire Marshal Code Number Title A 173 3389 (19o) Public Safety A 233 2655 (23f1 ) Minor Sales a Fee Collected From or Refunded to: , Address: Town Clerk or Deputy : Dated . --� IN White: ,Applicant Green: Fire Marshal Yellow. Bldg. Do Pink & Goldenrod; cashier's Dept. r Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Permit No. Lr�w �f DepL of Community Development } Building & Codes Office 742 Bay Road Fee Paid $ Queensbury, IVY 12804 Location of property for installation. ��- Property Owner's Name: Property Owner's Mailing Address: ���* x /e� y �` ` ��r. �f �'��• installer's Name: ,/'Ys� t -c Phone # Number of bedrooms (if residential): Total daily flow: ,:.ZeueP (residential - compute 0 150 gal.lbdrm.) Topography: *_ flat, rolling, steep slope of slope Soil Nature: sand, '-A., loam, clay, other I depth: Ground water: at what depth? /a` feet / Bedrock or Impervious Material: at what depth? ZA feet Percolation test: not required, required [ rate 'L min. per inch ] Domestic water supply: municipal, well, 104 other If domesde water supply is a WELL, water supply from any septic absorption is T©CP feet. PROPOSED SYSTEM Septic tank: /jsvy gallon (m;nimurn size: 1 ,000 gal.) Tile field: each trench . feet f Total system length: feet Seepage pit(s). number of I size each: ft. by ft. Size of stone to be used: # I depth or thickness fleet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each= gallons Alarm syaterso and associated electrical work to be ' meted by a certified a9"=y. F'or your protection, please note that pursuant to Section 136r29 of the Code of the Town of Queembury. any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or f"lure to make a material fact or circuvnstance ]mown by or on behalf of an applicant, shall be void. 1 have read the regulations with reapect to this application and agri&o to abide by these and all requix rnents of the Town of Chuc+ensb xry Sanitary Sewage Disposal ordinance. Signature of responsible person: µ� erE' — Date: - / ^ Tc^ APPLICATION FOR PUBLIC ACCESS TO RECORDS TO; TOWN OF QUEENSBURY RECORDS ACCESS OFFICE 742 BAY ROAD QUEENSBURY, N.Y. 12804 I, herebyapply to inspect the following records: CAG + + s ref- Apt j r} 1 EXPLAIN PURPOSE: �! ; APPLICANTS HAM Ee21-1 • t� I MAILING ADDRESS:_ SIGNATURE=. ___. ..._._ AGENCY USE APPROVED_ DENIED Record of which this agency is legal Custodian cannot be found: Signature/Title Date: Mo]TC FW You have a right to appeal a dental of this app+l&Vaon to the mead of the Agency, who must fully explain his reasons farsuch dental in rwrfling seven days ofr+eceot of an appeal. xher+e" appeal. Signature TOWN OF f,QUEENSBURY, TOWN CLERK'S OFFICE 742 BAY ROAD, WEENSSURY, NEW YORK 12844 E-l+1AIL towrnderkgzgueensbunr.net Fax No. (518 4 745-d474 phone no. C5181 76 1-8234 GENERAL , rsPgGTIU1V �tEPCIRT Town of Queensbury Date inapectian regne:st received: �-- Dept, of Community velopment Building & Code Enforcement 742 Bay Road Arrive �'l� Depart amI Queensbury, NY12844 actor's Initials PERNUT # - NAME: IDATE LOCATION: TYPE OF STRUCTURE: RECHECK NIA YES NO COMOAENTS l tin Molithic ur Form Reinforcem t in Place The r is responsib for providing tection from in for 48 hours llowing 'Place nt of the concre site Materials for this Foun+dationf Wall Reinforcement in PI Foundation/QamPProoS.n Bacldill Approval 1p bing Under Slab umbing VentlV'ents in Rough Plumbing; Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- -- Walls R- Ceiling, R- Du,ct. work or piping, in unheated spaces R- proper 'Vent, Attic Vent Franun ,lack Studs/Headers BracingfBridgin joist Hangers Jack post&,Main Beam Air Infiltration Barrier Fire Separation I, 21 3, hour Penetration Sealed Fire Wall 2. 31 4 hour FirestoPPing GENERAL INSPECTION REPORT Town of Queensbury Date inspection request received= Dept. of Community Development Building & Code Enforcement 1 742 Bay Road Depart Que�ensbury, NY 12804 Arrive a�pm f Inspector's Initials Ave ! PERMIT # NAME /� DATE LOCATION-. .- TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FontingslPiers I Monolithic Pour Form Reinforcement in Place The contractor is respo le for providing protection from g for 48 hours following the acem t of the concrete. Materials for this purpose on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab g Vent/vents in Place __,of Heating Rough-In insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R" Walls R_ Ceiling R- Duck work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging Joist Hangers jack Posts/Main Beam. Air Infiltration Harrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 31 4 hour Firestoppin,g__. GENERAL XNSPECTIG►�V REPORT Town of Queeuslmry Date inspection request re"I'd ---- Dept. of Community Development Building & Code Enforcement 742 Bay Road A� a amlpm Dept PM Queenshury, NY 12804 �pectoes Initials ._ rr PERMPI' # NAME= ! tl CaC C-- DATE LOCATION: . TYPE OF STRUCTIxRE; RECHECK NIA YES NO CONOAENTS i FooungslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the plaoem !ut of the concrete. Materials for this purpose on site FoundationlWallpour Reinforcement in Place FoundationMamppz'oOfm Baclfsll al Plumbring, Under Slab Plumbing VenilVents in Place Rnugh Plumbin Heating. Rough-In insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R' Walls R' Ceiling R- Duct work or piping in f unheated spaces R- rpZfa er Vent, Attic Vent ,, (, A+o,fa ftwAk - ✓Fraimin Jack StudslHeaders�� --- Bracingl'Bridgin Joist Hangers - Jack PostslMain Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed_^_.�.____---- — Fire Wall 2, 3, 4 hour FirestoPPing GENERAL INSPE RE RT Town of Queeasbury Date inspection request receivedm Dept. of Community Development Building & Code Enforcement Ica LL � 7 am/pm Road Arrive amY 1pxn Depart �Queensbury, 19 12804 Inspector's inith � PERMTf # j '` NAME: DATE LO C P.TiON Ir-' G TYPE. CC S'MUC:'T LJRE: RECFMC"K NIA YES NO r COMMENTS FootingslMers Monolithic pour Form Reinforcement in Place nsible for The contractor is respo providing ion from g pn+ � cement for 48 hours fol ng of the concrete. on site Materials for this Foundation/Wall Reinforcement Place FoundauonlD pproofin Back ffl plumbing Under Stab���- �'► kcs Ya R ����� � � C� � numbing Vent/Ve in Place__ 4f0kough Plumbic► g Rou In anon Foundation alls lnterior R- Foundation Walls Exterior Floors R- —~�- Walis R- Ceiling R- Duct work or piping in ( �, �- unheated spaces R' *e ee Ri m proper Vent jo Vent VFramin lack StudslHeaders ` 13racingMndging ✓joist Hangers Jack Pasts/Main Beam /4 A�f10 A. ) . Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopirin GENERAL Town. of (kueensbury Date inspection request recen'e+�t - .Moo.. -- s� Dept- of Community Development Building & Code Rnforcemeu't DepMM 742 Bay ROA NY 128f14 pe Ar�Ve Queensbury, ctor's Initlls '�� FEI T # � ,oj � � DATE : 1 NAME: oo, L LO OC,kTlON: TYPE OF STRUCTURE: RECHECK NIA, YES NO �; COWBAEWS ) / Footing Ahern I J. ; Monolithic Pour Form �' Reinforcement in F The contractor is nsible r IORd providing PTatecis from mg for 48 hours follows placement of the concrete. an site 'Materials for this FoundationlW allPour Reinforcement in P �---- Foundationll3'amPPr -�- Backfill Approval C ,- 'FI Plumbing l jnder Slab ni umbing Vent/Vents in Placer-- &e. fi{sco -14 Baugh Plumbing Heating R.ough-ln ,£, A ,s nsulation . �4 F nd .on Walls Interior R- Foundation Walls E?cteriaRr R- Floors R- Walls R- Ceiling [ �C Duct work or Pilling in R- �s unheated spaces gaper Vent, Attic Vent f'rp/l [!�G aI Framun a of Jack StudslHeaders 45 BracingfBridgin �v L G Y Nn 14- �w /y�*tti G �R Joist Hangers Jack postslMain Beam f,u � /Z� �,1�a " a c ✓ ►� Air inEltration Barner hour ! L of Fire Separation 1, 21 3. penetration Scaled Fire Wall 2. 3, 4 hour FirestopPin vo y Tam Df �E�FpRCE"U" glflLxylNfi A2 BaY Road� gp4 QueensburY NY (Si6� 763-8256 SEPTI C UISP[1�L. Sy5TE14 I1ISPECTION Name Location it Date �~ TYP nd-L SUIT- t- percol ati on T u Inch—,, Resin of Rate-Minutel 1 a ppl i cabl e� OF S�[5 : Total L 9t pg5t1RP,LI h trench Length f tr e hes - �---- Depth o i # Size of stone SEEPPAE PITS t f . x �-�-�` Site �� SA 1 r Stone size PIPING: rt to Tnk " a ank to El1-1st o el d/? w �` o anti a pi5t , 'BOX �� Yes Openings SealpRpTl /� feet L 'pTIURilS T anlc feet ' Foundation to tion feet ti on try Ab,sorP a NO FoundaSeparation o} Pits Plan Conf ors as Per Pl o CK PROP ER FIt Of SVISTEM ht i de L one) _ Left side Ri 9 ron ~ Front Middle Rear CATS~ �„� O eJ �s �J s SYS USE AP � nSP motor Midig n z� R Tt ET G €€ poRG 1 gU11D� ` ?A2 Ray N �A Qn�sbury N� (51$7 56 GT10" pTYG ,q.�S,QDSA1r S'tST� ;�15p€ SE Location IC7 it # Date 1 ~� Gra)p- --�'"�' �-� - Solt ol c � ati on J es i nch� °f 4er Rate-M�` nu app, te Results f ( � SYS "Pr, of: t : � ' otal AB' o� eac'" �---- Len9t�' of r'e DePt�` f sto tren F1�umber �. �.----�� Size of pITS: SEEpl16€ ft . x yp,e Site 5 ix e atone size pIP1#l6 to T anR p'I d k• to D i st - e1 d f P - r� o art Tan e R Dist . Box Seal ed? feet {lpen� rS€pTI(lRS: --�~-` feet v�dation NbsarPt'ion �--~"" feet f--- 'go te VroundatSe araion of on Pits plan Ves onfo►,n+s as .5,1S�l oR p[to�ER ht Side op i t cl a °ne r _ Left Si Rear R 9 Rea tAi ddl e rant " p rant _ �i d TS= ,rs ( ejAl y usE appvov = Departed __-- e But di ng ,l `s I P" GENERAL LNSPECTI©N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ' rn Queensbury, NY 12904 Arrive am/prn Dep ` 1 1 Inspector's Initials NAME: _ le +� '�— PERMIT # ow LOCATION: T'k rr t-4; 1 l VZ- D DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footi.ngs(Piers Monolithic Pore' Fo Reinforcement in F The contractor is nsib r providing protecti freezing for 48 hours folio the plaremen of the concrete. Materials for ' Foundatio 1pour, Reiinfo ent in Place Foundation/I]ampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Pluxnbin Heating Rough-ln Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Fl.00rs R- Walls R- Ceiling R.- Duct work or piping in unheated spaces R- Proper Vent, Attie Vent _ �r Jack StudslHeaderskmingL '� Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location 'I T Date ` [a Pe it # �^ SOIL TYPE: nd- Loam Clay- Results of ercol ati Test- ( if applica lea Rate inute/ Inch TYPE OF SYS ABSORPTION ELD : To al Length Length of ea h trenc Depth of tren hes Size of stone SEEPAGE PITS : Numb r- Size - ft . ft . Stone size PIPING: Size Type Bldg . to Tank Tank to Dist . Box -- Dist . Box to Fiel Pit Openings Sealed ? Yes Na Partial LOCATIONJSEPARA ON : Foundation to T nk feet Foundation to sorp ion feet Separation of its feet Conforms as pe Plot an Yes No LOCATION OF S STEM ON OPERTY : ( circle one ) Front - Rear Left Side - Right Side Middle Front - Middle Re r COMMENTS : 4?U -- / E SYSTEM USE APPROVED : YES O Arrived : -- Departed: `/' Building Inspector CUSTOMER'S NAMES JORTH COUNTRY CUSTOM ADDRESS CARPENTRY BOX 104 TUTHILL ROAD PHONE NUMBER DAY QUEENSBURY , NY 12804 NIGHT ESTIMATE DATE 1 / (J 1 Qi 792 "0 + 1 J PRC]JECT: .� 51✓. 1 Se gt2 +' � � •s r !'..w, ,.�— ' — — — - - 1 — — - i �,r t d i _ -{r 5 f C; - -- ()CT - — ' 1 -. . ,, #�s '1 „ tr 00 k _ � . ,. _ "I have seen or observed, or believe 1 saw evidence of, all objects such as houses, wells, trees, fence% etc., shown on this document. I also represent that 1 have personally measured the distances set forth on the- diagram" r�- RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Late inspection request received: Building & Code Enforcement Dept_ of Community Development Arrive am/pm Depar)+ ' amlpm Town of Queensbury Inspector's Initials{ � 742 Bay Road Queensbury. New York 12804a Q NAME PERMrr 4 LOCATION fir,? T?1 l t�— DATE TYPE OF STRUCTURE N/A YES NO CONUAEVTS Chimney HeightP'B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies;landing 18 in, or more Interior Handrails stairs both si or more risers Guide 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator I8" ve grade_ •^• Gas Furnace shut-off within 30 feet or within y of site Oil Furnace shut-off at entrance to furnace area ZF celllot Water Heater operat' elie, Valve(s) installed Headroom, 6 t. 6 in. on stairs Basement stairs, b ft. 4 in. Handrail exterior stairs both sides more than 3 rise interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/kitchen watertight interior Handrails Balcome&4,anding 18 in_ or ore Railing across window in stairwells Smoke detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation -3/4 hour fire door/door closer Garage ftreproofm Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final. Electrical Site PlanlVariance required Final Survev Plot Plan As Built Septic System layout required Okav to issue CIC (Certif. of Compliance) Okay to issue temp. C/O (Certif. of Occupancy) Okay to issue permanent C/O (Certif. of Occupancy) RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received' Building & Code Enforcement Dept. of Community Development Arrive anVpm Depart Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New York 12804 NAME _ ,vac " ` Z - C+'3 t PERMIT # ' "� 5�5 LOCATION DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Heightl"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Intenor/Extetior Railings 3W' to 36" Exterior Handrails, balconies, landing I8 or ore Interior Handrails stairs skies 3 or ore ri s Grade 20/6 awav from foundati 8" clearance to sill plate Gas Valve shutoff expo sedlregulator 8" above grade �.... Gas Furnace shut-off within 3U feet within line of site Oil Furnace shut-off at entrance to ace area ��� STh ti L j7d o „) Fvo 7 ? FurnacelHot Water Heater operat �G CC- k A,4.v�, Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both si s more than 3 risers Interior privacy/trim/doors/ entrance 36" Floor Finish Batbroorn/K.itchen watertight Interior Handrails BalcoruestLanding 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 3/4 hour fire door/door closer Garage fu eproofmg Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glaring 18" Qriless oor Final Electrical �. Site Plan/Variancj�rdquirckl Final Survey Plot Plan As Built Septic System layout required _ Okav to issue C/C (Certif. of Compliance) Okay to issue temp. C/O (Certif. of C.kcupancy) Okay to issue permanent C/O (Certif of'[)ccupancy) COMMONWEALT14 E TRI 76 C Main OtFice i pCAL 1NSPE C/ CTIN SE NC. - •. MUNICIPAL CERTIFICe Run Road - Mattheim ? F�V ATE - ELECTRICAL Pane! Board No. ,, . � ROYAL ..Cert. N* 64668 C7wner.............._ r tG.... cut-in Card No Location ,mm _mmmm/ C L '�, ir .... ....................................................�. .................. ....................... installation Consisting Of..�c lLL .,.,,�tt�� GC '" �, Cam....... ..... .. ................................................. . 4 +,,.r�—�^ 4'T' ..fin.............. Installed $ ................ ......................................................... ........................... The conditions followin Lie, No, . cancelled- - g governed the issuance ............_ This certificate .........................�....._.._ of this certilleate, and any certificate previonsly issued is only covers the electrical equiprncnt and instafiaric,n wnditions as of date. �; introduction rs of, ttihi onai equipment or alterations, apiplica d .shah! be rules are pyic�lated,Fthe Comm nny shall have the pro MPtly made for mspecP�n the privilege of making ins p Y shall have the right to evo txctrorns at an Datc......0 y�G - [{�] s ertif sate. y time, and it its ...,.u..,-_.......d.... ... .. ....... tNSPF.C'TOR Member N,F.P, A., f.A E.Z. . . FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY' NY 12804 (518) 781-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # NAME LOCATION SCHEDULE INSPECTION ON AM PM ME APPROVED EXITS N/A YES No AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE E)M GUISHERS FIRE ALARM FIRE SPRINKLER syg-rE- FIRE SUPPRESSION SYS EM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE T SPRIN R CLEARANCE T HEAT0 REQUIRED SIGNAGE r 4 SUPPRESSION C SP RINKLER Y U L S L I S R G H 0 AL TI HT ER Y N ON LI GHTING G E E E 8 L A M AI Y' RAN SIGNS FINISHES C T S RINKLERS CLEARANCE T HEATING UNIT JIGNAGE CMMNEY �WOOD STOVE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT E3 OK TO THIS DATE IA-) _T76A�l INSPECTOR 3 i-ANLDS St'T= K.•. S AV A�t� WOVEN WIRE FENCE OM. 141/2 N . i M 1 � . �O7 T P • 2•b l SPACING) � _,b _ ..�. - - _ _ 3 � - kit. IO MCX. C. TO C. i 3ti" YIN. FENCE N SIIPL 15�_INTO GROUND ts• TAPEJIED HOLE AID PLUG _ .": _. 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N SWILL. MEaPER�FORMI),AAs 000 S CO NEW HOSIN - 1000 CAL 300 ? (.) AMCPIWMC UQItD LE'LEtLER ►IPE NSEtTf e•sTAu L[,.t. ►t V.CSf MATERIAL it0'a/.ey MfJI ?) ifwM- OO! lNDlld - LOADING - ]00 L/S./SO R. -� A11E IIEO01ai1Dm. - ,q Tf �� UK oImm& tNtATE Iwa (a) R 3T �IETrEEAI INLET aNwT TO L[val n+ apn i - _ - Ly N�itA,N a OURESI[T PIPE AT TANK a LISE.aaIN ocnlTY AM Dt UT10N SOX ' Q i I DEVELOP M THE SILT FENCE. P'4 sEANa. _- '( To suLE) - - �,w-tz raiLta •, o o- 2 - I I PST$: STm EI T OR U T PICAL SEAMLESS CONCRETE SEPTIC TANK �-�T. 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P.621 DEED BOOK AND PACE % i 139.00-1-21.i2 TYPICAL' TAX NAP SECTION, }� _ • 1 �O 1 T �R/A18ER i `r � 123 BLOCK AND LOT fl AP 1�1 OM Its : zo i y + _ _ S , �� / d 4 NSF NOW OR FORMERLY UORTI11 \JTC\E.1�iTACT\CN ` `S� U I�TIt► �CS:.\TED ��s� �t h Or / �ii / O ' --- OVERHEAD WIRES u _ ' 1 1 / O • .�OO(O OF �E.EV�S •�T �1LN(.L>Lr,>Colo - �' � I /iy 1 - - - / Z, TM\S SuiiVEY VAS P►ZEO \h1ttNdJT Tv.E �Et1E.F \T OF -->�4b / �w1 i UP -TO -DAZE �BSTR+f.IcT OR -C'1rl E 11 EYoa:c �.ao CS-- ` . IWECT To �3T6.TENl�E�J�CS OF ACT -L+O•T 1 ,N�� _ny �. In Y '� N e � EZCEFORE g 1 ��4• - - - In - Sw �NDc V W rs lJl �► �sc�.clsE- . N vc � 1 z \Z4'- �- Az.� Cj 3) �lll�j P�4T.> 1S It�1 LAPL1p.�JC V�1�T\a ��\E �O►.st�iC� ! RASE OF �NE 10W1.1 OF QUEE�1SSl��Y_ \ 9 ,, i j! I23-1- 42.3 u c sa\v\s\c \a Qe b. _� W\T>a.\►� ��-\E. S\l � _ _ - : �I 123-i - 42.7 o 0 '1 - _ _ '4Q\ LeaLSy's N'F \'4' TMi3ERL..A.LOS OPlTtAT,N(j CO. LA•av6 `� NORw,lA4D�.O.AT+CAS'ttY� �A.VO� ►:1'S' U\CMO�.A.S �f►RdE,•9t� - cJ \ HE. SGt�O��\S'r"TZ\GT YV\TNL1J ``'•C- �VB�\V\SLO►J +�cLE1V �` ` / � � 'j� ` -'!3. fe84 ?.53Co 44-\-�2.\ $. 41,'?.2►(0 44-�-\S B.co29 V, $9fl ►23 -1 -(ems•\ 1 � \ aq� _ ` (o•t0 . (0 0 Z - 0 Date Record Of Work Drn Chk Appr c TWfi OF:l3?LaCEaLSTSaaR� � a _ O t 1►�NOS � F 3.'�O• Aoo�wwf5� COUNTY OF: Wg7LREu t � 11 . \ � I (I r �'24.9`j �ti1.e�f�D 1_.oz �.2 �a JaPAleTLA►.�o5 1lt A � �'R. \ >_`•( 1�1 � �� 1T E-E-� 8 A ?p = �� r ` r SCALE. AS SNowa Nf�aoVNE tt �ER WL lT L O\.1 1 EST \ 4� Ht NORTHEAST LAND SURVEY & co LAND DEVELOPMENT CONSULTANTS, PAC. Qa , DRAWN BY ul• h F-• iZ E ,.� PARADE GROUND VILLAGE OFp\CJc. P.U. BOX 2140 �Ir-o��F.v,�,�.1(ou`c ,A� a �'PF'RCY� VN�� •f�lj'S'�\OFC\'ZJ+.TLOA1 OF A. 1 HEFi91 CERTIFY THAT THIS SUBDIVISION PLAT WAS t n LANDDEVELCOADqF LAND SURVEY t BALLSTON SPA, N.Y. 12020 � ltfN Y COf•IES FROM THE ORIGINAL OF THIS SURVEY SCAL_� � � c �- PREPj.Hi - tIY ME, AND WAS MADE FROM AN ACTUAL jQV CHECKED BY: M,Q �• CONSULTANTS. r.c (518) 899-7339 L SUM i\0111PLETED BY ME ON 1995. ' SfARKEO WITH AN ORIGINAL OF THE LAND SURVEYOjt S - �Y -t71E PL +�.(VU1t1Ci 80A�a O� T1\E �nW� _ tuROSSED SEAL SHALL BE CI)NSIDERED TO BE VALID f�F QuEE.wlSBusc� , �Avw YOR\`. • APPROVED BY: DATE: Z`i-C PROJ. N0.9,41(2.7 DWG: NO. 95 f 31 SHEET I OF IPUE COPIES.- - SIGNATURE IT ((( \ 'UNAU'THORIZED ALTERATION .OR ADDITION TO A SURVEY N a, AP BEARING A LICENSED U4N0 SURVEYOR'S SEAL4is A � SIGNED AND SEALED PURSUANT TO SECT. 7208, LICENSE N R YOLAMON OF SECTION 7209. SUB -DIVISION 2 OF THE C1�\�"Axl bv, -m- PARAGRAPH N Of THE STATE EDUCATION LAW ANEW YORK STATE EDUCATION LAW.' m