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97-485 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 10 19 97
�a is to ceitillthArk reghefted to be done as shown by Permit No. 97485
has been completed.
SINGLE FAMILY DWELLING,
This structure may be occupied as a
• LOT 45 COUNTRY COLONY DR.
Location
Owner SCHERMERFJORN CONSTRUCTION
TAX MAP NO. 4 7 , -1-3. 3 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: 97485 Application Num er: 97485
Tax MapNo:
523400-289-011-0002-030-000-0000
Permission is hereby granted to: SCHF,RMF,RHORN CONSTRI JCTION
For property located at: 69 COUNTRY COLONY Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. • Type of Construction Value
Owner Address: LANCE&KAREN BRISTOL
69 COUNTRY COLONY Rd Single Family Dwelling $91,700.00
Total Value $91,700.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
SCHERMERHORN CONSTRIJCTION COMMONWEALTH ELECTRICAL A
43 H BUNTER BROOK LANE
OIJEENSBIJRY_ NY
Plans&Specifications
97-485
SINGLE FAMILY DWELLING/ 1216 sq ft SINGLE FAMILY DWELLING AS PER PLOT PLAN
SPECIFICATIONS
$144.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 08, 1999
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town ueensb ; y, September 08, 1997
SIGNED BY j ;�; "V for the Town of Queensbury.
Director of Building& ode En orcement
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
BUILDING & CODE ENFORCEMENT
INOTICE Requirements prior to issuance r �
A permit must be obtained before
of this permit: PERMIT FILE NO. 9 7 ---lies
beginning construction. No inspections PERMIT FEE PAID$ G
will be made until applicant has received Fl Zoning Board Action `
a VALID BUILDING PERMIT. All Area /Use RECREATION FE PAID$
applicants' spaces on this application
MUST be completed and•the signature n Planning Board Action REVIEWED B . Por ....__
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
4pplication form. na.x,n,.. ) Recreation Fee Payment
Applicant: S ct1 e.r-v\-% e.r)-co r,.J (n 5-hr kith:ant C.o r p. Owner:
. • Address: -79 vv\as i-e.eS l ,o v✓k wt o,J Nor-Ft-, Address:
Phone # ( 5 Lg ) -/ry g - o G7 y Phone # ( ) -
Property Location: I-.o-t- 9 5 ('o u n+r
t_r_a—C 1 t- --: / /3.3
Subdivision Name: Tax Map Number
Section Block T.ot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
X New Building: CONSTRUCTION: $ 91 . 7oo
residence)/ commercial
Addition to Building: --
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial x Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family -Dwell-ing_ _
Office C F. ; , '
Other Work (describe below) Mercantile! --- ` __- ` ' - -
Manufacturing
Other AUG2 13 1997
GROSS AREA OF PROPOSED STRUCTURE
7.
1st Floor alto sq. ft. If ADDITION, what. will use -
of new addition `be?T:
2nd .Floor o sq. ft.
Other Floors o sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: ) also SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
116 FEET X a 9 FEET ^/
1vv 6a raj e
Foundation Type: Col\c,ceke. Will any second-hand or ungraded
' Number of Stories : •5 / lumber be used? If so, for what?
(habitable space only) 4/"0
Height (grade to ridge) : /8 feet TYPE OF. HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which a pl' es)
to be installed: o Electric / Oil /(Gas) / Wood
Forced Hot Air) / Baseboard /, Other
Person responsible for supervision of work as regards to building
codes is: 5c..L,c,,c,MerkorN Co,'-S+cdel ;off (`,orp -798-06-29 .
Name Addresss Phone
Builder: Sc,1„p0.„,.e,c- fordo • 79s-067y
Plumber: SIT.ve, Alen 7'97- 54,93
. Mason: 1')ca.� cx‘.18t,t1;N 79a -137/
Electrician: v;1ce. Co,,Ksk k '09-39o-5
DECLARATION: Please sign below of ter 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 Uwe 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.
Signature: b t,tc-el-11-c----
(owner, owner's agent, architect, contractor)
Applic trot rfor SEPTIC DISPOSAL PE MIT
Town of Queensbury Permit No:
CA
Dept of Community Development 'S'i (
• Building &Codes Office
742 Bay Riiad Pee Paid • $
Queensbury NY,.11804
Location'of property fo'r •
Property Owne ,'s Name :,SGhurA:, e cl,6.c..v . Ci.ns1 p •
4. 1;
property-Owner's,Mailing Address: , 71;_Wl a s f•� r.s Cam.n i ,�>t ti';� ,Uc'r
Installer's Name: s c;tr. .i, c!'
Scl, 1.. . 66r+.0-e0. 1i0 ,:, Phone # 79s -.0. ) v
Number of bedrooms (if residential): 3. Total daily flow y5o
(re§idential• compute @ 150 gal./bdrm.)
`- "Topography: •: .., flat, rolling; steep slope %.of:slope
• Soil Nature S sand; loam; clay, • other /depth:
Ground water+ at what depth')N/h.. feet / Bedrock or Impervious Material: at what depth? _ feet
Percolation test X .. not required; required ( rate min.•per inch J
• f
Domestic water •"supply: municipal, 1( well; . other <<:»
If domestic water supply is a WELL, water(supply from any septic absorption is Jo° feet..
• PROPOSED •
SYSTEM
Sepik tank!' .>o.o d', gallon (minimum size:;1;000
Tile field: •
• ,e•ach trench -. .So.• feet / Total system length 0 c feet
Seepage pit(s)3 number of /. size each: ft. by ft.
Size of stone to be used: j depth or thickness /' feet
•
•
HOLDING TANK SYSTEM: .(if required), , •
Number of tanks' _ ,`'Size of each:..,. gallons
(Aliiriii system aifd associated electncal work tei be inspected by a ceitifietl agency: •
For your}protection; please mote that piiisiiiint to section 196.29 of the Code bf the Town of Otieenebiuy, fifty permit or
approval grimed which ie based upon or hi granted in reliance upon any material misrepresentation or failure to make a
tiiaterial`fact or ciicumetance known by or on behalf bf en applicant, ahall be vout
I hiive rend the reg ilahone with eiipect to tine Applicidioit Arid agree to chide by these and all reguiremente of the Town of
Qiieenebury Sanitary Sewage Disposal Oidinan
t e n i `. �— a6—
Stgna ur of tespo s ble person: Date: q 7
•
ENERGY CODE COMPLIANCE APPLICATION
24:11.5' TOWr7N OF QUEENSBURY, WARREN COUNTY
• 9000 HEATING DEGREE DAYS '
Corzaliance 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' S99 NAME: /J PROPERTY LOCATION:
S er✓�ia/ho/'-eJ ais�/�cT��C_o(), .20
/ 5/5 / ( %�
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - /.„2/4 • scuare feet
2 . Type of Heat - Electric Oil X' Gas Other
3 . Is building mechanically cooled? Yes X No
- 4 . Percentage of area of windows and doors V Over 17% Under 17%
5 . P.-VALUES FOR INSULATION GIVEN BELOW MUST. CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof • _ R 3o
b . Exterior walls R i 9
c . Glazed areas R / 8
d. Exterior doors • R a.5
e . Floors over unheated spaces • R /9
f . Edge of slab on grade (heated building) R It
g. Basement/cellar walls (above grade) R /9
h. Basement/cellar walls (below grade) R iI
i. Heating/cooling-ducts-piping in unheated space R y, 1
6 . Service (domestic) hot *water heating device
Conforms to minimum efficiency per code Yes. No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Applic n 's, Si ur Date Phone Number
INSPECTOR'S REMARKS:
.,-.„..,..
v p
Office No. (518) 761-8256 &Levgn)
p% p��Building &Cade Enforcment v(\ Arrive: /i L�Inp 5.1: 1Dept. of Community Development �V /
Town of Queensbury, l ' Date Inspection Request Received: /,t /— C)—q 7
742 Bay Road
Queensbury, NY 12804
NAME r . P sy-,,t PERMIT NO. 911—'1'��
LOCATION _?• L c-- 0 , ,j, r DATE j /(2 --�j?
TYPE OF STRUCTURE S7-0
N/A 71 NO I COMMENTS
" irect Vent Location
Chimney Height/"B" Vent/D 1
Fresh Air Intake ,
Plumb Vent Through Roof �r
Roof Complete -
Exterior Finish Complete Min
Interior/Exterior Railings 30" to 36" A
Exterior Handrails, Balconies, Landing 18 in. or more �,
Interior Handrails Stairs Both Sides 3 or More Risers A'5 T GL_ -j4,.4 1 L.
Grade 2% Away From Foundation WA
8" Clearance To Sill Plate _=
Gas Valve Shut-Off Exposed/Regulator 18" Above Grade IV®, __
Gas Furnace Shut-Off within 30 Feet or within Line of Site -_
Oil Furnace Shut-Off at Entrance to Furnace Area ,IIIIIM
Furnace/Hot Water Heater Operating WWI "qmiNglir
_
Relief Valve(s) Installed ■�A
Headroom 6 ft. 6 in. On Stairs �
SIIMINIMMOM
Basement Stairs 6 ft. 4 in. —,
Handrail Exterior Stairs Both Sides More Than 3 Risers
Interior Privacy/Trim/Doors/Main Entrance 36"
Floor Finish NW
Bathroom/Kitchen Watertight WWI
Interior Handrails Balconies/Landing 18 in. or more Orill
�i
Railing Across Window in Stairwells ��IN _ -
Smoke Detectors: L ` ' j'L
every level N■�M,�
every bedroom �tr,
outside every bedroom
inter connected ��
Bathroom Fans
Plumbing Fixtures NM i -
Foundation Insulation vi G C _- 'Q`
3/4 Hour Fire Door/Door Closer A
Garage Fireproofing.
Garage Penetrations Sealed rallil
Furnace In Separate Room Protected (In Garage) MOE
MIMI—
Light Ventilation Per Room• MIMI—
Safety Glazing 18" or -ss rom Floor
Final Electrical 2 q. cc-is INIOVI—
Site Plan/Variance Required WA
Final Survey Plot Plan
As Built Septic.System Layout Req. —WA
Okay to Issue Temp C/O 11111111011
Okay to Issue Permanent C/O
Okay to Issue C/C
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256
Building &Code Enforcment Arrive:e--A. w Insp:
Dept. of Community Development
Town of Queensbury Date Inspection Request Received:
742 Bay Road
Queensbury, NY 12804
NAMEe-id1Hf'el PERMIT NO. q7-
LOCATION L 6z4V7 f G:,d604/1/ DATE i ' i
TYPE OF STRUCTURE dP'c
N/A YES NO COMMENTS _
Chimney Height/"B" Vent/Direct Vent Location g i
Fresh Air Intake
Plumb Vent Through Roof .
1,(/
Roof Complete
Exterior Finish Complete //
Interior/Exterior Railings 30" to 36" J ,P/
1Exterior Handrails, Balconies, Landing 18 in. or ore // ----.)
�f Interior Handrails Stairs Both Sides 3. or More Risers v/
Grade 2% Away From Foundation V
8" Clearance To Sill Plate
Gas Valve Shut-Off Exposed/Regulator 18" Above Grade ili
Gas Furnace Shut-Off within 30 Feet or within Line of Site
Oil Furnace Shut-Off at Entrance to Furnace Area v4.
Furnace/Hot Water Heater Operating
Relief Valve(s) Installed If
/ _ _ _
Headroom 6 ft. 6 in. On Stairs 1 /
Basement Stairs 6 ft. 4 in. ✓
Handrail Exterior Stairs Both Sides More Than 3 Risers y�/,
/
Interior Privacy/Trim/Doors/Main Entrance 36" �/
Floor Finish tY 5
Bathroom/Kitchen Watertight /
Interior Handrails Balconies/Landing 18 in. or more �//
Railing Across Window in Stairwells J '.
Smoke Detectors: �,
every level
every bedroom
ii.:7( '
outside every bedroom
inter connected
throom Fans y
lumbing Fixtures
v,/a
Foundation Insulation ‘'i9t- e 4 t OR, /
3/4 Hour Fire Door/Door Closer 4//
Garage Fireproofing i
Garage Penetrations Sealed Furnace In Separate Room Protected (In Garage)
Light Ventilation Per Room
) )
Safety Glazing 18" or Less From Floor
Final Electrical
Site Plan/Variance Required
Final Survey Plot Plan i/
As Built Septic System Layout Req.
Okay to Issue Temp C/O
Uk TO 1446' % Ay. -:jA14-L 30kve y' ✓ pAe
TOWN OF QUEENSBURY
BUILDING& CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name GIibbGk 0/ '
Location T S---(,U 45' (ULOr✓1
Date to Q" Permit # 97- 6s
SOIL TYPE: and Loam-Clay-
Results of 'ercolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM
ABSORPTION FIEL1: .Ti .1 Length
Length of each t en
Depth of trenches
Size of stone.
SEEPAGE PITS: Numbe -
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption p�feet
Separation of Pits et
Conforms as per Plot Plan No
LOCATION OF SYSTEM. ON PROPER Oil'
ir
(circle one)
Front - Rear - Left Side - Right -Side
Middle Front - Middle Rear
COMMENTS:
ii,(2_
6.10„iyemvaltd(5-----. 0 e
‘.6_, 45- 60(1-r Vn) Fib
SYSTEM USE APPROVED: / NO
Arrived: /2. 5
Departed: / - 7
)
/1#0,-
Building Inspector .
(518) 761-8256
'
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
.
742 BAY RD., QUEENSBURY NY 12804 'f .,.t.4 '
INSPECTOR'S REPORT: AR,/l) DEPAR INT QW
REQUEST FOR,INSPECTION RECEIVE :
NAME %/-�Uf E:0/L�/
LOCATION / �
�'o YoI ' C.ezz,•Avi�J
DATE /7�d GJ7 PERMIT R / ?`
TYPE OF STRUC RE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PL.
THE CONTRACTOR IS RESPON•IBLE FOR
PROVIDING PROTE T ON FRO FREEZING
FOR 48 HOURS FOL •WING TIE PLACE-
MENT OF THE ONC' TE.
MATERIALS FOR APPOSE ON SITE
FOUNDATION/WALLPO R
REINFORCEMENT IN P ACE _
FOUNDATION/DAMPPR.GFING
BACKFILL APPROVAL
PL MBING VENT/VENTS IN PLACE
R UGH PLUMBING
LUMBING UNDER SLAB
FRAMING:
JACK STUDS HEADERS _ - �
CING/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- •
TOWN OF QUEENSBURY
f�111 y' BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART:. INSP:
j
• FINAL INSPECTION REPORT - RESIDENTI
DATE INSUC�I �REQUEST RECEIVED:
NAME )6 k �f)
LOCATION JJL0 A ClJf/ v� �v6-v4/
DATE 0.j/d/7 PERMIT 1 ?7-i 5
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/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER 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
IF •
NAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 97 e- fq
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert. 5 2 5 2 9 Cut-in Card No.
Owner Ai ue-c Maisrd (
Occupant
Location Ler tf ant-luot-RY 00-1,04/Y
Installation Consisting of.P23,5-10 Rer-W ?6 77-'75
kel4A16e1",,D160 i WM' ,17124f6"A AtA44P1 3 64-419
J
....541.a.k.I
Installed By in t 0)114 Lac'/9/ Lie.#
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 maki g inspec ' n at any time,and if its
rules are violated,the Company shall have the right to revoke s ertif ate.
Date. 2 q-9 7 INSPECTOR
Member N.F.P.A.,I.A.E.I.
I wrio
vrl vne 4.
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ••
Air
INSPECTOR'S REPORT: ARRc y'1 DEPART L 1
REQUEST FOR INSPECTION RECEIVED: ( II/f1�1j/�B''G
NAME , )CJULfW Ian} 1�i,, a-e-.;(�P' �H
LOCATION A( 'f_J Qun J, j 69 0
DATE !1/141 q PERMIT B -
TYPE OF STRUCTURE:
RECHECK UUU APPROVED
N/A YES , NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTORSIS RESPONSIBLE FOR
PROVIDING PROTE TION FROM F ING
FOR 48 HOURS ' ALLOWING T PLA -
MENT OF THE CON BETE.
MATERIALS FOR THIS P E 0 SITE
FOUNDATION WALLP R
REINFORCEMENT N PLACE
FOUNDATIO /DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE .,
ROUGH PLUMBING _
PLUMBING UNDER SLAB _
FRAMING:
BACK GBIDGNGRS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM _
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION: _.
FOUNDATION WALLS INTERIOR R-`\
FOUNDATION WALLS EXTERIOR R-
FLOOR
y/
WALLS c59.c`��t�fr? i R- /'f//
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
Re/DAkf)6A4OD (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NNPAY 17,.6044 r
INSPECTOR'S REPORT: AR / .-gEPAR (/ i" INT" 2�
REQUEST FOR NSPPECTION RRE EIVED: 1
NAME S v n
LOCATION 1 S CAJ '
DATE \,\—� ) PERMIT A °)— C3
(f j 'S
TYPE OF STRUCTURE: S bp
RECHECK APPROVED_
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSI FOR
PROVIDING PROTE TION FROM REEZING
FOR 48 HOURS FOLLOWING THE PLACE—
MENT OF THE CONCRETE. �.
MATERIALS FOR THIS PURPOSE SITSq_
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
k R INFILTRATION BARRIER G C�
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—
411 (518) 761-8256
TOWN OF QUEENSBURY ok
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR1 t DEPART!,••1. Nj.
REQUEST FOR INSPE • RECEIVE : Ir u
NAME •
6/
LOCATION i-J-et LLL 5 mac, . D
DATE it-I�• z47"7 PERMIT 1 (J
TYPE OF STRUCTURE: (�L
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN • ACE
THE CONTRACTOR IS •il,,,Vgq<IBLE FOR
PROVIDING PROTE TION F'R`OM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. \
r— -
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
FRAMING:
JACK STUDS/HEADERS /
BRACING/BRIDGING__. -
JOIST HANGERS "7�-b /1.
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN I &0 I;71!
\ _
SULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
WALL R- /
WALLS \ - � •-_
CEILING R-; C;
DUCT WORK 0v PIPING IN
UNHEATED SPACES R- •
ED\ D
Pc ti e V Z-\ G*
J�� •
—tea (518) 761..8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT .1?
742 BAY RD., QUEENSBURY NY .12804 z'4. :g-+orl
INSPECTOR'S REPORT: ARR-5`3 EPART5 2'
� �34 IN
REQUEST FOR INSPECTION RECEIVED: .
NAME 4C.NE- ge_WgZ c�7-
LOCATION CAt3V Ti��t CC`U 4
DATE , `-- {t}—ei� PERMIT # q�"' (69
TYPE OF STRUCTURE: AK)
RECHECK • APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM A,
REINFORCEMENT IN PLA E
THE CONTRACTOR IS RES'' SIBLE FOR.
PROVIDING PROTE TION FR' EZING
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 •
FRAMING:
JACK STUDS/HEADERS - -
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM 1. f-A1tk
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
,4 ALLS R- /
CEILING (r R- ‘
DUCT WORK OR PIPING IN .
UNHEATED SPACES R-
•
CI�liAt_P___ OFF 'ont, i
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY
12804
-`5J
INSPECTOR'S REPORT: ARR DEPART
REQUEST FO
INSPECTION RECEIVED:
NAME �% /-Zg//�I�Z�I«'Je0cA 9
LOCATION T .1 Co0.0l4/ 660,1/7 Q�`�
DATE t 1-1q7 PERMIT fl 9 L — 8
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS \
MONOLITHIC POUR FO
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RESPO SIDLE FOR
PROVIDING PROTE TION FR M FREEZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP/ SE ON SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL -
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PL BING UNDER SLAB
FRAMING: _ LZ/
JACK STUDS/HEADERS _
BRACING/BRIDGING
jxa/9' T 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- •
o�
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(518) 761-8256
� TOWN OF QUEENSBURY
'�er BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 4 • r;
7��{{ 1 ./1
INSPECTOR'S REPORT: ARR'r( DEPART ' N V
REQUEST F INSPECTION RECEIVED:
NAME C4:4- -lye NI/_
LOCATION S� i J t C_JZA- NY?
DATE All/ PERMIT
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RAPONSIB E FOR
PROVIDING PROTE TION ROM F EZIIG
FOR 48 HOURS FOLLOWING HE CE1!-
MENT OF THE CONCRETE. / _
MATERIALS FOR THIS PURPOSE 0 SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
P BING UND SLAB
RAMING: 10SS
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-
/1 , (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 1
742 BAY RD., QUEENSBURY NY 12804 •T
sJ n,
INSPECTOR'S REPORT: ARRL^7%- DEPARTL/f7`7~ /
ott_GS� 'OR INS CT ION RECEI D: ` /
NAME (b� /2-47' ' 7 J✓`G.
LOCAT I Ot1 -'/Q /4
DATE if /3-1 7 PERM
TYPE OF STRUCTURE: �.
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS '. SPONSIB FO-
PROVIDING PROTE TIO ' - ROM F.EEZIN
FOR 48 HOURS FOLLOWING : E-
MENT OF THE CONCRETE. -
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
t--
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
� - RIJACK POSTS IN BEAM (�
J AIR INFILTRATION BAR ° i" 7.7
((( 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-
AT
C-E k E; C-1;LC. V W
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(518) 761-8256
TOWN OF QUEENSBURY r-
BUILDING & CODE ENFORCEMENT -
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR7M5EPAJEA201
REQUEST FOR INSPECTION RECEIVED:
NAME
LOCATION ' `
DATE ���- PERMIT N C�1`7`-�
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS -� _ �i�.
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE 7 --II" _ J/
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING P OTE TIO ROM FREEZING
FOR 48 HOUR LLOW: THE PLACE-
MENT OF THE C CRET'
MATERIALS FOR TH -RPOS ON SITE,_
1
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
INSULATION:
_FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R- -
WALLS R-
CEILING R- _
DUCT WORK OR PIPING IN V
UNHEATED SPACES R •
-
/411 (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR` ZODEPART 1NIN,I
REQUEST FO NSPJECTION RECEIVED: ' -1 7
NAME LOCATION /-1
S
DATE 111 1,)-- —3 PERMIT O
TYPE OF STRUCTURE: � �_�,
RECHECK d�`� d �."j APFiiO* VED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES•ONS'.:LE FOR
PROVIDING PROTE TION •OM REEZING
FOR 48 HOURS FO'LLOWINe THE PLACE-
MENT OF THE CONCRtE.
MATERIALS FOR THIS PUR•}SE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
—7/
BACKFILL APPROVAL — ..
PLUMBING VENT/VENTS IN PLACE
)62UGH PLUMBING _
PLUMBING UNDER SLAB �'��
AMING: �--���
JACK STUDS1EADERS�6) v
BRACING/BRIDGING,
JOIST HANGERS_ �J
JACK POSTS/MAIN M _
AIR INFILTRATION BARRIER r�
HEATING ROUGH-IN \ _
INSULATION: C `
FOUNDATION WALLS_IaTE:•OR R-
FOUNDATION WALL•. E1 ERIOR R-
FLOORS R-
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
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L CCVae
7- id
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name -7L194Q Jae.
Location Lcr1/5r Cam)71Z j Coco/UP
Date /6/X02 Permit # q7'#5'.
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Mi /Inch
TYPE OF SYSTEM:',
ABSORPTION FIEL : To 1 L gth
Length of each. en
Depth of trenche
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
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation. to Absorption feet
Separation of Pits _ feet
Conforms as per. Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY.:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
k gi_er4-FFC. g -OK
O<< CU .
60 ( /43- 8U(L7- /24-iv
epr4- F2 s2Q,LA-t -q< /1-k'64 '1.106c L 15
SYSTEM USE APPROED: _ YES it
Arrived: VJ
Departed: L., ` c
-&-
Building. Inspector
1 - c)\
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
tv' 742 Bay Road
Queensbury NY 12804
• (518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Sill
Location 4 ,
Date 7? Permit #
SOIL TYP . Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM;'
ABSORPTION FIE\D: Tot 1 Len ttv 9
Length of each ench / ' 6
Depth of trenches
Size of stone .
SEEPAGE PITS: Number-
Size ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank 7 `' b L70
Tank. to Dist. Box is 4 ?-D
Dist. Box to Field/Pit ''1
Openings Sealed? afr No Partial
LOCATION/SEPARATIONS:
Foundation to Tank ; feet
Foundation to Absorption Ofeet
Separation of Pits _ flgt)
Conforms as per Plot Plan Yes
LOCATION OF SYSTEM ON PROPERTY.:
(circle •<
Front - 'ear Left Side - Right Side
Middle Fro - Middle Rear
COMMENTS
,30 v‘ki� A5 ` n 0 ` 07- a A
LIFT- /,u c Cvu Y,j )1 4
CAL- - a.
SYSTEM USE APPROVED: YES
Arrived: l'1
Departed: '
Building Inspector
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT %.
742 BAY RD., QUEENSBURY NY 12804 -:"- r: :„.
Jv r
INSPECTOR'S REPORT: ARR// tv DEPART , 6INT`,
REQUEST FOR INSPECTION(� RREECCEnIV D•
NAME
i fU1 ► vU \ -
LOCATION � LA c `�Q-7 C.
DATE --a_o, -((""l 7 PERMIT R 1 /a--� R5
TYPE OF STRUCTURE: S c�
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR I. " .PONSIBLE FOR
PROVILING PROTE ' ION ROM FREEZING
FOR 48 OURS FOL •NYN, THE PLACE-
MENT OF CONC TE.
MATERIALS FOR POSE ON SITE
FOUNDATION/WALLPOU':
REINFORCEMENT IN PLA Ili)
ti/
FOUNDATION/DAMPPROOFING
N BAGKF•ILIWAPPROVAL= -
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-
PRoo (� �� �Ros`r' fko-rezTio/0
4PPRoUA L. .
K 9i K(/Le-
3-1 3 0 (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 .'k
e1 '4,.,M` j
.7.'
� J �j
INSPECTOR'S REPORT:. ARRV= DEPART' INT 44—i"
REQUEST FOR INP ECTION RECE VED:
NAME ' AI VIAL
LOCATION _ '•
DATE -aL4 l PERMIT 8 CV- ' - 5
TYPE OF STRUCTURE: S J
REC CK APPROVED
N/A YES NO
OOTINGS/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 CON RETE.
MATERIALS FOR TH • PUR°• a, ON SITE,_
FOUNDATION WALLPOU,-
REINFORCEMENT IN PLACD
FOUNDATION/DAMPPROOFI
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 •
-
"I have seen er observed,or b I iiiiiiiiitlit q 7 — C/ g5
all objects such as houses.wde,trosis WI%414
shown on this cl, . ..I I Oro tepromtlit10,2, 5 ;Ai
person raeasyed i. C. .-- set folk airilhe
iy
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