1999-545 • Certificate of Occupancy
Town of Queensbury
Warren County,New York
• Date March 8 , 20Q0
•
•
•:.: • •
99545
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a PW.STTWNTI 14 ADDITION
Location 4EttuRitiAycovRT_
•
Owner
YARZE -30-E—AND JANE,
By Order Town Board
TAX MAP NO. 46. -5-1
TOWN OF QUEENSB,UR
•
•
• Director of Building& Code Enforcement
.•
BUILDING PERMIT
VALUE $ 1 MOTOWN OF QUEENSBURY TAX MAP NO. 46 . -5-/ No. 99545
WARREN COUNTY, NEW YORK
COLLETTE CONSTRUCTION
PERMISSION is hereby granted to
1 FAIRWAY COURT
OWNER of property located at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a
RESIDENTIAL ADDITION
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. 0UfNESO E LANE
HUDSON FALLS, NY 12839
2. CONTRACTOR or BUILDERS Name
COLLETTE CONSTRUCTION
3. Cawaig.ZTQEVIDEKIDAMEAddress
HUDSON FALLS, NEW YORK 0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) RESIDENTIAL ADDITION
1 1 Wood Frame ( )Masonry ( )Steel ( 1
7. PLANS and Specifications
1220 SQ FT RESIDENTIAL ADDITION AND 2-CAR ATTACHED GARAGE
AS Th R PLOT PLAN SPECIFICATIONS
e PRESIDENTIAL ADDITION
131 September 2 2001
$ 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 day.)
September 1999
Dated at the Town of Queens ry this Day of 19
SIGNED BY for the Town of Queensbury
Building and°Zoning Inspector
b __ Build ng Permit Application .
Tow n of Queensbul y - Dept. of Community Development, 742 Bay Road, Queensbury, IVY 12804 [761-8256
BUILDING & . CODE ENFORCEMENT J
NOTIOE Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO.
beginning construction. No inspections
will be made until applicant has received Zoning Board Action PERMIT FEE PAID$ /3
a VALID BUILDING PERMIT. All Area /Use I
applicants` spaces on this application RECREATION FEE PAID
)$ `
MUST be completed and.the signature (j Planning Board Action 'N\
`s
of the applicant must appear on the REVIEWED BY:
lication form. n pct. SPR / Subdivision /Other Building Inspector
Recreation Fee Payment
Applicant: ( r) /407'� (�3 3-14, Tom. Owner: '.. ` l l° y ,-1ii e-_ °4 z.'
' Address: 'I FIQ.hrvr /, 14P 6'e Address: / I.Q ,y C-7-4
Phone # (sl_ )6 - 1.5 7'/7 5133 Phone # ( ) 7 jk - 32 l/
Property Location: // I_6'1Z w� Ctd •---
Subdivision Name: 1-! 4.,,,,,v bank Tax Map Number ---- --/� o
Section Block Tot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ `OO, Oe
, / residence / commercial
V Addition to Building:
(fesidencg/ commercial OCCUPANCY INFORMATION:
• Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size . Family Dwelling
Office
✓ Other Work (describe below) Mercantile
9A/2A5 A t1;M.) Manufacturing ,
Other
GROSS AREA OF PROPOSED STRUCTURE:
' If ADDITION, what will use
1st Floor j�a-v sq. of new addition be? :
2nd .Floor sq. ft.l
Other Floors sq. ft. 3/.
(not unfinished cellar az, or basemen ACCESSORY BUILDINGS•
�� lq Detached Garage 1, 2 car
TOTAL FLOC. I P-0 S• q , a� Attached Garage 1, CAW
AI Private Storage Buil•ing
SIZE OF NEW STRUCTURE: Commercial Storage Building
34
1 j Other
'7 FEET X 2 FEET
Foundation Type: PoJ, D C.43)r'se,z Will any second-hand or ungraded
' Number of Stories : / lumber be used? If so, for what?
(habitable space only) Ak,
Height (grade to ridge) : a•-y feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which asplies)
to be installed: Elecric / Oil / lay / Wood
orced Hot , '/ Baseboard / Other
Person responsible for supervision _of work as regards to building
codes is: /c eA! G//c/7 '3 �dS 6,,,u7 ��'J L,Ake 6,c
, me Addresss Phone
Builder: Cc, / P//
, P revu5 . :A,C 7(/2-3 133
Plumber: ,jAc4. 1--Ai)P► ) o/ V399
Mason: (pJ e77p
Electrician: acic ,RiAt ek. Ve.—tc,a/
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 scale, showing actual location of project on premises.
Signature: /1 tr'
(owner, owner's agent, architect, contracto 0
. ,
.... .
* ik
T1 tWN OF QUEENS 4, U , ,, Y ,
742 Bay Rd., Queensbury, NY 12804
. .4
. .
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
t - 3 i' rDP
r • C' C
Date ( - ti ,19 cn . Permit No. i --
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
y ''all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant Cmf././Tr. Cri,-;,t j";.c. APPLIANCE (check appropriate boxes)
.
Address 'em c r -:. r 7.,r•, 1:1 STOVE: o Wood o Coal o Pellet o Gas
- 0 FIREPLACE INSERT
• i .si.:-.4-, (::,,,v7,-,,:,-,,,,s, Zip i'Oter a FIREPLACE, FACTORY-BUILT:- i
, _... 0 Wood w Gas
Phone: (i.4,7., ,:',-;;;,,/ S-- — (/ ) V 1 & 3 0' F I REPLACE, MASONRY:
E3 Wood ID:Gas
.: Owner ,,I6r, q i i,,A,r, II ze - 0 FURNACE: 0 Wood El Gas 0 Oil -
.. .
:. Address it /4-/-7t,t,r,,,,,-•, c...t--, IF NON-MASONRY APPLIANCE:
. 1 . Manufacturer: • .
•,' (7",)i, ry:+.4,15(i.,,--1 Zip 1 -,p,,,c_ei_ .,, ,Model:
, .. .
, .
Phone -)9c.?
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction r-
1,?, „ r, . ....
, , •
IR MASONRY: 0 Block 0 Brick 0 Stone -
FLUE: [3 Tile o Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST ' 0 FACTORY-BUILT: 1 .
CONFORM TO NYS FIRE PREVENTION & Manufacturer: fipAt sCh,, Model: 6 00 0 t(.
BUILDING CODE. CONSULT AVAILABLE .Listed By: Number: '
TOWN TOWN OF QUEENSBURY HANDOUTS : , , 'E:1 DOuble Wall 0 Triple Wall .
REGARDING REQUIRED INSPECTIONS. • b Insulated :0' Direct Ventin5 .
, . 0 Chimney Liner
. Cashier's Department Town of Queensbury, New York
. Dept:Tire Marshal , , Amount Collected Amount Refunded
Code Number Title . .. .. t-s ,l
'-
A 173 3389 (190) Public Safety .
A 233 2655. (230) Minor Sales . •
t‘ .•
Fee Collected From or Refunded to: CA\.. {", 11.,_Q- Q..pyk -.,,0 t t ,- : u--,,. ,.. •
A:ddregsi ,
Dated: " ' ' A Town Clerk or Deputy: c,:\ , --VAde..Y...., '0 k,f-?.. '
\ .• .
White:Applicant Green: Fire Marshal Yellow: Bldg. Dept() Pink & Goldenrod: Cashier's Dept.
,..
, , . - , . •
TOWN t0 F QUEENS . "U "'Y
742 Bay Rd., Queensbury, NY 12804 `
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
r[ ,
Date �.5. k-..r�i; �c ,19 Ci Ck1 Permit No e\ ' 5`7 5
2
tiN
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 C r ,\\ :> Gmc,Nyodi -\,-,, APPLIANCE (check appropriate boxes)
AddressS c(0' Na ❑ STOVE: ❑Wood o Coal ❑ Pellet o Gas
z 0 FIREPLACE INSERT
.)--tA, ,; — tfc , I Zip / ❑ FIREPLACE, FACTORY-BUILT:
',,, _ „, ❑ Wood ❑ Gas
Phone L0 , 0 ,,)c .,1 .5 j l FIREPLACE, MASONRY:
❑ Wood cf Gas ; . •
Owner "' 't_°;C,. -4 -+. \\.Q_. c.-:'V 7 -. _ ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil.
Address \ c..x.,$ ,,i- - ,,,,, '_,,, IF NON-MASONRY APPLIANCE:
47 Manufacturer:
e Zip Model:
Phone P
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
1` = -- 0 MASONRY: J l Block 0 Brick 0 Stone
i . ( , h a ,. , FLUE: Tile {, F
e� t� ❑ Steel
\.. .. .... ,_ Size: A I�, inches ?, `.
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: . ' Number:
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall ❑Triple Wall ,,
REGARDING REQUIRED'INSPECTIONS. 0 Insulated 0 Direct Venting 4
0 Chimney Liner
N
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title 0 C>
A 173 3389 (190) Public Safety '
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: ,.., :, _`s ,. N-• i,._,� 9 _ . "
Address: , ,
Dated: „ --` r ,) , C:' ( i Town Clerk or Deputy . ( j t:,,,r�,,._. ._..---,
White: Applicant Green: Fire Marshal Yellow:Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
.
TOWN SF F QUEENS 1 1I P V
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUELI3URNING APPLIANCES AND CHIMNEYS -
Date _,.,.•.-1-)..)-t-k' k '-‘ k ,19 Permit No. . -54/ _.
APPLICATION IS HERE$Y 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.
. II
' Appliicantc . : c: "t ,Lo APPLIANCE (check appropriate boxes)
Address ""'---, S ,-c-A-,„,,\< S'ir _ 0 STOVE: ❑Wood ❑ Coal ❑ Pellet ❑ Gas �.,'
'" 0 FIREPLACE INSERT
._- .6,V;ty C-1 ' ‘.-,.-,:,�; ' Zip ) ;) `'Fy4.,5r7' ❑ FIREPLACE, FACTORY-BUILT:
❑ Wood ❑ Gas
�., Phone Lc r` ' j 5 f FIREPLACE, MASONRY: '
❑ Wood m G as ;
'Owner .. ,C. . ' 0,-\E._1 c: Nf _c ... 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil' „' 1
Address c- I, A. IF NON-MASONRY APPLIANCE: . •
Manufacturer: ,- -. 1
•:,- .
;. Zip Model:
Phone •
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed 'construction
❑ MASONRY: p Block b. Brick 0 Stone
Cv ( ,,a_ , "-4?.\ >Ii ' FLUE: i Tile .. 0 Steel,t,
_ Size: 13 ,e ' . "inches Steel,
�, r lit H
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: .. Model:
BUILDING CODE. CONSULT AVAILABLE Listed By; Number;.
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall 0 Triple Wall
• REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 'Direct Venting
0 Chimney Liner
Cashier's Department Town of Queensbury, New York .,•
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number . Title " ..' i
A 173 3389 (190) Public Safety t '"
A 233 2655 (230) Minor Sales
/,F
Nree-C-ol=lected From or Refunded to: C -,,,
Address: '
Dated: - :I."7 ,Cl cl Town Clerk or Deputy:' j"\ (,),,; ')!i.,.,z2.,_,r-' ,
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
------------------------
w t '
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury 9 �"% 1 5
Dept_ of Community Development Permit No. i J°�
RPCFRIPD Building &Codes Office
742 Bay Road Fee Paid $
OCTQueensbury, NY 12804 5 1999
Location of property for installation'' `` Ar41, c-� I, I,t1
i4
Property Owner's Name:
Property Owner's Mailing Address:
Installer's Name: F 7y- ,
C``� I i� �--65- 5-ts /Air . Phone # %el 7 V 5`l S3
•
- Number of bedrooms (if residential): Total daily flow: 6e
/ (residential - compute @ 150 gal./bdrm.) '
Topography: I,/flat, rolling, steep slope % of slope
Soil Nature: sand, loam, clay, other /depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: 4°/ not required, requi.r .ed [rate min. per inch
Domestic water supply: I/ mu-icipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSE) SYSTEM
Septic tank- j gallon (minimum size: 1,000 sal.)
Tile field: each trench 15 feet / Toni system Iength: 3 feet
Seepage pit(s): number of / size each: _ ft.by ft.
Size of stone to be used: # / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Alarm system and associated electrical work to be inspected by a certified agency.
For you inutection, 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 rr c i a
mstersl fact or circumstance known by or on behalf of an applicant, shAli 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.
Sim ature of responsible person: Date: /6' C—99
Collette Cc, ' -action, Inc.
Hudson Falls, NY 12839
38 Collette Lane
747-9451 or 747-5133 � �,
747-578I "I�' X __ .__nd... ._ _ _ _ _ to
_ __. �.. ,_ .�
OCT 0:5 199�
___________________7 ______________________.Iti1 L'413 s'' 'A' '1: 6PI
,4
r •a
_.,_
,_, t,
\ .....................*......-.***---...--*-* , . ,
�_..,......._.-® `l ►� e seen or observed, or believe I saw evidence of,
-,,w-�~. `�'"" All objects such as houses, wells,trees,fences,etc.,
shown on this document. I also represent that i have
personally measured the distances set forth on the diagram.'
3-0 61P-1A-& /6- C - 3 .
SIGNATURE DATE
3
D "'"
/ \
got
0- , ,� d
-------FY9 L' \ . t I L4
I
---7— -,,...‘4.&
x
,.Ip e p 't_:° fs t '3
.. --- -
_--._---- -- ,,`5s. „ 1160s-t
036-RECC-f06
FIRE MARSHAL
nut TOWN OF QUEENSBURY
j f : QUEENSBURY, NY 12804
{ (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME �q `rpl
LOCATION Fzuckka PsN CT. PERMIT# Cfl
SCHEDULE INSPECTION ON 3 — 3 — co
ItJ Ai, 'M
APPROVED
N/A YES NO
EXITS /
AISLE WIDTHS f
EXIT SIGNS , d
EMERGENCY 6GHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM r
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: f
CLEARANCE/10 SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY FACTORY BLT.
❑f3�iUGH-IN
FINAL Z (�tzlep
�1 4
REMARKS: I, G FiPz s:fil OK TO THIS DATE
41
INSPSLIP.PUB INSPECTO
RESIDENTIAL FINAL INSPECTION REPORT 1. 6.mr)
,_
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept.of Community Development Arrive m Depart ! ;c, e
Town of Queensbury Inspector's Ini .. v
742 Bay Road
Queensbury,New York 12804
•
C:2\1:::-A
NAME f-,e_ e - -7_ PERMIT L S 4$
LOCATION Vj„_ . sr 1.„..7 .t �' X. DATE A Y - 0 :)
TYPE OF STRUCTUR ,
E t7()\ —°e r,�
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof _ I
Roof Complete ✓f
Exterior Finish Complete V i
Interior/Exterior Railings 30"to 36" ,/f
Exterior Handrails,balconies,landing 18 in. or ore ,,./
Interior Handrails stairs both sides 3 or more ri r is t/
Grade 2%away from foundation ,s N.�{��v ate, �/�
8"clearance to sill plate � i� eP - ✓
Gas Valve shut-off exposed/regulator 18"a ve e
Gas Furnace shut-off within 30 feet or wi - line f site
Oil Furnace shut-off at entrance to furnace
Furnace/Hot Water Heater operating , ✓Relief Valve(s)installed _
Headroom,6 ft. 6 in. on stairs/- ./
Basement stairs,6 ft.4 in. 1
Handrail exterior stairs both sides more an 3 risers
Interior privacy/trim/doors/main entranc• 36" 17
Floor Finish
Bathroom/Kitchen watertight ✓
Interior Handrails Balconies/Landing 1: in. or more if
Railing across window in stairwells ;/
Smoke Detectors: /
every level _
every bedroom
outside every bedroom
inter connected /i,
Bathroom fans y.
Plumbing fixtures ,
Foundation insulation
3/4 hour fire door/door close r la/
Garage fireproofing ti//
Garage penetrations sealed / i Furnace in separate room protected(in garage)
Light ventilation per room 1 /?
Safety glazing 18"or less from floor , ‘/// "Ci-- •
Final Electrical
Site Plan/Variance required ;/,
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
' i Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy) /./
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME
LOCATION;_f I C‘A C t,V-A y PERMIT# 9115'TO .
SCHEDULE INSPECTION ON 17.--
I 4-31 AM
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS ir)
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SP INKLERS
CLEARANCE TO H TING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE El MASONRY Ei FACTORY BLT.
Li ROUGH-IN
El FINAL
REMARKS: Li OK TO THIS DATE
ariCriO ___
COr41.4104 tr Ckt 1,
Pt5 conne,c,--i-‘61--0.5 k
VApec3 4-0 be_ inck-ce!'
INSPSLIP PUB IN PECT
-FIRE MARSHAL
• TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED J AL ---30 G--�/'
NAME
��.� _\jpzr-�
LOC/T-40A( PERMIT#
SCHEDULE INSPECTION ON /�c� O �9
I �aoAM PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPR KLERS
CLEARANCE TO H ING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN yam'
❑FINAL �
REMARKS: t� TO THIS DATE
te.54 V12- (0
iefo C 1- of n t--
INSPSLIP.PUB IN PELT
\\,N
t
REPORT )011)1
GENERAL INSPECTION rON REPORT II'( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road a "%'
Queensbury,NY 12804 Arrive-° am/pm Depart \am/pm
Inspector's Initials Pry"
NAME:an--; CxY--k Z--t✓'J... _ PERMIT# 99 -5q_s •
LOCATION: 4 cc&\ x,:r-st -- A&_ _ DAIS : /�� -' o 99
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib, r
providing protection from reezin
for 48 hours following thi placem: t
of the egricrete.
Materials fo1 this purpose+n si •
Foundation/Walour _
Reinforcement in Place
Foundation/Dampproofi
i
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents 'n Place
Rough Plumbing •
Heating Rough-In
In ion �,
Foundation Walls Interior R- ji K �--e'v
Foundation Walls+Exterior R-
Floors R-
Walls R- l ✓ ,
Ceiling R-3
Duct work or piping in
unheated spaces R-
y'roper Vent, Attic Vent
Framing
J ck Studs/H aders trii/
racin ridgin 176,5
a � � �t llsl
✓Joist Mint, �'z-► i��;�1�it t� >�
Jack Posts/Main Beam 1./
Air Infiltration Barrier
Fire Separation 1, 2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
f I
A )
a
GENERAL INSPECTION REPORT
( 518 ) 761-8256 •
Town of Queensbury
Dept.of Community Development Date inspection request received: /&_p bj 9
Building& Code Enforcement I
742 Bay Road
Queensbury,NY 12804 Arrive"- )Sri„ - Depart:. 1'. 1‘-
Inspector's Initia_ ,
5
NAME: AR 2--62;:- PERMIT# ' — �-7 i
LOCATION 4 °n rz AM : MEM ° ! o d"
TYPE OF STR CTURE: a---...._
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place 1
The contractor is res.s nsible for ,
providing protection from freezi
for 48 hours followint the place ent
of the concrete.
Materials for this pu o,_ e site
Foundation/Wallpour
Reinforcement in Plac
Foundation/Damppro.fing
Backfill Approval
Plumbing Under Sla.:
Plumbing Vent/Vent. in Place
Rough Plumbing \�'� , „
Heating Rough-In
Insulation
Foundation Wal . Interior R-
Foundation Wal s Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
raining
/19
Jack Studs/Headers V _
Bracing/Bridging II-C- i t ��.\�S'C-�j � u� ``E..
Joist Hangers j� �, a15 ,
Jack Posts/Main Beam 1 \ts`3b�I�c`t.�
Air Infiltration Barrier C� l�3T `�-- �-� AMEP
Fire Separation I, 2, 3, hour • 1. ‘.-#*''S ‘F 1Nrrl,,
Penetration Sealed
Fire Wall 2. 3,4 hour —C-0$fie Lit V 'P 61c
Firestopping
- °C,' -'- '13Vo�e h vbrz, r`►rc-ovo
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury _/ l/�j�
Dept.of Community Development Date inspection request received: Qa
Building&Code Enforcement
742 Bay Road ��[(�� �
Queensbury,NY 12804 f! �Y`-Arrive am/pm Depart)I' m pm
Inspector's Initials
l!
NAME: e ' PERMIT# W67113
LOCATION: '/•t s r D /
TYPE OF STRUCTURE:
RECHECK 0 0
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ib)g for
providing protection fro n fyeezing
for 48 hours following t c placement
of the concrete.
Materials for this purpose 2/site
Foundation/Wallpour /
Reinforcement in Place /I
V+'/
Foundation/,Dampyjoot}ng I
yDackfill Approval I V
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exteri.oR-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent_
Framing
Jack Studs/Headers
B racing/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
30-1")
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement •
742 3'ay Road ��, ��
Queensbury,NY 12804 Arrive r d pm part ale �_ ..
spector's Lni ;0"--
NAME: 1.
eC LY z e_ PERMIT# . f S
LOCATION: ` 7 C a DATE : '
TYPE OF STRU T'URE: A /
RECHECK
N/A YES O COMMENTS
F ngs/Piers � I
Monolithic Pour Form
Reinforcement in Place -
The contractor is responsible for
providing protection from freezing
for 48 hours following the p>hcement
of the concrete.
Materials for this purpose on sital
Foundation/Wallpour a`
Reinforcement in Place
__.. _ Eoundation/Dampproo9g''. _ _ _ __ _
Backfill Approval�.
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walt Interior R-
Foundation Wa s 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 I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
• fl7fltyl�°
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement •
742 Bay Road
Queensbury,NY. 12804 Arrive am/pm Depart____dea pm
Inspector's Initial
NAME: �%r PERMIT#
LOCATION: DATE : / -Q -
TYPE OF STRUCTURE:
��� s `
RECHECK
N/A YES NO COMMENTS
Footings/Piers C 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/Wal 1pourl //I/
Reinforcement in Place
padation/Damppropfi ng
ackfill Approval
Plumbing Under Slab
• Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-Ini
Insulation 1
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
f
TOWN OF QUEENSBU
BUILDING & CODE ENFOR EMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name =Zilile_ f`Zee_ _
Location ig4 (/ `r _
Date P i t # q49-513
SOIL TYPE: San -Loa Clay-
Results of Percol io Test-
. (if applicable) ate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIEL : Tote E
Length V
Length of eaih rent 1
Depth of trend es----
Size of stone 4Fa.ITZ✓4'70✓<>
SEEPAGE PITS: umber-
Size - ft. x ft.
Stone size /
PIPING: Size Type 1
Bldg. to TA p .e
Tank to Dist , ,
. Box a q
Dist. Box to Field/P' 4
Openings Sealed? Yes No Partia '
LOCATION/SEPARATION .
Foundation to Tank /O feet
Foundation to Absorption Z C> feet
Separation of Pits feet
Conforms as per Plot Plan Aialp No
LOCATION OF SYSTEM ON PROPER
(circle a
Front `Rear Left Side - Right Side
Middle : Middle Rear
COMMENTS:
•
2)SYSTEM USE APPROVED: YES NO
Arrived:
Deeparrted. 77-4
Building inspector
, :11) 6d. ,
Ory ---,1
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road ��0
1 it
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM 'INSPECTION
Name 6e,\ (may 'Z-e
Location k cc,, ,y.t.,ucueeNikk
Date! S- Pe it R-S4 5
SOIL TYPE: San ,-Loa Clay-
Results of Percolation Test-
(if applicable) Rae-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: To al Length
Length of each tr'nch \
Depth of trenches
Size of stone
I
SEEPAGE PITS: '„Numner-/
Size - f+. tx 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 PI* Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear x \
COMMENTS: �.
-- —z4--\(c-, \l -T-0,,,1i O„,,,f
ru,,,,i ,,,,,,,,i- /A-ic.,&-/--M#R5
1.— wF r 1 ivc_c� UcTCt C_606g-5
C 2 /Z cK
. gySYSTEM USE APPROVED: YES
Arrived:
Departed: /7
Building Inspector
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name et1/1022-6
Location 1'Aftgtu4- Cr '
Date to [5--1c1 Permit Ir-261,-579-645
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: p
ABSORPTION FIELD: Vôtal , Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: 'Nulber-'
Size - ftrX ft.
Stone size
PIPING: II Size Type
Bldg. to Tank // 114 ; 42 ro
Tank to Dist. BOx
Dist. Box to Field/P' ..
Openings Sealed? 110 No Partial
LOCATION/SEPARATION
Foundation to Tank feet
/(1 feet
Foundation to Absorption
Separation of Pits fe
Conforms as per Plot Plan Yes
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
4c2)01-TY6d
fe.2
6-6 6Iocr9-770
SYSTEM USE APPROVED: YES 0
Arrived:
Departed:
Building Inspector
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement ' I
742 Bay Road r *,
Queensbury,NY 12804 Arrive am/pm Depart `` 1)ri/pm
Inspector's Initials q.,1 Q
pp
NAMES 3 PERMIT# C\O 5L t
LOCATION: \ C„ (let OVA" DATE : � --a, � 1
TYPE OF STRUCTURE:`
RECHECK
N/A YESO COMMENTS
mgs/Piers I v I I
Monolithic Pour Form
Reinforcement in Place ad• —4 4
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/Wal`lpour
Reinforcement in Place
Foundation/Dai:npproofi ng_
Backfill Approval
Plumbing UndcySlab
PlumbingVent/' ents in Place
Rough Plumbing
Heating Rough-Ink
Insulation
Foundation Wall Interior R-
Foundation Wall 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 Scaled
Fire Wall 2, 3,4 hour
Firestopping
•
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road0
Queensbury,NY 12804 Arrive am/pm Depart` < m
Inspector's Initials [�
NAME: j Z& PERMIT#
LOCATION: gi9l40A-91 DATE : `t//571 7
TYPE OF STRUCTURE:
RECHECK
N/A YES,NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place /�✓ 'YE
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 -
Rein forcement_i n-=Pkipe
Foundation/Damppreofing
Backfill Approval
Plumbing Under Sdlab
Plumbing Vent/V,ents 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, I,2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 1\-5-
�v
Panel Board No ry^ Cert. NE) 66492 Cut-in Card No. 1
Dwner ti/ v 2 )'4 g z e
Location / f/97 G e 77
Installation Consisting of t sSIAj c re AC f/ >�� 6j 7�
5'' 0Lice:ji4M /- 2A 8.. '�3
/V tii2L PSG rt6
Installed By...A.®( .2 /C 6'2 Q-C..--/ Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
:ancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
ntroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
•ules are violated,the Company shall have the right to •e ke tv ificate.
Date 2"ZS-o& INSPECTOR � I •
LOT 3
O / LOT 2
'2154
30
Q
N25 7 8
LOT 1
LOT 8 I 38,454. sq. ft. �W
0.86 acres
1 j OUSE cc)
a�
BLACKTOP IVE V,
of
2 40• WIDE DRAINAGE EASEMENT
\ »'5.00 - AUG 2 7 1999
Roc �j/j' >1�30
EtUG�Djf AND C�i�F-
ROA
MAP OF A SURVEY MADE FOR
COLLETTE CONS i I witJL.,
TOWN OF QUEENSBURY COUNTY OF WARREN N. Y.
SCALE , 1"=50' DATE APRIL 13, 1994
VanDusen & S-teves
LAND SURVEYORS, GLENS'; FALLS, NEW YORK
N.Y. STATE LIC. NO. 35617