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2001-321 ��'` TOWN OF QUEENSBURY fiOr Road, n bu NY 128 902 (518) 761-8201 742Bay ad,Quee s ry, 04 5 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010321 Date Issued: Tuesday, December 11, 2001 This is to certify that work requested to be done as shown by Permit Number P20010321 has been completed. Tax Map Number: 523400-289-007-0001-002-000-0000 Location: 95 TEE HILL Rd Owner: LISA A JOSEPH Applicant: LISA JOSEPH This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling r.- a„,P 4 r l Director of Building&Code Enforcement TOWN OF QUEENSBURY IWO 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010321 Application Number: A20010321 Tax Map No: 523400-048-000-0003-022-001-0000 Permission is hereby granted to: LISA JOSEPH For property located at: TEE HILL 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: JONATHAN BARBER Single Family Dwelling 200,000.00 17 REARDON Rd Garage-2 Cars Attached QUEENSBURY,NY 12804 Fireplace Total Value 200,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency GALARNEAU BUILDERS, INC NEW YORK BOARD OF FIRE UNDEI 506 MAPLE Ave SARATOGA SPRINGS,NY 12866 Plans & Specifications BP 2001-321; 911 Address: 95 Tee Hill Road, Q'bury 12804 2905.59 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AND 2 FIREPLACES AS PER PLOT PLAN SPECIFICATIONS $337.90 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,May 30,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Wednesday,May 30,2001 SIGNED BY / for the Town of Queensbury. i D ector o Buil I o l c Enforcement Building Permit Application • Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256/ -° • BUILDING & CODE ENFORCEMENT NOTICERequirements prior to issuance r . A permit must be obtained before of this permit: PERMIT FILE NO. - 0 beginning construction. No inspections "I will be made until applicant has received El Zo g Board Action RMIT-F 1D$ ° a VALID BUILDING PERMIT. All Area /Use applicants' spaces on this application RCgATION FEE - 9 • MUST be completed and the signature Q Planning Board Action REVIEWED BY: _/ l of the applicant must appeal on the SPR / Subdivision /Other Building Inspector hcatton form' nit you.,,- \• Recreation Fee Payment J Applicant: C <7 .7 -1 Owner: 0 i iuS f(l// r41i(/AM �xikds- Irus L-t- 5. _ J y�y / , j $2 /�,7GSc/7i► S'neC'fiyI N 'e)S ,rU�� r ' Address: `S 69Z /`/f/2`e Ape Address: d.CO ( I-r t.J j CI,' Rc k ) lb Si (-ak?y-� . Ori( s ,Jtj fJ Z6 1ef.;s fts tvY 14S01�- i; l Phone # (-id ) _ _ g`'11_z 2 1 Phone # ( �1 ) �(%3 - ijJ _ fy iJri 2 Fcrij//'es Property Location: " e WE//A.. •,--7a n Subdivision Name: Tax Map Number 4/ �% / S I o[n , Section Block T nt N OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE ATUvNew Building: CONSTRUCTION: $ ��` ,CCC; esidence ;/ commercial Addition o uilding: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Pri ry Building - residence / commercial V Single Famil Dwellin Residence / Commercial Two Family D r% 4 �, •F VED no change to exterior size Family D - Office MAY 2009 Other Work (describe below) Mercantile ManufacturIOgj Of CJ Ea vBDRY OthertJIDtNt`a I,i•}ll CODE GROSS AREA OF PROPOSED STRUCTURE: 1st Floor C 70,04Z sq. ft. If ADDITION, what will use of new addition be? : 2nd .Floor. . .,. . . . . / sq. ft. 4., ,Other Flouts ,5�$,3_sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 9 '.S, SQ. FT. Attached Garage 1, 2 car Private Storage Building - SIZE OF NEW STRUCTURE: Commercial Storage Building © 0 FEET X /1f/ FEET FrON77 6---, Other Foundation Type: gtt frec,Le() NC re IC Will any second-hand or ungraded ' Number of Stories: • t lumber be used?r If so, for what? (habitable space onrly) t it AJO Height (grade to r .dge) : e_3? feet TYPE OF HEATING SYSTEM: Number of fireplaCet and/or woodstove (circle all which . . .lies) to be installed:, 1 Electric / Oiler/ / Wood r) Forced Hot Ai / Baseboard / Other Person respons ble for supervision of work as regards to building codes is : iJc!�tc' �(a'/''zt'cyuPre..c Name Addresss , Phone e Builder: ).. .it.:: 6',1_/ 10'rrteoa e 4 I djJ1e40.e .sca r sT 7-S/fl Plumber: /- Lelalsc, Mason: Electrician: 1 ee rim 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 Uwe shall submit prior to a Certificate of Occupancy.or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; . n to scale, s tng actual oca • n of project on premises. Signature: -e.c-.e-c<t c: < ,. -, i _ :a y 7 (owner, own agent, arc ' ect, contractor) Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: J� Location of installation: e� ti lil eo J Office Use File Permit N -3 / Tax Map No. / ' NIA ' ( Fee n T t'/S ��'cra 4(jk ��S �ruslErs Fee Paid Owner's Name: ,�� I-c3ril.e kis. A . �'csr �peG itic- s lr:sl Address: ,S-O l I G'ices T L I s° /t 3 !d&'c.; l (o 916 I 2. INSTALLER'S NAME : , C4Io S '-�2 PHONE NO. (�c�Z �G� I 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 )/ 3 x 110 gal/bdrm = 33e) Garbage Grinder Installed yes V / no Spa or Whirlpool Installed yes 1/ / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) To ography Soil Nature ( Ground Water Bedrock or Impervious Material Domestic Water Supply �7at andT:Crzlc,zl at hat depth at what depth municipal Rolling of am pe feet feet ell Steep slope clay 7-0 if well; water supply _%slope other from any septic-system depth: absorption is 1001-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: /COO gallon (min. size 1,000 gal) Tile Field: each trench j Q f. Total System Length: .k.)6 f. Seepage Pit(s): number of t ,c9t size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: c 6 ;Vic,�� x Alternative System: 7u ; (Tr Q r length and/or size 1-e1)I J0,e, totio a Sic 1 J e-- 6. HOLDING TANK SYSTEM: (if required) Number of tanks: /66-e--/ 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. Cc/ rizrti a &1 rs ih"cL �- S T k/9/ Signatur o responsi a person ate S�rL /i fi/r e N y i& Fr . 'IOtvn of tInee sImry Sewers :uul !Ctvap'c. Disposal Chapter Appendix (: ABSORPTION Fl I;LI) SEI'A RtA'I'1GON ItI:(lt!I REM I';N'1'S , -Nc.\\______ ----- - — ------ --- -- _ SfFtl:hM N,,.._....t.\. ID wELL Di wry,. � — j / `�` WF.1 n'ra••1 7---.. 1/44 y 7 • Ibuz� 6 QE .po-lt��- ilousE G E CCCC //" nlly_ \ I1 —. _ 1 ' /�. \ i.j 0 pr..,K / --_____ F',R-LX, 5- \____ _[ . • __ • • _ . ______---- ..._ --- ___J---------- RlJAt7 �� • 7. SIGNATURE &INFORMATION FOR R ENI"VSttstrn rc>n.,..n. wmaow•....,y Fire Marshal's Office Town of Queensburv, 742 Bay Road,Queensburv, NY (518) 761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances , iDate 4"' 70 Permit No. - Application is hereby made to the Building& Codes Of/ice for the issuance()fa 13rrilding and Use Permit pursuant to the New York State Fire Prevention and Building Code. 77w applicant or otvnei agrees to comply with all applicable lags, 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. I� Applicant Information Fuel Burning Appliance Information t (circle appropriate words) Name: 6 i i _, ,, fi.' t# f Stove:Fireplace; insert wood coal pellet gas • Address: 6f /�;Y./� L. trey ice factory bin wood as Y irep ace, masonr wood as i / Furnace: wood gas oil Phone: SI,1 8-r- .:fV If non-masonary applicance,-please provide Owner: i (d /l t A +x�^/,ef,.:t L.- s- f v� Ma"n�"ufacturer Name: , �� �,1�-� -Pc r 71,v L 4 N-c.t ,. • C. i. (pp.;, 4 - 1 /rib if e;5 } 1 Address �' , � p` Model Number: ,, f j j< ,, -- , - rills'- 1 J,rL :f r1. Chimney Informations Phone: ..- 4// / 7 • .; , ' c:c:. /k S (circle appropriate words) Masonry block brick stone , i Flue tile size: j inches Exact Address: 7 /. ;II a of construction or installation Factory-Built Manufacturer name: rr,,,�, turz.:0:7- Model Number: t Note: Listed By: U.L Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Toter! of Queensbur7' Handouts regarding required inspections. Double wall ! Triple wall / Insulated / irect venting Chimney Liner 1 40is a uler'sar?30cpn.rt tzie tt— Toiusrn of Queoziusrbury, .News,-Y"orlr j I Fire;t farslral Code# 7 kf S Collected S Refintded Received iron trc,(tnded to): ___C,,,,_ ., 1\!-C, r _0t s Pit? address: —� --- --------.-1 173 3389 (190) Public Safety .a 233 365.5, 230)Minor Sales mt.,. wt.. - Two.. Giec-th oz ` e-p. .:1 White(Applicant) Green(Fire Marshal) / Yellow(Bldg. Dept.) Pink.S.: Goldenrod(Cashier's Dept.) Fire Marshal's Office Town of Queensburv. 742 Bay Road,Queensburv, NY (518) 761-8205 Application for Fuel Burning Appliances & Chimneys • applicable to solid fuel & vented gas appliances Date , ' G / 20 ' Permit No. E 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. lime 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 pelf Orin required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information', Fuel Burning Appliance Information (circle appropriate words) Name: ei A k riir-,:-/if f f --! 4. , Stove: wood coal pellet gas ireplace,insert Address: Li(,: ) r`fit='/ U , replace, factory-built: wood gas • c� ,rr` A,f %F re lace, masonry: wood gas «�— ,/ 4011=51. ' wood , > oil Phone: ma" ` g, cc 7-g7 i/ If non-masonary applicance, please provide ,+ Manufacturer Name: �e ( ,t ;,,} —°- Owner: .-r,, ' /-71/ 'tt,�:*V ` �'�"'t. .?» (t-t.�l-„: f- CI( c t— T 1, _; ".-r' 7e-s 4 t...•,r,f-;r(,(�s.-{ f /,'is l— Address: (OTC-- - /�,.,, rT_` 'c i,.'�-x s4 / Model Number: , ;". Se 'i `S / r ` , ;L /(s �.c% / cif- �u / C/V P r Chimney Information Phone: 5 =//, ,,! J -)'',,, a.,„ , t.,Yt ,5 ., (circle appropriate wo r rds) Masonry block brick''''stone lj /�l Flue tile steel size: `metes Exact Address: 1 r- 1 i // kc,,7 of construction or installation Factory-Built Manufacturer nam : //i,/-� /.i 'ter 7 O � Model Number: ' ` :Vote: Listed ay: Number: Construction/Installation must • ` conform to NYS Fire Prevention & Building Indicate(circle) chimney material: V Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall Triple wall / Insulated / Direct venting Chimney Liner Casrh1er',a Department— Toisrn of 4120u4eeszrsrbuz-y, New York Fire jtlarsharCode# S Collected S Refunded Receiv•ed.from (refunded to):GCA 1 (f`. 46 i.1Zi ,`y .4 173 3389 (190) Public Safety t ` address; . - —_—_-- -- -_ --__-- .4 233 2655 (230)Minor Saks {r`�� 11 ��tppp r ,ir,4,.ai-cvtc - IOT way C14k 02 e:itJNZa//- sr. White(Applicant) Green(Fire Marshal) I Yellow(Bldg. Dept.) I PA&Goldenrod(Cashier's Dept.) i / 1doi ��3.,1/4.__, Queensbury Building & Code Enforc ment - Residential Final Inspection • Office No. (518)761-8256 Arrive: \ '' ;r :' (ram/ Date Inspection request eceived: Inspector's India . NAME: _BRA #: zee)/ -,32._, LOCATION: J e - =�'1 DATE: /0 '. q' Of TYPE OF STRUCTURE: _ ,i) t C am,)Y,. � i r �/ 1.„..,./ ` Comments Yes No N/A Ici lk,,....__ Building Number/Address visible from road 'd Chimney Height/'B"Vent/Direct Vent Location Fresh r Intake /�7 ^ 3 inch Plumbing Vent through roof minimum 6 inches s/ _ !—��10 (/O • Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more _ �--? Handrail Termination at Newell Post or Wally tJ� �?c Interior/Exterior Railings 34 inches to 38 inches 6,.., „. 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 �■■ Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight —� Safety glazing/Window in stairwells safety glazin: Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: _ Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area III Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 se.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. ill Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler .111 — Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/34 hour fire door/door closer III Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/dew r De s t.Ins section St. r _I Site Plan /Variance required / i �' Flood Plain Certifica on,if re 'r d Okay to issue C/C r C/O mporary/ 'ermanere L:\Building&Codes orms\Building&Codes\Inspection Forms'Residential Final Inspection Form revised_I00405.doc Queensbury Building & Code Enforcement - Residential F. al Inspection Office No.(518)761-8256 Arrive: 0:2_0 Cam Date Inspection request received:(� Inspector's Initial NAME: Val, YVI ... A‘)\ CSLL'( IT#: �/ C, LOCATION: E: 10 —Z?j—07 TYPE OF STRUCTURE: f4 )_ 79 Ol\ Il`_ ry . Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location P� �H CI�OTP� �Q Fresh Air Intake O F Fl L.F R�A P T® l 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete UQ 1 FV-`AMA ., G Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade 1 tJek fab?ECC tA\ Guard at stairwell at 34 inches or more FOP. �Q�� Po �A�. Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Po LE C6C R13 Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers a C PE� Grade away from foundation 6 inches with 10 feet ` 1,6 F Ric\- t t3G 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade p i <T < 6 `A Interior privacy/trim/doors/main entrance 36 inches O r—p Bathroom/Kitchen watertight j tJ 5 Y F__C.T F C LW 5V, Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: b -o Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector --�--- Attic access 30 inches x 22 inches x 30 inches(height)in accessible area <J c B \ 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 fmished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site 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 Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing I%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan I Variance required Flood Plain Certification,if required Okay to issue C/C or C/O[Tempor /Permanent L:\Building&Codes Forms\Building&Codes nspection Forms\Residential Final Inspection Form revised_t 00405.doc RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: a— -ern Building&Code Enforcement J I Dept.of Community Development Arrive pm Depart ► + •l jy/ Town of Queensbury Inspector's Initials l` f 742 Bay Road Queensbury,New York 12804 NAME -_�� )N+S.P,. PE'r t #E 01 3 I LOCATION �v u- 1 TYPE OF STRUC '� 1 � DATE ,� — Y7 N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location I ' Fresh Air Intake I Plumb Vent through roof Roof Complete ✓ Exterior Finish Complete // Interior/Exterior Railings 30'to 36' d/ Exterior Handrails,balconi Ian• ig 18 in.or more ✓✓✓✓✓✓/ Interior Handrails stairs bo side-3 or more risers ✓ Grade 2%away from four• tion _ / 8"clearance to sill plate 5// Gas Valve shut-off expo•-. re._ ator 18"above grade J/ Gas Furnace shut-off wi • 3'4 feet or within line of site ,J Oil Furnace shut-off at entr..ice to furnace area J / Fumace/Hot Water Heat-, ..• ating ✓/ Relief Valve(s)install 4 Headroom,6 ft.6 in . sta. • Basement stairs, . 4 in. 1 Handrail ext- stairs both .ides more than 3 risers Interior privacy/trim/doors/ + in entrance 36" Floor Finish Bathroom/Kitchen watertight / Interior Handrails Balconies/L: ding 18 in.or more Railing across window in s :• ells J Smoke Detectors: ✓I/ every level every bedroom Ji outside every bedroom J inter connected Vi Bathroom fans ,/` Plumbing fixtures _ , ✓f Foundation insulation J 3/4 hour fire door/door closer J Garage fireproofing / Garage penetrations sealed / ,/ Furnace in separate room protected(in garage) ,/ Light ventilation per room ` Safety glazing 18"or less from floor // Final Electrical V Site PlanNariance required Final Survey Plot Plan ,// As Built Septic System layout required ,/ Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) FIRE MARSHAL 41111mbh TOWN OF ENSBURY `l QUEENSBURY, NY 12804 � � (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# zoo'34 NAME _L.16A 1EP1-\ • LOCATION -T= ► t 1 CZp A� SCHEDULE INSPECTION N \ k Z-t ••-O Z°,' A " ME APPROVED 1 N/A YES NO EXITS J AISLE WIDTHS EXIT SIGNS --`\ I EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM ' HOOD INSTALLATION INTERIOR FINISHES . STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE I CHIMNEY WOOD STOVE FIREPLACE-MASONRY 7 1,1 D E0� FIREPLACE-FACTORY BUILT CD c J ✓ F113 Al_ I ✓ REMARKS: [TO THIS DATE INSPSUP.PUB INSPECT TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT OS; 531 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT Cam. L ING DATE INSPECTION REQUEST RECEIVED NAME ' S(.'` (7' 0'?t' LOCATION 1 DATE/A. C - OC' ' PERMIT # C) f`J - TYPE OF STRUCTURE ` c--j{') 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 \/11\ STOCKROOM ENCLOSURE l FIRE/DEMISE WALLS PENETRION \\\\ 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 P AN/VARIANCE REO. NAL SURVEY PLOT PLAN, IF REO OK TO ISSUE C/O OR C/C r —I i-t U2S . / o) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development ArriveVo is ar epartA't Town of Queensbury Inspector's Initi 742 Bay Road Queensbury,New York 128.04/ NAME L/�riz \/®S C� P ' t _ (._'� �l - LOCATION f C-c t LL-- RHO . DATE /2 (c� TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location J ' () 4-c-(< TiAl2-V Fresh Air Intake / Plumb Vent through roof ✓, Roof Complete ..// Exterior Finish Complete ✓ I Interior/Exterior Railings 30"to.. Exterior Handrails,balconies,I:...' 18 in.or more 7 �Q� � Q ` � Interior Handrails stairs both.si•• 3 .z more risers ` Grade 2%away from foundatio _ !✓ <j' R j QL' 8"clearance to sill plate ` Gas Valve shut-off exposed/re: ator 18"above grade i/ Gas Furnace shut-off within 30 t of`within line of site / ‘/ Oil Furnace shut-off at entrance $ filrr►ace area V / Furnace/Hot Water Heater opera••..: I / Relief Valve(s)installed V ��j��� �`�� � � Headroom,6 ft.6 in.on stair / Basement stairs,6 ft.4,jx:/ ✓/ N)t ..Z VC;0; Handrail exterior stairs both sides . ore than 3 risers ✓Interior privacy/trim/doors/main • trance 36" / Floor Finish :/, Bathroom/Kitchen watertight / Interior Handrails Balconies/Lan.'._ 18 in.or more ✓ Railing across window in stairwells Smoke Detectors: j every level every bedroom 1.1, outside every bedroom ✓/ inter connected J B oom fans / Bing fixtures �/ oundation insulation %hour fire door/door closer V 6 \\t Garage fireproofing (� -� h / Garage penetrations sealed / Furnace in separate room protected(in garage) 1J Light ventilation per room Safety glazing 18"or less from floor IFinal Electrical Site PlanNariance required / Final Survey Plot Plan ✓ V C 0k\ t3 0 c As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ ✓/ Okay to issue permanent C/O(Certif.of Occupancy) („r t C----!7 9)F-44\ VOCA:n464 4\ ‘ZA---5-A-X? -V CN 1v-Vea__S-Ircevb \Jj L , PY C_EICE7-_TU Q 12/05/2001 15:42 518-746-0175 ROSICK WELL DRILLING PAGE 02 a JB3 Consulting Joseph Biss III 553 State Route 149 -Suite B `'• ; Lake George,New York 12845-3515 uM Phone/Fax (518) 761-9888 JBISS3@AOL.COM NYSDOH Lab ID# 11637 Rosick's Well Drilling • 1 175 Farley Road y Hudson Falls,NY 12839 Phone: (518) 746-0173 Fax: (518) 746-0175 Client: Lou Galarno Builders Tee Hill Road Queensbury,New York • Results: ` ample .jit: o ' � } ; t nal4ysio Method Result NYSDOH Number . C ilkti U AaasiI ,i3%s'.,, Limit 010519A01 05/18/O1 05/19/01 Total SM <1 CF11(100 <1 CFU/100 Coliform 9222E ml ml The samples received were analyzed in compliance with New York State Department of Health approved methods and within the accepted holding times. The result is equal to or lower than the State's limits therefore it meets the requirements for state approval. JB3 Consulting's liability for any work performed is limited to the amount billed to the ..customer leading to the claim of the customer• / •f IA • Jo ph Biss Ill Analyst/Director Tuesday,May 22,2001 This is an original,do not duplicate This is page 1 of 1 Q 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 12804 Arrive am/pm Dep j' Inspector's Initi s NAME: 04SA ls-e, PERMIT# LOCATION: 5 Tee Mt- _ DATE: / TYPE OF STRUCTURE: RECHECK N/A YE O COMMENTS eFootings/iiiers I I Monolithic Pour Form Reinforcement in Place The contractor is responsib e for providing protection from -- in:, for 48 hours following the place nt of the concrete. Materials for this purpose on ite 1 Foundation/Wallpour Reinforcement in Place I Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents ' Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior '- Foundation Walls Exterior '- 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 I GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road 1 - c�, Queensbury, NY 12804 Arrive am/pm Depart ' t am/pm Inspector's Initials C.---(' NAME: J C3`.;P-P PERMIT# D/ Z \ LOCATION: j:t k. _ . DATE : FIE 0 TYPE OF STRUCTURE: RECHECK _ N/A YES NO COMMENTS Zngers >C�l� — 1 Monolith our Fonu Reinforcement in Place The contractor is responsible for providing protection from freezing (U"G`, C for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour _ Reinforcement in Place Foundation/Dampproofirtg I Backfill Approval_ Plumbing Under Slab _ Plumbing Vent/Vents in Place__ Rough Plumbing - _.—'' Heating Rough-In Insulation Foundation Walls Interior \R- Foundation Walls Exterior `Z- 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_ _ Fi restoppi ng_ 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 Depar Inspector's Initials c -- NAME: J o 6 J-f ,, ` /� PERMIT# OI 3 U LOCATION: C—� �l/GL reQ . DATE: O/ TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers :� I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fieez' for 48 hours following the p i t of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing._ Ba€kfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing atton ( irrGtl�l2 \\\/// Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- D,6per Vent,Attic Vent rStuds/Headers DE 'ng/Bridging V ' gist Hangers Jack Posts/Main Beam r- 4i A-cc- Air Infiltration Barrier Fire Separation 1, 2,3,hour Penetration Sealed Fie Wall 2,3,4 hour ✓r nestOPPing /://c4 ...) 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 t Inspector's Initials \ NAME: 1`{ PERMIT if p( —3 2 LOCATION: 1(.c /-4( e ((r). DATE: O / TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS r ' Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection v+m `-- ing for 48 hours followin the p . -ment of the concrete. Materials for this purpo - on si - Foundation/Wallpour Reinforcement in Place Foundation/Dampproo' I g Back ill` oval Plumbing ► •-r Sit Plumbing Vent/Vents in 'lace Rout Plumbing g Rough-In n Foundation Walls Inte 'or R- Foundation Walls Exte,'or R- Floors R- Walls '- . v'r Af1 Duct work or piping in Xunheated spaces - per Vent,Attic Vent ✓/ Frames J Studs/Headers Aiercing/Bridging tlJoist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fjre- Wa112,3,4 hour "p topping ✓ / P .,. ,„ ,,,,_ .‘ ?- c-r-ce.., '---) 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! m Inspector's Initials t PERMIT# ( NAME�\ 7 ) LOCATION: ck �p 1 1. � DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 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 si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P Rough Plumbing Ro f f / 105.;frce._ i,oso .. , - ..._' _., -101,,,\e_O ccr" Foundation Walls Inte '•r R- l t Foundation Walls Exte or R- C.o F�At CA, Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- o ller Vent,Attic Vent tF Studs/HeadersJack eip 1. '(67-6- A t.0 `�f C� Bracing/Bridging9 * �V 1V Joist Hangers �/A/ f ALL" 42 CK !� Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2,3,hour Penetration Sealed g3,4 hour ze�``., cz2e/N &� �l4—�c GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road I 10 Queensbury,NY 12804 Arrive am/pm Depart I 'Inspector's InitialsInee7 .� k 6) ' 1 NAME: �'� /l PERMIT# LOCATION: 7& /1xi_ A . DATE : :TAW TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is respo, 'bl for providing protection fi, n ing for 48 hours following l i e p ent of the concrete. , Materials for this purpose i n site Foundation/Wallpour Reinforcement in •lace Foundation/Dam*. ,,fin, Bacicfill Approval ry Plumbing Under Slab Plumbing Vent/Vents in Pia Rou Plumbing eating Rough-In Insulation Foundation Walls Interior "- Foundation Walls Exterior '- / Floors R- Walls R- L ✓ Ceilin '�42TWA� R- 64.6 (�� C�jL( 67 j C� Duct w or piping• unheated spaces R- / 1?)‘... (26,J, ' 1,t/ 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 FIRE MARSHAL TOWN OF QUEENSBURY 4j QUEENSBURY, NY 12804 (518) 781-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVE9 PERMIT# NAME4g*1 LOCATION ike 4 SCHEDULE INSPECTION ON p/3% 0/ 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 -YSTE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRI KLERS CLEARANCE TO HEA NG UNITS R7UIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: E] OK TO THIS DATE 'NSPaa'P.Pus INSPECTOR OV\AA-- GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 2 Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive F loam/pm Depart pm Inspector's Initials - NAME: 0 • \ u A PERMIT It ` U LOCATION: -Tee- Ai V DATE: �¢.yfrq TYPE OF STRUC (t RECHECK N/A YES NO COMMENTS Footings/Piers • Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from • zing for 48 hours following the •eht -ment of the concrete. Materials for this purpose on - Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing - • Rough Plumbing Heating Rough-In p,2e-Insulation 11 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 1/ 1C ,©c) FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761- 205 e_c) FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT NAME ' Li So, 1 j\ LOCATION C. TE' -�C1 L\ `� SCHEDULE INSPECTION ON AM 'M ANYTIME �� � ► �, APPROVED N/A 'YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGE CY LIGH PIPPF FIRE EXTINGUISHE'S FIRE ALARM SYSTE FIRE SPRINKLER SY'TEM FIRE SUPPRESSION 'YSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE • SPRINKLERS CLEARANCE • HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT ‘Z ✓` REMARKS: [ K TO THIS DATE INSPSI.IP.PUB INSP R 7'7)71 FIRE MARSHAL fiat TOWN OF QUEENSBURY `tj QUEENSBURY, NY 12804 (518)761-8205 FIRE MARSHAL INSPECTION REPORT 2 REQUEST RECEIVED PERMIT# O I" 3 9I NAME oki Q S'e LOCATION \R i C P_V_iLt--- SCHEDULE INSPECTION ON - 17 AM PM ANYTIME APPROVED N/A YES NO EXITS _ AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUtraiS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY W D STOVE ✓ (REPLACE-MASONR FIREPLACE-FACTORY BUILT REMARKS: ❑ OK TO THIS DATE C)112_0(-- ' . R F-1 Re-sia " — c�1< PR/A) ipc Jcce35 '1 a 'R cA I Ce_c*-►Z. ._ INSPSLIP.PUB INSPECTOR `�� FIRE MARSHAL �� l TOWN OF QUEENSBURY zre QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVD _ PERMIT#0(' 1 l NAME 5‘I ( LOCATION SCHEDULE INSPECTION ON al/Vd/ AM PM ANYTIME APPROVED N/A 'YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTIN,. FIRE EXTINGUISHERS FIRE ALARM SYSTEM _ FIRE SPRINKLER SYST: FIRE SUPPRESSION SY• HOOD INSTALLA6' • INTERIOR FINISHES STORAGE: • CLEARANCE TO PRINKLERS CLEARANCE TO EATING UNITS REQUIRED SIGNAGE • • CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACT RY BUILT REMARKS:#- ZZ4 z 7 El OK TO THIS DATE ANe.kloin UNiT (4)Q r - PR ou 1 De Ae_4`e--55 rb Crt✓l-5 \.)42-C INSIMP.PUB INSPECTOR GENERAL INSPECTION REPORT �• �, l ►��` ( 518 ) 761-8256 / Town of Queensbury Dept.of Community Development Date inspection request received: �� Building&Code Enforcement / 41,40 742 Bay Road 0 i�7 Queensbury,NY 12804 Arrive am/pm Depot * _\anh/„m Inspector's Initials N NAME: . _ PERMIT# V , LOCATI : _ \ DATE: - " , L TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible f r providing protection from ing for 48 hours following the p ment of the concrete. Materials for this purpose on to Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab ' umbin:Vent/Vents in 'eating Rough-In /f4T/k VI-L. 570!mil ( a` KAEKA Foundation Walls Interior R- ¶r<A_ k\ dgb �. Fonnetation Walls Exterior R- R- Walls R- H l kk,47'R• Tie.,fo Ceiling R- ki Duct work or piping in unheated spaces R- ccPpent,Attic Vent Jack Studs/Headers Bracing/Bridging v c s- 1j4 IC-/-- ' Joist Hangers .,Tack Posts/Main Beam . �jp - A 5 Infiltration Barrier �0 4•`(JL — 1� Fire Separation 1,2,3,hour N 06 c' Penetration Sealed wF Wall 2,3,4 hour ig V /06,-r R44-4 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' '3argyi _____,/ Inspector's Initials ICJ NAME: Jo'5P6-/ PERMIT# 0 324 L- LOCATION: l C J4l L,(-- DATE : U TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is --••nsible or providing protectio from ing for 48 hours folio• ' g the I eat of the con -te. Materials for • ••se : site Foundation/W. 1 Reinforcement in Pla Foundation/Dampproo I ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents i I Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Iute 'or R- Foundation Walls Exte 'or R- Floors R- Walls - Ceiling R- 11 ct work or piping in unheated spaces R- per Vent,Altic Vent ranting r ptre<c7/6 hi', / Jack Studs/Headers Bracing/Bridging Joistk Hangers Jack Posts/Main Beam Barrier Fire Separation 1,2,3,hour Penetration Sealed iire Wall 2,3,4 hour T FIRE MARSHAL 31re:a1 TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518)761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST REC ED PERMIT# ©( ZJ NAME \J eCfri LOCATION /' 6 SCHEDULE INSPECTION ON 8/e/o/ AM PM ANYTIME APPROVED N/A YES f NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTIN FIRE EXTINGUISHE FIRE T FIRE SPRINKLER S STEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATI DN INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAAE V CHIMNEY 35C: WOOD STOVE FI jEPLACE-MASONRY (REPLACE-FACTORY BUILT REMARKS: ❑ OK TO THIS DATE I'RDO ettA • OF C.}Apr' �wi• R INSP9UP.PUB INSPECTOR Sec) & TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name \ Location L� Date iki-D9‘ Permit # O) -Z ) SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIEL': •tal Length Length of each renc Depth of trench: s Size of stone SEEPAGE PITS: umber- Size - . x ft. Stone size PIPING: SIze ype Bldg. to Tank -'` 410 2 3. Tank to Dist. Box Dist. Box to Fiel . Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIs' • : Foundation to Tank feet Foundation to Absorp ion feet Separation of Pits feet Conforms as per Plot plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Si•e - Right Side Middle Front - Middle Rear COMMENTS: (C SYSTEM USE APPROVED: NO Arrived: 77VV 0 Departed: Building Inspector TOWN eF_ QUiENSBURy .�-- . IJILDINGbCODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM IN CTION Name01-' 641u( e'7,c_ Location ^ 95 ` ) e (� -- .61_ Date 6j 9 OO I Permit #p�tTD/ --,5 1 l SOIL TYPE: Sand L.am-Clay- Results of Perco ati •n Test- (if applicable) 'ate- inute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tota Length, adl±/( Length of :each t ench 53 1 Depth of tr' 4che. Size of stone , rrtT�' SEEPAGE PITS: N ber- Size - ft x ft. Stone size PIPING: Size Type NT'o Bldg. to Tank n 5c0 dd&,ao' Tank to Dist. Box u zo Dist. Box to Field 'i Openings Sealed? es No Partial LOCATION/SEPARATION:. Foundation to Tank Ii- feet Foundation to Abso •tion ZO feet Separation of Pits eet Conforms as per Plat Plan 400 No Ak LOCATION OF SYSTEM ON PROPERT . (circle ol- '�"�`'T Front - Mr Left Side Right Si Middle Front - Middle Rear p COMMENTS: fNy� 5<b. �� f /13f6k /446/5.6: to l A,vk 1� CUT Au- Lal'6-rZic_ f Lc-uC-� SYSTEM USE APPROVED: YES NO Arrived: Departed: ASP Building Inspector W&(C-- c� e,Ko(t) oi< N � v I ' i Io i I ' 1 ,90 ' i _L 1 1°6(L iCP , 10Cr MN. .� i. . . os r, ' )111 \, .. j, 4 ts9 :1,. ,7 \6 4 g' 0 OPP' -.• 6\ 40 5 et',' (kJ '7 -P-- \A 0-1.s r'l Ar ‘ /az_ \) -<‘ ----------7,, -----1 2:- 519-`6f / �__.11-----CP. 6)"- -- i yar at�ur� tr ) \ ...,„-- L 22.1 _ /7 1 2 rr 5 - 6/(c-Tf— ‘, (776— , 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' Inspector's Initial NAME n PERMIT# ` I _ ,• LOCATIO �i I ``� DATE: li T. TYPE OF S1 CULTURE: 5 RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re .nsible f., providing protection .m ::•'ng for 48 hours followi g the p ment of the con • -te. Materials for pu .+ site Foundation/Wallpour Reinforcement in Place Fo tion/Dampproo i g ackfill Approval Plumbing Under Slab Plumbing VentNents in "lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio 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/A'! GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury82/(2._�U` Dept.of Community Development Date inspection request received: [c� Building&Code Enforcement Gte✓ 742 Bay Road v l� Queensbury,NY 12804 Arrive am/pm DepaEt Inspector's Initials Li NAME- PERMIT# 06 ' "/ LOCATION: ATE: ��JO,_ 65 11 TYPE OF STRUCTURE. �"l / RECHECK N/A YE NO COMMENTS ( ootings/Ners _ Monolithic Pour Form Reinforcement in Place The contractor is respo • - or providing protection fr+m freeing for 48 hours followin, u e pla. i ent of the concrete. Materials for this purpo•- on site Foundation/Waiipour Reinforcement in Place Foundation/Dampproo a Backfill Appro Plumbing Under Plumbing Vent/Vents in P - Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior '- Foundation Walls Exterior '- 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