97-476 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY; NEW YORK
Date December 26 19 97
1C-s
This is to cert fy that work requested to be done.as shown by Permit No. a 7 4 Irk
has been completed.
This structure may be occupied as' a TOWNHOUSE WITH 2--CAR' ATTACHED GARAGE;.
LOT 46 #70 CEDAR COURT
Location
Owner • 111TCT-T,F;3.:; CRfTTP
By Order Town Board
TAX MAP. NO, 48. --6-36 . 23 ,
TOWN OF QUEENSBURY
Datit".--507"
Director of Bldg. be Code Enforcement
BUILDING PERMIT
VALUE $ 95000 TOWN OF QUEENSBURY 97476
TAX MAP NO. 48. -6-36 . 23 No.
WARREN COUNTY, NEW YORK
MICHAELS GROUP
PERMISSION is hereby granted to
LOT 46 #70 CEDAR COURT
OWNER of property located at Street, Road or Ave.
TOWNHOUSE WITH 2—CAR ATTACHED GARAGE
in the Town of Queensbury,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 Queensbury Building and Zoning Ordinance.
1. MinFrWjgres§is
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDER'S Name
MICHAELS GROUP
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
NEW YORK BOARD
54Efill/FCgRANYKRD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X) TOWNHOUSE
( )Wood Frame ( ) Masonry ( I Steel (
7. PLANS and Specifications
1650NaQ FT TOWNHOUSE AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
TOWNHOUSE WITH 2—CAR ATTACHED GARAGE
255 September 8 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.)
8 September 97
Dated at the Town of sbu y this Day of 19
SIGNED BY for the Town of Queensbury
Build ng a Z ning Spector
Location of property for installation: r
ti-
PERMIT UMI3ER
Owner's Name: The Mieh.v.Ls Gf.ourt. LLC irk,
Address: • 1870 ROuto 9, L�iac' GooxgQ,jY 19 t5 '. �
InstaIler's Name: Fn-i-edinan Fxc.ay.ati;ng FEE i°niu MI .
Phone #: ( ) 5l8-o39-4035
Number of bedrooms (if residential): TiVtee
Total daily flow (residential-compute his 150 gal. per bedroom): 450
Topography: X Plat F 1 Rolling [ 1 Steep Slope % of Slope
Sail Nature: f- Sand E-1 Loam I-7 Clay E1 Other —.—.—/Depth:
Ground Water: at what depth? 30 feet -
I3edrock or Impervious Material; at what depth? feet
Percolation Test: 1 1 Not Required Required/Rate 1 min. per inch
Domestic Water Supply: [— 1 Municipal (—j Well 7—•1 Other
o
If domestic water supply is a WELL: water supply from an septic absorption is feet
Pl Y• ]1 Y Y• i P
PROPOSED SYSTEM:
-
MOO
Septic tank: gal. (minimum size: .1.000 gal.) -- . _
'Iile Meld: each trench N/A feet. / total system Iength NSA feet.
Seepage Pit(s): number of NSA / size each: ft. x IL -
Size of stone to be used: # 2 /stone / depth or thickness feet. -
HOLDING TANK SYSTEM: (if required) . - ' - - - •
Number of tanks: N/A "Size of each: gal.
Alarm system and associated electrical work to be inspected by a certified agency.
I
For your protection, please note that pursuant to Section 136-29 of the Code o f the Town,o f _ --
Queenshury, 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.
At:.
I have read the regulations with respect to t/eis application and agree to ahule by these and all
requirements o f the Town o f Queenshtcr}' Sanitary Sewage Disposal Ordinance. ' - - -
Sienatureo(responsible person: Tin, 774 C Date:. 1,
•
C---.3 unit TN
• ........ Building Permit` Application
Toivl'1 of Queensbu1 y - Dept. of-Community Development, 742 Bay Road, Queensbur y, NY 12804 [761-8256J •
BUILDING eftCODE ENFORCEMENT
NOT14Requirements prior to issuance I '
of this permit: PPERMIT
PERMIT FILE NO. —`1A permit must be obtained beforebeginnng construction. No inspections Board Action FEE PAID c
Zoning a VALID BUILDING PERMIT. All • Area /Use RECREA77ON FEE PAID$
applicants' spaces on this application
MUST be completed and•the signature Ti Planning Board Action REVIEWED BY'
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
pplication form. rr,okse“. J Recreation Fee Payment
Applicant: The Michae.2z Gnoup, Inc. Owner: Same.
Address: 1810 1Zoute 9, Lake'Geonge, NY 128A dress: ( f)--)1' 4U—fu C-ed - ` Jvt.
Phone # ( 518 ) 668 - 3376 Phone # ( ) .36&,.123.
Property Location: -- �: LI $ ,Cp i •``'sa
\ Tax Map Number
Subdivision Name: llud/Son Pointe \ ( Pdalt Cau/L� Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE ,
x New Building: CONSTRUCTION: $ •
residence / commercial
Addition to Building:
residence /, commnercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial X Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family DweR1'i'ng-- - - �.--
.. ' Office -1 -'
Other Work (describe below) Mercantile _� ,
Manufacturing AUG 21 1997
�^ Other -
GROSS AREA OF PROPOSED STRUCTURE: 9 - •
n If ADDITION, what. _vwiil''°_:_us?e` L;�_
1st Floor 1�l(�i5 �1 .- sq. t• `�7 of new addition be? :
2nd .Floor • 2142 sq. f N/A •
Other Floors sq. f
(not unfinished cellar or base ACCESSORY BUILDINGS:
• L(1U Detached Garage 1, 2 ..
TOTAL FLOOR AREA: t(,-i 1(; x Attached Garage 1 OP
('o Private Storage Bui -.... •
SIZE OF NEW STRUCTURE: Commercial Storage Building
�, G Other •
Sf FEET X S1-1 FEET - Ar U
Foundation Type: Pouhed Will any second-hand or ungraded
' Number of Stories : 2 lumber be used? If so, for what?
(habitable space only) i No
Height (grade tQ 'dge) : 2S feet TYPE OF HEATING SYSTEM:
Number of�fireplac s and/or o dstove (circle 'all whic 1' es)
to be instal-- i 1-S Electric / Oil Gas' ,/ Wood
Forced Hot Air / board / Other
Person responsible for supervision of work as regards to building
codes is : Jim Chand.Pen., Plro1vr. ManagerL
Name Addresss Phone •
Builder: The Michae.P6 Gnoup, Ilic. 1810 Rte. 9, Lake Geonge, NY 12845 518-668-3376
Plumber: Fava P.fumbtina, 16A Palk Road. G.Letvs Fa.e.e , NY 12801 518-798-4399 .
•
Mason: _JP 8ouchelr, iiox 268, Glranvti.C!P_, NY
Electrician: Fonrpvph Ffoetilio., 24467Jaf{hc y St. , Schenectady, NY 12308 518-371-9922
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 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.
\i\ .Signature:
aG4
.(owner';owner's ag nt, architect, contractor)
! /
/ • 07/03/95 13:27 5187454423 TOWN OF QUEENSBURY . PAGE 01.
•
<,1�/ TOWN OF QUEENSBURY Fee Paid
.�, "•`" UUILUING & CODES DEPARTMENT Permit #
�,,
;, �,,g., r ;;r r' APPLICATION FOR; PUIICIIES-DECKS-
DOCKS & uonrllOUSES Est. Cost
l PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description , plans and specifications submitted, and such special
Conditions as may be indicated on the permit, iWO SETS OF STRUCTURAL PLANS _SIIALL BE SUBMITTED
WITH TITIS APPLICATION:
Owner of Property: The Michaets Gnoup, LLC �_.
P.O. Address 1810 R.te 9, Lake1,�Ge�oJi/g�e,, �NY 12845 ,_ ^ Phone # 668-3376
Property Location L1 1, �. q(D_ WC` Lam '► r+�_z°� Tax Map # - - -
Subdivision Name ( If applicable) 1i o-n—Po-fie C_c&a,LC --tJ`
PERSON RESPONSIBLE .FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Jim Chandeen Address Scare Phone#
Name: — ------
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Dock Boathouse (Circle one)
Size of Structure to be built (square 'outage) : p_v— 7-
Foundation Material : Width 8" Concne-te Pinickness
Depth of Footing, below grade: To 4no6t tine pen code
Size of Posts or Studs: 4" x 4" x pen gnadeLong
Size of Floor Joists: 2" x 8" x 10'. Span
. Decking or Flooring Material : 5/4 x 6 pnezzune tkeated ,
How will Porch or Deck be fastened to building? tag bo.P.ted
•
If Roof Will Be Ins -ailed , nswer I,ollowing Questions :
Size of Posts or Stucs : x x Long
Roof Rafters: _ x Spacing Span
Roof Trusses (pre-et in ered spacing) : Span
Type of Roof: oped Flat Shed Other (Circle one)
Material of Roof.
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
-rereto, showing c1-early and distinctly alT buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size. of Property: ft. x ft.
Existing 'huilding(s) : Size ft. x ft, •
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line: .
Front yard ft. Rear yard ft.
Side yards — ft, and ft.
If on corner, setback from side street: ft.
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
together with the plans and specifications submitted, are a true and complete statement
rf all proposed work to be done on the described premises and that all provisions of the
Wilding Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
;hall be complied with, whether specified or not, and that such work is authorized by the
►weer.
IATE: SIGNATURE _ 6--.
ffrJEVIEWEIJ BY CODE ENFORCEMENT OFFICER, DATE 7 SItNA-TUR it
TOWN OF Q UEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
C1 7 -4/267'
Date l \ i(loct- 21) ,190 Permit No.
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 /l - ' '/I(ha A' E1a;)rj<Q APPLIANCE (check appropriate boxes)
Address / /(? , J1 0/ ,/r ' ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
NSE
Z/Lice (:7`i 'c TiV -Zip r',,, "a,,c, `-) `p FIREPLACE,IFACTORY-BUILT:
v y
❑ Wood Gas
Phone (/ �, ,� ?,�, � ' / 0 FIREPLACE, MASONR :
❑ Wood ❑ Gas'
Owner
, )-(1)-2i..{ 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: ❑ Block 0 Brick 0 Stone
(4(6 ` Cedar Oman_. FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION I 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 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 el 0
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: r `� { ; t' '/ ) ' '
9
- Address: / ``" i 1
Dated: •'2 l tf( Town Clerk or Deputy: ``\VA
White:Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
� tc,I )°.�_rea l-;",sn•)_n.1 .9.4:..r�x�satca�a��arc �i°at���tia9,e�9..r.., V')�,c.r 4�:xr�xn.>,��,•:ixt0a,, � �,�txtti�.ltia.«,n.)-•A,� ,a ti��,a ..A0_e ..,p_..,,,,fso,,�x7.,_7s, ' a n...,,x.,
THE NEW YORK BOARD OF FIRE UNDERWRITERS Vii',:j$�j 1 r
' �1'�728 7i}'9 BUREAU OF ELECTRICITY g
p 111 WASHINGTON AVE., SUI i , ALBANY, NY 12210 =
DEC?p� •I El. .'�' `3 "'d.t.39i t/91 is P ari`�[''1�1
.„ Date ' "` F' Application No. n file 16.
!(. THIS CERTIFIES THAT PEttHT.`!' NO. 97-47G ,
�1
r
'. only the electrical equipment as described below and introduced by the,pof p an named on the above application number in the premises ,r.
el i {{,qq 94 77 dS GROUP,
r� ((pp ( y ryy c '` p
q TOE 1't CTI_:J L GROUP, r'0 IyL DAR CPS. LOT 46, Qul•.�11'S!'1:1BUI,.. , d����• IT
i,-,
in the following location; ® Basement ® 1st Fl. I 2nd Fl. GAR ' Section Block Lot 46 r
1 was examined on DF.;C,'iU4'1 ER 1,9, 1997 and found to be in compliance with the National Electrical Code. ' a
,11,
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS "ii
( OUTLETS ECEPTACLES SWITCHES INCANDESCENT•FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. o
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .T
S 4
={ AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. NAPS. TRANS. AMT: H.P. NO.OSYSTF EET AMT. WATTS �
-Q ,')i
t SERVICE DISCONNECT NO.OF_ S E R _ _V _ __I _ C E _ _ - _. -_ __ r
1�� TYPE �V�p I YW 1,e'3W 3,B'3W 70 4W NO.OF C COND. OF CC.COND. NO.OF HI-LEG of HI-LEG NO.OF NEUTRALS OF NEUTRAL
Ig
-1 T
.1. 150 t.0 1? 1 fora 1 l+%} a
- OTHER APPARATUS: w
1.
1:jy.Sll L.li ffi—.1
1
(�LL �3t EC i }
Y
'< 1T
'4 rY
� ( �•� ,.}L ;,7 }gyYd 7ItJL)BOPJ ELECT l �j� �
1
W LL:A U 1). UC aRTLOtl 1 ,�,� ,,in 71
r , ' ' ` '' !,.y`��ie 4 GENERAL MANAGER 'r
z. 1 ` 4 ` •-0. ,ice•ati .r
' ai{_i E N L.sCTEqY , ,. ,, Ls _c 3 1� _ _3- ,ii, - ....; Y
_ r.
i Per ,;
1 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
-i-;i-;'CY C-1 7/---ti.?-i 'i('i?•%?•i 4'i fYi-?-ei\-ii-- YY(7'!Y i'Y r-_ Y::v.." - (.-:- "Y.-- . •"- ----y:-y Y-_;Y Y \.yii-7 :7-.• l'Y FY YY.%'.-Y'% YY Y Y.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT A)
531 BAY ROAD / /(,
QUEENSBURY NY 12804 /
(518)745-4447
ARRIVE: }011. J DEPART: WZOINSP' ,
FINAL INSPECTION REPORT - RESIDEN L
DATE INSPECTION-REQU9 T RE- VED: H
NAME ,c1�`An j A) 4' 1 !L J
n y _
LOCATION ' /
DATE --1 c ID 1 PERMIT II 1 / A
TYPE OF STRUCTURE r
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES/ NO
CHIMNEY HEIGHT/B VEENT/HEIGHT V//
PLUMBING VENT
ROOFING 1 / \ 1
EXTERIOR FINISH j� V8;
DECK/PORCH/STEPS/RAIL _,J' X/
RELIEF VALVES /
FURNACE/HOT WATER OP RATING i/f
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT V/
OTHER FLOORS 'SWEEPABLE V
OTHER FLOORS CARPETED V
STAIR CLEARANCE/RAILINGS k/
SMOKE DETECTORS /
BATHROOM FANS v
PLUMBING FIXTURES
FOUNDATION INSULATION V
GARAGE FIRE PROOFING /
/////:(
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
0 ;3O ") !
TOWN OF QUEENSB RY
FIRE MARSHAL.
QUEENSBURY, NY 12804
(518) 761-8205
•
• FIRE MARSHAL INSPECTION REPORT
• REQUEST FOR INSPECTION RECEIVED !
NAME i `Q¶1\ 4 ./) 6,--)TAAAe
LOCATION /0 -A 1r _.6n,uuT
DATE PERMIT # ikg-cD3`7 91-117(,-,
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS r�
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
c_vrIREPLACE- FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
INSPSLIP.PUB I TOR
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 �
Building &Code Enforcment Arrive: �‘ �'?
Dept. of Community Development
Town of Queensbury l Date Inspection Request ived:
742 Bay Road ) U v3
Queensbury, NY 12804 10 14 7 •
C---5-Nri` PERMIT NO ; `-`'', '�r�` s..,-Al;tlyNAMES = -
LOCATION C` �, DATE /,-, --,-,2 3
TYPE OF STRUCTURE ,t 51
N/A YES NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location
Fresh Air Intake /
Plumb Vent Through Roof /l
Roof Complete V
Exterior Finish Complete 11
Interior/Exterior Railings 30" to 36" N
Exterior Handrails, Balconies, Landing 18 in. or more f \ il
Interior Handrails Stairs Both Sides 3 or More Risers 1/
Grade 2% Away From Foundation
8" Clearance To Sill Plate
Gas Valve Shut-Off Exposed/Regulator 18" Above Grade
Gas Furnace Shut-Off within 30 Feet or within Line of Site /
Oil Furnace Shut-Off at Entrance to Furnace Area V i
Furnace/Hot Water Heater Operating Relief Valve(s) Installed Y1.'0 Nie 1 ".cc 4-1/2lw7 Wet OF f e--"
Headroom 6 ft. 6 in. On Stairs 7'
Basement Stairs 6 ft. 4 in. �/,
Handrail Exterior Stairs Both Sides More Than 3 Risers t/
Interior Privacy/Trim/Doors/Main Entrance 36"
Floor Finish • V
Bathroom/Kitchen Watertight /
Interior Handrails Balconies/Landing 18 in. or more V
Railing Across Window in Stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected '
Bathroom Fans uf
Plumbing Fixtures V
Foundation Insulation
3/4 Hour Fire Door/Door Closer I �� �� � lA11L , r�
*. tt,o � 1�� 49E1—
Garage Fireproofing
Garage Penetrations Sealed
Furnace In Separate Room Protected (In Garage) N/
Light Ventilation Per Room,
Safety Glazing 18" or Less From Floor
Final Electrical •
Site Plan/Variance Required /
Final Survey Plot Plan
As Built Septic.System Layout Req. 4.Okay to Issue Temp C/O
Okay to Issue Permanent C/O u.. ..70 --r'i~L- SAL-..-It D Ta
Mc:WAOkay to Issue C/C "'' - E_ 5R-ICStt.% M‘4,1Z1
c_'HST V v cT k--tCit"CK tJ'
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
BAY ROAD
QUEENSBNSBURY NY 1212804
(518)745-4447
ARRIVE: DEPART: INSP:
, FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPECTI N REQUEST RECEIVED:
NAME 1 /G/"(19j CrGjP-e°
LOCATION J70 c ?21g Cr_
DATE ,71 1/477 PERMIT # 97-17�
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 I
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVEi
FURNACE/HOT
INTERIOR TRI
FINISH FLOORBATH/KITCH
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
ITE PLAN/VARIANCE REQ..
FINAL SURVEY PLOT PLAN Q
OK TO ISSUE C/O OR C/C
6Q-a9 I ( V (518) 761-8256
�.y�M a
^i
TOWN OF QUEENSBURY .
BUILDING & CODE ENFORCEMENT . a
742 BAY RD., QUEENSBURY NY 12804 ..� ...?;Y,.
INSPECTOR'S REPORT: ARR 31/0 DEPART INTO///r
REQUEST FO NSPECT ON RE�C ED: II) 1' T9C 7 1
NAME V -C.. , _ `--5,' (ilA'L
LOCATION 11 (04 0 \ Q1l�' ( ewl-73
DATE I\ d r jl PERMIT 1 0f -( 7 (
p
TYPE OF STRUCTURE: L ,( PIN AL-(ilA)Lfe_. ,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,
REINFORCEMENT IN P CE --
THE CONTRACTOR IS RESPON
PROVIDING PROTE TION F M FREEZING
PICE"--Ella
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
IR INFILTRATION BARRIER 4/`
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-
4/11 (518) 761-8256
TOWN OF QUEENSBURY *_
BUILDING & CODE ENFORCEMENT ,,
742 BAY RD., QUEENSBURY NY 12804 .�,, 'y .
ir,,..
INSPECTOR'S REPORT: ARRU i3" DEPART `I/`• I
REQUEST FOR INSPECTIJN RECEIV /( 76 6'
j ' /
NAME LY _ " l / I / i S
9 , Iw I I �i /.
LOCATIO /v 7�'7� `�y�/ R.VAL R%
DATE /(`-�` 2 ! �('PERMIT # A I — I,9
TYPE OF STRUCTURE: (1)-CL,AA,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS .ES• NSIBLE FOR
PROVIDING PROTE T ON FROM FREEZING
FOR 48 HOURS FOLL'WING TH PLACE-
MENT OF THE CONCRtTE.
MATERIALS FAIR ON SITE '
FOUNDATION/WALL•c 11111,
REINFORCEMENT IN PLA _ _
FOUNDATION/DAMPPROOFI
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
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////
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AC PO TS MAIN BEAM
yaIR IN I T III N BARRIER
CCC 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 `i*,,'�. '
INSPECTOR'S REPORT: ARR DEPART9j/ INT ./
REQUEST FO ��INS�PECCTION RECEIVED:
NAME I Ki(/76 W
LOCATION 4/0.7
•7t' £21O7 /e �r (�7 7`/7 DATE PERMIT i -
TYPE OF STRUC 6RE: L' 4
RECHECK APPROVE
N/A YE , NO
FOOTINGS
10111
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSrSBLE FOR
PROVIDING PROTE TION'FRO 1_FREEZYNG
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
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-
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBU/R/Y�'�'NY 1280/4 " �,.-
INSPECTOR'S REPORT: ARA):G DE PART/f(3 INTv (-'
REQUEST F INSP CTIION EIVED: \\_ `%-GO
NAME \V YNC 9 C 0)( )
LOCATION 7 Q ♦ „ -ik i 11t
DATE 1\-1`3-R1 PERMIT a r-1 '-LI 7( p
TYPE OF STRUCTURE: h.' i'1 ;1k..0A
RECHECK APPROVED
N/A YES i
OOTINGS/PIERS aPjf
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS R SPONSIB E FOR
PROVIDING PROTE TIO FROM F EE• ING
FOR 48 HOURS FOLLOWI THE LACE-
MENT OF THE CONCRETE.FIN I -
MATERIALS FOR THIS PURPO ON ITE - -
FOUNDATION/WALLPOUR J _
REINFORCEMENT IN PLACE /
i -
-
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
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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-
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(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ? 4 "
742 BAY RD., QUEENSBURY NY 12804 w1n;
INSPECTOR'S REPORT: ARR DEPART?' 3 INT I" C
REQUEST FOR/INSPECTION/ RECEIVED:
/�'�!NAME e/0(eS
LOCATION. D 622'TL'e .c •
DATE . 17 7 PERMIT fl / 11
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN P CE
THE CONTRACTOR IS RE ONS BLE FOR
PROVIDING PROTE TION F M REEZIN
FOR 48 HOURS FOLLOWING T PLACE
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE N 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
INSULATION: `aIs.'eilD4
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 w1. 1,a�.,
INSPECTOR'S REPORT: ARR CID DEPART9(t :4
REQUEST FOR INSPECTION RECEIVED:
NAME IAItc6w, 6/
LOCATION 7O ebea 0- .
DATE / 1-742----
PERMIT R
-V-.42("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 P RPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN/PLACE
Y
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS -
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NSULATION: raHt'4 - . -V�`
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TOWN OF QUEENSBURY
.
BUILDING & CODE ENFORCEMENT p°
742 BAY RD., QUEENSBURY NY 12804f t 1%1 2'. 4;: ,
INSPECTOR'S REPORT: ARR DEPAR1(' °g1'IN'J J/ '
REQUEST FOR INSPECTION RE EIVED:
NAME J'l l ci4 -k 5
LOCATION 07/9
9 C ' G/ 1 . l DATE PERMIT $ 9 -- 7(�
TYPE OF STRUCTURE:
1
RECHECK _ APPROVED
N/A YES NO
FOOTINGS/PIERS '\\---- \
MONOLITHIC POUR FORM j
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIB E F
PROVIDING PROTE TION FROM F EEZING
FOR 48 HOURS FOLLOWING THE LACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROU FI PLUMBING
P UMBING 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- •
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TOWN OF QUEENSBURY n, r�I ;
BUILDING & CODE ENFORCEMENT M '\. t a
742 BAY RD., QUEENSBURY NY 12804 ,r-,,,, ��. +
lS�
INSPECTOR'S REPORT: ARR7' DEPAR �` INV
REQUEST FORf INSPECTIONL � ,
� RE EIVED:
/r�l�NAME itca jJ/ RE EIVED:
LOCATION 7G? `U'U C- .
DATE q _ PERMIT B 97- 1174e
TYPE OF STR CTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLLE
THE CONTRACTOR IS RESP+N BLE F'R
PROVIDING PROTE TION FR•-' FREEZI G
FOR 48 HOURS FOLLOWING TI• PLAC2'
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP E 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
AIR NFILTRATION BARRIER
ATING ROUGH-IN _
INSULATION: @ o 'C/ 6 i--2
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- - -
WALLS R-
CEILING R- -
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
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(518) 761-8256
TOWN OF QUEENSBURY dw:
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804J t�
vw,`'. ;�j
INSPECTOR'S REPORT:. ARR DEPAR'P INVP`'
REQUEST FOR INSPECTIONDE/ REC4v-
LOCATION D:
NAME � /&HMdS 7[9. Aft C�,
DATE 4/ 4/2 PERMIT # 1 7 17
TYPE OF STRU TURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
:MONOLITHIC POUR FORM
REINFORCEMEN IN PL CE
THE CONTRACTOR I SPO SIDLE FOR
PROVIDING PROTE TI OM FREEZING
FOR 48 HOURS FOLLO ING THE PLACE—
MENT OF THE CONC E.
MATERIALS FOR THI PURPOSE ON SITE
FOUNDATION/WALLPO R
REINFORCEMENT IN PLACE , L
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
LUMBING jjNDER SLAB
FRAMING: [ l'\14 L
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
Ain '-`i�ma- 0
(518) 761-8256
TOWN OF QUEENSBURY t ^-
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRJSS/// ��DEPART�/1/IN i`
REQUEST FOR INSPECTION RECEI ED:
NAME 4 X .i' 0 e ,0 J V
-aLf
LOCATION 01 -
DATE 'W-' 1 2)"(:0 PERMIT # 97 -L) 7(Y
TYPE OF STRUCTURE: 1 1/4,76vl.Q?,_
RECHECK APPROVED
N/A YES - NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TI•N FROM F:- `ING
FOR 48 HOURS FOLLO ING `TH PLAC:-
MENT OF THE CONCRE . _
MATERIALS FOR THIS P R'OSE ON S TE
TON
FOUNDATION/WALLPOUR
REINFORCEMENT I2 ACE
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
HEAT G ROUGH-IN
SULATION:
FOUNDATION WALLS INTERIOR R-
-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- C
CEILING Ri Vr
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
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0 (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARA. )5 DEPAReja INN "
REQUEST FOR N
PEACTIO REECEIIVM:
NAME
LOCATIONN 70 C-Q,CQI•W f
DATE \\ 'l -c - PE IT A /w 7(/
TYPE OF STRUCTURE:
RECHECK APPROVED
' N/A YES NO
FOOTINGS/PIE�iiS /
MONOLITHIC PQUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE OR
PROVIDING PROTE TION FROM FRE ING
FOR 48 HOURS FOL OWING THE P CE-
MENT OF THE CONCH TE.
MATERIALS FOR THIS URPOSE N SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE / _
FOUNDATION/DAMPPROOFING
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLATE
ROUGH PLUMBING
PLUMBING UNDER SLAB I
/FFRAMING: O G 1 e41 C; r 1
JACK STUDS/HE$'DERS
BRACING/BRIDONG
JOIST HANGERSI
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-INk
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS 1 R-
WALLS 1 R-
CEILING l R-
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UNHEATED SPACES R- •
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'f:= ,.. TOWN OF QUEENSBURY
i'` FIRE MARSHAL.
`=a, QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIV D l t e L
NAME. C5-1W
LOCATION \ 7 0 CS2
�����
DATE PERMIT # 'CC I 9/ 7
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS \ d
EXIT SIGNS I
EMERGENCY LIGHTIN r
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SY EM
HOOD INSTALLATION I
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
I
•
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY t
WOODSTOVE
F)REPLACE-MASONRY
FIREPLACE- FACTORY BUILT d
REMARKS: lEIDIK TO THI \DATE
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INSPSLIP.PUB (- 'IN PECTC:
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 �?
•
Oft DEPART44T3
INSPECTOR'S REPORT: AR INT
REQUEST FOR�INSPECTION RECEIVED:
/�
NAME I4/l -//4GGc 6
LOCATION 10070 £ w
DATE l/lei/4.7 PERMIT N q 7- 57
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO' f
REINFORCEMENT IN PL CE
THE CONTRACTOR IS RE PONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWIN THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUR •SE ON SIT:
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
OUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADER
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN EAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTE IOR R-
FOUNDATION WALLS EXTE IOR R-
FLOORS \ R-
WALLS \ R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
/ 6 (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPART/P INT \
REQUEST FOR INSPECTION,, ECEIV,D: - f 7
NAME /�i`'�C e< S
LO 24'4,6 ,
DATE / -7 PERMIT 9� 7 V/
TYPE OF STRUCTURE: /
RECHECK APPRO ED
N/A Y S NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBT FOR
PROVIDING PROTE TION FROM FR•EZING
FOR 48 HOURS FOLLOWING THE P CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON S TE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
.UfrOGH PLUMBING
PLUMBING UNDER SLAB
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( JACK STUDS/HEADERS 11'
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AIR INFILTRATION BARRIER
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INSULATION:
FOUNDATION WALLS INTERIO' R-
FOUNDATION WALLS EXTERIORR R-
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FLOORS R-
WALLS IR-
CEILING IR-
DUCT WORK OR PIPING IN 1 +
UNHEATED SPACES
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TOM OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name fgrot. GS
Location 70 C60412 Cr.
Date /6 ', e 7 Permit # 9 17
SOIL TYPE: Sa :-Loam- lay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total ngth 61404
Length of each tre ch
Depth of trenches •
Size of stone
SEEPAGE PITS: Numbe
Size - ft. ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box y" " rp2 55—
Dist. Box to Field/Pte.,
Openings Sealed? elp No Partial
LOCATION/SEPARATION .
Foundation to Tank /O feet
Foundation to Absorption feet
Separation of Pits iiiipeet
Conforms as per Plot Plan No
LOCATION OF SYSTEM ON PROPER
(circle
Front 'ear Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
-//11 a 4441/41/�
f
kJ z49&. '' J FF41l<1 �R-+I)K %6 7-
SYSTEM USE APPROVED: YES. ' ' NO
Arrived:
Departed:
Building Inspector
•
(518) 761-8256
•
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT c
742 BAY RD., QUEENSBURY NY 12804 '� n ! .
INSPECTOR'S REPORT: ARR I-lb DEPAR
REQUEST FOR INSPECTION RECEIVED , /4 / -7
NAME // cd e4s
LOCATION hV dtaCL) i r
•
DATE 7 PERMIT # , ` /-1 / 1(�
t'
TYPEtl OF STRUCTURE:
RECHECK + APPROVED
,P N/A YES NO
FOOTItGS/PIERS x �
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 PURPOSEYON SITE
FOUNDATION/WLLPOUR
REINFORCEMENT' IN PLACE n; _
CUNDAT I ON/DPPROOF I NG
--BACKFILli APPROVAL - I - - - -
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB/
•
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JACK STUDS%HEADERS -
BRACING/BRIDGING
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INSULATION: I
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FOUNDATION,° WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS ! '• R-
WALLS R- -
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R
•
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(518) 761-8256
': .' . ---7--3---
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 g. -
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INSPECTOR'S REPORT: ARR DEPART7' 4/ INT"` —
REQUEST FOR INSP CTION RECEIVED: 9 - r 0 --q
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NAME ‘ kSL ! V `' �'�(
Coit,--A-LOCATION 70 c� // r
DATE 9 /,O�c/ 7 PERMIT A 7 -4 /7(y
TYPE OF STRUCTURE: 7/1rrr i �Q
REC!ECK _ ( `J T.(40V1
APPROVED
N/A YES/. NO
OOTINGS/PIERS
MONOLITHIC POUR FORM17---
_
REINFORCEMENT IN i' ACE
THE CONTRACTOR IS RESpONSIHLE FOR
PROVIDING PROTE T ON F•OM FREEZING
FOR 48 HOURS FOLLO ING + HE PLACE-
MENT OF THE CONCRE . _
MATERIALS FOR THLS SSE 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
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- -
FLOORS R-
WALLS R- _
CEILING R-
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