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97-336 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date November 10 19 97 This is to certify that work requested"to be done as shown by Permit No. 97336 has-been completed., SINGLE FAMILY DWELLING, 2 CAR GARAGE, S. ' PP - This structure may be. occupied as a 452 .SHERMAN AVE. Location Owner MCGRAW, TIM & BETH TAX MAP NO. 93, —2•-23. 2. By Order, Town Board OF QUEE U Y . Director of Bldg. & Code Enforcement • BUILDING PERMIT TOWN OF QUEENSBURY VALUE $ 160000 No. 97336 TAX MAP NO. 93. —2-23. 2 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to MCGRAW. TIM & BETH OWNER of property located at 454 SHERMAN AVE. Street,Road or Ave. in the Town of Queensbury,To Construct or place a STINTPLE FAMILY DWELLING 2 CAR GARAGE, W at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNERS Address is 2. CONTRACTOR or BUILDER'S Name GRACE, TIM 3. CONTRACTOR or BUILDERS Address WIND RIVER DESIGN 4. ARCHITECTS Name 5. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING )Wood Frame ( )Masonry ( 1 Steel I ) 7. PLANS and Specifications - SINGLV.FAMILY DWELLING W/ FP, 2 CAR ATTACHED GARAGE AS PER PLOT PLAN AND SPECIFICATIONS. 8. Proposed Use SINGLE FAMILY DWELLING, 2 CAR GARAGE, W/ FP $ 267 PERMIT FEE PAID —THIS PERMIT EXPIRES June 27 19 99 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) 97 Dated at the Town of Clueensbury this 27 Day of June 19 SIGNED BY • for the Town of Queensbury Building and Zoning Inspector Building Permit Application Town of Queei sb ,yr - Dept. of Community Development, 742 Bay Rood, Queensbury, NY 12804 [761-8256J u ° BUILDING & CODE. ENFORCEMENT ( NOTICEj Requirements prior to issu flee of this permit: � "'�P_E6MIT FILE NO. 2 A permit must be obtained before ,! ,� �' J 3 fi" beginning construction. No inspections ' will be made until applicant has received ❑ Zoning Board Action PERMIT FEE PAID$ �C.O� a VALID BUILDING PERMIT. All Area /Use JUN..24 997 .t- S . applicants' spaces on this application RECRE FEE MUST be completed and the signature ❑ TOW OF 0 `'' "`c...JOgy Planning Board Active-DING AN?GSI I wED of the applicant must appear on the LPPlication form. n SPR / Subdivision /Other Buildi Inspector ,�! J A .Recreation Fee Payment Applicant: - 1 I{1 1. 1JM l" h1A\ Owner: K Address: p2ox ` 6 Address: GrL NS -Aug 1260 1 Thane # ( ,Ie-) 1 z. . Gmg I'hone # ( ) • Property Location: �f Il - s1-1 4At .1 AVM Sf --- ._ Subdivision Name: N/A 5�•elax Map Number -/-1--- r. Section Block Int NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE ,7 THE X New Building:. CONSTRUCTION: $ IV) 1L residence / commercial Addition to Building: - residence. / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial . )( Single Family Dwelling Residence / Commercial Two Family Dwelling - no change to exterior size . Family Dwelling Office Other Work (describe below) Mercantile Manufacturing • Other GROSS AREA OF PROPOSED STRUCTURE: _/ 1 ��T tr r13� 1st Floor 107(c, sq. ft. If ADDITION, what will use 2nd .Floor �q5 s . ft. Other of new addition be? : Other Floors eq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: 2j Detached Garage 1, 2 car TOTAL FLOOR AREA: AL" •Zo 1l SQ.- FT. X Attached Garage 1, c Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building t 32 FEET X (�tm FEET Other i/ Foundation Type: SOD. Will any second-hand or ungraded ' Number of Stories : 2 lumber be used?w,If so, for what? (habitable space only) Height (grade to ridge) : t2—L0'3 feet TYPE OF. HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which a•pli-s) to be installed: I Electric / Oil / 4.621 AAood Forced Hot Air / :aseboar:► / Other Person responsible for supervision_of work as regards to building' codes is: I� 6 24 1EDX '2-2Ci GF -742-C%I '/ . Name Addresss Phone Builder: W11'1U• TZNE12 "bE51Gr t� 1 G ' Plumber: ML T NC) Gt Mason: N11�NN Electrician: GLL SlNZtG, DECLARATION Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; awn scale, showing actual location of project on premises. Signature: ow ner's agent, architect, contractor) 1;,i •._ �� _�.� J;.,yam,Y,,�,1�.M l, • ENERGY CODE COMPLIANCE APPLICATIONt— • TOWN OF QUEENSBURY, 4WARREN. COUNT JUN '24 9000 HEATING DEGREE DAYS 7997 � 1 BuILDINCi AND CODE Corzal i ance ' Methods : PART 5 - Acceptable Practice Method- 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: M6-6121143AW Imp p_ Jc PesIcINI OFt2Ge.. trtEve.ittNA N AV PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: • 1 . Gross Floor Area - 1414R 201i scuare feet' 2 . Type of Heat - Electric Oil _XGas` Other • • 3 . Is building mechanically cooled? Yes XNo 4 . Percentage of area of windows and doors Over 17% - X Under 17% 5 . R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PL_N'S _SUBMITTED: a . Roof R b . Exterior walls R i c _ Glazed areas R 3. i • d_ Exterior doors • R 10.8 e . Floors over unheated spaces R oziq,3a f . Edge of slab on grade (heated building) R NA g. Basement/cellar walls (above grade) R II h . Basement/cellar walls (below grade) R 1 i 1. Heating/cooling-ducts—piping in unheated space R NA 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code X • Yes. No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED A i s41._ ignature /D7te Pho a Number INSPECTOR' S REMARKS.: TOWN OF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 i APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS ° .--\O 9" Permit No. - Date ,19 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 and/or chimney. Applicant N14.6112Alio,Aiwo 12.tuaz t.5 .1i0APPLIANCE (check appropriate boxes) Address Ft.:',' a .c)v.: . Ct S ❑ STOVE: ❑Wood ❑ Coal in Pellet ❑ Gas 0 FIREPLACE INSERT =k;b;iw, I-- t�.s f\s,-i Zip „t'2.. ,5 ( Ca:FI REPLACE, FACTORY-BUILT: ❑ Wood Eac Gas Phone 0 FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner ` ' I FURNACE: ❑ Wood ®;Gas ❑ Oily Address IF NON-MASONRY APPLIANCE: • Manufacturer: Zip,,, Model: - Phone .. Et Ge ' VG-is,sr CHIMNEY (check appropriate, boxes) *EXACT ADDRESS of proposed construction ` C ;1 ,,.— ❑ MASONRY: 0 Block 0 Brick 0 Stone UP Z St t 'ibs :)..s - f-----FLUE: 0 Tile 0 Steel Size: inches CONSTRUCTION / INSTALLATIONMUST 0 FACTORY-BUILT I: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall 0 Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code.Number Title, '") (' ';;: fi - A 173 3389 (190)Public Safety A 233 2655 (230) Minor Sales , y .� Fee Collected rrom Refunded to: L.w�',� ),'.^ /1"_ ;�°'r.-,,,,',r .r` �.�<''--? t Address: i-�`" ''t \ -;( ) Dated: /./.;:7, �? h /' Town Clerk or Deputy: 'k ( \, /r'r.. ` l / ' i, .,, .-/ White: Applicant Green: Fire Marshal Yellow:Bldg. Dept. Pink & Goldenrod: Cashier's Dept. Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Permit No. Dept. of Community Development Building &Codes Office 742 Bay Road JUN F2e Padd7 $ Queensbury, NY 12804 Location of property for installation: DFk Ev.. Sk.-t iuvsev J Property Owner's Name: M 1 W‘Jg4M.) -i?l v' l 16,1k1 Property Owner's Mailing Address: Po ec)c 7-2- C-c l= N`d t 2- U Installer's Name: Phone # q 3 55E5.3 Number of bedrooms (if residential): "5 Total daily flow: 11- 0 (residential - compute @ 150 gal./bdrm.) Topography: flat, X rolling, steep slope % of slope Soil Nature: )c_ sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: >( not required, required [rate min. per inch] Domestic water supply: XC municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank: 125O gallon (minimum.size: 1,000 gal.) Tile field: each trench 5O feet / Total system length: 260 feet Seepage pit(s): number of / size each: ft. by ft. Size of stone to be used: # / depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons (Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance Signature of responsible person: Date: (O/ A7 4y,' fi TOWN OF QUEENSBURY ,.� BUILDING & CODE ENFORCEMENT %„f AZz� 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: 0q/ FINAI. INSPECTION REPORT - -RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: NAME çc\ll � �� JZ J ` , \�E'`1 LOCATION L-` LJ S Prusf 1nJ j- DATE 6\- 1 0 PERMIITT / C, A ,3✓ TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC _ INSULATION • FINAL ELECTRICAL • WOODSTOVE OR FIREPLACE _ N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT • ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAI NGS RELIEF VALVES FURNACE/HOT WATE OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS *SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE /VARIANCE REQ. INAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Building &Code Enforement Arrive: ®V Insp: ,_, ,-"C'S' C I 9 1--' Dept. of Community Development Town of Queensbury Date Inspection Request R-, - ved: 1 l ' 7 —1 7 742 Bay Road Queensbury, NY 12804 ( 3 NAME %Lc Cur , 4'T 'U PERMIT NO. .,1'.7j ( j LOCATION 1_ , a, S�,or .rma Pr DATE 1 \--`)•--q 1 TYPE OF STRUCTURE - k.-.- R N/A YES NO "�_.COMM»'S _ ., , ,„, Chimney Height/"B" Vent/Direct Vent Locati n Fresh Air Intake \ ii Plumb Vent Through Roof Roof Complete e / V Exterior Finish Complete , / 4 Interior/Exterior Railings 30" to 36" ‘ . / V Exterior Handrails, Balconies, Landing 18 in. or more / y Interior Handrails Stairs Both Sides 3 or More Risers, / Grade 2% Away From Foundation .\ / 1 8" Clearance To Sill Plate li Gas Valve Shut-Off Exposed/Regulator 18" Above Gras / Gas Furnace Shut-Off within 30 Feet or within Line of ite Oil Furnace Shut-Off at Entrance to Furnace Area / Furnace/Hot Water Heater Operating / - C Relief Valve(s) Installed I " - V :IT.‘ !,a t.y, - �__.: Headroom 6 ft. 6 in. On Stairs f. "`••In � �,�� �, , Basement Stairs 6 ft. 4 in. J FLJA Handrail Exterior Stairs Both Sides More Than 3 Risers I Interior Privacy/Trim/Doors/Main Entrance 361" d Floor Finish / Bathroom/Kitchen Watertight / ‘4 Interior Handrails Balconies/Landing 18 in./or more - / Railing Across Window in Stairwells / sii J Smoke Detectors: ,•; every level every bedroom I 1, 'V outside every bedroom f` I J inter connected I i Bathroom Fans I /ly Plumbing Fixtures V c'zR�E cb,e3,' N1,r i . jFoundation Insulation \ 3/4 Hour Fire Door/Door Closer \ N/,/' Garage Fireproofing \ V,i Garage Penetrations Sealed \, j •,/ Furnace In Separate Room Protected (In Garage) / Light Ventilation Per Room ✓J Safety Glazing 18" or Less From Floor ,// Final Electrical Site Plan/Variance Required Final Survey Plot Plan As Built Septic System Layout Req. \��/' Okay to Issue Temp C/O e �L V - ® ® ,w, ' ue '�C�otl to t OP RESIDENTIAL FINAL INSPECTION REPORT if Office No. (518) 761-8256 Building &Code Enforcment Arrive: `i, ire' Insp. — Dept. of Community Development , Town of Queensbury Date Inspection Request ° =•-ived: 742 Bay Road Queensbury, NY 12804 NAME MC_GeNcI A I `"Ti rN FTI� PERMIT NO. LOCATION • y;� A}-vEF,Nl' px3E DATE — x' TYPE OF STRUCTURE ,./-)F!> tz l "z cAR cps J / / N/A YES •NO COMMENTS / Chimney Height/"B" Vent/Direct Vent Location J/ I Fresh Air Intake s/ '�, / Plumb Vent Through Roof •�j Roof Complete ✓ Exterior Finish Complete / Interior/Exterior Railings 30" to 36" •✓I : 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 A Gas Valve Shut-Off Exposed/Regulator 18" Above Grade V` l Gas Furnace Shut-Off within 30 Feet or within Line of Site •V / Oil Furnace Shut-Off at�Entrance to Furnace Area / F,urnace/Hot Water Heater Operating /\ elief Valve(s) Installed 01:400-P-yu ti.. Q„•J yv.w��C iF— ` Headroom 6 ft. 6 in. On Stairs Basement / Basement Stairs 6 ft. 4 in. \ ! Handrail Exterior Stairs Both Sides ore Than 3 Risers I Interior Privacy/Trim/Doorsa' ntr�itce 36" Floor Finish Bathroom/Kitchen Watertigh / ✓ 1 Interior Handrails Balconi Landing/18 in. or more / f j Railing Across Window/in Stairwells ✓ / �� Smoke Detectors: /' . every--lever N// yIi every bedroom -•/`/' 11 outside every bedroom ✓ I inter connected ✓ i throom Fans �j I Plumbing Fixtures 00a. tow -ay am, PA IAV-w"N. V• 1 Foundation Insulation 1 3/4 Hour Fire Door/Door Closer // _ Garage Fireproofing Vi \ Garage Penetrations Sealed t ,/ Furnace In Separate Room Protected (In Garage) 1 Light Ventilation Per Room •J Safety Glazing 18" or Less From Floor Final Electrical 1 / i , ; 7te PlanNariance Required ,� VF' 1 Survey Plot Plan a Built Septic System Layout Req. • Okay to Issue Temp C/O . _ • `` 100 VeY_ A\m F� © Pi--1\ 421 FoR AD.oCCIot3R _ DEcY, dVc-1 C E_I- 061—ii F-L,Ig- 4k-6-' FAT DES b 3 P'FPf_RC M%�b t r�6 V-t_e e �3�-eQE,vv � \„ Wells\ TOWN OF QUEENSBURY FIRE MARSHAL. . QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT C' REQUEST FOR INSPECTION RECEIVED I ) — 9. NAME ON.0 c`7 6 ...k, • I )."1..+E LOCATION `� S ruy,A/e DATE PERMIT # 9 -7 - 33 Lr- APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING U ITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE EPLACE- MASONRY FIREPLACE- CTOR_Y BUILT \ REMARKS: ❑ OK TO THIS DATE (mx, INSPSLIP.PUB I SPE C R COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 357 Elwyn Terrace — Manheim,PA 17545 Q 7-3 3C, MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No. Cert. 5 0 2 4 4 Cut-in Card No. Owner f/m /n a Riek-ii, Occupant i Location.4(SY a iell'Oe S#-e-km4-0-) azto-7* installajion Consisting of. lig•$.111/re g LIE t' 115416 9 6 I r7--5 .5, RA/672. i i 041-ius i s--mdee-s 1 i ....5 e 7 2 4:1 i e_e— Installed By el it) 2-i C CZ-Pe_ , Lic.# The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:— This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspectk .t any time,and if its rules are violated,t e C mpany shall have the right to revoke his rti.c.,. A/ r Date 1 4 '2- '7 INSPECTOR. V / Member N.F.P.A..I.A.E.I. 3:co '3 40 , ...:.,... TOWN OF QUEENSBURY Aria. FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED / n1 9 NAME Cm-YrA 1 LOCATION 1"4 (--ni-L � DATE PERMIT # J (--) -9 7 on APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTIi�G FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM r HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY FIREPLACE- FACTORY BUILT REMARKS: OK TO THIS DATE � . .4/ INSPSLIP.PUB INSPE J • (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT s'..? „J 742 BAY RD., QUEENSBURY NY 12804f'`7 ".' w1 INSPECTOR'S REPORT: AR )DEPART';Z V5 INT ;,�- REQUEST FOR INSPECTION RECEIVED: 1 NAME ,: la r i. _ IF LOCATION .sir iliTi_II' le:AL DATE tO it PERMIT a \-1-- ):q6 TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR. FORM REINFORCEMENT IN " A THE CONTRACTOR IS RE Pe SIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOW . G THE PLACE- MENT OF THE CONCRETZ. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING DER SLAB F INNG JAC STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- _ FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- ` CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- TO 'a OF QUEENSBURY BUILDING t, CODE ENFORCEMENT 531 Bay Road Queeisbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name V M Mc C— 'AI:..) Location Lt5_ Ug SF\c- 3 Date t-41c17Permit # 1773?Q SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) .Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: 1 Length Length of each -re! ch Depth of trenches Size of stone SEEPAGE PITS: Numb r- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit O'peni ngs Sealed? Cag_s_:2› . No Partial LOCATION/SEPARATIONS: % %Or Q Lb Foundation to Tank ffet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan _ Ye LOCATION OF SYSTEM! ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: GEED -1 c o SYSTEM USE APPROVED: YES Arrive.. ` 1 c) Dep. •i: --/ i/ , u,l i ig 2'.+ 'ctor TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY. 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name `SS\ ✓ Location .Date /b--Z Permit FA-7- (j . SOIL TYP , San -Loam-Clay- Results of Percolatio Test- (if applicable)'4Rate i ute/Inch TYPE OF SYSTEM: \ ABSORPTION FIELD: Len ti '6b1 Length of each trenc 4 Depth of trenches Size of stone SEEPAGE PITS: Num er- Size - ft. x ft. Stone size PIPING: Si e Type Bldg. to Tank 4 'O Tank to Dist. Box ac Dist. Box to Field/Pit )1 s Openings Sealed? Yes No art'fa�` LOCATION/SEPARATIONS: Foundation to Tank /- feet Foundation to Absorption 9_5feet Separation of Pits fe- Conforms as per Plot Plan Yes 4' LOCATION OF SYSTEM ON PROPERTY: (circle .:.o __ Front - Rear Left Side - Right Side Middle Int - Middle Rear COMMENTS:;o45d t% A-73— g U(ti / .9 • SYSTEM USE APPROVED: YES NO • Arrived: r5 Departed: 5'5r--- Building Inspector I/1 < TOWN OF QUEBURY r it FIRE MARSHAL. •�'`- QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 9� 97 NAME kLi ' 1 i ter\ LOCATION 1-s---- I j!'. DATE PERMIT # q 7 17.3 j ��L-- APPROVED N/A YES NO ITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTI G FIRE EXTINGUISHE AUTO. EXTINGUI ING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIR - MR FIREPLACE- FACTORYASONY BUILT 4 � rrs'�C.c2./ REMARKS: 6/ ❑ OK TO THIS DATE fif„,.-=-___4:,,, k',_?;'- ) '2 , ,,44 2:Zg /' 114( n idi ./: -,ieg-Oez/i11-4 - ..egii2dff4:1;//1.7 ;Y„I'd „vo-xe7,4 INSPSLIP.PUB INSPECTOR (518) 761-8256 TOWN OF QUEENSBURY t BUILDING & CODE ENFORCEMENT , # , : 742 BAY RD., QUEENSBURY NY 12804 • . , f " Via/ INSPECTOR'S REPORT: ARR DEPART IN REQUEST FOR NSPECTIION RECEIVED: NAME / 1 c R4.k / LOCATION f DATE Od /11 PERMIT A 617— 3.3 TYPE OF STRUCTURE: RECHECK APPROVE i= N/A YE I NO FOOTINGS &WT.' = NW MONOLITHI -*UR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RE%'ON .HLE FOR PROVIDING PROTE TION FROM REEZING FOR 48 HOURS FOLLOWI,G TH PLACE- MENT OF THE CO' MATERIALS FOR THIS PUR•OSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING SACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING _ JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- ce ---((ib 776141256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR DEPAR'Ji, 111NT !p REQUEST FOR INSPEC ION RECEIVED: cqq ) 7 NAME Q 6te. LOCATION 0q5a,cke�-h--el 7] , DATE q 1C7 l- PE� $ ! '- 33- TYPE OF STRUCTURE: 5 RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPON BLE FOR PROVIDING PROTE TION FR0EZING FOR 48 HOURS FOLLOWING T. L.CE- MENT OF THE CONCRETE. MATERIALS FOR THIS PTR OS O. SITE FOUNDATION/WALLPOUR - REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER _ HEATING ROUGH-IN 1 SULATION: _ FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- - FLOORS R- WALLS R- l CEILING R- DUCT WORK OR PIPING IN UN ATED SPACES (518)761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMEN - .'. T 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR DEPAR INT. REQUEST FOR INSPECTION RECEIVED: NAME ( LCCRAii.) LOCATION J G� 2 DATE 4 1 //b I T) PERMIT # ( 7- J TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE _ FOUNDATION/WALLPOUR REINFORCEMENT IN PL',;iilb_ _ FOUNDATION DAMPPROO _ BACKFILL APPROVAL PLUMBING VENT VENTS IN 'LACE ROUGH PLUMBING P UMBING UNDER SLAB RAMING: SACK STUDS/HEADERS - j / CING/BRIDGING t✓ e�JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- _ __ FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS _ R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 l� INSPECTOR'S REPORT: ARf , '" DEPART INT" REQUEST FO/Rf NSPECTION� RECEIVED: /NAME �'Z6Rd1it-) LOCATION lQq DATE Cj �'0/ -(,'7 PERMIT # 97--3 3 TYPE OF STRUCTURE: RECHECK APPROVED N/A YES ' , NO FOOTINGS/PIERS Alik MONOLITHIC POUR FORM - _ REINFORCEMENT I PLAC- THE CONTRACTOR IS RESPO'SIDLE FOR PROVIDING PROTE TION FRO, FREEZING FOR 48 HOURS FOLLOWING T:E PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING _ BACKFILL APPROVAL PL BING VENT/VENTS IN/! PLACE OUGH PLUMBING z- y A 4-r S - PLUMBING UNDER SLAB _ FRAMING: • _ JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- _ CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- c)( -17 (tom14 , (518)761=8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT � r' 742 BAY RD., QUEENSBURY NY 12804 .,.FAA . . INSPECTOR'S REPORT: ARR\ctCtODEPART rCy REQUEST FOR INSPECTION /RECEIVED:i , ! q 7 D •C NAME 2'� .►— // / "���� (� Gi�C1A X_J LOCATION (i� �v7.W-Ltl fr-�.� 7 —C DATE Y7'' / 1-) /` vPERMIT � 33/0 /'r TYPE OF STRUCTURE:IIIIII RECHECK \ APPROVED N/A YES NO FOOTINGS/PIERS _ MONOLITHIC POUR 04 REINFORCEMENT IN PLA 111 THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM REEZINO FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. _ MATERIALS FOR THIS PURPOSE ON SITE, FOUNDATION/WALLPOUR _• _ REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING _ BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING _ PLUMBING UNDER SLAB _ ' RAMING: (35 JACK STUDS/HEAD BRACING/BRIDGIN " '9A JOIST HANGERS JACK POSTS/MAIN AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- _ FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- yC� ��c�t?- Pik F� OvioL_Vc p14 761-8256 TOWN OF QUEENSBURY .BUILDING G. CODE ENFORCEMENT 742 BAY RD., QUEENS)BUR{YY NY 12804 All' w .� / _ INSPECTOR'S REPORT: ARR I JI DEPART INT `.,A REQUEST FOR INSPECTION RECEIVED: J NAME 4/ C 6A/ LOCATION S `n14,4 41c_. DATE -2�4 7 PERMIT # 9 / 1?‘ TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS _ MONOLITHIC POUR FO REINFORCEMENT IN PLA , THE CONTRACTOR IS R PONSIBLE FOR PROVIDING PROTE T 0 FROM FREEZING FOR 48 HOURS FOLLO NG THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE j FOUNDATION/DAMPPROOFING - BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING -JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- • 120 (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT y 742 BAY RD., QUEENSBURY NY 12804 -;;w ' ; AlINSPECTOR'S REPORT: ARR / DEPART' INT ( cr REQUEST F INSPEC -OONN RECEIVED:- i%i ( 9--(9 NAME ' C� J 1� Lr- J% r,6' i� 1-� t'\ LOCATION DATE !_1.5_4_7_ PERMITuf 9 7-3 (n t� 1 TYPE OF STRUCTURE: (HV I ,. 5 ttt , RECHECK �\ r?, APPROVED V. if N/A YES NO ra FOOTINGS/PIERS °� �i • MONOLITHIC POUR FORM REINFORCEMENT IN PLACE 0t THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTEkTION FROM FREEZING FOR 48 HOURS FOLLOWING ,THE PLACE- MENT OF THE CONCRETE. It MATERIALS FOR THIS PURPOSE ON SITE _ FOUNDATION/WALLPOUR r REINFORCE NT IN PUCE FOU TION/DAMPPRO FNiNG _ / ACKF-ILL-APPROVALii di/ PLUMBING VENT/VENTS INk1PLACE i ROUGH PLUMBING ` PLUMBING UNDERf'SLAB FRAMING• JACK6STUDS/HEADERS\;. BRACIING/BRIDGING _ JOIST 1.HANGERS Si JACK POSTS/MAIN BEAM AIR INFILTIATION BARRIER \ HEATING RIUGH-IN \. INSULATI N: FOUN ATION WALLS INTERIOR R-'; FOUR ATION WALLS EXTERIOR R- FLOORS R- WALIIS R- - CEILING R- ,\ - DUC,T WORK OR PIPING IN • UNHEATED SPACES R- • a ./ • / fj/ hAjOk (518) 761-8256 TOWN OF QUEENSBURY • BUILDING & CODE ENFORCEMENT r 742 BAY RD., QUEENSBURY NY 12804 -,,r1Ig&? , rr��;�� I1 _�J INSPECTOR'S REPORT: ARR��"C.'DDEPART�L•. , •' REQUEST FOR INSPECTION RECEIVED: � NAME a} C LOCATION 5`d ��, � 1\3E DATE q ��.7 PERMIT fl 977)(k TYPE OF STRUCTURE: AFT) kol 7_ CAR Gti RECHECK APPROVED N/A Y42(, NO FOOTINGS/PIERS (2- -) MONOLITHIC POUR FORM ` REINFORCEMENT IN PLACE 2 `-�� THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PU! OSE • SITE FOUNDATION/WALLPOU' REINFORCEMENT IN PLATE FOUNDATION/DAMPPROOFI G BACKFILL APPROVAL PLUMBING VENT/VENTS. N PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING L JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- ' WALLS R--- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- • A (518) 761-8256 TOWN OF QUEENSBURY � ' BUILDING & CODE ENFORCEMENT Q. 742 BAY RD., QUEENSBURY NY 12804 *,*;V isa', ;s;5 INSPECTOR'S REPORT: ARR,ME PARTV ^- V ow- REQUEST FOR INSPECTION RECEIVED: Allr NAME . h , J;� iA V LOCATION - -1 A FEE R 10 ,l"y' DATE �'`7 PERMIT 0 TYPE OF ST UCTURE: k6 FG l Fes} Z E_Cj RECHECK APPROVED N/A YES NO 'OOTINGS/PIERS V�Fj� Q W... f NOLITHIC POUR FORM 171) REINFORCEM NT IN PLACE F ' ';;:i THE CONTRACTOR IS RES+ONSILE FOR PROVIDING PRr E TION ''ROM ' REEZINO FOR 48 HOURS LOWIN^ THE PLACE— MENT OF THE CON TE• MATERIALS FOR THIS ••fi: •Q ON SITE FOUNDATIONIWALLPOUR REINFORCEMENT IN PLACE . FOUNDATION/DAMPPROOF+NG SACKFUL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS _ BRACING/BRIDGING , JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH—IN INSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R- FLOORS R— WALLS R— -_ CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES R— . 1bOc `- (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 ,•"'„ ;'' ,, EA/ INSPECTOR'S REPORT: ARR�DEPARTV°. w REQUEST FOR INSPECTION RECEIVED: i l J /� � lj NAME (aj))��kl�� Jl"�� \�F�� (� LOCATION `4; U V ‘1v C, Na- DATE .111(1-1 PERMIT A 7 33IQ TYPE OF STRUCTURE: t" 1 F V,j\ Z 0142, GAl v RECHECK APPROVED // N/A YES NO 1!FOOTINGS/PIERS _\ bNOLITHtC POUR FO's __ REINFORCE NT IN 'LACE THE CONTRACTOR RESPONSIHLEJ FOR PROVIDING PR. TION FROM F EZING FOR 48 HOURS +LLOWING THE , LACE- MENT OF THE C'N RETE. MATERIALS F' THIS PURPOSE ON SITE FOUNDATIO."/WALLPOUR REIN R EMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL __ - - PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING el PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- - - WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- NOTES UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. DEED REFERENCE CODICIL TO LAST WILL AND TESTAMENT OF LAWRENCE EARL ROSS DATED AUGUST 6, 1951 AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON MAY 21, 1964 IN LIBER 441 OF DEEDS AT PAGE 416. TAX MAP REFERENCE QUEENSBURY 93-2-23 MAP REFERENCE "MAP OF A SURVEY OF A PARCEL OF LAND PREPARED FOR ROBERT H. AND REBA BERNARD* DATED AUGUST 29, 1984 PREPARED BY RICHARD W. BENNETT, LAND SURVEYOR NIAGARA MOHAWK POWER CORPORATION MAP OF THE ELECTRIC TRANSMISSION LINE FROM OGDEN BROOK SUBSTATION TO SHERMAN ISLAND--QUEENSBURY RIGHT OF WAY AMENDED SUBDIVISION OF LANDS NOW OR FORMERLY OF GLENS FALLS HOME, INC., DATED 2/17/95. PREPARED BY DAVID F. BARRASS, LAND SURVEYOR. GRAPHIC SCALE 50 25 0 50 100 150 hereby certify to: Timothy and Elizabeth McGraw Trustco Bank National Association Stewart Title insurance Company that this survey was prepared in accordance with the existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors. This certification shall run only to the person f or whom the survey is prepared, and on his behalf to the title company and lending institution listed hereon, and to the assignees of the lending institution for this specific transaction. This certification is not transferable to additional institutions or subsequent owners. upper d f! hd ofn* er Jpe 2. lands now or f ormerly of Martin V. Lavin Daniel E. Mendl aly. DAVID F. BARRASS L.S. j 49363 ■ to Glens Falls �-- hydrant t-- cc 0 Z iron pin found lands now or formerly of Robert H. Bernard Sr. do Reba A. Bernard U F Z LU O iron pin found r