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98-732 Certificate of Occupancy Town of Queensbury Warren County, New York Date February 28, 2000 This is to certify that work requested to be done as shown by Permit No. 98732 has been completed. This structure may be occupied as a RESIDENTIAL ADDITION & ALTERATION Location 11 FIELDING LANE Isi)irter------- VAN-SCHAICK, PAUL THOMAS TAX MAP NO. 12 . -1-11 By Order Town Board • Trilly:2UEENSBys t..240/P Director of Building& Code Enforcement BUILDING PERMIT VALUE15000TOWN OF QUEENSBURY $ No. 98732 TAX MAP NO. 12 .-1-11 WARREN COUNTY,NEW YORK PERMISSION is hereby granted to VAN SCL A T['K►- pAxLL 'IHOMAS OWNER of property located at 11 F TF.T.flTNCt 'LAMP' Street,Road or Ave. in the Town of Oueensbury,To Construct or place a RRSIDF'IL'ITAT-- .'-) ITI^N t AVTz'RATYeN at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. 1. OWNER'S Address is 22 LOMOND AVE. SPRING VALLEY, NY 10977 2. CONTRACTOR or BUILDERS Name ROULIER,,_ CHARLES 3. CONTRACTOR or BUILDERS Address CLEVERDALE, NY 0 4. ARCHITECTS Name NEW YORK BOARD 5. ARCHITECTS Address NEW YORK BOARD OF FIRE UNDERWRITERS 6. TYPE of Construction—(Please indicate by X) RES.ALTERATION & ADDITION i Wood Frame ( I Masonry I I Steel 1 7. PLANS and Specifications 103ao,sq ft ADDITION AND 1376 SQ FT ALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use RESIDENTIAL ADDITION & ALTERATION 136 December 2 19 2000 $ PERMIT FEE PAID —THIS PERMIT EXPIRES ill a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbury before the ewpitation date.) 2 December 1998 Dated at the Town of Queensbury this Day of 19 SIGNED BY for the Town of Oueensbury Building and Zoning Intpeetor P" Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256] -O BUILDING & . CODE ENFORCEMENT NOTICE Requirements prior to issuance r A permit must be obtained before of this permit: PERMIT FILE NO. l beginning construction. No inspections PERMIT FEE PAID$ will be made until applicant has received n Zoning Board Action • a VAI1II) BUILDING PERMIT. All Area /Use RECREATION FEE PfID$ applicants" spaces on this application �� I MUST be completed and the signature (� Planning Board Action REVIEWED BY: of the applicant must appear crtt the SPR / Subdivision /Other Building Inspector pplication form. max, .. J --� • Recreation Fee Payment ApplicantL� .�r Owner: "e404 Z.,.os Lo.......c(a,c:•(- ' Address: /f o• 'S. .36' // ��1�.eid.4 i✓.KAddressa t 1,0 ..�,r�i :e .. s.o '-- :a/fo }r /.t a�=) /,/o7'7 Phone # {,�2'd ) L,3Z -J )'�/ �j Phone # ( 9iy ) ,�,t - �777 �r Property Location: /1 s4 .,.� �Owci GCe•►e„ eec— N Subdivision Name: °+/i,► Tax Map Number__ ' I Z± Section Block lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ /log . . �' residence / commercial )C Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial V Single Family Dwelling Residence / Commercial Two Family Dwell,± ,ga no change to exterior size Family Dwell:in-e A Office Other Work (describe below) Mercantile Manufacturing V c'° Other GROSS AREA OF PROPOSED STRUCTURE: If ADDITION, what will use 1st Floor sq. ft. / of new addition be? : 2nd .Floor / 74v, sq. ft. b Other Floors sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: dye 2 SQ. Attached Garage 1, 2 car 4 Private Storage Building SIZE OF NEW STRUCTURE: J 07 3)- /1 , Commercial Storage Building ..34 FEET X Y.= FEET\,, I Other Foundation. Type: e..•.....' ,Bex G.,,,....4:-X Will any second-hand or ungraded Number of Stories : ...I lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : V .l7 feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which applies) to be installed: / Gas / Wood Forced Hot Aif.> Baseboard / Other Person respon 'ble o}; supervision of work as rGam�e9ar s to building codes is: • ! ...G-e . C,. /3. 34/ , N•y /.Ara" N me Addresss Phone Builder: Sc e-4 Plumber: V•13,11 Mason: f.a.v-- Electrician: Jewel.- 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; drawn to scale, showing actual location of project on premises. Signature: — (owner, owner' agent, architect, contractor) • - - � _/ ‘H ENERGY CODE COMPLIANCE APPLICATION F3 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 * quir s submission o wo ksheets • / !� Alec /✓.r Geer + .1. AP.' i .•� /� i✓ Awr APPL CAN ' S NAME: PROPERTY LOCA ON: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - ml$015a square feet 2 . Type of Heat - Electric y Oil Gas Other 3 . Is building mechanically cooled? Y 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 ..3'7 b . Exterior walls R /y c . Glazed areas R ..., d . Exterior doors R 7. - - e . Floors over unheated spaces R f . Edge of slab on grade (heated building) R -» g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R — i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code X Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED A p1 i ant ' ignature D to Phone Number INSPECTOR' S REMARKS : (51.13( Application for SEPTIC DISPOSAL PERMIT Town of Queensbury \\ A;)0 Permit No. /� "�/ 'j��Dept. of Community DevelopmentC‘t Building &Codes Office C— _ \ 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: // 4, /t)• Y Property Owner's Name: ,oL .,.,..s f a,,, S ,.� - Property Owner's Mailing Address: _4t? • ..,r241.04 ,' 4ero," i ./� ,t. y /L72,• J Installer's Name:4.4,,,111e lc.. Phone # 75:3 - o y 3/ Number of bedrooms (if residential): Total daily flow: 91'' (residential -compute @ 150 gal./bdrm.) Topography: 1/flat, rolling, steep slope % of slope Soil Nature: sand, ✓ loam, clay, other /depth: Ground water: at what depth?lry feet / Bedrock or Impervious Material: at what depth?' feet Percolation test: not required, required [rate min. per inch J Domestic water supply: municipal, well, other If domestic water supply is a WFT , water supply from any septic absorption is Nf feet. PROPOSED SYSTEM Septic tank•/•+►+r gallon (minimum size: 1,000 gal.) Tile field: each trench 5 feet / Total system length: I(P2 feet Seepage pit(s): number of / size each: . ft. by ft. • Size of stone to be used: # ` / depth or thickness feet • HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons ( lam system and associated electrical work to be inspected by a certified agency. 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 aryl all requirements of the Town of Queensbury San;tary Sewage Disposal Ordinance. Signature of responsible person: / Date: /11347 RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement Dept. of Community Development Arrive am/pm Depart am/pm Town of Queensbury Inspector's Initials (sue 742 Bay Road Queensbury,New York 12804 NAME PAoL —1-14,01-kfta Vikt3 he.1\A\C t. PERMIT# Cig—7',2._ LOCATION l 1 ) I3E 1.3E DATE Z— 1 --0C) TYPE OF STRUCTURE (Z'E.j, FT) t� N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location ' Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landin ' . or more Interior Handrails stairs both sides 3 r moie\risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulato 18"above grade Gas Furnace shut-off within 30 feet within line of site Oil Furnace shut-off at entrance to ace area Furnace/Hot Water Heater operating / Relief Valve(s)installed t Headroom,6 ft.6 in. on stairs ``7'"`"-- Basement stairs,6 ft. 4 in. // Handrail exterior stairs both sides ore than 3 risers Interior privacy/trim/doors/main ce 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Lan g 18 in. or more Railing across window in stairw is Smoke Detectors: every level every bedroom outside every bedroom } inter connected / Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room S ty glazing 18"or less from floor a2te PlanNariance required (W Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp. CIO(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) il . -"4 A.' RESIDENTIAL FINAL INSPECTION REPORT t Office No. (518)761-8256 Date inspection request received: ! Building& Code Enforcement r Dept. of Community Development Arrive am/pm Depa Town of Queensbury Inspector's Initial 742 Bay Road �--� Queensbury,New York 12804 �Soe- e c NAME Q t_ -ri-ko Niv6 Y1P41 AC kc C A RMIT# cr 'Zgl LOCATION I l Ft E t C-, 1 DATE 'L.— —CC) TYPE OF STRUCTURE RCS. FIn�Q it.Q- N/A YES NO COMMENTS Chimney Heighti'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior 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-off exposed/r ator 18"a.,, e grade Gas Furnace shut-off within 30 fee i .. 1- . site Oil Furnace shut-off at entrance to furna area Furnace/Hot Water Heater operating . Relief Valve(s)installed Headroom,6 ft. 6 in. on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs bo ides more than 3 risers Interior privacy/trim/doo 'main entrance 36" Floor Finish Bathroom/Kitchen w ertight Interior Handrails :alconies/Landing 18 in. or more Railing across ., dow in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer 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 Site Plan/Variance required Final Survey Plot Plan *As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp. CIO(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) 6:b a "r: ! 4 s 7 Z 4*•?/ . <11.1-:-----• 4- St 8, 1 i --.----4, 1 i 1 I . I LTi . Q AS BUI , \ \ 4. ,m...fer- sel,1‹er „000 641 , . 1 \1_ rece_ "TAn k, Id cS-( ttev 14 - •-•- --. t/-111 I hi., 7c ' t ( i 4.7. Ai 1 ,. . ‘ 1., { vi i 4) ( .. ) t , - -7 ti/ i i t , Z4- ,- ,-------4 fre:.-- ---'1, -. ----'f / —--.)0 41 to /...-... i ---i FEB 2 8 2000 k Getr<?-)C•. I 5e itill') 1 , /63i( ..... .44 GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 2/r am/pm Depart am/pm Inspector's Initials '41_, NAME: /-f/1( � �L PERMIT# J— 2 LOCATION: et (Ai,- DATE : 1 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 fol owing the place ent of the concrete. Materials for this pu se on si Foundation/Wallpour '' Reinforcement in Place Foundation/Dampproofing t� Backfill Approval t� Plumbing Under Slab Plumbing Vent/Vents in Place 1 Rough Plumbing Heating Rough-In Insulation_ Foundation Walls Interior R- Foundat ion 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 RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement p. Dept. of Community Development Arrive 1=Z am/pm Depart Town of Queensbury Inspector's Initial 742 Bay Road Queensbury,New York 12804 NAME A Ili dC lc., PERMIT# G' —7` 7 LOCATION (=t E l D t Il DATE ( Z`7- TYPE OF STRUCTURE i( N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location I/ Fresh Air Intake ✓ Plumb Vent through roof Roof Complete I Exterior Finish Co.. .lete Interior/Exterior Rail •ts 30"to 3." ✓i Exterior Handrails, ..1 , es,1. ...g 8 in. or more ,/ Interior Handrails •• •.1/4, Si.:s 3 or, ore risers Grade 2%away from four•• on J 8"clearance to sill plate , Gas Valve shut-off exposed/re:ulator 18"above grade Gas Furnace shut-off within 3, feet or within line of site ✓, Oil Furnace shut-off at en II • . to furnace area d ` Furnace/Hot Water Heater o.• ating Relief Valve(s)installed J Headroom,6 ft.6 in. on •, / Basement stairs,6 ft.4 in. �/ Handrail exterior stairs bo sides more than 3 risers ✓, Interior privacy/trim/doors/main entrance 36" // Floor Finish Bathroom/Kitchen watertight I/ Interior Handrails Balconies/Landing 18 in. or more f Railing across window in stairwells ✓ / Smoke Detectors: J every level every bedroom outside every bedroom / inter connected ,/ Bathroom fans ✓/ Plumbing fixtures ✓/ Foundation insulation 43/4 hour fire door/door closer V/ Garage fireproofmg 'I Garage penetrations sealed JFurnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floorij Final Electrical Site Plan/Variance required I/ Final Survey Plot Plan x/ li 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) q:61.1) _ (...1 ".2),,,3 o.......... RESIDENTIAL FINAL INSPECTION REPORT ' L..--37. --1-- Office No. (518)761-8256 Date inspection request received: 11% Building& Code Enforcement Dept. of Community Development Arrive q••'`1_ti),, m Depart",61®0j0 Town of Queensbury Inspector's Ini •: /,�►�` 742 Bay Road Queensbury,New York 12804 NAME 4—SG i-e #:Lk PERMIT ® ��� J LOCATION f oc.' ` -'• DATE � �� J�4 TYPE OF STRUCTURE - ` N/A YES NO CO S Chimney HeightP'B"Vent/Direct Vent Location d, r I'i i Fresh Air Intake J � t Plumb Vent through roof I Roof Complete Exterior Finish Complete I/ Interior/Exterior Railings 30"to 36" ✓/ Exterior Handrails,balconies, : ding 18 •:. or 're Interior Handrails stairs both sid• 3 or mo.e risers / Grade 2%away from foundation t I 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18 ..$ve a .a e 1 Gas Furnace shut-off within 30 feet or within, $f site /f Oil Furnace shut-off at entrance to furnace ar-: ✓ Furnace/Hot Water Heater operating f Relief Valve(s)installed Headroom,6 ft. 6 in. on stairs J Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 sers Interior privacy/trim/doors/main entrance 36" Floor Finish if Bathroom/Kitchen watertight ✓/ Interior Handrails Balconies/Landing 18 in. or ore ✓ V Railing across window in stairwells Smoke Detectors: I every level every bedroom ✓i outside every bedroom Vj inter connected J/ Bathroom fans V/ Plumbing fixtures V Foundation insulation (—n.) CZ.--cbT �5 IL Z . '`—V .�� %hour fire door/door closer df Garage fireproofing V i. Garage penetrations sealed Furnace in separate room protected(in garage) '/ Light ventilation per room ►/ Safety glazing 18"or less from floor ✓� Final Electrical / 'Jr Site Plan/Variance required ✓/ Final Survey Plot Plan ti / As Built Septic System layout required J 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) GENERAL INSPECTION REPORT Town of Queensbury 4/11 Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road , Queensbury,NY 12804 Arrive W Depart I"4 `<,1,4 , Inspector's Init'.tom % e NAME: PERMIT# r • LOCATION: \\S i o DATE : R 12-9 TYPE OF STRUCTURE: ? - RECHECK N/A YE O COMMEN tings/Piers 3 5 C O ' �'�' I '- e TS pF Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from ing for 48 hours following the i la ent of the concrete. Materials for this purpose on s - Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval\ Plumbing Under Slab\ Plumbing Vent/Vents in iace 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 ---0- GENERAL INSPECTION REPORT 91, h Town of Queensbury Dept.of Community Development Date inspection request received: �'-g`7 Building& Code Enforcement 742 Bay Road �- - � Quee u , Y 12804 Arriv ea m _Depart spector's Initial N _` Gw Sict.a.:c.k PERMIT# ).1-1' 3�- LOCATION: /t 7'ic(c .e DATE : s►�` fry TYPE OF STRUCTURE: RECHECK , N/A YES NO COMMENTS Footings/Pie I I Monolithic Pou Form 1 Reinforcement in lace The contractor i spo le for providing protectio freezin for 48 hours followin ment of the concrete. Materials for this pu pose on site Foundation/Wallpour Reinforcement in ace Foundation/Dam roofing Backfill Approval Plumbing Under Slab . Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In V emulation / Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- / Walls R- ',/ Ceiling R- ,q 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 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive �i a r'" epart • :,i011 ---- Inspector's Initi NAME: Gj1 PERMIT# • LOCATION:\\ i e 61 n, DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers ( I Monolithic Pour Form Reinforcement in Place The contractor is res •nsible for providing pro - '•n fro s freezing for 48 hours foil wing the ,lacement of the concrete. Materials for this urpose on to Foundation/Wa •,•ur Reinforcement in ' •v- Foundation/Dam• troofing Backfill Approval Plumbing Under S Plumbing Vent/Ven in Place f 1..1k6ugh Plumbing \ .T 4 21,3t0 i&► e- t\ -M NZ \ 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- Pro r Vent, Attic Vent naming 1.574 7-!3pFes--... Jack Studs/Headerg Bracing/Bridging Joist Hangers Jack Posts/Main Beam Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive35 a 4121110 Depa Inspector's Initials NAME: it ` GG n �lif\o ciAc PERMIT# LOCATION: \1 \p d Q DATE : TYPE OF STRUCTURE: d ,,r-o>,N— l rr• RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsible for ~4 providing protection from freez.ig for 48 hours following the place ent 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- per Ve Attic Vent naming y os s e 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 54-->s," 4---; 4, - GENERAL INSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received: / S9 R Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 pm j Arrive ?/caam/pm Depart am/pm Inspector's Initials c/)# ,4 0 70-/9g NAME: k.46,-;4--L PERMIT# 9 -! 5 ' LOCATION: rg-ti--64-0E-,,,, , t.,..,5 ,.... a D TE : / V ,. �'�4e ' TYPE OF STRUCTURE. RECHECK N/A YES NO COMMENTS Footings/Piers F I , Monolithic Pour Form �r, ; / " /, ���4 c'- `:�" Reinforcement in Place - /t ' ` ` The contractor is responsible for -`t . t it,,/, providing protection from freezing / �� for 48 hours following the placement - :I' / (1 /-we ',,'rs '/ (1"```fit of the concrete. ` e,- -.- Materials for this p se on site ea �^"�'J t Foundation/Wallpour � ��/�, ` ' Reinforcement in Place / "' Foundation/Dampproofing ______- A A ,,��L �?If c 4.�'""' 7ffackfill Approval - A '� `f x Plumbing Under Slab r p._ /4c t Plumbing Vent/Ve in Place ei.c-v" Rough Plumbing' „� . Heating Rough-In fiA,�.s 4 - f/.,, re-zi Insulation Foundation Walls Interior R- / r-,� �,p� ; s� 1--'Foundation Walls Exterior R- ` C"y�`s s ie� Floors R- Walls R- ✓c c-" Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent r Framing ✓vf' Jack Studs/Headers ' Bracing/Bridging Joist Hangers V > Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping f GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart ' '1)am/pm Inspector's Initials cv NAME: bi-11-Ai &/(,1fC .X. PERMIT# 7 �-- LOCATION: r e �-�� �/ DATE : 27k.f 96 TYPE OF STRUCT : RECHECK N/A YE NO COMMENTS ootings/Piers • 1 I Monolithic Pour Form — ,ti 1 v��- Reinforcement in Place �- The contractor is responsible fo providing protection from s :- ing for 48 hours following th. .1a,went of the concrete. Materials for this purpo : on site Founda n/Wallpour f Reinforce -, in Place Foundation/Dam.. -: g-- Backfill Approval Plumbing Under Slab Plumbing Vent/Vents i' 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 I !b TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ° 4 5CA4AC-K Location _ h t I61,( (A)U Li Date 4 "74 98 Permit # /�1 " 7 SOIL TY E: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIEL : Total Le gth Length of each t ench Depth of trenches Size of stone SEEPAGE PITS: Num Size - ft x ft. Stone size PIPING: Size Type Bldg. to Tank Tank. to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: feet Foundation to Tank feet Foundation to Absorption feet Separation of Pits 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: V�2\C T67— /5s ieutia I1 • ZN� ko) S (Mii SYSTEM USE APPROVED: YES Arrived: t Departed: A 3C/c----" Building Inspector ,`a '9 / s� . � 4//f/A .r ���si half et 4/.1 / 77T S. o c G ,e., . '0, --___ .. Q j $ 3o/ \t j/,,. [r_•-• 30. 4,/e3, 2- i ` a ��s�"sl� i c ` . // .rea/i `. .1)1/. . ......... i t•—id— : /-1 - 1. ,\% I 7 • i o � ° - ,. .k cI • s/ //\ i r • H ,c . \r a c w (ij / r' 93 I 1 y r G Le�rJ/` '\'sir-+