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97-691 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 8 19. 9 8 d-0)41\ 19V This is to certify that work requested to be done as shown by Permit No. 9 7 69 1 has been completed. SINGLE FAMILY DWELLING This structure may ,be occupied as a NORTH LANE Location ,` Owner DAV I S, LEON .& L INDA TAX YAP NO. 8 -3 5 By Order Town Board TOWN OF QUEENSBURY •Director of Bldg. 6c Code Enforcement BUILDING PERMIT 11,1 VALUE $ 80000TOWN OF QUEENSBURY TAX MAP NO. 8. -3-5 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to DAVIS, LEON & LINDA OWNER of property located at NORTH LANE Street,Road or Ave. in the Town of Gueensbury,To Construct or plans a SINGLE FAMILY DWELLINC.,... at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. 1. OWNERS Address is •CORDOVA 38018 5943 2. CONTRACTOR or BUILDERS Name R/ST. CONSTRUCTION.. 3. CONTRACTOR or BUILDERS Address BO1U-14691,:„, LAKE: GEORGE, 4. ARCHITECTS Name COMMONWEALTRK ELECTRICAL AGENCY 5. ARCHITECTS Address = HAGUE-;',!=.NY.i..ie.:,12836,,,„:‘ 6. TYPE of Construction—(Please indicate by X) SINGLE. FAMILY. DWELLING I I Wood Frame ( )Masonry ( )Steel ( I 7. PLANS and Specifications 12 2 6o.SQ. F T. SINGLB; FAMILY, DWELLING; AS, PERPLOT.,,PLANi4PECIPICATION eaki,W1 ; 8. Proposed Use .4,44,1SINGLE.i,FAMILT,DWELLING, 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 Oueensbury before the expiration date.) i • -December 97 Dated at the Town of Oueensbury this Day.of 19 SIGNED BY for the Town of Oueensbury Building and oning Inspector • �. Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbuty, NY 12804 /761-8256J -O BUILDING & CODE ENFORCEMENT NOTICERequirements prior to issuance r- • r ' of this permit: PERMIT FILE NO. q 7-69/ A permit must be obtained before \_ 0beginning construction. No inspections PERMIT FEE PAID$ I 103, ac4et�� will be made until applicant has received ri Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$ applicants' spaces on this application J/�� MUST be completed and the signature 1-1 PlanningBoard Action REVIEWED BY: t 1'of the applicant must appear on the - SPR / Subdivision /Other Building inspector application form. ihrog y.,. J Recreation Fee Payment j Applicant: RtSi C�r.isr Co Owner: Lcit s tLi IN)bA "..n,dts • Address: l.2.G 2 ►'J-a`l .Re.t,D lik i F ttlr Address:t l-1 fy 4-1.-r- tRvtL -o t2 (—US-0nGO t .1 i Stv. cour2,01.ANe 7-9to3 Phone # ,(t1 '6 ) Tc(15 - 19.�_ Phone # (fil%4- ) &s4- -3ao Property Location:d.0,1-A^iL _ St-MSi°, 7011`i Subdivision Name: Tax Map Number �� Section Block I of NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE )( New Building: CONSTRUCTION: $ residence / commercial • Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial 1/ Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size . Family DwOjp. b. a / Office n ._ v.s . ,V. +''�. D Other Work (describe below) Mercantile Manufacturing NOV 1.91997 Other ; ;�Y GROSS AREA OF PROPOSED STRUCTURE: /DS • TOWN C : ""_ 'L ,:,T;rf-,p,P If ADDITION, what-- w.�t'I°l1�uses 1st Floor �3� sq�ft.2 , of new addition be? : 2nd .Floor Zgd sq. f S Other Floors sq. ft (not unfinished cellar or basement�� • ACCESSORY BUILDINGS: �S Detached Garage 1, 2 car TOTAL FLOOR AREA: /626 Attached GarageO, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building -2-4. �FEET X 31 FEET Other Foundation Type: :,Nc, . 'ia,�Lk=- Will any second-hand or ungraded Number of Stories : 2 lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : 2.q feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (c' e all which applies) to be installed: I . lect.r' ' / Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is : gist'ca/SY. r.e.- ' gYR- l—) 11-.5j 7g8 -/g'Vt' Name Addresss Phone Builder: R,57• l.vs" , , • Plumber: Z'sY Cov1T. P`,. . . Mason: i-Z,s; C i•• 4:7. Electrician: ib(s'; �i..tsTT- 4:0, 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; drawn to s ale,'showing actual location of project on premises. Signature: A 4ner's agen ;' rchitect, contractor) . . .. , . TS.)WN OF QUEENSBURY 2 , 37 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS . , Date " 1 1 VI ,19 Il Permit No. "2 - 6'11 A 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 TZ I SI° 7'-',..0/.0 cc , 6,, , APPLIANCE (check appropriate boxes) Address 1724.-,97 g4.,,, , /, ,,,,-, 'STOVE: 'Wood o Coal o Pellet o Gas 0 FIREPLACE INSERT Zip t7.5415 0 FIREPLACE, FACTORY-BUILT: 0 Wood 0 Gas Phone Sig --. ..ms - lq„ I ID FIREPLACE, MASONRY: 0 Wood 0 Gas 'Owner L. ,, t2,1 .-4 LI,-,3 b.N. -1--)",,,-1‹, , 0 FURNACE: 0 Wood 0 Gas D Oil .; . ,Address in 50.,z,F P„,,1-L4 roc 1).„..>, ' IF NON-MASONRY APPLIANCE: i - Manufacturer:Zip 1..q bS1 -- Model: . ,. Phone enc-", 4- - tp .5'4 ---x.,-3 OP, CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction 174,4,4 P S''',.3...S r7 'elza. '''' iia•d-^1 0 MASONRY: li'Block 0 Brick 0 Stone . A FLUE: 0 Tile pSteel , Size"MI-UtIE inches - CONSTRUCTION / INSTALLATION MUST Er'FACTORY-BUIL-F' itta.0,f4 CONFORM TO NYS FIRE PREVENTION & Manufacturer: 1114114i**" " Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Istit.,--tumber: jed or--z-as" TOWN OF QUEENSBURY,HANDOUTS 0 Double Wall 0 Triple Wall REGARDING REQUIRED INSPECTIONS. S cif:Insulated 0 Direct Venting 0 Chimney Liner , . , Cashier's Department Town of Queensbury, New York 1Dept: Fire Marshal , Amount Collected Amount Refunded Code Number Title ' e. 00 A 173 3389 (190) Public Safety . . A 233 2655 , (230) Minor Sales ..--- ,E.e,e.....C.allected--Frorn or ketunded to: k,"'w 1 A. - . ,.....,--'-- -'' eLn j''l A-cid res-s-:—--------- ---s5 ' Dated: ) I --- /CA - eil ----) Town Clerk or Deputy: At./:-.,,y,, ,,,,:-,:,/,,,„ - White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. Application for SEPTIC DISPOSAL PERMIT Town of Queensbury r C 710 } Dept. of Community Development Permit No. Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: /la, 1 Property Owner's Name: &eV./ 4-v0 Lr1v04- DA(NS 1/7 Fs -r Property Owner's Mailing Address: CLE,stc,iJ , "2.04_4.a.r4 Z963/ Installer's Name: Phone # Number of bedrooms (if residential): %i Total daily flow: 3& ' (residential - compute @ 150 gal./bdrm.) Topography: V flat, rolling, steep slope % of slope Soil Nature: sand, loam, clay, other /depth: /1/,. Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet 41, L Percolation test: f/not required, required [rate min. per inch ] Domestic water supply: municipal, t/ well, other If domestic water supply is a WELL, water supply from any septic absorption is 100 feet. PROPOSED SYSTEM 5764971c , 6-so` , 33 0 97 -2.- /Sdo 6/4- %41clKSJ Septic tank: gallon (minimum size: 1,000 gal.) Tile field: each trench feet / Total system length: 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: 2- Size of each: 1ScQO 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: i Date: f f/i 79? RESIDENTIAL FINAL INSPECTION REPORT - f-iy. Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement _ e e /����� Dept.of Community Development Arrive Inspector's Initial L`f Town of Queensbury 742 Bay Road /Fr Queensbury,New York 12804 ``� 1.5 PERMIT# r � `� NAME �\--�P 0 — DATE n LOCATION �(�Y� TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location ti/ Fresh Air Intake fzLLe o L� �� .E_ ‘ Plumb Vent through roof Roof Complete J/ ` ��� Exterior Finish Complete "i Interior/Exterior Railings 30"to 36" ^',/ Exterior Handrails,balconies,landing 18 in. or more V f Interior Handrails stairs both sides 3 or more risers 17 f • Grade 2%away from foundation V 8"clearance to sill plate -. ` V Gas Valve shut-off expose, regulator 18"above grade V/ Gas Furnace shut-off within c 0 feet or • m lin of site ✓/ Oil Furnace shut-off at en 1 • • to ace area ✓ ¢, Furnace/Hot Water Heater o•• at' g Relief Valve(s)installed / " Headroom,6 ft. 6 in.on stairs \ ✓/ Basement stairs,6 ft.4 in. Handrail exterior stairs botl{sides more than 3 risers AO Interior privacy/trim/doors/main entrance 36" V/� Floor Finish ti/✓ Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or more / . Railing across window in stairwells / Smoke Detectors: �// every level V/ every bedroom • V outside every bedroom inter connected / Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer // Garage fireproofmg Garage penetrations sealed iFurnace in separate room protected(in garage) / Light ventilation per room ,/ Safety glazing 18"or less from floor Final Electrical W Site Plan/Variance required / Final Survey Plot Plan �1 As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp. C/O(Certif.,of Occupancy) N./ Okay to issue permanent C/O(Certif. of Occupancy) 4414A TOWN OF QUEENSBURY Ba 742Queensbury, NY 12804-5902 518-761-8201 Y Road, June 12, 1998 File: Davis, North Lane, 97-691 Inspection this date showed completed chimney chase with proper clearance to combustibles for listed exterior chimney. Future planned installation of a wood stove (connected to said chimney) remains a part of Building Permit 97-691. Occupant must notify Fire Marshal's Office (761-8205) for wood stove installation inspection to assure code compliance prior to using said stove. C. A. Grant Fire Marshal cc: File 97-691 DONT GIVE FIRE A PLACE TO START PRACTICE FIRE PREVENTION YEAR 'ROUND "HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE" SETTLED 1763 RESIDENTIAL FINAL INSPECTION REPORT I Office No. 518).761-8256 Date inspection request received: 1019 Let Building& Code Enforcement Dept. of Community Development Arrive :part' • .` Town of Queensbury Insp 'ti 742 Bay Road Queensbury,New York 12804 +NAME PERMIT# 7+( J LOCATION Y� � C3,c _ • ', Pt' DATE _i '—ID- IX 1�,�'Cr� � J TYPE OF STRUGT JRE C ' — D- •� -'.'_ N/A ..,YES NO COMMENTS Chimney Hei tP'B"Vent/Direct Vent Location Iv ! � Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete 1, Interior/Exterior Railings 30"to 36" �`/// Exterior Handrails,balconies,lan ' g 18 in. or more Vi Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulato 18"above grade N4 • Gas Furnace shut-off within 30 feet o 'thin line of site 1J I Oil Furnace shut-off at entrance to furnace area / Fumace/Hot Water Heater operating P t �� Relief Valve(s) I installed \ / • / lst �� IFL � Headroom,6 it. 6 in.on stairs Basement stairs,6 ft.4 in. / Handrail exterior stairs both sides more than 3 risers 4 ‘/ / Interior privacy/trim/doorsJmain entrance 36" i/ Floor Finish Bathroom/Kitchen watertight �f Interior Handrails Balconies/Landing 18 in. or more ✓ f� Railing across window in stairwells Smoke Detectors: V every level t every bedroom /, outside every bedroom `. / inter connected � Bathroom fans Plumbing fixtures Foundation insulation / 3/4 hour fire door/door closer `//� .� Garage fireproofing .. 6 eco-- ��� " ---11 ti\0413� Garage penetrations sealed f Furnace in separate room protected(in garage) i Light ventilation per room /� Safety glazing 18"or less from floor Final Elec r Site P1 an equired L 6 Final Survey Plot Plan As Built Septic System layout required P1t_ca..`i1 Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/O(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) % VA 11\,4 ��4—�. Atr6 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 357 Elwyn Terrace — Manheim,PA 17545 67 2_6f/ MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No. Cert. 5 9 8 7 5 Cut-in Card No. Owner X, 6-T73/U 1- 4/ 4./414 _Os.nor i Occupant AS6y; /or; Location.4)0 de rice- 4 if- CQ,a‘--,' Installation Consisting of ;-‘ 3"t W 77-4694i 3 P/aer-ert P S uvreS A-471/647 -00 44)I 107,q t.a,,Atil.a a kee-x /e2P4-Aks )- ef• 6 S-mwec---, 0..-. /_ Installed By.. a11 5.2-6e720 eae- 6rzet• iv-6-71-7- 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 maid g ins. tioqs at any time.and if its rules are violated,the Company shall have the right to revok t ts certi •te! Date 6-10 -yr lNSPECTORv Member N.F.P.A.,I.A.E.I. GENERAL INSPECTION REPORT H69-7----- ----'1----;‘t .: Town of Queensbury - V r/ - �O la Dept. of Community Development Date inspection request received: /s-CI Y Building& Code Enforcement 742 Bay Road T Lam/ m ' Queensbury,NY 12804 Arrive �"J P De art p f Oain/jom Inspector's Initials v pLY NAME: a G 'PERMIT# Z 68 LOCATION: k L,An-6- slag-((SC. Pr DATE : ( V TYPE OF STRUCTURE: RECHECK N/A YES NO_r--CO 1 iI NTS Footings/Piers % I Monolithic Pour Form ,/ • / Reinforcement in Place / The contractor is responsible for providing protection from freezing for 48 hours following the placem: t of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place , Rough Plumbing Heating Rough-In i K, sulation 1� fipt,___ Ta( ptFoundation Walls Intef- / Fo dation Walls Exterior R- F rs 2 �a R- / (1 ( alls R- /� 04 ' Ceiling � 4 �y R- `77 r�� 10 Duct work or piping in / unheated spaces R- Proper Vent, Attic Vent / Framing / Jack:Studs/Headers / Bracing/Bridging / -- Joist Hangers Jack Posts/Main Bevil Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping , GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ;/ Queensbury,NY 12804 Arrive �° ` 0m Depart �:� =1, Inspector's Initial NAME:A ‘��3 -PERNIIT# ' ` 1 � LOCATION: (� 0-y-\ ,� _ DATE . 9 -rr 3-9,R TYPE OF STRUCTURE: `c-_-_=) RECHECK J ' N/A YES NO CO NTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible providing protection from freeze& for 48 hours following the placeme3h of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing:.- ---- - ---— --- -- -- ---- —- -- -- Backfill Approval / Plumbing Under Slab / Plumbing Vent/Vents in Place Rough Plumbing / Heat g Rough-In f elation q- 1k\L / Foundation Walls Interior R- / Foundation Walls Exterior R- / Floors \ R- 1P / Walls R- , Ceiling ‘ ‘ it R- 1 Lto Duct work or pipi / unheated spaces R- / Proper Vent, Attic Vent / ,/ Framing \ "‘f�Qto� \/ ,j Ve Jack.Studs/Headers / C-1— iJCtitA V.-O Bracing/Bridging / �� � Joist Hangers / Jack Posts/Main Beam., Air Infiltration Barrier./ Fire Separation 1, 2, 3, hour Penetration Sealed • Fire Wall 2, 3, 4 hour Firestopping atitTet,e,- ., GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive: a �epart'/� �gp-ector's Initial ((1��.� .\} 1 S J\x0—GN1 P, RMIT# 1 NAME: LOCATION: r)aS-cLm�\\2I V\6,1/"f D'TE : _ —.4" CR TYPE OF STRUCTURE: '.? -, 1\ RECHECK / ,—, N/A YES NO COMMENTS Footings/Piers r I Monolithic Pour F `rm Reinforcement in P ace The contractor i tresponsible for providing protection from freezing / for 48 hours following the placement of the concrete. \ / , Materials for this purer,se on site • Foundation/Wallpour \, / Reinforcement in Place \ / Foundation/Dampproofing\ / Backfill Approval \ / Plumbing Under Slab \ / Plu ing Vent/Vents in Place lnp f jl dough Plumbing tb 1 di--o9 xt t� / -vb }V Heating Rough-In Insulation 'VIR?a-% •A t \\ / c Foundation Walls Interior R- \( Foundation Walls Exterior R- / ` Floors R- �/-- --- Walls R- -2A �I'D 'FLOOR E ltj 1 ‘C t Ceiling (h c t i, 16 R- O a)Duct work or pipingin `A.2-`' v \\K-A .bT:,t \00 unheated spaces R- Proper Vent, Attic Vent / / L. rreming .ST`' 1 ' Zttn t r 9 'I Jack Studs/Header§ / �/ BracingBridging / Y .foist Hangers Jack Posts/Main Beam /. LAC 6-1-EEL, Co- 3.6 To k,L;t cD BuAtA Air Infiltration Barrier ` Fire Separation 1, 2, 3, hour 1k Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT ))/) Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road a 9 Queensbury,NY 12804 Arrive : • a .m Depart 214 Inspector's Initial NAME: - ; 9 kt`s- PERMIT# ) LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in.lace Foundation/Dampplroofing Backfill Approval Plumbing Under Slab \� Plumbing Vent/Vents 'n Place Rough Plumbing Heating Rough-In Insulation Foundatioy ails Interior R- Foundion Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pro r Vent, Attic Vent `�� � \V—V--INV\Ae`�::�,-,raining f4uE� GUTh YD — GA� (13 Jack.Studs/Headers Bracing/Bridging V\ECAND CA-VINV-Al3CV ©v3 SA Joist Hangers Jam` `�1 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT (r/'lA Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Day Road Queensbury,NY 12804 Arrive 9, amlpm Depar Inspector's Initials f �/ NAME: i (C)A )i/1. PERMIT# • —1�`�/ LOCATION: ,9f , �oR� N, DATE : 2 - TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contra or is responsible for providing prot: tion from freezing for 48 hours folio ng the • .cement of the concrete. Materials for this pu e o Foundation/Wallpo Reinforcement iny'lace Foundation/Dampproofing BB ckfill Approval \thumbing Under Slab C/k5 1 'IRON L RA-CE. Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping TOWN OF QUEENSBURY 414.--c- BUILDING Q b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ���'� ( �J°' Location •K -Ai Date ? l/ 'i Permit # /— SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) -Minute/Inch TYPE OF SYSTE : ABSORPTION FI LD: Total Leng - . Length of eac trench `'\ Depth of tren hes Size of stone SEEPAGE PITS: Number- ) Size - ft. x ft. / Stone size PIPING: , Size Typ Bldg. to Tank Z. Tank to Dist. BoX, // Dist. Box to Field/Pit / Openings Sealed? '\��� Yes Noartial LOCATION/SEPARATIONS: Foundation to Tank 1 G/ feet Foundation to Absor tion / feet Separation of Pits feet Conforms as per Plot Plan/ Yes No LOCATION OF SYSTEM 0 PR 'PERTY: (circle one) \�� Front - Rear - Left S „e - Right Side Middle Front - Middlo'Iear COMMENTS: C) /r1.4 6; 6:4, /4) e q1, L/ O/ X 6,,- SYST USE APPROVED: YE174 Arrived: Departed: Building Inspector (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT ;.T 742 BAY RD., QUEENSBURY NY 12804 J` INSPECTOR'S REPORT: ARR1'g DEPAR).(5 NT\fl REQUEST FOR PECTION RECEIVED:11 / - /1-9 7 NAME �� 4�* LOCATION v ` ��-v- f? r DATE /19. '- PERMIT R �' � -' 1 0TYPE OF STR C RE: ')\--AM RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR ``FO _ REINFORCEMENT IN, PL CE ` THE CONTRACTOR IS SPONSYBLE FOR PROVIDING PROTE TIO FROM FREEZING FOR 48 HOURS FOLLOW G TH PLACE- MENT OF THE CONCRETE MATERIALS FOR THIS P POSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLAC FOUNDATION/DAMPPROOFING CKFILL APPROVAL1.//////:///// 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 3 l 3 (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ,ENFORCEMENT ° • 742 BAY RD., QUEENSBURY NY 12804 r/,, INSPECTOR'S REPORT: AR C t DEPAR- 4 I 1 REQUEST F NSPECTION RE EIVED: / 9 NAME -'\�' S `��'C , LOCATION 5V DATE ,( '/ 91 `` PERMIT R 7 `67 9 1 _ TYPE OF STRUCTURE: sc-n RECHECK APPROVED - N/A YES NO cyy D—1L OTINGS//PIERS ‘/ MONOLITHIC POUR FO REINFORCEMENT IN P CE — -IN THE CONTRACTOR:IS SPONSI:LE FOR 7 PROVIDING PROTE ON FROM REEZING FOR 48 HOURS FOLLO" - . e E PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PUR•OSE 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- - - WALLS R- ` CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- 1 iv kNPtill RM u�riT N19cOCC'lJ CF GP-a,) k-rEe_ `.VC, ‘0 ham. Rist Construction Co. Leon & Linda Davis . 1368 Bay Road 117 Fort Rutledge Road Lake George, NY 12845 Clemson, So. Carolina 29631 September 27, 1997 North Lane, Queensbury, NY Sec 8 B1k 3 Lot 5 Application PLOT PLAN /( / S ALE: 1" = 201 � ` , [DE I E JEFFREY Ai _.........i LEJUEZ NOV 181997 t '„, -..)120BY V* boning Administrator `III '' p t'C�� TOWN OF QUEENSBURY ')i `1, _�'aL3 75' TNORTH 12' 22' /-11 ' -� 1500 GAL. CONC.�„..--' 4(. 1 . HOLDING TANKS ----� "--.2 0 '---7' CHARLES W. LINDA CHRISTOPHER TRAINA 100 ' , ---• 211 E 30' A1Q'. X WELL 10 ' Y di two 010 afettvia et Wine 1 as *Wiwi( 1i litilmailLtaleat tkat f Owe------- ^ . nod the dista set forth on the diagram." \ //yL4 Z,t2 7A.^. T .) ! /` SIGNATURE DATE J J LEGEND: I.P.F. - IRON PIPE FIUND I.R.F. = IRON ROD FOUND I.R.S. = IRON ROD SET ® = WELL cl0i = UTILITY POLE GX41 C) IRF Arr% Y._ JtFt-KLY LLJULL • i ' LAND W r� w 0-4 W anDus & Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Uc. No. 50135 'uwAUMOM n AL7MTar OR AOO = To A MWY WOEM" A UCENM LAW SAVEYM WX n A MOLATM W SEC" r^ ft*- aH % of THE WW "M STATE MM" LW* *ONLYRKM C04W7H A GRROM THE W THE. of StA SUYM rAw® wTH AN anaHw. a THE lA1a lURYEYORS MSKmmm marA�T 'ww"M" 60"Im HEI m =a" 'MT 025l�RYEY w4t PWP.Vm M N ALAW SNC[ wTH THE er THE ed Yawc STATE AaaoaATaN a PNOFiBSorN. IffWW°E°�"�`M"T" "°°"'® tAHu 3WtW-f Na SAX COMVATIM SHP" " 0WY To THE MON FM war THE "%V a PIiYMM AID M W MW V THE Tim Cow# . Q09M ff& M AM � " UM , '' °" "'° Map of a Survey made for LEON & LINDA DAVIS Town of Queensbury, barren County, New York ilate, JUNt d;i, 1`J`Jt3 • � Scale 1 =20 S-1 SHWT I OF 1 DAVIS DWG. N0. 98096 NO. DATE DESCRIPTION