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2000-465 TOWN OF QUEENSBURY co_ero 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: 2000465 Date Issued: Thursday, February 08, 2001 This is to certify that work requested to be done as shown by Permit Number 2000465 has been completed. Tax Map Number: 523400-048-000-0003-015-000-0000 Location: 648 MOON HILL Rd Owner: JAMES DICICCIO Applicant: DICICCIO, JAMES & BROWN, This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY ra.4/904 / - Director of Building& Code nfor.*' ent BLDG. PERMIT NO. 2 0 0 0-4 65 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 648 Moon Hill Road for the following uses: single family dwelling DATE SIGNATURE APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (APPROVED ( )DISAPPROVED with the following conditions: 1. submit final survey 2. completion of fireplace TEMPORARY CERTIFICATE OF OCCUPAN -£ E:*)$10. EPOSI 00.00 received on November 30, 2000 Date of Issuance C/ Di - tor o . & Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 150000 Building Permit No. 2000465 TAX MAP NO. 48. -3-15 Permission is hereby granted to DICICCIO, JAMES St BROWN, Owner of property located at 648 MOON HILL RD. in the Town of Queensbury,to construct or place a SINGLE FAMILY DWELLING at the above location in accordance to 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. Owner's Address: JACKIE 648 MOON HILL RD. LAKE GEORGE, NY 12845 Contractor or Builder's Name: M.A.G. CONSTRUCTION Contractor or Builder's Address: 18 CHESTNUT RIDGE ROAD QUEENSBURY,,-NY 12804 Electrical Inspection Agency: COMMONWEALTH ELECTRICAL AGENCY PO BOX 706 HAGUE, NY i2+836- Type of Construction: SINGLE FAMILY: DWELLING Plans and Specifications: 2124 sq ft SINGLE_ FAMILY,DWELLING..AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING::,* 290 . ... July., 6 ; 2002. $ PERMIT FEE PAID—:THIS PERMIT EXPIRES (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 of Qneensbury this f 6 day o .•` Jul y;'� , 2000 A SIGNED BY for the Town of Queensbury Code Enforcement • cer Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queemburv, NY 12804 /761-8256/ -° BUILDING & CODE ENFORCEMENT NOTICERequirements prior to issuance r / of this permit: PERMIT FILE NO. L,t(0 A permit must be obtained before e)-S beginning construction. No inspections PERMIT FEE PAID$ will be made until applicant has received Zoning Board Action n r a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$ applicants' spewa on this application — MUST be completed and the signature 0 Planning Board Action REVIEWED BY: TM,- of the applicant must appear an the SPR / Subdivision /Other Building Inspector jplication form. n ) Recreation Fee Payment Applicant: S IC.tee..%0 Owner:Z n es ©lc tee.iO Address: (n4 ? 0\00)4 HILL LL co q t,..C;1 t: au Address:(0 (NOI-t Hb..QQ CU i5 L IS&V Phone # (,j) jg ) ?YS - '/,9 Phone # ( ;) —Hs' - It i 9 Property Location: Coqg YYNC0i4 1-I t1 1 9c Q%% h1.Sat:i2 � / 3 / g, ,�a. Tax Map Number Subdivision Name: — Section Block Int NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE ''.-- New Bud din CONSTRUCTION: $ 150 (30C), GO esidence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial A-- Single Family Dwelling Residence / Commercial Two Family Dwellin no change to exterior size Family Dwel3 4g k "' Office Other Work (describe below) Mercantile ?onn Manufacturing . Other GROSS AREA OF PROPOSED STRUCTURE: l `> 0 If ADDITION, what will use 1st Floor /t{q, sq. ft. of new addition be? : 2nd .Floor. . .,'' Coa i sq. S� `o , Other Fluurs sq. %,,I)i /(not unfinished cellar or base ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 6249 4 SQ. FT. r Attached Garage 1, 2 car Gr Private_Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building (9C i FEET X O FEET Other Foundation Type: (l�t.iCeCT C Will any second-hand or ungraded • Number of Stories : . lumber be used? If so, for what? (habitable space only) )_tO Height (grade to ridge) : (95 .60 feet TYPE OF HEATING SYSTEM: Number of fireplaCet and/or woodstove (circle all which a.plies) to be installed:, / Electric / Oil / ( / Wood Forced Hot Air / laseboar)/ Other Person responsible for supervision of work s regards to building codes is : PAICIAAEL A.Go$ .I./ac` (% CNallvvi Id%0G --t4ls .Ock-- Name Addx.esss Phone Builder: t(1.t�.C. �1iVveli) / le ci-11`-SiNv o t2,p�,t, eo ?c1{�3'0� Plumber: `.L���-l i t-i kEt a-ccii i vl.,vt,+r t)t„+ca • 5Q,,.vv s d oe.n0 Mason: Vti,,,,1.: Q. r y.AASo14 Ale t Electrician: ri1.i2tCt7 1=1-iZeTOie_ C'/-eiNA5 rAt-+.S '793-g3c9e DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by 2 a licensed surveyor; drawn to scale, sho ' g actual location of project on premises. 7 Signature: caner, owner's agent, architect, ontractor) Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: /� Location of installation: / 4 �//7,, Office Use File Permit Noa - M-) Tax Map No. 70 / 3 I rJ • Fee Paid Owner's Name: t4rnezi r C/Ctra- Address: (o Ye ///).,442t go/ 2. INSTALLER'S NAME : eN Zd��� t kC40 PHONE NO. ?S6 -lye( (--"Zej 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 = 320 Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) Topography r Ground Water Bedrock or Impervious Material Domestic Water Supply Nat sand at what depth at wha depth n ' i)al Rolling m feet feet Steep slope clay � e 7' if well; water supply JC'%slope other / from any septic-system depth: absorption is ite 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: /AZ gallon (min. size 1,000 gal) Tile Field: each trench jcb ft. Total System Length: c2 co ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: it / 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 pi Queensbury Sanitary Sewage Disposal Ordinance. [R, �✓ c/z /00 Sig ature of res onsible person Date • - G--Gt b7 = ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY = 9000 HEATING DEGREE DAYS Compliance Methods : 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: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - ;g/ -/ square feet 2 . T oe of Heat - Electric Oil Gas t Other 3 . Is building mechani sally cooled? Yes ✓ No 4 . Percentage of area of windows and doors Over 17% I-Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R 36' n . Exterior walls R 1ct c . Glazed areas R 3,O d . Exterior doors R 5,o e . Floors over unheated spaces R —' f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R 1 1 h . Basement/cellar walls (below grade) R 44- ! i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code t/ Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED • Ao_��n can s Si&T& TC tc_e Date Phone Number ti :�a �' V c�7• (J� "7G1s5'- S INSPE`=OR' S REMARKS : Fire Marshal's Office Town of Queensbury, 742 Bay Road,Queensburv, NY (518) 761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances 4'1j-OX Date r� 20 _ Permit No l-',,,,, Application is hereby nuide to the Building& Codes Office for the issuance of a Building and live 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 M Circle appropriate words) Name: i , C.C.�..C.i 0 Stove: wood coal pellet gas Fireplace insert Address• Lig r OatJ H1 �L. a Fireplace, factory-built: uo gas L. u . 1 U Fireplace, masonry: wood Y Ml Furnace: wood oil Phone: If non-masonary applicance, please provide Owner 7AMC5 (3 I C% e—.t 0 t" Manufacturer Name: K 5 i C— Address:(04g rn00 NJ I h c i eo Model Number: 6 1.4 Q U to . . -t Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: ' " of construction or installation Factory-Built v' Manufacturer name: f"\A 3 1-1 Model Number: I I C r T lJC~ W'4' .1.. Note: Listed By: LA two. Number: ai H oOIS 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 trail / Insulated / Direct venting Chimney Liner j Ca/srh1er-"sa J�epm'tment— Toygsrsz of cozze4exuarbuirk, New York j i Fire;tlarshal Code # S Collected S Rc.fiarded Received front /refunded to): . '1' ill e / cf C_ t i...D address: .4 173 3389 (190) Public Safeo .a 333 3655 (230)Minor Sales Y 119r 1. 142G - u),ti 6644 04, Dep.Z.7. White(Applicant) : Green(Fire Marshal) i Yellow(Bldg. Dept.) Pink7&. Goldenrod(Cashier's Dept.) TOWN OF QUEENSBURY 10PI BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RE IVED: NAME��/� LOCATION 1 p czi-\Q f \4 `L C DATE (a - g'"Q-Col PERMIT # ,C00-1/4 TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO I CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT /M\ ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES - FURNACE/HOT WATER OPERA^I INTERIOR TRIM/PRI ()ORS FINISH FLOORS: BATH/KITCHEN WATERTIGhT OTHER FLOORS SWEEPABL$ OTHER FLOORS CARPETED STAIR CLEARANCE/RAILING$ SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES _ FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. L.4'INAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C Main Office 176 Doe Run Road-Manheim,PA 17545 We�g O—Y C MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 'anel Board No Cert. N° 68995 Cut-in Card No. )wner V! m _ocation Tfl 4 o iJ L 66 / .60: ej4 nstallation Consisting of 1ZE1J 5 VaGl ref nstalled By...... Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is ;ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the ntroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of makin, spections at any time, and if its ules are violated,the CompanyCoj shall have the right to r oke t i; ifi te. )ate l �1 INSPECTOR. Member N.F.P.A.,I.A E.I. AM r(IVUZ — FIRE MARSHAL w�iwa. TOWN OF QUEENSBURY `� j QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED � NAME vc� .sz 0 � K:_. `�-''`-� —LOCATION t0 L�`Role cl C :II R PERMIT# 00 _[ 5 SCHEDULE INSPECTION ON f i 8�7 E' ° eraD A M 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 SPRINKLERS _ CLEARANCE TO HEATING UNITS ,, REQUIRED SIGNAGE { CHIMNEY a/ WOOD STOVE /--- , FIREPLACE/0 MASONRY FACTORY BLT. ❑yOUGH-IN C'FINAL REMARKS: IOK TO THIS DATE i •) , f it , / ../ try4' L___„----7,7, //Kai INSPSLIP.PUB INSP.l TQ RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement Dept. of Community Development • e lb-t�j�am/pm I , , ,a,us •r,pm Town of Queensbury Inspector's Ini N - 742 Bay Road 4 Queensbury,New York 12804 • NAME 1 l i c i C r 1 Q PERMIT# -flC)O- 4(a-9- LOCATION (c *9 M 013 Ht l 1---(2n DATE I ,O—NTh TYPE OF STRUCTURE P IP N/A YES NO •OMMENTS Chimney Height/"B"Vent/Direct Vent • ..'on Fresh Air Intake / Plumb Vent through roof ;// Roof Complete tO V Exterior Finish Complete V/ Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in. or mor- Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation ✓/ 8"clearance to sill plate _ ,/ Gas Valve shut-off exposed/regulator 18"above 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 f Relief Valve(s)installed co , C.sj'. Headroom,6 ft. 6 in. on stairs Basement stairs,6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers - 6o( 1.�t�"Q kt1 Interior privacy/trim/doors/main entrance 36" t Floor Finish Bathroom/Kitchen watertight .....-- Interior � ����_ �`D� o� .e_ Handrails Balconies/Landing18 in. or m. e l 1 Railing across window in stairwells Smoke Detectors: every level every bedroom / outside every bedroom �/ inter connected Bathroom fans :// 4`DC) Q Plumbing fixtures ,/ Foundation insulation / `, /a hour fire door/door closer /� Garage fireproofmg / J • Garage penetrations sealed al Furnace in separate room prolefcted(in garage) Light ventilation per room // ..or,_`" ti Safety glazing 18"or less From floor ✓ Final Electrical / Site Plan/Variance regurred Final Survey Plot Plan I 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) i RESIDENTIAL FINAL INSPECTION REPORT 11110 Office No.(518)761-8256 Date inspection request received: (l d-/ ?lirU Building&Code Enforcement Dept.of Community Development Arrive=lib ameDepart Town of Queensbury Inspector's Ini 742 Bay Road Queensbury,New York 12804 �,6 NAME �u��e S Ge.Z i PERMIT / •-i-- LOCATION C' aijk-l 6( TE ///�a/a-e71) TYPE OF STRUCTURE t(( N/A YES Is O COMMENTS Chimney Height/'B"Vent/Direct Vent Location ‘/ / Fresh Air Intake Y F t QE:i'Li,C.E C HR t�6E 3_ Plumb Vent through roof Roof Complete Pa- \ P-1 ET-Pt� Fk- )L- . Exterior Finish Complete Interior/Exterior Railings 30"to 36" <i Exterior Handrails,balconies,landing 18 in.or more s yAAtD % -10 .61 Interior Handrails stairs both sides 3 or more risers /Grade 2%away from foundation yy - C-E Lt""fl 5-v f)1� 8"clearance to sill plate ✓ a(V MF-- MkN5 13E LE:.D Gas Valve shut-off exposed/regulator 18"above grade I// -1- A AZ \C6 t'C w-cV3--_VC4i)L%\Gas Furnace shut-off within 30 feet or within line of site / V Oil Furnace shut-off at entrance to furnace area �/ / Furnace/Hot Water Heater operating // Relief Valve(s)installed / I t s Ptk..-k c)C QOv c. 0 Headroom,6 ft.6 in.on stairs V. tF i)i'1W _' t r Ai3 -- Basement stairs,6 ft.4 in. F GP__ Handrail exterior stairs both sides more than 3 ri rs t! Interior privacy/trim/doors/main entrance 36" _ Floor Finish �/ Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. more Railing across window in stairwells / Smoke Detectors: every level V every bedroom outside every bedroom inter connected Bathroom fans ' / I Plumbing fixtures ✓/ G iF QC_�tMdk t� Cj t)-C TC) Foundation insulation _ / V C3� 1 { ` 3/a hour fire door/door closer 4 ✓/ Z L 1-C % v,5UL l Garage fireproofing �/ 1� Garage penetrations sealed /� 22.... ())/-- Furnace in separate room protected(in garage) f Light ventilation per room Safety glazing 18"or less from floor �/ 6 , V` G Final Electrical I J Site PlanNariance required / Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) �E (��,�,+Okay to issue temp.C/O(Certif.of Occupancy)_ , P.I li'it E►� V. `Olxi Okay to issue permanent C/O(Certif.of Occupancy) i16-M-U V cSIE) le 1.,i.kk_FIT\F � Q� l Dj ENSBURY TNN OCODEE ENFORCEMENT BUILDINGG & Road 742 Bay Queensbury NY__12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name \ LocaLio� �-1� �� � ,---'- Date __a;�. Permi t # SOIL TYPE: Sand-Loam-Clay- _____ and-Loam-Clay- ___.- - Reslation Test- ulpp of o (if applicable) Rate-Minute/Inch (if TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: uft bar- ft. Size - =' Stone size _Size -Type PIPING: Bldg. to Tankr. — , �. Tank to Dist. Box --'� -. � Dist. Box to Field/Pit, x Partial Openings Sealed? YetN LOCATION/SEPARATIONS: feet Foundation to Tank ti o'i, --- feet J' Foundation to Absorp 4 --- -- feet Separation of Pits ___-Yes No Conforms as per Plot Plan LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Rf ht Side Middle Front - Middle Rear f iN COMMENTS: 03 E 6Di 6C- — 6 L: -C ,0 AT\e), SYSTEM USE APPROVED: YES 0 Arrived: Depa ' B 1 1 In e r 1, -- — — If)... � ti ..- . \ \ , /lS\ . gSa /� f r \ 0 N Sitiep.GE. r E I \,..(........................ / 5c./ Hoost.. , ___; , v { ! �. �X 1ST i r.!(,, 'To Be. etcr+nove0 'V \\' I tl -___. , ' , YY\Ont../ I—I ) i...L. P.:-. •C) c ./12-6 . — Q495: J U N 2 8 2000 1":.i1A.";:or C' .':E?d«;^URY 11111, TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name �(5 1-2�0 (: )i Ci CCU Q Location Lo4g Wa(hffi Al uJ Dated -) -3Ypermi t #, () SOIL TYPE: ands - lay- Results of Percolation Test- (if applic. . - 'ate-Minute/Inch TYPE OF S STEM: 1 ABSORPTI+ FIELD: T•tal Length ` c c Length of -ach trenc , ��� fQ(:) " Depth of t enches -7 Size of sto e Z, SEEPAGE PITS. Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank " "Clqt Tank to Dist. Box f {,_ Dist. Box to Field/P I if `�O Openings Sealed? Ye No ookind LOCATION/SEPARATIONS: Foundation to Tank ID-4-feet Foundation to Absorption .t feet Separation of Pits fee Conforms as per Plot Plan Yes LOCATION OF SYSTEM ON PROPERT ,: (circle on Front - Left Side - t Si Middle - Middle Rear COMMENTS: L.-`-(ALV\ 'Lk 5 �- \e ti,_,(5 % jic ‘ 0 1-) ____'-a-g,h(--V---- L"IE-IL-NY-,Tt reE — F Ni...„,) Lt E � ‘�� c 4 SYSTEM USE APPROVED: YES Arrived- i_= Depar ilding n c or UQI-D\ ‘01 -'6VeC)')Ue 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 Depart Inspector's Initial NAME: PERMIT# LT± (1)SS LOCATION: ( [�`611 � .�r\ DATE : ()C) TYPE OF STRUC - RECHECK N/A YES NO COMMENTS 0.1/`Footings/Piers t 4� A !tyi LA- �' � Monolithic Pour Form , Reinforcement in Place LCL� /.�� �`= R�� RO`j,,�1 The contractor is responsible for providing protection from freezing dl for 48 hours following the placement of the concrete. Materials for this purpose on site , ���� ��1- \ i FoundationNVallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval �'� Plumbing Under Slab / �� Plu mg Vent/Vents in Place _i`,✓ 1�1' p.."1��1 r -�"�'r-'�" Plgh umbing V C , u Heating Rough-In I"� t `—`- -A p ED Insulation -TEE 'Pi Lfj (y Foundation Walls Interior R- {� Foundation Walls Exterior R- , Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Vent, Attic Vent Jack Studs/Headers V 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 742 Bay Road Queensbury,NY 12804 Arrive\4 a m Depart m Inspector's Ink' r ,✓ NAME: .1 (�1 C,CA()I \f PERMIT# L LOCATION: � L ) DATE: l — ©DC. TYPE OF STRUCTURE: sc > RECHECK R(--) N/A YES NO COMMENTS .. Footings/Piers 1 Monolithic Pour Fofln _. Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placent of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Back6ll 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- WR- - Ceilling R- Duct work or piping in unheated spaces R- HOt Proper Vent,Attic Vent / Framing 1,h T 2_t31) FL9 _ Jack Studs/Headers Bracing/Bridging Joist Hangers ✓1 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour / Firestopping V — F 1 Q 6 -OC-Ne--1 IX- i 1:: 15—VO 5 EAL_ tx-)\ \C,‘v-6 c.-VOL ; GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: f Building& Code Enforcement / 742 Bay Road1 1 ii Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initials NAME: i ►. Q —1 C.) PERMIT# C-�)O -LTCPJ LOCATION: 'y < 'f\O I( !ti DATE : 1) - 7 QO 0 TYPE OF STRUCTURE: -j REC /H[��t �./ N/A Y1 NO — COMMENTS ' ootin Piers � 6` I Monolit -c ur Form Reinforcement in Place I The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundalion/Wallpour Reinforcement in Place__ Foundation/Dampproofing • ,__ Backfill Approval_ Plumbing Under Slab Plumbing Vent/Vents in Place_ Rough Plumbing M1 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_a Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2,#3, hour Penetration Sealed Firc 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 Depart Inspector's Initials NAME: C,C ►© PERMIT# — LOCATION:(4f3 DATE: — —(0 TYPE OF STRUC ' •. !F� RECHECK N/A • 0 COMMENTS Footings/Piers G7 I Monolithic Pour Form X Reinforcement in Place The contractor is r- . nsible for providing protection fr► ' freezing for 48 hours following t' - placement of the concrete. Materials for this purpose on •'te Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-hi 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 pl Dept.of Community Development Date ins lion request received: Building&Code Enforcement o % __ 9 742 Bay Road ",`Gf Queensbury,NY 12804 Arrive i an Depart �� . . Inspector's Initi ; i... / NAME: 1 C1 PERMIT# '-, -,.) LOCATION: ,Q k. I DATE : I. : .� __ TYPE OF STRUCTURE: i RECHECK N/A O COMMENTS ootings/Piers c-�F��(-Ay � I //� ., Monolithic Pour Form 4 Y Reinforcement in Place The contractor is responsible for i providing protection from freezing , for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Fo 1 ••tion/Dampproofing :f.i I Approval P umbing 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 if Jack Studs/Headers % Bracing/Bridging , • Joist Hangers / Jack Posts/Main Beam j 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 742 Bay Road Queensbury,NY 12804 Arrivel 1, • iiIrPlo Depart ,Ti" fpm Inspector's Initil NAME: PERMIT# tra al•- (� LOCATION MrDr)�3 F3\�L RI''IN41 DATE : -1g3-c1> TYPE OF STRUCTURE: Fly RECHECK -- . N/A YES NO, COMMENTS Footings/Piers (.->n I I ✓I Monolithic Pour Form Reinforcement in Place ►JEEP" j �t tt The contractor is responsible.or --t-p providing protection from 4.- ing �� -� � for 48 hours following the ptiacement of the concrete. $ \ Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing j . Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place 7 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: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive �''dam/ m Depart 7. . p r : � Iis Initial. NAME: y 1P6 ��P�� PERMIT ..- ��I LOCATION: ci\nC DATE : ��1 —__��n► C7 TYPE OF STRUCTURE: `Q RECHECK N/A YES/ TO COMMENTS tings/Piers I I Monolithic Pour Form f Reinforcement in Place j` The contractor is responsible for providing protection fro u freezing for 48"hours following the placement of the concrete. Materials for this purpose on site Foundation/Wailpour Reinforcement in Place Foundation/DampproofiIng Backfiil Approval Plumbing Under Slab Plumbing Vent/Vents in lace 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 \ \tLX.. GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: /6) S . 1-9716 Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive V2 In Depart ,f„s e1,40P. spector's Initial NAME: PERMIT#vJ a. S LOCATION: DATE : UCTURE: CHECK 10-r N/A YES NO COMMENTS Footings/Piers r I Monolithic Pour Form Reinforcement in Place The contractor is responsible for `t providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place 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 1'c� C`, "1�- h&t FIRE MARSHAL Aft TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME DICE CC_►O f LOCATION ___et.t o Nt LL (2I) PERMIT# +' *- SCHEDULE INSPECTION ON 10-4 `ate 3_co A .• -_ 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 SPRIN LERS CLEARANCE TO HEATI G UNITS REQUIRED SIGNAGE CHIMNEY V FOOD STOVE FIREPLAC/ ❑MASONRY Lori FACTORY BLT. [ROUGH-IN to bc,17 1-2,0r...1t►J(� ❑FINAL REMARKS: WC/NC TO THIS DATE C_. 3(c.' Su - pus �?�p �PA a �� INSPSLIP.PUB INSPECTO GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road AP Queensbury,NY 12804 ArriveZ`)a + Depart J L4S r = tor's Initials ` NAME: IN C, PERMIT# Z•U� r� LOCATION: Mho► l-�1 i 1 Rcan DATE : (i f -(')l) TYPE OF STRUCTURE: 5 f-(.) iv.. 7 G P Risc E RECHECK N/A YES NO C MMENTS Footings/Piers 1 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/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Ieating Rough-In nsulation �©� Foundation Walls Interior R- Q V- MC) 6 v\E G , W e Foundation Walls Exterior R- Floors , f p Floors R- �6--0 F iF SZiWc Walls R- Ceiling R- W - Duct work or piping in V7' -a , c LL unheated spaces R- NA'EZ Vl' 3C Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour t Firestopping / a- - -I-) Adnfti GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: /t ..i Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrivam pm Departf, ctor's Initia /' NAME: 0.1 (_i c-c:b , la,me.s PERMIT# O - 6L LOCATION: f)),?oN H.11 DATE : a.' TYPE OF STRUCTURE: Sr D. RECHECK N/A YES NO COMMENTS Footings/Piers 1 I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing : for 48 hours following the placement', li of the concrete. Materials for this purpose on site '; Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval "1 Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing . Heating Rough-In Insulation : / 4 V E He v E 11��R� \ , R'7�� 1- Foundation Walls Interior R- w ALL Foundation Walls Exterior R- PC%l ‘ C_)I\ ti_RL-_ 11Y)L 1 ‘c6 Floors R- / °'.,t �P-AV t P APk'- CR0NI - V-7v__ LK-- Walls R- 0 EY-V gEt-L� Ceiling R- -30 -lam I\) vJ\-\\ Q 0 B� Duct work or piping in l)1`' e_k, �- unheated spaces R- Proper Vent, Attic Vent Y — � R L� Framing t �j Jack Studs/Headers1 ‘ Bracing/Bridging �� cj Joist Hangers Jack Posts/Main Beam "- MVO _,� 1 Air Infiltration Barrier 05-VF1�f jG 4WD Fire Separation 1,2, 3,hour ? ©Iv t�Pr. Penetration Sealed �! Fire Wall 2, 3,4 hour Firestopping -22cD ALA DEED REFERENCE: MILLARD F. & BELLE COONS TO MILLARD F. & BELLE COONS & KENNETH COONS DATED: SEPTEMBER 11, 1950 _.�. BOOK 295 PAGE 569 $ S7 Off` NAL 20Q 96, S77'7g r, 23 F 99.0 ' � r j�l Q �'' � PF O V N ��® 1.1q. 2p33q, `L l.pp. v N j4 "Ouse ia7.ai O N LANDS N/F OF COONS N 1157/301 M LANDS N/F OF RUIZ AREA 864/319 115,436 sq.ft. 2.65 acres 0 00 - N BROOK C� // • •- - / AXLE i�OUNp tr• QaG N p�- • '00e '000 / •• /���� ,r • / LANDS N/F OF l , BRMON 866/252 LEGEND: / O IPF - IRON PIPE FOUND O IRF = IRON ROD FOUND R ^+ • � ECEI/ O IRS = IRON ROD SET/TO BE SET V�® �5+ • = UTILITY POLE FEB= WELL 0 7 2001 Tov OF QUEEWB8URV EXCEP'fING AND RESERVING TO THE PUBLIC, THOSE LANDS N/F OF PORTIONS OF THE PROPERTY THAT LIE WITHIN THE / MONTffiE RF BOUNDS OF MOON HILL ROAD. atei JANUARY 2T 2001 •MAUL MM ALIMIICN at ADM"To A WWY Scale 1'=50' -� a►,�►- Z..Z S MW WEAM A LICENM LAW SUR*'f tS WE&19 A Map of a Survey made for MQAIM OF WC1W ML SJ5--WWW!.CF TAE NEW YM STATE to M IM LAIL• S t e v e s M f ptEti rRCM 111C a,m"M twaaa Mm AN oACEtAL a M LAIO NJIKYCRTr mmLLM ,om�> James DiCiccio S— CERMICJIIICNS NON:ATED mom"AWFY iW1T M MVEY IM AMPAM N ACCat OM MIN M Land Surveyors , LLC IN W°`°'"'"c'M MMM "°°°'E° to 1NE NEM IONK alAlE A!lCCIATCN o<PAOFESlOMK U111C SIR%VMM M CM flWAMW*WL NUN CITY /� TO'ME MOM Fat*=W"VEY 6 Pl"AM,AND �1 OF 1 A0� TO r1E r,�"LW HMMHIErt.WAL MD Town of Queensbury, Barren County, New York 169 Haviland Road Queensbury, New York 12801 "°E'er AS `�°'"'"�'LM "'�MMM, "p mcwxjo C415 To lnE AtslrxEs or 1N[LDG71C NtitII1J11011• (518) 792-8474 New York Lie. No. 50135 1 NO. DATE' DESCRIPTION DWG. No. 00318 48-3-15