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2001-822 TOWN OF QUEENSBURY 2 B Road ueensbu NY 12804-5902 518 761-8201 WOO 74 aY ,Q n', ) Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010822 Date Issued: Wednesday, March 13, 2002 This is to certify that work requested to be done as shown by Permit Number P20010822 has been completed. Tax Map Number: 523400-289-014-0001-030-001-0000 Location: 74 FITZGERALD Rd Owner: MICHAEL O'CONNOR II Applicant: MICHAEL O'CONNOR II This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace 4 / Director of Building&Code Enforcement TOWN OF QUEENSBURY coo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010822 Application Number: A20010822 Tax Map No: 523400-289-014-0001-030-001-0000 Permission is hereby granted to: MICHAEL O'CONNOR II For property located at: 74 FITZGERALD 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: MICHAEL O'CONNOR II Single Family Dwelling 170,000.00 HEATHER HOGAN Garage-2 Cars Attached 13 PIONEER Pt Fireplace QUEENSBURY,NY 12804 Total Value 170,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency CERRONE BUILDERS COMMONWEALTH ELECTRICAL A( 66 SUNSET TRAIL PO BOX 706 OUEENSBURY,NY HAGUE,NY Plans & Specifications 2001-822 2432 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $354.24 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,November 07,2002 (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 f Quee bury; W•dnesday,November 07,2001 ` for the Town of Queensbury. BY �� Q urY. Director of Buildin' &Co', Enforcement 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.C�, 4., No inspection will be made until applicant has received a Fee Paid . , '4'69',► valid building permit. All applicants' spaces on this Rec. Fee Paid application must be completed and must appear on the Reviewed By:, Air application form. Applicant: ,i,.f _ Owner: f/ air Address: / ' - ; i j, Address: �✓ Phone# Phone# Et) 2 2001 Q%-crn 7 e€,A3 TDWN OF/1 Property Location: Lot Number: / House Number / BUI SBUJZY Subdivision Name: Tax Map Number: — DE /New Building: residence /commercial Estimated Market Value of Construction: $ `74�L' ❑ Addition: re / 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 OccupancyInformation 151 Floor 2"Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling Z/b /7/44, I 2)4/32 ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage W' 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure Zr feet inches Will any second-hand or ungraded lumber be used? If so, for what? /l/2, Type of Heating System: electric/ oil gas wood /forced hot air/ 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 ��i2azG e 7 j��' 7,d 6 Plumber , ' 7fi-�S f Mason �c. Aeet 7 = 11W Electrician ,5-4 /2.1 7"f- 7!2 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 Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature: owner,owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Oueensbury 742 Bay Road Oueensburv,NY 12804 (518) 761-8256 1. OWNER INFORMATION: j Office Use Location of installation: 7Z?e,,c, File Permit No. Tax Map No. 1I / / 1^ �1 / Fee Paid Owner's Name: /�/ p.B Address: /4/J) 2. INSTALLER'S NAME : PHONE NO. 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 al/bdrm = 1991 —present y x 110 gal/bdrm = ��la Garbage Grinder Installed yes / no RECEIVED Spa or Whirlpool Installed yes / no NOV 0 2 2001 4. PARCEL INFORMATION: (circle applicable information&indicate measureme' IN OF QUEENSBURY BUILDING AND CODE •.•raphy Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply at at what depth at what depth municipal '• ing loa feet feet Steep slope c ay , water supply slope other from any septic-system depth: absorption is lrf)ft. other Percolation Test: (To he 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: AID gallon (min. size 1,000 gal.) Tile Field: each trench 522 ft. Total System Length: ZS Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: z 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. y��"�'• ^�' ignature of responsible person Date 40460 ENERGY CODE COMPLIANCE APPLICATION • TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 3� 1&2 Family Dwellings (only) ',r . 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: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - square feet L-r 2 . Type of Heat - Electric Oil . Other 3 . Is building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Over 17% y Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R c. Glazed areas R • d. Exterior doors R Ii e. Floors over unheated spaces R -- f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R 'J h. Basement/cellar walls (below grade) R / 1 i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device / Conforms to. minimum efficiency per code �/ Yes No TEvPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Ap/ntgignature Dat 4 PhoneJumbe INSPECTOR' S REMARKS : rue iviarsnat s knuce luwn mi.tlueeuauury, I'fL nay r niu,t[UetUJUUry,IN I (5181 761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel &vented gas appliances Date 7 ' , 20 6 j Permit No.0 J ""83 ,/ Application is hereby made to the Building&Codes Office 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. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information / (circle appropriate words) Name: eezeoiie ,4/,/ . Stove: wood coal pellet gas / Fireplace insert Address: 11 re !l Fireplace, factory-built: wood gas .e Fireplace, masonry: wood gas Furnace: wood gas oil Phone: 7f1" 7 o 6 If non-masonary applicance,please provide Owner: Manufacturer Name: Aer 74/4-- Address: Model Number: .19" Chimney Information Phone: (circle appropriate words) Masonry block brick stone �, � ProfFlue tile steel size: inches Exact Address: ! 5 ' - of construction or installatio Factory-Built Manufacturer name: Olier Model Number: ,, 1 Note: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall Insulated / Direct venting Chiney Liner ,finaxibulearomi.100exisasetarszearat T'owza of 4Pizetemtbizz.3r, 11Te r Yoram I t Fire Marshal Code# $Collected $Refunded Received from(refunded to): . % ( L t , l fee y _anC' C: address: A 173 3389 (12Q_. ull.Safety A 233 2655 (230)Minor Sales 1 c — Twri ct-uC i 7.. White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) ( 67-, 17i RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement >1 Dept.of Community Development Arrive am/pm Depar pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME 0` rQ'y 1-/ PERMIT# _ '&a.... LOCATION �—V vy ) R e DATE p TYPE OF STRUCTURE SW4 ) N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location v`/ Fresh Air Intake ✓ Plumb Vent through roof Roof Complete ' Exterior Finish Complete /1 / Interior/Exterior Railings 30"to 36" ✓ zExterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation / 8"clearance to sill plate ✓� Gas Valve shut-offexposed/regulator 18"above grade / Gas Furnace shut-off within 30 feet or within')ine of site / ✓ Oil Furnace shut-off at entrance to furnace arta / Furnace/Hot Water Heater operating t. ✓/ Relief Valve(s)installed Headroom,6 ft.6 in.on stairsi , Basement stairs,6 ft.4 in. ✓ Handrail exterior stairs both sides more than 3 'sers t/ Interior privacy/trim/doors/main entrance 36" Floor Finish /" Bathroom/Kitchen watertight _ ✓ Interior Handrails Balconies/Landing 18 in.or ore t/// Railing across window in stairwells Smoke Detectors: every level \ ,..// every bedroom ✓/' outside every bedroom //17 inter connectedBathroom fans Plumbing fixtures _ ✓✓/ Foundation insulation ✓! 3/4 hour fire door/door closer ✓ Garage fireproofing G� Garage penetrations sealed Furnace in separate room protected(in garage) / Light ventilation per room ✓ Safety glazing 18" r 1 s from floor Final Electrical )(L 0 L (',(`7 / Site Plan/Variance required / /J Final Survey Plot Plan �/ ��(,��)C9 P U v As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ /� dllL Okay to issue permanent C/O(Certif.of Occupancy) �P/C� /� TOWN OF QUEENSBURY ..��iM BUILDING & CODE ENFORCEMENT � � 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: L FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: NAME (T iA./ LOCATION �( ( �-C rv�(Z✓}c-D �Q7 DATE (1 �e) PERMIT N 01 �G TYPE OF STRUCTURE FOOTINGS FOUNDATION KFILL FRAMING _ ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOO.STOVD OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/H IGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILING RELIEF VALVES FURNACE/HOT WATER. •"' •TIN. INTERIOR TRIM/PRIVACY DOOR' FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FIN ELECTRICAL S E PLAN/VARIANCE REQ. an FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 r. MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL / 'ermit No. Cert. NC 79032 Cut-in Card No. ' )wner /2-0-ry atAz co 72-S (� ,ocation �! 7Z 6_ C I t O ,eo° 6 ,v nstallati nConsiissting of}(�Z i1 f e-ef. 96/2- Pj 5 i nstalled By P .D/ ' A4 if-A/ Lie.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 makin insp ctions at any time, and if its ules are violated,the Company shall have the right to r vgjce this ee te. /j�� )ate 3 l Z INSPECTOR � Member N.F.P.A.,I.A.E.I. FIRE MARSHAL a TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# 61`827 " r NAME C Co4.14/02 LOCATION F/T27 oC R4- 6 /0 SCHEDULE INSPECTION ON _ ////�/a_ AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS _ EMERGENCY LIGHTINe FIRE EXTINGUISHERS FIRE ALARM SYS\T&M FIRE SPRINKLER SYSTEM_ FIRE SUPPRESSION SYSTE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINK RS CLEARANCE TO HEATINt, UNITS REQUIRED SIGNAGE CHIMNEY f.l ACC- .E'Vai l� WOOD STOVE 'i¢-LC. !- FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT //,1'44- tifAiir REMARKS: [] OK TO THIS DATE -Tkiv...I & A�Y ApPca`t roR f 6I Al -ra Ix,S;A-6e— INSPaLIP.PUB INSPECTOR FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# O/_ 8 NAME G L lo4/4/a LOCATION SCHEDULE INSPECTION ON // AM PM ANYTIME 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 SPRINKLER CLEARANCE TO HEATING U TS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY /,� FIREPLACE-FACTORY BUILT f af/e/ / L;V. ,2 REMARKS: OK TO THIS DATE INSPSJP.PUB INSPECTOR diral r Town of Queensbury 1414, 4, Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 ! 1 Fire Marshal's Inspection Report Request QSCHEDULE Received: X.-V Permit# C� Z INSPECTION7 ON: 1 Name: cQ,nnuiL, 3 AM GI ANYTIME Location: ck APPROVED N/A YES NO COMMENTS EXITS AISLE EXIT SIGNS-NORMAL fk,ruc-5\tic>5 in yk ILJ. - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS `� �-trl!v^ r f) ARE ALARM SYSTEM `� e Jam- if c:A-i FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTE l U4 - 5HOOD INSTALLATION 54-✓ INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRIN R' cJ-cFVD -b ccler, CLEARANCE TO HE G UNITS 1 > CLEARANCE T• ELECTRICAL I. 1 (Z1,-.. cz REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGH III FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS D T O CO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN SP FINAL COMDEV/CHRISJIWORD/LETTERS2001/FIRE MARSHALI NSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Z/ 4J°' ` GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement i 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart 1 / � pm Inspector's Initials LJ NAME: 0`Cp N?s) PERMIT# 0 ZZ' LOCATION: 6 z Cor A-co R-.+p DATE : ► 2 dZ' TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers —7 I Monolithic Pour Form Reinforcement in Place The contractor is re .•nsible or providing protection 'om frecing for 48 hours followin; the plaement of the concrete. Materials for this purpo : on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin l Backfill Approval / Plumbing Under,Sja" P umbing Vent/Vents in Place ough Plumbing Heating Rough-In Insulation 0 / Foundation Walls Interi r R- Foundation Walls Exte or R- Floors R- Walls R- Ceiling R- Duct work or piping 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 Fing~ v G� `` Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: 1 I CI"'— Town of Queensbury Dept. of Community Development Request received: 1 o Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART .7. am/pm Not . Ai( , f� (518) 761-8256 Inspector's Initials A(p/t-/ NAME: i) ` ! e. PERMIT# f�r=�/CJ�— LOCATION: 7 INSPECT ON(date): jai—• 02 c)- Ate TYPE OF STRUCTURE: op RECHECK T O 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 Place Foundation/Dampproofmg Backfill Approval f Plumbing Under Slab Plumbing Vent/Vents in Place _ , Rough Plumbing _ -=ln r' -In SjUa 6 5 —roundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- 5? ✓/ 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_ etration Sealed F. eWall 2,3,4hour PeirestmPPing aDRkt ti4.7"-%l�L ✓. �� . 6 ��"-- L:\SueHemingway'8uilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Li, \ u ? ' GENERAL INSPECTION REPORT a 1 h 1 ( 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 Depa pm AJ\\\C e- COVVM/ Inspector's Initials NAME: atG0,�_+.... Y.., .; PERMIT# C1 801. LOCATION: "jL 'c . �,rc-; C� DATE : 1 - -D c TYPE OF STRUCTURE: S RECHECK N/A YES NO COMMENTS Footings/Piers I—T I Monolithic Pour Form f', • Reinforcement in Place The contractor is responsible f . providing protection from freeze ig for 48 hours following the placeilient of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place �i, Foundation/Dampproofing �� .i Backfill Approval s, r. Plumbin Under Slab PI ng Vent/Vents in Place V/ PlitiOn8 ,..__ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in u eated spaces R- Pro Vent, tit ntN� Jack Stu rs '.-•- Bracing/Bridging J ' Hangers / ack Posts/Main Beam / . Infiltration Barrier i/' Fire Separation 1,2,3,hour , Penetration Sealed JreWall2. 3 4 hourd� Cam.—P2C're � --1-)R4i,L FIRE MARSHAL TOWN OF QUEENSBURY `1 1 QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED _ PERMIT# a! - 'z Z-- NAME 01 Co Ai LOCATION JL 7z C, &fZ 4• _ SCHEDULE INSPECTION ON //WO AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS _ EXIT SIGNS EMERGENCY LIGHTIN r\\\\\ FIRE EXTINGUISHERS FIRE ALARM SYSTEM J FIRE SPRINKLER SYSTEM t FIRE SUPPRESSION SYSTE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKL S CLEARANCE TO HEATING lAcilTS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY / FIREPLACE-FACTORY BUILT /W'l'st/ REMARKS: ❑ OK TO THIS DATE ,/(4 AM" INSPaIP.PUB INSPECTOR .1 i.. # S TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ikiL ► - &i 1 Location N 1/4. 'I 2- .. $) gc.) Date,- e - Z. Permit #0l ` ,-�. L SOIL TYP' : San. Loam-Clay- Results of Percolati ,n est- (if applicable) Rate Mi ute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: To al/Length Length of each trenc Depth of trenches Size of stone SEEPAGE PITS Nunthe'Mrr Size - �� ft. x ILA ft. Stone size __; -5 PIPING: Size Type Bldg. to Tank Tank to Dist. Box i QR3S Dist. Box to Field/P , 01 `l Openings Sealed? es No Partial LOCATION/SEPARATION Foundation to Tank ' feet Foundation to Abso •tion C? feet Separation of Pits 4(- fel onforms as per Plot Plan Yes,' LOCATION OF SYSTEM ON PROPERTY: `- (circle Front Rear Left Side - Right Side Middle - - Middle Rear COMMENTS: c"e !45 � u;c j. e. A.-6 c Aio r Ve--r A/466-6 $, ) SYSTEM USE APPROVED. S N Arrived: Departed: :44 N.) fC1/>- Building Inspector P• '03 ($,‘›V /:7; / IV . 10.- 7 V e ..,-- 4,93tdofft-Sa (s . " RECEIVED >--. NOV 0 2 2001 ,,,. A.I efi TOWN OF QUEENSBURY .r' BUILDING AND CODE ' es, /'-' 7.2 i '1��./� L V FILE COPY �s`a `��i \i, i /-36 /9t GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: I 1 i- a w/ Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive " it/ Depart , it)'rip,. //�� //°°�� ector's Initia j NAME: 0((�h4v J ' f2i f� ,? -.�� PERMIT# �-- ' � I► �• LOCATION: -7 7 r- I / DATE : // TYPE OF STRUCTURE: RECHECK '°- , N/A YE NO COMMENTS Footin iers �I J I Monolithic Pour Form s Reinforcement in Place ",Z, ti The contractor is respo ibleor providing protection fro , freezing { for 48 hours following th- placement of the concrete. Materials for this purpose o si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approv• Plumbing Under i b Plumbing Vent/Vents in Plac- 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 F V V ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement ,�) 742 Bay Road (f V Queensbury,NY 12804 Arrive am/pm Depart m Inspector's Initials NAME: fl C A)A-)Obe PERMIT# O — Z� LOCATION: zCs,E—(�f� ►!�� DATE : 27 6 I 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 •• '_g for 48 hours following the . . nt of the concrete. Materials for this purpose on Foun tion/Wallpour Re. orcement in Place undation/Dampproofing '1/4.(/ ackfill Approval Plumbing Under Slab Plumbing Vent/Ven s in P e 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 7/411' GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: C/ / / Building& Code Enforcement 742 Bay Road Queensbury,NY 12 4 Arrive am/pm Depart 'k 4L- Inspector's Initials NAME: I'lh ,r swat PERMIT# /'eau- LOCATION: ( DATE : 3 / TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is re . nsible • providing protection om freezi for 48 hours followin:the place -nt of the concrete. Materials for this purpo•- on site Foundation/Wallpour Reinforcement in Place Fo nda •' pproofin. , Backfill Approval 4 R4 0 6( Plumbing Under Si Plumbing Vent/Ven in Plac 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 Bather 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: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart/' -am/pm �1 i Inspector's Initials` !--�/ NAME: (J C6,1Jt1A' _ PERMIT# - ?`Z LOCATION: 71 Frzuoc-K,eu-to &l) . DATE : Oh i di TYPE OF STRUCTURE: RECHECK N/A �E,S4NO COMMENTS �F m �� oot gsJPiers —/A I I Monolithic Pour Fo Reinforcement in Pla - 7- The contractor is ,,..'nsible fo providing protectio from freezi for 48 hours followi,g the place ent of the concrete. Materials for this purpo'- on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval IV Plumbing Undcr lab_ Plumbing Vent/Vents in Pla•- Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior R Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent I 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: Building& Code Enforcement I ` 742 Bay Road /0 Queensbury,NY 12804 Arrive am/pm Depart! m Inspector's Initials I NAME: 6COnJ.vO,e PERMIT# fr v Z2-- LOCATION: 7y r r cr--", 4'-1.> ten. DATE : /ll/y jdi TYPE OF ST; ICT ' : RECHECK✓✓ N/A YES NO COMMENTS ootings/Piers —1 I Monolithic Pour Form111 Reinforcement in Place (6��p(�� 12`vim; 41-/ (k) The contractor is - •ins' - e for providing protection from 1 eezing for 48 hours following the .lacement „ 1i- of the concrete. Materials for this purpose on to Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior •- 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: jl 13/c' f Building&Code Enforcement 742 Bay Road ' 1 6it) Queensbury,NY 12804 Arrive am/pm Depart pm Inspector's Initials NAME: C 2�r-�,+ram PERMIT# '� f' P��-- LOCATION: DA I1 : / / t , TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footingt/Piers ) I I I Monolithic Pour Form A , 7 alReinforcement in Place } �' The contractor is responsible fo providing protection from free i for 48 hours following the pl.ce -nt of the concrete. Materials for this purpose o' site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab 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 BUILDING & CODE ENFORCEMENT 0,.40/0 742 Bay Road Queensbury NY 12804 (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location -2`i v, Date ` — 0 ) Permit #` l/ 'Xc % SOIL TYPE: Sand-Loam-Clay- Results of Per olation Test- (if applica. e) ' -te-Minute/Inch TYPE OF SYS ABSORPTION ' ELD: otal Length Length of ea•h tre ch Depth of tren, hes / Size of stone SEEPAGE PITS: ir ber- Size - . x ft. Stone size / PIPING: Size Type Bldg. to Tank to Dist. Box Dist. Box to Field/Pi Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS:C�'SC:1- Fc 7 Ec„C:( \ SYSTEM USE APPROVED: YES NO Arriv• .- 1: ed: .1 ,000 ,- ��. . A AO Buildi g Inspec or r i J s TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name LID vy, r ,`) Location')4 r Date/ — 4 --0/ Permit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minut9Inch TYPE OF SYSTEM: / , ABSORPTION FIELD: Total h`ength Length of each trench Depth of trenches j Size of stone ,' SEEPAGE PITS: umber- Size - t. x ! ft. Stone size PIPING: / Size Type Bldg. to Tank / Tank to Dist. Box f Dist. Box to Field/Pi Openings Sealed? es No Partial LOCATION/SEPARATION : Foundation to Tank feet Foundation to Abso tion _ feet Separation of Pits feet Conforms as per P1 t Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Lef Side - Right Side Middle Front - Mid le Rear COMMENTS: EikD'A c61k. TV_b_67. ‘tt _klEa- SYSTEM USE APPROVED: YES jc;? ' Arrived: Depart - ui ing Inspe r S S cc w m 582i9'00"E 298.00' 4. U 3 5' p� � I! y r o 0 N ao Y� VY / r. REC IVED --'' NOV 0 ? 2001 `1W + TOWN OF QUEENSBURY BUILDING AND CODE "I ha re seen or observed, or believe I saw evidence of, 2' all ot ects such as houses, wells,trees, fences,etc., 'A show on this document. I also represent that I have pars a1 a sure distances set forth 0 the 'agraIn. SIGNATURE DATE 7 o / F ! L, E COPY N Du c •7 a e� J 1 �• � E? KWATM OR�m& Scale 1"=30' ML MM MAW A UCB LAW XXtKVal=TEAL IS A Map made for MAIM OF M=M nM 90-DM"$OF IM MW raw Mx=DR'w"Mkt• 'MY own Fm"K 0M01&OF*a WONTY S teve s WML S- i .�„,03ww",�N ACOMWO ." MICIAAEL O 'CONNOR >�e awvcr w�a F�cFwm w�aoaoiwa rnN we 065W cox a FNmcrlm M um SAWIt l!Aoop= Land Surveyors , LLC °"MM'"`WAX I°°' 'W "` L40■Oe*"%M VA CVU*=WM 04"Mw ONLY m rNe Fvi�oN FOR rigor tNE suer=Y is PNEPN60.wn 169 Haviland Road Queensb �NO IN C I ""=HEMM wo :Gown of Queensbury, Warren County, New York � »-2_01 PROPOSED HOUSE ury, New York 12804 ro roE oF Tw mownwnwmvO'C0NN0R 518 792-8474 New York Lie. No. 50135 L NO. DATE DESCRIPTION DWG. NO. 00031 C-532 i i FER MAP REFERENCE: E MAP OF A SURVEY Q mo Z OF LANDS TO BE CONVEYED TOUJ MAUREEN FLYNN & THOMAS VALENTI NUJO o a DATED MAY 19, 1982 BY Q.L. DICKINSON ASSOCIATES U 00 ac o o Q Lu v _ Q o z r 0 z co lard. _ cr 3.2' 0 1 1 _ 00�OJT 0E" , ci = e 4 /, 0) (V --' oas�� a i �•� � ' AREA 156,524 sq.ft. • °� �� 3.59 acres N I mcQ � t x c� 610.74� -- ____1 1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED 0 FROM AN ACTUAL FIELD SURVEY. co v THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS 0 1 FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR a -4 cQ BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. p� CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL Go INSTITUTIONS OR SUBSEQUENT OWNERS. co CERTIFIED TO: MICHAEL & HEATHER O'CONNOR GLENS FALLS NATIONAL BANK AND TRUST COMPANY, ITS SUCCESSORS AND/OR ASSIGNS Dates MARCH 2002 FIDELITY NATIONAL TITLE INSURANCE COMPANY scab T-W CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: MARCH 5. 2002 SHEET 1 OF 1 ; DWG. NO. 00031E D-517