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2001-485 ..010% TOWN OF QUEENSBURY WOO742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010485 Date Issued: Thursday, December 08, 2005 This is to certify that work requested to be done as shown by Permit Number P20010485 has been completed. Tax Map Number: 523400-296-005-0001-014-000-0000 Location: 7 BIRDSALL Rd Owner: GUIDO PASSARELLI Applicant: GUIDO PASSARELLI This structure may be occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the 4 property owner of the responsibility for compliance with Site Plan, yk"". Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY `or 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010485 Application Number: A20010485 Tax Map No: 523400-296-005-0001-014-000-0000 Permission is hereby granted to: GUIDO PASSARELLLI For property located at: ROUND POND Rd in the Town of Queensbury, to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: GUIDO PASSARELLLI Fireplace 465 LAKE Ave Garage-2 Cars Attached LAKE LUZERNE,NY 12846 Single Family Dwelling 190,000.00 Total Value 190,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans & Specifications 2001-485 2,280 SQ FT SINGLE FAMLIY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $322.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,January 24,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To n of eens ry; Th r.day,January 24,2002 SIGNED BY for the Town of Queensbury. Director of Building& Code i nforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518) 761-8256 A permit must be obtained before beginning construction. Permit File No. , No inspection will be made until applicant has received a Pee Paid _ _ valid building permit. All applicants' spaces on this Rec. I:cc Paid jr application must be completed and must appear on the Reviewed B application form. Applicant: 'r"Gy✓cr. PiaJC6T; Owner: / Address: �� /`ljc,,/ e Cr,/ 2i b y i Address: /V Phone# ( 7</,r,5y2 / f Phone# - Property Location: Lot Number: 7 / House Number / Subdivision Name: rgp V n ci yl Tax Map Number: ' 7-3-7 ae-ems rti�N-ew Building: esidence commercial Estimated Market Value of Construction: $ /7'D D 0 0 ❑ Addition: residence/ commercial If an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe ,) Check Occupancylnformation 1° Floor 2"Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling / _?0© gTP j, () ❑ Two family dwelling o Townhouse o Multifamily dwelling #of units ❑ Office o Mercantile ❑ Manufacturing ❑ I car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage vv."2 car attached garage /7/ 1*/ ❑ 3 car attached garage ❑ Storage building- commcrcial ❑ Storage building- residential ❑ Other Will any second-hand or ungraded lumber be used? If so, for what? -- Type of Heating System: electric/ oil / as wood / reed hot at / baseboard/other: Number of Fireplaces to be installed / Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder /4/ir , 4a/4iprr 74/ = 5'd / Plumber ,' „de-V (ugly - 37'1 7 Mason Red- Tip Go - 9510 / Electrician Russ ?h o via GG r—‘'a36 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,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Surrey by a licensed surveyor;drawn to scale,showing actual location of all new construction. ��' Signature: A—i�%� %/,y�'1 _ owner,owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: Apr 7 Room f a n a4 Rd, j File Permit No. C)--erb/'49 Tax Map No. _(al/ / 7 • Fee Paid Owner's Name: Terre- navocsYI Address: $'a ///coLG Dr, Qcsbtj, 2. INSTALLER'S NAME : /f 1{je, fle YY/(66 e q PHONE NO. 79 -4377 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present �j/ x 110 gal/bdrm = 4/4/a Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat an. at what depth at what depth munici a 'o in: oam feet feet we eep s ope clay if well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. 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). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: Ji-260gallon (min. size 1,000 gal.) Tile Field: each trench 0 7 ft. Total System Length: 1019 ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) 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. e 07--;f411 O /c2cd,0/ Signature responsible person te (7 -')/-105 • PIE'tGY CODE COMPLIANCE APPLICATION ' OWr1 OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS • Compliance Metho,ls : PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) • PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* Design by Component Performance • Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME : PROPERTY LOCATION: Terre. /`1 6T�. rn�L_ 1,07 7 T?i ©vnci Pa nci PAR ' 3 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floo : 1re - oZ 2(d square feet 2 . Type of He It: - Electric Oil Gas Other 3 . Is building mechanidally cooled? VYes No 4 . Percentage of a:ea of windows and doors Over 17% VUnder 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R 3o b . Exterior walls R /g c . Gla',:ed areas R 4,3 d . Exterior do >rs R ,i , y e . Floors over unheated spaces R lc/ f . Edge of slab on grade (heated building) R --- g . Basement/cellar walls (above grade) R h . Basement/cellar walls (below grade) R i H, ating/ccoling-ducts-piping in unheated space R y, 6 . Service (domestic) hot water heating device ./ Conforms to minimum efficiency per code V Yes No • TEMP'E ATURE CONTROL MAXIMUM SETTING 140° WILL NOT BE EXCEEDED Apo?_ca-it ' s i na re D to Phone Number 6 /LO/ 7q -r y,2/ INSPECTOR' S REMARKS Fire Marshal's Office Town of Qucensburv, 742 Bay Road,Quccnshurv, (5I8) 761-3205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date s r 20 ,r Permit No. .. e:S 7. Application is hereby mule to the 13ttilding& Codes Office for the issuance of a Building and Use Permit pursuant to the Neiv 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. NOTE to applicant: Rough-in and Final are Inspections required. P Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: y y. sr, 2. �� Stove: wood coal pellet gas 11 Fireplace insert Address: yG4 D v r 41 1'pshee;ftor =b wood atop ! T"Zr Diaccyma any. wood gas Furnace: wood gas oil Phone: 74' 5-.'/ / If non-masonary applicance, please provide Owner: • Manufacturer Name: A Address: `` Model Number: / = Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel ) size: ,e� inches Exact Address: 7 It 7 ,l ^ ,id "o‘f construction or installation factory-Built Manufacturer name: ez. rt x Model Number: Note: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbur-t Handouts regarding required inspections. Double wall i Triple wall l Insulated / Direct venting Cltimner Liner Aalcaler'rst nepsrtmearit—g'oysr-nt of Queemusbzzzy, New Yor"r r 4, . Fire alarslwl Code# S Collected S Refunded Received from (refunded to A t ,,- r } . address: .4 173 3389 (190) Public Safety s .4 233 2655 (230)Minor Sales " 64.,r,a wt0 - rL V(�NG 02 YJyt White(Applicant) Green(Fire Marshal) Yellow(Bldg. Dept.) Pink& Goldenrod(Cashier's Dept.) W. Queensbury Building & Code Enforcement - Re 'a e tia ' al Inspection Office No.(518)761-8256 Arrive: am/p , y. .art: a m Date Inspection request received: 1 _ Inspector's Initi.Is: _ . ✓ NAME: P , �c ckc e.\ P RMIT#: cpCC-)t - t-i u 5 LOCATION: 7 iJ;�)`,0 �� i a.— - C-. TYPE OF STRUCTURE: S` �r /ATE: Comments ,i No N/A Building Number/Address visible from road /� Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete (/// 'h� � Platform at all exterior doors J Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more aa ll Guard at deck,porches 36 inches or more ✓ ) T uL;e,c_AAN Handrail Termination at Newell Post or Wall I Interior/Exterior Railings 34 inches to 38 inches 1.1. / Z Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate —`^ Gas Valve shut-off exposed/regulator 18 inches above grade 1 �v (,,,,,ikInterior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertightJ Safety glazing/Window in stairwells safety glazing J )j P,i Interior Smoke D ectors: �\ �` �' '" Every level: Every Bedro Outside every bedroom ea: j / Inter Connected: Battery backup: ✓ Carbon Monoxide Detector J Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents ✓ Bathroom Fans,if no window Plumbing fixtures ✓ Foundation insulation ✓ Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site iJOil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating J Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 'Jr Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum Basement stairs closed rise>4 inchesGarage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical . i Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required ' i , Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc VIP. Queensbury Building & Code Enforcement - R- - de ti. al Inspection Office No. (518)761-8256 Arrive: am/. . D. rt: 2,Lio pm Date Inspection request received: Inspector's I i '• . c'� -" NAME: �V' � v P P'RMIT#: 4 �� 5 LOCATION: 1 •.,cc-- V iATE: 1 1 (p .o t) TYPE OF STRUCTURE: Comments VLiN/A Chimney Ht./"B"Vent/Direct Vent Location _ Fresh Air Intake J 6 3 inch Plumb Vent through roof minimum 6" VI `A ^ Roof Complete/Exterior Finish Complete (�` q Ye r Guard 30 in.or more(a�stairs,decks,patios Guard at stairwell at 34 in.or more J Guard at deck,porches 36 in.or more / . - .._ .S_Qty.\..e.c1 �� ,y Exterior Finish Complete f �Y 71r Interior/Exterior Railings 34 in.to 38 in. f /� Platform at all exterior doors / C-Q_ Y ° " ��j, Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum 1/2" / Gypsum J �/ N�\'Grade away from foundation 6 in.with 10 ft. , 6 ALj Handrail Termination at Newell Post or Wall 1S?b 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade ✓ 0 .ViN`_ 10..-.���Gas Furnace shut-off within 30 ft.or within line of site / FL . Oil Furnace shut-off at entrance to furnace area ,( -�- Furnace/Hot Water Heater operating / . / Low water shut-off boiler �/ Relief Valve(s)installed/Heat Trap/Water Temp 110 0 F‘ S_0? ‘). H\P-A_VO0 L.-- Interior privacy/trim/doors/main entrance 36 in. I TO 2J 1—? uourr'tt Bathroom/Kitchen watertight I Safety glazing/Wind w in stairwells safety gi. ing Q V--,'(\L V`� \% Interior Smoke Det tors: Every level: / eryBedy6om: ✓ �` C\��� Outside every bedroom ea: ,/ .1— ` 6P6 Inter Connected: / Battery backup: Carbon Monoxide Detector r�F Bathroom Fans,if.no window \ \k-A Q Plumbing fixtures .k/i c�A� Foundation insulation „� W �-� 6. Floor truss,draft stopping finished basement 1,000 sf / tiV--A. '�cst: Emergency egress below grade Basement stairs closed rise>4 inches t Garage Floor PitchedC2. - 4 Garage fireproofing!4 hour fire door/door closer / Duct work Sealed properly V Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents Building No./Address visible from road 4C(' Final Electrical /Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/0 [Temporary/Permanent] L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 RESIDENTIAL FINAL INSPECTION REPORT ° \ Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement i y Town of Queensbury tDevelopment Arrive +r ' : Depart tor's Initial -�y�` 742 Bay Road Queensbury,New York 12804 r d NAME �_.-3 c)C C�' �..'( �1 PERMIT# � f_ / LOCATION So X\ (C DATE . ri / � �� I t1 / TYPE OF STRUC 'U G���m(� { N/A YES NO COMMENTS t1 Chimney HeightP'B"Vent/Direct Vent Location � 0 C.t✓�O 0Fresh Air Intake �// "` �i����� Plumb Vent through roof J' '%3 tj "1 J Roof Complete ili J Exterior Finish Complete Interior/Exterior Railings 30"to 36" Vi V Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers 4" (i\V-. ,C. �13 r 9. D c_10 Q Grade 2%away from foundation t,;,»°'C- .� 8"clearance to sill plate (.c)%s Ills 17 Gas Valve shut-off exposed/regulator 18"above grade t/ Gas Furnace shut-off within 30 feet or within line of site ; Oil Furnace shut-off at entrance to furnace area i/ / Fumace/Hot Water Heater operating 1/4/ Relief Valve(s)installed / Headroom,6 ft.6 in.on stairs a// Basement stairs,6 ft.4 in. ✓/ Handrail exterior stairs both sides more than 3 risers ✓ / Interior privacy/trim/doors/main entrance 36" / V '3wc1/4 %-r1- ��(Z tk c)vOR V�j Floor Finish �// Bathroom/Kitchen watertight , ` ✓ Interior Handrails Balconies/Landing 18 in.or more J Railing across window in stairwells r Smoke Detectors: ‘/ every level V every bedroom ,✓ outside every bedroom inter connected V, Bathroom fans Plumbing fixtures Foundation insulation > �c � U -— `4_, ; FCC _ 1 3A hour fire door/door closer '-J= ET '`l Garage fireproofing ,1 , �y Garage penetrations sealed 1/ Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor ✓ O� E.�Q_ g- ot-r- Final Electrical �� 1� Site Plan/Variance required a/ V c)UGAL.e'T pv ket�� 1 ►N'�Final Survey Plot Plan / FP-QWi i iZhv0 E la: OC'�+ o/ 'It= T1,tN . As Built Septic System layout required tJ V) EIS t �� Okay to issue C/C(Certif.of Compliance) / � �1�F ^�,�j Okay to issue temp.C/O(Certif.of Occupancy) / wwJ Okay to issue permanent C/O(Certif.of Occupancy) ��// � +� a i2�EC �t`v 1 1,a cr t� 43 r Ee-L L..0 w: S To m_bO t2 1 LING T'rJ o(k a .Ar, `j `V C.-tSMPLETE. FLoav_ o '1-i D G%o (a V-E- Pf 1P- INt_L f-t_bOiZ ---4--v-1- Nc.T'C ) 6 V'i.AN—ks e_ Tale 09.27-'tw t-CC,AT101,- TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 100 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT (hotel, motel, apt. complex) DATE INSPECTION REQUEST RECEIVED: Ld/Z 3/0 Z NAME Fasa re_( (1 �J LOCATION LA -7 e11 &kd/ /of Ri ti scl � DATE �.3� LL PERMIT A z �1 , y � TYPE OF STRUCTURE FOOTINGS BACKFILL FRAMING PLUMBING INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION `'� INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION \\ FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL _ SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN, IF REO OK TO ISSUE C/O OR C/C I - - TOWN OF QUEENSBURY 1UILDING_bCODE ENFORCEMENT 742 Bay Road Queens bury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name VA/14, v--- Location r_a-f —j R �.�c> Q�sn Date -7 21,--07_Permi t # 2_,c:vc—LAW SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length ; Length of each trench cAC' Depth of trenches 3% Size of stone )_ SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size ype Bldg. to Tank " i7 L `fi Tank to Dist. Box VIC_ Dist. Box to Field/ ' "k, Z L Openings Sealed? 410 No Partial LOCATION/SEPARATION• Foundation to Tank -{- feet Foundation to Absorp .n 7,; feet Separation of Pits _ et Conforms as per Plot •Tan Ye o LOCATION OF SYSTEM ON PROP (circle one) Fr Left Site - Right Side Middle F Middle R-ar COMMENTS: tc -\ \- E `- C v b LC C V\ SYSTEM USE APPR' ' ► • YES Arri • . : am��,_ D- rted Ai• b / fir •/ ilding Iirp_ t;r . 41 0 cz° _ .Y\._ ...5 r ". * \ , . o iJf1 _ ic5S \, i NL1 Hi I / �S` BUILDING C S PT. �� - / \��,�P'( 1 `\ C REVIEWED B ',• oR \/1 1 1' \ a�l �' 4 1 ' ,� \ 1 ) 7 / \ 100 • - ) _---. , , C i A\ . —........ 71,, ,. , — ,N . , • ) 1 • -- v c,i, . \ '0� J I7- // /� / N \N \1— G —� ./ / / / � LEGEND AM .....\ _.....-\—. ,.__ — , _ ,/--- / / "I have seen or observed, or believe I saw evidence of, i o �� all ub}e, .�-, such as houses, yells, trees, fences, etc., D� PI ,� show! C this i 1ai l'1�� .,so rE r ,'.nt that ha ve— —4+2N/IIIINP-- (� ,...,,,, ,,/I/,,,`irr,,en.',,e.. �j!yl�y . ;.,.R:r ...lagr'ar�.r/ /. / f 7 N SIGNATURE DATE / 10 410 al.-L.,' TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name AssaKel/ii Locati onJ/7 ArvA., /ed , Date .2S_ Permit # d)p/- 4/2y SOIL TYPE: . Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone 4111. SEEPAGE PITS: Numbe Size - ft. 4 ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pii Openings Sealed? Ye. No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorptio feet Separation of Pits feet _ Conforms as per Plot P1 . Yes No LOCATION OF SYSTEM ON PRIPERTY: c.: c one) Fron Rear - Left Side - Right Side 'idle Front - Middle ReaL COMMENT f 1 f�DG`) 2 SD / 2' CXPPS�' etc ,7- dA)Pt-7 f DLtFT CovC-S 0,4/ T /0/< —L 7i12 rQ‘__,flcK SYSTEM USE APPROVED: YES NO Arrived: Departed: 70 -74; ifil- Building Inspector Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: — Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE a (518) 761-8256 Inspector's Initif NAME: PERMIT# �( — LOCATION: INSPECT ON(date): _ TYPE OF STRUCTURE: . \D RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo sible for providing protection o .freezing for 48 hours follow' g t,e placement of the concrete. Materials for this purppse on site_ Foundation/W allpour Reinforcement in Plac. Foundation/Damppro, mg___ Backfill Approval Plumbing Under .b_ Plumbing Vent/ ents in 'lace _ _ Rough Plumbing_u Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior "- _ Floors R- Walls R- Ceiling R- T _ 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 .ire Separation 1,2, 3,hour__ /Penetration Sealed ire Wal12,3,4 hour / �—L `�? CULL:; .V C-=' VFirestopping —� V L:\SueHemingway\Building.Codes.inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use 7 GENERAL INSPECTION REPORT Inspector: Town1Queensbuiy ®'( ) Ready at time Pin Dept. Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE 3.5 „ 0 am 4111111, otes: (518) 761-8256 Inspector's Initia NAME: _ PERMIT# 2 I — -4/ w 5 LOCATION: -N ra S NA\ F, . - ",ern INSPECT ON(date): 3 3/ -Q L TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 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/W allpour Reinforcement in PlaceIll Foundati on/D ampproofing Backfill Approval 1111111 Plumbing Under Slab Plumbing Vent/Vents in Place _ _— Rough IIIII He ng Rough-gin ulation _NYA Foundation Walls Interior R- -M - Foundation Walls Exterior R- Floors R- lip, Walls R- lei' Ceiling R- _3:2__ 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 - L:\SueHemingway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Off 2_ \��g��\d�� Use GENERAL INSPECTION REPORT Inspect r: Read t time:,i117 Town of Queensbury /7,.G e Dept. of Community Development Request received: )-------. Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE k1 a /p • t1 -,5�a p , I ' .s: L________ ___________ (518) 761-8256 Inspector's Init NAME: PERMIT# 2_0 LOCATION: 1 1 Z INSPECT ON(date): , --- Je �� TYPE OF STRUCTURE. A /6 RECHECK C_A Ai it— N/A YES NO COMMENTS Footings/Piers / V'� 5 Monolithic Pour Form Gel/1 Reinforcement in Place 4,-)"'--- The contractor is responsible for j0Ae �.3 T`" providing protection from freezing G i,.e for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/W allpour (----\\. Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place eating Rough-In �� Insulation 6 Foundation Walls Interior R- \ Foundation Walls Exterior R- ,=' t ,....c0 Floors R- 0 Walls R- . \ik Ceiling R- ____ Duct work or piping in unheated spaces R- Proper Vent,Attic Vent (Friiisa)_ / Jack Studs/Headers �Q Bracing/Bridging �' Joist Hangers Jack Posts/Main Beam ‘° 61 ROD —`-‘,,,D Air Infiltration Barrier �\`�� �4� C� � Fire Separation 1,2, 3,hour n��� LAM ��—a QEAtA Oit - �etration S.e.aled� i Ma i 1 ��� 112,3,4 hour \O\'L� �,\A _ Firestoppui � _ __\\� —,,— c — VD \IIRV.,N\Z- i^iAU .-i L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL.INSPECTION REPORT.doc �� I�� �i�� 3 \ \ 'W-c--\-- GENERAL INSPECTION REPORT ( 518 ) 761-8256 \lc),‘ ,_5 Town of Queensbury Dept.of Community Development Date inspection request received: 1 c's,oDWV\ Building& Code Enforcement dam/.742 BayRoad Queensbury,NY 12804 Arrive e 4, riliP Depart2 a i it ; spector's Initial NAME: PPI ,4j A F LL.( PERMIT# . c%l-- { 5-- LOCATION: DATE : a I lib-C)Z._ TYPE OF STRUCTURE: P D ‘,.1} 7 C.R R Cr"R A mF RECHECK N/A YES NO COMMENTS Footings/Piers I I T-R 0 b3 �0 i A6P- 1N 10 O 7 Monolithic Pour Form Reinforcement in Place TO D pA ti t V3 b ` v3 _ t tJ 0605E The contractor is responsible for �\ `� �� ,c providing protection from freezing t \ --.) for 48 hours following the placement V ‘ E \-\p t5 oC p,\bt W b3 RN_ ` c of the concrete. \-- ►T C b3 1J14 b 6-` (-VA' Materials for this purpose on site \ L Foundation/Wallpour \�E C� t3 �o M Reinforcement in Place No�F 1C LEST aF Foundation/Dampproofing 1>\ti �V 1\ >M I E_� Backfill Approval ` -0 �y�� � Plumbing Under Slab Plumbing Vent/Vents in Place %�� vfl? 6� �� t C-Q Rough Plumbing \ F1,0o V 0 01,k 'dv p V t D ?_- l3\to b Heating Rough-In 1‘15-N-fl�t-- -,- Insulation M L E �F vzBA-_-_, tom, Foundation Walls Interior R- '>]V` R C-Cr \ Q,�� Foundation Walls Exterior R- �• Floors R- F 1� :.1j� g--t5 vJ.A u-5 Walls R- C..E t\A Ceiling R- ��$ v�. � Duct work or piping in O \ � C -cb? unheated spaces R- P�'fl�E �— Proper Vent,Attic Vent y- ���� F \ �� Framing `; �I,D otJL Jack Studs/Headers4P° 0 \P-�'J\ Q �} �O\- tJ .A Bracing/Bridging / 1A Vic., - Joist Hangers :/z_vt6 V Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour / Penetration Sealed ,/ Fire Wall 2,3,4 hour Firestopping (9 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 'f m Depart 41,_41111.,,,,I, rn I Inspector's Initia OP NAME: ` PERMIT#— II I — 14' �j LOCATION: crx--\() DATE : � TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1-7-1 Monolithic Pour Form Reinforcement in Plac: The contractor is re •.nsible •r providing protection om fr•-.'ng for 48 hours followin_ he pla ent of the concrete. Materials for this purpose o site Foundation/Wallpour Reinfo ment in Place Fo tion/Dampproofing ackfill Approval Plumbing Under Slab Plumbing Vent/Vents m 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 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: /SA) �---- Building&Code Enforcement 742 Bay Road r` Queensbury,NY 12804 Ar •e am/pm Depart �j Inspec or's Initially—' U` NAME: ,. /u :� ✓ 4eLEA: 1T# LOCATION: TYPE OF STRUC 1/2.,K RECHECK i7-5/;e6-4-61,r(41: N/A YE COMMENTS tin ers I Monolithic Pour Fo Reinforcement in P ace "aj"-,i The contractor is responsible for providing prot- on from freezing for 48 hours folio 'ng the placement of the concrete. 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