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98-551 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK December 18 98 Date 19 ` `LS` 98551 This is to certify that work requested ._to be dome as shown by Permit No. ham been completed. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 38 * 79 SURREY FIELD DR . Location MICHAELS GROUP C?wner TAX MAP NO . 4 8 . - 8 - 3 8 By Order Town Board TOWN OF QUEENS$URY tr Director of Bldg. & Cade Enforcement BUILDING PERMIT VALUE $ 14500TOOWN OF QUEENSBURY Na , TAX MAP NO . 48 . - 8 - 38 WARREN COUNTY. NEW YORK PERMISSION is hereby granted to OWNER of property located at OT 3{ �k ?9 :� i Street, Road nr Ave. In the Town of Oueensburyo 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. 1. OWNER'S Address is 1810 ROUTE 9 LAKE GEORGEr NY 12845 2. COWMACTOR or GUI LOERAS Nanfe MICHAELS GROUP , INC . M CONTRACTOR or BUILDER'S Address JIM CHANDLER , PROJECT MGR 1810 ROUTE 9 LAKE GEORGE , NY 12845 s. ARCJHMCTOS Name NEW YORK BOAR© 5. ARMW YORKr BOARD OF FIRE UNDERWRITERS S. TYPE of Construction — lPlease indicate by X) SINGLE FAMILY DWELLING t I Wood Frarne i I Masonry t ) Steel l l 7. PLANS and Speelf6cwtiOns 15h& Sq ft SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS 8. Prapoaeti use SINGLE FAMILY DWELLING 215 September 14 2000 S PERMIT FEE PAID - THIS PERMIT EXPIRES , lff (if a ionOsr period is required an application for an extension must be ends to the Blinding and zoning inWector of the town of Queerrobury before the eupiration date.) 14 September 1998 Dated at the Town of Queensbury this Day of 19 SIGNED BY . _ ._ f l y for the Town of Queensbury building and zoning inspeolar 1ju itl itig Pen-nit Application 7 (,iti'11 (1f 'Cd!('G' isbitoy _ Urdu_ n/' [.'niarrrrrrrtirl' 11rir1rrlurrrul, 742 11try liurrrl, kltrecrls&trr}', NY 128041 1761-82561 _ ._ .r, _--• 1rtJ1r. 1� 11vc; �� CUv1s r; NrvttCcnll rva' � ' ltcs�lritelltcrl#s llrilar to issllancc riv Ylsli1411" 1:1l.0 NO. -- --- — __ of li1is 4rCl 1161 : A Inn111il u111sl Irc rlhhti11cs1 1x.lirrc - —� �`� j'fs'liAf1T FCIs 1}�1r7 o ' ticl inning ecrrt5lrttclisfu. No irr:slWC1itrrrs Ong1lrxrrxl AclirlrE wilt Ile ruacle rrrslil "pl,licrrrtl lot jj "Er n vhl,lr.r srurr_ulrle3 1'lilihtl r'. All Ater+ J l.Jec REC11EA7110N fliCr 1' rrlrl+fir:rtrtl4' sl+nvcs tt11 ttlin al+l+ticrrlilm MUST Ite csrrttlrlrlcet and 111e sigrtalt+re U 1'lrrrrrrlrrg Ilrxrlll .9cilvrE 1il;trlLi7VL-L1 Dl:' of rite nitl>lic.•tnl natal nitlrcar srrt tiro Sr'It 1 .irrirrriwisirru 1 Uilrcr Lrrrrfdrir� fiss rror iltlilienliolr farm. rt ..s t'"'.: N� ltccrcalicrrr 1`cc i'ayn+cnl Jlirltlis:rrnt; 11rC I�l.i.c'1lrxefh [7rr.arl +.1, fttx= • [J4vucr: Smile Adcllcs.�: Oslo ltuu f e e , NV 1 2SAildless: , i'llorlc 7I 51 _668 - 3316 i'1roErc C _ � ' _ - C � -- - -_-_ _ — It Property Loc.ritiull . '� Tax Mnp Nuillber �ton � 5utrdivisixtu Nar11o: _ i � F 4i' ' �f�t - ScCiotl Block 1nr t1ri'I UI115 or i'ttE7F'17SG1? P1UIi1C : SST .1"ATED 1tf11tICE'1' VALUEOF "ilk tiew utt -i. l.tt ;. 1:g . CONSTRUCTxnr1 : $ �� r. enl.clellCc / c vinnlerc i�11 A(tciiL i.crn I; o 11111 i-d - ct : OCGU4'1►�1C3[ I11Cgllf-IA 'ION r 1; c+ n i. tterrc: c / commer: C _l. rt1 l-' clraslry L1st11dlncJ - -rlr -i i.ts t. rrtlr 3( Sl ngl. © 1t'altd ly I.rwnllincJ U " CIidelie: e / Collmirrclal TWO ralrilly Dwelling 1tcv �_clrllct* f [ cllirrtrr* r. c .l.<ti FEtlllily Uwclling !� t1a cilxtrly+^ l:.o cxLer .ivl- n .i. 7e CyLCice Mercantile Other Work ( dencr lbe koeiow ) "rin" fIncLuring- SEP mac ; Other CROSS AHCA or k'ttoroSED STRUCTURE : if AUl7ITIONt what: will use lrxt: Floor . . . . . . . ot _ Ise sc; ' rL of newt �tdcliLivEt be7 : 2Eld -rlaor . . . . . . . vcl . LL &I ? -.M/A -- Other Floors . . . . • � - F. L . ( ,IOU LtnCinlsited cellar or base ACCES601tX DUILVINCISr � car DeLaclled Garage 1 , lr� I Attached Garage I . car TOTAL it AREA : I�iV S � ' rtr �— Private storage gu s i zt; or tow s'1 itUL 'i'UttC : Conunerclal storage Uu3 )ding Other FEET ed t°otlltca �ti i. utr 't'}'ttr : 1VO s[ W- I I ally t3recvltct- hated or foi: what: ? --� — Lumber be used ? I1 Bvr Attlltrlocr oG Sl oE3 : ( ilablLable tll)ace only ) feel TIPS U1 _ itEllTlttt3 SYS'rEMi height ( gz at.le t o r. a rlcIL c circle all wh3.. z1 (:;:a4,9)0board Rplj ' es ) 14utllber of l: _i. repletCes clJor wvoc3slowe Slect:. ric / OalI! Wvvrl Lv be 3lrsLh .l ! eel : x o ced 1loL Air / Ot ixele lld PerRoll r. nI pollee a for Eaupervip Lnn al work e9 r ye to rig codes is : �CJtctfzril��fr ,- I' rrvri Alrrtl i1� It slue e.d4tLI csss PNV"; 2 $ d , .518 - 668 - 3376 Flu i. 9_tlr' r' : 1 Ir.l bl I c.l�rxe 4i�LuuRr, 1lic. 1 8 1 U tz.te 9 p Lake Gea.'cr e l' ltulit�er : +I uua 1' t,tltli #cl,__1��-l.'_�l�- iLyact . [i� E►t5 J=u�.CS 1JY � zsat 518 - 79� 9 ts:� ntalt : _. ?��ucrcJar?n. _ 13rrx�2lz - �f�al�v�i C 1 .—t![Y .-113Q8-51 & - 311 - 9921 " ' ��f1 1LFL12_f'_.1L.__�� _C..iaf-11�{..L' ��'� -"''�' 1 tsleCLrx, G _T. sltl - 111s[ f1.41iii71{?N.' 1'lrrtsc s1gJl b toly tl le'r• yoll !rave carefr►1fy read fire sfrxlcrrtcrEf. etlier h ilie its TO the best of tray krtowledg,e the state" Iell' ore+oll lelsl tetttced is, int oflall t�vttlascsll work to beciopcaarl ril+d it sllcci[ic stivlrs srtcstlitld t ate all true a t ttic eicscr )tact) itlCS1114C4 lt++cl that a1t t+rvvisiolrs of the 11t+ildilrg L sxte, lire Zgrting Specified or vi and cd all trlher laws ld 191 inirlp tro lire i+rvirrrsetl tivvrlt sl+all be c*ornitliecl with , wliclt+cr specifies) or rrolcd: asid tlt:+t such ; 1p k is ilIg 1:r i�ett tly the Vwner. irur tiler, it is trnderstacA that 1/we. shalt submit prior to a Ccrlitic:ile of C]cclrirnlrcy' clr Cestificalc of Ccurrlllialscc )icing issued, an AS IdUILT pL()T PLAN by ;t liccrlsccl sutvcyori ctrst,vn stile, sllowinl; acluai location of project oil prentiscs. S i gstalur c: (Owttc , wllerts ttgelst, arcltitccl, cvlllractvr) -? t, ypliian €ar ca srAIVIp RrCL'I VliD 'SEPTIC IC �3IeS F(�tS A L PERMIT Locxxiivl= of property for is<esis>{ [fail(lin: '�i �� Piz RM IT N U Nil) Fit - Qtvtter' s Nutezc: The MZc6a.¢€��P4 G Loup LLC 4 � � �� �` Address: 1810 n ", tv 9 f :2hn ,tgp NV 1 ? fs45 J installer' s Naitie. Flr ' artm > t; {r'"��.� �►aS�D� l'liE: PAID Phone # : ( ) 518 - 639 - 4035 Nuniber of bedrooms Or residential ): Th kee 'fatal inoy now (rc%ide+ekial - cnutputc (911 110 gal. per bedrool1t ) : 450 'I'olx�%raplty: ® r-lat = Itolling Steep Slope 4"r, ur S[npa Soil Nature: Sat+d I .aatss I_ _t C'1ay © tJihcr !i?cptti: ground Water: at what depth? 30 !'act Bedrock or ITnpervious Material: at whit depth? feet Percolation Test.. © Not Required [X'j itequircd/[Late t Jilin. per ir:elr Domestic Water Supply: © Mu+licipal Well Other If dnmcstic water supply is a W l ,.E .I .: water supply from any sclstic ahAorliticut is feet E'ltOPt]SI"sI7 5YS'1•iiM� Septic tank- l o 000 gal. (tnillilir:rerm sire: ,1, 000 gal. ) "lile Field: cacti trench rect . / total systcut Icngth 1AN, feet. Seepage Pit(s) : nunrilcr of N /A 1 size each: ft. x ft. Size of %lonc to be used: # 2 Ls OYte / depth or ilnckncss feet. 1101..171N4i `I'ANK SYSI'13M : (if required) Number or tanks: _ N/A _ "Size or each: gar. Alawn systeitt and associated electrical work to be inspected by a certified agency. For your protection please note that peat rsretreit to Section 136-29 of the Code of fire 7*0Over of Qu0eitsbtery, arty perittit or a ppro+JaI grey trted styleiclr is lxased u poet or is grained ite ret tier itcc or port any ieraterial ini"srepresentation or frittere to ►hake a material fact or circuitestrxirce known by or an belralfofat: appticaeet, shall be sroid_ l have read the regulations 11411r respect to tlri.s r: pltticatioir and agree to abide by these and sell requirentent.sofelse 7'ots•ir ofQifee,:sbtery Seriti ry 5re+t'age Dispostil Ordinance, r .5ieaatrore ofre.s t}oi:sihte persean : _ 1 )trte: 3 bed home .. ar. -•.-r. .a TOWN OF Q,► UEENS13 U RY 742 Bay Rd. , Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES .AND CHIMNEYS Date C1 lI L 919 c1lb Permit No. _ R — I APPLICATION IS HEREBY MADE to the Building Dept. far the issuance of a Building and Lase Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant APPLIANCE (check appropriate boxes) Address T STOVE: ❑ Wood ❑ Coal ❑ Pellet r3 Gas —. ❑ FIREPLACE INSERT , 1L Zip ] `� ( Fi REPLACE, FACTORY-aUI LT: © Wood ❑ Ga Phone s - � " JCL` WFIREPLACE, MASON.A ❑ Wood ❑ Gas Owner © FURNACE : ❑ Wood ❑ Gas ❑ Oil Address IF NOWMASONRY APPLIANCE: ..�. _ Manufacturer: Zip Model : Phone CHIMNEY (check appropriate 1. boxes) * EXACT ADDRESS of proposed construction _1 ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone jaF' LtJE : ❑ Tile ❑ Steel Size: inches CONSTRUCTION / INSTALLATION MUST FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑ Triple Wail REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting a Chimney Liner Cashier' s Department Town of Qu+eensbury, New York Dept: Fire Marshal Amount Cal�tected Amount Refunded Code Number Title CD A 173 3389 ( 190) Public Safety A 233 2655 (230) Minor Sales Fee Collected From or Refunded to: Address : Dated : 14 Town Clerk or Deputy:- White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Fink A Goldenrod: Cashier's Dept. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 BUREAU OF ELE.CrT ILCITY f 1 Y Y WASHINGTON AVE., SU}TE 704, A j Ny NY I J2TD Date THIS CERTIFIES THAT f only the electrical equipment as described below and introduced by the app 'li' ant wanted on the above application number is in the premises of THE, !ff(;hAELS GROUP LLC, I R SUMTY FIELD DR . 4?I. -6 NSPURI'. NY GAR .:3t3 in the followinglocat�'p/jry&FpJ,, as e t Ist Fl. T=J 2nd Ff. Section Block Lot was examined on and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OU RECEPTACLES SWITCHES OUTLETS RECEPTACLES FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. 2 33 28 24 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS M SYSTEMS ET DIMMERS 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 SERVICE DISCONNECT NO. OF - S. E R V I C E METER NO. OF CC COND. A. W G. A. W- G. NO. Of NEUTRALS A W G. AMT. AMP- TYPE EQUIP- 1 s ZW 1 0 3W 3 0 3W 3 0 iW PER 0 OF CC. CONO. NO- OF HbLEG OF HI-LEG OF NEUTRAL OTHER APPARATUS; MOTORS. I --F f" P . G . 1' . C . T . r� SMOKE - 5 FOREVE;P F C.-BO :L Rr.ECT. i Ir:-JLLlAPI D. MCPAR MOON 446 JAr-FREY Sl' • GENERAL MANAGER S(,'HEtT.E,CTADY. NY 12309 Per TITis certiriaote rrrUsf r►at lae oMerirtl in IanY tr►anr+er; return to fhe office of the Hoard M incanect. Inapeclars may tie Idelniiiled by 1heiT otedenTlais. Y FC7R BUILDING DE=pARTMENT. THIS F'Y CERTIFICATE MUST NOT SE ALTERED ISV ANV MAhJNER. TOWN DF QUEENSBURY BU I L DI NG742 BAY ROADRCEMENT +QVE'ENSBURY NY 12804 ( (518) 761-1256 _ n/ INSP DEPART ! ARRIVBi ----- RES ILIEIiTIAL PI"ras INSPSCTiIO'N REPORT CTION REQI„IEST RECEIVED :p DATE INSPE {jocATl(lN/ PERMIT 'A DATE TYPE OF STRUCTURE �_�--------� FRAMING L'DUNS7ATIlDN _ BAC INSULATION SB FOOTING _ SEPTIC DUGii PLUMING It �- WO�yI15TOVE OR FIREPLACE FINAL ELECTRICAL �� N A YES, ti0 Y 4iE IGiiT B V 1 E IG't--.�lUFr— gt T MBING VEN ROOF?NG FINISH Cl STEPS 13,TNGSVALVES DECK— OPi:R T N .�---- F.UR CE 11OT WAT R G �---- RS NTERIOR TRIMElm PRIVACY F+OO iS FLDORS H {t TCIi N WA % 6A _C.x- G] H�LOORS 'EWE ABLE FLOORS CARPE OTC' S AIS R R CUEARANGE PA S S O E DETECTORS m1t pCyf3R+} FANS U M G F I%' U R _----- F AT ON N SU LON w [; FIRE PROOFNG ry DOOLOSER F L LECTRICAL S P I, N VA I AN C '. I SURVEY T LAN 4 C R C C Issu I MAP REFERENCE: SURREY FIELD SUBDIVISION DATED: APRIL 27, 1997 REVISED: JUNE 17, 1997 BY: VANDUSEN & STEVES LAND SURVEYORS W Du s e,,.:, Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 37 ' NN/MNtlND ALTFRATM OR AODnM TO A SURVEY MAP WARM A LICENOW LAND SNIVEVM WEAL IS A NOLATIN W Sr" 7100, SIS-OIW2M X OF 7W WV YOIDL STALE EOOLAIRN LAW 'OIR.Y COIhES FROM THE ORMAL, W ,MR RRVEY MALRED " AN dEW4AL W 7 E LAID SRVEYORS WAL NLALL N COMMUM TO LE VALID IROE COPES' 'CINVICATIOM NOICAIED I IMMI SNNRY IMAT YMS SIRWY RRS PMPARLD N ACC0111DINCE " THE 005I1100 OOOE W PRACRCE FM LAND ANYEYpfS AOOPRD BY IHE NEW V= STAIE AfIOCMTDN W PROFE390HM. LAND MANEVOM SAD CERIFDAIIQIS SLALL RIM ONLY TO RE PERSON FOR LLFDM THE WRYEY IS PREPARED, AND ON HIS LEMALF m DE IID.E 0MVMV. OOYEICNENTAL AGMY AND LFRDNO SWITI RRI LWW MWK AND 70 THE ASICMEES W IHE LEROND N5117L MK' L-a. 5,5.3� N ss. ss, C"?Vo S�REY Map of a Survey made for CA,ND GARY F & GAIL H. CONNER Town of Queensbury, Warren County, New York W NO. I DA TE H.O.A. COMMON GREEN SPACE 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 1`0: GARY F. d: GAIL H. CONNER EVERGREEN BANK, NA, its successors and/or assigns CHICAGO TITLE INSURANCE COMPANY CERTIFIED BY MATTHEW C. STEVES, LLS NYS 50135 DATED: DECEMBER 12, 1998 el 1JLULMOLK le-, Le 1'=20' S --1 sHwTior- i CONNER DESCRIPTION DWG. No. 97061-38 it H y'3-8 -38 RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Bate inspection request received: Building & Code Enforcement 2 Dept. of Community Development Arrive am/pm Depart Town of Queensbury inspector's iit turfs� 742 Bay Road Queensbury, New York 12804r- NAME PERMIT # 7 `7 LOCATION 7 u a2 - BATE � � f � TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B" VentAXrect Vent Location VF Fresh Air Intake Plumb Vent through root` Roof Complete Exterior Finish Complete InteriortExteriON Railings 30" to 36" Exterior Handrai balconies, h g 18 in. or m Interior Handrails rs both s� s 3 or more s Grade 2% away from on 8" clearance to sill plate Gras Valve shut-off a regulator 18" above grade Gas Furnace shut-off thin 30 feet or within line of site _.._ Oil Furnace shut-off t entrance to furnace area FuntacelHot Wat Heater operating Relief Valves} " stalled Headroom 6 6 11 on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers Ci} -� Interior privacy/trirn/doors/main entrance 36" Floor Finish BathroonifK.itchen watertigbt Interior Handrails BalconieslL anding 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected jUat�hroom fans wlmg fixtures Foundation insulation 3/4 hour fire door/door closer [garage f -eproofmg VGarage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per morn. Safety glazing 1811 or less from floor Final Electrical Site YlanfVanance required Final Survey Plot flan As Built Septic System layout required May to issue C/C (Certif. of Compliance) May to issue temp" C/O (Certif Of Occupancy) f Okav to issue pertttanent C/O (Certif. of occupancy) �` ' 7 a! � 114�I /� P�'Qdc- RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement De art Dept. of Community Development Arrive inspector's Initials Town of +Q�ueensbury 742 Bay Road (Queensbury. New York 12MM y NAME PERNUT # LOCATION DATE TYPE OF ST'RUC NIA YES NO CONDAEN`I'S Chimney Heightrs'B" VenttDirect Vent Location_ Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Fetish Complete Interior/Extenor Railings 3W to 36" Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3,or more risers Grade 2°/a away from foundation 8" clearance to sill plate Gas Valve shut-off exposedlreg for I8" above Gas Furnace shut-off within 30 f t or wi , e A site _ oil Furnace shut-off at entrance to area � J C lstC' S FtuuacefHot Water Heater opera Relief Valve(s) installed '" Q VT1 ,9 AJ Headroom, 6 ft. 6 in, on staff Basement stairs. 6 ft. 4 Handrail exterior th sides more than 3 risers Interior privacvl doors main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails 13alconieslLanding 18 in. or more Railing across window in stairwells Stroke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans K t �-. F*+JC 6� 1 Plumbing fixtures f JAX050L Foundation insulation 3/ 4 hour fire door/door closer C:arage fii-eproofin ev Garage penetrations sealed l� ( 4)6;7 Furnace m separate room protected (in garage) Light ventilation per room Safety glazing 18" or I ss fr m #lcx3r Final Electrical I 1 f , Site Plan/Variance required Final survey Plot Plan As Built Septic Svstem layout required Okay to issue CIC (Certif. of Compliance) Okav to issue temp. C/O (certif of Occupancy) Okav to issue perntartent CIO (Certif. of occupancy) GENERAL INSPECTION REPORT � < Town of Queensbury Date inspection request received: Dept, of Community Development Building & Code Enforcement 742 Bay Road Arrive `.- +' _spector� a Queensbury, NY 128" !`''lI{C�4 , PERMIT # NAME: DATE LOCAT1ON: TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers k 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 FounclationlW all pour Reinforcement in Place FoundationlDampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing ting Rougb-In ation 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 Studs/Headers BracingBridgtn Joist Hangers jack Post&NWn Beane Air Infiltration Barrier Fire 'Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppm TOYgi OF QUEENSWRY j E ENFORCE�T } SUILVING 42CSBay Road / Queensbury NY 1.2804 (5i8) 761-8256 SEPTIC DISPOSAL SYSTEM I1ISPECTION Na - (} Permit # Date SOILTYPE sand- Loam-Cl ay Results 16 of Percolation Test- bl e) Rate- N4inutelln h { i f aPp1 i ca � 5Y5fEM• Ck TYPE OF Total Len �+ r ABSORPTION EIELD ,� . t4I of a ch trench Leng tr nches Depth of Size of sto um er- -- �__--_ SEEPAGE PI ft . � Size - �— ype � Stone size _ tize � PIPING: Tank +i Bldg , to t to Dist . B Pit " r Tank Sox to Fieldl No artia Dist . s Sealed? Yes Opening SEPARATIOKS : feet LOCATIOK/ Tank --�_`"Je- feet Foundation to Absorption - feet Foundation 'F Pits a No Separation o er Plot Plan Conforms as p PROPER LOCATION OF SYSTEM � .� Left Slide - Right Side circle ones Rear Front FvrKon l e Mi ddl e CONS: SYSTEM USE APPROVED : ti Arrived o Depa tar ilding p ' S 1lII Mp rwrw�rR Town of Quecnsbury . nest received: Dept of Community Development Date inspection 4 Building & Code Enforcement 742 Bay Read Queensbury, NY 12804 Arrive [a; Inspector's i G �. s ' �T # �1 NAME: DATE . , LOCATION. TYPE OF STRUCTURE: RECHECK NIA YES No COMMENTS FootingslF'iers l lhilonohthic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following1the pla Of the concrete. Materials for this purpose a to Foundation+'W allprour Reinforcement in Place Foundation/Dampproofin Backf H Ap�prm'al Plumbing Under Slab Plumbing Vent/Vents in Place ugh Plumbing H Heating Rough-In sulation Foundation Walls Interior R.- Foundation Walls Exterior R- Floors R' Walls R- +Ceiling R.- Duct work or piping in unheated spades R- oper Vent, Attic Vent rarnin jack Studs/fleaders 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 - Fir estapping TOWN OF CQUEEKSBU'RY l; BUILDING 4 CODE ENFORCEMENT 742 Say Road I Queensbury NY 12804 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION f Name Location r 3k Date /v /�- � Permit #� r '�i ` � / SOIL TYPE : Sand- Loam-Clay- Results of Percolation Test- ( if applicable ) Rate- Minute/ Inch TYPE OF SYSTEM: A$SORPTI FIELD : T al Le gth Length a each tr ch Depth of t c s Size of ston � SEEPAGE PI 'um er- ft . Size _ ft . x Stone siz PIPING: Size Type Bldg . to Tank Tank to Dist . Box ----- Dist . Box. to Field/Pit Openings Sealed? Yes No artial LOCATION/SEPARATIONS : feet Foundation to Tank feet Foundation to Absorption feet Separation of Pits yes No Conforms as per Plot Plan LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS SYSTEM USE APPROVED : YES N0 Arriedw r► Depeparte d= r Building nSve i-or . GE11T� INSPECTIMYXa RT Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive � Depart Inspector's Du f� NAME: PERMIT # I LOCATION: DATE ; TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootifingslPiers Monolithic Pour Form Reinforcement in Place The contractor is resparnsible r providirgVwtection fro in for 48 hours k1lowin the place nt of the concrete. Materials for this purpose on site Foun+dationfWall Reinforcement ' lace Fo tiort/D pproo Plumbing nder Slab Plumbing Ver►tf 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, 31 4 hour Firestoppin GENERAL r1YSPECT'I NET s Town of Queensbury Dept of Community Development Date inspection request recelveds Building & Code Enforcement 742 Bay Road Arrive� "a � " Queensbury, NY 12804 l[nspector's f-� PERMIT # NAME: / DATE LOCATION: TYPE OFSTRUC'I'I7RE: RECHECK NIA YES NO 'COMMENTS Footings/piers ��~ ' Monolithic Pour Form C` t"�1 s-�-�-�S Reinforcement in Place - QrA46V Q,tiT/;;O rile contractor is responsible for _ providing Protection from freezing (- rt-'�1'4+dr� '- 48 hours fallowingrthc placement of the co Materials for this on site Foundation/Wallpour ► ' � � Reinforcement datio / nt in Place raofin Bach ll Approval 1 . �i`1 1 c�+r.i '+r tom. { f� �y Wilt Plumbing Under Stab � � \ E� uv% 3 t Plumbing Vent/Vents in Place Rough Plumbing_ 1 t�71 _ �p t� 51 � tJ \., Heating Rough-In lm%Agdon Foundation Walls Interior R- fit �l Foundation 'Walls Exterior R- ' - �' � Floors Walls R- Ceiling,. R- .•, , , ,� Duct work or piping in unheated spaces R' 1 1Ct Proper Vent, Attic 'Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack PostwMain IIeam Air Infilu ution Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL �,SPEC�TTOON REPORT /�] " 7j.� Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive amlpan Dep PM Ins 'tiara NAME: pip RMIT # LOCATIO : csc VC) DATE TYPE OF STRU RECHECK NIA NO NTS 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/Dampproofi�nS Backfill Approval Plumbing Under Slab Plumbing vcnt+'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 Framin Jack Studs/Headers BracinglBridgin Joist Hangers Tack Posts/Main Beam Air infiltration Barrier Fire 'Separation 1, 2, 3. hour Penetration Sealed Fire 'Wall 2. 3, 4 hour Firestoppin GENERAL INSPECTION REPORT '� � { 00 Town of Quemunit y Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road c Qereenshury, NY E2884 Arrive arru'pm Depart ►" - pm Inspector's Initials NAME: l P LOCATION: L7A TYPE OF STRUC RECHECK NIA YES N S r ovtings/Piers 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/Dampproofm Backfsll 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, 37 4 hour Firestoppiung