2014-291 TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Q rY>
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140291 Date Issued: Wednesday, October 15, 2014
This is to certify that work requested to be done as shown by Permit Number P20140291
has been completed.
Location: 16 HARRIS St
Tax Map Number: 523400-309-006-0001-060-000-0000
Owner: PATTEN PROPERTY DEV. LLC
Applicant: CHRIS PATTEN
This structure may be occupied as a:
Single Family Dwelling By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property / ��
owner of the responsibility for compliance with Site Plan, Variance, or
Cir s`rJ �.
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
ON742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140291 Application Number. A20140291
Tax Map No: 523400-309-006-0001-060-000-0000
Permission is hereby granted to: CHRIS PATTEN
For property located at: 16 HARRIS St
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: ALBRECHT MGMT CORP D/B/A H] Single Family Dwelling $65,000.00
51 CROWLEY Rd Total Value $65,000.00
HUDSON FALLS,NY 12839-0000
Contractor or Builders Name /Address Electrical Inspection Agency
Plans&Specifications
2014-291
SFD 1,373 sq ft w/Garage 387 sq ft
$274.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 11, 2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Quee before expiration da '.)
Dated at the T of L Y, y ay,July 11,2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes : \L\
:
�� ceived
Tax Map ID: 309, 1 .-1 -(o 0
PRINCIPAL STRUCTURE APPLICATION Permit No.: RI_
A permit must be obtained before beginning construction
Permit Fee: $ 3 3 a .to r
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $ $ Sc °'
units, including single-family dwellings,duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date 7—7` 111 Applicant T -eA Priliw "D, op 1 LLC.
Tax Map ID 30g, I — CO Address Sc c4cso,r�
Zoning T2,` 1 �-12r�s -Uc f✓ /23
Phone/E-mail SJR_7% —96C(/
Property Owner 'Po4Ne{n nl> i.4'C) i i , Contractor/Agent 14-rhC
Address `7 SGtc. Sw. R- Address
0 G-1e.A.c 4 J d 12-S-733
Phone/E-mail VaTt-C e GG/vtet,t I,roftmt Phone/E-mail
Contact Person for Building &Code Compliance: (f'1(15 RTT'ev\ Day Phone: / -4/6S9
Building Street Address: 110 ✓"5 S Subdivision Name: IVA Lot#: '/ Historic Site: Yes No
Estimated cost of construction: $ 65 K
Type of Construction:
Check all that apply Please indicate measurements as required below:
c C
o g
1st Floor 2nd Floor Other Total Height
F a
Single Family 1_373 22'
Two-Family
Multi-Family(#of
units )
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(#J) Y 331
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business NA-
Proposed use of building or addition
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes No
Are there structures not shown on plot plan? /t)c
Are their easements on the property? /
/4)G
Site Information
a. Dimensions or acreage of lot Z I
S
b. Is this a corner lot? NG
c. Will the grade be changed as a result of construction: _Yes DC No
d. ublic waters.or Private well 1706i is .-
e. Sewer or Priv Septic System-)
Value of all work to be performed(labor and materials) $
oft-
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. I certify that the application, plans, and supporting materials are a true and complete statement/description of the
work proposed,that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and
in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a
certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above. ?i11i
Print Name: c1 f tf
Signature: (:;? .7 Date: 7/7//q
FOR OFFICE USE ONLY:
Operating Permit Issued: Yes No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Town of Queensbury Thomas R. Van Ness
Highway Superintendent
- Highway Home (518) 745-0929
Department
742 Bay Road—Queensbury,NY 12801 David Duell
Phone: (518) 761-8211 Deputy Highway Superintendent
Fax: (518) 745-4466 Home(518) 743-0938
DRIVEWAY PERMIT
DATE: 7/7/I`l
APPLICANT NAME: Ch /�f S epc4-e,✓\
TELEPHONE NO.: t���o
ADDRESS TO BE INSPECTED: I(0 t'"1A,✓(15 s -
RETURN ADDRESS:
Applicant must show exact location and width of driveway(s) to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken:
S I EP 1: ( ) Preliminary Approval
NEED: ( ) Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36"
Preliminary inspection completed by: Date:
Approval by Highway Supt: (or) Deputy Supt:
Upon completion, please resubmit this approved permit for a final approval.
STEP 2: () Final Approval ( ) Rejected
Date:
Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent
Office Use Only
Received:
Tax Map ID:
Town of Queensbury Building & Codes Permit No.: /41 —C6) 1
SEPTIC DISPOSAL PERMIT Permit Fee: $
A permit( must be obtained before beginning construction Approvals:
Applicant: Cts tS 7)6+4-ees. Installer/Builder 'ice „Rk v+-c.-
Address: / Address
t
Phone: `? `t L — ' 1[7...ALS
1 Phone
Owner: Location of Installation a.v c
Address:
Phone
Contact Person for Building&Code Compliance: t Day Phone: 7q-6C1 SV
Residence Information:
Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow
1980 or older x 150 = Garbage Grinder installed? it/°
1981-1991 x 130 = Spa or Hot Tub Installed? 4/c
1992—Present 3 '( x 110 = 330
Parcel Information:
Topography Flat Rolling Steep Slope —%Slope —
Soil Nature Sand Loam Clay Other
Groundwater At what depth? 7 I L !
Bedrock/Impervious Material At what depth? Al
Domestic Water Supply 0C Municipal _Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate- I r,31 per minute per inch(Test to be completed by a licensed professional engineer or
architect)
Proposed System for New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or
architect(unless installed in a Planning Board approved subdivision).
Tank size kzx gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or
whirlpool tub �q 2
System Type: Absorption Field(with#2 stone) Total length_ ft. Each trench 7 X
Seepage Pit(S)(with#3 stone) How many? !V/A Size? /Wit
Alternative System Bed or other type? 4//4
Holding Tank System Total required capacity? /V/f} Tank size? #of tanks?----
NOTE:
anks?—=NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified
Electrical form on Town website;2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer
allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed
system must match the septic system layout on file. There will be no exceptions.
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 Dispo Ordinance.
Print Name: 1 tr ISDate: —7 / -7r /U
Signature: Date: 7 /7 /
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
1 L a-1
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm rt --S91am/pm
Date Inspection request received: Inspector's Initials:
NAME: FP .011 , PERMIT#: / y d ?/
LOCATION: ,r , A. A. DATE: 1'U" i'(/—/V
TYPE OF STRUCTURE:
Comments:
Yes, No N/A
4" Building Number Address visible from road 14/-'
Chimney Height/"B"Vent/Direct Vent Location ✓�
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches ✓,,
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers ter
Guards at stairs, decks, patios more than 30 inches above grade
Guard at stairwell at 34 inches or more .9-
Guard
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate VI,
Gas Valve shut-off exposed/regulator 18 inches above grade V/
Interior privacy I trim/doors/main entrance 36 inches ✓
Bathroom/Kitchen watertight N/
Safety glazing/Window in stairwells safety gla, ing
Interior Smoke De ors/ry arbon noxid�[letectors
Every
level: Eve Bedr m: /
Outside every bedroom a: ✓
Inter Connected: Battery backup: t�
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area V
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans, if no window
Plumbing fixtures f//
Foundation insulation to floor/Sticker on Panel ‘ ,, �� <C '\<�YT[ '
Duct work sealed properly/Blower Door Test Certification t/ 3—
Floor truss,draft stopping finished basement 1,000 sq.ft. i
Emergency egress below grade G�
\/0/
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area /� � f ,
Furnace/Hot Water Heater operating 1/ ---
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 �/,' 4,__________
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches V
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding ///
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
g /
Okay to issue C/C or C I 0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: CS to*
NAME:
LOCATION:
PERMIT #: - �
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
r
Craig Brown, Zoning Administrator
Notes:
L:1SueHemingway\Building.Codes.Inspection.FORMS\Fina1 Survey
Zoning Administrator.doc
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Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/p Depart �m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: - )
NAME: Pa \-19 PERMIT #: 2,6(4-
LOCATION:
,`[LOCATION: c/C.e.? (-t-✓#-r.. 7 5 �, INSPECT ON: /zc14
TYPE OF STRUCTURE:
{ y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 '/Z inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air I Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation /Residential Check I Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
,_ •
•
it• THERMAL ASSOCIATES
•
Qu.a ity. Comfort, Satisfaction.
Thermal Associates
21 Thomson Ave. Glens Falls, NY 12801
518.798.5500 Fax 798.5620
Patten Property Management
7 Jackson Road
South Glens Falls, NY 12803
518-796-4654
We, Thermal Associates, performed a blower door test the project at 16 Harris St., Queensbury,
NY, to determine the air changes per hour, for Patten Property Management on September 9, 2014.
Testing procedure performed as per ASTM E779.
The result of the test is: ( 1100 CFM50 x 60 Minutes) / ( 18734 cubic feet ) =
3.52 AC H 50
Adam DeVit
Blower Door Tester
Thermal Associates
www.thermalassociates.com
Town of Queensbury Building & Code Enforcement 1 F 1> g ""IT]
Office No. (518) 761-8256
Framing / Firestopping Inspection Report
Inspection request received:
Name: •
Y G� �,•,� Inspected on: `'
Location: /ta -f-t'df2-x(-6. Arrive: ` Z a.m.1 p.m.
Permit No.: /1-1.- .6? f Inspector's Initials: 1
TYPE OF STRUCTURE: S r rJ
Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w)16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in.(H)
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report
UL-d y ._16
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Insetio r uest received:
Queensbury Building & Code Enforcement Arrive: %/1 `1 l am im
742 Bay Road, Queensbury, NY 12804 Inspector's In ti Is:
NAME: r6b-tie PERMIT#: / <"I q
LOCATION: I ,L.0 INSPECT ON: 4
TYPE OF STRUCTURE: 2
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates /
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain /Vent
Air / Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check / Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant \
Proper Vent, Attic Vent
Door / Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces �1\
Combustion Air Supply for Furnace /X
Duct work sealed properly/ No duct tape ,/�
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Ins action guest received:
Queensbury Building & Code Enforcement Arrive: i ' am/pm
742 Bay Road, Queensbury, NY 12804 Inspect is Initials:
NAME: `v' PERMIT #:
LOCATION: / INSPECT ON:
TYPE OF STRUCTURE: S F
Y N N/A
Plumbing under slab
Rough Plumbing / Nail Plates
Plumbing Vent /Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check / Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent d/
Door /Window Sealed (No Insulation)
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbinginsulation Inspection_02 05 13
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/p Depart: i. am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
NAME: PERMIT#:
LOCATION: t(jo (-v c'2�C'�� INSPECT ON:
TYPE OF STRUCTURE:
Y ,N N/A COMMENTS:
Framing j
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing/Bridging -
Joist hangers �`- 5�
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes / Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wail 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side /2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (VV)
5.7 sf above / below grade
5.0 sf grade
L:18ui!ding&Codes Forms-OLD\Building&Codes'nspection Foms\Framing FirestoWng Inspection Report.doc Revised January 7,2008
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Framing ! Firestopping Inspection Report
Inspection request received: U OA/ '
(
Name: yA-FTe Inspected on: /.,2 o /L/
Location: Arrive: a.m./p.m.
Permit No.: 1 11— �/ Inspector's Initials:(
TYPE OF STRUCTURE:
r Y N NIA COMMENTS:
V.Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided .N7
Bracing/Bridgingff20JA5qk2", NI
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly • k'
12"O.C. ,
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches/Holes/Bearing Walls Qpprit3
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center NYD
lce and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in.(H)
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report
Town of Queensbury Building &Code Enforcement I u 0s t).-<1
Office No. (518) 761-8256
.-Q_eth., ) LA
Septic Inspection Report
Inspection request received:
Name: I Gt- -e Inspected on: 7 A6)"1'y
Location: (p /-1C2%2-' ;�---SArrive: '1 d "1 a.m./p.m.
Permit No.: / z¢—al/ Inspector's Initials: mallb
Comments and/or diagram
Soil Type:S I *or /Clay
Type of Water: f unici••I/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' +I- _Y N N/A
[150'to well required if NO]
Absorption Field: Total length 1, 0 ft.
Length of each trench c7 ft.
Depth of trenches "7_-r ft.
Size of Stone 2
Seepage Pits: Number
Size: vc` .Q
Stone Size:
Piping Size Type
Building to tank ``" f,-Pekr-)-
Tank to Distribution Box �� �__� �j�
Distribution Box to Field I Pit ST!�3S (-'L
Opening Sealed: Y �
End Cap / N
Inlet/Outlet Pipes&Baffles VY '
Manholes 12"or less below grade YViA.
[provide extension collar if Yes] Y v, .
Location/Separations fROVI, \ U 0-
F o u nda tion
-
Foundation to tank 1-1--ft.
Foundation to absorptionft. - / C341"W v
Separation of Pits IC.I Arft. 1
Conforms as per Plot Plan Y_!Nfc2 \.Z, , (6-1.-1
Engineer Report and As Built _Y i1/t�i� 1�
ETU Maintenance Contract provided _Y____N . .""----'
Location of S ste * ' •se :
Front Rear Left Side Right Side Middle Front Middle Rear
S stem Use Sta . •
AIAppr•'-•►-
1 -. a Approved and needs to be re-inspected, please call the Building&Codes Office
' Disapproved
Septic Inspection Report
(i ) ?)
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: / im/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ` ``�'
NAME: PC - PERMIT#:
LOCATION: J(-Q • [9 ;`c' 1 INSPECT ON: j
TYPE OF STRUCTURE: S f
Comments
Y N N/A
Footings �, (�
Piers �'1 r'��� LY.
Monolithic Slab
Reinforcement in Place —c'-
The contractor is responsible for —
tT �t
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
✓Backfill ApprovalV/7
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
(`(1 VA . ID-1 ,
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins.-ction re. • :ceive.. "
Queensbury Building&Code Enforcement Arrive:. n , ►epart: �tiIIi�i
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi.
NAME: ra( -1'('%1 ' RMIT#:
LOCATION: / Po l� i �5 INSPECT ON: 7 141
TYPE OF STRUCTURE: - F L
Comments
YN I N/A
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
SEPTIC PLOT PLAN
t ' I I OR ALL E
5 } ,t JUL 8 014 SUCHHAVE ASSEEN HOUSES, WELLSOBSERVED, TREES, FENCESOBJ,CTS ETC
SHOVvN ON TBS DOCUMENT.I HAVE PERSONALLY
MEgS0:11HE a# CE.SE;FORTH ON THIS DI M.
---
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od SIGNATURE DATE
Iron
Found /
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jest NR
`� -`a�!f' ` CappedLorsue taansgfr.
/ ' ......
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Minimum Lot Width. 50'
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Iron Rod
Minimum Setbacks
LI 1
Found Fmrtt 10'
Side 70'
,� ` Rear 15'
o Iron Rod
Found
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' Op• L Boundary information shown hereon was compiled from Map
0 .
Adjoiners • References l-Tend an actual field survey conducted on June 3,
Chain Link ., - 2019.
_ PPLd PropertyFence G - /ARS a th Found �_ - 2. North orientation and learrngbase permagnetic 2014.
-` 18,812s sq.& (Held) • 3 Warren Count tar parcel 309.6-140.
Lands Now or Formerlyof / I = ` _
I �r 4. The location afhmdergroundimprovements ormaoadhmenG4.ifany
Lands Now or Formerly of Ills. / exist ores shown hereon.are not certified There may be other
Albrecht Men. Group I Proposed ls,, underground uti6tie,the existence of which are unknown.Size
7kac&a I' Concrete / and location of all underground utih'tiesmust be vedBed by the
y Book 3684 Page 315 /4' Foundation / appropriate authorities The UndergroundFadlitiesProtective
Book 3829 Pogo 315 508.6-1-60 / Organization must be notified prior to conducting test borings
�•/ excavation and construction
$09.6-1-65 k "si I
2,0 . I 5. This survey was prepared without hhe benefit of an up to date
/FV / l abstract of tide.
,y
L; ,i' IIProp. I f 6. Reproduction or copying of this document may be a via/thon of
/�7 Areac1 �N h copyright law unlesspennission of the author and/or copyright
/ I holder is obtained.
/ / r,P' - 7. A copy of this document without a proper appbcad'on of the
/ I - surveyors embossed embossed seal should be assumed to be an unauthorized
I / copy
I I Lands Now or Formerly of
I I Mpperd I
I I
I I Book 1212 Page 271 DEED REFERENCES.
�,�:. WAS / / 309.6-1-59 I. Conveyance to Albrecht Management Corp.by deed dated Decenher 14.- _-"adeFerkp I / 2004 filed in the Warren Count Clerks Offceon December 2...i 2008 in
_ / 1V78:347T'WI Book 3684 of Deeds atpage 315.
` ___50.09' Donald&Frances Murphy by deed dated September 24
J 1953 Ned in the Warren Count Clerks Office on November 9,1984 in
I Deeds Book 666 ofedsatpage 199.
•
I bon Rod • •--- 3. Conveyance to Donald L.&Frances E Murphy by deed dated October4
Found on Line 4.6 • - 1986,Sled in the Warren Count Clerks Office on October 4.1986th Book
I 1 -_. -- 685 of Deeds atpage79S
I lronRod
Found on Line
OWE armu�s xasa'o[enonor aa,hiw
1007-6-111 II
COMAS,_ -°^- Proposed Plot Plan
Lords Now or Formerly of I Lands Now or Formerly of, 7 Land Now^ Kli'of
Colombo o 3014 Patten Property Development,LLC
Om"PM
•..ewe nm
Macero AMROM013117 7VINOFQVTE656URY WARREN COMM NB,v r0Rz
Book 3911 Page 170 1.9 Book 1314 Page 296 or„ LGO Darrel)Land Surveyin.PLLC 140I6-2
309.6-1-20.1 _ rrora 1 ''`.m54plo M5hwcRwd Pedley,Nan,Y leas
row MOO*ver w.i•ew a vase DOOM 309.6-1-34 - - "' - ":�: Phone:(315)29846P1 MIST r ore
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